HomeMy WebLinkAbout12-19-13 R��s�t '
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
Petitioner(s) named below, who islare 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: Jeffrey Schertzer File No: ' "
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a/k/a: (Assigned by Register)
a/�C/a: �
a/k/a: Social Security No:
Date of Death: October 25,2013 Age at death:45
Decedent was domiciled at death in Cumberland County, Penn�,ylvania (Stute)with his/her last
principal residence aY 832 Bosler Avenue,Lemovne 17043 Lemovne Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Hi�hwav 190 Near Exit 23,Albanv Albanv Albanv New York
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 $ 1�000.00
If not domiciled in Pennsylv�nia. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value nf real estate in Peniisylvunia......................................................... $ 1 17,2�.00
TOTAL ESTIMATED VALUE. . .. $ �,�18,200.0�0
Real estate in Pennsylvania situated at: 832 Bosler Avenue,Lemoyne 17043 Lemoyne�"� ; C�n�!'land
(Attach udditional sheets,if necessary.) Street address,Post Office and Zip Code City,Townshi�r$$rough � y� �County
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� ��1� = � � � �
Q A. Petition for Probate and Gra�t of Letters Testamentarv � � �- �,.,, � �
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated :�"" � f� CL3 �d�odicil(s)
thereto dated �.�'.�.� � C�
� � �
State relevant circumstances(e.g.renunciation,death of executar,etc.)� t� -�t� ;";;� �
� � � � �
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not many,was n�t di�ced,was�a pa t ending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§33�g),and did r�ave�hi�born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. �
�NO EXCEPTIONS �EXCEPTIONS
� B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritute
If Administration,c.t.u. 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 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 EXCEPTIONS �EXCEPTIONS
Petitioner(s),after a proper search hasJhave ascertained tliat Decedent left no Will and was survived by the following spouse(if any)and heirs(uttach
udditional sheets,if necessary):
Name Relationshi Address
Lisa J.Schertzer Spouse 832 Bosler Avenue
Lemo ne PA 17043
William C.Schertzer Father 302 Ryan Drive
ar i b r PA l 12
Form RW-02 �•ev.10/11/2011 Page 1 Of Z
Oath of Personal Representative off��ai vse on�y
COMMONWEALTH OF PENNSYLVANIA }
} SS:
CaUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Lisa J.Schertzer 832 Bosler Avenue,Lemo ne PA 17043 � `=�'
� � � � �
� � � � � �
'�'"" � � � � �
�a �3 t�
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and cor,�e,�t�tl�est a"�ie kn�l�e and belief
of Petitioner(s)and that,as Personal Representative(s)of the Dec ent,the Fetif on (s)will well and truly�ak�ister the es ate a�"pr�g to law.
, .�.,.
Sworn to or ��rmed su cribed before " �r """� �te � /�3
me thi � ay_o ���� c��te �
$y; Date
Fo t e Register Date
BOND Required: � YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
���.oa
Letters. . . . . . . . . . . . . . . .. .. . . . $ Attorney Signatc�re:
�
( )Short Certi�cate(s). .. . . . � � -'�
( �)Renunciation(s).. . . .. . . . . � .` ��
( )Codicil(s). . . . . . . . . . . . . -
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Richard L.Placey
Commission. . . . .. .. . . . . . . . . . . Supreme Court
Ot�,her . . . . . . . iD Number: �232
, .. . . . . . ��b Firm Name: Placey&Wright
. . . . . . . . Address: ���1 Nnrth Front Street
. . . . . . . . Narrichnru PA 171 1(�-15��
. . . . . . Phone: (717)236-9577
Automation Fee. . . . . . . . . . . . . . . 'Od Fax: �717)236-0843
JCS Fee. . . . . . . .. . . . . . . . . . . .. � Email: ,,.x.t�.�,_�
,�,,.,,,, �enix net
TOTAL. . . . . .. . . . . . . . . . . .. . . $ ��O
DECREE OF THE REGISTER
Estate of Jeffrev Schertzer File No: 1' � . �a(�
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a/k/a:
A.ND NOW, �� , �v � ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters of Administration
are hereby granted to Lisa J.Schertzer
in the above estate and(if applicable)that
the instrument{s)dated
described in the Petition be admitted to probate and filed of rec r as the last W'll(and Codicil(s)) Decedent
egister of Wills y j
' GV
Form RW-02 rev.10/11/2011 P1ge 2 Of 2
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RENUNCIATI�N �, �, ,-- ,.,,� � �,
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REGISTER OF WILLS '� � � � � -��s
CUMBERLAND COUNTY,PENNSYLVAI�iA,��, � ,� �:
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Estate of Jeffrey Schertzer ,Deceased
I, William C. Schertzer , in my capacity/r�lationship as
(Print Name)
father of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Lisa J. Schertzer, decedent's wife
� 1
;
.
December 18, 2013 ��
(Date) (Signature)
r:
� 502 Ryan Drive
(Street Address)
Harrisburg,PA 17112
(City,State,Zip)
Executed in�egister's Office Executed out of Register's Office
Sworn to or affirmed �u�scribed Before the undersigned personally appeared the
bef ine this d party executing this renunciation and certified
of /� , 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
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