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HomeMy WebLinkAbout07-10-09PETITION FOR PROB~~TE ~~iD GR~tiT Off' LETTERS REGISTER OF WILLS OF Ly~»i3clu~"~y COUNTY", PE~+~SYL~'LM~~ ~L' L~., Estate of,~~C- ~~~' ~~~-~ / ~ ~~'~~ also known as Deceased Petitioner(s), who is/are l S years of age or older, apply(ies) for: (CO:LIPLETE 'A' ar 'B' BELOIV:) File Number ~__5~. % I ~=" Social Security Number L- ~C.:-a ~X~ L°y j G~ named in the A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /ere t e last Will of the Decedent dated and codicil(s) dated f~ (State relevnnt circu,nslnnces, e.g., renunciation, dend~ of executor, etc.) N Except as follows, Decedent did not marry, was not divorced, and did no[ have a child born or adopted after executiotCCo'f thOe insttume) offered C~ r for probate, was not the victim of a killing and was never adjudicated an incapacitated person: - ~ ~ (", ~_ •t ' ~ n cn ^ B. Grant of Letters of Administratio ((Jnppiicnble, enter: c. t.n.,, d. b. n.c.ta.: pendente lire; du,-nnte absentia; durntr~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following Adrninistratioat, c. t. n. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) =i7 ~; _ - (if any) aLd~ieirs {If r n ' (C'OtYIPLETE IN ALL CASES:) Altach n/d~ditiatnl sheetsJif~necessnry- Decedent was domiciled at death in (y~~2N'KD County, Pennsylvania with his /her last principal residence at - .~ (List sh eef address, (orwdcity, townsAip, county, stale, zip code) /~ '~ Decedent, then ~ / years of age, died on ~ .~~~r~/' Decedent at death owned property with estimated values as follows: All ersonal ro ert $ ~ ~~~ (If domiciled in PA) P P P Y (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in Counry $ Value of real estate in Pennsylvania $ ~t Page 1 of 2 Farm R6V-(l? rev. lOJ3.J6 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 approp,ria[e form to Oath of Personal Representative COVI~~ION~bEALTH OF PENNSYLVANIA SS couNTY of Lvm~3!'2.L.an~~ "The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hue and con~ect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) wil] well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me d1e ~-day of Fo t e Register of Si~nnture oJPersannl Representn~ive N c~ r ^ ~ ..o Signnhu e oJPersonn! Represenlnrive , ~ L. , j ~_ C-7 ~"' _i r~ `- File Number: '~~ ~ ~ Estate of / "=' ~ ~'~jg~~ Date of Death: (If - ~~~ ~~ Social Security Number: D AND NOW, ~ ~ ~ iu.consideration of the foregoing Petition, satisfactory proof having been presented before , IT IS DE D that Letters are hereby granted to ~ ` ~ in the above estate and that the instrument(s) dated ~ "__~,;L~ '" ~~~ described in the Petition be admitted to probate and filed of FI.F,S $ Letters ............... Short Certificate(s) ...... f~ .. $~~`D .. iation(s) R .. $ - ...... `eAnunc _ . .. $ ©'~ 1 . .. $--- ~~-~-- . .. $ . .. $ . .. $ . .. $ _ ... TOTAL ........... ... $ as the last Will (and Codicil(s)) of Deced ~nt. Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Regis(er oJWi(~~©~ ~''~ Page ~ of 2 Furni F.LV-D_' rev. 10.1'1~G i~a9-~~38 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photclg~aph, ,,,~ZH-OF p~~~~ ~~"`~~. -,F,y~`~ ,' ~ ~ s -_ G ,~ ~ ~~~` ~ ~ Z o. ~ J i ~~~ ~~,r r1', ~. , ~lM~~T ~c~`,1 ~hi: i, , _.°r~lt; ;l',~tl the iii nlatil~'~ !.r~ ~-i~.n , C'f1rrCCt11 c?Li1:.C~ ~liY?ll t 1~'~11'1!t.l~ ', ll-"i~1+: 21(.' 111 ~)l'al Lltllti~ li <<~ ,;i~~ I)~~ ~;~ L1>c;(I IZ.~~i,l(ar. ~~he t,)),ri'i, 1 er(i~il.,)t~ _ ti's I1t~~'.~arllc~,.' '1" ;(~.: .~i<<.It<~ ~'it j:ertlrLa~ '?'~i, ,~ 2rr ;;~)n~~ll 3i - fee Y~~r this c~Itilicat~ S(~.OO ___ P 156.55802_ Certilicati(m tiumher u _tKd SINi iN \IANENT .:R NK ua•,a a - ~: F~rsl d - mxl Dolores Adelaide Succa ~ Aga L I a~ v ~ a der t ~,aer uncor I day ur.n. Da s rv. + Mn~ e> 89 Yra ~ 3o Ccunry cl Ceatn Cumberland !1 Deceaeru us~ai Occnween.x nmo d Wux Ltyca? 1~~~ ~i~tl.lr COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ~11g~ a !).i_~~ I,~suc~i ~ ~ CQ ~ , ; _ ~y ~ ~ _ c~, ~. C .~1 , ~ ~ ~I r'~a _. "'111 Ir (See instructions and examples on reverse) sTArE FILE NUMEIER _ l 5a;:m Seconry Nwnoer Female 096 - 09 - 1940 June 15, 2009 6 Dau of Duln tMOntn. dap veer B nr p ace c ry a rU ,..da s u eqn cwnnyr .. .,. .. -.._ .. _.., - N _ •,~. Glaser August 14, 1919 Bethany Decanous, C Iincatenl ^ER.oatpaDent ^DOA (~N„r:' z sveel and numceq 9 Was Gecetlem d Ntspan~c Orgm> [~ No r+ome ^ Fes~aence ^Cmar Sceory ^ Yes t0. Race. Amercan Indian. Slacx. Wrote. er.. tsce<'M I White red. 5 Surv~v.ng Spzse In w:e. yve magen Hamel 3< C.ry. 3cro. Twp of Deam dd. Faobry Name ;II nct nstnwion, grr Ilt yes. speafy Cuban. Middlesex rlWp. Claremont Nursing and Rehab. Mex¢an. Pueno RKan etc 1 rs acne ]unr- ros1 ot'norxin 'ile DO a0t slale'etaetll 12 Was Decadent aver .n me 17. Decedents Eauca;'On ISpeciry Only mghes; ~rada ,:„mprelztl: la. Manldl $Idlas. Marnzd. Nzver N t o S W-x;owea. Dwaced ISGn:ry1 ~(uW of Business Industry U S. Armed Forcesv Elemenury ~ Secondary 10-12) College t 1 Divorced t6 De<edems Ma:~ng Address lSreet cirylown. ;ale.:A :ocel 375 Claremont Dr. Carlisle, PA 17013 18 famer s Ndm2 ,F.rsr nrv%lle. dst. sudixl 1 ^Yes [~c 12 Oecetlenfs D'tl Deceaenl PeN1SV1V3nld Lme .na p<®ves. Deceaem Lased ~~n Middl eSex iwp. AcNal Residence 17a Slate .~ - TOwnsNp~ Cumberland vtl ^ ~Decedemawea wmw, c,ry dao t7b County t 9. Momer s Name iFnst m:wre „a~aen su mel Marjorie Kunzman Edmund Hey er zoD In;ormantaMail~ngAdsess streetury lown.sule:DcOOeI 17050 2oa ~nlorrnant~Narnetr;pe-Bast°' 103 Hill Lane Mechanicsburg, PA John E. $uCCa ltd Lxatgn,C. :own. save. :'D Cruel a 'Ar,nod al D'sposnron ~ uemauon ^ Donali0n 210. a"ate <I Drspovum IMOmn. tlaY. yeari 21c Place of D~spcs.oon Wane at cemetery, cremaury a omer Wacel ry - LTaC Harrisburg, PA ^ 9ural ^ Remosai!rcmStale WasLremaionarDOnatwnAutnor¢sd ? ®ves ^ NO 6/1":8/2009 Bitner Crsnatory, - ^ OPar ~ SG2t,N' ~. oY Medical Eaamirm 1 Coroner endAmrESS CI N Fxntly Jesse H. Geig e EUnera ome - se r;ers<n acting aE,u,nl :2aSgna:°'a:"'asst'" ame 22D L<enae Nempar 22< 2100 Lin lestown RD. Harrisburg, PA 17110 g ~. s FD-014404-L ars e Dale S~gnetl .4lom,n. day Y 23c ~ C<mpceu Hems _a7ac only wr remhi~ng 01 my'rrawreoge. death occuneo 27a To al the ume, eats and Dwce sated. ,S,gnawre and :asses 27b. License Numoer . . yy ~~ e 00 ~( ~ u N£ (S scun ~e;~ a.a~Iao~ at I'~ al tleam ,o n ~ 1 ' ~ O L , Rol 5~ 3 y p se cl dea:n mt e /YV ~~ ~ _n Case Released :o MedKal Exarr,mer Ca..ne 6 W r!or a Reawn Omer :nao Cremauwl a Oonauon' y a ce erson o D l l 2a. `me ;1 De ~ ~ ''25. Dale Pronounced Oead;Monm. day. year) as 2 . ^ Yes ~] No y p e e Gems 2x-26 must re <omp an d ~ ~ Pr M. ~ ~ G ~ ~ --~ ~~ ~ 1 ~ ~ use Canmowe to beam? Cd 7 . e o prorwuncec was . CAUSE OF DEA7H (See instr uctions and examples) st I Approximace ~nler.a On et :o Cea:n am Pan a Enter ahe, X11- I~ -o~~ 0• t o^ ^ Rar, Dut not rewnmg m;ne unceny~nq cause qve owuo 28 Yes ^ Probaory ^ uem U Pan ~ Emer Ica ; Haas 3Sevants - diseases nlunes m <omp¢auons - mat arecdy caused Ine Beam. DO NOT omer terminal events such as caraac arre s ^ ~ ^ Unuwwn es,^uawry arrest. cr ,envx:uwr !mniutan .nnoul snowing Ine etwagy. lass Dory a>e cause on each Ime. 29 II Famaie. IMMEDIATE CAUSE Fin i assess a in ~ /~ (~ ^ Nos pregnant wMm past Year t _~ onacon resmbng n .]sa a_ /~}.f - ^ Pregnant at ume al deem Due :o f or as a consepuerxe ot). ^ Na ge9nanl. 0w aequm vatM a2 daYs SEquenualry iat rcnatwns. I any D d deem ~~eaang :o me case ~isle0 cn sass a. corer ;ne UNDERLYING CAUSE Due Ie ~0r as a consepuen<e oil: a3 Oaysb t year ^ NCI Gregndnl. D1a DreNurs ~a58eae Or'~nryry :Hal ~niedle0 ins 2vEn15 resWenq n ..edmi LAST < Due 10 (Cf as d COnSeQUenCO oQ: r DetOre deem ^ Unxrwwn 'pregnant wmwt dw pau Year ,, d 72<. ~ a al Iryurr riana Farm. $DBeI. Fdnay. a Dale cl injury IManm, day_ rear) 72a 72a Ces cnce now Inmry Octanes C"ce ewawg, eu. ~. SDeoyl dCa. '.ves an Au,~GSr 74o Were Au;cpsv F noa.gs 3t Manner al Deam - _nGrmaU~ Avdlid016 P(Nx to Complelgn Iral ^Homlc~de of Cause of CEamr a 72tl. ime a tnryry 72e In~wy al Vloa ^ Acnaem ^ Pending Invesugaoon ^-res ^ res ^ ^ ^ ^ ^ SuKitle Ccum NOI ce Deurmrnee yes M )7a : ~ ..9 erA 111e ~ ~2n.li¢r }3a -<x . Y a. ~ ~v 1~ C nlytng prays an P .< ~ nry. g' se t- `-n ne aMlner DnYSw an MSD Fd Je A G etea lain 271 r ~' n a To tn<Desl of my xnowledge death occurredd to In < salsl and manners stated_ _ ----------~---'-'-'----`, q a'e .i yr.c d" t.,c ~.: ',u r ccr' :ar .F Pronounung end cendytnq Dhysteun P^vs'ce". i,c n p:O uum:ulg deu.n and can rr rq .o cause of da~lr - " _____ to me cest of my xnowledge, seam attuned at me ume, eats, and Dlace, and due to me causHsl and manner as sat _ _ _ _ _ ~ ~ -_ C: C ~Z'-~Ff _ ~- Medical Examiner I Coroner l "ia ,~ ..-.~ Aa~,,r,:» rl Persa~, Nn.. ~; :r ;;,else :.u.::•'~:a'n .er~ :, " .c - Dn the oasis of eaaminanan and; or invesligabon, in my opmwn, dean occurred at the lime, date. and Duce, ane due to Ine teasels and manner as suled_ I_J ~ ... r ~ Free .lean Claremont dursin and 375 C1arelront~ Or. Canis Rehab. ,~, a, a~ al al _° a., ~ a ,%ii~a~miat/C . ~.,-~'- ~D~/8/d~ le, PA 17013 7'2111 "rdnsGGra'.:'rlUry'.SGacr1Y1 32q. lOCdLOn of lnlury'$IrFer !IY :own_sUltl ~ ^ Dm r Ocera.; ^ Passenger ^Petleslnan ,,_,..,,n er lvr, J~~53/090~ k ~ - s - ~ t. S ~~ .~~.~ BE IT REMEMBERED THAT i„a ~~ ~ ~ ~., - I, DOLORES SUCCA, of the County of Cumberland and Commonwealt~Q f ~ ~' c._ c:~ .~ ~` tL [t'7 ~..... Pennsylvania, being of sound mind, memory and .understanding, do make,<~~'~li~ '. __~ and declare this to be my LAST WILL and TESTAMENT, hereby revoking a~.~~~akir ..~ ~ ~~ null and void any and all Wills and Codicils, or writings in the nature ther~f, ~-• '.~; at any time heretofore made by me. ~ FIRST: As my Personal Representative, I nominate and appoint my son, JOHN E. SUCCA, to be the Executor of my Last Will. SECOND: I direct that all taxes assessed and payable because of my death, be paid from my residuary estate as part of the administration of my estate. THIRD: I direct that my funeral and burial expenses and my just debts, be paid from my .estate as part of the administration of my estate. FOURTH: For all purposes of this Last Will, my estate shall mean and include all real and personal property of any kind and every nature whatsoever, wherever situate, in which I may have any interest at the time of my death, including any property over which I may have power of appointment. FIFTH: I give and bequeath to my granddaughter, KATHLEEN M. SUCCA, one diamond stone from my heirloom ring and I give and bequeath the other diamond stone from my heirloom ring to my granddaughter, CAROL A. SUCCA. SIXTH: I give, devise and bequeath all of my estate to my sons, JOHN E. SUCCA, EDMUND J. SUCCA, DAVID G. SUCCA and ROY S. SUCCA, in equal shares, if they survive me, but if any one of them should fail to survive me, then his share in equal shares to his children who survive me, but if no such grandchildren shall survive me, then his share in equal shares among the survivors of my sons. SEVENTH: If any part of my estate shall vest in a person who shall not have attained the age of majority in the jurisdiction of that persons domicile, my Personal Representative may, with absolute discretion deliver such part, or any portion thereof, without bond, to the parent or legal guardian of such person to be held for such person until he or she reaches his or her majority. The receipt of such parent or guardian shall be a complete discharge and acquittance of my Personal Representative and shall be final and binding on all persons in interest. EIGHTH: If any legatee, beneficiary or devisee, shall fail to survive me by thirty (30) days, I direct that I shall be deemed to have survived such legatee, beneficiary or devisee and that this Last Will and all its provisions, except where specifically stated otherwise, shall be construed on this assumption notwithstanding the provisions of any law establishing a contrary presumption. NINTH: I direct that no Executor nominated and appointed by the provisions of this LAST WILL shall be required to give any bond or post any security, and that if, notwithstanding this direction, any bond or security is required by any law or Order of Court, no sureties be required thereon. IN WITNESS WHEREOF, I have subsecrubed my name and affixed my seal ~~" ~~ da of '~' this ~ y ~'~'~`c~c`'`~ , 19!v f' DOLORES SUCCA . ,~ rr ,....._- -2- ACKNOWLEDGEMENT CONL~'IONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, DOLORES SUCCA, 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 willingly and that I signed it as my free and voluntary act for the purposes therein expressed. ... ~ r< DOLORES SUCCA Sworn or affirmed to anal acknowledged before me by DOLORES SUCCA, Testatrix, this ~ ~~^^}~1 day of ~ 19~~G~ . ~ 1., C.' Notary Public AfiiiA L. 80GERT. Notary Public Mechanicsburg. Cumberland Co.. Pa. AFFIDAVIT MY Commission Expires Aug. 29, 1989 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND ~ `> ~ r We , / 1 ~- ~LG-L' L Q_ and ~~,~ c~-. /°~ --. ~~ ~,. c r `~ t, 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 DOLORES SUCCA signed willingly and that she executed 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 or more of age, of sound mind and under no constraint or undue influence. G' _,., C' ., -~ ,:./ Sworn or affirmed to and acknowledged before me this ,~' ~~ da of ~~ .~~1 y ~ r~.«c~~.~ ~; 19 ,~~ ~~ -/ C..~ Notary Public ANITA L. Q RT, Notary Public Mechanicsburg, Cumberland Co.. Pa. My Commission Expires Aug. 29, 1989