Loading...
HomeMy WebLinkAbout12-15-11C~ ~ ;-.-, PETITION FOR GRANT OF LETTERS ~ ~ ca ~~ ~ ~ c' ~ •- REGISTER OF WII.,LS OF ~~D,r~(ner-~a,,~d COUNTY, PENNS'~.,IA to `,- "' Petitioner(s) Warned below, who is/are 18 years of age or older, apply(ies) for Letters as ~ bt~'aw, ~ support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appro form: ~? Decedent's Information ~~' _ r n Name• f j, e 5 ~ File No• I ~~,,~ a/k/a: • (Assigned by Register) a/k/a: a/k/a: Social Security No: l .Q~ _©7.6G~.8' Date of Death• u_ 2.z ~l i Age at death• Q2 Decedent was domiciled at death in C umbet-la. rz.d l County, ~A (state) with his/her last principal residence at 2B S Senn ~-_ ~~,e ~ ~ r C'n n n l.!• ~ j P A • !? 'D 1 1 ~n~9i2~1t~ Strcet address, Poet Office and Z~ Code City, Township or Bsrong6 ~ County Decedent died at ,~nrtcr9rn~tdt._rr4 ~d . ~ S~ru~ ~/'~ Street address, Post OrBce and Zip Code City, Towes~- o rough Connty State Estimate of value of deoodenPs property at death: If doaeictled in I'e+ens)Ivanis ............................ All personal property $ 3®OD - Ifnot donrfdkd in Ptwwsylwwela ........................ Personal property in Pennsylvania $ ^O If not donricJ/sd in Pennsylvania ........................ Personal property in County $ -O - Valne of gal esAote In Pennsylva>zia ...................... ................................... $ TOTAL ESTIMATED VALUE.... $ .3f96 D 0.00 Real estate in Pennsylvania situated at: _~~,~{ (Attach additional sheets, if necessary.) 3h'eet address, Poet Orrice aed Zip Code City, Towoehip or Borough County A. Petition for Probate and Grant of Letters Testamenta>Gv Petitioner(s) aver(s) he/shelthey is/are the Executor(s) Warned in the last Will of the Decedent, dated thereto dated and Codicil(s) State rehwant dren (eg. raurwcisdos, deatk ojexeeamr, dG) Excgrt as follows: afterthe execution ofthe instrument(s) offend forprobate Decedentdid not marry, was not divorced, was not apartyto apending divorce proceeding wherein the grounds far divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ©EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) c.ta., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durante minoritate If Administration, Gta or db~n.f~t.a., enter date of Will in Section A above and comi-lete list of heirs. Except as follows: Decedent was not a party to a pending divorce proceediag wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after apropersearch has/have ascertained that Decedent left no Will and was survived by the following spouse (ifany) and heirs (attach additional sheets, if necessary): Name Relationshi Address .~ ~ ~. Son 2~90f3 N~t.[l~fop C ~ ~ 2,058 M~c~len a~ lt9a~y dos h ~ 1~4.ltu.r~Gr ~n 2e8 S ~•!c ~ ti ~'-bOI~Q.~, l~dut,KX' ~. t 5 0 S euc r-e y `t Fornr RW-Ol rev. 10/11/2011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } ~~'~~ } SS: COUNTY OF } ~...~ ~: Petitioner(s) Printed Name Petitioner(s) Printed Address ~ CT JbSe ~. ILl.ctaiv-fir' 20~ `~jctw~.~ ~ ~ C l ~~ r``°l`2Dlt The Petitipner(S)above-namgd 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 thaE, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to Iaw. Sworn to or fitmed`an a ubscribed before ~ - Date l / ' ~~I me t~~ ,~~~y,of -; _ ~ Date For the72t~ister -. BONDRequired:QYES ~NO FEES: Letters ...................... S ~Q' 00 ( )Short Certificate(s)...... Q (~) Renunciation(s)......... ~ 0 ( )Codicil(s) ............ . ( )Affidavit(s)....... .. . Bond ........................ Commission ................. . Other ...... Automation Fee ............... u ~ "" JCS Fee ..................... TOTAL ..................... S Date Date To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: ECREE OF THE REGISTER / Estate of __ / /~t~ G /C _ ~(~/l~C _ /~ File No: .~-/" ~~ - ~~3U~ a/k/a: AND NOW, . 1~? e~m 6~r ~~ ~~ ~~ , in c~ ideration of the fore oing Petition, satisfactory proof having been presented before me, IT IS DEC ED that tters ~fjdfJ'Jr%1 /;~~,~ ~~ are hereby granted to TSCA u2/' " - a„.._ in the above estate and (if applicable) tk~at the instrtunent(s) dated - -~ - - described in the Petition be admitted to probate and filed of reco;d as the last Will (end Codicil(s)) otD,ecedent~-: ` Form RW-0? rev. 10/11/2011 ,,.:> ~~ ~ ~~ ~ ~~ ~, RENUNCIATION n ~ ~ ~'- ~~ _ i = C1? ~ C11 ; ~~ ~- REGISTER OF WILLS ~ a ~ x a~ COUNTY PENNSYLVANIA ~ ~-~ ~„ , a ~ 2i- ~i -133 ~ ~= .~ Estate of ~ t i bct-t E ,. 1l-~~.0~2..~-r .. Deceased I, Gilbert ~ , ~t~ ~i''• in my capacity/relationship as (Print Name) ~ ®~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~os~PG,, ~. U~ r it ~agl~ ~ ~) Executed in Register's Office Sworn to or affirm d subscribed befo me this day of , ~O~ ~-~ Deputy for Register f Wills rsi) ~ ~~ e (Street Address) (City, State, ~) Executed out ofReguter'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 Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified W administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 ~~b ,~,, ~. _ :x~ <- . ~. ~~ ~ ; RENUNCIATIIIN ~~~ s -t ~~x ~ , ~} { .. _ .. _ REGISTER OF WILLS ~ z~~ ~o ~ ~~ ~,. , ., -,-_, =~ ''~ ,-~; COUNTY, PENNSYLVANIA ~ ~ ~ ~~ \\rr Estate of 1~~ . _ ~., _ eensed I, ~ 'A c1 I Z ~ _'~~'~A 11 ~ t ?~, in my capacity/relationship as (Print Name) _ __ o't~1 of the above Decedent, hereby renounce the right to Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 (City, smote, zip) Executed out of Register's Uffice Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the p oses stated within on this .~_ day of~ 1 q n q_py 1r~n n o1, O I I Notary Public My Commission Expires: I O !z 120 ~ s (Signature and Seal of Notary or other official cpdified to administer oaths. Show date of expiration of Notary's Commission.) DESIREE SAENZ NOTARY PUBLIC STATE OF COLORADO My commi>xiwl Wtpiri~ t° lz~,~ 4®..~~ administer the Estate of the Decedent and respectfully request that Letters be issued to _ ,'e Y ,...,> .'"'. ice. ~..+~--,^~ ~--rry RENUNCIATION ~ ~° n ~~ <~ _~ ~~~ _ _, REGISTER OF WILLS ~t~Q '~ d _ ~_, (,(~ COUNTY, PENNSYLVANIA ~~ ~ c=, ~~~ ~ ~ ~~ ~ Estate of ~7 i 1 b ~ r ~ -' I " l ~ U,~~ ~ Deceased I, ,~ G~ ~Dll ~~ I ' t~ re Ir in my capacity/relationship as (Print Nmne) e s-~--h of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to /~ ~ - ~ mom) 1 r~i~ 1st-S- ~~~~ ~.. (Street dddresr) Ps~ (City, Sta ,Zip) Executed in Register's Office Sworn to or affirmed and subscribed btfe me this ~~ ~ day ~ `~~ o ~ Deputy for Register of Wills Form RW-06 rev. 10.13.06 Executed out ofReguter's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the pgu s stated within on this ~~ day Notary' (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL -~ CARRtE JEAN SWGER, Notary Public Lower Paxton Twp., Dauphin County My Commission Expires Sept. 7, 2014