HomeMy WebLinkAbout06-02-14 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:
Decedent's Information /�.� �i
Name: MATTHEW DAVID LINGO File No• �� �� `J �°
a/k/a: . (Assigned 6y Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 5/24/2014 __ Age at death• 25
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State)with his/her last
principal residence at 103 MAY DRIVE. APT. 4 17011 CAMP HILL BOROUGH CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 103 MAY DRIVE, APT. 4 17011 CAMP HILL BOROUGH CUMBERLAND PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedenYs property at death:
IfdomiciledinPennsylvania................................All personal property $ 58,8�0.��
If not domici[ed in Pennsy[vania.............................Personal property in Pennsylvania $
ljnot domiciled in Pennsylvania.............................Personal property in County $
Value of real estate in Pennsylvania.............................................................. $
TOTAL ESTIMATED VALUE.... $ SH,HOO.00
Real estate in Pennsylvania situated at: N/A
(Attach additlona(sheets,ifnecessary.) 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)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,deatlr ojexecutor,etc.) o �
f'� s ;,'FJ C�'y
G t"�'t�
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divc�ee�as not a patty to a;�,e g
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and�Td ne�have a ct�orn Drj ;�
,:
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. �T� _.�_ C' �-d �a
❑ NO EXCEPTIONS ❑EXCEPTIONS r�+ y� �� � ��i� �'
cr. = :.:� �
� � � � :.p.� -rr
� B. Petition for Grant of Letters of Administration(Ifapplicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,d�r�nt bs�etia, �ante ir�i;,no�rte
� rn
If Administration,c.�a. or d.b.n.c.t.a., enter date of Will in Section A above and com lefe list of heirs� � o
-�
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had b'e�en established�efined
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,if necessary):
Name Relationship Address
3508 DELWOOD DRIVE
SUSAN B. LINGO MOTHER MECHANICSBURG PA 17050
3508 DELWOOD DRIVE
ROBERT S. LINGO FATHER MECHANICSBURG PA 17050
i �
Form RW-02 rev./0/l1/201/ Pag'e 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
3508 DELWOOD DRIVE ,�,
SUSAN B. LINGO MECHANICSBURG � P q 70 �
"� � L fj n
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;17 iy i_.._ ,n-.t �y
_ f''i � t°�'! t`�°I
t..7 • w , ': C�7
� C7 � '�'F -"+1
C� C= _.._
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition aze true and correct to the best of tt�knowled�nd bFliefrn
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s) 71 well and truly administer the�ate accordin�law.� Q
Sworn to �ed bscribe efore �
me this " �ay , 014 Date �
Date
By:
Date
or t egister
Date
BOND Required: ❑ YES ❑ NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
2 .b�
Letter ....................... $ °' Attorney Signature:
( �Short Certificates(s) ... . . . d
( /)Renunciation(s).......... � DO ��'�'
( )Codicil(s) .. ......... . . . ��� .
( )Affidavit(s)........... . .
Bond Printed Name: SUSAN H. CONFAIR
Commission .................... Supreme Court
Other ,,,,,,,,_ ID Number: 70241
� '�� ' ' ' ' ' Firm Name: REAGER &ADLER, PC
��...
.00 Address: 2331 MARKET STREET
-" "�"" CAMPHILL PA 17011
'''' '' • •• Phone: 717-763-1383
"'���••• Fax: 717-730-7366
i' . �
Automation Fee .......... .. . . . . . .- Emaii: SCONFAIR@REAGERADLERPC.COM
JCS Fee ............. .......... .
TOTAL................. . . . . .$
DECREE OF THE REGISTER
Estate of MATTHEW DAVID LINGO File No: �J������
a/k/a:
AND NOW, � , ��� , in cons erati o the faregoi Petif n,.
satisfactory proof h � g been presented before me,IT IS C ED ette s . � i / �
are hereby granted to
in the ove estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of record s the last Will(and Codicil(s)) f ecedent.
' er of Wills
Form RW-02 rev.l0/lU20/1 -
Page
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1
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RENUNCIATION � �-� �
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—F- C,� ._.� C7
REGISTER OF WILLS =°� �. r� '°`� r"
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CUMBERLAND COUNTY, PENNSYLVANIA.:� � � " . �:;;� °
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Estate of MATTHEW DAVID LINGO , Deceased
I, ROBERT S. LINGO , in my capacity/relationship as
(Print Name)
FATHER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
SUSAN B. LINGO
�/ z/2� � t� -� v�'t-�
(Date) (Srgnature)
3508 DELWOOD DRIVE
(Street Address)
MECHANICSBURG PA 17050
(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
befare me this day party executing this renunciation and certified
of , , that he or she executed the renunc' 'o��6r the
purp s stated within on this day
of , 2014 ,
.
Deputy for Register of Wills o Public
y Commission Expires:
(Signature and Seal of Notary or other official qualified to
admmister oaths.Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
a
No. 2014- 00538 PA No. 21- 14- 0538
Estate Of: MATTHEW DAVID LINGO
lFi�st,Middle,Lasil
La te Of: CAMP HILL BOROUGH
CUMBERLAND COUNTY
Deceased
Soci al Securi ty No:
WHEREAS, MATTHEW DAVID LINGO
(First,Middle,LasU
late of CAMP HILL BOROUGH CUMBERLAND COUNTY
died on the 24th day of May 2014 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:
SUSAN B LINGO
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, a11 of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
�of mya offi ce on the 2nd day of June 2014.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)