The URL can be used to link to this page

Home My WebLink About08-28-09~~ PETITION FOR PROBATE AND GRANT OF LETTERS REGfSTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Connie Sue Jordan File Number 21-09-v ~' ~ ~_ also known as ,Deceased Social Security Number 190-54-4743 Nicole M. Jordan Petitioners}, who is/are 18 years of age or older, apply(ies) for (COMPLETE A' or '8' 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, tleath orexecutor, 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: QX B. Grant of Letters of Administration app+ca e, en ec c..a.; ..n.c..a.; pe en e + e; uran e a sen +a: uran a moron a e 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. or d.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.) Suppress heirs for Section "B" (Grant) Name Relationship Residence Nicole Marie Jordan Daughter 522 S. West St. Carlisle, PA 17013 Ian Micah Jordan Son 7526 Wentzville Rd. 17015 r.a Cortney Lea Jordan Daughter 20 Bellaire Ave. C-~ ~...~ . ~ _ ' Carlisle PA 17013 -'f~ ~' ~ '. (COMPLETE !N ALL CASES:) Attach additional sheets if necessary. ` -~:, ~ - ~ c~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residencA dt"-~ ~ ' --t 360 Old State Road, Gardners, Dickinson Township, Cumberland, PA 17324 - ~ ~ ; -~,_ _ _`- ~' (List street address, townlcity township, county, state, zip code) _'~ ` -~ - ~) ~ ,.- t Decedent, then 4$ years of age, died on 07/23/2009 at Harrisburg Hospital, Harrisburg, PA = ~ ~~ ~` E3 -i Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 11,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 75,000.00 situated as follows: 360 Old State Road, Gardners, Dickinson Township, Cumberland County, PA 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: Signature Typed or printed name and residence Nicole M. Jordan 522 S.West St. ~ ~ ~ r, Carlisle, PA 17013 Form RW-02 Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 ~~, 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 and subscribed b f i , Y~ e ore me th s day of r .~ ~' ~,~ ~" S ignature of Personal Representative C7 ~ ,._ ~ O ..L-+ , _ t =C7 : ~" . ~, ,~ , F the Register Signature of Persona! Representative - :, - ~~ - - 't ~ _... - ~ -C~ ~;,y - - ::._ - ~ -:; ., -, File Number: 21-09-~~~~ ::~~ ~, Estate of Connie Sue Jordan ,Deceased Social Security Number: 190-54-4743 Date of Death: 07/23/2009 AND NOW, r5 ~~~ t} ~ Atd9~1' ~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, T IS DEC ED that Letters of Administration are hereby granted to Nicole M. Jordan in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~ ~ . ~ , ~ FEES (i/ ~~L L ~ C `~ ~ Letters ....................................... ..... $ 210.00 ; t. ' ' / , r ; ZC, . R ' Short Certificate(s) ................... • ..... $ ~~ ~ ~'~ "'~~ f egister oflM7fs y ~ - //" ~ ~~ ~ ''C ., ~ Renunciation(s) ........................ ..... $ 10.00 Attorney Signature: ~ ~~ , 7---h yeti ~ ~ `~rw~ l ~~ Attorney Name: PatriCla R. Brown Esq. JCP $ 10.00 _ ~i'Yw~+rU-'1 $ ~~" Supreme Court I.D. No.: 27474 SALZMANN HUGHES PC $ Address: 354 Alexander Spring Road, Suite 1 $ Carlisle, PA 17015 $ Telephone: 717-249-6333 $ $ TOTAL ................................. ... $ ~2 ~ . CC"'~~' Form RW-OT Rev. 10-13-2006 Copyright (c) 2006 forth software only The Lackner Group, Inc. Page 2 of 2 _ •2i~-~~-~~~~ RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Connie Sue Jordan ~ ~ , Dece~ed { ~ _ - - . -~ ~, ~: ~ ~ ~ .' ;~ - ;; t,-, r.~ ~. ,l ~ ~. ~-, -~ rt:: , =' a. i, Ian Micah Jordan in my capacity/relati~shlp as (Print Name) -..1 Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Nicole M. Jordan (Date) ° (Signature) la Jordan 7526 Wertzville Rd. (Street Add2ss) 17015 (City, State. Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the party executing this renunciation and certified before me this day that he or she executed the renunciation for the of purposes stated within on this, f~'Yiay of =~ ~ ~ • /J < Deputy for Register of Wills Notary Public My Commission Expires: (Signature and seal of Notary or other official qualifietl to administer oaths. Show date of expiration of Notary's commission.) CC~MI~AONWEALTH r'6 PENNSYLVANIA Nots' _ ~ier,l 7;?n'G~P~ S .~,,,~ tit. itlrr~ry PUbiiC 1Nay.,<,.;," .ra~~. Fs•~T--,*lin County My Ccrr,:. rr„- <,xc., s tJec. 1, 2010 Member, Pennsy;varis~ ;association of Notaries Form RW-OB Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Connie Sue Jordan , Demised -~ ..,~ .,. ~ e-' , !~?. r> l r.~ f-.,~ - . ~.} ~ .. , Z~ ' :~~:: i. Cortney Lea Jordan in my capacity/relationsh'ip as r'•'•' (Pont Name) -~ ~ ~ Daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Nicole M. Jordan (Date) ~-- / (Signature rtne J rdan 20 Bellaire Ave. (Sfreel Address) Carlisle, PA 17013 (City, Sfafe, ZipJ Executed in Register'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 certified that he or she executed the renunciation for the purposes stated within on this~3~day of ~- :~ ~, ~~ y . Notary Public ~ My Commission Expires: Si nature a gt~ry~pr the offs. i u rfied t administer t?At~bT ~~ 'bl~~ila~~ NOtari2.f ~aE3iS Taf?1E~ ,~~, S`,ean~:, t'^irJslry' h-UJIIC Waynestxlro ~3C~tr~, Franklin County My Commission expires Dec. i , 2010 Member, Pttrr,vlva~i~ A^snciation of Notaries Form RW-OB Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.