The URL can be used to link to this page

Home My WebLink About02-23-12PETITION FOR GRANT OF LETTERS c REGISTER OF WILLS OF ~ UYYlF~raL~MN9 COUNTY, PENNS ~ NIA ~ rn . Petitioner(s) named below, w•ho is,'are 18 years of age or older, apply(ies) for Letters as ~ belts, an support thereof aver(s) the followin, and respectfully request(s) the grant of Letters in the appro fE2 m: w ~'=~ c-~O -~ ~w =~.% Decedent's Information = 3O-'-' ~ ; .~~- Name: File No: ~/2_ •~, ~ rrt a/k/a: (Assigned by' gister) .~- "'' a/k/a: w a/k/a: Social Security No: 172 ' D ~ " `fib 7~ Date of Death: ~QylM1/7_ ~ ~, Zo!/ Age at death: ~ 7 Decedent was domiciled at death in principal residence at ~Q~ IdDO Decedent died at Street address, Post Office and Zip Code or County Street address, Post Office and Zip Code City, Township or Boroug4 Estimate of value of decedent's property at death: If dotniciled in Pennsylvania ............................ All personal property If not domiciled in Pennsylvania ............. . .......... Personal property in Pennsylvania If not domiciled in Pennsylvania ........................ Personal property in County Value of real estate in Pennsylvania ........................................................ . ~ TOTAL ESTIMATED VALUE... . Real estate in Pennsylvania situated at: (Attach additional sheeu, ijnecessary.) Conntyn~ State / 90 $ ~ S S S S 4 40. ~' Street addreaa, Post Office and Zip Code City, Township or Borough ^ 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 _ County and Codicil(s) State relevant circumstances (eg. renunciation, death ojexecator, eta) 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. ^ NO EXCEPTIONS ^ EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) ~ LC ~ ~ S~tS ld'I w/.l b e .A ~I[b~!/ ®~~/-I • ~~ t ~~'`~ c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durance absentia, durante minoritate If Administration, c.i:a or db.n.c.ta., 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. ~O 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 Relationshi Address " 5~t2 ~ ~ 2~ Q'21( f~eZ 3~ diY/ Ave. +cil'Go. ~La~>7 /I~tt•~s ,1, ~~ tt» er DOc~S ~r• ~~Chd~Ytifc i7 Forr» RW-02 rev. 10/ll/201 / County, P~/IfSy/Vx~rl)a.- (Stare) with his/her. last ~Z/3o :Sa Page 1 of 2 era .•.-. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } COUNTY OF } o ~. se on~y ~ .~ Q m ~ ~~,,~ 7 ~ ~. ~:., r'~ ' Petitioner(s) Printed Name Noel ~: ~ ~n ,f9 woos ~f• `~ Petitione s Printed Address 'd ~ ) 2ch~resb~l ~~. J7~ 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, ea Personat Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law. Sworn to r ~ ~ d ~ cribed be re ~tAi~~~/ Date ~- >'2 3 ~ /'2 me - y% f Dace By ,= Date ,. a nao;~..a_ Date BOND Requir~d:;[~X'ES ~NO FEES: 20 . o~ Letters ...................... $ O ( y) Short Certificate(s)..... . ( / )Renunciation(s)......... O ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other •••••••• Automation Fee .............. . JCS Fee ..................... TOTAL ..................... $ To the Register of Wills: Please enter my appearance by my slgnature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: i Phone: Fax: Email: DECREE OF THE REGISTER Estate of /''' Qr ~ /'L ~ File No• ~~^ !~ D ~'~-'~J a/k/a: --T // ~e O r (,~ Qr ~ '~ ~Q l ~, in considera 'on of the foregoing Pet;tign,~ AND NOW, ~ satisfactory proof having been present before me, IT I~~EGRE that Letters ~ 1)') ~ /'11 <`~CL Q are hereby granted to /Vl/G~ ~ ~4 4 ~ in the above estate and (if applicable) that, the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Wil~and Codicil(s)) of~ecedent. of Wills Form RW-02 rev. !0/ll/1011 REi~'U~tCIATION REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of I, ¢~ iv ~ ~ G 7E3 ~~ ~ o N W -v t'~ ")'] c`vti °.'' O~ 3 "~~--~ ~ F C..? Deceased _ in my capacity/relationship as (Pr'nt N J of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to e/ J a .~ (Dare) ~~~ .~~ ~r~P~ l~V~ (StreetAddressJ ~d~~~ ~~ssc~-,h U~~~~ D Z ~ 3 0 (City, State, Zip) Executed in Register's Office Sworn to or affirm n~bscribed bef a this _,~~~- da of 1~... ~~ r~ - ~ ~~- - A 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 , ~ty for Register of~0ilis Notary Public My Commission Expires: (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