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Home My WebLink About09-19-06 PETITION FOR PROBATE and GRANT OF LETTERS Estate of TIMKO WARCHOLAK No. ...;)( ~ 0 ~ 8;;;/ =< also known as To: Register of Wills for the . Deceased. County of CUMBERLAND in the Social Security No. 206-12-6383 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 RIX named in the last will of the above decedent, dated JANUARY 5. 2006 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with h IS last family or principal residence at 311 EVERGREEN STREET. BOROUGH OF NEW CUMBERLAND. CUMBERLAND COUNTY. PENNSYLVANIA (list street, number and municipality) Decedent, then 83 years of age, died 9/6/2006 at M.S. HERSHEY MEDICAL CENTER - DERRY TOWNSHIP. DAUPHIN COUNTY. PA 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: NONE 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: $ $ .$ $ 250.000.00 0.00 0.00 0.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters TESTAMENTARY thereon. (testamentary; administration c.I.a.; administration d.b.n.c.l.a.) ~t(' [U;<J ~cY..L YEA. WARCHOLAK 311 EVER'GREEN STREET NEW CUMBERLAND PA 17070 <Jl 'i) u c ... :s! <Jl- ... <Jl 0::';:' ... "0 C C 0 ~ .- -'- ~~ ""..... a 0 ~ C 0lJ Cii OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} 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 beliefofpetitioner(s) and that as personal represen- tative(s) ofthe above decedent petitioner(s) will well and truly administer the estate according to law. ;r~tu.., tL uJ/U;~ V:l ciQ' :: l:l ~ ~ -.. ~ No. 07/~00--W Estate of TIMKO WARCHOLAK , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW _9,-J. /C}-.a- c/o o~ , 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 1/5/2006 described therein be admitted to probate and filed of record as the last will of TIMKO WARCHOLAK and Letters TESTAMENTARY are hereby granted to JOYCE A. WARCHOLAK Probate, Letters, Etc.. ~~E.S. . . . So Short Certificates ( )...... $ c?? y.. CV Renun~t;Jh . . . . . . . . . .. : /22% J(Y~ TOTAL _ $ 5- Filed. . . . . . . . . . . . . . ~\ ~sterofWills ~. STONE, ESQUIRE #39785 ATTORNEY (Sup. CI.I.D. No.) 414 BRIDGE STREET NEW CUMBERLAND PA 17070 ADDRESS 717-774-7435 . 3t' (,(dJ PHONE C) -0 ~n ----'-.'1 ~ C~ = c-'\ e/) I~'1 '-0 \.D -cJ ~D --; l"V +" ep\wills\WARCHOLAK,TIMKO or# ,-- <f~ ~ LAST WILL AND TESTAMENT OF TIMKO WARCHOLAK I, TIMKO WARCHOLAK, of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my Exec~trix hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease from the residue of my estate. ITEM II: I devise and bequeath all the rest, residue and remain- der of my estate, of every nature and wherever situate, in equal shares to my children, SANDRA LOU FOWLER, THOMAS PAUL WARCHOLAK, and JOAN LOUISE ANDREWS, as survive me. Should any of my children predecease me, I devise and bequeath the share of such child to his or her issue, per stirpes; and should any such child of mine leave no such issue living following my death, I devise and bequeath the share of such child to my issue, per stirpes. r'-..;) ITEM III: I appoint my spouse, JOYCE A. WARCHOL~K, Ex~utrixTPf ~~ ~ ;::L] this my last will. Should my spouse, JOYCE A. WARCHOLA~,) fa.:t~l 'Co.'fJ. .-,- .- ,,-""l : : l~:l Tl I::> .' r-:J qualify or cease to act as Executrix, I appoint my daught€r,~ SAND~) --1 r-t . ,C''j i-7'~1 LOU FOWLER, Executrix of this my last will. .......) .::- Page 1 of 4 - ITEM IV; No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his or her duties in any jurisdiction. IN WITNESS WHEREOF, I, and seal this S" ~ day of TIMKO WARCHOLAK, have hereunto set my hand ~d'{/XJ-#2Y , 2006. c:i~ tJ ~eC;J~ TIMKO WARCHOLAK Page 2 of 4 - SIGNED, SEALED, PUBLISHED and DECLARED by TIMKO WARCHOLAK, the Testator above named, as and for his Last Will and Testament, and in the presence of us, who at his request, in his presence and in the presence~Of each oth r have subscribed our names as witnesses. .~ ~..... Witness ~~ \,)~ ;"'. ~ Witness . ~- 414 Bridqe St. , New Cumberland, PA Address I 414 Bridqe St ., New Cumberland, PA Address COMMONWEALTH OF PENNSYLVANIA: : SS: COUNTY OF CUMBERLAND I, TIMKO WARCHOLAK, the Testator whose name is signed to the at- tached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the P3l2rd/;~ TIMKO WARCHOLAK Sworn to or affirmed to and acknowledged before me by TIMKO COrv',MONWEAlTH OF PENNSYlVANIA ,"~ NOTARIAL SEAL !JAt~IEl M. HARTMAN, Notary Public l ,'Jew Cumberland Boro., Cumberland Co. ; My COlllmisSlon Expires Jan. 21. 2009 lo..__ ~~J Notary Public , 2006. WARCHOLAK, the Testator, this Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND We, \::\.Au,..\-l J~""^",, and ~"-~ \_'":\T~ 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 Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; that to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound mind and under no con- straint or undue influence. \: ~ ~ S>.~\- Witness Sworn to or affirmed to and aCknow~ed before. me by O~C/\~ , if. JTh\C1 and ~~L l~-.~ll- witnesses, this r da y 0 f ~A~ ~ , 2006. COMMONWEAlTH OF PENNSYLVANIA NOTARIAL SEAL DANIEL M. HARTMAN. Notary Public New Cumberland Boro., Cumberland Co. My CommisSion Expires Jan. 21, 2009 - Notary Public Page 4 of 4 61,~ This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. H105.805 REV 1/05 WARNING: It is illegal to duplicate this copy by photostat or photograph. as Fee for this certificate, $6.00 -//y'" (/r~. .... AI2_ ~ / J{ "h:1-MI1/./{jr- p 12838264 Local Registrar No. S ~~te 1 I 2006 C2 ------~.,'~._---~-~<.__.~~-,--~'-~~ RoY. DIm 'RIN'T IN ANENT :KINK 1. N.me 01 Oecedent (First, middle,last) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER Timko Warcholak s. Aot (Lasl birthday) 83 1923 7. Oal.ofBkth nth, , r Yrs, Bb. County of Death r--..) C:J c.:::> en e/) . . ~"'t -0 ~.D 1"0 4=- ~ 17a. Stale Oil Decedent livelli Townsh"? 14 Marilal S!alus: Married, Neve, married, 15. Surviving Spouse (II wile. give lTIlIiden name) M~~T'e2rpeciM mann 1 11. Decedent's Usual Occ n ind 01 wort< done durin rroslol welkin WIe; do not slale re 'red Knd 01 Wot1l Kind of Busneul1nduslry General Foreman New Cumb. Arm De 16. Oecedenl's Mailing Address (Slreel, cltyllown, stale, zip codel 311 Evergreen Street New Cumberland, PA 17070 , 7c. 0 Yes. Decedent Lived in Twp. 17d~ :~~=~ivodwlhinNew Cumberland 17h. County Cumberland 18. Fathers Name (Fifst, middle, IaSI) Roman Warcholak 19. Mother's Name (Frsl, n1ddIe,meklen SUfl'llme) Teresa Horoshak 208. Inlol'menl's Name (Typelprinl) 2ctl. lniormant's ~ailing Mdress (Street, cllyAown, sial., zip code) 311 Evergreen Street, New Cumberland,PA 17070 Grantville, PA 17028 Joyce A. Warcholak City/8oro 21d. Location (Ckyl1own, stale, zip code) o RerrovalfromStale 21b. Dale o'Oisposltion (Monlh, day, year) 11, 2006 21c. PIIce 01 Disposition (Name of cemel&IY, crelT8lory or oltler place) BFH Crematory 22c. Name and Address of Facility Stone & Murray FH 408 3rd St New Cumberland,PA 17070 FO 012342-L 23b. License Nurmer 23c. Dale Signed (Month, day, year) ~^" Perl II: Enter other !lionIficanl oondiliDn!l conlrbulino to death, bol not resuling in tile underlying cause given il Part l. 26. W8s~~tol~edicaIExamnel'lCoroner? ~siNo d,ool. pM Sc CAUSE OF 0EAl'1< (SOl inltructlons and .xamploll tIem 17. Peril: Enter Ihe ~ _ diaeasel, iljJries, or ~licalions-lhal directly caused !he delth. DO NOT enler lerminal events such as cardiac aneat, respialolY arre&!, or venlri:ular fbiIlIlion without showi\Q the etiology. 00 NOT abbreviale. Enter only one cause on a me. IMMEDIATE CAUSE (Final d..... or ;. (' ...\.l ,,\ n , \ \ \ ~ Q . condIIion'....injj.deslhl -;.'. ~ all--. '''-''-. (-"('d~~,,....... "" hI'" ~ Due to (or al 8 consequence o~: ~ C:Jb Approximate mleNel: ons81 to de81h Seq4Jlnllallylislcondllions, Kany. r. leading \0 the causelillld on l.kIe a. Ent8l1he UNDERL YIlG CAUSE . (disease or injufy that initialed the 8\Ienll resulting in de8lhJ LAST. b. Due 10 (or IS a consequence o~: c. Due 10 (or as a consequence o~: 308. Was IIn Autopsy Performed? d. 3Ob. Were Aulopsy Findinos AvUable Prior to Corl1>Ietion 01 Cause 01 Death? o Yes 0 No 32d, rllTl80flnjulY 32e. Injury at Work? DYes DNo 32a. Dale of Injury (Month, day, year) 32b. Descrbe how lnlu'Y Occurred: :11 Maimer 01 Oeath CJ Natural 0 Homicide D Accident 0 Pendino Investigation o Suicide 0 Could Not Be Determned ovasf'No M. 338. c.rtIfIer (check only one) certifying physic...n (Physician certifying cause of dealh when another physician has pronounc<<l death and co~ed Item 23) To the belt of my knowledoe, death occurrtd due 10 the eaUlAl(I) and manner al lilted ..~_.............._...""M"_""'"'''''''''''''__''''''_'''''''''''''''..............._.............................0 Pronouncing Ind certifying phylk:lan (Physician bolh pronouncing death and certilyiflg 10 cause 01 dealh) To lhe best of my knowledge, dealh occurred II the time, date, and place, and due 10 the cause(s)and mlnner as stated.................................... .........................,.......0 Medical wmlnerlcoroner On the basis 01 examlnaUon andlor Invtstl9ltlon, In my opinion. death occurred .1 the time. dale,and p*e, .nd due to lhe cause(s) and manner as ltated ....._..0 35 Registrar'. ~Um ~ -- ....,; I-Lt II ~ / I I I DateF1Ied(Monlh'd8Y.y~ (See Instructions and examples on reverse) SJ.-I'~ ~~+iLA 28. Did Tobacco Use Contrbute to Oeath? o Vas 0 Pfobebly DNa oUn_ 29. IlFemele: Cl Not pregnant within plsl year o Pregnant III time of death o Not prepnl, but pregnant ~.2 days 01 death o NoIpraonant.butpraonant43dayslo1yaa, before death o Unknown H pregnant wthl'l the past year 32c. Place oflnjulY: Home, Farm. Street, Factory, OIlIee Buiiding, etc. {Specif)1 32g. l.oelIllon (Street, cltyAown, stale) 33d. Dale Sign (MorJlh, day, year) b OJ". M.S. Hershey Medical Ctr. Hershey, PA 17033