HomeMy WebLinkAbout12-27-06
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Estate of ju ~ 1\1 A-. F\ Vl r1 eq a (t/
also known as
File Number 9 I D to- 1/ L/ ~
, Deceased
Social Security Number
I (1"3>- 4 :l. -:5 a 76..-'
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
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofttiC'\"i,Js~r:umen~~ offered' -c:;
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: .' '~~
(State relevalll circumstances, e.g., renunciation. death 0/ executor. etc.)
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o B. Grant of Letters of Administration
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(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante ;ninf:,itGte)
Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following spoUSe (i'f any) an~irs: (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.) f".)
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nnsylvania with his I her last principal residence at
, 171.1)0
Decedent, then
Sl,
years of age, died on
.., 0 iI. 3. q '2.J;ttJb at
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e S-= Q'-c) A-M
a-+ he"" ~
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
([fnot domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
~ 50 de) U
I
$
$
$
$
situated as follows:
4W
PQ.\tJ I(\.H
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,
/'{J. t.'\\4.1fl Ie! bv'lij (Jo..
)
/l (I ('V
Where tore, Petirioner(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:_
rinted name and residence
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Form RW-02 rep. /0/3.06
Page 1 of2
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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 of Petitioner(s) and that, as personal representative , Petitioner(s) will well and truly
administer the estate according to law.
Signature of Personal Representative
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File Number: ..Jl - O\..J( - 1\ y-e;:
Estate of %>'" n 'l\ h.! <fI iJA R n (I <t-.-./ J ~ . , Deceased
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Social Security Number: \ q 3- LI~' 331 S- Date of Death: \ t - Z q - O~
AND NOW, ~ ~c... 2., , 2000 ,in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters \€STf>-\'-"E. ~\~'-t
are hereby granted to ~~~~ - . ,
in the above estat..:
FEES
Letters ............... $ 3ft) .6U
$ Ol~ .Ut>
$ 6)0 . 0\-::>
$ Ie) . uU
$ ~- 00
'" $
. .. $
$
$
$
$
$
TOTAL .............. $
Attorney Signature:
Short Certificate(s) . . . . . . . .
Renunciation(s) ........:.
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Supreme Court J.D. No.:
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Attorney Name:
Address:
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Telephone:
Form RW-02 rev. 10. /3.06
Page 2 of2
HIOS.90S REV.(6/06)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
/2 J ~d
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No.
Frank Yeropoli
State Registrar
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
3925410
DEe
5 l006
Date
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H:OSl44 REV 02f2lXl6
TYPE f PRlNT IN
PERMANENT
lLACK'" 1/30-396
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH (CORONER}
STAiE FILE. NUMHE.R
,. I .
Resilience DOII1BI-Speo!Y
10 "l.oce Amercan Il1dlar. A!ac~, W~"\e eK
(Specify,' .
(A../h,f....z.
, Name of ~deI1IIFI~I, middle, last suffi~1
John
A
Finnegan,
Jr.
~ Dille 01 Dealh IMof1tll, da~ y~ar:1
November 29, 2006
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Pt+ 1'1:; 3 5-
111l'ms 24-26 mus1 b€ Cf)mp~led Oy pt'~11
WflOprOTlDUTlCeSQeat>1
24 hne of Death A p r X . 25 Dale Pronounced Deao {Morll!1, day, year!
5:00 A" November 29, 2006
26 Was Case Referred to Medical E~amlner I Corr,ner (or il ReilsOI1 O/tler Ihii(! C(€mn!:Q~ ()I DunalKm?
lQ Yes 0 No
: Appr'lllrnate l(1\e~a' Part II. Elllerother Siufllflcanl coodilion, con~. 26 Old Tobacco Use Ccnlnbule 10 ~:ealr~
. C)D$€t!O ['lealh but r.ol rt!sul\lng In ll1e untler1y~g cause gl~erllll Part I 0 Yes 0 PrObably
DNa OUl'\known
CAUSE OF DEATH lSee instructions and n.amples)
lIem 27 FAfiT I Enle' I~e cr,aln21_~\.i- dlsease~, InJunes ar complicallons. fflat dlfetfly :allsed (l'Ie de-aU'1 00 NOT enle' termll1al e~enls such ii~ C1l01;j(; ::me51
resplralory arrest. or ~enlflCularlibfllla!lon wilhOlJI shOWing Iheel:oklqy list only Orle cause or each line
~~~d~I~I~~e~I~~~~; ~~~IJ dlsea~
Hypertensive Cardiovascular Disease
Du!'!() IDI"~ ill consequence of)
ETOH Abuse
l' ffFemale
o NOIp'l"9nanIWllh,npasIYllar
o PregnarlfJ(:rm€otdeat~
o NOIP(l;gna"l,bu1pregnal'\t.....,lhln42ddY~
01 dea!,~
o NClpregniinlbu\ore<.]nanI43od'fS1clvear
olllealr
o lJn~nc-VlnltDrf'qpa"\W1th'nlhepa~lye,v
32c Home, Farm Slreel Factor,.
elc(SpeCllyi
SeQuenMlly list conditIOns. I! any
~::'~~~~O J~OER~~~~Gn ~~SE
((jl$ease 0' ;fllury I~allrlll-ated lroe
. everllsres1I11IPg.ndealh: LAST.
Duo> 10 10' as ~ conseQ"ence of)
D"e 10 io' as ~ consequence 011
o '''}It'o
0,,, ONO
31 MaMerofDeall'1
~ Nal\Jral. 0 Homicide
OP<.CCIOe/1! D'endinglnve~~Jaliof\
o Suitide 0 Could Not be Delermned
32ClTlrr.eollnllJ"r
Coroner
30il. WasMAutopsy
:>encrmed1
30b WereALilopsyfmdings
AvallablePrjOltoCo'T1plebon
olCa<JseolDltalh'J
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3211IT'3Mpol'lllliorlnlUl)'(Spocily)
DOnverJOpe,alo, OpaS$8rlger
DO'her-Srecrfy
33a C,rtllierlcheckonlyone'l 33b S,gnalullla
C.rtifying pny.ici,,1'I (Phy,-"c,an cel'1.IY"'9 ca.lse at dea(~ when anOlh..! phy,>clan has pfOnOlmceQ <:\..3Ih <1m! completed Ilem 231
rOlh.t>ellolmyknowledg..dnthoccurr'd d"eto thllcaulelsj and manner u sta1tsf_ ~ _ _ _ ~ _ _ _ _ _ _ _ _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _..D ,..
~:O~:U:;~~~,':~ ~~:~:~~~~::~~l:~~~:(~~aa~ ~~nt~~::~',n~n~::::en.di~~~I~~~~t~Ot~:U~::~:I~~t;~d mann&r IS 'lI\td_ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ 4 D 33c Ll!:ense Number
MtI<liC1IE)l~mlnllrICofoner ~ November
On the bnis of elamin.lion and f or invutiQation. in my opinion, death octu,r!d It tht tim,. datt,lnd plICl, and dUlle the Clutel_) &nd manner U 5tltl!'t! _ -F j4 Naml' and Aodress of Person WtlO COrl'p~leQ Cause of Dea'h Illem 27'0 Type I PI;nl
35 R:ll!ltrarsS~ralureandDlslrk;INlJrnber 36 'JaleFI1ed(Mcntn,aayyeari Michael L. Norris, Coroner
~..!/~a~ 131S131a-171 /;z,-5-0C:, A~~~a~r~~g~i~,R~~di7~~~te ill
(See instructions and examples on reverse)
30, 2006
RENUNCIATION
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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Estate of
JOHN A. FINNEGAN, JR
, Deceased
I,
MARY A. GAFFNEY
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
(print Name)
SISTER
administer the Estate of the Decedent and respectfully request that Letters be issued to
AMBROSE J FINNEGAN
DECEMBER 12, 2006
(Date)
(Street Address)
SCRANTON, PA 18509
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes ted within on this 1'2- day
of ' -i:..o~) ""
......-.......
Deputy for Register of Wills
Notary P Ii ':t:
My Commission Expires: ~ 'ij
(Signature and Seal of Notary or 0 official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
20/0
Form RW-06 rev. 10.13.06
[vlal'istcnal District Judge Tllomas J.
o
i,j2g',stsrial Court 45-1-J7
20 i2 'Nest Pin.: Str_et
Dunmore, PA 18512
My Commission Expires Jan. 4, 2010
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY PENNSYLVANIA
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Estate of
JOHN A. FINNEGAN, JR.
, Deceased
I,
MARGARET E FINNEGAN
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
(print Name)
SISTER
administer the Estate of the Decedent and respectfully request that Letters be issued to
AMBROSE J. FINNEGAN
December 12, 2006
(Date)
'-'YY/ '() ~ -I C 1 ~d cv---
(Signature)
1361 PENN AVE
(Street Address)
SCRANTON, PA 18509
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's OffICe
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purpos within on this / 2- day
.
of , -z..-oo"
Deputy for Register of Wills
Notary Pub c ,. a~~
My CommissionExPire~~'-___ - 0 ~ ""U/O
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Coolmission.)
Form RW-06 rev. 10.13.06
f,;::,gi3t2rial Ois~rict Judge Thomas J; Golden
,ii(g,stcrial C,)urt 45.1.07
2J,2 West Pin: Street
Dunmore, PA 18512
My Commi~sion Expires Jaffi. 4i 20J.D :.:-'1:
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY PENNSYLVANIA
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Estate of
JOHN A. FINNEGAN, JR.
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, Deceased
I,
JOSEPH J. FINNEGAN
B R 0 TH:fHnt Name)
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
AMBROSE J. FINNEGAN
DECEMBER 12, 2006
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(Signature)
(Date)
1508 SCHLAGER STREET
(Street Address)
SCRANTON, PA 18504
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
p ted within on this /2- day
of , -z.t!:>c:> to
Deputy for Register of Wills
Notary P Z::?
My Commission Expires: 7j ~/ 0
(Signature and Seal of Notary or er official qualified to
administer oaths. Show date of expiration of Notary's Commission,)
Form RW-06 rev. 10.13.06
Magisterial District Judge Thomas J~ Golden
"ic'g:sterial Court 45.1-07
2J,2. West Pin: StrEet
OunlTIore, PA 18512
My Commission Expires Jan; 4; 2010
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND CO~,PENNSYLVANIA
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Estate of
JOHN A FINNEGAN, JR
, Deceased
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I,
M. PATRICIA McALLISTER
(print Name)
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
SISTER
administer the Estate of the Decedent and respectfully request that Letters be issued to
AMBROSE J. FINNEGAN
DECEMBER 12, 2006
(Date)
'M
?~ 7r7fO~
(Signature)
204 NTH FOURTH STREET
(Street Address)
OLEAN, NY 14760
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renWlciation for the
p ated within on this /::L.. day
.
of ~o C;
Deputy for Register of Wills
NotaryP ic ,. a ~ . .
My CommiSSIon EXPiresrU ~ 20/ (J
(Signature and Seal of Notary or oilier official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
...:.:~r is,Aial Dls.rict Judge Thomas J~ Golden
" g .31.. rial Court 45.1-07
t..... 1.. West Pin:; Street
LJunmore, PA 18512
My Commission Expires Jan; 4; 2010 .,,:"~