HomeMy WebLinkAbout11-09-12PETITION FOR GRANT OF LETTERS
COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF CUMBERLAND
Petitioner(s;l 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 Letterslin the appropriatte form:
Decedent's Informatioat File No: ` / (~ ~ I r
Name: JOHN G SL VENSKY Assigned by Register)
a/k/a:
a/k/a:
Social Security No:
a/k/a: _ Age at death: 5s
Date of Death: 1011112 12
CUMBERLAND County, pFNNSYLVAPJIA (State) with his/her last
Decedent was domiciled at death in 170` CUMBERLAND
700 SALEM PARK CIR MECHANICSBURG ° ~eMPDEN TOWN"' ~~° County
principal residence at city,Ta hip as o gn
Street address, Post Orace and Zip Code
16201 KITTANNING BOROUGH ARMSTRONG PA
Decedent dled at ARMSTR NG CO HLTH CTR KITTANNING County State
Street address, Post Orace end Zip Code City, Township or Borough
Estimate of value of decedents pNperty a[ death: $ 25.000.00
Ifdamiciled in Pennsylvan~'a ................................All personal property $
If not domiciled in Pennsylvania .............................Personal property in Pennsylvania
If nor domiciled in Pennsylvania .............................Personal property in County S 119.000.00
.........................
• • • • • • • •""""""" 144.000.00
Value of real estate in Penhsylvania ............... TOTAL ESTIMATED VALUE.... $
7001 SALEM PARK CIR. MECHANICSBURG 17050 HAMPDEN TOWNSHIP CUMBERLAND
Real estate in Pennsylvania si[uaked at: City, Township or Borough County
Street address, Past Office and Zip Code
(AUach ndditionnl shee(s, iJ'necessm~J
® A. Petition for Proirate and Grant of Letters Testamentar "°IRI~o•I ~ ana Codicil(s)
Petitioner(s) aver(s) he/sheVthey is/are the Executor(s) named m the last W dl of [he Decedent, dated
thereto dated
State relevant circumstances (e.g. renunriadan, deaU, ofexecuror, etc)
Except as follows: after Ih(: execution of She ins[mmen[(s) offered for probate Decedent did not marry, was no[ 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 bom or
adopted; and Decedent wds neither the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIOI'~S ^ EXCEPTIONS
^ $, Petition for Grant of Letters of Administration (If apphcpblde)6.n., d.6.n.c.t.a., pendente lire, durance absentia, durance minoritate
It Administration, C•Ga. or d.b.n.c.ta., enter date of Will in Section A above and complete 1_ ist of heirs•
Except as follows: Decedent was no[ 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 [he victim of a killing nor ever adjudicated an incapacitated person.
^ NO EXCEPTIOINS ^ EXCEPTIONS y ~~.
Petitioner(s), after a proper search hasPoave ascertained that Decedent left no Will and was survived by [he following spouse (if an) an ~rs (arra~
additional sheers, ifnechssaryJ: ~ l'` ~- ~ ~'
r
Narrate "'" r
ter. a.0
_-~
Page 1 of 2
Farm RW-01 rev. l0/11/2017 i.
Oath of Personal Representative
COMMONR/EALTH OF PENNSYLVANIA } SS:
COUNTY 0'F ••~ °~OC°t ^AND }
Peditioneds) Printed
15 HILLVIEW LANE
Official Use Only
PC-~.,,,' ~~~~ I C
~~,r; ~ _. .~~
Petitioner(s) Printed Address
~Li iJJ'~'.
The Pe[itioneds) above-named sw~r{s) or affirm(s) the statements in the foregoing Pe[i[ion are [me and cortec[ to the best of the knowledge and belief
of Petitioner(s) and [hat, as Person2l Representative(s) of the Decedent, the Peti[ionet{s) will well and Imly administer [he estate according [~ aw`
Qp {r • '~~~ ~ Lr', L-El
Swom to or affirmed and scnbed befo~~ iJ~~~ ~ ~~~ ~ Date
me this..r~.br day~?s, ~ ~ Date
B Dale
egister
BOND Required: ^ YE~ ®NO
FEES: '. „ ~ ~
Letters
( /~ .................. .
)Short Certificates(sD .... $ )/ _ (~)
~ . ~ ~ ~ ~ a~
( } )Renunciation(s) ..... ...... ---~--
( )Codicil(s) ...... . ..... .
( )Affidavit(s) ..... ~ . ...
Bond ....................'. ......
Comm
Other ission . ~
~1~ ... ~ ~ ~ ~ ~ ' ' , t i
..... .
~~ ---
-
To the Register ojWills:
Please enter my appearance by m signa re below:
Attorney Signature:
Printed Name: MURREL R. WALTERS III
Supreme Court
ID Number: 24849
Fitm Name: MURREL R. WALTERS III
Address: ATTORNEY AT LAW
54 E. MAIN STREET -
MECHANIC 6~ PA 17055
Phone: 717-697-4650
r•,,,. 717-697-9395
Automation Fee .................. mail:
1CS Fee .........................
TOTAL ......................$
DECREE OF THE REGISTER c~ l~
File No:~~ ~ I~ J ~\ U- 1
Estate of JOHN G. SL VENSKY
a/k/a: ~
~(A ~M\ _ 1111` a~ ~ ~ , in consideration of the foregoing Petition,
AND Now> ~--Y1R~~
satisfactory proof having been presented before me, IT IS DE ~ t DUNMIRE hers TESTAMENTARY
are hereby granted to
in tha: above estate and (if applicable) that
the instrument(s) dated ', 101512D'I'[
described in the Petition be admitted to probate and filed of rec the las Will (and Codicil(s)) of dent.
i
i
Reg er of Wt s
Page 2 of 2
Fora arv-oz .ee. ronuzou i
Rt,~~~.~ _ ~.._~,
RENUNCIATION
REGISTER OF WILLS
nt,tiaFRl qNO COUNTY, PENNSYLVAI\fIA
"r:0l2 t~OV -9 APt 9~ 04
OR'r'h'AIJ ~ ':;OJR`
Cl1MBERLAN % C0 , PA
,Deceased
Estate of
in my capacity/relationship as
f,
(Print ame)
of the above Decedent, hereby renounce the ri t to
administer the Estate of th~ Decedent and respectfully request that Letters be issued to
(Date)
Executed in Register's l~ff ce
Sworn to or affi ed an~ subscriaeY
befor one this
of ~iA wrn ~,. ' ,
uty for Register of ills
Form RW-06 rev. 10./3.06 ~i
fin, ~ i"7~ ;~~~r~.
(Signature)
(Street Address)
CTAW~~~ 1141 dd'I7'I
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she exe<:uted the renunciation for the
purposes stated within on this day
of ~ '
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified [o
administer oaths. Show djte of expiration of Notary's Commission.)
IOS.ft05 REV f9ll I I
LOCAL R~~th;~,RAR'S CERTIFICATION O'F DEATH
i ~t.t _ iw11-~'to duplicate this copy by photostat or photograph.
= .
Y that the information here given is
Nee for this certificate, $(>.0~ ~~~ ~~~ _~ AM g: Q4
MBERI AND CO. `PA
P 1860711
f Prtifl CffilOn Number LOMMOgweALT"oF
John G.
59
This Is ro L,eln y
correctty copied from an ongmal Certificate of Death
duly tiled with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
Date tssuea
NEALTN-ylTk. ~b~egistrar
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~t~~RD ~~R Oct b 13 2012
Isn•wr• or u ip5~ ( B20
NlDS-193
REV OT/3011
r- 0x56033 -
' Dlapovltlon Parmlt No.
LAST wILL of
JOHN G. SLOVENSKY
I, JOHN G. SLOVENSKY, of 7001 Salem Park Circle,
Mechanicsburg, Pennsylvania, being of sound mind, memory and
understanding do hereby make this my Last Will, hereby revoking
any and all Wills heretofore made by me.
FIRST.: I give to Valarie Schock any of my videotapes or
DVDs that she desires.
SECOND: I give all the residue of my estate, both real and
personal Wheresoever situate, to Michele McGrainor and Susan
Dunmire.
THIRD: I hereby appoint Michele McGrainor and Susan Dunmire
as Co-Executrices of this my Last Wi11, and I direct that my
personal .representatives shall not be required to enter any bond
or security in any jurisdiction in which they may act.
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IN WITNESS WHEREOF, I, JOHN G. SLOVENSKY, the testator above
named, have hereunto subscribed my name and affixed my seal this
_~_ day of ~~~~i~i5~ 2012, in the presence of
the persons witnessing it at my request.
JO~~SLO ENSKY
Signed, published and declared by the above reamed JOHN G.
SLOVENSKY,'as and for his Last Will, in the presence of us, who
a'~ his request, in his presence and in the presence of each
other, have hereunto subscribed our names as witnesses.
~~ ~...~...._e.J
WILLA_- FFI~AV~T
COMMONWEALTH OF ~PE~,N~N,,SYJLV ANIA 'ss
COUNTY OF "" "'" "
1, John G. Slovensky, testator, whose name is signed to the attached instrument, having been duly
qualified according to law, do hereby acknowledge that 1 have signed and executed the instrument as m
oses therein
Last Will; that I signed it willingly, and that 1 signed it as my free and voluntary act for the pure
expressed.
~' [SEAL]
OHN G. SLOV SKY
Sworn t before rpe 2012.
this ~ day c}f ~15~=' COMMONWEALTM OF PENNSYLVANIA
NbteAel Sesl Pudic
Ruthanna KOnbe. NWerY
Deny TwP~. Dauphin County
Q,,. Ny Cbmmissbn Expires . 24, 2013
(,Inl 1.Q~ ~bgr, PennsYl"enia Assocletlon Of NderMs
Notary Public
WITNESS AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIAss
COUNTY OF ARMSTRONG /~~_ /~ ` the
and Q,~P~I,C- 1..4"t¢a r!r U ,
We, R.u~'h t.LlrvtC~'
witnesses whosle names are signed to the attached instrument, being duly qualified accordi o law, o
voluntary act fbr the purposestherein evpressede th [aeachrof us in the hearing and sight of thestestator d
moray ears of $ge, of ound~m ndtandtunder nosconstraint or undue nfluencer seas at that time eighteen or
~ ~`9-~--
Swom to before f-pl' 2012.
this ~. daY C.T ~ ~-~
-r Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOIarIN Seel
RuU~enne KOntre, Notary Public
Deny Twp., DeuphM Coumy
My Commisebn Expires Au . 24, 2019
~~- ?ennayNenla Assodetlon of Nolerka