HomeMy WebLinkAbout12-20-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C tc, m i3~~~ND COUNTY, PENNSYLIVANIA
Estate of C d n q, h'1 ~ 1C tfln ptr- File Number 2 ~ - ~ ~ ~~ 7 / 7
also known as
,Deceased Social Security Number ~ Q 5 - IO 7- S ~ S 2
Petitioner(s), who islare 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
A. Probate and Grant of Letters Testamentary and aver that PetitSoner(~ is /re the tI~ ~-td' s ~ I M• a'tramed in the
last Will of the Decedent dated e/. l8 199 ~11rM~ /`d
r ~t ~
'
+ ~ Q t^~ u ~ State van ctr tonees„ renunciation, death ojez tutor, etc.)
ts
haS St~ euahvln pnGSSm~G~,w~~i:'Tkc PµrA~te .~ rtspeni~_fJ~t
I iS fo $ua-l+yy Mt
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of t~ instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
emrrtef 1 f~ ~-i'f1e r estate . I,
tb
~ d m; >a i satra>!v r ~ s ~ art a C+> rt~eh' vv e!e ~d
_
y
® B. Grant of Letters of Administration d . b • h• (=~~ AS 6o re a /a tnc.l
(ljapplicable, enter: ct.n.; d.b.n.ca.a.; pendentelite; durantealxrentia; durq noritate)
Petitioner(g) after a proper search has /have ascertained that Decedent left no Will and was survived by the following ' c
f any) at~reirs:
Administration, c.t.a. or d.b.n.c.t.a., enter dale of Will in Section A above and complete list ojheirs.) ~~"~33
Name Relationshi Re C
(COMPLETE IN ALL CASES:) Anach additional sheets if necessary. ~~
Decedent was domiciled at death in C [f,.nnl~l.N~Mrq County, Pennsylvaniayvith+lAis,/ her last principa)
~ [• ce at 3j ~a /1'b .
h
(List street address, town/crry, township, county, state, ztp code)
,/ `
~ years of age, died on .~~S ZOOS at /t/p/~ .~0%/' ~ t ryD~0i7lJf ~ ~ptp /~/1
Decedent, then
-
/~ p/F
,
r ~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property E ii
~ _~
(If not domiciled in PA) Personal property in Pennsylvania $ ' 41
pf not domiciled in PA) Personal property in Cotmty / $
in Penns Iv is ~73h's ~o P/~t'>! a CO P/'eG~~4e OP.t~, /~// $
Va ue
a
es ~~
' 'tL~E~
I
L V_S p
~g
~
~
T"7`c IWroNS~~
situated as follows: J,6 /yht : AYE 6 r' ~~ep T
Wherei'ore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Leu ~r~ in the appropriate form to
the undersigned:
Si turc ' T ed or rioted name and residence
SN~LE~ C.
3/6 th/t. ~/en ~~ /yI e~fi~~cs6 ~A~
/doss'
',~
Fam XW-03 r~,•.10.13.os
' Page 1 of 2
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF C kirn I°SEIQU~N.D
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true a~d correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) vial well and truly
administer the estate according to law.
Sworn to or affirmed~~an~d subscribed
bef re me the Lam' day of
//ff - ~.~
~~.e~~L(! ~, ~ififG~a
For the Register
Signature of Persona! Rep alive
SNEZCFy L'. k ~,P~¢
Signature ojPenorml Representative
Signature ajPersonnl Representative
__~~ ~
cb
Filc Number. ~ ~~ ~~I " O 7~ 7
Estate of Edn4 /h• ken~.r
Social Security Number: / 9S' O7-S ~,SZ Date of Death:
AND NOW, ~~~ ZOl d , in consideration of the foregoing
having been presented before m , I IS DECREED that Letters ~f /'~~irinisl~+tl~oh d . bn• ~
are hereby granted to SFI~it:EY C• /~En1 Pfx
~' 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.(•a~~9edis~jj of Deceden .
ee "_ FEES r,~~l~y/ ,/I ~ . /A~ L~ `Ti~'/_/iti2~C
~ffi~'i011 fex' ~f`t+`LfY~.Att~~ • egisterojN"dlr ,(
Letters ............... $ 7~.W
[~ ~
Short Certificate(s) ........ $ ~ °` Attorney Signature: e• ~
Renunciation(s) .......... $ 6. r' C~14~, F. i , i~s s
$ Attorney Name:
• • • $ Supreme Court LD. No.: 3gs~`3 II
Address: CG C!D tASt,1'!~~,
... $
... $ rnCG~'14A1.~C~S~u_ ~ ~I~ ~1OSS~
... $ i
... $
' ' ' $ Telephone: 7~ 7- 76 ~ -'O ~
... $
TOTAL .............. $ J3-.°
iti~ny satisfactory proof
~..
Funn RAY-02 rev. 10.13.OG ' PagB 2 Of 2
RENUNCIATION
REGISTER OF WILLS
C tent Bi~Rl~w~ COUNTY, PENNSYLVAI~TIA
Estate of 2t~lUl4 M. KEMpEi2
I, R~>~ccR~ F, KE'AS-~~2 ~, my
(Print Nate)
4rtndc~~~.s/41~r 4~rd /,~eir tai ds,~u~tr' of the above Decedent, hearel
akart~ u~'%~~~t//y ~i-~oie+%~/`d~~eu~-r, Zbn,~/d bt r~+
administer the Estate of the Decedent and respectfully request that Letters be issued to
my sis'~r ShGl~e~ C. 1~Ce++~~er
~~
Executed in Register's Office
Sworn to or affurned and subscribed
before me this ~ day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(3lrgnohme) /?ebeceR , ~ r
~ ? Z 3ra~ ~Y,e_
(SYrest AtldnearJ it
~,lartis 6ar~, ~'~ ' i71I3
(city, swa, zipl
of
Executed out of Register' l~ffice
Before the undersigned pe nally appeared the
party executing this renupnc •on and certified
that he or she executed tlae unciatio for the
purposes,~stated within ors '~ day
Notary P c
My fission Expir ~:
(Signature and Seal of Notary or othgr o
administer oaths. Show date of exvirktio
JACK O KLgl~
MoM~y -rr
t.OYYER PAXTON 't'NIP.,
MtrCommltlNon Exalt
~.
r
~n
Deceased
as
renounce the right to
gt~lified to
rotary's Commission)
iNM CNTN
B, 2014