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HomeMy WebLinkAbout06-14-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C1ffl ~ fa-.. , COUNTY, PENNSYLVANIA Estate of J: L.v IYJ J }(t..( f 1Ul5 S 12., also known as Jll L. ~ WI. J( U f tLe ~ S re. . File Number 2.1 - ^ '7 - 5'75 , Deceased Social Security Number I J i . a 3 ' Yc. 5'7 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) I ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the~ 0....1 >.Jy last Will of the Decedent dated 1.\ -:!:. . ~O<::) 2. and codicil(s) dated N I A. l ~- G a H r.J; named in the Dc; ".,14 6 -;2..:!,. 01 (State relevant circumstances. e.g.. renunciation. death oj 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.; d.b.n.c.t.a.; pendente lite; durante absentia; durante ~oritate) S:.:: ': ,.-., '-. ~ Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spous~ (i;fjany) and Ers: (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.) . ,':q r--, .:::: _____ \.. ..I --.' - -.. ....-.- ""- ~... Name Relationship r Residen.:..c..e.....~..~..' :.:1 ...' , ::~ ,~-.,~ -r; --,- ~ I ~ !",\,) (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. c=:. (List street address, townlei . township. county, state. zip cod Decedent, then K9 years of age, died on ~.3 /07 at ~l./1I2R m{;Ju+~.JVU12. ~I ~j IJ,""-'L I 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 $ )10 DeC':> $ ,J I A $ ",I I A $ .....1 I A situated as follows: t.b J.."5 ,000 r<\. v'oJ ....1.- I-v.....O \45',;:::,= 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: Ty ed or rinted name and residence lo f'! ,..j"-{ L Gbm-l.'-> ~ Ro ~ ~ , ...r a. . Nrc-C'MA,JIC.~I!.."!l..t. ?A 1'1.0:5'"0 Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ WI ~ /4-"- J 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) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. ,".- ....-'."..1 Signature of Personal Representative - ,-,.' ........ Fo,th' R,,"''''; ~ Signature of Personal Representative '-'oj 0_~' c File Number:' c;2/- (}7 - ().5 J7 c; Estate of 00 h n/ If): Ku..rt"UJ S S (Z... Social Security Number: lJ'i-03-~(P 9'7 Date of Death: AND NOW, having been present are hereby granted to , Deceased 3---/~3 107 I I in consideration of the foregoing Petition, satisfactory proof before me, IT IS DECREED that Letters L oIViU1 L.... Ge~ IV stt._ in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Letters :~~~ FEES Short Certificate( s) . . . . . . . . Renunciation(s) .......... lJ.,)-, \\ ~(P G. ,"~~M'\ Attorney Signature: TOTAL $ $ IS- .(YJ $ J O. t..A.:) $ h.OD $ $ $ $ $ $ $ /)R~ . dO Supreme Court J.D. No.: Attorney Name: Address: Telephone: Form RW-02 rev. 1013.06 Page 2 of2 HlOS.80S REV (01/07) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 13605254 Certification Number 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. c:'''':':1 Date Issued .r.o. r,~ c_ H105-1~3 REV 11rz006 TYPE I PRINT IN PERMANENT Bl.ACt<INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) I . ffi '!l !;:/ O! T"ll. CIty,,,,,,,, /7a5i Ul fl ~ ~~~=)-:;. Lo~~ Due 10 I:" ~::...:J-. 01)' ~lsIcooditlon1.i1any. b. =-=~ledcrU:l. Due 10 (ora& 8anequenceof): =-~':au,~re Due to (or 81 . consequeoce of): I Approximate inlervat Part II: ErHrather sionific8nt ~ contribuIiw:IlD dMlh : On581toDeaIh butnol:resuIIlnginlhll~tMIIllgfvenlnPal'll. , o o o , , , , o o o , , , . 28. Old labKco Use ContrbJle to 0eI1h? D v" D"'- . No DUri<- 29. II' Female: D""'_-....."" D P_....."'...~ D"",_butp..",..._""" "'- ONolprewlll'll,bul~anl43daystolyear ..... - D -,,,"""'_....."" 32c. Ptace oll~ Home. Firm, 9reet. f:adoty, """'''-.olc.,_) d. 3lJb.W...__ Av.Mlbe Prior lo Cm4:/IIIion of Cause 01 Death? D....~ 31.MlIIlI18folDellh !:iNool'''' D-- D- Dp""'ng-Iigollon D...... Dc....""'.."""'"'... :IJa.WuanAUIopSy ..........., 'Dv.s~ i c ~ N. 321. .T_lkin mjwy (Specify) Do....'Qoenll.. Dpassonge, Dp- 01""._, 331. 8i!PVI1ure and TIlle 01 Cdier ( 32d. Tll'll8 01 Injury i ~ ! 331. Celtifierl"""'''''''....) . ee.tIfyIng_nIPhysidan_ca""''''...lh_......''''''''"''ha_...lhand_....'') To ItIetlHt of MY Imowtedge, dHIh occurTtd due lottle C8UII(.) Ind l'IIIMII..IItecL...... _.................;................... _........................................... . PrtonoooodlIg...._phyI.IonIPl1yslOan""'~_...cer1n,;ngIoc;a...,"_1 To the bHI of my MowIIdge, duItl oeeurNd lithe Ifme, dIte, 1flIlf", and dill to thf ClUH(I) Ind mMMl' IISC1ltcL.......... .. .. .. .. .. .. ............ .. . MedIcal Exwninlr I Coroner - On lht..... of """'Mtion Ind I or Invatigllion, In my Clf)IrMan. duIh occumd .. the -. dM._ pIacI, end due to the cauA(l) and manner II stlled.. 0 .7c~ DisposltionPermi1:No. LAST WILL AND TESTAMENT OF JOHN M. KUPRES, SR. I, JOHN M. KUPRES, SR., a resident of Collier County, Florida, declare this to be my Last Will and Testament. I revoke all other wills and codicils previously made by me. ARTICLE I Debts and Funeral Expenses I direct that all my just unsecured debts and funeral expenses be paid as soon after my death as may be reasonably convenient, and I authorize my personal representatives to~ettle any ~faim {--- __1 against my estate in their absolute discretion. c_ ARTICLE II .,... Expenses of Administration r;::. I direct that all expenses of administering my estate (including expenses payable with r~pect to assets not passing under this will) be paid out of my residuary estate. All expenses of packing, storing, and shipping my tangible personal property shall be paid as expenses of administration. ARTICLE III Tangible Personal Property I give, devise and bequeath certain items of my tangible personal property to the persons named in the last dated writing signed by me and in existence at the time of my death. If no separate writing is found and properly identified by my personal representative within thirty (30) days after the qualification of my personal representative, it shall be presumed that there is no such writing and any subsequently discovered writing shall be ignored. I give, devise and bequeath all of the remainder of my tangible personal property TO MY (or all of my tangible personal property in the event there is no such writing in existence at my death) as follows: A. Twenty-five (25%) percent thereof to my daughter, Theresa Ann Peet. ct~ C\ B. Twenty-five (25%) percent thereof to my daughter, Joan Marie Gohn. C. Twenty-five (25%) percent thereof to my son, John M. Kupres, Jr. D. Six and one-quarter (6-114%) percent thereof to my grandson, Lonny L. Gohn, Jr. E. Six and one-quarter (6-1/4%) percent thereof to my grandson, Joseph Gohn. F. Six and one-quarter (6-114%) percent thereof to my granddaughter, Krista A. Kupres. G. Six and one-quarter (6-114%) percent thereof to my granddaughter, Amy M. Kupres. ARTICLE IV RESIDUAL EST ATE I give, devise and bequeath all of the rest, residue, and remainder of my estate, real, personal, and mixed, wherever situated, to my children as follows: A. Twenty-five (25%) percent thereof to my daughter, Theresa Ann Peet. B. Twenty-five (25%) percent thereof to my daughter, Joan Marie Gohn. C. Twenty-five (25%) percent thereof to my son, John M. Kupres, Jr. D. Six and one-quarter (6-1/4%) percent thereof to my grandson, Lonny L. Gohn, JI. E. Six and one-quarter (6-1/4%) percent thereof to my grandson, Joseph Gohn. F. Six and one-quarter (6-1/4%) percent thereofto my granddaughter, Krista A. Kupres. * ~ G. Six and one-quarter (6-1/4%) percent thereof to my granddaughter, Amy M. Kupres. ARTICLE V Disabled Beneficiaries Whenever any asset of my estate is required to be paid to a minor, to a person under legal disability, or to a person not adjudicated incapacitated but who, by reason of illness or mental or physical disability, is unable, in the opinion of my personal representatives, to properly administer such property, then payment may be made: (a) Directly to such beneficiary; (b) To the legally appointed guardian of the person or guardian of the property of such beneficiary; (c) To some near relative of such beneficiary, to be applied for the benefit of such beneficiary; (d) Directly for the benefit of such beneficiary; or ( e) To a custodian for a minor beneficiary under the Florida Uniform Transfers to Minors Act. ARTICLE VI Simultaneous Death Clause Notwithstanding anything to the contrary contained in any statute, if any of my beneficiaries and I die under any circumstances where there is insufficient evidence concerning which of us died first, or insufficient evidence to prove that we died otherwise than simultaneously, all my property passing under this will shall be disposed of as if my beneficiaries had predeceased me. ARTICLE VII Confirmation of Ownership I hereby confirm that all properties, real, personal, and mixed, including bank accounts, that are held either in my name, in my name and that of any person as joint tenants with rights of l\\ / survivorship, are intended to pass by operation of law and not under this will. ~ '( C1) ARTICLE VIII Appointment and Powers of Personal Representatives I appoint my son-in-law, LONNY L. GOHN, SR., as personal representative of my estate, and I direct that no bond for the faithful performance of his duties as personal representative be required of him. In addition to all powers granted to my personal representative by law, I authorize my personal representative, if and whenever in his discretion he deems it advisable, for any purpose whatsoever, to make and enter into contracts; to sell the whole or any part of my real or personal property without court approval at public or private sale; and to execute and deliver all deeds and instruments of transfer necessary or proper to pass the title thereto. IfLONNY L. GOHN, SR. shall fail or cease to serve for any reason, I appoint my daughter, JOAN MARIE GOHN as successor Co-personal representatives, to serve without bond and with all the powers, discretions, and immunities granted above to my personal representative. ARTICLE IX Trust For Beneficiaries I hereby nominate, constitute and appoint LONNY L. GOHN, SR. Trustee of any funds from my Estate, if any share or property hereunder becomes distributable to a beneficiary, who has not attained the age of Twenty-One (21) years of age or if any real property shall be devised to a person, who has not attained the age of Twenty-One (21) years of age at the date of my death, then such share or property shall immediately vest in the beneficiary, but notwithstanding the provisions herein, my Trustee shall retain possession of the share in trust for the beneficiary until the beneficiary attains the age of Twenty-One (21), using so much of the net income and principal of the share or property as my Trustee deems necessary to provide for the proper support, medical care and education of the beneficiary, taking into consideration to the extent my Trustee deems advisable any other income or resources of the beneficiary or his or her parents known to my Trustee. Any income not so paid or applied shall be accumulated and added to principal. The beneficiary's share or property shall be paid over, distributed and conveyed to the beneficiary upon attaining the age of Twenty-One (21), or ifhe or she shall sooner die, to his or her personal representatives or administrators. k ~ ~ DISPOSITION OF PERSONAL PROPERTY I, JOHN M. KUPRES, SR., do intend the following disposition of items of tangible personal property (other than money or property used in a trade or business) after my death. I have prepared this list pursuant to Florida Statutes 732.515 (or its successor), and I intend said list to be supplemental to my Last Will and Testament. ITEM 1. ~AR. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. BENEFICIARY J&)h n tiA ./< tA. P~F" S, J /<. CO'n1'f Whenever my Trustee determines it appropriate to pay any money for the benefit of a beneficiary for whom a trust is created hereunder, then such amounts shall be paid out by my Trustee in such of the following ways as my Trustee deems best: (1) directly to the beneficiary; (2) to the legally appointed guardian ofthe beneficiary; (3) to some relative or friend for the care, support and education of the beneficiary; (4) by my Trustee using such amounts directly for the beneficiary's care, support and education. My Trustee shall have with respect to each share or property so retained all the powers and discretions conferred upon it as Personal Representative. IfLONNY L. GOHN, SR. shall fail or cease to serve for any reason, I then appoint JOAN MARIE GOHN as successor Trustee. ARTICLE X Miscellaneous (a) The headings used herein are intended solely for use as reference and are not intended to be a part of this will. (b) Where necessary or appropriate to the meaning in this will, the singular and plural shall be interchangeable, and words of any gender shall include all genders. I sign and publish this as my Last Will and Testament, the same consisting of seven (7) pages, each page of which bears my initials or my signature, all in the presence of two individuals witnessing and attesting the same at my request in the State of Florida on APRIL 3 , 2002. . j r'~~ HN M. KUPRES, SR. . The foregoing was published, declared, and signed by JOHN M. KUPRES, SR., in our presence, as and to be his Last Will and Testament and we, at his request, in his presence, and in the presence of each other, hereby subscribe as attesting witnesses. A#J~ TNESS of )/~,PL of ~~.Jj ~)\r \\ PROOF OF WILL STATE OF FLORIDA COUNTY OF COLLIER We, JOHN M. KUPRES, SR., /fhN ilL f?e2.~~ and i 'Qii Testator, and the witnesses, respectively, whose names are signed to the attached Last Wi Testament of JOHN M. KUPRES, SR., being first duly sworn, do hereby declare to the undersigned officer that the Testator, in the presence ofthe witnesses, signed the instrument that he identified as his Last Will and Testament, that he signed voluntarily, and that each ofthe witnesses, in the presence of the Testator at his request, and in the presence of each other, signed the Will as a witness and that, to the best of the knowledge of each witness, the Testator was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. Subscribed, sworn, and acknowledged before ~ by JO~ M. KUPRES, SR., the TxsJ;.at~r-,- ansl subsqibed and sworn to before me by -Lj h ~ --o..R ~-e ~-s -e and I V w4\it 0". .il:J11j , the witnesses, on APRIL 3-,2002. W... ~ 1_ dc. A. A 4_ ~ Personally known J()iI~ ~~~~~~ Produced Identification f<:' TypeofID p,J'jjt- Klt,;(;)-L(?3./ /.L(S-7.0 Personally known Produced Identification ~.~ N M. K~PRE , SR. ,,~;r,~f~~ Lorrene A Polaski ;:7....h:.\;~ MYCOMMISSION# CC972984 EXPIRES '~i'~~~:i October 5, 2004 .... 'CC '.~ :~.. BQNP!O fHRU TROY FAIN INSURANC~ INe P~1c