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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 J'^' (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" ~ ` Sworn to or affirmed and subscribed - -(~`-~~ ~ ~ Srgnature of Personal Representative Constance Lee Ericksen ~~ before me t'nis day of ~-? ~ a ' ~~ ,r3 ~] ! l~ y( ~~ ~C>G)~~ Srgnature of Personal Representative ~ r '- ~~ " a r=:7 ~. C`i For the Register Signature of Personal Representative _ ' _ _ _ ~_ '- --+ N . i .. N 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 - 4 .r7 ., - _.,,.. r~, ! ~ ~i1 __ -, N 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.