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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA
Estate of Stanley Brazinskas
also known as
,Deceased
File Number _ ~ l ~~ ~~~~
Social Security Number 194-28-99,38
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 Otto Zink named in the
last Will of the Decedent dated May 25, 1989 and codicil(s) dated April 14, 1997
(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 bom or adopted after execution of the instrument(s) offered
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~~_~
~..
B. Great of Letters of Admisistratioa
(Ifapplieable, enter: c.t.a.; db.n.c.t.a.; pendente lire; duranteabsentia;
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the
Administration, c.t.a. or d.b.n.c.t.a., enter date of Wil! in Section A above and complete list of heirs.)
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any) and hett~. (Tf
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Name ltelationshi ~ r
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(COMPLETE WALL CASES:) Attach additfonal sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
523 Herman Avenue. Lemoyne Pennsylvania 17043
(List street address, town/city, township, corwty, state, zip code)
Decedent, then 84 years of age, died on March 4, 2009 ~ Carlisle Regional Medical Center, $. Middleton Township,
Cumberland. Pennsylvania
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 132,600.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 100,000.00
situated as follows: 523 Herman Avenue, Lemoyne, Pennsylvania 17043 and Massachusetts Avenue, Camp Hill Pennsylvania (13-23-0549-109).
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 afore T or tinted name and residence
~~s ~_ ~ Otto Zink, 8171 Somerset Street, Hummelstown, PA 17036.
'~~ ~ -~'C-~' ~ Vyautas Rupinskas, 5737 Foard Drive,
Form RW-01 rev. 10.13.06 Page 1 of 2
~ • ~~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF JIM t' 141 U It,U lU
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 ~~~ day of
Far a Register
~ ~~0 ~ N
Signature of Personal Representative
Signature of Personal Representative
Signature of Personal Representative
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File Number: ~, ~~) O~~o~,
Estate of Stanley Brazinskas Deceasdd
Social Security Number: 194-28-9938 Date of Death: March 4, 2009
AND NOW, o~ ~~ C}~ ~ n 1J 200 g , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testatnentary
are hereby granted to Otto Zlnk , n A V va n t a c R n n i n c k a c
in the above estate
and that the instrument(s) dated May 25,1989 and April 14, 1997
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............... $
Short Certificate(s) ........ $ ,
Renunciation(s) .......... $
... $
... $
... $ v.
'~rrtirtr, fiD-1-Qke Oa~h$
... $
... $
... $
... $
TOTAL .............. $ iae6
Attorney Signature:
Address: The Law Offices of Leslie David Jacobson
8150 Derry Street, Ste. A
Harrisbtug, Pennsylvania 17111
Telephone: 717-909-5858
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Form RW-02 rev. 10.13.06 Page 2 of 2
Supreme Court I.D. No.: 209496
. ~ ~ ~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANLA
SS
COUNTY OF 1 ~!l Q ~,~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are rive and correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal re resentative(s) of the Decedent, Petitioner(s) willl well and truly
administer the estate according to ]aw. ~ _ ~-~ Q
Sworn to or affirmed and subscribed
before me the ~ day of
. , ~~~
~ o e Register
l1~ n ~u G{.~,r.
~wf ~o rJ S~'3. 1~Ci
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,`p.. ! .~~,,"~f _ File Number:
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Signature oJPersonal Representative ~~
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Deceased
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ecurit Number: Date of Death:
f ~~1}}I`dOW, , in consideration of the foregoing
having been presented before m , T IS DECREED that Letters
are hereby granted to
and that the instrument(s) dated
described in the Petition be admitted to probate and
FEES
Letters ............... $
Short Certificate(s) ........ $
Renunciation(s) .......... $
... $
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $
Fvnn RW-0' rev. 10.13.06
satisfactory proof
in the above estate
(and Codicil(s)) of Decedent.
Attorney
Attorney Name:
Register oJWills
Supreme Court I.D. No.:
Address:
Telephone:
Page 2 of 2