HomeMy WebLinkAbout03-27-06
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of
Mildred A. Andruscavaqe
No.
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also known as
Deceased
Social Security No. 172-34-4165
Petitioner(sl, who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
rVl A. Probate and Grant of Lett. e. r. s and aver that Petitioner(s) ~are the execut ~ named in the Last Will of the
~Decedent, dated June 4, 1998___ _. _ ...__.__ and codicil(s) dated
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, 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:
D
B. Grant of Letters of Administration
(d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate}
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if
any) and heirs:
I
Name
Relationship
Residence
I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at _ ChlJrmgf
Qgd Nursinq Home, 801.n_Hanover Street, Carlisle, Pa.
(list street, number and municipality)
Decedent, then ~2_ years of age, died March 10,..2_006, at 801 N. HanQver Stre~t, Carli:')h3, Pa.
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property ____________________________.._______.._....____.........__..___$ 100,000
(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: None.
Wherefore, Petitioner(s) respectfully request(s) 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
Charles Denison, 908 Greenbriar Drive, Mechanicsburg, PA 17050
rorm RW-] Page 1 of 2 lCumberland County) - Rev. 9/92
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and 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 Decedent,
Petitioner(s) will well and truly administer the estate/~;;c?/n.g to 17" /; . ,
Sworn to and affirmed and subscribed { ,/f~<1{~(//.c2-. ~~b"~/
before me this n~~L_~ day of
11\,.
V L.___.. 20 Ct.,
,,-' " " I, tcllJc'~ \t,~l'~1~l~~\/~y'~r41~
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No. -- Lie u (rj l I
Deceased
Estate of Mildred A. Andruscavaqe
Date of Death March 10, 2006
Social Security No: 172-34-4165
AND NOW, : \ \,l (., [( 2006, in consideration of the Petition on
the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary D of Administration
d.b.n.c.t.; pendente fite; durante absentia; durante minoritate
are hereby granted to Charles Denison in the above estate and that the instrument(s) dated
June 4, 1998 described in the Petition be admitted to probate and filed of record as the last Will
of Decedent.
FEES
Letters.......................... .
Short Certificate(s)...~.....
Renunciation................. .
Affidavit ( ).................
Extra Pages ( )............
CuJiL.il... V~. .I.I:-:~:.............
JCP Fee.~.Jh.\r~..........
Inventory...................... .
Other........................... .
TOTAL............... .
Form RW.' Page 2 of 2 ICumberland Countyl. Rev. 9/92
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Attorney: Debra D. Cantor
I.D. No.: 66378
McNees Wallace & Nurick LLC, PO Box
Address: 100 Pine Street, Harrisburq, PA 1710 g- 1166
1166
Telephone: 717-237-5297
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WARN!NG. It is illegal to duplicate this copy by photostat or photograph,
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MAR 1 3 2006
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13f1.8VOII06
:JPRINT IN
tMANENT
ACK INK
1 Name 01 Oecedenl (Firs!, Middle. last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
92
Yrs
7. DateofBir1h Month,da ,Lean
Sept 16,1913
3. Sodal Security Number
4. DaleofDE'.alh (Monlh.day, year)
Mildred A. Andruscavage
172
- 34
March 10,2006
j
5 Age (lasi birthday)
Cumberland
Carlisle
Cther
o ER/Oul alieni 0 DOA Ri Nursin Home 0 Residence D5Jther - Specify.-
9 ~N~ec~en~~:~~;:<;~~~~~~uban \0. (~';~~~Brican Indk3n. Black. \Vhrte. elc
MexIcan Puerto Rican. elc.) wni t e
8b Court:yolOeaHl
Home
n 16
Decedent's Mailing Mdress (Slree!. cilyltowrt, slale, zip code)
12 Was Decedent ever In Ihe US
Armed Forces?
o Yes ~No
Oecedertl's
Actual Residence :7a Slale
hi hest radeco leted
College {1--4 or 5+l
14 Marital Slalus: Married. Never married.
Widowed, Divorce.d (Specit0
\hdOW~d
tS Surviving SpolJSe (II wile. give maiden nam-~)
11 Decedent's USlJal Oci.uE~!,'9~~~.!2I"~done ~rin most of workin life: do not staie relired)
Kind 01 Work Kind of Busrnes5itndustry
Seamstress ILG~~
801 North Hanover Street
Carlisle,Pa 17013
Pa
-~._-------_.-
Did Decedent
liveina
Townsh~?
17c.D
Yes. Decedent lived in
~~
_ ._ _____________ h'tD I
I
1
._____~_CityiBoro
17b. Couo~__._ Cum~er land ..
17d ;.;
No. Decedent lived wilhin
ActualUmitsol
18 Falher's Name (FirsL middle. last)
19. Molher's Name (First. middle, maiden surname)
Joseph Salina
120a lolo"naol, Nam, IT,,olpl,01l
Geraldine Denison
Catherine Mazurek
20b Informant's Mailing Address (Street, cityllown, slale, zip code}
21b, Dale 01 DisposrtkJn (Month. day, year)
908 Greenbriar Drive Mechanicsburg,Pa 17050
21c. Place at Disposilion (Name ot cemelery, crematory or other place) 21d. Localion (ci1Ynown. state. zip code)
Myers-Harner Funeral Home Inc
23b. license Number
o Rermvatlrom Slale
o Donation
All Saints Cemetery
22c, NanJeand Address of Facility
aClingassuch)
,
(\J
. lIems 24-26 must be completed by person
. who pronounces death
1'1) oS,
I D 1 '2 DO (0
25 Was Case Referred to a !lledical ExaminerfCoroner?
DYes J& No
CAUSE OF DEATH (See instructions and examples)
g",lure,"d~~
I :J- 1 I I All II
: i\pproximale inlerval Part II: Enter other sionmcanl conditions contributina to death
, onset 10 death but nol resulting in the undertying cause given in Part l.
:-- +--=-:::-- ---
28. Did Tobacco Use Contribute to Death?
O'!ftS 0 Probably
.......erNe 0 Unknown
Ifem 27 Part I, f:.nter the chain of evenls - diseases. injUries, 01 complicalicms -thaI direclly caused the death, 00 NOT enter terminal events such as cardiac arrest
re~Diralory arrest, or ventricular r,brillalion Without showing the etiology DO NeT abbreviate, Enter only one cause on a tine
~~~d~t~l:~e~~t~n~~; J:~~~; dise~r a __, ~.~:~,~~~.J
Due to lor as a consequenceot)
c (W\~ c ~ _____
32d. Time 01 Inlury
321
29 lfFemale'
o Not pregnant within past year
o Pregnanlattimeofdeath
o NOlpregnant.butpregnanlVlrthin42d2Ys
ofdeath
o Not pregnant. bu1 pregn.,". I 43 days to 1 year I
before death
o Unknown rf pregnant w~hm the past year
32c. P!ac~ ollnlury: Hon:e, Farm. Street. Factory. Office 11
BUlldmg. etc. (Specffy}
I
-
I
Sequentiallylisl conditions. ifany
leadmgto Ihe cause listed on Line a
.. Enler the UNDERL Y!NG CAUSE
Due lo(or as a consequence 00
LAST
Dueto (or as a consequenceoD
30a Was an Autopsy
Performed?
o Yes ~ No
30b
of Cause of Dealh?
DYes 0 No
31 Milnnerof Dealh
o Nalurat 0 Homicide
o AccJdent 0 Pending Investigation
o Suicide 0 Could Nol 8e Determined
32a Dale of Injury (Mort1h.day. year)
32b, Describe how Injury Occurred:
32g. Localion (Street cityllown. slate)
33a, Certifier (check only one)
Certifying physician (Physician certifying cause of dealh when another physician has pronounced death and completed Item 23)
To the best of my knowtedge, death occurred due to the caUSe(sj and rrnnner as stated ... . . .....0
Pronouncing and certifying physician (Physician both pronouncing death and certifying to cause of death)
To the best of my knowledge, death occurred at tile time. date, and place, and due to the cause{s} and manner as stated ..................................................... ................0
Medical examiner/coroner
On the basis of examination andlor investigation. in my opinion, death occurred at the time, date, and place, and due to the cause{s) and rrnnner as stated .. .....0
.)
E:\OFFICE\ W PWI N\W PDOCS\ WI LLS\ANDRUSC. WI L
June 4. 1998
LAST WILL AND TESTAMENT
OF
MILDRED A. ANDRUSCA V AGE
I, Mildred A. Andruscavage, of Camp Hill, Cumberland County, Pennsylvania, being of sound
and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and
Testament, hereby revoking any and all prior wills and codicils thereto by me at any time heretofore made.
I specifically revoke my Will dated August 22, 1994.
FIRST
I direct that all my just debts and the expenses of my last illness and funeral shall be paid from the
assets of my estate as soon as practicable after my decease.
I authorize my personal representative to expend funds from my estate, in such amounts as my
personal representative shall consider necessary and desirable, for the purchase, erection and inscription of
a suitable marker for my grave.
SECOND
I give and bequeath all automobiles, household effects and other tangible personal property. not
including cash or securities, owned by me at my death, together with all policies of insurance thereon in
equal shares, to my children, Geraldine Denison, William J. Andruscavage, Gloria Reidell and Andi
Carole, as are living on the sixtieth (60th) day after the date of my death.
~~
In the event any of my children
Page 1 of 7
E:\OFFICE\WPWI N\WPDOCS\WI LLS\ANDRUSC. WI L
June 4, 1998
are not living on the sixtieth (60th) day after the date of my death, I give and bequeath their share to their
issue, per stirpes, or in default of said issue, my deceased child's share shall pass to my then living children
in equal shares.
THIRD
r give, devise and bequeath the residue of my estate, of every nature and wherever ::ituate in equal
shares, to my children, Geraldine Denison, William J. Andruscavage, Gloria Reidell and Andi Carole,
providing that they are living on the sixtieth (60th) day after the date of my death. In the event any of my
children are not living on the sixtieth (60th) day after the date of my death, then I give, devise and bequeath
their share of the residue of my estate to their issue, per stirpes or in default of said issue then to my then
living children in equal shares. Any distribution to my children or their children under this paragraph shall
be subject to any amounts owing to me for loans made to them during my lifetime. The balance of said
loans is attached hereto as EXHIBIT A and incorporated herein by reference.
If my child receives a sum pursuant to this distribution which the full amount is more than sufficient
for their needs, it is my express testamentary wish that each of my children gift the sum of up to Five
Thousand and GOnOO Dollars ($5,000.00) from their share of my estate to each of their children.
FOURTH
All principal and income, until actual distribution to the beneficiaries, shall be free of the debts,
contracts, assignments, alienations and anticipations of any beneficiary, and the same shall not be subject
to any levy, attachment, execution or sequestration.
w/~~
Mildred A. Andruscavage
Page 2 of 7
E:\OFFICE\WPW I N\ WPDOCS\W I LLS\AN DRUSC. W IL
June 4, 1998
FIFTH
I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by
whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expenses of the
administration of the estate.
SIXTH
My personal representative and trustee shall have the following powers in addition to those vested
in them by law and by other provisions of this Will:
A. To retain any or all assets of my estate, real or personal, without regard to any principle of
diversification, risk or productivity.
B. To invest in all forms of property as my fiduciary may deem proper, without regard to any
principle of diversification, risk or productivity.
C. To purchase investments at a premium or discount.
D. To exercise all rights of a security holder or shareholder in any corporation; to give proxies;
to join in any merger, consolidation, reorganization, voting trust plan, or other concerted
action of security hoiders; and to delegate discretionary duties '.vith respect thereto.
E. To sell at public or private sale, to exchange or to lease, for any period of time, any real or
personal property, and to give options for sales, exchanges or leases, for such prices and
upon such terms or conditions as my fiduciary deems proper.
F. To allocate receipts and expenses to principal or income, or partly to each.
~ ~~d-'~
Mildred A. Andruscavage
Page 3 of 7
E:\OFFICE\ WPWI N\WPDOCS\W ILLS\AN DRUSC. WI L
June 4, 1998
G. To borrow money from my corporate fiduciary or others and to mortgage or pledge any real
or personal property as security therefore, in their sole discretion.
H. To compromise any claim or controversy without order of court or consent of any
beneficiary.
1. To exercise any option, right or privilege granted in insurance policies or arising from
o\vnership of investments.
J. To make any distribution herein provided for in cash, in kind, or partly in each, at valuations
fixed by my personal representative at the time of distribution.
K. My fiduciary may, in his or her sole discretion, donate any part or all of my tangible personal
property to any charitable organization(s) which would benefit from such donation. My
fiduciary is then instructed to use the value of said donationes) as an inheritance tax
deduction for any inheritance tax return which may be required to be filed as a consequence
of my death.
SEVENTH
I appoint Charles Denison, Executor, of this, my Last Will and Testament. Should Charles
Denison, predecease me or for any reason fail to qualify as such Executor, or having qualified, fail to serve
as such Executor, then I nominate, constitute and appoint my daughter, Geraldine Denison, Executrix of
this My Last Will and Testament.
J~~
Mildred A. Andruscavage
Page 4 of 7
E:\OFFICE\W PWI N\W PDOCS\WI LLS\ANDRUSC. WI L
June 4, 1998
EIGHTH
My Executor shall not be required to post security in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, consisting of seven (7) typewritten pages, the first four (4) of which bear my signature in the
II- ;
margin for the purpose of identification, this /' day at --k ~.!/.~ 1998.
)n;~ ~~-
Mildred A. Andruscavage
Page 5 of 7
E:\OFFICE\WPW IN\WPDOCS\W I LLS\AN DRUSC. WI L
June 4, 1998
Signed, sealed, published and declared by the above-named Testatrix, Mildred A. Andruscavage,
as and for her Last Will and Testament, in the sight and presence of us, who, at her request, in her sight and
presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses.
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COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF C. If,1 J { i.',/01
I, MILDRED A. ANDRUSCAVAGE, THE TESTATRIX, WHOSE NAME IS SIGNED TO THE
FOREGOING INSTRUMENT, HAVING BEEN DULY QUALIFIED ACCORDING TO LAW, DO
HEREBY ACKNOWLEDGE THAT I SIGNED AND EXECUTED THE INSTRUMENT AS MY LAST
WILL AND TEST AMENT; THAT I SIGNED IT WILLINGLY; AND THAT I SIGNED IT AS MY FREE
AND VOLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED.
SWORN OR AFFIRMED TO AND ACKNOWLEDGED BEFORE ME BY MILDRED A.
ANDRUSCA V AGE, THE TESTATRIX THIS} · . DAY OF . { : \ , 1998.
k<~~~~A~7<
Testatrix
Notary Public
Notarial Seal
Monica D. Zercher, NOlary Public
Camp Hill Bore, Cumberland County
My Commission Expires Jan. 14,2002
'\M:0"![Jer. Penn~ylvan:a AssociatiGn ct No~rji?~
Page 6 of 7
E:\OFFICE\WPWI N\ W PDOCS\WI LLS\ANDRUSC. WI L
June 4, 1998
COMMONWEALTH OF PENNSYLVANIA )
: SS:
COUNTY OF C.) ;lie ( jrJ y i
WE,}" (::("~' . /r;/ AND ' Y"_. C, _, oJ
THE WITNESSES WHOSE NAMES ARE SIGNED TO THE FOREGOING INSTRUMENT, BEING
DUL Y QUALIFIED ACCORDING TO LAW, DEPOSE AND SAY THAT WE WERE PRESENT AND
SA W THE AFORESAID TEST A TRIX SIGN AND EXECUTE THE INSTRUMENT AS HER LAST WILL
AND TESTAMENT; THAT SHE SIGNED WILLINGLY AND THAT SHE EXECUTED IT AS HER FREE
AND VOLUNT AR Y ACT FOR THE PURPOSES THEREIN EXPRESSED; THAT EACH OF US IN THE
HEARING AND SIGHT OF THE TEST A TRIX SIGNED THE WILL AS WITNESSES; AND THAT TO
THE BEST OF OUR KNOWLEDGE THE TESTATRIX WAS AT THE TIME EIGHTEEN (18) OR MORE
YEARS OF AGE, OF SOUND MIND AND UNDER NO CONSTRAINT OR UNDUE INFLUENCE.
SWORN OR AFFIRMED TO AND SUBSCRIBED TO BEFORE ME, THIS
, 1998.
DA Y OF
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Witness
Notary Public
Notarial Seal
Monica D. Zercher, Notary Public
Camp Hill Bora, Cumberland County
L My Commission Expires Jan. 14,2002
Membfjr, F()rnsylv::Jnia I\sso;;:;ation ()f No\!lrles
E:\OFFICE\ WPWI N\WPDOCS\ WI LLS\AN DRUSC. WI L
June 4, 1998
William 1. Andruscavage
Larry and Gloria Reidell
Larry and Gloria Reidel!
Larry and Gloria Reidell
EXHIBIT A
$7,000.00
1,000.00
1,300.00
700.00