HomeMy WebLinkAbout02-11-08
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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUtII\ e-et2.I..4N i)
COUNTY, PENNSYLVANIA
also known as
Estateof ~N A..J(otl~~.\
File Number r2/ - or -- Qllj 7
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,Deceased Social Security Number :1...0.3 - * - ~70~
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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
(State relevant circumstances. e.g.. renunciation. death of executor, etc.)
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution oft~~~ offerelf ,.
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ' ~o E:.d ;~
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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)
Petitioner{s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Ad tinistration. c.t.a. or d.b.n.c.t.a.. enter date of Will ~Section A above and com ete list of heirs.) /l /1 ':J. '7 0
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Name Relationshi ..
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County, Pennsylv~nia with his / her last principal residence at
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Decedent, then '-t 1- years of age, died on f/lrr7Ib) ~<;. at
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
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ ~OO 1-/"
$ (
$
$ \ -r;.cnl?:?1? . +/-
.
situated as follows: c.. v.u ,,~,.-t \..--l4.u0 r- <:::) v,c.rt- __I
/
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:
Si nature
T ed 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 PEN"NSYL VANIA
SS
COUNTY OF(A.l~~vt(Jy
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tme and con-ect 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
before me the J (th day of
\)!1YrJ j O/'v{f . )/)0 f
fhiiJJlnJ, Q ~
or the Register
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Signature of Personal Representative ,....
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Signature of Personal Representative
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S(fJnature of Personal Representative
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File Number:
c:2{-D9- 0/'/7
Social Security Number: Date of Death: U<Ir( lk IdOOk:.
AND NOW, <12Wg , in consideration of the foregoing Petition, satisfactory proof
having been presented before e,. ~ .pECREED th. etters
are hereby granted to --1X:L n I-e:..U c. Rr-,' () S-e r
Estate of
{\p
, 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 Dee ~ent.
in the above estate
FEES
Letters............... $~~
Short Certificate(s) . . . . . . . . $~
Renunciation(s) .......... $ ;;;....~/OD
0f.P ~ '" $ 'Q:{)O
BLtt5~ ... $ ,C),OO
.. . $
.. . $
'" $
. .. $
.. . $
.. . $
'" $
TOTAL . .. .. . .. .. . .. . $ (m .(7)
Attomey Signature:
Attomey Name: M
Supreme Court J.D. No.: J6 3/ J...
Address: 6 J.-1i 8'Ce.f?-toJl/t c.t!..~~~
;(12 C#c4<lVr 'c( i1 cviI~ r:lJ...) /OsD
Telephone:
7r7 - 9'79~ Crylfo
Form RW.02 rev. 10.13.06
Page 20f2
filn< "" ~cV III" ....., '.C;; 'ii' 7
, Th~s to certify that the information here given is correctly copied from an original certificate ci' ~leat~ duf; ~ed 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 photogra~~.
No.
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Fee for this certificate, $6.00
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12496178
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COIUIONWEALTHOf PENNSYLYANIA . DEPARTMENT OF HEALTH .YITALRECORDS
CERTIFICATE OF DEATH (CORONER)
(,.)
A
Koveleski
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March 2,1964
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May 23, 2006
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bag over head ca.=e"'~
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Neponsit Lane, Camp Hill, PA
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RENUNCIATION
REGISTER OF WILLS
Lv,l,( r1>~ Li4lJ/) COUNTY, PENNSYLVANIA
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Estate of
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, beceased
I, JI\ L C {-\. e L<(
S' (S ~ e rf:int Name)
k () M ~ R. * , 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
M.y
5' i $.-re.o 11 1! N 1 ~ LL e>
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~c"'.Y/&C>08
(Date)
m/I!~t#l '!/(thrJlAC
(Signature)
~\ W~5:rt Mo (be~~'-J St-.
Ae~~s). '3 D , .Ll /
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(City. State, Zip) J '
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
purpo es stated within on this I -f day
of 7 ('?)o
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Notary Public
My Commission Expires:
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
Betsy M. Holdren, Notary Public
Coal TWp., Northumber1and County
My Conmission Expires Aug. 20, 2009
Member, Pennsylvania A.soclatlon of Notaries
RENUNCIATION
REGISTER OF WILLS
Cll,lt\~~ COUNTY, PENNSYL VANIA
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Estate of
Jot\tJ U<o\l<2.l~\'t
I'~I.}~Se ko~,~
(Print Name)
9-i S'~
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, Deceased
, 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
~ 5'Cf~L, 1:UrN €- \ te (j'ltl:"-S ell.
~~~
'.1lirJUA-rYL /4 ,J~()?
(Date) T '
(Signature)
i2;~is) tJYR s tQl) A V
8<.1 M AA.eJs~ w 1.) &~.J 70 ;3 b
(City, State, 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 renunciation for the
purposes stated within on this / Aj '11J day
of JJ:trJ U If I<- Y , ~"():{
~~~ 4,f5~
Notary Public ' . f
My Commission Expires: 0 l/ 0 7/ ~()CJ /
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission)
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
PATRICIA A. BOYER, Notary Public
Oerry Township, DBuphin County
My Commission Expires July 7 2009
..........-...-...--"'--,
RENUNCIATION
REGISTER OF WILLS
(2;1-1 M~0l?1.~D COUNTY, PENNSYLVANIA
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Estate of
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<{Deceased
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
2JcRfllk- c2Y f~tl7
(. ate)
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
pu ses sta d within on this Q4~ day
of ~O~
Deputy for Register of Wills
(Signature and Seal 'lfNotary 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
JennIf8r L Harper, Notary PublIc
LOwer Palcm 1\t4:).,1Jeuphh CcuIty
My Comnllseb, ~ Feb. 3, 2008
Member, Pennsylvania AlIIOCIatlon Of Notaries
RENUNCIATION
REGISTER OF WILLS
CV to{ ~Q)..LfJ. f'J ]) COUNTY, PENNSYL VANIA
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Estate of
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> ,;:? of the above Decedent, hereby renounce the right to
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,qJ)ieceased
, in my capacity/relationship as
administer the Estate of the Decedent and respectfully request that Letters be issued to
d"'- / <;.(>-~~ VtJ-v~} Ie f/J rQJ (V SU .
Q\ -3l-~
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Deputy for Register of Wills
0;
Form RW-06 rev. 10.13.06
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COM EAL H OF PENNSYLVAN A
Notarial Seal
Patricia A. Gordon, NoIaIy Public
FaiIviaW Twp., York County
My Commission Expires July 31, 2009
Member, Pennsylvania A&8ocIation of Notaries
~ h I
tA.. P (" - REGISTER OF WILLS
<; U ~I!(.!~. COUNTY, PENNSYLVANIA
c.u/'l'\. eY' QhS' D/</7
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RENUNCIATION
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Estate of
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, Deceased
I, S- ff(t(l) JJ ItIrJ fl-
, (Print Name)
<;; l S~JL
51tlflO~
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
~/
, Jr1n [,((l ~
(Date)
4/ 2008
E:c:ecuted iii. Register's Office
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatij>I] for the
purpdses stated wi hin on this TIJ y
n of JQ f' , {) ,
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:: ~ ~~ ~M omm' sion Expires: jIJ/b/C/) /j
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~.- ~~ ~~ltl'~t!'6f~M~1>rmrarYr'c .on,)
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Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06