HomeMy WebLinkAbout05-09-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF_f U✓Pt b�, `QvL4 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 Inforf anon
Name: v I ' 55W
K/-)W a(4A� !� /'��C� File No:
a/k/a: (Assigned by Register)
a/k/a: /
a/k/a: Social Security No:
Date of Death: / Age at death: A I
Decedent was domiciled at death in County, G. (Stare)with his/her last
principal residence at 'ZQI s. 24�Vl&i) bn 1701! d// Cu hW41v(
Street address,Post Office and Zip Code / City,'1 o nship or Borough "" County
Decedent died at %/f S- C(eyL)taw Af (?Oye Cla'1� §& CU/Rde'-14 lPG(,
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death: G G
If domiciled in Pennsylvania............................ All personal property $����o -)o -
If not domiciled in Pennsy/vania. ........................ Personal property in Pennsylvania $
If not domiciled in Pennsy lvania. ....................... Personal property in County $
Value of real estate in Pennsyl vania......................................................... $
C/ TOTAL ESTIMATED VALUE. ...'/ �t 1nn /°c'
Real estate in Pennsylvania situated at:
(Attach additional sheets,i/necessary.) Street address,Post Office and Zip Code City,Township or Borough County
❑ A. Petition for Probate and Grant of Letters Testamentary `°' x r r,
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated a
nd Codic
-:o }
thereto dated �p 2 ees -I
State relevant circumstances(e.g.renunciation,death ofexemttor,etc.) D-I m
-a J v
. x q
Except as follows: after the execution of the instrument(s)offered forprobate Decedent did not marry,was not di,/dhtedowas.not a pally to wendipg
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),-and.di'd`-not haue3 child-lum Iar
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. C-
CD
E]NO EXCEPTIONS ❑EXCEPTIONS
—7 f rn
N
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.fa.,pendente lite,durante absentia,durante minoritate
If Administration,c.l.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 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.
NO EXCEPTIONS E]EXCEPTIONS
///Petitioner(s),after a 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 _ -
!e l 6-,lp4y 41frilpl, Svn ar / !. r6 M all
Form RW-02 rev.!011!1201! Page I of 2 '01
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMVl ka nd }
Petitioner(s)Printed Name Petitioners)Printed Address
e( CK(;n 22 CCd10
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 truly administer the estate according to law.
Sworn too a fi},rmed an cribe be re �� � 4 Dare O 3
me 1 liay Date
By: Date
r! eRegister _ Date
BOND Required:❑YES 1'Q NO To the Register of Wills:
FEES: - - Please enter my appearance by my signature below:
Letters ... . .. . . . .. .. .. .. . ... . $ Z�U Attorney Signature:
Short Certificate(s).... . .
( )Renunciation(s).. . .. ... .
( )Codicil(s). . .. . . . . . . .. .
( )Affidavit(s).. . .. .. . . .. .
Bond.. . . . . . . . .. . . . . . . . ... . .. Printed Name: n w M
Commission. . . . . .. ... . . . . . . . . Supreme Court O rr—
Other . . . .. . ID Number. �C37�•
hV0f1��l Lh rril
YD{( t Yl . .. . ... . Firm Name: a M cry
. . . .. .. . Address:
. . ... .. . `� n r-. 'R T
. . . .. . [� CD .r -
... ... cz). . ... .. Phone: —n � r� Gn o
Automation Fee. . . . . . . . . .. . .. . Fax: 2> fV ,+ _71
JCS Fee. . . . . . ... . . . . . ....... 23,,,-V _... Email:
TOTAL. . . .. . . . .. . . .. .. . . . . . $
fn
DECREE OF THE REGISTER
Estate of R(M 61 i n G e f File No: c> dzy
a/k/a:
AND NOW, l ! I(d C� q 20 J, in consideration of the foregoing Petition,
satisfactory proof having en presented before me,IT IS DECREED that Letters /Q(((7A /11 kj{y-/y-h
are hereby granted to Z)ojA A I I E n l O"r
in We 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 ell1 , n n 1
For,n aW-02 rev. 1011112011 1/�e/t(� Page 2 0