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HomeMy WebLinkAbout09-08-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~~ wl~d COUNTY, PENNSYLVANIA Estate of 11 ~ ~ ~I V' • ~' a C also known as .~t1 /_ ~ .Deceased Petitioner(s), who is/are 18 yeazs of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) File Number e>~! - /V ~~ I ZT Social Security Number ~ ~ 7' ~ L '~ ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated and codicil(s) dated named in the (State relevant circumstances, e.g., renunciation, death of executor, etc.) ° , ~r. I o -r~;^~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after for probate, was not the victim of a killing and was never adjudicated an incapacitated B. Grant of Letters of Administration (Ifappticable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durante absentia; (COMPLETE IN ALL CASES:) Attach add(i~tional sheets if Decedent was domiciled at death itt<~' •' ~~~ his /her -` 7 r'"s .rte ~ C: -,, ,--~ oritate) Z '' ~•yq •T } (if any)~pd heirs: "(If,: ) C.~E (List street nddress, tow~dcity, township, county, state, zip code) '' Decedent, then ~ years of age, died on ~ ~ at et. C~ ~ ~ DJ Decedent at death owned property with estimated values as follows: D Gd (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 $ Form RW-0? rev. /0.!3.06 Page 1 of 2 situated as follows: ..T~ NNE I~ ~~ u ~ T . !tv ~ N ~' ~D ~ NT Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters ijn the appropriate form to the undersigned: Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~r Oath of Pers~ii~l Representative COMIvIONWEALTH OF PENNSYLVANIA j,, SS COUNTY OF r The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true land correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitionar(s~ will well and truly administer the estate according to law. / Signature oj. Signature ojP{r.~na! Representative Signature ojPersona! Representative .r_~ ', craw _~ , ;--i "~ ,' -~ ,, t'T'1 1 f ~' r .: ~ ~ ~ c _ ~ .. i ~ ~ C.> .~ ~- -, , File Number: ~' ~ ~~ - ~ ! ~ ~ - - Estate of ~ ~' C c , I~ec~ Social rarity Number ~ " t '~ ~ " ~~~~ Date of Death: ( II :~~ i Zalo AND NOW in~~°°n 'deration of the f re oin~~$_'e_t1( having been presented be re me IT S DECRE~(~D that Lett rs N'~'wr ~ ~ ~ ~ i~r ~-1 ~Y- are hereby eranted to \~ ~ ~ ~. /1/I ~7 ~ ~ '~ and that the instrument(s) dated described in the Petition be admitted to probate and filed of FEES eo ~ Letters ............... $ e~ Short Certificate(s) ....... $ cu R nunciation(s) .......... $ ... $ ... $ ...$ ..$ ..$ ...$ ... $ TOTAL .............. $ - Sv Furm RW-U' rev. lU.I3.U6 the last Will (and Codicil(s)) of Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Register ~7i Z- satisfactory proof ~~,_ in the above estate ~, Ced nt. cats ~~ ~~~~_1 ~ 3 - u~ r7os~ Sworn to or affirmed and~ubscribed Page 2 of 2 I i i RENUNCIATION GISTER OF WILLS ~1 p (~ti COUNTY, PENNSYLVANIA ~1-fo-o~2 :.~ 4~ 7C r~-ht, )'~1 Estate of ~. N '~~,~a o rte/- `3 ~ :: 4J J ~ 1 QO ~ r"J _.i.:. ii - ~'J - ~~ Le^~ _, Deceased I, 114 O (I (~ a ~ R ~ ~a C~ - __, in my c~ip~acitylrelationship as (Pr'nt me) of the above Decedent, her~by~ renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to eU_ Tb(~~ (Dare) c~ ~i~~~ (Signature) ~.Lq De {a ~l a ~~~~e f (Street Address) N@~ D~ ~~s. C~ 7D~ (City, state, Zip) Executed in Register's O, ffice Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Q~ce Before the undersigned pexsonjally appeared the party executing this renunCiaitian and certified that he or she executed thy, renunciation for the pure es stated within on thi$ ~,_ day Notublic My mmission Expires: (Signature and Seal of Notary or other afficrial' qualified to administer oaths. Show datgof gttDUittifpp ,Dlgt~p~p~on Notarial SCI i VirOinia NY. VUer~sels, Notary Public Csn'oll lfvup., York Cbuniy v Commission Expiras iu1 y 21,',2013 Form RW-06 rev. !0.!3.06 RENUNCIATION G TER OF WILLS ~~~, COUNTY, PENNSYLVANIA ~~ 2l ~~-~ gZ~ ~ , Estate of Jodi ~. ~ r•.s G" -c~ ca ~z1 ~ _~ , c~ ~., _; j ~ l CO ms's r.-~7 ~ C ~= coo - ' Y' ~- - -1- -_, Deceased I, _. ~ a S ~ ~ ~ ~ ~ ~ • ~ ~ C~ , in m}~ capacity/relationship as (Print Name) SO ~ of the above Decedent, her~by~ renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to q 3 I ~o (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rtv. 10.!3.06 Iii J 13 2 ~ ~ ~ h 0{l e! I'~~c~ • (Street Address) /~! cG~a~i CS~~~ ' l7 ~"~" (City, State, ZipJ i Executed out oJRegister'~ ~ce Before the undersigned pe$~s nally appeared the party executing this renun~ia ion and certified that he or she executed the', re unciation for the purposes sta ed within on ChiS ~ day rotary ublic My Co mission Expires: , (Signature and Seal of t g~r~p ed to adn~'rLi~ipblMtrl ~ t n a Nfotary' Commission.) ~iatan~i,ub is Vir{linia ~,. W~geYotk Cnun1~Y Carrcil7v+p~., y1 ~p13 MY Commissi,;r_[:xpires IJIa~Y , _.~ .i. ties ember, pennsY. ~_ i I __ ~nC fns Q~V !n'/~]? Z -l~ -oozy 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 16809469 Certification Number This is to certify that the information here given is correctly copied ~rorr- an original Certificate of Death duly filed with ~nelas Local Registrar. The original certificate will ''bel forwazded to the State Vital Records Offiee $or: Iperm ~ nt filing. ,, r Local [~ (~~ ^T t NIE,Ai1rY,1H00r COMIIDNWEALTH OF PENNSYLVANIA • DEPARTMENT OF NEALTN •YtTAL RECORDS ~r®riw~ CORONER'S CERTIFICATE OF DEATH eucx r« r,,,, ,,,, ~ (Saa Irabtmlfona and axrnplaa on revaraa} sr.Te ~ u,reEn i S ~ 1a Date Issued rya 0 c ,,~ ~.? ~_'.~ N r r, ~..~ r*'! G~ ,; ~ ~ 1 S `" t"1 ~. _,, 1 ~ _ ~=. C' i ~~ .C' ~•~~i L~ ,.~rr.daoa+l~taes.rr.ww zsa asadrs.adrrMwee~ .ar atl..nlr~+n~1 Jody G Glace Female - 2-S' A st 18, 2010 ~M~~a~ - , Unrut RDor OtanM T. ~,1 Mira ra %rrd Uric _ Labanon, PA ~t nor ow ~ r.~ y 13, i451 Q ^ l a ^ow 0 59 ^orw- g Eg1IrK r pr,r vR . a~CanyrDOrE Rdge fiy. Dr/i lRftl1'IMrlrr11n1Y~ai40~'r*MtMe,br) AMrtO~oldrtdK9r~eQ~ipii? $ tO.RekN/o~~dR9YekWliY.ro. Cumberland I!o roe 132 Brindle Road ~t~bf~rc•ldG) ~ ~~ tlYhlt! n. urr d err hard a,arrrr ,2.Wr0owOrrOO,rtta ,ao.re.itiEUyrr.tar.dbo+rngnr mrrMrA ,4.w~rew4 T F ' a~+wwslnwp.r.v++rrere.nq naklr wra~r Ma u.SMOOa Oir. rto•,A cor.pin•~s.~ John M. Glace ^"" ~-+ tr an s, xprr.~ '~~~ A,rrrnt PA ob o.a,rr~ Marl R,rrnb th a. tiA N a 174 YK OC,Orf ' n T+r. PA 17055 NNchanksburg ,m ~,,,,y um nd Ttl"'°q" ,m ^ ~ ~ , cy,ere +4 ~rMfsNEarl~Ed.nri.,Y. di4 RichatdZellsnt uWrt~Nrr~FlNt mNl,.arr NMrOE) Hahn Io sLLNdewxNrrpyy,.rvrq John M.Gtece aoaHrrir.aWgrrMr.gr~l~'1~`r~`nd~E~wd Mec an ..burg, PA 17055 xur,rnrroyrra~ ,ge..rren ^arb^ nEOwaororrmP,^+aaxrwi x,eNErddgrNrpYrderO,Yr,rrrlryaeOrpYr,1 (Cgrrr.,rr.apory purr ^ nrr~rEa,arr ~~oMrr.w~.rr © August 21, 2010 COnolite Crematory Schaeffiratown, Pa,1T088 ~ ~ ^ dFrrr rrprrbd ffiUOrr NiMEr FO.012662-L T7e. NMr WAA,edy~w Myers Funere! Moms, lae. 37 Eamt Mstn nicsburg, PA 17055 - rws aiilTE,orriayep acrd .arwom.nerurwr.arraoawralS4wrna+r4 xauorww~eer a9cor.e~ra~radn.dr.rwl pp,EMnltErrorW drrdrO,Mr 'i rraTr~rarr i irsawarrrwm,r++rMa..e~ x~_nrao„M aU,NNairnrrorrpertawrrd zswrcr.Ar.mue-ra~r , ar.,wrororanorrmnarDrrmT wMMe.e,w. Apra. 5:00 A. w. 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