HomeMy WebLinkAbout09-28-10PETITION FOR PR~lOBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF _( -~1,~~I COUNTY, PENNSYLVANIA
Estate of y tt~..~S C L~ File Number ~1 ~ ~ ~ ~ ~ `~"
also known as
Petitioner(s), who is/are 18 years of age or older
(COMPLETE 'A' or 'B' BELOW:)
Deceased Social Security Number ~ a ~ - 3 ~n - ~.3~.2
for:
^ A. Probate and Grant o[ Letters Testamentary an aver that Petitioner(s) is /are the
last Will of the Decedent dated nd codicil(s) dated
relevant
e.g., renunciation, death ojesecutor, etc.)
Except as follows, Decedent did not marry, was not divot
for probate, was not the victim of a killing and was never
-L7 B. Grant o[ Letters of
Petitioner(s) after a proper search has /have ascertained
Adntirtistratiort, e.t.a, ord.b.n.c.t.a., enter date of Will in
N
-° named
m
and did not have a child bom or adopted after exectttiD insU~ent(s)~rre~
dicated an incapacitated person: C~ :~= ~.t
D ~ `f~O
Q1 °rr
enter: c.t.a.; d.b.n.c.t.a.; pendentelite; durante absentia; durnrtte minoritnte)
Decedent left no Will and was survived by the following spouse (if any) and heirs: (/j
'ion A above and complete list ojheirs.)
I Name a.t.~~...,~tit.. o_.:a_..,.e I
T
5
A C '
~.t
a L
Say M~ A . • m~ ctc.Li so +J C~~~e~.cbw~~ fl ,
(COMPLETE IN ALL CASES:) Attach additi
ata! sheets ueeessary.
/
Decedent was domiciled at death~n s9
S County, Pennsylvania with his /her last principal residence at
(Gist street nddreas, tow
n/city, township, county, store, zip code) -
Q
Decedent, then 8 ~ years of age, died on 9 (O n ~f ' /+ n n
0 at ~^~oL~ SP1r.~ >~14$QiTbL `BI7')J' ~ ~ I'~ .
Decedent at death owned property with estimated values ~as follows: a
(If domiciled in PA) All personal property $ /~
(lf not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) i Personal property in County $
Value of real estate in Pennsylvania ~ $ -0 -
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the la~t Will and Codicil(s) presented with this Petition and the grant of fetters in the appropriate form to
the undersigned:
ature ' T ed or rioted name and residence
~ Nue~~l (~
-~t~
sPR~rs P.~
Fa•m RW-0? reg. ro. t3.o6 Page 1 of 2
Oath of Personal Representative
COMMONWEALT OF PENNSYLVANIA
SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affirms) that the statements in the foregoing Petition are hve and correct to the best of
the knowledge and belief of Petitioner(s) and that, as ~ersonal representative(s) ofthe Decedent, Petitioner(s) will well and wly
administer the estate according to law.
Sworn to or affirmed and subscribed / f/ ~ ~ r r
me
day of '~/~---fin -
..a -
Signnture ojPersonnl Representative ~ O Z
~•
t/7 ~ ,
r~i Q rn ~a ~ ;
',, ~.. 5 wow ~`'~i,
File Number:~J .. ! ~ - O / ~~
•~ SSl c... ~,(~ II,I ~ r o ~~
Estate of
Social Security,
AND NOW, ~-R.U~I
having been presented before me, IT IS
are hereby granted to _~, ~1
Date of Death:
Fonsideratiort~of the
C!~ ~ E1D T1 ~"~J
C~O'n 3 -- : -n
D~~d N ; ~-' r'~n
r-
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n r.l tY A~ -
Petition, satisfactory proof
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of
FEES ~~
Letters ............... $
Short Certificate(s) ........ $
RenunciationO .......... $
.. $
... $^~_
.. $
.. $
.. $
.. $
.. $
.. $
. $
TOTAL .............. $
~--~-
~ ~~ ~(0 ;
as the last Wild (and
ojWills
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
in the above
Telephone:
Fm~m RW-U? rev. IU.13. UiS Page 2 of 2
705R05 REV (01/07) ~/'1 ~ / 7.7~~;
LOCAL REGISTRAR'S CERTIFICATION OF DEATH (~~ `J
WARMING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 This is to certify that the information here given is
correctly copied frUm an original Certificate of Death
duly filed with me as Local Registrar.. The original
certificate will be . forwarded to the Stale Vital
Records Of ce`for rmanent filing.
P 16738482 - SEP o $ 2~~
Certification Number Local'Registrar Date Issued
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ON ~ o
RENUNCIATI x~ .~
y rri .:"~
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REGISTER OF WILLS
~~ _
Cumberland COUNTY, PENNSYLVANIA o
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Estate of Jessie AM Miceli ___. ____ ,Deceased
I, Leonard J. Miceli , in my capacity/relationship as
(PNm Nmas)
son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Joseph A Miceli, Jr / Janice J Hubley
September 15, 2010
(~/
Executed in Register's Ojj'ice
Sworn to or affirmed d ubscribed
before me this ~_~_ day
of ~1'~ I.Q.
Deputy for Register of Wills
Form RW-06 m. /t7J3.06
u~;•~C'CARy •,~
J• •
~ ; APr 28 2012
v'im'. Pti 9Z-~Z~~~~~,;,~~rr
/.7~~~4~ alt ~'~;1~-~--
(Segrura,r)
17038 Parkside Way SE
(Srroer AddneaJ
Renton, WA 98058
(cry, SraEr. tinl
Executed out of Register's 0,~9ce
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatioq for the
purposes stated within on this 5"' ~ day
of
Notary Public U U
My Commission Expires: ~..~ I c~4~ ~..
(Signature and Seel of Notary or other o'ff"iciaTl q~ua~lif`ie'd w
administer oaths. Show debe of expiration of Notary's Commission)
~,,,,
~o . yea
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RENUNCIATION ~' °° _~' ~~
~
~ - T
~ REGISTER OF WILLS
L ~~ N
N =T~ ~~'
`'~ V
u,W, ~xnla~u.,Q, COUNTY, PENNSYLVANIA rn ~'
Estate of ~ e..S S 1 ~.
l
I,
t GPI ~
(Print Name)
l C.~~--t
Deceased
in my capacity/relationship as
0 ~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request tha`t~L~etters be issued to
V pS~r-P dt Pc' ~, tc~-~-~1 ~ ~1 ~caE.. ~ t-tt~t,~t.~-f
___,
-- l S r, ~ t
(Date)
(s; r~ ~
ooh ~RA~SaN R~..
(Street Address) -
Ar~2P-AS T'~C~ P/~
(city. State, ZipJ
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Executed out oJRegister's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciati for the
of~o ted w'thin on this _~~day
My Con~3rtigsion Expires: ~ ~~ ~ iC~~
(Signature and Seal~}of Notary or other official qualified to
COMMONWEALTH sVQw~atepE(~pjr~jpup[Notarys Commission.)
NOTARIALFF CSEAL
CHERYL R. GARMAN. Notary Public
Camp Hill Boro, Cumberland C 20r ~r
My Commisslon Expires May 20,