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HomeMy WebLinkAbout05-21-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of LEE E. GOODHART File Number ~ ~ - O~ ~ ~ T ~ / also known as Deceased Social Security Number 159-24-9575 Petitioner(s), who is/aze 18 years of age or older, apply(ies) for: Pa (COMPLETE 'A' or 'B' BELOW.) ~ ~ y O `~ i ..y ~ ' ' - ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ ~' `~ .-. ~amed~in'the , r n~~~-` last Will of the Decedent dated and codicil(s) dated _:~ ~ ~ ~,~ -zJ C_ c'7 ~-~ ~, (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ -~ t ~ ~ !~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution olye~it strument(~,offer~d for probate, was not the victim of a killing and was never adjudicated an incapacitated person: -..- ® B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite: duranteabsentia; duranteminoritate) 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 Will in Section A above and complete list of heirs.) Name Relationshi Residence LORI J. MILLER DAUGHTER 1035 LONGS GAP ROAD, CARLISLE, PA 17013 (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 115 W. SOUTH STREET CARLISLE CUMBERLAND COUNTY PENNSYLVANIA 17013 (List street address, townlcity, township, county, state, zip code) Decedent, then 79 years of age, died on APRIL 24, 2009 at SARAH A. TODD MEMORIAL HOME, CARLISLE. CiJMBERLAND COUNTY. PENNSYLVANIA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 75,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 69,000.00 situated as follows: 115 W. SOUTH STREET, CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA 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: "? Si ature T or rinted name and residence LORI J. MILLER, 1035 LONGS GAP ROAD, CARLISLE, PA 17013 Form RW-02 rev. 10.13.06 Page 1 of 2 a ~v ,a Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 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 before me the ~~ ~1 day of t~~ a~ Q..0.• v~ For the Register Signature of Personal Representative Signature of Personal Representative File Number: 2) - ~~ - O'~(,oq Estate of LEE E. GOODHART Social Security Number: 159-24-9575 Deceased Date of Death:04/24/2009 AND NOW, ~~~"'k ~ ~ Zac~q , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters OF ADMINISTRATION are hereby granted to LORI J. MILLER in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ 260.00 Short Certificate(s) ........ $ 8.00 Renunciation(s) .......... $ JCP .. , $ 10.00 AUTOMATION FEE ... $ 5.00 ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ 283.00 Attorney Signature: Supreme Court I.D. No.: 49811 Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Telephone: (717) 249-2353 Form RW-02 rev. 10.13.06 Page 2 of 2 Attorney Name: STEPHEN L. BLOOM, ESQUIRE