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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, 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: Michael Burke Abraham File No: I _ ~ ~=I (~ ~
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: February 22.2011 Age at death• 56
Decedent was domiciled at death in Cumberland Cotmty, pA (stare) with his/her last
principal residence at Manor Care. 940 Walnut Bottom Road Cazlisle Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at Hershey Medical Center Hershey Dauphin PA
Street address, Post Office sod Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
/jdomic/%d in Pennsylvans ............................ All personal ProPenY $ 42.000.00
/jnot domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
/jnot domiciled in Pennsy/vnnia ........................ Personal property in CounTy $
Value ojrca[ estate in Penosy[vania ......................................................... $ (1 00
TOTAL ESTTMATED VALUE.... $ 42.000 00
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borongh r>> Couoty
N 'SJ
Q A. Petition for Probate and Grant of Letters Testamentary _ rr,
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated _ p r''1 and t~ r~~s)
thereto dated _. -f. _ _ __„ I ~"
State relevant Mreamshnces (eg. renanciatlon, death of executor, etc) fir'
p C,, 'a
Except as follows: afterthe execution ofthe instrument(s)offered forprobate Decedent did not
marry, was not divo snotsp~~V to
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. {3 3323(g), and ~ not have chi
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTTONS O EXCEPTIONS
® B. Petition for Grant of Letters of Administration pf applicable)
c.t.a., d.b.n., d. b.n.c.t.a., pendente lire, durante absentia, durante minoritate
If Administration, ata or db.n.tzta., enter date of Will in Section A above and complete Gst 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 Q EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (ifany) and heirs (attach
additional sheets, if necessary):
Name Relationshi Address
James W. Abraham Brother 45 East Main St., Hummelstown PA 17036
Robert R. Hooton BroOter 8760 Washington Circle, Hummelstown PA 17036
Form aw-oz rev. loiirilpu Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PBNNSYLVANIA }
} SS:
COUNTY OF Cumberland }
txficial use Daly
AEi,I~„ -, r , 4Ff ! c
with: • ;r ~v
~~i
Petitioner(s) Printed Name Petitioner(s) Printed Address
James W. Abraham 45 East Main Street Hummelstown P ~, ~~~ ~ -'~ ~ ~
CUMEERLANO ~ „ PA
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petitio are tme and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petiti~Qne 71 well and tmly administer the estate according to law.
Sworn to or affirmed and subscribed before Date 0/ ~~~ / L
iy~thts day Of_ Date
rar rpe ttegster Dale
BOND Required: Q YES ~NO To the Register of Wills:
FEES: Yiesan.nrerm a h
LetJgrs ...................... SJS~_
( ~S )Short Certificate(s)...... 1 ~
( } )Renunciation(s)......... ,~--
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commis 'o ........... .
Other ~_..,,,,.,
Automation Fee.. .
JCS Fee ..................... ~~
TOTAL ..................... $ x$87'
13 5 S~
y ppearance y my q~nature below:
Attorney Signature:
Printed Name: James W. Abraham, Esquire
Supreme Court
ID Number: 46352
Firm Name: Abraham Law Offices, LLC
Address: 45 Faa Main Street
Hnmmelatnwn PA 1'7026
Phone:
Fax:
Email:
717-566-9380
717-566-9385
Hhelaw cnmra tnet
Aorm RW-oz rev. roaJn°n Page 2 oft
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
}
} SS:
}
The Petitioner(s) above-named swear(s) or affirm(s) the statements in
of Petitioner(s) and that, as Personal Representative(s) of the Decede.
Sworn to or affirmed and subscribed before
me this _ day of , _
By:
For the Register
regoing Petition are true and correct to the best ofthe knowledge and belief
Petitioner(s) will well and tml}~ administer the estate according to law.
Dale
Date
BOND Required:~YES ~NO
FEES:
Letters ................... .. $
( )Short Certificate(s). ... .
( )Renunciation(s).. ..... .
( )Codicil(s)... ........ .
( ) Affidavi[(s ...........
Bond ......... ..............
Commission . ............... .
Other
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name
Address:
~~~~~~~~ Phone:
Automation Fee ............... Fax:
JCS Fee . .................... Email:
TOTAL ..................... $
DECREE OF THE REGISTER
Estate of ~Y`~ (~1~~ t f 4 'i IYJY(h,~({ (,y~_ File No: ~- '~=I~_
a/k/a:
J
AND NOW, ~ ~ ~O ,~~~ m consideration of the foregoing Petition,
satisfactory proof having en presented before me, IT IS DECREED that Letters ~ ,.~ , s.~~4 .~ ~ "=
are hereby granted to~~-x.~,t nr, (~, ~brt.,h0.,V~~
in the above estate and (if applicable) that
the instrument(s) dated _ ~^ ^
described in the Petition be
to probate and filed o¢reEard as
Fnrin RW-01 rev. l0/l//20/1 [`f- ~' - ~-
11 Page 2 of 2
LOCAL~~~.R.,p°S CERTIFICATIOf~ OF DEATH
WARNI ~ 1 licate this co b p 9 p
~~ ,iL , ~ .~, ~ py y photostat or hoto ra h.
Fee for this certifialre_ Afi nn ^nlo ern ...-
~xee JL.(" ~~ rR IL; ~ This is to ccrlify that the information here riven i
anrec[ly a,pied liom an original Certificate of Deat
- doh filed wide me is Local Registrar. The origina
~ ~ cerhlic tlr will be forwarded to the State Vita
~~~~~`~ (/VUAT Keundti Ofl ice foi permanent filing.
_ P 17247076 ~M~~a~"PA
Certificatio^ Number
~-
Local gisiru~ Date lasucd
m°s,o rcv,vsm
TYPE / PNM x CDMMONWEALTN OF PENNSYLVANIA .DEPARTMENT OF HEALTH . VRAL RECORDS
CERTIFICATE OF DEATH
(Sao IneWCtlonrt nntl sxempNh on mremo)
,.xn.aooesv ~.Mly.yq sp) STATE
Michael BOrlxe Abraham sc"' amm e.mav b,ar
s.y,ial moon uMw, Male 179 - 49 - 99
umi suaamn
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56 TR SBP 9, 1954 Philadelphia, PA ,./,~~
wcwgaom xary. ewer do°m Kx x.aem ^sn/orAra ^oa
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Deu hin T M.S.Hershe Medical Center ryM4°iyPbn'
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._ Iwawm IMab ue. ~ ew is wcaerrA Caanor lsoAxr wn Ablxa Ta aAWM ~.. Al~w Bbxa'w
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940 Walnut Hottan Road
Carlisle, PA 17015
,e. FW a ra.w IFIa, aes, bn, ms4
Michael Abraham
~.r+dA.KA n.AA nwA/aAln James W. Abraham
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122 20
RI
M.S. Hershey T
RENUNCIATION
In Re Estate of Michael Burke Abraham deceased.
To the Register of Wills of Cumberland County, Pennsylvania.
The undersigned Rober[ R. Hooton brother of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully asks
that Letters of Administration
be issued to James W. Abraham
WITNESS
hand this 6`" day of _ September , 2012.
~~ C
(Signature)
8760 Washington Circle,
Hummelstown, PA 17036
(Address)
(Signature)
(Address)
tld "OJ dMf1Ei38Wf1~
d~n~ ~,n,~-4da0
''~' (Signature)
h f ~ZI Wd SZ d3S l!0r
m~-r.'.', .~ t r~t~
J I tub, r. ~.1.-,1~~~
~Q ~:}I~~~ '~~il'iriQ.}~
(Address)
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DAUPHIN
On this 6th day of September , 2012, before me,lhe subscriber, a Notary
Public, in and for the said Commonwealth and County, came the above-named person,
Robert R. Hooton ,satisfactorily proven to me to be the person whose name is subscribed to the
foregoing Renunciation and acknowledged that he executed the same for the purposes stated herein
contained and that said Renunciation may be filed and/or recorded.
WITNESS my hand d Notarial seal.
NOTARY PUBLIC
MY COMMISSION EXPIRES:
COMMOMVrgtrH OF PENNSYLV
Jame..... '+'orane15ea1 ~
HwnmE., , ~ ~., [+ Dau~ry Public
u'emm:;,eron Ex ~rea PNn CO11ntY
Member, Pannsylvanla ~ ~• 2013
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ABRAHAM LAW OFFICES, LLC
James W. Abraham - Attorney at Law
45 EAST MAIN STREET
HUMMELSTOWN. PA 17036
717-566-9380 -abelaw@comcast.net
Fax 566-9385 -Camp Hi11763-1700
[acebook.com/abrahamlawotf'ices
MEMO
UPS OVERNIGHT
~
9/26/12 ~ ~ ~
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Register of Wills ar"-
,' ~ ~ r ~ c3
Cumberland County Courthouse ,
~~ '
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~~_, T
1 Courthouse Square z
~ o ==' =_;
Carlisle, PA 17013 ~ ~ c~ ~
ATTN: Heidi
RE: Estate of Michael Burke Abraham
Heidi,
Enclosed is the original notary page for the Renunciation which I forgot to attach and provide
yesterday.
Please submit the Letters and Shorts to my office in the envelope provided yesterday and if there
is anything else, just contact me.
Jim Abraham
Enclosure
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