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06-17-14
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: Dale E.Smith Sr File No: aWa: (Assigned by Register) aWa: a/kla: Social Security No: Date of Death:March 20 2014 Age at death:57 Decedent was domiciled at death in Cumberland County,Pennsylvania (State)with his/her last principal residence at 6200 Wertzville Road Enola Cumberland Street address,Post Once and Zip Code City,Township or Borough County Decedent died at 6200 Wertzville Road Enola 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 domiciled in Pennsylvania....... ..................... All personal property $ 45,000.00 If not domiciled in Pe nnsylvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ......... .. . .......... Personal property in County $ Value of real estate in Pennsylvania.. ........--... $ 300,000.00 TOTAL ESTIMATED VALUE. ... $ 345.000 00 Real estate in Pennsylvania situated at:6200 Wertzville Road and 6033 Werzville Road Enola Cumberland (Attach additional sheets,i(necessary) Street address,Post Office and Zip Code City,Township or Borough County ® A. Petition for Probate and Grant of Letters Testamentary Petitioner(s)aver(s)hetshelthey istare the Executor(s)named in the last Will of the Decedent,dated September 3, 1998 and Codicils) thereto dated Not applicable 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 marry,was not divorced,was not a party to apending 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 born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS a EXCEPTIONS El B. Petition for Grant of Letters of Administration (if applicable) c.t.a.,d.b.n.,d.b.n.c.ta.,pendente Ike,durance absentia,durance minoruate If Administration,c,ta. or d.b.n,c.ta.,enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent 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 was neither the victim of a killing nor ever adjudicated an incapacitated person. 0 NO EXCEPTIONS ©EXCEPTIONS Petitioner(s),after a proper search has/bave ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach additional sheets,if necesar}): tv Name Relationship Address cm -mac ;i7 r;, 3 v cn Form RW--02 rev.1011112011 Page 1 of 2 Oath of Personal Representative official Use Orly — COMMONWEALTH OF PENNSYLVANIA ) } SS: COUNTY OF Cumberland ) n o o _ Petitioner(s)Printed Name Petitioner(s)Printed Milk c� � n Gary Smith 4009 S.E.43rd Circle Ocala FL 34480 s F + t i zj co 'j .1 „ c c�� l -:3 n � r The Petitioner(s)above-named swcar(s)or affirm(s)the statements in the foregoing Petition aremqe and correct to the best onM knowledge and belief of Petitioner(s)and that,as Personal Representative(s)of the Dec m,th Pet er wilI and truly administer the estate according o law. Sworn to or affirmed and subscribed before zl� Date C !1 !+'/ me this //""' da of dt0/t/ / Date By: _.L °s azt� � 5.5'30-T92,_57/-Q5'/_ 0 AL2Fteers Date For the Register tt�pg u Date DA1110 id LLara l4WY`V i3.QyND Required: Q YES Q NO To the Register of Wills: FEE Please enter my appearance by my signature below: Letters. . .. . ... . .... ... . . .. $ Attorney Signature: ( )Short Certificate(s). . . . . . ( )Codicil(s). . . . . . . . . . . . . �. { )Affrdavit(s)... .. . . . .. . . Bond.. . . . . . . . . .. . . . . . . . . . . .. Ptin�ted Name: Mark T.Silliker Commission. . . . . . . . . . . .. . Suprem'h^Court Other . . . .. ... ID Number_. ` 33671 Firm Name: Silliker&Reinhold . . . . . . . . Address: 5922 UnglestoZnRoad .. . . .,. . Harrisburg,PA 1711 . . . . . Phone: (717)671-1500 Automation Fee. * . . .* . ... . Fax: (717)671-8968 JCS Fee, . . . _ . _ . . . . . . .. . .. Email: aillikerlawtiGOmcast net TOTAL. .. . .. .. .. .. . ... . .. . $ (Up DECREE OF THE REGISTER Estate of Date E.Smith Sr. File No: 41'14--1 -tai _ a/k/a: AND NOW, < )UIU 17 -gcyl in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters L1—__ are hereby granted to ,`ti S 1—f P, C h t i bb � AID erne l t n ru rjrA A� ----T^ in the above estate and(if applicable) that the insttvm nt(s)dated described in the Petition be admitted to probate and filed of record as the last Will'(and Codicil(s))of Decedent. agist�s Form RW-oz rev.1011112011 QJAP Page 2 of 2 lennon ror dram or t etterS.par http://www,daupWncounty.oTWonlinetbrms/Petition for Grant of Letters.pd Oath of Personal Representative Officirl use Only COMMONWEALTH OF PENNSYLVANIA ! ! SS: COUNTY OF Cumberland ! Pctitioner(s)Printed Name Petitioner(s)Printed Address Kristy A. Chubb 6033 Wertzville Road, Enola, PA 17025 Jean Hake 76 Beard Road, Mechancisburg, PA 17050 Gary Smith 4009 S.E. 43rd Circle, Ocala, FL 34480 The Petitioner(s)abovc-named swcar(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioners)and that.as Personal Represcruativc(s)of the Dct. ent,the it(o s)will well and truly administer the estate according to law. Sworn �eFor�7 Date me hiisto or a'da)a land subscr 1 _.._..._—.. Date By . to For the Register._ IC BOND Required: `t YES q'itt0 To the Register of Wills: FEES: Please enter my appearance by my signature below: Lclln/tors..... . .. ... ......... f Attorney Signature: t �Cr'i )Short v ificale .. .. . . t 4 ( )Rcnunial ation(s)... ...... ( )Codicil(s). . . . .. . . . . .. . . t )Affidavit(s)...... ,. ..,. Bond... .. . . . . .. . .... . . ... .. . Printed Name: Mark T. Silliker, Esquire Commission. .. .. ..... .. . Supreme Court Other .. .... . . ID Number: 33671 1/~;i i l I... I ... j RVP_r14&4 ..... . . 15 Firm Name; Silliker and Reinhold flee izt`m, ... .. .. lFi Address: 5922 Linglestown Road ftwakft . .. Harrisburg, PA 17112 L ... . . Phone: (717)671-1500 Automation . . . .. ...... ...... Fax: (717)671-8968 JCS FCC. . . . . . . .. .. ... ... .. .. Email: sillikerlawancomcast.net TOTAL. ... .. ... ...... ...... S !t�• 5 N c> m � o c_ GG- C) vr- t-� rn M w -n <n r- rn cn c o an � cn -n Fom,RW-02 lrr.101,11,7011 Page 2 of 2 of 2 3/8/2013 4:44 PM