HomeMy WebLinkAbout05-09-06
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of Margaret H Grenkevich
also known as
No. 2.001.:, . OY (Y7
To:
, Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 186-24-5294
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will of the
above decedent, dated January 12 ,20 1982
and codicil(s) dated
(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
540 North Enola Drive, Enola, East Pennsboro
(list street, number and municipality)
County,
Decedent, then ~ years of age, died March 17 , 20~, at 3 a.m.
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: 540 North Enola Drive
92-12-2992-052
$ 15,325.38
$
$
$ 114,900.00
Enola. East Pennsboro Township Cumberland County PA 17025' Darcel number
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant ofletterstestamentary
(testamentary; administration c.I.a.; administration d.b.n.c.t.a.)
thereon.
.Si
/ .'
/':
556 North Enola Drive
Enola, PA 17025
Residence(s) of Petitioner(s)
OZ'J
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYLVANIA
SS:
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
de<<dent petitioncr(') will wd' ,nd truly ,dmini,,," the "tate '~ L
Sworn to or a.f. firmed an~bscribed { ~
Before me this q day of
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Estate of Margaret H Grenkevich
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW this lL day of May 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
January 12 1982 , described therein be admitted to probate filed of record as the last will of
Margaret H Grenkevich ; and Letters are hereby granted to
Vincent Grenkevich, Executor
FEES
Probate, Letters, Etc. .............
Will............................. ....
Renunciation...................... .
Short Certificates ( )............
JCP................................ ..
Automation Fee...................
Bond.............................. ...
Total
Filed May 9
$ 260.00
$ 15.00
$
$ 20.00
$ 10.00
$ 5.00
$
$ 310.00
~1 (J/J1J)) ~46lad/f:0U.~ ~
. 0 Wills ~l). rnA#--<Vli!/J a~/
lIer Esquire - 61352 (J
(Sup. Ct. 1.0. No.)
2157 arket Street
p Hill Pennsylvania 17011
Address
7177376400
2006
Phone
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this copy by photostat or photograph.
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MAR 2 0 2006
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Rev. 01/06
IR1NT IN
ANENT
;K INK
1 Name of Decedent (First. middle, last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
3/15/1914
3. Social Security Nurmer
Margaret H. Grenkevich
1 8 6_ 2 4
4. j3101 Death (Mfolh. day. year}
fVfOJi(; n /71:;< () 0 ?--,
5. Age (Last birthday)
92y"
8b. County of Death
7 Dale a/Birth Monlh, da . ear
Cumberland
E. pennsboro Twp
Olher:
o DOA 0 Nursin Home
9 Was Decedent at HispanK: Origin?
:X! No 0 Yes (11 yes, specify Cuban.
Mexican. Puerto Rican, elc.)
o Residence 0 Other - S d
10. Race: American Indian. Black, WMe, ale
( Specifyj
White
, 11 Decedent's Usual Occ alien Kind 01 work done durin ff()St of workin life; do not state relired
Kind of Work Kind of Businessllndustry
Dress Maker Dress Factor
16 Decedent's Mailing Address (Stree!, city"own. state, zip code)
540 N.
Enola,
Enola Drive
Pa 17025
DYes C{ No
Decedenl's
Actual Residence 17a. Stale
nk
Pennsylvania
14. Marital Slalus: Married. Never rrarried. 15. Surviving Spouse (If wife, give maklen name)
Widowed, Divorced (Specify)
Widow
17b Co",~ Cumber land
Did Decedent
Liveina
Townsh.,?
Hc. EYes. Decedenl Lived in
East Pennsboro
Twp
t7d. 0 No,DecedenlLivedw~hin
Actual Limilsof
City/Bora
18 Father's Name (First, middle,last)
John Dubrawski
19. Mother's Name (First. middle. maiden surname)
Mary Kraynak
20a, Informanl's Name (Type/prinl)
21b, Dale of Disposnion (Month, day, year)
20b. Informant's Mailing Address (Streel, crtyAown, stale, zip code)
556 N. Enola Drive
Enola, Pa 17025
21c. Place of Disposnion (Name ofcemelery, cremalory or olher place)
Vincent Grenkevich
22b. License Nunber
F.D.011897-L
22c. Name and Address of Facility
Sullivan Funeral
51 N Enola Dr.
23b. license Nurrber
Pa
o RelT(lval from Stale
o Donalion
2006
Holy Cross Cemetery
HOme
Enola Pa 17025
23c. Dale Signed (Month, day. year)
Sequentially kst cond~ions, if any,
I leadinglolhecauseJistedonUnea
Enter lhe UNDERL YlNG CAUSE
(disease or injuty that inttiated lhe
events resulting in death) LAST.
24 T3~eO{) II.M 25. Dat'jL7;~~~7)ooth77r' /}()()0
CAUSE OF DEATH (See instructions and examples)
!lem 27, Part I: Enter lhe chain of evenls - diseases, injuries, or complications -that directly caused the dealh. 00 NOT enter terminal events such as cardiac arrest,
respiratory arresl, or ventricular fibrillalion w~hout showing the etiology. 00 NOT abbreviale. Enter only one cause on a line.
~~~d~~I~~e~~~~~;J:~~;d~~r a. ~>'__~A' 1 "~i~'> ,- , -fr~
Dueto(orasaconsequenceoQ:, /
rl. r,..,.'":~'-'I. ~, n,,",-
Due to (or as a' consequence oQ:
:"~\ f
Due to {or as a consequence oQ'
!:"''.\' /t."\;'., I .'.....1""'..,1,J
26. Was Case Referred to a Medical Examiner/Coroner?
o Yes ~No
Approximate inlerval'
onsel 10 death
Part II: Enter other sKlIlmcanl cond~ions contributina to death,
but not resukingin the underlying cause given in Part I.
28 Did Tobacco Use Conlribute to Death?
DYes 0 Probably
o No IIiJ Unknown
32b. Describe how Injury Occurred:
29. If Female
rIi Not pregnanl within past year
o Pregnant al time of dealh
o Nol pregnant, but pregnanl w~hin 42 days
of death
o Nol pregnant. but pregnanl43 days to 1 year
before death
o Unknown ~ pregnant within the past year
32c. Place 01 Injury: Home, Farm. Slreet, Factory, Office
Building, elc. (Specify)
b.
DYes JI( No
d
JOb. Were Aulopsy Findings
Available Prior to Complelion
ofCauseo/Death?
o Yes 0 No
'1.1..,.,'
~," '-,
30a, Was an AU10psy
Perlormed?
31 Manner of Death
32a. Dale of Injury (Month, day, year)
o Nalural
o kcident
o Suicide
o Homicide
o Pending Investigation
o Could Not Be Delermed
32d. Time of Iniury
33a, Certifier (check only one)
Certifying physician (PhYSician certifying cause of dealh when another physician has pronounced dealh and completed lIem 23)
To the best of my knowledge, death occurred due to the cause(sl and manner as stated .............
PronouncIng and certifying physician (Physician both pronouncing dealh and certifying 10 cause of death)
To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated..............
Medical examiner/coroner
On the basis of examlnaUon and/or investigation, in my optnion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated ......._0
F/
32f II Transportation Injury (Specify)
o Driver/Operator 0 Passenger
o Pedestrian 0 Other - Specify:
33b. Signature and TrUe of Certifier
t,. ! "".} ',..~ '-., ,..., ~---AC[' "':_,
33c. license Nurrber
J1 t__
rl'~
32g. Localion {Streel. cityltOwn, slale}
ti<ll~i ~",-,,'-.1 ~",.1+
6\l ::; 10.cl" ~i
r"....; t.W h, I )0l (
33d, Date ~.. oed (Mo~, day, year) .. ,
./ ) /1/""..,' :(:/1\
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Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of Margaret H Grenkevich
No. Olo.- 0 '+Qr
Also known as
, Deceased
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
he is familiar with the signature of Margaret H Grenkevich , testat~ of (one of the
subscribing witnesses to) the codicil/will presented herewith and that ~ believe/believes the signature
on the codicil/will is in the handwriting of Margaret H Grenkevich to the best of
his knowledge and belief.
Sworn to or affirmed and subscribed
Before me this qfh day of
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s~rer;u~~ Ua. tv~
(Addre~ j" /J"l
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(Name)
(Address)
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JJU:mam 1/12/82
LAST WILL AND TESTAMENT
I, MARGARET H. GRENKEVICH, widow and surviving spouse of
Adam L. Grenkevich, of 540 Enola Drive, Enola, Pennsylvania, being of
sound mind and memory, do declare this to be my Last Will, and do revoke
all Wills and codicils previously made by me.
ITEM ONE: I direct the payment of all my just debts to be
made as soon as practical after my decease.
ITEM TWO: I give devise and bequeath all of the rest,
residue and remainder of my estate, be it real, personal, or mixed
property, to which I have, or ever shall have, any right, title or
interest to my three following named children, share and share alike:
1. Richard G. Grenkevich
2. Vincent Grenkevich
3. Patricia Harris
In the event that any of my children shall predecease me, then that
share shall pass to that child's issue per stirpes.
ITEM THREE:
I hereby nominate, constitute and appoint
my son, Vicent Grenkevich, to be the Executor of this, my Last Will
and Testament. In the event that he be unwilling or unable to so
serve, then I direct my son, Richard G. Grenkevich, and my daughter,
Patricia Harris, to be the Co-Executors of this, my Last ~Jill and Testa-
men t .
ITEM FOUR: I hereby give to my Executor/Co-Executors full,
complete and lawful power to sell, convey, mortgage or lease any part
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
Estate of Margaret H Grenkevich
No 21-06-0407
Francesca Grenkevich, a subscriber hereto, being duly qualified according to law,
deposes and says that she is familiar with the signature of Margaret H
Grenkevich, testatrix of the Will presented herewith and that she believes the
signature of the will is in the handwriting of Margaret H Grenkevich to the best of
her knowledge and believe.
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. 'At-.yU' ./-<1 .r--r_____ >{ J,/'1u ./I'1P~~
Francesca Grenkevich
556 North Enola Drive
Enola PA 17025
Commonwealth of Pennsylvania:
:ss
County of Cumberland:
I hereby certify that on the 9th day of May, 2006, before me, the
undersigned Notary Public, personally appeared Francesca Grenkevich, known to
me or satisfactorily proven to be said person, who acknowledged that he executed
the foregoing document for the purposes therein contained.
In Witness Whereof, I have hereunto affixed my hand and N otorial Seal.
8OTAA1AL SVl
JAMES A. MILLER, Notary Public
camp Hill Boro, CUmberland CountY
My.Q)mmiSSion Expires i\pI'i13Q, 2009
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