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PETITION FOI~ ..IWltATE and (;RANT 01' LETTERS
l:\wlr ql c\~AW LeN"~<. (":M':) No. () 1-711.~ _'i.:1.k~_..
titt/f..... - 10:
H,'gisler of Wills for the
.--..-.-..-,..... .,.-.. .--.... ..., fJ,'c,'awt!. COUIlIY of C<J.,,-la.~~_ In the
Socia' Sec/lrity No. :2...qJ. c .10., '!-1':t.4.\i. Commonwealth of I'cnnsylvnnla
Thc I'clllion of the undersigned resp<'<'lIully represenl.s that:
YOllr l'etltloneriM, who is/If/1M yeurs of ltge or older nnthe exceuta&______.____ ~~ed
Inlhe hiM will of tKe ahove d<'e~dcnt, daled.l2'-uell\la_'l.a.......:'k?," , ,19
~~ NIf':1t/'nV'fY .....___~___...___U.....h__...___
-~..._-_.~...~--_._.__._-_..~.,.._--_._---_...,,--_._----+--~,.._.
---..._-,._.__._..__._-_._--_.~_.~-".~~_.~--------.....
('Hllll' rch~\'jlnl drl;Il'mtlHll'C~, l',!l. rl'IHtlll:iatlon, dC!\lh of l'~Cl'lllor, cle.)
Dccendent II'as domiciled at death In ~llJ'l+huJI\JJJ 'U f~loutC:i"nsYlvan'a)wlth
h-".tl..._~ Il~1 ;'aWiIY or principal rcsldcnee at _J!:l..Q-.f:aAb. i...L_.B::~ "I. g"...
-~ 1.A___...t:h>.J..L_____________
(hI ',ltl'l'l, llulllhcr ilnd llHlI1l'IIMllIYI ,.
D.c~ndent,!henn.:1i...--.. ycars of a~e, died _~_ 3- ___,19'1",
at ...:tl"ll..n.._~~f\p.~ A'...A!H- C~",i;o/.l ~....Ii tI. ---p A- l.::n1 (3. _'
E~<'el'l '1S follows, d"cl'dcnt did not murry, was not divorccd and dW-;;-ot havc II child born or adoptcd
after c\<'clltion of I'lf will offcred for probate: was notthc victim of a killing and was nev.er adjudicatcd
inl.:OlllpL'lcllt: ..-fV~(~-"'(lI.t;+l'D"J. .
,
Decend<'nl al dcalh owncd propcrty with cstimatcd values as follow.s:
(If domiciled In Pa.) All pcrsonal propcrty
(If nOI domidlcd in Pa,\ I'crsonal propcrty in Pcnnsylvania
(II not domiciled in I'a.) Personal propcrty In County
Yaln,' ,,1' rc:tl c.slatc In I'cnnsylv'ulla ()
shnal<'d us follows: <llo b>R~I~If,L
-___ C'.AtJi.rIlj. pA I"H:> I~
$ If:ett>D
~ ~~.
$_-10 "I>t>t>
I
1\ HI.:REI'OHE, PClitloncrW/ rcspectfully rcqucsl(s) thc probatc of thc last will #JiY~~
prcsented hercwil h and the graht of Icttcrs___-t..:&.r t (\ M.~r:P:l'" ~
' l1~...lUmemilrY; nclmini lion C.l.ll.: administration d,b.n,c.Ll\,)
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OATH OF PERSONAL REPRESENTATIVE
COM.!\-!~)NW~:A~:nt OF PENNSYLVANIA l::;8
COt, I \ Of _C.j.l~ldllNA_~_n_ J
The pelillonel(M above.nanwd .s\\'ear(s) c/fIlYflIIlN~' tl1<'.1 Ihe statemcnts In the forcgolng pctitlon are
Irue and ,:orleCt 13 Ibe heSl 01 Ille knowledgc and hclief of petiilonerVlI and thai as personal represen.
IlIlIl'L',/il,d' Ih<' "bOIL' deccdcnt J1etilioncrlfll \\'illwell "nd r lly admlnlstcr the estatc according to law,
SW,ClTIl I,' l~:' .<lft.'irrJlt'~. a.nd ~ub~L'I'ihcd.
bclnn.' 9)' Ihl'l --. ___.Z. ____ .__.___ da~ 01
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JUL.'.cE,..199'J 101 '12
'j' I? 'II(U 21.f:i1
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717 783 2831 P.OI
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STATUS REl'ORT U~DER-'!ll~_~.~~.
-, le /) .'. . I
Namlil of Oecedent I ~~____.__ N()fZ~._...J;rf<..~~:..,-_.' _
Date of Death 1.---1I\I't~ .'!> I 1~'1:t... ;:~.
Will NO.-L11J--Dt?4zt: .,~_.._ Admin, No,_tle'\.-:r -041..L
Pursuant to Rule 6,12 of the Suprome Court orphans'
Court Rules, I report the followinq with respout to completion of
the administration of the nbove-caption~d estate:
~;:~:fl whet~~~.~inistrlltion of th~) estate is completel
2. If the answer ia No, state when the personal
representative t::.~sonabIY believes that the admJ.nistrllUon will be
completel-L2d2 . I ) 1~,,"1 _
3. If the anllW/a1r to No.1 is Ves, $tate the following:
1.
a. Did the personal representative file a final
account with the Court? Ves No
b. The separate Orphnns' Court No, (i f any) tor
the personal representative's account Ll'll
C. Did the personal representative statl an
account informally to the parties in interest? Yea No
--
~
d, Copies of rec~ipts, releases, jOinders and
approv~ls of formal or informal accounts may be file~ with the
Cerk of the Orphans' Court and may be attached to this report.
oat.el'\'!..,' 2~ ,~ C'L""" C~1,.:-
~ s~~ure ~
" C-
Name (Please type or pint)
;are~La.~J~ ~jlJ:5 U) CN../,'s Ie..
G-I-:r} ~~':/ -..tl:; ~
Tel. No,
Capacity: ---x'-Persondl Represent.ative
:J-t
~ ts~'llq~
~ il.. PM,
(HAH:tmf/AM))
Counsel for personal
!;'Qpresentative
TnTHI. F',111