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HomeMy WebLinkAbout01-25-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-- O~ - (()~ Estate of James J Anderson II also known as James J. Anderson , Deceased Social Security Number 135-50-3308 JoAnne L Anderson Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW) 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 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: 00 B. Grant of Letters of Administration (If applicable. enter: c.t.a.; d.b.n.c.ta.; pedente lite; durante absentia; durante mmonlate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following sR6Yse (if any) al1C81eirs: (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 S:i . " ;~2 c. Name Relationship Residence See attached schedule 0', (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 5169 E. Trindle Road, Lot #21, Mechanicsburg, Hampden, Cumberland, PA 17050 (List street address, town/city. township. county, state, zip code) Decedent, then 38 years of age, died on 11/06/2007 5169 E. Trindle Road, Lot #21, Mechanicsburg, Hampden Township, at Cumberland County, PA Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in PAl Personal property in Pennsylvania (If not domiciled in PAl Personal property in County Value of real estate in Pennsylvania situated as follows: $ $ $ $ 4,000.00 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: ^ Signature Typed or printed name and residence JoAnne L Anderson 4908 Shasta Way Mechanicsburg, PA 17050 ,r / I. V Form Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group. Inc. Page 1 of 2 .. .. Oath of Personal Representative } SS } COMMONWEALTH OF PENNSYLVANIA 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 of Petitioner(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 Signature of Personal Representative Signature of Personal Representative File Number: 21-- O~ -OO~9 Estate of James J Anderson " , Deceased Social Security Number: 135-50-3308 Date of Death: 11/06/2007 AND NOW, ~ , in consideration of the foregoing Petition, satisfactory proof of Administration are hereby granted to JoAnne L Anderson in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. .~CP $ C~-t0~+1 (.\-.J $ $ $ $ $ $ $ 3o..{)0 QO . <.:U I S- - ()O ;0. QO S. G"O Attorney Signature: FEES Letters......... ........ ..... ...... ...... ... ....... $ Short Certificate(s)........................ $ Renunciation(s).. .................... ....... $ Attorney Name: Supreme Court 1.0. No.: 19475 Bogar & Hipp Law Offices Address: One West Main Street Shiremanstown, PA 17011 Telephone: 717-737-8761 TOTAL.......... .......... ............ .... $ 'fID.i)Q Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group. Inc. Page 2 of 2 ". .. PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) CUMBERLAND REGISTER OF WILLS OF COUNTY, PENNSYLVANIA File Number 21-- Estate of James J Anderson II also known as James J. Anderson , Deceased Social Security Number 135-50-3308 Name James J Anderson III NOTE: Relationship Son Residence RD 1, Box 1238 Hop Bottom, PA 18824 Decedent, James J. Anderson, II, a/k/a James J. Anderson was a single, unmarried individual at the date of his death. The Decedent is the father of a minor child, James J. Anderson, III (date of birth July 19, 2006 - age 1% years). The mother of the minor child is Roxanne L. Fuller, a/k/a Roxanne Fuller. By virtue of the death of the Decedent, Roxanne L. Fuller, surviving parent, has sole legal custody of the minor child, James J. Anderson, III. Roxanne L. Fuller, mother and sole legal guardian of James J. Anderson, III, a minor child, has renounced her right to request Letters of Administration, said Renunciation being in favor of JoAnne L. Anderson. JoAnne L. Anderson is the mother of the Decedent. Jeffrey J. Anderson and Kimberly J. Anderson-Sipe are the sole brother and sister of the Decedent. Jeffrey J. Anderson and Kimberly J. Anderson-Sipe have renounced their right to request Letters of Administration, said Renunciations being in favor of JoAnne L. Anderson. James J. Anderson, the husband of JoAnne L. Anderson and the father of the Decedent, died September 2, 1996. RENUNCIATION " ';] REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYL VANIA ! "~ co c'. Estate of JAMES J. ANDERSON, II, also known as JAMES J. ANDERSON , Deceased brother I, JEFFRY J. ANDERSON , in my capacity/relationship as (print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to JoANNE L. ANDERSON, mother of JAMES J. ANDERSON, II, a)k/a JAMES J. ANDERSON (Date) ~ig:1if~> '1 ~ 307 South Shaffer Drive ~treet Address) New Freedom, P A 17349 (City, State, Zip) Executed in Register'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 renunciatjQp for the purpo~~s. ~tated within on this /.:;; day of~CliVlL( , '1.c{(Jr . Deputy for Register of Wills 13 2a:.8 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 S6MMblNWi:Al:tH SF j:leNNe~l\IAN1A NO'fAFiiAL SE!AL CH'.....ON R. KING, Notery Publlo Weat Manchester Twp" York County My CommissIon ExpIres Dec. 13, 2008 RENUNCIATION C) '..-0 -"- j ~:~~ REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA , r,) (j'! :-j ,'j Co,.' .... C-, Estate of JAMES J. ANDERSON, II, also known as JAMES J. ANDERSON , Deceased I, KIMBERLY J. ANDERSON-SIPE , in my capacity/relationship as (print Name) sister of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to JoANNE L. ANDERSON, mother of JAMES J. ANDERSON, II, a/k/a JAMES J. ANDERSON ! . II . 08 ~.C~~.0P-L (Signature) I I (Date) 1216 Kings Circle (Street Address) Mechanicsburg, P A 17050 (City, State, Zip) Executed in Register'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 r executed the renunci ion for the pu se t ted within on this day o Deputy for Register of Wills (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW.06 rev. 10.13.06 COMMONWEAlTH OF PENNSYLVANIA NOTARIAL SEAL SUZANNE M. DEDERER, Notary Public Camp Hill Boro, Cumberland County My Commission Expires Aug. 20, 2009 RENUNCIATION S) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ',_~_.I C:'.~::J ..".;;-:;. ..... ;.~. ~) (,./"1 ;21- Og -000<1 ____I ',; , \--.r'...i C" . , Estateof JAMES J. ANDERSON, II, also known as JAMES J. ANDERSON , Deceased I, ROXANNE L. FULLER , in my capacity/relationship as (print Name) fiance and mother of JAMES J. ANDERSON, III, of the above Decedent, hereby renounce the right to a minor child, being the only child of JAMES J. ANDERSON, II, a/k/a JAMES J. ANDERSON administer the Estate of the Decedent and respectfully request that Letters be issued to JoANNE L. ANDERSON, mother of JAMES J. ANDERSON. II. a/k/ a JAMES J. ANDERSON I d- - d. 4 - 0 \7 (Date) ~Yh.~':~ (Signature) ROXANNE L. FULLER R.D. #1, Box 1238 (Street Address) Hop Bottom, PA 18824 (City, State, Zip) Executed in Register'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 purPB~~ :~ l~n on this .Q4 ~ day of I' QDO'7 &-nhu- ~ Notary Public M C .. E . NotarlalSe I Y omml SSlOn xplres: Bonnie Phelps, NO:ry Public ~~= Boro. Susquehanna County (Signature and Seal of Notary or other 0 1 iiIIon e~lre. June 7,2009 administer oaths. Show date of expirati . .. ary's Commission.)___ Deputy for Register of Wills Form RW-06 rev. 10.13.06