HomeMy WebLinkAbout01-13-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of DOLORES C. MILLETICS File Number ~~~ / D ~ ~~t„~
also known as
Deceased Social Security Number 178-16-6223
Petitioner(s), who is/aze 18 years of age or older, apply(ies) for:
(COMPLETE A' OR 'B' BELOW.)
^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / aze the CO-EXECUTORS named in the
last Will of the Decedent dated 10/1412005 and codicil(s) dated NONE
(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 born or adopted after execution of the instrument(s) offered
for probate, 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 liter durante absentia; durante minorttate)
Petitioner(s) after a proper seazch has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Decedent, then 88 years of age, died on 1 2/512 0 09 at GOLDEN LIVING CENTER WEST SHORE
CAMP HILL. PENNSYLVANIA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 60.000.00
(If not domiciled in PA) Personal property in Pennsylvania $ ~
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
128-5 W. PORTLAND STREET, MECHANICSBURG, PA 17055
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 appropriate form to
the undersigned:
(CVMPLC7C L[V ALL (,:4JCJ':J Anac>t aaatnonat sheets t~ necessary. b
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence a ~ ` ~~
128-5 W. PORTLAND STREET MECHBG. BOROUGH MECHANICSBURG. PA 17055
(List street address, town/city, township, county, state, zip code)
Page 1 of 2
Form RW-02 rev. 10.13.06
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
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. t ~ a ~
Sworn to or affirmed and,~ubscribed
before me the ~~„_(, day of
_ '
Q,
For the Register
o~gnu~ure o~ ~ersanat
Signature of Personal Representative DAVID S.
Signature of Personal Representative
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File Number: 21- ~~~ ~ 3 ~ n cj ~ ~ c ; `-'~~i
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Estate of DOLORES C. MILLETICS ~' ~ ~?? ~_ '~'
F -~~
Social Security Number:178-16-6223 Date of Death: 12/5/2009 ~
AND NOW, ~ , X10 , ' consideration of the foregoing Petition, satisfactory proof
having been presented bef m , IT IS DECLe ers
are hereby granted to
in the above estate ,
and that the instrument(s) dated Z-~J~
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) ................ $ `~
rNi f~ .... -~:~
-~~ .... $ 23•S~
d~a.~ .... $ S. o
.... $
.... $
.... $
.... $
.... $
.... $
TOTAL ............................. $ ~ 23. s'a
Attorney Signature:
Attorney Name:
Address: 54 E. MAIN STREET
Telephone: 717-697-4650
Form RW-02 rev. 10.13.06 Page 2 of 2
Supreme Court LD. No.: 24849
_
2~-/v- cX~3~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph, ,
Fee for this certificate, $6.00 ~~,,,lll~l~~~~""--." This is to certify that the information here given is
~jH OF p "'
~,n''~~P - ENy= correctly copied from an original Certificate of Death
~~`'~ _ `~~ duly filed with me as Local Registrar. The original
~ = - ze certificate will be forwarded to the State Vital
2~ , ~ -' a~ Records Office forpermanent filing.
P 15981670
Certification Number
my ,~ C0IAMONWEALTH OF PENNSYLVANIA • DEPARTMENT OP HEALTH • VITAL RECORDS
=°~rw CERTIFICATE OF DEATH
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LAST WILL AND TESTAMENT ~~ ~ „t-„ ~~- ;
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a.7 n Imo' C_;.., ,
"' Cl> fix; - - ._. .
BE IT REMEMBERED THAT `-~'c~~ a <:
c-} :~-~,
-., ~- _-
_-.. ~
I, DOLORES C. MILLETICS, a resident of Cumberl~'ric~ County,{ ~~:~ :_=_
Pennsylvania, being of sound mind, memory and understanding, do make,
publish and declare this to be my LAST WILL AND TESTAMENT, hereby
revoking any and all Wills and Codicils previously made by me.
I
I declare that I have two sons, THOMAS A. MILLETICS and DAVID S.
MILLETICS.
II
I direct that all my just debts and funeral expenses shall be paid from my
residuary estate as soon as practicable after my decease.
III
I direct that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my estate.
IV
I give and bequeath the sum of Five Thousand Dollars ($5,000.00) to each
of my granddaughter, DeANN L. MILLETICS, my granddaughter, KRISTI M.
MILLETICS and my grandson, SCOTT A. MILLETICS, per stirpes.
V
All the rest, residue and remainder of my property, whether real or
personal, wherever situate, including any property over which I may have a
power of appointment to my sons, THOMAS A. MILLETICS and DAVID S.
MILLETICS, in equal shares, per stirpes.
VI
I nominate, constitute and appoint my sons, THOMAS A. MILLETICS and
DAVID S. MILLETICS, as Co-Executors of this LAST WILL, to serve without bond.
If either son is unable or unwilling to act in that capacity, then the other may act
alone as Executor.
IN WITNESS WHEREO~F,C I~, DOLORES C. MILLETICS, have set my hand to
this LAST WILL this ~L~ 5~' day of ~ 2005.
/,
DOLORES C. MILLETI~S
Signed, sealed, published and declared by the above-named DOLORES C.
MILLETICS, as and for her Last Will and Testament, in the presence us, who,
at her request and in her presence, and in the presence of eac other, have
hereunto subscribed our names as witnesses.
t
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
I, DOLORES C. MILLETICS, 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 as my free and voluntary act for the purposes therein
expressed.
DOLORES C. MILLETICS
Sworn or affirmed to and acknowled e))d~° ~jb~~efore me by DOLORES C. MILLETICS,
Testatrix, this / Y~ day of ~~~~ , 2005.
Notary Public
NOTARIAL SEiAL
DEBORAH L. RYAN, NOTARY PUBLIC
CITY OF MECHANICSBURG, CUM8ERUIND COUNTY
MY COMMISSION EXPIRES JUNE 11,2006
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
We, ~(/~~2-l L ~ ~ ®FLf-L~.2.1 ~~ and ~C. r'Gt/vim ~ ~'t `~~
the witnesses whose names are signed to the attached or foregoing instru ent,
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 C. MILLETICS signed willingly and that she executed it as her free
and voluntary act for the purposes therein expressed; that each of us in e
hearing and sight of the Testatrix signed the Will as witnesses; and tha o the
best of our knowledge, the Testatrix was at the time 8 years of o -ore, of
sound mind and under no constraint or undue in nce.
~
~
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Sworn or affirmed to d acknowledged before me
this /y~day of ~~j~ , 2005.
Notary Public
NOTAFIWL SEAL
DEBORAH L. RYAN, NOTARY PUBLIC
CITY OF MECHANICSBURG, CUMBIlRU1ND COUNTY
MY COMNNSSION EXPIRES JUNE 11,2006