HomeMy WebLinkAbout08-30-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of J c h n N , i~ e~ d ~t_ , i'Jraoaased ESTATE NO: 21- - l I - o 9 I~
a/lcJa:
a/k/a:
SSNO• ~~4-~4~7~bBl
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 Groat of Letters Testamentary or OAdministration c.t.a., or d.b.ac.t.a. (complete Part C also)
and aver that Petitioner(s) islare entitled to the aforementicsted Letters under
the last Will of the above-named Decedent, dated and codicil(s) dated ~y ,~'~ . ~~
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(State relevant circumstances, e.g. rentmciatien, doatlt of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapapitated
party to a pending divorce protxedin= at the time of death wherein fronnda for divarrce had been
23 Pa. C.S.A. f 3323(Q):
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'i~B. Grant of Letters of Administration
(If appaeable, ester dti,e., peadeat N1e. donate abaaena, donate miaorlhse)
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 db.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 peodia= divorce
pr'oceetlin~ wherein =rounds for divorce bad been eatabliahed as provided in 23 Pa. C.S.A. ~ 3323(=), except as follows:-
THLS SECTION MUST BE COMPLETED:
Decede> was domiciled at death in Cumberland County, Permsylvatria, with hisTher last family or principal residence
At 5 k /Hay il~n Or Lo{ 5W Carlisle _'LA k7fl13
(Sheet address with Post Office affi Zi Code. Mumcipelity: Township, Borough, City)
Decedent, then _~ years of age, died n ~ ~ ~ ] at ~.or I i s 12. (~ ~
(Mmth, y, 7 ear of death) (City end 3mte where occuaed)
Essimated value of decedent's property at death:
Yjf domiciled in PA All porsonal property S lO 00 .°"
If not domiciled in PA Personal proporiy in Pamuylvania S
_If sot domiciled in PA Personal properly in Coumy S
_Valtte of Real Estate in Pemaylvania S
Total Eatimttttd Value S 1000.00
Location of Real Estate in Pennsyhania: (Provide full address if posaibleJ ,(v /
Siroatarda) Name(s) & Mailing Addrroa(ea)
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Interim Faro RW-02 revised 12.26.10 by Cumberieod County pending action ty the Court Page 1 of 2
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, Petitioner(s) will well and truly administer the estate according to law.
AND NOW, this ay of in consideration of the Petition on
the reverse side hereon, satisfactory proof hav g been presented before me, Tf IS DECREED that Letters
-Testamentary of Administration
-~ are hereby granted to:
^ -- _ _ _ ~ , _ (vapplkable, ~ ec.., dba, a.b.RCt..., seer)
the above estate and that
described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
1n
~ ~
Glenda Farmer Strasbaugh,~ Y p ~~
Register of Wills
FEES:
Letters ....................5 .fin. [ICS
Will ........................
Codicil(s) .................
(I) Short Certificates L~
(l )Renunciations....... ~ TCy
Bond .............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
67• so
TOTAL ................$
Si~aatnre of Gooses! Required to Enter Appearance
Atty's Signature
PRINTED Name:
Supreme Court ID No.:
Address:
Phone:
Fax:
Interim Form RW-02 revised 12.26.10 by Cumberland Cowry pending action by the Court
Page 2 of 2
Estate of ~ (1 n {~, ~~ Yl a-~r Deceased File Nwntler: 21-~__ ~(~
mos.aos aF.v roumt
LOCAL REGISTRAR'S CERTIFICATION OF DEATH ~
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ Fee for this certificate, $6.00
P 17452147
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded. to the State Vital
Records Office for permanent filing.
~;ae,~~he,~~~,.~,~,~„ Jt~(.1 8/2011
Local Registrar Date Issued
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RENUNCIATION
REGISTER OF WILLS
Cumberland
COUNTY, PENNSYLVANIA
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Estate of John N. Bender ,Deceased
I, Kristi A. Bender , in my capacity/relationship as
u h ~~ (Print Name)
l.X of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Amber Bender
(Dar )
~-~'
(Signature)
3~ N ~tc~nc~' ~~.
(Street Address)
~unha~u.. a~ I~ ~( ~
(City, Slate, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Executed out of Register's Office
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 I4u9vs'~ ~.di 1
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Notary Public L ~ /
My Commission Expires: /J%
(Signatwe and Sesl of Notary or other official qualified ±o
administer oaths. Show date of expiration of Notary's CommixeonJ
CO~AONWEALTH OF PENNS
NOTARIAL SEAL _
RENUNCIATION
REGISTER OF WILLS
',
Cumberland COUNTY, PENNSYLVANIA
Estate of John N. Bender
Deceased
I, Kelly M. Bender , in my capacity/relationship as
(Print Name)
~a u y~, ~>° r of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Amber Bender
~-~-I~
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
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(Stgnatw
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(StreetAddress)
t~ ~~.c'a ~ p ~ ~ ~R y-f
(City, stare, Zip)~-
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purpos stated within on this ~~r n day
of 020 /!
Notary blic
My Co fission Expires: ~~~ l2/ aD ~ z-
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarlel 8sM
Marpuetke O. Parwrr, Notary PuWk
City a Sunbury, NatlwttOMr~d Count
Ny Cammiwion NWoh 12, 2012
Mernbar, anMyWana Aaodauort a
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