HomeMy WebLinkAbout05-15-14 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 request(s)the grant of Letters in the appropriate form:
Marjorie K Per
Decedent's Information q I p
Name: Barry E Perry Sr File No: 21
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 0 311 212 01 4 Age at Death: 68
Decedent was domiciled at death in Cumberland County, PA (State)with his/her last
principal residence at 280 Chestnut Drive,Shippensburg 17257 Shippensburg Cumberland
Street atldress,Post Office and Zip Code City,Township or Borough County
Decedent died at 280 Chestnut Drive,Shippensburg 17257 Shippensburg Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County state
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania...................... All personal property $ 10,000.00
lfnot domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $ 1123995.00
TOTAL ESTIMATED VALUE $ 122,995.00
Real estate in Pennsylvania situated at 280 Chestnut Drive Shippensburg Cumberland
(Attach additional sheets,llnecessary.) 655 Wild Acre Lane Mifflintown Juniata
Street address,Post Office and Zp Code City,Township or Borough County
ry
0
A. Petition for Probate and Grant of Letters Testamentary C s m
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Deogd @,dated and Codicil(s)
thereto dated _
:.J r> r H rfxl
State relevant circumstances(e.g.,renunciation,death ofexecuror,Att'J
Except as follows:after the execution of the instrument(s)offered for probate, Decedent did not may was rrtmdivor d Was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 P@ .�023(aaand d 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 1 N rr— rrl
® B. Petition for Grant of Letters of Administration (If applicable)
c t.a.,d.b.n.,d.b r t.a.,pedente lite,durante absentia.durante minoritate
If Administration,c.t.a ord.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.
®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,ifnecessary):
Name Relationship Address
Renea Brenaman Child 1088 Heritage APve
A
Shi ensbur 17257
Shelly Davidson Child 6 Dykeman Road
Shi ensbur PA 17257
Barry E Perry Jr Child Fayette Street
Shi ensbur PA 17257
Marjorie K Perry Spouse 280 Chestnut Or
Shippensburg,PA 17257
See continuation schedule attached
Form RW-02 ray.10-11-2011 Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Mary'orie K Perry 280 Chestnut Drive � ° �
Shippensburg,PA 17257 !� � —� � R7
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The Petitioner(a)��ovs-narrted swear(s)or affirm(s)the stat ents in the foregoi g Petiti are e and correct to the best of the knowledge and
belief of Patdionsr(s)�r!d that,as Personal Representative( of t eced,ent,Pe'ion r wi II and truly administer the estate according��/
3rvom to or affirmed and uoscroed before� ' oace �
me this day of � oa�e
BY: Date
Regisiar Date
BOND Required7 � Y'ES � NO To the RegisterofWills:
Please enter my appearance by my signature below:
FEES:
Letters.......................................... $ Orl- Attorney Signature:
( � )Short Certificate(s)......... a�•� ,�
( )Renunciation(s).............. ' .
( )Codicil(s)........................
( )Affidavit(s)...................... Printed Name: Mark A.Mateya
Bond............................................. Supreme Court
Commission.................................. ID Number: 78931
Other
� �nv�� �� �� Firm Name: Mateya Law Firm
����� �� '� Address: 55 W.Church Avenue
Carlisle,PA 17013
Phone: 717-241-6500
Automation Fee............................ Cj �
� Fax: 717-241-3099
JCS Fee....................................... ��. '�U
TOTAL......................................... $ �,N�j,y(� E-mail: mam@mateyalaw.com
DECREE OF THE REGISTER
Date of Death: 03/12/2014
Social Security No: 168-36-7525
Estate of Barry E Perry Sr File No: 21 -��{ -��
a/k/a:
AND NOW , � � ,in consideration of the foregoing Petition,
satisfactory proof having been presented be re me,IT IS DECREED that Letters of Administration
are hereby granted to Marjorie K Perry
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 Will(ap�Co i s))of D nt.
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