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03-20-13
rieset 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: 7Ii Cf20eJ /2-. L or)Cj File No: _f":). a/k/a: ✓ (Assigned by Register) a/k/a: Michaeliek Long • a/lc/a: Social Security No: Date of Death:02/19/2013 Age at death:57 Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last principal residence at 773 Lancaster Avenue. 17025 East Pennsboro Township Cumberlatd Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 111 South Front Street. 17101 Harrisburg Dauphin 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 S If not domiciled in Pennsylvania. Personal property in Pennsylvania S If not domiciled in Pennsylvania. Personal property in County S Value of real estate in Pennsylvania. S j 7 St 4".41 ° TOTAL ESTIMATED VALUE. . . . S S7_5 ,tw Real estate in Pennsylvania situated at: (Attach additional sheets.if necessary.) Street address,Post Office and Zip Code City,Township or Borough County 0 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 C) and.codidtisk, thereto dated Co 4 rn c, State relevant circumstances(e.g.renunciation,death of executor,etc.) r- ri N t ri Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorcegofa party tja pa e it divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g),and djl tlpt fl?ve a.M1d born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. "1 = 0 NO EXCEPTIONS 0 EXCEPTIONS ' t c.. m rti, cr c) N �1 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, durante 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(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. ati NO EXCEPTIONS 0 EXCEPTIONS 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, if necessary): Name Relationship Address Annette S. Long Spouse 773 Lancaster Avenue,Enola,PA 17025 -04 e-6/6..p L0 -7 �,.� 1 7 3 t v /v/ K.0445 66;j, (1066"6 ) 5� S A .1k) Form RW-02 rev. 10/11/2011 Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND 1 Petitioner(s)Printed Name Petitioner(s)Printed Address Annette S. Long 773 Lancaster Avenue, Enola, PA 17025 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 Decedent,the Petitioner(s)will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before c-t-L.kudez_ Date c (('■)(1 3 me s L day of 11/10 A(C1 j , U Date BY 'l�,� � --fiPG(ll�t�.I�C Date For the Register Date BOND Required: 0 YES 0 NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters $ �(1(j (T' Attorney Signature: ( ) Short Certificate(s) j-_ -C( % ( 'l )Renunciation(s). .CC ( )Codicil(s). ( )Affidavit(s) Bond. Printed Name: Andrew C.Sheely,Esquire Commission Supreme Court Other ID Number: 62469 1 klVtLi . L C.`C Firm Name: Andrew C. Sheely,Attorney at Law Address: .127 South Market Street P.O. Box 95 Mechanicsburg, PA 17055 Phone: 717-69-7050 Automation Fee. >.( C Fax: 717-697-7065 JCS Fee. <�,����. Email: andrewc.sheely @verizon.net TOTAL $. ``5 ,( .f)U, DECREE OF THE REGISTER Estate of / )/(/ t / t.6)/7 y File No: a/k/a: Michael Patrick Long AND NOW, ?\---k(x.A ,1C.) , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted toAnnette S. Long in the above estate and(if applicable)that the instrument(s)dated N, described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent. ,x())—Li'l(bit ,(CAL l - A.-1(Cl .1r lt�; k Register of Wills Form RW-02 rev. /0/11/2011 Page - 2 RENUNCIATION a.; Xi m Go aco REGISTER OF WILLS r" "" 1:" r— r ) rt (r u.rv.lp v��cA %J.d COUNTY, PENNSYLVAl f m y t__ } �J (l) Estate of V i L.G,c■d P OAT i i t. L 0 ,Deceased I, �— '��■1 t �` , in my capacity/relationship as (Pri,(l Nara ©.A of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (\I Q-k - S � �,e ? 13 .�i� (Date) s-7—) 3 L i,c . .4Cr. A VC (Street Address) (City,State,Zip) +C }-t 06 Ph C v LA i-C-1 O; C Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of that he or she executed the renuncia ion for the purposes stated within on this i