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Home My WebLink About02-11-15 Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA , .,� c� �� Petitioner(s) named below, who is/are 18 years �f age or older, apply(ies) for Letters � �ecified�-�elow�� in support thereo:f aver(s)the following and respectfully request(s)the grant of Letters in tbe ap�i�o�i3iate for� > �� -} � � :-�.�. Decedent's Information Z��j '�iS�D ' ' � `�"r Name• �%J r'a l�,h`� J�� <J,,r�'/r.G�/' File No: �� r � a/k/a: (Assigned�by Regi'ster�, �,� a/lc/a: � —� � '"r ��a: Social Security No: /�� ';-� .��.� �.._ Date of Death: .��G' �tf r��"/ Age at death: '�°�` ��..�� r Decedent was domiciled at death in ��1��3�1� County, �'`�l., � (Srare)�with his/her last principal residence at �aGl�� /,+C j.��' u��i6''t' r�' i��.5" ��OST �y*��3 C,"✓.��a�/1��G�''� Street address,Post Office and Zip Code �, City,Township or Borou h County ` e 'J �� Decedent died at `�c:5 o f��a�'�� • ��''J`.'� �.. e�.��`-�' ��<'�3" �►J��b�?J.�� GeJ�t�. Street address,Post OfSce 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 $ ��e��S�_ If not domiciled in Pennsylvania. . . .. ... . . .. ..... ... . . .. Personal property in Pennsylvania $-� If not domiciled in Pennsylvania. . ..... ... .. ... ::: : : :::: Personal property in County $ Value of real estate in Pennsylvania... . . ... . . ... $ �� d' `� TOTAL ESTIMATED VALUE. .. . $ rJ _0.00 Real estate in Pennsylvania situated at: �C�� U��-'f� J�` � 7P�'� �''`�� T'��n�G� `-'U��` ' (Attach udditional sheets,if necessary.) Street address,Post OfSce and Zip Code City,Township�,r Borough� County G-�!�r- 0 A. Petition for Probate and Grant of Letters Testamentary Yetitioner(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 of executor,etc.) Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,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 did not have a child born or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. �NO EXCEPTIONS �EXCEPTIONS � 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 minoritate 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. �NO 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): Name Relationshi _ Address .`{,r��'tJ.�Z� � - J��r��''�- .a.n�' �j,�`� `�G/i�iw �i� . �,�,►�f? T,�s. ;70l�S ��/ L'�iY%��%/�` ��'/'i';�G.'�i e�Ai��'?�� j'�'�j�. �GJ� ��°�r'�"��c�/�.di;�� " /[y . �i��3ti�L'� %�ti'r�L1-i�� ,� �� L�, �i�uE` ��, �'�or.,�!t�.,�y�►iv ��d.�� 5✓��r�y ��u.�'��i�•� �''' %��° �lJlLL�4� J�.� . .C'��'��/��,�`s��v �i/. 4! r�-�'�b Form RW-02 rev. LO/11/2011 Page 1 Of 2 �1 1�lJ� r v c� ,,,.� � `t_1"� .:w3 Oath of Personal Representative ,:,.�;°�'a�Use°�r-,.�-, 4:> � :�, y� �.� c� , , �:°� �, ; �_ , �� ,, COMMONWEALTH OF PENNSYLVANIA } - . ' � � � � � . , } SS: ; , COUNTY OF } : , ,., —'C1 � -,i Petitioner s Printed Address `� Petitioner(s)Printed Name ( ) f—' �� C'/-�fiR� � • S�1t,l�' �J 9 �� ' C��J�+. -�i' �rfj 7�!��. �� The Petitioner(s)above-narned 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 e�r�wi well and truly administer the estate according to law. Sworn to or affirmed and subscribe�before Date J� 9.5'"a.UJj� me thi �day o ,�p� Date By; - Date e egister Date BOND Required: Q YES Q NO To the Register of Wills: FEES: Please enter my appearance by my signature below: �00 Letter.. . . . . . . . . . . . . . . . . . . . . . $ O U Attorney Signature: ( �) Short Certificate(s). . . . . . ' ( )Renunciation(s).. . . . . . . . � � ( )Codicil(s). . . . . . . . . . . . . ( )Af�davit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Cornmission. . . . . . . . . . . . . . . . . . Supreme Court Other . . . . . . . . ID Number: Firm Name: Address: . . . . . . . . .00 . . . . . . . Phone: Automation Fee. . . . . . . . . . . . . . . � �� Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . - Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ .�-�'" �37�-�� DECREE OF THE REGISTER Estate of ( �CJ/�O/�CG �( /`-Ll�I�✓/l�C��7 File No: .�� a/k/a: AND NOW, � ,_ �Q ,in conside/r�tio of the foregoing IPetition, satisfactory proof having been prese d before me, IT IS DE,CREED that Lett rs �t" /�/YJl%7/5�'T'G!T/On are hereby granted to�1r�'�..�.,.,_� �P. in the above estate and(if applicable)that the instrument(s) dated described in the Petition be admitted to probate and filed of rec d as the last Will(and Co 'c� (s)) of Decedent. Register of Wills �-y. � i Form RW-O2 rev. 10/L 1/2011 page 2 Of 2 :ca � .� � . .;� -*� <� r-+-� �' � �> —y� �i ' � �� m � �: , .�� G f. _ � t � 15� (� � - �� '�' �� , ,_ -� : � � � _, ... _ � _ .,, _ �� :: �^ y , s_ .� �_.�. �'1 . <;;i C�::� C.O `�7 RENU10�CIATION REGISTER OF WILLS ��zr�r� _4��-Y� COUNTY, PENNSYLVANIA Estate of__�� 1` 1 � Y' lc��..1-1�'Y'7Y1�-�� , Deceased � " ,/ ^ I, __� f 1��c�� , in my capacity/relationship as (Print e) �' of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to f) � l.� I( Vl �� L �1 IV 1 C.� ��I c� 1�s (Date) (Signature) �� /l J ��a/Y!/J �� (Street Address) i �/ a ( ity,State,Zip) �'" Executed in Register's Office Executed out ofRegister's Office Sworn to or affir�ned and subscribed Before the undersigned personally appeared the before me this day parly executing this renunciation and certified of , that he or she executed the renunciatio.� for the purpo�s s.stated within on this E��h day of �'G��c��=-.— , �.o l.� Deputy for Register of Wills Notary Public c My Commission Expires: ��o�;�oi� (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) GBoffrey M. Hazzard 1�Ot�ry Aubiic,State of New York No.01HA6075713 Qualified in Putnam County Form RW-06 rev. 10.13.06 COtllrrtisSion Expires June 10,2�� i' � Z , �� ;� 15 �._, :� c� �', �.�� r�., `-�: c� `�'�' c' _.:. -� r.'�, �"� c� .i _,� � � p r.J � z��7 :,... �,._.. � } .,, ;r � �.,a . i. RENUNCIATION � > 3' . tl � . �:� � ��; F--� - �r��a � REG TER U� WILLS . ' � `c:� cz� COUNTY, PENNSYLVANIA Estate of �� ll • 1'll�L�.�l� f 1�.� _,Deceased � - I, , 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 �.�c�c�, � �`Tt�-e�._�� n ��) �`�l � - �1� (Date) (S atu e) �/�So? `�ll� C.(�� I f� (Street Address) C�. 1�I4�� crry,s�ate,z�nl 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 parly executing this renunciation and certified of , that he or she executed the renunciation for the purp ses stated within on this �� day of '�, `�.�- , �,�LS . C � ��,� �.�.- Deputy for Register of Wills Notary Public My Commission Expires: `y� ':'�; 2.,.C,`\S (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) I�AMMIIM�IrMMIM�MIIIIM�� FormRW-06 rev. 10.13.06 �T�� '�TM My C�� aQ•�15 / �1�, �SL� 15 ; lti, ��.�. ,-�-� _�� cn c'� C-�`' �f�t c-> :"} t'3 4 ; C7 '� ::3 RENUle1CIATION , � � � , ., t _ r,� � �1 � ��, , REGISTER OF WILr,� ;', -`, $ �1 I 4 �r��o►� COUNTY, PENNSYLVANIA � � 'W=:� _ ' _._. -. ;;:� 4 - ' e':` , ,._, �,� .�,� _,t G� Estate of � �J�c-��-1 �1 , �'�l�ii.��.�nc�n , Deceased I, 1��-��.\V �i ��1��'`�� , in my capacityhelationship as (Print Name) �c;.i ,,c`��r'� of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to �� \�'�`�':.�C� � . '��'1�, � � �3- 15 �. _ 1 � (Date) (SignatureJ �J�\1.`,HS'�� s e (Street AddressJ ��v\c .`�� \lC�c'1,..5 (Ciry,State,ZipJ F,xecuted 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 � 3 rL day party executing this renunciation and certified of J ckY.,,��.�, , v )� . that he or she executed the renunciation f�7r the purposes stated within on this � 3�! day of ,�[,�� o.r � ,, �� _.. � - .�� /�� Deputy for Register of Wills N tary Public l�y Commission Expires: //�y-��i/ S (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) �^;^, � � ;E": �F h°�R...`::��,.o-sl�".'�S.R� --`— ,.... . _._. . . .__ .�.__� I � .. > s:��')i�.i: i ! f , I ��,�.� . ;T-r S..i::°Y0�'y� � Form RW-06 rev.10.I3.06 �- �` - �A y ��g5� r� .��; �,. ---,. �., _. 3 Ixs iiN�r d`J��1E5