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HomeMy WebLinkAbout01-03-14 Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF Cv„t.ihQi 4a.nc 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 1 I ' l _ ��� Name: , o,oe%eS Mir-Uael 61-Ls File No: "1 a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 1 2'q -ZO t Age at death: 30 Decedent was domiciled at death in C Ov"(0 21-1c„A cS County, i (State)with his/her last principal residence at -7 Lo.rkQ-1 La,ie- 'MrJ v4 i4—y�Snt` 124 C'JoAf,erk.,j Street address,Post Office and ZAP Code ,�A,1 ,� City,Township or Borou County Decedent died at 7 L.gf (.tetA(�� U�10. 0 � 1-611,1 C0-c-'-( !5S &a.,S2 �CdW4 �/� Street address,Post Office and Zip Code City,Township or Bor6uughl— County Sta e Estimate of value of decedent's property at death: If domiciled in Pennsyl vania.......................... .. All personal property $ t If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsy lvania. .................... ... Personal property in County $ Value of real estate in Pennsylvania........... .............................................. $ P TOTAL ESTIMATED VALUE. ... $ to2 600," Real estate in Pennsylvania situated at: ti 14 (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 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) ry C') YI Exceptasfollows: after the execution of the instrument(s)offered f orprobate Decedent did not marry,was iced,was notap trMpending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§337 )end did npfr#lave hlM born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. rrl S n to M � nr -{ C1 ©NO EXCEPTIONS Q EXCEPTIONS rn rn B. Petition for Grant of Letters of Administration (If applicable) N 'n o 0 c.i.a.,d.b.n.,d.b.n.c.t.a.,pendente lit ecu�tMbse "',durfntteAnoritate If Administration,c.ta, or db.n.c.ta.,enter date of Will in Section A above and_! ojj 'n to list o?heiiF& rn 0 Except w follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for dii orce had bee"tablished'D defined in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. P l NO EXCEPTIONS ©EXCEPTIONS - Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survivedby the following spouse(if any)andheirs(attach additional sheets,ifnecessary): Name Relationship � Address IAGe. � O 7 64eA(-att.L /e( (oaf C E 6 r . u 11 P` 1 I Cgc.r —T 7 C. 1-70 Form RW-02 rev.1011112011 Pagel of 2 a Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } II } SS: REC RDED OFFICE OF COUNTY OFCQvM�r(t4Ac } REGISTER OF WILLS Petitioner(s)Printed Name Peti ' to d 2 08 Gc,dCr Lo j r . 662 '.Je 06� R64kOM N ,arc P4 17zS? ORPHANS' COURT CUMBERLAND CO., PA _ 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 Rcinesentative(s)of the Decedent the Petitioner(s)will well and 1 according to law. Sworn to 9T affirmed arld subscribed before met t day of �� Date By Date For the Register Date BOND Required: 0 YES 9-1�0 To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters. . . . . . . . . . . . . . . . . . . . . . $ 18,x7 Attorney Signature: ( rJ )Short Certificate(s)n(s).. . .. . . . . 15 Renunciation(s).. . . . . . . . � ( )Codicil(s). . . . . . . . . . . . . ( Affidavit(s) . . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: nrt< �Sq�( / e /. c� Commission. . . . . . . . . . . . . . . . . . Supreme Court n p Other . . . . . . . . ID Number: ( b 15 (7 YQ� . . . . . . 15 Firm Name: 15__ �^ C4A G✓1 . . . . . . . . Address: -7 W 56')� . . . . . . . arl: '70 . . . . . . Phone: �I 1 -7 Z,I I ZLI`-t Ae Automation Fee. . . . . . . . . . . . . . . S Fax: -717 Z-14 1 JCS Fee. . . . . . . . . . . . . . . . . . . . . C) Email: f/Igfnr4.��i ICS � L•G 1/IQ Yi1nGn�n�•n.cea TOTAL. . . . . . . . . . . . . . . . . . . . . $ DECREE OF THE REGISTER Estate of J G V-kL S 0\/ t cuc 2� �r File No: 2I I ti - 0007 a/k/a: AND NOW, n _,in consideration of the foregoing Petition, satisfactory proof having been preseFp d before me,IT IS�yDECREED that Letters and L •eby granted to ( rC-I(l1 L. C�r ID � C in the above estate and(if applicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. Register of Wills Form RW-01 rev.1011112011 P Page 2 of 2 f� RENUNCIATION M rn c> C> C- G'� ° 03 -v z o rn Loa REGISTER OF WILLS v r- m tn C,M�fIC'.1 COUNTY,PENNSYLVAN[A o a z -0 C> -n -n o o � n ca o -n n v fV r• M ',� �•d C O /j D C7? Estate of M. v ct Wl Q S (�`� l 1 CCGQI , Deceased 1 1 C-L c c1(ZS ( f` �j _, in my capacity/relationship as (Print Name) �g ,n�I- of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (Date) e (Street Address) (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 .� day of —• Deputy for Register of Wills Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA NotaRal Seal (Signature and Seal of Notary or other fficial l6ibsOn,Notary Public administer oaths. Show dale of expiry'on of Comml55S ���Rd County y Expires Aug.17,2015 MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES Farm RW-06 rev.10.13.06 n � rn � o M 03 � C_ `? ° RENUNCIATION M n m m rA Z W ""7. C7 2" U 7C O C� r _ REGISTER OF WILLS c � --n U✓l^ �j-(C"'l COUNTY,PENNSYLVANIA m r— o o v' -,s " rn Estate of G L VLAi C (Ae,e t L- t Deceased 1, C a f f/ 1.,':r O_T, in my capacity/relationship as (^� (Print Name) lM-- of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (Date) (Signature) (Street Address) 1 t f (1 (City,state,zip) Executed in Register's Office Executed out of Register's Office (4JI 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 renunciatiop for the purp ses stated within on this 3 tQ day of �QYI_ Deputy for Register of Wills Notary Public My Commission Expires: _ r. (Signature and Seat of Notary or other official qualified to e administer oaths. Show date of expiation of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Farm Rw-Od rev.10.13.06 Connie).Gibson,Notary Public L.- Carlisle 9oro,Cumberland County My Commission Expires Aug.17,2015 MEM5ER,PENNSYLVANIA ASSOCIATION OF NOTARIES rn CIO ^o s o 0 Fri -0 RENUNCIATION J> nZ M w �7ca REGISTER OF WILLS C U th�Q r tG COUNTY,PENNSYLQV IIA �� r o r n o 00 o Estate of � C- /VA Q- 1 C�AQ Q 1 Deceased I, ' fMtAC X—SS L i— � , in my capacity/relationship as �U t%-kAP— (PnntName) of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (4 (bate) lsig»atare) L c rtce✓t (S(reei Address) MI . 4A1 (city,State,2;p) 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 a—day ofr1t1� �C) 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) COMMONWEALTH OF PENNSYLVANIA Newel Seat Form RW-06 rev.70.73.06 Connie 7.Gibson,Notary Public Carlisle Bono,Cumberland County My Commission Expires Aug.17,2015 MEMBER,AENNSnXAMA A'SSMATION Of NOTARIES