HomeMy WebLinkAbout01-22-08
Estate of iAl, II. ~,-....
also known as
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C ~J'YI 6 Ci/'Ia.,-. c/ COUNTY, PE~'NSYLVANL\
7.1l"DYv.,o...w<!. II
J/'.
File Number ~/- OK' -DO 1 3
. Deceased
Social Security Number / -7-1- 2. ,5 - 6 7 $17
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'ct' or 'B' BELOW:)
~ Pcob" " """ C"o' or L'''m T""'m,o'", ,""",,,",,, P"I'I,o,,(,) I' / ,,,",,
last Will of the Decedent dated and cOdicil(s) dated
r... ,
' CO ;7]
(S,"" ~I"",,, d~",M'""'M, 'g, ~"""'''''"", d,,,,,, "I ~"""' ",) , ;;g " ~
c,,,p<", 'ollow" D,,,",,,< 'iO 'Of """y, W", 'Of 0;'0"", '"' dId 'Of h,,, "hild bom '" ,"","d ,flee ""Of I"" Ofilii(lii!;bumilI1M off<<',"
roc pmb"" w"' "0' 'h, ,Ietlm of, kl III" ",d w"' O<lee "')odl,,", '" 1"","I""d P"'oo,:, I' S ~ '
- :../> ~:;"':
named in the
~ Crant of Letters of Administration
"'t":~;,.
P"I<I"",,(,) 'll,,' , ,m,,, "'cch h" I h", '''''ml'''d <h" D,,,d,,,, "ll "" Will "" "'" ""I", b, 'h, f,II'WI", ,;p""" (1[,",) "" h'I", (If
AdllJillistratioll, C.t.a. or d.b.Il,c.t.a., enter date 0/ Will ill Section A above and complete list a/heirs.)
(If applicable, elUer: c,t.a.; d.b,n.c.t.a.; pendente lite; durante abselUia; durante:iJrJ.noriIGle) '-f?
U
.7" i" ,
Relationship
-10"1
(COiJIPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
D,,,,,,,, w"' 'oml'II'd " ''''h 10 ('v ~ ,! 'r /4" J Cmm", ,,,,,,,1,,,," wl'h hI, / Ired", p,loclp'] '''Id",,,, /'1. nv.- {. ~ <
(LI~'1 streel address, town!city, township, COUII/y, state, zip code)
Decedent, then .1..2
years of age, died on '" / /1 ] /0 r at
'J : 'f () /'/\1
Decedent at death owned property with estimated values as follows:
(lf domiciled in P A) All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(lfnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ 7> OtX). 00
$
$
$
situated as follows:
W''''do", 'II I 1 10""1') '"P'"''"''' "q"" 1 (;] ,", pmh,,, ot If" Iw W" I ."If Colfl/ 1'(,) ''''''''If wI," Ih I, PilI' I," 'lid 'h, ,,"//< 0 (,,,,,,, 1// <", 'PProp,I"" to,m 10
the undersigned:
Signature
Ty ed or rinted name and residence
'/I,'QI", J",
"'c"'\U,a. \Iv ~ /1 ,J>.
'f ~ /S.
v/')/" ~~. /~.2YI
For/li RW-02 rei' 10/3.06
Page 1 of2
COMMONWEAL TH OF PENNSYLVANIA
Oath of Personal Representative
COUNTY OF
SS
Th, P'tition,,(,) ,b"'-'''m'd 'W'''('j oc ,mn*) 'h" tl" ""'m"" ;n tl" (O"go;ng P,ti';on '" ,,," ".d 00IT'" '0 'he b", o{
'he know"d g"nd b'h,f of P'ti';ono<<,) md 'h". " ''',on,1 "P ''''n "tivc( ,) 0 f tl" D",d,nt, Petition,<<,) wHI w,1I ",d 'ruly
administer the estate according to law.
Sworn to or aff1rmed and subscribed
. .~ i r) N.J
eJore me the ~__ day of
~~ h~ ~.
Signature of Persol)llff;.epreSelltative /'
Slgllature of PersOllal Represelltative
('J
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<:__:::':1-
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Sigllature of Personal Represelltative
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Social Security Number: 1'1 1- Z~ - f.p 14, Date of Death: 1_ 13 _ 08'
AND NO w. tL.. .: ~~ , ,000 \? ,;n ""';d'"tioo 0 [II" {o"go;"g P,tition, "ti, [,,'ory pcoo{
having been preset;iJ :e~~:~ 'me, rz S DECREED that Letters
are hereby granted to YG1...v
File Number:~/- OS- - 00'7, j
Estate ofLu I Illl'Lrv\ J R(?JiAlf)f1 (A"-'? ~
_..'.J
1.1:;)
"
T,]
\.0
~
, Deceased
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 Decedent.
cJ;iQ, "",~!4u ~ 'A ,m<>--b"" ~
Register of Wills
in the above estate
FEES
Letters
.............. .
$ LIS, C()
4-.00
Attomey Signature:
C?-i. 0 .t't I~
.~
Short Certificate(s) , , . , . . . . $
Renunciation(s) .......... $
sJc P $
C\ l l.:\~'{).::\'; ,'''(, $
...$
.. . $
.. . $
$
$
$
$
TOTAL .............. $Lo<-t ' GO
IO,(\u
S' l \(')
Attomey Name:
.---.
Supreme Court l.D. No.:
--
Address:
Telephone:
Form R WO] rev 10. 13.0.6
Page 2 of2