Loading...
HomeMy WebLinkAbout07-08-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Austin W. Piccolo also known as File Number 21-08- '"} ~ ,Deceased Social Security Number 168-26-4818 Joanne Piccolo Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW) QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) islare the named in the last Will of the Decedent, dated 03/28/2002 and codicil(s) dated State relevant circumstances, e.g_ renunciation. death o/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 instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration app rca e, enter: c. t. a.: .n. c. t. a.; pe ente ~ e,, urante absentia; uran a mmontate 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: (/f Administration, c. t. a. ord,b.n.c.t.a., enter date of Will inSectionAaboveandcompletelistofheirs.) ra Name Relationship Residence ~ ' q _ ~'~+- ,` -, -= `-fix CO _.. -, --=' J ~ 't (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. 'Y W Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ~ 1604 Wyndham Road, Camp Hill, Lower Allen, Cumberland, PA 17011 (List street address, fown/city, township, county, state, zip code) Decedent, then 91 years of age, died on 0 611 712 0 0 8 at Decedent at death owned property with estimated values as follows (If domiciled in PA) All personal property $ 205,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania g 185,000.00 situated as follows: 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: Signature Typed or printed name and residence Joanne Piccolo 1604 Wyndham Road Camp Hill, PA 17011 '~~ ~~~~ Fam RW-02 Rev f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 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 belief of Petitioner{s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this " day of Personal Joanne Piccolo t'7 `~ ~ -Z ~~ O Signature of Personal Representative --~ O c~ ~- For the Register Signature of Personal Representative ': ~~ T: Cp 1 J O _.n _ - :.~~- ~? _ _, - r' , ~~ ~ i File Number: 21-08- '1 `~ ~ o~ Estate of AUStIn IIIV. PICCOIO A/IVA Social Security Number: 168-26-4818 AND NOW, having been presented before me, IT IS DECREED that Letters are hereby granted to Joanne Piccolo ,Deceased Date of Death: 06/17/2008 , in consideration of the foregoing Petition, satisfactory proof Testamentary in the above estate and that the instrument(s) dated 03/28/2002 described in the Petition be admitted to probate and filled of record as the Oast Will (and Codicil(s)) of Decedent. FEES Letters..... ~'1~~• ~:?...... .. . $ ~10 . '~ .1/ N..IC h~ Y~1Q~Y t_r~~~ldt.L~ ~]Q,I:LGIII~ ~ _ R isteroiWills ~;_ /j-1/,~(' ,~ ~ ..Yw,~^ Short Certificate(s)....... ............ . $ ' lQ , Renunciation(s) ............................. . $ Attorney Signature: `t~11 ~, $ `'S' • l~ Attorney Name: MlChael L. Bangs `~ ~ ~r0 $ ~~ • ~ Supreme Court I.D. No.: 41263 $ Address: 429 South 18th Street $ $ Camp Hill, PA 17011 $ Telephone: 717/730-7310 $ $ TOTAL .................................... $ `rt- rill , Form /ZEN-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 IUi H(15 RFC' rlllytLh LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $5.00 P 145-0240 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly riled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ,- /r _ ,,,•.,~,., "JUN 1/9 200$ Local Registrar Date Issued r- a~ C7 t:~ 0 ° c~ e ~ `7 c_._ ~'" ~ ~ f r :.,]~~ 1 " O"i ~~ ~Ci -!1 REV n/zaa6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ' ; G PgINT IN ~^ "A"E"T CERTIFICATE OF DEATH ~i cK INK See instructions and exam les on reverse -, _ ... ~ ~-',> `'s J ;.;• ,j _ -. ~, '_7 ~, t. Name of Decedent (FIrsL middle, last. suffix) 2. Sex 3. Social Security Number 4 Date of Death (Month, tlay, year) Austin W. Piccolo male 168 - 26 - 4818 June 17, 2008 5. Age (Last Binhdayl Under I year Under t day fi. Dale of Blnh (Monet, day, year) 1. &Mplace (City antl state or foreign country) 6a. Place of Death (Chrlck only one) Manlns Oeys HWrs Mlneres Hpbpltal' Other 91 vrs Au ust 15, 1916 Harrisbur PA gi g ~] Inpatient ^ ER ! Outpatient ^ DOA ^ Nursin g Home ^ Residence ^Omer ~ Specify. 6b. County of Deatn ec. City, Boro, Twp. of Death 6tl. Facility Name (II not institution, give street antl number) 9. Was Decedent of Hispanic Origin? ®No ^Ves 10. Race:.American Indian, Black, White. etc. Cumberland E. Pennsboro ltap (I1 yes, speciry Cuban, Holy Spirit Hos ital (SGeciM . p Mexican,PUenpRican,em.) white 71. DecetlenYs Usual Occu Lion Kind of work done tlunn most of workin tile. Do not stale retired 12. Wes Decedent aver In the 13. Decedent's Education (Specify only hignesl grade completed) 'I4. Marital Status: Married, Never Ma rtied, 15. Surviving Spouse (If wife, glue maiden name( Kird of Wodr KiM el Business I IncWSCry tLS. Armed Forces? Elementary /Secondary (0-12) College (1-0 or 6.) Widowed, Divorced (Specil)7 - Review A raiser State Government ®Yes ^Np 12 Widowed 16. Decedent's Marling Address (Street, city 11nwn, state, zry code) Decetlent's Dltl Decedent 1604 Wyndham Road Actual Residence na. slate Pennsylvania Llve ina nn Yea. Decedent LNed in ~ Lower Allen Twp. Camp Hill, PA 17011 Tpwnsnip? 1 n' D~e~esl 'rved wk rib. cm,n,y Cumberland rid.^P mn A c u o Coy! Soro 16. Falner's Name (First midtlle. last. suHlxl 79. Mother's Name (First, midde, maitlen surname) Pietro Piccolo Lucia Serventi 20a. Intomrent's Nama (TVpe ! PdnU 20p. Informant's Mailing Address (Street, city! sown. state, zip code) Joanne Piccolo 1604 Wyndham Road, Camp Hill, PA 17011 21a. Merhotl of Disposition ^ Cremation ^ Donation i 21b. Date a1 DisposAion (Month, tlay, year) 21c. Place of Disposapn (Name of cemetery, crematory a whet place) ltd. Location (City I town, stale, zip code) Burial ^ Removal from State li Was Cremation or Donation Authorized ^ Olher~Speciry: byMedicalEZaminerlCOranerT ^vas^Nq June 20, 2008 Holy Cross Cemetery Swatara Twp. , PA 17112 22a. Sgnaaue of Funeral Seri ~ensee o rson acting as sucn) ~ 22b. License Number 22c. Name and Address of Facility • - ,~.~- FD 013 340 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 Complete Items 23a< Doty when irying 23a. Tote sl of my knowledge, death occurred al Ina lime, date and place staled. (Signature and title) 23b. License Number 23c. Date Signed (Month day year) physlpan rs not avaaable at time of tlealh to , , certify cause of deem. hems 24-26 must be completed by person 2d. Tirne of Death ^ 25. Date Pranounced Dead (Month, day, year) 26. Was Case Raferretl to Medical Examiner/Coroner for a Reason Other than Cremation or Donation? who pronounces death. I ~ ~ `~', i' M. ~C (.~ • C ~~ []Ves (~No CAUSE OF DEATH (See Instructions and examples) 1 Approximate interval: Pan II: Enter other sign fin_nl condabns wntnbLnin c to death, 2B Did Tobacco Use Contribute !o Daathl Item 27. Pan I: Enter the chain of even6 - tlisaases, Irryunes, a complications - that directly caused the tlealh. DO NOT enter tartninal events such as cartliac arrest I Onset to Deem but not resuNing in the underlying cause given in Pan I. . ^ Yes ^ Probably resplralory artesl, or ventricular kbnsalion wahom shaving the etiaogy. List qMy are cause on each line. 1 IMMEDIATE CAUSE (Final disease or ~ t i ^ Np ^ Unknown cprrtlillon resWlirg in death) _~ a Ysi ~ .')a rr r;3/1 ' r'` ,-~.) ~ y r 28. If Female: , , , l - 1 Due to (o as a consaque Q` ~, ,~ I ^ Not pegnant withrn past year Sequential list mndliorvs, tl any. b. / ~„ ~ ~ ,J,: ,~ ~.. ~ IeaGng Ie the cause listed on line a. ~ V ^ Pregnant at hme of death Due to or as a cnnseque e f r Enter tyre UNDERLYING CAUSE ( )- - ~ ^ Not Dregnanl but pregnant within d2 days ). (disease or injury mat indialed the c , - ` ~:.,.( ~ ' of tlealh , . events resulting In dealnl LAST. ~ 1 Due to for as a consequence op: h , 1 7 ~~ [] Not pregnant, but pregnant 43 days to 7 year fo b d th l ~ d. re e ea ^ Unknown II pregnant wlfhln the past year 30a. Was an Auopsy ~ 3gb. Were Autopsy Flndngs 3i-Manner el Death 32s. Data of Injury (Month, tlay, year) 32b. Descrba Flow Injury Occurted 32c. Place of Injury: Home Fartn Street Factory Pedonne0 Availade Prior to Complelan ^ Natural ^ Homicide , , . , Ottlce Building, etc. (Specfy) of Cause of Death? ^ Yes ~ No ^ Yes ^ No ^ Accident ^ Pandmg Investigation 32d. Time of Injury 32e. Inlury el Work? 32f. II Transponetlon Injury (Spacity) 32g. Location of Injury (Street chy /town, slate) Swcitle ^ ^ Gould Nm be Detenninetl ^ ^ No Yes ^ Driver I Opemla ^ Passenger ^Pedestnan M ^Omer ~ Speciry~ 33a Cemfier (check Dory oriel 33b. Signature and Tllle of Cenlikx --~ • Cenitying physician (Physician cenitying cause of death when another physician has pronounced death antl conpleletl Item 23) ~~~ ' f ~ j .n To the best of my krwwletlga, tleath occurred due to the cause(s) and manrKr as etatad_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ - ~ • Pronouncing and cedNying physician (PhysNian both proneunang death and ceditying to cause of death) To the best of my knowled e death occurretl at the hme dale d l and d t th ^ 33c License Number 33d. Dale Signed (Month day, year) g , , , an p ace, ue o e cause(s) and manner as staled_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Metlkal EXBminerlCINO11M ~~a~_~ ~, I ~) ~ ~-f ~ ~1 ~ ( ) ~ On the basis of examination antl / or -nvest gation n my opm on, death occurred at the t me, date, and place, and due to the cause(s) and manner as staled_ ^ __ l ,y. 3A Name antl Add es of P^ers~ln VJho Completed Cause of D h (Item eat 271 Type /Prim "" 35. Regist I nature antl D u ~ l ~ / ' 36 Dala F ed (Mon ,day, year) ' / ~ ~ ~ ~ rGZ ~1 / / L Ct 'S ~ E"- ~C { ' 7 x J / - I I ` I I I f C / pd,(? r ~-~~~tS~,~ v~r u t:~ 5 ~?~ ~7c~ /7.%! . ~~ Disposition Permit No. ~,) L(S) ~ )~ 1 ~llii 4'~ ° ` I, AUSTIN W. PICCOLO of Lower Allen Township Cumberland Co~ iri~ ` ' = , , . , Pennsylvania, declare this to be my last will and revoke any will previously made Vie. ~^~ " ' `` ITEM I. I direct that all my just debts and funeral expenses, including 5' gravem~ker -::~`-~,,, ~~ ll d f l t ill d ll d d an a expenses o my as ness, an any an a taxes an assessments imposed by any c~ ` ` governmental body as a result of my death, whether on property passing under this will or ~ ,~ otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a ~ part of the expense of the administration of my estate. ITEM II. I give and bequeath my real estate located at 1 Ei04 Wyndham Road, Camp Hill, together with all of my household goods, automobiles, jewelry, and all other articles of -~ household and personal use, equipment and ornament, together with all insurance thereon and ~;,~ relating thereto, to be divided evenly between my children, JOANNE PICCOLO and H~`~J GREGORY A. PICCOLO, or to the survivor of them. ~' ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my ~ possessions and estate of every nature and wherever situate to be divided as follows: A. Twenty-five (25%) Percent to my son, BRIAN :PICCOLO, provided he survives my death by thirty (30) days. Should he predecease me or be deceased on the thirty-first day after my death, his share shall be divided evenly among my surviving children. ~. . B. Thirty-seven and one-half (37.5%) Percent to my daughter, JOANNE PICCOLO, provided she survives my death by thirty (301 days. Should she predecease me or be deceased on the thirty-first day after my death, her share shall be divided evenly among my surviving children. C. Thirty-seven and one-half (37.5%) Percent to my son, GREGORY A. PICCOLO, provided he survives my death by thirty (30) days. Should he predecease me or be deceased on the thirty-first day after my death, his share shall ~ be divided evenl amon m survivin children. Y g Y g . `~,., ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or ` ~, ~ attachment. ~~, ITEM V. I a oint m dau hter JOANNE PICCOLO executrix of this m last will. Pp Y g Y ITEM VI. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby ~'C~ give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as ~~, my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; 2 to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; 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 personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITEM VII. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this ~~ .-- day of _~ ~, ~~~-- , 2002. /~ ~-~. l ~7 AUSTIN W. PICCOLO The preceding instrument, consisting of this and THREE other typewritten pages, each identified by the signature of the testator was on the date thereof signed, published, and declared by AUSTIN W. PICCOLO, the testator therein 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. 4 COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) The undersigned, being the testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. r~ , ~, _.__.. ~y -~..2 AUSTIN W. PICCOLO Sworn or affirmed to and acknowledged before me by tl~e stator amed above this ~a of ~ , 2002. .. l~lo~a~y.~'..~Jal~.c. ..,. _..,. ~ u,.~,,,~ '~~~! i= ,,. r _ .~~q~sat ~E~j ~,t'.+i~Y 7 "~, :'v'~ E r v ?,>Tr4. y, ,r"'i..t'3~ &.YYC,S.'T~y ~C6I`~~`l~~I"'7'I~`'~~YLVANIA ) (SS: COUNTY OF CUMBERLAND ) WE, .~~.~, ~ /yOMr° and~'L~,~~(~~ ~ ~ ~(~S~ t l ,the witnesses whose names are signed to the attached or oregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his last will; that he signed it 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; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of spend mind, and under no constraint or undue influence. n ., n // <._. Sworn or affirmed to and acknowled~d~~fo~me this ~~ `ti(~day off ,,, _(,~.~i { , 2002. ' .,~, z~~~~ Notary Public' w~.vR,~.+®*.~e~.~Na.~-.s:wrsrrnvc-~na~.~a-;r+ea~sec^ec