HomeMy WebLinkAbout09-17-10~r
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
Estate of Nom A Roseberry
also known as
Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
COUNTY, PENNSYLVANIA
File Number Gl _~~ ~ 9S 7
Social Security Number 441-20-30~
^ A. Probate snd Grant of Letters Testamentary and aver that Petitioner(s) is /are the
Iast Will of the Decedent dated and codicil(s) dated
(State relevant circtanstancea, e.g., rsmmciation, death of executor, etc.)
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 person:
® B. Grant of Letters of Administration
_,,;_~ named in the
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(Ifapplieable, enter: c.ta.; db.n.c.ta; psrrdentelite; duranteabsentia; durance
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
Administration, c.t.a. or db.n.e.t.a., enter date of Will in Section A above and complete list of heirs.)
Name Ralationshi ltesid
Ronald D Roseberry son 6121 SawRrass Court HarrisbukR PA' 17111
Jeffrey Lee Roseberry son 2656 Broadway Evanston Illinoi 60 Ol
(COMPLETE WALL CASES.) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal resiQenGe at
824 Lisburn Road Came Hill PA 17011
(List street address, town/ctty, tow»ship, county, state, slp code) p
Decedent, then 88 years of age, died on ~UN P~_~~ _ ~n ; ~ ~ / ~ ~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 54,751.00
(If not domiciled in PA) Personal property in Pennsylvania S
(If not domiciled in PA) Personal property in County S
Value of real estate in Pennsylvania S
situated as follows:
Form Rw-02 rev. lo.i3.oe Page 1 of 2
I ~ _.~~__
Whereforo, Petitioner(s) respectfully request(s) the probate of the lest Will and Codicil(s) presented with this Petition end the grant of Lettgrs in the appropriate form to
the undersigned:
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
The Petitioner(s) above-named sweaz(s) or affirm(s) that the statements in the foregoing Petition aze true ardd correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) wvill well and truly
administer the estate according to law
Sworn to or a8irmed and subscribed
before `thee day of
!V
For the Register
Signature of Personal Representative
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File Number: 2~'~0 '~ 9 S ~] Q _ - "~
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Estate of Nora A Roseberry ~eceas~d ~ ~zr""
Social Security Number: 411-20-3005 Date of Death: l/20/1922
AND NOW, ~ ~ ~(~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, S DECREED that Letters of Administration
aze hereby granted to Ronald D Roseberry
in the 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 Decedett.
FEES ~'
Register Wills ~
Letters ............... $ °~
Short Certificate(s) ........ $ ~ 2 •"' Attorney Signature:
Renunciation(s) .......... $ ~ c o
~5 $ 23•so Attorney Name:
• . • $ 5. c ° Supreme Court LD. No.:
... $ / ~o.'sa
IN J . , • $ l5.oa Address:
f N~ ... $ iS,o~
... $
... $
• • • $ Telephone:
... $
TOTAL .............. $ 2.Ih-~'o ase
Form RW-O2 rev. 10.13.06 Page 2 Of Z
Signature of Personal Representative
705.305 REV (07/071
.~~ to - ~ ~~-~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.0(1
P 1658639
Certification Number
This is to certify t}aat the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will ' be forwarded to the State Vital
Records Office for permanent filing..
/n~ ,/~ ~,,,, JUN Z Z 2010
Local Regis ar Date Issued
~~
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CERTIFICATE OF DEATH
(Str In~huatlon~ ~rdssrxempUs on nv~) STATE Fs.e talneEn
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Nora Actn Roeebar Female 441 - 2 - 3005
... June 1'$ 2010
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MDr/dK/l1i~yAllw (Blrl, dylbrn,MMR 1401N)
6121 Sawgrasa Court DeWtlfa dd 0~e,dtnl
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Roaald D. Roeeberry 6121'Sawgra$s Court, Hsrrisbu g, PA 1711:1
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RENUNCIATION
REGISTER OF WII.LS
Cumberland
COUNTY, PENNSYLV
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Estate of Nora A Roseberry ~ ,Deceased
I, Jei~'rev Lee Roseberry . in my Capacity/relationship as
(~)
Co-Administrator of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfuuy request that Letters be issued tole,
my brother, Ronald D Roseberry
7-12-~~a
~~
I
2656 Broadway
(street Addresr) ',
Evanston Illinois 60201
(City, srar~ Zipl
Eaaecuhd iu Rcgis~er's O,~ce
Sworn to or affirmed subscribed
before this day
of J I ~
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Executed out of Register's QJ~ice
Before the undersigned personally appeared the
party executing this ten iation and certified
that he or she executed th renunciation for the
PurPo ~ ~ ~ day
of ses s~ C~ th~n ~ ~ / ~__
Notary Public
My Commission Expires: ', / 0 ~~ aZ0 ! /