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HomeMy WebLinkAbout01-27-05 PETITION FOR PROBATE ami GRANT OF LETTERS Estate of Atlne C. 8/C:d(els No. cJl-() \-I)D77 also known as To: Register of Wills for the t1 County of t'.I.NIIt./offfQJ1. in the Commonwealth of Pennsylvania Deceased. Social Security No.t:>ID<I. -~;;l- q5bt The petition of the undersigned respectfully represents that: , Your petitioner(s), who islare 18 years of age or I'ldlr an the executl"\ X in the last will of the above deTe~lnt, dated Ill- z.~ q" and codicil(s) dated ~J.CiI- 7007 named ,19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in CI /~~ County/ Pennsy(vl},Ilia, with h ,r last family or principal residence at 5 ~ A2.r1J (CIA l/c.l..( ~ liD (3 (list street, number and muncipality) Dec".l!<:!ent, t en -.---3.L- ' ~ 2.005 , at 0fi \..(. Except as follows, decedent did not arry, was not divorced and did not have a child born or adopted after execution of the will offered for pr bate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania t situated as follows: "J q.. $ 12..cXV.OO $ / $ $. WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters theron. ~ament~drninistration c.La.; administration d.b.n.c.t.a.) . 'or u . " ~3 " " ,"," . ..0 c''::; ClI'':::: 3~ "_ 50 .. c ~ Ui ...., = ~ C> 1~~ j;~~ t, -,:.::.i)r;~. -::-'.'c""j '1 '" .r-~ """. =t )~.s ,f;ol\MD- '- ~,; ~.. N 0-' -i <0 Cl <..11 OATH OF PERSONAL REPRESENTATIVE COMMONWEA~TH OF PENNSYLVANIA "I ss COUNTY OF \. "'"'''''....lo....nA . J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of th: above decedent petitioner(s) will well and truly administer the estate according to law. ~. fflhM(L. Sworn to or bef e me this affirmed and Qlu~ en ,... " " ::> ~ ~ ~, CCCJ r-n D .-.:> :-;n l"-J [""7"1 '.::J .; ~~;'~ :.~2~ ~')C..J '-n No. Qj-OS--OO/l Estlllte o>f Q)/\ (\ Q C, Auo k'p to , Deceased DECREE OF PROBATE, AND GRANT OF LETTERS AND NOW M_. in consideration of the petition on the reverse side reaf, satisf ctory proof having been preseilted before me, IT IS DECREED that the instrument(s) dated \ \ - c2 - q to described therei be admitted to pr ate and filed of record as the last will of and Letters are hereby granted to (\6.\ J\ \ '5. GO \ FEES \5.00 W'\ Lv Probate, Letters, .Etc. ......... $ D,()() . . cQ4 c.f) Short Certlficates( ).......... $ . h_~""~;c",,"l\ . _u~ \'leA. $ 5 00 "-"''''....'"'''''....t'l-l:'(Q'.r.o:nC>1:\:1''... . ~p $ 10.00 TOTAL _ $ Filed 1...dJ.o.-:a s:-. ...................... L;}dPiOcW ~~n"*~ . Re,glster of .. . ATTORNEY (Sup. Ct. J.D. No.) ADDRESS PHONE This is to rertify that the information here given is rorrcctJy copied from an original certificate of death duly filed with me as Lxal Registrar. The original certilkale \vill he forwarded to thr State Vital Rerords Orfice for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph, Fcc for this certificate, S2.00 No. ~.,-,i;'ii-'-;"''''''';;'r_, ~"""~\>,\\H,OfPf,i>',, I.."".;"..~/ '~ItJ'~"\.. .\'.......-.;;:>,. ,\r:.- 'I'~/ "'~<:;:.' ~:e="" ::- \~~ ~S: ,~",,' Ih'€ ~\.,~., .-'.;" ;/.$ "'&. --- . /~,\ \.~"- ."~/ ~ -11,9'''- / .&..~/ 00.., t/lfE'N'T ~\ ~ "",~ ~rF;.,t:"1 U~J'J'~ ~ a JzI~ -n-n. /< - Local Reo-istrar b p 'I' [1gno' at:; _. J, U .' .L..! v JAN 1 9 2005 Date o S::;9 .c_*_rJ U-o <:~;~~ ..,~ -\~1 (i):;;;': r-J = c.:::J C..I"'I <- ::T1 I"'r"\ C) C) --,--'1 ~l .. ~) ':'t~~ --r"l (~"') ~ 111 . f) (::) -on 2:~~ f'-) Q. (") -Tl :t:o-" _'h 1105143Rev.2187 J J - ~ t:J - (Jcrrl COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS I...J) o U-, ,n CERTIFICATE OF DEATH STATE FilE NUMBER SOCIAL SECURITY NUMBER '" " NAME ()F DECEDENT (Fi'SI,Mkldle, Lasl) ,,, Anne C. Breckels S" 2. Female BIRTHPLACE (C,ty and A F AT Stale or Foreign CouoloyJ HOSPITAl. InpatiOf1tD 7.Dobbs Ferry, NY 8a. ,. 064 22 - 4501 DATE OF DEATH (Monlh, Day, Year) .,Jan\lar 18, 2005 .. AGE lLast B.rthdii~) 00' 6. 91 COUNTY OF DEATH DOAD R.,;<jeo<<O ;:~:~iryl 0 RACE-Arnericanlnd'an, Black, lMlile,el ISpecil~) lb. Cumberland DECEDENT'S USUAL OCCUPATiON (~7~~;~t;:~~d~.,,:",~,:).t 0<. '" White SURVIVING SPOUSE (lfwilo,go,."""d.n"'"'.1 11... Housewife 11b. Domestic DECEDENT'S MAILING ADDRESS (Streat C1tyfTown, Stale, Zil'Code) DECEOENTS 210 Big Springs Road ~g~ELNCE Newville, PA 17241 (SeainslNCtiOllS 011 olher side) AS DECEDENT EVER IN U.S. ARlAED FORCES? YesO No~ 12. 13. 171. Slate Pennsylvanifl MARITAL STATUS - Malried, NeverMarriad,Widowed DIVOlced(Specily) 14, Widow ". FAHtER'SNAME(F"sl,Middle, Last) " INFORMANT'S NAME (TypeJPrinl) ,.. METHOD OF DISPOSITION DonaliOll 0 Burial 0 Cremabon [Xhemovall,om Slale D Oiher(Sl'eaM Cumberland Did decedenl Iivaina townShip? 17c.fX.IYeS,decadanIJivod,n WP.Rt Pp.nnRhoro ~, 17b. Countv 17d.0 ~~~~e~I':~1i~":i~oI Cllylboro . DATE OF DISPOSITION o ~~:""'''''' / -;J /.J./J06 MOTHER'S NAME (Fi,st, Middle, Malden Surname) 1a Concetta Ciano INFORMANT'S MAILING ADDRESS (Street, CitylTown, State, Zil' Code) 2tIb. 525 Greason Road, Carlisle, PA 17013 PLACE OF DISPOSITION- Name 01 Cemeter)'. Crematory LOCATION. C1tylTown. Stale, Zil' Code or Other Place Cremation Society 21c. of PA Cremator NAME AND ADDRESS OF FACILITY uer emor ,a 22c. Services. Tnc., Harrisbur UCENSENUMBER A' .1 1?l09 orne Crematlon PA 1?l09 PATE SIGNED o L (Monlh, Day, Y~ ~(lO S- ,,,,/\IJ 5;;1;;1.023 '" I ('6, WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER? 26. Yes I8J JT, No 1sa' ; ApproXImate PART II: OthersigmlicanlcOlldiUonscontribulingto death,but "nteIValbelween nol ,esulting in the undertying cause given ,n PART I : onset and death James Raffa Diane S. Ba.rna 27. PART I: EO..'....dl......,inju.....o'complic.lJo<,.wtIidlcau.........d...... h'l""'"OM cau........ch_ Sequenlially'slcondilions ifany,leadingtolmmedlate _ cause Ente,UNDERlYING CAUSE (Disease Q('fljuoy Ihat imtialed events resulting on dealh) LAST WAS AN AUTOPSY IlllERE AUTOPSY FINDINGS PERFORMED? AVAilABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? '< L OIJ.ETO(Ofl:ASACOi'lSEQUENCEOF) MANNER OF DEATH DATE OF INJURY (M"'lh,D,y,Y..rl TIME OF INJURY INJURY AT VIORK? DESCRIBE HOW INJURY OCCURRED Natural Accident Hom,cide o o o ~~:CE OF INJURY b""..,,~, .r, ISp.ci~) 30e. YesO NoD 30b. M 30e. JOd. LOCATION (Stree1. CllylTown, Slate) YeSD No Yes 0 '0119 Su.cide o o Pendu--.glnvestigallon RE~R'SSIGN~~MBER ,,~/<~ .ftl/l>ll/I/I o o Could not l:ja determined 28a. 21b. CERTIFIER (Ched<.onlyonel .f~~J~FJ~~IGor~~~I~~~~[[ghJ."~~:~h cg~g~i:;'i,'i':J';f: t~ 8.e:~I~~~:)'~l~3'J~X~i~~. h:'~f:~~~~~ce,d.d~a.t~ .a~_d .~0f11_~~.1~.~ .i.t~.~ .::). ". .PRONOUNCING ANO CERTIFYING PHYSICIAN (Physician both I'rorh"".cinll death and certify"'9 10 cause of death) To It._ b_st of my knowledg_, death occurred It the lime, dlte, su,j plIU, and due 10 the csusu{_land msnner II Itlled... 'MEDICAL EXAMINER/CORONER On Ihe buls of eumlnaUon and/or Investigation, In my opinion, d~ath occurred st Ihe lime, date, and pllce, and due to the clusn(s) and 311~lnn"'"S5t"led 0 r"" ,. Ik.w ". ED(Monlh,Day.Year) 1'/ of 00,r- ,II \ ; i ~_ 11\ \:'\ \\\-, \ \\\\' " , I'i \\ \'!\ ,il '\'\','1\' "\' \I!'" \\\:.\\ \,\ " I,,' \\;,' . '\' '. " '" , , \ 'i ~ \ '1\1,1\ in 1,-, d\ " \\\'1,';, I'" \'V iI, III li \\\ ','\' \ \ ','" C,I ---- cd I - os- - OOll Codicil to Last Will and Testament of Anne C. Breckels ~ ?~~ }=-b '-'-0 I hereby declare this to be a codicil to my Last Will and Testament da~~ EEi ,.J"/,, (-) November 2, 1996. ',C) r""- I appoint my niece, Diane S. Barna, currently residing at 525 Greason Rd., Carlisle, P A 17013 as my sole executor of this will. If she does not serve or complete administration of her duties, I appoint my niece, Lynne B. Hunt, currently residing at 9991 Arthur Lane, Highlands Ranch, CO. 80130 in her place. IN WITNESS WHEREOF, I, Anne C. Breckels, have to this codicil subscribed my name and set my seal this /5 7Ic day of :l,- b ru..dr 'Y , in the year Two Thousand and Two. a~ (, k ~d, 1..1-_ Anne C. Breckels Severally sworn to before me this /srL day of'-i':Uc1.<''''r-' 2002 iLL - / qY;fJ~"" . I Notarial Seal VlctcI L HopkIns, NolaIy Public West 1'\"..obu.~ ~CurnlMlI1and County My Con,n.lsskM. res Jan. 1'5, 2004 M8mber, Fetw;syMulla ~. 01 NOIlU1e8 '" = c:.:.J <on (- :;,;;,,,, ,,) o. :n_l> =1[: i...0 ,::; ,<~=:~:~ . -'n .- ,~'-) .~ III ::_)C)CJ o en LAST WILL AND TESTAMENT OF ANN BRECKELS I, ANN d'-DS-- 00/1 BRECKELS, currently residing in the Village of Dobbs Ferry, County of Westchester, State of New York, do make, publish and declare this to be my Last Will and Testam~t, Q g ~) wills and codicils at any time~'h<eretof:ore ril r)~ >~ ~~~ P ~;;?; (~~ S~1 "'-,-cn f',.) -""------'1 0.' ,\..-~. .>< - t,. , c:::) hereby revoking all made by me. ", ~.-1 jC) i ::~! FIRST: .',J I direct that my funeral expenseS : "C) and "'the ,-: rn c.:J c." j ~'j_~ (;"j general expenses of my last illness, if any, be paid out of my estate. SECOND: I give all my tangible personal property to my husband, JAMES BRECKELS, or if he does not survive me, to my nieces, LYNNE G. HUNT, residing at 9629 Timberhawk Circle, Highlands Ranch, Colorado 80126, DIANE BARNA, residing at 525 Greasom Road, Carlisle, Pennsylvania 17013, and nephew DR. JAMES BARNA, currently residing at 2539 Gary Circle, Dunedin, Florida 34698, who survive me, to be divided equally between them as they may agree. All charges for storing and insuring any of this property for a reasonable amount of time and for packing and Shipping it to my legatees shall be paid out of my residuary estate as expenses of administration. THIRD : I give all real property which I own or have a partial and shared interest in at the time of my death to my husband, JAMES BRECKELS. If he does not survive me, I direct my executors to sell such property and to add the proceeds to my residuary estate. atZ3 FOURTH: I give my residuary estate, both real and personal, to my husband, JAMES BRECKELS, or if he does not survive me, to my nieces, LYNNE G. HUNT, DIANE BARNA and nephew, DR. JAMES BARNA in equal shares, per stirpes. FIFTH: I appoint my husband, JAMES BRECKELS, currently residing at 29 Livingston Avenue, Dobbs Ferry, New York, to be the executor of this Will. If he does not serve or complete administration of his duties, I appoint my niece DIANE BARNA, currently residing at 525 Greasom Road, Carlisle, Pennsylvania 17013, and nephew DR. JAMES BARNA, currently residing at 2539 Gary Circle, Dunedin, Florida 34698, to be co-executors in his place. Any individual executor acting hereunder may resign as such at any time without the permission of any court or person. I direct that no bond or other security be required of any fiduciary acting hereunder for the faithful performance of duties in any jurisdiction. The term "executor" as used herein shall include the executor or executors acting hereunder from time to time. SIXTH: In addition to, and not by way of limitation of, the powers vested by law in fiduciaries, I hereby expressly grant to my Executor with respect to my estate the powers hereinafter enumerated, all of such powers so conferred or granted to be exercised by him/her as may deem advisable, in his/her sole and absolute discretion: al2 -2- (1) To retain, purchase or otherwise acquire, whether originally a part of my estate or subsequently acquired, any variety of real or personal property, any and all stocks, bonds, notes or other securities, inclUding securities of any corporate fiduciary, or any successor or affiliated corporation, interests in common trust funds and securities of or other interests in investment companies and investment trusts, and partnerships (participating therein as a general or limited partner), whether or not such investments be of the character permissible for investments by fiduciaries and without regard to degree of diversification; (2) To sell, lease, pledge, mortgage, transfer, lend, exchange, convert or otherwise dispose of, or grant options with respect to, any and all property at any time forming a part of my estate, in any manner, at any time or times, for any purpose, for any price and upon any terms, credits and conditions; and to enter into leases which extend beyond the period fixed by statute for leases made by fiduciaries; (3) To borrow money from any lender, including any corporate fiduciary acting hereunder, for any purpose deemed appropriate, inCluding the exercise of stock options, and as security to mortgage or pledge upon any terms and conditions any real or personal property of which I may die seized or possessed; and (4) To exercise any stock options which I may own at the time of my death and to retain the underlying stock purchased on the exercise of such options; and to exercise all other powers with respect to such stock as though such stock had formed a part of my estate at the time of my death SEVENTH: All estate, inheritance, legacy, succession, transfer or other death taxes (including any interest or penalties thereon) imposed by any domestic or foreign tax authority with respect to any property owned by me at the time of my death and passing under this Will (other than any tax imposed by reason of Chapter 13 of the Internal Revenue Code of 1986, as amended, or any successor thereto, and any comparable tax imposed by any other taxing authority), shall be paid out of my residuary estate with no right of reimbursement from any recipient of any such property. alY -3- IN WITNESS WHEREOF, I, ANN BRECKELS, have to this my Last Will and Testament subscribed my name and set my seal this~day of /11 t)'l, in the year One Thousand Nine Hundred , and Ninety-six. ~ c-. 1.5~ ~J' WITNESSES: J;~ 0\, ~ ~oM -4- -;:reo- ""e SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator as and for her Last Will and Testament, before us, who at her request, in her presence, and in the presence of each other, have hereunto set our hands as witnesses this~~L day of M'--"'^.J::>cr, 1996. \1'. (\II Ve\SD0 residing at dl\ Ll \J I ~ S tOf\ Dobbs fer,{ Ale N- "I. lO~2.2 /C-LvY'e.hC<..J:) F;-"",kC/1 residing at Ii.{ !Vtc../;'" 5fr€.___+ Oo!hJ [;yr:;, A/:J. IDS),). -5- AFFIDAVIT STATE OF NEW YORK) :ss.: COUNTY OF WESTCHESTER) Each of the undersigned, individually and severally, being duly sworn, deposes and says: The within will was subscribed in our presence and sight at the endd thereof by ANN BRECKELS, the within named Testator on the Ol. " day of /th~ber ,1996. Said Testator at the time of making such Subscription declared the instrument so described to be her subscription declared the instrument so subscribed to be her Last Will and Testament. Each of the undersigned thereupon signed his or her name as a witness at the end of said Will, at the request of said Testator and in her presence and sight of each other. Said Testator was, at the time of so executing said Will, over the age of eighteen years and, in the respective opinions of the undersigned, of sound mind, memory and understanding and not under any restraint or in any respect in competent to make a will. The Will was executed as a single, original instrument and was not executed in counterparts. Each of the undersigned was acquainted with said Testator at such time, and makes this affidavit at her request. The within will was shown to the undersigned at the time this affidavit was made, and was examined by each of them as to the signatures of the Testator and of the undersigned. J..e~ (n, ~Y- ~J~P7~ Severally sworn to before me this.;l"" day of /LJov......~ , 1996. ~~ Notary Public KENNETH THOMAS Notary PublIC, State of New York No.02TH5026338 Qualified In New York County 00' CommiSSion Expires April 1 a. 19-'-"