HomeMy WebLinkAbout11-12-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Ct~~,,~..trfti-,, q~ COUNTY, PENNSYLVANIA
Estate of ~~- w''c-^ Jl" ~, ,~,~ rc ~,~. ~''n
also known as
Deceased
File Number ' ~ C1 / - 1Qf(~
Social Security Number ~ ~ ~ ' ~ ~ "' ~ y~~
Petitioner(s), who is/are 1 S years of age or older, apply(ies) for:
(COA~IPLETE 'A' or 'B' BELOW:)
^ 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
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 bom 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
(IJapplicable, enter.• c.t.n.; d.b.n.c.t.a.; pendente life; durance absentia; durttffl,~ minoritate) c~
C Q ~
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived b the followin tf an a~heirsr ~•`
g
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y
(
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Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
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Name Relationshi Resie~r{c~ ~- N ~:; •* °,- _
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(CONIPLETE IN ALL CASES:) Attach additiot:al sheets if necessary. ~
Decedent was dom• filed at deat
h
in ~ ~ .~ County, Pennsylvania with his /her last principal residence at ~.~f'?'C
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(List street address, o-wt/city, tow !tip, county, state, zip code) .
Decedent, then ~ Years of age
died on ~ `~
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Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~y~~',•C>G'
(If not domiciled in PA) Persona] property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows: 1-k, /•~ ,~ (~yi•t~L ~ 1 IS G.-1~ q, ~~ Gc.~ Z.yL L~ ~/~-1e~ ~ .
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:
Si nature T ed or rimed name and residence
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Forst RyY-0? re~~. !0.13.06 Page 1 of 2
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Oath of Personal Representative
COMMONbVEALTH OF PENNSYLVANIA
COUNTY OF
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tine 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 '
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f Signat~ oJPersona! Re~esentntive
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For the Register Signature of Personal Representative ~_:~~ C~~3 ~.~ iV =--r 7 r.~ II
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File Number: oC
I-- O~ - ~OL~ ~ •i 1
Estate of ~~C~~_ t) . ~~~anC~.t~~ ,Deceased
Social Security Number: ~ ~ ~ ' ~~ - y ~ In ~ Date of Death: ~ '~ q - ~ `~
AND NOW,~sZestx~~. ~ , ~~~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~~~~~i'~,,~,o-~.~
are hereby granted to ~~}~~ ~ t ~ ~,~t
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $ ~'eJ- ~
Short Certificate(s) ........ $ c~0 • c~
Renunciation(s) .......... $
~~. malt ~ .. $ ~. c~J
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $~O • C~
the last
of
Attorney Signature:
Attoi7~ey Name:
Supreme Court I.D. No.:
Address:
Telephone:
t.
r-~,~,,, Rw-o? ,~~v. iv.r3.o~ Page 2 of 2