HomeMy WebLinkAbout11-13-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Fctatw of Loretta Jov Nealev File Number 21-09- ~(~ ~ p V
also known as
,Deceased Social Security Number 1608-7973
Jason K. Negley
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 arcumstanCas, e.g., renundafion, death o/executor, etc.
F~ccept 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
ap ica e, en er. c..a.; ..n.c..a.; n e e; uran a n 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: (!f
Administ-adon, 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
Jason K. Negley Son 126 Shippensburg Road
Shippensburg, PA 17257
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. [~ ~ ~ -- r='-~ ;~3
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal reside~sGBt', ~"j ~~ ~»~
15 W. Main Street, Newburg, Cumberland County, Pennsylvania c ~Q~ -° ~`'-Y~','
Decedent, then 53 years of age, died on 10/29/2009
Decedent at death owned property with estimated values as follows:
at 15 W. Main Street, Newburg, PA ~" -~~
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(If domiciled in PA) All personal property $ 75,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 100,000.00
situated as follows: 15 W. Main Street, Newburg, Cumberland County, Pennsylvania
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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:
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 represe~ tiv o Decedent, P oner s) wil ell an ruly
administer the estate according to law.
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Swom to or affirmed and subscribed
before r>ie this ~_ day of
~~
Ftr the Reg'~sJkr
File Number:
Jason K. Negley
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Signature of Personas Representative
21-09-
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Estate of Loretta Joy Negley , Deceas~tl ~~
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Social Security Number: 1~60-48-~79~7`3~( Date of Death: 10/29/2009
AND NOW, t_ )o~Q rn p ~ I ,~~ ~ W`1 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Jason K. Neglev
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
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Letters ............................................ $ r~~ ~ ~~ • d~ -
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Register of
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Short Certificate(s) ........................ $ ~-~ ~ • ~~~
Renunciation(s) ............................. $ Attorney Signature:
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(_p $ ~ ~ . (~ Attorney Name: George E. Wenger Jr. ~ •
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i ~~~m"u~ ~ $ `~~ ~0
Supreme Court I.D. No.: 19231
Hoskinson & Wenger
$ Address: 147 East Washington Street
$
$ Chambersburg, PA 17201
$ Telephone: 7171263-8535
$
$
TOTAL .................................... $ ~~ ! ~ • V U
Form RW-OY Rev. 1413-2006 Copyright (c) 20ot3 form software onty The Lackner Group, Inc. Page 2 of 2
105.805 REV 101/U7)
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~16006339
Certification Number
H105.1N REV 1 Vl011a
TYPE / PRM N
PEReNrJEIIT
aAq`"" ,~32-134
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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 fo dad to the State Vital
Records ice for vent filing.
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L egistrar C"3 ~ Date Issued
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COMMONWEALTH OF PENNSYLYANIA • DEPARTMENT OF NEALTN • VITAL RECORDS
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CORONER'S CERTIFICATE OF DEATH ~ c'. ~' ~~_
(See Instructions end ezamplss On -everes) STATE FILE NUMBER (,~
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