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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: Bessie Johnson File No:
a/k/a: (Assigned by Register)
a/k/a:
alk/a: Social Security No:
Date of Death: 1/7/2014 Age at death: 88
Decedent was domiciled at death in Cumberland County, pennsylvania (srare) with his/her last
principal residence at 5205 Windsor Blvd.,Mechicsbure, 17055 Unver Allen Townshin Cumberland
Street address,Post Oftice and Zip Code City,Township or Borough County
Decedent died at 4300 Londonderrv Rd,Harrisbur� 17109 Daunhin PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania............................ All personal property $ 150,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania............................ ............................. $ 150,000_00
TOTAL ESTIMATED VALUE. ... $ 300.000.00
Real estate in Pennsylvania situated at: 5205 Windsor Blvd.,Mechanicsburg, 17055 UUper Allen Township Cumberland
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
� A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated Apri124,2012 and Codicil(s)
thereto dated
Persnant tn the�rder dated Angust 19 the cnnrt hac nrrlereci T.eah Reider tn he nameri sole execntrix
State relevant circumstances(e.g.renunciation,death of e.xecutor,etc.)
Except as follows: after the execution of the inshument(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
� 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.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 nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS �EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the fo�owing spouse�any)and�irs(attach
additional sheets,if necessary): C � � m
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Name Relationshi dr@ss G�'� r� :t7
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Form RW-02 rev. 10/11/2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Leah K.Reider 6 Wick Drive Parkesbur PA 19365
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are hue and conect to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to or. affirmed and subscribed before T ��� '�j, ����J Date �S 'p2�-/�
131e t 1 �e�� ay of � ,�LI Date
By' �� � A �� �-� Date
For the Reg,'ster Date
BOND Req�iired: � YES � NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
� � -�
Letters . . . . . . . . . . . . . . . . . . . . . . $ ��J •�- �-' Attorney Signature: o �
( � )Short Certificate(s).. . . . . .�S �`� '� � � � f�1
• C7
( )Renunciation(s).. . . . . . . . � Q � � d
,�.
( )Codicil(s). . . . . . . . . . . . . t�7 -��p G-�j � �3
( )Affidavit(s).. . . . . . . . . . .
�7 �.,. !— N fy7 ('zl
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: ,., :�: .-;t Gfl =;� C7
t-- t°�'i
Commission. . . . . . . . . . . . . . .. . . Supreme Court .�'� � �"'
r4: �? "r'1 �l
Other . . . . . . ID Number: '' r' =" � -TI
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. . . . . . . . .;�'7 {...._
. . . . . . . . Firm Name: '�- �, � � rn
„ � �""
• • • • • • • • Address: � f_T'1 �
• • • • • • • • Phone:
Automation Fee. . . . . . . . . . . . . . . Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ . 0.00
DECREE OF THE REGISTER
, Estate of Bessie Johnson File No: 2/ '�� —�,��J��
a1k/a:
�qo f
AND NOW, C� U P� , �—�/ ,in consideration of the foregoing Petition,
satisfacto ry proof havin g been present e b e f o r e m e,I T I S D E C R E E D t h a t L e t t e r s -� ������
are hereby granted to �cL�'1 �e. I C� �' �
in the above estat�and(if applicable)that
the instrument(s)dated 2u ,2(�(�
uescnbea m tne retition be aamitted to probate and filed of cord as the last Will(and Codicil(s))of Decedent.
�- � .���
egister of Will� r ��� .
Form RW-02 rev. 10/ll/?011 , Pag 2 of 2