HomeMy WebLinkAbout06-08-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Estate of Helen D. Smith
also known as
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21-- b l t:/S\.,od-.
, Deceased
Social Security Number
179-30-3779
K. Beth Bianchi
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE~' or 'B' BELOW:)
[!] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix
last Will of the Decedent, dated 07/29/1994 and codicil(s) dated
named in the
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrurnent(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
Nt/A
D B. Grant of Letters of Administration
(If appllCaJJI9. enter: c.t.a.; CI.b.n.c.t.s.; pecJente lite; aurante absentia; durante mmontate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
, i
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
824 Lisburn Road, Apt. 229, Camp Hill, Lower Allen, Cumberland, PA 17011
(List street address, town/city, township, county, state, zip code)
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Decedent, then 95 years of age, died on 04120/2007
at Harrisburg Hospital, Harrisburg, Dauphin County, Pennsylvania
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
situated as follows: None
165,500.00
$
$
$
$
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the underSigned:
Signature
K. Beth Bianchi
Typed or printed name and residence
404 Sharon Avenue
Mechanlcsburg, PA 17055
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- ~ Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 012
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Oath of Personal Representative
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The Petitioner(s) above-named swear(s) or affirm(s) that the statements in 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
~ x:9~&L ~.
gnature of Personal Representative K. Beth Bianchi
before me this
day of
Signature of Personal Representative
Signature of Personal Representative
File Number:
21-- O'( 0 9.0~
Estate of Helen D. Smith
, Deceased
Social Security Number:
179-30-3779
Date of Death: 04120/2007
AND NOW,
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, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to K. Beth Bianchi
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in the above estate
and that the instrument(s) dated 07/29/1994
described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent.
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Attorney Signature:
FEES
Letters............................... _........... $
Short Certificate(S).....L\.0...... $
Renunciation(s)............................. $
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Attorney Name:
Supreme Court I.D. No.: 19475
Bogar & Hipp Law Offices
Address: One West Main Street
Shiremanstown, PA 17011
Telephone:
717-737-8761
TOTAL................................... $
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Form RW-02 Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group. Inc.
Page 2 of 2
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
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L.OCAL.REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO.
April 23, .2007
Date 01 Issue 01 This Ce~~i;catron
Name. of Decedent
Helen
D.
Middte
20, 2007
- 3779
Date of Birth
10, 1912 Birthplace
Harrisburg Hospital
Blain, PA
Facility Name
County
Harrisburg
Pennsylvania
Place of Death
Dauphin
City" BQfPl..jgh or Township
, occupatiO;ec::e~~;lTeaCher ,AP/:rm1dFOrCeS?
Wldowed Mailing Address 824 Llsburn Road,
Nt.tfOber Street
Beth Bianchi
(Yes or No)
Camp Hill
Marital Status
PA 17011
City:Qr' Town
State
Informant
Name and Address of
Funeral Establishment
Funeral Director James F. Nickel
Partl: Immediate Cause
Nickel Funeral Hom~, P.O. Box910,Loysville, PA 17047
Interval Between
Onset and Death
Part II:
(a)
(b)
(c)
Aspiration Pneumonia
I ~:;.-.:.'
Siph;ipfracture
--'
Manner of Death
Natural KJ{
Accident 0
Suicide D
Describe how injury occurred:
Homicide
Pending Investigation
Could not be Determined
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Name and Title of Certifier
R.GeorgeAzizkhan Jr.
D.O.
(M.D., D.O.,Cofoner, M.E.)
Address
891 Poplar Church Road, Camp Hill, PA 17011
This is to certifythatthe information here given .is correctly copied from an originalcertilicate
of death duly Hledwilhme a.sLocal Registrar. The original certificate will be forwarded to the
State Vital RecordS Oflice Jor permanent filing. /
April.. 23, 2007
Dale R'eceived by Local Registrar
101 B~rn~tt St , N~W Bloomfi9ld
Street Address City, Borough, T own~-p'
FA 17068
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LAST WILL AND TESTAMENT
OF
HELEN D. SMITH
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I, HELEN D. SMITH, of 824 Lisburn Road, Apt. 317, Camp
Hill, Cumberland County, Pennsylvania, make, publish and declare
this as and for my Last Will and Testament, hereby revoking all
other Wills and Codicils heretofore made by me.
FIRST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, to my daughter, K.
BETH BIANCHI.
SECOND: Should my daughter, K. BETH BIANCHI, prede-
cease me, I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever~~itua~,
including any property over which I hold power of appoint~en~:and
together with any insurance policies thereon, to my son~in-Ia~,
A. ANTHONY BIANCHI.
THIRD: In addition to all powers granted to ~hem by
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law and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all proper-
ty, exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, or to lease,
for any period of time, any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement, zoning or management of real estate and to
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impose or extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
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(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee
stock ownership plan, or any other type of qualified plan) to the
extent the plan or the law permits them to do so, and to exercise
any other rights which they may have under the plan, in whatever
manner they consider advisable.
FOURTH: I direct that all inheritance, estate, trans-
fer, succession and death taxes, of any kind whatsoever, which
may be payable by reason of my death, whether or not with respect
to property passing under this Will, shall be paid out of the
principal of my residuary estate.
FIFTH: I nominate and appoint K. BETH BIANCHI,
Executrix of this, my Last will and Testament. In the event of
the death, resignation or inability to serve for any reason
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whatsoever of the said K. BETH BIANCHI, I nominate and appoint A.
ANTHONY BIANCHI, Executor of this, my Last Will and Testament. I
direct that my Executrix or Executor, as the case may be, and
their successors, shall not be required to post security or a
bond for the performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last will and Testament, this ,:2.7~luday of
/vj
1994.
,(4/~_ ~/H k': -,-sf hi c:-t,
HELEN D. SMITH
(SEAL)
signed, sealed, published and declared by the above-
named Testatrix as and for her Last will and Testament in our
presence, who, at her request, in her presence and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
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Address
Address
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OATH OF NON-SUBSCRIBING WITNESS{ES)
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
, Deceased
Estate of Helen D. Smith
A. Anthony Bianchi
(Print Name)
and
(Print Name)
~) being duly qualified according to law, depose(s) and say(s) that m / he /lbmK was /"1fJme well-
acquainted with Helen D. Smith and am/~ familiar
with the handwriting and signature of the decedent, and that the signature of Helen D. Smith
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Helen D. Smith
is in tmi/her own proper handwriting.
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nature) A. Atony ianchi
(Signature)
404 Sharon Avenue
(Street Address)
(Street Address)
Mechanicsburg, PA 17055
(City, State, Zip)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me thic: 8 day
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,
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Form RW-04 Rev. 10-13-2006
Copyrtght (c) 2006 form software only The Lackner Group, Inc.
d.. \ () 'i. () Slc~
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of Helen D. Smith
, Deceased
James D. Bogar
(each) a subscribing witness to
(Print Name/s)
the [!] Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that ~ I he 1tI"Sy was IUYe present and saw the above X~XflOxl Testatrix sign the same
and that she ~ MK~ signed the same and that XS11e I he /)t~ signed as a witness at the request of
the X~XflOr I Testatrix in ~~ her presence and in the presence of each other.
(Signature)
One West Main Street
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(Street Address)
(Street Address)
Shiremanstown, PA 17011
(City, State, Zip)
CJ
(City, State, :Z;p)
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before me thi~
of
day
Executed out of Register's Office
Sworn to or affirmed and subscribed
beF< 7 tJL day
of ,dOO; .
----:;8CfY)Y)U of (~~
Notary Public
My Commission Expires:
Executed in Register's Office
Sworn to or affirmed and subscribed
Deputy for Register of Wills
(Signature and seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s} at time of notarization.
Form RW-03 Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc.