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HomeMy WebLinkAbout01-13-09 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland Estate of Cora B. Slebodnick also known as Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) COUNTY., PENNSYLVANIA File Number ~ ~ " Clg _ (~ i~ ~~' Deceased Social Security Number 205-26-6387 ®/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / aye the last Will of the Decedent dated ~ Z- 11- 1 X14 S and codicil(s) dated Executors named in the t; r-, (State relevant circumstances, e.g., renunciation, death of executor, etc.) 1a. ;--= ~ `'"' -_ ~~ ._._. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofd tristrumen s offered •_. ,t .~ ~ ~ ; for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~~ ` ~ ~) -' -" c ; B. Grant of Letters of Administration ~ _1 '; ~ -, (/f app/icable, enter. c. t. a.; db.n.c.t.a.; pendentelite; duranteabsendia; duranteminoridate~ 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 ofheirs.) (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ~ C7© MT • 4tti~ l~-o Vi ~ POCYL A-lt..f~n7LyF~ ~II,C'rcC~d+~vic~S t~JI~-Cti P~ (Lrst street address toxn/crh toxnshep county, state, ep code) Decedent, then 78 years of age, died on _ , ~ ~ - Z-o U~ at ~ ~ y L y Sc~I,t,/'i ~`~ o SPA T14 L~ Cu4,~yt~-W % t l PA I7b Jt Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ ,~l7jU ~d y (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: Si nature T ed or rinsed name and residence Paul Slebodnick Form RW-02 rev. !0.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS 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 t~ or afirr.;ed and subscribed before me file /~ - day of ~~ ~~ ,For the Reg Signature of Personal Representative Signature of Persona! Representative r~':S ~.G ~.i~ ~ rr ~ ~ .; ~ - _ ._i~ -' ~ - `~' ~7 -- :~ '~ ';' . File Number: ~-I` G~ ' D~~j(,~ Estate of Cora B. Slebodnick Deceased Social Security Number: 205-26-6387 Date of Death: I _ -1 "` 2 C f% h AND NOW, ~ ~~~ (~~,; G ~ ~~ GL'~ltC~Zi, , z~~ , in consideration of the foregoing Petition, satisfactory proof having been presented bef r me, I IS DECREED t at Letters )P~~`lY~~~, ~,~ are hereby granted to ~ `J,Pb~~v'l~ Lk in th. abo~~~ estate and that the instrument(s) dated ~~C2 r~lbF' ,~ ~ ~ 1~'l~t V - described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~~~ ~~~~~~ h ` FEES vE..l.l:~r'~ ` ''L,s ~~_ _ ~~1`x '11 )f t s ^5~,~ •. .~ . Letters .... '~.->~ ~~v . $ t f"~ Q. G~ Short Certificate(s) ... ~~... $ fp-~~ Renunciation(s) .......... $ ~rl~ ... $ 1~,~' -~ ... $ fv.v~' ' }. $ S ~-' CYr ~a v -r ~J~l~ $ 1 ~} , ... $ ... $ ... $ ... $ ... $ /~ a J --d.gg~, TOTAL .............. $ C~'Lo Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Register of Wills Farm RW-o? re~•. Tn.l3.n6 Page 2 of 2 :. ~ 1 -C~~/ -C~C~ ~ S~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It 'is illegal to duplicate this copy by photostat or photograph. ~ Pee fr>r this rertificate..56.OO P i~~3 ~U~? ~ _ Certificati)~n tiumb~r ~,)~ „- ~~~ ihi~~ is to ccrtil;v that tl)~ ul(~~rm-I[iun I)~I~ ~~i~~cn is ~11 p~TH OF pf` I,o`~E.~ ~ti~ ~(n~rer(ly~ cupicc! ir(un iu) ulirinal ('ertifl~it~ (~t~lleath ~/~ 1,~ ~`~~\ <lulti fileEl Keith me a, L~Y~aI kc~~ ~r~_V i5nar. The original gr ,~ it rc)tiiil,atc eeiii ire i~rlwarL~ec! to the Stag Vital ~~ a ~'a~~ Rc,c<Yrfls Ofl~icc I~)r pcnn tr)ent tiling. ~g9lM ~~~P~?// ~~_a2AfJt~/ d EN10 ~~~ ! ,,,,,,,,,,nu,~r- l,ncal Regi~uar~ " bate Is,SUed 7 rv ~ _ -=0 c3 _ _ ~ _ ~ .~. -; ±~ r- - f "~T 1~ ~Y ~r 1-../ .. .,. ~ , ~~ ~ ~~ ~ ~ ~i3 -~ 1 -• r ~ ' fl .? ,_ - --ti C+J H1J6~ti3 REV I ll20W TYPE ~ PRINT IN PERMANENT &ACK INK ( ~1.-Name d D«ehw 6. Age COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructlans and examples on reverse) mxlae. last, wad) STATE FILE NUMBER Corra (Cora) B. Slebodnick zF~~'tnale 3 S«ia~~iryN'"''~s s3s7 A DaleolDeam _ _ _ _. 1"9tf'rPtY21t'~) 4, 2009 UMa 7 year Ilrvbr I nom., c n . . ,. . , ~ ~- 77 '"'n0" wrs ~ Mrwws . , -, w>e I~• am sere a rorepn coodry) fie December 10, 1931 Emlenton, PA w Yrs. ry a DeaN &. Cay, 8oro, Twp of Death 6d. Faced Name III not Nsla give sa6el Cumberland East Pennsboro Srpeclallty~Gare at~o~y`~pirit Hospital Adminis~~l~~l`Assitant U~'dP~@Y~i~t'PPYi'~nt I6 Dacemnl s Matl•g AdaesS r rl my I town, SWe, 2p code) 100 Mt. Allen ~nve Mechanicsburg, PA 17055 1B. Faaar s Name IFiSt. middle uel u.n;.l I 20a. tiaomNa's Name (Type / Pnm) 27a. Memod a DSpoaition ' ~ ^ Burial ^ genroval from Stale ~ ^ Other ~ Spa-iry~ ?Ze. Signal Funeral c (p~ Fred Stolienbach Cindy Vasiliu ~ranaaan ^ Donalam NnaUen a Dauaon AulMruuf acting az such Iz. was D«ema ever in tlN 73. Decemra's Educaoon ISpecity aey hhyNSl gram uonVleledl U.S. Armed Faros? Elementary / Seconm ^Yes ~,NO N10.12) CWage11.1«k) Dec m es Did Dewo Aauar R sNax:e 17a Swl ursug FICnN ^ Resbenca ^parer ~ Speciry: No ^Yes 70. Raw: AmaS' YQian. 85tlc, While, eb (SyNCiYh vYhlte giver Marneo, 115. Burvrvuq Spouse III win, give rrulden narrN) M e Live N e 17c. Q}•Yes, Dececea Lived n - - - ----. - 176. ~o~el~ um er an Taar~? ® Yes 17d. ^ No, Dec~eded LFred wiNN Adam LNds a 19. Maher's Name (Fast, midde, maitlen romaine) Cay Corra Harris Stolzenbach 20b. Nbmura'aMau"°Am`a~~alaFflE4'pri~W~R`YfP'Yve Mechanicsburg, PA 17055 '~ ^ ER / ONpama ^ DOA 9. was Decedent a Nispaac Origin? (II yes, spedfy Cuban, Mexican. Puano Rican, etc.) iwp /Barn 276. Dale d Disposition (Monty, my, yea,) 21c. Plar:e d Disposlla)n (Name d cemele a January s, 2009 Conolite ~rematoryp'~Ce) zldLa yt"~e'rs~o~lvn; Pa. 1708E mbar 22c. Name and Ada F 12662-L eaibly~'~ Funeral Home, Inc. 37 East Main Street Mechanicsburg, PA 17055 r..aroNte hems 2laC any when wruhjrg 4aa To as best y Yno«ledge, maN «curred a1 Ne lime. mta and pace sNlaa s PNYsa+arl 5 nd avaua6N al arty d mash to ( gnature and title) 236. License NumWr certify rouse d mam. 23c Date SigrNd (Monty, my, year) nen5 2d 26 must ce axnpleled Oy person &. ruQ ~ a~ A zs. Dale Pronoarlcad Dead (Malth. my, year) wiq prmaax:es main. M I _ !~_ 2 uv CAUSE OF DEATH (Sae Inatructlons arM asampNa) Mm 17. Pan f east VN ppaa, d eveds - aseasea, iryuries, a tonglicaaa5 - Ihal arecuy roused aN maN. DD NDT sofa terminal evenlr such as CardNC anasl, i AppoxNWe aaen, spadary artesl, a renNCJar IIDrYMlion wawul srlw;ng aN elwlogy. List oNy aN cauw m each Yoe. Dnset b DeaN ual6tlan Taau~OlUq$n d~)~i a ~ ~'1 ~ I ~ ~ Duero as a consequence o~ ry O ~ m ~ ~ ~agza~W 151 c«bliae. tl any. b. D ~ w n,, 7 ~ r baong b Ne Wuse Ysled m ins a. Eraer Ile UNDERLYg1G CAUSE Dw t (o az a ainsequenw op, (~~ wayay Nal ruliated are Iby n maN) usr. c. ~ to (a az a COIISegwnw oft: ~ d. rarF•~ ,a-t r~v~ 1 Uyc ~ ~L^R~7~J7o,N 30a. was an AaopsY 306 Wen Adopsy Fnmgs 31. Manner d Deaai Penanwd? Avaaebq Prbr b Carrpleliun ~-,/ ~ 32a DaN d Inury (Morph, my, Year) 326, Descnba Flow Injury Occune0 d Cause of DeaN7 iQ r'+awrd ^ Nancga ^ res i~ ^ y ^ Acamm ^ P ~ 32d r 26. Waz Casa Relened b Ateawl Exarmrar! Coroner for a fleason Other Nan Cremation a Ocnauon? ^Yes Pan II: EnW aher Ydp0115diYfd0016a14 CO~MDQI9 dBal6~ out nq resudbq N VN unmrryag cause push" Pen I. 26. pd Tcoacco Uaa Cmagae b DaaN7 ^ Yas ^ ProbabFy 1^~(I Q ~ t ~ ~y lI L ~rl V7 .[ ~ ~1/ (~ - ^ ~ ^ Dra~rwwn 29. II Female: / ^ Nd p/egrlanl wMn pall year (J ^ Pregnant v time d maN 7 ^ Na prequnt. as aegnan w~Nai az mrs D IJ ~ ~/ W DN ps~nam /3 days b 1 year ^ OelorB m a ,J e l ^ Ilremown a pregnad wiNN tlN pact year 32c. Place dYN+Y: (lane Farm, Stieaf Faaay, ante arar5, eb Ispaciry) es ^ No el rig Inresogalan tiro d Inury Sze. Injury at woe? 321. 11 Translxalation NN•Y jSpeCrhl 32 L«alion d N ^ sn~aee ^ coved Na m Dabrmined ^ y ^ ^ Dinar / openbr ° Nrv IsaaM, dry /sown :late) ^P ^ I 73a. CeMNr IaleUi aNy anal No azsager Pe4svwn M. ONer Sp«iry. iGo ~ ~ ~+m ~ (P^YSwiari wndyilp ruse d maN wMn anoNar pnysKnn has pronou«ea deaN arld canpleted Ibm 231 y owMdp• dwm ax d 33b. Signature rely of Carta , wr• dw b the au•ala) and mamar •s aalerL _ _ _ _ _ _ Pro^owNN9 •nd nr111y6q phybi•n (PhYSician 6dh prorbuncng meth orb certl in to cau B 1 m _ _ - _ - _ - _ _ _ _ ~ - ~ _ - ~ ~ - - - ~ "" I V V ~ , V/ V v `-'~- y g > u Wn) To M Wtl el mY arwwMdg•, dNm otturrM M aN INN, dab, arW plat., and dw to IM c•usel•) and menrrr a slalad_ 11•dle•1 ExamaNryDaoner ^ _ _ _ _ _ _ _ _ ~ License umbw ~i Dn tlN IN•1• d •aaminaaon and / a Nve•UgaUon, N my opinion, mam occurred at me Hine date and l _ _ _ -"' -' M ~ ~ a°1 ~ 3 3 ' . , p ace, and dw Io Ina tau {a) and maaNr u •alea_ ^ ~ ~ ~ 's Squtae aM Disvkl NurtNer ~ 3a. Narw and Aaoess a Persun Cwlpa Itx1 Cauae I ~ 36 Dale Feed (Halal, my..Year) ~ ~ I rA/ V` tT1 T •`-'t ~ !J /C! i ~ (~ I / I `` J~~~aS O Disposition Parma No. L1 a J ~ ~ (~~ `l ~ I / ~) I , I 0" ( ld 1 ~'n-~ LAST WILL AND TESTAMENT OF CORA B SLEBODNICK I, CORA B. SLEBODNICK, of the Township of Hampden, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. 2. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to my beloved husband, JOHN P. SLEBODNICK, to his own use and benefit absolutely. 3. In the event, however, that my said husband should predecease me, or should die at about the same time as I die, such as in a disaster common to both of us, I give, devise and bequeath my said estate unto my children, PAUL FREDERICK SLEBODNICK, DAVID WILLIAM SLEBODNICK and CYNTHIA SLEBODNICK VASILN, in equal shares, ~r stiroes. 3a. Should a child inherit through this will who is less than Twenty-three (23) years of age at the time of my death the Co-Trustees of his/her funds shall behis/her above named uncle and aunt or uncle and uncle as the case may be. 3b. My said Co-Trustees duties shall be to hold such funds for the following uses and purposes: A. To hold the same in separate equal trusts for any of the said children who inherit through this will and aze under the age of Twenty-three (23). B . To apply the income and so much of the principal as in the sole discretion of the Co-Trustees, after considering the age, sex, interests, needs aptitudes and .- ~ ~ -_- abilities of each child and the assets and other resources available to said child , as?? a may be proper for the support, maintenance, welfare, medical and educational ,..._ C7 - ; 'T' - `~_ ~, ~ expense of said child during the term of this trust. ~ ~ ~ ~ ;~' C. To distribute the residue of said trust to each said child upon attaining ~ -' , Twenty-three (23) yeazs of age. w .~ w D. If any said child shall die before final distribution of said trust and not be survived by issue, his/her shaze shall be proportionally divided amongst my other surviving grandchildren. 4. I nominate, constitute and appoint my husband, JOHN P. SLEBODNICK, to be the Executor of this my Last Will and Testament. In the event that he should predecease me or for any reason be unwilling or unable to act as such Executor, I nominate, constitute and appoint my son, PAiJL FREDERICK SLEBODNICK, to be Executor in his place and stead. In the event that he should predecease me or for any reason be unwilling or unable to act as such Executor, I nominate, constitute and appoint my son, DAVID WILLIAM SLEBODNICK, to be Executor in his place and stead. In the event that he should predecease me or for any reason be unwilling or unable to act as such Executor, I nominate, constitute and appoint my daughter, CYNTHIA SLEBODNICK VASILIU, to be Executrix in his place and stead. I further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this //t~`°y day of '~ ~ , A.D. 1995. e d 6-2 ct , ,• ~t ~--/~. (SEAL) SLEB DNICK -~ c c~ Ea,n ~ ~ Signed, sealed, published and declazed by the above-named ~ SLEBODNICK as and for his Last Will and Testament, in the presence of us, who at his request and in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ~~~~ _~-- OATH OF NOWT-SUBSCRIBING WITNESS(ES) REGISTER OP WILLS C u V-1 d Ll~ni~ COUNTY, PENNSYLVAI`IIA ~1_~,~_~I?3(c Estate of ~oY~/3' ~• C YN TNi,~- ~~ s /~ i u SLE B oA/1J / C k and being duly qualified according to law, depose(s) and say(s) that Deceased she ~ was / ~x;PrP well- acquainted with CDI~ /3. ~E,(30D/(l/G~K and am/~a familiar with the handwriting and signature of the decedent, and that the signature of _L' O~ ~. SLF~0.17q/ /',~ to the foregoing instrument purporting to be the Last Will and Testamenti+°ii-of CORA~ 13. c5L~0~1r1/CK is in-1~/her own proper handwriting. :~ ~~ ~~ ~~~ 5~~ /~//en~~ew fir. (Sweet Address) /ne~hun;cs,d ur~- ~ff /7a.S"~' (ciq~, stare, z,p) Executed in Kegister's Office Sworn to or affirmed and subscribed before me this ;r,3f~~ day O~- ~~~~.~ , ~~ t - r ~ ~~ ~ ~_ ~ACv~~~ Deputy for Register of Wil (Signntw e) -- -- te, Zip) C7 r^.a q C. P Q ~~ _~ _ ~ ~i7 T C7 ` ~„ ~ -' z~ r- s :- rrt z~ ^,, -. C,J ! ' 'ri :~~ -, f -- 1-t; =.F _, ~ ._.. ,~ Form RW-Od rev. 10.13.0(