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Home My WebLink About02-27-15 PETITION FOR GRANT OF LETTERS �-, �.�;; _..� REGISTER OF WILLS OF (_(,�M�iFR L�-,�;�n COUNTY,PEI�IS�.,VANI�n ;-;'r t'�� ,:; _.�� c� ..._.. r::a , . ,.,^� C'..'_7 �7 Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters �s specifi;:fi�below,'anr� in support thereof aver(s) the following and respecttully request(s) the grant of Letters in the approp;ziate for� � �� ' Decedent's Information -� ; Name: Ki-�lFNCr Ttft .i� r 1.��1,5_.Z�S` , -=3 ,� File No. ' a��`�' � t�A�� (Assigned by 1�egister)� �� a/k/a: �t{R N Ct "'T, D � _r t:;, r:a a/k/a: " � Social Security No: ,��-- ; Date of Death: _G 2 — ��j � 2 G"'f h Age at death: �'� Decedent was domiciled at death in C►�.ti1 r3E�-c.,��r� County,�'�N?yc�VhNli{ (srare)with his/her last principal residence at 3 ��iVks.k3�i��-� G. j�t Z� � 'S � uiti,QrE��A-aD Street address,Post Office and Zip Code City,Township or Borough County Decedentdiedat 3 1t;itiGrs�k'.t��. Ci�Qce.� Cf},q��F. C.��N��N�,j �� Street address,Post Office and Z�p Code C�ty,Townsh�p or Borough County State Estimate of value of decedent's property at death: If don:iciled nz Pennsylvania................... ......... All personal property $ �a- L1�"?C� If�rot dosticiled i�:Pennsylvania. ................ ....... Personal property in Penvsylvania $ ' If not doireiciled in Pennsyh�aniu. ...... . .. . . ............ Personal property in County $ value of'rea!estate in Pennsylvania................. . ........... . .............. ............. $ !!.� �?G�� . TOTAL�STIMATED VALUE. ... $ /_5",j'Q�a c� Real estate in Penvsylvania simated at: ,� 'rC i►��S�/�l j��E t�R�� ;��r 3 C��'L�S L' E �'(J/.-I/-j�PL/�nl� (,4unch odclitional sheets,ifnecessary.) Street address,Post Office and Z�p Code City,Township or Borough Count Y ❑ A. Petition for Probate and Grant of Letters Testamentary Petitioner(s)aver(s)he/she/they is/are the Executor(s)uamed in tlie last Will of tlie Decedent,dated ai�d Codicil(s) thereto dated State relevant circumstances(e.g.renunciation,dead:of executor,etc.) Except as follows: afrer tl�e 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 dlild 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.u.,d.b.rt.,d.b.n.c.t.u.,pe�idente lite,durm2te absentiu,durunte ininoritate 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. F,xcept as follows: Decedent was vot a party to a peuding divorce proceeding 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. �NO CXCEPTIONS �EXCEPTIONS � Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived��y Yhe following spouse(if auy)and heirs(attach crdclitionul sheets, if necessury): Name Relationshi Address � �-1 f� il 1V1 !�!/-� %/ti�4/V J^ �'L'U�L � � KfN'G.513�'i�l��rE Cti2� C�l�('tjSL� P� `7c1 �Y MIN� 712�}!�}' ,SpN ..� KIN�S�'3�r�G, E c;12, C�l�'�i 5�� fA J7c� V' ! �u a� .� -�R,�--n/ ,D�-NG�l-7 Fo,��,aw-oa ,-�v.toi�lizo�� Page 1 of 2 -..> <—> ,`.�:::a ,--� __, �_. �-� �...., _-, �;7 _. _,-� ,..� <:� Oath of Personal Representative �-pff"ai L � iy � ;.;y - , . �,� , CONI�IONWEALTH OF PENNSYLVANIA } P � } SS:S`�V "_g �_ � ��Z 1, c o��rTY o F G r;�y,�.8��.t.�-�� } �� ; ,:. , Petitioner(s)Printed Name Petitioner(s)?rinted Address �- Cit�,u Min,cof �t,�� 3 KiN'�s�Ri:JG-� c;R c�R��cS�� {��7o.j3�:r The Petitioner(s)above-named swear(s)or affirm(s)tlie statements in the foregoing Petition are true and correct to the best of the laiowledge and belief of Petitioner(s)and that,as Personal Representative(s)of the Decede the Petitioner(s)will well and tndy administer the estate according to law. Swocn to o�j affirmed and subscrabed before �_�A Date �Q�� me thi 4�7�c�ay of UAr , Zoi.� Date—� $y: Date r e Register Date BOND Required:Q YES �NO To the Register of Wi![s: FEES: Please enter my appearance by my signature belorv: Letter . . . . . . . . . . . .. . . . . . . . . . $ �� Attorney Signature: ( �) Short Certificate(s). . . . . . ' � ( )Renunciation(s).. . . . . . . . ' � ( ) Codicil(s). . . . . . . . . . . . . ( ) Affidavit(s).. . . . . . . . . . . Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Commission. . . . . . . . . . .. . . . . . . Supreme Court Other . . . . . . . . ID Number: ��/, , .. . . . �(�3a Firm Name: , . . , . . . . Address: . . . . . . --��— Phone: Automation Fee. . . . . . . .. . . . . . . �J"–" Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: TOTAL. . .. . . . . . . .. . . . . . . . . . $ � C� DECREE OI' THE REGISTER Estate of �L �� File No: �'� ��Z �`'`J a/k/a: ��- �'� �. AND NOW, / "!�/�(�7 � , Z D��,in considerati�o}i 1of the foregoin Petition, satisfactory proof having been presented before me,IT IS D CREED that L tter �{� /7��i1/')')�1715� �� _ are hereby granted to� �M►/�� ll/'1 in the above estate and(if applicable) that the instrwnent(s) dated described in the Petition be admitted to probate and filed f ord as the last Will d Codicil(s))of Decedent. �� Register of Wills ��„��ar-v-nz ,«v. �nil7izni� P ge 2 0 2 RENUleTCIATION ,-�� ._-,:, ;�-� ca �f.,� µ,_.� �..._i c- c:� � �� REGISTER OF WILLS ��:� �`' � ' � ' , ..4, � ; :.;� COUNTY, PENNSYLVANI.A � �� ' ; ._,� , :2/'/�- �� . �� '� ; � ,� : ,r�� -> Estate of��I-��N'�r �T' l � C`• �� ;...; ';j , Deceased I'- �Y �� , in my capacity/relationship as (Pnnt Name) - ��N of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to _ C�� r y� � � �� ✓� �- - � � - � �� I r�l � (Date) (S�gnature) _3 �f4U'%S i3,P,i D(� l`�Q ��drr .' D s�U/� (Street Address) CAR�fS � �,� f7G' l� (Ciry,Stale.Zip) Executed in Register's Office Executed out ofRegister's Offrce Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this ��p�l day party executing this renunciation and certified of I—e�',�.�. __,�_. that he or she executed the renunciation for the purposes stated within on this �� day � . °f-��--► � , �c�.� �r�-t� Deputy for e ster of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Fonn RW-06 rev, 10.13.06 , _�a .�_� �� RENUI�ICIATION < �, `"��, :; f� ,,, '" .��. � .:� ,� .,., '; REGISTER OF WILLS - r - r� , -.�� COUNTY, PENNSYLVANIA • . , --� ..''. 4�3 �� , i-/g. a�� , �� t�� r ;�; <::a _ _ ...� . C:`J Estate of K �"��l(x- `%J�-1 � �; , Deceased I, �;�( (PrrntName) , in my capacity/relationship as ��C � of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to �� 2 rDa�� (Signatur ��l ,�� . �,� (Street Address) �l� / . l (Crry,State,Zip) Executed in Register's Office Executed out ofRegister's Office Sworn to or affirmed and sub cribed Before the undersigned personally appeared the before m his__ �7��' d y party executing this renunciation and certified of 'G.�YUCt/^ , �D�. t hat he or she executed the renunciation for the purposes stated within on this day of . , ep forRegister of Wills Notary Public My Commission Expires: (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