HomeMy WebLinkAbout03-29-12r .s
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PETITION FOR GRANT OF LETTERS ~
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REGISTER OF WILLS OF CUMBERLAND COUNTY, YL',~ANI~q-
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Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and irr~here~ver(sj tiie~
following and respectfully requests the grant of Letters in the appropriate form: i]~ ~ ~
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Decedent's Information /~
Name: Michael D. Politzer-Hardy File No: 21 ~ ~ ~ //~7~
a/k/a: (Assigned by Register)
a/k/a:
Date of Death: 02/17/2012 Age at Death: 18
Decedent was domiciled at death in Cumberland County, pA (State) with his/her last
principal residence at 42 Kenwood Avenue, Carlisle 17013 South Middleton Cumberland
Street address, Poet Office and Zip Code City, Township or Borough County
Decedent died at 42 Kernvood Avenue, Carlisle 17013 South Middleton Cumberland PA
Street address, Post Office arM Zip Code City, Township or Borough County State
Estimate of value of decedents property at death:
Hdomfciled in Pennsylvania ...................... All personal property $ 20.000.00
Knot domiciled in Pennsylvania ................ Personal property in Pennsylvania $
Hnot domiciled In Pennsylvania ................ Personal property in County $
Value of real estate in Pennsylvania ................................................................... $
TOTAL ESTIMATED VALUE $ 20,000.00
Reel Male in Pennsylvania situated at
(Attach addl(ione/sheets. if necessary.)
Street address, Post Office and Zip Code
City, Township w Borough
County
A. Petition for Probate and Grant of Letters Teatamentarv
Petitioner(s) aver(s) that helshe/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., renunaadon, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not ma 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.§ 5323(8), and did not have a child bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS EXCEPTIONS Death Certificate of father, David Hardy. showing death on July 2, 2004 provided
B. Petition for Grant of La~ttars of Administration (If applicable)
If Administration, c.ta or db.n.c.ta.,
c.t.a., d.b.n., d.b.n.c.ta., pedants life, durante absentia. durance minorrtate
Except as follows: Decedent was not a party to pending divorce proceedingg 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 adudicated an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was surv'roed by the following spouse (ff any) and heirs (attach
additional sheets, if necessary):
Name Relationship Address
Politzer, Geneva Mother 42 Kenwood Avenue
Carlisle PA 17013
r-onn RW-02 reg. ~0-~~-20~~
Copyright (c) 2011 form sottware only The Lackner Group, Inc.
Page 1 of 2
Oath of Personal Representative orrGei u8e only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s) Printed Name Petitioner(s) Printed Address
Geneva Politzer 42 Kenwood Avenue
Carlisle, PA 17013
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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 k~lWledge and~i
belief of Petitioner(s) and that, as Personal Representative(s) oft a t, Petitioner(s) will well and truly administer the estate ~~x'oo mg to law.
Sworn to o' ed and scribed a re °~ ~q IOC
met ' of °~
Date
By:
BOND Required? ^ YES ^ NO
FEES: / O • Q
L rs .......................................... $ (Y
( )Short Certificate(s)......... -
( )Renunciation(s) ..............
( )Codicil(s) ........................
( )Affidavit(s) ......................
Bond .............................................
Commission ..................................
Other
Automation Fee ............................
JCS Fee .......................................
TOTAL ......................................... $
To the Register of lKlls:
Date
Please enter my appearance by my signature below:
Attorney S' tune:
e: Bradley L Griffis
Supreme Court
ID Number: 34349
Firm Name: Griffis 8 Associates, P.C.
Address: 200 North Hanover Street
Carlisle, PA 17013
Phone: 717-243-5551
Fax:
E-mail: bgriffie~griffielaw.com
DECREE OF THE REGISTER
Date of Death: 02/17/201.2
Social Security No: 188-7 086
Estate of Michael D. Politzer-Hardy File No: 21
a/k/a:
AND NOW, ; in consideration of tt~ for®going Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Geneva Politzer
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 layft II (and CodicilO) of DecedeRt~ _ // -
Form RW-02 rev. 10N 12011 Copyright (c) 2011 form software only The Ladvrer Group, Inc. p~ ~ ~~~ ~~ ~~ap'2 of 2