HomeMy WebLinkAbout05-07-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Kevin M. Stago File Number 21-10- Q ~j 3(./
also known as
,Deceased Social Security Number 184-64-6023
Thomas A. Stago
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) isiare the named in the
last Will of the Decedent, dated and codicil(s) dated
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:
~X B. Grant of Letters of Administration
app ica e, en er c..a.; ..n.c..a.; p en e ~ e; uran e a sen ia; uran a moron a e
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
Administratlon, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Suppress heirs for Section "B" (Grant)
Name Relationship Residence
Kevin A. Stago Son PA
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(COMPLETE /N ALL CASES:) Attach additional sheets if necessary. ~,-~
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal resld~t7~'aT ~' - ;
----i-
104 Mountain Lane, Enola, Silver Spring Township, Cumberland, PA 17025 _ L; _~+ oo ~ =,-;
(List street address, town/city, township, county, state, zip code) N ~ ~ <' ~}
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Decedent, then 40 years of age, died on 04/16/2010 at Holy Spirit Hospital, Camp Hill, Pennsylvania
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 2,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 60,000.00
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:
Signature Typed or printed name and residence
Thomas A. Stago n. 932 Wertzville Road
~~ Enola, PA 17025
Form RW-02 Rev. fo-~3-loos
Copyright (c) 2006 form software only The Lackner Group, Inc.
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 this 1C ~ day of
~~~~
For the Register
Signature of Personal Representative
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Signature of Personal Representative ',~i -Z~~~
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File Number: 21-10- ~zj~~
Estate of Kevin M. Stago
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Deceased
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Social Security Numbe,~r~,` , 18.4.-64-6023 Date of Death: 04/16/2010
AND NOWa j.~ ~~~~.C~f f'~ti/ ~!r'C~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT D CREED that tters Of AdminlStratlOn _
are hereby granted to Thomas A. Stago J rr .
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 ....................................... ..... $ r' ~ ~csL
Short Certificate(s) .................... .... $ ~(p.GU
unciation(s) .........................
Ren .... $ ~ ,cu
/
U L ~ $ j~
$
$
$
$
$
$
$
TOTAL ................................ .... $ `~
Supreme Court I.D. No.: 41263
Address: 429 South 18th Street
Camp Hill, PA 17011
Telephone: 717/730-7310
Form RW-O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group. Inc. Page 2 of 2
Attorney Signature: ~' ~~'4_..~
Attorney Name: Michael L. Bangs
REGISTER OF WILLS OF
Estate of Kevin M. Stago
,Deceased
~, Jeannette Walters in my capacity/relationship as
(Print Name)
mother
of the at)t7VP nQCB~P.nt, hpwh~r ranp~nr.P tho rich} to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Thomas A. Stago
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(I . ~. ~~ 1` -z a,
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(Date) (Signal Jeannette Walters
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110 Mountain Lane `-n ~'
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(Street Address) I -~ ~ '
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Enola, PA 17025 ' ~ ~' Q _.
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(City, Sfafe, Zip) ~ _.
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gxeca:e~ fr. °ayist2r'~ ^;"cE ~cX&~i~?jai :gulf of r'~egisier's vfrice
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
party executing this renunciation and certifiea
before me this day that he or she executed the renu cation fo:' the
purp a ated within on day
of U
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Deputy for Register of Wills Notary u ,
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My Commission Ex rtes:
(Signature and seal of Notary or other offiaal qualif , ^}~~~Tj-{ QF {~~~~rJ~-~~~
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administer oaths. Show date of expiration of Not
WerKly K Sbaub, Nc*ary Puk~t1C
Lower P.fl+~t Tvrp., C:<~:,~*~nci f'~t'1
My Cc~vr<ission ~~cir~ Ivey 10, 2011
~yl~r~nnla Association of Not~ias
Form RW-OB Rev. 10-13-2t)06 Copyright (c) 2006 form software only The Lackner Group, Inc.
RENUNCIATION
CUMBERLAND
COUNTY, PENNSYLVANIA