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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 ~~ I , ~ _//Q
Name: Duane E. McClintock File No: GJ -
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 210-40-1981
Date of Death: 09/08/2012 Age at death: 60
Decedent was domiciled at death in Cumberland County, P .nnvclvania (State) with his/her last
principal residence at 93 Beattie Club Road Carlisle 17015 Middlesex Cumberland
Street addreu, Post Office and Zip Code City, Towuslup or Borough County
Decedent died at CRMC 361 Alexander Snrine Road Carlisle 17015 South Middleton Cumberland PA
Street address, Post Office end Zip Code Ctty, Townshtp or Borough County State
Estimate of value of decedent's property at death: 12,000.00
If domiciled in Pennsylvania ............................ All personal property $
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County . • • • ........ $ 4't 000.00
Value of real estate in Pennsylvania ...................... .............. .
TOTAL ESTIMATED VALUE.... $ 55.000.00
Real estate in Pennsylvania situated at: 93 Bea le Club Road Cazlisle 17015 Middlesex Cumberland
(Attach additional sheets, ijnecessary.) 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 m the last Will of the Decedent, dated and Codicil(s)
thereto dated
State relevant circumstances (eg. renunciation, death ojaeculor, etc)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorc not a par~p a pett~r i#t~
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), an t have a~hild b0
~~~~~JJJJJ n
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. fr't ....~ ~~, ;~
®NO EXCEPTIONS Q EXCEPTIONS ~~' ~_-- -~ r'ri r-rz
-d---c;~,~~1
C!~
C1 ~:~
® B. Petition for Grant of Letters of Administration (If applicable) ~ ~'~ ` '+° '~ -n
c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante. ~ ~a, dura N inor~t s-~r~t
If Administration, c.La or db.n.c.ra., enter date of Will in Section A above and complete~t of heirs,~_
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been establish~as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
O NO EXCEPTIONS ®EXCEPTIONS
Petitioner(s), after aproper seazchhas/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach
additional sheets, if necessary):
Name Relationshi Address
Scott McClintock son 4802 Spring Road, Shermansdale, PA 17090
Sally McClintock daughter 408 Pine Grove Road, Gardners, PA 17324
Shawn Richardson daughter 936 Shive Lane, Lot 79, Bowling Green, KY, 42103
Tracy Tinkey daughter 111 North Highland Avenue, York, PA 17404
Form RW-02 rev. 10/I UZ011 Page
nrnnnrlCC'~ ~"1>=GIf ~- (li-
of2~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
~~~)~uF~)'.~f ~K.~
RCL~I~Er ~.;~ ;dr.~ •~
Petitioner(s) Printed Name Petitioner(s) Printed Address
Sall A. McClintock 408 Pine Grove Road Gardners PA 17324 '~``~ "`
~GQ..~
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 the ce a tt, the Petifioner(s) will well and truly administer the estate according to law.
Sworn to or trmed s s ribed bef r Date 14 [ Z 2 a I Z
me this ay 9f Date
Letters ...................... $
(r'b )Short Certificate(s)..... .
(~ )Renunciation(s)......... ,
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........
Automation Fee ........ .......
..
_
JCS Fee ..............
TOTAL .............. ~
....... %3
...... ~$L~
(~ /
Attorney Signature:
Printed Name: Adam R. Deluca, Esq.
Snpreroe Court
ID Number: 311738
Firm Name: Allied Attorneys of Central Pennsylvania, LLC
Address: Fl west loather street
Carlisle, PA 17013
717-249-1177
717-249-4514
ardeh~caRSnOeand cnm
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of Duane E. McClintock File No: ~L ~a2~~ID~'
a{k/a:
AND NOW, ~~ ~ , ~~~~, in consideration of the foregoing Petition,
satisfactory proof having been presented before toe, IT IS DECREED that Letters of Administration
are hereby granted to Sally A. McClintock
in the above estate and (if applicable) that
the instrument(s) dated n/a
described in the Petition be admitted to probate and filed of record the last Will (and Codic' )) of D cedent.
i
Regi er of Will
Form RW-01 rev. foilvzott Page 2
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance 6y my signature below:
}n n5 Rn5 qF V /~/' I ~
LOCAL RE~ ERTIFICATION OF DEATH
WARNING: It ~~this coPY by Photostat or photograph.
i V, $t...1..iJ
RED ~' E~ ' ;~ N"`111111
10'1- 1~0~
Fee for this certificate, $6.00 ~~~Z Q~T ~ ~ This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly Filed with me as Local Registrar. The original
_ certificate will be forwarded to the State Vital
LJLCt,:~ Records Office for permanent filing.
pRPHA(v'S
P 18882288 ~~ ZSk»~~ s~ i ~zotz
Local Registrar Date Issued
Certification Number
da
TYM/Prlnt In
P..m.n.nt #33-342
COMMONWEALTH OF P(NNSYLVANIA • DFPARTMCNT OF N(ALTN VITItL RCCORD9
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.Amendments
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DitOtlsltbn Permh No- ~ -1 1~~~~
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RENUNCIATION 2dE2 OCR t 2 PM 12= ~ ~
REGISTER OF WILLS ~~,,,,ORpHAN'S l,vU~jPA
CUMBERLAND COUNTY, PENNSYLVA~NtPt'~R~Q ~"
Estate of Duane E. McClintock
Deceased
I, Scott McClintock , 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
Sally A. McClintock
ro/a(~a ~ ~ y~jl
(Date) signature)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
4802 Spring Road
(Street Address)
Shermansdale, PA 17090
(city, stare, 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 stated within on this day
of .F~CTb 1`~ ~YL , r
Notary Public U
My Commission Expires: ~(~~ ~ (, v~Ol
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
N07ARIAL SEAL
ivf~m€la J, Manger
BdFO of G~rNsVe, Cumberland County
My CoriifiiKSion Expires June 21, 2014
_ __ _ __
~.~ir~~.~~c„~~~r;cE ~
F~~'a4 ~r; ~~~~ ~...~~
~.
UIZ OCT 12 PM 12~ ! 3
RENUNCIATION
REGISTER OF WILLS ~~ ~ t~UE~T
CUMBERLAND COUNTY, PENNSYLVANIA~BERLEWD CO., PA
Estate of Duane E. McClintock
Deceased
I, Shawn Richardson , in my capacity/relationship as
(Print Name)
daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Sally A. McClintock
(Date) (Signature)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW06 rev. 10.13.06
936 Shive Lane, Lot 79
(Street Address)
Bowling Green, KY 42103
(City, State, Zip)
Executed out of Register's Offue
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~n~ day
Notary Public ~ y~~La9`6
My Commission Expires: ~-~_ ~~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
__ __ __ _
~~-~/ ~~
;~FC~~ kD'.iF~'~~10"
RENUNCIATION
~~IZ OCT 12 PM 12~ ! 3
~~'~ ~~~T
REGISTER OF WILLS ~1~ERlAMC ~„ (~
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Duane E. McClintock
Deceased
I, Tracy Tinkey , in my capacity/relationship as
(Print Name)
daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Sally A. McClintock
Q I
(Dare) (Signature)
111 North Highland Avenue
(Street Address)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
York, PA 17404
(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 stated within on this ~~' day
of L1CiU~~3~' 3~1a--
Noi~-PQbIiZ~
My Commission Expires: I c~- as " ~ ~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Jennifer Campbell, Notary Public
Springettsbnrg Township, Yak County
My commiuion eapires December 22, 2012