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
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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.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)