HomeMy WebLinkAbout08-02-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Mary Elizabeth Sheaffer
also known as Mary E. Sheaffer
Deceased
COUNTY, PENNSYL~JANIA
File Number ~.~ ~ ` <<,,~ ~ ~ ~~
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Social Security Number 192-14-5'~OS
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) is /are the substitue Executrix named in the
last Will of the Decedent dated July 5, 2007 and codicil(s) dated
The original Executrix, Barbara S. Bourdette, named in the Will received Letters Testamentary on June 16, 2010. However, Barba"rya S. Bourdette
died on July 25, 2010. As such, the substitute Executrix must now assume the role of personal representative SSE' / ~c° l~ ~.-/
(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:
B. Grant of Letters of Administration ~ ~- ~ ~ ~--~~-
(Ifapplicable, enter: c. t. a.; d. b. n. c. t. a.; pendente life; durante absentia; durante minoritatE)
Pte,,}
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following s~~se (if any) a~heirs: (If .; ~
Administration, c.t.a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) - _' ~---~ '~'~ - ~ ~~~.
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Name Relationshi Residerlc~ f""
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. `' ~-; ~"~ i,"~
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Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
15 Cedarhurst Lane, Camp Hill, Lower Allen Township, Cumberland County, PA 17011
(List street address, town/city, township, county, state, yip code)
Decedent, then 91
years of age, died on June 9, 2010
at Holy Spirit Hospital
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:
$ 200,000.00
$_
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:
' Si nature T ed or rinted name and residence
;1 ~' y, Lisa B. Bock, 15 Cedarhurst Lane, Camp Hill, PA 17011
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Form RW-02 rev. 10.13.06
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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. ~~
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Sworn ±n-~r afftrrn~d and subscribed ~' ~(.~~---- - " `'~''
before me the ~- day of
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fff For th Register
Signature ofPersonal Representative ; j -- ~'
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Signature of Persona! Representative ~'~ ; =`~' ~ ,~
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Signature of Personal Representative •Z~ -.~ - _~ -
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File Number: , ~ 1 - ~ L - ~ ((
Estate of Mary Elizabeth Sheaffer ,Deceased
Social Security Number: 192-14-5705
Date of Death: June 9, 2010
AND NOW, }r-~f~~-c'~~~- c~ ?C~f! ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~-~Ctf7~ ~ ~~11~~-1-f~ L~ fi UY~ ~~ i„ L ~~4~-
are hereby granted to (... i S ~ ( ~ f~C? (~ 1C
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 ............... $~~~ ~fL
Short Certificate(s) ........ $ ~ f trC~
Renunciation(s) .......... $
... $
... $
... $
... $
... $
... $
... $
... $
.. $
TOTAL .............. $ E-f L~ ~ C'~~ 9-e0
Register of Wills ( r~> fir" ~ ~~ ~~~ ~~~%'
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Attorney Signature: ~'~ Z.~.r _
Attorney Name: James W. Kollas
Supreme Court LD. No.: 81959 _' .___.
Address: Kollas and Kennedy ~a
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1104 Fernwood Avenue~4a~ 104 ~ ~
Camp Hill, PA 17011 '~ ,.~
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Telephone: 717-731-1600 ~ ~- °, ~ ~
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Form RW-02 rev. 10.13.06 Page 2 of 2