Petition For Probate And Grant Of Letters - Pennsylvania

Register of Wills of

County, Pennsylvania

PETITION FOR PROBATE AND GRANT OF LETTERS

Estate of

File No.

also known as

, Deceased

Social Security No.

Petitioner(s), who is/are 18 years of age or older, apply(ies) for:

(COMPLETE 'A' or 'B' BELOW:)

G

A.

Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the

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 instrument(s) offered

for probate, was not the victim of a killing and was never adjudicated an incapacitated person:

G

B. Grant of Letters of Administration

(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)

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: (If

Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)

Name

Relationship

Residence

(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.

Decedent was domiciled at death in

County,

with his / her last principal residence at

(List street address, town/city, township, county, state, zip code)

Decedent, then

years of age, died on

at

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

$

(If not domiciled in PA)

Personal property in County

$

Value of real estate in Pennsylvania

$

situated as follows:

Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to

the undersigned:

Signature

Typed or printed name and residence

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9-29-05