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Home My WebLink About02-25-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of CLARA L. ZAWADSKI aIk/a: a/kia: a/k/a: Deceased ESTATE NO: 2~~ i~ --- -~- ~' _ (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: D 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 TESTAMENTARY _ under the last Will of the above-named Decedent, dated 8/23/2004 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 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):_N/A ^ B. Grant of Letters of Administration 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), except as follows: ~~ ' ? ~ te ~ r- _ ' -- ~: r ` ' ~ tr7 Mr ~'.,, . ;. ,_-7 `'7 .~ _~ USE ADDITLQNAL. SHEETS IF NECESSARI' -' ~, -~. , THIS SECTION MUST BE COMPLETED: ~--- ~'- c.~; +::~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or princc~aal residern~e At 220 N. COLLEGE STREET, CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA 17013 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 87 years of age, died 2/12/2011 at (Month, Day, Year of death) Estimated value of decedent's property at death: If domiciled in PA If not domiciled in PA _If not domiciled in PA _Value of Real Estate in Pennsylvania SS NO: 171-42-0383 CARLISLE, PENNSYLVANIA (City and State where death occurred) All personal property $ Personal property in Pennsylvania $ Personal property in County $ $ Total Estimated Value $ Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) 74,000.00 74,000.00 Name(s) & Mailing Address(es) c~ ~' JUANITA E ZAWADSKI, 220 N COLLEGE ST CARLISLE PA 17013 Interim Form RW-02 revised 12.26.10 by Cumberland County pendine action by the Court Saar t ~,t'~ Nu-~ne Address ationshi to pe~ edent OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm 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 affirm; d ar~d subscribed before me this ~ ~ ~ _ _ d~ a of -- y _ ~, ~ ~ ~' i ~ti ~~~ ~ _.~ ,_-_ ~ For the Register ~ '=~~~ `"= ;c ~- :~ ,.? DECREE OF PROBATE AND GRANT OF LETTE,~'J c..= ~ ~::~ R:.~~ Estate of CLARA L. ZAWADSKI ,Deceased File Number: 21- = ~' j ~ -~`~_ __ __ - ~; ~~_, ~:~ ~ -. AND N®W, this ,~ ~ day of `C=t t' ~ G~ i l , in consideration of the Petition on the reverse side hereon, satisfactory proof having been p esented before me, IT IS DECREED that betters x Testamentary of Administration are hereby granted to: (If applicab-e, enter c.t.a., d.b.n., d.b.n.e.t.a., etc.y JUANITA E. ZAWADSKI in the above estate and that instruments(s) dated 8/23/2004 described in tie p:;titior~'oe admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda Farner Strasbaugh, ..~,~ ~ ~.-~ ~~ t ~t.~~ ~ ~ ~-„~,~.,'t ' Register of Wills FEES: L,etters ....................$ Will ....................... Codicil(s) .............. . (3) Short Certificates ( ) 1Zenunciations...... Bond ............................ Other ............................. 135.00 15.00 12.00 Signature of Counsel Required to Enter Appearance Atty's Signature ; {..y~ ti1 ~+~~/ ~1~~'~-~- PRINTED Name: ROGER B IRWIN Supreme Court ID No.: 6282 Address: 60 WEST POMFRET STREET Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ 190.50 CARLISLE, PA 17013 Phone: Fax: 717 249-2353 717 249-6354 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 GAL REGISTRAR'S C:ERTIFICATIUIV t~F ~EATI~ V~'AL~iNING: It is illegal to duplicate thisrop~° by photost~~t a~' photca~s~px° t11, _'l'f)ll)o ~i ~ rt l ,, ~ It I (., ~~l tlli xtl~tf(rfr~~~~~~ ~F~t~~ ~~ ~_ .fir ':~Cl (~ {~~, ~~4~ ~ ~~~I ~i ~ ;1(I)i)~)~5?1Pi~lil ~~t_~i""titllll. Ilt' Ot I)Il IS e~ath ~~~~~,'~ ""~ ~ 1I~, (,i•~'~ II' !I ,_ •, ~ ~.:~l~l ~~e~rl.~trLlt-. ~hhc Ulik?In~ll /~`~ ~; ,c ~~, ;-.. T' ~ I)19~ .(l: ~~, ,,litlf'41 Tf1 111(' `~1<t1c' x')1111 I ~ ~ ,' ~4. ~- P 17115 2 0 8 \9'~~'~~~ ; ~ ,1 ~ ~,~'.r'' L c; ~r~->.~~C--- FI_~ _~ z o t ~ .., l`1.1111~"~'.1i/1t'; l(tTl'")6.'I - I ;i~ 1ti, ~_i ~F.~:, 1.7a1t 1}~Uf(S r_ . ~1i;I..~ C`x7 - ~~ I"- , _._.~ " ~,I:, ~ _ ~.. --~: tau; ....~..~ t._) .~ ~ ~` ` ::.~ O ~: H105-143 REV 11/t006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE /PRINT IN ~""""'`"~ CERTIFICATE OF DEATH BLacK INK (See Instructions and examples on reverse) STATE FILE NUMBER . ~ . • 0 N • w 0 Z s ~^.~ i Dlspositlon Pennn No. ~ ,. ~ ~ o ~~ . `Y 1. Name d Decedent (First midde, lest, aufnz) Zawadski Clara L 2. Sex 3. Social Security Number 4. Date d Deem (Month, day, year) . Female 199 _ 14 _ 5853 February 12, 2011 5. Age (Last Bkthdey) Undar 1 Under 1 da 8. Date d arth Modh, de , 7. Bi and stele a f )a. d Death Check one 87 ""°^'"° °e~ "°"'" ~^'"° May 2, 1923 plymouth, PA Hospital: Other: Yrs• ^ Inpetied ^ ER / Outpatient ^ DOA ^ Nursing Home g] Residence ^ Other - SpadY Bb. Count' of Death &. City, Coro, Twp. d Death 8d. Feality Name (If rat irratlNtion, give street and number) 9. Was Decedent d Hispank; Origin? ~ ^ y~ 10. Race: American In6en, Black, Wtkte, etc. Cumberland Carlisle, PA 220 N. College Street, Carlisle (I~ ~ cu~n (speaM ~) White 11. Decedents Usual tlon Kind d work d one du moat d Ma. Do not stare 12. Was Decedsd ever in the /3. DecedslYs Edlx;atlon (Spedfy ony highest grade oanp letaQ id. Medrel Status: Martled Never Mertied 15 SurvMng Spo use (n wne ive maiden name) Kkddwork KinddBusineas/lrxlustry U.S. Amred FacesT Elementary I Secondary (0-12) Cdlege (1.4 or Sr) , , Widowed, Divorced (Spedly) . , g Homemaker Own Home ^ tea C~t4e 2 Widowed 16. Decedent's Melting Address (street. city /town, srere, zip code) OerxidenYs Did Decedent 220 N . College Street Aduel Residence 17a. State PA Live Ina 17c. ^ Yes, Decedem Lived In Twp. PA 17013 Carlisle 17b.County Cumberland T°""'a"~' 170.1~No,DecedentUvedwtthin , Actual Umits d C'F4 Y ~ l R ~ P City I Boro 18. Felirefs Name (Frst, middle, last, suffix) 19. Mdhers Name (Flrst, middle, maiden sumeme) Augustus Stravinski Helen Wasilewski 20e. Idomrant's Name (Type /Print) Juanita Zawadski 20b. InlamranYS Manirg Address (Sheet, city /town, state, zip coda) 220 N. College Street, Carlisle, PA 17013 21a. Method of DisposiNni , ^ Cremation ^ Donation l ^ R C~ B i l h stel ~ 21 b. Date d Disposttini (Month, day, year) 21c. Place of Dispos0fon (Name d cemetery, crematory a other place) 21 d. Location (City /town, state, zip code) ur a emova en e wee Cremetlon tx bonetlon Authalzed ^ ^ ` b r'" d1 I ~ ' /c '' ^ Feb . 18, 2011 Indiantawn Gap National Cemete Ves °tliar • ' s " `°'" "°r °r°"" "° Annville PA 17003 zee. Funeral such) 22b. License "anther 2z°. Name and Address °' Facnity Hof fman-Roth Funeral Home & Crematory - 138504 219 North Hanover Street, Carlisle, PA 17013 Conprere ttem c any when cerofYmg physician b rat avertable et Ume d death to 23a. To the treat d my knawbdge, death acwrrad at the time, date and place silted. (SignaNre and tale) ~ ~ 23b. Lcense Number ' 23c. Date Skpred (Mnim, day. Year) ~„,, cause cf deem. G4t l ) 1`f-I~ i~~' C ~+ t~ ltG,xfC._. / ~ N Z2s ~77 3 oaf IZ Zl~ t I ttems 2a-28 must be tad rani c°rnDle by pe who pranourrcee deem. 24. Tmra d Death _ (~ ~ ~ ~./ ~ A M. 25. Dale Pronounced Dead Month, de , ar ( Y Ye 1 ~ ! ~ 2 ~ ` 1 26. Wee Casa Refe~rt~e'Q( re Medical Examiner /Cornier hx a Reason Ottrer man Crematbn or Donetion7 - ^ Yes ~1 No CAUSE OP DEATH (Sea InstrurKbrts end sxamplee) r Approximate interval: Item 27. Pan C Eller me drain devents - dseasea, In)uries, a carpNcatiara • that dretdly caused the deem. DO NOT enter tenrdnel events such es cardiac arest, t Onset to Death i t Part IC Enter other but rat resuttkrg re the underlying cause given in Part I. 28. Did Tobacco Use Carddbule to Death? ^ Yes ^ Probe ~ resp ratory arrest, a ventncular Imritiation wtthoN showing me etbbgy. List nit' one cause ni each kne. r IMMEDIATE CAUSE fFinal dsease a w r ^ No ^ Urrknown ~-} condition resulting in death) _~ a. ^~~ l ~ ~ ~ Y ~ L (/~ f t tf ~ v r r }(~~'r~~ ~(1 '-`~Y~I'e ~ ~ ~' .5. II Femeie: ^ Nd entwithin s re n a t ear pni ~q( Ily I~t catanan. n art', b _ 2_ _ P I vin Q~(' S ~.Q m.Q/~ '{" t '~ ~ ~l~a~ ~ r W Ihs cause nsted on tkre a. ~-- ~~~ ~~ ( t p g p y ^ Pregnam at time d death Eller UIxtERLYIN6 CAUSE ()ve a6 a correequen oq: t (disease a hwry met IniHeted the ~ . t everris resuPong m deem) LAST. c. t w S (e'1~ r ` vJ (, CV `.~+1 6 Y ~7^ 1 ~ ` f ^ Nd pregnant, but pregnant within 42 de Ys ^ death Due to (a as a off: t Nd Pregnant, but wegnam 43 days to 1 year d. ~ r before death ^ Unkrawn n pregnant within the past year 3~. Wes en Aulapsy Pertamrad? 30b. Were Autopsy Findings Available Prbr to Com/rlatbn 31. Meurer d l)aem 32a. Date d I ' Month, de , nNrY ( Y Year) 32b. Deacdbe How IrQury Occurred 32c. Placed u Home. Fertn, S1ree4 F i '' g aCtOf y~ d cause d Deem? ~ Nearel ^ IiorrriCide Olfice Bu ld , etc. (Speafy) ^ Yes ^ Vea ^ No ^ Acddsrt ^ Pendtrg Investigation 32d. Time d Injury 32e. Inlay at Work? 32r, tt Trsreparetlon Irrjay (~+N) 32g. Lacetini or injury (Street, city /town, state) ^ Sulfide ^ Could Not be Derertnhed M ^ Vea ^ No ^ Driver/Operate ^ Passenger ^ Pedestrian Other • Speak' 33a. Certllbr (check nit' one) 33b. Signature a • Gr18Ylag phyaklan (%ryafdan wrdykg cause d deem when arather phyeidan has pronounced dim end compbted Item 23) . - 1~ TotMbeetolmygrowladga,drdraeerendduetodwdur(a)endmennsasahrd--------------------------------- ~ • Prarorarclrrg and cMHYMg PM•kl•n (~Y~e^ hour Pig dim and certnykg b cause d deem) 33c . License Numbar 33d. Date Signed (Mnim, day, year) To the beat of my krgwredga, loth occrmad at the tlme, data, end phce, and due to lha eeuea(a) and manner r slered_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Msdkel Exardrrr/Coroner q e ~ l~ ~ ~ O 2 / 1 ~ Y Z ~ / / ~ /' T l On the heels d exsmhraHon end / e Irnrestlgatlon, M my opinion, death occurred el the Urrrs, date, and place, end due to the auae(a) std manner as elarerL ^ 34. Ne end Addressor Who cCompleted Cau d m (Item 27) T /Print ~ ~ 35 Re istraY and l~h«~ ~ J~ (/~ ~ r W`~ . g - ~~~ ~ I~ I 1 I t~ I[ I t7 I ate Fled ( .day, Year) Z 5a i~t 5'1~ n ' ' _ j O 2 3Cagt ~i[I anb ~egtament OF CLARA L. ZAWADSKI C7 :_ ~~, ~~ ~:, __ ,_._.~ -- _ .~ t-~ - :~~ ,J} ~. -.. t -~-~ , -. , -:~~ ,, -r, ~ •'~ 1.:....3 -; 1 I, CLARA ~. ZA~'b'ADSKf, of Lower Alien T ownsi~ip, Cumberland County, Pear-~syivania, declare this to be my last will and revoke any will previously made by me. I direct that all my legal debts and funeral expenses, including my gravemarker and all expenses of my last illness, 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. I bequeath my household goods, personal effects and other tangible personalty of a like nature (not including cash or securities), together with any existing insurance thereon, to my daughter, JUANITA E. ZAWADSKI, provided she shall survive me. I devise to my daughter, JUANITA E. ZAWADSKI, provided she shall survive me, the improved real estate situate in the Borough of Carlisle, Cumberland County, Pennsylvania, municipally known as 220 North College Street, Carlisle, Pennsylvania, and being more particularly bounded and described in Deed, dated July 2, 1990, recorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Deed Book S, Volume 34, Page 43. Iv. devise to my daughter, JUANITA E. ZAWADSKI, provided she shall survive me, the improved parcel of real estate situate in Lower Allen Township, Cumberland County, Pennsylvania, municipally known as 302 Somerset Drive, Shiremanstown, Pennsylvania, being Lot No. 14, Block "Q", Plan No. 6 of Shireman Manor Extension, which said Plan is recorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Plan Book 20, Page 35, and said real estate is more particularly bounded and described in Deed, dated July 16, 1970, recorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Deed Book S, Volume 23, Page 291. V. I devise and bequeath the residue of my estate of every nature and wherever situate as follows: A. Thirty (30%) percent thereof or Twenty-Five Thousand ($25,000.00) Dollars, whichever is less, to my daughter, SANDRA C. ZAWADSKI. B. The balance thereof, to my daughter, JUANITA E. ZAWADSKI. VI. appoint my daughter, JUANITA E. ZAWADSKI, Executrix of this, my last Will. Should my daughter, JUANITA E. ZAWADSKI, fail to qualify or cease to act as Executrix, I appoint Mid Penn Bank, Millersburg, Pennsylvania, as Executor of this, my last Will. VII. I direct that my Executrix, and her successors, shall not be required to post bond for the faithful performance of their duties in any jurisdiction. -2- IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~rGB day of 2004. ~~<</C~P.OY'~~~cl~ (SEAL) CLARA L. ZAWADSKI Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other have hereunto subscribed our names as witnesses. -3- ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: I, CLARA L. ZAWADSKI, 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 Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~2~ CLARA L. ZAWADSKI Sworn or affirmed to and acknowledged before me, by CLARA L. ZAWADSKI, the Testatrix, this - ~ ~ ~tay of , 2004. ~~~~ t.EN10, ~d~ata~y I~'~~~lir ~ ~v~~rE~~t~e ~~~rc~~g~ u~~i~~l~r~d Ocj. ~~ ~ ~~r~~~l~si~~ ~x~ir~~ 0~~. 21, ~~0~ ~. Notary Public -4- AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, -C'~ . and ~ ``~~.~-~ the witnesses whose names are signed to the foregoing instrumen ,being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was that time at least 18 years of age, of sound mind and under no constraint or undue influence. ~~ ~., ~C-~' ~~~~ C~ Sworn or affirmed to and subscribed to before me by and -C~ ~~ ~ witnesses, this ~ day of 2004. Notary Public cam, _ :227447 _ .r... _.~w .~ . _.....~ ~._, ...,....~...~.~,...e......~...._,~.....,....~~ ~~Ov~~~b~L SEi~~, ~ ~lA~~dE L~iVIG, ~~tary ;'~~~lic ~~ ~5.veym,~eQyn~~{ a~o1ra~`t~g~,~ r~~; u~nb}n~rl a/lnj1~ Ce/o~!(.~'~ f ,i i ~~V~y ~~.R'~1~119~~A71~A~ ~/~.~~E\!~ ~3J~• G.. F p ~Y:/'J' ~C