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HomeMy WebLinkAbout03-07-12Reset 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 Lt;tters 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 Mae Julias File No: ~- ~ a ~ ~~ a/k/a: _ a/k/a: - (Assigned by Register) a/k/a. Social Security No: 189-09-5130 Date of Death: 02/21/12 Age at death: 92 Decedent was domiciled at death in Cumberland Count principal residence at 11 Parsonaee Street y' PA (Scare) with his/her last Newville Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 11 Parsonase Street Newville Street address, Post Office and Z~ Code Cumberland PA P City, Township or Borough County State Estimate of value of decedent's property at death: Ifdomici/ed in Pennsylvania ............................ All personal property If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ 26,900.00 If not domiciled in Perursylvania ........................ Personal property in County $ n nn Value of real estate it: Perrrrsylvac:ia .......................................................... $ ~ ~~ TOTAL ESTIMATED VALUE.... $_ n n0 26 900 00 Real estate in Pennsylvania situated at: N/A (Attac/: additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough Count Y A. Petition for Probate and Grant of Letters Testamentar Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated October 19 1982 thereto Bated _ ~ and Codicil(s) State relevant circumstances (eg. renunciation, death ofexecator, etc.,i Except as follows: after the execution ofthe 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. § 3323(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ~ EXCEPTIONS © B. Petition for Grant of Letters of Administration (If applicable) e.t.a., d.b.n., d.b.n.c.t.a., perrdente life, durarrte absentia, durance minoritate If Administration, e.t.a. or c~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. 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, if necessar y): Form R{t'-02 rev. 10/11/1011 RIsGIST1SR O1~ Wll.],S 2012 MAR 7 (a.ERK Ole ORPH,~NS COUR"1' CUiVilil?RI,ANl) COUK'1', Y;1 Page 1 of 2 t ne rennoner(sr above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and corcect to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) ofthe Decedent, the Petitioner(s) wil well and truly administer the estate according to law. Sworn to or affirmed a d subscribed before ;~;f r~` Date ~~- J - ~~ Z me thi d y of ~_~ Date By: F t e Register Date Date BOND Required: Q YES ~p To t/re Register of Ii'iQs: FEES: Please enter m a y ppearance by my sienatu rP halnw• Letters ...................... $ (~ )Short Certificate(s)...... ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond............ ............ Commission.. - - _ Other A~1~~ ........ Automation Fee ............... JCS Fee. ...... , .............. TOTAL ..................... $ 0 ~ -3~~ Attorney Signature: ~r4 ~..~~` `L..~ L7 ~/~ A / Printed Name: Ste hen J. o ., Esduire Supreme Court ID Number: 36812 Firm Name: Address: Carlisl~A 1701'i Phone: 7172452698 Fax: 7172450829 Email: DECREE OF THE REGISTER Estate of Anna Mae Julias ~_ I ~ ~~ Q a/k/a: File No: O AND NOW,1~~,\ 7` CJ ~~- satisfactory proof having been presented before tne, IT IS ECREED that Letters onsideration of the foregoing Petition, are hereby granted to r-r-tit ~ , t ~ A •~~ in the abover estate and (if applicable) that the instrument(s) dated 1 [~ /~ t G / Sc ~ described in the Petition be Form RiF-02 r tzr:~:c~i~r~I~ ~~I~~rtc>/ or RI?GISTI?R C)I' WIl,1S 2012 'MAR 7 c~,r?IUs ~~r CU~IBI?Rl.,ANll CC)UR'C. Y;~ to probate and filed of record as the last Fill (and _ ., s)) of Page 2 of 2 Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } H 105.805 REV (91n~ LOCAL REGISTRAR'S CERTIFICATION WARNING: It is illegal to duplicate this copy by photostat Fee for this certificate, $6.00 P 182:11028 s Certification ]Number v TVPe/Print In Permanent yG a yF J E s Anna Mae Jul Q Yes ~~NO Q Unknown L2. Father's Name (First, Middle, George Jacob Rl?(:ORUI?1~ (~Fh'ICT: O1; 2012 M,AR 7 c~.I~iu~ ~>II. ~)RPILINS L(_>~iH'h CU,tiIRI~:Rl,.1N1~ COUIt'I', P;{ This is to certify ghat the information here given i~ correctly copied frl~)m a^ original Certificate of Death duly filed with me as Local Registrar. The original certificate will h(° forwarded to the State Vital Records Office for permane(1t filing. ,~~~~~~ ~ 11 rz - Local Registrar ~ Date Issued COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS CERTIFICATE OF DEATH State Flle Number: 2. Sex 3. Social Security Number 4. Date of D F'' 1 89 09 51 30 Bath (MO/Day/Yr) (Spell Mo) .. Untler 1 Da 6. Date of Btrth (MO/Day/Vear) (Spell Month) 7 Birthplace (City and St ~Ft~ePr~FOrelgn CountryO 1 2 Hours Minutes ~Tar:risburg, J:~1j August 2Z , 1 9l 9 7b. Birthplace (County) n~ ..t-.; _ Idence (Street and Number - Inrl..w~ a ... - --- -'- - IownshlP] - 1 1 Persona St _ O Ves, decedent lived in _ 8e. Residence (Zip Code) 1 7241 twP. Iarital Status at Time of peach ®No, decedent lived within limits of NE?t~ J111a Dlvorcetl Q Married ~4Nldowed 11. Surviving Spouse's Name ci~Y/bor Q Never Married Q Unknown (If wife, give name prior to first m rrlage) Ix) a 13. Mother's Name Prior to First Marrl ge (FI s Middle, Last) Daisy Marie Murc~or£~~" 14 b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, Ciry, State, Zip Code) 129 Chester St_ Carlisle, PA 17013 ....... .......................... on 1 a. P awe --• In Patient r• .............................~a ....... ec on )r one (If Death Occurred Somewhere Other Than s~Hosolt~i~~ """""'" NY'"""'^'- .. ......................... Dend ,... a..r.._. - _ - - Method of Dis ~•ow v111f~, rt-~ 1-7241 !'~~.~w or Death position ~ Bu ial Q Cremation 16b. Date of Dis `--c++sss_~Crlalld Q Removal from State [] Donation position 16c. Place of Disposition (Name f ttmete Other (Specify) ry, crematory, or other place) 6d. Location of Dis 2/24/201 2 Ctnnberland Valley Memorial Gardens positlpn (City or Town, State, and 21p) 17a. Si gnature of Fun sl Service License rge of Interment 17b. License Number Carlisle, PA 170'13 ]c. Name and Complete Address of Funeral Facility ~e f''D O l 2633 L g. Decedent s Etlucafion -Check the bo that best describes the 'ighest degree or level of school 19. Decedent of Hispa nlc Ori i completed at the ttme of death. ~ Bih grade or less ' g n _ Check the box that best describes whether the decedent [+T7 JO diploma, 9th - 12th grade Is Spa nlsh/Hispa nlc/Latino. Check the "NO" Q High school graduate or GED completed Q Some college rod t b t box If decedent Is not 5 panic/Latino. ~NO, not Spanish/His i e , u no degree Associate degree ( .g. ,e,q q5) pan c/Latin Q Ves, Mexi<a n, Mexican American Chi , Q Bachelor's degree (e.g. BA, AB, BSJ , ta Q Yes, Puerto Rican no Q Master's degree (e.g. MA, MS, MEng MEd MSW M Q Yes, Cuban , , , BA) Doctorate (e.g. PhD, Ed D) or ProfesFlonel degree Q Yes, other Spa Wish/Hispanic/Latino . MD DDS DVM LLB JO (Specify) .. Decedent's Single Race Self-Oesignati n -Check ONLY ONE to Indicate what th ~~11Vhlte d Q Japanese Q Black or African America e ecedent consitlercd himself or Q Samoan n Q Korean Q American Intllan or Alaska Native Q Vletna mese Q Other Pacific Islander Q Asian Indian Q Other Asian Q Don'[ Know/Not Sure Q Chinese Q Native Hawaiian Q FIIlpino ~ Refused Q Other (Specify) ~ Guamanian or Chamorro :M523a-23 MVST BE COMPLETED 23a Date Pr ' . PERSON WHO PRONOV NCES OR o ~~d7D~a~Mo Oay Vr) 23b. Signatur rs RTI P ~/ FIES DEATH on r< F RE'St ~ ~ - f~~~ //_~~/ it -...._ _. .,~a.~. ~i ~ ~ / F' - TI`i o N~~ ~ 25 W ~ M c t tcedv p ye ~ / ~~ ' 26. Part 1. Enter »he chain of e._•~ CAUSE OF DEATH ~..__d(s InJ t s N s respiratory arrest, or v entricu r es, or complications-that direct) y caused the death. DO lar fla 1 t l o n It NOT i A IMMEDIATE CA V:iE enter terminal events such as cartliac arr s t sho Ing the etiolppy, DO NOT PBBREVIATE. Enter only one cause on a line. Add Itlo / '~ / ~ J ~ l l ~ ~ amlate PniQ rv est. ________ (Final disease or condition ~ a. ~I (JZ. ~' (` ~ ( ~ f +~( ~ ~ /-] DY~.I ~ f ~~) ^ na ines if 1~ 1 ~~Jl V nece ssary Onset to Death resulting in death) o D t ( as a c nsequence of): ~ K I re ) YYl-Alt `~ Segventla lly list conditions, b. If any, leading to the taus e '. Due to (or as a consequence of): listed on Ilne a. Enter the c _. V NDERLYING tJLUSE (disease or InJu n[hat Due to (or as a consequence of): Initiated the eve [s resulting d In death) LAST. . Due to (or as a consequence of): 26. Part 11. Ent th y ~fl~t dl 1 ih ti t d b t t Iti g I th underlying cause ¢ IVen in Pn.e r _ bNO[ pregnant within past year regnant at time of tleath Not pregnant, but pregnant wlthln'.42 days of death Noi pregnant, but pregna of 43 days [0 1 year before dealt Unknown If pregnant within She pest year . of Injury (e.g. home, construction site; farm; school) Q Yes ~ Probably Q No ~] Unknown to complete the cause of death) __ O Ves +~. Q Homicide ~ Pending Investl8atlon Q Could not be determined Q Yes Q Driver/Operator I3B. Describe How Injury Occurred: Q No s ~~ Q Pedestrian Q Pas enger Q Other (Specify) C rtifl (Ch k ly ) rtifyi H Phy i I To the best of_ ~ knowledge, tleath o ed due to the cause(s) and m 0 Pronouncing 6 Certify ysician the best of my knowledr anner staltetl 0 Medical Examiner/CO ne ge, tleath occurred at the time, tlate, a d place, and due to the cause(s) and manner stated - On the bfisis of examination, and/or investigation, In m Signature of certifier- Y oPinlon, d th d at the time, date, aind place, and duet th TI[le of certlfler~ ~ ~cc /q~ ~( () and rl ~yAdtd` 3s~ d ZIP C d f PgsaQ C I [i C f D _ License Numblr: -~~ s~17_~ ~+--t L! r/9 ~ 40. Registrar's glstrlct Number ~. CG7 / -~ / v 41. R gists r'S Slgnaturc 43. Amendments ~f~~ the decedent considered himself or herself fo (k to Indicate what Q'9VhILB Q Black or African American Q Korean Q Vietname Q American Indian or Alaska Native se Q Other Asian Q Asian Indian Q Chinese Q Nat We Hawaiian Q Ff1lPino Q Gua manlan or Cha morro Q la Panese O Samoan O Other (SPecify) Q Other Paclflc Islander self to be. 22a. Decedent's Usual Occupation -Indicat t done during most of work e ype of wort ing life. DO NOT VSE RETIRED. Disposition Permit NO. ~(~9/ / D~ H106-143 - - -- - - - REV O]/2011 T ACT T.TTT T I, ANNA MAE JULIAS, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any wills previously made by me. I. I devise and bequeath my entire estate of whatever nature or wherever situated to my husband, Tom Julian. II. In the event my husband does not survive me, I devise and bequeath said residue to my children in equal shares. III. I appoint my husband,. Tom Julian, to be Executor of.' this my Last Will. In the event he fails to qualify or ceases to act, then I appoint my son, Harry Tom Julias. IV. I direct that my Executor need not file bond in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will this ~~ "`H'ay of October, 1982. ,, ~--~~ ~~ ~ ~ '~ ( SEA L f The preceding instrument consisting of this on.e page was on the date thereof signed, published and declared by Anna Mae Julias, the testator herein, as and for her Last Will, in the presence of u;s, who at her request, in her presence, and i.n the presence of each other, have subscribed our names as witnesses hereto. ~' ~ /, _~ ~~ t RL-;CC)RDIi~D <)hI~TCE OT RI?GIS'1'I~;RC)l~ Wll,l.S 2012 MAR 7 (;LI3RK <)P ORPI FANS C(:)UR'1' CUI~IRI?RI.~1'_~lll CC)URT, Psi STATE OF PENNSYLVANIA .. SS COUNTY OF CUMBERLAND .. ,. , We, Anna Mae Julias, Frances H. Del Duca and George B. Faller, the testator and witnesses, respectively, whose names ar•e signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and execuced tiie instrument as i-er 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 testator, signed the will as witness and that to the best of h.is knowledge the testator was at that time eighteen years of age oar older, of sound mind and under no constraint or undue influence. r r ~ , -- r/ / ,~~~ ' jf estat-6r"- ~ Witne s Witnes SUBSCRIBED, sworn to and acknowledged before me by Anna Mae Julias, the testator, and subscri~eu and sworn to before me by Frances H. Del Duca and George B. Faller, witnesses, this~~~day of October, 1982. Notary P lic SHIRLEY P, CLEVENGER, N~~tary Public Carlis~e, Cumberland Coun+y, Pa. My Co.~mis: icn Expires h~l~.rch 5, 1984