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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: WILLIAM H. SANDERS
a/k/a:
a/k/a:
a/k/a:
Date of Death: November 4.2012
rt ~ ~ ~
File No: ~ ~ ~ ~~
(Assigned by Register)
Social Security No:
Age at death: 92
Decedent was domiciled at death in Cumberland County, enns lvania (State) with his/her last
principal residence at 2100 Bent Creek Blvd., Mechanicsburg 17055 Silver Sbrin~ Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 2100 Bent Creek Blvd., Mechanicsburc 17055 Silver Sprinc Cumberland PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania .......................... ..All personal property $ 50,000.00
If not domiciled in Pennsylvania ...................... .. Personal property in Pennsylvania $
If not domiciled in Pennsylvania . ..................... .. Personal property in County $
Valice of real estate in Pennsylvania .................... ..................................... $
TOTAL ESTIMATED VALUE.... $ 50,000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, ff necessary.)
Street address, Post Office and Zip Code City, Township or Borough
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
Countv
and Codicil(s)
State relevant circumstances (e.g. renunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, 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 did not have a child born or
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)
c. t. a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, daarante 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 EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following s~'otlse (if anynd heirs (attach
additional sheets, if necessary): C? ,.~--~, ~ ~ ~
Name Relationship ~ address r~ ~ ~ ;,.
s
Richard W. Sanders son 2 Buchannon Dr., Apt ~a le, P~ 170 ~'..t
Barbara S. Clingan daughter 2859 Mimosa Lane, Laar, 17601 ~~
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~ ~ ~
Form RW-OZ rev. ]0/11/2011 Page 1 of 2 ^~~
~V
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND
Official Only
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Petitioner(s) Printed Name Petitioner(s) Printed ~Ciress ~~~, ' ~:" "~~ 1..'~t
Richard W. Sanders 2 Buchannon Dr., A t 313, Carlisle PA 17013 ~."> '~ "'~
Barbara S. Clingan n _ ~..
2859 Mimosa Lane, Lancaster, PA 17601 '°'"~ ., 3 ~,r1 ~~:? ~~~`
~r
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 edent, the Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed subscribed before Le-hd.~~ ~ ~ `~-~.~ Date ~ t~ _ ~ (-
me this° ' c~, day of ~°r~7 'i , Vic'`®~ u~~--ram--~ - v~ ~_ Date ~ ;~ ~ 7 ~ ~.
By: ~~.. t „h. ~~~ ~~ ~ ~~ ~~~ ~~~ ~ Date
Fdi= the Register Date
~_._
BOND Required: YES ~ NO To the Register of Wills:
FEES: ~ Please enter my appearance by my signature below:
A
J ..~
Letters ...................... $
,.
( `,~" )Short Certificate(s)...... _~ e,,,' ~'~''
( `~ )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other
¢. ;;:,
Automation Fee . .............. ~_~
JCS Fee. `'A ~"°
.................... f tr ~-
TOTAL ..................... ~ - 0.00
Attorney Signature:
.~
Printed Name: ADAM R. DELUCA, ESQ
Supreme Court
ID Number: 311738
Firm Name:
Address:
717-249-4514
~rdelucaRS(a~.a~l.c~m
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DECREE OF THE REGISTER
Estate of WILLIAM H. SANDERS File No:
a/k/a:
--_
AND NOW, - _ ~ `-~
~" `'` ~'"- ~ '~' -.~ , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Richard W. Sanders and Barbara S. Cliti~an
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 reco~d as the last Will,~~nd Codicil(s)) of Decedent.
e
A
mod.
Register of Wills h'~l sue, ,;~ ~, , i~ ~ ,<,
Form KW-02 rev. 10/11/2011 ~ ~'"
Page of 2 :~--~