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HomeMy WebLinkAbout10-29-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Estate of \~7~ ~~ ~ ~ 6d ~S`e~ J~-• File Number ^~ I ' O 0 - ~ D,5 also known as •- Deceased Social Security Number ~'1 f -'TO ~T(~ _ 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 k.J~(.I.L~1 ~~ named in the last Will of the Decedent dated and codicil(s) dated (State relevant circumstances, e.g., renunciation, death 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 insUument(s) offered for pt•obate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Grant of Letters of Administration (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.: pendentelite; durantenbsentia; durnnterninoritate) Petitioner(s) aftet• a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Admirtistratior:, c. t. a, ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence '~~7~ iJ o-, ' ( -ems 8 «~ ~ ~l i `til-b~-h ~2 I ~2 F i e_D~t.~c (~R . Cflel.,~ 'PA f-~'~ S (COMPLETE IN ALL CASES:) Attach additional sheets if ttecessa (List sheet address, lowrdcity, township, county, s4ate, zip code) his /her last principal residence at 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 $ ~~~®~ rv Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant 6[fD.etters in the a~priate form to the undersigned: ~CJ °~ T Si nature residence ~ ; -~J- ted name and edo r ri~ t"7 ~~\) Y /~ ~ ~ (/( ~J~~~ 1 ~~` ///~~~ ~~ O ~S~ r-' ~ vim- V I V A • V I IJ W 1 Form R6V-0? rev. 10.13.06 cam,? . Page 1 of 2 Decedent, then ~ years of age, died on ~Q ~~ at ~~~15! ~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA r SS COUNTY OF \ J1~t~~.lY~~l~vr1~ . 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 ~- d~ayVof ,~ ~ f ~~ For the Register ~;,' =,-,°_-, ;; ~:- ~f'I _;.i ~~ - ',~ Signature of Personal Representative ~ _~' Ca -~ ~ -; -- ~ r _~ File Number: ~, - UCH _ ~~~s Estate ofanal d ~ l~~o~ r ,Deceased Social Security Number: ~G~ " 1--E ~ -J'2~} ~O Date of Death: (y ~ 1 ~ ~ .0~ AND NOW, ~ rLw~ ~ ~ ~~L-SI-> in consideration of the foregoing Petition, satisfactory proof having been presented b~ef^ore me, IT IS DECREED that Letters rn~, i sTieATiv are hereby granted to ~ 1~. 1 ~O. ~i~er cs ~~ ~ 7r~ ~-~-~, ~! ~ ~ and that the instrument(s) dated described in the Petition be admitted to probate and filed of FEES Letters ............... $ 30 ~ c~ Short Certificate(s) ........ $ ~+-1 • C3~ Renunciation(s) .......... $ ~ ~ • U[W ACID ... $ ~O • W ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~~ , c~ in the above estate as the Attorney Signature: Attorney Name: (and CodigllXs)) of Decedent. Supreme Court I.D. No.: Address: Telephone: Fa•rn RW-U3 rev. l U.I3.U< Page 2 of 2 r--~ ~ RENUNCIATION r o _ ~~' ~' ~-, .1 REGISTER OF WILLS `-~ w ` ~ `-~ COUNTY, PENNSYLVANIA , ~~ -„ ~ _ -,~_ ~ -_ '=r- _,~ ~- Estate of old- ~-= ~ Q S~ r ~ (_ , Deceased I, ~Q,1'1Q ~' ~~ ~ ~~ , in my capacity/relationship as (Pant Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to CJi~ ~-~-~b~e~1-1~ 1~~_I~ 1~)~7I~X (Date) (Signs (StreetAddress) S ~~-t ~70`~~ (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purpo s ted within on this ~''T day o b~e~' ~. //~~ ^ , f Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administeroat~~~I~~'ni~E~lR+fmPrRgpr~ls`d0 ion.) Notarial Seal Teresa E. Blosser, Notary Public Silver Spring Twp., Cumberland Co~~?ty My Commission Expires May t 9, '010 Member, Pennsylvania Association of Notaries 0 RENUNCIATION C~ ~ ~ c ~ J~ :.. ~ ' ; =_ ,-~ C~ ~ e.{ „ ' REGISTER OF WILLS ,- =~ `r' COUNTY, PENNSYLVANIA - .__~--} _ ' ~ ~' .,~ - , iJ~ 6 ~` '~ L ~_ ~~' ~ Estate of __ . e- __, Deceased I, ~ / iV Q. ~ ~ ~~~~'~ , in my capacity/relationship as (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to --_ 1~ Z I D~ (Date) ignatu ) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 ~o ~v~c `~ (Street Address) ~` i`Zc~? (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~_ day o ~(~D ~ U ~~~'U~ ary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Teresa E. Blosser, Notary Public Silver Spring Twp., Cumberland County My Commission Expires May 19, 2010 Member, Pennsylvania Assc~iation of Notaries RENUNCIATION ' Yo REGISTER OF WILLS t~'i = _~ :_~ c-7 COUNTY, PENNSYLVANIA - == _~~. :; ~ ~:: =% Estate of I, `-~'i'~r` ~ n~'1-~~~ in my capacity/relationship as ri Name) of the abov8 Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to f ~ ~ ~ ~~~ (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev, 10.13.06 (St afore) (Street Address) (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciati~on~for the purpc~sgs s fed within on this ^2%~Y'~ SZ day o£. ~~ ~~r N~ltary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oath~~Qdddi~y~gpjr~{i~n~`~{>ion.) Notarial Seal Teresa E. Blosser, Notary Public Silver Spring Twp., Cumberland CourS My Commission Expires May 19, 201 Member, Pennsylvania Association of Notaries RENUNCIATION REGISTER OF WILLS COUNTY, PENNSYLVANIA rv c~ ° a ~wc~ ,~ ~- , n r~ - ~ ,:.., - J _J . ~ .~ ~-~ ~ ~ .a- W Estate of ~ nn G_.\S~, C .- ~~ S~-P'~ ~1r-_ ,Deceased I, ~~~ Q '~- ~ ~ ~ SS 2~ , in my capacity/relationship as (Print Name) ~~ae.t T -~ f" of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (Date) (Signature) ~ ~~X (StreentAddress)l (~ ~ '"'~ (Cary. State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the pure es stated within on this day Deputy for Register of Wills Form RW-06 rev. 10.13.06 1Jlotary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Teresa E. Blosser, Notary Public Silver Spring Twp., Cumberland County My Commission Expires May 19, 2010 Member, Pennsylvania Association of Notaries RENUNCIATION REGISTER OF WILLS ~-~ o PENNSYLVANIA ~ ' COUNTY , , =.' sue, rv • r , lti ltd .. _ ~ ' ~ Estate of __ ©n G, ~, [~ L. [~) U ~ ~ ,; V- , ~ ~ , Deceased I, a~~s _ in my capacity/relationship as (Print Name) ~ lT ~~ ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to S ~ ~~ c~ ~\c~S~~ (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Farm RW-06 rev. 10.13.06 (Signatur (Street Address) (City, Slate, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposg~a ed wi n this' o~ D day ~ ~~~ 1 G otary Public [y Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Sea! Teresa E. Blo:se: .Vc, ,,, Public Silver Spring Twp., ~ )~r :o, -,i Courtly My Commission Exc ~s iv~~ ;.2010 Memb@r, Pennsylvd,ua ~+ss~.~:a!,u , .~f Notaries RENUNCIATION r-~ c~ _ REGISTER OF WILLS ~ ~(3tJNTY, PENNSYLVANIA ";,- =~ c°-~ - ~, ~ T-, ~ ~ ~; --~ -_ ,._ ._ ~~ ~~ r Estate of ~ ~l(~, (d. ~--. • I '~ ~ D S~~P~- ~r. ~ .used I, ~ ~ ~ R ~~ ~ SS-e,f'Z , in my capacity/relationship as (E'rint NamelNa,ne, ,t (~ ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~ola~lo8 (fie) Executed in Register's Off Ice Sworn to or af#'irmed and subscribed before me this ~Y of Deputy for Register of Wills Form RW-06 rev. 10.13.06 (StreetAddress) rCiry, State, Zip) Executed out of Register's ice Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purpo s red ithin on this ~-~ day o C~ D~ ..~ tl n Nbtery Public My Commission Expires: (Signature and Seal of Notary or other ot1'icial qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Teresa E. Blosser, Notary Public Silver Sprang Twp., Cumberland Couniy My Commission Expires May 18, 2010 Member, Pennsylvania Association of Notutism