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HomeMy WebLinkAbout03-01-13PETITION FOR PROBATE AND GRANT OF LETTERS Register of Wills of Cumberland County, Pennsylvania Petitioner, named below, who is 18 years of age or older, applies for Letters as specified below, and in support thereof, avers the following and respectfully requests the grant of Letters in the appropriate form:: DECEDENT'S INFORMATION Estate of ROBERT SLENCAK. SR. File No.~' ~ ~ ~ ~~ a/k/a Robert Paul Slencak Sr. Deceased Social Security No. Date of Death: February 6, 2013 Age at Death: 77 was domiciled at death in county, state, Pennsylvania, with his last family or principal residence at Decedent died at 1909 W Wilder Avenue Tampa 33610 Tampa Hillsborough Co FL List street, adtlress, Post Office antl zip code city, township or Borough County State, Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property..... (If not domiciled in PA) Personal property in Pt (If not domiciled in PA) Personal property in Ct Value of real estate in Pennsylvania ...................................................... Real Estate situated as follows: (attache addiriona/sheets ifnecessaryJ Street address, Post Office and Zip Code City, Township or Borough County, State 0 A. Petition for Probate and Grant of Letters Testamentary Petitioner avers he is the Executor named in the Last Will of the Decedent, dated May 8 1991 State relevant circumstances, e.g. renunciation, death of Executor, etc. Except as follows, After the execution of the instrument offered for probate, Decedent did'Aot marry, ~' nc~t~rced, and was not a party to a pending divorce proceeding at the time of death wherein grounds fot~ivtorce ha en teblished as defined in 23 Pa.C.S.A. § 3323(8) and did not have a child born or adopted and the Decede~ was n~ier e~ctim of a killing and was never adjudicated an incapacitated person ~ z ~ ~ _.~ ~, n ty.t rn Q NO EXCEPTIONS ^ EXCEPTIONS s" ca ~ r-+ °`' ~'' `~ c> o ~+ -9t `n r: , ca ,,, =;3 ~'t ^ B. Petition for Grant of Letters of AdminisVation (if applicable) ~ ~ ~ -~ '`- ~ enter: c.t.a.; d.b.n.c.t.a.; pendent elite; ddraritb absenti ~~duralStB rat ornate yy f>~ Ji If Administration, cta. or db.n,c.t.a., enter the date of Will in Section A and complete listrdt'heirs ~ Except as follows: Decedent was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce has been established as defined in 23 Pa.C.S.A. § 3323(8) and was neither a victim of a killing and was never adjudicated an incapacitated person ^ NO EXCEPTIONS ^ EXCEPTIONS Petitioner, after a proper search, has ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attached additional sheets, if necessary) ~~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA F1CE qt' ~IUseOnly COUNTY OF CUMBERLAND RECORDED 0 LS REGISTER 0 t:?~ 1,13 ~flfl 1 ~ ' ~~ The Petitioner above-named swears or affirms that the statements in the foregoing Petition are true and correct to the hest of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. ,~_ , Sworn to and affirmed and subscribed Before me this ~ day of 2013. BOND Required FEES Letters ........................... { ,~ Short Certificate(s) { }Renunciation .............. { )Codicil(s) { )Affidavit(s) .................. Bond Commission Other, i_, '/~" Automation JGP Fee ...................... TOTAL......... To The Register of Wi/ls Please enter my appearance by my signature below: Attorney Signature: ~~ Printed Name: EDMUND G. MYERS Supreme Court I.D. No: 20558 Firm Name: Johnson Duffle Stewart & Weidner. Address: 301 Market Street. P.O. Box Lemoyne. PA 17043 Phone: 717-761-4540 Fax: 717-761-3015 Email; EGM@jdsw.com DECREE TO THE REGISTER Estate of_ ROBERT SLENCAK. SR. a/k/a ROBERT PAUL SLENCAK SR ,Deceased. File Na~~_f Social Security No: 194-24-8035 Date of Death: February 6. 2013 AND NOW, , 2013, in consideration of the foregoing Petition, satisfactory proof hav ng been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Steven R. Brader in the above estate and that thq instrumept dated Mav 8, 1991 ^ YES H NO ~~~~ ROBERTSLENCAK, JR. ~/~ 2dt3 $ ~U $1 S~ $ '- $ 1~ Y ~zs described in the Petition be admitted to probate and,,(iij(sp oflrecor~ the Last~l~jll of _. l 'I'k~[II~!L71f? ~~ ICI ~ u ~;'~dII$C~` -~ ~ ^:~LL.,.~._!, _ .__~__ FFICE of 1f11'lswl_ aCATISTICS ~' .~ ~;., rxv CERTIFICATION OF DEATH STATE FILE NUMBER: 20130192>i5 DATE ISSUED: February 12, 2013 DECEDENT INFORMATION STATE FILE DATE: February 11, 2013 NAME. ROBERT SLENGIK AKA\: ROBERT PAUL SLENCAK DATE OF DEATH: FOUNG ON February 6, 2013 SEX: MALE SSN: 194.24.8035 AGE: 077 YEARS DAl"E OF BIRTH: July 25, 1935 BIRTHPLACE: SAGAMORE, PENNSYLVANIA PLACE OF DEATH: SEASONAL RESIDENCk'. FACILITY NAME OR STREET ADDRESS: 1909 W. WILDER AVI:. LOCATION OF DEATN: TAMPA, HILLSBOROUGH COUNTY SURVIVING SPOUSE, DECEDENT'S RESIDENCE AND HISTORY INFORMATION MARITAL STATUS: DIVORCED SPOUSE: NONE RESIDENCE: 801 - 16TH STREET, NEW CUMBERLAND, PENNSYLVANIA 17070 COUNTY: CUMBERLAND.' OCCUPATION, INDUSTRY: ADMINISTRATOR. NURSING HOMI: RACE: X VMtite -Black or AGican American _ .hgian Intlian _Chinese Filipino Native Hawauan -Japanese Korean _American lntllan or Alaskan Native-Tribe: _Vietnamese -Other Asiarc. _GUamian or Chamorco -Bemoan __pther Peciflc lsf. -Other: HISPANIC OR HAITIAN ORIGIN? NO, NOT OF HISPANIClHAITIAN ORIGIN EDUCATION: MASTERS DEGREE (E.G., MA, MS.J EVER IN U.S. ARMED FOR~FS?YE6 C PARENTS AND INFORMANT INFORMATION ~ ~ L v FATHER: STEVEN SLENCAK r i j -o MOTHER: MARGARET PURO ~ ~ ~ INFORMANT: ROBERT SLENCAK JR ~ ~ = RELATIONSHIP TO DECEDENT: SON p ~t Unknown w ~ m ~ c~ ~, ~ O I-r -.y Q ~ ~ ~ "Tt r rn y O INFORMANTS ADDRESS: 1021 QUINCE LANE, BEL AIR, MARYLAND 21014 n O C7 "T7 PLACE OF DISPOSITION AND FUNERAL FACILITY INFORMATION ,•° ~ ~ ~ PLACE OF DISPOSITION: PALM STATE CREMATORY ~ ~ ti CLEARWATER, FLORIDA '~ ~ METHOD OF DISPOSITION: CREMATIDN FUNERRL DIRECTORJLICENSE NUMBER: ARTHUR A. HOLLOWAY, F043417 FUNERAL FACILITY: HOLLOWAY FUNERAL HOME INC F040589 112 S BAYVIEW BLVD, OLDSMAR, FLORIDA 34677 CERTIFIER INFORMATION TYPE OF CERTIFIER: MEDICAL EXAMINER MI_DICAL EXAMINER CASE NUMBER: 131300991 TIME OF DEATH (24 hr; 1219 CERTIFIER'S NAME: LESZEK CHROSTOWSKI CERTIFIER'S LICENSE NUMBER: ME83501 NAME OF ATTENDING PHYSICIAN (If other than Certifier): NOT APPLICABLE CAUSE OF DEATH AND INJURY INFORMATION PROBABLE MANNER OF DEATH: NATURAL CAUSE OF DEATH - PART I - and Approximate Interval: Onset to Geath: a ARTERIOSCLEROTIC AND HYPERTENSIVE CARDIOVASCULAR DISEASE b C d PART II -Other significant condirtions contributing to ~tleath but not resulting in the underlying cause given in PART 1: DIABETES MELLITUS AUTOPSY PERFORMED? NO AUTOPSY FINDINGS AVAILABLE TO COMPLETE CAUSE OF DEATH? DATE OF SURGERY'. DID TOBACCO USE CONTRIBUTE TO DEATH? YES REASON FOR SURGERY: 1F FEMALE, WAS SHE PREGNANT WITH IN THE PAST YEAR? NOT APPLICABLE DATE OF INJURY: NOT APPLICABLE TIME OF INJURY (24 hr). INJURY AT WORK? LOCATION OF INJURY: DESCRIBE HOW INJURY OCCURRED: PLACE OF INJURY: IF TRANSPORTATION INJURY, Status of Decedent: `- y """c~ / °'/~J ,State Registrar Type of Vehicle: THE ABOVE SIGNATURE CERTIFIEa THAT THIS la A TRUE AND CpRRECT COPY OF THE LIFFICIgL PECOPD ON FILE IN THIS OFFICE THIS DOCUMENT IS PRINTED OR PHOTOCOPIED ON SECURITY >APER WITH WATEPMAR.K50F THE GREAT WARNING: SEAL OF THE STATE OF FLORIDA. DO NOT ACCEPT WITHOUT VEPIFVING THE PRESENCE OF THE WATER MARKS. THE pDCUMENT FACE CONTAINa' A MULTICOLORED &ICKGROUND, GOLD EMBOSSED SEAL, AND THERMOCHROMIC FL. THE BACK CONTAINS SPECIAL LINES WITH TEXT. THIS DOCUMENT WILL NOT PRODUCE I A COLOR COPY. REQ: 2013520471 1NI~I ~I~I~ 11\~~ IIII~ ~h~l I~~~I ~~~~ ll~l~ III I~~I~ DH F /RM 1: ] (11/11) , - • - , I11iAL 1 ~ X 5 2 6 3 1 8 2 2 Register of Wills of Cumberland County, Pennsylvania OATH OF SUBSCRIBING WITNESS Estate of ROBERT SLENCAK SR. No. Also known as _ ROBERT PAUL SLENCAK ~R ,Deceased HORACE A. JOHNSON subscribing witness to the Last Will and Testament presented herewith, being duly qualified according to law, deposes and says that he was present and saw the above Testator sign the same and that he signed as presence and in the presence of each other. COMMONWE LTH OBI E_ Nf~{SYLVANIA COUNTY OF Q~~,(~ Sworn to or affirmed and subscribed be f o re m et hi ~C;~_) day of ( ~ ~ ~ ~ s~ ~~ ' 20 1 3 . {~ ~~ ~ II, 1~I1 1 ~ ~ ~ ~/~' ~~ ~ Notary Public ~ ,.„YPN~ My Commission Expires: Nofaiial Ssal Dana L Wlecenfan, Notary Public ternoyne aop, CUm6aNand Couaq~ dwaes Jen. 15, 2017 (Signature and seal of Notary or dl!lIPRO v+wunssoon'rta+oFxoinatES NOTE qualified to administer oaths. Show date of expiration of Notary's commission.) in his 17043 n ^= w ~ ~ °~ ~-~ m o? o m ~ ~ ~ ~ ~ ~ ~ D. r- ,._t ca n z Ri N F-' ter? ~ O ~ ~ c:, n 'n -rt -yt , ' c~ c~ .~ _> ~ i ~ .~ ~ r ` ._ iYl ~ "' ~~ rJ.~ a `~ To be taken by officer authorized to administer oaths. Please have present the original or copy of Instrument(s) at time of notarization. OATH OF NON-SUBSCRIBING WITNESSES REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of ROBERT SLENCAK. SR., a/k/a ROBERT PAUL SLENCAK SR Deceased KIMBERLY SLENCAK being duly qualified according to law, deposes and says that she was well-acquainted with ROBERT SLENCAK, SR., a/k/a ROBERT PAUL SLENCAK, SR. and is familiar with the handwriting and signature of the decedent, and that the signature of ROBERT SLENCAK, SR , a/k/a ROBERT PAUL SLENCAK, SR., to the foregoing instrument purporting to be the Last Will & Testament of ROBERT SLENCAK, SR., a/k/a ROBERT PAUL SLENCAK, SR. is in his own proper handwriting. {2~u~.~ 1, Zo r 3 ~'' ~ 1~ KIM RLYSLENCAK 1021 Quince Lane Bel Air, Maryland 21014 Executed in the Register's Office Sworn to or affirmed and subscribed Before me this _~___ day of G2~ ~ , 2013. r 7 /~ ~ e uty f Register of Wills ~ ~© _- `" rnm m~ ~ ca ~o ^~xc> ~i z„ r- S vs~ , ~, _ azm n ti, , rnm ~~ aU'= ..~c o 0*r ~ c ~ ~ n ~ .. --I ~-~' N c~ ~ rll o h N r/~ O w -+i HAJ/April 16, 1 9 9 1155 77 ._ RECORDED OFFICE OF REGISTER OF 1~'LLS ~~~t ~`I~i11 c~rR C~~tPnt CLERK OF B~PHANS' CGtli2T ROBERT~~I~,~t~~ PA I, ROBERT SLENCAK, SR., of the Borough of New Cumberland, Cumberland County and Commonwealth of Pennsylvania, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills heretofore made by me. ARTICLE I I direct that alt my debts and funeral expenses, including my grave mazker and all expenses of my last illness, shall be paid from my residuary estate:as soon as practical after my decease as part of the expense of the administration of my Estate. ARTICLE II I bequeath my automobiles, household and personal effects and other tangible personal property of like nature (excluding cash or securities), together with any existing insurance thereon, to my children who survive me, in as neazly equal shares as possible. ARTICLE III I devise and bequeath all of the rest, residue and remainder of my estate of whatever nature and wherever situate to my then-living issue, per stirpes. ARTICLE IV I name, constitute and appoint my son, ROBERT SLENCAK, dR., Executor of this, my Last Will and Testament. In the event my son, ROBERT SLENCAK, JR., fails to qualify or ceases to so act, I name, constitute and appoint my daughter, LINDA CASPAR, alternate Executrix to complete the HAJ/April 16, 1991/5577 administration of my Estate. In the event my daughter, LINDA CASPAR, fails to qualify or ceases to so act, I name, constitute and appoint my daughter, LORI DELCASTILLO, alternate Executrix to complete the administration of my Estate. I direct that no fiduciazy appointed herein shall be required to post bond for the faithful administration of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal this ~~ day of 1991. ~' ~(SEAL) o er c~~r. Signed, sealed, published and declazed by the above-named Testator, ROBERT SLENCAK, SR., 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 have hereunto subscribed our names as witness. /nl HA]/April 16, 1991/5577 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA . ss. COUNTY OF ,,( ~ We, ROBERT SLENCAK, SR., ~orau 14 J and ~,J G the witnesses whose names are signed to the foregoing instrument, being duly qualified accordingly to law, do depose and say that we were present and saw the Testator sign and execute the foregoing 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 heazing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was that time at least 18 yeazs of age, of sound mind and under no constraint or undue influence. ,/ ~ , Robert Slencak, Sr. / ~~ ~ a ;, {,in . Witness ,~/ ' Sworn to or affirmed to and subscribed to before me by Q• ~ wand ,~ C~~ ,witnesses, this d'~ day ot~J->-p*-~- 1991. Notazy Public Nc:adal Seal Patxiw Arne b.M1C~:, %JNaq"'"d~r. Mitlckesex Twp.. CurK>~4vxl (ifYxt. tvlyGortnni,~on FxP~ivlw.8.1944: iw mbrx, F'e~nsyl~raniaAHaialbn