HomeMy WebLinkAbout05-15-14 PETITTION FOR GRANT OF LETTERS
REGISTER OF WILLS OF ` r t its,6r-.r Iaj VA 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
Name: ryenn l-h W• T-)StP1Gf -Sr. File No: I' IL{ - (-«y
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: b -711- l Age at death: (o 1�
Decedent was domiciled at death in e. b.--clayyA. County, (Stare)with his/her last
principal residence at 2 ojg4 CA Lcr%olis, Ida ("IQ; ;aN 9 3nno C.umbr+A*t
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at l y S��C�} PC i{ 1 1I.0I��'„C Ml2b t 1 l 17011 C u m lzf ld PIL
Street a dress,Post Ofnce and Zip Code City,Township or Borough County State
Estimate of value of decedenPa property at death:
If domiciled in Pennsylvania............ ............ . ... All personal property $
If not domiciled in Pe nnsy lvania. ...... . ............. ... Personal property in Pennsylvania $
If not domiciled in Pennsy lvania. ...... . ................ Personal property in County $
Value of real estate in Pennsyl vania..... . .......... ..... . . ... ... . ..... . .. .... .. .... .... ..... $
TOTAL ESTIMATED VALUE. ...
Real estate in Pennsylvania situated at:
(Attach additional sheets,r/becessary) Street address,Post Office and Zip Code City,Township or Borough County
❑ A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)averts)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 of executor,etc.)
Except as follows: after the execution of the instrumem(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 2-r� �
V Z T
53//B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n., d.b.n.c.l.a.,pendente lite,der ,1.{entia,durant,afiidrylate
c..-.
If Administration,e.t.a. or d.b.a.c.t.a.,enter date of Will in Section A above and com Fiisf of hFies.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorJB 'been estaMhed as¢ems @d
in 23 Pa.C.S. §3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. :r3 f'^1
EaKO EXCEPTIONS ❑EXCEPTIONS
additional h after a proper search has/have ascertained that Decc: ens left no Will and was survived by the following spouse(if anyf and heirs(artaci.
addnianal sheets,if necessary):
Name Relationship Address
I I S ll � �Ies
Q.
t e 1 ca Sa C VJV`s a 1707(
cc
Poro,ew-02 rev. 10/1112011 Page 1 of 2
F+.FC„R[)ED (iFFi E OF
Oath of Personal Representative
J
COMMONWEALTH
' nOFF�yPENNSYLVANIA } 7��4M�tY 1C AM 9' +�
COUNTY OF t�V2t'Pk,y S IU.T tC� } SS: I
Petitioners)Printed Name Petitioner(s)Printed Address
The Petitioners)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 Fetitiarter(s)and that,as Personal Representative(s)of the Decadent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to or affiniied and subscribed before _ l n�o0h_ Qk Date (, _
of 1 Date
$y= Date
For the the Register Date
BOND Required:AYES ®1R-0 To the Register of Wills:
FEES: /}rt Please enter my appearance by my signature below:
Letters.. .. .. . .. .. .. . . .. ..... S r.+t V Attorney Signature:
( i )Short Certificate(s). . . . . . r
( a ) Renunciation(s).. . . . . . . . 10
( )Codicihs). . ... . . . . ....
( )Affidavit(s)....... . .. ..
Bond.. . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . .. . . Supreme Court
Other ... . ... . ID Number:
--. . . . . . . . .,. Firm Name:
. .. . .. . . Address:
. . . . . . Phone:
Automation Fee, . . . . ... . . . . ... rj Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . 0 Bmail:
TOTAL. . . . . . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of d i n M ki ItWln Y Sr Fil. No:
aikla: M r
AND NOW, t/ nix/ I" Letters
in consideration of the foregoing Petition,
satisfactory proof having been resented before me,IT IS I}ECREED t at
are hereby granted to rd?7LM bf Q-i ( 04
it the above estate and(if applicable) that
the instrument(s)dated Jq-
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of'Decedent
egis er of Wills r
Fo„»ncv.0a rev. 101/112011 �� ;, Page 2 of 2
Rf CCi�i�l�D OFFICE OF
PEGI�1I-11 0 '.di!!c
2014 MAY 15 A4 9: 45
CLi hf t:i RENUNCIATION
ORPHAN'S COURT
CUMBERLAND CO.. PA
REGISTER OF WILLS
COINTY, PENNSYLVANIA
Estate of kwirlo ` f. VJ• buolef o-j( .
Deceased
I' f�C�C W fl��l er in my capacity/relationship as
(Print Name)
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
lI
(Date II
(Signature)
/05 .Inrreii sf
(Street Address)
f Jf df A}i to a SZ 3
(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
before me this day party executing this renunciation and certified
of that he or she executed the renunciation for the
purposes stated within on this '") day
Deputy for Register of Wills Notary Public °
My Commission Expires: ej s
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
commo WEALTH OF PE NSYLVANIA
NOTARIAL SEAL
Laura V.Frye,Notary PUNIC
Fairview TwP.,York County
Form RIV-06 rev. 10.13.06 My COMMISSIM Expires May 5,2018
, 151111*11TLVANIA ASSOCIA ION Of NOTARIES
RECOUr,,Lo riFFICE OF'
REGIS I:r. ' 11M!LS
21A MAY 15 AM 9: 49
"
ORPHkT'„"S C`” RENUNCIATION
OURT
CUMBERLAND CO., PA
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estateof_ IeClYtUG7-XZ 4�Qv- �y�(�72 �,e,
, Deceased
1,1t/(tGf{s7Ct f� • �,oLG�2 in my capacity/relationship as
(Print Name)
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(Date)
(Signature�),{/
(Street Address) �/1� •��,' , / ,e.(/�
(00,.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
before me this day party executing this renunciation and certified
of that he or she executed the renunciation for the
purposes stated within on this V 7 1" day
of (110. Qab 1 H
Deputy for Register of Wills Notary Public v L�
L
My Commission Expires: 5
(Signature and Seal of Notary or other official qualified to
_administer oaths. Show date of expiration ofNotar}$Commission.)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Laura V.Frye,Notary Public
Fairview Twp.,York County
Form RIV-06 rev. /0.13.06 My Commission Expires May 5,2018
e R ENNSTLVANIA ASSOCIATION Oi NOTp HIES