HomeMy WebLinkAbout05-23-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of ~ . - rt?~9~' ,Deceased ESTATE :KO: 21- ~/' ®64`f
a/k/a:
a/k/a:
a/k/a: SS NO:~` ~ ' S ~ - ~Y~/a~ 6
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 codic:il(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 son, and vv~s not a
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been shed as,~efine
23 Pa. C.S.A. § 3323(8): - {--~lr=
~'4~. t-- _ _ ..__
CAB. Grant of Letters of Administration
ta.) .__:_. ~:
c' ~ -;~
(If applicable, enter d.b.n., pendent lite, durante absentia, duran T ty~te) s~ ' ~ .~,
a .... -:a~ C`.?
C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived ~ ': ; ~--~ ~`~''
following spouse (if any) and heirs (lf Administration c.t.a. or d.b.n.c.t.a., enter date of Will i:n Section d complete.list of ~''~
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pendit~ divorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:
Name
Address
Relationship to Decedent
USE ADDITIONAL SHEETS IF NECESSARY
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland
Pennsylvania, with his/her last family or principal residence
A
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then ~~ ~ years of age, died /9/~P~t~c ~ 3j ~ y f ~ at ~. ~ ~~~/i'~ ~~
(Month, Day, Year of death) (City and State where death occurred)
Estimated value of decedent's property at death:
If domiciled in PA All personal property $ G~
If not domiciled in PA Personal property in Pennsylvania $ d
If not domiciled in PA Personal property in County $ ~
Value of Real Estate in Pennsylvania $
Total Estimated Value $ ~ (i0 its
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
Signature(s) Name(s) & Mailing Address(es)
/~ ~~ic G. - s~W n ~ ~ ~' t Gw ~O
t, ~v~-fl~~~ , r~ l "~~r4~ 1~
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 oft
OATH OF PERSONAL REPRESENTATIVE
Commonwealth of Pennsylvania ~•~
Count of Cumberland SS
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The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petit true and ~.A.r- -W~
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal repr e(f th~:~.
Decedent, Petitioners will well and trul administer the estate accordin to law. ~ == "''~': ~^
O Y g ,..~ .. r--
Sworn to or affirmed and subscribed ~'
~ ~~
bef re this ~J~ L,h ay of
' r
t
---s
l~or the Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of /~ ~ ~ ~/ ~~ ~~ Deceased File Number: 21- - Q ~d
--
AND NOW, thi~~~day of O~~ f ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof aving n presented before me, IZ' IS DECREED that Letters
Testamentary ~ of Administration are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
TG~'%1') ~S L ~ in
the above estate and that instruments(s) dated described ix~ the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent
Glenda Farner Strasbaugh,
Register of Wills
FEES:
Letters ....................$ - -~~` ~ 0
Will .......................
Codicil(s) .............. .
( )Short Certificates ~.
( )Renunciations.......
Bond ............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................ $ ..~ ~ ~
Signature of Counsel Required to Enter Appearance
Atty's Signature
PRINTED Name
Supreme Court ID No.:
Address:
Phone:
Fax:
interim Form RW-02 revised 12.26. ] 0 by Cumberland County pending action by the Court Page 2 of 2