HomeMy WebLinkAbout04-0252PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of-J~ o ~- ~_~ (x
also known as
Deceased.
Social Security No. i-7 c~ - ~ ~ - ~ ~ t~ ;9--
Register of Wills for the
._~oucll~y, ~f,~uacM:~?~-~lq vx ~ in the
0~om~F6n~alt~ Yof' ~nnsylvania
The petition of the undersigned respectfully represent~4hat:
Your petitioner(s), who is/are 18 years of age or omer, appl res
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 ~_u. or, ~ t' .'-~ O rs c~ County, Pennsylvania, with
h last family or principal residence at ~ ~ c~ t } t° ~ ~ -~ ~ a r~ ~ ~ L> I ~¢ ~ .cc
(list street, n[mber and municipality)
Decendent, then Or I years of age, died ~ - .~ I~ 5~ ~' , 19 .,
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:
-0.35
Petitioner after a proper search ha
the following spouse (if any) and heirs:
Name
ascertained that decedent left no will and was survived by
Relationship
Residence
I
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
Q. ar'l 1.51-6 i~o._ i70~ _%
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
county or
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 subscrib~/~-c''-~ //w-//tc'~g~d"~e~'~'~
before me this ,/V~'-'~/ .day o~-~'"''' )-
No.
Estate of
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW b~'~-3~¢· ~ &...~-/ ,,~,/~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
areherebygrantedto [ ~,~'~ )t.~ I-'[O'f"~'~'~
in the estate of
FEES
Letters of Administration ..... $
Short Certificates( ) .......... $
~Renundation ................ $
~ k TOTAL - $~ .
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE