HomeMy WebLinkAbout02-08-13PETITION 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: MARK SHOPE File No: 21-13-~ /~
a/k/a: MARK A. SHOPE (Assigned by Register)
a/k/a:
tea; . Social Security No:
Date of Death: 1/24/2013 Age at death: 45
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last
principal residence at 29a SENATE AVENUE CAMP HILL 17011 EAST PENNSBORO TW P CUMBERLAND
Scree[ address, Pmt Office and Zip Code City, TowmMp or Borough County
Decedent died at HERSHEY MEDICAL CENTER 17033 DERRY TOWNSHIP DAUPHIN P/~
Street address, Pmt Ofare sad Zip Cade Cily, Township or Borough Comty Stale
Estimate of value of decedent's property at death:
!(domiciled in Pennsylvania ................................Ail personalproperty $ 50.000.00
!f nor domici/ed in Pennsylvania .............................Personal property in Pennsylvania $ _
/(nor domiciled in Pennsylvania .............................Personal property in County $
Value of real wrote to Pennsylvania .............................................................. $ 0.00
TOTAL ESTIMATED VALUE.... $ 50.000.00
Real estate in Pennsylvania situated at: NIA _
(Attnc% nddiuonnl shee(s, ifnecessnryJ Sheet address, Pmt ORice amt Zip Code City, Towmhip or Borough Coaaty
^ A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) averts) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated _ and Codioil(s)
thereto dated
State relevant ciraumstaaces (eg. renunciation, death ofexecurog etc.)
Except as follows: after the execution of [he ins[mmen[(s) offered for probate Decedent did not marry, was not divorced, was not a arty to a pending
divorce proceeding wherein [he grounds for divorce bad been established as defined in 23 Pa. C.S. § 3323(8), and.7Yd no[ have a ~ born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ O <...a ~ ~
^ NO EXCEPTIONS ^ EXCEPTIONS 0O ~ rn G~ n
x n s_cr cn
® B. Petition for Grant of Letters of Administration (If applicable) ~ i m ~
c. t.a., d.b.n., d.b.n.c. t.a., pendente littzdufdAle~senha, dd our ~~
If Administration, c.Ga. or d.b.n.c.ta., enter date of Will in Section A above and comg t~i~f h~s. Q -ten
»r ~
Except as follows: Decedent was not a party [o a pending divorce proceeding wherein the grounds for divoroe.had la4n establi !~ as s~nRb
in 23 Pa. C.S. § 3323(8) and was neither [he victim of a killing nor ever adjudicated an incapacitated person. 'i] "'I 1-- M
® NO EXCEPTIONS ^ EXCEPTIONS A t z N T
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and hero, (attach
additional sheers, if necessary):
Name Relationship Address
PA7RIClA A. SHOPE
OTHER 231 PISGAH STATE ROAD
SHERMANS DALE PA 17090
LARRY N. SHOPE
FATHER 231 PISGAH STATE ROAD
SHERMANS DALE PA 17090
~-
Form RW-07 rev. /0/11/10!!
Page 1 of 2 ~~
Oath of Personal Representative official use o~tY
COMMONWEALTH OF PENNSYLVANL4 }
} SS:
COUNTY OF CUMBERLAND }
J
Petitioneds) Printed Name Petitioner(s) Printed Add[ess
231 PISGAH STATE ROAD
PAT ICIA A. 3H PE SH RMA S DALE PA 17090
I~--
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are hue and correct to the best of the knowledge and belief
of Petitioner(s) and [hat, as Personal Representative(s) oFthe Deoeden[, the Petitioner(s) will well and tmly administer the estate according to law.
Sworn to or affirmed ands t scribed before ~ ~ ~t,g,gay~ Date a $ ~ ~ __
me ~ -d yof ,~iaiS Date
By: - _ Date
r the Register Dale
BOND Required: DYES ®NO
FEES: ^ ,_
Letters ....................... $Letters....................... $ lY/)
( '~ )Short Certificates(s) ...... ~ S
( )Renunciation(s) ......... .
( )Codicil(s) ............. .
( )Affidavit(s) .............
Bond .........................
Commission ..,.. '
otner __-'~_~..... -1Sr
~\ J ......... I-~
Automation Fee ................. tyf-~----'-'~-
JCS Fee .......................
TOTAL ......................$
To the Register of WAIs:
Please enter my appearance by my signatty'e below:
Attorney Signa[ur `~~~~
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of MARK SHOPE File No: 21-13- ~ S /
a/k/a: MARK A. SHOPE
AND NOW, ~ ~ ,inconsideration of the foregoing Petition,
satisfactory proof haver been pr sented b ore me, IT IS DECREED that Letters OF ADMINISTRATION
_ rereby granted to PATRICIA A. SHOPE
in the above estate and (if applicable) that
the instrtunent(s) dated -
described in the Petition be
to probate and filed of
as the last Wi,~1(and
LJ
Form RW-02 rev. 10/1l/20/I ~ ~/~ N`~'f'`v~/'F Pd~20f 2.
717-697~46~Q: r""
8 vr~q- ---
717-697-9395 c..r err
murrel@waltersaalloway com __
W
RECORDED OFFICE Ot-
RE61S T cR OF (i`;'i-"._!_S
RENUNCIATION
1Di3 fE@ 8 Rf1 9 03
CLERK CF
REGISTER OF WILLS ORPHANS'COURT
CdaAL•2<s.~~ CUMBERLAND Cu., PA
COUNTY, PENNSYLVANIA
Estate of _ _ _
I L-~22Y yI/ fi/o,GG-'
(Prins Name)
it ~i ~~ft..di f r{z.t so ,~
Deceased
in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
s2~ e.u ~ . S'tF o /r ~
(Date)
Executed in Register's Office
Swom to or affirmed and subscribed
bef re me this ~_ day
,~J/'s -.
~~
ep ty for egister of Wills
(Signature)
(Street Addre.uJ
(City. State. ZipJ
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 ,
Notary Public
My Commission Expires:
(Signature and Seal ofNotary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW06 rev. 10.13.06