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Home My WebLink About06-21-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of George R. Lake a/k/a: George Robert Lake a/k/a: a/k/a: SS NO: 228-32-:L003 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' A-ND "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 establislhecl as defined in 23 Pa. C.S.A. § 3323(8): ~ B. Grant of Letters of Administration DBNCTA lu applicable, enter d.b.n., pendent lite, durante absentia, durante minorilate) 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: ~am~ atrtr..~. ~kf .vaaress eaeoe~. o~rs~r Relationship to Deced~ .S' ~~_ USE ADDITIONAL SHEETS IF NECESSARY _- nt THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 41 West Main Street, Mechanicsburg, Pennsylvania 17055 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) - Decedent, then 79 years of age, died 6/14/2009 at Camp Hill, 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 (Month, Day, Year of death) Deceased ESTATE NO: 21- 09-071 i' (City and State where death occurred) All personal property Personal property in Pennsylvania Personal property in County Location of Real Estate in Pennsylvania:n(Provide full address if possible.) Si~nature(sl / i Total Estimated Value $ . 1 000.00 $ -- $ --- $ --- $ 1,000.00 • ~~___~~~~ .x ~aa,uu~, f+uuress(es) Suzanne Lake, 1984 Camp Swatara Road, Myer~stown, PA 17067 Interim Fonn RW-02 revised 1226.10 by Cumberland County nenrtinu arr;nn h., r hP r,,,,... -- rage i of 1 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 acre 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. Sword to o;i affirmed and subscribed be#~ re me this ~ A ~. ~ _~ day of ~~~__ 2011 For the Register y __.~ Suzanne Lake DECREE OF PROBATE AND GRANT OF LETTERS Estate of George R. Lake ,Deceased File Number: 21- 09 - Ol'17 AND NOW, this ;~_ day of `~~ ~ ~ ~ ~,.~ '~ ~~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary X of Administration DBNCTA are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Suzanne Lake _ in the above estate and that instruments(s) dated 10/20/2008 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ends Farner Strasbaugh,~, ~ C~ ~~~~I3:~~ Register of Wills ~ ~~ ~ FEES: Letters ....................$ ~' '~ ~ Will .................... ... Codicil(s) ............ .... ( )Short Certificat es ( )Renunciations.. ..... Bond ........................ .... Other ........................ .... ............................ ..... ............................ ..... Automation FEE....... .. ---3-~ JCS FEE ................ _ .. ~3-St~ ~~ l %• TOTAL .............. .. $ ~8~-50 Signature of Counsel Required to EnkeE- ,~ip~earance Atty's Signature PRINTED Name: Alex E. Snyder, Esquires @~ Supreme Court ID No.: 200987 Address: 100 East Market Street York, PA 17405-7012 ___ Phone: 717-846-8888 Fax: 717-843-8492 Interim Fonn RW-02 revised 12.26.10 by Cumberland County pending action by the Court Fage 2 of 2