HomeMy WebLinkAbout04-14-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of _
also known as
Charles W. Fealtman
COUNTY, PENNSYLVANIA
File Number 21-- ~q- Q~~
__
,Deceased Social Security Number 201-16-5804
Jennie C. Fealtman
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or B' BELOW)
XD 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 03/24/2004 and codicil(s) dated
State n;levant 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Administration
ap rca e, en er. c..a.; ..n.c..a.; en e r e; uran e a sen ra; uran a mrno a e
Petitioner(s~ after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of ill in Section A above and complete list of heirs.)
Name Relationship Residence ~
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. --~ -_+ ` ' ~ r-r
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal resid$~"nce at -- ~ ~' ` '.
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1126 Fernwood Avenue, Camp Hill, Lower Allen Township, Cumberland, PA 17011
(List street address, town/city, township, county, state, zip code)
Decedent, then
$4 years of age, died on 01/18/2009
at
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
Unknown
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
Jennie C. Fealtman 1126 Fernwood Avenue
,~ ~'1/^ /~.~ Camp Hill, PA 17011
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Form - Z 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 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 affirmed and subscribed
before me this ~_ day of
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For the Register
Jennie C. Fealtman
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File Number: 21-
Estate of Charles W. Fealtman ,Deceased
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Social Security Number: (1 201-16-5804 `/hh Date of Death: 01118/2009
AND NOW, ~ ~ ~' t"~+ ~ 4r t ~ ~W , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, T IS DEGREED that Letters Testamentary
are hereby granted to Jennie C. Fealtman
in the above estate
and that the instrument(s) dated 03/24/2004
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
FEES ~~
Letters ............................................ $
Short Certificate(s)..........,a....... $
Renunciation(s) ............................. $
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JC ~ $ ~ ~~
~~~ $
$
$
$
$
TOTAL .................................... $ ~~oU
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Register of Wills
Attorney Signature: ~"
Attorney Name: James D. Boga
Supreme Court I.D. No.: 19475
Bogar 8 Hipp Law Offices
Address: One West Main Street
Shiremanstown, PA 17011
Telephone: 717-737-8761
Form R W O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2