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HomeMy WebLinkAbout01-20-15 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF (" i,& /)n �,,Lvn 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: v b cr-4- A • 14 cave r File No: a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: _ Date of Death: 1 Gl S Age at death: 20 Decedent was domiciled at death in r!Lkn_bee1 AX1J County, r A (State)with his/her last principal residence at tfi�<3"J G--TrioAte I2dbl&fr Q MaD1ojnaJ2A,4 P I'70 Street address,Post Office and Zip Code J ICity,Township or Borough County Decedent died at At37 C.T✓1.%A1 e Rd. k3lttc�.'-) (1�1eC csl®u� (`a,,,z UAArJ 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 $ _F70,oU(� If not domiciled in Pennsylvania. ............. .......... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. .............:......... Personal property in County $ Value of real estate in Pennsylvania.................................................. ........ $ TOTAL ESTIMATED VALUE. ... $ A ,(j Real estate in Pennsylvania situated at: (Attach additional sheets,ifnecessary) Street address,Post Office and Zip Code City,Township or Borough County ry ❑ A. Petition for Probate and Grant of Letters Testamentary C") c, r n Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated C� 3n� odicil(s) thereto dated r - -71 State relevant circumstances(e.g.renunciation,death of executor,etc.)?''_ r l r h w �• rpt t� � C7 Except as follows: after the execution ofthe instrument(s)offered for probate Decedent did not many,was riot d or&ea,wa t a pai3-t�' tqpending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. §332i(g,a9d did is have a cltild born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 17) rT, C7 ❑NO EXCEPTIONS ❑EXCEPTIONS ? i--` r- M r-- 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 minor•itate If Administration,c.t.a. or d.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 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. D6NO 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): COX!OXi(12 .Ivl. e,,r' - �e.01 la J3� 13 Name Relationship Address �1risj itne, jl�l. vr- e: C K LA- _e S7U Ln. ,llt PA J C�rn0-C, a mea Ave. Aar_(1 I-" A. a s - I Chu p t-7Q ,4`�l Form aw 02 rev.10/1112011 Page 1 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CA bdl&G -p] } Petitioner(s)Printed Name Petitioner(s)Printed Address e.., Addkeoua Av-s krri s b'�, PA- j-7 t,()9 J CA fi-e A- Yi n S C ,ass 1-6tow, Gr>Jt 1-76 3-S, 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. SwAiisda rme a d subscribed before `�Yl Date t ac0/i me f -IVA DateBy: Date i/Lo/1S'Date. BOND Required:Q YES ❑NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Lets . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature: ( ) Short Certificate(s). . .. . . t ( ) Renunciation(s).. . . . . . . . ( )Codicil(s). . . . . . . . . . . . . r J ( )Affidavit(s).. . . . . . . . . . . C-> ::0::0 rn rn Bond.. . . . . . . . ... . . . . . . . . . . . . . Printed Name: r Commission. .. . . . . . . . . . . . Supreme Court �. ,� ID Number: cst C7 --► c LE. 19 ��f4 j xryT� E �� [ C=) - C J . . . . . . . . Firm Name: . . . . . . . . Address: ; . . . . . . . . Phone: - f "Ti Automation Fee. . . . . . . . . . . . . . . Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ DECREE OF THE REGISTER Estate of File No: a/k/a: AND NOW, K) to considerat'on of the foregoing Petition, satisfactory proof having been present before me,IT IS PECRTUD that Letters are ereby granted to w in the above estate and ' applicable) that the instrument(s)dated described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. Aeg ter of Wills Fol-177 RW-0? rev. 10/1112011 Page 2 of 2 REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA ADMINISTRATION Of CUM R! y eta No. 2015- 00063 PA No. 21- 15- 0063 D Z Estate Of: ROBERT A KAYER (First,Middle,Last) v Late Of: HAMPDEN TOWNSHIP CUMBERLAND COUNTY M N I Deceased 1750 Social Security No: WHEREAS, ROBERT A KA YER (First,Middle,Last) late of HAMPDEN TOWNSHIP CUMBERLAND COUNTY died on the 9th day of January 2015 and, WHEREAS, the grant of Letters of Administration is required for the administration of the estate. THEREFORE, I, LISA M. GRAYSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, have this day granted Letters of Administration to: KRISTINE M AMTOWER and JAMES J KAYER and JEFFREY A KA YER who have duly qualified as ADMINISTRATOR (RIX) of the estate of the above named decedent and have agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 20th day of January 2015. 00 ester of.w/Mr , ✓�.. L.l,- S.R.. L ' C.„� f t-- , U = kiJ l f ¢LLJ J LU N.\J **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)