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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 averts)the
following and respectfully requests the grant of Letters in the appropriate form:
Rachel E.Hendricks
Decedent's Information •• ,, L,�
Name: Richard Irvin Hendricks File No: 21 1L4 — --4 13
alkta: Richard 1.Hendricks (Assigned by Register)
elk/a:
a/k/a: Social Security No:
Date of Death: 0212512014 Age at Death: 73
Decedent was domiciled at death in Cumberland County, PA (State)with his/her last
principal residence at 406 High Street,Summerdale 17093 East Pennsbore Cumberland
Street address,Post 001.and Zrp Code Cify,Township or Borough County
Decedent died at 406 High Street,Summerdale East Pennsboro Cumberland PA
Street address,Post Office and Zip Cade City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled In Pennsy lvania...................... All personal property $ 76,000.00
If not domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $
TOTAL ESTIMATED VALUE $ 75,000.00
Real estate In Pennsyivanla studied at
(Attach additional sheets,if necessary.)
street address,Post Chick and Zip Code City,Township or Borough County
N
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❑A. Petition for Probate and Grant of Letters Testaments O O � Ph n
Petitioner(s)averts)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent, dated ' --"Zci --art odicil(s)
thereto dated rn s � n
r"' ' fr1 i'rt
Stale relevant circumstances(e.g,renunciation,tleafn of executor etc_) � =13 „,,1 -TI
Except as follows: after the execution of the instrument(s)offered for probate,Decedent did not marry,was n di r wait a pads a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g, t of have a cty W koJn or
adopted;and Decedent was neither the victim of a kitting nor ever adjudicated an incapacitated person. Cp r- Ri.
n NO EXCEPTIONS ❑ EXCEPTIONS -t] rj
❑X B. Petition for Grant of Letters of Administrati n (1f applicable) t
c.t a,bon.,d b,mc.t.a.,pedente lite,durante absentia.durante minodtate
If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to 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 killing nor ever adjudicated an incapacitated person.
QX NO EXCEPTIONS ❑ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
Joshua Hendricks Son 208 Senate Avenue
Camp Hill PA 17011
Jason Hendricks Son 3538 Citation Road
Cheyenne,WY 82009
Richard Hendricks Son 71 Vine Street
Ambridge,PA 15003
Michael Hendricks Son 134 Kenney Drive
Sewickle PA 15143
See continuation schedule attached
Form RW-02 rev_10-11-2011 Copyright(c)2011 form software only The Lackner Group,Inc_ Page i of 2
PETITION FOR GRANT OF LETTERS
(Continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Decedent: Richard Irvin Hendricks File No: 21 ' I �
aikra: Richard I. Hendricks
Social Security Number:
Date of Death: 2/2512014
Age at Death: 73
NAM Relationship Address
Rachel E Hendricks Spouse 208 Senate Avenue
Camp Hill, PA 17011
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Oath of Personal Representative ORlciai use Only
COMMONWEALTH OF PENNSYLVANIA }-
} SS:
COUNTY OF Cumberland
Petitioner(s)Printed Name Petitioner(s)Printed Address G '° M
Rachel E.Hendricks 208 Senate Avenue cp ;Jo —v — O
Camp Hill,PA 17011 rrt ;
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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)and that,as Personal Representativ of th D ede Pe ner�(s1\\will wq(gI hand truly administer the estate according to law.
SworMor rmed and sub cribed b fore - ll`" �3s#'2_. Date
me th of / Date
A Data
'f a �er 0, Dale
BOND Required? ❑-YES NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Lertt�ers........................... Attorney Signatur
( )Short Certificate(s) ....._
{ )Renunciation{s)..__........
{ )Codicii(s).......... .........
( )Affidavit(s),....._.............. Printed Name: Heather D Royer
Bond.....................................__.... Supreme Court
Commission......._......................... to Number: 76327
Other
,���,1„t c _ —•-- Firm Name: 4431 N. Anderson t Sacks, or
Address: 4431 N.Front Street,3rd Floor
Harrisburg,PA 17110
Phone: (717)234-2401
Automation Fee............................ r7 2 Fax: (717)234-3611
JCS Fee.........._...........___........ ��. {�
TOTAL..._................................... $�y'"�j�t d.J -� E-mail: hroyerrasasilp.com
DECREE OF THE REGISTER
Date of Death: 0212512014
Social Security No:
Estate of Richard Irvin Hendricks File No: 21
aWa: Richard 1.Hendricks
AND NOW,_.... t. e Ld. I I _Z0 I�J_ in consideration of the foregoing Petition,
satisfactory proof having been pr s nted before me, IT IS DECREED that Letters of Administration
are hereby granted to Rachel E.Hendricks
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 t e last Will(and Codicil(s))of Decedent,
gister of Wills
Copyright(c)2011 form software only The Lackner Group, c. r a�ge-2nIr 2
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RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Richard Irvin Hendricks , Deceased
1, Joshua Hendricks in my capacity/relationship as
nn e
Son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Rachel E. Hendricks
(Date) ig
o cu Joshua Hendricks
LU
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�= E: u ° 208 Senate Avenue
LL 14._ CE (D O (Street Anmeea)
w aLit ' Camp Hill, PA 17011
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Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
that he or she executed the renu%ation for the
of purposes stated within on ttus0Y_day
Deputy for Register of Wills Not6ly Public
My Commission Expires:
(Signature and seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's commission)
aj� R'7
°PENNSYLVANIA
A.Mg ,p 3,2015
Form RW-06 Rev.f0-10-2006 %jWr OF
Copyright(c)2006 form software only The Lackner Group,Inc.
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RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Richard Irvin Hendricks Deceased
)- Jason Hendricks in my capacity/relationship as
Son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Rachel E. Hendricks
r '
tom) C3 CO N
W J F CL ( m) Jason Hendricks
3 w o
Li CE o c°,� 3538 Citation Road
o c:7 x . ? (saomnar )
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•o cV —i < w Cheyenne,WY 82009
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Executed in Register's Office Executed out of Register's Office
Swam to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
that he or she executed the renunciation for the
of purposes staled within on this—/_day
of ��
Deputy for Register of Wills Notary Public
My Commission Expires: 5 — 17
(Signaarco ana Baal or Notary a oNer aflidal vaannea 10
aEriinlsta aaga. Shex bate o1 erpimgon of Nola,ya annisslm.)
cam RW-06 Rev.10-13-2006 CepyeigM(c)3006 fam eaawam.1y The L..kn r Gram.Im
RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Richard Irvin Hendricks , Deceased
1, Richard Hendricks in my capacity/relationship as
nn am
Son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Rachel E. Hendricks
CL
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L
(Date) hJ (Signature)
00 -cc
o Richar H dricks
E =oc>
LL W C= T CD-,C.1 p
o 71 Vine Street
p Qj 1iJ Z J (StreetAddress)
U-) Q
` n C..'>i Co Ambridge, PA 15003
r CJ uj� O = (city,State,Zip)
LLJ �e
N
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
that he or she executed the r�enut� iation for the
of purposegs ated within on this.- day
f \a.
Deputy for Register of Wills otary Publi
My Commission Expires: -ji �
(Signature and seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's commission)
COMMO W ALTH OF PENNSYLVANIA
NOTARIAL SEAL
Beth L.Covey,Nctary Public
Robinson Twp„Allegheny County
My Commission Expires April 1,2018
EMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES
Form RW-06 Re,10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc.
RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Richard Irvin Hendricks Deceased
Michael Hendricks in my capacity/relationship as
nn
Son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Rachel E. Hendricks
(Date) (Sgnature)
Michael Hendricks
134 Kenney Drive
p cn CV 'CL (Serest Andreas)
W
1 C
o a
ZD o Sewickley, PA 15143
r� E o c>
U_ If_ CL (D U O (C @Y,State,ZIP)
O C, ;jr
C:) C Cn = _� G
W w Lu ' J
c7 r U S W
CD cc
EWpotted Regis*&4'Office Executed out of Register's Office
Sv7brn o o irmed andsubscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
that he or she executed the r.enllnciation for the
of purposes stated within on tt>�day
of
Deputy for Register of Wills Notary Public{
My Commission Expires:
(Signature and seal a Notary or otheroRUal qGualified to
administer oats. Show date ofezpirafon of Nciary'scomnission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Cynthia L White,Notary Public
City of Pittsburgh,Allegheny County
My Commission Expires May 13,2014
Mamh...,Kenn ytvanla 0.sgodauw of Notaries
Form RW-06 Rev 1043-2006 Copynght(c)20M form sofhvare only The Lackner Group,Inc.