HomeMy WebLinkAbout08-20-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF 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' Informatio n
Name• .S File No• �-�"�3-7��
��a� . (Assigned by Register)
a/k/a:
��a� Social Security No: ��
Date of Death: �—�—)�- Age at death: lo�p
Decedent was domiciled at death in County, � (State)w' h his/her last
principal residence at ;
Street address,Pos Office and Zi Code City,Township or ou h County
Decedent died at � � � , l,Q o��� i �
Street address,Post fice and Zip Code City,Township roug County State
Estimate of value of decedent's property at death: ��
If domiciled in Pennsylvania............................ All personal property $ �
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ (�
TOTAL ESTIMATED VALUE.... $ �
Real estate in Pennsylvania situated at: �
(Attach udditional sheets,ijnecessary.) Street address, st Office and Zip Code City,To nship or� orough County
❑ A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated � ;:-'�; and.�d�l(s)
thereto dated � "'
.,.F�
�� ":M�°' ��
�—�—
State relevant circumstances(e.g.renunciation,death oJexecutor,etc.) `�'f �a :,,:� ���
C�'� —
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Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not vor�d,�as no�arty to�a p�r�ing
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323�a��'d:not have a c1�1�k�o�or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. �:;,,�r � �,w; "G -°,•F �-r'�
� � � _;,.:� :� °�ti
❑NO EXCEPTIONS ❑EXCEPTIONS ,,,.�, �- �,
,; �'C7 F-...�'' l' .. �°r"1
� B. Petition for Grant of Letters of Administration (If applicable) -v `� �,�� ��
c.t.u.,d.b.n.,d.b.n.c.t.u.,pendente lite, runte ubsentiu,�7rante mino tute
If Administration,c.t.a.or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as deftned
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
(�10 EXCEPTIONS �EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(uttuch
additionul sheets,i�'necessury):
Name Relationshi Address
.�=
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For•m RW-Ol �•ev.lnill��n11 Page 1 of 2
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Oath af Persona!Representative orr��ei uu o�iY
COMMONWEALTHOFPENNSYLVANIA } �
} SS:
COUNTY OF } . -
Petitioner(s)Printed Name Aatitioner(s)Printed Addross
�, P �� .�
Tha Petitioncr(s)above-named swear{s)or affirm(s)the statsrrtents' the fortgoing Peeition are true a�d correct to the best of the knowtedgo and belief
of Petitioner(s}and that,as Persanal Ropresentativs(s}of ffie D nt,the Petitiot .r( wi21 well and tmfy administa the estatc accar mg law.
Sworn t or ffirme8 a subsori d before ^Dace
......
me this >�1� b��z
gy: Date
Forehe egi Dete
$ONDRtqukred:{�YES �NO TvthaRegisterojWitts:
FEES: Plenae enter my appenrance by my siQnature betow:
ba
Latter . . ... .. ........... 8-----�I� AttameySignature: .
( �}Short Certificata(s}..... .
( )Renunciation(s).. . . . .. . .
( )Codicil(s). . . . . .. .. .. . .
{ )Affidavii(s)... .. ......,
Bond... . . . . . . .. .. . . . .... .. . . Printsd Name: �'=-
Commissian. . ... . . . . . . . . . .. . . Supreme Court � � �-ti+
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(d r ID Number. � � _r "�� C�
t � '''�����'�'�',� —'--/���6`
t���'- tTZ v rsrr!_. ....... � � S C7 G-: ':5 �7
� . .. . .. . . Firm Name: b r" �;� r�,
. .. . .. . . Address: � - O '�'
... . ..., '`� ..... _
� .,.... e-� r-�, �� R -
^ �.` � � "1
. .. . . . Phone: "� y �—. ��� � ci
ei
Autamat+on Fst. .... . ......... '�� Fax: 3a. rt
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JCS Fee: . . . . . .. . . . . ......... ____'=� Email: � '�t
TOTAL. . . . . . . . . . . . . . . . . .. . . S A
I3ECREE OF THE REGISTER
Estateof �OI')C�firJ�' F,�eN�: 21- i3-9°�
��:
AND NOW, �WC L�17 Cr� ��� , , in consideration of the fore�PetZt//J I
satisfactary proaf having n presented before ma,IT IS DECREED that I.e ters
are�,eby granjed t G �
/ � Q L� in the above estate and(if applicable) that
the instrument{s)dated
described in the Petitian be admittad to probate and filad of recor a the last Will nd Cadieti{s}} Decedant.
Ragister�---�s+�.t.�-�'.�c-
Fw�m RW.01 �•�. ioinimti ge 2 of 2
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RECEIPT FOR PAYMENT
GLENDA FARNER STR.ASBAUGH Receipt Date : 8/20/2013
Cumberland County - Register Of Wills Receipt Time : 16 : 12 :21
One Courthouse S quare Receipt No. : 1075295
Carlisle, PA 17613
MYERS NANCY A
Estate File No. : 2013-00908
Paid By Remarks : TERESEA BEAR
HMW
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS ADM 135 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENER.AL FUN
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENER.AL FUN
Cash $198 . 50
Total Received. . . . . . . . . $198 . 50