HomeMy WebLinkAbout04-26-05
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of geA]t:ML~ F f;C>Jc ~
also known as
'J.\ - 10 S - 3 ~ S
Social Security No. N z.. 'fO' tllJ
Deceased.
No.
To:
Register of Wills for the
County of Cy""b(rl........J in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner~, who is/aM IS years of age or older, appl;L..
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Qecendent was domiciled at death in e....... 1-,4 r~ """ ~ County, Pennsylvania, with
" ,''' last family or principal residence at .2..11" G!""",... A...... f:l#l..1I C- Aprut., . (' Aw\b /+ill. P4'r /7,,/1
(list street, number and municipality)
Decendent, then S S- years of age, died M".rd-, 2... 2-
at Utf"'l Sf I H1" ~f'~ { I e,.,.~-r t>r,. ^ "0","" r", t>, f A-
,. .;1QO 5""',
Decendent at death owned property with estimated values as foUlows:
(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 Pennsylvania
situated as follows:
$ I~_ /Iv.
.
$
$
$
Petitioner_ after a proper search ha...S.- ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
00$ c.. oS c7Y)
~-
THEREFORE, petitioner(IJ respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~~~"'...-(\~~
} ss
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 affi~ and subscribed
before me this cJJ.l.J; day of
~ CJa% ~
,~O.. ca ~,;..ter
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No. "J.. '\ - '\:) S - :s ~ s
Estate of
~~~~....:..\" .,.. ~'I)~S~ \\I
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ~~-;\ j.,1.. ~~~5 ")CI, in consideration of the petition on
.
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that ~......::.<:).....:\" -:S~"w\'.l. ~"'~~
is/_entitled to Letters of Administration, and in accord with such rmding, Letters of Administration
are hereby granted to ~,",.~~.,..,:,,, ~~~'.l.. ~,~\.
in the estate of ~........~<:........,"" Ii:. ""''''-I.'>. I :III..
FEES
Letters of Administration "'" $ l.\S
Short Certificates(S) . . . . . . . . .. $ ").1;:)
Renunciation ................ $ S
~~~.. ~""'~"'" $ \5
TOTAL _ $ ~ S
Filed . .~.-.}..I., .-.~.!?....... A.D. ~
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< ~~ Il>.,~\'" ~~~~~~, ?
ATIORNEY (Sup. Ct. LD. No.)
ADDRESS
PHONE
....
Register of Wills of Cumberland County
" ',.
RENUNCIATION
Estateof_Be.njo..mifl rt~\;^ ~ m..
Also kuown as
No.
"l.\ -~'S - '3~.s
. deceased
To the Register of Wills of Cumberland County, Pennsylvania
TheOOdersignedJI,6o... -:5ovtX\ ~ "D~
(Name) (ReIatioosbip). (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
~:edto~~\~j>-S Ell' ~
Witnessmyfourhand(s)this l;).~of A \,,11
,200S.
Affirmed and subscribed before me this
1;1. day of IJpr;1
~
~~~~
(7 (Signature)
.;lId r;. W~..~ Avt -#C:, -S~~ 99:;>ai
(Address)
lhIl'JA,IIc.. /)Jr./J-,r:"-
Nolllry Public "" '.
, ,:;"':'
1/ 110/, .r'
..
/Jh "J,,).v. 11h(l.:t::
(Signature)
My Commission_Expires:
Or
,;)).}6 JJ 1'l:\1t>-' <'(iOI\C.H IV~ ~(.)l1
(Address)
Affirmed and subscribed before me this
day of
(Signature)
Register of Wills
(Address)
Deputy
,'"
{~~~
c:~:::>
t:..,n
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)
r....:-
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H105.8V:; REV 1105 ":L \- ~ S .. 3, '\.S
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Regis!,"ar. The original certificate will be forwarded to the State Vital Records Office for permanen' filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 11599350
No.
~~~
Local Registrar
~,;e.~
,
Date
,....,
C;:'.:)
~j2r
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r..;'
or}',
t:3
.,
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COIIMONWEAI.TH OF PENNIYUaNlA. DEPARTlll5NTOFHEALTH. VlTALRECORDI
CERTIFICATE! OF DEATH
(Coro_)
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J'oose.
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....Drtl'*'tij
July 14.1949
III
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Male
.....
Harri sburg P _0
IWfWIII.......gMI_...~
Holy Spirit Hospital
'rflili.,JI.m,"
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PA
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len
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Cumberland ~ ~.~::
....If\IIL.....................
JuneE. lIoore
-
sville PA
.
hts Celllet ,.
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);18 p, March 22. 2005
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