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Home My WebLink About12-06-06 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Miriam L. Felton also known as Miriam L. Peffer File Number P<' - Dl,- 1059 , Deceased Social Security Number 206-30-8014 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated and codicil(s) dated named in the (State relevant circumstances, e.g., renunciation, death of executor, etc) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs) I Name Relationship Residence I Joseph Carl Peffer Son Harrisburg, P A Frank Joshua Peffer Son Selinsgrove, P A Decedent was domiciled at death in Volusia 765 Navigators Wav, Edgewater, FL 32141 (List street address, town/city, township, county, state, zip code) o County, Pennsylvania with his / her last principal(~~ce at ~,1~~ at Bert Fish Medical Center, New Sm~a~ .--, C::':> = cr' Cl "I (""') \ CJ" "' --1 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. "1 . --'1 o Decedent, then 65 years of age, died on September I, 2006 ,r--._ r) ,_.1-'-' ) '\ \ -0 -~ ~- c ) ___ 1 Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal propeliy (If not domiciled in PAl Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value ofreal estate in Pennsylvania jC,j ::::. $U $ $ $ ~ <.J'l ~~400.00 200.00 181,000.00 situated as follows: 501 Gale Road, Hampden Township, Cumberland County Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codieil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: T ed or rinted name and residence William N. Gambert, Esquire, 629 North Peninsula Drive, Daytona Beach, FL 32118 Form RW-02 rev. 1(1.13.06 Page 10f2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA Y f/! cJ >t c,,\ SS COUNTY OF The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner( s) and that, as personal representative( s) of the Decedent, Petitioner( s) will well and truly Sworn to or affirmed and subscribed S,~"'"~/~ administer the estate according to law. day of Signature of Personal Representative ~ 'gnature o{Personal Representative f'....J c:..-:> = D ill n ;-n File Number: Estate of Miriam L. Felton .::J , Deceased c.n (j") Social Security Number: 206-30-8014 Date of Death: September 1,2006 AND NOW, -:j)..e (I Q_.n'lJ'ulr Ii , Q()D1 D ,in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to William N. Gambert. Esquire in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will FEES Letters ............... s 10 .()b Short Certificate(s) . . . . . . .. S I 2. (/'0 Renunciation(s). . . . . . . . . . . s ... C-LL.,-_U t~ . . . s 5 ~ru ~CP s/O.JQ s $ s S S $ $ TOT AL . . . . . . . . . . . . .. $ ~ '-11.00 Attorney Signature: Attorney Name: Supreme Court I.D. No.: 46782 ./ / Address: 2080 Linglestown Road Suite 106 Harrisburg, P A 17110 Telephone: 717-703-3600 0.00 Form RW-02 rev. /0.13.06 Page 2 of2 t " e e 10/11/2(8) 01:38 PM Instrument# 2006-256139 # 1 Book: 5931 Page: 4130 IN THE CIRCUIT COURT FOR FLORIDA VOLUSIA ' COUNTY, PROBATE DIVISION IN RE: ESTATE OF MIRIAM L. FELTON FileNo.c200b~ IJ.-fl q~~DL Division 10 - FILED IN TH CLERK OF TH~ ~FFICE OF THE VOLUSIA COUN~UlT COURT . FLORIEJA Deceased. PETITION FOR ADMINISTRATION (intestate Florida resident-single petitioner) SEP 26 2006 Petitioner, William N. Gambert, Esquire, alleges: I ;.'>y CLERK I -'~--:::::::::'. Deputy Clerh .:.J 1. Petitioner has an interest in the above estate as Attorney for Heirs. Petitioner's address is 629 North Peninsula Drive" Daytona Beach, Florida 32118. 2. Decedent, MIRIAM L. FELTON, whose last known address was 765 Navigators Way, Edgewater, Florida 32141, and whose age was 65, and whose social security number is 206-30-8014, died on September 1, 2006 at Bert Fish Medical Center, New Smyrna Beach, Florida, and on the date of death decedent was domiciled in V olusia County, Florida. 3. So far as is known, the names of the beneficiaries of this estate and of the decedent's surviving spouse, if any, their addresses and relationships to decedent, and the dates of birth of any who are mmors, are: NAME ADDRESS RELATIONSHIP . ') BIR TI-l1)>A TE [if Minor] Joseph Carl Peffer 325 Yorkshire Drive, Harrisburg, P A 17111 Son Frank Joshua Peffer 12 Horizon Drive, Selinsgrove, PA 17870 Son : .J c::, 4. Venue of this proceeding is in this county because deceased owned 1/2 interest in real property located in Volusia County, Florida. 5. William N. Gambert, Esquire, the address of which is 629 North Peninsula Drive" Daytona Beach, Florida 32118 and who is qualified under the laws of the State of Florida to serve as personal representative of the decedent's estate is entitled to preference in appointment as personal Bar Form No. P-3.0l20-1 of2 ~ Florida Lawyers Support Services, Inc. January 1, 2006 ./ I .. Instrument# 2006-256139 # 2 Book: 5931 Page: 4131 Diane H. Matousek Yo lusia Cwlty, Clerk of Court representative because he is the person selected by all the heirs to act as Personal Representative of the ,~ e e Estate. 6. The naMe and approximate value of the assets in this estate are $150,000.00. 7. This estate will not be required to file a federal estate tax return. 8. After the exercise of reasonable diligence, petitioner is unaware of any unrevoked wills or codicils of decedent. 9. Domiciliary or principal proceedings are not known to be pending in another state or country. Petitioner requests that William N. Gambert, Esquire be appointed personal representative of the estate of the decedent. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belie . /. Signed on '~205b . ~~~ William N. Gambert, Esquire Petitioner Bar Form No. P-3.0120-2 of2 \1;> Florida Lawyers Support Services, Inc. January I, 2006 ~"'" e e IN THE CIRCUIT COURT FOR VOLUSIA COUNTY, FLORIDA PROBA TE DIVISION Division 10 10/11/200601:40 PH Instrlment# 2006-256144 # 1 Book: 5931 Page: 4149 D1ane H. Matousek Volusla Comty, Clerk of Court IN RE: ESTATE OF MIRIAM L. FELTON File No.o?OO ~ -I.l.flq ~((pL Deceased. ORDER APPOINTING PERSONAL REPRESENTATIVE ( intestate-single) On the petition of William N. Gambert, Esquire for administration of the estate of MIRIAM L. FELTON, deceased, the court finding that the decedent died on September 1,2006, and that William N. Gambert, Esquire is entitled to appointment as personal representative by reason of he is the person selected by all the heirs to act as Personal Representative of the Estate, and is qualified to be personal representative, it is ADJUDGED that William N. Gambert, Esquire is appointed personal representative of the estate of the decedent, and that upon taking the prescribed oath, filing designation and acceptance of resident agent, and entering into bond in the sum of $0.00, letters of administration shall be issued. ORDERED on t) (I- . /0 2.~~ , (, ;1l~k kdL ~ C. McFerrin Smith, III Circuit Judge c...:) r-,) c:::.-,:, C:l t.'::i'"'\ C) c.... C-) -'1 0 -"':, _.:.:", .-' - c..) r:-~' .--- --. ..._" (-,) ~ .- . -.J " Bar Form No. P-3.0440 <!::) Florida Lawyers Support Services, Inc. J anulll)' 1, 2006 iD e e IN THE CIRCUIT COURT FOR VOLUSIA COUNTY, FLORIDA PROBATE DNISION Division 10 10/11/2(0) 01:40 PM i Instrument# 2006-256145 # 1 Book: 5931 Page: 4150 Diane M. Matousek Volusla Colrlty. Clerk of Court IN RE: ESTATE OF MIRIAM L. FELTON FileNo. &bOb~ '.2~/9 fl:OL Deceased. LETTERS OF ADMINISTRATION (single personal representative) TO ALL WHOM IT MAY CONCERN WHEREAS MIRIAM L. FELTON, a resident of 765 Navigators Way, Edgewater, Florida 32141, died on September 1, 2006, owning assets in the State of Florida, and WHEREAS, William N. Gambert, Esquire has been appointed personal representative of the estate of the decedent and has performed all acts prerequisite to issuance of Letters of Administration in the estate, NOW, THEREFORE, I, the undersigned circuit judge, declare William N. Gambert, Esquire duly qualified under the laws of the State of Florida to act as personal representative of the estate of MIRIAM L. FELTON, deceased, with full power to administer the estate according to law; to ask, demand, sue for, recover and receive the property of the decedent; to pay the debts of the decedent as far as the assets of the estate will permit and the law directs; and to make distribution of the estate according to law. ORDERED on () cA.. /0 eRa;( c. tn~~kk. fh C. McFerrin Smith, III Circuit Judge ,';, Co> -.\ -<~., , (":.' \-:"1 ~~~~- :; ~ ::.] ~~ ~~ ~~ ill '.-- i'l C:"J.:--::, r---.~1 (:-::::~\ C::.j CJ"''\ C:;l c-.> -l o -::, c.<l :--...:;---: (.,.) -$ .., r- 1/ Bar Form No. P-3.0700 ~ Florida Lawyers Support Services, Inc. January 1, 2006 EXEMPLIFICATION CERTIFICATE STATE OF FLORIDA, COUNTY OF VOLUSIA I, DIANE M. MATOUSEK, Clerk of the Circuit Court in and for Volusia County, Florida, DO HEREBY CERTIFY that the foregoing is a true and.correct copy of PpH 1; R~ for ~dmin; stratton. Order Appointing Personal Representatlve and Letters 0 mlnlS ra lon in the case of MIRIAM L. FELTON. Dec Estate file #2006-12819 PRDL as same appears of record in officiaBook Indicad!agelndicatedPublic Records of Vol usia County, Florida. IN WITNESS WHEREOF, I have hereunto set my hand and affIxed the seal of said Circuit Court of the Seventh Judicial Circuit of the State of Florida, in and for Volusia County, Florida, on this 22 day of November A.D. 2006. (S EAL) k-k.k~ DIANE M. MATOUSEK, Clerk of the Circuit Court in and for V olusia County, Florida. STATE OF FLORIDA, COUNTY OF VOLUSIA I, C. McFerrin Smith, III , one of the Judges of the Seventh Judicial Circuit Court, in and for Volusia County, Florida, hereby certify that DIANE M. MATOUSEK, whose signature is affixed to the above certificate, is the Clerk of the Circuit Court in and for Volusia County, Florida, and is the proper certifying officer of said court and has by the law the custody of the seal, and all records, books, documents and papers of or appertaining to said court, and said certificate is in due fonn as used in this state and that her signature thereto is genuine. DA TED this 22 day of November , A.D. 20~. c . tYt; Luk 4Jt ~ CIRCUIT JUDGE, Seventh Judicial Circuit In and for Volusia County, Florida I, DIANE M. MATOUSEK, Clerk of the Circuit Court in and for Volusia County, Florida, DO HEREBY CERTIFY that C. McFerrin Smith, III , who signed the foregoing certificate is one of the duly commissioned and qualified judges of said Court; and that his/her signature to the foregoing certificate is hislher genuine signature. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Court, at DeLand, V olusia County, Florida, on this 22 day of November , A.D. 20~. (S E A L) X (l~r:={, DIANE M. MATOUSEK, Clerk of the Circuit Court In and for Volusia County, Florida. CL-OI45-9601 . OFFICE of VITAL STATISTICS CERTIFIED COpy TYPEtN PitRA~~~T, LOCAL. FlU:: NO. 1. DECe.DeN1"~ NAME (First. Middle, Las!, Suffix) FLORIDA CERTIFICATE OF DEATH 2. sex Miriam L. Felton :); DATE or afli:rrH (Month. Day; Year) ~_ DATE OF OEA,H (Manth. Day. Year) 48. AGl:-Last Birthday (Years} 65 OctQbe 29 1940 It SOCIAl.. $ECLlf't'1Y NLlMBER tember 1 2 6 206-30-8014 9. PLACe: OI'Q!;ATH HOSPITAL: (Ch6ckonly (me) X- Inpatient _ Emergency Room/Outpatient _ Dead on Arrival . . NON-HOSPITAL: Hospice Facility 10. FACILITY NAMe- (lfnot insritution, give street address) X- Yes Nursing HomellQng Term Care Facility Decedenfs Horne Other (Specify) 1 1a. CITY, TOWN, OR LOCATION OF DEATH l1b. INSIDE CITY LIMITS? Bert Fish Meical Center 12. MARITAL STAT"S (Spo<i1y) Mamed Marrleel, but ~par,;lted 14a. RESIOENCE ..STATE WIdowed X- Divorced 14b. COUNTY _Never Marrted 140 CITY. TOWN. OR LOCATION Florida 14d. STREET AODRESS Volusia IDE CITY LIMITS? Yes No ___ 6lac~ or African American _ American Indian or Alaska" Native (Specify 'ribe) _ Chinese _ Other Asian (SpepjrjJ.:-'-- '" __J ,_._~J Other ;(SPficif}fl "or --l.:J _ Filipino _ Korean _ Vietnamese _ Japanese Samoan NatlvB Hawaiian Other Pacitic Isl. (Specify) Guamanian or Chamorro 17. OECEOfiNTOF HISPANIC OR HAITIAN QRIOIN? (Specify ffdec.edetU was of Hi$panic or Haitian Origin.) _ Puerto Rican __ Cubah- .." ::ffentraI/SQut~rican --1 .. _ Yes (II Yes, specify) ~o _ Me.lilic.an Other Hispanic (Specify) la, D~CEOaNi'seO\.JCATfON (Specify the d6ced(Mt's highest de{Jfse or level of school completed at time of death.) :~~ 19. WAS DECE~t+T EVER IN U.s. ARMED~CES? _Stho( less _ High school but no diploma Co~ ~inotlElgree CoUege degree (Specify): 20. FATHeWSNAMSfFirst.Middle. Last. SUffix) David Lockspeiser 2~a. INFOAMAliT'S NAME Frank Peffer _ High school diploma or GED X Associate Bachelor's MaslQr's Doctorate 2'. MOTHER'S NAME (First, Middle, Maiden Surname) Martha Ritchey 22b. RELATIONSHIP TO DECEDENT Yes X No 23a. INFORMANT'S MAILING - STATE Son Pennsylvania New Smyrna Beach 23d. ZIP CODE. Drive 17870 Selinsg1;'ove 24. PLACE OrDl$~OSfTION(Name 01 ClM't6tery, crematory. or other place} Dudley Crematory 268. METHOD OF DISPOSITION Burial iWl. IF C""MAl'ION. DONATION OR BURIAL A' SEA. WAS MEll'ICAL IiXAMI~EA APPAOVAL\3R",NTEDQ .x Yes No , 28. NAM~ OF FUNIi1..Al FACILITY FE 2360 25a. 1..0CATION . 5T ATE 25b. LOCATION - CITY OR TOWN Florida Entombment X Cremation Domuion 27a. LICENSE NUMBER (of Llc8nsee) Florida 29t;_ STf:.F.ET AO(,i=I;n:;!'; '~~<.i. 2;.';) C-0iJE 433N. Rid ewood Avenue 32132 -X- Certtfymg Phyalclan ' To the best of my knowledge, death occurred al the time, dale and place, and due to the cause(s) and manner stated. Med.' Examiner ~ On 111e basis of examination, and/or Investigation, in my opinion, death occurred at the time, date and place. due to the cau$e($) and manner stated 31b. DATe ~N. EO ~mrdcVyyyy. ) 32. TIME OF DEATH (24 hr.) 33. MEOICAL EXAMtNER'S CASE NUMBER L_ <9/ ~/ "'~ 34b. CERTIFIER'S NAME M. Lee 36d, ZIP COOE 32141 09/05/2006 ~.,quential(.,ltst '~nO~~Qns, Hifaoy,l~ng:'to ti;'iec&l./i$8 1:llsl.d 0.1'1 tinea. Enter Ihe UNDEI'IL YiNl> CAliSE '(dlsesNIX,inlury I"'.l Jnlllated"ttre IlIIvems resulting In' death) LAST Trte following are under ttle ;UrlsdiCfl 40. REPOATED TO 'VIEOICAL EXAMINER DUE TO Accident Suick:le Homiekt& Pending Investigation Undetermined CAUSE OF DEATH'? Yes X No Enter ,he chain of events - diseases, injuries. or complications. thaI directly caused the death. Enter only one CaU5& on a line. ~proximale In~6rval 00 NOT enter t&rmlnal event such as cardiac arrest, r9S?\rato-ry arrest, Of ventricUlar flbnUalion without Showing the eliology. : Onset to Death V/~~-~~ ~- : o. {b ~~ J'~' ~ ,A/~~~ ~ H~~~ '"'7 ~ d. PART II~ Other~nificant conditions contrihutinn to death but not resulting in the underlying 4$. IF FeMALE. WA$SHE Pi=!EGNANT WITHIN THE PAST YEAR: _No _ Probably _ Unknown 42a. WAS AN AUTOPSY PERFORMED? Yes ..x No 44.010 TOBACCO USE CONTRIBUTE TO DEATH? IF $\JRGEf\y MENTIONED IN PART I OR II. ENTER R~ASON FOR SURGERY 43b. DATE OF SUROEAY (MO., Yes Yes No Unknown 46. DATE OF tNJUr\Y (Month, Oay, Year) at time of death 48. INJURY AT WORK? within 1 to 42 days of death 49a. LOCATION OF INJURY - STATE within 43 days to 1 year of death Yes No 49B. ZIP CODE 01 D~SCRIBE HOW INJ\JRY OCCURRED IF TRANSPOATAl'10N INJURY. 52a. Status of o.cP . _ Padeslrian Otr ~oecily) _ Or(ver/Opera~or _ Passenger Car/Minivan S.U Bus ," Other (SpeclfyJ PickUp Truck/Cargo Van Heavy -1 Motorcycle dG<lu- i)~, Q>'"R t '1 t~~~ WARNING: THIS DOCUMENT IS PRINTED OR PHOTOCOPIED ON SECUfIITY PAPER WITH A WATERMARK Of THE GREAT SEAL OF THE STATE OF FLORIDA 00 NOT ACCEPT WITHOUT VERIFYING THE PRESENCE OF THE WATERMARK. THE DOCUMENT FACE' CONTAINS A MULTI-COLORED BACKGROUND AND GOLD EMBOSSED SEAL THE BACK CONTAINS SPECIAL LINES WITH TEXT AND SEALS IN THERMOCHROMIC INK. OM FORM 1947 (08/04) 111111111111111111111111111111111111111111111111 51016567 ',,:;pERTIFICATION OF VITAL RECORl?,{~~ ... ~ ~ ,. , M No Hal\ian ... I 5ee instructions 01\ back. Visit UPS.com. Of call 1-800-P1CK-Ups. (800-742-5877) ~ Terms and Conditions. _1Z F13 8V1 22 10010606 II F138Vl REFERENCE NUMBER ~ t ~ O~'J - \'\)if\ UPS Next Day Air UPS Worldwide Express'M . . I fROM 'NAME I TELEPHONE JOe Go 1Jid!(2 717-540-9170 COMPANY SERRA TELLI SCHIFF AN & BROWN STREEl ADDRESS 2040 LINGLESTOWN RO CiTY AND STATE HARRISBURG ZIP CODE 171109693 PA EXTREMELY URGENT DELIVERY TO TELEPHONE NAME DI(lC'H~ tvl rId, 11SC~ C}fJPANY / ,{ \1 -,' -- t;.\a:l\ \t (feu A ,1.<::'1- 'I C U:::' t\, ?rr'Yl \)\"j,<)",,>,,\ STREET ADDRESS \'2.~ ,.. CITY AND STATE (INCLUDE COUNTRY If I I ) .i OU.I'\* '-i DEPT/FLR, ZIP CODE 1- L..-- 32..1 \ 4- 111111111111111111111111111111111111111111111111111 i IHU ~, ~i,~ 'f!;~i' =iul ..~' CITY AND STATE ZIP CODE flli~, " ,\! dl~q ~ n ~l". q" 1M tWpperauthorlteSlIPS to ad as forwlKdlntapnt foruport tonfrol and (udo/ftf pu~. no. ......(~....... ~........,...... ~i! soft"'ar.wer..t.q>ortHfr_....UoUtetlS~.._1:.....11......lxport~ . (INItl1IfytoU.S....Is~. ~ ill c-^./] ,. .2"0 // WEIGHT Enter "lTR"if l@tt@f DIMENSIONAL WEIGHT If Applicable lARGE AIR PACKAGE L-r ,? I', o \VIm DAY U::::J AIR FOR WORLDWIDE ExPRESS SHIPMENTS Mark an "X" in this box if shipment OII/y cootains doc\lffleTlu of no commercial value. AMOUNT O ~c2P~l1leramouottobe $ ~~e~~o~D~~gil~~~~:e\ed AMOUNT O An Additional Handling Charge applies for certain items, See instructions. RE~~\~E~ 81~A~~RD CReolT NUM'" r DOMESTIC ONLY 1 CARD 0000 IN 5EC11Ot4 1 L RECORD Ac.CGllNl No. IN SEOION 9 :J A.l'rn!fican bpress Diner'" Club MasterCard Visa I THIRD PARTY'S COMPANY NAME $ $ CHECK o EXPIRATION I Dt SHIPPER RELEASE 1 1 up ~!.,~ ~ n~ l~b .ilP .. ~ i~tfl 8-!ii ~l ~ilK 1H i~L ~W~ E ..tP 8 f~~l~ .,; -lUi l>. i~ :fill ::> .. W5~ DO '~ ~ c is~n 'is. 0. li~, :E V'> m:~ ~ !! :~ il'ij E .~~! l!: t.V :::> {hod fii u OJ ~ ~ '~ *jiif ... ,l c. i h~ ~ ,. :ElS g E oS o ~ ~ STREET ADDRESS ReSIdential Deli.of)' AU shipments are subject to- he terms contained htthe UPS Tariff and Terms and Conditkms of Service, whICh are 3valiabte at UPS.com and lotal UPS offices. LJ .. ".'C\ Z I -()/cl t .-1 The Law Office of JOSEPH K. GOLDBERG 2080 Linglestown Road Suite 106 Harrisburg, PA 17110 717-703-3600 717-635-2062 (fax) jgoldberg@ssbc-Iaw,com November 28, 2006 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 ATTN: MARGIE o 00 ?D25 ,,;-r-O 22~~ ". ..<:~ :::D :>U)7" :--\C)O r,C) l' ;:)~ -.; ~ i'_) = = er- o r'1 (""') , Re: Estate of Miriam L. Felton -0 :x N .. w Dear Margie: Here is the information you need to send the Petition to Florida so that William N, Gambert, Personal Representative for the Florida estate of Miriam L. Felton, can assume that role for the Pennsylvania Ancillary Proceeding. You should send the document to: Diane M. Matousek, Clerk Circuit Court for Volusia County Probate Division 125 East Orange Avenue Daytona Beach, FL 32114 They can reach Mr. Gambert at his office telephone, which is 386-257-9873. I have included a UPS mailer, billed to me, for overnight deliver to Ms. Matousek. Thank you for your assistance with this matter. Enc!. C_~) _: ~--~,~ ej ; Ii Glenda Farner Strasbaugh Register of Wills & Cierk of the Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esquire Solicitor One Courthouse Square Carlisle, Pa. 17013 (717) 240-6345 FAX (717) 240-7797 OFFICES OF ~egister of Wills anb QClerk of toe ~rpoans' QCourt (!CDuntp Df <!Cumberlanb Diane M. Matousek, Clerk Circuit Court of Vol usia County Probate Division 125 East Orange Avenue Dayton Beach, FL 32114 November 30, 2006 o '-0 ~:::Q , 0--0 . '.'1 -::c 0 ;J'J:>.:l~ :-210 ...., _:0 >Cf)"?'- :~joo (-:' Q-n ;",(- ..-/ :D --I -u "):.?' IN RE: Estate of Miriam L. Felton, deceased Estate No. 21-06-1059 Dear Ms. Matousek: Enclosed please find a Commission to Take Oath and Petition for Probate and Grant of Letters and Oath of Personal Representative. r-' ~ ~ c:r o tri , If you would please advise Mr. William Gambert when he may appear before the Probate Court to execute the oath, it would be appreciated. Mr. Gambert's telephone number is 386-257-9873. If you have any questions or concerns, please feel free to call. Enclosures Respectfully, ,e~'~'J~ " Glenda Farner Strasbaugh Register of Wills and Clerk of the Orphans' Court -0 > ~ v> --.-. .<~"\ .,.-.) (-~) )Jl ./~j t", .~~ (-~. .---\-\ . j , - Register of Wills of Cumberland County State of Pennsylvania SS: County of Cumberland BE IT REMEMBERED, that I, Glenda Farner Strasbaugh, Register of Wills of Cumberland County, Pennsylvania, do hereby commission you, Diane M. Matousek, Clerk, Circuit Court for V olusia County, to administer the Oath of Personal Representative, in the Estate of Miriam L. Felton, late of Cumberland County, Pennsylvania. IN TESTIMONY WHEREOF, I have here unto set my hand and affixed my seal the 30th day of November, 2006. ~- V~~: ~:' ',. ~J~ 1 . '!Y'J ..~, , , Glenda Farner Strasbaugh Register of Wills Cumberland County PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Miriam L. Felton also known as Miriam L. Peffer File Number cJ \ - OL, . I 039 , Deceased Social Security Number 206-30-8014 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated and codicil(s) dated named in the (State relevant circumstances, e.g., renunciation. death of executor, etc.) Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: 1211 B. Grant of Letters of Administration af applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) I Name Relationship Residence I Joseph Carl Peffer Son Harrisburg, P A Frank Joshua Peffer Son Selinsgrove, P A (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Volusia 765 Navigators Way, Edgewater, FL 32141 (List street address, town/city, township, county, state, zip code) County, Pennsylvania with his / her last principal residence at Decedent, then 65 years of age, died on September 1,2006 at Bert Fish Medical Center, New Smyrna, FL Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in PAl Personal property in Pennsylvania (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania $ $ $ $ 2,400.00 200.00 181,000.00 situated as follows: 501 Gale Road, Hampden Township, Cumberland County Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Signature ~'IJ-Gt:uy\b.L,Lk Typed or printed name and residence SlC(1I,;,\ tG\..,L bert, Esquire, 629 North Peninsula Drive, Daytona Beach, FL 32118 -1 Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief ofPetitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly Sworn to or affirmed and subscribed rYlr'l UO..rn/J)0G'\-- to s (/1'--' hell E adminder the estate according to law. Signature of Personal Representative before me the day of Signature of Personal Representative For the Register Signature of Personal Representative File Number: Estate of Miriam L. Felton , Deceased Social Security Number: 206-30-8014 Date of Death: September I, 2006 , in consideration of the foregoing Petition, satisfactory proof of Administration AND NOW, having been presented before me, IT IS DECREED that Letters are hereby granted to William N. Gambert, Esquire in the above estate and that the instrument( s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Attorney Name: / 1-, // 1 ,: FEES Letters $ Short Certificate(s) . . . . . . . . $ Renunciation(s) .......... $ ... $ $ $ $ $ $ . . . $ ... $ $ TOTAL . . . . . . . . . . . . . . $ Attorney Signature: / Supreme Court J.D. No.: 46782 / ( . Address: 2080 Linglestown Road Suite 106 Harrisburg, P A 17110 Telephone: 717-703-3600 0.00 Form RW-02 rev. 10.13.06 Page 2 of2