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Home My WebLink About08-30-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF (lIt I11IJ~Ll4-lVd COUNTY, PENNSYLVANIA Estate of 8auu (Tit [;. ~tf frT 1-/ also known as 71Ep N l7f1 k. f!R..t;;rJ File Number .a \ Ot o'S!, . Deceased Social Security Number dtJ/ - /'g - '7,/fpJ' 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 narned in the 1"-' o ~ So -.l (State relevant circumstances, e.g.. renunciation. death of executor. etc.) .:;) =t5 C:~. . .~; ::r: () G") .'C; Except as follows. Decedent did not marry, was not divorced, and did not have a child born or adopted after execution Q'Hl$:ibnumeI$) offe~d . ..-:::c for probate, was not the victim of a kilIing and was never adjudicated an incapacitated person: : (/) X 0 . ,'3~~~ -0 I ~ (If applicable, enter: c.t.a.; d.b.n. C.t. a.; pendente lite; durante absentia; duraiif;!minoritate) ~etiti.oner(s) after a proper search has / have ascertai.ne~ that I?ecedent left no Will and w.as survi:ved by the following spouse (if any) an'd1teirs: (If Admlfllstratlon, c.t.a. or d.b.n.c.t.a., enter date of Will in SecttOn A above and complete Itst of heIrs.) . ~B. Grant of Letters of Administration '\ Relationshi SbYl fA17O'.J I70Sb 171J (-I (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent, then IlurtstP-rj f!o~f);k ) ])tlUP~{ 1 CIzt i FA- Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania situated as follows: ~} 1., S} II/lf Y {'-~ ,eO pel ;t1ee/unl ;~rl lit- $ /I~ oCO $ $ $ ( '90~ 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: ~~o Form RW-02 rev. 10.13.06 Page 1 of2 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Estate of also known as File Number ~ \. bl ()~\l . Deceased Social Security Number Petitioner(s), who islare 18 years of age or older, apply(ies) for: (COMPLETE ~'OI' 'B' BELOW:) o A. Probate aad Graut of Letters Testameatary and aver that Petitioner(s) is I are the last Will of the Decedent dated and codicil(s) dated (") ~O -::0 ;-p . J "'- (.. ) -:-;~ _~' \4~: ~;;:j /'-...., = = """"-.J _.~ ~ed in;~e:) C') . . .. -" .,.~ W '-' ,. 1 .. ) :,:;'0 ,_1l .J'~ ::0 Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofjl!: ~ent~ffered '.11 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ' ....., (Stale relevant circumstances, e.g., renuncialion, dealh of e::ceclllor, etcJ -0 :x -:-j , -) f') B. Grant ofLetten of Admillistntion (lfapplicable, enter: c.t.a.; db.1I.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the fullowing spouse (if any) and heirs: (If Administration, C.t.a. or db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) I Name ~~J~~ ~. ~:~~ iiik 15t~f~ ~~~Al~~ (COMPLETE IN AU CASES:) AItId tIIIditiomtI slims ifll<<aStuy. Decedent was domiciled at death in County, Pennsylvania with his I her last principal residence at (List street address, towrVcity, towrulrip. cmmty, state, zip code) Decedent, then years of age, died on at Decedent at death owned property with estimated values as follows: (If domiciled in PA) 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 S $ S $ situated as follows: Wherefore, Petitionet(s) respectfully request(s) the probate oftbe last Will and Codicil(s) presented with this Petition and tbe grant ofLeUets in tbe appropriate form to the undersigned: Sil!lllllure TVDed or Drinted name and residence 1 I Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYL VANIA Cb M w~cud.. SS COUNTY OF 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 and subscribed before me the 30 day of ~~~re' Signature of Personal Representative Signature of Personal Representative o ~~ 'i:20 _; "1--..r- ~,~~ )8~ --'::0 _,] --l , Deceased t........, = = --.. ::;:... C C") <.,.) a ...:;LI f ~._ j , File Number: ~ \ D, D'SI\ \-b '(' \Jo..'*' ~ (' f' l +0... S -0 ~,'" ~ ~ " ". ..... '>? 1'--1 Estate of Social Security Number: ~ 6 \ 'B ,ttLc8 AND NOW, C\u..~1:Sf::> , ;;lCi51 having been presented before me, I IS DECREED that Letters are hereby granted to{'(\e\rl.i~ e. ~Y\J~ Ei2rru~ \.\ \..( e. \ 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 -.J Date of Death: , in consideration of he fo egoing Petition, satisfactory proof ~l.f'\'\.ss ~ Cor\r'\C\e e.. e;~ . - in the above estate FEES Letters ... ~ IS ,DC>.O. . . $ Short Certificate(s) . 3 . . . . $ Renunciation(s) . .~. . . . . . $ ..J CP-, . .. $ ~~ ... $ .. ... $ .. . $ ." $ .. . $ . .. $ . .. $ ...$ tJ TOTAL..... .. . .. .. .. $d.Ci7O ~loO Id )0 10 S- Attorney Signature: Attorney Name: Supreme Court LD. No.: Address: Telephone: Form RW-02 rev. /0./3.06 Page 2 of2 a \ CJ\ ()~\, RENUNCIATION o ~o 'J~ -IO '~t~~ c-:>c) . _) ~2 --n ;0 1"1 --l )0,; to,) C:;) = ........ ::r.. c:: 17) 0) c:::> REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYL VANIA " :x N -.J Estate of Bernita Elizabeth Horvath , Deceased I, Stephen D. Horvath (Print Name) , in my capacity/relationship as of the above Decedent, hereby renounce the right to son administer the Estate of the Decedent and respectfully request that Letters be issued to Bernita H. Nye April 16, 2007 (Date) cJt~blfv~{ (Signature) 822 Mandy Lane (Street Address) Camp Hill, Pennsylvania 17011 (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 purposes stated within on this J to ~ day of Afhr.'l , ..:n:>-' /f~7Yl.~ Notary Public My Commission Expires: () . L ~ t ~ Deputy for Register of Wills (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTARIAl. SEAl. \lJCTORIA M VELEZ Notary Public CAMP HILL BOROUGH, CUMBE~LAND COUNTY My Commission expires Oct 16. 2008 Form RW-06 rev. /0./3.06 ~ \ D 'I ~~ll RENUNCIATION 0 ':~<3S -~ ~ (") REGISTER OF WILLS:;:!"E F;; C.uMher \ ~d COUNTY, PENNSYL V ANIA}~~8 /::.) Ii t'<> <= = -..J :P- C G"') W c:> -0 :x jJ N ---l .._ l} ~~> -.J Estate of B~ r N \-t-a.- E. Horvc--t-~ , Deceased I, ~+Q':S SOtJ \..\ 00' J a... t. ~ , in my capacity/relationship as of the above Decedent, hereby renounce the right to (Print Name) administer the Estate of the Decedent and respectfully request that Letters be issued to de.iN \lC- €. N~E... \ q Ayr,l ~OO" (Date) ~~ -oQ, (Signature) f::,,::.:+rey K~ (~hC::: lC.S bvr-::l Yc- \, 1o~O -(..2~ 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 purposes stated within on this \ ~ day of ~\\ , ~I ~<<\~ Notary Publ c .' 0- My Commission Expires: Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Tammy J. Mislyan, Notary Public Hampden Twp., Cumberland County My Commission Expires June 28, 20'07 Member. Pennsylvania Association of Notarles