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07-08-10
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Glenn S. Williamson also known as , Deceased COUNTY, PENNSYLVANIA File Number 21 - 09 -00314 Social Security Number 2pg_16_1496 d ~( h~i rea~roneRsl, wno aware 'I t3 years of age or'older, apply(ies) for: (COMPLETE A' or B' BELOW ) ^ A. Probate and Grant of Lsttsrs Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent dated 02/17/2008 and codicil(s) dated .tune M. Williamson Executrix of the Estate of Glenn S. Williamson died on Ma 11 2010. P itioner is the person named ~ alternapte Executrix and oasts that she be ~smeMad~egxsA~dominlstrat`rix d.b.n.c.t.a+ of the Es te. 1.G1'~)Olt'{~~S YlQYV1~' ~S W ~~~ n< ~$ .e.y~e'(IV\^~i ~Y~ ~1t,'e. ~J-~\ Except as follows, Decedent did not marry, was not divorced, and did not have a chikl bom 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 d.b.n.C.t.a. a , en c..a.; ..n.c..a.; ran a n uren rrx 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 Administration, c.ta. ordb.n.c.t.a., enter date of wll in Section A above and complete list of heirs.) Decadent, then 82 years of age, died on 03/07/2009 at 311 Glendale DrNs, Shiremar~town, PA 17011 Decedent at death owned property with estimated valves as follows: (If domiciled in PA) All personal property $ 220,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (if not domiciled in PA) - Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: ~ uPetitioner(s) resped/uly request(s) the Probate of the last Will and Codidl(s) presented with thls Petition and the grant of Callen in the appropriate form to or printed name Catharine Anna Keldel 633 Browns Trace ~~(/f Form i4w-oz ~. Copyright (c) 2006 form software ony The Lackner Group. Inc. Pape 1 of 2 1)@0801@nt was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at w 311 Glendale Drive, Shiremanstown, PA 17011 (List street address, townrt:Jtj, towr-sh~, County, state, zip Code) 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 rep~tative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ////'^~/~/ .~: , >. Sworn to or affirmed and subscribed Signature of Persona! Represerttatlve Catharine Anna Keidel C~Jty2 C<17(7f~'~!N'C-'1~-~t~l~~L before me this day of Signature of Personal Representative For the Register Signature of Persona! Repesentative w 21 - 09 - 00314 "~' ~ ~~ ' File Number: '^ Dace ~ -' Estate of Glenn S. Williamson t '(~ ~ _ Date of Death: 03/07/2009 'D ~" ~ Social Security Number: 20fi-16-1486 ' . _ in consideration of the foregoing , satisfaot~y prof AND NOW, ~ p ''' having been presented before me, IT IS DECREED that Letters of Administration d.b.n.c.t.a. are hereby granted to Catharine Anna Keidel in the above estate and that the instrument(s) dated 02/17/2008 described in the. betkion be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Lett@rs ............................................ $ Short CeA~cate(s) ........................ $ Renunciation(s) ............................. $ $ $ $ $ $ $ Register of wNls Attorney Signature: '~1r K 1~4'w~ Attorney Name: Debra K Wallet Supreme Court I.D. No.: 23989 Law Offices of Dsbra !~. Wallet Address: 24 North 32nd Street Camp Hill, PA 17011 $ Telephone: 717837-1300 TOTAL .................................... $ Page 2 of 2 Form l~V-01 Rev. fo-132006 CopyAght (c) 2008 roan sotlv+are only The Lackner Group, Inc. J REVS ~` °~' 3460007120 ESTATE INFORMATION SHEET Pennsylvania FOR REGISTER'S OFFICE USE ONLY DEPARTMENT OF REVENUE DECEDENT INFORMATION: Enter data as it wiu a counti cos. v.ar File Number documents submittedpt~o the Delpartment. 2 1 0 9 0 0 314 Decedent's Social Security Number Date of Death Date of Birth 206 16 1496 03 07 2009 02 25 1927 Last Name Suffix First Name MI WIIrLIAMSON GLENN S TY E L :Enter mark (x) to Indicate the nature of the return to be filed with the department. ~X Probate Return ~ Jo1M Assets Only ~ Estate Tax Only ~ Litigation Purposes (No Other Assets) LETTERS GRANTED: Enter mark (x) to indicate the nature of the proceedings at the reg~ter of wills office. (Attach addkional sheets ff explanation is necessary.) Testamerrtary o Administretion ~ No Letters ~ Other (Please Explain) ATTORNEY/CORRESPONDENT INFORMATION: Enter all data concerning the attorney or other Individual to receive all tax information and correspondence. Last Name Suffix First Name MI BALLET DEBRA R Supreme Court I.D.# Telephone Number 23989 717 737 1300 First line of address 24 NORTH `32ND STREET Second line of address y City or Post Office CAMP HILL Corrrespondent's a-mail address: walletdeb a~aol.com State ZIP Code PA 17011 PERSONAL REPRESENTATNE INFORMATION: ExecutoNAdministrator Social Security Number Telephone Number (802) 233 7969 Enter all data concerning the pereorur authorized by the Register of Wills. •'' '~ ; _ 4 '" ~ " ^~ G'~ ~ ~ ~i ~ ~ ~:^ r .: • sentativ~) of tlfe ~..~ Last Name Suffix First Name MI REIDEL CATHARINE p~ First line of address 6 3 3 BR0IPNS TRACE OFFICIAL USE ONLY Second line of address ~~ City or Post Office State ZIP Code JERICHO VT 05465 Complete general estate information questions, and indicate additional personal representatives on reverse side. PLEASE USE ORIGINAL FORM ONLY Side 1 L 3460007120 3460007120 105.805 REV (01/0'I) __ ... _._ .... .. _..._ _ _ _ _ _ ,... _.. _ _ _ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00. This' is to certify That the information here given: is correctly copedfrom 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. P 15216G74 ~o Certification Number rwo-w n[v ~vime 7rPE1'E'i~IM~HIfN: spa r~ ~-.- 41 a -Local Regtstrar Date Issued _ R ~'' a0 ~ .`. im - v ~ ~ +.' ~. 43 ~ Q C~ ~ ~{ -- ~ _~ ~-"- r=s~ ~- ~ ~' m CON110NWFAi.7H OF PENgSYLVA~HA + DEPARSYENTOF31HlILYN. YRAI NECORDS CERTIFIC/ITE OF DEATH 18.. 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