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PETITIdlY FOR GRANT 4F LETTERS
REGISTER OF WII,LS OF Cumbedand COiJNTY,PENNSYLVANIA
Petitioner(s} named below, who is/are 18 years of aga or older, apply(ies) for Latters as specified below, and in
support thereof aver(s)the fallowing and respeotfully request(s)the grant of Letters in the apprapriate form:
Decedent's Iafarmafion
Nsme: KennethM.Ge s FileNo: �� '�� Oy�?
a/k/a: (Assigned by Register)
alkla:
a/k/a: Sociai Security No:
Aate of Death: Februarv 14,2013 Age at desth: 58
Decedent was domiciled at death in Cc�mber]and Caunty„p�n�,yivan;a (srase)with hisTher last
principal residence at 316 Old Stonehause Road$outh.Boilin¢Sorin¢s.Cumberland Countv,PA 170Q7
� Strect addrea�,Poet Offlct end Zfp Code City,Townshtp nr BorougA Cuunty
Decedent diad at H�rshev Medical Center 500 Un'rversitv Ihive Hershev PA I7033
Street sddreee,Past Otttce and Zip Code City,Township or Borough Couaty SteM
Estimau pf value of dacedenPs pxoperty at death:
IJdaratcried ire Pmnsytvaara............................ All personat property $ Q.40
If not domicitsd ia Pmnsylmnia. ....................... Personat property in Pennsylvania $ 0.{H7
IJno{domiciled tn Pennsy/vaeia. ....................... Petsonal properiy in County $ 0_Ol)
Value of rea[estate rn Pennsylvania................. ........................................ $ 0 00
TOTAL ESTIMATED VALUE.... S 0.00
Reat estate in Pennsylvaaia situated at: r
(Atmch odditional sheets,ifnecessaryJ Street�ddrees,Poat Ofifce and Zip Code City,Towna6ip or Bornugh Cou�
❑ A. Pefltian for Probate and Grant of I,etters Testamentarv
Petirio�er(s)aver(s)he/shehhery is/aze the Executor(s)named in tha last Will of the Decedcnt,dated and Codicil(s)
therato dated �
State rdevant eirenmstaneca(eg.xnruetaHon,desW of uecumr,tte.}
Exceptasfoliows: aftertheexecu6onoftheinstcument(s)offeredforprobateDecedentdidnotmacry,wasnotdivproed,wasaotapartytoapending
divorce proceeding wherein the gtouods for divorce had bcen established as defined in 23 Pa.C.S. §3323{g),and did not have a child bom or
adopted;and Decedent was neither the vietim of a killing nar ever adjudicated an incapacitate,d gerson.
�NCI EXCEPT[ONS a EXCEPTIONS
� B. Petitian for Grant of Letters af Aflministration gf appiicabie)
c.t.a.,d.6.n.,d.b.n.aX.a.,pendersie tite,durarrte absentia,durante minoritate
If Administration,c.t,a or db.n.c.t.a.,eater date of Will in Section A above aqd complete list of heirs.
Ezcept as follaws: Decedent was not a garty to a penHing divoma praceedsng wherein the graunds for divame had bem established as de£med
in 23 Pa C.S.§3323(g)and wss neither the victim of a killing nor ever adjudicated an incapacitatet!ptrson.
Q NO EXCEPTIONS a EXCEPTIpNS
Petitioner{s),afterapraper search has$ave ascertained t6atDecaient left no WiA and was survivedby the failawing siwuse{ifazty}andheirs(attach
addrtionaT sheets,if necessary):
Name Retattone6i Addroes
Karen Wagner Gettys Wife 31 b 41d Stonehouse Road South,Boiling Springs,PA 17007
R}?CQRDFDOPt-7CEOF
12EGISTERQpyy�
2013 AUG 13
CLERK OF 4RPHANS'COURT
CUM$ERLANDCOUNfY
Fa.,�nw-oz r�.rorttr�orz Paga 1 of2
r
Oath of Persanal Representative oreo;ai ux o�iY
COMMONWEALTHOFPENNSYLVANIA }
} S5:
COUNTY OF 1 � -
Petitioncr s)Prinud Name Petitiona s Printed Address
n7- t � cc. 7ilP _
The Petitionor{s)abovo-named swear(s)or afftrm(s)th tament�Cm t-h^o^�f ' g ' e We snd corrcet to the best aCthe knowlsdge and belief
of Petitionsr{s)and diat,as Peno�al Represmtative{s} f the dae� P " or{s) ' well and truly adminismr ths escate acmrding to law.
Swom to ar affinmed and subscribed 6efore Dam
me tl}i}g�day �j���'J Date
By:(l�1{W 3�._� Daze
F'or(Rc Regit� / D8te
SONDRequired:QYES �N4 TotheRegisterofWiltx:
FEE$t Please e a esrance 6y my signsturo bebw;
Lette�s.. . .. . .... ... ......... $-a��}�� Attoraty cv„s� .
...
( � }St�ort Certificate(s). ,....
( )Renunciation(s).. . . , . .. . —
.. ,.
( )Codicit(s). . . . .. . . . . .. . "" •7 "3,�
{ }Affidavit(s}..... ....... ' 7���`�
Bond.. .. . .. . .. .. . . . . ... .. .. . �-• Printed Nsme: „y rf
Commission. . . . . . . . . . . . . . ... . '�' Supreme Court ` �
Other . ., ..... � ID Number: ��J
..... . �
. .. ... . . —. Pirm Namo: �1� ' �
. .. .. . . . — Address: �( ,�( . :
� . . . .... . --' Phone: '""%/7 � - y' 78�
Aucomati�n Fee. .... ......... . Fax: �^-�'7�/7�.����—'�S —
ICS Fae. . . . .. . .. .. ... .. ..... i Email: yts[LttLtL.C��•Af'LL.'f'/?�� ' ��
TOTAL. . .. . . . . . . . . . . . . . . .. . S '�dS.CY�
DECREE OF THE REGISTER
- Estate af�'��m .�� ��J File Nc: � � ` �3 'l T'C01��' r
alkla:
AND NOW, t—T�� ��'�' �3 ,°�l 3 ,in co�sideration of the fote amg Petition,
satisfactory proof having n presanted before me,IT IS CRE�D tttat Letters ��t71t�'11`,.�"�}'CCh�
are hereby granted ta �O�i }'Z Yl'"1L1Y�.t 10.
in the abpve estate and(if applicable) that
the instrument(s)dated
descxi6ed in the Petition he admitted ta praba#e and filed of recard as the ask Will(and Co 'cil{s}}of Decedent,
g�pgpElypFELCf.OF Reg�" iS�erflgWiils , (j �
Rp.GSSIEROFWII..LS �^���j�Q J���,�ry .
F
2Q13 AUG 13 �� r"` Page 2 f 2
CLFRK OF ORPHANS'CAURT
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