HomeMy WebLinkAbout08-02-12I1V THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Gilles Dugan ,Deceased ESTATE NO: 21- ~ ~ - ~ ~~
a/k/a: Gilles Joseph Dugas
a/k/a:
a/k/a: SS NO: 405-91-0126 (Canada)
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
^ A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (complete Part Calsa)
and aver that Petitioners} is/are entitled to the aforementioned Letters _ under
the last Will of the above-named Decedent, dated and codicil(s) dated
(State relevant circumstances, e.g. renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a
party to a pending divorce proceeding at the time of death wherein grounds for divorce bad been established as defined in
23 Pa. C.S.A. § 3323(8):
~ B. Grant of Letters of Administration Pendente lite
(lf applMabk, enter d.b.a., pendent lice, durante absentia, durance minoritate)
C. Petitioners}, after a proper search, has/have ascertained that Decedent left no Will and was survived by the
following spouse (if any} and heirs (If Administration c.t.a. or d.b.n.c.t.a., enter date of Wiil in Section A and complete list of
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8). except as follows:!„_
Name Address Relat' " to Decedent-
Ann Carolyn Dugas 0066 County Road 18, R.R. 2 WII1lamstown Spot=C7 xa.
tario, Canada KOC 2J0
'A7 ~ ~ l-.
`yr~~
~% C.7
USE ADD1T[ONAL SHEETS 1F NECESSARY - ~ ""
THIS SECTION MUST BE COMPLETED: Glengarry County, Ontario, Canada Z,. '
Decedent was domiciled at death in with his/her last family or principal res~~nce
At 20066 County Road 18, R.R. 2, Williamstown, Ontario, Canada KOC 2J0, Glengarry Township
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 61 years of age, died 8/28/2009 at S. Middleton Township, Cumberland County,PA
(Month, Day, Year of death) (City and State where doath occurred)
Estimated value of decedent's property at death:
If domiciled in PA
If not domiciled in PA
_!f not domiciled in PA
_Value of Real Estate in Pennsylvania
All personal property
Personal property in Pennsylvania
Personal property in County
Total Estimated Valoe
Location of Reat Estate in Pennsylvania: (Provide full address if possible.)
a
$ 0.00
$ 0.00
~ 0.00
S 0.00
Sianature(s) Names} & MaHing Addresses}
~~
T t 'T^
__r
_~_
"_
~n
~`,. Ann C. Dugan, 20066 County Road 18, R.R. 2
Ontario, Canada KOC 2J0
Interim form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Pagc l of 2
i
~ ~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
SS
The Petitioner(s) above-named swear(s) or affirm(s) that 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, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the ~~ day of
l/
~,.,.
Signature of Personal
o~ "° Signature of Persona! Representative ~~„ ~ r'e'd ~ `-` r-
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or the Register Signature of Persona! Representative .?~
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File Number: ~ ~ - ~ ~ - U~] ~o~
Estate of Gilles Joseph Dugas ,Deceased
Social Security Number: 405-910-126 Canada) Date of Death:08/28/2009
AND NOW, ~ m consideration of the foregoing Petitions satisfactory proof
having been presented ~ fore me, IT IS DECREED that'Letters ~~-I ~ ~~,i r~,/ ~~(/~ f,S fYr.~ ~t~~~ F~{~(}r~pr7~ ~~ ~-Q
are hereby granted to Ann Carolyn Dugas ~
in the above estate
and that the instrument(s) dated Non-applicable
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES n ~ L~' U.
20.00 Registe~fjWills 1Z((~i~{'(, i ~
Letters ............... $
,;; - ....
Short Certificate(s) ........ $ 8.00 Attorney Signature: ~'
Renunciation(s) ....... ... $
JSC fee
23
50
Attorney Name: Cara J. Luther
$ .
Automation $ 5.00 Supreme Court I
D
No
: 52545
.
.
.
... $
$ 20
00 Address: Baum, Hedlund, Aristei & Goldman
... .
• • • $ 1250 24th Street
N
W
Suite 300
,
.
.,
... $
$ Washington, D.C.20037-1124
' ' ' $ (202) 466
0513
Telephone: -
... $
TOTAL ........... ... $ ---5fr59."'
$76.50
Form RW-02 rev. 10.13.06 Page 2 of 2