HomeMy WebLinkAbout01-16-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of DEAN SMITHERS
also known as
COUNTY, PENNSYLVANIA
File Number ~ I _ ~) D ~ ~ ~~'
,Deceased Social Security Number 211-18-2919
F & M TRUST COMPANY, 3907 Market St. Camp Hill, PA 1701 1, DECOKES M. SMITHERS AND LISA S. CAMPBELL
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or 'B' 13ELOW.•)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the CO-EXECUTORS named in the
last Will of the Decedent dated March 1 I, 2005 and codicil(s) dated None
- _ ~t
(State relevant circumstances, e.g., renunciation, death ojexecutor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of tfi
for probate, was not the vit:tim of a killing and was never adjudicated an incapacitated person: No Exceptions
B. Grant of Letters of Administration
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(Lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite;duranteabsentia; durq;~eminoritate) '• i
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any)sdit~ heirs: (If
Administration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at
5 Alliance Drive. Apartment 302 Carlisle PA 17013
(List street address, town/city, township, county, state, zip code)
Decedent, then 81 _ years of age, died on November 12, 2008 at Chapel Pointe at Carlise, 770 South Hanover Street
Carlisle, PA 17013
Decedent at death owned property with estimated values as follows:
(If doriciled 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 follows: N/A
$ 1,000.00
$ 0.00
$ 0.00
e
0.00
Wherefore, Petitioner(s) respf;ctfully 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 ed or rinted name and residence
~~ ry~ ,.~.~-- F & M Trust Company, 3907 Market Street, Camp Hill, PA 17011
`'~ ~ Delores M. Smithers, 5 Alliance Drive, Apt. 302, Carlisle, PA 17013
t~ N
`° ~ ~ 7 Lisa S. Campbell, 20 Shippensburg Road, East Berlin, PA 17316-9123
Form RW-02 rev. 10.13.Oh Page 1 of 2
Oath of Personal Representative
COM~10NbVEALTH OF PENNSYLVANLA
COUNTY OF
SS
'The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hue and con~ect 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 tl:e estate according to law.
Sworn to or afftrn;ed and subscribed
before me. tl~e _,~~~~ day of
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For the Register
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ofPersonn!
Signntur-e of Persona! Representative
Signature ojPersaml Representative
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File Number: sZ- l - ~ - I Z.~9 I ~`~ N
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Estate of~Qp,.Y-1 ~'M t~1t~Q~S ,Deceased to
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Social Security Number: a I 1-18 'o~q I ~ Date of Death: I (- 12 - O8
AND NOW, ~_ (\.~1~0 , in consideration of the foregoing Petition, satisfactory proof
having been present d b fore me, IT I SCREED that Letters Te~Tfa m2~C't~
are hereby granted to F-~ty~ T-rlw_',~T C~~mrc~~~ ~ ~-~~~eS (`(~ SM t'~-J~,e~ C', V.,G~~,['.. 5 CI~T ~C1~QQ
w - e ~~~ t~'~ in the above estate
and that the instrument(s) dated 3~ l l ~ Q~
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $
Short Certificate(s) ....... . $ Zt-I
Renunciation(s) ......... . $
tJ..> ~ LL _ .. . $ IS
J~~ .. .$10
.. . $
.. . $
.. . $
.. . $
.. . $
.. . $
TOTAL ....... ... . $ ~ L
Attorney Signature:
Attorney Name:
Supreme Court LD. No
Address:
Telephone:
p~r,n Rw-o? rev. ro.r3 or Pabe 2 of 2