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HomeMy WebLinkAbout12-14-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Estate of Bryan A. Kleeman also known as File Number 21-2007-0816 , Deceased Social Security Number 193-64-2941 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) D 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 named in the r--.l () ~ ~"-;Q _J (State relevant circumstances, e.g., renunciation, death of executor, etc.) .': ~1~ C2 ~ .. " " Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofth~men~offeredi ' for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ::-) ~!~' .&:- " 10"1 :-) --:.'C-:) IZl B. Grant of Letters of Administration Pursuant to Court Order dated December 4, 2007' ~ -fl . ..-v (lfapp/lcable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dura~ mihoritate) ::r:; <::) Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) aa:lhheirs: (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.) -0 ~.:... ~ ~; ~:.~; ::rj ':-) r-:-r I Name Relationship Res idence I Bryan O. Kleeman Father 413 Fourth Street, New Cumberland, P A 17070 Linda K. (Kleeman) Metz Mother 336 Mine Bank Road, Wellsville, PA 17365 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at 413 Fourth Street, Borough of New Cumberland, Cumberland County, Pennsylvania 17070 (List street address, town/city, township, county, state, zip code) Decedent, then 23 years of age, died on September 30, 2005 at City of Harrisburg, Dauphin County, Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in PA) Personal property in Pennsylvania (lfnot domiciled in PA) Personal property in County Value ofreal estate in Pennsylvania $ $ $ $ 0.00 situated as follows: 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 Bruce J. Warshawsky, Esquire - 2320 North Second Street, Harrisburg, PA 17110 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 Ii day of Warshawsky Signature of Personal Representative o ::::;0 ::Cl ;2..,)0 /'..) .,....., = -...J o f7l c-. , ------.) (.t ,~J ' u) . J -""'J Signature of Personal Representative -,~> , -.~~~~ g -~,'-;, >, + :::.~-.} "") ,I : -!~. J ~.,..~ '.,} -~~~ , -0 :::3: File Number: ~t Ot o~lP o 0'"1 Estate of Bryan A. Kleeman , Deceased Social Security Number: 179-12-3417 Date of Death: September 30, 2005 AND NOW, ~, I Lf , d0l.fl. , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Bruce J. Warshawsky, Esquire in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of recor FEES ;tJ /,;2- Letters ............... $ Short Certificate(s) . . 3. . . . $ Renunciation(s) .......... $ $ $ $ $ $ . .. $ .. . $ .. . $ $ TOTAL . . . . . . . . . . . . . . $ Attorney Signature: Attorney Name: Bruce J. Warshawsky, Esquire Supreme Court J.D. No.: 58799 Address: 2320 North Second Street Harrisburg, PA 17110 Telephone: 717-238-6570 ,-9 .ao Form RW-02 rev, 10,13.06 Page 2 of2