HomeMy WebLinkAbout03-10-05
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Register of Wills of Cumberland CoWlty
PETITION FOR PROBATE and GRANT OF LETTERS
Estateof-;/t~l. 112/21<. No. JI-05-.;l~(p
also known as To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
. Deceased.
Social Security No. SS 7.. - ?R -">4tf> 4
The petition of the undersigned respectfully represents that:
Your petitioner( s), ~ho is/are 18 years of age or older, and the execut_ named in the last will of the
above decedent, dated .t/ n C if M 13 -l a / 9 , 20 0 <>
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in c:! U rl ~ ~ It t. A ,v I) ,'2. S;?1nty,
Pennsylvania, wjth h_Iast family or j>ripcipal residence at -"lIS. "'" 0 c ill @ C'n. jj -1/<.-
gZ</- 4/SJ3vrt,..J .<~ (V..f,--1t' HILA. A417of!
(list street, number and municipality)
Decedent, then 1'.tyears of age, died 4.417[....; 1,20 ,,-.) ,at 1'14";-'9- (11,4-1/.1$ ("/l,f LIS}?:"
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Po.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ .3 BSD
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofletters
(testamentary; administration c.t.a.; administration d,b.n.c.t.a.)
~ ResidenCe(S)OfP~er(~
/7;1 s: a ,.:JOe LJ _ ~..:> C'" J"1~Jf.J1(~D
/417D77)
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
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COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
55:
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 representative(s
decedent petitioner(s) will well and truly administer the estate accordini>Y l~ / / / ,A
Swom to or affirmed and subscribed {~ ~ T7 /,
Before me this I Dt"- day of ~/
'i'f'cu., 'n , 20 D'::> _
en
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No. ,'1I-IJS-,:Jc;llo
Estate of \~ \ ,". J\'\}, ~ '~
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW \Y'rV\ \' h In 20~ in consideration of the petition on the reverse side
hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated
1;).1 I \{ I d-OO n , ' described therein be admitted to Rrobale filed of record as the last will of
~\.D"'" I\>..~ .. ; and Letters are hereby grantedtofu'o,^-T \-\ ~^:i-olo
i)
FEES
Probate, Letters, Etc, 'H H
Will H'H,H'H,H'HHHHHHHH"
Renunciation...................... .
Short Certificates (3) H' H H H H'
JCP"""""""""""""""""
Automation Fee ........."..... .
Bond'HH HH'HHHH'H'HHH''''
Total
Filed 3 -/0
~JI,fx\IL~QJL(l,-" l&aJlb~ _
Register of Will'?l( ~CLw1J~
$
$
$
$
$
$
$
$
20 o.s
30.00
1500
Attomey (Sup, Ct, LD, No,)
lot ,00
1000
Address
5.00
Id- 00
Phone
"<,\"'<?':\
This is to certify that the information here given is correctly copied from an original certificate of death duly' filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Otf,ce tor permanent filIng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
P 11334763
No.
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Fee for this certificate, $6.00
Local Registrar
t'lAR 0 3 2005
Date
105,143 Rev, 2/87
J)/-05- Ocl;).,-<>
COMMONWEA.LTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
,",J
ST.o.TE fllENOMBER
SEX
SOCiAl SECURITY NUMBER
,. 552 38
5464
DATE OF DEATH (MonIt1, Day, Year)
.. March 1 2005
..
COUNTY OF DEATH
Yo.
BIRTHPLACE (City and
Slale Of FOllIlgn Country)
Egypt
ERIOulpat~"ID
".
white
99
oo~o
R.._D ~)D
RACE - American Indian, BI.ck, While, et
(Specify}
lb.
Cumberland
.,.
Carlisle
Manor Care
DECEDENTS USUAL OCCUPATION
(~~ofi:::':'~.::t~"'f
KINO OF BUSINESS /INDUSTRY
C'
{ " "R.
AS DECEDENT EVER IN DECEDENTS EDUCATION MARITAL STATUS _ Mamed.
U.S. ARMED FORCES? llpeCifot"nl .lIIg(_C<>m\lI_lad Ne-.erMan1ed.WId~ud,
Yes 0 No [RI E..m.....oyIS.""nDa<y C"II~. Divorced (Specil)-)
12. 1s.1io-12) (I.. ",5.} 14. widowed
17.. SIa\1l Pennsvlvania Did 17C./XI Yes, decedent li\t8d In
decedent
.....
l1b. Countv Cumberland lownship? l1d-D ~~e~~~fI~i~:of
MOTHER'S NAME (Firsl. Middle, Melden Surname)
19. unknown
INfORMANT'S MAILING ADDRESS (SIf8IlI, CityfTown, Slate, Zip Code)
2Gb, 1711 Sherwood Road, New Cumberland, PA 17070
PLACE OF DlSPOSITION- Name of Cernele'Y, Cremalllfy LOCATION. CityfTown, State. Zip Code
or OthSf Piece
21c. St. John I s Cemetery 21d, Brooklyn, NY
NAMEANDADDRESSOFFACILlTY Part emore F & ,nc.
.... P.O. Box 431 New Cumberland PA 17070 0431
LICENSE NUMaER OA TE SIGtIEO
(Month, Dey, Yev
,... RNS'ft,07SS- >s,.
W"'S CASE R€FERRED TO A MEDlCAL 12XAMlNER /COR NER?
26. Y.s 0 No (gI
:ApplOXlmate PART II: OIhersltlnificanteondllioosCQl'l(ribu~tGdeatt\.but
:lnterv.lbetw.fl nolresulllnglnlhaundertylngcauslIgillenlnPARTL
,onselanddealh
SURVIVING SPOUSE
(1Iwi!e.~i,,",mooidOnnom")
11... Homemaker 11b. Domestic
DECEDENTS MAILING ADDRESS (Strllet, CilyfTown, Slsle, Zip Code) DECEDENT'S
ACTUAL
RESIDENCE
(SlIeinstructions
ooolhersidll)
15.
824 Lisburn Road
IS Camp Hill, PA 17011
FATHER'S NAME (First, Middle, Last)
11. un nown Ghanem
tNFORMANrs NAME (Type/PIint\
D... Robert Bartolo
METHOD OF DISPOSITION
Dooalion 0 Burial 153 Crllmatloo Demoval from Stale ~
2111. Oth....(Specify)
'SIGNATURE FUNERALSE CE LI NSEE
."..
Complete s23a--coo wh fylng
phys!dan Is nol available at time ofdealh 10
certifycauseofOealh.
Lower Allen
<wp
cllylbOiO.
...
27. PART I: Ellie. ,I.. d......., Irljwrloo Ole_plle.II.... will"" ...w..d tho 1I...1h.
U.loftl~_e.....CN\..e~'I....
2005
848 L
I ~Oo.
.
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", "'-
o TO\OII "~SEQUE~Of),
SeqU8l1U.lybtcondltions {b'
lfarlY,leadIn1llolrnmediate
CIt.I$lt, Enter UNDERLYING
CAUSE (D....e or injury c.
lhatlnillaledevenlll
re.ullingoodealh)LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF-DEATH?
o ETO(ORM~COJ'SEOUENCEOF)
o
(OfIM.o.CONSEQUEN EOF)
MANNER Of DEATH
NoD
Natural
Accident
Suicide
KI
D
D
DATE OF INJURY
(I.I"""',Ooy.Y..r)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
Homlcida
D
D
D
301.
PLACE OF INJURY
buildlny,.lc,(S....o">')
30..
SOb.
Athome.r~IITI,.treel,factory,o
'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronOUllcing death at\d ce,rti:tymll lOall':MIcf d~a\h)
Toh bn\ of my knowledg., duth ac;curr.d elthe 11m., d.I., and pleu, and duo to th. cau...(.Jend manner.. .leted..
D
D
jJ _ 0 .
YesD Nofil
Yes 0
Pendinglnvestig8tioM
Could not b..detennined
2811. 21b.
CERTIFIER (Ched< onlyooe)
''i~~~~fJ~~~~.\f~~h~~J''Jur.: ~ :he:~a~:~(:r~~3~X~~"~,h:l~m~~~~~.~.~.~~.~.~~~.~~.~~~~~~.~.i.l~~.~?)...
>S.
'MEDICAl- EXAMINERlCORONER
On the bul, 01 .","Inltlon and/or Inv..tlgetlon,ln m'1 <>p-\nlon, death occurr.cl at Ul.llme, dale, and place, and dUI to Ihe CIU'''(I) and
mllnn.r...taled.................................
31a.
REGISTRAR'
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LAST WILL AND TESTAMENT
I, HELENE AZIZE, residing in the Counry of Kings, Ciry and State
New York being of sound and disposing mind and memory, do hereby make,
publish, and declare this to be my last Will and Testament, hereby revoking any and
all other Wills and Codicils thereto, heretofore executed by me.
FIRST: I direct that my just debts be paid by my Executors, and that all
estate, inheritance, succession and transfer taxes and other death duties, shall be paid
out of my testamentary estate as an administration expense and shall not be
apportioned.
SECOND: I give and bequeath to the building and maintenance fund of
OUR LADY OF LEBANON ROMAN CATHOUC CATHEDRAL,
113 Remson Street, Brooklyn, New York the sum of ONE THOUSAND
($1,000.00) DOUARS. I would request that some Masses be offered for the
repose of my soul and the soul of my husband, JAMES AZIZE, the number of
which shall be in the sole discretion of the Pastor.
THIRD: I give and bequeath the sum of ONE THOUSAND
($1,000.00) DOUARS to THE CONFRATERNITY OF mE
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C,'
IMMACULATE CONCEPTION OF OUR LADY OF LEBANON
C4THEDRAL ,for its general uses and purpose.
FOURTH: All the rest, residue, and remainder of my properly al/d
estate, real, personal, or mixed of whatsoever character and wheresoever situate of
which I die seized or possessed or to which I am in any wcry entitled at the time of my
decease, or to which my estate mcry become entitled, I give, devise, and bequeath to my
nephew ROBERT H. BARTOLO. In the event that my nephew shall not
survive me, I give and bequeath his share as follows:
a. One-half thereof to his issue who survive me, in equal shares; and
b. One-half thereof to my niece jEANINE A. LOE, and if she does not
survive me, I give and bequeath her share to her issue who survive me, in equal parts.
FIFTH: I hereby, nominate, constitute and appoint ROBERT H.
BARTOLO to be the Executor of this Ill:Y last Will and Testament. In the event
that ROBERT H. BARTOLO shall fail to survive me or resigns and the office
is vacant then I appoint JEANINE A. LOE to be the Executrix of this WilL
I direct that they not be required to Jile any bond or security.
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SIXTH: I authorize and empower my said Executor or his successor to
sell or exchange or otherwise dispose of a'!J real or personal property forming a part
of my estate at the time of my death, at such time and at such price, for cash or upon
credit, partly for cash and partly upon credit and upon such terms as they shall deem
proper, most nearly equal to the fair market value and to execute and deliver a good
and sufficient conveyance therefor.
SEVENTH If a'!J share or portion of my estate shall become
distributable to a minor, my Executors may hold, administer, invest and reinvest
such property or may keep the same uninvested until the minor attains the age of
eighteen (18) years, and may apply so much of the net income and such part of the
principal of said property to the support, education and general welfare of the minor
as my Executors may deem advisable. A'!J income not so applied shall be paid
periodically, at least annuallY to the principaL My Executors mtfY make application
of a'!J such income or principal to the use of the minor by paying it to the parent,
guardian or other person having the care and control of such minor. My Executors
shall be entitled to receive compensation with respect to property held for a minor
pursuant to this article at the same rate and in the manner payable to testamentary
trustees.
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IN WITNESS WHEREOF, I have hereunto set my hand and
affixed my seal December / 2, 2000.
d02e~~ -<- 4~
LS.
---
HELENE AZIZE
We, the undersigned, do hereby certifj that on December / ~ 2000,
HELENE AZIZE, did in the presence of the undersigned, and of each of us,
subscribe, publish, and declare the foregoing instmment to be her Last Will and
Testament and then and there requested us and each of us to sign our names as
witnesses to the execution thereof, which we hereby do in the presence of the said
HELENE AZIZE and of each other on December/,y, 2000, the attestation
clause havingfirst been read by us.
(j~f>A residingat ~(;L,?J'-~'/Y' !3rR",,.h,y#
residing at
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STATE OF NEW YORK
COUNTY OF KINGS 55. :
Each of the undersigned, individually and severally being duly sworn deposes and
says:
THAT the within Will was subscribed in our presence and sight at the end
thereof by HELENE AZIZE on December I rY, 2000, at 8512 Third
Avenue, Brooklyn, New York.
THAT HELENE AZIZE at the time of making such subscription
declared the instrument so subscribed to be HELENE AZIZE's Last Will and
Testament and requested each of the undersigned to witness the execution thereof
THA T each of the undersigned thereupon signed their names as witnesses at
the end of the said Will at the request of HELENE AZIZE and in the
presence and sight of each other.
THAT HELENE AZIZE at the time of executing the Will was over
the age of 18 years and in the respective opinion of the undersigned of sound mind,
memory and understanding and not under any restraint or in any respect incompetent
to make a WilL
THAT HELENE AZIZE in the respective opinion of the undersigned
could read, write and converse in the English language and was sufferingfrom no
defect of sight, hearing or speech or from any other physical or mental impainnent
which would effect the capacity to make a valid WilL The Will was executed as a
single, original instrument and was the only instrument signed by HELENE
AZIZE.
THAT the Will was drawn up ~y Robert L Howe, Attomry and
Counselor at law and he supervised the execution of the said WilL
THAT the said Will was shown to the undersigned at the time this
Affidavit was made and examined by each of them as to the signature of the said
HELENE AZIZE and of the undersigned.
THAT each of the undersigned was al'quainted with the said HELENE
AZIZE and makes this Affidavit at HELENE AZIZE's request severally.
Severally sworn to before me
~~~
~
December/J',2000
maNIC ()~jIJw
MARIA A, m'o
COMM'SS!~^~~'E~ r);: DEEDS
CIty of New York No, 2-11881
Certificate P]ed in Kings COu:Oty _
Commissi,on Expires Aug. 27,~c::>2-
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