HomeMy WebLinkAbout07-12-11 (2)IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of +j~1G'i~' 1 ~ '~.~~~1t`, W,11~C'~ ~°,~s ,Deceased ESTATE NO: 21- - (.~~~? 7 ~~
a/k/a:
a/k/a:
a/k/a: SS NO: ; u'' '1 - .~~ tX ~ G~.s -
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. (compl'ete Part C also)
~~~~~ under
and aver that Petitioner(s) is/are entitled to the aforementioned Letters c7 - ~~ ~-,
the last Will of the above-named Decedent, dated ____ __ and codicil(s) dated ~~$____~____~ ~ T
=~~~i n --
(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 af~e~~ttion tithe = . _^ -,
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated peigdn, and was not a_ :~ ,-~-
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been es~~ished as ~~fined ~ ~ t
~' ~..: . ~
23 Pa. C.S.A. § 3323(8): - r
L~~B. Grant of Letters of Administration ~k./,~~~~L'~ ~~~ G~~'~~~ ~-~ ~"~'' `' ~ --
(Ifapplicable, enter d.b.n., pendent lite, durante absentia, durante minoril:ate)
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 ([f 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), e:xce;pt as follows:-
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Relatinnshin to Decedent
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USE ADDITIONAL SHEETS IF NECESSAKY
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or priincipal residence
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
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Decedent, then ~`'~~= years of age, died ~A +~ ~ `~''_~~ll at „~'~ >~~J~%>~~'~r _
(M th, 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
If not domiciled in PA Personal property in Pennsylvania
If not domiciled in PA Personal property in County
Value of Real Estate in Pennsylvania
Total Estimated Value
Location of Real Estate in Pennsylvania: (Provide full address if possible.) .'~~~,'~'~~
Cionatu re/sl
$ -
$ r`';
Name(s) & Mailing Address(es)
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Interim Form RW-02 revised 12.26.10 by Cumberland County pending action oy the noun
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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 representative(s) of the
Decedent, Petitioners} will well and truly administer the estate according to law.
Sworn to or affirmed and Subscribed
J' ~ .~a . r .'~
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before ine this ~ - clay of ~!~' ~? ~~_.:.._ .-,. 9 ;~-r,
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For the Register V' ~~ _r., :;;. ~ .- , ~'
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DECREE OF PROBATE AND GRANT OF LETTERS ~: -"
Estate of ~~~ i~ f ~ ~ 1.1 f i l-l ~L + ~ ~ I~iyL~ ~ ,Deceased File Number: 21- ) ( -_G
AND NOW, this 1 c~- day of _ ~ ~ ~-- , in consideration of the Petition on
the reverse side hereon, satisfactory proof having b en presented before me, IT 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.)
%~ 1 C C ~~~ t,'~ ~ ~ ~ IC11~, ~ _ - in
~' descnbed m the etition be
the above estate and that instruments(s) dated p
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
1 f A ~Fn
~~ ~/// r ~n ~ t -y
~~
Glenda Farner Strasbaugh ~ ~, ~ ;~;~~ ii t~~- ~~.~;~ c~k
Register of Wills ~~~
FEES:
Will .......................
Codicil(s) .............. .
(,.~) Short Certificates I ~~ L~
( ~~) Renunciations..... ,' ~~ • C,rC
Bond ............................
Other ............................
Automation FEE........ 5.00
JCS FEE .................. 23.50
Signature of Counsel Required to I!;ntel• Appearance
Atty's Signature __
PRINTED Name: _
Supreme Court ID No.: ___
Address: _
Phone:
Fax:
Interim Form RW-02 revised 1226.10 by Cumberland County pending action by the Court Page 2 of 2
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RENUNCIATION r: ~ ~ r~ ~ ~ ~ ,
r \ f i
REGISTER OF WILLS =' ~ _ .~ _=`--
~,~ b-~.. ~ ~Ct rIC.I COUNTY, PENNSYLVANIA a ~{ ~.:; ~;'
-~
Estate of ~f'" ~~~l~~t' 1 ~ = ~ ,~,~ `~ ~ ~ ~~ y~~ _ ,Deceased
administer the Estate of the Decedent and respectfully request that Letters be issued to
r
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(Date)
Executed in Register's Office
Sworn to or aff rmed and subscribed
before me ±his- tom` day
_,
of _ ~. , ~ ,
E,' ,.. .....
eputy for Register of Wills
I, ~.~ ~,,~;~.~ l ~~ ~ ;~~~ ~, s ~^~ ~~ ~ , in my capacity/relationship as
(Print Name)
of the above Decedent, hereby renounce the right to
`~.~.. ~
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• ~ ~ •~ c.
~ F~ ,z ~:,
(Street Address)
-, .1~~.
(City, State. Zip)
Executed out of Register's Of ice
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this __ day
of , _
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
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RENUNCIATION ~~ °
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REGISTER OF WILLS ~'
~~~ .` 1C COUNTY, PENNSYLVANIA
Estate of .~..
/,~~
Deceased
. ~,~ ' ,^ ,
I, ~J,~-~.~~; ~~ ~. (. ` , ~~~/,yJ~ ~_~ ~ , in my capacity/relationship as
f (Print Name)
_ of the above Decedent, hereby renc-unce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
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(Date ; - ~ _ ~
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(Si a re) ...
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(Street Address)
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(City, State; Zip)
Executed in Re,~ister's Office
Sworn to or affirri~zd ~a,~d subscribed
before me this ~~-- ,,,_ day
R9~^R
~~~ a
T ~_
Deputy for Register of Wills
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renul~ciation for the
purposes stated within on this ,_ day
of ~> _
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06