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Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
GEe fly /-An se1�� ouse
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petiti 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 Petitione ill well and truly administer the estate ajcccor ng law.
Sworn to or affirmed and subscribed before 6KX"—` Date
me this 101 day of ril 11`J' 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 . . . . . . . . . .. . . . . . . . . . . . $ DO Attorney Signature:
( a-)Short Certificate(s).. . . . .
( )Renunciation(s).. . . . . . . . S
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . .. . . . . . . Printed Name:
Commission. . . . . . . . . . .. . . . . . . Supreme Court
Other . . . . . . . . ID Number:
mv
V�
re�L Firm Name:
. . . . . . . . Address:
Phone:
Automation Fee. . . . . . . . . .. . . . . rJ Fax:
7C9 Fee. . . . . . . . . . . . . . . . . . . . . Email:
TOTAL. . . . . . . . . . . . . .. .. . . . . $ 1 6.`50
DECREE OF THE REGISTER
Estate of Z�C1-6 fZES od- File No:
a/k/a:
AND NOW, A c5 , ill co ide ation of t e ore etition,
satisfactory proof having been presented before me,IT IS DE REED that Le s _ m n
are hereby granted to NN%I I I a rv-j � o
in the above estate and(if applicable) that
the instrument(s)dated Y-) I a •
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
ke/gi ter of Wil
rorin RW-02 rev.1011112011 �lJ Page 2 of 2
I t
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petiti 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 Petitione ill well and truly administer the estate a`ccor ng law.
Sworn to or affirmed and subscribed before r?X Date Z 1& UC�
me this day offj,l =,�(5 Date
By: Q, 0. t/�' Date
For the Register Date
BOND Required:❑YES ❑NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . DO Attorney Signature:
( �) Short Certificate(s). . . . . . 10
( ) Renunciation(s)... . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( ) Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number:
fJY1�flX rQLIX. .Y.�. �S Firm Name:
. . . . . . . Address:
. . . .. . . . Phone:
Automation Fee. . . . . . . . . . . . . . . 5 Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . �[j.rj� Email:
TOTAL. . . . . . . . . . . . . . . . . . .. . $
DECREE OF THE REGISTER
Estate of_DCA6 k1;�e"46, File No: — is
a/k/a:
AND NOW, , in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters
are hereby granted to
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. 1011112011 Page 2 of 2
RECORDED OFFICE OF
REGISTER OF WILLS
?015 FIR 17 P11`1 9" 55
RENUNCIATION CLERK OF*
ORPHANS' COURT
REGISTER OF WILLS 'CUMBERLANP,
COUNTY, PENNSYLVANIA
Estate of ce, Deceased
I, 's
�,k"4-e r , in my capacity4relationship as
(Print Name)
6+< rl— of the above Decedent, hereby renounce the right to
U
administer the Estate of the Decedent and respectfully request that Letters be issued to
d4Q:A�4 7, 7-0 /,5-
(Dare f C (Signature)
—7 5--
(StreetAddress)
(City,slate,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 LoM day party executing this renunciation and certified
of that lie or she executed the renunciation for the
purposes stated within on this day
of
Deputy for kelis'ter 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.)
Forin RW-06 rev, 10.13.06