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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(ics) 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: Patricia J.Todd File No: 02 I - (3 - 3U(s
alkJa: (Assigned by Register)
a/k/a:
anf/a: Social Security No:
Date of Death: Age at death: 73
Decedent was domiciled at death in Cumberland County,Pennsylvania (state)with his/her last
principal residence at 864 Carlwvnne Manor,Alit B303 Carlisle North Middleton Twp Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 864 Carlwvnne Manor Apt B303 Carlisle North Middleton Two 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 Pennsyl vania............................ All personal property $ 100,000.00
If not domiciled in Pennsylvania. .. .... ................. Personal property in Pennsylvania $
If not domiciled in Pennsy lvania. .. .... ................. Personal property in County $
Value of real estate in Pe nnsylvania.. ... ............................. ....................... $
TOTAL ESTIMATED VALUE. ... $ 100.000.00
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)aver(s)he/she/they Ware the Executor(s)named in the last Will of the Decedent,dated and Codicil(s)
thereto dated �..
C) n
State relevant circumstances(eg.renunciation,death ofexecutor,etc.)
i7
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was noMva�rced'AVas nova part o spending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3320�d,. jd not�t aye archilR$om or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 3 .
O NO EXCEPTIONS O EXCEPTIONS rt
® B. Petition for Grant of Letters of Administration (If applicable) o T ry m
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,ayalrlte absentigaJurart�mpyritate
If Administration,c La or d.b.n.c.ta.,enter date of Will in Section A above and complete list omit eirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce bad 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.
0 NO EXCEPTIONS O EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent leftno Will and was survived by the following spouse(ifany)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
Edward C.Todd Spouse 864 Carlwynne Manor,Apt B303
Carlisle PA 17013
Marie Terese C.Pajarillo Child 80 Lt.Antiaga Street
San Juan Cily 1500
Anne Katrine J.Chanco Child PO Box 75735
Jufair The Kingdom of Bahrain
Michael J.Chanco Child 7765 St.Paul Road,San Antonio Village
Makati City,Philli ines
Form RW-02 rev.1011112011 Page I of 2
Oath of Personal Representative official Use only
COMMONWEALTH OF PENNSYLVANIA } SS: CORT1Li) OI'I`IcF. OF
COUNTY OF CUMBERLAND RECISTER OF Viii-LS
v :
Petitioner(s)Printed Name Petitionc;Qj) ri 8 dd s
Edward C.Todd 864 Ca rlwynne Manor Apt B303 Cl FRK Oh
Carlisle,PA 17013 p"N sl "Up"PA
01jMBERLA
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are two and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Dec t,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to r affirmed and subscribed before rxa r q� Date a�T/�/3
me this�day of Date
By: Date
or the Register Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. .. .. ... .... . ....... .. $ __ Alto ey Signature:
( )Short Certificate(s).... ..
( )Renunciation(s).. . . . . . . .
( )Codicil(s). .. . . . . . . .
( )Afftdavit(s).. .. . .. ..
. .,
Bond.. . . . . . . . .. . . . . . . . . . . . . . Printed Name: Mark A.Mateyo
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other ID Number: 78931
. . . . . . Firm Name: Mateya Law Firm
. . . . .. . . Address: 55 W Church Avenue
Carlisle PA I7013
Phone: 717-241-6500
Automation Fee. Fax: 717-241-3099
7C5 Fee. .. . . . . . . .. . .... .. . . . Email: ma ®mateyalaw nm
TOTAL. . . . . . . . . $r�OOV0'�
DECREE OF THE REGISTER
Estate of Patricia J.Todd File No:
atk/a:
AND NOW, in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IS DECREED that Letters
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 ' and Codicil(s))of Decedent.
Register of Wills
Farm xW-02 rev.1011112011 Page 2 of 2