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Home My WebLink About08-15-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Susan Ridgway Hammel a/k/a: a/k/a: a/k/a: (If appliealZle, enter d.>Z.n., pendent life, durance absentia, durante minoritate) Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: O A. Probate and Grant of Letters Testamentary or p Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) islare entitled to the aforement' ned Letters under the last Will of the above-named Decedent, dated ,z and codicil(s) dated z (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 Pa. C.S.A. § 3323(g): ^ B. Grant of Letters of Administration 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(g), except as follows: Name Address Reh ' sbi to Dee •-- ~fl '.~7 -~ C7 _ f'i't -~' :7J :': _~ C-~ USE ADDITIONAL SHEE ecfex~t ~~ ~ 7 ~:~ ~~ . , =t= 7 TS IF NECESSARY ~, ~ ,,._. , ~ -~ THIS SECTION MUST BE COMPLETED: ..o ~ `~- ~µ~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last: family or principal reence ~ ~; At 435 West South Street, Carlisle, PA 17013, Borough of Carlisle (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 60 years of age, died 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 8/8/2011 (Month, Day, Year of death) Deceased ESTATE NO: 21- ~' "~ ~ ~~ at SS NO: Carlisle, PA (City and State where death occurred) Aii personal property $ 15,000.00 Personal property in Pennsylvania $ Personal property in County $ Total Estimated Vatue $ 15,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 435 West South Street, Carlisle, PA Signature(s) Name(s) & Mailing Address(es) ]effrey H l3,enjamin 435 West South Street, Carlisle, PA 17013 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court ~..~.. , _~~ r agc ~ u, ~ OATH OF PERSONAL REPRESENTATIVE ,- Commonwealth of Pennsylvania ~ ~ ;~~ SS - ~-~ ~ ~,-;. ~.~ r, n ~ County of Cumberland ~ ~; , ~ - ~rn ~ , The Petitioner(s) herein named swear or affirm that the statements in the fore oin Petitio ~ue ar~ g g ~~ ~ :T ___. ,.._ correct to the best of the knowledge and belief of Petitioner(s) and that, as personal represen~><ve(s) ~f the :~,~ ri Decedent, Petitioner(sj will well and truly administer the estate according to law. =~ r.~ '~'~ a ~. Sworn to or affirmed and subscribed b or e this ,~~ ~ day of "r the Register DECREE OF PROBATE AND GRANT OF LETTERS f / - ~ ,,-- Estate of % ~ ~ /,~7~ ~, Deceased File Number: 21- / AND NOW, this day of G~ G~ S' 7 ~ f ~ in consideration of the Petition on the reverse side hereon, satisfactory proof havi g been presented before me, IT IS DECREED that Letters ~/`I'estamentary of Ad 'nistration are hereby granted to: (If applicabk, enter c.ta., d.b.o„ d.b.n.c,t.a., etc.) the above estate d that instru ts(s) dated described in the petition be admitted to pro ate and filed of record as the las Wil and odi (s) f Decedent. Register of Wills FEES: Will ....................... .Da Co icil(s) ............... , D 0 ( )Short Certificates D D ( )Renunciations....... >~Qnd ............................. Other ............................ ................................. ................................. Automation FEE......... x.00 JCS FEE ................... 23. 0 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 1226.10 by Cumberland County pending action by the Court Page 2 of 2