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PETITION FOR GRANT OF LETTERS
REGISTER OF Wn-L5 OF Cumberland
COUNTY,PENNSYLVANIA
' ' ner s named below, who is/are 1 S years of age or older, apply(ies) for Letters as specified below, and in
Petirio ( ) ro riate form:
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the app p
Decedent'slnformation FileNo• 2�' �� " u���
Name: Terence G.Smith Jr • (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 620-18-6745
a/k/a: Age at death: 28
Date of Death: 10/4/2013 (Srare)with his/her last
County, P"
Decedent was domiCiled at death in Cumberland Ham den Tw . Cumberland
principal residence at 509 Louisa Lane Mechanicsbur 17050 �;ty�Township or Borough
county
Street address,Post Office and Zip Code Cumberland P�'
IIam den Tw . Counry stace
D�cedent�ied at 509 Louisa Lane Mechanicsbur 17050 �ity,Township or Borough
Street address,Post Office and Zip Code
p p at death: $ 10 000.00
Estimate of value of decedent's ro erty $
If domiciled in Pennsylvania•••••••••••••••••••••••••••• All persopal Propelri Penns lvania
If not domiciled in Pennsy[vania. ..........••••••''''�� personal property in County $
If not domieiled i��Pennsylvania. ....................... ............... $
••••••"""" 10000.00
Value of real estate in Pennsylvania...............••••''''� TOTAL ESTIMATED VALUE. ... $
Real estate in Pennsylvania situated at: City,Township or Borough
County
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code
� and Codicil(s)
A, Petition for Probate and Grant of Letters Testamen arv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named m the last W�ll of the Decedent,dated
thereto dated
State relevant circumstances(e.g.renunciation,death nf executor,etc.)
p to a endin
and did not have a child bom ur
Except as follows: after the executionnds for di orce had been establ shed as�definedan 23 PaaC.S § 3323(g)�rced,was not a arty P
divorce proceeding wherein the grou
adopted;and Decedent was neither the victim of a kiiling nor ever adjudicated an incapacitate person. r�
�NO EXCEPTIONS �EXCEPTIONS �� �"' =x?'�'
� E. ?etition f�r Grant of Letters of Administration (If applicable)
�, �-- f`:' �
nia,durarffp"minorvlllte;�=;
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante� � �.
tion c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete � f�eirs.— '` :
If Administra , _ . .
to a ending divorce proceeding wherein the grounds for divorce had��n..�.stabl�sh�ACLs defineS��;
n L,�. '�C _
Except as foliows: Decedent was not a party P � r= t-�
=''-+ c��
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitate person. �c�-
--s�
�NO EXCEPTIONS �EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse(if any)and htu�s(attac
additional sheets,if necessary):
Address
Name Relationshi
Terence G Smith,Sr.
Parent 8028 Josefa Way,Naples,FL 34114
Patricia A Smith
Parent 8028 Josefa Way,Naples,FL 34114
Page 1 of 2
Form RW-02 rev. 10/l1/20/I
Oath of Personal Representative o�-,��a�use on�y
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Terence G Smith Sr. 8028 Josefa Wa Na les FL 34114
Patricia A Smith 8028 Josefa Way,Naples,FL 34114
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�dant,the Petitio (s)w' ell and ly administer the estate a,ccording to law.
Sworn to or affirmed and subscribed before � !�"�P `' ' Date � �g ��
me th's '}`�day of , ZCl ��, �� ��,,� �} Date �/�� (L{
By: ��i. Date
For the Register Date
BOND Required: Q YES �NO To the Register of Wi!!s:
FEES: Please enter my appearance by my signature below:
Letters. . . . . .. . . . . . . . . . . . . . . . $ �'�V Attorney Signature:
( 5 )Short Certificate(s).. . . . . �
( )Renunciation(s).. . . . .. . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . .. .. . . . . . . . . . . . . Printed ame: John C.Oszustowicz
Commission. . . . .. . . . . . . . . . . . . Supreme Court
Xher . :: : : : : ID Number: 37076
� �5•Ob
• • • • • • • • (5•� Firm Name: Law Office of John C.Oszustowicz
i�` . . . . . . . . Address: 1Q4 S Hanover St. ,
... . . . . . Carlisle,PA 17013
. . . . . . �
. . Phone: 717-243-7437 n .~�,
. . . . . . . . c -..�. ��
Automation Fee. .. . . . . . . . . . . . . � Fax: 717-258-8379 ��7 t-- ��`� �-�
.� �.
..
JCS Fee. . EmaiL• ' ' — �: ; �-- :-.—�. ___;
TOTAL. . . . . . . . . . . . . . . . . . . . . $I�B•SD�60 �� fv �_: �`
__t�?�'` _._.
DECREE OF THE REGISTER o�` � .,,+,� ��
�--i ,.._ rn
--r ;;" �""
Estate of Terence G.Smith,Jr File No:��"/� '/�� � �''��
a/k/a: �
AND NOW, ���I �L��(..� , ,�� ,in consideration of�he fore oing Petition,
satisfactory proof having been pres ted before me,IT IS DECREED that Letters
re hereb�y�ranted to � C -�-, i ,
r1.1�1C (' ��G ' � T"I'� in the ahove es ate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of reco �s the las Will( d Codicil(s))of Decedent.
.�C'�- ��'�-�
egist of Wills
��
Form RW-02 rev.10/II/20l1 � � Page 2 of 2
_������
.�...� .�
,,, ,,.,
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
Ri
No. 2013- 01246 PA No. 2�- 13- 1246
Es ta te Of: TERENCE G SMITH JR
(First,Middle,LasU �
La te Of: HAMPDEN TOWNSHIP
CUMBERLAND COUNTY
Deceased
Soci al Securi ty No:
WHEREAS, TERENCE G SMITH JR
(Fiist,Middle,Castl
late of HAMPDEN TOWNSHIP CUMBERLAND COUNTY
died on the 4th day of October 2013 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:
TERENCE G SMITH SR and PATRICIA A SMITH
who have duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and have agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 31st day of July 2014.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)