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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: ANNELIESE ICARABCIEVSCHY
a/k/a: ANNA ICARABCIEVSCHY
a/k/a:
a/k/a:
Date of Death: 07/06/2012
File No• ~ ~ - ~ ~~ °-- (~\ ~ ~~-1'
(Assigned by Register)
Social Security No: 184-26-4526
Age at death: 86
Decedent was domiciled at death in Cumberland County, _ pA (state) with his/her last
principal residence at 5225 Wilson Lane Suite 1 19 Lower Allen Townshi Mechanicsbur Cumberland Count PA 17055
Street address, Post Office and Zip Code City, Township or Borough Count
Y
Decedent died at Select S ecialt Hos ital Borou h of Cam Hill Cam Hill Cumberland Count PA 17011
Street address, Post Office and Zip Code City, Township or Borough Count
Y State
Estimate of value of decedent's property at death:
If domiciled in Pennsy!vania ............................ All personal property
If not domiciled in Pennsylvania . ....................... Personal property in Pennsylvania
If not domiciled in Pennsy!vania ........................ Personal property in County
Value of real estate in Pennsylvatrla ........................................................ .
TOTAL ESTIMATED VALUE... .
Real estate in Pennsylvania situated at:
(Attach additional sheets, if necessary.)
$ 170 000.00
$ 170.000 00
os. v~uce ana ~tp coae 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 September 29 1977 and Codicil(s)
thereto dated -
State relevant circumstances (eg. remrnciation, death oferecutor, 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. § 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)
c. t. a., d. h. n., db.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 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 was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following
additional sheets, if necessary):
Name ~ Relationship
Address
e (i f any) and'rs (attach
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~-
~; _, ~
T _ __., -,
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Form RW-02 rev. l0/! l/20/ l
Page 1 of 2
I he 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 beliet"
of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law.
Sworn to o~ffirmed and subscribed before ~Q.~~,,;,,,;,,, Date _~,,__ (Ti6~ Za~z
me this ~_ day of
gy. Date
r the Register Date
Date
BOND Required: ~ YES Q NO
FEES:
Letters ............. $~ ~~~
.....
( ~ )Short Certificate(s).. ....
.... ~~ ~~~~' j
( )Renunciation(s)..... ... .
( )Codicil(s) . ........ ... .
( )Affidavit(s)........ ... .
Bond .................... ....
Commission .............. ... .
Other
....
Automation Fee ...........
JCS Fee . ................ ....
.... -~~. U~
.... ~ ~--~'
TOTAL ................. .... $ ~ ~~
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Prf-~ted Name: Vokr( R. Zonarich, Esquire
S reme Court
iD Number: 19632
Firm Name
Address:
Phone:
Fax:
Email:
SkarlatosZonarich LLC
717-233-1000
717-233-6740
_trz cnt Skarlatn¢~nnarich com
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C7C -; ;.
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Form RW-02 rev. l0/l l/20/ 1
ate.,
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Page 2 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Oath of Personal Representative Official Use Only
COM ONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY }
Petition s) Printed Name Petitioner(s) Printed Address
The Petitioner(s) above-named swear(s) or a1
of Petitioner(s) and that, as Personal Represe
Sworn to or affirmed and subscribed
me this day of
By: '
For the Re,;ister
BOND Required: ^yES ~NO
FEES:
Letters ...................... $
( )Short Certificate(s)...... ~-
( )Renunciation(s)......... ~-
( )Codicil(s) ............. ~-
( )Affidavit(s)............ ~-
Bond ........................ ----
Commission......... ---'--
Other
........
........
...... ~_
Automation Fee .............. .
JCS Fee . .................... _
TOTAL ..................... $
the statements in the foregoing Petition are tme and correct to the best of the knowledge and belief
;s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law.
Date
Date
Date
Date
o the Register of Wills:
ase enter my appearance by my signature below:
Attortl~y Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of ~~ Y~1~1~E=' ~ ~ P~~ J( ~11'(~~(f'~)CI P~l`~C' ~'l / File No: ~G ~ - -~ -~; i~~~
a/k/a: - ~ ~~C~.1-~ .ter' l'1~1
AND NOW, ~1; , l ` D
satisfactory proof havtng be presented before tne, IT IS DECREED that Letters ons deration of the foregoing Petition,
are hereby granted to ; ~ --~~ ~~~'t'~ l ~ n ~
(C ,~ ~~ i'
the instrument(s) dated in the above estate and (if pplicable) that
described in the Petition be adm ted to pr bate and filed of record as the last Will (and Codicil(s)) of Decedent.
~1
egister of 'lls -.
Forst R4V-02 rev. f0/l U20/l ~1~~ ~f I~ ~ ~ ~~ ~"`~~-' ~, ~~ ~ ~ ~~~
' Page 2
H1~5.805 REV (9/11) - _ - - - --- - - _
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.O0
P 1~6~47~~
Certification Number
(`his is to ~crtifv rha' the information here given is
curhectly copied fr~nit all original Certificate of Death
duly tA1ed ~a/ith nu• a': Local Re~ristriir. The original
rertiiicate w°iil he forwarded to the State Vital
h,.ecurds Uf~l~ire fi>r ~IC~rn~~lanerlt filil~g.
l
,oriJ Regi; ral~-- - - Date 'slued
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LAST WILL AND TESTAMENT OF ANNELIESE KARABCIEVSCHY
A/K/A ANNA KARABCIEVSCHY
I, ANNELIESE KARABCIEVSCHY, a/k/a ANNA KARABCIEVSCHY, a
resident of the City of Harrisburg, Dauphin County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do
hereby make, publish and declare this instrument to be my Last
Will and Testament, hereby revoking any and all wills by me at any
time heretofore made.
ITEM I: I direct my hereinafter named Executor to pay all
my just debts, funeral expenses, administration expenses and
inheritance, estate, succession or excise taxes, which I owe or
may become due on account of my death, as soon as may be convenient
after my decease.
ITEM II: I give, devise and bequeath all the rest, residue
and remainder' of my estate, be it real, personal or mixed, of
whatever nature and wheresoever situate which I may own or have
the right to dispose of at the time of my decease to my son,
Vladimir Karabcievsch ~ ~_el~.~`~4-
y, of 3147 Brookw~l~Road, Harrisburg, Penn-
sylvania 171.09. If my said son should predecease me or die
simultaneously with me, then I give, devise and bequeath all the
rest, residue and remainder of my estate to the issue of my said
son who shall be living at the time of my death.
ITEM III: If my said son should predecease me or die
simultaneously with me leaving no issue to survive him, then I
give, devise and bequeath all the rest, residue and .remainder of
my estate as follows:
A. 50% to my daughter-in-law, Ruth Karabcievschy,
~. <.v of 3147 Brookwood Road, Harrisburg, Pa. 17109.
~'y~ --
~~.'Y` ;~.. 50% to my sister, Margarete Baron, of 15?_ Liebknecht
~`_- b ~ ?C~ Strasse, 42 Oberhausen 1, Federal Republic of
,~;, r: ~} Q ' -'~ Germany .
~ ~
~~~ ~ ; Anneliese Karabcievschy
r., ,-
... ~ ''
' `t ,.-~~ ~ ~ (SEAL )
Anna Karabcievschy ,.
~, ~~
~ •r
ITEM IV: I hereby nominate, constitute and appoint my son,
Vladimir Karabcievschy, Executor of this my Last Will and Testament,
with full power in his discretion to do any and all things
necessary for the complete administration of my estate, with full
power to sell at public or private sale and without order of court
any real or personal property belonging to my estate, and to
compound, compromise or otherwise settle or adjust any and all
claims, charges, debts and demands whatsoever against or in favor
of my estate as fully as I could if living.
A. If my said son should predecease me or die simultaneousl~,r
with me, or fail to complete his duties as Executor, then I
nominate, constitute and appoint my daughter-in-law, Ruth
Karabcievschy, Executrix, with the same power and authority as
given my said son.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
to this my Last Will and Testament this ~ 1~-day of
..-~ -~~
1977. ~
~/ ~ ~~ (SEAL)
Anneliese Karabcievschy
i ~,
~ ( SEAL )
Anna Karabcievschy
Signed, sealed, published and
declared by the above-named
Anneliese Karabcievschy, a/k/a
Anna Karabcievschy as and for
her Last Will and Testament, in
the presence of us, who at her
request, in her presence and in
the presence of each other, we
believing her to be of sound and
disposing mind, memory and
understanding, have hereunto
subscribed our names as witnesses
t h i s „~ %`~^-- day o f
1977. ~~~
--~
~'~~r
\f'.
~t.i~~ ::rr~C~
R~GE~;~rr, .~ ~ < < e
~'~I2 JUG f 7 PN 4~d?ATH OF NON-SUBSCRIBING WITNESS(ES)
w~~.~
~~~~~ ~~~j REGISTER OF WILLS
~MBERLAN~ ~„ ~ ~ ~ ~ COUNTY, PENNSYLVAI~TIA
~ 1- 1~ ~ ~~~~-~
Estate of ~ -itf1 ~~ ,' PS e ~ 0~~0. i 2 ~/SCh ~ /~~ ~n~Q K caecabci~y~h,. ,Deceased
S and ~.r,~,~ ~_ a ~2~ ,
each bein dul ualified accordin t~ de ose s and sa s that she / he the was /were well-
~ ) g Yq g P ~) Y~) ~.~
acquainted with `~ Se.. ~ ~ e;1 an~"am/are familiar
with the handwriting and signature of the decedent, and that the signature of ~irtino.~ SP Kos~a-bc.~e.
to a ore om ent ortin to be the~t Will and Tec amen Codicil of /~i(1~i~~, Ko.Cbt~(x.•~`~/
~Y~nw ~ ~i- f _ ge.~! g in Pure g
~~ ~~o~ tl0.(b10Gi ey`jC~y is in his own proper handwriting.
(Si tore)
yi ~ ~ !l~ ~~. ~
(Street A ess//)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirme//d and subscribed
before me this f~I ~ day
of ~~
~~~~~
i}~ i 1
~ ~ , ~ ~.rarr
eputy for Reg er is
f~~C~6~3TE~1 C]F VVILL~ ~(~~
CLERK OFTHE ORF'H,~N~'t~~U. .
Form RW-04 rev. 10.13.06 RW"~