HomeMy WebLinkAbout03-01-06
Register of Wills of Cumberland County
Estate of Joseph F. Zemanek
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. 2-00<O'~ 0142
To:
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 108-09-7632
The petition of the undersigned respectfully represents that:
Your petitioner(s), J'hQ is/are 18 years of age or older, and the execut~ named in the lastwill ofthe~~
above decedent, dated I I () q / t "i q 7 ' 20 . ...." ", ' , "
and codicil( s) dated · ' '-~l
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland
Pennsylvania, with h_ last family or principal residence at
Sarah Todd Memorial Home, 1000 W. South Street, Carlisle Borough
(list street, number and municipality)
County,
Decedent, then ~ years of age, died January 30 , 20~, at Sarah Todd Memorial Home, Carlisle, PP.
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:
n/a
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: n/a
1lX9,O{JO
I
$
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
thereon.
~!:<~")
---::::::. Residence( s) of Petitioner( s)
- 829 S. Humer Street, Enola, PA 17025
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 ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer t~'otP, ~g to law. ___________
Sworn to or affirmed.l)lnd subscribed {~ .--~. ~ ' ~
Before me thIS 1:::5 day of _ -
fYt~J\ , 20f(~ '
r1JD- ~CU- Lv..; L~ ~ .
Register p-~ n ~\o. J..OOio..OjqZ
CZl
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Estate of Joseph F. Zemanek
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW this ,Srday of March, 20~, 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
OetobeV' q, I CfQ7 , described therein be admitted to probate filed of record as the last will of
Joseph F. Zemanek ; and Letters are hereby granted to .
Russell J. Zemanek
FEES
Probate, Letters, Etc. .............
Will.................................
Renunciation.. . . . . . . . . . . . . . . . . . . . . .
Short Certificates (1..) ............
JCP..................................
:2-10.00
\:>.00
~tLflt1 -jctW/l ~~~
Register ofW~'\. '--rvl/J~~ ~
~ ~ (83993)
Attorney (Sup. Ct. LD. No.)
Thomas E. Flower
2109 Market Street, Camp Hill, P A 17011
Address
Automation Fee...................
Bond.................................
Total
Filed YVllUtt!JL {Sr 20~
$
$
$
$
$
$
$
$
'b.OO
1(J.DO
-S,OD
:<"48'.OD
(717) 737-3405
Phone
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II' \~, 10 certify that the infonnation here given is correctly copied from an original certificate of death duly filed with me as
)( .1 R:gistrar~ 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.
c--.....
Fce for this certificate. 56.00
No.
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FE8 - 1 2006
P 12386973
Date
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--,
Hl05.143 Rev. 01106
TYPEiPAIHT IN
PERMANENT
BLACK INK
1 Name of Decedent (FItSl. middle. last)
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAl RECORDS
CERTIFICATE OF DEATH STATE ALE NUMBER
3. Social Seculiy NlmIer 4. Date of 0e3I/I (Nonlh. day. yearl
Joseph
5 Aoe (Last binhdaY)
1-30-2006
94
~l
Vrs
College (1,,( or S+)
14. M.vUJ S1alus: Manied. Never II13Iried.
WdoMd. DNon:l!d (Specjf)1
widowed
10. : American nlian. 8laci. WhM. ere.
(Speci)l
caue
15. SuMmg Spouw (If ril. ~ mailen name)
811. County of Dealh
Cumberland
Carlisle
Home
. 11
Sarah Todd Memorial Home
Carlisle PA 17013
17a. Slale
PA
Cumberland
0icI Oec:sdlft
I..Ne ila
TownsIIp?
17c. 0 Yes. Oecedenl LNedin _______ Twp.
17b. County
17e1. 'X ~~o~v.tiI
Carlisle
CiyI13or1l
18. Fallle'-s Name (Firs1.lI'iddIe.last)
19. MoIhet's Naml (trsl.IlicldIe. maiIen surname)
Ferdinand Zemanek
2Oa. Into<<nant's Name (Typelprinl)
Frances Unknown
2Ob. Inlomrlnl's Maino Address (SInleI. ~. SlaIe.liJ code)
I
@
U)
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~
:i
Russell Zemanek
829 S Humer St Bnola PA 17025
o Rezmvallrom Sl.aIe
o OonaIion
21 c. Place 01 0isIl0sUln (Nanll 01 cemeIIIY. a8llaIOIy or oilier place)
~
CorrlJleI. nenw 231 when
physi:ian is nol av.iIable .1 f
certify cause 01 death
· hems 2"26 ~l be ~Ied by person
. who ptOClOll1lCeS clIIath.
P.M.
CAuse OF OEAnI (See lnsUul:IIons and eumples)
hem 27. P.rt I Enler !he ~ - diseases. in~ies. or ~tions -lhal direclly caUS<<l!he death. 00 NOT enter lttminalt'lenls su:ll as tanliac anesl.
rllS/litalOry .ntsl. or venlricufal fIbrilalion wilnoul showilg the etiology. DO NOT aIlbrtviate. Enter only one cause on a ine.
IIU.EOlATE CAUSE (FNI disuse 01
condilion r~ing in death) -? a.
012682L
231. To lhe besl of rrrt knowledQt. dealh OCCUlted allllt lime. dala and place Slaled. (Signatur. and U1e)
LL&. JA..-GU/YJ
01 0e41h
4~ ;"'0
25. Dal. Ptonounced Dead (MonIh. clay. yeal)
iJ30 /~OO~
N Main St Mansfield PA 16933
Zit license Hunter 23c. Dale SVIIlI (UorI!h. day. year)
I2JJ J /35111- i /.3D)d07)1o
26. Was Case ReIeIred 10 a Medical ~
o Yes 0 No
~
\0
<c
o
~
~
~
-L
Slqutnlially Iisl cond$ons. d .ny.
IQdiIlg 10 the tause listed on Line a
- Enter !he UHDERL YING CAUSE
. (d1sll$e or injury II1al inCialtd the
events rtllUl\ilv in dealh) LAST.
FA l U...lVL...\t- '\ 0 \" \-\ rt i V E-
o Due to (or '" a~equenee 01): r .. ,
b. t::..~~ ItvJLA. F~l f:..l t::A'-Ic 1
Due 10 (or as a consequence a/):
w~.i
~~..
A MLU'\ ~ (w-(..",,- 'tt'"e..a-
/JaV ~;;1 J. A
28. Oil Tobacco Use ConIrDD 10 0eaIh?
o Yes 0 Probably
~ 0 Unknown
29. IlFetrele:
o Mol ~ ldIIft pasl year
o ~1I1imeolclllalll
o Mol preprC.1U pregnant wIIm 42 days
01 deIlb
C Mol ~ IU pregnant 43 days 10 1 YGf
beinclllalll
C UnIcnown if /lIlllJIII'C .... \he pasl year
32e. Place oIlIfIy: HcIn8. Fum. SlIeet Falry. 0Ib
UfiIg. *- ($led)1
~ :'ela.:~~: ::~=~~::n~~deaIh
Due ID (or as a consequence 01):
C Yes )P$- No
d.
3Ob. Were AutDpsy Findings
Available Prior 10 Corrcl4etion
0' Cause 01 Death?
o Yes C No
31 Mann.r 01 0ealII
"?- Nalural C HonieOe
C Actilent 0 l'endino Investigation
C Suicide C CCukI Not 8e DeIeri1ined
32a. Dale ollnjury (Wonlh. day. year)
3211. Descrile how Irpy Oa:uned:
~
:;1
~
@
(.)
UJ
o
u.
o
~
z
32d. Tme of Injury
301. Was an Autopsy
F'ertormed?
n
321. II Transpollalion Injury (Spdy)
o 0riverQleraI0r C Pass8ngllr
o Ped8slriIlI C Qher - Speclly.
3311. ~ JrolCel1ier
Ul.JO\Y'-- ~.,
331:. Ucense Nuriler 33d. [);de S9l8d (UorI!h. day. yst)
~tJ ,04 4'eS(:. -I-- ,f ;"0 ~
34. NamI and PclclIess 01 Per1IlIl Who Corrc*lIed Cal&!Ie 01 0eIth (11m 27l TyprJPrill
Wl(...i..' ~\. J.. ~ F ftu IhV' J #1,11.10
I G-( 2.. " $''( tz. / N c., fLC A-O
C.;T4L..\ S I.. €. " A ~ 1 c. / 3-
32g. l.ocaIioII (Slreel clyAown. stale)
M.
33a CIItIIIer (c/leclt only one)
Celtltyin; phJslclan (Physician certitying tause of death wilen anolher physiciIn lias pronounced cIeaIII and COIIllleIed hem 23)
To till bill 01 my knowledge. death occwqd due to the ClUM(sl and maMll' as JlIled.
"'-unclng and certlfyillg physician (Pllysician boIh ptOIlOUIICing death and cerlilying to cause of dealhl
To the bell of my knowledge. deatll occurrelI at till lime. elate, IIld pIKe. and due 10 Ihe cause(s) and maaner as st2teII
. IotedlcaI euDlef/eolOMr
On \he basis of eDlllination and/or Imestiptlon, in my opinion, cIath occurrelIallhe time. date. and place.1Ild due to Ihe cause(s) IIld manner as 11lIIed--D
fltllI$fra1'$ Signa\ufeand Dis' N 36. Dale Fled (Month. day. yeIr)
~
~
(See instructions and examples on reverse)
'-
/
1!I&st Dill &Ulk ill~gtam~ut
OF
JOSEPH F. ZEMANEK
I, Joseph F. Zemanek, of Lawrenceville, Tioga County, Pennsylvania, declare this to ~y
Last Will and revoke any and all Wills previously made by me.
ITEM I: I hereby direct my personal representatives to pay all my just debts not barred~ by
any applicable statute of limitations and my funeral expenses as soon as practicable after my death.
ITEM II: All the rest, residue and remainder of my estate whether real, personal or mixed
and wherever situate I hereby give, devise and bequeath to my grandson, Russell Zemanek, if he
survives my death by sixty (60) days. If he fails to survive my death by sixty (60) days, then all the
rest, residue and remainder of my estate whether real, personal or mixed and wherever situate shall
bae distributed to Judy Hower.
ITEM III' I hereby nominate, constitute and appoint my grandson, Russell Zemanek, of
Enola, PA, Executor of my estate. If my grandson should fail to qualify or cease to act as
Executor then I appoint Judy Hower, alternate Executrix of my estate.
ITEM IV: I hereby direct that my personal representatives shall not be required to give bond
for the faithful performance of their duties in this or any other jurisdiction.,
IN WITNESS WHEREOF, I have placed my hand and seal this ~ day of October, 1997.
~ j~f"-LV6~ (SEAL)
The preceding instrument, consisting of this one typewritten page, was on the day and date
hereof signed, published and declared by the Testator herein named, as and for his Last Will, in the
presence of us, who at his request, in his presence and in the presence of each other, have subscribed
our names as witnesses hereto:
residingat W~ fl. /1P90I
~v---A- "'-- ~ <vI.. ~ u:J residing at ~ l)..,->-~ r--Q v'"- c...Jll~ Cl..1l <l.J PAl U ~ ":L5\
.,r
\..
ACKNOWLEDGEMENT
I, Joseph F. Zemanek, Testator, whose name is signed to the attached or foregoing
instruments, having been duly qualified according to law, do hereby acknowledge that I signed and
executed this instrument as my Last Will and that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed.
~f-cr3~"~.k
Sworn to and affirmed to and aCkno~ before me by the T estat-or-; . s 9 ~ day
of October, 1997. (h' ~
~.
AFFIDA VIT
COMMONWEALTH OF PENNSYLVANIA:
ss:
Notarial Seal
Claudia J. Root, Notary Public
Wellsboro Boro. Tioga County
My Commission Expires Sept. 11.2001
Member. Pennsylvania Association of Notanes
COUNTY OF TIOGA
We, Larry Linder and Tina M. Bradshaw, 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 Testator sign and execute the instrument as his Last Will, that the Testator executed
it as his free and voluntary act for the purpose therein expressed, that each of us, in the hearing and
sight of Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was
at the time eighteen years or more, of age, of sound .
Sworn to and affirmed to and acknowledged
October, 1997.
Notarial Seal
Claudia J. Root. Notary Public
Wellsboro Bora. Tioga County
My Commission Expires Sept. 11.2001
Member. P~nns\!I"allla Association of Notaries