HomeMy WebLinkAbout07-16-13 PETITION OR GRANT OF LETTERS
REGISTER OF WILLS OF �v''tt� COUI�tTY,FENNSYLVAI'�tIA
Petitianer{s) named below, wha istare 18 years of age ar older, apply(ies) for Letters as specified belaw, anfl iu
support thereof aver(s)the follawing and respectfully request(s)the grant af Letters in the appropriate form:
Decedent's Information
` �-.) - J � -�`��7��-
Name: �rC ��..��s (�,�L'-yd File No:
alicla: {Assigned by Regis#er}
a/k/a:
a/k/a: Sacial Security No• ��` 2�'��g�
Date of Death: �„ ,� 1 , � ��1� Age at death: �
Decedent was domiciled at death inr_ :��"n�...� County, �/1- (sr�re)with his/her las
principal residence at �f � •� �'�- �� e-��-���
Street address,Post Office and ' Code City,Township or Bprough County
Decedent died at ��� �-�� (�s�ri �a `�t�r���� �ct�pk�� `�,�
Street address,Post O ue and Zip Code City,Towrtship or Bo ough County State
Estimate of value of decedent's property at death:
Ifdomiciled in Pennsylvania............................ All personal property $ .;�t"��'�f��="
If not domiriled in Pennsylvanda. ....................... Persona2 praperty in Pennsylvania $
!f not domicited in Pennsylvania. ....................... Personal properiy in County $
[�a[ue af rea!estate in Pennsylvania..........................:.............................. $
TdTAL ESTIMATED VALUE. ... $ Z�:+,�� �
Real estate in Pennsylvania situated at: 'CY���.%�'�t �tu�h�n
(Rttach additiona!sheets,if necessary.) Street address,Past OftTce and Zip Cade City,Townshi Borough County
�A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s}aver(s}he/shelthey is/are the Executor(s}named in the last Will of the Decedent,dated �ti�,i���l� and Codicil{s)
thereta dated
State reievant circumstances(e.g.renunciatian,death of executa�,etc.)
Except as folIaws:after the executian of the instnament{s)offered for probate I3ecedent did nat marry,was not divorced,was nat a party to a pending
divorce proceeding wherein the grounds for divarce had been astablished 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.
: ,.�
I�NO EXCEPTIONS ❑EXCEPTIONS c� �' � �
� F"�"i—'�
� �-.,B. Petition far Grant af Letters af Administratian {�f applicable) � � �" � �
/" '� �
y c.t.u.,d.b.n.,d.b.n.c.t.u.,pendentaltte�t�cl�te crbs•entia,��ir�e minoritate
If Administratian,c.t.a.or d.6.n,c.t.a.,enter date of Wi]I in Section A abave a„���te���
�
Except as follows: Decedent was not a party to�a pending divorce proceeding wherein the grounds�divorC'�had]ar�Gn est�lis�P}�d as defiued
i��23 Pa.C.S.§3323{g)and was neither the victim of a kiIling nor ever ad}udicated an incapacitated�ers�. �' � —:t
❑NO EXCEPTIONS �EXCEPTIONS � a � ,-., ;=. �
Petitianer{s},after a praper search hasthave ascertained that Decedent left no Will and was suroived by thETfo1 owing spa�(if a�at57lheirs(artuch
additionul sheets,ifnecessury): �" N �
Name Relationsht Address
Farm RI�F?02 rev.IOIII120IJ ��.�t� � Of�
Oath af Persana!Representative
Official Use Only
CC7MMONWEALTH OF PENAiSYLVANIA }
_,,�{ } SS:
CQUNTY OF �� r�����' ! }
Petitioner(s)Printed Name Petitioner(s}Printed Address
"�' � c;y� �5�. C�t�` ir s�e 17 t�1_3
� r. 1.1� ���m � l`��-� �'� �
The Petitioner{s}above-named swear{s}or affirm(s)the statements in the fare oing Petition are tru d correct to the best of the knowladge and belief
of Petitioner(s}and that,as Personai Representative(s}of the Dec en the etitianer(s}w' and truly administer the estate according ta law.
Sworn to or�ftir�ned a sub cribed before Date 7 ���/�
me thi �ay o ,•�f.•� �axe
$y; Date
e Register {'� Date� �
C
C`3
tS3 � � � �
BOND Required:QYES .�NO To tbe Register of Wills: � .T. n '� �'`� �..,,
FEES• Please enter my appearance by mp-si�at�e b�ta'�v: rr� ;`_°�
. ._..
�*; tt�
Letters . . . .. . . . .. . . . . . . . . . . . . $ /��-' y Attorney Signature: �`.�����...,� �- �
( �, }Short Certificate(s}..... . �^ �R � � "� � �'
_ �
( )Renunciation(s).. . . . . . . . 4 J . >�
t ?Codicil(s). . .. . . . .. .. . . �`��
{ }Affidavit(s}.. . .. . .. .. . . �—.�— ` n x'*� � �
Bo�id.. . . . . . . . . . . . . . . .. .. . . . . Printed Name: c�.�'�`�J�,�-"� �" �c��'f'1�I�L�1 �
Commission. . . . ... . .... .. ... . Supreme Court l C�
Qther ID Number: i��� I
I e � .�:r'� . �._l=.i7�
'� . .. ... . . ,�,,� Fsrm Name:
' .. . .. . . . � '=, � Address: � ��-� 1 '�J _ r
. .... . . . {�'GL�'1-�ti S � 1 .'7 O(�—
.. .. . , . Pno„�: -�s �7 ��l�t-:��1
Automatian Fee. .. . . .. . . .. .. . . ^� Fax:
JCS Fee. .. . . . ... .. . .... .... . ' Email: "S — i m,ca�s 5 ,t'}e.
TC)TAL. . . . . . . . . . . . . . . . . . . . . $
DECREE OF THE REGISTER
}:�tate of �,Y'1Vx � ',.) I��C�wLS��� ,_._..._— FileNa: ��` � � C.im���
a/kla:
AND NOW, �� �-' � ��.� ,–,��;��'�–, in consider tion of the foregping Petition,
satisfactory proof having been presente efare e,IT IS DEC ED that�ters �� � , �C�
are hereby granted to ►'
in the bave estate and{if appticable)that
the instrument(s) dated ^ �` '�
described in the Petition be admit to probate and filed of record as the last Witl(and Cadicil{s;}of S7eceden.,
n \ ,)
i � �` � /� �� 2v
Register of Will�, `,� r�r��'� `�,'� ,
a��.
Fo,-�,r n iv-r�z ,•�v.tt�it tiznl r Page 2 af 2
A105.805 REV(9/I l) .
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNtNG:.lt.is illegal to duplicate:this copy by photostat or photograph.
, {���Q�U�� ��1F`1��'..(�f�'
Fee for this eertificate, $6.00 � R E�j 5 j;�� (��= `,,,i�,._�4� ,,'"uL�H'OF p.''_--. This is to certify that the information here given is
- • - :,, ; " , .,, �� . ��,��''�`��� =_ _fNy`rl _ - ` ;duly filed wth me as Lo aglReg strar.l The�o ginal
���3 ��1�. �::�} ,��i ! � ` ! - 9: `certificate will be forwarded to the State Vital
. zz
, � i� �. ' n cords Office fo perm nt filing.
.
�yp c���;� a; �_� - �*,., � . •
F .LJJ �..�'` O � 4H IIRPNAf�S C�U�"�I 'q'9l s �EP~���1 � /
CUMBERLA��� G, . --MENT�E;,
I��
Certification Number ra � �+� ""�����""" �� Local Registrar Date Issued
ryp��pN���� COMMONWEALTH OF PHNNSVLVANIA�OEPARTMBNT OF HEALTN�VITAL RECORDS .
P•^^•"•"� CERTIFICATE OF �EATH
BlaCk Ink State FII�Numb�r:
1.O�otltnNs Lapl Nama(First,Mlddle,last,Suf(Ix) - 3.S�x 3.Sodal 5<eu�lty Numbar 4.Dab o Otl (MD Osy f Spell Mo)
REV. ANDRE J . MELUSKEY Msle 178-24-0391 June 16, 2013
Sa..4«-Last BlrehdW(Yrs) Sb.Under 1 Ve�r Sc_Vnd�r 1 Oa 6.o�t�of Birth(MO D�y/V��r)(Spsll Monch) 7a.Blrehplac�(Ciq�nd Stat�or Fortitn Gouncry
�� 83 rtionxns oays Houn M���e.: June ZE>� �-930 7b.BlRhpl�t�(COYnCy) '
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PA 152 E. Pomfret SC. _ pr.s,esupane uwe in ewa.
sa.w..w.��. co��.�.v� Carli.sle
CiII71b�r 1aAd�.c �a..a..a.ou tnv cod•) � tvo,d•esd.�s awa wrcm�w„io o� c1eY/DOro.
9.6v�r In US ArrMd Fore�si � � 10.M�rltal Ststus a!Tm�of�pM 0 MarcIW � WI ow� �3.SurviWnt Spou��•a Nam�(11 wlf�,SW�nam�prior co flrrt marA�r�
0 Y�s �No �Unk�rown ��DlvoreW �N�v��Marrl�d �UnknoWn
12,i Na i��t,MIddM Suffl ) 13.M r'f Nsm�Prbr to Flnc Marclap(Fl�a;Mlddl�,last)
Al.��n a�in�rose 1�'�e�us�cey G�ara Sct�neider
1 10 Nam� 14b R�IS �ship!o Mtad�n! 14e.1 1 S's M Ili t AdChff(StP��t if1E NY W City 5[�t 21p Cod
� '�ery �ev W311iam J. Forrey Go�xecuto� 152 E Pomfret St. Carlisle PA 17013
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Caro� Croxton �lane R�sidence Harrisbur PA I7110 Dau hin
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� 16.D�c�d�nYS Educa�lon-Ch�ck th�box that b�rt d�serlb�s th� 19.D�ud�nt Hispa�ic ON{In-Ch�c th� 20.Dae�d�M'f RaM-CMck ONE OR MORE rac�s to Ind1uN What
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0 No dlPlom�.9th-12Sh iraO� bo1�If tl�pd�nt is not SPSnish/Mispanl4�+[ino. �Bluk or AMqe�Am�MUn 0 Vl�tnam�a�
Q Hith�chool itiduK�o�6EU eomPl�t�tl No,not 3pat�isl�/MISP�niC/l�iino �Amtriwn Indlan o�AIasW NKWf �O[h�r Asian
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p e.<n•�ora e•�r..t.•s•en,we,ss) O r..,cub.o � p Filipino s.mu�
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Doeco'at�(�.�.Pho,¢dD)or Prof�ss{e�al d�sro� (Sp�elfy) 0 O[Mr(SpecMy)
.MD DOS DVM LLB JD
zi.o.ua.�rs si��i.Rsu Self-OSiiSnaLOn-U�ck ONLY ONE to Indieat�wh�t th�d�ud��+t wnsid�rod hlms�lf or htrwlf to W. 22�.D�eetl�nYs Usual OeGUp�tion-Indlpb typ�of work
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Q �Ameriun IndNn orAlaab Natiw O Vl��nam�s� O�n't KnoW/NOt Sur�
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BY�ERiON WMO PIWNOVNCES OR .. . � � . � �
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IMMEDIATE GVSE > a. ^`�~ � �\O�C�`�'�•� �y�� ���vr�'` �
(Final dis��s�or eondltion w to(or sa a eon qu�nc�on:
r�sulGn�In d��tt�) .
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. � (dla�aa�or inJUry that . . � � � �� � � �. � � '.
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0 Phtnant�t tlm�of d��th � No � Unknown 0 Aecltlan! Q Pendint InwstlpHO�
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� 0 Na[pr�`nant,but pr�tn�nt 43 dayt so 1 y�ar befor�d�sch 32.Dat�of INury(MO/D�y/Vr)(Spell Monih)
� Unknown H P�+in�n[Within th�Pas[Year . 33.Tlm�of InJury
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96.IN��Y�t Work 37.IT Tn�sportatlon InJury,Sp�elfy: 3D.O�urib�How InJury Occurr�d:
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a:GrsHler(Ch�ck only on�):
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.. �: ' 4 .AmMdment! . . _ . . .
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.
Last Will and Testament
OF
ANDRE J. MELUSKEY
IN THE NAME OF THE FATHER, SON, AND HOLY SPIRIT, I, Reverend Andre
J. Meluskey, Priest of the Diocese of Harrisburg, Pennsylvania, do hereby declare this
to be my Last Will and Testament and hereby revoke all Wills and Codicils previously
made by me. c �;' �, �
� ° m �''
ITEM ONE: I direct that my desire that my bodily remains be bur ecf.��., c � �
�,. ►�-- ..�F �,
�"- _,,,, r.r, ►-.�,
�q,vy i�.,�
accordance with the pre-arrangements I have made. .� �'� �- �' ��� `���
�.� ` '"�' �� ..,�
n _.� --,
ITEM TWO: I direct that all my legally enforceable debts, funerat�e�per'rses;� y�'
. �.y `, Y :.�
testamentary expenses and all death taxes (whether such taxes be pa�dble by rr�j� �� �
� estate or by any recipient of any property) shall be paid from my residuary estate as
�
�'�� soon as practicable after my decease and as part of the administration of my estate.
� My 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 THREE: I hereby appoint the Very Reverend William Forrey of Saint
Patrick's Church, Carlisle, PA., Executor of this, my last will and testament. In the event
my said Executor is unable for any reason to so serve, I appoint my brother James
Meluskey, of Lancaster County, Pennsylvania, Executor hereof.
ITEM FOUR: I give, devise and bequeath my personal property according to the
remaining provisions of this Will. I also direct my Executor to advise the Monastery of
Novy Dvur in the Czech Republic to pray the 33 masses which I have contracted with
them to offer for me.
ITEM FIVE: I direct my Executor to distribute my personal possessions in
accordance with my wishes, which have been made known to my Executor.
ITEM SIX: I give, devise and bequeath the rest, residue and remainder of my
estate, of whatever nature and wherever situate to the Harrisburg Diocese Seminary
Fund.
ITEM SEVEN: I direct that no trustee(s), executors or other fiduciary named,
nominated, or appointed by this my Last Will and Testament shall be required to post
any bond or give any security of any type for any purpose whatsoever, any law or rule of
the court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary
notwithstanding. I direct that the law of the Commonwealth of Pennsylvania shall apply
to any interpretation or application of the validity of this instrument.
��
'�a ITEM EIGHT: Any and all payment or payments of any sum or sums, whether
�a
�,
,
in cash or in kind and whether for principal or income, payable to my heirs, or any of
them, shall be made upon the sole receipt of the respective individual to whom the
payment is made, and free from anticipation, alienation, assignment, attachment, and
pledge, and free from control by the creditors of any such beneficiary.
ITEM NINE: I confer upon my executor/executrix the right to sell or otherwise
convert any personal property, at such time or time, in such manner, and for such price
or prices, and on such terms and conditions as my executor shall determine, and to
execute and deliver good and sufficient conveyances, assignments and transfers of the
property, without liability of any purchaser for the application of any consideration; to
borrow money and to secure its payment by personal property, pledge of investments,
or otherwise, without liability on the part of the lenders to see to the application thereof;
to retain any investments at discretion; to invest and reinvest at discretion, without
restriction to so-called "legal investments"; to make distribution in cash or in kind; to
allocate and distribute different kinds or disproportionate shares of property or undivided
interests in property among beneficiaries, in case or in kind, or partly in each; and to do
all other acts and things necessary or appropriate in the management, administration
and distribution of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last
Will and Testament, consisting of four (4) typewritten pages, the first three (3) of which
bear my signature in the margin for the purpose of identi i ' tior�f tbi �ay of May,
:�
2013.
(SEAL)
An . eluskey
Signed, sealed, published and declared by the above named Testator, Andre J.
Meluskey, as and for his Last Will and Testament, in the presence of us, who, at his
request, in his sight and presence, and in the sight and presence of each other, have
hereunto subscribed our names as witnesses.
/' . �U_C��C.- ADDRESS .�l � � f..�Ri �� t�i !� /'� oS 7"f} ITUD?
►
�—' ADDRESS f�'�-�-1`,\�c�Q b�' C�.l��' �� f7(�J �
.
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :
We, Andre J. Meluskey, 1�nc��°��►n�h and ' ������-�
the testator and the witnesses, respectively, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the testator signed and executed the instrument of his Last Will and
Testament, and that he signed willingly and that he executed as his free and voluntary
act for the purposes therein expressed, and that each of the witnesses, in the presence
and hearing of the testator, signed the Will as witnesses, and that to the best of their
knowledge, the testator was at the time eighteen (18) years of age or older, of sound
mind and under no constraint or undue influence.
Sworn to and subscribed before me this ��� day of �a , 2013.
COMMONWEALTH OF PL=NNSYLVAIVIA
Notarlaf Seal
Jennifer S.Lindsay,Notary Public
Cartlsle eoro,Cumberland County
My Commission Expires Nov.29,2015
MEMBER,PENNSYLVANIA AS$p�Lq7TON OF NOTARIE$