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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,
Petitioner(s) named below, who is/are 18 yeazs of age or older, apply(ies) for Letters as
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appr
Decedent's Information
Name: EDGAR V. STINE
a/k/a:
a/k/a:
a/k/a:
Date of Death: January 10, 2012
File No: ~ I~ I ~ - D'O
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(Assigned by Register)
Social Security No: 19426-6464
Age at death• 77
Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last
principal residence at 111 Railroad Lane. Shippensbure, PA 17257 Southampton Township Cumberland
Street address, Post Office and Zip Code City, Township or Borough Connty
Decedent died at 10745 Route 18. Albion. PA 16475 Conneaut Erie Pennsylvania
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................All personal property $ 17,000.00
If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $ 75,000.00
TOTAL ESTIMATED VALUE.... $ 92.000.00
Real estate in Pennsylvania situated at: 111 Railroad Lane, ShippensburQ, PA 17257 Southampton Township Cumberland
(Attach additional sheen, if necessary.) Street address, Post Office sod Zip Code City, Township or Borough County
® 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 October 15, 2003 and Codicil(s)
thereto dated none
State relevant circumstances (eg. renunciation, death ojexecutor, etG)
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., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate
If Administration, Gt:a or db.n.~t: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 seazch 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 Relationshi Address
Forn xw-oa rev. loiili2olt Page 1 of 2
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Oath of Personal Representative .
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COMMONWEALTH OF PENNSYLVANIA } ~, ~ ~3
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CUMBERLAND ~,~:,
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COUNTY OF
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Petitioner(s) Printed Name Petitioner(s) Printed Address ~' n
CHARLES DAVID COY 115 Railroad Lane Shi ensbur PA 17257
The Petitioner(s) above-named 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 that, as Personal Representative(s) of the edent, the Petitioner(s) will well and truly administer the estate according to law.
5wom to r a _ ed d subscribed before Date }~,
me tlti~ y ~Z- Date
Register
Date
Date
BOND Required: ®YES Q NO
FEES:
Let~rs ...................... $ •~
( ,)Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Automation Fee ............... i
JCS Fee .....................
TOTAL ..................... $
To the Register of Rills:
Please enter my appearance by my signature below:
Attorney Signature:
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Printed Name: David Patrick Perkins, Esquire
Supreme Court
ID Number: 34342
Firm Name:
Address:
717 - 532- 9537
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DECREE OF THE REGISTER
Estate of EDGAR V. STINE File No: ~ I. ~ /~. " v I y V
a/k/a:
AND NOW, JGL Cl /' /7 0 ~ ~„ in consideration of the foregoing Petition,
satisfactory proof having been pre ted before me, IT IS DECREED that Letters Testamentary
are hereby granted to Charles David Coy
in the above estate and (if applicable) that
the insttwnent(s) dated October 15, 2003
described in the Petition be admitted to probate and filed of recgrd ~s the last W~11(and Codicil(s) of Decedent.
Form EW-02 rev. 10/11/2011
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