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HomeMy WebLinkAbout03-04-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C`U~'Y?t3~i4t,~},~1~ COUNTY, PENNSYLVANIA Estate of __ CyIGL1 ~fYl L , ~e g/N..SOa/ J _ l~ _ b~' File Number also known as ,Deceased Social Security Number ~'~~' '~~ Zsf$~ Petitioner(s), who is/are 1 ~ years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) rv A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the c~ last Will of the Decedent dated ~Ul~ 2Sj 2f70$ and codicil(s) dated ~-. nay}?~ed;ira-the ., ~ . _ _. ~-~ _~ ~V.. ~`~ -~' ~' r~C7 it . ' l .. ..__ ~-r-,., !~ -.,., r..r. ~ ....~ (State relevant circumstances, e.g., renunciation, death of executor; etc.) f4..-~ ~ " --•, f ' "y , Except as follows, Decedent did not marry, was not divorced, and did not have a child born or ado ted after execu ~ ~ ~~ ~~ ~ F • ~ } <-._ __ P tio~o~te instrur tempt(s) o€~r~:~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ,~ ..._ ~a t..~i Q B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and hei-•s: (~f Adruinistratiorr, c.t.a. ord. b. n.c.t.a., eater date of Will in Section A above and complete list of heirs.) Name Re]ationshi Residence (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in _ CG7yf~~RLtQiJ1J County, Pennsylvania with his /her last principal residence at ~Z A7 Kay LAnIL~ C~mP Nl~t P (7d I I C UIY)$~tptVD C~ U N T (List street address, town/city, township, county, state, zip code) Decedent, then ~a ~ years of age, died on 3•~/~T~yy1 23 ZDO at ~Z/ MffN~y lgri/~ C AirNti}It.t.- 1~ / 7D 1 Decedent at death owned property with estimated values as follows: (lf domiciled in PA) All personal property QOD . dD (lf 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 follows: Wherefore, Petitioner(s) respectfiilly 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: Sisnature T ed or rinted name and residence fyllC~}~ Cl-~~2L~GJKA 12S PFL.~ i;b~},7 C~~ ~} L~ ~, ~ Form lZ6V OZ rev. !0.13.06 Page 1 of 2 Oath Of Personal Representative CO~I~ION'~VE_~.LTH OF PEi`,'~+SY'LVANIA COUNT' OF SS The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the f~rcgoing Petition are hue and con•ect to the best of the kno~.~•ledgp and belief of Petitioner(s) and that, as personal representative(s) of tho Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed a;zd subscribed t~ +~~--- before ;tie tl~e day of ~ r-C 4._. ~ G> i ~ Vim. l 4 1 ~ ~~~• \FOr th/Jo~`r thz R~fffg;sterlJJ r•,a Si~ncr,ure ojPersonn! Represen~ntive ~j -~ ~. ~ ' - Si~nnlure ojPersauil Representative •~.=- ~ -• .-- r , .~ V ~~~ ~^ f ~~-~I ~ T ~ S~,;nnt:u•e ojPersona! Representative ~ =--1 .. LL °" 'T~ a ...?c ~~ ..... _. ~ . 4'"1 File Number: ~) - I U ~~~- I Estate of ~ ~ 1 ~ ~„i 0...~~ L ~y,~ ~ ~ ~~, ,Deceased . Social Security Number: ~~~ ~ ~ 'a j ~ `~' Date of Death: ~I 'c~ J~ -- AND NO'v~', ~ ,1~„ ~~ ~ c~ having been presented be ore me, IT IS DECREED that Letters ~ e~ are hereby granted to ~ 1 C~-to`.E ~ ~e rP_ v,: C~t:~_ in the above estate and that the instrument(s) dated ~ - 2_~ - ~~ described in the Petition be admitted to probate acid filed of record as the last Will (and Codicil(s)) of Dec,~d?,nt. FEES Letters ............... $ .C.t.P~ .C~C~ Short Certificate(s) ........ $ `1~ U!~ Renunciation(s) .......... $ I~~,a.~ ... $r~ .~v ,.J C ... $ ~2 3 ~ ~J~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ 3 0~ ~ • Ja Regiscer~ of Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: in consideration of the foregoing Petition, satisfactoi;i proof Fnrin RIV-0' ,~~~. w.i; o~ ~ Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 15830686 Certification Number H t 06. t 44 REV t 7/2008 TYPE /PRINT IN PERMANENT BLACK WK It32-105 1. Nsme of Depdent (First, mklde, kst, suffix) William L S. Aga (Last Binttday) Under 1 year _ 61 Maras Dart Yrs. 8b. County of Oeam Cumberland Kind of Work z 0 U 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. 0 L cal Regi Date Issued 4,;,,,,,~ . ~ ,.,,.-. ~? ~ ~ o ~t .~ ~. :~I `'~. ~7 ~ ~-. F...., •; t "-~ "'C3 ~ ..~ .Z r ~ r A. - eti --1 .. ' COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS `D- ` ~ ~.-.~~ CORONER'S CERTIFICATE OF DEATH G''1 _Y- (See Instructions and examples on reverse) STATE FILE NUMBER 2. Sex 3. Soda) Security Number 4. Date of Death (Month, day, year) Robinson II Male 348 - 42 - 2518 September 23, 2009 ttax, ~ MMwt.a ~ May 9 , Bc. City, Bor6 Tv of DeatA Hampden e Burin most of workin Ihe. Do rat sW Kind of Busnsss /Industry 17'i0 Newport 1~Tews, OA IiOSl~tac aver,-- ,~tt, ^ Inpatknt ^ ER /Outpatient ^ pOA ^ Nursing Hama ~ Aecidenp ^Other -Specify: 8d. Fac4gy Name (II not instilulion, give sheet and mxMer) 9. Was Decedent of Hispanic Origin? No ^ Yes 10. Race: American lndkn, Bkck, White, arc. 821 Mandy Lane (Il yes, speciry Cuban, (SP~iIY) Mexican, Puerto Rican, etc.) White t2. Was Decedent ever in the 73. Oecedenl's Educatan (Specify only highest grade completed) 14. Marital Status: Martied, Never Marrkd, 15. Surviving Spouse (il wife, gne maiden name) U.S. Armed Faces? Elementary /Secondary (0-12) College (1-4 or 5+) Widowed, Divorced (Specify) uis archer E le Truckin OYes Sao f 6. Decedents MarTmp Address (Sreel, dry /faun, state. Zip Code) Decedent's Penns lvania Did Decedent ~Y 821 Mandy Lane Actual Residence rte. Sate y Uve in a 17c. [7"Yes, Decedent Lived in Camp Hill, PA 17011 17b. Court TownsNp? t7d. ^ No, Decedent Lived within h C ttmhPrl and Aqua) Lunits of 18. FaBter'a Name (Pest, middle, ksl, su8ix) 18. Mdher'a Name (FksL middle, maiden surname) Michael Francis Robinson Mar aret Sullivan ZOa. IMomtartt'a Name (Type / Pdnq 20b. IMonnanrs Magirtg Addreu (Brest, city !fawn, stale, zip code) Rebecca R. Ricci Hampden Twp City !Born 21 a. Method of Disposition ^ Cremation ^ DonaFon 21b. Date of Disposition (Month, day, Year) 21c. Place of iFat Name of cantata crerttat or other ace ~ DiaPos ( ry, Dry d ) 21d. Location (City /sown, state, zip code) [$ Burial ^ Removal from Sate ; Was Gemadrn a Oonatbn AuMorized ~ ^ soar • Spsdy: ; by Medial Examiner/Coronert ^ Yes ^ No Oct . 3, 2009 ~ Queen of Heaven Cemetery McMurray • 22s PA 15317 S' d F al s r i ~ " . v e ce ac as such) 22b. License Number zzc. Name arW address d FacAilypaul L . HeIlney Memorial CHapel - '' " , -' ~ FD 1386.43 5570 Libra Road Bethel Park PA 15102 Compkb hems 23a< Dory when prFlying 238. To IM best q my knotNadga, death oxurred al the lime, date and place skkd. (Signature end Flk ) 23b. License Number pnysidan is not available at Fme d death to 23c. Oale Signed (Month, day, year) prlly pose of death. ~ hem, 24.28 moat be cartplaed by person 24. Time of DeathA r X . 25. Date Pratotmced peed (IdoMh, day, year1 26. Was Case Referred to Medical Examiner /Coroner for a Reason Other than Crematan or Donation? wtapraaurtceadsatn. 7:08 A. M September 23 2009 , . ~jves ^hro CAUSE OF DEATH (See instructions and exempba) t Approximate interval: Pan II: Enter other •~^^Kicant co ' irns COnL' rah q am, hem 27. Pen I: Enter the g))~ d wpB(8 -diseases, injuries, ar corttpFcatiau -that directly caused Ne deaM. DO NOT enter lamina) events such as cardiac arrest 28. Did Tobacco Use Contribute to Deam? , , respiratory artesL a vattrkxrkr FbihaBOn wMtax showing the etblogy. List only one cause on each kne. r Onset to Death but nd resuhin m the gi en kt Part I. g urWadying ease v ^ Yes ^ Probably IMMEDIATE CAUSE Find diswse a ~ condtannestAFngktrSeath) ---~ a. Probable Myocardial Infarction ; COPD, CAD ^ No ~ Unknown Due to (or as a consequence oQ: r ~ SpuenaaNy Fs! conditions, 4 any, b zg tiFemak: ^ Nol pregnant adlhirt rn pa Year . to the cause Fated on Gne a. Engr UNDERLYWG CAUSE Due to (or as a consequence of): r (dlNcesse a injury that initiated me t c. r t l l ^ Pregnant at time of deaM ^ Nq DregnaM, but pregrtam wtNn 42 days ~ an s rosu l nq a death) LASt, t Due to (or as a consequence of): r • d. i of death Not pregnant, Dut pregnant 43 days to 1 year 30a. Was an Aul t opsy 30b. Were Autopsy Findings 3t. Maser of Dwlh 32a. Date of I ' ) ryury (Month. day, year 32b. Describe How Injury Oaurred Performed? A il P before death ^ Unknown it pregnant within the past year ve abk rior to Com etbn W ^ Fbmiride d Caua of Death? ~ Nature) rvry aY. 32c. Place d kt~ Honw, Farm, Sreel, Fact 08iw Bolding, etc. (SpedyJ ^ Yas ~( No ^ Yes ^ No ^ Accident ^ Pending Investigalbn 32d. Time of Injury 32e. Injury at Work? 32f. II TrenaponaFon Injury (Spacr'lyl 32q. Location of irtryry (Brest, dry /town state) Tv ^ Suicide ^ Coukl Not be Oekmurwd ^ Drive / ^ Yes ^ No Olx9rator ^ Passenger ^Pedesirian , M. ^ Other • Specify: 33a. Cartitwr (Neck only one) 33b. Signal t r ' t:arUfyhy physcian (Phycidan urFlying cause d death when another physician has pronounced tleath and completed Item 23) To the beet of mY knowledge, death occurred due to the pose(s) and manner as statea_ _ _ _ _ _ _ _ _ - • P C o r o n e r ronouncing arM pnHying physlelan (Physidan bohi pronouncing death and certifying to cause of deaM) T o the bast of my knowledge, death occumd at the tkne, date, and place, and due to the pus(s) and manner as staud_ _ _ _ _ _ _ _ _ ^ 33c. license Number 33d. Date Signed (Month, day, Year) • _ _ _ _ _ _ _ _ _ Medaal Examiner /Coroner _ September 2 4 , 2 00 9 On dte lisle of exanktadon and ! a inveahtptlen, M my opinion, death occumd at IM time, date, and plop, and dos to tM ca tzae(e) and manner as sletsd_ 35. Regist tgnature and Di4(rict bar ~4, I~emq andA~re ss d Parson Who Cortioleted Cause of Death Qtem 27) Type /Print eel L N . orris - ,~ ._ 3s.D FFed(Monm,aar rear) B h ~~ , ~ ~ S . c. ase ore Road, Suite 4~1 ly' ~ .T~% ~.tc~ ,-~ Mechanicsbur PA 17050 1 Disposition Permit No. O"~ T-(2~ LAST WILL AND TESTAMENT KNOW ALL MEN BY THESE PRESENTS, that I, WILLIAML. ROBINSONcurrently residing in Hampden Township, Cumberland County, Commonwealth of Pennsylvania, bein in g good health and of sound and disposing memory do hereby make, declare and publish this as my Last Will and Testament, hereby revoking all former Wills and Codicils heretofore made by me. FIRST: I direct that all of my debts not barred by the statute of limitations, expenses of my last illness, funeral expenses, costs of administration and claims allowed in the administration of my estate shall be paid by my Executor hereinafter named, from my estat~,s "" :~~..~ soon after my decease as shall be found convenient. ~'~ ~ ~~- ~ . -_~-~ ~> ; . ~.~ f ,~ ~° rte--- ~ L ~. y SECOND: I give, devise and bequeath my trains and train memorab ~ } ~~~ ~ .~- ~ -- _- ., nephews, MICHAEL C. CHEREWKA and MATTHEW B. CHEREWKA, in equa`~shares~ ~=. ~~- ..~ --~~, w ,: ~W. .. ,- e--~ cn _ THIRD: I bequeath my automobiles, household effects and remainder of my personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, to my sisters, MICHELE R. CHEREWKA and REBECCA RICCI, in equal shares, per stirpes. FOURTH: At the time of execution of this Will, I am legally separated from my wife, LINDA ROBINSON, and have been since prior to August 16, 2002, grounds for divorce have been established under 23 Pa.C.S. §3323(g), and we are in the process of obtaining a divorce. Therefore, I leave nothing to LINDA ROBINSON, and I fully understand that under Act No. 175 of 2004 she will NOT be entitled to an elective share of my assets under PEF Code §2203(a). FIFTH: I give, devise and bequeath the rest, residue and remainder of my estate, whether real, personal or mixed, and of any nature whatsoever and wherever situate, to my sisters, MICHELE R. CHEREWKA and REBECCA R. RICCI, in equal shares, per stirpes. t SIXTH: I hereby nominate, constitute, and appoint my brother-in-law, MICHAEL CHEREWKA, as Executor of this, my Last Will and Testament. In the event that MICHAEL CHEREWKA shall predecease me, or be unwilling or unable to act as my Executor, as aforesaid, then I nominate, constitute and appoint my sister, MICHELE R. CHEREWKA, without necessity for posting security regardless of state of residence, as Executor of this, my Last Will and Testament. In the event that MICHELE R. CHEREWKA shall predecease me, or be unwilling or unable to act as my Executor, then I nominate, constitute and appoint my sister, REBECCA RICCI, without necessity for posting security regardless of state of residence, as Executor. All references to the Executor herein shall be applicable to said substitute Executor. SEVENTH: My Executor shall have, in addition to the powers and authority conferred upon him by law, the following additional powers and authority: 1. To sell at public or private sale, exchange, transfer, partition, give options upon, lease, mortgage, pledge or otherwise dispose of any property, real or personal, at any time constituting a portion of my estate, and upon such terms and conditions as the Executor shall deem wise. 2. To invest any money at any time in such bonds, stocks, notes, real estate, mortgages, life insurance, annuities or other securities, or such property, real or personal, as the Executor shall deem wise, without being limited by any statutes or rule of law regarding investments by the Executor. 3. To retain, without incurring any liability, as investments, any property owned by me at the time of my death, as long as my Executor may deem it wise, and even though such property is not the kind of property an Executor would purchase as an investment; and even though to retain such property might violate sound diversification principles. 4. To cause any security or other property which may constitute a portion of my estate to be issued, held or registered in the Executor's own name, or in the name of a nominee, or in such form that title will pass by delivery. 2 5. To consent to the reorganization, consolidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executor is necessary to obtain the benefit of any such reorganization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to my Executor as owner of any securities constituting a portion of my estate resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. 6. To pay all costs, taxes, charges and expenses in connection with the administration of my estate, including such compensation to the Executor which shall be in accordance with established fees throughout the period of administration of my estate. 7. To determine what is "income" and what is "principal" hereunder, and my Executor's decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executor may determine. 8. The Executor may make payments to or on behalf of any person who is the beneficiary hereunder but in no event, however, shall payments be made to any creditor or other such person because of anticipation of payment by the beneficiary, and any such claim made by way of anticipation by the beneficiary shall be of no validity or legal effect. 9. To borrow money from any person, firm or corporation, including any corporation acting as an Executor hereunder, for the purpose of protecting and preserving or improving my estate hereunder; to execute promissory notes or other obligations for amounts so borrowed. 10. To employ legal counsel, accountants, brokers, investment advisors, custodians, managers and other agents and employees and to pay reasonable compensation out of my estate or any funds held hereunder to which said compensation is attributable. 3 ! ~ 11. To carry on any business owned or controlled by me at my death for whatever period of time my Executor shall think proper, and my Executor shall have the power to do any and all things my Executor deems necessary or appropriate, including the power to close out, liquidate or sell the business at such time and upon such terms as my Executor shall deem best. 12. To do all other acts in my Executor's judgment necessary or desirable for the proper and advantageous management, investment and distribution of my estate. EIGHTH: I direct that all transfer and inheritance taxes, state or federal, assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor pay, or provide for payment of all such taxes at such time, or times, and in such manner as my Executor deems best. IN WITNESS WHEREOF, I, WILLIAML. ROBINSON, the Testator to this, my Last Will and Testament, typewritten on five sheets of paper which I have identified at the bottom of each pa by my signature, hereunto set my hand and seal the --~:,;z~ da of Y 2008. / ~~~~/i WILLIAM L. R I SON The preceding instrument consisting of this and four other typewritten pages, each identified by the signature of the Testator, WILLIAML. ROBINSON, this day and date thereof signed, published and declared by WILLIAML. ROBINSON, the Testator therein named, as and for his Last Will, in the presence of us who, at his request, in his presence, and in the presence of each other have subscribed our names as witnesses. ~V ~.-~_~- ~ p~ ~ n~ 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss I, WILLIAML. ROBINSON, Testator 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 willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ss Sworn or affirmed to and acknowledged before me by WILLIAML. ROBINSON, Testator, the day of , 2008. NOTAR LESLIE G LEA~CN ~~.EY56l~t''f~AAp ~ CO"'"'O" ~~ ~ 2e. 2000 tart' Pub 1 i c COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND W©'~-~-`~ ~~~- ~rk~ and ~, ~ ~ ,the witnesses whose names arc signed to the attached or foregoing instrument,~being duly qualified accordin to law, do depose and say that we were present and saw Testator sign and execute the instrument as his g Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to ~ ~ ~~ ~ Q ~ ~~~~+n 41 cry witnesses, NOTARIAL SEAL LESLIE G LEACH Notary Public ~' 80ROUt;M,a~+BERIAPDCOINdTY My Commitsbn ExpNez ,~ 2d, 200e WILLIAML. ROBINSON ,-, before me b , ~ © and this s~~~~ day of , 2008. Notary Public