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Home My WebLink About06-25-15 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 Information7 /) Name: David Jeffery Simmons File No: -A I , / S'- /0( V a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 6/16/2015 Age at death: 59 Decedent was domiciled at death in Cumberland County, Pennsylvania (State)with his/her last principal residence at 1006 Copper Creek Dr 1 17050 Hampden Twp Cumberland Street address,Post Office and Zip Code Me ehanie sbu0g,Township or Borough County Mech csbur Decedent died at 1006 Copper Creek Dr. / 1OnO Hampden Twp Cumberland PA Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania................................All personal property $ 1,000.00 Ifnot domiciled in Pennsylvania.............................Personal property in Pennsylvania $ If not domiciled in Pennsylvania.............................Personal property in County $ Value of real estate in Pennsylvania.............................................................. $ 223,740.00 TOTAL ESTIMATED VALUE.... $ 224,740.00 Real estate in Pennsylvania situated at: 1006 Copper Creek Dr. h 17050 Hampden Twp. Cumberland (Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code Mechanicsbtft 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(e.g.renunciation,death ofexecutor,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 bom or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ❑ NO EXCEPTIONS ❑EXCEPTIONS ® B. Petition for Grant of Letters of Administration(ifapplicable) '.:i c.t.a.,d.b.n.,d.b.n.c.t.a.,pendent lite,durantes�.tentia*Fge minoritate If Administration,c.t.a. or db.n.c.t.a., enter date of Will in Section A above and ConQete list theirs �'�, Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for div oe ad lSe�n este",hed;as,defihed in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person-P r1 C n M NO EXCEPTIONS ❑EXCEPTIONS Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the fo 1 w�g 1pouse 079ny)and h�iys(attach additional sheets, if necessary): W t" rT1 Name Relationship —,Address 1006 Copper Creek Dr.'s Alison C. Simmons Daughter Mechanicsbur-q, PA 17050 2238 Canyon Blvd. Lucas J. Simmons Son Boulder, CO 80302 Page I of2 ror,nnwoZ rev. 1011112011 q'>� Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s)Printed Name Petitioner(s)Printed Address 1006 Copper Creek Dr. Alison C. Simmons -Mechanicsburg, PA 17050 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 t trmeda d bscribed befo Date —(,o I2 i Is me th' . d o Date By: Date Fort Regia, r Date v� BOND Required: ❑ YES M NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters. .... . . . . . . .... . . . ... . . $ 310.00 Atto Signature: (10 )Short Certificates(s) . . . . . . 50.00 , � �' ( )Renunciation(s). .... . . . .. ( )Codicil(s) . . . . .... . . . ... G ( )Affidavit(s).... .. . . . . . . . Bond . . . . . . ... . . . . ... . .... . . . . Printed Name: Bradley R. G.ortef. E-s ul '� v r" Z , Commission . . . . . . . . .. ..... . . . .. Supreme Court "_2 CD � 31266 �� ' h r .... . . . . . ID Number: R5 co ''' ' ' ' ' '' Firm Name: Wlx, Wenger`&Weidner c� Address: 508 North Second Street co • • • . . • . .. P.O. Box 845 . s Harrisburg PA 17108-0845 Inventory15.00 Phone: (717)234-4182 Inh Tax Return 15.00 Fax: (717)234-4224 Automation Fee . .... . ..... .. . . . . 5.00 Email: bgorter_wwwpalaw.eom JCS Fee . .. .. . . ....... . . ... . . . . 35.50 TOTAL . ..... . .. . . ... . .. . . . . .$ 436-50- 5,rzo DECREE OF THE REGISTER /7 Estate of David Jeffery Simmons File No: a/k/a: AND NOW, C7 2015 in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters Administration are hereby granted to Alison C. Simmons in the above estate and(if applicable)that the instrument(s)dated N/A described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. eg' ter of Wills Form RW-02 rev.10/11/2011 Page 2 of 2 l � 1ECORaEO OFFICE OF RGISf E�z OF `,ILLS RENUNCIATION NIS Jul Z5 � 3 04 REGISTER OF WILLS C L t_I'K OF t Qt �� 0UPPJ Cumberland COUNTY, PENNSYLA , ;�CUB11KLA.�� t Estate of David Jeffrey Simmons , Deceased I, Lucas J. Simmons , in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Alison C. Simmons 2� IS (Date) gnature) 2238 a n Blvd. (Street .ddress) Boulder CO 80302 (City,State,Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmebscribed Before the undersigned personally appeared the befo e this d party executing this renunciation and certified of that he or she executed the renunciation for the purposes stated within on this day of , 4ep;utyffor_regieC&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.) Form RW-06 rev. 10.13.06 REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA ADMINISTRATION Of cugje No. 2015- 00724 PA No. 21- 15- 0724 D 9Z Estate Of: DAVID JEFFERY SIMMONS (First,Middle,Last) Late Of: HAMPDEN TOWNSHIP CUMBERLAND COUNTY N 1 II Deceased 7750 Social Security No: WHEREAS, DA VID JEFFERY SIMMONS (First,Middle,Last) late of HAMPDEN TOWNSHIP CUMBERLAND COUNTY died on the 16th day of June 2015 and, WHEREAS, the grant of Letters of Administration is required for the administration of the estate. THEREFORE, I, LISA M. GRAYSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, have this day granted Letters of Administration to: ALISON C SIMMONS who has duly qualified as ADMINISTRATOR (RIX) of the estate of the above named decedent and has 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 VA NIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 25th day of June 2015. RPgiste of Wi LL.C-) C/) Q i cu D y Q) - Cn C C7 r2 **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)