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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~ lllM bt('/~ COUNTY, PENNSYLVANIA
EstateofJC:>Se fJ,/t C -e CUr<<l Yl
also known as
. Deceased
File Number 21- 0'7 - 0011'
Social Security Number /7! - "3 ~ -oG ~
Petitioner(s), who is/are 18 years ofage or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Prob.'e ..d G....., of Letters T....me...ry and aver that Petitioner(s) is I are the f,.f:,,( VA -,..,r
last Will of the Decedent dated t11, 4...~". N l'I9lr and codicil(s) dated ~~ -In h p r I I t;~ g
J . ,
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:
o 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.)
Name
Relationshi
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
:0-
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9?
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,,- .-
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(List street address, townlcity, township, county, state. zip code)
. ~ I ~-
years of age, died on e ~eo1"'';~ at
Decedent, then tf7
~V","h L/ rY!'PQ dOvJ5
,
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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
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
,v, 000,00
$
$
$
$
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) p,resented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
, ?t4- /7osO
Form RW-02 rev. 10.13.06 Page 1 of 2
~' , ..
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
Lu~~.~~'
SS
The Petitioner(s) above-named swear(s) or affinn(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
administer the estate according to law.
Sworn to or affinned and subscribed
before me the ~ Y. day of
~Ir'~~
- - For the Reg:.M
x
Signature of Personal Representative
Signature of Personal Representative
File Number: Z 1- 0-' - CX3l~
Estate of-n.DS..R...... Q.Q..cc 0 ~.AJU..--'.. ---'
, Deceased
Social Security Number: I, ~ -32.- DLP52 Date of Death: 12.24 - OLJ
AND NOW';;;;-~ ~ ,~.. , in consideration of the foregoing Petition, satisfactory proof
having been presen before me, IT IS DECREED that Letters ~.N"\ Ilt\::rO"N...~
are hereby granted to \-\.l er- (\ l J,j.. J) tl. ... ~ -'\.. -
in the above estate
and that the instrument(s) dated \0 - lq - q~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))
FEES
Letters ............... $ I Jt} ~ m)
Short Certificate( s) . . . . . . . . $ !.lo \ 00
Renunciation(s) .......... $ 5. oC)
In', \\ . . . $ \5"". /) D
"- 'cP ... $ 10,00
C1.l"~ rr.~ ... $ ...~ ("i.J
.. . $
.. . $
...$
... $
... $
... $
TOTAL.. .. .. .. . . .. .. $ 1"35.00
~
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-02 rev. /0./3.06
Page 2 of2
105.805 REV 1105
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It Is Illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
l<f ill,! (e .-({~
Local Registrar
No.
1:>ea€N) ~~,.. ~ ) '^O~~
Date
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1l1Q\r::::.n~ CO"ONWEALTH OF PENNSYLVANIA · DEPARTMENTOf' HEALTH. VITAL RECORDS "J;..
=:1 CERTIFICATE OF DEATH STATE FILENUUllER (J1
It=~7=;~-n_u 12~-li~i:~3;=ri~~;~T~=~~~;()()~-
15. Agl1\.MI8dldIy} LlNIfl..... I ~1~ u 1~D*!I...~~.JOiI"i~~=]r~{CiIy..,tIIlI..~~ [~.Pliliaaf~~G.1li~
97 Y~ ,- r DIp .1- J -I ~1(), 19(9 LOOnstam, PA ~~. oERt~O~ 1;"'- 0- Oo...~
a=larxJ . ~=:o.. ~=;~=::1ng~~9;;~~;:~~~~_~: _ ~J~~~--*
II -.rs~ ..__ _a1 ...00....__ 12. W.~_I1.. 13 ~EU:aIIonISjloliy""'" ~.,=~ --- itIiliiillSiiU,...,,.........,. jfi.~$pcUJt{j.,............)
_a1_ _a1sou-tlndlay U.S._ForCOl1 1s-.y(1l-12} /1",5<1 _,llIooO:IIIl~
Teacher Education DYeS 1iI~ 4 . Never Married
1I-.rs-._(SftoI,'*'I.....,_,....., ::""~ 11._ Pennsylvania :~ l1em Ya.DocanIliMin Haq;rlen
4905 EastTrindle Road 1__1
Hanpien,PA 17055 17beo.n,Clmlberland. I1dO.=-~aIliM-
I"F;~~ 1'9Mt;-~tta;;r.-o}
lDo. _....... (1l1li l'Iinl) 8. 1nbmonIlM*1g_ISllool,'*'/.....,_,zipoado)
Hugh C. weaver 33 Bourbon .Red. Drive Mechanicsburg, PA 17050
2\1 T~. 0-....- 21b. OoIoal~{IIonII,.",.., 21e PlaalDioplollontN-a1<1l111l11y,-,,,_pIal Id.lGoIIilo{CilyI......_.""...,
otlor . ~' Johns~own' PA
22a
P 13215236
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I, Rose Alice Curran, of the City of Johl1stown, County of Cambria and State
of Pennsylvania, do hereby make, publish and declare the following to be my Last Will
and Testament, hereby revoking and making void any and all Wills or Codicils by me at
any time heretofore made.
PJ'iId
I direct the payment of my funeral expenses and my debts
which my estate is legally obligated.lo. pay. All inheritance or estate taxes, State or
Federal, whether imposed upon property passing under or outside the terms of my Will,
shall be paid by my Executrix from the corpus of my estate.
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I give, devise and bequeath the sum of One Thousand
($1,000.00) Dollars to be used for masses for the repose of my soul.
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All the rest, residue and remainder of my estate, teal, personal
and mixed of whatsoever nature and wheresoever situate, I give, devise and bequeath
to my niece, PHILENE MARIE REVlTSKY and my nephew, HUGH CURRAN WEAVER,
share and share alike.
~ I nominate, constitute and appoint PHILENE MARIE REVtTSKY
to be the Executrix of this my Last Will and Testament, and in the event that she should
predecease me, or in the event of her incapacity at any time to act in this behalf, I then
appoint HUGH CURRAN WEAVER, to be the Executor, and I direct that neither my
Executrix or Executor shall be required to file bond for the faithful performance of their
duties hereunder.
#n O)f~ O)f~ I have hereunto set my hand and seal this i '!~ day
oO-~ ,1998.
_ ~.e/tj{,~I~~
Fro . Alice Cu
Signed, Sealed, Published and Declared by Rose Alice Curran, T~tatrix above
named, in our presence, who in her presence, at her request. and in the presence of
each other, have hereunto signed our names as subscribing witnesses.
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Wttness
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Witness
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AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CAMBRIA
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WE,_ Rose Allee CUIT8Il. i)~o, (i .l~ (p~and
~ ~~J ~ (.M..O~u9.1UL.l ~ , the Testatrix and witnesses respectively whose
names are signed to the attached or foregoing instrument, being first duly sworn, do
hereby declare to the undersigned authority that the Testatrix signed and 'executed the
instrument as her Last Will and Testament and that she had signed willingly and that she
executed it as her free and voluntary act for the purposes therein expressed, and that
each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as
witnesses and that to the best of his or her knowledge, the Testatrix was at that time
eighteen (18) years of age or older, of sound mind and under no constraint or undue
influence.
~~_v ei /f~-l "",,/
Ro Alice Curran
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Witness C;Pj)-.O..uA crJV'-L)
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Witness
Subscribed, sworn to and acknowledged before me, a no ry pub ic by the_
T~subsc~mtobeforemebY Q-
and ~ , witnesses, this I '1~ day of
lJL.-rc-~~ ,1998.
r- ~~~~~J"'/V
......... ,--'
E.Jane"~~P
Johnstown, ~ """'....,
· '" ~"mmlssion Explr8s Nov. 20. 1999
RENUNCIATION
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, REGISTER OF WILLS
~ vvY\ ~c-\a.V\d COUNTY, PENNSYLVANIA
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Estate of
~o~e fit ,c.:~ L tJ Yra. {\
. Deceased
I, p\-I ; \-e. V\ -e.. Wea. J eo" ~ III ts ~ 'f ' in my capacity/relationship as
(Print Name)
E. '{ -e ( uk\. Y of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
-1f IJ ~ '^ c.. \ vJ~~ V -t' .
(Date)
, ';,b~ 1-00(0
Qdf<</) tJ~M) 1~
(Sigreatlue)
30 ~~C l/')')l) ~ t It lie..
(Street Address)
~~~:u~~ V It- ,5"8.ig
Execllted in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
E;uellted Ollt of Register's OJJice
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes ~ed within on this cJ f day
of J ~ ~ 4. l-l)tJ 7
Deputy for Register of Wills
Form RW-06 rev. 10.13.06