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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 �i� ,� y
Name: PAULA LOUISE DYBA File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 06/06/2014 Age at death: 65
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (state)with his/her last
principal residence at 817 W KELLER STREET MECHANISBURG CUMBERLAND
Street address,Post Office and ZJp Code pc
Township or Borough County
Decedent died at 500 UNIVERSITY DRIVE N HERSEY MONROE 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 $ 5,200.00
If not domiciled in Pennsylvania. .. . . ........ ........... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. .. . ................... . Personal property in County c�
Value of real estate in Pennsylvania.. . . ................ ... .. ....... . . . .. . . .. . . . .... . ... .... .C$ ?Pow
TOTAL ESTIMATED VALUE. .. . :)u %5.2d4!oQ
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary) Street address,Post Office and Zip Code City,Township or'Bo,ough7 F ' M !-'County
co
0 A. Petition for Probate and Grant of Letters Testamentary C�l -1 1
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated 'r] - •andMdicil(s)
thereto dated rn r-
State relevant circumstances(e.g.renunciation,death of executor,etc.)
CO 'rT
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 born 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.ta. or iLb.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 Address
WILLIAM EDWARD BRAY SPOUSE 817 W KELLER STREET
MECHANICSBURG PENNSYLVANIA 17055
UA&
Form RW-02 rev.1011112011 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
WILLIAM EDWARD BRAY 817 W KELLER ST MECHANICSBURG,PENNSYLVANIA 17055
1 1
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 Decedent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed before Date JMW,20,111
me this 0 day 91f �Xr ?zl 4 Date
By:
wLem
Date
,
For the Register Date
BOND Required: 0 YES 0 NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature:
Short Certificate(s). . . . . .
Renunciation(s).. . . . . . . .
Codicil(s). . . . . . . . . . . . .
Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . .. . . . . . . . . . . . Supreme Court
Other ... . . . . . . . ID Number:
I n yeziP22A . . . . . . . .
Ir V1 {-{Iu Firm Name:
. . . . Address:
. . . . . . . . Phone:
Automation Fee. . . . . . . . .F44 . . Fax:
JCS Fee. .. . . . . .. I . . . . . R . . U!:— Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ V9 1"@- 1
A eo-w .1
DECREE OF THE REGISTER
Estate of PAULA LOUISE DYBA File No: c9 ---79
a/k/a:
AND NOW, in consideration of the foregoing Petition,
satisfactory proof having been presented 1_Jbre me,IT IS DECREED that Letters rynin
are hereby granted tovy(M'LlYY) F_dK(XVzt bV-C'u_j
in the above estate and(ifapplicable)that
the instrument(s)dated n In–
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent.
/-) I
>4_00 kt
eAister of 4illsW lmy�I�11
Form RW-02 rev.1011112011 �Jtw Page 2 of 2