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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 �
Name: Be Petty File No:
a/k/a: (Assigned by Register)
a/k/a:
a/lc/a: Social Security No:
Date of Death:April 24,2011 Age at death:84
Decedent was domiciled at death in Cumberland County,Pennsylvania (state)with his/her last
principal residence at 247 H Street,Carlisle,PA 17013,Cumberland County
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Carlisle Re¢ional Medical Center,Carlisle,PA 17013,Cumberland County
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 $ 0.00
If not domiciled in Pennsy lvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. :—*—*—***—*.... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 55,000.00
TOTAL ESTIMATED VALUE. ... $ 55,000.00
Real estate in Pennsylvania situated at:247 H Street,Carlisle,PA 17013,Cumberland County
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
El A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated and Codicil(s)
thereto dated
State relevant circumstances(eg.renunciation,death of executor,etc.)
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not many,was not dt%:orced,was no�partyT&a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §33230 awl did not have a c i dE6tn or
Q
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. CIO
0 NO EXCEPTIONS 0 EXCEPTIONS -n- = =, Ell
r— z rn t--' z C:)
B. Petition for Grant of Letters of Administration (If applicable) )> �'. ' '
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,dtOntev4Eontia, ante minoritate
c�p -n - F>
If Administration,ca a. or d b.n.c.t a.,enter date of Will in Section A above and com&te—nst of firs. t-- rat
r
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divoreohalbeen est&hshed',&mined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. ' Cn
Q NO EXCEPTIONS 0 EXCEPTIONS
A
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
Charles Y.Petty,Jr. son 209 West North St.,Carlisle,PA 17013
Ernest Petty son 17 Garden Parkway,Carlisle,PA 17013
Lisa Christopher daughter 430 South Pitt St.,Carlisle,PA 17013
Judith Smallwood daughter 204 Brookview Crt.,South Lake,TX 76092
Form RW--02 rev.1011112011 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
Charles Y.Petty,Jr. 209 North West St. Carlisle PA 17013
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 Decede .etitioner(s)will t and truly administer the estate according to law.
Sworn to r ffirmIdi �ubsc b��ore7 Date -ZZ
me this `{day Date
By: Date
F e Register Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . .. . .. . . . . . . . . .. . . . $ Attorney Signature:
( )Short Certificate(s).. . . . .
( )Renunciation(s).. . .. . . ..
( )Codicil(s). . . . . . . .. . . . .
( )Affidavit(s).. . . . . . . . . . . c
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printe/da me• Jo hn J.Mangan C-) c.i M
Commission. . . . . . . . . . . . . . . . . . Supre ou t G7 p
Other . . . . . . . . ID Number: 87000 rp
.. . . . ;:0 t— r r r�
. . . . . . . . Firm Name: Bayley and Mangan rn f-' ';0 a
. . . . . Address: 17 West South St.� C>
• • • • • Carlisle,PA 17013 ca 1 _n
C? C' _ C*>
. . . . . Phone: 717-241-2446 ~a cn to
Automation Fee. . . . . .. . . . . . . .. Fax: 717-241-2456 Z' Cr)
JCS Fee. . . . . . . . . . .. . . . . . . . . . Email: johnmangan hayleymangan.com
TOTAL. . . . . . . . . . . . .. . . . . . . . $ 0.00
DECREE OF THE REGISTER
Estate of Betty Petty File No: 22 r ��(O
aWa:
AND NOW, ( ( "�V ,in consideration of the foregoing Petition,
satisfactory proof having b en presented before me,IT IS DECREED that Letters
are hereby granted to
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of record s the last Wi (and Codic' )of D cedent.
R ster of Wills
Form RW-02 rev.1011112011 Of
.
RECORDED OFFICE OF
REGISTER OF WILLS
RENUNCIATION
2.�i�3 P�011 1 Fn 1 56
REGISTER OF WILLS CLERK OF
CUMBERLAND COUNTY,PENNSYLVAtTVN H AN S` C 0 U RT
OjiMBERLAND CO., FA
Estate of Betty Petty ,Deceased
I, Ernest L. Petty , 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
Charles Y. Petty, Jr.
(Date) 01 96"10—
17 Garden Parkway
(Street Address)
Carlisle,PA 17013
(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 Z-;� day
of Ok o bet- , Q.ot3
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)
MMQNW�AL°I�i OF PIwNNSY6V 1A
Notarial Seal
Form RW-06 rev.10.13.06 Connie I Gibson,Notary Public
Carlisle Boro,Cumberland County
My Commission Expires Aug.17,7015
MEMBER,PENNSYLVANIA ASSOCIATION'OF NOTARIES
RECORDED OFF=ICE OF
REGISTER OF GILLS
RENUNCIATION
I0 3 NaU 1 Fn 1 56
REGISTER OF WILLS CLERK OF
CUMBERLAND COUNTY,PENNSYLVANIA O R P H A N S' C O U'RT
CUMBERLAND CO., RA
Estate of Betty Petty ,Deceased
I,-Lisa Christopher ,in my capacity/relationship as
(Print Name)
datiahter of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Charles Y.Petty,Jr.
(Date) eature)
430 South Pitt Street
(Sheet Address)
Carlisle,PA 17013
(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 aa day
Of Y
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.)
C'i MMONWi A-TH OF PENNSYLVANIA
Nolzrtai Seal
Connie I Gibson,Notzry Pubti:
Form RW 06 rev.10.13.06 Carlisle Boro,Cumtmmand County
N1y Comrniss on ExptrE3�ur3.17,MIS
ffiEM9RR,AFBUSMIMIA A&SGS(?CIION OF NOTARIES
RECORDED OFFICE OF
REGISTER OF V!ILLS
RENUNCIATION ?0 3 N 0 U 1 �
CLERK OF
REGISTER OF WILLS O R P H A N S' COURT
CUMBERLAND COUNTY,PENNSYLVA-MI g E R L A N D C O., PA
Estate of Betty Petty , Deceased
I, Judith Smallwood , in my capacity/relationship as
(Print Name)
daualiter of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Charles Y. Petty, Jr.
(Date) 01i;;
204 Brook-view Court
(Street Address)
South Lake, TX 76092
(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 thi J day party executing this renunciation and certified
of 0) �-e 1 ,t l that he or she executed the renunciation for the
purp ses stated within on this,,, — day
of
Deputy for Register of Wile #®y Rr 9�% Notary Public _
_ > �':m = My Commission Expires: O� o�'./mil(o
+ O j� _ (Signature and Seal of Notary or other official qualified to
`! administer oaths. Show date of expiration of Notary's Commission.)
s
riiiumu
Form RW-06 rev.10.13.06