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Home My WebLink About06-30-14 PETITION FOR GRANT OF LETTERS �� _.,, T � � -�- ;r~� r� REGISTER OF WILLS OF �(,(,�'li1 b�^ ,C11�C� COUNTY, PEN��`,i,VANI� .a � � , w � : r> � Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters,as ��'speci�f ed�low, a'nd in support thereof aver(s)the following and respectfully request(s) the grant of Letters in the a ro„riate form: `y Pp. � , , �,;. ZI_/�_ Decedent's Information s :�> - � , � Name: � ,i � �;a ,-; � ° -:�? a �/..J � � �' � � File No: � °� � c; a/k/a: , Q, [-�r,�� (Assigned..b`y-�egister) r- a/k/a: �„ � �n c� -*t� ��a' Social Security No: v�� Date of Death: -� ;`i,l�L� �,C7 i Age at death: � / � Decedent was domiciled at death in C i�t,liv� „ iL�'�a,(,t�County, ��,�I y�SY'� V C�j srare)with his/her last principal residence at � T� G Q,Y)t"�,, C. i S �. f� �_T . , � , Street address,Post ftice and Zi Code N r �� 1�;� I' P City,Township or rough unty Decedent died at �o�y SP�^i�' t�oS�A�TaI . S0� (�;; '��'�". 1�1� �'{7 �� Pl�' ��C1�( Street�ddress,Post Office and rLip Code Crty, 1'ownsHip or Borougfi � County State Estimate of value of decedent's property at death: If daniciled i�:Pennsylvania........................ .... All personal property $ a 50 If not don:iciled in Pennsy[vania. ....................... Personal property in Pennsylvania $ If not don:iciled in Pennsyh�ania. ....... ... ............. Personal property in County $ I�ttlue of rea!estate in Pennsy[vania....................... .................................. $ p 0 p � TOTAL ESTIMATED VALUE. ... $ �p 5(�� 3) ' ��, ;� n � , Real estate in Pennsylvania situated at: � �� e �C� (,3 , ^ r . J (Attnch additionnlsheeu,i/nemssary.) Street address,Post ffice and Zi Code 0.N/` P City,Township o Barough C nty ❑ 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) tl�ereto dated State relevant circumstances(e.g.renunciation,death afexectttor,etc.) Except as follows: after the execution of the instrument(s)offered for probate Decedent did uot marry,was not divorced,was not a party to a pending divorce proceediug 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;aud Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ❑EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) c.t.u.,d.b.n.,d.b.n.c.t.a.,pendente lite,durunte ubsentiu,durmzte minoritute If Adminish•ation,c.t.a. or d.b.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 tl�e grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g)and was neither the victim of a kiiling nor ever adjudicated an incapacitated person. �NO EXCEPTIONS �EXCEPTIONS — Petitioner(s),afrer a proper search has/have ascertained that^e.:edent left no Will and was survived by the following spouse(if any)and heirs( . uch udclitionul sheets, if'necessury): Name Relationshi Address (�e��:.�.,r�. , (' � - � 13�� iet;af�-�� P aGe. �� 0 � C �jG�f y I Qf � 8re� J �'�JI GtV10V r 5}�, , ��af3 P�B 3� n F�,-,�,nw nz �-��.tniuizn�! Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF �� } Peritioner(s)Printed Name Peritioner(s)Printed Address �e.becca � C .—S t 308 G� c�v' ac2 Ttb o �3�3 The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Perifion are hve and correct to the best of the knowledge and belief of Petitioner(s)and that,as Personal Representative(s)of the ent,the P tione s)will well and trul ' ister the estate according to law. Sworn to affirmed d subscribed before. `i��K��` Date�� me thi Q a' ,,�QL� Date By_ Date Register Date BOND Required: Q YES Q NO To the Register of Wills: FEES' Please enter my appearance by my signature below: . p� � Letters. .. . . . . . . . . . . . . . . . . . . . $ Q Attomey Signature: c�-_- � �=� t'�rl 2 -:�_ � �`., c-� ( )Short Certificate(s).. . . . . • � ''' �� - <w�? -� ( )Renunciation(s)... . .. . . . •O O r=i `� �.., " � � ._� ( / ) O. . . . . . . . . . .. . ::: , � � r c°::5 Affidavit s ,� '_" O °=—n-� � ) � ).. . . . . .. . . . . Bond... . . . . . . . .. . . . . . . . . . . . . Printed Name: .:. , .-� .. . ,.._, _ _ Commission. . . . . . . . . . . . . . . . . . Supreme Court �.� � �f' � '� :� ` -� ..,.- � Other . . . . . . . . ID Number: <:::> �==- "`- � � � � � tr`1 .. , , , , Firm Name: �� "' � �_ ,, , , , , Address: � Phone: Automation Fee. . . . . . . . . . . . . . . Fax: JCS Fee. . . . . . . . . . . .. . .. . . . . . � � Email: TOTAL. . . . . . . . . . . . . . . . . .. . . $ '�� . DECREE OF THE REGISTER Estate of I�a l�� /7• .U��l� _ File No� �� "� �L� l�-� a/k/a: --� AND NOW,��-I �`1 �" �" , �� ,in consi ratio the fore o g Pet,.�iti,o,n�,� satisfactory proof having been pf sented before me,IT IS DEC ED that Letters � ��,1 � v/ � are hereby granted to � - � � in the above estate and(if applicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of rec rd as the last Will(and Codicil(s))of Decedent. '�(�,�� °�'1� gister of Wi s � �^ �n �/��,�,. U � Fo�nw oz rev.10/I1/2011 Page 2 of 2 �.��; � �ro,�,�,�.�.�. � �_�.. ,. u. � ,t_ 1/ . . .. . . . .. . .. . .. � / �� rv � �� RENUle1CIATION `== -� �"� �`� ,.� � .� c_ ,' c-'� � ,_-, � . . �n> � z �:a REG STER OF WILLS � ' � v W ` "' �� ' , �. COUNTY,PENNSYLVANIA, _ � � ��, � ._., � , . < �;�..9 � �� ;-j t...,.' '... •_. ..� �� ,� �� ..� '9 s..,.... �'.,;.� j�:a l�+^� :s� � v i � Estate of_ 1�� ,Q� �, � �^�(/�.� , Deceased I'— �S �(�n� �� "'�� , in my capacity/relationship as (Pnnt NameJ -- � � of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to _ D�� r �-' .�-� �C 1�t�4--.1��r� �� 5��'��' r � � � , � ��/�,� (Datc) �4�"- `' (S�gnature) ��'l (U � ��6v�� ' S� (Streel Address) � � � � (Ctty,Sta1e.ZipJ� �� Executed in Register's Office Executed out ofRegister's Offrce Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day parly executing this renunciation and certified of , that he or she executed the renunciat��for the purpo es stated within on this�_day of eva , 2r�i� Deputy for Register of Wills ta ub ' My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Nor�i�u sE� BETH E BREAAA Not�ry PuWk Form RW-06 rev. 10.13.06 LIS�E BOROUGH,CUMBERLANO COUNTY My Commiasion Expires Mov 24,20/4 REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA ADMINISTRATION RT No. 20�4- 00613 PA No. 2�- �4- 0613 Es ta te Of: RALPH ADAM BREAM (First Middle,Lasil a/k/a: R A BREAM Late Of: C�MBERLAND COUNTOWNSHIP Deceased Social Security No: C� �.� -�`�;�i C� � �' � ; WHEREAS, RALPH ADAM BREAM rn�':' � ��'� ,� (First,Middle,Lastl �: �"' - ��r � � � : a/k/a R A BREAM z �` = �' C�J,,'.. 'T3 `r__� late of NORTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY �;�� -� ;_� ��`,�, �`=�. � �— di ed on the 2nd day of February 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: REBECCA A CHAPMAN-SELLMAN 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, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the �4th day of August 2014. '...,/�' � k�.` - , - ,� , � , - ,. �4 ,� .� � ; / / I/,, ! ; ., � . ,��f �_4 C ,_ �_ _.� Register�Wills , /QII/ � ^ 5 7� ` fr , . `'`_�^� �/'\. fr `�C .�" �. ��1 �� \..f� � �% � � D.e� l' �.\. � ) `i **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)