HomeMy WebLinkAbout09-05-12 (2)PETITION FOR GRANT OF LETTERS
REGISTEit OF WILLS OF Ct V M g~ K-(~YYh i~ COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 1$ 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: TE ~'. y L . S L1}1/~S Y-iA-l~
a/k/a:
a/k/a:
a/k/a:
Date of Death: ~~ a o )
Decedent was domiciled at death in ~U fh gt~lLyf}7~YL County,
principal residence at ~.~ {' Lp~J(,S~ G[9-)° ~~
Street address, Past Omre and
Decedent died at ~ 9- L~ L 0~~ (.
Street address,
File No: ~~I GL" ~ ~J
(Assigned by Register)
Social Security No: ~ ~ q " Y y ' 7~~
Aga at death: ~ `j
(State) with his/her last
City, iownehlp or Borough County
Ll?~yt-_t~(,~ GJfI't'RC~-L-dfi-
hlporBOrough County State
Estimate of value of decedrnrs property at death: ,V
/f domiciled in Pennsylvania ............................ All personal property $ y0 , rJ'~ J
!foot domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ '
/f not domiciled in Pennsylvania .... .. .. .. .. .. ....... ... Personal property in County $
Vatne ojreal estate in PennsYlvania ......................................................... $
TOTAL ESTIMATED VALUE.... $
Real estate in Pennsylvania simaud at
(Aaoch additional rheeu, ifnecerrary.J Street address, Post O(Ilce and Zip Code CIry,Townrhip or Borough County
[~ A. Petition for Probate and Grant of Letters Testamentary u'
Petitioner(s) aver(s) he/she/thry is/are the Executor(s) named in dte last W ill of the Decedent, dated (/. ~ 9 r/ 1 and Codicil(s)
thereto dated _ _ _ - - _. _. T
State relevant dreumstaacu (ey, renunciation, death of aecuroq efe)
Except as follows: after theexecution ofthe instrument(s)offered forprobate Decedent did notmarry, was notdivorced, was notaparty to aptnding
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 bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitaed person.
~NOEXCEPTIONS ^EXCEPTIONS r.a
^ B. Petition for Grant of Letters of Administration (lf applicable) a rU
c.l.a., d.b.n., d.b.n.c.t.a., pendente (ire, Juran _ nfiu, dur~lt
v~
If Administration, c.t.a. or tLb.n.c.t.a., enter date of Will in Section A above and complet~li~tof heir~l ' `--`-',
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce h~ea establisbe~ as deFta6d-iii
_ v-t
in 23 Pa. C.S. § 3323(8} and was neither the victim of a killing nor ever adjudicated an incapacitated person. r ~ ~ -„~_~
^NO EXCEPTIONS [] EXCEPTIONS 8 yt ~_
Petitioner(s), after aproper search hasPoave ascertained that Decedent left no Will and was survived by the following sp6ase (if any)an~in (attach
additional sheets, ijnecessary):
t'arni aw-nz rev. )Nf l/loll Page 1 of 2
Oath of Personal Representative
COMivIONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF ty'(t')1tiL~-/~L~I~IO }
Ofrsiat Use Only
Petitioner(s) Printed Name Petitioner(s) Printed Address
ff>vt tJ // AS w ~ !b 6
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are we and correct to the beat of the knowledge and belief
of Petitioner(s) and that,. as Personal Representative(s) ofthe Decedent, the Petitio~nery(s)-will-w elf and tmly administer the estate acpcording to law.
Sworn to or affirmed a subscribed before '~ ~ ~ Date 9 S~ ~~t
met ~~ ~` d of ~ Date
$y; J`( Date
For the Register De[e
BONDRequired:QYES NO
FEES:
1
Leturs ...................... S ~
(~ )Short Certificate(s)......
( )Renunciation(s).........
( ) Codicil(s) ............ .
( )Affidavit(s)............
Bond ........................
Commission ................. .
Other t--~~- ~'~j~~
Automation Fee ........ ...... .
JCS Fee .............. .......
TOTAL .............. ....... S
To the Register ojWi(fs:
Please enter my appearance by my signature below:
Attorney Signature:
`„v-
N
Printed Name: t~(;;,g~
Supreme Conrt Cn ~
ID Number: ~ i ~. -~
Firm Name: = ~ t...1
Address: N
~-
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of ~~((11 ~• .S~aVI},g~cS
a/k/a: -~-
File No: s,,[ ~" ~~' ~~~.~
AND NOW, ~~Ll l~ P~~m Ll`'~ , a~~%~o2 in consideration of the foregoing Petition,
satisfactory proof having been present d before tne, IT IS DECREED~{a~t Letters _ ° - ,1 _ _
ate hereby granted to A/~(t 1'~ YP T .~ ~ ClV I '~S' ZA S ,J---
in the above estate and (if applicable) that
the instrument(s) dated - ~
described in the Petition be admitted to
Farm RW-01 rev. /Nll/1o/!
and filed of record as the last Will (and Codicil(s); of Decedent.
~ A~ '~-
RegisterofWills ~" ~(~1M
!~ Pa¢e~ f 7
HIUC NO9 REV 19/111
LOCH REGISTRAR'S CERTIFICATION OF DEATH
p I '_ ,,,-,-,
W ' Br~~Ftli~_ftl~~to duplicate this copy by photostat or photograph.
,......
i,_ul~~i;,.~y t N410
tV
Fee for this certificate, $6.00 7P12 ~~~ _~ ~~ ~ ~~
ORPFt%uV~ (i~UR1
P 1~ 6 2 7$ F~e~~nrvo co., ~a
~ :~'
Certification Number
w/p #33-324
n
This is to certily that the information here given is
correctly copied from an original Certificate of Death
duly filed with me ae Local Registrar. The original
certitiica~e will he li>rwarded to the State Vital
~~^^R.ecords Office for permanent filing.
L.~6~vt~~®,uc`y~~brlcxt]~tx' AU~ 2 1 1012
Local Registrar Date Issued
COMMON WEweTN br ECnnFYYVwN,w ~ OF./,w'[MtNT or n[4TN ~ VITw[ aECOP05
GERTI FIC14TE OF UEATN
nt
.. [.e. . uw neman.a. Mlem., u.<. soma s. s«ra s«P.FV n.mw. ~ . o..b m ez.bte (MO ° q peat Mol
]
~
Tarry
L Slevl[ekas
Female 179-447820 qu us[ 19, 2012
.. p..u,<unna.r nnl sb. unaa a v . s[. Vna.r Z a. o... o nnn IMwb.vn..n pP.n Momq nnp.a+mrq.ne st.ee o. Por.,m eeun[rvr
nn< o.ra Nnu. Inu<
49
Merch 17 1963 nnmbce KOUnayt
r.isr-tcr
.. fb, .lM.eb o. EPm,an eou.vrvf ab sense Izeob<.m Numwr. m[ use wP<Ne.r 4. ow oe[.abne uran a n-~~
225 Longs GaP Road Qlrea. ae[ba.m cream Ne'xF-rh Mt ~]1v M
a
A
ae. ne,
.
n[e mO..n.rl
Cumberland [. (zlP coem ONO. ee[eebn. p,..a wanl. ary/mw.
ra
mbe ro.[.,
.m mswuab•, N..n
-[ aP..,M [., .. re Hems PnPr <P a.at m.r..
m wl
]°oo rp„ ^o
o: °~~
_
~
ot,
' . tn. M ear.... s.,ma
<
a Mmn.. .m. pno. .n. x rnry. (nr.., M. ea
t.,a
aa
LOl]i9 winters .
Janice Stiles
n o[ment a N.me ,p
a to
t[
' veb. a .. n,n [O «[.a.m a.[. rn o.m.n xry weer... p<,.e<..w N..mYbr, oN. so<e. ap eOab:
g R an Slavitslcaa s n
2 5 L
~' ....
._ . ............................._._.._.t~'raw:r6................_.._......t..................s.b..... .._. .nl ..._ nu HO..,. ..
n o:::n «eunba In • Nnapl<.!, Ix o.an «[u:.~: sem'... .e:e..'n y'
iivaeae c Ya"c:~~de""
'
m. r
ee ~io
w.a Pn.r.rmer
«ne.l enM
v.ral e x e ~.
m
ssb. .
nnF
mM n . Hr , Pn, flre meet ens numbs. m[. c o ow
nr
P be.
o
he unNmo.
ut
T
e
226 LOn aGa Roatl
arllsle
PA 1T
t
er
Y
a
«nee Oe a,P^anwn ,..,. ..m.non ass. aa. s °,. mn rN.. of w.PO.amn (Hann or pbma.er. [ .n aPry
o. otner pre[.r
n•
~
P
.
o oonamn
O c mo.. m
21 r
A
201 Hof£znan ^ROt
ooM
~ t39 to ZRZneral Hama 6 Cremato
~
~
b
o
i. .
a
z
zee. t rotY e. Town. st.<., bn rm a>b. cMnb br,m.,mbnt z b. u
[w.b Num er
b
Carlisle, PA 17013 013144L
ens comer.<..ae[.b, Pr z„n.,bl p.[In<r
[. N
X ze
[.wn<•, Ew[.emn . cMOx eM eo,,.Mt b.,t aba[npb. mb 3 «[ewn<m nr.p.m[ «am . ene[4 tn. o_ o.[wbm~a 4[b. a..n o F o,t MonF ,.[b, to IwNe<. was
o
man.n .[nom mmPNae enb. Nm. or a..<n. b
. m.<ws<eomroea wne rmb e.[.eem ne seasem [onambrea mmuls O. n.nasm bb.
I
I, SP4nNn/NNp.nlery.Una. CMC4 <Fe "Na' I<.
Q {nr.an
n
,
^~ a
0 Na
alplema,
9eF
l3tF fuse
M[1l eeeea.neFnoa SP.nrsn/Nlapem4laU,w. ~atec4 ur Mnun r .n O Vrt[n.meu
0 HNn el auaua. Pr eFO Campl.tan
QNe,nm sp.nNF/HNP. n,[Aaann O.m.rlunlnaran n, /11.a4. Mahe O «Fer 41.n
l
~ 5 ce
•.e [reap, lwt na tlryrea ~ Y.w Me.lun. M•aun pmerrun CF,cam t7 44n rnar.n ~ N r
®s ae aryrry l..a, ww, sl ~ ve.
cw.~ amen n,nba. ~. ~~ ~ e~mbmor.o
KK
r
o °
..
[c]] r
rO, a a..r.. o-s. ew..s. sl a Flar,.o
.
o v
p M ery•e• a.a. Me. Ms. Msna. MFa. Msw. Mewl
Pf. otn.. soenr.n/NNP.m[/t.uno O zeP.n.au o ano..[vm Nraneer
0 o t. o-... Pno. Eaol n. P.Or.wOn.r a.vb ppecrNl o «nb. pls.mm
o boz byM t e zo
1
~
3.°eceaent
51nfN P4c. Se11
DelVneNPn-CF.c40Nly OMa ta,nalc.te wF.<[Fea.wa.ntconalaeree FrmseltPrM.s.tl to R. 13a 0.c. a.ntt Utuel OU[upRb rNN.[e
pe of werY
1
Wnlte (~JaP.^.,a OS.maan aoM eunnE mea oV wer4rM pfe~OO TU fnFTPFO
Nc
,
ll.cY ar I1Nrc.n 4merrun (] xo.ebn p otn.t p.an[ ra.neer
p nmvN+n lnalen Pr u.,Y+nn,.b OYrem.m.,. poon~<xnbw/nb< Medical Aeaiatant
su••
p Oren mean O «ne..n+n O n.,u.w
Sae.ona manses>maP.erv
p mlPmP d v`°'^ Newfn.n O o<ner IswgNl
O aP.m.nlen O. cn.moaO Physician`s Office
ar PfafON M'NO MOMOVNCFS Ott 33.. • r u e .Y • ran.lurea eraan Proneune .et w.n.p .. UUnv
~
4
u n Au cat 19
2p12
]3a. Oa•z n.e 1Me/u.y rl a «an
T
A
cox. 1:00 A. Ss. wM Mbexal FxbmMe. o, ee.onb, co,.eecteaa
r
GUSE OF D
T
j
~
M
a
3 . <M[ _ .r. ,n
„[ne um,.
lw
Ua
ew
o~mor
e
i
vu a
~
NOi
`
e
b,w~e<orv.r ,eo.ren.mw.r nernlbnon
n
FM
<n. ee
r
w
e
.~
ne uvab n n wea
roar. o N W F TE. N O o .... .eel.
on I n,.b, H ne[.,,. I on
s tO «a
rv n
IMMeoUnF Cruse -.._____.-> ._ Probable MYOCerdlel lnferotlon J
rFrna ab..,e or canenb^ ow to le..a a tense enc.
a Pm
r.a,.hmF neryml
n
s.a...naaN
o,,.mmr .,. [On .Op n[.
on:
ta
<
rln
nta the [.
E
aFlLLYtMO C,YIKf
°ue ea lnr.aa ten .puenu on:
la
•
nluN
~ l
,Fe
U.esul<Inf
.n
`
W
~ In a..
l zzp
T
. oPe <O me ba • [Onaew.n[b On:
i
[~
° zs. pen u. fnMr Otne a ..nm[ n eOt nm ,..mnna m <n...ne.mm~a [ P.. aFen In pw r moerv e.ao...,.a+
r
~ .
r s. w
Dear new:.eu.bM
ggg <o em. uP+e maoma
E .u: a
3b
I
~
T
l.Ot prean.m wamn
a
.n yea
.
o c nwu «.ma
p
V u~p V
u
`°
[[ fz. M.nner or «.en
a .
bebN m N p N
to O N utyrrynsnt w,lFln .i a•Va al a.a[! Q VnYnown
0 Na Q
0 C~ Mr
t
o
~ N pMn,n .3 a • b.lare aa.t!
~ VnYnwnH r<an• ItNn eM P.fa u,
SS. O+u W ,nNrv (Me .Y n Spet1 M
erttn s ,[Ia.
M
est..
nan.a
t
Im• e1 rnlury
vr.ce eI Inlury IP ~. name. cana[~rc<ron the. N,m, acnooll 35, tbce[len n1 rn,ury ptr.at.na NumNr, Chy, Su<e. ZIP cnael
rNurv a wart ae an rryurv. speaN'
o a. 0.,enbe Nnw Inlury «[u.rM:
O r p o »./
p. en o pea.atr,.n
o N
n
o p o« e. rspemNl
ntn.. tcn.n omr Ona:
ap
cc
p
nra lry PFram.n-rP .wa ..Owr.a... .<nn ..
a
.nam
.
'
[
o p [^ Ta .ma ..a
M e.a n ~. .. a . pi.[..n~a m. ..Nl .n 'm <
a
la M.ahel F 1 .yc on.r~ o,, wn
.
to r
+
~
°
en
`
/o. mr
rF
<lo.., m my m.o... aba ..e: m., a <.~
u
e
w w [., na aa. m m [.., na m.n..e. nb<.
a.(q .
vanew.e ur [enme.~
Herb er c.nlne.~ Aetln® Coronaf
.
mw[
NO
sae. n.mb, wew.aa.ne nP toe. os Peraen eomp,.erna e.Nx or b..m a.m zel
Ma M1aw 5. 3[onar AGtln Goronar 8375 Baaahora R°ad, 3ulta 1, MaGTanlcaburp
Pq 19050 . synw IMw«vn s
A
°
,
Mxtrar a ra r bah,r.t u
u.< 20. 2012
(~
°I.P~aaPn p.rmF e> R 95S [ A a, N=^~-,F3
PFV oT>]ozz
~_
~a~
LAST WILL AND TESTAMENT OF ~ ~~~~ ~
cn
o~ '
TERRY L. SLAVITSKAS off;.;- .~
~?~ ; a
~'--i ..
^1
Si
T
rn C7
~f]
v`.
r- r
`-. 7 ,1;
--„
L'T, ~
L7
I, Terry L. Slavitskas, of North Middleton Township,
Cumberland County, Pennsylvania, declare this to be my Last Will
and Testament and revoke all Wills and Codicils previously made
by me.
ITEM is I direct that all my legally enforceable debts and
funeral expenses, including all expenses of my last illness,
shall be paid from my residuary estate as soon as practicable
after my decease as a part of the expense of the administration
of my estate.
ITE![ II: I bequeath any automobiles or motor vehicles i may
own at my death, my personal effects, such household goods if any
as may be my individual property and not the property of my
husband or owned jointly by me with him, and other tangible
personal property of like nature (not including cash or
securities), together with any existing insurance thereon, to my
husband, Thomas J. Slavitskas, providing he survives me by thirty
(30) days. Should my said husband predecease me or die on or
before the thirtieth day following my death, I'. bequeath such
tangible personal property and insurance thereon to my son,
Ryan T. Slavitskas, or to such of my children should my said
husband and I have another child or children as are living on the
thirty-first day after my death, to be distributed to him or
divided between or among them with due regard for their personal
preferences in as nearly equal shares as practical. Should my
said son or any of my children be a minor at the time of
distribution of my estate, his or her share of the foregoing
articles shall be selected by his or her guardian(s) hereinafter
named. I direct that any of the foregoing articles not selected
by my said son, children or guardian(s) shall be sold by my
personal representative(s), and I further direct that the net
.. _ ~o,U.k~r~
proceeds thereof shall be administered and distributed as a part
of the residue of my estate.
ITEM IIi: I devise and bequeath the residue of my estate of
every nature and wherever situate to my said husband, providing
he survives me by thirty (30) days.
ITEM IV: Should my said husband predecease me or die on or
before the thirtieth day following my death, I devise and
bequeath the residue of my estate of every nature and wherever
situate to my said son or in equal shares to my children, as the
case may be, provided that the share of any child who predeceases
me or dies on or before the thirtieth day following my death
shall be distributed to his or her issue, per stirpes, living on
the thirty-first day following my death, and in default of any
such then living issue, such share shall be added to the share or
shares for my other children.
ITEM V: If upon the happening of some event during the
administration of my estate my personal representative(s) shall
hold some portion of my estate which is not effectively disposed
of under the foregoing dispositive provisions, then one-half of
such portion shall be distributed to my then living heirs as then
ascertained under the Intestate laws of Pennsylvania then in
existence as though I had died at such time a resident of
Pennsylvania owning such property, and the remaining one-half of
such portion shall be distributed to the then living heirs of my
said husband as then ascertained under the intestate laws of
Pennsylvania then in existence as though my said husband had died
at such time a resident of Pennsylvania owning such property.
ITEM vi: Should my said husband predecease me, I appoint my
sister-in-law, Margaret Slavitskas, of Harrisburg, Pennsylvania,
guardian of the person(s) of my minor child or children.
ITEM VII: I appoint my sister-in-law, Margaret Slavitskas,
of Harrisburg, Pennsylvania, guardian of any property which
passes, either under this Will or otherwise, to a minor and with
S~
respect to which I am authorized to appoint a guardian and have
not otherwise specifically done so, provided that this
appointment of a guardian shall not supersede the right of any
fiduciary in its discretion to distribute a share where possible
to the minor or to another for the minor's benefit. Such
guardian shall have the power to use principal, as well as
income, from time to time for the minor's support, health and
medical care, and education (including college education), or to
make payment for these purposes, without further obligation or
responsibility to see to the proper expenditure thereof, directly
to the minor or to the minor's parent or to any person taking
care of the minor. Should my said sister-in-law fail to qualify
or cease to act as guardian, I appoint my father, Louis A.
Winters, of Carlisle, Pennsylvania, guardian under this item VII.
Should my said father fail to qualify or cease to act as
guardian, I appoint Farmers Trust Company, of Carlisle,
Pennsylvania, guardian under this Item VII.
ITFI[ VIII: All Federal, State and other death taxes payable
because of my death, with respect to the property forming my
gross estate for tax purposes, whether passing under this Will or
otherwise, including any interest or penalty imposed in
connection with such taxes, shall be considered a part of the
expense of the administration of my estate and shall be paid out
of the principal of my residuary estate without apportionment or
right of reimbursement.
ITBK IS: I appoint my said husband Executor of this my last
Will. Should my said husband fail to qualify or cease to act as
Executor, I appoint my sister-in-law, Margaret Slavitskas,
Executrix of this my last Will. Should my said sister-in-law
fail to qualify or cease to act as Executrix, I appoint my
father, Louis A. Winters, Executor of this my last Will. Should
my said father fail to qualify or cease to act as Executor, I
appoint Farmers Trust Company Executor of this my last Will.
~ ~~~~
..
IT81[ Zs I direct that all fiduciaries acting under this
Will, whether or not named herein, shall not be required to give
bond for the faithful performance of their duties in any
jurisdiction.
ITSM ZI: IN WITNESS WHEREOF, I have hereunto set my hand
Appra 1
and seal, this ~t~ day of 14a~e~ 1991.
~tiyV~^'~.~ ~ [ SEAL ]
The preceding instrument, consisting of this and three other
typewritten pages, each identified by the signature of the
Testatrix, was on the date thereof, signed, published and
declared by Terry L. Slavitskas, the Testatrix therein named as
and for her last Will, in the presence of us, who, at her
request, in her presence and in the presence of each other, have
subscribed our names as witnesses hereto.
/~_
1-
~, ..
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, Terry L. Slavitskas, John B. Fowler, III, and Mary M.
Price, the Testatrix and the witnesses, respectively, whose names
are signed to the 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 that she
had signed willingly, 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 witness and that to the best of his/her
knowledge the Testatrix was at that time eighteen years of age or
older, of sound mind and under no constraint or undue influence.
a 1
tatrix
~~
Wi~Jness
/ ( < ~iLG~
Witness
Subscribed, sworn to and acknowledged before me by Terry L.
Slavitskas, the Testatrix, and subscribed and sworn to before
me by John B. Fowler, III, and Mary M. Price, witnesses,
this .3oT'4 day of ~, 1991.
r
~ No ry Pub c
NOTk^1RL SFA6
64NNi5 L. C04€;r. +?OTAOV P~BLSC
tdT. F;rs ~y cpl;,;,,°,;;. f",i Cwhd?~RI,ANO CO.
h',y f.Oh°i~liSCdOd! EMF'prg~ OC70B„+-q 17, 1994