HomeMy WebLinkAbout05-20-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF �t-(!'V)�6�[.-o4rv,'� 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• � File No• �--��l�° " '� �
a/k/a: �-
�v�D`TH"`'( ��c.j`1 S��-`J (Assigned by Register)
a/k/a:
��a� Social Security No: ���'�
Date of Death• Age at death•
Decedent was domiciled at�th in ��t�'Vt6+�,2c-r9,..�✓� County, �tgNN`��/L�.4�u:�(Srute)with his/her last r�QS-p
principal residence at .��� �• ��2.-r�rvt,.l ��� �Z� ,�},�;Z�3� /liJ�rr�.,q,�,��ga�.,�,�� �,,N,,,a,�,u,�
Street address,Post Office$nd Zip Code City,Township or Borough County
Decedent died at �3�y K�w4s�-� �;��✓Yt�" ��Lc j Z� i � ����2.�,�-�+� �✓}
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
Ifdomici[ed in Pennsylvania............................ All personal property $ r��� QOQ, t�T{
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Virlue of real estate in Pennsylvania......................................................... $
TOTAL ESTIMATED VALUE. ... $ �t�U�pUv,U?/
Real estate in Pennsylvania situated at:
(Attach additional sheets,ijnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
� A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated �uL� IZ� ZC��� and Codicil(s)
thereto dated
State relevant circumstances(e.g.renunciation,death of executor,etc.)
Except as follows:after the execution of the instrument(s)offered for probate Decedei�t 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.
, �NO EXCEPTIONS ❑EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (If applicable)
c.t.u.,d.b.n.,d.b.n.c.t.u.,pendente lite,durunte absentia,durante minoritate
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 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. ,__.�y
❑NO EXCEPTIONS �EXCEPTIONS � � � �
Petitioner(s),after a proper search has/have ascertained that Decedent left no W ill and was survived by the f�v►Z�g spouse�y)al�dsh�(attuch
additionul sheets,if necessary): � `� ...� � �
:� � � _-� �
Name Relationshi �d s� � � �
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C'''..'! �-y a'""-, �;""'t `�'� 't'�
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Form RW-0? �-�v.lnit�nnll . . Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
r
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The Petitioner(s)above-named swear(s)or affirm(s)the statements in the f egoing Petition are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Dec nt ti' ne s) ill w ll and truly administer the estate according to law.
.
Sworn to r a�f rmed an s bscribed before Date D 5 ��U - l�
me thi �ay of ,�� Date
By: Date
F r t e Register Date
BOND Required:�YES Q NO To the Register of Wi/ls:
FEES: Please enter my appearance by my signature below:
$ ��� ,a�
Lett s. . . . .. . ..... ....... ... Attorney Signature:
( ��)Short Certi�cate(s)...... � D
( )Reiiunc�ation(s)... ..... .
( )Codicil(s). . ... .. ... .. .
( )Affidavit(s)............
Bond.... . ... . .. ....... ...... Printed Name:
:__:
Commission. . ... . .. .. .. ..... . Supreme Court C � �-� � �r
Ot r . ..... . ID Number: � � =t ��, �
....... ('� � � --�c � �tr-
,/� Firm Natne: � �
� .1!�:..... � Address: �,. �' ..�„ t� `1� ��
....... � � ��°�
" ....... ` �' c":� --�' `y'�� ..,`'�
m, ...t ;' .�.
...... . Phone: � � �-� _' �
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Automation Fee. ........ ..... . Fax: �'� �x ..-, �
,�_.� ��
JCS Fee. . .... .... ......... Email: �---# �
TOTAL. . . .. . .. ... .... ..... . $ �
.
DECREE OF THE REGISTER
Estate of � �f � j e QS�n File No: �l i�.,� �`���
a/lc/a:
AND NOW, ,�� , in consideration of the foregoing Petition,
satisfactory proof having bee esented before me,IT IS CREED that Letters e/�� /`
are hereby granted to
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admi ed to pro ate and filed of record as the last Will(and Codicil(s))of Decedent.
Register of Wills i��"'
.
Fo,�»�nw-n� ,���v.ln�riiznir � age 2 of 2
:
` 3 �
LAST WILL AND TESTAMENT
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OF w � n1
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DOROTHY H. DELASIN � � r'- �, ~�°� �"
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I, DOROTHY H. DELASIN, of Cumberland County, Pennsylvar�, do m�a�e, �- ��
� c.�� �' �
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publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils
by me at any time made.
ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my
death, whether such taxes may be payable by my estate or by any recipient of any property, shall
be paid by the Executor out of the property passing under ITEM IV of this Will, as an expense
and cost of administration of my estate. The Executor shall have no duty or obligation to obtain
reimbursement for any such tax so paid, even though on proceeds of insurance or other property
not passing under this Will.
ITEM II: I direct the Executor to pay the expenses of my last illness and funeral
expenses from the property passing under this Will as an expense and cost of administration of my
estate.
ITEM III: I hereby devised and bequeath to my son, Philip Joseph Delasin, the sum of
Sixty-Eight Thousand Dollars ($68,000.00) provided he survives me. This bequest shall lapse
1 ���
1 � •
however, if, during my lifetime, I have allowed my son to purchase my home at 1318 Kingsley
Road, Camp Hill, Cumberland County, Pennsylvania 17011 with a reduction in its then current
fair market value by the sum of Sixty-Eight Thousand Dollars ($68,000.00) or I have otherwise
made a direct payment of Sixty-Eight Thousand Dollars ($68,000.00)to my son, Philip Joseph
Delasin.
ITEM IV: I devise and bequeath the rest, residue and remainder of my estate as
follows:
(a) Forty-five percent (45%) to my daughter, ELAINE JOYCE KENNEDY.
In the event my daughter predeceases me, this share shall be paid to her
issue, per stirpes. If my daughter predeceases me and leaves no issue, I
direct this share be paid to the beneficiary set forth in subparagraph (b) of
this Item;
(b) Forty-five percent (45%) to my son, PHILIP JOSEPH DELASIN. In the
event my son predeceases me, this share shall be paid to his issue, per
stirpes. If my son predeceases me and leaves no issue, I direct this share be
paid to the beneficiary set forth in subparagraph (a) of this Item;
(c) Two percent (2%) to SILVER BAY ASSOCIATION, a YMCA
Conference Center in Silver Bay, New York 12874;
(d) Two percent (2%) to the AMERICAN ACADEMY in Rome, whose office
is located at 7 East 60th Street, New York, New York 10126-13 34;
(e) Five percent (5%) to CAMP�ILL n�tES�Y'�ERIAN CHURCH ORGAN
FUND. If the Organ Fund is non-existent, this amount may be spent at the
discretion of session with preference given to musical or Christian Education
programs; and
(fl One percent(1%) to PENN STATE UNIVERSITY, Main Campus, University
Park, Pennsylvania 16802, to be used for the acquisition of library materials or
books.
2 (�
ITEM V: In the settlement of my estate, my Executor shall possess, among others,
the following powers:
(a) To retain any investments I may have at my death, as long as the Executor
may deem it advisable to my estate to do so;
(b) To sell either at private or public sale and upon such terms and conditions
as the Executor may deem advantageous to the estate, any or all real or personal property or
interest therein owned by the estate;
(c) To pay all costs, taxes, expenses and charges in connection with the
administration of my estate;
(d) To compromise controversies; and
(e) To do all other acts in the Executor's judgment deemed necessary or
desirable for the proper and advantageous management, investment and distribution of the estate.
ITEM VI: Any person who shall have died at the same time as I shall have, or in a
common disaster with me, or under circumstance that the order of deaths cannot be established by
proof, or within thirty(30) days of my death, shall be deemed to have predeceased me.
ITEM VII: I appoint my son, PHILIP JOSEPH DELASIN,to be the Executor of my
Estate. In the event he should predecease me or be unable to serve, I appoint my daughter,
ELAINE JOYCE KENNEDY, as alternate Executrix. Any Executor is specifically relieved
from the duty or obligation of filing any bond or other security.
3
���
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last
Will and Testament, consisting of this and the preceding three (3) pages, at the end of each page
of which I have also set my initials for greater security and better identification this /''2�-day of
July, 2005.
�J. Y,�/�w,r�v�.-- (SEAL)
DOROTHY . ELASIN
We, the undersigned, hereby certify that the foregoing Will was signed, sealed,
published and declared by the above-named Testatrix as and for her Last Will and Testament, in
the presence of each other, have hereunto set our hands and seals the day and year first above
written, and we certify that at the time of the execution thereof, the said Testatrix was of sound
mind and memory.
t �x'�' Residin at: 129 Herman Drive
g
Amanda L. Baker Lemoyne, PA 17043
�
; � . Residing at: 123 Seventh Street
Laura J. es New Cumberland, PA 17070
4
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CUMBERLAND :
I, DOROTHY H. DELASIN, Testatrix, 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 will and voluntary act for the purposes therein expressed.
�
�t� (SEAL)
DOROT . DELASIN
Sworn to and su�bed
before me tlu day
of July .
` NOT PUBLIC
My Commission Expires: (SEAL)
Now�s�
er�ae�►����
��
���couNn ��
Ca� No�►t s.
.. IAN�I�� �
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CUMBERLAND :
We, Amanda L. Baker and Laura J. Hughes, the Witnesses whose names are signed to the
attached or foregoing instrument, being duly qualified according to law, do depose and say that
we were present and saw Testatrix, DOROTHY H. DELASIN, sign and execute the instrument
as her Last Will and Testament; that Testatrix signed willingly and she executed said Will as her
free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight
of the Testatrix signed the Will as Witnesses; and that to the best of our knowledge the Testatrix
. was at that time eighteen(18) or more years of age, of sound mind and under no constraint or
undue influence.
�� ,
WITNESS W N S �
Sworn to and subscribed
before me t ' /Z day
of July,
NOTARY PUBLIC _
My Commission Expires: (SEAL)
Nowtu�s�a.
e�aaeArv►sw�n�-suwv�w
No�ory PubUC
NEWCUMBERIAN�BOROUGH
CWNBERLAND COUfV1Y
Commi�abn Nov 15.2007