HomeMy WebLinkAbout02-21-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of. Michael Potochney
also known as
File Number
'J. \
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, Deceased
Social Security Number 170-12-4717
Lorraine S. Potochney-Kobold
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix
last Will of the Decedent dated September 11,2006 and codicil(s) dated
named in the
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(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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Except as follows. Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of.theinstrument(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
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(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritGie)
Petitioner(s) after a proper search has / 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 of Will in Section A above and complete list of heirs.)
c=
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
819 Linwood Street. New Cumberland. Cumberland County. Pennsylvania 17070
(List street address, town/city, township, county, state, zip code)
Decedent, then 92 years of age, died on February 9, 2008
Township. Dauphin County. Pennsylvania
at Carolyn Croxton Slane Hospice Residence, Susquehanna
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 PA) Personal property in County
Value of real estate in Pennsylvania
100,000.00
$
$
$
$
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 appropriate form to
the undersigned:
c
T ed or rinted name and residence
Lorraine S, Potochney-Kobold, 819 Linwood Street, New Cumberland, PA 17070
(I) lli,.L.-t...{
Form RW-02 rev. /0./3.06
Page 10f2
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 know ledge and belief of Petitioner( s) and that, as personal representative( s) of the Decedent, Petitioner( s) will well and truly
administer the estate according to law.
before me the
~
Signature of Personal Representative
Signature of Personal Representative
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File Number:
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Estate of Michael Potochney
, Deceased
Social Security Date of Death: February 9, 2008
AND NOW, , o.:zJ06, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS D REED that Letters TESTAMENTARY
are hereby granted to LORRAINE S. POTOCHNEY-KOBOLD
in the above estate
and that the instrument( s) dated September 11, 2006
described in the Petition be admitted to probate and filed of re
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Attorney Signature:
FEES
Letters
$ J/o. Db
~.oo
Short Certificate(s) . . . . . . . . $
Renunciation(s) ..,....... $
tl.J;f I $
~D ~
$
$
$
$
$
$
TOTAL.. . ... .. .. .. .. $ e:Lf.JlO ~
Attorney Name:
Supreme Court LD. No.: 76327
Address:
4431 North Front Street, Third Floor
Harrisburg, P A 17110
Telephone:
717-234-2401
Form RW-o.2 rev. /0. /3.0.6
Page 2 of2
H105.805 REV 101/07,
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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
a::~ 1J;~~g.
(f FtfR 1 I Z008
Local Registrar Date Issued
P 14121880
. ":---
, REV 11 f2OO6
I PRINT IN
MANENT
ICK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
819 Lin~)od Street
New Cumberland, PA 17070
18. Father's Name (Flrst. middle, lasl, suffix)
Micha,el Potochney
12. Was Decadent ever in the
U.S. Armed Forces?
IXlv" ONo
Decedenfs
ActuaJ Residence 17 a. Stale
17b. County
STATE FILE NUMBER
12
4717
2008
1. Name 01 Decedent (First. middle. last, suffix)
5. Age (Last Birthday)
6. Date 01 Birth (Month, da , year)
92
v...
April 2, 1915
Freeland, PA
Other:
o Nursing Home 0 Residence
9. Was Decedent of Hispanic Origin" (E No 0 Yes
111 yes, specify Cuban.
Mexican, Puerto Rican, etc.)
14. Marital Status: Married, Never Married,
W~owed, Divorced (specifyj
Widowed
osp ce
~Oth.r. SpllCii-,Residence
10. Race: American Il'Idian, Black, While, etc
(Specifyj
8b. County of Death
Dauphin
ad. Facility Name (If not institution, give street and number)
Susquehanna Twp. Carolyn Croxton Slane
Hos ice Residence
Pennsylvania
Cumberland
17c. 0 Yes, Decedent Lived in
17d.1XI :;u~=t~lNedWdhin New Cumberland
white
Twp.
City/Boro
208. Informant's Name (Type I Print)
Lorraine S.
-Kobold
19. Mother's Name (Rrst, midde, maiden surname)
Ellie Schugar
20b. Informanfs Mailing Address (Street, clty I town, state, zip code)
819 Linwood Street, New Cumberland, PA 17070
. ~
Comp 2 -coolywl>encernfying
physician is not available at timaol death to
certllycauseofdeath
2k Place of Disposition {Name of cemetery, crematory or other place)
Juniata Memorial Park
21d.location (City ftown, slate, zip COde}
Lewistown, PA 17044
Inc., P.O. Box 431, New Cumberland, PA 17070
Ov" ONO
31. Manner 01 Death
[E Natural 0 Homicide
o Accidenl 0 Pending Investipation
o Suicide 0 Could Not be Determined
Approximate interval: Part 11: Enter other siClliflcant conditions contributioo to death, 28. Did Tobacco Use Contribute to Death?
Onset 10 Death 001 not resulting 11llhe underlying cause gjy8n in Part I 0 Yes 0 Probably
o No 0 Unknown
29. If Female:
o Not pregnant within past year
o Pregnant at time 01 death
o Not pregnant, but pregnant within 42 days
of death
o Not pregnant, bul pregnant 43 days to 1 year
beloredeath
o Unknown if pregnant within the past year
32c. Place ollniury: Home, Farm, Street. ~actory,
Office Building, etc. (Specify)
R N ;;t;J.70
23b. license Number
Items 24-2B must be completed by person
. who pronoooces death.
25. Date ProoouncedOee<l (Month, day. year)
Fe...'o rt.\.ovr" 9
CAUSE OF DEATH (See Instructions and examples)
Item 27. Part 1: Enter the QbaiI:l.j;!l...iYmlli diseases. injuries, or compbfions - that directlyawsed ltle dellh. 00 NOT enter!erminal
respiratory arn~sl, or V$ntricutar fibrillation without showing the etiology. Ust only one cause on each 6ne.
IMMEDIATE CAUSE (Final di.....or ~. /' _ , , _ t7..__
condition resulling in death) _....... a. _ ~
Due to (or as a consequence :
~uen:l~is~~~.~ ~~;a. b
En~ UNDERLYING CAUSE Due to (or as a consequence 01):
=~=ryh'lU:~1r.mhe
~oo8
Due to (or as a consequence of):
d.
3Oa. Was an Autopsy
Performed?
3Ob. Were AutopSy FIndings
,f.vailaIMPrioflo~
01 Cause of Death?
o Yes 121 No
32.d. 1irne 01 Injury
32g. Location ot Injury (S1ree1. city / town, state)
M.
338. Certifier (Check only one)
Certifying physician (Physician cer1lfying cause o( deatll 'IitlQn 8f1Ofhef physician h8ti pronounced death and completed ttem 23)
To the bes1 of my \U1<Clwte6ge, death occurred due to the cause(s) and manner" stIted... _.. _ _.. _ _........... _ _.. _... _........ _.... _.... _...... 0
~:~CX:~~f~ =:J:a~~:d::~~; :~I=:n~;~~~:~n~ol~::~~~~ manner as staled_ _.. _.. _ .. _ _.. _ _.. _.. _ .. _ 0
~;:~~~::~~~:t: and ( or investigation, In my opInion, death occurred at the time, date. and place, and due to the cause(s) and manner as stated.. 0
35. Registrar'
~
1 021 II ...71 / II' I
DispoSition Permit No. C(jC( <.\ ()'1 '7
7078-1-5/Will/HDR/crm 9/1/06 11:48 AM
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LAST WILL AND TESTAMENT
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OF
MICHAELPOTOCHNEY
I, MICHAEL POTOCHNEY, presently of Cumberland County, Pennsylvania, declare
this to be my Last Will and Testament hereby revoking all Wills and Codicils previously made
by me.
MARIT AL STATUS
I declare that I am a widower.
CHILDREN
I have one (1) child, now living, whose name and date of birth are as follows:
LORRAINE S. POTOCHNEY-KOBOLD born August 11, 1956
All references in this Will to my child include only the child named above.
PERSONAL PROPERTY
ARTICLE I
I give all of my household furnishings and tangible personal property to my daughter,
LORRAINE S. POTOCHNEY-KOBOLD, presently of New Cumberland, Pennsylvania,
provided she survives me by thirty (30) days. Ifmy daughter, LORRAINE S. POTOCHNEY-
KOBOLD, fails to survive me by thirty (30) days, then I direct that all of my household
furnishings and tangible personal property be sold and the proceeds added to my residuary estate.
RESIDUE
ARTICLE II
I give the rest, residue and remainder of my estate to my daughter, LORRAINE S.
POTOCHNEY-KOBOLD, provided she survives me by thirty (30) days. Should my daughter,
LORRAINE S. POTOCHNEY-KOBOLD, fail to survive me by thirty (30) days, then the rest,
residue and remainder of my estate shall be divided and distributed as follows:
A. Fifty (50%) percent of my residuary estate to my daughter's husband,
KIRRK E. KOBOLD, presently of Pickering, Ontario, Canada, provided he survives me
by thirty (30) days. Should my daughter's husband, KIRRK E. KOBOLD, fail to
survive me by thirty (30) days, then I direct that his fifty (50%) percent share of my
residuary estate be divided and distributed equally between COLLEEN T. ALBRIGHT,
presently of Sunbury, Pennsylvania, per stirpes, and MICHAEL W. POTOCHNEY,
presently of Newark, Delaware, per stirpes. Should both COLLEEN T. ALBRIGHT
and MICHAEL W. POTOCHNEY predecease me and leave no surviving issue, then I
give this fifty (50%) percent share of my residuary estate to the SACRED HEART
ROMAN CATHOLIC CHURCH of Lewistown, Pennsylvania.
B. Twenty-five (25%) percent of my residuary estate to COLLEEN T.
ALBRIGHT, per stirpes, such that any issue shall represent and take their deceased
Page 2 of 9 Pages
parent's share. Should COLLEEN T. ALBRIGHT predecease me and leave no
surviving issue, then I give this twenty-five (25%) percent share of my residuary estate to
MICHAEL W. POTOCHNEY, per stirpes, such that any issue shaH represent and take
their deceased parent's share. Should MICHAEL W. POTOCHNEY predecease me and
leave no surviving issue, then I give this twenty-five (25%) percent share of my residuary
estate to the SACRED HEART ROMAN CATHOLIC CHURCH.
C. Twenty-five (25%) percent of my residuary estate to MICHAEL W.
POTOCHNEY, per stirpes, such that any issue shaH represent and take their deceased
parent's share. Should MICHAEL W. POTOCHNEY predecease me and leave no
surviving issue, then I give this twenty-five (25%) percent share of my residuary estate to
COLLEEN T. ALBRIGHT, per stirpes, such that any issue shaH represent and take
their deceased parent's share. Should COLLEEN T. ALBRIGHT predecease me and
leave no surviving issue, then I give this twenty-five (25%) percent share of my residuary
estate to the SACRED HEART ROMAN CATHOLIC CHURCH.
EXECUTRIX
ARTICLE III
A. Appointment. I appoint my daughter, LORRAINE S. POTOCHNEY-
KOBOLD, as the Executrix ofthis Will. In the event of her death, resignation,
renunciation or inability to act in that capacity, then I appoint my daughter's husband,
KIRRK E. KOBOLD, as the Executor ofthis WiH in her place and stead. lfmy
Page 3 of 9 Pages
daughter's husband, KIRRK E. KOBOLD, is unable or unwilling to serve in that
capacity, then I appoint MICHAEL W. POTOCHNEY as the Executor of this Will.
B. Bond. No bond or other security shall be required of any Executrix or
Executor appointed in this Will.
C. Compensation. The Executrix or Executor shall receive reasonable
compensation for her or his services performed as determined by the Court in which this
Will is admitted to probate.
EXECUTRIX POWERS
ARTICLE IV
I give my Executrix in addition to and not in limitation of the powers given by law or by
other provisions of this Will, the following powers with respect to settlement of my estate, to be
exercised from time to time in the discretion of my Executrix without further order or license of
the Register of Wills or of any Court:
A. Investments. To retain any property, pending distribution hereunder, to
invest in or purchase any property without restriction to legal investments for fiduciaries,
to compromise claims, and to sell any property at public or private sale;
B. Securities. To hold shares of stock or other securities in nominee
registration form, including that of a clearing corporation or depository, or in book entry
form or unregistered or in such other form as will pass by delivery;
Page 4 of 9 Pages
C. Lith~ation. To engage in litigation and compromise, arbitrate or abandon
claims;
D. Distributions. To make distributions in cash or in kind at current values,
or partly in each, allocating specific assets to particular distributees on a non-pro rata
basis, and for such purposes to make reasonable determinations of current values;
E. Tax Return. To make elections, decisions, concessions and settlements
in connection with all income, estate, inheritance, gift or other tax returns and the
payment of such taxes, without obligation to adjust the distributive share of income or
principal of any person affected thereby;
F. Loans. To payoff any loans I may have taken against life insurance
policies owned by me that remain unpaid at the time of my death;
G. Borrowin2 and Encumberin2. To borrow money from any person
including any fiduciary acting hereunder, and to mortgage or pledge any real or personal
property;
H. Property Mana2ement. To manage, control, repair and improve all
personal and real property;
I. Insurance. To procure and carry at the expense of the estate, insurance of
the kinds, forms and amounts deemed advisable by the Executrix to protect the estate and
the Executrix against any hazard;
J. Employment of Attorneys. Advisors and Other A2ents. To employ any
attorney, investment adviser, accountant, broker, tax specialist or any other agent deemed
Page 5 of 9 Pages
necessary in the discretion of the Executrix; and to pay from the estate reasonable
compensation for all services performed by any of them;
K. Business Operation. To conduct alone or with others any business in
which I am engaged or in which I have an interest at my death, with all the powers of any
owner with respect thereto, including the power to delegate discretionary duties to others,
to invest other property held hereunder in such business and to organize a partnership or
corporation to carryon such business;
L. General. To do all the acts, to take all the proceedings, and to exercise all
the rights, powers and privileges which an absolute owner of the property would have,
subject always to the discharge of her fiduciary obligations. The enumeration of certain
powers in this Will shall not limit the general or implied powers ofthe Executrix. The
Executrix shall have all additional powers that may now or hereafter be conferred on the
Executrix by law or that may be necessary to enable the Executrix to administer the
provisions of this Will, subject to any limitations specified in this Will.
NO ALIENATION
ARTICLE V
No interest of any beneficiary under this Will or any codicil hereto shall be subject to
anticipation or voluntary or involuntary alienation.
Page 6 of 9 Pages
NO CONTEST
ARTICLE VI
If any beneficiary or remainderman under this Will in any manner, directly or indirectly,
contests or attacks this Will or any of its provisions, any share or interest in my estate given to
that contesting beneficiary or remainderman under this Will is revoked and shall be disposed of
in the same manner provided herein as if that contesting beneficiary or remainderman had
predeceased me without issue.
LEGALITY OF ARTICLES
ARTICLE VII
If any provision of this Will or of any codicil thereto is held to be inoperative, invalid or
illegal, it is my intention that all of the remaining provisions thereof shall continue to be fully
operative and effective so far as it is possible and reasonable.
TAXES
ARTICLE VIII
All estate, inheritance and succession taxes, together with any interest and penalties
thereon, payable as a result of my death and imposed with respect to any property, whether or
not disposed of by this Will, shall be paid out of the residue of my estate.
Page 7 of 9 Pages
IN WITNESS WHEREOF, I have hereunto set my hand and seal and caused this my
Last Will and Testament, consisting of nine (9) typewritten pages, including this attestation
clause, to be executed, declared and published this I ' day of 5~
at River Chase Office Center, 4431 North Front Street, Harrisburg, Pennsylvania.
,2006,
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MICHAELPOTOCHNEY
(SEAL)
Signed, sealed, published and declared by the above named MICHAEL POTOCHNEY,
Testator, as and for his Last Will, in the presence of us and each of us, who, at his request and in
his presence and in the presence of each other, have hereunto subscribed our names as witnesses
thereto the day and year last above written.
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Residing at -1'1 CE-, e,\'?ttOV:. ~ 0 (L .
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Residing at <:-.:)lo (C"rJ-rb ( Df'
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Residing at \2L\o Fo~ HC1l \ow1<d.
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Page 8 of 9 Pages
COMMONWEALTH OF PENNSYLVANIA
: SS.
COUNTY OF DAUPHIN .
We, MICHAEL POTOCHNEY, the Testator, arJ/lJJ<;:'-Lu.:... ~-.. . .,--- ,
Chr",c!.N. rL H lOl andM .<::l->ele. L<:rurnper, the witnesses~'are
signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testator signed and executed the instrument as his Last Will; that
the Testator signed willingly and executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will
as a witness and that to the best of his or her knowledge the Testator was at that time eighteen
( J 8) years of age or older, of sound mind and under no constraint or undue influence.
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MICHAEL POTOCHNEY Witness .
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Witness / WIln ss
Subscribed, sworn to and acknowledged before me by MICHAEL POTOCHNEY, the
T estat~r, and subscribed and sworn to before me bctJ f ~~~'
, C ~,,~ I jl/ d.> 1 and _M ic\'}e\e. E ,;:ju.rnper -'. witnesses, this
l\~dayof ~~~~
Notarial Seal
Vicky L. Fitz, Notary Public
Susquehanna Twp., ~auphin County
My Commission Explfes Jan. 6, 2007
Member Ppn,',;vIVilnia Association of Notanes
Page 9 of 9 Pages