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HomeMy WebLinkAbout03-25-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of a/k/a: a/k/a: a/k/a: Deceased ESTATE NO: 21- ,-~+'~ ~ ~. - _=>C` '( SS NO: ~~ 5°~~- 57~, y Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "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 aforem nti ned Letters under the last Will of the above-named Decedent, dated ~'~iv~9~ ~ 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 p on, and w~ot a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been es~hed as ~efined.~ 23 Pa. C.S.A. § 3323(8): ~ ~~ ~-:° i~ -, ;_ ~; .-. . ~~ _.._ _. => f"T'1 ~ ^ B. Grant of Letters of Administration ; ~ ~? u~ ~ '_ (If applicable, enter d.b.n., pendent lite, durante absentia, durante~ Q~7re) -~ _ ~ C_ - - T- C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived by t~ ~ f~- ~,~ following spouse (if any) and heirs (If Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A ~d complete~ll~st of ~r~ ~_-, heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pend>>~tg divorce -`" proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows: Name add ranGc s L - ~m ~--~, ~„ as ~;~s~.•. P;,~~. ~~. l~n.-h t,a~ iV ~r a 3 ~ 3 ~ cce~a~~onsm to uecea~ u u ~ ~ ,- ~1 • ~ f l J ~ ~' r' /' ~ C ~ 1 ~ ~ 5 ~.3~GC,u.~~'~ ~ , 1 ~ [:~~ta n..:. _ ~~ 1 S 7C~ / ~ `~ 'l --- iiCF AlliliT~llAi A ~ CuL~c'rc ^r t~Tr. ~rcV~ . r.~~ nt THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At c~ 01/~ ~~ ~ ~ ~'c-~ /~ 34/, ~ern~~~ err P~ 1 0~3 (Street address with Post Office and Zip Code, Municipali :Township, Borough, City) Decedent, then ~ ~ ears of a e, died L b~ a r Y g u a~~': oZc? I I at ~C~ /~ /~~ / ~ ~~ (Month, Day, ear of death) (City and State where death occurred) Estimated value of decedent's property at death: _If domiciled in PA All personal property $ p~ 35. ~D _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 $ ~~ ~O 0.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(s) & Mailing Address(es) ~~ ~ ~ 1 tiC~ ~2vV~ iS~v~i 2~~v~ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2 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 affirmed and subscribed °~ ''" ,~ before me this ~~ day of ~~~. _~ ~ ~ -~.-~ -~-• ~...a.r For the Register y ~~^~~ -~-;r ~~'~' .f..i --L.. ~ .~:"kts T ~~ ...~ T... (.'-' __.. --~, r' .~_., ~ ~~~ DECREE OF PROBATE AND GRANT OF LETTER~~--~r,~, ~- _ LL. t~..:.~ -,-, ,_ ~ ~.._ . S-..... __ Estate of _~ ~~ fir`, M~,~ (~,~ ~..~' L? u~Y~ ~ ~ ~ ,Deceased File Number: 21- ~ ~ `o ~ '' ~ ( _~ , -~ - l ~ ~ 1 ~ +} `-''3 AND NOW, this ~? `-~ day of ~'1~t(;l ~"~ f ~ ~~~ ~ ~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented 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.) t '~ ~ ~ f~~ 1 2 I in the above estate and that instruments s dated `~ -- I ~~ ~- O _ ! ~''~~~? described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. -Glenda Farner Strasbaugh, ? ~ f ~ C.~ a'.;'C,l'~~~~_-y~),_ ~ ~ ~ °: Register of Wills ~ ~ ~ 4~ ~ ~~ f _ ~~~ FEES: Letters ....................$ . ~` Will ....................... . ~ ~ `1~ - Codicil(s) ............... (~j) Short Certificates ~'~ L~~' ( )Renunciations....... Bond ............................ Other ............................. ................................. Automation FEE......... 5.00 JCS FEE .................. 23.50 -- ~-- ; TOTAL ................ $ .~~0 Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 oft ~~-L RE~I~T•RAR'~' ~~E =~ ~tp~:~ ~ ~~ .§r,~ ~- #~~';~t NI~IG; !t isr i!lega! t~~ ~ira~ii~~~~~ ~f7~ ; ~:~~~~ R~, ~ ~~~~;~, , °,~~ r :3~~1 ~.-~,:° ,1~ tl~i~ ~L:•rtilicei(t. ~f. O3 . P 1724827.7 ,~~- /~ 4\`v _d; wyi r ~, x, ~>~~N P r ~1E REV 1lrzoos COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS PRINT IN 1ANENT CERTIFICATE OF DEATH ,K iNK See instructions and exam les on reverse P ~ STATE FILE NUMBEfl 1. Name of Decedent (First, middle, last, suffa) - 2. Sex 3. Social Securi Nwnher 4. Date of Death (Month, day, year) 5. Age (Last Binhdayj Under 1 ear Under 1 da 6. Date of BiM Month, da , ear) 1. Ci and state or for n count Ba. Place of Death Check one (~` Months Days Hours Minutes ,~,/1 /~'~ (y~r ~J1,A/ ! /~ Hospi I: Other: g -r YfS. ~`'' l V ~ ~ / fiL / ~j- ~/~ Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home ^ Residence ^ Other - Speciy: 8b. County of DeaN 8c. Ciry, Boro, Twp. of Death 8d. Facikly Name (It rat instiWion, give sbeet end number) 9. Was Decedent of Hispanic Origin? No ^Yes 10. Race: American IrWian, Black, While, etc. ` (h yes, speedy Cuban, (Specil}~ ~ , ~LtwrbtY'~~~26t.. JCL M-~ ~';11 J,,4 ~CI t ~ J j r j L' `~QS~l vk ~ Mexican, Puerto Rican, etc.) ~ I+}.~? 11. Decedent's Usual Occu anon Kind of work dome Burin most d woridn k(e. Do rat state retired 12. Was Decedent ever ro the 13. Decedent's Educatwn (Specify only ttighest grade completed) 14. Marital Status: Married, Never Married, 15. Surviving Spouse (M wvfe, give maiden name) U.S. Armed Forces? Widowed, Divorced (SpeclfyJ KindotWOrk Kind of Business/industry Elementary /Secondary (0-12) College (1-4 or 5+) ~ {~ ^Yes ~NO 1 16. Decedents Mailing ddress (SUeet, a / }own, state, zip code) Decedent's Did Decedent / e M Q Y yt t~ ~rO ~ a / ^9 ~~~ ,,y~ ~!1'T' 3 L./ Actual Resdence 17a. State Live in ap 17c. Yes, Decedent Uved in L ' , 1 , `'C•.~ Twp. :7C ((VV D( / i u!7/ • / ~ Townshi ~ 17b. County 17d. ^ No, Decedent Lived wi[Mn Actual Limits of Ciry / Boro 18. Father's N~rr a (Fir , mitldle, t, suffix) 19. Mottters Nam (~vsL middle, maiden Burn ) r <. JrLCo~- ~ 20a. Informants ame (Type /Print) ' 20b. Informant's MaiG Address (Street dry / rown, te, zip ) C ~ rl`S ~ u- ~ rv,~~r ~ ~ S~"i-a~b~~ r•~ .~i u ~ 5`741 21 a. Method of Disposition t ^ Cremation ^ Donation 21b. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name d cemetery, crematory other place) 21 tl. Location (Ciry) town, ,zip code) t Burial ^ Removal from State t Was Cremation or Donation Autfwrized ? „~ ~~, ~O / ~ ~ \~ pt~a `,. ~ A, /n~ / ~p yL.t ~~p ~/r ~,L Yl i.y ~/L ~ K~ /~~ _ ^ Other - by Medical Exarttinerl Coroner? ^Yes^ No .J 1 V V-[.~ K- (i(~• • ! l.~ 4t- • LG~ ~r ~+l G 22a. Sign - re of Funeral Service License (or perso~ing as such) 22D. License Number 22c. Name and Address d Facility ' J ~~- ihd~ f ~ ~~. hi)~t,S~:' ti~~t pig f5r7 Complete ite Sac only when ceratying 23a. o Ne best of ge, deaN occurred at the time, date antl place stated. (Signature and tale) 23b. license r 23c. to Signed (Month, day, y ) physician is not available at time of tleath to \ ~ ~ certify cause of death. P ~ '~ j - 3 y 3 ~ 5 ~- e_ j'Z bf ~tA-r ~ 28 , 201 Items 24-26 must be completed by person 24. Time of Death (/.p 25. Date Pronounced Dead (Montlt, day, year~)1 `` 26. Was Case Referr Medical Examiner I Coroner for a Reason Other tltan Cremation or Donaton? who pronounces death. ~S ~~ +' M. ~~~ r~i,,>,(~r- ?~ ~.~ (~~ I ^Yes No CAUSE OF DEATH (See instructions and examples) t Approximate inlervai: Pan IC Enter other siandicent conditions contribuanq,Jo death. 28. Did Tobacco Use Contribute to Death? Item 27. Part I: Enter Ne chain of events -diseases, injuries, a tnrttplications -That directly caused dte death. DO NOT enter terminal events such as cardiac arrest, ~ Oruet to Death but rwt resulting in the underlying cause given ro Pan I. ^Yes ^ Probably respiratory arrest, or ventricular Lbr Lion without showing Ne etiology. List Dory one cause on each tine. ~ ~ No ^ Unknown IMMEDUITE CAUSE Final disease or P, 9 '\ ~ { ~L~ ~t ~, c~ r_ i condition resuking in beam) _~ a ~,te'~-~IL~ t V ~ Pu~.rn~Y,JF \/ ,~,' fC Ql ~ i 29. If Female: Due to (or as a consequence of): t ^ Not pregnant wihin past year Sequential)y list corxkiions, it any, b i ^ Pregnant at time of death leadtn to the cause listed on line a. t ^ Not pregnant, but pregnant within 42 days Enter the UNDERLYING CAUSE Due to (or as a consequence of): , (disease or injury that initiated the t of death events resulting in death) LAST. c' ~ ^ Not pregnant, but pregnan143 days to 1 year Due to (or as a consequence op: t cefore death d. t Unknown if pregnant wittin the past year 30a. Was an Autopsy 3W. Were Autopsy Findings 31. Marutar of Death 32a. Date of Injury (MOnm, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury'. Home, Farm, Street, Factory, Penonned? Available Prior to Completion ~/t_ Off;ce Bidding, ek. (SpeciN) of Cause of Death? tural ^ Homicide .~{, ^ Accident ^ Pending Investigation 32d. 7me of Injury 32e. Injury at Work? 32f. If Transportation Irtjury (Specify/ 32g. Location of injury (Street, city /town, state) ^ Yes J'~J No ^Yes ^ No ^ Suicide ^ Could Not be Determined ^Yes ^ No ^ Driver/Operator ^ Passenger ^ Pedesidan M. ^ Other - Speciry- 33a. Certifier 4check only one) 33b. S Wre rid Title of Certifier ~ ~~j~,/ /~ ~ /> ~./ • Certifying physician (Physician cenitying cause of death when another physician has proraunced death and completed Item 23) ~1 ~ f,7 j L/v /p`..~i./ / ` To ilia best of my knowledge, death occurred tlue to the ceuse(s) and manner as stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,_ _ _ _ _ _ _ _ _ _ !OI• • Pronouncing end carUtyirtg physician (Physican bom pronounang death and certifying to cause of Beam) 33c. License Number ~ 33d. Date ed (Month, da ,year) " `^' To the best of my knowedge, death occurred at the time, date, and place, end due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ~/y'' ~1 ~`"'°"` • Medical Examiner/Coroner ~ ~ • ~ ~ _ ~ ~ . ~~ On the basis of examination and / or investigation, In my opinion, death occurred at the tlrne, date, and place, and due to the wuse(s) and manner as stated_ ^ 3q. Name and Address of Person Who Completed Cause of Death (Item 27) Typ~' n r _~,.) 35. R ~ Ira at a antl Di umber I ~ 19 I ~ I ~~ ~ I 36. pate Filed (Month, day, year) -~ - - // 2 ~ U ~ U 4th c~.-c._._. N _ Disposition Permit No. ~~. '''~y_ f~~) ' f \ ~ i ~' ~- s O ~~.J _~ 7 4 ~ W ~./~ ~ C ~z'7 OF RUTH M. GUERRIERI I, RUTH M. GUERRIERI, of Silver Spring Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose . ~ '"' =T=~~ -, ~ _~- ~ . . ~ , / ~~ \~ l ~ ~~~ ..~~ ~ ~ ~ V ~ ~ ~ r~ ~ i' PAGE 1 OF 6 ,J~ ~~ ~ I L:.~ . ~~ LAST WILL AND TESTAMENT OF RUTH M. GUERRIERI SECOND I give, devise and bequeath the rest, residue and remainder of my estate, together with all insurance proceeds thereon of whatsoever nature and wheresoever situate to my beloved spouse, ALDINO L. GUERRIERI, providing that he survives me by thirty (30) days. THIRD Should my spouse , ALDINO L . GUERRIERI , predecease me or die on or before the thirtieth (30th) day following my death, then I give, devise and bequeath the rest, residue and remainder of my estate together with all insurance proceeds thereon of whatsoever nature and wheresoever situate in equal shares to my children, FRANCES L. SMITH, A. CHRIS GUERRIERI, and TONY M. GUERRIERI, who survive me by thirty (30) days, per stirpes. It is further my desire that my personal representative, after consultation with any heir or heirs of mine who survive me, and in his own discretion, choose such articles from my tangible personal property (exclusive of cash, stock certificates, bonds, and all other tangible evidences of intangible personal property) as he believes will be useful to such heir or heirs or desirable for him or her or them to have, either from a sentimental point of view or otherwise, and to deliver such articles to such heir or heirs or among such heirs in equal or unequal shares as determined by the further exercise of his discretion, provided no other heir objects to the distribution. PAGE 2 OF 6 ~ (J LAST WILL AND TESTAMENT OF RUTH M. GUERRIERI All tangible personal property not so distributed is to be sold, either publicly or privately, by my personal representative, adding the proceeds of such sale or sales to my residuary estate and to be disposed of in equal shares among my surviving heirs after payment of my estate debts, taking into account the tangible personal property otherwise provided to them. I grant my personal representative the following powers in addition to and not in limitation of such powers as my personal representative shall hold by law: (a) To retain all property received including the stock of any corporate fiduciary acting hereunder, provided such property remains productive. (b) To join in any corporation, partnership, recapitaliza- tion, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate held or owned by my estate. (d) To operate any business that I may own at my death. (e) To invest any funds of my estate in any stocks, bonds, notes or other securities or property, real or personal, without PAGE 3 OF 6 ~~ t 'J LAST WILL AND TESTAMENT OF RUTH M. GUERRIERI regard to the principle of diversification or any other statute or general rule of law in his absolute discretion, it being my intention to give my personal representative the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such terms and conditions as my personal representative shall see fit in his absolute discretion. (g) To borrow money for the payment of taxes or for any other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j ) To undertake any and all acts deemed necessary and proper by my personal representative for the proper, advantageous and prompt management of the settlement of my estate. (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and PAGE 4 OF 6 LAST WILL AND TESTAMENT OF RUTH M. GUERRIERI conditions as to him may seem best and to execute and deliver all instruments and to do all acts which he deems necessary or proper to carry out the purposes of this, my Last Will and Testament. FIFTH No interest of any beneficiary of my estate, either in income or in principal, shall be subject to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have the power in any manner to charge or encumber his or her interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my personal representative for the liability of such beneficiary. SIXTH I nominate, constitute and appoint my spouse, ALDINO L. GUERRIERI, as personal representative of this my Last Will and Testament. In the event my spouse is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son, TONY M. GUERRIERI, as personal representative of this my Last Will and Testament. I direct that my personal representative shall not be required to give or post bond for the faithful performance of his duties in this or any other jurisdiction. I further direct that my son, TONY M. GUERRIERI, be paid a five percent (5.Oo) executor fee for the duties he has been requested to perform. PAGE 5 OF 6 1~ LAST WILL AND TESTAMENT OF RUTH M. GUERRIERI IN WITNESS WHEREOF, I hereunto set my hand to this my Last Will and Testament this day of ,~~~ 1999. WITNESS: F~ 1~I ~, t , I .. J PAGE 6 OF 6 h ~'`. LAST WILL AND TESTAMENT OF RUTH M. GUERRIERI ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : SS. COUNTY OF CUMBERLAND : I, RUTH M. GUERRIERI, the Testatrix whose name is signed to the attached or 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, /,-, r ,,~` ~. ~, fir` ~ r ~.- ~ ~ t j~t..~.... RUTH M. ~U RRIERI Sworn or affirmed and acknowledged before me by RUTH M. t~~ f GUERRIERI, the Testatrix, this r'~~ ~" day of ~`,~:~ _ , 1999. .., .r OTARY BLIC NOTARIAL SEAL HELEN E. RASMUSSEN, Notary Publ'~c Camp Hill Borough, Cumberland County My Commission Expires Aug. 2, 2003 ., I LAST WILL AND TESTAMENT OF RUTH M. GUERRIERI AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA : SS. COUNTY OF CUMBERLAND ; ~' ~, WEB n~~~ ~~ ~- and r~,~ '~ the witnesses whose names are attached to the foregoing document, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the 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 subscribing witness in the hearing and sight of the Testatrix signed the Last Will and Testament as witnessed and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. i f~ ',,(~'' L ?~' ~,. v f, Sworn or affirmed and subscribed before me by Z JJ ~~ ~ r, t ~ ~ ~'~~;~`C_ 1 and -- this day of ~ 1999 . OTARY IC NOTARIAL SEAL HELEN E. RASMUSSEN, Notary Public Camp Hill Borough, Cumberland County My Commission Expires Aug. 2, 2003 fa i