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HomeMy WebLinkAbout01-05-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PE REGISTER OF WII,LS ' NNSYLVANIA PETITION FOR PROBATE AND GRANT OF LETTERS Estate of lr~ 1 1 ~~~-1~~~ a/k/a: V ~ R N 1 ,Deceased ESTATE NO: 21- ' 9 - ~~ (o ~' ~ T (rV a1k/a:~~ i111 ~ ~ EL 12~R ~ r} ~ r -rT ~ . ~ o!- ~ a/k/a: SS NO: ~~ ~' ' loC' 161 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' applicable: AND °~C" as D.~,A. Probate and Grant of Letters Testamentary or~°Administration c .a. or d.b.n.c.t. and aver that Petitioner(s) is/are entitled to the aforementioned Letters the last Will of the above-named Decedent, dated o ~ ~,d",~ ~,`' a. (~~ a - ~ ' O o a 3~,~V` and codicil(s) dated (Mate relevant circumstances, e.g, renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated party to a pending divorce proceeding at the time of death wherein grounds for divorce had been 23 Pa. C.S.A. § 3323(8): -~ ~~ ^ B. Grant of Letters of Administration .., Part also) -: and .- ~~ . ~ ~- . - ==z~ cn .. = } ---, -t -: -, -~ lion oI the =-=- c=~ d wad eot a `;3 '~' I as d~ned in (If applicable, enter d.b.n., pendent life, durante absentia, durante minoritate) C. Petitioner(s), after a proper search, has/liave ascertained that Decedent left no Will and was survived b the following spouse (if any) and heirs (If Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A and co heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a pa Y to a Proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. mplete list of i'h' pending divorce Name § 3323(8), except as follows:_ L /~ Address v A~1 r IOS ~q - f Re-ationshi to Decedent as ~t ~i.e+.t,,..^ll. tl~ nA>>. . . -~~ """`...,,..~L ~tti';~q'S IF NECESSARY THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in C be land County, Pennsylvania, with his/her last famil or rin ' At 3 ~ ,~ C ~ ~ ~ Y p cipal residence (Street address with Post Office and Zip Code, Municipali Decedent, then ~ ry: Township, Borough, City) years of age, died ~p~. I ~ ~ a o~°i Estimated value of decedent's ro (Mo th, Day, Yeaz of death) P perry at death: City and Statrwnere death occurred) _If domiciled in PA _If not domiciled in PA All personal property $ ~ 30 _If not domiciled in PA Personal property in Pennsylvania ~~O ' ©O _Value of Real Estate in Pennsylvania Personal property in County $ Total Estimated Value $ Location of Real Estate in Pennsylvania: (Provide full address if 1 3 0 ~ ~ possible.) Signature(s) Name(s) & Mailing Address(es) ,,yy~~ •vlbC IS nlppV~.LD~~ ~~ p L r ~~~ /'!i~ LVr ~. bRN ~ I Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 0 OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania County of Cumberland SS `Y, ~ ~-, n ,'.~ _.:~ 7 t'J DECREE OF PROBATE AND GRANT OF LETTERS ~` *v£, __;~ T} - = - r=-ti ~~ ~ ,!; ~~ o Estate of j (~' nj ~ -~, {2~ ~ ~ ~ ~ - ~~-r ,Deceased File Number: 21- -~~ AND NOW, this ~ day of (~ ao~ the reverse side hereon, satisfactory proof having been pr ented before me, IT IS DECREED that Letteron -Testamentary L/of Administration (~ ~n (~~ (If appbcable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) are hereby granted to: «~~ a~~~rr esta>:e ana that instruments(s) dated - _ in admitted to probate and filed of record as the last Will and Codicil© of Decedent ribed in the petition be FEES: Letters .................. ..$ Will ............. Codicil(s) .............. . (3) Short Certificate s ( )Renunciations... .... Bond .......................... ... Other .......................... .............................. ... .. .............................. Automation FEE......... . ... ~~-pII JCS FEE .................. . _~-- TOTAL ................ $ o f~Zl ~ ~~ Glenda Farner Strasba ,/" Register of Wills ~ ~~ Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 The Petitioner(s) herein named swear or affirm 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.