HomeMy WebLinkAbout01-29-15 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:
Decedent's Information
Name: LISA KAY BUFFINGTON File No: 'ai ` 15 — o c1
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 1/10/2015 Age at death: 43
Decedent was domiciled at death in Cumberland County, Pennsylvania (State)with his/her last
principal residence at 726 Kent Drive 17050 Mechanicsburg Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 1995 Technology Parkway 17050 Mechanicsburg (Hampden) Cumberland 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 $ 75.000.00
Ifnot domiciled in Pennsylvania.............................Personal property in Pennsylvania $
If not domiciled in Pennsylvania.............................Personal property in County $
Value of real estate in Pennsylvania.............................................................. $
TOTAL ESTIMATED VALUE.... $ 75.000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary) 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 and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciation,death ofeuecutor,etc.) C ?
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorcdd4w nd� t}rtb a para pening,
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did'not iiAve�al c6ild�n or� C
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. C7
❑ NO EXCEPTIONS L3 EXCEPTIONS
co
M 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,ddrAte mfdbrQe
�3 "ri
If Administration,c.l.a. or d.bxx.t.a.,enter date of Will in Section A above and comalete 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.
M NO EXCEPTIONS ❑EXCEPTIONS The Decedent was never married or had children (issue).
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
726 Kent Drive
Linda S. Buffington Mother Mechanicsburg PA 17050
8503 Village Mill Row
Ronald Lee Buffington Father Hudson FL 34667
Form RW-02 rev.10111/2011 Page 1 of 2
Oath of Personal Representative official use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
726 Kent Drive
Linda S. Buffington Mechanicsburg PA 17050
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true d correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decederit a Petitioner(s)will well ly administer tate according to law.
Sworn to r affirmed andsubscribedbefore Date
me this day of �� Date
Ey: Date
For the Register Date
BOND Required: ❑ YES V NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters..... ... . . . . . . . . . . . . . .. $ I Attorney Signature:
( 12,)Short Certificates(s) . . . . .. �� o
( )Renunciation(s) .. .. . . . . . . m
C7
( )Codicil(s) . . . . .. . . .. . . . . _
( )Affidavit(s).............
Bond Printed Name: Kenelm L. Shirk' IIS --j
_ _
Supreme Court �. CD ,.r.: �
Commission ....... ... .. . . . . . .. . 19195
Other ID Number: 7
ra -r}
Firm Name: Shirk & McHa, LLP`-:' -xr
Address: 115 South Stag Striet CO r— M
..... . • • • Ephrata PA 17522
• •• • •.. .. Phone: 717-733-7997
. ... . .... Fax: 717-733-7991
Automation Fee . . . . .. ........ ... Email: kshirk@ephratalaw.com
JCS Fee . . . . .. . .......... . . ... . 3S.S0
TOTAL . ............ .. . . . ....$ 011: 1Q;
DECREE OF THE REGISTER
Estate of LISA KAY BUFFINGTON File No: '�
a/k/a:
AND NOW, �o—nq _ ,'in concideratieri of the foregoing Petition,
satisfactory proof having been presented fore me,IT IS DECREED that Letters 1 Administration
are hereby granted to Linda S. BuffinoWn
in the above estate and(if applicable)that
the instrument(s)dated n/O--
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))'of Decedent.
4z_a_�A
ister of -ills
Form RW-02 rev.10/11/2011 �n �, e 2 of 2
E'CO'RMEO OFFICE OF. RECO'ROEO OAF ICE OF
REGISTER OF ILLSI'cEGfS i R O1- V,ILLS
9015 A 29 9M 8 38RENUNCIATION ?OlS rlillV�A�� 29 RM 8 37
C L E1—,"R'rr` REGISTER OF WILLS C L E R:' O F
ORP �,f`v C 16y BE5LAND _
(�tt���p��,ggyy��(({{-- tt COUNTY PENNSYLVA3^N� �pl����"� �`C��`��-
�CVI°I-L EFR' Y .....1 1.' , s t it ' CUIY4'_SER t,
Estate of LISA KAY BUFFINGTON , Deceased
I, RONALD LEE BUFFINGTON , in my capacity/relationship as
(Print Name)
Administrator of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Linda S. Buffington
Aj �'Igel/avi��(Date) (Signature)
8503 Village Mill Row
(Street Address).
Hudson FL 34667
(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 a this Co day party executing this renunciation and certified
ofthat he or she executed the renunciation for the
purposes stated within on this -�"(- day
Of ny�• Y , -1A-01S
!�."C-& (!- zJ9.J!a��
Deputy for Register of Wills Notary Public
My Commission Expires: a`A o�G
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
DOLORES C.RODENBAUGH
MY COMMISSION#i EE 146348
o; EXPIRES:February 20,2016
Form RW-06 rev. 10.13.06 %+� 1y°`' Bonded Thru Notary Pubk Underwriters