HomeMy WebLinkAbout11-05-10 (2)PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of JOHN THOMAS MAHONEY File Number ~' ' (o - O~ ~~
also known as
Deceased Social Security Number
Petitioner(s), who is/aze 18 yeazs of age or older, apply(ies) for:
(COMPLETE '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
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(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante mtnoritate)
Petitioner(s) after a proper seazch 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 d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
503 S. WEST STREET, APT. C
2250 N. TRIPHAMMER ROAD, APT. M-1D
914 GOB1N DRIVE
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 101
Alexander Sprins Road Carlisle Pa 17013 S. Middleton Twp. Cumberland County
(List street address, town city, township, county, state, zip code)
Decedent, then 61 years of age, died on 7/23/2010 at 101 Alexander Sprins Road, Carlisle, South Middleton
Township Cumberland County PA 17013
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 5,000.00
(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:
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:
Signature Typed or printed name and residence
C 914 GOB1N DRIVE
CARLISLE PA 17013
Page 1 of 2.
Form RW-02 rev. 10.13.06
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
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.
Sworn to or affirmed and subscribed
before me the ~ ~` day of
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For the R ster
Signature of Pers n Representative
Signature of Personal Representative
Signature of Personal Representative
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Estate of JOHN THOMAS MAHONEY ,Deceased
Social Security Number: 20~,,6~-38-e8.5,.55 Date of Death: 7/23/2010
AND NOW, ' ~~ ~ ~~~~7'~ , 2010 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Administration
are hereby granted to Cortnev N. Mahonev
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 Decedent.
FEES (.UU "l ~
Letters $ 30.00 Re aster of Wtl ~},~
Short Certificate(s) ............ $ 20.00 Attorney Signature: -
Renunciation(s) •••••••••••••••• $ 5.00
$ Attorney Name: Heather D. Rover, Esquire
"" $ Supreme Court I.D. No.: 76327
.... $
,.,. $ Address: 4431 N. Front Street, 3rd Floor
• ~ • ~ $
Harrisbure
.... $
.... $ PA 17110
.... $
$ Telephone:
TOTAL ............................. $ 55.00
Form RW-01 rev. 10.13.06 Page 2 of 2
Continuation of Petition for Probate and Grant of Letters
Jd"tIN THOMAS MAHONEY
206-38-8555
Decedent Name Page 1 Social Security Number
Surviving Heirs
Name Relationship Residence
503 S. WEST STREET, APT. C
I(y~.805 R8V 101/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 16355883
Certification Number
This is to certify that the information here given
correctly copied from an original Certificate of De=
duly filed with me as Local Registrar. The origii
certificate will be forwarded to the State Vi
Records Office for permanent filing.
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Local Registrar .Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
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RENUNCIATION ~~ ~
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STER OF WILLS
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PENNSYLVANIA
1-~ COUNTY
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Estate of ~~-- ,Deceased
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in my capacity/relationship as
Print ame)
of the ab ve Decedent, hereby renounce the right to
administer the Estat the Decedent and respectfully request that Letters be issued to
(Date)
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
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~.30'w'` day
Of o?dtb
~, _
NotFtry Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Idt+El~tMd ~ PubUc
JONMW A. cif, M1~Y County
~ ~~~qp~e 3.2011
Cam NeAarbs