HomeMy WebLinkAbout04-02-07
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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of Thomas M. Zock
also known as
/
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/
File Number e:l1- () 7 -(J 3 I ~
,
, Deceased
Social Security Number 203-54-5883
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
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
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) C-., ~ C");g ! "j
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution offIiQ mtrum~s) offered~~J
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person: , :_, ;:..; ......,
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III B. Grant of Letters of Administration
Petitioner(s) after a 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.)
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(If applicable, enter: c.t.a.; d.b.n.c,t.a.; pendente lite; durante absentia; durtifJ7e ~;noritate) W,
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)
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Michael John Zock
Melissa Marie Zock
Son
Daughter
2222 Ri
2222 Ri
Residence
ighway, Shippensburg, P A 17257
way, Shippensburg, PA 17257
Name
Relationshi
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
County, Pennsylvania with his / her last principal residence at
Decedent, then 44
years of age, died on March 24, 2007
at Carlisle Regional Medical Center
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
situated as follows: 2222 Ri~ghway, Shippensburg, PA 17257
$
$
$
$
10.000.00
150,000.00
r SilZI1ature
7'~-
Wherefore, Petitioner(s) respectfuIly 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:
Tvoed or orinted name and residence
1
--...
Michael John Zock, 2222 Rittner Highway, Shippensburg, P A 17257
Form RW-02 rev. 10.13.06
Page 1 of2
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Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
SS
COUNTY OF Cumberland
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.
Sworn to or affirmed Cld subscribed
before me the j) I\. day of
~ ----
Signature of Personal Representative
Signature of Personal Representative
Signature of Personal Representative
File Number: ;21-01- 319
Estate of Thomas M. Zock , Deceased
Social Security Number: 203-54-5883 Date of Death: March 24, 2007
AND NOW, ~.-A- .2 , c2<.:u" ,in oonsWenltion of the furegoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Michael John Zock
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 Decedent.
in the above estate
FEES
Letters ............... ~.VD
Short Certificate(s) . . . . . . .. $ too .00
Renunciation(s) .......... $ 5.00
d ...$ \t::>.~
~~ ...$ 5,6b
...$
...$
...$
...$
...$
...$
...$
TOTAL ..... . . . . . . . .. $ 'Ol-.(6.00
Attorney Signature:
Attorney Name:
Andrew W. Barbin, Esquie
Supreme Court LD. No.:
43571
5020 Ri~ad, Suite 109
Address:
Mechanicsburg, P A 17055
Telephone:
717-506-4670
Form RW-02 rev. 10.13.06
Page 2 of2
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RENUNCIA TION
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
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Estate of Thomas M. Zock
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, Deceased
Daughter
I, Melissa Marie Zock
(Print Name)
, 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
Michael John Zock
April 2, 2007
(Date)
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(Signature) ,
....
2222 Riltner Highway
(Street Address)
Shippensburg, P A 17257
(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 renunciation for the
PutpOo/statc;d within on this ,;( .el day
of ry I o1oo?
,
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Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualiiied to
administer oaths. Show date of expiration of Notary's COmmissivn..)
Form R W-06 rev. /0.13. 06
:TH OF PENNSYLVANIA
NOTARIAL SEAL
IWCINE I. GOODMAN, ~ PublIc
~jIoto.. CumberIIrid County
27,20'0
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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.
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" Local Registra,r
P 13487387
MAR 2 B 200L,
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C)Date =
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COllIONER'S ceRTIFICATE OF DEATH
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Wi lCllOt'e. PA 15962
Portage. PA 15946
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