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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: Anna i. Fiorina _
a/k/a:
a/k/a:
a/k/a:
Date of Death: 01/30/2012
File No: --t,~1 ~ - p`~~
(Assigned by Register)
Social Security No:
Age at death• 89
Decedent was domiciled at death in Cumberland County, pennsyjyania (stare) with his/her last
principal residence at 205 Indian Creek Drive Mechanicsbure 17050 Hamaden Townshia Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $ 1,000.00
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Penrosylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $ 1.000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets, rf necessary.) Street address, Post Office 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 August 12, 2002 and Codicil(s)
thereto dated
State relevant circumstances (eg. renunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § :i323(g), and did not have a child bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS Q EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c. t. a., d.b.n., d.b.n.c.t.a., pendente Jite, 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 complete 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.
O NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spo~any) and kei+s (attar~b,
additional sheets, if necessary): ~~pp ~t ~'?
~~ PY'i , , .~~
~~
Name Relationshi Address iY'
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G ~r
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Form RW-02 rev. !0/!1/20!! Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} ss:
COUNTY OF CUMBERLAND
,~ , - ,{'l) ~ C
~~~ ~ ~ + , o,.~,..~~
2f f 2 ~~1~6 1 S ~1~ $= 17
Petitioner(s) Printed Name Petitioner(s) Printed A
William S. Fiorina 205 Indian Creek Drive, Mechanicsbur P v
The Petitioner(s) above-named swear(s) or aff-rm(s) the statements in the~foregoin Petition are true and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the D c`/~"^ Peti ' er(s well and truly administer the estate according to law.
Sworn to or affirmed n subscribed before ~^-^--°' Date ~68 /4, ~~~Z
me this day , ~~2 Date
$y; _ _ Date
For the egister Date
BOND Required: Q YES ~ NO To the Register of Wi!!s:
FEES: Please enter my appearance by my signature below:
Letters ..................... .
( ~) Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other (~L/r !! .•.•••••
~' .=
Attorney Signature:
~.. ~
r° W
j"
Printed Name: Lisa Marie Co ~ne, Es .
Supreme Court
ID Number: 53788
Firm Name: Coyne & Coyne, P.C.
Address: 3901 Market Street
Camn Hill, PA 17011
Automation Fee ...............
JCS Fee ..................... e
TOTAL ..................... $ '~-
Phone: (717)737-0464
Fax: (717)737-5161
Email: licaC~rnynaanrlrn~pP_rnm
~~/ ' `JlJ
DECREE OF THE REGISTER
Estate of Anna i. Fiorina File No: ~ l ~ ~~ ' ~~
a/k/a:
AND NOW , ~,t( ) (~- , in con ideration of the oregoing Petition,
satisfactory pr f ving be pres ted before me, IT IS DECREED that Letters ~ too
are hereby granted to
in the above estate and t applicable) that
the instrument(s) dated
described in the Petition be
FormRW-Ol rev. !0//1/2011
to probate and filed of record as the last Will (and Cod' ' (s)) of Decedent.
C
gister of ill
I 1
y ~e2 f2
LOC ,~ • ~ R'S CERTIFICATION OF DEATH
WA ~'~~,irs`..i~ duplicate this copy by photostat o'r photograph.
ty j{ ..a1 .^(
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,~~ ,.~, EII1J uclEUicatc, ~o.w ~,}~~~ ~~~ ~ ~ ~~ $~ ~ -~ This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
~~~ ~ certificate will be forwarded to the State Vital
Q{~Q}~FS ~U~T Records Office for permanent filing.
P _.1819 4 311 c«~~F~M~vn rc~ . P~ ~ ~
Q1 /31 1~
Certification 1`dumber
TYpe/Prmt In
Plmumnl
a ~ _ /
Local Registrar Date Issued
COMMONWGLTH OE PENNMVANIA • OEPMTMEM Of NGITN • VITAI RECORDS
fCQTICIf ATC A[: nCATu
---' SMte fRe NYmMr:
1. DecMent's Legal Name (Pint, MNde, fart, Sufl4l 2. Sev 3. SocMl Saarky Number a. OM al Mato IMO/Ory/Yrl (Spell Mol
Anna J. Fiarina F -1 -1 1 1
Sa. Ate-IM lkthdry IYnI Sb. Udder I You k Under 1 Da E. Date of tktn IMO/Day/Ynrl ISpell Monnl ]a. tirthgw IDry and SraM «FarNpl Country)
MaMM Dora HOUn Minutes West PA
89 Ma 25 1 22 ro.euMpknlcoDmy)
d. ResWenu (Stne «Fonlln Country) b. RedMma (Street arb Number • IMUde Apt No.) rk dd pendent lM M a iowmlllpi
20$ Indian CYepk Dr Yu
tln.d.M Ilpee M Hampden
pa,D
,
W. R«Menee (Can1Y)
CLmlbPiland k. wtteenn (71p Cade) 17OSO ^ w, decetlent INM wMdn Iknw o/ nlty/boro.
9. EvH M US AmW Fann] 10. Maribl5tatn at lime npaM ~ MaMed Widowed 1I. SurvMry SpouM'f Name II( e, /he name prior to test "w"tyel
^YU ~f NO ^Unknown ^DMned ^Nevu Martlad ^Unknown
12. Father's Name (FhsU MWdk, Last SIdMI 13. MnheYa Name Prbr m Fkat MarriMa Ifwt, M ddk, tattl
John Plazak pn~ Dc/llraki
iN. bbmuMl Name lob. RRlatbnMlp to Decedent 14 klormant't Madrh AddreN (S6eet and Number, City, State, Zb Codel
William Fiorin
a SIxL 205 Indian Creek Dr. Mecharllceburg,PA17050
uD.nnac«r.dlnaHapwl: ........................... ..... ........... __............
bptNrR Ilf Death Oaurred SOmewhxe~Olhw Than albspwl: ^HOWke Fx IlNy ypend.nt's HOme
y F Roans/OUtpatknt Dead on Nrlval NuN Nom Term Cara facllRy gher ( Ny)
156. fadliry Name IR not W IlMipn, tNe nraet sM number,' 15c Cky «TOwn, State, and 21p [title ISd. County of Death
Hof irit ital Hill PA 17011 lar><]
lfia. Mnhod of dapaekkn ^ tudN ^ CrematMln ]fib. Date o(OhpnlHan 1&. Place of Dbpesidon lNam. ncemetery
uemam
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ry.
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Oder lspedhl 2 2 2012 Memorial ark
Ifid. Loutbn or D6paaroon IgY«rewn, wta, and rtpl li,. Siont mrN b cn.rte w Ineamwnt Iro. tA:enae NumM.
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Llxoer Burrell, PA 15068 ~
FD 013239 L
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Neill Funeral Home Inc 3401 Market Hill PA 17011
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.- MEMet dgree «keel of sMOd osmpkeM n tM tlme el denh. bav tMt Mtt daacNMs whetlw Me dnadent tM denderst conaMered hknMN «henaN m M
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^ tM trade «lafa Ia SpanIMM6Wnk/latlp. qa4 tM'NO' ~wnw ~ Nanan
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~ Hith f ipol paduen «GED cempland Ne, rpt Spanifh/Nhpadc/latlno ~ Amerkan Intlkn «Nafka wIM
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WNNa ^ klMmn ^ Samoan done duNnl molt nw«klnl IM. DD NOT USE REnRED.
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D[RIS 2Y- M lF COM D 33a. Date Pranwmted Oaa Ma pay r ]36. Sipnpmn Penen Pronounchy pre Only appi ]3c llama Numbr
lY PllSON 1N110 tNLONWND[S OR
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CJIUSE OF DEATH
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3fi. Part 1. EntartM(Min dewnD-dWUes, Milurks,«complwtlom-that directly uufad the denh. DO NOT arttx terminal mnb eurhnniWae arraFt Intervn:
ruplnmry amrt,«ventkubrfbrllkebn wkhaut shannl lM elldory. DO NOT ABtREVIATE. Fnty oMy one uuae onalina. Add addkionpl llmsNneceuary ? Onutm With
IMMEdATE GUSE -__-_-_> p, ~~~~~~) O ~
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VND[RLYING GUSE Due m for as a unrpwnce tiff:
g Idwax «InAxy tMt
initiantl tM events rnuMN d.
~ m deaml LAST. Due ro for u a wmeauence till:
~ 1fi. Part IL Eton otlsarskllRkant oantlitbm raMibutl d MbN rem nwhlnl In Me untlerlYNy came liven b hrt I 3I. Waf an aumpry 7
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/'~ ~ Acddent ^ MMiry lnvutyatbn
~ Suklde ~ Couk not M de[erminM
Not «elnan( but prelmM e3 days m 1 ynr before death
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ln tM put rear 33. nme of In)ury
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3 6.Inlury n Work 37.1(TnnNplrtatlpn ln)ury, 5petlfy: 30. OescrlM Now Injury OrsvrtM:
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ry""•u^ckV i Certllyiry 7 M rent Nowktlle, death o«urted n tM tMw, dab, ant pau, ant due to eM cwselal ant rmmx autw
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LAST WILL AND TESTAMENT
<<~
~~~ ~ ~
'~ ~~ rn _,
I, ANNA J. FIORINA, of the City of Erie, Erie County, Pennsylvania, do rrt~'s m~; _ ~~~ _::
_
n ~ r.
~ -,
:^
Will, hereby revoking any and all Wills at any time heretofore made by me. ~
~ ~.~
.,.,~
FIRST: I direct that the expenses of my last illness and funeral be paid out of my
estate as soon as may be convenient after my death.
SECOND: Except as I may have provided in a Memorandum signed by me and kept
with the original of this Will or my copy thereof, I give to my children, WILLIAM S. FIORINA
and MARK A. FIORINA, who survive me, so much of my personal effects, household effects and
other tangible personal property as they may each select, any unselected items to be sold and the
proceeds distributed as part of the rest of my Estate.
THIRD: All the residue of my estate I give equally to my sons, WILLIAM S.
FIORINA and MARK A. FIORINA, the share of any son who predeceases me to go to his or her
issue who survive us both ,per stirpes, or if he has none, to be added equally to the share of the
other.
If any share of my estate is to be paid to a person under twenty-one years of age, said
shares shall not be paid but shall be retained by my sons, or the survivor of them, as Trustee, in
a separate Trust. Until the said child attains the age of twenty-one years, the Trustee shall pay out
to such child or expend for his or her benefit so much of the income and principal as the Trustee
considers advisable, and shall add the rest of the income to principal and invest it as such. When
said child attains the age of twenty-one, the principal shall be paid to him or her and the Trust
terminated. In the event said child dies before he or she attains the age of twenty-one, then the
principal and all accrued income shall be paid to the person or persons entitled to his or her Estate.
FOURTH: I appoint my son, WILLIAM S. FIORINA, Executor of this Will. In the
event that WILLIAM S. FIORINA is unable or unwilling to act or continue to serve in such
capacity, regardless of the reason, I appoint my son, MARK A. FIORINA, Executor in his place.
I give to my said Executor, in addition to the authority conferred by law, the power to sell any or
all of my property, real or personal, at public or private sale, at such time and for such price and
upon such terms and conditions as he may see fit, or in his discretion to retain the same for
distribution in kind, and the power, but not the duty, to invest any cash without being limited to
"legal" investments.
No bond shall be required of any fiduciary hereunder in any jurisdiction. No fiduciary
hereunder shall have any liability for any mistake or error of judgment made in good faith.
FIFTH: I direct that all estate, inheritance and other taxes in the nature thereof,
together with any interest and penalties thereon, becoming payable because of my death with
respect to the property constituting my gross estate for death tax purposes, whether or not such
property passes under this Will, shall be paid from the principal of my residuary estate, and no
person receiving or having a beneficial interest in any such property, whether under this Will or
otherwise, shall at any time be required to contribute to or refund any part thereof.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this / ~~~.-- day of
^~~ ~,~.C ~~ , 2002.
~i+.-~~'~~._ ~.~ ,, ;' ,~~:Q ~`~-~~_-~,'-~ (SEAL)
ANNA J. FIORINA
Signed, sealed, published and declared by the above-named Testatrix, ANNA J. FIORINA,
as and for her Will in the presence of us, who, at her request, in her presence and in the presence
of each other, have hereunto subscribed our names as witnesses hereto..
..J
--c~-~--~~-~- ~~ ~`~.~. ~
..
fitness
,~? r r~ ~z-~ t~~ C,.~'`~r,,y~ ~ ~~
Address
~~ _
Witness
~.-t ~ ~,~, ~- ~,, 4i ~-J-.~.~,,.-s
Address
1'4.. ~ ~ ~-l~r
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF ALLEGHENY
We. ANNA J. FIORINA. (~~~~~..-~ ~=~ ~' J~ and ~`~~E~L-j ` k` . _.t`H~=-rtt1
the Testator and the witnesses, respecti4ely, whose names are signed to the foregoing Will, being
first duly sworn according to law, do depose and say that the Testatrix signed and executed the
foregoing instrument as her Will, that she signed willingly, that she executed it as her free and
voluntary act for tie purposes therein expressed, that each of the witnesses, in the presence and
hearing of the Testatrix, signed the Will as witnesses and that to the best of the knowledge of each
of them the Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
Testatrix:
Witness:
Witness:
Subscribed, sworn to and acknowledged before me by ANNA J. FIOR11NA, the Testatrix, and
subscribed and sworn to before me by ~~~!~-L~t ~~. `u~-''~~~nd f=~~S~'rLi ~~-- ~~~-1~-~
witnesses, this r ?-~` day of /~ t_ 1 C-~L I~.~ i , 2002.
~ ~.
Notarial Seal No Public ,~
Cynthia J. Haggy, Notary Public
Pittsburgh, Alle~her-y Qounty (; '
My Commission Expires Mar. 31, 2003
Member, Pennsylvania Association of Notaries