HomeMy WebLinkAbout09-24-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND __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 requests the grant of Letters in the appropriate form:
nnredenYs Infortnation -
Name: Grey D_Wagner File No: 21 ` � �)— � �' ����
alk/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 09N0/2013 Age at Death: _1�
Decedent was domiciled at death in Cumbedand County, pA _ (Statel with his/her last
principal residence at 114 Green Hill Road,Newville 17241 West Pennsboro Cumberland
5[reetaderess,POStOHiceantlZipCotle City,TOwnshiporBOrough Counry
Decedent died at M S Hershey Medical Center 500 University Drive Hershey Dauphin PA
Strcet atltlress,Post OHice antl Zip Cotle Ciq,Township or Borough Counry State
❑
Estimate of value of decedenYs property at death:
If domiciled in Pennsylvania...................... All personal property $ '10.000.00
Ifnot domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $ 300,000.00
� TOTAL ESTIMATED VALUE $ 310,000.00
aeai es�a�e m aa��:yroan�aswa�eaa� �14 Green Hill Road,Newville 17241 West Pennsboro Cumbedand
(Attach adtlifional sheets,i/nece55aryJ
Straet atltlress.Post O/fice end Zip Cotle Ci[y,Township or Borough Counry
� q, p �� � r o k r d[' t f Letters TesLmenirv
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated _ and Codicil(s)
thereto dated
State relevant circumstances(e.g.,renunciefion,tleafh of executor etcJ
Except as follows:after the execution of the instrument(s)offered for probate, Decedent did not marry, s not divorced�,was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3�3(g), and did�not have a cl5ild born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person:,- � � ..
�NO EXCEPTIONS � EXCEPTIONS _ - _ � �
� g, pnHtinn fnr f:mnf nf I affcrz nf Administf3tion (If applic3ble) �� � . ..�,.. �
c.t.a.,tl.b.n.,d.b.n.c[a.,pCdente lite,tlurente absentla.tlurdnte minontate
If Administration,c.t.a or d.b.n.c.t.a.,^^�°�tl-te of lJill in Section A above and comolete list of h�iis.� � .. �. .
Ezcept as follows: Decedent was not a party to,pending divorce pmceeding wherein the grounds for divOrce had been esteblished as defined
in 23 Pa.C.S. §3323(g)and was neither the victim of a killing nor ever atl�udicated an incapaciiated persori: . . .
�NO EXCEPTIONS Q EXCEPTIONS � �
Petitioner(s),aRer a proper search has/have ascertained that Decedent left no Will and was survived by fKe following spoase(if any)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
Denise A.Wagner Wife 1�4 Green Hill Road
Newville PA 17241
�
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Form RW�2 rev.tOdt-2011 Copyripht(c)2011 form svftware only The Lacknar Gmup,Inc. Page 1 of2 �
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Oath of Personal Representative on�Ua,useom,
COMMONWEALTH OF PENNSYLVANIA }
} S5:
C6UN7Y OF CUmberfand }
Petitioner(s}Printed Name Petitioner(s)Printed Adtlress
Sally A.Wagner 2328 Ritner Highway
( Carlisie,PA 17015
{717)249-7830
(
The Petitioner{s}above-named swear(s)or affirm{s}!he statements in tbe foregoing Petition are true and eorrect to the best of the knowledge and
beiief¢f Petitianer(s)and khat,as Personal Represen#ative(s)of e Decetlent„�Pettitior�er{ }w�ii weti end truiy administer the estate according to Iaw.
Swom to or affirmetl a subscribe before �)/�'� � T� �" ���� _ Date �—�5�— /�
me i -�-�-H,�.dayof .�� �� � �� ,�_t �I `� _ oaie
gy: � � ? �t` f i tlt�� l6 o�e
FortneReg;ster _ p9�g
C'7
7o fhe R ister of�tts: t'- -
BOND Requlre8? � YES �O � "' -- -
Pisase anter my a arance b En .signature below:
FEES:� - - - �
Letters..... ... . . $��t�=\ Attorney 5ignature I � �. �
. .... _. ...
( �� }ShortGeRificate{s}. ._ :�C-`.C.`'��� � -
t 7Renunciation(s).............. ` ,
� )CodlCil(5)......_.............._ . .�
( }A�davit(s?.......-............. ' . 8radley L Griffie� . .
Bond......_.........._......_................. SupremeCourt - � . _. .
Commission......_._.............._....... IDNumber. 34849 ,,.��- ..�. . , . . �.
kher
_— — —�--
��1,�1- T'�.1� � �(1 1�. �'d1i
- 5 Firm Name: 6riffie 8 Associates,P.C.
-��1'� ti ' �'��t�' � ' Address: 200 North Nenover Streefl
Cerlisle,PA 17013
� ' �� Phone: 717-243-5551
RutomationFee.._._._..._......._.._ --�
+�i, C` F3X:
JCSFee........................................ ����.��3,,��.,��(_.
TOTAL................._...................... $��-� , „ � 1.�� E-mail: bgriffie�gA�elaw.com
DECREE OP THE REGIBTER
Date of Death: 09h0/2013
Social SecuriTy Ncr
Estate af Grav D.Waq� File No: 21
a/Wa:
� � ,
AND NOW, ��� �� �� � --� F���r��1!rf�W' , _� � �'� , in consideration of the foregoing Petition,
Satisfactory prpOf having been pres&nted before me.1T IS DECREED that Lettars Qf AdmintstraEian
are hereby granted to Saily A.Wagner
in the above estate and{if applicable)thai the instrument(s)dated
de8cdbed in the Pe{g�on be admitted to prabate and filed of recard as�h tast Wtli(and Gadicil(s)}of D nt
°'��ik' (i, �il � ` ��� 1i .� 1ac�.< <���, —
Bgister of Wille � .i(� �t'�, i { .j! 1�. �{Ji l �
Fwm RMY-02 rev imrxro*o ewY+�nt ie)2a��r«n,soeware«,y Ine�.aekr�r cr«, ,mc �� + (a e 2 or z
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RENUNCIATION
REGISTER OF WI�LS OF CUMBERLAND COUNTY, PENIJSY�VANIA
c:.: .
Estate of Gray D. Wagner , peceased
� —
�• Denise A.Wagner in my capacitytrela#ionship�s -
�
wife af the above Decedent, hereby renounce the right to
administer the Estate of the Qecedent a�d respectfully request that�etters be issued to
Sally A.Wagner
,� r
�'- 1�~f,.3 ��u.� , G��-�"�'��.�`...,
�
(OaYe) (SignaNre) v
Denise A.Wagner
114 Green Hiii Road
(Streef Aqtlrass)
Newviile, PA 172A1
lGry,srere,Zp)
Execufed in Regfster's Office Executed ouf of Regisfer`s t�fffce
Sworn to ar affirmed and subscribed Before the undersigned personally appeared the
before me this ��y party executing this renunciation and certified
that he or she executed the ren � Eion fpr the
of , Purposes stated within on ttu.,��aY
of-�`4�, `3� .
�.�1tad..�� s
Deputy for Register qf Wilis Notary Public��-��
My Commission Expires
{Si�n�wa arrtl aesi of Notaryor oRkrcotFaSei WaRt led to
atlnirzpxtaroaths_ StrowqafeotexP'����NOt9tyscomrtvssion.;
NOTARIAL SEAL
fiCt81N J.SASSETT,Nota{y Pubiic
CARI.ISLE BOROUGH,GUMBERLANd C0.
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