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HomeMy WebLinkAbout05-04-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of ILONA G. ATWOOD also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) COUNTY, PENNSYLVANIA File Number L~ / ~ (~.~ ~ ~l ~-/(y~ Social Security Number 174-36-7029 ®/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executor last Will ofthe Decedent dated 4/6/2010 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: none Q B. Grant of Letters of Administration (/f applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente !ile: 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 heirs: (/f Administration, c. t. a. ord. b. n. c. t. a., enter date of Wil! in Section A above and complete list of heirs.) ~ ~ _~ qq,~ Name Relationshin Ram; d f (COMPLETE W ALL CASES:) Attach additional sheets if necessary. ~7 _ • "`~_,i ---3 W ;=~=: C~ Decedent was domiciled at death in Cumberland '• ` -° r-rt County, Pennsylvania with his /her last princip ~ esidence at ®~~ 101 South Street, East Pennsboro Township, Enola, PA ~ --~ (List street address, town/city, township, county, state. zip code) Decedent, then 65 at 101 South Street, En.ola, Cumberland County, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If 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: 101 South Street, Enola, PA named in the 110,000.00 68,000.00 Form RW-02 rev. /0.!3.06 Page I of 2 years of age, died on 4/27/2010 Wherefore, Petitioner(s) respectfully request(s) the probate of the last W ill and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS 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 ~U before me he ~ day of D G-- tit' ~L~' ~ A~ i! ' For he Register Signature of Personal Representative Signature of Personal Representative Signature of Personal Representative r C7 a ~ ~ t 'i --t G U3 '~ ; J File Number: ,~~ r/U ~~Qs ,h .~ C,~ t'~,^~ Estate of ILONA G. ATWOOD , IS~ d ~„> -= ;-r / ~ "~ ~' _ Social Security Number: 174-36-7029 Date of Death: Z ~ Z~%/ (/ "~ '~ AND NOW, (~,~~~`~~,~tUC'! ~,,;itai :2C}lZ7 , in consideration of the foregoing Petition, satisfactory proof having been presented before IS DE EED that Letters Testamentary are hereby granted to Rob A. Krug and that the instrument(s) dated 4/6/2010 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES U~'~ Letters ............... $ Short Certificate(s) ........ $ -off __.- Renunciation(s) .......... $ r~rhrll ... $ f ~.~ , ~~ l7 ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ J~~'~.~z `~- Attorney Signature: Attorney Name: Rob A. Krug, Esquire Supreme Court I.D. No.: 25123 in the above estate Address: PO Box 15`i 53 East Canal Street Dover, PA (7315 Telephone: 7l 7-292-5615 Form RW-02 rev. 10.13.06 Page 2 Of 2 -~ _ . 1 " ,l G '~~~~ LOCAL REGISTRAR'S CERTIFICATION OF DEA WARNING: It is illegal to duplicate this copy by photostat or photograph.. ;~r: 4if thi, r~^~titicatc. ~Ei.00~ ,rr„,-,%,~. ~ZH OF pF ~ ~I~ ""p ThlS s., t~1 u,~rttl~ th.u ~ infiyrmrtltm hu-r 1~ivcn is _ , io~~,~--~,y~ = ` ~uuectly rly~ic~1 iron) . ' tlleinal Cerufi~ I[e (Tf Death ~ ~/ ~ ~ l /~ 1G 1 duly filccl ~, ith r )~ .t, (~ al Re~~)titrar. I he o~rl~inal ~ ;Ci _ ~ Z ~t-.111tiCale ACll~ tic ~1~'' .~A,lfi(aC(~ LO the Stale Vlt~l~ i ~ c~ l ~~ ~ '~.:~ Rer~ rLi~ O'fire f yl ~,<. ,. ~:ct lent t~lin~•. P 1617734 ~~=° ~~~ ~'~ ~~~! \ ~ ~~~ P~2s2o~ p ------ - _ ,. _ y rl _ g9TMENT 04~~`P° '' ---- ----. _-----.__... _..- ----- --1----- 4 / ^^ ~,L')IICII~aIt\)II •V ltnllle, ~~ ~\~//!%/i_~/////ir ~ Ltu~a! Re~~t~iraf Date L~,ul.~~i ev © °r: 3 ~ A f ` ~~ _~ ~ ' f`i 1 i ~~ •~ r:? r''' ' ~C ~ .7 ~ ~ o ,,icy +J :s I REV 11/2000 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECOI4DS / PRINT IN cK"NKT CERTIFICATE OF DEATH (See Instructions and examples on reverse) __.__ _.. _ ..... i. Name of Decedent (FrsL midtlle, lass, sufix) 2. Sex 3. Social Security Number V 4. Dale of Death (Montn, day, year) ~ ( ~ G ~ U 5. Age (Last Birttgay) Under 1 year Ungr 1 day 6. Date of Birth (Momh, tley, year) 7. BlMplece (C and stele a foreign ca,m ) Sa. Place of Death (Cfreck onty one) klonMa pays Hauer Mlnutea /^ ~} ~/ ~(~ Hospital: Other: 6 ~ Yrs. ~ - ~ 9 - ~ Y " J ~j e7 / ( Q /J ^ Inpatient ^ ER /Outpatient ^ DOA ^ Nursmg Home Residence ^Other Specity 3h. Counry of DeaM &. Ciry, Boro, jyy. of Death 6d. Facility Name (tt not instltutlon, give street and number) 9. Wea Decedent of Hispanic Origin? ®'NO ^Yes 10. Race; American Intlian, Black While etc , , . // (If yes, speclty Cuban, (gp~iAn u~/ ! R ~ ,5 ,6 0 ~O 0 ~ SOC.I~N S f /G~ f Mexican, Pueno Ricer, 4tc.) Lv'n% r 11. Decetlenrs Usual tPon Kidd of won done dunn most of wakin Itle. Do not stale reared 12. Was Decedent ever in the 13. Decedent's Eduggon (Spedty ony hlglrest gretle completed) 14. Marital Slaitu&: Manied, Never Mamietl, 15. Surviving Spouse (If wife give maitlen name) , Kind of Work Klnd of Business I IrWU3t U.S. Annetl Foroe3? Witlowed, Dhrorgd ew ry Elementary! Secondary (D-12) College (1-4 or Bt) (SP M/1 r' ~•.rb , '~ ti Ea LS ^ Ye3 [~ G t Gv y c~otiC cll 16. Decedent's Merging Address (SlreeL city I town, slate, zip tale) Decedent's Did Decedent .( / ~ / J c . 7°~I .$~/~ p~ f Amgl Residence 17a. State ~ Live Ina 170 [ Yes Decadent Uved in ~4'S ~ ~[°io ~~$!l O/6 . , y ,~y ~/Q "~S~ ~ ~ ~ v ~ ~ , iwp. Township? 17b. Count' 4 ~, 17d. ^ Na, Decedent Uved within / / / C ' Actual Limits of Ciry I Baro 18. Fa(her s Name (Fi , rtJtldle, la t, sufix) ~ ~ O 19. Momer's Neme (Prat, middle, maiden surname) , ~ ~ r , G ~/ d~, ~, .~ 2Da. Infortnanrs Name (Type /Print) 20b. Inrormant's Mailing Address (Street rJy /town Stare z'~p cafe) p b ~ I tie. G fG • GG OOV`. ~ / ~ 7 /,~ 21a. Memod of Disposttbn Cremetlon ^ Donation 21b. Date of Disposltlon (Month, day, year) 21c. Place of Disposrtlon (Nertle of cemetery, crematory or other place) 210. Location (Ciry I town, stale, zip code) ^ Burial ^ Removal from Slate ~ Wea Cremation or Donatlon AuMalzed ~ ~ O ~ j , ,-,/ l ^ Other - Speciry: i by Medkal l-xeminer /Coroner? L'7 Yes ^ No ~ !i / pt pZ ~/ D d ,'/f 7 ~ ~ /' ~. ~ /l ' ~J 22a. SpgNre of Funeral Servke see (a parson agng as such) 22b. License Number 22c. Name end Adtlreas of Faclliry ` - D 77 ~L. : re%M u4 ~a~/Uabc Ylv. ~.~ ,7 .: leiQ/. ~ a ~ / . ~, Complme Items 23e< when cerMying 23a. To rile best knowledge, d ned at Ne lime, date end place stated. (Signature end tltle) 23b. License Number 23c. Date Signed (Month, day, year) physidan s not availaDla at time of death to ~ _ ~ / cerMy Buse of deem. ' h-~` /~~ - '~ 24 Ti f D / / ` 7 ))erns 24-26 mart ha completed try person wM pmnourcasdglh. . me o eatn 7 /y ~~ M 25. Date P~/° /~~~e-d7Dead (Mann, tley, year) ~' I ~~ 26. Was Case Rafened t o M edical Examiner /Coroner for a Reason Other than Cremation or Donation? . t ! ° T ^Yes ~ to CAUSE OF DEATH (Sae Instruetlons end examples) r Ayproxlrgle Interval: Pen II: Enter other 1illID~nt condaWns comri6ulkn to death, 2B. Did Tobacco Use Contnbme to Death? ltem 27. Pan I: Eller the chain deven~s -diseases, injuries, a complicatrona -that drectly caused the death. DO NOT enter terminal evema such as grtac anent r Onset to Daath Gut not resulting in'he undedying cause gNen in Pert I. ^Yes ^ Probabry respiretory 8Re3t a Ventricular fibdlatbn Wtthad St10w1ng 1118 etpbgy. LIST ally er10 gll% en eadl kre, 1 "' r ^ No ^ Unknown IYIAEDIATE CAUSE Fusel d'eeese or r carldeon resultlrg in ~) ~~ 'e ~ ~ -~ a. C4 ( ~J 29. If Female: Due to (_ as nsequence ~ ^ Na pregnant wkhln past year SequentlalN list cmtlAlana, X enY, b. a `/ 1 \ a~ W \ ^ Pregnant al time of death to a Due to (or as a consequence oQ: ~ Enter ONDERL G CAUSE r ^ Nol pregnant, but pregnant within 42 tlays (dsgse a mJury that Mdtlatreadd Ina c r of death evens resultlrg in tlgth) LAST. r Due to (or as a consequence of•: r ^ Not pregrant but pregnant 43 days to 1 year d. r ^ Ucenikno ~t pregnam wtlhin the pest year 30e. Was ar Autopsy 30D. Were Autopsy Findngs 31. Manner of Death 32e. Date of Inury (Month, day, year) 32b. Describe How Inury Occurred 32c. Place al Injury: Hans, Farm, Street, Factory, Pedonned? Available Prior to Completlon Office Builtlin of Cause of Death? ^ Natural ^ Haniatle g, etc. (Speciy) ^ Yes ~ ^Yes ^ No ^ ~ ^ Pending Investigetbn 32d. Time of Injury 328. Injury al Work? 32f. M Trensponafion Injury (SpaylyJ 32g. Laatlm of Injury (Street, clry I town, state) ^Yes ^ No ^ DMar / Operelar ^ Passenger ^PedesMan ^ Sulcitle ^ Coultl Na be DmertMned M Odra - Speay: 33a. Cenitla (check onty one) 336. Sigret rid + • CenUying physician (Physioen certifying cause of death when another physician has pronounced deeM and canplaed ttem 23) To the best al my ImoMCdpe, death occurted due to the gge(q entl manner ea mted_ _ "' _ "" -""-""""" '~^ _ _ _ - ~ ~ _ ` • Protlartndng ell arlityhp physklen (Phyaloan lath pronouncing death and certltying to cause of dgM) To Uls best of my glowledge, destll agurrtd m the Ums, date, all piece, ell due to the gase(s) and runner se smhd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Aledkel ExamMUr I Comae 33c. Lkance Num r 4 9 ~Y'I ~ O~ ~ ~' 33d. Dort Sgnetl (M day, year) ~ 1(7 \ On the haste of examinallon end I or Invatlgatlon, in my oplnron, death ogurred M tM tlma, date, end Dlece, entl due to the gase(s) end manner es e1Med_ ^ ~ l ~tS 35 Registrars S' tore ell Di ~ u r 34. Name end Atldress of P rsaH~-Yno atetl se of earn Ihem 27) Type /Print S~ rn U ~ ~ ~~ . - ~ I ~I /~ ~I / I ~ ~ 36 Dafe Fled ( n, day, year) S1~9'~~doia - ` 1 140o So~`~-h I~v ~ . t~o~Iw,~r~. ~- i~D~fs _ Disposition Permit No. a~ ys y ~ .'~ r..~ LAST WILL AND TESTAMENT ~~ a ~ , ~~~ ~; r :, ILONA G. ~ ~ ~ .. _ ATWOOD ~~~ -a `' `- I, ILONA G. ATWOOD, of 101 South Street, West Fairview, Cumbe.>~rTd < ~ <' 0 ...~ County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM 1: I direct that all my just debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situated, whether it be real, personal or mixed, including property over which I have a power of appointment, I give, devise and bequeath unto my cousins, Heinz Kaminsky and Willi Kaminsky, in equal shares per capita. ITEM 3: I direct my Executor to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my Estate or the transfer of .any property passing hereunder or otherwise passing by reason of my demise, may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, on any property required to be included in my gross estate, under the provisions of any state or federal law now in force or hereafter enacted, shall be prorated among the persons interested in my Estate to whom such property is or may be transferred or to whom any benefit accrues. WI r '~ G~ ~~~ ~~ `~' - ILONA G. ATWCIOD ITEM 4: I appoint Rob A. Krug as Executor of this my Last Will a~ld Testament. Should Rob A. Krug fail to act as Executor for any reason, I then appoint Vicki L. Bode as Executor hereunder. ITEM 5: I direct that my Executor or his successor shall not be required to give bond for the faithful performance of their duties in any jurisdiction. .~. f IN WITNESS WHEREOF, I have hereunto set my hand anal seal this ~ ~ /~ day of , 2010. `' ._ _% ., _ ~~ ~;a ~s ,,max-J~.r~ ~ ~~ ~ ~~~~,'~~- ILONA G. ATWOOD The preceding instrument, consisting of this and one other typewritten page was on the day and date thereof signed, sealed, published and declared by II.ONA G. ATWOOD the Testatrix herein named as and for her Last Will and Testament, i:n the presence of us, who at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto. ~~~ ~~ ~ OF ,,wt.`. 1' G , OF c~ , COMMONWEALTH OF PENNSYLVANIA COUNTY OF YORK We, ILONA G. ATWOOD, ~ ~~ ~ ~`~~'`~ and /~ // , ~~2~,~ /%/ ~~ ~~ ,the Testatrix and the witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament, and that she signed willingly, and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix signed the Will as witnesses, and that to the best of their knowledge, the Testatrix was at the time eighteen years of age or older, of sound mind, and under no constraint or undue influence. w~~~~~ ~:<<, ~r 1 ~ , ', ILONA G. ATWOL OD "~_ SWORN TO AND SUBSCRIBED BEFORE ME THIS (~ ~ DAY OF ~'~~r~~ , 2010. /! l.~' G'l~ ~, ~ SEAL NOTARY PUBLIC ~ ~ ~ COMMONWEALTH OF PENNSYLVANIA Notarial seal vaa L. ~od~,lVotary Public Dover Boro, fork County ~ ~ E>¢Nres Oct 23, 2011 Member, Pennsylvania Association of Notaries