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HomeMy WebLinkAbout08-25-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~U~(3E~ Lkw~ COUNTY, PENNSYLVANIA Estate of 2~ C3~ ~~'U~ ~Eu-t C~-~9-C7-1 I ~' ~ n File Number _ ~~- ~~~ ~i'~ ~~- also known as R~'~3 I~EI.L-,( ~[~ _ Deceased Social Security 1\ umber ~ ~ ~ ~ ~~~~ ~~ ~, Petitioner(s), who is/are 18 years of age or older, apply(ies) for. ~-_, (COMPLETE ;4' or 'B' BELOW:) ~__~ ~._~ ~~ © A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the _ ~~`,named in the last Will of the Decedent dated and codicil(s) dated t~~ r ,~ t (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~~ -, •~.1 Except as follows. Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrurt~t(s) offered for probate. was not the victim of a killing and was never adjudicated an incapacitated person: ''t ~B. Grant of Letters of.administration (/f applicable, enter: c.t.a.: d.b.n.c.t.a.; pendente tide; 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: (!f Administration, c. t. a. ord. b. n. c. t. a., enter date of Wall in Section A above and complete list of heirs.) Decedent, then LJ~~ years of age, died on ~ ~ ~~U~ at trZ°,~f~L'K.~f , Decedent at death owned property with estimated values as follows: ~_ ~~~ (If domiciled in PA) All personal properly $_ / (If not domiciled in PA) Personal property in Pennsylvania $ ~- ([f not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as follows: G~3L~ }~V~M/utZ- J~-t/>=, (~~nt.tllV~ ~~ ~ ~ (J+-~ Form RW-02 rev. 10.13.06 PagO I Of 2 a y~ (COMPLETE /NALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in ~i` `"~~ ~-+' ~~'k t~ County, Pennsylvania with,~his /her last principal residence at Z~y ~+utiut~-- 1~.~ ~E~~rtv1= ~ c.v,NtTE,e~~ru,~~ c~:>,v, r, t'ff r___ I ~0~13 (Lrst street address, town;~:il}~, township, county. state, zip code) 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: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA . SS COUNTY OF ~~/~~ f3~l~l~h~ti`~ 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 D~eceP P titioner(s) will well and truly administer the estate according to law. ~~ r~ J ..666 ___`~~-\ ~ I~n ~ ~ , l ~-r~-- Sworn to or affirmed and subscribed h~l~ before me the - ~ ~ day of y 4 %~ ~_.f I ~` _ ~ ~__ ~~~~I,~~w r LJ For the ister File Number: Signature of Personal Representative ~"i Signature of Personal Representative Signature of Personal Representative ~ ' ..-. Estate of ~ Date of Death:_~~Z ~~ AND NOW, ')~~~~~~ ~.LL~~ ~lI( ~~-, having been presented b fore me, IT IS D /REED th t are hereby granted to ~(`~ ~~)(' h ~ ~ ~~ ~ ~~ ~ in consideration of the foregoing Petition, satisfactory proof in the above estate 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 Decedent. .~ L~ ,~; FEES r ~ ~ ~~~ ~ Ci L' l~ . ~ I. 1 '' ~ L` Z._--_ ?~i Register of Wills ~ ,i~ ~ ~ ~' l Letters ............... $ (~ .~ Short Certificate(s) ........ $ ~.~ . ~~'~ .., Renunciation(s) .......... $ ... $ ~ D ... $ ~. L ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ ( . ~'~ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: P~orm RW-oz rev. lo. r3.o6 Page 2 of 2 RENUNCIATION - REGISTER OF WILLS ~~I'7t'r"1C1--i'`Y.~-- COUNTY, PENNSYLVANIA ~. -. Estate of 7kx~, ~.~.'~ ~((-rE~ t~"7 ,Deceased I ~ ~~~, ~ ~ ~ ~ ~,Z~~ , in my capacity/relationship as (Print Name! ~:~~Gtt t~~~l~ltC'r' of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to 1 Dare! Executed in Register's Office Sworn to or affirmed and subscribed befor ~ me this .~ ~ day .4. i- C` of ~~ `~. Deputy for Register of Wills Form R!t'-O6 ter. !0.13.06 1 ~~~: ~~L~t ~~~`r~~"~ (Signature) (Strcel A~idree.r) -- ICirv, Stare.Lipl Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that lie-car she executed the renunciation for the purpo stated within on this _~ ~ day r ; Notary Public My Commission Expires: ~f~~~•''_>~~'=~r% (Signature and Seal of Notary or other official qualified to administer oaths. Show~da~t~~~~lK<4~io~~H'~~~Y.~~~(~IIA VV- Notarial Seal Patriaa DiClementa: Notary Public City Of Pittsburgh, Allegheny County My Carnrnlssion ~,~ires April 25, 2011 Member, Pennsylvania ~ssociatlon of taotarles r'.ik.i4~tC ~.~~~~.; ~4 '. Ili C'iS r"i) 4ss .r.,f.il.. C~~'s ~. ~j'° -i.°.'~~/ ~ya• Cl ~'a Ji!).~~~P{ t.Si }}:l ld~.ti~?,~' ~_. Z ,fir' 7~ ?y~_ ~ ~•I ~ ~ I !I 111 S r. ~~~,-y ~~- .. i I~~,', Iti `. ,. j~{;. { f r+los~u RFV ilrmoa COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~`~ TYPE /PRINT W ~cx ~' CERTIFICATE OF DEATH (See instructions and e><amnfae r,m ..,.e.aer ti ,.,~ (x =~ O 1 Hence a UewOaa (First. mdrae, Iasi. sulfpl 2 $as ' Yllt rvUM t3ti Robert James De1liGatti . 7. Saaal Saarity Numbm d. Dale d beam (Main. my, yearl - s Aye teal aronayl unmr t year undx I my s. Dab a arm (Monet, my, real Y. artllpace (cM area vela a la ter) ea. Race a Deem Icnea o one) ~ wn Iw.. ..,.. 65 Yrs. 4/3/19 ' a 43 omen ^ kpalient ^ ER ! 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Momeh Nerta (Fiat, eedds, maaan surrome) Anne 20a. na0nrp11rf Name (Type / Pnral ~. mfamYlyf Maip Amre« (Sleet, fly / bMl ab'm Zp Cnda) , Robert Edward De1liGatti 230 Hummel Ave. Lelnayne, PA 17043 z,i. MetlnO a Dapowm ®c,,,,,,b„ ^ OalaEOn zte. Dd. a ^ aibl ^ Rarnoval nom sab ' Dap«i0at (Haan, mr, ysW xtA. sieve a awwmn pi.m, a o.«wr. aenulay.r freer Pbw> zta tnwaon Ic+h /bon, stab. dP wwl w« Cr.mrfan a Dabuorl AWV1sa ^ ~ ~ bYWdlralEaammw/cd.oo.rr ®Y«^Iro 6/26/2008 Con-O-Lite CY•ematory chaefferstam PA ~ 2b S F , . pbnas d awy la Pa'fon a 3y « fan) ?20. liwrw Naros• 22c. Naar and Ada«a d Faafy Hetri Cremation Services • ~ - Q FD-013592-L 3125 Walnut St. Harrisburg, PA 17109 Oarwaew Ibnn 27a-c ar/ atrn wrelyirg z3a. To me osa d my bn.'pdP, man amrnd a ne Yra, mb and paw salsa (Sipnenre and ual z7n. Ix . nw µ arm . r pryfoan . m avaeaaa n arw d man b ~ z7c. Dale sgaa (M a ,m. mr. r l ~ ~ ` , r 7 p vets' woes a man. n Q,I,U ~~ t 1W 5 L { y L I ~ ~D ~J` ~ ~ - I I U .1 0 v I nrns 2d-26 mw a wmpeled W Person zd. tans a Dean 25. Dw Pmnariwd Dead IMaan, day, ya.r) 2e. w« C«s Retuned b Msawl F anrrw /coroner la a Raasm Omer man Cmaoon a Donaoon~ .fto aIX°`~` °aam- R ~ ~ I ~ A M. f OX I !Yt :.f QI (~ ati o8 ^rea ~Q~ CAUSE OF DEATH (Sw Msfatactlons arts uaanplss) Appmansa ieervY: PN n: hex sap' Jp,ypyp, 28. Da Td>acm Use Cawbule b D«m? Ilwn 2T. Pan I: 6«r me FdypyL - a««es, aMaba, a axpfuCm - mat dieay Doted tlb man. W NDT erex lerrranal essMb alCh « craac an«F ~«Psatu7 artesl, a vernrKUhr fbilaam oi111aA aMMly tlM fYdtgy lAl ONy OrM CIUM al «al fns. Drva b D«n red rep resulo,q n Cr ad•'NMy cwsa yner, n Pan L ^ Y« ^ Pmnaay ^ W IQ ..rWlwn YIIF.DIATE CAUSE Frul disease a ~ caiaam rewgry ~) fi ~ 1 ~ -~ a. Q G S ~, 1 C . 29. n Female: a wtA Ln c ~ cars - ~ - - Due td,a as a ~,. /~ ' I ^ Nd prequnt wtln pw Yaar Sepwaiisy M mnaapn, a anY p_ r /' Y~ L I«6q b me wee ewe on ere a. _ t a h a tT h ~ / VQV/~1g t wn ^ Preyva r a« a meet Oue t F m reer o la as a con«pwica oil. e f1aaDERLywG CAUSE ^ Not f/e7wra. Out YaQwM wNm /2 mya - (QOSaee a ryiy mil ninaled d,e ~ _ eerw reawaq n mama usr d meet Due Iola as a mraeyuenw oA. I , ^ Ha veyalK an neywn do mn b I year a . nee. d«m ^ uraa~o., a .v W, me wz 7m was an A.aoPer 70n. were Aultpy Fnarya 7t. MamM a Dean 72a. D.b a Irytiy (Main. mY. Y•N 720. D«abe Naa' aNaY Oco,rea a'9""a rear Perlorrnea? A raaade Pnar to Compeeon 72c. Race a Inyfy Home. Fenn. $baat. Faaory. ~ ^ Hararam olive salary. ed. 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