HomeMy WebLinkAbout12-10-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
Estate of Darrell R. Gordon File Number ~/ ' /U - /~~~
also known as
Deceased Social Security Number 186-58-5813
Petitioner(s), who is/aze 18 years of age or older, apply(ies) for:
(COMPLETE 'A' o~ '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
~'
(State relevant circumstances, e.g., renunciation, death ojexecutor, etc.) ~ ~ C7 ~
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execufio~f~~e"i~instrurr~(s) of '~'S
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: "' ~:--
uD ~
® B. Grant of Letters of Administration
(tjapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durance absentia; durance mirtoritate)
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: (lf
Administration, c. t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
131 Shi~~ensbure Mob. Est., Shi~oensbur~PA 17257
(Lrs! street address, lown/crty, township, county, state, ztp code)
Decedent, then 48 yeazs of age, died on November 24, 2010 at Chambersburg Hospital
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
0.00
0.00
0.00
0.00
situated as follows: estate is being opened for purposes of litigation
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:
~ _ a ~ - ^ _ I Edie Gordon, 131 Shippensburg Mob. Est., Shippensburg, PA 17257
Form RW-02 rev. 10.13.06 Page 1 of 2
(COMPLETEINALL CASES:) Attach additional sheets ifnecessary.
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition aze 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
SS
administer the estate according to law.
Sworn to or affirmed an bscribed
before me the --~~ day of
r
Register
Signature of Personal Representative
Signature of Persona! Representative
Signature of Personal Representative
File Number: ~~~/~/~
Estate of Darrell R. Gordon ,Deceased
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Social Security Number: 186-58-5813 Date of Death:November 24, 2010
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT I5 DECREED that Letters of Administration
are hereby granted to Edie Gordon
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
Register of Wills
Letters ............... $
Short Certificate(s) ........ $ Attorney Signature: ~. i~ . !s`~
Renunciation(s) .......... $ C this M. von Schlichten, Es uire
$ Attomey Name: Yn 4
• • $ Supreme Court I.D. No.: 306527
• , $ Address: RJ Marzella & Associates
.. $ 3513 North Front Street
.. $
$ Harrisburg, PA 17110
•~ $ Telephone: 717-234-7828
.. $
TOTAL ....... 0.00
....... $
Form RW-OZ rev. ]0.13.06 Page 2 of 2
HIOS.ft05 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
I P 16855582
Certification Number
/v -1~~a
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 OfSce for permanent 61ing.
~~t~t•c~>r,'D,et't7rl~" NQV 3 q 2010
Local Registrar Date Issued
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,rraoe:^e~er" CERTIFICATE OF DEATH
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