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HomeMy WebLinkAbout11-15-13 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)thi following and respectfully requests the grant of Letters in the appropriate form: Zohreh Shams Boromand Decedent's Information Name: Ghassem Mir-Eshghi File No: 21 -13 —P910 a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 03/1012013 Age at Death: 75 Decedent was domiciled at death in Cumerland County, PA (State)with his/her last principal residence at 1614 Fox Hollow Road,Mechanicsburg 17055 Lower Allen Township Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Springe GERMANY Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania........................ All personal property $ a p eT 0 20�689 8� r If not domiciled in Pennsylvania................. Personal property in Pennsylvania $ If not domiciled in Pennsylvania................. Personal property in County $ Value of real estate in Pennsylvania........... $ don e,o a 'G _ TOTAL ESTIMATED VALUE$ 220,000.00 Real estate in Pennsylvania situated at 1614 Fox Hollow Road,Mechanicsburg,PA 17055 Lower Allen Township Cumberland (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 C, :;0 m Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated C> ' ac*Codicils) thereto dated "t7 (State relevant circumstances,e.g.,renunciation,death of executor,etc.) Except as follows:after the execution of the instrument(s)offered for probate.Decedent did not marry,was not divorced,was rtot a aVo a pm Mg -n _'rl divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did not have'gd bbe n or -rt adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. r NO EXCEPTIONS❑ EXCEPTIONS w M L S. Petition for Grant of Letters of Administration (If applicable) Q, c.t.a.; .n.;dAn.c.t.a.;pe ente rte;durante absentia; urante rronuntate If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs. Except as follows:Decedent was not a party to 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. LX NO EXCEPTIONS Q EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach additional sheets,if necessary): Name Relationship Address 7 I See attached schedule i f 1 L _ __J I-orm RW-02 rev.10-11-2011 Copyri,,ht(c)2011 form software only The Lackner Group,Inc. Page 1 of'.-, Oath of Personal Representative orr��u�o��Y COMMONWEALTH OF PENNSYLVANIA } } SS: � COUNTY OF Ct11Yib@I'1111d } Petitioner(s)Printed Name Petitioner(s)Printed Address Zohreh Shams Boromand 1614 Fox Hoilow Road Mechanicsburg,PA 17055 The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing.Petition are tr e and correct to the best of the knowledge and belief of Petitioner(s)and that,as Personal Representative(s)of the Decedent,Petitioner(s)will w I and truly administer the estate according to law. Sworn to or ffirmed and subscribed before • • �ate �( < <y / (3 me this� � day of � o�- °ete , , gy. �ace For the Register Dete BOND Required? � Yes � No To the Register of Wills: FEES Please enter my appearance by my signature below: 0 . O �' , Letters............................................ $ Attorney Sig : _'�� w � t'�"1 � ,'. � C"� c �}- �snort cert�cate�s>.......... ;,� � � (_�)Renunciation(s)............... � '� " �} ( )Codicil(s)......................... � �-- ""� v E--�► �rr rn t )Affidav+t(s) �-; Printed Name: Gerald J Brin�`eF � � � � t�r Bond..... ...... ................... .... .. Supreme Court ��T � � � �. � C7 �.j '"!C7 "r� Commissic�n................................... • ID Number: 09655 _ ��_: �..n Other c� � � t t"�'� � � -� � Firm Name: Brinser,Wa rier 8�mmerman t""' . , . Address: 6 E.Main S � -r� P.O.Box 323 Palmyra,PA 17078 _. _. , .% Phone: 717/838-6348 Automation Fee............................. ��� Fax: �171838-6912 JCS Fee......................................... �.3. TOTAL........................................... $ � E-mail: gjbrin�aoLcom DECREE OF THE REGISTER Date of Death: 03170/Zp13 Social Security No: Estate of Ghassem Mir-Eshghi File No: 21-13 — aa_ a/k/a: AND NOW, �'j� , ZQ� ,in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters of Administration are hereby granted to Zohreh Shams Boromand 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 I t Will(and C ' il(s))of Decedent. f Register of Wills Copyright(c)2011 form software onty The Lackner Group,Inc. P��;�� , !/�./ PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA "retitioner(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)th� following and respectfully requests the grant of Letters in the appropriate form: Zohreh Shams Boromand Decedent's Information Name: Ghassem Mir-Eshghi File No: 21 -13 ^�,��,�y�; a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: l�� -�(�, - (��{�'�2� Date of Death: 03/10/2013 Age at Death: 75 Decedent was domiciled at death in Cumerland County, pA (State) with his/her last principal residence at 1614 Fox Hollow Road,Mechanicsburg 17055 Lower Allen Township Cumberland Street address,Post Office and Zip Code City,Township or Borough County �ecedent died at Springe GERMANY Street address,Post Office and Zip Code City,Township or Borough County S;ate Estimate of value of decedent's property at death: If domiciled in Pennsylvania........................ All personal property $ �U g3�� 24�� If not domiciled in Pennsylvania................. Personal property in Pennsylvania $ � � !f not domiciled in Pennsylvania................. Personal property in County � Value of real estate in Pennsylvania........... � �v� G'c v '��' TOTAL ESTIMATED VALUE$ 220,000.00 Reai estate in Pennsylvania situated at 1614 Fox Hollow RoBd,Mechanicsburg,PA 17055 Lowe�All�n`t"OwClship Cumberland !Httach additional sheets,if necessary.) StrE2t address,Pest Office and Zip Code City,Township cr E3oro��gh County �^'_. �A. Petition for Probate and Grant of Letters Testamentary n �; � � Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of±he�ecedent,dated � 4 �a�Codicii�,sj thereto dated � " '"`y ,� � � �?� ��-- ,-� :��7 �. �a.�_ � �..,,� +',�� � l.•d' �""�' F"�'"� �.._4`�1 �.._._. `_"' 4/ i .p^•.�.7 �� (State re!°vant circumstance�.e.g.,�z��unc;dt�On CIEa(!)Of(?XBC(l�or,etc.) -�� � �;� r«�., �`� � � y�w �xcep:as follows:after the execution of the instrument(s)offered for prob�te Decedei��dia nc�t mar ,was not divorced,was[i�!a�rty�o a p�trg -;�g "'�`9 ;ivorce proceeding wherein the grounds for divorce had been estaCl�shed=a�detined�n 23�a G.S.�3323(g),and did not hav�a d born or� --� aoop?ed,and Decedent was neither the victim of a ki,ling nor ever ad�uuicated a�incapac�tated person. "�'� -•�- �,.4� !,�....... .._•�..� �� � NQ EXCEPTIONS� EXCEPTIONS . =�� � � �"+"1 �� �. Petition for Grant of Letters of Administration (If applicable? �`L' � � `� � c.:.a.;d.b.n.;r�.b.n.c.t.a.;pedente lite;durante absentia;durante minu:if:?iE If Administration,c.t.a or d.6.n.c.t.a.,enter date of Will in Section A above and complete list of heirs. Except as follows:Decedent was not a party to 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. QX NO EXCEPTIONS� EXCEPTIONS Pet�tioner(s),after a proper search has/have ascertained that Decedent left no Will an�!was survived by the following spouse(if any)and heirs(attach additional sheets,if necessary): Address ��' � �ame � Relaiions�ip � �..:_.._ � . ! � � , 1 ` � See ��tached sched�al� � � � ( = i � � � : Y ��.���.�''.�����..��.� ' �� ...� .. � a=���' .,�;:r�'vV-+OZ rev. 10-11-2011 Copyri;;h;;cl 2G�,'f}rir�sofhNare only The�.�ck�er C�roup,Inc �ac;e 1 c����''� s Q 5 �,! PETITION FOR GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Decedent: Ghassem Mir-Eshghi File No: 21 -13 a/k/a: Social Security Number: Date of Death: 03110/2013 Age at Death: 75.00 Name Relationship Address Zohreh Shams Boromand Spouse 1614 Fox Hollow Road Mechanicsburg, PA 17055 Parham Mireshghi Son 1614 Fox Hollow Road Mechanicsburg, PA 17055 Babak Mir-Eschghi Son Bachstelzenweg 13 30952 Ronnenberg -Germany Ciamak Mir-Eschghi Son Klecker Weg 18a 21244 Buchholz-Germany Kaveh Mir-Eshghi Son Apadana Ave. 57 Tehran 15546 -Iran Nima Mir Eshghi Son Apadana Ave.57 Terhan 15546-Iran Sterbeurkunde Standesamt Springe Registernummer S 84/2013 Verstorbener Familienname Mir-Eshghi Geburtsname Vorname(n) Ghassem Zeitpunkt des Todes 10.03.2013, 17:45 Uhr Sterbeort Springe r Letzter Wohnsitz Springe Geburtstag 22.05.1937 Geburtsort Teheran, Iran. Familienstand verheiratet Ehegatte Familienname Shams Boromand Geburtsname Vorname(n) Zohreh °V ort,Tag Springe, .14.03.2013 t .. gel) C Urkundsperson ( a las-Bohne Standesbeamtin) E� C) M co -13 ::77-1 G'> p � Ca c n2: M C-n C7 �-y � "C7 "t'1 ''•'t C7 t7 Z-3 �E Cj = C7 �L7 1- # rY1 > tV -ty s� Certificate of Death Civil Registry Office Springe Registry number S84/2013 Deceased Person Last name Mir-Eshgi Name at birth [blank] First name(s) Ghassem Time of death March 10, 2013, 5:45 p.m. Place of death Springe Last place of residence Springe Birthday, May 22, 1937 Place of birth Tehran, Iran Marital status married Spouse Last name Shams Boromand Name at birth [blank] First name(s) Zohreh [Seal:] City,day Springe, March 14, 2013 Civil Registry Office Springe Person certifying the document [signature] Region Hannover (Gallas-Bohne, Registrar) c-� w M M ::Q >. tM R t M u� C) CD C: r� M C> CERTIFICATION I,the undersigned, hereby certify that the foregoing is a true and correct translation from German to English of the Death Certificate for the late Ghassem Mir-Eshghi. I further certify that I am currently an Assistant Professor of German at Lebanon Valley College. Joerg WiAdl, Ab Lebanon Valley College 101 North College Avenue Annville, PA 17003 Sworn to and subscribed to before me, this %3 day of November, 2013. Notary Public GAmmoNWEAL TH OF PENNSYLVANIA NOTARIAL SEAL CHARLENE R.KREIDER,Notary Public Annville Twp.,Lebanon County -city C�ommlD F1 M rn c-� c o � � o � <:> m cn c:) ►-� r" M rl � o� RENUNCIATION a mM q 2 REGISTER OF WILLS ' a rC-> c riA w»bt-hlanl COUNTY, PENNSYLVANIA Q:) s C) 77 ( ,n = Estate of (�h A I,r — Es k3 )( Deceased h_ �rxrha hr Mi ros h t , in my capacity/relationship as (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to oc obed, s-t 1o13 Pair ha l 5 H (Date) (Signature) 16( 1 Fo,, 1400&U) RockJ- (StreetAddress) DA (City,State.Zip) Executed in Register's Office Executed out of Register's Office 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 I the purpos stated within on this day e r o 13 Deputy for Register of Wills Notary Public My Commission Expires: Hilre eo7� '7o/6 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Common Wealth of PA NOTARIAL SEAL Parvin M.Mehrtash,Notary Public Upper Allen Two.,Cumberland County Form RW-06 rev. 10.13.06 My Commission Expires March 07,2010 RECORDED OFFICE OF REGISTER OF 'WILLS 101.3 NOU 15 PM l 27 RENUNCIATION CLERK OF ORPHANS"' COURT REGISTER OF WIPVM B E,R LA N D CO., PA Cumberland COUNTY,PENNSYLVANIA Estate of Ghassem Mir-Eshghi , Deceased I, Ciamak Mir-Eschghi , in my capacity/relationship as ` (Print Name) Son of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Zohreh Shams Boromand October, 8th, 2013 l (Date) (Signature) Klecker Weg 18a (Street Address) 21244 Buchholz- Germany (City,State,Zip) Reg.No. 2032/2013 WR Executed in Register's Office Executed out of Register's Office 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 �G p oses stated within on this g t-h day 2013 Q Deputy for Register of Wills any ublic Dr. Wolfgang Ros i ng o mmission Expires: lifetime Z/ d� c (Si ure and Seal of Notary or other official qualified to inister oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 1033.06 Apostille (Convention de La Haye du 5 octobre 1961) 1.Land: Bundesrepublik Deutschland Diese offentliche Urkunde 2.ist unterschrieben von Dr. Wolfgang R6sing 3.in der Eigenschaft als Notar 4.sie ist versehen mit dem Siegel/Stempel des 1 ? Notars Dr. Wolfgang Rbsing Bestatigt 5.in Hamburg 6. am 9. Oktober 2013 ,N0 7.durch die Prasidentin des Landgerichts ♦ �, 8.unter Nr.9101 E/I 4165/2013 a 9.Siegel/Stempel 10. Unterschrift: SM ti Um auf n � ao f �° k p$ 1 � y 4 ' �J a {� 4 c © Schweizerische Eidgenossenschaft Embassy of Switzerland in Iran Conf@dAration suisse Foreign Interests Section Y Confederazione Svizzera Confederaziun svizra Tehran,October 06,2013 LEGALIZATION Seen at the U.S. Interests Section of the Embassy of Switzerland in Tehran for authentication of the signature of MIR- ESHGHI, Kaveh, date of birth, May 20, 1966 Iranian Passport No. Z21365771 Issued June 20, 2011 valid until June 19, 2016 The Swiss Embassy declines all responsibility regarding validity, authenticity or content of the enclosed document. This legalization is intended for the U.S. authorities. For the Ambassador of Switzerland Francine Zuchuat, �PN�u 'lNrF� Vice- Consul CIO cn r d rn 0 o cv Cl) X n c Cn ° :�n GVO Art 11/1-1 cn l CHF 40.00/IRR 1'400'000.00 Q c- o Fee paid 0 C j � ?► c 1] -n No.39,Shahid Mousavi St.(Golestan 5th), Pasdaran Ave.1666 98 3 111 Tehran-IRI Phone:+98 21 22 54 21 78,Fax:+98 2122 58 04 32 tie.vertretung @eda.admin.ch,www.eda.admin.ch/tehran RENUNCIATION . M o r'n REGISTER OF WILLS a z Cn CD C.3 Cumberland COUNTY, PENNSYLVA91�; ,11 S--7 . t V Estate of Ghassem Mir-Eshghi , Deceased 1, Kaweh Mir-Eshghi , in my capacity/relationship as (Print Name) Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Zohreh Shams Boromand (Date) (Signature) \ Apadana Ave. 57 (Street Address) Tehran 15546 - Iran (City,State,Zip) Executed in Register's Office Executed out of Register's Ofice 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 day of , Deputy for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. /0.13.06 rs - :rr ti.l:,aS e.u,la.la.l I`ifl3331c73e: `,, lS€WC REPUBLIC OF frRAp, 7 —' � Holder's Signature: Pace c;issue; .s"a '__,�•?� THE IMMIGRATION AND PASSPORT i POLICE1, , 1'••9YMf .. �., . f'•� QYFC705MBdDRQ—dKR3D08QdM8EC Name&Position of issuing officer `\\1 d.L,aS9 u�la.�•..,L u-='l—,y"�1.���G�ua�.. .. COLONEL MAHMOOD SADEGHI-IMMIGRATION AND PASSPORT POLICE CHIEF a •, k Observation e u�� 4 � e fit. �� � J.r',is° cS�96-�? �. .� �. , ��ti - nR,� .4" Q ISLAMIC:REPUBLIC OF IRAN :.., �. Passport No, 22136577 _ . 1 — Sumame: MIR ESHGHI '—"- =?3 Name: KAVEH 9 Father's Name: GHASEV 2 . } r i ✓ /Y'• — jli1:�JJ,,•js'L-,1: Date&Place of Birth: 20/05{1 ggbA GERMANY Sex. M Date of Issue: 20/06/201 Date ot.Expiry: 19/66,.r , S t ' ''` i'r9o1 r/r• .. �,u a<v, P<IRNMI R<ESHGH I<<KAVEH««««««««««« 221365771 7IRN6605201 M1606199«««««««02 © Schweizerische Eidgenossenschaft Embassy of Switzerland in Iran N - Conf6d6ration suisse Foreign Interests Section 0 Confederazione Svizzera Y = a Confederaziun svizra Tehran,October 03,2013 LEGALIZATION Seen at the U.S. Interests Section of the Embassy of Switzerland in Tehran for authentication of the fingerprint of MIRESHGHI Nima, date of birth October 21, 1988 American passport No. 444962509 Issued July 11, 2008, valid until July 10, 2018 The Swiss Embassy declines all responsibility regarding validity, authenticity or content of the enclosed document. This legalization is intended for the US authorities. For the Ambassador of Switzerland Q�P��pU�S�.lrylF9Fv �A r^ Edith Salamanca © 4; m Deputy Head of Foreign Interests Section, Consul C Cj _ CI a Cn C= GVO Art 11/1-1 ry Cn o CHF 40.00/IRR 1'400'000 Fee paid No.39,Shahid Mousavi St.(Golestan 5th), Pasdaran Ave.1666 98 3 111 Tehran-IRI Phone:+98 21 22 54 21 78,Fax:+98 21 22 58 04 32 tie.vertretung @eda.admin.ch,www.eda.admin.ch/tehran try�Crr 1 RECORDED OFFICE OF REGISTER OF WILLS 1013 NIOU 15 FA 1 27 CLERK O F RENUNCIATION ORPHANS' COURT CUMBERLAND CO., P REGISTER OF WILLS oc,Aelc lot_nd COUNTY,PENNSYLVANIA Svj ss Estate of G\\OLSSem /11,\f— S�q �� ,Deceased I, /v t'met A, Sh 4 in my capacity/relationship as (Print Name) !Scr of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to 0C`� (Date) (Signature) AP"Y\ Qk A v e Nom_ (Street Address) (City,State,zip) Executed in Register's Office Executed out of Register's Office 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 day of , Deputy for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date ofexpimtion of Notary's Commission.) Form RW-06 rev.10.13.06 • A it A r - - Ofthe UnttedStates, � Y inOrdertofamramarrperfrctC/rion, estrrbltsf;ltoce,insxredamesticTrm�qurlity, �// provide fortbecgmmon defence, t'. - _ -. ���^^✓✓✓! ��� / == ` h rot,, 6e enera![(elam atuls > tbeBleurn. o Liberty to ontre ai awl r �4 �lpordanr mdertablul tbu /s r�,1 i . 3 , � . t GNA TURE OF��D; RER-/St6' TUit^ 1.AIRE/FIRMA DEL TITULAR pAk-SPORT o f PAS RT P SAPOR r • FVNa,,ypr •.+PD Cade a g Surname/N MIRESheHf a°a _ Given NaineSiripmsY:Np(nbres fit♦ V�Lality/NaUonalitbtY UNfTED STATE`s--OF Mi #tICA` = < ' l omw " �,'Date d Wrlhl Date denbist"y',i'mrlb nycimierrto« : '`1 219ct 1988 rir' r t 0Ipc0;0( htiaeuder !s 9�e714g_ar na roieMO SeX/Sees{�eko t s'" t`1NSYLVANIA,t °` DatedTssueJDatedadbl anF /fechaQeyxpedidi&T Y Amhoriy;/Atdo ��uCidad�" f�tl�l�t I ;iyk i"'':' yMe7 RfWISS'���5 �ldaetS111esi :sYd.�. fly.P� di <+C4EG+i` �i'C `CC ` G � �ern`_ ^,r� ��''.^'^_rt-�-� ,—_l,� t_ ���--:`��.�_r.:M1C��3.:= �. ',,7'-.,� ; -�.�s�a•: