HomeMy WebLinkAbout06-23-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland County COUNTY, PENNSYLVANIA
Estate of TOt.~ATNA/~ RYAN ~Gr/4L8~'
also known as
Deceased
File Number ~ ` ~ ~ ~ t /~-~ ~
Social Security Number ~~' 70 ~~e~G
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 named in the
last Will of the Decedent dated and codicil(s) dated e"`x
(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
(Ifapplicable, enter.• c. t. a.; d.b.n.c.t.a.; pendente liter durante absentia;
N
strument(s)
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
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
-~ // C,NA~t-ES C/,CG [..e
~/uD/TN /~ ~?u/~,~.~Y /!'IoTHEJZ ~ ~ /7USS
~~f~.t v. ~Q u l! e-~ c..~Y ~n,f~. // c,•/.q,~¢c. ~~ G~.,tee~6
rJ'lg~.~..cr vc~ Ps~.e.~ T>,a / 7o s s
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in ~•u.71f3EQ.lr4~T~ County, Pennsylvania, with his /.last principal residence at
// Cf/s~.eL~ %s t~,QGLE I'rJF1'G NA•L~/G 51!S/~~6. 7DA /7/~ 55 . X70 ~
(List street address, town/c)ityQ, township, county, state, zip code) ur~Pes1~ ~L.L~R./ ~ W ~ ~ f. f ~ '~'
Decedent, then ! 1 years of age, died on L ~L. ~26U9 at q O ~C ~d LG_CLta ~a .
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ZCX~• d
(If not domiciled in PA) Personal property in Pennsylvania $ AJ A
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ /tf f/4
situated as follows:
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:
Sign re Typed or printed name and residence
. ~N D I'1'H ~ l~l I ~ t-dt`f'
,~ e~A~ s e„~~ !ems ~5 ~e oss
a
Page 1 of 2
Form RW-02 rev. 10.13.06
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA ;
COUNTY OF Cumberland County
'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
fd
before me the ~- day of
,
FOr t egister
Si lure of Persona! Representative
Signature of Personal Representative
Signature of Personal Representative °
`~
~ ~
`~ ~ W
U
--~
•~'' '
G.;.:~-r=-k
- `."-
'~~ ~~
~~- " ~t
.
Number:
File
~~
}~
Estate of -./o,J~#TNA~./ ~Y~ N ~ Gf I U [~sY
,Deceased
Social Security Number: ~~ ' 7 0 ' ~~oG Date of Death: L ~L ~ZOpQ
AND NOW, ~~ ~ ~Lt n ~ , ~ , in consideration of a foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~ d rn ~ n ~ sf~'Q ~~ -
are hereby granted to ~J u I ~'1 ,l (Q P U
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 ............................. $ Register of Will .~
/ ..
Short Certificate(s) .•..•.•••••. $ o? • a~ Attorney Signature:
Renunciation(s) •••••••••••••••• $
L,
~ $ ((' • ~ Attorney Name:
22
r11A'~ mQ"~ ~
$ S ~ ~~
~ • • • Supreme Court LD. No.:
.... $
.... $ Address:
.... $
.... $
.... $
.... $
$ Telephone:
TOTAL ............................. $ .~~
Form RW-02 rev. 10.13.06 Page 2 of 2
_ _ _ ~ ~/}
HIOS.ROS REV (01107) ~~ ~~ ~ _ ~~..-~ (C./~ (~~
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 15494083
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.
Local Registrar Date Issued
r.s
t~
ca `x:
rn
C) Z c
~
!.?
~
m N .
(
r -. r ri
a ~
7
,~ ~ ~ W _.
_1
,.
_..
c~
c7t~
-v ~
~, f
r~
i
~ ~ rt
,~ COMMONWEALTH t?F PFNMSYLYAINA a p~RARTt+1ENT of HEALTH • VITAL RECORDS
nw
' ~ -- ~ ~-~
v¢ ~
ir
s
1.IWd0.rdr11M.•~br.ai0. r ~ Ltlta tl erWiMrrl'MrMr ~.pbdDMl~biR rK1•~9
Mals 204 - 70- 6466
c~sNwwerl ibrrt tbext • a f. rra e-Fltrr
~«. t.... ,. . , ~ oar. Rural Road
o
....
,.
Ort. 10, 198 At)ingtane ~A Obrrr+ Oetra4rtr Otw. O tr.a Ogre.
19 r
r
.e.cwiyaarn ea qq, Ora lSpdOwi ee htetytwra•a YrbM+wt.ar w.dlM) e.wrwraredtb~.toayne N• wr 1borMrAreilw sr.wir~de
it
x°01
'
a
w
o
Flh
Perry Carroll Twp. ~ ~~x ,h , ~°~
,r.~
~
,.w
~
...
MrYlM~r
Ie. Yer prMr.wrMM te.OdIMYMr1Ir u'~ d~p~yt~rM YwM4 t6 UaM~Y~r.Ari.~iw.WOr.w)
aal
tl, d.ok rrld
gadWat IQ90dMlrrfbaeW Y.0. MiMdlOeM7 t.~+na•w. CAMM (liwa.t
Or« ®ta Nt~r@r Married
taawarratw.e~.~w(erday,gearra~rM o~ordeA morrb Allan
1ae(ttwrea IMe+r~~Yi}tl~a tMba 17a®tw.trerrttrrb~~T' as
11 Charles Circl@
r0r"'d' ,7dowtreartr,.rerr
ME~ni PA 17055 tmooirw~~ errtrud pv(r+•
te.fYefsitt.r Ert nlOea rLrfaq . ... MWbrYtMr lt~rrlanWarrrre _
eoatderda ~1ihYN _ . et-MrrdlYiYlW+rlMtldyfbrtMW.~oo~)
11 Gtkzrlea Circle Mec3rani PA 17055
V. 1 1
etarraaaate„trr Wcwrrr ^oarto. sw.oraat,ot~+Mwwtltrtw
. eta tlwdOMpWkatMeraarrtq,arMara.errrwl nltorrq'/tsr~rru,rmrl
O tarty ^ tbrarlist-r wao.wrro~rw-rarlw
O a,.,.wq., rrrrir.ba,sr..rt OrrL7rr Jtn'se 11, 2009
HAilitlget' CremafiA~'y Mt. Roll i PA
'
marr.ad w • es.w~rtiNr~f tterwrMrwarmtr $ MarkBt Plaza Nay
Crpr. - ayMww~Y~e ~ lONrrdrfrrY4atMraomrgdrM 'tYbw rertg4rww .. .. taP:utrrNrer eeaora/pMPbrRtrr.rrn
/yWrae rYrwrirdMM`
~
..ebor.aerw
aM. tbrd Mra 7~.OiM1OwM~IM1~YMA. • aO.Wr Cw RMmglo-Yrat HarYw/GapirraRwoa Olw hnGrrara0wer~f
rarxt-81wrm~Mbbv~
JwN 6. 200Y err O,a
~ 8:~0 AM
.
drpianrr.ar4.
G1Uel MOiA7N paa traoatrlr rw nre,Ny , A,piaiw~blK hae: rrranr r.creraortwaeretewrwr+r
tlae~-arraM~aaa~ktine-brbWfearMwAwt001gTrM Ynerlwwr rrArrAr rrl ~ QrabOWi WnoIrMYVMMw61M^Yrw~M'wMhNl O M (]NrrY
Irw e7
Ma Ear lr ~
,
.
w~tlwKarwMareiwrweaawVMMaoaK LM rMwwrrraa M. ~ ,~MO ^urrw ..
ra
uma To Tha FNad ~ p wrwrr.r,.,rw
BIuM Force T
~„~~ ~"
, ~,
y
~
pr~`c~CUp•'~~c y8 Tnt ~ O ~rrwrwawa
~
e~w
O ww~n+wrrw,rwr<e++
`'~e
r~' '
r(arariwpwea a} t dy
S"w a 6
~
~"
u
n
ie
u
~r .
Y~rw~~~~yy~p
1wl~rrrn/1AMwc a t 1~1MMr,wFlfaM-b1l/~rt1.r
t
!MI
b ramr.giear ~ [] Ieiwr~IpgrederM,wfr
a
eea YYrwMr,N 77.. YIIrArolR Fti•.P et.rwertiDwR eY.Orld >M.OrrMlb.tger0arw .. ;. lea M lwfrr brae
Ye• •~~ PlclcupjrucklMoTrN
e~3
Mrrn ,YrretArtoOonpeOOa
~
O~ ®
aownt
ac
.r
rr~
rr ^ to w Q w ^ ^01~di+ ^ rw~p a"'pieo" ead ibra ~ p.. tr-.rr tMett e>t. errwarr rMr ~ ~ 1°0r"d ~o~id, CM+aI Tt!rP.. PA
O°""rl0w10f~°i~^hei1"" 90 fox. v
BI ~
A
~ O,r [j~ta
peam, Ocaaerrtrr.ree 6~10
•
-
aac...aewae-
m.tgrwwe(batr•. , perry e0.
• a~.wa+wrtrawdr~v~»drra+»Aree«a~^"MV~«~•awarwrersa
.
....
wMbMrrgNwrrrrMaYr~
..
.... ~
M~ Coroner
.
~
.
.
.wa
AMMidaRbrMl~a
r
Y
r
d rMei yte. tlerwNrM - ~eM~!~M
.- ^
p
p
ar
ti.r.ety w rre~ powr ~twr poA paw.ei~p bM w a
• 1wWMgrwiM.MMrMr/rbaerawawtroawrrMMwrNyrr rrwrOart~ ..~........ Ju11~ 7.
• wa..a.lar.r rra rrawer Mr tYr,rb,ra wMatralrrtltlMrrnrrraML}Q
arterrrwrerw,Rtraaywr.bwMwr, ~
x w rRrrw. tre.dOrb eer»)TIMt/Mr
A~A chaah"7. ~ihalot st~
etr Mrw~r•r1~ 10 Trout LsM, MuyaMNN, PA 170
pprrrttirrtb. 0318656
ra
ca
{
RENUNCIATION ~~ ~ ~~ z
~~ n
~r- ~ ,
~~
REGISTER OF WILLS t~'t
'~~~ N
~'"' ~.~.-k r-ri
-~ `~ ?
CUMBERLAND COUNTY
PENNSYLVANIA CJ C~
<~o~ „~
~ 5:,-, crv
;:
,
U ~
~.
a
2 ~ - 09 ~ o~~'~
~ r ~ Tj
~ ~ ->
~
Estate of T ivATN~41.1 ~Y~! ~ui~e.~Y ,Deceased
I, STEPN~1 1~. ~u tG.e_~Y , in my capacity/relationship as
(Print Nmne)
~a•rt+EiL ~~A7Z[31JT of the above Decedent, hereby renaunce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~~orra-tt ~, . ~v~
oL•23•o9
(Dore)
Executed in Register's Office
Sworn to or affirme and subscribed
before me this rd ay
Deputy for Register of lls
1 I Ca•1 ~1.~5 C~It~ fc
(SL•eet Address)
}1Ec-1-lA~Jic~S+6+~PSi , ~ r1.o5~
(C'ir)•, Stare. Iip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of
Notary Public
My Commission Expires:
(Signature and Seal at'Notary or other official qualilicd kr
administer oaths. Show date of expiration of Notary's (bmmissinn. )
ForrnR6Y'-06 reg. l0.L3.Ob