HomeMy WebLinkAbout06-08-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Estate of Carl T. Baranski
also known as Carl Thomas Baranski
File Number
d\
Ot O~LP
~li e; '-I LI' :J'7
, Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
IZJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor
last Will of the Decedent dated April 24, 2004 and codicil(s) dated
named in the
(State relevant circumstances, e.g., remmciation, 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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; db.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
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 db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
~1:'
-....;
~~
, I
(COMPLETE IN ALL CASES:) Attoch additional sheets ifnecessary.
r~'...)
Decedent was domiciled at death in Cumberland
129 Walnut Bottom Road. ShillDensburg, PA 17257
(List street address, town/city, township, county, state, zip code)
County, Pennsylvania with his / her last principal residence at--
<..;
Decedent, then 58
years of age, died on May 30, 2007
at Chambersburg Hospital, Chambersburg, P A
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 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
400,000.00
$
$
$
$
100,000.00
~. situated as follows: 7825 Molly Pitcher Hwy Shippensburg, P A 17257
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:
Paul L. Zablocki
T
57 Sample Bride Road, Mechanicsburg, P A 17055
FormRW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL V ANlA
(Jon:Jpfwd
SS
COUNTY OF
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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
S:::
Sworn to or affirmed and subscribed
Signature of Personal Representative
---\
,
C-'
Signature of Personal Representative
"'~'--, ')
I~"T' ,
File Number: ' J} \ 0 l O~U
Estate of Car (T 6o.-rf'JJ.. i'LSL'
Social Security Number:
Date of Death:
, Deceased
5 /36 10 7
,
AND NOW,
having been presented befo
are hereby granted to
in the above estate
FEES
Letters ............... $
Short Certificate(s) .(14) . $
Renunciation(s) .......... $
l...:Jl\\ .., $
~\(p ...$
D.vL~ ... $
... $
.., $
... $
.., $
.., $
... $
TOTAL .............. $
LfID -
,+8-
jS-
ID
5
Telephone:
7 G," - ~ f1L
LfOO -
Page 2 of2
Forll! RW-02 rev iO./3.06
H105.805 REV 1105
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
~/Jl~'
Fee for this certificate, $6.00
Local Registrar
p
13356101
jUN 0 6 1007
Date
.~O
.--..J
c.~,
~ :- 1
REV 1112006
PRINT IN
.<ANENT
CKINK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
L
STATE FILE NUMBER
~ \ b -, o9..DlP
10-8-1945
Detroit, MI
- 4157
4. Dale 01 Death (Month, day, year)
May 30, 2007
,. Nameof-"IFi...._,""',sufIlx)
Carl T. Baranski
5.1qJ (Last Birthday)
Vrs.
6. Date of Birth (MonItl, day. ..~
7. Birthplace (CIIy and state or
Other:
Bd. Facilly Nama (II not _.liVa _ and number)
DOlhar . SpecIJy:
10. Race:-American 1ocIian, Black, While, etc.
ISpecifYI
White
Franklin Cbambersburg
_of Ile. Do not state retI<
KindofBusinesl/_
Analyst Computer
. 16.~.MaIlIng-..sI_.clJy/_.sIall.zJpcode)
7825 Holly Pitcher Highway,P.O. Bo
Sbippensburg, PA 17257
Cbambersburg Hospital
12. Waa Decodent evlf In the 13. Decedenl'. Education (SpecIJy on~ highest grade ~
U.S. Armed Forces? Elamentary 1 s.condary 1()'12) College 11.. or 5+)
Dvas IllNo 12 5+
1.. Marital Status: Married, Never Married,
Widowed, IlMl<ced ISpecifYI
Single
Decdot'.
"ge~ 17a. Stala
17b. County
pe.nnaylVJ:lniJl
Franklin
DldDecodent
Uvefna
Township?
17e. D Vas. -.. Lived ~
17d.1]! No, -.. Lived_
Actual Umlts of
TW!>.
Sh~en8buri
City/Boro
16. Father'. Nama (First, _...... sufIlx) 19. Molhef'. Nama (First, -. maIdar sumama)
Unknown Unknown
2tlb.ln_,MaAing-..sISlrast,clJy/_,sJaJe,zJpcode)
57 Sample Bridge Road, Kechanicsburg, PA 17050
21b. Data of IJlspoailIon (Monlh. day, yas~ 21e. PIece of Disposition (Nama 01 oarnatary, erarnatory or other place) 21d. Location (City 1_, slate, z~ code)
Cremation Society of PA Harrisburg, PA 17109
22<:.Name.ndAddrassofFIlCiIity Aller Keaorial Hoae and Crell8tion Services, Inc.
23b. LIc8nse Number
230. Data Signed (Month. day, yaa~
M.
CAUS~ OF DEATH (_In_ e..m )
Item 27. Part I: En1arthel:blil..Ol.mldl--. .~rlaS, orCOfr4llCa1lons-1traI drectly caused the _. DO NCTan1artarrrinal evants such ..ca__I.
raspiraIory arrasl. or vantr1cular _lion VO\ho<Jt shOwIng tI'o atIoIogy. Ust only ana cause on _line.
==S~=rIasase~ a. 1.h-,;, lh..a,.,; J kN\A~:xi.t;l.J7",
Dueto(Ol'asaCXll'lS8QU8llC8ot): rr
b. ('ol2nNARy Ill<.~c-a'f f)JSJIHf.'
Out 10 (or IS a consequence of):
24. TIme 01 Death
91
26. Was Case Rtftned to MedIcal examiner I Coroner for a Reason Other than Clllmatlon or Donation?
Dvas ~No
__ isI...-w. !any,
IIadr.a 10 iw C8Ullli6t8don IN a.
En1ar Iha UMOEIIl.YIlG CAUS!!
=,~u:.~
Due to (or as a conseqoence 00:
-rp 17' ~'Q..l~
~P.edn .
~
28. DId Tobocco Use ConlribuJe to Dasthl
D Vas DProbabIy
D No D Unknown
2UFarnaJe:
D NoJjlI'lJlIlntvrithinposlyasr
D Pregnant at time of daath
D NoJ prognant, bul pregnant _ 42 days
ol_
D Not prognant, bul pregnanl43 days to 1 yaar
ba10redaslh
D Unknown Qpregnanl_lhapost year
32e. PIece 0I1nju1\< Homa. Fann, Slrast, FIlCtory,
OlI1caBulldlng.a1c.(SpecIIy)
AjlproOmete mtaMJ:
Onset to Daath
Parlll:EnlerOlheralonificRnlr.ondItlonsOMtrl1lilntltndMltI
bul not resUling in the undertyIngcause~ in Part L
300. Was an "'-
porfonnad?
d.
301>. Wara Autopsy FII'dngs
A_ _10 CompJeIIon
01 Cause 01 Daalh?
D Vas ~NO
31. Manner 01 Dasth
'fJ Natural D-
D - D Pondk1g Invasllgation
D- DCouIdNoIbello1arrrined
32<1. T"""oIlrjury
M.
321. tiT_lrjury(SpecIIy)
D DriYer 1 0paraI0< D Paaoenger Dp
0Ihar . SpecIIy:
33b. Signature and Title of CertifIer
32g. ~ of Injury (SUeet. cIJy 1 town. stale)
Dvas ~ No
331. Cer1Ifiar Ichec:I< only ana)
=r.r;n~==:'~1he~=.~=-~_~~_~~~~~a~~~ _ ____ ____ - -- - --- - ~
;=":t-::=,"'::.=::=::~~=oto:=~~":_neru __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ D
=,=:n: and I or inYHtigltton, in my opinion, deatt1 occurred .. the time. dati, and place, ,nd due to ttle cause(s) and manner .. statecL 0
~
33c. license Number
1'>10 or-Cf'~o'J-L
fI1D
33d. Date Sigled (Mooltl. day, year)
35.
~
1"<1/ 10\ I / (
Cjr~'~~?
0117195
;;>.,\ bl o(~
LAST WILL AND TESTAMENT
OF CARL T. BARANSKI
I, Carl T. Baranski, of7825 Molly Pitcher Highway, Shippensburg, Franklin County,
Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby
declare this as and for my last will and testament hereby revoking all wills and codicils
previously made by me.
FIRST
I direct payment of my debts and expenses of my last illness and funeral from my
estate as soon after my death as conveniently may be done.
SECOND
(._~)
I give my entire estate to the following named individuals in the follow.in.g
proportions:
A. I give one-half of my estate unto my sister, Julia Ann Hill, per stirpes. _
B. I give one-half of my estate to be divided into three equal shares, unto my niece,
Deborah Lynn Hill, my niece, Susan ~vfarie Hill, and my nephew, David Carl Hill.
THIRD
I direct that any and all Inheritance, Estate and Transfer Taxes imposed upon my
estate passing under my will or otherwise, shall be paid out of the principal of my
residuary estate.
FOURTH
In addition to the powers conferred by law, I authorize my personal representative in
their absolute discretion:
A. To retain in the form received, and to sell either at public sale or private sale any
real or personal property, and to distribute to heirs either in cash or in kind.
B. To manage real estate.
C. To invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principle of diversification.
D. To exercise any option or rights arising from ownership of investments.
E. To compromise claims without court approval and without the consent of any
beneficiary.
FIFTH
I nominate, constitute, and appoint my friend, Paul L. Zablocki, as Executor of this
my last will and testament. In the event of the renunciation, death, resignation, or inability
to act for any reason whatsoever of my said friend, Paul L. Zablocki, I nominate, constitute
and appoint my sister, Julia Ann Hill, or ifunable to act for any reason whatsoever, my
niece, Deborah Lynn Hill, as surviving Executrix of this my last will and testament. I
hereby relieve my personal representative from the necessity of posting security in
connection with their duties as such in any jurisdiction in which they may be called upon to
act insofar as I am able by law to do so.
Signed, sealed, published and declared by the above named testator, Carl T. Baranski,
as and for his last will and testament in the presence of us, who, at his request, in his sight
and presence, and in the sight and presence of each other, have hereunto subscribed our
names as witnesses.
~~~~. residingat '~~.././YP~)~~
~-<ij.,,~
residing at 6~ee"~ ~..J +t t'. /.4
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF FRANKLIN
I, Carl T. Baranski, the testator whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will; and that I signed it willingly and as my
free and voluntary act for the purposes therein expressed.
We, the undersigned, the witnesses whose names are signed to the attached or
foregoing instrument, being duly qualified according to law, do depose and say that we were
present and saw the testator sign and execute the instrument as his last will; that the testator
signed willingly and executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of the testator signed the
will as a witness; and that to the best of our knowledge the testator was at that time eighteen
(18) or more years of age, of sound mind, and under no constraint or undue influence.
Sworn to or affirmed and acknowledged before me by Carl T. Baranski, the testator,
and sworn to or affirmed and subscribed to beD re e by L' 4 tt'l\1, t.U and
~,(Jc J /3. \ Jh/T-"GAJ . witnesses, this . a~ 0 2002.
, 7 /
~ ~~~-------
I ) WITNESS
~~s~
. ,~g/lA~ '~
NOT Y
Notarial Seal
Carol J. Varner, Notary Public
Chambersburg Boro, Franknn County
My Commission Expires Apr. 4, 2005