HomeMy WebLinkAbout04-25-14 �
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND_______________ COLJNTY, 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
Name: Robert R. Fellman _ ____ File No: •2013-01173 ____
a/k/a: ----------.-- - -____ ______ ______ (Assigned by Register)
-- _
a/k/a: ------------
-- --- -__ _ _
a/k/a: -------------- ____ __ _ _ _ Social Security No: __-----
--.
Date of Death. 10/1_1/201_3 _ _ Age at death: 57__ __
Decedent was domiciled at death in Cumberland __ _. ______ County, PA_ _ _ __ (State� with his/her last
principal residence at 212 B__N. West Street____ 17013_ ___Carlisle Borou h_ __Cum.berla__nd __ __._
�- -
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 212 B N_West Street _ ____ 17013_______Carlisle Borough __ __ ______ ___Cum__berland_____PA_
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
/f domiciled in Pennsylvania................................All personal property $ ____ ._�,Q��.Q�
_ --
Ifnot domiciled in Pennsylvania.............................Personal property in Pennsylvania $ __ __._. __
!f not domiciled in Pennsy[vania.............................Personal property in County $
YalueofrealestateinPennsylvania.............................................................. $ ---___---_ _-------
TOTAL EST[MA7'ED VALUE.... $ _________.___.1_,OOO.00
Real estate in Pennsylvania situated at: ---------._---- --____ _ _. __ ____---- _.____.____ -- ------- _-- _. _.__.
(Attach additional sheets,ifnecessary.J Street address,Post O�ce and Zip Code City,Township or Borough County
❑ .:, :�Ciltl�f:;t7i i�ii�t-:yif;:iiiii�ra,~��af�,etters i CSidIi1ZI1Lf,�
Petitioner(s)aver(s)he/she/they isiare the E;;ecutor(s)nameJ in t6e last 14i11�Y the Ueceder�.,tiare�l . __ ___ __________ ___ zr.d Cod:csl(s}
thereto dated _..-------- _ __ _ _ --- -_ --- -- - -- _. __ _ _ - - __- ""^'�-_
r-.;v- ----�
-- ----_ ------ ___ ___----- _--- _ "C'�_ _�--_,�-.�! ___
--_ __- ---- ____ _ _ --- — ----
State relevant circumstances(e.g.renunciation,deatk ojexeculor,etc.) � � rn
t"i 1 n
G'�
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divo�d,'�as not a p'a�to a�n�g
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.�3323(g),and c�n�fi�ea child born aiCy c�
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. �.�� ;,� f"-+ � t"� t'rt
❑ NO EXCEPTIONS ❑EXCEPTIONS _--_ _ _ _ _ _ _ _ ::: tr> ��:- -- ?'-�--__
___. �:�_
� C3 � � "�'1
7 '
� B. Petition for Grant of Letters of Administration(It'app�;cab�e)d_,b.n_ _______ ___ y,��._c. � '�• �
-- __ ,._.
e.t.a.,d.h.n.,d.b.n.c.�.a., endente lite,cfura � �
p nt�absentia,rd4bantenrein�ate
'-f
If Administration,c.�a. or d.b.n.c.t.a.,enter date of Will in Section A above and comale�list of heifw:? � �'
�
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the gro�mds for di�orce had been established as defined
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 seazch has/have ascertained that Decedent left no Will and w�survived by the following spouse(if any)azid heirs(attach
additional sheets,if necessary):
___ __ _ _._ _.._. _.._--- _._
- - �_. ___..._ _..
_ _ -_ _ -- _____ _
� -- ---- Name � Relationship � _ _ _ ___ _____ Address-- ------------- --- ---'
3/17/2014 9154 Homestead Road '
Robert R�mond_Fellm_an___ _ _ _ ;father,deceased. Huntingdon __ _ __ __ _______ ___ __PA__16652__ ;.
t----- --
i i
�Martha Fellman a/k/a Martha_L. Fellman+_ ___ _ _ i5/11/2012
---__.
mot er, ecease
- __ -- -- - _ _ _ ___- ;
� �9154 Homestead Road
Crist Fellman Ihalf-brother Huntin�don PA 16652
F- --------- ---. ---------- --- - —�------ -_ _ ____ _ .. ___ _.-- ___ ____ -- --- ,
�� � __--�
---------- ---__ _ _- - - --�—_--__ _ .. _ ,___ __ _ _ _ -_ ---- -_ _--_ - __ _.. ______.. � ;.
Form RW-01 rev.10/l/.�201! Page 1 of 2 :
� � 1
, � Oath of Personal Representative I ot���ai crse o�,iy
I i
COMMONWEALTH OF PENNSYLVANIA
} � I��
} SS: j I
COUNTY OF CUMBERLAND____ __ __ } i I
�
Petitioner(s)Printed Name Petitioner(s)Printed Address
�-----—----- --— --- ----- --_ -- -- _-- ------------ ----------
- .- --
,9154 Homestead Road ��
Crist Fellman ________ Huntinqdon __________ ___._ _ _ _____PA 16652___�
�
' ---- - -- -I
�
- -- - -----__ �
--
______ _ -- ___ _-- -
---------- ---_-____----
--- I
�--------- ----- ------- ---- - ---- __ _ ____ _._.._ .._--- ---- ------- '
The Petitioner(s)above-named sweaz(s)or affirm(s)the statements in the foregoing Petition aze true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Deced th Petition c(�will we(1 and truly administer the estate according to law.
Sworn to or affirmed and subscribed befare , Date _._�-7-�`�___
' , 2014 - --- -- -- --- -
me this -Z�h day of �_�!^t-�-- _ Date _____
� n� -- - -- - - -- --
By: �-- �-- �L_<�sc�-^��_�� Date�— ,, --
- _ --- __ -- -- �
Forthe ister ___ _._ ___ � Date' "' �? _._
-- _ -E -- �--�7�
� �
Q7 � =U � �
BOND Required: O YES � NO To the Register ojWiUs: r�... 2�- r` N � rn
FEES: Please enter my appearance by my s�na�re�elovF�'1 -�� p
�- ----.�.- ,,�.,----- =-- _ ,
- ------...------
e� =Y � ;
Letters....... ........ ........ $ _—_ 20.00 i Attorney Signature: n � o � "'� ry't I
(3 )Short Certificates(s) ... ... _ _ 15.00 I �� o G� � � -'� i
" .._..
( )Renunciation(s)... .. . . . . . ----.------ � , , : �' N � rii i
l 1 Crzdicil(s) .. ........ .... Ij _ - --_ - _____'. __ : ____� _-#�y-E► ---- !
� )�davit(s).. ........... �� „� '+1
- —
Bond ' Printed Name: ChrlSta M. A�lin____ _ __________�_____.__I
.......... .... ........ . . . _
Supreme Court �
Commission ........ ........... . _ I
----
Other , ID Number: --7_4----.___._---- --- I
--..... .. . . -----____- '
Firm Name: Jan L, Brown &Associates _ ;
' ''''''�' ' address: 845 Sir Thomas Court_____ �
- --- ;
- ------- _......... _---- -- - , Suite 12 '
. . . .. . . . . - ----- -- _ � � __ ___ ___ - - - I
; Harrisbur PA__17109 _ __ _�
.... . . . . . i
-------------..... . . . . - � Phone: 717-541-5550 ----- I
-----------�
--- _...... . .. _
� Fa�c: 717-541-9223 -----------._--------_'
automation Fee ... ............ .. j Email: christa�anbrownlaw.com_
_---
JCS Fee .................... .. . ;
�
35.00 �_ _ _ _--- _ _
TOTAL....... .............. .$ ---_
H105.
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
WAIVER OF FIDUCIARY BOND
Estate of Robert R. Fellman No. 2013 01173
also known as
, Deceased
The undersigned, who is/are at least eighteen (18) years of age, being all/sole residuary Legatee(s)
or next of kin of the above Decedent, hereby waive(s) the posting of any Bond by
Crist Fellman
who is the Petitioner for grant of Letters of Administration (d.b.n.c.t.a.).
�
��' 2014
Witness my/our hand(s) this �7 day of� .
� c�
O J c�j C
�
c,wj � CV � .
t�- -` i.:., � � �
tL t,�_ E � d C.� c"
� �:,� C3, � � (Signature)
,.,,
''�' �-� � ' u' "`� 9154 Homestead Road
�.� tx.: � ;�i 2: '�
4 �- N --� -� � Nu�tingdon PA 16652
Q � � � � Lt� (Address)
w � `� Qg
� � � �
d U -
,�,�; �
- -.. (Signature)
(Address)
Sworn to or affirmed and subscribed
before me this '� �h day of
�P�� 1 , ao��� .
�✓t i,�!_ ��
My Commission Expires: VIRGINIACOOPER
t;IERK Of ORPHANS't�URT
M)NTINGDON COUNIY,PENNSYLYAI�IA
MYCOMMISSION IXPIRES flRST M4NDAY 2016
(Signature and seai of Notary or other NOTE: Waivers of Bond executed outside the Office of Register of Wills are
official qualified to administer oaths.Show required in some counties to be notarized.
date of expiration of Notary's commission.)
RW-5