HomeMy WebLinkAbout07-28-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY, PENN/n~SYLVANIA
^....,.e ,.r Barbara G. Replosle File Number ~ I - O vl ' D~~
also known as
,Deceased Social Security Number 203-52-3175
Petitioner(s), who is/aze 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.9
D A, Probate and Grant of Letters Testamentary and aver that Petitioner(s) is 7 are the Executor named in the
last Will of the Decedent dated and oodicil(s) dated
(State relevant cirCamstances, e.g., renuncigtign, death of execatar, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution ate instrumer~ offered _,
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ~ ~ ~ ~~- ~. '--~
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B. Grant of Letters of Administration ~~ ~ ^r'' ^ v r-~~' ~~=i_i
(lfapplicable, enter: c.t.a.; d. b.n.c.t.a.; pendente (ice; durance absentia; dura~f'dep~tgte) QD _.A! _;,t
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was stuvived by the following s~(~t~nny) ~ heirs; flj-~-
Admtnistration,c.t.a.ard.b.n.c.t.a., enter date of Will in SectionAabove and complete list of heirs.) _ ~~ ~ ?
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Daniel E. Replogle, Jr. ~ spouse ~ 803 Torway Road, Gazdners, PA 17324 - _
(COMPLETE7N ALL CASES:) Attach addiriona[sheers ijnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
803 Torwav Road Gardnezs Cumberland Countv Pennsylvatia 17324
(List street address, town/city, township, county, state, zip code)
Decedent, then 43 years of age, died on June 11, 2009 st Harrisburg Hospital, Harrisburg, Dauphin County, PA
Decedent at death owned property with estimated values as follows:
t
(If domiciled in PA) All personal property $ ~~
(If not domiciled in PA) Pezsonal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as
P~
~3•~~
Form RW-02 rev. lo.ls.o6 Page 1 of 2
Wherefom, Petitioner(s) respectfully request(s) the pmbatc of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
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 aze 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 tmly
administer the estate according to law.
Swom to or affirmerd,,a~`n~d subscribed
befpre me [he ~ day of
the
Slgnoture ofPersanal Representative
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File Number: of ~ ~ ~ ~ ~ ~ rv ' ' =,
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Estate of Barbara G. Replogle ,Deceased W
Social Security Number: 203-52-3175 Date of Death: June I I, 2009
AND NOW, ~ , ~D~9 , in consideration of the foregoing Petition, satisfactory proof
having been presented before , IT IS DECREED [hat Letters of Administration
are hereby granted to Daniel E. Replogle, Jr.
in the above estate
and that the instrument(s) dated none
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))
FEES
,' ~ ~„ ~, 1 gr afw;ns
Letters ............... $ ~Zl t v
Short Certificate(s) ........ $_, 7 Attomey Signature:
Renunciation(s) .......... $
ry n $'~ ^ Q~ Attomey Name: David A. Banc, Esquire
~V `~~~1- 1 1 ~. $ 5. r~0 Supreme Court I.D. No.: X853
O•~' $ Address: O'Brien, Bazic & Scherer
.. $
.. $ 19 West South Street
$ Cazlisle, Pennsylvania 17013
•• $ Telephone: (717)249-6873
.. $
TOTAL . 0.00
Form RW-02 rev. ~o.l.t.oe Page 2 of 2
Signature of Persona! Representative rV
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o r.
105.905 aEV.f3109)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of
the Vital Statistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
in :11_or~ce`wifh~
Q. ~~~~
Linda A. Caniglia
Slate Registrar
JUN 19 20~
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dNCn* CERTIiICATE OF DEATH ~ C~ `'~' -,
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RENUNCIATION
REGISTER OF WILLS
Cumberland COUNTY,PENNSYLVANIA
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Estate of Barbara G. RevloQle ,Deceased
I, non; al F Rai i ^qi o rrr . in my capacity(relationship as
(Prtn7NomeJ
Sr,., of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Daniel E. Rep !ogle Jr.
(~J (S7s^~unl
803 Torway Road
(SbxetAddnuJ
? 6H~drYp~$;; PA 1 7324
(C7ry, Stafa, ziyJ
Executed in Register's Office
Swom 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 certified
that he or she executed the renunci i~or the
r~urpo~es,stated within oq~ltis a_ day
~~~~i~ cam,,. t
Notary Public
My Commission Expires:
(Signan¢a and Sell of Notary or other official quali5ed to
sdminister oaths. Show date ofexpoation of Notary's Commission.)
Form RW-06 rev. !0.13.06
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
DmridA Banc, Notary Public
Cam Boro, Cumberland Courny
My Commission Expires Mar.12~ 2D10
Member, Pennsylvania Association of Notaries
RENUNCIATION
REGISTER OF WILLS
Cumberland COUNTY, PENNSYLVANIA
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Estate of Barbara G. Replogle ,Deceased
I Sarah A. Replogle , in my capacity/relationship as
(PrlnrNarne)
dat,ghtar of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Daniel E. Replogle Jr.
D~/~f /o~i
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Executed in Register's Office
Swom to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
f'NS^o~J
803 Torway Road _
(SaxcrAddressJ
Gardners, PA 17324
(Clry, swu, 21p1
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatigp~'or the
~rpos jgd within on t,(iis __~Y_~~y`~ day
Notary Public
My Commission Expires:
(Signature and Seal of Notary os otlser official qualified to
administer oaths. Show date ofexpitation ofNotmys Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Da~rid A. Bade, Notary Public
Carlisle 8oro, Cumberland County
My Commission E>q~ires Mar. 12, 2010 (`-
Member, Penneylvanla Association of Notaries `~(>(,