HomeMy WebLinkAbout03-13-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF t3wmbeiZ/AAJc/ COUNTY, PENNSYLVANIA
Estate of /I, 'e.~ LA .s /fJA tie i
also known as i,kAh~q-5 J./}(:';'())/I,,'S V!lJljt"p/
, Deceased
File Number d... \ t> '6 -to r;;~ ~
/?lA~~A ~ ~OO ~
;
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A / or 'B' BELOW:)
Social Security Number Jf(},:l. - .:(t) - .2 370
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated -1/^5 / ;).{j()() and codicil(s) dated
6.J...tecu...flJf(;:5
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 instl1lment(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: II It}
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; d~llte minoritate;'.'
~~
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following 9?ifu.se (if anyBfud heirs: (If '
Administration, c.t.a. or d.b.ll.c.t.a., enter date of Will ill Section A above and complete list afheirs.) ...'
Name
Relationship
Residenci;
G')
" ,I
-r-'
,.-
at
J/ lUlU ); IJ (J J.! 15{),!-,Q J,
. /
/-In; \ Iii
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
situated as follows:
'-35 GRAJ.ld UI€tU !JlJ~ )JUtE,
GrnD J!/)), ?f}
/
$
$ -
$
$ / pi.. 5. (J~t)
/7IJ I J
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:
Signature
Ty ed or rinted name and residence
Dd)6RAJt /Y),.,.,1'I eLl'. LJI1I7 Xi Jf.At/JJ)J DJ.., /)')/ick, fA /7/)5()
,Ju ~ v. ~a..~ t (" /3r_tJl,." J
II~. /7~
Form RW-02 reF. /0./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
SS
COUNTY OF
t \..Lx"", ~, \w-x:l
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tllle and conect to the best of
the knowledge 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.
(
Sworn to or affirmed and subscribed
before me the
File Number: d \ 0 ZS 0 8<6 ~
~ \ C "",,-0\0...::::' mO-~.x'" \
, Deceased
Estate of
Social Security Number: ~b ~ ~D 'd'"& ,t)
Date of Death: "'::A,\ 'is \b '3
" .
AND NOW, ffiarC/h \ Q ,dISD2>, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Ie'! ""
are hereby granted to ~ 't:::.c'{ O'-"~ 'i"\) \\IC).J,~'" , ~ '<-Pc:> o.-S 0...r\d
~\(")O- '('(\ ~O-\l\\<"""""'-:::s in the above estate
and that the instrument(s) dated . ~u,.\u ~ S dOC()
described in the Petition be admitted to probate and filed olreeord as the last Will (an
FEES
Letters .... .\~:$\.~.\:,) $ cllUO
Short Certificate(s) . . .'.C? . . $ '-\D Attol11ey Signature:
Renunciation(s) ......... . $
W\\\ $ \~ Attol11ey Name:
~C:-~ $ )D Supreme Court J.D. No.:
w\c $ $
.. . $ Address: W
.. . $ .-
...$ ~.....
$
$ Telephone: -....;
$
TOTAL ............. . $ 2:3DD (~
Forlll RW-02 rev. 10.13.06
Page2of2
H10.'i.XO.'i REV (Ol/07i
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificatc. $6.00
o
I
1 P.0,"'.",rgl""
. L!. >~~ U 1.1 J J
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filcd with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
Certification Number
Q
~"'~....)
i~"':"')
c.:.::)
t:I;J
~
:'0
JUN~ 9, Ii.fJ'f
ilA';:,Zis 6"tCGr ,
w
'05-143 REV 1112006
TYPE, PRINT IN
PERMANENT
BLAe K INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
:32
\, Nimt fJ 0ectdeN IFirst. 1llIOdIt, last. su/Ilx)
I c.. () J-A 5 frl/kl<"
5 Age (L.aII BII1noayl
78
6. Data of BlM (Momh, day. year)
7. &rttIpI.iee (City and stale or lor
17b. County
f/t
CU"'~~IZ.VlN.!>
1.. MantaI Stalus: Marned, Never Mamed,
W""'_, 0_ (Spec~
WI}).......... l>
o.a Oecedo..
Uvelr'la
Township?
DOh<. Soocdy
10.~"","!"",~.-._.",.
W /-1I're
IS. s...vw"" Soouoe I"..... gow -.......j
8I:l Couoty of Death
YAUN/~
&d. Fao~ty Name (If not 1I'lStltu1lOn.1JY1 SlrMl and number)
IIQl'lI Kind of worll. oooe dur most of Idl Do I'lOI stal. r.tiredl
Mdol_JlnOusby
C......v....t - oJ 1'.... ~N~IN.4a(i,.:,l.I
. 16. OeteOenrs MailIng AdOr8$S (Street, CIty IlOWn, $lile, W code)
,j"22$ W,w'"J "AuE, .al'r. j.>S
ME'III\Ni~Se..UU;" f".+ . i 7o:iS
18 Filhefs Name (Firil. rT\IOOIe.lUI, ~ltixl
ViNC~Nr i1'1A<.~i
HA~RI$ JR.G- iJo5P,'n+__
12. Was Decadent ever in the 13. Dec.ed8nt's Edocalion (Speedy only highest grade completed)
U,S. Armed ForelS? Elementary I Secondary {()"12) College (1-4 or 5-..)
Q!lYe. oNo I).
-',
Actual Residence 171. s.atI
17c. [g Ves. Otcedenl u't8d "
17d.oNo,_lMd-.
AduoI Umd$ "
.!..d"".R. tIt/.E/l/
T,.
" c.tyJIloIo
2Gi. Ifltormirlt's Name (Type, Pnnt)
"bEl? MAO::~;
19. f.6oIhe(s Name (Fif$l, middle, maadtn surname)
M41l./fl C()IJc&,~ Sf'AG/'Je.l-C.
2Ob. InlormanU MailIng Addrt$$ (Street oty I town, 5ID, Zip code)
ii/57 /<lrr-4rtlv)/ D~. /-'kCIIA)./;"Sf!>l.JR.G- '1~SQ
21c. PIice 01 0i6p0sm0n {Name of cemetery. crematory or 0ltIet plaCe) 2td. LotaIion (City 110M\, stall. q) lXldIl
GArc c)F lie'" VeN t\1(CHAN,CS~.Jlt' .:l l'lc;;!i
22c, Name and Address 01 Facdity
tI~;../... fUAJ$.(I.':ti... fk>,,~ :TAJ"-.
28. OldTObIC:COuse~toOealtl?
o Yes 0"'- '.
oNoo-
29. If FIm8iI=
0""_-...._
0........-"_
o ""_boA__<2....
,,-
o ""_boA~.<3......,_
..... - .
o '-""-._-..........
32< PIace""- _. F..... -. F--"
Olfice Suolng. elr;. (~)
. ~
=:=~~by~ 24'7!l~
CAUSE OF DEATH (See ina1rucdona end exampIH)
118m 27. Pi/t I: Enrer!hl ~ -lSl5NSIS. ~. or compIicaIions -lhaIliiIeciy caused the deaIh. 00 NOT enter 18ll1\l'\al1YefllS suctl u cartIic arMl,
respraIOty anal. or ven&ncuIar libnliilliOn WChoti; showwIg lht fIboiogy.lisI: ClIWy one CiU$I on each IN.
ApptOlllTlii18If1I.N.al
Qnsello Deall'l
211, Mett'lOdotOlspo$ll1Or'l
-"'-,'any,
~~~Tus*E'1
~~~""rmr.'
.~~Ln,~
00t1O\ ua~of): .
b.
F II-ILl1.L<:-
=~US:~)~
Due to (01 as.. consequence 01):
Due to (or a$ I COI'IHqI.I8f1Ceof)
0'" ]2(...
o Yes J{'No
31.~otOeaul
~~ D-
O- oP_'n"..~
o Suoode 0 COUld Not.. 0..."""""
320. T tmt oI1rllUfY
329. locatIOn at I~IY (Str_ CIty 11own. s&IIt)
lOa. Wi.$iIlAutop$y
Ptnom'llKI?
3Ob'N.(.~yFinaInc)$
~yailaDle Pnor 10 Com9ieoon
oICaus.e iJiDealh?
M
33a C.I1lllelIO\ECk ~ one)
c.cufytng pltySiCiM ; PhySIC..... cer1,1yinq C.l.l~ 01 death ....n.n anotner pI'I~$lCsan has pronounced ddall'l and completed item 23)
....... To the besl of my knowtedp, _an oc;,,"red ctue to the ~M(sl and lNMel' as stated..... _ _................... _..........................................................
~=:'7:t: ~=:;:~:: ~:..~:~ a::'i~'~~:~:a: manner II stlled.. ......... ..... .. .. .......... .. ..... ..... 0
:::a1 O::lm:::~:.o;: M\d I or In'lettigaUon. 11\ my opinion. ciNttl occurred at the time. ate, MId ~. MKi due 10 !he ,auM(l} and NnMr as s&aled.. 0
LAST WILL AND TESTAMENT
I, NICHOLAS V. MACRI, of Camp Hill, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament,
hereby revoking any and all Wills by me anytime heretofore made.
FIRST: I direct that all of my funeral expenses be paid.
SECOND: I give, devise and bequeath all of the rest,
residue and remainder of my Estate, real and personal, 'Qt
I ~'~ .../
whatever nature and wheresoever situate to my wife, DORQ~HY ~
w
MACRI, if she survives me by at least thirty (30) days, If she
~
does not survive me by at least thirty (30) days, then the rest,
residue and remainder of my Estate, real and personal, of
whatever nature and wheresoever situate, shall be distributed as
follows:
A. I direct that the rest, residue and remainder of my
estate be divided equally among my three children, DEBORAH
MACRI, of 4137 Kittatinny Drive, Mechanicsburg, Pennsylvania
17055; TINA NAVITSKY, of 1787 Autumnwood Drive,
Mechanicsburg, Pennsylvania 17055; and NICHOLAS V. MACRI of
432 Candlewyck Road, Camp Hill, Pennsylvania 17011.
B. In the event my daughter, DEBORAH MACRI, does not
survive me then I direct her share be divided equally
between my daughter, TINA NAVITSKY, and my son, NICHOLAS V.
MACRI.
C. In the event my daughter, TINA NAVITSKY, does not
survive me then I direct her share be divided equally among
her surviving children, per stirpes.
~~/~
~~.~.~'
agree on a fair market value. The distribution due any of my
beneficiaries shall be reduced by the fair market value of any
items received by each of them.
SIXTH: I hereby nominate, constitute and appoint my three
children DEBORAH MACRI, NICHOLAS V. MACRI and TINA NAVITSKY as
Co-Executors of my Estate. In the event of a dispute among the
Co-Executors, the decision of DEBORAH MACRI shall be controlling
and shall be the decision of the Estate. In the event any of my
children cannot serve as Co-Executor, then the remaining children
shall serve as Co-Executors. The Executor(s) shall serve without
bond.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to
these three (3) typewritten pages as, and for, my Last Will and
-f1-
Testament, this 2-5 day of July, 2000.
~~') ~~-'
NICHOL S V. MACRI
3
Signed, published and declared by the above named Testator,
NICHOLAS V. MACRI, as and for his Last Will and Testament in the
presence of us who at his request, in his presence and in the
presence of each other have hereunto subscribed our names as
witnesses.
G/9 jJl~ 'S)N() , -)jR/rlsl-ws f';? J/J(j J
Address
~\0-~"'~
Witn s ~
(j9 ~~ D-od, tJevr }J~ f/J /7)(/1
Address
,0. "
2/'1' f U1 f ),1(11 d I/IllV n.t:L ,,'""(' J I ) -] ) I' J
Address J /
4
Commonwealth of Pennsylvania
County of Dauphin
I, NICHOLAS V. MACRI, the Testator whose name is signed to
the attached or foregoing instrument, having been fully qualified
according to law, do hereby acknowledge that I signed and
executed the instrument as my Last will and Testament, and that I
signed it willingly and as my free and voluntary act for the
purposes therein expressed.
Sworn to or affirmed and acknowledged before me by NICHOLAS
V. MACRI the Testator, this Z i)l..... day of July, 2000.
~~~~ ~~~ 1
NICHOLAS V. MACRI
N6Ii1JIE~
Notarial Seal .
Kimberly D. Brown, Notary Public
Harrisburg. Dauphin County
My CommissiOn Expires Feb. 18. 2002
5
Commonwealth of Pennsylvania
County of Dauphin
We, 3udy 4- $:)S1<Nr , ma..rl:. \A)- A))~o'4S-~
and S~ 1 \-'U""' C - F()~ , the wi tnesses 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 the Testator sign and execute the instrument as
his Last Will and Testament; 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 our knowledge the Testator was at the time
eighteen (18) or more years of age, of sound mind and under no
constraint or undue influence.
Sworn to or
3v.d~ A. Sos}o.-V"
S"U\n;~'U" C - f"o S1-~
2000.
affirmed and subscribed before me by
, t'Y1~ w - tJ )h"h CJ\A':>~ and
, witnesses, this 26 +1-... day of July,
g~~k
~~~\D ~~
Wlt ess
j{-;fpi19c~
Notarial Seal P brc
Kimberly Q. Brown. ~otary u I
Harrisburg, Da~phlOF c~u~~ 2002
My Commissior EX~~__ e. .
._.~-~~--
6