Loading...
HomeMy WebLinkAbout07-17-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Estate of ~`~'CY~N+I Zr(~'~- ~ ` {~T'~ C 1. ~tSd 1^ File Number 1 also known as Ktx.~~r i, ~[~_ (,• C L~. t ~ d- ~ ~~y~- ( / o~m~~ {/~u.~~.er`~.n.P L ~ VV1.00-^~~i`'w.~ta~, Deceased Social Security Number Z 7 Z' l~ ~ ~/~~ 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 (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, for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administrate (IJapplicable, enter: c. t. a.; d. b.n.c.t.a.; pendente life; durance absentia; instrument(~ffered ^~ Ica t ~~ _a~ ~ ....> ti..; ~ ._.._..~ ,~„i r_~..., r~~~'7 :;` fi--~, ,l .~ .rr (COMPLETE WALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in ~c~-v+~.lo~r'~~ County, Pennsylvania with his /her last principal residence at (List sU•eet address, town/city, township, count), state, zip code) Decedent, then _~~~ years of age, died on ~' c~c..v~,,,d / at tr' ~ tn~r-C ~ ©1- (po Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ Z1J~ OD ~ (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:__~(~P~,~p-~e..r~S 1-v~ l`S~ 15~-,1, ~ ,/T~-CQ~-t-,n, 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 natures ~~ T ed or rented name and residence Form RW-0? rev. 10.13.06 Page 1 of 2 Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sp ` y) and~eirs: Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ ~ ~ Oath of Personal Representative C0~1MON~VEALTH OF PEi :'SYLVANIA 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 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 Regi Representntive ~~i~ , ' - (~!~- Signntu,•e ojPersonnl Representntive n ~.Q ~ ~,,,~„ ..rp ::.:7 Signnhu-e ojPersatnl Representntive ~~ ~ v.. ~-...,. File Number: 4lp(s7~-1 ~ ~ ;'; ~.~'~ ~~ t p.~ jr~ ,.,... C. o~~ 1o..1r~~n ta,~ '-.._.3 Estate of ~1G~r~n , L ~ ~,n . ~ l _ ''J ~~ ' ' r;~~~~1- IR~ri ~ ,Deceased Social Security Number: ~y 2 - ~~ - 3 -$~ Date of Death: AND NOW, ~~ , ~~, in consideration of the foregoing Petition, satisfactory proof having been presente efore m IT IS DECREED that Letters ~y~,r1 ~h ~~~{-p`,~-t or are hereby granted to ~ ~~.~ S ~r in the above estate and that the instrument(s) dated described in t}~e Petition be admitted to probate and filed of reco FEES Letters ............... $ Short Certificate(s) ........ $_ ~} ,~ Re~lunciation(s) .......... $ S _ L~_ JC.P ... $ ~ o .~ ... $ ... $ ... $ ... $ - ... $ ... $ ... $ TOTAL .............. $~LI ~~ the last Will n odicil(s)) of D e nt. Register of is ~ ~ ~ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: r-~~,-„~ Rw-v' ,~~~ ru.l~.vr, Pale 2 of 2 RENUNCIATION REGISTER OF WILLS _C ~w~~r~w~d COUNTY, PENNSYLVANIA Estate of K L, ~.i o~ ... -- t~.~ :~ . _ ~ ~ Y ~ : ~~~ -~~ ~..~ \..,. ~.wir .:: u~~ ~ ~ 1 "'~ • • ~..; ,Deceased I, - ~Gb~~ ~+ ~~ ~ /' s /1 , in my capacity/relationship as (Print Name) S or.J of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~'~ -'v -~ (Date) v [ ~,~ (Signature) Y7~7 ~~n~..r~-~ ~~c (Street Address) (City, State, Zip) Executed in 1'tegister's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of.Wills ~ Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certif ed that he or she executed the renunciation for the purposes stated within on this day 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 ~~ ~FFM~ C qL ES AL y SARAH A. COSMAS z trOTARY PUBLIC, STATE OF ILLINOIS ,~ h~lY COf~1Mi3510N EXPIRES ?,Z6•~12