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PETITION FOR GRANT OF LET'TERS
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I REGTSTER dF WILLS L7F CUMHERLAND CQUNTX,PENNSYZVANIA
Peti�ioner{s} namad below, who islare 18 yeaxs of age ar older, apply(ies} for Lette:s as specified below, and in
sup ort thereof aver(s}the following and respectful2y request(s)the grant of Letters in the appropriate form:
D edent's Information �/I/� J � ��
N� e: Julia Barzok File No:
a: Julie Borzok (Assigned by Register)
a:
a: 3ocial Security No:
Dat af Death: Au¢ust 24,20T3 Age at death:90
Dec dent was dornic9led at death in Cumberland County>pennqylvania (State)wlth his/hex 1&st
prin iga2 residence at 151 North 21st Street 17011 Citv af Cama Hili Camn HitI Bomaeh Cumberland
Sheet addrese,Poet O[tice sed Zip Code City,Townahip or Borough Connty
Dec dent d'aed at Hgly Snirit Hpsnita1503 N 21st Street Camn Hill Cumberland PA
Street address,Poai Oflice and Zig Cade C3ry,Tqwnahip or Bproogh Connty State
F.sti ate of vatue o{decedenYs property at death:
domPcHed in Pennsylvania„... .......... .......... ... All personal property $ 116.Q00.00
noe domtciled rn Pennsy/vnnfa. ...... ................. Per�onal property in Pennsylvania $
not daaridIed in Pennsylvoxia. ....................... Personal property in County $
alue of reat estate in Persnsylvania............................................. ............ $ 1 i i�S 7 4 0(1
TOTAL ESTIMAT'ED VALUE, ,,. S 267, 1S 4 00
Real state in Pennsylvan(a siwated at: I51 North 2 f sY Street 17411 City of Camp Aill,Caznp Aiil Bomu¢h Cumb�land
(Attac addiHonatsheets,if necess¢ry.) Street addrtsl,Post Offlee and Zip Code Ctty,Torroektg or Barong4 Caanty
� . Petltion for Probate and Grapt of Letters Testamentarv
etifioner{s}aver(s)hrlshetthey islaze the L�cecuwr{s}named in the tast WiI(of the I?ecedenY,deted May 19, 2488 mid Corlieil{s}
erew dsted N1A
State relevant drcuroeGnca(e.g.renunciqNon,death ofexecueor,Ma)
xr,eptasfolluws:aftertheexecu8onofffieinshument(s)offeredfornrobateDecedentdidnotrziatry,wasrmidivarcect,wasnotapartytoapending
ivorea proceeding wherein the gmunds far divorce had been established as defined in 23 Pa.C.S. §3323(g),end did not hava a child bom or
dopted;and Decedent was neither the vietim of a killing nor ever adjudicated an incapacitated person.
. N6 EXCEP'Ti4NS a EXCEP'IT4NS
� . Petition for Grant of Letters of Adminiatration (Ifappticable)
c.t.a.,d.b.n.,db.n.c.t.a.,pendente lite,duranteubserstia,duranteminoretate
Administration,c.ta ar d5.n.e.&a.,enter date of WiII in Section A abpve and compiete Itst of heirs.
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xcept ae foliows: Decedent was not a pariy to a pending divorce proceeding wherein the gounds for divorce had been est�shedjp�`'iped
i 23 Pa,C.S.§3323{g)and was neither tha vicfim oP a kiiting nor ever adjudicated an incapacitated person. � `''' � C's
NOEXCEPtIONS {�EXCEPTIONS � � Y� � '�77.
tirioner(s),after a proper searoh has/have sscertained that Decedent left no Will and was survived by the folbwi�s�s�i£any)and hejxs(�lF6ch
a ittonad sheets,!f rrecessary): r � �-rt C7'S .-
q, .i3 C. C.?
Name Raletianahi Addre � � "���
, �y c_'� —�. - r:��i
� C� F,.s �'�'Y
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Fnrm2�W-01 rev.l0/ll/20lI Page 1 aY2
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I, Oath of Personal Representative o�ro;�vBe o»�y
C�MMt?NWEALTHOFPENNSYLVANTA j
, ) SS:
CaUNTY OF CUMBERLAND }
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Pctition s Prisrted Neme Peti&oner(s)Frimed Address
Cire o $orzok 5530 Merivale Court Harrisbur PA 17112
The etiaoner(s)above-named swear(s)or affirm(s)the statements in the foregoing PetiHon aze true and correat to the bast of the lmowledge and belief
of Pe'fioner(s)and ihat,as P sonal Representative(s)of the De t,the Pefitioner��}a ill wel truly administer the estate according to law.
Swo t o ffinned s befa a,����� ..- __ Date Q��i �.o2�f�
IX1C t ' d Date
By: Date
ter Date
BO D Required: (�YES Q NO To ihe Registcr nf Wills:
F"E S: p � PIease enter my appearance by my sigasture betow:
Let ers . . .. .. . . . . . . . . . . .. . . . . $ `�—/" "` Attqmey Sig re ,..,
( 4}Shoxt Certi$cate(s}.... .. � Y'
_ {� c-*> �T T*'fi
( }Rennnaiahon(s}.. ... .. . . � p rr� �
( )Codicil(s). . . . . . . . . . . . . � �''� G� Ca
( )Affidavit(s).. . . . . .... . . Z C'> � "^'
..... .. Prfnted Name: a S.Chtl � �
Bo ............. .. . r ^a
- Co mission. . . ... . . . .... . . . . . Supreme Conrt � � :sz ��
Oth r . . . . . . . . ID Number: 78443 2 ' � Cy �
.. ..... . E> o � � ..�'r]_
, -
...... .. Pirm Name: SkarlatosZonarich L� � --- <�
_..
. . . . . . . . Address: 17 Snuth Secnnd Strret_iSdi Floor ^
. . . . . . . . Harriah�g PA 177(1�!'J099 a -n
..�. ..
. . . . . . . . ----� Phone: 717-233-]000
Aut mation Fee. . . . . .... . . . . Fax: 717-2�3-6740
SCS Fee. . ....... . . .... .... .. Email: gc.hrlin akariat �nnarich rnm
TD AL. . . .. . . .. . . . . . .. . .. . . $
I}ECREE OF '7'HE REGISTER
Ests of ��ia Borzg�C File No: ��_,�� ' %.5�
a(k{a'Julie Harzok
NOW, �CXJ�✓ ,in cons' ��tio o,f.the for gping Pe66on,
sakis ctory pmof having en presented before me,IT IS DECREED that Letters���3}�d�i2��—
( are hereby granted to_
�� in the above estate and(if a licable)that
the ' mimant(s)dated �
dese bed in the Peritian be admi to probate and filed of zecorfl as the Iast Il(and Codi '{ }of D edent
�'-��,(,,y�./�i�e;— .
' egister of Wills r
1�'``
w�o,m R�-oz rev.�onuzou Page 2 af 2
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� ��L�t �t11 �rt� C�P�t�urtP2tt
of
JQ,iA HQiSQC
I, JULIA BORZCHC, of Caa� Hill, Cim�berland Caunty, PeruLSylvania do make,
lish and declare this to be my Last will and Testaanent, heret7y rewking all
oimer Wills made by me.
I AIa4CL8 I.
I direct that all my legal debts and funeral expenses and the cost of
' tration of my estate be paid as soon as practical after my death. I
that my Executor pay out of my estate, as a general charge thereon, all
ritance, estate, succession and other ta�s together with any interest or
ty thereon assessed by reason of my death with regazd to all properties
assets subject to such ta�oes, whether such property and assets pass ur�der
's will.
AIZPIQE II.
I bequeath my motor vehicles, household arul personal effects ar� other
ible property of like nature, together with any existing insurance thereon,
my husband, ANIHONY BORZ�c, pmvided he survives me bl' thirtY (30) days.
', S}�ld my hus�and, ANiHONY A(�iZ�C, fail to be living on the thirty-first
31st) day follawinq my death, then I give to my son, C�ORY BpRZOdC all my
'cles, tools, and equip�nt.
ARFIQB III.
I give $1,500 to each grandchild that survives me.
AIZPIQB IV.
I give, �vise and bequeath all the rest, residue and r��aiix3er of my
tate to my husbazxi, ANiHONY BORZOqC, pmvided he suxvives me by thirty (3p)
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axi�c� v.
Shwld my husband, ANiS�IY BOI2ZOqC, not be living on the thirty-first (31st)
follaaing my death, then I give, clevise and bequeath all the rest, residue
ranainder of my estate to my son, (32E]OOKY BORZOFC and to my daughter, JEAN
TERS.
AI�ICCB VI.
I appoint my husband, ANIHC7NY BORZ�HC, Ewecutor of this my Iast Will and
tament. Sk�uld my husband, AN1'�INY BORZO[C, fail to qualify or cease to act
Executor, I then appoint my son, (3�DRY BORZ�C, Executor of this my Last
ill and 'Pesta�t�ent.
IN WZ�SS WHERDOF, I hereunto set my hand and seal this / 9 day of
��y , 1988.
O
_ ��5��
�ra Bo�zoic
signea, sealea publisr�ea ana aeclarea vy the above-nam�ea 1�estatrix, as ar�a
r hPx Iast Will and Test�nent, in the presence of us, who, at her request, in
presence and in the prese�ce of each other have hereunto subscribed our
as witnesses.
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. ss:
OE' C[A+�ID .
I, JULIA HORZOK, Testatrix, whose name is signed to the foregoing
trw�nt, havinq been duly qualified according to law, do hereby �lmowledge
t I signed arxl e�cec,-uted the instnm�ent as my Zast Will and 7�stament; that I
igned it willingly; and that I signed it as my free and wluntazy act for the
therein expressed.
.7iII,IA BC�tZOqC
Sworn or affirmed to and aclrnowledged before me, JULIA BORZOK, the
tatrix, this � q�Yi day of '�v�v.�.� , 1968.
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, �Notaxy Publi�"' V
I DIANNE LENl6. Notary PubNc `''
�.sPA ��Cu�MNudZCamt�It
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�OLR�i'Y OF G4.6+�Ef2LANd .
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W� �,.. A.���� a� �W . �t,.S�.a�... r the witrfesses
ose names are s3gned t.4 the foregoing instniment, being duly qualified
zd'uig ta law, da depose and say th9t we wpre prettent and saw the �tatri�c
ign and ew�cute the foneyaing instxw�rent as her Last Will and Z�estazcent; that
he signed willi.ng and that she execut.ed it at her frce and wluntary act for
puxpc�ses therein expressed; that e,ach of us in the hea.ring and sight of the
statrix sic�ed the Will as witalesses; and that to the best of our Imowledge,
R�statriac vras that time at least 1$ yeaxs af age, of t3ovnd mi.nd and under
aonstraint or utnciue influence.
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9worn ar affit�ued to and subecribed before me �►^�*-��.. �.�"�-.�r•�,
�4.,ti•t . ��,• , wit�sses, this lg'�day of rn� , 14sa.
�,��,.a„ T�
Notary Public
DIJ�MIE tEMI6. ii�tafy Pyblic
�s*PA �{Cu�b�Tland C«mt,Y
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