HomeMy WebLinkAbout05-08-15 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:
Jaime A T son
np��den+'s Information File No: 21 ' �`)"'� ( I`��I
Name: William H.Tyson,Sr.
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 197-38-5491
Date of Death: 03/12/2015
Age at Death: s$
Decedent was domiciled at death in Cumberland County, PA
(State)with his/her last
Shiremanstown Cumberland
principal residence at 304 E.Main Street Apt.1,Shiremanstown 17011 c�ty,Township or Borough councy
Street address,Post Office and Zip Code
Decedent died at 304 E.Main Street,Apt 1 Shiremanstown Cumberland PA
Streel address,Post Office and Zip Code
City,Township or Borough County State
Estimate of value of decedent's property at death: 33,000.00
If domiciled in Pennsylvania...................... All personal property $
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 $ 33,000.00
Real estate in Pennsylvania situated at
(Attach additional sheets,if necessary.) Count
Street address,Post Office and Zip Code City,Township or Borough Y
❑ A. Petition for Probate�nd Grant of�Ptters Testamentarv
Petitioner(s)aver(s)that 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(e.g.,renunciation,death of executor,etc.)
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 pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did not have a child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS ❑ EXCEPTIONS
rv
� B. Petition for Grant of Letters of Administration (If applicabiel c.t.a.,d.b.n.,d.b.n.c.t.a.,pedente lit�e�durante abse�duran�tg ' ritate
If Administration,c.t.a or d.b.n.c.t.a., -`- c�f�"lill in Section A above and comnlete list of heirs. � � ^� � �
�establist�as d�fi�n�
Except as follows:Decedent was not.a party to,pending divorce proceeding wherein the gropnds for divorce hat�e� � . 7
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an inca acitated person. . � � , r�
Y�,.. '� C,..� r..._
�NO EXCEPTIONS ❑ EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following s�ouse(if a�)and kaeits(attach
additional sheets,if necessary): -• � ��
7 G� __
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Name Relationship Address ` "
Dau hter 311 Ridge Street � � �
Lisa A. Bly 9 Wilkes Barre PA 187d6�
Son 301 E.Main Street
William H. Tyson,Jr. Cam Hill PA 17011
Jaime A. Tyson Wife 304 E.Main Street
Cam Hill PA 17011
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Page 1 of 2
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Official Use Only
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
304 E.Main Street Apt.1
Jaime A Tyson Shiremanstown,PA 17011
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 Pe!itioner(s)and that,as Personal Representative(s)of the� Decedent,Pnetitioner(s)will weli and truly administer the esta�te a cc�i�� I+w,.�,
4!QNw.�.9-. rT �f'�'�,!'�.._
Swom to or affirmed and subscribed be fore Date
me �s��c�aY� �� Date
By:
� oate
For the Register
To the Register of Wills:
BOND Required? ❑ YES � N� Please enter my appearance by y signature below:
FEES: /�t��"�
Letters....................... . ................ $ C�l �rr�--- Attomey Signat e:
( ,� )Short Certificate(s)......... — �2�T�C,
� � )Renunaation(s)..............
� v
( )Codicil(s)........................ Printed N e . Swartr II � � :� �
( )Affidavit(s)...................... p ,
C�
� � � "� �
Bond............................................. eme Court ._. ;�a
ID Number: 52� �
�_ � .:.
. . ..^ �"-,. r__. � t'.'!
Commission..................................
er _ ��' � �:�
� ��� Firm Name: Moone &Associates'�� `�
1 � •�'1- Address: 18 E.Middle Street ,.� ,. "L7 � �'�
, i.'
�:�.� �:,.�
t"� f"s1
Gettysburg,PA 17325, �;� � r"' ,,,.,,
, � C?�
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Phone: 717-398-2205
Automation Fee............................ ���' Fax:
JCS Fee....................................... G�_�
� --� E-mail: gws@mooney4law.com
TOTAL......................................... $ � �
DECREE OF THE REGISTER Date of Death: 03I12/2015
Social Security No: 197-38-5491
File No: 24`� ����52�
Estate of William H.T son Sr.
a/k/a: .
�,�.,'�_ ,in consideration of the foregoing Petition,
AND NOW,
satisfactory proof having been pres ed before me, IT IS DECREED that Letters of Administration
are hereby granted to Jaime A Tyson
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 I iN(and Codici s))of e edent. � •
�
Register of Wills page 2 0
Copyright(c)2011 form software only The Lackner Group,Inc.
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RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND _COUNTY, PENNSYLVANIA
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Estate of William H.T son, Sr. � � � � �
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in my capacitv/rel�nship ap r t�i
�� !_isa A. Bly s cn ��
(Pnnt Name) '4'; _��
Dau hter
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Jaime A.T son
j �.. 'i.,.
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s nat e LIS21 A. B
(Date)
311 Rid e Street
(Street Address)
Wilkes Barre, PA 18706
(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
party executing this renunciation and certified
before me this day that he or she executed the renunciation for the
purposes stated within on this S day
of . � of _ �/�
,.�.....,�
Deputy for Register of Wills ary Pub c � �� ���
My Comm' sion Expires: � �
(Signature and seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's commission.)
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Form RW-OG Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc.
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
y �F C U/�je� No. 2015- 00521 PA No. 21- 9 5- 0521
,��C ri� � '��'�
Es ta te Of: WILLIAM H TYSON SR
O ` � (First,Middle,Last1
V 1� �
�� Late Of: CUMBERLAND COUNTy UGH
M 1�
Deceased
Social Security No: 197-
1750
WHEREAS, WILLIAM H TYSON SR
IFrrst,Middle,Lastl
late of SHIREMANSTOWN BOROUGH CUMBERLAND COUNTY
died on the 12th day of March 2015 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, L/SA M. GRAYSON, ESQ. ___, Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
JAIME A TYSON
who has duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and has agreed to adm.inister the estate
according to law, all of which fully appears �f record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVAN/A.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 11th day of May 2015. ^
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)