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Home My WebLink About09-23-14 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF C,UMqL�I,.�1J� 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 �1 ' /� ,�b� Name: B�INN 1�. � i �l S��a� File No: a/k/a: (Assigned by Register) a/k/a: {� Date of Death: �U�`'� Z3, ZD��{ Age at death: 7 S Decedent was domiciled at death in �UIvIgERi.11�Vh County, p� (Srare)with his/her last principal residence at i.�� .ASj' Q��r� S'ti 1'1��3 C„aI�L�S�.� QA �UM6ERt.#1Nfl Street address,Post Oftice and Zip Code City,Township or Borough County Decedentdiedat (��1,5[.�� (�S'��T�� US�-� CUYY1�ElL��fl �� Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: r' �r, If domiciled in Pennsy[vania......... ................... All personal property $ ' ( j V�V If not domiciled in Pennsylvania. ....................... Personal property in Pem�sylvania $ Cl If not�lomiciled in Pennsylvania. ....................... Personal property in County $ Value of rea[estate in Pennsylvania......................................................... $ TOTAL ESTIMATED VALUE. ... $� Real estate in Pennsylvania situated at: (Attnch ndditional sheets,i(necessary.) Street addres ,Post OfFce and Zip Code City,Township or Borough Caunty A. Petition for Probate and Grant of Letters Testamentary u 1p titioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated J��-\ 1 1�Z�� and Codicil(s) thereto dated State relevant circumstances(e.g.renunciation,death of executor,etc.) Except as follows: after the execution of the instrument(s)offered for probate Decedent did uot 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. �O 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,dur�e absentia, nte�o�kte C'> If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Vb'ill in Section A above and comp�,te4�s4?s�he�f„�. "� � (..,),� Except as follows: Decedent was not a party to a pending divorce proceeding wherein tl�e grounds for divorce�d�e¢�stabli�ed as°d�ti,n,e�d in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. ;;7 ;y r�.., � �:::7 ❑NO EXCEPTIONS �EXCEPTIONS < '� �` ' `"�' " .. .., ..� �'� '�1 Petitioner(s),after a proper search has/have ascertained that Deced��nt left no Will and was survivedby tlie following spbuse(if�ny)a�eirs�crtt� uclditionul sheets,if'necessuryf. . C� e" S�'1 Name Relationshi Address . ' � N F��,��nw-nz ��.[ni�iizn�t Page 1 of 2 Oath of Personal Representative Official k9 Only :U M COMMONWEALTH OF PENNSYLVANIA Cf) SS: M C_� COUNTY OF r\) Petitioner(s)Printed Name Petitioner(s)Printed A4dress St UTV M X The Petitioner(s)above-named 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 Reprcsentative(s)of the Degeddent,the Petitioner(s)will well and truly administer the estate accordin(g to law. I :,—e-— - Sworn to ol af�'irmed gens bscribe4 be re Date Q me thi DUaX 0 9 Date By: Date o he egister Date BOND Required:DYES XNO To the Register of Wills: FEES: Please enter my appearance by my signature below: 04D Letters . . . . . . . . . . . . . . . . . . . . . . . Attorne Si nat r Short Certificate(s). . .. . . Renunciation(s).. . . . . . . . Codicil(s). . . . . . . . . . . . . Affidavit(s)... .. .. . .. .. Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Commission. . . .. .. . . . . . .. . .. . Supreme Court Other . . . . . . . . ID Number: 1#1 L TI-tv I lf)V.. . .. .. 00 Firm Name: ORR LAW Qt I- - . . . . . I . . Address: -So 11 14,fl CT behh;l^ .. . . .00 Phone: Automation Fee. . . . . . . . . . . . . . . Fax: IQ— JCS Fee. �-5 Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ I DECREE OF THE REGISTER Estate of III's 0016 File Na: qok a/k/a: AND NOW, -'K, in c�o�n� lera n of the�Oregoing Petition, satisfactory proof having*rbeen presented before me,IT IS DECREEthqt Letters a h b y grantedy /V' 4 . 0_07 in the above erstate and(if applicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of record as he last Will(and Codicil(s))of Decedent. Redrs'ter If Wills Form RW-02 rev. 1 0/1 112 01 1 Page 2 of 2 Oath of Personal Representative ofs�sa�,u�o��y � � � � r�rrn COMMONWEALTH OF PENNSYLVANIA � � �� n } � � �� :7 � SS: � -ra } fri �.. �--; —o ;°,r) �7 COUNTY OF } :�3 ,��,;. �;-- � f:�.;� �-;� ,,p •�__ - : �_ r Petitioner(s)Printed Name Petitioner(s)Printed E� dre�s-` ` �° ` M CN�.�� (`r1 S�l4P � � �ehn St �.i�R�i,S�.� ;;; � �.� _. ,3 : :::�.� c.,� s— rr, r�- � � � The Petitioner(s)above-named swear(s)or a�rm(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 De edent,the Petitioner(s)will well and truly administer the estate according to law:� Sworn to oX af�irmed s bscribe be re / vl Date — l..l� � � me thi f L��dax o , � Date By: Date o the egister Date BOND Required:QYES �NO To the Register of Wi![s: FEES: Please enter my appearance by my signature below: . oa Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorne Si nat r : ( 5 ) SUort Certificate(s).. .. . . • 8 ( ) Renunciation(s).. . . . .. . . ( )Codicil(s). . . . . . . . . . . . . ( ) Affidavit(s).. . . . . . . . . . . Q (� (� Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: T�U� I7> 0��1. Commission. . . . . . . . . . . . . . . . . . Supreme Court �� Other . . . . .. . . ID Number: �. . . .. . . �'� Firm Name: ��,1'� L�� j�� . . . . . . . . Address: .50 �/�� /�� ST . . . . . . ____�0 . . . . . . . . o� Phone: �1�" ��` OSJ 8 Automation Fee. . . . . . . . . . . . . . . � Fax: _��,— ��$Q JCS Fee. . . . . . . . . . . . . . . . . . . . . J� `v Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ . DECRE� OF TH� REGISTER Estate of /'1 i E'i � File No: �i-��- 90� 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 r•o��,>>acv-n? ��v. tnirvznn Page 2 of 2 HIOS.SOS REV{9/1 q ��