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HomeMy WebLinkAbout05-04-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of Alberta Bugdonis also known as Deceased COUNTY, PENNSYLVANIA File Number C C.~ ~t-~" ~~ ~\ Social Security Number 051-09-1284 Petitioner(s), who is/aze 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 Executrix last Will of the Decedent dated 9/1/2004 and codicil(s) dated none (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 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.t.a.; pendente life; durante absentia; durante minoritate) Petitioner(s) after a proper seazch has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) ated~eirs: (If ~ .a ...:..:.......r.... „ . ,. ,.,. a t, H ,. s „ o»~or .1 ro .,f Will ir, Cortinn q nhnve and emm~lete list of heirs.) ~ ~. Decedent, then 93 yeazs of age, died on 04/25/2009 at Country Meadows, Mechanicsburg, PA n / ~ ri r , ^ l-r , Decedent at death owned property with estimated values asfollows: ~ ~ /, OC) 11.4 O (If domiciled in PA) All personal property $_~ (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:_none 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: Cynthia D. Rudisill 215 N. 2nd Street, Lykens, PA 17048 CUMBERLAND named in the Form RW-02 rev. 10.13.06 Page I of 2 . _~ G> (COMPLETE INALL CASES:) Attach additional sheets if necessary. ~ -~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at fir: Country Meadows Retirement Home 4833E Trindle Rd Hampden Township Mechanicsburg, PA 17050 _ (List street address, town/ciry, township, county, state, zip code) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA (~ ,,..~ ~~ SS COUNTY OF l \9_'~{'~~,~n is 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 ~~ Signature of Personal Representative r.• before me the ~ day of ~? 1 ~ 4~ ! ~ ~~~ \(~~ ~jl C/~~~~ Signature of Personal Representative ~ T.~' ~.`~.~ 1 -n I~ ~ _c- ~~ For the Register Signature of Personal Representative ~ ~ \ - _ ~ ~ _ -~ ~ ~ ~; File Number: \ ~C~ (~~`~ Estate of Alberta Bugdonis ,Deceased Social Security Number: 051-09-1284 Date of Death:4/25/2009 AND NOW, ~l~ '~ ~ ~~~ in consideration of the foregoing Petition, satisfactory proof having been presented before m , IT IS DECRE •that Letters ~ " `~ T lt3~"; F r~ l ~,~ Y are hereby granted to ~ . y l1l I ~ ! A f ~ . ~ V' ~ i ~ 1 y.. L. and that the instrument(s) dated described in the Petition be admitted to probate and filed of FEES Letters .. ~n~.pta~©..... $ C Short Certificate(s) ....~? ... $ Z~ Renunciation(s) .......... $ ~~,~ 4 ~~ ~LQ t~ ... $ 11~ ... $ ~ ~ ... $ ... $ ... $ ... $ ... $ ... $ ... $ To~rAL .............. $ ~ 1 ~~' as the last Will (and Codicil(s~ of Decedent. in the above estate ter of Wills \ 1 'J Re gis v / ~ ! /- ~ --- Attorney Signature: --- Attorney Name: Terrence . Kerwin,Esq. Supreme Court I.D. No.: 29922 Address: Kerwin & Kerwin 4245 Route 209 Elizabethville, PA 17023 Telephone: 717-362-3215 Form RW 02 rev. 10.13.06 Page 2 of 2 105.805 REV (0 0071 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 Records Office for permanent filing. r ~~,~ (~ . - ~ F ~~'7~ O~ Local Registrar Date (sued F~-J C~ ~.- s ~ ~.iv _t~ ~~ `~ ,~ -_ _ '_`t I - _ ~; .~"' , -, i - _7 ---I ~ _~ .. y~ ~ ~ V 1 Hla T i` -la3 NEV nrzoos fPE / PIUNT W oERMANFM BLACK INK `~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) ~,,,< <„ 1. Nanr tl Decedare (Feel. n0aas, W, aRu) Alberta BugdOnlS 2. Sex Female 3. Sodal Secumy Ntnder 051_ 09_ 1284 !. Date d DeMn (Mmh, my ` Apri~25, 2009 s. Ape (Lax Bimdayl Unmr 1 lards 1 s. Derv a Birk (MOrM, 7. and err ar e. Pleu a own ClrrA arj 93 uarr. lyeya lkue Miww July 20, 1915 Gerardvllle, Pa. ,wpnt Garr. as ^Inpaliera ^ENyawp.wa ^DDA Hna ^Hesimrn. ^Dmer•sp.dly: ee. county a owh ec. ay, Boro, Twp. a Dwh m. Faciry Nanr p m sawaun, pica aaem and now) p. was Daadra a Kcpv.c Drght ~t No ^ Yw ,o. Flea: Anrrban hern,,nack vela, eb. Cumberland Hampden Country Meadows Retirement Home ~'~"~'~y~+ (~ White Moran, pwro Flinn. ec.l 11.OaamnlY Uew I(ad d oak ado mw a W. Oo rrd ar ~ 12. Wn Daeedsa eve h as 13. Deadwra Empm 1~•axy s+i ~u p+m ,!. ~ aaas: . raver aaenra, ,s. Surriv0e Spouw Ix wee, give mabw nrra) Irab a cave ,Ihd a lNsOrn r on Ed a u.s. Amrea Feast ~~"la'a Catl`°"1'j°`~`j Wiowe~ ucat Cook ^Yn 16. Dewdea'c usiEq Address lsuw. tlty /loan. a,Me, zip cede) Danaard'a PA Diu DxaaMa 4833 E. Trindle Road l;7t ,7c. tp{,Ytl, Decadxa lrvb n ""°'F'~OB1YB 17`a"° rwp PA 17050 Mechanicsburg t ,mcarmry Cumberland „a^~,D,~,,,liea„~,;„ , AaN linir d CAy I13ao ,S. Feher's Nana (FYm, moue, last, WOs) William Yonusaitis ,B. Yotlrefa NMa (FM,tradua, ntaian wrrrrne) Matilda Uritis 20a IrdormaM'e Name (rYper Fred) Cynthia Rudisill 2p0. hbrmrP~ Mairp Aatlrwa ISYeaI ay/ Dom ~5~'.~lnd Street Lykens, PA 17048 z,e. canna a oispaabn ^ cremeaan ^ oarnon z,D. Der a oDpoerm IebrN, mr. 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YeaA '' o r my bw e ps, ee toamre tl r es,mr,a p an, and auernr auee(sj errd nurrrrrw srlM-_________________ • Medical Examiner / Caaw ,. yn, t^~ (( Iv~ Y 2 ~~ Q ~ ~ ~ 2 On Ur ma a eaamwlbn cad f a rvesapatbn, h my oplaon, mom occurred n IM,Ow,ear, w plea, and due r Ur wueyq and mwrr u stare., ^ ~. Nara and Aadran d pray wro conprrd cauw d Deem 1~ 27) Typ.I 35. ~ 's a ~ ~ ~ ~ ~ Dar FYad ( my,1q^~) J ~ i O ~~ ~ ~/ M. 0. ~ + I - ,I . I I - I ~ yl- a'1 A ( o Chk~~h ~d c ~rn }-1;11 $ ~ Ia l . l i r Drpailw, PerrNl No. O 3 ~ O ~p / / - ~1 oclc~kZS~ ,_~.~ LAST WILL AND TESTAMENT ~_? -. ~ ,-~ ~7 ~~'-`~ '~ :--. ~_~ BE IT REMEMBERED THAT '` ~'' _u ~~ Ta -~ ~- o I, ALBERTA BUGDONIS, a widow and resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. II I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by chatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. III I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment as follows: 1. To my deceased husband's niece CYNTHIA RUDISILL I give, devise and bequeath one-half (1/2) of my residuary estate, per stirpes; 2. To my deceased husband's niece DONNA CHANCE I give, devise and bequeath one-half (1/2) of my residuary estate, per stirpes; IV I nominate, constitute and appoint CYNTHIA D. RUDISILL, as Executrix of this LAST WILL, to serve without bond. If CYNTHIA D. RUDISILL is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my attorney, JOHN D. GRIGSBY, ESQUIRE as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, ALBERTA BUGDONIS, have set my hand to this LAST WILL this lst day of September 2004. i~_ ~~G1~~.e~ ALBERTA BUGD IS Signed, sealed, published and declared by the above-named ALBERTA BUGDONIS, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ./ 2 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, ALBERTA BUGDONIS, Testatrix, whose name is signed to the attached 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 as my free and voluntary act for the purposes therein expressed. s4'?~GGI~~t=GO~Le..A ALBERTA BUGDONIS Sworn or affirmed to and acknowledged before me by ALBERTA BUGDONIS, Testatrix, this 16th day of March, 2006.. NW ALTH OF PENNSYLVANIA ~~ NOTARIAL SEAL `' JOHN D, aRIpSBY, NOTARY PUBLIC ary Public ghrowllbury Township, Yark County MY ~OMWIISSION EXPIRES April 25, 2006 AFFIDAVIT r COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, R. Mark Thomas and Brandi H. Waesche, the witnesses 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 Testatrix sign and execute the instrument as her LAST WILL; that ALBERTA BUGDONIS signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 years of age or more, of sound mind and under no constraint or undue influence. Sworn or affirmed to and acknowledged 2006. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL JOHN D. GRI+`C'<3`~, NOTARY PUBLIC 3 Shrewsbur°,, i":;wnship, York County MY COMMISSiOti, EXPIRES Apri! 25, 2006 L2~Gs~~ ,/ >.. before me this 16th day of March, oV ~) N ry Public E