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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
Name: EVELYN G. KYLE File No: ~~ ~ ~~ - (`~ `~
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 11/08/2011 Age at death: 95
Decedent was domiciled at death in u(;,,w,,Q,Q„County, pENNSYL.VANiA (Stare) with his/her last
principal residence at 45 WATER STREET WALNUT BOTTOM PA 17266
Street address, Post Office and Zip Code City, Towaship or Borough Couuty
Decedent died at CHAMBERSBURG HOSPITAL CHAMBERSBURG FRANKLIN pA
Street address, Post Office sad Zip Code City, Towaship or Borough County State
Estimate of value of decedent's property at death:
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
Value of real estate in Pennsylvania ........................................................ .
TOTAL ESTIMATED VALUE... .
Real estate in Pennsylvania situated at:
(Attach additional sheets, ijnecessary.)
$ I~doo 0.00
Street address, Post Office aad Zip Code City, Towaship or Borough
0 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
thereto dated
County
and;C,®dicil(s)
State relevant circuaustauces (eg. renunciation, death of executor, ate) art ~~ _ . L.3 ~
~ ,,~_
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, a`~ota party ~pend' ~--~=z
divorce roceedin wherein the ~ ---~
p g grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and c~riot have a cht d bom or ~-~
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. r-~ ,`-- _. -~ "`
NO EXCEPTIONS ®EXCEPTIONS C'- - "~ "' -'-!
-.~` , = C7
D .. r- t't-t
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B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate
If Administration, c.t.a. or d.b.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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
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 (if any) and heirs (attach
additional sheets, if necessary):
Name Relationshi Address
JOHN KYLE SON 246 W. POMFRET ST., CARLISLE, PA 17013
1
Farm RW-01 rev. 10/11/2011 Page 1 of
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
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:~ _~; ~ ~~~~' 20 f'~~ 2~ Q8
Petitioner(s) Printed Name Petitioner(s) Printed Address
JOHN KYLE 246 W. POMFRET ST. CARLISLE PA 17013 U~;~f :"''`'~ " `•~'
~. , _ y ,
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petiti are true and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) ec //nt, the P/~etiti e will well and truly administer the estate accor ing to law.
Sworn to or affirmed and subscribed before - ~~~LL "' Date ~~ ~D ~0~7/
me day of f ; Date
By Date
For the Register Date
BOND Required: Q YES ~ NO
FEES:
Letters ...................... $
( i )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ,.,,,,,,
........
Automation Fee ...............
JCS Fee ..................... G
TOTAL ..................... $ U 00
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature;
Printed Name: SUSdN J. HARTMAN
Supreme Court
ID Number: 65184
Firm Name: DUNCAN &HARTMAN, PC
Address: 1 TRVINF. ROW
('ART.TST.F„ PA 1701'i
Phone
Fax:
Email:
717-249-7780
717-249-7800
snsan ° duncanhartmanla~=~ rnm
DECREE OF THE REGISTER
Estate of EVELYN G. KYLE File No: _ .~ ~ ~ a - ~ a ~ L~
a/k/a:
AND NOW, N c)`~ ~ ~~ !~" U `~a ~ 2 ,inconsideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters ADMINISTRATION
are hereby granted to JOHN KYLE
in the above estate and (if applicable) that
the instrument(s) dated ~.1
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
Form RW-02 rev. 10/11/201 /
of Wills ~ V ~~
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~(.~~` Pie 2 of 2
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uin5,enq Z5V /m rn~,
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17978541
Certification Number
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
Records Office for permanent filing.
L ~ ~rfles~c~~b~,,~~c_" ND~iI 1 12011
Local Registrar Date Issued
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H106.113 R@r 71/2008 COMMONWEALTH OF PENNSYWANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
~~ CERTIFICATE OF DEATH
(See Instruotlone and examples on reverse)
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