HomeMy WebLinkAbout08-19-13 PETITI4N FOR�RANT' OF LETTERS
REGISTER OF WILLS OF CUMBERLAND 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: Re ing a E.Ryesky File No: 21 � ��" D
�a: (Assigned by Register)
a/k/a:
�a: Social Security No: 052-28-6547
Date of Death: 8/1/13 Age at death: 86
Decedent was domiciled at death in Cumberland County, PA (State)with his/her last
principal residence at 417 Darla Road 17055 Mechanicsburg Cumberland
Street address,Post Office and Zip Code City,Township or Boroug6 County
Decedent died at Church of God Home 17013 Carlisle Borough Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
IJdomiciled in Pennsylvania................................All personal property $ 1,000,000.00
If not domiciled in Pennsylvania.............................Personal property in Pennsylvania $
If not do»uciled in Pennsylvania.............................Personal property in County $
Valueof�eal estate in Pennsylvania.............................................................. $ 200,000.00
TOTAL ESTIMATED VALUE.... $ 1,200,000.00
Real estate in Pennsylvania situated at: 301 Glendale Street 17013 Carlisle Cumberland
(Attach additiona!sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
� A. Petition for Pro6ate 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 7/13/11 and Codicil(s)
thereto dated None
Diana Ryesky and Melissa Wilson have renounced their right to serve as Executor
State relevant circumstances(e.g.renunciation,death of executor,etc.)
Except as follows:after the execution of the instrument(s)offered for probate Decedent 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.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante 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.
,..�.:
❑ NO EXCEPTIONS ❑EXCEPTIONS �
Petitioner s,after a ro er search has/have ascertained that Decedent left no Will and was survived b the fo s ouse(i A� � attach
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additional sheets,if necessary): �p .� G�� ,�� ��
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Name Relationship tr�d ss'� � -;�:w� �;:::�
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Form RW-Ol rev.10/ll/2011 Page 1 of 2
Oath of Personal Representative off���use or,iY
COMMONWEALT�-I OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
417 Darla Road
Robert A.R es Mechanicsbur PA w=.�7055
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The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the bes�'�f t'�"e knowled►�e,,�nd b�iief"',.-M,
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s)will we(I and truly administer the'esta�accordin�jlaw.��"" ��
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Sworn to or affirmed an u cribed before � � Date � �t3
me thi - � day o , � Date
By: ��
Date
the Register Date
BOND Required: ❑ YES ❑ NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
.o�
Letters............ ......... .. $ �� Attorney Signature:
( � )Short Certificates(s) ....., �f p•o a
( Z )Renunciation(s).......... �d'°o �
( )Codicil(s) ..............
( )Affidavit(s).............
Bond ......................... Printed Name: Ivo V.Otto III
Commission .................... Supreme Court
Other ,,,,,,,,, ID Number: 27763
1�/' ......... �� "°°
� ' Firm Name: Martson Law Offices
''''''''' Address: 10 East Hi�h Street _
�_�t' /?1! ......... Q•�a
Carlisle PA 17013
••••••••• Phone: �717)243-3341
......... .00 F�: (717)243-1850
Automation Fee ................. Email: iotto(a�martsonlaw.com
JCS Fee ....................... ���b
TOTAL ......................$ �X"3 c7�
DECREE OF THE REGISTER
Estate of Regina E.Ryesky File No: 21 �/�� /0 7
alk/a:
AND NOW, , �� ,in consideration of the foregoing Petition,
satisfactory proof having bee esented before me,IT IS DECREED that Letters Testamentary _
are hereby granted to Robert A.Ryesky __
in the above estate and(if applicable)that
the instrument(s)dated 7/13/2011
described in the Petition be admitted to probate and filed of recor the last Will(and Codicil(s))of De dent.
Register of Wills
Form RW-Ol rev.10/11/2011 Of 2
� H105.805 REV(9/
� ��_�3_�a�
; LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
? Fee for this certificate, $6.00 �������-� ������ �� , This is to certify that the information here given is
� �+ ,��''P�.TH�OF pE�
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; �.��,� x �:� �� ;��� ���,,���, __ y,l;-_ correctly copied from an original Certificate of Death
; � �,��`o�' ` - `r�_ duly filed with me as Local Registrar. The original
; � ��;�� ��� �9 �� �O ��'�_ - � ,-_ -:_zs certificate will be forwarded to the State Vital
� . ; ��� a� Records Office for permanent filing.
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g P 19 7 2 9 611 c����c �� =°�,�9 =- _-- �,��,��,, .
' �"'-�1�'1ENT OF;��`',°�' ��.�r��.� �ex� Al� 1/2013
� Q R F'F��N S' G��S RT .,,,,,,,,,,,,,,,� g
_ Certification Number ������L��D ��,+ �� Local Re istrar Date Issued
� �fff���_�Type/PNnt In COMMONWEALTH OF PENNSYWANIA•DEPARTMEIYT OF HEALTH•VITAL RECORDS �
; �1, Parman�nt .
T Blackink CERTIFICATE OF �EATH SUte FUe Number:
� 1.D�eedanYa legal Name(Flrs[,Middla,Last,Sufflx) 2.Sgx 3.Soclal Security Number 4.Date of��aih(MO/Oay/Yr)(Sp�ll Mo)
Regina E_ Ryesky
a Fes,nale 052 28 6574 Au st '1 , 20'I 3
3 Sa.P.ae-Last Bircfiday(Vrs) Sb.Undar 1 Vear Se.Under 1 Da 6_Dat�of Birch(MO/Day/Yaar)(Sp�ll Month) 7a.Birthplaeg(Cfty and Stat�e�reign CounYry)
Months� Days Hours Minutes . ML1111Cr1 i�
; 1 86 September 1 O, 1 926 7b.Biethplace(Gounty)
� 8a.ResiPdA c� State or Forei n Count
( B ry) 8b.Residence(Strect and Number-Include Apt No.) Sc.Did Deced�nt Live in a Townshfp7 �
� �rea,daesdan[Iived in �P
� Sd.Realdenee(Cou�ty) 4�7 Dar1a R08C� .
�°- C�aiiberland Se.Restdence(Zip Gode) �7055 �NO,decedent ItvQd within Iimifs of MEC�TIICS�3Llr'Q city/boro_
9.Ever 1�US Armed Forces7 10.Marltal Status at Time of Death 0 Marrled �Widowed 11.Surviving Spouse's Name(If wife,give name pHOr to flrst marriage)
� �V�s Q{Aio 0 U�known �Divorced �Never Marri�d �Unknown -
; 12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prbr to First Marriag�(F�rst,Middle,last)
_ (Not Available) Forstmyer (Not Available) (Not Ava.ilable)
� 14a_InformanYs Name 14b.R�Iationship to Deccdent 14c,tnformanYS Mallin Address(Stree!and N�mb�r,City,State,Zip Code)
' Robert A R es}cy StegSon 4'17 Dar1a �2d_ NlecYianiCSburg PA '17055
'S � . . ..... .... .. •-••-•... ... ... ... ......... .. ... •• -...... ..-•-.
............................•........................_.. . ......_...._...--•"............ a. ace o eat c on on�
.._.._.. ''•-•-••"•"._...--,-•"..................... .... � ._. .......'
►
.. . ... ... ...'•"• '• ...... .. .. .
;, If Death Occurred tn�Hospitat: Inpatle�t � ilf Death Occurred Somewh�re Other Ttan�a Hospital: �(�HOSpice Facility �DeeedenYs Home��
� � Eme e►1 Roum/Outpsiieni Dead on Arrlval Nursin Home/Long-Term Caro Fadlity Other(SpeciTy)
� a� 15b.FaGlity IVame(If not Institutio�,gtve street and number, .i5c.City orTown,Stat�,and Zip Cod� 15d.Cpunty of D ath�
� C2zurc2z of God Hcan,E Carlisle, PA 17013 �mib�rland
� 16a.Method of Dlsposftion 0 Burfal �Cramatio� 16b.Date of Dispositton 16e.Place of Dispositio�(Name of cemeiery,cromatory,or oth�r place)
a � []Removal from State �Do�ation �
` Other(Speeify) 8/2 201 3 Ewans Crerr�ation Services
�j 16d.�Location of Disposition(City or Town,Scate,and Zfp) 17a.Sfgnature of��n °1 Service Licensee er n fn of Inter�ent 17b.Ucense Number �
Leo1a� PA -�_����-�_,., �e FD O 1 2 6 3 3 L
- � �17c.Namo snd Complele Address of Funeral Fscflity
Elwin BrotYiers Funaral Hccna, 2nc_ , 630 S_ Hanov�r St_ , Carlisle, PA 17013
e�' iS.DacadenYs Education-Check the box lhat best describes the 19.Decedent of Hlspanie ONafn-Check the � 20_Deced�nYs Race-Check ONE OR MORE races to Ind{pte what
r°- hishest degree or level of school completed at the time of death. box that best descrlbes wh�ther the decedent th�dacedent eo�sidered hlmself or herself to be.
� Bih srade or less is Span(sh/Hlspanic/latino. Ch�ck th�"NO" �{White � Korearf
Q No diplom�,9th-12th grade box If decedent is not Spaniah/Hispanic/Latino. 0 Black or Africa�Ameripn 0 Vietnamese
�^Hlsh sehoot graduate or GED complet�d �No,noi Spanlsh/Hispanie/Lailno �Am�rican Indian or Alaska Nstive � Other Asian
Q Some eollese cr�dit,but no dagre� Q Yes,Mexiwn,Mexican AmeNCan,Chicano 0 Asian Indtan Q Na�Ne Hswaiian
0 Associ�te desree(e.g.AA,AS) �V�s,Puerto Rican �Chinese � Gwmani�n or Chamorro
Q Bachelor's deQree(a.Q.BA,AB,BS) Q Yes,Cuban �Fllipino 0 Samoan
� Master's desr�e(e.g.MA,MS,MEng,MEd,MSW,MBA) []Yes,other Spanish/Hispanic/Latino �Japan�s� 0 Other Paciflc Islander
0 Doctorate(e.g.PhD,EdD)or Professional degree (Sp�cify) �Other(Specify)
_� e. .MD DDS DVM LLB JD
21.D�cedent's Singl�Raee SeH-Designa�lon-Cheek ON�V ONE to indicate what the decedent consldered himself or herself to b�. 22a.Decedeni's Usual Occupatiorf-Indicate typa of work
�(Whlte �Japanese 0 Samoan done durina mos[of working tife. DO NOT USE RETIRED.
j �Black or Afr(can AmeNcan 0 Korean �Other Paeift�Islander . �ager
q �Amarica�Indian or Alaska Native �Vfetnamcse Q Don't K�ow Not Surc
S �Aslan Indfan 0 Other Asian
[]Refused 22b.Kl�d of Business/Industry
� �Ghinase . �Native Hawafian �Other(Specify) AGJE�,Y1C�7
O F���P��o 0 Guamanirn or Chamorro Foreign �r't. pf Trav�1
ITEM 23a= 3 MUS BE COMPLETED �3a.Date Pronounced Dead Mp Day r) 3 .Signature of Person pronou�cing Death On y w.en app Fcab e 2 c.license IVum er
6V PERSON NlHO PRONOUNCES OR
; CERTIFIES DEATM . . .. . .. ..
i 23d.Wts Signed�Mo/Day/Yr) � 24.Time of etn • �..G_ae�...) �s-.�.f� r'��C� ,,�1,°/G�/q p�37,L
25.Wa edical Exami�er or Coroner ContactedT Q Yes . No
.; CAUSE OF DEATH �►pprox�maea
-.j 26.P�rt t. Enter ehe ehaln of events-diseases,InJuNes,or complications-that directly caused the dea2h. DO NOT enter terminal events such as cardiac srrest i Iniarval:
_a raspiratory srrcst,or ventricular Rbrillatio�without showing the eUology. DO NOT ABBREVIATE. Ent�r only one eause on a Iine. Add additlonal Iines If neeessary � Ons�t to D��th
� f�- -�L � ..L,d.:t�✓ � Z o�Cacy s
IMMEOIATE CAUSE ---> a._ �� �•e�n, {
(Final dis�asa or condition �u�[o(or as a cons�quence ofl: � � `
rosulting in death) �
b.
; Sequentlally Iist eonditions, � Due to(or as a cons�qu�nce ofl: �
If a�y,leading to the cause � � �
Iist�d o�Iine a. Enter tF�e c.
a
UN�ERLYING GUSE Due to(or as a consequ�nc�o�:
?�� ,� (.disease or injury that �
� . � �nitiated the evints resultfng d. _ i
1�death)WST. Dua to(or as a consaquence o�: �
; � 26.Part 11. E�ter other sfaniflcant eonditlons eontribuei�a to deaih but not resuttin in the underl in cause iven 1�ParC I •
� R . 6 Y B B 27.Was an autopsy perf inedT
�
' � �cn.n c.L-e d•-�o� � �`�Ad��+G at r..t t q Ves No
� �, C o 2S.Wer�autopsy flndinss availabte
,� t,j�;�/.,� � ,�.�� .�.ea:(a,i.i,.� [o compltle thf aus�of death?
� 29.If Famale: Yas NO
:� 30.Did Tobacco Use Contributo to Death? 31.Manner of Oeath
„ � �Not pregnsnt within past yaar �Yas 0 Probably 0'NaturJl Q HomiCide
R, � Presnant at time of death No Unknown
'a�' � Not preg�ant,but pregnant within 42 days of death � �' �Accident
y � Pending Investlgatton
�°- 0 Not pregnant,but � S�icide 0 Could not be detarminld
pragnant 43 days to 1 year before death 32.Data of Injury(MO/Day/Vr)(Spell Monih) �
.✓ � Unknown tf p�egnant wlthin the past year 33.T(me of InJury
a3.
i 34.Place of I�jury(e.g.home;construction site;farm;schoot) � 35.l.ocation of in u Street and Number,Ci
7 rY( ty,State,Z�p Code)
3
�� 36.InJury at Work 37.IfTra�sportat�on Injury,Specify: 38.Descr(be How InJury Oewrred:
� 0 Yes 0 Driver/Operator � Pedesirfan
� O No O Pass�nger Q other(spedfy)
� 39s.CeKifler(CF�eck only o��):
� O�CertiTyl�g physictan-To the best of my knowledge,death oecurred due to[he cause(s)and manner stated
� �Pronouncing 8.Certifying physfcian-To th�best of my knowledg�,death occurred at the time,date,and plsee,and due ta th�ause(s)and man��r stated
� �Medical Examl�er/Coroner n ba is of examination d/or Inv�stFgation,i�my opinlon,death occurr�(d�J at th�time,date,and plaee,and due to th�esuse(s)a�d manner stated
Sig�ature of certifler. ��� Title of certifler• �`���
� Ucense Number: �1 D C??i2 S'Z r.g'�
� 39b.Ttame,Address pnd Zip Code of Perso�Compisting Causa of Death(Item 26) . 39c.pate (glte (MO��ay/Vf)
? p a..�d c. . trcJ a..... {w i�- [�_ 'zoG� co�-�(.�rl.. P.� t'�-s �r p.� �7'10-c D g�p t�2 0 ( '�
� 40.Reglsirar s DistNCt Number � 41.Registrar's Signaiure � 4 .R��Ist�a�Fl a Qat� Mo� �y Y
�
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� 43.Amendments
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I'�ri'�j,_f Gi\� H305-143 �
Oisposition Permtt No. tJ'ti-Li.- t REV 07/2011
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RENUNCIATION �
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1c.U ER�►ND G(�UN�CY�F��NNSn.vANY� GJ �r:s tJ
cza -n
EStSte Of�tEGINA E`RYESKY ,DeCeased
j,D1ANA RYESKY ,in my capacity/relationship as
(Prber 1�V�ue}
�,+�1�ter and named Co-F.ac�or�er ti�e Will of the above D�:cedent,hereby renounce#he right to
administer the Estate of the Deaedent and resp�fiiilY reqwest tbat Letters be issued to
ROBF�RT A.RYESKY , .
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(oaue) �1
3905 B�Ave.N.
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Se�tttle WA 98103
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Execated in Reg�er's O,J�`"ue Execute�i orit of Register's�,f,�'rce
Swom to or affrm�and sub�cribed Before the undersignal personatly appeared the
before me this day �rty execut�n►g this re�nunciatzon$nd certified
of ,�. ��������������,,� tbat he Qr she exe�uted the renun�n for the
����.��`���Z,ING Z�'''�.,,�� Purp� 'thin on this day
``��.�.�,O,S..p,RY PU����.,��� of , .
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Deputy for Registe�r of Wills � cr�: :,�o�iot�Pub c
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RENUNCIATION � � �`T� `° f�� �.�
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REGISTER OF WILLS ° � ►—; �: ��
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CUMBERLAND ,,,�,_,_,,.. COtJN'j"y,PE;j�jSYZVA�TI�,' c� �:} �
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Estate af�GII�IA E. RYESKY _ �, ,Deceased
I,�i��.QN �, in my capacity/relationship as
(PNnt Nm�s}
�ce��e�d p,�med co-Executor under the Wip of the a�bove Decedent,hereby renounce the right to
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administer the Estate of the Decedent and respectfully request that Letters be issued to
$OBERT A.�,YESKY �_.� , . +,.�,_.._,_.._.._., .
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1�2_Qden_ dmn W,�y
(Str+eer Addnas)
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Executed�n Reglster's Off'rce Exec�uted out of Register's�
Sworn to or�ed and subscribed Before the uadersigned personally appeared the
before me this ._ ay party executing this renunciation and certified
of _ ,�. that he or she ecuted the renuncia�n for the
Purposoes.stat within on this�"" daY
of � ,—_.
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Deputy for Register of Wills Notazy Publi
My Commiss' n Expires: � �j -- :3-- c �``��►�����ri,►,,,,��
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(Sign�ure and Seal of Not�uy or othcr of�'iciei qualified t@t`� c�,�, •••••.•'• T� ��
admin�ster asths.Show date of expiretion of Notary's `�5�0 N F�;A�0�':
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LAST WILL AND TESTAMENT �`� ``"" ~�' � ���'
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I, REGINA E. RYESKY, of Carlisle Borough, Cumberland County, Pennsyl�nia, being
of sound and disposing mind and memory, do hereby make,publish and declare this to be my Last
Will and Testarnent, hereby revoking any and all former Wills or Codicils made by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes(whether such taxes may be payable by my 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 Executors 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.
2.
I give such items of personalty as are itemized in a certain list, if any,to the persons named
thereon, which list is signed and dated by me at the end thereof.
3.
I give, devise and bequeath all the rest, residue and remainder of my estate, both real and
personal property,unto my stepchildren,ROBERT A.RYESKY,DIANA RYESKY and MELISSA
WILSON,with substitution of issue.
4.
I nominate, constitute and appoint my step-children, ROBERT A. RYESKY, DIANA
RY�SKZ' a��d MELISSA WIL�ON, or suc� �f tr�e�r� as �c �bl€ ar wii��n� t� so ser�%e, as cu-
Executors of my estate. , ,
5.
I direct that all fiduciaxies acting under this Will,whether or not named herein, shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
6.
I authorize and empower my Executors,in their sole and absolute discretion,to purchase or
[Initials]
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otherwise acquire and retain any investments of which I die seized or any real or personal property
of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in
regard to any or all property of any kind forming a part of my estate for such terms and such prices
as they may deem advisable;to borrow money for any purposes connected with the protection and
preservation of my estate;to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my
estate against others or of others against my estate; to make distribution in kind and to cause any
share to be composed of cash,property or undivided fractional shares in property different in kind
from any other share; to employ agents, attorneys and proxies and to delegate to them such power
as my Executors consider desirable and to pay reasonable compensation for such services as may be
rendered by such agents,attorneys and proxies;and to execute and deliver such instruments as may
be necessary to carry out any of these powers. In addition,I direct that my Executors shall have the
power to conduct an inventory of any safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 3 �" day of
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* (SEAL)
Regi E. Ryesky
SIGNED,SEALED,PUBLISHED AND DECLARED by the above-named Testatrix,as and
for her Last Will and Testament,in the presence of us,who at her request,have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
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COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We Re ina E.R esk Ivo V.Otto III and ��- the Testatrix
� � Y Y> >
and the witnesses,respectively,whose names are signed to the foregoing instrument,being first duly
sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the
instrument as her last Will and that the Testatrix has signed willingly,and that the Testatrix executed
it as her free and voluntary act for the purposes therein expressed,and that each of the witnesses, in
t�ie presence and hearing of the Testatrix,signed the Will as a witness and that to the best of his/her
knowledge the Testatrix was at that time eighteen years of age or older,of sound mind and under no
constraint or undue influence.
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c
gi E. Ryesky, Tes t ix
Witness
' ess
Subscribed,sworn to and acknowledged before me by Regina E. Rye ,the Testatrix,and
subscribed and sworn to before me b Ivo V. Otto I�I and � K.. the
Y ��-r-- �
witnesses,this /3�ay ,�Q �� .
� 1� � _ �
Notary Public
ooMMO�wE�,zx oF�xsn,var�
r�crr�ai,s�,
Vict�r�a�,.(�tto,Notary Public
Carlisle�oro,Cumberland County
M commiac�u�ex ires December 20,2014
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