HomeMy WebLinkAbout06-23-09~ ~
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Estate of James L. Lippart, Sr.
also known as
Deceased
PENNSYL~~j
TIA
COUNTY
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File Number ~ - - 010 t iU ~ ~
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Social Security Number 195-38-1 _ ....~.~
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 execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
m B. Grant of Letters of Administration
(If'applicable, enter: c.t.a.: d. b.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 spouse (if any) and heirs: (If
Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(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 South 1st Street Lemoyne Boro of Lemoyne, Cumberland County, Pennsylvania 17043
(List street address. town/city. township, county, state, zip code)
Decedent, then 61 years of age, died on June 10, 2009
at Harrisburg Hospital, City of Harrisburg, Dauphin County,
Pennsylvania
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 follows:
. .,,,,,, c .:~ r,'~
$ 100,000.00
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:
Debbie L. Lippart, l 15 South 1st Street, Lemoyne, PA 17043
Form RW-02 rev. 10.13.06
Name Relationshi Residence
Debbie L. Lippart Spouse 115 South 1st Street, Lemoyne, PA 17043
Thomas M. Lippart Son 115 South 1st Street, Lemoyne, PA 17043
CUMBERLAND
named in the
Page 1 of 2
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
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 ands bscribed o1~ 10 /a't~•'~ o~
Signature of Personal Representative
before me the _, day of
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C~r~W / Signature of Personal Representative ~
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~F the Register
Signature of Personal Representative
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File Number: ....
Estate of James L. Lippart, Sr. ,Deceased
Social Security Number: 195-38-1619 Date of Death: June 10, 2009
AND NOW, ~.l ~1.Y1..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 Debbie L. Lippart
in the above estate
and that the instrument(s) dated n/a
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $
Short Certificate(s) ........ $ ~a- • C~
Renunciation(s) .......... $
~~ i _ ... $
Ch-~ Y`~C~Tt ~ ... $rJ C~
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $ ~ L(2,0'1) 0~-
as the last Vuill (and Codicil(s)) of Decedent.
Attorney Signature:
Attorney Name: Lowell
Supreme Court I.D. No.: 46779
Address:
Telephone:
of Wills
Gates, Halbruner, Hatch & Guise, P.C.
1013 Mumma Road, Suite 100
Lemoyne, PA 17043
(717) 731-9600
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Form RW-02 rev. 10.13.06 Page 2 of 2
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RENUNCIATION ~ N ~
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REGISTER OF WILLS ~~~= 3
C `-'r'^~~~~~ ~ COUNTY, PENNSYLVANIA ~ ~ ~•
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Estate of ~Q~''~ t s ~ ~~ ~~ r ,Deceased
I, /~~+s ~'~'~'` , in my capacity/relationship as
(Print Name)
SD/V
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
6 _ZZ •o a
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
(Signature)
(Street Address)
(City, State, Zip)
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 ~1 day
of A ~ ~~~ ~ ~ e-9
teary Public
My Commission Expires: ~k~~l,,., Zg ,Zoe y
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration ofNotary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Form RW-06 rev. 10.13.06
Notarial Seal
Nathan R. Kelso, Notary Public
Lemoyne f3oro, Cumberland County
My Commission Expires March 28, 2012 _
Member, Pennsvl~~ania .~ssriciafi~n nY Notaries