HomeMy WebLinkAbout06-24-14 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF /'/� I+4 ' g4 Art 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 (formation
Name: o (n� escA } IC�G l File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: Age at death:
Decedent was domiciled at death in 1,04 Ip�' County, (State)with his/her last
principal residence at ���_ • r cp 5a) I �{j J end /� �6 )/�sVr
Street address,Post rice and Zip Code City,Township or Borough -1� County '
Decedent died at f 13[ SD N t rlfo � UJeS�lI�_X,4,5 cod d 1 ou a57a c/J Cc 4* eY/
Street address,Past Off a and Zi Code 'City,Township or Borough County t Statee w
Estimate of value of decedent's property at death:
If domiciled in Pennsyl vania...... ..... . ................ All personal property $ y�
If not domiciled in Pennsylvania. ...................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsyl vania.............................. .............. ............. $
TOTAL ESTIMATED VALUE. ...
Real estate in Pennsylvania situated at: -
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough ry County
0
c7 s rrI
❑ A. Petition for Probate and Grant of Letters Testamentary M cl
Petitioner(s)averts)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated n wand Codioi(s)
thereto dated _ c n
f,1
State relevant circumstances(e.g.renunciation,death ofexennor,etc.) OI _=
r 'JI��
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not diyosc9nd v not qty to�ertging
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(gi,pnd:did not hiMa chtld.ber_n or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. tV r m
❑NO EXCEPTIONS ❑EXCEPTIONS W
�1—
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n., d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.t.a. or d.h.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 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.
®NO EXCEPTIONS ❑EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse f fany)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
fh&ek) arro r 04 4Yal 7 t;.v >7 Aw P l 3
f nnerut
l d"re
4plt yob
For,.,aw--oz ,-ev.I0/11/20(1 Page I of 2
Oath of Personal Representative Official use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
�� _ 4 No .o 9t S���I}a e> ,� 1X11
The Petitioners)above-named swears)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 of armed and subscribed-b�e�fo��r�e leaf ( Iy Date 4a a 3 /
me this day of { ne- 20lLf Date
By: (/Ir-Thr}r7 Date
For the Register Date
BOND Required:AYES ❑� NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . .... . ... ........... $ Attorney Signature: O o
( 3 ) Short Ccrtificate(s). . . . . . 15 _ O rn rr
( 3 )Renunoiation(s).. . . . . . . . lS r a c
z
( }
Codicil(s). . .... . ......
{ }Affidavit{s}.. ... . . ... . .. . . ... . .
Bond.. . . . . . . . . . . . . . . . . . . . . .
Fr
Printed Name: .,)
Commission. . . . . . . . ... .. . .... Supreme Court n ® —0 -sy
Other"1 ID Number:
11G11 Z►'�/ . . . . .. .. r� �^ ) t >r�'y r= n
1 V'11'1.'('LlX• Vlr.7. . . 1� Firm Name: J t24r��G1 J -k,� c-Y✓ C� 5
-n
r pt rAJr�/ ,
. .. . . . .. Phone:
Automation Fee. . . . . .. . . . .. . .. �j Fax: q 3—� ��f1
JCS Fee. . . . . . . . . . . . .. . . #pC- Email: ,J w
TOTAL.. . . . . . . . . . . . . . . . . . . . . $ 1
�
j
DECREE OF THE REGISTER
Y
Estate of leoecC� K-t JY ?� File No: ') t " ,4 ^(�Q l
alk/a:
AND NOW, in consideration of the foregoii g Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters PNd it,Lsty I r3-,
are hereby granted to �i01 I'* �a . le-oh t C,
in the above estate and(if applicable) that
the instrument(s)dated
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
Register of Wills
For,,,Rw.na ,v. 1011112011 Page 2 of 2
RECORDED OFFICE OF
REGISTFR LF 't'tILLS
2014 JUN 24 PM 12 88
RENUNCIATION
p CLERK OF
REGISTER OF Wll�] SRPHANIS• COURT
Cumberland urA8ERL 1.ND CO., PA
COUNTY, PENNSYLVANIA
Estate of Rebecca J. Kohl Deceased
I, Garth James Kohl 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
Robert S. Kohl,II
:3k) b
(Date) (Signature)
9386 S. Heywood Court
(Street Address)
Summerville, SC 29485
(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 t
before me this day party executing this renunciation and certifiec
of that he or she executed the renunciation for tht
purposes stated within on this IQ 4'�" day
of AA0,4-cbt
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified Iolsufn%
administer oaths. Show date of expiration ofNota ,
JQa.•�tA%' �F�c
Form R{V-06 rev. 10.13.06 *21-aw
RECORDED OFFICE OF
REciSTER OF FILLS
RENUNCIATIOl ly JUN 2`I PM 12 58
REGISTER OF WILLS CU CLEI'K OF
Cumberland COUNTY, PENNWELVWN COURTI
CgMBERL,4i41O CO., PA
Estate of Rebecca J. Kohl
, Deceased
1, Donna Lea Eaken in my capacity/relationship as
(1'rmt Nanre)
Daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Robert S. Kohl, 11
Uate)
( r
Sig azure)
31207 N. 60th Street
(Street Address)
Cave Creek,AZ 85331
(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
before me this "o 2 tk day party executing this renunciation and certified
of M O rc.l , o^,D) that he or she executed the renunciation for the
purposes stated within on this a7 day
of � �
c(ti �0 )
� Z6 . _
Deputy for Register of Wills Notary Public JoMc� 1 uMphety s
My Commission Expires:
(Signature and Seal of Notary or other official/qualified to
administeroalhs. Show dale of expiration ol'Notary's Commission.)
@1,-V DONNA F.HUMPHERYS
Notary PU6licSWla of Arizona
MARICCPACOUNTY
Form RW-O6 rev. !0.!3.06 MY Commission Expires
Jul 10.2015
RECORDED OFFICE OF
RENUNCIATION REGISTER CF MILLS
2014 JUN 24 PM 12 58
REGISTER OF WILLS CLEIitC OF
Cumberland COUNTY, PENNS CY L.�IANIA
i, COURT
CUMEERUND CO., PA
Estate of Rebecca J. Kohl
Deceased
I, Karen Kathleen Hoerner in my capacity/relationship as
(Print Name)
Dau¢hter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Robert S. Kohl,Il
(D !e)
(Signature)
757 Pine Street
(Street Address)
Steelton,PA 17113
(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
before me this day party executing this renunciation and certified
of that he or she executed the renunciation for the
purposes stated within on this 10111. day
of rn rzA., 201
Deputy for Register of Wills Not ublic
y Commission Expire s: Q —a5 —a1Sf�
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commssion
COMMONWEALTH OF PENNSYLVANIA
Form RW-06 rev. 10.13.06 NOTARIAL SEAL
Jennifer M.Wilson,Notary Public
City of Harrisburg,Dauphin County ;.
My commission expires April 25,2017 L��V�.
_Avonl
ATTORNEY AT LAW
126 STATE STREET•HARRISBURG,PA 17101
PHONE:(717)233-8757,-FAX:(717)233-5860
EMAIL:,joseON'd-ixonlaw@gmail.com
www.jdixonlaw.com
ry
June 23, 2014 52 o n
^ o c_ rD
c 'O c- _ o
CD
Lisa M. Grayson, Esq.
Register of Wills & Clerk of Orphans' Court '= ) ca
1 Courthouse Square ' = a " -n
Suite 102
Carlisle, PA 17013
_n
Dear Ms. Grayson:
In follow-up to the visit 1 had at your office this morning with my client, Robert Kohl, I
would like to submit the following documents for filing concerning the estate of the late Rebecca
Kohl. I am enclosing herewith the Estate Information Sheet; Petition For Grant of Letters; the
death certificate of Rebecca; and three fully executed renunciations on Mr. Robert S. Kohl's
siblings.
I am also enclosing a check in the amount of$118.50, as well as a worksheet provided to
us this morning.
Please process the enclosed documentation and forward to me, when available, the letters
of administration and short certificates. Thank you for your kind consideration.
Very truly yours,
Joseph J. Dixon
JJD/ks
Enclosures: 9
c. Robert Kohl
r
`I
ATTORNEY AT LAW
126 STATE STREET
HARRISBURG, PA 17101
n �
(D C
n
C s J m
O A C G
w m R° rTJ nTn z s
CJ
C�.a iir:-i rr� m
CD
c7 CD 'II -n m
O c") a m -3 `I
O
a c.-, cn o
w � m
C�
0
c
a
DON UN�T�
MO 9A
OT w
�N
O V'
D'o , a
❑Iwo
'O �7yl`II