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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 or older, apply(ies} far 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: MICHAEL D.FLETCHER /)'_ '/ ' _ �p��n
File No: c��, �� V �
a/k/a: MICEIAEL DON FLETCHER
��a: (Assigned by Register)
a/k/a:
Date of lleath: AUGUST 11 2014 Social Securily No:
Age at death: 66
Decedent was domiciled at death in CUMBERLAND Coun
principal residence at 302 KE1TH ROAD 17050 �'�PFNNSYi VAN(A (Stare)with his/her last
Street�ddress,Post Ott�ce and Zip Coae MECHANIGSBURG CUMBERLAND
City,Township or Borough County
Decedent died at 302 KEITH kOAD 17050
Street address,Post Office and Zip Code MECHANICSBURG CUMBERLANll pq
City,Township ur Borough Count
Estimate of value of decedent's ro e Y State
p p rty at death:
Ijdomiciled in Pennsylvania,.,..,.,,., , q(1 personal property
/f�rnt dnmiciled in Pennsylvania. ....................... Personal ro e $ 25 000.00
7fnot doinrciled in Pennsylvariia, ....... .. P p �l'�n Pennsylvania $
� �•�••••••.... Personal property in County g
�'alue of rea!estate in Pennsylvania................................
........ ...... $ 1F0 0�0 0(1
TOTAL ESTIMATED VALUE. ... $__ 18 Q00 00
Real estate in Pennsy(vania situated at: 302 KEITH ROAD 17050
(Artach additional sheets,i �:ecessn MECHANICSB[IRG CUMBERLAND
f ry.) Street address,Post 0(fice and Zip Code
City,Township or Borough Countv
[� A. Petition for Probate and Grant of Letters Testamenta
Petitioncr(s)aver(s)he/she/they is/are the Cxacutor(s)named in tlie last Will of the Decedent,dated
thereto dated and Codicil(s)
State relevant clrcumstances(e.g,renunciation,deafh ojexeculor,erc.)
Except as fol lows: after the execution of the instrument(s)offered for probate Decedent did not ma �
divorce proceeding wherein the ny,was not d�er�,was not�arty�py��ng
grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g{�a did not have a c 6Efin or
adopted;and Decedent was neither the victim of a kiUing nor ever adjudicated an incapacitated person. � ..Q � � Q
O NO EXCEPTIONS Q EXCEPTIONS � � � -� � �
� B. Petition for Grant of Letters of Administration (ifapplicable) �� C> � w =� rn
. --'� C7
c.t.a.,d.b.n.,d.G.n.c.t.a.,pendente lite,�'"u`rt�ii?�gbsentitt;�furan;�e�my�,ritale
If Administrati�n,c.t.a, or db.n.c.�a.,enter date of Wiil in Section A above and col�Ypf�e tist o eirs� �
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for Qivrnce�ad been ehsl'�b(isl�d s�efined
in 23 Pa.C.S.§3323(g}and was neither the victim of a killing nor ever adjudicated an incapacitated persoYs'.` �
�NO EXCEPTtONS �EXCEPTIONS � �
f a7 -�
Petitioner(s),aRer 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, ifnecessary):
lYame Relationshi
MAR'fIN FLETCHER BROTHER Address
104 SOMERSET
SUSAN FLETCHER CHANEY COUNCIL BLUFFS IA 51503
SISTER 2318 NORTH SSTH LANE
Form R6V-0� rev. lpil1i201/
Page 1 of 2
��^
Oath of Personal Representative oe���ai use on�y
COMMONWEALTH OF PENNSYLVANIA }
} S5:
COUNi'Y OF CL'MBERLAND �
Petitioner(s)Printed Nnme
Petitioner(s)Printed Address
SUSAN FLETCf�ER CHANEY 2318 NORTH SSTH LANE FORT SMI AR 72904
The Pelitioner(s)above-named swzar(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the know(edge and belief
of Petitioner(s)and that,as Persona[Representative(s)of the Decedent,the Petitioner(s)will weil and truly administer the estate according to law.
Sworn to ox affirmed and subscribed bef'ore �.._,=,ry,,�,
mc this �°day of �1�, �'��-' Date q (lo � l l.�
Ry� Date
For..�he Register � Date
� � • Date
BDiVD Requireil:4Q YES � NO � `� �
To the Register of Wi!/s: � p '-� �7 rn
FEES: Ptease enter my appearance by my si �`�e below.
� "t5 �i �,�j c�
` t5 _,,, p
Letters . . . . .. . . . . . . . . . . . . . . . . $ 260.00
--__ Attorney Signature: � b. r N .�� p
� 5 ) Short Certificate(s).. . . . . 25�� � � � � _�� p„y�
( 1 )Renunciation(s)., . , , . , . , 5.00 �;�- �? � �-�� �
� )Codicil(s). �
. . . . . . . . . . . . ,".? C_ . , „� Y�� �'T
( )Affidavit(s).. . . . . . . . . . . —�— y c.:
...
Bond.. . . . . . . . . . . . . . . . . . . . .. . , :�� F--+ �
Commission. . . , , . . , --------- Printed Name: KENNETH J.MCDERM�TT,II rV r-- �
Other INH RETURN ���� Supreme Court yA rn
INVENTORY ------15'00 jD Number: 205555 � �j � Q
—15•�0 �
' ' ' ' ' ' ' --________ Firm Name: SHUMAKER WILLIAMS,P.C.
�:;:::: ----__ Address: 3q SIMP40I`T F RRY ROAD
. . . . .. . . �— S.AMP HiI i PA 1'701 1
. . . .. . . -----
. . .. . . . . Phone: 717-763-1121
Automation Fee. . . . . . . . . . . . . . . �p�
.TCS Fee. . . Fax: 717-763-7419
. . . . . . . . . . . .. . . . . . 35.Sp Email:
TOTnL. . . . . . . . . . . . . . . . . . . . . $_ 380.sn -�'-�A.K..RRWif r 1A �c�nna
DECREE OF THE REGISTER
Estate of MICHAEL D. FLETCFfER �
��a: MICHAEL DON FLETCHER File No: ••�,�- ���(����
AND NOW, � � �C��� , �DI
satisfactory proof Ilaving been presented before me,IT IS DECREED that Letters ADMINISTRATIONf oregoing Petition,
are hereby granted to SUSAN FLETCHER CHANEY
the instrument(s)dated in the above estate and(if applicable)that
described in the Petition be admitted to probate and filed o,fr c d as the last Will(an Codicil(s�)of Decedent.
�
egister of Wills �
F��,�nxwo2 r��. iou�izoir � "e�
�
Pag 2 of�
OATH OF PERSONAL REPRESENTATIVE
STATE OF ARKANSAS
COUNTY OF sEBASTTAN � SS
The petitioner(s)above-named swear(s)or affirm(s)that 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 above decedent petitioner(s)will well and
truly administer the estate according to law.
Sworn to or affirmed and subscribed
befare me this day of �
�
�
�
�
�
Register �
�
Estate of A T R , Deceased
RANT OF LETTERS OF ADMINISTRATION
AND NOW , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that SUSAN FLETCHER CHANEY
is/�entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to °
SUSAN FLETCHER CHANEY
in the estate of MICHAEL D- FLETCHER
�e o-�,er ��.
Register of Wills
FEES �
Letters of Administration . . . . . . $ "�� �
T • TT, #
Short Certificates( ). , , , , . $ ATTORNEY(Sup.Cc. I.D.No.)
Renunciation . , . . . . . . . . . . $ 3425 SIMPSON FERRY ROAD
$ SAMP H ii pq i�nii
TOTAL $ ADDRESS
Filed . . . . . . . . . . . . . A.D. 717-763-1121
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