Form Rw 02 – Fill Out and Use This PDF

PETITION FOR PROBATE AND GRANT OF LETTERS

Register of Wills of Erie County, Pennsylvania

Patrick L. Fetzner, CLERK OF RECORDS

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 requests the grant of Letters in the appropriate form:

Decedent’s Information	File No:________________________
Name: _______________________________________________
A/K/A: _______________________________________________
A/K/A: _______________________________________________	Social Security # ________________
A/K/A: _______________________________________________	Age at Death: ___________________
Date of Death: ________________________________________

Decedent was domiciled at death in ______________County, Pennsylvania, with his/her last family or principal residence

at_____________________________________________________________________	________________________
Street address, Post Office and Zip Code	Municipality: Twp, Borough, City

Decedent died at___________________________________________________________________________________

Street address, Post Office and Zip Code		City, Township or Borough		State
Estimated value of decedent’s property at death:
►If domiciled in PA	All personal property		$ _______________________
►If not domiciled in PA	Personal Property in PA		$ _______________________
►If not domiciled in PA	Personal Property in county		$ _______________________
Value of Real Estate in Pennsylvania			$ _______________________

Total Estimated Value $ _______________________

Real Estate in Pennsylvania Situated as follows: (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) that 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) ___________________________________

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 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):

Form RW-02 Rev. 10-11-2011

NOTE: This form must be printed double-sided.

The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of their knowledge and

belief and that, as Personal Representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law.

Sworn to or affirmed and subscribed	_________________________________________ Date___________
Before me this ____________day of
______________________20_____	_________________________________________ Date___________
_____________________________	_________________________________________ Date___________

Acting Deputy For the Register

	BOND Required: □ Yes □ No		To the Register of Wills:
			Please enter my appearance by my signature blow:
	FEES:
			Attorney Signature:
	Letters…………………..	$ ____________
	Short Certificates ( )…	$ ____________	________________________________________
			Printed Name: _______________________
	JCP fee…………………	$ ____________
			Superior Court ID:_____________________
	Automation fee…………	$ ____________
	Commission ……………	$ ____________	Firm Name:	_______________________
	…………………………..	$ ____________	Address:	_______________________
				_______________________
	…………………………..	$ ____________
				_______________________
	Total……………………..	$ ____________
			Phone:	_______________________
			Fax:	_______________________
			Email:	_______________________

DECREE OF THE REGISTER

Estate of : ___________________________________ File No. ________________Will No. __________________

A/K/A: _____________________________________________________________________________________________

AND NOW, this _________day of _______________________, __________, in consideration of the foregoing Petition,

satisfactory proof having been presented before me, IT IS DECREED that Letters _________________________________

are hereby granted to ________________________________________________________________________________

in the above estate and (if applicable) that the instrument(s) dated _____________________________________________

that is/are described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of the Decedent.

	______________________________________________
	Clerk of Records
Form RW-02 Rev. 10-11-2011	NOTE: This form must be printed double-sided.