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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 �� /� v-7//
Name: Robert L.Griggs File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: June 22,2014 Age at death: 83
Decedent was domiciled at death in Cumberlan County, penn�ylvania (srate)with his/her last
principal residence at 700 Walnut Bottom Road,Carlisle,Cumberland Countv
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Forest Park Health Center,700 Walnut Bottom Road.Carlisle.Cumberiand Countv.PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
IJdomiciled in Pennsylvania.......................... .. All personal property $ ,��}�G
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. ... $ ,P�� 0_00
Real estate in Pennsylvania situated at: ��:
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Bo �
� � ��
`�-x' C.._ r��-i t ;
�"C� � ,' �,
� A. Petition for Probate and Grant of Letters Testamentary �� ''� ' ' �'
F—�--: :
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated �� �and(�odi���s)
thereto dated --,._._
:-�T�' 2;" _; .�
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State relevant circumstances(e.g.renunciation,death of executor,etc) �� _� �`;
�7 .,� lA r-: ;"r�t
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divor�d,was not a�to a pec�g
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g),and did not habe a child born or
adopted;and 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.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.t.a. or db.n.c.�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),a8er 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 Relationshi Address
Gregory Walter Griggs son 3625 Vista Oceana#9
Oceanside CA 92057
Kathy A.Griggs daughter 10 Turnbridge Lane
Sharon Lee Griggs daughter 1414 Bradley Drive,G-214
Carlisle PA 17013
Debra L.Frey daughter 7 Whispering Pines Lane
Carlisle PA 17015
Form RW-01 .�.toilvaol� Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND } _
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Petirioner(s)Printed Name Petitioner(s)Printed Address �; ' �
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Debra L.Fre 7 Whis erin Pines Lane Carlisle PA 17015 ��=r �..a -
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The Petirioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Perition are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Dec c�ent,the Petitione(s) 'll well and truly administer the estate according to law.
Sworn to a�rmed d bscribed before , Date� ZG I�(
me th ay f , Zo/ Date
By
Date
r th Register Date
BOND Required: � YES � NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
�ab
Lett s . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature:
( � ) Short Certi�cate(s). . . . . .
( � )Renunciation(s).. . . . . . . . '
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . P nted Name: Rona .Johnson,Es
Commission. . . . . . . . . . . . . . . . . . S preme Court
Other . . . . . . . . ID Number: 16453
— • • • • • • • • Firm Name: Andrews&Johnson
` • • • • • • • • . � Address: 7$West Pomfret� r
. . . . . . . . -' Carlisle,PA 17013
. . . . . . . .
• • • • • • • � �� Phone: 717-243-0123
Automation Fee. . . . . . . . . . . . . . . , � Fax: 717-243-0061
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: '
�P� nsnn na_net
TOTAL. . . . . . . . . . . . . . . . . . . . . $
��
/ ECREE OF THE REGISTER
Estate of_Robert L.Griees File No: ���/ ` �D�� �
a/k/a:
AND NOW, �v , ��� , in consideration of the foregoing Petition,
satisfactory proof h ving b presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Debra L.Frev
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of rec d as the last Will (a odicil(s))of Decedent.
egister f Wi ls
Form RW-02 rev.10/I1/2011 �
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RENUNCIATION o�� � _ _ _
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REGISTER OF WILLS �"� �'
�r,
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Robert Lowell Griggs a/k/a Robert L Griggs , Deceased
I, Gregory Walter Grictqs , in my capacity/relationship as
(Print Name)
a son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Debra L. Frey
Tult !Z Zdl �
(Date) (Sgnat ure)
3625 Vista Oceana #9
(Street Address)
Oceanside, CA 92057
(ciry,srare,zip)
E ecuted in Register's Office Executed out of Register's Office
Sw to or affirmed and subscribed efore the undersigned personally appeared the
befor e this day pa executing this renunciation and certified
of , that he she executed the renunciation for the
purposes s d within on this day
��_�a,s�s�E a.�7ACrt�._r.= of ,
FOR NOTAR'f
Deputy for Register o Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev.10.13.06
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CALIFORNIA JURAT WITH AFFIANT STATEMENT � .�� ==:
GOVERNMENT CODE§8202 "!�=' ` p ` '�_r`
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�J.See Attached Document (Notary to cross out lines 1-6 below) _ �,,; � .-,
��See Statement Below(Lines 1-6 to be completed only by document signer[s], not�btary) � ���
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- Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any)
State of California Subscribed and sworn to (or affirmed) before me
County of on this � day of , 20�
by Date Mo h Year
�,� C�rP�a�c.i IN Cr�c�-,�_s
Pa���� (2) Name(s)of Signer(s)
comaixion�te7ap
MdMYV�61ie•C�liowil
�^��r proved to �on the basis of satisfactory evidence
���"`'�"��'�a to be tf}� per n(s) who ap ea ed before me.
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Signa�
Place Notary Sea!Above nature of Notary Public
OPT/ONAL
Though this section is optional, completing this information can deter alteration of the documenf
or fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: �e��f1j' I('�jC�l'�
Document Date: ��/�� J/L� Number of Pages: �
Signer(s) Other Than Named Above:
OO 2013 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910
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RENUNCIATION �'` �
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REGISTER OF WILLS �' � ��a
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CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Robert Lowell Griggs a/k/a Robert L Griggs , Deceased
I, Sharon Lee Griggs , in my capacity/relationship as
(Print Name)
a 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
Debra L. Frey
�u�,Y Z�k a0 I`�'
(Date) ignature)
1414 Bradley Drive G-214
(Street Address)
Carlisle,PA. 17013
(Ciry,State,Zipf
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 renunciati� for the
purposes stated within on this a3` day
o � , Za/ �
Deputy for Register of Wills Notary Publi
My Commiss n xp s: �..�,,,,'� Z�� Zp� �
(Signature and Seal of Notary or other ofticial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONN1EAt-TH OF PENNSYLVANIA
NOTARIAL SEAL.
Form RW-06 rev.!0./3.06 SHELLY�EXTON�Natary Public
Carlisl�Baro,�um�erland County
My��r��i����n��ir����al�►���g
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RENUNCIATION �� ° ' --
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REGISTER OF WILLS � --� `n Q
CUMBERLAND COUNTY, PENNSYLVANIA A w �
Estate of Robert Lowell Griggs a/k/a Robert L Griggs , Deceased
I, Kathy Ann Griggs , in my capacity/relationship as
(Print Name)
a 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
Debra L.Frey
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(Date) (Srgnatnre)
10 Tunbridge Lane
(Street Address)
Carlisle,PA. 17015
(Ciry,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 renunci�t�on for the
purposes stated within on this 7 day
�� , Z��K .
Deputy for Register of Wills Notary Public
My Commission Expires: �r•� Q-�o i Z�t�—
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date ofexpiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL 3EAL
Form RW-06 rev./0.13.06 SHELLY SEXTON, Notary Public
Carlisle�oro,Cu�mberland County
My Cammission Expirea Apr112�,2016
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
�
No. 2014- 00711 PA No. 21- 14- 0711
Es ta te Of: ROBERT L GRIGGS
� lFirst,Middle,LasU
La te Of: CARLISLE BOROUGH
CUMBERLAND COUNTY
Deceased
Soci al Securi ty No:
WHEREAS, ROBERT L GRIGGS
(First,Middle,LasU
late of CARLISLE BOROUGH CUMBERLAND COUNTY
died on the 22nd day of June 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:
DEBRA L FREY
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, CARL/SLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 30th day of July 2014. ,�
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)