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HomeMy WebLinkAbout09-03-10PETITION FOR PROBATE AN /D GRANT OF LETTERS REGISTER OF WILLS OF ~~.vh ~r ~~V1 n COUNTY, PENNSYL~/ANIA Estate of ~ r~ © ~~~ File Number ~/ r/Q y I t [ LP also known as Deceased Social Security Number d`i'~~-~~ r ~ ~ I Petitioner(s), who is/are 18 years of age or older, apply(ies) for: II (COMPLETE 'A' or 'B' BELOW.) I ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the amed in the last Will of the Decedent dated and codicil(s) dated ~ p 7 d ~._-i State relevant circumstances, e. renunciation, death o executor, etc. ~? ~ ~ ~ t~ t r -~ `-- a Except as follows, Decedent did not many, was not divorced, and did not have a child bom or adopted after executia trum£tttjs) offe'~ic:`7 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ T• - -- ~ -t-. B. Grant of Letters of Administration ~~ ~ •'~ c^`~ (lfapplicab/e, enter: c.t.a.; d.b.n.c.t.a.; pendente fire; durance absentia; durance inoritareJ.J ' Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spo se (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.) N~m~ R~lalinnchin hh ~, ~ 4r QK~~I ? ~ (COMPLETE INALL CASES:J Attach dditional sheets if n a ecessa~y. D"`~ / ( ~ Dec f nt was domiciled t each in `~U+n r ~Q `C~ Co ~ ~e ~ yl ania w' lt~s / h t last principal res J~4• 'de eat r ~ (List street address, town/city, townsh ,county, state, zip cod) Decedent, then ~ years of age, died on at ~r OY'` ~ ~~~ ~'Gt _ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ O .~ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Valu vania e of real estate in enn s yl $ pd P e - t t situated as Follows: 1 -1 ~~~ kJt~ f l K ~ 1, ~Y L~ ~ ~ r 1 ~ ~ ~4 d• ~~~'P~ ~ ~ ~~D r 3 r u ,;,. Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Lett~rs in the appropriate form to the undersigned: ~i~a~ ,~~,j bN`Twp T~ acute T ea or noted name and residence ---_ __ _ _ i3~- ~PfnK 'v'~u/~q n _ Farm Rw-oa rev. lo.r3.o6 ~~ Page 1 of 2 ,_.1-_ __ __ _ _ _ r~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF C~tW1 The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true ; the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) administer the estate according to law. Sworn to or affirmed and ubscribed before me the ~ r~ day of ,~O correct to the best of 1 well and truly Signature ojPersonal Representative ~ ~ _ Q 1 ' ~ t.T the Register Signature oJPersonal Representative ZI-I D -o ~l ~ ~< File Number: ~'o - Estate of ~~.rl I~CzS~ c~ , Deg Social Security Number: 21 O-`f0'~~B 9 ~ _ Date of Death: AND NOW, ~ ~ ~w , in consideration of the foregoing Pe having been presented bef me, S DECREED that Lett rs are hereby granted to ,lif and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Witl (and Codicil(s)) FEES Letters ............... $ Shoat Certificate(s) ........ $~ Renunciation(s) .......... $ 1~ `"' ~S .. $ Z~3.s° .. $ .. $ ... $ .. $ .. $ .$ TOTAL .............. $ F'urm RW-A3 rev. 10.13.Ob - .,_ ~~ ~> •..i -' satisfactory proof in the above estate Personal Representative ~ v Register of Wills a ' ~,~1~,. /~"'' Attorney Signature: Attorney Name: ~ Supreme Court LD. No.: ii Address: IF - Telephone: I Page 2 of 2 ~it]CI~J!'rif~A' ~ O _.r 9 REGISTER OF WII.LS ~ -~v ' ' ~' ' ' c. Ca®bcsMmd COUN'T'Y, PENNSYLVAI~tIA ~rri w ~_:~ *_ V /~ <"l ~ ~'_i L/~/ j~~O /l r ~ ' 775 ~ ) .i r.3~ ~ Ra®e 1~ . T~CCCaSe>~ ~, Je~erl~ciidcAliQ -~~ grrrX~ a9f~ai~~]eoei~l~ bid airri~islerti~ E~dlc orb l]~ocadaut s~ tcspec~ ~ogrest tbt T~,Nds Tea i~ ~ Jasti~r bfrbd .Todd ~, ~~ PA ~~~ Sworn to or atT'irmed and subsen-bed before me tt~ ~ I]e~r fcrrT~egistei-af~ts .~.,F'~ Before Ehe e~d9E~si~e9d ~e par~j+ executii~ ~s ~ aid mod tb be of s~ie ea~ecated the re iation for the pr~cp~.s stat~.d v~it. oa this daY c~' ,4uC,us'r ro ~~ r Rey C'c~i€>>~%s.Sic>o Ex}r~res: /9r~G~ s7 Y, ~ Y ~s~.~.e ~a s~ ~rror~ ~ wE-er ef~iicial ~gt~tl~ied is adeneeisteroaths. show aaEc of expiration of 's commission.} Form RN'-096 rev. t(1.13 (~ Ronald E. Repc~~ N ry West MHtlin Boro, ANep ~ Y MY Com-n~n Expires ~ ~~ Member, Pennsylvania ~ rv _o l~l ' 4- 1.. ~ ~-r-,, j , RENUNCIATION `3 1, ~ ~ "'p r'ij :1: _~ ~ ~ _ T ~ r~ REGISTER OF WILLS ~ ~' C-' ._Y_; s-_ ,~} Cumberland COUNTY, PENNSYLVANIA =o .. -~.: `' 21-1a-09f~ ~` Estate of Deborah Rose Judd '~ ,Deceased I, John Mathew Judd in my capa~ity/relationship as lPrint Nance) Son of the above Decedent, hereby re~ounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Jeremy Michael Judd (~) Ezecrued in Regts~er's U,~ue Sworn to or affirmed and sybscribed bef me this ru ~Y of o'21~1~• Deputy for Register of ills 1418E Bradley Drive Apt.114 Carlisle, PA 17013 kcal, saate, z~l F,xecated oWt ojRegister's Before the undersigned persa~ Party executing this renunciati that he or she executed the ret Purposes stated within on thi$ y appeared the and certified ziation for the day of Notary Public My Commission Expires: (Signature and Seat of Notary or other offi4iar gndified to administer oaths. Show date of expiration Of (Notary's Commission.) Fo~aa RW-06 r~tv. 10.13.Od _ _ i , HIOS.BOS REV (01/07) ~ ~' / O ~~ (~~J LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 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 he :.Mate Vital Records Office for permanent filing. P 1~ 5 3 5 3 9 9 ~. R`. 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