HomeMy WebLinkAbout07-06-05
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Register of Wills of DauI'Rif'l County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
nt1iMAC,
r.
L;'V,'9'"'' I:
No.
c2/ -() 5-0 h() I
also known as
, Deceased
Social Security No. 20] -''6-9~'<;'
PetitionerM, who;.'."" 18 yeartl Ql "lie ",olde ',apl'lyl;esl lor
(COMPLETE" A" OR "B" BELOW,)
Q
A. Probate and Grant of letters and aver that Petitioner(s) is/are the execut
Decedent, dated and codicil Is) dated
named in the Last Will of the
Stale relev"", cjrCUfNItllOcn, e,g_. ,enuncia,'on, death"le"eCUlot.et~
Except as follows, Decedent did not marry. was not divorced, and did not have a child born or adopted after execution of-the documents offered
for probate; was not the victim of a killing and was never adjudicated incompetent:
~
B. Grant of Letters of Administration
k.I.S., d.b.o,c,l."_: penden'e li'e; oj,....."" eb'CflI,a; <luran.e n~""d""el
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:
Relationship
Residence
I. ""'c) L'
1= ~//
..Ju~" s.
S':,i.6?"c. L
r/
I 0
Uac a ItlOna s eets I necessary.
Decedent was domiciled at death in
residence at t:( 11 / 110,
(liS! ""ee'. n~mbe' ""d ""m;ci~ali'~)
Decedent, then 4 years of age, died J '" .., r 2 L
t/ IlAl\d
OJ..
County, Pennsylvania, with his/her last family or principal
,2oD5,at_r:""sJ ~1"''''1f.dr(J T",w/lSh;P
ILocatoonl
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania. . . . . . . .
(Jf not domiciled in PAl Personal property in County. . . . . .
Value of real estate in Pennsylvania .............................
R,al Estat, s;tuat'dT::a:oli~~~' . III ~. . T R ~;: J '~J";rci ~"'0~ 'r; 1/1 (,;.j ifh .
~ I J 7
Wherefore. Petitioner(s) respectfully request(s) the probate of the last Will and Codicil{sl presented with this Petition and the grant of letters in the
appropriate form to the undersigned:
$
. . $
.. ....... $
$
$
2C; (jO(), 00
.
~5,. %0 (). OU
100 000
Signature
Typed or printed name and residence
r3
F
rIve
r
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Dauphin
The Petitioner(s) above-named swear(s) and 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 Decedent,
Petitioner(s) will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed Y;;71~Jl << ~/17~- '
before me this (p d. day of
N 200) ~~~
~~dtc~pc
DECREE OF REGISTER
Estate of -=r1 OIM(, 5 r: c;U'7"'v\; Deceased No. J.,1-05- ot'oOI
also known as
Social Security No: .201. - '<6 - i 'i(;S Date of Death: b /:2.2-/ l- 0 O-t;
,
AND NOW, ~,ol~ fn.tA , 20&, in consideration of the Petition
on the reverse side hereo satl actory proof ~vlng been presented before me,
IT IS DECREED that letters 0 Testamentary 9'1 of Administration
V1 \J ~.<;
are hereby granted to
l" '^ () I ~ lA." J J u. V'\ ~c~. dLSI.; per>dcnle I:'~; d"';"7sentia; durante ,,,;no,i,a"'j
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
Inventory & Tax Forms...
,
Other....~....
It-u-
TOTAlMh.<?OO~ $ d.. 67. DO
'. ~
!IN. tv cvvb Vn-
FEES
Letters.... ....... ................
Short Certificate(s)....~'.:{ $
$
$
$
$
$
$
$
Renunciation.. ...... ..........
Affidavit ( ).............,...
Extra Pages ( )..,.........
CodiciL.........................
JCP Fee......,.............,...
$ -2/D 06
M1't~ !.~~ ~/P<-
00
.3J..
Attorney: n 0""" ~ 5 P G 0.( L.; f 51'
I.D. No: Y If C6(, '1
Address~ tJ I ). 't g
l+uJ/'>~JJ, fA 1710 -IJ.
Telephone: 717- "L3 7- 6 01 '3
DATE FilED:
! a~~fUVMJ ~ jJd~ sJ
/(; 00
6.06