HomeMy WebLinkAbout05-11-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Se +h .~, V! c' K.
also known as
No. c1/- ():;- -() i.( ~9
To:
Register of ~s fqr thkyJ. .
County of \'V'\ ~ III the
Commonwealth of Pennsylvania
l)~ased.
Social Security No. I (PS'"- l.e b ~ 0/'
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl '/
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
{>ecendent was domiciled at death in
h (~ last family or principal residence at
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in penj()jlt
situated as follows: .
$ ...)-:~VV
/
$
$
$
PetitionerL- after a proper search ha& ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
. 'l Na e 'I"
LbV'lt1I-e . ,(.,['.
0, S. \(..
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration III the
appropriate form to the undersigned.
1t,_;f."'/V~tJ
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF Ct, vn ~er'a n
The petitioner(s) above-named swear(s) or affirm(s) ,that 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 above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirmed a~ subscribed
before me this ~ ~ day of
~Y9~
Rj gister l
~C ~ ~
g~ '9Yuk
u
Q y
c
eo
No. a~ - os--- oya9
Estate of Se~-~-h ~ V t G~ ,Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW 6 ,M 7rti~~, in consideration of the petition on
the reverse side hereof, tisfactory pr h_~aa,vitig been presented efore l /
IT IS DECREED that Y1 'e ~ V G I~ .~ 0+ S, V t C~~
islare entitled to Letters of Administration, and in accord with such fi ing, Letters of Administration
are hereby granted to 0 h C. QI ~ t Q.
in the estate of __
~ ~~~
Register of Wills
FEES
Letters of Administration ..... $
Short Certificates( ) .......... $
Renunciation ................ $
TOTAL _ $
Filed ..................... A.D. 19
~ ~ ~~~~~
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1 ' 0 ATTOR E (Sup. Ct. .D. No.)
~~+ ~~~, ~ ~ ~Gt~~l>>l~~,q l7b~l
ADDRESS
~i7-7~6--75"0)
PHONE