HomeMy WebLinkAbout08-20-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~~~R.~'-I-~.~ COUNTY, PENNSYLVANIA
Estate of I.--WIS f~- ~J~~~ ~.Jl~e File Number L ,'~~• p ~~
also known as ~~,~ ~~~//L } '
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
last Wylhof the Decedent dated and codicil(s) dated
named in the
relevar:t circumstance e.g, renu~iation, deat/t of
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executi~ of the insnvrtaeait(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: -> ~
~ •~
r
yt f J
~B, Grant of Letters of Administration r,_~r
(ljapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendenre life; durance absentia; dur•antev~:itzQritate)
--,-7 -
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following. spoti~e (if any)_and heirs: (ff
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list ofheirsJ ---~ '-:`
(COMPLETE IN ALL CASES:) Attacl{ additional s/:eels if necessary.
Decedent w~~as~^d/~QJ,iT1iciled t eath ' A/YI (.c.~~ 'County,, Pia with }i /her last principal residence at
(List~eet address, toy z/city, township, county, state, z)p code) ~-
Decedent, then __-L_ ~ ` years of age, died on S I ~ ~ at ~ /ct7L2/S//K~6 ~ ~/~~ ~~ ~ , /~ ~,
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~ ~~ D 1~~. t)
(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:
Fo,-m RGY-02 ~e~~. 10.13.oe Page I of 2
Wherefore, Petitioner(s) respectfully request{s) the pirohate 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
J9 i SS
COUNTY OF C'.~~+^Y~~Q,~ I~'~
T'he Petitioner(s) above-named swear(s) or afftrm(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 Decedent, Petitioner(s) will well and:trrily
~. }
administer the estate according to law. ~ _.yC~ ~--• -
-;~ _
-,
v ~~ ~:
Sworn to or aff rmed and subscribed /~
Signature ojPerson epresentative ~'
bef9 e me the ~.___ day of -; - ---,
_~ : ~ _'.:
_ ~ L _- Signature of Personal Representative ' =~~ - .
'~,,
-~
For he R giSter Signature of Personal Representative
File Number: 2 \ ' ~ ~ ' ~~
Estate of ~,IS ( ' - ~lGl~l V' ,Deceased
Social Security Number: ~^]_ ~ ~ ~ /~~ Date of Death: ~~~'~0~7
AND NOW, ~1~.:~ ~ inconsideration of thte foregoing Petition, satisfactory proof
having been presented before e, IT IS DEC~~RE\\ED that Letters ~~ (S~r'c~.~,~,
are hereby granted to „~i/l~ ~ ~ lei t- _
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 Wi (and Codicil(s)) of Decedent.
FEES
Letters .... ~ 5.4P`~: l~ .. $ ~~ Register o Wills
Short Certificate(s) ..U..... $ a~ Attorney Signature:
Renunciation(s) .. ~ ..... $ 1 S
~nCQ~\ $ I ~ Attorney Name:
_ 1-~ 1 u • - • $ ~ Supreme Court I.D. No.:
_ ... $
$ Address:
... $
... $
... $
- • • • $ Telephone:
_ ... $
TOTAL .............. $ ~rN .-
Furor RlY-0? rev. !0.13.0( Page 2 of 2