HomeMy WebLinkAbout02-19-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~au D ~ I h COL7NT~', PENNSYLVANIA
Estate of ~ V~f1 t~. G t /QOA,9~) File Number ~ ~ ~ ~ V ~ ~Q~
also known as
Deceased Social Security Number //,~-f~ 7 - ~ ~ 9
Petitioner(s), who is/aze 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 named in the
last Will of the Decedent dated ~ y / 9 ~ and codicil(s) dated
(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
(Ifapp/icable, enter: c.t.a.; d.b.n.c.t.a.; pendente Irte; durante absentia; durante minoritate)
N
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followii[6t s ouse (if °a~ and heirst~(If
Administration, c.t.a. or d.b.n.c.t.a., enter date o Will in Section A above and eom fete list o heirs. C -~-1 '-ri
Name
(COMPLETE INALL CASES:) Attach additional sheets
Decedent was domiciled at death in ~ '" - Coun ,Pennsylvania with his /her last principal residence at
/~yv Aitl~er's f Cf • /)')enL a rt l cs. ~ d Mo ~. Ti.,nl ('a y~ yBrt a vtJ t~fir< P!~ ~ O ~
(L~st street address, town/ctry, townshap, county, state, ztp code) ~ 11 -
Decedent, then ~~ yeazs of age, died on ~~N ! b^, Z0) ~ at rQ1^O~ un G"Dt[~E~n StidN~ i~ Sp t Ge.
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Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~
(If not domiciled in PA) Personal propct ~y in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real elIstate in Pe11nnsylvania $
situatedasfollows: -~oY ll~iaOlTtOK DUr~aseS
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:
Si afore T d or Tinted name and residence
A~reod Tse~•ti Cixro>,~i ~r-•
/~'YD rrJe csLv A 70
Form RW-02 rev. 10.13.06
RW-02
Page 1 of 2
Oath of Personal Representative
CO~I~[ON',VEALTH OF Pi, ~~iSY'LVANIA
SS
COi;NTY' OF ~
The Petitioner(s) above-named swear(s) or affim~(s) that the statements in the foregoing Petition are tine and cw~•ect to the best of
the knowledge and belief of Petitioners} and that, as personal representatives} oldie Decedent, Petitioner(s) evill well and truly
administer the estate according to law.
Sworn to 4r affirmedC~and subscribed
before ;ne the / / ~ _ day of
For the Register
Signature of Persaml Represanmtive
S~gnat:u~e of Personal Representative
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File Number 4'~ l ~y O l ll~~ ~~~,,, ~ `.'~ `~-„
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Estate of ~9~~>> ( ~~~ > Deceased
Social Security Number: L I5- ~?' ~ [ / Date ofDeath: /S U/~
AND NOW, ~( ~~~ ~ ~,/~ ~ ,inconsideration of the foregoing Petition, satisfactory proof
haVjng been presented be o n , IT S DECREEDp~hat Letters
are hereby granted to ~~ /' ~CZ~n~.,!~~ ~A~ ___~.-__
and that the instrument(s) dated
described in the Petition be admitted to p; bate and filed of reco~r~d as the last ~Will~(and Codicil(s)) of Decedent.
FEES ,~!1~~i~~cdtiCJ~-,rLlt,L~2L~pn) ~~~/12i
Letters ............... $~/f.~=
Short Certificate(s) ........ $ ! Z ~
.~-
Renunctatton(s) .......... $
... $ 13.5
... $ ~S av
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $ 7iS 50
in the above estate
Register o~H~i!!s
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form Rtv-D' ,•~~. !u.!_ ur, Pale 2 of 2
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of ~~' a- ~ ~ ~i ro ~ d.i ,Deceased
~~ e ~ .( y„ ~ /yl a `g ~ ~ s and ~d h c~ t ~ .S ~,, c ~ .v ,
(each) being duly qualified according to law, depose(s) and say(s) that she / he L~~r was /.tee well-
acquainted with ~l/~ 'e G: r~ ~~' and am(~ familiar
with the handwriting and signature of the decedent, and that the signature of t~U~ K. G-~ ronc(,~'
to the foregoing instrument purporting to be the L st Will and Testament/ odicil of ~~ t~ ~ % ~-~ ~ ' .
is in his~wn proper handwriting.
ignature
1~o Sa ~°'
treet A
ity, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this /~ day
of dm~~
a-.•L,Gr~ ~' , dam-. /~
Deputy for Register of Will
Form RW-04 rev. 10.13.06
RW-04
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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 16030736
Certification Number
Hlos 113 REV /1r2ao6 CO6IMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE; PRWT W
~eLAacNNCT CERTIFICATE OF DEATH
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This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
Local Registrar Date Issued
pispospbn Perm1 No. L/~r VY Ja~ ~V
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LAST WTT~L AND TESTAMENT i;.~~~
.-L~
EVA R.~ GTRDNDT '`°`~-~
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I, Eva R. Girondi, Widow, a resident of the Gity of
Harrisburg, Dauphin County, Pennsylvania, being of so~znd mind,
memory and understanding, do make, publish and declare this
instrument, to be my ~,ast will, and testament, in mar~ne~r sand
form following:
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FIRST. T hereby revoke all wills and codicils heretofore
made by me.
SECOND. T hereby direct my hereinafter named Executor
to pay all my ust debts and liabilities, including m~ funeral
expenses and the expenses of the administration of my estate,
as sown after my decease as may be found convenient.
TIiIRD. T give and devise my real estate known as and
numbered 2~Serryhill Street, Harrisburg, Pennsylvania, to my
son, Alfred Joseph Girondi, Jr., absolutely.
FOURTH. A11 the rest, residue and remainder of my
property, real, personal and mixed, of whatsoever nature and
wheresoever situate, T give, devise and bequeat3x to m+y daughter,
Rita Sheridan and my son, Alfred Joseph Girondi, Jr. ,'absolutely,
share and share alike.
FIFTH. I hereby nominate and appoint my son, Alfred
Ja~sepKh GirQi~~a',~ Jr. , to be the Executor of this my Lash Will and
Testament, with full power and authority to sell. and convey any of
my property f`or the payment of my debts and liabilities or for the
purpose of making distribution under this my Last Wi11 and Testament.
IN WITNESS: WHEREOF, fi have hereunto set my hand and seal
this '~'1 day of May, 1977 .
(SEAL)
Eva Giron a.
SIGNED, SEALED, PUBLISHED and DECLARED by the above named
Testatrix, EVA R. GTRONDI, a,s and for her Last Will and Testament,
in the presence of us, who at her request, in her presence and in the
Presence of each other,. all being present at the same time, have
hereunto set our hands as wi ses.
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NAME P ~ ~ ADDRESS
NAME ~ ~ `-'`- ~" '~ ADDRESS