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HomeMy WebLinkAbout10-09-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~ r'^~~Q~-~ ~ 9 COUNTY, PENNSYLVANIA Estate of ~~~ ~ C . S ~7 P. ~2 also known as Deceased File Number ~~ - ~g " ~~(2. Social Security Number ~ ~ ~ ' ` ` ~' ~ ~ Petitioner(s), who is/are l8 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 ~ ~ l.Q~ ~~~ ~-4 ~b'>`~Knamed in the last Will of the Decedent dated /?' i ~ ~ t ~ ~ ~ and codicil(s) dated (State relevnnt circumstances, e.g., renunciation, dear!: of executor, etc.) 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: --~--~-"'- ^ B. Grant of Letters of Administration (Ijapplicable, enter: c.t.n.; d.b.n.c.t.a.; pendente lire; durante absentin; durante n:inoritate) rv Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followir~~use (if an~nd heirs: (!f ~ ,. Admirtistratiort, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~' - ''' ~ f .i Name 2elationshi ~F,li~~ - ~'' i , .. _ ~ Yae ~l . r .. J ""~ -~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. -^=- ,~ lt7 Decedent was domiciled at death in ~~ER R~t.r' Count ,Pennsylvania with his /her last principal residence at "~~ b ~ ~T2 ~RLis~ '~/~ c'Io[3 (List street address, towrdcpity, township, county, state zip code) Decedent, then 1 y years of age, died on Z3 o g at ~ii; ~-( S!_~ ~CC; ~©rn ~ ~~ ~Z~ , Decedent at death owned property with estimated values as follows: i L (If domiciled in PA) All personal property $ T~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 $ ~ ~ O ~ O 00 situated as follows: ~ ~ ~ ~~E~'r' ~ ezu SLR {~Pr ~7 O 13 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: name and residence Form RVV-0? re~~. !0.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF SS The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and conect 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. r.,x ra ~ ~ ~-- Q co - ~ Sworn to or affirmed and subscribed • `,~`_~ o : ~ Signature ojPersonal Representative ~~F7 ~~ b efore me the "1 day of ~ r-i ~ _ / ~ ~ `~ .% ~ to i 1- - cc// ~~ , ~a ~ Signature ojPersonal Representative - ~ ~ l -=f e. • ..tl ,! ~ _ For the Register \\ Signatw-e ojPeisonal Representative y y` File Number: 2y~~ - ~~Spp"jn ~ 2 Estate of ~0...t~~ ~ . ~CL~a~l.t , ,Deceased Social Security Number: I S9 "O~ ' ~ `i`(3 Date of Death: q (Z~~ ~~ AND NOW, UC,~61c~,L t , a~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ are hereby granted to ~0,~~_x,.~. c-~ ~jS_ ~,. _ in the_ above estate and that the instrument(s) dated 3' IU - 9~l - described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $21n~ . Cl'~ Short Certificate(s) ........ $ ~ ~ CX~ Renunciation(s) .......... $ ~~ ~.t ~ ... $l5 . yo ~1e~ ... $10.00 ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ Zq B ~ LItL Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Register ojWills Form RVV-0' rev. 10.13.06 Page 2 of 2 rn ' ~.~ • ,rte ~_(L _ "'^ rY` - ~,, ~ CL `_~~1~ ,. ~ ( - 7 1_ E^^^' :_ ~ J L7 O C ~ ~l _. ~ ~ ~-~ t...:3 C.: _l_I ~~ L ~~ t~ . r~ ~~ •aaaq; aamDaa auu~ •easeau~m om3 3asa[ Zs eaatn4u a3e3s ,iaan~s ~ ,mac ~ i 1n 8u}peas l / ~ S~1 .~ t 1 j " ~ I ~' In Huiptsas ~. /(•.-fit ~ ~"-~- ~ L/ s _., •aauapzsa.c ~o saavp~ a2z~aadsa.~ .cno sausvu ,ono a~iso~do a~a,~ puv `ppi~ pins aq~ ~o acv a~~ ~o tivp aq.~ uo `.caq~o lava ~o puv ~.pv~sa~ a~~ ~o aauasa,c~ a~~ uz op tiga.ca~ arat gazgrat `~oa,ca~.~ uoi~naaxa aq~ o~ sassau~zmt sv o~a~aq~ saucvu .ono u~is o~ `sn ~o gava puv `sn pa~sanba.~ puv `~u~ut~~s~1 ~ut~ ~~~ ~svp ~ aq o~ a~uvs a~~ pa.~vpaap `.~ui.~va~ puv aauasa,~~ .ono ui `autii~ au~vs aq~ ~v puv `sn ~o lava {o aauasa,cd a~~ ui puv aqua -sa.cd .cno ui ~uausn,c.~sui szq.~ o~ ausvu ~-~. pagacasgns `pautivu a~ogv ~rnr~v~sa~ a~~ ~~61 ~ r l'.,cp~' {o tivp aq~ uo ~vq~ ~~l~id~ ~~ `pag2.casgns o~una.caq a,cv sausvu aso~oti `ate ~ 6 puv pa.cpunlY uaa~aui~ ~vati a~~ uz -~~-~:r~-~ ~o tivp '~ o/ a~~ au~vu rCus pagi.~asgns o~una,ca~ a2v~ I t~~~~~`t ~~~~~~ ~n •apvu~ aus rCq sppi~az ,cau~.co~ ppv .~ui~o2a.c tiga.ca~ `a~v~sa pva.~ a~v.~~.couc .co asvap `tia2uoa puv Peas o~ ti~ico~~nv puv ,~arnod ppn~ ~~i~az `~uausv~sa,Z puv ppi~ ~svp rGuti `sa~~ ~o -,.-o~naaxa AQ 2 A ~ ~"' (]1~n. ~ ~ -7 ~~ "_A ~'4 ~:ri ~;;< ;~' ~j ~ ' ~J ` ~~~,"~~ ~j ~ ~v< k::. i;,R S'~ ~.n `` C _ 5?:~ !4 ~?L \7 V ..:.. ~t,~-,~-v~- •~r ~-~-~rry~ ~ ~uioddv rCga.ca~ I ,~t~~~~ 1 P 7 82-Will. 4-79 JULIUS BLUMBERG, INC., PUBLISHER, NYC 10013 ~ttsf mill ttnD~ ~estttmrnf ~ ..tit;z..w- ~ . /.~~ o f the ~~~~~ of (:r',~~ in the County of G~.w~~.~ -,•-~ and State o f ~`=~~~~>1,•-~~-~--~~ being o f sound mind and memory, do make, publish and declare this my last {~~ ttnd (~! ~~#xm~en#, in manner following that is to say: ,~A'{r~#. I direct that all of my just debts and funeral expenses be paid as soon of ter my death as may be practicable. 1.~-,-~ ~~~ ~~~ 11, '-~ ~ r ~~ ,~, I cL-c~-~ .,f .~ i ,~v' ~ lf`L'-~• ~ ~~l ~ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~~~m ~ cQ COUNTY, PENNSYLVANIA Estate of Deceased ~~W Lr~~, ~A~KI_~y and~P~T2~ct~ ~~'Nsl<~ ~ (each) being duly qualified according to law, depose(s) and say(s) that she / he / th_~ was /were well- acquainted with P~~ ~, spca. ~ ~ and am/are familiar with the handwriting and signature of the decedent, and that the signature of ~ ~ ~~ ~ ~.~- pp,~hY~ h tot e foregoing instrument purporting to be the Last Will and Testament/Codicil of -~ R r-a~ C, `jlp~p 1~ ~ is in his/her own proper handwriting. (S~gnuture) 3 gas- R~ OG EL~N~ Q,/~ (Street Address) m GGf ~~ic.s,6~ ~ P~ ~7oSJ (City, Stnte, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~ day of -' ,~oc~ . (-~ 4~."1~ o o p De ty fdr Register of Wills ~~ ~ (Signature) (Street Address) ~4 ~~u~ rare, Zzp) r=~ C7 `=' o m o r- ~rn - - ~ ,~ ~~ ~ - ._. :J ~ 1 -'-~ . ~ y ~D Form RW-04 rev. /0.13.06