HomeMy WebLinkAbout03-26-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Janet Cody
also known as
File Number 21--
,Deceased Social Security Number 217-22-5291
Constance Lee Ericksen
Petitioner(s), who is/are t 8 years of age or older, apply(ies) for:
(COMPLETE A' or `B' BELOW.)
QX A,. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the
last Will of the Decedent, dated 08/17/2005 and codicil(s) dated n/a. Robert W. Cody, named
Co-Executor in the will, renounces his right to serve, in favor of Constance Lee
Ericksen, named Petitioner herein.
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instruments} offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: no excep bons
B. Grant of Letters of Administration ~ ~ ;_:Y
app~ca e, enter: c..a.; ..n.c..a.; pe ente ite; urante a sen ia; uranfe mmonta a -- ;
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse;(if`any) an~eirs: (If ~
Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.) - -
C~ -
Name Relationship Residence - -;,--- '
v -
_~ tv
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(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
102 Green Ridge Lane, Newville, West Pennsboro Township, Cumberland, PA 17241
(List street address, town/city, township, county, state, zip code)
Decedent, then $6 years of age, died on 03/09/2009 at Chambersburg Hospital, Chambersburg, Pennsylvania
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If snot domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
All personal property
Personal property in Pennsylvania
Personal property in County
situated as follows: n/a
50,000.00
Wherefore, Petitioner(s) respectfully 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:
Signature Typed or printed name and residence
Constance Lee Ericksen 2926 Constellation Drive
/~~ ~~ G~~ ~ Chambersburg, PA 17202
Form RW-O2 Rev 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY oF~ Cumberland }
The Petitioners} 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 persona! representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
~ ~ '``~ -~~~ ~f"
~
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Sworn to or affirmed and subscribed - -(~`-~~ ~
~
Srgnature of Personal Representative Constance Lee Ericksen
~~
before me t'nis
day of ~-? ~ a
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! l~ y( ~~ ~C>G)~~ Srgnature of Personal Representative ~ r '-
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For the Register Signature of Personal Representative _ ' _
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File Number: 21--
Estate of Janet Cody ,Deceased
Social Security Number: 217-22-5291 Date of Death: 03/09/2009
AND NOW, ~~ ~'a( I ~~Q. l'C".17 ~~ ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Constance Lee Ericksen
and that the instrument(s) dated 08/17/2005
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................................ $ 90.00
Short Certificate(s) ........................ $ 20.00
Renunciation(s) ............................. $ 5.00 Attorney Signature: !~ .,
Automation Fee $ 5.00 Attorney Name: rro
JCP Fee $ 10.00
Supreme Court I.D. No.: 92$26
j'~'' ' ~ ` $ ~ S l,~ Jerrold A. Sulcove
$ Address: 82 West Queen Street
$ Chambersburg, PA 17201
$ Telephone: 717-264-5194
TOTAL .................................... $ 130.00 + 1~
i'~S~'`'
Form IQtN ~2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
c~t~'L'
in the above estate
~..J
Id A. Sulcove
RENUNCIATION
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of
la~cat c
I, f~yh~,~f
in my capacity/relationship as
(Print Name) / ~
~'~ry~,, of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
_ ~~r~Cfa y~ ~ ~ l.. ~r r ~~, sc
(Date)
Executed in Register's Office
Sworn to or affirmed nd subscribed
before me this (~ ~~ day
of /~1clr~-h ~~~'~ .
Deputy for Register of Wills
Forrn RW-06 rev. 10.13.06
~~ w . C~
(Signature) t
11 ~ ~~' r rn . ct e, •r
(Stre~~e''t~~Address) \\
(City, State. Zip)
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 MCaf C~ ~- ~ ~'
1 ~~
~J_-~~-1 t~ ~ 4Z~~
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official quatifiad c~
administer oaths. Show date of expiration of Notary's Commission,l
~~L~l
.~~ Nofrj P1iic Sdb d M~rybrd
~ f~; ~~ 1,2009
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Janet Codv
Bruce Ericksen and
(Print Name)
(Print Name)
Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Janet Cody
and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Janet cosy
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Janet Cody
~.
~~~~h~~~
(Signature) Bruce Ericksen
is in his/her own proper handwriting.
2926 Constellation Drive
(Street Address)
Chambersburg, PA 17202
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~ ~ ~~~d~,a~y
of ,~(,(r"G l't _~~cvC~ 1.
r1C~~c
Deputy f6r Rey(~er of ~Ni-,Is
(Signature)
(Street Address)
(City, State, Zip)
7'. ,S
y
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Form EQ{IV Q4 Rev. 10-13-2006 Copyright (c) 2006 forth software only The Lackner Group, Inc.
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate cf Janet Cody
Lauran M. Sullivan and
(Print Name)
Deceased
(Print Name)
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Janet Cody
and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Janet Cody
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Janet Cody
is in his/her own proper handwriting.
..>
GPI. ~'(,~`C~--~---~
( ign u) Lauran M. Sullivan
468 Mower Road
(Street Address)
Chambersburg, PA 17202
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this a~ day
of ti rC'~ ~ .
_~ ,~,r1~ .~i r_, f
Deputy for Re ster of Wills
(Signature)
(Street Address)
(City, State, Zip)
Form RW-O4 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.