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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
Name: MILDRED ROMANO File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: NOVEMBER 30,2014 Age at death:90
Decedent was domiciled at death in Cumberland County, Pennsylvania (state)with his/her last
principal residence at 3405 Chestnut Street,Borough of Camp Hill,Cumberland County,PA 17011
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 3405 Chestnut Street Borough of Camp Hill,Cumberland County,PA 17011
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 $ 500.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 10,000-00
0.00
TOTAL ESTIMATED VALUE. ... $ 30.500.00
Real estate in Pennsylvania situated at: 126 Ross Street City of Johnstown,Cambria County,PA
(Attach additional sheets,ifnecessary) Street address,Post Office and Zip Code City,Township or Borough County
A. Petition for Probate and Grant of Letters Testamentary `-"
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated ar% Lr'odi�s)rrl
thereto dated
2 (Z-3C-1
C3
State relevant circumstances(e.g.renunciation,death of executor,etc.) f I I
r-ti
CT
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not many,was not divorced;�+as.notaparty 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 cWd bocia�orrl
-
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 71
®NO EXCEPTIONS 0 EXCEPTIONS ~' = m
.,..i m
B. Petition for Grant of Letters of Administration (If applicable) ] U'
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.t.a. or t.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a parry 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 0 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
Connie R.Kindler (bol e he tr) Daughter 3405 Chestnut Street,Camp Hill,PA 17011
Anthony Romano Husband DOD: 8/ 1988
Form RW--02 rev.10/11/2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF DAUPHIN }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Connie R.Kindler 3405 Chestnut Street Camp Hill PA 17011 _,
C
M C��
C7 _� p
l
77
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 knowledg aikdbelief cy <0
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioners will well and truly administer the estate accor�itntodaw. �'
Sworn to or affirmed and subscribed before /,9-kx Date C_— � ►—• � c�
�" ry-1
me this G�4 day of �� Date -..,
By: y tJ Date
F the Register Date
BOND Required: Q YES 0 NO To the Register of Wills:
FEES: �l Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . . . . . . . . . . . $ Q.vv Attorney Signature:
( � )Short Certificate(s). . . . . .
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . ... . . V� 1
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Kathleen B.Murren,Esquire
Commission. . . . . . . . . . . . . . . .. . Supreme Court
Other . . . . .. . . ID Number: 37001
( . . . . . . . . Firm Name: SkarlatosZonarich LLC
. . . . . . . . Address: 17 S.2nd Street 6th Floor
. . . . . . . . Harrisburg,PA 17101
. . . . . . Phone: 717-233-1000
Automation Fee. . . . . . . . . . . .. . . Fax: 717-233-6740
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: zonarich_com
TOTAL. . . . . . . . . . . . . . . . . . . . .
DECREE OF THE REGISTER rn1 �—
Estate of MILDRED ROMANO File No: o�
a/k/a:
AND NOW, 1 15 in consideration of the foregoing Petition,
satisfactory proof h ing been pre v 62ted before me,IT IS DECREED that Letters
are hereby granted to (j
in the above estate and(if applicable)that
the instrument(s)dated 1JA
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
jr, Aram5zc� n
Register of Wills
Form RW-02 rev. !0//!/20!1 CLW Page 2 of 2