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Home My WebLink About06-26-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF _~ ri, bF r-- I c~.,~ ~ COLNTY, PEA"SYLV:~iVIA Estate of i ~1 r' Y ~c.v J Ue~r' ~ J p File Number also known as ~" ,Deceased Social Security Number ~~ ~ ) C-:` ~,~ `• Petitioner(s), who is'are 13 years of age or older, apply(ies) for: ra (COMPLETE 'A' or 'B' BELOW:) fin- 0 c%; .n ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ "Z"~ Wined in the` last Will of the Decedent dated and codicil(s) dated "TZ r-r~ r,, - _..~ -- .~C~,~ (State relevnnt circumstances, e.g., renunciation, death of executor, etc.) `_~ ~"1 -'~ Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution o~ti:`P~tsttument(s~ offered. for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~, , ^ B. Grant of Letters of Adm (Ifappticabte, enter: c. t. a.; d. b. n. c. t. n.; peadente life; durante absentia; durnnte minoritare) 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 Adtrtinistratiott, c. t. a. or d.b.tt.c.t.a., enter date of Will in Section A above and complete list of heirs.) I Name Relarinnchin RPCi~iPn I 1 -~ ' J ~ i ~ 1 ~I C ~ V :i C t 1. , ~• C~ 't` _ ~ '' .~1c arc; h~ ~~w c ,/ ~ C~ / -7~7 ~G.UvG ~ L- ~ ~I~_. l ~ (COMPLETE I ALL CASES:) Attach additional sheetts if necessary. was domiciled at death in Pennsylvania with his /her last principal residence at ~~,~- t street address, town/city, township, counr)~, state, zip toile) Decedent, then ~S years of age, died on t!1 C at ~ ~S 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 $ Vahte of real estate in Pennsylvania $ situated as follows: %~7(~~'' Font RW-0? rev. ro.r3.oh Page 1 of 2 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 [o the undersigned: Oath of Personal Representative COIvIV10NWEALTH OF PENNSFLVANIA SS COUNTY OF The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con~ect to the best of the knowledge and belief of Petitioner(s) and Chat, as personal representative(s) of the Decedent, Petitioner(s) will well and tntly administer the estate according to law. Sworn to or affirmed and subscribed before me the ~ (;; day of ,~ t ?~ ` or the Register ~~ File Number: Signature ojPersonal r~_3 ~y • _- Signature of Persona! Representative ~} ~7 („_, - .. "U C; ~Zt~ __~ -_t~. t"- Signaha~e ojPersona! Representative ;~ , .. .C- Estate of ,Deceased Social Security Number: ~ / ~ `7 ~ fj~~} 7 Date of Death:~~G! ~~~P~~ AND NOW, in consideration ~of t~h"e foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~l~~l/")/S ~r:z~C-t-L.. are hereby granted to and drat 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 .....,!~~~L^.-... $ ~•~ ~}~? Short Certificate(s) .. `.~ ... . $ /(~ Gt ~~ Attorney Signature: Renunciation(s) ... ;3.... . $ 1~ =~~ C ~ $ /(~ f}~ Attorney Name: .. . $ `, ~~~` Supreme Court LD. No. .. . $ $ Address: .. . $ .. . $ . .. $ • • • $ Telephone: . .. $ TOTAL ............ .. $ ~d Lc;. ~?~~ in the above estate Fornt RW-o? rev_ lo.r3.o6 Page 2 of 2 Register of Wills WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. ~j~5~~~ June 10, 2009 Mary Lou Barlup Female 178 - 50 - 6607 June 5, 2009 Feb. 15, 1956 Carlisle, PA Harrisburg Hospital Dauphin Harrisburg White Housekeeper No Married 691 Magaro Road Enola PA 17025 Ruth E. Kelly James F. Nickel Nickel Funeral Home, P.O. Box 910, Loysville, PA 17047 Respiratory failure Myocardial Infarction COPD XX Cleon R. Hubbard 1000 N. Front St., Wormlesburg, PA 17043 C~ ~ i^~> c~ ~:;, ~ T) ~~ ~'~ -- c_,_ .~ r .. ~ rr~ ,may <- .~.~ r. "~~ ; c^ ; _. C_7 ~} ~- T -. , ~._,. ~ -~ .. „~ -... .~- M.D. r G~ ~~ c ~~ e~..i (,,~ • i(/. ~ rL C~~ 5 0 - 4 5 5 June 10, 2009 1 1 Barnett St., New Bloomfield, PA 17068 Ndll'~1CIATION h ~ REGISTER OF WILLS L .., ~ , ~~~~csi~ ~ COUNTY, PENNS YLVANIA fl ", f Estate of ' i .=~ r'" ~~ l1, ~ ~ , j~ t J d~ ~' I _ .. I'~ U" ~ r~ ~t ~ r. C1 1~ ~~r . (Print Name) ~~ C7 ~~ _J ---„ ~~-~~ ~:`? %; .: :~ ~~ n~ c -a crc~ . ~~ C.... ::r ~-, -~ cry Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issu '' ` ed to l i_ h I 1 r , ~~` ~~ °~? (Da[e) Executed in Register's Office ~~U~i~^~ ~, ~~ r~ , (Signature) ~ v --~~ ~ 1 1l~~ ~` ~; ~~ ~ ~ (Street Address) ~~~~ l)~nY T 1 C1 ~ i ~ _5 1`I J (City, State. Zip) ' Sworn to or affirmed and subscribed before m-~e-~- this Ct~ day Form RW-06 rev, 10.13.06 {~~ ~ ~. lleputy for egiste f Wills // Executed o ut of Rea ister'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 of ----- day Notary Public Nry Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date ofexpiration ofNotary's Commission.) RENUI0ICIATIOlT Estate of Deceased I, Z. gin. c ~, ~>, t' v Q o, r ~ ~ ~ in my capacity/relationship as (Pant Name) 5~; ~~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to G b l ~~~1 (Date)-~ '~ (Signature) ~ cj ~ ~v.~ ~r-~ 6~~.~ (Street Address) ~ n« ~~ ~~~~ 1 ~ (_%~ S (city. state. zip) Executed in Register's Office Sworn to or affirmed and subscribed before this day of ~ ~? 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 y Deputy REGISTER OF WILLS :~~°~~M ~ ~ r ~ ~. n ~ COUNTY, PENNSYLVANIA ~~.i ~~a ~~ ~'1 v. Q ~;a~~ t- `~ r-: =.~ ~~ CIs., l _ ~ '~;_; ..3J~~ - =27 v `~ v of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-Oh rev. 10.13.06 P`. J C.J C_.. ~.c~ R 7~/~ ~ T e T T ~v7 wry ~... iW ~T U 1\ C it S 1 1®1 \ r~~ ``~. _ -~\ ~~~ REGISTER OF `FILLS ~ ~. ~: ~~ -. : ~: C%t>>~t ~; c r ~a,~. ~ COUNTY, PENNSYLVANIA ,-~ -~-r cr Estate of 1 I -~ rint ,Name) ~l ~~ ~ ~~~ ~t ~ r~v Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~~ ~ ~~ (Date) ;~ ,~ ( ignature) y (S`t~r{(eet Address) ~1I~41 1 s (City, State. Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~C ~.G' day of ~_7~nP , -' ~ 1~~ ~~ ,, ~~ Deputy for egiste f Wills 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 of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06