HomeMy WebLinkAbout06-30-15 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 1
Name:Lee T.Bernard File No: t� 1
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death:May 24,2013 Age at death:67
Decedent was domiciled at death in Cumberland County,Pennsylvania (State) with his/her last
principal residence at 904 Thornwood Lane,Carlisle,PA 17013
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at
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 $ 1000.00
If not domiciled in Pennsylvania. . . . .. . . .. .. . .. . .. . . . . . . Personal property in Pennsylvania $
If not domiciled in Pennsylvania. . . . . . . . .. . . . . . . .. . . . . . . Personal property in County $
Value of real estate in Pennsylvania.. . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . $ 99.000.00
TOTAL ESTIMATED VALUE. . . . $ 100,000.00
Real estate in Pennsylvania situated at:904 Thomwood Lane, Carlisle,PA 17013 Cumberland
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
El 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 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.
0 NO EXCEPTIONS ®EXCEPTIONS
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n., d.b.n.c.t.a.,pendente lite, durante absentia,durante minoritate
If Administration,c.t.a. or d b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
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.
ANO EXCEPTIONS 0 EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets, if necessary):
Name Relationship
C ZAddres
Linda H.Bernard wife 904 F-aiC-
isle,PA ) 13 ^�
t— M CD
9 r1
7 CD
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Form RW-02 rev.10/11/2011 Pagel of 2
uattl of rersonal representative . 11-a,u,u�iiiy
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Linda H.Bernard 904 Thornwood Lane,Carlisle PA 17013
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 e edent,the Petiti er(s will well and truly administer the estate according to law.
Sworn to or'affirmed a d subscribed before l r Date
me t Sd day of Date
By: Yy—u Date
For the Register Date
BOND Required: 0 YES Q'NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature:
( � ) Short Certificate(s). . . . . . — �
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . . ✓(�-o `'`"C
( )Affidavit(s). . . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Herschel Lock
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 22691
Q YY\ . . . . . . . Firm Name: Law Office of Herschel Lock,
. . . . . . . . Address: 3107 North Front St.
. . . . . . • • Harrishnrg,PA 17110
. . . . . . Phone: (717)238-6661
Automation Fee. . . . . . . . . . . . . . . Fax: (717)238-5288
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email: hlnrkecnna veri,7nn net
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 1L�
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Form RW-02 rev.10111/2011 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
The Petitioner(s)above-named swear(s r 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 Repre ntative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed be re Date
me this day of Date
By: Date
For the Register Date
BOND Required:AYES 7NO NAttomey
ter of Wills:
FEES: my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ .nature:
( ) ShortCertificate(s). . . . . .
( )Renunciation(s).. . . . . . . .
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number:
. . . . . . . . Firm Name:
. . . . . . . . Address:
. . . . . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of L e. c na fd File No: Z ( — 1,5 ` _13y
a/k/a:
AND NOW, M[ ,in consideration of the foregoing Petition,
satisfactory proof having en presented before me,IT IS DECREED that Letters i�y AdMints-kah� n
are hereby granted to L1 Y1 (j_ El &COO Cd
in the above estate and(if applicable)that
the instrument(s)dated N I Pt
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