HomeMy WebLinkAbout08-06-12Reset
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF (n~~,~„`cu~c~ 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• ~O ~~-~,~ J ~r uck:D File No•
a/kla: (Assigned by Register)
a/lc/a:
a/k/a: Social Security No: ~ ~(o - l!o - ~a~
Date of Death• ~ d~ ~--~ ; ~ ~ i ~ Age at death• 8 g
Decedent was domiciled at death in ~>,.~ 14:e.~t~ County, ~ ,ns~., l yaan.~~ _~ (State) with his/her last
principal residence at l ~~ t~ . ~,q`~'t ~-~- ~`n,rn.D~~~ ~ 1 e rv~jat.t_.l
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at IM, vr~7r ~ V~1,z" r- ~ ~
Street address, Post Office and Zip Code tj (ad City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvm2ia ............................All personal property $ LZ~T~} Utz
If riot domiciled in Pennsylvania ........................Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................Personal property in County $
Valtte of real estate itt Pennsylvania ......................................................... $ I~~Io b D
TOTAL ESTIMATED VALUE.... $ 2,-}8 O (sr 0.00
Real estate in Pennsylvania situated at: -,~ ~, N ~~~~ ~'~`- ~:~Y~~ 4-x'1+ ~~, ~~~W ~~ ~ ~~ ~~~~
(Attach additio~ial sheets, if ~~ecessary.) Street address, Post Office 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 [~'`'j`b~a_ L? . ~.~ ~ and Codicil(s)
thereto dated
State relevant circumstances (e.g. renunciation, death of executor, 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(8), 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.~z.c.t.a., pendente lite, durante absentia, durante minoritate
If Administration, e.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(8) 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 ~zecessary):
r~a ~'+
(ifany) ~ heirs`~~z~t~
..
,..,, _:?
Name Relationship Address ~~'" =
QC, ~ Y-..
..r.
Form RW-O2 rev. 10/11/2011 Page 1 of 2
f~
t7 ~~~'
~ d ~.~
Oath of Personal Representative -•„ai Use Only ~'
`^~~ ~
'..."~ ... f d ~ ~,
CONINIONWEALTH OF PENNSYLVANIA } t.- .-:
~c ~ Q"s
~ ~--
,.
COUNTY OF '~,: ti°~~,~~Y~ ~, r, i '~;` } -~
0~ A=. ~
~~
T~--~ __ i^-. i~j
Petitioner(s) Printed Name Petitioner(s) Printed Address ~-- `"
.. ~ .-
,, <:.
~.
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 Decedent, the Petitioner(s) will well and truly administer the estate according to law.
~_-..T ~
Sworn too affirmed subscribe b re ;,..,~` ~ ~ ~~ .~. ~ f~~_ ~ _ ,~ .={= ; r, ~ !~'-.~ Date ~', - ~ ~
me th's ~e ay o ~ S ~ Date
BY~ Date
,'
r the Register Date
i
BOND Required: ~ YES ~ NO
FEES:
tt
L ~"lC' ~~i~
e
ers ......................
( ~) Short Certificate(s)...... $ ,
~ Gj•``'
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( ) Affidavit(s)........... .
Bond ........................
Commission . ............... .
t
her ...... .
O
`
~
I,U ~ ....... ,(h~' ~~
Automation Fee ............... ~~-~"C.)
JCS Fee . .................... ''` ~r
TOTAL ..................... $ -~
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Court
ID 1~Iumber:
Firm Narne:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of 1-J~~~'~ ~ ~ ~ _ ~..1 J'"G/ ~. G- File No:
a/k/a:
AND NOW, ~ ~ ~C7/:~ , in consideration of the foregoing Petition,
satisfactory proof having b en presented before me, IT IS ECREED t at Letters _
are hereby granted to ~ ~.i
~, in the above estate and (if applicable) that
the instrument(s) dated
described in the Petition be admitted to probate and filed of re~gr s the last V)Jill (and Codicil(s~l of Decedent. ~
Register of Wills
For»~ Rw-n? ~•ev. ln~lli1n11 `" Page 2~of 2
?J x~t mill ttn~ ~estMment
of
DOROTHY J. STRUCKO
I, DOROTHY J. STRUCKO, of Camp Hill, Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, do
hereby make, publish and declare this as and for my Last Will and
~, Testament, hereby revoking and making void any and all other wills
by me at any time heretofore made.
FIRST: I direct that my Executrix hereinafter named shall
pay all my just debts and funeral expenses as soon as conveniently
may be done after my decease.
SECOND: I give, devise and bequeath all of my property real,
personal and/or mixed of whatsoever nature and wheresoever situ II
ate
to m dau hter Denise D
y g Strucko.
THIRD: In the event that my daughter, the aforesaid Denise
D. Strucko, should predecease me, I then give, devise and bequeath
all of my property real, personal and/or mixed of whatsoever nature
and wheresoever situate as follows:
(a) One-fifth (1/5) to my brother, John Stroney, his
heirs and assigns.
(b) One-fifth (1/5) to Mark Stroney, his heirs and
assigns.
(c) One-fifth (1/5) to Scott Stroney, his heirs and
assigns.
(d) One-fifth (1/5) to Brian Stroney, his heirs and
assigns.
(e) One-fift~i (1/5) to Karen Stroney, her heirs and
assigns.
FOURTH: All inheritance or succession taxes shall be paid~.~ay
~.,
my estate. ~~f ~-~ f
c-~
~ t:._:
FIFTH: I hereby nominate, constitute and appoint lf~~vl~~:,~A~augh~ter~
V :' '
G' ~--~ _
~t .
~,
~,.. _, N
~?
x:~
~_~ ~~;
J
~{ ~t
''r r1
s__.,
_..~..~
Crt
:~ C; 7
-r~
Denise D. Strucko, Executrix of this my Last Will and Testament, and
if she be deceased or incompetent to serve, I then appoint my
brother, John Stroney, to be the Executor of this my Last Will and
Testament.
SIXTH: This Will consists of two (2) pages.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
fi
r=' ~'~'~ day of October, 1989 .
Signed, sealed, published
and declared by the Testatrix
above named, as and for her
Last Will and Testament, in
the presence of us who have
hereunto, at her request,
subscribed our names in her
presence and in the presence
of each other as witnesses
hereto.
,-
.._.., A ~
__ ~
.,~
;~
,,;, ,~
~.- ~ .._
i
(;, ',~ ,r_ ~ ; - - . f-.. ( SEAL )
Dorothy `,~ . !,;Strucko
COMMONWEAL'l~H OF PENNSYLVANIA
: SS:
COUNTY OF' ~ ,~, Via, ~~~.__., ..; •..~, ;-., ~~
We, DOROTHY J . STRUCKO, ,' ~~ ;- ,, ; ~, ' t,~ ~,. ; ,
and ,,~~~,~ ~~ ~~ ~.' ~ ~, ;~~ ~.~~ the Testatrix and the
witnesses, respectively, whose names are signed to the attached
or foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix signed
and executed the instrument as her Last Will and Testament and
that she had signed willingly (or willingly directed another to
sign for her) 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 Testatrix signed
the Will as a witness and that to the best of his or her
knowledge, the Testatrix was at that time eighteen (18) years of
age or older, of sound mind and under no constraint or undue
influence, and I, the said Testatrix 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.
Testatrix
' f ..... -.. .. .- -
` .'" ........ max.-. ..: .
` ~•.
Witness `~`
r
`-r ~ 4 f r
Witness
Subscribed, sworn to and
acknowledged before me by
DOROTHY J. STRUCKO,
the Testatrix and subscribed
and sworn to before me by
,< _ ;~,. and
' I
witnesses, this ~ ~~ •ysr day of
~ ~,;. A.D., 1988.
,~.- .~
-~.~ ~~~~~ F -~,.~,
N~~S,ary Public
ryry,, yy,,~
Y r~
P ~,'y ~h:~t~1:SS~~ti ~a~.='~.: Algv~t o,19~^