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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: Leroy D. Smith, Jr.
a/k/a:
a/k/a:
a1k/a:
Date of Death: December 12, 2009
File No: ~ "'
ssigned by Register)
Social Security No: 177-42-0648
Age at death: 55
Decedent was domiciled at death in Cumberland County, pennsylvania (ware) with his/her last
principal residence at 344 Old State Road. Gardners. Dickinson Township Cumberland County Pennsylvania 17324
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 344 Old State_Road, Gardners, Dickinson Township Cumberland County Pennsylvania 17324
Street address, Post OfTce and Zip Cade City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled 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 ......................................................... $ L ~, o ~ ~j. o~
TOTAL ESTIMATED VALUE.... $ 10, 0.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.) Street address, Post Office and 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 and Codicil(s)
thereto dated
State relevant circumstances (e.g, renunciation, death ojexecutor, 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(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. n ~ ~•-~
NO EXCEPTIONS ~ EXCEPTIONS _ ~Q ~ .~~
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d. b. n., d.b.n.c.t.a., pendente life,
If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complea~of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce~a~~7~een esta~i~'shed ac-a~et~ed
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ '' .. F..~ ; rt
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 Relationshi Address
Shawn Michael Smith son 811 Factory Street
Carlisle Penns lvania 17013
Scott E. Smith son Perry County Prison
Justin Smith son deceased
Form RW-01 rev. !0/11/201 / Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland
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Petitioner(s) Printed Name Petitioner(s) Printed Address
James Neff 519 Chestnut Street, Mt. Holl S rin s PA 1706 ~~ S
~~
,.~
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 Decedent, the Petitioner(s) will w and truly administer the estate according to law.
Sworn to or affirmed and subscribed before l Date „3 _ ~ l~
me this day of , ~ } Date
By: 1~,~ Date
For the Register Date
BOND Required: Q YES ~O
FEES:
Letters ...................... $ ~ • L (~
( ~- )Short Certificate(s)...... .CSC?
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name: Michael A. Scherer, Esquire
Supreme Court
ID Number: 61974
Automation Fee ............... J-C~J
JCS Fee . .................... ~ 3. 5t;
TOTAL ..................... $ 0.00
Baric Scherer LLC
Firm Name
Address:
Phone: (717)249-6873
Fax: (717)249-5755
Email: mschererCo?haricscherer_cnm
DECREE OF THE REGISTER
Estate of Lerov D. Smith, Jr. File No: ,~ ~ - ~ ~ - (/~ x
a/k/a:
~v
AND NOW, ~ ~~7 (?~ r ~ ` ~ C~ ~- , in consideration of the foregoing Petition,
satisfactory proof having beeneen p~ed before me, IT IS DECREED that Letters of administration
are hereby granted to James Neff
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 Will (and Codicil(s)) of Decedent.
r
Cat ~~___. c n. ~,~
Register of Wills ~ Y'~ ~1' ~~~~
FormRW-02 rev. !0/10201/ ~~~"~ ~ 7
Page 2 of