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HomeMy WebLinkAbout05-03-12Reset 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 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: Irene J. Taschek a/k/a: a/k/a: a/k/a: Date of Death: Apri121, 2012 FileNo• ~l-~6'~~/~ (Assigned by Regi Decedent was domiciled at death in Cumberland County, Pennsylvania (stare) with his/her last principal residence at 211 Maple Avenue, Camp Hill, PA 17011 Hampden Township Cumberland Street address, Post Ofrce and Zip Code City, Township or Borough County Decedent died at 211 Maple Avenue, Camp Hill, PA 17011 Hampden Township Cumberland PA 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 $ 500.00 If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ 0.00 If not domiciled in Pennsy[vania ........................ Personal property in County $ 0.00 Value of real estate in Pennsylvania ......................................................... $ 136,000.00 TOTAL ESTIMATED VALUE.... $ 136.500.00 Real estate in Pennsylvania situated at: 211 Maple Avenue, Camp Hill, PA 17011 Hampden Township Cumberland (Attach additional sheets, if necessary.) Street address, Post On'ice 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 March 13, 1986 and Codicil(s) thereto dated State relevant circumstances (e.g. renunciation, death of executor, etG) 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. § 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. Q NO EXCEPTIONS ©EXCEPTIONS © B. Petition for Grant of Letters of Administration (If app-icable) c. t. a., d.b.n., d. b. n. c. t. a., pendente lite, 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. © NO EXCEPTIONS ®EXCEPTIONS Name Relationshi Address ,~ ~~ rn I _~~~ ~~ P _~ .w~~ t. Petitioner(s), after a proper search has/have ascertained that Decedent left no W ill and was survived by the following sp~~i e~ifany) an'd-#ieirs (ut~di1< additional sheets, if necessary): ~ ~ :~ ~° - -~ C7 -~ ' T, Form RW-02 rev. 10/11/2011 Page 1 Of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } SS: } O~, ial Use Only ~::w, _~., ;,~~ _~rn ! ,y' ~ ~ W i _ _3 7 ~. -- . Petitioner(s) Printed Name Petitioner(s) Printed Address ~ ~ ~- ' .. Carla Y. Wroblewski ~ 435 Vir inia Road Mechanicsbur PA 17050 D C•' 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 knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the De dent, the Petition r(s) will well d truly administer the estate according to law. Sworn to or~af trmed ands crlbed before ~ Date ~~ me r day /'~~ v _ Zvf Z Date By• Register Date Date BOND Required: ®YES ~ NO FEES: ///~~ Letters ...................... $ ~~V,~(} ( 4) Short Certificate(s)...... ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ....... _~~ l~~rl ........ Automation Fee ............... , JCS Fee . .................... •~ TOTAL ..................... $ .,~-- To the Register of Wills: Please enter my appearance by my signature below: Attorney Sig~ature: ~/ ,- 1, ~~-~' '' tc.~- l Printed Name: Andrew H. Shaw Supreme Court ID Number: 87371 Firm Name: Law Office of Andrew H. Shaw, P.C. Address: 2.00 S. Snring (;arden 4treet S~iite 11 Carlisle PA 17013 Phone: 717-243-7135 Fax: 717-243-7872 Email: andrewnachawlaw rnm ~~~v~ ECREE OF THE REGISTER Estate of Irene J. Taschek a/k/a: ~ it AND NOW, 7~4~-- `~` _'~~~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Carla Y. Wroblewski in the above estate and (if applicable) that the instrument(s) dated March 13, 1986 described in the Petition be admitted to probate and filed of record the last Will (and Codicil(s~ of Decedent. Register of Wills File No: ~ ~ ~ ~ ~ -~~`~ h Firm Rw-oz rev. ioiniao» U Page 2 0~2 __ _ - ~ i -~ Z -5i q a~~ {; , gym. ~ ~ . ~ - , ri7Yf~f '1 1. ('~ t ..r. CLERK' pF _ QRPi-UM!'S '~CIJRT - Fa, •„ _ ~ ) ,• ., .. e/Print In COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL 0.ECORD6 CERTIFICATE OF DEATH 1. Decedent's legal Nam<IFirst, Middle, Las[, SUHIx) 2. Sex 3. Social Security Number 4. Dale o/ Death lMp/Day/Yrl (Spell Mo) Irene J. Taschek emote 210-12-6616 ril 21 2012 Sa. Age-last Birthday (Vrs) 56. Under 1 Year Sc. Under 1 Da 6. Doh of Birth IMp/D ay/Vear) (Spell MOn[h) Ja. BIrtM10ace ffiry and State Or foreign Country) Months DaVS Hours Minv[es Hers a PA 93 September 18, 1918 Jb.Birthplace(000nty) Daup in 8a. Residence (State or Foreign Country) eb. Residence (Street and Number ~ Inclutle Ap[ No.) 8c. Dld Decedent Live In a Township) PA 211 Maple Ave w«, eeatlent eyed m Hampden trop. ed. Residence )County) Gtunlxrland Be. Residence (Zip Code) 1 1 ^NO, decedent lived within Ilmits of city/born. 9. Ever In US Armetl Forces? 30. Marital Sta[VS at Tlme of Death ^ Married [7 WldOwetl 11. SurvMing Spouse's Name pf wile, give name prior to Hnt marriage) ^Yes ~Np ^Unknown ^pivOrced ^Never Married ^Unknown 12. Father's Name (First, Middle, Las[, SufRxl 13. Mother's Name Prior to First Marriage (First, Middle, last) o h M rkle Mabel McCord 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address lStree[and Number, City, State, Zlp fptlej g Carla Wroblewski Dau hter 435 Vir inia Rd. Mechanicsbur PA 17050 b lsa. P ace o Deat c er .gnyene.......... . . .. .. . .. . . ................... .................... .............. _ ..................................P ...........~.....pa................................... If Death Occurred In a Hos Italy In bent i .................. ... ...,., .. P y . , . , . lf Death Occurred Somewhere OMer Than a Hos [al. tJ Hospice Faclllt ~ Decedent's Nome ^ Emergency Room/Outpatient ^ Dead on ArrNal ~ ^ Nursing Home/Long-Term Care Faclli[y Other (Specify) a4 19b. Facility Name ll(npt institution, give street antl number; 16c. City or Town, State, and Zip Code lSd. County o! Death 211 Ma le Ave Hill A 17011 Cwnberland ~ 16a. MethOtl of DispOSitlon ~] Burial ^ Cremation 16b. Date of Disposition 16c. Plare of Disposition (Name of cemetery, crematory, or other place) ^ 0.emoval from State ^ DonatlOn 2 Rollin Green Mmlorial Park 4/30/201 ^omerlsD«Iryl g , Z S6d. Location of Disposition (City or sown, State, and Zip) 1]a. Signature of F oral S e or Person in Charge o/Interment 1Jb. license Number Camp Hill, PA 17011 FD 013239 L E 1]c. Name antl Complete Address of Funeral Facility Neill ~ 18. Decedent's Education ~ Check [he box [hat best describes the 19. Decedent of Hispanic rigin -Check the 20. Decedent's Race -Check ONE OR MO0.E races to Intllcate what highest degree or level of school completetl a[ [he time of death. box that best describes whether the tlecetlenl [he decedent consideretl himself or herself [p be. ^ 8th grade or less Is Spanish/Hispanic/Latino. Check the "NO' White ^ Korean No tliploma, 9th - 12th grade box if decedent is no[ Spanish/Hispanic/latino. ^ Black or African American ^ Vietnamese ^ Hlgh school graduate Or GED completed ®Np, not Spanish/Hispanic/latino ^ American Indian Or Alaska Native ^ Other Asian ^ Some college credit, but no degree ^Yes, Mexican, Mexican American, Chicano ^ Asian Intllan ^ Native Hawaiian ^ Associate degree (e.g. AA, A6) ^Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorro ^ Bachelor's degree (e.g. BA, AB, BS) ^Yes, Cuban ^ Flllpino ^ Samoan ^ Mastei s degree le.g. MA, MS, MEng, MEd, MSW, MBA) ^Yes, other Spanish/Hispanic/Latino ^lapanese ^ Other Paci(I<ISlander ^ Ooctora[ele.g. PhD, EED)or Pro/essional degree Ispecityl __ ^ Other SpeclN) .. MD DDS OVM LLB ID 21. Decedent's Single Pace Sel/-Designation ~ Check ONLY ONE to Indicate what the tlecetlent considered hlmzelf or herself [o be. 22a. Decedent's Usual Occupation -Indicate type of worts White ^lapanese ^ Samoan Dane during most of working Ilk. DO NOT USE RETIRED. ^ Black or African American ^ Korean ^ Other Pacific Islander ^ American Indian Or Alaska Natve ^ Vietnamese ^ Don't Know/NOI Sure Homemaker ^ Asian Indian ^ Other Asian ^ Refused 22b. Kind of Business/Intlus[rV ^ Chinese ^ Native Nawallan ^ Other (Specify) ^Filiplno ^Gpamaman pr cnamprro Owf1 Home ITEMS 23a-23d MUST BE COMPLETED 23a. Date Pronounced Dead IMO/Day/Yrl 236. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number gY PERSON WHO PPONOUNCES OR CERTIFIES DEATH Aril 21 2012 P r 23d. Date Signed IMO/DaV/Vr) 24. Time of Death rox 12:30 PM 25. Waz Medical Examiner or Coroner Contacted] ~ Yes ^ NO CAUSE OF DEATH i Approximate 26. Part L Enter the chain of events--dlzeasez, Injuries, or complications-that directly caused the tleaM. DO NOT enter terminal events such as cardiac artest Interval. owing [he etiology. DO NOT ABBREVIATE. Enter only one rouse onaline. Add addi[lonal lines Hnecessary ~ Onset to Death respiratory arrest, or venVicular Rbrllla[ion without sh o IMMEDIATE CAUSE ~---~---------> a. ({CVT ~L- IYI~OC s~f2htAL In+F AP.cn uhf ~ Ic~~'[~ IHnal msea:e pr mnelupn Dpe ro (pr as a conugpence pN. resulting in death) Z L E~-+ti~ b. ('C(2o tvA QY Ne~A2T nfSCR S~ I Sequentially list conditions, Due to (or as a consequence op: it anr, leaemg to me ~apae listed on line a. Enter the UNDERLYING MUSE Dve tO 1or as a consequence oft. (diuase Or Injury that -_ Initiated the events resulting d. In tleath) LAST. Due to for as a consequence of): S 26. Part 1l. Enterothersen'Rcanlcpnditl0ns contributing todealh but ne[resulHng In the untlerlyingcause given In Partl 2]. Was an autopsy perfOre~ed7 - ^ Ves [}'~j f 28. Were autopsy Rntlings available tp p plete the caNSe pr aeatnp c u ^Yes ^ NO Z9. II FeJ'ale: 30. Did Tobacco Use Contribute to Deaths 31 MaJ' ~ r of Death E Q~ Not pregnant within past year ^Ves ^ Probably Q'l~atural ^ Homicide 3 ^ Pregnant at time of death Q'Np ^Unknown ^ Accitlent ^ Pending lnvestlgation ^ Not pregnant, but pregnant within 42 days of tleath ^ Suicide ^ Could not be determined ^ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury IMO/Day/Yrl )Spell Month) ^ Unknown II pregnant wlthln the pas[ year 33. Time of Injury 34. Place Ot Injury (e.g. home; cOns[ruttlon site; farm; school) 35. lOCapon Of Injury (Street and Number, CI[y, State, Zlp Code) 36. Injury at Work 3]. If Transportation lnlury, Specify. 3g. Describe HOw lnlury OCCUrred. ^ ves ^ Dmer/operalnr ^ veaesvian ^ NO ^ Passenger ^ Other lSpecily 39a C~C~Ntif er (Check only one). Q(CertitylnH Dhysician - To the best of my knowletlge, death occurred due to the causelsl and manner stated ^ Pronouncing 8 Certifying physician - To the best of my knowletlge, tleath occurred at the time, date, and place, antl due [0 the causelsl and manner stated nd/or investigation, in my Opinion, tleath occurred at the time, date, antl Olace, and tlue to the causelsl and manner stated ^ Medical Examiner/Coroner - On the basis Of examinatio n , a I ' ~ Signature Of certiher. ~`-'~`ti-'w'n~fTt ' Yty Title of torts/ier: M I7 License Number: 7~ ~ ~~ 2 (G & D 39b Name, Address and Zip Code of Person Cpmpleting Cause of Death Iltem 26) 3 , , µ;) I ~ l le f2 c~ C c . 1 'l p i t 9c. Date Signetl (Mp/Day/Yr) , ~ , N e< ->. I-A• I+-zt I ~r +n r 3 u L-i6 T'r11'~ e N I 1 3 I z o l 2, 40. Registrar s pistrict Number 41. Regl tore 4 ~ 2. Registrar Flle Da[e (MO/Day rl f as-a«K R-°I ,. x~~T3~ 1 43. Amendments •aY / ~~~y( H309-143 DispOSlNan Permit No. 7 ~ as' a-a `• REV OJ/2011 t -~ - i ~_ r. ~9 ~j ~~ m i '~ cry ~ c.~ :^ ~~ LAST WILL OF IRENE J. TASCHEK ;~~ ,_ .I _, .. ' j -v Ii D ~, ii I, IRENE J. TASCHEK, ~f the T ~wnship ~f Hampden, - -, ~ `~ ~, ~-- '=r~ ,;~ -T ; l County ~f Cumberland, State >f Pennsylvania, being in g>>d bodily health and >f s Fund and disp using mind and mem pry, and n >t acting under duress, menace, fraud, ~r undue influence >f any pers m wh~ms~ever, merely calling t~ mind the frailty ~f human life, and being desirous ~f disposing ~f my worldly g>>ds while I have the strength and capacity s > t ~ d ~, I d ~ make, publish and declare this my LAST WILL AND TESTAMENT. I hereby revoke, cancel and annul all my firmer Wills and Testaments, including c>dicils thereto, by me at any time made, and declare this al me t~ be my LAST WILL AND TESTAMENT. AS TO SUCH ESTATE AS IT HAS PLEASED GOD TO ENTRUST ME WITH IN THIS LIFE, I DISPOSE OF THE SAME AS FOLLOWS, VTZ: ITEM l: I direct that my executers hereinafter named pay and discharge all >f my just debts, funeral and testamentary ~' expenses. ', 'I f ITEM 2: I order and direct that I be buried in a lit ~ which I awn situate in the Rolling Green Memorial Cemetery, Camp Hill, Pennsylvania. '~ ITEM 3: I give, devise and bequeath t~ GEORGE RAVERA, 'j - ~` my c ~ckat 7 ~ bird, named Austin. 'I '~ ITEM 4: I give, devise and bequeath t~ CHARENE Y. MORRISON, my d>g, a schnauser, called Hans. ITEM 5: I give, devise and bequeath t~ KARI MORRISON, my wedding band with ten diam mds, and my corner china cabinet with the blue dish set. ITEM 6: I give, devise and bequeath the sum ~f Five Th ~usand ($5, 000.00) D ~llars free fr ~m tax, t ~ each ~f my grand- children, why are alive at my death. JAMES M. BACH ATTORNEY AND COUNSELOR AT LAW 352 S. SPORTING HILL R''. M ECHANICSBURG, PENNA. 17055 TE L. (717)737-2033 1\ , IRENE J. 'I` SCHEK ~' ITEM 7: I give, devise and bequeath t~ ASHLEY ZENTMEYER, my wedding band with two diamond chips and my Orange B 1 ~s s >m wedding band . ITEM 8: I give, devise and bequeath t~ CARLA Y. WROBLEWSKI, my costume jewelry, my pineapple bed set, my antique kitchen set, and large brass bell, and my brass Tiffany lamp. ITEM 9: I give, devise and bequeath t~ CHARENE Y. MORRISON, my Grandfather click and it m kettle. ITEM 10: I give, devise and bequeath t~ MARLENE RAVERA, my three marble tip tables, ouch and chairs and stereo. ITEM 11: I give, devise and bequeath my cabbage patch dills t~ my grandchildren, share and share alike. ITEM 12: All the rest, residue and remainder ~f my entire estate, wheresoever situate and whatsoever it may c>nsist ~f, I give, devise and bequeath, absolutely, and in fee, t~ my dearly beloved children, share and share alike, per stirpes. ITEM 13: I nominate and appoint CARLA Y. WROBLEWSKI as Executrix ~f this my Last Will. Should the Executrix named fail t a qualify ~r cease t ~ act as Executrix, then I app pint CHARENE Y. MORR.ISON, as Executrix in her stead. ITEM 14: I direct that my pers coal representatives, as well as their success ors, shall n ~t be required t ~ give b end f ~r the faithful perf ~rmance ~f their duties in any jurisdicti gyn. ITEM 15: I grant t~ my pers coal representatives herein JAB4ES M. 73ACH ATTORNEY AND COUNSELOR AT LAW 352 S. SPORTING HILL RI MECHANICSBUR G, PENNA. 17055 TE L. (717) 737-2033 named, in additi ~n t ~, but n ~t in limitati m ~f th use p ewers vested by law, t ~ be exercised with gut pre >r applicati m t > >r appr wal >f any c >urt, the p ewer and auth ~rity t ~ retain indef- finitely any property, t7 invest and reinvest any assets ~r the pr>ceeds derived from the sale ~f assets, although said invest- ments may nit be ~f the character prescribed by law, t~ sell, c covey, assign, transfer and encumber any property, t~ pay, settle ~r c >mpr ~mise all claims, t> make distribute ~n ~r devise ms f IRENE J . , 4~7~SCHEK °-'~~~~ 2 in cash ~r in kind, and in general t~ exercise all powers in the management ~f any property hereunder which any individual could exercise in the management ~f similar property >wned in his awn right, and t~ execute and deliver any and all instruments and t~ d~ all acts which may be deemed necessary and proper. a -. IRENE J. T SCHEK I END JAMES M. BACH ATTORNEY AND COUNSELOR AT LAW 352 S. SPORTING HILL RI MECHANIGSBURG, PENNA. 17055 TEL. (717)737-2093 3 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, IRENE J. TASCHEK Testatrix, whose name is s_gned to the attached or_ foregoi_ng instrument, having been duly qualified acr_ording to ]aw, do hereby acknow]edge that T signed and executed the i_nstr_ument as my Last Wi_1]; than I signed it w.i]lingly; and that I signed _t as my free and vo]untar_y act for the purpose ther_e_n Pxpr_essed. Sworn or affirmed to and acknowledged bef.o.re me, by IRENE ~j J. TASCHEK _, Testatrix, this ~,,,3~-day of _ March 79 86. J I ~ ,~ ~~~ ~~~ -- ~`~ O Y PUBLIC it My Commission Expi_r~es: 9111/89 The preceding insi~rument r..ons_st.ing of. this and t}~~ree other typewritten pages i_dentifi_ed by the si_gnatu.r_e of the Testatrix, was on the date thereof signed, published and dec]a.red by IRENE J. TASCHEK Testatrix herein named as and for her Last wi_11 and Testament, i_n our_ presence of. each other, have here- unto subscribed our names as witness. ', ~ Rc~s i.di.ng at. 352 S >. Sp ~rting Hil l Rd. ','i Mechanicsburg, PA 17055 ij _ ~; _.. -~~ ~~:~~--~ "~~ ~ ~-~ ` -Jt,-- ~~ ;jes i_di_ng a'._ 352 S ~. Sp ~rting Hill Rd. Mechanicsburg, PA 17055 A l' F I D A V T T JAMES 111. I3ACIi ~' ATTORNEY AND i COUNSELOR AT LAW ~~. I~ 852 5. SPORTING HILL RD~I M ECHANICSBUR G, ;' PENNA. 17055 ~' TEL. !777)737-2033 it ~, COMMONWEALTH OF PENNSYLVANTA COUNTY OF CUMBERLAND ss WE, James M. Bach and R. Edward Kitchen the w.i_tnesses whose names are signed to the attached or foregoing instrument, being duly qua]ifi_ed ar.cor_d_ng to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as he r_ Last= wi_] ] ; that she signed wi_1 ] ingly and that she executed i_t as her free and voluntary act f.or the purpose therein expressed; that; ear.h of us in the hear.i_ng and sight of the Testatrix signed the wi_]1 as witnesses; and that to the best of ou knowledge the Test_atr-i_x was a~~ that time ] 8 or more years of age, of sound. mind and undur_ no constraint or_ undue i_nf luenr..e. Sworn or_ af~i_r:med to and subscribed to before me by James M. Bach _and R.Edward Kitchen witnesses, this ~ ~,c->~, day of March l 986 . ~~ ~ ~` 0 `RY PUBLIC - My Commission Expi.r~s: 9/11/89 4