HomeMy WebLinkAbout09-28-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF COUNTY, PENNSYLVANIA
Pettior.er(,) named balow- who isiare 13 years of aoe or older, apply(iesi for Letters as spacifiad balow; and in
st:oport thereof aver(s) the follc~,viug and respectfully requestis) the grant of Lerars in the appropriate form:
Decedent's I formation
Name: JS~
a/k'a: ~ / File No: ~~ 1 ' ~ a - 1 ~.~'
a/k/a: v (.9sstgned by Register)
a/k/a: _
Date of Death: O~
County,
Social Security
Age at death:
(Stare) with his/her last
Decedent was domic
principal residence at
Decedent died at
in
Stree[ addreu, Post Office
Township or
street atldress, Past Otnce and Zip Code Ity, T nship or Borough
Estimate of value of decedent's property at death:
ljdomici[ed in Pennsylvania ................. . .......... All personal property
!f not domiciled in Pennsy[vania ........................ personal property in Pennsylvania
IfTrotdomiciledinPennsylvania ........................ personal ro er
Value ojrea! estate in Pennsylvania ............................. .P. P ry in County
. ...... ... ...... ..
TOTAL ESTIMATED VALIUE....
Real estate in Pennsylvania situated at:
(Atlnch ndditional sheers, ifneceuary.J Street address, Poat Office and Zip Code
s~~,-,~G
City, Township or Borough County
~A. Petition for Probate and Grant of Letters Testaments
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated d 7' ~(] ` a~ ~(
thereto dated _ and Codicil(s)
Stale relevant dreumslancea (eg. renurtciatiort, Aeath of exenaar, etc)
Except as follows: after the execution ofthe instmment(s)offered forprobate Decedent didnot many, was not divorced, was notaparty to spending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. !i 3323(8), and did not have a child bom 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.tu., d.b.n., d.b.n.c.t.a., pertdente lire, durunte absentia, durunte mirtoritute
If Administration, c.t.a. or d.b.n.c.ta., 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 h d been establi~d as define
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
rw
^NO EXCEPTIONS ^ EXCEPTIONS ~ to ~i C`
~ C-
Petitioner(s), afterapropersearch has/have ascertained that Decedent left no Will and was survived by tht:following rn
udditiona[sheets, ifnecessury): ,~fany)atp~yeirs
.d 00
r.D
Form RW-02 rev. !a//!/20!!
Page 1 of 2
Oath of Personal Representative
COIN YIOV~,b'EALTH OP PE~VSY'LVAV[.~ }
} SS
C:)l ~'TY"OF
~FC~?;;~t!; GFFICE OF
,~ -
REG~stL. , l;a,
?012 SEF 2>~ AM 4= 28
.41 _
2 rt/AC-,rjU
~C Z- bd A/L 1 ~ r u
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tnie and correct to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the De dent, the Petitioter(s ill v el itd. tmly administer the estate actor ing~ to1 aw~.,
Sworn [o r affirmed and bscri ed efore ~ , R Date ~~%~Z7/~1~--
me thi j°day of ~1) e2 ~F=~(J -Dace j
BY~ Date
"F r e ReSrrter Date
BOND Required: YES ~NO
FEES:
Letters ...................... $ ~v
( L~) Short Certificate(s)...... ) L
( )Renunciation(s).........
( )Codicil(s) ............ .
( )Affidavit(s)............
Bond ........................
Commission ................. .
Other Vin/ ti 9.~ , ... , ... ~-
Automation Fee.
1CS Fee.. . ' . ==Y~
TOTAL .............. ....... $ ii°I~
To the Register aJWi([s:
Please enter my appearance by my signature below:
Attorney Signature:
Printed Name:
Supreme Caurt
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate o^tt~rl~ C 1~ ~ ~fPf ,~-fi.(3P.'~ 11 File No:
AND NOW, ( n~_ J , ~~~, in consi era ion of the
satisfactory proof having been presented before tne, IT I SCREED that Letters
are hereby granted to
in the abo~je est e d
the instntment(s) dated p t _ /'
described in the Petition be admitted to probate and file~flVcoO~ a~th~ last Will (,end dicil(s) of
Fmmi R4K02 rev. (0/(f/Igll
Petition,
[hat
Page 2 of 2
Illu[.rcn? Plv rl/il,
RfC~iCf.~GISTRAR'S CERTIFICATION OF DEATH
REC~~~~1~~ is illegal to duplicate this copy by photostat or photograph.
l ~e h,~ ~~,~~ tett~tse~i~1~~P 28 Ah 9: 79
ORPHANS COURT
C1~IBERLAND CO.1 PA
P 18821734
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1.
ZUI1 SEP 28 A€~ 9' 28
~OF
SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of_C ~~-~ / .~
Deceased
" "- - , (each) a subscribing witness to
(Print Names)
the~Vill ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
~~ ~~ /
(Jtgnamre) ~~
gnature)
(Street Address) ~` ~•~ _~ ~ ~`
~J (Street Address)
~4G" s~t> -~ /'~ l 7/r ~ ~ j~
~~ny, orate, Zip) 1 / ~/~ / ~/
(City, Store, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this _ ~ ~ day
of~~tN.-~ ~l~-
Deputy for
NOTE: To be taken by
'Wills
NOTARIAL SEAL
LYDIA R DAVIS
Notary public
SWgTARA TWP., DAUPHIN COUNTY
Executed out of Register's Offce
Sworn to or affirmed and subscribed
before me this ~7~ day
of G~ In . i,. =-i 2p~1
_>
/S~/~
N ublic
My Commission Expires: ~ t.-) a--72 of l F
(Signature and Seal ofNotary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
original or copy of instrument(s) at time of notarization.
Farm RW-03 rev./0.3.06
Will ~ m n:!
c
( .y
. -~,
Will of Cristobal (Chris) M Vazquez o<C"; ? °D r" `cc~77
I, Cristobal (Chris) M Vazquez a resident of Mechazvcsbure Ccoun ~ ~~ tD m
tyJ. ~ Slate of
~~
Pennsylvania ,declare that ~
~
~,
this is my will.
1. Revocation. I revoke all wills that I have previously made.
Z• Marital Status. I am Married lmarried/singleJ.
3. Children. I have the following natural and legally adopted child(ren):
Name Date of Birth
James Aaron Vazquez February 2 1972 _
Marv Catherine Vazquez September 17 1976 _
Jeoune Yun Choe Vazquez Mav 23. 1965
[repeat as needed)
If I do not leave property to one or more of the children whom I have identified abo
v
my failure to do so is intentional. e,
4. Specific Gifts. I leave the following specific gifts:
I leave to or, if
[he/she/they) _ [does not/do not) survive me, to
I leave to or, if
[he/she/they) _ [does not/do not) survive me, to
I leave to or, if
_
[he/she/they] _ [does not/do not) survive me, to
(repeat as needed)
5. Residuary Estate. I leave my residuary estate, that is, the rest of rrry property not
otherwise specifically and validly disposed of by this will, including lapsed or failed
gifts, to Reinaldo Vazquez or , if He [he/she/they) does not [does not/do
notJ survive me, to Madeline Vazquez
6. Beneficiary Provisions. The following terms and conditions apply to the beneficiary
clauses of this will.
A. 45-Day Survivorship Period. As used in this will, the phrase "survive me" means
to be alive or in existence as an organization on the 45th da}+ a8er my death. Any
beneficiary, except any alternate residuary beneficiary, must survive me to take
property under this will.
B. Shared Gifts. If I leave property to be shazed by two or more beneficiaries, it
shat be shared equally by them unless this will provides otherwise.
If any beneficiary of a shared specific gift left in a single pfu~agraph of the
Specific Gifts clause, above, does not survive me, the gift shosll be given to the
surviving beneficiaries in equal shazes.
If any beneficiary of a shazed residuary gift does not survive me, the residue
shall be given to the surviving residuary beneficiaries in equal shares.
C. Encumbrances. All property that I leave by this will shall pass subject to any
encumbrances or liens on the property,
7. Executor. I name _ Reinaldo Vazquez as executor, to servo: without bond. If _
He [he/sheJ does not qualify or ceases to serve, I name Madeline Vazouez as
executor, also to serve without bond.
I direct that my executor take all actions legally permissible to probate this will,
including filing a petition in the appropriate court for the independent administration
of my estate.
I grant to my executor the following powers, to be exercised as the executor deems
to be in the best interests of my estate:
A. To retain property, without liability for loss or depreciation resulting from
such retention.
B. To sell, lease, or exchange property and to receive or administer the
proceeds as a part of my estate.
C. To vote stock; convert bonds, notes, stocks, or other securities belonging
to my estate into other securities; and to exercise all other rights and privileges
of a person owning similaz property.
D. To deal with and settle claims in favor of or against Amy estate.
E. To continue, maintain, operate, or participate in any business which is a
part of my estate and to incorporate, dissolve, or otherwise change the form of
organization of the business.
F. To pay all debts and taxes that may be assessed against my estate, as
provided under state law.
G. To do all other acts that in the executor's judgment may be necessary or
appropriate for the proper and advantageous management; investment, and
distribution of my estate.
These powers, authority, and discretion aze in addition to the powers, authority, and
discretion vested in an executor by operation of law and may be e:xemised as often as
deemed necessary, without approval by any court in any jurisdiction.
8. Personal Guardian. If at my death any of my children aze rninors and a personal
guardian is needed, I nominate to be appointed
Personal guardian of my minor children. If [he/she/they) <:annot serve as
Personal guardian, I nominate to be
guazdian. appointed personal
I direct that no bond be required of any personal guazdian.
9. Property Guardian. If at my death any of my children are minors and a property
guazdian is needed, I appoint
as the ;property guardian
of my minor children. If [he/she/they) cannot serve as ro
P Percy guardian, I
appoint
as property guardian.
I direct that no bond be required of any property guardian.
10. Gifts Under the Uniform Transfers to Minors Act. Ail property left by this will
to jname of minor) shall be given to
[name ofcustodianJ as custodian for
[name of minor] under the Uniform Transfers to
Minors Act of
[your state]. If _
[name ofcustodianJ cannot serve as custodian,
-------------____________ [name
ofsuccessor custodian) shall serve as custodian. If
[your state] allows testators to choose the age at which the cusU~dianshl
choose the oldest age allowed by my state's Uniform Transfers to Minors Act.
[repeat as needed)
Signature
I subscribe my name to this will this 2pth._ day of Julv
Mechanicsbure -. 011 at _
- ---_____ [county], State of Pennsylvania
I declare that it is my will, that I sign it willingly, that I execute it as my free and
voluntary act for the purposes expressed, and that I am of the age of majority or otherwise
legally empowered to make a will and under no constraint or undue influence.
Signature: ~~ ~,
Witnesses
On this 20th, day of July 2011 ,the testator, Cristobal (CAM
Vazquez declared to us, the undersigned, that this instnmient was His [his/her]
will and requested us to act as witnesses to it. The testator signed this will in our
presence, all of us being present at the same time. We now, at the testator's request, in the
testator's presence and in the presence of each other, subscribe our names as witnesses
and each declaze that we aze of sound mind and of proper age to witness a will. We
further declare that we understand this to be the testator's will and that to the best of our
knowledge the testator is of the age of majority, or is otherwise legally empowered to
make a will, and appears to be of sound mind and under no constraint or undue influence.
We declare under penalty of perjury that the foregoing is true and correct, this 20th.
day of Juiv 2011 at
Mechanicsburg [courrtyJ, State of p
etL~vlvanis
Witness 1
Signature:
Typed or printed name: John H. Gill
Residing at: _ 503 Ouail Court
City, state, zip: Mechanicsbur PA. 17050
Witness 2
Signature:
Typed or printed name: Patrick Brown
Residing at: 735 South 28th Street
City, state, zip; Harrisbur PA.17111
Witness 3
Signature:
Typed or printed name: Lillian Brown
Residing at: 735 South 28th. Street
City, state, zip: Harrisburg PA 17111