Get Pa Request For Short Certificate(s) - Dauphin County 2019-2025

Filling out the PA Request For Short Certificate(s) for Dauphin County can be a straightforward process with the right guidance. This guide will walk you through each section of the form to ensure that you provide all necessary information accurately and efficiently.

Follow the steps to complete your request correctly.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. In the 'Requester Name' field, enter the full name of the individual requesting the short certificates.
3. Provide the 'Mailing Address' including street address, city, state, and ZIP code.
4. In the 'Telephone' field, enter a contact number where you can be reached.
5. For 'Estate Information', fill in the 'Decedent’s Name' with the name of the deceased.
6. Record the 'Estate Number' assigned to the decedent's estate.
7. Enter the 'Date of Death' in the specified format.
8. In the 'Payment Information' section, note that each short certificate costs $10.00 and indicate the 'Number of Short Certificates' you are requesting.
9. Calculate the 'Amount Enclosed' by multiplying the number of certificates by $10.00.
10. Check the box corresponding to your payment type: Cash, Check/Money Order, or Credit Card.
11. If you are using a credit card for payment, complete the fields including the name on the card, the credit card holder's address, credit card number, security code, expiration date, and signature authorizing the payment.
12. Provide the e-mail address of the cardholder if a credit card payment is made.
13. After completing all sections, review the form for accuracy and completeness.
14. Save your changes, and choose to download, print, or share the form as needed.

Begin your online document completion today to ensure your request is processed efficiently.