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05-19-10
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of KEVIN R. BARTLES also known as Deceased COUNTY, PENNSYLVANIA File Number p~ ~'" ~0' [J~~~ rv Social Security Number 0207 ~ -,~ -`:.~` 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 `= {`~ ~', narned.iri the last Will of the Decedent dated and codicil(s) dated ~ w ,~ ~~-~ ~> r~ _ _ C~ (State relevant circumstances, e.g., renunciation, death of 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 (If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendente liter durante 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.) ~ Name Relationship Residence ~ BARBARA A. HOSTETTER ~ MOTHER KEITH R. BARTLES FATHER 3670 ENOLA ROAD, NEWVILLE, PA 17241 (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at 3668 ENOLA ROAD LOWER FRANKFORD TOWNSHIP, NEWVILLE, CUMBERLAND COUNTY, PENNSYLVANIA 17241 (List street address, town city, township, county, state, zip code) Decedent, then 31 years of age, died on FEBRUARY 15, 2007 at CARLISLE REGIONAL MEDICAL CENTER, CARLISLE CUMBERLAND COUNTY PENNSYLVANIA 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 $ 120,000.00 situated as follows: 3668 ENOLA ROAD, LOWER FRANKFORD TOWNSHIP, NEWVILLE, PENNSYLVANIA 17241 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: or printed name and residence ~_ ,,~~ f, ~ - ~ /~ ~' /~ ' a I KEITH R. BARTLES, 3670 ENOLA ROAD, NEWVILLE, PA 17241 Form RW-02 rev. 10.13.06 Page 1 of 2 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 affirmed and subscribed before me the ~ day of ~ ~~0 r For the Register ,/~ ;r ? ~ -,. __~~ of Personal Signature of Personal Representative Signature of Personal Representative File Number: ~ ~ ~" iU "' 0 5 ~~ Estate of KEVIN R. BARTLES ,Deceased Social Security Number: 177-68-0207 Date of Death: FEBRUARY 15, 2007 AND NOW, ~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof having been presented be e, IT IS DECREED that Letters OF ADMINISTRATION are hereby granted to KEITH R. BARTLES in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of recor as the last Will ( d Codicil(s)) f Decedent. FEES Letters ............... $ 260.00 Registe of Wills , ~ Short Certificate(s) ........ $ Attorney Signature: .---~ ~ ~ Renunciation(s) .......... $ 5.00 ~. JCP $ 23.50 Attorney Name: ROGER B. IRWIN, ESQUIRE AUTOMATION FEE $ 5.00 Supreme Court I.D. No.: 6282 $ Address: 60 WEST POMFRET STREET $ ... $ CARLISLE, PA 17013 ... $ ... $ $ Telephone: (717) 249-2353 ... $ TOTAL .............. $ 293.50 Form RW-02 rev. 10.13.06 Page 2 of 2 n ra ~ ~ , ~ ~ ~. '....,.- .~ . .._ _. ' = ~ _~_. , RENUNCIATION ' } `.' `~ .~, J I ~~^ . . ~ ... . . '.. .l " ~ REGISTER OF WILLS © ` CUMBERLAND COUNTY, PENNSYLVANIA Estate of KEVIN R. BARTLES ,Deceased I, BARBARA A. HOSTETTER , in my capacity/relationship as (Print Name) MOTHER of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to KEITH R. BARTLES GUt ~, t ~' Zc~ ~ (Date) (Signature) ., D (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , 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 /8" day of ~~, Z yr ,~, G- 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.) COMMONWEALTH OF PI~NrJSYLVANIA Form RW-06 rev. 10.13.06 Notarial Seal Roger B. Irwin, Notary Public Carlisle Boro, Curraberiand County My Commission Expires Oct. 3, 2012 Member, Pennsylvania As>4aron of Notaries