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HomeMy WebLinkAbout11-27-07 Register of Wills of Cumberland County, Pennsylvania Estate of LUCY L. CSAJKA PETITION FOR GRANT OF LETTERS J../-{)7- /O~:u No. also known as , Deceased Social Security No. 174-20-5202 STEVEN M. CSAJKA (Peter A. Csaika died 7/23/2005) Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) GJ A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or Decedent, dated 10/8/1996 and codicil(s) dated named in the Last Will of the State relevant circumstances, e.g., renunciation, death of executor, ete Except as follows, Decedent did not marry, was not divorced and did not have a child bom or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: o B. Grant of Letters of Administration (c.I.a., d.b.n.e.l.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was surviv~ by the fOIl~ng spou8.fb (if any) and heirs: Co .....:::D 1J:i ;:': :0 Z ~Tl :-- Name Relationship ~~en~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at Golden Living Center, 770 Poplar Church Road, Camp Hill, PA 17011 (East Pennsboro Township) (list street, number and municipality) Decedent, then 83 years of age, died 3/17/2007 , _ . at Golden Living Center, Camp Hill. PA (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PAl All personal property ......................................... $ (if not domiciled in PAl Personal property in Pennsylvania .................... $ (If not domiciled in PAl Personal property in County .............................. $ Value of real estate in Pennsylvania ........................................................................................ $ Total ..................................................................................................................... $ 7,800.00 7 .800.00 Real Estate 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 approp" te form to the undersigned: Signature Typed or printed name and residence Steven M. Csa'ka 416 Bucke e Lane East Jacksonville FL 32259 RW-7 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Peliti er( s) and th~pers:al represenla. tive( s) of t~ Dece.~e.nt, Petitioner(s) will well and truly administer the estate a i g to la I (") g:o / <::: 0 -.J. f.g p~ Sworn to and affirmed and subscribed ,'-:0 :z., d +f~ Steven M. Csajka ..rr:cp <S~- b f h. 7rrr d f '"-~m N r~lm e ore me t IS ay 0 >':"<:"::12 -.I ':;0 0 ~O ~ ~~_<f)^ C:-JQ ~VI,~?8"" 0 -v "'~:'~...1 ~ . '- ) C II :x :;2 - ~-) :0 N' i"-'" ~ --t .. r- :0 ..- '"'r\ :::> w 'J~ ~ U DECREE OF REGISTER Estate of LUCY L. CSAJKA also known as !L1-/)7-J09~ , Deceased No. IT IS DECREED that Letters lXI Testamentary 0 of Administration (c_t.a., d.b.n_c.t.; pendente lite; durante absentia; durante rninoritate) are hereby granted to John M. Smith, ESQ. in the above estate and that the instrument(s), if any, dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters .................................... Short Certificate(s) ............... $ $ $ $ $ $ Inventory & Tax FQrms............. $ ~ Ac.d1Jrrattffk-:l....... $ Renunciation .......................... l\ftiEf8~t ( ) .W. U.I........... Extra Pages ( )............ .. Codicil .. ............................... JCP Fee ................................. TOTAL...... ...... ...... ...........$ RW-7A $}50V rOD w' J1wa ,jaHm.ft ~p}ff Register of Wills ~ i) a ~ J5,tX) Attorney 10. (j) Attorney: John M. Smith, ESQ. I.D. No: #19520 Address: 222 S. Market Street, Suite 201. PO Box 267 -aD .~. q I.eo Elizabethtown PA 17022 Telephone: (717)367-1370 DATE FILED: ~( v(~?- WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH L. Middte Social SecurityNd. Jan.12t19.24 a~::;;hey, ."PE;!nna. Birthplace Golgen LivingCEmter Cumberlahd Co. Facility Name County City~__BO!:ough or Township Occupation Widowed Decedenfs Mailing Address Stevenesajka . ""'" . ArmedForces? (Yes or No) 770 Poplar ChurchlIDad,Camp Hill, Pa. Informant Name and Address of Funeral Establishment BuseF .H., 145 N.GrantSt., PalmYra, Pa~ 17078 Interval Between Onset and Death Immediate Cause Sepsis (a) 0; ~i ') . .:::!:I!O , J r-- ...~~'m · "'::: c.q :J:2 ..., ^ jOo :38.-" ;--:::0; :oM..... . ?1i.' . Describe how injury occurred: (b) ProbablePneUlOOhia (d) Other SignificanFConditions Dysphagia, PJ;ofoundSDAT Manner of Death xx o o o o o Homicide Pending Investigation Could not be Determined P.O. Box I I I I I I " State ar:l. <:;::) -.. 5 .:::0 Ii: ::r-'o .. ~~. ':IJ '. ~2~~ 0')~ ..,., :Jt N .- .w' c.t) This is to certify that the information hef~ givenls.cQ~re~llycopied frolllan.origlnalcertificate of deathdtlly Hied with me a.sLocal Regisfrar-The odginalc~rtificatevyHLbe fOI'VI/'a;rdedtoitne State Vital.Records Officefot permanenfHlinW~~....~L.- ....38"...J57 L.0eB!_ Registrar:,{)f: VrtalAElCOr~ t>is(iicr:N*.. Date -Received by Local Registrar City, Borough, Township 1 59 N. ~ilXoad$t..Pal.1'nvx'a, Pa. 17078 March .,' 20 , 2007 Street Address " j. LAST WILL AND TESTAMENT o (-- ---0 (-=) ::::0 -. --0 'IIO _:~:~~g -'U)^ 00 C;O', (-)C : :::0 ::-0-1 > ,...., c:::s c:::s -.I :z::: o < N -J -0 ::x ~ ,",:.;: ~. -..:.... ;.:,;::: ~ (- C/') OF LUCY L. CSAJKA w w I, LUCY L. CSAJKA, of Dauphin County, Pennsylvania, being of -iJ sound and disposing mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking and making void any and all prior Wills, Codicils, writings thereto, by me at any time heretofore made. ITEM I. I direct that the paYment of my debts and the expenses of my last illness and funeral shall be paid from my estate as an administrative expense as soon after my death as conveniently may be done. I direct that, if possible, I be interred in the Indiantown Gap Military Cemetery, Indiantown Gap, Pennsylvania. Otherwise, I authorize my Executor to make the decision to purchase a cemetery plot in a suitable cemetery with a contract for perpetual care, using therefor, funds from my estate in such amount as my Executor shall consider necessary and desirable, and I authorize my Executor to cause title to, or ownership of, such plot so purchased to be vested in such person as my Executor shall designate. Further, in this connection, I authorize my Executor to expend funds from my estate in such amount as my Executor shall consider necessary and desirable for the purchase, erection and inscription for a suitable marker for my grave. ITEM II. I hereby give, devise and bequeath all the rest, residue and remainder of my estate, realty, personalty and mixed, ~ )': (! ~ (SEAL) LUCY CSAJKA . Page 1 of 6 Pages. II " wheresoever situate, to my husband, PETER A. CSA3KA, provided that he is living on the thirtieth (30th) day after the date of my death. ITEM III. In the event that my husband, PETER A. CSA3KA, does not survive me by said period of thirty (30) days, then I specifically give, devise and bequeath all the rest, residue and remainder of my estate to my son, STEVEN M. CSA3KA, provided that he is living on the thirtieth (30th) day after the date of my death. ITEM IV. In the event that my son, STEVEN M. CSA3KA, does not survive me by said period of thirty (30) days, then I specifically give, devise and bequeath all the rest, residue and remainder of my estate to my granddaughter, AMY MARIE WILLIAMS. ITEM V. In addition to powers given to him by law, my Executor and his successor shall have the following powers, applicable to all property held by them, effective without court Order and until actual distribution: (a) To retain any property received by them, including the stock of any corporate fiduciary acting hereunder; (b) To sell real estate for any purpose, publicly or privately, for such prices and on such terms as they deem proper without liability on the purchasers to see to application of the purchase moneys; (c) To compromise controversies; (d) To distribute in cash or kind or both at such valuations as they may fix. ITEM VI. All taxes, interest and penalties thereon payable by reason of my death with respect to property comprising my ~~ X. L?~h.v (SEAL) LUCY L1 CSA3KA c1 Page 2 of 6 Pages. " gross taxable estate, whether or not passing under this Will, shall be paid from the principal of my residuary estate. ITEM VII. I nominate, constitute and appoint my husband, PETER A. CSAJKA, Executor of this my Last Will and Testament. Should my husband, PETER A. CSAJKA, predecease me or, for any reason fail to qualify as such Executor or, having qualified, fail to serve as such Executor, I nominate, constitute and appoint my son, STEVEN M. CSAJKA, as his alternate Executor. Should my son, STEVEN M. CSAJKA, presecease me or, for any reason fail to qualify as such Executor or, having qualified, fail to serve as such Executor, I nominate, constitute and appoint my granddaughter, AMY MARIE WILLIAMS, as his alternate Executrix. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will and Testament, consisting of this and two (2) other pages at the end of which I have also set my hand and affixed my <;?A seal for greater security and better identification this Odr:b~R day of , A.D. 1996. t:/1::jsz.- . C~ (SEAL) Page 3 of 6 Pages. 11 Ii. We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of us who, at her request and in her presence, and in the presenc of each other, have hereunto set our hands and seals the day and year above written, and certify that at the time of execution thereof, said Testatrix was of sound and disposing mind, memory and understanding. Page 4 of 6 Pages. ~ Residing at fk(?~PA Residing at~wiSbJ 'A , " IJ " ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA) ) ss: COUNTY OF DAUPHIN ) I, LUCY L. CSAJKA, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by g-~ day of LUCY L. CSAJKA, the Testatrix, this od:o~\Q ~ , 1996. II ~~ " eA1~J.,-d!___ LUCY L if CSAJ~A a 7j;;k~ of. fir.e/?S NOTARY PUBLIC NOTARIAL SEAL VICKI L PETERS. Notary PublIc Derry Twp.. Dauphin Coun\y MY COmmisSiOn ExDire.s ...0,1114. 1997 Page 5 of 6 Pages. " . . AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA) ) ss: COUNTY OF DAUPHIN ) We, R. ERIC PIERCE and -Mtb'NtM-M. ~.po.L . the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that LUCY L. CSAJKA signed willingly and that LUCY L. CSAJKA executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound min and under no constraint or undue influence. Sworn or affirmed to and subscribed to before PIERCE and -1J..d/Ndl- M. A\~4--Witnesses, this () C*O~(J R \. , 1996. me by R. ERIC g~ day of '7J:ek~ ~ &as NOTARY PUBLIC NOTARIAL SEAL VICKI L PETERS. No1ary Public Deny Twp., Dauphin County Commission Ex' A '114.. 1997 Page 6 of 6 Pages.