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HomeMy WebLinkAbout01-06-14 Reset A MtJiX-A 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: PATRICIA A. SIMOKAT File No: alkla: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date o£Death: September 4 2013 Age at death: 75 Decedent was domiciled at death in Cumberland County, Pennsylvania (state) with his/her last principal residence at 112 Round Ridge Road,Mechanicsburg,PA 17055 Upper Allen Township Cumberland Street address,Post Office and Zip Code City,Township at Borough County Decedent died at I]2 Round Ridge Road,Mechanicsburg.PA 17055 Upper Mien Township Cumberland PA Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: Ifdamicifed in Pennsyl vania... . ...... ... ............... All personal property $ 0.00 If not domiciled in Pennsylvania. . ...._.. . .......... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. .......... . ........ . ... . Personal property in County $ Value of real estate in Pennsyl vania.... . . ................ . ........ . .... .... ...... .. . .. .. . .. $ 0.00 TOTAL ESTIMATED VALUE. ... $ 0.00 Real estate in Pennsylvania situated at: (Attach additional sheets,if necessary) Street address,Post Office and Zip Code City,Township or Borough County ® A. Petition for Probate and Grant of Letters Testamentary Peutioaer(s)aver(s)he/shelthey islare the Executor(s)named in the last Will of the Decedent,dated December 29,2003, and Codicil(s) thereto dated None State relevant circumstances(e.g.renunciation,death of executor,etc.) ry RI Exceptasfol lows:after the execution of the instrument(s)offered forprobate Decedent did not marry,was n=iF5ced,was got a p ux:mpending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§33:Rg#and did nave hfld bom or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. rn 0 � fA o ;o r- r1i m "a NO EXCEPTIONS 0 EXCEPTIONS - ��ti. gy �..CS,� 2 C! ?c q C> ® B. Petition for Grant of Letters of Administration (If applicable) -I c.t.a., d.b.n., d.b,n.c.t.a.,pendentelit"uregt seniWdural& ' orikde G7 If Administration,c.f a. or il.b.n.c,&a.,enter date of Will in Section A above and c°mrdat list diteir Z Ill 0 Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for di�jrce had been�gbfist'eld astiefined in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. V NO EXCEPTIONS ©EXCEPTIONS -Pefitioner(s),after a proper search bas/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 Farm rew-02 rev. 1011112011 Page I of 2 r Oath of Personal Representative official use Only i COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) I Petitioner(s)Printed Name - Pctitioncr(s)Printed Address t Albin W.Simokat 112 Round Ridge Road Mechanicsburg, PA 17055 The Petitioner(s)above-named swcar(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Pctitioner(s)and that,as Personal Representative(s)of the Decee/ m th ctitio r(s II well and truly administer the estate according law. Swom o�aWt b r !! "� Date I IL me this Date By: Date e Date r I BOND Required: Q YES Q+ NO ro the Register of Wins: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . .. . . . . . . . . . . . $ Attorney Signature. ( 2)Short Certificate(s). . . . . . ( 0)Renunciation(s)... ... . .. /J// I ( 0)Codicil(s). ........ . ... iA/ t ( 2)Affidavit(s).... ... . . .. . , Bond.. . . . . . . . . . . .. . .. . . . . . . . Printed Name: William D.Poland Jr. Commission. . . . . .. ... . . . . . . . . . Supreme Court Other ID Number: 41256 r t Firm Name: Law Offices of Peter G.Angelos,P.C. Address: 2001 North Front Street . . . .. - 'r Suite 3-130 e Harrisburg, PA 17102 Phone: 717-232-1886 Automation Fee. . .. . . .."'.'... .. Fax: 717-232AI89 JCS Fee. . . . . ... . . . .. . .. :-.. . . . -' Email: m olmdniawpgn rtttiu TOTAL. il. rl s DECREE OF THE REGISTER Estate of PATRICIA A. SiMOKAT File No: alkla: AND NOW, 116 hAjc 19 in consideration of the foregoing Petition, satisfactory proof having been presen before me, IT IS DECREE that Letters here are by granted to I - in the above estate and(if applicable)that the instrument(s)dated described in the Petition be a mitted to probate and filed 91 record as the last%l(and Codicil(s))of Decedent. gister of W, 11 Form RW42 rer.10/1112011 Page 2 of 2