HomeMy WebLinkAbout10-20-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
~~.'`~P[E~TITI//O~N FOR PROBATE AND GRANT OF LETTERS
Estate of !~ ~`(T / ` ~ ~a2T~ ,Deceased ESTATE NO: ll- ' 1 - ~ ~ ~~
a/k/a:
SS NO: ~ 6~ ` ~6` ~f
Petitioner(s) who is/aze 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 e.t.a., or d.b.n.c.t.a. (complete Part C also)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters under
the last Will of the above-named Decedent, dated and codicil(s) dated
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(State relevant circumstances, e.g. renunciation, death ofexecutor, etcJ ~ ~7 ~~ `.`'-,~ n
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted utiolref the ~• ~ ,
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitatedel~jnd ~iia not a ~ ~-r_:
party to a pending divorce proceeding at the tlme of death wherein grounds for divorce had been ~?t -ts_b_ ~~ted a`g-~efineb ill
23 Pa. C.S.A. § 3323(8): `-~ c~ O -+.~ ': ,-;
- -r
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~B. Grant of Letters of Administration
(If applicable, eater
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 e.t.a. or d.b.n.c.t.a., emer 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
4- 2 ~`~z Z ~`~ ~ s S Pvv
5`135 8 S ot~
b ~ ~ G~'0 ~v f ~fo den
/~iL '7 ~ ~ ~ i /~GL 4
UJl: AUUIrIVIVAL ~HEG"CJ 1F rvECEJSA1tY ' } 73'S~
THIS SECTION MUST BE COMPLETED: ! ! 7
Decedent was domiciled at death in Clt~tbe land C only Pen~tSylvania, witty ls/her last family or principal residence
At 2~fZ-1 S r l^l yl.~i i-Ci<~ ~.4^~Gt ~E ~ ~ (~G1'~i
(Street ad ss with Po Office and Zip Code M~unic~' ;lily,: Township, Borough, City)
Decedent, then ~O S years of age, died ~! ~~~at ~~L~S~C u~l~
(Month, Day, ear of death) (City and State where death occurred)
Estimated value of decedent's propetty at death:
_If domiciled in PA All personal property S ~ ~/ ~O
_If not domiciled in PA Personal property in Pennsylvania S ~
_If aot domiciled in PA Personal property in County S
-Value of Real Estate in Pennsylvania S
Total Estimated Value S r
Location of Real Estate in Pennsylvania: (Provide full address if possible.)
rvame(s) d< Malting Address(es)
Pane 1 oft
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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.
OATH OF PERSONAL REPRESENTATIVE
Sworn to or aff rmed and subscribed
b~f ~e~m this
day of
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o the g ster --- _ ' v ~ ~ ~ -
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DECREE OF PROBATE AND GRANT OF LETTER '' .~}
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Estate of ~~~('~ ~~ ~~~~ ("~.'( 4'~ ,Deceased File Number: 21- I ~ - ~I ~t~
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AND NOW, this ~~ c)"ay of ~~~1 ~ h '~ ~k ~~ ~~` ~ j , in consideration of the Petition on
the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters
-Testamentary I/of Administration are hereby granted to:
(If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
in
the above estate and that instruments(s) dated described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
~1
f- ~
Glenda Farner Strasbaugh,i`.~~~;~ ~? ~2~Z~;~.,_.~!
Register of Wills ,~~ ' ~=
FEES:
Letters ....................$ ~~JS ~,~
Will .........................
Codicil(s) ...............
( )Short Certificates /~ ~ (''G
(~) Renunciations....... ~7 • (^~ ~~
Bond .............................
Other .............................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................ $ ~ ~` ~ , l~~
s-gnature of i:ounsel xegwr~n to r.nter p-ppearance
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Atty's Signature ~~ ~ L
PRINTED Name: ' r
Supreme Court ID No.: "~' ~~ ,~' ~ Z
Address: /~~ ~ , f~~~CciL Z'~''~"
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Phone: / (~ ' ~ ~ ~ `'~ ~ GI ~'
Fax: ~ ~ =~-2-~{ ~j - ~; F~ ?. ~`
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6iterim Form RW-02 revised 12.26.10 Uy Cumberland County pending action by the Court Page 2 ot~ 2
105.805 REV f01/U"/)
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 17606040
Certification Number
6
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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
Rec s Office for a anent filing.
Local Registrar Date Issued
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RENUNCIATION r_
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REGISTER OF WILLS
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CUMBERLAND COUNTY. PENNSYLVANIA
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Estate of K~IV M. Yorty_ Deceased
I, Daniel Deatrick __ ~ , in my capacity!relationship as
(Print Name)
son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Leonard E. Yorty ,
~Q~.raLxr zL zctl
(Date)
Executed itr Register's Office
:worn to or affirmed and subscribed
before me this day
oi' _
( tare
b~r.'.0 York Road _
(Streel Address)
New Oxford P.4 17350
(City, State, Zip)
F.x•~:uted out ofRepisterls Q~ce
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renun ration for the
purpo s s ted within on this '~" day
of ~ ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Notary Pu~c
My Cor^m' Sion Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Cindy M. Little, Notary Publie
SpAnpsKabury Tvrp., York County
My CorrrrNaNon En March 25, 2013
Member, Pann an atlon of Notaries