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HomeMy WebLinkAbout10-17-12Reset _ PETITION FOR GRANT OF LETTERS REGISTER OF WII.,LS 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: DOROTHY MAE STEFANON a/k/a: a/k/a: a/k/a: Date of Death: OCTOBER 1, 2012 File No• ~) - ~ ~ - I ~ ~~ (Assigned by Register) Social Security No: 219-10-2477 Age at death: 91 Decedent was domiciled at death in CUMBERLAND County, pENNSYL.VANIA (crate) with his/her last principal residence at 4833 TRINDLE ROAD. MECHANICSBURG. PA 17050: HAMPDEN TOWNSHIP: CUMBERLAND Street address, Poat Ortice and Zip Code City, Towuship or Borough County Decedent died at PINNACLE HEALTH HOSPITAL HARRISBURG PA 17101 DAUPHIN COUNTY PA Street address, Poat Office and Zip Code City, Towuship or Borough Coauty State Estimate of value of decedent's property at death: Ijdomiciled in Pennsylvania ............................All personal property $ 25,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ Ijnot domiceled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 25.000.00 Real estate in Pennsylvania situated at: NONE (Attach additional sheets, if necessary.) Street address, Poat Ottice 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 JANUARY 21, 1969 and Codicil(s) thereto dated NAMED EXECUTOR SEVERING STEFANON DIED JUNE 1. 1989. NAMED SUBSTITUTE LISA S. KEIR HAS RF.Nni1N(:Rl~ 1N FAVnR ()F YnI1R PRTTTTnNRR, Ai.Sn A NAMF.n SiTRSTiTTJTF,, ANT'HnNY STF.FANnN State relevant circumatauca (eg. rtnanciation, death ojexeeator, eta) 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. O NO EXCEPTIONS ®EXCEPTIONS ® B. Petition for Grant of Letters of Administration (If applicable) e.t.a., d.b.n., d.b.n.c.t.a., pendente life, durante absentia, durante minoritate If Administration, Goa or db.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 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 spouse (if any) and heirs (attach additional sheets, if necessary): Name Relationshl Address ° O n r ~ -- ray +.~ -. ~j F~ F, ..w. 7a r.r•`r ~ ~ ~ N Form RW-01 rev. Ioi~ri2oll Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Official Use Only } } SS: } Petitioner(s) Printed Name Petitioner(s) Printed Address ANTHONY STEFANON 907 FOX HOLLOW ROAD SHERMANS DALE PA 17090 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the going Petiti nett to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dec etitio will ly administer the estate according to law. Sworn to or affirmed and subscribed before Date t!d ~~ •~ ~ m~~~l~~~~ ~ L~ yt cyf / ~ Date $ "~ ~/,G(~ Date For the Register BOND Required: ®YES Q NO FEES: Letters ...................... $ (~ (' )Short Certificate(s)..... . ( ~ )Renunciation(s)......... ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ...... ~tll ...... r~ Date To the Register of Wills: Please enter my appearance by my signature below: Attorney Sign Printed Name• N ONY STEFAN Supreme Co ID Number: 25497 Firm Name: ANTHONY STEFANON, ATTORNEY Address: 1847 CENTER STREET ' ,-~ ...... Phone: 717 761 6162 Automation Fee ............... t Fax: 717 761 6164 JCS Fee ..................... Email: TC+NYSTF.F~ TOTAL ..................... $ DECREE OF THE REGISTER Estate of DOROTHY MAE STEFANON a/k/a: AND NOW, ~~~ __~~ 1 ~' ,~1~~~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to ANTHONY STEFANON in the above estate and (if applicable) that the instrttment(s) dated JANUARY 21 1969 described in the Petition be admitted to probate and filed of record as the last Will (and Co 'cil(s)) of Decedent. Register of Wil (71' t Form RW-02 rev. ioi~lnorr v ~ t Page 2 of 2 ~ ~ r -- ~~ '•~ ss -;- ~ NRT 0 File No • C~ l ' ~ ~ - ~ ~ °Z ~~ H105.805 REV (9/11) LOCAL ~~ CERTIFICATION OF DEATH WARNfN v t ~, , 1 ~~¢~hcate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 P 18974567 Certification Number ~~ ~ ~ oct ~ Z A~ 1a This is to certify that the information here given is correctly copied from an original Certificate of Death duly .filed with me as Local Registraz. The original ~~•~ ~'~ certificate will be forwazded to the State Vital ~(-~ 5 L~~1 Records Office for permanent filing. Ct,ERLEWD COr, ' fo 0 Local egistraz Date Issued COMMONWEALTH OP PENNSYLVANIA • DEPARTMENT OP HEALTH • VITAL RECORD! e-car~F~t~a~rtF cstF oEarw Type/Prlm In wnnarr.nt S 4 r 1. s Name Ira(, M d , u.s, 3. rtttr Number Doroth Mao Sta£anon ~ Female 219-10-2477 AEe.last f. Dasa u t nr (sw r 1a• Plod and er 91 Mentta Days Neon. MInuM April 16~ 1921.. ~. Yr'tltOlad (colln~). . or conntrv . MNdr.nu Street . Nu - Inc uM Apt MoJ In . Panne ivania 4633 fi. Tr indla Road - mves, urN daddwtt llwAln ta~°'^''t~^ ~r",t`_ t~rP. y Cumberland N. ReaWend (aP Code) 17050. QNO, d raoetlant Iliad wltltM Umib of CttY/bere• M Arnrod FO/CM 1 • Stattq at DeNh MerrlW 1 Iy1y1r1E lOelae t Nlnre 1 , [Ne MRYa n marNesa Q yes m Ne Q unknown Q Dlyorcad Q Never Marries Q Unknown 12. s /nrrre !Rest. M .Last, Su 13. s Name Prbr n Rest Marrlele First. ,Last opt Rabacca fillsn Sorst its. s Name Sab. RelatbruhlP to oaddem faa 1 s Mauky eau (Stmt a bar, .State. Son ..907 Sax 1. ow R~bad Sh.rmatl.d la PA 17090 An on Sta£ on . Ciairt~GiswreB In atldP~et. ••.•.••.•~Wtlent~ HOeet-tOdaarrW ~ ~ h~rTMnaNaePRa1:•••••.•••._•[~NOiPtt*~ec~1~tY ••••••••••••Y,.Y, •Ciodent~s tiarni• ••.•.• Y Deed en ArrMal MurM. Nome/. Term G(e Pall Other ( netInatmAletl, EM -vaer a.w numMr~ 1Se. CJtV a avvn and aP CWe Pinnacle Raalth S stem-~ Harrisbur Penns lvania 17101 Dau hin t Cremation 1 16c. - DbpsiNlon (Name dmetary, crernatorY, or ed Q RerrrovN from State Q Donation Oche. 10-4-2012 Cremation SocaaG o£. Penns ivania w own, ,and ) Y7a. SIEn m Held or In ntermarlt 1 . t.Idnak v 17109 FD-013 --L lfe. Name and Cemplan Addrasa W Funeral Fatlkty P nn v n a Z 410 J a 1 v - 3 9 s the at tM 1!. NlapanlC • ad - redo n rR hl{tiM de`ae or level of sehea ctmtplatad n the dme of death. box that best Wscribes wMther tM decedent the decedent considered hlrtrNN or herseN n d•. (~ Bw Erode a less b Spenlsh/Nlspanl6/Latlno. Chock the •Ne• m VIIt11H Q Korean Q NO dIP)eme, fdr -12th Erode' trot[ N deeedertt b not Spanbh/fllspanlc/LWno. Q BMCk or AMCan AmenCan Q M1aVrMnew Q NIElr achoal Eraduate x 0E0 wmpleted ®No, not Spanbh/Nbpanl4tatlne Q Amerldn Indian er Atatlu Nfrtiw Q Other AWn m Sony oallye CtetlR. but ne deter Q Yea, Malwn, McMdn Amerlean, Chldno Q Aden Indlen Q Native Itswelien Q Aaepciate decree (ea. AA, AS) Q yM, PWrte Rhin Q Chinaae Q awmarden er Cherrrorro Q EacMler's daEree (e.E. K N, ES) Q Yes, Cuban Q ilYplno O Setnwn Q Master's de{ree Ns- MA, MS, MEnE, MEd, MS W, MBA) Q Yes. other SpanlsWNlspanlc/latlno Q Japanese Q Other PacNlc Islander Q Doctorate le.E- -hD, EdD) ar ProNaNOna1 desree (lpeelty) Q OthM (SpetMy) J 3. s SInEN Dasynatbn - LY ONE to Indtdn whst decedent a hn or to W. 22a. 's Uswl Ocarpatlan - IndleKe type ®WhM Q Japanese Q Samoan ~ done durlrlE mdt of werkirrE Ilh. DO NOT USE RETIRED. Q Hack or Ahican An)aridn Q Korean Q Other PacMC blantMr tiomamalcar Q Arrterldn Indian or Alaska Netts Q Vietnamese Q Don't Know/Not Sure Q }Wan IndMn Q OthM Aden 0 Ret'uaed 22b. Kind o BusMx n ustry Q Chines! Q NatM NawNtan Q OtMr (SpeeNy) Q FYlpino Q auamanlan or GMmorro In Rar OWn Homo Eo • w tr~tewli woo PwoPSOUNCEB ow . Tirrta 2E. Wes. Madill EitamlMr ar CoronK ContaetedT Vq CAUSE Oi DEATH APP..xim.w p~-dlMasas. INuINS, or eomplidtbns-'tnat dlMCtly dosed tM desM. DO NOT erKer terminal ayen4 such Y d/d4e errs(, llrterwl: 26. PaR 1. Enter tM ~pffi , Add sddltbnal pyres H nedssary Onset n Deets mer onty orta dues on a Ilne. NOT AEMEV/ATE. E respiratory arrest, a vantrlwlar Rbnllatbn without MowirtE the atbloly. 00 p } ` CE'Z ~8/\~ ~i,(~-S t• c~ ~' /V R /f/-CC ~O E.~ 1 3 A r~y-t/ IMMEDIATE CJ1tJSE > •. (RreN dbaase or aondltlDn Dw to for as • eonsegwnea on: ~s resultlry M death) ~/O T~~~~/'l~ b. laquemMYY Yst cwMltlone, Des n for as a tonsagwnd ot): . N any, brdirtE n the qud Natal an Iltte a. Eller tM U41ONlLYNa UYBE Due n (or as • conspuanee on: (dowse or Mjury that InRland tM evenb resuletnE d. In dwth) tAET. Des to (or u • consegwnee ot): PaK B. Enter. but net rasulYrlE In tM unMrlylnE cause Elven In Part 1 .Was an eutepay Y 2i. Were atrtapq. tp txxnplatefM tauw et daaMT . Hip: 30. Dk/ Tobaae Uw Contribute to P bl b !1_ _ Me~nar rH Q NomlcMe praEMnt vAthin pant y..r ro a y Q Y Q ~ Q unknown Q ACeMerK Q PandME InvwtlEatbrr a' PrprMt at tlrrr of death but praEnarrt wRhin u days of dwM Q Not pre/nant Q SukJde Q Could not be denrtnhled 4 , naM 4! drys tp 1 nor before Waeh re naett but Q Net re 32. Den of 1n)ury r) ( Morreh) > , p l p E Q Unknown H preEnant within tM past year 9!. Tlrrte Injury !a. IMury e.E• home: dnstructlon she; term: school 33. LaCatlon Inlury (Street arts Number. City, Stan, p ) ry at A In ury Q Yes Q DrWe•/overetet Q Pedestrian Q No Q Paaaeryer Q Other (SDeeItY) wrN one : Q 4rtHyktE phyaMan - To tM best of my knevWadEe. death occurred des to tM duaals) and mennar stetad a certn4lrrs phyaWan -TO olio best of my knowledp, death occurred at tM tlme, don, and plea, and tlw n tM dose(s) and manna( shad a/nd rna ccurr d at the Nme. date, and Plod. and due `n~y~• c (M~r stedd o e Of wNnlnatbl4 and/or Inyestlptlon, M my oplnbn, eMNh (yL~e~~((}~) Q Medteal lxaminar/Coroner - On tM bas~ ~ . , /t ~r / / ~ L 'T llpraturl d drtlRar: "~ v 7~2i ~'/ /yJ~+°~ Ttle of dreiRer: y ~ r . y Lleenw NwnWF.~ ~^' ! ! uN ~' y,~ O ri ~.. . Am.nanrents Dbpoaltlen P.rmR No. ~/ ~~~~ a R[V 07/}031 __. OATH OF SUBSCRIBING WITNESS(ES) N ~+ REGISTER OF WILLS ~ -1 ~ c Vii, ~i.rtA~lrac.A N~ COUNTY, PENNSYLVANIA CJ' . ~ +..J ~ J r„; ~_~ `_' F E ~~ ~, .. 4 ..p -~ ~ t _ Y r I " ~ ~ , r y ~iJ7 ~ Estate of t J oROTV-Y IVl S T~~ ~r a~ n/ ,Deceased /Pieac,.t ~~,/g~ Siyat.isrCrt , (each) a subscribing witness to (Print Names) the ~11 ^ Codicil(s) presented herewith, (sash) being duly qualified according to law, depose(s) and say(s) that the / he /they was / ~erc present and saw the above T~ee~e~et /Testatrix sign the same and that she >~-trey signed the same and that sho-/ he / ~e7` signed as a witness at the request of the 'f~ctste~-/ Testatrix in her / ~l~ie presence and in the presence of each other. (Signature) (Street Address) (City, State, ZiP) (Signature) 'tfV C/spE /kse7~ ~~ (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed ~ ~ before me this day of ~ ~.~ Deputy for Register of Wills ~ ~ Executed out of Register's Office Sworn to or affirmed and subscribed before me this tf6'~ day of 4~4.- ~! ~ . a~~P ,~~ Notary Public My Commission Expires: ~ (/oZ ~ S (Signature and Seal of Notary or other of5cial gtiali~~to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-03 rev. 10.13.06 ~..,; R LJ i LAST WILL AND TESTAMENT `~E-- - ,-~ ~ ~-~ ~~- - ~.~~. ~.~ ~_~. ...r.. . _.. ~~:-_: --; ~ s- - ~--~-~ ~ ~~~ I, DOROTHY M. STEFANON, of the Township of Upper Aten, County of Cumberland and Commonwealth of Pennsylvania, being of .sound and disposing mind, memory and understanding, do make, publish and declarQ this as and for my Last Will a.nd Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. ~'TRST. I order a,nd direct that all my just debts and funeral expenses be paid by my Executor, Executors or Executrix, as the case may be, hereinafter named, as soon as conveniently A~~a:`- be done after my decease . SEe:rOivD. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated unto my husband, SEVERIN O STEFAN ON, absolutely and in fee simple, if he survives me. THIRD . I f my husband, SEVERING STEFANON , should not survive me, and if all of my children have attained the age. of twenty-two (22) years at the time of my death, then and in that event I give, devise and bequeath my entire Estate in equal shares unto my children, share and share alike. Should any of m_y said children predecease me and leave lawful issue to survive them, I order and direct that the share or part of my Estate which such deceased child or children would have received. here- under had he, she or they survived me shall be distributed unto the issue of such deceased child or children per stirpes, said MARTSON & SNEL©AKER ATTORNEYS AT LAW issue taking his, her or their deceased ancestor's or ancestors' share or shares hereunder by representation and not per capita. If, however, any of my children are under the age of twenty-two (22) years at the time of my death and should they be otherwise entitled to receive my entire estate under the provisions of the paragraph immediately preceding hereinabove, then and in that event, I give, devise and bequeath my entire said Estate unto my daughter, LISA S , KEIR and my son, 1~NTHONY STEFANON, or the one who may qualify in the event of the prior death, disability or unavailability of the other, as my Trustees, in trust, nevertheless,to hold, invest and re-invest the same, to collect the income, and after paying all expenses incident to the management of said trust, to use and apply as much of the ne-t income and principal thereof as may be necessary in the sole discretion of my Trustees for the support, maintenance, care and education of such of my children as may be under the age of twenty-two (22) years, it being my will and intention to provide for each child who has not attained such age and who may be dependent and unemancipated (by reason of disability or full time attendance in a school) at the effective time hereof with the same or similar advantages and benefits during his or her dependency which I have provided to my older child or children together with the privilege of acquiring a college or other post-high school education; and, upon the youngest of my children attaining the age of twenty-two (22) years, I order and direct that the balance of principal and any accumulation MAF2T:;ON & SNELBAKER ATTORNEYS AT LAW of inc-ome remaining in the hands of the Trustees be distributed in equal shares unto my said children, share and share alike. It is my express will and considered thought that my said Trustees should terminate any benefits under the fore- going trust for any child under the age of twenty-two (22) years who has by his or her personal conduct become independent, completed formal education or otherwise demonstrated his or her lack of dependency upon the funds under the management and control of said Trustees. In addition to the foregoing directions and general discretion vested in my said Trustees, the marriage of said children or their persistent display of lack of personal initiative and industry shall be considered by my said Trustees as sufficient cause to discontinue the discretionary distribution provided hereinabove. It is my further express instruction and direction that all discretionary payments hereinabove provided shall cease for each of my said children upon the attainment by each said child of age twenty-two (22) years, thus making available the balance of said -trust for use in the purposes set forth above for my younger child or children. LASTLY. I nominate, constitute and appoint my husband, ~ SEVERING STEFANON, to be the Executor of this, my Last Will and Testament, but if for any reason he shall fail to qualify has such Executor or cease so to serve, then I nominate, 'constitute and appoint my daughter, LISA S. KEIR, and my son, ,ANTHONY STEFANON, or the one who may qualify in the event M ARTSON & JNELBAKER ATTORNEYS AT LAW of the prior death, disability or unavailability of the other, to serve in his place, each to serve without bond. IN WITNESS WHERE OF, I, DOROTHY M. STEFAN ON, have hereunto set my hand and seal to this, my Last Will and Testament which consists of four (4) typewritten pages to each of which I have affixed my signature this l ~ day of January, A. D., One ~/ Thousand Nine Hundred S ixty-nine (1969) . ~~~~, ( SEAL ) The preceding instrument, consisting of this and three (3) other typewritten pages, each identified by tl;.e signature of the Testatrix, was on the date thereof signed, sealed, published and declared by DOROTHY M. STEFANON, the Testatrix therein named, 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, have subscribed our na as wit sse reto. ,: _~~~. ~ ~- MART'SC7N & SNELBAKER ATTORNEY:i AT LAW fi~FCQR~`~c~ ~~~F~~E ~~G'a~L~ ~; 1~;1 ~ 10i2 OCT E 7 AM 10= 52 OATH OF SUBSCRIBING WITNESS(ES) ~.;tt::..,, ~'S ::OtJR r O~RLAND CD., PA REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of DOROTHY M. STEFANON ,Deceased FLORENCE B. LASCHER , (~ek~ a subscribing witness to (Print Names) the ®Will ®Codicil(s) presented herewith, ~~acli) being duly qualified according to law, depose(s) and say(s) that she /dam/ try was /;veite present and saw the above T.~s~tell:/Testatrix sign the same and that she / k~/ t~e~ signed the same and that she / ~kc/ they-- signed as a witness at the request of the •~eeteter~ Testatrix in her /~- presence and in the presence of each other. (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , (Signature) y0/ E, ~1~~~ s t' (Street Address) Q ~~'c~'~f>+'b't/~l'SiS!/~e c_ 1 rF ~ 7US~S~ (city. state. zip) Executed out of Register's Office Sworn to or affirmed and subscribed befor~~e__mnne tyyhis 1(0~' day of C:.~~E.1~ , 0,. S Deputy for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or oopy_of i~~~et~t(s ~~tarization. GT]MM THNOtalkl $e~l YMIA Form RW-03 rev. 10.13.06 S• ~•++ ~ ~~ Clgr of ttt~s6a-+p. Deupitd- C1btmW Mq QDrnaNesslott ]Ilpe (1.7015 VMM fJF ~~..,w .,E~ ~ ~a~z oct ~ ~ ats ion s3 ,~i_ ORPHAI~`~ ~~UFi~' ~IJMBERL~WD CO.. RA RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of DOROTHY M. STEFANON Deceased I, LISA S. KEIR , in my capacity/relationship as (Print Nanre) CO-EXECUTOR of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ANTHONY STEFANON (Dare) Executed in Register's Office Sworn to or affirmed nd subscribed before th' day Deputy for Register of Wills Form RW-06 rev. /0.!3.06 ig re) ~ ~ ~°~ (Street ~ddressJ ~~tis`~CS~wn~ ~tV` ~ ~-~-~3 (city, score. zipJ Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes t within on this ~_ day Notary Public My Commission Expires: • ~~ •~~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) PAMEU- C. WHYE NOTARY PUBUC, BN.TNrIOPtE COI~IiY STATE OFcc~~.,~,~ ~~~w~~~~