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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: Betty M. Sarver ~ ` /~
a/k/a. B~Mtldred Sarver File No: ~ _ ~ ~ `-y
a/k/a: (Assigned by Register)
a/k/a:
Age at death: 83
Decedent was domiciled at death in Cumberland Count
principal residence at 200 East Coover Street Mechanicsbur PA 17055 YI PMechanicsbur Bor (State) with his/her last
Street address, Post Office and Zip Code Cumberland
City, Township or Borough County
Decedent died at 1000 Claremont Road Carlisle PA 17013 Middlesex T
Street address, Post Office and Zip Code Cumberland pp
City, Township or Borough County State
Estimate of value of decedent's property at death:
Ijdotntciled in Pennsylvania ..................... All personal property
If not domiciled in Pennsylvania ........................Personal roe $ 3,000.00
If not domiciled in Pennsylvania ........................ Personal propel m Pennsylvania $
p p rty in County $
[value of real estate in Pennsylvania .............................. .
TOTAL ESTIMATED VALUE.... $- 9'x'000 00
Real estate in Pennsylvania situated at: 200 E. Coover St. Mechanicsbur PA 17055 Boro Mectianicsbure 100 000 00
(AUach additional sheen, ifnecessary.) Street address, Post Office and Zlp Code - Cumberland
City, Township or Borough County
A. Petition for Probate and Grant of Letters Testaments
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated
thereto dated _ and Codicil(s)
State relevant circumstances (eg. renunciation, death of executor, etc.,l
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
(If applicable)
c.t.a., d. b. n., d.b.n.c.t.a., pendente line, durante r{63entia, duranfe,:ininoritate~
If Administration, c.xa. or db.n.c.ta., enter date of Will in Section A above and com late ~ heirs.ay ~- ~ ;_-
Except as follows: Decedent was not a p g ~ ~ T
in 23 Pa. C.S. 3323 PAY to a endin divorce proceeding wherein the grounds for divorce had lishe~s def~~d.~ ~'''
§ (g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. _ rn
NO EXCEPTIONS ®EXCEPTIONS `~ Gra ~ C+J ~ • ~ _
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following sp ~.J (pan andi '``,
additional sheets, ifnecessary): - ~7 ~-~
---+ ~ j..- tai
~ ~~
Name Relationshi
•n.n T Q....__ A.I.a____ ...,
Form RW-01 rev. 10/11/1011
Page 1 of 2
`~`
B. Petition for Grant of Letters of Administration
-~ -°~ ~ - ,......,,.. ~ W cai~sl or arnrm(s) the statements in the foregoing Perition are true and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Dec ent, the Pe itione s) will well and truly administer the estate according to law.
Sworn to or affirmed an subscribed before
me this y ,• _- ~~~ Date y-/3-o°tQ~p~
By: C,-= -~_ Date
Fo the Regi Date
___ Date
BOND Required: ~ YES Q NO
FEES: To the Register of Wills:
Please enter my appearance by my signature below:
Letters ......... .. $ 210.00
( )Short Certificate(s)...... Attorney i nature:
12.00 ,
( )Renunciation(s)......... 5.00 ~_
( )Codicil(s) ............ .
( )Affidavit(s)............
Bond ........................ Printed Name: Marlin R. McCaleb, Esq.
Commission ................. .
Other Supreme Court
' ' ' ' ' ' ' ' ID Number: 06353
' ' ' ' ' ' ' Firm Name: Law Offices-Markin R. McCaleb
:::::: Address: 219 Ract Main 4treet
....... P- n- Rnx 'fit)
. Mechanicsbur PA 17055-0230
" " " ' Phone: 717-691-7770
Automation Fee ............... 5.00
JCS Fee.. Fax: 717-691-7772
• ' ' ' ' ' ' ' ' ' ' ' • • • • • • • 23.50 EmaiL• marlinm~calPhnrr
TOTAL ..................... $ 55 5(1
DECREE OF THE REGISTER
Estate of Betty M. Sarver, ~ ) ~ / ' 3~
a/k/a: Be Mtldred Sarver File No: ~ =`+] js
AND NO ~'~~ ~ ~ v f
satisfactory pro a ng been presented before me, IT IS DECREED that Letters of Administrarionthe foregoing Petition,
are hereby granted to Dennis L. Sarver
the instrument(s) dated N/A in the above estate and (if applicable) that
described in the Petition be admitted to probate and filed of re rd as the last, ill (and Codi. (s)) of Decedent
i
~`; ~ ~ ~
Register of i s
Form RW-02 rev. 10/11/2011 ~~~~ I~ -~
~/ Page 2 of 2
Oath of Personal Representative _ _' ' ~ - •
- ti8• s o~
,.. ...
COMMONWEALTH OF PENNSYLVANIA } ~ ~~`! ~ ~` ?`~~ ! ~
~.-l
COUNTY OF CUMBERLAND } SS: ~1 { ~ ~~~ 1 ~ ~~~ ~: + a
~;
RENUNCIATI ~ ~ ~`"
~~
ON ~~rn ~ _ .
~- ~ ~.,
REGISTER OF WILLS ri~"'~
~7 ;-~ ~_
CUMBERLAND COUNTY, PENNSYLVANIA '~~.~~~~"~-- ~, ~ ~ ~`
-~-~
P '"'
~ ...1 .. ~. ~ O
:D --- ~n
L„
Estate of BETTY M. SARVER, also known as BETTY MILDRED SARVER
Deceased
I, Cheryl A. Nickel
(Prrat Name) in my capacity/relationship as
dau>;hter and next of kin
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Dennis L. Sarver
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
.t~N9t~i~WE3~i
~°~#~n K.. ~.
~~~ ~ ~ ~ ~ ~
Form RW-06 rev. 10.13.06 'f'>, tlMSY:v.
(Signature)
11 Burghers Mill Road
(Street Address)
Plainfield, PA 17015
(City, state, zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatio for the
purposes stated within on this /_ i~ ~~ day
Notary public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
r ~ ~ c i "~ `~.'~' +iA administer oaths. Show date of ex~~iration of Notary's Cor
«:: ,unty COMMONWEAL?}' ')F ~'ENNSYLVANIq
t. ; X14
6y
~_:~. s ,~F .~.,~,rnruES Maritn t'. ,
xa. 'ubliC
Mc-~rhanksbv i County
nl ~ G~rrtmr,':. ~~ . _ a'_ - ""f t ";, 2014
EM3Eit, GENMSI'LU.4: iiF~ ' S1'?~a ^ON qt= NOTARIES
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ntv~_aui K!!:v [pl/p71
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17645784
Certification N-umber
~~
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~~~
.7 C7 ~'-~
~~
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This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Loca] Registrar. The original
certificate will be. forwarded to the State Vital
Records Office for permanent filing.
~~ '~ ~ ~ /a ~ ~~~ r ~
Local Registrar Date Issued
H16S1l3 REV 112006
rPE / ANT w COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS
CERTIFICATE OF DEATH
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Dispasi6m Pertat No. 0 / I ! ~ I ~ -