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HomeMy WebLinkAbout09-26-14 Reset PETITION FOR GRANT OF LETTERS REGISTER OP WILLS OFyerr���►� 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: ra e �fi_ �a� File No: c) '_ I 2``��r-,r a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 'P-0 by Age at death: --n Decedent/vas domiciled at death in e n County, r/7— (state)with his/her last / principal residence at G re i G m C.v �- ha/ Street address,Post Office and Zip Code City,Township or BoroVgli County Decedent died at 1 rk C t` ©` f Street address,Post Uffice and Zip Code City,Township or noroug County State Estimate of value of decedent's property at death: If dont ielled in Pentisylvania............................ All personal property $ If 1801 dontielled Its Pennslvrrnia. ....................... Personal property in Pennsylvania $ If not domiciled In Peans Ivaula. ....................... Personal property in County $ Value 0f real estate in Pennsylvania......................................................... A,// TOTAL ESTIi1•IATED VALUE.... Real estate in Pennsylvania situated at: A t �aU 00 14 (Attach additional sheets,ifnecessarv.) Street a'ddress,Post Office and Zip Code City,Township or Borough Cumin• rJ A. Petition for Probate and Grant of Letters Testamentary Petitioner(s)aver(s)he/she/they islare the Executors)named in the last Will of the Decedent,dated 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)otT'ered for probate Decedent did not marry,was not divorced,was not a partM a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),an@d not have ajEld boror'� adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. rn M p J0 NO EXCEPTIONS 0 EXCEPTIONS tV A B. Petition for Grant of Letters of Administration (ifapplicable) �r � rst M rrJ C.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,duran4,4b§ rtl~n;;durantenlhfo�tat� C:.".. W *-7 -try If Administration,0.a. or d.b,n.c.l,a.,enter date of Will In Section A above and complete,lis�o-ileirl -,� Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had bbetf establisw as(�Mn in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. —a --i r- O 91NO EXCEPTIONS Q EXCEPTIONS coo Petitioner(s),aftera proper search hasthave ascertained that Ihcedent lett no will and was survived by the following spouse(ifany)and lueirs(altach additional sheets,if necessary): Name / Relationship Address p /'fie �rr`Gy �� /An '�►Kee— 1"--)* �`✓ -1'0,-1c-40 �n P������e.' 319�K �ro a this 7 Yo Form RIS'-02 rev.10/1//1011 Page I of 2 Oath of Personal Representative officiAl use only COMMONWEALTH OF PENNSYLVANIA } ) SS: COUNTY OF ` � } Petitioners Printed Name ,�Petitioner(s)Printed Address The Petitioners)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of(lie knowledge and belief Of Petitioners)and that,as Personal Representative(s)of the De nt,the P —One vill w nd truly administer the estate according to law, safti to 'or tffirtned and subscribed before Date tv me INA,/2a day of •-'Ekn Date By: Date For the tster " Date BOND Required:0 YES G-'ICS To the Register of It-ills: FEES: ''++�� Please enter my appearance by my signature below: Letters.. ................ .. .. $ 'P-1 _ Attorney Signature: ( )Short Certificate(s)... ... ] ) { ` )Renunciation(s)...... ... ( )Codicil(s). ......... ... ( )Affidavit(s)............ Bond... .... .............. ... Printed Name: _ p o Commission. ................. supreme Court C= a rc Other ID Number: _ C om Firm Name. t •' --t .. ... Address: _ } C731 •-.•, ..... Phone: C } Automation Fee. ............ .. Fax: JCS Fee. .................... Email: x� Co TOTAL. ... ............ .. ... $ DECREE OF THE REGISTER Estate of 7A,ld'a 1A 1 ��J E.�) Fite No: 2) t 4l - 2 9 a/k/a: AND NOW, : .1 Pfewbk(— so in consider tion of the-foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Lettkrs.. 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 FormRIV--Dl rev.Nt/tt/lilt/ CU Page 2 oft ; Reset Form RENUNCIATION REGISTER OF WILLS cn rnn COUNTY,PENNSYLVANIA z c7 � u`, A. r --i c7 r » rn m cn c7 - ---------- t7 O CJ C7 C) -n —n 4� C ^r I * j CA.) i= C7 m Estate of l GW e)y LA A) , Idsed C C= ©YC A N ; in my capacity/relationship as �- (Print Name) ofthe above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfAy request that Letters be issued to o Y "V (Date) (Signature) (StreetAddress) (City,State,Z#,) Executed in Register's Office Executed 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 purl es stated within on this day of--) �O( Deputy for Register of Wilk Notary My Comnlission Expires: (Signature and Seal ofNJTotary or other official qualified to administer oaths. Show date of expirationofNNDtar}is ComrnissiorQ COMMONWEALTH OF PENNSYLVANIA NO=NotarY DIANE Y,GForm Ria'06 rev.10.13.06 unt City of Lancacaster My Commissi