HomeMy WebLinkAbout04-24-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of
also known as
ROBERT C. WILLIAMS
File Number
~l-Dl-!A(P
, Deceased
Social Security Number 174-40-4269
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' 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
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument( s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
IZI B. Grant of Letters of Administration
(lfapplicable, 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.)
r Name Relationshio ResiQe c::c; T
Ann E. Williams spouse 404 South West Street, CarliSle,~ 17013 > ..
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Carlisle, Cumberland
404 South West Street. Carlisle. Pennsvlvania 17013
(List street address, town/city, township, county, state, zip code)
County, Pennsylvania with his / her last principal residti~ce at
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CJ
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Decedent, then 58
Pennsvlvania
years of age, died on February 17,2007
at South Middleton Township, Cumberland County,
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
/'7,fJ9=D
$
$
$
$
situated as follows: 404 South West Street, Carlisle, PA
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:
T d or rinted name and residence
Ann E. Williams, 404 South West Street, Carlisle, PA 17013
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
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.
Signature of Personal Representative
Signature of Personal Representative
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File Number: c::!2J -Or -3q~
Estate of
ROBERT C. WILLIAMS
, D~i~ed
('::1
1..0
Social Security Number: 174-40-4269
AND NOW, ~ c:2.-4-
having been presented before me, IT IS DECREED that Letters
are hereby granted to ANN E. WILLIAMS
Date of Death: February 17,2007
, ~CO( , in consideration of the foregoing Petition, satisfactory proof
of Administration
in the above estate
and that the instrument(s) dated N/A
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ,.i:itwM-~OA.".g~~,( ~
. R ter of Wills 1-
Letters ............... $VO'OC> ~ ~
Short Certificate(s) . . . . . . .. $3.Ci) Attorney Signature: ~ ~
Renunciation(s) .......... $
\ c...P Attorney Name: ames D. Flower, J~.
--..) ... $ \(:>.00
~o....*\a;"'t"oo.. ... $ 5.00 SupremeCourtI.D.No.: 27742
... $
... $
... $
... $
... $
... $
... $
TOT AL ........ .. .. .. $
Address:
26 West High Street
Carlisle, PA 17013
Telephone:
717-243-6222
., '.00
Form RW-02 rev. 10.13.06
Page 2 of2
H 10, .RO' REV 110'
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
p
13310869
No.
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1 Hf05.1" REV f1f.!008
lYPE I PAINT IN
PERMAHENT
Il.ACl(IHI( #30-460
1._.._(Rnt._1ool,_)
Robert
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Local Registrar
FEB 1 9 2007
Date
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. vrrAL RECORDS
CORONER'S CEFmFlCATE OF DEATH
(See Inatructlona and ellllmptea on reverae)
C
Williams
YR.
e.DIIt..M
T.
1Ild_..
Nov. 16, 1948
lentown, PA
8d.FocIIy-(lf""_gOo_1Ild1llll'llol)
Carlisle Regional Medical
lb. Cour<y .. 00dI
Cumberland
11.OadInl'tUlult 110II01 "'00....
Klnd"_ Klnd.._,1ncklIlry
Ltc. U. S. Army
1..-.-.g_~dl.yI""._.zlp_1
404 S. West St.
Carlisle, PA 17013
'..F___(Rnt._,Iool,_1
Robert R. Williams
2OI.-._IllPt/Plill)
Ann E. Williams
12. 'NIl 0ecIdInI1VIt in the
U.S.Armod_?
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AcIuIiAllldenct 17a.SIItI
fro. County
PA
Cumberland
STATE ALE NUMBER
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February 17, 2007
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404 S. West St., Carlisle, PA 17013
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