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HomeMy WebLinkAbout04-17-13 Reset 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: John Plasterer File No:. , a/k/a: John Milton Plasterer (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 24 January 1977 Age at death: 69 Decedent was domiciled at death in Cumberland County, Pennsylvania (State)with his/her last principal residence at 14 Mainsville Road, Shippensbure, Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Chambersburg Hospital, Chambersburg Franklin Pennsylvania Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: Ifdomiciled in Pennsylvania......... . . . ................ All personal property S 1,500.00 If not domiciled in Pennsylvania. ....... ............... . Personal property in Pennsylvania S If not domiciled in Pennsy lvania. ....................... Personal property in County $ Value of real estate in Pennsyl vania.... ........... . . . ......... ............... . .... . ........ S TOTAL ESTIMATED VALUE. ... 5}. 00.00 Real estate in Pennsylvania situated at: C '—' m (Attach additional sheets,iJ necess'ary.) Street address,Post Office and Zip Code City,Township o orog�h�� cea only -.,3 -� fTl'' A. Petition for Probate and Grant of Letters Testamentary r .T] t Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated a56Ci icil(s) thereto dated C c� C —rt 71 State relevant circumstances(e.g.renunciation,death of executor,e - Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not•,}jvorded,was riot a pa���,o ending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §332P9),and did rive a chilorn 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) d.b.n. c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante ntinoritate 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. (Z�'NO EXCEPTIONS © EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach additional sheets, if necessary): Name Relationship Address Nancy A.Plasterer 113 Easterly Drive,Mechanicsburg,PA 17050 David A.Plasterer Grandson 402 Ridgecrest Court,Stafford,VA 22534 Alisha R.Kase Granddaughter 805 Harthside Lane,Lebanon,PA 17042 Form RW-02 rev. 10%11,2011 Page I of 2 Oath of Personal Representative Official use Only COMMONWEALTH OF PENNSYLVANIA } SS: RF�rQ 'r�y t)IF F;C LE OF } COUNTY OF CUMBERLAND } REG 1`i ( tR Q '.71L1 Petitioner(s)Printed Name Petitioner(s)Ph s 1 Nancy A.Plasterer 113 Easterly Drive Mechanicsburg,PA 117050 RK 14pr. y,r 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 Petitiioner(s will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before �'LC Y �1�'✓l t h Date me this day of �' "� Date By ,1��' y l �i l,�0 t Date For the Register Date BOND Required: Q YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . $ `j Attorney Signature: ( ( ) Short Certificate(s). . . . . . ( ) Renunciation(s).. . . . . . . . L� ( )Codicil(s). . . . . . . . . . . . . cr- Affidavit(s).. . . . . . . . . . . / Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: IJ6'1-r Commission. . . . . . . . . . . . . . . . . . Supreme Court _ Other L, ` . . . . . . . ID Number: (��"eJ I _ . . . . . . . jr_ 1 T�� . . . . . . . Firm Name: . . . . . . . . Address: . . . . . . . Phone: Automation Fee. . . . . . . . . . . . . Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ -8 60 DECREE OF THE REGISTER Estate of File No: a/k/a: t � C(1WV,Cr AND NOW, �`j t 1 � ( j Cj ) "' in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters PFJ 1`41 are hereby granted to in the above estate and(if applicable)that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent. Register of Wills Fornt RW-02 rev. 10;11'2011 Page 2 of 2