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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY', PENNSYLVANIA
Petitioner(s) named beloww, 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: Christine M. Brady ~ File No: ~ - ~ ~ -~ ]a,~t~
a/k/a. (Assigned by Register)
a/k/a:
tea' Social Security No: 162-36-8139
Date of Death: 10/13/2011 ' Age at death: 81
Decedent was domiciled a~ death in Cumberland County, penn5ylvania (Stare) with his/her last
principal residence at 940 `~'-'-- - " " -- ~ _ _ _ . _
Street
Decedent died at Manor Ca:
County
Post Office and Zip Code
City, Township or Borough
Street addres ,Post Office and Zi Code ~-u~•^v~aia,iu rte
P City, Township or Borough County State
Estimate of value of decedent's pr perty at death:
Ijdomiciled in Pennsylvani~ ........................... All personal property $
I not domiciled in Penns !v nra .. ' . ' ' ' ' ' ' • • • :Personal property in Pennsylvania $
J' y nta ....................... Personal property in County $
Value of real estate in Penn~ylvania ......................................................... $
', TOTAL ESTIMATED VALUE:.... $ 0 00
Real estate in Pennsylvania situat~'d at:
(Attach additional sheets, if necessary) Street address, Post Office and Zi code - For Litiization Purposes Only
P City, Township or Borough County
A. Petition for Proba a and Grant of Letters Testamentar
Petitioner(s) aver(s) he/she/th y is/are the Executor(s) named in the last Will of the Decedent, dated
thereto dated
and Codicil(s)
oaa~e re~evanr circumstances (eg. renunciation, death of executor, etc:)
Except as follows: after the ex cution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein tie grounds for divorce had been established as defined in 23 Pa. C.S. § ?1323(g), and did not have a child born or
adopted; and Decedent was n~ither the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIONS ®~XCEPTIONS
® B. Petition for Grant ~f Letters of Administration (If applicable)
c. t. a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate
If Administration, c.t.aa or d.b.n.c.l:a., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent }vas 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 ~as neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS 0 EXCEPTIONS
Petitioner(s), after a proper sea>~ch has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach
additional sheets, if necessary):
Phyllis Carothers
Jennifer C. Reid
Form RW-02 rev. !0/!//20!!
ame
Daughter
Daughter
shi Address
307 N. Pitt Street, Carlisle, PA 17013'2
,_;
301-A North Bedford Street, Carlisle, PA I;
'TJ ~ ..
`~ ~~
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
The Petitioner(s) above-named sw~ar(s) or affirm(s) the statements in the foregoing Petition are true and con•rct to the best of the knowledge and belief
of Petitioners} and that, as Person(il Representative(s) of the Dece ent, the Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed d subscribed before ~
me this day of c!L I~c~ (,~ > Dace _ 11 _ ~~/
$y; Date
Date
F the Register
Date
BOND Required: ~ YES Q NO
FEES:
Letters .................. i .. .
(~) Short Certificate(s).. .. .
( , )Renunciation(s)......:.... .
( )Codicil(s)..........:.. .
( )Affidavit(s)........... .
Bond .....................' .. .
Commission ................. .
ther
........
Automation Fee............',. , .
JCS Fee .....................
TOTAL ..................1..
~a • ~
5-C~
To the Register of Wills:
Please enter my appearance by my signature below:
~ - - --•
Print Name: John R. Zo
Supre rt
ID Number: 19632
Firm Name:
Address:
SkarlatosZonarich LLC
Phone: (717)233-1000
3' Fax: (717)233-6740
UU Email:
~r~ ~ Skarlatn~~n„arirlt_cnm
$ 0 00
DECREE OF THE REGISTER
Estate of Christine M. Brady ~ File No: ~- I~_~ ~ g~
a/k/a:
AND NOW, ~
.~_, in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters ~-
_ are hereb ranted to ~~ ~ ~ ~ S~~`"~
Y g Phu 11 ~ ~ ~. rA ~- -, ~,~ ^,~
~ G-.-~.,~- ~
the instrument(s) dated ~ in the above estate and (if applicable) that
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
R gister of ~/~ ~ ~
FormRW-01 rev. l0////20/! -E?~~ (` ~J- `/
Page 2 of 2
RENUNCIATION ~'
_: ,- --
__ ~ _, , .,
_,
REGISTER OF WILLS - - ' " ~-_~
~, Cumberland COUNTY, PENNSYLVANIA - ~~ -~
_. -'
~,, ...;
Estate of Christine Brad
Deceased
I, Jennifer C. Reiff
(p„,~„~a117Q~ , iin my capacity/relationship as
Daughter of the above Decedent, hereby renounce the right to
administer the Estate of t~e Decedent and respectfully request that Letters be issued to
Phyllis A. Carothers
,- ~~ y,
(Date)
Executed in Register's O,~jice
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wil s
Form RW-06 rev. 10.13.06
nature)
301-A North Bedforci Street
(Street Address)
Carlisle, PA 17013
(Crty, State, ZipJ
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 ~_ day
of ~CeM.bea( , 20 t
vim--,
otary Public
My Commission Expires: (Q I ~ ~jl 2 pl 3
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTARIAL SEAL
1#ATHER A SWANSON
Notary Public
JONES70HIM BORO., LEBANfJN COUNTY
N1y Commbaion Expires Jun 18, 2013
H105.805 REV (01/07)
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 17726951 ~'~~
Certification Number
I
rt--- -
------- ----
---- - - -- I----- -
~~
H106-113 REV 112086 ~'
TYPE / PR1Hf ni
PERHM/ENT '~
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940 Wnut Bottom Road
Carlisle, Pa 17013 ''
16. FemKe Name (Fret middle, Irt eumr)
Ba
20e. Yaanra'e Noma (TYOe / Prrt)
Phyllis Carothers
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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
Records Office for permanent filing.
,~ oar 1 ~ Zof~
Local Jegistrar ~ Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF QEATH
(See 7nstnwtlores and exempbe on revere)
STATE FILE NUMBER
:ISTINE M. BRADY ~°` zse. 3.sondsarnyM.neer
Female 162 _ 36 ,_ 8139 1 0~ Octobe~r~~..r)
e.Deraeem 13, 2011
T. end mtle a N. Prr d Deed CMck ani
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