HomeMy WebLinkAbout11-19-13 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:
James J.Tomek,Jr.
Decedent's Information
Name: - Helen A.Tomsk File No: .21-13 - I oc67J
a/k/a:
(Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 11/06/2013 Age at Death: 74
Decedent was domiciled at death in Cumberland County, PA (state)with his/her last
principal residence at 839 Meadow Lane,Camp Hill 17011 Hampden Cumberland
Street address,Post Once and Zip Code City,Township or Borough County
Decedent died at Holy Spirit Hospital Camp Hill Cumberland PA
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 $ 220,000.00
If not domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $ 18,000.00
TOTAL ESTIMATED VALUE $ 238,000.00
Real estate in Pennsylvania situated at 839 Meadow Lane,Camp Hill 17011 Hampden Cumberland
(Attach additional sheets,a necessary.)
Street address,Post Office and Zip Code City,Township or Borough County
❑A. Petition for Probate and Grant of Letters Testamentary
Petitioners)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated and Codicils)
thereto dated n
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State relevant circumstances(e.g.,renunaahon,death of executor,etc) z G7 O
Except as follows:after the execution of the instruments)offered for probate, Decedent did not mar was ja aft d,whs-hot arrpprtyto a penning
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§733230,an it not Coe a c 0dMinn or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. z V; 7, O C>
❑NO EXCEPTIONS ❑ EXCEPTIONS c'7 Q --n -n
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® 13. Petition for Grant of Letters of Administration
(If applicable) � ;z O) h �
eta.,d.b.n.,d.b.n.c t a.,pedi liffitndurante absentia.
� u[ane rninoritate
If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of fair ` ---j cn -q
Except as follows: Decedent was not a party to pending divorce proceedingg 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.
[ENO EXCEPTIONS ❑ 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
JAMeS iii T )I, J, csd^ 'Z 7 0)(?C � d70
Form RIN-02 rev 10-11-2011 Copyright(c)2p11 form software only The Lackner Group Inc Paget et2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
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COUNTY OF Cumberland } SS:
Petitioner(s)Printed Name Petitioner(s)Printed Address
James J.Tomsk,Jr. 270 Red Haven Road
New Cumberland,PA 17070
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The Petitioners)above-named swears)or affirm(s)the statements in the foregoing Petition are true and correct to the best ql the knowled no -rl
belief of Petitioner(s)and that,as Personal Representative(s)of the De €dent,P II and truly administer the estate according law.
Sworn to Dip ffirmed and subscribed before Dale
me thi I . d.ay of Data
By: ki v'/ Date
i the ftagister - Date
BOND Required? ❑ YES O To the Register of Wills:
FEES:
Please enter my appearance by my signature below:
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Letters.......................................... $ /l l Attorney Signature:
( 3 )Short Certificate(s).........
( )Renunciation(s).............. �-
(
)Codicil(s)..... .........
( )Affidavit(s)...................... Printed Name: Michael L.Bangs
Bond.......... ............................ ..... Supreme Court
Commission.................................. ID Number: 41263
Other
I n n.l,CI N I Firm Name: Bangs Law Office,LLC
Address: 429 South 18th Street
Camp Hill, PA 17011
Phone: 7171730-7310
Automation Fee............................ Fax 717/730-7374
JCSFee.......................................
TOTAL......................................... $ E-mail: mikebangs @verizon.net
DECREE OF THE REGISTER
Date of Death: 11/0612013
Social Security No:
Estate of Helen A.Tomsk File No: 21-13- I `�
a/k/a: h q
AND NOW, Aj L>��r in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration
are hereby granted to James J.Tomek,Jr.
in the above estate and(if applicable)that the instrument(s)dated
described in the Petition be admitted to probate and fled of record as the last Will(and Codicil(s))of Decedent.
isterof Wills '
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