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HomeMy WebLinkAbout03-12-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTFrR OF WILLS OF ;~_, ~ ~ -~ ~~ `~~'~ COUNTY, PENNSYLVANIA ~,Jp File Number ~~ O_~e~~ Estate of ~~ ~ ~ ~ ©~ rQ also known as '~-~ ~Q~ ^ ~~ ~ ~ ~~~ _ nP~P~cerL Social Secu~,N,umber - v Petitioner(s), who is/are 1S years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) Q 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 ______-__ (Store relevnni circumstances, e.g., renamciation, depth of zzecutor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after for probate, was not the victim of a killing~and was never adjudicated an incapacitated person: named in the ~a 0 `_ e7 _ a,, ~ '~_ .; .~ r. J ~instrux~nt(s) 6Yfered; E ~", T.~ ~._..: ~r'1 3G ~ ~--', L 1. \. ~.~~.,,~, ....... , - C ~~~~ Oo0 .a o Decedent at death owned property with estimated values as follows: $ (If domiciled in PA) All personal property ~ .~ ~ OOQ p c (If not domiciled in PA) Personal property in Pennsylvania $ CD ~-r---- Personal property in Cou ~c- ~ r r1~Mc ([f not domiciled in PA) ~~) r ~ ~ $ 9 o O Value of real estate in Pennsylvania $` / ~ ~ o-~-aL ~~s~~ 33, l~`~ situated as follows: \4'iierefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in [he appropriate firm to the undersigned: . Fa•m RGV-02 rev. 10.13.06 B. Grant of Letters of Administration ~-' '~r ~ (!f applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente lite,, durante absentia; ra~ minoritnt~ `.rtj ~~ ave ascertained that Decedent left no Will and was survived by the following pouse (if anyy jnd heirs: (!f Petitioner(s) after a proper search has / h _ . _ ....., r.., ,. ~ „ o.,m. ,lore of Will in Section A abor•e and complete list of heirs.) Oath of Personal Representative CO~I~IONbVE.~LTHOFPENNS~iLVANI.a • 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(sl and that, as personal representative(s) of the Decedent, Petitioner(s) wilt well and truly administer the estate according to law. ^ Sworn to or affirmed and subscribed before me the -~ d/ay of /~ For the egister y ` ~~ Signnture of Personnf 2 ~ Sign lure of Per nn epresen Sig~tnrure ojPersonnl Represenmtive File Number: ~ I f Estate of ~~ Social Security Number: AND NOW, having been presented before me.,^I I-S~DECREED that Letter are hereby granted to~~QS~ f Lam. and that the instrument(s) dated described in the Petition be admitted to probate and filed of FEES _gQ ~ Letters ............... $ Short Certificate(s) ........ $_. .:. $~ T- . $ . $~- . $~~--~ . - $~-~- . $~~~--- ... $ TOTAL .............. N ~ __ C ' ca ~ ~ ue ~ ~.- ~ s -' r-- ~ m ._._ ~::: _. ~ ~ C7 O ~ C:~ ~-- Z - ~' W _.:-;7 ~ ~ '-.J Deceased Date of Death: inconsideration of theSoregoing Petition, satisfactory proof in the above estate the last Will (and Codicil(s)) of Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Register oJWills Page 2 of 2 Fora, R w-0' rev. 10.13.0( ;• f s. s., ~ u, ._. .. ~ ., L r=, _b _. „~ ; . ~ ~,.. -- 3 ""t: -- c_..> _t~ ~~~ ..,J H1gs.uaREVnr2ga COMMONWEALTH OF PENNSYLVANIA• DEPARTMENT OF HEAL7H• V17AL RCCORDS TvPEYPaur w CORONER'S CERTIFICATE OF DEATH PetAC nNT (See Inatructlona and examples on reverse) sTATEaaENUMDER ~k32-2't7 ass, 3s.;:vsec~yN~-,ter a.D!aaao~aminm,+m.dey.vaazt t Nama •D«•an,tPU51•mda.•wat,wmxl Male 206- 44 - 0203 March 3, 2010 Regis W Bohro, Sr. e: Age that E-nMay) Under t ,roaz U1101f I e. Cet• ct 8'rctla Monlfl, a , fr 7. e- CIN ard,nta a court 1 - 8e. Platy of Deatrt :fie:a v enel Om«; Nospadl h,»w ce,s "`"' ""'"' June 14, 1953 McKees Rocks, PA ~6t~` sP"N 56 ^InpaneM ^EP 0 tali QCOA ^Nwe!ng Nar•~Rasdenc t, ili.. Anarcz rtire1. D!s, ..~•a l2s y ~.'' (SpeaAt Sb. Ccun`/ d Dedln &. C:N. `1Twc. oI Dealn El. F0Ca11' Nn 11 ..~ mt:ate!ort rue ,. ='mC ". IO yea aFx 7 ~/~' , White Catllsle 1/'+ Eaat High St Meagan. Pied acu. etca Cumberland a raan I statue. M ed N oe a+azne~. +s: s~n;wn9 sowse ill ~w!a, gnro maze.n ea~,a) `l. ~ tt. Cxeden! , lnual oa ;qn. 'NIt!d of wah done '. most cl wv+' IH . rql snro+etlnd 12. Was Decedent aver m Ue 17. DBCadenl's Educalkn fS{.wcMy MIY higMSt grede aNnPteted). VrJ^~ed, Pvorcetl (Spenhi IftrdN Wqk Krtd of OudMSa/RMusay U.S. 0.mwd FOrcee? ElemantaNYSeooMary (0~,2) CatBDa t''a p1 Sel Divorced 1 NfA Sales M r Adult Industrie Oves 7{$NC 12 adDeieoe~- Tnq. +9: Dacedem a e.namg Add~e,s Islle«. c!ry i tc» slate. rio mfal D,cetlent's P 6nRe Ylvarila 1He m a t'c, ^ Ya:. Decadent uvatl v~ Actual Randence 17a_S1ate ..._--.-------•-^ Tow s^~~.-v ,7,I. ~o. Decatl«.t lived v. Uin New KinAetOWII ~~t; ~6oro Box 519 ,ro.DO~may Cumberland Abwalum~t,a-~ Carli$le PA 17013 ,§MoMaroNaoalflrst,Mdtln,mndensumaT9! ta.Patl+ere came lFirot, rdde, nat. su+ralAt1dFe Pincher Walter EObY4 ro0.lMO~nfs M«Nrg Address lSUaek Jr,:l«,o s bcaxl 2aa.mkrmdnra Noma ;Tayc~Paml 406 Rut3sellwood Ave. , McKees Pocks. PA 15136 Jason D. BObrO em tt* ~Uar daa: 2lc laeDan lC~vlkwn enk. vP mdel 2aa 6k!Mf al gspordfon ^Cremnbon QOaroon 2r' -e. ~vi~ rti_. :m~.7'ea 21o PI M Dnboanlon lName of emnet ry. sr a ya•. Tana; Q wemovalhbmStAle Iweacr«Mrlw,oroaMNanACtru~w Corso 011s PA 15108 ~ ~ soe,.r pyM,mulezfMMnrcam«t (] a []r,7 March 13 2010 St Jose h Cemeter zath 5wr,~naxr zacnwardua°`~'~"'"~ McDermott Funeral Home, .=nc. 22e. 5~ , c! P1ie-a~ Ssrwa - acting as 6U:nl . FD-013012-L 1225 Chartiers Ave. McKees Rocks PA 151362~~.agned MMrn ^ay ,rea, ~d .r~e7 2JO. L~amefiumce' xcu!r7 of Tu ,nee, 7a'-0 sin Feca tle:ad. IE!q~a.~ro a. CarylNe na <aJy wn«~ q Fyaq ' 23n: To dq b•A of m/ ano,Nedge,. dmU y;ya~le,, r . aaamk cen:ry;aute daers~. 2a nu e- ?e. " dso MetlKd E%«,iner Cormerfdna Reascn D;MrIMn Cremadcnw DOnttion7 2J', 11m~ of Dae,n 25. PrMwnxy Dead N.m'~ A' Yaerl y t ~] NO ra~,zanrvA~~ ~=ru+rs4n A' rx. 7:00 A. Id, March 3, 2010 n*. cara+ncle ~aa'^.. ~ „p-~..,a',a :na a. P !t'. En', xher rcraldiam contrWUittfp}g.QBC,E, 2S. Db TObacao tna COMMxq,n DeaU7 . CAUBe CR @ATNf9+a ln•wc9lon••ndf •mPleal ,., rn •eew ntM undanying cause g!ven nPer,!. []Ya ^~da~ ' ~~1 kauf116 or cabplkeanna ffu d ecN.~ ca 7 ae daaU'. C-0 NDT a e.4rnmal ad .a a91~ at ardw amt' Dnw !o (Ne`! ~. Q Ne llnkrown aem 27. Pai11,EMs weL~.RYaEq ~syratory aMq or .«xnbultlr 1!MNbgM wfMaJl sMndrq PN etlakgi'-s! atr c a :r..sa w~.each VM + 24 11 Female: PVA ^ Na Oraµ'+aM'ndny, bast year Rlr, A`[enuae~m~ma.aer-, .Coronary Artery Disease •asWing m ~„~„ a. .per. ~2(.~ u 9 ~c cgp~M6 y~, t ^ Ptegaam eI Gm• d deem edue C. HOTL1. Cn Js.GIts781a r ^NdWa9nanl. ha 9rs4`aM minr. <Y dari e 6 ~9aa`/ 951 cMOA10ns, d Any, ~ of death Irydew lc 0 c«nf Wnd M k'N f. DL'A y la W d 4MfaVIM000 OD t ~~. Em« Erie UeetRlYWO CAUSH 1 ^ Ncl prvgnanl bul pte j11n147 tldYe to, Year tdl58aae .aMt~y 1na1 MA. t ttono 0, , fedora defdl eveme :esuANq x'Oea1M. ~T. ±0 {Gr l90 COnsedueMgc ~ t ^ Unbnownil preglentwdNnlM bast»ar e C. : eta Place d InNrr Mmm, 9lrem. facWy. 328 Dtndlnhay lMnM.daY•YeaO 32b DesMae NOw Injury CCCUTed Omce rq. ek.. • 3da. 1Ya:, a~AUtopSY 70o YYrt•AUtoDaY ~'"oa 31 ManMS Of DeeN P«>Ined1 AYOYNA, Prior b Cgnpndon r'it Nawat ^ rbmlclH tocmw+ct In~arr l~net cay r lam, anal d Cave a O•aefn7 •9' - 72s. Injury dt Worte? 32L II Tranapadeb.'n Ir~u715Padh'1 " ^ Accdev ^ Panting mvesagetbn 3M T'm+ol htury Q Ye, ~ Nc [] Yes ^ No [~ Yes Q No CI D~ i Obewla Q Pa: Pedesmen ^Sukida ^CAUM.Hat rb D««Mned M,. Odws• a Re of ut '. _.--.€eoroner 77a. CenFl«(c6eckmry eel Item 231- __ ^ -' C•rtlhkg PnYaknn lPMaktan c«aMre cease of tleaU wren arotlxr physri«tF+a prMOUrced dean •nd compland-^-___.-------^ 33d au SgndE lM1'•MY.YW1 Taa+e,•t of mY.MOwkiOq darn oaunW dw to tM nw•(Q and mfmibrumnd^. _.....-^- -' .. ^ 3k.liena•NUmb•r -.. March..5> 2010 • Pronaurwlnp art areMn9 PMsknn IPhyudan Dan prorour~caTg dafU and caplnmg m cause of deAN) - _ . _ - Ta tMM«ol mY blobl•dW,d•aM OacurrW•IlM ame,d•n,eM plaa,•M dw oeH e«nNsiated manneru annd.__-^- .Print MMkfl Gamn«fCoroMr ~ ySr~Q'A~dO:aafg~6'~,CD1~,(~~°l~{r T1 ryoa d3nln.wal a In•Inn•Mi 9MOn,InmYoplMOn,deMacu!r•dNlMllm•,den, endPna,anddu•soiMaaua/(a)•ndmMMru•nted. 375 Basehore Rd. , Suite I1 ~ 35 Peofet r was Dh+MN r 1 ~~ ~t ~t l 131 M;~F ~ ~' l Mechanicsburg, Pa. 17050 gaposil(on PemN NC 040~58t -