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Home My WebLink About01-22-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~+~,rnbe~~a~nc~ COUNTY, PENNSYLVANIA Estate of ~~\.t,~ ~ `~~~ ~~ also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COfY1PLETE A' or B' BELOW.) Re ^ 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, dent/: of executor, etc.) named in the 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: B. Grant of Letters of Administra (lfapptica6le, enter:' c.ta.,' d. b. n.c. t. n.; pettdente life; durance absentia; durance mcttoritntej Petitioner(s) after- a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and ]ieirs: (lf Adntirtistration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete list ofheirs.) Name l.~F;' t Residence a 6.4 Le _ - ' f~a~S Q i~ at5 ~~ r~ ~~-~ ~ ~ k_ I Sa r1 T•wdlSlr~t~ (COtY1PLETE WALL CASES:) Attach additioea[sheets i necessar . ~amt~~' ` ~ ~~ QA '~'o~b Decedent was domiciled at death in County, Pennsylvania with his /her ]ast principal residenc~e~ ~a[ --~~~- S ~ l1 M ~ ~ ~'~ ~ n ~.\ r .rq ! ~7P).1 ~ ~As'T 1~?1 ~s3tb%11~4'S (List street rulcLcs's', town/city, lownslrip, cotanty, state, zlp code) C'~m c-1a~~ C~u ~~-- Decedent, then ~_ years of age, died on g t N1.~rna,r- ~ ~ ~ Q~ a ~fl (70 ~~ 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 follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the Grant the undersigned: Si File Number _~ ~ ` ~ q - t~U(O I Social Security Number _ ~ -j 'd ~ ~`~ b ~_t_j orpnnted name and residence C7 q `~~o . d~ _ ~~~ ., ., $- , : ~-~ n ~ - ; - -,r ---1; __ J -:~C~:_~ xs E _._7 ~- ~ - _ ; (~ttt-ti in the appq~j,Sriale t~itpi [p ;-j W I ~aa5 Form R6V-U? rev. /0.!3.06 Page 1 of 2 ~'~i Oath of Personal Representative CO(vI~10NWEALTH OF PENNSYLVANL-1 : SS COUNTY OF ~(~m~\ ~h (~ . The Petitioner(s) above-named swear(s) or affiml(s) that the statements in the foregoing Petition are hZ~e and con~ect to the best of the knowledge and belief of Petitioners} and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or aff;rmed and subscribed ~' before me tl~e ~__ day of a _~ ;h. ' ~ ~ ~ ~^ ~ ~ For the Register Signnture ojPersova! Representative Signature ojPersona! Representative File Number: ~ ~ - ~ `I ~ ~Q~~ Estate of_~~~~n ~i~U ,Deceased Social Security Number:_ ~ `l Z ' o ~ _. _, pc~~,_ Date of Death: ~ I - I R •- CSR AND NOVv', 2~ , 02--x_ in consideration of the foregoing Petition, satisfactory proof having been presented efore me, IT DECREED that Letters 9^ ~ + m ~~ c GT r ~T i i n, are hereby granted to ~la>~, J~,-, ~ ~ ~ ah~ - in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record the last Will (~nd/~codicil(s)) of Dry cedent. r.~ FEES Letters ........... $ ~~ Short Certificate(s) ........ $ Renunciation(s) .......... $~ ... $ :~ _. ... $ ... $ ... $ ... $ ... $ .. $ ... $ TOTAL .............. $- `,~1 RegisterojN'~ills x ~] -`-~- -t)~ ~ " t ~ - Attorney Signature: '-t-t Iv _ ;:~y., . ~. _.~ Attorney Name: ~, ; Supreme Court LD. No.: - -= Address: ~„ J Telephone: Form RW-U_' rev. 10.13.06 Page 2 of 2 RENUNCIATION ~1~ ~ REGISTER OF WILLS ~-`'~`m~~~~~ COUNTY, PENNSYLVANIA co -_~ ~?~ ~ a~n ~~ ~: ;, r-~ ;`~ . L_l "r'{ -' -.-. " j I Estate of -`+J Ka C,~ ..a _ -. - N ,= , ~ _~ 1~ ~_ J ~ '~ i W Deceased I, ~~~ 1... ~(,/~ , in my capacity/relationship as ~~ (Print Name) ,~.~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~~r~u~~ u ~ ~ ~ (Date) (Signature) p ~ /~ / /~ Z. Yv / "t- ~ ~}. 'J ~-~l/~l(~ (ter (Street Address) (Crry, State, ZrpJ Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of that he or she executed the renunciation for the purposes stated within on this ~`'f~'1 • day of 7ANUE} 200q Deputy for Register of Wills Notary Pub t My Commission Expires: l,$iomature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission. ) AAA4~ OF P~NNSYLV/Wlq Nphriat Seat Form RW-06 rev. 10.13.06 ~ M°~~ JNrt Passlewikl, Notary Publio Pine'ltivp„ AIIegMny County My Commiialon Expiroa Aug. 15, 2012 ~~' ~ytiania Assodatlon W Notaries RENUNCIATION ~~ QQ REGISTER OF WILLS ~'"~ ~ ~l`""L COUNTY, PENNSYLVANIA Estate of ~T e'er- ~~ `~= o ~~ -~, - ~~ - JJ~ " `_~`; ~r~:("'~ r..l 1 J' 'T7 .7 (_ --( ti a ~ ,., :~ ' :~ `-~ rv - `,; 1V - ~-e-i A. j ~: ~ r, .-- ~ J w ~. l~ceased , I' ~t`~p ~~" ~ ~~~ , in my capacity/relationship as d ~ (Pratt 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 ~~ 7 /v ~ ~ate~ (Signature) (Street Address) (Cety, State. Z:p) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of that he or she executed the renunci~tior~for the purposes stated within on this ~ day of ~t1N ~~ G~ C~L~-~--~s...~,Sz Deputy for Register of Wills Notary Public COMA1p1y4~EALTH Of PENNSYLVANWq My Commission x eN07ARfAL SEAL (signature and seal of N CH~o T c1i311~, ItiOtery PUbffC administer oaths. Show ~°~1lu(10 ornmissi0n Expires Dec. 30, 2010 Form RW-06 rev. 10.13.06 C7 r.~ ~~ `~ RENUNCIATION ~ ~~ ~ ~ `~ ; _ ., ~--- f~ ~ - ~~~ REGISTER OF WILLS ~~~ ~: -z ~ tC' ~~ .~~ ~ -,~ 1.., „ ,~ COUNTY, PENNSYLVANIA ~~ ~ > ~ ~ ; - ; : _ , ~ --~ ~ w Estate of ~~~~ c' ~•/ ,may i1 ~ /~;~ .~ / ,Deceased I, ~[~~'i~/~n > U ~rr.7/r _ _ _ in my capacity/relationship as (Print Name) ~ v ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to i 1 O 5 (Date) ~ i ~~---- 6d (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills Executed out of Register's Off ce 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 ono(.. day of Q/)yUrc~ ,~~a 9 ~ ~~~~ Notary Public My Commission Expires: a, -3 -;~~ ~ ~. (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. /0.!3.06 COMMONWEgL~pF.1,VAMA NOTNMIY. SEAL Pi4lXA K SMITH, NOTARY PUBLIC SILVER SPRANG TWP., CUMBERLAND COUNTY MY CUivIMISSION EXPIRES FEBRUARY 3, 2012