HomeMy WebLinkAbout12-21-04
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Eu")~e L, 1< e ~-+€...
also known as
'J.." -~S- ~\\,~
Deceased.
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'-'<\"\
No.
To:
Register of Wills for t,e~
County of r .vM\.e.r ( in the
Commonwealth of Pennsylvania
Social Security No.
The petition of the undersigned respectfully represents that:
Your petitioner(s), wh~are 18 years of age or older, appl \ ~ for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in (' ~,lA \'eJG\--ci ( ^ County, Pennsylvania, with
hl5. lastfamily or principal residence at C;::., do'" ()x.kr.\ \X. ;,:\~t-Ci"" \'^.(?C,,^""',S"'"5 Ptt
(list street, number od municipality)
Decendent,then 5(." years of age, died fJ[)v.t'...h</ -;)-.,0 ,o'6..00Y-,
at h,,~ AiIP,^TO~('^:f / fp<-,
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: -r,~
$ 5000, co
$
$
$
Petitioner_ after a proper search h~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
e.
~s .Y
~v
..-
. fCn'3
I O~€'l""'-
I '1'11'5
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~',)"'""c;,RI.."',)!.)
} ss
The petitioner(s) above-named swear(s) or affirm(s) that 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 above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirmed and subscribed f p~ 5h/T~n~
before me this ~ 0. "'-"'day of ~_
~ ~ ~"'S ~.
'--'I:l..:~~~~......_, 'S~ I
~~. '<.~\":>...." ~iS " L
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No. J..\-~S-~\~C:l,
Estate of \:. -:''''~\\<<.
I..t:.~'<.,,~\"'<:
\<"xf<.'<E.
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW <;;;...\,. '-,. . J.. "''':. S .w, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that ""~~ <;,.,"'~<<. ......~"\"' ,ce.
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to "'..."..... <;>."''''''' ~...~"""'~
<:: "Id<....~ \... '<. xc;,S '-
in the estate of
~~ "~,, '3:,.~,,~
Register of Wills )
~~.'<~\ ~,,\) ~~
FEES
Letters of Administration $ ').5 . ~ ~
Short Certificates(s) .. .. .. .. .. $ \ 'S . <:l \:;
Renunciation ................ $ s . <;)~
~....'" $ '\S .~':l
~<;:'" TOTAL _ $ '\I:l s.Il
Filed..................... A.D. 19~
C:~ ...\)
ATTORNEY (Sup. Ct. LD. No.)
ADDRESS
PHONE
In Re Estate of
...."''"''s - <:::.\\,~
RENUNCIATION
C0jenc-),. kee/-e...
deceased.
To the Register of Wills of G }rJ ,her la rooL
County, Pennsylvania.
The undersigned ~e r; ('.Au r/0Q....
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
l5" fAd. m ';.!fJ ~ s-fro.- I? OV\
be issued to (V1Ct",# fThY\ Aea... +ti -e... (}.{! N<4-JeurJc. ) fJela.UJClre.-,
-Ii.
WITNESS t5uR1 hand this 3() day of fJe c... ,204.
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(Signature)
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(Address)
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(Signature)
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ZL."'J'- FLoRAt- HILL /)~
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(Address)
(Signature)
(Address)
J."'~~ - '=>\ \.~
B 1008898
REGISTER OF WILLS OF Cumberland COUNTY
BOND AND SURETY FOR PERSONAL REPRESENTATIVE
KNOW ALL BY THESE PRESENTS, Th.at Mary Anne Beattie
114 Patricia Road Newark. DE 19713
40 Wantaee Avenue Brancbville, NJ 07890
as principal (s) and Selective Insurance Company of America
as surety (sureties) are held and firmly bound unto the Commonwealth of Pennsyl-
vania in the sum of Ten Thousand Dollars ($10,000.00) to be paid to
the Commonwealth. for which payment we do bind ourselves, jointly and severally,
our heirs. executors, administrators and successors, the condition of this obligation
being that if Mary Anne Beattie
as (state fiduciary capacity) Administratrix
of the estate of Eugene L. Keefe, Jr. . deceased,
or any of them, shall well and truly administer the estate according to law, then this
obligation shall be void as to the personal representative or representatives who
shall so administer the estate and his or their surety or sureties; but otherwise it
shall remain in full force.
Signed and sealed this 14th day of
intending to balegally bound hereby.
February
2005
. each
Mary Anne Beattie
~~f Ifr~" /}A7//7j
(Soal)
(Seal)
(Seal)
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(SOJI)
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:2: 38
Selective Insurance Company of America
40 Wantage Avenue
Branchville, New Jersey 07890
973-948-3000
B 1008898
, Administrator
POWER OF ATIORNEY
KNOW ALL MEN :BY THESE PRESENTS. That the Selective Insurance Company of America, a New Jersey cor-
poration having irs principal office in BranchviIle, State of New Jersey, pursuant to Article VII, Section 13 of the By-
Laws of said Company, to wit:
"The Chairman of the Board, Ptesident, any Vice Presidents Ot the Secretary may, from time to time, appoint attor-
neys in &ct, and agents to act for and on behalf of the Company and they may give such appointee such authority, as
hiS/her certificate of authority may prescribe, to sign with the Company's name and seal with the Company's seal,
bonds, tecognizances, contracts of indemnity and othet wtitin~ obligatory in the nature of a bond, recognizance or
conditional undertaking. and any of said Officers may, at any time, temoye any such appointee and revoke the power
and authority given him/her.
does hereby make, constitute and appoint Harriet Loftus
its true and lawful Attorney-in-Iact, to make, execure, seal and deliver for and on irs behalf, and as irs,acr and deed,
bonds, undertakings, recognizances, contracts of indemnity, or orher writings obligarory in rhe nature of a bond sub.-
jectlO the following limitations:
Ten Thousand Dollars
and to bind the Selective Insurance Company of America thereby as fully and to the s:une extent as if such instrumenti
were signed by the dull authorized officers of the Selective Insurance Company of America, and all tbe acts of said
Artorney are hereby rarified and confirmed.
IN WITNESS WHEREOF, the Selective Insurance Company of America has caused these presenti to be signed
by irs Senior Vice President and its rorporate seal to the hereto affrx.ed this 14th day of
Fehruary , 2005
5:
8
fil
Ii:
g S....ofN...j,""Y
lj Count)' of Sussex
On ,bj., 14th day of Fehruary 2005 Wo" thou
and fOot the County of SUIUX duly co.nurUutoncd and q~d. ~c Anto~ c. Albmue of tJu. Sdective 1 me pmonally
knowtl to Ix the officer daaihcd herein, and who ~ tb(o ptec:tdiri, insuumc::nr. and he aduwwledp:l the . of ~c. . I by me duly
NOfn. <<posed a.nd Aid that be b In officer of uid. Contpatl)' afuuWd.; that the 5t;} affIXed to the preceding innrument ia1 of' aid Company,
and the said COtpotalC aeal and hb.;.gnatute u officer were duly Jfixed and lubsc.ribcd to the .~d i,lluument by the l\u.mori')' and di.reetion of the Com~y; that
Article Vll. Section 13 of the By-Law. of faid Company if now in mn:e.
BY:
IN WITNESS WHEl\EOF. I have hu.wuo '" illY bond ..d offixed my ufficio! ,..J .. B""dwili<. N... Jemr thi.
d>yof February 2005JUDITH 1:. CHAMBERLAIN
Notary Public of New JenIeY
CommIssIon ExpIres 10/1712008
The power of attorney is signed and sealed by facsimae under and by the authority 0
by the Board of Direcrors of Selective Insurance Company of America ar a meeting
Febrnary 1987, to wit:
"RESOLVED, the Board of Directors of Selective Insurance Company of America authorizes an ap'proves the use of
a Iacsimile corporate ,eal, facsimile signatures of corporate officers and notarial acknowledgements thereof on powers
of attorney for the execution of bonds, recognizances, contracts of indemnity and other wrirings obligatory in the
nature of a bond. recognizance or conditional undertaking.........
I. Pauicia A. Fulluod, AuiaWH Scctcmy of Ille Selective lmUllltlCe' ympany of Afncriaa. do hm:hy certify th..t the above and Core&Qlnl ~ t. we.nd cou<<t copy
of. Power of Anomcy ~tcd by Aid Company which iI roll in fuU fOf<<' and effect.
IN W1TNESSWHEREOP,llv.vc h""",IO'" my bond.... ollludu.....! of.~d Compony.. B~ thJ. 14th
d')'of February 2005 , ," Q.d,.~
~l s....wy
Important Notice: If the bond number embedded within the Notary Seal does not match the
B-91 (0103)