HomeMy WebLinkAbout09-09-15 PETITION FOR GRANT OF LETTERS
REGISTEROFWILLSOFCumberland . _ COUNTY, PENNSYLVANIA
Pe[i[ioner(s)named below,who is/are 18 years of age or oldec, apply(ies)for Letters as specified below,and in
support[hereof aver(s)[he following and respec[fully request(s)the grant of Letters in the appropriate folm:
Decedent's Information 2� '�S' �c�s 1 _
Name: Amritoal Sinah _ . . . FileNo: �
�a: _—. . _ . (Assigoed by Regis[er)
a/k/a: _ . —� —
�a. _ _ SocialSecurityNo:
Date of Death: 8�21/2013 . _ __ Age at dea[h: 31 _ . .
Decedentwasdomiciledatdeathin Cumberland County, Pennsy_lvan}a (Smte) wi[hhis/herlast
principalresidenceat 4153 Kittatinnv Dr 17050 Ham�den Townsh�Cumberland�ty
s�m�.ae.e..,eo.�arm,oe a'�v cm� cry,ro.o.x�v o•so.e�ao
Deceden[diedat DMC HoSDita1 Ludhiana, Puniab. India _ _ ..
snnuae.....,rm�artc<.oe z�p caa< c+ry,r�.�.n�p o.so.o+ge co��n �s�.m
Es�imam of value of dccedenfs Orepeny at dca�k
fldomici(edinPemul'/vania.........._....................AllpersonalpropenY E — .. _
lJnotdomici(edinPen�l'hania_...........................PasonalOroOertyinPrnnsylvania S -
/fno�damici/edinPm�y/vania.............................PersonalOroPertyinCowry 8 —
Va/ueolrcalestWrinPenmY/vania.............._.............................................. 8 48.9�Q•��
TOT4LlSTIMATEDVALUE.... S 48�9�0_•�0
RealcstereinPennsylvaniasiwamda['. 4153 Kittantinnv Urive 1705� Hamoden Toun@h�(umb2rland
(AuucM1m4(mnnalsNeem.�Jne�uemy) Slmtaddress,PastO(ftt�odZipCoOe Ory,Tow'nsEiporBorou� Counry
❑ A. P t'C n fo P ob t d Grant of Letters Teslamen[arv
Pefitionu(s)aver(s7hehhe/theyfs/are�heExwuror(s)namedinNelas�WillofNeDecedenSda�ed — _ —endCndicil(s)
me«<oaame - - � - - ---�
_. . . � Sbm re�evvm nmumemn<a lee rmunvimam dewe o)eaeomw.e�U e "' ,�n"—
� o J� c�
� _ � _�
Except as follou's_ ller iAe ecu( n of the instrument(s)offued foo probaze flewdwt did mt mamy,wav not di o cet}�,�o�a par[�a penG�n`�-j
d vorce prwading wfiereio the gmunds Foe aiwn.e had been utehlished as defned In 23 Pa.QS 4}323(g),end d d �l��e{�i Id bom w o
adopud',andDecedemwasnei�herthevic�imufakillingnoreveraAjudicamdanincapecitamdpersort �� __ �p �,. �
❑ NO EXCEPTIONS O EXCEPTIONS . -- - - - - � , -
3
� e. Pe[i[ion for Grant of Lellers of Administration(Ifapoliwble) _ _ . �-� �- ----=c-r—
c.ta,db.n.,AM1.�.�.ea..pendenre(�re,Au�anre ahse�u�,Jur6Fk mfnn*iraM
C.l Go O
If Adminis[ration,cta. m d.b.n.c.ta,enter da[e ot W'll 'n Se [' n A above and comolete IfSt ot heirs. � -.�
[xcepi as follows'. Deadrn�u'as not a Oar7'�o a pcnding dimme proceeding whcrein Ne grounds for divn¢e had been es�ablished az defned
in 13 Pa.CS 4 3323(g)and uaz nei@er[he vicGm of a killing no�ever adjudlcateA mi incapacitead persoa
� NO EXCEPTIONS O EXCEPTIONS �mariit Kn �� R noyns z�in laYac o� �a•v�wa�
Pwi�loner(s),afler a pmper search has/Tave aseeneined�hal Decedem IeH no Will end wcv survived by che foilowing spouse(if any)and heirs(attach
addltlonalsheeb,Jne�essary)-
�. Name _ �—�RelationshiP .. Address �. .. .�
- -- - Ludhiana, Punjab, India
Amarjit .Kaur_ . mother . - . - - �
1205 Windsor Road
Jasvir Grewal ___ -sister Mechanicsburq _ _ _ PA 17050_
deceased, 8/1/2007
'�J�ar S •_ Gill _ father . _ __ _ . . .� ,
_ . . �_ _ _ ._ - ��
Page I of 2
r,,.mx�rnz ,.,, m�u zou
Oath of Pereonal Represeotative o����us�a�q � -
COMMONWEALTHOFPENNSYLVANIA } ��.,
} SS:
WUNTYOF CumbePland }
Pe�itioner(s)Prinre4Neme Paitioner(s)Primcd nddax �
1205 Windsor Road 5 '
Jasvir Grewal Mechanicsburg __ ___ PA 17050 �'�
__. . __--- �-- _. .. . .. _--�
�
The PotiiioneKs)alwve-nameA swear(s)or aRrm(s)the stetements In @e fomgoing Petifion are vue and wrteG lo Me but of iM1e knowledge and beli<f
of Pe�itloner(s)and�ha�,az Personal Reprucnmtivqs)of Ne Deceden�,Ne Petiti tt(s)will well anJ wty administer�Ae estam awordiog�o law.
Swom ro or a�rmed and subscr)bed before Dam � . ���
met��sg�� a oF �. 'l-� . ,�� � oea
_
Bv: �� _ — Dete —.. ._
For tY.e Regisrer pam . . . _._.
BONDRequired: ❑ YES fd"NO ToPoeRegisterofWi/Is:
FEES: Please enrer my appearanae by m � 'gn re below:
b9 tin `" �
Levers. . . . S .. AtmrneyS'�ne � -� ��
o � �
( � )Short Certificeces(s) _._. . . ,`'�'� — .f� ,� ,
,-� ,:, m _ c�
( � )Renuncietion(s). .. _ . . . .. S•6� `� '�
c> � a
( )Codcil(s) ._._.. .. .. __ ".:.__ � i i
( )AfGdevit(s)-.. _ PrintedNem � . � : ..�
Bond . . . . . . .. _ _ _ . . . ... _ . � ' • S o�e�., Es uire - -
Commission . .. . . . .. . . . . ..__ Supreme Cour� _ � :,�
Otherh�L ,, , , , , � IDNumber: 39785 _ � z�
/?�L��-w-�-1'r� . . . . . .. —���� . � rn—
F;m,N„„e: Stone LaFaver 8 ShekleCsk-i
� nddress: 414 Bridge Street -� ��
.- .. ... .. .. P.O . Box E --
-� --- - -� - New Cumberland PA 17070
-. .-- . ... _. -- Phonr 717-774-7435
_ . . _ __ .T F,x: 717-774-3869 -... .
Au�oma[mn�ee . . . . . _ �� Ema,l, dstoneastonelaw•net
,�s F� _ . . _ oa �
TOTAL . .. .. . . . .. .5 � . . .-.
DECREE OF THE REGISTER
Esla[eofAmfitDdl Singh FileNo: �_L_-��7 �lll5�
a�k/a:
q� 0���7�CCYII�Lr' 2�[t�
AND NOW �� , in considera[ion ofthe foregoing Pelitioq
satisfac[ory proof having been presented before mq IT IS DECREED tha[Lette[s o f A d m 1 f115 t P a t 1 o n
_.._ areherebygrantedto Jasvir GI'eWal ___. _._
_'_..
_ ._ _.._ _ .__ in tlie above esnte and(if applicablel that
the instrument(s)dated _. . -._____ . --_
deseribed in[he Petition be admitted ro probete and tiled ofrecord the lazt Will(and Codicil(s))uf Gecedent.
Reg�sterofWills � �
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(True translation from Punjabi to English) � �
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D.P.11:369 � � � -'�
Form-7 n'a� d8/12
GOVERNMENT OF PUNJAI3
MONOGRAM AEALTH& Family Welfare Department
Chief Registraq Birth & Death,Punjab
DEATH CER'CIFICATE
This is to certify that the following information has been taken from the original death
record which is registered in the Death Register of Local Registrar Birth 8 Deaths,
Municipal Corporation/Grem PanchayaVCouncillBlock/Police Station CH Ludhiana ,
Block (PHC) Ludhiana Tehsil Ludhiana , District Ludhiana of Punjab State for the year
2013 . -
Name of Deceased Amritaal Sinah Sex Male
Father's nameMu•sband's name Jaqtar Sinqh
Name of deceased's motlier _ Amariit Kaur
Date of Death 21-5-2013
Place ofDeaN� DMC Husn'tal LuJhi na
Date of Registration 27-84013 Registration No. 2327
Address of deceasetl at ihe time of tlealh
Permnen�address of �he deceasetl
� VPO Jargari, 7ehsil Payal,
Disttl Ludhiana
Remarks Qf any) __ .
Date of Issue
Name 8 Designation of oKcial Signature, Name 8 atldress of ihe
Who prepared cetlificate issuing Authority seal8 sd/-
Sd/-x 30-8-13 Sub Registrer
Birth 8 Death
Municipal Corporetion, Lutlhiana
____"_"_"'_"'_"'_'
_ _ _
' _'____'__ '_____'__'_"__""_"__'_'_"_'__'_______' _ _
Note : The cause oF Death registered in Death register, will not be record given in the Death
Certificate.
Ensure registration of ever irth & death.
�.�pFY r���,�e�:i�����Reco�-� i��es�snsua���n�n,via_zoii
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@P�t� a� VALID IN/OUT SIDE INDIA
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Khanna ILudhiana) Pb�
(Iil � � ao� �
RENUNCIATION � - , �
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REGISTER OF WILLS = =� � ' �
Cumberland COLTNTY, PENNSYLVANTA � - � � �. �,-'
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EstateofAmritoal Sinah , Deceased
I, A mar i i t Kaur , in my capacityhelationship as
�r.i��n�am�
m n r h e r of the above Decedent, hereby renounce Ihe dght to
administer the Estate of the Deceden[and respectfully request that Letters be issued to
•ia=vir Grewal .
; � � � � � T ��
9/x la��J_
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�iz�r,(" (nlin/� Cn,� ��
Snee�Addreu)
���PC_✓IClG!/C �Jo(r�i , ,%1i �90�0
(6ry,S(a(4 Zry/
Executed in Register's Ojfice Executed out ojRegis[er's OjJrce
Swom to or affinned and subscribed Before the undersigned personally appeared[he
befo�g me this �'� day par[y executing this renunciacion and certified
of .�[' ' ,�. that he or she executed the renunciation for the
purposes stated within on this day
of ,
�:��1�414PT t2i� ����L/l�� �
Deputy for RegistCr of ills Nolary Public
My Commission Expires:
(Signawre end Seal of No�ary or other omcial qualifed m
adminismr oa[hs.Show dam nf expiration ofNolarys Commission.)
Fo.mRW-06 rev. ]0.13.05
IN RE:ESTATE OF AMRITPAL SINGH, : 'CHE COURT OF COMMON PLEAS
LATE OF HAMPDEN TOWNSHIP,: OF CUMBERLAND, PLNNSYLVANIA
CUMBERLAND COUN'PY, G�
PENNSYLVANIA : FILEN0. 21-15- S 1
ANNIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY 01=CUMBERLAND )
I, JASVIR GREWAL, being duly swo�n, depose and say that I am the sister of Amritpal
Singh, who died on August 21, 2013; that I am fazniliaz with his cause of death; and that the
death of Amritpal Singh was the result of an automobile accident. This affidavit is givien
pursuan[ to thc Pcnnsylva�ia Decede�ts, Estates and Fiduciaries 20 PA C. .A. 3156.
titi�v
JAS G WAL
Swo to and subscribed beto�e me
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