HomeMy WebLinkAbout04-28-05
PETITION FOR PROBATE and GRANT OF LETTERS
No. d. j - O!;- - OL/OO
To:
Register of Wills for the
'County of in the
Commonwealth of Pennsylvania
Estate of Lr1(1 is/!..> f:. - Do~) MO\/-erZ
I
also known as
Deceased.
Social Security No. )"-/"7 -;; if - 103 )II
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut iI~~
in the last will of the above decedent, dated a~1 (7'11:.
and codicil(s) dated
named
,19~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in C fA n:lxi'la J1d, CO\!~ty, Pennsylvania, with
h (? -Y' last farp.ily or principal residence at /(' ;'7- if U~, ()O} < m v- j") I 1'(1J
i/'I!pd10 Yl/( .s b U I(J PII (1'055
(list street, number and muncipality)
fl 0/'/) d;;l , ~~')05,
,
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: ,I) III
$1.(fX).
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
(testamentary; administration c.I.a.; administration d.b.n.c.t.a.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 0' PfN1YLVANIA 'I ss
COUNTY OF C{lvYl .r n . J
, .
The pethioner(s) above-named swear(s) or affirm(s) that 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 represen-
tative(s) of the above decedent petitioner(s) wi!! well and truly administer the estate according to law.
,~~.~~ iIL~O.T'~'
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Est:Jltte of
No. :</- OS- -(jl(OO
Lou I ~~ f: pnnfYloye f'
DECREE OF PROBATE AND GRANT OF LETIERS
9 DeCe2Sed
AND NOW J fft, f1:dD'Gn consideration oftne petition on
the reverse side hereof, satisfactory pro f having been. ::-esente' before .me,
IT IS DECREED that the instrument(s) dated '8
described therein be admitted to probate and filed of
/'
FEES
Probate, Letters, Etc. ......... $
Short Certificates( ).......... $
Renunciation ................ $
$
TOTAL _ $
JJ
fA-
ATTORNEY (Sup. Ct. 1.D. No.)
ADDRESS
Filed
PHONE