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HomeMy WebLinkAbout10-03-12Reset PETITION FOR GRANT OF LETTERS REGISTF,R OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letteirs 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 Q Name: Kelley A. Wav File No: ~~ ~ ~~_ -~~ Q a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: 196-46-4873 Date of Death: June 1 I, 2012 Age at death: 54 Decedent was domiciled at death in Cumberland County, penn5ytvania (5mte/ with his/her last principal residence a[ 433 Garden Drive. Uooer Allen Township. PA 17055 Qtmberland Street address, Post Omce and Zip Code City, Township or Borough County Decedent died at 900 Block of West Trindle Road. Mechanicsbur¢. Cumberlad. PA 17055 _ Street address, Post Office and Zip Code City, Township or Borough County Stat¢ Estimate of value of decedent's property at death: lfdomiclled in Pennsylvania ... ...... ............ ....... All personal property $ 100.00 Ifnot domiciled in Pennsylvania ............. _ ......... Personal property in Pennsylvania $ Ijnof domiciled in Pen~sylvania ........................ Personal property in County $ Value of real esrafe in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 100 00 Real estate in Pennsylvania siNated at _ _ /Anach aMitimml sheets, ijnecessarv./ Street address, Post Omce and Zip Cotle City, Township ar Borough *.aCounty b © N A. Ietition for Probate and Grant of Letters Testamentary O Petitioner(s) aver(s) he/she/Ihey is/are the Executor(s) named in [he last Will of the Decedent, dated _ ~ -, and~dicil '' ~? thereto dated - "' `~ ~_: n-, - _ '37 r_7 State r¢levant circumstances (e.g. renunciation, death ofereeufor, etc.) ~ " ' t.'^~ ,,-;",~ ~ +~,~ Except as follows: after [he execution of [he instmmen[(s) offered for probate Decedent did no[ marry, was no[ divorced, ~t a party t0om~` enditt~ ?~ divorce proceeding wherein the grounds frr divorce had been established es defined in 23 Pa. C.S. § 3323(8), and did rtU~tave a ch1ltJ+bom f'7`7 adopted: and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ W ~~ Q NO EXCEPTIONS Q EXCEPTIONS ® B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d.b.n., d.b.n.c.f.a.. pendenle (ire. durance ahsentia, durunte minorimte If Administration, c.Ga or d.6,n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was no[ a party [e 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 per.;on. ©a NO EXCEPTIONS O EXCEPTIONS _ _ Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the fi~llowing spouse (ifany) and heirs (attach nddition,al sheers. if necessary): Name Relationshi P~ddress Nicholas S. Way Husband 613 Geneva 13rive, Apartment 20A Mechanicsburg, PA 17055 Cory P. Kuhn Son 393 Stonehedge lane, Mechanicsburg, PA 17055 Heather L. Moore Daughter 7 E. Front Street, Apt. 201, Shiremanstown, PA 17011 Farm a w-nz rev m n zn l r Page 1 of 2 .tv~~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } ss: COUNTY OF Cumberland } Official [Jse Only Petitioner(s) Printed Name Petitioner(s) Printed Adidress Heather L. Moore i E. Front Street A t. 201 Shiremanstown PA 1'1011 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the faregoing Petition are we and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dece`de~nt, thQe P~etitionenr(s)nwill well and tmly administer the estate according to law. Sworn to or affirmed and subscribed before C"~LCJ~'J Y V `~~--~ Dare (CJ- ~ 3 - ( me tlyi&L3(e,' .day of .~~~~,o~~a _ _ _ _ Date For Me ReR~ster BOND Required: Q YES ~'NO FEES: ( 5) Short Certificate(s).... ( 2) Renunciation(s)........ . ( )Codicil(s) ............. ( )Affidavit(s)............ _ Bond ........................ Commission .................. _ Other ...... Automation Fee........ ... . JCS Fee .............. ....... U TOTAL .............. ....... $ Date To the Register of Wi((s: Please enter my appearance by my signature below: Attorney Signature: ~~ Printed Name: __ '~ Supreme Court ID Number: _ ~ C'1 n' ~ f . _ ~ Firm Name: rf 1- Address: O~ ~~ r ~ 1 ~ ~ _ y ro F : -n Phone: ~ W Faa: Email: DECREF, OF THE REGISTER Estate of Kellev A. Wav File No: !~~ ~ _ ~ ~. ' Lv AND NOW, ~.~JI ~` .~~% ~ ~1 ,~~ ~, inconsideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Ad~niuistration are hereby granted to Heather L. Moore in the above estate and (if applicable) that the instrument(s) dated described in the Petition be admitted to probate and 51ed of rec~ttd as the last Will (and Codicil(s)) of Decedent. ,.t ,-~~ ("r L7 S' C~ i ~'t r-s _~ Form nw-nz rev. ro u aon ° (l Page Yof 2 LIInAgr15 HI;A « °II LOCAL RF(~ TRAR'S CERTIFICATION OiF DEATH WARNING: ~~%[ai~e this copy by photostat or photograph. E~i.rai~ry f`= "J~L~i Fee for this certifica[e, $6.00 P 18860939 Certification Number Zt~12 QCT -3 PF4 FINAL " #33-271 CERTIFICATE OF DEATH Thie is ao certify That the information here given is correctly copied from an original Certifieaie of Death duly tiled with me as Local Registrar. The original certificate will be forwarded [o the State Vital Records Office for permanent filing. Local Registrar Date lssued • aMwWme 1[na1. MNYN. YaI. WXxI 1 Wr SwNlswwXVXwn • dbwX lNnmwMllY•II MaI xeNay a way Femela (p - ~-'/~3 June 11.401:? W.y-wreMnewmq s r. axnlMelmmwn nwnMwrm Mlxelan Meslx xrvl °w • 5! 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Za12 •°.MµN• adnnn NUmper n r N lJ (~ ~ u.wmwwnn pnwnlpn rermu xo. ~7~t~~/~ _~- xtv mppu RENUNCIATION REGISTER OF WILLS CUMBERLAND Estate of KELLEY A. WAY COUNTY, PENNSYLVANIA Deceased I, NICHOLAS S. WAY , in my capacity/relationship as (Pant Name) HUSBAND of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to HEATHER L. MOORS (Dare) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Executed out of Register's Offrce Before the undersigned personally appeared the party executing this renunciation and certified that he or she execrated the renunciation for the purposes state within on this 7~ day of 2G 1.2 - f~- Notary Public My Commission Expires: / U~ ~ //~ (SignaNrC and Sea! of Notary or other official qualified [o administer oaths. Show date of expiration of Notary's Commission.) Farm RN'-06 rev. lOJ3.06 OMMONWE`:LT~I ^F PENNSY VANIA NOTA6'.E~L SEAL Lori A. Backenstces-Notary Public Lower Allen Twa, Cumberland County MY COMMISSION EXPIRES OCT. 13, 2015 ~, Q N ~j o rn 'C7 ' ~ ~ ~ ~ ~~. , ~cri ' w ~;~„ a r-~ ~ -r, t i 3 -- ?l D w ~U '.A- j~o s S (City, Stote, Zip) RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of KELLEY A. WAY Deceased I, CORY P. KUHN , in my capacity/relationship as (Print Nome) SON of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to HEATHER L. MOORE ro~re ~~,~ Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Fo,mxw-~e .e,,. eara.ne s9~ __S~..~r~ f~i, (SVeer 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 purposes st ted wikhin on this z day of ~,~~~.,- 2G 12_. 1 ~/ iX in Yl. Notary Public My Commission Expires: / ~ ~ /-°~ ~~ i~ (Signature and Seal of Notaq~ or other official qualified to administer oaths. Show darn of expiration of No[ary's Commission-) COMMONWEALTH OF PENN5YWANIA NOTARIAL. SEAL Lori A. Backenstces-Notary Public Lower Allen rip., Cumberland CourdY MY COMMISSI0~1 ~XP!RES OCT. 13, 2015 r> r~ ~ °-, ~ n c . -+ c~ =c ~` ~' ~ r ; G~ ~ _ -» m c ~ IV ~ W gy ] lry 'i 1