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HomeMy WebLinkAbout02-18-11IN TAE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WII.LS PETITION FOR PROBATE AND GRANT OF LETTERS ~, Estate of Dorothy E. Rodgers , Dteeased ESTATE NO. 21- ' a/k/a: Dorothy E. Chadwell a/k/a: DorothVE. Seipp 1~"e a/k/a: SS NO: zzo: Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `.A' or `B' D "C" as applicable: ^A. Probate and Grant of Letters Testamentary or ^Administration e.t.a., or d.b.n.c.t.a. (comp to Part C also) and aver that Petitioner(s) is/aze entitled to the aforementioned 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 many, was not divorced, and did not have a child born or adopted after a ecution of the instntments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated petso ,and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been establ hed as defined in 23 Pa. C.S.A. § 3323(8): ____ B. Grant of Letters of Administration (u applirable, enter d.b.a., pedlent 6te, dursnte abaenlis, dorsals mi rilale) C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived by th following spouse (if any) and heirs (If Administration c.La. or d.b.n.c.t.a., enter date of Will in Seciion A and omplete list of F heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divgyre proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), ex t as follows -- Name Address Rehr t)ecdM Ronald W. Chadwell 714 Letchworth Rd., Camp Hill, PA 17011 Son ~"} W '"O [7SF, ADDITIONAL SHEETS IF NECESSARY T)BIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or Inc At Mallard Run A ts. #411 820 Lisburn Rd. Cam Hill PA Lower Allen Townshi 17011 (Street address with Post Office and Zip Code. Municipality: Township, llorough. City) Decedent, then ~~ years of age, died 12/02/2010 at Harrisburg, Pennsy var (Month. Day, Year of death) (City and State where death occur ) Estimated value of decedent's property at death: _If domiciled in PA _If not domiciled in PA _If not domiciled in PA _Value of Real Estate in Pennsylvania All personal property :i Personal property in Pennsylvania $ Personal property in County $ S Total Estimated Value", Location of Real Estate in Pennsylvania: (Provide full address if possible.} Signature(s) Name(s) & Mailitog Address(es) Cdt tt+ residence 17 I wv lr~ ~ c.~ C ln[enm horns KW-UZ revisetl 1Z.26.1U by Cumberland County pending action by the Court 1 ,! t'age 1 of Z __ _ __ ,__ ~C3 rn -~q r-n ~.J Q (,"+~^-~ r~ Fi'I ~/3 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 Petition true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal. represe tative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed (`1 0 me tin of ~` nn t'Xf ~'~ f j ~ 3 r ~ Cb ~ ~ V, z ~ ~_~ } ~ 3 -~ - . :a tfie Register -; ~ cn ~-- DECREE OF PROBATE AND GRANT OF LETTERS `'b ~~/R a~~rE ..~,P Estate of ~~~~rs ~C~ ra~ F~// ,Deceased File I~Vumber: Zl- Zol / - AND NOW, this ~ day of ~ ~ 2C5/~ , in consideration o the Petition on the reverse side hereon, satisfactory proof having n presented before me, IT IS DECREE that Letters _nTestQQame'ntrary /J~~of A/Jdministration are hereby grante tcr: / I M2aA"~J UV ~-fiAifi/J/Y~ ~ apPUC°~, sneer at.a., db.n., dbo.c.t.a, eoe.) the above estate and that instruments(s) dated described in admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda Farner St Register of Wills m petition be ~~ FEES: Signature of Counsel Required to Ente Appearance Lcttcrs ....................$ 5~ Will ........................ - Atty's Signature - `~~ (~ Codicil(s) ................. (L{) Short Certificates Ilo PRINTED Name: Ronald w. h dwell E uire ( )Renunciations....... Supreme Court ID No.: 45397 Bond ............................ Other ............................. Address: ............................... II ................................. Camo HiIL PA 1701II Automation FEE......... 5.00 JCS FEE ................... 23.50 Phone: 717.856.0155 I _ SU Fax: TOTAL ................ $ .~ Interim Form RW--02 revised 12.26.10 by Cumberland County pending action by the Court I Page 2 of 2 _ _ _ __ 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 17025835 Certification Number IIIaS.ti3 NF11 IV-Or nre . arNr w T 1~ This is to certify that the information here given is correclay copied'~from an original Certificate of Death duly filed with jme as Local Registrar. The original" certificate will ' be forwarded to the State Vital Records Office for permanent filing. 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