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HomeMy WebLinkAbout04-09-13 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF 0,,) Y)re e a" 4 a r, 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 ) ! f Z _ C -� Name: 'R{fs�S;kie2L I-mot File No I J il r1 a/k a: �r u e� Sal S �,u r (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: _ o o 1 Age at death: I�.� re S Decedent was domiciled at dea in Lgdn, rj _County, Pe „ ( vO n tG(state)with his/her last principal residence at 1 L- 3, TA4� tiz_ _ Sh r t-, _ QA rn�aa )c, Street address,Post Office and p Code City,Township or ugh County Decedent died at i 1, hi. �ru by �e ���✓ ��)" Fa Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedents property at death: If domiciled in Pennsylvania............................ All personal property $ If not domiciled in Pennsylvania. ....... ............... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ,............. ... .. Personal property in County $ Value of mat estate in Pennsylvania..........._............................... ............. $ 0 TOTAL ESTIMATED VALUE.... $_ /P7, a G fi Real estate in Pennsylvania situated at: (Attach additional sheets,if necessary) Street address,Post Office and Zip Code City,Township or Borough County [] A. Petition for Probate and Grant of Letters Testamentary Petitioner(s)avers)heishelthey is/are the Executor(s)named in the last Will of the Decedent,dated_C�l Codicil(s) thereto dated x —c3 e-5 as o _ State relevant circumstances(ag,renunciation,death ofevecumr, D r— r�rn m rn Except as follows:after the execution of the instrurtxnt(s)of feted for probate Decedent did not rnarry,vAs isArced,�as not i70affij'toapending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.P32J(o cnd did not hoe lbhild born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated persoA C e � y NO EXCEPTIONS ❑EXCEPTIONS c7 c 71 t� ® B. Petition for Grant of Letters of Administration (if applicable) ry ° c.t.a.,dAn.,d tim, .ta.,pendente lisp duranre a sentia,duranre minorirate If Administration,ata.or dB.n.c.ta.,enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was not a parry 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. NNO EXCEPTIONS ❑EXCEPTIONS \ Petitioner(s),aftera 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 fn ' 0 Sul,.. 5u S�' eA �ov I S� r l l cL r .� vih ri t A l?a "it I tN, - If 5kcLz So,, 1 A IJ A 7a� F.rn,nw-02 ,v.1011112011 Page 1 of 2 Oath of Personal Representative offelia use only COMMONWEALTH OF PENNSYLVANIA l l SS: COI NTY OF __ ) tt t Pau[ionerls)Printed Name Peiitioner(sl Printed Address 1j� _ Li �tA �, AC e G w CLO t"TCjS 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 tmly ad mister the estate according to law. Sworn to or affirmed a d subscribed before c�J c x, r t t.l Date q c 13 dAy o , , ` ' S --� �� Date By: Date W,the Register Date BOND Required:❑YES E35NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters .. . ... . . ..... .. .. . .... S Attorney Signature: (' 3 Short Certificate(s).$). . . . . . ( 7 )Renunciation(s}... . . .... { ) Codicil(s), .... . t3 ,, M ( )Affidavit(s)... . . .. .. . . . -M c) Bond,. . . . .. . . . . . . . . . . . .. . . Printed Name: 0O -rr 'v '— 4 Commission. ...... ..... . . .... _ Supreme Court M rn Other ��; . .. . . .... _ ID Number: rTt GtJ t-;} c-g z a] sy . . . .. . .. Firm Name: cP _— — Address: h . . . . . . '� ""� i- ry y 4Q z-u . ..... . Phone: Automation Fee. .... . . .. . . . . .. Fax: JCS Fee. . . . . . . . . . . . . . . . .. . . . Email: TOTAL. . ... . . .............. $ �7 DECREE OF THE REGISTER /� ! ( e � Estate of �� v 3L� d�l`Lt t c 0 i % r4 File No: 4q — i /ice aWa: t'0 Is t f �� 4 " v AND NOW,�� in consideration of the foregoing Petition, satisfactory proof Navin been presented before me,IT IS ECREED t at Lettaers�tM i n are hereby granted to T'rl1C IL in the abo& r�ta e and(if applicable)that the instrument(s)dated _� LL described in the Petition be dmitted to probate and filed of rd a th last Will (and dicil(s)) f Deceden. l Re 'ster o Wi Forma R67,02 rev.10/11/2011 Page of 2 T RECORD.D OFFICE OF RECESI'ER OF "DILLS RENUNCIATION r'i 13 APR 9 An 10 25 REGISTER OF WILLS CLERK OF C�-5,aq.�—n,or-"COUNTY, PENNSYLVANIA ORPHANS' COURT CUMBERLAND CO., PA Estate of �2 n�i (��/(' Q )���l S V7 tj (' 4 Deceased 1, ' 45 C,/L (/0 1, I(a�tj )Q I(`5 �'u V—_ , in my capacity/relationship as (Pr;nt Name) 5 o h of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (Date) (Signature) (o la Couh- erl Club Kd- (Street Addrem) C4 &he A# it PA 1701/ (City.State.Z99) 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— 05 day party executing this renunciation and certified of �L uuz� 2013 that he or she executed the renunciation for the purpos s stated within on this QS day of ga. a 2c) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Deputy for Register of Wills Nota t tic Cathy L you'wblood,teary Public Lemoyne acrd,Cumberland County My Commission Exp e0reslane22,2014 tden or Notaries (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration ofNotarys Commission.) Form RW-06 rev.10,13.06 REGORi;ct) C F 7 1 Im OF REGISTER ©F °'„!u_ ) RENUNCIATION APR 9 Ail i 25 CLERK t', " i REGISTEROF WILLS ORPHANS' Coi,'RI C,) i 92 r-jogj COUNTY,PE A Estate of Lam' 3-cy,-/ 2 S G i S b u r Deceased I, MCI_�AA�r u-';, -To j d So, \'i s� , in my capacity/relationship as lPrrn Naasj 5 o n of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to J,t .AdG 7, to .tom tit i_y (Dart (ssma.y rSaset/Ad*w) tour•sine.my) -,/ F.xecuW in Register's Of ke Executed vut of Register's 00ke V Sworn to or afFirmod 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 renunciation for the purposes stated within on this y day of f'pt-tIck � Deputy for Register of Wills Notary�Pub Public My Commission Expires: (Signature ant Seal ofNwry or odw official qualified to administer oada. Show date ofe kshon ofNorrysCunmiWon.) COMMONWEALTH OF PENNSYLVAt _ Notadai Ski Nadine 5.feast Notary Public Newberry Twp.,York County Fore RW-06 m.10.13.86 n Expires May 23,2013 Nerd f, _ cot Notaries k RECORDED '.),MCE OF REGISTER OF V1ILLS RENUNCIATION RPR 9 BM 10 25 CLERK 0`s= REGISTER OF WILLS ORggf HAMS' COURT cV"6 1c� o�COUNTY,PE�VARNIAHD Co., PA Estate of Lt' Deceased I, f 11/ "4p n K J l e'4 i in my capacity/relationship as '� (PriuNouml /�a I� f 2� of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to 97/� Vi ✓� pry.SOW Executed in Register's Office Executed out of Register's Qftice Swom 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 t e renunciation for the tpesstatedwi thi on s �' day Deputy for Register of Wills ic My Commission Expires:/rVdC h 0, (Sirst um mid Seal of Nomy or odwo6rcid qualified m COMMONWEALTH OF PENNSYLVANIA admmrswoadu' Stuw due ofexpiwimofNo ysCommiuion.) NOTARIAL SEA L PAMELA A.SWITALSKI.,`dotary Public Boro of Shippensburg,Cumparland County Fo RW-06 m.10.13.06 My Commission Expires March 24,2014