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HomeMy WebLinkAbout01-13-12~ rceset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND 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 form: Decedent's Information ~~] Name: Florence D. FaraQO File No: ~n /o ~ ~ I~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: 187-16-6348 Date of Death: _ January 4, 2012 Age at death: 90 Decedent was domiciled at death in Cumberland County, Pennsylvania (ware) with his/her last principal residence at 20 Riverview Drive Enola Cumberland Strcet address, Poet Office and Zip Code City, Township or Borough Couury Decedent died at 4000 Linelestown Road. Harrisbure. PA 17112 Lower Paxton Township Dauphin PA Strcet address, Post Oftlce and Zip Code City, TowaaWp or Borough County Sbte Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ 31,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ Ijnot domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsy[vania ...................... ................................... $ TOTAL ESTIMATED VALUE.... $ 31.000.00 Real estate in Pennsylvania situated at: N/A (Axach additional sheets, if necessary.) Street address, Post OPIlce and Zip Code City, Township or Borough County ® A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated October 9, 1985 ~ -;and Codicil(s) thereto dated n/a _ _ Q :_ _ ~ State relevant circumatauces (eg. renunciation, dwtb ojtxecutor, etc.) TJ ~p _` " - ^,y.rn Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divor{~h 2~ot a patty to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), ate i'~ t~t have~a child bort_or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. -~ Q ~-~-~ _ ONO EXCEPTIONS ©EXCEPTIONS `~ ~-~ - = ^-' a~ <. , `~ ® B. Petition for Grant of Letters of Administration (If applicable) c°" c.t.a., d.b.n., d.b.x.c.t.a., pendente life, durante absentia, durante minoritate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and comalete list of heirs. Except as follows: Decedent was not a party 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. Q NO EXCEPTIONS ®EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (ifany) and heirs (attach additional sheets, ifnecessary): Name Relationshi Address Form xw-oz rev. toittizott Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } ,- ,I- Petitioner(s) Printed Name W.. Petitioner(s) Printed Address PAULETTA A. ALEXIEV 20 RIVERVIEW DRIVE ENOLA PA 17025 ~~-~F~ J'~ ,„ F~ t~?P, _,.. ~ i .r 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 lmowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dec~~e/d~t, the~P~etitioner(s) will well d truly administer the estate according to law. Sworn to o,~r, affirmed d subscribed before -__L~deX~ff`- ~ ~ *~ Date ~ dt met is .~' day , ~ 17 Date ~~ BY~ Date or the Regist Date BOND Required: ©YES Q NO FEES: Let ...................... ( )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ~ S ~' ....... . Automation Fee .............. . JCS Fee . .................... TOTAL ..................... To the Regiseer of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: James D. Cameron Supreme Court ID Number: 58998 Firm Name: James D. Cameron, Esq. Address: 1325 North Fron 4 rePr Harrisburg PA 17102 Phone: (717)236-3755 Fax: {717)236-3655 Email: ~ ces lncalnet rnm DECREE OF THE REGISTER Estate of Florence D. Fazaeo File No: a/k/a: c~Zl -102 ~ Uo,~ 3 AND NOW, g(,l~ j, satisfactory proof had been 1 ~ ~ ~ a , in consideration of the foregoing Petition, before me, IT IS DECREED that Letters Testamentary ;by granted to Pauletta A. Alexiev in the above estate and (if applicable) that the instrument(s) dated October 9 ,1985 described in the Petition be admitted to probate and filed of record as the last Wpll (and Codicils)) ot`Dece~dent. ,, of Wills $ -l0 lcfl~ Form RW-01 rev. 10/11/2011 Page 2 of 2 v.nc ¢ng Qr`' lei.. ~ -- _ _ _. _ _.._ J ~ - S- ~ LOC~,(~,~G~~7R'S CERTIFICATION OF DEATH WARNINii ~t is it~egi~ ~t~ duplicate this copy by photostat or photograph. F i~ ~? . "....;~ Fee for this certificate, $6.00 ^' This is to certify that the information here given is "t.~s 13 ~4"r 1 I ~ ~ u „ ,,,r,,,,,~,,,.,..~ . ( . ~- J i (,, ~p~SH OFpFys correctly copied from an original~Certificate of Death two - =--y`r~'=_ duly filed with me as Local Registrar. The original. C~~}( CF ~ ~ $= certificate will be forwarded to the State Vital O~rl~,~~~ ''^(}~JF~T v a~ Records Office f permanent filing. P 1813 0 9 2 5 ~t~rJ~~~~~,,~~, ; ~ Pa o~ ; ~~ ' / Certification Number ~99TA1ENT 0~„r Local Registrar Date Issued TYP•/Print In COMMONWEALTH OF PENNBYLVANUI. DEPARTMENT OF «lALTN . VRAL REGOR08 PKrn~Mrrt ["COT[C[f`ATC ewe f~rwTu r 2 W V L L.L - - -- - 5 FI Num 1. Wp ntY Lapl N•m• Flrtt, M •, IaK, 2. S•:t 9. • Security NumMr 4. DK• Death IM y r IsP•1 Me) Florence D. Fare o F 187-1 3 f•. at Irt ry ) 3 Y r r tM 6. Deb R Mo Dry ••r 8p•11 Memh J fl p w City • b or FOr•Ifn Country) ~ 90 Momh, D.y. «eP.• Mmee« February 17 , 1921 ,emo ne Y. nq or Fere ourttrY) b. tl•nq 8tro•t •M NumMr - InNUde Apt o. 8c. Did D•gtl•m LIn IR • TOwnaMpi Pear l s v a 20 Riverview Dr. Qv«, e•taa.m ilvtlb twP. .nq Yntl. Cumber d N. R•fitlfnq Inp Cod•) QNO, d•gd•m IN•tl wkhln Ilmb oI Fsltilw pRy/ppro, f. [yr In US IOM 10. M•rRa SfKUa K Tlm• M•r« 13. SurvMn[ Spouse a N•me 11 w •, 8N• n•m• prior to RM marrl•p) QYU ®NO QUnknown ~DNergd QN•wr M•rtt•tl QUnknown 13. F•thfYt Nfm• Flrat, MI dl•, last, Su 13. MKh•r'• N•nt• Prior to FIrK Mfrrlf8• (Flirt, Mlddl•, laK 14•.1 M't M•mf 1 • tb 10 w D•gd•nt 14C. Inbrm•M'f MNlllt[ drew StroK •n NumMr, Chy, [t4q, 21P Paulette Alex3ev D h aug ter- 20 Riverview Dr. Enola PA 17025 . ................................. ........ .. If D•Kh Ouumd b • IIOSPMI: ~ Inp•tl•nt If O••M Occu~ir~d Sprnw. ~ ~~OM~r TMn . «Otplt•1: t.1 NgPk:~ F•clfRy ~ D•CWm's Ment• !rn• •m d On .vrMl Nunl Nome/ -Term Gr. F•d8 Other (a ) 16b. FrMIRy N•m• net InK N«t, Kr••t end numM , i8e. City Or Town, atK•, an LP • 18tl. CeurtN Jewish of r r 16•. apgWOn furlal GI•mKlen 16b. D•L DIS len 16c. fp M DYpOtRlon (N•m• olgmet•ry, crom•tory, or otMr piece) Q MmeyK from SLb Q DonKlOn 1/6/2012 B ~„•f . itner Crematory, LLC 16d. n Itpealgeh G`ey M Town, SY•fa, end ZIP Harrisburg, PA 1J•. 518nrturo Punere M nW or p•rton In ar{• Interment SJb. I.1cfnN Number FD-014404-L 1JC. N•m• end Ctlmpkttf Mtlr'•w 0/ FuMrfl F•OIRy Y 18. •M s uc•fbn - •ck the thK NtnlMt • Sp. D•gMM H p•nlc Or181n - Gt•ck the 20. M't aq - C eck ON6 MOR[ raCH [o Intlir•t• whet h18h•R d•fro• w ktwl of •cheel mmpl•t•tl et Me time e• death. bq thK Mat d•ta1bK whKhar the decetl•nt the d•gWm rontltl•r•tl hims•N or MmN to M . Q fM'frede or kws bSpenNh/«bp•nlc/latino. Ch•ek<M ^NO^ m Whha Q KOro•n Q No dlPbm• fth - 12th 8r•tl• b IF , q d•e•tl•M Is net SPanbh/HisPtnic/la<Ino. Q M•ck Or Afrlef n Am•HUn r] «18h Kheel ir•tluftf or ®EO mmPIK•d Q VI•tn•m•N Q No net SpenislV«IN•nle/4<In0 A , Q mKic•n Intll•n or M•slu NKhN Q OlMrA,ian Q 8em• mil •p er•dh, but no d•eree Q Y•t, MNlgn, Maxlun Amerlun, Gfiigno Q AN•n Indian Q NKM• «•w•Iifn Q As•od•ta drym (•.[. AA, AS) Q Yea, Pwr[o Rlgn Q Chln•se Q 6u•m•nl•n or Ch•morro Q f•c1t•br'a d•8r•• (•.8. RA. Af, 15) Q Yea CuMn , Q FIIIPIno Q S•mwn Q M•K•r't tlMrN (•.[. MA, MR MEn[, Mld, MSW, M8A) Q Ws, other 8pfnlth/«Npfnlc/latlne 0 l•p•n•N Q OtMr Pacific lal•ndK Q DOeterfe• (4.f. MD, [tlD) x Prefusbnal d•8r•• (Sp•clry) Q OM•r (Sp•elry) O M /D 1. s Inel• R•q Y O•tl[rl•tlon - C fek ONLY ONE to Indlub < • d•ud•nt ronsltle hims• er •r•a to M. 3 a. DK• •K't Usu•I OKYp•tlen - Intllrata type ® Whoa Q , •WnW Q Mroan tlOM tlurinf moat W workln{ IN•. DO NOT USE RETmED. Q Mack erwMUn Am•rlgn Q Noreen Q Other Pacmt lsl•ntl•r Cafeteria Worker Q Amarlgn Indl•n or Albke N•tNe Q VI•tntm•N Q pent Know/Not Sur• Q Awn Intll•n ~ Other Aden Q R•Nt•tl 32 , lOn futin• Indurtry O Glrt•s• Q NKIn H•wflifn Q OtMr (SP.uN) Q fllrolno p du•manlan or ur•morro Lemoyne Middle School w P[R[ON WNO MONOUIK1a OR ~ ,1 ~yY1 uA' T ?~ t .Z urp ne}: ro ne n[ K ~ w e. a~ ` /( Zfd. Ww ~ ~ " 24.Tm• Death 7 ~ / ,Z O~ 2[.WK M•Wtil EkbmlMrar CeronK COrd•ctWT Q YK NO CAUSE OF DEATi1 APPrO,Nm•q 28. hR 1. EM•r lIr• fylp,~M{fpy-dWMa, INurkN, or romplle•tbns--thK tllr•etly gaud iM dgth. DO NOT enter <•rminK w•Mt tuck K u di r •c •rr•at Inbml: rKOlr•tory •rt•tt, Or wmrleulfr flbNll•tlen wlehaut tMwlnB c Klolofy. O O NOT ABBRIVIATE. Engr O nl ya `• qu.• on . Iln•. Add •ddhbn•1 Iln•t If n•gtNry Ona•t to D••th ~ / ~, ~ y - IMMiD1AT[GUSE ------> •. F' YY_~ v\~ ~~ ` ~ , ~C 1 ~ `P~?C~P ' ~ (Firul dN••w or OOndltlon Du• ee (o a eons•qu•nq oq. rowRlrlf in tlfKh) b. 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Injury K e 9J. 1 Tran•port•tlen INury. 3 «ow Inlury Omurr•d: Q YK Q Orlvr/Op•r•Mr Q -edePtrlan 0 No Q P•Wnf•r Q OtMfIfP•cNY) ~P5p ar( en one: ~~•rtlryln f phytlel•n - Te <M b•rt W rrry Imewladf•, tlgM eccur»d due eo tM c•ut•(t) •ntl m•nn•r Rft•d - Q irorwunelnf ~ bKNylnf n - To the MK of my knewl•tlfe, d••M eccurr•tl et M• Hm•, det•, end PI•q, and due m M• e•ua(s) end mennar sUted Q M•tllgl Ewmin•r/ •r - On • M , •n or InwatlPden, In mV OPINOn, dNM~ rrM •t fh1 <Im•, dap, Pnd PI•q..nd tlu• t0 the q us•(s ) .nd m•n n•r it•ted ~ ` c ~ flfnaturo o1 grtM•r: - TRb of grt1R•r. `TJ Ugnt• NumMr: l lam[ J I . X JCn ~// !f .PJBpt•u~\ •rM 21p- _• C • 84 28 afc.D 9 ' o~) ~ 1i. Ain. •nea y? ~^~' DNposlden P•rmR NO. ~~, ~~ ~J~X/ RN m/2D11 =;;;; c ~1 ~~. ~~ i,,~ ~~. ~~ I ~ ~= i~ ot~ FLOR'~CE D. FARAGO ~ r. ~ ~F'~~ J F1i i ~ Jib CLERK 0~ ORPF'AN'~ '~~URr I, FLOREKCS D. FARAGO, of the Borough of Lemoyne, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my 3ust debts and funeral expenses, including my gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practicable after II4' decease as a part of the expense of the administration of my estate. ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all other articles of household and personal use, equipment and ornament, together with all insurance thereon and relating thereto, to such of my children who survive my death by sixty (60) days, in equal shares. ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate to such of my children who survive my death by sixty (60) days in equal shares. Should none of my children survive my death by sixty (60) days, I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever 1 (situate among those of the following of my nieces and nephews who survive my death by sixty (60) days: ROSINA PROVAZZO of Carlisle, Pennsylvania; VINCENT PROVAZZO of Carlisle, Pennsylvania; MARY URICH of Carlisle, Pennsylvania; FRANCES MALAFARA of Harrisburg, Pennsylvania; ANTOINETTE PETRUCCI of New Cumberland, Pennsylvania; ANTHONY D'AGOSTINO of Harrisburg, Pennsylvania; and ROSEANN NORHOLD of Harrisburg, Pennsylvania. ITEM I0. I appoint my daughter, PAULETTA A. ALEXIEV, of Enola, Pennsylvania, executrix of this my last will. Should my said daughter predecease me or otherwise fail to qualify or cease to serve as executrix of this my last will, I appoint my son, STEPHEN P. FARAGO, of Enola, Pennsylvania, executor of this my last will. ITEM 0. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN iiITIiBS.S W~RBOF, I have hereunto set my hand and seal this ~' day of 1985. D. FARA(~0: _. ~9 2 The preceding instrument, consisting of this and TWO other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by FLORENCE D. FARAGO, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. 11,.~%~~,..-~ 3 COMMONWEALTH OF PENNSYLVANIA ) ( SS.: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknow- ledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. /C~ Sworn or affirmed to and acknowledged befo me by the testatrix named above this~F'~day of ~G~~_~_ , 1985. Notary Public LINDA C. LONG, N ~, _ temoYne, Cu Co., Pe. a~'w Commission Expires Nov, 28, ~9~ COMMONWEALTH OF PENNSYLVANIA ) SS.. COUNTY OF CUMBERLAND ) WE, GEORGE A. VAUGHN, III, and MICHAEL L. BANGS, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last will; that she signed it 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 at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. Sworn or affirmed to and ackn wIedged before me this day of /Q~~/~6-~`~L.~ 1985 . IINDA C. LONG„y6tary PuMfO Lemoyne, Cumberland Co., Pe. My Commission Expires Nov. 28,1