HomeMy WebLinkAbout05-23-06
....11
~ z
,
Register of Wills of Cumberland County
'\'
Estate of (~/-I/J-r1V( .;::Ta.}lvl :::rAS~ K.
also known as C-116 <f;-~ V" 'T" /i..r 4 k'
PETITION FOR PROBATE and GRANT OF LETTERS
No.~l-OLo - L14~
To:
, Deceased.
Social Security No. / /7'- / ~ - /4".P ~
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut:,('IX named in the last will of the
above decedent, dated /II!I"~ ;d!..v/i~if .<.;1/ ,20 c;2. 00 /
and codicil( s) dated /"
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in e.. v "* ~d'.A! .t-,# If"" R
Pennsylvania, with h_ last family or principal residence at
,y~ e d'rtA',vr;'1/J1-rh-t: ,e~. C! A,.,. r' #/ L-':r~/?-~ /-70//
(list street, number and municipality)
Decedent, then..z2:years of age, died/?J'~I' ~ , 20~ at /??~~;"L c~,I5/ C~~ #('''- L-
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:
County,
C # AcJ' /?/"o/pJ' /I ~ .'Z.O:7 ~I" .J
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(Ifnot 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:
$
$
$
$
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.)
thereon.
\;! Si';"~ OfPetiti~~
r. ~;,~" ~A b .IJ. ~
.~- , -
~o If ~[.J ,.,,~~ vlfO'JlK A~At
~,oS ~...::r A vnp( ,
Residence(s) ofPetitioner(s)
{IW-AJ -Yf) rl~
f',-)
")
. r-h
.. l~.J
C)
r 1
T1
(-:=5
rn
t"J
o
.
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 affrrm(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 above
decedent petitioner(s) will well and truly administer the estate according <to ~
Sworn to or ~ffrrm~ an~bscribed ~~ ~ A~ ~A
Before me this ~3 day of { ~4-A:{/ 7q)~ -".1'.,.,(," /'
~ ,20 c.:sto _~
o
~~bT
No. dJ -OLD -l\4~
e.~~~ ~
Estate of Cne..~-tP r ~ ~5.q K , Deceased
tIl
~.
~
A
~
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW \'(\~ ,,..Q 3 2001o, in consideration of the petition on the reverse side
hereof, satisfactory pro ving been presented before me, IT IS DECREED that the instrument(s), dated
8 -;:J.;:t-O\ , described therein be admitted to pJ1bate filed of record as the last&Lof ~
~1-uAbv\. C()o~ ~ ,'-.....~ ~ Letters are hereby granted to i 5 (.~I' W'l b.t." + ~ K\ ^ 1<.0-.. . m ~
~bA <0-. J<.. .
FEES
Probate, Letters, Etc. .............
Will ...........,.......,.............
~~n ~I^(~h~~~
Register of Wills . ~
~
~
$ c~. 00
$ [S-o 00
Renunciation... . . . . . . . . . . . . , . . . . . . . $
Short Certificates QO) ............ $ <60 . 00
JCP.................................. $ \c>. (X-)
$ ~..ro
$
$ 1?o,(JI.)
20~
Attorney (Sup. Ct. LD. No.)
Address
Automation Fee. . . . . ,. . . . , .. , . , . ..
Bond.,..,........................ ....
Total
Filed'f"f\c-.1. 1 t) ,Jl ~
Phone
i
..
~~ b\c\ O--p(J-Ov-.
-
- --~-~_._.._---
05.805 REV 1/05
This is to certify that the information here given is correctly copied fron: an original ce~ificate of death du~y. filed with me as
Local Regi~trar. The original certificate will be forwarded to the State Vital Records Office for permanent lilmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
.~ ~ ~Qri
Local Reglstrar
Fee for this certificate, $6.00
p
12338339
cl;.:, / u?on?
/
Date
_",_--~~-,~""""",-----~_'P"~-~"~
.-:>
,~;:::)
c:J
C'.i~
~,,,
r'-)
w
::D
f11
C)
c::>
:::0
l'~
.'''to'l
\."::.J
--. (~~
....,...,
c'S
r'-n
.~) C.:)
HI05143Rev o.,\)ti
TYPEmlltT II
PERIIANfNT
BlACK INK
1 NlnwolDoc_lF...._.Ia")
Che~t~ J. J~ek
COIIIlDHWEAlllt Of PENNSYLVa ( ;JM.-""~ r:t. · Y1fAL_
CERTIFICATE OF DEATH
79
lib CounIr 01 Dealh
7-11-19Z6
3. SocioI SocldJ-
14
STATE ALE NlMIER .
4. IliII.,DooIh...... day.
v"
1. DaI.oI_
. cia .
S Age (ust_y)
. CumbVltand
E~t PemubOlto T oWn-6h.i
o 0Ihef.
1ll_:__..-.-.-...
(Spoci(M
WhUe
14. .....SloIuo.-._-. 15. ~SjIouuIl"'''''-~
~Jtl:a-'(Spoci(M lO,[-b M. wa-bOl'1
:~ 110. ~ V...o.-u..s_. EMt !e.n~bo-!~d___ 1..
T........1
I1d 0 No. o.-u..s_
_IM*GI _______ ___ __. _ __._.~_.__ QIp9000
n 11. Oecedenl'sUsoalOcc 1.00 Kiodolworkdonedw mosIot Me;dOnoIsSalereit
. EleetA.ic."alW'tn .ineVl C.iv.ir~
- 460~.~~.,tw~t~'1~~:t ~cOOe)
- Camp HUe, PA 17011
18. hlher', Nome IF.... _.last)
19 ......._Ifilll._._~
AtbeJtt JMek.
2011 Inlorma"" Not... (T~Il1l)
stella. W CJlz!n
211> _s-.u-- (SHoI....... _. ~codal
Jahn A. Pte~;"e
1817 Clteek V.iew Co(.Lltt New CumbVltand. PA 17070
o
w
(J)
~
(I)
<<:
;t
2.b. Dale 01 0..-, 1-. cIa,.pII/
21<:. ....... 00sp00I0n lNome 01--........., or -.....
ltemauoYl Soe.ie
221:. ___...,F...,
4100 Jone-btown
21d. ~~_~cOOel
Haltlt{~b(.Llt fA 17109
Ine.
~ .
. 1emo2..26.....bOcon1)leledby_ 2.
.... p",nOll"''' daalh
3IlI w.....Iuklp6y
_mod?
31. _oIDea..
~Naluf'1 0_
0_ DPllnlllnglnvestigalion
o S""ldO 0 Could Hal Be Det........
3211. ~....~0lcIIad:
21. lIill_UseClll*DMIo.-?
OY"~
0110 D~
2lI. IF_:
o 110I"-' .........._
o ........Iimo 01_
o 110I......................... 42"
..-
D 110I__....__43.,..,,-
_.-
o ~...___......._
3ll: .......Iojwy:_.f_ShoL~.O'O'
MIIog. lie. (Spoci(M
TH(soe_IlIll'~
nom 27 Pa~ I. E.... ... ~ .......... ..... .. CQIfllIIo;olllll" - Ihal dlleclly..used... cIeolh 00 NOT _, _I ev.... sucb IS..._.......
.._ 1Il0Sl. 01 v....~uIIIlbr...,iOll_ sIl<>wOIg Ihe etiology. 00 NOT _.vial' Enler onIr.......... 011.....
==J~'::dls~ 0 .. .__.__._..m.L~C',)!J~--~~'-l:.-uf=.,''''-~..--.
0ue1ll1""._,09:
-D;;,;";{;;,,.~'-0tJ--<.....~L'~"""~~7-~#,e.)--~ ~!L4.---
: ...........--'"
:.......-
1 ~~1!'____ (" .:I /' J2._______
~ nJ :! <.--; - ----.-------
~Iy l01I COfldIlons.1 an"
IeodlnQ III II>e ......_ .. Une 0
- E....1he UHDERl YIlG CAUSE
. ~ or '"fUIY lhilltiilled 1be
.vanIS ,esullng III cIeolh) LAST
Due 10 (OIlS' COO_" 01)
o VOl F*'
d
JOb. W... AuIops, Fllldings
Av_ PriOIIll eon.,......
01 eo.... 01 Oealh?
o Yes 0 No
320 Daleol-..r{Uonll.day. r-l
32l 1T~""ISI*i'II
O~ 0"-
o _ 0 0Ihef - s,.ciy
3311. SV--1lIIe"~
zJt..-
32g. ~(SIoeoI....-...
32<1. T _ oI-..r
..
t"-
Z
w
fa
o
w
o
~
w
:::.
<<:
z
330 c.nlIer (ClIed< ontt....1
CenlIyIllg physician (PhYsiclan cen.Iy1ng...... 01_ wlIen il/lllIhe' phVSl<"" 1IIs..._ _.nd con1)leled .... 23)
To.... bOIl 01.., kI>>wledte. ___ due..,.... uuse(.) and --.. -........-.....--.-.................-....-..... ---.-.--~
-Ine ond .enlIylne phy.lclan (PII,...... _ P'O<lllUIllOing cIeol. and..f\lfywlg 10..... 01_1
1..... bOIl 01..,............. _........01...._ ......1lIll ploce..........,......use(.1 and..._.. -..".-.-
-.1...--
On.......... of............ _1n_1lgollon, In.., opinion, _ _..rod...... _. dMa. Md ploce. Md due 10 ....Co1UIO(., Md _....---D
Sy\iI.....1llI DI5I1IC1 N_ 36 lleIe Fled""" day. r-I
f"vr
n
33<:. ~_ _lleIeSilMd~"",r-I
,..,...,1 Q'1J' <l})_ L (V'\ ..,.0.../- 3/, '\..'~.~
31 _Md _01_ Who c....-c- oIDooIh <<-271 TpIPliI
~'I' ~ -y.....,.....J "......"
J ~~ /'" 11- ~v~d'. (\. ~
" '" ")-:>'
3S
L.l.l I
---.--.'.-."----..-.- -...-..-.-..- . ._~...._._-~--' --- -~ .---....-.--.. ---------- .-.--..-----.--- --.- -. ~,,-----~---
.--.--.-..----- ~--_._._._'-- ,.~--,-,... ~---",-
. .
lAlst UJ ill a:tt~ 1I:tstatnttt t
of
C!J{tESPE9(JO!J-biJ.9lST/](
I, CHESTER JOHN JASEK a resident of the Town of Wheatfield, County of
Niagara and State of New York, being of sound mind and memory, do make,
publish and declare this to be my Last Will and Testament, hereby revoking all
former Wills and Codicils heretofore made by me.
:fit'st:
I direct that all of my legally enforceable debts and funeral
expenses be paid as soon as practical after my decease.
6t~tt~:
I direct that my Executor pay from my residuary estate, without
apportionment, all estate, inheritance and like taxes imposed by the government of
the United States, or any state or territory thereof.
1tl1tt'~:
I give, devise and bequeath all the rest, residue and remainder of
my estate, real, personal or mixed, of whatsoever nature and wheresoever situate, of
which I may own or have a right to dispose of at the time of my decease, to my inter
vivos Trust dated April 12, 1968 known as "The Chester John Jasek Family Trust.
1ulb!:
I nominate and appoint my beloved Wife, LOIS GUMBERT
JASEK, to be the Executrix of this, my Last Will and Testament, with full power and
authority. In the event that she shall not survive my death or in the eve!lt that ~
: " ~ ...,J
is unable to act as Executrix then in such event, I hereby nominate a~d.3appoim
HSBC BANK, as alternate Executor. I direct that neither my Executrix, altern~
~L,'.)
Executor, nor any substitute or successor legal representative shall be req1..fu:ed ~~
..i
1
ORIGINAL
c~
::jj
-=-q
r0
C.i
I C~)
-.-, 1
"
furnish any bond or other security in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 22nd
day of February, Two Thousand One.
~~~IJ~
CHESTER }OH ASEK
1IJ C, whose names are hereto subscribed, do certify that on the 22nd day of
February, 2001, the Testator above named subscribed his name to this Instrument, in
our presence and in the presence of each of us, and at the same time, in our presence
and hearing, declared the same to be his 1.<<.t 1IJUJ <<1l~ 1tC.t<<lICllt. and
requested us, and each of us, to sign our names as witnesses to the execution thereof,
which we hereby do in the presence of the Testator and of each other, on the day of
the date of said Will, and write opposite our names our respective places of
residence.
dkt-~ ~;/d--
resUling at 770 Main Street
9{jagara !Faffs, ~'UJ 1'"ort 14301
.,)Jv~1.~
residing at 770 Main Street
9{jagara !Faffs, 9{f,'UJ 1'"ort 14301
2
.~~
....
-~
Register of Wills of Cumberland County
OATH OF NON-SUBSCRIBING WITNESS
. Estate of (!;I,If d r M. -.::r; I~;"J <r /f..r .4 k
Also known as C /-/ ~ .r-r ~ -.:rr ..::r A s ~ t('
No. d 1- Dle' J../L/?
, Deceased
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
vY 4- /I- A A familiar with the signature of .:Q#f J"~ .:J, .::T/fJ If q" , testat 0 ~ of (one of the
subscribing witnesses to) the codicil/will presented herewith and that pV#- believe/believes the signature
on the codicil/will is in the handwriting of C /I tL ~'r /'VL v~ a- /1-.r- ~k to the best of
01/ /L knowledge and belief.
Sworn to or affirmed an~ subscribed
Before me this c93 r< day of
~ ,20~
~'A\ ~~.~
Register~ .Q;;it
~
LJ
C) .:~.
LLl --
C_) ':
Ci:=-
L_
(~-::~j I.
c.....
G' -
c--:-~ ~...-
C.
C--'; .
(-_.~:.
L'~ !
c-
0J
C'J
il!/~
ame) V
/0 .y;J. 7' CAy f./ C A iJ ~
r
(~;e;;)c~ r~~9 /1./1 L( (
/Y';70 ~
~ ;/,Yi~
(Name)
/ ~ 3 ~ Y e ;iif,/ (/~A IY'/l..,
(Address)
/V//l-C~A /---::::'41-- L-~ ,v,~
/ V 30 r