HomeMy WebLinkAbout09-14-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS ) (~
Estate of Robert B. Pomeroy ,Deceased ESTATE NO: 21- / / r ~ 7 ~~
a/k/a:
a/k/a:
a/k/a: SS NO:
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. (eomplete Part C also)
and aver that Petitioners j 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, anti 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(8}:_
~ B. Grant of Letters of Administration
(If applicable, enter d.b.a., pendent life, durante absentia, durance minoritate)
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:-
Name
Address
Relationship to Decedent
Lisa M. Pomeroy Private/Unknown Daughter
Steven A. Pomeroy Private/Unknown Son
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USE, ADDITIONAL SHEETS [F NF.CF.SSARY -~ ran
THIS SECTION MUST BE COMPLETED: '"~ ~
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or pfiirui~al resid'snce
At 51 S. Spring Garden Estates, Lot 51, Carlisle, PA 17015 , .
(Street address with Post Oi~ice and Zip Code, Municipality: Township, Borough, City) ~ '
Decedent, then 71 years of age, died 6/22(2011 at Harrisburg, PA
(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 $ _ 10,000.00
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 $ ~ 10,000.00
Location of Real Estate in Pennsylvania: (Provide_full address if possible.)
'iignatu rc(s)
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Name(s) & flailing Address(es)
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Page 1 of 2
OATH OF PERSONAL REPRESENTATIVE `_ n _ r~ ;-T,
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Commonwealth of Pennsylvania SS _ ~; ~ ~~~
County of Cumberland ~' ~:::~ _ -
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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.
Sworn to or affirmed and subscribed ~`
be re me this ' day of
~~
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For the Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate Of ~~j~i f ]'~ ,~. ~p/,~L~rQ 1/ ,Deceased File Number: 21-~ ---~~~
AND NOW, this ~~'day of ~~~~,~~~ ~~ j ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof having been presented before me, 1T IS DECREED that Letters
Testamentary ~ of Administration are hereby granted to:
n/~ ~ -~f applic~le, enter c.t.a., d. b. n., d. b. n. c. t.a., etc.)
the above estate and that instruments(s) dated _ described in the petition he
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
FEES:
Letters ....................$ /
Will ........................
Co ~ il(s) .................
( Short Certificates _ ~ f~
( Renunciations......._ '110
and ............................. _
Other .............................
Automation FEE......... 5.00
JCS FEE ................... _ 23.50
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TOTAL ................$ _ .
~ ~ ~ ~ ~G'~
lenda Farner Strasbaugh, `,'~ /~'~ ~~',E'~ ~ h~~ ~ ~ ~ '
Register of Wills ~ `
Signature of Counsel Required to Enter Appearance
Atty's Signature
PRINTED Name: G. Patrick O'Connor
Supreme Court 1D No.: 64720
Address: 3105 Gettysburg Rd.
Camp Hill, f'A 17011
Phone: 717-737-7760
Fax: 303-997-1898
Interim Form RW-02 revised 1226.10 b}' Curnberland County pending action by the Court Page 2 oft
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RENUNCIATION
RE: ROBERT B. POMEROY, DECEASED
The undersigned, one of two surviving children of ROBERT B. POMEROY, Deceased,
hereby renounces any and all right that I have to serve as Administrator of the estate of ROBERT
B. POMEROY, and I agree to the appointment of his sister, Patricia A. Smith, as Administrator of
the said estate. ROBERT B. POMEROY had no surviving parents and two surviving siblings, one
of whom is Patricia A. Smith.
WITNESS my hand this ~_ day of ~~~~~~__, 201 l .
Signed in the presence of:
it
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
Lisa nn. romeroy
On this, the ~ day of ~ , 201 1, before me, a Notary Public in and
for the state and county aforesaid, the undersigns officer, personally appeared LISA M.
POMEROY, known to me (or satisfactorily proven) to be the person described in the foregoing
instrument, and acknowledged that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
~~~~~-~ SEAL
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-, Notary Public
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"- C'' ~ - COMMONWEALTH OF PENNSYLVANIA
,t , ~ ~'- Notarial Seal
_.~ c~ ~, .: Kathleen Susan May, Notary Public
_ _ ~ < lower Allen TMrp., Cumtierfand County
~' CORNI'NMWfI ns OCL 7 2014
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RENUNCIATION ' < ~ ~~~~~
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RE: ROBERT B. POMF.ROY, DECEASED
The undersigned, one of two surviving children of ROBERT B. POMEROY,
Deceased, hereby renounces any and all right that I have to serve as Administrator of the
estate of ROBERT B. POMEROY, and I agree to the appointment of his sister, Patricia A.
Smith. as Administrator of the said estate. ROBERT B. POMEROY had no surviving
parents. /~
.~`J?G , 2011.
WITNESS my hand this p~~ -day of
Signed in the presence of:
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itne s ~~(\e~l ~ - ~~C'ICr.:v~ Steven A. Pomeroy
STATE OF COLORADO )
n : SS.
On this, the ~~3 ~ day of uS ~ , 2011, before me, a Notary
Public in and for the state and county aforesa' ,the undersigned officer, personally
appeared STEVEN A. POMEROY, l~~own to me (or satisfactorily proven) to be the person
described in the foregoing instrument, and acknowledged that he executed the same for the
purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Nota ~ ubli:; ~ ~ ~ ~~~~
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RENUNCIATION ~'' _=~
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RE: ROBERT B. POMEROY, DECEASED n ~
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The undersigned, one of two surviving siblings of ROBERT B. POMEROY,
Deceased, hereby renounces any and all right that I have to serve as Administrator of the
estate of ROBERT B. POMEROY, and I agree ±o the appointment of my sister, Patricia A.
Smith, as Administrator of the said estate. ROBERT B. POMEROY had no surviving
parents.
WITNESS my hand this ~ ~
Signed ip'~,he presence of:
>>
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day of ~u ~ u ~~` , 2Q 11.
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
On this, the ~ l day of ~ G ~~ ~__, 2~1 i, before nie, a Notary
Public in and for the state and county aforesaid, the undersigned officer, personally
appeared LAWRENCE W. POMEROY, known to me (or satisfactorily proven) to he the
person described in the foregoing instrument, and acknowledged that he executed the same
for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL _,__ _ (SEAL)
GINA UBALDI, Notary Public NOtary PUb11C
Camp Hifl 8oro, Cumberland County
My Commission Expires February 12, 2014
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