HomeMy WebLinkAbout02-0297PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
also known as
Deceased.
Social Security
No. 21-02.-
To:
Register of Wills for the
County of
Commonwealth of Pennsylvania
in the
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, app[
(d.b.n.; pendente lite; durante absentia; durante minoritate)
for letters of administration
on the estate of
the above decedent.
Decendent was domiciled at death in ?~ ~.~,~ Oc~r-~.~{ c...d County, Pennsylvania, with
last family or principal residence at ~7'/<...~$~ ~ ~ ~e~l~ ~ l~o.
(list street, number and municipality)
Dependent, then ~ years of age, died ~ ~,~ ~ Z~oc
Decendent at death owned property with estimated values as folllows:
(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 $
situated as follows:
Petitioner.__ after a proper search ha
the following spouse (if any) and heirs:
Name
ascertained that decedent left no will and was survived by
Relationship
Residence
THEREFORE, petitioner(s)
appropriate form to the undersigned.
respectfully request(s) the grant of letters of administration in the
17-5t- '7
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
COUNTY OF
The petitioner(s) above-named swear(s) or affirm(s) 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 above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirn~l and subscribed'"'-
beb~c~e this --25tffi .__~tay ~
~Y ~ L-~ ~ ~ / - - Regt~ter
Estate of KATHRYN LYNN CIAMBOTrI ~ , ece~ed
GRANT OF LETTERS OF ADMINISTRATION
AND NOW IqARCH 25: 2002 Hgx , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that LEON GOSEPH CIAMB(Yi~I
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to LEON JO.qEPH CTAMBUP'PI
in the estate of [<ATHRVN T,vIqN CTAMBCYP'PT
MARY d L~-St~egister of Wills /
FEES
Letters of Administration ..... $ 25.00
Short Certificates( ) .......... $ 9.00 ATTORNEY (Sup. Ct. I.D. No.)
Renunciation ......... : ...... $ 10.00
3ap $ 5.00
TOTAL $ 49.00 ADDRESS
Filed ..Iyl/~..C..H..2.5.,...2.0.0.2. .... A.D. lX~
called ~ on 3-25-02 PHONE
RENUNCIATION
To the Register of Wills of __~_~k._,~_?.~:,.~.C.{.?~ ............................................ Count's, Penn~;ylvania,
the above d~cedent, hereby renounce(s) the right to admia~stcr Ibc cstai'e :n->c! respect~'tdly ask(,m) that Letters
k~~ ~Sil~n~turc) ~ ~
RENL NCIA I~ION
To the Registel' of Wills of i . Counly, Pennsylvania.
the above d~ent, hereby remmnc~s) the d~t to administer the estate and res~tfully ~k(s) that Letters
thi,5 /J
{Signattue)
~'Adl.ttess)
(Sig~atule)
(Address)
21-02-297
OF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
KATHRYN L CIAMBOTTI
, Deceased
No. 21-02-297
of 2001
To the Clerk of the Orphans' Court:
Enter the claim of CAPITAL ONE
Acct· 5291491740637028
In the amount of $2,940·04
, against the above entitled estate.
The decedent, who resided at 412 5TH REAR ST NEW CUMBERLND PA 17070
died on 03/03/2002
· Written notice of said claim was given
to
(Personal Representative or counsel)
,if known to claimant, at
on
May 31,2002
(Date)
Claimant's Counsel
Address
(Claimant)
Address:
5330 East iMain Str,_et, Suite 200
Columbus, Ohio 4:~t3
ORPHANS COURT NO. 21-02-297
ESTATE OF KATHRYN L CIAMBOTTI DECEASED
CLAIM
CLAIMANT'S NAME: CAPITAL ONE
ADDRESS: 5330 E MAIN ST, STE 200, COLUMBUS, OH 43213
PHONE: (877) 714 - 3739
ATTY ID (if applicable): NOT APPLICABLE
STATE OF VIRGINIA
INDEPENDENT CITY
)
) SS:
)
LIMITED POWER OF A'UI'ORNEY
Now comes ._Mi.__ke~Ste___v_e_n_s, a representative of Capital One,
and hereby appoints Estate Information Services, Inc. as its attorney-in-fact for the
purpose of executing, filing, amending, and/or withdrawing estate claims with probate
courts ami/or executors throughout the United States on behalf of Capital One.
Be it known that this Limited Power of Atiorney will be abolished upon the
termination of the contractual agreement between Estate Information Services,/nc. and
Capital One.
day of "~_~r,x~, Z' 2001.
CAPITAL ONE
l s: Director
Printed Name: Michae! Stevens
Sworn to an subscirbed before me this -__l~ day of'September, 2001, a Notary
Public in and for the State of Virginia.
My Commission Expires: ~,~
OF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
KATHRYN L CIAMBOTTI
, Deceased
No. 21-02-297
of 2001
To the Clerk of the Orphans' Court:
Enter the claim of CAPITAL ONE
Acct. 5291491740637028
In the amount of $2,940.04
, against the above entitled estate.
The decedent, who resided at 412 5TH REAR ST NEW CUMBERLND PA 17070
died on 03/03/2002
Written notice of said claim was given
to
May 31, 2002
(Personal R~presentative or counsel)
,if known to claimant, at
on
(Date)
(Claimant)
Claimant's Counsel
Address:
5330 East Main Street, Suite 200
Columbus, Ohio 43213
Address
ORPHANS COURT NO. 21-02-297
ESTATE OF KATHRYN L CIAMBOTTI DECEASED
CLAIM
CLAIMANT'S NAME: CAPITAL ONE
ADDRESS: 5330 E MAIN ST, STE 200, COLUMBUS, OH 43213
PHONE: (877) 714 - 3739
ATTY ID (if applicable): NOT APPLICABLE
STATE OF VIRGINIA
INDEPENDENT CITY
)
)
)
LIMITED POWER OF ATTORNEY
Now Comes Mike Stevens, a representative of Capital One,
anti hereby appoints Estate Information Services, Inc. as its attorney-in-fact for the
purpose of executing, filing, amending, and/or withdrawing estate claims with probate
courts anti/or executors throughout the United States on behalf of Capital One.
lie it known that this Limited POWer of Atlorney will be abolished upon the
termination &the contractual agreement between Estate Information Services, Inc. and
Capital One.
CA PITA L ONE
Its: ~
Printed Name: Michael Stevens
Sworn to an subscirbed before me this .__[~_~ day of September, 2001, a Notary
Public in and/'or the Slate of Virginia.
Name of Decedent:
Date of Death:
CERTIFICATION OF NOTICE UNDER RULE 5.6(a}
C
,- ] ,..._ .., ,., ,., , I0,
J- ~-,,ZOO
Will No. Admin. No. ~ 0 ~ -- CD 0 ;-~ ~' ~]
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on ~ - .70 --O c._ .
Name Address
,~~,'~ C,;,~..bo-~, ~ ~,, ~ a~,:_ ~. ,~,r
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
Address
Telephone ( )
Capacity?"'"
Signature
Name /e~_ c...~ CIc. rs.,bO/-TZ,
~o~ ~ ~//~
~ Personal Representative
Counsel for personal representative
STATUS REPORT UNDER RULB 6.12
Name of Decedent: ~
Date of Death: ~- 5' -- o ~
?
'Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to oompletion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
2. If the answer is No, state when the personal representative reasonably believes
that the aamln~stration will be complete:
If the nncwer to No. 1 is Yes, state the following:
Did the personal representative file a final account with the Court?
Yes _ No ~
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal rcprcs/cn~tiv,.~¢ state an account informally to the p.arties
in interest? Yes ~ No LJ
c. Copies of receipts, releases, joindcrs and approval of formal or
informal accounts ]my be filed with the Clerk of the. Orphaus' Court
and may be attached to this report.
~T~rn¢
Date:
Czp~city:
Address'
Telephone No.
[-'] Personal Representative
[-'] Counsel for personal reprcscntalive