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HomeMy WebLinkAbout06-01-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Myong Y. Pursel C ~ FileNumber_ J`~ -/~' "+~;i~~`a~~ also known as Deceased Social Security Number 220-54-3256 Petitioner(s), who is/are 18 yeazs 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 /are the Executor last Will of the Decedent dated 9/27/2008 and codicil(s) dated n/a named in the R,. ~,,._ ? `~ `~ ... (State relevant circumstances, e.g., renunciation, death of executor, etc.) ; C'a ~ ; =s r-- Except as follows, Decedent did not m ' ~ ~~ r t? t arty, was not divorced, and did not have a child born or adopted after execution of tfie_it~stty~tent(sjoffered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~' - ~';.~ ~:, © B. Grant of Letters of Administration ~ ~ ~ ; --i -_ (If applicable, enter. c.t.a.; d.b.n.c.t.a.; pendente lite,~ durante absentia, durante~t'rinaritate) W ~ ~~ 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 Adminrstratron, c. t.a. or d. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence (COMPLETE /N ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, pennsylvania with his /her last principal residence at 9 Far een Rd. Cam Hill East Pennsboro Townshi Cumberland Coun PA 17011 (List street address, town city, township, county, state, zip code) Decedent, then 80 years of age, died on 5/21(2010 at 824 Lisburn Rd #223, Lower Allen T Coun Assisted Livin wp, Cumberland Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA $ 40,000.00 ) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 180,000.00 situated as follows: 9 Fargreen Rd., Camp Hill, East Pennsboro Township, Cumberland County, PA 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: Samuel Saewoon O, 214 Ewe Rd., Mechanicsburg, PA 17055 Form RW-O2 rev. ]0.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA t / SS COUNTY OF ~ 1,~-~ ~~~ ~~.~~.{ ~C~.Y~L,~ . 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 r' before methe.~_ day of ~ t.~ 1_ L. ~~: ~~,, ~ f , ~_ ~ , h `~ F the Register Signature of Per.~onal Rep~'esentatrve C7 C y Signature of Personal Representative ~_ i' ~ k., %~"~C Signahsre of Personal Representative ` `~~ :~~ ~. ~~ :~ ~: -= ~ _~ -~+ ' ,~ ,-, : tL tJ.~ File Number: f _ ~ 1 ~ ~/:~~L Estate of MyonQ Y. Purse! ,Deceased Social Secur'it~y,~Number: 220-54-3256 Date of Death:5l21/2010 ~': AND NOW, ~~ ~-~l.~C.~~ ~~- t„~(„~;~'~) f~ ~ L.-~ j ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Samuel Saewoon O __ in the above estate and that the instrument(s) dated 9/27/2008 described in the Petition be admitted to probate and filed of FEES Letters ............... $ . •, ~', ~'d Short Certificate(s) ........ $ : ~ ~i Renun~ ation(s) .......... $ ~. ~% ... $ Z ~.... $ ~a ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $~~" as the last Will (and Codicil(s)) of Decedent. !~~' `~ Registe i s U ~/~~! ~~, t G''~ L_ r _._..__ Attorney Signature: Attorney Name: W. Scott Staruch, Esq. Supreme Court I.D. No.: 23887 Address: Laws, Staruch & Pisarcik 20 Erford Rd., Ste 305 Lemoyne, PA 17043 Telephone: (717)975-0600 Form RW-02 rev. ]0.!3.06 Page Z Of 2 .~ ~_ _,~ . Ht06-t 43 REV 1112006 TVPE i PRINT IN PERMANENT BLACK INK ,/ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ($e8 IIISYfUCtIOr1S and a%amDleS nn revercey P- `'~ ~ ~ ~ - ~ ._~ ~ ~f.' ~..- . •i ~ , r~~'\ _ _ ~~~..} l,'"J l - ni c ripe rv rNet:-t ~ 1. Name of Decetlenl First. midtlle. last, suffix) 2. Sex 3. Social Security Number a. 7aie of Death IMOnth. tlay. year) M ong Yol Purse) Female 220 - 54 -3256 5/21/2010 5 A ge 1Lasi B~rthdayi Untler 1 year Untler 1 day 6. Date of Bidn (Month, tlay, year) z. Blnnplace ;Coy end stale or foreign mumry) Be. Place of Death (Check only one) coins pe H r: ours Hinman Hospital: Olhe~ $~ ASS1Sted rra 4/6/1930 South Korea ^Inpatiemt ^ER/outpatrenl ^DOA ^Nursng Home ^Restlence ~]Othei-s ecs p 8b ~ounry of Dealn Bc. Gty. Borq Twp of Death 3d. Fatilly Name (If not institu0on. give street and numcerl 9. Was Decedent of Hispanic Origin? ~L Np ^ vas W Race A Ten n ~tl T. Rl 1 . ce ,a a Y Whrte elr Ot yes. specify Cuban, `~ IspecrM Cumberland Lower Allen 824 Lisburn Road 223 Mexican,Pge"oRipan.elc) Korean .1. Decedents Usual Occu tron (Kind of work done tlunn m s1 of workln life. DO not slate reliretl) 12. Was Decedent ever in the 13. Daeedenl's Educatron (Specify only Highest gratle cdmpletetl) 14- Marital Status'. Marnetl. Nevis Marnetl. 15 Surviving Spouse Ilf wile ive ma d o . g i en namzi Kano pf WOrx Kintl of BUSinessllntlusiry U.S. Armetl Forces? Elememary!Secondary !0-12j College (t ~d or 5+) Witlowed, Divorcetl (SOeatyi ' omem ker Own Home ^vea ~Nd g Widowed ' _ 13. ~ecetlenl s Madinq Address (SVeet city sown. state, zip code) Decedents Did Deeetlent Pennsylvania A l R i ctua es tlerxb 17d Stale Live ina 9 Fargreen Road np [area. lkcadem Li~edn East Pennsboro trop rpwnship? Camp Hill, PA 17011 1~bcppnty Cumberland t7d.^Nd,Denedemlwedwmnln Aqua) limns of Ciry' Boro 18. Fathers Name (Frst, mltldle, last. suRixl 19. Motner5 Name (First, mgdk±, maiden surname) Hong Jun O Deuk Im Park zoo mfortnanrs Name (Type / Prinp 20b Inlonnanl's Mating Atltlress (Street, pry I town, state, zq code) 1 214 Ewe Rd. Mechanicsbur PA 17055 21 a Me1hW of Dlspositgn ^ Cremation ^ Donation 21 b. Dale of Disposition (MOnIh, day. yeap 21 c Place of Dispositon (Name of cemetery, crematory pr other place) 27tl. Location (Gry I Itrwn, state. np code's ~' Bunal ^ Rem v l f St t ' , o a rom a e ~; Was Cremation or Donation Authorized ^ other spegfy ; dy Maas f Ex ~r/cprdner. ^ Yea ^ Np 5 2 6 2 01 0 Indiantown Ga National Cemete Annville PA 17003 ' n zza sgnatpre rats dr g a pnl z2b. udense Number zzp Name are Address pt Fadnry Neill Fun l H era ome, Inc ~ FD 013239 L 3401 Market St. Camp Hill, PA 17011 Comdata Hems -c only when cenitying 23s. To the be a my know netl al the lime, date place sta (Signature and IAle) 23b. license Number 23c. Date Si y year) physxsan is availaae at time of death t° goad (Month, tla , wNfy cause OI death. ~~ ~ ~ \ L-. ~y `O "~ ~_ I Z~ x / ~ V l J Items 24-26 must ce completed DY person 24. Ti Death 26. Dale Pronounced Dead (Month, tlay, year) 2fi. Was Case Refarred lO Medical Examiner i Coroner for a Reaspn Other an Cremalbn or Donation? who pronourxes death ~ r7 ' M, ~ ~ f U (~ ^ Yes T CAUS E OF DEATH (See instructions and examples) i Approximate interval: Item 21. Pan I: Enter Ine chain of events -diseases, injuries, or complications -that diredry reused the Death. DO NOT enter terminal events such as cardiac n t Part II: Enter aher sari am ~T coot budno to Oealh, 23. Ditl T°DaCCO Use ConinDute'o Death? a en . Onset to Death respratory anent, or ventrkular fibnflation wAhout showing the elidogy Lill Dory one cause on each line. but not resuAing in the undenying cause given in Pan I. ^ Yes ^ ProDabty IMMEDIATE CAUSE /Final disease or / y/ ~ condiaori rebutting rn death) // ~{ - ~ ^ No ~"1 nknown ~^ , , , t--CD~M=EU~_~- ~ a //ltid..'~..1~~ "~ 2CiA=~~'/ ~~~ '~ 29. 11 Female. Due td (or a wnsequence off: Seq enaally list condAions, if any, d ` ~~ ^ Nat pregnant within Has year . leatlirp to Ne reuse Iistetl on line a 7 ~ ^ v ~ V ^ Pregnant a1 Iirne of tleatn Enter the UNDERLYING CAUSE Due to (or as a consequence of): - (disease pr jury that inAiatetl Ne p 1 tl" ~~ ^ Nof pregnant DN pregnant within a2 days events rasp ~ ~ ~?S nq m tleath) LAST. rl dt dean Due Ip (ot as a consequence of). \ d. ~ (Q ~ ~ / ^ Na pregnant bN pregnant 43 days to 1 year before tleatn ^ unkripwn it pregnaa wmm~ ma pool year 30a. Was an Autopsy 30b. Were Autopsy Fmtlirg5 31. Manner of DeaU 32a. Date of Injury (Month, day, years 32b. Describe Haw Injury Oaurretl Pedormetl? Available Pnor to Canpletion 32c. Place o1 Injury: Homo Farm, Slreel Fagory of Cause of DeaN? Natural ^ Homicide , . Dlllce Building, etc 5pecrryJ ^ Ves~~-tip ^ Ves ^ No ^ Accitlent ^ Pending Invastlgatidn 32tl. Time of Injury 32e. Injury aI Work? 321. tt Transporlati°n Injury (Specify) 32g. LoCalim of Injury (Street, city I town. state) ^ Swede ^ Could Na be Determined ^ Yes ^ No ^ Driver /Operator ^ passenger ^Petleslnan M ^Other~ Specdy 33a. Certifier (check only doe) 33b. S and Title of Cendier • Cenifying physician (Physician cenifying rouse of death when anelher physician has pronouncetl deaN and Completed hem 23) To the best of my knowledge, death occurred due to Ine cause(s) aM manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Pronouncing and cenitying physician (Ph skian both ronourw;in death antl ceNryin to c f tl h ~ lit ~.~,~/~~ ~ yy ~,- ~ rn y p g g ause o eal ) To the best of my knowledge, death occurred at the time, date, and place, and due to the wusefs) and mantter as statetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ Licenbe Number 33d. Date Sgnetl iMomh. tlay, year) • Medical Examiner/Coroner M T i'1~7/ IS L ` ~ / ^ /~ On the basis of examination and / or investigation, in my opinion, tleam occurred at the time, date, and place, antl tlue to the causes( antl manner as slated T 1/ li , t/ I V - 3d Name and Adtlress of Person Who Co mpJ~ted Cause of Dealp (I ]i type I Aim 35. Reg~sv s tuna isvit umber ' u ~ ~' I ~ I ~' I 1 I ~ ~ • ~~ 36 rota Filed (Mpmm. da ,veep. ~ ti ~ ~ 1 ~ M ~ LJ(.~~~~ ~• ~~!V bCCV/~, /Y! I~. 7q ~ Pa ~2Gk VR~I <oQ ' C- P ~ ~ l ~ , l c,~ ~ ~ t~; ll( ~ 7~ lI Diapoanron Permit Nn. U `i"' 1 7C-."/ CS LAST WILL AND TESTAMENT r~,~ O F ~~ ~ ~_ O ~a >_ c_ MYONG Y . PURSEL ~? ' ~~ t - -; ; ^. _, -,_ ,~ I, Myong Y. Pursel of 9 Fargreen Road, C.~ Hi7~l, _ =-, .. Pennsylvania 17011, Pennsylvania, being of sound and"dispos~g mind, memory and understanding, do hereby make, publish and •_ declare this to be my Last Will and Testament, hereby revoking all other Wills and Codicils previously made by me. ITEM I: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance, and similar taxes payable with respect to property thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. ITEM II: I give, devise and bequeath all of the rest, residue and remainder of my estate, of every nature and wherever situate, together with all insurance policies thereon, as follows: A. I bequeath 950 of said residue to Samuel Saewoon 0., my ,~ ;, 1 nephew of Mechanicsburg, PA. In the event he predeceases me, his share to go to his wife. B. I bequeath the remaining 5% of said residue to Jung Sup 0, now or formerly of 2-237 Karibong-Dorig Guro-Ku, Seoul, South Korea, telephone 0-11-822-854-7419. If he is not then living then his share to go to Samuel Saewoon, 0. ITEM III: I direct that any and all taxes that may be assessed in consequence of my death, including all inheritance, estate and transfer taxes imposed upon my estate passing under my Will or otherwise, shall be paid out of the principal of my residuary estate as a part of the expense of the administration of my estate. ITEM IV: All principal and income shall be free from anticipation, assignment, pledge or obligation of beneficiaries or remaindermen and, while in the hands of my executor or trustee, the same shall not be liable to any levy, attachment or execution. ITEM V: I nominate, constitute and appoint Attorney W. Scott Staruch as sole executor, and in the event he reLuses or is unable to act then Samuel Saewoon, O. to be sole executor. ITEM VI: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor`/ithereto, and all powers ~~ ~/~; ~ ~~ ~1~~~~ J ~~ 2 ~~onferred upon executors wherever my Executor may ac:t. I also grant to my Executor power to retain, sell at public. or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property real or personal, for cash or on credit; to borrow money and encumber or pledge any property secure loans; to divide and distribute property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accounts and other persons .for services or advise. The term "Executor" wherever used herein shall mean the executors, executor, executrix or admir_istrator in office from time to time. IN WITNESS WHEREOF, I, Myong Y. Purcel, sign my name and publish and declare this instrument as my last will land testament this ~~ day of .S~~~r~,~.f, 2008. I also affixed my signature on the bottom of each of the preceding pages thereof. (SEAL) ~i M ong G. Purse.l r '~ residing at ~ ~ ~L~~~~~%~ ,+~ ~~ ame r ~ ~-- '~ ` ~ '' ~ ,, residing at ~" f ~G Name _~~ ~` 3 ~~OMMONWEALTH OF PENNSYLVANIA ~2~A D SS COUNTY OF Cw~"~'~~ ~ , WE, the undersigned, the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the Testatrix sign and execute the instrument as her Will, and that she had signed willingly and that she executed it 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 that time eighteen years of age or older, of sound mind and under no constraint or undue influence, and I, MYONG Y. PURSEL, the said Testatrix, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to and subscribed before me this ~,7`jlt day of b~j-'~pf~~BE2 , 20~ ~ _ NotaYy Publ'i~ My Commission Expires: `~~'`~~ ~' h ~ f ~'.: ,1 .. '~~ ^.~',1~~A F ,,.'~~. a ,rv f", . } ,. , ,~ 4 r~ rya RENUNCIATION C7 ` ° ~, ' ~~~ ^ _~ REGISTER OF WILLS '~~~~ .n ~ _ Cumberland COUNTY, PENNSYLVANIA -Y `~~- "-~'"-. ° c~ Estate of Myong Y. Pursel I, W. Scott Staruch (Print Name) Executor Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Samuel Saewoon O _ ._u~~.~~ ~~' (Date) igna re) ' 20 Erford Rd., Ste 305 (Street Address) Lemoyne, PA 17043 Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purpo es stated within on this 1s. day of ~u~-,1.,~ t ~7 _, __~ _, Notary Public ~.. ~ `,, My Commission Expires: - _ _, ,~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH 4F p~NNSYLVANIA NOTARIAL SEA Public Mariaurt L. Stiely, Notary Fast Pennsboro Township, Cumberland County M commission ex Tres January 02, 2013