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HomeMy WebLinkAbout04-13-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WII.LS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of '(~0~,~ \~~ ~h~JQ `~ ,Deceased ESTATE NO: 21- ~ ~~ a/k/a: a/k/a: a/k/a: SS NO: ~Oa~'-o1-fir ~~7 4 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 ant; grant of Letters Testamentary or pAdministration c.t.a., or d.b.n.c.t.a. (eQntplete Part Calso) and aver that Petitioner(s) is/are entitled to the aforeme lion d Letters ~~p ~~Q M {`~f under the last Will of the above-named Decedent, dated ~ O l1 ~ ~ ro 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 bom 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 proctxdin$ at the time of death wherein Qrounds for divorce bad been established as defined in 23 Pa. C.SA. $ 3323(8): ~`' ^ B. Grant of Letters of Administration d.b.o., peadeat C. Petitioner(s), after a proper search, has/have ascertained that Decedent leR no Will and was survived i 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 heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a par proceeding wheriin grounds for divorce had been established as provided in 23 Pa. C.5.A. g 3323 Decedent vas domiciled at dest~ in Cumberland At ~- ~C.i c~t3 ~..~nr~d Vic'.. M with (StiG~t address with Post Office erd Zip C e, M~ ' ipality: Township, Horough,'t7ity) 1 ^.Q G Decedent, then ~~ years of age, died at (Month, Dey, Year of death) (City grid Stan where GJ ~~ ~n r. ~ v-; r Z •'-~ ~lete ~ of - 7 pendittvorttr ~~ :pt as fo ws:~ rT' o or principal residence Estimated value of decedent's property at death: _If domiciled in PA All personal property S _If not domiciled in PA Personal property in Pennsylvania S T ©00 _If not domiciled in PA Personal property in County S _Value of Real Estate in Pennsylvania S Total Estimated Valuee ^S~~~^~_Oi_,~ ~ ~ (~ Location of Reai Estate in Pennsylvania: (Provide full address if possible.)~k\ 1V'r.~lw )C T1 ['l ~J~ . ,~ ' ~Cil( Ltnl C:.~tJ~ ~ ~~ fl Sioesturdsl Name(s) & Mailing Address(es) -`" p e~~ , -t~ Interim Form RW-02 revisal tz36. to oY r=umoerufne ~oumy pe~amg acaon oy inc wun U • -e- • -• - THIS SECTION MUST BE COMPLETED: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ ~ ~ I14iWi~l/d~ 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 ~ th day of ,~ ' For the Register Signature ojPersona! Representative Signature ojPersona! Representative Signature ojPersona! Representative File .ti- ~.~ p ~ xa. ~r~--- ~ ~ ~~, .2; .~ cn ~ w ~.~ ~-: C7 { ~ ~ C7 ,~ ~ ~~ c Estate of /h~ rl Q ~ .~I-~~UQV~~ ,Decease ~O /~ Social Security Number: l ~-I `1 'rJ Qom, 1-I ! (1 Date of Death: ~ r~ ~ ! AND NOW, ~ , ~~ ~ ~ in onsiderati n of the foregoing Petition, satisfactory proof having been presented b fore me, IT IS DECREED that Letters are hereby granted to and that the instrument(s) dated yv described in the Petition be admitted to probate and filed o record FEES Letters ......... ...... $ Short Certificate(s) ........ $ Renunciation(s) .. ........ $ .. $ .. $ .. $ .. $ .. $ .. $ .. $ .. $ .. $ TOTAL ..... ......... $ in the above estate last Will (and odicil(s)) of ~ c Register ojWi Attorney Signature: Attorney Name: Supreme Court LD. No.: Address: Telephone: Page 2 of 2 For~n RW-0; rev. i0.13A6 I05.805 REV IOI tt17i . 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 17296725 Certification Number ~ ~~~ This is to certify that the info~.ination here given is correctly copied from an origina Certificate of Death duly filed with me as Local Registrar. 'The original certificate will be forwardec to the State Vital Records Office for permanent filing. Local Registrar Date Issued -- A 1~~ Cp •-' ~-t ~~^j "Ll ~'_:~ ,. ~ ~ ~' ~_, ~~ as +, -r1 ~' - -~ c ~ [~ ,.._ m c~ `'~ ~, COyg1pNNReAtTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH .VITAL RECORDS "'r06,Fe"'~ ~Tw°1 CERTIFICATE OF DEATH a~nc Ya (Sea Imtrlw:aona and azamPlN an raYarael srArE FILE rruafeEn III L 01 d o,r, ~AAam~h 20, 2011 '~"inid0r''"~`N0"b"°i Mari@ C. 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CHIOVARO, of the >ugh of ~ `:, 0 Mechanicsburg, County of Cumberland and State of 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 former Wills and Codicils made by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon as conveniently may be after my decease. 2. I give and bequeath to my son, Frank Chiovaro, my deceased husband's engagement ring described as a gold engagement ring with a Ruby and Diamond, if he survives me. 3. All the rest, residue, and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise, and bequeath to my children, to wit: Loretta Chiovaro, Lisa Chiovaro, and Frank Chiovaro, in equal shares per stirpes. 4. If all of my children should predecease me without any issue surviving, all the rest, residue, and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath unto my brother, Anthony Foti, of King's Pazk, Long Island, New York, my sister, Carmela Fracica, of Mechanicsburg, Pennsylvania, and my sister, Lillian Oddo, of Hauppauge, Long Island, New York, in equal shares. In the event that one or two of them should die, their share should not go to their issue, but to their other surviving brother or sister as named above. 5. I nominate, constitute and appoint my daughter, Loretta Chiovaro, as Executrix of my Estate. In the event that she shall be unable or unwilling to serve in such capacity, I appoint my son, Frank Chiovaro, as Executor. I direct that none of my Executors shall be required to file a bond to secure the faithful performance of their duties in any jurisdiction. d- IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~day of A.D., 1996. ~~~~~ EAL) C. C~IIOOVAR[[OQQ ~v2,~~ ( ~ C~i1Y}s~AI,~ a.k.a. MARIE C. CHIOVARO Signed, sealed, published, and declared by the above-named MARIA C. CHIOVARO, also known as MARIE C. CHIOVARO as and for her Last WIll and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ~ ~~~~~ '''`~4 ¢ ~: : ~ R;;~ ~ ~ _ ~~ ~ _ w ~ ~~ ~,i~ ~ ,. °o~ _~ ~T OATH OF SUBSCRIBING WITNESS(ES) ~~ ~, r= ~-' ~~ n G TER OF WILLS COUNTY, PENNSYLVANIA ~'lp,Yi4 C, C~iovar0 °t'Ka Estate of "~~ Q < ~~ e' ~ ~_ Deceased v~~,-~-~~s ~ ~li ~~S 1~ ,-(~cachj-a subscribing witness to (Pratt Names) the~,Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and .say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. (Signature) (Street Address) (City, State. Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills l,~~ ~ ~ (Signature) C/-q,r~Es F shl~s~ (o C,lo user ~~ (Street Address) /Y1c~cul.`lart, cs6.rt~ , ~~ ~7oS~J (City, State, Zip) Executed out of Register's Office ~ ~ ~ Sworn to or affirmed and subscribed before me this /~ ~~` day of r4~OQI L 20>/. ~~~ J /~/~ ~~ Notary Public ~ My Commission Expires: (Signature and Seal of Notary of other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present [he original or copy of instrument(s) at time of notarization. Form RW-03 rev. !0.13.06 // - ~~ ~ OATH OF NON-SUBSCRIBING WITNESS(ES) STER OF WILLS CV r, ~!~-~ COUNTY, PENNSYLVANIA Estate of ~0.~1-P C~1C~\J.A {~ ~O ,Deceased )~.~~ ~ I O~VQ~O and , (each) being duly qualified according tw~o !ppaw, depose(s) and say(s) that she / he /they was /were well- acquainted with C~ \2~ l./~1 l0`) A t ~ _ and am/are gfamiliar with the handwriting and signature of the decedent, and that the signature of MQ~ r l p .//11(~ 1/a ~' Q tp the foregoing instrument purporting to be the Last Will and Testament/Codicil of MC~t r~~P_ ~'~ ~~~/a ~ Q is in his/her own proper handwriting. ~~~:> M (S~gnuture) (Stre~essf W~ (City, State, Zip) (Signature) (Street Address) ( ity, State. ZiPI Executed in Register's Office Sworn to or affirmed anal subscribed befor e this ~~ day `/ ~~l of , eputy for Register ~4ills ra ~~ ro ~ '~~ ~ C-'_3 ^' ~ ~"~ cry~ o ~ ~~~_~, ~ ~ - iT'~ ' ~ ~ ~' ~ 0 Fornt RW-04 rev. !0.!3.06