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PETITION FOR GRANT 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 I�JJ Q Gam)
Name: JOSEPH J.PATSY File No: � - I'1 ' -1
a/k/a: JOSEPH JACOB PATSY (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 200-36-6926
Date of Death: SEPTEMBER 13,2014 Age at death: 66
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (state)with his/her last
principal residence at 1206 HARRISBURG PIKE CARLISLE PA 17015 MIDDLESEX TOWNSHIP CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at MANOR CARE HEALTH SVCS CARLISLE PA 17013 CARLISLE CUMBERLAND PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania............................ All personal property $ 1,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 40,000.00
TOTAL ESTIMATED VALUE. .,. $ 41,000.00
Real estate in Pennsylvania situated at: 1206 HARRISBURG PIKE,CARLISLE,PA 17013 MIDDLESEX TWP. CUMBERLAND
(Attach additional sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)helshe/they is/are the Executor(s)named in the last Will of the Decedent,dated AUGUST 6,2014 and Codicil(s)
thereto dated (NONE)
State relevant circumstances(eg.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 0 EXCEPTIONS
M 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,duran&eMinoritate
C= :M
If Administration,c.t a. or d b.mat a.,enter date of Will in Section A above and complete Pt of heirs.s m n
c
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had�etrtablishea de iemd 70
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. M z tO" �-a rn
0 NO EXCEPTIONS 0 EXCEPTIONS t— m C o Q
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spo s(ifany)',and lw (atta2h
additional sheets,if necessary): O C7 O -r7
C->
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Name Relationship Address CD r— M
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Farm R w 02 rev.1011112011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
JOHN T.KRANCHICIC JR. 579 CROSSROADS SCHOOL ROAD CARLISLE PA 17015
The Petitioner(s)above-named swear(s)or affirm(s)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)of the Qcce4ent,the Petitions s)wi wel d truly administer the estate according to law.
Sworn to affirlt�ed d U cribed b fore Date r o t 1 l
me day of , tV I Date !
0 Date
�� or tlae Regiirer Date
BOND Required: 0 YES �O To the Register of Wills:
FEES: Please enter my appearance by my signature below:
p(1�
Letters. .. . ..... . . .. . .. . . .. .. $ Iv Attorney Signature:
( 3 )Short Certificate(s).. . .. .
( )Renunciation(s).. . .. .. . .
( )Codicil(s). . .. . . . .. ... .
( )Affidavit(s)....... .....
Bond.. . . .... . ... . . . . . . .. .. . . Printed ame: JAME M.ROBINSON
Commission. . . . .. . . . . . . .. . . .. Supreme Court
Other . . . . . . . ID Number: 84133
In
. . . .. Firm Name: TUBO ROBINSON ATTORNEYS A�LAW
..... . . Address: 129 SOUTH PITT STRCPF.E, CD 2m
C.ARLIS1.E,PA 1701 CD n
a r-
. . .. . Phone: (717)245-9688 w cl
crs
Automation Fee. .. . . . . . . .. . . . . i� Fax: (717)245-2165 o 0
JCS Fee.
. . . .. . . ... . . .. . .. . . . -� Email:
in
TOTAL. . .. . . . .. . . . . . . .. .. .. $
DECREE OF THE REGISTER
Estate of JOSEPH J.PATSY File No:
a/k/a: JOSEPHJACOB PATSY
AND NOW,0C- f^U- X �--S Q ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters Testamentary
are hereby granted to John T.Kranchick,Jr.
in the above estate and(if applicable)that
the instrument(s)dated August 6,2014
described in the Petition be admitted to probate and filed of record as the last Will(arid Codicil(s))of Decedent.
d4Q 4 '
� � r
Register of Wills
Form RW-02 rev.10/11/2011 .,Page 2 of 2
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
y OF C VMS
F,p No. 2014- 00950 PA No. 21- 14- 0950
.lam Estate Of: JOSEPHJPATSY
V D Q (First,Middle,Last)
alk/a: JOSEPH JACOB PATSY
Late Of: MIDDLESEX TOWNSHIP
CUMBERLAND COUNTY
Deceased
1750 Social Security No: 200-36-6926
WHEREAS, on the 3rd day of October 2014 an instrument dated
August 6th 2014 was admitted to probate as the last will of
JOSEPH J PATSY
(First,Middle,Last)
a/k/a JOSEPH JACOB PATSY
late of MIDDLESEX TOWNSHIP, CUMBERLAND County,
who died on the 13th day of September 2014 an
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, LISA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
JOHN T KRANCHICK JR
who has duly qualified as EXECUTOR(RIX)
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE,
CARLISLE, PENNSYL VA NIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my ogice on the 3rd day of October 2014.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
H105.805 REV(9/11)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
RECORDED OFFICE OF
Fee for this certificate, $6.00 REGISTER OF WILLS: f f� This is to certify that the information here given is
j,,I11�p�TH OF pF�;- correctly copied from an original Certificate of Death
?01q OCT 3 HM 20 15 `,`',�p� __ �`r� duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
L L R K ?v y a Records Office for permanent filing.
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P 2079582OORPHIIS' GOURT El : eA.'F�,.rl�. � sE
BERLA'�i? +� r'i 9lMENTOF��1 "� V 1 6�LO14
1(
Certification Number /J//J/I X111 Local Registrar Date Issued
Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH-VITAL RECORDS
Permanent CERTIFICATE OF DEATH
Black Ink State File Number:
1.Decedent's Legal Name(First,Middle,Last,Suffix) 2.Sex 3.Social Security Number 4.Date of Death(Mo/Day/Yr)(Spell Mo)
Joseph Jacob Patsy Male 200-36-6926 September 13, 201
Sa.Age-Last Blrthday(Yrs) iS..Under 1 Da 6.Data of Birth(Mo/Day/Year)(Spell Month) 7a. firth ce( ity and to or Foreign Country)
��. 66 Mpnus Days Hpurs Minutes July 1, 1948 G@arl.is�le, . A ..
7b.Birthplace(C...ty) Curnh-T-1 And
Ea.Residence(State or Foreign Country) 8b.Residence(Street and Number-Include Apt No.) 8c.Did Decedent Live In a Townshl ?
PA 1206 Harrisburg Pike pyYes,decedent lived in Ngiddlesex two
8tl.Residence(County) .
Cumberland Be.Residence(Zip Code) 17013- 0 No,decedent lived within limits of city/born.
9.Ever In US Armed Forces? 10.Ma ritai Status at Time of Death 0 Married Widowed 11.Surviving Spouse's Name(If wife,glue name prior to first marriage)
Ves )CXNo 0 Unknown EX Divorced 0 Never Married 0 Unknow
12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Marriage(First,Middle,Last)
GloriO J. Pats Ed the B. Baker
14a.Informant's Name 14b.Relationship to Decedent 14c.Informant's Mailing Address(Street and Number,City,State,Zip Code)
c Frank Patsy Brother 715 Avondale Drive, Sterling, VA 20164
G _ _ _ _ _ _ _ _ i a.P ace o Deat ceheec o ne _ _ __ _ _ _ _ _
If Death Occurred in a Hospital: 15 Inpatient I If
Death Occurred Somewh Other Than a Hospital Hospice Facility r]Decedent's Home
0 0 Emergency Room/Outpatient E] Dead on Arrival 1 t_al Nursing Home/Long-Term Care Facility 0 Other(Specify)
15b.Facility Name(If not institution,give street and n tuber) ISc.City or Town,State,and Zip Code 15d.County of Death
Manor Care Health Services Carlisle, PA 17015 Cumberland
LL 16a.Method of Disposition 0 Burial [ Cremation 16b.Date of Disposition 16c.Place of Disposition(Name of cemetery,crematory,or other place)
$ O Removal from State E3 Donation Sept 16, 201 . Hoffman-Roth Funeral Home & Crematory
O Other(Specify)
Z16d.Locatlon of Disposition(City or Town,State,and Zip) 17a�Slgn tore of Funeral rvice r Perso Charge of Interment 17b.License Number
Carlisle, PA 17013 % 0131441,
0 17c. d Comp to A dre of Funeral I
) roan-1�2Ot�1 uneraf come & Crema ory,219 North 14mover Street, Carlisle, PA 17013
m 18.Decedent's Education-Check the box that best describes the 19.Decedent of Hispanic Origin-Check the 20.Decedent's Race-Check ONE OR MORE r s to Indicate what
I- highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be.
0 8th grade or less Is Spanish/Hispanic/Latino. Check the"No" White 0 Korean
No diploma,9th-121h grad, box If decedent Is not Spanish/Hispanic/Latino. Black or African American [3 Vietnamese
High school graduate or GED completed No,not Spanish/Hispanic/Latino 0 American Indian or Alaska Native O Other Aslan
So college credit,but no degree Yes,Mexican,Mexican American,Chicano O Aslan Indian 0 Native Hawaiian
0 Associate degree(e.g.AA,AS) 0 Yes,Puerto Rican Chinese O Guamanian or Chamorro
p Bachelor's degree(e.g.BA,AB,BS) 0 Yes,Cuban 0 Filipino 0 Samoan
O Master's degree(e.g.MA,MS,-Eng,MEd,MSW,MBA) Cl Yes,other Spa nlsh/Hispanic/Latl no 0 Japanese 0 Other Pacific Islander
Doctorate(e.g.PhD,Ec1D)or Professional degree (Specify) Other(Specify)
.MD DDS,DVM,LLB JD
21.Decedent's Single Race Self-Designation-Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 227.Decedent's Usual Occupation-Indicate type of work
White 0 Japanese 0 Samoan done during most of working life. 00 NOT USE RETIRED.
Black or African American 0 Korean 0 Other Pacific Islander Carpenter
0 or American Indian Alaska Native Cl Vietnamese C3 Don't Know/Not Sure
0 Asian Indian 0 Other Asian0 ustry
Refused 22b.KI nd of Business/Ind
0 Chinese 0 Native Hawa Ilan 0 Other(Specify)
0 Filipino GuamanlanorChamorro Construction
ITEMS 23,-23d MUST BE COMPLETED 23e.Date Pr n e Dead(Mo/Day/Yr) 23b.Signature of Person Pronouncing Death(Only when applicable) 23c.License Number
BY PERSON WHO PRONOUNCES OR /Y2 ou^c Z �� ��t/�/� r�, 2 �'J
CERTIFIES DEATH V-1 3 a�Jc tj • •• ��I ��+� 1 ao
23d.Date i��d( o/DaTL4 24.Time o DeatF�
�<J 25.Was Medical Examiner ar Coroner Contacted? O Yes No
CAUSE OF DEATH - Approximate
26.Part 1. Enter the chain of a eats--diseases,inj-les,o mplications--that directly caused the death. DO NOT enter terminale cnts such a ardlac arrest, Interval:
respiratory arrest,or ventricular fib rlllation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional Imes if necessary. 1 Onset to Death
IMMEDIATE CAUSE ---------------> a. G ♦ r 6' - 6 s `-r 1
(Final disease or condition Due to(or as a consequence of):
resulting In death)
In. 1
Sequentially list conditions, Due to(or as a consequence of):
If any,leading to the cause -
listed on Iine a. Enter the c.
UNDERLYING CAUSE - Due to(or as a consequence of): I
(disease or Injury that
F initiated the events resulting d. I
in death)LAST. Due to(or as a consequence of):
,rg 26.Part 11. Enter other siRnificant conditions ntrib tin to death but not resulting In the underlying cause given in Part 1. 27.Was an autopsy perf med7
0 Ves NO
lam. 28.Were a utoptyfintll ngs" liable
s to coplete the cause death?
,}y IT
Yes
29.If Female: 30.Did Tobacco Use Contribute to Death? 31.Manner of Death
E0 Not pregnant within past year 0 Ye 0 Probably atural
on
0 Pregnant at time of d-th o D Unknown 0 Homicide
m 0 Not pregnant,but pregnant within 42 days of death 0 Suicide t Cl Could not be deC3 Pending termined
r 0 Not pregnant,but pregnant 43 days to 1 year before death 32.Date of Injury(Mo/Day/Yr)(Spell Month)
0 Unknown if pregnant within the past year 33.Time of Injury
34.Place of Injury(e.g.home;construction site;farm;school) 35.Location of Injury(Street and Number,City,County,State,Zip Code)
Injury at Work 37.If Transportation Injury,Specify: 38.Describe How Injury Occurred:
0 Yes 11 Driver/Operator 0 Pedestrian
0 No O Passenger 0 Other(Specify)
Y 39a.Ce -physician,certified n e practitioner,medical examiner/co er(Check only one):
rtifying only-To the best of my knowledge,death o red due to the c se(s)and m stated.
0 Pronouncing g.Certifying-To the best of my knowledge,death o red at the time,date,and place,and due to the cause(,)and m stated.
0 Medical Examiner/Coroner-On th asls f examination and/or investigation,In my opinion,death o red at the time,data,and placer and due to the cause(s)and manner stated.
Signature of certifier: Title of certifier: r C> r C/W eO'F �:] - 0-
396.Name,Atldress and Zip C de o�Pe on G mpleting Cause of Death(Item 26) /�• License Number:39c.Dafpe Signed(Mo/Day/Vr)
AfA
40.Registrar's Disirl Nu 41.Registrar's Slgnatu e \ ` 42.�L
4aFll,Date(Mo/Day Vr)
43.Amendments
O_
Disposition Permit No.�J 4- 1 5 9 RFV.111n,I
ant
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JOSEPH J. PATSY C—,;o CD
1, Joseph J. Patsy, of Carlisle, Cumberland County, Pennsylvania,
being
rn
sound and disposing mind, memory and understanding, do make, publith andWeclge,,,
this to be my Last Will and Testament, hereby revoking and making void all previous
Wills and Codicils heretofore made by me.
FIRST
I order and direct my personal representative hereinafter named to pay all of my
just debts, funeral expenses and expenses involved or connected with the
administration of my estate as soon after my death as is reasonably possible. However,
my personal representative need not accelerate and pay those unmatured obligations
which, in his or her opinion, it might be proper and more advantageous to retain or
renew and pay as they become due and payable. If I do not own a burial plot or a grave
marker at the time of my death, I authorize my personal representative, in his or her
sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and
to expend sums from my estate for this purpose.
SECOND
I give, devise and bequeath my interest in my house, located at 1206 Carlisle
Pike, Carlisle, Cumberland County, Pennsylvania, together with all of its contents, to my
brothers, Francis A. Patsy, of 715 Avondale Drive, Sterling, Virginia, 20164 and Glori'o
J. Patsy, Jr., of 7735 Llangollen Way, Cumming, Georgia, 30041 who survive me by
sixty (60) days.
THIRD
I give and bequeath the sums of Ten Thousand Dollars ($10,000.00) to my dear
friend, John T. Kranchick, Jr., of Carlisle, Cumberland County, Pennsylvania, and Five
Thousand Dollars ($5,000.00) to my good friend, Peter Merisotis, of Carlisle,
Cumberland County, Pennsylvania, providing they survive me by sixty (60) days.
FOURTH
I give and bequeath the rest, residue and remainder of my estate, together with
all insurance proceeds thereon of whatsoever nature and wheresoever situate, to Pirate
Charities, PNC Park, 115 Federal Street, P.O. Box 7000, Pittsburgh, PA 15212.
FIFTH
My executor is authorized and empowered to exercise from time to time in his
sole discretion and without prior authority from any Court, in respect of any property
forming part of any trust hereby created or otherwise in its possession hereunder all
powers conferred by law upon executors and the Testator intends that such powers be
construed in the broadest possible manner.
SIXTH
I nominate, constitute and appoint my good friend, John T. Kranchick, of
Carlisle, Cumberland County, Pennsylvania, Executor of this my Last Will and
Testament. I direct that my personal representative shall not be required to give or post
bond for the faithful performance of his duties in this or any other jurisdiction.
SEVENTH
I hereby declare it to be my expressed desire that my personal representative
employ Turo Robinson Attorneys at Law, of Cumberland County, Pennsylvania, for legal
advice and assistance regarding this my Last Will and Testament, they having
considerable knowledge of my affairs, views and wishes respecting any matters that
may arise at the probate of this instrument, the administration of my estate, and the
execution of the powers herein mentioned.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and
Testament this day of z4 alls �, 2014.
Witness Joseph J. I5atsy
fttj rl
Witness
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
: SS
COUNTY OF CUMBERLAND
I, Joseph J. Patsy, the Testator whose name is signed to the attached or
foregoing instrument, having been duly qualified according to the law; do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testament;
that I signed it willingly, and that I signed it as my free and voluntary act for the
purposes therein expressed.
Joseph J. Patsy /
Sworn or affirmed and acknowledged before me by Joseph J. Patsy, thy6--'
Testator, this Coday of , 2014.
NoPublic
COMMONWEALTH OF P.ENNSY.LVANIAT;,--"i[:'i:f`.i.,i,, i5,'L,kh.i'",L 1,1�lt::;':-
Notarial Seal _._-. .
lames M. Robinson, Notary Public
Carlisle Boro, Cumberland County.
My Commission Expires June 6, 2017
MEMBER,PENNSYLVANIA ASSOCIATION OP NOTARIES
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
: SS
COUNTY OF CUMBERLAND
We, Koa.,,,L-6 4.-TuJzo and Pe-,,1,eeh - 51---4iJ0yP-, the witnesses
whose names are attached to the foregoing document, being duly qualified according to
the law, do depose and say that we were present and saw Testator sign and execute
the instrument as his Last Will and Testament; that he signed willingly and that he
executed it as his free and voluntary act for the purposes therein expressed; that each
subscribing witness in the hearing and sight of the Testator signed the Last Will and
Testament as witnesses and that to the best of our knowledge the Testator was at the
time 18 or more years of age, of sound mind and under no constraint or undue
influence.
Sworn or affirmed and subscribed before me by P cJAtA A and
}ee ST�•nov/ this day of Ar,.)(,u5; 12014.
Nott
Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
James M.Robinson, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires June 6;2017
MEMBER.PENNSYLVANIA ASSOCIATION OF NOTARIES