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HomeMy WebLinkAbout05-10-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Jean M. Korkuch also known as Francis J. Korkuch Jr. 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) last Will of the Decedent, dated q q /pg/2pp7 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: nla ^ B. Grant of Letters of Administration app Ica e, en er c..a.; ..n.c..a.; pe en e i e; uran e a sen ia; uran a moron a e Petitioner(s) after a proper search haslhave 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 Wll in Section A above and complete list of heirs.) Name Relationship Residence „~, c_ 0 0 ,. _-.~ ~ ~ << ~_ ;~~; ~ ~_ _,::~-- (COMPLETE /N ALL CASES:) Attach additional sheets if necessary. ~ N _ r=r'i Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last princ~al residence~t ~- `~ c _'~ 1477 Maplewood Drive. New Cumberland. Lower Allen Township. Cumberland Countv. PA 170 (List street address, town/city, township, county, state, zip code) Decedent, then ~_ years of age, died on 03/18/2010 at Select Specialty Hospital Decedent at death owned property with estimated values as follows (If domiciled in PA) All personal property $ 200,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 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: Signature Typed or printed name and residence 1 ~ ~~ n Francis J. Korkuch Jr. 508 Beaumont Circle j' West Chester, PA 19380 named in the COUNTY, PENNSYLVAN~I,/ File Number 21- ~ U ~ ~ ~ ~$" ,Deceased Social Security Number 179-20-5175 is/are the EX@CUtOr Form KW-UL Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 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 representa ~ of the Decedent, Petitianer(s) will well nd truly administer the estate according to law. ~ (~ ~~ Sworn to or affilrned and subscribed before me this ~~ ~ day of ~ , ~~i~D .. l', ,, For the Register of Personal Representatye Francis J. Korkuch Signature of Personal Representative t-.s c~ Signature of Personal Representative ~ J ~' t~'t -- __ .a7 ~ © 7 .} _..7 i __ ~ File Number: z1- rU- Estate of Jean M. Korkuch _ ~.... } t..,_i l l ~ 7-i ::~ ~ ~ r i -~ --I -- _ ,~eceased ~ ~ ~~ ~;~ v Social Security Number: 179-20-5175 ~.-}}__ Date of Death: 03118/2010 AND NOW, ~ ~,(-'l [~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, I IS DECREED at Letters Testamentary are hereby granted to Francis J. Korkuch Jr. in the above estate and that the instrument(s) dated 11106/2007 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ...................................... .... $ fv Short Certificate(s) ................... .... $ ~„(~.~(~ Renunciation(s) ........................ .... $ `' ~~ s; i ~ $ l~ - ~~ ~ ~~,~ $ Z3 - ~ c~ $ $ $ $ TOTAL ............................... ~ r-- ~~ .... $ ~iti7. ~ U Supreme Court I.D. No.: 200490 Tucker Arensberg, P.C. Address: 111 North Front Street P.O. Bax 889 Harrisbura. PA Telephone: 717-234-4121 Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Attorney atgnature: ~ t.~.~ ~! V Attorney Name: Aaron C. Jack Esq. LOCAL REGISTRAR'S CERTIFICATION OF DE~A~~'I-I WARNING: It is illegal to duplicate this copy by photostat or photograph ~~: ?~r thi. rrrtiticate. `~(i.O(1 ant"'NTH Of p ~~ f~j P This )5 tt1 ~crlil\~ th~t~ !~ mf<Yrm ttu~r lr tc ~~i~en Is %~ , - ~,r~~, ~,t rutrertl} ~„hicLl I111n1 :la xu)~innl Cf_l;lhl u~ of Datth ~~~ ~~ dul~~ filed pith m~ I L_ 1~~11 Reglular_ i~he uric*inal ~ `~, ~ z: catific,ite will ~~ ~~~ ucl~d to il~r State Vital ~_.° s;I R~r11r<I< UlfiLr fit,( Ix~~ n;lnent lilin~~. P 1617 6 Q 8 ~ ---------- ~ ~ ~~~ ~,q. ; a~~~~ """Its - 9TMENT 0~~~ ~~ ~ ~a~ 3 2~~0 LG~• - -- l_ati(tn Nwnher ( ertil _„~„I Ltlcal F.eg1,u-al~ Dates l,~ueLi r-.a C? `~' .~0 ~+ - ..~ ~ ,! -c7 sr• ~ ; -~c r - } ,n~_ o _, ~{ ~..~ ~. I REV 112006 /PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS gCNN NK CERTIFICATE OF DEATH (See Instructions and examples on reversal __.__ _.. _....____ 1. Name of Decedent (First, middle, lest, suffix) 2. Sex 3. Sadel Security Number 4. Dale of Death (Monet, day, year) Jean M. Korkuch female 179 - 20 - 5175 March 18 2010 5. Age (last Birmtlay) Under 1 r Under 1 de 6. Date of BiMI Month, de , 7. BI ace C end state a forei cou Be. fRece of Deets Check one 82 Yrs. t4ontns Days Hours Mnutes June 3, 1927 York, PA Hospital: ®Inpetent ^ERIOutpeOent ^DOA Other: ^Nursiig HOrlle ^Residence ^Olhar-Speciy: Bb. County of Deem &. Clry, Boro, Twp, d Death Bd, Fadl%y Name (If iwt mstlNtlon, glue street ant number) 9. Was Decedent of Repent. Orlgln7 ®No ^Yes 111. Race: American Indian, Bieck, While, etc. Cumberland E. Pennsboro Twp. (llyea,apecXycuban, ( Select Specialty Hospital Mexken PuertoRean err ) , ,. , white 11. Decedents Usual tlan Kim of work done most d Nfe. Do nd state retlred 12. Wes Wcedeirt aver in the 13. Decedents Educetlon (Seedy Dory highest grade completed) 14. Mental Status: Mewled, Never Menieq 15. SurvNkg Spouse (If w%e, give maiden name) Kits of Work Kind M Busineea/Industry U.S. Amred Forces? Elements I Seconds I}12 Co% Widowed' avonxsd (Spacrry) ry ry ( 1 age Itr or 5+) Teacher Education ^ vas ®No 12 4 Max•ried Francis J. Korkuch • 1fi. DecedenYS MaIHng Address (Street,city/town, state, zip code) 1477 Maplewood Drive Dapedenl'a Actual Residence 17a. sale Penns lvania Did Decedent y Live ins 17c ®YOS Decedent Lived in Lower Allen New Cumberland, PA 17070 fro. county , Twp Township? Cumberland 17d.^No, Decedent Uved wihin Actual Limits of Ciryl Boro 18. Fethels Name (Frst, midde, last, suffix) 19. MomaYS Name (First, middle, maiden surname) Harry E. Zumbrun Sadie Kohr 20a. InlonnaM's Name (Type /Print) 20b. Inlorment's Melling Address (SbeeL city l lava, state, zip wtle) Francis J. Korkuch 1477 Ma lewood Drive New Cumberland PA 17070 21a. McOgd of Dispas%en ~ ^ Cremation ^ Donation 210. Dale of DlsposPoOn (Month, tlay, year) 21 c. Place of Disposkion (Name of cemetery, crematory or other place) 21d. Locatlon (City /town, state, zip coda) ® B~nel ^ RemwelhamState i WuCremelbnwDonetbnAWwdzed ^Other-S ipy Nedkal ExaminerlGoroner7 ^Yes^Nc • March 26, 2010 Rolling Green Cemetery ower Allen Twp. ,PA 17011 22e. Signature Funs Service (or pe ecdng es such) 22b. License Number 22c. Name and Address of Fedliy • - FD 013 340 L Parthemore FH & CS, Inc., P•0. Box 431, New Cumberland, PA 17070 Complete iterta 23eK ony when cer0tying physician a rwt available at tlme of deaM to 23a. To the 0est of my knowledge, deem ocarred at the dale, date and place stated. (Signature arxl %tle) 23b, License Number 23c. Data Signed (Month, day, year) ceray cause N deem. Gems 24.28 must be completed by Person 24. Time of Deatn 25. Data Pronounced Deed (Month, day , year) 26. Was Case Relefra,f to Medical Examiner /Coroner for a Reason Omer than Cremation or Donation? who pronourw:as deem. i ~', O.\ M. II JJ r. I ^Yes ~, No CAUSE O F DEATH (Sea Inslructlona and exemplea) ~ Approximate Interval: Item 27, Pan I: Eller me chakl of evens -diseases, injunes, or complications -mat direcly caused the death. DO NOT enter terminal events suU as tartlet easel, ~ Onset to Deam Pert II: Enter Omer Islonficnt cnntl'Nons mntnhc_ng to death Out not resulting in %re zndenying cause given in Pan I. 2B. Did ToOemo Use ConfiWte to Death? _ ^Yes ^ P bl b respretory easel, or venhicuer fibnllaaon wimom showing the etiokxgy. List only one cause on each Ilne. IMMEDIATE CAUSE (Fecal tlaeese or ~ ro y a .710 ^ Unknown norMkion resWdrg m rkam) _~ a. ~.{.(; ~- i 29. II Female: t ~ t i hl Duero or as e ( con,•7uence o~~. Saa~an0a list mndlions, A ant, 0 keding to the cause fated on %ne a. t i _ o Pregnan w l n past year ^ Pregnant at tlme d deem ^ Eller %ia UNDERLYING CAUSE Due to (or as a consequence of): ~ Nol pregnant, bN pregnant wihin 42 days (deeex or 'that ini0etetl the c t of death . evens resWtlng n death) LAST. t ^ Due to (or as a consequence o¢ t Not pregnant, but pregnant 43 days to 1 year d. helore Beam ^ Unknown H pregnant within the past year 30a. Wes en Autopsy Pedormed7 30b. Were Autopsy Flntlings Avaea0le Pdor to Completion 31. Manner of Deem 32e. Date of In)ury (Monts, tlay, year) 32b. DesWbe How Irqury Occuned 32c. Place of Injury: Horne, Fenn, Street Fecrory, of Cause of Duch? ^ NaNrel ^ Homicide Office Buikll etc n9~ tSPec'lN1 ^ Yes ^ No ^Yes ^ No ^ Accident ^ Pending Investlgatlan 32d. Time al Injury 32e. Iryury et Worn? 32f II TrenapMetlon Injury (Speary) 32g. l.ocetian of Injury (Street, city I town, state) ^ Suicide ^ Could Not be DeleimFied M ^ Yas ^ No ^ Driver/Opereta ^ Passenger ^ Padestden Otliar - Speay: 33e. CeMfiar (dteck anyone) 33h. signature and r • Ceridying phyaeen (Physician cerayeg cause of deem when anomer physiden has pronounced deem end competed Item 23) Todte DUt of my krtawled{p, death occurred duero Me cettrb(p and manner ea stma_____-'--------- -----------------~~. ' +~. • Pronouneing arts cartlying pAyseen (~ bath premundng deem end cenlying to cause of deem) 33c. Lketree Nu r0er 33d. Date Signed (Hoorn, tlay, year) Toth bulWmy knowledge,dulh xcuned Mgle tlme,dNe, end plaro, and due to the aues(e)and manner ss steed__________________^ t J ,A.s l~ 3,(Q_(a • YsmcslEumlrer/Coroner ©~ ~ ''III--1~ 1 l.. 1 On tM bus d axsmlruYtlmt sad / or Invutlgetron, in my oplnlm, death oxurrod at the tlme, dHe, sad plea, and due to 1 M uuas(s) and manna a alated_ ^ 34. Nerve end jdtlrees al Person Who Comple4M Cause of Deem (Item 27) Type I Pnnl 35 R istrofs S' ell •9 C ~~ ~~/!ft . - / I~ 71/ Ix~l i I' I 38 De ( m, tlay, year) ~r7r3 ~, i „o~(~ 9~ , ~a J Dispa%ion Penn%No. LJ"[5 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS OF CUMBERLAND Estate of Jean M. Korkuch COUNTY, PENNSYLVANIA Deceased /~/>r,~o~/ ~.. ,,j,9c'.~-50r~/ and ~ca~ ~~ ~i~ ~~~v~Ct_`~ (Print Name) (Pnnf Name) `- (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- acquainted with Jean M. Korkuch and am/are familiar with the handwriting and signature of the decedent, and that the signature of Jean nn. Korkuch to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Jean M. Korkuch (Signature) (Street Address) (City, State, Zip) Executed in Regrister's Office Sworn to or affirmed ~d subscribed before me thisT~-~ --day of ~~ ~~ ~ iZ ~d ~ /~ Depui'~ for Register of Wilis is in his/her own proper handwriting. (Signature)~~ ~~ C~~' (Street Address) (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and sub~ribed ~ before me this da~~ ~ - ~ t of -- r' ' ~ c~ ~a°. ... : .: .r t -r,, i-... C i-. C . _~:~ rrt , - .~. _ Notary Public - r ~ ~~ . ~ < . ; -, ~ My Commission Expires -f 3 ; ~? (Signature and seal of Notary or other official ~ gg~U~II~ to ~ .:'' } M1 administer oaths. Show date of expiration of [TBeary's commissiorLL , _, y ~.-..~ ~ "~ ~ Form /~ W ~ Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. j-/c~ - ~ `-I ~ ~f Last Will of JEAN M. KORKUCH • • I, JEAN M. KORKUCH, of Cumberland County, Pennsylvania, make this Will and revoke all of my prior wills and codicils. Article One Distribution of My Property Section 1. Pour-Over to My Living Trust All of my property of whatever nature and kind, wherever situated, shall be distributed to my revocable living trust. The name of my trust is; FRANCIS J. KORKUCH, Trustee of the JEAN M. KORKUCH LIVING TRUST dated November 6, 2007, and any amendments thereto. Section 2. Alternate Disposition If my revocable living trust is not in effect at my death for any reason whatsoever, then all of my property shall be disposed of under the terms of my revocable living trust as if it were in full force and effect on the date of my death. Section 3. Testamentary Trust If my spouse survives me, I authorize my personal representative to establish, with the assets of my probate estate, if any, or with any property distributed to my a ? l ~ ~ 1 ~~ _~ ~ ; ~,. . ~L~ 7 -e ~ -~ _ ._ , ~} 1. d " rl Q ._ .. __ -- ~--; _~~ .! 7 -~ ~ Y (~.r.,4 ~...~ Page 1 • benefit of my spouse and my other beneficiaries under the same terms and conditions of my revocable living trust as it exists at the date of my death. I appoint the Trustee and successor Trustee named in my revocable living trust as the Trustee and successor Trustee of my testamentary trust(s). "The Trustee of my testamentary trust(s) shall have all the administrative and investment powers given to my Trustee in my revocable living trust and any other powers granted by law. My Trustee shall be under no obligation to distribute property directly to my personal representative, but rather may distribute such property directly to the Trustee of the testamentary trust(s). Any property distributed to my testamentary trust(s) by the Trustee of my revocable living trust shall be distributed by the Trustee of my testamentary trust(s) in accordance with the terms and conditions of my revocable living trust as it exists on the date of my death. Article Two Powers of My Personal Representative • My personal representative shall have the power to perform all acts reasonably necessary to administer my estate, as well as any powers set forth in the statutes in the State of Pennsylvania relating to the powers of fiduciaries. Article Three Payment of Expenses and Taxes and Tax Elections Section 1. Cooperating with the Trustee of My Living Trust I direct my personal representative to consult with the Trustee of my revocable living trust to determine whether any expense or tax shall be paid from my trust or from my probate estate. Page 2 • Section 2. Tax Elections My personal representative, in its sole and absolute discretion, may exercise any available elections with regard to any state or federal tax laws. My personal representative, in its sole and absolute discretion, may elect to have all., none, or part of the property comprising my estate for federal estate tax purposes qualify for the federal estate tax marital deduction as qualified terminable interest property under Section 2056(b)(7) of the Internal Revenue Code. My personal representative shall not be liable to any person for decisions made in good faith under this Section Section 3. Apportionment All expenses and claims and all estate, inheritance, and death taxes, excluding any generation-skipping transfer tax, resulting from my death and which are incurred as a result of property passing under the terms of my revocable living trust or through my probate estate shall be paid without apportionment and without reimbursement from any person. However, expenses and claims, and all estate, inheritance, and death taxes assessed with regard to property passing outside of my revocable living trust or outside of my probate estate, but included in my gross estate for federal estate tax purposes, shall be chargeable against the persons receiving such property. Article Four Appointment of My Personal Representative I appoint the following to be my personal representatives: FRANCIS J. KORKUCH, JR., or if FRANCIS J. KORKUCH, JR. is unwilling or unable to serve, I appoint KATHRYN A. BOUDEMAN. I direct that my personal representatives not be required to furnish bond, surety, or other security. • Page 3 • I have signed this Will on November 6, 2007. '~ `^~-- JE, M. KO ~ CH The foregoing Will was, on the day and year written above, published and declared by JEAN M. KORKUCH in our presence to be her Will. We, in her presence and at her request, and in the presence of each other, have attested the same and have signed our names as attesting witnesses. We declare that at the time of our attestation of this Will, JEAN M. KORKUCH was, according to our best knowledge and belief, of sound mind and memory and under no undue duress or constraint. WITNESS • WITNESS • Page 4