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HomeMy WebLinkAbout04-02-12PETITIOV FOR GRArT OF LETTERS REGISTER OF WILLS OF ~ ~ ~ ~ ~ ~~ (Cl V`~ ~ COUNTY, PENNSYLVANLA Petltior~~~~~ ., rzd ~~eic~.v. ~~;1o is-are 13 .;ears of a~~ ~r oi~e_. .~rpl~~(i~~s~ l~r Lett_r~ as spec~iied belo~,v, and in support tc~r:,;f a~;:ri~) :he ;oi:owinQ a.:d respectfi;lh: requesu;~i the ~~r~:nt of Ler.er in the appropriate or:n: Decedent's Information r dame: t ~ G . (i'1 1"0.rl~l~~ a/k'a: e. r e i ai k%a: aik'a: Date of Death: Decedent was domiciled at death in (. tt.rn ~c~r~ccn d principal residence at S 2 2$ (fit /sa n L.ctns Street address, Post Office and Zip Code <~> C~ File ~o• (Assigned by Register) Social Security No: 2 Z Q "' Z~" 3 35 S Age at death: __ ~3 _ County, ~~ (srttre) with his~last (mower Alen Tdwe~s~iP : MechaUttcs~'~ Decedent died at S 2 2 8" i.~%, !soh Lo... e, /Y~e chart res 6 ty; t'ownsh~or Borough PAS 17a 5 S Street address, Post Office and Zip Code City, Township or Borough Estimate of value of decedent's property at death State ljdomiciled in Pennsylvania ........................ All personal property $ ~~~~ ~Qd . 0 ~ .... Ijnot domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ ,t TOTAL ESTIMATED VALUE.... $ /ca~ S r c+ 0 0 O Real estate in Pennsylvania situated at: /l1 / A (Attach additionat sheets, i/ necessary.) Street address, Post Office and Zip Code City, Township or Borough County A. Petition for Pr ate and Grant of Letters Testamentar Petitioner(s) aver(s) he sh a re the Executor(s) named in the last Will of the Decedent, dated /Y2QY'C ~ 3 1 Zvp I and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death ojexectrtor, 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(8), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~hOEXCEPTIONS ^EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d. b. n., d. b. n. c.t.u., pendente life, dtrrante absentia, durante minoritate If Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent 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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ EXCEPTIONS _ Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and legs (attach additional sheets, i/'necessary): C„~ r<_a Name Relationshi Address ?t ~ _~ .?_ ~ f ' r ~ t _ .-__ ~,_ ~ .._i ~ ., men ~b~ ..:. ~ ~ _ _y t f ~. C,: County ~u~ 6r:A-lan d :~~ --,~ c.'~ ~f j .C T r~ t~ Fa,-,,, Rw nz rev. 10/1!/10r1 Page 1 of 2 ~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate' this copy ay photostat or phe)tograph. zee for this ,rertificate• .$6.00 __ P 1819 4 9 0 4 ____ Certification Number pe/Pdnt In COMMONWULTH Of PENNSYLVANIA • DEPARTMENT Of HULTN • VRAL RECORDS nmt fCQTICIf ATC AC f1CATu This is to certifti that the information he-r~ give^ is aTrrectly copied fron) ~In original Ccrtificatl° of Death duly filed ~~i[h n)e a~, Loca( Registrar. The rniginai certificate )~~ill he fur«~arded to the Sate Vital Records Off7ce for' ~~tirm~ lent filing. 'a' n IN,~~ ~' ` 311 ~1 ~-~ .. Llocal Registrar Date (;sued 1. DecMentL (pal Name (Fkrt, Mbdk, LuL Sumal 2. Sn 3. Sock( Secsplly Numberase w n1. Date of 0exh IMO/Day/Yr) (SpNI Mol Anne Buchanan C anelli Femal 229-28-3355 March 7, 2012 Sa. A8a-(Art BhMdp IYnI Sb. Untler 1 Tpr Sc Under 1 6. Oxe of Birth IMO/Oay/Year) (Spell Month( ]a. Birthpp~yeae IUty NM State a ForNpt Country) 83 Momna Dan Hours Ntknd.a May 26, 1928 CdI'Oleile 7b. Blrthplatt (COUnry) Ba. Resbenca (Sate m foreyn Country) eb. ReYMntt IStreat all Number ~ IncIIMe Apt No.l &. qd Dxedmt liw In a Towruhlp7 5225 Wilson Lane dettaentlMedln LYa•2er Allen [3Yea sd. RgiMnu ICpunryl , nYo s<.Rbldelau lzb cpeel ^NO, aettMntlMed wMln umlh or nry/bno. 9. Ever M US Armed Face] 10. Markel Status at Time of OeaM ~ Mauled ®WlMwetl 11. w^'h'IM Spouse'f Nam• Ilf cake, 81vw name prbr to first m.rtlgel ^ yn (~ No ^ Unkspwn ^ Divarcad ^ Never Mawkd ^Unkrown 11. FatMYS Nam• (Firrt, Mydk, last suftNl 13. MoMMS Name Prbr to Flnt MarnaBe (First Mkdk, last) William J. Buchanan T3essie J. Y(ounq E 1/a. InfamanYi Name llb. Relatbnshlp to pe<ad•nt 11c.lntarmant's Mailing Adtlrest lStr.rt and NUmMr, Cky, Shte, Lp Cpde~ Alesia Bro3rlano daughter 4028 rYpBL3i11 kill Rd., Haymsrket, VA 20155 a D Mpexh Otarndlna HOepnal: Cl~inpatlant )If Death OCCUne05omawnar•DtMrTnana Hospnae t,a~NOSpke Faclnh L.I I]ecedmtS Home FmxBenry RmrrS/OUtpxknt ^ Dead on ArrMl Nun( Noma/Wry-Tam Cxe Fxqky Other (SpxNy) ~ i5b. FadRry Name Q(not Yutkutbn, 8hn Fueet all number; ISC. Ury or Town, Stall, and Op Code ISd. Coumy~I Dexh Villa Mechanicsbu PA 17055 Cumberland r lBa. Method of Okpositbn ~ BuN•I ^ Crcmatbn 16b. Date of Ohpakbn lfic. Plxe of DUpaskbn (Name of cemetery, vamatory, a oMer plxe) j [Removal Nom Nih ~ ponanm Mar 10 201 Signal Will n~jn~rial Park f c aM,lso„hl . , ~ 2 lfd. loutkMl o(Ohpnkbn (CRy aTOwn, Shte, and lb) 1)a. Syna[ure of Funeral SeMCe Ucemee or Perun In Charge of Interment 1]b. LkeMe Number E Ashland, VA T:"D 011667 L f 1]c.Name •M Canpkte Atldreu of FUrork Faclllly - Tl n 1 8 Market Plaza Wa Mechanicsb PA 17055 - ~ 18. ant'a Eduutlon - fJwck tM boa Mrt best desalbn tM 19. Decedent of Hiapank Oryln ~ CheN [M 30. Dettdent's Raft -Check ONE OR MORE ncn to Indkate wb•t-- ~ hyMst tlgrae a I•vN o(adaW umpkted at tM nma of deaM. Ma that Mst dexrlbes whether tM Mutlem the decadent consideretl hlmuM n Mruq ro D<. - ^ eth grade or feu Ia SpanlM/Hhpank/tanno. ChecktM •NO• White ~ Korean ^NO dipbma,9th-12M yaee boa l(decedenthlwtSWnish/Hbpanic/latiro. ^Black or Afrkan gmerkan ^VI•tnameu -~ Nyh sclml paMehwGEDCanphrted (Q NO, rotSpanishMbpank/farina ~Amerkan lndlan or glaska M[Me ^OMer ASkn ...~ Some cWkge nedk, but no dgrtt ~ Yn, Mnlun, Meakan Amerkan, Chkano ^ Nlan Indkn ~ Natlve Nawagan bsaclat• egree Ie.e. AA, qsl ^ YeL Puerto 0.kan p Chlrou ~ Guamanian or CMmopo~ ^ Badhbr'e dgree le.i. BA, AB, BSI ^ Yn, Cuban ~ Fillolro ^ Samoan ' ~ Mnter s dprp le;. MA, M5, MEM, MEd, MSW, MBA) ~ Yn, other Spanlsh/Nlspanic/latinp ~ laWnne ^ OIMr Paclflc Isknder Doctluah le.i. MD, Ed0) or ProhsabnN MBree Ispecihl ^ Other ISpeclNl • . MD DDS DVM LlB 1D Tj l1. Dwdmt's Siryk Race SaN-0aayMtbn - Uhct ONLY ONE to Indb[e what the dec•Mm consbered himull or heruil to be. lla. Oeatlent's Uwal Orcugtlon - IMluh type of Mike ~ lapaneu ^ Samoan done dunry mitt of workiM Nh. W NOT USF PETIRED . ^Blatk pr gfMttn gmeMan ^ROn,n ^aMr htmt l:hneer Hospital t-dmitting ^Mwrkan lndkn pr Alaaka Natlve ^Vkmameq ^DOn'[Knmv/HOt sure bkn Intllan ~ OMer Asian ~ 0.elusetl 22b. Rind of Buslluss/IrWUrtry ^ Chineu ^ NatMe Hawalkn ^ aher Ispeciryl Healthcare ^FlRpiro ~Glummlan orCMnpno ITEMS lA - 33 MUST BE COMPLEIFD 23a. Date honounced peed Ma Day r) 13b. 518natuu of Person pronaunclM Death (Only when app( lei 13c. lkanse Humber sr vEflsoN wNO vRDNOUxDES oa CERTNIES DUTN :h~~ A ~ ') .. G I /, ' - - ( 13d. care I .Ym) 31 Time pf De.en ~ ~'t CL e L / , . ~2 ~ . Z t7h .3 r ~ /~ 75. Was Medbl Eaam a Coroner CanhRed7 ^ Yes No CAUSE OF DEATH Apprpamate 26. part 6 Enter tM chain or evems-dkqus, inlurks, n umpllutbrw--tlut dincny caused the death. 00 NOT enter carmine( evenn such as urdlx arrest Interval: rnpln[ayannL ar vemrlwlarflbdRatlon cache u tshowrythe et lo l p y DO NOTgBBREVIATE. Enter onN one uuu onallne. Mtladdkional lines if n•cesury j Onut to OaaM / J { ~ a s ~ IMMEdATE UUSE -----.--.~ I N QN I TI Va~+ a~ IFlnal elagMauMmon w • ro r as a m nuq.. M lp a o0: / ~ ~ ~ L ~ 1 C ~` ~ y ~ rasWtlry In tl•sMl b. Stink L~L~ ~ '^' r L/~ ~ t f ) Spuentlally Ilrt uMkbns, Due to Ior as a unuqu•nu oil: It any, kadiry b tM uuee IirtN on Ibe a. Enter the UMOEMYB/6 GUSF Due to (a n a conuquence ofl: lelaean a Inlury tMt = MMatM tM events rwltlry tl. In Math) IAST. Due to for u a conuqueroe of): s~ 16~, 1hJrt~II/.~En~ursothbsYniflunt ndkb trlbutl to d th but nm nsukiM In [ne underFylM uuu 81ven In Part I 1"Va- I G.N L ~ ON ~1 2l. Wn an autopsy partormed] ^ ~ l Ui^PAN1C t:.O QI'~19 Yn No 18. W.tt w[opaVflndhys avallabk to compkt<Me uuu M Math? ^ Yes No Y 19. If female: 30. Did Tobatto Use ConMbute M Deaths 31. Manner of D•aM E 4 ^ Na IaYBnant within part year ~ Yn ~ vrobabN ^ Natural ~ NomiclM s ~ ^ Prpnant x tone of Math ~ No ^Unkrown ^ Atca•nt ^ P•ndbB lnvestyaebn ~ Not prepunL but prgnant wkhb I1 days o! Ma[h ~ Suicide ~ Coultl not M tletermined ~ Not prgnant. but agnam 13 days n 1 year before death k 32. Date of Inlury (Mp/Day/Yr) (Spell Month) ^ Un rown If prpnant wthin Me part year 33. Time of Inlury 34. Pfau of Inlury Ie;. home; cmrtrunbn site; (arm; ttnowl 35. Laation of Inlury IStrcet and Number, Cih. Shte, 21p CoM) 36. Inlury at Work 3I. If Tnnfportatbn Inlury, Specify. 38. DescdM How Iryury OtcurrM: Yes ^ Driver/Oper•Mr ~ PeMsWan ^ Np 0 hssenaer ^ Otner lSpecl/yl 39a. Rrnfln (Chxk onh ale(: ^ CertlhlM physician - To tM best of my krowlb8a, deNh oaunee due to tM c•uuls) arM manror shred ^ ProrourobB B CertNylry physklan - To Use bert of my krowMBe, Math occurted at tM time, date, and plug, and due tP the cauuls) all manner statetl ^ M<dkal Eaaminer/Da - On the bit of nambanon, and/« Investyalbn, In my oplnlon, death aunetl at the time, Mte, and okra and dw tp th e C.u aelal one mannar Hated e ~ A ^ Synature ofurtBin: Tkk of certifier: lkense Number: ^SE.R.L2-1 ~~ 39b. Name, AMrau artl EIO Cod d Person Canpknry Gnu of Death Iltem l6l b ' 39c. Date Synetl (MO/D y I 3e N fF Itv1°TrJ 3 Sb i•nya~ k (Zd h liNd • )7911 3 K -i. w. Re8lrtnr f OfsMR Number Il. ReROt 5 Sync ~ Il. ReBlrtnr Dau ( Day r dI - dTtd F j 3 i u/ ;a l1, 1 3. Ame~MmenH E^~ 7 ~7 ~ ~ yba rn C i 7 ~ ,i' ~ _ m ~ ~:~ ~~ jn ~-`- - p V ~~ (T1 1 L,e~ (~ ~ C..: ©~ ~ ~ % `Y a HI125-1<3 dsposltlpn Permit Np. rra V REV D]/2011 ~- • rya ~~_ ~ O r.3 `C7 ~-~~ tea' 1 :~ LAST WILL AND TEBTAMENT ~~n :~ ~}? ` OF _ .~ ~ ~ '{n=`~ - - -- ANNE E. CINGRANELLI ~~~~~' = : -~ -- ~ -,-, r._. _n `_' ~. ~. ~ C I, ANNE E. CINGRANELLI, of the County of FienricEl', Virginia, declare this to be my Last Will and Testament and hereby revoke any and all other Wills or codicils heretofore made by me. ARTICLE I Debts and Taues I direct my Executor to pay my just debts, funeral expenses (including the cost of a marker for my grave) and the expenses connected ,with the administration of my estate. My Executor shall pay from my residuary estate all estate, inheritance and like taxes upon or with respect to any property which is required to be included in my gross estate for such tax purposes, whether passing under this Will or otherwise without apportionment to or reimbursement from any recipient of any such property. ARTICLE II Tangible Personal Prouert eC I will leave a written list providing for those items of tangible personal property that I want to be distributed to particular recipients. The list may or may not specifically refer to this Will. The list will be in existence at the time of my death; the list may be prepared before or after the 1 ~ f execution of this will. The list will be dated and signed by me. My Executor shall follow such list. If I do not leave a list, or the list is incomplete, then the remaining tangible personal property shall be distributed to my Husband, JOHN CINGRANELLI, SR., (hereinafter referred to as "my Husband"), if he survives me. If my Husband does not survive me, then such property shall be divided by my Executor in equal shares as practicable and distributed to my descendants per stir~es who survive my Husband and me, unless specifically provided elsewhere in this Will. If any such descendant is a minor, my Executor may deliver such beneficiary's share to any adult with whom such descendant then resides and the receipt of such adult shall be a full discharge of my Executor; provided that my Executor in his discretion may sell any of such property which he deems not appropriate to be distributed to any beneficiary and add the proceeds therefrom to my residuary estate. All insurance policies on such tangible personal property shall pass with such tangible personal property, including the rights thereunder. ARTICLE III tc Residence I devise to my Husband, if he survives me, all my interest, whatever it may be, in real estate which my Husband and I are using as our home at the time of my death. If such 2 real estate at the time of my death is subject to a lien, mortgage or deed of trust, my Executor shall not be required to exonerate it from such lien, mortgage or deed of trust, or any contract or note pertaining thereto, but if the administration of my estate will thereby be unduly delayed, my Executor shall have authority to exonerate such real estate from such lien, mortgage or deed of trust without obligation to seek contribution for any such payments from any person interested or jointly liable therein. If my Husband does not survive me, such real estate shall pass as part of my residuary estate as hereinafter provided. ARTICLE IV Residuary Estate All the rest, residue and remainder of my estate, of every kind, wherever located and however held, herein called my "residuary estate", I devise and bequeath to my Husband, if he survives me. If my Husband does not survive me, then I devise and give my residuary estate to our children in five equal shares, and as of the date of this will our children are: ALECIA A. BROGNANO currently residing at 19975 Alexandras Grove Drive, Asburn, Virginia 20147, JOHN CINGRANELLI, JR. currently residing at 119 Daytona Avenue, Albany, New York 12203, ~~C RICHARD LEE CINGRANELLI currently residing at 3B Saybrook f~'~' Drive, Latham, New York 12110, V~~ 3 JUDITH DUDLEY currently residing at 3 Hillcrest Drive, Tyngsboro, Massachusetts 01879, and CAROL L. CINGRANELLI currently residing at 236 Green Lane Drive, Camp Hill, Pennsylvania 17011. In the event that JOHN CINGRANELLI, JR. does not survive my Husband and me, his share shall be divided among those of our children who do survive us. In the event any other of our children do not survive my Husband and me, his or her share shall be distributed to his or her children (our grandchildren), provided that if any of such grandchildren are under the age of 21, then that grandchild's share shall be held in a Uniform for Transfer to Minors Act Account until such child reaches the age of 21, and the custodian under such account shall be selected by my Executor at the time of such distribution. If such deceased child leaves no surviving children (our grandchildren), then his or her share shall be divided among the other of our children who survive my Husband and me. In the event that I have made any loans to my children or grandchildren or gifts to my children or grandchildren prior to my death, my Executor shall not consider such loan as a debt and collect it, nor consider the loan or gift as an offset against that child's or grandchild's share of the ~~C estate . The phrase "does not survive" shall mean does not survive for a period of three (3) months after the date of the death. 4 ARTICLE v Simultaneous Death If my Husband and I die under circumstances where there is no sufficient evidence that we have died other than simultaneously, it shall be presumed, for the purposes of this Will that I survived him. ARTICLE VI AEC U~D Powers of Authorisation My Executor is authorized to exercise all powers granted fiduciaries under Section 64.1-57 of the Code of Virginia as in effect on the date this Will is executed, which Section is hereby made a part of and incorporated in this Will by reference and also to exercise the power to make any elections allowed by law which may result in an overall tax savings for my estate, without adjustment to any income or principal interest with respect thereto. Any provision contained herein or in such Section shall not relieve my Executor from using prudence and reasonable diligence in the exercise of their authority. My Executor is authorized to transfer any shares of this estate for the benefit of a minor to a custodian under the Uniform Transfer to Minors Act of Virginia or of such state wherein such minor beneficiary resides with the beneficiaries to receive the principal at age 21. 5 ~xTicrs vii Executor I nominate my Husband JOHN CINGRANELLI, SR. as my Executor, and request that no surety be required on his bond. In the event that my Husband shall not serve or continue to serve, then I nominate my daughter ALECIA A. BROGNANO as my Executor, and request that no surety be required on her bond. In the event that she shall not serve or continue to serve, then I nominate my daughter CAROL L. CINGRANELLI as Executor of my estate and request that no surety be required on her bond as such. My daughters shall serve without fee, but shall be compensated for any expenses including professional advice from attorneys, accountants or appraisers. My Executor shall be entitled to charge for such expenses as travel, overnight lodging, postage and long distance telephone and facsimile costs of my individual executors as proper expense charges against my estate; any cost of storage of, insurance on or transportation in distribution of my personal property incurred while my estate is open shall be proper expense charges against my estate. I request that no appraisement be required of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal C to this Will consisting of seven (7) typewritten pages, in the 6 margin of each but this page, I have written my initials, all on this ~ day of May, 2000. ~. ,(SEAL) ANNE E. CING LLI We, the undesigned, do hereby certify that ANNE E. CINGRANELLI has signed, sealed, acknowledged and declared the foregoing paper as and for her Last Will and Testament in the presence of us, two competent witnesses who, in her presence and at her request, and in the presence of each other, all present together at the same time, have subscribed our names below as attesting witnesses, all on this ~f ~ day of May, 2000. (Na s) (Addresses) STATE OF VIRGINIA, E3~Y/COUNTY OF ~{,E11//~D , to-wit: Before me the undersigned authority, on this day p`e~rsonal ly appeared ANNE E . CINGRANELLI ~a-JQ-e r t ~ . LJa~ ~.eCZ-Ne and (~Cx,~.er~~ tai , ~u.n known to me to be the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, and all of these persons being by me first duly sworn, ANNE E. CINGRANELLI, the Testator, declared to me and to the witnesses in my presence that said instrument is her Last Will and Testament and that she had willingly signed or directed another to sign the same for her, and executed it in the 7 presence of such witnesses as her free and voluntary act for the purpose therein expressed; that such witnesses stated before me that the foregoing Will was executed and acknowledged by the Testator as her Last Will and Testament in the presence of such witnesses who, in her presence and at her request, and in the presence of each other, did subscribe their names thereto as attesting witnesses on the day of the date of such Will, and that the Testator, at the time of execution of such Will, was over the age of eighteen (18) years and of sound and disposing mind and memory. a%yZeiC.C.c~ ANNE E. CINGRANELL d2'-.-[~ Witness ~,~ Witn ss Subscribed, sworn and acknowledged before me by ANNE E. C~NGRANELLI, the Testator, subscribed and sworn before me by ~,~.~~ ~• 17e/b~ea-r~e and yct,~(er~e R ~~.e.~, the witnesses, this ~~th day of May, 2000. My commission expires: j"YjCtfeti 3~, boa i ~ata~./ N ary Public This Last Will and Testament was prepared by Robert L. Dolbeare, P.C., Attorney at Law, Koger Executive Center, 8002 Discovery Drive, Suite 101, Box K-3, Richmond, Virginia 23288. 8