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HomeMy WebLinkAbout03-12-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cl~h,~ ~~ COUNTY, PENNSYLVANIA Estate of char ('eS ~ • 51(Vl.t~h also known as ,Deceased File Number0(!' (©' d~`f Social Security Number ~ _17 ' a(1/ - ~~~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ~,.,~, ~_ r: ~ 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 ~? "c3 ,,..., -~".,.,' _.J:.l namet~:'m'th ....} r~......~ N _ _ _... (State relevant circumstances, e.g., renunciation, death of executor, etc.) '~ ~- ~ t~ ~.. _;;~"`:~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution Ottttgjnstrumer~) offete~ i"T~~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person:. ~ ~ r n ` ~~ ~-~= cri . Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durance absentia; durante 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.) ~7(p X33 Decedent was c~gmiciled at~eath in " k "~+~ ~ County, Penns lvania with his /her last prim ~a~ residence at (List street address, town/city, township, county, state, zip code) Decedent, then ~_ years of age, died on ~, l Q l a~ d (U at q.P t ~ ~ ~, OU A~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ ~ ~ # ~~ ~ (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 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: Si nature T d or rinted name and residence '~ ~ cuc1~. ~ u.r.~c. S Ya~~ 5 4' ~.1 wtl ~ ~ ~ ? d ~ Form RW-02 rev. 10.13.06 Page 1 of 2 (COMPLETE INALL CASES:) Attach additional sheets if necessary. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF 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 Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed tk-- before me the day of cr~.~ i ~ V 1,~ o .~ ,C,P ~ . ~.;, For the Regist r of Personal Representative Signature of Personal Representative Signature of Personal Representative _. File Number: ~ 1- ~ ~ ° ~ ~ ~~ Estate of 1..~ ~ ~~ o ~~ ~~ ~'C~~''`~''~~ ,Deceased Social Security Numbera ~ ~ -r~ lD - ~ ~~~ `7 Date of Death: AND NOW, ~~ C Y~ ~ c~ , c~ ~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ C~.A~~rrC~~~ ~ ~ are hereby granted to ~ ~4 Q~~ ~~~ ~~c`.~'~.~~---° in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of FEES Letters ............... $ ~`C~ Short Certificate(s) ........ $ ~ Ut-,' Renunciation(s) .......... $ d ~ C:7C.~ ... $ ~~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ /U 3 ~Z~ A,~9 the last Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Codicil(s)) of Decedent. of Form RW-02 rev. 10.13.06 Page 2 of 2 RENUNCIATION REGISTER OF WILLS ~.~~ht~~a~~ COUNTY, PENNSYLVANIA r~.a ~ '._i ~ ~~ ~~ ~ ~ ~~:~ ~ ~ rV i `A..f _ ::~ ~.. ,. .,.~, ..~ ., ~. .. `i. ~... ` r , . ' t`_) ~... ; '#. ca Estate of _~_~~'~c/2 L ~ /~ ~~ 1~~ ,Deceased I, -~ ~~ ~ ~ ~ - 1 ~~ ~`~r in my capacity/relationship as ~ J , ~ ~rin~ e) '!) ~tJ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~~t ~lo (Date) Executed in Register's Dice Sworn to or affirmed and subscribed before me this of Deputy for Register of Wills (sigma _ ~t 6 i ~l ~ ~~ w~ c L. (StreetAddress) ~~ SC ~~/k- ~t U Cn `~77Cv (City, State, Zip) 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 Zo / D a w~i~n-C. ~/ day Notary Public My Commission Expires: h'- ~7 ~ ~o ~ ~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Commonwealth of Pennsytvarna Notarial Seal Christine F. Stewart, Notary Public Form RW-06 rev. 10.13.06 Palmyra Boro, Lebanon County -My Commission Expires May 17, 2011 RENUNCIATION .REGISTER OF WILLS ~;u.'M ~e(Ia,~i~ COUNTY, PENNSYLVANIA r~a c~ C3 -' ~ C© o :~~ ' ~' ~ ~ ~ ' n `n ~ ,~ ;==; r~`"' Pmt '"`"' ~ "~' ' - , ~' ~IJ r ~, C. ;~ ;.~.~; ~~~ ~~ ~ Estate of ~.~nar l~ s ~ • 5 ~t~ h ,Deceased I, ~~ ~ o~ ~ Y Sw:~"~ 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 ~1 o-U 10. \v \ ~ 4.~ ~ ~ (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this ~~ day of z_~tt~ Deputy for Register of Wills Form RW-06 rev. 10.13.06 c-~ (Signature) ~~ ~ ~a~~c' ~~ e- (Street Address) ~~ 6~~3~ ~ctry, state, z~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 within on this 'Cis day ~ j G~liu e'c~e-~.~ No Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEA~'TH OF PENNSYLVANIA Notarial Seal Lisa R. Wodarek, Notary Public City of Pittsburgh, Allegheny County MY Commission Expires Oct 24, 2012 11Aember, Pennsyhrania Association of Notaries