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HomeMy WebLinkAbout10-27-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of James F. Nichols also known as- _-_ __ COUNTY, PENNSYLVANIA Fr1e Number t~ ~ ~" V / ~ ~CJ Deceased Socia( Security Number 221-14-9707 Petitioner(s), who is/are 18 years of age or older, apply(ies) for. (COMPLETE 'A' or 'B' BELOW.) ^ A, Probate aad Grant of Letters Testamentary and aver that Petitioner(s) is /are the named in the last Wr7l of the Decedent dated and codicil(s) dated __ (5tote relevant circumstances, e.&, renunciation, death of executor, etc.J 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: m B. Grant of Letters of Administration (If applicable, enter: ct.o.; d.b.n.c.ta.; pendeme life; durarrte absentia; duratae minorttate) 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 db.n.c.t.a, enter date of Will in Section A above acrd complete list of heirs.) Amy J. Nichols granddaughter 2151 E. Letterly St., Philadelphia, PA 19125 Robert F. Nichols, Jr. grandson 2400 Baynatd Blvd., Unit 3, W' gton, DE 19802 Timothy J. Nichols gnmdson 147 Lakeshore Dr., Apt. 3, Lexiegton, KY 40502 (COMPLETEINALL CASES:) Attach addlNo»alsheets lfnecessary. Decedent was domiciled at death in Cmnberhmd County, Pennsylvania with his /her last principal residence at 7 Alliance Drive. Carlisle. PA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then 84 years of age, died on July 29, 2009 ~ Carlisle Regional Medical Center Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 10,000.00 (If not domiciled in PA) Personal property in Pennsylvania ~ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania Z situated as follows: Wberefore, 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 appro ate form to the undersigned: ~ i t: J S' atia T or Tinted name and residence C Y^t r'-'~ r~ Am J. Nichols Y 2151 E. Letterl St., Philadel Y Phia, PA 19125 ' _w,~ ~ l .--,1 _. ~. w~ ~ ~~ r.:, ~' '~ , ~ N ~`', Form RW-OZ rev. 10.13.06 ~ v Pagel' of 2 V 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 before me the ~,~ day of For the Register Signature of Personal Representative Signature of Personal Representative File Number r7/ _~ ' ~ / ~~~ lJ Estate of James F. Nichols ,Deceased Social Securi/t~y Number: 221-149707 ~y~ Date ofDeath:July 29.2009 AND NOW, / ~t ~V~-~ a aw~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Administration are hereby granted to Amy J. Nichols __ _ in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record FEES ~~~ Letters ............... $ Short Certificate(s) ........ $ Renunciation s~ .. .. $ V . ..$ ..$ .. $ .. $ .. $ .. $ .. $ .. $ ..$ TOTAL .............. $ last Will ( d Codicil(s-) ReRi.~ of Wills Attorney Signature: Attorney Name: Supreme Court I.D. No.: 83760 Address: 104 S. Hanover Street Carlisle, PA 17013 T 1 1}one: 717-243-7437 ~~'.. r J ids t ~) , ; ' ~~cO 9Z ~ I ~d LZ 130 6001 Form RW-02 rev. 10.13.06 r~ Signature ofP son Representative ~.:'U,; ~ Page 2 of 2 ]OS.RO~ REV' (Ol/07; ~~ ~ ~vl v 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 15609578 Certification Number 7' ~=~ f' ,~~- T This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~. ~~~.K~-~~~xwy ~ i /loos Local Registrar Date Issued :7 x+astea raEV ttrmos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE / PRllef N "` CERTIFICATE OF DEATH euac uac (See Instructbns and examples on revenge) N C7 C~~ © ..ca 44.i4~ :~ ~:7 -~- m N •- ~ +- :°1 > .... , ;;,,;n ~ .. ~_ - ) ~ ` ,J Y' __ _ j ~._t ~ `~~~ N } ~ a +. N.r a Derdna lr+a naitlle. mt WA6p z. Sea a SodY Seaaily Ninber e. o.+p a OeWi (Abdh. dy. Aevl James F. Nichols Male 221 - 14 - 9707 u1y29, 2009 s. AAe (lrt ernNAj) tArder 1 u,a. t a OW a ghni Abnnr, T. and ams a ee Pkn a DeeA+ GnW ar eka. t>.,e rk.. r.a. oV•r: 84 rr December 2 1924 Greenwood, DE ^hpWwa mER/Q+tpetlent ^oat ^ ^Reeidence ^Wrr-speatg - sG txaay d Orb &. CAy, Bao, in9. d Deab N. FMlly NnM IA aA Yrna+AOn, Ah+ Wed end aerear) n. wr Derdwa d 1tYpanb Or+AA+y Ib wr ~ 10. 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F led AA ^ V ~ J n r+'1! ~60~ L P- r`zh S tt . i I~ I f I I( I C~ I i ant. dey, w.r) ( . '17 N~IS~. ~ `~`V•1t. L ~t~a Pi l~U'I~ OkPadtlon perMt ~. _1j 3--b \~(~`6 RENUNCIATION <? ~~ n REGISTER OF WILLS ,- rn -~ CUMBERLAND COUNTY, PENNSYLVANIA ~ -~' -' - ~- .~ ~~ Estate of James F. Nichols ru ~, ~} '....F.,,, ,.«.,) (~ l.i ~ -~ __, ~.: ~ ~; , +~_~ ~_~ ti,~? ~ _ .- _ _ .~ ~~ i ,v ~~'i C~ Deceased I, Timothy J. Nichols in my capacity/relationship as (Prim Name) grandson of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Amy J. Nichols (Dare) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of __--_. (Sigrutrur 147 Lakeshore Dr., .Apt. 3 (Street Address) Lexington, KY 40502 (City, State, Zip) Executed out of Register's O, f, f ice Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purpo es stated within on this ~ day of ~.DD~1 . _ i ~. , Deputy for Register of Wills Notary Public My Commission Expires: ~ b~~'~OID (Signature and Seal of Notary or other official c(ualified to administer oaths. Show date of expvation of Nptary's Commission.) Form RW-06 rev. 10.13.06 RENUNCIATION ~ ~= ~ REGISTER OF WILLS ~ `~;-7 CUMBERLAND COUNTY, PENNSYLVANIA `f ;, ~ 2 ~ - U9 - ~a~Q _.; ' ~ J 's 0 7 i i . ~!J "1J "_~ 'z~ Estate of James F. Nichols ~a Q ~s• ,..~ ~ ~'~r ~'~ ~ ~ - ~~-`7 `~ ~ `- _ ~ __._ N ,. '> Q1 Deceased I, Robert F. Nichols, Jr. in my capacity/relationship as (Print Name) grandson of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Amy J. Nichols Sep~e~~~e~ 23" f ~o°~ (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of _ (Signature) 2400 Barnard Blvd., Unit 3 (Street Address) Wilmington, DE 19802 (City, State, ZIpJ Executed out oJRegister's ©ffice Before the undersigned personailIy appearcd the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~~d day of y~ ~~Itrn bul .~~a q Deputy for Register of Wills Forne RW-06 rev. 10.13.06 Mary Public 52arltl~t- NI~i115 My Commission Expires: -Z~a112~09 (Signature and Seal of Notary or other official tlualified to administer oaths. Show date of expiration of Notary's Commission.) JEANETTE MILLS NOTARY PIJBIIC STATE OF NEW JERSEY MY CbI111MISS10NEXPZRES DEC. 21,2009