Page 1 of 3 Petition for Probate and Grant of Letters Estate of ____________________________________________ START ➜ Instructions for Probate Applications Help Also known as _______________________________Deceased 66/67 (Rev. 1998) No.: ________________________________ o : Director, Department of Court T Records Wills/Orphans' Court Division for the County of Allegheny in the Commonwealth of Pennsylvania Social Security No.: _____________ Date of Death : ________ Petitioner(s), who is/are 18 years of age or older, respectfully represents and apply(ies) for: COMPLETE ' A ' OR ' B ' and if necessary, Part' C ' BELOW A. Probate and Grant of Letters Testamentary of Administration c.t.a d.b.n.c.t.a.(complete Part 'C' also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters____________________________________________ under the Last Will of the above named Decedent dated _________________________and codicil(s) dated _______________ ______________________________________________________________________________________________________ State relevant circumstances, e.g. renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did no t have a child born or adopted after execu tion of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce has been established as defined in 23 PA C.S. section 3323(g): ______________________________________________________________________________________________________ B. Grant of Letters of Administration______________________________________________________________________ (d.b.n.; pendente lite ; durante absentia ; durante minoritate) Petitioner(s) after a proper se arch has/have ascertained that Decedent left no Will and was survived by the fo llowing spouse (if any) and heirs as set forth below in part 'C'. C. Decedent's heirs and next of kin Name Relationship Residence COMPLETE THE FOLLOWING IN ALL CASES Decedent was domiciled at death in_____________________________________________ County, Pennsylvania, with his/her last family or principal residence at _________________________________________________________________________ (list street, number and municipality) Decedent, then ________years of age, died______________________________ , at _________________________________ (location) Decedent at death owned property with estimated values as follows: Unknown (If domiciled in PA)……………… All personal property………………………………………….……. $ _________________________ (If not domiciled in PA)………….. Personal property in Pennsylvania…………………………..… $ _________________________ (If not domiciled in PA)………….. Personal property in County……………………………….…….. $ _________________________ Value of real estate in Pennsylvania………………………………………………………………………………….$ _________________________ situated as follows : _____________________________________________________________________________________ Wherefore, Petitoner(s) respectfully request(s) the probate of the last W ill and Codicil(s) presented with this Petiti on and the grant of letters in the appropriate form to the undersigned: Signature Name and Residence [glpetition_oath] Page 2 of 3 Allegheny County, Pennsylvania Oath of Personal Representative Commonwealth of Pennsylvania The Petitioner(s) above-named swear(s) or affirm(s) that the statement i n the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) 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 Signature(s) before me this ___________ day of __________________________________________________________ _____________________________ ____________ ______________________________________________ _____________________________ For the Director ____________ ______________________________________________ No.: _______________________ Estate of _______________________________________________ Social Security No: _______________________ Also known as _________________________________ , deceased Date of Death :________ _______________ DECREE OF PROBATE AND GRANT OF LETTERS AND NOW, ___________________________ , in consideration of the Petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary Of Administration ______________________________________________________________________________________________________ (d.b.n.c.t.a. ; pendente absentia ; durante minoritate cta,dbn) are hereby granted to ____________________________________________________________________________________ in the above estate of ____________________________________________________________________________________ also known as _________________________________________________and that the instrument(s) dated ______________ described in the Petition be admitted to probate and filed of record as the last Will of the Decedent. IS BOND REQUIRED? YES NO AMOUNT $ _____________________ ARE THEY ANY MINOR HEIRS? YES NO $ ________________ Director___________________________________________________ Short Certificates(s)..[ ] $ ________________ Probate Clerk_______________________________________________ Renunciation(s).…..…[ ] $ ________________ Affidavit(s).…………...[ ] $ ________________ Probate, Letters.………… Attorney Reg. Comp. Fee.………...... $ ________________ Signature : __________________________________________ JCP Fee.………………………… $ ________________ Name : __________________________________________ RRC Fee.………………………. $ ________________ Address : __________________________________________ Other.…[ ]$ ________________ __________________________________________ Other.…[ ]$ ________________ __________________________________________ TOTAL.…………………..…… $ ________________ Telephone : _____________________ Receipt #.……………………… $ ________________ Supreme Court I.D. No. : ________________ [glpetition_oath] Save Form Print Form Clear Entire Form Page 3 of 3 Department of Court Records Wills/Orphans' Court Division INSTRUCTIONS FOR PROBATE APPLICATIONS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. ONE TYPED APPLICATION IS REQUIRED. THE ORIGINAL WILL AND ONE (1) COPY MUST BE PRESENTED. IF THE WILL IS NOT SELF-PROVING, THE SUBSCRIBING WITNESSES MUST APPEAR IN PERSON OR NOTARIZED AFFIDAVITS MUST BE PROVIDED FROM THE SUBSCRIBING WITNESSES. ATTACHED TO A COPY O F THE WILL.IF THE SUBSCRIBING WITNESSES ARE DECEASED OR THEIR RESIDENCE IS OUTSIDE OF THE COMMONWEALTH, A NOTARIZED AFFIDAVIT OF NON-AVAILABILITY IS NEEDED. NON-SUBSCRIBING WITNESSES MUST APPEAR IN PERSON. THE ORIGINAL DEATH CERTIFICATE IS REQUIRED. FEE'S MUST BE PAID BY ATTORNEY CHECK, ESTATE CHECK OR CASH; TOTAL OF $155.50. (SEE FEE SCHEDULE) SHORT CERTIFICATES ARE $10.00 PER CERTIFICATE. ALL PROBATES WITH GRANT OF LETTERS MU ST BE ADVERTISED (P.E.F., CODE, TITLE 20, SECTION 3162) INHERITANCE TAX FORM(S) ARE AVAILABLE IN ROOM 216, CITY-COUNTY BUILDING. AFTER PROBATE IS COMPLETE (WILL FILED), THE FOLLOWING ITEMS MUST BE FILED: • CERTIFICATION OF NOTICE - THREE (3) MONTHS AFTER PROBATE • INVENTORY - NINE (9) MONTHS FROM DATE OF DEATH • STATUS REPORTS - WITHIN TWO (2) YEARS OF THE PROBATE • INHERITANCE TAX RETURN - WITHIN NINE (9) MONTHS OF DATE OF DEATH: DISCOUNTED DURING FIRST THREE (3) MONTHS AFTER DATE OF DEATH ANY LEGAL QUESTIONS SHOULD BE DIRECTED TO AN ATTORNEY OF YOUR CHOICE. Go Back to Probate Application [glpetition_oath]