COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY, …
Probate Forms
[LAW FIRM’S NAME]
BY: [ATTORNEY’S NAME], Esquire Attorney for Petitioner
Attorney for Petitioner [PETITIONER]
Attorney I.D. No. [NUMBER]
[STREET ADDRESS]
[CITY, STATE ZIP]
[PHONE NUMBER]
_______________________________________
)
Estate of [DECEASED], Deceased ) COURT OF COMMON PLEAS
) OF PHILADELPHIA COUNTY,
) ORPHANS’ COURT DIVISION
)
)
) O.C. NO. ________ OF [YEAR]
)
) CONTROL NO. __________________
)
_______________________________________)
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
AFTER TWENTY-ONE YEARS PURSUANT TO 20 Pa. C.S. § 3152
TO THE HONORABLE, THE JUDGES OF SAID COURT:
The petition of Jerleine Bailey respectfully states that:
1. [DECEDENT’S NAME] (“Decedent”), died on [DATE OF DEATH], a resident of Philadelphia, Pennsylvania. A true and correct copy of the decedent’s death certificate is attached hereto as Exhibit “A.”
2. Petitioner is [PETITIONER’S NAME], [PETITIONER’S RELATION TO DECEDENT] of Decedent.
3. Decedent was [UNMARRIED/WIDOWED] at the time of [HIS/HER] death and was survived by [NAMES OF SURVIVING HEIRS], who are the heirs of Decedent under § 2103 of 20 Pa. C.S.A. that governs intestate succession.
4. The Decedent’s other surviving heirs, [NAMES OF SURVIVING HEIRS], have signed Renunciation forms, which are attached hereto as Exhibit “B,” renouncing their rights to administer the Decedent’s estate and requesting that Letters of Administration be issued to Petitioner.
5. The only asset in the Decedent’s estate is the real property located at [PROPERTY ADDRESS], Philadelphia, Pennsylvania, [PROPERTY ZIP CODE,] in which Petitioner has been residing.
6. The Decedent’s other surviving heirs, [NAMES OF SURVIVING HEIRS], would like to transfer their interests in said Property to Petitioner.
7. Petitioner needs to probate the Decedent’s estate at this time in order to qualify as Personal Representative of the estate and in order to distribute said Property in accordance with the wishes of the Decedent’s surviving heirs.
8. No Letters Testamentary or Letters of Administration have been granted on Decedent’s estate, and it is now more than twenty-one (21) years since the death of [DECEDENT].
WHEREFORE, Petitioner respectfully requests this Court to enter a Decree directing the Register of Wills of Philadelphia County to issue Letters of Administration to Petitioner, upon cause shown.
Dated:____________________, 200______
_______________________________________
[ATTORNEY’S NAME]
VERIFICATION
[PETITIONER’S NAME], being duly sworn according to law, deposes and says that [HE/SHE] is the Petitioner in the within action, that the facts set forth in the foregoing Petition are true and correct to the best of [HIS/HER] knowledge, information, and belief, and that [HE/SHE] understands that false statements herein are made subject to the penalties of 18 Pa. C.S.A. § 4904, relating to unsworn falsification to authorities.
_______________________________________
[PETITIONER’S NAME]
Dated: _______________________
_______________________________________
)
Estate of [DECEASED], Deceased ) COURT OF COMMON PLEAS
) OF PHILADELPHIA COUNTY,
) ORPHANS’ COURT DIVISION
)
)
) O.C. NO. ___________ OF [YEAR]
)
) CONTROL NO. __________________
)
_______________________________________)
COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY, PENNSYLVANIA
ORPHANS’ COURT DIVISION
DECREE
AND NOW, this ________ day of _____________________, 200_____, upon cause shown, the Register of Wills of Philadelphia County is hereby ordered to issue Letters of Administration to [PETITIONER’S NAME], Petitioner.
BY THE COURT:
____________________________
J.
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