HomeMy WebLinkAbout04-02-15 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
Name: EDWARD ZALESKY File No: 21-15- 3(�2S
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 3/26/2015 Age at death: 85
Decedent was domiciled at death in CUMBERLAND County, PENNSYLVANIA (State)with his/her last
principal residence at 20 LONGVIEW DR. 17050 SILVER SPRING CUMBERLAND
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 46 ERFORD RD. 17011 CAMP HILL CUMBERLAND PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
Ifdomiciled in Pennsylvania................................All personal property $ 250,000.00
Ifnot domiciled in Pennsylvania.............................Personal property in Pennsylvania $
If not domiciled in Pennsylvania.............................Personal property in County $
Value of real estate in Pennsylvania.............................................................. $ 200.000.00
TOTAL ESTIMATED VALUE.... $ 450.000.00
Real estate in Pennsylvania situated at: 20 LONGVIEW DR 17050 SILVER SPRING 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)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated 2/6/2015 and Codicil(s)
thereto dated NONE
State relevant circumstances(e.g.renunciation,death ofexecutor,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 ❑EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration(If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendeme lite,durante absentia,durante minoritate
If Administration,at.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent 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 was neither the victim of a killing nor ever adjudicated an incapacitated person.
❑ NO EXCEPTIONS ❑EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
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Name Relationship AddrtEs d
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Form RW-02 rev.10/11/2011 Page I of 2
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Oath of Personal Representative ea,
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COMMONWEALTH OF PENNSYLVANIA } t cn r� C�
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COUNTY OF CUMBERLAND } > :E
Petitioner(s)Printed Name Petitioner(s)Printed Addtess fV .
54 E. MAIN ST. r
DAVID R. GALLOWAY MECHANICSBURG PA 17055
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 Decedent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to fft
or rmed and subscr'bed be ore Date
me thi a Date
BY Date
For the Regi er Date
BOND Required: ❑ YES M NO To the Register of Wills:
FEES: Please enter my appearance by/my s/ture elow:
Letters... . .... ..... ... . . . . . . . $ Attorney Signat e:
( 3 )Short Certificates(s) .. . . ..
( )Renunciation(s). . . . . . . . . .
( )Codicil(s) . . . . .... . . . . . .
( )Affidavit(s). . . . . . .. . . . . .
Bond Printed Name: MURREL R.WALTERS, III
Commission . . . . . . . . . .... . . . .. . . Supreme Court
Other VJk � , , ,,,. , , , (rj ID Number: 24849
Irl V 15
r :(.Y'7. lS Firm Name: WALTERS&GALLOWAY, PLLC
Address: 54 E. MAIN ST.
MECHANICSBURG PA 17055
• • • • •• • • . Phone: 717-697-4700
• • • • • . . • . Fax: 717-697-9395
Automation Fee ..... . . .. . . . . . . .. Email: murrelCaDwaltersgalloway.eom
JCS Fee . ...... . ..... . . . . . . . . .. 35.�JO
TOTAL . ...... . . .... . . . .... . .$
DECREE OF THE REGISTER
Estate of EDWARD ZALESKY File No: 21-15- �
a/k/a:
AND NOW, ID- �� ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters TESTAMENTARY
are hereby granted to DAVID R. GALLOWAY
in the above estate and(if applicable)that
the instrument(s)dated FEBRUARY 6. 2015
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
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Form RW-02 rev.10/11/2011 ,J n Of 2
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LAST WILL AND TESTAMENT 'i rv '
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BE IT REMEMBERED THAT
1, EDWARD ZALESKY, a resident of Cumberland County, Pennsylvania, being of
sound mind, memory and understanding, do make, publish and declare this to be my LAST
WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils previously made by
me.
I
I declare that I have three children, MARY KATHLEEN ALBRIGHT, REBECCA A.
DODSON and SUSAN M. ZALESKY. I have intentionally made no provision for my daughters in
this Last Will and Testament as I have previously provided for them in other ways.
II
I direct that all my just debts and funeral expenses shall be paid from my residuary estate as
soon as practicable after my decease.
III
I direct that all estate, inheritance and other death taxes, together with interest and
penalties payable with respect to the property or interests subject to taxation by reason of my
death and whether passing under my will or any codicil, or otherwise, including jointly-held and
other non-testamentary property shall be paid out of the principal of my residuary estate before
its division into shares in the same manner as an administration expense.
IV
I give, devise and bequeath all my property, whether real or personal, wherever situate,
including any property over which I may have a power of appointment, to my grandson, DAVID E.
DODSON(hereinafter"GRANDSON").
V
TRUST
I appoint my granddaughter, MARY K. DODSON, as Trustee of the property that I have
given to my GRANDSON. If my granddaughter is unable or unwilling to act in that capacity, then
I appoint my daughter, REBECCA A. DODSON,as alternate Trustee.
The Trustee shall hold and distribute the principal and income of this trust as follows:
A. During the lifetime of DAVID E. DODSON, to the extent that benefits are not
made available to him for other than basic living expenses, including food and shelter, the
Trustee, in her absolute discretion, may distribute from income and principal to or for the benefit
of DAVID E. DODSON, for his needs other than basic support. For the purposes of this
provision, non-support purchases include, but are not limited to: dental care; nonreimbursable
medical expenses not covered by Medicare or Medicaid, including plastic and reconstructive
surgery, diagnostic work and treatment, rehabilitative training and experimental medical
services; supplemental nursing care; recreation, cultural experiences, outings and travel,
including payment for others to accompany my beneficiary; telephone and television; reading
and educational materials (including computer equipment and programs); exercise equipment;
and unreimbursed therapy. The Trustee's discretion in making distributions authorized
hereunder, is absolute, full, and complete with regard to distributions from the trust estate, and
shall be binding on all interested persons. If possible, the Trustee shall make distributions
directly to the service provider and not to my disabled child.
2
In authorizing any distribution to or for the benefit of my GRANDSON, the Trustee must
recognize that any such expenditures are to satisfy only non-support needs and that such
contributions, if any, are not intended to displace any source of income otherwise available to my
GRANDSON for his basic support (such as food and shelter), including any governmental
assistance program to which he is or may be entitled. No portion of this Trust is intended to be a
resource of DAVID E. DODSON. This Trust is intended to be a discretionary spendthrift trust.
Any and all non-support sums distributed which are related to my GRANDSON's medical care
or shelter shall only be made directly to the third-party provider and not to my GRANDSON.
As this Trust is specifically not intended to provide basic support and maintenance needs
for my GRANDSON, if he is unable to maintain and support himself from his own resources and
sources of income, the Trustee shall seek such support for him from public sources. This Trust
has specifically not been created to supplant or replace public-assistance benefits available
through any county, state, federal or other governmental agency. The Trustee should, therefore,
seek entitlements which are available to members of the community who are experiencing
disabilities that are substantially similar to those that my GRANDSON experiences. The Trustee
shall deny any request made by any agency or governmental entity requesting disbursement of
trust funds to satisfy my GRANDSON's support needs.
The Trustee shall take whatever legal steps may be necessary to initiate or continue any
public-assistance program for which my GRANDSON is or may become eligible. The Trustee
shall bring such action in any court having jurisdiction over the matter, to secure a ruling or order
that this Trust is not available to my GRANDSON for support purposes. Any expenses of the
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Trustee including reasonable attorney's fees, in connection with matters relating to determination
of the eligibility of my GRANDSON for public support, shall be a proper charge to the Trust.
B. On the death of my GRANDSON, the remaining principal and unaccumulated
and undistributed income shall be paid and distributed in equal shares to any of my
GRANDSON's issue, per stirpes. If my GRANDSON leaves no issue, then the remaining
principal and unaccumulated and undistributed income shall be paid and distributed to his Estate.
C. Trustee in her sole and absolute discretion shall have the power to determine, at
any time, that the continuation of the supplemental needs trust for my grandson's benefit as a
separate trust is not warranted (whether due to economic infeasibility or difficulty of
administration), and trustee is authorized to distribute any funds remaining in the supplemental
needs trust to a pooled fund for my grandson's benefit, such as "Planned Lifetime Assistance
Network of Pennsylvania Trust for the Mentally Disabled (also known as Plan of PA)" that has
been established to assist individuals with special needs from which my child would benefit.
D. The Trustee shall serve without bond and shall receive fair and reasonable
compensation for administration of this Trust.
VI
I nominate, constitute and appoint DAVID R. GALLOWAY, ESQUIRE of Walters &
Galloway, PLLC, as Executor of this LAST WILL, to serve without bond. If DAVID R.
GALLOWAY, ESQUIRE, is unable or unwilling to act in that capacity, then I nominate, constitute
and appoint, MURREL R. WALTERS, III, ESQUIRE of Walters & Galloway, PLLC, as Executor
of this LAST WILL,to serve without bond.
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IN WITNESS WHEREOF, 1, EDWARD ZALESKY, have set my hand to this LAST
WILL this 6`h day of February, 2015.
EDWARD ZALESKY
Signed, sealed, published and declared by the above-named EDWARD ZALESKY, as and
for his Last Will and Testament,in the presence of us,who,at his request and in his presence, and in
the presence of each other, have hereunto subscribed our names as witnesses.
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ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA:
ss.
COUNTY OF CUMBERLAND
I, EDWARD ZALESKY, Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the
purposes therein expressed.
EDWARD ZALESKY
Sworn or affirmed to and acknowledged before me by EDWARD ZALESKY,Testator,
this (P day of [-�Ir �(�d�p ,2015.
4k)'�Cur\ -f--\ 4 Cuc-;C-
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Susan L.Houck,Notary Public
Mechanicsburg Boo,Cumberland County
My Commission Expires Dec.3,2016
MEMBER,PENNSYLVANIA A5sOCIATION OF NOTARIES
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AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA:
ss.
COUNTY OF CUMBERLAND
t / ��!'' j
We, 4614 _ C d and D S Q d'N e�l/L1 caVL•4'l��
the witnesses hose names are signed to t e attached or foregoing instrument, being duly qualified
according to law, do depose and say that e were present and saw Testator sign and execute this
instrument as his LAST WILL, that EDWARD ZALESKY signed willingly and that he executed it
as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and
sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator
was at the time 18 years of age or more, of sound mind and under no constraint or undue influence.
Sworn or affirmed to and acknowledged before me
this (p�Kday of '��1��` ,2015.
C(_V\
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Susan L.Houck,Notary Public
Mechanicsburg Boro,Cumberland County
My Commission&49res.Dec.3,2016
MEMBER.PFNW"vAWA ASsM- -ATION OF NOTARIES
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