HomeMy WebLinkAbout01-15-15 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:
Jeffrey W Graffius
Decedent's Information C r � �
Name: Donna G.Amig File No: 21_ � -,7�D�`'I�
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 12/13/2014 Age at Death: 70
Decedent was domiciled at death in Cumberland County, pp (state)with his/her last
principal residence at 107 Valley View Road,New Cumberland 17070 New Cumberland Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Frey Village,Middletown 17057 Middletown Dauphin PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedenYs property at death:
If domiciled in Pennsylvania...................... All personal property $ 40,000.00
Ifnot domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $ 237,600.00
TOTAL ESTIMATED VALUE b 277,600.00
Real estate in Pennsylvania situated at 107 Valley View Road,New Cumberland 17070 New Cumberland Cumberland
(Attach adddional sheets,if necessary.)
Street address,Post Office and Zip Code City,Township or Borough County
❑A. pp*ition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Wili of the Decedent,dated and Codicil(s)
thereto dated
o...s..r .+ --�,................e,�her�Gnl,t �c Ile�orl0n*'c cic*n� 4n�rlminic+a�4hP Fctata in favnr nf.laffrnv W_[+'raffiu .D dBll'S
brother.
State relevant circumstances(e.g.,renunaation,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 born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS � EXCEPTIONS
� B. pptition for Grant of Letters of Administration (If app�icable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pedente lite,durante absentia.durante minoritate
If Administration,c.ta or d.b.n.c.t.a.,P-^-±Pr date of Will in Section A above and com�lete li�t of heirs.
rv
Except as follows:Decedent was not a party to.pending divorce proceedin wherein the grounds for divorce had�een establisl�as defin�ph
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever a�udicated an incapacitated person. � c,r+ � �-ry
O �
�NO EXCEPTIONS � EXCEPTIONS � � �--�-� � �
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following s�_ous�e(if�nq'j anc�ei�(attach
additionalsheets,ifnecessary): i-,? ,�M � � r,�7 �
„ � _.w�
Name Relationship Address '-=' �;-~> -- � �"� �
Jeffre W.Graffius Brother 1960 Garnet Road ' `''� � '��=
y York PA 17403 , LT` � �
Patty G.Plummer Sister 305 W.Washington Stre�gt"'"`3 � � Q
Urbana IL 61801 's'i
Form RW-02 rev.10-11-2011 Copyright(c)2011 form soflware only The Lackner Group,Inc. Page 1 of 2
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Oath of Personal Representative OfficialUseOnly
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Jeffrey W.Graffius 1960 Garnet Road
York,PA 17403
717-430-4199
The Petitioner�s)abovE-named swear(s)or a�rm(s)the statemen in the f eg ng P ' n are e a cor ct to the best of the knowledge d
belief of F'atitioner(s)anh that,as Personal Representative(s)of th Deced t, titio )wil I a trul d inister the estate according law.
ti: � Date Q I � ��
Sworn io o�affirmed and subscribed before �
me is '���day o - � Ll � , '���� oate
�� Y Date
By: .
For the Register Date
('J
�7 �
To the Register of Wi/ls: � �T"' � �
BOND Required? � YES � NO � C'�
Please enter my appearance by my 5j�n re belov� �
FEES: �0 � -� � � �7
Letters.......................................... $ ��u. Attomey Sign ure: �a '�' � �_i �a
�
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( )Short Certificate(s)......... �i�0•BZ� � � 9 : . !��'! t_t"t �„� �
( � )Renunciation(s).............. �j-Otj �° `='' , -,
Codicil s "' .� � �� wl�
( ) ( )........................ . , �,', ,.� � .�- -rt
Affidavit s Printed Name: J nifer B.Hipp � --,
( ) ( )...................... ..
.
Bond............................................. ;.a � c"' t'rt
Supreme Court __; t"'
Commission.................................. ID Number: $6556 .,y ���{��_
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Other
Firm Name: Bogar and Hipp Law Offices
Address: 1 West Main Street
Shiremanstown,PA 17011
Phone: 717-737-8761
Automation Fee............................ ���
Fax:
JCSFee....................................... '��
TOTAL......................................... $ �f 5•�
E-mail: jhipp�bogarlaw.com
DECREE OF THE REGISTER
Date of Death: 12/13/2014
Social Security No:
Estate of Donna G Amig File No: 21 — I S"���(S
a/k/a:
AND NOW, � � , ���S ,in consideration of the foregoing Petition,
satisfactory proof having been presented b fore me, IT IS DECREED that Letters of Administration
are hereby granted to Jeffrey W.Graffius
in the above estate and(if applicable)that the instrument(s)dated
described in the Petition be admitted to probate and filed of record as the I t Will(and Codicil(s))of Dece ent.
ister of Wills Ce/''(.
Copyright(c)2011 form software only The Lackn� up,Inc. age 2 of 2
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RENUNCIATION � � � � �
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REGISTER OF WILLS ��= �=' !� � r � r-.7
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Cumberland COLINTY, PENNSYLVANIA ": � .� °�
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Estate of Donna G. Amig , Deceased
I, Patty G. Plummer , in my capacityhelationship as
(Print Name)
sister of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my brother, Jeffrey W. Graffius
'l��'G• 1 lP � �+� (�^� ��� ��---r ���n�vuJ�_
(Date) (Signature)
305 W. Washington Street
(Street Address)
Urbana, IL 61801
(City,State,Zip)
Executed in Register's Office Executed out of Register'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 renunciation for the
purposes stated within on this � day
of r�n �- , a2 61
Deputy for Register of Wills Notary Publ�
My Commis 'on Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANiA
NOTARIAL SEAL
JENNIFER B.HIPP,NOTARY PUBLIC
Form RW-06 rev. 10.13.06 SHIREMANSTOWN BORO,CUMBERLANO COUNTY
MY CON�i,hISSIOtv EXPIRES OCTOBER 1,2015
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
i�
-t �� �uM� `" `
�.� �r�\���,�` No. 2015- 00045 PA No. 21- 15- 0045
J (� p Es ta te Of: DONNA G AMIG
Q C� I\ Z fFiist,Middle,LasU
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V �� ��� v � i� �
� �� �� La te Of: NEW CUMBERLAND BORO�G�! `�'�' � ,�
� CUMBERLAND COUNTY � �, 4? c,
� N �� /i � ..`°� r., .� ;,� �_
Deceased .� ; ��
1750 Social Security No: � �� °- r�� � � �
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c--, .;� � -T�
WHEREAS, DONNA G AMIG -: ►=• ;,-== �
(Firsl,Midd/e,Lasti - �-'� �'
� �� � �
late of NEW CUMBERLAND BOROUGH CUMBERLAND COUNTY � a
died on the 13th day of December 2014 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonweal th of Pennsylvania, have
this day granted Letters of Administration to:
JEFFREY W GRAFFIUS
who has duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and has agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 15th day of January 20�5.
. � ��
Register of i ls
�
� ` 1 l, �
Deputy
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)