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Home My WebLink About04-11-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Robert F. O'Brien a/k/a: a/k/a: a/k/a: (Month, Day, Year of death) SS NO: Petitioner(s) who is/are l 8 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 Ya. C.S.A. § 3323(8): ~ B. Grant of Letters of'Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante mir-oritate) 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: None Deborah O'Brien 20 Dewalt Drive, Mechanicsburg, PA 17050 Spouse Tracy L. O'Brien 65 Sidorick Lane, East Stroudsburg, PA 18320 Daughter - (Tracy O'Brien is not the daughter of C~ ~ <~ , ~- Deborah O'Brien, surviving spouse) ~ _-~' ~ ~.~, ~~ _.~.., ~--Pn i ..T- , ,-~--~ _ --.~ ~? USC ,aDUI"1'-ONAL SIIIE'I'S IF NECESSARI' "~~ ~ - , ~~~ r ~ THIS SECTION MUST BE COMPLETED: ' -_-~:--, ~..~ ~- Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last fanlily~~~ulcipal.ieside~~~`? At 20 Dewalt Drive, Mechanicsburg, Hampden Township, Pennsylvania 17050 -~=~~~ ~~ ~" n r-~ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) ~' ~'' ~~ C,. Decedent, then 60 years of age, died 2/24/2011 at Hampden Township, Pennsylvania 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 Deceased ESTATE NO: 21- /' ~ ~- l~t~ T (City and State where death occurred) All personal property $ Personal property in Pennsylvania $ Personal property in County $ Total Estimated Value $ Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) 50,000.00 50,000.00 Name(sl ~c Nlailin~ Address(esl Deborah O'Brien, 20 Dewalt Drive, Mechanic:sburg, PA 17050 Tracy L. O'Brien, 65 Sidorick Lane, East Stroudsburg, PA 18320 ........ ....... .. .. .._ ..,..~~.. ._._.,.,.~ ..~ ~.~.,„v~„u„u ~,vu„iy Nci~u,~ii, a~iiuii ur tic L..UUI-l Name Address Relationshi to Decedent Page 1 of 2• " Oath of Personal Representative COI/1ti10NWEALTH OF PENNSYLVANIA ~-~, S S COUNTY OF ~~%I (~ ~~ ~ly~ 'The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition 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. c ~ . ~ ^ ~'`~ 1 ', Sworn to or affirmed and subscribed ~ '` '~,~ Signature of Personal Representative before me the ~ ~ f ' day of ~ l i •~, `~' ~~ ~ ~ ~, ,'~( 'I Signature of Personal Representative ~ _-.. 1 ~~. ~..1 _.. -~ For the egister Signature of Personal Representative ; ~ ~_~; t:`a =~'~ - ~ ~ t `_a .. _. . f ~. .. _ _ . , • w~.~:. ,_ ..f ~.... .. '. _.__.. ... s-_.. File Number: '~ f -~ ---~ ~ :~' ' --- ~' ~J ~ ~" ~ ~ ,-tom Q Estate of /~-' ~ ~ ~ " ~~~ ~ / \~.~~i'~' d'~~l C ~ecease:d {-~-~ y ~~ ,~~r L ~~ ~ Social Securit Number: `,~/y ' 7 ~ ~f3 Date of Death: _ l ~ AND NOW, ~ ~ ~~/ / , in consideration of the foregoing Petitior,~, satisfactory proof having been presented before me, IT IS DEC ED that Letters i~ / / _ _~ are hereby granted to /^ ~' ~~/~ C /) ~ ~ ~ f ~ f'//' ___ in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of re FEES ~~1 • C' b Letters ............... $ Short Certificate(s) ..~-.... $ . CCU Renunciation(s) .......... $ ~i,l f-~r ~ ... $ . ~ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ Attorney Signature: Attoniey Name: Supreme Court I.D. No.: Address: Telephone: Register of F'vrm RW-0' rev. 10.13.0( Page 2 of 2 the last Will (,and Codicil(s)) of Decedent. OATH O, ~'ERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petition 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 ~ I E -_ before me this 14 ~ ~ day of k. ,_ ; -- C:~ c'~ ___ ;~' . ..~._, ~j ~ ~ c~ `~ For the Register Estate of ~ y'rr j _1` ... _ r'--.w DECREE OF PROBATE AND GRANT OF LETTER~° ~f e L~ ~~ Robert F. O'Brien ,Deceased File Number: 21- -_ , / ~ AND NOW, this ~ e h day of ( Z~ / , in consideration of the Petition on the reverse side hereon, satisfactory proof ha ing been presented before me, IT IS DECREED that Letters Testamentary x of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Deborah O'Brien and Tracy L. O'Brien _ __ in the above estate and that instruments(s) dated described i~1 the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ~ / ~~ enda Fanner trasbaugh, ,y,/~) ~ ~~' ~ ~ ~ ,~~ Register of Wills FEES: Letters ....................$ -- 6~~. C 6 Will ....................... Codicil(s). ( ~,) Short Certificates -~1 ( )Renunciations....... Bond ............................. Other ............................. Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Deryck Hen Supreme Court ID No.: 78784 Address: 5621 North Front Street Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................ __ .. Harrisburg, PA 17110 Phone Fax: (717)215-2550 Interim Form RW-U2 re~~ised 1?26.10 by Cumberland County pendin~~ action by the Court Page 2 oft 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 are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal represe;ntative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed - - ~ -_ -~ before me this day of ~« ~.,-~ ;' _zJ ~.~ ~ ., , ._~ _~ For the Register ~-~'`_-~i~ ---m , ___ ~~ _..~ ti.:..~~ ~` DECREE OF PROBATE AND GRANT OF LETTERS ~~- ~~ Estate of Robert F. O'Brien ,Deceased File Number: 21- - __ 'r~~ AND NOW, this day of , in consideration of'the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECRF;ED that Letters _ Testamentary x of Administration are hereby granited to: (IT applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Deborah O'Brien and Tracy L. O'Brien 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. -~ ~ ~' ~ ~ ~ ~~1`~ I ~~~~i~~ Address: 3621 North Front Street Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................ ~ Glenda Earner Strasbaugh, Register of Wills 1n signature of c~ounset Kequ-recl to Winter Appearance Atty's Signature PRINTED Name: Richard L. Plac Supreme Court ID No.: 07232 Phone: Fax: Harrisburg, PA 17110-1533 (717)236-9577 (717)236-0843 Interim Form R~'-02 revised 12.26.10 by Cumberland County pending action by the Court Pale 2 of 2