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Home My WebLink About11-22-05 Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate of At ~f:., JI < I-/e> L LAs h No. () / . () c- ./ () J-- t/ also known as N A To: / Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania _, Deceased. Social Security No. /7/ / ~ '-+ 7 S-7 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years above decedent, dated~;t, 0 and codicil(s) dated N , ~ ' ') p,- l 3 L ~ A0 -x-{ ::::... /' L -- . (state relevant CIrcumstances, e.g. renuncIatIOn, death of executor, etc.) Decedent was dOpUciled at death in C LI. 0. k ~ G-NJ. Pennsylvania, with h61ast y,unilr or principal residepc} at '" J . .' L. ..3 & I if ~ iJ' f I:/i ew ..of!.,) LLGCM.4-,.JI ('6 f.JU-~ 3 (list street, number and municipality) ,tj County, ~k 17 Os-a Decedent, then ~ years of age, died .sGI)~ 9, 20 CJ~ at C!.,A:1e ~f.e ..{..o 6 <-~ Except as follows, decedent did not marry, ~as not divorced and did not have a child born or adop ed after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Nk Decedent 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: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) Residence( s) of Petitioner( s) ! ,:J .L (-I'-'j J I\J" , /'\ . .:<J '-_/ :,,-) 117.:':-;1:'/ ~ i.J L O'{JJ .,'" ~:J (; (; /~ C,,',~; geilz --\../ '-.1....1 Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA } SS: COUNTY OF CUMBERLAND 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 representative( s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and sujscribed {y c;p ~ i !JiJ1-dm Before me this C1 a f'I day of : /'Jff\I-Uy}Juy 20 ()( r./1 QQ' ::; <0 2 .... ;l. ~ -,~/tL Fi1M 5(;-r~L- /,UA ~ Register /J-t.. I -'ftt~5;r r Estate of No. ~ (,0 C ((>'2. 7 Il-l/u y-r \./. IH /list, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW Jl) t1 t~~y- c;7,.}- ,./C/ 20 Os-:" in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated JV /) II 5; I q 1 r- , described therein be admitted to probate filed of record as the last will of ; and Letters are hereby granted to r j tJ II/V IV c=.. 6-0 ~ 1./ tl/ ~.Ic<- ~/'Ub< J~tC-- &/1 ~.L{'/1.f11. ~~Jtp. I Register of Wills FEES Probate, Letters, Etc. ............. $ Will................................. $ Renunciation....................... $ Short Certificates (y.) ............ $ JCP. ......... ... . .. . . ... . . .. ... . . . . .. $ Automation Fee.. .. . .. . .. .. .. . .. .. $ Bond.. .. .. .. . .. . .. .. .. .. . .. . .. .. .. .. . $ Total 74 $ Filed Ah oj J;;:-- 20 ~ ~o 15 Attorney (Sup. Ct. I.D. No.) cJ.Y /.6 S- Address I~ Phone '""'I',, '.'T-\ /;l. / - () 5'- / ()2- ~ This is to certifv that the information here given is correctly copied from an origirlJI cerlificate of death d~ly filed with Local Registl'aL The original certificate will be forwarded to the State Vital Records OfLce for permanent liling. me as WARNING: It is illegal to duplicate this copy by photostat or photograph. No. 11"~'~(1,rOrp;;;---___ \11.~,)>.-~4' ". l\\~ . ~.;"\ ~~_Ya ~ \~~ ~~/. . _.~ \~~ ~ ~;, -,f"tj '-,I' i:: ~ %.*\~. ..~.."....;*$ '.:::l ..~ '~ ~ \<::<> - /~\/ ~ .:s'..f /'-\\.'r.... "'-"'-,-,IMENT\\\ "",I' """"J'//uUNIIJlI,1 Fee for this certificate. $6.00 p 1137;:i:~;i~:, J.J- j;~1 /1 i~ d (J(J S- I Date I I 'k;;: -11 ~.s.l,Qi/1 /' be Ii..bu/d/ /a_ If? <. ["".,') .""0 -;-; I; } ---I 11105143 Re... 2/87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH f',) a TYPEJPRINT IN PERMANENT BLACK INK ::: ",:;; o ~ o a> NO <i~ eo; en _ o~ r-.Ci:i ~~~ 'Mc~ - gg ~= :c 0 c~ ~~ ~- ~ ~ ~ ~~ ::C~~~ u)~:E~=. :S~~~ _...J ~ z ::i= . o u<ca:= ..,--~~~== <i c M o N o hop cll~!bom 2301 TIME OF DEATH 27, PART I: Enl.' th. dl......, Inj..ri.. Of" CO/lTpliullon. 'o\Ihlch cilu..d the duth Do not .nter 11'1. mod. 01 dylnll, ,..ch.. c,rdi.c or ruplrillory anut, 'hock or h.," t.Il.... ll.1 o"ly 01'1' c:.....on..c:h/m. 24 \G'{~ Ct.M 0..0 {\ \ ('Ik \'-.'1:,'.-, f'S.J..) """<->\u.. DUf TO (OR AS A CONSEQUENCE OF) 26. ; ApprQlo:imale : ~~~~~n~::~~ PART II: \ LVk 'S1:>C1.. t : DUE TO (OR AS.... CONSEQUENCE Of) Due TO (CH AS A CONS~OUfNCE OFj WERE AUTOPSY FINDINGS MAtJNFH or DEATIl AVAILABLE PHIORIO COMPLETION OF CAUSt Of DEAHl? Natural lq' o o Homicide DATE OF INJUHY (Mor,lh.Dol.)I. Yol<lo) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED AcLident Pending IllvcsligiltiUfl o o o :~:CE OF INJURY (''''Idi'll!. ~Ic. iSpee,iy) 30e. Yes 0 No 0 M JOe. ;1 Ye~ 0 No ~ Yes 0 NuO ::'utllJll Could flot be dclunnincd 3 o ill ~ o (, "' '" <( Z 28a 28b CERTifiER (Check only one) ''f~~:~F ':;:~tGor:;',~~I;~~~.~h:'Sd;;~~hcg~~~;;~.j-:J.;: I'~ fh':~h.~~'~~(:)'~~:l"n\'~X~~;d~~ h:t~f:~;'~~:'~:d .d:dlh.~,,:~u::"I:I~d ,'.1:'::23) ....,...... .... 0 29 .PRONOUNCING AND CERTIFYING PHYSICIAN (Ptly::.iCldfl tJultll-'lOnvUlI(;ing dCdlh and CtJItit~lIly to ..:;allse ul dCdlhl To the beat of my knowledge, death occurred at the lime, dide, and place, and dLe to the caualta{.) and manner ati slaled. DATE SIGNED (Monlh Dav Year) '1 k,tl 'MEDICAL EXAMINERlCORONE:.R On the basIs of examination and/ur In....eliotig..Uorl, In my opinion, death occuned al lhe tillie, ddle, and place, and due to the CaUlioeli(a) and marmer ..s alated ". (12 o h I .~~tp - 1fct~t lfill cm~ QI~~tam~nt OF ALBERT HOLLASH --r-t I, ALBERT HOLLASH, of Hillsborough County, Florida, ,he,ing Pot sound and disposing mind and memory, do hereby make, decl'a:fe) and: publish this, my Last Will and Testament, and do hereby revo~e ~~ all former Wills and Codicils made by me. _' C') , L>l ARTICLE ONE All tangible personal property owned by me at the tIme of ~ death I devise to my wife, MARY JANE HOLLASH. If my wife fails to survive me, I devise all of my tangible personal property to my then living daughter, JO ANNE HOLLASH. In the event my daughter fails to survive me I devise my tangible personal property to the then living descendants of my deceased daughter, per stirpes. ARTICLE TWO il Under the provisions of that certain trust dated ~OUQintw(t , 19Q'd, and created by my wife, MARY JANE HOLLASH, I have been given a power of appointment to be exercised by this will over certain property governed by that trust. I hereby elect not to exercise that power of appointment. ARTICLE THREE All the rest, residue and remainder of my estate, including insurance policies payable to my estate and any property over which I have a power of appointment, I devise to the trustee then serving ~qder the instrument of trust heretofore executed by me on the ~ day of fJOI.J2/nfx(, 1992 and entitled ALBERT HOI.LASB: REVOCABLE TRUST to be added to the property then held in trust by it and to be held and administered in accordance with the terms of the trust as stated in said instrument of trust as from time to time hereafter amended. If for any reason the said trust shall not be in existence at the time of my death, or if for any reason a court of compe- tent jurisdiction shall declare this testamentary transfer to the trustee of said trust to be invalid, then I declare that said residue shall be held, managed, invested and reinvested in exactly the manner described in said instrument of trust for the period beginning with the date of my death, giving effect to all the then existing amendments of said trust if it shall be legal to do so, by the same trustee therein named and defined which trustee is to serve hereunder without the necessity of complying with the provisions of any law or statute requiring the furnish- - ::ll-or 'I02~f , ' " ing of bond or registration or qualification by my said trustee with any court. I hereby incorporate into this will by this reference the provisions of ALBERT HOLLASH REVOCABLE TRUST referred to above. ARTICLE FOUR I appoint my wife, MARY JANE HOLLASH, as my personal repre- sentative to administer my estate under this Will. In the event that my wife is unable or unwilling to serve or to continue to serve, I appoint my daughter, JO ANNE HOLLASH, to be my alternate personal representative to administer my estate under this Will. I direct that neither personal representative shall be required to furnish bond. ARTICLE FIVE In addition to all common law and statutory authority, my personal representative at any time serving hereunder shall have the power to lease, sell, mortgage, transfer and convey in any manner and on any terms as my personal representative may deem advisable any and all property, real or personal, belonging to my estate without the necessity of obtaining leave of any Court; and no purchaser shall be held liable to see to the application of any purchase money. ARTICLE SIX If any devisee under this Will shall die within thirty (30) days after my death, any devise given to or for the benefit of such devisee shall be divested and my Will shall be applied and interpreted as if such devisee had predeceased me. IN WITNESS~WHEREOF, I, ALBERT HOLLASH, hereunto set my hand and seal this ~ day of )Jooonber , A.D., 1992. :~ '1,.1'- /i u-t'>CVJ.t1 ALBERT HOLLASH Signed, sealed, published and declared by the said ALBERT HOLLASH, as 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 su scribed our names as attesting witnesses this ~ day of ()uet'1bel~, A.D., 1992. ~ City 7~ ,Florida /A-ft/;PA- City ,Florida 2 - . t . \ STATE OF FLORIDA COUNTY OF HILLSBOROUGH We, ALBERT HOLLASH and the above named witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned officer that the testator in the presence of the witnesses, signed the instrument as his last will and that he signed voluntarily and that each of the witnesses in the presence of the testator at his request and in the presence of each other signed the will as witnesses and to the best of the knowledge of each witness, the testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. CU-4ii /(~--t {~t~h ALBERT HOLLASH Subscribed and sworn before me by ALBERT HOLLASH the testa- tor, and by the above named witnesses who are personally known to me, on the ~ day of NOLJeJYlbe.(, 1992. My Commission Number is: My Commission expires: pab\Ol\holashw1 3 - COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT GORDON JO ANNE 3619 GOLFVIEW DRIVE MECHANICSBURG, PA 17050-2217 n_h_n fold ESTATE INFORMATION: SSN: 171-16-4757 FILE NUMBER: 2105-1024 DECEDENT NAME: HOLLASH ALBERT J DATE OF PAYMENT: 11/22/2005 POSTMARK DATE: 11/22/2005 COUNTY: CUMBERLAND DATE OF DEATH: 09/09/2005 NO. CD 006022 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $65,000.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JO ANN6GORDON CHECK# 598 SEAL INITIALS: CM RECEIVED BY: REGISTER OF WILLS $65,000.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS