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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF �U,�I.t��' ��,�(, c� 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' Information Z I ' ��'0���
Name: o,n��� �.... ��c���' File No:
a/k/a: (Assigned by Register)
a/k/a:
Date of Death: �Z.�" (�( Age at death: �g
Decedent was domiciled at death in Count�, � (srare)with his/h r 1 st
principal residence at ` ¢,1' , N C�J,�„c-�-
Street address,Post Otfice and Zip Code City, ownship or Borough County
�� r
Decedent died at � ��� ��C�nue��G./ �e.('�.tuk�� �C�L��cS�� .�u.��C�✓�G�� �tiU'�V. �
Street address,Post Oflice and Zip o e City,Township or Borough County S ate
Estimate of value of decedent's property at death: � OQO' ^�
If domici[ed in Pennsylvania....... .... .... ... . ... .... .. All personal property $ �
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. ... $ C �F.00 ..--i, ,•-�
Real estate in Pennsylvania situated at: L7J-�r�7 � %'�;r�
(Attach additional sheets,if neces.rary.) Street address,Post Office and Zip Code City,Township or Boro� '.t — Cbanty�'_
G��..... e ,
.�.cf_ , � � r :
0 A. Petition for Probate and Grant of Letters TestamentarV n�-, � -:
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated ��> �{d Codic�(s�`-i
thereto dated �; �—, '�== �`'
__, �� +�._r-i-i
�
State relevant circumstances(e.g.renunciation,death of executor,etc.) � "'�7
Ci.:i
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,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 did not have a child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS �EXCEPTIONS
IZ9 B. Petition for Grant of Letters of Administration (1f applicable)
�`
c.t.a.,d.b.n.,d.b.n.c.t.a.,pende�ate lite,din-ante absentia,durante minoritate
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 Pa.C.S.§3323(g)and was neither the victim of a killing nar ever adjudicated an incapacitated person.
�NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach
additio�lal slzeets,if neeessml):
Name Relationshi Address
'c�v� c�i r Soti �7 Y1�(e�de �r,,.c �r i�s�.� �k (7 at3
Form RW-02 rev. 70/11/2011 Page � +
l.k�
�
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF�t�^�r�Gt�l� ;
Petitioner(s)Printed Name Petitioner(s)Printed Address
r�a� -�c.;T C'v7 v�(ec.�e �r. Ce�r(�.rl� J� 1 ?o � "3
The Petitioner(s)above-named swear(s)or affinn(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 Decede the Petitioner(s)will well and truly administer the estate according to law.
Sworn to o ffirmed and subscribed before ���-;i��c�� �ate �� // /
,��-r
me is � day of , 2 ��� Date
By Date
For tl�e Register Date
e.,:;
C '� _��' '„-�'�'-;
C
BOND Required: Q YES NO To the Register of Wi!ls: �� _ � T `�;
FEES' Please enter my appearance by my signat!�ye @low: "� �'
. 1��, -i
,-_. � r. - .,
Letters . . . . . . . . . . . . . . . . . . . . . . $ �.�� Attorney Signature: ��'-
-.
( � ) Short Certifieate(s).. . . . . „'�j -• �,.� � ��
� C�C;t �
( ) � O.. . . . . . . . �. � �
Renunciation s . �� � -
�
_ i rr
( )Codicil(s). . . . . . . . . . . . . � �-�
_� ..
( )Affidavit(s).. . . . . . . . . . . ,(� ' (' (�
�
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: V�/1��� `r. [5av e./ } ���j- .
Commission. . . . . . . . . . . . . . . . . . Supreme Court � �� /' �
Oth+er . . . . . . . . ID Number: ��
� Y � . . . . . . . r •��
7�Jrn �r�f . . . . . . . . � • � Firm Name: �� � �Lt!/l rt
` . . . . . . . . Address: � t,tJ, tJ �.
. . . . . . . . c. l` .J� � ? O 1
. . . . . . . Phone: ( I 1 ' Zy t .. Z �}�{,�
Automation Fee. . . . . . . . . . . . . . . Fax: ~I � �-Z`{� ' Z ��i
JCS Fee. . . . . . . . . . . . . . . . . . . . . ' Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ . .
DECREE OF THE REGISTER
Estate of �C1'� ��l i � �- ��-L(� File No: �� � j� - ����
a/k/a:
AND NOW � ���� (.`�t ��� xS-� i�
, ,� -�,in consideration of the foregoing Petition,
satisfactory proof having been presente efore me,IT IS DECREED that Le)ttIers �'f �,C�EYl(rl l S��C1 �+'1
are hereby granted to ����(1 `�v tt(:�� i'
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s)) of Decedent.
- . � ��t . ���� �
Register of Wills., � � , ���,����;� ,
Fo��n,nwoa ��ev. �oi�lanll Page of2
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
, � , ��
�..��
' A
No. 2014- 00748 PA No. 21- 14- 0748
Es ta t e Of: BONNIE L HAIR
lfirst,Middle,Last) �
¢...:y
La te Of: CARLISLE BOROUGH C� ==
CUMBERLAND COUNTY �� i.. A"3�`�'
�� ���
� � ; � .
Deceased � �- � � � �
Soci al Securi ty No: ��` N r.� �;
CJ'�� r ,.�--
� � .i.:'�
- �.,_.
WHEREAS, BONNIE L HAIR ��� '�`� ���a
D - .. `�,
lFirst,Middle,Lastl = Q
r�
late of CARLISLE BOROUGH CUMBERLAND COUNTY
died on the 28th day of July 2014 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, LISA M. GRAYSON, ESQ. , Register of Wi11s in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
BRIAN HAIR
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 12th day of August 20�4.
, Register of Wills
. � 2���
Deputy
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)