HomeMy WebLinkAbout05-09-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF I:VYr1I�/(�LnpL 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 v )� ��_ C� �
Name: /�7�n�GL �Q n e /���✓I Ll�-,� File No: � �
a/k/a: (Assigned by Register)
a/k/a:
a/1da: Social Security Na: /�
Date of Death: -Z7-/ 2 Age at death: 7'J
Decedent was domiciled at death in ( '_J✓ri G�-✓�/1-�� Coun[y, b�A (Sraee)wi[h his/het last
principal residence at //Ol'� Cj✓,p���(dy�_(.UlY.i/ 17Q�b p�/�.l.ni �vr� �.umd'P1��3—✓�
Streel addrese,Past O(tice and Zip Code Cily,Township or Bomug County
Decedent died at �I C� 6 fah6Lty�. G� (7p50 /�(�[f����S bU�-L �i'n�r�o.�G( l��
Street addrea�,Post Oftice and Zip Code City,Township ar Borough Counly Stale
Estimate of value of decedenPs property at death:
/jdomici[ed in Pennsylvania............................ AlI personai property $ %; />C�('). ^—
/Jnotdomici[edirtPennsyfvania. ....................... PersonalpropertyinPennsylvania $
Ijnot Aomici(ed in Penrtsylvania. ....................... Personal properry in County $
Vnlue of rea/estate in Pennsy/vania...................... ..... $�(��
'/, TOTAL ESTIMATED VALUE. ... S �/� Q�:Y�. '— / ,
Real estate in Pennsylvania simated at: Trp Zl .5 ��P/.Lr N P-r.J �" �7D�� �l�.rv��0 �i l� c:�J✓Yi�.✓�/�s�
(Atmch nddifianal shee+s,i(necessary.) Street nddresf,Post O(fice and Z(p Code City,Town:hip or Borough County
❑ A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)hdshdthey is/aze the Executor(s)named in the last Will of the Decedent,dated and Codicil(s)
therero dated
� State relevanl circmnitances(e.g.renuncinfian,AeaPo ojexecutoq efa) n ;=
C %.,� �'1 'c7
Exceptasfollows: aftertheexecutionoftheinstrument(s)offeredforprobateDecedentdidnotmarry,wasnotd�ar�,wasnotappriytC9pq�i ing
divorce proceeding wherein the grounds for divorce hed been established as defined in 23 Pa.C.S. §3323f��e[!did not Imve a chil�Hetn or
adopted;and Decedenc was neither the victim of a killing nor ever adjudicated an incapacitated person. A � �'' � t'� �'�
r n � "-t `=;
❑NO EXCEPTIONS ❑EXCEPTIONS ,ta � '�'' G� "T7
� B. Petition for Grant of Letters of Administration (Ifapplicable) � �? c� � � 'Y
c.t.a.,d.b.n.,d.b.n.c.t¢.,pendente(ite,�r�e u6sentia, urnnlE>nin�ritute
, 70 �--.• ,- c'�
[f Administration,c.t.a. or d.b.n.cta.,enter date of Will in Section A above and co�lptete list afNeirsr_ r+�
—5a f—a Ua O
Except as follows: Decedent was uot a party ro a pending divorce proceeding wherein the grounds for divorce had been Elpblished aStlefined
i�23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitared person.
�NO EXCEPTIONS �EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no W ill and was survived by die following spouse(if any)and heirs(atmc5
udditiona(sheets, i(necessuryJ:
Name Relationshi Address
� IL1�h �v r� 22 C'e�4x.� C��ff D. C�r �al FI-i7oi�
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Oath of Personal Representative Official UseOnly
COMMONWEALYHOFPENNSY[.VANIA }
/� 1__ /- } SS:
COUNTY OF (,U�^��N�+...✓KA f)� } �
Petitioner(s)Printed Name Petitioner(s)Printed Address
i c�.l C Xl,/� Z2 ' (ar r'�f- dr� � ,✓ �i/l /7U//
The Petitioner(s)above-named sweaQs)or afirm(s)the starements in the foregoing Petition are we and cmrect ro the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s)pwiii well and truty adminiscer the estate according ro/law.
Sworn to or affirmed and subscribed bef e � ��,/,' �� Dace-5�����/aG/_�
t ts day of ,� Date
y: Dare
F e Register Da[e
BOND Required:QYES NO � To the Register ojWills:
FEES: . Please enter my appearance by my signature 6elow:
Letcers . . . . . . . . . .. . . . . . . . . . .. S`?� Attorney Signature:
( �-�- )Sliort Certificate(s). .. . . .
( )Renunciation(s).. . . .. .. .
( )Codicil(s). . . . . .. . . . .. .
( )Affidavit(s)... .. . . . . . . . �
Bond.. . . . . . . . .. . . . . . . . . . . . . . Printed Name:
Commission. . . .. . . . . . . . . .. .. . Supreme Court C �
Other .. . ID Number: � O w � �
,� h�. . . .. .. . �� � �ij
�y�J �— Firm Name: � ,Z C� -�- 0
. .. ... Address: ��,,., � �
. .. . . . VJ ..T. G,� ��v1
. . ..~ ....� .• .._
. . . .. . . . ...J �
� -� � 6 . *—
C i � - -
. . . .. .. . ._ ._� ,, ._::.�� rY rP
. . . . . :. . Phone: _...> .;,;^ ,. ->;
Auromaeion Fee. . . . . .. . Fax: -
. . . . — ,� � � ��-'
!CS Fee. . . . . . . . . . . . .. . � Email: ' i.....� '
TOTAL. . . . . . . . . . . . . . . . .. . . . $ ,..`' �
DECREE OF THE REGISTER
Estate of�� ��Y� �� � �'��Q� File No: � I � , J � ���9
a/k/a:
AND NOW, �(,� .(q � ���, in cons{�eration of the foregoing Pe[itioq �
satisfactory proof avin presented before me,IT�S DECREED that�etter$- t'i(Q�, � ; C�A _�c�i�
are hereby granted to � �2SZ C Iel ,� z /
in the ab estate and(if applicable) that
the instrument(s)dated
described in the Petition be admitt d to probate and filed r d as e last il and Codicil(s)) Decede t (�
Re ster of Wills
�
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