HomeMy WebLinkAbout06-09-15 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF���}s'Y1���CCf��� COUNTY,PE?v'i�tSYLVANIA
Petitiot�er(s) named below, who is/are 18 years of age or older, apply(iesl far• Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the �rant of Letters :r:i the appropriate form:
Decedent's Information ',� � , �� , /„ , /�
Name: �j �f�X51� File No: _ lU 7
����: (Assigned by Register)
a/k/a:
a/(�i�. Social Security No: �
Date of Death: S • I Z� . 7[`��� Age at death: ��
Decedent was domiciled at death in �,�,����s'�.LL�1,G� County, �°�=r�� (Srare)with his/her last
principal residence at 3`�'0�� �p�-}t�Y1�7t'i �f' ►�O�. Z� C�ClM�1i 7 E-�i�� t�t i��rc��'l ��rL'l�'�F`�I Qi1-�
Street address,Post O �ce and Zip Code City,Totivns ip or Borough County
Decedentdiedat WE�� 5ti1e��- �1C��0►�e�.► �'�L�`1Gv'tiC��)�,��z, 7r�tiC{�jr�n� l'ur1�,F1C't"lGU1� Q�
Street address,Post Office and Zip Code City,Township or I�orBfigh 1 unty State
Estimate of value of decedent's property at death:
I/�doneiciled in Pennsylvania.......... .................. A11 personal property �
I/'not daniciled i�t Pennsylvania. ... .... ... .......... ... Personal property in Pennsylvani� $
If not domiciled in Pe�uisylnania. .......... ... ........ .. Personal property in Councy $
Value of real estate in Pennsy[vania...... .. . ....... ........... ... ..... ...... . .. ............. $
TOTAL ESTINIATI�D VALUE. ... $ IOCJ`�"
Real estate in Pennsylvania situated at: --
(,4ttach additionnl sheeu,i/necessary.) Street address,Post Office and Zip Code (:ity,To�vnship or Borough County
� A. Petition for Probate and Grant of Letters Testamentarv ''''J �
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of tlie Decedent,dated / • c.) '� � and Codicil(s)
thereto dated
State relevant circmnstances(e.g.re�eunciatiori,rleaUt oJ'e.eecutui•,etc.)
Except as follows: after the execution of the instrument(s)offered for probate Decedei�t did not marr}�,was not divorced,was not a party to a pending
divorce proceeding wherein the grotmds for divorce had been established as defined in 23 Pa.C.S. §3323(g),and did not have a cl�iid born or
adopted;and Decedent was ueither 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.i�.,d.b.n.c.t.a.,j�eii�lante lite,cla�rmite abs�entia,dttrante�ninoritate
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A nbove and complete list of heirs.
Except as follows: Decedent was not a parry to a pending divorce proceeding wherein the growi�ls for divorcc had been established as defined
in 23 Pa.C.S. §3323(g)and was neiClier Yhe victim of a killing nor ever adjudicated an iucapacitated person.
�NO�XCGPTIONS �EXCEPTIONS __
� Petitioner(s),af�;r a proper search has/have ascertained that Decedent left no W ill and was swviv�,dl•�the following spouse(if any)and heirs(attach
crdclitioriul sheets, ii�necessaryJ:
Name Relationshi � Address
RECORDED UFFICE
REGISTEROF WIL.LS
F�,-,�,aw-nz r��v.�n;�uzn�� 2015 JUIVE09 � Page 1 of 2
CLERK OF OIZPHA NS'COURT �
CLJNBERI.AND C(:)UNTY,PA
�� rr i n n,r �
Oath of Personal Representative off��a�use on�y
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
�� . , C , �i� .��_ �0�t 4 �t;��rk /�c� i�J'�.�i�shU 4z1 b� -ZS y0
-�. YY� l�` hla, lo�` _, _ h (-,ct, 1=�_11� `��,'(�-?�:S f� d25ti► y
The Petitioner(s)above-named sweaz(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, etitioner(s)will ll an�itruly administer the estate according to law.
� ,��� �
Sworn t �affirmed bscribed b re �' ----�-' Date��J ' �/� f�`�
me thi ��21ay nate !�• S'` �J"
B Date
Date
F the Regis r
BOND Required:QYES �NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
'av Attorne Si nature:
Lett� . . . . . . . . . . . . . . . . . . . . . . $ � Y g
( ) Short Certificate(s). . . . . .
( )Renunciation(s).. . . . . . . . � a
( )Codicil(s). . . . . . . . . . . . . _
( )Affidavit(s).. . . . . . . . . . . � �
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: � � � �
Commission. . . . . . . . . . . . . . . . . . Supreme Court � w � �
th r . . . . . . ID Number: 0
� . . . . . . . . •D O �
Firm Name: �
�_ , , . , -fJ(� Address: O � �O 0
. . . . . � � � � �
. . . . . . . . U U
Phone:
Automation Fee. . . . . . . . . . . . . . . �a Fax: �
JCS Fee. . . . . . . . . . . . . . . . . . . . . -V Email: `
TOTAL. . . . . . . . . . . . . . . . . . . . . $ �..
DECREE OF THE REGISTER
Estate of � �'1 eS ur,�S� File No: ,���"��
a/k/a:
AND NOW, < I;r�e % _, ���� , in consideration of the foregoing Petition,
s a t i s f a c t o ry proof havin g been presented before me,IT IS D CREED that ters eJ�r�/Y��n� /�
are hereby grant�cj�to 1 G , I "
�-��� �1// 7`,f-/ Gt� �' in the above estate and(if applicable)that
the instrument(s) dated 0
described in the Petition be adm� ted to probate and filed of ecord as the last Will (�ind Codicil(s)) of Decedent.
� i �S' �
�� �' ��,
Register of Wills /I"1
,��r'�
,/
:-%� Page 2 of 2
FormRW-02 rev. 10/l!/20/1
��n,�.,n ritir �
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
, , �
y
oF cuiy �, ,; .
,�y r�,� e�`� No. 2015- 00643 PA No. 21- 15- 0643
J� 9 Es ta te Of: AGNES C URBASIK
lFirst,Midd/e,LastJ
c°� u v
/���'/T �� La te Of: CAMP HILL BOROUGHY
�-s--"�� CUMBERLAND COUNT
� Deceased
Social Security No: 166-26-0688
i�so
WHEREAS, on the 9th day of June 2015 an instrument dated
July 5th 2007 was admitted to probate as the last will of
A GNES C URBA SlK
(Fi�st,Middle,Lastl
late of CAMP H/LL BOROUGH, CUMBERLAND County,
who died on the 12th day of May 2015 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certi fy tha t I have thi s day gran ted Le t ters TESTAMENTARY to:
MARIE C RICKRODE and THERESA M HIGHLANDS
who have duly qualified as EXECUTOR(R/X)
and have agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 9th day of June 2015. ,,,
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
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LAST WILL AND TESTAMENT
OF
AGNES C. URBASIK
I,AGNES C. URBASIK, a resident of INDIAN RIVER County, Florida,
declare this tn be my Last Will and Testament, revoking all other wills
and codicils previously made by me.
ARTICLE I
Debts and r^unera� Ex_penses
I direct that all my just unsecured debts and funeral expenses be
paid as soon after my aeath as rEasonably may be convenient, and I
authorize my personal representatives to settle any claim against my
estate in their absolute discretion.
ARTICLE II
Experises of Administration
I direct that all expenses of administering my estate (including
expenses payable with respect to assets not passing under this will) be
paid out of my residuary estate. All expenses of packing, storing, and
shipping my tangible pErsonal property shall be paid as expenses of
administration.
ARTICLE III
Tanaible Personal Propertv
I devise certair items of my taT:yible pers^nal �ropertjr to the
persons named in the last dated writing signed by me and in existence at
the time of my death. If no separate writing is found and properly
identified by my personal representatives with.in 10 days after the
qualification of my personal representatives, it shall be presumed that
there is no such writing, and any subsequently discovered writing shall
be ignored. I devise all of the remainder of my tangible personal
property (or all of my tangible personal property in the event there is
no such writing in existence at my death) to my surviving children,
THERESA M. HIGHLANDS, MARY ANN REDDING, AGNES M. PFEIFFER, JUDITH A.
WENTZ, JOHN J. STEPHENS, CATHERINE M. URBASIK, and MARIE C. RICKRODE, in
approximately equal shares as they may agree, or lacking agreement, as
determined by my personal representative.
RECORDID OFFTCE
REGISTEROF WILiS
2015 NNE09
c�xoFo���'counr ,�,�;,�
CU1��ERLAND COUNTY,PA :i�e`
'"""l�I"l�'11��1'111 "
ARTICLE IV
Residuary Estate
I devise all of the rest, residue, and remainder of my estate, real,
personal, and mixed, wherever situated, to my children, THERESA M.
HIGHLANDS, MARY ANN REDDING, AGNES M. PFEIFFER, JUDITH A. WENTZ, JOHN J.
STEPHENS, CATHERINE M. URBASIK, and MARIE C. RICKRODE, in equal shares.
If any of my children should predecease me, his or her share of my
residuary estate shall be distributed to his or her lineal descendants
who survive me, in equal shares per stirpes, or, if none, to my lineal
descendants who survive me, in equal shares per stirpes.
ARTICLE V
DiJable� Beneficiaries
Whenever any property of my estate is required to be paid to a
minor, a person under legal disability, or a person not adjudicated
incapacitated but who, by reason of illness or mental or physical
disability, is unable, in the opinion of my personal representatives,
properly to administer the property, payment may be made
a. directly to the beneficiary;
b. to the legally appointed guardian of the person or guardian of
the property of the beneficiary;
c. to some near relative of the beneficiary, to be applied for
the benefit of the beneficiary;
d. directly for the benefit of the beneficiary; or
e. to a custodian for a minor beneficiary under the Florida
Uniform Transfers to Minors Act.
PP.TICLF VI
Assets Passing Outside This Will
I hereby confirm that all properties -- real, personal, and mixed --
including bank accounts, held in my name and that of my spouse as tenants
by the entireties or in my name and that of any person as joint tenants
with rights of survivorship, are intended to pass by operation of law and
not under this will. It also is my intent that assets with a named
beneficiary pass to the named beneficiary by operation of law and be
affected by this will only to the extent my estate or any trust hereunder
is named as beneficiary or the asset would pass to my estate or any trust
hereunder due to the provisions of any agreement controlling the
disposition of the asset.
.�°i rri_ n rnr ,
ARTICLE VII
A��ointment and Powers of Personal Representatives
I appoint THERESA M. HIGHLANDS and MARIE C. RICKRODE, as personal
representative of my estate, and I direct that no bond for the faithful
performance of his/her duties as personal representative be required of
him/her. In addition to all powers granted to my personal representative
by law, I authorize my personal representative, if and whenever in
his/her discretion he/she deems it advisable, for any purpose whatsoever,
to make and enter into contracts; to sell the whole or any part of my
real or personal property without court approval, at public or private
sale; and to execute and deliver all deeds and instruments of transfer
necessary or proper to pass the titie th�reto. My personal representative
shall have the right to make distribution of my estate non-pro rata among
the beneficiaries. If THERESA M. HIGHLANDS and MARIE C. RICKRODE shall
fail or cease to serve as my personal representative for any reason, I
appoint JUDITH A. WENTZ as successor personal representative, to serve
without bond and with all the powers, discretions, and immunities granted
above to my personal representative.
ARTICLE VIII
Miscellaneous
The headings used herein are intended solely for use as reference
and are not intended to be a part of this will .
When necessary or appropriate to the meaning in this will, the
singular and plural shall be interchangeable, and words of any gender
shall include all genders .
'*^"I II`I '11'i171" '
.,
I sign and publish this as my Last Will and Testament, the same
consisting of (5) pages, each page of which bears my initials or my
signature, all in the presence of two individuals witnessing and
attestin the same at my request in the state of Florida, on
-�� � U� ,.
r�,
A S C. URBASIK
The foregoing was published, declared, and signed by AGNES C.
URBASIK, in our presence, as and to be her Last Will and Testament and
we, at her request, in her presence, and in the presence cf each other,
hereby subscribe as attesting witnesses.
� ���"��,.��, ��
Witness Address
Q�hhl�2� � ��.I.S.ta`�'V 1���1.� �c�'c�1 �,
witness Address
�=���i iri —����r�r a
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STATE OF FLORIDA
COUNTY OF INDIAN RIVER
We, AGNE S C. URBAS I K, and �����.v�.�•. l.-������Y�1,�� and
�,hlCj��, G l liSGr� , the testatrix, and the
witnesses, respectively, whose names are signed to the attached Last Will
and Testament of AGNES C. URBASIK, being first duly sworn, do hereby
declare to the undersigned officer that the testatrix, in the presence
of the witnesses, signed the instrument that she identified as her Last
Will and Testament, that she signed voluntarily, and that each of the
witnesses, in the presence of the testatrix, at her request, and in the
presence of each other, signed the Will as a witness and that, to the
best of the knowledge of each witness, the testatrix was at that time 18
or more years of age, of sound mind, and under no const�aint or undue
influence.
..�y� 9_
� ,.
A E S C. URBAS I�I�
d��,�.�� �:�C.+., � ��r1�'Z�-�
Witness
\,/��1._.�.J �',�`-�'�d;.�C,� ��
Address
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Witness
�%S�� a�'�:`�:Y-L't(:�1 (�`-�
Address
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
Sworn�� a, nd saubs�r' d ore me by AGNES Ci URBASIK and the
witnesses �CC C� and ` ''���4'_:',, ,�, G �;So�n on
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N T . PUBLIC- TATE OF FLORI
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a °� �; Notary Public St i�of F��ida P
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a= � f�� � � �Y P , [Print, type, or stamp commissioned name of
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!v aw ry�`r.'c�.::�'^`�*h'.`a��t..;..':'v. '���_;�.''R'i.°c-�,�^ a
Personally known
� Produced identification
Type of identification produced �••->
This document was prepared with the assistance of Kimberly A. Temple,
1420 20th Street, Vero Beach, Florida 32960, (772) 778-0021.
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