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Home My WebLink About11-07-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA;~~_; REGISTER OF WILLS ~ -.~. '- o PETITION FOR PROBATE AND GRANT OF LETTERS -a-,~~ ^, c ,~ Estate Of)ustin E. Falk ,Deceased ESTATE N0: 21- ~~ _'„I a/k/a: '~ ~ ~_~ a/k/a: ~, v ..- c 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 G rant of Letters Testamentary Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementl ned 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, 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(8): D B. G rant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante 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 Relationshi to Decedi USE ADDITIONAL SHEETS IF NF~FSSARY :nt THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 1 A T...a.........1 ........ n-:. ... AA4 u..ll., c-. _.___ nw 1 miner (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 3C years of age, died pctobe~ lfi, 20t ~ at M~u~+ Holly Springs, Pe~~syl~~ania (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 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 Location of Real Estate in Pennsylvania: (Provide full address if possible.) natl.y~e(s) $ t2n0~ $ 0 $ tzooo Name(s) & Mailing Address(es) le ]. Falk, 14 Independence Dr., Mt. Holly Springs, :.~, -~, -, _: `~ c;~ -~, I I Interim Fonn RW-02 revised 12.26.10 by Cumberland County pending action by 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. Sworn to or affirmed and subscribed ~ befo e this ~ h da ~ the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of ]iiStin F Falk ,Deceased File Number: 21- ~ / --~~~ AND NOW, this Z day of 6~~, in consideration of the Petition on the reverse side hereon, satisfactory proof ving been presented before me, IT IS DECREED that Letters Testamentary X of Administration are hereby granted to: ,..L ---• ^~-- (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) C~ c-~ , . a - r nala 1 Falk 111 `admitted 'proUa~~ ~4 t-... ~r - _ t LU _- __.+ ~ ~" >~ - ~ tl. C_, a~,.~ i~.L..: ~._.. C1'. Register of Wills FEES: t instruments(s) dated described in the petition be filed of record as the last Will and Codicil(s) of Decedent. (O~ ~~" Letters ....................$ Will ........................ C icil(s) ................. ( hort Certificates ( j) Renunciations....... . D(~ Bond ............................ Other ............................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ O~~d Signature of Counsel Required to Enter Appearance r Atty's Signature .~ ~'~t. ~ ~~~._l~ ~ J PRINTED Name: Steil-ieriCLTilev Supreme Court ID No.:3231s Address: 5 Snuth Nancuce~ Gtree* Carlisle ant 7n1 ~ Phone: 717-243-5838 FaX: 717-243-6441 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 RENUNCIATION REGISTER OF WILLS CUMBERLAND Estate of Justin E. Falk Deceased I, Mary R. Falk , in my capacity/relationship as (Print Name) mother COUNTY, PENNSYLVANIA -. ~- -~ ~ rf ~ ~ ~ ~~~ _ `= - rn - - ~ - - _a~ ';:~: _~ ~ ,~ Y _..~. of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Dale J. Falk November , 2011 (Date) \~ ~~- (Signature) 14 Independence Drive (Street Address) Mount Holly Springs, PA 17065 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills 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 ~ R.~ day of i1Pa vin ~ ~ O I I ~ Msh~, ~~ ~~,c..a Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 1MORPlNNdyL NOTARIAL SERI llYSip A. uESS. Nolery A~ ~IOUpn d Carib, Curt~berland Caw~r PN My Canmisrrtion Eapirr ~IryIO, 2014