HomeMy WebLinkAbout02-14-11 ~iossns eav rmro~~
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 17296241
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 forwarded to the State Vital
Records Office for permanent filing.
Local Registrar Date Issued
to ~, tumss C~MMONWEALTM OF PENNSYLVANIA • DEPARTMENT OF XEALTN • VRAL RECORDS
°Eeaiw~n" CERTIFICATE OF DEATH
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Hazel M. Paull
Thomas H. Pau11,Jr. and
Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Hazel M. Paull and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Hazel M. Paull
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Hazel M. Paul l
is in his/her own proper handwriting.
(37gnature
Imo" "-~-~~ '
eet A ess
ic.try. 1P)
Executed in Register's Office
Sworn to or affirmed andst~scribed
before me (/,~-f~ ~
Y
of /~/hrw,, ,~/)y
( ignature)
eet A ress ~,~
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Form RW-04 rev. 10.1 J.06
RFCO~r~~~ r~=-cE ~
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
X611 F'~B 14 Phi 4~ ! 3
CUMBERtAND GO.. PA
Estate of Hazel M. Pau1L
,Deceased
I, Thnma c H _ Pa tt 1 1 ~ Tr , in my capacity/relationship aS
Co-Executor~~NO/"e'~
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Janet E. Paull
t~l~~/ i~
~~~
~~
(Strtet Addrsss)
_ ~ ~~ ~~- ~ ~ A 17 307
(Ctrl'. )
Executed in Register's Office
Sworn to or affirn~~gd subscribed
of
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~y
of
Notary Public
My Commission Expires:
(Sityrahvc and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
~~~
Oath of Personal Representative REGi5+c~ ~~ '~~•~~
COMMONWEALTH OF PENNSYLVANIA ~fl~ ~ ~~~ ~ Q PM 3t Q~
SS
COUNTY OF CUMBERLAND ; CLERK OF
The Petitioner(s) above-named swear(s) or affum(s) that the statements in the foregoing Petition are true(~a~i t((~(U}}Aof
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitione>Ht-W$'(1'and C ly
administer the estate according to law.
Sworn to or affirmed an1d1~~subscribed
before me the ' Ow' day of
cJan,,,t~ ~ ~l?
ojPersonal Representative
Signature ojPersona! Representative
Signature ojPersona(Representative
File Number: Dl / ~/ ~ V ~ ~/
Estate of Hazel M. Paull Deceased
Social Secur' Number: 1 91 -18 -(~4 7 9 5 Date of Death: February 2 ~ 2 01 1
AND NOW, ~ L _, ~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS D REED that Letters Testamentary
are hereby granted to Janet E . Paull
and that the instrument(s) dated
described in the Petition be admitted to probate and filed
FEES
Letters ............... $
Short Certificate(s) ........ $
Re unciati n(s) .......... $
." .. $
.. $
.. $
.. $
..$
..$
..$
.. $
.. $
TOTAL .............. $
last Will (and
Register ojWiils
in the above estate
Attomey Signature:
Attorney Name: Anthony DeLuca, Esquire
Supreme Court I.D. No.: 1 8067
Address: P. O. Box 3 5 8
113 Front Street
Boiling Springs, PA 17007
717-258-6844
Telephone:
Form RW-02 rev. /0.!3.06 Page 2 of 2