HomeMy WebLinkAbout07-21-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of L) tfJ Y 0 rn
also known as
ill Y E -J ~No.
To:
Register of Wills for the
County of in the
Commonwealth of Pennsylvania
()S - l "sLf
Decea~d.
Social Security No. J q 9 - :3 ~ I- ) ~ 11
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl
J
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in L U ~-~ b. county~ennSYlvania. with
h J 5 last family or principal residence at)..j ~ _ 0 u nl_' n tLD .
(list street, number and municipality)
,~,< Ol?~
R-
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) 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 ~ ~ ~
situated as follows: Y) I? C-J J
-----
$ no E-SI
$nO ~t;L.
~ ~~ tJ+-
Petitioner_ after a proper search h~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
~ ~am1;,
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
} ss
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 above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirmed and subscribed J 'j. LJ /~ L X ~~ ~
before me this ':l , ~ day of ~
~~~. "IlL 3
-:- - ~ <z~~ ~~;i I ~
~ q.'<.~, "l"" ~eg et L Jl'
No.
Estate of
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW 19_, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to
in the estate of
Register of Wills
FEES
Letters of Administration $
Short Certificates( ).......... $
Renunciation ................ $
$
TOTAL _ $
Filed..................... A.D. 19_
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
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