HomeMy WebLinkAbout10-15-09V
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Benjamin S. Lyons
also known as
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
_ COUNTY, PENNSY~~NIA ~
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File Number (-~1,(XOn .r. r---
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Social Security Number 201-6$=6'10~~-~
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A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
last Will of the Decedent dated and codicil(s) dated
C.r'1
N
named in the
(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:
B. Grant of Letters of Administration
(If applicable, enter: c.t.a.: d.b.n.c.t.a.; pendentelite; duranteabsentia: duranteminoritatej
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.)
Name Relationshi Residence
Judith I. Scholl Mother 130 E. Locust Street, MechanicsbwQ, PA 17055
Michael Lyons Father 23l Callanan Avenue, Bryn Mawr, PA 19010
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
130 E. Locust Street. Boroueh of Mechanicsbure, Pennsvlvania 17055
(List street address, town/city, township, county, state, zip code)
Decedent, then 22
at Hampden Township, Cumberland County, Pennsylvania
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
$ 7,500.00
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:
nat e T d or tinted name and residence
x' I Judith I. Scholl, 130 E. Locust Street, Mechanicsburg, PA 17055
1
Form RW-01 rev. /0. /3.06 Page 1 of 2
years of age, died on April 28, 2009
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
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
be~fo+re~me the _~~~~,da~y of
Q •V~ ~ 1 I.SB~~'
For the Register
Signature of Personal Representative
File Number: c~ (' ~' OlD I `1
Estate of Benjamin S. Lyons ,Deceased
Social Security Number: 201-68-6705 Date of Death: April 28, 2009
AND NOW, 1~1o~t.~ (5 ~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Judith I. Scholl
in the above estate
and that the instrument(s) dated n/a
described in the Petition be admitted to probate and filed of rec~~r~d,,as_tJhe_ la(st~,W~ill (and C dicil(s)) of Decedent.
FEES C~~•~~ ~-~-"Q ~~t ~
Letters $ ~L~ , Up Register of/Wills ~*
Short Certificate(s) ~Q..... $ 40 •cx~ Attorney Signature: ~~[/i~c ~
Renunciation(s) .......... $
Attorney Name: Mark E. Halbruner, Esquire
... $
• • • $ Supreme Court I.D. No.: 66737
... $
Address: Gates, Halbruner, Hatch & Guise, P.C.
... $
• • • $ 1013 Mumma Road, Suite 100
... $
$ Lemoyne, PA 17043
$ Telephone: (717) 731-9600
... $
TOTAL .............. $ s. 00 ~
Form RW-01 rev. 10.13.06 Page 2 of 2
Signature of Personal Representative
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15189000
Certification Number
S:Y,iIZ008
'iBNY IN
MK U32-004
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALER • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See instructions and examples on reverse) srnrF Flt F w tuwca
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anicsburg, PA
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This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly fixed with me as Local Registrar.-The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
/~'~~~d"'' ~R 3 ~ 2009
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Local Registrar ' Date Issued
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