HomeMy WebLinkAbout12-19-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of JEANNETTE E. LUSTICK
also known as
File Number
ca\ <J,
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, Deceased
Social Security Number 175-22-8694
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTOR
last WilI of the Decedent dated SEPTEMBER 26, 1994 and codicil(s) dated
named in the
RICI-IARD T. LUSTlCK DIED ON AUGUST 4. 1997
(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:
r--.)
o B. Grant of Letters of Administration 0 e i5
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia: dur:::ie~oritate) c:;
1-]
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spoUSe Utany) ~ heirs:
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.):~.; :~<1 ~
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Name
Relationship
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at
33 GARLAND COURT. S. MIDDLETON TOWNSHIP. CARLISLE. PENNSYLVANIA 17013
(List street address, townlcity, township, county, state, zip code)
Decedent, then 80 years of age, died on DECEMBER 12,2007
CARLISLE. PENNSYLVANIA 17013
at 33 GARLAND COURT, S. MIDDLETON TOWNSHIP,
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
30,000.00
$
$
$
$
150,000.00
situated as follows: 33 GARLAND COURT, S. MIDDLETON TOWNSHIP, CARLISLE, PENNSYLVANIA
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
RICHARD R. LUSTICK, 231 SNOWMASS DRIVE, LIVERMORE, CO 80536
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or 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 affmned and subscribed
before me the \ '1. day of
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Signature of Personal Representative ~7 ,T
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Signature of Personal Representative
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File Number:
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Estate of JEANNETTE E. LUSTICK
, Deceased
Social Security Number: 175-22-8694
Date of Death: DECEMBER 12, 2007
AND NOW, ~~\'\ \ C\ , ~, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to RICHARD R. LUSTICK
in the above estate
and that the instrument(s) dated SEPTEMBER 26, 1994
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ~ ~'=\H\.Ok. bfu)'r-rt~
Letters ............... $ 260.00 Register OfWills~8'~
Short Certificate(s) . . . . . . . . $ 4.00 Attorney Signature: "~J:J . dk-
Renunciation(s) .......... $ /
10.00 Attorney Name: ROGERQ1', ESQUIRE
JCP ... $
AUTOMATION FEE ... $ 5.00
WILL . . . $ 15.00
.. . $
... $
...$
... $
... $
.. . $
TOTAL .............. $
Supreme Court I.D. No.: 6282
Address:
60 WEST POMFRET STREET
CARLISLE, PA 17013
Telephone:
(717) 249-2353
294.00
Form RW-02 rev. 10.13.06
Page 2 of2
I-n05_~O_'i REV 101/071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
This is to certify that the information here given
correctly copied from an original Certificate of Deal
duly filed with me as Local Registrar. The origin:
certificate will be forwarded to the State Vi!;
Records Office for permanent filing.
Fee for this certificate. $6.00
P 13888594
Certification Number
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H105-143 REV 1112006
1YPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
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1. Namool_(FiIst.-......sulllxl
S.Age(laatBlrll1day)
Jeannette E. Lustick
'._01 """'(""""". day,
1. 1llIlhpIace (
estmoreland
DOlI1et.SpeclIy.
10. Race: American Irdan, Black, While, etc.
(Sped/}1 Whi te
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eb. County 01 Doalh
8d. Facilly Name (II not instiluIIon, ~ street and number)
33 Garland Court
Sa. Place of Death Check only one
-:
DII'jllI..... DEA/OuIpatIenI DOOA DNurslt1gHorre 1iI_"",
9. W.. Oocodont 01_ QfIg\n' (! No D Y..
(U yes, _ Cuban.
Mexican, Puerto Rlcan. ele.)
13. Decedent's EWcation (Specify only h9test grade completed) 14. Maril.al Status: Married, Never Mamtd, 15. Surviving Spouse (" wile, give maiden name)
Elemenlary I Secondary (0-12) College (1-4 or 5+1 Widowed. DiYotced (SpecIfy)
12 Widowed
80
Nov. 26, 1927
VIS.
11. Oecederts Usual Km oIwo1k dDfle
Bakeryoll)';;pt.
life. Do not stale
G ia":i't "Focicl""eo .
12. Wu Decedent ever in the
U.S. Armed Forces?
D'fes IilNo
Decedenr.
AcIuaIResIdence 17a.Slate
17e.1!] Yes,OecedlIntl.lv8dln
17d.O No._lNed_
ActuaIUmilsof
Middleton
PA
. ,"._.M"""'Addl8llsI~c/lyI_."Ie,zIp_)
33 Garland Ct.
Carlisle, PA 17013
Did_
live in a
TOWf'ISI'Wp?
'7b. eo..rty
Cumberland
1a Father's N5ne IFni:, middle, lest, sufIIx)
19. t-tother's Name (First, middle, maiden surname)
Robert C. Todd
Jeannette E. Klick
2lIl>2'3'ing~~~~~?I:-t!v~rJiiore, CO 80536
208. Informant's Name (Type I Print)
Richard R. Lustick
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Part U: Enlerotherslmilicanlcordlionsr.ontrh6wllodMlh
lMJ1oo1resU1ilglnlheunderlyilo"""~InPartl.
TWp.
CRy/Born
21a.M8thocIoIDisposidon
21c. Place ofOisposition (Name 01 cemel8ry,crematory Of other place)
Cumberland Valley Memorial
22C.NamoandAdd<essolFadNly Hoffman Roth Funera
219 N. Hanover St., Carlisle, pA 1
~
nc.
230. Gale Slgrod {""""". day. ym)
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26. Was Case Referred 10 MlKIaII ExlllTllner I Coroner for a Reason Ottlef' than Cremation or Donatloo?
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28.DId_Use~IODoalh?
D v.. OP-
ONe 0-
29./f Female:
o NaI__pestyoa'
Dp_"llmeol_
o NoI_~.IMJ1_wilhin42days
ol_
D NaI_.IMJ1_43.."IO',..,
...........
O_,__lhepest""
32c.=~ :."is;;j -. Facto<y,
32g.l.o<:otiooollnjoHy{......c/ly/_...I8)
CAUSE OF DEATH (See IraetrucrtIon. end exampfes)
IIomV. Part I: Erurlherlilllu1!.moll-_ ~,"'_-Iha1<hc/lycauoedlhe_. 00 NOT_Ie""" """">UCI1..canIac.....,
_'""""'___"-lhe_.Ustor/y........._.....
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Due to (or as a consequence 01):
=~~=l~ ..
,-_:
I Onset to Death
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,
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~iIl_Uany,
kl CIllII8.lsledonlnea.
_ .-m.YING CAUSE
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b.
Du810 (or as a consequence 01):
Due to (or as a consequence 01):
d.
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15
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3Oa.Wa&anAtiOpey
-
3lt>.__Frongs
AvaIablePriorIll~
of Calae rA Death?
31. Manner 01 Death
~- D-
O- op_,_
0_ OCooldNalbeDel8nnined
:J2I.UT_tion"joHy(SpoQ/y)
O~/Opo- 0_ 0-
M. ~.~
33a.CertiIiorlcheckanly...) 33b.Sig>afuno n
. Cen__Ion(PIlysmICO<IiIyjng.....oI___p/1yBIcian...pIOllllIMOd_""'~"""23) ~
To"" bNtot my krloWfedta, deIIt'I occurred due to the caull(a)tnd II'IInneI'lI sIIItd......................................................................... t4
. _"""'COl1Ifyfngp/lylldlll(PIlysmI baIh """"""*'t_and COItiIjiIg 10 cause 01 daalhl 33o.I.IcenM""",",
. ==:.=.__Il..__...pIace,.......,o.._.,""'man""'....I8d.._______________~- 0 MD 0-05 'ii' 7J.-6
On the IMsIs of examllllUon and I or Invest\gItion, In my opinion, delth occurred at the time,. dalt, and ptece, and due to the cause($} and manner at stated.- 0
Dves ~ No
Ov.. ONo
32d..TIMa(~
:~~
34. Name and Address of Person Who Completed Cause of Death (llem 27) Type I rin!
003 N.~c..l-h.~~ ~ ~ I!oU~ S'pr-<n'f' FA J'UJvf)
Michael Daniels M.D.
Disposition Permit No.
()O'l'1 +9iP
LAST WILL AND TESTAMENT
I, JEANNETTE E. LUSTICK, of the Borough of Carlisle, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon
as may be done conveniently after my decease.
2. I authorize and empower my executor to sell any realty owned by me at my death and
not specifically devised herein, at either public or private sale, and to give good and sufficient
deeds therefor, in fee simple, as I could do ifliving.
3. I devise and bequeath all of my estate of every nature and wherever situate to my
husband, Richard T. Lustick; providing he shall survive me by sixty days.
4. Should the gift in Paragraph No.3 not take effect, I devise and bequeath all of my
estate of every nature and wherever situate to my son, Richard R. Lustick, and if he is not living
at the time of my death, to his son, Chase S. Lustick.
5. I nominate and appoint Richard T. Lustick to be the executor of this my Last Will and
Testament; he is to serve as such without bond. Should he die before my death, renounce or
refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and
appoint Richard R. Lustick, as substitute executor, also to serve as such without bond, with the
same powers as are given herein to my executor.
6. I hereby suggest that my perso~ representative retain the services of Irwin, McKnight
v\.... " :'\":.'11'>
--_t,/J
65 :6 j,1V 61 J]O tGOZ
& Hughes, as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this "ttJ' day of
September, 1994.
EAL)
Signed, sealed, published and declared by JEANNETTE E. LUSTIeK, the above named
testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, in her
presence and in the presence of each other have subscribed our names as witnesses hereto.
2
ACKNOWLEDGMENT AND AFFIDA VIT
WE, JEANNETTE E. LUSTICK, BETZI A. MORRISON and CHERYL L.
CLELAND, the testatrix and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and
that she executed it as her free and voluntary act for the purpose herein expressed, and that each
of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that
to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of
sound mind and under no constraint or undue infl enc ,
E ZIA. M SON
r~/ r%~%./.
RYL L. CLELAND
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by JEANNETTE E. LUSTICK, the
testatrix herein and subscribed and sworn to before me by BETZI A. MORRISON and
CHERYL L. CLELAND, witnesses this 2-b'day of September, 1994.
~.cL,
o ary Public
',./ Notarial Seal
RocierB.lrwin, Notary~_
C8I1Isfe Boro, euinberland VUY' "1
My CommisSion Expires Oct 3, 1998
ember, Pennsylvania Assef;iaIien of Notaries