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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of BRYAN SCOTT KECK a/k/a BRYAN S. KECK File Number L~l -ID'
also known as BRYAN S. KECK
, Deceased Social Security Number 203-52-4$~5
rr
Petitioner(s), who is/are 18 years 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 ~ ~ named in the
last Will of the Decedent dated and codicil(s) dated
no
(State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ ~ o ~ ,
~ - ("v"i ~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution a e8'e s j
~.:
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ' -~• n ,
® B. Grant of Letters of Administration IC~t;.33 s~-, ~~'''
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; dura~ ornate) 'i'
Petitioners) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sp~ if any) at~}terrs .~ -~-, ~
Administration, c.t.a. or d b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ,~
Name Relationshi Resi ~
Richard E. Keck Father 13 Winchester Gardens, Catlisl , PA 17013
Betty L. Keck Mother 13 Winchester Gardens, Ca#lisl , A 17013
(COMPLETE 17V ALL CASES.) Attach adtiitiona! sheets ijneeessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal res~d~nce at
13 Winchester Gardens. Carlisle. PA 17013 INorth Middleton Townshiol
(List street address, town/city, township, county, state, zip code)
Decedent, then 49 years of age, died on October 22, 2010 at Carolyn Croxton Hospice Residetticq, Harrisburg, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~ 25,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $+i
Value of real estate in Pennsylvania $
situated as follows: None
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Lettler$ in the appropriate form to
the undersigned:
i L_
Form RW-02 rev. 10.13.06 Page I Of 2
~.
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF C~ERLAND
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true amd corcect to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) ~vitl well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the l ~ ~ day of
~_
• t.LL~ _ .
For the Register
~'• /~.~
Signature
Signature of Persona! Representative
N
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Signature of Personal Representative
~ _~X' 7
File Number: 2~ ~~" l i Zia ~', "` '-.-~
', ~ ;;_.~
Estate of BRYAN SCOTT KECK a/k/a BRYAN S. KECK , Decea~e~ ~.. ~-:
Social Security Ntunber: 203-52-4845 Date of Death: October 22, 2010
AND NOW, ~ ~(~, ~ ~ ~ . in consideration of the foregoing Petition` satisfactory proof
having been presented before IS DECREED that Letters of Administration
are hereby granted to Richard E. Keck i
in xh~ 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 Codi '1(s)) ofDecederft.'~,
FEES
o ~ R er of
Letters ............... $ ~~l/ C.r
Short Certificate(s) ........ $ . ~° Attorney Signature: ~
Renunciation(s) .......... $
Attorney Name: Robert R. Black Esq.
... $
... $ Supreme Court LD. No.: 6267 {
$ Address: 36 South Hanover St., Carl+sl~, PA 17013
... $
... $
... $
... $
• • • $ Telephone: 717-243-3727
... $
TOTAL .............. $ 0.00
2~ • ~'
Form RW-01 rev. 10.13.06
Page 2 of 2
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
~~Y~~~~
Estate of Scott Keck
Mothe
Deceased
I, Betty L. Keck , in my capiicaty/relationship as
(Print Naane)
r of the above Decedent, hereby r$nounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Richard E. Keck
11/17/2010
(Rate) (Signature)
13 Winchester Gardens
(Street Address)
Carlisle, PA 17013
(City, State, Zip)
Executed in Register's Office Executed out of Register's O,f,)`~cje
Sworn to or affirmed and subscribed Before the undersigned persona~ll~ appeared the
before me this day party executing this renunciatiojn'~and certified
of that he or she executed the renu~n~iation~r the
purpo s ed ithin on this ~ ~i day
~~
of ,
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official gluaMified to
administer oaths. Show date of expiration of N~taky's Commission.)
RO&pT R SU~t~(
Nogryt PuMiC
Form RW-06 rev. 10./3.06 CANi,1~E SRO., Ct~
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H105.805 REV (O1/07)
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 16855054
Certification Number
This is to certify that the information here given is
correctly copied frprtl an original Certificate of Death
duly filed with m~ ~s Local Registrar. The original
certificate will b~ forwarded to the State Vital
Records Office fob permanent filing.
L ~tityt. ~~t-0a~c ~ 2 ~ U1~
Local Registrar ', Date Issued
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