HomeMy WebLinkAbout02-16-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of BETTY JANE DREZEK File Number ~~ ~I~ f ~1 ~ I
also known as
Deceased Social Security Number 177-24-7239
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 the EXECUTRIX
last Will of the Decedent dated 7/27/2000 named in the
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 mtnoritate)
Petitioner(s) after a proper search 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.)
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at f 1`
9 Strafford Street Shi ensbur PA 17257 Tw Cumberland Co n
(List street address, town/city, township, county, state, zip code) ~~
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Decedent, then 78 years of age, died on 1/13/2010 at
T wn hi Cumberland County PA 17257
.Sou 41.-a w~p~a~./ ''~t~
Decede tat death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 1 000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 74 770.00
9 Strafford Street, Shippensburg, Cumberland County, PA 17257
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:
~ ~t ~- ,~~~aw,c Typed or printed name and residence
Karen Annette Love
3600 Willow Creek Drive
Form RW-02 rev. 10.13.06 Page 1 of 2
(C'UMPLETE INALL CASES:) Attach additional sheets if necessary.
• ' 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. ~___ "~ ~.,
Sworn to or affirmed and subscribed
-t1~--
before me the day of
aC~ 1 CJ
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For the Register
Personal
Signature of Personal Representative
Signature of Personal Representative
File Number: ~ ~ ' ~ ~ ' ~ ~~
Estate of BETTY JANE DREZEK ,Deceased
Social Security Number: 177-24-7239 Date of Death: 1 /13/2010
AND NOW, , 2010 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Karen Annette Love
in the above estate
and that the instrument(s) dated July 27. 2000
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s~of Decedent.
FEES ~ ?; ~~
Letters ............................. $
~ Register of Wills
Short Certificate(s)
"""""" $ ` 0(J
Attorney Signature:
Renunciation(s) ................
, $
(~ ~ $ ~ Attorney Name: H. ANTHONY ADAMS. ESQUIRE
T ~ .... $ ~3 • ~
._ ....
$ ,~~.OD Supreme Court I.D. No.: 25502
.... $ Address: 49 WEST ORANGE STREET. SUITE 3
.... $
.... $
SHIPPENSBURG
•••• $ PA 17257
.... $
$ Telephone: 717-532-3270
TOTAL ............................. $ Z .~
Form RW-02 rev. 10.13.06 Page 2 of 2
105.305 REV tUI/0'71
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 :161~8~~~7
Certification Number
' This is to certify that the information here given
correctly copied from an original Certificate of Deg
duly filed with me as Local Registrar. The origi)
certificate will be forwarded to the State Vi
Records Office For permanent filing.
~ G
Local egistrar Date Issued
__..~_
.. . ___ _
____ __ _ _ ~ RECORDED OFFICE O
__
_ ~__ _--
___ _ _._ REGISTER OF WILLS
_ __
~._..____.__ _.___ ___ ~ ~ _ _ 2010 FEBRUARY 1~ . _ 1~~
_ _ _ _ _ _ ~ CLERK OF -
TYPE /PRINT w
H705-143 REV 172°06 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~RPH`~IV Sr COURT
PERMANENT CU~IBERL:~ND CO., P
BLACK MN CERTIFICATE OF DEATH
(See instructions and examples on reverse)
1 Nunn a Dewdem (Fsd, rratlde, ku, auK) STATE FILE NUMBER
Betty J. Drezek 2. sea 3.s°dalSacomyNwroer 4 DdedDeam(Monm ay year)
5' AOe (teal anhder) u"dBf 1 unaer 1 day B. Dde a ann Female 1 7 7 - 2 4 - 7 2 3 9 January 13 , 2010
abMa Dare Ibur Wwe (Month, day, r) 7. Bidhtdece (' end eHre a krelpn wumry) /H. Place d Deelh (Chade sty one)
78 vm. April 26, 1931 hBI' aver:
Bb.CoagyaDeeth Shippensburg, PA ^mp.eem ^ER/oaperem ^DOa
&. City, Bero, Twp. of Dadh ed. f~hty None (h nd inslhdion, Pve Bred and nenDer) ®Nursgg Home ^ Redanw ^Olrer . Spechy:
I B. Was tkwdent a Hkgrenc Origin? ~ No y~
Cumberland Shi ensbur Tw pp 4 (n yes, apBadycwao, ^ t°~An~edwn kdien, Blark whhe, ek.
j pp 4 p• Shi ensbur Health Care Center Merocan,PUenoRiwn,ek.) (
+.. 11. Deatlud's Uaud Ibn Knd d wak dare me61 d kle. Do M akb rear 12. Was Decadent aver m dre 13. Deadem's Educatim
KYd d Wak (Syedhy ady Nphest grad. wmpaled) 1/. Mamal Smliu: Herded, Never Hemed, Ib. survive White
Klre d &x6reee / IrMrsby U.S. Amred Forces? Ey~~ / Seaaga D12 Widowed Diwrcetl ng ~~ Ol wile, f7n'e maiden name
Food Service ry n( ) Cdlege(t-IOrSa) (Spedlyq )
m 16. Dewdmt"a H.IGngAddmee (sneer, dy r rown, °Ine. zip aide) LA7~V2rG1 ^ves ~f No 12
DeuWnfa Widowed
9 Scrafford Street Aaod gedduwre na. Slde ?ennsylvania Da Deoedem
u''°mB t7~®vesDecetlenlLivedin Southampton
Shi ensbur PA 17257 fro. toady Cumberland T0W°8^'z? Twp.
13. Famefe Name (Fkd, netlde, hst. euAut) 17d. ^ No, Daceoem Livetl whhm
Aduel Limits d
Raleigh Jones 1B. Mdher's Name (Fkd, midde, maiden sumama) City/Bom
za.tmamanla Nmre (rype/Pdm) Lula Fa a Finkenbinder
Karen A. Love zDD.1"km"m'°H°mngAdarosslsaeel,dlr/kamdme:,prsrk)
zta.Mdtlod°4Dbpwhkn ^cremedw ^ponagw 21DDdea 3600 Willow Creek Dr. Dis utanta VA 23842
w° ®Budel ^ Removal Iran Stale X10° (Madh, daY, Wu) 2IC. PMCe d DkDoshim (Nure d amelary, aemday a dha I>mw) 210. Laasppn
~ ^ Darer - sperr,Ay: . Wu Ctetratkn or Daulkn Authorized (City / rotor, Hate. zip wee)
~'Ea""I"'rfcOfO"°''+ ^Yn^Na Jan. 16, 2010 S yin Hill Cemeter
~ ~ °a"'°°8S1a') z26.tkareeNtmdrer Shi ensbur PA 77257
~ - 22c. None and Atldms d Feapy r
- _- Oi~(TS'i -L ffiidcer F.H. 112 W.
Hama zaac adY 23a. To me Dad a mY gowleepa. dean acurretl d th Imre, dale and p4cs dMetl. (SipuDaa eat Ida St. PO Box 336 Shi
MrYdaan k mt aveGae d Ore a deem k ) ~. ~~ Nu~r , PA 17257
wdny ease d seam. Q ' /- - /D ~ 23c. Dale signed (Momh, tlaY year)
~ Keme 2426 must be wmpded W Deraw 24. Tare d Dedh 25. Dace Deed ( day, year)
rrlm pronaams dada. 26. was Case Relerted to kfed~cd E,aminer f caorer ror a Reeser Olna men cremdion a Donetiai?
CAUSE OF DEATH (See InHruedona and exampfsa) ^ Yes
ham 27. Pan L Enter the gl>aDg.. _ mare, y~urks, awrrgkdbre _ ~ t ADOmdmue imaval: Pad II: Emer dher '
/ re+NdaY ened, a vemdaaer dbriation whhan ~!' ureueed dre deem. DD NOT emer temrrei etrerps each az .meet erred, , ~ ~ .
shoeing the didopy. Ltd airy are cause on each Noe. r Omer k Deem Ha not restAlkg in are ease ~ 23. Did T°Dacw Uee Cwddne ro DeatA?
MMEMArgn [Fyey)q,~BB a ~) ' ; undedYro9 given m Pad I. ^ Yes ^ Prdudy
wwn~dillbknn death -~ a. /~iyL-.Q.L( ire., l n r ^ No
Due to (a as a aareegtreree oQ t ~ 29. II Female:
BaquenNaNy gal wrdlkaie. A any. D. ~ i Q'NOl Pmgnem wdNn past year
ro the case puad w line e.
Enter UNDERLYmIG CAUBE Due k (a es a wrreequaree oQ~ ` r ^ Pregnam el rgne d deerh
- (dseaae a'pp~dtaeyy Ihd ingided the c / _ ~ r
evems rewkihp'm deuh) LAST - C[./ r ^ Nd pregrenl, Dal pregnant whhin /2 days
' ue Iola as cant. r a dean
d ~ ~
^ Nd pregrenl, but Dregnem 43 tlays to 1 year
bdore deem
..~,,.. 30a. Wes m Autopsy 30b. WereAaaptay Fkidnps 31. Mama a Deem r
Pedomretl7 AveBeble Pdor to Colryridron 32a. Date a Injury (Momh, day. Yea) 32b. DescrDa How Iryay Ocwmed ^ UrYmam it pregrrem rddtln the pest year
a Ceuae d Dealh7 lurel ^ tton4cide
/ 32c. Plow of Injury: Nana, Fem, Sreei Factory,
,~,/ Ogke Buldirp, etc. (Specyyl
^ Y°S Ll No ^ Yes ^ No ^ A~nl ^ Pandug Imrestigeti°n 32d. Tore of Iryury 32e. Inlay at Wark? 321. II Trensponelku Iryury (Spaclly) 32g. Labtbn of Inryry (Syreel, dy /town, skte)
^ Suicitle ^ CoWi Nd be Ddemdred M ^ Yes ^ No ^ Ddver f (A°Ma ^ Passenger ^Petleslden
33a. CerlKrer (Neck orgy one) Other ~ Spaay
• Ceddying plrydwn (Phyddan wnilyng auae a deem where andher phyekkn has Pragtaiwd death end 33b. Sipidure and k of hkr
To Ina bed d my knowledge, deeU aecurnd due ro me cwae(e) aM menrer x sYtetl _ _ _ _ _ _ wmgded Ikm 23) ' ~` ~ "~
• Pramureing eM aMilying physkhn (Phyakian bah prwpunkig dedh and adilying k cause a dedh) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _+~ - `a,(~yt.te{ ~~ C1
t To the bed d my knowktlge, death mcumd tl iM time. dk, end plea, and due to the a 11p 33c. License Number
W IMdkel Ezemrur / Caarer auae( )and manner u stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ee / 33d. Date Signed (Room, day, year)
w On the DeW d ezamirution end / a Invedigdron, In my oplnron, tlamh oamrretl d the 1kre, ale. and m D L~J ~ ~ Q-~ L ~ - / / - /~
o place, and due ro the cause(s) end manner as sMed_ ^ 7
35. Regtslrers Signature and Oielrkr m 34. Nana and Adtlress of Person Who Comperetl Cau a Death (hem 2) T,y ! P
- ~ ~ 36. Dgte Filed (MOmh, tleY. Ysar) YO ~/ /v Dom' A S, /b }~'t y7~-3Y~ -'~G/- f/{'~/~ ~-/" ES.
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Disposdion Pennd No. (/ ~J[O ~~
LAST WILL AND TESTAMENT
KNOW ALL MEN BY THESE PRESENTS, that I, BETTY JANE DREZEK, of
Pennsylvania, being of sound and disposing mind, memory and understanding,
do make, publish and declare this my Last Will and Testament, hereby revoking
all prior wills and codicils by me at any time heretofore made.
FIRST: I direct the payment of all my legal debts, funeral expenses
including my grave marker and all expenses of my last illness, state, federal
estate and inheritance taxes, administration costs, etc., shall be paid as soon as
may be conveniently done following my decease leaving all specific bequests free
of tax to the legatee.
SECOND: I give and bequeath the following:
a. I give and bequeath my Bavarian china dinnerware with a rose and
shades of grey pattern to my daughter, Karen Annette Love.
b. I give and bequeath my ruby glass dinnerware to my daughter, Diana
Carol Cramer.
c. I give and bequeath my grandfather clock with brass name plate to
Dennis Eugene Drezek.
THIRD: The rest and residue of my estate, be it real, mixed or personal, I
give, devise and bequeath to my children, Diana Carol Cramer, Karen Annette
Love and Dennis Eugene Drezek, in equal shares, share and share alike, per
stirpes.
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FOURTH: I nominate and appoint my daughter, Karen Annette Love, as
Executor of this my Last Will and Testament.
IN WITNESS WHEREOF, I, BETTY JANE DREZEK, to this my Last Will and
Testament, set my hand and official seal, this ~~ day of
- i j {`
;~. ~~:1~ , 2000.
~. ,~` ~~a ~ '~ SEAL)
Betty Jan Dr ek
Sworn to and subscribed, declared and
Published by Betty Jane Drezek, as
Her Last Will and Testament, and so
Done in the presence of we the
Witnesses, who sign at her request,
And in her presence, and in the presence
Of each other.
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COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND :SS
I, BETTY JANE DREZEK, whose name is signed to the foregoing
instrument, having been duly qualified according to law, do hereby acknowledge
that I signed it willingly; and that I signed it as my free and voluntary act for the
purpose therein expressed.
Betty Jane Dre~ek
Sworn to and acknowledged, before me,
By Bett,~i Jane Drezek, t, e Testatrix,
This... `~~ day of ~ ~ ~ ,4 , 2000.
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Notary Public
Notarial Seal
Dawn Marie Shoop, Notary Pt~ic
Shippensburg Boro, Cumberland Cpurriy
My Commission Expires Feb. 5, 2004
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
SS
WE, H. Anthony Adams and Sharon Coleman Adams, the witnesses whose
names are signed to the foregoing instrument, being duly qualified according to
law, do depose and say that we saw the Testatrix sign and execute the
instrument as her Last Will and Testament; that she willingly and that she
executed it 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 and the Testatrix was at the
time at least eighteen (18) or more years of age and of sound mind and under
no constraint or undue influence.
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~u~~orn to and subscribed before me by,
H. Anthony Adams and Sharon Cole an Adams,
The witnesses, this ~,,~ day of ~ , .~ ., 2000.
1
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Notary Public ~--°
_.t
Dawn Marie ShooipSNotary Public
SlMppsnsburg Boro, Cumberland County
y Cnmmissir.~n Expires Feb. 5, 2ooq.