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HomeMy WebLinkAbout07-03-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYL VANIA Estate of Joseph W. Shamro also known as File Number ~\ 61 61oD~ , Deceased Social Security Number 184-48-8298 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) Ii] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the person last Will of the Decedent dated August 24, 2005 and codicil(s) dated N/A 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.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 d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence ~ ..~ =CJ /-.1 ."', ~-- ) ~~) i,:~ ...: ~,-:~-::r.;.~: ~::'~~j {?3 ~~p '7m (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. U5 ~ w ... ;")0 Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last princip~~&detite at ~ 4182Elk Ct. Apt 118. Mechanicsburg, Borough of Mechanics burg. Cumberland County. Pennsvlvania 17050 . ...' ~ ~ (List street address, toWn/City, toWnship, county, state, Zip code) :g CJl at Community General Osteopathic Hospital HlI1I1tisburg, PA S~.'-~: r--::) l --;r _ --n -~.: ~~ Decedent, then 49 years of age, died on June 14, 2007 Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (Ifnot domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania 155,000,00 $ $ $ $ 0.00 situated as follows: 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: T ed or rinted name and residence Lisa K. Shamro, P.O. Box 151 Harrisburg, PA 17108-0151 Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF Cumberland 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 ~ ~~~~~ ature of Personal Representative File Number: () '7 O(o~3~ ("") ~O ::--:0 ~.-:J -I) ""~::r.:("") "''':J.--' <2m ",-:: :0 ." (/) 7' no ")Q-n ~)~ j;2 ~ = = --' ~I -u 3 W .- cJ1 \.0 %il,'~ :1~ C~J ~ ~;B \ - I'll r -. 1"...' ) Signature of Personal Representative Signature of Personal Representative '- c: I W Estate of Joseph W. Shamro , Deceased AND NOW, having been presented befor me, IT I are hereby granted to Lisa K. Shamro Date of Death: June 14,2007 ,~ rJ1>l ' in consideration ofthe foregoing Petition, satisfactory proof DECREED that Letters Testamentary in the above estate and that the instrument(s) dated August 24, 2005 described in the Petition be admitted to probate and filed of recor FEES :((o{) tf) '4. CO ~kL, o Jacqueline M. Verney, Esquire Letters ........."/.\. $ Short Certificate(s) 'lJ). .. $ Ret:3ctilon(s) .......... ~ Jfi $ to ... $ ... $ ... $ ... $ ... $ ... $ ... $ 20C/-o d ---0:-00- TOTAL .............. $ . Attorney Signature: 1::::;00 1000 500 Attorney Name: Supreme Court J.D. No.: 23167 Address: 44 S. Hanover St Carlisle, PA 17013 Telephone: (717) 243-9190 Form RW-02 rev. 10.13.06 Page 2 of2 HI05.805 REV 1011(7) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 This is to certify that the information here given i correctly copied from an original Certificate of Deat duly filed with me as Local Registrar. The origin:: certificate will be forwarded to the State Vit,- Records Office for permanent filing. p 13620631 Certification Number o C::;O .~::o --1-00 '-~;~r- c_-zm - :::0 C/);<;; C)O 011 C . :::0 ::u~ ..i> ) H105-143 ReV 1112006 TYPE I PRINT IN PERMANENT BlACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions snd examples on reversal 1. Nomool_IRnI._,"'"',_J Jos h W. Shamro 5. AGe (lost BiI1IwJayJ c ~ ~ 6. DalaofBk1h 7. (CIty and slale Of 49 v~. 50. County of 00aJII 8/28/1957 Carlisle, PA 8d. F8dIlly Name (11 not ll'lllllutlon, give Itnlel and number) 200, '" <= c:;) -...I <- c:: r- I W -0 :J:: ~ c.n \.0 3::1 ~TJ j~'1 CII S) (, ) .~:J c-;'::; C?J rr-j t'n :~T-J ..:=-; c::> i'--l -'1"1 - c") f'"l L:.-.~ Dauphin It.Detederi'11..IIuII Kilclol_ ity General Osteopathic Hosp. 1~ Was 0ec0denI "'" ~... 13. _. E_ (Spedfy only!;ghes1 grade ~ u.~"':~ EJemenlaf2Secordarylo-121 CoIlegoIHO<5+1 ooo..._~. 10._.____'"'. (.".."" White ,..~~~...""", 15. Surffl1ng Spouse l"wIIe,giYe_namel Never Married _. ActuaIResidence 17a.Sate 17b. County PA Cumberland DkI Oecedont lJve~. Township? 17c.Ovas,_lJved~ 17d.GC~~oIlJved_ Mechanicsburg ClyIBolll 19. Molher's Name (Fifst, rnlddII, meldensumeme) Betty C. Johns 2Ob._.IAaIng........ISlrasl,0Iy1_,_...._J 1947 North St., PO Box 151, Harrisburg, PA 17103 21C.~1ICll0l0lsp0sMl0n(Namaot_'_"_pjaceJ Top. 214 Loc:aOonICIlyI_,_;zlplXXlel Carlisle, PA Hane, Inc., Carlisle, PA 17013 231>. Ucanas Nlmar 230. Dala SIgnad (Mon~, day, ,..,) <Q.. i.1.l VI> -3 2.. Tlmool 00aJII f\ 25. S/~ r M. CAUSE OF DEATH (See tn_ examploo) 11am'll. Part I. EnlatIha~--,injlHlas'''_-lhaIclracIIycauood'''_.DONOT__oaJ''''''''''''ss'''_'''''', ......................_-""""""->glhaallology.llsIorly.........on_.... _TlCAIJSE(Flnol_", ~ J ~ :-=J,~~ :. :l!;/a~A1f2/~Ut~f~ =m~.::.' DueIo(OfaeaCOf1leqUenCeof): ~ ~':.",,.~ : ,~ f2uv..1M " Cl. Part It: Enter OCher slcnficant lX1rlIiIInnR mNlhlllnn to dMtIl. 28. Old Tob8cco Use ConIrtlutt 10 Deeth'? bulnol.....olng~IhaL.<ldorlying.....glvan~PartI. "0 Vas OP<ObobIy DNa ~ 28. Was Case Ae~ Medical Ex8mlner I Coroner for a RMson Other thin Crtmation or Donation? OVas erNo DueIO{oras'~of); I Approximsteinterval: : OnselIoDeath , I I I I I I I , , I I I I , 8. d. 3llb._-'-Flndingo A_PrlorIo~ dCaUlt of Dtalh7 Dvas DNa 32d. TIIl'l8 01 Injury 3OlLWss..AlIIDpsy - oVas~ D- o- OP_'_1Ion 0- OCaAdNotba_ M. 33a c..tlIIer ("*" orly one) Cel1ltylIIfI~(_ce!lJfying.....oI__anolhar_n....p/1lnOUflCad...~""'_I1am231 Tothe belt of "'Y knowIIdgI, death occured due 10 the cause('llnd mennet' u IIIded.. _.................................................. _..................................... ~s;::=~~:::~"::'..::tlo~~:_.........._________m_h__ 0 :===and/or~ In my optnIon, dulh occurred at the tIme,datI,and pIece,1ftd dut to the t:lUM(a) and manneras8IatecL 0 ! 36.. ~ I,.q, I f I 6.1 I I () I ~PamtllNo. 29. If Female: o Not PfB9l1a/Il-""",.., o Ptagnant at lime 01_ o Not ",-nt, but "'-" _ 42 days 01_ o NotPfB9l1a/ll,bul""""'43daysIo1,.., -- O_'__"'"""yasr 32c.Placaol"*,,,,_Famt,Slrasl,Faclooy. OIIlceBuldOtg,stc.(SpecIIy) ~ t (,{ C5\.93~ 1La~t Will anb \!re~tament OF JOSEPH W. SHAMRO I, JOSEPH W. SHAMRO, of the Township of Hampden, County of Cumberland and Commonwealth of Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. ARTICLE I I devise and bequeath all of my estate of every nature and wherever situate as follows: A. Twenty-Five (25%) percent thereof to my mother, BETTY CAROLE SHAMRO, if she survives me. Should my mother, BETTY CAROLE SHAMRO, fail to survive me, her share shall be added to and treated as a part of the share created in Paragraph B below. B. Seventy-Five (75%) percent thereof to my sister, LISA K SHAMRO, if she survives me. If my sister, LISA K SHAMRO, fails to survive me, her share shall be added to and treated as a part of the share created in Paragraph A above. o :::JJ -'0 C. Should both the said BETTY CAROLE SHAMRO and; ;~: p '. ~-:: C!j LISA K SHAMRO fail to survive me, I devise and bequeath my; 'J; 5~ "()('J . ,o~ entire estate to my father, JOSEPH A. SHAMRO.',,-- ':'0 "C) ----j :2~. 1"-..) = => -.. '- c:: r- I W -u :x w c.n \D __ (~J , =~,~ c~ r-"-~ r'Tl ARTICLE II I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expense of the administration of my estate. I appoint my sister, LISA K SHAMRO Executrix of this my Last Will. Should my sister, LISA K SHAMRO fail to qualify or cease to act as Executrix, I appoint my mother, BETTY CAROLE SHAMRO Executrix of this my Last Will. ARTICLE III I direct that my Executrix or successor shall not be required to gIve bond for the faithful 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 :1/11(., day of !fu8v)V 2005. ~~.~ JOSEPH . SHAMRO (SEAL) Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. ~ /1~~.9 12 b", c IJ fAll trz?-- I 2 AFFIDAVIT AND ACKNOWLEDGMENT COMMONWEALTH OF PENNSYL VANIA SS COUNTY OF CUMBERLAND We, JOSEPH W. &l1tV\ ~. ~l(;f rn ~ SHAMRO, ~.C.\,C\r).. CU ~---i<W", <:...- and , the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best ofhislher knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. d~ "-I.. ~ JOSEP W. SHAMRO %1 /#~tl Witness /'1 ~!./Jotrt e ~{f/n] /nf-- Witnes~ Subscribed, sworn to and acknowledged before me by JOSEPH W. SHAMRO, Testator, and subscribed and sworn to before me by (((chard W. S'4etVa/t and I2obll'\ L. HlAmAlO- , witnesses, this~~ day of ~lJst ,2005. COMMONWEAl.l1-l OF PeNNSYlVANIA NOTARIAL .JJ) Le~~~~.:~:8u~=,:r~ \ftI~'a 0cJiVltL My Commission Expires Nov. 12. 2006 lV.embel, POIVIsy11/ania Associallooof Notaries Notary Public R WS :ead:256600 3