HomeMy WebLinkAbout12-09-13 ,I
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PETITION FOR GRANT OF LETTERS �
REGISTER OF WILLS OF C�Gm�er�Qn� 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 r� �� � �
Name: � � , �C,� File No: � �
a/k/a: Pnr at�r�cS 13 P.G (Assigned by Register)
a/k/a: .c n e k
��a� ' Social Security No: �
Date of Death: 3a !l'1/.20�3 Age at death: Q3
Decedent was domiciled at death in �U�'+tb�t-�A�t� County, P�" (Sture)with his/her last
principal residence at 4r4f2 6c/��i�.�Bot`t��+'t C�1�.°C� �/I►����
Street addres:,Post Office and Zip Code City,Township or Borough County
Decedent died at �}��1�1�hc�f�dl�or►1�c� ��ts�� �lm�tr'lav1C� P/�
Street address,Post Oitice 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 $ Z�Jr,d U�. �d _
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania S
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of rea[estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE.... $ .00
Real estate in Pennsylvania situated at: N�l�
(A�tach udditiona!sheets,iJnecessary.) Street address,Post Office and Ztp Code City,Township or Borough County
[�A. Petition for Probate and Grant of Letters Testamentarv y� .
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated,�d/7�1� �401 and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciation,death oJexecutor,eta)
Except as follows:after the execution ofthe instrument(s)offered for probate Decedent did not marry,was not divorced,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 did not have a child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
( 1�10 EXCEPTIONS ❑EXCEPTIONS
❑ B. Petition for Grant of Le�ters of Administration (If applicable)
c.t.u.,d.b.n.,d.b.n.c.t.a.,pendente lite,durr�nte absentia,durante minoritute
If Administration,c.t.a.or d b.n.c.�a.,enter date of Will in Section A above and complete 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.
❑NO�XCEPTIONS �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(uttach
udditionul sheets,i,fnecessury):
Name Relatiunshi Address
RECORDED OFFI�C�F -
REGISTFROF
2Q13 D�EC 09
, CI.ERK OF ORPHANS'COURT '
Form RW-Ol rev.10//t/20I1 �gj,�D COU� ___ PSge 1 Of 2
CLJNIB ___
_ __ c� _ ___
____ _
_ _
_.___ _____ __
d� � � �
G p 'G"� �"' �p
r'*'� t1�
� � � � � �
Oath of Personal Representative �► �•�„ rno�;�se � �,
� � � � � �
COMMONWEALTH OF PENNSYLVANIA } ,0 �.y �, � � �
J } S S: "�"$ � rt't
COUNTY OF �I9'J�Pt�"�AKa } � � � � Q
Petitioner(s)Printed Name Petitioner(s)Printed�'ldress
� �l � 'l�0 Lorr s G� 1��. �Gr lls/� Pi9 �7v!3
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 Decedent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to rmed a subscrib d before � ���GG(� ` Date �bee aa�
me thi � ay of _��ll�� Date
By: Date
o Register Date
BOND Required:Q YES �NO To the Register of Wil[s:
FEES: Please enter my appearance by my signature below:
.o�
Lette . . .... . . .. . . .. . . ... . . $ Attorney Signature:
( Short Certificate(s). ... . . • �
( )Renunciation(s)... . .... . DO
( )Codicil(s). . . . . .. . . . . . .
( )Affidavit(s).. . .. .. . .. . .
Bond.... . .. . .. . . . . . . . . . . .. . . Printed Name:
Commission. . .. . ... . . . . .. ... . Supreme Court
�� : : ::: :: ID Number:
1 /� .oa
. . ... . . Firm Name:
. . .. . .. Address:
� �. . .. .. �
. . .. . .. Phone:
Automation Fee. .. . . . . . . . .. . . . ' 6 Fax:
JCS Fee. . ... . .. . . . . .. .. ... .. D Bmaii:
TOTAL. . .. . . . . . .. . . . . .. ... . $ 'V
DECRE OF THE REGISTER
Estate of • File No: �� / � � /� �
a/k/a:
AND NOW, ��C�m e , � ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS E etters /'
are hereby granted to .
in the above estate and(if applicable)that
the instrument(s)dated 1�1
described in the Petition be mitted to pro ate and filed of re rd s the last W 11(and Codicil(s) f Decedent.
G���
Register of Wills �.
Form RW-02 rev.!0/I1/201/ a 2 of 2
H105.
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RENUNCIATION � �, �' ta � �
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REGISTER OF WILLS
�_±n1��,�_COUNTY,PENNSYLVANIA
- � a
Estate of C. C!t° • ��e c—� ,Deceased
I, C.a,ro1�. 1�. «,tie„ b � , in my capacity/relationship as
� (Print NameJ
` of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
�..,e.u�i s 1�ctoR. L�czc,�
• �a� ��� _
(Date) (Signature)
�1S"/4 /�art� /�ea,olo,cv �f:
(Street Address)
. i��ro � �3 Z�.O
(City,Smte,Zip)
Executed in Regi.ster's Office Executed out of Regi.ster's Office
Sworn to or affirmed�d��bscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified �
of e/j'1 ,�/,�_ that he or she executed the renunciation for the
purposes stated within on this day
of ,
� ,
uty for Register of ills 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.10.13.06
c ti �� �
LAST WILL AND TESTAMENT
OF
CLYDE H. BECK
I, CLYDE H. BECK, of the Township of Washington, County of Westmoreland
and Commonwealth of Pennsylvania,being of sound mind and memory, do hereby make
publish and declare this to be my Last Will and Testament, in manner and fo
following, hereby revoking any will or wills heretofore made by me.
FIRST: I direct that all my just debts and funeral expenses be fully paid an
satisfied, as soon as convenient�y may be, after my decease.
SECOND: I direct that all taxes that may be assessed in consequence of my dea
of whatever nature and by wh�t�ever'�urisdiction imposed shall be paid from my residu
esta.te as part of the expense of the administration of my estate.
THIRD: I give, devise,:and bequeath all of my estate of whatsoever nature an
wheresoever situate to my son, LEWIS TODD BECK, and my daughter, CAROL
DIANE DeROCHE, equally, share and share alike.
FOURTH: I do hereby name, constitute and appoint my son, LEWIS TOD
BECK, and my;daughter, CAROL:DIANE DeROCHE, to be my Co-Executors of tliis
my Last Will and Testament, to serve without posting any bond.
, � �
. Clyde Beck � � � ; �
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IN WITNESS WHEREOF, I, CLYDE H. BECK, the Testator above-named, hav
hereunto subscribed my name and affixed my seal the lOth day of April, in the year o
our Lord Two Thousand One (2001).
G�.Q (SEAL)
Clyde H eck
Signed, sealed, published and declared by the above-named, CLYDE H. BECK, a
� and for his Last Will and Testament in the presence of us, who have hereunto subscribe
our names at his request as witnesses thereunto, in the presence of said Testator, and o
each other.
�
�r
Charles F. Fox,
%�1.
J ny M. cMullen
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C
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COMMONWEALTH OF PENNSYLVANA )
) ss:
COUNTY OF WESTMORELAND )
We, CLYDE H. BECK, CHARLES F. FOX III, and JOANY M. McMULLEN
the Testator and witnesses, respectively, whose names are signed to the atta.ched o
foregoing instrument, being first duly sworn, do hereby declare to the undersigne
authority that the Testator signed and executed the instrument as his Last Will and that h
had signed willingly, and that he executed it as his free and voluntaiy act for the purpose
therein expressed, and that each of the witnesses, in the presenee and hearing of th
Testator, signed the Will as witnesses and that to the best of his knowledge the Testato
was at that time eighteen years of age or older, of sound mind and under no constraint o
undue influence.
,
Clyde . Bec
�—
Charles F. Fox II�-
�11,i�G�
J ny M. cMullen
Subscribed, `s�vorn to and acknowledged befor� me by �LY�3E H. BECK, th
Testator, and subscribed and sworn to before me by CHARLES F. FOX III, and JOA
M. McMULLEN, witnesses, on April 10, 2001.
Notary Pub ic
-.` My commission expires:
J � . NOTARIAL SEAL
. �N L.HENRY�No�fy'1�
, ,, , - 1�1�M�rlit eoro.Westmorettnd 00..M
' >, Myq�1lKt�issir .Qxpires Mar�ch 10,200�
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