HomeMy WebLinkAbout10-29-13 PETTTION FOR GRANT OF LETTERS
REGISTER OF WII.LS OF CUMBERLAND COUNTY,PENNSYLVANIt1
Petitionar(s)named below,who is/are 18 years of age or older,apply(ies)for Latters as specified below,and in
suppoR thereof aver(s)the following and respectfully request(s)the gant of Letters in the appropriate form:
Decedent'aInformation +�I'��' II�r'
Nsme: THEODORE A. GRDJAN File No: J
�a. (Asaigned by Regiater)
a/Wa:
�a: Social Security No:
Date of Death: 8/6/2013 Age at death: 69
Decedent was domiciled at death in Cumberland County, Pennsylvenia (State)with his/her last
principal residence at 613 Hummel Ave lemoyne 17043 Lemoyne Cumberland
St�eet�dd�w,Pat 011la�nd 7ip Code Ciry,Towmhip or Bomu� Comry
Decedent died at Harrisburg Hospital 17101 Harrisburg Dauphin PA
Street�ddrae,Pwt Ol�ce�od Zip Code Cily,Towmhip or Borough Comty Sbh
Estimetc of vdue of decedenPs property az deeth:
/jdomldkdln Prnnsylvanlu................................All personal property s — 12.000.00
Ijrrof ebmlcAed in PtnneyJvanta.............................Persond propelty in Pennsylvanie $
Ijnot domidled in PtnnryNanla.............................Personal property in CouMy.............. $ —
valutofrealmatetnpennsylvanW................................................ S 5.000.00
rarn[.EsTrn�n�n vntttE.... s — 17.000.00
�esrm��r�yi�a��e sm,ar�a�: 613 Hummel Ave Lemoyne 17043 Lemoyne Cumbedand
�dn«h�dmnonw:h�aa 1���+.+�,y./ &rut WdrtsM Pat Oface�nd 1lp Code Ciy,Tmm�hip or Boroo[h Cuunt3'
c4P
■ A. Petitlon[or Probate and Grant of Lettere Testamentarv
Petirioner(s)ava(s)helsheJtl�ey is/are the Executor(s)nemed in the last Will of the Decedent,detM and Codicil(s)
��� Dec�ienPs wife,�dy G GMiT,n died on A�g ��at 8, 007 ���!A �r 'an hac_renounced in favor
of Shawn Grdjan �
sf�a rdev.nt drcom.mea(cg..aw�dadon,daM afautraa�eee� C �.-; � m
O �Ti n
Exapt es foliows:after the execution of the inaWment(s)oBerod for probete Decedent did not metry,wes�&Vbrced,wa�t a p�ime pending
divora proceeding whaein ihe gounds for divorce had ban established as defi�d in 23 Pe.C.S.$3323 ao�di�4gM have�a chitM�or
edopted:md Decedent was neither the victim of a killing nor ever�judiceled en incapecitned puson. � y t" N �..;� d'n
� "� � ;u ca
❑ NO EXCEPTIONS ❑EXCEPTIONS � � �,�.—��
c' �> o � -+s -n
kSI B. Petldon tor Grsnt o[Letters o[Administration pfeppiic■b�e) h �� - -� - �"
aca.,d.6.n.,d.b.n.c.t.a.,penden�'s�'lt�lusanee a�tia,�rmli minorimre
m
If Administration,c.ta or db.n.c.ta,enter date uf Will in Section A rbove and q�oDl!!!IL1!OL�E�tfn o
� �
Faccept es follows: Decedent was not a perly to a pending divorce praceeding wherein the�ounds for divorce hed ban wtablished as defined
in 23 Pa C.S.§3323(�end wes neither ihe victim of a killing nor evv adjudiceted an incepacitetW person.
� NO EXCEPTIONS O EXCEPTIONS
Petitioner(s),after a proper search hes/have ascertained that Decedent left no Will end was survived by the following spouse(if eny)and heirs(attach
addJnonat sheeu, If necesaary):
Neme RNationship Addras
2211 QUAIL HOLLOW DRIVE
JEFFREY A. GRDJAN SON MECHANICSB R PA 17055
613 HUMMEL AVENUE
SHAWN GRDJAN SON LEMOYNE PA 17043
Formew-oa rev.mni�oii Page 1 of 2 �
� �
Oath of Personal Representative �uM�r
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Neme Petitlonel(s)Printed Address
613 HUMMEL AVENUE
HAWN GRDJAN LEM YNE PA 17043
The Petiriona(s)ebovo-nm�ed sweer(s)or aft'um(s)the statemenis in Ne finegoing Petition ere true end cortect w ihe best of Me knowledge end belief
of Petitioar(s)and thet,es Pe�sonal Representetive(s)of the Deceden;the Petitioner(s)wiil well end tnily administer the estate eccording to lew.
Swom to or affirmed aud subscribed before ��.,...�.� A�,(,a,,., nue 10/29/2013
me ' 2 - day o . �ber 2013 p�
By: Ul.dWl/ p �'e �y_R_
..,
For tlie Reglster � ��,e m� �?
rn S � --1 S!> �
."L) y„ 1— N 1-r� CT'I
BOND Required: ❑ YES � NO To the RegLvtn oj IViIIs: r� z m cD �� c*
FEES: Please enter my appearance by�a�e�e bebw: p c�
tJtj `^' ^ ^ __ -+,
Letters.... ....... .. ... . .. . ... $ � Attorney Sigiatwe: +:� �� -:, � r.`.- .._
( rj )Short Certificates(s) . . .... 02 �(��— �'' ;zc rn r,_ i n
( )Renunciation(s)... .... ... �i��7.S�n ��� s u� °T
( )Codicil(s) .. ... ... ...... �..'
( )Affidavit(s). ...... .... ..
Bond . .... .. ..... .. ....... .... PrietedNsme: CHARLESE PETRIE
Commission .... ..... ... .... .... 9upreme Court
�� ID Number: Z9�29
L ��5�� FirmName: CHARLES E PETRIE LAW OFFICES
pddregs: 3528 BRISBAN STREET
"f,nil>'_ P��ftjtt� .. .... ... �
•••••• ••• HARRISBURG PA 17111
..... .... Phone: L171581-1939
F�: (717) 561-4121
AuWmation Fa ..... ... ... . ... . . � Em�;�; PetrieLaw(&aol com
JCS Fee ................ .... ... —������,�—
TOTAL . .. .. ..... ...... ... . ..S �`�'�
DECREE OF THE REGISTER
Estate of THEODORE A. GRDJAN File No: ����� I��
a/k/a:
AND NOW, October �J� , 2013 ,in consideration of the foregoing Petition,
satisfactory proof having bcen presented before me,IT IS DECREED that Let[ers __�
are hereby granted to SHAWN GRDJAN
in[he above estate and(if applicable)that
the inshument(s)dated N/A
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
L � �. 'lJ
egister of Wills ( yyJY CY C� �
FormRW-07 .�.iaiuzoir `'�" age 2 2
T_ .
�
RENUNCIATION �a°, `' ,.�',, m
�
��� � � °
REGISTER OF WILLS � U; :`;; � +� a
CUMBERLAND COUNTY, PENNSYLVANIA ° c� �� � o c,
o �c' _;. � `�' -m
. � � :� �
1=+ r�_ rn
V v� Q
�7
Estate of THEODORE A. GRDJAN , Deceased
I, JEFFREY A. GRDJAN , in my capacity/relationship as
(Print NameJ
so�, of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
SHAWN GRDJAN ,
x �10I�2013 �
(D�+reJ (3+gnarure)
2211 QUAIL HOLLOW DRIVE
(S�ree[AddressJ
flAECHANICSBURG PA 17055
(Ciry,Smre,Ztp)
Executed in Rtgister's O�ce Executed out of Regirter's �ce
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 ttu��Z� -•� day Q�-
of d�a� ,
Deputy for Register of Wills ary Pub icl
My Commission Expires: oa��/,,o,7
(Si�enue and Seel of Notery or otlxr officid quelified to
edminister oeths.Show dete of eapiretion of Notery's Commission.)
COMMONWEALTH OF PENNSYLVANtA
NotatlN Seal
Richard 5.Conklin ID,NoYary Publk
Form RW-06 rev. I0.13.06 Lemoyne Boro,Q�mberlarM touMY
1 Commissbn b�lr�Feb.20,2017
MEM9ER PEMNSIL4MlIA ASSOCLRfON OF NOTAR[ES