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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