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Home My WebLink About09-29-14 Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF 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 l '/ Name: /�,4:v��c� .k� �,ti.� �-o i o File No: �/'�7" ��h a/k/a: (Assigned by Register) a/k/a: / Date of Death: �'3c-/�f Age at death: �v I Decedent was domiciled at death in �:�,,,�,,u,-/u �� County, �,� (srare)with his/her last principal residence at / �v�s� ��n A��f� �� 1� ) �E� /�f!�- ' C��u 6�.�� c� Street address,Post Ottice and Zip Code City,Township or Boroug6 County Decedent died at � ��s�r f��,n 61-U��-i-►,�:,� �- �z l C�-�`-�' /'s l.r C�.--��c,-1��r°� P�i Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedenYs property at death: If domiciled in Pennsylvania............................ All personal property $ If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ If not do�nicited in Pennsylvania. ....................... Personal property in County $ Va[ue of real estate in Pennsy[vania......................................................... $ TOTAL ESTIMATED VALUE. ... $ 2 2C'�,p�'? 0.00 Real estate in Pennsylvania situated at: (Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Towns6ip 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 and Codicil(s) thereto dated � �^„ � � State relevant circumstances(eg.renunciation,death of ezecutor,etc.) �' � � � C.0 � ;!J n7 n Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not d�ors"�d,�#as no�artyIf�a ding divorce mceedin wherein the ounds for divorce had been established as defined in 23 Pa.C.S. 3323 � p g gr § �}` a��not�ye a c�il ;�orn or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. C�' ' CD ",�� 7 , .. c.� Q NO EXCEPTIONS Q EXCEPTIONS �"`�> � -� .� <.;.� .�., 3 ��r �-� - � `��r �, B. Petition for Grant of Letters of Administration (�f applicable) ; c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,.durante absentia,d�u�et f'noritate If Administration,G�a or db.n.Gta.,enter date of Will in Section A above and complete list-�he'irs -;y 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 Peritioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach additional sheets,if necessary): Name Relationshi Address G�l�7-� �� Lni r� �D � l%►�ls f f.��i� �.,fl/�I v� �� 1��" � S' �� l�C'�a� vru i�' / �� , �� a�a 7 �r�t � �� G��'��e. .4 � � Fo,m nw oz rev.�oi»izo» Page 1 of 2 . Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s)Printed Name Petitioner(s)Printed Address /��z-r�l�V G, f�iq.�tn+ �•c� lv�sT �;�a ��v-t �T /�v �s , lY �71� � The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoin ition are true and rr o the best o£the knowledge and belief of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the 'oner(s)will well a y administer the estate according to law. Sworn to or ffirmed a sub� •'bed fore �J� ��- Date y''— � 9/� me th' a f f � D� Date By: Date Fo he egister Date � o � � r►rn BOND Required:Q YES �NO To the Register of Wills: �[t � � G? .��, FEES: ^ Please enter my appearance by my si�atlttec�elow?� C.+7 � i1 .._ � d O '... ''.^~ !`'� � ;�t t,7 Letters. . . . . . . . . . . . . . . . . . . . . . $ �� Attorney Signature: w' ".; ,- �u, � ( 2 )Short Certificate(s). . . . . . ' �; ' � ., �;y Renunciation s � . -� ''`7 `k7 ( 1 ) ( ).. . . . . . . . .O ....� c )coa��i�s�. . . . . . _ ,�' ( )Affidavit(s).. . . . . . . . . . . ' ' t'_ m Bond.. . . . .. . . . . . . . . . . . . . . . . . Printed Name: � �.� tr� 0 Commission. . . . . . . . . . . . . . . . . . Supreme Court —� �°�1 Other . . . . . . . . ID Number: . . . . . . . . Firm Name: . . . . . . . . Address: . . . . . . . . Phone: Automation Fee. . . . . . . . . . . . . . . •G 0 Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ � DECREE OF THE REGISTER Estate of�/"�� f� File No: ��'� � a/k/a: AND NOW, ,��, in cons�de ation of the foregoing Pe 'tion,/1 satisfactory proof having en presented before me,IT IS CREE that Le ers O�� 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 ord as the last Will(and cil(s))of Decedent. �� egister of Wills Fo��,nw-n? �•�v. �niliiznli e REGISTER OF WILLS CERTiFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA ADMINISTRATION oF cu�ye �� .�'� r�.� F,�` No. 2014- 00936 PA No. 21- 14- 0936 � D �Z Es ta te Of: FRANCESCA F DEBARTOLO lFiist,Middle,Lasfi � � La te Of: CARLISLE BOROUGH CUMBERLAND COUNTY Deceased Social Security No: � 1750 WHEREAS, FRANCESCA F DEBARTOLO (First,Middle,Lastl late of CARLISLE BOROUGH CUMBERLAND COUNTY died on the 30th day of August 2014 and, WHEREAS, the grant of Letters of Administration is required for the administration of the estate. THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, have this day granted Letters of Administration to: MA TTHEW L HARMAN 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, CARL/SLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 29th day of September 20�4. t i ' � �n /� ' � � � , . j Regrsier � s W ,,�_� �j . � � �,. �'- F= Deputy t, , � _ ' � �. ca �.' ; � �a� r.., � >...� =:� C'..:5 }.... N ._.1 '°�I G� (� G7 �, <J -� � � � („> � r � � � � � � � o � hJ **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) rv C —C '�'�7a' � -��+. � ::J') � G7 p � �--t-� � Q f"t7 � �"� � if) :A3 RENUNCIATION �� ' `� o r�' �� ,._. � ;r_ �;�:, ;� �-� � `.. ;:- <':a c7 . ,..., -� ...� _.,-� REGISTER OF WILLS ' � � =' `:: , �-- C� ��(Y1�X�, �COUNTY,PENNSYLVANIA - , � �— r''' ca cn � � � Estate of �`(��P�C GL � ��_ �.r��U� ,Deceased . � I, � , in my capacity/relationship as (Print Name) � l �Y\�P:r of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to �G��,u� L ��;rnr� ��mk�x� ��s�� (Date) (Signature) y`� � (Street Address) �'_�r��s�e �� 1�(��S (Ciry,Stare,zip) Executed in Register's Office F,.zecuted out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of , that he or she executed the renunciation for the purposes stated within on this��day of -SC�-K'_vv�b-�" , 2�1 �{ '��-��--C�. ,�.�,�_ Deputy for Register of Wills Notary Public � My Commission Expires: ��J��`�� (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMp`�pF pENNSY�VMNA NOTARtA�SEA-T��" Form RW-06 rev.10.13.06 KATIE A$CM(►jfE SOUTH MIOOIf TOIY tTWp CU'k �y C�m��:j�E � �EAlANO COUNTI� � �P�I!.201� H105.805 REV(9/17)