HomeMy WebLinkAbout12-02-05
Register of Wills of Cumberland County
Estate of c'kf\.M.?\ '?-'0';1....t\ \i~~~\1\\)~
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. cO,\ ~05 - / 04 ~
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. '3 '3 \ - ~ It- - '-'-19.. 3
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut~g... named in the last will of the
above decedent, dated "'I.\.-N \>-i'\:i!- '\ :3- 5) \ 9. q Lr , ~
and codicil( s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in (' _ \,) N\ ~ E:: 4,k)0 'D
Pennsylvania, with hLSlast family or principal residence at
~ ~ r~h.~~ A--':>'2> ''''::>~~-\) \.- d \ NG I \V\ 0c \k-t'\ "" Ie S. f:,l'P-.('...,..-
(list street, number and municipality)
County,
Decedent, then 2c- years of age, died ~c ~ ~l>\13 ~R. I z" 200 S- , at \V\ f::C\-\i>" N ,c.e, l0u i2-...C..,
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after
execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(lfnot domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value ofreal estate in Pennsylvania
situated as follows:
$ 5"000 <)~ 'f' l-f\v{\loi\~~
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
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Residence( s) of PetitiQ!ler( s)
'38\ I d\ \ ~ ~ t-N'tt-t\ ^" V'--o ~~
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYL VANIA
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SS:
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are hue 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 nuly administer the estate according to law.
~-rrfK, \ It,-x>~*;ffi~~
Sworn to or affirmed and subscribed
B~re me this 2 nd day of
-.:DYeV...)(Y\~ , 20 US
\ ~~~ 00.~."",~0
~ \JJ~ Register
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No. ~.I- u<)-/ 01./ iJJ
Estate ofQ romuKu.rn \!-I~kr:
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ":)Q~~ (Y'hClA.. d. 20C1i, in consideration of the petition on the reverse side
hereof, satisfactory proof having been presented before me, IT IS DECREED that the insnument(s), dated
I .. d S - Cj 4- , described therein be admitted to probate filed of record as the last will of
C-~,-k~ n, Y<n'f.o..4;Gc...~, ; and Letters are hereby granted to ~O(\ ."..,-4+-. Venk.-+o-ch-;
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation... . . . . . . . . . . . . . . . . . . . . $
Short Certificates ( ). .. .. . .. .. .. $
JCP.................................. $
Automation Fee................... $
$
$
2005
Bond............................. ....
Total
Filed \,). d.
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AOD
10.60
5 0-0
LoD .00
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Register of Wills '0-' - G.~*'o
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Attorney (Sup. Ct. J.D. No.)
Address
Phone
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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 be forwarded to the State Vital Records Office for permanent,filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Local Registrar
Fee for this certificate, $6.00
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12065066
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
ST" TE filE NUMBeR
TYPE/PRINT
IN
PERMANENT
BLACK iNK
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w
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ill
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SEX
.}fale
SOCIAL SECURITY NUMBER
3331 34 +
AGE (Last Bu1hday)
BIRTHPLACE (City and
Stale or Foreign Country)
ATH Ch ck
ti n
. 5 80
COUNTY OF DEATH
Y"
R..KlllOGe 0 ~::~~l 0
RACe. Ameeican looian, Black.. White, el
(Specily) 1 nd-i.an
10. .
Cumbvd'and
.b
DECEDENT'S USUAL OCCUPATION
MARITAL STATUS. Milrried,
Never Married, Widowed,
o;VOICOd (Specily)
,.. W-i.dowed 15.
Hc. l!] Yes, decedenllived in S..il.Ve.Jl
SURVIVING SPOUSE
jlfwihl. g,..-e miil~n flame)
11b. County Cumbe!(land
Did
decedent
\iveinB
lownship?
lwp
2100 Bent C!(eek Bfvd.
16Mec.hani.c.l.lbu)1.g, PA 17 050
FATHER'S NAME (Fiest, Middle, l~sl)
"Chamakwta K-i.l.lhtil.{ah
INFORMANT'S NAME (Type/Print)
20Jatjanth Venkatad~-i.
METHOD OF DISPOSITION
Bwiat 0 Clemalivn CJ<emollat from Stale 0
OCher (SpecIfy)
l1d. 0 ~~~O~~~~~~i':;:j~: of
cily/bOl"O
PA 17050
lOCATION - CityfTown, Slale, lip Code
.....
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Othee signifICant conditions contributing 10 dti.th, but
not resulling in the undel1ying cause given in PART!
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SUIUUC
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DATE OF INJURY
(Mo/'Ith, Oa1. V,.r)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
~>
WERE A.UTOPSY FINDINGS MANNER OF DEATH
AVAilABLE PRIOR 1'0
COMPLETION OF CAUSE Nalurdl
OF DEATH?
Homicide
=
.s::
<: -.)
Accidenl
Ptmding IfllliJSligalion
Could nol be ddcrmined
o
o
o :::":CE OF INJURY
buildlnll. ..Ie (Sp.cd~)
3D..
Ye,o NoD
M lOco
28a 28b.
CfR riflER (Check only one)
.i~~~~F J~~tGor::~~~~~~~Z.S~';:~hC~~~~r~~dU~: t~ t:~a~~=~l=)li~1J.lg~I~~~~il~111h:t.r~~~.~~.~~~ .~~~~1. ~~~ .~~~~~~~~.~ .i~.I~: .~~.)...
29.
.PRONOUNCING AND CERTIFYING PHYSICIAN (physician both pwnouncing dealh and certIfying to ca\l~e of death)
To the b.at or my knowledge, death occurred at thetlmlit, data, and placa. and due to the c,ua.s(al and manner aa atal.d....
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.MEDICAl EXAMlNERJGOROMER
~:~~:rb::I:t::e~~~mlnaUon IInd/oe Invev.tlg.iIIIJon, In my opinIon, duth OJ;currad ilt the time, datu, and placlI, and due to the cau...{a) and 0
3\a.
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1JIast ~i11 curo'ijJtgtamtnt
I, Chamakura Venkatadri, a resident of the Borough of Camp Hill,
of Cumberland County, Pennsylvania, being of sound and disposing mind
and memory do hereby make, publish and declare this as and for my
Last will and Testament, hereby revoking any and all Wills by me at
any time heretofore made.
ITEM I. I direct that all my just debts and funeral expenses be
paid as soon after my decease as may be found convenient.
ITEM II. I give,
Briggs Street to my son,
vania.
devise and bequeath my real estate at 241
Jayanth Venkatadri of Harrisburg, pennsyl-
ITEM III. All the rest, residue and remainder of my estate,
real or personal, which I may own or have the power to dispose of at
the time of my death, I give, devise and bequeath to my
children as follows:
Son
.- Jayanth Venka tadri
40%
Daughter - Indira Kumar 20%
Daughter - Sumathi Ravinder 20%
Daughter - Samyukta Leisenring 20%
ITEM IV. I hereby nominate, constitute and appoint Jayanth
Venkatadri, Executor of this my Last will and Testament, with full
power in his discretion to do any and all things necessary for the
complete administration of my estate, with full power to sell at
public or private sale and without order of Court, any real or
personal property belonging to my estate, and to compound, compromise
or otherwise to settle or adjust any and all claims, charges, debts
and demands whatsoever against or in favor of my estate as fully as I
could do if living.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
my Last will and Testament, this 25h" day of jo.n\)o.-,~) , A. D., 1994.
\..l~ '" 'i,)'\I. ,.) ~ 0 Q"
(SEAL)
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
WE, CHAMAKURA VENKATADRI,
<)['5-" J/ 5EOE~ f'1f'
and F!)wARD ;r. '2. UIJ 1-1
, the Testator and the witnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to be the undersigned
authority that the Testator signed and executed the instrument as
his Last will and that he had signed willingly and that he
executed it as his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and
hearing of the Testator signed the will as witness and that to the
best of their knowledge the Testator was at that time eighteen
years of age or older, of sound mind and under no constraint or
undue influence.
TESTATOR:
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WITNESSES:
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Subscribed, sworn to and acknowledged
before me by Chamakura Venkatadri ,
the Testator, and subscribed and sworn
to before me by (." "-"C\\<....-\-~--rt and
;2 5- , 7111';, the witnesses,
da y 0 f -. , A. D., 1 994
~~~;
Notary PubllC
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t.lOTAAw. SEAL
this
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Signed, sealed, published and declared
by the above-named C .'-t: ~ '^ k,,"\ e...-t1 Y\'
as and for his Last will and
Testament, in the presence of us, who,
at his request, in his presence and in
the presence of each other, we, believ-
ing him to be of sound and disposing
mind and memory, have hereunto subscribed
our names as witnesses, this ')..5 day of
'"Sl\ NV~f' A. D., 1 994 .
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