HomeMy WebLinkAbout02-02-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the
following and respectfully requests the grant of Letters in the appropriate form:
Decedent's Information
Name: Theresa Lucisana
a/k/a:
a/k/a
a/k/a:
Date of Death: 01/2512012
File No: 21-12 - Itj ;'
(Assigned by Register)
Social Security No: 168-26-4578
Age at Death: 79
Decedent was domiciled at death in Cumberland County, pA (State) with his/her last
principal residence at 4905 E Trindle Road, Building 3, Suite 82, Mechanicsburg 17055 Hampden Cumberland
Street address, Post Office and 7_ip Code ~? City, Township or Borough County
Decedent died at ~/~'.z, ,~ k:;•~--4i f/b ~!%~~~--C ~~~; ~ ~„C b~=~- ~,~.;,., ;- .. ~/`
Street address, Post Office C_ o-d City, Township or orough -County State
Estimate of value of decedent's property at death
If domiciled in Pennsylvania ...................... All personal property $ _ 104 774.00
If not domiciled in Pennsylvania ................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ................ Personal property in County $
Value of real estate in Pennsylvania ................................................................... $
^ TOTAL ESTIMATED VALUE $ 104,774.00
Real estate in Pennsylvania situated at
(Attach additional sheets, if necessary.)
Street address, Post Office and Zip Code
City, Township or Borough
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated
thereto dated
01/04/2010
County
and Codicil(s)
State relevant circumstances (e. g., renunciation, death of executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIONS ^ EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c. t. a., d. b. n., d. b. n. c. t. a., pedente lite, durante absentia. durante minoritate
If Administration, c.t.a or d.b.n.c.t.a., enter date of Will in section A above and complete list of heir.
Except as follows: Decedent was not a party to pending divorce proceeding wherein the grounds for divorce had~en establishEd as definec4~-~
in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ~~.,, _,._, -,-,
® NO EXCEPTIONS ^ EXCEPTIONS ~~ r-t t-T ~~yj
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the folio ~ e (if ally) and.be.irs..(attach
additional sheets, if necessary): -q ~~ _.
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Name Relationship Address `?C---- .-- ~=
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Form RW-OY rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2..
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Official Use Only
Petitioner(s) Printed Name Petitioner(s) Printed Address
Brenda Tusing 2233 Powhatan Avenue
Virginia Beach, VA 23455
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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 ~~' ~~~-~'"~fi ;3. d`
1 Date
me t ~s~ lr dayt of ~ { 't ' (~ 1. ~~ / ~- Date
By: y I i. l I _J 1 l (r t ~~ Date
For the Register
~ Date
BOND Required? ~ YES L_'l ry~ To the Register of Wills:
FEES:
Letters ..........................................
( w, )Short Certificate(s).........
( )Renunciation(s) ..............
( )Codicil(s) ........................
( )Affidavit(s) ......................
Bond .............................................
Commission ..................................
Other
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bt
Automation Fee ............................
JCS Fee .......................................
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Niease enter my appearance by my signature below:
Attorney Signature:
i^,ti
Printed Name: Michael L. Bangs
Supreme Court
ID Number: 41263
Firm Name: Bangs Law Office, LLC
Address: 429 South 18th Street
Camp Hill, PA 77011
Phone: 717/730-7310
Fax: 717/730-7374
E-mail: mikebangs@verizon.net
DECREE OF THE REGISTER
Date of Death: 01/25/2012
Social Security No: 168-26-4578
Estate of Theresa Lucisana File No: 21-12 -~- i ~ ':
a/k/a.
/ :', CI a ~ r' ' ~`
AND NOW, ~~~ / -:.L: , in consideration of the foregoing Petition,
satisfactory proof having bee presented before m , IT IS DECREED that Letters Testamentary _
are hereby granted to Brenda Tusing a
in the above estate and (if applicable) that the instrument(s) dated 01/04/2010
described in the Petition be admitted to probate and filed of record a the last Will (and Codicil(s)) of Decedent.
Register of Wills "~-~ (,' ' i` % . F,
Form RIN-02 rev. 10/112011 Copyright (c) 2011 form software only The Lackner Group Inc.
Page 2 of 2
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TYDe/Print In COMMONWEALTH OF PENN9VlVANIA • DEPARTMENT Of HEALTH • VITAL RF.CORD.S
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1. Decedent's Legal NamelFint, Mitldle, last, 9uffx) 3 lal security Number 'c apt DeathlMO/D y/Yr lspell MO
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9a, a{e-last Birtntlay rsl Bb. Under 1 Vear Sc. Under I Da 6. Date of Birth IMp/Day/Year) (9pell MDnmt )a. Birthplace Ciry and 5 e or F reign Co ntry)
Months Days our Minutes
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9. Ever in US Ar MFprcesi 10 Marital9talus at Tim pT Death ^MaMetl ^ Witlowetl il. SUrvMn85povs<'s Namell/wife, glue name prior toR arrlagel
^Yes No ^Unknown ^Divorced Never Married ^Unknow
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11. Father's Nama (First, Midtlle, last, 6uma1 13. Mofner's Name Prior t
t Mardaqe (First, Middle
last)
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lAa. Infprmant's Name ~ 1ab. RelatipniMp to Decedent Uc Informant'sM¢gtpg Adtlreu ls[reet and Number, Ciry, state, Zip Cpee23
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:Il Death Occurred Somewhere O[neF ihana Hospital: Hospice Faclll ~~~~~~~~~~~~~~~~~~~~~~~~~~
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~ 166. Fa Iltty Namellfnotinstitutlon.g estreeta umber'
n 15c. Ci or Town, St to and 2lpC 15 [ounryof Death
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]6a Metnptl of psposltlpn ^BUral
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/^N 166. Date of D'spositon Place of D'spostlon Name orcemetery ry Ptner place)
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^ Removal from State ^ Dona l2
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P 3)a.0 or Funeral servitt LCensee or Person Charge of nterm t l )b. license Number
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n<. Name ane co eaamsa Or FaneF F, 'ury
2t ~nN4ral iwle of rr ~ ttS @- l7u ~
18. Oe<etl<nt's Education ~ Check the box mac best describes Me 39. Decedent pf lspanic Origin ~ Cn<ck the 10. Decetlent's pace ~ Check ONF OR MORE races to Indicate what
nlgnst aen«or level prsmool completed acne time ofdom. tips that EStdscrlbs whemeane demden me de<edgm <pnFitlerea nimseB Or neraenmbe.
^ em grace pr lss la spanrsn/HlsDanic/Latmo. ae[k cn<^Np° white ^ Norean
^ No eiDloma 9m Iztn q.,ae box r deceaem : not spmlan/H'swmdmt no. a ~aaran ams<an ^ vemameFa
ig Hgn scnppl graduate or GED Cpmpletea Np not swd:n/HlapanirJla~nP ^ ,n nd'an or AlaFka Narye p ome. Aaan
^ Some college cretllt but no degree Mei can Mew can Amer can CM1lcanO ^ A ntlran ^ Nat ve Hawaiian
^ AazO~ ate tlegree le.g AA As ^ Ves puertp Rican ^ CM ^ Guamadan or fnamorrp
^ Bacheler's degree le.g. BA, AB. 09) ^ Vex, Cuban ^ FII plno ^ Samoan
^Masleisdegree (e.¢.M MS. MEng, MEd, MSW, MBA) ^Yei.o her Spanish/Hlipanlc/Lafinp ^la ane.,e ^Otn<r Pacili<ISlander
^ O rte le.e. PM1O, Edo) or r sional tlegree Spetlry) ^ OMer ISpecityl
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11 Decetlent's Single Race Selt-Designation~Cneck ONLY ONEto indicate wnat[he decetlent consltleretl himself or herselr to be. 22a. Oecetlent's USUal OCCUpatlon-Intlicate type of work
~t White ^lapanese ^Samoan done AUring most of wOMing life. OO NOT USE RETIRED
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(] Black or AMcan American ^ Ko ^ Other Pacific Islander // f
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^Amercan Indian or Alaska Nalive ^Viet amese ^Don't Nnow/NOL SUrc C~SrQ W1Qr V(CQ
^ Asian Indian ^ Other Asian ^ gerusetl ZZb. Nrntl of 8uslness/Industry
^ cninse ^ Nanye Hawaian ^ ane.IspeaM
^ Fnmmo ^ Guamanian Drcnamor.p •rjYl fV FrLvtG Q
ITEM$13a ~ 13d MUST BE COMPLETED 23a. Date Prorpuntte Dead IMO/Day/yrl 136. Signature of Person Pronouncing Death IDn1V when apPgcablel 23c. Ucense Number
gY PERSON WHO PRONOUNCES OR
Rl1F1E5 DEATH
23d. Date Signed IMO/Day/Vrl 2A. Time De) ILD
/ 33.Waz Metl'rcal Examiner or [oroner CDntactedr ^ NO
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CAUSE OF DEATH
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16. Pan 1. Entermecmm~ot ev maHeases, iniunes, pr gpmpuFanons-chat mregth<auua medeam. DO xoT enw rormmn event: w.n aF Tarelac asst ryas.
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resulting In deatnl
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if any, leading to the cause /' ~~i / %
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UNDERLYING UUSE Due to for as a consequence oft:
(disease or Injury that
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s 26. Partll. Enter Other sl¢nificant condl[lonscon[ribu['na to deathbut not resultingln theunderlying cause givenin Partl
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Yes No
18. Were autopsy fi ings available
} t e the cause o'tleatni
cO^ IY ^ N
o 19. Ir Female:
~ Not pregnant wanin oast year
Pregnant at time pf seam 30. Did tobacco Use Contribute to Oeami
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^ n pregnant, bm pregnant within a2 dav. nr eeam o ®
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^ s rrme ^ cpwe not 6e aetermined
^ N t pregnant. bw pregnant a3 daVS m 1 rear berore seam
o Date Ol rnlurv IMO/DaY/Yrl lspell Montnl
^ Un
known II Pregnant wenin the past year 33. Time o lurv
Place et Injury leg. M1ome, convtructlOn v[e, Ea ,school) 5. Location or Injury (Street and Number, Clry. State, Zip COtl<)
36. In u at Work
v 3). R Transportation Injury, Specify. 38. Describe How Injury Occurred:
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^ Np ^ vassenger ^ Omer lspeaNl
39a. cenirra (check pnry oriel:
®Certlrying PnysicWn-TO the best or my npwledge, deam rretl due to the causelsl and mannerstates
^ Pronouncing 6 CertiNinB D6VSician ~ r ne be wledge, tleatn Occurred at the ti e, Bate, and place, ane due tO the cauxelsl and manner stand
^ Meekal Examiner/Coroner - On the sm ,and/Or Investigation, In my opinion, d n
d h Ime, tla~:e, and place, antl tlue to t1
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aO. Reglstni s DlsMCt Number 61. Regl r 's Signature (T 2. gegl nr Flle Date o/Da r
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A3. Amenement:
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L THERESA I_hCISANA, of l~ampden township, Cumberland County, Pennsylvania,
declare this to be my last will ar~d revo.~e any will previously made Icy me.
I'I'EMI L I direct that all n~iy drat debts and funeral expenses. including my gra~~emarker
and al? e;~penses of m} iast illness, shall be paid from my residuary estate as soon as practicable
after my death as a part of the expersv oi`the administration of my estate.
IT'E>\~I II. ^~Il estate, inheritance and other death taxes including interest and penalties?
payable by rt::aoi~ of iA1} death stall be apportioned among, charged to, and paid by the
recipients ar~d bcz7efic~aries of the property i~r interest included to the measure of the tax in the
proper`ion tl-,at the ref ~1tnu~~nt oi~such property ur interest bears to the amount of my net estate
In det; rm~nin~, the alloc~:i;lior~ of the tax. ti:e prop~~:-ty or interest included in the me~asute of a
particular tax shaI? 1~~. tedi_,ced by° ar• ~iedta~,tie~~~~a specifically attributable to that property or
interest with ;respect t~:~ the tax. "I~he tern~~ ~~,iet ~staie~" shall mean my gross cstat° as de;`i~~~e;l for
purpose oI~ a t~articular ta~~ less arty- ~~eductions (other than the ~:nified credit) allowable for the
r,~rpose o1~ that tar:.
ITEM IlI. l >;i~.~~; -inc~ he~,~ueati~i alt of r7y ]-~ousehoid go~~ds, auiontobiles. jewelry. and all
ocher articl~.s of housuho;d ar,d pv~-sonal ase. eduipment and ornament, together v~ith alt
insar,rice ther;o~r and Yi~?atiril; th;;~i~io, in e~~ual share to m~~° nl~ces Qlid r~cphews, BRE_'~'D.'~
Tt;S1Nii. GAII: "l~. L<~t~7ANG), S11~'~?;)?x, R. Li1t`l.'i'\(~ u~-,.d GAYRI_ApL LUCI~INC. or to the
snr~-ivor of th:,rr: who s~,~ v~vc n~y~ death b_,~ ihzr-Lv (30l days.
ITEM IV. I give, devise, and bequeath all the rest, residue, and remallnder of my
possessions and estate of every nature and wherever situate in equal shares to my nieces and
nephews, BRENDA TUBING, GAIL T. LUCIANO, SHARON R. LUCIANO and GABRIAEL
LUCIANO, or to the survivor of them who survive my death by thirty (30) days.
ITEM V. 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 i'I. I appoint my niece BRENDA TUBING executrix of this my last will. Should
my niece Brenda Tusillg predecease rr~e or otherv~,~ise fail to qualify or cease to serve as executrix
of this my last will. I appoint my niece GAIL T. GILLIS executrix of this my last will.
ITEM VII. Ir. addition to the ocher powers and authorities granted to my personal
representa~ives by Pennylvania iaw and by the other terms and provisions of this will, l hereby
give to my personal representati~,;,s the fi~llowing powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy;
to make distribution in Bash or in kind, or partly in cash and partly in kind, and in sack manner as
my personal representatives may determnle and at valuations finally to he fixed by them; to
invest in a]1 forms of property, including any stock or other securities in any corporate fiduciary
or its successor without r:.striction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deeir~ proper. without regard to any principle of rich or diversification;
to retain any or all assets of my estate, real or personal. without regard to any principle of risk or
diversitication; to sell at pablic or private sale. to exchange. or to lease for any period of ;ime,
any real or personal property and to give options for sales, exchanges, or bases. fir 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 VIII. I direct that m}~ personal representatives and fiduciaries shall not be
required to give bond For the faithful performance of their daties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this da~~ of
,~
_~
__ ___.2010
~g~
------- - -----
THF,RESA LUCISANA
The preceding instrument, consisting of this and THREE other typewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and declared
by T~IERES~ LUCISANA. the testatrix therein named. as and for her last will, in the presence
of us, who at her teyuest, in her presence, and in the presence o!`each other, have subscribed our
names as witnesses hereto.
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C(~MMONWEF.LTH OF PENNSYLVAN[A ~
COUNTY OF CUl~1BF:~RI,AND (SS:
The undersigned. being the testatrix 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.
~` • e
Tl~(FSA C~ AN~ ----- - --
SwcSr~ or affirmed to ar;d acknowledged
bef,.re !ne by the testatrix named above
ti:is - day of 9 (,
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-= ~-`-~"~ ~-I,' , ~/ti L ~ ` i~ -- - -- - N'4'rt~i'' iC S*3~~ - ,urn P,,t<r!x;
Notary Public . ~~~+'~°.,Tv.^, ,.~, i
My forrunis:.ion crwirV; Vay 10, ZO'r1
Penns~Ivania ~ssnciatl0n caf N~tarias
COMMONWEALTH ~J1~ PENNSYLVANLI ~
COUNTI' OF CUMBIi~LANf) (SS:
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~.vitnesses whose names are s~gneu to ~~e a~ta~~~ed or foregoing instrument, bung duly qualified accurding
to law, do depose and say that we were presern and saw the testatrix sign and execute the instrument as
her last will; that she signed it willingly and that she executed it as her tree and voluntary act for t!~e
purposes thereir- expressed; that. each of as in the hearing and sight of the testatrix signewi the w,ll as
witnesses; and that to the best of our kno°~~ledg~e. the testatrix was at that time I~.,or move years o+ age, of
sound mind. and under no cunstraint or undue influence. ,.
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5w~'r~ or airrmed to aid ackn,~wiedged
before i~ie~t€tis _'~ day of
__
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rvotary Punlic
COtV~MO~lVVEA:TH CF PENt~S`!' V~'~1~'iA
No~rial:x~ "~
WQndy K S*aub, TJot~ry F'~~fic
Lower fi~'En Two., Ct•mbe:fand u;~.j
My Canmission F~ir~ May 10, 2011
P®nnSylVanlB ASSOCiatiOn Of NOk"1tlpg