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10-08-10
PETITI©`r' FOIZ PROBATE A~l'D GR~!~T Off' LETTERS REGISTER OF ti'vILLS OF ~ r~~ COt`~iTY, PE~+~+S1~LV-h~rl;~. _}-"'-~-fV* File , {umber Estate of ___T~/1 ~-_w _ L„ ~/~j `l •r~ ~7 r ~ ~~T ~02 T - also known as ~ ~ ~,g -l Decepsed Social Security Number ~-- Petitioner(s), who is/are 13 years of age or older, apply(ies) for. (CO;I'IPLEl E 'A' or 'B' BELOW:) ~! named in the ^ A. Probate and Cram 7f Letters Testamentary and aver that Petitioner(s) is /are the last Will of the Decedent dated and codicil(s) dated ~ rv (Strre reievnnt circumstances, e.g., remurciation, depth ojececutor, etc.j '~' p ~1 ~-; -t J r-r~ Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execuM gt~iayinsnuln~e t(s) o~t~ed ~a _~ r- t,,~i r" for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ' ~ m _; B. Grant of Letters of Administration (ljnppticable, e~rter: c.t.n.; d.b.n.c.ta.; pendente lire; durance absentin,~l ur minoritnt~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following ~pbuse (if atsQand hens Adrninistration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) p ~~~ (COMPLETE GV ALL CASES:) Attnch additional sheets ijnecessary. Decedent was o aiciled at death in ~o uaty, P t lvania with his /her last principah residence at ~__~_ i~tx~ (List sb~cet nddrus. tow»/city, township, cowrtp, store, xip c ej ~~~~ II ~. Decedent, Jaen ~_ years of age, died on ~ at ~Ot~'t~ ~ IlarrA,.nr ~~ rlo~+h .,.,,nnri nrnnnrty with rctimate,~ vah~es ac {nIIAWS: (if domiciled in PA) i All personal property ' lvania I ert in Penns ro sonal P $ ~ J~ ~~-•- ~ n PA) (Ifnot domiciled y y p p er in Count o ert l P ~ (If not domiciled in PA) Value of real estate in Pennsylvania y p y ersona pr ~ situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of dtie lase Witt and Codicils}presented with this Petition and the grant otl the undersigned: Lattcrs in the appropriate form to Sig+namre T ed or tinted name and residenke 35~ _ '~ ~~ Page 1 of 2 Form Rw-0? re~~. IOJ3.D6 __~_ _.~_ L- -- Oath of Personal Representative COMbfONWEALTH OF PENNSYLVANIA COUNTY OF SS The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true Arid correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s)' mill well and truly administer the estate according to law, Sworn to or affirmed and subscribed befo me the -L~-day of - '_,r,,,v~', ` 6'~ For the Register Signature ojPersonal Representative Signature ojPersonal Representative~u^ ..r., o ~. _; __ ~ C7 ~ ~"~ =~ File Number. Z~~~~'!dl? '~~~ Estate of 2,./'N~ I- ~ hhl f 5_ _ , D'e U Social Security Number: ~ ~Q =~~- ~O~Date of Death: ~ f'F (D -~' AND NOW, ~j ~' (o having been presented be ore e, ITnn IS DECREED that Letters are hereby granted to ~ 11. <~AnJ t ~.~ i 1 ~ ~ `._~ f ~, _:'~ "q -~ ~ C:~ ~..w ~ ~ .. _ -n „~- ' C consideration of the foregoing Eeti~ioQr, satisfacrory proof .L 0 U ~ ' ' in-tlie above estatb and that the instrument(s) dated described irt"the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Deceddn~. (` FEES ~ J 's Letters ............... $ 5• uO ~'~ Short Certificate(s) ........ $ ~ Z .~° Attorney Signature: Renunciation(s) .......... $ 5 . o" Attorney Name: .. $ Z 3. ba ~ ~ • • • $ S co Supreme Court LD. No.: ~ ~~; $ Address: ~'~ LL,~I~.~~d '}~ .. $ ~~~ $ Telephone: ~ _ ~ ~` ~~ $ ~ TOTAL .............. $ ~L..~ Furor RVKUZ rev. ro.ls.oh Page 2 of 2 ---___ _ ___~ ~ II _ 2~-w -l02 7 REGISTER OF WILLS OF Estate of Maraant E. Wills RENUNCIATION CUMBERLAND COUNTY, PENNSYLVANIA Deceasei~ -,~ Q ;1~,? 0 ~ ; "~ fr ( ~ - J ~, Jj~ ~ ~ ~-7 ~ 'j''7~ t~ M1 ~ 3` Ti ,inm p ~. Judiith Wills y capacity/rel n~hi as ": ~ -~` o " _, dsught®r of the above Decedent, hereby renqunce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to my sister, Shinty Wills iBolan. C~ ~~~nf- g',~ol p ~~(~ats) ~• .. ,~, N W AR~ ~.• • •.. ... .ti p'fARy •.G~ W' ®~ e •' PUB1-~G : •2 ~~~;•_ .... ._fi~ Execuisd /n Rsplstsr''s Oli7ce Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills wm RW-06 ~. ~a~s-soon (~^~°~ udith Wills ~/ Y ~a-8 `'I'14~`~ ~' (S6rwtAddroas) Alliance, NC 26509 ~: ware. za) Execufied ouf of Roglster's Of~e Before the undersigned persona! ppaar~tyy executing this renunciation that?ie or she executed the renu purposes stated within on this of~~ , My Commission. Expires: ~-~ (spruiur. and seN a rlolary or oerar oMldal a~e~ adrMnhhr oatlro. show dat. or expMion d Mohry: ~oPYrWM (c) 2008 form soilwaro ony The Lackner C>aoup, Mc. ay ~ _1 w ci i ~. c~ c~ rro-3 r , •-~-, ~y.. ~A cn ~ Q n ~ n i IOS.R05 RF.V (01/07) I LC3CAL REGISTRAR'S ~GERTLFICAT~ON OF DEld~TH. . . WARNING: It is .illegal to duplicate this copy by photostat or photograph. s_* ~ ~ Fee for tl}is certificate,, $6:00 This is to certify at+ the -information .here given is correctly copied. frooriginal Certificate of Death duly filed with me~as.Local Registrar: The original certificate will ~be I forwarded to ~ -the State Vital Records Office for ermanent filing. P 1~ 6 5 819 7 2 ~-. ~ AU6 t o ZO Certification Number ~ Local Registrar ' Date Issued ~ ~ o n. / ~. ~ I ~ ~ C~ N Q ~~ LLU'-~ .~ ~ r • ~ ~~ ~r . M ~ ~~ ~ _ ._~ i t~ ~ ~ . oo~i wo~reiw.Trt of truE~we~- • oeP~nrfrexr o~ tr<Ai.TM . del AE~s _ ~ .. -r*~ r d~ e >. ry>' s tt. a wi~l.~M>r~. ~ ` $26 y,,ll r o~r~ wi- rr ra r T t ~ww~r11 95 ,~,r ~ r.. Septmiber 24,191 Concwrsville, Pa. O Ong ^oa ~ ll.. D 11rrw ^ aw. . acw~ra+ ~.ctl.wn~rar tkwrywr~.ara~rrwrr.rritrrW cwrarw~l4rraMa ~ xneR~..r.rrn wr,r: Q~arland 1i.81e Cilarda0Rlt I~aiLl$' Center A rK ~ orr ': lMrn ww a.l re- to ~ IYrr xrr a.rr.rr r r x EiittiAY ~4 w ~ ~N u wr x i~ yori p.l-, +r •~• ~+1 H ~~ orw Yrtr.~ ~ ~ ~1 ~ R {11i ~Oi~ ~ ~ ouae K1Ie ' ~ (Jrr M- 1C~ata~mon~''+~~-rN aar°~iriw.r na.. Pa. m.Dw~a~r ~ ,++. Carlisle, Pa. 17013 ls.ait~ ., m]Cllr~ • Carlisle arnr. d ~q t r~rlwt rw.n~..1 M~ ~ l ~ ~oarbr.grlr..nw.rnrq sw~.rrrr,~w.h+~wn.rr..~-w Shin J. Bolan 35 Ca~atar l~riixe Hill . 1 .11 tlalYltt/MOYAir i ^~~: ^DyM~ lx Olrrp~albr'MM~~IF1r) IMIfIMMMg1~l~~l~rdw~lMF~~I~rAw/leN fll4eWl~rlMkMrr.~w~ August 12, ZO10 ICl rr O a..ru.w t .... w.~ Mt. Carmel Cemetery t. Carmel 11ap. 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