HomeMy WebLinkAbout09-04-14 PETITION FOR GRANT F LETTERS
REGISTER OF WILLS OFI,�j ���'(��� 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 I�
Name: �r�'�-� (�'��'1'���^d�VZP'v�'L'Z File No• ��' V
a/k/a: (Assigned by egister)
a/k/a:
a/k/a: Social Security No:�,
Date of Death: Age at death: j j ���r�S�
Decedent was domiciled at death in County," r (Sture)with his/her last
principal residence at ��
Street address,P tfice and Zip Code ity,Township or rough County
Decedent died at���� �V�i�,°� SC..�1.Ul.l\���` Q IT
Street address,Post Of£ce and Zip Code City,Township or Boroug County State
Estimate of value of decedent's property at death: �`�"
If domiciled in Pennsylvania............................ All personal property $ '
If not domiciled in Pennsy[vania. ....................... Personal property in Pennsylvania $ C`� '
If not domici[ed in Pennsylvania. ....................... Personal property in County $ �'
Value of real estate in Pennsylvania......................................................... $ �`
TOTAL ESTIMATED VA UE. ... $ ��
Real estate in Pennsylvania situated at: �1 l� �'�� � (�^'��'
(Artach ndditional sheets,if necessary.) Street address,P st Office and Zip Code ity,Township or Borough County
N
� A. Petition for Probate and Grant of Letters Testamentarv �s► � �
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated C '�and(�i�s)
thereto dated .-- � � � o
F�iT� � � �
State relevant circumstances(e.g.renunciation,death ojexecutor,etc.) �1 � {'— � �
n � '� -,� �, °
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divc�ee�!�v��iot a party to et�g
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),t�d��d�t havEp chil�otu'lor
adopted;a��d Deeedent was neither the vietim of a killing nor ever adjudicated an incapaeitated person. c,^� c� � � �
�
NO EXCEPTIONS ❑EXCEPTIONS � � � �"" (Y1
".� � � �
• B. Petition for Grant of Letters of Administration (Ifapplicable) y t—+
c.t.u.,d.b.n.,d.b.n.c.t.u.,pendente lite,durunte ubsentia,durante minoritute
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and comAlete list of heirs.
Except a ollows: Decedent was uot a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
F�i 23 .C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
O EXCEPTIONS �EXCEPTIONS
Pe itioner(s),after a proper search has/have ascertained that Decedent left no W ill and was survived by the following spouse(if any)and heirs(attuch
uclditionu[sheets, if necessury):
Name Relationshi Address
f l�M 1�r �� � � �
Fo,�,�,nwoZ rev.!0/ll/20/! Page 1 0 �n
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�-
Oath of Personal Representative Official Use Onty
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
� I,A�� l�os
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 Representative(s)of the Dece �e Petitioner( will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed before Date�(/�j/y _
me this a�'�-day of , �ly Date T^—�
BY ti Date
For the Regist�r Date
BOND Required: S Q NO To the Register of Wi![s:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ 2�-���'7Z'' Attorney Signature: �
�
( ;� ) Short Certificate(s).. . . . . IU•�� � � :4 �
( )Renunciation(s).. . . . .. . . � p� � � �
( )Codicil(s). . . . . . . . . . . . . —'" �
( )Affidavit(s).. . . . . . . . . . . �?'i � � —i �
Bond.. . . . .. . . . . . . . . . . . . . . . . . Printed Name: � :� p�rt � � cp
Commission. . . . . . . . . . . . . . .. . . Supreme Court �'' Ef> �' p
.
Q '
Other . . . . . . . . ID Number: � � "�! 'T1 '"�
. . . . . . . . �� c> � � --
. . . . . . . . Firm Name: °� .��.� � r=^ �
. . . . . . . . Address: ' --I
. . . . .. . . Y I�� �::;:..
. . . . . . .. Phone:
Automation Fee. . . . . . . . . . . . . . . L�,�� Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . S•�_ Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ �5.
DECREE OF THE REGISTER
Estate of�Cl���C�� ��������,�CZr(Y1(ti�������e No: � ''�� — ���
a/k/a:
AND NOW, ��` C�� < <�,f' ,_s�, in consideration of the foregoing Petition,
satisfactory proof having been present d before me,IT IS DEC ED�hat L�tters
are hereby granted to ��Q f ��� ��
in the above estate and(if applicable) that
the instrument(s)dated
described in the Petition be admitted to probate and filed of re rd as the last Will (and Codicil(s))of Decedent.
�ct ��. '�G -�---
egist r of Wil1sL�(r , � �
Fo,�,�,�w-n? rev. !0/I1/20/l Page 2 of 2
_ ,,�� �_�, >�. , :m.�.-.� �.�� �,��r,..a.�.
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REGISTER OF WILLS Certificate of Grant of Letters
CUMBERLAND COUNTY, PENNSYLVANIA
No. 21-14-0831 PA No. 21-14-0831
ESTATE OF Anastacia Marie-Carman Hernandez
a/k/a:
Late Of: Upper Allen Township,Cumberland Co�ty, Decea� � �
Social Security No. 024-11-4005 3C � �.i-� � �
� a
t�'1 � rj � � �
� p,, r- --� �
rn rn
WHEREAS,Anastacia Marie-Carman Hernandez, , late of Upper Allen T�yv�h��, QO � °
� ca
Cumberland County,died on the 28th day of September,2013, and � � � � `7' �
c `'� �
� � � � rn
WHEREAS,the grant of Letters of Administration is required for the adrr�i t ation q�e � -�r�
estate.
THEREFORE, I,Lisa M. Grayson,Esq.,Register of Wills in and far the County of
Cumberland, in the Commonwealth of Pennsylvania,have this day granted Letters of
Administration to Andree Dimitra Hernandez, who has duly qualified as Administratrix 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 Courthouse,Carlisle,
Pennsylvania.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office
the 8th day of Setember,2014.
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Register of ills...�.
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**NOTE** ALL NAMES ABO VE APPEAR(F��T, MIDDLE, L� T)
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