HomeMy WebLinkAbout02-07-08
Register of Wills of Cumberland County
Estate or /!L/;: /f/ ~ /I~ 11-'(.4 c k
also known as
PETITION FOR GRANT OF LETTERS QF ADMINISTRATION
a\ b~ O\3<l
No.
To;
, Deceased.
Social Security No. /P"I -/2 --3~r:E;
Register of Wills for the .,_~)
County of Cumberland in tne-
Commonwealth of Pennsylvania.::.
The petition of the undersigned respectfully represents that:
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Your petitioner(s), who is/are 18 years of age or older, appli:e.$ for letters of administraijon .r:-
<::2--. /'" ~. on the~state of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent. / ./
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Decedent was domiciled at death in Clfl/nP - Count;:, Pennsylvania, with ~llt""'las! family or principal
residence at ./(1 /7/.NE c.<;C'~~e '- ~C'4J / r::;fI-/:!.L>"'C~J/ lJ~c..k./""Stn;J "1'""z...,1' I
(list street, number and municipality)
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Decedent, then ? I years of age, died /J7 -'J-; 18 , 20 ('7' 7- ,at
C /f'/Z. <== ) C~4/l LL s" LP.:
$9~-';L
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(I f not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Va\ue of real estate in Pennsylvania "/ '
situated as follows: k-'-S'/ I/dc-4?7/?- '-- ;}) ~o///-"Y' /
1/ ~ c.7</ ~ >",' 'N 'h ,,/' / G.. ;?"< 6~ ~..L_ CA I /'1-
$ /, ~CJ.o, Co
$
$
$ 9-!J;C<"<7 .: ~O
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form
to the undersigned.
Residence(s) of Petitioner( s)
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,
Register of Wills of Cumberland County
I
OA TH OF PERSONAL REPRESENT A TIVE
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COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
SS:
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The petitioner{s) above-named swear{s) or affirm(s) that the statements in the foregoing petitiotHnl true ana'
correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representaf of the above'-
decedent petitioner(s) will well and truly administer the estate a~cording to law. '-
Sworn to or affirmed (lnd s~cribed
Before m~JJljs.. r of
eDrua~rL( , 20 ()
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Estate of
No. ~\ 6<6 6\38"
/jL-E/It/?-//J.. J/t, ~ c~, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW r:e brucu" ! I 2~ in consideration of the petition on the reverse side
hereof...satisfactory proof having been resented before me, IT IS DECREED that the instrument(s), dated
C~~~art.~. ;;2C67 ' described therein be admitted to prob~te file1,Dfrecord~slJe last wil.Lof
=n I m (, c t ; and Letters are hereby granted to 0,1 /6LrVJ <0 o....n I.e.is
FEES 9, lfX)
Probate, Letters, Etc, ..., '/,c" , , ,., $
Will ................................. $
Renunciation........,..,.",7..,.. $
Short Certificates (I ) ........,... $
JCP"""............................ $
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$
$
$
Automation Fee...................
Bond..,..,....................... ....
Total
Filed
20
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d 7900
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Register of Wills I. (./clz.tJl'
lll//~q:'r> Y. 2/9~' /E~5-'
Attorney (Sup. Ct. J.D. No.) ;L'r;-;3~
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Address c:'/frt-u;-4.. /' #- /rtP/3
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9/1 -2-~:J -:y ~3)
Phone
HlffS,xO"' I{[\ un:,>
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
~\
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
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P. '1. ':~ ~ 4 ,.... r: ij 4.
.1 ,..I {.f b L it
No.
MAY 2 1 2007
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H105-143 REV 1112006
TYPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
J,\ D~ CJ\6~
STATE FILE NUMBER
1. Name of Decedent (Rrst, middle, last, suffix)
Alene M. Hulick
4. Date of Dealh (Month, day, year)
May 18, 2007
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2Ob. Infonnanfs Mailing Addres& (Street, city I town, state, zip code)
1 West High St. Carlisle, Pa.
17013
5, Age (Last Birthday)
6. Date of Birth (Month, day, year)
Dickinson
21,1915
91
Oct.
[iI Nursing Home 0 Residence OOther - Specify'
9. Was Decedent of Hispanic Ortgin? ex No 0 Yes 10. Race: American Indian, Black. White. ate
(II yes, specify Cuban, (Specityj .
Mexican, Puerto Rican. etc.) W h 1 t e
Yffi.
8b. County of Dealh
Bd. Facility Name (11 not institution, give street and number)
Manor Care, Carlisle
\
mostot fife. 00 not slate re~18d
Dg"m"~~'t{ ~by
12. Was Decedent ever in the
U.S. Armed Forces?
DYes ~Na
13. Decedent's Education (Specify only highest grade completed)
Elem~tary YS;CSd.a1Y (0-12) College (1-4 or 5+)
14. Marital Status: Mamed, Never Married,
Widowed, Divorced (Specify)
Widow
Did Decedent
Liveina
Township?
~:::~ 17a.Stale Pa.
17C.X] Yes, Decedent_in Dickinson Twp.
17d. 0 No, Decedent Lived Within
Actual limits of
lD
. 16. Oacedent's MaHing Address (Street, city I town, slate, zip code)
Rd.
17324
Two.
17b.County Cumberland
City/Boro
19. Mother's Name (Rrs!, rnidde, maiden surname)
Elda Mullen
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Approximalelnterval:
Onset to Death
208. fnlormanfs Name (Type' Print)
William S. Daniels
21c. Place of Disposition (Name of cemelery, cremakMy or other place) 21d. location (City 'lown, stale, zip coda)
Westminster Mem. Gardens Carlisle, Pa.
22c. Name.rnlAdd"", of F.d"Y 501 N. Baltimore Ave.
Hollinger FH/Crematory Inc. Mt. Holly Springs,Pa. 17065
23b. license Number 23c. Date Signed (Monlh, day, year)
INS,W 993 L - fA. YJ1 /1, 1()07
26. Was Case Referred to Medical Examiner / Coroner for a Aeaso Other than Cremation or Donation?
Dyes ~No
u
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~
re prnnCi De., (i~1t c2()() 7
CAUSE OF DEATH (See Instructions and exa lea)
Item 27. Part I: Enter !he ~ -diseases, injuries. Of oomplicatlons -thaI direclly caused the death. 00 NOT enter termiflal events such as cardiac arrest,
respiratory arrest, or ventricular fibriUation without showing the etiology. list only one cause on each ~ne.
::J:~~~~~~~\'''~ eCAvn.-U Clnt...L- Rdi~t""t., d~
Due to (or as a consequence 01): I /
Sequenlial~listconditions,ifany. b.
~::rfl,~ UNoERrn~:bAU~E a Due to (or as a consequence 01):
(disease Q(il:Ijury lhat initiated the
ev9fltsresulling 11'1 dealtl) LAST.
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Part II: EnteroiherslonifirJlntr.orKilionsc:ontribulino 10 death
. 'l,bul not resulting In the under1ying cause given in Part L
28. Did Tobacco Use Contribute 10 Death?
DYes DP-bly
~No 0 Unknown
29,tfFemaie:
'ilNot pregnanl within past year
o Pregnant at time of death
o Not pregnant, but pregnant w~hin 42 days
of death
o Nol pregnant. but pregnant 43 days to 1 year
beloredeath
o Unknown if pr8!1l8nl within the pasl year
32c. Place of Injury: Home, Farm. Street. Factory,
QfficeBuilding. elc. (Specify)
Due to (or as a consequence o~:
d.
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3Oa. Was an Autopsy
Performed?
3ClJ. WeAlAutopsyRndingS
Available PIior to Completion
01 Cause 01 Death?
31. Manner 01 Dealh
~ Natural 0 Homicide
DAccident DPendilglnvesligation
o Suicide 0 Cook! Net be Determined
M.
DYe, DNa
32d. lime of Injury
32!.IITransportaliontnjury(Sp8cify)
o Driver { Opefator 0 Passenger DPedeslrian
DOthe,.Specifyc
33b. Signature andTrtl ofCertifi
32g.locationoflnjury(Streel,cityltown,stale)
DVes ~No
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338. Certifier (ch~ on~ one)
~~::r~:~:~s::.nd:~~~c:.::~:t~~nu:~~~:=r:,h:: .~~:..~_ d:a~ :~d ~~~~~ ~e~ ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _~ ~
~;:~~a: ~=:=a~~u= :tf:~~::;~~ :::~ot~=:~~~~~ manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
~~c:~::"~~:~:= and' or investigation, in my opinion, death occurred at the time, dale., and place, and due to the cause(s) and manner as state<L 0
33c. license Number
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34. Name and Address 01 Person Who Completeq Cause 01 Death (Item 27) Type I P nt
~(,oC..o S(/'"\....'SS FA."""''\ ffc,c.!IC<.
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Disposition Permit No.
I, ALENE M. HULICK, of Dickinson Township, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will previously made by me.
I: I hereby authorize and direct my executors hereinafter named to convert
my entire estate, real and personal, whatsoever and wherever situated, to
cash at either public or private sale or sales at the best price or prices
obtainable in their discretion, and I give, devise and bequeath the proceeds
thereof as follows:
A. Thirty percent (30%) in equal shares to my brothers, Kenneth Fanus
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and Edwin Fanus, Jr., or to the survivor of them living on the thirty-
first (315t) day following my death.
B. Seventy percent (70%) in equal shares to my nieces and nephews
named below, or to the survivors of them living on the thirty-first
(315t) day following my death:
l. Mark Fanus
2. Jeffrey Fanus
3. Joan Fanus
4. Michael Fanus
5. Kathy Fanus Arnold -.j
6. Judy Fanus Davis
"""
"
7. Linda Fanus
II: All federal, state and other death taxes payable because of my death, with
respect to the property forming my gross estate for tax purposes, whether
or not passing under this will, including any interest or penalty imposed in
connection with such tax, shall be considered a part of the expense of the
administration of my estate and shall be paid out of the principal of my
estate without apportionment or right of reimbursement.
III: I appoint my brothers, KENNETH FANUS and EDWIN FANUS, JR.,
co-executors, or the survivor of them, executor of this my last will.
IV: I direct that my executors shall not be required to give bond or other
security for the faithful performance of their duties in any jurisdiction.
.-/11
IN WITNESS WHEREOF, I have hereunto set my hand and seal this c)
day of r"?:~8/<ti;'JI' 2004
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(SEAL)
ALENE M. HULICK
The preceding instrument, consisting of this and one other typewritten page
identified by the signature of the testatrix, ALENE M. HULICK, was on the day and date
thereof signed, published and declared by ALENE M. HULICK, the testatrix therein
named, as and for her last will, in the presence of us, who, at her request, in her presence,
and in the presence of eaG.~ other have subscribed our names as witnesses hereto.
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RENUNCIATION
REGISTER OF WILLS
COUNTY, PENNSYL VANIA
C~h?k~4_~
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Estate of
4 AA ~ /U LI CJ--
Le/Ye' /'f, 7l. ,......
, Deceased
1,
/J1/f/Z./<- e, P4Ntt s
, in my capacity/relationship as
(Print Name)
./Va ///.,Lew
of the above Decedent, hereby renounce the right to
admin lster the Estate of the Decedent and respectfully request that Letters be issued to
hn /?-~-"7; k;;'L;'1~ S, ~/9/j//L=LSJ eS(i2c.u"eG.
;J-/~ /0 If
(Dale) /
J if'l /Iv 51 y '&6<iCr!/ tA,f~:'~-
I
(Street Address)
!l1u/-il(3t!>
(City. State. Zip)
~/ 6f5e- 2- c1) 76'
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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
purpos~s stated within on this ~ day
of ~dJJJ-/UAAAJ ' _I?O[(
V0IiLW9!J. ~
Notary Public fJ
My Commission Expires: d, 9; AOOS
Deputy for Register of Wills
(Signature and Seal of Nowy or other official qualified ~o
administer oaths. Show date of expIration oH'ctary's Commi.';sion)
Form RW-06 rev. 10./3.06
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RENUNCIATION
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G / REGISTER OF WILLS
"-t'h7p4.h'c{ COUNTY, PENNSYLVANIA
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Estate of
~LC-A/e-
//? I
~~cX
. Deceast:d
I, Jz:-~~ r: ,,~L)/Jf
~ (Print Name)
",y-/ ...e... C~
. in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~~ ~;:;6~-eJ.' 4./~~~'~ O~/~~ ~CHn~
Q~ y dmJ? ~,t~
(Da~) V I ~
d.51 ~ fl#sl
(SIreel Addreu)
~/J~ A.I )tl/d'
(City, SItlUl, Zip)
Executed in Register's OffICe
Sworn to or affmned 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 q r-4 day
~d::~.zr~~
Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notaly or other official qualified to
administer oaths, Show date of expiration of Notary's Commission.)
NOrtIW. M.
WIIM....
__ NIle
-~IOIG *1. QIII_lAN)COUNI'(
.. Clun r n .....Oct).. ..
FOT11f RW-06 J'''V, 11113.06
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RENUNCIATION
)
/i REGISTER OF WILLS
C-u/h?~r/ /j?v~ COUNTY, PENNSYL VANIA
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Estate of
~Le/VE /fl, ~L/C/~
. Deceased
I, v-eF~e-y
. / (Prillt Name)
/V<z-~~-V
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L,
r/r? /V ?( 5~
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
,.G." /j-*~"V-!-7/~r~~ ~ (2~/L?L.S"&2l~""'..L -
0' /0"'/ AOtJ7
(Do~) , ·
I
(SInet Add1'en
Lt~ ^, D/\ ( '1 ( ~2-
.. . iJ\ \. \ H I
(City. Sta~. ZIp) \
Deputy for Register of Wills
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
purpos~ted within on this 1A1D day
~~~.~~~
. . Notary Public r
My Commission Expires:
Executed in Register's Office
Sworn to or affirmed and subscribed
befo~e this ;( 1J n . ; day
of \. J lH'J.e . 001.
..
{SignatW"e and Seal ofNotal)1 or other official qualified to
administer oaths Show date of expiration of Notary's Commission.)
...
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Mchael W. Szollose. Notary Public
City Of Lebanon. Lebanon County
My Commission Expires Aug. 23, 2008
Member. PennSvlV'ln!3 Association Of Notaries
':
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FonnRW-06 m>.10.JJ.06
J. \ D~ D\2Z
RENUNCIATION
REGISTER OF WILLS
(k"'h..fe-~//fJ""" of COUNTY, PENNSYLVANIA
-,-1
Estate of
A Le/VL? H, Hu LI c.-~
, Deceased
I,
M I c.-,,-I'.4&' L
(Print Name)
/'V ~ //"~ II!: t.-V
F4Nt.-( ..s
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~r /h"~"~471 k; LL01-, ~ 2>..-9-11/BLS /(35"'C;;;~//ZE
L\Z.\ot
,
Jo \fY\~~QJ) ~
(Slgnalure)
(Dale)
t0~ 'R\1U"\t'l .~
(Slreel Address)
'F ~'\ t; \'tE 'J \ \.\. 'e ~A \ r") l1.. L
(Clly. Stale. Zip) I
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 renunciati~ for the
purposes stated within on this ?-. <L day
O~~:::AJ=~J_
Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
admmister oaths. Show date of expiration of Notary's Commission.)
NOTARIAl. SEAl
W1ll1AMS~
Notary PublIC
CARUSLE BOROUGH. CUMBERlAND COUN1Y
My CommIssIOn Expires Oct 19. 2008
FormRW-06 rev. 10.13.06
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RENUNCIATION
/ REGISTER OF WILLS
~~aer4-;/L COUNTY, PENNSYLVANIA
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Estate of
ALe /Y e /'i,' rf '--t 1. I e-t<
, Deceased
I, /-<'" ~m-ArN' F.,;fIR /yOL-/) : in my capacity/relationship as
(Print Name)
/f// E c.-e of the above Dec~den1, hereby rencunce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
A~,.. /;-T/I:?A/I'~i / k/L.L.//T""f ;?)/9-N/~~ cS:pu/~3 .
~d 51 2eik
(Dale! I
\
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J Y/7 lSc /!c~/(
(S.", _dang
rf lff1 c: 7tttJ 2! 21 ?
-
(City. Slo.le. Zip)
Executed b! Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Exec uted out of Register's Office
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration ofNotarj's CQrr,mi'S~Jon )
Form RW-06 rev 10 13.06
Embos!8ll'f!reOO Is My
I11I'limore City, M;rryOOd NatJzy PW!ic Se:al
Mi COtm1lSSlon ~ Se\Jl.anoor 1. 2009
JOSePH UE'XRCCl
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RENUNCIATION
, REGISTER OF WILLS
G~;,.,t;-//fr- cf COUNTY, PENNSYLVANIA
.
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Estate of
A LC /v-c3
r
4'1, ~lk'cl<
. Deceased
I, (JU/h 177-- p, 2~v/ 5'
(Print Name)
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
~ -lLc..C-
,:14 J1 e., .11 tw 1
(Date) I
administer the Estate of the Decedent and respectfully request that Letters be issued to
~r> ~ij6/~/M/~ s; ~~/c~q C;J!fCl-/;~ ,
~if2';;L~
, ' / (Sigru:Jtun)
',' ;2!d;L (};ec)i;z vrf;- 7J t i-' V G
(Slreel Addrev)
E!acJ;r:;h.Jry 0- ZCjo6o
(Cily, Slate. Zip) (
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed Qut of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that be or she executed the renunciation for the
purposes stated within on this Q', -\V) day
~b cbJ~/;)OC'-'
o ublic I
My Commission Expires: ~,;;; f~ ;l () l !
Deputy for Register of Wills
(Signature and Seal ofNotaly or other offiCial qua.lified to
administer oaths, Show date of expiration ofJl<otary's Commission,)
Form RW-06 /'I!V_ /0, U06
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RENUNCIATION
I
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/' / REGISTER OF WILLS
~HJ7tu-niji1'v<! COUNTY, PENNSYL VANIA
Estate of
~Le-/V~
/7/,
#4t~aI<
. Deceased
I, L/>/p;J 7'9""/2-1.> 2J~7A-
(Print N_J
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
,,~/2~
administer the Estate of the Decedent and respectfully request that Letters be issued to
~~ AV~~.L~/ u~~~ s: ~q/V/c4 4r~Vf-/~ _.
, , J t?"
Cs:-." 'l.- c> '1
(Da~)
(SignalJln)
-;~y /,--
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------
f / ( ,.::#:' "t (1 (
(S/Ttet Address)
r1
.---, (,.)
.~ I
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed Ollt 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 ted within on this .r~ day
of u
Deputy for Register of Wills
^-L-
o ry Public -=.!0 \~, ,R fJ f'r1
M Commission Expires: r J (
J -"/ \;:-vfof6
(S ature and Seal of Notary or other official qwilificd to
iniStel' oaths. Show date of expitatiQn of Notary's Commission.)
FormRW-06 rev. 10.13.06
d.\D<OO\~~
REGISTER OF WILLS OF C//PlJI/'l--..L COUNTY
OATH OF SUBSCRIBING WITNESS
j..,F~ '/~ . >: 2?J=P-. /~ LS /)'-- L h /U./ .,<///7 //, 2J~ 4/C-CS'
..cgElieH:
(each) a subscribing witness .to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that 1'7r-L!:: r h~c;;:. present and saw
/lL pp~ /71, ~L~ c Z:. ,
the testat A I !)( ,sign the same and that r /;f7:-r signed as a witness at the
request of testatj?! X in h e-~resence and (in the presence of each other) (in the sence of the
other subscribing witness(es)).
Sworn to or affirmed and subscribed before
me thit-- ~Y, r
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REGISTER OF WILLS OF COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of
codicil
will
J'
testat
of (one of the subscribing witnesses to) the
presented herewith and
codicil
believes the signature.on the will is in the handWtiting of
that
-.....1
to the best of
knowledge and belief.
Sworn to or affirmed and subscribed before
me this day of
19~ f
(Name)
(Address)
Register
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(Name)
(Address)