HomeMy WebLinkAbout10-31-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF (,tI~~~N \> COUNTY, PENNSYLVANIA
,
Estate of LJc..Ll
also known as
Fjij7L-e.~
File Number
I-07-oqg3
~3 -/J.. - 3
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the
last Will of the Decedent dated and codicil(s) dated
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. Deceased
Social Security Number
Petitione~, who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
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(State relevant circumstances. e.g., renunciation. death of executor, etc.) :c'; ~ ~
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Except as follows, Decedent did not marry, was not divorced, ind did not have a child born or adopted after execution;o~~mstrume~) offe!e!i -: .:
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: :--' :.0 . . . .
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~ B. Grant of Letters of Administration
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(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitione~ after a proper search has I 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.) .
County, Pennsylvania with his I her last principal residence at
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Relationshi
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(List street address, towfllcity, to hip, county, a e, zip code) ao r?
Decedent, then ft- years of age, died on -/J<J'- . ~ ~ ~ cJ;otlL. ~cJvaSS ~ to; hf' I..
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 ofreal estate in Pennsylvania
$
$
$
$
situated as follows:
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Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Lellers in the appropriate form to
the undersigned:
T d or rinted name and residence
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Form RW.02 rev. 10./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
The Petitioner(s) above-named swear(s) or affirrn(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief of PetitionerCs) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
SS
AND NOW,
having been presented before m ,
are hereby granted to l:1
Signature of Personal Representative
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Signature of Personal Representative
Estate of
in the above estat
and that the instrument(s) dated
described in the Petition be admitted to probate and filed ofrecor
Letters ............... $
Short Certificate(s) . . . . . . . . $
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... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $ 7(J,CfL.
tTf-.
FEES
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-02 rev. 10.13.06
Page 2 of
H J 05 .ROS REV (0 !fO?)
J-1-07-
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It Is Dlegal to duplicate this copy by photostat or photograph.
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RENUNCIATION
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REGISTER OF WILLS
c.CI.6eA4~ D COUNTY, PENNSYLVANIA
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Estate of
J,-ILL Y
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(print Name)
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F'e'i r I-Ul
II J!Vtf-S , in my capacity/relationship
of the above Decedent, hereby renounce the right t
administer the Estate of the Decedent and respectfully request that Letters be issued to
JOAN c\~V~S
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(DaM) I I
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(Signature)
(City, 814te, Zip)
Executed in Register's Office
Sworn to or affmned and subscribed
before me this day
of
Fo,.", RW-06 rev. 10./3.06
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Deputy for Register of Wills
RENUNCIATION
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REGISTER OF WILLS
Cu M t,e.t.t.. "'".. 1) COUNTY, PENNSYLVANIA
aA-O/- (f1g3
Estate of
Ll LL Y
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~e\,... Left
I, --L.1.Nt) A ~ W\ ~ tV A . in my capacity/relationship a
(Print Name)
~ '"-A '1""'etCt... of the above Decedent, hereby renounce the right t
administer the Estate of the Decedent and respectfully request that Letters be issued to
~~ ~l J .<'0..... ,tv LAW o'P11ie Vece+$e..\:> ~
(Date)
0Cli.9.lII7
(Signature)
sl.l~ e~~ 1>
(Street Address)
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(City, State, Zip)
Executed ;nRegister'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 2001
Deputy for Register of Wills
Notary blic. IOU ~, ~+~t ~
My CommisSionExpires:~,/lll zo~f'
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 1O.IJ.06
RENUNCIATION
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REGISTER OF WILLS
C<J~~4 LA ~ 1) COUNTY, PENNSYLVANIA
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Esidte:O~"" l i LL \j reflTL~.(.
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I,JiTA H,~\
~\-e~(PrintName)
, Decease
, in my capacity/relationship a
of the above Decedent, hereby renounce the right t
administer the Estate of the Decedent and respectfully request that Letters be issued to
~o\W
Pl..
\' q(p 10
??- O~e>CR. 2007
(Date)
Executed in Register's Office
Sworn to or affirme
before
of
Notary Pub IC
My Commission Expires: tJiacJJ;};~'
(Signature and Seal oflll.o~_<?! other official qualified to
administer -. .. . . ion.)
DIANE R MARSHAlL
NOTARY PUBLIO
STATE OF COLORADO
My CornnlIIIrIo., C>>I204011
Deputy for Register of Wills
Form RW-06 rev. 10.13.06