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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF � �,w D�% I��d� 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 gtant of Letteis in the appropriate form;
Decedent's Information �/ /� ���
Name: Pn�-r!c 7c�. �'''1 a�^'�'i n, File No:
a/k/a: (Assigned by Re�ster)
a/k/a:
a/k/a: Social Security No:
Date of Death: 3 �� �3 Age at death:
Decedent was domiciled at death in � uL ��r�a„d County, k �srare)with hislher last
principal residence at S�T na�lar C"I.ur��- /�r.� �'a.._ n {F� 11 . A� C�ati.6+�-/a�(
Street address,Post Offire and Zip Code City,Township or oroogF County
Decedent died at�/ S� l�o Q �a� C�� ��c �- �Y�I
Stree[addreas,Post O(tice and Zip Cade City,Townehip ar BorougA Counry Siate
Estimate of value of decedenPs property at death:
7f domicJed in Pennsylvania.. ... . .. . ....... .... .. .. ... . All personal property $ 3� L 00�(SU
If noi domicited in PennsyJvanin. . ... .... .... . ... ... . ... Personal property in Pennsylvania $
/f not domiciled in Pennsylvania. .. ... .... ..... . .. .... .. Personal proper[y in County $
Value of real estate in Pennsytvania.. .... . .. . .... . .. .. .. . .. . . ..... ... . . ... ...... . .... . .... . . $
TOTAL ESTTMATED VALUE. . . . $ 3r 00 00
Real estate in Pennsylvania si[uated at:
(Atmch addifionu!sheefs,lfnrcreavq�J Street addrees,Post�ce and Zip Code City,Tawnship or Boraugk (`�ty �
� ; � rn
❑ A. PeHHon for Probate and Grant of Letters Testamentarv � � c � �
Peti[ioner(s)aveds)he/she/they is/are the Executor(s)named in the last Will of the DecedenC,dated m v �Codttll(s) N� "'
_� cr
tfiereto dated � �, r ;s(
rym �,,� ;� cr
Slate relevaot arcums[antts(e.g.rertunciakon,death of uecufor,etcJ -.. ��- p �"'
U �j , _'"7
n ^ ^ "w�
Exceptasfollows�. aftertheexecutionoftheinsteument(s)oSSeredForprobateDecedentdidnotmalry,wasnotdivorced,wasqota�9oape�rt ing a:?; �
divorce proceeding wherein the gro�nds for divoroe had been es[ablished as defined in 23 Pa.C.S. , 3323 � �
$ (g),and did no,'��a a child�or p-- �
adopted;and Decedent was neither the victim of a killing noT ever adjudicated an incapacita[ed persoa _� -i � p
� -rl
Q NO EXCEPTIONS O EXCEPTIONS �" �
� B. Petition for Grant of Letters of Adminietration �[fappticablel
c.t.a.,d.h.n.,d.h.n.c.t¢.,pendente lite,durante ahsentia,durante minoritate
If Administration,c.t.a. or db.n.c.ta.,enter date of Will iu Section A above and comolete list of heirs.
Except as follows: Decedent was not a parly to a pending divorce proceeding wherein the grounds for divorce had been established as defined
iu 23 Pa.C.S. §3323(g)and was neither the victim of a killing uor ever adjudicated au incapacitated person.
O NO EXCEPTIONS Q EXCEPTIONS
PetiTioner(s),after aproper search haslhave ascertained that Decedent leftno W ill and was survivedby the following spouse(iPany)and heirs(atdach
additionol sheets, ifnecessary):
Name Relationahi Address
O 0.S '�i n i �N 4.. - �1.� v6 �c�/ ��.yvc � �tA �GN- �� �/ ��"
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M ,�-1-� �i' S o v. Yr�•������+ �+,�. ;��:�� ;�. �°��-
rvl a r,'e WI a r �� n � pA� h e r ,k,�,,,, ��s�/ �
� 35 3� C��'�,,�_ � ;� 1� °��� i°��'7n�
Fo,mxw-nz �e�_�onuznri Pagelof2
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Oath of Personal Representative Official Use Onty
COMMONWF,ALTHOFPF,NNSYLVANIA }
f } 5S:
COUNTY OF_�y�.b'e� I�..G� }
Petitioner(s)Printed Name PetidoneQs)Printed Address
ThomasMartini S j � o �ar rc� �W �o.�
The Petidoner(s)above-named swear(s)or affirm(s)the statemeuts in the foregoing Petition are Irue and wvect to the best of the knowledge and belief
of Petitioner(s)and that,as Peisonal Represemative(s)of the Decedent,the Petitioner(s)will we11 and vuly administec the estate accordiug to law.
Sworn to or a�firmed a d subscribed before `^� �^�"�� Date ��z3��-3
me !J�"� da of � Date
Sy: x� � Date--�-_�1
FortheRegiater � {R[e e..`l.� � �
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BONDRequired: OYES NO TolbeRegis(eroJWil/s: �7 � r- �"'�
FEES: _, Please enter my appearance by my signatur be7dw� � -������ ���
�� ?= • _.u., ...:�
Lett . . . . . . . . $ Attorney Signature: e'' c` � � "�
( � ) Short Cemficate(s). �
( )Renunmation(s) . . . . . . 0 , �� /J�' � ,� � .� �'
( � )Cod�cil(s). . . . . . . .. . . . . � ��'/7J��=f���� c,-+ _",-t
( ) Afftdavit(s). . . .. . . . . . . . ��' � Ul �
Bund.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Margazet M. Stuski
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . [D Numbe�: 42478
. . . . . . Firm Name:
. . . . . . . . Address: 90R W.Walnut Sheet
. . . . . . . . Wnrmle�+shurg, PA 17043
Phone: 717-599-2429
Automation Fee. . . . . . . . . . . . . . . , =00 Fax: 717-730-9891
JCS Fee. . . . . . . . . . . . . . . . . . . . . Ej U EmaiC mch�ck{�,yahnn cnm
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 0.00
DECREE OF THE REGISTER
Estate of Patricia Martini File No: ,I��'�_7 "(//��_
a/k/a:
AND NOW, �(/�J � , ��� in cons� rati f the foregoin Petition,
satisfactory proof h�been presented before me,IT IS—D�E— REED that Lette (1���/I�i S tT/L O/7
are hereby granted to� �O/)`)Cl,S /,/rf-�;
in the above estate and(if applicable) that
the instrument(s)dated
described in the Petition be admitted to probate and filed of r rd as e last Will(a Codicil{s)}of edent.
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Register of Wills � ��
Form R W-02 rev. 7011/R011 �//�' ,'i �t e 2 �f 2
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RENUNCIAT�O� ° n � � ` =ry
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�'GISTER OF WILLS D �� � °' °
!C� COUNTY,PENNSYLVANIA
Estate of_ �� ' ' 1� Deceased
I� � �S� � � � � °� �` n� in my capacity/relationship as
(PMntNmneJ �
S `�� of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
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�c°��°?�,MS ioN B''a�:
Executed rn Register's D�ce Executed out of Register's O��;� So`'�,� '•.,�,:
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Sworn to or affirnted and subscribed Before the undersigned personaH���Zhe �;o_
before me ihis �, day party executing this renunciatio 'Gettafied ��P?
a
of � that he os she executed ihe renunc4pj �' ��t+•`'~,�`°
Purposes s t ate d wi t hin on t his � '•,��i �E�y'OUN��`•�`
oP Ma., .�o��
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Depaty for Register of W ills Notary Public
My Commission Expires:
(Signeturc and Sral of Nomry or othv officiel qualified ro
�adminisRroeths. ShowdataofexpirebonofNMa1}+sConunission.)
FormRW-06 rev.10.13.06
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REGISTER OF �VILLS � �". � c7 '"�
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CtirnYx�C \�Rr.�C9 COUNTY, PEN�SYLVA�� ° =3 '"
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Estate of p A�c:C� A (�,Yv�J (�� � � � rJ� , Deceased
I,_�P,v:C� Lp p `�(�A C' �-� N � , in my capaciry/ lationsh�p s
{Pnrtf Nartte)
S �� of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
T�ov�niR � t-PO �AS �i� �
` ` � \—°,'—��—'a°l—� �C� \ �_ � CD�--z: � °O ���
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(So-eet Addrets)
(y�'R n}F-v- �- � �J` �6�� �
�c�ry.sm�e.zvJ
Executed in Register's Office Executed out of Register's Ojfice
Sworn to or affirmed and subscribed Before the undersiD ed personally appeared the
before me this da�� party executing this renunciation and certified
of , that he or she executed the renunciation for the
purposes st ted within on this_� �`� day
of , � 6(3
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Deputy for Register of Wills Notary Pubtic �
My Commission Espires:
(Signature and Seal of Notary or odier oKcial qual�IiM{o
adminis[eroaths. ShowdateofexpirationoCNotary;CamcisnortJ
REBEC£A J.STEFANOWICZ
N�l'A6tY PUBUC OF NEW JERSEY
MY COMMISStON EXPIRES APRIL 16,2(N4
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REGISTER OF WILLS » � �" �
�u rn bQ r Lc+n i�• COUNTY, PENNSYLVANIA
Estate of _ / ti�r � � � r^ � • /� � ct r�i�j� , Deceased
I.—��a � ' f' ��a � 7 � �� , in my capacity/relationship as
(PrintNameJ
�li u A h f" � r of the above Decedent, hereby renounce the right to
v
administer the Estate of the Decedent and respectfully request that Letters be issued to
Th o r�-,a s L , /Yl a rz-�i nJ �
S� 3 0 /� 3 '� __ �`Vt "�`�
(DateJ (Signatu�e)
� �3 �-a /'`� 'f7-.c r-t 0. ��(-ti-C .
� (Stree�AddressJ
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(Ciry.Sta�e.ZiP)
Executed in Register's Office Executed out ojRegister's Office
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 the renunciation for the
purposes stated within on this v�L> day
of � , ��t 3
_—_ �—j
Deputy for Register of Wills No Public � /�7
My Commission Expires: �- Z°
(Signature and$eal of Notary or other official qualified to
adminisrer oa[hs. Show date of ex ira[ion of No 's Commission.)
COMMONWEALTPH OF PENNS�VANIA
Notarlal Seal
Richard S.Conklin III,NoUry Public
Lemoyne 8oro,CumbeAand Counry
My Comm551on Expkes FeC.20,2017
Form RW-O6 rev. /0.13.06 MEMBER,PENNSYtVANU ASSOQA710N pl'NOTARIES
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REGISTER OF WILLS ° � '-' �'� :-:�
C��b��(v� ,� COUNTX,PENNSYLVANI�,R � �a °' °
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Estate of pA'�'r �G �q � � v� m A r-►� � ti , Deceased
I,_ � , ( � � q"� � �"' °'"'��j 1�1'� t{i"�E' r � in my capacity/relationship as
(PrfrttNmne) -
S D "1 of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
� h n � as L � � J'Y� � �� ��-� ', .
S( 3 0 /2 0 � 3 �/�r _ �.� �i�2'y�„''�=
rn��� �s�s»��
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F'`� LGha��' cs ���'�. P N- � �o ;�_
�ctry,s�.�r�
Executed in Register's O�ce Executed vut ojRegisier's Offree
Swom to or affirmed and subscribed Eefore the undersigned personaliy 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�day
of (_✓1� _ �2 0 !3
=�—�r._
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Deputy forRegister of Wills ary Public i+
My Commission Expires: �lz�/ �
(SiBnatme mdSW ofNaary or oQxr nfficiel qiceliCad a
aQminishroa[hs. Slnwdaleafezpi'ationofNotu}+sCanmission)
�NN"YW 'U
Netivlal S�e�
Richa�d S.CunklNmberla d Co nry�
Lemoyne Bwo,
Form RW-06 m.70.13.06 My Commisslon Expife5 Feb.20,2017
MEMBER.OENNS��VRN1A ASSODATfON OF NOTA0.SE5
/
INVENTORY
REGISTER OF WILLS OF Cumberland COLJNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA t �I � I✓ ���L ��
COIJNT'Y OF ����d f SS File Number
Personal Representative(s)of the Estate of Patricia Martini
deceased,depose(s)and say(s)that the items appearing in the followi�g imentory include all of the personal asseu wherever situate
and all of the real estate in the Commonwealth of Pennsyivania of said Decedent,that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedenYs death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end o£this inventory.
I verify that the statements made in this Inven- �iO J' � .�__
�CfiY✓KS-Q a/ �.� F�LJ`..
tory aze true and correct. I understand tbat false state- ='�—`'�-
ments herein aze made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification ro
authorities.
Attorney-- (Name) Margaret M.Stuski,Esq. (Supreme Court LD. No.)42478
(Address) 908 W.Watnut Sffeet Wo�mleysburg,PA 17043
(7'elephone) 717-599-2429
DATE OF DFAT!{ LAST RES�DENCE �ECEDENTS SOC.SEC.NO.
3 �I1 � � 3 $'ISPoP �ar CHurc� � Coo- P f�tl��Poii �
FIGURES MUST BE TOTALED
Vehicle 1,100.00
Clothes and Personal Belongings 2,500.00
n �: �
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: _`.� L. ''" p.i
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Ul
(Attach addttional sheets as needed)
TOTAL: 3,600.00
NOTE: The Memorandum of rcal estate outside the Commonwarlth of Pennsylvania may, at ihe elecdon of che personal represenfative include tF�e value of each
item,but such figuees should not be extmded into the totai of the Inventory. (See 10 Pa.C.S,¢3301@)) �
Form R W-09 rev. 10.13.06 ��