HomeMy WebLinkAbout11-15-11PETITION FOR PROBATE AND
REGISTER OF WILLS OF Cumberland GRANT OF LETTERS
Estate of Sk lerJamesWen er COUNT Y,PEIVIVSYLVANIA
also known as
File Number __~~ ~ - 11 _ I aa~
Deceased Social Securi
Petitioner(s), who is/are 18 h' Number 20$-76_2066
(COMPLETE ~ ~ ~ ~ Years of age or older, apply(ies) for:
A OR B BELOW,y
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
~rlJames 1/Verineaawas a minor survived b hi
and codicil(s) dated
mees s arents. Mpr~~, ~ ~ ,_ Hanel in the
his right t„ „~....:_:~.
Except as follows, Decedent did not mar (State relevant circumsrancesV e. n'a Jeparate Page l ~ -~-
for probate, was not the victim of a k~llin 8 renunciation, death o executor, etc.)
ry, was not divorced, and did not have a child born or adopted a8er execution of ~
g, was never adjudicated incapacitated, and was not a
of death wherein grounds for divorce' had been established as provided in 23
~~ttiment offer ~~
PA C.S. Party to a pending divorce pro 'ng at ~ time' '=;;~
section 3323 (g);
,-
B• Grant of Letters of Administration rr~ !` ~~
} 27
=~ ~-~;
;~
< -
Petitioner(s) after a proper search has (I,1~applicable, enter: at. a.; - ; ~_~ `r? -~-~
d. b. n. c.t.a.; pendente life; durance absentia; dur~t~ ~ ~ _
~ have ascertained that Decedent left no Will and was survived b the noritare _.,_ _
Administration, c. t. a. or d. b. n. c. t, a., eater date of Will in Section A above and complete lis r
Y followin - '~'`'
Name t of heirs) g spouse (if any) an'a heirs``~~
n ,_ 1
m Roa
(COMPLETE INgLL C,gSES:
Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland
1609 W ndham Road
(List street address, town/ci ~ C'am HIII PA
ry, township, coup ,state, _t
' p code)
Decedent, then 14
~~-~VerSItV ~r1'_--.vA -"" Yearsiofage, died on ~O/2$/2n1
Pennsylvania, with his /her last
'111
Hershe at__ n
Decedent at death owned property with) estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
Value of real estate in Pennsylvania Personal property in County
situated as follows
at
$.
$.
$_
Wherefore, Petitioner(s) respectfully request(s) thq probate of the last Will and Codicil s
the undersigned;
Opresented with this Petition and the grant: of Letters in the appropriate form to
Signature
/. n r
TYPed or printed name and residence'
m
?rm RW-O? rev. 10.13.06
Page 1 of 2 `
Oath of Personal Representative
COMMONWEALTH OF PEI`iNSYLVANIA .
COUNTY OF CUmberlan J ~ SS
The Petitioners
Oabove-named swear s
the knowledge and belief of Petitioner s O or a~`rn(s) that the statements in the fore oin P
administer the estate accordin ()and that, as personal representatives g g etition are true and correct to the best of
8 ~o law. () of the Decedent, Petitioner(s) will well and truly
Sworn to or affirmed and sub;
~~ r~ e the ~~
File
Estate of
Social Security Number:
AND NOW,~~Pm~~
having been presented bef=ore m'~~e, IT_
are hereby granted to IVlelisca I
and that the instruments _
described in the Petition be admitted
FEES
Letters ...,.... ,
~..~ p7$
Short Certificate(s) ...
Renunciation(s) . .....
.... $
,
~ $
.... $
.... $ .
.... $ -
.... $ -
.... $ -
.... $ -
.... $ -
.... $ -
~OTAL ...... .... $
............. ..........
r RW-02 rev. 10,13.06
Of J1Snatu~~f persona[ Representative
L
Signature of persona[ Representat/ve ~
`
~
_ -~ ~,
r
Signature of pers ~ •,;
~ ~ ~
onal Representative
~~ i -7
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amber: . _. _~..~
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~O-/fi-2066 -,Deceased
S Date of Death: 10/28/2011
in consideration of the foregoing petition, satisfacto
DECREED that Letters Adn1lnlStratlOn
IVenS ry proof
probate and filed of record
.~
last
Attorney Signature:
s.Y) of
of
in the above estate
- - Attorney Name:
~(3
Supreme Court I,D, No.: 39785 _„ ..
Address: 414 Brld
e Street
New Cumberland
Pq
Telephone: 17070
717-774-7435
Page 2 of 2
I
LO~q~ REGISTRARS CERTIFICA
WARNING: It is illegal to duplicate this co b TION OF pEATH
pY y photostat or photograph.
Fee for this certificate, $6.00
P 17:~26490~
Certif I Number
This is to certify that the information here given
correctly copied from an original Certificate of Deg
duly filed with me as Local Registrar. The origin
certificate will be forwarded to the State Vit
Records Office for permanent filing.
~~??!rt. ~ ~ NO 01 011
Local Registrar
Date Issued
C7
~
~ `„ ~ '
-_
~', cn ~ -.Y ~-1
5.1M REV te2bpd
YPF/PRIdrIR ~" r ~7 ~.i _7
"-t ~ ~~. ` -
~~ COMMONWEALTH OF PENNSYLVANIA • ~
f. Nrw d ow.d„d (Rat eddrte~ Iqt euAg1
''-~ 7 v ~ -~ .t
CORONER'S CERTIFICATE OF pEq H ~ VITAL RECORDS
«° I°~t^kIIO~e end
-~
Skyler James
~• ~a B,er eknd,yl
Undr 1 exam ~
-t ~:,~ -~-,
en e r Ples on remorse) 5rA ~' - .Ti
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----_-__-- 33c Upty, Number
tlyp -- ~ Graham S. Hetrldk, Coroner
aa, dale, end Plaea, and da b dy eayyp and eearur r ~. ~ 34'yd (tbnn, day. Year)
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ober 3l, 2011
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! DrPO'a0f1Pe"nk~• asSh4Q~ Hanfsbu PA 17111
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RENUNCIAT
~~
.:..J
ION ; ,, ~~
~,=i `:..
'' REGISTER OF WILLS C_r= < ~~-
umberland G~P~;,,; ,; _, ~ ,,
COUNTY, PENNSYI(~'~~4I ;'~` ;'~i~~ Fq
~~_
Estate of
I,
(Print
administer the Estate of the
11 - } ~} _ Z-c; ~ll
(Date)
(signaturef
422 7th Street
(Street Address)
New Cumberland
(ctry, state, zip) PA 17070
Executed in Register's Office
Sworn to or affirmed and subscr
before me this
of
,-
Deputy for Register of Wills
COMMONWEAL
,Deceased
in my capacity/relationship as
of the above Decedent, hereby renounce the right to
and respectfully request that Letters be issued to
PENNSYLVANIA
JEPJNIFER A. M RKLE, Notary Public
New Cumberland oro. Cumberland Co
My Commission Expires July 7, 2012
'rm RW-06 rev. 10.13.06
Executed out of Register !s Office
Before the undersigned personall a
party executing this renunciation andcert'fied e
that he or she executed the renuncia~ion for the
purposes stated within on this~_ da
of_AI~,~.~r ~-: - y
-----.-_ , 3.0--~_ .
c~!
-~1Votary public
My Commission Expires:
admnnister oaths.e how date of expiratio~c>f Not alified to
ary's Commission.)