HomeMy WebLinkAbout04-15-15 PE"CPLIO\ FOR GR\V"T OF LE CTERS
RLGISTEROFWILLSOF �UyN�j�lTICfV1� COUVTY. PP.V?iSYCtiAVIA
Yctltioner(s) named below. who Islare IA vcun oC age ar oide[, npptyQes) Co[ Lelten ae specitmd btlmv, and in
support tliaceof uvcr(s) �hc followlns and res'pcc�Fulty cequcs'qs) thc gmnt of Letters in�hc appropciale form:
Deceden['slntormatiou � , �I I� CiLl1
w hr��topher f.0 �ohweizPr' F�i��a: t
o,w,�. (lssigncA by Regisfcr)
A�IG�d:
yk'1: Social Securih Nn: � � �
Date ol'Dcath: 3� d8 ��n��'S Age at deathp: �i c`3
Deceden[was domiciled a[dzath,kn l.L( �-i^�Ce NC� Cowuy 1'0. f5«�r� wilh hiy/her last
principal residence at �� a � Lp Urn�Le �o�'e� �a �/A N �a� �/4�XC�
s�.�ei�,nar<:.,r����om«��n ziu coae ei�y.k puip or oo�ousn � eoun�> /�
Dccedcntdicdat la �{�.wihus �v`e �C(11Dc�� 1 'a �-GlYIbPr�LG'uG� I /;
s�«�.rAan.��,,ra.�om�ea�nz�pe�a�• cu>,r�„Ahiportlumu6L Cnunry S�n�e.
Es[imere ol value of decederts pmperry et�en�h:
IfMmiideAmPuinl(vama. ___. --_ Nlp :onalpropc�ry S �/� � (Z�
IJ'no�AmruuledmPennsplvamrt_ _ __- '___. Pcc alProp rty1nP nnzylvnnie 4
[J'imrRomioileJ in Penrr.aplvrtvla_ __._ . .. . ...... ....... Pe�mnal pmpnty In Counry S_�
Vnh�eo(m�dexmremPennryh•ania........ . . . ..... .... . .. . . .. . . ...... S �
IUI4LLSTI\IATEDVA6GF. ... $ I O
Rcvl cvm�c in Pennsylvanla siwo�cd ac . —
/AmcAeAAmmw(xlmci.elfnere n;v) 9�me�vddress,PonOfOeenntlZipCude Cty,Townshipnreamuyh Cnuu�y
� A. Petitioo for Probate and Grant of Le�ters'Pcstnmentarv � o
Pe�iiioner(s)aver(�)he'shP�hey is/are the Exccumr(s)nninui In rhe In,v�Wlll ofihc UcccdcnL dnk+l � o�Skf���U')
tlier�o da[cA T O T p
(p � V � O
$dle felm'anl cia'nnRlan[es(eF.r uunciotion.Aea(h�S�
r
? n m �"' rn m
C. pt �toll : �fi tl x � 1 I ' m t(.) ft rtdf p tr D dem fA �meery.wes t�fa �gd;wasi �artv3a�2nding
d� �� poc I� I an�hcy ud f AA'o 1'�ben 'ebl -I 1 :df ed 21P .C5. $3l2]�g�,art13i9notl�veaepiilX�mor
�tr�icd:and D c d t wei nclther�he vic�in of k II' S mrvvir�dj idi�med a��sa�ac m�W Ocrsov. � � � �� T
� C � x CJ
❑no�xcarr�o�'s ❑xxcernoNs - �
_{ N r*�1
� � Vl V� �
6. Petition for Graot of Letters of Administration (If Appllceble) �-
c.eu-,db.n.,d.Lu.o.m.,pendenteGm.durunteubrrm�a,drr��
Tf ldministretiou,e.t.rs. ordb.n.c.f.a.,enter d� t o[Will m Seetion A above and comn�ete list of heirs.
�c.P�_�����`°s- ncecdrne wee noi n pavry ro e pendins diwrcc D«�ecding wherein the grounds for dlvorec hvd been es�eblished u Acflnal
m 27 Pa.C S.§3321�)and wos nei�herthe vialm of o kllling norevcv aAjudicnrcA on inuaryecitatcd person.
�SOF,%CEPCIONS �1?XCEPTIONS
Pcnnoner(x),aftcra proper se mh hvsiha.�c esccrteinN�hm DeculxnHckm�AVill antl.�^m survivod by�hclollo�vin�spouse(ifany)anJ hcin(n¢i<eh
oddlr(onal shceta�, i7u�c�e nryl'.
8vne Relalionshi Address
/� ,3 rl'� our-E-n�,nssde t.d�.
l'. ia � � S; sier r z
n 1 3 SS �o�m ha py {3�V�
Maf<� � U'�2 �u�w S 'iS� . r c3:� 5rroep I o
ro�,��¢rr�.n1 ,�r��. �mn=mu Page I of 2
Oa[h of Personal Represen[ative p0��`"��""°°�'
C0�1AIO]'\kL:ALTHOP ?E�ASYLV:AAl�A .
� SS�
cocvrroF��rn }]-FN'�/F.t�-r.� f
PeiMloo:nv Pvinad Vnma Peviinnens�Primeu AdBrxs.
i vl`f'� l ai. S 1� P ` h \ 3 LLYiN
�
Th.Peiitloucr(s)obore-nnnrcd rnear(s)o�aRlnn(�)tlic s�o!emen�s In�he(oreenlne Pe�nion ure'nm end corma m che bes�of ihe knmvledge end bcliei
ol Pc�i�lnncqs)und chm,ns Penonal Ncpmscniaov Ys)oCtlie�drnt�,lic I'cii�io�u�<I�vid�mlv���n���i���r�he ettvcc ecwrding m luw_
�P,/ ' �9 /
S�tirom to o�aEl7rmed and subsceibed befom ✓/L7K C[ ���eC/Ti�% I�a�c y5
�„���; t+�a�y a ,�5 � o��e
�tv._ __ nm�
Nor rueRe, r pote
BO�DRequired: YFti �P'O TutliekeyisrerlWil(s:
FIiCS: Plense.emer my apPearence by my signature belaw:
�
I.eners . .. . . .. .--. . S Atmmey5ignamre'.
( .}(7 1 SLon CctliCicus(s). . .___
( ) Renunciation(sy.__. . .-- ,
( ) Codldlfs). . . . . . . . . . .. .
A �
� )nrrnA�n�.a)—_ . . . __. m � m
ia��,a_ . . . _ . . . . . . . .. . . _ . _ . r.����en �am��:
Cununirslon. . ..... . . . . ...._ . SupvemeCnurt � � .—.�a 4? O
O�her __ . . ,r IDAu ber: � ��
I�v �J D fr�l C.~!1 -.] �
I Numc:
C .�. � . . l� Add :.. : - �< O C�
r:� �� C� 3 ' T
_. . . . . . — . o O -r� �
. . . . . . ' _ N r' T
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. . . rl nnc�. �.._� � <n � �
V � ilon Puc .. . . I �x. �
I! l I . . . . E mib . _ _
IOf AI.. . . . . . -- S_����� �
DECREB OF TH6 REGIS'1'GI2
ISsta�.euf�l '�!l���Q�.l� � L�� W�-� L�_ PileNo: � ��� `UT� � �
ulk/a:
�/��i�
ANDNOW,��� _(�v�. � . incons�de'nlionofth�t��oe�oingl'elil��
saGsloctory proof having bwn prescntcd beforc me' 1' IS DECRC :Ddhal Lettcn �
zlchere6ygr<mlcdlo �a�l'�� /�1 C I� �V'\.1'�
in Ihc abovc cstntt and(if applicuble) thal
thc Instnunenqs) datal
describcd in thePetiGun be admitted to probate and �led ofre rd us Ihe lest Will nnd Codicil(s)) of DeccdcuL
Iteei�\Vilis �� � l Vp���
��,,.,,,u��-u� ,rv. �ntc,ou � ���� 0 �� uge2aC2
RECORDE3 O;=FICE Of
REGISTCC �;�F 'r;!LLS
201$ APR 15 °(� 12 59
c�t�, ; �; Rf:rliivCi�TlO�ti
ORPHAt�;' C��i;'��,',-
CUMBER�^,'-:2 -;� ' ",. REG[STtiROFR'iLts
COUSTY. PE\A'SYL�"dAI:1
�-.
Estareof ���r"15������„�� ���w ��Zg� , Deceased
� ��M �r � J�'�Z����t`->��\ __ _ . inmycnp�cih�helationship :s
!^ �_--_
Y�.����.�.�,�.9
� l5�Y of the abocc llecedent, hereby �enounce the right to
administee[he Estata of the Decedent and respectfully request that Letters be issued to
�r.��< «. ��� ��
T "�O � � U � E � 7
/Da�/ (g�gnoar)
��,SS C,O h , �� a 8�1 � ?"l
�,.ee,�l<<,,
`S�u.A�YI(?S=P _� ��1.�I7D�o
rc„�,s,a�
V
Executed in Register's OjJice ExeceiteAaut oJ'ltegister's OjJice
Swom to or affirnieda nd subscribed i3efore the midersigned parsonally appeared the
before mc tFi�: G9 day pany esccr in�thi� renwcintion and ce�tified
of t , , ,.,,�Q/:3� that I��a or she axecuted the renunciation for the
purposas s�a[ed wi(hin o�this_�dav
of _, .�6/,�l ..
v
Deputy for Rcgister oC W ills Notary Yublic
"y Dfy Commission Expires:
KANENLI11OrW i
NOhryPUEIb.SdteOtN1�Y0R ' fs��s��,m�a�asz��orvoi.,�yo.o�i��oioaro;y��,on:d�o
No.071U81�E01! �e::�������.a�:nssnowa9�«re..a��-,:�:����Nm�o"comm��s.�a�.�
�uallfledlnSullolkCOuA/ �
CpnmWionExplresJWy30,201e �
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