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HomeMy WebLinkAbout07-02-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C LA hi e;;1tLA/JI> COUNTY, PENNSYLVANIA Estate of F/l.Ef)ER.I(JI< 'P. BI1 K Ell File Number ~ 1- ()7 - &1.5 also known as , Deceased Social Security Number I 7 7 - ~ - t') 52 J Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s~ are the [1- ExeCutz,rs last Will of the Decedent dated /114.lj 3D, 2/)01- .aR" aSBiail(s} alltes MICHAEl. ~ JUl.!. renounce-a! hi':> CD - tJ)"ee&.L'\brSh,'IJ'. . (State relevant circuli/stances, e.g., renunciation, dealh of executor, etc.) named in the Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instmment(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: o B. Grant of Letters of Administration (If applicable, enter: c.I.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante l1linoritate) ~ Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following ~use (if any) iii heirs~f~~ Administration, c.I.a. 01' d.b.n.c.t.a., elller date of Will ill Sectioll A above alld complete list of heirs.) . C:;o ~ 1'1"'1 ';_J ",~ ::0 (";}._) . 0=, "'J Resi .-or: (") ,',:.j C~J = >=: \,::J :'~ 1, ;;:-"-') ''"::' H1 C~) Name Relationshi :;I: c....> .. c....> N . f"t ')Oli :- :S (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. ~ Decedent was domiciled at death.w C t.L '1"1\ b~r \OIl'\d County, PeIlI)sylvania with his .I-fter last principal residence at . I~ 85 W. Trlnd/e !fer!:.. 11Jt'f'-honil!~j., IA r:!i' /110l1rDe ~p. (Ust street (/ddress, towl/lcity, township, county, state, zip code) .' ~co1 years of age, died on ..TUne 10J at Decedent, then 5/ H()~v .:jJ;,.;t /It'S/I/O';. I Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If no! domiciled in PA) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value ofreal estate in Pennsylvania situated as follows: 1:('45' 1tI. r,.//;e!1t /fa{ I?J,hrPe ~..a. tumkr/t.IIlJ e~uw~ :Z"j{)Pt!?-'" $ $ $ $ I F I ~"O. ,.0 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will."~ CB~ieil{9l presented with this Petition and the granl of Letters in the appropriate form to lhe undersigned: T ped or rinted name and residence /2lfS' Jv. -r;./nt//e ~ d /1J~tltllI1ics6,.r /.14- 17" s-!:" 3 tv. Hr/JJlt A-i'e. ..r$hr.y.;,/JA I? t'.J3 F Drill R W-02 re,'. / O. /3.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF Cum 8EIfLlM/J) The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal tepresentative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ;)~~JM~ ~ Signature 0 Personal Representative hlk~S5A Z. I!JII.t16P Sworn to or affirnle~ subscribed before'methe~' day of Signature oj Personal Representative i1;P~E1'l ('") ~O ,.,,):0 '.~ -00 :J~r- ;:;:2;gj <~ (/) A ="00 , )0., ;._~)C :0 ::u --I ueteased FO'~'R'~~ File Number: ;2 1- 07 -(pas Estate of r,l(EPE~/~K 2). l5AKE1? Social Security Number: /77- 4" -t)S ~I Date of Death: .J14.f'le la, ZOD 1 ~ <::::) <::::) _J .:T.J J.) 1 t 1 rlol (") C) C) ~,-~ cg r-1 ("11 ~D C:J C::)C) -,'} 'T1 "q C") f . r~T. r/; ("-) C- c::: r- I N " 3: ca W N AND NOW, . in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters 7e.sttlAJUlf1l ~ are hereby granted to 111~1/.$StI :r. &,.~ PJld ~,./" /If. lJa~r and that the instrument(s) dated 1'J1~ -% ~eo"1- d""ribod in th, P,tition b, admittoo to proba" ond fi!,d of =.Jli. II" '''' Will (ond Codi,i1( ')j FEES ( ~.1:1~fVj Register oj Wills ill the; above estate , ..' - . a'/I"/~$ E. 5h,e/~ 7ii 3;5/3 " Clou.seI" ltd. h1echaJ1ic,gb~":J,'/I 17eSS- Letters ............... $ (; () lJ) Short Certificate(s) . . . . . . . . $ Renunciation(s) .......... $ 5 .(')(J LA ) : II . . . $ J 5 .00 .JeUJ ...$JO.Ob t\.1.L~ ... $ ~,().) .. . $ .. . $ .. . $ .. . $ .. . $ ... $ TOTAL .... .. .. . . .. .. $ QS . 00 Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: 7/7- 7~' -OZ~7 Form RW-02 rev, /0,/3,06 Page 2 of2