HomeMy WebLinkAbout07-11-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF ~4.-,;3f2,~y~~ 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: :.Ta-,.,_r.s r ~%esF./ ~~.
a/k/a:
a/k/a:
a/k/a:
Date of Death: ~(I S (i Z
Decedent was domiciled at death in C-u.~.3c,z<.4..~ County,
principal residence at /go 3 ~,2££„~ 4~ c ~ ,,,~ r. lo~c~
Street address, Poet Omce and Zip Code
Decedent died at 9S3&'
Street addresa, Post Omce and Zip
Estimate of value of decedenPs property at death
File No: ~ I _ I ~ _ '7
(Assigned by Register)
Social Security No:
Age at death: ~o
with his/her fast
City, 7owmhip or Borough
County
City, Township or Borough
County State
Ijdomiciled in Pennsylvania .. . ......................... All personal property $ ~, ~~, .__ .
Ijnot domiciled in Pennsy[vania ........................ Personal property in Pennsylvania $
Ifnot domiciled in Pennsylvanirt ........................ Personal property in County $
Vrtlue of real estate in Pennsylvattia ......................................................... $_ / o, o~,,, ..~
/~ TOTAL ESTIMATED VALUE.... $ / 7d~ ~cx~. w
Real estate in Penns Ivania situated at: lBo3 `2LEr~L~c /
Y (_ou.er ~cr~e c~l~f,.J T.vSO ~~w r/.+ss~~ ~ C
(A+toch additional sheets, i/'necenary.) Street address, Poal Ofnce and Zip Code City, Townhip or Borough Caunty
[~A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) hdshe/they is/are the Executor(s) named in the last Will of the Decedent, dated /r /n.e c./ „7T 2~ i z and Codicil(s)
thereto dated
State relevant dremnstances (eg. r¢nunciation, death of executor, em.J
Ezcept as follows: after the execution ofthe instrument(s)offeredforprobate Decedent did notmatry, was not divorced, was noteparty toapending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), 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
^ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b. n., d. b.n.aCa., pendente lire, durante absentia, durante minoritute
If Administration, c.t.a. or d.b.n.c.ta., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party toapending 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.
NO EXCEPTIONS ^ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived bythe following
additional sheets, if necessary):
(attac~h
''rt
Name Relatianshi Address r.,_._
U?
s,
s
~'-1 ••
Far... rsw-na ,~¢~. mitu2nu
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
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official use o~,lY
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Petitioner(s) Printed Name Petitioner(s) Printed Address
A :/ ~r ~LC2 // /'~¢4///E~~2- fCif9.<ii<',$'~.. '~*~'. i7v Su
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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 knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of [he Decedent, the Petitione Q~) gi{I~d truly administer the estate according to law.
Sworn to or affirmed a s bscribed before p/'~ Date 7-// - / Z
me this~_ d vIG Date
By' Date
For the Register J Date
BOND Reyuired: Q YES ~JJ NO To the Register of Wi[!s:
FEES: / Please enter my appearance by my signature below:
Letters ................... ... $ ~w
( ~ Short Certiticate(s)... ... .1~C '
( )Renunciation(s)...... .. .
( )Codicil(s) .......... .. .
( )Affidavit(s).......... ..
Bond ..............
Commi ~o ...
Other ~~ ...... .. ~~
Automation Fee ............. ..
JCS Fee . .................. .. ~~-
TOTAL ................... .. $~----
Attorney Signature:
Firm Name:
Address:
33~~
DECREE OF THE REGISTER ~~..~/
Estate o ~ ~/IXX~`^ x-1-1- File No: ~I '~ ~ ~ J lj
a/k/a:
AND NOW, ~~, in co sid ration of the foregoing Petition,
satisfactory proof havi g beet resented before me, IT I DECREED that Letters
are hereby granted to v v (~ ( f
in the above estate and (if applicable) that
the instrument(s) dated ~(~ 3 f 12 n n
described in the Petition be'admitfed to probate and filed `I"ttc~rd as,th la Will (and Ilici](s)) of Dpc en
Fornv Rw-oz re,~. rnavzoi~ ' I ~/~~ ~ Page 2
_ _ _
H llc vn. qFP top n
LOCAL REf~~ERTIFICATION OF DEATH
WARNING: It is' ~ r this copy by photostat or photograph.
i..,i' ,~
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Fee for this certificate, $6.00 Z~~T J~ ~ I PM •,n H OFp This is ro certify that the information here given is
Ilo`~ ~ ENyJ; _ correctly copied from an original Certificate of Death
o~ l ; duly filed with me as Local Registrar. The original
L
_ l,l - +~ ~ v3 certificate will be forwarded to the St(te Vital
P 18614545
Certification Number
Trweant In
i~,7
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ryry~~~~P~~~y'S ('~ - -.~',' n; Records Office for permanent filing.
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g9rMENT ~ P`I ~ 2
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local Regis rar Date Issued
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LAST WILL AND TESTAMENT OF JAMES F GREEN, BORN 4-
17-1942
THIS WILL. TAKE THE PLACE OF ANY PREVIOUS WILLS
THAT HAVE BEEN COMPLETED.
MY DESIRE i5 TO SELL ALL MY POSSESSIONS AND CREATE
A CASH FUND, INCLUDING ALL MY CHECKING, SAVINGS
AND IRA ACCOUNTS. THIS TOTAL FUND IS TO GO TO
LINDA I. ROWER, CHESTNUT ST, CAMP HILL, PA.
THE ONLY EXCEPTION TO THE A80VE IS THAT MY 1948
FORD PICK UP STREET ROD IS TO BE GIVEN TO TIMOTHY
DRISCOLL OF NEW CUMB,ERLANQ, PA.
I AM NAMING MATTHEW FIDLER TO BE THE EXECUTOR OF
MY WILL AND INSTRUCT THAT HE RECEIVE 10% FOR AN
EXECUTOR FEE.
I AM OF SOUND MIND AND THE ABOVE DOCUMENT WAS
WRITTEN BY ME UNDER NO DURESS OF ANY OTHER
INDIVIDUAL.
~.~
e
~ ~~
~. r~ n'~
JAM 5 F GREEN ~~,`_' ,- r.Y ~°
CH 25,2012 (8:30PM) ~~ _ `_ T
"1 S
I HAVE MADE AN ORIGINAL AND A 2ND SIGNED COPY OF ~ L~
THIS DOCUMENT.
0
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of JAMES F. GREEN
Deceased
~rC/lFl4~ GV ~ ~~.eeE-rT/ and /\ L~r•/~ia/ /~.~i .°./,P~S-~' >
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with JAMES F. GREEN and am/are familiar
with the handwriting and signature of the decedent, and that the signature of JAMES F. GREEN
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
JAMES F. GREEN is in his/her own proper handwriting.
N> t-l~~--- '"~
(Signoture) -
l'~ ICESs.~ ~ ~(c U(Z
(Sweet Address)
(C~tate, &p)
Executed in Register's Office
worn to or affirmed and subscribed A.)
+~
before me this ~_ da ~
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of ~/ r
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De for R 'ster of Wills ~ -,
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Form RW-04 rev. 10./3.06