HomeMy WebLinkAbout11-15-10PETITION FOR PROBATE ANA GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,~PENNSYLVANIA
File Number v I ~' O ~-11-=-=
Estate of Pearl J. Clouser,
also known as ,Deceased Social Security Number 210-18-9591
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
named in the
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A. Probate and Grant of Letters Testamentary an and c dicil(s) d teas) Is are t e C ea _~
last Will of the Decedent dated ~}-; ._,-J
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) ~~ - ~ ~ ~ : •,~
tfZih'rtent s offere __;
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of t s ~ (~ ~ i- , ~'
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: M1 ~ .>- _-T r
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® B. Grant of Letters of Administration (If applicable, enter: c.t.a.: d.b.n.c.t.a.; pendente lire; durance absentia; durance minoritate) W
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (/f
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
---'--°~
iCCJlucuw
Kelanonsm
u PAP 284 Countryside Circle New Hope, PA 18938
A.
(COMPLETE W ALL CASES:) Attach additional sheets if necessary. Penns ivania with his /her last principal residence at ~.-
Decedent was domiciled at death in Cumberland County, Y
1000 Claremont Road Carlisle PA 17013
(List street address, town/city, township, county, stare, zip code) Claremont Nursing & Rehabilitation Center
Decedent, then 89 -years of age, died on March 19, 2010 at
ert with estimated values as follows: $ -~ _
Iecedent at death owned prop Y All personal property _ C~
(If domiciled in PA) $
(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: decedent's asset is limited to life insurance policy
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:
~.._sa ,.~ ..~;nrrrl name and residence
Judy A. Murphy, 284 Countryside Circle, New Hope, PA 18938
Form RW-02 rev. 10.13.06
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF P/ /ENNNYLVANIA SS
COUNTY OF ~V ~ I C~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tru s wdll well and tru vest of
the knowledge and belief of Petitioner(s) and that, as personal-rr presentative(s) of the Decedent, Petrttoner( )
administer the estate according to law.
Sworn to or affirmed and subscribed
~1 ~_
before me the __1____-- day of
~6~ ~' ~
For the Reg' er
Representative ;~~~„ ~t' (, ~ X P
Signature of Personal Representative
Signature of Personal Representative
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File Number:
Estate of Pearl~J, Clouser
Deceased
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Date of Death: March 19 2010
Social Security Number: 210-18-9591
f~ ~~ ~ ~~u r~ ~_, in consideration of the foregoing Petition, satisfactory proof
AND NOW, ~~
having been presented before me, IT IS DECREED that Letters of Administation
are hereby granted to Judy A. Murph in the above estate
and that the instrument(s) dated n/a
described in the Petition be admitted to probate and filed of r~c~'d as th last Will (~^ od1icA(~)) of
FEES
$ 20.00
Letters .......... .....
00
8
Short Certificate(s) .
$
...... .
.
Renunciation(s) • • • • • • • • • ' $
Automation Fee
... $ 5.00
$ 23.50
JCS Fee • •
... $
... $
... $
... $
... $
... $
... $
$
56.50
TOTAL ..... .........
C'~ w1,,~~ssiaiu ~ 5G, ao
Attorney Signature:
David L. Styer
Attorney Name:
Supreme Court I.D. No.: 23356
Address: 10 Pepperell Drive
Langhorne, PA 19053
215-757-8345
Telephone:
Page 2 of 2
Form RW-02 rev. 10.13.06
US.A05 RED' fOl/071 ~ ~ a. ~ ~ ~ ~ ~ ~~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
ee for this certificate, $6.00
P 16355166
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
l`~-~ ~~~K~~~Mad 2 3_~Q~4_.
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
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COURT OF COMMROPN~P NS C ~T DNIS OND COUNTY, PA
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PRAECIPE TO ENTER APPEARANCE
In Re: Estate of Pearl J. Clouser, Dec.
Please enter my appearance on behalf of Petitioner, Judy A. Murphy, as Admi 'stratrix of
the Estate of Pearl J. Clouser, Deceased. ~,~~ ~~
David L. S e , E
Attorney ID # 23356
10 Pepperell Drive
Langhorne, PA 19053
215-757-8345
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