HomeMy WebLinkAbout01-16-15 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF �,���V�anQ� 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)th�
following and respectfully requests the grant of Letters in the appropriate form:
DecedenYs Information � r /�
Name: Steven C Gould File No: �i ` �.�"�(�VJ�
a/k/a: N/A (Assigned by Registerj
a/k/a:
a/k/a: Social Security No:
Date of Death: 12/27/2014 Age at Death: 48
Decedent was domiciled at death in Cumberland County, pA (State) with his/her las
principal residence at y130 Canterbury Drive Mechanicsburg 17055 � �e�9
Street address,Post Office and Zip Code �-r ity,Township or Borough County
Decedent died at Holy Spirit Hospital Camp Hill Cumberland PA
Street address,Past Office and Zip Code City,Township or Borough County State
Estimate of value of decedenPs property at death:
If domiciled in Pennsylvania........................ All personal property $ 47,000.00
If not domiciled Jn Pennsylvania................. Personal property in Pennsylvania $
If not domiciled in Pennsylvania................. Personal property in County $
Value of real estate in Pennsylvania........... $
TOTAL ESTIMATED VALUES 47,000.00
Real estate in Pennsylvania skuated at
(AtWch addiUonal sheets,ff necessary.)
Street address,Post Office a�d Zip Code City,Township or Borough Counry
❑A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated and Codicil(s)
thereto dated
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(Stafe relevant c'rcumstances,e.g.,renuncration,death of execuror,etc.) � � � �
Except as follows:after the execution of the instrument(s)offered for probate,Decedent did not ma was not divorced,was not apa�t�nding �a •---- �
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.�§��3323(g),and did not have a chilp om r G �'1j %'�
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. _� �= � ^ �-��
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�X NO EXCEPTIONS�EXCEPTIONS - �� � -' �-�
c. a.; n.; . .n.c.t.a.; ente de; Uran B, }, �a; �te m�non a
XQ B. Petition for Grant of Letters of Administration cff aPP���abie� �''g
If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and comolete list of heirs. ` � �y.�
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Except as follows:Decedent was not a party to pending divorce proceeding wherein the grounds for divorce had bee�established as de6ned` � � G7
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. � � rt
�X NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that DecedPfd left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,il necessary):
Name Relationship Address
Kimberly J. Gould Wife 2130 Canterbury Drive
Mechanicsburg,PA 17055
Kennedy Gould Daughter 2130 Canterbury Drive
Mechanicsburg,PA 17055
Madison Gould Daughter 706 Henry Street
Mechanicsburg,PA 17055
Preston Gould Son 706 Henry Street
Mechanicsburg,PA 17055
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Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
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COUNTY OF (�,�,� �J,y�r�Q� }
Petitioner(s)Printed Name Petitioner(s)Printed Address
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The Petitioner(s)above-named swear(s)or a�rm(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 Dec dent titioner(s)witl well and truly administer the estate according to law.
Swom to or ffirmed and subscribed before ` Date �"O —��
me this�day of-�`�.�.�-�"t- ,�%�� Date
�,Y1 �-�,_� Date
By: -
For the Register � Date
BOND Required? � Yes � No To the Register of Wills:
FEES Please enter my appearance by my signature below:
Letters............................................ $
~ � � Attorney Signatur •
( (�/�)Short Certificate(s).......... �, `
( )Renunciation(s)...............
( )Codicil(s)......................... �
Printed Name: Samuel L Andes `s' � �
( )Affidavit(s)....................... � ���
�..... �
Bond.............................................. Supreme Court �,� -�p � cn _C5
17225
Commission................................... 10 Number: � '" � � � �""�
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`���(�k;� 1 _�-�.�'`� Firm Name:
1�11Ai n$1.`�ti'�,� �"�� � Address: 525 North 12th Streeh .-- ,.. :'�= 3 _�,�
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Lemoyne,PA 17048 �..:; t'�' �
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Phone: 717/761-5361
Automation Fee............................. ��! Fax: 7171
JCSFee.........................................
TOTAL........................................... $ E-mail: SamuelAndes168@gmail.com
DECREE OF THE REGISTER
Date of Death: 12/27I2014
Social Security No: 340-58-2023
Estate of Steven C Gould File No: � 1" �5 ����
a/k/a: N/A
AND NOW, � `{'�l � C `�)(� ,in consideration of the foregoing Petition,
satisfactory proof having been presented befor�I�ie, IS DECREED at Letters of Administration
are hereby granted to �1 C�' \( �
in the above estate and(if applicable)that the instrument(s)dated
described in the Petition be admitted to probate and filed of record s t last Will(and icil(s)�c f ecedent. -.�
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Steven P. Gould, Deceased
the undersigned Adrianna Brumbaugh, on behalf of two minor children, Preston Gould
and Madison Gould, who are two of the heirs of the decedent named above, in my capacity as
their mother and guardian, hereby renounce their right to administer the Estate of the said
Decedent and respectfully represent that Letters of Administration be issued to Kimberly J.
Gould.
Date: �- �`7' ` �s ` +��
A ' nna Brumbaugh
706 Henry Street
Mechanicsburg, PA a 17055
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 , 2015. that he or she executed the renunciation for the
purposes stated within on this ��'Zelay of
, 2015.
� �
Deputy for Register of Wills ota ublic
My Commission Expires:
(Signature and Seal of notary or other official qualified to
administer oaths., Show date of expiration of Notary's
Commission.)
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NOTARIAL SEAL ;
A�I{Y M.HA�UNSC,u�pub1C �
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
y oF ��Me ,. 1e `
�.� (��� F,Q` No. 2015- 00053 PA No. 21- 15- 0053
J 9 Es ta te Of: STEVEN C GOULD
Q Z (Fiist,Middle,Lastl
� v
� La te Of: UPPER ALLEN TOWNSH/P
CUMBERLAND COUNTY
M N N
Deceased
Social Security No:
1750
WHEREAS, STEVEN C GOULD
IFiist,Middle,LasU
late of UPPER ALLEN TOWNSHIP CUMBERLAND COUNTY
died on the 27th 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 Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
KIMBERL Y J GOULD
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 16th day of January 2015.
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