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11-14-08
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Paul Dillman also known as Paul R. Dillman Deceased COUNTY, PENNSYLVANIA File Number ~ ~ ' ~$ _ ~ ~ z1 Social Security Number 209-12-7834 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 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 bom 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: 0 B. Grant of Letters of Administration (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durance 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 Will in Section A above and complete list of heirs.) Name xetattonsm M. Brubaker sister 1303 Kelton Road, Camp Hi A 17011 --~ ~ .. rr (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~~°~J cr1 ~ .ice `' t'-- ~ ~~ L J A (_ __.. ~.,. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principa `r~g~enc~ at ~r -,- 3520 September Drive Apt 3 Camp Hill Camp Hill Borough PA 17011 -~j -~~ (List street address, town/city, township, county, state, zip code) D ~ t Decedent, then 81 years of age, died on November 8, 2008 at Holy Spirit Hospital CwJ ~ ~~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 40,000.00 (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 d or rioted name and residence ~~ ~~^ Betty M. Brubaker, 1303 Kelton Road, Camp Hill, PA 17011 Form RW-02 rev. 10.13.06 Page 1 of 2 named in the Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS 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 Q.Q~„t~ y„ _ ~ . Signature of Pe oral Representative before me the ~ 4+~ day of IWV' ~-r ~~~~ Signature of Personal Representative ~ ~'~ - ~ For the Register Signature of Personal Representative File Number: ~- (- ©$ - ~ ~ z-j Estate of Paul Dillman Deceased Social Security Number: 209-12-7834 Date of Death: November 8, 2008 AND NOW, ~ v • 1 ~ , 2pp 8 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Betty M. Brubaker and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ Short Certificate(s) ........ $ ~ ~.0 . Renunciation(s) .......... $ ... $~ J~P ...$~~.x ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ 0.00 in the above estate Attorney Signature: t~Q~u.. ~c. ~.1~-...r- Attorney Name: Debra K. Wallet, Esq. Supreme Court I.D. No.: 23989 Address: 24 North 32nd Street Camp Hill, PA 17011 Telephone: (717) 737-1300 Form RW-02 rev. 10.13.06 Page 2 Of Z