HomeMy WebLinkAbout09-19-06
.
Register of Wills of Cumberland County
Estate of
also known as
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
:i No. o?l ~ dtJ()~r '6cJt(
To:
. Deceased.
Social Security No. ~ '.:1 (, - 001- qtl~~
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 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.
ounty, Pennsylvania, with h_Iast family or principal
Decedent, ~ ~ ~ years of age,. died 8. ~t : ~ ii..~ . 20 1:
:J:Y1 m, JIYl 1l'~VJ A~II'aJ.own.l lrbaJlt l-lo.5:fJ I
/
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(Ifnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
'\
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form
to the undersigned.
Residence( s) of Petitioner( s )
't01-3C(}~1k1~ej,(,€ UIj&?/{Jr)iJ~ M 170i3
/ )
.
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALm OF PENNSYLVANIA
}
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 oftbe knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will. well ~d truly administer the estate~!'ding to JaW.~ n ,
Sworn to or ~1IlIled ~s>>hscnbed { ~
Before me s /~ day of ___ tI:I
20 ~.
~
n
.-.
'"
'-'
Nd~' ~(
Estate of JM!;/Lr ~k) ~Deeeased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ~~ I q 20d?, in consideration of the petition on the reverse
side hereof, satisfactor?i;r of~~res'ynted 1~e, /J
IT IS DECREED that L . {)(.J/
is/are entitled to Letters of Administration, and in accord with such fmding, Letters of Administration
are hereby granted to
#bvl ,0. ~~
~4t-~~
in the estate of
FEES
Probate, Letters, Etc. . ............ $
Will................................. $
Renunciation....................... $
Short Certificates ( ).. .. .. .. .. .. $
JCP.. .. . .. . .. . . . . . . . .. . .. . .. . . . . .. ... $
Automation Fee................... $
Bond. . .. . . . . . . . . . . . . . ... . . . . . . . . . .... $
Total $
Filed 9-11- 2oc2L
'I S (JO
Attorney (Sup. Ct. J.D. No.)
(/00
ID.~
Sa
Address
{pcf.ff11
Phone
H105.805 REV 1105 c9l,.. 0 cO - &;? r
This is to certify that the information here given is correctly cop!ed fro~ an original certificate of death du,ly. filed with me as
Local Regi~trar. The original certificate will be forwarded to the State VItal Records Office for permanent tlmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
~",_.~~ ~4M/fi1U~
Local Registrar
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12338393
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NlAIIIER
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