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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
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the a ro ria
as specified below, and in
Decedent's Information PP P te form:
Name: Katharine Sa endo h Lorenz �
a/k/a: File No: ,�d' ,���- , ����)
a/k/a:
��a: (Assigned by Register)
Date of Death: 09/13/2014 Social Security No: 226-36-4601
Decedent was domiciled at death in Cumberland Age at death: gs
principal residence at 325 Wesle Drive Mechanicsbur Cumberland C utnt�pennavivania
Street address,Post Office and Zip Code (srare)with his/her last
Decedent died at 325 Wesle Drive Mechanicsbur Cumberland Coun C;ty,Township or Borough
County
Street address,Post OfFce and Zip Code Penns lvania
Estimate of value of decedent's ro e City,Township or Borough
P p rty at death: County State
Ifdomiciled in Pennsylvaniu„,
If not domiciled in Pennsy[vania. ....................... Per onal ro pe�pe�
Ifnot domiciled in Pennsylvania. ... P p rty in Pennsylvania $ 192 118.46
['alue of rea!estate in Pennsylvania.............. ��''' personal property in County $ n nn
........... $ n o0
.....................
Real estate in Pennsylvania situated at: N/A TOTAL ESTIMATED VALUE. ... $ ���
(Attach additionalsheets,ifnecessa — 192 118 46
rJ'•) Street address,Post Office and Zip Code
C�ty,Township or Borough
�] A• Petition for Probate and Grant of Letters Testamentar C�unry
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated
thereto dated
` nd Codicil(s)
� � �
State relevant circumstances(e.g,renunciation,death ofexecutor,etc.) � �j
r*1 � O
Except as follows:after the execution ofthe instrument(s)offered forprobate Decedent did not ma
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. §3323 �
C'�
G� �
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated ms nds not d�v�e�^,,�w�not a j7�Cty to a`��g
�S) �nddid�t ha e�chilc};bo�or
�NO EXCEPTIONS �EXCEPTIONS p � �
e_� � G'7
� B• Petition for Grant of Letters of Administration rfa � ' � � , �
_�
� pplicable) , ry ���� 1--+ –�-= C7
c.t.a.,d,b,n„d b,n.c.t.u.,pendente lite,durai�e absentia,d� r� �
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of W�11 in Section A above and com lete li
�te rr�'�i oy�te
--r�
xcept as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established
in 23 Pa.C.S.§3323 st Of helCs.
(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS as defined
�EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse ifan
additional sheets, ifnecessury):
� y)and heirs(rzttach
Name
Steven T.Lorenz Relationshi
Son 232 Beverly Rd.,Newark,DE a 9711
Brian R.Lorenz
Son 609 Gatewood Dr.,Enfield,CT 06082
Form RW-02 rev. 10/U/20//
Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Steven T.Lorenz 232 Beverly Rd.,Newark DE 19711
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 Decedept,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to a I d ubscribed before Date (1-12-,L Zo 1y
met i da of ,�l Date
$y; Date
For the R gister Date
BOND Required: ® YES ® NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
W
Letters. . . . . .. . . . . . . . . . . . . . . . $ � Attorney Signature:
( Short Certificate(s). . . . . . Leo-
Renunciation(s).. . . . . . . .
-
Renunciation(s).. . . . . . . .
( )Affidavit(s).. . . . . . . . . . . t� � C7
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: LM
Commission. . . . . . . . . . . . . . . . . . Supreme Court r» N --4 C)
Other . . . . . . . ID Number: M r," M r
. . . . . . Firm Name: ? Ca �. (CC
. . . . . Address: V"') "T7
. . . . . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . Fax:
JCS Fee. . . . .. . . . . . . . . . . . . . . . b Email:
TOTAL. . . . . . . . . .. . . . . . . . . . . $ tl
DECREE OF THE REGISTER
Estate of Katharine Sagendomh Lorenz File No: 4A
a/k/a:
AND NOW, ri i in consideration of the foregoing Petition,
satisfactory proof having been preset d before me,IT IS DECREED that Letters 6P •Arl mrn iS�
are ereby granted to 2--k t ren I L•e-f n ti
in the above estate and(if applicable)that
the instrument(s) dated
described in the Petition be admitted to probate and filed f record as the last Will (and Codicil(s))of Decedent.
gister of Wills V_�4;X-AW6
Form RW-02 rev.l0/11/2011 Page 2 of 2
' / � s
Oath of Personal Representative
Official Usc Only
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF CUMBERLAND } SS:
}
Petitioner(s)Printed Name
Steven T.Lorenz Petitioner(s)Printed Address
232 Beverl Rd. Newark DE 19711
The Petitioner(s)above-named swear(s)or af�'irm(s)the statements in the foregoing Petition are true and correct to the best of t
of Petitioner(s)and that,as Personal Representative(s)of the Decede�t,the Petitioner(s)wi11 well and truly administer the esta
Swol'ri to he knowledge and belief
a� d ubscribed before te according to law.
me t i �,/
By.�� a Of �'i` � Date l Zl ZZ 2.p Ic/�
For the Register . Date
, Date
--- " Date
BOND Required: � yEg � n,0
FEES: To the Register ojWi!!s:
Please enter my appearance by my signature below:
Letters. . . . . . . . .
� � � � � $ Attorne g
) Short Certificate s . . . . . . Y S� nature:
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . .
� . . . .
)Affidavit(s).. . . . . . . . . . . e.,y �
Bond.. . . . . .. . . . . '`�' �7
� � � Printed Name: � �
Commission. . . . . . � � � � Q
Other �, . . � � ' ' Supreme Court �
� � � � ID Number: � �- F'- �
. . . . . . . . fi— !'�j --wi C7
. �.�r `"f'� ;"i'7 (."I"I .
_,.. l;J) -'.
. . . . . . . Firm Name: ,':J � . � �'
� _ � � <>
Address: p .w� -
.,�.� ,_ —e7 i
. . . . . . . . _ •r7 l---+ . � �
. . . . . . . . .._..3 --.
..,_
F"'—
Automation Fee. . . . . . . . Phone: r -.a -�
JCS Fee. � � �
. . . . . . . . . . Fax:
. . . . . . . . . .
TOTAL. . . . . EmaiL•
. . . . . . . . . . . . . . . . $ 000
DECREE OF THE REGISTER
Estate of Katharine Sa endo h Lorenz
a��a� File No:
�� / -1:�?�)'b
AND NOW,
satisfactory proof having been presented before me,IT IS DECREED that Letters
��_, in consideration of the foregoing Petition,
are hereby granted to
the instrument(s)dated in the above estate and if a licable)that
described in the Petition be admitted to probate and filed of record as the last Will (and Codici ( pp
1(s))of Decedent.
Register of Wills
Forn:RW-01 rev. !D/11/1011
Page 2 of 2
...._...,...
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RENUNCIATION
r� REGISTER OF WILLS
�"` ���� l� �� °—r�C�IJNTY,PENNSYLVANIA
i7
Estate of ` ��;� t�;��--•- `�
���.. ��'�.�.� ':.'���� :�,- :�',� _
�, , � ¢-,
:.1 . .�.
� , � ,Deceased
, �^.� �'� v�.� f� �,� _,
�,��,,.�y (PrintName) in Tp
x y capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfuily request th�t Letters be '
:a-��"�-;�.; .�,.,� { R �-- �ssued to
i, - .;-.
ti,. C�..
CJ V'l y ,,-r
"-� Ct:.:
r"i G;-'.
t�.. '" -�
� � , � �" p C ;� (S'rgnatvrref
�:� ! /
C� C.:�.., � � G...,7 - ,�2�C�/� /� , l.0�i .
L..""2 t'�.� � •�' G? " �: I �--.
c.al 1 ; � ;,� "'-: Av u� L
Q �
� �,W,,, (�,� � � .._7 (Streetqddress/
� Cf+ �j C.7 � �
W � � p � (Cr �c �,�t'�'L%% �'�-
� C�' � � �y,Srate,Zip) �����
� �;
Execute`�'in Itegi�fpr's OffdCe
Sw��t�`�r a�����d an�sub�cribed Executed out ofRegister's Office
before me this Before the unders;gne��ersonalt�'
of day part}�executing this renunciation andcert fied�
�—�' that he or
�ke executed the renunciation far the
purposes stated within on this �_��_da
of_1LZ�' n2 a------__,�0____/y X
Deputy for Register of Wi�ls
Not Public
M C mission Expires: �/ 3 �//�
�5�8�aiure and Seat of Notazy or other official quali6ed to
administer oaths. Show date ofexpiration of Notary's Commission.}
Form RW-06 rev.I p,/3.06