HomeMy WebLinkAbout04-15-15 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 1 1
Name: IAN M. MCCLOSKEY File No:
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 3/9/2015 Age at death: V
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last
principal residence at 106 LINDEN DRIVE LOWER ALLEN COUNTY
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at MS HERSHEY MEDICAL HERSHEY DAUPHIN 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 $
If not domiciled in Pennsylvania.............................Personal property in Pennsylvania $
f
If not domiciled in Pennsylvania.............................Personal property in County $
Value ojreal estate in Pennsylvania.............................................................. $
TOTAL ESTIMATED VALUE.... $
Real estate in Pennsylvania situated at:
(Attach additional sheets,ijnecessary.) Street address,Post Office and Zip Code City,Township or Bough _� County
C c r-t :7
O
❑ A. Petition for Probate and Grant of Letters Testamentary �° C'.) p
v
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated fYl C7 ancil(s)
thereto dated
State relevant circumstances(eg.renunciation,death ofexecutor,etc.) t G7 O
n Q =D "71 `r1
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorced,(Was not a party to a pmn�T
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did n ave a chiQzom vr— M
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. r`
F- + C/) a
NO EXCEPTIONS ❑EXCEPTIONS co `n
® B. Petition for Grant of Letters of Administration(If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente life,durante absentia,durante minoritate
If Administration,e.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.
❑ 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
1812 SCARLETT LANE
ROY F. MCCLOSKEY FATHER MIDDLETOWN PA 17057
1812 SCARLETT LANE
KAREN E. MCCLOSKEY MOTHER MIDDLETOWN PA 17057
roan Rw-02 rev.10/1112011 Pagel of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
1812 SCARLETT LANE
ROY F. MCCLOSKEY MIDDLETOWN PA 17057
:t ;�,
"S 7% .�.
The Petitioner(s)above-named swears}or af&rm(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 Repre'sentative(s)of the Decede Petitioner(s)will well and truly administer the estate according to law.
17,'..TM1 �� ,k.
Sworn to o affirmed`and subscribed before _ 241-11 ;91 4
me this da of. I _� Date
�U I CJ� Y Date
BY� Date
For the Register '
Date
BOND Required: ❑ YES ❑ NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters...... .. .... ........... $ Attorney Signature:
( (D )Short Certificates(s) ......
( )Renunciation(s).. .. .. ....
( )Codicil(s) .... .. .... .. ..
( )Affidavit(s).............
Bond ..... .... .. .. ............ Printed Name: R. MARK THOMAS, ESQUIRE
Commission .................... Supreme Court
Other �(1((1� .. .. ... �J ID Number: 41301
X �.... Finn Name: LAW OFFICE OF R MARK THOMAS
Address: 101 S MARKET STREET
•' '' MECHANICSBURG PA 17055
• '•••••.. Phone: 7177962100
• '.'••••• Fax: 7177963600
Automation Fee ... ... ........... Email: RMARKTHOMASOWMAIL.COM
JCS Fee . ...... . .. .. ... .. .... .. .��
TOTAL.... ........ .. .. .. .. ..$ G 5.5D
DECREE OF THE REGISTER !!,,
Estate of IAN M. MCCLOSKEY File No:
a/k/a:
AND NOW, f__N/I (0 cx)�5 ,inc,qnsi�1eration of the forng_Petition,
satisfactory proof having been presented before me,IT IS DECRE D that Letters gaily) n(5\Y l V 1
are hereby granted to Ru MG
in the above estate and(if applicable)that
the instrument(s)dated �Q-
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
g ster of ills
Form rrw-nz rev./0/11/z0ll
Page 2 of 2
RECORDED OFFICE OF
-REGISTER OF WILLS
RENUNCIATION 1?015 RPR 15 RM g 19
REGISTER OF WILLS CLER,i OF
CUMBERLAND COUNTY, PENNSYLVVKPH SNS- CG:URT
CC,UE8ERNA PA
Estate of IAN M. MCCLOSKEY ,Deceased
I, KAREN E. MCCLOSKEY , in my capacity/relationship as
(print Name)
MOTHER of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
ROY F. MCCLOSKEY. FATHER OF DECEDENT
(Date) (Si ature)
1812 SCARLETT LANE
(Street Address)
MIDDLETOWN PA 17057
(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 _day
of
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.)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Debbie S.Markle,Notary Public
Form Rli-06 rev. 10.13.06Manchester Up.,York County
My Commission Expires March 30,2018
EMBER.PENNSYLVANIA ASSOCIATION OF NOTARIES