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Home My WebLink About12-30-05 Register of Wills of Cumberland County PETITION FOR PROBATE and GRANT OF LETTERS Estate of /~C{ vl.(<J..V''r:,JIY. Ko1JlJ.htv/~ No. J...).... - ~ 5 - ..., L <- also known as (j To: , Deceased. Social Security No. / '7rJ- R.~-9t:6 c - Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), wh~/are 18 years of age or older, and the execut4L- named in the last will of the above decedent, dated ,R fJ . -4 ~ "..; , 20 00 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) . County, Decedent, then'11- years of age, died D'7'"(~hA.'~~J6J.O~, at 9; ud c-\ W\ 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 (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value ofreal estate in Pennsylvania situated as follows: $ $ $ $ I ()U ,,() t::I " WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codici1(s) presented herewith and the grant ofletters ~ ,'.J-/-a."",,-.! "'f...-+A~ (t amentary; adnumstratlOn c.t.a.; adnumstratlOn d.b.n.c.t.a.) thereon. ( ~ignaYJIJ~ ofPt~Ine:;;J fJ JJ. a.,J! . ~) A 'I. ~p 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 know ledge and belief of petitioner( s) and that as personal representative( s) of t above decedent petitioner( s) will well and truly administer the estate a~cord' la, ',', ) Sworn to or affirmed and subscribed ^ t.. Before me this 3~"""" day of { ~,~~~~ ,20 ~S. ~~~l:>.. ';~"' ~~'\ Register ~qX~\ ~~~ '~ No. A" -~ S. t>..:\ i.. ~ Estate of "\~~I:i;,~~~, \l.-<::ls.'~~~~\I\J~Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW '0"";:.~~~",, ~~) 20~S, 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 ~. ")..~, ~ '::l~b , described therein be admitted to probate filed of record as the last will of \t\~~,~~ ~~~I..)'i.~~\ '- \~ ; and Letters are hereby granted to "<<.. \,,\\.~~':-. -:S. '<~,\)$, ~\l\,-\\ FEES Probate, Letters, Etc. ............. $ Will ............................. .... $ Renunciation....................... $ Short Certificates ('4) ............ $ JCP. . '" .. ... . .. '" . . ... . . .. . ...... .. $ $ $ $ 20~S "'~ <;;~" 'S,~, Register of Wills ~" ~.\\~) ~~~ $~\ ~ "':).,\~ . \S Attorney (Sup. Ct. LD. No.) \i... . \~ . Address Automation Fee................... Bond............................. .... Total C ..,). J..S~ . ~t'\ r--~ Filed \)..-1.~ Phone en ciQ' ;:; ~ 2" .., A ~ :t.\ - ~ .s - \\ Z ~ .\, ~~jUCiHC iD;) p 12211680 ;,:/ '(~w-,q;L~ lY~'<1./ ;{()o5 H10S,i4JRev 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH T'l'PE/PRINT IN PERMANENT BLACK INK NAME Of DECEDENT (Fits!. MldOle. lasr:j ~ Margaret M. SEX female STATE FilE ~UMBfR SOCIAL SECURITY NUMBER ) 172 _ 22 91 y" UNOER 1 DAV Hou,. ! MlnUl.. PlACE OF DEATH (Ct-eciI 0I'lly 0"" >ee tnStfucbOfl~ on Olhltl SIOei HOSPITAL: P A Inp.llen( 0 7. ... FACILITY NAME (It nOlll"lsNuhon. !;jl~e slreel ana numtletl BIRTHPLACE rCoI,!, and Slale 01 FcttloQn COUOlrVI 22 2005 AGE (laSf Bil1l"loay) UNDER 1 YEAR Monlha D.... COUNTY OF OE.AJH ~=lIy'O Cumberland .... DECEDENT'S USUAL OCCUPAJION (~r:~k~IJ;'~::O ".:c.u:r~~ II.. C h e eke r 110M a n u fa C t u r i n DECEDENT'S UAIUNG AOORESS (51'"" C'l\'llOwn, Stale, Z'pCoael DECEDENT'S ACTUAL RESIDENCE (See .nSllUClIOflS Oflol/1e'S<<Jel 17a. Sla'8 O<l -- live.n. Cum be r 1 and IOw""'ip? "..0 :"'--='-::::0' MOTHER'S NAME IFl/st. ModOle. MaIClenSulname, MARITAL STATUS - Marrted N....., Uarrled. Widowed, Divorced(Spec.ty) Wi dDwed 11. 17<.60 V"._'-""od.. Lower All en RACE. Amencan Indian, 8&aca, While_ ele (S~I 10. Wh i'te SURVIVING SPOuSE (II...... "''''fNIOennMnel 5225 Wilson Lane ...~lechani cSburg PA 17055 - FATHER'S NAME (F....!. Middle, laSl) Ilb. " .. U> " ':J ~ ~ .... METHOD OF OtSPOSlTlON BuOiIl IX] C'MUoIIOl'l 0 Removaj Irom 51ille 0 OI:hlNlSpec.dJll I. INfORt,lANT'S NAME (1 YI*PriruI Richard J. ""-.. Kostukovich I.. Merchani sava e INFOAMANT'S MAILING AOOAESS ISlr.... Cilylbw1. &.r.. Zip Code) .~456 Bethany Drive Mechanicsburg PA 17055 PlACE OF DISPOSITION - Name of C.matety, Cremalory lOCAT)QN . Cityl'lbwn, S1ill..lip Code 0( 0In.. Plac. Qllin Green Memorial Hill PA 17011 NAME AND AOORESS OF FACILITY ~YERS FUNERAL HOME MECHANICSBURG PA 17055 bfr).) JD S 21. I AppfoJ:imale : inlefYal berw..n I OOMC and deAIh , : NoD . DUE TO lOR AS A CONSE:OU€NCE Of): A~ /1/_ OUE 10(00 AS A CONS!::OUENCE Of}: Lf{;::- II- (."?oJ 5 . PA.RT II: Oth.r &igniftcanI condiaiQne COntr1bullngto dI&Ch. DtII not reSUlling in 1M UI'lCltr1ywIg C&uM given 1ft PART I f04-1 /ld~ It- /:;/(..""'- -k -;('/"/v . WERE AUTOPSY FINDINQS AVAILABLE PRIOR TO COMPLETION OF CAUSE " y..: No ~ :::"' ORE OF INJUAY IMonlh_Day, Year) TIME OF INJURY INJURY AT WORK? DESCRlee HOW INJURY OCCURRED [J o Pendioglm,esugaticm o o o o NOD Could nol be delermln6d 1~(I:.l-!tl:.ll DATE FILED (Monltl Oily_ Y.alj 2... Uti. 29. CERTII'IEA lChac. CIr1I~ ClO@I 'CERTIFYING PHYSICIAN IPIl~s.c<4n cl!II,ly,ng ca...se 01 aealh w,,~ anOI"",r pIl~$IC'a(\ has prOnQ'-lncea dealh ana cumDh~led Hem 231 To Ihoe beel 0' my kno'llltedge. dealhoccurred d"elO the C"""(I. and manne' ae I'al.-d. . 'PRONOUNCING AND CERTIFYING PHYSICIAN (Ptl~SIC'iin bOltl :;,Q{lOUI"\C'(\9 de-alll and .:en"y.nQIO cause at dealh) To Ih, beel ot.....y knowledge, de.th occu"ed althe Ume, !Sille. and pl'CI, and due 10 the cauI.tlland manner.1 I'aled.. '''EDICAL EXAMINER/COAONER On Ihe baaie 0' e..amln.Uon .ndJOllnvesligAUon, in mV- Oplnion,d.afh occurrld alth. 11m., dOlt., and place, and due to the ca...se(s) "nd m.nn.,.. alate<:!. 11. REGIS~~'SSIGNATUAE"NONlJM&ER" - / '~ ~ J.1 .......L..::_,....... .. ' ./l..,./ .,(QQ...k. t! .- ,c':--Pe<:<Z/nb.e"e <~,.;:l <JO..5-" ")..'\-~s- '\\"l.. ~ LAST WILL AND TESTAMENT OF MARGARET KOSTUKOVICH I, MARGARET KOSTUKOVICH, of the Township of Lower Allen, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done, including the payment out of the principal of my general estate, of all inheritance, estate and succession taxes which may be assessed in consequence of my death. 2. In the event that the value of my estate at the time of my decease is worth Two Hundred Thousand ($200,000.00) Dollars or greater, then in such event, I direct the distribution of my estate to made as follows, to. \Vit: ( a) I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to .:-1 1 ~ \ I' ~-~ :,( I - 1 - my grandson, MICHAEL L. KOSTUKOVICH. ( b) I give and bequeath the sum of Fifty Thousand ($50,000.00) Dollars to my grandson, JOHN S. KOSTUKOVICH, absolutely and unconditionally.. ( c) I give and bequeath the sum of Two Thousand ($2,000.00) Dollars apiece, to each of my following named nieces and nephew, to wit, BETTY BLAKER, KENNETH URBAN and JOYCE MOORE, absolutely and unconditionally. ( d) I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same may be situate, to my son, RICHARD J. KOSTUKOVICH, absolutely and unconditionally. ( e) In the event that the value of my estate at the time of my decease is valued as being less than Two Hundred Thousand ($200,000.00) Dollars, then in such event, I revoke the bequests made in items 2. ( a), ( b ) and ( c ) immediately above, and I give, devise and bequeath my entire estate of whatsoever nature and wheresoever the same may be situate, to my son, RICHARD J. KOSTUKOVICH, absolutely and unconditionally. 3. In the event that my son, RICHARD J. KOSTUKOVICH, should - 2 - predecease me, and should the value of my estate at the time of my decease be worth Two Hundred Thousand ($200,000.00) Dollars or more, then in such event, I direct the distribution of my estate to be made as follows, to wit: . ( a) I give and bequeath the sum of Two Thousand ($2,000.00) Dollars apiece, to each of my following named nieces, nephew and grandson, to wit, BETTY BLAKER, KENNETH URBAN, JOYCE l\-IOORE and MICHAEL L. KOSTUKOVICH, absolutely and unconditionally. ( b) I give and bequeath twenty (20%) per cent. of my said residuary estate to my grandson, JOHN S. KOSTUKOVICH, absolutely and unconditionally. ( c) I give and bequeath all the rest, residue and remainder of my estate, whatsoever and wheresoever the same may be situate to my daughter-in-law, CORINNE H. KOSTUKOVICH, absolutely and unconditionally. ( d) In the event that the value of my estate at the time of my decease is valued as being less than Two Hundred Thousand ($200,000.00) Dollars, then in such event, I revoke items 3. ( a) and ( b ) immediately above, and I give, devise and bequeath my entire estate of whatsoever nature and wheresoever the same may be situate, to my daughter-in-law, CORINNE H. KOSTUKOVICH, absolutely and unconditionally. LASTL Y, I nominate, constitute and appoint my son, RICHARD J. - 3 - KOSTUKOVICH, Executor of this my Last Will and Testament and in the event that my said son should predecease me, or should he be unable or unwilling to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my grandson, JOHN S. KOSTUKOVICH, Executor of this my Last Will and Testament, in his place and stead, and in all instances, I direct that my said personal representatives be excused from posting bond or other security for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ 6 day of April, A. D. 2000. JJ1 ~evut- J~o~ie/J~L Margaret KostukoVlch (SEAL) Signed, sealed, published and declared by the above-named, MARGARET KOSTUKOVICH, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have d. - 4 - COMMONWEAL TH OF PENNSYL VANIA) : SS COUNTY OF CUMBERLAND) I, MARGARET KOSTUKOVICH, the testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknQwledge that I signed and executed the same instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act and deed, for the purposes therein expressed. Sworn and subscribed to before me this ';1L- day of April, 2000. /J1~ (~, Notary Public I J1/ a~:&!./~ J((:.a~..fte,~~j)...-' t1--;rgaret Kostukovich (SEAL) Notarial Seal Manlyn E. Williams. Notary Public MechaniCSburg Boro, Cumberland County My Commission Expires Nov. 6. 2001 Member, Pennsylvania A$Sociation of Notaries COMMONWEAL TH OF PENNSYL VANIA) : SS COUNTY OF CUMBERLAND) We, the undersigned, J. ROBERT STAUFFER and SUSAN A. McCOY, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testatrix, MARGARET KOSTUKOVICH, sign and execute the instrument as her Last Will and Testament; that the said testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight ofthe testatrix, signed the Will as witnesses; and that, to the best of our knowledge, the testatrix was, at the time, eighte~n (18) or more years of age, of SOll1!')'"'in. d: and under.no. constraint, duress or undue mfl.uence../ ~. } I- r ,// C~ ') d Sworn and su];>scribed to before me this '7 T'--day of April, 2000. A1~ rvld~' ./ Notary Public Notarial Seal Marilyn E. Williams. Notary Public Mechanicsburg Boro, Cumborland County - 5 - My Commission Expires Nov. 6. 2001 Member, Pennsylvania Association of Notaries