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Home My WebLink About06-23-14 Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF C. v►'►�r S.E6Z J,�q.�r h 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 respectfizlly request(s)the grant of Letters in the appropriate form: Decedent's Information \ n � r / �C Name: v)6�6 � v� r �4� V a N �'.S' _ File No: �7 ��Y ��J �� a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: � $'� Date of Death: �:�,� �O �-a I � Age at death: �j'9 �y�£t�Qs' Decedent was domiciled at death in C' v m$E� L�-nr D County,P�N�V-s yZ.v�q rr� A (Srare)with his/her last principal residence at�a ti;��n,�-�- �q�,��,v �4 M,E e t�Rdv i cs B�R a;�A i7o gs 1.nw��t 14f.1.�,v Ca,mB �ftyM, Street address,Po t Office and Zip Code City,Township or Borough County ��.�Sr u L v� �.,LA G £ Decedent died at tiO''�moUr►� �o i-�.F U Gl_ ,�c�.�,&{d �LP.�+v ��Q �'o�r►,$E�L,a.�vt� �� Street address,Post Office and Zip Co e City,Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania.. . .. . . . . . . . ... . . . . . .. . . . . . . All personal property $ � g dp � Q a If not domiciled in Pennsylvania. . . . . . . . .. . . . . . . . . . . . . . . Personal property in Pennsylvania $ If not domiciled in Pennsylvania. . .. .. .. .... .. . . . . . . . . . . Personal property in County $ Value of rea!estate in Pennsylvania.. . .. . .... .. . . . . .. . . . ... .... . . . . . . . . . . . . . . . ....... .. . . .. . $ TOTAL ESTIMATED VALUE. . . . $ 0.00 Real estate in Pennsylvania situated at: �V' � N�E (Attach additionad sheets,if necessary.) Street address,Post Of6ce and Zip Code City,Township or Borough County �, A. Petition for Probate and Grant of Letters Testamentarv Petitioner(s)aver(s)he/she/ttiey is/are the Executor(s)named in the last Will of the Decedent,dated i�� p��L �� and Codicil(s) thereto dated rv State relevant circumstances(e.g.renunciation,death of executor,etc.)� s ,-,� � � 0'+7 � Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was rt6t d}yprced,w�ot a"paz�t�a pending divorce proceedin g wherein the g rounds for divorce had been established as defined in 23 Pa. C.S. § 33��(�a�did not hav'C;a�ild born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. N: t - W ;':; t�r'� ;� � '.:�, � �NO EXCEPTIONS Q EXCEPTIONS ° _ � �� :7 c:� � �,�.� -r� ;:� rJ -�-� � ... `Tl ❑ B. Petition for Grant of Letters of Administration (If applicable) �-� c� . �^'= � c.t.a.,d.b.n., d.b.n.c.t.a.,pendente ltte�,�ante abs�ia,�aIIt�t minoritate If Administration,c.t.a. or aLb.n.c.ta.,enter date of Will in Section A above and e�mplete lisfY�f h�rs� Except as follows: Decedent was not a party to a pending divarce proceeding wherein the grounds far 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 �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 Relationshi Address Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF C U r� � E�,'d_r4 � Q } Petitioner(s)Printed Name Petitioner(s)Printed Address �a B�.42�' - �. 1 s w �v �o vw E �/s- s'o�.`rM 19 r1+ s�-�2.�,�i' � I-1��1.._l.. f' 1 �7 o t The Petitioner(s)above-named swear(s)or affirm(s)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 Decedent,the Petitioner(s)will well and truly administer the estate according to law. Sworn to or affirmed a d subscribed before � Date��— �3 � �v�9 � me i ��day of ,�L� Date B ; Date For the Register ' Date BOND Required: Q YES (�10 To the Register of Wills: FEES' Please enter my appearance by my signature below: Letters.. . . . . . . . . . . . . . . . . . . . . . $ �� Attorney Signature: ( �j ) Short Certificate(s). . . . . . � ( )Renunciation(s).. . . . . . . . ( ) Codicil(s). . . . . . . . . . . . . ( )Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Commission. . . . . . . . . . . . . . . . . . Supreme Court Other . . . . . . . . ID Number: ��il . . . _"-� � (? (��!l. [�_ Firm Name: i V' . . . . . . . . t�j�� Address: . . . . . . . . Phone: Automation Fee. . . . . . . . . . . . . . . ;C Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ , . 6— DECREE OF THE REGISTER ` � - �9�` Estate of ( File No• ��"-'�� a/k/a: AND NOW, �,�� J�,�.� � , �� , in consi erati n of the fore oing Petition, satisfactory proof having been presented before me, IT IS ECREED that Letters r� are hereby granted to � � �1 in the above estate and(if applicable)that the instrument(s) dated described in the Petition be a itted to p obate and filed of r zd as th 1 t Will and Codicil(s)) of Decedent. f Register of Wi 1 � �� ,,�. ��tt�t �i11 �.rt� ��t�tmt�nx I, VIRGINIA I. JOHNS, of the Township of HaZifax, Dauphin County, PennsyZvania, being of sound and disposing mind, memory and understanding, hereby deeZare this instrument to be my Last WiZZ and Testament, revoking any and aZZ z�iZZs by me heretofore made . ITEM I. I direet my hereinafter-named Executor to pay aZZ my �just debts, funeraZ expenses and administration expenses, ineZuding Zn- heritanee and succession taxes, as soon as may be eonvenient after my deeease. ITEM II. I give and bequeath the sum of Five Hundred ($�00. 00) DoZ- Zars to the Matamoras Church of God, HaZifax, PennsyZvania. ITEM III. All the rest, residue and remainder of my Estate, reaZ, personaZ or mixed, of whatsoever nature and z�heresoever situate, I give, devise and bequeath unto my nephew, Robert Eisenhour. ITEM IV. I hereby nominate, constitute and appoint my nephew, Robert Eisenhour, Exeeutor, of this my Last WiZZ and Testament. ITEM V. My Exeeutor is hereby authorized and empowered to seZZ at pubZie or private saZe or saZes aZZ of the �rsonaZ property of �ahich I may die seised and to Zikeu�ise seZl aZZ reaZ estate of which I may die seised and to eonvey the same by fee simple deed or deeds to the same effect that I couZd personaZZy do, if Ziving. IN WITNESS WHEREOF, I have hereunto set my hand and seaZ � � to this, my Last WiZZ and Testament, this /r� day o f a�l��, A. D. , Z973. � �� / ��.:�:,,.c.c�t� � (SEALI Virg '� ia l. Johns WITNESS S: /�� C� � nJ C:� � .' \ C' � r y 1� 3 �,: ca t..,; c> . : , - ; i , . , ; �. .- ~-> , �,,.- ,r ,�a � ca �' c_3 �.Y, z � . w , . , --''` ' - "`' ' ' � - - ' �'7 �.- t� .� ��.� �__� . _ , y + N y t"�i ";`i W ., r.� r��' E'� „ �, � t:J t:� r-� r..� �3 ~�'� "'� c-� « •�z � r -'i � �.= ►-� ::�= � 0 r rn ' =� r y �.� �„ o cn OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS � v►�-�$,��.).ra N ��COUNTY,PENNSYLVANIA Estate of_ _1./1 � G� N / �. � � o`� v�/� , Deceased �� 1 and �r...�t: !/�" /1�� SC �-�0�/� (each)being duly qualified according to law, depose(s) and say(s)that she/he/they was/were well- acquainted with__V 1��,vI ,4 � �J a �--1 rv S and am/are familiar with the handwriting and signature of the decedent, and that the signature of1�IRG /�rl�4� � A� �S to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ��G/�Jt4 �-�n�-1 �S' is in his/her own proper handwriting. � c (Sigr�atui e (Sig a ure) �� rn� � ��i ,� •�� - (Street Address) (Street Addres—s�� P� ,�,�3z � � �� d�� (Ciry,State,Zip) (Cily,Stnte,Z'J N � o � C_.� � � � �..� ':,. .� C-- ��J � Execa�ted in Register's Office r� ,� c'-' N � `� .. �+ ��`7 Sworn to or affirmed and s bscribed '= � ` � � ±; �, before me this � r� day ::--� <a � � � �� o f lV��' , �C�� -=a o _:._ c7 ,;.� � rn � �'�' �" o crt � ` LOL Deputy for R gister of Wil Fornt RW-04 rev. I0.13.06