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Home My WebLink About04-14-14 Reset 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: Decedent's Information '/ Name: Kelly Ann Cheeseman File No: �/ r ��J — lJ�� a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: December 9.2013 Age at death: 38 Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last principal residence at 2305 Cloverfield Lane - Enola.Hampden Township Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Holy Spirit Hospital 503 N.21st Street, Camp Hill 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 domiciledin Pennsylvania.. .. .. ........ ..... ...... ... All personal property $ 20,000.00 7f not domiciled in Pennsylvania. .... .... . .... . ... ...... Personal property in Pennsylvania $ 7fno1 domiciled in Pennsylvania. .... .... . .... . ... . ..... Personal property in County $ - Value of real,estate in Pennsylvania... ..... ..... ..... ...... .... .. .... . ..... ... ...... ....... . $ TOTAL ESTIMATED VALUE. ... $ 20.000 00 Real estate in Pennsylvania situated at: (Attach additional sheets;if necessary) 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 instrument(s)offered for probate Decedent did not many,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 bom or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. O NO EXCEPTIONS O EXCEPTIONS ® B. Petition for Grant of Letters of Administration (Ifapplicable) c.t.a.,d.b.n.,d.b.n.e.t.a.,Pendente lite,dures♦jle absentia, te ri%oabae O g If Administration,c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and coma ealst of hQft. Crn i � o Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorcetRa i ei C*.)established�dgned in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. n 2 M ( NO EXCEPTIONS 0 EXCEPTIONS n Cn x Petitioner(s),after afteraproper search has/have ascertained that Decedent left no Will and was survived by the follow�g�u�(ifand he�s{�ttach additional sheets,ifnecessary): 'E .y N r C5 Name Relationship AddYess co Marcia R.Cheeseman Mother 3 Brown Lane,Apalachin,NY 13732 ° Charles W.Cheeseman Father 3 Brown Lane,Apalachin,NY 13732 Amy Powers Sister 131 Pratt Road,New Milford,PA 18834 < Farm RW-02 rev. 10/111201 l Page I of 2, Oath of Personal Representative official use only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(9)Printed Name Petitioner(s)Printed Address Amy Powers 131 Pratt Road New Milford PA 1$834 - The Pets ioner(s)above-named swear(s)or affirms)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 Representative(s)of the Decceedd nt,the Pe till onner(s)will well and truly administer the estate according to taw. Sworn to or affirmed and sub cribed beefo- y r t IS xY Bate met 's 4h d o ¢tt�`C iDate $ Date ANr the gi er Date BOND Required: d YES 0 NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Legs . . . . . . . . . . . . . . . . . . . . . . $ OD Attorney Signature: ( )Short Certificate(s).. . . . . ( � )Renunciation(sy. . . . . . . . 10,o0 1/�� ro ( )Codicil(s). . ..... . . .. . .. 0, ( ) Affidavit(s). . . . . . . . . . . . tr'1 Bond.. . .. ... . . . . Printed Name: Brandon S.O'Dorm G)-CS Commission. . . . .. . . . . . . . . . . .. Supreme Court rn �a Other - , . . . iD Number: 316575 r- m F" rn T�1 �. .. .. . .. l s. . . . . . . {S Cc> . . About&Kutulakis, P;Firm Name: s� O . . . . . . . Address: 7 Wvcr Hrgh C r t 4 n TI . . . . . .. . C'arlicle PA i�Lf)gi2:�jnm y6 cn� Phone: (7]7)249-0900 00 ni Automation Fee. . . . . . . . . . . . �(' Fax: (717)249.3344 JCS Fec. . .. . . .. ... .. . . . . . �?'3-a Email: Rq{)4AhcauKutulakic com TOTAL, . . . . . . . .. . . . . . . . .. . . DECREE OF THE REGISTER Estate of Kelly Ann Chaesetnan File No: d� !7//, -OR-56 atkla: r /� I ! AND NOW, 3a q- �•in consideration of the foregoing Petition, satisfactory proof having 6een presented before rne, IT 1S DECREED that Letters of Administration are hereby granted to Amy Powers 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 the last Will(and Codicil(s))of Decedent. egisterof W' s /�f Farm RW 02 rev. 1 017 11201 1 �f(J P ge 2 of 2 - p„d,,,,n„,«s ogNd5"tiH RE 1.1x N � o r , m Q, 7.0 M ,gyrn cy a -10 o, ^' xn a in x: RENUNCIATION r M s --q of C7 �` o 0 0 0 -*l -n REGISTER OF WILLS o � -n Z CUMBERLAND . COUNTY,PENNSYLVAN14 —I n' '- rn f-+ r 0j ti � Estate of Kelly Ann Cheesemen Deceased I, Charles W. Cheeseman in my capacity/relationship as Mr6i xN ) Father of the above Decedent,hereby renounce the right to administer,the Estate of the Decedent and respectfully request that Letters be issued to Amy Powers (DaW ) 3 Brown Lane (Secerdddea) Apalachin,NY 13732 (CRr.Stme.rip) Executed in RegWer's Offlee Fxeeuted out ofRegWer's O, ice 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 site executed the remnciation for the purposw stated within on this day of Deputy for Register of Wills otary Public My Commission Expires:(p (SigMme and sal ofNm y«adw.o(iicid qualified to shummerooft Show day ofe:pindun of NotewVa Con mmion.1 i TRACI MASSO s Notary Public-grate of New York Form RW-06 m.10.13-06 No. 01=MA62b7285 Qliaiffied in Broome County My Commission UP.06/08/2017 ly-�Sb Wiz°" m � r Co n -v o r 0 '� yc� � ins _V 1 d RENUNCIATION z cn a ` M ° Cc,> -n REGISTER OF WILLS ° N n CUMBERLAND COUNTY,PENNSYLVAN19 � F-+ co o c+d 'rl Estate of Kelly Ann Cheeseman .Deceased 1, Marcia R.Chewseman in my capacity/relationship as (PrdtManteJ ` Mother of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Amy Powers 1 3 Brown Lane (SftvtAddna) Apalachiu,NY 13732 (cw sraar ZAnl Executed in RegWer's Offlee Emcated oat ofR44ster'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 of r/ / )A I41 Deputy for Register of Wills Notary Public My Commission Expires: 61 eloA9/7 (Sipow and Sal orNoma y wodrroaieW 4mMcd lo adm®i&co98n. Shoe dame ofecpitaton ofWroya Commpaioo.) i TRAMMASSO Notary public-State.of New York FonnRW-06 rev.10.13.06 No. 01446267285 Ouali1`780 in Broome County My Coriimi§sion Exp:06/06/2017 .T). Y F �� • ..l �'.} Vie. . : 7 l LA IF13tIPft.i� ` Y ;AI/i�'r.13r�. w4_Y'C'F!:t1L,3 "as�,.•'s�r� � _ : . _�_-__._--..._- _--.�.nscrasa^�f'Jm�y;le.� `tct,icuz� to n:T f 5* mUwr-+f d 0r.1 fc:t Z.1:I =.iT t<�u�.�s'�d2�T��;.I rU#z�u�rc��i�r?tas��rtf;� rrc�;ss:X47.�rr#loor�te3sdi-rr:�,`�r'�a:x F sras.T tt�rv,8 F. s's4�it1,�`��ara�a51��as�Lnuaa�i3 aCS x`tsta4�R ri5 h3,ua°..x� pct t s: qx. ylte!m hsrt i :bru�.ix sr@ f c nc�csss ( w,rsuTii iu w moog # r a -a rc ixialoffil erg ya&i xr,'ecr, sas x i un t a rir c�clt bstz xs a fa to od tuiz w•itowN,'S'JpS I