HomeMy WebLinkAbout12-13-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~ u ~ be ~ 10.~~ COUNTY, pENNSYLVANU~
Estate of _ _ ~efy T ,L, ,~ , ~ File Number o` I ' ~ ~ ` ~ d a d
also known as
Deceased Social Security Number U S y - ~ L,/ - / 7 / y
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or 'B' BELOW.)
A. Probate and Grant of betters Testamentary and aver that petitioner(s) is /are the _ / yo, , , -~
last Will ofthe Decedent dated ~ ~ ~ named in the
t 3 1 ~9 ~ and codicil(s) dated
(State relevant circumstmtces, eg., remetcuuian, 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 instnmtent(s) offered
for probate, was not the victim of a killing and was never adjudicated ao incapacitated person:
^ B. Grant of Letters of Administration
(Ifa~ltcable, enter: c.t.a.; db.n.c.t.a; pe-ulente life; durance absentia; durance minorttate)
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 db.n.c.ta., enter date of Wi// in Section A above and complete list oJheirsJ
Decedent was domiciled at death in ~6 1, r, ~~,P County, Pennsylvania with his /her last
'' ~ ~ PA lnincipai residence at K~SW o C ~.
(List street adt6ess, tawn/city, towns .courtly, state, zip code)
Decedent, then ~_ years of age, died on _ nJ ~ y[ ,.,. bc- 1 ~' 7 ~ 1 o at n 1, ~' `~-
'7 1'~Sv~+,~ l~ rZLuCe-_~hL Ins., i c 4i Dd t7~b
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(Ifnot domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
`All personal property
Personal property in Pennsylvania
Personal Property in County
IAt1~AOwvt
s ~.n~.~c`=-n
S ~.nV awe
$ U~ Icy,aNn
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the Probate of the last Will and Codicil(s) Presented with this Petition and the
the undersigned: grant of Letters in the a
Ppropriate form to
?~~ /~ C a~a is
~/L~~ ~ / ~~_ - .~ 17r ~C..~V ~ ~. ~.ta ~ y p~ `~31° v ~ ~ ~ ~U e
PA i,ni y~,
Form RW-02 rev. 10.13.06
Page 1 of 2
RI'.CORDF.D OFFICE OF
REGISTRIR OF WII:IS
2010 DEC 13
CLERK OF
ORPHANS COURT
(COMPLETEINALL CASES.) Attach addihional sheds ijneceSCary.
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
ss y a~-~~- ~~ ~3
COUNTY OF ~ ~ ley1+~,~y
The Petitioner(s) above-named swear(s) or affum(s) that the statements in the foregoing Petition are true and correct to the best of
the lrnowledge 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 _ (o n' day of
Mb _
~.
For the Register
Signottve offers 1 Representative
Signature of Personal Representative
Signature of Personal Representative
File Number._ p2 ~ - ~ ~'_ ~ ~ ,~ (~
Estate of ~e ~G r ~ ~ L , ~~,,, Deceased
Social Security Number: ~ Sy - / y - / 7l y Date of Death:_ ~ o„e ,,„ h c - ~~ ~ ~ t ~
AND NOW, I in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~ j ,,,
are hereby granted to _ Pr {-e r (' k~,,,,,,~„
and that the instrument(s) dated ~ e~r.M4x ~ la .~l)l ~ in the above estate
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES / ~ ~/~
Letters ..... $ l.~ Register of wills j-- p1, L___ ~ ,
Short Certificate(s) ........ $ ~ Attorney Signature:
Renunciation(s) .......... $
. $ ~. C~
l~l~ ... $ i -r;~
... $
... $
$
...
$
...
. $
..
... $_
TOTAL .............. $ -1 ~ ~ ~~ILUo
Form RW-02 rev. 10.13.06
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
D~..o 7 „F7
RECORDED OFFICE OF
REGISI"RF.R OF WILLS
2010 DEC 13
CLERK OF
ORPHANS COURT
CUMBERL..IND COURT_ PA
1U5.2305 RI:V i01/07,
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17029008
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
RJec/or~d~s~Office for permanent filing. /
Local Registrar Date Issued
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r~fP"~'" CERTIFICATE OF DEATH
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~~zst 3~i11 ~n~ C~P~t~zmPttt
OF
PETER J. t~H011fyYN
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I, PETER J. CHOMYN, of Lee County, Florida, being of sound and disposing
mind and memory, and fully aware of the uncertainties of this life, do hereby declare
this instrument to be my Last Will & Testament, and hereby revoke all prior wills and
codicils.
ARTICLE I.
I direct that my legally enforceable debts, funeral expenses, and administration
expenses be paid as soon as practicable after my death.
ARTICLE II.
I devise the rest, residue, and remainder of my estate, of every kind, nature, and
description, which I now own, or hereafter acquire, or have the right to dispose of at
the time of my death, to the then acting Trustees of that inter vivos trust named the
PETER J. CHOMYN TRUST, dated ~ _ ~ , 1997, that it is my wish
that all of the above assets pour over into that Trust; by this devise and bequest I do
not incorporate by reference the provisions of said Trust, but enlarge the living Trust
created by said TRUST AGREEMENT (which living Trust has independent significances)
so that the property so devised and bequeathed to the said Trustees shall immediately
after being received by said Trustees be blended with and thereafter be administered
and accounted for in all respects as an integral part of said living Trust as so enlarged
and, accordingly, the receipt of said Trustees for the property passing to them by this
Will shall bz ~: complete discharge of my Personal Representative.
Last Will & Testament Of PETER J. CHOMYN
Page 1
AiiTICLE III.
I appoint my son, PETER J. CHOMYN, JR., as the personal representative of my
estate. If my son, PETER J. CHOMYN, JR. is unwilling or unable to act as my personal
representative, then I appoint my grandson, PETER J. CHOMYN, III, as the personal
representative of my +,state. f direca :fit no bor-d be required of the personal
representatives named herein. In addition to, and without in any way limiting the
powers conferred upon my personal representatives by law, I vest my personal
representatives with full power and authority to sell, transfer, or convey any property,
real or personal, which I own at the time of my death, at such time, and upon such
terms (including credit), as my personal representatives may determine, and to do
every other act and thing necessary or appropriate for the complete administration of
my estate.
On ~J , 1997, in the presence of the undersigned witnesses,
1 ir~!e t4,ic °t": :'?f!':+ 3!^•^~ ~~:~~ ~ '+ ~ :• ~""~ ~^ ~ WIII ~t R estat:';e!^t.
r'
• ETER J. OMYN
On ~~ ~ , 1997, in our presence, PETER J. CHOMYN signed this
instrument and declared it to be his Last Will & Testament. In his presence and in the
presence of each other, we hereunto sign our names as attesting witnesses, in Lee
County, Florida.
~•
. .~ v ~ ~ X185• .
Witness
Last Will & Testament Of PETER J. CHOMYN
-' 1
Page 2 ~;~?
SELF PROOF OF WILL
State Of Florida
County Of Lee
We, PETER J. CHOMYN, the testator, and the witnesses, whose names are:
LORI S. SMtTt1
L 1'n d~ L r ~ ~ k-
and whose names are signed to the attached or foregoing instrument, having been
sworn, declared to the undersigned officer that PETER J. CHOMYN, in the presence
of the witnesses, signed the instrument and declared it to be his Last Will &
Testament, and that each of the witnesses, in the presence of PETER J. CHOMYN,
and in the presence of each other, signed the will as witnesses.
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Witness
Witness
The foregoing instrument was acknowledged before me this ~'~ day
of 1997, by PETER J. CHOMYN, the testator, who
( is personally known to me,
( - has produced
as identification, and
L~~1 S. SNRTfI
and U ~~ ~- the witnesses, ~.nrho are personally known to me.
Notary Public
. .
~~ OFFICIAL N ARY SEAL ate'
~~p,~2V PU6~ RALPH A RICHARDSON
* ~~ I`~- Ali * COMMIS910N NUMBER
`~ '~„~ a CC56664!
~~ ,'~' ~~ MY CO 13$ION EXPIRES _
~r ~ e~~~ j~ ~99b
Last Will & Testament Of PETER J. CHOMYN
Page 3
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