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Home My WebLink About04-07-2005 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Set-ell" J: @Ia..<.eck... No. 21-05 -03Vi also known as To: Register of Wills for the , Deceased. 'County of CI..\......):rr "'~ in the Social Security No. 110 - 18 - 2./~o Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older aUAhe execut ,..~ 'f in the last will of the above decedent, dated . 11 (4.. '1 S- and codicil(s) .dated named , lj"'~ F, iJ t- E ~~.,... ()'rcel. <.UU~ ~ -".. <D~c..~.ri!lt"\~ uu..'y ?, LO\)..,3 , ' , . (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in CU~hrr~ her- last family or principal residence at 2.10 t) 1'\+ \ (list street, number and muncipality) ~r.' I J 2w- .~ year 'j!f age, died at 0\ r t ... CJq,)' Except as follows, dece ent 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: () (!) 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 situated as follows: $ $ $ $. 2/0 Joo't) ., '1 - ~"-"...:~ .. c:-.:-~ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last willand codi~ls) ptesented herewith and the grant of letters theron. (testamentary; administration c.t.a.; administration~b.n.c:~'a.) ........... ~ -. ~ .. u c: .. :2";j' "'~ ..... cr::" c: -g.g C'CSO';:: -." ~c.. ..'- ::;0 ili c: CI) en ~~~ ......... ~,..} i r" OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1- 55 COUNTY OF C.U.JY\B~LA-ND . 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 the above decedent petitioner(s) will well and tru administer the e ate according to law. ~ ~ Sworn to or af.firmed ..and SUbSCrib.e d { befAf'i me this . rr , day of RIL _ )t)05 . ~~eg~ter , r'lLtk'ffi . <n 0Ci" :: I::l - ~ ~ iXy No. 2J-05-032&' Estate of ~TELlA- \T ~LA(!,~ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~RI L '1 ~OD5 ~_, in consideration of the petition on the reverse side hereof, satisfactory proof having beer~1r~sggd before me, IT IS DECREED that the instrument(s) dated ~ described the:::ilhbe admitted to probate and filed of record as the last will of \S TElLA \J~ l.Ae1.EK.. and Letters TE5T Prf'('E:N,AfZ.'4 are hereby granted to. MTl-l&:R1 f'J E. 001.1 /oJ E ~~ puTm~ ATTORNEY (Sup. Ct. LD. No.) ADDRESS PHONE HI05.805 REV 1105 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Regisrrar. The original certificate will be forwarded to the State Vital Records Office for permanenfi filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. F" fo, thi, certificate, $6,00 1~ ~ ~ Local Registrar p 11599594 No. <<ph I r 2.DO$"' I Date H10S.143 Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (l"l (.,~ TYPEJPRlNT IN PER....MEMT BLACK IMK ... Z UJ o UJ U UJ o "- o I STA.TE FilE NUMBER SEX 'L/if,."pL.~ 8b.C. . .4i'L...",,{) DECEOENrS USUAL OCCUPATION (<:r::.~r:~r::1. ~~ BIRTHPLACE (City end &ate 01 Foreign COuntry) HOSPITAl: G~"'I>KLY.v, -If] .RIOU.......O 7. .~ h. FACllIT'f' NAME (If not mstituUon, give streel and number) /-Ie) /1..1 Spl!?,1- IIOJ{l,ICjI .5. '73 Yrs. COUNTY OF DEATH 1Wp. citylboro. a "' U> :> ~ ::; < ..,,' 23b. 23c. WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER? Y.. 0 Nd GY PART.: OII>orllignlficonl_<:onIIibullngIo_,'" not resulUng in the Uf'IdertyinQ cau..;wen in PART I I. \'..... ,... -..Q ') DUE 0 (OR AS A CONSEQUENCe Of), , , v--<.. ~ Seq_lisl <011_ lb. if any. leadinliJ 10 immediate Ciluse. Enter UNOERL YIHG CAUSE: (Oi5d$8 or injury c. that iniUaled events resuWng on death ) LAST d. WAS AN AUTOPSY WERE AUTOPSY FINDINGS PERFORMED7 AVAltAB\.E PRIOR TO COMPlETION OF CAUSE OF DEATH? DUE TO (OR AS A CONSEQUENCE OF): ,.0- DUE TO (OR AS A CONSEOVENCE OF): ve.O MANNER OF DEATH Natural 0" Homidde 0 Accident 0 Pending Investigation 0 SuOje 0 Coukj not be determined 0 DATE OF INJURY (Month. De)'. V....) TIME OF INJURV INJURV AT WORK? OESCRIBE HOW IMJURV OCCURRED. \,J -.-. \. .' 2... 28b. CERTIFIER (Choct. only one) .~:"~=tGJ~~~'~n.c:m:ni~UJ:t:t::.=:~:r~I~~~a~h:~~~~~~.~.~~~.~~.~~~~.~.j~~.~~)............... 20. 3Oa. 30b. M. PLACE OF INJURY. At home, 'ann. stnHtl, fadofy, office buik*ng,elc_ (SJ*:ify) 300. V..O NoD ioc. Ye. 0 No 0' NoD ...EDtcAL EXAMINER/CORONER :~b::i:.::.~~I.~.~:~~~~~~~~~~:.I~.~~..~~I.~~~:.~~~~.~~.~~~~.~.~.~~.~.~~.'.~~~'.~~.~~~~~'.~~~.~.~.~.~~.~~~~.~~!.~~.. 0 3... RE leli I~ 11121 'ZooS; 1lIa9t Jlill aub illc6talUcnt BE IT REMEMBERED, that It STELLA J. PLACZEK, of the 'I'own~hip of Loyalsockt County of Lycoming and Commonwealth of pennsylva~~at' being of sound and disposing mindt memory and understanding"::"-Flnd """'-' considering the uncertainty of lifet do hereby maket publish and declare this to be my Last Will and Testamentt hereby revoking and making void any and all former Wills by me at any time hereto made. ITEM I : I direct that all my funeral expenses and all Inheritance and Estate Taxes arising due to my deatht be paid by my Executor thereinafter namedt as soon after my death as may be convenient. ITEM II: I givet devise and bequeath all the restt residue and remainder of my estatet whether realt personal or mixedt and wheresoever the same may be situate at the time of my deatht unto my husbandt ~IGMUND A. PLACZEK, provided he survives me by at least sixty (60) days. ITEM III: In the event my husbandt SIGMUND A. PLACZEK, and I should die in what is usually referred to as a "common disaster" and it is not readily discernible which of us survived the othert it shall be presumed that my husband predeceased me. ITEM IV: In the event my husband fails to survive me as above! I hereby give! devise and bequeath by this will all the rest, residue and remainder of my estate, whether real, personal or mixed and wheresoever the same may be situate at the time of my death unto my children! GERARD PLACZEK, MICHAEL PLACZEK, CATHERINE COZINE and VICTORIA CAMPEAU, equally, share and share alike. ITEM V: In the event any child of mine should predecease me, I direct that said deceased child's share be distributed to his or her issue, per stirpes, and if there be no such issue! then to my issue, per stirpes. ITEM VI: Should any beneficiary under the provisions of this, my Last Will and Testament, be a minor at the time of my death, then I direct that said beneficiary's legal guardian act as the guardian of said beneficiary's estate until such time as the minor attains eighteen (18) years of age. ITEM VII: I direct that no bond or other security shall be required in any jurisdiction of any Executor, Executrix, Administrator, Administratrix, Trustee or Guardian serving at any time under this will. ITEM VIII: I hereby nominate, constitute and appoint my husband, SIGMUND A. PLACZEK, to be the Executor of this, my Last -2- Will and Testament; I name my daughter, CATHERINE COZINE, to be the First Alternate Executrix hereunder; and I name my son, GERARD PLACZEK, to be the Second Alternate Executor hereunder. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my seal this ..!Jr.J~ day of ~r ,1999. ~~LfL. 6't.~ (SEAL) / STELL~ J. PLA EK SIGNED, SEALED, PUBLISHED AND DECLARED by STELLA J. PLACZEK, the above-named Testatrix, as and for her Last Will and Testament in our presence, who at her request, in her presence and in the presence of each other, all being present at the same time, have our names as witnesses. Address: 33 W. 3rd St., Williamsport, PA Address: 33 W. 3rd St., Williamsport, PA -3- COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF LYCOMING STELLA J. PLACZEK, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly sworn according to law, does hereby acknowledge that she signed and executed the foregoing instrument as her Last Will and Testament; that she signed it willingly; that she is eighteen (18) years of age or older; and that she signed it as her free and voluntary act for the purposes therein expressed. SWORN or affirmed to Testatrix this 0.f:JL; day of and acknowledged before '-fy) CA-A-4- ,1999 . tJ me by the My Commission Expires: NOTARiAL SEAL LOIS M. McKINLEY Notary P bIIc William<"'^rt l '. u .....- , yeomll'lQ CountyPA My Commltsion Expire. April 5,'2000 * * * * * * * * * (SEAL) COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF LYCOMING WE, the witnesses whose names are signed to the attached or foregoing instrument, being duly sworn according to law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament; that she signed the same willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) years of age, of sound mind and under no constraint or undue influence. SWORN or witnesses this affirmed to r:6"p} day of by the My Commission Expires: (SEAL) NOTARiAL SEAL lOt,S M. McKINLEY, Notary Public WilIIQm~~, lycomlng County, PA My CommISSIon Expire. April 5, 2000 -4-