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HomeMy WebLinkAbout06-08-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of also known as MURIEL S KOST COUNTY, PENNSYLVAN A File Number 21-10~ ,Deceased Social Security Number 201-18-8915 Joseph A GARGIULO Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE `A' or `8' BELOW.) ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent, dated 08/05/1993 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 app ica e, en er• c..a.; .n.c..a.; pe en e i e; uran e a sen ia; uran a minor a e 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: (If Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence o o ~ ~-~~ ,~Y '~:~ . 1 r~' ; ,-~<~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ""'~ " ~,.~ C11 Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal r~"sidence at ~p 824 Lisburn Road. Apt. 225. Camp Hill. Lower Allen Township. Cumberland, PA 17011 (List street address, town/city, township, county, state, zip code) Decedent, then ~_ years of age, died on 05/14/2010 at Harrisburg Hospital, Harrisburg, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 1,500.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 187,210.80 situated as follows: 3358 Walnut Street, Camp Hill, Cumberland County, Pennsylvania 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: Signatur Typed or printed name and residence ` .~ ----- _ __ ~ D l / Joseph A GARGIULO 771 Pennsylvania Avenue _~ l / Lemoyne, PA 17043 i `~._ . Form RW-02 Rev. ~o-~s-Zoos 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~-~ Sworn to or affirmed and subscribed before me this day of ~, For the Register Signature Joseph ~GA~2GIUL0 Signature of Personal Representative N ~_ C,~r ~`=i Signature of Personal Representative ~=~~`=' ` 2 c..~.~, ~.?~ File Number: 21-10 ;~~ D Estate of MURIEL S KOST ,Deceased ~ ~~ ~ " ~.7 Social Security Number: 201-18-8915 Date of Death: 05/14/2010 AND NOW, l0 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECR ED that Letters Testamentary are hereby granted to Joseph A GARGIULO in the above estate and that the instrument(s) dated 08/05/1993 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters .......................................... $ Co Short Certificate(s) ....................... $ ~, ao /R~e~unciation(s) ............................ $ 1 QC~ $ Z~_~ ~,fa $ Jam, a~ TOTAL ................................... $ ~ 7 ~ I ' J~U s Supreme Court I.D. No.: 20558 JOHNSON DUFFIE Address: 301 MARKET STREET PO BOX 109 LEMOYNE, PA Telephone: (717) 761-4540 Form Rw 02 Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 Attorney Signature: ~%~ Attorney Name: EDMUND G. MYERS LOCAL REGISTRAR'S CERTIFICATION OF DEA ~~"~H WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 P 1.61780?9 Certification Number O REV 112008 /PRINT IN RMANENT LACK INK / This is to certify that tl)e information here given is correctly copied from an original C'ertific~.te of Death duly filed with me as Local Registrar. The c-riginal certificate will be fl~rwarded to the ;Mate Vital Records Office for permanent filing. G2-yn• ~ ~~ 9 010 ~~ Local Registrar Date issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER fN 1..' ;'! :.r.! cal ~ ~ ~ ~1 r~-~~~ ~ _ ~ r I r;:,~: ,k°~~~ r. .~~ ~ ,.~~~ t. 1. Name d Decedent (Fkal, middle, last, suffix) 2. Saz 3. Sodal Searlry Nurr~er 4. Death (Momh, de , r) Muriel S . Kost emale 201 -18., -891 5 ~~ 5. Age (last BlrMdey) Under 1 r Under 1 de 8. Date of Bkdr Month de 7. end elate or t b. Piece d Death Check one 8 4 Yts MonMe Days Han Minube Sept . 2 2 , 1 9 2 5 Harrisburg , P A Hoap ,npatient ^ ER / Ou~atient ^ DOA Other: ^ Nursing Home ^ Reskfenca ^ omer -Specify: tb. County of Death 8e. City, Boro, Twp. of Death Bd. FadlHy Name (H rat instladbn, give abeet and number) 9. Wee Decedent of Hlepenie Origln4 ~ ^ 'Yes 10. Race: American Irxtian, Blade, WNte, etc. Dauphin Harrisburg Harrisburg Hospital (~~ R~kan,,eta.) wife 1 t. Decedent's llauel flora Knd of work d one du moat of Nb. Do not slate 12. Was Decedent ever in the 13. Deadem's Education (Seedy Doty hlglteW grade compl eted) 14. Martial Status: Monied, Never Manbd, 15. Survivkrg Spo use (H wtle, gNe maiden name) IOnd of Work Kind of Busineasl Industry U.S. Armed Forces? Ekimerttary /Secondary (0-12) Cdle~ (1-4 or 5+) Wed' ~~ () bud et anal st Nav De t. ^Yea Na 12 1 widowed 18. Decedent's MaNing Address (Street, city I town, state, zip code) Decedents Did Decedent Pennsylvania ~,n Irower Allen 824 Lisburn Rd.,Apt.225 a Actual Residence 17e. State 17c. ,Decedent LNed in _ Twp. Cumberland T°""'g''~7 17d.^No DeadentUvedwlthin , 1 ro' County Actual Limis of Cly l Boro 1eFatl»raNama(F+rel'mk~e'lagt'st~`) Hadley C. Spragg 19 Caen e~L Hamilton 20a. InfortnanYa Name (Type I Print) Deborah L. Gargiulo 20b. IntomtertYs Meilkp Address (Street, city /fawn, state, zip code) 771 Pennsylvania Ave.,Lemoyne,PA 17043 21 e. Method of Diepoeition r remotion ^ Donation 21 b. Date d Dhpoeltlon (Month, day, year) 21c. Plea or Diepoetlbn (Name of cemetery, aemerory a oUrer place) ltd. LoaHon (Cityl town, state, zip code) 1 7 0 5 ^ eui~, ^ F~,,,a„alf,a,,,~e ; ~ May 18, 201 0 Hollinger Crematory ~ t.Holly Springs, A ^ ^ No r Funeral Liarisee (or person erAkg ae ouch) 22b. LWenee Number FD-013163-L 22c. Name and d F Musse~mane~F'H&CS,324 Hummel Ave.,Lemoyne,PA 17043 ~ Campbb Nenro 23ec anty when arHlykg ptrysldien U rat aveNeWs at time of death a 23e. To the beat o1 my knowbdge, death at tNne, deb arxj,~ce end ~ / ~ ~ (/ a ~ ~% ~t 23c. to Signed (Month, day, year) ~~~ certlly awe of death. 1, u t r' I V Henm 24.26 mtxrt ~ ~ yt, P•r~ 24. Time of Dea~ f 25. D yea /~ ~ p 28. Wes Case Refened M Medial Ezemirrer I Coroner for a Reason than C Hon or Donetbn? ! n ^ who prorarurces death. , / M. U j // Yea 4 no CAUSE OF DEATH (See Inetruotlorn and exa ) r Approxknab interval: Part II: Enbr other 28. Did Tobacco Use Contribute to Death? - Hem 27. PaR I: Enbr Hre dbin of ewnls - diseesec, injuries, or compHcaHats • that directly eased the death. DO NO bnninal evenb such 88 ardiac enesl, i Onset b Death but not reauPong fn the underfykrg ease gNen in P;srt I. ^ Yes ^ Probabty respiretory arrest, or vemricrHar IHxiHetbn wHhad stwwirg tiro otology. List any one cause on each H ~lo ^ Unknown ~tlDIaA~CAUSE (Fbu~l dleeese~ ~LC../~ L- j ~ 0B I a. ~~~/ /~~ ~.~7" `..yam ~ -/ ~` C 1D~G2~ 11`jl- / 29. ~H Fyeryale: n t t thi t Due to (or as a pf): ~ ; ~ - ~.~ o fxegnan w n pas year LSD ^ Pregnant at tkne of death ~ ~(x../~ r uenealN Hst condlHorrs, H any, b. ~ -' ^ ~b dte area Hated an Noe a. r Erder UI~ERIYH!Ki CAUSE Due to (or as a areequenna of):. r (dlseaee ar in that inHiebd me c. .~P Q 6 1 5 C9'lrrf a-('~ ~ S ('`~ f~fvt j~~i~-~ w -- ~ LAST nt WN l d th ~C v1: S ! ~~~1 - Not pregnant, but pregnant within 42 days of death ^ • r eve s res ry n ea ) Due to (or as a of): r - ~ /r. ~~y~ ~~ 5 Imo- Not pregnant, but pregnant 43 days to 1 year before death d. r - ^ Unknown if pregnam within the pest year 30a. Was an Autopsy ' 30b. Were Autopsy Findings 31. Mamrer of Death 32a. Date of Injury (Momh, day, year) 32b. Describe How Injury Occuned 32c. Plan of Injury: Fbme, Ferm, Street, Factory, OHI B ildi S Perfomred / Available Prior to Completion of Cause of Deeth7 aturel ^ Homicide a u ng, etc. ( pedryJ N ^ Y ^ N ^ Y ^ Accident ^ Pendng Invatlgatlon 32d. Time of Injury 32e. Injury at Work? 32t. If Transportation Injury (Speciy) 32g. location of Injury (Street, city /town, state) es o ea o ^ Suicide ^ Could Not be Dabnrrined ^ Driver/Opereror ^ Passenger ^ Pedestrian ^ Yea ^ No M Other - Spedly.•' 33a. Certllbr (check only one) 33b. Sipnefure and Title of Ce r • CertlfyNq phyekbn (Phyeiciart artityirp sacs d deem when another phyaidan hoe prorwcxx:ed death and completed Item z3) Tottwbwtolmyloawledpe,deelhoxurtWdwbtMauee(e)andmersrrogabd--------------------------------- ^ ~ Pronourrcirg and artMyYq phyeklen (Pltyakiert both prorrotrlcing deeffi and artllying to cause d death) th oatxrod t th tlme dab and and due b tM ceuee(e) and manner a eteted T t b t f b kd a d ba 33c. License Number / ~ (Month, da / O. , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ o he a o my aw p , ea e e , p , • IAeaal EambterlCoroner (J f>n the hob d exemhretbn end / a Imrosdgetlon, M my oplnbn, death oaurrod et the rims, dab, and pba, end dw to the awe(s) end manner u eteted_ ^ 34. \~d/fddries of De Type ~ J~~ %(/ / Reglatrer wre end ~ d /~ I O~-I ~ ~ o~ ~~ ~ ~//. 7~ ~ !, G /Q /V ' Dispositbn PennR No. O • • ~ ~ ~~ _ ,.r.,.: - i~ILL c-' "'1 ".~ k' a~~'~ ~-':: i ~ ~° l.1 y~...,f ~ , ~P ~~+yy ~ OF R ~ \ ~",.'"~ 3 i ~~ ~ ...r..~- +, MURIBL 3. ROST ~ ~ ~~ ~" ~ ~ ~:.~ I, MURIBL 3. KOST, of Camp Hill, Cumberland County, Pennsylvania,. declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practi- cable after my decease as a part of the expense of the administration of my estate. ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and ~.`,. .~ ~(. r' all other articles of household and personal use, equipment and ornament, together with all insurance thereon and relating thereto, in equal shares to such of: my issue, per stirpes, who survive survive my death by thirty (30) days. ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate in equal shares to such of my issue, per stirpes, who survive my death by thirty (30) days. ITEM IV. Should any of my issue entitled to a share of my estate not have attained the age of twenty-three (23) years at the time for distribution to him or her, I devise and bequeath the share of such issue to my hereinafter named trustee, IN SEPARATE TRUSTS, to hold, manage, invest, and re-invest, the shares so received, and the accumulation of income thereon, and to use and apply from time to time such portion of income and principal thereof as my trustee thinks proper for the comfortable support, maintenance, health, welfare, and education of the issue or t.o make payment 1 ` ~ for such purposes, without further responsibility, directly to such issue, or directly to any person taking care of such issue. Any principal or income not so applied shall be distributed to such issue when he or she attains the age of twenty--three {23) years, or if he ar she dies prior thereto, to his or her personal representative. ITEM V. I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY trustee of the trust or trusts created by this my last will. In addition to the other powers and authorities granted to my trustee by Pennsylvania Law and by the preceding paragraph of this my last will, I hereby give my trustee the following special powers and authorities: A. To retain any or all of the assets of my estate, real or personal (including any stock or securities of any corporate fidu- ciaries), without any regard to any principle of diversification, risk, or productivity; B. To invest and re-invest in all forms of property without restriction to investments authorized for Pennsylvania Fiduciaries, as my trustee deems proper, without regard to any principle of diversification, risk or productivity; C. To sell at public or private sale, to exchange or t,o lease, for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my trustee deems proper and in the best interests of the beneficiary or beneficiaries of said trusts; D. To allocate receipts and expenses to principal or income or partly to each as my trustee from time to time deems proper in its sole discretion; E. To compromise any claim or controversy; 2 ! A f ~ F. To exercise any option, right, or privilege granted in insurance policies or in other investments; G. My trustee may accumulate the income from this trust during the term thereof but may, from time to time, distribute from current income or from accumulated income or from principal such amounts as my trustee, in its sole discretion, deems advisable for the education, welfare, and comfort of the trust beneficiary.. ITEM VI. All of the interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or attachment. ITEM VII. I direct that my corporate fiduciaries shall receive compensation for m u X ', the performance of its functions hereunder in accordance with its standard schedule of fees in effect from time to time during the period over which its services are performed. ITEM VIII. I appoint my son-in-law, JOSEPH A. GARGIULO, executor of this my last will. Should my said son-in-law predecease me or otherwise fail to qualify or cease to serve as executor of this my last will, I appoint my daughter, DEBORAH L. GARGIULO, executrix of this my last will. ITEM IX. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or i.n kind, or partly in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of 3 'property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITEM %. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHS~F, I have hereunto set my hand and seal this ~ ~"' day of ~-~ 1993. MUflIBL S. ROST 4 The preceding instrument, consisting of this and four other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by MURIEL S. ROST, the testatrix therein named, as and for her last will, in 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. Ge ge A. _ ghn, III ,v ~ ~_ . Bart DeLo e ~n ~. v 5 ,~ _. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND { SS • • The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing 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. Sworn or affirmed to and acknowledged before me by the tes atrix named above this ~ day of ~~, 19c(„3. 1 Notary Public COMMONWEALTH OF PENNSYLVANIA ) SS.. COUNTY OF CUMBERLAND ) NOTARIAL SEAL LOU ANN GRiSSINGER, NOTARY PUBLIC ~ LEMOYNE 80R0, CUMBERLAND CO., PA MY COMMISSION EXPIRES APRIL 7, 1994 WE, GEORGE A. VAUGHN, III, and J. BART DeLONE, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. orge Vaughn, III Sworn or affirmed to and J. Bart DeLone acknowledged before me this ~T'-t;.r1 day of ~, 19 ~~ )~~) Nota y Public LOU ANN GRISSINGAt SEAL LEMOYNE BORO, CUMBERLANQ C08 PA MY COMMISSION EXPIRES APRIL 7, 1994