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PETITION FOR RA OF T., TTERS
REGISTF,R OF WILLS OF � �COUNTY, PENNSYLVANIA
Petiiioner{s} named below„ who islare 18 years of age or oldar, apply{ies) for Letters as specified below, and in
support thereof aver{s)the following and respectfuIly requese(s}the grant of Letters in the appropriate form:
Decedent's InformaYion
Namec Clinton E.�viizei! Fite Nq: �� —�� '���
a/k/a: (Assigned by Register)
a/k/a:
atkla: Sociat Security No;
Date of Death: 218/13 Age at deaYh: 54
Deoedent wae domiciled at death in Cumbarland Coanty,pa fsra�e)wiYh bisJher last
principal residence at �7 Bonnvbraak Road Sauth Middleton Townshin Cumberland
Street addrees,Post ORce and Zip Catle City,7awnahip or BorougM1 County
Decedent died at 57 Bonnvbrook Road Carlisle PA ]7013 Cumbedand Countv PA
Strect address,Poat Office eod'L3p Code Ciiy,Towos6ip or Borongq Ca¢nty State
Estirnate of value of decedanCs property at death:
If domicAed tn Pennsylvania...... .. .......... ... .... .. . All parsonal ptapeMy $ 20,p00.00
]f nnt dom�ctled in Penpsylvanra. ....................... Persona!property'rn Pennsytvania $
If nor damrttiTed in Pennsyfvania. ....................... Personai pmperty in Counry $ �.
ValueofrraJesmtein Pennsytvanta... .......... ...... .. .. ...... .... ... .... .... .. .... ...... . $ 'I
TOTAL E5TIMATEb VALUE. .. . $ 20.000.00
Rea!estate in Pennsylvania xituat�at:
(Atzach additionot sheets,ifnecessory.) Slreet address,Post Office and Zip Code City,Towrtship or Borough County
E7 :'.: �+
� A. Petikion for Pro6ate and Grant of Letters Testamentarv � rs `" 'i �
PGidoner{s)aveq„i.e.'shelthey isfare t6e Executoz{s}eamed in the(asz SYi(!of the Des�enS,uaied4o � f-.��:'�� �" �attd Cadiail{s)
thereto dated � c,:r °��
!'1.) ,.� �...,,�.
State relevpnt circumshnces(ug.rettunciatlon,death aJe.xecuto�tte� ':-... � �- ^��"
,C . wr� i 4
Except as follows:after the execution of the insirument(s)offered for probete Decedant did not marry��jas�st f#iLoroe�vas not'a{j�rty to apending
divorce praoeeding wharein the graunds for divorce had been established as defined in 23 Pa C.S� 3923(gS,and did not ha�a child bom or
adopted;and Decedent was neithar[he victim of a killing nor ever adjudicated an incapacitatcd persoa� � ;�-;y
(�NO EXCEPTTONS (�EXCEPT[ONS � tn crz c�
� B. Petition for Grant of Letters of Administration (tf appiicable)
c.t.a.,db.n.,d.b.n.c.t.a.,pendenietite,duranteabsentia,duranteminoritate
If Adm[nistration,c.ta or db.n.c.ta.,enter date of WII!in Seclian A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proeeeding wherein the grounds frn divorce had been estab}ished as defined
in 23 Pa.CS.�3323{g}and was neither the vietim of a klling nor ever adjudicated an incapacitated person.
�+ NO EXCEPTIONS Q EXCEPTTONS
Petitioner(s),after a proper search has/tiave ascerfained that bacedent lefl no WiU and was aurvived by t6e followiog spousa(ifany)and heirs(at[ach
additional sheets,3f neeessary-)=
� Name Relationshi ' Address �
Jeffrey Daniels hatf brother IQ869 Vineyard Way
1Nid 95 1
Fo�Rw-oz rev,ioi�iizoit Page 1 of 2
dath of Personal Representative ����ai c;sE onry
CpMMONWEALTH OP PENNSYLVANIA }
} SS:
C6UNTY OF }
Petitioner{s}Printed Narne Petitianec{s)Prsnted Address
Ma E.Schlusser 1 West Penn Szreet A t.513
Carlisie,PA 17013
The Petitionar(s)a6ove-named swear{s)or affirm(s)the skatements in the foregoing Petition are true and correct to the best of the knowledge snd belief
of Petitioner(s)and that,as Personat Represantativc(s}oPthe Dacedent,tha Hetiiioner(s}wi31 well and txuty administer the estatc accord`sng to 3aw.
Swom to or firmed and subscribed before '�.����� � � ,�F�,��;,q�!= oate �1�—S�
me this ay of ,�lp�3 � Dace
By: Date
Fm the Regtrte Ua�G
BQND Required: Q YES � NO To the Register of Wills:
FF,ES: Please enter my appearance by my ei natnre helaw:
Letters . . . . . . . . .. . . . . . . . . .. . . $ tG�..� ""` Attorney Signature:
{ � Shoxt Certificate{s)... .. . �[� —"
( )Renunciatiou(�).. . . . . . . . �. �
( }Codicii(s). =.,., . .._�..
� ) Affruavit(s).. . . . . . . . . . . ��— &7 ,_,� :E5 �
Bdnd... . . ... .. . .... .... ..... Prinied Name: Ste hen J � Es r �"',? ��
Commiasion. . . . . . . . . . . . . . . . . . ^ Supreroe Court pp � � . ';; ;j
Other .. .. .. . . �""'� 7ONum6er. � 36812 � � �= ' ., ��"}
!Y"1{'l.'�Q'� ��{'"7 . . . (� f" —. I'-r�� � �....�. :..�;
ti Y1Vr!"!�?� YZj . . . . . . . . t!5 Firm xame: Law Offic��t�hen J.Hog� ,_�
. . . . . . . . Address: 19 S Han.Werr:tr�t Ct�01 -':' .�..�.�
. . . . . . C'arlisj�,,,..� f$hi3' —' .: -.`
.
. . . ... . . • ���-r4
, —!
.._... Phone: (717)245�98 �;j ��� '-r�
Autom�tion Fee. . . . . . . . . . . . . . . Fax: (7171245-0829
JCS Fae. . . . .. . .. . . . .. . .. . . .. Emai1: � ,
TOTAL. . . . . . . . . . . . . . . . . . . . . $—���69["1
DECREE OF THE REGISTEIt
Estate of Ctinton E.Mizetl File No: °�t" �� '����
alkla:
AND NpW,��'�,,�' � t , ���J ,in consideration af the f��g P�on,
satisfactory proof having b presented before me,IT IS DECREED that Letters �MIY"1
are hareby granted to E . �"
in the above estate and(if applicable)that
the instrument(s) dated
described in the Patirion be admitte ta pzabate and filed of record as the last Wili{and Codicil s})of I�eeedent.
egister of Will ���
Fann RW02 rev.t0/11�207T P3gC 2 Of�
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