HomeMy WebLinkAbout12-21-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Estate of V \,J c ( .....rr
also known as
c~r~Al..o
File Number c9 J -01-//6 V;
, Deceased
Social Security Number 7 I ~ - 0 ~ -4 , :17
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
1il A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / 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:
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minori/ate)
,..""
Petitioner(s) after a proper search has / have ascertained that Decedent left no WilI and was survived by the following spOifse (if any) arfiLeirs:
Administration, c.t.a. or db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) S <33 ~
i '-r)
Name
Relationshi
( .
. /
3:
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~.--;
Decedent was domiciled at death in C uM ~f f?.!..A,,<J P County, Pennsylvania with his / her last principal residence at
\<.v;.JSO.# \2.QA~. C/J.yY1f' t../UL.. P~. /701/
(List street address, town/city, township, county, state, zip code)
w
~O~
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Decedent, then 9 " years of age, died on
IG>. /13/07
at
b:~O ~,p1.
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:
~ Ok
f(u.LI.r~.IV ~2 0/.1 D j C AW7 f HI Vc.. /'/1.
$ 7~ 00 D
$
$
$ /00) 00 n
l/()/ /
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
707 \)
Form RW-02 rev. 10./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
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
')!8T
before me the ~~'-_ day of
x
~JA..'
~f,)
_,c?-{){)l
(JQ L.,.i ~
FOl"-theRegister I
Signature of Personal Representative
Signature of Personal Representative
File Number: -21-0"- i IS-to
Estate of V I nc...e..n*-. C' Q~C~ ro
, Deceased
Social Security Number: 115 -6'3 - Y Ie"" Date of Death: I 0\
AND NOW ,~( 0 ~ d.-.\ , ~ ~(~ -, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to 'k. ~
in the above estate
and that the instrument(s) dated "Sa l-j '6-' ~
described in the Petition be admitted to probate and filed ofrecord as the last Will (and Codicil(s)) fDecedent.
\ 1,) \..- 1.-. '.
FEES t.l.,r- ~. .
Register 0 Wills
Letters ............... $.at.oD ' 00
Short Certificate(s) . . . . . . . . $ 40 .OJ
Renunciation(s) .......... $
\).:y~\ \ .. . $ \S-, 60
~CP ... $ lO,~
Cu.0""'~ \ j){'.. ... $ 5, ob
... $
... $
... $
... $
... $
... $
TOTAL .............. $~~.~
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-02 rev, 10.13.06
Page 2 of2
Hl0:;.R()) r~EV (OIf(l';')
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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.
Fee for this certificate, $6.00
P 14124561
HI05-143 REV 11;20C10
nPE ! PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
1".;)
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:2
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N
STATE FilE NUMBER
Sa. Place of Death (Check one)
Ho...."
o "'.'''~"' 0 EA I au.....,. 0 DOA 0 Nursing Home IXI A."",,",. DOt", . Speoly
9.Was_oI"spanlcOtigin? Ill! No 0 Ves
In yes, speedy Cuban,
Mexican, Puerto Rican, etc.)
14. Marital &au: Married, Never Matried,
-. DNo<,"" ISpeclIjj
o
w
'"
"
~
~
[Jv" ONo
31.~rotO(;alh
;zr Ndlufal 0 HomICide
o Accident 0 Pending In~esh9atlOO
o SUIcide 0 Could Nul be Deteunined
28. Did Tobac:ro Use Coollibutelo Oealh1
Dyes OP,_
o No 0 UnMowo
29 II Female
o Nolpregnantlio'tU'wnpaSlyear
o Pregoanl allime of death
o No! prepnl, but plegnant Mltuo 42 days
olooalh
o Not prll(jOMll. but pl"egoan143 days to 1 year
_......
o Unknown II pregnanl wilhln Ih6 past year
32c_ Place 01 "'IWY: Home, farm. Street. Faclot)',
OtticeBuiking,llk:(Spocify)
~~A~~~~~)dIse~
Sequen~ 1Is1 condItlOflS, II any,
t:t:~':;~AU~1a
~~~e~~~lI\~'at~t1~r.e
Due 10 (or as a consequence of):
d.
30a Was an Autopsy
Perlormlld?
n_ Were Aulopsy Findings
A~aijabllJ Prior to Complelion
01 Cause of Dl!ath?
o v" p{.o
32d. Tme oIlnjUlY
32\1.locallonof Injury IStree(,cityltov.-n, slalel
M
7
J3a C<:l1lfllll (check only ooe)
Certifying phy~itjlln (Ph)':>lcHin cMltYIOY C,iUse 01 aealh v.l"ten another pt'I'Skldn has pronounced death dud completed lIam 23)
To the beil 01 my !lnawleQge:, death QUurred dlH! lathe C1IlHf" and manner all a&lllted.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
;~~:u:~~:,a~ :Z=h::a~~~~~~~I:rtl r:hll~:~:~~:n:n~t;ll:c:~~~~~~~;~ol~::~::~::~ ffial1flltf IS .&aleL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0
Uedicill Euminer I Coroner
On the bali. of euminalioo and I or imesUgalian, in my opinion. death octurred althe time date, and piau, and due 10 the cauw(.) aRcl mannet aa slated_ 0
:pv
~
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L~III~lllal
0>>"'50'''" P"m,' No () () In r1 ~ i 9
W-9
l.a~t 'Will anb <<tltamtnt
KNOW ALL MEN BY THESE PRESENTS: That I,
V IN CEtJT
CASSARO
of the City/Town of C AMP
14\ LL
, County of C U H B C..;R LA tJ D
and State of P E tV t\l ~ '( LV AN I A , being of sound and disposing mind and memory, do make,
publish and declare the following to be my LAST WILL AND TESTAMENT, hereby revoking all Wills by me
at any time heretofore made.
FIRST: I direct my Executrix, hereinafter named, to pay all my funeral expenses, administration expenses
of my estate, including inheritance and succession taxes, state .or federal, which may be occasioned by the passage
of or succession to any interest in my estate under the terms of this instrument, and all my just debts, excepting
mortgage notes secured by mortgages upon real estate.
SECOND: All the rest, residue and remainder of my estate, both real and personal, of whatsoever kind or
character, and wheresoever situated, I give, devise and bequeath to my beloved wife:
, to be hers absolutely and forever.
r--:l
() 25
THIRD: If my said wife does not survive me, then I give, devise and bequeath such rest, resi~~nd rem~der
of my estate to my beloved children, natural or adopted, in equal shares, per stirpes, to be theirs ab~91~4~y a~for- '.
ever; provided, t\1at the share of any child of mine who has died leaving no issue shall be divided among1iW suJNiwing;- .
children in equal shares, per stirpes. '- - ;:. - .
SYLVIA
A
CASSAR.O
FOURTH: If my beloved wife does not survive me, I hereby appoint
:r-....
-L..
I
~. ;=~
Name
l'l (') M I N 0 (2.
c \4 I L D (2.E N
;9.
w
CA
Address
Number Street
as guardian of such of my children as shall then be minors.
City
State
FIFTH: I hereby appoint my wife, :SYLYIA A. CASSAe.o
LAST WILL AND TEST AMENT. If she does not survive me, then I appoint
, as Executrix of this my
Name
JosEPH
CA SS^~O
Address
1
I<lcH lAND
L A ~& CAlYf PHI LL PE~.Jl.JS'iL VAN IA
Street City Stllte' .
I direct that no Executor/Executrix serving hereunder s~ll ,~e r,~,!q~~c to
-.. . ~i:~\.;'
~f . .
Number
as Executor/Executrix of my estate.
post bond.
this
1.3
day of
C.C. Ai B
_ Ju t.. Y 19.z%.
~
(';1" here) ~~ ~~$V)
60 nk
/
N.A.
IN WITNESS WHEREOF, I have hereunto set my hand and seal at
L.S.
1
Signed, sealed, published and declared to be his LAST WILL AND TESTAMENT by the within named
Testator in the preselttc of us, who in his presence and at his request, and in the presence of each other, have here-
unto subscribed our names as witnesses:
(1)
~ ~V'd CVV\ <^J6 k
F=;~ ~ 1..-\ C 'E? 5" ( ,C~-W- t.-'-'. ~(.-
.
of
L e Vv--. o~ v" e rr 6,
City State
C b-vnf" +J- ; tl r ~.,
Cit State
1\, ed~ [cs b {AV~Pd-,
City State
(2)
of
(3)
P- e~ec c b'~' t='e1A.~+eVVVl ~~ 6'Vof
AFFlDA VIT
STATE OF
rpec''''<;~(Vbi--; b--
{Z 4 VvI ~ e-v I dvv-J.
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ss:Jo Y 0 vt5[
(
Jf
C~.!5 -{,4,; /A
u
COUNTY OF
Personally appeared (l)~ C1r(1 ~v V\ ~() L.o--
r:=:, ~c t'S t:, C o-.((!v,-,,, ~ and (3) 12 e0ecc.~ 57
(2)
~(" s f (}y' """- ~ cl\,~o/
who being duly sworn, depose and say that they attested the said Will and they subscribed the same at the request
and in the presence of the said Testator and in the presence of each other, and the said Testator signed said Will in
their presence and acknowledged that he had signed said Will and declared the same to be his LAST WILL AND
TEST AMENT, and deponents further state that at the time of the execution of said Will the said Testator appeared
to be of lawful age and sound mind and memory and there was no evidence of undue influence. The deponents make
this affidavit at the request of the Testator.
LzI
~J "/J'
(I) ,7'/ ?/~;rC ~...~
(2) ;..) /(. -?--<-=-Y' .' C~_.~
(3),~{>J.4/ L~v Z-;i'-;7,~'cA'?'L/
Subscribed and sworn to before me this
\s~
day oL~_~J~__19~_f
~7':;Pu2' SA-T~
flM!CY G. SANGER. NOTARY Pur,uc
CAMP HILL DORU, CU~1OERl AND COUNTY
MY COMMISSIU,l EXPI RES MAR. 21, 1931
Member. Pennsylvania Association of Notaries
::or
2