Petition For Grant Of Letters Form - Pennsylvania
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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name:
File No:
a/k/a:
(Assigned by Register)
a/k/a:
a/k/a:
Social Security No:
Date of Death:
Age at death:
Decedent was domiciled at death in
County,
with his/her last
(State)
principal residence at
Street address, Post Office and Zip Code
City, Township or Borough
County
Decedent died at
Street address, Post Office and Zip Code
City, Township or Borough
County
State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.. . . . . . . . . . . . . . . . . . . . . . . . . . . All personal property
$
If not domiciled in Pennsylvania. . . . . . . . . . . . . . . . . . . . . . . . Personal property in Pennsylvania
$
If not domiciled in Pennsylvania. . . . . . . . . . . . . . . . . . . . . . . . Personal property in County
$
Value of real estate in Pennsylvania.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
TOTAL ESTIMATED VALUE. . . . $
0.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.)
Street address, Post Office and Zip Code
City, Township or Borough
County
A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated
and Codicil(s)
thereto dated
State relevant circumstances (e.g. renunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS
EXCEPTIONS
B. Petition for Grant of Letters of Administration
(If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate
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.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS
EXCEPTIONS
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 (attach
additional sheets, if necessary):
Name
Relationship
Address
Form RW-02 rev. 10/11/2011
Page 1 of 2
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