HomeMy WebLinkAbout04-27-07
PETIl'ION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF .c.UoV:r(h.rU:l
EIbde of C\r-nr\, f -h Arlnl
allO known as
COUNTY, PENNSYLVANIA
File Number
, Deceased
Social Security Number
J;) ~ - 34- 38lo t./;
PetitioDCll(s). who is/are 18 yeers of.. or older, apply(ies) tor:
(COJ,lPLBTE 'A'" '.'JlEL(}W:)
Dr A. Probate..... Grant 01 UtUn T.......tlII'y aDd aver that Peti1iouer(s) is I are the
lastWdl of the J)eeedeotdatedZJaN. 2'7) 'lrfVn aDdcodicil(s)dated
uamed in the
(3taI8 ~ ctrclUll6tr;mcU, e.g., re1IIl1ICil1Ifo dttaIh of eJtI1CfIlOr, $.)
Eaopt as follows, Dec:odent did not many, was not divorced. aDd did not have a cbild born or adopIed aftDr execution of the instrumeD1(s) offered
for probate. was not the victim of a killin8 aDd was IlClVClf 8djudi08lod - incapecitatecl perlIOD:
o II. Gnat of...... 01 MJninIItraGon
(If applk:abIB. tmm': c.t.a.; db.n.c.t.a.; ~ li3: durtmt8 abHntta; dI.lra1P "lIrrorltt.rte)
Petitioner(s) after a proper IICllIRlh bas I havo asccrtainod that J)eeedeot 10ft no Win and was survived by the following spoUllO (if any) and heirs: (1/
~ c.t.a. or d.b.n.c.ta., mter dale t;WIO tnSecIlonA above and compkte list ofheln.)
1bidoDoc
,
,
N.-
(COMl'LBTE IN AlL CASES:) .... ..,..,,-''''''' i/1IICfIIIIItII7.
-l\...................m~ 'jr.'{.":'1t....JO.tIo.../..~ ~..
~ rl' a.."\k I.~. ( A. "lOll ( .13
(Li8t mwt Q&/dnItI8, totm'ctty, totmIhip, coudy, 8tiIte, zip codtI)
Decedent, then 7 u, ye&IS of age, died on l <y pk mtv- I') Ol,.t
pecodeat at death owaod property with esti-"twt values as follows:
(If domicilod in PAl All pononel proporty
(If not domiciled in PAl PcI'IOIIlIl property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of _ oslBte in POIIII8Ylvania
s ~OOo.
$
S
$
00
situated as fullows:
~ Paliticxa(1)nIIplIIllfldly RqlIIIl(I) tho paobldc of tho IMt Win andCodioil(I)JRICIdcClwilll thia Petitioaand tho sr-tofLclltcn in tho ~fcIrm to
tho--lJ""CI:
iN ,J6. }14s+ - " dal ~SO BreJ-~tZ Rd.
()
c--- C~
_0 and_idcaoc
r-..'".l
-1
p""" RW..o2 ,..". 10.13.06
P!$.e 1 of 2. '.
(.,)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C \.Lr() Lx: r (Q 10d
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.
Sworn to or affi~\e~ '?)d s~bscribed
befi re me the 0' f day of
Signature of Personal Representative
Signature of Personal Representative
File Number:
Estate of
, Deceased
Social Security Number:
Date of Death:
AND NOW,
having been presented before me, IT IS DECREED that Letters
are hereby granted to
, in consideration of the foregoing Petition, satisfactory proof
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 (and Codicil(s)) of Decedent.
FEES
Register of Wills
Letters ............... $ f).{) .00
$ ~ ,OD
$
.., $ \~.OO
... $ \().oD
.., $ S.W
.. . $
.. . $
$
$
$
.. . $
TOTAL .............. $
Short Certificate( s) . . . . . . . .
Renunciation(s) ..........
u.)\\\
~~
0. .. ~-t,(')'Y"\
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
\-....:'
t'<:>
~_"2
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Telephone:
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Page 2 of2
Form RW-02 rev. /0./3.06