HomeMy WebLinkAbout11-26-08PETITION FOK PROBATE AND GRANT OF LETTERS
REGISTER OF ~~'ILLS OF _~~~~~~iZ~ f~L~, ~ COL1i~TY, PE~~ISYLVANIA
Estate of (yl L ~ ~ ty~ ~ I R~ !~ File Number o~
also known as _ / r ~-7 G /
,Deceased Social Securih,~ Number / J ~J ' / ~L ` ~~ /
Pe~itioner(s), who is,'are 13 years of age or older, apply(ies) for:
(CO,LLPLETE 'A' ar 'B' BELO LY:)
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^ A. Probate and Grant of Letters Testamentary and aver that Petitioter(s) is /are the ~ n ~natnedin the
last Will of the Decedent dated and codicil(s) dated ~~
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(Stnte relevant cu•cumstnnces, e.g., renunciation, death ojerecutar, etc.) _ _ ~ ~.
Except as follows, Decedent did not marry, was not divorced, and did no[ have a child born or adopted after executior> o.F`itti9ttume~~5') offered
._~ ~_ _ -
forprobate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ N
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W
B. Grant of Letters of Administration
Qjapplicable, enter: c. t.a.,' d. b. n. c. t. n.; pe~ideittelite; durante nbsentia; dnrante rnina'itnteJ
Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by [he 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
C-- L.c~At.) JJ 5'UaS- vv,~E 13to t/2 ytq,~~~ a~vlt tJiwcu
- / t ~ r~G'~.~ 131v /Z tjiZr4~tJ`~ t~J~ h;Fw 4t
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,VL'; - . I f'~t) [ ~/ I~ao'~ Cl~'~'~-+ 13(c ~/7 3dr).vi1~ >`lJc Ne-w
R t~#.~D PA 170 7 u
ticc3t~i~J. l~fl t7c?v
(CO,YIPLETE LV A.LL CASES:) Attach additional streets if necessary.
Decedent was domiciled at death in ~%i IU[~t I~L~1"A~ + >County, Pennsylvania with his /her last principal residence at
(List street address, town/city, townsAip, county, state, rip code] '
Decedent, then _~~ years of age, died on ~~ G ~ ~ pO at -t- ~ ~> [., y 5 i~ t to ~ t ! I c:>~> ~t I F( L
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ . ~r (C% J
Iaf not domiciled in PA) Personal property in Pennsylvania $ C% . ~~' `~
(If not domiciled in PA) Personal property in County $ ~~ . y `~''
Value of real estate in Pennsylvania $ ~. ; ~ ~,>
situated as follows:
`Nherefore, Petitioner(s) respecttiilly 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:
Signature Ty ed or tinted name and residence
t
Form RFY-0? rex l0. 13.06
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Page 1 of 2 `'
Oatli of Personal Representative
COVl~10N~VEALTH OF PENNSYLVANIA
COUNTY OF ~ ~ 1 I hN I~j1=~~ AA.~ U
Register
"The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are tine 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.
S•.vorn to or affirmed and subscribed
SS
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SignatureojPersona!Representative ~Q '~'
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Signature ojPersona! Representative ° ~T' N
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Signature ojPersonnl Representative ;; _`~ `
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File Number: ~ ~ ' (113 ~' ~ I ~ 7
Estate of ~~;, ~,~ 11~~~ ~ 1 ~ ti ,Deceased
Social Security Nwnber: r/ ~ ~ - ~4 - ~~ ~ ! Date of Death:' S - (.~ 3 " •ZC~~-~'C~ 7
AND NO`V, ~ ~.Q ~ ~~~~~ , s~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~'~.~ ~ ~~; ~ S `~ i2+~ ~ ~ r~
are hereby granted. to ~~~"~- L-L~i ~ `~ ~ C
in the above estate
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) . 3 ... . $ 1
Renunciation(s) ... ~ ... . $ ~ Q
.. . ~
... $
.. $
... $
... ~
... ~
... $~_
TOTAL .............. S (r`~JC?
of
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
~.
r-~,,,, Rw-n~ ,~~ rarj or Page 2 of 2
re me the c~~_ day o
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RENUNCIATION
RE~ISTER OF WILLS
~i_ss.~~l ~~ COUNTY, PENNSYLVATfIA
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Estate of C ~ t,t ~ ~.;~; ~ 1 l`Z I~ r~ ,Deceased
h C~~ ~~ ~w~ - ~ N~~ - ~~ . ~ ~~~v~i , in my capacity/relationship as
(Print Name)
~~ ~' n ~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be i~;sued to
(Date]
Executed in Register's Office
Sworn to or affirmed ~d~subscribed
before e this =XJ day
Signature) _.__.._
(Street Address)
(City, State. Zrp)
Executed out of Re gister's Office
Before the undersir;ned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of ,
Deputy fo: Registex~~r'ills
Notary Public
My Commission E:~pires:
(Signature and Seal of Notary or other ofTcial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.?3.06
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RENUNCIATION `-=o
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RE ISTER OF WILLS A'
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_ f _ _
~~~`~~.~~ Cs.~1 COUNTY, PENNSYLVANIA
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Estate of _ ;'~ U.A ~~ ~ i .. i R.fl ~~ ,Deceased
I, 671) ~ ~L~ -- V 1 ~~ H 11. i ~. ~~ _, in my capacity/relationship as
(Print Name)
~C~ 1~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~ `~- day
of ~~UII~.fl1 ~JQ.Ir, ,
~;, ~ i
Deputy for Register of ills
(Srgnature)
(Street Address)
(City, State. Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
parry executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of ,
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form Rii'-06 rev. 10.13.06