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HomeMy WebLinkAbout08-25-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Elizabeth L.Gerba also known as COUNTY, PENNSYLVANIA F ._ File Number ~~ f ' 1~,~ ,~ •-• t ~ ~~~ Deceased Social security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ®/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Joyce L. Palakovich named in the last Will of the Decedent dated 09/18/2007 and codicil(s) dated (Slate 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: _ B. Grant of Letters of Administration (If applicable, enter. c.t.a.; d. b. n.c.l.a.; pendente lire; durance absentia: durance minoritateJ 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 Wil! in Section A above and complete list of heirs.) ~; ~; _ _ Name Relationshi Residedee- t~.' (COMPLETE lNALL CASES:) Attach additional sheets if necessary. C•_~ Decedent was domiciled at death in Cumberland ~; County, Pennsylvania with his /her last principal residence at 20 North 12th Street, Lemoyne, Cumberland PA 17043 (List street address, town/city, township, county, state, =ip code) Decedent, then 84 years of age, died on August 15,2008 at 20 Northi 12th Street Lemoyne, PA 17043 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 490,000.00 (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: 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: ..-~~e.z ~~ , ~`-z:~--.!~___/~-~~,~ _,~ Joyce L. Palakovich 2601 Lisburn Road, Camp Hill, PA 17011 Form RW-02 rev. 10.13.06 Page I of 2 Oath of Personal Representati~~e COMMONWEALTH OF PENNSYLVANIA 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 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 ~ ~~ ~ l ~ day of I ,,' ~ t ~ ; % ,, , `" Fo the Register ~ ~. ~- , Signature of Personal Representative Signature ofPersonaJ Representative Signature of Personal Representative 1 File Number: .,~,~~,~_L_' °~~ ~ ~~ '~ ~-~ Estate of Elizabeth L.Gerba ! \.. t~: Deceased Social Security Number: Date of Death: August 15 2008 _ t ~l"t' ~ _ a ~'" ~( f: x_ ~, t ~ _ ~,''-~.i , in consideration of the foregoing Petition, satisfactory proof AND NOW, having been presented before m , I S D1{ EED that Letters Testamentary are hereby granted to Joyce L.Palakovich in the t;bove estate and that the instrument(s) dated 09/08/2007 described in the Petition be admitted to probate and filed of FEES ~, Letters ............... Short Certificate(s) ........ $ / ~'•~-' L) .;. ~ ';, Renunciation(s) .......... $ - ' ,. ... $~- .) ~ ... $ TOTAL ... $ ... $ ... $ ... $ ... $ ... $ ... $ as the last Will (and Codicil(s)) of Decedent. Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Register of Wills N~ Telephone: Page 2 of 2 Form RW-02 rev. I0.I3.06 rh( 1 ~~~ ,~'~~ -7 r"~ L~1a,~AL ~~~IS~'~A~'~ ~;~TI~~+~A~~'"~C)~ CAF ~~~~.~ ti11'/~RNING~ ~* is illegal to d~~IMC~a~e this crJp/ b4( ~ht~t~*~sta9 ~r ~~~h~~~c~g~`-lh~:. ~e~ tiYr thi~, cerrifi~;lt~~_ ~(,(i(~i C~rrnficatilm tiinlh_~ , ~t ~„ It ~ , I E . I~ , , I. I . ~, `'ate Y' ~L\ , ,~ ~.•li I , _; , 1 . 1 i I; L, .). i\ il, 1~ .~ ~ •. ji ,... Ill ~ r.~, f ;~ ~ 4r ; ~ L. ~ , ~ .... ~_.. ., .. iy , It ~gi,' * . " " ~ / Ir l i' ,, _ ~ ~,'~ ! I ., _ __ k C =,. rllJS-1 i3 REV II 3.x,t. TYPE PRl1ri M PEFAUNEN B~ACh INK Ee COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) s,ATF FII F NNM©ER 2. Sex 3 Serial Security Number 4 Dule of Deabt IMOnIn tlay, year) I Nama of De.etlerl IFrI mitlal~ lass. suPox Female 195 - 34 - 6745 Au st 15 2008 Elizabeth L 5 Age Ilasl B.nnday) Under 1 year Untler I dny 6 Dale of Rmh (MOnID, day, yaaN T Binh lace (City aM stale or loreign country) Ba Place of Daaln (Check only one) s..ncn Gev= rt-, ~~ a~n„iu HuspilaL Olner. 83 DeC. 25, 1924 Vestaburg, PA ^mpebem ^eR/owpahem ^DDA ^Nrirsmy HOma ~(l Rea~denw ^omer-s„e~iry f Dealn Ci T fi B give sbe91 and number) 9. Was Decedent of Hispanic Oriyin7 ®Na ^ Yes 10 Race An'srkan Indian. Black. Ylhne el Faallly Name (II not mslhuliori 8d uffo c ly. wp o Bb Coun,y ct Dca,'t . . 111 yep. speedy Cuban, fSPenryl C~unberland Lemoyne 20 North 12th Street, Apt. 207 Mexihan,Puendweanale, White I u Kind of wcrA Bona dur sl ~I w,. k r; It D I I rolnedl 11 D f l D 0 12. W; DecuUCnl a c n II a 13 Decoienl5 Educal on (SpecAy only nigyesl yrude complelatll IY M' 1- 51 I htarnatl Neser Man ed. 1~ Surviving Spouse I„ wire y d ~ name) a t ~ suo e . ti r: nut Wun. I(ino of Bus ens I w,"ay U S. Ar ned Forces) Elementary l Sewntlary (0.12) Gallcgc (I-a or 6.) W'~ ed D vurced lSpeu./yl 3 Widowed [~, ^Y Hrn~naker Home e es 16 fT ;edaLla lAel',g Addiev ~. S1leel Cly IOwl. stale. tip coda) DBCatlenl5 Dd Dee dam Pennsylvania Lya ,~~ ^'~e= De n=nu.,atl in T,.p 20 North 12th Street, Apt 207 Actual Re~nerce na s,ele T°w°'b'p' ,1d ivrd wnbm LP1llO~me 6 s o ll ~~~~ h l d ~ Ao ~I L m Lemo e PA 17043 l aro cuy 1]t. Gounly C]ym Pr an i i l Id Fnlhai s Nema IFcsl mafdle last suffix, 19. Malnei s Namh (f asl. mitldle. maiden surname) Kenneth BacYunan Louise Arnold 20a Informant s Name ITy Ve I Pnnll 2W. Informant's MalWty Arkiress (Street, ctly I town, stale. zip cutle) Joyce L. Palakovich 2601 Li usnion ~ ^ Geinetiat ^ Donation 21 b. Dma of Uiapuchion (Mnnlh. day, year) 1 D,s Melli d 21 21c. Place of Dispeahion (Narrw of cemetery, rrernalary or other place) 21 d. Locauun (City /sown. slate. np c~del ~ u p a ^ p„ ai ^ Ra,ii~,.alri~ni6~ale I w,acremauenoruanaudnAUlnaHted Au 18 2008 Brier Hill PA LaFa ette Memorial Park , inner s by Memom E.amilaer r cerartera ^ vas ^ N~ 4 • , v~rry ~ Y aa lot parson acling as such1 22a Sx,aWre of Funaral 22b Lkanse Number 22o Nama and Address of Fasiluy f3 Market Plaza Way ~~ F Y //) //~. ` FD-011667 Mal zz' P ' p 123x- ly r - t ry ny ' a~~and place staled ISignalure and title) al he I ne nal wlttlge dean oc rratl t 3a no Dc sl al my kn o ~ 23b Licens a"l~e S y teU (Month. d y y I ~~J /2/7-C ~~D e Number ~(~ G 7 u~ t- ~ ~ ~ W I1 , lll 3. cal 1 nE al neat _ of tlaam n LL / ~ ~ ( ~ ~ ~ 1~~ ~ ~~LJ I~ ~~g ~ / ~ rJ~ ~ /lM1"t" mo F ~ W I PJ e N xisuil d G . -°a Ti I D Ih 25 Dyle, P n tl eed IM In. day. year) ` nee e 26 Was Case Reler'ee Iq Metlical fxamirer I Goronar for a Re' Other IDan Cre,nal on or Donation? ! ` l I N26 mull W complete l ~ II ~ ~ L7 ~ '~ a r ~ l L)~.xl " ^ Yes xm Vmnouiices Javm y M / C CAUSE OF DEATH (See Instr bona an0 eaamplea) r Approxrtnate interval I e~, ~ e' Nun I E I Ilse igrL:l LI fysllla dleease>, yo c or tp cal o Ilia) nalclly c ne deem. DO NOT enter It lal ev ucf as card ac sl, Onsal lu Deelh r a s Pan II Enter Omer SIWJfIG6GLG4!IgILLQr15. cPNhb1ll11g ~~~ but nut rew11 ny n the a tdeny ny cause y yen ut Pen I 2B Did Tacaao Use Comrlbwe Id Dealn? ^ yes ^ P bably cat each line _ elwlagy list ui r i~esV,ialury arrest of ventricular hbnllcl dlmul snowiny ti' ^ No ~Mllmown IMMEDIATE CAUSE Final nnoase oI ondiuun rawAing in aeolAl 25 II Female nu intro P° year ' ^ Nol pie _~ Due to IDr as a cdnseque of _ g ^ Preynenl a of deer Nlaans J a:i l ll a l S ^ ' ,a y s cw equen Y D. loadingg ld It-s cause listed urt kne a Due to 'or as a ronsayuence of). Enter Ilse UNDERLYING CAUSE IJ~~e i5e er inytry Ilwl Inili.ncrl Ihu - . der ^ Nol pre' .but pre h J of cea c vents rusuhrng in da„InJ LAST ^ Nul T, rani but pI n143 > lu I year r Due to for as a cvnseque tee cl). d _ beloie dean ^ unknown d pregnam wnnm trio pest yea Hla Was an Autopsy 30D Were Ar,lopsY Fndirtys 71 Mannor of Deam 32a. Dale of Injury IMCnIh. day year) 32b- Desenba How Inlury Occumd 32c Place of Injury. Home farm, Sires). Fxlory. Odice Buadmg, etc (Syecily) Perluimed? Aval I P uCumpiuliui ~~ I [ ~ P- tl 'y I 'I gal o t L~ A cn 92d. Tune ul Inlury 32e Injury a1 Work7 32f. If T 'p n' I n I I y (Sp .iry) 32g Local nli of Inprry ISliaei aly /sown, slate) ^ Ycs r~ SI~ L] Yes ~ e ~ ] D OV elur C] Passenger ^Pedesir au vJ oe ^ S, [~ C~u In Nu Du De,e m .n ^ Yea ^ No _ !,_ M l.]ouar-sPu< , b. Sigrialwe and Tnl i3a CenAim I.neck only unel • Lertly 9phY. IFIy - Iy 3c tl 1' t pt e 1' p _' dn-It 'U PI lad llcm 27) d t t d , _ ____________ _____ __ a To the be 1 1 Yk owl dge d Ih u tltl 1 lit (I n Number L 33 33tl. r Siynetl IMdnill earl • Prono 9 tl nily g phy' IPI y D R p y n I ;'tl t ly g I :z I d 0 1 _ _ _ _ _ _ _ _ r ~ use(s) and nner as staled d d t In c d l ~ ice se c ~ !\ / _ _ _ _ _ _ ace. an ue o a a p To the bell bl my knowledge, death occurred al the Tme. tlale an ) G V • Medical Examoner aCor ner Cn the basis I e. minalion and I or inveshgahon, In my opinion, tlealh occumea al the lime, dale, and place, and tlue to the cause(s) end manner as slaletl_ ~-~ ay Name ann Address of Person Who Cartipleletl Ceusu of Gealn Illem 2i) Ty r I P i s"'~Q n '{~(., ~'' year) Uate Filed (M nth day 36 x, R~ ~ ~ e an0 Dill s1 Ilan 1 ~l ~ t , . . n 1 l I.a11 l ~, A..~~, ra„P.,_ 11 I- cc~ - ~ ~ J D~,Pa_n,~nhann~IN~ 07.51040 r r ~. LAST WILL AND TESTAMENT OF ELIZABETH L. GERBA I, ELIZABETH L. GERBA, widow, of Cumberland County, Pennsylvania, do make this my Will hereby revoking any and all Wills at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral be paid out of my estate as soon as may be convenient after my death. SECOND: Except as I may have provided in a written memorandum found with my important papers or with my copy of this my Will, I give my tangible personal property to my daughter, JOYCE L. PALAKOVICH. THIRD: All the residue of my estate I give in equal shares to my children, JOYCE L. PALAKOVICH and GEORGE K. GERBA. Provided, however, said shares shall be given to said children of mine only to those children who survive me, and to those who predecease me leaving issue who survive me. The share of any said child of mine who predeceases me leaving issue who survive me shall pass to such issue per stirpes by right of representation. The share of said child of mine who predeceases me leaving no issue who survives me shall pass to the other said child if he or she survives me or leaves issue who survives me. FOURTH: I appoint my daughter, JOYCE L. PALAKOVICH, Executrix of this my Will. Incase of her inability or unwillingness to act or to continue as my Executrix, I appoint my son, GEORGE K. GERBA, as Executor. I give to my said Executrix in addition to the authority 1 conferred by law, the power to sell any or all of my property, real or personal, at public or private sale, at such time and for such price and upon such terms and conditions as she may see fit, or in her discretion to retain the same for distribution in kind, and the power, but not the duty, to invest any cash without. being limited to "legal" investments. No bond shall be required of any fiduciary hereunder in any jurisdiction. No fiduciary hereunder shall have any liability for any mistake or error of judgment ~~.ade ire ~,ood faith. FIFTH: I direct that all estate, inheritance and other taxes in the nature thereof, together with any interest and penalties thereon, becoming payable because of my death with respect to the property constituting my gross estate for death tax purposc;s, whether or not such property passes under this Will, shall be paid by each individual receiving said property based upon his or her share of said properly. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ ~ day of ~- ~,:;~ ~ ~ ~ r ~ ~~~ ,<<' , 2007. ~ ~ f ~ ~rr,.r~cc,~~sZ, Ii~C~`~- (SEAL) ,~' ELIZABE L. GERBA Signed, sealed, published and declared by ELIZABETH L. GERBA, the Testatrix above named, as and for her Will in the presence of us, who, at hoer request, in her presence and in the presence of ea h other, have hereunto subscribed our names ass witnesses thereto. -~'~'W _1~~ ~ U Address ~ ~" ,1,1 •~~v'©,~ ~'P1~~ Address~~- ~ ~ ~- ~=~ ~ ~ F ~ ~ e. ~l ~ ~ . h ~ ,~.r f c.-S J U J~ tc~ !,'~ /~ ? .~ /'- ~ c°_ c. ~ h ~ c. a ~ ~ v . _ ~ v 2 COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF L ~~ ~ ~~=~~/G~~~ ) We, ELIZABETH L. GERBA, j~n tir A ~ ~ J . )~l ;~,~/ xLt ~ and ~~ L , ~(,,t „ ~~~ ~'~~ ,the Testatrix and the Witnesses, respectively, whose names are signed to the foregoing Will, being first duly sworn according to law, do depose and say that the Testatrix signed and executed the foregoing instrument as her Will, that she signed willingly, that she executed it as her free and voluntary act for the purposes therein expressed, that each of the Witnesses, in the presence and hearing of the Testatrix signed the Will as Witnesses and that to the best of the knowledge of each of them the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. t. _ -tz ELIZABE`T'H: L. GERBA '1 ~ut.k. _ Witness ~ ~~ Witness ~ Subscribed, sworn to and acknowledged before me by ELIZABETH L. GERBA, the ... `_ ~r Testatrix, and subscribed and sworn to before me by t~, ~,i ,i / and ... ,r _....-_ ,~ ~ ; , ~ ~ ~ ~' , ,~' r - witnesses, this ,! .; ~ day of ~ ~ ~ ~ , , ", ,, , 2007. COMMgN-Nk~rL7~l Oi= F`ENI*1SYLVANIA -~'-,~ NOTARIAL SEAL ,~ ~ ~ ~~,~~ ~~~~~ ; . -_ ~ ~ ,c_ STEPiiANIE N~SL, ~3otary Public otary Public Camp dill 3oro, Cumberland County My Gor~~iss~c+n..~t~ex`'-~,''esW?a;~,. ~~. ~~11