HomeMy WebLinkAbout09-26-08PETITION FOR PROBATE ANDS GRANT OF LETTERS
REGISTER OF WILLS OF C~,,,r.~ h e r,~~ 1 COUNTY, PENNSYLVANIA
Estate of ) o ; r ~\~ ~~ e ~~ C ~ ~,` `~ ~ File Number ~~ - VO ~ / ~F~~
also known as
Deceased Social Security Number ~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' ar 'B' BEL0~3!•)
~A. Probate and Grant of Letters Testamentar and aver that Petitioner(s) is / are t e _ '"~ ~~ •t%ed in the
last Will of the Decedent dated ~~ ~' ~ ~ and codicil(s) dated ~
(State refevmtt circumstances, e.g., remmciation, dent! of executor, etc.) n~
~ c^ ~
~R
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or ado fed after executiotr ~`
p t~te insUur~~t(s) offered'".:;
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ --~ r'-'
~~ ,
L7~
^ 13. Grant of Letters of Administration ~ - __
(lJapplicable, enter: c.t.a., d. b. n. c. t. n.; pendente life; durnnte absentia; dttrnHte`+niiioritnte~ -
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followinp~se (if an~nd heirs: (If'
Administration, c. t. a. ord. b. n. c. t. a., enter dale of Will in Section A above and complete list of heirs.) y
c.A
(COMPLETElNALL CASES:J Attach additional s/~eets if necessary.
Decedent was do ~icile~at ~ath in urr. ~r10.n ~ County, Pennsylvania with 's /her last principal residence at
~ rn ,v Q 'lour C,...,n. er~~
(Listshcel addtcss, [own/uty, township, count)+, state, ztp code) ` `1
Decedent, thenL' ~ years of age, died on ~( ~ `~ ~~%~ at ~arC~ •i~v rCk ~1~+4 P~~, ~q ~} \C `.~=j
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ -, p
(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:
Signature Ty ed or rioted name and residence
/~ ~.. ~ • ~ h'~
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Form RW-0? rev. 10.13.06 Pabe' 1 Of 2
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Oath of Personal Representative ~.:: ;
~~=..Y rv
COMMONWEALTH OF PENNSYLVANL4 -
<T
SS
COUNTY OF ~?
The Petitioner(s) above-named swear(s) or affirni(s) that the statements in the foregoing Petition are hid and con~ect~e the 6es# 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 tbP _~ ~`"~'~ day of
1~. (Cc7
r :~ ~' 1
For the Register
~~~
Signature of Personal Representative
Sig,ature of Personal Representative
Signature ofPersonnl Representative
File Number: _ _ ~~ - /l ~,~ _ ~~
Estate of
~ ~ !rfi~r /~-~ ~ ~~ rt ~ ` d ,Deceased
Social Security Number: ~( ~
Date of Death:
AND N01~', ~~
having been presented before me, IT I DECREED th t etters u1 consideration of the foregoing Petition, satisfactory proof
are hereby granted to
and that the instrument(s) dated ~~~~
described in the Petition be admitted to probate and filed of
FEES
Letters ...............
Short Certificate(s) ....... .
Renunciation(rs~ ~. , , .... .
=1~ i v
--.
(~
$ _
$~
$ ICJ Cep
... $_
... $
.. $
... $
... $
--_- ... $
TOTAL ..............
$ ,
last Will (and
Attorney Signature:
Attonley Name:
Supreme Court I.D. No.:
Address:
Telephone:
of
Register of Wills
in the above estate
rte,„, Rw-o? rev. 10.13.or
Page 2 of 2
- ~~ ~;~~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH •
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. `~f,.U(1
_ P 1469_0191
Certification Number ~~
a& NJ REV t 14W6
T'r PE PRINT IN
PERAIANENL
BLACK rNK
I Name d DAaOent (FUSI, naaxe, last, venal
'This i.5 to certif~~ that the ini~orn~Lation here ~i~~e~i is
correctly copied from au origknal Certificate of llL~ath
duly filed with me as Local Re~,,ititrar. The original
certificate. will be forwarded to the State A'`ital
R~~ordti Oftt~c 1 n [~cnnauent filin~~
ty.~'^R0~ / /~----BEd •/-~
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Local Re~~istrar ~ Dale Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ I"' ~ _ _ _
CERTIFICATE OF DEATH I ~- ~ _
(See instructions and examples on reverse)
STATE FILE NUM6ER -. ~... ~
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LAST WILL AND TESTAMENT of: Josephine M. CirS.'~~~d~"~ ~~ Fr`5 i ~ ~+$
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I li n~ ~ ~ ~ `J' ~' l; ,T
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I, Josephine M. Grillo, a resident of Dauphin^County, ~ nn
Pennsylvania declare that this is my will.
FIRST:
I revoke all Wills and Codicils that I have previously
made.
SECOND:
I am not currently married.
I have 2 children now living: Christina M. Chaback and
Alicia V. Grillo. I have no deceased children. All references
in this will to "my child" or "my children" includes any and all
children hereinafter born to or adopted by me.
THIRD:
I give all my jewelry, clothing, household furniture and
furnishings, personal automobiles and other tangible articles of
a personal nature, or my interest in any such property not
otherwise disposed of by this will or in any other manner
together with any insurance on the property, to my children who
survive me for thirty (30) days, in equal shares as they shall
agree, or as my Executor shall in my Executor's discretion
determine if my children do not agree. (`
~~, ~
FOURTH:
I leave the following special gift: Jewelry to my
daughters, Christina M. Chaback and Alicia V. Grillo „ should he
or she survive me by thirty (30) days.
FIFTH:
I give the residue of my estate to my children who
survive me by thirty (30) days, and if any of them does not, the
share that would have been received by that child had he or she
survived me by thirty (30) days shall be distributed to his or
her issue by right of representation. If any of my children does
not survive me for thirty (30) days, and dies withoutleaving
issue, the share that would have been given to that child had he
or she survived me for thirty (30) days shall be distributed pro
rata with the gifts which are effectively distributed under this
paragraph.
SIXTH:
I declare that it is my intention to have my body
cremated and my ashes to be buried in my burial plot with my
husband and my funeral arrangements are to be made with Neill
Page 1 Will of Josephine M. Grillo: October 5, 1994
Funeral Home, 3501 Derry St., Harrisburg, PA.. I direct my
Executor to take all steps necessary to carry out such
arrangements.
SEVENTH:
I nominate Christina M. Chaback and Thomas P. Kerr, CPA
as joint Executors of this Will, to serve without bond. If
either of the above shall for any reason fail to qualify as
Executor, then the other shall serve as sole Executor without
bond. The term "my Executor" as used in this Will shall include
any personal representative of my estate.
I authorize my Executor to sell, with or without notice,
at either public or private sale, and to lease any property
belonging to my estate, subject only to such confirmation of
court as may be required by law.
I authorize my Executor to invest and reinvest any
surplus money in the Executor's hands in every kind of property,
real, personal, or mixed and every kind of investment,
specifically including but not limited to interest bearing
accounts, corporate obligations of every kind, preferred or
common stocks, shares of investment trusts, investment companies,
mutual funds, or common trust funds, including funds administered
by the Executor, and mortgage participations, that men of
prudence, discretion, and intelligence acquire for their own
account.
~; a2 v
EIGHTH: ~
I direct that all inheritance, estate, or other death
taxes (excluding any additional tax imposed under Internal
Revenue Code Section 2032A or any generation skipping transfer
tax) that may by reason of my death be attributable to my probate
estate or any portion of it, or to any property or transfers of
property outside my probate estate, shall be paid by my Executor
out of the residue of my estate disposed of by this Will, without
adjustment among the residuary beneficiaries, and shall not be
charged against or collected from any beneficiary of my probate
estate, or from any transferee or beneficiary of any property
outside my probate estate.
NINTH:
If any beneficiary 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 the
contesting beneficiary under this Will is revoked and shall be
disposed of in the same manner provided herein as if that
contesting beneficiary had predeceased me without issue.
TENTH:
As used in this Will, the term "issue" shall refer to
lineal descendants of all degrees, and the terms "child,"
"children," and "issue" shall include adopted persons.
Page 2 Will of Josephine M. Grillo: October 5, 1994
I subscribe my name to this Will on ~C~i~2' ~ ,
~~_, at Camp Hill, Pennsylvania.
` C,G~Lz~
v
On the date written below, Josephine M. Grillo declared
to us, the undersigned, that this instrument, consisting of these
few pages including the page signed by us as witnesses, was his
or her Will and requested us to act as witnesses to it. He or
she thereupon signed this Will in our presence, all of us being
present at the same time. We now, at his or her request, in his
or her presence and in the presence of each other, subscribe our
names as witnesses.
Each states that the testator is not a minor and appears
to be of sound mind and that we have no knowledge of any facts
indicating that the foregoing instrument, or any part of it, was
procured by duress, menace, fraud or undue influence.
We, each for himself or herself, declare that each of us
is over the age of majority, and that each of us is, and the
others appear to be of sound mind.
We, each for himself or herself, declare under penalty of
perjury that the foregoing is true and correct and that this
attestation and this declaration are executed on the
day of , 19 at Camp Hill, Pennsylvania.
1
r - ~~GC ~ residing at
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~1(~ ~~L~-~*~ ~- ~ ~i residing at
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Page 3 Will of Josephine M. Grillo: October 5, 1994
STATE OF PENNSYLVANIA
COUNTY OF CiJrIBERLAND SS .
J'
I, ~~ Testator, whose name is signed
to the to hed or foregoing instrument, having been duly
qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will; that I signed it
willingly; and that I signed it as my free and voluntary act for
the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by
Josephine M. Cirillo, the Testator, this ~`" _ of _~~-.c-~-2J ,
1994.
Notary Public
Ca,c;in~~~r Fart-_a'3t
Harr ~R ~Ci:.';y~_:;~,rn hrC
My Comrr;ission EV~"res July y 7; 1995
~:wtion of ~;~
My Commission Expires:
ADDENDUM to LAST WILL AND TESTAMENT of: Josephine M. Grillo
Fourth Paragraph - special gifts
Christina P1. Chaback
Diamond bee hive ring
Solitaire diamond ring
Diamond wedding band
Diamond wristwatch ~
Alicia V. Grillo
Pearl and diamond necklace and earrings
Blue sapphire and diamond ring
Diamond solitaire with smaller diamonds
Man's tourmaline ring
Diamond necklace watch
OATH OF NON-SUBSCRIBING WITNESSES)
` ! REGISTER OF WILLS
��► �+be�-1 c�c�c� COUNTY,PENNSYLVANIA
CN/
Estate of o s e o tl n e �'\d e \� , Deceased
C&Irick and aLoo, , nc,
(each)being duly qualified according to law, depose(s) and say(s)that she/he/they was/were well-
acquainted with o S e h c� M , 0 \\ 0 and am/are familiar
with the handwriting and signature of the decedent, and that the signature of )os ey�%C%e � .ci a
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of 1 05 CoyV,e,
to C r x o is in his/her own proper handwriting.
(Signal 'e) (Signature)
-410s E _ \i.l 5t,\"A ao ��,I��� S�.
(Street Address) j� (Stmeet Address
J�1%c- y1C>x\ %c�'m o n� o W t1 _ ` a►o \"l o\,
(City,State,Zip) (City,State,Zip)
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Executed in,Registe"r's O fce
Sworil to o.r.affir ed-and subscribed
before'�e t 's_=-_C / day z,
N.)
of
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Deputy r st r of Wills
00
Foran RW-04 rev. 10.13.06