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HomeMy WebLinkAbout01-21-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of ~ ~ l~ `( r ~~ ~~L _ _ _, Deceased ESTATE NO: 21- ~ l I - C71 U1 a/k/a: a/k/a: a/1{ra: - - ss No: (t~t, ~ ~ y ~ u Fetitioner(s) who islare 18 yrs of age or older, apply(ies} for: COMPLETE SECTION `A' o>k• `$' AND "C" as applicable: 0 A. Probate and Grant of Letters Testamentary or ~ Administration c.t.a., or d.b.n.c.t.a. (c'p>~plete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters under the last Will of the above-named Decedent, dated and codicils} dated (State relevant circumstances, e.g. renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted a~tet~ eacecution of the instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated rson, sad was not a party to a pesdin$ divorce proeeedi'g at the time of death wherein grounds for divorce bad been ~r~bhed as defined in 23 Pa. C.S.A. ~ 3323(:): 1}4.B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent life, durante absentia, durant mi ornate) C. Petitioners}, after a proper search, hasJllave ascertained that Decedent left no Will and was survived ~y 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 ~ gomplete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was eot a pa ~ h pending divoree proceedi>a:g wherein grounds for divorce had been eatablbhed as provided in Z3 Pa. C.S.A. ~ 3323(8 , dxcept as follows:- N Address is 'o' i to Decedent ame dos ~ is ~K1~-Q.~~ os 1_DtJ GS ~ ' ~ ~S ~ USE ADDITIONAL SHEETS iF NECESSARY ~ a NH THI5 SECTION MUST BE COMPLETED: w w N w ~ p Decedent was domiciled at death in urland Cou~n,~Y, Penns Ivan with his/her last family ~r principal resider p ~ ~ v ~ At ..SD,S' W (t~GS' ~~ ~ lL-u C~ f~i-It t t S L ~ ~F~ (~'t7 ~ '~ T' Q `~ ~-, ~ z Q (Street address with Post Office and Zip Code, Municipality: Township, Boronugh, City) p ~ ~ U Decedent, then S~ years of age, died ~` (~` D ~ at Ai ~ bo K'~. ~ '~ ' ~ ~WW ~ o (Month, Day, Year of death) (City and S where death occ(r~ ~ c>; ~ Estimated value of decedent's property at death: ' v _If domiciled in PA All personal property $ g~ ~ QC~tA . ~ If oot domiciled in PA Personal property in Pennsylvania $ ~ ''. If not domiciled in PA Personal property in County $ Value of Real Estate in Pennsylvania $ Total Estimated Ya1ue $ +~ Location of Real Estate in Pennsylvania: (Provide full address if possible.) Si¢aature(s) SDS L D t~' ~{~~ I f.~S ~ 131~- ~~ . _~, Name(s) & Mailing Address(es) Int/4tim Form RW-02 revised 12.26.10 by Cumberland Cotmty penamg acts oY the court ~~ i ~• 1- ~~ -r-r- 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 Peti~ioin are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal repzjes~iatative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. j Sworn to or affirmed and subscribed befo me this ~ day of i~ ror the xegister DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~ ~ ~c r ~ N ~ ~ f,L. ,Deceased File Number: 21- ;2~Q i l+~ ~? AND NOW, this day of ~/ N J ~~ `/ ~ 1 ~ , in considerati ~ n f the Petition on the reverse side hereon, satisfactory proof having bee presented before me, IT IS DEC ~D that Letters _Testamentary _~Cpf/Administration are hereby gr~n ed to: ©S ~ ~ ~ • 1~ n, ~ ~ ~ (If aPPliable, enter c.t~.. d.b.n., d.b.n.ata., etc.) 1V m the above estate and that instrtiments(s) dated described in tl~e petitioti be _, admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ! _ - „ , ,~ . ~~ Glenda Farner Strasbaugh, ~ ~ ~Q _ ~.Q;~ Register of Wills ~ ' ~ _ FEES: Letters ....................$ a LU ,U~ Will ........................ Codicil(s) ................. (a) Short Certificates (a) Renunciations::::::. ~C. 6~ Bond .................. Other ............................. .............................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$~c~C.e . wC~ Signature of Counsel Required to ~n~et Appearance Atty's Signature PRINTED Name: w a Supreme Court ID No.: ~ ~ N ~ ~ Address: ~ w w w~ O~ q ~ , , ~ z z ~,cn ~ V ~~ w !I Pho '~ OWN ~ ~ ~ ne: Fax: ~ Interim Fotm RW-02 nwised 12.26.10 by Cumberland County pending action by the Court Fago s ~ z 10S.80S REV (01/07) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photogrtaplh. Fee for this certificate, $6.00 ,,,//~~""~y~,,, This is to certif}~ ~at the information here given is ~Ea~SN_OF pf~y correctly copied ~"+'i an original Certificate of Death ®~` - -~ `._f~ duly filed with ~e las Local Registrar. The original ~=_ ~ certificate will ~,be'' forwarded to the State Vital u - - a Records Office ~or ~ermanent filing. P 14805839 Certification Number r,• ~ w.~ Local Registrar S M10a1{YPEY 111200! TYPE/P100R N o~ ~r coMMONwEa~TH of a~srwau+u- • oEPAar~renr of -~A~TH • v-ru RECOaos CORONER'S CERTIFICATE OF DEATH (SN 6atruotloNn Md rtcunpN on ntnirN) artc ~. ~~~ Date Issued O a F v ,~ N F ~ ~ 0~~ ~~0 a ~Q ~~~a~ ~ ~, rr va o OWN ~~ O~ ~ V d,: r~l • ~ nMs i alo.M1ardi0Yb9 Uidrt wrr t aOrdMA1 7: rrrrr ~ a0ar~ •~ - _ ___ __ ____ 59 Ya. Y!a Oaf 1br rra 2/1.8/1949 Pittsburgh, PA No481Y ~~ ^~/~ Q~ .ate, ^ ^ O~_~ acaraawri eapM.era,n.P.do.m eeF.oEa~..~m~n+ua~,o-.ww.rn.neat awwo.re.:atrP.+eu4bY nr ,awea~ba.4a~a~wXb..b ALI.19[.'!~1! PITtB>'~t~ UPlIC PHESEZTJ~IAIf HOSPITAL ~Yr~'~rC101A~ I>aYrM Ypon, Hann PtOYn, rel ~11 rrt0ab. aer QY 12. NreDOOY0rl YVrbtla ti Doaodalf EWaoOon 1a. M011 £i,YS Nrbl, NOror tdr aorYap $nrplri6..0MO mrOr rr) ardwrY aaasabr/`wrY u.B,YmolPaarT EMmanrY/ p.1~1 t1~°~ (~ Aooountin Clerk S Tint Tel ~ ^r« ®ra MalTied J T. Andrei nor.e.orrs/~arr~.r,ar/b•.:rr,,amap or~ad>, pp~ aeo.ow. 505 G8p Rd. /aY.1 nra,~r rn ar ur b. na Z;I r.., oae.lr ""~T b ro. 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N.Ilrr rr+llhwdPoriWin fleilpYY/hrdpr /PM a ~ ~' ~ or rrd Mra dr, rYrl OPFICS OP 1'HE M60ICAL 42 OOIIATY OP ALLSGRffiIS • FOilR2H AVAIQS 5 PI OSGH PA 1529 dpn.mi PrmY No. l i o?5 (043 RENUNCIATION /~ REGISTER OF WILLS I', III I:~UUA~,~ I ~d COVNTX, PENNSYLVAMA '' ~--~~- ~~ Estate of _ Nah A~d~l d a O E- F" ~'~Nw]O w~~~~v wpp c~~N~a~ ~~ o~ Doceased I, v ©~y'~ r `'~~ , in my caP~i~y-Irelationship as (Prior Nave) i ~n~P.~ of the above Decedent, hereby r~na~u#-ce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to I''~ ', 1 1'~ ~ ~ (Dare) Execarhd Li Regiutr's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Fiwia RW-06 rev. /0. /3.OK ) ~ U ~ ~~, b~ ~- ~t1t,l~ ~rA~) ~41~ 6L ~ ©~L#~µ~k (Nl~~„~ la-~~ rciy sore. urn Tl- Fared oxt of Jteglsser's ~~ Before the undersigned perso I ,appeared the party executing this renunciati n d certified that he or she executed the ren isation for the purpos s stated within on this ~'" day of ~.5~i~.r~1 ~ ~L Notary Public ' ', My Commission Expires: ~ l 'a'S d-o, ~ cs;~.aa~e,na s~i of Notuy ae other olMicia ~~~a ~o edmin+paouhs. span. dce aRs:pinrion of s Commisxion.) COMMONWEALTH OF PENNS iy NIA NOTARIAL S HIEN TU - NOTARY P B 1 City of Philadelphia, Phiiadelphi rlty MY COMMISSION EXPIRES APR. 5, 012 RENUNCIATION REGISTER OF WILLS ~.JrYrh2,r~l~.nGL COUNTY, PENNSYLVANIA Estate of O ~ F., F v Nw]~ w~~O~c~ o a~~o Q~ti z~ ~~~~~ ~~~ ~~ ~ ~ Deceased I, c~7Qa''Q~. ~. ~1 C,h~ ~ (,~LS~ , in my ~Ca~acity/relationship as ~r not hantej i ._,_ 11a ~f~P~ of the above Decedent, hereby kenounce the right to adm,~}istcr the Estate of the Decedent and respectfully request that Letters be issued to', /-~-ll (Date) 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 (Signature (Street Address) ~M :51,~~~} X I3 (City, State, Zip) i Executed out of Register's' 0.,~fice Before the undersigned per orally appeared the party executing this renunc at~o~ and certified that he or she executed the a unciation for the purposes stated within on is~~ day of ruevua '~ !,, 02°!! NotKry Public My .Commission Expires: (Signature and'Seal of Notary or other o tci I qualified to administer oaths. Show date of expiratio ~ o Nptary's Commission.) TM o~ P~ ~ww ,b,~nr ~. s~Mhr. ~I~,r.i.twp.. ~ I _ ~___~