HomeMy WebLinkAbout06-03-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF 0. LA. VV\ r,6k:LY1 rUb COUNTY, PENNSYLVANIA
Estate of _PI-1- I L-] p>
also known as
(!,
C!- Y-2b TTV
File Number d\
, Deceased
Social Security Number
D~ OLDDS
/ &"3-/:l~ S!38-1
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
Ji A. Probate and Grant of Letters Tertamentary and aver that Petitioner(s) is / are the b -e AJ ~/ ~ j( Q r-O+ty
last Will of the Decedent dated iD J 17 t? '2- 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 insttument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
(If applicable, elller: c.t.a.; d.b.n.c.t.a.; pendente lite; durante abselllia; durallte milloritate)
,..,,~
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spQ~f any) an.irs: (Jf;
Administration. c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) S::::x5 <- r,"
CO c::
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Name
Relationshi
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s:-
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Decedent, then
~c;- years of age, died on 01:)23/ Dk'
f f
at 5: /~- pm
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 P A) Personal property in County
Value ofreal estate in Pennsylvania
$ ~S&-, (;DO
,
$
$
$
situated as follows:
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:
ir,)
D[-tJN1S
17IMS.-
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
(] i Jr).!Jpr 1ort:A
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are Hue and con'ect 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
before me the ~_ day of
{)
Signature of Personal Representative
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Signature of Personal Representative
File Number:
fA,II,p (i (If()~
Social Security Number: 163 I a 432{
AND NOW, ,,)CLf\e <-.3 , J/1J8 ~ copsideration ?fthe foregoing Petition, satisfactory proof
having been presented before me, IT IS DEC})EECD t=~ ~rttelrs I tCS1r'ln7cfJ10-'1J
are hereby granted to .~ II 11 / S I \ I ....., ttL
v
Date of Death:
, Deceased
S ~3h~
, I
Estate of
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last WilI
FEES 'Q/vh..-
Letters ... ~~, f?t?f? . . $ 31D
Short Certificate(s) . . {f. . . . $ 20
Renunciation(s) .......... $
~){I $
'/{./-i) . . . :
$
$
... $
... $
. .. $
... $
TOTAL .............. $ ___1(QO
Oc.-bkr-
in the above estate
17
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Attomey Signature:
Telephone:
IS;
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Attomey Name:
Supreme Court LD. No.:
Address:
Form RW-02 rev. /0.13.06
Page 2 of2
HIOS80'i REV 101/071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 14516502
Certification Number
This is to certify that the information here given i
correctly copied from an original Certificate of Deat
duly filed with me as Local Registrar. The origin<
certificate will be forwarded to the State Vit[
Recor ffice for permanent filing.
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HtO$-l43 REV 1112006
TYPE I PRIHT IN
_00
IIlACllINK
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
(See Instructions snd exampleS on reverse)
3.Sol:"~~ 12 _ 4381
11 Docede".ft Ed&Jti!:1M (Specify crty blgNst l:Ol"'CI\ettdil
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1.";,mtofDt:edlf<<(firs.t~.b5t.~)
Phillip C. Crotty
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85
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November 27,1922
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Ethel Frv
. 16. Dlcldtnrll t,~ ActitN tSlMet.. (:tv' kMn..... tlp""".
9 Ra.ndi Road
Enona, PA 17025
111.. Ccumy
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lohn Crotty
2lII_'-'_cs-...,'_~ Road, Enol.. PA 17025
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JEast Bill attb Qr~stamettt
I, PHILIP C. CROTTY, of Millersburg, Dauphin County, Pennsylvania,
being of sound and disposing mind, memory and understanding, hereby declare
~
this instrument, to be my Last Win and Testament, revoking any and eowin~
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rrEM I. I direct my hereinafter-named Executor or Executrix to pay ~~~ j~
debts, funeral expenses, and administration expenses, including inhe~~ce ~
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succession taxes, as soon as may be convenient after my decease.
by me heretofore made.
ITEM II. All the rest, residue and remainder of my Estate, real, personal or
mixed, of whatsoever nature and wheresoever situate, I give, devise and bequeath
unto my wife, Ella P. Crotty, and I hereby appoint her as Executrix of this, my
Last Win and Testament.
I'l'EM III. In the event my wife, EUa P. Crotty, shou'ld predecease me or die
within thirty {30} days from the date of my death, or we shou'ld both die in a
common disaster, then:
A. Al'l the rest, residue and remainder of my Estate, rea'l, personal
or mixed, of whatsoever nature and wheresoever situate, I give, devise
and bequeath, in equa'l shares, unto my chi'ldren, Dennis K. Crotty, Craig
D. fr>otty, and Larry D. Crotty.
B. I hereby appoint my son, Dennis K. Crotty, as Executor of this, my
Last Wi l 'l and Testament.
ITSM IV.
MY Executor or Executrix is hereby authorized and empowered to se'll at
public or private sale or sa'les a'll of the personal property of which I may die
seised and to likewise sel'l al'l real estate of which I may die seised, and to
convey the same by fee simple deed or deeds to the same effect that I could per-
sonaUy do, if living.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last
Will and Testament, consisting of one {l} typewritten page, bearing my signa-
tUl>e, this /7tJ. day of ad~ , A.D. 'l9?2.
Mrtctt~~ . (SEAL)
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2 { 0 8- (j~or;-
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CtA'VIA Bf-~Li11ll> COUNTY, PENNSYLVANIA
Estate of --2 ~-t 1 '-I P r. eYe) ,7V
.3' LA 'VI \~ ~ s. CvrA-l-Y and etA vi-I ~ V<(. U> Wet
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they
'PHiL IP Q, CVn7'7Y
was / were
is in his/her own proper handwriting.
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(Street Addres;)
(C~~~r <ii1~VlBJ
@
, Deceased
well-
Q)I)
(Street Ad ress)
bu6/tA. ~J1l~
(City. State. Zip) I
Executed in Register's Office
Sworn to or affirmed and subscribed
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I~r Reg'
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FormRW-04 rev. 10./3.06
110:;..5