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Home My WebLink About03-12-14 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 requests the grant of Letters in the appropriate form: Jack 1.Bertolette Decedent's Information Name: Jack E.Bertolette File No: 21-14 " ��(` a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 03/03/2014 Age at Death: 81 Decedent was domiciled at death in Cumberland County, pA (State)with his/her last principal residence at 1601 Carlisle Road,Camp Hill 17011 Lower Allen Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 1601 Carlisle Road,Camp Hill 17011 Lower Allen Cumberland PA Slreet address,Post Office and Zip Code City,Township or Borough County Slate Estimate of value of decedenYs property at death: If domiciled in Pennsylvania...................... All personal property $ If not domiciled in Pennsylvania................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania................ Personal property in County $ Value of real estate in Pennsylvania................................................................... $ 25,000.00 TOTAL ESTIMATED VALUE $ 25,000.00 Real estate in Pennsylvania situated at 1601 Carlisle Road,Camp Hill 17011 Lower Allen Cumberland (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County ❑ A. P�*�+ion for Probate and Grant of Letters Test?mentarv Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated and Codicil(s) thereto dated State relevant circumslances(e.g.,renunciation,death of executor,etc.) 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. ^-.� n `.,Y �NO EXCEPTIONS � EXCEPTIONS .�- � �C �r��:'; � B. p�+�tion for Grant of Letters of Administration (If applicable) ��t . � �'` `�'� c.t.a.,d.b.n.,d.6.n.c.t.a.,pedentelite,dur e�rtia.dur3pjPminor+tale+�"; .` , N r �,,.� If Administration,c.ta ord.b.n.c.t.a.,�nter d�te of�"lill in Section A above and comnlete list of heirs. �Y� '�: � � Except as follows:Decedent was not a party to.pending divorce proceeding wherein the grounds for divorce had beenO�lished as�fined'= F-} in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever ad�udicated an incapacitated person. � _ -�� NO EXCEPTIONS � EXCEPTIONS 1 '�'' °.�— ''� Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following ouse(if any)S�heirs`(att� additional sheets,if necessary): t"`' Name Relationship Address Jack I.Bertolette Son 1600 Hemlock Lane Dau hin PA 17018 Tammy C.Cobaugh Daughter 52 Sunset Drive Shelton CT 06484 �� r Form RW-02 rev.10-11-2011 Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address Jack I.Bertolette 1600 Hemlock Lane Dauphin,PA 17018 The Petitioner{s)a�ove-named swear(s)or a�rm(s)the stat �n the f egoing Pe'tion are true and correct to the best of the knowledge and belief of Petitioner(s)and that,as Personal Representative )of the ced titi r -truly administer the estate accord'ng t law. Sworn to o!a�rmed�n ubscribed before� °ate '� 1 � me � day of t Date B � �� \ -;-�. '}/ Date y For the Register Date BOND Required? ❑ YES NO To the RegisterofWills: Please enter my appearance by my signature below: FEES: "'� Letters.......................................... $ �(1�� •� l Attomey Signature: ( � )Short Certificate(s)......... �`�- �(� �� '" ' /J � ( � )Renunciation(s).............. �, f�11 ��` ( )Codicil(s)........................ ( )Affidavit(s)...................... Printed Name: Michael L. angs Bond............................................. Supreme Court '�� Commission.................................. ID Number: 41263 � » -r-i O�ier �� f�,�� ,1 � �• - :+. ; .-_� �-�`1 r 1 � �� Firm Name: Ban s Law Office LLC � .t� .:` � � � �? � �" �� Address: 429 South 18th Street .�-'- •� "� �^" C7�, - '":� � Camp Hill,PA 17011 `_ � , _�` C"3 -p,_„� - �� t�n 3� �„� �'�7 Q Phone: 717/730-7310 ,C,� Automation Fee............................ • ,�� Fax: 717/730-7374 JCSFee....................................... , l-� TOTAL......................................... $ E-mail: mikebangs@verizon.net > DECREE OF THE REGISTER Date of Death: 03/03/2014 Social Security No: Estate of Jack E.Bertolette File No: 21-14-�1��_ a/k/a: AND NOW, 0`' '� , , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration are hereby granted to Jack I.Bertolette � 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 th I ill(and Codicil s))of D nt. � �l:'( % Register of Wills /y��.�/��'� �,�. Copyrighl(c)2011 form software only The Lackner Group,I c. � ��' " '� Page 2 0 � , ��u,� ,. :r_.��.� � RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Jack E. Bertolette , Decea�d � �' �i� � � � � �v� . 7�" '� ��_ . � •. t�:1 � �°i C!'� � 'a, :�J C7 c-�.. � _ _� �L x � �� Tammy C. Cobaugh in my capacity/relat�s'�ip as -- �, �� nn ame � `�� GJ daughter of the above Decedent, hereby renounce tlf�'right to administer the Estate of the Decedent and respectfully request that Letters be issued to Jack I. Bertolette d3 I _ C � �-� (�ate) (signature) Tammy C. augh 52 Sunset Drive (Street Address) Shelton, CT 06484 (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 party executing this renunciation and certified before me this —day that he or she executed the ren nciation for the of , . purposes stat�d within�( ' day of ��,� , � Deputy for Register of Wills Notary Public My Commiss� n pires: (Signature and seal of No ary or olher official qualified to administer oaths. Show date of expiralion of Notary's commission.) COM,M4N`�+!fALi�1 pF P�EbthlSYk1FA�If,A f�l07.�^�iA:t 5��i. WenJy K. �atr�ub, Notery Ptsb(IC Lower A�;on Torv�.st�ip.Curnber{and CouFlty !`Ay Gornrniss'tor:Exp�rBS May 10, 2Qlb Form RW-OB Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA ADMINISTRATION No. 2014- 00228 PA No. 21- 14- 0228 Es ta te Of: JACK E BERTOLETTE (Fiist,Middle,Lastl La te Of: LOWER ALLEN TOWNSH/P CUMBERLAND COUNTY Deceased Soci al Securi ty No: �� -..,.''`-,'' ..� � �S;`.: � r��4�� -�`r, � ..,c-� WHEREAS, JACK E BERTOLETTE Q�_ � r t�-�.' lFirst,Middle,LastJ t : late of LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY G��k � i - di ed on the 3rd da of March 2014 and �,�� "' f`=-`�`=' y � r_. ;-r-1 WHEREAS, the grant of Letters of Administration � �� is required for the administration of the estate. THEREFORE, I, LISA M. GRA YSON, ESQ. , Regi s ter of Wi 11 s in and for CUMBERLAND County, in the Commonweal th of Pennsylvania, have this day granted Letters of Administration to: JACK l BERTOLETTE who has duly qualified as ADMINIST.RATOR (RIX) of the estate of the above named decedent and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 12th day of March 2014. ��-��, Ji a� �- , � �� .- (. .�� (/"> � � ,';; : , . � -, Register of Wi s ; � � � � ,: f � rt Y . � � � � �C./�� \ — �� ..� Dep� �f **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)