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HomeMy WebLinkAbout02-24-15 PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF_eye OP r)A91,,J 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: Cq-Vr c I -Cl v,Ta &�GreY' File No: 0 f- 1,5,�U0 a/k/a: til we�-d (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: — J<( o Age at death: _-7 Gj Decedent was domiciled at death in d County, (�are)�it}�his/her las principal residence at s ` U w2� r�„ �t�,,, pStreet address, ost Office and Zip Code City,Township or Borough County Decedent died at /U ` St F�e lei �'�.Y IiS�� 0 - 17-0/ 2 tMberl/ 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 $ t� ccD. 00 If itot domiciled in Pennsylvania. ..................... .. Personal property in Pennsylvania $ If trot domiciled in Pennsylvania. .. ..................... Personal property in County $ Value of real estate in Pennsylvania............ .... ................................. ........ $ ©1 000 0O 9 9 O TOTAL ES)TIMAT D/�VALUE. ... $ `-'4, e3co a t�C3 Real estate in Pennsylvania situated at: / / t!�P ) d C5'c�l'�/ f t / )7-0 j�v Cc t P" (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 eircmnstances(e.g.renunciation,death of executor,etc.) w Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not d+vor_zgd,was noi.r.�artyo a pb%ding divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323 f 60 did not hage a chid rn or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 1J t ❑NO EXCEPTIONS F-1 EXCEPTIONS )ZIB. Petition for Grant of Letters of Administration (If applicable) - c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durarrte,abe:entia,-�4rante.tnin6j`itate If Administration,c.t.a. or d.b✓t.c.t.a.,enter date of Will in Section A above and complete'list of fidrs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been est[bished as d-efined in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. ,.`�O 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, ifnecessary): Name Relationship Address d AJ �M'� ri Tc O/� 0?0/ W_ )fiv e ✓� �, 7U0&�. Foran RW-02 rev.10/!l/2011 Page I of 2 L r Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF �1/rJ �QG'//��/� } Petitioner(s)Printed Name Petitioner(s)Printed Address c e Y- 3 y sS rsv Ili T�d C s/e �i r t' A er- . +I/S 2 70/ 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 Deced ut,the Petitioner(s) •l well d truly administer the estate according to law. Sworn to or affirmed a d subscribed before Date me this2H4—day of (,1015 _ Date By Date For the Register Date BOND Required:❑YES jK]NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . .. . . $�3 Attorney Signature: ( tO ) Short Certificate(s). . . . . . ( ( ) Renunciation(s).. . . . . . . . S rti Q ( )Affidavit(s).. . . . . . . . . . . C-. C> i C3 Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:. r-"s Commission. . . . . . . . . . . . . . . . . . Supreme Court Other ID Number: lywen,�CL . . . . . . 155 VI- Le Firm Name: . . . . .. . . Address: co . . . . . . . . Phone: u Automation Fee. . . . . . . . . . . . . . . S Fax: TCS Fee. . . . . . . . . . . . . . . . . . . . . 3` -su Email: TOTAL. . . . . . . . . . . . . . . . . . . . . S .��n DECREE OF THE REGISTER i Estate of 1--��1 y 11lc � File No: I' a/k/a: �(( i , fly AND NOW, Ull 0 �4 in con 'de ation o the °re Ding Petition, satisfactory proof having been presented before me,IT IS DECREED t t Letters 1� l 1 are hereby granted to Lee 16. 1 r1 c c�- in the above estate and(if applicable) that the instrument(s)dated h 16L- described 6L-described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. hester of ills PW Fain Rw-02 rev. 1011112011 Page 2 of 2 OF R E-00 R D Ez D F 9015 7EB 24 FM 3 31 RENUNCIATION CLE",� OF 0 R P t,.i A 1 11 5' T REGISTER OF WILLS e<l OW COUNTY,PENNSYLVANIA Estate of ✓ Deceased I, A-�oArew 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;2 113 115 (Date) V We,;5f (Street Address) r 1006S (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 1,34-h day of Ems. 620/5 4621a'VtCk-Ct'cq2=An/1�- - Deputy for Register of Wills Notary Public My Commission Expires: Wi+k- 11-1`E..- (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission) MARIA GRAY DOLESE Forin RW-06 rev. 10.13,06 ID NUMBER 38131