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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: GEORGE S. CORBIN, II
a/k/a:
a/k/a:
a/k/a:
Date of Death: March 9, 2011
File No• ~,( I~.
(Assigned by Register)
Social Security No: 191-40-8489
Age at death: 62
Decedent was domiciled at death in Cumberland County, Penns~jyania (Snare) with his/her last
principal residence at 940 Walnut Bottom Road South Middleton Township Carlisle, Cumberland County, PA 17013
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at Manor Care Nursing & Rehab 940 Walnut Bottom Road South Middleton Twp., Cumb. Co., PA 17013
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $ 0.00
Real estate in Pennsylvania situated at: FOR LITIGATION PURPOSES ONLY
(Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County
A. Petition for Probate and Grant of Letters Testamentary ,
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~ arYd Codicil(s)
--
thereto dated `' ~ ~ ~ ~`~
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State relevant circumstances (e.g. renunciation, death of executor, etc.) _ ~ i`
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Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced;; wasxiet a par'fyto a pending: ,
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and old trovhave a-child born or_
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. _ - ~ ;
NO EXCEPTIONS ~ EXCEPTIONS z; ~i - - -r-~
~~!i L-
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® B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d. b. n. c. t. a., pendente lite, durance absentia, durante minoritate
If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
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 (attach
additional sheets, if necessary):
Name Relationshi Address
Karen Reid Sister 500 E. Prospect Street, Apt. 1, York, PA 17403
Jerry Corbin Brother 3831 Wilcox Blvd., Chattanooga, TN
Vivian Coleman Half-Sister 521 S. West Street, Carlisle, PA 17013
Jack Corbin Brother SCI Huntingdon, 1100 Pike Street, Huntingdon, PA
Forrn RW-02 rev. l0/1 //20// hage 1 Of 2
Petition for Grant of Letters - Register of Wills of Cumberland County, Pennsylvania
B. Continued
Name Relationship Address
David Corbin Brother Address Unknown
THE RIGHTS AND ENTITLEMENTS OF THE FOREGOING SIBLINGS OF THE DECEDENT WILL BE
CHALLENGED BY MART D. JONES, WHO WILL BE ASSERTING A CLAIM THAT SHE IS THE
COMMON LAW SPOUSE OF THE DECEDENT AND HIS SOLE HEIR-AT-LAW.
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
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COUNTY OF CUMBERLAND
Official Use Only
Petitioner(s) Printed Name Petitioner(s) Printed Address
Mari D. Jones 173 E. Penn Street Carlisle PA 17013
The Petitioner(s) above-named swear(s) or affirm(s) 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, the Petitioner(s) will well and truly administer the estate according t/o law.
Sworn to or affit:ned and subscribed before `~C{/l~t ~ c:~`~L~- Date I/ ~~ l Z~ ~
met 's I~µ'day of ~~f:n d ~~~1/ ~e
For the Register 1 Date; •-
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1~+
BOND Required: ~ YES Q NO To the Register of Wills: ~ _' '"~
FEES: ~
.-~
Letters ...................... $ L"'~ '~ ,
(.'~ )Short Certificate(s)...... ~,~ . ~ (~'`:
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........
Please enter my appearance by my signattF~gaielww: '-
Attorney Signature: ~~ ~ t "-
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Printed Name: Brian W. Mains, Esquire
Supreme Court
ID Number: 310479
Firm Name:
Address:
........ Phone
Automation Fee ............... Fax:
JCS Fee . .................... Email
TOTAL ..................... $ _~:~ .~`_0~6'
SkarlatosZonarich LLC
717-233-1000
717-233-6740
hmains skarlatns~~narich-cnm
DECREE OF THE REGISTER
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