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HomeMy WebLinkAbout07-16-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of HELEN R. GRISCAVAGFs also known as HELEN REGULATTA GRISCAVAGE Deceased COUNTY, PENNSYLVANIA File Number ~ I _ / lJ - O~I Social Security Number 195-16-5390 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) is / aze the Executrix last Will of the Decedent dated September 26, 2000 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 "' r=a (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; durar~2 ri~ritate) ~ .~~. ..) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followings ; -~ ~ajry) ar~ieirs: '~~ !-: _, c.: z __, Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) m - - ,~r`i Name Relationshi ResidLL"' (.. _.' "_~ t~C7~ ~ - ~? i~`r ~_. '~ `~ --r~ (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Maricopa County, Arizona ~ with his /her last principal residence at 10425 West Brookside Drive Sun City Maricopa County Arizona 85351 ------ (List street address, town/city, township, county, state, zip code) Decedent, then 87 yeazs of age, died on May 24, 2010 at 10425 West Brookside Drive, Sun City, Arizona 85351 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: 1712 Sherwood Road, New Cumberland Borough, Cumberland County, Pennsylvania 136,395.00 Form RW-Ol rev. /D.I3.06 Page 1 of 2 named in the 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 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 before me the ~_ day of v F t e Register ~~. ,~, File Number: ~ ~ ~ ~ `-' r V ~ ~ ~-1 Estate of HELEN R. GRISCAVAGE ,Deceased Social Security Number: 195-16-5390 Date of Death: May 24, 2010 AND NOW, ~ ~ ~ , ~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DEC ED that Letters Testamentary are hereby granted to Charlene Griffiths in the above estate and that the instrument(s) dated September 26, 2000 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. A FEE5 Letters ............... $~,.r~D.~ Short Certificate(s) ........ $ Renunciation(s) .......... $ ~-' ~If ~ (,I ... $ ... $ .$ ... $ ... $ ... $ ... $ ... $ ... $ ~ TOTAL .............. $ d ' Re~ter`of Wills v Attorney Signature: 1 ` Attorney Name: Robert P. Kline, Esquire Supreme Court I.D. No.: 58798 Address: 714 Bridge Street P.O. Box 461 New Cumberland, PA 17070 Telephone: 717-770-2540 Form RW-02 rev. 10.13.06 Page 2 of 2 .. , .{.; Signature of Personal Representative ~ ~ ~ G .~ `~ C r` ~ ~,> n VCS 1-icy-o~~~{ STATE OF ARIZONA STATE OF ARIZONA f3EPARTMENT Of HEALTH SERVICES -OFFICE OF VITAL RECORDS CERTIFICATE OF DEATH State Fib Mo. 102~01o-olee2o E. ~ NA f . MIODLE, LA .AKAB {IF ANYI .DATE OF DEATH HELEN REGULATTA G321SCAVAGE MAY 24, 2010 4. 3Ek SOCW. SECURITY NUMBER .DATE OF BIRTH , AOE UNDER 1 YEAR UNDER i DAY FEMALE 195-1§=53 07-30-1922 87 4 12. E TH • AL T -. HE HAN N SPITAL q IµPATIENT C7 ER,/OUTPAt~NT q DEAD ON ARRIVAL p µURS1µG WdMEOIt LONG TERM CARE FACILITY ~ RES~ENCE p NOSPK:E FACILFII" p OTHER 10425 W BRDOfcSIQ '!~ SUN CITY 85351 MARICOPA ~ r ( I Y i AL S TUS A IM F DEA H 1. NAME SU ( ID IF WI MARION HEIGHTS, F"ENN,S W/VNHA WIDOWED 10425 W BROOKSIDE DR, SUN CITY; MARICOPA ARIZONA 85351 .FORCES? . NO A ~. NO NOY SPANISk. kiSPANK; OR LATINO .. ( ) aSWNITE ©VIETNAMES6 ~ . I IN A , SPEC UP T04TRI~S. ~„ fl YImB, MEXICAN;. MEXK;AN AMERICAN; EkICANO ^ 6LACK, AFRICAN AMERICAN ^ SAMOAN p OTHER ASIAN (SPECIFY PRIMA~~LLED TRIBC'-'"' C~ p YES. PUERTO-RK:Aµ p ~ATIYE HAWABAN - ) T~~ YES. CUBAN - ^.ASIAN INb1AN ADDITK) OYES: OTHER (SPECIFY) t7 CNNJESE ^ OTHER PACIFIC ISLANDER (SPECIFY) -~ T,,., r ~ ., w g ^ FILIPINO ADDITIO~ E. 1 ~ ~ ~ ^UNKN WN uOTkER (SPEGFV) I7 ~ O ~ OJAPANESE l~ ~~ O 6UAMANIAH ORt;WAMO RI _ _ R J ~_-- ADDITK~ A ' ~ .: ' p KOREAft ^ UNKNOWN ~^ ~ M,t.M'. HAIRDRE ~SER ~ Ll AMERICAN KID Nit OR ALASKA TIVE 2B. FATHE ) - . MOTHEIMS tiAME (FIRST, LE L.4S NAME P4t1 TO FIRST MAR ) JOHN MACKAUAGE MICifEL+VA tlNKNOWN O ~ ~~ CHARt.ENE; I.1. G{FITFkS - D/Si1GHTER 10425 W BROOKSIDE pR , UN CITY, ARIZONA 85351 A .. ij, , RESEARCH FOR LfFE 119 3. YkEBER DR. CHANQ ER, ~ JOSEPH CUNNINGS , FU RAL DIRECTOR F704T ~I DONATION/CREM RESEARCH FOR LIFE, CHANDLER ARIZONA ALL STATE CREMATORY, MESA. ARRONA iMMECtlA.E AUKS .# _ OF DEATH 1. APFRGXMATE INTERVAL ME'TASTATiC LUNG CANCER ,„ UNKNOWN ~_ . CONSEOU£NCEOF: ~`._.. CONSEQUENCE:OF: - 5. A pXNgATE fNT RVAL coNSE~uENCE6F: - .__. 7. APPROXMATE tt/T RVAL ~~ ~ .. .t• UNbF:RLYU+ca CAUSES C I JEta AeTrME IN M.... `.. Y .I J YA i , NO NO NATURAL pEATH 1053 53. WAS AN AUTOPSY PERFORMED? 5!. WERE AUTOPSY FINDIN65 AVAILABLE TO COMPLETE THE CAUSE OF DEATH? NO cer,Aynp pnye~aar.Mwr Frea41«xr - To the xri al my knawbdQe.. dean oewrred NAME OF PERSON COM LETINO CAUSE OF DEATH 58. DATE CERTVFIED dce w uis cauuls I and manrterr staled. it MadreM Exems~ertTrrltel Law Enticement Auttariry • On I+e Eleais of examineUan, a Halo n rea9~ ucn, b rM ogNCn, d~rM accrlrred et Ne time, date, and place, and due b dreawsHslmd-maumcsteted. DONALD E PONT, M.D. OS-25-2010 1325 N FIESTA 9LVQ G~EIEFtT, AZ 85233 MICHELE CASTANEDA-MARTINF-Z 06-02-2010 Date Issutad: 08-16-2010 a 1 1 1 f ~~ ~~ This is a Prue certification of the fads on file with the OFFICE OF VITAL RECORDS, pATRKaA ADAMS _ /!~ ~ [. ~ (r'~ ~ ~ ~ ARIZONA DEPARTMENT OF HEALTH SERVICES, PHOENIX, ARIZONA issued under ASSISTANT STATE REGISTRAR Q 1 a the authority of A.R.S. 36-341, and by direction of: This copy not valid unless prepared on a form displaying the State Seai and impressed with the raised seal of the issuing agency. LAST WILL AND TESTAMENT OF HELEN R. GRISCAVAGE I, HELEN R GRISCAVAGE of CUMBERLAND COUNTY, PENNSYLVANIA, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. ` FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, ~/ funeral expenses and expenses involved or connected with the administration of my estate as soon \_ ~ after m death as is reasonabl ossible. However m ersonal re resentati Y Y p ~ Y p p ve need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her, or its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and to expend sums from my estate for this purpose. „ ~ ~ ~ ~p o _. -' ,~ Y_7~ ~ 7_~. _ r _ CJ~x .c _.... 01 ~.);.~W~ r o„ ~ , Page 1 of 5 J ~ "` ~ ~n ~ =~° ca ~,:, ~, ~v SECOND I give, devise, and bequeath, the real property that I own at 1712 Sherwood Road, Borough of New Cumberland, Cumberland County, Pennsylvania, together with all furnishings contained therein at the time of my death, to my daughter, CHARLENE GRIFFITHS, providing that she survives me by 60 (sixty) day. Should CHARLENE GRIFFITHS predecease me or die on or before the sixtieth (60th) day following my death, then I give, devise, and bequeath the above referenced real property and furnishings to my granddaughter, MARY ANN THATCHER, provided that she survive me by sixty (60) days. THIRD I give, devise, and bequeath the rest, residue and remainder of my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate in equal shares to my children, CHARLENE GRIFFITHS, EDWARD G. GRISCAVAGE, and MARY ELLEN WENTWORTH, or their surviving issue, who survive me by sixty (60) days, per stirpes. FOURTH My Executor is authorized and empowered to exercise from time to time in his, her or its sole discretion and without prior authority from any court, in respect of any property forming part of my estate or otherwise in its possession hereunder all powers conferred by law upon executors and the Testatrix intends that such powers can be construed in the broadest possible manner. Page 2 of 5 FIFTH I nominate, constitute and appoint, CHARLENE GRIFFITHS, Executrix of this my Last Will and Testament. In the event CHARLENE GRIFFITHS is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint EDWARD G. GRISCAVAGE, to serve instead. I direct that my personal representatives shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. IN WITNESS WHEREOF, I have Testament this ~ Cp ~' day of _ fitness fitness set my hand to this my Last Will and 2000. R. GRISCAVAGE Page 3 of 5 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS I, HELEN R GRISCAVAGE, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, 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. ' _~ LEN R GRIS AGE Sworn or affirmed and acknowledged before me by HELEN R GRISCAVAGE, the Testatrix, this Z(Q ~ day of , 2000. NOTARY PUBLIC ..~- NOTARIAL SEAL ROBERT PETER ICLINE, Notary Public NMy Commission Expires Ju~21~, ZOB4 Page 4 of 5 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We, VVV-~1 i G~ ~ ~ ~~ and ~~ P _ I' • ~~ i h ~ ,the ~~ witnesses whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. ~~ i . Sworn or affirmed and subscribed before me by ('y,~~0~ ~ ~ p~,~ce- and ~. ~~; yr, this ~ -}~ day of S~~~b~ , 2000. 1 NOTARY PUBLIC Page 5 of 5 NOTARIAL SEAL ROBERT PETER KLINE, Notary Public New Cumberland Boro., Cumberland Co. My Commission Expires June 21,2004