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HomeMy WebLinkAbout02-21-13Reset 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, artd in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: HEATHER M.COBLE a/k/a: a/k/a: a/k/a: Date of Death: File No: ~I ~ I ~ ~~I D _ (Assigned by Register) Social Security No: Age at death: 25 Decedent was domiciled at death in CUMBERLAND County, pENNSYLVANIA (stare) with his/her last principal residence at 46 1/2 WEST KING STREET. SHIPPENSBURG BORO. PA 17257. CUMBERLAND _ Street address, Post Office and Zip Code City, Township or Borough County Decedent died at CHAMBERSBURG HOSPITAL, CHAMBERSBURG BORO, FRANKLIN, PA 17201 Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedents property at death: Ifdomiciled in Pennsylvania ............................ All personal property $ If not domiciled in Pennsy[vania ........................ Personal property in Pennsylvania $ ]f not domiciled in Pennsy[vania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 0.00 Real estate in Pennsylvania situated at: (Attach additionaf sheers, iJ'necessary.) Street address, Post Ofnce and Zip Cade City, Township or Borough © A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named in the last Will of the Decedent, dated thereto dated (:aunty and Codicil(s) State relevant drcums/ences (eg. reaaaciatiam dealh afececuro; etc.) Except as follows: after the execution ofthe insnvment(s)offeredforprobate Decedent did not marry, was not divorced, was notaparty to spending 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 bom or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ®' NO EXCEPTIONS Q EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) a a.a., d.b.n., d.b,n.c.t.a., pendente lfte, durante absentia, durante minoritate If Administration, c.t.a. ar d.b.n,c.ta„ 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 a. C.S. § 3323(8) and was neither the victim of a killing t~ocever adju~at~ed/a'n incapacitated person. NO EXCEPTIONS ~ EXCEPTIONS _ ///~ Z/~~ Petitioner(s), after a proper sears additional sheets, ifnecessary): left no W ill and was survived by the following spouse (if any) and heirs (aatach Name Relationshi Address MICHELLE HUDSON MOTHER 11 NORTH WASHINGT(4DI STREET, T 2 ~ ~ SHIPPENSBURG P ]7 m m TOMMY COBLE FATHER 5225 KEEN DRIVE, LO ~ rT d m c, w Crr xf TAYLOR M. BROWN c ~ DAUGHTER 1700 ORCHARD ROAD r-. A" m s ryt stt N rry S~ M f - CHAMB RSBURG PA 1~2 ~ ~ TABITHA M BROWN •~ DAUGHTER 1700 ORCHARD ROAD ~ O '~ . ~''t""~ ~ CHAMERSBURG PA 17 0 ~ r _D -r7 ~' Form RW-01 rev. 10/(1/201( ~ ~ f- m -io --i r ~' ~ ~ 'PFage 1 of 2 Oath of Personal Representative orreiai use oaly COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF 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 D eden , thnne //P~f titioner(s) w Il well and truly administer the estate according to law. Sworn to or ~f~'irmed n subscribed before Ll t1S~P.fr!/ r~ i Dale a - a --~ me wda ~ / Date y: Date or the Register Date BOND Required: Q YES ~NO FEES: ////// Letters ...................... $ t~ (~ )Short Certificate(s)...... ~S ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission .................. Other ........ f s- Automation Fee ............... CF~ JCS Fee . .................. TOTAL ..................... $ ~" U.UU To the Register of Wills: Please enter my appearance by my signature below: Attorney Signatur//e//: ~1~~ ' / /` ~ l // / ~f 7 ft~ rI ~-~ 7 7~ T T ~ ~ :~~ Printed Name: JOHN N. K fiR -., rrl A ~ Supreme Court ~ -gyp n ^' ~ ~ p ID Number: 25577 a ~ r ., ~ { r- z m ~~-_' ~ Firm Name: KELLER, IC .bER~ND BEC KL~ Address: 343-R S~ O[~ MA~ T R PI& ~_ t WAYNES R@i PA 172 r-r ~ Phone: ~ ~ 717-762-333't rn r- C!t -drt Fax: 717-762-1810 Email: ~y}lerr7kkfh rnm /0~. ~Z DECREE OF THE REGISTER Estate of HEATHER M. COBLE File No: y~ I - ~ J ~ 1~~ a/k/a: AND NOW, v ~ ~ , ~, in consideration of the foregoing Petition, satisfactory proo ~ ing bee ~ seri d before me, IT IS DECREED that Letters OF ADMINISTRATION are hereby granted to MICHELLE HUDSON in the above estate and (if applicable} that the instrument(s) dated described in the Petition be dmitted to probate and file ~ cord a the last W~11(and Codicil( )) f Decedent. ~,~ ~~ ~ egister of Wil s (( Form R W-02 rev. LO//1/207! Page 2 0 Z RENUNCIATION REGISTER OF WILLS RECORDED OFFICE OF RE61S1ER OF `rr!11_LS cUMSERLAND COUNTY, PENNSY~utj~T~Az~ ~j{~ ~ u8 -vc~R,~„K Qfi ORPHANS' CCU2T d~>~BERIANd CO•. FA Estate of HEATHER COBLE ,Deceased I, TOMMY COBLE , in my capacity/relationship as (Print Name) FATHER of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to MICHELLE HUDSON ~/~/~3 (Date) Executed in Register's Offtce Swom to or affirmed and subscribed before me this day of , Deputy for Register of Wills Farm RW-06 rev. 10.13.06 (Signature) 5225 KEEN DRIVE. LOT NO. 9 (Streel Address) GRAHAM. NC 37253 (city, state, Zip) Executed out of Register's Offtce 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 O ~ day of ~ rat r ~ 0~ Notary Publi My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) AIMSE K. MCNEIL NOtery Public, North Carolina Alamence County My Com issi n Aires