HomeMy WebLinkAbout10-20-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of GENEVIEVE B. PETRASH File Number '~ ~ _ ~ ~ "I I
also known as
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
,Deceased Social Security Number 208-14-8990
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EX2CUtrIX named in the
last Will of the Decedent dated 7/21/1987 and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.J
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killing, was never adjudicated incapacitated, and was not a party to a pending divorce proceeding at the time
of death wherein grounds for divorce had been established as provided in 23 PA C.S. section 3323 (g):
B. Grant of Letters of Administration
(If applicable, enter: c. t. a.; d. b. n. c. t. a.; pendente liter durante absentia; durante minoritate)
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 d. b. n. c. t. a., enter date of Will in Section A above and complete list ofheirs.)
Decedent, then 81 years of age, died on 4/6/2007 at Country Meadows.
4837 E. Trindle Road Mechanicsburg PA 17050
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 0.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 124.900.00
TOTAL $ 124,900.00
7240 Jefferson Street, Harrisburg, PA 17111
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
Cathleen E. Schmidt f/k/a Cathleen E. Petrash
6330 Mercu Drive Mechanicsbur PA 17050
Form RW-02 rev. 10.!3.06 PagO L Of 2
(COMPLETE INALL CASES:) Attach additional sheets if necessary. ,~ -~ ~ . • - ' -~~z
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at ~- -~ c
4837 E. Trindle Road Mechanicsburg PA 17050 Hampden Township
(List street address, town/city, township, county, state, zip code)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
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 ~r affu-me~dland subscribed
before me the ~_ day of
of Personal Representative Cathleen E. Schmidt f/k/a ~athlee~E.
etras
October 20 ~ 1 Signature of Personal Representative
For the Register Signature of Personal Representative -~ !".~_i ,~,,
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File Number: ~ ~ ~ ~ ~~ ~ ~ (J ~ r `"~ ~~~ri
Estate of GENEVIEVE B. PETRASH ,Deceased
Social Security Number: 208~~-14-8990 Date of Death: 4/6/2007
AND NOW, ~~~ L .~C~ ~ ~ I cJ~1 , 2011 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Cathleen E. Schmidt f/k/a Cathleen E. Petrash
in the above estate
and that the instrument(s) dated July 21, 1987 _
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ........................
Short Certificate(s) •. • • ~ •
Renunciation(s) •••••••••••
l~~l~~
ACS
TOTAL
$ ,~ t r ( , C~-;
.... g ~I ~ ~~ f~
.... $
.... $ ~:J~CC
.... $ ~'~ . 5G
.... $
.... $
.... $
.... $
.... $
.... $ _
Attorney Signature:
Attorney Name:
~'~t,~ ,
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Supreme Court I.D. No.: 58802
Address: 1719 North Front Street
Harrisburg
PA 17102
Telephone: 717-234-4178
Form RW-02 rev. 10.13.06 Page 2 of 2
his is to certify that this i~ a true copy of the record which is on file in the Pennsylvania Department of }-{ealth, in accordance with
the ~''irtl Statistics Law of 1 t)53, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
6432653
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 043226
CERTIFICATE OF DEATH CTATF FIIFNIIYPFN
~~~ENT(F~~ I~e L ~~~ ~ ~ I EX SOCIAOLSECURI i NUMBER Sqq o A O~IHI ~ D~ Y
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AGE (Last Birthday) UNDER 1 YEA R UNDE R 1 DAY DATE OF BIRTH BIRTHPLACE (City and PLACE OF DEATH C heck onl one - see ins[mctions on othe r side
~ I Months Days Hours Minutes (Month, Day, Yeer) State or Foreign Country) HOSPRAL'
etlenl ^ ERIOulpeliant ^ DOA ^ OTHER:
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Home WSl
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' COUNTY OF DEATH CITY, BORO, P F DEATH F LITY NAME (If not institution, give street and number) WAS DECEDENT OF HISPANIC ORIGIN? RACE -American Indian, Black, White, et
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DECEDENTS USUAL OCCUPATION KIND OFBUSINESS /INDUSTRY AS DECEDENT EVER IN DECEDENTS EDUCATION MARITAL STATUS - Mamed, SURVIVING SPOUSE
(GNe drd dwolk tlone GUnng mmt U.S. ARMED FORCES? (Spetlfy ~~ty hphest grade completed) Never Married, Widowed, (p wife, give maMan name)
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Complete it n hen certifying To the best of my kn d , death o tune the time, dale and place stated. LICENSE NUMBER DATE SIGNED
physician is not ova le at 8me of death to (Signature and Title) (Month, Day, ar)
certify cause of death.
21a.
23b. Sb ~ ~ V
23c.
Items 24-26 must be completed by TIME OF DF1yT
DA E UNCE D D (Month, Day, Year) WAS CASE REF ERRED TO A MEDICAL. EXAMINER ICOR NER?
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person who pronounces death. ~dff n ~7
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27, PART h EMV tlIe tllwon, Infuen or [empilcaaone which noted the tlum. Do not aelarthe mode of dying, ouch as eardlac or roaplralory arrea6 shock or hewn hllun. ~ Approximate PART II: Other significant conditions ntrl6ufing to death, but
Wtonly om cauu on each Ilna. ~ interval between not resulting in the underlying ease given in PART I.
IMMEDIATE CAUSE (Final :onset and death
disease ar condition ~
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DUE TO (OR AS A CONSEQUENCE OF)'.
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cause. Enter UNDERLYING ~1 ~
CAUSE (Disease or inju c' ~/
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• resultng on death) LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
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CERTIFIER (Cherie only one) SIGNATURE ANO E OF
IFIER /
'CERTIFYING PHYSICIAN (Physician certifying reuse of death when another physidan has pronounced death and completed item 23) ~
To the best of my knowledge, death owurred due b the causes(s) and manner as staled ................................................................ ~
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31b,
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'PRONOUNCING AND CERTIFYING PHYSICU\N (Physician both pronouncing death and certifying b reuse of death) LICENS UMBER ~
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/~ DATE SIGNED (Month, Day, Year)
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To the best of my knowledge, death occurred atthe time, date, and place, and due W the causes(s) and manner as staled ...................... ^ J~U !
31c. / G
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31d.
NAME AND ADDRESS OF PERSON WHO OOMPL D CAUSE OF DEFjT}I
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•MEDICALEXAMINERICORONER j
(Item27)TypeorPdnt
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' On the basis of axaminatlon andlor Invasllgation, in my opinion, death occurred at the time, dale, and place, and due to the causes(s) and
' manner as sfated ........................................
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31a. 32. ~~' ~ N-z
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REGIl4TRAR'S SIGNATURE AND NUMBER DATE FILED
(Mon ,Day, Year)
33. f~/LtWN ~Lt~._ L =t~-C~-41~ d
34. ~ !~I ~~ ~ C G' 7
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LAST WILL AND TESTAMENT '1-T-may ~~
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GENEVI EVE B . PETRASH ~ ?~.--. ,; -, r -
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I, GENEVIEVE B. PETRASH, of Swatara Township, Dau~'shin
County, Pennsylvania, declare this to be my Last: Will and
Testament, and revoke any and all Wills and Codicils previously
made by me.
ITEM I: I direct that all my just debts, funeral
expenses and last medical expenses shall be paid', from the
assets of my estate as soon as practicable after my decease.
ITEM II: All federal, state and other death. taxes
payable because of my death with respect to they property
forming my gross estate for tax purposes, whether or not
passing under this Will, including any interest or penalty
imposed in connection with such tax, shall be consid~ared a part
of the expense of the administration of my estate a~ad shall be
paid out of the principal of my estate, without apportionment
or right of reimbursement.
ITEM III: I give, devise and bequeath all o:E my estate
of every nature and wheresoever situate to my daughter,
Cathleen E. Petrash, or to her issue, per stipres. In the
event my said daughter, Cathleen E. Petrash, predeceases me, I
give, devise and bequeath all of my estate to my then living
children, in equal shares.
ITEM IV: I appoint my daughter, Cathleen E. Petrash, as
the Executrix of this my Last Will and Testament.
ITEM V: I direct that my Executrix shai:ll not be
required to give bond for the faithful performance of her
duties in any jurisdiction.
ITEM VI: I direct my personal representative to employ
John W. Purcell, Esquire, as attorney for my estate. This
provision is made solely at my request and without urging or
suggestion by the said John W. Purcell.
IN WITNESS WHER OF, I have hereunto set my hand and
seal this ~ day of , 1987.
-~;
_._ gNEVIEVE B. P TRAA H
The preceding instrument, consisting of this and one
other typewritten pages was, on the date thereof`, signed,
published and declared by GENEVIEVE B. PETRASH, the testatrix
therein named, as and for her Last Will, in the
2
presence of us, who, at her request, in her presence, and in
the presence of each other, have subscribed ou.r names as
(witnesses hereto.
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Residing at
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i_.r~~~'~f{~ C ~` ~~~~`~~- Residing at
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DAUPHIN
jrespectively, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby declare
to the undersigned authority that the testatrix signed and
i
lexecuted the instrument as her last will, and that she had
',signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed, and that
each of the witnesses, in the presence and hearing of the
testatrix, signed the will as witnesses and that to the best of
their knowledge the testatrix was at that time eight~aen years
of age or older, of sound mind and under no constraint or undue
influence. >
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- - ~', ~~ Testatrix
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witness
Subscribed, sworn to and acknowledged before me, by
GENEVIEVE B. PETRASH, the testatrix, and subscribed and
sworn to before me by Amy A. Paladino and Carol A. Weber ,
witnesses, this 21st day of(~ u Y , 1987
~~~~
otary Pu licd,, t 'doie, rdi~'fAR`f PUBLIC
y Commission '~ res:~~; stet. a, r9as
any ~~,m, .,_ 4,
H~~;r'-ta: - F?. Da~.!~`~in Count
4
WE, GENEVIEVE B. PETRASH, Amy A. Paladino and
Carol A. Weber , the testatrix and the witnesses,