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HomeMy WebLinkAbout04-09-12Reset PETITION FOR GRANT OF LETTERS COUNTY, PENNSYLVANIA REGISTER OF WILLS OF Cumberland 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: Alma Maskalunas a/k/a: a/k/a: a/k/a: Date of Death: Mazcli 30 2012 Decedent was domiciled at death in Cumberland principal residence at 740 azol Street New Cumberland PA . o,,.r office and 73D Code ~ i _ 1 ~ --~ ~-N File No• .~1• • (Assigned by Re Age at death: 93 County, D ~~ t119nia (ware) with his/her last City, Township or Borough County Decedent died at Slane Hos'ice Residence 1320 Lin lestown Ro Harrisbur Dau hin Coun PA coanty sate City, Township or Borough Street address, Post Office and Zip Code Estimate of value of decedents property at death: $ 460,000.00 If doasiciled in Pennsylvania ............................ Peersonal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ If not domiciled in Ptnnsyllvania ....................... ....... $ 1 R~ X00.00 .......... ......... ~a~ 000.00 Valve of real estate in Pennsylvania .............................. . TOTAL ESTIMATED VALUE. Real estate in Pennsylvania situated at: 740 Cazol Street New Cumberland Cumberland C City, Township or Borough county (Attach additional sheets, if necessary.) Street address, Poet Offke and Zip Code ® A. Pehtfon for Probate and Grant of Letters Testamentary ~~~/~/ O and Codicil(s) petitioner(s) aver(s) he/shelthey is/are the Executor(s) named m the last Will of the Decedent, dated _ thereto dated Sate relevant circumstances (eg. renanciation, death ojerrecatar, etc.) was not divorced, was not aparty to spending Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated perscm. NO EXCEPTIONS ®EXCEPTIONS ® B. Petition for Grant of Letters of Administration (C ~ ap d.b.ned.b.n.c.t.a., pendente lire, durance absentia, durance minoritate If Administration, c.t.a or db.n.c.t.a., enter aaie or yr us ^_^ ~~~•-~° •- --- - - , p to a ending divorce proceeding wherein the grounds for dive Except as follows: Decedent was not a arty P in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person' NO EXCEPTIONS ®EXCEPTIONS Petitioner(s),after apropersearch has/have ascertained that Decedent left no Will and was survived by the folio additional sheets, if necessary): Page 1 of 2 Form RW-02 rev. l0/11/2011 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS: COUNTY OF Cumberland } `;VC= ' ~ F ~ ~' ~ ~ . ~µ I . ~. ,~~, ~ , ~ , d'...4!.l Petitioner(s) rrmieu r+~~°° Petitioner(s) Printed Name ~', ~ ~ r ci 148 Faith Circle Carlisle PA 170 ' or s the statements in the foregoing Petition are true and correct to the best of the lmowledge~ d w lief The Petitioner(s) above-named swear(s) affirm() s ~ ell and truly administer the estate of Petitioner(s) and that, as Personal Representative(s) of the Dec t, the Petitioner() c / ~ Date Sworn to or affirmed and subscribed before -Date me this ~ day of ~~ ~~ ~ _ Date -~ ~_ Date By: For Regis BOND Required: ®YES Q NO FEES: Letters ...................... $ (~ )Short Certificate(s)...... ~~' ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ......... r.s Other ~_.- ~ ..... . Automation Fee ............... JCS Fee . .................... $ S:ZZ .Sa •~9Q TOTAL ..................... To tke Register of Wills: Please enter my app~a'f Attorney Printed Name: Barbara Sumnle-Sullivan below: Supreme Court 32317 ID Number: ~-- Firm Name: Law Offices of Barbara Sum le-Sullivan Address: Phone: (717)774-1445 Fax: 717 774-7059 Email: DECREE OF THE REGISTER File No: ~~ I t ~ " Estate of Alma Maskalunas a/k/a: I~ ,mc AND NOW, ` ` ` lJ IT I E ED that Letters roof hav ng been presented before me, ~ , ;aeration of the foregoing Petition, sattsfactory p are hereby granted to " in the above estate and (if applicable) that the instrument(s) dated described in the Petition be FormRW-Ol rev. 10/]I/2011 probate and filed ~ecord as the last W]Il (and Codicils Re~i ter of Wills ~\I 2 of 2 LOCAL RAR'S CERTIFICATION OF DEATH _, I h :~' , WARNING-~,~~ ~g~`1FtioEa(~licate this copy by photostat or photograph. ' 1L ~r , I , j' ,,~;~ ~ 1 C -ul Fee for this certificate, $6.00 t~?~~~~~ .,~ This is to certify that the information here given is Pl~ ~~ ~ ;; correctly copied from an original Certificate of Deati duly filed with me as Local Registrar. The origins C~R{f ~' certificate will be forwarded to the State Vita ORPHA~1~ CDURr Records Office for permanent filing. C(1MR~pr n~(If; r~ pA ~i~~~ P 1R~RR~d~ Certification Number Type/Print In Per ant ~~ V APR/0 3 2412_ Local Registrar Date Issued COMMONWEALTH OF PEN NSVLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS f"C ~T~Cg!`ATC nc n - - - - - - - -- - - ' - State File Number: 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2 S . ex 3. Social Security Number 4. Date of Death (MO/Day/Vr) (Spell Mo) Alma Masltalunas fem 177-16-0458 March 30, 2012 S a. Age-Last Birthday (Vrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of BIKh (Mo/Day/Vear) (Spell Month) 7a. Irth I (City and State or Foreign Country) Months Da H ~ g~ ya n a purs Minute, Ma 30 1 91 8 93 y ' 7b. Birthplace (County) Cum er an Ha. Residence (State or Foreign Country) Bb. Residence (Street and Number -Include Apt No ) Bc Did De d t Li I . . ce en ve n a Township? Penns . 74 O Car 1 gt O _ yes, decedent Ilved in twp ed.Reamence(cqunty) New Cumberland PA Cumber 1 and Be. Residence (zip cgde) No, decedent Ilved within limits of Now Cumber land city/boro. 9. Ever in U Armed Forcesi 30. Marital Status at Time of Death Q Married Widowed 11. Surviving Spouse's Name (If wife ive nam i fi ~ , g e pr or [o rs[ marriage] Q Ves No Q Unkno Q Divorced Q Never Married Q Unknown 12. Father s Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to Flrat Marriage (First, Middle, Last) Fern Rinehart Catherine Wittle 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, CI[y, State, Zlp Code) Virginia Paioletti o cousin 414 Eech St. ,Hershey, PA 17033 x S ........................................................ ...Pa.................................. a:...aCe.s....~st ec on y • ............. ........ qne If Death Occurred In a Hospital: ~~ In bent ; If Death Oc --~-~~~ '•""'""""""""""""" •-••---•••••••-- tutted Somewhere Other Than a Hospital: ~HOS ice Facili [~• ' J 4 p ty Decedent s Home Q Emergency Room/Outpatient Dead on Arrival Nursing Homes/Long-Term Cara Facility Other (Specify) 35b F Iil N If i • ru 7 . ty ame not nstitution, give street and number) 15c CIYy qr Town, State, nd 21p Code 15d. County of Death Shane ~iospice Residence H g ~ arrisbur , PA 17110 Dauphin i6a. Method of Disposition Burial Q Cremation 36b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) Q Removal from State p Dpnatl (~1 gn Apr _ 4 , 2 01 2 Ro 11 i n Dther(spa~lfy) g Green Cemetery 16d. Location of Disposition (City or Town, State, and Zip) Ignatu re of Eylh I ~ Icensee or Person in Charlie of Interment 17 b. License Number Camp Hi11 PA 1 701 1 ' - /~ I / ~z~f , C---- C 'aG~/~ti~ FD-01 31 63-L 17c d mplete Address of Funeral Facility usse~man FH& ~ CS,2nc_,324 Hummel Ave., Lemoyne, PA 17043 1H. Decedent's Education -Check the bpx that best describes the 19. Decedent of Hisps nit Origin -Check the 20. Decedent's Race -Check ONE OR MORE h ~ races to Indicate what ighest degree or level of school completed ai the dme of death. box that best describes whether the decedent th dece!tlent consid r d hi lf e e mse or herself to be. Q Heh grade or less ~ Is Spa nlah/Hisps nlc/Latino. Check the "NO" White Q Korean Q No diploma, 9th - 12th grade box if decadent Is no[ Spa Wish/Hispanic/Latino. Q Blacle or African American Q Vietnamese HIBh school raduate r GED l g o comp eted Q No, not Spa Wish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some collage credit but no degree , Q Ves, Mexlea n, Mexican American, Chicano Q Asian Indian Q Natlva Hawaiian Q Associate degree (e.g. AA, AS) Q Ves P rt Ri , ue o can Q Chinese Guamanian or Chamorro Q Bachelor's degree (e.g. BA, AB, BS) Q Yes Cuban ~ , Fill 1 ~ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Ves, other Spanish/Hisps nlc/Latino Q Ja anese a p Q Other Paciflc Islander ~ Doctorate (e.g. PhD, Ed D) or Professional degree S f ( peci y) Q Other (Specify) . MD DDS DVM LLB JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate what the decedent considered himself or herself t° be. 22a. Decedent's Usual Occupation -Indicate t Whit f k ype o wor Q Japanese e Q Samoan done during most of working Ilfe. DO NOT USE RETIRED. Q Black or AfHCan American Q Korean ~ Other Pacific Islander C l E r 1 Ca 1 Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure Q Asian Indian ~ Other AZian Q Refused 226. Kind of Business/Industry Q Chlnase Q Native Hawaiian 0 Other (Specify) y pot Q FIIIPino p G°amanlanprcnamprro - Arm De ITEMS 23a - 3 M ST BE COMPLET D 23a. Date Pronounce Dea Mo Day r 23 .Sig cure o Parson P ouncing Death Only when applica )e) 23c. License Number BY PERSON WHO PRONOUNCES OR ~„~ ^ /a ` , ~ CERTIFIES DEATH ~ ~ w^+ /tea ) ~„ J ~~~~ 'ate Signed ( Dsy/Yr 24. Times f pe th /t'~~ ° ~~ 25. Was Medical or Co er Contacts Q Yes Q No CAUSE OF DEATH 26. Part 1. Enter the chain of events--diseases, Injuries, or compllcatlons-that dlrcctl Approximate Y caused the death. DO NOT enter terminal events such as ca rdlac arrest i resp Interval: ratory arrest, or ventricular fib Allatlon without showin the bolo g e gy. DO NOT ABBREVIATE. Enter only one cause on a Ilne. Add additional Ilnes If nec O _ essary nset to Death / IMMEDIATE CAUSE --------------> a. ~ y^~ /(. G ~f-r (Final disease or condition ~ Due to (o as a consequence f ° ) resulting in death) ' b. Seq uentlally list conditions, Due to (or as a consequence of): if any, leading to Lhe cause listed on line a. Enter the UNDERLYING CAUSE Due to (or as a consequence of): ~ (disease or Injury that F Initlatad the events resulting d. ~ in death) LAST. Due to (or as a consequence o f): yy r1. 8 26. Part 11. Enter other sianlfica n[ conditions t Ib •t _ I• but not resulting In the underlying cause given In Part 1 27. Was a utopsy p rtormetl7 ~ O Yes No m - 26. Wero autopsy flntlings available ~ to co plate the cause of d th? ea 29. If Female: ~ Yes Q No 30 Dld s . Tpbacco Use Contribute fo Death? 31. Manner of Death Q Not re gnant within pest year _ n r Q Ves Q Probably ~ Natural Homicide Q Preg a tat time of death 0 rd Q Not pregnant, but pregnant within 42 days of death Q NO Q Unknown Q Accident Q Pending Investigation ~ ~ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In u Mo/Des Q Suicide Q Could not be determined J ry ( Y/V r) (Spell Month) Q Unknown If pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zlp Code) 36. Injury at Work 37. If Transportetlon Injury, Specify: 36. Describe How Injury Occurred: Q Yes Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) _ 39a. Certifier (Chock only one): ®'Ciitlfying physician - To the best of my knowledge, death o tad due to the cause(s) end manner stated ~ Pronouncing 6 Certifying physician - To th y knowledge, death occurred at the time, date, antl place, and due to the c se(s) antl manner stated Q Medleal Examiner/Coroner - On th f o a nation, and or Investigation, in my opinion, death occurred at the time, date, and place, and due [o the cause(s) and ma nn e r state d / y / ~ Signature of certifier: Title of certifier: ~"Y1a/J License N b ~ /J ~ S /~~ um err ] (~ // 39b. Name, Address and Zip Code of on Completing Cause of Death (Item 26) 39c. Date Signed (MO/Day/Vr) 40. Reglstra is District Number 41 Re is[rars$iRn f ~i-arm . g a ure - / J - - 42. Registrar FI e D to Mo Day 43. Amendments z- i % j~ y ~~.~~~a~Z Disposition Permit No. ~f LO ~ V / / ~ H105-143 REV 07/2011 LAST WILL AND TESTAMENT c~ .. , OF :~ o ~=-:a _ ~~J'~TJ _~ ~ _~ n -'j'' ~ rj~r? ~ <_. ALMA M. MASKALUNAS r ~ m ~ ~ ~i '' ~~~ ~ I ALMA M. MASKALUNAS of New Cumberland Cumberland Count .' -- , , y, c.. ~, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes maybe payable by my estate or by any recipient of any property, shall be paid by the Executrix out of the property passing under ITEM IV of this Will, as an expense and cost of administration of my estate. The Executrix shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executrix to pay my just debts and the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. I direct that Musselman's Funeral Home in Lemoyne handle my arrangements and that I be buried at Rolling Green Cemetery in Camp Hill, in the plot next to my husband, Joseph Maskalunas. ITEM III: I devise and bequeath the sum of Ten Thousand Dollars ($10,000.00) to the Humane Society of Central Pennsylvania. ITEM IV: Subject to the terms of the Trusts set forth in this Item IV, I devise and bequeath the rest, residue, and remainder of my estate as follows, a) Twenty-five Percent (25%) to Taylor Smith. In the event he predeceases me, his share shall be divided equally between the beneficiaries set forth in subsection (b), (c) and (d) of this Item; b) Twenty-five Percent (25%) to Nathan Smith. In the event he predeceases me, his share shall be divided equally between the beneficiaries set forth in subsection (a), (c) and (d) of the Item; c) Twenty-five Percent (25%) to Monica Lee Smith. In the event she predeceases me, her share shall be divided equally between the beneficiaries set forth in subsection (a), (b) and (d) of this Item; and d) Twenty-five Percent (25%) to Megan Lee Smith. In the event she predeceases me, her share shall be divided equally between the beneficiaries set forth in subsection (a), (b) and (c) of this Item. I direct that, in the event any beneficiary is less than age 25 at the time of my death, a~ his or her share shall be held in trust and disbursed in accordance with the following directive: a) No distribution shall be made from the trust for any child less than the age of 18 years old. Said sums shall be held in absolute trust by the Trustee until said beneficiary's 18th birthday. b) During the period from a beneficiary's 18th birthday until his or her 22°d birthday, said beneficiary shall receive from his or her Trust the sum of Five Hundred Dollars ($500.00) each month. Additionally, I direct that if said beneficiary is enrolled in furthering his or her education, including college, vocational or other courses of training to advance his or her employment skills, said child shall receive an additional annual sum of Six Thousand Dollars (,$6,000.00) to be used toward education related expenses. c) During the period from a beneficiary's 22°d birthday until his or her 25th birthday, said beneficiary shall receive from his or her Trust the sum of One Thousand Dollars ($1,000.00) each month. d) On said beneficiary's 25th birthday, the Trust shall terminate and all remaining principal and accumulated interest shall be paid to said beneficiary. 3 Ul"V'. ITEM V: In the settlement of my estate, my Executrix and the Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, as :long as the Executrix may deem it advisable to my estate to do so; (b) To sell either at private or public sale and upon such terms and conditions as the Executrix may deem advantageous to the estate, any or all real or personal property or interest therein owned by the estate; (c) To pay all costs, taxes, expenses and charges in connection with the administration of my estate; (d) To compromise controversies; and (e) To do all other acts in the Executrix's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate. ITEM VI: I appoint my friend, Cathy M. Sheriff to be Executrix of my Estate. In the event my friend Cathy M. Sheriff cannot act or refuses to act as Executrix for any reason, I nominate, constitute and appoint Dru Smith as alternate Executor. I name and 4 r appoint PNC Bank or any successor bank, as Trustee pursuant to this Will. The Executrix and or Executor are specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have hereunto set my hand anal seal to this, my Last Will and Testament, consisting of this and the preceding four (4) pages, at the end of each page of which I have also set my initials for greater security and better identification this 21 day of October, 2010. AL) A M. MASKAL We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound mind and memory. Christopher R. Sullivan ~. Amanda L. Souders Residing at: 623 S. Front Street Harrisburg, PA 17104 Residing at: 98 S. Cherry Lane Dillsburg, PA 17019 S ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . SS. I, ALMA M. MASKALUNAS, Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to and subscribed befor e s 21St day o ctobe 20 /' .~~ NOTARY PUBLIC My Commission Expires: (SEAL) ",~~ ALMA M. MASKALUNAS CUPJdMONWEALTH ~;bF PENNSYLVANIA Notarial Seal Barbara Sumple_Sullivan. Notary Public New Cumberland Boro, Cumberland County My Commission Expires Nav 15, 2011 ftlc .,. , ~., ~..., ,~ ~ ,a ,~~tGr+es 6 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA . . SS. COUNTY OF CUMBERLAND , We, Christopher R. Sullivan and Amanda L. Souders, 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 Testatrix, ALMA M. MASKALUNAS, sign and execute the instrument as her Last Will and Testament; that Testatrix signed willingly and she executed said Will 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 eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. WITNESS Sworn to and subscribed before 's 1 S` day of Oc er.- _ NOTARY PUBLIC My Commission Expires: (SEAL) ~r1/u~ ~i WITNESS COMMONWEALTH OF PENNSYLVANIA Notarial Seal Barbara SumpleSullivan, Notary Public New Cumberland Boro, Cumberland County My Commission E~ires Nov.15.2011 M 7