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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: BETTY L. SHERIFF File No: _~~ . ~3 ~(~~
a/k/a:
a/Ida: (Assigned by Register)
a/k/a:
Date of Death: OCTOBER 13 2012
Social Security No: 164.36-5400
Age at death: 67
Decedent was domiciled at death in CUMBERLAND County, pENNSVI VANiA
principal residence at 222 McALLISTER CHURCH ROAD CARLISLE 17015 W. PENNSBORO TWP taCUMBERLANDIast
Street address, post Office and Zip Code City, Towoship or Borough
Decedent died at HOLY SPIRIT HOSPITAL CAMP HILL 17011 CAMP HILL Connry
Street address, Post Office and ZI Code CUMBERLAND pA
P City, Township or Borough County Stale
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property
Ijnot domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ 8.000 00
If not domiciled in Pennsylvania ........................ Personal property in County g
Value of real estate in Pennsylvania ............................... .
$ Fo non nn
TOTAL ESTIMATED VALUE.... $ 68 000 00
Real estate in Pennsylvania situated aC. 222 McALLISTER CHURCH RD CARLISLE 17015 WEST PENNSBORO CUMBERLAND
/Attac~/h addit~ilonal sheets, if necessary.) Street address, Post Office and Zip Code City, Towoship or Borough
rl t L 'l /t{7 nre /(S NMI S, y ('C'Nf ~trtC /~~CNNA'Y () COUnty
^ A. Petition for Probate and Grant of Letters Testaments ~ `_"
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated i O w ~ ~
thereto dated tTl
~ ,.~ ~ @odicil(s)
_ 01 -n T _._ fJ
State relevant circumstances (e.g, renunciotian, death of executor, etc/ ~ ~ ~ ~ SY'V i7ry
t
Except as follows: after the execution ofthe instrument(s)offered for probate Decedent did not ma N ~7 ar7
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. S Wa33~tv~r~'^~waapaA~pending
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~5g~"~'"'^^``11++'''d ave a'"`~~ bom or
~ ~_ P~7
Q NO EXCEPTIONS O EXCEPTIONS -'~ c0 =^= ~
A•
B. Petition for Grant of Letters of Administration (tf applicable) -L ''t
c. t.a.. d.b.n., d.b.n.c. t.a., pettdente life, durance absentia durance minori[ate
If Administration, at.a. or db.n.c.t.a., enter date of Will in Section A above and com lete 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.
Q NO EXCEPTIONS Q EXCEPTIONS
Form RW-02 rev./0/]l/20/l
Page 1 of 2
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, i/'necessary):
ry~k
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
SS:
COUNTY OF CUMBERLAND }
i°)i'~~ 7
Petitioner(s) Printed Name Petitioner(s) Printed Address O
~ Pi1
l
JEAN l4. RAUDABAUGH iF1~
310 S. RIDGE ROAD BOILING SPRINGS PA 17007 ~J 13 .
JtAA/Uc 1~. /YA+.WA~1vWq(7
.S~ (i Flu
CUMBERLAND ~~
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 cedent, the Petition/her(s) 7JI well and tru administer the estate according to law.
Sworn to or ffirmed an subscribed b fore ~ /--~ !--' '~' /' e
Date
me th~ d~ Date
HY~ Date
For /h Reyisler
BOND Required: ~ YES Q NO
FEES:
Letters ...................... S ]35.00
( 2) Short Certificate(s)...... 10.00
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ~~~~~~~~
INVENTORY 15.00
INH TAX RETURN 15'.00
WILL ........ ~-I'S~4
Automation Fee ............... 5.00
JCS Fee ..................... 23.50
TOTAL ..................... $~
Ta the Register of Wills:
oto9"e corer my aooearance by my signature below:
Attorney Signature:
v`~
Printed Name: ROGER~~IRWIN, ESQUIRE
Supreme Cour[
ID Number: .6282
Firm Name: IRWIN & McKNIGHT, P.C.
Address: ^' ^^*"vnc~r rrv FFT
rent rcr P PA 17013 -
Phone:
Fax:
Email:
(717)249-2353
(717)249 6354
DECREE OF THE REGISTER
Estate of ETTY L. SHERIFF
~I4i~~
AND NOW, \ /( >~i \ u '
satisfactory proof having been
the instrument(s) dated _
described in the Petition be
For„~Rw-az reg. miniaal
File No: /,I ~ ~ S ~ ~' ` '-'
l'4
.,~,
~, U(J~ J , in consideration of the foregoing Petition,
Ire me, IT IS DECREED that Letters OF ADMINISTRATION
granted to JEAN R. RAUDABAUGH
in the above estate and (if applicable) that
to probate and filed~e~ecorc~ as t~te l~st Will
`~~; ~
2of2
H105905 REV.(B/Ip - - _
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with
the Vital Statistics Law of ]953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
;~
RECQRDyD /1rr'i n." 1~'i
?Gl3 JF~J u Pit ~ 2~f
---efrrsH,~rES e b ~ ;
CUMBERL~~D G~~-. ?,n
~4n.ww D'~~'1N~eGWa.~
Marina O'Reilly Matthew
State Registrar
DEC 0 ~ 2012
Date
~onnnno~.ueAL=H CERTIFICATE OF DEATH H V1T«aPCDans
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