HomeMy WebLinkAbout01-10-11f__ T ~
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of ~ti Deceased ESTATE NO: 21- l~ Db ~f ~
a!k/a:
a/k/a:
a!kla: SS NO: ~~ ~ ~,~ ~~ I
Peti ' ner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or kB~ AND "C" as
ap cable:
A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a, or d.b.n.c.t.a. (cogn~lete Part C also)
and aver that Petitioner(s) is/are entitled to the aforementione Letters ' + under
the last Will of the above-named Decedent, dated and codicil(s) dated ! ~~
(State 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 pendiag divorce proteediag at the time of death wherein =rounds for divorce hsd been
23 Pa. C.S.A. ~ 33230:
^ B. Grant of Letters of Administration
enter d.b.n., pendent life, dunnte
wrcution of the
and was aot a
bhai as de8slsed is
C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived b e
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 d complete list of
hens); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a pa >II pending divorce
proeeediu` wherein grounds for divorce had been established ass provided in 23 Pa. C.S.A. ~ 33 , e dept as follows:-
A.i.iwue
to DeGlBlent
~-
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USE ADDITIUIVAL SIiEE1J IP' 1VEC:E~JAI(Y
THIS SECTION MUST BE COMPLETED:
Decedent was do cl}ed a death in Cumberland C un , Pennsylvan'a, with
At . ~ ~ ~ ~l~l~~S/rw .LC~~ ~I~~~aM/CS Gl.l/'C
(Street address with Post Office and Zfp Code, Municipality: Township, Borough, I
Decedent, then years of age, died ~/, /`~ ~t~ /cJ at /~/e'e/LGIi12/~ f D u
(Month, Day, Year of death) (City and State where death
Estimated value of decedent's property at death:
If doariciled 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 $
Total Estimated Value $ ,
Location of Reai Estate in Pennsylvania: {Provide full address if possible.)
Signature(s)
Name(s) & Mailing Address(es)
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Form RW-02 revised 12.26.10 by Cumberland County pending action by ttu Court Page 1 of
OATH OF PERSONAL REPRESENTATIVE
Commonwealth of Pennsylvania SS
County of Cumberland
The Petitioner(s) herein named swear or affirm that the statements in the foregoing
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal
Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to or a~trmed dnd subscribed
before rn~ this ' ~ day of
.~,~~
~`
For the
DECREE OF PROBATE AND GRANT OF LETTE
Estate of ~ ~ ~j /L.~.~ l~ ,Deceased File Number: 21- Z° r
AND NOW, this _~ day of ~G~,-c,ua~ur , in consider
the reverse side hereon, satisfactory pro having b en presented before me, IT IS DI
Testamentary _ of Administration are hereby
rl n 0, (If sppligble, inter c.t.a., d.b.a, db.ne.t.a., etc.)
the above estate and that instruments(s) dated (a~7 f q ! described ~n
admitted to probate and filed of record as the last Will and Codicil(s) of Decedeni~ ~,
~ilenda Farner St
Register of Wills
FEES:
Letters ....................$ 7o.a.
Will ........................ ~ 5 ..moo
Codicil(s) .................
(t) Short Certificates as
(i) Renunciations....... 5. ~o
Bond ............................ -
Other ............................ -
..............................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................$ 7 . Sa
Signature of Counsel Required to
Atty's Signature
PRINTED Name: j
Supreme Court ID No.:
Address:
Phone: I',
Fax:
Interim Form RW-02 revised 122610 by Cumberland County pending acUat by the Court
are true and
native(s) of the
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the Petition on
that Letters
.to:
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peti'~on be
Appearance
T~ 2 of 2
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21-1I -Uo~S
RENUNCIATION
/I REGISTER OF WILLS
(~ U~rIB~°Lx~~va COUNTY, PENNSYLVANIA
Estate of
~..s
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cnx
"'
o _.
r-~-, ~-, t
~ ~.- ~.-~
c~~~ ~ - ;_..~
VI
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II („~ ~~
i I .Deceased
I, ~~i9~~.rro~/'D /~ /Y/X~N~~~ /.P , in myl,~
(Print fi~e) ~
Fx E"e ~I.~r-o~ /Sd ~/ of the above Decedent, heref
I
administer the Estate of the Decedent and respectfully request that Letters be issued toj
,~J ~
~c~ ~~~~ moo. ~D/D
(Date)
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Executed out of Register's
Before the undersigned peg
party executing this renunc
that he or she executed the
pu ses slat d vyithin on t
of Gt/
Notary P t" /
My Com ssio Expires:
(signature and Seal of
administer oaths. Sho~ _ expfrn~
monsmp as
the right to
illy appeared the
-n and certified
~nciation for the
,~~ day
~/ 7.x/3'
IL ualified to
~diBry's Commission.)
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105.R0~ RFV +pi127~ i
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat ar photograph..
Fee for this certificate, $6.00 This is to certify hat the information here given is
correctly copieGi fr rn an original Certificate of Death.
duly filed with m as Local Registrar. The original,
certificate will', b forwarded to the State Vitae
_ Records Of~ce'i fo rmanent filing.
P 17025029
Certification Number
~+.~ AEV eeanl
Trrer
RALR N(
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Local Registrar) V ,,.~, Date Issued -=•»
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~~t il1 ttn~ ~r~t~ni~nt ~
of
AMELIA C . MANGO ~~„
C:J
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I , AMELIA C . MANGO , of the Borough of Latrobe, Caunjty ~f
Westmcrrelar~d and C~.alth of Pennsylvania, being of solmd and
~~
memnry, do hereby make, publish and declare this to be my Las 11
and Testament, hereby revoking arty Will or Writing of a t~esta~ary
nature preciously made by me. ~~
~!,
FIRST: I direct that all my just debts and funeral es be
paid from the assets of my estate as soon as practicable after
decease.
SID: I leave devise and th all the rest and
bequea re
residue of my estate of either zeal, personal. or mixed prop of
every nature and wherever situate to my husbarbd, RAYMOND D . ~.A~NGO ,
provided he survives me by at least thirty (30) days. III
i
THIltD s In the event that my husband, RAYMOND D . MANG~ , ~, fails
to survive me by at least thirty (30) days, I leave, devise ~~;d
bequeath all of my estate to my children, RAYMOND D . MANGO , ' J~t . ,
and CAROL ANN in equal shares, share and share ali~C.e~~;
H: I appoint my husbau~d, RAYMOND D. MANGO, as
should my husband, RAYMOND D . MANGO ,, predecease me, I
~~
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RAYMOND D . MANGO , JR . , at~od CAROL ANN C~~NEEt, as
my Last Will mid Testament.
FIFI'fi: I direct that my personal representative should
to give band far the faithful performance of his or her duties '
any other juri.sdictian.
IN WITNESS WHEREOF , I Have hereunto set my hand a~d
I
7TH day of ~ V ,,,~ E , 1~9]
of this
t be required
'this or
seal this
(SEAL)
AMELIA C . MANGO
I
The preceding instrtment was on the date thereof signed,;
and declared by AMELIA C. MANGO, as and for her, Lest Will
of us, who` at Fief .request, -;~,~ her
po` arbd in ttbe presence o~
have subscribed our haxuls as witnesses there
WitBQSS:
_...
Address:
~~-~ ~.$ E ~ A .
presence
other
ACKNOWLEDGMENT
COM11[ONWEALTH OF PENNSYLVANIA
as.
COUNTY OF WESTMORELAND
I, AMELIA C . MANGO , testat rix ,whose
attached or foregoing instrument, having been duly qualified according to
k~wwtedge that I signed and executed the instrument as my LaBt Will; that I
and that I signed it as my free and voluntary act for the purposes therein e
Sworn or a,~irmed to and acknowledged before me. by AMELIA C . MA
flee teatat rix ,this 7th day of JLme
/~ ,~ .~ .
rr sou
{SEAL) ~ '°
t:
Notary Public
AFFIDAVIT
'CObs~[ONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF WESTMORELAND
Title of
yPe, RICHARD L. JIM aced CAROLYN K.'
the wit~neases whose names are signed to the attached or foregoing inetreainent, b '
according to taw, do depose and say that we were present and saw flee testat ri
execate the instrument as a free and voluntary act for the purposes t
that each of us in the heon~ing and sight of the testat rix d the
and thrit to the best of our knowledge the testat rix was at t
yemra of age, of sound mind and under no constmint or undue influence.
Sworn or a,~rmed to and subscribed to before »te by RICHARD L. JIM ',
and CAROLYN K. GUSKIEG]ICZ ',
this .7th ~y of Jtme , 18 51.1,
~yr~hia,loanne~~ ~i~ut~6c
L9hobe i3oro, W
MY Commission ~xpsres Feb. 28,1 g~4
(SEAL)
signed to the
~ hereby ac-
tt witZregty;
91 .
- - --- ,
duly q~eiatified
Sign and
uin expres8ed;
as witnesses;
de 18 or more
witnesses,
- v ~ ~ -
------------•- -•-- Title of O,~ecer -r-----• .................
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