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HomeMy WebLinkAbout08-30-10r -r -~-r PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF 11~ILLS OF CUMBERLAND Estate of Roberta S. Baldt(vin also known as COUNTY, PENNSYLVANIA File Number 21-10-p ~~] ,Deceased Social Security Number 182-22-5159 M 8< T Bank successor to Dauohin Delaosit Bank and Trust and John E Slike Esa 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 EX@CUtore named in the last Will of the Decedent, dated p1/12/1995 and codicil(s) dated A1/1914@S1R MM9/4oo5 State relevant dreumatancea, e. p., mnuncle(bn. death or executor, etc. Except as follows, Decedent did not many, was not divorced, and did not have a child bom or adopted after execution of the instalment(s) offered for probate, was not the victim of .' killing and was never adjudicated an incapacitated person: ^ B. Grant of Letters of Administration a . c..e.; ..n.c. a.; ure a u Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if arty) and heirs: (If Administration, c.t.a. ord.6.n.c.ta., e-rter date of Neill in Section A above and complete list of heirs.) Name Relationshi Residence ea ~ C © 'QCs l ~-;p C ~~ ;~ . cf~ o ''' ~;~ (COMPLETE INALL CASES:) Attach additional sheets Nnecessary. '~ -r~ ~_ Decedent was domialed at death in Cumberland County, Pennsybania with his /her last principal resit at :. F._ :-:-T 102 North Z6th Street. Camp HIII. Camp Hill.. Cumberland. PA 17011 b ~ ~ ~ '' (Ust sleet address, towreh~Yf; townsAip, county, state, zip code) Decedent, then ~~ years of age, died on 08/17/2010 at 702 North 26th Street, Camp Hiil, Cumberland ~ou~nty, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ ~ 450.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ ~ 150.000.00 situated as follows: 4VFiau~~s) rosPactNiA' roquest(a) the Probate of the last VNN and Codidl(s) presented with this Petition end the grant of Letters in thb p-fate form to 5 nature T pact or rinted name and residence ' r~ JVy M S T Bank successor to Dauphin P O Box 2961 ~` Deposit Bank and Trust Harrisburg, PA 1705 717-2115-2061 John E Slika Esq 2109 Market Street j1/„ ~ _ ~ /J ~„ Camp Hill, PA 717 737-3405 :~ Formm RW-02 Rey.. to-is-2ooe Copyright (c) 2008 Conn sonwws ony The Lackner Group, Inc. Page 1 of 2 _1. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } The Petitioners) above-nameG swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct tot best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and t ~y administer the estate accoMing to law. Sworn to or affirmed and subscribed befo me this ~ day of .~ F r the Register Slake Esq Fite Number: Estate of Roberta S. Baldwin Soaal Security Number: 182-22-5159 AND NOW, having been presented before me, IT IS DECREED that Letters are hereby granted to M ~ T Bank successor to Dauo Date of Death: 08/17/2010 in consideration of the foregoing and that the instrument(s) dated 01/12/1995 01/12/1995 01/19/1995 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters .......................................... S 460.00 short certificate(s) ....................... a 24.00 Renunaation(s) ............................ S At Will 3 15.00 At Automation Fes ' S 5.00 Supreme Court I.D. No.: JCS Fee $ 23.50 $ Address: S S $ Telephone: a a TOTAL ................................... S 527.50 27-10- ~ -: Q ~;~ ~'~` t"S" `>~'~i C ~Ja .,_- G7 ~ ^ _~? ~ _t ~ :~~~~' _ ~`=~ ~._~ •~) ~ CJ to L~ 3aidis Sullivan Law PA 17011 717-737-3405 ', satisfactory proof E;~q in the above estate Form RW-02 ~. ~a~~-loos ccarrW-~~ (c> 2ooe rom, sonWare any me ~aav~u cxo~, ine. I~ Page 2 ~r z OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS OF CUMBERLAND Estate of Roberta S. Baldwin COUNTY, PENN!~YLVANIA JealaYowely ~ d ~ q ~, ~J ~/ /r' ..¢, and (Ptrnr Name) (each) being duly qualified according to law, depose(s) and say(s) that she / he /they acquainted with Roberta S. Baldwin and am/are with the handwriting and signature of the decedent, and that the signature of Roberta to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Roberta S. Baldwin ~~~-1`~s~ca (~ sf+rely - o~ q ~ Sl, ~ ~C~ 2 . ~~° ~~ is in his/her own proper handwriting. Executed in R~giister's OfRce Swom to of affirmed( ~nd subscribed befo me thts-~----day of D ~ ~ ~il~~ . 0 , Jack Snavelv II Poplar Church Road (sneer ass) (Cloy, State, Z!p) Executed out of Register's f~ Sworn to or affirmed and subscribed before me thin day of for Register o~Wills Notary Public ', My Commission Expires: ', adm Shaow~~Irat~~mmissbn.) ©eceased /were well- Fom RW-Q4 Rev. oars-zoos copnipM (c> 2006 ronn software ony The Lackner Group, inc. . __ _ I - vin5.4l1C 4t\/ In~~nj1 ~ ~ ~~_~ ~~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 1809054 Certification Number ~~ t,E•I ,»trm COMMA01lWEALTH OF PENNSVLXAHIA • DEPAR7YENr OF HEALTH . VRAL RECORD8 TYPE fMYfrN 9AC1( /aSds ChfdnreW.wa a...s -- ~ D~~ ~ 3 e C ~ ~ ~~ :_:~ ~~ ~ ~~ C.^- - se~,e FN.E MAW, ~,. Nrrdorad•a ai.enaar, rt. rbp x Br a. soda s.edb Nana a Orr d Olrb deY. srll w' Fema a .182 - 22 -5159 8/17 2010 S. Rr•M1M NYM~O onadt Utld, 6>ybd NM 7. r0 aebd KrYOedOrb ~. - ,IU~r. DN~n. lea. Iraaa NrNhe orar 85 r~ 8 2/1925 rin field. MA ^bFrra ^enlo.erw Ooa ^wr'lar. ~!d ^anr-81rk c rn a.a7dorn e~q .rda.b eNFrNrtiirlrnabrren,prdndodd.spar) aN.co.rer+a/rprtad.'+ rr r* ,awra..e.~`snerer<~r..c (r roa 1wnM C~br. I~a+A Cumberland Camp .Hill 102 N. 26th Street AWean,tirbNNan.nt) .White ,,. [InaOtdoUrd afroaeaer d -Or ,2 ear lbrbd bw b h ,i o•rabM'e FYbeNm f~p.NA' .M' taybd 9~ orONW9 x. AIrY Nurse ebneq Nrnr rrhd ,Si SarnYp 9Wur (• ara sM meiar aar) weaawan tadde.rarlrrrr u.s Mra Fans ~ Yftrara r °MOioiO «'0~ . ~Y l9+md r 14,z! 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THY gaN,r row.wNdwN.say.,rdneernrorwe..qyw..wrww--------------------------------- ^ • • + + e+..w . ~ ..~+-l~edarndn peaaaaYq arb adaaW,igbdardaMb) T ~ br•rawarn.nan.adhbr,arti rd plw, rdaurbheaw(a)rd •irwlrrddtl- ^ S7L aawarF, ~~ ~~ f ----------------- • o ,~/M It3~y' E !Q nMWbddbrndlr rr/a YwtYPtlon.b•b'•tadn•.arb orrerdhYati adarapbea NOrbsrnwyp atl aradrrra ^ . 90.Mra rna MbwdPOrrnbla 7~Iprya' CmipraCrarsorb lMan rr) IC2 ~~1F/ _ ,~ - This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. r ~'.~ S/aa/1a Local Registrar Date Issued oPdmtlb. 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