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HomeMy WebLinkAbout06-29-121~8@t PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 yeazs of age or older, a 1 ies for Letters as specified below, and in support thereof aver(s) the following and respectfully request(s) the granp of L tters in the appropriate form: Decedent's Information Name: Jimmie Miller a/k/a: a/k/a: a/k/a: Date of Death: June 11 2012 File No: ~~ - ~~ - ©~ (Assigned by Register) Social Security No: 200-36-7351 Age at death• 59 Decedent was domiciled at death in Cumberland principal residence at 8g Mooredale Road Dickinson Townch;„ County, Pennsylvania (State) with his/her last Street address, Post Office and Zip Code Decedent died at 8s Mnnr~iai.. u„,a ,,:_,_.___ .~ City, Township or Borough County Street address, Poet Office and Zip Code V ~umDeriand Coup pp Estimate of value of decedent's ro City, Township or Borough Ifdomiciled in Penn P Pte' at death: syh'ania .................... All personal property If not domicikuf in Pennsylvania ........................ Personal ro e Ifnot domiciled in Pennsylvania,, , ,,,, , , , , , , , , , , , , , , , , ,personal propel m Pennsylvania Value of real estate in Pennsylvania...... , , . , , , P P rty in County ............ TOTAL ESTIMATED VALUE... , Real estate in Pennsylvania situated at: N/A (Attach additional sheets, if necessary.) Street address, Post Office snd Zip Code County State $ 5000.00 $ 5000 ~ City, Township or Borough ® 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 State relevant circumstances (eg. renunciation, death of executor, etG) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not dive divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 0 NO EXCEPTIONS ~ EXCEPTIONS ®B. Petition for Grant of Letters of Administration County and Codicil(s) a >v r~ tape apett4~f Piave ald ba~ r, ~ r ~; _.. ~~ r_-. (Q "~ (If applicable)Q'C c.t.a., d.b.n. d b n c t a d If Administration, c.i~tti or db.n.c.t.a., enter date of Will in Section A above andlcom rlet~s-t of heir~e min` Except as follows: Decedent 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 was neither the victim of a killing nor ever adjudicated an incapacitated person. Q 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): natl. of D........~_^ r of Petitioner(s) and that, as Personal Representative(s) of the Decedent theregoin nere(ts)ionlarWe~and aruly administerbthe estate according to abelief Sworn or affirmed nd subscribed before Bet d Y o -:~_~ ` ~ '~~'~ Date G tS" jL y ,L Date F tie Register Date Date BOND Required: ®YES NO FEES: Letters ....... . ( ', }Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other $ Q, ~~ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Jac ueline M. Verney, Esquire Supreme Court ID Number: 23167 ' ' ' ' ' ' ' Firm Name: Camtcoli and Associates ' ' ' ' ' ' ' Address: " " " Phone: 717-243-9190 r. 2 c'= Automation Fee.......... .~' ' 1V ~~ " " ' Fax: 717-243-3518 JCS Fee. ........ TOTAL.. ~ ~ Email: ~ ................... $ . ~:,r ~ ~' DECREE OF THE REGISTER c°a `''' Estate of Jimmie Miller a/k/a: File No: ~ ~ -- ~ ~ (~~~ ~ AND NOW, ~ satisfactory proo having been pre n d before me, IT I EC ED tha etters on~idGraion of the foregoing, Petition r~'lI h/1 / n i ~ n .~ e ereby granted to _ ~~ the instrument(s) dated in the above estate and (if applicable) that described in the Petition be admitted to probate and filed of record as the las Will (and C 'cil(s)) of Decede t. t~ Register of Wills ~ Form RW-02 rev. /0/!//lp// Page 2 of 2 RENUNCIATION ~f.COF?~c~3 ~~~ C3F '' ~, _ ;y;. ;~3 RtGI~Y~~ , ~~ 21112 JUN 29 PM 1: pg ~. REGISTER OF WILLS ORPHAI~'j COURT CUMBERLAND COUNTY, PENNSYLVA~RLEWD CO., PA Estate of JIMMIE MILLER -- ~ - ~ - Deceased I, PEGGY S. BOWER (PrirrtNameJ , in my capacity/relationship as sister of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to PATTIE PARSONS (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Sig~urtur p Sties C®~.,- f (Street Address) (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 renunciation for the pu oses stated within on this ate-- da of ~~~ ~ y Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Valerie F. C,seN, Notary Public ~Cumbedand Cou M®inMr, Pmn~la ~ ~' 9' 2014 d Natargt .,..~~~R~~D J~F~E OF R~~iS ~ c~ a~ '~L RENUNCIATIQN ~oRz ~u~ 29 ~~ i= 08 .;~~~- REGISTER OF WILLS ~~~ S :;OUST CUMBERLAND CONY, PENNSYLVA~NggR~O ~~~ PA - .-,_ Estate of JIMMIE MILLER Deceased I, LOIS V. MOTHER (PnntName) , in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to PATTIE PARSONS (Date) Q 6 ..,r, ~[ ~ODo,~~ (Smet Address) (City Slate, ZipJ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 Executed out of Register's Offce Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this '~ y of ~-~--~_ da ~Llc,c.. Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission. ) COMMON EALTH F PENNSYLV/WIA VCadlpe eoro, Member, ax r m>« a