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HomeMy WebLinkAbout11-14-11PETITION FOR G ~-+J REGISTER OF WILLS OF CUMBERLAND RANT OF LETTERS COUNTY, PENNSYLVANIA Petitioner(s) named below,, who is/are 18 support thereof aver(s) the followin Years of age or older, aPP1Y(i~) for Letters as s g and respectfully request(s) the grant of Letters in the appropri~attebelow, and in Decedent's Information J Street address, Post Office and Zip Code Estimate of value of decedents CkY, Township or Borough -- Ijdoaricii'ed in Pat ~1D~ty at deaW: r+~t~attia .......................... ' Il~t dowtiezled itr Patreey/r~~ .All personal property ....................... P II'rot dow,rict/ed it, Par ersonal Property in Pennsylvania Valrte o ~syl-xwra ........................ P ersonal .f~ est~i iw P Property in County aursyl tnn i°.......... . ...... ............. Real estate in Pennsylvania situated at: TOTAL ESTIMATED VALUE... . (Attach additional sheets, fnecessary.) County Sate $ 0 $ - ~ ~ $ --- ---Q City, Township or B uroo gh ^ A. Petition for Probate and Grant of Letters Testaments Petitioner(s) aver(s) he/she/they is/are the Executo s thereto dated ~) named in the last Will of the Decedent, dated Name: Ben'amin P. Bloser _._/ r~ a/k/a: File No: (~ 1 / ~ ` ~o[,, 9 a/k/a: (~gned b R a/k/a: Y egister) Date of Death: 09/21/2011 Social Security No: 170-72-8113 Decedent was domiciled at death in _ Age at death: 21 principal residence at 150 Barnstable Road gland County Carlisle PA 17015 Westa (State) with his/her last Street address, Post ~ and Zip Code Decedent died at ~, Towns Cumberland hip or Borough Coauty County and Codicil(s) sate relevant drenmsancs (~8 ~,.,,,, Except as follows: after the execution ofthe instntmen s ~~ ~asalr $arecrrtor, ~) ~~ divorce proceeding wherein the ~)offer~edforprobateDecedentdidnot ~~,,-~,- °'~- ~'? grounds for divorce had n~arr5;wasnotdivonxxl,j~PartY~ ~ ~~, adopted; and Decedent was neither the vi ~° established as defined in 23 Pa. C.S. § 3323 '" ctim of a killing nor ever adjudicated an i (g) and '~i '' ` e a ~ 7 © NO EXCEPTIONS O EXCEPTIONS ncapaciated person. ;~;, .1` nrn~ t ,_ ® B. Petition for Grant of Letters of A J ~ ~ ~~ ~`'' dministration f J ~ --- ~ applicable) .q __~. c•ta., d.b.n., d.b.n.c.t.a., pendente life, durante sen . -.,. ~ l If Administration, Gta or db.n,Gta., enter date of Will in _,_ ~'ri tra, durante.minorft~ Except as follows: Decedent Section A above and eom lets list of heirs ~ o in 23 Pa. C.S. § 3323 was not a party to a pending divorce Proceeding wherein the (g) and was neither the victim of a killing nor ever ad' Grounds for divorce had been established as defined Q NO EXCEPTIONS ('') EXCEP7'tntve .ludicated an incapacitated person. Petitioner(s), after aproper searoh has/have ascertained that Decedent left no Will and additional sheets, ifnee~s -'------- ~')' was survived by the fnnn,..:.... _ __ _ ,. _ Form RW-01 rev. 10/11/2011 Page 1 of 2 Sleet address, post Oftke and Zip Code BOND Required: ~ YES FEES: ~NO Letters (~ ...................... )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond . ....................... . ..... Commission.... Ot~r . • • . $ ~~~~ D -+G _----- _~~- _~---- s- . ~-- To tke Register of wuis: m si nature below: Please enter my appearance by y g Attorney Signature: Q Printed Name: William P. Dou las Supreme Court 37926 ID Number: Firm Name: Address: • • " " -~ - Phone: • " . " -~-- - Fax: Automation Fee ............... ----'-- --- Email: JCS Fee. .......... . ... ..... TOTAL ............. Law Office 717-243-1790 e~... Y ~-~ ,7:.- __ _ ~ z' ;_~ ~~' '~.7 =~ --..' -~-~ ~:-~ .~. r-r~i 4 ~-- --ri DECREE OF THE REGISTER File No• ~ ~ - Estate of Benjamin P. Bloser tea; Pehtton, p~Q(~ ~ in co ideration of the foregoing u 1~ w ti,~! DV1A, ~ ~--- ANDNOW, esented before me, IT I DECREED that Letters satisfactory proof having been pr ted to tf a licable) that are hereby gran in the above estate and (• pP of Decedent. the tnstrument(s) dated tted to probate and filed of record as the last Will (and Codicil(s)) described in the Petition be admi Register of Wills ~ t' `" Page 2 of 2 Form RW-02 rev. /0/11/2011 ~ ~ ~ - - _ _ ~ .f ~ ~~ _ ~ ~ ~~~ 1105.805 REV (01/071 LOCAL REGISTRAR'S CERTIFICATI~ONoOF tDEAT H WARNING: It is illegal to duplicate this copy by p - This is to certify that the information here given is Fee for this certificate, $6.00 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 pe1-manent filing. 17 7 2 6 5 5 5 c-~~~~'~"'~~~ SEA 2 6~t0it P Local Fegistrar Date Issued Certification Number ,~•. - -- n .W ~~ m Ca -n ....,. • '~ ~ `=: ~, ~ -" `r~ ~' c3- COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS H,+~,,'~ /~°B CORONER'S CERTIFICATE OF DEATH (Sss instructions end ~9camples on rwene) STATE flLE nuwreaR e1Apc 1N~c i> 33-107 s. saw seQeW ~. o.b a oew~ lwn9~. aer. r+e11 2. sr '~"jnidD"'d"~~`~~~1 .Bloser Male 170 - 72 - 8113 Se tember 21 2011 Ben amin P ~, ra,r, or e. rrr a Darn cn«x «~. ~, u,e., ao.baenn Nrvua Dew a Ape w+ewarl ~. ~, ~w, ,,... PA ER I ^ OOA ^ Nuano ~» ^ ne,brK. ona June 22, 1990 c~tambersburgr ^mo.uw+ ^ ouroclbd ,o.woc-nwb.nwr,ea.r+~,•b. 21 Yta 9. wr O.cea«+d N3grib ~, ~] ra ^ Y'• 1SO.aWi ee an, eaa o,en 9a Fedpr ~» m ea bn2ubn, w• red re nedwt c9 r•. w~i taer, White • ee. eauM a ~^ 6mdan~ vwne Wean eb.1 i Cumberland Sou h Middleton 700 Block West Pine Street ~~ 4 wbe..a ( a,,,(,a, ,6.a.wMO9aartudw,v^"~'"^"'1 d riat duo mrtal M. na,leM 12. YM DreMM a,er b 2r 19. DeoedrTe 6dudl,n I~r edY ,~ a 5t) • ,, u.d gneae~w.../mawr °~ O ~~ ~~rl s.a~nlo- ~ ~'ry Never Married wee a wat , u~r Mino ~ Y«, O,o.ad uwe„ ei oe...,nFv~rpTvp to Oeoed,nfe,Ynp~~1~••+~dY +~ AaW (WMn. fl,.Sre Towmhp9 174^ A l1du~ IHed MNb 150 Barnstable Road .>'n~1 nm(herland ~/~ ,n.caeM Carlisle, PA 17015 19.,,~,,,,.~,,,,,,~,,,,,,,~,,,,,wa.a.~.1 ~~i~ move ,aw,r,N,melTYan+~•.~"~'1 Steven Bloser "~~''~arllisler PA 17015 zo.. -+~~ ~^~• ~' "'"q Steven Bloser ~ ~~ e r ma laetlon l~r lwm,,ub, ev carl ~1e•a»dorv~^l~.aa,"'^ 21P1vdD~°"("'"a`"r`"'O"•"~«'~P~~ Carlisle, PA 17013 ~+a+a+b"d01~°""°" ^ ^ 29r 2011 Orland Valley. Memorial Q[ adr ^ Nrnowl me. sa. ~awrur « ^ Yr O No ~~ ^ob.-svd+~ r.~,1 ,Zp.~i„NemEr a•++MienOAtl~°"aF'~'" Hoffman-Roth >;y,uteral Hone & Crematory 23b. uriw Numear ~ z3a Dw 9iprA (~~ rY. rrA ~' '~ (« 138504 ~ 29. ro er eri a mr bn.ra~. am um..+e d n. w., m.:e nrc•.wa. ls~v~• •or.) ,.w, a.< ~y„1 dOMhb pryr,ue d h,h 29. Wet Cw Aelened b b,dn,l EpmM! 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