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Home My WebLink About10-09-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Jeremy L. Ayers also known as COUNTY, PENNSYLVANIA File Number 21-09- Oq~ ,Deceased Social Security Number 197-68-7518 Stephanie Ayers and Staci L Hair 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 the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^X B. Grant of Letters of Administration app Ica e, en er. c..a.; .n.c..a.; en e i e; uren 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 of heirs.) Suppress heirs for Section "B" (Grant) ~ Name ~ Relationship ~ Residence ~ Averie Marie Ayers Daughter 3810 Spring Road Newville, PA 17241 ,~ ~ ~ aW ~O (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ ~ w p V Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at w0 Q ~ V Q 29 Mountain Street, Mount Holly Springs, Mount .ist street address, town/city, township, county, state, zip code) Decedent, then $1 years of age, died on 09/09/2009 ~ ~ Jy Springs Borough, Cumberland, PA 17065 ~ ~ ~ ~~v~w 0 at 1280 York Road, Gettysburg, PA ~ N ~ v 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: 29 Mountain Street, Mount Holly Springs, PA 17065 10,000.00 100,000.00 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 Stephanie Ayers 224 B Street ~~--~ ~ ,(~ _ Carlisle, PA 17013 ~ Staci L Hair 169 E. North St. Carlisle, PA 17013 Form Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 ~~ n~ ~; a Q` ~ s~ Oath of Personal Representative ~ w w ~ ° ~o COMMONWEALTH OF PENNSYLVANIA } SS ~ O ~ ~ Q 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 ~ c U ~ ~ the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly o ~ ,t administer the estate according to law. ~ N U Sworn to or affirmed and subscribed before me this ~ day of ,~ For the Register S~~turb of Personal Representative Stephanie Ayers Sig tune Personal Rep entative Staci L Hair Signature of Personal Representative File Number: 21-09- C~q.~'~3 Estate of Jeremy L. Ayers ,Deceased Social Security,...N~urm_ber: 197-68-7518 Date of Death: 09/09/2009 AND NOW, ~~\03~i1 '~ O~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Stephanie Ayers and Staci L Hair 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. ARE THERE ANY MINOR HEIRS? ~ Yes ~ No FEES Letters ............................................ $ 260.00 Short Certificate(s) ........................ Renunciation(s) ............................. JCP Automation fee TOTAL .................................... Form RW-02 Rev. ~o-~s-loos $ 16.00 $ 5.00 $ 10.00 $ 5.00 $ 296.00 Att Attorney Name: Patricia R. Brown Esq. Supreme Court I.D. No.: 27474 SALZMANN HUGHES PC Address: 354 Alexander Spring Road, Suite 1 Carlisle, PA 17015 Telephone: 717-249-6333 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 cn ~±; o~~~x ^ GENERAL WAIVER AND RENUNCIATION w~ W w o 0 ww~Ovq To: Register of Wills of Cumberland County, Pennsylvania Q ~ ~ ~ q ~ ~ x ~ O U ~ W Estate of Jeremy L. Ayers, deceased. ~ O N 0 ~~ v I, Jessica C. Ayers in my capacity/relationship as spouse of the above Decedent, hereby relinquish any and all rights to any assets of the above Decedents Estate as spouse or otherwise, and further renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Stephanie Ayers and Staci L. Hair. WITNESS hand(s) this day of , 2009. (SIGNATURE) JeSS1C .Ayers Affirmed and subscribed before me this Or day of , 2009. Register of Wills Deputy 3 810 Spring Road (STREET ADDRESS) Newville, PA 17241 (CITY, STATE, ZIP) Affirmed and subscribed before me this day of Q~~ b~,,._ , 2009. Notary Public ~~~~4F~ COMMONWEALTH C?F PENN3YI~VANIA Notarial Seal Tamers S. Siegrist, Notary Public Waynesboro Boro, Franklin County My Commission Expires Dec. 1, 2010 Member, Pennsylvania Association of Notaries