HomeMy WebLinkAbout01-18-11_.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate Of YyONNE KAY WALLACE ,Deceased ESTATE NO: 21-11-C~0~ 0
a(k/a:
a/k/a:
a/k/a: SS NO: 55~-50-3683
Petitioner(s) who is/are 18 yes of age or older, apply(ies) for: COMPLETE SECTION `A' or `l
applicable:
^ A. Probate and Grant of Letters Testamentary or O Administration c.t.a., or d.b.n.c.t.a. (co~
and aver that Petitioner(s) is/are entitled to the aforementioned Letters
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 pending divorce proceeding at the time of death wherein grounds for divorce had been
23 Pa. C.S.A. § 3323(g):
D B. Grant of Letters of Administration
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execution ofrthe
ion, and was not a
bushed as defined in
enter d.b.n., pendent life, durance absentia, durante tr}inoritate)
C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived by the
following spouse (if any) and heirs ([f Administration c.t.a. or d.b.n.c.t.a., enter date oi' Will in Section A a d 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 fur divorce had been established as provided in 23 Pa. C.S.A. § 3323(g), except as follows:-
Rnlhtranshrn to Decedent
WILLIAM E.•WALLACE 17 S. 2ND STREET, 6TH FLOOR H SBAND
HARRISBURG, PA 17101
USE ADDiTI0A+A1. SHEETS IF NECESSARI'
I
THIS SECTION MUST BE COMPLETED: ~'
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family o pt'incipa] residence
At 143 SALEM CHURCH ROAD, HAMPDEN TOWNSHIP, MECHANICSBURG, CUMBERLAND COUNTY, PA
(Street address with Post Office and Zip Code, Municipa8ty: Township, Borough, City)
died 1l2l2011 at HEALTH SOUTH RENp
then 73 years of age
Decedent A CENTER
,
,
(Month, Day, Year of death) (City and State where death occu
Estimated value of decedent's property at death: ed)
If domiciled in PA All personal property $
[f not domiciled in PA Personal property in Pennsylvania $
If not domiciled in PA Personal property in County $
Value of Real Estate in Pennsylvania $ so.oo
_
-
Total Estimated Value $ ~ so.oo
Location of Real Estate in Pennsylvania: (Provide full address if possible,) ~ - -
Signature(s) Aflame{s) & Mailing Address(es)
` WILLIAM E. WALLACE
143 SALEM CHURCH ROAD, MECHA ICSBURG, PA 17050
Interim Form K W-UZ rev+sed I Z.lb. I U by CumDer+anu County pena+ng acno+t oy the Court
, age ~ .,,
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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.
Swam to or affirmed and subscribed
before-tne This ~ day of
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For the Register
DECREE OF PROBATE AND GRANT OF
are true and
~tative(s) of the
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Estate of YyONNE KAY WALLACE ,Deceased Fiie Number: 21- ,G~ O 1 / I - 6o Q
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AND NOW, this ~ day of „~~.~~~+rua/rr-L~, Zo l ( , in consideratio of the Petition on
the reverse side hereon, satisfactory proof7having b n presented before me, IT IS DEC. EED that Letters
Testamentary x of Administration are hereby gra ted to:
(tf applicable, enter c.ts., d.b.n., d.b.n.c.t.a., etc.) i
WILLIAM E. WALLACE In
the above estate and that instruments(s) dated described i the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
Glenda Farner Strasbaugh,
Register of Wills
FEES• Signature of Coon Re wired t E ~
Letters ....................$ Zv.«~
Wilt.. Atty's Signatu
Codicil(s) ...............
(7) Short Certificates ZB~. °D PR[NTED N me: HN R. ZON
(-) Renunciations....... S. o~ Supreme Cou I o.: 19632
Bond ............................
Other ............................. Address: 17 S. 2NR STREE , 6TH
l
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, I~~17101
HARRISBURG, PA
Automation FEE......... 5.00
JCS FEE ................... 23.50 Phone: 717-233-1000
~
Fax: 717-233-s7a~
TOTAL ................$ g~.s~
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Interim Form RW-02 revised 1216.10 by Cumberland County pending action by the Court ~ Page 2 oft
2! - Il -ac~7v
RENUNCIATION
REGISTER OF WILLS
Cuwnbe..r(_a~no~_ COUNTY, PENNSYLVANIA
Estate of
I, ~~~~~~~ 1~.-nn _~y~r~ ~~h , th mY
(Print Name)
,c",~ ~,~, a~-~P t~ of the above Decedent, here
administer the Estate of the Decedent and respectfully request that Letters be issued to
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Executed in Register's Of,~ice
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
rsi~
(Street Address)
(City, State, ZipJ
Executed out of Register's
Before the undersigned pal
party executing this tenant
that he or she executed the
purposes stated within on t
Of a~Q n tAQ r./
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Deceased
as
renounce the right to
rally appeared the
ian and certified
ntnciation for the
/ th day
o2O / 1
Notarj Public
My Commission Expires:. /~o?S~o/ /
(Sigiature and Seal of Notary or other offal qualified. to
administer oaths Show date of expiation f N~py's GommissionJ
STEPHANIE NEBL, Not ry ,Public
Form RW-o6 rev. 10.13.06 Camp Hill Boro, Cumberl nd ~ COYmty
My Commission Expires Jan 25, ZOl l
v+nS,QnG ?rp m+~n^~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17009590
Certification Number
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 forwazded to the State Vital
Records Office for permanent filing.
Local ]Etegistraz ' Date Issued
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CER17FtCATE OF DEATH
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January 2, 2011
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