HomeMy WebLinkAbout09-05-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF yw 'b By 4w,1 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
Name: PC(,,1 F-L&kc File No: 2-1-1-4- 9t q/ I
0
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: Age at death: (0S
,m
Decedent was domiciled at death in C u C4\C111J County, PA (Stare)with his/her la(f t
principal residence at r)( \n c,C-+ Cu ui I l e C, w��e.✓I t:,t.rf.
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Mel., cal CtyZ- "(1 1 1 v(2e(e fl/LS /US
Street address,Post Office and Zip Code City,Towns ip or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.... ........................ All personal property $ b 6.
/f not domiciled in Pennsy lvania. ..................... .. Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....... ................ Personal property in County $
Value of real estate in Pennsylvania.... ..................................................... $ O tl
TOTAL ESTIMATED VALUE. ... $!t t
Real estate in Pennsylvania situated at: 19 ( Lc.M tJe,,rt/( 1�-r^,f A Ur N r�,I
(Attach additional sheets,ifnecessary.) Street address,Post Once and Zip Code City,Townshinrough rn nCounty
Cf in
❑ A. Petition for Probate and Grant of Letters Testamentary to x C') o --i t=
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated D r— and�".odicil(s)
a
thereto dated D ii7
State relevant circumstances(e.g.renunciation,death ofesecutor,etc.) O "h
C C>
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not many,was net divorced,washrsdt a party tdilpending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§332-3J(g);land did not-havea:ghild born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 1~ p
❑NO EXCEPTIONS ❑EXCEPTIONS
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.ta.,pendente lite,durante absentia,durante minoritate
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 defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
EE NO 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(attach
additional sheets, if necessary):
Name Relations to Address r�
Gv,t, 01 w VU \� Shc✓F l c 2 ef/.n A e 117 17 2 y
i�erwd>. U 1 u{ch Scv� I ' 1�13 tarsQ,i1, "c";-e <A r76C3
17O>`clpl Ft Ifr 1vh L� 1 �- 21S S �; j{ t1ik ( 7dI
QC,\ F 1a4�,ex d 33o0 U^,c«, cNJ ► -Cc 30S
Form RW--02 rev.10/11/20/1 Page I of 2
Oath of Personal Representative official Use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Ad ss c�
�ae4�a71 ut Wit( 4L �`� Sk�,r+ La„� Necw.l ,�Otj 7 '
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The Petitioner(s)above-named swear(s)or affirms)the statements in the foregoing Petition are true and correct'R thebest of thpJmowledge elf d belief
of Petitioner(s)and that,as Persona}Representative(s)of the jD edcnt,th Peujtitti/ioner(s)?will�well and truly administer the estate according ttoo�law,
Sworn too affirmed a subscribed before �f
me this z'Aday of
Ao" /L �- Date
By: Y27 Date
F Register Date
BOND Required:Q YES ONO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Lett r . ..... ............. . . S Signature:
{ )ShortCertifrcate(s)......
( )Renunciatian(s).. . .. . .. .
( )
Codicil(s), . . .. . . . . .. . .
( )Affidavit(s).. ... .......
Bond— — .... .. . . .. .... .... Printed Name: "�� {'4_ Ak C(j
Commission. . . . . . . . . . . . .. .. . . Supreme Court
O he �Y—. ..... . . d0 ID Number:
Firm Name:
LAre
. . .. . . Address: ( ,A
Z1 CQ-
... . . . Phone: —7k7 - 2-3.3-_333 _
Automaton Fee, . ...... Fax: -717 2.3 2- 2.8
)CS Fee. ......... .... ....... 6 Emai): j{g t'G Ire tt Cu tc.-a
TOTAL, . .. . . . . . . . . . . . . . ... . S
J DECREE OF THE REGISTER
Estate of Gu L / �`r(// File Nc:
a(kta: hh
AND NOW,_S p'0 let" k15' ` �u � , in consid atio of the foregoing Pctitipn
satisfactory proof having befen presented before me,IT IS Df}CREED at Letters /7
are hereby granted to I f tllf�r� t�l✓!J Zel'!
—�- in the above estate and(if applicable)that
the instrument(s)dated
`
described in the Petition be admitted to probate and filed of r c d s the last Will(and Codicil( t f Decedent.
, •,L � }
Register of Wil!s W'
romr RWA2 rev.10/1112011 Page 2 of 2
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RENUNCIATION D cr'
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cn CD 21
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REGISTER OF WILLS
—� Cf
Cu o m
COUNTY, PENNSYLVAMA
Estate of Deceased
I, in my capacity/relationship as
(Print a as er
of the above Decedent, hereby renounce the right to
daughter
administer the Estate of the Decedent and respectfully request that Letters be issued to
Gwendolyn Futch
(Date) kgalwe)
V'
( rreeeet Address) -
(City,stare.Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of " 9 v s r '?013 that he or she executed the renunciation for the
purposes stated within on this (D day
of A-S Lh s-r _'�0 13
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMON AID®F PENN VANSA
Notarial seal Public
Teresa I..@rantnef,Notary
Form RW-06 rev. 10.13.06 Susquohanna TWO.,DauPMn County
My Commission Expire,:6ept.4,2016
I0 f.
MEMBER,npNN@YIIIRNSA AgOQA5 tJF NOTARIES
9 cy c7
rtj
rM ..
RENUNCIATION N U, C a
REGISTER OF WILLS ° 70 —
COUNTY, PENNSYLVANIAN o
Cum er an
Estate of pati �>>tch Deceased
I, -- Derwin IL Fntrh in my capacity/relationship as
(Print Name)
san of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
-- 6taenclelTn Futsh a -
u.,,�
(Date)...... /�._ . .._. . (signature) 6E
(Street 36) Passey Lane-H
Lancaster, PA 17603
(City,State,Zip)
Executer:in.Register's Office Executed out of Register's Office
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 /q day
of AUGy--A— , ' 2013
_. ..
Deputy forRegister-of Wills Notary Publfc
My,Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal -
7onya L.Wonder,Notary Public _
City of Lancaster,Lancaster County
Form RW-06 rev. 10.!3.06 MY rgmml5slon Expires Feb.25,2014
Member,Pennsylvania Asswabon of Notaries
1�t
C> w 2 rn
n C'I c�
TI
x n -v
RENUNCIATION a' m t�
Cn -4:2
tZ7
aC,
REGISTER OF WILLS o c: n
�U,'r XN(a,j COUNTY, PENNSYLVANIA, -i � ` rrri
n r.._
yr a
CD
Estate of 1 Ct y � �Z,4�- Vk Deceased
I, PO t1 a k 4 f'A(c 1 in my capacity/relationship as
(Prot Name) '
O n of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
CT U-,C t C�O`ti n, Ti,EC `i-,
eliz� l3
(Date)
' (Signature)
y1$ ?V. -2 S �.
(StreetAddress)
C-R �4, \\ -�z �Z c)�\
(City,State.Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
bef me this th
day party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of
Au for Register of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev./0.!3.06