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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: Stuart V. Berwaf;er
aik/a:
a/k/a:
a/k/a:
Date of Death: March 27.2012
Decedent was domiciled at death in Cumberland County,
principal residence at 1828 Willow Road. Camp Hill. PA 17011 L.nt~r
Street addraa, Poat Ottke sad Zip Code
File No: ~~ -
(Assigned by Regi ter)
Social Security No: 189-07-1772
Age at death: 94
(state) with his/her last
City, Townahid or Boroagh
County
Decedent died at Golden Livine-West Shore, 770 Popular Church Road Camp Hill PA 17011 Cumberland County
Street addrete, Poat Office And Zip Code City, Township or Borough Coaaty State
Estimate of value of decedent's property at death:
If domiciled In Pennsylvania ............................All personal property $ 23,500.00
If not domiciled In Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pennsylvania .................. .................................... $___ 133,Q0O_On
TOTAL ESTIMATED VALUE.... $ 156.500.00
Real estate in Pennsylvania situated at: 1828 Willow Road, Camp Hill, PA 17011
(Anach additional sheets, if necessary.) Street nddreas, Poat Office and Zip Code City, Towaahip or Boroagh Coanty
® 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
Stste rdevant dreumatnacea (eg. renunciation, death of executor, eta)
Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not many, 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 ®EXCEPT[ONS
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durante minoritate
If Administration, ~t:a. or db.n.c.t:a., enter date of Will in Section A above and comalete list of heirs.
Except as follows: Decedent was not a parry 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.
f® NO EXCEPTIONS ®EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the fol lowing spouse (if any) and heirs (attach
additional sheets, ijneeessary):
Name Relationshi Address
Kathleen A. Berwager Daughter 409 Hummel Avenue, Lemoyne, PA 17043
e:a
see attached sheet
Form RW-01 rev. 10/11/1011
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
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Petitioner(s) Printed Name Petitioner(s) Printed Address 't) "-' ~~ ' t°"
Kathleen A. Berwa er 409 Hummel Avenue Lemo a PA 17043 ~" '' "'
The Pedtioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the lmowlodge and belief
of Petitioner(s) and that„~s Personal Representative(s) of the nt, the Petitioner(s) will well and truly administer the estate according to law.
Sworn to a ed ^' - Esc ' d bef re Date 5/ /Z -/ Z
me is ~ ".~£ Date
By: Date
r ~=Re r-.. „ - - Date
b'"~' _
BOND-Requlred: _Q Y>~9 Q NO
FEES:
Letters ...... ............. $ O'~b
(~) Short Certificate(s)...... /
( )Renunciation(s)........ .
( )Codicil(s).. ......... .
( )Affidavit(s)........... .
Bond ........................
Commission ....:............ .
Other ........
Automation Fee ............... ~
]CS Fee ..................... !~
TOTAL........... ....... $
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Nsme: Daniel M. Fre , uire
Supreme Court
ID Number: 20843
Firm Name: Barley Snyder LLP
Address: l4 den square
Hanover, PA 17431
717-637-6239
717-637-5407
dfre harlev_com
.34~u~~
DECREE OF THE REGISTER
Estate of Stttart V. Berwa¢er File No: ~ - I ~~Q~~~
a/k/a:
AND NOW, in onsideration of the foregoing Petition,
satisfactory proof hav' g been presented before me, IT I$ DECREED that Letters of Administration
are hereby granted to `Kathleen A. Berwatzer
in the above estate and(if:-lble) that
the instrument(s) dated -
described in the Petition be admitted to probate and filed of reco~i astthe last Will ~fnd Codicil(s))-o Da ` e~~ _
Register of Wills '" / ~,,, ~ ~~ /~~~ _ y~ .1
Form RlRO? rev. 10/11/2011
STUART V. BERWAGER
1. The surviving spouse, Mary Elizabeth Berwager, predeceased the decedent, having died
on December 27, 2006.
2. The petitioner is a resident of Pennsylvania.
3. The petitioner, who is the decedent's daughter, is the sole surviving heir of the decedent
under the Pennsylvania laws of intestacy.
4. The decedent's estate is solvent and has no major creditors.
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LOCAL ~1'~ CERTIFICATION 4F QEATH
WJ~#iNiNt3; ~~~1 ~ ~i~~l~ate this copy by photostat or photograph.
Fee for this certificate, $6.fi(3 ~~ ~2 ~~~ ~ 2 ~~ Z~ ~ ~„~ ~ This is to certify that the informatioa- here given is
~p~~H OF pf~y~ cot~ectly ~t>pred:from an original Certificate of Death
~,tt-~ ~~ _ y duly filed tenth the as focal Registrar. The original
certificate will be forwarded to the State Yital
Q~ Q~ ~
~~~~~~~~~ ~.• * Rec Office fo ent filing.
P 1$29312D .,~rs~~`
Certification Number Local Registrar Date Issued