HomeMy WebLinkAbout05-12-05
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
RUL
PAUL
j. Po-r-n/,
JbS€:P/l fJorJII/<
No. ).,I-() 5 -0'-l3R-
also known as
, Deceased
Social Security No. 1132- /8, ouB t,
r""i';o"e'I.I,wh.,i.I.,,, lB year. 01 aoe o,Pl<le.. applyn".l Ill':
(COMPLETE" A" OR "B" BELOW:)
I>.l:I
A. Probate and Grant of Letters and aver that PetitlOner(5) is/are the execut~ named in the Last Will of the
Decedent, dated /0 - 2- - Iq po and codicil!sl dated
Stet.. 'e!eVlII'll c1rcum.t.n~es, e.g.. lenuncle,ion, deeth of executor. elt.
Except as follows, Decedent did not merry, was not divorced, and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudiCAted incompetent:
[J
B. Grant of Letters of Administration
(~_'-." <I.b.n.c.l....: pend"",. Ii'..; du.ente ~b""n'ie; du,enH> mino,i'etel
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse
lif any) and heirs:
I Name Relationship Residence I
-
::re IN ALL CASES:) Attach additional sneets IT necessary.
Decedent was domiciled at death in
residence at
Cum lu'lf L t1 pJ"l'
County, Pennsylvania, with his/her last family or principal
Decedent, then B I.f years of age, died /J1l1c/ 6
,
, 2005 , at
C-)
~"::: C) ~:,;:':;
('1?..rt'LVU (',(6ifDVJ'~~ II&;'~H~ Pit
ILoce,i...,j ",' r'::!:(~:, :,,(
,:""')
(li.'SI,ee'. numb", ellct"-.,,,ieipelil)l
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County. . . . .
Value of real estate in Pennsylvania ............... . . . . . . . . .
Total.. .. . . .. . .. . .. . .. . .. .. . .. _ . . .. .. .... _.,........
Real Estate situated as follows:
__~ ['T')
$ $}boO
>,._~ (""".1
. . - . . $" .!-'"
$\.) ._,.
$~- =~
............. D;'
;~"')
~"';"
C)
': 1
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Wherefore, Petitioneds) respectfully request(sl the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the
appropriate form to the undersigned:
Typed or printed name and reSIdence
"'1vJV-t fbt"J'/k. ~ "/vOW .A.J
B {lJ<lJfU}DAJ au/<. f
CJ'/Plr MIl P/l /701/
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(s} that th s atements in the foregoing Petition are true and
correct to the best of the knowledge and belief of etitioner(s) and t at, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the e ta e according to aw
day of
Sworn to and affirmed and subscribed
before me this I z+L
~\l ~Q5
,-JJ~rJ() JlJ] n o^~-1v1()JlbOJJfAL,;
~ ..luJ1.: 'J
DECREE OF REGISTER
Estate of YelJJJ. SJ "Pok-k Deceased No. ~ \ - OC) -- oll 3d'
also known as ~,..Jl. ~ D pf.--- R)t~k
Social Security No: \5L<. -- IR-OD-.."", Date of Death: 5 -- (P' 05
AND NOW, '(Y\~ \.sL , 20~, in consideration of the Petition
on the reverse side hereon, s~isfactory proof having been presented before me,
IT IS DECREED that letters 0 Testamentary 0 of Administration
Ic.t_~_; d.b.",,',t.. pel'denle lite; ,Jo,ante absent;": du,ante mlno,ila'"1
K nOI. \\ -riT'<--
are hereby granted to ~~""o f?()'tn..J-<
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
letters.......................... .
Short Certificate(s)..(3J.
Renunciation................. .
Affidavit ( ).................
E:~t.u Pa~vo ( )~'.\\....
CodiciL.........................
JCP Fee........................
Inventory & Tax Forms...
Other .G.u.-t:,,~iliP?1Y. ~
TOTAL................
I!W-7a
$ I nO ,CO
~) J l.4c. y
lYoJj 0 nc~ . (l/I IIOA \ ;~--AO.jl~ ll0\--"
','_,0.., tL" 'f. ~..~
$ \;;too
$
$
$\SOU
$
$ In ,0Cl
$
$ 5,ou
7/.,;b)vj11J J AIIR&vJ
861'-13-
5S U CYI/eLlSLf;; I1le
H<fUMMvsl"/t&. 1'14 17050
.
//7 - (;,17-1800
DATE FilED: 5 -- loJ -- 05
Attorney:
1.0. No:
Address:
$ \D:2 ,CoO
Telephone:
1111I~."1I~ R1S IIII~
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 he forwarded to the State Vital Records Office for permanent fthng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
p 1 " 5 ., tj il q ('l
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, ._0 ".-'
No.
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Fee for this certificate, $6.00
5/(0/65
,
Date
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Hl05.14JA....VB7
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
TYPE/PRtNT
~
PE_ANENT
Bl.ACl(INf(
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Dauphin Co.
DECEO[NT'SUSUAL OCCUPAJION
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Ie. Harrisburg
KtNO~BUStNESSltNOUSTRY
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NAME Of'OrIOfOENT If"", M"r:r'"'
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AGE: (La.. 8""'<lay' UNOER1 YE-"R UNOE:R 1 0......
84 Y.. Mon1/'Io. O.p --! ..........
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COUNTY Of' OERH
8 Carleton Court
l..Camp Hill PA. 17011
11.. Dr Cleaner II". Cleaner
OECEOENT'S.......LtNG...DDf\ESS(SIr"'.C...~._..tiPCooel DECEDENT'S
ACTUAL
RESIDENCE
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US.AAMEOFORCES7
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MOTHER.S_,hSl MoOOle.M...,s..,nllffill)
It. Stephania Lunchiski
INfOfUtANT'SMAlllNO...OORESS\SU....c.tyIT<Mn.SIoI..bpCodol
:lOb. 8 Carlt:!ton Court Camp Hill PA. 17011
PLACE~DlSPOsrrlON._a'C_.Pj,C'.m.lafy LOCATION-C~Slal..ZipCodoo
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lTCn_,.,..,......._in
CarnD Hill
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FRHf::R.S NNolE (f.". "'_. La"l
II. Joseph Potak
tNFOI'IMAHT'SNAME(TYP6'P,>tIIl
~ Jeanne Potak-Knowlton
WETHOO OF DISPOSITION
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LICENSE NUU8ER
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......Sc.a.SIi:REFERAEOTO "'EOICALEXA"'INEfllCOAONER1
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REGISTRAR'S SIGN.....URE "'NO NUMBER ki
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Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of
~UL- J
Po hI<
Also known as
No, dJ -()5- OLl 3~
, Deceased
(each) ~, (each) being duly qualified according to law, depose(s) and say(s) that
Cue /ilf(: familiar with the signature of AUL ,p, /1;hJ( ,testat"'.<< of (one of the
subscribing witnesses to) the eodieil/will presented herewith an;t~t u,{ believelhelieves the signature
on the codicil/will is in the handwriting of !/iu L ..j. 01111( \ to the best of
01./ U , knowledge and belief.
Sworn to or affirmed and subscribed
Before me this I d.~ day of
~ ,20 cJ5
Jllontlr. ~nOJ--~~+
Register . ~
~o^%G\~ ~
o puty
98 :8
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~ v71l) !? J/ j(-IA-o--S
(NS}Z I Of/u1.,50 ;; Kf/..
tvt?d"qnIU;hvx 1, /fl
(Address)
J7lJS lJ
e.,an<(le..
(Name)
?J (Va.rfefon ~
(Address) &/11\ -n {.kIf !fI--
\" ) /70//
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LAST WILL AND TESTAMENT
We, Paul J. and Emma E. Potak, husband and wife, of the
Borough of Northampton, County of Northampton, and
Commonwealth of Pennsylvania, desire to make disposition
of our property, real and personal wheresoever situate,
so that there be no contention concerning any of it after
the death of either of us, do each mutually in consideration
of the other making his Will, and of the ?rovisions made
herein in each other's behalf, make this as and for our
Last Will and Testament, hereby revoking all former wills
heretofore made by either of us, and we agree that the same
may not hereafter be changed or varied by either without
the consent in writing of the other.
FIRST: We give, devise and bequeath to the survivor of us
all and any real and personal property either owned by us
jointly or severally for his or her own personal use and
benefit forever.
SECOND: We appoint our beloved daughter,
&~~~I~,~lvania,
Jeanne Potak Knowlton
as our executrix
and waive any requirement of bond or surety as to her alone.
THIRD: The legal debts, administration expenses and funeral
. "'''.,'',
(:~':: '
o ~j;
costs of the first of us to die shall to the ext~n~not
,. ..:J
1,,1 ~'J
provided for by his or her separate estate be paicf7t:l=bm
,.......'=:......1':1
"<:: -1)
('i) :~;<
gjlr
t"....:;-
joint property.
co
(..)
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THIRD: The legal debts, administration expenses and
funeral costs of the first of us to die shall to the
extent not provided for by his or her separate estate
be paid from our joint property.
FOURTH: In the event that we meet our death in a common
accident or disaster, then we hereby give, devise and
bequeath all of our property to our beloved daughter,
Jeanne Potak Knowlton.
FIFTH: That upon the death of the survivor of us, we
give, devise and bequeth all of our remaining property,
real and personal, wheresoever situate, to our beloved
daughter, Jeanne potak Knowlton.
(Y, ~. A~'"
,.{lM _ \r I. <.
Paul . Pot
(SEAL)
Dated: October 2, 1980