HomeMy WebLinkAbout04-0190PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
also known as
Deceased.
Social Security No. ~ ~ ~- 6) ~r_ Z/ro~ ~ .~
!
To:
Register of W~jlls for the ,
County of L'/)'/1//~; ~ ~/q-/vD in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in ~' ~/l/i ~/~-~ J~//ND County, Pennsylvania, with
last family or principal residence at ~.~J//~ ~/~ J~ D jz ~_~t9/9 /-ft9//4/~, o°~9 / AZ,
~/J~gJ/~]~ ~ ~'~J--/~-~.~ p/~-. / 7t) /_~ - (list street, number and municipally)
Decendent, then c~,~ years of age, died /~ a 63/t 57-- ~ , 19 oc: ~' ,
Decendent at death owned property with estimated values as folllows:
(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:
Petitioner.__ after a proper search ha
the following spouse (if any) and heirs:
/
ascertained that decedent left no will and was survived by
~ Rel. ationship
Residence ~_~
)'? o ~ ~,, t'~ ! ¢ d/4,
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
c2 Y/,,'Z L/Zs LF--. z'zTR-- [ 7~' '/ ("5 - '
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~- ss
COUNTY OF ~{ ~{~{~,~
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 above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirmed and subscribed C' ??3
bef.0.ore me this c~,~ '// day of ! r.~./~'Zv~,~ ~".~, /'~'~~ x~/~/?~, ..-
Estate of
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
in the estate of
AND NOW /E"~/~.. ~.~y-- .~ in consideration of the petition on
the reverse side hereof, si~tisfactory proof having been presented before me, , ....
IT IS DECREED that,_J&fi~vc? ? ~gTZmc;~/~ P~~R/~
is/are ~ntitled to Letters of Admi~stration, and in accord With such finding, L~t~ of Administration
FEES
Letters of Administration .....
Short Certificates( ) .......... $
Renunciation ................ $
Filed .~-'- .-/..~'~'.. A.D
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE