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HomeMy WebLinkAbout10-22-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND [state of Edward Joseph Rykoskey also known as COUNTY, PENNSYLV,a-NI.A Mile Number --~ ~- ~(~~ _ ~C,~~ ~~ Deceased Social Security Number 233-O1-3856 Petitioner(s), who is/are I K years of age or older, apply-(ies) for: (COMPLETE ',9' or 'B' BF_LOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~E ~E~~ ~~ ~ Y~~~~~ named in the last Will of the Decedent dated August 19, ?005 and codicil(s) dated ~- (~ '--' f, (Stole releran~ crremnstances, e.~~., rerita~cialiof~, death ol~execulor. etc.) -~' ~ ~ „. J--~ ~ 1, ,~ G-.a Except as follows. Decedent did not marry. was not divorced. and did not have a child born o-- adopted after e~~ecution of ttLe i~sh'm»ent(s~ffered- _ ~~~ f~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: _ ~ F~ - _. "~7 _, =.T © B. Grant of Letters of administration __ _ (If applicable, enter: c~.a.: d. b. n.c.ta.: t~ertdenlelite; durur~teabs~enliu; duruntc ni~ra~rr~ate) ~-~,~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the li~llowing sp~-use (if~any) anl~eirs: (If :~dminrstratron, c. t. a. ord.b.n.c.t.a., enter date of b~f'il! in Section ;~ above and con7~lete list ofltei~s.> Name Relationshi Residence George D. Rykoskey Son 380 Willow Grove Road, Carlisle, PA 17013 Sandra Carney Daughter 6323 E3luegrass Drive, Silver Springs, NV 89429 (COMPLETE W ALL CASES:) Attach additio~aal sheets if izecessar~~. Decedent vas domiciled at death in Cumberland County. Pennsylvania ~~~ith his i her last principal residence at 170 Wilson Street, Carlisle Borough Carlisle PA 17013 ('/.rst street address, toirn z~Nr, township, col~ntt'. slate. =ip code) Decedent, then 93 years of age. died on October 3, 2010 at 170 Wilson Street, Carlisle E3orough, Carlisle, PA Decedent at death owned property with estimated values as t~~llows: (If domiciled in PA) All personal property $ ."~~ ~'~~~~~~ ~ ~~ ([1~not domiciled in PA) Personal property in Pennsylvania ~ (If not domiciled in PA) Personal prope--t~~ in County $ Value of real estate in Pennsylvania ~ ~, G¢~-~, C«~ "' situated as follo~-vs: 170 Wilson Street, Carlisle Borough, Carlisle, PA 17013 Wherefore, Petitioner(s) respectfull~~ request(s) the probate of the. last Will and Codicil(s) presented ~~ith this Petition and the grant of Letters in the appropriate form to the undersigned: Signature T~~ ed or rioted Hanle and residence ' George D. Rykoskey, 380 Willow Grove Road, Carlisle, PA 17013 Page l of 2 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 ,-rf~' ~, day of ' i r -~~-~~~ ~c~~c. ~~~~~~~~~~~~ For the Register ~ ~ .. Sigrtatru~e of Pe ot~a! KepreserNu~r~•e Signature qT Per•s~nal Rej~resenla~ire ~~ Signature ~j'Perso~~ul Re~resc nialn~c C-:- ,`~) ~ -~ __i'; `-~ - _- ~ ~ ~.._, ~ .~ File Number: %~~ l - ~ ~` ~ ~~ ~ ~ ~~ -_> ~ "`:'' . ,: ,___ _. Edward Jose h R koske , Dece~~~c~ ~ ~'=~ ~ ' ~' ~' Estate of p y y :, Social Security Number: 233-01-3856 Date of Death: October 3, 2010 ~ ~r AND NOW, ~ ~"~~~~~~~ I .~~~'' ,~ ~~~ ~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT I S DECREED that Letters ~T-{ `~~ C~ 1' ti~ ~ ~' / ~~ ~~~! I ~.~ __ are hereby granted to ~~-f;_( "e~C~ h ~ `~ 7 ~~ 5~..~-`~ _~ in the above estate and that the instruments i dated ~ ~ ~ ~ ' ~~~ ~ _- described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ , ~~ c' . C Short Certificate(s) ........ $ ~ L~ ~ ~~~ Renunciation(s) .......... $ ~'~~' -k=='~ ~'l C~ ~~ C ~ ~~ ... $ ~ ~ C~ ... $ ... $ ... ... $ ... $ ... $ TOTAL .............. ~~CI -_~~~).00 Attorney Signature: _ rsler• o/~ r~Is >,, ~ ~ ~,~ ..x. f .t ~~ c_ ~.: r,, c~-< .tom Attorney Name: John t 4~. Broujos ~ _~ Supreme Court I.D. No.: ~2'~68 _~ ______ Address: 4 ~~Jorth 1{answer Street __ Carlisle, PA 17013 Telephone: 717-243-457-t __ !'orrn Rl1'-l)2 rer. 1.13.06 Page 2. Of 2 1f15.9Q~ REV.r~/r•9` This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of He~ilth, in accordance with the Vital Statistics Law of 1953, as amended. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~~v~~~ ~ . ~~U ~,ei~ Linda A. Canig.lia State Registrar ~~~~~~~ No. ~~ 105.144 REV 11/2006 TYPE /PRINT IN PERMANENT BLACK INK JL 7 n •, ~ i. { 0 w w Date COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See instructions and examples on reverse) STATF FII F NIIMRFR 1. Name of Decedent (First, middle, last, suffix) 2. Sex 3. Social Seruriry Number 4. Date of Death (Month, day year) Edward J R koske Male 233 - 01 - 3856 October 3 2010 5. Aga (Last Birthday) Under 1 ear Under 1 day 6. Date of Birth (Month, day, year) 7. Birthplace (City and state or for eign country) 8a. Place of Death (ChecK only one) Months Days Hours Minutes Hospital: Other. 3 Yrs. Oe tober 2 1 1 ~OOd WU ^ Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home ~esidence ^Other • Specify: 6b. Gounty of Death &. Ci Boro Twp. of Death Bd. Facility Name (If not institution, give street and number) 9. Was Decedent of Hispanic Origin? [~ No ^Yes 10. Race: American Indian, Black, White, etc. • I.It yes, specify Cuban, S cil}~ ~ • Cumberland Carlisle 170 Wilson Street Iviexican, Pueno Rican, etc.) hlte 11. Decedent's Usual Occu tan Kind of work done Burin most of worki life, Do not state retked 12. Was Decedent ever in the 13. Decedent's Education (Specify only highest grade comp leted) t4. Marital Status: Married, Never Married, 15. '.Surviving Spo use (If wife, give maiden name) Kind of Work Kind of Business /Industry U.S. Armed Forces? Elementary /Secondary (0-12) College (1-4 or 5+) Widowed, Divorced (Spaci/y) Master Ser giant US Arm ~+'ea ^~ 12 Widowed - 18. Decedent's Mailing Address (Street, city /town, state, zip code) Decedent's Did Decedent PA 170 W11 SOI7 St Actual Residence 17a. State Live in a 17c. ^Yes, Decedent Lived in Twp. T hi n . C PA li l owns p 17d. [y~ No, Decedent Lived within 17b.County Ctunberland " Carl isle ar s e 17013 - ACtualLimitsof cityrBoro 18. Father's Name (First, middle, last, suffix) 19. Mother's Name (First, middle, maiden surname) Frank - Rykoskey Marie - Oul.ik 20a. Informant's Name (Type / Prinq 20b. Informant's Mailing Address (Street, city /town, state, zip code) George D. R koskey 380 Willow Grove Rd., Carlisle, PA '17CI13 _ 21 a. Method of Disposition i ^ Cremation ^ Donation 21b. Date of Disposttion (Month. day, year) 21 c. Place of Disposition (Name of cemetery, crematory or other place) 21d. Location (city !town, state, zip code) [~ Burial ^ Removal from State I Was Cremation or Donatlon Atrthorized • ^ Other • Speciy: I by Medcal Examiner/Coronar7 ^Yes ^ No 10 09 2010 rland Valle MHTI. Gardens Carlisl PA 22a. Signs une rv' Licensee (or person s h) 22b. License Number 22c. Name antl Address of Facility - ~ FD 012633 L Ekaing Brothers Funeral Home, Inc., Carlisle, .PA 17013 Complete Items 23ac only when certifying physician is not available at time of death to 23a. To the best of my knowledge, de occurred at the lime, date end place stated. (Signature and fide) 23b. License Number 23c. Date Signed (Month, day, year) certify cause of death. Items 24-26 must he completed by person 24. Time of Death 25. Date Pronounced Dead (Month, day, year) 26. Was Case Referred to Medical Examiner /Coroner for a Reason Other than Cremation or Donation? wtw pronounces death. A rX . i 1 , 30 P , M. Yes ^ No CAUSE OF DEATH (See Instructions and examples) r Approzimale interval: Pan II: Enter other sionHicant conditions coniributinq to tleath, 26. Did Tobacco Use Contdbute to Death? Item 27. Pan I: Enter the chain of events -diseases, injuries, or complications -that directly caused the death. DO NOT enter terminal events such as cartliac arrest, r Onset to Death but not resulting in the underiying cause given in Pan I. ^Yes ~] Probably res into arrest, or ventricular fibrillation without showin the ado r P ry g krgy. List only one cause on each line. r IMMEDIATE CAUSE f Fin l di r [] No ^ Unknown a sease or condifionresugingin eath) _~ a. _ Congestive Heart Failure ~ Remote MI 2s.1`Fama'a' ^ Due to (or as a consequence ot): ~ Sequentially list conditions, if any, b r leading to the cause listed on line a r - Not pregnant wtthin past year ^ Pregnant at time of death , Enter the UNDERLYING CAUSE Due to (or as a consequence of): r ^ Not pregnant, but pregnant wthin 42 days (dsease or injury that inttiated the c ~ events resulting in death) IAST. r of death Due to (or as a consequence of): , ^ Nol pregnant, Gut pregnant 43 days to 1 year • d r r before death Unknown H pregnant wtthin the pest year 30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Fann, Street, Factory, Performed? Available Prior to Completion Natural ^ Homi id Office Building, etc. (Speaty) of Cause of Death? c e ^ Yes ~ No ^Yes ^ No ^ Accident ^ Pending Investigation 32d. Tme of Injury 32e. Injury at Work? 32f. If Transportation Injury (Speciy) 32g. Location o1 Injury (Street, city! town, state) ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ Driver /Operator ^ Passenger ^PedesMan M ^Other ~ Specify: _ 33a. Cenifier (check only one) 33b. Signature and 7te,nt,C^''r'^• • Certilying phyaielan (Physician certitying cause of death when another physician has pronounced death and completed Item 23) `_ / f io the beat of my knowledge, death occurred due to the cause(s) and manner as atated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ - ,(~-~ • Pronouncing and eertilylog physlNan (Physician both pronouncing death end certfijing to cause M death) i 33c. License Number 33d. Date :iigned (Month, day, year) o the best of my knowbtlge, death occurred at the tkne, date, and place, and due to the cause(s) and manner es eteted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Medical Examiner /Coroner On the basis of examination and / a investigation, in my opinion, death oocurrod at the time, date arM place and due to the cause(s) and manner as atated ~ 0 c t ob 1 , , _ 34 Name and Address of Person Who Completed Cause of Death (Ite m 27) Type /Print 35. Registrar' resod Di 1e ~+ 36. Date Filed (Month,tlay,year) Todd C. Eckenrode, Coroner 6375 Basehore Rd ~'~1 S it ., u e Disposition Permit No. I h ~~.y ~1~ y~ Will I, EDWARD J. RYKOSKEY, of 170 Wilson Street, Carlisle, Cumberland County, Pennsylvania, declare this to be my last will and revoke any ~.vi11 previously made by ride. ~t~m One: I direct that a' my debts and funeral expenses including my gravemarker shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. Item Two: I give, devise, and bequeath my entire estate to my two children, George \ D. Rykoskey and Sandra A. Carney, equally. snare and share alike, per capita. In the event that either child predeceases me, then I give, devise, and bequeath that child's ~ portion of my estate to the surviving child. Item Three: I appoint my son, George D. Rykoskey, Executor of this my last will. Should he fail to qualify or cease to act as Executor, I appoint my daughter, Sandra A. `, Carney, to act as Executrix with the same rights, powers, and duties. Item Four: All estate, inheritance, succession, and other taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for tax purposes, whether or not such property passes under this will, shall be paid out of the principal of my residuary estate, without apportionment or right of reimbursement. item Five: I direct that my personal representative or guardian shall not be required to give bond for the faithful performance of their duties in any jurisdiction. Item Six: In addition to the rights and powers given to the fiduciaries by law or elsewhere in this will, I give to my Executor during the full time necessary for the administration of my estate the following rights and powers to be exercised in his or her sole discretion. A. To retain any real or personal property which may at any time form a part of my estate so long as he or she deems it advisable. B. To invest in any real or personal property without restrictions as to legal investments. -_ r~~ i C. To repair, alter, improve or lease for any period of time any real or personal ~ ~ (-~ ~,~ property and to give options for leases. ,' D. To sell at public or private sale, for cash or credit, with or without security t~. exchange or to partition, to mortgage or pledge real or personal property, a:nd~~to give options for leases. l i --~ s~~~ '~, ~. E. To make distribution in kind. F. To compromise claims. IN WITNESS WHEREOF, I have hereunto set my hand this ~J~~1' day of August, 2005. Signed EDWARD J. O The preceding instrument, consisting of this and two other typewritten pages each identified by the signature of the Testator was on the day and date thereof signed, published and declared by the Testator therein named as and for his last will, in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND i ~~ ss We, John H. Broujos and ~~cll~~r~ ~ ,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 Testator sign and execute the instrument as his last will; that he signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; and that to the best of our knowledge, the Testat w at the ti e 18 or more years of age, of sound mind and under no constraint or undu i fl e~o~. , ylYpal< Sworn and subscribed to before me this ! 9 ~ day of August, 2005. I~o~anat Seal Charlene M. Shearer, Notary Public Carlisle Bono, Cumberland County My (',orrxnission Expires Feb. 10, 2007 Member, Pennsylvania Association ~ Notaries COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CtiNIBF.RLAND I, EDV'JARD ,1. RYK(~SKEY, whose name is signed to the attached document, having been duly qualified according to law, do hereby acknowledge that I signed. and executed the instrument as nay last wi~i; that 1 signed it as my free and voluntary act for the purposes therein expressed. Sworn an~i affirmed ~~a and acknc~ ~~~ led~ed before me this -t~~ day of Aug~rst, 20Ox. i EU W ARD 1. YK KE ! for Charlene M. Shearer, Notary Public Carlisle Boro, Cumberland County My C,gYxrission Expires Feb. 10, 2007 Mr3mikxir, l~erutsa+lvrar~a As:~iation Of Notaries