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HomeMy WebLinkAbout08-04-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Esrate of Olive R. Brown also known as COUNTY, PENNSYLVA IA File Number 21-09- ~~~ Deceased Social Secudty Number 159-24-9471 reanonegs), wno israre ro years or age or scar, appry0es) tor: (COMPLETE 'A' or'13' BELO W.) A. Probate and Grant of Letters Testamentaryand aver that Petitioner(s) is/are the last Will of the Decedent, dated and codicil(s) dated named in the relevant drwmstances, e.p., 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 Ingpacitated person: QX B. Grant of Letters of Administration -n ti C 'c a Petitoner(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 Administrebon, c.t.a. or d.b.n. c.t. a., enter date of Wll in Section A above and complete list of heirs.) Suppress heirs for Section "B" (Grant) Name Relationship Residence Hazel E. Brown Daughter PO Box 97 New Kingstown, PA 17072 Robert L. Brown Son 3850 Sullivan Street Mechanicsbur PA 17050 Bonnie L. McKeehan Daughter 10 Pine Lake Drive Carlisle PA 17015 (COMPLETE IN ALL CASES:) Attach additional sheets i/necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 278 N. Locust Point Road, New Kingstown, Silver Spring Township Cumberland PA 17072 (List street address, towNcity, township, county, state, zip code) Decedent, then 87 years of age, died on 06/29/2009 at Manor Care Health Services, South Middleton Twp, Cumperland Cty PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 10,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal properly In County $ Value of real estate in Pennsylvania $ 113,992.00 situated as follows: 278 North Locust Point Road, Silver Spring Township, Cumbertantl County, Pennsylvania Wherefore, Petitioner(s) respecHully request(s) the probate of the last Will and Codicil(s) presented with this Petition antl the grant of Letters in the appropdale form to the undersigned: name and residence 10 Pine Lake Drive Carlisle, PA 17015 717-385-5073 717.732734 717.7665966 Copyright (c) 2008 Conn software only The Lackner Graup, Inc. Mechanlesburg, PA New Kingstown, PA Pape 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } The Pettoner(s) above•named swear(s) or afirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Pebtioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ,,,}~/Jc/,yam/~ ~j/,,,, Swom to or affirmed~a/nd subscribed '"' ' "" ~' T ff-' ~" Bonn1~L. McKeehan are hereby grented to Bonnie L. McKeehan. Robert L. Brown and Hazel E. Brown in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and glad of record as the last Will (and Codicil(s)) of Decedent. IS BOND REQUIRED? FEES Letters ..................................... ..... $ Short Certificate{s) .................. ...... $ Renunciation(s) ....................... ...... $ w. s..~~~r.... c..., e JCP Fee $ $ $ $ $ $ $ TOTAL ............................. Form RW-02 ae~. +af3-2ooa ..... $ Yes ~ No AMOUNT S 260.00 20.00 5.00 10.00 Attorney Signature: Altomey Name: Kobe C. Saidis Supreme Court I.D. No.: 2145$ Saidis, Flower & Lindsay Address: 26 West High Street Carlisle, PA 17013 Telephone: 717-243.6222 295.00 Copyrlphl (a) 2008 farm software Dory TTe Lackner Group. Inc. Page 2 of 2 lossos nEV (oiro~) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It Is illegal to dupiicate this copy by photostat or photograph. Fee for [his certificate, $6.00 P 15609074 Certification Number ~~ InaslueEV 1116q 1rPE/PPoIIrM FENMNIEM Nwcx we ~g 3 h ~,.~~~ This is to certify that the information here given is correctly copied froman 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. ~~~,x~'~`rn~x' JUII 1/2009 Local Registrar Date Issued ro n °o C .o •~ 2s• v ~ ~ T>~~.1 F rcJS~ cC77~T ~ ~~ .G" W COMMONWEALTH OF PENNSYLVANIA• DEPARTMENT OF HEALTH • VRAL RECOflDS CERTIFICATE OF DEATH (See Instrlxctlons arM exernplas on roveroe) s*nrE nLS duMeEn / J~ ; ~ 1.: z C? C? ~i~i I. ,wYaOobxlFnl.mbe. r. W1 x. s. a.5am yovrynmbr ..pwapYnIMPM.M 1 3 Oli R. Brown F 159 _ 24 - 9471 June 29, z~0 Y.MILYl e4uvuyl Gwl Unenl e.Owatiln m. 1 sV mbP a. PYndgPn cmp un M, WyYal.. qMr'. rP. 10/19/1921 Perry County, PA p„,y~,,, ^ESlwmaw ^sw xwmvlmY ^w.aaw OG..~kYPr. m, CPmyd oau m. Gy GY, T.pad•In m.iwrmmeUmlNYaY.gYYw YarP.exl c1N.aemmYa weLY+caneni xo {]vY Io.wY:MYVn Pyn. aPlt vMe..r. Qmherland South Middleton IWp ManorCare Health Services Ill w..w~'+cdY~, ISnaa51 Mzamn, Pmm wmn. u.l II.QOitl11M11 1/aa Ma-A m%p s..GmememYe Iz.WY Gmwx YxYtlM 11 GmWle FYlebwlAwely dYlmjYa WRMIYl1 n. 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