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Home My WebLink About11-21-14 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF Cv M�OQI� I'�C! 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 n II 1 / Name• ��1�.�r � . '(`t��fV N�C,� File No• G� ' �`7 � !/��' a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: Ci� - � Q' a-O 1�-{ Age at death: �3 Decedent was domiciled at death in �M�p.��N'� County, �� (srure)with his/her last principal residence at c� 3� S • � �^ �mp�tv� (�r��y�,�inq,��,pNC}, Street address,Post Office and Zip Code City,Township or Borough County Decedentdiedat �,3(7 S � � �'�'` � �t�nCi�l NQ- C,v�tv��q,^ `�Nc� er(� 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 � If not domici[ed in Pennsylvania. .... ...... ............. Personal property in Pennsylvania $ � If not domiciled in Pennsyh�ania. ...... ....... .......... Personal property in County $ lialue of real estate in Pennsylvania.............................. .............. ............. $ TOTAL ESTIMATED VALUE. ... Real estate in Pennsylvania situated at (Attach ndditional sheets,ifnecessary.) Street address,Post OfTice and Zip Code City,Township or�rough � C�nty c --� �' m o m � ❑ A. Petition for Probate and Grant of Letters Testamentarv � � �; �'� c� Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in tlie(ast Will of the Decedent,dated rr� � r, C anat,C�o�il(s) thereto dated =-� �� --? � ;.. , �,. � ,,. ,; ..., ;... f—� _;, �.._.� State relevant circmnstances(e.g.renunciation,deatls ofexecutor,etc.) -. ": r. Y� _. _ ,.„ • , � i ,� Except as follows: after die execution ofthe instrument(s)offered for probate Decedent did not marry,was not divoreed,was noE$�arty toa p��ding divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(gj,a�i�did not a�e a c��Id�i�rn or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. _, _ - � �-- '�� NO EXCEPTIONS ❑EXCEPTIONS _ h C!> O . Petition for Grant of Letters of Administration (If applicable) .'' c.t.u.,d.b.n.,d.b.n.c.t.u.,pendente lite,dztrunte ubsentia,durunte minoritute 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 uot a party to a pending divorce proceeding wherein tUe grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g)and was neitl�er the victim of a killing nor ever adjudicated an incapacitated person. O EXCEPTIONS �EXCEPTIONS Pe'tioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(uttuch udditionul sheets,ifnecessury): Name Relationshi Address � � ,c,h l�--t 5 C.Q �---v�.b.a, s�- �'(� �1 . ��s J ��,c ° �,c. 1� N "N _�P� �s� �13 F�,-,»aw-nz ��. �nii�izn�i Page 1 of 2 v Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } c��N a } SS: COUNTY OF } Petitioner(s)Printed Name Petitioner(s)Printed Address � 121�C �N N'�G � � N�� : �- �f �J�Q - I �C)� 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 Petitioi�er(s)and zhat,as Personal Representative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before � f II�I�'J i C Date ( (� �2.�--�b 1� me this ' �+day of ,� Date By: � (/ Date For the Register Date i_aa �L! BONiJ Required:Q YES To the Register of Wills: ,,.�. � rn FEES: Please enter my appearance by my�nature below: (�"i �7 �.. x7 ,-.�.-, -- .:" Letters . . . . . . . . . . . . . . . . . . . . . . $� Attorney Signature: <<� J � � ��n � �+ . C�� __, ._., ("G^ )Short Cert�ficate(s). . . . . . Il`U.(:�a ; ��,�, �-- n� ;- ; �"'� ( /�.)Renunciation(s).. . . . . . . . 1 D•�� - :'rr t.`,"+ }---� � �,_`s .... � -. _ , _., ( )Codicil(s). . . . . . . . . . . . . r,� _... - — .� �'�� ( )Affidavit(s).. . . . . . . . . . . ' " �:;> J _ "z�r Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: � ::� - � ',�:_ C'7 Commission. . . . . . . . . . . . . . . . . . Supreme Court `.� r-- � Other . . . . . . . . ID Number: ; T�' � � .� � ' . . . . . . . . l'-�-c�`�� _„ f,J _ —' � . . . . . . . . L';�c�"� Firm Name: . . . . . . . . Address: . . . . . . . . Phone: Automation Fee. . . . . . . . . . . . . . . �� jC� Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . ��j-(�(,� EmaiL TOTAL. . . . . . . . . . . . . . . . . . . . . $ /�i�•`�> DECREE OF THE REGISTER Estate of ��1�(��" �,_ �I_��i1 ��"� File No: ��'�� " f�� Z a/k/a: AND NOW, ,�i}{�� l E' �=,�,� � , �)�� , in conside•ation of the faregoiilg Petition, satisfactary proof having presented before me,IT IS DECREED that Letters r �- are hereby granted toJ — ' � � in the above estate arn�(if applieable) that the instruinent(s)dated described in the Petition be admitted to probate and filed of rec d as the last Will(and odicil(s j)of Decedent. � � egister of W lls (� l.,! � � �� F�f,�,n�v-nz ,��v. tnil�izn�� Page 2 of 2 ��i�it�:F'�'•� n� sn� :'� i� i i!L.. l;c {�•—n�C-^ _ ,•�i, j� E1 :�t•3 i �i!. ��1� ��U Ll ��l 8 52 RENUI�+TTCIATION CL�., , � ,_ REGISTER OF WILLS ��`` �� ' CU'��",._ ` - C�Mb4;��p�(� COUNTY, PENNSYLVANIA � Estate of __ �(>�Q�V� L . '�(�� N;C�� Deceased , I, C�C��vL?` L.[;� T'�I�N1L/f , in my capacity/relationship as (Print Name) �� T�� of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ��CJ� �- �(liNNiC.�'1 � r � ,r�c7-a j3�.'� / - ��/ `t � � � � (Da1e) (Sign e) l 4-5G L�'�'►�t l��=12 ��-�' ANDREA M. POWl�1tS (S[reetAddress) � #IQ'�,AAY:RUiLtG•MiNNL80tA 3 t�!►�a�l►e�.�Yp.J's�. 31, 201.¢ �(�✓�� /�1/� 5�_�� _ _ (ciry,srare,ziP) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the befo e this day party executing this renunciation and certified of—��(�y UL.�- " that he or she executed the renunc.iation for the , purp es t ted within on this J�" day of �i , , ... Deputy for Register of Wills ta My Commission Expires: � ,3l� �C'�� (Signature and Seal of Notary or other offi al qualified to administer oaths. Show date ofexpiration of Notary's Commission.) Form RW-06 rev. 10.13.06 „�.,..»..,�...,...,m.�..�......»_..�..,,.� ...,,..,.,�.,.� .K,�'#�� x, .y ��a�a_;; � �- s �;,a:� ��f� r+fi ••�x *� � �+ , , ��. «�« •t:r. ..; t#r ��... +�.�w-as�ww� ftECQ?�:��"' W. ~1��. �� ' . `'_�_ti RENUNCIATION %�1� '��U Zl �� 8 53 GLE_ .:; ;J n REGISTER OF WILLS �� ;,_ f �_� �-' Cv��AN�I COUNTY, PENNSY��.. ' Estate ot �v�Q,r� �-- . �t1 i(�>N��CJ� , Deceased I� �`C� �-- � M�N N �L r 1 , in my capacity/relationship as (Print Name) �r� �� of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ��ZpC� �. �l;�;r�',C�� --� l � r ' �C �li � � � f� �" (Date) \(Signature) �/`l�� 5�' � (Street Address) ��x,-j i��e : �� , l 701 3 (Ciry,State,Zip) Executed in Regisier's Office Executed out ofRegister'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 renunciatio�for the purpose stated within on this�=day of 0 / � ��- , � ` Q / C,. Deputy for Register of Wills Notary , �ic My C mission Expires: �i��, ��, 7 / (Signature and Seal of Notary or other official qualified to administer oaths. Show date ofexpiration ofNotary's Commission.) ,��r►ue�,� JESSE DOSS �..., * * MY CAMMISSION fi Ff 112638 Forrn RW-06 rev. 10.13.06 EXPIRES:Ap►�14,2(118 �aarx,oFF��`�� BondedThru6udptNolaryServices