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HomeMy WebLinkAbout11-05-13 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA Fetitioner(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'�Information �-�"/3"���� �, ,_ Name: Robert R. Fellman File No: — - -- a/k/a; (Assigned 6y egister) a/k/a: �/�''� �a; Social Security No: Date of Death: 10/11/2013 _. Age at death: 57 Decedent was domiciled at death in Cumberland County, PA (State)with his/her last principal residence at 212 B N. West Str+eet 17013 Cariisle BorouQh Cumberland Stnet address,Post O!'fice and tip Code City,To�rns6ip or Borou�6 Coanty Decedent died at 212 B N.West Street 17013 Carlisle Borou4h Cumberland PA Street addnaa,Post Otficc and Zip Code City,Tow�nship or Boroug6 Connty Shte Estimate of valu�of decedent's property at death: Ijdomldltd tn Ptn�sylvania................................Ail person�l property $ 1,000.00 If»�do�inidled ln Pe�rsylvan�a.............................Personal property in Pennsylvania $ If not domidled�n Pennsytvanla.............................Personal property in County $ Value ojr�al cstate ln Pennsylvania.............................................................. a TOTAL ESTIMATED VALUE.... � 1,000.00 � Re�l.estate in Ptnnsylvania situated at: :-�_, (Attach odrfitiawl sheets.if necessary.) Strcet addresa,Poat Office and Zip Code City,Towos�or Boron�6 � � � County � � .�.�'. t� � O A. Petition for„gro, bate snd Grant of Letters Testamentarv_ '�' -rr� � �;,�, �v Potitiaier(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated m � �' "`d �d Codicil(s) ther+eto dated '�" :� � u� �� ;� � �c c� � sa�e�evani circnmsaacea(�g a,�nctado�,death ojeacecutor,eta) Q �j � � '"'�`Y '� �"'? � '"r"i � :� '�'� Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was nd,Rli was�t �ending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa C.S.§3323(g);'an not have a child °� or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. �, � '� .'�.� 0 NQ EXCEPTIONS O EXCEPTIONS _ � B. Petition for Grant of Letters of Administration(�f appticable) c.t.a.,d.b.n.,d.b.n.c.t.a.,peridente lite,durante absentia,durmite minoritate If Administration,��a or db.n.��r�,enter date of Will in Section A above and comulete 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. , 0 NO EXCEPTIONS �EXCEPTIONS �use of death�endin investiqation Petitioner(s),after a pmper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(anach additional sheets,rf rreeessary): Name Relationship Address 9154 Homestead Road Robert Ra mond Fellman father Huntin don PA 16652 Martha Fellman a/k!a Martha L. Fellman mother deceased 5/11/2012 �__ Forn,Rw-oa ,�.ro��rno!� Page 1 of 2 Oath of Personal Representative Official Use Only m COMMONWEALTH OF PENNSYLVANIA } w 7 Cl) } SS: M C - _j ct Cn COUNTY OF CUMBERLAND } = r- J.-N, 1-1 Petitioner(s)Printed Name Petitioner(s)Printed AMress T, �' •',.l 9154 Homestead Road C-, c Robert Raymond Fellman Huntin don C: The Petition*)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 titioner(s '11 11 truly administer the estate according to law. Sworn o^ ^ ''a VA Wbbs�fibb fore Date me flag `0 2013 D� 13 y: — _ Date Retei 4 ZZ, Date BON) Req`utwed: d'-�ES ® NO To the Register of If 711s: FEES: Please enter my appearance by my signature below: Letters....................... $ 20.00 Attorney Signature: (6 )Short Certificates(s) ...... 30.00 ( )Renunciation(s).......... — ( )Codicil(s) .............. — ( )Affidavit(s)............. Bond ......................... Printed Name: C.hrista M. Alin Commission .................... Supreme Court Other ITR ...,..... 15.00 ID Number: 207949 Inventory ......... 15.00 Firm Name: Jan L. Brown 8 Associates Address: 845 Sir Thomas Court ......••• Suite 12 ••••••••• Harrisburg PA 17109 -••••••••• Phone: 717-541-5550 ......... Fax: 717-541-9223 Automation Fee ................. 5.00 Email: christa@ianbrownlaw.com JCS Fee ....................... 23.50 TOTAL......................$ 108.50 --- DECREE OF THE REGISTER Estate of Robert R. Fellman File No: - a/k/a: AND NOW, __, 2013 ,in consideration of the foreang Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters , of Administration - are hereby granted to Robert Raymond Fellman in the above estate-and if applicable)that the instrument(s)dated -- described in the Petition be admitted to probate and filed of record as the last Will(and Codicil s)J©f Decedent. Register . For,RW-02 rev.10/11/2011 of Will Page 2 of 2 REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA WAIVER OF FIDUCIARY BOND Estate of Robert R. Fellman No. �/' �3"�� /� also known as , Deceased The undersigned,who is/are at least eighteen(18)years of age, being alVsole residuary Legatee(s) or next of kin of the above Decedent, hereby waive(s)the posting of any Bond by Robert Raymond Fellman . who is the Petitioner for grant of Letters of Administration(d.b.n.c.t.a.). Witness my/our hand(s)this � / day of `� 2013 . . � �s�9��,�� 9154 Homestead Road Huntingdon PA 16652 ' (nddress) (Signature) r•�,.; �'_' � � Y""`1 � (Address� � t"�"1 C� � � � � � t� Swom to or affirmed and subscribed � � � � ':� m � ���� r � r� � ;-� �, before me this day of � �'; � c,� � ° � � �' �" � � —�• � � �� � � �-, � NOTARIAL SEAL � � rv �-" � CHRISTA M APLIN ' ...� r""' d Notary Public �, � � -h t'y PUb11C LOYVER PAXTON TWP.,DAUPHIN COUNTY My Commission Expires: My Commission Expires Nov 16,2013 (Si�nahme and seal of Notary or other NOTE: Waivers of Bond executed outside the Office of Register of Wills are ot�cial�,allfied m administe�oaths.Show requi�ed in some counties to be notarized. dabe of expi��Notary's oommission.) RW 5