Loading...
HomeMy WebLinkAbout09-21-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF ~cn.~-. ~ Ps ~r+.1 ~ 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: ~vt 3e/ ~ /`~/~+~+^J a/k/a: a/k/a: Date of Death• ~l~ ~ // Decedent was domiciled at death in ~~r.., SB,-~u~~ County, principal residence at S2 4 ~~ " f1i eer ~` / ~/ ~ Street address, Poet Otnce an~djZip Code Decedent died at /~ 1 ~ ~/C~s ~6G/ ~ / e~ r` ~ (`~ Street address, Post Omce and Zip Code File No: ~I ~ ~ ~ ' t`-~ ~ -1 (Assigned by Register) Social Security No: Age at death: _ 6 Z City, Township or aoraugh City, Township or Estimate of Jalue of decedent's property at death: yY, /f domiciled in Pennsy(vania ............................ All personal property $ Z `~~~©•~ If not domiciled in Pennsy/vania ........................ Personal property in Pennsylvania $ ljnot domiciled in Pennsyh~ania .......................: Personal property in County $ Vrtlue ojreal estate in Pennsy/vania ........................................................ ~~ TOTAL ESTIMATED VALUE.... $ 7 .rJ, ~ >~- Real estate in Pennsylvania situated at: (Attnch additional sheen, ifneressary.J Street addraa, Post Office and Zip Code City, Townhip or Borough ^ A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named to the last Wtll of the Decedent, dated thereto dated _ State relevant circumstances (e.g. renunciation, death of executor, etc/ Except as follows: after the execution ofthe instrument(s)offered for probate Decedentdid not marry, wasnot divorced, divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and r 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) cra d.b.n. d.6.n.c.r.a., pendente life, "v ~ ~ ~partytoa a ding eachil rn or Pr~r ~' 'D C~ p _ N ~'' t +. n~ ~' 2a. r"~ O 2 ` durarna~inori(~ 'n ~~ If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heir" ~~~ 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. ~NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs (attach additional sheen, if necessary): Name Relationshi Address ,rn 9 ti /-/eY t ow Q / ~~ ~I>'~ Sfi ee f~ ~a. ,l ~ ~ 11 .I .:h /v/~r u ~ o ~ l "' L S' C~ ~.4 / County and Codicil(s) (Stare) with his/her last County ~~ County State Fn.e~nw.nz ~e~.lnauzoll Page l oft (n RFCOND~D L1~FICE OF Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF } } SS: } 2D12 SEP 21 AM 11 ~ 42 Petitioner(s) Printed Name ner(s) Printer Petit io •7 !/'mb - _ ~i, / ~ /~ .J SL~ rrn 11 S/il t~ C. Lir ~S ~/7 ~ f~~~ The Petitioner(s) above-named swear(s) or aD;rm(s) the statements in the foregoing Petition are we and correct to the best of the knowledge and behet of Petitioner(s) and that, as Personal Representative(s) of the DeceQe~t, the Petitioner(s) will well and tmly administer the estate according to law. ,~,liit/~ ,vt~ Date ,'~O ~ Z Sworn too affirmed an subscri ed before ~; ~%7~ Date me t ~ th day of ~ Dace By' Date r r e Register BOND Required: AYES ~NO FEES: O Letters ...................... $ (~) Short Certificate(s)..... . ( )Renunciation(s)......... ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ~~~•~~~• Automation Fee .............. . 1CS Fee ..................... C"~'~~~ TOTAL ..................... $-L?-~,p~.ey To fhe Register ojWi!!s: Ptease enter my aooearance by my signature below: Attorney Signature: 7 ~~~ ~~ P ' ted Name: Jy~'!-le ~r [//i/ 6Co~l ~j Supreme Court G. a ~ y~r~ ID Number: Firm Name: ~~s *~~ ~C,n!/~v Address: //.J r/ ~ ~r"+~~ ~' Phone: ~/~ ~j~ X600 Fax: ,~i~ ~~/ /[/60 Email: J erml/~''t v - / y.__i~~_ ~o », t7 ~ DECREE OF THE REGISTER Estate of File No:~ a/k/a: AND NOW, v ~t=~--' 1II c satisfactory proof having be presented before me, IT )S,I~EC~ E~`L'ette-rzs are hereby granted to ``--~1''YY~Z the instrument(s) dated ~Y1 \ t./~ described in the Petition be admitted to probate and filed of rec d as Form R4V-01 rev. 10/I1Q01 / above of the that ~~ of 2 RFCOR`~'~G n-FICE OF RE~I~~~`~R ~ `^~~~~-'~ 2012 SEP 2I Ah l-~ 42 RENUNCIATION ~pMBE 1.~~ CO t~ REGISTER OF WILLS Wrltf/ QCI~Nn COUNTY, PENNSYLVANIA 4 !p~ H k~! ~-s ,Deceased Estate of JUAN f I A !~{- A,U d h ~'! tF ~ _, in my capacity/relationship as , (Print Name) SoN of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be. issued to 7fwrn.~ s mu 2cas (Dare) (SignamreJ //-/~~ 11 l S Q Q~L S'hfe,~~- (SlreerAddreu) I , PA I--o~3 (City, Score, ZIpJ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills NOTARIAL SEAL CAROLE A ROSE NW~ry PWNe LOWER ALLEN TWP.. C rtNABEee ~OCt~ AAy Commixlon Ezpi 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 pure ses fated within on this ~l~r day of ~_, aaa C~(,~, ~ . ~~. Notary Public ` G! aD~S My Commission Expires: f~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date ofexpiration of Notary's Commission.) Form RW-06 rev. 10.13.06 Pf.GORtJ',:t-' OFF~E ~ „~~ c „~,~,,, ;~~G ;,, ~ ,, l~Eix., c. RENUNCIATION ?012 SEP 2 I AM 11 ~ 42 ,~. ~.~ , , OHPtiAi~'Sp ~ !PA CUf~BERW`I REGISTER OF WILLS ~-/~il3F2l-ku (~ COUNTY, PENNSYLVANIA Estate of g Deceased I Joy/) ~} nA ~~-AS _, in my capacity/relationship as (Prior Name) t~„ a of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~'~fO h p 4 ,161 ~lfr S G~2v~~2 (Date) ~~,~ . rrme~ ~~ Eas`~ Qoa-c~ (StreetAddress) ~~ I,e., P~ ~-~0-5 (City, Smte, ZrpJ Executed in Register's Offtce Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills NOTARIAL SEAL CAROLE A ROSE Nogry PubNC LOWER ALLEN TWP., CUANIERLAND CNTY Nly Commlalon Eaplro~ Dec 8, 2015 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 purpo es s ted within on this ~~ day of 5.~~-, -~-• r otary Public ZQ/S My Commission Expires:. [v ~ (Signature and Seal of Notary or other official qualified to administer oatlu. Show date of expiration of Notary's Commission.) Form RW-O6 rev. 10.13.06 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.0(l P 17728098 Certification Number This is to certify that the information here given is corrutly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. j~,a,e:~l~~uK'~,~-rrn~x` SE~ 9/2t11~ Local Registrar Date Issued ~a O N m '° r, ~j 'I -~ C~ ~~G ~ ~ f, .7 L S f616 xEV IIl6Vl COMMONWEALTH OF PENNSVLVANIl1 • DEPARTMEh1T OF HEALTH • VRAL REC:ORDa , ~~~ix CERTIFICATE OF DEATH ~ ~ (sse Inwlrucllona end e:emPw on ravrrw) STArF p, ye aswr seddM ~~ner ...._.~.....I,u.mr.rFml Fenale 261 - 49 - 6' S.V W tl1EVY1 ••• '- wr Mwe• ~" x.r D 1948 Neohorion, Greece ~I,~, ^Fxlaw•ra ^m.. 21 ec. 62 v«. mo.nq.dotlm m OM , m.FedMxmemwlrwnen.nren.lxkwmext e. wee wa.+mluw«uq In w.xmeM Cxwn . . e CmeMdetlni Hershey Medical Center '^'°^~ "'° "°" "~ S M Dauphin Derry Twp. . . ~~ nanMl ~„ Md 12 Wm 0eoMA rvx'n Me I].OwMYe FdIIM IXP•xM1 °~w ,Y/xY wML miMbi~ rre•r, OMSr 11.OeuEFf•YFY AwMbe mead r.DOMYn mrodswsnwrr us. unwn ]•~w] Flemenbw ] s.mmn 161a Leroe Iw w u1 Married aaawew Co-caner/operator Restaurant ^ r« ®Iao omouarn gpem,dl,lhw.dw. Mnme1 16.poMJ•MM1gbMwl " Yii°'a'e pA wane na.~r«.L µyul pedLm l]•.SWa grLherland Te«d10~ 116®~~ eet Bt 524 "D Im.camx P 17013 Carlisle, ,awcr.w«m«.r^dx^+"^°m^"I u.F..,.rwm+d.~e+..rl..,nm Panagiota G. loupes Athanas' s G. Zarkadas ,ml„~,,,,,,., MemaFrw mee~dMlbr.wudo~nel za. nrrwe.xm mw•]Fmn 524 "D" Street, Carlisle, Tkx311as A. Mlzlaa LwdawxmlMxim, rr~wn me netldm«eenlm MMndw+Mn.wemFdro~orreMwl ae . IIC 1MiMdOa(WFat ^CnMN ^L>+Kn ,,.n«"'°"s1^r»O la ept• 16, 2011 Neohorion Ce]~e ®med C3 wmmllmmvx. r ~~°o~"L , , ~~o~y'~ ~~ m.tiwu. wmcw a~xemm ed rr.dr«r Brothers Funeml Bane, Inc. , ,, - /~~/~~ FD 126, _ ,L ..~.._F}ain m ueere. xmer rr.ewemrltlmw.wwww z..rM ~g-~JO AYI""°• SEPTEMBER `~ 2011 Frw•w 9 ]~bmw LA09E OF04 R•• d•rMl° M aNM•I Wm9.FMl'. Hwrd•h,fdLYY'AYere.N'-'~xtwwV~r•'FXM1wMwW MMW.WxJiNbm.Nwvfa srlt •1 ®rPe[•neY. UM rmprryenex,wwnYdnw rMln MFM W'..'r6Om•nMP/~Www P•tlW O,uli' MB. ~1 ~ .. Aulrt MYEwG-ENOus LEUKEMIA ~~s IL m Iw r • wawmw•.A'. yrr ~rmarrnw. e. Ig9Ip~~~~ppltlbYeFr/M1M1 IMmY•e. Oxulwre,wtl4~^'°^A: 6iwhYlylYyf~RLYFIOG~IBE ewb ioiMMYibM1 j~H,. ~ we m la a mawuenu oq'. a. ~ no•w.rrweorv nm. wabwwrr,+~d~pe n,_M•m+rdl)e•w m. Whdlxw/IMOrn, a. reeA sse.Ikwr xo+Mry On^r gnumieeY IireNU PbbfMpXU~ ®N•lud ^ImYtlae aowdlrmv sm.]Mwmwrv X]e.Hrvnwdev al nrmgmelm i~ ^ rr ®xe ^ ree O w ^ °°m" ~ r.dnn imnnMrn ^ r« ^ rw ^ an.loew•Iw ^swne ^wnMdroernxxn u. aur~4«»' u tll 51 LMer lemdww wel amen rr~rbnxrdnrlxrx~^pwrFa^b+n.ecrWnn`T r1-----------------^ . e.eNloea+.rl~a•wrw«.oa.bn.ewwlelermwrrmm S~ F,w„w,a,u.r.~.rn+r"twm~r+^wwr.a~oo-•nwmnmabw•da.ml ________ iOq•W dmYbw~F~~b•Y~MUn•IYMYw~M1Y.WOrw~NN•bglawl4bd.YVrtl•Iw1 • IYlrlvitlll'aar bwrcwwxlN4n.W.MFW M6mbtlwuu•:•Imn M•rtlwYL m n.rwdmm«bn.blw•wrrrxn. bewagdm, oy~d~r~a. Fr•n Me^m rr~wA e x. .." FF ~ d I\ ~ a ~\ I O I gepyrn P•mB W., White ~d=«rYl MmME. 15. SryMYq 9pau• In Mb pw bn nI° ^•~ Thames A. Mazias wnmduean ~duxwwn Carlisle Horo• o PA 17013 t1n. mini lcllvlbr• M++.'b mrl Neoho~ren, Nafpaktias, 630 South,Harmver Street, Carlrsle, PA 17013 zx. oem spree Maven, an. «rl M.eui wrew I e«wr w. w.m ar wn ei.renr a Ilor ^ v. LJ xo ^ F~mawMdrun ^ Mdwnre.rw.oradxmrnap• aetle ^ Ib pVtll W p•w~d Al hHb I'Hw Ma• NsN ^ N~hwnXT9«^IMNre W)en (xIAM PA o i_0 09-o8•zon nP/l iµ•/Rr ]'gyp M.S. Hershey Medical Ctr. Herxhev. PA 17033