HomeMy WebLinkAbout04-02-13 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 requests the grant of Letters in the appropriate form:
Ruby A Schaeffer
Decedent's Information
Name: Sara N.Cousart File No: 21-12-0632
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 187-12-4024
Date of Death: 05/31/2012 Age at Death: 90
Decedent was domiciled at death in Cumberland County, PA (State)with his/her last
principal residence at Messiah Village,Mechanicsburg 17055 Upper Allen Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Messiah Village,Mechanicsburg,PA 17055 Upper Allen Cumberland 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 $ 139,800.00
If not domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $ 0.00
TOTAL ESTIMATED VALUE $ 139,800.00
Real estate in Pennsylvania situated at no real estate
(Attach additional sheets,if necessary.)
Street address,Post Office and Zip Code City,Township or Borough County
❑X A. petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated 02/11/2002 and Codicil(s)
thereto dated
The previously appointed executor.Glenn A Schaffer died March 4 2013 Ruby A Schaeffer is the succesor executrix named in Article
IX of decedent's will
State relevant circumstances(e.g.,renunciation,death of executor,etc.)
Except as follows:after the execution of the instrument(s)offered for probate, Decedent did not marry,was not divorced,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 did not have a child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
®NO EXCEPTIONS ❑ EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pedente lite,durante absentia.durante minoritate
If Administration,c.ta ord.b.n.c.t.a.,enter data of Will in Section A above and complete list of heirs.
Except as follows:Decedent was not a party to pending divorce proceeding herein 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.
❑NO EXCEPTIONS ❑ EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the=119 ing spouW(if arr;ag heirs(attach
additional sheets,if necessary): G-) cy
rT1 C.) z:0 4
Name Relationship Address r m N
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Form RW O2 rev.10-11-2011 Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address o
Ruby A.Schaeffer 3873 Laraby Drive
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Harrisburg,PA 17110 —np
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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 17eced/Jnt,.Petittiio�ner(s)will Pell and truly administer the estate accordin to la v/.
Sworn to or affirmed an subscribed before G( Cud%�'� Data
me 11t, da of , �/3 Date
By: �_ Date
For the Register Date
BOND Required? ❑ YES n NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
r �
Letters.......................................... $ Attorney Signature:
( )Short Certificate(s)......... n
( )Renunciation(s).............. 0
( )Codicil(s)........................
( )Affidavit(s)...................... Prin ame: John S.Davidson
Bond............................................. Supreme Court
Commission.................................. ID Number: 17139
Other
Firm Name: Yost&Davidson
Address: 320 West Chocolate Ave.
P.O.Box 437
Hershey,PA 17033
Phone: 717 533-5101
Automation Fee............................ Fax: 717 534-1293
JCSFee....................................... _
TOTAL......................................... $ ri E-mail: jdavidson @yostdavidson.com
DECREE OF THE REGISTER
Date of Death: 05/31/2013
Social Security No: 187-12-4024
Estate of Sara N.Cousart File No: 21-12-0632
a/k/a:
r'AA /
AND NOW, , . ,in consideration of the foregoing Petition,
satisfactory proof having been pres ed before me,IT IS DECREED that Letters Testamentary
are hereby granted to Ruby A.Schaeffer
in the above estate and(if applicable)that the instrument(s)dated 02/11/2002
described in the Petition be admitted to probate and filed of record a t last Will(and Codicil(s))of Dece t.
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Register of Wills � ppp
Copyright(c)2011 form software only The Lackner Group,Inc. ag2 0
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