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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 .-�/�!� _ �1�v�,
Name: Janice McLaren File No: r,� C�
a/k/a: Janice L.McLaren (Assigned by Register)
a/k/a:
�wa. Social Security No:
Date of Death: Februarv 5 2014 Age at death: 70
Decedent was domiciled at death in Cumberland County, pPnnsylvania _(Stare)with his/her last
principal residence at 6 Kes�vick Drive.Silver Sprine Townshin,Cumberland Countv.Mechanicsbur�,PA .
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Harrisbur Hos ital l ll S.Front Street Harrisbur PA 17101
Street address,Post Of£ce and Zip Code City,Township or Borough Caunty State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania............................ All personal property $
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsy[vania. ....................... Personal property in County �
Value of real estate in Pennsylvania......................................................... $ 197(l�(1(1(1
TOTAL ESTIMATED VALUE. ... $ 197.000.00
Real estate in Pennsylvania situated at: 6 Keswick Drive Silver Spring Township Cumberland Countv PA
(Attach additional sheets,ifnecessary.) 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 W�II of the'Decedent,dated and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciation,death ofexecutor,efc.)
�,-,y
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced s not a party tcta�ending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and�I eLthave a ch�born��
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ���7� � ��,j�.�
f`T"1 T"_'. 7�"
�NO EXCEPTIONS �EXCEPTIONS � `-� �
Z� _ I �-y, ;`Z-�
� ��- _ � � { �
B. Petition for Grant of Letters of Administration (Ifapplicable) ,
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante a�k�k,durante�nor�tate;� �
l J � „,_. "i`;
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete�s b�heirs. ;=•y t�
---+ �.`:� c
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had�n established�defina�/3 C"�
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 W ill and was survived by the following spouse(ifany)and heirs(attach
additional sheets,if necessary):
Name Relationshi Address
Chris Chwastyk Son 1244 Jackson St.,N.E. See e ow re on
Washin ton DC 20017
Devin Chwastyk Son 931 North Front Street,#201
H r '
*Per Section 3174 (b) (1) (iii) , all assets of the estate will remain in
the custody and control of Devin Chwastyk and the Commonwealth of PA
Fo�Rw-oa ��ev.�r��n:�zori Page 1 of 2
!
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Chris Chwas k 1244 Jackson Street N.E. Washin ton DC 20017
Devin Chwas k 931 North Front Street,#201,Harrisbur ,PA 17102
The Petitioner(s)above-named swear(s)or af�irm(s)the statements in the e mg Petition are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Pers�nal Representative(s)of the Deced e etitioner(s)will well and truly administer the estate according to law.
Sworn to or afft:ned ar�d subscri'�ed before Date��
me this��dav ef I'�lA�'Ck ,?-0�`{ Date -
�," 1'�=`�)�
By: �lv►`J � ate�� -3�'�'�-'
��">
r the Registar —!; �p.. ,t .._
���:
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Z�-- -- � ;-�
BOND Required: � :�S � i�'O To the Register of Wills: � -,
FEES• � Please enter my appearance by my signat�� elow: � 7`i
. _�_.
._.,, _
C�C�: .::__ �
Letters. . . . . . . . . . . . . . . . . . . . . . $ 260.00 Attorney Signature: = � � E— "
( $ ) Short Certificate(s). . . . . . 25.00 3��' �' ��
( )Renunciation(s).. . . . . . . .
�
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printe e: Elizabeth P.Mu
Commission. . . . . . . . . . . . . . . . . . Supreme ourt
Other . . . . . . . . ID Number: 76397
Inh.Tax Return . . . . . . I5.00
Inventorv . . . • . • • • 15.00 Firm Name: McNees Wallace&Nurick LLC
Address: ���p�^A Stree —
. . . . . . . . Pn Rox 1166
HarrisburQ PA 17108-1166
. . . . . . . .
Phone: 717-237-5243
Automation Fee. . . . . . . . . . . . . . . 5.00 Fax: 717-260-1729
JCS Fee. . . . . . . . . . . . . . . . . . . . . 23.50 Email: Pmnllangll(¢�mcm cnm
'rOTAL. . . . . . . . . . . . . . . . . . . . . � 343.50
DECREE OF THE REGISTER
Estate of Janice McLaren File No: � � � ' I O���Y
a/k/a: Janice L.McLaren
AND NOW, }�� , � � ,in consideration of the foregoing Petition,
satisfactory proof having b n presented before me,IT IS DECREED that Letters of Administration
are hereby granted to Chris Chwastvk and Devin Chwastvk
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 -; �I� �i� .
2.�-�vti �
P e2of2
Form RW-02 rev. 10/!1/20/l
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
, � , �
�% �
No. 2014- 00206 PA No. 21- 14- 0206
Es ta te Of: JANICE MCLAREN
(First,Middle,LastJ
a/k/a: JANICE L MCLAREN
La t e Of: SlL VER SPRING TO WNSH/P
CUMBERLAND COUNTY
Deceased
Social Securi ty No:
�
,
WHEREAS, JANICE MCLAREN C r�.Y '
lFirst,Middle,Lastl �Z -�-
a/k/a JANICE L MCLAREN �T � �r�
2a�. ;`'-�c'�
x
la te of SILVER SPRING TOWNSHIP CUMBERLAND COUNTY v� ; � r- . '� �
CT �=r�
C.�- . ,—,
died on the 5th day of February 2014 and, �� �ri <�� � i
�.J� � ti- _'-�i-j �
WHEREAS, the gran t of Le t ters of Admini s tra ti on ��--� � ;;�;='�,�
�— rrr
is required for the administration of the estate. � "�Q
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
CHRIS CHWASTYK and DEVIN CHWASTYK
wl�io hav� duly qualified as AUMINIS'1'RA`1'OI� (RIX) of th� esi�ate
of the above named decedent and have agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 6th day of March 2014.
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. ' Registei a Wills
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Deput�Y �
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