HomeMy WebLinkAbout10-31-13 PETTT/�I�O�N FOR GRANT C1F LETTERS
REGISTER dF WILLS QF l�,)�Qrl[� COUNTY,PENNSYLVANiA
Petitioner(s} named below, who islsre 18 yeazs of age ar older, appty(ies) for Letters as specified betow, and in
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the appropriate form:
Decedent's Inforwation r�E {
Name: �.�.•� ��F� �ti,c, File No:o�t "I3 'I {��
a/k/a: (Assigned by Register)
alkla:
a/k1a: Soctel Security Na: ! "') (�
Date of Death: ,,,,r, ,.s..� 2 n �_a�n�; Age at death: uru,�_
Decedettt was 8omfeiled at deadt in `f tJ.- t� County, ��} {Srare)with hi�her last
princigal residence ai ��� t�p p,.-.C.`� !s(_,,�.�,/ �'.r.�,,,�� i�� � �-'1 Ci11 �` �,J�..�u,.d
Street�ddrae,Poet Office and Zip Code Cl�p or Bpro g�i- County
Decedent died at `��n__;f p,�,. y 't7i r,,,� [' ri��� 1 �U✓k !J A-
Straq addren,Puet ce aad Ztp Cade Clty,To e�fiip or Horaegh Coanry te
Estimate of value of dccedenCS property at death:
7jdomkUed in Pennsylvania............................ AII personel property $ (.G?.�Cf��
tjwot dasricRed tn Parnsytvaak. ....................... Persanai property in Pennsylvsn'sa $
(jnot daericIIed in Pennsytvania. ....................... Personal property in County S'
Value of rea!estatt fn Pennsylrania............................. ........ ....... ............. $
TOTAL ESTtMATED YALUE. ... S
Reat estatc in Penosyiverria situated at:�'.�t{ �2¢.a°�a(qf �'2��;1 G tJ-j�y�'�!, ��"i 2tL'I t�W�a4�1 yi,d
(Atrach uddffional rheets,ifneceasory.J S[reel addrcu,Port 17ilice�nd Zip Code City,Town�hip or Borough County
� A. PetlNon for Prnbate and Grant af Letters Testamentarv
Fetitioner(s}avat{s}hdshdYhey is/sre t4se Executor(s}named in the tast Wi2t of the Decedark dated and Codioil(s)
therato dated �
Statt rdeva�rt tircumttancet Iwg•nnunetattnn,dcWk af tsttatar,Na?
Exceptasfollows: aftertheexecutionofthoinshumeet(s}offerodforprobareDaoedentdidn6tmerry,wasnotdivorced,wasnotapantytoapending
divorce proceeding wherein the grounds for divorce had been esteblished es defiined in 23 Pa.C.S.§3323(g),and did not hava e child bom or
adopted;and Dscaient wes neither the victim of a killing nor eva adjudicated an inca}�acitated person.
❑xa rsxcEe�rtoxs p�xc�rrrtaxs
[y�B. Petltion for Grant of Letters of Administration ([fapplicable)
c.t.a.,d.b.n.,d.b.rt.c.t.a.,peadente tite,durursieabsentia,duranie minoritate
If Administrallon,c.t.a or db.n.c.ta.,enter date of Wil1 in SecUon A above and complete liat of heirs.
Exoept as follows: Decedent was not a party to e pending divorce proceeding wherein tha grounds for divoree had been estabtiehed as dnfined
in 23 Pa.CS.§3323{g)and was neither the victim of a kilting nar evcr adjudicattd an incapaeitattd p�son.
I QlYO EXCEPCIONS [�EXCEPTIOIYS
�� Petitionar(s),afteraproperstarchhas/haveascertainedthatDecedentleftnoWillandwassurvivedbythefaltowingspouse(ifany)andheirs(atruch
additio+�at rheets,rf neeessary):
i
� � Name Relationshi Addroas
1"i a!�
Fo.mnw-az re�.rairnorr Page 1 of2 �
,
Oath of Personal Representative orcre��u�o�iy
COMMpNWEALTHOFPENNSYLVANIA }
� SS:
CQUNT'Y OF [' Ca.�yi�ip�/r� .. �_, } -
Petitioner(s)Printed Name Petitioner s)Printed Address
1
The Petitioner{s)above-named swear{s}or affirm(s}the statemeots in the foregoing Petition are We and correct to Ne bes!of the knowtedge and belief
af Feritionar(s)and that,as Persenal R�resrntative{s}of tho Decedent,the Petitionar(s}wiil well and tmly administer tha estate according ta Isw.
Sworn to�ed and snb'cribed fo e «'�..t,(I,. aC. �, ,,,, Date L d -�j.�z
y_�
me 's ay 7 Dam
By: _ Dace
For tke Regiater �DBte
BONU Required:QYES �NO To tXe Register of N'iits:
FEES: Please enter my appearance by my sigesture below:
Letters. . .... .......... . .. ... S=I�� Atiomey Signature: �
{ �j )Short Certifioete{s)... ...
( � )Renunciation(s).. . . ... .. p
( ) Codicil(s). . . .. .. . . . . . .
( }Affdavit(s)....... .....
Bond.. . . . . . . . . . . . . . . .. . . . . . . Printed Nsme:
Commisx�ipa . . . . . . . . . . . . . .. . . Supreme Cnurt
Other�t .. . ..... _� IA Number:
�
�nn. �"�. . . �� Firm Name:
. . . .. . . . Address:
. . . . . . Phone:
Autamation Fee. .. ............ Fax:
7CS Fee. . ... . .. . . . . .. . . . . ... -,�i� Emaii:.
TOTAL. . . . . . . . . . . . . . . . . . . . . $
DECI2EE OF THE REGISTER
Estate of fC.X�lI"iW� �,JQ}"y File No: e�� �°�3" � �r'J�.�i
alkta: T—
AND NOW,��� 3� , 2�013 , in consideration of the fore ro'rng Pekifion,
satisfactory praof having been presented befora ma,IT ZS IiECItEED t6at Letters�p/y�15 1.s _
are hereby granted fo f�"1{C}")GI�C. ������.�,�.
m t e above e�-tate�and(i applicable)that
the instrument(sj dated w��l°ti
described in the Petition be admittad to probate and filed of record as the last Will(and Cadicil s})of Decedent.
RegisterofWillsj]o,� n� ` ,�,�^_
W�i rJrr � jt.�,,Yli«r ri
Form RW-02 re¢ 10/11/1�/1 Page 2 of 2
RENUNCIATION
REGISTER OF WILLS
L� �1>`+ g�R1Al`11�OUNTY, PENNSYLVANIA
Estate of �1+T7?1 G 11 k �Y A AI' ,Deceased
I�— M � � Z- y' N �y� � in my capacity/relationship as
(PrrnlNameJ �
r"���"� � k' of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
� i < N ��.� G L 1Zy�tJ
!0/3�� /3 `"�,,1.�,2e, f.,, �a„--
(Dote) . (SigrsanveJ .
'a.9 � t.p � ow a2
� (SdeetAddressJ �
eraM p H �n. �. 'j�, , tia , ,
fc;y,sm�,ral
Executed in Register's Office Executed out oj'Register's O�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 this 30 day
of O�T"o�3t-� , 2u t 3
� ��'
Deputy for Register of Wills ary Public
My Commission Expires:dl/za� 7
($ignature and Seal of Notery or other officiel qualified to
�administeronths. ShowdateofexpirationofNotary'sCommissionJ
� P9INMVANIA
Nohrid Sael
RIdwM 5.Caddn iII.NovrY�k
Fornt RW-06 rev. 10.l3.06 ������
Gonn�lat B FaG.M 2017
MEMBER.7FNNSYLV�NU 7NN Of MOf/Al6
RENUNCIATION
REGISTER OF WILLS
C��.xAr�eL�,�D COUNTY, PENNSYLVANIA
Estate of /-�1"iP 1 C�' cC� �(.?�/5t i1/ ,Deceased
I, �O yC� M• /C y/9'/1/ , in my capacity/relationship as
(Psint NameJ �
�D Tff E/Q of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
/yi c� �L L� �, �y�N
//) ��D�a0/3 �- �
�De�e� (S; ioe
�p �l��vo� ?>.e�ve .
� � (S�reetAddressJ �
��9�P .%�i�G �.9 /70//
(Ciry,Smte,Zip)
Executed in Register's Office Executed out of Register's O�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 this 3 v day
of n�rogf2 , .ZOl3
�
1�"---_�---r—
Deputy for Register of Wills ary Public
My Commission Expires: D2/�/i 7
(Signatwe end Seal of Notary or other o�cial qualified to
�administeroetlu. ShowdateofexpirationofNo sCommission.)
INYL717 OF P�NnYLV
�FA�.i,Opn�I�n�III,Ho1sY P�I� .
10fa Qwnb��'
FormRW-06 rev. l0./3.06 , , pf