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Home My WebLink About04-24-15 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 � , � L _4k c Name: M C, i S� 5u 5�r \kv a File No: 4- J �CJJ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: F 0 1 5 Age at death: a 3 Decedent was domiciled at death in U 0.Y% County, P V a,(State)with his/her las principal residence at a b o 1 �/VMcL!kms.. � I a n street address,Post Office and Zip CodeCity,Township or Borough County Decedent died at a� !7 7 Q � S� ��v+1 p 1+1 1) o`- Street address,Post Office and Zip Code City,township or Borough County State Estimate of value of decedent's property at death: j �� O,o If domiciled in Pennsylvania............................ All personal property $ `'f�� If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsylvania......................................................... $ TOTAL ESTIMATED VALUE. ... $ 400--- Real Ofd•ocReal estate in Pennsylvania situated at: (Attach additional sheets,if necessary) Street address,Post Office and Zip Code City,Township or Borough County ❑ 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 and Codicil(s) thereto dated State relevant circumstances(eg.renunciation,death of executor,etc) o ; C=_ c r Y M, Except as follows:after the execution of the instrument(s)offered for probate Decedent did not many,was not div as not a i to 4e&9 divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g), .gt haNW chi"df or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Zi r—' fU ❑NO EXCEPTIONS ❑EXCEPTIONS c3 lad' �• Petition for Grant of Letters of Administration (If applicable) :3 c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante`�a sentia,a tnte r nid'itate r If Administration,ata. or db.n.ata.,enter date of Will in Section A above and complete list of heir. cD 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. 10 EXCEPTIONS ❑EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach additional sheets,ifnecessary): Name Relationship /� Address hh �avro- SuSar��va� r�o�e� �&)J lsro• C P-A W�ndISoC/� �1�b J0h1r1\ T)\w'X 1 'FO &Y Rot,nCoCl - MD a 1-7so Form RW-02 rev.10111/2011 Page I of 2 "�"SaTTSI'dGTQry�TOU1'IIii'V'IIIA'-OGGII�IZSGIITGCI-OGT(7IG-IIIGRI 17-17i7V1CLL'-1J'-IIRIl�-GCl'GI - 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 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address �av��5v5Qr kva11 a G rL b- I (+ ..N-9-w W PAP The Petitioner(s)above-named swear(s)or 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 Peti=r( ) ell and truly administer the estate accor ' g to lawSworn to or affirmed and subscribed before �...�.— J AAA� Date a D 15 me this,;N41 day of n Date By: l`Q,, Date For the Register Date BOND Required:AYES [:]NO To the Register of Wills: FEES: (�} Please enter my appearance by my signature below: Letters . . . . .. . . ... . . . . . . . . . . . $ `' Attorney Signature: ( 3 )Short Certificate(s). . . . . . ( )Renunciation(s).. . . . . . . . ( )Codicil(s). . . . . . .. . . . . . ( )Affidavit(s).. .. . . . . . . . . C1 c M M Bond.. . . . . . . . . . . . . . . . . . . .. . . Printed Name: U '= C7, Commission. . . . .. . . . . . . . . . . . . Supreme Court M Other . . . .. . ID Number: i,y� .. . . . . . . i 5 . MF-- V1�'1 k4"'( %h.l f �. . . . . 1�j Firm Name_: . . . . . Address: _ c > --`j –n O J d . . . . . _ Phone: Automation Fee. . . . . . . . . . . . . . . Fax: JCS Fee. . . . . . . . . . . .. . . . . . . . . 3 lso Email: TOTAL. . . . .. . . .. . . .. . . . .. . . $ i.Sd DECREE OF THE REGISTER i Estate of Q)(IutEa. � uSan IVa l 1 File No: �tl a/k/a: AND NOW, « ,in consideration of the foregoin Petition, satisfactory proof having been presen ed before me,IT DECREED that Letters V�C� I f) -8- M Mt — are hereby granted to _l 1 n 0 a Y-';r'1 U Q . 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. AKJ& 1A e st r of Wills �.�U Form RW-02 rev.10/11/2011 ge 2 of 2 } RE OR5ED OFFICE OF REGISTH OF W11 LS ?015 RPR 24 FPl 1�t��VNCIATION C L E I^K OF REGISTER OF WILLS 0 R F1 ;ERLAiD COUNTY,PENNSYLVANIA ,`CU K, 14'-00 7 , r7k Estate of ( I'sse,% S US cc w L U:)CA ,Deceased I,_ ,\v�✓� �1 1� y�� r , in my capacity/relationship as (Print Name) n-4 k-e f` of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to r41- S \bUU('J y 12R, 12S (Date) (St tore) 2, a Zox (Street Address) `2-t 7S-3 (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 pure ses stated within on this CJ d- day Of D , 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.) BARBARA A. BREWER NOTARY PUBLIC Form RW-06 rev.10.13.06 CARROLL COUNTY STATE OF MARYLAND COMM. EXP 3-06-2016