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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND 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 Information �.r- �3 - ��o
Name: JAMES W.KITNER File No:
alk/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: MARCH 28,2013 Age at death: 78
Decedent was domiciled at death in CUMBERLAND County, pp (stare)with his/her last
principal residence at 118"B"STREET CARLISLE PA 17013 CARLISLE CUMBERLAND
Street address,Post Offtce and Zip Code City,Township or Borough County
Decedent died at FOREST PARK HEALTH CENTER CARLISLE PA 17013 CARLISLE CUMBERLAND PA
Street address,Post Of£ce and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If do»iiciled in Pennsylvania............................ All personal property $ 1,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 5p,ppp_�p
TOTAL ESTIMATED VALUE. ... $ 51,000.00
Real estate in Pennsylvania situated at: 118"B" STREET CARLISLE PA 17013 CARLISLE CUMBERLAND
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
0 A. Petition for Probate and Grant of Letters Testamentar_y
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciation,death of executor,eta)
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,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.
Q NO EXCEPTIONS Q EXCEPTIONS SOLE SURVIVING SIBLING LIVES OUT OF
STATE AND HAS RENOUNCED:SEE �TTACHED
� B. Petition for Grant of Letters of Administration (If applicable; `� � � �.
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,d ante absen 'a,durante minoritate
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and com lete list f heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divor e had been sta lished as defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated perso . �
,.. ' :�
�NO EXCEPTIONS �EXCEPTIONS � � '"� r"'"�
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Petitioner(s),after a proper search has/have ascertained that Decedent le8 no Will and was survived by the�lo'�ing spou��if anyc��nd�eirs(attach
""� cr� w..�� -�'�
additional sheets,if necessary): �"t7 � �,� ,..,� �.;�,
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Name Relationshi �C'd �'� sa�� � ""�`"� �T���
HENRIETTA KITNER TOMASZEWSKI SISTER 362 FLINT AVE.,LONG e� �A 9Q�14 -��i .��y-;
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� �.� M---° i,.�� �,.,.w.'1
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Fo�Rw oz rev.10/11/2011 Page 1 of 2
Oath of Personal Representative o���ai vse oniy
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COMMONWEALTH OF PENNSYLVANIA } '��' � ��
G'� �-''-� �.m4 0 �;:"?
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COUNTY OF C�BERLAND } � � ��,;", ~ �' ':.�
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Petitioner(s)Printed Name Petitioner(s)Printed AEddre,,�, �`"" ' r
e. m,.wr�
WILLIAM A.DUNCAN 1 IRVINE ROW CARLISLE PA 17013 "�� � �u�, �-'' ��� "�"
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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,t e P 't' ner(s)will well and truly administer the estate a d 1 w.
f �� (
Sworn to r affirmed n subscribed before Date ��
me this day o , /� Date
By: Date
Far egister Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
.�a
Letters. . . . . . . . . . . . . . . . . . . . . . $ 0 � Attorney Signature:
( ,�')Short Certificate(s).. . . . . � d6
( )Renunciation(s).. . . . . . . . 4 �� �
( )Codicil(s). . . . . . . . . . . . . C�J���--�.�
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . .. . . . . . . . . . . . . .. . . Printed Name: WILLIAM A.DUNCAN
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . ID Number: 22080
I) qX" . . . . . . . '�a Firm Name• DIJNCAN&HARTMAN,PC
. . . . . . . . Address: 1 IRVINE ROW
. . . . . . . . C'ARI,iSLE,PA 17013
. . . . . . . Phone: 717-249-7780
Automation Fee. . . . . . . . . . . . . . . a A Fax: 717-249-7800
JCS Fee. . . . . . . . . . . . . . . . . . . . . �'J d Email: hill dLncanhartmanlaw_c�m
TOTAL. . . . . . . . . . . . . . . . . . . . . $ _9-6'6"..
�SSr`��
DECREE OF THE REGISTER
Estate of JAMES W.KIT'NER File No: �/�.-�r l�- ,�� �
a/k/a:
AND NOW, , , in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters ADMINI5TRATION
are hereby granted to WILLIAM A.DUNCAN
in the above estate and(if applicable)that
the instrument(s)dated N/A
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
Register of Wills
Form R W-02 rev.10/11/2011 Page 2 of 2
Oath of Personal Representative orr�;si u:�o�iy
COMMONWEALTHOFPENNSYLVANIA } ='� � r�r1
} SS: n � � �
COUNTY OF CUMBERLAND } S � c`� � �
m -o �_> c�+
Z r,,� ,�
PeHtioner(s)Printed Name Petitioner(s)Printed A,ddrecs T" '
WILLIAM A.DUNCAN 1 IRVINE ROW,CARLISLE Pq ]7613 � N � �� Y� n
C� G7 -'n � ..;-: Y7
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The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are We and colrect to the best of the knowledge and belief
of Pefitioner(s)aaid that,as Personel Representative(s)oS the Decedent,t�fe'P��C ner(s)will well and truly administer the estate a d 1 w.
Sworn to Y affirmed n subscribed before ��/�.,�/�/�/L-t C^----- Date � � �
me this day o /3. Date
BY' Date
For egisMr Date
BOND Reqoired: � YES Q NO To the Regisrer of Wil[s:
FEES: Plrease enter my appearance by my signature below:
o,�a
Let[ers . . . . . . . .. .. . . . . $ Attorney Signature;
( ,)) Short Certificate(s). . . . . . Tj' bQ
( )Renunciation(s).. . . . . . . . ,
( ) Codicil(s). . . . . . . . . . . . . C�i
( )AfFidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Prinred Name: WILLIAM A.DLJNCAN
Commission. . .. . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Num6er. 22080
h qX , , , , , �oa Firm Name: DL7NCAN&HARTMAN,PC
.
� • � • � � • � Address: 1 TR VTNF.ROW
" • " • " CART.iCT.F PA 1701�
. . .. . . Phone: 717-249-7780
Automation Fee. . . �'a Fax: 717-249-7800
. . . . . . . . . . . . �
JCS Fee. . . . . . . . . . . . . . . . . . . . . . �J" O Email: _hill([ilfimcanhartmanla�,rn
TOTAL. . . . . . . . . . . . . . . . . . . . . $ .
f5�s�
DECREE OF THE REGISTER
Estate of JAMES W.KITNER File No: _ ��' �_3- ���
a/k/a:
AND NOW,�f�QU�� I 3 , �Q13 , in consideration of the foregoing Petition,
satisfactory proof havin been presented before me, IT IS DECREEA that Letters ADMINISTRqTION
are hereby granted to WILLIAM A.DLJNCAN
in the above estate and(if�pplicable)that
the mstrument(s)dated N/A �
described in the Petition be adm�tted to probate and filed of record as the last�11 (and Codicil�s)) of Decedent.
f
Register of Wills f)� �"�j'����
FormRW-01 rev. /0/11/201/ "r' 'J�/ PagLL2. of 2
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RENUNCIATION � � �``� � ��
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� REGISTER OF WILLS � �'? �,,� �a �������
CUMBERLAND COUNTY,PENNSYLVANIA �� C' '`' �.-� y� �~N
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Estate of ��ES W. KI1'NER , Deceased
I, HENRIETTA KITNER TOMASZEWSKI , in my capacity/relationship as
(Print Namt}
SOLE SURVIVING SIBLING;PARENTS DEAD; of the above Decedent, hereby renounce the right to
NO CHILDREN
administer the Estate of the Decedent and respectfully request that Letters be issued to
WILLIAM A. DUNCAN
� ✓�
v� � l�r l D � �' I2-�-- �.,�c,�-.z.t�c.
(Date} ignature)
362 FLINT AVENUE
(Street Address)
LONG BEACH,CA 90814
(City,State,Zip)
Executed in Regi.ster's Office Executed out of Regi.ster's Offce
Sworn 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 day
of ,
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or othe�ot�iciat qualified to
administer oaths. Show date of expiratian of Notary's Commission.)
Form RW06 rev. l0.13.06
ACKNOWLEDGMENT
STATE OF: California
COUNTY OF: �rG�,� �
On � l` 2� , before me, ��V� �, �I,Y I�a ��� ,Notary Public
personally appeared r� i�}Y1� proved to me on the basis of
satisfactory evidence to the p on whose name is/ re subs 'bed to the within instrument and
acknowled to me that he she hey executed the same in hi er heir authorized capacity�, and
that by hi /he their signatures� in the instrument the person , or the entity upon behalf of which the
person�jd� acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
para�raph is true and correct.
ELVA L.GRI�UTALDO
� �- , � COMM.# 1879312 Z
Z , NOTARY PUBLIC-CALIFORNtA�
WITNESS my hand and official seal " � ORANGE COUNTY `'
My Comm.Expi�s Feb.5,2014
Notary Public