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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. t<:, ~~ 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 `-" ' _ 'U3 ?- , ,~ B. Grant otLetters of Administration _ ~7 r. i ~ ~ ~ ~ (/f applicable, enter: c.r.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; durante'tritate) ~ _ _~ 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 L ,~ i For the Register -~ ~ . Signature of Personal Representative rJ_ r_,, ~ ' _f f ~~_ - ' ~-~ `~ i ,,. Signature of Personal Representative -- i ~.., ,` ~~ _ ~` ,_, 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. f 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 c~ ~ C-= ~ , ~~~ .~ -,_, c.,. -, ~ 1 ~ f"- ~'!-! ~ _ ,, . ~ ~L ~ ~ _ ._. .~ ~_~ ~ ~ ~~ S -'~ ~ .: - W 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 ~ ~ +~~ Y ,~ 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 __ _ _ _ _ _ _ r - CL? -,J.)) -~ ~ i=r~Tl .- ~ L~ ~ ~: --~ (1 r )tom--.n ~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) F FII F NI IxaRFR 0 ~f"~ 1 ~ ~ ~UU~. ra ca >~ -- C.._ ~_ i.- :~~ i" i' _~ ~ - r t. Name of Decedent (Post, middle, last sulkx) _. 2. Sex, 3. Social Security Number 4. Data of Oeath (MOnN, day, yeaQ i~ ~ ~ ` ~ 7 S- ~ 1 b ~- ~ S ~ -1-~qr~ 1 c,C.~~. ~ I~;~ -o - 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 'I / ^ Residence ~ther - Speciry~. ~,~ i'~C rj ome C I ~~ Yrs. !~ I \ ^ Inpatient ^ ER I Outpatient ^ DOA ^ Nursing H Bb. County of Death &. City, Bore, Twp. of Death r ~ 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 ~ , US. Armed Forces? Elementary 1 Secondary (042) College (1-4 or 5+) ~ d ~ \\~~ ~ ~O~tA v~J~ ^vea ~ lc l Wlc 16. Decedent's Mailing Addr (S~ciry! town, state, zip code) p,~ ~I ( ~ ~C~1?~' JI Decedents ~ Did Decedent Actual Residence 17a. State ~ LNe in a t7c. ^Yes, Decedem Lived in Twp, Township? - ~ o ~ ~O ~ ~-' ~1 A ~ t~ 17d. ~lo, Decedent LNed within ~~,~v~ C 17b Coun ~ v ~;\` (~~r ~ `~ - \ ty . City/Boo Actual Limits of 18. Father's Name (First middle, last, sudix) ~ ~ ~ 19. Mohacs Name (First mkHle aiden surname) C~n A 1 ~~~ C, ~ c L7 P w S ( s c,..., ~ ~~ c~ , L C 20a. Informant's Name (Type ! PriN) 20b. Informant's Mailing Address (Street city /town, stale zip code) ~ . •~ Q '< -l00'~ ~1 ~ ~~ J C ~ ~~.~ ~cxr ~ 11 ~ ~~ c ~f / S ~~ c ~. c>, 21 a. M e t twd 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) _ f - l ~ y,r Ductal ^ Removal from State r Was Crematbn or Donation Authorized ^ ^ ~ /~ (? ~~' ` (('' C~r ~ ~ ~ ' ' ~ I ~ - G I C 1 Na Yes ^ Other- I byMedicalExsminerlCoroner? - lJ ~.1Y l~ l ~ f Ot n . 1 t)Y - _ ~ 22a. S tore I Funeral Service Licensee (or person a ~ such) ~ 226. License Numher ` ~ 22c. Name and Address of Facility r ~ ~~~, ~ ~ ' ~ Ll' ~ 'h ~ ~ ~ ~ ~ ~ ~ ~~ 3- L ~~ ul Z~~. # ~ ~ o n-e -4 c~m~ Ca~ 11E ~ L' ~ -~ 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 ~/ ~. ( ' ~ ~ ~ ~ Ic.~~ J l~ l~ ~ ~^ ~, (~ (~ ~ i ~- ~~'1~ candy causeMMath. t ~ ) Ir~~ (2 h ll?(ll I 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? ^ 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 i l t s DO NOT t t d Pan II: Enter other ,pniflcant contlisons c_ hAUdra to tleam iven in Pan I but not resultin in the underl ir cause 28. Did Tobacco Use Contnbrte to Deam? ^Y ^ P b hl , er erm na even s u en t. 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. . y g g g ro y es a ^ No ^ Unknown IMMEDIATE CAUSE IFiIW disease or -/ CC condalon resuWrq n eaN) J~7' e n o -~ i .T e ~/~ I ~ 29. If Female: re nant wihin ass ear ^ Not . ~ . f-- - Due to (or es a consequence op: y p g p ^ Pregnant al time of death II any h Sequentially list condaiau ~ ^ , , , 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 (daeaae a inlul~ filet inbiated me ^ N l t b t t 43 d l 1 events resulting m death) LAST. c Due to (a as a consequence of): o , u a s 0 pregnan pregnan y year before dean ^ Unknown if pregnant wihin the past year tl 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 rat J'No ^ Y o ^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 p . 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) (~ ht d ~ _________________________________ e 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) ^ l t d d ~1 ~~v L ~ ~ ~ T ~. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ manner as a a e 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 • • //Z~. ~ //c %^+ly J ~`C 36. s alure 'INlmbar '~ 3 ~ ~~ ~~ ~ ~ 36. Date Fi ( th . My, r) _~ J'1 ?- 1 ~/Y Z ~xy'(c /~~ f l y - - 1 - T ~ , /, Disposition Permit Na. ~ f ~ (I l I • LAST WILL `_' r4a ~.7 ~_. _: , -r~„ ._ ^, STEPHANY TACEY = ~ ;, ~: ~ ._ f:~ _II ~ 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. .p 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; r 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 _ z~-...._<,,.~. ~98~. ~c~ 3 _ !~. _ -~; ~,.~,>?- ~ -~e%:`" (SEAL) STEP ANY T Y /~ 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 ~ ,; , >' / :~G~ T 4 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?-~ ~~ r,x,_ N~ Public i ~~ NOTARIAL SEAL JUDITH D. KAUFFMAN, NoSary Public Borough of Carlisle, Cumberland County My Commission Expires March 10, 2003 5 _ ~ ~ PV t~ _ is RENUNCIATION ' rte ~ 7..~ ~--. . rr"~ -- 7 REGISTER OF WILLS =^c: s ~- ~j,!!'y) ~l~1C( +?G( COUNTY, PENNSYLVANIA `- -~` °- .~ ~ ~~~ fl ~ ~ ~ C~ D d r 1~ y Estate of ___ ecease , 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 r/ ~n ~~~1 /e~ 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..