HomeMy WebLinkAbout01-13-10PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of ~ ~ G~dNJ~ ~ T!
also known as ___
REGISTER OF WILLS OF C"rt~jor&ga~
r
V'
COUNTY, PENNSYLVANIA
File Number~~/'Qf~C~I// ~ //`-~
Ig,~- 3v- TIy~
Deceased Social Security Number
Petitioner(s), who is/are lg years of age or older, apply(ies) for:
(COtYIPLETE 'A' or 'B' BELOW:) /
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~f°~ ~ ~?r+'S+•s:~f~f"~ named in the
last Will of the Decedent dated and codicil(s) dated
(State relevant circumstances, e.g., renunciation, depth ojezecutor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the insnUment(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters of Administration
(ljapplicable, enter: c.Gn.; d. b. n.c. t. n.; pendente lice; durance absentia; durnnle minoritnle)
~ N
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following~pQttfe (if any~d 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.) ~~ ~ ` s: ~+;3 -?i
Name
W
--, '. r ~ ,''r'r
(COMPLETE IN ALL CASES:) Attach additional sGeets if necessary. ~ `'~ t~
2 y .~,
„ L~ece~lenty.~as domiciled at death,}n ~~~` ~atr~a^/~ County, Pennsylvania with his /her last principal residence at
rlstreel address, [owi/ciry'. township, county, since, zip oodelf'/
Decedent, then ~ ~ years of age, died on ~~' ~ at f'~,ff~ /"~+lt~ ~'t'~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~~t ~~J
(If not domiciled in PA) Personal property in Pennsylvania $
(if not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as fol
Form RW-0? rr:N. 10.13.oe - Page 1 of 2
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:
n ~i,t~
W; ._:
{"_Us~.}
Oath of Personal Representr$AN 13 PM 1= ~+~
COMiV(ONWEALTH OF PENNSYLVANIA CL~P~` ~~
SS
ORPHAhI'S ~C'JRT
COUNTY OF Cv.,,~tt'16,~y( vU~~~r1 >r.f~tiD ~0., PP.
The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are true and con~ect to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
i
Sworn to or affirmJed~a(n~/d subscribed
Ire me the /i/ day of
Signature ajPersonal Representative
Signature ojPersona/ Representative
Register Signature ojPersonal Representative
File Number
Estate of r~ /~ C(OuW 9 ,Deceased
Social Security Number: !g'~ 3 ~^ ~ ~ ya Date of Death:
AND NOW, ~ , °~~ ~ ,inconsideration of the for going Petiti n, satisfactory proof
having been presented befor/e~me, I DECREED that Letters ~~I '~~_ ~ iS ~C3'l
are hereby granted to l"t ~~k C~oKJ~ 1J
in the above estate
and that the instrument(s) dated
described iu the Petition be admitted to probate and filed
FEES „ ,
_~J/~\rw
Letters ............... $
Short Certificate(s) ........ $
Renunciation(ns)'- .. ~ $$
!'ill . ~ ~ a~-
... ~
... $
... $
... ~
... $
... $
... $
... 1 ~.y
TOTAL .:............ $
Z /"289 9 ~ / /S~~I
ecor the last Will and Codid s)) of Dece ent. ~/~
Regisl r o Wills X'- 7
Attorney Signature: '~~d~~ - ~'"' C" "°° - UG~~~~~~D
Attonrey Name
Supreme Court LD. No.:
~~a ?S~
Address:
G3~ ~~~ ~~~ 1~-4
~? 13vr) ~~} / X31 S
Telephone: ~7i7~ Y~3-?t:68
Fa~rn RW0= rev. 1U.13.Ub Pave 2 of 2