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HomeMy WebLinkAbout06-08-06 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of ZEYNEP S. BARNES No. 2./ - C 0 (. 5c C;, also known as , Deceased David W. Barnes Social Security No. 203-66-0866 Petitioner, who is 18 years of age or older, applies for (COMPLETE "A" OR "B" BELOW:) o A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of the Decedent, dated and codicil(s) dated State relevant circumstances, e,g., renunciation, death of executor, etc 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: NO EXCEPTIONS [] B. Grant of Letters of Administration (d.b.n,c.t.a.: pendente lite: durante absentia: durante minoritate) Petitioner after a proper search has ascertained that Decedent left no Will and was survived by the followinq spouse (if any) and heirs: [ Name Relationship Residence I David W. Barnes Father 145 South 32nd Street, Camp Hill, PA 17011 Vahide Barnes Mother 145 South 32nd Street, Camp Hill, PA 17011 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 2116 Cedar Run Drive. Apt. 308, Lower Allen Township (Camp Hill), PA 17011 (list street, number and municipality) Decedent, then ~ years of age, died March 18,2006, at Harrisburq Hospital. City of Harrisburq, Dauphin County, PA (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property ........................................................................... ............... $ 0 (If not domiciled in PA) Personal property in Pennsylvania......................................................................$ (If not domiciled in PA) Personal property in County................................................................................ $ Value of real estate in Pennsylvania ...................................................................................................... ..................... $ 0 Total............................................... .......................................... ...... ................ ..... $ 0 Real Estate situated as follows: None Wherefore, Petitioner respectfully requests the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the undersigned: $iQnature Typed or printed name and residence David W. Barnes, 145 South 32nd Street, Camp Hill, PA 17011 Fonn RW.1 Page 1 of 2 (Dauphin County) ~ Rev. 9/92 610235.1 Oath of Personal Representative Commonwealth of Pennsylvania County of l UfYJ 0 (!riaI' {( 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 I:() ~J /j Sworn to and affirmed and subscribed ~~._-?;~ /~ / ~~,/~--Z:__ before me this y/h day of 20 DL' I" f '. ". '1 (L/'J.." U a:J'J1 /l "ftdA if.! 41:\ (11{177(~~~ -/. , '-, '--~'~', ~'-")../ t.- ,-..... ~ '-~-- U '---1'-('') -"miet ~tJ.t.:L~, cW'--t/.L<.j - No, 5( I-tift, cl51{)!:; ,~ r' --, Estate of 1-(1)/7('0 j blLI-nc s J I Social Security No: ,-U13 id.J Oliv L, Date of Death: Deceased /}7{(___I"C'I-j Ii .) (' C ( I - AND NOW, C,~/7~1 f ,20 {)k-1 , in consideration of the Petition on the reverse side hereon,4atisfactory proof having been presented before me, IT IS DECREED that Letters 0 Testamentary D;a of Administration are hereby granted to JJ (]/::-td '-1 (i d.b.n.c.t.; pendente lite: durante absentia: durante minoritate '-~/f;' h I; fi / 1:) IA_ 1---' ",-,,-,4-/ in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters,.,....................... . Short Certificate(s)..:;!..... Renunciation................. . Affidavit ( )....,............ Extra Pages ( )............ Codicil.......................... JCP Fee........................ Inventory...................... . '{ l-r^ Other.. .f,. ,~~. ~y................ TOTAL................ Form RW-1 Page 2 of 2 (Dauphin County) - Rev, 9/92 $ /) /, ",\ .:70.C.' c: c .AlI a4!-'zu~ $ $ $ $ $ $ $ $ :)() l [) (' D 5 '1 I ~ 10 ,-. L Attorney: 1.0. No: Address: :J 0,,: " I'. i) () $ (9 U. Telephone: Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of also known as Zevnep S. Barnes No. ~/-Ol" ['_, ('S' , Deceased The undersigned, mother (Relationship) (Capacity) of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to David W. Barnes. Witness her hand this day of ,2006. , '. 'c. _--:> I""\I~~ '""--'.\ ~" " J ~ \ ~_' {..- "'-'--''- ..... Vahide Barnes (Signature) 145 South 32nd Street, , Camp Hill, PA 17011 (Address) Sworn to or affirmed an~subscribed before me this G - day of -- 'd/~1. ,2006. Notary Pu lie My Commission Expires: (Signature and seal of Notary or other offiCial quahfied to administer oaths. Show date of e).p{ration of Notary's commission.) MlCHI\P, NOTE; Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. FOnTI RW.4 lOa.>.Jptun County - Rev, 9192) ,"'t~li 610242.1