HomeMy WebLinkAbout08-31-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cv.y-f~cr ~,s.~ ~' COUNTY, PENNSYLVANIA
Estate of ~~ /r<.J ~ ~~iiz ~: fJ i roc:' C_ File Number ~ ~ I ~ ~O I
also known as ~r-~/r r~ ~ 1~ 1~ ~ n i s c. G
,Deceased Social Security Number ~G ~ " a ~ " ~~ a rO -
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
C~A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the rn~r~~^r/rv S ~ L~'Jrt ~^ 3~ ~ t-~~ named in the
last Will of the Decedent dated /7~ ~ ~ b~ ! g 9 4l and codicil(s) dated
(State relevant circwnstances, 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
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B Grant of Letters of Adm
::~~~
~ F ~ "+'~
1J1 -y
- ~i~~l
T- ;~
Xa. t, -
_.. ~
offe~ci' `=ft
_;,
t.J ~=;; :;~:~
(!f applicable, enter: c.t.a.: d.b.n.c.t.a.: pendente lire; durante absentia; durnnte}ii ~ritate) ~
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sp~i7se (if any) a oeirs
Adntirtistratiott, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in t~G~l~7C/' fil.ye~ County, Pennsylvania with his /her last principal residence at
(List sL•ee[ address, town/city, township, county, state, zip code)
Decedent, then ~ years of age, died on ~~ at ~ o~i/ 5 /~!~ /' d ~ ~L~~?~a i ~/~ ` -
Decedent at death owned property with estimated values as follows: ~•
(If domiciled in PA) Al] personal property $ C.'
(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 fo
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:
r^
N~ n~
-/36~
_., _
:_"'-".~
:i
'~~f .,
Form R4V-0? re,~. ro.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
• SS
COUNTY OF ~~~,
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and coned 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
`For e Register
/
/
, ~ N
d
C~ - '`j
Signature of Personal Repr entativ ''= ~ ~7 ~ i - <.
i
-
ii
's r-rr ,
Signature of Personal Representative v'} ~•~
~,.
-~
Signntur-e of Persona! Representative ~ -~--{
im p '~ ~
.v N
C~
File Number: ~ ~ l,~/ ` Dd ~i,
Estate of ,Deceased
Social Security Number: ~ llJ ~~ ~ ~' ~ CO oG Date of Death:1 ~ 1 l/ ~ . ~~~~
AND NOW, b l
having been presented fore me, IT I ECREED th Letters
are hereby granted to (~ S „~/T
in consideration of the foregoing Petition, satisfactory proof
V °~ ir. the above estate
and that the instrument(s) dated ,~ ' ~ ~ /
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Dec dent.
FEES ~ 1
(J(> Register of Wi11s
Letters ............... $
Short Certificate(s) ........ $
Re unciation(s) .......... $
L ... $
... $
.. $
... $
... $
... $
... $
... $
... $
TOTAL .............. $
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
Form RW-0? rev. 10.13.0( Page 2 of 2
i L.~i
LOCAL REGISTRAR'S CERTIFICATIOM t,F= I~E~~'II~
WARNING: It is illegal to duplicate this copy by photostat ar photograph. ,
Fee for this certificate, $6.00
P 15656507
Certification Number
This is to cerii~~y that .he information here given is
correct y copicu from ~n original Certificate of Death
duly 1'i ed with me as Local Registrar. The original
certificate will he fu~•warded to the State Vital
Record; Office for ~~ermanent filing.
Lc a :etyi:
Date slued
n
C~ °~,,. -;
_
-'i (
-a. gyp. I
~
~ -~ C'7 G'1 ~7
:J=~rT
W
i_,- r+
_-r~ --- _. _ ,.
l
-
y~
, ~ 7
- . Tl
:~ eEV nav6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS .. a Cla
7RINT IN , ,~
-er.DYNENT CERTIFICATE OF DEATH
eucK lNK (See instructions and examples on reverse) ~ ~
WaL0
I. Nave d Dacemnt IFav, md0e. lav. sums) 2. Sss 7. SocW Sewnry Numhr +. Dau d Dum I~m• mY. yw)
Helen H. Magdinec Female 163 - 20 -1626 Jul 1 2009
s Age rLasl &nnmYl Um« 1 u I)Ilmr t d 6. Dau of arm Ikbnm. m . uN 7 & Iaae IC dm wb «la taunt I Ba. Pbca a Oaam Cneck orbl
uc~ms Dys Nouns arwbs NospnN. Omer
84
PA
1924 Russelton
^R
^O
S
l
A
t 18
^
^
^
,
esgenca
Wr.
Nursag N«ne
per
r
ugus
,
DOA
InpolgM
ERIOulpalanl
rrs
W. Canty a Daam &Crry. d«o. Twp d Daam Bo. facary Name III rrot insutuuon, y~va loser arq n«roarl 9 Waz Dacemnt d 1lapdnrc Orgn? ®,10 ^ Yes t0. Hate: Amuran IMan. Blxa. Wlub. aro
' (s0~"White
1
M
~
o
C ~
Cumberland Clap
East Pennsboro Holy Spirit Hospital s
n.Pwrro
.aar
s
i
1 t Oxaaenrs Usual Oct ;ron iKrq a xak D ona mr mot a w« Ne. Da rl« sbb reureol 12. Was OeCaaMd aver n me tl. Deceoenfs Eoucalm ISpac+y «aY ngnau qr+o• carrpl ebal t+. MuiW Sum: Monad. Nevu uarcbo, 16. Survwinq Spaua Id wee. 9^+ mae7en wmr
KaWd Wak NegdSuvnass/Indushy U.S. AmIM FOms? Ekmenla /
ry SecaNary 10121
CaNege (1i or 5.1 Wgowea. Owaruo lSpecdyl
Laborer Factor [~r.a ^ Nd 2 Widowed
t6 Daceauu s Marlug AOOress ISuw. ary .town, dale, zp cooe) DecemnYS Oid Deceaenl
1 Ta. ^ r.,, D.aemm l,vea m Tep
"""al eesq«Im n,
suf. PA T
1700 Market Street .
o ~a'wp
Decemm LrYw wrwn
t7a
~NO
Camp Hill> PA 17011 ,
.
t7o. County (:77mhPT-lanrl
Camp. Hill caY7Bao
Ac1uN Lends a
t 8 Farrar s Name IFnst mgae. alt aunial I9 Moaw/s NarM IFrst. mimla, maroon surname)
Stanle Valance Nellie Olszewski
20a mtcrmanTS Name ITYCa Pnnll 2W Inmrmants Ma,lrng Ao«eu IStreal. Crry r sown. wb. zp uaal
Donna Lon 875 Hawthorne Avenue, Mechanicsburg. PA 17055
21a Meinoa of C6p05aaA1 [~ Cremdhon ^ ~nalraf 21 D. Dau d U rhos, 'm. aaY. veer) 21c Plxe of Oaposlan INama d umetery, crematory «omar pMel 21a. Locdlwn IC.ry. town, SWe. Zip ceoel
^ aww ^ Hemoran«nsut. ~ waacmmubn«D«bdmAUUwiaad ~ if D Cremation Society of Pennsylvani PA 17109
Harrisburg
^
Corer ~ ' ,M1 r by YedicN Eaamwr Caamrt ~ Yes^ No ,
>za s~a~rara,s - rar.,a.l«P¢ tmgd¢ ze .tanaaN~rcwar ur NamaanaAaa¢::aFd<°~ryAuer Cremation Services of Pennsylvania, Inc.
. K-. i FD013801-L 100 Jonestown Road, Harrisburg, PA 17109
Canpr¢u ~ ms 23ac .non a ,rq 23a. To me Dell my knowlaaga. moor occ«bo at me unb. ogle arN Wce s1Neo. ISgnatun arq mkl 23h. Lxense NurtDer 27c. Date SgnaO IMmm, my. Y•ul
pny5K:Y1 .e Ml~araJ 31 hrlle d mdm 10
.amry ouzo d xam.
Gems 2+~26 must m carybled ay person -'+. Tore d Deam 26. Dau Prorro«ICaO Deco IMmm, my. year) 26. Nas Case RalerreJ to Mearcal Esamner ~ Coroner I« a Rwsm Dmu man Cremaam « Dmaaon?
dro pawwrces mdm ~ ` (' ~ M_ k• P Q ~ ^ vas ~ No
CAUSE OF DEATH (See inasruetione and eaa a) , Approeenale murvar. Pan u: Emer omen swn host mnaraorls cams eunm ro mom. 28 Oq Toweeo Usa CorltrWe b Deam?
mm 27 Pdn I'. Error mB (T.am d lveni5 - M156a563, niurms, « cmlpleahons ~ mN mecmr Uuf¢a Cie mom. DO NOT NNf lemnnu Bvenls SUM as cdrddt arB51, Onsal ;p Dedm WI Mt resWlvg in ab unmrryng ooze given al Pan 1. ^ Yea ^ irmahry
respealay vmsl. «+MlnaWir Igraalnn wrmad srowng me etiaagy. 451 araY prb cause on sect) Gm. ^ No lhavtlwn
WYEDUTE CAUSE l`Fuw easels a 29. II Fartub:
~wrriwln r¢Sdmry in tl0aml
_~
a.
~a wNUn
re
w
~
Dw ro ,« as a coraap d)'. g
D
Y
~ D
Prsgrbre N Nib a awn
nway wst caramons I arty, h
S
a
w
a ^
.
g
~
r
p
o N
Y
CA
S
a
U
9rwa. b+1 paTaN wrltln +2 nays
.
Dr.+ ro Iw as a dl:
E«x dw
E
i
YWG
U
E d ~
m
rawasa « ~ryury mat aehataa da
c
ro 1
^ Nd
h
a
l u m
avervs'esuavg vt auml LAST.
Dw to (« as a caueParce al: yeu
preglua,
l
pr.qun
ys
halos mom
d ^ lNrhroan A preprlre anM pb pau Yw
.
]Oa. Was an autopsy 70h. Wau Autopsy Fvgegs 71
M
a«rar d Dean 32a. Oau of Iryury IMonm. my. yup 12h Desuiha rbw Iryury Ouurcao 32c. Plxa of Myury- Mmr. Faro, ShsK Fae«y.
Panamaa? AvarUDa Prgr to Carpbtan
a Cause d Daam? ,_,
/
T![i NaWrN ^ Homcgs
)tea ~~• B~'~ •~~ (SP•~YI
,},{
^ ^
^ ^ ~~nt ^ PaMrg Irwastgauon ~a_ Tana d Inryry 32a. Iryury al Work? 321 II Transportation InNry !SP¢ahl I2q Lacauan d uyury rShaet. ary ~ lows, wul
ves t~l No ves
No ^ Sua:ga ^ Coutl Nol u Debrmraa M ^ Yes ^ M ^ Dnwr, Ograwr ^ Passamg« ^ Pamsuun
Omar ~ Spaary:
33a Cemlar Idbu auy aal 33D. Sgnar«e via Teb Car6har
• CMrfymq pnyaleum iPnyscun ceneyeg cause d aum wales dnoabr pnysrcbn nos parource0 mom am carpbtao Item 231
T• IM heft N my knewbdge
daeN occurred Gre to Ne ceuee(sl arM mambr a saved
,
__________________________
_ _ _ _ _ _ _
• Prorwunceq and cMaymq pnys¢uan IPN/sa'wr own Worwnawvn9 dedm +rrd cMdyap .o cauw d owml
^
]7c lwanN NUmmr
'
]]0 Dab Sgw0 iAbnm, aaY. gaol
T
To Ub Oeu N my anorbag., deatll acurrW N t1b IMb, due, arW Dtece, and 0ue Id tM uuaNel and manner a elabd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• IladicY Esan•nerlCaaw ~
7 i 1
G- C./~G. ~1 I O O
~J l
On Yr haw W e arrd Y « invMligNbn, M my rfeam aasrrM u db 14r1e, Oete, aM D1aa, arN Gse to orb cwealy aYW numer u arNad_ ^ ]a Name ana Ao«au a Parson WM Compeba Cause d Deam Inern 27) Tyq.
I(vn K
l m ~
P
I A
36 s::«s Dau
- "'9' a Fe,dlMOmn,mY rein
_ c .
e
A'u'
b9o Paplq~ c)..r•:ti 12d.
1 DI
• / Dispdvhon Psmu No. ~L V • ~~
FPP:mk:4-30-99
~~ ~ btu ~a C ~~t~
.~~
HELEN H. MAGDINEC
also known as
HELEN MAGDINEC
r~
`-~ o
?~ r
.
~~~ ~
~ ~
.
.-~ _ 1
~> ~ - ~ -;>
rv - <_
I, HELEN H. MAGDINEC, also known as, HELEN MAGDINEC, of the
Borough of Tarentum, County of Allegheny and Commonwealth of Pennsylvania, being
of sound mind and memory, do hereby make, publish and declare this to be my Last
Will and Testament, in manner and form following, hereby revoking any will or wills,
codicil or codicils, heretofore made by me.
FIRST: I direct that all my just debts and funeral expenses be fully paid
and satisfied, as soon as conveniently may be, after my decease.
SECOND: I give, devise and bequeath, all the rest, residue and
remainder of my estate, real, personal and mixed, of every kind whatsoever and
wheresoever situate, now or hereafter owned by me, equally to my four (4) children,
namely, CHARLES JAMES MAGDINEC, III, DONNA LEE LONG, PATRICK G.
MAGDINEC, and MARC MAGDINEC, or to the survivor of the four (4).
THIRD: 1 do hereby make, constitute and appoint my son, CHARLES
JAMES MAGDINEC, III, Executor of this my Last Will and Testament, to serve without
bond; in the event he is unable to serve, my daughter, DONNA LEE LONG, shall serve
in his place, without bond.
// ~` ~~
Helen H. Magdinec
Helen Magdinec
IN WITNESS WHEREOF, I, HELEN H. MAGDINEC, also known as, HELEN
MAGDINEC, Testatrix above named have hereunto subscribed my name and affixed
my seal, this ~?~ day of ~,!~~
Nine Hundred and Ninety-Nine (1 99).
in the year of our Lord, One Thousand
~.
t
Helen H. Magdinec
,,
Helen Magdinec
Signed, sealed, published and declared by the above named, HELEN H. MAGDINEC,
also known as, HELEN MAGDINEC, as and for her Last Will and Testament, in the
presence of us, who have hereunto subscribed our names as witnesses thereto at her
request, in the presence of the Testatrix and of each other.
...; t`~.
~-
~ ~: r -- ~ ~.--
,,
,,
--
~..
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
~~,m Lr~,~~ COUNTY, PENNSYLVANI_A
Estate of /~'~ ~~ a /~` /~~A G !'~ r v-~ ~= C~ _, Deceased
~,~w.•/r~ Le~.~sc3 and ,
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with /,fir % w~ /Y ~7/'~ c I~/ IJ G L. and am/are familiar
with the handwriting and signature of the decedent, and that the signature of ~ % ~ />//f ~r~~'e~r.,~
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
~/~~.~,,, /~ ~~,,FC~,,.+~ L, is in his/her own proper handwriting.
(Si ure
(Sheet Address) l
~~~~ ~~ / ~~5~
(City, State, Zip)
(Signature)
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this L~ ~ ~f day
of ~ ,C.
~_ V, L
r~eputy for Register Wills
c? N
o
CA__ O o
w
Iit y• ±.1
..
~
.' r-r, ,.ll
,
~ ,
1 1
r "~'t
C~-
...._ ..
t
~
1
~1
--t `f
~
_ '-
.
N J
Fann RW-04 rev. l0. L3.06
OATH OF NON-SUBSCRIBING W'ITNESS(ES)
REGISTER OF WILLS
~., ,,,,, 1ocP L rr•J L-t COUNTY, PENNSYLVANIA
~I - Cdr- ~l5
Estate of /ye / c +^~ /-/ • ~"? r9 C- t~ rw+ c ~ ,Deceased
~~,~r/~ S ~' ~r1~/~i~c~ C and
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with ~/c /tom ~~ /~a~~: n ~ n-"c: e. and am/are familiar
with the handwriting and signature of the decedent, and that the signature of ^.~ /~,+~ ~ M~9~~~r~-s~- ~,
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
~~ /~,J ~{ ~-r~~,; p,,~~ L~ is in his/her own proper handwriting.
i ~,, ..<-c.~
ignature)
(Street Address)
(City, State, ZipJ
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~ _ day
of _, ~~.
Deputy for Register o
(Signature)
(Street Address)
(City, State, Zip)
c-~ N
~°
~O
`=- ~ s~ €
"~ z n c
c~ s_? ~ _ >
.=
-~. ~
/.' W r-
r'l
:%. ~
~,~ -_
'
--
N ,. -
)
Form RW-04 rev. 10.13.06