HomeMy WebLinkAbout08-20-14 -�::-•-=� = i::�:,:
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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cc.<<'✓1!��'1' �C�-✓l� COUNTY=PENNSYLV.ANIA
Petitioner(s) named below, who is/aze 18 years of age or otder, apply(ies) for L.etters as specif�ed below, and in
support thereof aver(s)the following and respectfWly request(s)the grant o£ I.etters in the appropriate fonn:
Decedent's Information !�I � I� _ ����
Name: �'ru. ��—�• �e vn G� File No-
�a: � m�r� . (Assitgned by Register)
a!k/a: 1.8 " $ 7�(�s'
�a. Social Security No� �9`j '
Date of Deatl�•�r i ;�,(� � u2-�' � Age at death: 7 7
Decedent was domieiled at death in e I'1G-✓t� ounty,��l uG«'t��G (Scate)with bas/bier Iast I
principal residencc at ��I�S �-u�t�- �'� o� �` � /`� ✓� I 70b ���r'1 G�
Strett address,Yaat Officc and Zfp Codc Cit,Tawnshtp rn�Boroagh �Y�p:,rv e' �,.�p �u'�ty
Decedent died at .�G3 ./l� 02,l� S��e e f I'�l l �►�/� �� �� �
Strcet address,Yost OKce asd 7Jip Code City,Towaship or Borongh County Statc
Estimate of valae oFdecedenYs pzo�crty at death: $ $' Q DU � U O
If domicilcd in Pennsylvaxia............................ All personal PT�P�'�Y r—
Ijnnt dnmicil�d ih.Pennsylvaueia. ....................... Personat PmP�Y in Penusylvau9a $
Ijnat domicited in Pennsytvania. .....:................. Petsonal ro exty in Coun $
P P �3'
Volr,e of reat esrarte in.Pennaytmnia.............................•-...---.................... $ / � � GOC�' ���i
TOTA,L ESTIlV[ATED VALUE. ... S .'Z P)(ot.6 C7 j� .0 00I
xeal estat,e in Pennsylvania siwacea at:�l L Tz��%✓1 R[+ �A��i nr�-—S-�,D—I'�✓l-�us -P11- �7�7 �im t�er�(��1�
(iluach additional shoetq ij ary.) Str+�t addr Pastp�c aad ode --7 ' �ry,qawnshiP or Bocoagh /rlw'1 rOC '�P CawtY
cl`�-5 '� S �iu���!' S t• e�'1arn be cs �urYj �/�?A ► 7�.O�L. St. `�omus ft,✓p.
F/�u�k!:n `u,.,�n�.�
� A. Petitioa for Probate and Grant of Lettcra Testamentarv
Petitioner(s)aver(s)he/shrJtbey'slare the fix r(s)named in t�ie last VJ�iII of the D�;dated � – a.0 O 8 and Codicil(s)
thereto dated e � 'dt i S. �t1 v c r� T ` h� F �, � - e e �c r
;,,�� C e� � ; t.,� v�`
I �$Mte relevawt circn tnncca(eg rcnnn 'aliew,daatli ojrxecuta;eta)
M
Spou�S� -- Pear /�• �-e�Sr►1�n _ peceuse� �p�� l i�� `1.C.II {� -=� �,
Except as foiJows:ader the execution of Uie instrumcttt(s)offczed for pr.obacc Dccedent did not matry,was not divorced, �a party to� din�f��t;
divorce pxoceeding wherein the grounds fvz divorce had been established as defined in 23 Pa.C.S.�3323(g),and dr��ave a cFu�om a�_<_?
adopted;and Decedent was neither the victim of a killing nor ever ad"udicatui an in acitatcd on. �T'- ` � `_ �"�
J �P PeTS �c. � �
��, ; �y ` � ,
�NO EZ�CEPTIONS �EXCEPTIONS � r' -
—�
� B. Petition for Gcant of Letters of Administration (Ifapplicab}e) �x'>= � '��
c.1.a,db.n.,db.n.c_t.a,pendente lite,durante ab��durante m�ritate� � i�
If Administration,G�.�or d&n.Gia.,enter date of Witl in Sectian A above and counplete lis f lieirs. �,�y `='��-,
Except as follews: Decedent was not a party to a pending divorce procecding wherein tlae gro�for divorcc had becn establis�ed as�de5ncd
in 23 Pa.C.S.§3323(g)attd was neither the victim af a kilting nor cver adjudicated an incapacitated person.
�NO EXCEPTION3 �EXCEP'[TONS
Pctitioner(s),aftera proper seanch has/have ascertained tliaiDeccclent leftno Wilt andwas survivedby thc fo])owing spouse(ifany)and heirs(attach
additiona[sheets,i/'neccrsary);
1Vame Relatiooshi Address
ForraRW-01 P�.�o»taau Page 1 af 2
Oath of Personal Representative ofs�at u�onr�
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s Printai Name Petitioner(s)Printed Address
't'he Petztioner(s)above-named�s}er affum(s)thc sffitemen.ts in tUe foregoing Petition are true and correct to the h�staf the knowledge and belief
of Petitioner(s}aud that,as Per.aonal Representative{s)of the De ,the Petitioner(s)will well aud ly adtninistcr the estate according to law.
Swarn to or affirmed and subscri�before • Dat� °Z���L
me '� �'day of T , �J/�� Date
B �.� � � �y.�:�� Date
For the Register Datt
BQND iteqaired: �YES (�j NO Tn the Regisler of Wills:
,�,�. Ptease enter my appearanee by my signafare belaw:
Leiters'.............. .... .... $ :1 V,�v Attorney Signatuze:
( � )S6ort Certificate(s)...... 2—S�
( j Rcnunciation(s).... ..... ^•
( )Codicil(s). ............ � a
( )Affidavit(s)..._........ =- �
Bond... ..... .•---- -�--. .._.. Printed Nsme: � '� r-i��
Commission. .. . ......... . .... Supreme Coart �-.�.� C �-` '-��—�C-;
O[her ... ... IA Nnsiber: !��r � � c :
f- ;--1� � � a Y�
"" " I� f.-��! . O �5".'
. ..... __.__� .._`
Firpt Name; 7_«� ` < < :
� Address: �-'. _` , i-�
� ^ C1
� �._ 'n
...... ��T� �Z7"— `!�Q
....
. .---... ?�` N
... ... Phone: �
Automation Pee. .... .......... ��S Fax: �
7CS Fee. .. ........... ...•-- • � EtnaiL•
TOTAL. . . ........ ... ...... $
DECREE OF THE REGISTER
Estate af 1����lrl � �I�l Q-r) a4-� �Q.��XI 1-C�Y l�ile No• �� - �`i' ` �SS�
a/k/a: - -
APID NOW, 2� � �l..C,)��� , �� in consideration of the foregoing Petirion,
satisfactory proof having been presented before me,IT IS DECREED that Letieis �
are hereby ted to
�'1 ►'1 in the above estate and(if app icablej That
the inshument(s}dated g
described in tlte Petition be admitted robate and led of record as the last Will and Codicil(s})of Decetieut.
�/ V
Registec of Will
Form RW-02 nn�.10/I.1/lOII Pa.ge 2 0 2