HomeMy WebLinkAbout03-18-09PETITION FOR PROBATE AND GRANT OF LETTEKS
REGISTER OF WILLS OF
Fsta[e of ~Y//'1 ]~E ~ P ~1 /~ln U~ ~ <
also known as
Deceased
Petitioner(s), who is/are 13 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
COUNTY, PENNSYLVANIA
File Number ~/ 0 / ~ ~~~
Social Security Number ~ ~ ~' "~ O z ~6 ~ D
^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
last Will of [he Decedent dated
and codicil(s) dated
the;.
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(Beare relevnnt cirewnsfances e g, remmclation, deafG of ezecumr, etcJ j j,~ -A- ~-
Except as follows, Decedent did not marry, was not divorced, and did no[ have a child born or adopted after execution of IY~rt9itumett~ offet~. i. ~
for probate, was not the victim of a kitting and was never adjudicated an incapacitated person: ~ -x,~ [.) -' ~ r
W
B. Crant of Letters of Administration
(Ifappticable, enter ata; d. b. n.c. f. a.; penden(e tire; durance absentia; durnn(e minorifateJ
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(COMPLETE LN ALL CASES:) Attaelr aJditional sheets if necessary
Decedent was domiciled at death in _ County, Pennsylvania with his /her last principal residence at
~/o) Snr;nrr ~nu5e Rn~mt~ Nill I>I~ I7utl
(Lis! street address'. tnr n/ciry~i ~to slily, coun~~, state, zip coAe) -~
Decedent, [hen ~j `~ years of age, died on Z 9 G' at ~'fr.(Y t .`~ ~JG(I~4 ~ID / fri I
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~ 5 ~-z% ' 6Z1
(If not domiciled in PA) Personal property in Pennsylvania $
([f no[ domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows
Wherefoic, Petitioner(s) respectfully request(s) the probate of the last Will end Codicil(s) presented with this Petition and the grant of Letters m the appropriate form to
the undersigned:
/VzRlI1Hr ~,~t~ I4`iq Yklc7~'T~RF~I 17R
IYIC~HH zC.SBLUsZ~'7
ata )~cJ-o
Fonn RW-0? r-ev_ 10.13.06 Page I Of Z
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (iI any) and heirs: (/f
Administra[ion,c.t.a.ord.b.n.c.t.a.,euter date of Will in SectionA¢bave and complete list ofheirs.)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
//~J ~n' / SS
COUNTY OF (_ .~i~.~KL~/~~
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 Decedent, Petitioner(s) will well and truly
administer the estate according to Law. ,
Sworn to or affi cored and bscribed \
Signnhve ofPenaml Representnfii
before me the / day of
Signnfure of Personnl Representative
/ ~br [kfd Register Signanve of Personnl Represenmlive
File Numbe . ~/ ~ V / ~ ~~-(~ C
~~ r r
Estate of
Social Securi~ty~Nu~Jmber '~ Date of Deat
AND NOW, ~ /// ~~[~'h~, ~, in consideration
having been presented beforer~ntr~e, IT IS nDECRCE.E"D~'Tha/t Letfers Lf/
are hereby granted to /V (~{ /17Q1' o~re,Et2 (--~/ ~/
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as
FEES
Letters ............... $~
last Will (and
of
Short Certificate(s) ........ $ . (/~i Attorney Signature:
Renunciation(s) ......... $_ ~ ~
$ /Q Gc)~ Attorney Name:
-
$V `4
Supreme Court LD. No.:
$ Address:
$
"" $ Telephone:
TOTAL .............. $
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I3pecea~ed '~i
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Petition, satisfactory proof
in (Ire above estate
Porn, Rw-na ~~„ to-ls-oa Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEAI•IH ~9'~c1
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for Ihis certificate. $6.00
P 15021811__
Certification Number
xlos.las REU IIRK6
TYPE/POINT IN
PERMANENT
aACx INx
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This is to certify that the information here given is
correctly copied tnlm unoriginal Certificate of Ueath
duly filed with me as Local Recistrar. The original-
cerlificate will be Ga-warded to the State Vital
Records Ottlce For perluanem filing.
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Loral Reg ~trar Date Issued
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CERTIFICATE OF DEATH
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2CC9 ERR 18 r'M 3~ 53
RENUNCIATION CLLRK GF
OR~~-a~~ ; CURT
REGISTER OF WILLS Cll'. ~'~~~ ~n oA
COUNTY, PENNSYLVANIA
Estate of ~~ i 111ZDF 6 r~' C'S N Cs/+-I ~~ i C L ,Deceased
I, /)1eNl it'!Ve i2 ~H C4IZ ~h.~ C ( , in my capacity/relationship as
(Prior Name)
.2/G Tel F l7 of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
/V12n'lr~Jc S~lt~~n~-1 C~Zt c.
s~p~/ ~~
(Date)
Executed in Regster's Office
before me his / day
of _ ~- , ~.
L-~
/~,~~~ ,
.(~~beput~£`or~gi~r of Wills
Sworn to or affirmed c~subscribed
tt
(Signature)
(StreelAddress)
l~tE C~IG_GI i t s ~1 c r r ~~~ ~ ~~'~ C
(Ctry, State. ZpJ ~
Executed out of Register's Offce
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
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission)
Farm RW-06 rev. /0.!3.06