HomeMy WebLinkAbout03-23-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMbtJ1-ICt n J
COUNTY, PENNSYLVANIA
Estate of f)/\q(l.. 'lAtA.. I t e. r"v\. A Y\ 1"01\ LlCL (
also known as
File Number
()1-;l3L\
, Deceased
Social Security Number d-() V -d I ./ Z t ~ 'l
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
D 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
CJ ~;
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution(Of~ instrum~) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: . ::;g -.-
:.:,.,,;} ~~;:
~ Grant of Letters of Administration i~,~ N
(If applicable, enter: cot.a.; d.honocotoao; pendente lite; durante absentia; duran~1i1l---oritate)::.?
(State relevant circumstances, eog., renunciation, death of executor, etco)
-, ...-
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following_~~e (ifanYL<y1d heirs: (!f-;
Administration, cotoa. or dob.nocotoao, enter date of Will in Section A above and complete list of heirs.) ~,< .. ' II
CJj
at cP.,L)/5H/ fA ~
/
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) 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
'1 Y6 v,uJ
$
$
$
$
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 form to
the undersigned:
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF&VV\ De!-\C\YlJ
SS
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 ofPetitioner(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
o
C~O
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Sworn to or affirmed and subscribed
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Signature of Personal Representative
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File Number: ~\ -0. _Od-~
Estate of -111 fA ,e, 5 IA el2 : 1 ~ . fl1, A 1'1 to,:, 14 C ( I , Deceased
Social Security Number: ~D4- D \- ;;L \ 5C\ Date of Death: \i ) H.D l 0 ~
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AND NOW, rv\a.rcll \ ~ , ~ro' . in consideration of the foregoing Petition, satisfactory p;oof
having been presented before me, IT IS DECREED that Letters 0( Ad f\\ t (\ '/ ~O"
are hereby granted to ~ r-\- n. POf"1"erOL~
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 (a
Letters
$
30,00
~.Db
, l'\ ~6 1\
FEES
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
... $
. .. $
.,. $
.. . $
.. . $
.. . $
. .. $
... $
(l~ ... $
TOTAL .............. $ ld3 .aD
~ cLlitrtJlCCD
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
c)C9
\ t).
5.00
Telephone:
Form RW-02 rev_ 10,13_06
Page 2 of2
1105.805 REV 1/05 .... . . . . . . 01 :- d-~~
This is to certify that the Information here gIven IS correctly copIed from an ongInal ce~IfIcate of death dul~. fIled wIth me c,S
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.
No.
'awn..~~
Local Registrar
Fee for this certificate, $6.00
P 12841429
NOV 2 0 2006
Date
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERnFICATE OF DEATH
(....)
Ul
N
STATE FilE NUMBER
4. 0IIe 01 0I&Ih (McnII, diy, YMIl
November 1 6., 2006
ii 8 7 VII.
=: 811. CoIriy of DBaIl
: Cumberland Middlesex Twp.
= 11. 0adlInh lJIUlII ClccuDIIan Il<hl of wort lbIe Ibtla I1lDIl aI~ .. Do 1IIl_1lIh1)
= Kild of Wale Kild 0I1Mi1*1/1ncl1stry
~ Sales Clerk Fashion Bug
:: 16. 0adlInh MIIIna ~ (SRIl. cly 11Illln." ~ code)
: 1000 Claremont .Road
~ Carlisle, PA 17013
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PA
Cumberland
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Twp.
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18. FIII1er'INIniIlFnI. _11II. dill) "-. 19. !oloIllln NlIne (Fhl. mIdcIe, IIlIidIn _)
William Savercool Anna Marie Och
13l&~~;:;I~,;.u~omeroy__uu 3>>4~t8~d'~=(~~/:-'r:~h:nicSbUrg, PA 17050
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RENUNCIATION
REGISTER OF WILLS
G~~l;\~b COUNTY, PENNSYLVANIA
Ol-~3'1
Estate of If) AA..~I.t<<.. J.1, ~u.(I.(. I. ,Deceased
I, ?1\1-~\c...) P\ A. ~~ h ,inmycapacity/relationshipas
~ '- )/!.rint Name)
--=::Y f\t 'et ~..e.. \~ of the above Decedent, hereby renounce the right to
ad . . er the Estate of the Decedent and respectfully request that Letters be issued to
~~~
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(Signature) {
~/~I/I ~ .r?;0 ,j;z' #s
(Street Address) I'
~~iJ~1 ;IJ/ /~)L~
3-5-07
(Date) ~
a...
N
e:.:
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Execulea 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 renunci~n for the
purposes state~ within on this L~ - day
of yY'\f1/Lc/l1 .;) Of) 7 .
~~
Notary Public
My Commission Expires:
Deputy for Register of Wills
NOTARIAL SEAL
BONNIE L COYLE. NOTARY PUBUC
BORO OF CMUSLE. CUMBERLAND CO. PA
MY COMMISSION EXPIRES OCTOBER 17, 2010
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
RENUNCIATION
\ REGISTER OF WILLS
0A~ ~~~ ~^" ~ COUNTY, PENNSYL VANIA
Dl-~3~
.
EstateOf~q Ll.e..~ \j;.e.... M. 8t..! 1::oNUc.d
,
~ \10,/\ '€: ~ 0 Y
, Deceased
I,kw~-e...~e..<::.- vi. ,
~ (Print Name)
~O\J
, 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
~o ~e.l. t CA. ~W\ '€-~ Y .
N
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i~~;3fn~ '1,~~
I~_; (Date) Q:: r; "
C\J
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4 ()K (3 nl aJ1 (J i-
(Street Address)
Ct::
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c;.-~
..illf.dvJ () Ie S b,Yf
(City, State, Zip)
/14
17l6l>
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 stated within on this ~ day
of fnn frh , Oc1Dtf
~c 'l11j)'~
Notary Pu .
My Commission Expires: Ju it.( 7, ~'j
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.)
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Beverly K. Morgan, Notary Public
Upper Allen Twp., Cumberland County
My Commission Expires July 7, 2009
Member. Pennsylvania Association of Notaries