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Home My WebLink About02-10-15 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF G_dj/1E2t11i✓� 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: aI-1 5^DI C.OgA� ' LE.a�y ail�LF2 '-7Z File No• a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: -aW ulk" 14 2015 Age at death: Decedent was domiciled at death in bAgCounty,_ '�A (state)with his/her last principal residence at —Co PcAcAf Ap4m bR, ZosiGQ .Nif7r w 2QA Street address,Post Office and Zip Code City,Township or Borough County Decedent died at X 6. FR.on1'T ST /2&1 A&A &1496 b.4W �eQ )SA 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 $ 3. O cso If not domiciled in Pennsy!vania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsylvania......................................................... $ TOTAL ESTIMATED VALUE. ... $ Real estate in Pennsylvania situated at: (Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County M 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(mg.renunciation,death of executor,etc.) ry Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,(i as not a party tp*end±ng divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g),and Ed-rKohave a cluA borr5Ur adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Cz .::Q r'r t �p O NO EXCEPTIONS ❑EXCEPTIONS M c7 i— M r] M 0"'B. Petition for Grant of Letters of Administration (If applicable) r a c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante—Ai2horitate`n If Administration,c.t a. or d.b.nx.tx.,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.b�eert—established as def'ed in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. ` ONO EXCEPTIONS M EXCEPTIONS 71 Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach additional sheets,if necessary): Name Relationship Address 1AMC.611A Amo LM WIFE X0 04,00/ Aa /g / Form RW-02 rev.101111201/ Page 1 of 2 �,/ Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s)Printed Name Petitioner(s)Printed Address -7 -I 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 DecOatit,the Petitioner(s)will well and truly administer the estate according to law. Sworn to or affirmed ad subscribed before `JDate7_,/0 61.5' the this l day of 9 A An Date By: Date For the Register Date BOND Required:Q YES M NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . .. ... . . . .. .. . . . $ Attorney Signature: ( 7- ) Short Certificate(s). . .. . .• iC) ( '?;p )Renunciation(s)... . . ... . 1�5 ( ) Codicil(s). .. . . .. . . . . . . jrTi ( ) Affidavit(s).. . . . . . . .. . . i t . .. . . .. . . . . . . Printed Name: > ;3U r'17 Bond.. . . . . . . . . . _- Commission. . . . . . .. . . .. .. . .. . Supreme Court -U e.-) { !'rt Other ( . . .. . . 15 ID Number: .. . . . 15 IrYI . 1:5 Firm Name: ... . . Address: . . . . . _ L- F-' r" rn . . . . . . Phone: t--' Automation Fee. . . .. . . .. . . . .. . 9=3 Fax: JCS Fee. . . . . . .. . .. . . . . . .. . . . Email: TOTAL. . . . . . . . .. . . . .. .. .. . . $ t .bO I pig,, DECREE OF THE REGISTER Estate of_ NAe —e w 1ba1-eV_ o Ei' File No: '2"1 ' 15 'TC) a/k/a: Ili ANDNOW, '1" !2j IC , 2014 , in con-iide1ration,of,the.foregoi Petition, satisfactory proof having been presented before me;IT IS DECREED th t Letters p i n U V 1 are hereby granted to P-1, in the aboNVestate and(if applicable)that the instrument(s) dated Yl[a. described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. u - Wi e ister of lls k Mm, 'Y ,n Forn?Rw-02 rev. 10/11/201! Page 2 of 2 RE`G - IND'E'D OFFROETF' -k,EG1'b-TrEFZ O'F V) LL HIS FEB 10 HM 10 01 -CLER'X OF RENUNCIATION ORPH0S' COURT,- GWiQ-i1--RLtA!,'D /^.i.1_ FA GISTER OF WILLS &A*6tV1 COUNTY,PENNSYLVANIA Estate of '11^1 Deceased /111 J PP, p 'o 4' ' ide-H in my capacity/relationship as (Print Mame) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to 42 (Daze) (Signature) C�?o NOTARIAL SEAL NORMA JEAN BRANT (Street Addrels) Notary Public .CHAMBERSOURG BOROUGH,FRANKLIN COUNTY My Commission Expires Feb 8,2015 (City,State.Zip) Executed in Register's Off 11ce 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 rent.inciation and certified of that he or she executed the renunclatio for the stated within "7 purp thin on this r day of OflbuAa f kj I Deputy for Register of Wills Notiry Public My Commissioqnxpires: 6 c�-0 ako I 5o, (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Foran RW-06 rev,10.13.06 EZ EIURDED (01 DT' - r- 'Ib i R His FEB 10 Fin 10 01 C L E I--"1 0 F RENUNCIATION ,0MPH,,M-'ZS' 0-01,',RT -CU.!,,'S E p 1 A t!r-,. I- - 1 L:`.. REGISTER OF WILLS COUNTY,PENNSYLVANIA Estate of 6r Z69oY -ZAZr4 —P,. Deceased Ii at- '-e� —zf in my capacity/relationship as (print Name) of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Alf& (Date) &dl-e NOTARIAL SEAL NORMA JEAN BRANT (StreefAddress) Notary Public CHAMBERSOURG BOROUGH,FRANKLIN COUNTY My Commission Expires Feb 8,2015 (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 me this day party executing this renunciation and certified of that he or she executed the renunciat* n for the purp4pej stated within on this, r day of Deputy for Register of Wills Nckary Publi My Commission Expires: QR-0'?--d;0/ 5- (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev.10.13.06 �tFCO, :i 0FFiCE OF .REGISTER? CE WILLS MS FEB 10 FM 10 01 G}C;:i, OF RENUNCIATION ORPHANS' CT-1-.T REGISTER OF WILLS Cb,WjYad.nd COUNTY, PENNSYLVANIA Estate of to KDL ,Deceased I, a e) en "Oe �C , in my capacity/relationship as t (Print Name) t of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ryl t. i (Date) ($lgnature) -e NOTARIAL SEAL NORMA JEAN BRANT (Street Address) Notary Public 6Lr � r-7 i) 1 J CHAMBERSBUR6 BOROUGH,FRANKLIN COUNTY ��'� � �L My Commission Expires Feb B,2015 (City,Stare.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 me this day party executing this renit.iciation and certified of that he or she executed the renunciation for the purposes stated within on this\5Mday Of ltar e2 \5 'Z� Deputy for Register of Wills Nokary Publi My Commission Expires: O ol.` (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Foran RW-06 rev. 10.13.06