HomeMy WebLinkAbout05-22-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
Estate of George Anastasios Anastos
also known as George A. Anastos
. Deceased
COUNTY, PENNSYLVANIA
File Number C~ ! ~ y`7 ~ D r 7y
Social Security Number 003-OS-6165
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for: n ~--;
(COMPLETE 'A' or 'B' BELOW.) ~ O ~ ,
Executor ~' C' -~
^/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the v~~=~~ named in-t}3e
last Will of the Decedent dated 28 June 2005 and codicil(s) dated N/A `" -`? tV
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(State relevant circumstances e g rerwnciation death of executor etc.)
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrumetft~) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: N/A
^ B. Grant of Letters of Administration
(Ifapplicable, enter: c.t.a.; d. b.n.c.t.a.; pendente life; durante absentia, durante minoritate)
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 of heirs.)
~ Name Relationship Residence ~
(COMPLETE W ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
B1dQ 5 Aparhnent 503, 4833 E. Trindle Road, Mechanicsburg, PA 17050
(List street address, town/city, township, county, state, zip code)
Decedent, then 88 years of age, died on 28 April 2009 at Holy Spirit Hospital, East Pennsboro, PA
(If not domtciled m PA) Personal property Pe sy an a
(If not domiciled in PA) Personal property in County
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Value of real estate in Pennsylvania $ 0.00
situated as follows:
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 800,000.00
in nn lv i $
Form RW-02 rev. 10.13.06 Page 1 of 2
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:
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 to or affirmed and supscribed
before me the t~ day of
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or Register
Signature of erso l Representative ~'-=
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Signature of Personal Representative ' -~- i~ -~
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Signature of Personal Representative
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File Number: (~ l " ~l / - ~ `1 7~~
Estate of George Anastasios Anastos ,Deceased
Social Security Number: 003-OS-6165 ,~ n Date of Death: 28 April 2009
AND NOW, ~ O~-V~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before m , T I ECREE that Letters
are hereby granted to Ernest G. Anastos
and that the instrument(s) dated 28 Tune 2005
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $ _ V• W
Short Certificate(s) ........ $
Renunciation(s) .......... $ _
I~~~l~ ...$~
Q $ ~.
... $
... $
... $
... $
--- $
... $
TOTAL .............. $ /
in the above estate
as the last Will (and Codicil(s))
Register of Wills
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-02 rev. 10.13.06 Page 2 of 2
his is to certify that this is a true copy of the record which is on file in the Pennsybania Department of Health, in accord~c%_ with
the Vital Statistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Linda A. Caniglia
State Registrar
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YI05-143 REV 11120(76
TVPEu PRINT IN
PERMANENT
BLAGK INK
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No.
MAY 12 2008
Date
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE FILE NUMBER
1. Name of Decedent (FSSI. mitlek. last, wlllx) 2. Sex 3. Social Security Number 4. Date of Deatn (Month, tlay, year)
003 - Op_i - 61 65 A ril 28 2009
5. Age ILast Birthday) Under I year Untler f tlay 6. Date of Binh (Month, day. year) ]. Birthpkce (C)ry antl stale or foreign country) be. Pkce of Death (Check only one)
"" pe°' ""'" Nm"¢` Newport, Hdapital: om¢r:
88 Yrs. Oct. 13, 1920 ^Inpalien[~ER /Outpatient ^DOA ^Nursing Home ^Residence ^Other-Specify:
Bb. Gounry of Deam &. City Bo .Twp Death Bd. Faddy Name gl not inslilakn. give street and number 9. Was Decedent o" Hispanic Origin? ~ No ^Ves 10. Race. American Indian, Black. While, etc.
01 yes, sp¢¢iry c,dan, rspe~rM
Cumberland East Pennsboro Holy Spirit Hospital Mexi¢an,RpenpRipan.em.) White
1!. DecM¢^t's U•ual Dcc~ a n rKmd of work d one C::rn most of work. life. Dc not slave reUredl 2 Wa: Dae~ant ever in the 7 3. Decedent's Etlucalieu SSpeciy only highest graou comp leteoj 14. Mamas Status'. Marrietl, Never Marnee, 15. Surviving Spo use (If wife, give maitlen name)
NiM of Work KinC of Business; Intlustry U.S. Annetl Forces? Elementary I Secontlary (0-12) College (1~4 or 6+) Widnwetl. Divorcetl (Specify)
Hos ital Admin, US. Arm C~yea ^Np 12 rs. ~ idow d
16. Recede is Maifng Atldress (slreel, dty /fawn, slate, zip code) DecatlenYs Ditl Decratlent
4833 Trindle Road
Apt. #503 Actual Reaitlente na. sale Pa. Teµ inna n¢.)[]y¢a, De¢etl¢nl Lwee in uamnAan Twp
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Mechanicsbur Pa
1 7050
g rid ^ Np,D¢c¢d¢mLi~¢tlw4Nn
v Cumberland p ns Ip
17b. Count
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. Actual Limits of City I Bao
18. Fafha's Name (First, midtlle, last, suffix) 19. Mother's Name (First, middle, maiden sumamel
F,rnest Anastos
20a. Inkrtnenl's Name (Type i Print) 20tl. Informant's Mating Atltlrass ($IreeL city /town, skte.::ip cotle)
Ernest G. Anastos treat. North Arlin ton Va. 22207
21 a. Herbed of DispOSNOn ^ Cremaflon ^ Dorralion 21D. Dale of Dkposhian (Month, tlay, year) 21 c. Place of Disposdion (Name of cemetery, crematory a clher place) 21d. Location (City! town, state. zip cotlej
Bu•ial ^ Removal hom Stale !Wes CremMlpn or Doretbn Authtxlutl
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2009
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22a. - Nra of Funeral Sarvic¢ Licensee r perso such) 22b. License Number 22c. Name one Address of Facility 5 Q 1 N . Ra 1 t 1 m0 r e Ave .
^D-011932-L Hollis er FH/Crematory Iigc. Mt.Holl' S rin s, Pa. 17065
Cam le Items 23at only when cemNin9 23a. To the b my knowledge, tlealq oau ed aI the tune, tl antl pia skied. (Signature antl litk) 23b. License IVUmber 23c. Date Sign (MOnm, day, year)
physi an not available al time of Oeam 10
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cadiry ca
e of death. 1 Q
Items 2426 muse be competetl by person 24. Time o Dea[h 25. Dae Progounced Dead (Month, tmy, year) 26. Was Caso Referred lp Mufical Examiner /Coroner for a Rea Other n Cr¢matlon or DDna1'lon?
wno prcxwunces r~alh. ^
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,~[(~J ^VES ~No
(Bee instructions antl examples)
CAUSE OF DEATH
r Apprpximate iMena. Pan II. Enter caner ~lnificanl cond tons conNDUYnq to tleath 28. Did Tobacw Use Contribute to Death?
Item 2]. Pan I. Enter IM clla n W events -diseases, injuries, or rompkcalions -met directly caused the death. DO NOT enter terminal events such as cardiac arrest. Onset to Death but nW resulting k the undedyrng cause grvm in Pan I ^Ves ^ Probebty
respiratory arrest, or ventricular IiDrillation without showing the etiology List only one rouse on each lice.
^ Nc ^ Unknown
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IMMEDIATE CAUSE ((Fria dsease or
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Due~as ro sequence oQ'. NM pregnant within past year
Sepuendally ksl corrtlikons. it any. D
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ne a. Due to (or as a conse
Eller P~ VNDERLVWG CAUSE quanta of): ^ Nd pregnant, but pregnant wehin 42 tlays
(disease pr injury mat initiated Ina
vents resulting m tleath) LAST.
L of death
Due to (or as a conse W ante oQ'. ^ Nd pregnant, but pregnan143 tlays l0 1 year
d beler¢ tleath
^ Unknavn it pregnant within 1M past year
30a. Was an ANOpsy 30b. Were ANOpsy FMings 71. Mannery-0ealh 32a. Dale of Injury (MOnm. tlay, year) 32b. Descrioe How Injury occurretl 32c. Place of Injury. Home, Farm, $Ireel. Factory,
Pertormetl? Available Piwr to Completion -
/ Otlice Building. etc (Speciy)
of Cause of Deelm L
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latural ^ Homioide
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Ves ^ Yes ~] Nc ^ Accitlen[ ^ Pestling Invesligalion 32tl. time dl Injury 32e. Injury a1 Work? 321. II Transppdalion Injury (Specify) 32g. Location N Injury (Sreel city; Icwn stale)
, ^ Suicitle ^ Could Not be Deferminetl ^Ves ^ No ^ Driver i Operakr ^ Passenger ^Padeslnan
M ^Olher-Specily
33a. Cad~fier (Check only one) 330. Signature antl Ttk C 'liar
CertNylrg physician (Physician certltying ca ¢ of tleath when another physc en has pros ncetl deals end completed Ilam 23)
• us i ou
To me best of my knowledge, death occurretl tlue to the cause(s) antl manner as sbtetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• Pronounnrg antl cenltying pnyslclan (Physician born pmnouncing dears and cedirying to cause of deals) 33c. Licen Number 33tl. Date Signet IMdnth. day, year)
To the beat of my knowledge, tleath occurretl at the time, dale, antl place, antl tlue Ib the cause(s) and manner es slaled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
• Medical Examiner!COroner
On the basis of examination antl I or investigation, in my opinion, tleath occurred al the time, tlate, antl place, end tlue to the cause(s) and manner as slated_ ^
34 Na antl
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r$~s f Person ~.~ mpletetl Cause of Deals Illem 271 type i Print
35 Registrar's Si~~n~ tl Disiri rcFAF'~ 36 Oats Filed (Month. day, year) ~
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LAST WILL AND TESTAMENT
OF
GEORGE ANASTASIOS ANASTOS
I, GEORGE ANASTASIOS ANASTOS, a resident of the Cornmonwealth of Pennsylvania,
make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time
heretofore made by me. I am retired from the military service of the United States.
FIRST: I direct that the expenses of my last illness and 1`uneral, the expenses of the
.administration of my estate, and all estate, inheritance and similar taxes payable with respect [o property included in
my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my
residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property.
SECOND: I give all real estate owned by me at the time of my death, and all rights that I have
under any related insurance policies, to my wife, THELMA PAYNE ANASTOS, if sh.e survives me.
THIRD: I give all tangible personal property owned by me at the time of my death, including
without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other
vehicles, together with all insurance policies relating thereto, to my wife, THELMA PAYNE ANASTOS, if she
survives me, or if she does not survive me, to those of my children (MARY .ANASTOS DUNN, ERNEST
GEORGE ANASTOS, STEVEN PAYNE ANASTOS and BARBARA SUE ANASTOS) who survive me, in
substantially equal shares, to be divided among them as they shall agree, or if they cannot agree, as my Executor
shall determine.
FOURTH: I give all the rest, residue and remainder of my property and estate, both real and
personal, of whatever kind and wherever located, that I own or to which I shall be in .any manner entitled at the time
of my death (collectively referred to as my "residuary estate"), as follows:
,. ;
(a) If my wife, THELMA PAYNE ANASTOS, survives me, to my wife ouh•ight. -?~~
(b) If my wife does not survive me, then to those of my children who survive me and to~tk~~ue
who survive me of those of my children who shall not survive me, per stirpe~.. - ---, r~
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(c) If my wife does not survive me and there shall be no issue of mine then living,.h give-:my ~.
residuary estate to those who would take from me as if I were then to die without a will,; i}a_rfiai-vied =--
and the absolute owner of my residuary estate, and a resident of the Commonwi~lth of cu
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Pennsylvania. - ~,
FIFTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my
Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the
beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or
distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a
custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with
whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to
whom the distribution is made shall be a full discharge of my Executor from any liat~ility with respect thereto, even
though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of
the whole or any part of such property until the beneficiary attains the age of eighteen (l8) years, and may hold the
same as a separate fund for the beneficiary with all of the powers described in Article SEVENTH hereof. If the
beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary.
SIXTH: I appoint my wife, THELMA PAYNE ANASTOS, to be my Executor. If my wife does
not survive me, or shall fail to qualify for any reason as my Executor, or having qualicied shall die, resign or cease to
act for any reason as my Executor, I appoint my son, ERNEST GEORGE ANASTOS, as my Executor. If my son,
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ERNEST GEORGE ANASTOS, shall fail to qualify for any reason as my Executor. or having qualified shall die,
resign or cease to act for any reason as my Executor, I appoint my son, STEVErI PAYNE ANASTOS, as my
Executor. If my son, STEVEN PAYNE ANASTOS, shall fail to qualify for any reason as my Executor, or having
qualified shall die, resign or cease to act for any reason as my Executor, I appoint my daughter, MARY ANASTOS
DUNN, as my Executor. If my daughter, MARY ANASTOS DUNN, shall fail to qualify for any reason as my
Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint my daughter,
BARBARA SUE ANASTOS, as my Executor. I direct that no Executor shall be required to file or furnish any
bond, surety or other security in any jurisdiction.
SEVENTH: I grant to my Executor all powers conferred on exe~~utors under the Pennsylvania
Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon
executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale,
exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for
cash or on credit; to borrow money and encumber or pledge any property to secure loans, to exercise all powers of
an absolute owner of property; to compromise and release claims with or without consideration; and to employ
attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall
mean the executors, executor, executrix or administrator in office from time to time.
EIGHTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me
unless such beneficiary survives me by more than thirty days.
NINTH: I have served in the Armed Forces of the United State;. I therefore request that my
Executor make appropriate inquiries to ascertain whether there are any benefits to which I, my dependents or my
heirs may be entitled by virtue of any military affiliation. I specifically request that my Executor consult with a
retired affairs officer at the nearest military installation, the Department of Veterans Affairs, and the Social Security
Administration.
This document was prepared under the authority of 10 U.S.C. § 1044 and implementing military
regulations and instructions, by Captain Victoria Ko, United States Army, who is licensed to practice law in the
State of New York.
IN WITNESS WHEREOF, I, GEORGE A~LII- ASIO NASTOS, sign my name and publish
and declare this instrument as my last will and testament this day of " 2005.
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GE RGE ANASTASIOS ANASTOS
The foregoing instrument was signed, published and declared by GEORGE ANASTASIOS
ANASTOS, the above-named Testator, to be his last will and testament in our presence, all being present at the
same time, and we, at his request and in his presence and in the presence of each other, have subscribed our names
as witnesses on the date above written.
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having an address at
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having an address at /j/' /' ~ n
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ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss.
We, the Testator and the witnesses, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authorit~~ that the Testator, GEORGE
ANASTASIOS ANASTOS, signed and executed said instrument as his last will and testament in the presence and
hearing of the witnesses, and that he had signed willingly, and that he executed it as his free and voluntary act and
deed for the purposes therein expressed, and that each of the witnesses at the request of the Testator, in the presence
and hearing of the Testator and each other, signed the will as witness, and that to thf; best of his or her knowledge
the Testator was at the time at least eighteen years of age or emancipated, of sound mind and under no constraint,
duress, fraud or undue influence.
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~' G$ RGE ANASTASIOS ANASTOS
estator
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print: ES ~ ~- QE ~
Witness
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Witness
Subscribed, sworn to and acknowledged before me by the said GEORGE ANAST~SIOS
AN TOS, Testator, and subscribed and sworn [o before me by the above-name~j witnesses, this 'day of
2005. _
~.--
otary Public
My commission expires on ~Z ~ ~!~ ,zOpy'
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
gelfy S. Kistler, Notary Public
Carlisle Boro, Cumberland Count!
My Commission Expires May 14, 2()09
Member, Pennsylvania Association of ~4otaries