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Home My WebLink About01-18-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of ./'IL'L ~'j~G~::,/~ S ~i~ ~r1~i.?,~~/~~~ G' j ,Deceased ESTATE NO: 21- I - ~-~~'~ ~,~ a/k/a: jU ~~K a/k/a: a/k/a: SS NO: ~ ~~ ~ ~~~ '~J ~ Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' ~~ND "C" as applicable: ~A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters ~i~,,s i .!~ ~ ~~'7 f uv>>/ under the last Will of the above-named Decedent, dated % 93 ~, i 5 ~f and cedi~rrlfs}~~a~e (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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(g): ~ c~ 1v ~ ^ B. Grant of Letters of Administration iY~,~ __ (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 (lf Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to .a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g),~cc;ept as follows: ,- _ Dame Address Relatii to De~d~ ~__ -_ =~;; -;.~ . ~; r ~~ U~~: AUUI l IUNAL 5H>h:>h:"1'~ lI'~ NI/(:ESSARY '"' f"~. ~ ent ,~ __- -. .. ..~..:~ ~~ d :~ THIS SECTION MUST BE COMPLETED: Decedent was dom_ iciled at eath in Cumberland County, Pennsylvania, with his/her last family or principal residence (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then ~~ years of age, died ,_ 3C ? ~, ;>2 ~i U at ~.9~ P /~l t ~ . ~',¢ (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: _If domiciled in PA All personal property $ ~ U~ _ ~'U"~' _If not domiciled in PA Personal property in Pennsylvania $ __ _If not domiciled in PA Personal property in County $ __ _Value of Real Estate in Pennsylvania $ Total Estimated Value $ Location of Real Estate in Pennsylvania: (Provide full address if possible.) ~ J ~ ~~r r'y' ~~~ /~c-churl%~~= ~j~~~''vZ~ /~~ %~L~J ~ signature(s) ,r-~ ~~~ ~~ Name(s) & Mailing Address(es) ~ ~_ ---- w ...- - , -- ~% ~TrS~~-~ ~ sP~ ~<<- ~ ~~ / ,;..~~ ~ntenm roan tcw-u~ rev~sea -~.~b. i u ny C. umber-and c.~ounTy pending action by the Court ~~f v Page 1 of 2 ,~ .~~ <\:~~ . ~' OATH OF PERSONAL REPRESENTATIVE ~..., . .. ~~ ; -,j Commonwealth of Pennsylvania SS = rJ __ . County of Cumberland - ~"% ~ _ _ -- - ~ ~~, -_ _ __.._. ~-; The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petit~.o~ ~r~?true~~nd -,. correct to the best of the knowledge and belief of Petitioner(s) and that, as personal represe.~$ative(s~~~f the= ~''~~~ Decedent, Petitioner(s) will well and truly administer the estate according to law. ~~~ ~ ~ ``~' C ~~ Sworn to or affirmed and subscribed bef e me tlli5 _~~~ ~ day of ---~ 1 `~ # - - - For the Register t__---- DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~ ~ ~ ~ 1 ~;`~~~~~'~~ ~~- ~ {~-~~j' ~ ~ ~~~ ~~ ~~~~ (,~ j ,Deceased File Number: 21- ~ ~ -_ ~~ ~~ ~ ''`) AND NOW, this ~_ day of -~-,,~r ;Ct t ~. ~ ~c:.% l ~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having bee resented before me, IT IS DECREED that Letters Testamentary of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) r 9 the above estate and that instruments(s) dated ._;~ - -~ - ~ ~'t << z./ described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ,: enda Farner Strasbaug~~, ;:~ ~ ~~~IE~C' ~,~;,,tc~ ~_~~~ l c~(_~' ~ Register of Wills FEES: Letters ....................$ << ; . Gj Will ....................... 1 ` ~;~. Codicil(s) .............. . ( )Short Certificates .~ ~~ L`~ ( )Renunciations....... Bond ............................ Other ............................. ................................. Automation FEE......... 5.00 JCS FEE .................. 23.50 TOTAL ................$ c~~~ <~~ Signature of Counsel Required to Enter f~ppearance Atty's Signature PRINTED Name: __ Supreme Court ID No.: Address: Phone: __ Fax: [nterim Fonn RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 ~ ~. ,ns .. ~`~ l ..}' s' d~. ,~ ~' !i tt;°' t~~dl".3'lC. ,~~:*=' (~~:~r _ a,~' ~;~' ~:~t°~G'fC~~a~~:1~ X51 ~.~~~'dC}~8. (~ ,k~}+~`I .... ~ ~~' z " ~` P 17020410 t ~ '~ ' .ti ~""~"~` S v~ ~ ~ ~ " ~ ~ j~,- '' . ~ . ^ ', ~, , . } ~ .+~r• (-. "f7~, ~ SM 1~;+ ~ . ~' , ~.~; i 1~;,°~~~a1 ( i;'I-dt~l~,1 >`' (,f 1~~,)ll [~~. ~ - ~ ~i~~_'~-I dt1 dht' ~`+Lt1Cc" ~'i1~.t~ (~ ;o-. R SII~.'I'". '.11118'" ~7 , -, - C'> - -: _ ~ ... _ • . ~" (Tl .. `~j } ~~ ~ ... I i~ -7 .7 - -- :. " ` i , - ~ C..tiJ } H105.143 REV.11R006 TYPE I PRINT IN PERMANENT BLACK INK I ' w j e e i COMMONWEALTH OF PENNSYLVANIA• DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (St:e instructions and examples on reverse) STATE FILE NUMBER 1. Name of OecedeM (Frst middle, last, sufix) 2. Sex 3. Social Security Number 4. Date of Death (t4onth, day, year) Nicholas H. Andromalos Male 192 - 18 - 8382 December 21, 2010 5. Age (Last Birthday) Under 1 ar Uncle 1 d 6. Dab of Birth nth, der , er 7. Bi lace and stale or ~ n cou ) Ba Place of Deatlr CfKCk only one) Maas Days Han Mhaes IiDSpitat: ~. - 88 Yrs. December 6, 1922 Lemnos, Greece ®Inpatient ^ ER l Orr~atient ^ DDA ^ Nursing Horne ^ Residence ^ Other -Speedy: 8b. County of Death Bc. Ciry, Boro, Twp. of Death Bd. Faplity Name Pf not institution, give sheet and number) 9. Was Decedent of Wspank Origin? ®~ ^ yys 10. Race: American Indian, Blade. White, etc- Cumberland East Pennsboro Hol S (rit Hos (tat Y p p (N yes,spedfycDban, rsr~y) Mexican, Puerto Rran, etc.) White 11. Decedent's Usual ation Kind of work done d most of Nfe. Do not stab retired. 12 Was Decadent ever in the 13. Decedents Education (Spetaty oNy twgh«t grade cort pleted) 14. Margot Stabu: Married, Never 15. Surviving Spou se (N wile, give maiden name) Kind of Work Kind of Business /Industry U.S. Ambd Fort«T Elementary 1 Secondary (4.12) Cotiege (1-4 or 6~) Widowed, Divarced(Sped(y) Electronic Technichian Manufacturing ^r« ~ 4 Married Winifred J. Duncan 6. Decedent's Mating Address (Street dh / bwn, stab, rip txrde) Decedent's Did Decedent Ham d e n Actual Residence 17 i b PA liv Y S D d nt L d i p 9 Jeffrey Road e n a a ta «, ece e nre n T 7 17c.~ TownsN - ~ Mechanicsbur PA 17050 p No Decedentl.ivedwiNin ,7b.County Cumberland 17d. ^ g, ,~,~~~ ~,/~ 16. FaNrefs Name (First, middle, last suffix) 19. Mothe's Name (Pest, middle, maiden strcname) - Charalambos B. Andromalos Heliofotiste Papaparndelis 20a InforrnanCs Name (type! Print) 20b. InkxmarN's Mailing Address (Street, db' I bwn, state, np code) -- - Winifred J. Andromalos - - - - 9 Jeffrey Road Mechanicsbulrg, PA 17050 21a Madod d Disposition ^ CrerrraOOn ^ ~~ 21 b. Dale d Disposition (Month, day, Year) 21c. Place of Disposition (Name of cemetery, aemabrY or othe place) 21d. location (City / bwn, stab. rip code) ^ o®~ ^ Removal morn Stab ~n ~n a~D°n~ n Aunart:w ^Y« ^ Ne December 24, 2010 Conestoga Memorial Park L a n c• a s t e r P A 22a. M Funeral (err acting as such) 22b. License NteMer 22c. Name and Address of Fadkty - ,~ FD-012662-L Myers Funeral Home, Inc. 37 East Main Street Mecha nicsburg, PA 17055 Conpbb 23at ~, when Ong a To the of my kroa4edge, death occured at the time, dab and place stated. (Slgnabxe and title) 23b. License Number I T [.s:. Date Signed (Month. day year) physician is not avaiable a<tim~ of death b , raxtity cause of death. L Ibrtu 2426 must be conpkted by person 24. Tone of Death 26. Dab Pronounced Dead (Month, day, year) 26. Was Case Referred b Medical Examiner I Camrv>r for [teason Oche than Cremation or Donation? wloprorouncesaeath. 4:05 A M. December 21, 2010 ^ Y« ®No CAUSE OF DEATH (Sea instruetlons and examples) ~ Approximab kNeval: Part II: Enter othesiaruficant txmdtions conbibutine b death, 2fi. Did Tobacco Use Contribute b Death? Nom 27. PART L Enter the chain alevents- diseases, injtaies, err t.onpticatiorts - that diectly caused the Berth. DO NOT enter terminal events such as cartiac amest. ~ Onset b Death but not resulting in the underlying cause given in Part I. ^ Y« ^ Probady respiratory arrest, a ventricular fitxilation widout slowing the etiobgy. list oMy one cause on each tine. ^ No ® UnkrroWn IMIn~D1ATE CAUSE (Foal disease a . ~1 tx>ndtion resulting b death) -~ a. ~' \~„~!` ~'~'~ C'v~ (G'~_ 2EI. K Femab: Due to (or as consequence o - ^ Nd pregnant within past year Sequentialty tirt conditions,rf any, b. 1 ~ ~ L b b cause tisbd on tine a ~ ~! L V1 t~~ L' ~ ~~ ~ ^ Pregnant al time of death Errler the UNDERLYING CAUSE Due to (or as a m sspuenee _ ^ Not Me9nant but pregnant within 42 days (disease or injtay that iriitiabd the a ~~ r«Dlhng m ~~ ~~ of death ' Due to or as a wns ( equenu oD: - ^ Not pregnant but pregnant 43 days b 1 yex d. o/ death ^ Udcnownd pregnant witldn the past year 30a Was an Aukrpsy 30b. Were Atrbpsy Endings 31. Manner d Death 32a Date of Iryury (Month, day, year) 32b. Describe How Injury Occurred: 32c. Place of Iryray Home, Farm, Street Facbry Perfamed7 Available Prior b Compbtion of Cause of Death? ®Nahual ^ Homicide , Ofice Guiding, etc. (Speci/yJ ^ Yes ®No / ^ Yes ~' Jr O ^ ~~nt ^ Pendng Investigation 32d. Time of Injury 32e. Injury at Work? 32f. N Transportation InjuY(Speri/y) 32g. Location of Injury (Street city I town, state) ^ Suicide ^ Could Nd be Deaemtined ^ Y« ^ No ^ Driver /Operator ^ Passenger ^ Pedestrian M ^ Other - ~RY~ 33a Certifiar(check only one) 33b. Signabue and Title o CenKying physidan(Physician certifying cause of death when another physiran l~ pronounced death and cortpk30ed Item 23) ~ ~ L To tM best of my knowledge, death occurred due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ' Pronouncing and certif in h sldan(Ph id b th d d th d tK i b h d ~. ~ y g p ys y an o proraun ng cer ea an y ng cause deat t ~-f To the bast of my knowedge, Barth occurred rt the time, date, and place, and due to tM causa(a) and manner as stated. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .D kMd 33c. License ! ti~ 1 ~ ~~- • 5'( 33d. Dade Sign (Month, day. err) ~ W Examiner I Coroner ~--y On the basi f i ti 1 ~ ~ t ~ L' r ~ Z ~ ~ 2 C,~ ~ L l s o azam na on and or Investlgatlon, in my opinbn, death occurred rt the tlmq date, and place, and due to the causgs) and manner as statW _ _l--f 34. Name and Address d Person Wta Com pbted C of Death (N om 21) '-ype // print 35. R ~ ar's Signature and Dislnict Num ~ 1 ~ 1 ~ % ~ 36. Oab Fled (Month, day, Year) / `~ ~ ~`;~{-{ - , `Q / ~ 1.1r }/ C ` `~,`.. Y~ - a _ ` ". ~ V I I t f I I , ,-.~3 d ~ ; cr - - ~n'~ r 1 !-c al y1 , ~. ~~. ~L ~~G.-.i ~ ~~c ~~~' ~ ~ Q v i Disposition Permit No.Li '-/ "I / l to `~ \/ C ~.. _. ' _" - r. r .. r, ~ ~ ~ ~ _ ~) k~ ~_ st Will and Testament Hushunc~ ;_ {~; Fns ,,_ _ ..'~,> > , ~,, r ~1 ` ~ ~~''`~~``~ ` ~ -- presently residing at i ~ ~ l ~ ~" do hereby make, publish and declare this to be my Last Will and Testament and do hereby revoke any and all other Wills and Codicils heretofore made by me. ~. <<:. First. 1 am married to ~~'~~<'~'% !~/~~'/~~i ~ ~.~7..~ j~' ~~ 'L~ ~~~, °'~` ~~'' ~, '-f,~S~~. `},, :.,,~ ,~ -,~~~ ~ ~? Second. l order and direct that my just debts and funeral expenses, expenses for administration of my estate and any inheritance and succession taxes, state or federal, upon my estate shall be paid as soon after my death as may be practical. Third. I give all my estate to my wife. In the event that my said wife shall predecease me or fails to survive me for sixty (60) days, I give all my estate to my children, if any, who survive me in eyua l shares, per stirpes. If I am survived b neither m wife nor children, then I give my estate to: ._ . _ _ - --- ~ - _- __ - n- ~ ~ - /i P .Y ~. ~. - / . y r ~ ~ ~~ ~ ~ `//~`/: to be his/ hers/ theirs in equal shares or their survivor. Fourth. (nominate and appoint my wife as Executrix of this Will. In the event that: 'my wife shall predecease me or fails to survive me or fails to serve as such Executrix: then in such event, I nominate and appoint ,- ._. ,; - ,~ ~"~ ~ ~` ~;'~"~ ~' ~~ X, "-.{,~ryL~s : ~' Executor; E~ ~~ -1 ~ _ , ,~~of this my Last Will and Testament. I further direct that no appointee hereunder shall be required to give any bond for the faithful performance of his/ her duties. Fifth. 1 hereby authorize my Executor/ 1~~~~ to exercise all the powers, rights, discretions, duties and immunities conferred upon fiduciaries to the extent permitted by law with full power to sell, lease, mortgage, invest, reinvest, or otherwise dispose of the assets of my estate. [ subscribe m name to this Will this _ %~~ ~ ~ ~ ' ~"'~~~'~ ~~~~`~ ~'~~` ~°'~ y -_ Day of - !_ _ , l.9 ~' .mot .._ ~- 1~J 13 i •c ,, _. / f i.. (Sign here) :2 1987 by AFBP. All rights reserved. ~;igi~ed, ~~ealed, published and declared t~~ be his last Will and l~esta~rient by the within Warned Testator in the presence ~af~ izs, t~~ho in his presence and a~.t his reclue~:t, and in the presf~nce of each othf:°r, haves heretanto subsci~ihecl, uur n~jnles pis witnesses: ,{ ~~"~ ,. ,r ~„~ ,..~ (C Its. ~ ~ 1~t,.itf~)~ ~k i J e'~ ~ f't ~ r f. 7 ~ ~ J a _.. ~ --.. ~. ., ,., ~~ ; ._, t f Affidavit Mate ~,f COUIItV O~ d~,~ / /~A/~~~L !/~ City or ~1~~ Towrf ------- C_ e- -- Personall.~a~ appeared (I) -_w/c%~ _~L•~~a~~~~---- ---- { ~) ---------- - --------- -- and (~) --------- who being dull sv~~c~rncd, depose and sa_y that they attested the said Will and they subscribed the same at the reyuest and in the presence of the said Testator and in the presence of each other, and the said Testator, signed said W ill in their presence and acknowledged that he had signed said Will and declared the sarl~e to be his Last Will and Testarf~ent, and deponents further state that at the time of the execution of said Will the said Testator appeared to be ~f lawful age and sound mind and mem~~ry and there was n~~~ evidence of undue influence. The deponents make this Affidavit at the reyuest of the ~hestator. (1 ~ --=---------_ (z~ Subscribed ante sworn to before me this _ __ ~~ --- day cif _a,~~ 19 ~~---- , r~~ ~ ~ _~_ - ~~ -__- (?~otary 1' lic) ',1111M1.111111 *p1~11 Sic°'~I (Ni~tarv Seal) _ UR~H _ • ,~ • ~~otary Public, State of !~h(o ': ;, a =~ Section i 47.03 R,C, s''•'.rE o f o,~~.~ fly Commission Expires 1~~~!=!~ _3, ~- -~ ~ ) _ ` .1-- _...._ MATH OF SUBSCRIBING `VITNESS ES ` ~ ~~~~. ~~ ~~j ... '... ~ .. _ __ _ .._ .......~ 1 REGISTER OF WILLS `Y' ~- `-~L.~.Q.-~r..~I COLT?~ITY, PENNSYLVANIA -~~--~ `••; `~` -T, r.. J Estate of ~,~ ~ ~` . ~ ~~~ ~`~ ~ ~'" ~" ~~ _('~, rJ ,~ ~ ,Deceased T ._) r . ~~ ~ U ~~~ ~r~ ~ ~../ G~ L--~ f~ t Y 1 ~~ / ~ C~ J I . y ~~ ,, ~~ ( l _ :. 7-~' `^ °~ f: -^ p I,y ~ _, (each) a subscribing witness to (Print Name/s) the L~Will ^ Codicil(s} presented herewith, (each) being duly qualified according to law, df;pose(s) and say(s) that sh he /they was were resent nd sa~,v the above ~-~stato Testatrix sign the same _. and that sh / he /they signed the same and that she ' he /they sighed as a witness at the request of the Testator Testatrix in her his presence a.nd in the presence of each other. ;~ ~ - e~ (Sig~zatureJ (Sd-eet Address) (City, State, Zep) ~ - Execacted in Register's Office Sworn to or affirmed and subscribed before me this of day (Signatacre) (Street Address) (City, State, Zip) Execicted oast of Register's O, ffice Sworn to or affirmed and subscribed before me this _ S~ ~ day o f ~- u cv+_.e~, ~ t i~ Deputy for Register of ui ills Notary Public ~~ NIy Commission Expires: 5(,'Z~-~~'Z ,, (Signature and Seal of Notary or other ofFcial qualified to adm' ~ ths. Show Sate of expiration of Notary's Commission.) ~... ~,ptf ~i , NOTE: To be taken by Officer authorized to administer oaths. Please have present ` y of instrument(~~~~ry~n. i~#~ Form RW-03 rev. 10. l3.Oo 1 O~`` . ~ '~/~t~ M NNN`• OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of '•-~ ~ ~' ~ (') ` lrh 5 ~~ (fit ~ ~' ~.I k-~ `tom '~` (,~ Y~ Ch ~ ~ `~ ,Deceased (~c rl~\-I s~ ~ ~ ~ ~ y~ i7 `(w ~ ~. 0 ~ ~,~ ~-L-' ~' rind ~, t-~ \ r` r ~ ~(' ~ L'l ~ C'~+ 'c~~~~ ,~ c~ v~ ir"1- c, ~ (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- q ~ ~ C~ ~ o, 5 ~-~ o, r t u ac uarnted with N ~ (' Y~ f (> w~ cr ~ ~ S and amJare familiar with the handwriting and signature of the decedent, and that the signature of ~~ '~ ~~ c; \ Cr ~, ~ ~~ ^,,~ v r y ~ -1C~ ~'~ r~ ~; ~~5 r to the foregoing instrument purporting to be the Last Will and Testament/Codicil of1~ ~ ~ ~ ~~~, ;~ •~ cy, .~ ~,~ pc~> v~ r ~-1 A Y. ~ ~ C~ '~,''vL ~ ~, ~ S is in his/her own proper handwriting. ~-~~~. ~-'~-'l ~ ~ c~.~"tip- ~ ~ ~- ~ ~ ~_~.~-Z (Stg/1 atlll'e~ (Street Address) (Cite, State` Zip) Execicted in Register's Office _~ , (Signature (Street Address] (City, State, Zip) _J ' ~"~v~C> Sworn to or affirmed and subscribed before me this ~_~-_-~ ~ day _, ~, ~,. .. :>. ~, . ~- ~~;., Depr~ty for Register of Wills = ~ _ - "~ __ ~'"~ C _. - : ~ Form RW-04 rev. 10.13.0(