HomeMy WebLinkAbout03-03-15 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: LOIS L. LAZAROFF File No: 3
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: DECEMBER 18, 2014 Age at death: 85
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State)with his/her last
principal residence at 84 E. MAIN ST., NEWVILLE 17241 NEWVILLE CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough % i'J'.taunty
Decedent died at 84 E. MAIN ST., NEWVILLE 17241 NEWVILLE CUMBERLAND ?A '
Street address,Post Office and Zip Code City,Township or Borough Caunty_ State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania......................... ... All personal property $ 50,000'
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. ... $
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessarv.) 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 C= "Ind Alii s)
3
thereto dated � �a c--> c~�
State relevant circumstances(e.g.renunciation,death of executor,etc.)
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Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced;wal§not a party to a-pendjng
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g),and did not haves chill boTd or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ,i
CD
❑NO EXCEPTIONS ❑EXCEPTIONS N i ' M
❑✓ 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.
[Z]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 Relationship Address
CHARLES L. LAZAROFF SON 129 LINCOLNVILLE AVE., BELFAST, ME 04915
EMILY J. SHAW DAUGHTER 416 N. PARK, SEDALIA, MO 65301
KURT C. LAZAROFF _`' SON 84 E. MAIN ST., NEWVILLE, PA 17241
Form RW-02 rev.1011112011 ". ,. -�tit�... Page 1 of 2
,-
Oath of Personal Representative Official ueOnly *;3- t
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Petitioner(s)Printed Name Petitioner(s)Printed Address
KURT C. LAZAROFF 84 E. MAIN ST., NEWVILLE, PA 17241
W
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoiw<etition are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the De dent,t d truly administer the estate according to law. _
Sworn tp gr,affirmed and subscribed before Date 3_ ✓�`���
me"thisda of 0, Z Date
B Date
`- :For the Register Date
BGND Regniired: YES �" ISO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ 90.00 Attorney Signature: fes,
( 1 )Short Certificate(s).. . . . . 5.00
( 2 )Renunciation(s).. . . . . . . . 10.00
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: MA HEW A. McKNIGHT
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 93010
INH TAX RETURN . . . . . . . . 15.00
INVENTORY . . . . . . . . 15.00 Firm Name: IRWIN& MCKNIGHT, P.C.
. . . . . . . . Address: 60 WEST POMFRET STREET
. . . . . . . . CARLISLE, PA 17013
. . . . . . . Phone: (717)249-2353
Automation Fee. . . . . . . . . . . . . . . 5.00 Fax: (717) 249-6354
JCS Fee. . . . . . . . . . . . . . . . . . . . . 35.50 Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 175.50
DECREE OF THE REGISTER
Estate of [�(�`� _ LU 2C�r� File No:
a/k/a: 2 �,
AND NOW, Mac h "7 Mn in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters OF ADMINISTRATION
are hereby granted to KURT C. LAZAROFF
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.
Register of Wills ''
Form RW-02 rev. 10/11/2011 �' 1 V ge 2 of 2
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RENUNCIATION
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REGISTER OF WILLS c-,
CUMBERLAND COUNTY,PENNSYLVANIA _
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Estate of LOIS L. LAZAROFF ,Deceased
I, EMILY J. SHAW , in my capacity/relationship as
(Print Name)
DAUGHTER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
KURT C. LAZAROFF
(Date) '• (Signature)
e
(Street Address)
(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 Eiozu that he or she executed the renunci Rs for the
purposes stated within on this X _day
of FF (S
r1:) t�t=L]�! -
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 of Notary's Commission.)
P4" DAVID B.NEWELL
;moo•• •l�, My Commission Expires
*
:'NOTARY'-,_ July 6,2015
';�• SEAL.,! Pettis County
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Form RW-06 rev. 10.13.06 ' Q , +' Commission#11210560
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA C> rrl <-,
ri
F r y1 C J t C 3
Estate of LOIS L. LAZAROFFw Decirased
V
I, CHARLES L. LAZAROFF , in my capacity/relationship as .�
(Print Name)
SON of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
KURT C. LAZAROFF
(Date) rgnature)(Street Address)
(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 2-Co`t1q day
of run, , Irw IF)
kiNo
Deputy for Register of Wills Notary Ablic
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's CornmiFsion)
Corey Belcher
Form RW-06 rev. 10.13.06 Notary Public• State Of Maine L
My Commission Expires July 24,2020 ~