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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 y ~ [r~~r+~ c~ N r ~ ~.. 4~• ~~~' 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