HomeMy WebLinkAbout01-04-05 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of ~_~~ ~, ,_~_ ./~J~ ',~t~' No. Z!~()5
also known as To:
Register of Wills for the
Deceased. County of in the
Social Security No. t ~ 2- - ~ ~. ~ ~ 0 ~ ~ Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in ~oq/~~ County, Pennsylvania, with
hf.A't~ last family or principal residence at ! ~)- -1 / ~ ~ (~,~
(list street, number and
Decendent, then ~'C;] years of age,, died .'~ ~ .~, ~
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property $ ~ j
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
Petitioner after a proper search ha_< ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
~E~~, petitioner(s) respectfully request(s) the grant of letters of administration in the
a~opW~m to the undersigned.
~ ~ -, ~ f/
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY or Cu l L/ lvi) ss
The petitioner(s) above-named swear(s) or affirm(s)that the
statements in the foregoing petition arc truc and correct to thc best
of thc knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirme~ and subscribed
before me this '-I dayof |
No. 21 - 0
Estate of /~LfifiPr k//~b~l LIM V:: , Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW k,~Pff[4 [~fsr~ ~4 ~ Q~'~ , in consideration of the petition on
the reverse side hereof, satisfacto~ proof having been presented before me,
IT IS DECREED that ~ ~_T~ ~ K ~, ~ ~
is/~e entitled to Letters of Admi~stration, and in accord with such finding, Letters of Administration
~e hereby granted to ~ K~ ~ ~. ~ ~ E
inthe estateof AL~ ~fiO~ ~
~~[J~'~~ Register of Wills
Letters of Administration ..... $
Short Certificates( ) .......... $ ~' ~
ATTORNEY (Sup. Ct. I.D. No.)
TOTAL __ ~~ ADD.SS
Filed ..................... A.D. 19.~
PHONE
o~.9o5 ~v.(0u04)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Calvin B. Johnson, M.D., M.P.H. ~~.~x~_
Charles
Hardester
Secretary of Health [~~/~ State Registrar
3284824
No. ~ Date
' l1031L
~ CERTIFICATE OF DEATH
~c~ ~ A[~ ~ ~ne ~e~[eI
1915 ~A
~ ~ ~TH ~, ~O, ~ OF ~TH F~IU~ ~ME (If ~ ~, ~ ~ ~) ~ ~IN?
~ ~l~d ~. 1271 ~k ~, ~1~1e ~y.~.~,~, ~s~)
Y"~ ~ ~m 9 ('~ ~i~ ~hur A. Line
~..flrlisle, PA 17013 (~
V*mE~E~..~.~) Walter ~r [~THS~S~E(m~M~,~) Mille Le~
I
A. Line [~. 1271 ~k R~d, ~rlisle, PA 17013
~ ~), D a~v 27, 2~ I,,,. N~ille ~te~ I,,d. N~ille, PA
~. E~ UN~
~ '~ AND ~ P~N~ ~ ~ ~ ~ ~ ~ ~ ~) ~TE S~ED (M~, ~y,y~