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HomeMy WebLinkAbout04-30-09PETITION FOR PROB LATE AN,/D GRANT OF LETTERS REGISTER OF WILLS OF CAM ~jer'~,.. /' COL~TY, PEti`~iSYL`"ANIA Estate of ~~ ~ 1'L O ~ L1~2 File Number Z ~'- ~%~'- Q`r~J I also known as _ Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (CO;LIPLETE 'A' or 'B' BELOGV:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated and codicil(s) dated n ~27 ~, (State relevant circumstances, e.g., renunciation, death oJexecutor, etc.) -~ ._} Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofd for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration i (IJapplicable, enter: c.t.n.,, d.b.n.c.t.a.; pendente lire; durante absentia; durance miitoritnte) L'T~ 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: ((f Adtuinistration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Gr/~Lu: N c~ .ra red in the` ~ _ ~ - W -*~ -~- fV i 7G5,Q~ ~'/` (CO~YIPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at d ath in v ~^'~- /l ~ County, Pennsylvania with his /her last principal residence at (Lis[ street address, town/city township, county, state, p code) 1 ,,,, p Decedent, then ~ years of age, died on ~ ~ ~J E ~'Q~ { 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: Wherefore, Petitioner(s) respectfully request(s) the probate of [he last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Form R4V-UZ ren. 1U.13.U6 _ Oath of Personal Representative COM~lON~VEALTH OF PENNSYLVANIA /`~ t S S 'The Petitioner{s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hue and con-ect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and tniiy administer the estate according to law. Sworn to or affirmed~~a~~~~nd subscribed bef/ogre me the W day of f-I rr ~ 2 For the Register © ~~ ~ '=' Signature ojPersonal Representative ~ ~7 - ~~ ~ `~ ~7 ~ ~ ~ _-{'~ CJ File Number: ~ ` ~ ~ C_7~ S~ ~ -? `-? ~ ~~ ~ L ~ ~ ~ E'.. D 'aid Estate of ~ • CJ Social Security Number: , ~ ~~ ~~ Date of Death: d~ ~C~ ~~~g ~ AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~~lYZ\Y1 1`S~C~~c~"1 ~-- T~ ~~~ are hereby granted to in the above estate and that the instrument(s) dated l ~~ ~ ~S l~ described in the Petition be admitted to probate and filed of record~aR the last W}11(andrC~dicil(s)) of Decede~t.9 ~ ~ FEES aci Letters ............... $ Short Certificate(s) .. ~ ... .. $ ~ ~~ Attorney Signature: Renwlciation(s) ........ .. $ Attorney Name: $ _ . .. $ Supreme Court I.D. No.: . .. $ $ Address: . .. $ . .. $ . .. $ _ • • • $ Telephone: . .. $ TOTAL ............ .. $ ~~}°c~ Register ojWills Furni R4V-0: rev_ 10.13.01 Page 2 Of 2