HomeMy WebLinkAbout06-14-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF r t 'h1.b"r )(1 /f'1 r/ COUNTY, PENNSYLVANIA
Estate of -1J e 10 Y' e ~
also known as
t11 ('4 V \~L- h
File Number2J-Ol- ~J..
, Deceased
Social Security Number I 9 9 - j ;::) - >? t') I;:;)
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE.'A' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the f')( C C u + 0 r
last Will of the Decedent dated J I J<.~ / ~- 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 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.l.a.: pendente lite; durante absentia; durante lIlinoritate)
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
R~nce
"': =~~
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~
...~,...
;
-:~o
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.s:-
(COMPLETE IN ALL CASES:) Attach additiollal sheets ifllecessary.
~
, Pennsylvania with his / her last principafr~dence at -::s ~ 0 ,q
.. C.,)
(List street address, townlei ,township, county, state, zip code)
Decedent, then )() years of age, died on (5- /0 'i /0 J at /i ti r (' r!> 10 (J r:, H 2) ~ 9Q J~ .J.---., f
, , I
co.,
Ci~
, .
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
situated as follows:
'-f 0 <g
S tV ." .{--,
('-"'1
Sf,) ok eJ-/-t>YJ, f If
$ ~ J aD 0 ( 00
$
$
$ :::J). , 0 DC, 00
01
II { ;?
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
.3 ~D R
fJ.... I j,
/}u e. kw e.~lYIb~rJC<]'1
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Forlll RW-02 rev. /0./3.06
Pagelof2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
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.
Sworn to or affirmed and subscribed
\.1 \+\-- day of
before me the _ ~
_, ~')""1 Signature of Personal Representative
\L '}C\:~d l~~_
\F or the Register I~" _ \yignature of Personal Representative
:~,~
(-1
FileNumber:~I-DI-D58;;J- 'c:O
,::=:r2
Estate of ~ lor-e,.s m. 0....0'1 c...h. ' Deceased:
Social Security Number:~ ') - <6012 Date of Death: 5- Y - C1l ]
AND NO~v...n1Z- \'-t dOU1 . in consideration of the foregoing petition~;~~~~~fact~proof
~ ., ';;...
having been presented before me, IT IS DECREED that Letters
are hereby granted to ~
-.-1
..~
C-,
in the above estate
and that the instrument(s) dated ,\ - 5- 0 S
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s
Letters
$ (gO .C:J)
4.(JD
FEES
Short Certificate( s) . . . . . . . . $
Renunciation(s) .......... $
~~\\ $
..) CP $
Q.. .... t-v"W"O.-\- )GY"\. $
.. . $
... $
. .. $
... $
.., $
... $ . oD
TOTAL .,. . . . . . . . . . . . $ <:Ft .
Attorney Signature:
lS"- 00
IO.UO
t;;AK)
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-02 rev 10.I3.06
Page 2 of2
HI0).805 REV 101/07)
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 13621945
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.
~-:t.a~' S / 9 /07
. Local gistrar Date Issued
C)
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Hl05-143 REV 1112006
TYPE I PRtNT IN
PERUANENT
BW:K INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
I. .....oI_(Fir~,_.IasI, """"I
DELORES MRAVICH
S.Age(l.asIBi<1hday1
87
v,..
12. Was Oecedeol ever ifllhe
U.S. AImed Forces?
o V.. I2!No
'3. _', Education (Spec;iIy only hqlesl ple ~I
EIem<ifT I Secondary (0-121 College (1-' or S>)
6. Dale of aiM (MOlllh, day, year)
Feb 28, 1920
Not Known
Sb. CwnIyollleadl
Dauphin
ad. Facilitj .....(Wnol_, Ii" "'oot and_I
Harrisburg Hospital
11. Decedenl's Usual
lion Km 01 wOO. done dur
most of lite. 00 not $&ale 18liJad
H~oI=ltro'ibe
H~~e'r
- 16.00c0lW'~"4Qress(ll1r"'.'ilylloWll,s"',lip-1
.5bU K t'arl< five.
New Cumberland, PA 17070
18F_~~"'~k~~~h
20a _. Name (Type I PrinI)
Sylvia Mravich
2'.._01_
-',
AcIuat ResIdence 17a. Stale
PA
CIIMRF.RI ANn
17b. Coun~
Did Ilecodent
L.iveina
TlIOOIISIip?
17,. 0 v.., 1l.,.d..U.ived in
17d. [l:..., ~oIUved-
Twp.
New Cumber land
Cly 1 Boro
19. MoIher's Name (FnI. middle, maiden surname)
- Not Available -
...._._Addnlsi(Slnlel,cily/-'_.lip_1
360 R Park Avenue, New Cumberland, PA 17070
21,.Plaatol~(""'oI_,_.._pla<ol 2Id.Localioo(ClyI-'_.lip_1
Rolling Green Cemetery Camp Hill, PA 17011
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CAUSE OF DEATH (See Insttuctlona and a. )
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d.
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IlnsoIlolleall
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-
3lI>._~Findings
AvaiIabtt Prior to CompIeIion
01 Cause of 0eaIh?
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33&. Cel1ifier_onlyOl1OI
. ::::.~===:.":"'..."'::':i..:=":~~_".:'~~~m_n____n__n_ 0
. -.....,1Ild cer1lIying....- (Physidoo bolh pIllllOIIlCing _ and ceIIilyiojj 10 """" 01_1
To..._oI.., -.. __....._._. ond~.lIldduelo..._.)IIld_..__ -- - --- - --- --- - ---
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f) 1.3'1 0 (, fo
Disposition Permit No.
357 S. Second
PA 17113
23b. Ucense Nunber
c:o~/
26. Was Case Referred to Medical Examiner I Coroner Iof a Reason
ov.. MNo
Part II: EnIer QIher ~ a:nMiOAs l:OfItI'bJIRJ to death. 28. Did Tobacco Use CntluIe to Death?
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0Ike I!uiIding. "'- Is.-.J
Will of Delores Mravich
Part 1. Personal Information
I, Delores Mravich, a resident of the State of Pennsylvania, Cumberland County, declare
that this is my will.
Part 2. Revocation of Previous Wills
I revoke all wills and codicils that I have previously made.
Part 3. Children
I have the following children now living: Elaine Mravich, Kathleen Mravich, Rosemary
Kristoff, Stanley Mravich, Jr., Sylvia Mravich and Theodore Mravich.
Part 4. Grandchildren
I have the following grandchildren now living: Daniel Kristoff 11l and Tanya Kristoff.
Part 5. Failure to Leave Property
-cO
If I do not leave property in this will to one or more of my children or grandchildren __
i ()
named above, my failure to do so is intentional. :,-,
Part 6. Disposition of Property
All beneficiaries must survive me for 45 days to receive property under this will. As used C,)
in this will, the phrase "survive me" means to be alive or in existence as an organization
on the 45th day after my death.
I.. ;,
c,
,
-,,;
All personal and real property that I leave in this will shall pass subject to any
encumbrances or liens placed on the property as security for the repayment of a loan or
debt.
If I leave property to be shared by two or more beneficiaries, it shall be shared equally by
them unless this will provides otherwise.
If I leave property to be shared by two or more beneficiaries, and any of them does not
survive me, I leave his or her share to the others equally unless this will provides
otherwise for that share.
"Specific bequest" refers to a gift of specifically identified property that I leave in this
will.
"Residuary estate" means all property I own at my death that is subject to this will that
does not pass under a specific bequest, including all failed or lapsed bequests.
Page 1 of 4 Initials: D M .5nl rM Date: J J J S! f)5
Will of Delores Mravich
I leave my residuary estate to Sylvia Mravich.
Part 7. Executor
I name Sylvia Mravich to serve as my executor.
No executor shall be required to post bond.
Part 8. Executor's Powers
I direct my executor to take all actions legally permissible to have the probate of my will
done as simply and as free of court supervision as possible under the laws of the state
having jurisdiction over this will, including filing a petition in the appropriate court for
the independent administration of my estate.
I grant to my executor the following powers, to be exercised as he or she deems to be in
the best interests of my estate:
1) To retain property without liability for loss or depreciation.
2) To dispose of property by public or private sale, or exchange, or otherwise, and
receive and administer the proceeds as a part of my estate.
3) To vote stock, to exercise any option or privilege to convert bonds, notes, stocks or
other securities belonging to my estate into other bonds, notes, stocks or other
securities, and to exercise all other rights and privileges of a person owning similar
property .
4) To lease any real property in my estate.
5) To abandon, adjust, arbitrate, compromise, sue on or defend and otherwise deal
with and settle claims in favor of or against my estate.
6) To continue or participate in any business which is a part of my estate, and to
incorporate, dissolve or otherwise change the form of organization of the business.
The powers, authority and discretion I grant to my executor are intended to be in addition
to the powers, authority and discretion vested in him or her by operation of law by virtue
of his or her office, and may be exercised as often as is deemed necessary or advisable,
without application to or approval by any court.
Part 9. Payment of Debts
Except for liens and encumbrances placed on property as security for the repayment of a
Page 2 of 4 Initials: D M .s...m J:M Date: /, Is IDS
, ,
Will of Delores Mravich
loan or debt, I want all debts and expenses owed by my estate to be paid in the manner
provided for by the laws of Pennsylvania.
Part 10. Payment of Taxes
I want all estate and inheritance taxes assessed against property in my estate or against
my beneficiaries to be paid in the manner provided for by the laws of Pennsylvania.
Part 11. No Contest Provision
If any beneficiary under this will contests this will or any of its provisions, any share or
interest in my estate given to the contesting beneficiary under this will is revoked and
shall be disposed of as ifthat contesting beneficiary had not survived me.
Part 12. Severability
If any provision of this will is held invalid, that shall not affect other provisions that can
be given effect without the invalid provision.
Signature
I, Delores Mravich, the testator, sign my name to this instrument, this
of N OV ~ J"18E R , J 0 OS , at NEW C U/\I} ~ E R LAN D J P A
I..-th
~ day
. I
declare that I sign and execute this instrument as my last will, that I sign it willingly, and
that I execute it as my free and voluntary act. I declare that I am of the age of majority or
otherwise legally empowered to make a will, and under no constraint or undue influence.
Signature:~~
Witnesses
We, the witnesses, sign our names to this instrument, and declare that the testator
willingly signed and executed this instrument as the testator's last will.
In the presence ofthe testator, and in the presence of each other, we sign this will as
witnesses to the testator's signing.
IIII
IIII
IIII
IIII
IIII
IIII
Page 3 of 4 Initials: J2..tL ~ I:M Date: I J J 5 J OS
,
Will of Delores Mravich
To the best of our knowledge, the testator is of the age of majority or otherwise legally
empowered to make a will, is mentally competent and under no constraint or undue
influence.
We declare under penalty of perjury that the foregoing is true and correct, this
5th day of NOVEM8EA, JOlJS ,at
NEW CUMBERLAND} PA
Witness #1: ~/~ f
Residing at: ..:3/'0 R. f> "-~ f< f1. V e tie We" W\ ~ e,..l "-t'-J I t1. '7 0 7 D
, ,
Witness #2: 7~p- ~.
Residing at: ~)t:O R H._(\ k Eve.) ^J~ 11.1 CtLoWl h~ fo..~) ~* l70 ?Q
Page 4 of 4 Initials: D M .sm:r:.M Date: I / /5 J OJ'''
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