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Home My WebLink About02-08-13PETITION FOR GR.-ANT OF LETTERS REGISTER OF WILLS OF _ (~~,,,. ~~ ~~ , COUNTY, PENNSYLVANIA Petitioner(s) named below, who isiare 18 years of age or older, apply{ies) for Letters as specified belo~~. and in support thereof aver(s) the following and respect2itlly request(s) the grant of Letters in the appropriate form: Decedent's Information Name: A~~} ~ Vlstou. 1., - ~^ - File No: e~~ (1 ~~a' (Assigned by Register) a/k/a: ~~a' Social Security No: 2d~ - Zz ~~f ~ Date of Death: ~ ~ ZD/2, Age at death: ~/ Decedent was domiciled at death in _ rd,,~,(~ ~ ~ County, ~~~S~we~..J (Stare) with his/her last principal residence at __ _ /ri S, fig./y ~nK A>„~ ~,,, to ~ f'aa~A P,a. Street address, Post Office and Zip Code City, Township or Borough County Decedent died at /'-? ~Ro/ C~ CKrh p /ill ~ ~d~ ~~~~' 'A Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ............................ All personal property $ ~O/ O 00 . ~ If trot domiciled in Pennsy[vania ........................ Personal property in Pennsylvania $ Ijnot dortriciled in Pennsy!vania ........................ Personal property in County $ [value of real estate in Pennsylvania ......................................................... $ bt Op TOTAL ESTIMATED VALUE..,~,.//. $ S DO0.00 Real estate in Pennsylvania situated at: ~ o lF / j t:~+~( /~ ~ ~'p ~ / ~L/w Sip , /1/f+-7~ liMSv/4.r / Gur,./y P,4 (Attach ndditionnl sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County ~A. Petition for Probate and Grant of Letters Testamentary / ~Doo Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~f~~ Z y and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death ojexecutar, etc.) Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not many, was not divorced, was not a parry 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 bor» or ado ted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS ^EXCEPT[ON'S ^ B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durance absentia, durantetninoritate If Administration, c.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 trot a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined itt 23 Pa. C.S. § 3323(8) and was »either 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 W ill and was survived by the following spouse (if any) and heirs (attach additional sheets. if necessary): ~ ;._ c-, ~--~ Name Relationshi dress "rt R1 ~ ~,~„ rte'.. °7 cn .:~ c~ c5 ' ~ .~ -'~ -~ .~ ..~ tv r ~ r rn .,' '`' Farm nw nz rev. !0/f l/101 / Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF ~~'y~~,~ ~ ~Ct_Ylc~ } Official Use Only RECaRpEC CE~~CE OF REGISTER Q~F ~>"~'_S ?013 FEB Petitioner(s) Printed Name Petitioner(s) Printed Addr , >~ -~' '~J~ ~ L ~ ~ ~~ 51 n k {~.fZ(~~"~, ~ i,~ ERLAND C~., r'A The Petitiuner(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() and that, as Persona; Representative(s) of the Decedent, the Petitioner(s) will,well and truly,~--administer the estate according to law. Sworn to or affirmed a subscribed befog ^ -.:~~~+~~~~~1't~~' ~~. Date ~.~ me thi day of - (,! % Date BY~ ~ a ~~~ ~ ~ ~J ~ Date For the Register Date ( )Renunciation(s)........ . ( )Codicil(s) . ........... . ( )Affidavit(s)........... . Bond ........................ Commission ................. . .Other 'y1} .t 1 ~ _ ....... ~ ~ - ~ Letters .............. .... $ ~ ~~~1- ~~ ( I~;+ )Short Certificate(s)...... ~.Q -~}~j BOND Required: Q YES Q'1~0 FEES: -~i-e e . .... ....... . 3~-~F:ee . ................... . TOTAL ..................... ~ - L .00 To the Register of Wills: Please enter my appearance by my signature below: Attorney S Printed Name: ~ ~ ~~,.~,,~ ~. ~c~~/~~ Supreme Court ~+// ID Number: 7p ~~/ S~ Firm Name: / of /~ ,~~L~a~/ Address: Phone: ~ ~ 4'p - 5gS$ Fax: ~l ~ - SD 3~ Email UI~ vs Q 1 1GGObaon ~a...Lnn DECREE OF THE REGISTER Estate of ~ ~~ ( -~- ~ . ~ 1 ~ ~~~ ~~C ~ File No: ,~ ~ - ~-~ -- U 1 a/k/a: the instrument(s) dated described in the Petition be AND NOW ~ ~ _, in consideration of the foregoing Petition, satisfactory proof having been pre ed before me, IT IS DECREED that Letters T~~~~.~'~~(~ ~ ) are hereby granted to c" ' (~ y ~ ~ [(~J ~ ~, ~ ~ ~ in the above estate anal (if applicable) that to~probate and filed of record as the last Will (and %odicil(s)) of Decedent. f ~~~ Register of ills .D~ ~ ~pCt~~~Yl l p~ I ~. Form RW-02 rev. iniii~zo~r Page 2 of 2 LOCAL REGISTRAR'S CERTIFICATION OF DEATl~ WARNING: It is ilNegal to duplicate this copy by photostat or photograph.. RECORDED OF~'IGE 0~' Eee for this certificate, 56.00 RE~'«~ER Q~ ~~~~~ ,,,1~ ~-- ~ 1'li)~ i , t(~~ ~c•r~i1~, tl, ~. ~!i( infc~rm~ition here gIti•en i ~' a~TH OF PF .~ In''_J~i„ ~ ~ ~ ('1'IeL lN\ cOfllr'd f ~)I 1 . !) (i il~ll]ai CeI'tljlCdlc'. OI Ueath ~~1~ ~ 8 F~ ~ ~~ ~I[`~~ ~'` aulti tiitd ti~)ti~ .~~1 ~~ ~O1_II RcRlstrar The (~rl~~inal EB '' `i '~~~~ ~ 1 _~ : g~ - ~ ~1~~ ,:erhtic~itc >>, )31 1~'c I trw~~rde~i t(~ thK~ State Vital CLER~ ~~, ,~' ~ 3 'a~ Rrci>r(i~ Ottil'c !1) ~l)_zja)lc'nt filing==. *~- '~_ :'i42 - / A~ 11 '~'/ 1 0/t~~\ `;111(1 E~~~~117711FF// P ~ $ 6 ~ Q ~. ~ 90RPHANS' COURT =(~~ ,_ P I ERLAND GO., PA ~\MENTOF`~~`,~~' _..-- ----- __ _ --- -~~~~ Certlficatlon Number ~~,,,,,~_~"%" I_:~Lal ire<*(~t,ar Clete Issued Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS Permanent IC_FRTIFIf'ATF AF IlFAT41 tl( +~ ~_ 1 V _~ ~~ ~_ 1. Decedent's legal Name (First, Middle, Last, Suffix) 2. Sez 3. Social Security Numbera~ 'v4. Date of Death (MO/Day/Yr) (Spell Mo) Male 200-22-8957 June 8, 2012 Sa. Age-Last Birthday (Vrs) Sb. Under 1 Vear sc. Under 1 Da 6. Data of Birth (MO/Day/Year) (Spell Month) 7a. BlKhplaca (City and State or Foreign Country) 81 Months Days Hours MlnuTes July 1 7 , 1930 7b. Birthplace (county) n 8 Iden<e (Late or Foreign Country) 8b. R s yc (Str t a Numy~ i,~1 de Apt Nn.) ~. pld Decedent Llve In a Township? Y `eennsy1Y8n1a ib°ef .7`cSUf~a r~no13 Lly• ~ QYes, decsdsnt Ilved In twp A t 204 p _ g~.RL51fn~t~~P1t2Y Be. Residence (21p Code) (~ No, decedent Ilved wlthin limits of H.t't p l a <Ity/boro. 9. Ever In US Armed Forces? 30. Marital status at Tlme of Death Married Q Widowed 11. Surviving Spouse's Nama (If wife, glue name prior to first marriage) Yes Q No Q Vnknown Q Divorced ~ Never Married Q Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (Fl rst, Middle, Last) V" Pierina De eor is 14a. Informant's Name 14b. Relatlonshlp to Decedent 14c. Informant's Malling Address (Street and Number, Clty, State, Zip Code? g§ V Brother 317 Sin le Ave_ New CAstle, DE 19720 G _ ......................................................... ...P~..................................,........1 a. ace o eat ac on one _ ppyy ..........................................Y............._....................... ................................... ................................... If Death Occurred In a Hospital: I.J In Leant ; If OwaCh Occurred Somewhere Other Than a Hospital: ~ Hospice Facility ~ Decedent's Home ySy Q Emergency Room/Outpatient Dead on Arrival Nursing Home/LOn -Term Care Facility Other (Specify) • a i 15b. Faclilty Name (If not Institution, give street and number, 16c. city or Town, State, and Zlp Code 15d. County of Death ,"~-, 1 a. et od o epos Lion ur a ~ Cremation _ 16b. Date o sp slClon 1 c. Place of Dlsposi[IOn (Name of cemetery, crematory, or other place) Q Removal from State Q Donation ocher (spa<+fY) 6/13/2012 Bitner Crematory, LLC 16d. Leeatlon o} Disposition (City Or Town, State, and Zip) 17a. Signature of Funeral Service Licensee or Person In Charge of Interment 17 b. License Number Harrisburg, PA ~~ at FD-01359-2=L 17c. Name and Complete Address of Funeral Facility ' - P 171 ~ 18. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what I- highest degree or Isvel of school completed at the Ume of death. box that best describes whether the decedent the decedent considered himself or herself to be. Q 8th grade or less is Spanish/Hispanic/LStlno. Check the "NO" ~ white Q Korean Q No diploma, 9th - 12Th grade box if decedent is not Spanish/Hispanic/Latino. Q Black Or African American Q Vietnamese ® High school graduate or GED completed ~[NO, not spanish/Hlspanlc/LatinO Q American Indian or Alaska Native Q Other Asian Q Some college credit, but no degree Q Ves, Mexlean, Mexican American, Chicano Q Asian Indian Q NatlVe Hawaiian Q Associafe degree (e.g. AA, AS) Q Ves, PueKO Rican Q Chinese Q Guamanian Or Chamorro Q Bachelor's degree (e.g. BA, AB, BS) Q Ves, Cuban Q FIIl pino Q Samoan Q Master's degroe (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Ves, other 5 ish/His Psn panic/Latino Q laps nese Q Other Pacific Islander Q Doctorate Ph O, EdD (e.g- ) or Professional degree (Specify) Q Other (Specify) •- MD DDS DVM LLB lD 21. Decedent's single Race self-Designation -Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Oeeu pstion -Indicate type of work Whites Q Japanese Q Samoan done during most of working life. DO NOT VSE RETIRED. Black or African A i mer can Q Korean Q Other Pacific Islander Welder Q American Indian or Alaska Native (] Vietnamese Q Oon't Know/Not sure Q Asian Indian Q Other Aafan Q Refused 226. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) Q FIIlpino Q GuamanlanorChamorro L.T.V. Steel 1 MS 23a - 23 MUST BE COMPLETED 23a. Date Pronou new Dead Mo Oay Yr 23b. Signature Person Pronouncing Death (Only when applicable] 23c. License Number By PERSON WHO PRONOUNCES OR O~ ~ 08 ~ Z o/Z CERTIFIES DEATH ~ 1' ~1 ' 1 23 D ata Signed (MO/Day/Yr) 24. Time of Death ~ / //J. .CN /c. JV ~p z ~~q~ 25. Was Medlewl Examiner or COTOner Contacted? Q Yas NO CAUSE OF DEATH A i pprox mate 26- PaK 1. Enter the Chain of eywnts-tllsaases, Injuries, or complications--that dlMttly Caused the death. DO NOT en[er terminal eyen[s such as cardiac arrest Interval: rcsplratory arrest, or ventricular flbrlllation wl[h o ut showing the etiology. O NOT AB EV I AT ~r. Enter only one cause on a line. Add additional lines If necessary Onset to Death B ~R ~- / ~ ' ~ / ~ ~ / IMMEDIATE CAUSE -.----------- // C-~fL~~//1, ~6j/ ~ (Final diswase or condition Due Yo (or as a consequence of): resulting In death) b. Sequentially Ilst cOndl[lOns, Due to (or as a consequence of): If any, leading to the cause listed on Iinw a. Enter the UNDERLYING CAUSE Due to (or as a consequence on: (disc rlnjurythat .? Q initiated the wyents resu Ring d. In death) {.AST. Due to (or as a consequence of): 26. Part 11. Enter other slanlfic [ dill coot Ib ti t d th but not resulting In the underlying cause given in Part I 27. Was an autopsy performed? Ves No ~. 28. Were autopsy findings available ~g g to complete the cause of death? Q Ves No 29. If Female: 30. Did Tobacco Use Contribute to Oeath7 31. Manner of Death Q Not pregnant wlthin pest year Q Yes ~ Probabl y Natural Q Homicide Q Pregnant at [Ime of death Q No $Unknown ~ Accident ~ ~ Q Pending Investigation Q Not pregnant, but prcgn ant within 42 days of death Q Suiclda Q Could not be determined Q Not pregnant, but pregnant 43 days to 1 year before death 32. Data of Injury (Mo/Day/Yr) (Spell Month) Q Unknown If pregnant within the past year 33. Time of Injury 34. Place Of Injury (e.g. home; construction site; farm; SCho01) 35. Location of Injury (Street and Number, CITY, State, Zip Code) 36. Injury at Work 37. If Tr;nspOKatlon Injury, Specify: 3B. Describe How Injury Occurred: Q Ves Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (SpeeNy) 39a. Certifier (Check only onw): Certifying physician - Ta thw best of my knowledge, death occurred tluw to the cause(s) and manner statwtl Q Pronouncing S Certifying physician - TO the best of my knpwledge, de Kh occurred at the time, date, and place, and due to the cause(s) and manner stat d e Q Medical Examiner/Coroner n the basis examination, antl/or Investigation, In my opinion, death occurred t the Time, date, and place, and due fo the Cause(s) and m fated er ~' Signature Of ca Kifier: tie Of certifier- ~ ~f ~ License Num ~ 39b me, A drwss an Ip Code of Person Completing Cause of Death (Item 6) ` 39c. Date Signed (1~o/Oay~ r) 40. Rwgist ar a DlftNCt Number 41. Registrar's ature 42. Registrar FIIf Date (MO Day ~ ~ ` ~ _ / ~ _ a~ 43. A cots Disposition Permit No. 0 "~ ~ /~ Cj/ J H105-143 REV 07/2011 LAST WILL AND TESTAMENT OF ALBERT .1. VISCOVICH I, ALBERT .I. VISCOVICH, of the City of Harrisburg, the County of Dauphin, and the Commonwealth of Pennsylvania, being of sound and disposing mind, hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all prior Wills and other testamentary writings at any time heretofore made by me. I. I direct my Executor or successor Executor, hereinafter named, to pay all of my just debts, funeral and testamentary expenses as soon as conveniently can be done after my demise. II. I give and bequeath whatever automobile I own to my brother, JOHN VISCOVICH, SR. In the event my brother, JOHN VISCOVICH, SR., does not survive me, then the automobile shall be sold and the proceeds added to the rest, residue and remainder of my estate. III. I give and bequeath my tools and guns to my nephew, JOHN VI5COVICH, JR. N. I give and bequeath my coin collection to CHRISTINE DIXON, of Fairfax, Virginia. A `- ~'7 V. I give, devise and bequeath the rest, remainder and residue of my estat~f~hatso~r k~d wheresoever situate, in equal shares, share and share alike, absolutely and forever bef~e~:~ ~' U' '~ ~,. r ~ ~ ~ ~ ~ rrt ~ a ~ [3 ~ PEARL VISCOVICH BERGONIA, per capita; ;~ ~ ~ rv JOHN VISCOVICH, SR., per capita; ~ ~ -°n JOHN VISCOVICH, JR., per stirpes; DENNIS BRIDA, per stirpes; __., EDWINA BRIDA CARPENTER, per stirpes; JAMES BRIDA, per stirpes; BERNARD BRIDA, per stirpes; DAN BRIDA, per stirpes; LINDA VISCOVICH ARTICA, per stirpes; BERNADETTE BERGONIA DIXON, per stirpes; LENORA BERGONIA, per stirpes; and LEONARD BERGONIA, JR., per stirpes. VI. Should there be any property of whatsoever kind and wheresoever situate of which I have the right to dispose at the time of my death, including but not limited to any special or general power of appointment or both, I hereby appoint the same to my Executor or successor Executor set forth in Paragraphs VII and VIII hereof. VII. I nominate, constitute and appoint by brother, JOHN VISCOVICH, SR., of New Castle, Delaware, as Executor of this, my Last Will and Testament and further direct that he shall serve without bond. VIII. If the said JOHN VISCOVICH, SR. is for any reason unable or unwilling to serve as Executor of this, my Last Will and Testament, then I nominate, constitute and appoint my nephew, JOHN VISCOVICH, JR., of New Castle, Delaware, as successor Executor. He, too, shall serve without bond. IX. Said Executor or successor Executor shall have the power to discharge all the debts, liens and encumbrances upon my estate, as well as any taxes thereon, to pay for the cost of the final disposition of my remains and final illness, if any, to receive any and all commiccions and other compensation for services rendered 2 by me during my lifetime and to perform any and all fiduciary duties authorized by statute. Further, I direct my Executor or successor Executor to preserve my estate and any instructions pertaining to the distribution of the same from any attachment or anticipation while in the hands of my said personal representative, it being my express intent that all legacies shall be free from any attachment or anticipation while in the hands of the accountant for my estate. X. I request my Executor or successor Executor to use ROBERT D. KODAK, ESQUIRE, and KNUPP, KODAK & IMBLUM, P.C., of Harrisburg, Pennsylvania, as attorneys for my estate, they being familiar with my affairs. IN WITNESS WHEREOF, I have to this, my Last Will and Testament, typewritten on four (4) pages of G paper, set my hand and seal at the end thereof this ~ day of ~~~ .2000. ~. -~ ~ SEAL) Albert J. Viscovich SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, ALBERT J. VISCOVICH, as and for his Last Will and Testament in the presence of us who, at his request, in his presence and in the presence of each other, all being present at the same ave hereunto set our hands as witnesses. (S _, C~~~~~ (SEAL) 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN :SS. I, ALBERT J. VISCOVICH, Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, 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. ~-~ ~ Albert J. Viscovich Sworn to and subscribed before me this day of . , 2000. ~~ Public M Commission Expires: Notarial Seal Bonnie Jo Hull, Notary Public Harrisburg, Dauphin County My Commission Expires July 7, 2003 Member, Pennsylvania Association of Notaries COMMONWEALTH OF PENNSYLVANIA :SS: COUNTY OF DAUPHIN . ~~ 110~eR~' ~. ~~ ~ ~ i4 ~ and ~ n/,lj ~ U /n i ~. ~ E~ (SEAL) the witnesses whose names are signed to the attached or foregoing instrument, being duly qual~ed according to law, do depose and say that we were present and saw ALBERT J. VISCOVICH, Testator, sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witness, and that to the best of our knowledge, the Testator was at that time 18 or more years of age, of sound mind and under no cons m r undue influenc . ~~eP~~ Sworn to and subscribed before me this ~~ day of _~_, 2000. N ublic Commission Expires: Bonnie o HuIIalNotary Public Harrisburg, Dauphin County My Commission Expires July 7, 2003 Member, Pennsylvania AssociationotNo+aries (SEAL)