HomeMy WebLinkAbout03-02-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of Lois M. Kagarise
also known as
File Number ;l t - 0 ..., - L<i<.o
. Deceased
Social Security Number 164-30-3135
Petitioner(s), who islare 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Probate llnd Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated and codicil(s) da~d
named in the
I2J B. Grant of Letters of Administration
,.....,
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(State relevant circumstances, e.g., renunciation, denth of executor, etc.) ""3 ~ 0 . ~. )0-'.:' ;~11
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution oft~&tr~ment(s) offered; ;-\~~
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person: . ': CJ) ;., _.:~-)
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(If applicable, enter: c. t.a.; d. b. n. c. t. a.; pendente lite; durante absentia; duralfJ mmoritate)
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) alh9heirs: (If
Administration, c.I.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.)
I Name Relationshio Residence I
Sandra M. Philpott Daughter 652 Glutz Hole Road, Duncannon, P A 17020
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland
1426 Bradlev Drive. Carlisle. PA 17013
(List street address, IOwnlcity, township, county, state, zip code)
County, Pennsylvania with his / her last principal residence at
Apt. I-114
Decedent, then 95
years of age, died on February 19,2007
at home
Decedept at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
130,000.00
$
$
$
$
100,000.00
situated as follows: (1) 1426 Bradley Drive, Carlisle, Cumberland County, and (2) land in Wheatfield To~nship, Perry County
Wherefore, Petitioner{s) respectfully request(s) the probate of the last WiIl and Codicil{s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
T d or rinted name and residence
Sandra M. Philpott, 652 Glutz Hole Road, Duncannon, P A 17020
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH OF PENNSYL VANIA
SS
COUNTY OF CUMBERLAND
The Petitioncr(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
. t
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.
Signature of Personal Representative
Sworn to or affirmed ad subscribed
before me the d n day of
Signature of Personal Representative
File Number: cO I-() f -- Ie; lo
Estate of Lois M. Kagarise . Deceased
Social Security Number: 164-30-3135
ANDNow,..fYbx-rh A
having been presented before me, IT IS DECREED that Letters
are hereby granted to Sandra M.Philpott
'-......., .. /'
Date of Death: February 19,2007
. BOOt . in consideration of the fo~going Petition, satisfactory proof
of Administration - "h
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
PO Box 116
FEES
Letters ............... $ '3\.0. ~
Short Certificate(s) . . . . . . . . $ I u. ()'l:)
Renunciation(s) ..........~ ~
. -00
~~~ ...$ 5.
()C P . . . $ 't). UO
...$
... $
.. . $
. .. $
... $
...$
... $
TOTAL .... . . . . . . . . . . $31 l. UU M)
Attorney Signature:
Attorney Name:
Address:
-
DuncannoQ. P A 17020
Telephone:
Form RW-02 rev. 10.13.06
Page 2 of2
1l05.805 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 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.
'3.:..... ~.~.... ~-.\.. '<f' '
Local Registrar
Fee for this certificate, $6.00
FEe 2 a 2007
Date
p
13311012
No.
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90
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Hl.l43AEVl1l2l108
TYl'E/PRIIT Jj
PENINIENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALtH ~ VITAL RECORDS
CERTIFICATE OF DEATH
(See Instruc:tIona anctexempIM on reverse)
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STATE FILE NUMBER
4. DIIo 01 DoIIh (MonIl, day, ,..,
- 3135 February 19, 2007
I. Homo 01 Docodott (Fhl. IIlIddIt. ... UIIl)
LOISM.KAGARISE
II. ,.,. flaoIlIitIIlIWl
95 VII.
Ib. Cco.IIIf 01 DoIIh
Cumberland
7.
lilli_or
May 12, 1911 Altoona, Pa
8d. FdIy Homo (11""'-' '" _1Ild runboI)
11.-'UouoI _01 110; "'"
!ChI 01_ 1lhI0I..... I InUloy
Secretary State Government
1"~MIIl1g___allyl-,-,2IpClldl)
1426 Bradley Drive 1114
Carisle, Pa 17013
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Pa 17020
21d. Locdon (CIIy'_ -. lip c:odIl
Boiling Springs, Pa 17007
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