HomeMy WebLinkAbout11-02-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~/_~ elt~1~~ COUNTY, PENNSYLVANIA
Estate of rJ t.(.. i
also known as
Deceased
File Number ~ ~'°La ~ ~ _
Social Security Number ~~~r"7~ `' 6~J
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
last Will of the 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 after execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Administration
(Ifapp[icable, enter.• c.t.a.; d. b. n. c. t. a.; pendente life; durance absentia; da~rante minoritate)
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: (If
Adtrtittistratio~t, c. t. a. ord. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
1 Name Relationship Residence 1
(COMPLETE IN ALL CASES:) Attach add~tiot:al sheets if necerssary.
Decedent was domiciled at death in ('~na C1 P~1 ~,h ~~ rl _ Cc
named in the
Pennsylvania with his /her last principal residence at~~„t ~ ~, ~
(List sd•eet address, tow~~/city, township, county, state, zip code) l
Decedent, then ~_ years of age, died on ~ u at
Decedent at death owned property with estimated values as follows: C
~ ~ a, _t
- ' - "
-
`
(If domiciled in PA) All personal property ~~+-~
$ `~ Q ; .
~ti
'-__~t " _•;
~
(If not domiciled in PA) Personal property in Pennsylvania
$ !_" m c -°
w:
_ ;
(If not domiciled in PA) Personal property in County $ ^''' ~ ~: N = ~" ~ . ~-1
Value of real estate in Pennsylvania $.--,~~
~ -ti f..._ '-. ~~
-
-
-- ~ E
•-. .
I ....;
situated as follows: :.~ ~ CJ }~ -- -,r~
'~' .,...
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 approl is a fo ~ '"~ C,~3
rm to ""~' i
the undersigned:
Form R6V-U? re,•. 10.13.06 Page 1 of 2
Oath of Personal Representative
,`~~
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF ~.r P_a2_ ~~~~
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.
Sworn to or affirmed and subscribed
r -~
before me the t~s- day of
~~ ~ 1 ~~
~n n
V
For the Register
1.
Signature of Perso~:al Representative
File Number:
~~
.r- r '+ ~ ~
~ „~ ~}
. ,
W
W
,:
....... ~~.... J4
• ~ ~y
~~ Y
~..... ~._ ..I
Estate of ,Deceased
Social Security Number: Date of Death:
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to
{ 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
Register of Wills
Letters ............... $
Short Certificate(s) ........ $ Attorney Signature:
Renunciation(s) .......... $
$ Attoi-~iey Name:
• • • $ Supreme Court I.D. No.:
... $
$ Address:
... $
... $
... $
• • • $ Telephone:
... $ ~
TOTAL .............. $
Furor Rw-U? rev. ru.~3.oh Page 2 of 2