HomeMy WebLinkAbout08-13-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF COUNTY, PENNSYLVANIA
Estate of ~ ~.C">~ ' \ ~ ~ ~ ~ ~ ~~- File Number ~ 1 ~ f ~? ~~
also known as ~7 p
Deceased Social Security Number l / 4 `~ f~ ~ ~' ~~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(CO~YIPLETE 'A' or 'B' BELOW:) I
~, A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~,~.;, X ~ C lt_ ~ l~- named in the
last Will of the Decedent dated ~~ ' ~ CI 'Z ~ ~-- 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 insttttmes) offered •
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~. - t` - ._ . ~ i
^ B. Grant of Letters of Administration "~ ,~
~-~
(Ifnpplicnble, enter: c. t. n.; d. b. n. c. t. n.; pendente life; durnnte absentia; da~rni:te trrir~ritc~te) - ,:~-Z
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spo.t~e-ft~f any) anc~l~i~irs: (l~' ;
Adruireistration, c. t. a. ord.b.li.c.t.a., enter date of Will in Section A above and complete list of heirs.) '~' ..--
~ Name Relationship Residence ~
(COMPLETE IN ALL CASES:) Attach additional s/reefs if /IeCCSSQYy.
1-l ~(0 ~ ~
ecedent was d ~~ciled at death in 1 G..~ County, P nsylvania with his l her last principal residence at
(~ ~1 ~ ~~. f t ~ c~ ~ ~ ~ 1 ~O l
(List street cutdress, town/city, township, count), state, zip code~)} / ~ / f ~`~
2S -(y'a~~V at r~ ~. c~'~Pfi ~-~ y~p/off / V , ~; /.Q Gz t v~.2 ~:c~ 1-../ le. .
Decedent, then ~_ years of age, died on
~~ P ~-~ ~~ ~~ t ~ ~ ~ jai I
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
([f not domiciled in PA) Personal property in Pennsylvania
([f not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as follows: yG.~o'~ ~y (~1~ 7-'t `_ ~'Q ~ ~ ~' •3 ~~ ~a-~ P lam'',` (, ~•'~ ~ ~t C~ t'
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:
~ Si;naaire Typed or printed name and residence ~
,_~--_~~ ~ ~o l f
Form R bV-U3 re,~. l o. l?. 06 Page 1 o f 2
_ _ _ . i
Oath of Personal Representative ` ~ `' ~' `-
COMiV10NWE TH OF PENNSYLVANIA ~(, ~ ~ A~~ ~ J ~(`~ { ~ ~ {
SS
~'0 'NTY OF : t^~ ~:~' ~'`
'The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petitio~~r~ `tr?t.%e iartc~_-~'o~~~ct'.~o 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 anu rs/u~bscribed
bef e me the ~~~ l day of
,- ,
Signature ojPersona! Representative
~-
Signature of Personal Representative
or thgi~r Signature of Persona! Representative
File Number: ~ ~` ~ (.,~ - U ~~'~
Estate of ; }(,~~r(r%~ ~~U C`C` 1 ti `~ ~ ~ ,Deceased
-, t ~~,'~
Social Security Number: ~ / ~S ~ { ~~ ` ~~.~ 'S '-~ Date of Death:
AND NOW, i~=L`~'LJ~~~ {~~ ,~~~-% ~ ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters T.-~'~-~ L1Y~~~_ I ~ a <'t ~~ LI
are hereby granted to ~C;~ ~~ _ ~ ~ ~ ~ ~ ~j~ ~'
~y in the above estate
and that the instrument(s) dated vt "~~ ' _~ ~,i '~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES ~ ,~ r( ;-~ CT ' ~~; ~'
,.~ ~ ~ ~ ~ Register of W{1(s,; - 1 ~ ~ J ,,^j`
Letters ............... $ i ~~ (~ l ~ 1 r~ ~`"! L.~.~_. _
Short Certificate(s) ........ $~~~ ~ C~ ~ ~ Attorney Signature: V i
Renunciation(s) .......... $
~~ 11 $ ~~ ~ Attorney Name: ~ ,_
c, L' L
~~ ) • ~ • $ ?~~ ~'~` Supreme Court LD. No.:
$ Address: _
... $
... $
... $
' ' ' $ Telephone:
... $
~; .
TOTAL .............. $ ~ f ~ ~,_
r-~,~,n Rw-o~ rev. ~v.i3.v~ Page 2 of 2
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LAST WILL AND TESTAMENT OF DOROTHY M. GORNIK
I, Dorothy M. Gornik of Cumberland County, Pennsylvania, being
of sound mind and memory, do make, publish and declare this my Last
Will and Testament, hereby revoking any and all Wills by me heretofore
made.
rli~S'i: s direct that my funeral be conducted in a manner
corresponding with my estate and situation in life, and that all my
just debts and funeral expenses be paid and satisfied by my
Administrator hereinafter named, as soon as conveniently may be after
my decease.
SECOND: I give, devise and bequeath all of my estate, both
real, personal and mixed, of whatsoever kind and wheresoever situate,
to my husband, Edward M. Gornik, Sr., providing however, that he
survives me for a period of at least 60 days. If Edward M. Gornik, Sr.
does not survive me for a period of at least 60 days then I give,
devise and bequeath all of my estate, both real, personal and mixed, of
whatsoever kind and wheresoever situate, in equal shares to my two
granddaughters, Colene M. Gornik and Christian R. Porasky and their
issue per stirpes.
THIRD: Anything herein to the contrary notwithstanding, if any
issue of mine has not at the date of distribution of my estate,
attained 25 years of age, I direct that the share(s) allocable to such
PAGE 1 OF 4 PAGES
%~' ~
D.M.G.
issue be paid in Trust upon the following terms and conditions and for
the following uses and purposes:
a) The Trustee shall invest and reinvest the Trust assets.
b) A separate Trust shall be maintained for each issue of mine
whose share is paid to said Trustee.
c) The Trustee may in its sole and uncontrolled discretion pay
any amounts of income and/or principal for the health, support,
education, welfare and maintenance of said Beneficiary(s).
d) All payments by the Trustee relating to a particular
Beneficiary(s), or expenses charged or paid allocable to a particular
Trust, shall be paid out of and from that Trust.
e) The Trusts shall be managed and the Trust funds invested in
accordance with the provisions of the Pennsylvania "Probate, Estates
and Fiduciaries Code", its supplements and amendments, except as
otherwise provided herein.
f) Upon a Trust Beneficiary attaining age 25, that Trust shall
terminate and the Trustee shall pay to such Beneficiary, free ar_d clear
of the Trust, all remaining assets of that Trust.
FOURTH: I hereby nominate, constitute and appoint my husband,
Edward M. Gornik, Sr. to be the Executor of this my Last Will and
Testament. If the said Edward M. Gornik, Sr. is unable or unwilling to
serve as such, I then appoint Colene M. Gornik to so serve as
Executrix.
PAGE 2 OF 4 PAGES
~~jjrr '
-~2~
D.M.G.
< < • ° ~ r
~ t ~
FIFTH: I nominate, constitute and appoint the survivor of
Colene M. Gornik and Christian R. Porasky to be the Trustee of any
trust established pursuant to this Last Will and Testament.
SIXTH: I direct that each trustee may compensate herself out
of any trust over which they are trustee but that such compensation
shall not exceed 10 of the net asset value of the trust per year.
SEVENTH: I direct that any fiduciary of mine herein named, be
permitted to serve without bond in any jurisdiction where a bond would
be required for the faithful performance of his/her duties, in the
absence of this provision.
I, Dorothy M. Gornik, the Testatrix whose name is signed to the
foregoing instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as my Last
Will; and that I signed it willingly and as my free and voluntary act
for the purposes therein expressed.
Sworn to or affirmed and acknowledged before rye by Dorothy M.
~,,.
~ ,
Gornik, the 'Testatrix, this _ ~~ __ day of ~ ,
2002.
~.
%~
~~ /1~~ ( Seal )
UGC
Testatrix
T RY UBLIC
My Commission Expires:
~y,: _____re_
~' 4 '<
PAGE 3 OF 4 PAGES ; ` ~ ~ ~~~ ~'=~~~ ~~~ ~~ 6
y. .. a. v.... k.....~ ....... ..., s K ...... .~ ~vi~li+v>1t r+..wr.+'~NK. 4wa.+'W
• I
D.M.G.
We, ~, ~ and U//7lGt~ ~, ~y~T ~ the
witnesses, whose names are signed to the 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 the Testatrix signed willingly and executed it as her free and
voluntary act for the purposes therein expressed; that each. subscribing
witness in the hearing and sight of the Testatrix signed the will as a
witness; 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.
Sworn to or affirmed and subscribed to before me by
~~ '' ~ and ~U~~'tun ,~. `~p ~~ witnesses this Gl
,--
day of ~ 2002.
,!~ ~ ~~
%'
Witne s
~.
Witness
OTARY PUBLIC
My Commission Expires:
~,4R1AL Ste.
J ' i. ~ ~ l 1 ft4~y qvl i(d~wYp~~yGri~~.[~'p~P~p.~j
PAGE 4 OF 4
-~Yrt
D.M.G.
gornik/will.dorothy