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Home My WebLink About02-26-15 PETITION FOR GRaNT OF LETTERS �_7 /� c-� `=j _,� =a REGISTER OF WILLS OF��yy��cr��c o2c�' COUNTY, PEiV�Y�L VANIx'�' ; � �"�� c'� _ �7 � 7 c_> t 7 ..�.7 Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters ��7 sp��c4�ed 6�elow an�d��in support thereof aver(s) the following and respectfully reql�est(s) the grant of Letters in the appro�rriate��forr�� ' Decedent's Information ^ I� ' Name• SGiu.��.z, Q �ar�L FileNo• ��` �� .�,��f—=j �, a/k/a: (Assigned by Rebister) �,n = i:,� a/k/a: �.._ r,-, i,� �> a/k/a: Social Security No: � ;� ' Date of Death: (�/�y/,��-��" Age at death: Ll,:3 Decedent was domiciled at death in �, ,�,,,G,.��l�,� County, �,�"h s v�v�v rrr�ar (Srure) with his/her last principal residence at / / / G �hd Sf �r�. � ��p�/a,-j,c,�Ps-� 1�,`r�GT�� C��-,/�r-�i y-� Street address,Post Office and Zip ode City,'t'ownship or Borough County � � Decedent died at /l l G o2h� �Sv� f��./¢ �ir,/�? ��s•�- �;�v�'e� � ��,�-i� �-: / 1� Street address,Post Office and Zip Code City,'�ownship or Borough County tate Estimate of value of decedent's property at death: If daniciled in Pennsylvania.......... .................. All persaial property $ _--�-- If not domicile�!in Pennsylvania. .. ....... . .... ......... Personal property in Pennsylvania $ If not dontici[ed in Pennsyh�ania. .. ....... ......... ..... Personal property in County $ Value of real estate in Pennsylvania.... ........ .... . ................ ..... ... ....... ......... $ TOTAL ESTIIVIATED VALUE. ... $ -�-- !L�Q.a O C� Real estate in Penusylvania simated at: (,9ttnch nclditionnl sheets,ijnecessary.) Street address,Post Office and Zip Code City,Township or Borough Cowrty � A. Petition for Probate and Grant of Letters Testamentarv Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will ofthe 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 Decedeut 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 applicablej c.t.u.,d.b.i�., d.b.n.c.t.u.,pendente lite,dttrunte absentiu,dururite nlinoritnte 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 uot a party to a pending divorce proceediug wherein the grounds for divorce had been established as detined in 23 Pa.C.S.§3323(g)and was neitl�er the victim of a killing nor ever adjudicated an incapacitated person. �,1V0�XCEPTIONS �EXCEPTIONS Petitioner(s),a;ter a proper search has/have ascertained that Decedent left no Will and was survi��.�.�d by the following spouse(ifany)and heirs(attach adctitional sheete�,iJ�necessary): Name Relationshi Address �. �" ,� ..LCL. .�-r ra 3 l��QH� - C'a f�l/ �'1 i� i / 5`�1�d� l �.%�rr� b�v-�" I �� . i�C `� ��a �-� l �� -� �l L. �1�� l�.�u.�— s�� E. E�,� � � 3 �I� � ,-�5�� ,�.�r � � L, �" �oc.�c �J��-7r�i�.,— ,�j�--1 5: � Cu a �- �iiol�r L'l� / 70.�25 �70�s �� ,��7!l,� i,-�� Srs�u- ��r � ��.�� .�� ,�° F�,,»nw-nz rev. 10/I!/20/! Page 1 of 2 Oath of Personal Representative Official Use Only !� a , COMMONWEALTH OF PENNSYLVANIA } car+ } S S: COUNTY OF00 C33 I— rl�) Petitioner(s)Printed Name Petitioner(s)Printe&ddr(s`s. ✓ 41 1_4 Gl°—P/- .. V � • rri 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. Sworn to X9,4,11affirmed and bscribed before ��.� Date X9,4,115 7— me t is26off or tdtaly of ' , Date By: Date rthe R gister Date BOND Required:Q YES J__j NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature: ( 3 ) Short Certificate(s). . . . . . ° ( ) Renunciation(s).. . . . . . . . Y10160 ( )Codicil(s). . . . . . . . . . . . . ( )Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Commission. . . . . . . . . . . . . . . .. . Supreme Court Other . . . . . . . . ID Number: 11 tAX �' rV O'o° Firm Name: . . . . . . . . Address: Phone: Automation Fee. . . . . . . . . . . . . . . Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . 5U Email: TOTAL. . . . . . . . . . . . . . . . . . . . . $ J DECREE OF THE REGISTER Estate of S�u t1(�/GL- ��Q C l� File No: /5`0214 a/k/a: f,� AND NOW, �A i 1 /_0 16 in consideration of the foregoing P tition, satisfactory proof having been presented before me,IT IS DECREED that Letters &Q2 t%)/c 1~ O/'7 are hereby granted to 0 of me�,� IOU, in the above estate and(if applicable) that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)).of Decedent. 4A�o f Y�_ A cj'ax'n Register of Wills �Q,r J Form Rw-na rev. iniliiznli a e 2 of 2 . �:_ �n w . RENUle1CIATION C:: •-'7 •—"I `'' - ' �' � " REGISTER OF WILLS � , . . �� `�_ .:-I ;N COUNTY, PEi�1NSYLVANIA �� ,.�, , ' , f , �� . c� , , _ { 1 .. . � 1...._ -� 4...� {'�:�'.� � 4� �.�.,1 t`Y (+�{ � �..� �6.:..J �.�.�.'�.... �� Estate of _�c? u ve c�Ju �,��G c-� ,Deceased I, �`�r'�/�� L�•.� �/�UG�--- , in my capacityhelationship as � j (Print Name) 5 � S`(-�,,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.c',��y,�� .�� r c� ��,l ;;�- �i�'-�---.-- (Dale) (Signature) o2U`� `S G'��1�� ,�2 (Street Address) G �a�ti �rQ l70Z5 (City,Sta1e.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 parly executing this renunciation and certified of �, that he or she executed the renunciation�or the purposes stated within on this�day of ��,�.c-- ,��5" �' ��! _. �- � Deputy for Register of Wills Notary Public My Commission Expires: ��, � �/� (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration ofNotary's Commission.) ��'ii f�P�,N�11 Adem Bra�ey 9rt�A,Notarlr PubM� FefrNew 1M►p.�Ypic Co��16 Form RW-06 rev. 10.13.06 �py�� MHAlER,PENMSYLVANU ASSOCfATION OF NOT i,_ C.O ti;..:1 i_ri r--� � 4'-J _..� �� _ _ r---� _ ., . �, - ' �-- : . !,.. � � _. .. C � . :..�. � �� i � •..�. i �� ` ' � ' �- ` ' RENUI�CIATION c,:_' €,.; � c:_ �:,:� � 1,.: C� � t�.! r,.. � � ��-- ,—. U `�� REGISTER OF WILLS �., . �_ ��.�� L��r .��i��z� COUNTY, PENNSYLVANIA � � � Estate of ��;, s�,a ,, ,� .-�� I� I r � , Deceased I�- �� %� �% � �• �`, �� C � , 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 �F> , .'� .". �ti� t � �� , � � �" / {� ,.' �.a ..\�� / � `s _� i G2-a' i"� �� - (DateJ (Signature) � .,�G7 /�.,!�!7?�.-tYc��'N �O/ � (Street Address) �� c�%r�%�.�;�" ,�,, .�.. . .�'�° i,,��,�.� .. (City,Sta1e.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 / 3+`" day �r.,o �'�t� , t v r r / ` -{---7 Deputy for Register of Wills Notary blic My Commission Expires: t�� LS� Z�,� (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COAAMONWEALTH OF��Ef�NSYLVANIA NOTARI�I.SEAL BENJAMIN SANTIAGO,Nofiary Public Fonn RW-06 rev. 10.13.06 Ciry of HaRisburg,Dauphin County My Commission Exp�res Pebruary 25,2018 �.,... ca <�> c.`:� .—� !._t..J _.� � E.... , . � .� ': ; � . :- �- RENUla1CIATION , , �,_ . �t_ �� REGISTER OF WILLS , r.: � �;.� .. : -., ; . � `' � �� r_ e�� ,•�� --��.�rIc�COUNTY, PENNSYLVANIA 11 L�a..� �- _- �.� �n � � C:.: `--+ C� c,._:; c-,.. Q„_ � r Estate of ��/;r ��.«�( ��z`; J< <tr c�� , Deceased � I, ��r�. --�c� � 1 .��--r�..i�-- ;ylo�N�o S' , 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 ��i t r...;ti� r�t:.a, ,�.�5�G c t � 6.�'�i_�� -:�_>... ` �� `:�`\air--�.��.�� (Da1e) (Signature) �\�\ `�.:'� �°ti.'_..\ �� .. '>� .1.. , (Street Address) '� ..�j � `::�,�: , \-'�� ;;j�-a ,� (Ciry,Stale.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 �3� day _..af__.... ��5 , Lo+�� .~�... �----_� t�sztil Deputy for Register of Wills otary P lic My Commission Expires: �,�� .ZS� ?�,4 (Signature and Seal of Notary or oTher official qualified to administer oaths. Show date ofexpiration ofNotary's Commission.) COMMONWEALTH OF PENNSYLVANIA NOTARIM�SEAL BENJAMIN SANTIA�O,N��ary Public Form RW-06 rev.10.13.06 City of Harrisburg,Dauphin Counry My Conmission Expires February 25,2018 RENU�ICIATION � REGISTER OF WILLS u._ .,, � � � �� -��< COUNTY, PEIvNSYLVANIA �.., �,:; _ U r:a _.. r..� 7 . . , - � . � : - �. ,_ �. _ ;' . cta i � ' ' C�J E.: !�Sfate o�T`��- « ��,� � 1 c � , Deceased �`� � % �.- c� ::.� �� ; � �� :_ � � �y I�� P�e- � � /� ��-P-r"" -� , in my capacity/relationship as (Prrnt NameJ ��1 of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ( Gi'r—vh ��r �l�r 1///'J{ F� �,`,,. ' fJ--�J � �/''� "`��V� � . .'G��L�: J r ,..1-� 4�' Z--_--�. (DateJ � (Sigrtature) l ()� �"�,�c�.-c'� 1-�� ]Zv�:Z (S[reet AddressJ � +�� "�� p� �7 U � � (crry,srare.zrp) Executed in Register's Office Executed out ofRe;ister's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation an�i certified of , that he or she executed the renunci ion for the purposes stated within on this�_�,�day of ��'�Yv�c�r , 2C,�� _ ..��. � Deputy for Register of Wills Notary Public My Commission Expires: � ��.?�� (Signature and Seal of Notary or other official qualified to administer oaths. Show date ofeapira[ion ofNotary'$Commission.) � � „ : { ., r.q. � E � . .. . .. . ._..,,- . ...._.. Form RW-06 rev. 10.13.06