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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 ��}} j
Name: Jack C.Eads Jr. File No: OL i " t ;:-�'
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No. 19140-8541
Date of Death: July 16,2012 Age at death: 62
Decedent was domiciled at death in Cumberland County, Pennsylvania (State)with his/her last
principal residence at 110 Hiltcrect Road Camp Hill 17011:Camn Hill Borough Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Holy Spirit Hospital.Camp Hill PA 17011 Cumberland County Pennsylvania
Street address,Past Office and Zip Code City,Township or Borough County State'
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania..'''* ... ... ... .... All personal property $ 500.00
Ijnot domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ................. ..... Personal property in County S
Value of real estate in Pennsylvania.................... ......... ...... ....... . ..... . ....... . S
TOTAL ESTIMATED VALUE. ... $— 500.00
Real estate in Pennsylvania situated at:110 Hillcrgt Road,Camp Hill,,PA 17011 Camp Hill Borough Cumberland County
(Attach additional sheets,ifnecessaq.) Street address,Post Office and Zip Code City,Township or Borough County
® 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
State relevant circumstances(e.g.renunciation,death oferecumr,etW
Except as follows: after the execution ofthe 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 bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person-
0 NO EXCEPTIONS 0 EXCEPTIONS
B. Petition for Grant of Letters of Administration (if applicable)
s cite,d.b.n.,d.b.n.c.t.a.,pendente lire,durante absentia,durante minornate
If Administration,c.t.a. ordb.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
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(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS 0 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):
Name Relationship Address
Stephanie L.Ends Daughter 4530 Martin Street,Moss Point,Missi 1ZEi 39563
G� .R7
Fri
cc �s
Form RW-02 rev. 7011112011 Page I Of'L .
� y;( 1J"t6�,P
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
To the Register of Wills:
Petitioner(s) Printed Name Petitioner(s) Printed Address ~~`
Ste hanie L. Eads 4530 Martin Street Moss Point Mississi i 39563
~_.i
OHPN , i _
RLAND CO. PA
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best ofthe knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will ell and truly administer the estate according to law.
Sworn t or affirmed and sttpscribed before -_ (~~Y_-~/ D i ~; c• 1 Date ~" (-"%~
methi ~~ day,of~ ~~~_~ ~l ~ ~~ Date
BY~ ~ ~ U Date
or the Register Date
BOND Required: ~ YES ~ NO
FEES: `
Letters ...................... $ ~~~
( 7(]) Short Certificate(s)
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........
Automation Fee ............... ,~
r-~
JCS Fee . .................... c~ ,~~
TOTAL ..................... $ ---- ~ ~0
Please enter my ap
Attorney Sig
Official Usc Only
AFC- 1' ~~~; ~ ~r--,~,F F
rr~,
_.~
by my signature below:
Printed Name: Rob Bleecher
Supreme Court
ID Number: 32594
Firm Name:
Address:
Pecht & Associates, PC
Mechanicsburg, PA 17055
717-691-9808
717-691-2070
rhleecher~nechtlaw_cnm
~ gam-
DECREE OF THE REGISTER
Estate of
a/k/a:
AND NOW,
satisfactory proof ha
the instrument(s) dated _
described in the Petition
File No:~~
,,?f(.1 , m consideration of the foregoing Petition,
rented before me, S DEC that Letters of Administration
are hereby granted t ~ L. Eads
in the above estate and (if applicable) that
to probate and filed o~,record as thelas~ Will (an di~i~(~) of
i
Form RW-02 rev. l0/l1/2011 ~~ Page 2, (~ 2
Oath of Personal Representative
COMiVIONWEALTH OF PENNSYLVANIA
COUNTY OF
}
} SS:
}
use
~ Petitioner(s) Printed Name Petitioner(s) Printed Address
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petitio are true and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed before Date
the this day of Dace
13y' Date
For the Register Date
BOND Required: Q YES ~ NO
FEES:
Letters ...................... $
( ) Sltort Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)......... . .
Bond ................... ....
Commission .......... ...... .
Other
Automation Fee .............. .
JCS Fee .....................
TOTAL ..................... $
To the Register ojWills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
' DECREE OF THE REGISTEF;
Estate of ~ C~C ~~ C. - ~C~`~ `~ -~ File No: ~ f - /•~ L,%%~~~
a/k/a:
AND NOW, 1 ~~ , _~~, in consideration of the foregoing Petition,
satisfactory proof having b presented before me, IT IS DECREED that Letters of ~c~~m,:~;S{ra-E, nr1
are hereby granted to S -}-~> hctn t z L. ~; ctdlS
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 last W' 1(and Codicil(s)) Decedent.
L-~~
Regtster of Wills ~-~ ~
c
Fo,•,~, ew-nz rev. ro~ri~znir Page 2
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