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HomeMy WebLinkAbout09-17-13 (2) PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF.0 a rn e I 0�n A COUNTY,PENNSYLVANIA Petitioner(s) named below, who is/irc 18 years of age or older, apply(ies) for Letters as specified below. and in support thereof aver(;)the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information ^ II Name: to 1, W L,*, File No: )I_ A0113— 1001 a/k/a: (Assigned by Register) a/k/a: _ Date of Death: 1, 16 — I Age at death: (2` Decedent was domiciled at death in_ C uml,. sc I _r� County, PA (state)with his/her last principal residence at 9 We s+ Ave. nolg Ea�,k Pex\r\sba�o b� 1141 Street address,Post Office nd Zip Code Cay,Tawnship or Borough County vI o 25 Decedent died at Golden Lltitnc \",sphill PA Gax \av pi1 Street address,Post Office A Zip Code City,Township or Borough County State Estimate of value ofdecedenr's property at death: t f Ifdomiciled in Pennsylvania............................ All personal property $ '7 000 t O<3 If not domiciled in Pennsy lvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. .—..............—.. Personal property in County $ Value of neat estate in Pennsylvania,.. .................--........................... $ TOTAL ESTIMATED VALUE.... $ !j no ,U Real estate in Pennsylvania situated at: (Attach additional sheets,if necessary) Street address,Post Office and Zip Code City,Township or Borough County ❑ A. Petition for Probate and Grant of Letters Testamentary 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 Slate relevant circumstances(e.g.renunciation,death of executor,ere.) Except as follows:after the execution ofthe instrument(s)of fered forprobate Decedent did not many,wasnatdivorced,was not a party to spending 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 been or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ❑NO EXCEPTIONS ❑EXCEPTIONS ( B. Petition for Grant of Letters of Administration (If applicable) c.t.a.,d.b.a.,d.b.n.cta.,pendente lite,durance absentia,durmtte minoritate If Administration,eta.or db.n.c ta.,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. C�4tYO EXCEPTIONS []EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was sarvivedby the following spouse(if any)and heirs(attach additional sheets,if necessary): Name Relationship Address c w 1, go Lt l ctWLir-\ 2 SI 4 I 109 RECORDED OFFICE OF REGISTER OF WILLS 2013 SEPT 17 CLERKOFORPHANS'COURT CUMBERLANDCOUNTY Fan,,nw-02 rev.tamnnll --- - Page I of 2 Oath of Personal Representative Official Use only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s)Printed(r+Name Petitioner(s)Printed Address k T dL1` KPw go-vr1 r 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,the Petitioner s)will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before M Date me this (101 day of ;�v 1 aJ Date By: Date Far the Register - Date BOND Required: © YES ® NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . $ 30.00 Attorney Signature: ( 2 ) Short Certificate(s). . . . . . ( )Renunciation(s).. . . . . . . . ^ ( ) Codicil(s). . . . . . . . . . . . . ( )Affidavit(s).. . . . . . . . . . . �• Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: F- Commissiop. . . . . . . . . . . . . .. . . Supreme Court Other . . . . . . 05.00 ID Number: �nh . ,n. I5.60 Firm Name: O O . . . . . . Address: (n 2a O . . . . . . O u ... . . . . — — Phone: tl U U Automation Fee. . . . . . . . . . . . . . . Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . '�.'7� �" Email: TOTAL. . . . . . . . . . . . . . . . . . . . . J� DECREE OF THE REGISTER Estate of L IIJC-t File No:of( -aOI 3 ' ICU a/k/a: AND NOW, LeYYIILer �1 �I3 , in consideration of the fore oing Petition, nj satisfactory proof having Seen presented before me,IT IS DECREED that Letters t mi are hereby granted to in the above estate and (if applicable) that the instrument(s) dated r)l0` described in the Petition be admitted to probate and filed of record as the last Will(and Codici s))of Decedent. Register of Wills �N Form R W-02 rev. 1011112011 Page 2 of 2 }l}R$.$Q$