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�r ,a t PETITION FOR GRANT OF LETTERS
t
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: Philip Adam Chiappone File No: c�
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: January 7,2015 Age at death: 31
Decedent was domiciled at death in Cumberland County,Pennsylvania (state)with his/her last
principal residence at 327 Antilles Court,Mechanicsburg,PA 17050 Hampden Township Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at State Game Lands off Lambs Gap Road Marysville Perry PA
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 $ 10,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. :........**...*''**....
ennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $ 10.000.00
.v
Real estate in Pennsylvania situated at: None
(Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or%ar w h r-t Nunty
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 r and C_ odicil(s)
thereto dated None
State relevant circumstances(e g.renunciation,death of executor,eta) : "rt
Except as follows: after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,was not6arty toapehding
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g);anddid not kve a ebild<born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. fV
NO EXCEPTIONS ®EXCEPTIONS
® Bffff.������''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 db.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 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
N EXCEPTIONS ®EXCEPTIONS
Petitioner( ,),after aproper 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
Jacob Chiappone(minor) Son Age-9
8400 Ancho Way,Elverta CA 95626
Margaret Chiappone Mother 327 Antilles Court
Mechanicsburg.PA 17050
Philip J.Chiappone Father 327 Antilles Court
Mechanicsburg,PA 17050
Form RW-02 rev.1011112011 Page I o�f^2
. �1�J
Oath of Personal Representative Official Use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Margaret Chiappone 327 Antilles Court Mechanicsburg,PA 17050
Philip J.Chiappone ! 327 Antilles Court,Mechanicsburg,PA 17050
The Petitioner(s)above-gamed swear(s)tir 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 gr affirmed;and.subscri_b'ed before Date d
me this�`il day of. Date oa/Zc��zo iS
-By: t1Y 1 Date
For the Register I Date
BOND Required: ® YES (D NO To the Register of wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . . . . .. .. . . . . . . . . . . . $ Attorney Signature:
( 5)Short Certificate(s)....... r rj I
( )Renunciation(s).. . . . . . ..
( )Codicil(s). . . . . . . . . .. ..
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . .. . . .. .. . . . . . . .. . . Printed Name: Vicky Ann Trimmer
Commission. . . . . . . . . . . . . . .. . . Supreme Court
Other knNk . . . . . . S ID Number: 49679
V1 tay 1Y
. . . . . . . . Firm Name: Persun&Heim,P.C.
. . . . . . . . Address: PO Box 659
• . • • • • • Mechanicsbnrg_PA 17055-0659
. . . . . Phone: 717-620-2440
Automation Fee. . . . . . . . . . . .. . . Fax: 717-620-2442
JCS Fee. . .. .. . . ... . . . . . . . .. . 3Fi .!' � Email: vatrimmerna nercunheim.com
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 1��5C10s9
DECREE OF THE REGISTER
Estate of Philia Adam Chiannone File No:
a/k/a:
AND NOW, 1'Y�Q121� —)Jc) ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters of Administration
are hereby granted to Margaret Chiappone and Philip J.Chiappone
in the above estate and(if applicable)that
the instrument(s)dated N/A
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent.
ister of ills
Form Rw-02 rev.10/ll/2011 age 2 of 2
IN THE COURT OF COMMON PLEAS OF THE NINTH JUDICIAL DISTRICT
CUMBERLAND COUNTY, PENNSYLVANIA
I ORPHANS' COURT DIVISION
IN RE:
DECEASED
e x
I
I
NO. 21-
I
AFFIDAVIT
swear or affirm that - .S`e!:�-'- Iltt:F�- (f 01".) o 61
GY( V, c.>'_ 3 D e C>I Jr 'moi /9 vj W•' GI -7 �•�
Sworn to or affirmed and s61-mribed
� ";, •� Signa re
Before me this. -day,, a ��
of ry)o- Name
V Y 1 '�) /— G rfC✓r/ t ��=�7Qn ��
Deputy forte egistEr of Wills
Address
~71�•—L� 2 G- Ly��
Persun & Heim, P.C.
Attorneys at Law IRS NO. 26-3786257
LLOYD R.PERSUN 1700 Bent Creek Boulevard
GARY J.HEIM Suite 160
JACK M.HARTMAN Mechanicsburg,PA 17050
MATTHEW E.HAMLIN*
VICKY ANN TRIMMER** Please reply to: (717)620-2440
JENNIFER DENCHAK WETZEL PO Box 659 FAX:(717)620-2442
Mechanicsburg,PA 17055-0659 vatrimmer@persunheim.com
*ALSO NEW YORK BAR HTTP://WWW.PERSUNHEIM.COM
**ALSO A CPA
February 10, 2015
Colleen Conroy
8400 Ancho Way
Everta, CA 95626
Re: Estate of Philip Adam Chiappone
Dear Colleen:
It was a pleasure speaking with you yesterday. As I explained,Philip passed away on
January 7, 2015 from a self-inflicted gunshot wound. The family chose not to publish an
obituary so I cannot provide one. I am enclosing a copy of the death certificate for your
information and records.
We are in the process of opening an Estate Administration in Cumberland County,
Pennsylvania. As part of the Petition, we will list Jacob as the sole heir of Philip's estate.
Margaret and Philip have agreed to serve as the Administrators of the estate. The first form I am
enclosing is titled"Renunciation". By signing this form you are agreeing to allow them to
administer Philip's estate. This document must be signed before a Notary Public.
Pennsylvania Register of Wills are permitted to require a Fiduciary Bond. The second
document enclosed requests the bond be waived. Again the document must be signed before a
Notary Public. They may still require a bond but I have a stronger argument if you agree to sign
this document.
Please do not hesitate to contact me if you have any questions.
Sincerely yours,
Vicky Ann Trimmer
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