HomeMy WebLinkAbout03-19-12PETITION 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: aro lane cAfoos
a/k/a: _ _
a/k/a:
a/k/a:
Date of Death: 1 /6/2012
Decedent was domiciled at death in CUmberland ~
principal residence at 603 E. Keller Street 17055
Street address, Post Office and Zip Code
Decedent died at Harrisburg Hospital 17101
Street address, Post Office and Zip Code
File No: ~ l - L;~~~ ~~_
(Assigned by Register)
Social Security No: 163-50-6586
Age at death: 56
nty, PA (State) with his/her last
Mechanicsbura Borouah Cumberland
City, Township or Borough County
City of Harrisbu
City Townshi o B
Dauphin PA
County State
., p r arough
Estimate of value of decedent's property at death:
/f domiciled in Pennsylvania,, ,,,,,, , , , , , , , , , , , .all personal property
If not domiciled in Pennsylvania ....... . . . . . . , , , , , . , , , ,Personal property in Pennsylvania
If not domiciled in Pennsylvania ...... . ......................Personal property in County
Value of real estate in Pennsylvania .......... ,
TOTAL ESTIMATED VALUE.. .
Real estate in Pennsylvania situated at: NONE
(Attach additional sheets, if'necess'ary.) Street address, Post Office and Zip Code
~ _ 87,000.00
$ - 0.00
$ __ 87, 000.00
City, Township or Borough
^ 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
thereto dated
Mate relevant circumstances (eg. renunciation, deatG of executor etc)
County
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Z C-7 ~d Codicil
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Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was'r~a party to~ending ~ i-rt
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. 3323 ~,
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. (g)' and did not h~e a child borr~{ ~_.~ O
^ NO EXCEPTIONS ^ EXCEPTIONS _ ~ `t
® B. Petition for Grant of Letters of Administration (If applicable)
c. t. a., d. b. n., d. b. n. c. t. a., pendente lite, durante absentia durante minoritate
If Administration, c.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 party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa. C.S. § 3323 (g) and vas neither the victim of a killing nor ever adjudicated an incapacitated person.
® No ExcEPTloNS ^ ExCEPTIONS SEE ATTACHED AMENDMENT
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 (aaach
additional sheets, ifnecessarv):
Name
Relationsh
James Wilmier _ cousin
Ro er Wilmier cousin
?my Movic __ cousin
Vickie L._ Movic cousin
ander Roa
Address
r~ocnester
210 South Pendleton Street
Cortland
McKeesport
1269 Argonne
South Euclid
NY 14612
NY 13045
-- ____~
PA 15132
OH 44121
FormRW-02 rev./0']12011
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petit~o 11 well and t ul oadminister the eost to accordi g to lawoene~
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the P -~. y J ~ ~ _ ~ y
Sworn to affirmed a subscribed before ~ Date (J
~ ~ ~r~ Date
met ' -~ -~ ~ ~ aY of ~ ~'1 e~~-'~-='r ~ Date
By: ~ ' ~ C .-Date rM=' _
For the Register
BOND Required: ^ YES ^ NO
FEES:
(\ " ;r1
Letters ....................... $ 1,
(~ )Short Certificates(s) ...... ~ ;~
( )Renunciation(s) ... ..... .
( )Codicil(s) ............. .
( )Affidavit(s) ............ .
Bond .........................
Commission ................... .
Other •••••••••
To the Register of Wills: =`-'
Please enter my appearance by my signature t}i
~,~~. rn
~ C.~
~`~~ a
Attorney Signature: '-~ C' -r~ ~` _-_
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_~ ~ ~ `^
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Printed Name: David H Stone Esquire
Supreme Court 397$5
ID Number:
Firm Name: Stone LaFaver & Shekletski
Address: 414 Bridqe Street
P.O. Box E
New Cumberland PA 17070
Phone: 717-774-7435 -
Fax: 717-774-386
Automation Fee ................. `• V Email: dstoneCa7stonelaw ne
~, ,
JCS Fee ................ ......
TOTAL ......................$
DECREE OF THE REGISTER
~1~ ~~
Estate of Carol Diane 1~1cAfoos File No: ~ ~ -_1~~--
a/k/a: - - ~ -
' ~ ~ 1 ~ ~~n ~~~~ ~ ~ , in consideration of the foregoing Petition,
AND NOW, -- of Administration
satisfactory proof having been presented before me, IT ISEmII yM PIVOVaernik
are hereby granted to
in the above estate and (if applicable) that
the instrument(s) dated
described in the Petition be admitted to probate and filed of reco~d as the last Will (and Codicil(s)) of Decedent.
G:. _ . /
of Wills~~~-
Form RW-02 rev. /Oi]/~20ll
2 of 2 `~
Continuation of Petition for Grant of Letters
Carol Diane McAfoos
Decedent Name
Page 1 163-50-6586
Social Security Number
Surviving Heirs
_ Name Relationship
Address
Re ina M. Welborn 4600 Canal Drive
cousin Sanford FL 32771
Virginia A Sutton 66 Shady Drive
cousin Indiana PA 15701
Charles Patrick Gromley 2445 Olson Road
cousin Marion Center PA 15759
William L. Brickel 2571 Purchase Line Road
cousin CI mer PA 1572F~
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AMENDMENT TO PETITION FOR GRANT OF LETTERS
The decedent was survived by eight first cousins, whom are listed on the Petition, and whom have
all signed Renunciations renouncing their right to administer the Estate of the Decedent and
respectfully request that Letters be issued to the Petitioner, Emily M. Pivovarnik. Petitioner resided
with the deceased at the time of her death and paid for the funeral expenses. Petitioner is a creditor
under Section 3155(4) of the P.E.F.
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LOCAL REGISTRAR'S CERTIFICATION OF ®EATH
WARNfNG: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 18037240
Certifirition Number
*mendnr In
Pvmanent
This is to certi~ti' that tl~le ini~Irmal~ol~ here ~i~en
correctly a,pieu~irom an uri~~inal Certificate of Drx
duly filed 4vilh nee ~~~ Loco] 12e~Tistrar. "I`he ~ririn
certifirtte ~~ill !~~ forwarded tl) the State Vit~
Records Ofli~e t~or pern;anent tilil~l~
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Local Re~~ri~trar -~~- ~ --
)ait~ Issued
coMMOxwEwETN a vENNSnvANM • D[vARTMENr of HEUTN . VRAE RacDRps
CERTIFICATE OF DEATH
W. ReaMxp Iweet aM Number - Include Apt No.l
tpos E • Keller Street
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^DNwcetl A99 Never MarnN ^Unkrpwn
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H106-163
REV Ul/2011
RENUNCIATION =w>
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REGISTER OF WILLS ~ ~ ~ `~'
Cumberland
COUNTY, PENNSYLVANI ~=` ~ ~
A r~''~
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Estate of Carol D
Deceased
I, Amy Movic
(Print Na~ne) , in my capacity/relationship as
cousin
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Emily M. Pivovarnik
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of __
Deputy for Register of Wills
FormRW-06 rev. IQ 13.06
(Signature)
1243 Park Street
(Street Address)
McKeesport PA 15132
(City, Stale, Zrp)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on thistll ~ ~-~ day
of M/+RGr-t ~_
Notary bli
My Commission Expires: Fe bruary
y, 2oi(~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Kathy to Osman, Notary Public
~Y of MdCeespor~ Allegheny County
AMBER, ~~~ F~ireS Feb. 4 2016
ASSOCIA1IOk Of NOTARIES
RENUNCIATION `==
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REGISTER OF WILLS -~ ~ ~ ~'
- ~ ~ '
Cumberland
COUNTY, PENNSYLVANIA ~
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Estate of Carol Diane
Deceased
I, Vickie L. Movic
(Prtnr Name) , in my capacity/relationship as
cousin
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued t~
Emily M. Pivovarnik
2 t-~ v20~~
Date)
Executed in c~egisteiY's Offce
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
i~i~
(Si aturef
1269 Argonne Road
(Street Address)
South Euclid OH 44121
(City, State, ZipJ
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Ce!nmission.)
t~;fi,',
Executed oiat of..Registei 's affcce
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
pu oses stat d within on this __ / day
of , ~b I ~
i'~G~~
Notary Public
My Commission Expires:. root„y F obi ~°Hr~soN
atv of ()h?p
MY Commission Expires April 2. 2r;1d
Form RW-06 rev. l0. ]3.06
RENUNCIATION
REGISTER OF WILLS
Cumberland COUNTY, PENNSYLVANIA
Estate of Carol Diane
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Deceased
I, Kegina M 'JVelborn
(PrintNarne) , In Illy Capa~lty/reiatlGnShip a3
cousin
of the above Decedent, hereby renounce the right to
ad
minister the Estate of the Decedent and respectfully request that Letters be issued to
Emily M. Pivovarnik
~~a
Executed in Register's Office
Swore. to or affrnl;,d and subscribed
before me this day
of
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(S gnat e)
4600 ~-o ~~ Drive
Street Address)
Sanford FL 32771
City, State, Zrp)
Executed out of Register's Offce
~ F M„
vel,,;~ the u~ldcrsigrcd personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes s ate within on this ~_ day
of- ~~' 7.~nJ
Deputy for Register of Wills
Farm Rrti'-06 rev. 10.13.06
Notary Public ~~ `~/ `"~ --
My Commission Expires: ,~~,,,~ ~~'~plGf
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
~f~ SC07T CAMfiI
p Notary Pub1~, State of Florida
CommissionAr DD981687
MY comm. expires Apr. 13, 2014
RENUNCIATION
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REGISTER OF WILLS ~~~
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Cumberland ,,> ~
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COUNTY, PENNSYLVANIA -
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Estate of Carol Diane McAfoos
Deceased
I, Charles Patrick Gromle
(Print Name) , in my capacity/relationship as
cousin
of the above Decedent, hereby renounce the right to
adm' '
mister the Estate of the Decedent and respectfully request that Letters be issued to
Emily M. Pivovarnik
a J .{
`' /.7 /mil
(Date)
Executed in Register's Office
~'vvGrii to yr Caffrt2i~d aid JUVJI:rIliC:f
before me this day
of
Deputy for Register of Wills
Form 2W-06 rev. 10.13.06
~7 .
(Signature)
2445 Olson Road
Street Address)
Marion Center PA 15759
(City, State, ZipJ
Executed out of Register's Office
Before the undersigned personaiiy appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
of rp~Pes stated within on this /~ day
,~-.
l.~ ~~
Notary Public
My Commission Expires: ~/3 ~'/a. ~i 5~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show dat~ofexpira[ion of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Ilebra A. Weaver, Notary public
G: ecn Twp,, Indiana County
hTk_Conrs~issi~~n x it Jan. 2R
6?~M9nER, cE,~:~53i.1'A.YIA ASSO
CATION OF NOTARIES
~~~ `~
RENUNCIATION ~'' ~ m ~ ='
=J .~__ ~ :..m ~.
REGISTER OF WILLS ~ ~ `~ ~~' +
Cumberland COUNTY, PENNSYLVANIA n ~ ~; ~•~
.~
Estate of Carol Diane McAfoos
Deceased
I, Koger VViimier
(Print Name) ~ iiI iily capacitylre„?tiC::Sl;ii~"3,;:S
cousin
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Emily M. Pivovarnik
~ ~~ - ~ ~/ a
f i
(Dale)
(Signature)
210 South Pendleton Street
(Street Address)
Executed in Register's Off~e
Sworn to nr affirmed and st.tbscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. lOJ3.0G
Cortland NY 13045
(City, State, ZipJ
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this _ 1 ~ _ day
of ~~~„ :~ ,~ ice,
Notary Public
My Commission Expires: y ~,y ~t a
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
l~~ICE M. MOORS
Notary Public, State of New York
No. 01 M06108630
Qualified in Cortland County
any Commission Expires 04/19/ r Z,
RENUNCIATION
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REGISTER OF WILLS ~~ ~
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Cumberland COUNTY, PENNSYLVANIA
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Estate of Carol Diane McAfoos
Deceased
I, James Wilmier
(Print Name) , in my capacity/relationship as
cousin
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Emilv M. Pivovarnik
- ~3 _ ~ viL
(Date)
s
~~~~
(Si nature)
26 Leander Road
(Street Address)
Rochester NY 14612
(City, State, Zrp)
Executed in Register's Offce
Sworn to or affirmed and subscribed
before me this day
of
,-
Deputy for Register of Will
Farm RW-06 rev. 10.13.06
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renun 'ation for the
pur es stated within on this day
of 2U~
r--~-..~..~ ~1,1/J
Notary Public
My Commission Expires: 3 ~ ~i / 2 ~~~ ~~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
SARAH 1. STYMUS
Notary Publk -State of New York
N0.01ST6218543
OuaHfied in Monroe County
My Commission Expires ' ZU it
t7
RENUNCIATION ~~ ~~ m
;~. ,--. -
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;;.. ~ m -_ - ~ ~~
REGISTER OF WILLS -,~, ~ ~ `' ' `-'
Cumberland COUNTY, PENNSYLVANIA ~~`~ ~ ~ ...
C -=~=
~ . _ _ `_•
D t"3 `',~
-..~ -rr
Estate of Carol Diane McAfoos
Deceased
I, William L. Brickel
~PrintName) , in my capacity/relationship as
cousin
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Emilv M. Pivovarnik
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(SrgrratureJ
2571 Purchase Line Road
(Street Address)
Omer PA 15728
(Crry, State, Zrp)
Executed out of Register's Office
Before the undersigned personaiiy appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this - ~ 4 fh day
of ie o~
(~,
No ary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.) ~
~'~FnRGE M. THACHIK
1)f~ rRICTJUDGE
!11agi,r«•nal District 40-3-01
( Icnter, PA 15728
My Coinrtiission Expires January 2018
RENUNCIATION ~~ ~~~
.
„~ ~ ice; ,
- ~ <~
-.
s.
REGISTER OF WILLS ~1~r--
~ r-rt _
Cumberland c ~~
,
COUNTY, PENNSYLVANIA ~
:.~ _ ~ ,
~ r.._... ~r-1
~~~
\J ~~
Estate of Carol Diane McAfoos
Deceased
I, Virginia A. Sutton
(Print Fame) , in my capacity/relationship as
cousin
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued rn
Emily M. Pivovarnik
T~
(Date] J
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Fonn RW-06 rev. 10.13.06
(Signature)
66 Shad Drive
(Street Address)
Indiana PA 15701
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciati for the
of rposesFstat d within on this _ 1 g ~! day
-~'21~.
Notary Public '~~~-~
My Commission Expires: Q~ ~ dam] . `~ p
(Signature and Seal of Notary or other ofticial qualified to
administer oaths. Sho+v date ofexpiration of Notary's Commission.)
°`~= ~Y ~^'76;9A3s~E;01V ~BEE11920~
E XlpIF E s Aug.wst 07, 2015
~~~