HomeMy WebLinkAbout08-19-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cat .,r, ~orlq n d COUNTY, PENNSYLVANIA
Estate of~-~p~n1.., ,o ,fin ~~a d0.- File Number ~~'Q ~ ~/~
also known as O j-E± d~
,Deceased Social Security Number f'7 S O _ / ~ - / ~- S
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 / aze
last WiII of the Decedent dated and codicil(s) dated
(State
etc.)
e.g.,
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters o[
named in the
D` <....
(IJapp[icab[e, enrec c.t.a.; d.b.n.ctn.; pendente lire; durance absentia; du~e~ir inoritate) •• ~ ' '
O
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any)5t4d1 heirs: (!f ~~
Administration, c.t.a. or d.b.n.c.t.a., enter dale of Wi[( in Section A above and comp[ele list ojheirs.J
was
(List street address. towrJCiry, f6wnship, county, state, zip cadet
Decedent, then 9 2 years of age, died on ~21~ at
his /her last principal residence at
Decedent at death owned property with estimated values as follows:
(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
s 3000
Form RW-0? rep-. lo.ri.oe Page 1 of 2
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Wherefore, Petitioner(s) respectfully request(s) [he probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate Corm to
the undersigned:
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Oath of Personal Representative ;~
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COMMONWEALTH OF PENNSYLVANIA -`' ~~` r-~ ~'>
,-~C~-r~ 3 _
II
COUNTY OF CUmhp~~4nd (~~ C~ ~ ~-"
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tru~nd coned tsthe best of ~-`
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will wel l and wly
administer the estate according to law.
Sworn to or affirmetiand subscribed
bef me the / / ' rn~da~y of
~vv /
r
r [he Register
of Personnl Represenmtive
Signnture of Persann(Representative
Signature of Personal Representative
FileNumber:~j,~n OC ~ /~~7/yJ 7 - / ~S
Estate of ~~„~ / ~~jl~Q ~"'"~ ~f,//~~,/Deceased
Social Secur' Number: U5~ /7 ~~~-~yyS~ Date of Death: ' ""-/ ~/~ ~~
AND NOW, ~ , `~~'
having been presented ~f~\tC me, IT IS DEC~~/E,E that Letters
are hereby granted tr~~/ JD /C)~1~ `t7t7 ~
inFonsidegption of the foregoing Petition, satisfactory proof
in the above estate
and [ha[ the instrument(s) dated v` % ' `'
described in the Petition be admitted to pro ate and filed of record ~s,jhe last Will (age Codicil(s))
FEES
Letters ...............
Short Certificate(s) ....... .
Renunciation(s) .... a . .
~ur:?l
$ /'
$ ~'
$ /Q C(~
$~_
.. $
.. $
... $
... $
TOTAL ..............
$~
$~
Attomey Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Fmvn RW-01 rev. lU.l3A6 Page 2 oft
I05.805 REV (OIN7)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15434491
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 Registtaz. The original
certificate will be forwarded to the State Vital
c~,'~^~Records Office for pertnanent filing.
L.~r ~~ kS' t ~ 2 ~ 200.9
Local RegistraT~~~ Date Issued
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I, STEPHEN HLAVKA, residing at 69 Raritan Road, in the City of
Linden, County of Union and State of New Jersey, do hereby make publish and
declare this to be my Last Will and Testament, hereby revoking any and all
former Wills and Codicils made by me.
FIRST: I direct that all my just debts and funeral expenses be paid as
soon after my decease as may be convenient.
SECOND: All the rest, residue and remainder of my estate, both real
and personal, of whatever kind and wheresoever situate, I hereby give, devise
and bequeath to my beloved wife, ANNA HLAVKA, if she shall survive me,
absolutely and forever.
THIRD: In the event my beloved wife, ANNA HLAVKA, shall
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predecease me, or die in a common accident or disaster with me, regardless of
the actual date of death, I direct that my entire residuary estate, real, personal
or mixed, wheresoever situate and whatsoever same may consist of be divided
into three equal shares.
I give, devise and bequeath one share each to my children, STEPHEN
HLAVKA, DOLORES HOBRLE and NANCY STALTER, absolutely and
forever; provided, however, that in the event any of my children shall
predecease me and leave issue, the issue of any deceased child, whether
natural child or adopted, is to receive the share their parent would have
received if then alive, per stirpes.
In the event any child of mine at the time of my death shall not have
issue, whether natural child or adopted, and shall predecease me, said share
shall go to my children then surviving, equally, share and share
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absolutely forever ~ ''
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FOURTH: If any beneficiary referred to in this Will shall die within
thirty (30) days after my death, such person shall be considered as not having
survived me for all purposes of this Will. By this Article, I modify all otherwise
conflicting provisions of this Will notwithstanding any law or rule of construction
to the contrary.
FIFTH: I hereby nominate, constitute and appoint my beloved wife,
ANNA HLAVKA, Executrix of this, my Last Will and Testament. If she shall
die, resign or shall be unable, for any reason, to assume or pertorm completely
the duties of an Executrix, then I appoint, in her stead, my children,
STEPHEN HLAVKA, DOLORES HOBRLE and NANCY STALTER co-
Executors of this my Last Will and Testament. I direct that neither my Executrix
nor co-Executors who shall qualify shall be required to give any bond or
security for the proper discharge of their duties as Executrix or co-Executors.
SIXTH: I give to my Executrix or her successors, full power and
authority to sell and convey any and all real estate of which I may die seized or
possessed, at such times, for such prices, in such manner, and such terms as
they may consider for the best interest of my Estate.
SEVENTH: I authorize and empower my Executrix or her successors,
in her discretion, to settle any claims which may be asserted against my Estate,
or which my Estate may assert against any person, firm or corporation, without
being chargeable or held liable for any loss sustained thereby.
IN WITNESS WHEREOF, f have hereunto set my hand and seal to this,
my Last Will and Testament, on this ~ ~ ~' day of S ~-
in the year of Our Lord, One Thousand Nine Hundred Ninety-Five.
' STEPHEN HLAVKA (L.S.)
I, STEPHEN HLAVKA, the Testator, sign my name to this instrument
this ~ Z ~` day of .-~--~, 1995, and being duly sworn do hereby
declare to the undersigned authority that I sign and execute this instrument as
my Last Will, and that I sign it willingly, that I execute it as my free and
voluntary act for the purposes therein expressed, and that I am eighteen years
of age or older, of sound mind, and under no constraint or undue influence.
~TEPHEN HLAVKA (L.S.)
We, the witnesses, sign our names to this instrument and being duly
sworn do hereby declare to the undersigned authority that the Testator signs
and executes this instrument as his Last Will and Testament, and that he signs
it willingly and that each of us, in the presence and hearing of the Testator
hereby signs this Will as witness to the Testator's signing, and that to the best
our knowledge, the Testator is eighteen years of age or older, of sound mind,
and under no constraint or undue influence.
residing at ~ ~~ 1. °*~ar ~ ~ rrg~
~~I'-~i e,Q,~ c 'J- 0 7 0 9 d'
~Iv.-~------ ~X>a~Y residing at ~'1 ~v~-v-,~- ~.-~., .
l~ /tn.-i-i-I 'l ~~ U 7 L
STATE OF NEW JERSEY
COUNTY OF UNION SS.:
SUBSCRIBED, SWORN TO AND ACKNOWLEDGED before me by the
Testator, STEPHEN HLAVKA, and subscribed and sworn to before me by
'1~..~5. GAtr...~ and Th <--..,.. ~ ( ti,.~
the witnesses, this i t u- day of S -~-,yam-.--~--~
1995.
7 _ `~~n k~~c ~ Qn~
Pl~l'.~,FtY i~U'~s~.!C CN t~!"d JcRSEY
Niy Ca~oirri3...~n Cxwiras ;.4v;. 9, 19S8
2009 AUG 19 AM I0~ 09
RENUNCIATION
Estate of
I, S
CLERK OF
ORPHAN'S COURT
n REGISTER OF WILLS
l_.~!-~ P o ~0~~. -P~ COUNTY, PENNSYLVANIA
Deceased
in my capacity/relationship as
S G h of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
.IJ~D Iv~PC ,~hr1+~
(Date)
Executed in Register's Office
Swom to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
(Signatwe)
~~ ~~~ ~~~/C~~~~
(Street Address) ~!
(City, State, Zip
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purpos s stated within on this ~ day
of ~v~U~'f UO
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
MMONWBALTH OP PSNN9YLVANIA
Form RW-06 rev. /0.13.06
NOTARIAL 3HAL
Atnaeda L. Mlller, Notary Poblic
~a>lb.~~ty
M t>.ioa • trot Feb. 26, 7A11
r-~_ _ ..., _ _..
2009 AUG 19 AH 10~ 09
RENUNCIATION
Estate of
I,
S,
Deceased
_ in my capacity/relationship as
I (Print Jt'ameJ
C1u u ~ ti'{-r / of the above Decedent, hereby renounce the right to
administe--rii the Estate of the((D~~ecerrdent and respectfully request that Letters be issued to
JJn~Ores t-fobr~~
(Dote)
Executed in Register's Office
Swom to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
/1~~L~%~
(Signature)
a7/.S~Ia..~e ~w~
(StreetAddress)
~~~t~Do67L ~-~d'4.3~
(City, Smte, ZipJ
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this // ~'~- day
of i~u upst , _ ~ o0 9
?~
Notary )j blic /~
My Commission Expires: ~/er2 ~ / ao/3
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
MARY E. QRAHAM
NOTARY PUBLIC OF NEW JERSEY
MY COMMISSION EXPIRES DECEMBER 21,2015
I~ pREGISTER OF WILLS
CG/ m Iwa' IG nil COUNTY, PENNSYLVANIA
CLERK CF
ORPHAM;'S COURT
CUP?,,r,~ ,.~.~., ri`.. PA.
Form RW-06 rev. l0.13.06