HomeMy WebLinkAbout11-24-08PETITIOw Fox PxoBaTE awTn Gr~~ ~~~s
_,
REGISTER OF WILLS OF ~~,nIxGI,~~ COUNTY PEiV~lSYLVANIA
CLLR,( C
Estate of ~+~~he~} a la Lz~ File, oRPH^,N,'s, rOURT OZI -D8-II7I
also known as '--~~~~ ~~ -~. ~n
,Deceased Social Secun[y Number ~ LS ~"~"
~ U~11 3
Petitioner(s), who is'are 13 years of age or older, apply(ies) for
(COMPLETE 'A' or 'B' BELOW:J
^ A. Probnte and Grant of Letters Testamentary and aver that Peti[io[er(s) is /are [he
last Will of the Decedent dated mm~ed in the
and codicil(s) dated
(State re(e van! circurns(ances. e.g_ renuncintion, den(h o(e.eecutor, e(e J
Except as follows, Decedent did not marry, was no[ divorced, and did no[ have a child born or adopted after execution of the insttument(sj offared
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Admin
(/Japplicnble, enter c.Ga; d. b. n.ct a.; p¢nde~rte (ite; Aurnnte nbsen«n; durmrte minm~itnteJ
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: (!f
Administration. c. t. a. or d.b n. c. t. a., enter da(e of Will in Secrian A above and canp7ete list ofheirs.)
Decedent was domiciled at loath in rm~J.Qh ~1-Y.p County, Pennsylvania with his
_'"~ mCvrS 114 N v ,C' ..U 1111 ~ rvc ~n ~. Ea t (1c ar ~X R U
(L t ce[nddr ras, town/ury, farvnslnp, county, smte, vp code/
Decedent, then years of age, died on 7[ V eU at V{a ('t1L ~.1-1SS3'~2C~ I :~
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 $ ~ j U C~
Value of real estate in Pennsylvania ~
situated as
Wherefbre, Peti [loner(s) respectfully request(s) the probate of the last WIII and Codicil(s) presented with this Petition and [he grant of Letters in the appropriate form to
the undersigned'
lI (r~~1~)c ~ ~)K - k nc~a s
Form RVV-0? rev. 10.13.06
I'lu~S
Page I of 2
(COMPLETG lNALL CASES:J Atlnclr ¢ddifiona/sdeefs if necessary.
Oath of Personal Representativetdfld NQV 24 AM 10~ 50
CONL~[ONWEALTH OF PENNSYLVANIA ~~~~ ~ ~~
/' ~ ss pRPHA~ ` ~OURT
COUNTY OF ~be~~ CUNEi:''-'~ ~~.~ !.,~;., PA
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hue and coaect 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 tmly
administer the estate according to law.
Signnnve ofPersannl Reprerenlnave
Si~namre ofPersannl Representative
Signnarre ofPdrsonn! Representative
File umber: I - O o ~ (I
Estate of-~~~~' e~k~~~I~
Deceased
Social SAcu1rrity`IN~udm~ber: ~ O ~ ~~(`'1 0 ~ V~~/I~ I~
AND NOW, tV'OVUV~-~ p~"T ~W~
having been presented before me, 1T IS DECREED that Litt r
are hereby granted to ~{'~~ ~ , ~~ I~
Date
a6o~
in consideration of the foregoing Petition, satisfactory proof
.. _
in the about estate
and Uiat the instrument(s) dated _ ___
described in the Petition be admitted to probate and &led of record as th I st Wi! (and Codicil(s)) o ~cedent. ~
1
FEES ~ ~
Letters ...... ,~~ Register of Wj !s ' -y, , f 1( /1 t
i' ~~
Short Certificate(s) ........ $ ~ITL_A IY~II` ~~t f
_~_ Attorney Signature:
Renunciation(s) $ IO.
~~ . _ $ 0-~-- Atlomey Namc: _i
~ ~ ~ Supreme Court LD. No.:
$ --
_ $ Address:
S
$ Telephone:
TOTAL .............. $
Form R4V-0_' rev IOJ 3Dfi P3~d 2 Of 2
Sworn to or aful~_ ypd subscribed
before me the- day of
oln~~l
Gig ~ (1'7(
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
I P 14793391
Certification Number
This is to certify that the information here Given is
correctly copied from un original Certificate of Death
duly filed with me ae Local Re~!is[rar. The original
certificate will be tbrwarded to tlvc Slate Vital
Records Office li)r permanent filing. +~ (}
``Local Registrar Date Issaed
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2tt~8 ~OV 24 AM 10~ 50
RENUNCIATION
RE ISTER OF WILLS
GtYI COUNTY, PENNSYLVANIA
Estate of
I,
~~`
t C~l~
(Print Name)
m my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
111 I_.,I. ~ ,.
e
Nov ~~~_
(Dare)
i ~
(Sheet Address)
~o-a ~ P~ -~o~,s
(Crry, Stale, ZipJ
Executed in Register's Office
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
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.)
CLEZ ; C.=
ORPhra~d'~ CO!!RT
CU~E~~^ ! ~"~"~ PA
Deceased
Form RW-06 rev. 10.!3.06
o~-i1~7(
RENUNCIATION
c~08 P~DV 24 b~ 10~ 50
ORPHA.~!'S CCURT
CUM ~ ~ ~' ~ ` ~,;`~., PA
//'' REGISTER OF WILLS
S..U/4E3~2( /}!UI COUNTY, PENNSYLVANIA
Estate of
Deceased
jj'~~//~~ // I~ ,, II - /~ - - . vv~r v , in my capacity/relationship as
__ ,(/t'TrA 7r7 Tr ~ (Prircl Name)
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
N~V 2 Z, 2oOg
~oare~
f ~ ~nr ivU
wig~+wre/
~U~ Doi2 ~F ~211~F
(SfreelAddress)
1-l U~fM l~7ar.uN, /~d4 I ~03(~
nary, s[ute. zpl
Executed iu Register's Office
Swom to or affirmed and subscribed
before me this ,~7~ --'~' - day
~~.
Deputy for Register of Wills
Form RW-O6 rev. 10.!3.06
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciati~ f,6r the
purposes stated within on this ~Ja - day
Notary Public
My Commission Expires:
(Signature and Seal of Notary or otherofficial quali£ed to
administer oaths. Show date ofexpiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL S~
MICHAEL R. CARANCI, Notary Public
Lemoyne Boro. Cumberland County
My Commission Expires June 15, 2010