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HomeMy WebLinkAbout10-06-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Jonna Frances Moyer File Nutnber LJ " ~O also known as Jonna Frances Taft September 9, 2008 Deceased Social Security Number 192-58-8594 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOR':) ^ A. Probate and Groat of Letters Testamentary and aver that Petitioner(s) is !are the gamed in the last Will of the Decedent dated and codicil(s) dated (State relevant circumstances, eg., remmciation, death ojexecutos eta) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered ` for probate, was not the victim of a killing and was never adjudicated an incapacitated person: m B. Grant of Letters of Administration (Ijappticable, enter: ata,; d.b.n.at.a.; pendente lire; duronte absentio; 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: (If Administration, c.t.a. or d.b.n.c.t.a., enter date of WiIJ in Secttort A above and complete list of heirs.) rv Name Relationshi R ~' - Amanda E. Moyer Daughter 906 West Trindle Rd. M urg, PItC1i7055 ;~ __ ~ ~::=. Randi K. Garcia Daughter 4023 Colchester rd. apt.204_ 122 ' ~ =Y~ ~rn 1 {-- ~;` _ '_ -- (COMPLETE WALL CASES:) Attoch oddifional streets if accessary. -'1' ~ ~ ~ c.~ ; ~~_' Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal~e at ~ ~ y `~ 2136 Market st sot A Came Hill PA 17011 ~' r~ ' (List street address, town/city, township, county, state, atp code) ~ Decedent, then 45 years of age, died on September 9, 2008 at Holy Spirit Hospital, Camp Hill PA 17011 Decedent at death owned property with estimated values as follows: , / ~r f~ ~ ) (If domiciled in PA) AU personal property r $--C-.+~,~~ I (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania ~ L • ~ ~~ situated as follows: 2136 Market st, apt. A Camp Hill, PA 17011 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will aad Codicil(s) presented with this Petition and the great of Letters in the appropriate form to the undersigned: ( (~~ ~~: `~ V r i~l~ ` 'Amanda E. Moyer 906 West Trindle Rd. Mechanicsburg, PA 17055 ,,[ /f/~f/ ~~ ~ , ~ ~' ~ Randi K. Garcia 4023 Colchester rd. apt.204 Baltimore, MD 21229 Form RW-02 rev. 10.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF SS The Petitioners} 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 affumed and subscribed before me the ~~ day of ~,`~~ ~z,, ~ ~~ ~ Signahrre of Personal Representative FAr the Register ~ Signatrire of Personal Representative t. > c:~ ~Q ~ '' Q -7 'gyp C'-) --r- n -4 _. . r-- ~ File Number ~,~ - ©$" - ~4 ~ : ~ ~ ~ ~~ -}~~~ ~ ~--jam Estate of Jonna Frances Moyer ~? Social Security Number: 192-58-8594 Date of Death: Seatember 9, 2008 ~ {%.. . ~ ~' AND NOW, l JC' ~3 ~.~1 ~ n ,aoU$ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT' IS DECREED that Letters Aare ~ v, ~ S~ ~ a.~' ~ owe are hereby granted to ~ ~ t-~l~vR ~- ~- ~~ K- C~.++-cxc~ and that the instrument(s) dated described in the Petition be admitted to probate and filed of FEES Letters --------------- $ ~~_ Short Certificate(s) ........ $ ~ ~ • ~ Renunciation(s) .......... $ ... $ ... $ ... $ .. $ .. $ ... S ... $ TOTAL ----•--....... $ x.00 wee in the above estate ~~last Will (and Codicils}) of Decedent. ~n;~,, Register of Wills Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Form Rw-02 rev. 70.73.06 Page 2 of 2 hat the information here given i~ correctly copied from an original Certificate of DeatA` duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office fo~ anent filing. SEP 1 1 Z~ng ~~~~ ~ ~ Local Registrar Date Issued rv c ~ ~' ~o ~ _ . ~, _ .~. _ .fn _ -I-i 1 - =, ~ Cjj ~.~ - ~ ~ ~ -- ~ ~ ~ ~Y' O ~ - . ,-; Ul N v dnDOeNOn PennK No. ~ 1 0. 7D ~~ [ / '