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03-18-11
AMENDED PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Mary Kathryn Anderson also known as Mary C . Anc~erSOri •Deceased COUNTY, PENNSYLVANIA File Number 201 0-01 078 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 _ named in 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 in.stnament(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: '/© B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente life; durante absentia; durante 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 Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence Timme Suhr daughter 170 Stonehedge Lane, Mechanicsburg, PA 17055 John Eric Anderson son 6312 Chesterfield Road, Mechanicsburg, PA 17050 Edward James Anderson son 3903 Gettysburg Road, Camp Hill, PA 17011 SEE ATTACHED SHEET FOR ADDITIONAL HEIRS (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 3903 Gettysburg Road Camp Hill PA 17011 __ (List street address, townlcity, township, county, state, zip code) Decedent, then 83 years of age, died on August 12, 2010 at Holy Spirit Hospital Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $_ ~ d 0~- ~O (If not domiciled in PA) Personal property in Pennsylvania $___ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ ~Iy. D6d. situated as follows: ~'` ?~_~ ,-~ -- _-, ._.... ; Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Le~er~in the appropriate form to the undersigne ~ ' ~' _ -'- ~ - i-- S ~ afore T ed or rinted name and residence ~ ~ J ~-"~ --_~_____ Michael B. Anderson, 304 Fireside Drive, Cramp Hill, PA 17011 ._ Form RW-02 rev. 10.13.06 --~ .- 7 , -~`-> ,~ Page 1 of 2 PETITION FOR PROBATE AND GRANT OF LETTERS Additional Heirs: NAM E RELATIONSHIP RESIDENCE James Michael Anderson son 692 Beaver Dam Road East Berne, NY 12059 Martin Allen Anderson son PO Box 113-160 New Kingstown, PA 17072 Michael B. Anderson son 304 Fireside Drive Camp Hi1f, PA 17011 l ~4 ~r Oath of Personal Representative - -~ ~_; . , ,_~ .~ :, ~,_._ COMMONWEALTH OF PENNSYLVANLA - _- - ; ., ~ __ __ • ~ COUNTY OF CUMBERLAND ~ ~;' ~~ _ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition a e-~i~e and correct to the` 1~~st of .~t , ; v the knowledge and belief of Petitioner(s) and that, as personal representativ - =the Decedent, Petitioner(s) will well and-truly ~ administer the estate according to law. t ~/ Sworn to or affirmed and subscribed } ~~ ~~ ~ before me the ; , : day of ``~~~~r~~~c~.~ ~;~~~ 1 r ~~ Signature of Personal Representative Signature of Personal Representative Signature of Personal Representative File Number: Estate of Mary Kathryn Anderson ,Deceased. Social Security Number: 201-18-5243 Date of Death:.Au~ust 12, 2,0.10 AND NOW, ~ ~~G'C, `~•~~-' ! O , _~(.~ I' , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration- are hereby granted to Michael B. Anderson __._ __ i:~~ the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of reco as the last Will (a d Codicil(s)) of Deces~lent„ '~ `~ I ~j ; FEES ~~ ~ ~ ` ~,~ ~> ~ Letters . . ............ . r `, f~ Register of 'Ils ~'~ / '" i^ s Short Certificate(s) ........ $ ~. ~ ~~ Attorney Signature: ~ Renunciation(s) .... , , .... $ Attorney Name: Taylor P. Andrews, Esquire ... $ • • • $ Supreme Court I.D. No.: 15641 .. $ Address: 78 West Pomfret Street ... $ • • • $ Carlisle, PA 17013 ... $ ... $ ' ' ' $ Telephone: 717-243-0123 __ ... $ TOTAL .............. $ -8:•99- (,~ t~t Form RW-02 rev. 10.13.06 Page 2 of 2