HomeMy WebLinkAbout09-07-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF r~~Yl ~,(' ~~ ~ ~ COUNTY, PENNSYLVANIA
Estate of ,~ ~~
also known as
i,... _
File Number ,-~ ~ ~• ~~-- ~ c'-~
Social Security Number _ ~. `7 " `"I ~ D
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(CO.~LIPLETE 'A' or 'B' BELOW:)
^ 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
"*.1
::a c.,~
(State relevant ci,-cu,nstances, e.g., renunciation, death of executor, etc.) ~ '~"~ •- ,.F
- _ ~~,
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the irist~ment(s,Lpffered '
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:_ ~
~ -.~,_
B. Grant of Letters of Administration
(Ifapplicable, enter: e.t.a.; d. b. n. c. t. a.; pendente life,, durante absentia; durante mi,zoritate) '~ .'
C.::
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Adniirtistration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
7d
Dece ent was domiciledat eat]~,~-~ (.r(,~ ~/~,~ h~ `- ~ ~ Co mty, Pennsy,}~,ania with his /-~a~last principal residence at
r.. _ i- 1 . --. n
(List street address, low,pCldity, township, count),, state, zip code) ~ ~ ~ !!11
Decedent, then ~_ years of age, died on U~N , C ~~
~~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $~ Q ~ ~}
(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:
Furnt RW-U3 rev. 10.13.06
Page 1 of 2 R
^, ,.
~ c, vrnr~C ~ C Irv AL.L C,;4JCJ':) Attach additional sheets if necessary.
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the Grant of Letters in the appropriate form to
the undersigned:
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA ~-- ~ •
~~~:, =:
S S ' _ r t ~: ~~~ -
,..
COUrvTY OF - ; R :_;::
'The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition areaive an:~l'con-ec~-to the best of
the know edge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s).~x~;i~l welt'~rnd truly
administer the estate according to law. ~ •-- '
j ..
~. r
sworn to or affirmed and subscribed
before me the ~ day of
c ~` ~,
~ C..~
For the Regis r
File Number: :.~ 1 .~ ~~ _ ~ `~ ~ ~ _
Estate of ~ ~ n/1 ~_ ,~~n Q ,Deceased
Social Security Number: ~ ~~ l1 " ~ ~ - ~ ~ ~ ~ Date of Death: ~ (~ - 2 ~ - 2-CS L O
~}
AND NOW, s ~~ -l ~..~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters t~ ,L • j ~~ ~, ~~f~Y'1
are hereby granted to ~O. ( you e ~. ~o~_,~~ t~Yl~ C ~ ~• ~ s?
in t'rz above estate
and that the instrument(s) dated _
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
t
- ~ '1
FEES i
Letters ............... $ (.,Q ~. ~ Re,~~~sr~,~oj~/%1' ~ ~ ~ ~
Short Certificate(s) ........ $ 1' 2 • ~
Renunciation(s) .......... $
~g cs ... $ 2 ~ . so
_ fin .. $~ . a-z~
J ... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $r
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
r-~,~,,, RbV-f)' ,~~v iu.~j.o~ Page 2 of 2
Signateu•e~~of ~r~sc~faf Representative
ARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHO~TOC;~RAPH
C:(:~MMONINEALTH OF PENNSYLVANIA
[~EPA€iTMENT OF HEALTH VITAL ~RECORQS
",..~ti,~~`:.,.. REGITR~4R''S CERTIFiCATIOId ~F CE~TR
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Sept, 2, 2010
` ~ ,~:
Benjamin G. Turner
~, , , ~~J+_r. _- -186 - 24 - 9185 Aug. 29 , 2010
Sept. 6, 1930 ,,. }- PA
r. E~~ I~~~ac;e_- _---------- _____ -_~ __.---- -------- ----__ _ __ _ _ _
Residence Cumberland Carlisle ~,
°~~ ~=r~~~arit~r~ ~~~ere given is correctly copied from ~~~~ <~ ~~~~; ~:
. ~ .r~~;t_~~! ~iegistrar. The original certificate vv~~~ ~~~: ~~ ~: ~ ;, ~ ~,
~_,+~r;-rl~r~er~t filing. ,_
- r
,.
~,~~. 50--455
r.,<t' H<~.r~istrar rf +li1d1 Reu,.r,~,s
r
Sept. 1, 2010 O1 Barnett St., New Bloomfield, PA :7068
+.<<,~ t a i,i~es: