HomeMy WebLinkAbout06-28-13 � �i
PETITION FQR GRANT OF LETTERS
REGISTER QF WILLS OF COUNTY,PENNSYL VAIYIA '
Petitioner(s) named below, whp islare 18 years of age ac older, apply{ies) for Letters as specified i�w, and in
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the apprapriate form; !
Decedent's Information f
Name: .4�. �7t�� <7'� .���/JisfL�d2 FileNo:
a/k/a: {Assigned by Register}
a/k/a:
a!kla: Social Security No:
Date of Deatq: _ t9 O �, Age at death:
Decedent was domiceled at death in County, {Sr�re}with h sther last
principalresidence at o
Street yddre�,Port Of ce and TAp C C�ity,}TownnMp ar Boruugh ` Cou�nty
Decedent died at b C— 6 /'�
Slreei a reaa,P t O(tice and Zip Cad � City,Townahip or Borough County State
Estimate of veiue of deceden['s property at death: �i
If damicited in Fennsylvania.......... ...... ............ All personai property $ l9 .�
ljnut Aanki(ed u Peensyfvenie. ....................... Fersanal pmperty in Pennsylvania $
ljnat dainici(ed in Pennsy(mnia. ..............._,..... Personal property in County $
Vatue oJrea!estate in Pmnsy[vania......................................................... $
TOTAL ES ATEU VALUE. ... $ � � �
Real estate in Pennsytvania siNated at: �
(Attach additionaf sheeu,if nettssary.) Strat addreu,Po�t OflYee ami 23p C C3ty,Townahip ar$oroagh County
❑ A. Petition for Probate and Grant of Letters Testamentarv �
PetiCioner(s)aver(s)hdshdthey is/are the Execukor(s)named in the last Will of the Deceden4 dated d Cy�icil(s)
thereto daied
C {y
Stste ralevant clrcumstanca(eg.renunetation,dep(6 tlf ezrcuMr,de) '7 C O
� � L �
Exeeptasfoltows:sfterffietacecntionaftheinstrttment(s)offtredfarprobateDccedentdidnoimatty,wasnoffivoge�vasnp►9pa a7 nding
divorce proceeding whsroin khe grouvds for divorce had been esteblished as defined in 23 Pa.C.S.§332�,�d�!not�ve a I�m or
adopted;and Decedant was neither[he victim of a killing nor ever adjudiceted an incapacitated person. Z � � ��y �
' ' ❑NOEXCEPTIOIYS ❑EXCEPTIONS � � C' '=-` � � ��^
° � � ' ,=� �s
,� B. Petition for Grant of Letters of Administration (ifappticabie} - ^' �a
c.t.u.,d.b.n.,d.fi.n.c.ta.,pendentetiie,�arsteabserstid�era uy+ritare
O
If Administr�tion,c.�a. or bb.n.c.t,a.,enter date of Witt in Section A ahove and complete list of heirs.
F,xcapt as foqows: Decedent was not a party to a pending divoroe prqceeding wherein the grounds for divoroe hsd bcen establish d�defined
in 23 Pa.C.S.§3323{g)�and was neit6er the victim of a kiiling nor ever adjudiceted an incapaeitated person.
j�N4 EXCEPTI4N5 �EXCEPTIONS ��
Petitioner(s},afterapropersearchhasthaveasaertsinedthatDeoedentleftnoWillandwussurvivedbythefoilowingspouse(ifany)and ers(attach
udditionut sheets,if necessuryJ. . �
Name Relatlo di Ad ress
1 �
.�1 � � rtt r��fx3
�sn n a �h'�
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s � ���rrnf n �9r� �. � ��v
Form RW-01 rev. l0/f I/1011 p ��° � Of�J�
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Oath of Personet RepresentaYive or����e�ua�o�ry �
COMMONWEALTH OF PBNNSYCVANIA J ''I
} SS: �
G4UNTY dF } - ;
P titionar(s)Printed Neme Petitianar(s)Printtd Address ��
� � �
The Petitioner(s}abavc-named swear(s)or affirm(s)the statements in ha forego' Peatio aze We and correct ta the best of ffie know e and belief
of Petitioner(s}and that,as Personal Representative(s}of the Pe ner(s iit wall and truty admioister the estatz acco ' g to taw.
Sworn ta o af ined subscribed b ore Date ^„�O13
me th' �y f �+� Dace
By: � �/� Date
e Regisrer Date
i
BONDRequired:QYES QNO Tol6eXegisterajWit[s: . �
FEES; Please enter my appearance by my�ignature below: I
Letters. . . . .... .... . ... . ..... $,�.�_..,� Aftarney Signamm: ��..
{ 3 }Short CorNficate(s). . . . . . /.^�""? t� � � �i
( � )Renuociation(s).. . . . . .. . �.CJC) � o � 7� I
( )Codicil(s). ... ... . . .... CD -�„ � cJt .. '
{ }A�davit{s}... .... ... .. ���� N ":: ��rr
,,,
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: D R? ;:y �
Commission. . . . . . . . . . . . .. . .. . 5upreme Court � (A � C'� ��
Qther ........ IA Nnm6er. � �-., �u3 � �,, �
�{-��}`� ��-�- � � -'`
""'T'—_ ... G t�
.... ..... ..
_
�,y�_,__ . . . ,. . . �'s'i Firm Nama: '.'� T, � �" s'
� � . .. . .. . . Address: '� -'� � (!'� -
...... .. _, S* O
.. . ... Phone:
Automatian Fee. ...... ....... . Fax:
3CS Fee. . . . . . .. . .. . . . . . .. . . . c�4�— Email:
TOTAL.. . . . . . . . . . . . . . . . . . . . . $ �
DECREE bF THE REGISTER I
Estateaf � �[�p �`l � � �lrn�,(' FiZeNo: , —{c3"6727 �
aJkla:
AND NOW,S��,Q �` 4 �� .,,in consideration of the foregoi gPetidon,
satisfactory proof having been presented before me,IT IS DECREED that Letters
are hereby granted to
in the above estate and(if appl cab(e)that
the instrument{s}dated
described in the Petition be admitted to probate and fited of record as the last Wil1{and Codicil(s))of Decede f:
egister o'Wills �
Form Rw-01 rev.!D/!1/3nII �� �^ PytgC� Of 2 •��
`✓ . 4 ���I Tl
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ftECO''il1r,� ��-_ir�' ;,r-
REviS`+::it 4� ':: °..'� '�
RENUNCIATO
'���3�UN 28 ft�l I� DO � ;
,
REGTSTEROF WILLS C�LERK �G,j�}�
�Urn�jer�dvtC�( COIJNTY, PEP�`�.�A�N,�A;,U'tiT
GUMBERLANu ��0.. PA
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�state of r � c + w+{e r' , eceased
I
I,__ �--e�n f c y t�'� . � C,i�'Y� teY , c.�Y , in my eapacity/rel tibnship as
(Prrnrxane) . .
56�..i of the above Decedent,hereby renounce �right to
administar the Estate of the Decedent and respectfutly request that Letters be issued to ,
I S�r't I�y i`h. l�c t Y5'I�Y f .Sr I
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" {S'trectAddress) �
Cs`�'V o 1�` / 70 Z ,
. (Ciry,Stute,Zip} �
Executed in 8egister's Office Executed out of Register's Uffrce
Sworn to or affirmed and subscribed Befare the undersigned personaliy appe e' the
before me this day parry executing this renuncistion and ce i ed
of , that he or she executed the renunciation the
purposes s�ated within on this c� day
of t 1{� Vi? I �
I
����. ���
Deputy for Register of Wills NoYary Public
My Commission Bxpires: �I�rn�,�, 1 ';,02� f3
� (Si$nature and Seal of Notary or other nfficiai qu&Iified ko j
�sdministeroaths. ShowdaMOfexpirationofNotarysCammi sidnJ
corutoNw�u.n�oF a�r+s�v�ra
�s� i
BafiBra L Tome,NaFary PubIIC . �
Camp HB�8oro,Gumberiantl County �i
Form RW-06 rev.10.t3.Od #yGHnml%ion Nw.12,2ff13 i �
Mm�ber.P�nsyNania ASSociation af Nolafie5 � .,,��y
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;fi�Ct�rr"?�'} ^,_"1^- �� '
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R�GIJlL: OF '.°."'_9..5 �
RENUNCIATT���T�UN 2$ �� �a oa '
REGISTBROFWTLLS CLEFtKOF '
'��' �I AGO!!RT
COUNT'Y,PE���`tK�AN.0 CO.. PA
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Estate of , eceased
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i, —��1n�.�P+.`w�.(w,�-- in rny capaci�lrel Yi�nship as
mf Namej
-- ��« ��-�-e r- of the abave Decedent, hereby renaunce �rig}tt Yo
administer the Estate of the Decedent and respectfully request that Letters be issued to �
�s�ec�n � Cm\� � � �
l�� a5� �3 --
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s2 a� �
- (StreeeAddressJ . I
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(Ciry,State.Z'ry)
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Executed in Register's Office Executed out af Register's Offrce �
Sworn to or affirmed and ubscribed Before the undersigned personaliy appea the
befor me this_��_day party executing this renunciation and ce i ed
of� ,�.,_,_._, �3l.� , that he or she executed the renunciakion the
purposes stated within an this day
� of ,
�
-��r"�.�
ep ty for Register of Wills Notary Pubtic
My Commission Bxpires:
(Signature and 3eal of Notary or onc�r o�cial qualifiad to ���
administeraaths. ShawdateofexpirntionofNotsry'sCommi id�n.)
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FarmRW-Ob rev.10.13,06 - � A
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r,�ca°�n� � ��� �r i
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RENUNCIAT�QI�I !
�:3 JUN 28 R�} I�J 00 �,
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REGISTER OP WILLS C L E R K G e' ',
.��,Cq4�cI�L�COUNTY, PEN9tSM11A�'A�I�l.q U RT
CUMBERLAND CO.. PA
�
Estate af ��c��� e �:n'�� � eeeasefl
I, ����`� �`m�eCM°� , in my capacitylrela i nship as
(Print Nant}
���'^�� of the above Decedent, hereby renovnce right to
administer tha Estate of tha Decedent and respectfutly request that Letters be issued ta �'I
� Sa-c,�Ae� ��e � n.Ae� �
�, _ as - �3 •. I
a.
(Dats} �q ry�.��
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�Jb`�- � ro,-. r�e �
� (SdeefAddreas) .
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��i!};.�fGfB.21]l� �
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F.xecuted in Register's O�ce F�ecuted out of Register's Ojfice '
Swarn to ar aff'umad and subsoribed Before the undersigned personatly appe ' the
before me this day party executing this renunciation and oert fi d
of_ that he or she executed the renunciation f r he
purpos s stated aithin on this ay
af � U `, pi
Deputy for Register of Wilts Notary Pubtic
My Cornmission Expires: �J��,�y �+ ,�.r1 i3
(Signature end Seaf aCNoqry or otl�er o�cial quelified ro �'
. -administeroatfis. ShpwdateofezpfrationofNotery'sCommisso�.)
COl�I�MMFAITii 4F PENN5YlYANIA
Naka�ni S� I
BifIW!L TM1er Nolary PWkk �I
Forne RW-06 rev,f 0.l3.06 C�114��.ambe�land Counry �
QphIlltl�ion 6�pMes Nov.12�2013 , j�
M¢mber,Pefm5lMan�a AsSadati4n W NMarteS - � �Y
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fi�C43�'" '� '?� 1'��� �'� �
t����� tN.t1 �i �,::,.�� ( .
RENUNCrA �'
.'U���1��8 RCl 10 00 �
REGISTEROF WILL��-t�� �" I
C OUNTY=4�J.�1������ff:;T
CUMBER�A PA I
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Estate of f Deceased
I,_ l�1 )5}~f Y1 (Yl. �i rn 1�x- , in my capacitylr I�iionship as
(PriniNume} �
-``�`'�'t1 of the above Decedant,hereby renoun �he right to
administer the Estate of the Deoedent and respectfully request that Letters be issued ta i
�' anl� i� fh . �Qrrn Pr ��r _
(a- 26 - 2dt3
{Da�e1 • �sjgr„wre�
( l � I�1. ("� P[ir�v�"
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Exzcuted in Register's Office Executed ou!of.Regrste�''S Offrce
Swarn to ar aff`umed and subscribed Before the undersignad personally ap � red the
before me this c�a 10+'1 day party executing this renunciation and e ified
of ��,Yl�.' ,�(,�, that he ar she executed the renunciati n for the
purpases stated within an this day
of ,
Deputy for gister of i Notary Public I,
My Commission Expires: '
�1MOf�YYE�ti 7}t OF PENNSyt,y�ryjq {Sigtreture and$tat of Natary ar attror o�ciat qualified '
NohAN$NI adminis[erodths. ShowdateofexpimNanofNotary'9C �ission.)
S�Y���v8ber.Nofary PUWk
OemmiWOn�P��auphk�Cuunty _
Oct 5,�25
vaiu �or�oFr�arrnaEs
FormRW-p6 rev, 10.l3.06
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