HomeMy WebLinkAbout02-02-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
Estate of Arlene Ftaker
also known as Arlene Paxton
Deceased
File Number ~' ~~~ ~ ~ I D~
Social Security Number 162-36-8470
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 ~,,.,~ ~~o,
last Will of the Decedent dated
and codicil(s) dated
(state relevaru circumstances, e.g., remmciation, death of execrdor, etc.) ~ ~4
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution ~ ~"`
ent~ offer+~t
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~+ ~"~
® B. Grant of Letters of Administration
(Ifapplicable, enter: c.t.a.; db.nc.ta; pemt'ente life; durarue absentia; durance 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.t.a., enter date of Will in Section A above and complete list of heirs.)
Deanna R Salisbury daughter Carlisle Road, Gardners PA --~-
Jermi R Fraker daughter Fox Hollow Road Carlisle PA
Curtis E Bear son Mountain Road Newburs PA
(COMPLETE WALL CASES:) Attack additional streets ijnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
1861 Walnut Bottom Road. Newville Penn Township PA 17241
(List street address, towrr~city, township, county, state, zip code)
Decedent, then 62 years of age, died on October 1, 2009 at Select Specialty Hospital
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
All personal property
Personal property in Pennsylvania
Personal property in County
s (00, U0~
s
s J~
s
situated as follows:
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:
I.y
Form RW-O2 rev. IO.I3.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
SS
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 Dfcedent, Petitioner(s) will well and truly
administer the estate according to law. _
Sworn to or affirmed and.subscribed
before me the ~' ,~L daY of
For the Register
ojPersonal
Signature of Personal Represeruative
Signature oJPersonal Representative
File Number:_O~ ~ " /(~ - ~ ~~~s
Estate of Arlene Fraker
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Deceased
Social Security Number: 162-36-8470 Date of Death: Qc_tober 1, 2009 ___
AND NOW,
in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS ij REED that Letters
are hereby granted to Deanna Salisbury
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 /~
$ `~ "' Register of Wills
Letters .... t,,~~--~
Short Certificate(s) ........ $ . ~ Attorney Signature: (J"'-
Renun ration(s) .......... $
... $ 3./~`~7~
.. $~•t~ l
... $
... $
... $
... $
... $
-. $
... $
TOTAL .............. $~ lo. Vie'
Form RW-02 rev. 10.13.06
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Page 2 of 2
105.805 REV (01/07)
~ l -l(~ - C~IU~
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 15730248
Certification Number
0
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This is to certify that the information here given
correctly copied from an original Certificate of Deai
duly filed with me as Local Registrar. The origin.
certificate will be forwarded to the State Vita
Records Office for permanent filing.
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See InsVUCtione and examples on rovarse) STATE FILE NUhIBER
teete tom) 2 Sez 3. Sodel Sewey Nxnber 1. DW
162 - 36- 8470 p
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6 2 rm
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f Cumberland Penn
to oendxd'e lY.,ppm..e (smK a7 / bw~ eYY, ep cade)
1861 Walnut Bottom Road
Newville, Pa. 17241
1e. Fa1rYe Name (Ra, immle, bw,,,,s,)
dY. Ymx)
Jan. 17,1947 Carlisle, Pa, g)e~,,,, ^~„ ^~ ONrtlnRNar ^ ^~ ~
ed. Farltly Nrr IR ntl beietlm, 9M eeatl and n.ro.q e. Yir Decedxi a
wePx+c oipm [~ No ^ rie fo. been, erdc wNr, eb.
^elect Specialty Hospital ( ~,.b.I
na err fz wr oeorwa.fw h Br 19. Derdxi'. EduaRm (~etly ~P Nglxtl 9~ caevMedl 14. AeeW sees:
MR6ry U.S. Nnrd Facr7 Ernwirry / Semndxy (0.12) Cdrpe (1~4 ar 5') W~•'e4 oMuaa(~j1 ~ 15' Sutleep ~fxer (p xRe, gA+mmen ltlme)
ale hoe ^re }C7ra 12 rs 2 rs. Married William L. Fraker
Oertlenl'e
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RENUNCIATION
Cr~~GISTER OF WILLS
COUNTY, PENNSYLVANIA
~~_~n'
Estate of __ ~I~V1X,
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Deceased
I, ANN t ~~
(Print Name) , in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the E~tate of the Decedent and respectfully request that Letters be issued to
,--. ~ .
~`~ X10 J
( te)
Executed in Register's Office
Sworn to or affirmed an~subscribed
before e this ~' day
of ~ p
eputy or Register of Wills
(Signs e)
~ ~{~„~,
(Street Address)
I~ O
( ,State, Zip)
Executed out of Register's Office
Before the undersigned personal ppeared the
party executing this renunc' on and certified
that he or she execut e renunciationfor the
pure es state in on this day
of l a
,_
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.)
Form RW-06 rev. 10.13.06
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RENUNCIATION - w ~'~
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REGI TER OF WILLS
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COUNTY
PENNSYLVANIA ~
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Estate of --r? i Q 1 ~/U ~
I, Lt~ETZS ~
(P ' N
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Deceased
m my capacity/relationship as
rtnt ame)
~~N of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
%~~`~-/D
(Date)
~~ ~ ~~
(J'ignature)
(Street Address)
rt, ~ ~.6.,~~, ~ P~ ,~~ yv
(City, stare, zip)
Executed in Register's Office
Sworn to or affirmed a~subscribed
before e this ~..9 day
tiu~~
of _, 2c3 rv
Deputy for Register of Wills
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on 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.)
Form RW-06 rev. 10.13.05
RENUNCIATION ru
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REGI TER OF WILLS ~~ N ~ a
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l' COUNTY, PENNSYLVANIA +~ _ ~
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Estate of ~ Y" ~Qi1~
~~ll~
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- ,Deceased
I, ~ t ~ l ~ GL!'~. L I~Y^~-~Y , in my capacity/relationship as
(Print Name)
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
l~
02. 1 ~ 0
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of
day
Deputy for Register of Wills
(Signatue)
(StreetAddress)
~e~Lv v ~ ~ 1~ ~~ 1'12 ~-1
(city, state. ~P)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated wi on this ~ day
of ~' D /Q
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.)
COMMONWEJILTH Of PENNSYLYANIA
Form RW-06 rev. 10.13.06
NOTARIAL SEAL -
LORRANIE E SALISBURY, hlotary Public
South hliddktoa Twp. Cumberland
My Comrruss~an Expires Dec 6, 201