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HomeMy WebLinkAbout02-0549PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of ~~~ ~/ also known as THEREFORE, petitioner{ respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. Deceased. Social Security No. .Z 03 "/D -8 5 St ? No. 21-02-549 To: Register of W'lls for[~th~e~ ~~~,// County of -I~~~~"~a/~~~ in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner~/j; who is/,gra 1 S years of age or older, appl i e S for letters of administration (d. b.n.; pendenre lire; dnrante absentia; dnrante minoritate) the above decedent. on the estate of Decendent was domiciled at death in ~ b2r- F//-ya[ ` County, Pen Sylvania, with It/_£__ last family or principal residence at -~ ~ f ~y, /rs(~~ (hs[ street, n tuber a~ municipality) n .. at then of Decendent at death owned property with estimated values as fo11I (If domiciled in Pa.) All personal property (If not domiciled in PaJ Personal property in Pennsylvania (If not domiciled in PaJ Personal property in County Value of real estate in Pennsylvania situated as follows: ~ 1.0(7/ Petitioner- after a proper search h~~ ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: bra Npme Relationship 3 ~ Residence C~ ~ ~~ D ~ /~~ ~ ~O C L~-~-~ a .~ v ~.. C~ ao C'.% F'.~. .~ 6, ~ O N C m h /~_~ 9-~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF CUMBERLAND J The petitioner(s) above-named swear(s) or affirm(s) .that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. ~' Sworn to or affirmed and subscribed r ° ~ v before me this 10th day of <II "= _ 2002 Y UNE DIk ~ / ~ No. 21-02-549 Estate ~ RAYMOND GREEK EIGHTY ,Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW JUNE 10 ~gtI2002 > in consideration of the petition on the reverse side hereof, satisfacROB pNoGf LIGHTYeen presented before me, IT IS DECREED that is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to ROBIN G EIGHTY in the estate of RAYMOND GREEK EIGHTY Rego er of Wills FEES Letters of Administration .... Short Certificates( ) ........ . Renunciation ............... JCP TOTAL Filetl`%~~ ~lJ....... . .g lsno 9 , QQ ATTORNEY (Sup. Cr. LD. No.) .g lsoD S OH ADDRESS $ O PHONE s ( ',' r'rr rn in`ormarion iTere given is correctly copied from an original certificate of death duly filed with me as Ic..l R'[1 n I The on~ina certificate will be focw:uded co the Stare Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. I rr fbr this Lenit icd h'. ~'?.00 ~~~? ~ ~ C. 2v2~Q-c'x- Lucal Registrar -_ x___7885904 No. DEC 12 2001 Dare ]q.Y vs} COMMONWEALTN OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH Raymond G. L~ghiy SEM SLCIK SECVRITYNWBER vuen pA FpFATX MOM µr L x. MaXe _ E AGEILau SnnoeYl VNCEgtYFAR UNCEp IpAY pqE Of W}RX BWTNpuCE ICMaM PLACE OF pEAtMlCnery 203- w uuc~~muMi you&743 ~~. ~ff~/ ~(,// MpMa r wn Ibura 1 Mildaa ~Mmin. OaY''Y/1 iMNo-iawpnCwrvlN HOSPITAL OTMEq: _ 90 Y^. ,5-9-it }. 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Lemke Flied L-(,gh.Cy WFOquu.T's uYLwDAwgESS cYNw„,.sum,zpcm0 x° P.U. Baz 60.~12~, Hayy.~sbung, PA 17106 ME'111000F aSPp$ITgN DY'EOFpISPpyTpN eMW^ clem.ml[~ RlnnaYBnel slYe^ ^IYo-an. D.x ray PIAGE DF wsPOSRnN.NMI.dc.IIH enIgMYY LxapH.caYlMan, sl.b, zp cpa. • x°v""n^ °""'~"` 12-13-01 anNWbe Cnemafi.Lon S~oe.ce-ty o BGNaURECFF ELKENSE oR PEpSON ACnxc AB SUCH a'n' ax. PA C2ema-CDa ,a0. Hgyy.Le bU/[ PA 17109 LICENSE WMBEq NAYEµDACOpE38CF FACILITY „. CnQm~~on Soc~e~j~ o{t PA cdnwmeil.maxw< nllYlrrx bws.uamrEw.Nape.aqn d In.laM, ale ena x". 00 IOneh-{OWn KOad HNC/C.(i5buy PA 17109 pMicwmnw Wbbbnum.Piewnm paw wum. yu,Y.+uaad Cadn ISprwlxevq iilal / /~~ LICENSE NUYSEp ~y OATESIGNEO ]i. ~ {/ `/L{//.'-oA"a' o ~.'I ~q MbIR w¢141 Mm.:ax3ml,M y,ml„p.lw 1`~I . 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COMREfpNOECa/SE ~ IMo-m. wYlyrl pF DERH} NuIVY gdaM, ^ ~'~e ^ Palbirp Nrplgalbn ^ YM ^ W ^ "' ^ Ne~ w. ^ W ~ saw ^ ulna ml McN.rrnnea Y. ~,a ^ PLACE OFIWURY..V Ipma. M1rm. alraM.IK} Ilw 15paaI.CMkwr. $N1el CFIITVIFN ICMh w M. ~ w.ISW:~hI ^Y'o LOCagN 'C[IITIpYUMI PMYBICIAN ~• Te1MMalylm Yro. ~'NnN^cnpyng UyydoeaN Unenarcano- l'a'~WC+nnaado-vr ~geln vpcungaNO pyn331 SM.NaUpE µDTITLE/{J~~,~CE~gT~I~FI~fuR~ I NaW.MMO[eunaYGrwb WCauaa(alarm ma^Ilr as aMW ..................................................... ^ ~/IY (iV ~/•a In. ~, it (/ FY1 'PIgNp1IHCINp µpCEMIFYgIp INYBICIANIFTY%an LCMirmawcmq nyarn uq canilYVp lOCaubd M1dlnl LICENSE NUYBEq WTE SpNEp IMOYL wY YwI T. Wa EeY ylmy w.Nepe,a..ln«em.•eYIM U•b,em,aM Pr.ea aM ewmWe e.xblq.M m.nru,w.l.laa. ~~ CJ Glt ~9 `!- ' ......._........_...... ^We' xla 12.~10~01 1 ~ 'MEDICAL E%AMINEf1ICORONEp NAME µDADatE35pF pEq$ON WIIOCdIpLETEDC.WSEOF OEaH an me BeYeere.Ymm~mnawe.m ..._ luemz7 Fype«PImI ~ GLfl?WR SYY~y mmnxua}Map.........., raYl9ation, in mY aplnian,Ee.In wcunM allM lNna, aab,aM placa,aM auablM CwulalaM ........................... }'•. ............_........... ^ 1'~H14k ISL3 LJ lLCr I+Vi'P IT /iL .............................. xa. REasrgwssx;x ANp NUMeEg »~ ~ m(j I5l3 ~I/ZG 0~/~. ~ ,h~,t,;//~~LGJ c,~~.w.~~/ _ ~~~~1-I PATE FpEDIMwn. pav. Yawn RENUNCIATION In Re Estate of ~ ~ '~' ~/~ G deceased. To the Register of Wills of _ C UM i$tiQ6~Q,(/ d County, Pennsylvania. The undersigned 56 )/ of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters ~/` AOHT,IiS9tiP.G T IoN be issued to G. 1 z~ r/ T S~ WITNESS hand this day of 19 (Signatu e) ~~~~ ~,~~~r~RV Ro NA,PAzsdc•~ ~~ z~1oy (Address- / (Signature) (Address) (Signature) (Address) RENUNCIATION In Re Estate of deceased. To the Register of Wills of _ ~i~!*,bPii-~ h~ County, Pennsylvania. The undersigned of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters _/~ ,Q_~ . ,1 J 1 be issued to WITNESS hand this day of _~_ 19 , ~~./ C/~ (Signature) (Address) (Signature) (Address) RENUNCIATION In Re Estate of G.' L>~ deceased, To the Register of Wills of ~uln~~- l~M County, Pennsylvania. The undersigned S of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters /~ A 7 f t be issued to '~~ lyatfithis day of 19 (Signature) SYo. sux~'t5 Wf ,At1~ T1to2W.~ (Address) t 6 (Signature) (Address) (Signature) (Address) Name of Decedent: Date of Death: _l~~P,~Y~i~,e- CS ~~J/ Will No.: ;_, ~" C~ Admin. No.: Zo~z --©US/~ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State wh er administration of the estate is complete: Yes ~ No ^ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal repr tative file a final account with the Court? Yes _ No b. The sepazate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal r sentative state an account informally to the parties in interest? Yes ~ No ^ c. Copies of receipts, releases, joinders and approval of formal or informal accounts maybe filed with the Clerk of the. Orphans' Court and maybe attached to this report. Date: /2-9 03 Signature R ply:, G. L~g~71y Name 3 Y/5~ ~u/~ucf .$7~: Addres Telephone No. Capacity: ersonal Representative ^ Counsel for personal representative STATUS REPORT UNDER RULE 6 12