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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: Richard W. Smith,Jr. File No: 2I ' I q — 0 39
�
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 11/8/2012 Age at death:52
Decedent was domiciled at death in Cumberland County,Pennsylvania (stare) with his/her last
principal residence at 621 Mill Race Court Carlisle PA 17013 (cumberland county)
Street address,Post Office and Zip Code City,'fownship or Borough County
Decedent died at 621 Mill Race Court Carlisle PA 17013
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
Ifdomiciled in Pennsyl vania.. . . . .. . . . . . .. .... . . . . . . . . . . All personal property $ 100.00
If not domiciled in Pennsylvania. . . . . . . . . .. . . . . . . . . . . .. . Personal property in Pennsylvania $
If not domiciled in Pennsylvania. . . . .... . . . . . . . . . . . . . ... Personal property in County $
Value of real estate in Pennsylvania., . . . . . . . . . . . .. .... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. ... $
TOTAL ESTIMATED VALUE. .. . $ 100.00
Real estate in Pennsylvania situated at: none
(Attach additional sheets,r/'necessary.) Street address,Post Office and Zip Code City,Township or Borough County
❑ �/ P
A. Petition for Probate and Grant of Letters Testamentary ?;
Petitioner(s)aver(s)he/she/they is/are the EXCCntor(s)named in the last Will of the Decedent,dated Co-r) an�Kodici��g),
thereto stated
I" r• . rT:
State relevant circumstances(¢.g.renunciation,death ofexefutpr,etc.) i 1-1
nLJ '7l ::,
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced�w sdn�ot a par yioa pending`f?
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. § 3323(g),and did'=vi have a cdhihl born�or C
adopted:and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q d•O C
—r�
Q NO EXCEPTIONS Q EXCEPTIONS
❑✓ B. Petition for Grant of Letters of Administration (Ifapplicable)
c.i.a.,db n.,d.b.a c.i.a..pendente lire,durance absentia,durance minorimte
If Administration,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 the grounds for divorce had been established as defined
in 23 a.C.S. §3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS O 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 Relationship Address
Penny Smith Spouse 621 Mill Race Court,Carlisle,PA
Jennifer Bonner child 3064 0ttJA0Mf") �L. N .3
MA_t.t/ vw.�S 113: C P� t7b16
Richard W. Smith, Ill chilli tN
S°O °l3 S 2 61
Form nw-o2 rev. /0/1112011 Page 1 of 2
Oath of Personal Representative Official Use only
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF. Ciumb it t-and i
Petitioner(s)Printed Name Petitioner(s)Printed Address
Pennv $ " t m r A 6-t eilrh's te At 70
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 Dec;cdp the Petitioncr(s)will well and truly administer the estate according to law.
Sworn to U affirmed arid slibscri bed before ssr A01 Date ? /
me t is da V of I Date
By. Date
r the Reg,s er Date
BOND Required: Q YES Gr NO To the Register of Wills:
FEES: c Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . . . . . . . . . . . S 2v Attorney Signature:
( ) Short Certificate(s). . . . . . t V
( � ) Renunciation(s).. . . . . . . . IU
( )Codicil(s). . . . . . . . . . . . .
( ) Affidavit(s). . . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: David Joseph Chapman,Esquire
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 209519 E:) 4
i oh L{2JYln IS BOO n l�
I/1tA t 0 IS Firm Name: Schmidt Kramer PC 122 n e_ r1.
. . . Address: ?09 State Ct[QQI Tl <'= r� <'7" �~
Harrisburg PA 17101 �---1
Z�
X1
. . . . . Phone. 717 232 6300 O�{� "" =?
Automation Fee. . . . . . . . . . . . . Fax: 717 232 6467 1"'' •• {'
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: j(-hapninn@schrni(Itkram 'r)m O
TOTAL. . . . . . . . . . . . . . . . . . . . . S 8"00
DECREE OF THE REGISTER
Estate of Richard W Smith,Jr File No: a
a/k/a:
AND NOW, 11 _ 2 iu in consideration of the foregoing Petition,
satisfactory proof having been yu
presented before me, IT IS DECREED that Letters N Ai')IC IlC fl(ffi
are hereby granted to �enaj 56,j
in the above estate and (if applicable) that
the instrument(s) dated N
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
Register of Wills
Furm RW-02 rep'. 101112011 e 2 of 2
RENUNCIATION
C-) _- n
C
REGISTER OF WILLS
COUNTY, PENNSYLVANIA ? 'c
CDC-
O(- LV CT
C n O
Estate of . S-0A F-1,/f j7Z Deceased
I, rjSA;Nt F/'/2- 96NAIISrl in my capacity/relationship as
('Print Name,)
D.4 oe7 *f'19 fL of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
rig/j l srnrrµ
Ju
(Date) n rtrreJ
(Street Addrevs) .y,_ ^
(City,soov,Zip)
CO R+MOTW2d/t.�N OX, f'NNiy L„N(A rQ1 A
Go�nY�l os Gu•+"IBerL(Yn�
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 —1 4-"' day
of 7u a o 19
Deputy for Register of Wills Notary Public
My Commission Expires: 14 k�)3 P f)
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date ofexpiration of Notary's Commission)
Commonwealth of Pennsylvanla
NOTARIAL SEAL
Form RIJ�06 rev. 10 13,06 CAROLANN WENOI?AD.Notary Publio
Hampden Township,Cumbedand County
My Commission Expires Apnl23,2015
C l
RENUNCIATION
� U � rnn
REGISTER OF WILLS I
Go MA art u4wo COUNTY, PENNSYLVANIA Gc Q
c>C _n
Oc i
aj
v m
—n
Estate of 12fe4g2a 0. Swar.Tit � Se. Deceased
1 (l.2b110410 so-ZT1f in my capacity/relationship as
v
IPrim Name)
.Sat) of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
PF_ANY SwtZ7 N
(Dale) (Signature)
50031 Stec- ' : ack ) D f caQ+ 3
(Street Address)
1 r0 ,u�,nbD c-a PA
( Wye State.zip)
C.c�,mmu-tnw2a`Tt1 04: 1�ENNS) 111P�^I(�
Cotsr, t 4 or- Cum t3e2sL-rtiND
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 I,g or she executed the renunciation for the
purposes stated within on this f-+"' day
of .Tula/ 201 t�
Deputy for Register of Wills Notary Public
My Commission Expires: L41 23 1
(Signature and Seal ol'Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Commonwealth of RrinsylveNe SmFb
Por'm RIN-06 r'ev. 10.13.06 NO7ARIAAND.N
DAROtA.NN VaENDIAND.Notary bn n
HMy Comm ssion Exp es Apn 23 2015