HomeMy WebLinkAbout07-23-15 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
Name: TED W. HORN File No: � 1.6,- oel/
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: APRIL 16, 2013 Age at death: 53
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State) with his/her last
principal residence at 104 WINCHESTER GARDENS CARLISLE17013 N. MIDDLETON TOWNSHIP CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at HOLY SPIRIT HOSP, CAMP HILL 17011 CAMP HILL 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 $ 2800
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. ... $ 2800
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
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❑ A. Petition for Probate and Grant of Letters Testamentary �' `'� rpt C''
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated ',, �nd lliriiljs)
thereto dated [� 0 r I b
� ry cm c
State relevant circumstances(e.g.renunciation,death of executor,etc) y O
eept as ows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not divorEed,�s p�a pd to a petdQ
i tce proceeding wh_erei�the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g),and)did)ndthave child*n1A
Fdpted;SM Decedetf�a neither the victim of a killing nor ever adjudicated an incapacitated person.OEjj;EPTI NKS, rMEXCEPTIONS r'
tK M = --I r
El-:,B,-,Petition for Grant of Letters of Administration (If applicable)
CD t, ata.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
c If=Administration; c.t.a. or db.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
M —1
oExeppt a follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa. .§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
QNO EXCEPTIONS ❑EXCEPTIONS RENUNCIATION FOR JOSEPH RAY HORN, JR.ATTACHED HERETO
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 Address
JOSEPH RAY HORN FATHER 7 ALLIANCE DRIVE, APT 101, CARLISLE, PA 17013
NANCY A. HORN MOTHER 7 ALLIANCE DRIVE, APT 101, CARLISLE, PA 17013
Form RW-02 rev. 10/11/2011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
NANCY A. HORN 7 ALLIANCE DRIVE,APT 101, CARLISLE, PA 17013
The Petitioner(s)above-named swear(s)or affirm(s)the statements inane 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 or affirmed an su scribed before amt. Date_z� l
me this ofIAI I Date
Y- 11A WAQ Date
or th egiste Date
BOND Required:E]YES F]NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . . . . . . . . . . . $ 30.00 Attorney Signature:
( 2 )Short Certificate(s). . . . . . 10.00
( 1 )Renunciation(s).. . . . . . . . 5.00
( )Codicil(s). . .. . . . . . . . . .
( )Affidavit(s).... . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . .. . . Printed Name: DOUGLAS G. MILLER
Commission. . . . .. .. . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 83776
INH TAX RETURN . . . . . . . . 15.00 1,
INVENTORY . . . . . . . . 15.00 Firm Name: IRWIN&McKNIGHT, P.
. . . . . . . Address: 60 WEST POMFRET 5I - T _ M-
. . . . . . . CARLISLE PA 17013 `
Mn
. . . . . Phone: 717 249-2353 W
rn
Automation Fee. . . . . . . .. . . . . . . . . . . . . . 5.00 Fax: 717 249-6354 , '
JCS Fee. . . . . . . . . . . . .. . . . . . . . 35.50 Email: DMILLERC&-IRWINMCKN1CHT—''gOM:B
TOTAL. . . . .. . . . .. .. . . . . . . . . $ 115.50
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DECREE OF THE REGISTER 00
Estate of TED W. HORN File No:
a/k/a:
AND NOW, ,�=,in consideration of the foregoing Petition,
satisfactory proof hav' been sented before me,IT IS DECREED that Letters OF ADMINISTRATION
are hereby granted to NANCY A. HORN
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of recor as the last Will(and Codicil(s))of Decedent.
r
gis r of Wills
Form RW-02 rev. 10/11/2011 Page 2 of 2
RECORDED OFFICE OF
REGISTER OF WILLS
RENUNCIATION ?91S JUL 23 EM 10 18
CLERK OF
REGISTER OF WILLS ORPHANS' COURT
CUMBERLAND COUNTY,PENNSffiXyN6a tj D CO., r A
Estate of TED W. HORN , Deceased
I, JOSEPH RAY HORN , in my capacity/relationship as
(Print Name)
FATHER of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
NANCY A. HORN
JULY 23, 2015
(Date) (Sign ture)
7 ALLIANCE DRIVE,APT 101
(Street Address)
CARLISLE, PA 17013
(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 renunclati M fordthae
purposes ted within on this �ofJ y
of
Deputy for Register of Wills N ry Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
�NWEALTH�P�INSYL
No12
" Notarial seal
Form RW-06 rev. 10.13.06 CA 1� KarenS. mwftwA1C
My IVA MY 'Ores Dec.8,2015
ON bow OF NOT
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
OF c uMeF No. 2015- 0081 1 PA No. 21- 15- 0811
Estate Of: TED W HORN
C �� (First,Middle,Last)
� � v
Late Of: NORTH MIDDLETON TOWNSHIP
CUMBERLAND COUNTY
Y N
Deceased
Social Security No:
1750
WHEREAS, TED W HORN
(First,Middle,Last)
late of NORTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY
died on the 16th day of April 2013 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:
NANCY A HORN
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 COURTHOUSE, CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 28th day of July 2015.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)