HomeMy WebLinkAbout09-15-11r
IN THE COI.!1ZT OF COMMON PLEAS OF C1`'1~~1BL:liLAN1~ C'C)UNTY, YIh:NN~~~'~_•V<-NIA
RF,GiSTF.R OF ~~'ILLS ~~ .-- -t-,
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PETITION FOR PROBATF. ABU (.:RANT OF LLTTF:RS ~ ~~ _'
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Lstate of ~~~~~~_~ ~_ ~__~~-~~1~~- __- 1)~•c~~vct~d 1~ ~'iA'1'F; N(): 21=~~.-, ~"r~
a.ik/a. ~ ; ~ _. _
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Petitioncr(s} u~h~ is!arc 18 vr~ of age or t,ldcr. applv(ics> t~or~ Ct)N11'LE~TI? Sh:C'TIO1~ `,~' or `H' ,~ ND "C'~`as
applicable:
^A. Probate and Grant of Letters Testamentar•v or^ ~1dulirtistratir~n cl.::l . rn d.l~>.~~~.c.t.a. (c`r,ntPlr~rte Park Calso)
and aver that hetltlOnl l~(s) islare entitled to the afi>rementioned Lc~tter~ under
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t11e last Will of the ak~t?ve-named l~eeedent_ dated ~Irrc! cr~dicil(~I dated
(Stab relevnnl circums(ances. e.~, rcnunci%aion- i1~~titli ul e~crutur. clc. Y
Except as ti~llows, Decedent did not marry, was not di~orced_ and slid not have- a child horn or adt~pted all~r r-~ec~atiut~ gCthe
instruments offiered f~~r probate; was not the victim ofa killinti, v~us ne~~er adjudicated au lncapacitatec~i fit°rson. and was nnt:-
party to a lending divorce proceeding at the time of death wherein "rounds for divorce had beeu established as defined in
23 Pa. C.S.A. § 3323{°_):---- _ _ - - _ _ --__ - -
CAB. Grant of Letters of Administration
(If appiic:ible. enter d.h.n., pendent lift, duranh. ah~cntia, duranh• nunuritatc)
C. Petitioner(s). alter a proper search. has'have ascertained thal t)eccden~ loll nit 1'l'ill and ~~as sure ivied h~,' the
following spouse (if any) and heirs (If 'ldministration e.t.a. or d.h.n.c.t.~~ . enter dntr ~~f 1bill in ~cction :1 ,in~~ ::~iniplrte list of
heirs); was nvt the victim of a killit7: was never adjudicated Dui in apa,.:ltuted pcrs~m. and was not ~t paeh trt st pending divorce
proceeding wherein hrounds for divorce had been established as pro.ided in '.i Pa. (~.ti. ~\. § 33230,1 e~.cept :~s follovvs:__
Vame
t sr:.~o~iT-tm a~ sfieF~rs tH ne< ~ss:ut~
\ddres. RrlaUnnchr ~ to necrdcnt
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e/ P ~~
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THIS SECTION N1l:ST BE COIN/PLETED%:/
I~ecec ent was dom le l (e.d at s/ t
/~ ~r_ Jitlli• eatl__~L~__.-~~t,I~1SL1~ P~ni~~nni/ T(J~1~-'heal. L~~J_. /I ~r~~y~~i<°resir~nce
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( e ~ c .~ ~1itn [,»I OIl~i~e.u d. .~ C ode- f,uii~ i, ~lii, I ~~~n.li~i Ii u.,_:_ ~ i ~ 1 p
Decedent. then ' ~:~ ~ gars of a4.*e, died U~ l~l ~,~~ l ~ Ott ~L~i"~/,S/~,_ /
llnntl: t),r 1 r, ~ .~t ~I•,atPi~ (+ n ~~n,l ~t~ ~~hcr~ ~<.,rh ~~ r i,~.~l i
Intimated ~.tluc~~fii~r,~~.u;t ; t,ro~x~rt~ at drath: ~ x_
11 ~lomicilcd in P:~ III prr<<,nal hri~~~~•rh, ti _~~l)(~e~(e
I( not domiciled iu !'A l'cr,nn.lt pru~n~ih iii I'~~in-~~.:~ auia ~ ~ - _
If-not domiciled in P.'\ f~cznn,Il nm~~crt~ in (i~unt~ `>
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_valueofRcal G~tatc in Pcnn,~~h~u~iu y
fut;il F stirn;th~d A'aluc ~ - ~ f~0
Locatfrn~ofReal I~~uite;i; I'rnn~`,I~.ctniri: (Pro~id~ full nddr~~,; il~i,~ ii~i~.~ v _ u ~~ _
tii~~naturc(~n'1
tnmrim Norm hw-ti_ rc~ tsn7 I_ _n Ii' by t u,nbcrl:ind t r,unt~ p,n:ios:~.[ ~;~ i~~ ^ , r~~
`wztn~rc(~I.~ 1l;tilir~!,;.~ddre~~,[ctil
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OATH OF PERSONAL IZEP(thtiF:V"1~.-~"I IA'E: ,~-~ f.,, ;_, i
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Commonwealth of Pennsvl~~ania SS ~ ~,,~
County of Cumherland ;
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The Petitioner(s) herein named s~tiear or affirm that tl~~e statements in the fore~,oin~ Petiti~~ i~ ,ire tl ue Enid ~~
correct to the best ol~the (:no~wled~e and belief of Petitioner(s) and that, as persona! represeruati~ e(s) of the
Decedent, Petitioner(s) ~~~~ill well and truly administer the estate: accordiu7;~~ t,~l la~.~~.
Sworn to or affirmed ,lnd subscribed
befor, me this 1 ~ da/y of
t:
,, ,.. ~_ }
iw~ ~r
`~ `C.~
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the Re~tister
DECREE OF PROBATE AND GRANT OF LETTF,RS
Estate of ~ ~1C" f ~/' .Deceased File \'lunbrr: ~~ 1- J(- - - -- ~~~~
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AND ~C)~1 _ tl)IS ~~ day of , . _ ~ ~_ .. .., >> . .
~t/!?~f' _~ ~ In cnnsldtratlon ~If the I ~trtion on
the re~~elsc sloe hcre~>n, ,atislaclory prooi~ha~nl~~ btln hlc~,C-nlcd bc,~i~~~le me. 1 f f5 Da.(_Rf~.l:l7 that Letters
Tcstamcntar~ ~ of Administration arc I)crcbti ~=i°~Intcd t~~:
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Ill ipplic.d li oiler c.l i . ~1. b.u.. d h i c, t.a, ~~~.
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t e a ove est~ale and that in.trurnen s(s) dated _ descrlbcd .n ;h~ petition be
admitted to probate and tiled of record as the last Will and Cr~~dici](s) ofDc~~ ~cnt.
/ k~ ,~~C~,t?~~~.~ t~~Cl~. Ct(a ~~
~!' l,! ~ ~ ` ~!c'l fL~
hc~~istt'rt,l`~~'iils _ :~~~~.
~.
FEES:
/y C~~l
LCttCrS ....................X
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Cgsiual(s) ... .............. .._ ___
t `7) Sllort Ccrtiti~atc~ ,~9-- ~y-
-~I L%~C.~)
(~) Renunciation~......._ ___
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Bond .............................
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Automation F[:L......... __.. __-
s.00
JCS FF_.E ................... ?;,o
tiignature of Counsel Required to [~;nter ~ppe;~rance
I ,=1l?1 ~, ~ly?Iltltlll'C
f'RIlv~i f.I) Nallie:
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SupR'cmr ('Dort IF) No.:
Address:
Phc>nr.:
Fay:
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Interim Po'm 111,'-'12 reg. iaeil ? ~ ~~• I i iii, l_-.nnherl;in~l ('n,mh ~~~li imp nit ~~i P~, lhr (;.riii I';l
~r?l~f,
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RENUNCIATION ~ '-~ e
,; ~{~
REGIS/TER OF WILLS
,C(~1~r/C+!~ CA COtTNTY, PENNSYLVANIA -_ =`-~ .. '~.- ~:
i> ~-'~ C~
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Estate of / / ~ %ZC' ~//Pig ~i'~/fY~r/~'~ _ ,Deceased
I, \ ~ a ~ f, ~~ 1~ j ~ ~~ ~~ ~~ , in my capacity/relationship as
(Priori Name)
~ G ~~ of the above Decedent, hereby renounce the right. to
inister the Estate of the Decedent and respectfully request that Letters be issued to
L~ .
~,
~.
//
{Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
c~
~' -~ _ f ~'...~ _ - -
~i~ e~
~~ i 1'~1 ; ,~ ~~ ~ ~ ~-~
(Sireet.9ddress)
l~rc~ c ~ ~'i l~ ~~ Ir 7cj' .5
(city, State, Zrp)
Executed out of Register's Off ce
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciat>o for the
purposes/j~ tated within on this ~~_ day
of ~.,I~.~P/w~ ~-~- v~ o / /_
_~
Notary P c
My Commission Expires: ~y o?~ ~ a~~~
~~.
(Signature and Seal of Notary or other ott~ic~at qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWFJtLTH_O_F PENNSYIVp~NIA
Form RR'-06 rev. 10.13.06
Notarial Seal
Mary~ane J. Hesse, Notary Public
Mahanoy Twp., Schuylkill County
My Commisslon Expires July 29, 2014
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I?state of ?/'~ ~' ~ 2~c' F-~~ _~-__.__ ___~_, Deceased
1. ~ ^,~(~'^~ ~. ~~ U ~-(~/~_~.~_.._____ _._. i~'~ m~ ca sac+t~H'elationshi . as
rI'rnrt c:,nz~,
? of the ah~~~~e Decedent. hereh~~ renu~mee the right tc>
adi~~inister the T~atale of the Decedent and respectfull~~ re~~ue~t that Letters [~c issued u~
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S Jt7 ~~',.~~5~~.~ ~~.
Executed iu Register's Off"rce
Sworn to or affirmed and subses-ibed
be(i~re me this ,____ _.__~__ da~~
of
Deputy for Register of W ills
L'•s'cctttc~t! nut of Re');i.~tet•'.i L)ff%'c
I3cti~i°c the u~ldcrsi~a,~ied pcrsc~nrifl_~ ;r~c~~:~~~•cd the
par9r ~~~ecutin~~ this r•enw~ciati~~n ~~~7~1 c~r~?ilieci
that Jac ~,r she e~ccuteci the renu~;c•,~~tion for the
~~ur~~r:c,, ~;~atcd ~*,itllin «n this _~~~__ ,a~:
~'otlr~~ I'uhlic _
~°1~ C`~.~mmission Ex ices:
CONNIIf M ~
. MtEMNAN
rS~~ i i,iu, ..' 1 ~~.il ref +~ I,i c ~ tli,i ~d~lie;.~l ~~,u
""p °°""nial°n ~1- ~. Zots
t~~,~,~, tzi~-nr ~~~~~ in i i.o~