HomeMy WebLinkAbout04-03-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF c "t./('J'tbJ2.J/~ncl COUNTY, PENNSYLVANIA
Estate of ))Orllla j~/17-1 Ke:tJD I
also known as ..s e-il-J 16t~,e;I, .
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
File Number a \
b \ 03~
, Deceased
Social Security Number
/ ~i -~ -lt7-Clr
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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
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executionoftl!i.-instrume,nt,(s) offered'
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ' , . '~) "i 'I ::-,
C~ )
~~g
~ named in the
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(State relevant circumstances. e.g.. renunciation. death of executor, etc.)
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)2!J... B. Grant of Letters of Administration
....
(Ifapplicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
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.)
It!?,
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Cpunty, Pennsylvania with his I her last principal residence at /.c f <<11 ~
h /l /70 - .
Decedent, then (p 4
years of age, died on ~vM/o 7 at t,aMA e..
Decedent at death owned property with estimated values as follows:
(If domiciled in P A)V'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
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$
$
$
$
situated k follows:
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Wheretore. 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:
T ed or rinted name and residence
1:5/1 A.
//1-)'/7 va /l- J700&,
Form R W-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF _~\:iMW
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
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administer the estate according to law.
Sworn to or affirmed and subscribed
before me the.3 day of
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. nature of Personal ~ve
Signature of Personal Representative
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Signature of Personal Representative
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AND NOW, \D ~~~ ,\ .;:)..o6l
having been presented before me, IT IS DECREED that Letters
are hereby granted to L.\ 5,1'"1. ~ ~ \'\"€-"i
File Number:
~\
Estate of
, Decealled:.~'\
,
Date of Death: .3 \ d. '5 \ 6,'
I
, in consid,ration of the f~regoing Petition, satisfactory proof
\es-\cu~\Y'\o.-f"U\
\
L.")
en
Social Security Number:
in the above estate
and that the instrument(s) dated
d",rib,d in th, P,tition be OOmittod '0 probato ",d fi[,d oJ?j) ~' l.st W~:~':=:fD"odent
FEES ch R".","f""~N:x~iS"6.f
Letters ............... $ ~ . ()C)
Short Certificate(s) . . . . . . . . $ ~ .CD Attorney Signature:
Renunciat.io,tl(S) .......... $
~ ~ \ () .0'0 Attorney Name:
_~~~-\r-) : : : : 5 00 Supreme Court LD. No.:
." $
.. . $
.., $
." $
... $
. .. $
... $
TOTAL .............. $ 4~.oD
Address:
Telephone:
Page 2 of2
Form RW-02 rev. /0.13.06