Fill - Free fillable (Page1of2) PETITIONFORPROBATEOF AUTHENTICATEDRECORD Records Wills/Orphans CourtDiv. PDF form

(Page1of2)

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PETITIONFORPROBATEOF

AUTHENTICATEDRECORD

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Estateof_____________________________ No.___________________________

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Alsoknownas_________________________ To:Director,DepartmentofCourt

 Records Wills/Orphans’ CourtDiv. 

_____________________________________ CountyofAllegheny

CommonwealthofPennsylvania

____________________________,Deceased

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SocialSecurityNo._____________________

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BeforetheDepartmentofCourtRecords,Wills/Orphans’CourtDivisionofAlleghenyCounty

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personallyappeared:________________________________________________,whobeing

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swornsaysthat__________________________________________beingthesameatthetime

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aresidentof________________________________County,andStateof___________________

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diedat_______________________________on____________________at_______________.

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Thedeponentwhose address is __________________________________________________

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RespectivelypetitionstheDirectortoadmitsaidAuthenticatedRecord.

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Swornandsubscribedbeforeme

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__________________,_______20_____

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_________________________________

Director,DepartmentofCourtRecords

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

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(Page2of2)

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No._______________________

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   Estateof___________________________________,Deceased

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DECREEOFPROBATE

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ANDNOW______________________.20_______,inconsiderationofthePetitiononthe

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reversesidehereof,satisfactoryproofhavingbeenpresentedbeforeme,

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ITISDECREEDthattheAuthenticatedRecordbeadmittedtoprobateandfiledofrecord.

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__________________________________________

Director,DepartmentofCourtRecords

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____________________________________

ProbateClerk

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Fees:

Probate…………………….$__________________________________________

Attorney(SUP.CT.I.D.No.)

…………………………………$_________

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…………………………………$_________ _________________________________

Address

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Total…………………………$__________________________________________

Phone

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Filed____________________,20_____   

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