HomeMy WebLinkAbout06-17-05
Register of Wills of Cumberland County
Estate of CkAtJ IS. Q(..(., NiJ
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
() I - 0') .r 676 /
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. J'7 LJ. - ;; '-/ - 9cJd< 'if
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older, and the execut---LX- named in the last will of the
above decedent, dated <;?...::ru I- Y ,2003
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in C U. fY1 be,.. I q ~
Pennsylvania, with ~last family or principal residence at
~.:)'l? St:'C\JAfe; Aile. . C.ArY\~ I-f.{ <...L. fA (76 ( I
.
(list street, number and municipality)
County,
Decedent, then 73 years of age, died 2L) A I' ,e I L , 20D 5 , at ;): {)O f.m .
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:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(lfnot 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:
$ 70( c>cf) (;) . 0<;
$
$
$
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WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)preserifed
herewith and the grant ofletters ' -"-\
thereon.
~nature(s) ofPetitioner(s)
~(-1'~
(testamentary; administration c.t.a.; administtation d.b'JU.t.a.)
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Residence( s) of PetitiOIir(~)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
}
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 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.
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Sworn to or affIrmed and su scribed
Before me this f h day of
,200~
bUL~J"
~"~Q.o-<~No~/-O)fJ 7b /
Estate of J tJCt.1l C Qu I 1\ Y) , Deceased
Ct:l
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DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW . vL; 200G consideration of the petition on the reverse side
hereof, satisfactory proof having bee presented before me, IT IS DECREED that the instrument(s), dated
, described therein be admitted to probate filed of record as the last will of
; and Letters are hereby granted to
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates ( ).. .. .. .. .. .. $
J CP . . .. . .. .. . .. . . . . . . . . . . .. . .. . . . .. .. $
Automation Fee........... ........ $
Bond................................. $
Total $
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Phon, ~ (xY~o::;r
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Filed
20