HomeMy WebLinkAbout04-07-15 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cg M he h �1 d COUNTY,PENNSYLVANIA
Petitioner(s) named below, who is/are IS years of age or older, apply(les) 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 I 0 1 /
Name: A//j/f� W Vl ' G 77 File No: I ' �.�� /
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: '
Date of Death: f/ -- Age at death: S1
Decedent was domiciled at death in Co p, ICtnd County, -d (State)with his/her last
principal residence at d &A JoC K7 A oa-dt� ;c5b,in,4 PA
Street address,Post Office and Zip Code City,Township or Borough JCounty
r
Decedent died at G'p lep L iV%ir, C eh S ho t-- Cam u lan
Street address,Post Office a ip Code City,Township or Borough County St
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania............................ All personal property $ 5 S} Q O O
I not daniciled in Pennsylvania. ....... ................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Vahtf of real estate in Pennsylvania.... ...................................... ............... $
i TOTAL ESTIMATED VALUE. ... $ /}0
Real estate in Pennsylvania situated at: 2-/ D ✓z J O c. & Jk-2a J Mec& flac hj Y-- ncl
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or B ougjh County
F1 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 r�
State relevant circumstances(e.g.renunciation,death of executor,etc.) .p � "�r3
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not c or d,�s noVarty&a goding
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323zj,I* not have a child(0rn or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. j 1T
NO EXCEPTIONS ❑EXCEPTIONS rw rX.
[t/]�B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n., dAn.c.t.a.,pendente lite vur-511te absentia,durlp i ioritate
1�4
If Administration,e.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete listeirW c0'
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.
JZ`NO EXCEPTIONS ❑EXCEPTIONS
Petitio,icr(s),after a proper search has/have ascertained that Decedent left no Will and u as survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationship Address
oA r Zoe G°rol.G111 �. S Irt /1
r �
Z rC oer
TVs o
r -rtI e�5-,�0 ro` h r- n
a,- s� rJ t7 moR e
�,�'��� h �1 �� S�'s SOS /V' /11' P
Faris,a 02 rev. i iz l Page 1 W2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
214 Dano Let
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 Petitioner(s)will well and truly administer the estate according to law.
Sworn to rfirmed al ubscrib before Date
Ine this day of Date
y Date
r gister Date
BOND Required:A YES 5�/NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . S / Attorney Signature:
( ) Short Certificate(s).. . . . .
( i� ) Renunciation(s).. . . . . . . . Y
( )Codicil(s). . . . . . . . . . . . .
( ) Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: ,C5
Commission. . Supreme Court
Other ID Number:
Z n G� Q
Firm Name: r`- 'I-', I'
. . . . . . . . Address: "1 C7
. . . . . . t7 7C 22 rs
. . . . . . . o
. . . . . . Phone: —
Automation Fee. . . . . . . . . . . . . . . Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . l E-mail:
G�
TOTAL. . . . . . . . . . . . . . . . . . . . . S7
DECREE OF THE REGISTER
Estate of File No:
a/k/a:
AND NOW, c s in consider do of the/for.goin >Petition,
satisfactory proof havt been presented before me,IT IS DECRE 'D t at Letters
�0 ar he by granted to45'.
��b in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of r ord as the last Will (and Codicil(s))of Decedent.
f
e ster of Wills5
Form lrry-02 rev. 10/1112011 Page 2 of 2
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
e,,
oF cv�ye ,
y � No. 2015-�00372 PA No. 21- �5- 0372
J�1'� (;���;` ��
Es ta t e Of: ANNA WRIGHT
� � �x /First,Middle,LastJ
v
� La te Of: CAMP HILL BOROUGH
CUMBERLAND COUNTY
w
Deceased
Soci al Securi ty No:
1750
WHEREAS, ANNA WRIGHT
(First,Midd/e,Lastl
late of CAMP HILL BOROUGH CUMBERLAND COUNTY
died on the 11th day of April 2013 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, LISA M. GRA YSON, ESQ. , Regi s ter of Wi 11 s in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
ELIZABETH M SAL VA and JOSEPH M FETSKO
who have duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and have agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 7th day of April 2015.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
17c)-
RENUNCIATION ;
Ca
REGISTER OF WILLS M n =0 Cn
rn
Ir' _COUNTY, PENNSYLVAN,A -3
7
. .
co r _M
1 -v7 71
Estate of T/ AIAI , Deceased
Fc.`4—S k O , in my capacity/relationship as
(Prrint Name)
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(Date) (Signature
,202, Cratx,9n /41/e,
(Street Address)
(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
purpo es stated within on this day
of ,
r
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.)
COM ONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Melanie E.O'Neill,Notary Public
Northmoreland Twp,,Wyoming County
Form RW-06 rev. 10.13.06 My Commission Expires Jan.28,2018
W MBER,PENNSYLVANIA ASSOCIATION OF NOTARIES
RENUNCIATION
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
M 0�
z�
710 .
rn = :C) a
Estate of 4- 70I>
7
r aeN in my cap-q'j�ylfblationshV-a
(Print Nam
Tg r^ of the above Decedent, hereby renounce theqighTtcrn
administer the Estate of the Decedent and respectfully request that Letters be issued to
J os----iek FefsKo
n
(Date) (Signature
5h(fYWei a ✓e_
(Street Address)
U h c-r,U ir e--,
(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 1,Sf day
of � ,/) r / � , C)) S
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
LINDA WISHARD,NOTARY PUBLIC
Form RW-Oti rev. 10.13.06 DUNMORE BOROUGH,LACKAWANNA COUNTY
MY COMMISSION EXPIRES MARCH 26,2017
RENUNCIATION
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Q rn .
Estate of AIAI - M
C Wised
M
I, a , in rrityX> latislp as
LL _ (Print Name)
co
J'� 'ln of the above Decedent, herzb�renou�thpjAht to
administer the Estate of the Decedent and respectfully request that Letters be issued to
(Date) (Signature)
V
(Str e ddress)
(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
purpostate within on this day
se
of t { >_etat _•
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
adia mister oaths.i ghow Date of expiration of Notdry's Comiiiissibii
°i. COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
SEAN D.THORPE,NOTARY PUBLIC
born RW-os rev. t 0.13.06 BOROUGH OF DUNMORE,LACKAWANNA CO.
MY COMMISSION EXPIRES NOVEMBER 27,2016
t V �
RENUNCIATION
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
ry
rn
O
Co .--a to
M, C'> t=
Uhl
ezrn -•a
Estate of t•-C1 CG W h 7" "'= "' r De2ased
G ?.. 11 a , inni-y, opacity/MlatiFAship as
(Print Name) -J "11
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
- >(� .`mob, 'q'1 v"
- - X67
(Date) (Signature) �� )
(Street Address)
v rio
(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 l,z-4 day
of D r r 1 1 S-
6--X "c— W A-�0�c,L
Deputy for Register of Wills Notary Public
My Commission Expires: 3-Q G-a01_l
(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
Form RW-06 rev. !0.13.06 LINDAWISHARD,NOTARY PUBLIC
DUNMORE BOROUGH,LACKAWANNA COUNTY
MY COMMISSION EXPIRES MARCH 26,2017