HomeMy WebLinkAbout02-22-07
Register of Wills of C:~CtL(AM1 County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Est'teot (~R..h(UJ&' t1 v~ No. ;)../- 07 - 0173
also known as
, Deceased
Social Security No,5 h 7 -Lf2- -!ftt.t) 2..-
Pennone"s). wno ISlare 18 years of age or ol<ler, appry(les) for:
(COMPLETE 'A' OR '8' BELOW:)
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A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut ~named in ~ last Y/iJ1 01 .,
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the Decedent, dated an::! codicil(s) dated ", ~.~ rr:
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SIal. /81- ClIl:1J".tanceo. ..~ ,.nunCIaIIOn, Oealn ot lUeanor. .Ie. ,_::: C ) -0
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Except as follows. Decedent did not marry, was not divorced. and did not have a child bom or adopted after~e:CiJtion of tnedocumentS')
offered for probate; was not the victim of a killing and was never adjudicated incompetent: ' =s ~__
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B. Grant of Letters of Administration
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(d-b.n.c..t.a..; peno.nrl 1ft.; C1Ur3nte aDSef'lla; ourante rnnoma1e
Petitioner(s) after a proper search hasihave ascertained that Decedent left no Will and was survived by the following spouse (if any) and
heirs:
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(COMPLETE IN ALL CASES:) Allad1 aodiDOI1aJ sheets it necessary.
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(list sO' numOSr and municipaJllY)
Decedent, then t If years of age, died fJrcr; "1.b,,/{ ~ ~~
Decedent at death owned property with estimated vaJues as follows:
(If domiciled in PA) An personaJ property
(If not domiciled in PA) PersonaJ property in Pennsylvania
(If not domiciled in PAl PersonaJ property in County
Value of reaJ estate in Pennsylvania
County, Pennsylvania, .
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l4(y :p;/?;f /I,{" pi t:..(
(Lacanan) ,
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situated as follows:
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Wherefore. Petitioner(s) respectfully request(s) the probate of the last 'Hill and Codicil(s) presented with this Petition and the grant of
fetters in the appropriate form to the undersigned:
Si nature
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Fonn #AW-1 Page 1 of 2
Prepared by the Pennsylvania Bar Association 199 1
Oath of Personal Representative
~mmonwealth of Pennsylvania
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 administer the estate according to law.
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Sworn to or affirmed an~SUbSCribed
before me this j).~ t[ day of
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No. to-l-07- 0/7.1
Estate of (' fA It.J l cc.. "J: ~y Deceased
Social Security -NO: 367- 4?- - ~7- Date of Death: &(f~}~ U~ ~o6
AND NOW, ~;1Y\Cl ",CWJy,L1tJVf ,-w-:LC07 , in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 0 Testamentary 0 Of Administration
Cl.tl.n.c.u.; penoeme lite; duratlla aD&en!la; ourante rrunontale
are hereby granted to J)~ b () flA.J (. ~ { (<;,~
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 of Decedent.
FEES
Letters ..................... $-'1.100,oo
40.00
lO,OD
Short Certificate(s) .... $
Renunciation ....0....... $
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Attorney:
Affidavits ( ) ............. $
Extra Pages ( ) ......... $
Codicil ........................ $
JCP Fee ................... $ 10,00
Inventory .................. $
Other .~. $ -00
b,
TOTAL ............. $ 3~5PO
1.0. No:
Address:
Telephone:
FOlT11 #RW-1 Page 2 of 2
Prepared by the Pennsylvania Bar Asso<:ialion 1991
t11U).~Uj REV 1/05
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 OJiginal 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
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13215629
No.
H105 143 REV 0lJ200S
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IllACKH(
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Carole
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ell - 07 - 0/73
COMMONWEALTH OF PENNSYLVANIA .. DEPARTMENT OF HEALTH .. VITAL RECORDS
CERTIFICATE OF DEATH
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STATE FILE NUMBER
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RENUNCIATION
/l1-07-QI73
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYL VANIA
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Estate of CAROLE J. HARVEY
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, Deceased
I, MICHELE L. DOBBS
(Print Name)
DAUGHTER
, 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
DEBORA J. SCHLEH
1~01
(Date)
~tkJ
(Signature)
4804 BRIAN ROAD
(Street Address)
MECHANICSBURG, FA 17050
(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 re~~;or the
pUlpOS stated within on this day
of '.
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTARIAL SEAl.
AMY KNAuER
Notary PubIc
~D"'~Qf,0I.&IHx:aNv
Mv Commllllon Expht.lan 25. 2009
Form RW-06 rev. 10.13.06
. in my capacity/relationship as
of the above Decedent, hereby renounce the right to
RENUNCIATION
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYL VANIA
!l ( - 07 - . 0173
:;;:d
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Estate of CAROLE 1. HARVEY
SON
I, lAMES M. HARVEY
(Pri1It HOlM)
administer the Estate of the Decedent and respectfuUy request that Letters be issued to
DEBORA 1. SCHI.EH
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(Dau)
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(SInd Addnss)
J1;r)( 5pf/k~S /J4 /75;6)
(City, State, Zip) ./
Ex<<:lMdi1l ~'8 Off/t:e
Sworn to or affirmed and subscribed
before me this day
of
ExecIltI!tJ (Jilt of ~'. 00k~
Before the undersigned personaHy appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this :l i.{fl1 day
of Or
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualif"1Cd to
administer oaths. Show date of expi!ation ofNotaJy's Commission.)
Form RW-Dt/ rev. 10.13.06
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