HomeMy WebLinkAbout06-19-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Stephany Tacey a' ~ ~•, ~ `j ~ `~1
File Number
also known as
,Deceased Social Security Number 160-07-9505
Janine Farrell
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELO N':)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executrix named in the
last Will of the Decedent dated 1 /15/2003 and codicil(s) dated May 28, 2009, renunciation executed by Theodore Cheski.
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Store relevnnt circumstances, e. `~
( g., renunciation, death of executor, etc.) -~ C~
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted aRer execution of the i~zi~t~ment~offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~~ j `-" '
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B. Grant otLetters of Administration _ ~7 r. i ~ ~ ~ ~
(/f applicable, enter: c.r.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; durante'tritate) ~ _
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spot se (if any) arttl.~teirs: ,(If
Administration, c.t.a. or d. b. n. c.t.a., enter date of Will in Section A above and complete list of heirs.) O
Theodore Cheski Brother 1606 Benner Street, Philadelphia, PA 19149
Janine Farrell Great Niece 1323 Asper Drive, Boiling Springs, PA 17007
Stephanie Wengraitis Panzienza Great Niece 60 Hines Farm Road, Cranston, RI 02921
(COMPLETEINALL CASES:) Attach arLGtional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
1323 Asper Drive, Boiling Springs, PA 17007
(List street address, town/ciry, township, county, state, zip code)
Decedent, then 90 years of age, died on 5/12!2009 at Nazareth Hospital Vitas
Decedent at death owned propcrty with estimated values as follows:
(If domiciled in PA) All personal property $ ~ ~ ~, L) U ~)
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciied in PA) Personal property in County $
Value of real estate in Pennsylvania $ ~~ y , (,)U (;~
situated as follows:
Form RW-O2 rev. 10.13.06
Page I of 2
Wherefore, Petitioner(s) respectfully i 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:
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 the ~ ~ 7 /d~a)y,of
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For the Register
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Signature of Personal Representative rJ_ r_,, ~ ' _f
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Signature of Personal Representative -- i ~.., ,` ~~ _
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File Number: ~ ~ V C~ U S , `~
Estate of Stephany Tacey ,Deceased
Social Security Number: 160-07-9509 Date of Death:5/12/2009
AND NOW, ~~ 1 ? , ~ in consideration of the foregoing Petition, satisfactory proof
having been presented befor me, IT IS DECREED that Letters Testamentary
are hereby granted to Janine Farrell
in the above estate
and that the instrument(s) dated 1/15/2003
described in the Petition be admitted to probate and filed
FEES
Letters ..............
$ X510 ~'~
.
Short. Certificate(s) .. ~ ~.
~ ... $ i~0.00
$ S'"~
.
Renunciation(s) ..... ...
Automation Fee . • , $ 5.00
JCP Fee . • $ 10.00
Will . , . $ 15.00
... $
... $
... $
... $
... $
... $
TOTAL .......... -~ '"" 83'5"00
.... $ ~
Form RW-02 rev. 10.13.06
of rec as the last W' 1(and Codicil( )) f Decedent.
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Attorney Signature:
Supreme Court I.D. No.: 72897
Address: 5006 E. Trindle Road, Suite 100
Mechanicsburg, PA 17050
Telephone: (717) 591-1755
Page 2 of 2
Attorney Name: Peter J. Russo, Esquire
Beneficiaries Cont.
Name Relationship Residence
Henry Cichaczewski Brother 5899 Troy Villa Blvd., Huber Heights, OH 45424
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105-KOS KL:4' tbl/0?1
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certitlcate. 36.00
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Certification Nwnber
This is to certify that the intorma?ion here ~i~'en i.
correctl~~ ciypied !i-(?m ~~n original Certificate of Death
duly filed with In~~ as. Local KegisUar The ori~~ina1
rertif~cate 'ill he forty rc d~to the State Vital
R~ ds _ f •e f;71~ perm< t filing,
_ocal Rer~istrar Date (sued
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~H~j a3 REV ytnlbs COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~
PERMANENTN CERTIFICATE OF DEATH
BIACK INK (See instructions and examples on reverse)
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t. Name of Decedent (Post, middle, last sulkx) _. 2. Sex, 3. Social Security Number 4. Data of Oeath (MOnN, day, yeaQ
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5. Age (Last &MMy) Untler 1 ear UnMr 1 da 8. a of BIM Month, M , 7. BiM Ci antl stele or forei coon 6a. Place of Death (Check onl one
Hospital: Other. {~/QL ~~j~h
Months Days Hows M'nulea
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^ Residence ~ther - Speciry~. ~,~ i'~C rj
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C I ~~ Yrs. !~ I \ ^ Inpatient ^ ER I Outpatient ^ DOA ^ Nursing H
Bb. County of Death &. City, Bore, Twp. of Death r
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6d. faaliry Name (It rwt Institution, give street and number) 9. Was Decedent of Hispanic Origin? ^ No L' J vas 10, Race: Amerkan IrMian, Blxk, White, etc.
;~~ c' ~ \~ <' pl yes, spedty Cuban, (SP~h1
`, ~I ~ `r ~~ ~~ ~ c v I ~- ~ c Mexican, Pueno Rican, etc.) ll) h ~ .
11. Decedent's Usual Occu attar Kind of work done tlur most of workin life. Do not slate refired 12. Was Decedent ever M the 13. Decedent's Education (Splxiy any highest grade computetl) 14. Marital Status: Married, Never Marred, 16. Surviving Spouse (If wile, give maiden name)
Divorced (SpeciryJ
Widowed
Kind of Work Kind of Busines dgslry
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US. Armed Forces?
Elementary 1 Secondary (042) College (1-4 or 5+)
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16. Decedent's Mailing Addr (S~ciry! town, state, zip code)
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Actual Residence 17a. State ~ LNe in a t7c. ^Yes, Decedem Lived in Twp,
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Actual Limits of
18. Father's Name (First middle, last, sudix)
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20a. Informant's Name (Type ! PriN) 20b. Informant's Mailing Address (Street city /town, stale zip code) ~
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21 a. M
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of Disposition ^ Cremation ^ Donation 21 b. Date of Disposition (Month, tlay, yeaQ 21c. Place of Disposilbn (Name of cemetery, crematory or other place) 21d. Laatio try I town, stale, zi ode)
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y,r Ductal ^ Removal from State r Was Crematbn or Donation Authorized
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^ Other- I byMedicalExsminerlCoroner? -
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~ 22a. S tore I Funeral Service Licensee (or person a ~ such)
~ 226. License Numher
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Canplete items 23ao only n bMn9 23a. To the hest of my klawledge, death omurred at the time, date aria place slated. (SignaWre and Gt1e) 23b. Lkense Number 23c. Date Signed (Month, day, year)
physician Is rat available a Ume of aM to ~/
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Items 24-2fi must he I:onpuled by person 24. Time of Death 25. Date Pronounced - ad (Mo th, day, yeal, 26. Was Case Ref ed to Medical Examiner /Coroner la a Reason Omer the Cremation or Donation?
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who pronounces death. J L I ~' H M. U ,J I n t /~ 1)'I Yes No
CAUSE OF DEATH (See Inatructlons and exam les) I Approximate interval:
ch as cardiac arrest
I Onset to Death
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cause 28. Did Tobacco Use Contnbrte to Deam?
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Item 27. Pan I: Enter the chain of events -diseases, injunaz, or complications - that dreclry caused tlw Ma
respkatory erred, or venuicu~ar fibr'INation wimoul showing the etiology. List only one cause en each line. .
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IMMEDIATE CAUSE IFiIW disease or -/ CC
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Iaa6rq b the cause fisted an Gne e. Not pregnant, but pregnant within 42 days
Due to (or as a consequence of): I
Enter die UNDERLYING CAUSE I of MaN
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events resulting m death) LAST. c
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pregnan pregnan y year
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^ Unknown if pregnant wihin the past year
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30a. Was an Autopsy 30b. Were Autopsy Findkgs 31. Manner of DeeN 32e. Dale o(Irqury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Furls, Fartn, Street, Factory,
Office Building, ek. /SpeayJ
Performed? Available Prwr to Completion
f Cause of Death? ~ Natural ^ Homicide
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^Yes ^ No ^ Accident ^ Pending Investigation 32d. Tme of Injury ffie. Injury el Work? 321 II Trensponelion Injury /Spea'ryJ
er ^ Pedaslrun
erator ^ Passen
^ Dmer/O 32g. Location of injury (Street. city /town, state)
es y ^ Suicide ^ Could Not M Demmkrletl M ^Yas ^ No g
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. Other - Speciy
33a. CeNfier (check Doty acre) 33b. Signature end title of CeNHer
CMlfying physklen (Physidan ceNtying cause of death when anoNer physician has pronounced death and completed Item 23)
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To the MCt of my knowfetlge, Math occurred dos WtM rauce(c)and manner as c 33c. tJCense Number 33d. Date Signed jMonm, tlay, year)
• Pronouncing end carltlyNg phyUCWn (Physkian both pranourxing Mam and cenihying b slue of Math)
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To tM hest of my knowledge, death accurted el the Ume, Mta, and place, and due to the cauaela) en
• kNdkal ExaMnar/Caon•r
On the of examination end I a Invastlgatlon, In my aplnbn, duth aocurrW at IM ttime, Mte, and place, and Me to tM esusafe) eM manner a stated ^
34. Name and Address of Person WM,Cpglpl~d~ o~laAlp{Jb~l 27) Type I Print
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LAST WILL `_' r4a
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STEPHANY TACEY
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STEPHANY TACEY, of Philadelphia, Pennsylvania, revoke my prior wills
and declare this to be my Last Will:
FIRST: Debts and Funeral Expenses: My debts and the expenses
of my last illness, funeral and burial, including perpetual care, shall be paid out of
my estate.
SECOND: Personal and Household Effects: 1 give my automobile and
all other articles of personal or household use, together with all insurance relating
thereto, to Theodore Cheski, my brother, Stephanie Wengraitis Panzienza, my
great niece, and Janine Farrell, my great niece, provided they survive me, to be
divided among them as they may agree. Any articles not selected shall be sold and
the proceeds added to my residuary estate.
THIRD: Specific Bequests of Securities: I give all of the securities
held in my name at UBS PaineWebber, Inc. to my brother, Theodore Cheski.
FOURTH: Specific Bequests of Real Estate:
(A) 1 give and bequeath premises 1634 Benner Street and 1636 Benner
Street, Philadelphia, Pennsylvania, to my brother Theodore
Cheski, provided that he survives me. If my brother does not survive
me, 1 give and bequeath said two properties to my great nieces,
Stephanie Wengraitis Pazienza and Janine Farrell, in undivided
equal one-half shares, per stirpes.
(8) I give and bequeath premises 3752 Foxdale Lane, Holiday, Florida
34691 to my brother, Henry Cichaczewski, provided he survives me
by thirty (30) days.
1
(C) I give and bequeath premises 19 Alabama Avenue, Beach Haven
Park, Long Beach Island, New Jersey 08008 in equal one-half
undivided shares to my great nieces, Stephanie Wengraitis
Pazienza and Janine Farrell, per stirpes.
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FIFTH: Residuary Estate: I give the residue of my estate, real and
personal, to my brother, Theodore Cheski, In the event that he does not survive
me, I give the residue of my estate in equal one-half (1/2) shares to my great
nieces, Stephanie Wengraitis Pazienza and Janine Farrell.
SIXTH: Order of Abatement: In the event the assets which I own at
my death and which are not specifically bequeathed are insufficient in value to pay
all expenses, debts and taxes in connection with my estate, I direct that the bequest
of premises 1634 Benner Street and 1636 Benner Street, Philadelphia,
Pennsylvania, shall be the first to abate. If all of the proceeds from the sale of said
premises are not expended to pay debts, expenses and taxes, the amount left over
shall be distributed to the beneficiary or alternate beneficiaries named in Paragraph
Fourth above. In the event the proceeds of sale of said premises are insufficient to
pay all debts, expenses and taxes in connection with my estate, I direct that the gift
of all securities shall abate in such amount as to provide sufficient funds to pay the
remaining debts, expenses and taxes.
SEVENTH: Minor Beneficiaries: If a minor becomes entitled to a share
of my residuary estate, that share shall be retained by my Trustee in a separate
trust for the minor and as much, even if all, of the net income and the principal of
such trust as my Trustee may from time to time think desirable for the minor either
shall be distributed to the minor or shall be expended on his or her behalf, and all
remaining income and principal shall be invested and held and shall be paid to the
minor at majority.
EIGHTH: Protective Provision: No interest in income or principal shall
be assignable by, or available to anyone having a claim against, a beneficiary
before actual payment to the beneficiary.
NINTH: Death Taxes: All federal, state, and otherdeath taxes payable
because of my death on the property forming my gross estate for tax purposes,
2
including any interest and penalties thereon, shall be paid out of the principal of my
probate estate just as if they were my debts, and none of those taxes shall be
charged against any beneficiary.
TENTH: Management Provisions: 1 authorize my Executor and my
Trustee:
A. To retain and to invest in all forms of real or personal property.
regardless of any limitations imposed by law on investments by
executors or trustees;
8. To compromise claims and to abandon property which, in my
Executor's opinion, are of little or no value;
C. To sell at public or private sale, to exchange or lease for any period
of time, any real or personal property, and to give options for sales or
leases;
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D. To join in any merger, reorganization, voting trust plan or other
concerted action of security holders, and to delegate discretionary
duties with respect thereto;
E. To borrow, and to pledge property as security for repayment of any
funds borrowed; and
F. To distribute in kind and to allocate specific property among the
beneficiaries in such proportions as my Executor may think best, so
long as the total market value of any beneficiary's share is not
affected by such allocation.
These authorities shall extend to all property at any time held by my Executor or my
Trustee and shall continue in full force until the actual distribution of all such
property. All powers, authorities and discretion granted by this will shall be in
addition to those granted bylaw and shall be exercisable without leave of court.
3
ELEVENTH: Executors and Trustees: I appoint my brother, Theodore
Cheski, and my great niece, Janine Farrell, or the survivor of them, as Executors
of and Trustees under this my Last Will. No Executor or Trustee shall be required
to give bond.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my
Last Will, which consists of four (4) pages, this page included, to each preceding
page of which have affixed my initials this ! S <<~~- day of
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SIGNED, SEALED, PUBLISHEDANDDECLAREDbySTEPHANYTACEY,
the above-named Testatrix, as and for her Last Will, in the presence of us, who at
her request, and in the presence of each other, all being present at the same time,
have hereunto subscribed our names as witnesses.
,;
Address ~ T ~ b~rr~l `~; v'~ C~ rl, ~t~ ~l~ I ~~p.~
yam- ;=~.~-~ ..,. ~.1~ Address /3l .~ .~5°~x ~~; ~~ ~'- L. ~: L 5~= , ~ti ~ ,; , >'
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AFFIDAVIT OF TESTATRIX AND WITNESSES
We, STEPHANY TACEY, _ 5e.~'t Cl I~~l~tn~ ,
and j,~f/i~L~~~^ ~ ~~z,~ ,the Testatrix and the witnesses,
respectively, whose names are signed to the attached or foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as a her last Will and that she had
signed willingly and that she executed it as her free and voluntary act for the
purposes therein expressed, and that each of the witnesses, in the presence and
hearing of the Testatrix, signed the Will as witness and that to the best of our
knowledge the Testatrix was at that time eighteen years of age or older, of sound
mind and under no constraint or undue influence.
,!
Testatrix
Y /
W/ n SS
Witness
Subscribed, sworn to and acknowledged before me by STEPHANYTACEY,
the Testatrix, and subscribed and sworn to before me by
_ 3t?p~`i~ M ~H12~~5~ ,and ~A;~~~>p,ti ,~. ~q ~C;c~,~~
witnesses, on C--..,..-u=~.. i ~ , X88?-~ ~~
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N~ Public i
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NOTARIAL SEAL
JUDITH D. KAUFFMAN, NoSary Public
Borough of Carlisle, Cumberland County
My Commission Expires March 10, 2003
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RENUNCIATION ' rte ~
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7 REGISTER OF WILLS =^c: s ~-
~j,!!'y) ~l~1C( +?G( COUNTY, PENNSYLVANIA `-
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Estate of ___ ecease
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I, ~ eodv~e~ ~~~~~ ~-1 , in my capacity/relationship as
(Print Nance)
>rG~t ~1P ~ of the above Decedent, hereby renounce the right to
administer the Estate of the Detc-edent and respectfully request that Letters be issued to
~Q.r1 i Y7 L 1` ~-(Y 1~ e ( I
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Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
~SlgnGhl7"eJ
(Street ~t ddress)
(City. Stn/e, Zrp)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~~S`7H day
of ~~~ , v~OOn
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other otlicial yualitied to
administer oaths. Show date of expiration of Notary's Cmnmission.)
COMMONWEALTH Or' PENNSYLVANIA
NOTI-,R1Ai. S~At
LISA BOkIN~, Notery• Pubiic
rnr7n Rtt~-n6 re,~. gyn. t3.n6 Cit~r of Phiiadaiphia, Phiia. County
Conxnission E tea~ber 25, 2011..