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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) 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: David L Glaser File No: JI
l` I
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: August 19 2014 Age at death: 70
Decedent was domiciled at death in Cumberland County, PA (state)with his/her last
principal residence at 2080 Clarendon Street Camp Hill PA Cumberland County
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 940 Walnut Bottom Road, 17015, Carlisle,Cumberland County,PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania............................ All personal property $ 127,650.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
Ifnot domiciled in Pennsylvania. :******—******—**** Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 142,000.00
TOTAL ESTIMATED VALUE. ... $ 269.650.00
Real estate in Pennsylvania situated at: 2080 Clarendon Street,Camp Hill PA 17011
(Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township 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(e.g.renunciation,death of executor,etc.)
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not 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 bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
®NO 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,durante absentia,durante minoritate
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
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
Petitioner(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 Relationship Addresrs7
Judith A Krebs sister 1724 Creek Vista Drive,New CunLFerghd PA 17wo M c�
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Fonn RW-02 rev.10/11/2011 Page 1 of2
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Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF
Oumbt#�((O(b� } SS:
Petitioner(s)Printed Name Petitioner(s)Printed Address
Judith A Krebs 1724 Creek Vista Drive New Cumberland PA 17070
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 D ent,ethe Petitioner(s)will well and truly administer the estate according to law.
Sttlie,,RRegister
o -affirmAaa bscr'bed before S Datema Date
3 Date
Date
BOND Required:® YES Q NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . ..... .. .. ..... . .. .. . $ ® Attorney Signature:
( '� )Short Certificate(s)..... . 10
( )Renunciation(s)... .. ....
( )Codicil(s). . . .. . ... .. ..
( )Affidavit(s).. .. .. . .. .. .
Bond.. .... .. .. . ...... . .. . . .. Printed Name: No
Commission. .... ...... . . . . . .. Supreme Court -� m
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Other . . . . . . .. ID Number: = 07 M1
03 —i (!) :Ll
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. . . .. .. . 14 Firm Name: n t- H-+ r p rr�
.. . . . .. . Address: Z: LTO
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.. .. . Phone: W s-- M
Automation Fee. .. ..... .... . . . Fax:
JCS Fee. ... . . ...... . . . . . . . . . Email: '~
TOTAL. . ... .. .. .. . . . . . . . . . . $
DECREE.OF THE REGISTER (rC�
Estate of David L Glaser File No: J``I LA "� J
a/k/a:
AND NOW,-(�, ) f� , ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT ISDCREED that Letters CJ�1
are hereby granted to f���- b A= fflb,5
in the above estate and(if applicable)that
the instrument(s)dated . f
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s)) of Decedent.
Register of Wills
Form RW-02 rev.1011112011 - age 2 of 2