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
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(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 _
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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
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� 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
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(oate) �si9nature) Debra S. BOO�(
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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 _
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a' RENUNCIATION
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REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Leonard R Book , Deceased
�� Amanda C. Stone , in my capacity/relationship as
(Print Name)
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daughter of the above Decedent, hereby�ounce th�ght#�j �
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administer the Estate of the Decedent and respectfully request that Letters be issued to � � � G� °
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Jessica N. Book �� �� �� �
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(oate) _ (Signature) Amanda C. Stone
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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
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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.)
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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.
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(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 /
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�� � � I-- oaths Show date of expiration of Notar�/s commission.)
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�W;, �, � � Notarfal5eal
�_r �,- +:`;• ' Ka�en L. Patrkk,Notary Public
� , °, � �1 ' `� Dillsburg Boro,York County
�.� � - � � "`` r_ My Commission Expires July 29,2017
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� RENUNCIATION
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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
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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,_
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
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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.
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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.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE. LAST)