HomeMy WebLinkAbout09-17-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGIS ER OF WILLS OF
Estate of ~-T/~~yk~ U//C. /~-~I~"
also known as ~ ~ ~ vfl-G f~-~-~~
T7' .e,i ~ O ~ ~~ ~, Deceased
COUNTY, PENNSYLVANIA
File Number ,-~ ~ _ (y~-1 - ~l.lt~ C)
Social Security Number ~/~~-~ ~~~ /
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COiY1PLETE 'A' or 'B' BELOW:)
A. Probate and Grant of Lette/r~ T
last Will of the Decedent dated 7/ 7/t
~ (~~ ~ ~
and aver that Petitioner(s) is /are the ~y~~'~ /~2 named in the
_ and codicil(s) dated
(State relevant circumstances, e.g., renunciation, depth 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
for pt-obate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters of Administration
(If applicable, enter: c. t. a.; d. b. n. c. t. a.: pendente tire; durance absentia; durmrtgminorilate) ty
C ~ C~
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spotts~f any) an~eirs: (I;f ~~ ~t
Administration, c. t. a. ord.b.,t.c.t.a., enter date of Will in Section A above and complete list of heirs.) ' ~U ~ ~_ >
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Name Relationshi ResiderXc'? _ ""' ~ , '+
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(COMPLETE IN ALL CASES:) Attach additional s/teets if necessary. O
Decedent was domiciled at death in
~ County, Pennsylvania with his /her last principal residence at
~r ~
(List sb eel address, sown/city, township, count), state, zip co e
Decedent, then ~!' years of age, died on ~~ d at
..~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in P.A) Personal property in Pennsylvania
(If not domiciled in P,A) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
~ /~ ~ ~ ~k
$ ~1~ /~
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:
1 signature Typed or printed name and residence ~
Form RVV-0? re~< /0.!3.06 Pabe I Of Z
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
j SS
COUNTY OF ~ l)M~~.~~ ~CI~1'CI
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true 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) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the ~ 7 d`a~yjof
:.-_.~,
.t 1 ~_I. 1 f~~
For the Re ster
Signature of Personal Representative
Signarzu•e ofPersonnl Representative
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File Num er: - d ~~ ~ O ~~'
Estate of ~ ~ ~ ~G ~-~ ~ , Dece sed
Social Security Number: / ~~ - ~7 '"' ~d~T Date of Death: ~~ ~
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the~,la~.s~~t Wi`ll~(and C~odic~il(~s)) of ecedent.
FEES ~ >t: ~>(~ ! 1 Q ~ 1 ~~ l ~ ~~ ~
t ~ ~.~ ~ ~; Register of Wills r ~m G~
Letters ............... $ --- ;~~ `"~
Short Certificate(s) ........ $ ~ . C
Renw~ciation(s) .......... $
~ti' r ~ 1 ... $~ c,u
e)~~' ... $ ~~
fL` 11~ 1. ~t7<Irl ... $ c t;
... $
... $
... $
... $
... $
... $
TOTAL '~~-
of Persona! Representative
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Farm RW-ll? rev. 10.13.0( Page 2 of 2
OCAL RE(aISTRAR'S CERTIFICATION IJF DEATH
WARNING: It i:> illegal to duplicate this copy by photostat or photograph.
Fe~c for this certificate, 56.00
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II,11I' P~ZH O_F pE\
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~g9rb1ENT OF~~`P
Thi~~ is to certify that he information here given is
colrertly copied 1-turn an ullglnal C~Itificate tlf Death
duly tiled with me a~ Loctl Kc~.nUar. The ctri=~inal
celtlllc Itt' tivill he [urw udcd to the State Vital
Rec Icj- ~ I~ICL• li,l °ritru~ent hlmg.
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----- / J
Local IZegistral Dale issued
P 15749067
Certification Number
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COMMGNWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
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CERTIFICATE OF DEATH - = L "~ ' ,_,'I
(See instructions and examples on reverse) sr.ArE FILE IvuMOErr=, ~ I + '~- ~
_.-_ - earl
-'r;sd I - > n.cu a. Iusl e„!~~x, 2. Sex 3. Soc a Secur ty Number ~ of Dram (M°ntn
KATHRYN HOAGLAND Female 162 - 24 - 8099 August 23, 200'9 ~'~
A_- I ael &nr;;oyi er I yce unoai t day 6. Da'e of Rinn rNlonth, gay. year) 7. Bidnplace ,Cry and >•ate or lore gn coumry) Ba-Place of Death (Chec1, only ona) '
Hospital: Omer.
L ~ ~ ai ~r~
9 6
Jan . 15 1913 Youngs town OH ,$$~~
> f ^ Inp tlenl ^ ER / Outpar en. ^ DOA I`_I" Nursng hiome ~~ Residence ^O - 5 a
V
- -..a,i y v n ' ,, ci Dea:r dd. Faclily Name (d r or'nst wt on. g va sueal and nunioerl 9. Was Deeedenl of Nspanm Ongin? ~ No ^ Yes 1y. Race: Amer ca. Intl ar 0 acre Whrs etc
CUmberland
Middlesex Twp.
Claremont Nursing and Rehab.Center (If yes, specily Cuban,
Maxican PuandRlcanef=, tS eci )
white
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we u-,s der r. n,l' f: Lc ~., e euredi t2 Was Oapeoenl aver m the 13 Decedent's Educator ISpac fy only highest grade comp leted) 14. M r tai Statua: Marned. Near Mar' ee 16
Sunv ng Spo usa
it vi fe g ve maiden name
c no °` nd.r>Iry
H
U.S. Armed Forcesv
Elememary! Secondary (0-12)
Collegs (1-4 or St)
W tlowctl, Dlvdreed (SOeclryl .
t
)
omemaker ^Yas ~Nd 1 widowed
t6. ~ ~-nt_ 1,1 y Ad ie_s ~, St I: ,u r sale. zip canal
l Decetlant's Did Decetlenl
Pennsylvania
Carlisle Borou
h
536 N. Bedford
St. g
Twp
ActualRaaidanna ,7a-sata
Livaina 1,d ~ van DaoedantLiYedin
Carlisle PA 17013 Tavnlsnip? 77tl- ~ No. Decetlem lived within
t7b c°°my Cumberland
~ Actual Lmifs of Cay. Bono
s Nadia F~rs~ r~. doe '~e-1 >~llixl
d 19. Motneis Name (First. middle, maiden surnamel
George Molchan Mary Pavlic
_ a. Ir'orn.a~'.I ~ Warne ~Tyuz ° ~ 20b. Informant s Maili g Atltl ss (Street, aly ' Iown, slate, np code)
Susan Crawford 536 N. Bedford Street, Carlisle, PA 17013
e hleili°d of c yus~Iar ~ L;, e na, n [] uora ion 21 h. Dale I Dsposti°n (M° th, day. yeer'r 21c Place of Disposrtiun (Name of cemetery cremaidry or other place) 21 d. Location (Goy ~ town. slate. zip code)
L ~ rt,a I ' Re° ,a 31ate !wasCrema"°'orD°"a`°nA"'"°"red es^NO
~,~ '. b Med cal Exa ! Coroner° Aug. 31, 2009 Oak Park Cemetery New Castle, PA 16105
a
^' Sign' ~ Funeral 'a .use _„ense ~~ i. aceng as '
>° 22U. License Number 22c Name and Address of Facility R . ~]n~]1'j'lgh' ) FY~nera HGme & rematory
ne .
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- 012957E ,
2429 Wilmin ton Road New Castle PA 16105
I 3 I fy y 23e i .~ s ci m) h v.edge. deet.n rre, al lne t me, date and place staled (Signature and utle) 23h. License Nunder 23c. Dale Sgned (M rh. day, year:
~ _. ..~..t 're_fd nto
oasr ~1
~G Y~dL ~'~~ILK~~'~[!'7,4'iL ~~
1 ILr C
5.~ 3'~ rGL
~" ~3~ ~ocy
Ir:i s _ i ~ ,.,, ,,,e,au p) prison
a 2a. lime of Dea;h 26. Data Pronounced Dead (Manlh, day, year) 26. Was Case Feferred to Medical Examiner ~ Coroner for a Reason Olhei loan Cremation or Donation?
n°pion~u~luE~dearn ~j G //
~'~~1J /: M L(1~~~-~~~1' ^Yes ~]No
CAUSE OF DEATH (See Instructions an examples) , Approxmale merval Pan II, Enter In @41i a t olds ons coot but arc den n. 2tl. Did Tobacco Use Cone tuta to Deam?
Pen i. c a a [ t r m y causal the deabl- DO NOT enter term Hal events such as cardiac arras( Onse ro Deam out nor resui ng n the underly ng cause g van n Pen I. ^ Yes ^ Prooably
x ..s ~ eo I .ula f e iial n r~ Ir nut s ~rv rg inc et ology- Lis' on y orb cause on each line- ^ N
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IMMEDIATE CAUSE 'r
e
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Unhnown
,
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co dit~i,". reaJlting in 3ealf :,
~ 29
II Famale-
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lT IJ ~ {-~ t, ftv9T F A 1 LU N E
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Due :c ;or es a consequan.,e oh Ndt pregnant wnnin pall year
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~ AO/1 TIC $Tm--.JOSx)
` ^ Pregnant at lime of deaffi
Die to la es e ca f
nsequence o ,'.
= a~ Inz UN~EflLY1NG CAUSE
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^ Not pregnant, but pregnant wilnrn 42 days
easo or c)wr aio', m¢iared inn
1
:ants -zsuning rr deaih~ LAST.
L of death
Due to (0r as a consequenoe oh. ^ NoI pregnant. but pregnant 43 days to t year
d f~ before deafn
I-I Unknown If pregnant wilnin It'R past year
a„Wp
'r a p F. d, „ s f. 1,1enn f aaln 32x. Data of Injury (MOmh. day, year) 320. Descr be Haw Injury Occurred 32 PI c of In)ury: Name Farm, Street Factory.
~r ~., ea ~.~ c P J.t~p
ai []li0rn
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OAee Btilding, etc. (Speer(y
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:ciee
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~v - `- _ ~_d aen [; P d 7 mvesriyauon 32d. Time of Injury 32x. Injury aI W°ik? 32f. II Tansponation Injury BpecilY) 32g. Locaudn of Injury (Slr9el. c ty. sown, stale(
._, .. r]CouaN rbe Determined ^Yes ^NO ^Drver.Operator ^Passenger ^Pedesirian
___ M ^Omer SPecry
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ah,-dc tplaled Clem 231
T !nab of ny nnowletlye death c~curred tluemtheca e(s)antl Hann 's slaletl______ __________________________
iv ~ L .rod fy I t ca,r>z ' d' t i
Pr gat Y yPY ~~
e 33c Licanse NumUer 33d. Dare Signal IMOnth. day. year)
TJ [he Uesl df ~ry rc
mvlatlge deafn occurred at the [ r
e, date and pl tltlue to the ceu~ () rd manner as stated__________________ ~i
Medma!E C ~''r~ -GY2G $•/ L ~-~q-p
On the b e s or ew eC n ar tl: or rear
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ace. an
due to tnr cause(s) and nanner as srated_
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~ ~ ~ ~ ~ I ~ I ~ I 36. DatE Filed 1Mu II day, Yearl
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'~` f` 1 ~ ~ 34. Nume and Aatlrass of Pere;, . Wno Ccm,xled C„use of Deatn Item 2 I TyN P
C7'1 N F T "7 . .fo 5~, ~ n
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LAST WILL AND TESTAMENT ~~ ~~
..:,
- OF - ~ -j'~-7 rl-r , ; , -
-~ ,
KATHRYN HOAGLAND r' ~ '" !
,,
_. _ --ry _ -
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I, KATHRYN HOAGLAND, a.k.a. CATHERINE HOAGLAND,:~7a`-~k.a.r~ _, ,
:v
ROBERT D. GEORGE
ATTORNEY AT LAW
SUITE 803, CENTRAL BLDG.
101 S. MERCER STREET
NEW CASTLE, PA 18101
KATHERINE HOAGLAND, of R.D.#2, New Castle, Lawrence County,'
Pennsylvania, being of sound mind and memory, do hereby make,
publish and declare this to be my LAST WILL AND TESTAMENT, here-
by revoking any and all former Wills by me heretofore made.
FIRST: I direct that all my just debts and funeral expenses
be paid as soon after my decease as may be found convenient by my
Co-Executrices hereinafter named.
SECOND: I give, devise and bequeath all of my personal
estate to my two beloved daughters, SUSAN LOUISE CRAWFORD and
SANDRA KAY SHUSTA, share and share alike, and per stirpes. If
either of my beloved daughters do not survive me, her share shall)
be distributed to her surviving issue.
I
THIRD: The house in which I now live in shall be sold and
the proceeds of the sale of the house shall be distributed to
EDWARD JACK HOAGLAND, SUSAN LOUISE CRAWFORD and SANDRA KAY SHUSTA
share and share alike. To the survivors, :EDWARD JACK HOAGLAND'S
share, per capita. If EDWARD JACK HOAGLAND does not survive me,
T - -
~i~en leis share shall then be distributed to SUSAN LOUISE (:I~AWf`ORD and SANDRA KAY
SHUSTA. If' either SUSAN LOUISE C;RAWFORD or SANDRA KAY SHUSTA do not survive
me, then their share shall be distributed per stirpes and not per capita.
FOURTH: I hereby nominate and appoint my daughter, SUSAN LOUISE CRAWFORD,
to be Executrix of this my LAST WILL AND TESTAMENT, hereby giving and granting unto my
said Executrix full power to sell and convey any and all real estate of which I may die seized,
either at public or private sale, and to make, constitute and deliver good and sufficient deed or
deeds to the purchaser or purchasers thereof: The said Executrix is to serve without posting bond.
IN WITNESS HEREOF, I have hereunto set my hand and seal to this, my LAST WILL
AND TESTAMENT, this 7th day of'June, 1995.
~~~.~,
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NOW, this Instrument consisting of three (3) typewritten
pages, was by the above named Testatrix, KATHRYN HOAGLAND, on
the date hereof, signed, published and declared by her to be
her LAST WILL AND TESTAMENT, in our presence, who at her request
and in her presence, and in the presence of each other, we be-
lieving her to be of sound and disposing mind and memory, have
hereunto subscribed our names as witnesses.
1~~~~ RESIDING AT ~~- 4
'l._I tk,~t,C ,, ~`I-~~~CS~.a RESIDING AT / (.~_(.L~ l Ct f~ ~ ; _.
ROBERT D. GEORGE
ATTORNEY AT LAW
SUITE 903, CENTRAL BLDG.
101 S. MERCER STREET
NEW CASTLE, PA 18101
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF LAWRENCE )
I, KATHRYN HOAGLAND, having been duly qualified according to
law, acknowledge that I signed the foregoing Instrument as my
LAST WILL AND TESTAMENT, and that I signed it as my free and
voluntary act for the purposes therein expressed.
Ka ry Hoagl d
We, having been duly qualified according to law, depose and
say that we were present and saw KATHRYN HOAGLAND sign the fore-
going Instrument as her Last Will and Testament; that she signed
it as her free and voluntary act for the purposes therein ex-
pressed; that each of us in her sight and hearing and at her re-
quest signed the Last Will and Testament as witnesses; and that
to the best of our knowledge that she was at the time eighteen
(18) or more years of age and of sound mind and memory and under
no constrain or undue influence.
---~ '
Subscribed, sworn to, or affirmed, and acknowledged before
ROBERT D. GEORGE
ATTORNEY AT LAW
6UITE 303, CENTRAL BLDG.
101 5. MERCER STREET
NEW CASTLE, PA 16101
me by the above named Testatrix, by the witnesses whose names ap-
pear opposite on June 7, 1995.
Notarial Seal
Charlene A. Farris, Notary PubNc
New Castle, Lawrence Couniy
My Commission Expires May 21, 1998
C~f IG~y/~r~~L,G,~
Notary Public