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11-12-09 (2)
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Carl L. Warrick II File Number 21-09- ~ ~ ~~- also known as a an-ic ecease Social Security 199-38-6424 Petitioner(s) who is/are 18 years of age or older, apply(ies) for: [X] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent dated September 25, 2009 and codicil(s) dated N/A state re evenat circumstances, e.g. renunciation, ea o 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) r~ffered 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.; .n.c.t.a.; en ente ite; urante sentia; urante minoritate~~ 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.ttt., enter date of Will in Section A above and complete list o, f heirs.) Decedent then 52 years of age died on 10/ 17/09 at 940 Walnut Bottom Rd, Carlisle Decedent at death owned property with estimated values as follows: (Il' domiciled in Pa.) 5,000.00 (If not domiciled in Pa.) (If not domiciled in Pa.) Value of real estate in Pennsylvania , situated as follows: 1391 Wag~oner's Gap Road Wherefore, Petitioner(s) resg~ctfuliy 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 undersicned: ~- na~ure 1 ea or rinteu name and residence a e Town ~- David Robert Warrick 1447 Good ear Road Gardners PA 17324 Linda Kent .. 10 Crystal Lane, Carlisle, PA 17015 Page 1 of 2 COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last principal residence at 1391 Wadgoner's Gap Road, Carlisle, PA (North Middleton Township) (Last street ress, town city, towns ap, county, state, zap co e Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ ~ w•-~ ~'~~^- ~ : The Petitioner(s) above-named swear(s) or affirn~(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 I ~-~„~ Signatur al ive ~ T G~ ~ e fZ r~ before me the day of ~""+a ~ ~, _ ~_.~ Q~'e ~~ Signature of Personal Representative ~;.~~;.,~ `'C7 ~ ~~; „i r, °';. For the Register Signature of Personal Representative ~~~~ "~ ~ j ~ ~ _. k ~ `~ ~~~~- ~ 1` ~ ~. ^ ., `~ ---i ~ ... ~ - ,~„~ v `. ..~, y •• File Number: 02,E -('q ~' ~ C~~J ~' ~ , Estate of ` ~ W ~ ~ - ,Deceased Social Security Number: (~ ~ - 3~ ' ~ ~ Z- ~ Date of Death: e~o k~ ~f 1 ~7. 2. 0~~ -T AND NOW, Nuv . 12 , 2c~v , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED at Letters' rTArae ~a. are hereby granted to ~, 1=~~„~Q Ic c-t~wr~ , C~., ~' p1h,o,r-~ (~,~,~.,~ t C k ~ ! /1C~ II..Q_ ~~ in the above estate and that the instrument(s) dated ~ - ~ 5 - U~ described in the Petition be admitted to probate and filed of record ~,s the last Will ~nd Codicil(s)) of Decedent. _ FEES Letters ............... $ Short Certificate(s) ........ $ Renunciation(s) .......... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. ~ Wills Attorney Signature: Attoi~iey Name: Supreme Court I.D. No.: Address: Telephone: ~. r-~,•„. Rw-o? ,~ev tv.~3.vr, Page 2 of 2 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~,w,b~' ~h..~ COUNTY, PENNSYLVANIA ____ Estate of ~ v,(' ~ ~ . ~ s~J` r~ c ~. ,Deceased ~-- ~ ~'''' ~r ~~ ~~ aY-~ , ~-°~°~~ ~ ~f~ , (each) a subscribing witness to (Print Name/s) the Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that ey were present and saw the above Testator sign the same and that ~ / he / signed the same and that ~a /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. . ~`__. c (Signature) (Signature) _.•, O ~ ~ ~ 5©v ~ ~. r1 V ~ S ~. (Street Address) (Street Address) ~~ (City, State, Zip) ~,r ~ 1 `7 a cr3 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this `~1 day of 1~~6`U~ ~~~' ~1' ,, T~.~puty for Register of Wi s Executed oast of Register's Office Sworn to or affirmed and subscribed before me this day of Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-03 rev. 10.13.06