HomeMy WebLinkAbout03-12-14 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 I.Bertolette
Decedent's Information n ��
Name: Edna M.Bertolette File No: 21-14 .��l-d��
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 03/03/2014 Age at Death: 76
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 Hiil 17011 Lower Allen Cumberland PA
Street address,Posl Office and Zip Code City,Township or Borough County State
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 situaled 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. Petition for Prob�te and Grant of Letters Testamentarv
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 circumstances(e.g.,renunciation,death o/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.
�NO EXCEPTIONS � EXCEPTIONS
na
� B, p�+�*ion for Grant of etters of Administration (If applicable) '� --"�
c.t.a.,d.b.n..d.b.n.c.t.a.,pedente lite, r�absentia.durante m+�efi .
,,,,-'�-w, rs-1 C�"7
If Administration,c.t.a or d.b.n.c.t.a.,pnter d-te of�"lill in Section A above and comnlete list of heir�. -�p �r �1:��
Except as follows:Decedent was not a party to.pending divorce proceeding wherein the grounds for divorce had be ��lished 2�defin�d� ,�^7
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. �o�': — � �r r''�
N :.a e _?
�NO EXCEPTIONS � EXCEPTIONS � ✓ , ' �'
r--� _ .,
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the followin�us�-(if an�d heir�-�(�h
additional sheets,if necessary): `-'� r= rn
...-, .. `n
Name Relationship Address r`'
Jack i.Bertolette Son 1600 Hemlock Lane
Dau hin PA 17018
Tammy C.Cobaugh Daughter 52 Sunset Drive
Shelton CT 06484
n
Form RW OZ 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 P�titioner(s)above-named swear(s)or affirm(s)the s tements in e fore i Pe'' re tru and correct to the best of the knowledge and
belief of Petitioner(s)and that,as Personal Representativ (s)of the De ent, e t oner( ) II administer the estate accord�ng to law.
Swom to or ffirmed and s scribed before Date 1
me th's �d y of� ' � Z��� oate
� Date
By:
For fhe Register Date
BOND Required? ❑ YES NO To the RegisterofWills:
Please enter my appearance by my signature below:
FEES: /'
Letters.......................................... $ 1,�. Attorney Signature:
( � )Short Certificate(s)......... � • ' " �
( 1 )Renunciation(s).............. G— . �
( )Codicil(s)........................ r�a
Printed Name: Michael L.B n '�"�'�
Af�idavit s ��"
( ) ( )...................... -►
Bond............................................. a�� � �;�C"':
Supreme Court �-[� , p, ,-r. �-.,
Commission.................................. ID Number: 41263 �...:� �--
���i- �--+_",;�^.'-,
ther �-�'� ;
�
, 'C �G�'.. h3 ��L7
Firm Name: Banqs Law Office,LLC �-, � --�
� �S° Y ' Address: 429 South 18th Street ���` ` � �:�
` � �J =`�,�?
---s :'r►
Camp Hill,PA 17011 GJ `��d
Pw�
Phone: 717/730-7310
Automation Fee............................ • ' Fax: 717/730-7374
r
JCSFee....................................... � •
TOTAL......................................... $ E-mail: mikebangs@verizon.net
DECREE OF THE REGISTER
Date of Death: 03/03/2014
Social Security No:
Estate of Edna M.Bertolette File No: 21-14
a/k/a:
AND NOW, � � , ,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 Codi il( )of dent.
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Register of Wills 2
Copyright(c)2011 form software only The Lackner Group,Inc. � �� �'�Z
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RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Edna Mae Bertolette , Deceased
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�� Tammy C. Cobaugh in my capacity/relat�gt�ip as c �-,:;-;
nn ame �? � ;'r''
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daughter of the above Decedent, hereby�unce the-right��i-r�
c.a ``'�
administer the Estate of the Decedent and respectfully request that Letters be issued to t"'
Jack I. Bertolette
3 � I �� ��
(Date) (Signature) Tammy C. baugh
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 stated within on day
of r�- , �� .
Deputy for Register of Wills Notary Publi
My Commi sion xpires:
(Signature and seal or other official qualified to
administer oaths. Show date of expiration of Notary's commission.)
COMAAqN\�11�AiTH OF PE�lt�3YL�AMt
� _ hlOTR.�iAl.SEAL
�Nendy K. Stra�;b, Plotary Pubita
Low�r Afien Township,Cumber{and County
My Gom.mission Expdres May lp,2p16
Form RW-OB Rev.10-13-2006 Copyrighl(c)2006 form software only The Lackner Group,Inc.
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
No. 2014- 00229 PA No. 21- 14- 0229
Es ta te Of: EDNA M BERTOLETTE
(first,Middle,Lastl
La te Of: LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY r,�
Deceased n .�- -��'
Social Securi ty No: �Q �e r���`�
� y�. r,^> i
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Z��- N t �� �t
WHEREAS, EDNA M BERTOLETTE d�-�� -v Y; _;:.;
(First,Middle,Lastl ��:-. � = A,
� i r,
Iate of LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY �� � cna
died on the 3rd day of March 2014 and, �
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
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:
JACK l BERTOLETTE
who has duly qualified as ADMINISTRATOR (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, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 12th day of March 2014.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)