HomeMy WebLinkAbout02-10-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~ COUNTY, PENNSYLVANIA
Estate of ~~ ~~ ~~j
also known as File Number /Y,',
C~RA7 t`t G~r4 mn 12t'/7 Rf`f'A Sr. afro ~cr r t
Deceased Social Security Number ~ Q) ~ ~ Oa 9 ,2
Petitioner(s), who is/are IS years of age or older, apply(ies) for:
(COrLIPLEJE 'A' ar 'B' BEL06Y:)
^ A. Probate and Gran[ ol'Letters Testamentary and aver that Petitioner(s) is /are the
last Will of the Decedent dated
---~__ and codicil(s) dated
named in the
O'late relevant eircurnstances, e. o
g., renunciation, death ofeeecuror, eteJ ) ~"~"'--_
Except as follows, Decedent did not marry, was no[ divorced, and did not have a child bom or ado fed after exew[io ~ ~ ^~
~y~ 'TI f-
for probate, was not [he victim of a killing and was never adjudicated an incapacitated person: p ~~ 7 msh~n[(s) p'f1
LI B. Grant of Letters of Administration
~, o s.,
'c
__: r _ ..... d-
(O aPP[icable, en[ere.Ln.,'d.b.n.c.t.a.: pendenfelite; durmue absen[ea: duri(h~minor'itate~ ~-rI
Petitioner(s) otter a proper search has /have ascertained [hat Decedent left m Will and was survived by the following ~
Adnfirustration,c.r.a.ord.b.n.c.La. enter date of Will in SectionAabove and comnlere l;cr ~lt,or.~i gepouse (if any~rd heirs: (/f~
Decedent was domiciled at death in
_ _ _ County, Pennsylvania with his /her last principal residence at
[ strec[ nddress. lmvu/city, torvnslelp, coanty, state, zip code) ~--- _______
Uecedent, then -~~ ~gyears of age, died on )k ~ ,y
~_ ~ at 313 L~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) P I
(If not domiciled in PA)
Value of real estate in Pennsylvania
situated as
Farnr RVV-0? rev_ lOJ3.06
ersona property m Pennsylvania
Personal property in County
$~~ ~~
Page 1 oft
~,
i
-~~~~..~-.c.<v,vLL(,ASES:JA1t¢c6 additiona[s/+eets rfuecessary.
Wherefore, Peti [ionm(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and dte Bran[ of f erro.~ h ~~,.. ,..,_._.__:_._ ~_
the undersigned:
Oath of Personal RepresenYativE
CO~I~IONWEAL"CH OF PENNSYLVANIA C7 d
SS CO w
COUNTY'OF "~ ~
~_, rn
,,;-_ m
The Petitoner(s) above-named swears or affi rn
(j ms(s) that the etatzment3 in the foregoing Patidon are huc zri~.e~acr tdl~a bas€roY
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s~d4'>7~ ~II an~uly
r.
administer the estate according to law. ' ? ~- -
Sworn to or affi mied and subscribed ; ' ~ ~ ~ ~
4~1Q~- y ~., 3
Def~e me the ~ 5naau'e o~ er,vOnnl Represen(a(lve
r -~~___ day of /-~
~~ ~9
F the Register
File Number:_
Estate of~~
Social Sey~///~~rity Numbee~_
AND NOW,~J~
having been presented before a , IS DECF2E
are hereby granted to ~ /
and that the in,trument(s) dared
aep,~ese,~~,~,~e
Si~nnture of Persanrt[ftepresen(alive
/~
-~9a
that
Petition, satisfactory proof
in the above estate
described in the Petition be admitted to probate and filed of record as thegL~a/s/'t/Wy~~i~/l( (and C ieil(s)) of Dec~t.
Fl ES ~ f __i~~1~~~ ~ ~ ~i
Letters ...... ~ ~~ Reyister'afW'
Short Certificate(s) ........ $-.(1~~__
Attorney Signature: ~~`'' i
RenunciationO . , $ _
$ Attorney Name:
_ .. $__._~Z__-
TOTAL .............. $
/~mmi RW.O? rev 10.130
Supreme Court LD. No.:
Address:
Telephone:
Date of Death:
Page 2 of 2
~- J`~~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
P 48064 ~
Certification Number
This; i,s to certify Ihat the information here given is
correctly copied I7om an original Certificate o! Death
duly filed with me as Local Registrar. The original
certi ficu[e will he forwarded to the State Vital
Records Office Cor permanent filing.
A' ~~-~~ SE 1 9 2008
i.ocal Registrar Date Issued
__._-_.._ _-__. _._ _._. _ _. _, tV
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TvFE/Fxwnx COMMONWEALTH OF PENNSYLVANIA • pEPARTMENT OF HEALTH • VITAL RECORDS
>EFrMNENT
eucrc wrc CERTIFICATE OF DEATH
(See Ina[ructlons entl exemplea on reverse)
t W'm °I D^pCery (qM, mmle, w{ vl5. sTRTE FILE NUMBEF
Graziella Maria-Rita Serradella z~s°" S6dMl s.unexunMr a. oM.a Deem lMmm. eev.rdA
s. ngel~.l6nman uM.,l uMena e. oeaaeirn Mmin,a, , Female 181 - 78 -0292 Sept. 18, 2008
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9 M.x. an w,,, w„,r r Ilaad lc Ma eared mmwl a.FMwmoxmlcrxnon °rer
rn. Nov, 30, 1998 ' "°°x^a' aM~.
Harrisburg, pA
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397 Crossroad Schoo~ Rd. °&ea'"I~'
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zm malrem'e Mermpgeaae Awl.~Yra.n,:re. ap oar
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