HomeMy WebLinkAbout09-26-08PETITION FOR PROB1ATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~.~~ m I1 ~Q~ I~~ COUNTY, PENNSYLVANIA
Estate of ~ Pt ~ 1 File Number ~I- ~_~~y
also known as
Deceased Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
'~c,~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
ast Will of the Decedent dated and codicil(s) dated
named in the
N
(State relevant circumstances, e.g., renunciation, death of executor, etc.) - ~ ~ ~ -? ~~~
T_ C~ '1?
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the'ir~nt(s)~fered r-.~~ t ,?
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: _. --, ~ , rv_~
B. Grant of Letters of Administration ~ ~ ~ y •-
(If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente iite; durance absentia; durance-q~rmPltateJ r'
fV ~ ~ _~
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and~rs: ({f
Adminis[ration, c. t. a. ord. b. n.c.ta., enter date of Will in Section A above and complete list of heirs.)
Name Relationshi Residence `
t. pr-o~{5
~ ~
(COMPLETE lNALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in DWI ~P_~' `Ilf~' County :Pennsylvaniawith his /her last pr^ ipal residence at.~_
(List street address, town/ciry, township, county, state, =ip co e)
~ Decedents ~ hen ~_ years of a~e, died on ~ C.D at ~ 3 C~ `~ A ~ ~ ~ ~ n ~ ~ ~"'
Form RW-02 rev. !0.13.06 Page 1 of 2
Decedent at death owned property with estimated values as follows:
(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
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
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~'
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
,,j, SS
COUNTY OF C V iM1~(Z ~.R -.1(?~
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 Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
be ore me the 2~0 day of
For the Register
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Signature of Persona( Representative _ ~ <'] --~
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File Number: ~ ~ _ ~ g._ ~ ~ 3 v ~ ~;;~ '~:- i r
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Estate of _~ i ~ MLt0~3' ,Deceased C1't
Social Security Number: ~ - ~ ~ ~~___ Date of Death: 5' I ~ ` U$
AND NOW, ~~ ~'1~~ vC ~O > in consideration of oregoing Petition, satisfactory proof
having been presented fore me, IT IS DECREED that Letters _ ~ ~ ~'~'~"^ ~S~rG~ t ~
.•-~
are hereby granted
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of recgrd~~the last Will
FEES i_.1~~'~~ ~xv~- vin
L $C~D -C~~
etters ...............
Short Certificate(s) ...... .. $~~ ' O~ Attorney Signature:
Renunciati`\n~(s~ ....... .. $ Attorney Name:
a-~t}mp„~-tr~ . .. $ Supreme Court I.D. No.:
. .. $
Address:
. .. $
. .. $
. .. $
. .. $
• • • $ Telephone:
. .. $
TOTAL ............ .. $ 55.O~u aee
Form RW-02 rev. 10.13.06
Codicil(s))
of Wr((s
Page 2 of 2