IN THE OFFICE OF THE CLERK OF JUDICIAL RECORDS

OF LEHIGH COUNTY, PENNSYLVANIA

REGISTER OF WILLS DIVISION

In re: Estate of	File No.
Deceased

CONSENT AND OATH

I , am the nominee of a principal creditor of the above captioned decedent.

My address is:

My telephone number is:

I am a lawyer duly licensed to practice law in the Commonwealth of Pennsylvania and am presently in good standing.

I hereby consent to accept an appointment to serve in the following fiduciary capacity or capacities and if so appointed will well and truly administer the Estate of according to law:

Administrator, pendente lite for the limited purpose(s) of:

Administrator

Administrator, c.t.a

Administrator, d.b.n.c.t.a.

I swear or affirm that the above facts, as well as those contained in the Petition for Citation and to Grant Letters of Administration that was filed by are true and correct to the best of my knowledge, information and belief.

Date
Signature

ACKNOWLEDGMENT

COMMONWEALTH OF PENNSYLANIA	)

)	SS:

COUNTY OF LEHIGH	)

On	, 20	, before me a Notary Public, personally appeared

, who was known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Consent and Oath, and acknowledged the same to be his/her act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and seal the day month and year aforesaid.

My Commission Expires:

IN THE OFFICE OF THE CLERK OF JUDICIAL RECORDS FOR

Rachel A Wotring

2012-08-15

Lehigh County