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HomeMy WebLinkAbout08-06-10_ _ _ _ _ _ _ -_ ~'' >, PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of JO G RY IE File Number 21 10 ~II ~ 1 also known as J. GREGORY CHRISTL~B Deceased Social Security Number 209-SOt9246 Petitioner(s), o is/are 18 years of age or older, apply(ies) for: (COMPLETE ' OR 'B' BELOW.) ^ A. Prob to and Grant of Letters Testamentaryand aver that Petitioner(s) is /are the Executor named in the last Will of the ecedent dated and codicil(s) dated ca Except as folio (State relevant circumstances, e.g., renunciation, death ojexecutor, etc.) z~ C ~ s, Decedent did not marry, was not divorced, and did not have a child born or adopted after execut instru~ent(s)'-clffe~'e~ for probate, w B. Grant not the victim of a killing and was never adjudicated an incapacitated person: ~ ~=~` ~ ' C'a Ca ]ts , , of Letters of Administration `~ ~ '"' Petitioner(s) aft (Ijapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia;~erant minor{Ta71e) :_~ ;=,-~ a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if ate) and heirsa'ff Administration, .t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi ltesidenc 106 Pine Knob Road PAMELA PO E N wdll PA 17241 (COMPLETE I ALL CASES:) Attach additional sheets if necessary. ', I Decedent w be land erns Ivani with his /her last rinci al re 'de ce at domtctled at death m County, P y a, p p ~ ~ 106 Pine Kn Road N wville PA 7241 U r Mifflin T (List street addres , town/city, township, county, state, zip code) Decedent, th n 52 years of age, died on 6/14/10 at 106 Pine Knol) Road i Newville U Mifflin T PA 17241 Decedent at eath owned property with estimated values as follows: (If domiciled in PA) All personal property $ ~~Qd •U'a (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 folio s: { Wherefore, Petitio er(a) respectfully request(s) the probate of the last Wil] and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned : Signature Typed or printed name and residence Pamela Christlieb 10 Pine Kn b Roa Newville PA 17241 Form RW-02 rev. 10.13.06 I~ Page 1 of 2 ;L__1 __ _ _ _ _ r . Oath of Personal Representative COMMO ALTH OF PENNSYLVANIA SS COUNTY O CUMBERLAND The Peti oner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true alnd correct to the best of the knowledg and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) uvill well and truly administer th estate according to law. f ,. ~~ Sworn to or a ed and subscribed. ` Signature of Personal Representative Pamela Christlieb befor a the ~~_ day of ~+_--- Signature of Personal Representative tv For the Register Signature of Persona! Representative o a _z ]or , , ,} ~~.? 4C"1 ~ C ~ ~ "i t r `i File Number: 21"(~'~~~~ ~> ~ ~~ ~"' Estate of JOHN GREGORY CHRISTLIEB ~eceas~d ~ `~ ` ' ~~' •~ ~'=' ~3 Q~7 "Y° t S ial Security Number:209-50-9246 Date of Death: 6/14/10 AND NO , 2010 , in consideration of the foregoing Petition, satisfactory proof having been pr sented before me, IT IS DECREED that Letters Administration ~~~ are hereby gr ted to Pamela Christlieb '~. r- in the above estate and that the described in nnnent(s) dated Petition be admitted to probate and filed of record as the last FEES Letters ....... Short Certificat Renunciations ..................... $ (s) •••••••••••• $ •••••••••••••••• $ .... $ .... $ .... $ .... $ .... $ .... $ .... $ .... $ .... $ TOTAL ....... ..................... $ Attorney Signature: Attorney Name: (and Codicil(s)) of Decedent.) Supreme Court I.D. No.: Address: Telephone: 10 East Hish Street ~ Carlisle -~ PA 17013 717-243-3341 Form Rw-oz rev. X0.13.06 ' Page 2 of 2 for this ,~1-Iv-~~o~ LOCAL REGISTRAR'S CERTIFICATION 4F D~~~'H WARNING: It is illegal to duplicate this copy by photostat ar photogr~~h. $6.00 This is to certify itl~t t~e information here given is correctly copied frbnl aq original Certificate of Death duly filed with m~ ~ I!,ocal Registrar. The original certificate will be ~,farwarded to the State Vital Records Office for' plern~anent filing. P 16 3 4 8 4 2 ~.:~~ .,~~•~~~a•~ ~~ ~ s~2o~Q Certification Number t c.ral Ron;elror ri,*o inon~i 'a^ ~' i ~ C ", ~ t .,f3 ~ ! Q ~ ~: "3 ,.,,. - ,art C~ ' C- 4 ~ C~~, %Frri1 ~OMMOMWEdk{.j110F PElN~18YIYANI~ . pEPAR7~tT OF MEAt.TN .,VITAL RECORDS '+ CERTI!-7CATE QF i~ATH ~. (Sw kaVUttlona and examPla~ an revawa) gn,re ~ rtraeei i i V r M S 'I Z 7 r t. nradhrdaY(Rat Mt riaq 2 8r !, lfaaM BwAg Narlb I. D.b d Nrl .John Gregory Christlieb male 209 ~.. 0 _g une 14, 20101 ~~PN+aarM + ttnRa a < y. a ro.w 52 traR. w. w.. trr. Garlise PA ~++ ww: 19'56 April' 29 yR , D Oetr 1=iaa O Hsr ^a. x u ~ taAO~,irbrbar,e`e~,wrw;~b. ~ x ~ Cumberla d U PPer ifflin 06 Pine K ob Road ~'~ ~ ~ to d tl Rai R!: Nr oratlb+w~r h M to Wm.w F+ieyen p~paplY ~+r ~pw aw:mpYM u. YMtl sWS AMY4 ~w/r wnra is @I+R d~'r nWin aerl tarrrw~ Business rner wu P a i'a~"`~ a us. rnrR Abr+ ~,>an l saoo„d,p p.t~ cam. nr a s~) m~dr+*i°e P a 1 a C aok t s sua yprr ®w 12 ULdrdbtalYi9AMira eb'AlertiMM4rr+dRN 106 Pine Knob Road OiUa7bKa - altl parObl burn.wabbr ,Harr PA u,.h, TRLHyr.oaraaRUrab CJ a ifflin ~ Neorviile A 17241 nu,cary Cumberland YdaR~z .,taC3ib.aa~t Aarrpii , d ~~~ kW ~Frrr.lru.l~Cw+tM., .wl~l taste+.v.Nra.IntmrdN,«r~nrwrm~ -John W Christlieb taawrnrerat~wr(ryp.! 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