HomeMy WebLinkAbout01-0788
I
PETITION FOR PROBATE and GRANT OF LETTERS
;:::t:n"!wfoJ/t..~ftXtfT(f;:rn~:F'5; ~~. tR/-Oj- 9? R'
Register of Wills for the
, J?eceased. County of Cumberland in the
Social Security No. () 7t!'J ~ ~ 'l- 'f ,'71 h Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the executA: If....
in the last will of the above decedent, dated A () r<. \ L ~ 1:
and codicil(s) dated J
named
, 19-&-2~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
I
Decendent, then '
at
Except as follows, decedent did not marry, was not divorc tI and did not have a child om or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
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Decendent 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:
$ '-~ 6JtJ(j
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters 'f'elSt~tary
(testamentary; administration c.La.; administration d.b.n.c.La.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF Cunberland
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 represen-
tative(s) of the above decedent petitioner(s) will well d truly admin' e state ,according to law.
Mary
/~- ;;- //
No. 21-01-?RR
Estate of
Ronald Alexander campisLa/k/a
Ronald A. Campisi
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW August 23rd, 3.-2llill in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated April 28.1 gr,?
described therein be admitted to probate and filed of record as the last will of
Ronald Alexander Campisi, a/k/a Ronald A. camoisi
and Letters Testamentary
are hereby granted to Eleanor Jean Campisi
~
Mary C. Lewis
FEES
Probate, Letters, Etc. .........
Short Certificates( 1) . . . . . . . . . .
Renunciation ................
x-Pages (1)
JCP
$ 25.00
$ 3 .00
$
$ 3.00
5.00
TOTAL _ $
. .August. 23rd. 20.01. . $ .36..00. . .
ATIORNEY (Sup. Ct. 1.D. No.)
ADDRESS
PHONE
Filed
MAILED LETI'ERS ._~ ORDER 'ID EXECUTRIX
LT' ('\"'..~(l<; '::,-'::V 0/~(.,
This is to certify that the information here given is correctly copied fro~ an original certificate of death dul~ filed with me as
Local Rt;gistrar. The original certificate will be forwarded to the State Vital Records Office for permanent fillOg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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7555675
.(~,...LLhLL ~ ~
Local Regl trar
Fee for this certificate, $2.00
No.
(J, r j 'I; JJ 00
Date
(
21-01-788
Hl05 144 Rev 1191
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
TYPEJPRINT
IN
PERMANENT
BLACK INK
...
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A
SEX
2. Male
STATE FILE NUMBER
SOCIAL SeCURITY NUMBER
O.tJE Of DEATH (~lfllt1, Oat. Yeal'
August 11, 2001
2 070-34-9516
UNDER 1 DIN
Hour. f.ilinul..
ORE OF BIRTH ~ATHPlACE (City and PLACE OF DEATH jCheck only ooe see in$ltUClions on other SIde)
jMonlh, Day, Year) Slate Of fOltl'l)r1 CounllY' HOSPITAL:
Inpa,ientD
7. ...
FACILITY NAME (11 nollnslilullon, gl\l8 511001 and number)
~~rtJ')O
RACE. American Indian, Black, Whi1e, acc
(Speedy)
10.Whi te
SURVIVING SPOUSE
(11 wile, give maiden namal
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17b. Count
CUmberland 17d.O :r.=~~::01
MOTHeR'S NAME (FIr$!, MidOIe, Maiden Surname)
II. Julia M Malrm:>li tti
INFORMANT'S MAILING AOORESS (&reel, CityfJOwn. Stale, Zip Code)
1206 Po'oderhorn Drive Mechanicsbur
PLACE OF DISPOSITION. Name of Cemetery, Clematory
or Other Place
cftylboro
21c.
23b. 23c:.
~ CASE REFERRED 10 MEqsAL EXAMINERlCORQNEA7
Ye.~
...
IApproxlmate
.lntetval between
! onaet IlJ!d dealh
i
NoD
LICENSE NUMBER
2 b. FU-011 667 L
23..
TIME OF DEATH P rx . DATE PRONOUNCED DEAD !Monlh. Day. Year)
24. 1:00 A.M 2.. August 11, 2001
27. PART I; Enter the dlMuea. Injulies Of comptications whicn caused Ihe dealn_ 00 not ent., the mode of dying, such 8S cardiac Of ,espifatory arrest, shock Of heart failure
LISt only one CauM 00 each 11118 .
PART II:
Other 5IgI1iticant conditions conlrlbullf\910 death, but
not resuKillQ in ItMI undertying cause gi\len in PART I
Occlusive Coronar
DUE 10 (OR AS A CONSEaUENCE OF):
Disease
IDDM
DUE 10 (OR AS A CONseOUENCE OF):
DUE TO (OR AS A CONSEQUENCE OF):
d
WERE AUTOPSY flNOtNGS
A\.M.tLA8lE PAJOR TO
COMPLETION Of CAUSE
OF DEATH?
Nalural
,l)(
o
o
Homicide
[J
[]
o
Coroner
MANNER Of DEATH
DATE OF INJURY
(Manlh. Day, 'iedf)
No J!l
"..0
No 0
Accldonl
Pending Investigalion
2... 21b.
CERTlFlEA (Check only one)
'CERTIfYING PHYStClAN (Ph)f5IC1aIl cerhfylflg causa 01 death when anolh8f phl'sician has pronounood death an(jt;Ofnpleled IltlfTl 23)
To the be.. of MW llno............ occurrad due 10 1M cauu(.~ and man..... .latfld. . . . . . . . . . . .
Suicide
20.
Coukl not be determined
.PRONOUNCING AND CERTlFYtNG PHYSICIAN (PhytilCian bolh pronouncing death and CtifttlYlflQ 10 C<WS6 ol duattl)
To d'Mt beat of Illy "......, dHth occurred at d'Mt UrN, dale, end plllee. end due to.... c:auM(e) and manMr.. ...ted.,
DATE SIGNED (Month, Day, ViI.U)
'c. "d. August 13, 2001
NAME AND AOOAESS OF PERSON WHO COMPLETED CAUSE OF DEATH
(ltem27IT>'P"o<prln'Michael L. Norris, Coroner
6375 Basehore Road, Suite #1
Mechanicsburg, Pa. 17050
-MEDICAL EXAlluteRJCORONER
On.... bull of .umlnellon.ndlor ....v..tJgetlon.ln my opInton, duth occurred al the lime, dat., .nd p1.c., aAd due to Uta c.u..(.) and
mannar ..atatlld..................................................................,....... ........................
31..
REGIS
VII 1;A.j iolJ
M.
LAST ~VILL AIm TESTA'illITT
of
21-01-788
~~.
~,
RONALD ALEXANDER CAMPISI
I~ RONALD ALEXANDER CAi<lPISI _" of ~614_ Em~.C~.Qn. Street.
I~aterto"n. Ne~ Yor~ , being of sound and disposing "in.nd memory, do hereby
make, pUbliSh, and declare this instru"I1ent to be my- Last '!':'b~' a.,'1.d Testament,
expressly revoking any and all former wills and codicils her-':::<o"ore made by me.
FIRST: I direct the payment of all my just debts, includin3 those of my
funeral and burial~ as soon after my death as is practicabls,
SECOND: I hereby declare that all property o'Nned ,j oint.ly by'll:.' wi fe
ELENIOR ,lEAN C>~r4PISI , and me at the ti"e of the death or either one
of us will have been so acquired with the int.ention of both of us that upon the
death of either one of us the survivor is to take all and I therefore give,
dev! se and beque ath all property of every des cri pt i on "''Oed by my ,'i f.li
E LE N10R J EArl CAl1P I S I an d me in .i oint wn e rshi p to my wife ,
fhEAN 0 R JEAN CArIP I S I . _, as the s urv! vi ng join t tenant, in fee simple.
THIRD: In and for
ELEANOR JEAN CAMPISI
ing my estate, in addition to
gi ve, devise and bequeath all
real, personal and mixed, now
acquire, wheresoever the same
tJEM CNIPIS I
me for not less than
consideration of the aid and assistance which my wife ~
~ has given to me during my lifetime in acquir_
the-raithfuI performance of her marital duties, I
the rest~ residue and remainder of my' property,
owned by me and that ,\.,hich I may hereinafter
may be si tuate ~ to ;ny' beloved I'd fe , EI FANm~
--~ in fee sirrrnle absolute $ prOvided -.She survives
thi rty davs,
F::LTRTH: I have purposel~t failed to :nakeorovision for our child now in
being, ,Inti for any child after born, because of my knOwledge and faith in my
I\d fe , love and affection for our chi 1 dren and because of my confidence
that she will provide adeqUately for the welfare for our children,
FIFTH:
.JEAN CAr1P I S I
Testament, and request that she
for the faithful performance of
I hereby nominate, constitute, and apnoint P.J;If wi fe , [I EANOR
, as -.executrix of this, my Last \..Jill and
not be required to furnish bond or 1l.'1dertaking
her duties,
SIXTH: In the event that my wi~e . " c8~OR JFA~ CA'WISr ,
should predecease me or if we should die simultaneously or under such circumstances
that it could not be determined legally which of us predeceased the other, or, if
my .,ife , ELEANOR JEAN ~l\'lPI:;r J should die within thirty
days of my death, then, and in that event only, I give, devise and bequeath to my
son now in being DAVID ALLEN CAMPISI
.--
and to any child after born, all the rest, residue. '.Dc r8"8inde,> nC m "rm'.rt".
real, personal, and mixed, now owned by me and that \'rhich I '1ay hereinafter
acquire, wheresoever the same may be situate, in fee simple absolute~ share 8~d
share alike, or to the survivor,
SEVENTH: In the event that the contingency enumerated in the SIXTH paragraph
should occur, or if my wife named in the FIF~H paragraph shall fail either
to serve or to qualify to serve as exeClJtri x _ or this, m.v Last Will and Testament.
then, and in that event only, I hereby nominate~ constitute, and appoint
~ brother-in_l w GARY T 0\ 0
Testament, and request that he
for the ~aithful performance of
9 as -.execlltor of this. my Last dill a..'1d
not be required to fUrnish bond or undertaking
hi s duties 0
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Page 1 of 2 Pages
EIGHTH: I hereby nominate, constitute and appoint my wife. ELE/\NOR
JEAN CAJIPISI as gUa.t'cUan of the
person and estate of my cnildren, whether presently in b$ing or aft~r born.
In the event she is unable to serve in this capacity, then, and in that event
only" I herehYii'Olllinlllte, constitute and appoint mv brother- in-l a~{. . GARY.
VITTuRIO, of Denville, New Jersey :
as guardian of the perscilinCi e'State of my children, whether presently in being
or after born, such guardianship as to anyone child to exist only during
minority.
NINTH: It is my express intention, and I hereby direct that anyone not
specifically montioned in this, my Last Will and Testament, shall be excluded
from any and all of the benefits to be derived hereunder.
TENTH: It is my express intention, and I hereby direct, that the provi-
sions made by me in this, my Last Will and Testament, shall take precedence in
the order written, and if any provision herein shall be declared invalid for
any reason whatsoever, such invalidity shall not affect the validity of any of
the remaining provisions herein.
IN WITNESS WHEREOF, I have hereunto set my hand and seal at Lon7 Reach. ,
California ,this 29 day of APrIL ,196Z, sIgn1ng my name
to each of the two pages hereof.
?~/2~.....-L.~ ~~;(SEAL)
At Lon'] Reach, Cal i forni a . on the day and year above specified, came
RmL~LD ALEXANDER CArlPTST -=.. the te~tator above namen, and declared
to us that the foregoing was ~ Last Will and Testament, and --b.a. thereupon
subscribed and sealed the same 1n our presence, and-we, in ~ presence, and
in the presence of each other. and at ~ request, subscribecr-our names
thereto as witnesses, and we hereby cert1fy that" at the time of the execution
herebf we believe the testatot:_ to be of sOWld and disposing mind and memory,
GEORGE W. POWELL, CDR, USN
31 No. Foote Avenue
Colorado Springs, Colorado
(Address)
d&~~r'
( Name ~
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Addres -(...
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Ad ress~
Page 2 of 2 Pages
REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that present and saw
the testat , sign the same and that signed as a witness at the
request of testat_ in h presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
Sworn to or affirmed and subscribed before
me this day of
19_
(Name)
(Address)
Register
(Name)
(Address)
21-01-788
REGISTER OF WILLS OF (]nnhPrl;:mH COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Eleanor J. Campi R i
~) a subscriber hereto, ~ being duly-qualified according to law, depose(s) and say(s) that
she is .. familiar with the signature of Ronald Alp-xflnnpr r;:lTT'f'; <:>i
a/k/a Ronald A. CamplSl codicil
testat~ of ~ the (will)
that
She
presented herewith and
codicil
believes the signature on the (will) is in the handwriting of
Ronald Alexander CampiRi, f1/k/;:l Rnn~ld A
.
to the best of h~, knowledge and belief.
Sworn to or affirmed and subscribed before A
$~~~~
Cempisi
2zte (Add"]:
. ~ j,/lt/}'?~~kJ ~/Af'
(Name) I
~L
t2, flEAS?)
(Address)
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C/5/
STATUS REPORT UNDER RULE 6.12
Name of Decedent: ~ tJl/JA LA R L;:;x fI/}}TIER-
Date of Death: ffLL11.1.b 1" j I ~ At) I
Will No.: !XI- CJ 1- '7 ~ rt
(! Am DI.J<j i
(. .
Admin. No.:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes fXJ No 0
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties
in interest? Yes 0 No 0
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk ofthe. Orphans' Court
and may be attached to this report.
Date: OJJfu J~. ClOo 3 c1.tA~ c:7 ~~LJ./)
TV Signature /
ELE; ANtilL :[. t.,,~mf;J'6 /
Name
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/d.CJIo E. auJJeJGhlJRI11 M.-
Address .
(Y7glflA NiCSI6LL R..fj I Pit-
//7- her 7-<?7" '3
Telephone No. (!..tLLL: 7/7-5'79- 7/75""
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Capacity: Ii:i Personal Representative
o Counsel for personal representative