HomeMy WebLinkAbout10-01-08,~ PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF _( i~m/,~~/~,,,~,Q COUNTY, PENNSYLVANIA
Estate of ~.S,~G~e,~~P }~ Sj),4`j,~ File Number ~~ -Q~'- 9~
also known as
Deceased Social Security Number ~ ~pZ- ~o~-~,sa~Z
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EYF~ ~, j ~ 5
last Will of the Decedent dated _ Co -/ 9~ ~,f named in the
and codicil(s) dated
C~
-~ _
(State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ Z C7 ,`{
_x~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution o>aih en t
} ~~~vm t(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: - -~ ~ ~
"tJ
;_,~~~ ~.
B. Grant of Letters of Administration --~ ~ tv
(If applicable, enter: c.t.a.; d. b. n. c.t.a.; pendente liter duranteabsentia; durantemtnoritate) W {
~..i
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: (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 Relationshi Residence
(COMPLETE INALL CASES:) Attach adtlitional sheets if necessary.
Dec~/edent was domiciled at death in County, Pennsylvania with his /her last principal residence at
(List street address, town/city, township, county, state, :tp code) ~1
Decedent, then _~3 e s of age, died on T ®O at (9 o~/~Ph ld/ HG , !' PST SdO,P~
77U ~o ,C c t ~ l u • i7G/
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $
(lf not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania
$ - --~--
situated asfollows:
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:
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Form RW-02 rev. 10.13.06
~~2C E. 3PM~1/t
RW-02
or printed name and
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/O~ ~ihl4t,~,,/t l~ H~C>r6/~ec, ~c. /71/i .t~s~
Page 1 of 2
~ Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF _Curn~erle.~,
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
before me the day of
,a~g
"~
For the Register
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Signature of PersonalRepresentattve
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Signature of Personal Representative =' ~7
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File Number:_ ~.l -pk - ('~C~--1 ~
Estate of __ ~S,g.(~ e// r}'f SDi4,~~
Deceased
Social Security Number: /~ ~ - y3~ -as 7 ~
Date of Death: Se~T ,~ ~ X700 ~
AND NOW, ~,, ~ , ~_~ ~ consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TesTQ rner,to.,r,~,
are hereby granted to ~ ~,
and that the instrument(s) dated ~' ~Q - 85
described in the Petition be admitted to probate and filed of
as the last
FEES c~~ .~ D,Y7(,ll „ m`1-
Letters ............... $ . QL~ ~.~~
Short Certificate(s) ........ $ Attorne Si
' y gnahue:
Renunciation(s) .......... $
w~'c~ me~#-~ c~ ... $ e~_ ~,~ Attorney Name:
~- ... $ 1 S ~ CS1~
Supreme Court I.D. No.:
... $ Address:
... $
... $
... $
... $
$ Telephone:
TOTAL .............. $ ~ • OU 9~
in the above estate
Codicil(s)) of,
Register of W~ l ~Q~
Form RW-02 rev. 10.13.06
Rw-o2 Page 2 of 2
WILL AND TESTAMENT FO. 616
G~~, ~z~ ein of sound mind,
in the County of ~ and State of Pennsylvania, b g
memory- and understanding, do make and publish this my last will and testament, hereby revoking
and making void all former wills by me at any time heretofore made.
end first, I direct that my funeral be conducted in manner corresponding with my estate and
situation in life and that all my just debts and funeral e:cpenses be fully paid and satisfied as soon as
con~~eniently may be after my decease.
tls to such estate as it hath pleased God to intrust me with, I dispose of the same as follows,
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OATH OF NON-SUBSCRIBING WITNESS
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REG STER OF WILLS = ~ ~' ~
COUNTY, PENNSYLVANIA = v = '~
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Estate of _i__S Ci
cr i y .~ - Cbl~ rci.ol.
and ~~/1/r r ~ i ` ~i /,Q c m t,. ~ n t
Deceased
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each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with s(,t ~ (~ M . S~.h ~
and am/are familiar
with the handwriting and signature of the decedent, and that the signature of _ SSG{kj..P `~ ,~ ~ . ~~~~-
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
SGt~e (~ ~. Nl • SQOdn~ is in his/her own proper handwriting.
G~~ Q ~~~~
(Signature)
l a ~ ~ ~- ~Jatn ~ v e. C~
(Street Address)
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(City, State, Zip)
Execuied in Register's Office
Sworn to ar affirmed and subscribed
before me this ~ /(,,day
of c~~~~ ,~yZJW
Deputy for R ster f Wills
.s
(S' ature)
SDI ~~e~ce~n ,~ ~
(Street Address) //~
/ --7__
Forst RW-04 rev. 10.13.06