HomeMy WebLinkAbout08-10-10PETITION FOR PR BATE AND GRANT OF LETTERS ~A f
REGISTER OF WILLS OF , ~a ~ ~ V 5
COUNTY, PENNSYLVANIA t~l
Estate of l ~ ~Apg
also known as ~ t
Deceased
Petitioner(s), who is/are 18 yeazs of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
File Number ~
Social Security Number
^ 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
s` a ~ '.
tale relevant circumstances, e.g., renunciatiors, death ojexecutoa etc.J T "' .
Except as follows, Decedent did not ma ?3 ~ _~ <=~> :~~
for probate, was not the victim of a killing and was neverrad udicated an incapac to ed personr adopted after execution 3j ~ ~ l
~ntme@(s) offeYtd ~:i
u B. Grant of Letters of Administration C~_-~p ~ - ~+t
~~ ~ ~"'
(ljapplicable, enter: e.t.a.; d. b. n.c.t.a.; pendentelite; duranreabsentia; duranteminoritate) ~
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and Ireirs~ /i!
Administration, e.t.a, ord.b.n.c.t.a., enter date of Will in~e~tionAabovea„d~.,,.,..t,,,,. r: _. _~, .
m
scree[ nddress, town/ciry, township, county, ,state zip
Decedent, then ~ years of age, died on r ~,.~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
situated as
Form RW-02 rev. 10.13.06
with his / het last
All personal property
Personal property in Pennsylvania
Persona] property in County
at
$--~_~f L7r~
P
Page 1 of 2
--'- -" ~~~ ~~~c~:~ Attach additional streets ifnecessaty.
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented w~tti ~i,,.. o_.:.:__ _
the undersigned: , .,
Oath of Personal Representative
COMMONWEALT OF PENNSYL/~VA,N~IA~
COUNTY OF
te~'t/~U SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law. /1 ~~ /~
Sworn to or affirmed and
~
me the day of Signature ojPersona! Representative
()
/ "
i .,
Signature aJPersam! Representative
Signature ojPersona! Representative
File Number: r~' ~ 1 V - C~~
Estate of ~ ~.Q-/l ~.
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will r
Social S urity Number I l.(/ I ~ ~ -
ate of
AND NOW, O
having been presented for me, IT IS C > in consider
D t Letters
are hereby granted to
FEES /~
Letters .......... $ C-L}
Short Certificate(s) ....... $
Renunciation(s) .. , , , , , , .. $
---•--
.. $
... $
... $ L
.. $
.. $_
.. $
.. $
.. $
.. $
TOTAL . , '
Fa'ua RW-UZ rev /U.13.U6
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
c~
v -.
II~ceased
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foregoing Petition, satisfactory proof
n
in the above estate
Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH Lb~~
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.OD
P X5_935 66
Certification Number
This is to certify that the information here given
correctly copied from an original Certificate of Deat
duly filed with me as Local Registrar. The origin.
certificate will be forwarded to the State Vita
Records Office for permanent filing.
~~ ~ ~ FEB~2 4 ~ 10
Local Registrar Date Issued
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~OWR x COMMONWEALTH OF PENNSYLVANIA .DEPARTME _
NT OF HEALTH . Y1TAL RECORDS
CERTIFICATE OF DEATH ~` ~ ''J ~)
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