HomeMy WebLinkAbout06-25-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C G ni S~/2 Ltl9 1y /.~ COUNTY, PENNSYLVANIA
Estate of Im l~ ~ y ~ ~ ~ ~ ~ ~ ~' s File Number C~ ~ ~ U - ~~ "~
also known as / C~
,Deceased Social Security Number ! 8 / r ~ `~ ' ~ s ? 7.
~ ~ t'r'y ~ R c,f n y ~- rv r~ _~4 r ~ ~ ~ R ~ R I'u D12 l4 s
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COA~IPLETE 'A' or 'B' BELOW:)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is J are the ~ X ~ ~ u T d ~
last Will of the Decedent dated O S~ D ~/ /9 9~ and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of exeetrtor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the insttvment(s} offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters of Administration .
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durante n:irzoritate) ry
e~
Petitioners after a ro er search has /have ascertained that Decedent left no Will and was survived b the followin si~7e (if an acl~Fteirs: '`~
Adnt(rtistration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ .~~ -fin ~ ' '' j
Name Relationshi Resid~nce~ rn N' ~ ~ ~ ~=~'a
F...~
_ ~ ~. ~.y
.. ~,, } rt
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. C.J ~ `
Decedent was domiciled at death in 1.11'11 `B E~~~ L~~~ 1'V I~ County, Pennsylvania with his /her last principal residence at
C L j~/C~ rG/?1 D IU ~ /'I/ U,2 ~ 1 I'V G / / (/ / / / C /O o O ~ L /g"~ ~m4ni~`
(List street address, towrtlcity, township, county, state, zip code))'-T-G J~/~~, / s L ~ ~ ~ ~ rf O f ,3 "" ~'~~..~/
Decedent, then ~_ years of age, died on ~ ' y ~ ' l Q at C lq/2 ~/ S ~. P` ~A ~ ~-~ ~ E In d ~
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:
Wherefore, Petitioner(s) respectfully request(s) the probate of the {ast Wi{I and Codicil(s) presented with ibis Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
~~
Forst R6V-0? rev. 10.13.06
named in the
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Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF G t/ M l3 ~1Q L, /~`/1/'~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are titre and con-ect 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 7
Signature ojPe na1 presentative
before me the ~ day of
~ ~-- ,~ Signature oJPersonal Representative
- For the Register Signature ojPersaial Representative
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Estate of `y'~.~ t ~' ~ ~ ~=- ~ V`_1 C~ f ~ S ~
,Deceased ~,. ~..,°~ C,
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Social Security Number ~ 0 ~ ` ~ ~ ` J~ ~ ~ ~ Date of Death: ~lk' ' ~ Q ~ ` ~~
AND NOW, J(/ ~'\,~ ~~ , _~~ 1 U , in consideratio n of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to J - A
in the above estate
and that the instrument(s) dated ~ " y- / C/CJ~ .
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of D cedent.
FEES { / ~ ,,....._ ~
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C.
Letters ............... $ ~( Register of Wills ~(, ~
Short Certificate(s) ........ $ ~ ~ Attorney Signature:
Renunciation(s) .......... $ ,
~ t1U~2
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~ (" ~ ... $ <~ J ° ~ () Attorney Name: ,
s t~
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It`" .~ ~ U V'yl G(~ G Y1. , . $ ~'`~• C.)`'~ Supreme Court I.D. No.: • t ~~
Add ~
$
ress: „
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...$
' ' ' $ Telephone: ( C~ r"
... $
_
TOTAL .............. $ b .- O
For,n RW-t)' rev. 1U.13.U( Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ Fee t~or this certificate, $6.00
P 16575150_
Certification Number
This is to certify that the inforrnation here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will tie forwarded to the State Vital
Records Office for permanent tiling.
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Local Registrar ~ ~ Date Issued
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teY 11rzoo6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~ '~"` `- -~ ~" ~(
PRINT IN ~' • • :,.,.') ~)
ANENT CERTIFICATE OF DEATH .G'
;K INK ~ ~- ~ ~$!•@ It1S~l't1CtlOfli and eX>sfl1PllS OA fQV@fEQ~ STATE FILE NUMBER ~~ .'r ;
1. Nerve d Oecederp (Pint, middle. 4d, sugar) 2. Ses 3. Soda) SeuwNy Manber 4. Date d DsstA (Morph, day, year)
R. Andras Female 189 - 32 3577 June 3, 2010
5. Age (last BirtMay) lJrrder 1 r Undo 1 6. Oats d 8kT (irlondr, ,year) 7. Birtlplaa ( and WN a 6 a PMoa d Osa1h (CAOdc one)
~• aYa ~•• -wear on+er:
Fairmont H0~
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• U NpaMfp U ER I QUIPallela U DMA NUralrlg Itoflle U Fiaalda/1Ca Ul7C1M • .~aGhf.
8t. Counry d DeaM 6c. City, Boo, Twp. d Death b. Faathy Wme (K nd iWhulion, gM droll and number) 9. Wee Oeadarp d Flispanic prigin? ~NO ^ Yes 10. Rea: Anwian krdiur, BMCk Whhe, etc.
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Carlisle aremOnt Nursing and Rehab Center ;.aka ~~
11. DeeederrTs tron rrorle d one most d Me. Do nd sme 12.1Mas Deoederp ewr in dre 13. OeoedeN'e Eduoatbn (SpecNy aVy Itipl>rat grade oanpl Mad) 11. MaMd Statue: Monied, Nsvar Married, 13. Surviving Spaee (H wib, give maiden name)
Kind d Work Kind d Buekrea / Miduaby U.S. Amred Faas? Ebmsrttery /Secondary (0.12) CoMge (1 J a 5+) Widowed. DNaosd (S~psdy)
Clerk Retail Sales- ^Y~ S]NO 12 Widowed None
16. Deaded'a Mapkq Address (SUeM, ciy !loan. dMe, rip code) Daadent'e ~ ant
gate PA Llve I^ a 17c. ^ Yet, DeadeM Lived in Twp.
Adud Residence 17a
1000 Claremont Drive .
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18. FatMr's Nuns (Pint. midde, kd, suhu) 111. Moarer's Noma (flrd, npdde, maiden eunarne)
DiFab'o •• An aline Un}mown Surname
20a Npormarp's Nsme (Type / Prkp) 20D. hpartrrp's Meiirg Addraae (Sbaat, ally / bewr, sWe, zip code)
I3ett Rud 847 Lewisberry, R1~., Lewisberry, PA 17339
21a Abdrod d Okpoahbn I ^ CraraAcn ^ Oaeebn 21 b. Date d Dipoehbn (Morph, day. year) 21e. Plaoe d OMpaMon (Nrre d oanMwy, aanrabry a direr plea) 21d. loatiorr (Cpy /form. eme, zip code)
t~ e~ww ^ Rem from gate M.aE.~ ln.r ~" .rrA""'°''°d ^ Y.a ^-~ June 7, 2010 Mon Valley N~rial Park nora, PA 15033
22a ~ servo. a, arrdt) zzb. Lbenae Nunber 22c. Name .nd Aadt.ee a Fatwy Anthony L
Massafra Funeral Home
FD-012076-L .
flans artlyYg
pfryeieirr k nd „tlme d aMn b 23a To Me ~mowledpe. dedh oodarW d •re . dde and place staled. (Slgrrate and YNN) 23b. Lberae Number 23c. Oals Signed (Morph, day. year)
20
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IMnra 24.26 met W oorrglelsd by DK~ 24. Time d Death 26. (Morph, day. year) 26. Wee Gee Rahrrad Eeamirrsr /Coroner br a Reason Odrer Ihur Cremation a DondlOn?
' wM prorroraras deaM. /z ' ~ O ,4 . M. c.Jvn~ 3. 20 /D ~ ^ ~-
CAUSE OF DEATH (Sege Iratnsetlorrs ~rrd ~zsmp4ee) r Approedrreq irpervd: Part II: Enter oiler ' Zs. Did Tobeao lJw CodrEUa b DMA?
hem 27. Part I: 6rbr dre ~g~ply - diwsse, iyufes, a oar~leatlars - tlW dlree7y aced tM dealA. DO NOT enter lsrnprel evwrb each u ardac anal
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Performed? Avdlable Prior ro Canpldion
a ca,e. a oe.tn? tWxd ^ ~ ,
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^ Yes to ^ Yes ^ No ^ p ^ Ps^d"q ~n 32d. Tsne d h~rxy 32e. ~ Y WoAc? 321. K TraneporltYar M*sy (SpecNy/ 32p. Localon d MKay (SrM, dry / own, ataN)
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To Ure Deal d my knovrMrlpe. death oetrxred dw to lAe ease(s) end manner ee eYMd_ _ _ _ _ _ _ _ _ _ _ _ _ _ o
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To 1M beet d my browMdpe, death oceurred a nre flag deh, and plea, and dire b the cause(s) end merprer as staMd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. Liaree /timber ~1 33d. Dau Signed pAarar, day, ye.r)
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• aledkd Er<erepner /Coroner
On tM Web d esamMation and ! a Investlgstlon, in aq oplnbn, desth ottumd at dre tore, dale, and plea. and dw to dre awe(s) and mercer u elele~ ^ ~
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Dispapbn PemM No. v ~~
~. ~• ~„ 1
I, MARY ANDRAS, of the Borough of Donora,
Washington County, Pennsylvania, do make this, my Last Will
and Testament, hereby revoking in full any and all Wills
~.,
heretofore made by me. ~ a
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FIRST: I direct my Executor hereinafter ~ ~,`'~n~~d -`'
~_ ,.
to pay my debts and funeral expenses . `-= ~ a ~~ ,:=~`
~"
SECOND: I give, devise, and bequeath all of my
property whether real, personal, or mixed, of whatsoever
nature or description, and wheresoever situate, unto my
beloved husband, MICHAEL G. ANDRAS, to be his absolutely
forever, providing he shall survive me by thirty days.
THIRD: In the event my husband, MICHAEL G.
ANDRAS, predeceases me or dies on or before the thirtieth
day following my death, I give, devise, and bequeath all
of my property, whether real, personal, or mixed, of
whatsoever nature or description, and wheresoever situate,
unto my children, BETTY RUDY and RICHARD ANDRAS, in equal
shares. if either child shall predecease me, then his or
her share shall pass to the survivor.
._ ,
`~ ~,,~~ (SEAL )
°~-
FOURTH: I appoint and name my husband, MICHAEL
G. ANDRAS, to be Executor of. this, my Last Will and
Testament. In the event my husband, MICHAEL G. ANDRAS,
predeceases me, I appoint and name my children, BETTY RUDY
and RICHARD ANDRAS, Coexecutors of this, my Last Will and
Testament. I direct that my executors not be required to
post any bonds to insure the faithful performance of. their
~A 7~~. 1 ~J
IN WITNESS WHEREOF, I, the said, MARY ANDRAS, have
to this, my Last Will and Testament, set my hand and seal
this 4th day of. August , 1992
,~t,~~ .~ ( SEAL )
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Signed, sealed, published, and declared by MARY
ANDRAS, the testatrix above named, as and f.or her Last Will
and Testament, in our presence, who, in her presence, at
her request, and in the presence of. each other, have
hereunto subscribed our names as attesting witnesses.
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Oath of Subscribing Witness -~--~ .. ~ F--~~-~
tO ~ ~.. J, ~~~+
Will of Mary Andras, dated August 4, 1992
Paul M. Petro and Michael P. Petro
c~e~
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose() and say( that ... ,they . were, , ; , , , . , present and saw , .Mary, Andras , , , , , , , , , , ,
.................... .the testat. rix.. ,,sign the same and that ....t~~y...... signed as a witness at the
request of testat. rix . , in her... presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
-Sworn to or affirmed and subscribed
before me this ... ~ ~. ~ ... day of
.. ........................ l~a~
i~
For the Re ter
g~ ommonwe !th o e n I ani
NOTARIAL SEAL
JUDITH M. BARTLEY, NOTARY PUBLIC
DONORA BOROUGH, COUNTY OF WASHINGTON
MY COMMISSION EXPIRES SEPTEMBER 26, 2010
Paul M . (Name) Petro
... 215.. 7:~h..St.~ . Aonora . P.A........... .
dress)
Michael P. (Name) Petro• . ~ • ..... .
13 Virginia Dr, Donora PA
...........................
(Address)