HomeMy WebLinkAbout02-11-15 ��coca
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: Richard J.Scott File No: 21 - 1�_
•- 1 Ll
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 01/04/2015 Age at death: 83
.' -�- ,ter
Decedent was domiciled at death in Cumberland County, Pennsylvania (State),with hisJher last
principal residence at 204 Hogestown Road 17050 Silver Spring Township,_ Cumberland`
Street address,Post Office and Zip Code City,Township or Borough ' r - County
Decedent died at 1000 Claremont Road 17013 J Carlisle Cumbefland = PA
t Street address,Post Office and Zip Code City,Township or Borough County �� Stat—�
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.... . . . .... ..... . . .. .... . ... All personal property $
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. . .. $ 55,600.00
Real estate in Pennsylvania situated at:
(Attach additional sheets,ifnecessaty.) Street address,Post Office and'Lip Code City,Township or Borough County
® A. Petition for Probate and Grant of Letters Testamentary
Petitiotier(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated andpgdicil(s)
thereto dated ,
y O M CM").
State relevant circumstances(e.g.renunciation,death of executor,etc.) n r+'1 — C7
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Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,was nota�party tra ending M
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. z a CD
Q NO EXCEPTIONS O EXCEPTIONS
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B. Petition for Grant of Letters of Administration (If applicable) ,
r-
c.t.a..d.b.n.,d.b.n.c.t.a.,Rendente lite,durante absentia,durantSmYnoritate'l
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.
0 NO EXCEPTIONS O 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):
t
Name Relationship Address
ay Cott Spouse 204 Hogestown Road,Mechanicsburg,PA 17U-)O
Michael Scott on ogestown Road,Mechanicsburg,PA 17050
John R.Scott Son 2001 Waggoners Gap Road,Carlisle,PA 17013
Debra L.Peebles Daughter 260 NorthLocust Point Road,Mechanicsburg,PA 17050
Fonn RW-02 'rev.10/11/2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS: R E Crj R--E-D C FiF'OE Of
Petitioner(s)Printed Name Petitioner(s)Printed Address
:IL f OIL
Fay S.Scott 204 Hogestown Road,Mechanicsburg,PA 17050 UD iLD
CLE. ur
t1: ,;LE.-
7M.,;
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.
I %
Sworn,to or affirmed andsubscribed before Date cI L111,,),!>,r F.
me day of Date
By;, Date
Df Q U A-�(Zan
For tke Register Date
BOND Required: 0 YES Gr<o To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . . . . . . . . . . . $ J—/�r-;
Attorney Signature:
Short Certificate(s). . . . . . 0
Renunciation(s).. . . -
Codicil(s). . . . . . . . . . . . . --
Affidavit(s).. . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Andrew C.Sheel
Commission. . . . . . . . . . . . . . . . . . Supreme Court 62469
Other . . . . . . . . ID Number:
MR in W . . . . . . . . Andrew C.Sheely,Attorney at Law
fe myrs Firm Name:
. . . . . . . . Address: 127 South Market Street
. . . . . . P.O.Box 95
Mechanicsburg
Phone: 717-697-7050
Automation Fee, . . . . . . Fax: 717-697-7065
JCS Fee. . . . . . . . . . . : : � '. � : � : C F5--415-CU Email: andrewc.sheeiy@verizon.net
TOTAL. . . . . . . . . . . . . . . . . . . . . r
DECREE OF THE REGISTER
Estate of Richard J.Scott File No:
2
a/k/a:
AND NOW, in consideration of the foregoing Petition,
satisfactory proof having been prAnted before me, IT IS DECREED that Letters of Administration
U Lar
hereby granted to Fay S.Scott in the I above estate and(if applicable)that
the instrument(s)dated L
described in the Petition be admitted to probate and filed of record as the last Will. (and Codicil(s))of Decedent.
(iegister of Wills
Page 2 of 2
Form R W-02 'rev.10/1112011
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RENUNCIATION t '
REGISTER OF WILLS - '
Cumberland
COUNTY, PENNSYLVANIA c-0 rn
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Estate of Richard J. Scott , Deceased
Michael A. Scott
L , in my capacity/relationship as
Son (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
Fay S. Scott
(Date�— (Signature)
204 Hogestown Road
(Street Address)
Mechanicsburg,PA 17050
(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 renunciation for the
purposes stated within on this lk- day
of
Deputy for Register of Wills Notary Public
My Commission Expires: It/I q��
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Commonwealth of Pennsylvania
NOTARIAL SEAL
BECKY M. KNISELY, Notary Public
Form RW-06 rev.10.13.06 Mechanicsburg Borough,Cumberland County
My Commission Expires November 19,2018
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RENUNCIATION
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REGISTER OF WILLS „ r,
Cumberland
COUNTY, PENNSYLVANIAN « -`='t ---3
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7'� CID m
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Estate of Richard J. Scott ,Deceased
I
John R. Scott
I, , in my capacity/relationship as
Son (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
Fay S. Scott
(Date) (sign,dwo
2001 Waggoners Gap Road
(Street Address)
Carlisle,PA 17013
(City,State,Zip)
1
1
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 renunciation for the
purposes stated within on this day i
of z:!:,brL)avi/ ad(�
Deputy for Register of Wills Notary Public
My Commission Expires: �/�q/02
p I�
I
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Commonwealth of Pennsylvania
' NOTARIAL SEAL �
BECKY M. KNISELY, Notary Public
Form,RW-06 rev. 10.13.06 Mechanicsburg Borough,Cumberland County
_My Commission Expires November 19,2018
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ry
rtl
RENUNCIATION
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s—�
REGISTER OF WILLS ' - c-�
Cumberland --7)COUNTY, PENNSYLVANIA, -, a ��' ::3 `7a
C'>
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Estate of Richard J. Scott , Deceased
I, Debra L. Peebles , in my capacity/relationship as
Daughter (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
Fay S. Scott
(Date) (Signature)
260 North Locust Point Road
(Street Address)
Mechanicsburg,PA 17050
(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 renunciation for the
purposes stated within on this Q{l1- day
of hf'(�a P y �CJl�
Deputy for Register of Wills Notary Public
My Commission Expires: ////I/,
C!,�V
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Commonwealth of Pennsylvania
NOTARIAL SEAL
BECKY M.KNISELY,Notary Public
Form RW-06 rev.10.13.06 Mechanicsburg Borough,Cumberland County
My Commission Expires November 19,2018