IN THE OFFICE OF THE CLERK OF JUDICIAL RECORDS

OF LEHIGH COUNTY, PENNSYLVANIA

REGISTER OF WILLS DIVISION

In re: Estate of	:	File No.
:
Deceased	:
PETITION FOR ANCILLARY LETTERS TESTAMENTARY

Your petitioners, is/are an adult individual[s] who can read and understand the English language, and who reside[s] at .

At his/her death on , the decedent, was a resident of .

At his/her death the decedent owned real property located at , Lehigh County, Pennsylvania, more particularly described in Lehigh County Deed Book Volume Page .

The decedent died testate, and his/her Will dated, was admitted to probate by , and Letters Testamentary were issued to your petitioners on .

Attached to this Petition for Ancillary Letters Testamentary is a true and correct copy of the Last Will and Testament of and a true and correct copy of the record of the probate proceeding of the original instrument before , including the Grant of Letters Testamentary to your petitioner[s].

Wherefore, your petitioner[s], , respectfully request[s] that Ancillary Letters Testamentary in the Estate of , be issued to him/her/them.

Date :
Signature of Petitioner
Signature of Petitioner

V E R I F I C A T I O N

I, _______________________________________________, hereby verify that the name and relationship to decedent

facts set forth in foregoing Petition for Grant of Ancillary Letters Testamentary are true and correct to the best of my knowledge, information and belief. I understand that false statements therein are subject to the penalties of 18 Pa. C.S.A. §4904 relating to unsworn falsification to authorities.

Date :
Signature
Print Name
Print Address

IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVAINA

Janet T Woffindin

2023-01-18

Rachel A Wotring