HomeMy WebLinkAbout02-06-07
PETITION FOR PROBATE AND GRANT OF LETTERS
~(J~~U
REGISTER OF WILLS OF
COUNTY, PENNSYL VANIA
Estate of ;/A, d..J
also known as
A-,
Ikr-;
File Number
/2/-{)7- D~/~
/7;;(- "1- CJs'i" ~
. Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BEL() W:)
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 oj 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:
f.. B. Grant of Letters of Administration
(lJapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minori/ate)
Petitioner(s) aftera 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.)
Relationshi .
SON
2-r
, Pennsylvania with his / her last principal residence at
~
;l.2-!"'
Decedent, then q :r-
years of age, died on
//u-f 7
/
at
-::J;-flIJ L /I...-- J
/M If- .
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) AlI personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Perso1,1al property in County
Value of real estate in Pennsylvania
::;; tJ'b 11 _ /'"
$
$
$
$
situated as follows:
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 fonn to
the undersigned:
T ed or rinted name and residence
. ,,~"'-
A.
r,
RECORDED OFFICE OF
REGISTER OF WI~
2007 FEB 6 PM 3:3 \
CLERK OF
ORPHANS' COURT .
CUMBERL\ND CO., P A
Form RW-02 rev. 10.13.06
Page 1 of2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
Oath of Personal Representative
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.
\ r;M~c;1~:
. Signa of Personal Representative
Signature of Personal Representative
RECORDED OFFICE OF
REGISTER OF WILLS
2007 FEB 6 PM 3:31~
CLERK OF .e
ORPHANS' COURT .......
CUMBERL\ND CO., PA
Signature of Personal Representative
File Number:
~ /-()7- OJ/h
Estate of Nt i chgd . A. Ar~ri
Social S"""ty Numbor. /1 '). -0. / - (}c: 8.t3 Dol, of D'.th, daQ {j (J:J ,J 5, 02(JJ 7
AND NOW.1fb r ~r ~ (p . :J (J() 7 .. 'O~d_oo of th, forego;og p,tition. ..ti.racto'Y proof
having been presented before me, IS DECREED that I;etters Y"\( II r 1 I " ) I ~TY ah Yl
are hereby granted to ~ oh () A. Acr I _
. Deceased
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
FEES
Letters
$. ~r:o
1,(YJ
IQ.01)
8DD
.............. .
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
~ . ...$
.t/1Ymotlc/h '" $
... $
.. . $
.. . $
.. . $
. .. $
.. . $
.. . $
TOTAL .............. $
//)4,DD
Form RW-02 rev. /0.13.06
Attomey Signature:
Attomey Name:
Supreme Court ID. No.:
Address:
Telephone:
Page 2 of2
H105.805 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
No.
~~2,~~1~
p
13300846
\ -- d. 7 ~ D(
<>
Date
RECORDED OFFICE OF
REGIS1ER OF WILLS
2007 FEB 6 PM 3:31 ~
CLERK OF ~,
ORPHANS' COURT ~
CUMBERLAND CO., PA
HI05-I43ReVI1f.!006
TYPE I PRINT W
-
IlI.ACKlNK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VrrAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
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225 Salt Rd
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