HomeMy WebLinkAbout02-15-13
COURT OF COMMON PLEAS
ESTATE OF INEZ H. DAVIS, CUMBERLAND COUNTY,
An Incapacitated Person. PENNSYLVANIA
ORPHANS' COURT DIVISION
O.C. NO. 21-07-0200
PRAECIPE
TO THE CLERK OF THE ORPHANS' COURT;
Please make the following documents, attached to this Praecipe, a part of the record in
this case:
Certificate of Consent of Carolyn A. Henderson to Petition for Allowance of Distribution
of Principal of an Incapacitated Person;
Certificate of Consent of Elsie L. Baker to Petition for Allowance of Distribution of
Principal of an Incapacitated Person;
Certificate of Consent of Katheryn L. Alvarez to Petition for Allowance of Distribution of
Principal of an Incapacitated Person;
Certificate of Consent of Donald R. Davis to Petition for Allowance of Distribution of
Principal of an Incapacitated Person;
Certificate of Consent of Michael A. Davis to Petition for Allowance of Distribution of
Principal of an Incapacitated Person (copy with redacted social security number).
Respectfully submitted
Dated: 7-1 W 13 ? 06
Un Eli eth B. Place, Esquire
Identification No. 44682
ua C\j
Cr- Skarlatos & Zonarich Building
- E o c> 17 South Second Street 6t" Floor
it. o C`" ~c . = Harrisburg, Pennsylvania 17101
cn Ln ij 2: _j Telephone (717) 233 - 1000
I.Aj r--4
C-A ~ z w Facsimile: (717) 233 - 6740
o ~ co Email: ebpna skarlatoszonarich.com
° Counsel for Petitioner
CERTIFICATE OF CONSENT
1. Carolyn A. Henderson, daughter of Inez H. Davis, do hereby certify that I have reviewed the
PETITION FOR ALLOWANCE OF DISTRIBUTION OF PRINCIPAL OF AN
INCAPACITATED PERSON dated January 15, 2013, filed by Petitioner Gloria J. Banks,
daughter and Guardian of Inez H. Davis, concur therewith, join in the Petition and pray that the
court approve it.
Dated: ac~~ 13
C2: o+Hei
der
son
STATE OF
ss.
COUNTY OF
On this ~ day of 201 before me, a Notary Public, the
undersigned officer, person y appear , ' known to me (or
satisfactorily proven) to be the person whose name is ubscribed to the within instrument and
acknowledged that he/she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
MARY GIBBON
COMM. #1$$4249 z
Notary Public • California 0 Notary bllc
San Bernardino Cqunty
M Comm. Expires Mar. 27, 2014
CERTIFICATE OF CONSENT
I, Elsie L. Baker, daughter of Inez H. Davis, do hereby certify that I have reviewed the
PETITION FOR ALLOWANCE OF DISTRIBUTION OF PRINCIPAL OF AN
INCAPACITATED PERSON dated January 15, 2013, filed by Petitioner Gloria J. Banks,
daughter and Guardian of Inez H. Davis, concur therewith, join in the Petition and pray that the
court approve it
r-. ' > 1 c
Dated: 1V. 2.313 L - (SC(t~
Elsie L. Baker
STATE OF
COUNTY OF-S04) iM-ncl~ I" rv)~ ss.
)
On this day of Z' w,nU 2013, before me, a Notary Public, the
undersigned officer, personally appeared, 15-65 hewn tem. (or
satisfactorily proven) to be the person whose name is subscribed to the within instrument and
acknowledged that liv she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
STEVEN KHOURI
Commission # 1978704
Notary Public - California Z
Z ` San Bernardino County D
My Comm. Expires May 19, 2016
CERTIFICATE OF CONSENT
I, Katheryn L. Alvarez, daughter of Inez H. Davis, do hereby certify that I have reviewed the
PETITION FOR ALLOWANCE OF DISTRIBUTION OF PRINCIPAL OF AN
INCAPACITATED PERSON dated January 15, 2013, filed by Petitioner Gloria J. Banks,
daughter and Guardian of Inez H. Davis, concur therewith, join in the Petition and pray that the
court approve it
Dated:
Katheryn . . Alvarez
COMMONWEALTH OF
ss.
COUNTY OF c Q~; _ )
On this day of 2013, before me, a Notary Public, the
undersigned officer. personally appeare, N~,tki-e Z, known to me (or
satisfactorily proven) to be the person whose name is bscribed to the within instrument and
acknowledged that he/she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Elba Van Sant, Notary Public
Lower Paxton Twp., Dauphin county
My Commission Expires Feb. 25, 2015
MEMBER, PEi W n vp Nt4 ASSOCIATION OF NOTARIES
CERTIFICATE OF CONSENT
1, Donald Ray Davis, son of Inez H. Davis, do hereby certify that I have reviewed the
PETITION FOR ALLOWANCE OF DISTRIBUTION OF PRINCIPAL OF AN
INCAPACITATED PERSON dated January 15, 2013, filed by Petitioner Gloria J. Banks,
daughter and Guardian of Inez H. Davis, concur therewith, join in the Petition and pray that the
court approve it
Dated: _ 3 C~ - 13 - X, Donald Ray Davis
STATE OF CA
ss.
COUNTY OF San Bernardino )
On this -3 0- day of 01 2013, before me, a Notary Public, the
undersigned officer, personally appeared, Donald Ray Davis , known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within instrument and
acknowledged that(&/she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
No ary Publi
ELEAZAR AGUiLERA
_ Commission #k 1560448
a Notary Public - California z
z ySan Bernardino County
My Comm. Expires Dec 13, 2015
CERTIFICATE.OF CONSENT
I, Michael Anthony Davis„ son of Inez H. Davis, do hereby certify that I have reviewed the
PETITION FOR ALLOWANCE OF DISTRIBUTION OF PRINCIPAL OF AN
INCAPACITATED PERSON dated January 15, 2013, filed by Petitioner Gloria J. Banks,
daughter and Guardian of Inez H. Davis, concur therewith, join in the Petition and pray that the
court approve it
Dated: '
ael Anthony avis
STATE OF
ss.
COUNTY OF kn r{►^ l~ }
On this day of 2013, before me, a Notary Public, the
undersigned officer, personally appeared, ~07A21t, DA, o4--,, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within instrument and
acknowledged tha h /she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
M COMM. 41-N420-1
-i q NOTG rv ' ffl I(, • CAU'OrNIA Notary Public
,t, Gar ff"NO COUNTY W
r;
r, ~'r s x 'r-s 'dy. i5 2?15 a