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HomeMy WebLinkAbout12-27-11PETITIO/N FOR GRANT OF LETTERS REGISTER OF WILLS OF _ (.~ VMl3.f~' ~'9N1~ COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for ]Letters as specified below, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate forme Decedent's Informaf Name: _ c,A~Nc'l~- /V1 ~} ~ % 1 G~l ~/f' l a/k/a: a/k/a: a/k/a: Date of Death• /u't~ Z,p ~ ~ Decedent was domiciled at death in ~ U M~Eti ~ ti n County, principal residence at 0-?f}~ E Sr ~) I File No: Q( I I (Assigned by Register) Social Security No: Age at death• _ GJ'~}- ~, with his/her last Street address, Post Office and Zip Code ~ ~ ~~ ~ ~ C~ ~~ City, Township or Borough County Decedent died at ~ R''NL'/ ~' ~ ~ ~'~q~t,~r, ~7 ~ L ~ ViHI'FR~~ ~~ Street address, Post Office and Ztp Code City, Township or Borou h Estimate of value of decedent'i; roe g County State p p rty at death: If domiciled in Pennsylvania ................... All personal property $ '~'1Z ~Gt ~ (~ U .... If not domiciled in Penrr,Sylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal roe ~ p p rty in County $ ~ Va/ue of real estate in Pennsylvania....... . ............ ..... $ CJ ..................... ~J TOTAL ESTIMATED VALUE.... $ ~ 2'7G' • U Real estate in Pennsylvania situated at: N/// (Attach additional sheets, ifnecesaary.) Street address, Post Office and Zip Code City, Township or Borough Coun ty ^ A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/slue/they is/are the Executor(s) named in the last Will of the Decedent, dated _~iC' / L ~, ~ y~ ,~ thereto dated - and Codicil(s) State relevant circumstances (eg. renunciation, death of executor, etc.) vJ ^~ ~ __ ;- ~ f Except as follows: after the execution of the instrument(s) offered for probate Decedent did not m ~ r-- ~ - - arry, was not divorced7wa~ patiy~p a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and'thd'_ii ave a~ktld born yr , adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ ' ;r ~10 EXCEPTIONS '^ EXCEPTIONS ~ ~ J ~'' ^ B. Petition for Grant of Letters of Administration (If applicable) .n _., ~' -- : ~r` ..~ ~..~ , e.t.a., d. b. n., d.b.n.c.t.u., pendente life, durante absentia, dut4mte minoritat If Administration, e.t.a. or db.n.c.t.a., enter date of Will in Section A above and com lete list of heirs. Except as follows: Decedent was not a patty to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^NO EXCEPTIONS C] EXCEPTIONS Form RW-02 rev. 10/11/1011 Page 1 of 2 Petitioner(s), after a proper Search has/have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs (attach additional sheets, ifnecesspty): Oath of Personal Representative COMMONWEALTH bF PENNSYLVANIA } COUNTY OF } Petitioner(s) printed Name Official Usc Only Petitioner(s) Printed Address ~~~s~ Way cT~~.r P~ r~i The Petitioner(s) above-named swear(s) or affirm(s) 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, the Petitioner(s) will well and truly administer the estate according to law. Sworn to r affirmed aijhd subscribed before /~~~~ ~- me t ~ay of ~ ~ Date ~Z. L ~/// sy: •, ~~~--- Date For the Register Date Date BOND Required: QY'~ES QNO FEES: Letters .............. ...... $ ~ ( '~ )Short Certificate(s)...... ~ ._ ( )Renunciation(s)......... . ( )Codicil(s) ............. ~- ( )Affidavit(s)............ . Bond ........................ Cmnmission......... . Other - ~ \ ...... 15-= __ To fhe Register of Wills: Please enter my appearance b,y my signature below: Attorney Signature: Printed Name: a`O M Supreme Court ~j.'t7 - -~-, ~~: . ID Number: ~ " ~ ~ ~ ~ ~} Firm Name: ' ~ -- , ~ . "V Address: _, ~ =J -._.__ Phone: Automation Fee .............. . ~~ Fax: JCS Fee . .................... - Etnail: TOTAL ..................... $573-- DECREE OF THE REGISTER Estate a/k/a: AND NOW, satisfactory proof the instrument(s) dated described in the Petition Form R6V-0_7 rev. !0/111201! Gr' ~•~ File No: ~ -- ~ ~ _ ~ ~ ]~ ~° - "` -t-- , 2~_, in considerationf Y of~the foregoing Petition, presented before me, IT IS DECREED that Letters S i~ _ are hereby granted to `~ \\ ~ C~~ '~ ~..~ ~ .Q r` ~~ in the abov estate and (if applicable) that /Ic/9 nttted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. GG~JG R gister of Will ~" ~2.,vl~~C,v~-~ I Page 2 of 2 !OATH OF NON-SUBSCRIBING WITN:ESS(ES) REGISTER OF WILLS Cu'yl~fQ~a1~ COUNTY, PENNSYLVANIA Estate of ~/e/{~N~ ES ~.( ~ ~7 ~i~R ~ ~~02G~r7~ V /~ l,7 ~[~,2 /. and Deceased (each) being duly qualified according to law, depose(s) and say(s) that she he /they was were well- acquainted with f?2>g.,vC~S ~ /} L~ ~G~~~ ~ and ~re familiar with the handwriting sand signature of the decedent, and that the signature of _!Gi~A,it/C'~S /~ /~~?/ /cn / to the foregoing instrwment purporting to be the Last Will and Testament/Codicil of _F/~L/c-~',.$° /I/142. y .~7/Ft l~iZ j ' is in his er own proper handwriting. 17 ._... ' (Sin -e) ~ ©2 >4Pp~ ~~,- w,~ y (Street Address) ~' 7>~~PS' i°s~ 17 3 I ~ (City, Slate, Zip) Executed in Registers Office Sworn to or affirmed i#nd subscribed before me this ~ ~~ day Deputy for Register o ,Will (Signature) (Street Address) (City, Stale, Zip) n k~ ,, r~~ ~ ~~- m ~~ ~, , ~ -.a -} ~. G.w. .~ V' ~ T ._,~ ~'7 ~~ ' c ~~ FornrRW-04 rev. [0./3.06 OATH OF SUBSCRIBING WITNESS(ES) `?Q :«~ -a-, c7 ~--~ REGISTER OF WILLS `~ fi-, N Cumberland COUNTY, PENNSYLVANIA ~'~ ~ ~ ~ ,. ,, ': ~ Estate of Frances Marv Alltigieri Deceased Gerald J. Shekletski (Prent Name%r) , (each a subscribing witness to the ~X Will ^ Codicil(s) pr@sented herewith, (each) being duly qualified according to law, denose(sl and say(s) that he and that he the Testatrix was . present and saw the above Testatrix sign the same signed the same and that he . signed as a witness at the request of in her presence and in the presence of each other. (Signature) (Street Address) (City, State, ZipJ _ Executed in Register's Offic$ Sworn to or affirmed and subscribed before me this j day of , (Signature) 414 Bridge Street (Street Address) New Cumberland PA 17070 (City, State, ZipJ Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~ `~~`~ day of ~' p'~(a 1 ~ . Deputy for Register of Wills Public y Commission Expires: (Signature and Seal of Notary or other ofFicial qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Otlicer authorized to ~iadminister oaths. Please have present the original or copy of instrument(s) 6tQNAM,~tM>dY~AhtjbhOF PENNSYLVANIA i IAL SEAL Form RW-0.3 rev. 10. /3.~~6 JEPJNIF~~ A, MEANKLE, NG4ary PUbI?C New ~umbarland 9aro. Cumberland Co, ~)r,ei?Ir-missior Expires July 7, 2012 .1105-Rp5 RFV ml/m~ LOCAIL REGISTRAR'S CERTIFICATION OF DEATH WARDING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 179?6580 Certification i\fumber 3 REV 11!!00" I PRINT M 1MANENT ACI( INK 1. Nana a Deaden (Flat, nidtee, Irt. su8k) Frances M. A S. Aga (l.w Bltltley) Unger 1 llrldw 1 SIN Dm Kowa Mwula 94 Y," 8b. Carry d Deem 8c fAly, Bom, Twp. d Deetl Cumberland Camp Hi 11. Doodad's ualW gnddwork doe moetd Ib. Homemaker Dom st 18. DecedarYa MNbp Address (3treet dry I brnu ebte, bP code) 102 Appaloosa Way Ettera, PA 17319 1n. fetlefa Nems (Rret midde, bet, sums) Jose h Minnella 20e. laontent's Name (rype I Pna) William P. Altigil 21a Metlrod d DiepoeNar r ®Cremenon C ^ Brael ^ RemovU Oom State i IVaa Crematlon «DOrW ^ Doer- r M MaeW F.sertirrlCo ~' ~•• lga•eM ~9 •~ ~) This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be. forwarded to the State Vital Records Oyff~cee t~ermanent filing. ~G»~n..~'l N0~08~1011 Local Registrar Date Issued __~_._..~.~ ~ `J .._"y ~~ 7:7= '1 '-. . 1' -j ~-~ ~ { ~ - -- ` (~ ~ -,..J _..( - ~°y COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS "'Tl ~,rr CERTIFICATE OF DEATH (See inetructlone and examples on revere) :RATE FILE NUMBER i i e r 1 2 ~' 3. s«w swrmy Number /. Dab d Deelh (Math day, year) g Female 063 - 09 ,-- 9309 November 7, 2011 8. Deb a BMh Mall 7, end ebb ort 8e. Pba a Deuh one June 7 , 1917 Hackensack, NJ Hewbl. °meG Bd. Fadny None (Ii nd lrtlhnrorl, ON• etraa end ^ bM'bM ^ ER / OufpeWM ^ DOA ®Nwairg Nana ^ RaeiOence ^ Otler ~ Spedly: ^~) 8. Wee Deaden d Fbpalb Ongln7 ®No ^ Yes 10. Race: Ameman laean, Black. Wrdb, etc. Manor Care ("'"'''P°a''Gihin' lspear~ Madan, Puerto Rlarr eroJ White k ebb 12. Wu Deoedad ever h the 13. DeadaM'e Eduatlm (3pec"y only hlplwl Breda canVleta~ 1/. stems Never Mewled, 15. SurvNln teby U.SOArrrIVW ®~ Elementary /15emrrdery (O12) Colepe (u a &) /~aw,iryJ 9 Spouse (N wib, gNe maiden name) 'Widowed ~Reeldance 17e. yyeb Pennsylvania D1d D°C°d°"' Tip, n".Lvae,Daaida„turedin Fairview Twp 17b. Count' York rd. CI No, Decedent I;aBd wnhm Aaluel umro a Gy/ Boa 19. Modrre Name (Poor, netlde, nWtlen eunerrr) Maria A lieri i ZOb. Inrorrrrrlt'a Meting Addrw (street, ell I bwn, eteb, eq code) 102 Appaloosa Way, Ettera, PA 17319 ration 21b. Dab d DbpoeMon (Mash, day, year) 21c. Place d DlepaPoOn (Fbme a axrebry, aaretay a dler qr•I 21d. Laatlon (CNy/town, stele, tip coda) ~nr.b.n®va^No 1~ ~ If Evans Crematory Schaefferstown, PA 17088 ~. Lkertee Number 22c Nrre and Addlae d Fedlly FD 012 848 L Parthemore FH & CS I Capbb ilf~e 2~ceay~ean arey,g - zta. ra tM lwtamy der end , tic. ,deaM occwWet time Place abbd (Sgneee ll tllk , P.O. Aox 431, New C umberland, PA 17070 phymen b na aveWrb at time d deem b ally Dose d deetli. , . a ) ~~~ 23b. Number 23c. Deb Signed (Mmm, ,year) e ~V , ~ / ~ ~a ir' ' r / bar 2428 muq Da aniDbled by parent who pr«eecee deetls 2/. Tore d DseM ©~ ~ 25. Data Deed omh, aey, yeert 28. Was Case ro Medkel Fxadrer /Coroner for a Reason Sher nren Gremedon a Damson? M. I ~ t<"I ^ Ves No CAUSE OF OEA IWn 27. Pan I: Eller tlr Wet d evara - rkeaeea, iryuria. a carlplanone . reepiretay angst, a venhkubr tlbrlletlan wNtgrl showing thee' (Sae Inslructlorre sod xrm r Approxenele MervY: ~' cawed the death. W N07 r ermrod evenb alai u eerdlee arrest, r t d P 1 Oneel ro Deets .List any one awe on each lire. i Pen q: Eller otMr ha not realtl M tie rq undMyNig auee 9n'ai in Pen I. 28. Did Tobacco Use Cadrbule to DaeM? ^ Ye Probahy . TE CAUgE ~F~y arl6nort reuA67 In dmM) a ~n / i ~ ~ ^ Unkrown -~ a' Due ro la m a aq n / ~ ~ i 29 II F eel caridiearr, n erry, h ~ • ( / ~ ~ ~ ~ Nd pregrent wihin a ~~ . Esex bUNDEAIYNq GUSE a Dw !o (a ee a cpwepwnaa d) ~ ~ ~ i ^ Pregnant et tlme d deem (daeeae «NIYW net YYOMed tM r ^ Na pregrent, but pregnant within 42 wya averts reaYYigln deem) LASr. °~ Ue ro (« ae a eoreegance oq: ~ d deaM r ^ Not pregnant, hW pregnant a3 days to 1 year d i belae deem ^ 30e. Woe an Auropsy 30b. Were Aukpey Flndlpe 31. 328. Date of trljury (Month da 32b D Unknovm a pregnant wkhm tte past year Perlorrted7 Avenebb PM k. Camaeson d Cave d Daeih 7/ ,~/ srrel FtarrYCide , y, year) . exnle Flow Inury Ocasred 32c. Place of Injury: Home, Ferm, Street Feaory, Olfia Building, etc. (SpecHyl ^ Vas No / ^ Ves ~l NO ^ ArdNnt ^ PentMq Irnestlgetlon 32d. Thne d Inlay 32e. Injury at Wok? 32f. II Trwpahtlm h~ury (3p,pyr) 32g. Locelbn d Injury (Street d y / rown, stab) ^ SWdde Coed Nd a DebmYted M ^ Vas ^ No ^ Onver/Opereta ^ Peeeanper ^ Petlesmen 33a. CpSla (drrA ody ore) Otle r~: • q PNY•lam (Phyecbn amiryep auee a tlaeri when aroMer To tie baramy browbdga,drtlr occureddaronr quaNa) has Prenoaxed deem end cangleled ram 23) manner as atebd 33h. Slgrehrre end Titled r ~ ~ IJ rJ Praerateeq end oshMYeW DM•kbn (Physksen hptli pralaerdrp des • ---------------- ell ceneylp ro auee d deem) ---- _ _ _ _ _ _ _ _ _ _ _ _ _ IV/~~ • 33c Lkenw Numbs , Te tie boa d my lorowbdpa, aaatb oxunw n the tlme, deb, all • YedlW EsarrerwlCororw end due ro tie awa(e)aM rrwlaraahbd_ _________________^ . ~ • ~ V ~ ~ 33d. Dale S M«Im~dlay, year) / ~ ^ ~ On tlr bola aa.Mlrtlon arW I a lrveetlgenort, in cry oplnbn, occurred at nr tine, det0. and Plea, all dte m tNa cawya) rrd mnrrr r atabrL ^ 34. Nana s P d Addreee a Perean W ho Camplebd d / ~ (Rem T /Prim 35. RegkOafs Dietrkl Nte~ / / / y ~ M /'{ I I I C I/ I I g // "o~~y~'°' Y~j ~ / ` . _ / a /s•~t' /G y ~~e „/.,,.~,/! 7 "d~~ //~/~i17 DispaNOn Parton No. t ~1 =X a ~ Q ~ I ep\wills\Altigiri.#ra • C'j .--_ _ _, -- , C..~ w ~.... ~ _' .. ,tJ T7 LAST WILL AND TESTAMENT , -, :: r,~-, r`,- _ 1;- ~~a _, ;~-, OF -,, ; -„ _, FRANCES MARY ALTIGIERI _ ._' :-. ~t~ ~J y T 1 I, FRANCES MARY ALTIGIERI, of 85 Oneida Road, Borough of Camo t Hill, Cumbextland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I devise and bequeath all of my estate of every nature and whereversituate to my husband, VICTOR ALTIGIERI, if he survives me by thirty,(30) days. ITEM II:' Should my husband, VICTOR ALTIGIERI, fail to survive me by thirty (3~) days, I devise and bequeath all of my estate, of every nature and wherever situate, in equal shares to such of my children, WILLIAM PETE~t ALfiIGIER2, and VICTOR JOHN ALTIGIERI, as survive me by thirty (30) days. Should any of my children predecease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath the~'Ishare of such child to his or her issue, per stirpes, living on the thirty-first (31st) day following my death; and si'~ouid any such chil'lld of mine leave no such issue living on the thirty-first (31st) day following my death, I devise and bequeath the share of such child to my issue, per stirpes, living on the thirty-first (31st) day following my eath. ITEM IIIs I appoint my Executor and his successors guardian of any property which passes, either under this will or otherwise, to a ~I Page 1 of 3 minor and w~.th respect to which I am authorized to appoint a guardian and have note otherwise specifically done so, provided that this ap- pointment o~ a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another ~or the minor's benefit. Such guardian shall have the power to used principal as well as income from time to time for the minor's support and education (including college education, both graduate ancil undergraduate) without regard to hi.s or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's ~arent or to any person taking care of the minor. ITEM IVY I appoint my husband, VICTOR ALTIGIERI, Executor of this my last'will• Should my husband, VICTOR ALTIGIERI, fail to qualify or ease to act as Executor, I appoint my sons, WILLIAM PETER ALTIGIERI anc$ VICTOR JOHN ALTIGIERI, Co-Executors of this my last will. ITEM V: I direct that my Executor and Guardian, and their successors, hall not be required to post bond or enter security for the faithfullperformance of their duties in any jurisdictiar_. IN WITNESS WHEREOF, I, FRANCES MARY AI+TIGIERI, have hereunto set my hand and seal this ~ day of _ ~~-~c-c-- 1995. ', ~ ~~~~ RANGES MARY AL IGIER Page 2 of 3 SIGNED,j SEALED, PUBLISSED and DECLARED by FRANCES MARY ALTIGIERI, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her resence and ' P in the presence of''~each other, have subscribed our names as witnesses. rii..ness Address Witness ` vvW l / /~L~Y , / ~I ~A '~ Address Page 3 of 3