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Home My WebLink About09-25-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of Steven A. Koslov also known as CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-- D l oB"1 \..4l , Deceased Social Security Number 194-44-9016 Steven C. Koslov and Andrew M. Koslov 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 Testamentaryand aver that Petitioner(s) is/are the Executors last Will of the Decedent, dated 04/06/1994 and codicil(s) dated named in the Stale 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: D B. Grant of Letters of Administration (It applicable, enter: c.t.a.; d.b.n.c.t.a.; pedants lite; durante absentia; durante mmofltate) 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(1f 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 (") C N .- EPl (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. :' S.c? Tl Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal resiae~ at 78 Richland Lane, Camp Hill, East Pennsboro, Cumberland, PA 17011 (List street address, town/city, township, county, state, zip code) Decedent, then 52 years of age, died on 09/01/2006 at 7B Richland Lane Camp Hill, PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in PA) 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: 0.00 0.00 Wherefore, Petitioner(s) respectfully requesl(s) the probate of the last Will and Codicil(s) presented with this Petilion and the grant of Letters in the appropriate form to the undersigned: Typed or printed name and residence Steven C. Koslov 6500 Union Deposit Road Harrisburg, PA 17111 Andrew M. Koslov 6500 Union Deposit Raod Harrisburg, PA 17111 Form R ~2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group. Inc. Page 1 of2 Oath of Personal Representative } SS } COMMONWEALTH OF PENNSYLVANIA 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 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 Ig tu f Personal Represe ta . e Steven C. Koslov (~il;;:1:_f4 ~rew M. Kosloy before me this day of Signature of Personal Representative ~ .... File Number: 21-- O'l-OB,lp C) c:;o "-, ::IJ I --rJ - -~-- c~ ,E~ f-;-' '~~I~; ~~~: C:::'.'" (::::;::) -J (/) i""T1 -0 N .. rl .- 7 Estate of Steven A. Koslov . 23~~ , Deceased' ~ -0 -'-':I'" _.,... N .:;::- (J\ Social Security Number: 194-44-9016 Date of Death: 09/01/2006 ~~ , ~ ' in consideration of the foregoing Petition, satisfactory proof are hereby granted to Steven C. Koslov and Andrew M. Koslov in the above estate and that the instrument(s) dated 0410611994 described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. Renunciation(s)............................. $ Attorney Signature: FEES Letters.............................. __.......... $ ~.(J) \a oC Short Certificate(s~....................... $ w,\\ $ rs ~L? $ \C> fu\o $ s $ $ $ Attorney Name: Supreme Court 1.0. No.: 76084 James, Smith, Durkin & Connelly Address: 134 Sipe Avenue Hummelstown, PA 17036 $ $ $ TOTAL................................. $ Telephone: 717/533-3280 19;;) .0) Form RW-D2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of2 H105.R05 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. am..frl~' Local Registrar Fee for this certificate, $6.00 Date OCT I 2 2006 p 12839923 No. C) F~~ u -.::0 ~l.~ r- !:~J2 . ;.~~~ --' :tJ --/ =~,NAL ICKINK 1130-324 1. Name llf Decedent (Fnl, _, last sufIx) STEVEN 5. NJ'{Laollli1f1cfayl 52 d. t 0 '1 O'Kllc> COMMONWEALTH OF PENNSYLVANIA" DEPARTMENT OF HEALTH" VITAL RECORDS CERTIFICATE OF DEATH (CORONER) "" (::::'f = -.J (/) fT1 " f'V C.J1 , I 'j .1 , . <"".." 22 -k N .:- 0"\ A KOSLOV STATE FilE NUMBER .. DaIoof o..th (Month, day, yew) September 1, 2006 VIS. 7 B Richland Lane 8. OaIeofBirtl and_or Oct. 16, 1953 Harrisburg,PA BI>. County of o..th Cumberland !d. FaciI~ N_IW no! _, P'_and ntrnbor) 11. Oecedenrs Usual maslof lie. Do not ,lite retinId. Kmd of WOIl< Kmd of Busroess IlndusI!y trainman-conduct r railroad . f8. Oecedon(, MolIng Address (Snel ciy 1_, stale, zip_I 7B Richland Lane Cam Hill,PA 17011 18. F-.Name(FIIS/,_,IBst,_1 Daniel Koslov 12. w. Decedent ever in the U.S. Armed Fon:es? Ov.. Decedent. Actual ResIdence 17a. State 13. Decedenf.E_{Spedtyon~higIwJs'plecomllleled) EOmenIlllyISeoondaIYl().12) College 114 orS<1 12 pennsYlvania Cumberland ... _ SIaIUs: Married, _ Marriod, Widowod, 0N0It0d (S/lOCiIy) - divorced Did Decedent Live in a Township? -.." OOltler.Specify fO. Race: American 1ndia1, 1lIack, ""'Ie, "" ISpoci/y) white 17C.jl Ves,DecedentlMdo East Pennsboro 17dO ~~l'edwilho ":,, 19, Molhe(s Name (First. middle, maiden surname) Doris Jean Radabaugh 20b InfomllIlf.MailngAdcless{Street,cityf_,_,zip_1 6500 Union Deposit Rd.,Harrisburg,P~17lll 21c. P10ce DisposiIIonINameof...-y, ClOmaIoryor_p1oce) 2Id.locatlon{ClIy/_""',~ Tri-CouI1,.ty, Memorial Gardens LewisbettY;'PA 17b. Coun~ 200. Inllnnant'. Name (T1tJO I Pm'1 21b. DeleofOispoo;tion(Mon~,day,yeaj 22r: Nal1e and Address nI FaciIIy ~ Ave.,L~moyn~,PA17043 23c. Dele Signed {Month, day, yearl 26. w_ Case Referred to MedlcaI EJIlilniner I Coroner tor a Reason 0Ihef Ihal Cremation or Donation? 'filv.. ONo : ApproOmaleo_: PortIl:Enter___"""""",,_Io_ 28. Oidr~UseCool1itlole/oOeolll? : Onsellollealh bulnol_otheundoolyilg""segivenoPatl. 0 Ves 0-. o No 0 UnI<nown 29. WF""",: o NotP<9!lnantwithinposlye" o P<egnar1Iatllmeofdealh o Not_nl, bu. PfOIInant_.2 days ofdealh o Not_,buIp1egnanl.3dayslolyear adealh o Unknown ~ pIegn"" _the pas, ye" 321:. Ptocellflnjuty:Honte, "'",S.....Facto<y, drug OfIiceButing,e<c.(Spedyllome 32g.locafia1oflnjlly(8nel.cly/_,_I Richland Lane, Camp Hill, PA IIoms 2Ja.< ontr whenCOl1iljlng pI1ysi;ianisnof_/IIimellf_1o cer1iIyClllSOllf_ IIoms 24-28 _ be COllTllIeIed by penon """"""""""_. FD 013163-L Musselman FH&CS, 324 ~Hummel /lithe lime, dote and pIoce ._. (Slgn..... and tide) 23b. l_ Numbor 24. Time of Death UNKNOWN M. 25. Dale_Dead I_,dey, year) September 1, 2006 CAUSE OF OEA TH (See IMtruetion. .nd .umpf.., IMlm Zl. PART I: Enter \he~. diseases. injuries. or compIicalions - Ihal direcdy caused the dealh. 00 NOT enter Iem1inlll events such as can::Iiac: lWTesl, respiratOry arrest, orWll'llricufar fi!rifation witloutshowir1g:!he etiology, UstOll/yooeeauseOll each/ile :~~~Z~~~ Cocaine Toxicity Due 10 (or as II (X)nseqtJW\Ce of). ~IistCOOdilions,W"Y, 1oca&liItedonioea. Enler UNDERlVllG CAuSE ldiseaseoriljutylhaliriliatedlhe """Is _ ~ death I lAST, Due 10 (or as II consequence of) Due 10 (or 81 II consequence of) 300. Was"'_y Pelformed? 3a>. w.,._yF~ A__IOCompIetion of Cause of IleaIh? )ave. ONo 31. Mannoroflle"" 320. Daleol'iUrYIMon~,day,yearl o N8I\I!aI 0 Homicide Sep. 1,2006 ~l 0 Pondlng tnvestigam 32d_rmm o Suicide 0 Coo>1NofbeDelermi'1od A. M !lives 0 No 330. Crillor(dl<<kontronel ~J:~===~'::::===-";":.~~~~~~_~~I_ _____________ __ __..0 ~ =:.~.:::=~~::.:::::.:1.i.:.::~~monn" II otoIld__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..0 -.. Exomlner I Coroner On the blllI of....ndon Iftd / or InvnUgltion, in my OflinkH'l, detth oc:cun.d II the timt. dllII, Ind p11Ct, and due to the cault(t) Md INInntr n ttttfC!. .. r." ClIy/Boro Coroner 33d. Da" Slgred (Mon~, day, ye"l October 6, 2006 34. 'm~m.llf~WJ;f~rr~~~bW~7p\1lOI""'. 6375 Basehore Roadl Suite #1 Mechanicsburg, PA 7050 ~ LAW OFFICES SNELBAKER 6c BRENNEMAN LAST WILL AND TESTAMENT I, STEVEN A. KOSLOV, of the Township of Upper Allen, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor or Executors, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto my four children, namely, STEVEN C. KOSLOV, ANDREW M. KOSLOV, TANYA KOSLOV and TERRAH KOSLOV, share and share alike, subject, however, to the protective trust provisions contained in Item Third hereinbelow with respect to the distributive share attributable to any beneficiary who has not attained the age of twenty-three (23) years at the time of my death. THIRD. If any beneficiary hereinabove has not attained the age of twenty-three (23) years at the time of distribution, I order and direct that the distributive share of such person shall be paid over and delivered unto PNC BANK, N.A., (or its successor by merger, consolidation or other corporate reorganization) as my testamentary Trust~e, IN 'rRUSt,I'", NEVERTHELESS, to hold, manage, \",;"."', ' .:: Iv invest, accumulatelfhdd~~f~~~Oreinvest until said beneficiary :]:\.-1' /il~ oj' j~) attains the age 9~:t~rr~~ij~SL~Z(23) years, at which time said trust shall be terminated and the net proceeds thereof be paid ~ ~ C3 LAW OFFICES SNEl.BAKER 6< BRENNEMAN over to the beneficiary absolutely. I authorize and empower my said Trustee to invest the assets of said trust in any reasonable manner and not be limited or restricted to so-called "legal" or statutory investments for fiduciaries. I designate any trust hereunder to be a spend-thrift trust. The beneficiary shall have no right to invade, pledge, assign or otherwise dispose of the assets of said trust (including income) nor shall any creditor of a beneficiary have any right to seize, levy or execute upon said assets by reason of any pledge, assignment or other transfer, voluntarily or involuntarily, made by said beneficiary. I authorize and empower my said Trustee to use, consume, expend and apply from time to time such amounts of income from and principal of said trust as it shall determine in its sole discretion to be necessary and proper for the education of the respective beneficiary until said beneficiary becomes emancipated. The term "education" shall be construed to mean full-time attendance in college or other post-highschool training which is intended to improve the beneficiary's productivity as an adult or enhance the quality of his or her life. LASTLY. I nominate, constitute and appoint PNC BANK, N.A., to be the Executor of this, my Last Will and Testament, if any of ~ my children identified in Item Second hereinabove are under the age of twenty-three (23) years. If all of my said children have attained the age of twenty-three (23) years at the time of my death, then and in such event, I nominate, constitute and appoint my two sons, namely, STEVEN C. KOSLOV and ANDREW M. KOSLOV, to be the Executors hereof, to serve without bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOF, I, STEVEN A. KOSLOV, have hereunto set -2- my hand and seal to this, my Last will and Testament which consists of three (3) typewritten pages to each of which I have affixed my signature this Gih day of,A PR./L A.D., One Thousand Nine Hundred Ninety-four (1994). ( SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testator, was on the date thereof signed, sealed, published and declared by STEVEN A. KOSLOV, the Testator therein named, 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 subscribed our names as ;7, LAW OFFICES SNELBAKER III BRENNEMAN -3- COMMONWEALTH OF PENNSYLVANIA ) . . COUNTY OF CUMBERLAND) SSe We, STEVEN A. KOSLOV, RICHARD C. SNELBAKER and SUSAN L. ZYCH, 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 Testament 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 a witness and that to the best of his or her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~~ / Jb~A wi tness 0...--- subscribed, sworn to and acknowledged before me by STEVEN A. KOSLOV, the Testator, and subscribed and sworn to before me by RICHARD C. SNELBAKER and SUSAN L. ZYCH, witnesses, this ~ d.. day of ~ , 1994. g~~~ Nota y Public LAW OFFICE';; SNELBAKER Be BRENNEMAN NclIaIIaI Seal P\dc Pal*iaJ.~~CcInr ~ ecpres Dee. 31, 1994