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HomeMy WebLinkAbout07-16-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Robert L. Moore, Sr. also known as File Number ~~~ Deceased Social Security Number 171-28-343 Darvl W Moore Petitioner(s), who is/are 18 years of age or older, apply(ies) for. ^~ (COMPLETE 'A' or 'B' BELOW.) yC~ ,,,~ o A. Probate and Grant of Letters Tesbmentary and aver that Petitioner(s) is /are the last Will of the Decedent dated and codicil(s) dated (Blau 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 fined ~ ~w ern r ~: rn for probate, was not the victim of a killing and was never adjudicated an incapacitated person: '~ r ®B. Grant of Letters of Adminiatratlon - i (Ifappliarbk, enter: e.t.a.; d.b.n.c.t.a.; pendentelite; duronuabsentia; dwantemGhorrtate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse I(if any) and heirs: (If Administration, e.t.a. or d.b.n.c.t.a., enter date of Wil! in Section A above and complete list of heirs.) Thomas D. Moore Son 2641 County Road 17, Co 46730 Samuel G. Moore, Sr. Son 10 West Beale Avenue, Apt. C,' oht, PA 17025 Patricia E. Wa¢ner Daughter 308 South Market Street, Mx csbur~, PA 17055 (COMPLETE IIV ALL CASES:) Attach additional sheds if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 707 Herizler Road. Mechanicsburg PA 17055 (List street address, town/city, township, county, stau, zip code) Decedent, then 75 years of age, died on May 30, 2010 at Holy Spirit Hospital, 503 North 21st Street Camp Hill PA 17011 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• Form RW-OI rev. 10.13.06 Page 1 of 2 Wherefore, Petitioner(s) respectfully request(s) the pmbate of the last Will and Codicil(s) presented with this Petition and the grant of I.ctters in the appropriate form to the undasignod: Z~ ~o~~ i~ Petition for Probate and Grant of Letters Continued from Page 1 Name Reiationshia Daryl W. Moore Son Robert L. Moore, Jr. Son Residence 707 Hertzler Road, Mechanicsburg, PA 17055 48 Philmont, Hampton, VA 23666 a ~~ o ~~ ,. Mz v 00 ! c ~~ n-i i ~l ~~ ~, tT ^ ~~ ~q ~~ ~ ~' S ~ P..~..w.. ~..... - ~ .~ ~. °~ _ _ _ _ _ _ _ _ • Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF cuMSERLAxD The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition aze true and correct to the best of the knowledge and belief of Petitioner(s) and that, as perso^representative(s) of the Docedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affiimed an~bscribed before the _,~~_ day of ~~~ .~ n, For a Registere Register Signature of Personal Representarive Signature of Personal Representative a t. rn C. C G;C 2 c''%i ,~ _. _ v ~ ~ ~~,y~ ~f / E'-) File Number v! f <~ r D ~ C ~ Z ' ~A ~ ~.. Estate of Robert L. Moore Sr. , DeD~ased ~ ~: • ~ CC:~ ~~ ~' -r Social,Se~cu~ri~ty Number: 171-28-3438 Date of Death: Mav 30, 2010 AND NOW, ~/u~Ky ~ ~~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT I ED that Letters of Adminiatcation , are hereby granted to Daryl W. Moore y in.{he above estate and that the instrument(s) dated N/A ~ ' " described in the Petition be admitted to probate and filed of d as the last Will (;~r-d Codicil(s)~of Decedent, ~o ,/ ~ n ,~ >~Es Letters ............... $ Short Certificate(s) ........ $ unciation(s) .......... $ '~~ ... $ ~ ... $ SO'b ... $ ... $ ... $ .. $ ... $ ... $ ... $ TOTAL .............. $~~"~' Form RW-02 rev. 10.13.06 Attorney Signature: Attorney Name: R. Mark Thomas, Esquire Supreme Court I.D. No.: 41301 Address: 101 South Market Street Telephone: Mechanicsburg, PA 17055 717-796-2100 Page 2 of 2 ~_ _ - ~~ ~ f~ ~~ ~_~ ~1 4,s e_a..'1 2010 JUN 16 PM 3~ ~44 y RENUNCIATION CLERK QF REGISTER OF WILLS p1~PHRN~S CQUI~ CUMBERLAND COUNTY, PENNS~YIMVANIA ~ ~~.~ ~ ~~~ ~~ ~ Estate of ROBERT L. MOORE, SR. ,Deceased I, THOMAS D. MOORE , in my capacity/relationship as (PrJnt Name) SON of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to DARYL W. MOORE JUNE 4, 2010 (Hare) Executed in Register's Dice Sworn to or affumed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 2641 COUNTY ROAD 17 (Serest Address) CORUNNA, IN 46730 (e:ry. ware, zip) Executed out of Register's Ojfiae Before the undersigned personally appeared the party executing this renunciation. and certified that he or she executed the renu~lciati'g~ for the purposes stated within on this ~- ~y of ~yA/~ SLO/O ZQotary Public My Commission Expires: 'T-~t--~~d (Signature and Seal of Notary or other official q~palifiod to administer oaths. Show date of expiration of N s Commission.) 1bIMIM Md Mir ~MMIM ~~N TT RENUNCIATION REGISTER OF WILLS CUMBERLAND rvt-r ~''! ~'~t jE~ '...~t.s`1i~ ~'' ~u ~ ~ : z€ ,.~~ ZDlQ.fUN !b PN'3~ 44 CLERK QF pRPHAN'S CflU~iT CUM~ER~A~4~ C0 . PA COUNTY, PENNSYLVANIA Estate of ROBERT L. MOORE, SR. _ ,Deceased I, ROBERT L. MOORE, JR. , in my capacilty/relationship as (Print Name) SON of the above Decedent, hereby renmunce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to DARYL W. MOORE JiJNE 4, 2010 1~1e) (Si e) 48 PHILMONT (Street Address) HAMPTON, VA 23666 ~cir~. suite zi~~ Executed in Regular's Of,~ce Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills FonrtRfY-06 rev. 10.13.06 Executed out ojReg~ster's Of,~'~~e Before the undersigned persoy appeared the party executing this renunciatio and certified that he or she executed the renur~cia~ion for the purposes stated within on this ,,~~ J1~1 day of ~U~ ~/D tary Public y Commission Expires: 7.~i ~ a0/C~ (Si~nahne and Sal of Notary or other official q iSod to administer oaths. Show date of expitatioa of Ndtary+'a Conunissioa.) dOt~ L ~a'®i~w ~~ r, ~r-.~F ~~.iF~? L1~r RENUNCIATION ZQIQ JUN 16 PM 3~ 44 REGISTER OF WILLS C~~RK CUMBERLAND ORPHAN'S Ct1URT COUNTY, PENNSY~,~~~~p GCS:, PA 2i -gin Estate of .ROBERT L. MOORE, SR ,Deceased I, PATRICIA E. WAGNER , in my capacilty/relationship as (Print Name) DAUGHTER of the above Decedent, hereby renmunce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to DARYL W. MOORE JUNE 4, 2010 (Dare) 308 SOUTH MARKET STREE'~ (Street Address) MECHANICSBURG, PA 1705'5 (City, State, Zip) Executed in Register's O, j,~ice Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Officie Before the undersigned personallly appeared the party executing this renunciation and certified that he or she executed the renuncia~yon~ for the purposes stated within on this _ '~= day of 6~vE ;ao /D otary Public My Commission Expires: 7 ~-a.0/D (Si~ature sad Seal of Notary or other official gwalified to administer Dacha. Show date of expiration of Notsry's t^ommission.) FornrR~-06 rev. 10.13.06 ~~ NINrld SMI .NNM L MOA~w~~, NM~ry _~ ~_ r '` rs~~~ ~ 2x10 JUN 16 PM 3= 44 RENUNCIATION CLERK OF QR{~AN'S COURT REGISTER OF WILLS (~}MBEP~ ,q1~4!~ C~- . RA CUMBERLAND COUNTY, PENNSYLVANIA Estate of ROBERT L. MOORS, SR. Deceased I, SAMUEL G. MOORS, SR. , in my capacity/relationship as (Print Name) SON of the above Decedent, hereby renqunce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to DARYL W. MOORS JiJNE 4, 2010 (Hate) Executed in Register's Of, juice Sworn to or affirmed and subscribed before me this day of (signature) 10 WEST BE E AVENUE, APT. C (Strut Address) ENOLA, PA 17025 (City, State, Zip) Executed out ofRegister's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunnciation for the Purposes stated within on this ~~t% day of ~'!!NE _ a ai ~ _ Deputy for Register of Wills Form RIR06 rev. 10.13.06 i ii'1i~ii w r iiii ~ii~nii aii otary Public [y Commission Expires: '' (~ ~- vt 6/d (Signature and Seal of Notary or other official qualified to administea oaths. Show date of expiration of NotBry'a Commission.) ~e~L ~~ ~~~~~ _ ____ __ H70SROs ?~% rOl/^71 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 16461190 Certification Number 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 Office for permanent filing!. .s ~,~ ~ Deal Resist Date Issued ~ ' _ ~. . G... ~ -r`a < ~ ~ C ~~ .. - ~ 2 c ,; V'~i -U C 4„~'~ - ~ Z W .~ ~ r`__ ~ f.y r_ ~7 ~ Nwaw nSr na~ee COiMIffNlAlEAiI'FI OF PENNSYLVAlNA . DEPARTA~NT OF HBALTM • VITAL RECORDS YYrE ~ Ilwr M CERTIFlCIl7E of DEATH (SN old Ofl f~Ml>N~ STATE FlF MMIBEN 1 r i /.grrdDWMIRr.a+W..rr w~Q. x8r SBrY.Hary ekrdr IIMYd 1-rr~M.Yrh. Robert L. >HOO~~e Sr. male 171 28 - 3A38 j30, 2010 ~p.a.rr~rrq urw, ` urr, a d r._ we.r.r a~ rrwe ow la.. ware 08/1 T/1934 F~'lola PA M0'0Ma` Dore 75 Ya ror.n ^ el l ^ oak ^ xa.. ^ wraa. ^ ar - soar a aup d one key. solo. Tao. d OkeM r car rink pa:rleAr. w+a.r rr nunep o. Wks okrer a IMOnYe Oa~Mt re la Rant Mw~rn ren sek wkr, de Cxmberland Fast Penns~o~+o ~ HiTly Spirit Hoe~ital ~. rta wtte , lt. ~ a d - Os t2 Wr perm rr r a ti O.ad1Rf6Lglsi RIPMM aa/ ~~It ~ apMM [e. Mrrl 8rkc Mrnl. 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