HomeMy WebLinkAbout10-02-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of DANA L. BROWN
also known as
File Number
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, Deceased
Social Security Number 194~9593
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
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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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(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 kiIling and was never adjudicated an incapacitated person:
Ii] 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.)
I Name Relationshio Residence 1
KEVIN J. BROWN SON 755 MT. ROCK RD., CARLISLE PA 17015
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at
755 MT. ROCK ROAD. CARLISLE. PENN TOWNSHIP. CUMBERLAND COUNTY. PA 17015.
(List street address, town/city, township, county, state, zip code)
Decedent, then 53 years of age, died on DECEMBER 30, 2006
CUMBERLAND COUNTY. PA 17015 (HIS RESIDENCE)
at 755 MT. ROCK ROAD, CARLISLE, PENN TOWNSHIP,
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(Ifnot domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
100.00
$
$
$
$
37,000.00
situated as follows: 755 MT. ROCK ROAD, CARLISLE, PENN TOWNSHIP, CUMBERLAND COUNTY, 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 ed or rinted name and residence
KEVIN J. BROWN 755 MT. ROCK ROAD, CARLISLE, PA 17015
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.
Sworn to or affirmed and subscribed
before me the ~ day of
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Signature of Personal Representative
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Signature of Personal Representative
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File Number:
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Estate of DANA L. BROWN
, Deceased
Social Security Number: 194-44-9593 Date of Death: 12/30/2006
AND NOW, Ook6A. 9.. , (16h 1 ' in consideration of the foregoing Petition, satisfactory proof
having been presented befofr me: IT IS DECR,.EED that Letters M m\.~ \~ ~o-,~ CT-
are hereby granted to ~ \ '^ ...) ~~r....
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 Wi
Letters ............... $
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
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...$
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TOTAL .............. $
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Register of Wills
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FEES
Attorney Signature:
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Attorney Name:
ROGER M. MORGENTHAL, ESQUIRE
Supreme Court 1.D. No.: 17143
Address:
2515 NORTH FRONT STREET
HARRISBURG, PA 17110-1150
Telephone:
(717) 909-4383
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Form RW-02 rev. 10.13.06
Page 2 of2
H105.805 REV 1/05
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.
No.
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Local Registrar
Fee for this certificate, $6.00
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12995811
JAN 3 2007
Date
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH . VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
7. Wlli..ct
13.1953
Carlisle, Pa.
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755 Mount Rock Road
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