Loading...
HomeMy WebLinkAbout07-09-10PETITI©~IT' FOI2 PRO~.~TE .A~I'D GR.A'~TT Off' LETTERS REGISTER OF ~'vTILLS ~F Ct~rrtk~ir'~,u~ COt'~trT~', PE~~iS~t'Ly':wti`IA Estate of _~,+P..A.tJ'-1Dr 1'`°'l~'C. S~~c~-.~ File Number ~ ~ "~ ~ "~ ~` ~"~ also known as ~- Deceased Social Security Number ~~~ ~~~ ^0` ~~ Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (COrbLPLETB 'A' or 'B' BELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated and codicil{s) dated _~, named in the „ . ..., ~. _. (Stele reteva+rt circa+nstances, e.g:, renunciation, death oje.Yecutor, etc.) ~ .~...~ a- Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execu insaument(s~.u }~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ... '= .... s ,: .. ~ Grant of Letters of Administration (Ijapplicable, enter: e.t.a.; d.b.n.c.t.a.; pendente lice; durance absentia; dwra+tte nruioritate :-.... , .1 i.~. 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: (Ij Ad~rtirtiscratio+i, e.t.a. ord.b.+t.e.t.a., enter dale ojWit'1 in Section .4 above and complete list of heirs.) l-_. Name . Relationship Resi~nce ~ , _J _ .~ ~ z -- ~ ?~y/ G ~ ~ /~ ~r+c,~ L S' T S~i~y...I ~ ~ (COMPL.ET~' liY~1LL CASES:) tack additivri:al s/ceets if ttects ry. Deceden/t was domicile/jd ~eath in ~ County, Pennsylvani~a /w1it~ his / leer la • principal ressdence at ~~/~7 t /~ ~if~ `~r~ ~ii• ~ l~~ . ~ . ~ r /~ JAG' ~ ~L" / ~ 1 ~! ~ -.- ~ ist street nddress. town/city, township, cowrty, state, zip code]/' ' Decedent, then _____~ years of age, died on ~ p~~` ~ ~ at ~~~ ~ 30 Decedent at death owned property with estimated valt-es 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 $ For+n R6V 03 rte-:10.13.06 Page 1 of 2 sihrated as follows:_ (~/fw~ /YC'~!trr.~..T `~ G~' ~~p~ ' Where Fore, Petitioner(s) respectFully request(s) the p~~obate of the last Will and Codicil(s) presented with this Petition and the os'ant of Letters in the appropriate form to the undersigned: Oath of Personal Representative Co~II~~ION~+VE aLTFI GF PE; +'NSYLV:aVI.a SS COUNTY OF . The Petitioner(s) above-named swear(s) or affirm(s) that tl~e statements in the foregoing Petition are five and coizect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and t-uly administer the estate according to law. Sworn to or affirme%d~a(,n~d subscribed before me the __~~' ~ day of F r the Register a: a oJPerson.2! R¢prese a e Signature oJPersauzl Representative Signature oJPersona[ Representative _~ ~il- i ti ~~ File Number: a ~ ~ ~, a ` d~ ~, Estate of ~L2QCl0~£_ ~~~ ~~-~ ~~ ~ ,Deceased '~ Social Security Number: !1 ~ c~ - ~ d ~' a'a'~ a Date of Death: AND NOW, ~,~,f,J,~ , ~Q ~V ,inconsideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~~ I~'1 i~ G~ '~'1CYYl are hereby granted to ~ in the above estate and that the instrument(s) dated described in the Petition be admitted to probate acid filed of record as the last Will (and Codicil(s)) of Decedent. FEES Register of Kills ~ f Letters ............... $ c.3Q • (.~,L ~ ~ ` Short Certificate(s) ........ $_~~_ Attorney Signature: Renunciation(s) .......... $ ~ ~~ $ - ~~ ~ ~ Attorney Name: ~' ~ ~'` • • • $ ~`? ' ~ Supreme Court LD. No.: _ ... $ $ Address: ... $ ... S ... $ • • • $ Telephone: ... $ TOTAL .............. $ 7?. ~ U r-~,~~,,, Riv.u~ ,~NV. tv.~3.v~ ~ Pale 2 of 2 ,pg.eng RFV m,~n7i 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 copied from an original Certificate of Death duly filed with me as Local Registrar: 'The original .certificate will be f+orwatded to the State Vital ..Records Office' for permanent .filing. P ~.~~3~a~8 ~--~ ~~+~. Jt~ 2 9 ZO~~ • Certification Number... Local Registrar Date Tssu~ci ra - . ;, ' ~ ~- . ~ . i t~'~ ~`P C1~ ~ ~ ~ .~; ~~a~+r coww~TM o~ r~reisnv • fl~ ~ MlALTF4 ~'YRJ1L RECORD 'IYFEflIMITM CER'TI~JCl4'fE,OF t~ATM (SM IeNtn~etlon~: aiW ~n+pE~s dh e+-~ri~1 sr~rE ~ ~eA ~. wr a oearnt pr, n+Nla Yr, eelid 2 sw s Bear eerelr weeder a ore a wrn pra+- ~ Female 81 .nor M. ~r~e~l:.ar~ 18~. ~0' 2258 ~t~ne 27, 2 10 f,A~r~arirdM ~. ~ i a ,. r,: +eAwrw d ,.: rtir. ere... rrne 1rer. 49 8/1'9/ig6© ~Iarri burg PA ~ _ D- Omt C~~ouR aa.. ~erre.e. CJorw. r~ tl o.eM ~ flay went p~ erhrrwe, fir. rrer.r n.~u) a wbr o~.eMM d wee ~ wo Mw w~ Mr~iori brbn, ereR ~ ~ Cumberland ~fiin 14 Clouse RD ~~~~ t4~•a1! TvP . rue~b wan. «e.) ash t e ,g wua«rwr «.h M s oww~+xe~ ~. ree~iee/~ M~4 st~ ei~~"w'e"~ga r t A~a~i aht ve rd~"~#n p~ ~, ` .ash) Married aaw.wtirrw~rr.w~w~r~ebre,ro~- ~ PA u»h. ,~..pMot,wee6ruwh „~,,,,,,~e ,n ar. Lo'i-e r Miff 1 i n 14 Clouss Rpad ,e.,~,,, rw. Aie!~rvi.ile 'PA 17241 s~e,oa.~ _ Cumberland ,rd.Owo,oeeewMU~w.~w, ~tlYUI#h~Mta -' aa%eoA wt prmsN.re+a ~. rr, eMw _ tf. weMrh wrne pin, nure,~ee~n nniwnel Thomas Brooks'' viola Unknoxn `. , . !Oa hb,~ly w.ne ciyvarar- mr. rr..err.+wp~rww fd~.«, w rreea.w.. ~4 ". . 14 Clouse Road Newv~.lie PA• 17241 t~aNlewNelobreMlon e~eerla DaeMe. ttboreda~ertawlwrtaeKrwl Mcnro.dor~eMe~ItrM.aarer.%aenax~-d•-Mrd 111 ~ ~M Q ~+ p 1lwarfrw#~re i.aur~e.wrw 6/29/2010 Hollinger Cre~tatory y ~pringa PA " ..~ et .~e.~arew~ ~epNO 17065 me. . M~aeri+~~~ sir.u~eeiwnrK ~w«~».wt~eaw~r QQer unera ome. na ~ FD ;13895 I, 15 ,.Bi` S tin Ave xv P 17, 41 aew r.. ~.+a+r.Ms ~ w eer er •M r~eeaare, eee~ eoornd rt rr IYee, aei~ ue v~ ebrd p~nn...r rrN tsb. uorw weoriw 2~a Dre sq~ea ~. ax r•h _. , 11~AIMIwbeeKrfwYYellnrel b __ Mlee e-~ wlr M eMMYMd by /won Z4. An d QUID ;6.91M l~Mnoei dtl P~4 dew f••Q 20. YNM Ga ReMrwd b MMdoetEirh+iner 1 Cgaw br ttMwondlw ihr+ C+rnbbnA- CbnelbWl MiRIN!MUrolednM~ ~' AA. ~ ~ P4~' (~ []Mre ~No ;ine~l+oMlonserldwwOM.) r;rYiiwwt hrtbEMeialrr 9Lgd7bUeoeellw'EhniliArb~1 tlwt7.PeAk 6rerMtl~a~-rwSbMMr,arae~i~~ne-M4~/rarwl`die'tlW~.DON6T~lerlenNarw~nYeudinanlec+nee4 ~ QretbG~rA hAnr~enAghM~e~A~hpa~e~hMl []-Moe ^~bbed~ wewlsywrr, RvhMalr4/rIM~MeI e1MwN/NMNept W oNyan/ wwee ww rr. ~ ~ ^ No ^ U~. @~ ~-~y ~ ~e l i `M~M~~ n, <JJV ~ ~w ~ ZL a F~nMK C Ow b prs • •orreprnee •Ik ~ ^ Nr OwOnrM N~IY1}er V if ne. ~+.Jt b. I ~ ^ Pigere r Iiw:d deeM . ,... M 'I~~ i Drbae f or.e. opwgrenoe ~ ^ wr prepe~K E•lynpieii •Ain+l~idyr b ee a •gwquwioe i O hul pgnnl ~?ldeye b t yar Q: i Q;thleanerp.QrrM.M+i-~rwrl•^ aoe. wrr,eyrw~ oas ww. ArNry a~. t+feenn. a oiirn a.. ow a hpry ~rw aes.-r•g as. owao. ibrr M~f oeewwd M•. ~ wowi~ Feiiii, eh«M, ~> '' PnbniMl M.1eMe+lNrb 4 aldw d Deewt ~ N°IraOe' ~ '~ , , . _. ^ ~,~, ~ ^ ~ ^ ~, ^ ~+ ^ ~ M•wora+ efd. lree a hJery aa.. ~.~ wan ~. M Twi~awbi hMry IiiN•b/ MI. taoeren d hMny pbeel, w ~ b.n, rre- ^ arroe p care Na a owrn~.a ~ q ne ^ wo ^ °'"~' ~~""a C7 An••~rr C1 >_ aw. ' '' 3 aoe. aA1r l~ r+r ew1 _ ,aeagrrww . ~ ar ~ 1 ~ a!~~ ~ agMi~ae~eaae.rirAw.wey~i) ~ru.wt.- grienaeanplNdMe~z»----------------- ~ ~+.~1.~:~3~ ~wirn~ IerAaeMeawbwe - 1I1.. • iw~elrMA1+~++~MPler+~!iirawn win ~ao.Atg eeeM.e.AyAigr ane of reeiq- ` ^ u ^ _ 0Ve g~ Me1M4 ~ r~ ^;,,,, ~~:,~ ae..eww1e1~1etYn...rerMelpe»,«aw~Ibarepo,end.wo...IreL---------------- M D "~i L3 ~ •LLJ ~ o Ow I.e wle M.www.nl /w heee~ew, h ^M a~leiee4 UeM •owwM r ^w M~ we..r ~Meq eM.re a ru •••eehl w www n eYle~ ^ a~.wnew~m.ea~eweeca4rreawdarnpiw ~rar - ~~~ !.~1t ~ r1 ~ L (~ ~ aeRees+..~~r•er, ~ UlU'V2X~~~ ~''i V~„ ~'c5 ~q r~3~ 1 ~~.~~(~. RENUNCIATION REGISTER (JF WILLS ~' ~~,«r-berl~ COUNTY PENNSYLVANIA Estate of L~ I, a~ -10 - ~.qd C . Sw.c,i S W .... a 1 t~D ~ Y ~ ~~ ._ ,- .. ~.,... ,~- ~°~ ,, Deceased in my capacitylrelationship as fiPrint Name) ~ V Sorg of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to CI~G~,v' ~~ ~., (Signs ) ~~ C1~te. ~t.al.. (Street Address) ~..~r..jvslLc.. ~i4~, 1~ i (City, State, Zip) Executed in Register's Office Sworn to .or affumed and subscribed before. me this day of Deputy for Register of Wills Form RW-06 rev. J0.13.06 Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes sta ed within on this ~ day of _ ., Notary Public " My Commission Expires: (Signature and Seal of Notary or other official qualified to administer ) NOTARUII >3EA! AIIAANOA J dERR1ER Notary PublFc C~ARtmLE BOROUGH, Ct~iBERUWD COUNN My C~nmlaalon ExpFraa Dec. 26. 2Q11 tw c~ .... ~ ~ a RENUNCIATION ~ ~- REGISTER OF WILLS ~ ~"' j ~ ~.--, ~~~ ow ~ COUNTY, PENNSYLVANIA .== ~, ~, ~..., rn ~ I - ro - at~~o "' Estate of 01r' ,Deceased I, L.. ~ in my capacity/relationship as . (Print Name) D to ~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to C~ ar~~s ~~ SVl1'Gli -1 lib (f)ate) Executed in Register's Off ce Sworn to or a#~irmed and subscribed before me this day of , rs=8~ e~ 1~ ~~ ~~ (Street.lddress) (City. State, Zrp) Executed out ©f 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 ~ day of ~U~ v`~ Deputy for Register of Wills Form RW-06 rev. !0.13.06 Notary Public My Commission Expires: (Signature and Seal of Notary., or other official qualified to administer oaths. Show d AMANDA J dERRIER Notary Public CAR1lSLE BORC)tJ6H, CUMtlERtAN©Ct3UMY My Commisafon Expires Dec 26. 2011 Nsi6wiMllil~'"i511tia.a: •NM. ~" REI~TIJNCIATIUN _ ~ ~ ~M: ` ~~ ~ `~' ~ REGISTER OF WILLS A ~ ~ ... ~ ~ `~ ~~ w~ COUNTY, PENNSYLVANI ~ -; ~ ~- c ~ c~ a ~ ~i/ `~`!T Estate of ~ M I ~'.c~r~. - L~r,,,rt M. S~,~i Deceased in my capacity/relationship as (Print Name) ~ V ~C r- of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to . ,. ~~~~ t~ ~.~ ~~~n Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills f lure) -~ ~ t'1 ~'~ - -_ rte..--~ (Street Addnas) (City, fate, 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 ren iation for the purposes stated within on this day of Notary Public " My Commission Expires: (Signature and '~ or r.o administer oaths Show date o A r Nt~A ~ ~0 t~R mission.) Notory PubNC CARLISLE eURAL~CN. Ct1MBEittANp . ~ ~ ~.~r~s Dec 26. ~Otl Forrn RW-06 rev. J0. J3.06