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HomeMy WebLinkAbout09-28-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~m ~G,r,~ COUNTY, PENNSYLVANIA Estate of ~ ~1'~~'1t±,X~ ~~ ~ - C:.~.-~ File Number ~ ~ ~ ` O ` y also known as Deceased Social Security Number ~ ~ $ "~ o~ ' ~ ~t ..3 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: C'7 .°v { ; "'~ `. (C0,T7PLETE 'A' ar 'B' BELOW:) '-- "` ~ t1) ~. ~._ -n rn , ~^y T __.._. , ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the = ~- > ran. f~tamed fri, they last Will of the Decedent dated and codicil(s) dated c '~ --~ --t :C=:~~ -- (State refevmtt circumstances, e.g., renunciation, death of executor, etc.) ~ ~ ~ n1 Except as follows, Decedent did not marry, was not divorced, and did no[ have a child born or adopted after execution of the insttvmet~(1 offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: LJ B. Grant of Letters of Ad (Ifappticable, enter.• c.t.a.; d. b. n. c. t. a.; pendente lire; durante absentia; durarue n:inoritnte) 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.) Name Relationshi Residence `r - i 4 ~ ~ U~ ~ (COMPLETECNALL CASES:) Attach additional sheets if necessary. 1 was domiciled a~ dea[h1>} lxr/1 ~'u County, Per}gsylvania with~tis /her last principal residence at (List street ceddr~, town/city, township, count)r, state, zip code) ~ i ` ! r ` Decedent, then ~_ years of age, died on ~ ~ at (~, 1 ~ { C'c~. t ~TCC~' ~~ l~-h t'('L. 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: 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: Sig>nanire Ty ed or rioted name and residence 1 ~ ~~ ~ Lr~ ~ ~,© ~ ~herman5~c~n pA $ ~.Q:~oD n6 $ ,-. 170 o Form atv-oz re,~. 10.13.oa Page I of 2 ^I Oath of Personal Representative COMVIONWEA TH OF PENNSYLVANIA j 5S COUNTY OF Q,~-~+ The Petitioner(s) above-named swear(s) or affirnl(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 tnily administer the estate according to law. Sworn to or affirmed and subscribed \ t[>.Y.~.~. ~ o ~~_ f(}~ Signature of Personal Representative me day of tv 0 c~ ~o Signature aJPersonal Representative ~' ~ -'7 ~ ~ ~ ~~/ J ~' .~ I~T'1 5~.7 Regtster Signature of Personal Representative c. > ~~ `'= _ i • iCJ ~T ' :IJ tV _ _ 3 '1 --~ -, r ~, /~, /~ q ~ File Number: ~~ ~ y ~ ~ V / ~ ~ ~ G11 Estate of nn Q' L /~ /,, ~ C ,Deceased Social Security Number: O~ ? 0 ~ 'i ~ ~ `'Cl[~~~ Date of Death: AND NOW, a~~ L~..~'J~ in consideration of tue foregoing Petition, satisfactory proof having been presented bore me _I'~ IS DECREED that L~r~ .. e C are hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record s the last Will (and Codicil(s)) of De p ent. FEES ~- ~~ . ~ Register of Witts , Letters ............... $ Short Certificate(s) ........ $ Renunciation(s) .......... $ ~ ... $ .~~ t,, . $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ ~~ Attorney Signature: Attorney Name: Supreme Court LD. No.: Address: Telephone: Fam RW-0_' rev. 10.13.0( page 2 Of 2 N C7 ~ -~ ~ RENUl~TCIATION "-~' `~ ~' ;~ ~ ~~ REGISTER OF WILLS z> ~.+,m~~-r~An[~ COUNTY, PENNSYLVANIA Estate of ~~ , DYVVt^aJVu I, __ ~_ Y\ ~ ~ S ~ ~ Q, ~' '~j _ i~ ~ C. ~~ , in my capacity/relationship as (Print Name) ~j fi fl of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to x 9-19~~9 ' (~ate~ rgnature) / fc7 cvnao~o~u~~ m,-~; l ~~~~ (Street AddrersJ ~~yi ~~e ~ ~ i 7 a ~l ~ (City, State. Zip) Executed in Register's Offzce 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 certified that he or she executed the renunciati for the purposes statgd within on this ~,_ day T Notary Public My Co~~~~~~ rFl~l'~F PENNSriVAMA (Signat e and Seal of N~t~fficia qua > >e dmini r oaths. ~~f~~,~,iar-ofalotary's C mmissinn.) CARLISLE BOROUGH, CUMBERLAND CO(1NTY MY COMMISSION EXPIRES APRIL t8, 2012 Form RW-06 rev, 10.13.06 RENUNCIATION REGISTER OF WILLS n' ~ r ~~ I c r, COUNTY, PENNSYLVANIA Estate of _ ~ ~ c` n ~ ~ r1 ~_ ~~ ca '~=_ ~~ -.~ ~ -L r~ >r` =' r1~, -!~~ `') ."~ -~ l._) "_~"7 ,~-, ,,~ --; ~~ ~J ~ 7 !' ~ ~.. ~~ • ~ _ Deceased I, 1 ~ {, ~ +"~ t,~ C .. ~c ~~~ -~~ , in my capacity/relationship as (Print Name) - ~-~ a r -~-r >r' of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~ r c.> iti ~ ~ C> ~ t ~ ~ r >t ~. -~- ~ t~ 'y ~' / _ (Da[eJ Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RiV-06 rev. 10.13.06 Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciatio for the purpo es stated wi hin on this ~ day Notary Public ~ i My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF' PENNSYLVAMA NOTARIAL SEAL Brenda L'. Ludwig, Notary Public Wyomissing, Berks County My commission ex 'ros t+e 24, 2011