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Home My WebLink About12-20-13 � � � � � � PETITION FOR GRANT OF LETTERS � �o � +�? � REGISTER OF WILLS OF COUNTY,PENNSY��1� � --�� ► � � o r� r� � Q �'etitioner(s) named below, who is/are 18 years:of age or older, apply(ies) for Letters as;s�i�Ed�'6elo�and�i� support thereof av�r(s)the following and respectfully request(s).the grant of Letters in the approp�t��: ,� ,. �n � -.. Decedent's InformaN �r /� � � � � r�i��i Name: 1 Yl File No�.�J� "° c.n � „�� a/k/a: '��!C L h t V e R c r�c.1�Y Y 1 � (Assigne d by Regis ter) � ` �a:'��xa.+nne r'�r�ae�vr k�r�i�tQn�t �a� Social Security No: /� Date of Death: �2 I 1 ta 1 1 3 Age at death: �e�� , Decedent was domiciled at death in �,UI,Y�I.��('IG�tf� County,�I(1 nc'S'�1��LY11a (Srare)with his/her last principal residence at 1 b8 3 VJ.Tr��{1e. [�C� �1J1C C�.;t►�GSb t9/� rv�r�.►�roe C-U-�f'1C�1�'1� Street address,Post Office and Zip Code City,Township or Borough County Decedent died at }�O� � r i� i� �1� ��' �� (�� Street a dreas,Post Otfice and 'p Code City,Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania............................ All personal property $ � ��ObD If not domiciled ifn Pennsylvania. .......................Personal property in Pennsylvania $ If not domici[ed in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsylvania......................................................... $ TOTAL ESTIMATED VALUE.... $ "�5,b nl� Real estate in Pennsylvania situated at:__�_�3 �• Tf(�� l� �ei�,�,h((��1� f7� C,�,(,��'V (Attach additiona!sheeu,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County ❑ A. Petition for Probate and Grant of Letters Testamentarv 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 relevsnt circumstances(e.g,renunciatlon,death oJexecutor,erG) Except as follows:after the execution of the 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. ❑NO EXCEPTIONS ❑EXCEPTIONS �"B. Petition for Grant of Letters of Administration (tf applicable) ., c.t.u.,d.b.n.,d.b.n.c.tu.,pendente lite,durunte absentiu,durante minoritute If Administration,c.t.a.or db.n.c.ta.,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 has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(uttach udditionul sheets,irnecessury): Name Relationshi Address �c,� � a��' Sdn� � Ced�� flc . S �' SrvM c�b � P� � � e�o� � d � � c �, �°�,� � C--�.�r� � �t�� Q C�d �- � Z k.�Fi�ch � im .�Form RW-02 rev.l0/11/1011 Page 1 Of 2 � � Oath of Personal Representative off��us�o��y COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s)Printed Name Petitioner(s)Printed Address � rc�a, z�a �o�.��.ch �.�. t� �o�1 �a F� ) 78' 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 cedent,the Pe'tio e will well a inister the estate according to law. Sworn t r�firmed subscr' ed b ore Date Z. 2..0 I'Z me th d� , �� . Date By: ' Date e Register Date �^..: BOND Required:Q YES �NO To the Register of Wills: � � � � F E E S: Ptease enter m y a p pearance b y m y si t�e belo w�''�"' m � Lett r . ... .. .... . . . . . . . . . $ •�� Attorne Si nature: � � � �` � . . . Y g � � � � � � ( Short Certi�cate(s)... .. . -0 �„�„ b. r"' N � � ( )Renunciation(s)... . .. .. . •O �s � � � �p C� ( )Codicil(s). . .. . .. . .. .. . '� ` ,� C� Ca ( )Affidavit(s)..... .. .. . . . � � � � � .,�,; Bond.. .. . .. . . . . . . . . . .. .. . .. . Printed Name: tw7 � � ""' Commission. . . . . . . . . . .. .. ... . Supreme Court '" Yv � l'Y'i �. Other . .. . .. . ID Number: � Q � . . ..... a Firm Name: . . .. . . . Address: . . .. . .. Phone: � Automation Fee. .. . . .. .. .. . . . . � Fax: JCS Fee. ... .. .. . . . ..... . . Email: TOTAL. . ... . . . . . . . . .. .. . .. . $ ' lJ DECREE OF THE REGISTER Estate o �►�1 Q/� �4�l / Q'� File�'° �� I.J^ V a/k/a: /��,,�R �'1 L ,$A C[l�- �%I N/ O 17 ��1 AND NOW, �� D� , �� ,in consideratio o the fore�o�ng Petitiqn, satisfactory proof having been presented before me,IT IS CREED that L ters � � D/7 are hereby granted to n • - in t above e te and(if applicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of re r as the last W' 1(and Codicil(s))o Decedent. Register of Wills //�' Form RW-02 rev.10/ll/2011 P1g8 2 Of Z _ ___ __ _ m,�, � � rn � 3 � � w? 4 � t"�*t � C� � -�i p ;'�7 ��. t"" N t,�"f � r- � rn o � 'a' RENUNCIATION ; `� ' --� ° � � � � � � � � � � � � REGISTER OF WILLS � --+ � ,� c� �+n COUNTY,PENNSYLVANIA�" � Zl- � � �� ,f�. , Estate of ,Deceased r � I� �� in my capacity/relationship as (Print ame) of the above Decedent,hereby renounce the right to administer the Esta.te of the Decedent and respectfully request that Letters be issued to � o�C� � , (Date) (S' ature) � �(� ��. � (Street Address) � �v�� /�� (City,State,Zip) Executed in Register's Office Executed out of Regi.ster's Office Sworn to or affirmed an�subscribed Before the undersigned personally appeared the befor }�e�,this .�l1 da party executing this renunciation and certified of __%��!e/� , that he or she executed the renunciation for the purposes stated within on this day of , 1 1�� uty for Register of�JVills 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-46 rev.10.13.06 RENUNCIATION �� „ � � � .� ° � `�' � REG STER OF WILLS �' � �, � ,.�'''„� � �!Gn COUNTY,PENNSYLVANIA �' �'"' r�n o � '��'' � � � �;, ra � l- 13 �1�33c� � ' �" � � �' � � � � � � � � � � � � � -� -� v� �r' „��,� Estat � n � �} � : � e of ��( � �/�Ul 1 �Q ,D�ccas�d I, �e� , in my capacityhelationship as P nt,�j�eJ �� of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to � Qu1 C a q C�� i p -�Y1 a � 3 (Date) (Signature) r - I �cCG � (Street Address) � � �� _ (City,State,Zip) ' Executed in Register's Office Executed out of Register's Office Sworn to or affirme and,subscribed Before the undersigned personally appeared the bef ine this �� day 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 af 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.) Form RW-06 rev.10.13.06 ° '� t'�"I � '�''' �1 C� RENUNCIATION � � � � � � � � r' �+ �, REGISTER OF WILLS � � � 'p � �c+ vw1 Q�r I,a� COUNTY,PENNSYLVANIA;�'�- � � � � � � � � `� 1 - / �- 3� d � � �' � � �'. .•r-- � c�t� � . � � Estate of �a k.,n u� s,4-) ,�,� )�e Deceased � I� ^,L�'`�� '"' in my capacityhelationshi as (Print Name) p So� of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to s�,�M� ��-��,A. ��-1� 1,� . rDate> (Signature) �!� )a C,PJ�,n✓ Dr� , � (Street Address) _S'T E�s� , w�r� c�as�s'� (City,State,Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirm�an��subscribed Before the undersigned personally appeared the befor e this �[-C/ da ' ' y party executing this renunciation and certified of - `�;,.� � that he or she executed the renunciation for the purposes stated within on this day of , . e ty 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.) Form RW-06 rev.10.13.06