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HomeMy WebLinkAbout05-28-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Dorothy A. Travis also known as n/a Deceased COUNTY, PENNSYLVANIA File Number ~ ~ ~ ~ / '~ V ~ / Social Security Number 201-44-5209 Petitioner(s), who is/are 18 years 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 last Will of the Decedent dated and codicil(s) dated (State relevant 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 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration named in the 2t ~',:_ C-~ ~ ; _.. ..1 u~nt(s) ~iffeceii ,; ~ ~ ~ r' i CJi _. (If applicable, enter: c.t.a.; db.n.c.t.a.; pendente liter durante absentia; durante,minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spopse (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 Residen' e David M. Travis spouse 740 Pine Road, Carlisle, PA 171015 Zachary Travis child 740 Pine Road, Carlisle, PA 171015 (COMPLETE INALL CASES:) Attach additional sheets ijnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 740 Pine Road Dickinson Townshiy Carlisle Cumberland County Pennsvlvania (List street address, town/city, township, county, state, zip code) Decedent, then 56 years of age, died on November 16, 2008 at Carlisle Regional Medical Center; Carlisle, Cumberland County Pennsvlvania Decedent at death owned property with estimated values as follows: 0. (If domiciled in PA) All personal property $ 2 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 200,000.00 situated as follows: 8 Cherry Street, Upper Moreland Township, Montgomery County, Pennsylvania 740 Pine Road, Carlisle, PA 17015 Form RW-02 rev. 10.13.06 Page 1 of 2 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 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 ~ day of For the gister Signature of Personal Repre entative ~ .u~o Signature of Personal Representative ~;3 N f~ { , `~ ~y My~ Signature of Personal Representative © ~ - = •_ . ~:. N File Number: ~/ ' D / ' t~~~ Estate of Dorothy A. Travis , Deceaised Social Security Number: 201-44-5209 Date of Death: l l/16/2008 AND NOW, ~~ , ~_~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS CREED at Letters of Administration are hereby granted to David M. Travis in the above estate and that the instrument(s) dated na/ described in the Petition be admitted to probate and fil ed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ Register of Wills ~ ' Short Certificate(s) ........ $ ~ Attorney Signature: Renunciation(s) .......... $ ~O ' ... $ Attorne Name: y Mark W. Allshouse, Esq>~ ire . $ Supreme Court LD. No.: 78014 $ Address: 4833 Spring Road ... $ .. , $ Shermans Dale, PA 1709p ... $ ... $ ••• $ Telephone: (717)582-4006 ... $ 8:9A TOTAL .............. $ Form RW-O2 rev. 10.13.06 Page 2 of 2 I05.g05 REV (01107) ~ -- - ~ - - - ~~ _ / y )' /~~ j~ / LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 14999795 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. -~.,..ad ~~ac~i~, ~. _ ,r NOV~ 17/1008 Local Registrar Date Issued ns n r°.~ ~ :~ a ~ , ' rr~ ~ --< - ~ < ~7 ~ ~ tV . ~ ~^ ~ ~ ..~.' ti 7 ~T _ ~- ~ - { , .--. ` n Q r~ v -" ~ ~ _ ~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS _ ~~, Nldsln NEV nmad "'PEPe,;,,,N"""e,T" CERT)F)CATE OF DEATH ; (SR1s Instnlctlons and •xemples oN RlWTM) STATE FILE NU u 1 i Qi I. NenradDerded (FieL ednlA bd. eJM LVO . ~ 1 b ~ LV~B - ZFemal ~~201N 44 _ 5209 ~ d ~ Doroth A. Travis aAy(IaelafRA,) un.l under, aDr.deln T. rdAba e~PbraDnn ar oR : w ebr ~ we. w,.. 11 /25/1 951 Vlillow Grove PA ~ , !ate ^~ ^~~ ^„~, ^~,,,,.. 56 TM1 m. Cantd DeAi Bc CR,, Ba0. T•R dDeelh mFarijNenN (R~R+MMe,4OL'l Aed nd nnla) 9. Ylr Drldnd110PMde OdynT No ^ 10. Rrx AfnMkr lden. B/rk YMe, ele. W~ Cumberland S Middleton T h .te U Mare, ~dGI 11. DeoedrA IYaI d enA d» awld i. DeM All 12. 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H /G / ~ / S t ~~ ~ ` - . . z X65 Orprltlon PamO No. N _ a `" 0 1 = O co , ., . ~ r s'' ~'' =-=~ RENUNCIATION ~' ~' ~ ~`' `-~ ~ ~--t co e-~ ~ -„ - RE I G STER OF WILLS -„ `~~ _ ~. ~, ~- , / ,~L~~~ COUNTY, PENNSYLVANIA -°v~ w nl ~ ' V 1 ' ©`T"f Estate of 1"U~i"0~`~lU //G1U/.5' ,Deceased I, CQ~f7llru //~G~U/cs' , in my capacity/relationship as (P int Name) c~/~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~gUia 7ray~ s -( /~A/ 2 8' 2 0 o Q' (Date) Executed in Register's Offrce Sworn to or affirmed and subscribed before me this ~, _ . day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 ($igl(pture) // l// (Street Address) ~~9QL,'S~c , l~~ , l7 a/S (City, state, zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciaticpn and certified that he or she executed the renunciation for the purposes stated within on this ~'~ day of ~,11~9 -~l N ary Public M Co fission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration oflNotary's Commission.) coa~oNw~ntr~+ of ~r~sY v~NU~ Na1s1W s.M MarCn l.. NoN, Nobiry Put>Ilo' CetlisN 8oro, Currttistlw~d Cau res Sept. 18, 11 ~ R!Y 8R «