HomeMy WebLinkAbout11-15-07
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PETITION FOR PROBATE AND GRANT OF LETTERS
ClA4LW{~)
COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF
Estate of
File Number
d{~()7 -()<6lf!
~ L;J, YlA~'jor J~.
I
also known as
Uar,Ad tJ ~ m ctjd'f
, Deceased
socialsecuritYNUmber~ 3zq~ 3l.(~'270g
Petitiom:r(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~ A. Probate and Grant of Lett~rs Testamen~..F and aver that Petitioner(@/ are the
last Will of the Decedent dated ~t. (~I (q '61...0 and codicil(s) dated
~'f-ec.o 1(-, K.
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:
o B. Grant of Letters of Administration
(If applicable, 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./I.c.t.a., enter date of Will ill Section A above and complete list of heirs.)
Name
Relationshi
Residence
Decedent was do~d a13~n ~~~l~J
(List street address, wulcity. township, county, state, zip code)
Decedent, then (p <; years of age, died on ~( (7 Ci> 7 at
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 PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows: r1- st~{V.oo-J I fJbtJ~dLR ( PA 'S60;C515O
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Lelters in the appropriate form to
the undersigned:
so. OOD
,
T ed or rinted name and residence
FOI'IIl RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tme and con-ect to the best of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and tmly
administer the estate according to law,
(VW'-b-or/~j
SS
Sworn to or affirmed and subscribed
before me the -J S th day of
\\Jou-c\'\J~ ."J)() '(
PI abeO\~: ~}R,g"to'
gM~"fP,",",Ii~!! ~ ft?& /~
Signa/ure of Personal Represen/a/ive
.....,
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o
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File Number: 0-21-0\ - or~ I ~(J)
E,ta<eor \-\Cl.~ L0 ~(l"'- ~. . D'~~
Social SecurityNumber:3~q - 34 -(;JIO~ Date of Death: q- 'I -C;}oo"l '"if/.
Signa/w'e of Personal Represen/ative
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AND NOW, ~\l',\, ~ \ S- ,d-OD/ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DS:CREED that Letters \e'S,,\?-. "-^I;;; t-S\~~
are hereby granted to ~ ~c It 0 ~I\- ~
and that the instrument( s) dated q - \ l.o - \ q ~lo
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Dececft:nt .
,~.QriO--~o.^I\!)^\.JdXQ./)~~ j..
1egist~~ofWi/lS ~' .. 1r..~+~1
Attom'Y Signa<"," IJ"JL<-A . ~ ...... ... >- ~
~t>>Ik A. . M-CV~1.CA' ___
Supreme Court 1.D. No.: 7 &6t ~ \ .
in the above estate
Letters ............... $ .3( 0 0 . db
Short Certificate(s) . . . . . . . . $ '--\ 0 . ()O
Renunciation(s) .......... $
( D'\ \\ ... $ IS'"' .. 00
~~R ... $ ,C), CO
C'~~-t.~ ...$ 5.CD
.., $
.. . $
. .. $
. .. $
.., $
.. , $
TOTAL ..... . . . . . . . . . $ L.\ 3D. c::i::)
FEES
Attomey Name:
Address:
Telephone:
Page 20f2
Furm RW-02 rev, 10.13.06