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HomeMy WebLinkAbout04-07-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Timothy C. Stum a/k/a: a/k/a: aIk/a: Deceased ESTATE NO: 21- SS NO: 177-62-8172 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ^ A. Probate and Grant of Letters Testamentary or ~ Administration c.t.a., or d.b.n.c.t.a. (complete 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 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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): D B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:- NAmP A as M~~~ Cldlr S. Stum 46 Mount Zion Road, Carlisle, PA 17015 Father Shirley M. Stum 46 Mount Zion Road, Carlisle, PA 17015 Mother THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 246 Mount Zion Road, Carlisle, PA 17015 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 36 years of age, died 5/16/2009 at Upper Frankford Twp, Currt~rland Coty, PA (Month, Day, Year of death) (City and State where death occi~ j , '~ r-_ ; , `~~ Estimated value of decedent's property at death: ' '~? `:~ ~ "~`~ If domiciled in PA All ersonal ro ._ ~ -r- ~- ~~ - P P Perk' $ ,-' 1~ ~0_Op~~ _If not domiciled in PA Personal property in Pennsylvania $ -~ _If not domiciled in PA Personal property in County $ ~-~'~ ~ ~ ~,. -Value of Real Estate in Pennsylvania $ ~l, „ ~ ~ ~_~ - _. Total Estimated Value $ ..) t :"' -s 7-- p t --~---- A :_., r~ Location of Real Estate in Pennsylvania: (Provide full address if possible.) N/A ~ __ ~ ~ ~ ~.: ~ _ Signature(s) Name(s) & Mailing Address(es) ~~ Clair S. Stum, 246 Mount Zion Road, Carlisle, PA 17015 Shirley M. Stum, 246 Mount Zion Road, Carlisle, PA 17015 _.......... ..,, ,.... .. ........ ..,.... .~.. c.v..v vy ~.uu~wuniiu ~.vwuy }~cttW Ub' 2iGtIV1! Vy UIG I.UWt Reiationshi to Decedent Page 1 of k .- ;~-, OATH OF PERSONAL REPRESENTATIVE n ~:.. r,- Commonwealth of Pennsylvania " ~° ~-; ~ . County of Cumberland SS ~_ : , ~ _,~ ..ia .~. r__. _., -_ _Y.:~ . ,-._ __ .•._... _ ~.... ~,- ~~ The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petit~n 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 befo ~ e this ' ~ d of ;' ~ ~ r ~~ ~~~. `~ 1~ Fo~-the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of Timothy C. Stum AND NOW, this ~ day of _ the reverse side hereon, sat><sfactory proo Testamentary x of Administration Deceased File Number: 21- ~-__~!~~~~-~'- ` [~ vL C ~~ , in consideration of the Petition on been presented before me, IT IS DECREED that Letters are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Clair S. Stum & Shirley M. Stum _ in the above estate and that instruments(s) dated described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ~, n; ~, ~ ~~ ~' ~, ~ ~ ~ -~ Glenda Farner S rasbau h ?j1 ' Register of Wills g ~~%'~"~~'~-1'''~~'~~°~ ` i' ~~~-' !' ~~ FEES: Letters ....................$ ~~ ~~ Will ....................... Codicil(s) .............. . (4) Short Certificates 16.00 ( )Renunciations....... Bond ............................ Other ............................ ................................. Automation FEE......... 5.00 JCS FEE .................. 23.50 d TOTAL ................ $ Signature of Counsel Required to Enter Appearance Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court A 's Si nature ~ - ttY g PRINTED Name: George ]. Costopoulos Supreme Court ID No.: 78423 Address: 153 North Hanover Street Carlisle, PA 17013 Phone: (717) 243-0407 __ FaX: (717)243-0950 __ Page 2 of 2