HomeMy WebLinkAbout06-17-05
.
Register of Wills of Cumberland County
Estate of. r V .'1
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
C. K~~yY1B1<- No. 81-{).~ - OSr;-V
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. ;!,)C J - If" - (;,~.;> 3
The petition of the undersigned respectfully represents that:
Your petitionet\81, who islue1. 8 years of age or older, and the execut~ named in the last will of the
above decedent, dated ~G"f.-{ Io~r" II , 20 03
and codicil( s) dated N /4
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in ('0 m ,,",0 tl t1 n c-l
Pennsylvania, with hQ(last family or rincipal residence at
, ~ ~4~~1'( I ~ r,
(list street, number and muni . ality)
Decedent, then .2!L years of age, died ...J{ A n.l , 20 0 ~ , at
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
County,
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $
(Ifnot domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $ _
Value of real estate in Pennsylvania "'\. h.lrr.,,-:-) $ P::;:; 700 , _
situated as follows: I 3~ .zo..w.........~ ~', m p c ~: C~ --:J I r 4-
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofletters '1P.::;.~ rr1P /'l-lo..~
(te ntary; administration c.la.; administration d.b.n.c.t.a.)
thereon.
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Residence:S) OfPetitiOn~
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.
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
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SS:
COUNTY OF CUMBERLAND
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 ofpetitioner(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 ~ed and S}l~~bed {. du. '-, >? ~
Before ?\ this I L d.!)!. of ~ _
=t~ nL : 20 t)<, !
No.JI -oS- -05~-n
Estate of 'IvC'\.. C r{fra W\D ~. if'" ,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
~
AND NOW J Uf'-A... - /7't-<< 2~ consideration of the petition on the reverse side
hereof, satiffactoEroo fha~' g been presented before me, IT IS DECREED that the instrument(s), dated
-lft._ J l7 - 2Li1l described therein be admitted to probate filed of record JS tbp last will of
i-Wf. L f!,. "I-.... . ; and "'- "'" hereby _led to C alj" ~ '1 M fVvd r- :
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation.. . . . . . . .. . . .. . .. .. .. .. $
Short Certificates ( ).. .. .. . .. .. . $
JCP.................................. $
Automation Fee.. .. .. .. .. .. .. .. '" $
Bond............................ ..... $
Total _ $
Filed 20_
puL~t~
Register of Wills ~ Z- f'ffl
V )Jt;)
Attorney (Sup. Ct. I.D. No.) I
Address
Phone
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1I105X05 REV 110'
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent 'filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
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