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HomeMy WebLinkAbout01-09-12Reset PETITION FOR GRANT OF LETTERS ~ ~~' ~--p REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNS~NIA =C~ :~ ' Petitioners} named below, who is/are 18 years of age or older, apply(ies) for Letters as ~~'€~l be~gyv, al4d { support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appro~~ f~nm: s~• : -• .' ~ry Decedent's Information ~~ ~ ~ - ~ Name: Thomas P. Zach File No: M' ~ ~ ~ "_" `'° ~' a/k/a: (Assigned by Register) cr= a!k/a: a/k/a: Social Security No: 195-44-7350 Date of Death: December 12, 2011 Age at death: 56 Decedent was domiciled at death in Cumberland County, pe~Sylvania (Scare) wi~~i er last principal residence at 63 Vine Street. Boroueh of Newville, County of Cumberland. PA 17241 Street address, Post Office and Zip Code City, Township or Boroag6 County Decedent died at 63 Vine Street. Borout=_h of Newville, County of Cumberland. PA 17241 Street address, Poet O[ftce and Zip Code City, Township or Borough Ceanty Shte Estimate of value of decedent's property at death: Ijdonelclled In Pennsylvania ..... . ....................All personal property $ ... Ijnot dornidkd in Pennsylvania ........................Personal Property in Pennsylvania $ If not donriciltd in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylwanla ......................................................... $ TOTAL ESTIMATED VALUE.... $~ Real estate in Pennsylvania situated at: (Anach additional sheets, ijnecessary.) Street address, Poet Office and Zip Code City, Township or Borough Coaaty ^ 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 thereto dated and Codicil(s) State relevant dreamstancea (eg. renrrnciatlon, death of araator, etc) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, 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 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.t.a., d.b.n., db.n.c.t.a., pendente life, durance absentia, durante minoritate If Administration, ~t.ti. or db.n.c.~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 Relatieashi Address Salisa D. Borsuk Step-daughter 501 Steelstown Road Newville A 17241 Danielle M. George Daughter 63 Vine Street Shawn B. Zach Son 63 Vine Street Newville PA 17241 Form RW-02 rev. 10/11/2011 Page 1 of 2 .~ d~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } SS: } Petitioner(s) Printed Nam Petitioners; ~~pp ~X ~ _.:`~ ~ Debra ~. Zach 63 Vine Street Newville PA 1741 - -Q ~ .~s e", The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and convect 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 to law. Sworn to~~ffirmed and subscribed be ore ~ (;~. ~~l.Ql Date ~ ~~~- me t~ '7`~day of r ~/~- Date By: Register BOND Regaired: ®YES ®'NO FEES: Letters ( ...................... )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond . ..................... Comm ission ................. . Other ........ 2~. 00 . D Ov Date Date To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Steven R. Snyder, Esquire Supreme Court ID Number: 90994 Firm Name: Rominger & Associates Address: 155 South Hanover Street Carlisle, PA 17013 Automation Fee .............. . JC5 Fee . ................... TOTAL ..................... Phone: Fax: Email: 717-241-6070 717-241-6878 snyd .r rnmi~gerlaw_com DECREE OF THE REGISTER Estate of Thomas P. Zach File No: ~/ ~~~ ~~ ~~ a/k/a: AND NOW, J l~ U Gl t" -! ~ )~ ~ ~ ~-, in consideration of the foregoing Petition, satisfactory proof having been prese ted before me, IT IS DECREED that Letters of Administration are hereby granted to Debra A. -Zach in the above estate and (if applicable) that the instrtunent(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Register of Wills Form RW-02 rev. l0/11/2011 Page 2 ~f „_. RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA n ~~ ~~~' ~p4 ~~ ~i-~~.-oa2,~ ~,,, ~'~l ~J ~;- r a=~-~' ,-~ ~ i~. r^ ~,- l ~~~' Estate of Thomas P. Zach Deceased I, Salisa D. Borsuk , in my capacity/relationship as (Print Name) Step-daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Debra A. -Zach ~~~- ~a (Date) (Signature) 501 5teelstown Road (Street Address) Newville, PA 17241 (city, scare, zip) Executed in Register's Office Sworn to or affirmed and. subscribed before me this day of , Deputy for Register of Wills 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 ~a~ ~ ~~ Notary Public My Commission Expires: ~lY S 1 gv13 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission:) COMMOiIl~~lF[TN OF Pf;NNSY-VAMIA~ Form RW-06 rev. 10.13.06 p©TARIAL 8EA6 Nathan Shoemaker, Notary Public Newville Berouph, Cumberland County My CammlaNon E roar ,luty Oli, 2413 ~? ~O RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA - ~.~"~z-ooz7 ~' ~., , ~~ t ~ ~==~ ~ '~R` f--; ~. f ,: >E:-, -- -~- ~; ~~~ Estate of Thomas P. Zach ,Deceased I, Danielle M. George , in my capacity/relationship as (Print Name) Daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Debra A. Zach -~-« (Date) 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 Signature) 63 Vine Street (Street Address) Newville, PA 17241 (City, State, Zip) 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 3 `~ day of •s sw/a Notary Public My Commission Expires: ?t,ly $ , ~u/3 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) ON IA~TN OF ~ENNSIIWANIat Nor~R~At sE~~ NetMa ShOem~ksr, Notary Public Newviile derouph, CumbsriandC~punty Nh GanNMNbn Expina Jultr OA. X01 RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA .,~,~ "t7~'3 ~7 r-_. ~~~ ~~a ~' -~, --t >,? 2 I- I~- o 0~.7 ~.. :~.*_' t cn %_., , r~ ~~ f ~., _: ~, r ...Y: _ _T -.r. ~ i.... rn~ ~~ Estate of Thomas P. Zach ,Deceased I, Shawn B. Zach , in my capacity/relationship as (Print Name) Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Debra A. Zach /-~ -~a (Date) (Signature) 63 Vine Street (Street Address) Newville, PA 17241 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills 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 3''1 day ~~ .-~ Notary Public My Commission Expires: '~„iY a o~/~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.!3.06 COMMONWEAttH OF PENNSYLV/41wtA NOTARIAL SEAL Nathan Shoemaker, Notary Public Newvilla Borouflh, Cumberland Gou~rt~ My Comrnlabn Explrs: Juty 08, Rf1) ~