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HomeMy WebLinkAbout05-28-14 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)th� following and respectfully requests the grant of Letters in the appropriate form: Jessica N. Book Decedent's Information Name: Leonard R Book File No: 21 -14 ,�Q a/Wa: (Assigned by Register) a/k/a: a/Wa: Social Security No: Date of Death: 11M5/2013 Age at Death: 54 Decedent was domiciled at death in Cumberland County, pp (State)with his/her last principal residence at g25 West Trindle Road Monroe Cumberland Street address,Post Office and Zip Code City,Township or Borough County Decedent died at Berwick Hospital Center,Berwick PA 18603 Berwick Columbia PA Street adtlress,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedenYs property at death: If domiciled in Pennsylvania........................ All personal property $ Unknown If not domiciled in Pennsylvania................. Personal property in Pennsylvania $ If noi domiciled in Pennsylvania................. Personal property in County $ Value of real estate in Pennsylvania........... � TOTAL ESTIMATED VALUE$ o 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 Testamentarv � Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated n �Cod�71(�j 'E� C� thereto dated � � a �'�b ��'1 Y7 �,� -C ) .a7 ��,, "� � f N [`�'i (State re/evant circumstances,e.g.,renunciation,death ol executor,etc.) "'�- .��•��� `� Except as follows:after the execution of the instrument(s)offered for probate,Decedent did not mar ,was not divorced,was not a party tq xp�(�ir%g; �;,-�, divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.�§3323(g),and did not have a childbo�npr_, � :,.� -r� adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. '•� C�'? � -�-� t7 C:.7 -w�s ._' __ �NO EXCEPTIONS� EXCEPTIONS EJ �-�= -�= � � ;'�t GG�--f-' �"t ❑X B. Petition for Grant of Letters of Administration (If applicable) -� � � o c.t.a.; . .n.; . .n.c.t.a.;pe ente ite; ura a sentia; urant�p�montate 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. Q NO EXCEPTIONS Q EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Deoederrt left no Will and was survived by the following spouse(if any)and heirs(attach additional sheets,if necessary): Name Relationship Address Amanda C.Stone daughter 214 East Roosevelt Avenue Middletown,PA 17057 Justin C.Book son 506 W.Main Street Apt.3 Mechanicsburg,PA 17055 Jordan S.Book son 119 W.Harrisburg St.Apt 1 Dillsburg,PA 17019 Jessica N.Book Daughter 119 W.Harrisburg St.Apt.1 Dillsburg,PA 17019 See continuation schedule attached Form f�w 02 rev.10-11-2071 Copyright(c)2011 form software only The Lackner Group,Inc. Page 1 of 2 PETITION FOR GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA - ------ -- - ..� Decedent: Leonard R Book File No: 21 - 14 — ��'Q a/Wa: Social Security Number: Date of Death: 11/15/2013 Age at Death: 54.00 Name Relationship Address Debra S. Book wife 212 S. 2nd Street Dillsburg, PA 17019 Oath of Personal Representative o+f���a�use o��Y COMMONWEALTH OF PENNSYLVANIA } } SS: courvn oF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address Jessica N.Book 119 West Harrisburg Street Apt 1 Dillsburg,PA 17019 _ N ' � � � �� � � � —C ^'.:'7 .Z1 '^I TJ, i�" N .e p r, ._ ; , C70 �:'7 '` (J> ` , C-� <�'T � "� � � �'i {.J � --= C7 . �7 CD �_'„. � The Petitioner(s)above-named swear(s)or affirm(s)the statements in t regoing Petition are true and correct to the�est of the knoWT�dge�r1d.�,.� belief of Petitioner(s)and that,as Personal Representative(s)of the D cede t,Petitioner will wel nd truly administer the estate acCbr2ling to law. Sworn t '�ed an s scr' ed before i oate ��$ me t ' a� f ,U/��% Date By Date or Regisier Date BOND Required? � Yes �X No To the Register of Wills: FEES Please enter my appearance by my signature below: ov Letters............................................ $ � Attorney ' ature: (�Short Certificate(s).......... • 0 ( )Renunciation(s)............... - � ( )Codicil(s)......................... ( )Affidavit(s)....................... Printed Name: Duane P Stone Bond.............................................. Supreme Court Commission................................... ID Number: $5715 Other Firm Name: Stone,Duncan&Linsenbach Q � Address: $N.Baltimore Street Dillsburg,PA 17019 Phone: 717/432-2089 Automation Fee............................. • p�' � Fax: 717/432-0158 JCSFee......................................... , TOTAL........................................... $ E-mail: Duane�StoneDuncan.com DECREE OF THE REGISTER Date of Death: 11/15/2013 Social Security No: Estate of Leonard R Book File No: 21 -14 ��— a/k/a: AND NOW, � ,in consideration of the foregoing Petition, satisfactory proof having been pres ed before me,IT IS DECREED that Letters o A ministration are hereby granted to Jessica N. ook in the above estate and(if applicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of record st Will(a d icil(s))of D ent. is r Wi Is Copyright(c)2011 form software only The Lackner Group,Inc. � age of 2 � H105. �- �° ,� 1 � RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Leonard R Book , Deceased �� Debra S. Book , in my capacity/relationship as (Print Name) wife of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Jessica N. Book �e.� � l , � 01 �� h ��a- � �-oo� (oate) �si9nature) Debra S. BOO�( _�� a s _ ari���r� �"�"' (Street Address) C� C� � '�r � � � � c �' r ._ - � t,- «-��... +.�_ `� �` (City.State,Zip) �— !.3_ €..... � C:s C> �'� �--} " r., f"`� � + n�: LtJ �.LL p;� l ,' -�. C] ;... N � „� �( C�= C.`:t �— C.3 � L".� C'� Exe�t�in�gister��ice Executed out of Register's Office Swof�to or�med and �scribed Before the undersigned personally appeared the � party executing this renunciation and certified before me thiG day that he or she executed the renuncia�ion for the of purposes stated within on this "�_day of � f , .� _ � Deputy for Register of Wilis Notary blic My Commission Expires: � a p�� (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) COMMONWEALTH OF PENNSYLVANIA Notarlal Seal Cynthia J.Miller,Notary Public Carroll Twp.,Ywk County P9y Commissicr Er.nires July 9,2016 _ '4c' Fi���i�5 r inid'r..:+S�vi:iHiiuN�r YUihruE$ Form RW-OB Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. / � �� �� a' RENUNCIATION 1 REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Leonard R Book , Deceased �� Amanda C. Stone , in my capacity/relationship as (Print Name) rv daughter of the above Decedent, hereby�ounce th�ght#�j � Q � m administer the Estate of the Decedent and respectfully request that Letters be issued to � � � G� ° � ca Jessica N. Book �� �� �� � f,._, � �_y ('V �_� . �- C70 �V . ��.� ,: . . r,:� c-> 1;.5 �"� �{ .f_� --ii "�7 �7 �= `�': � . � cc� a=: m -�► F�t3 2 5 , Z.O � �/ �70 cr� v' ° oa �r (oate) _ (Signature) Amanda C. Stone a�� E - Rr�se��6+ fl��n� Commonwealth of Pennsylvania (StreetAddress) County of �au,.�,�ai� ►'"��C�C���SJlrl , �"� ���J� 7 (City.State,Zip) Executed in Register's Otfice Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me thiG da party executing this renunciation and certified Y that he or she executed the renunciation for the of , purposes stated within on this�,L`�ay of ��fl Z,aly , 2e�,� � -��-� Deputy for Register of Wills Notary Public My Commission Expires: ��2 -ao tG (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) S3I?1V10N�0 NOLLVIJp$5y yjNy�lA$NN3d'a38W3W 9TOZ'Z aun f saald�uolssiwwo��fW �uno�uiydneo�aog uo��eAoa ���qnd,�e�oN'III auo�s�J l�aqoa IeaS Ip1�e7oN dINd/1l�lSNN3d�O Hllb'3IVINOWWp� Form RW-OB Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. / �� � � �/ � RENUNCIATION REGISTER OF WILS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Leonard R Book, Deceased I,lustin Cody Book, in my capacity/relationships as son of the above Decedent, herby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Jessica N Book. � 0 �C y����� (oate) (Signature) Justin C Book 506 West Main Street Aat 3 (Street Address) Commonwealth of Pennsylvania Mechanicsbur�. PA 17055 County of �c�cy,State,z�p� 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 renun iation for the pur ose stated within on this � a� y �, Deputy for Register of Wills Not Public My ommission Expires: �U`� ��( a�l / � � (� Cl) L,'� � (Signature and seal of Notary or other qualified to administer �� � � I-- oaths Show date of expiration of Notar�/s commission.) C.� " V.�j �; I� � Lr. �.� C7 �;_ � <> `, COMMONWEALTH OF PENNSYLVANIA �W;, �, � � Notarfal5eal �_r �,- +:`;• ' Ka�en L. Patrkk,Notary Public � , °, � �1 ' `� Dillsburg Boro,York County �.� � - � � "`` r_ My Commission Expires July 29,2017 L�" �`�� �"' � "'` LtJ NEMBER,PENNSYlVA1tL4 P.SSOCI0.T?^�J OF NOTARIES C? ..,.., L� A— C+� � ��� � � � la.; � � � � � o � c�., i � �D �'J � RENUNCIATION � REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Leonard R Book , Deceased �� Jordan S. Book , in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Jessica N. Book � =��/!� x (oare) �signatur Jorda . BO ti.. OO Q � � � � -� � '� - _I �q 1� - �I arri�5�'1,�„�5-F . � . / , _ � —� �' (Street Address) !.t_ ° � E.,t_ C"'j �.'r 1,�. ... � � ,- � r.. �.:, - � , = ' �i IlSh�� �c� ��0 iq r� � ,� �,t:; �_� , ,_�f ' (City.State,Zip L�.1 ;..,.. N __.1 � C"•. � � � � � � � � L.3 � p =� GL' [2' '-�--+ � o � N Ex�cuted in Register's Office Executed out of Register's Ofifice Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me thiG da party executing this renunciation and certified Y that he or she executed the renun,�iation for the of , purposes stated within on this ��day of��r�� , � • Deputy for Register of Wills N ry Pubiic My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) COMMONWEALTH OF PENNSYLVANIA Notarlal Seal i Cynthi�J,Miller,Notary Public ICarroil Twp.,York County � P1y Commiss:or,Er.p:res July 4,2016,_ ''`�F �:'..{����:IY�I''JiL'VN�diNMSJV�.1HYlUrdl�Yi�lIJIMK:ES Form RW-06 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA ADMINISTRATION ., .� � No. 2014- 00520 PA No. 21- 14- 0520 Es ta te Of: LEONARD R BOOK (First,Middle,Last) La te Of: MONROE TOWNSHIP CUMBERLAND COUNTY Deceased Soci al Securi ty No: WHEREAS, LEONARD R BOOK (Fiis7,Middle,Lasl1 late of MONROE TOWNSHIP CUMBERLAND COUNTY died on the 15th day of November 2013 and, WHEREAS, the grant of Letters of Administration is required for the administration of the estate. THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, have this day granted Letters of Administration to: JESSICA N BOOK who has duly qualified as ADMINISTRATOR (RIX) of the estate of the above named decedent and has agreed to administer the estate according to law, all of which fully appears of record in my office at �CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. o U, !�c r1, ,..r �T TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal G.� .~1 r.� �f � off�e�.�on the 28th day of May 20�4. � r r � � r'� � c,� �. c; ,. l,d e r,J � � ,�.; �, `� ! �� i � � f .,�� � .- 1 �C.., s�.� � t'� � �� '� .l� ��''� •�..�!�� �....� Cw �.,,`` � ' r ,;;� .�y4 '� Regis ills �° CJ . �.,,� 1 `a� •,.,, �.,,.r l_„,.. �..e� Lj 47 c�, �,,� ,� C,,.. �, l �) � � � � N ' '! .,9 • p ) ,('� � � � �� T.� �1� . � " �, E,, ..._, F'' f'` �3 ! � O .: _ Deputy ,/ .. ,..�..,.:s 0 °3 '' � > � �`y / **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE. LAST)