HomeMy WebLinkAbout04-04-14 Reset
PETiTION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C w`^���r10-� 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 �� ,�� j _ �3��
Name: (���"�r' Crc;;u, Q'�'e-�e-� File No: `I
a/k/a: (Assigned by Register)
a/k/a:
alk/a: 5ocial Security No: a�� ' � � ' '`'�$�`.�
Date of Death:_ Ma�'c.�-, l\� ao�y Age at death: � _
Decedent was domiciled at death in C��b�-���-r� County. �e-��S�y I�vct�n;cti (stare)with his/her last
principal residence at SO�1 Cl�L-�-� � + � ��v�� N°�''� 'L� C°`�bR`-'�c�r�
Street address,Post Office and Zip Code City,Township or oruugh County
Decedent died at V; 1 e. iZ" 'IV ov�-�b'�'�� g� C��-�O�� =�l y 'S�l S�.�.
Street address,Post Office and Zip Code City,Townsh�p or Borough County State
Estimate of value of decedent's property at death: �� (�,��_ ��'
If domiciled in Pennsylvania...... .................. . ... All personal property $ .j
If not domiciled in Pennsylvania. ................... ... . Personal property in Pennsylvania $
If not domiciled in Pennsy[vania. ... .... ...... .... .... .. Personal property in County $
Value of real estale in Pennsylvania........ ....... ...... . . .............. ..... . . ............. $ �
TOTAL ESTIMATED VALUE. ... $ 10 . OC�T �_00
Rcal cstatc in Pcnnsylvania situatcd at:
(AttacG additionul sheets,if necessczry.) Street address,Post Office and Zip Code City,Township or Borough Counry
N
G7 �
� A. Petition for Probate and Grant of Letters Testamentary c --�� '� �
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated � � �nd�ii�s)
there[o dated � �' � � �
R'1 = G'y ,.,t�
,v r� � •
State relevant circumstances(e.g.renunciation,death ofexecutor,etc.) �-- Z �y � � �
� � � t
Except as follows:after the execution ofthe instrument(s)offered for probate Decedent did not marry,was not div�ed,Was�ot a�y to r�ng
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. ,��' 3323(g),�d$d�At ha "�.�+chil¢�anqor ,
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 0 � ,
� � i" t71 1
�NO EXCEPT[ONS �EXCEPTIOIVS � � � r y
� <''J .�
F�
� B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and eomplete list of heirs.
Except as follows: Decedent 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 was neither the victim of a killin�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 followin�spouse(ifany)and heirs(attach
udditional sheets,ifnecessary):
Name Relationshi Address
�-�i�v��,.�. �csh n (j r�.�v-i �c_��v- �-I �ll�.� IZo��.�.. Co- N�2� P 1� t Z 1�
R�•n�� Ro�b� ��r �r��•n ii�oil-'h�v- Sa1 �11�..� <� Co. H�11 A ��lo�
F�„-n,nw-nz ,�eti�. ionvzoi� Page l qf2
i
_ _ _ .
Oath of Personal Representative off��ai use oniy
COMMONWEALTH OF PENNSYLVANiA ;
} SS:
COUNTY OF Cv��'`�'�1�� ;
Petitioner(s)Printed Name Petitioner(s)Printed Address
(�e� �2a.r�.�A- zv- dtf'e�r SD�I �ll�� Rect-b. �o,•m �;11 �1F? l'{011
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)�nd[hat,as Persanal P.ep:es�r.ts'.��:�(s;ef tL=L`e�=�^��°. °�[i[ic^er{c;��^!!��'e!I ur.d t.al}'admin;ster the estate according to law.
Sworn to r affirmed and subscribed before � Date '�I`i< <y
Date
me this ��� ay of � > �� �
By. �✓ ^ '�../`l;� Date
Date
For the Register
BOND Required: Q YES �IO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
' � ��� � rv
h �
'�"� Attorney Signature: C! � � �
Letters . . . . . . . . . . . . . . . . . . . . . . $ l .
� �
Short Certificate(s).. . . . . f�1�� � � ,�„�0 � � Q `
� ) � ._ � �'°
( 1 )Renunciation(s).. . . . . . . . � -�,�,' �� �p � � � � ,`�
( � )Codicil(s). . . . . . . �— �
. . . . . .
( )Affidavit(s).. . . . . . . . . . . i"' � Yr7 � � 0,
Printed Name: �` � � -
Bond.. . . . . . . . . . . . . . . . . . . . . . . - 7'C q O
Commission. . . . . . . . . . . . . . . . . . Supreme Court p � � � .-� -� '
Other . . . . . . . ID Number: � r� -�____�,
�.:
� �1�l C' ' . . . . . . . .•° � o r rn, � �
,p � ''Y� . . . . . . . . Firm Name: � __� ,..
� � Address: � � �
. . . . . . . . ,
f
. . . . . . . . >
Phone:
Automation Fee. . . . . . . . . . . . . . . � �� Fax:
� U� Email:
JCS Fee. . . . . . . . . . . . . . . . . . . . . �_
�'� ,`�(� 6-6�"
TOTAL. . . . . . . . . . . . . . . . . . . . . $ I�3
DECREE OF THE REGISTER
� ; � � 21 � ��� -C.�� ���
Estate of E' � File No:
a/k/a:
AND NOW LI��� ��'�� I , Z--l.!� L/ , in consider tion of the f�or going etition,
� � IT IS DECREED that L ers ��'1 L .�l r��'t�Z�7
satisfactory proof having been presented efore me,
are hereby granted to � _ �%'
in the above est e and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of recor asxhe last Will (and Codicil(s)) of Uecedent.
�C-�.��� / ,� . ,����,C, � �. �
Register of Wills �'/� � i/ _ �r� t�
� �
Furm RW-O2 rev. 10/1l/201/ � � Page 2 Of 2
_
� Reset Form
rv
o �g
� � � rn
c o rn �
� � � �? o
rn -° c� �° v' a
RENUNCIATION � �
�r � rn s rn� v
� U-' �,` Q -c'n
REGISTER OF WILLS � � .� 3 � �
e,,�.r,-.b.�,�o,v�, COUNTY, PENNSYLVANIA � � � r„r, m
y-v, --� w u� �o
t-�
Estate of ���-`�` C-'��� ��"�`-�^ , Deceased
�e�l�,I ,�%��� �jjre��r , in my capacity/relationship as
I,_� '
(Prrnt Name)
Fa fli e v- of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
� F�
,Cl�-� ��z.-���✓`ye� �J r���
� ��� J�> /.� r'-E?�-r�_
mr� l � -?.o �
(Date) (Signateire)
�v� � ll�Ch /�cP
(Street Address)
�/�' ! 7�//
(ciry,srar zipl
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed nd subscribed Before the undersigned personally appeared the
befo e me this � day party executing this renunciation and certified
of��Y t � ,� that he or she executed the renunciation for the
purposes stated within on this day
of �
. r
"W� �''
Deputy for Register W' Is 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.)
Form RW-06 rev. 10.I3.06
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
'Il �
RT
No. 2014- 00310 PA No. 21- 14- 0310
Es ta t e Of: PETER CRAIG BREEN
(First,Midd/e,Las7l
La te Of: HAMPDEN TOWNSHIP �
CUMBERLAND COUNT� �t � �
Deceased
� ° � t�
� 'c� c�
Social Securi ty No: � � � � �
�r � rn � mrn
� �,: �.' � ca
�
° c-� o �p ° -�*�
WHEREAS, PETER CRAIG BREEN � C, � -r.t
(First,Middle,Lastl � C � `
�
late of HAMPDEN TOWNSHIP CUMBERLAND COUNTY -a "'{ � r`�" �
� � � �
died on the llth 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:
RENEE ROMBERGER BREEN
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 4th day of April 2014.
,
' ' � rl l .� � /
� �(��1 �( � , ;�� r
' `,� Registei of Wi!ls
fj�/'�� � �� �; _ � l.�� � �„r'� �
- � �� �- �Deputy'
/,.
**NC�TF** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)