HomeMy WebLinkAbout03-17-10,v ,
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Beverly A. George
also known as
File Number 21-10 - U;Z Io5
,Deceased Social Security Number 161-34-0397
Robert S George
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 named in the
last Will of the Decedent, dated and codicil(s) dated
State relevant arcumstances, e.g., renunaation, death o/executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born 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
ap ica , en r. c..a.; ..n.c..a.; n e; uran a sen a; uran mind a
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. ord.b.n.c.t.a., enter date of ~!1 in SectionA above and complete list of heirs.)
Name Relationship Residence
Robert S. George Spouse 324 Avon Drive n ° ~_J
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Carlisle, PA 17013 ~
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. _ ~~ ~j_s •~~-+'
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal re~,8len~.e at •• "' '~~~
324 Avon Drive. Carlisle. Cumberland, PA 17013 __ - .-,
(List street address, town/city, township, county, state, zip code)
Decedent, then ~L years of age, died on 0 211 1 /201 0 at 324 Avon Drive, Carlisle. PA 17013
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) g 142,500.00
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
situated as follows:
Wherefore, Petitioner(s) respectfuly 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 pad or printed name and residence
Robert S. George 324 Avon Drive
~~~ ~ ~~~~c Carlisle, PA 17013
Form RW-02 Rev. io-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2
All personal property
Personal property in Pennsylvania
Personal property in County
a
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
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 affirmeed and subscribed
before me this l~ day of
~-`-'
the egister
~~
Signature of Personal Representative Robert S. George
Signature of Personal RepresentaSve ~-} o
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File Number: 21-10 - Oo?(oS
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Estate of Beverly A. George ,Deceased
Social Security Number: 161-34-0397 Date of Death: 02/11/2010
AND NOW, ~~~ i °'1 2.~ I ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Robert S. George
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
Letters .......................................... $ 260.00
Short Certificate(s) ....................... $ 8.00
Renunciation(s) ............................ $
JCP $ 23.50
Automation Fee $ 5.00
S
TOTAL ................................... $ 296.50
At
Supreme Court I.D. No.: 61886
SALZMANN HUGHES PC
Address: 354 Alexander Saring Road, Suite 1
Carlisle, PA
Telephone: 717-249-6333
Form RW-02 Rev. tats-loos CapyrigM (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
Attorney Name: George F Douglas, III Esq.
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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 1624621
Certification Number
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L149 REV 112ooe
YPE !PRIM IN
PEPoMNEM
BLACI( olK
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records 'ce for pe Hen cling.
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L egistrar N Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS --~-i - '": r=; Z
CERTIFICATE OF DEATH '~r •• ~'~ ~_:'>
(See Instructions and exsmPles on rovertae) STATE FILE NUMBER ~ ~~
1. Name d Daudea IFm, nsdda, rat Asia( 2. Sea & Sar Semrsy Nuroer 1. Cale d Deem (Momh,
day year)
Beverl A. Geor a Female 161 - 34 -0397 Februar 11 2010
5. Ape (lap Birary) t-aer 1 lhlder 1 6 6. Der d &M Monlh, dsy, r 7. BIMDIeoe uitl star a 1 G. Place d Dam (check aro)
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Carlisle PA 17013 1Tb.corM
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1& retlrrs Npne (Fkp, midds, raL pain) 13. MaM's Name (FYp, mitldr, meitlen aunrme)
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Robert S. George 324 Avon Drive, Carlisle, PA 17013
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Feb. 18, 2010
Spring Hill Cemetery
Shippensburg, PA 17257
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RENUNCIATION
REGISTER OF WILLS
~u~~~~N~
COUNTY, PENNSYLVANIA
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Estate of ~ f- V ~ R,LY ~ - ~ C~ Y~'1~ ,Deceased
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>TEPf1ANiE t
_ _ of S , in my capacity/relationship as
(Print Name} -~
P1 l~ ~ ~ ~~ R. of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
6Z~~E~T S- (.sEo~~.
3(~~l~o
(Date)
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~aoo ~o IZB~s ~or~ 0
(Street Address}
CA R~1sc~E , P~ - r ~ °~ 3
(City, State, Zip}
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10. /3.06
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciat~tnt for the
purposes stated within on this ly L day
of ~.~c A zo I 0
Nota Public
ry
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary s Commission.)
COMMONI ICfEALTH OF PENNSYLVANIA
Nt~tial Seel
Tamara S. Skgtlet, Notary PubNC
Wayrteoboro t3ano, Frartldh County
My Cornrr~iort Explree L1eo.1,201.0
Member, Pennaylvanla Aseorlatlon of Notaries
RENUNCIATION
REGISTER OF WILLS
C;.t~B~/Z40~1~ COUNTY, PENNSYLVANIA
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Estate of ~ ~Y E RLy }~ . ~ E Ol~~] e, ,Deceased
I, ~f~ ~sC L~ ~- ~.-~ NC , in my capacity/relationship as
(Print Name)
Q Pt 1.1~ ~}-'4"j~ (t. of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
b[3CI'~T S- ~ Cdh~+e
3~1~~10
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev, 10.13.06
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(signature)
I I~ g SI-~ANNonI C~N~
(StreetAddress)
(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 renunciat~ for the
purposes stated within on this ,~_ day
of ~ 2cl i U
_~ ~ ~
otary Pu lic
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
f ~~,~r~~
ClIF~.18L8 8080, ~ CQ~Y
M1f COMMI381aV EXPIFB~ JUNE?A, X11