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HomeMy WebLinkAbout12-03-13 Reset 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 request(s)the grant of Letters in the appropriate form: Decedent's Information ^1 Name: PATRICIA A. SIMOKAT File No: , a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: September 9,2013 Age at death: 75 Decedent was domiciled at death in Cumberland County, Pennsylvanin (State) with his Aier last principal residence at 112 Round Ridee Road Mechanicsburg,PA 17055 Upper Allen Township Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 112 Round Ridge Road, Mechanicsbure,PA 17055 Upper Allen Township Cumberland PA Street address,Post Omce 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 $ — 0— ' Ifnot domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ Ifnot domiciled in Pennsylvania. ............ ........... Personal property in County $ Value of real estate in Pennsylvania......................................................... $ O TOTAL ESTIMATED VALUE. ... $ ca- Real estate in Pennsylvania situated at: n (Attach additional sheets,tfnecesrary,) Street address,Post Omer and Zip Code City,Towashilyr Bough p 6') c7County l7 r W b n Cn A. Petition for Probate and Grant of Letters Testamentary � v r- rn m Petitioner(s)aver(s)he/she/they is/am the Executor(s)named in the last Will of the Decedent,dated r— rn W �Vi i CSodicil(s) thereto dated (n O (J State'retevant cireumslances(e.g.renunciation,death of executor,etc) n O G"D o = cn r rn Exccptasfollows: efterthe execution of the instrument(s)offered for probate Decedent did not marry,was noidiZ40,was not a part&spending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3320,and did no f` vc a chilnom or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. O NO EXCEPTIONS ©EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) at.a.,d.b.n.,d.b.n.c.t.a.,pendente lire,durante absentia,durance ininoritate If Administration,c.t.a. or d b. .n.cta,enter date of Will in Section A above and complete list of heirs. Except is follows: Decedent was not a parry to appending divome'procceding 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. ' ©' NO EXCEPTIONS 0 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 Albin W.Simokat. - spouse 112 Round Ridge Road Mechanicsburg,PA 17055 Marjorie Ginter mother 2459 St.Augustine Place Haines Cqty.FL33 44 Mark D. Ruggiero son 821 Pear Street Lemoyne.PA 17043 Jeffrey A. Ruggiero son - 1627 Susquehanna Street Harrisburg,PA 17102 Form RW-01 rev. /0/1112011 Page 1 of 2 Oath of Personal Representative official Use only , COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s)Printed Name Petitioner(s)Printed Address Albin W. Simokat 112 Round Ride Road Mechanicsburg, PA 17055 ' I The Petitioner(s)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 I ecedent the Peti ' e )will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before Date I,d- me this 3rd day of PY , �3 Date I By: Date For the Register Date BOND Required: YES NO To the Register of Wills: X FEES: r� Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . .. . . . . $ Attorney Signature: ( 3 )Short Certificate(s). . . . . . ��j.0 ( ) Renunciation(s)Codicil(s) .. . . . . . . . . . . j /L.�L e± ( )Codicil(s). .. . . . . . . . . . . w ( )Affidavit(s).. . . . . . . . . . . Bond.. . .. . . . . . . . . . . . . . . . .. . . Printed Name: William D. Poland Jr. . Commission. . . . . . .. . . . . .. . . . . Supreme Court n w Other ID Number: 41256 rn M (,–L_ . . . . . . co :;0 r*� O i I Inyl.1—fw ygnu . .. i5.n)� Firm Name: Law Offices of Peter G.rAnRoa>P.0 I . . . . . .. . Address: 2001 North Front Streeter M �M m —K Suite 3-330 - . . . . . . Harrisburg,PA 17102 " n . . . . . . . . Phone: 717-232-1886 lei Automation Fee. . . . . . . . . . . . . .. �, � Fax: 717-232-4189 r— JCS Fee.... . . . . . . . . . . . . . .. . . . '23_�'j� Email: indalawpga-comma Cl"t TOTAL. . . . . . . . . . . . . . . . . . . . . $ '_-BAl0A ° DECREE OF THE REGISTER Estate of PATRICIA A. SIMOKAT File No: ,= a/k/a: .I AND NOW, �eyy) >� ���3 , in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters Ami n(Jhzdi L? are hereby granted to FM bl n \N. St rM < in the above estate and(if applicable)that the instrument(s) dated r—) described in the Petition be admitted to probate and filed of record as the last Will (and Codicil s)) of Decedent. Register of Wills Pte,, Om I Form RW-02 rev. 10/111201/ Page 2 2