Petition For Grant Of Letters Page 2

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Oath of Personal Representative
Commonwealth of Pennsylvania
County of Westmoreland
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are
true and correct to the beset of the knowledge and belief of Petitioner(s) and that, as personal representatives) of the
Decedent, Petitioner(s) will well and truly administer the estate according to law.
Sworn to and affirmed and subscribed
before me this _______________ day of
DECREE OF REGISTER
Estate of
Deceased
No.
also known as
Social Security No..
Date of Death:
AND NOW,
,
, in consideration of the Petition on the reverse
side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters □ Testamentary □ of Administration
(c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
are hereby granted to
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters…………………………
$
Register of Wills
Short Certificate(s)…………..
$
Renunciation………………….
$
Affidavit(
)………………….
$
Extra Pages(
)…………..
$
Attorney
Codicil………………………….
$
JCP Fee……………………….
$
Attorney:
Inventory $ Tax Forms………
$
I.D. No:
Other………………………….
$
Address:
Telephone:
DATE FILED:

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