Loading...
HomeMy WebLinkAbout01-03-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Ann Marie Brown also known as GOUNTY, PENNSYLVANIA File Number 21 ~' ~ ~' Q~Q~ ,Deceased Social Security Number John P. O'Neill, Jr. 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 (State relevant circumstances, e.g., renunciation, death of executor, etc.) After the execution of the documents offered for probate: Decedent did not ma ;was not divorced; was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A.~3323 (g); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: ~X B. Grant of Letters of Administration app Ica e, en er• c..a.; .n.c..a.; pe an a e; uran e a en ~a; uran a minor a e Petitioner(s), after a proper search, haslhave 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 on Section A above and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided In 23 Pa. C.S.A. § 3323 (g), except as follows: Name Relationshi Residence John P. O'Neill, Jr. Son 206 Herman Avenue C"~ `~" ~ Lemoyne, PA 17043 ~,,~} i _.r_ ~ _. ~ _ -_.. -~' .~ :- -~ ~~ ,- Y ~` ~."' (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. _~~-~'' `-~ ~-- m = ~.~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his !her last principal residenc~lt ~~ ~•~'.' ~~ t--~ __:'-~ 4191 Gettysburg Road, #8, Camp Hill, PA 17011 ~`~ (List street address, town/city, township, county, state, zip code) Decedent, then 71 years of age, died on 12/04/2010 at Holy Spirit Hospital, Camp Hill, PA Decedent a# 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 $ situated as follows: 8,000.00 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 John P. O'Neill, Jr. 206 Herman Avenue o Lemoyne, PA 17043 r Form Rev, 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2010 form software only The Lackner Group, Inc. Page 1 of 2 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. c Sworn to or affirmed and subscribed r~ before me this ~ day of r ~~G Il /~ For th~ Register Signature of Personal Representative of Personal Representative ~._.. © -- ~- ICJ ~.~,. -~ `~ ~- -~- C`? .w~:. ~~~~~ I - `~~ ~ File Number: 21 -- , l - ~ (~~ Estate of Ann Marie Brown • C:~ `-~ ~ .~' .~rr ~~ G Deceased ..,._, r,; ~, 4`-~..a _~' ~ IJ r ~~ Y " r-n ~.n p --~~ Social--Security Number: 123-30-7756 Date of Death: 12/04/2010 AND NOW, ~L d ~ Ll l r ~/ ~- ~~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to John P. O'Neill, Jr. 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 Letters ............................... ..... .... $ ~. Q~ Short Certificate(s)............. ... $ Ov Renunciations $ Al ~~~ J $ a~ 5~ Attorney Name: Supreme Court I.D. No TOTAL $ $ Address Telephone: Samuel L Andes 17225 525 North 12th Street Lemoyne, PA 17043 717/761-5361 Form RW-U2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2