HomeMy WebLinkAbout07-12-13 �@S�
PETITION F4R GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
ti
Petitionerts) named below, who is/are 18 years of age or older, apply(ies) for Letters as sp�fied belov�nd rn m
su p p ort th e r e of a v e r(s}t h e f o ll o w i n g a n d r e s p e c t f u l l y r e q u e s t(s)t h e g r an t o f Le tt ers in t he approp r i��r m: � ,�, o
ov ..� � —
Decedent's Information `��� �f � 3 � ' �'r' �'
Name: File No: " � 1� � s' m N m �
. . �a
a/k/a: (A signed by Reg�st�'})�c �,,,, �,
a/kJa: c� � �ra -� -n
� � � � �
a/kla: Social Securi No: `�"
Date of Death: � �� �-���� �
JILr.v T2 p� 3 Age at death: 8 9 ' c-:� �:. +'�
� o
Decedent was domiciled at death in CUMBERLAND , , County, PA (�r'are)with his�(�er las ''�'�
principal residence at 4 50 NORTH BETHANY ��IfT�E,� �IECH NIC �URG PA CUMBE�,�,AND
Stteet address,Post Of6ce and Zip Code City,Township or Borough County
Decedent died at Hc��n i,�.`c�P R P�i�,.P n�e.�._S».STuPh an n a TC1W n S h 1 n- p A
Stceet address,Post Office aad Zip Code Gtity,Townslup or Boroug6 County State
Estimate of value of decedent's property at death: 2 0 0,0 0 0.0 0
If domeciled in Pen�sylvania............................All personal pmperty $
If not donr�ciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not dohriciled in Peniesylvan�a. ....................... Personal property in County $
Value of rea!estate in Penncylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $ 2 O ,� 0.00
Real estate in Pennsylvania situateii at: None
(Attach additional sheets,if necessary.) Street address,Post Of�ice and Zip Code City,Townsldp or Borough County
� A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/aze the F.�cecutor(s)named'm the last Will of the Dececient,dated and Codicil(s)
thereto dated
State relevapt circumstances(�g.renunc�ation,deaNe af execktor,etG)
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divarced,was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did not have a child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS �EXCEPTIONS
�B. Petition for Gr�nt of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.�a or�b.n.c.�a,enter date of Will in Secrion A above and complete list of heirs.
Except as€ollows: I)eCedent was not a garty to a pending divorce proceediag wherein the grounds for divorce had been estab�ished 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 Q EXCEPTIONS
Petitioner(s),after a proper search has/have ascertaiued that Decedent Ieft no Wili and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationshi Address
CYNTHIA A. HESS DAU�HTER 350 Duke Street, Ephrata PA 1752
FAY E ROYER DA
1 7601
NO SURVIVING SPOUS
Fo�xw-o2 rev.10/11/2011 Page 1 of 2
Oath of Personai Representative °�°'al u�°I'iy
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF �[TMBER�.�I�TD }
Petitioner(s)Printed Name Petirioner(s)Printed ss � �
CYNTHIA A. HESS 3 5 0 DUKE STREET, EPHRAT �P,� 1 7 5� � c�
00 .-� _` �
. r- zm rv � v
� � � o
c3 � -� `�
� � � � �
The Petitioaer(s)above-aamed swear(s)or afiiim(s)the statements in the foregoing Petition are true and corre�o best of the�k�iovv�g�nd belief
of Petitioner(s)and that,as Personal Representa.tive(s)of the Decedent,the Petition s)will w 11 and tiuly ai��nuuc�er the est�acco 1 .
Sworn to or ffirmed d s scr�bed before � �����--'' 3� Da� �� ���
t�C
me this y of - Date�� �3
By: Date
r egister Date
BOND Required: Q YES Q NO To the Reg�ster of Wills:
FEES: Please enter my appearxnce by my stgnatnre below:
Letters................... ... $ Attomey Signature:
( )Short Certificate(s)......
( )Renunciation(s).........
( )Codicil(s). .... .. ..... . 7 �I ,�
( )A�davit(s)............
Bond............. ..... . ..... Printed Name: � " u„�.,�, c ; .,
Commission. ................. St�pxeme��urt ,S-�zv��—��..z-��-�►—�,�Qb�=���.
62063
Other .. ... .. ID Number:
....... Firm Name: HOWELL LAW FIRM
....... Address:
....... . NEW CUMB RL ND, A
...... . Phone: 71 7-77n-1 �77
Automation Fee. .... .......... Fax: 7 a,�_7� 7�1^1 7 7 R
JCS Fee. .................... Email:
TOTAL. .............. . . .... $_ 0.00
DECREE OF THE REGISTER
Estate of 1��NAT.1� j�� 7.F.I1�FR� File No: �/'�.1 ' ��D(�
a!k/a:
AND NOW, /�--� _,in consideration of the foregoing Petition,
satisfactory proof hav' g b resented before me,IT IS DECREED that Letters ,�f A�;n i s t-ra t,i�n
aie hereby gI'aIIted to�yj�jTH T A A_ H,F'S,S�� F,��Y F_ R()YFR
in the above esta#e and(if applicable)that
the instrument(s)dated
described in the Petirion be ad.mitted to probate and filed of record s the last Will(and Codicil(s))of ecedent. .
± egister of Wills
Form RW-02 rev.10/11/1011 O 2
} .
i