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05-07-09
PETITION FOR PROBATE AND G/RANT OF LE~'TERS REGISTER OF WILLS OF ~ ~ 1M ~ eY" ~ ~ n_ d- COUNTY, PENNSYLVANIA Estate of ~llLt f S yl ~ ~(~ I r r~ File Number /~.~ `0 ~ - V`t~~ also known as t/ ~y ,y ,Deceased Social Security Number 1~ d~ ' d ~ ' / ~ 3 Petitioner(s), who is/are 18 yeazs of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) // A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~1l L° t" G[ 7` l'/ X named in the last Will of the Decedent dated e W,«rY /~f. a~ and codicil(s) dated Q B. Grant of Letters of Administration 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: (State relevant circ7imstances, e.g., ren:mciation, death of execa~tor, etc.) (Ifappticabte, enter: c.t.a.; d.b.n.c.t.o.; pendentetite; duranteabsentia; Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name (COMPLETE INALL CASES:) Attach additional sheets if necessary. ante minoritate) r~.a C7 C~ (if any) heirs-'(a'f._--" _-?~~~ ~ _i_j --r.~- E~~ N r. Y ,~- , _~ N residence at at ~ C~ 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 Form RW-02 rev. /0.13.06 $ i a~'~ $~ r~~ Page 1 of 2 Decedent, then ~ years of age, died on f~Y't I l a, a~ ~~t~ at /Jf d 1! Q /7~I~ D ~ ~ (~~° ~°-K U l ~ !i) 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: Oath of Personal F~epresentative COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~(A -M 'P7' l G~ h ~ SS 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 l~ before me the ~ day of ~=~- , ~~7 l,~C.Y~-~( For the Register Signatzrre of Personal Representative ~'© ~7~ ~ Signatzrre of Persona! Representative ~,~ t~t'1 ~ _ ~ ,s L.~ 'l'j L.7 1. "Ft' ~~ --1 tV File Number: ,~. I tV Estate of ~ 1 S y ~. ~Q l r C ,Deceased Social Security Number: I r/o2 ' n I ' '~a 3 ~ Date of Death: f'I,A h ~ ~ ~o~. ol~~~ AND NOW, having been presented are hereby granted to _ IT IS 7 Y ' '~ f- i :~ i _'r ~~~ , in consideration of the foregoing Petition, satisfactory proof ,etters ~ 5 7CL. Iyl e » ~a r ~ 2C'_ and that the instrument(s) dated ~`e.b rt,~a r described in the Petition be admitted to probate and FEES Letters ............... $ ~ .L7~ Short Certificate(s) ........ $ 8 ~ C~7 Renunciation(s) .......... $ VJ~-. ... $ i s , cx~ ~.~ ... $ r 0 , tX~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ 2°~"% .~ 'tree in the above estate the last Will Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Codicil(s)) of Decedent. Form RW-02 rev. 10.13.06 Page 2 Of 2 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~ ~ COUNTY, PENNSYLVANIA Estate of Deceased Yl (1 Q / U l ~1.1 ~f ) Q and ~/ ~ °~ 1- ~ ,~(.L ~l~I ~_ , (each) being duly qualified according to law, depose(s) and say(s) that she-~-l~e /they was /were well- acquainted with ~LL i S ~! ~. ~ct ~ h and am/are familia11r with the handwriting and signature of the decedent, and that the signature of ~, s y .~~~ ~ 1' GL to the foregoing instrument purporting to be the Last Will and Testament/Codicil of 1 S c, . ` , i-~ is in his/her own proper handwriting. r X (Signatw~e) ~ ~ D ~~ ^re~2 ~ Y'~ V ~ (street Address) ~rn i (euy, state, zi Executed in Register's Office Sworn to or affirmed and subscribed before me this ~~~ day of m~l~ t~U~ . D tty or Re ter of Wills vt,~~~ (Signature) a~~ ~~ r~1e ~ r~ v ~ (Stre ddress) (City, State. Zip) N c~ C'7 ~-- O ~ ~ - _~ __ -~ ~ p„ ~~>>• , ~ r _- ~ . N y -~ N Forne RW-04 rev. lO.I3.06 ~a~t ~iCC anb ~Ce~tament I, Daisy B. Baird, of 22 Circle Drive (East Pennsboro Township), Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any or all Wills and Codicils previously made by me. I. I give, devise and bequeath all of my property, real personal and/or mixed of whatsoever nature and wheresoever situate to Cindy Yucha Kostelac, her heirs and assigns. ~? N r~ -~- o II. All transfer inheritance taxes are to be paid out of the proceedsa~ ~ -- - . ;,, =~ ~s estate. > ~-~ -,~%~:-, F ~ , ~ ~ f ::~ c- III. I appoint Cindy Yucha Kostelac to be the Executrix this my Irk`-'Will amcb - '~ ~ ,=; ~ ~. Testament. N ' IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the 14th day of February, 2000. ~' ~, ` EAL) Da' y B. Baird Signed, sealed, published and declared by the Testatrix, Daisy B. Baird, as and for her Last Will and Testament, in the presence of us who have hereunto, at her request, subscribed our names in her presence and in the presence of each other as witnesses. ame • 1~Q~. ~ Name Camp Hill, PA 17011 Address Camp Hill, PA 17011