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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 ar 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 Informallon ��— I�-��n
Name: FLORENCE Z.HORST File No: / y
a/k/a: FLORENCE HORST (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 8/7/2014 Age at death:57
Decedent was domiciled at death in CLTMBERLAND County,pENNSYL.VANTA____ (Stare)with his/her last
principal residence at 145 MOLJNTAIN VIEW ROAD,SHIPPENSBURG, 17257,SOUTH NEWTON TWP, CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 145 MOLJNTAIN VIEW RD. SHIPPENSBURG, 17257,S NEWTON TVJP, CLTMT3ERLAND CO,PA
Street address,Post Office and Zip Code City,Township or Borough Coun[y State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.. .......................... All personal property $ 6,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 45,(l�(1_��
TOTAL ESTIMATED VALUE. ... $ 51.000.00
Real estate in Pennsylvania situated at: 145 MOLJNTAIN VIEW RD,SHIPPENSBURG, 17257,S NEWTON TWP, 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 Testamentar�
Petitioner(s)aver(s)he/she/they is/are the Executar(s)named in the last Will of the Decedent,dated and Codicil(s)
thereto dated -}1� pF �' � }Nenr� , �V- on.. o,n llo�aDDl
l�F.(F.I�F.NT HAI�N()WTT,T,; (�ea.�l� D rvw�'1nec� Edna�,]. or'� oA. 7utv 1 �?DIe2
State relevant circumstances(e.g.renunciatinn,death of ezecutor,etc.)
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 bom 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 absenti¢,durante minoritate
If Administration,c.ta. or db.n.c.ta.,enter date of Will in Section A above and com�ete list of�s. � �
r*'1
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divor�h53ibeen est�shed�d�Sined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. � � rn -- p
� —o �f) %�
�NO EXCEPTIONS �EXCEPTIONS � � r-�— J.,-�„��
r'— —> rr�
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was surviv bv the folloWkag s�u�c(if an�and hei �tach
additional sheets,if necessary): ,u-� `y� � � � �� ,,,�,i
1' ,1 �.. "9'j _.
Name Relationshi AddreSS �'� == C3
SEE SHEET ATTACHED-5 SIBLINGS � '`'
�..s _.� � �j O
Form RW-02 rev.10/11/10I1 Page 1 Of Z
_
Oath of Personal Representative ofs��ai use oniy
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF LEBANON }
Petitioner(s)Printed Name Petitioner(s)Printed Address
GALEN M. RTIN 721 E LINCOLN AVE MYERSTOWN PA 17067
The Petitioner(s)abov�-r_�med 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 Decede "tio will well r the estate according to law.
Sworn ta a: �;rmed a su scr e or° Date
me th' of � Date
By' Date
o he Re st r Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature:
( �{ )Short Certificate(s). . . . . .
( S' )Renunciation(s).. . . . .. . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number:
. . . . . . . . Firm Name:
. . . . . . . . Address:
. . . . . . Phone:
Automation Fee. . . . . . . . . . . .. . . Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of FLORENCE Z.HORST File No:
a/k/a:
AND NOW, , ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters
are hereby granted to
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.
Register of Wills
Form RW-02 rev.10/11/2011 Page 2 of 2
FLORENCEZ. HORST-SIBLING LIST
1. MARIAN Z. NOLT SISTER 4401 KY 910, LIBERTY, KY 42539
2. IVAN Z. HORST BROTHER 1597 PINOLA ROAD, SHIPPENSBURG, PA 17257
3. EDNA Z.TOSTEN SISTER 1597 PINOLA ROAD, SHIPPENSBURG, PA 17257
4. PHARES Z. HORST BROTHER 8300 GREENVILLE ROAD, ELKTON, KY 42220
5. MARY JUNE Z. HORST SISTER 1 CHIMNEY LANE, EAST EARL, PA 17519
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