HomeMy WebLinkAbout08-01-08,•
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Estate of Edith C. Zook
also known as Edith May Zook
Deceased
Robert D. Zook
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or 'B' BELOW:)
Social Security Number
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
CUMBERLAND COUNTY, PENNSYLVANIA
File Nurnber ~~ ~~~~~ ~<~
(Stare relevant circumstances, e.g., renunctanon, dearh of execut~.r, etc.) ~-Q ~
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Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execution of t}'h__aT 1 sts~umeri~s~ offered':,
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ,r~ ~ -
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B. Grant of Letters of Administration `~'' _i 7 "'~'
(If applicable, enter: c.l.a.; d. b. n. c.t.a.; pendente life; durance absentia: durantprritate) "~
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spe~se (if any) ar~ieirs: (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.)
Name teetanonstn tecswc~wc
Robert D. Zook Son 6 Spring Creek Manor, Hershey, PA 17033
Debra Z. Von Enck Daughter 2710 Knolls Lane, Brecksville, OH 44141
Denise Dahlberg Daughter 20 Rayton Road, Hanover, NH 03755
(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
W_ est Shore Health & Rehabilitation 770 Poplar Church Road Camn Hill PA 1701 l
(Gist street address, town/city, township, county, state, zip code)
Decedent, then 83 years of age, died on October 19, 2008 at
West Shore Health & Rehabilitation 770 Poplar Church Road Camp Hill PA ] 7011
Dcccdeat at death owned prope!".;~ with estimate~± values as follows:
(If domiciled in PA) All personal property $ 14,360.00
(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: NIA
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 rioted name and residence
~ Robert D. Zook, 6 Spring Creek Manor, Hershey, PA 17033
t9C~ .~~-
named in the
Form RW-02 rev. 10.13.06 Page I of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
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COUNTY OF LANCASTER n `~ -
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The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tru~~c~orrec' the besf of
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the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s}~giI~ivell at~d truly-~ ', .
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administer the estate according to law. - ' c ~ ~ ; ~,,
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Sworn to or affirmed and subscribed `-mil G`-(/G~ ~~~ o -`' .•
before me the ~_ day of
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of Personal
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Signature of Personal Representative
FOr t Reg ster Signature of Persona! Representative
Probate Clerk, Lancaster County, PA
File Number:~~ ~ " ~~W'~ ~ ~/ ~~ _
Estate of Edith C. Zook ,Deceased
Social Security umber: 193-.14-7746 Date of Death:, October 19, 2008
AND NOW, ~% , in consideration of the foregoing Petition, satisfactory proof
having been presented before e, IS DECREED that Letters of Administration
are hereby granted to Robert D. Zook
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $ 6 d . OD
Short Certificate(s) ... , .... $_~~ , 0 0
Renunciation(s) . _ ...... $ ~ n n n
Automation Fee ... $ 5.00
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JCP Fee $ 10.00
~. i 1 1 ... $~~1
... $
... $
... $
... $
... $
... $
TOTAL .............. $ 12 4 . 0 0
in the above estate
the last Will ( d C'od~ici~l(/s~)) o ced~~en/t~ ~r
LI lLJ 1. h.LV-,,`~f ~~..
Register of~fCjll ~l~ 'l 7 N~~
Attorney Signature: y ti /~
Attorney Name: Wayne M. Pecht,',squi~re
Supreme Court I.D. No.: 38904
Address: 1205 Manor Drive, Suite 200
Mechanicsburg, PA 17055
Telephone:
717-691-9809
Form RW-02 rev. 10.13.06 Page 2 of 2
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RENUNCIATION `"'
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REGISTER OF WILLS ' ~-`~ ~'
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CUMBERLAND COUNTY, PENNSYLVANIA ~ ~ ~ -- _~ '
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Estate of EDITH C. ZOOK ,Deceased
I, DEBRA Z. VON ENCK , in my capacitylrelationship as
(Print Name)
DAUGHTER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my brother, ROBERT D. ZOOK
~~~~~~~
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(Date)
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Executed in Re.~ister's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.1 j.06
(Signature)
2710 Knolls Lane
(Street Address)
Brecksville, OH 44141
(City, Stare, Zip}
Executed out ofRe~ister's 0liice
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 7 `-~ day
Notary Public ``-~
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
SHIRLEY FN!,fRT
Notary Pubic, ,S~tct. of Ohio
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RENUNCIATION ~'~~~
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REGISTER OF WILLS ` ~ ~~
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CUMBERLAND COUNTY, PENNSYLVANIA ~ ; t ~ ~ ,
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Estate of _ EDITH C. ZOOK _ ,Deceased
I, DENISE DAHLBERG , in my capacity/relationship as
(Print Name)
DAUGHTER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my brother, ROBERT D. ZOOK
~YIr~, J ~ ~~0 ~
(Date) ~ (Signa re)
20 Rayton Road
(Street Address)
Hanover, NH 03755
(City, State, Zip)
,cxecuic:ci in ~egisrer's iffrce
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Cxecca!ed nui ref Regisier'~ ~fj~ce
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 ~ ~3~'`` day
1 Q
Notary Public
My Commission Expires: `7~da~D~'
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date ofexpiration of Notary's Commission.)
Form RW-06 rev. IOJ3.06