HomeMy WebLinkAbout08-12-10PETITION FOR PROBATE AND GRANT OF LETTI+~RS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of RICHARD R. COOK File Number ~` ~ _ ~ ~'' _ ~~ ~ ~'~ ~'
also known as
RICHARD R. COOK ,Deceased Social Security Number 263-92-5937
JAMES R. COOK
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
a A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTOR named in the
last Will of the Decedent dated 6/2/2010 and codicil(s) dated
(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
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spou:;e (if any) and 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.)
Decedent, then 61 years of age, died on 7/3/2010 at 85 WILLOWBROOK DRIVE
CHAMBERSBURG PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 1,000.00
(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:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letts°rs in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
~~
~'~--- JAMES R. ,COOK
464 SHORT PINE CIRCLE ORLANDO FL 32807
Form RW-02 rev. 10.13.06 Page 1 of 2
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(COMPLETE INALL CASES:) Attach additional sheets if necessary. J -
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence ~t ~ - ~~r~-i
8 PEIPER COURT CARLISLE PA 17013 cp, ~~~~
(List street address, town city, township, county, state, zip code)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swears} or affirm(s) that the statements in the foregoing Petition are true anti 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.
of Personal
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Signature of Personal Representative ~ ."_ ~-- ~,
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Signature of Personal Rea~resentative ~ ``: ~ ~-~~ ~ -~
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Frlc Numycr: V
Estate of RICHARD R. COOK ,Deceased
Social Security Number: 263-92-5937 Date of Death: 7/3/2010
f ~..
AND NOW, '" 1 ~' ~~'~ ~ 2 , ~~ i (? , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters T~,~~1YYl.~_~ ~ `~-C~i ~ i_,i
are hereby granted to ~. l Ci L a/~` ~ ~ ~ ~ (:,~'% ~.
in the above estate
and that the instrument(s) dated ~ (' ~ ~~ - a.(`~l L~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................. $ Z
Short Certificate(s) ............ $ -.:~ (~ C~~
Renunciation(s) ~ ~ .............. ~
....
f ~ ~~ /
6) C~ .... $ L~' C.
.... $
.... $
.... $
TOTAL .....
Form RW-02 rev. 10.13.06
~~
$ ?<; , L
$ --
Attorney Signature:
Attorney Name:
r
~ Register o Tills ~,~ ( ~ ~ ~ ~~,~,` it ,~, ~~
>. ~ 1 C.L
~ ~~~~ _ w
MARK A. MATEYA
Supreme Court LD. No.: 78931
Address: 55 W. CHURCH AVENUE
CARLISLE
PA 17013
Telephone: 717-241-6500
Page 2 of 2
Sworn to or affirmed )),~,subscribed
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