HomeMy WebLinkAbout10-19-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYL VANIA
Estate of Dominic Michael Geraci
also known as Dom
File Number
~\ Ol D94~
. Deceased
Social Security Number 161-66-6588
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is I are the
last Will of the Decedent dated 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:
IZJ B. GraDt of Letters of Administration
(If applicable, ef/Jer: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absenJia; durante minoritate)
Petitioner(s) after a proper search has I 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 ofWil/ in Section A above and complete list of heirs.)
I Name Relationshin Residence I
Gaspere C. Geraci Father 721 Alberta Avenue, Mechanic~ Pa 17050
Rita J. Geraci Mother 52578 Simpson Ferry Road, MechanicsbutJt, Pa 17050
(COMPLETE IN ALL CASES:) AJtoch additionol sheets ifnecesrary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal residence at
5257B SimDSOn Ferrv Road. Mechanicsbur2. Pa 17050
(List street addre:ss, tOWN city, township, cormty, state, zip code)
Decedent, then 23
years of age, died on October 6. 2007
at Lancaster, Pa.
Decedent at death owned property with estimated values as follows:
(lfdomiciled in PA) All personal property
(lfoot domiciled in PA) Personal property in Pennsylvania
(lfnot domiciled in PA) Personal property in County
Value ofreal estate in Pennsylvania
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fi:>>1 A
.......",.... 0.' , ,,~
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D
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$ -~&5
$
$
S
~
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t.........
situated as follows: Bank Accounts, investments, personal property
j,.
=-':5
Wherefore. Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of~in the ~ate fonnro
the undersigned: . -
>~"
i"')
name and residence
Gaspere C. Geraci, 721 Alberta Avenue, Mechanicsburg, P A 17050-2272
Form RW-02 rev. /0.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
: SS
COUNTY OF Cumberland
The Petitioner(s) above-named swear(s) or affinn(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 affmned and subscribed
befu~ me the /::::.. day of
!4~~:J!
fthe_
/(.~
.~ afPer~presentative
Signature of Personal Repre$entative
Signature of Personal Representative
File Number:
Estate of Dominic Michael Geraci
. Deceased
Social Security Number: 161~6-6588
Or-t6b2x \9
Date of Death: 10/06/2007
AND NOW,
having been presented before me, IT IS DECREED that Letters
are hereby granted to Gaspere C. Geraci
,~I
. in consideration of the foregoing Petition, satisfactory proof
in the above estate
and that the instrument( s) dated
described in the petition be admitted to probate and filed of reeo
FEES
Letters .... t.. \00<>. .. . $ 2()
Short Certificate(s) . . U>. . ., $ ~lf
Renunciation(s) .......... $ 0
fj),1Gb ... $ 10
~ ...$ S-
.., $
.., $
.., $
.., $
...$
... $
... $
TOTAL .............. $~ ..se
Attorney Signature:
Attorney Name:
Supreme Court J.D. No.:
Address:
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Telephone:
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Form RW-Ol rev. 10.13.06
Page 2 of2
110:;:-;0' RE\- ((li/{)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
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.
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P 13823282
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See Instructions snd exemples on reverse)
H105.144 R~V 1112ClO6
TYPE I PRINT"
PERIoIANENT
Ill.ACKINI<
;23
V(I.
... Cc>lnIy .. llMlh
LIfJlC,.SrE~
11.~,UsuaI
Knlol_
S-rw flt.A.JT
. ,e._.MaiingAddr...I_.""'_,otate.,;p_1
SZS7 SiMf'soN FE-till .. S
fYlE.CHAAJjcS8u~G, f~. 17050
'e. Fo......_IF...._. ""',-I
GII ('ERE. G,.,...c:i
200 _. Nome (Typo I P"',
'RirA :r. GE~I4C.;
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ce,11lon>
n~st'
22a
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~ ;f;.,... 3*01 MA/lI:.E.T Sr. C
230. Uconoe_
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23c. Dolo Sipd 1_. day._)
Items 24-26 IJlUSI be completed by person
-.tloprorJClll'lC:eSdeaIh.
25. Date PtOnOUlC8d Dead 1_. day. yeat)
.'.:lS AM Oclobd t, .Jot) '7
CAUSE OF DEATH (See lnotrucUono .nd .1UIIl1pIoo)
1&em1.7.. Part I: Enlarth8~ -diseasei. ifluries.orC:OOlj)ibtions ~ltlaIlirecIiycausedth8death. 00 NOT anterklm'linalevents such ascardac 1IT8SI.
respil"alOty I/'lR, 01 ventIict.Ut lilviWoo ldhotI showing the etioIogj. list only one CiIJ&8 on 8fIdlw.
~fJ}..(!/d.;
..
DueIa'Ql'..a~oI):
24. Timed Death
="'-'0""1'.
10 cause IiaId on line a.
E.... UHIlEIlI.YING CMISl
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1/- I.' 4;' .
4.y"~ 41j "c.. ., /iiI' ,; /~ f'
I
26. Was Case Relen"ed 10 MedIcal Examiner I Coroner lor a RMIon Other Ihan cremkion Of Donetion7
llifves ONo
Approlcimate~ PanJJ;.E1UrOllwsloriit.anlc:ordtianl~k)daaI!. 28,DidToblccoUseConlrtllMIo~7
OnsottoOoal> ""'noI_~lho""""'Yi'll_giYon~P"'l 0 v.. O""""""Y
IlI..NoO-
29.._'
o NoI__past,...
o "-......01_
o NoI_,""__".....
ol_
D NoI_""_<:>.......,,..
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3lI>.Wers"-1'1nd>1Qs
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of Cau5e 01 Death?
:;g Vos 0 No
31. Manner at Death
ONalUAll 0-
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cf"';'" OCooldNol..__
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RENUNCIATION
Cumberland
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of Dominic Michael Geraci
, Deceased
I, Rita J. Geraci
(Print Name)
. in my capacity/relationship as
ofthe above Decedent, hereby renounce the right to
Mother
administer the Estate of the Decedent and respectfully request that Letters be issued to
Gaspere C. Geraci
/d-/9-(J7
(Date)
:Z4~~
52578 Simpson Ferry Road
(Street Address)
Mechanicsburg, Pa 17050
(City, State, Zip)
Executed in Register's Office
Sworn to or affmned and subscribed
before me:this day
. of "
,~ . L
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el)
t- - .
1'__. ~r~ ~_
Deputy;-ior Regijrer of Wills
.~:> E!5 :-
()
Executed out of Register's OffICe
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purpo~ sta ed within on this / q~(jay
of U e-r-- 3(OD' I .
~ZL
Notary Public I
My Commission Expires: -;)1 a. 0..0<U
(Signature and Seal of No ENNSYLVANIA
administer oaths. Show <fa of expiration of.......a.lnission.)
KIm R. 0e/t8r. Notary NIle
laMIr Pa*n Twp., t:Jaupt*l Cou1ty
~OOnJl'1ll8lOn ElIp/I'aI J4iy 12, 2011
MtmMr. Pennaylvanla Assoclatlon cf NotII'Iel
.',
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Form RW-06 rev. 10.13.06