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HomeMy WebLinkAbout12-30-13 . � ' ,n - c �:;::> �:s ;�' c� � � � -� � c� -r, �-�-, � � � � c r � t,n :.+� � ; r-. c� _._.; <� James Proctor Law Office,LLC �„ -�-°• �' L� � d �°�� 35 East High STreet,Suite 202 �� 4'a - '' r"� Carlisle.PA 17013 w �.y • C' f:.._� 717.559.0123 ' - '• �� � 1 �, ..>> - � ..,,� .� � �;,__ ..__ .. � �.__, . . ., .:'t�.1 '. 'ti.� " � � _�^- �..::_. p.,., ,.�. ° }'-� :. Ci> C:,� COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNS�VANI�I ORPHAN'S COURT DIVISION Estate of Michael S. Gallela,Jr., . . No. �� -/3 - 1�3 (r� deceased . PETITION FOR SETTLEMENT OF SMALL ESTATE Pursuant to Section 3102 of the Probate, Estates, and Fiduciaries Code, the undersigned petitioner respectfully represents that: 1. The name and address of the petitioner are: Judymarie E. Gallela 6456 McCormick Lane Harrisburg, PA 17111 2. The relationship of the petitioner to the decedent is: Sibling 3. The decedent died on: June 26, 2013 4. The decedent was domiciled at time of death in Cumberland County, Pennsylvania, with a last family or principal residence at: 123 Pearl Drive, Carlisle, PA 17013 5. The decedent's social security number is: 195-32-4807 6. The death certificate is attached hereto. 7. The decedent died: ❑ a. intestate ) �;� � P„� �,y�,.�� ;�-..���_.� .:,�,� .���,��,. ��„n � LAST WILL AND TESTAMENT OF MICHAEL S. GALLELA I, MICHAEL S. GALLELA, of Delaware County, Pennsylvania, hereby make my will, revoking all prior wills and codicils: FIRST: I give all my articles of personal and household use (including without limitation jewelry, wearing apparel, books, pictures, paintings, furniture, furnishings, consumables, silverware, objects of art and decoration and all automobiles), together with insurance on such articles, to such one or more of my children MICHAEL GALLELA, III, SHANNON MATTABONI and PATRICIA TARTAGLIA, who survive me by thirty (30) days, to be divided among them in such manner as they agree. Any such article that my children do not agree upon after a reasonable period of time as determined by my Personal Representative shall be sold and the proceeds included in my residuary estate. SECOND: All the rest, residue and remainder of my estate I give in equal shares to my children MICHAEL GALLELA, III, SHANNON MATTABONI and PATRICIA TARTAGLIA, who survive me by thirty (30) days; provided that if such child of mine does not survive me by thirty (30) days, but leaves issue who so survive me, such issue shall receive, per stirpes, the share that such child would have received had he or she survived me. THIRD: All interests hereunder, whether principal or income, while undistributed and in the possession of any Fiduciary serving hereunder and even though vested or distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. FOURTH: I direct that all estate, inheritance, succession and other taxes payable by reason of my death on any property forming part of my estate for the purpose of such taxation, whether or not such property passes under my will, shall be paid out of the principal of my residuary estate without any resulting adjustment of beneficiaries' interests. FIFTH: I give to my Personal Representative the following powers in addition to those otherwise provided herein or by law: A. Without being restricted to classes of investment prescribed or authorized for Personal Representatives by statute or common law of any jurisdiction, to retain any asset of my estate without liability, and to invest and reinvest in any kind of property (including without limitation common and preferred stocks, common trust funds, mutual investment funds and real estate); and to hold cash as part of the principal of my estate in such amounts and for such periods of time as may be deemed advisable. B. To manage, mortgage, pledge and to sell or exchange by public or Last Will and Testament of Michael S. Gallela�Page - 1 - of 3 H105.805 REV(9/11) LOCAL REGISTRAR'S CERTIFICATION OF DEATH � WARNING: It is iliegai to duplicate this copy by photdstat or photograph. Fee for this certificate, $6.00 ,,,������" This is to certify that the information here given is � �1H aFp". �,,��''��,P Fij%y-_ correctly copied from an original Certificate of Death a�`�o`�`� =_ `�L; duly filed with me as Loca1 Registrar. The original �o � -: z, certificate will be forwarded to the State Vital ;� �' a� Records Office for permanent filing. :* ' � *,S �j � - �, 8� � � i ;� � � � °J °�F'°� �(.Q'~?�� [�V'IC�. a...�...o��.= p�(- M =�TMENTOE� °� .11.Y�. 1�ZOi3 Certification Number "'���°"""������ Local Registrar Date Issued ;�� Typa/Print In COMMONWEALTH OF PENNSVLVANIA�DEPARTMENT OF HEALTH•VITAL RECOR�S Pe"°H"`"` CERTIFICATE OF DEATH 61ack Ink State File Number. � 1.Decedent's Legal Name(Firsi,Middle,Last,Sufflx) 2.Sex 3.Social Securlty Numbe� 4.Date of Death(MO/Day/Y�)(Spell Mo) Mi S. uilel Sc. Male 195-32-4807 June 26, 2d13 Sa.Age-last Birthday rs) Sb.Under 1 Vear Sc.Under 1 Da 6.Date of Birth(MO/Day/Year)(Spcll Month) 7a.Birthplace(City and Stafe or Forcign Cou`liry) ^l . '�l Months Days Hours Minutes �,.�y� �,�, � � q y � Fja 1s � F•l � � �y 1 �+•-'�'� p ace(COUnty) 7b.Birth I , Sa.Reslde�ce(State or Foreign Cnuntry) Sb.Residence(Street and Number-I�clude Apt No.) 8c.Did DBCatleni Lfve In a Township7 � - � � � PA � 123 Pearl .Dr_ - Q�ves,ae�eae.,c u..ea i� N_ Middl�ton r„P. 8tl.Residence(COUnty) . Cumberland Se.Residence(Zip Goda) �No,decedent Iived wlthin Ilmits of city/boro_ 9.Ever in US Armed Forces? 10.Marlial Status ac Time of Death Married � Widowed 11.Survlving Spouse's Name(If wife,glve name prbr to flrsf marriage) �Ves Q No 0 Unknown 0 Oivorced �Never Married �Unknow S+ 12.Father's Name(First,Middle,last,SuHix) 13.Mothcr's Name Prior to Flrst•Marriage(First,Mlddle,Last) Michael Samuel Gallela, S=-_ Pauline Elizabeth Buela 14a.InformanS's Name 14b.Relecionship to Dccedcnt 14c.Informant's Mailing Address(Street and Number,CISy,State,2ip Code). o Shannon Mattaboni daugriter 123 Pearl Dr_ , Carlisle, PA 17013 G ...............isa:P._ace.o.---ea----c e� on one � � . � � . . ---°..................................'--------'--"-'-- --'..............-°°--------'--'-- ----°-.......Y.....--•----°--'-°°---............ s If Death Occurred in a Hospital: [�InpatienC ?If Death Occurred Somewhere Other Tlian a Hos Ital� � ����������������� �� � ��������"� "������������� p `�Hospice Facllity ��DGCed�ni's Nome � �Emergency Room(OUtpaHent 0 Daad on Arrival �Nursing Home/LOng-Tarm Gare Facillty Other(Speclfy) � � � � � 15b.Facllliy Name(If not InsHtuilon,glve street and number; �15c.City or Town,State,and Zip Coda 15d.Co�nty of Death' � �� Carligle PA 17013 Cumberland m16a.MeShod of Dispositlon 0 Burial [� Crematlon 16b.Date of Dlspositlon 16c.Place of Dlsposltion(Name of cemetcry,crema[ory,Or other place) �Removal frorh State Q Donation � otner(sPeary� June 28, 20 3 Ho€Pman-ROth Funeral Home & Cz'ematory 16d.LocaYlon of Disposition(City or Town,State,and Zip) 17a.Signa af Fvneral Servlc so�In CM1arga of Interment 17b.Llcense Number � Carlisle, PA 17013 138504 � 17c.Name and Compl�te Address of Funeral Facility � � � � � Hof£man-Rotti F1.ineral H�ne & Creamto , 219 North Hanover Street Carlisle PA 17013 °� 1S.Decedent's Educaifon-Check the box 2haf best describes the 19.oecedent of Hispanic Origin-Check the 20.Decedent's Race-Check ONE OR MORE races to indica[e whaf highest degree or level of school completed ai the Ylme of death. box thaf best dascribes whether the decedam the decedent consldered himself or herself to be. � Sth grade or less is Spanlsh/Hispanlc/Latino. Check the"NO" �White 0 Korcan � 0 No diploma,9ih-12th grade box ff decedent is not Spanish/Hispanic/Latino. �Black or Afrlcan American 0 Victnam¢se 0 High school graduate or GED compleied �No,not Spanlsh/Hlspanic/Laiino Q American Indian or Alaska NaHVe � Othar Aslan � Some college redit,bvt no tlegree 0 Ves,Mex n,Mexica�American,Chicano �Asian Indian � Native Hawallan � Assoclate degree(e.g.AA,A5) 0 Ves,Puerto Rtcan �Chinese � Guamanlan or Chamorro g] Bachelor's degree(e.g.BA,AB,BS) �Ves,Cuban �FIIlpino 0 Samoan 0 Masier's degrce(e.g.MA,M5,MEng,MEd,MSW,MBA) �Ves,ofher SpaY�ish/Hispanic/latina Q Japanese � Other Paciflc Island¢r � Doc[orat�(�.g.Ph�,EdD)or Professional tlegree (Specify) Q Othe�(Speci fy) .MD DDS DVM LLB JD 21.Decede�YS Single Race Self-Designatlon-Check ONLV ONE to indicate what the decedent consldered himself or herself to be. 22a.Decedent's Vsual Occ�paGOn-InGicate type of work Whife 0 Japanese �Samoan done d�ring most of wo�king Iife. DO NOT VSE REfIRED. Black or Afrlcan AmeNcan 0 Korean �Othcr Padflc Islander S"a].e8 Mana eL' p 0 Am�MCan Indian or Alaska Nativc �Vietnames� Q Don't Know/NOi S�re g 7� 0 Asian Indian �OtherASlan 0 Rcfusetl 22b.Kinctof Business/Indus[ry � 0 Chinese Q Native Hawailan � Other(Spectfy) �11 C�npany � O F���P��o O Guamanian or Chamorro . ITEMS 23a-23 MUST E C M LETED 23a.Da e ed Dea Mo Day/Yr) 23 Sig atu�e of Pe�son Pronouncing OeatF�(Only w en appllcablej 23c.License Numbe� BY PERSON WHO PRONOV NGES OH _^1/r. 1� �� CERTIFIESD�ATH ��•�Y +�4 0 � �, �f A _� � . . -.O. 23d.Oat Stgned(MgO/Day/Vr) 24.Tme f e h 'C��C�t. LL--C�C�C� �✓ 25.Was Medical Examin4r r Cor r Contacted� � Ves No � � CAUSE OF OEATH � nPP�oxtr.�ace 26.Part 1. Enfer the chain of events--diseases,in)uries,or complicaHOns-Shat direcily caused the deaih. DO NOT enter terminal events s�ch as cardfac arrest. Interval: respirafory arrest,or ventricular flbrillation wlttio�i wing the etiology. DO NOT�B)BRE�VIATnE. E�ter only o cause on a Iine. additi' 1 IiInessif necessary ' Onset to Death IMMEDIATECAUSE "--""'-"> a" " l/� l � �LG� ��7fN�r (Final dlseas�or condition pue to(or s a consaqu a o�: resulting In death) / � � .. . . c. G .� L. /-�.1��..-�. �. � sequentlallv��st condttlons, oue to(or as a qu ee of): . � . � � . if any,leading So c1�e cause . � � . Iisted on Iine a. Enter the c. � � UNDERlY1NG CAUSE Due to(or as a conseq�ence � . � (dis ase or InJury that � � � . . F Initlaied the events resulting d. � in dcath)LAST. Due io(o as a mnsequence of): � � � 26.PaK 11. Enter other SI¢nlfican[conditions contributln¢/to deafh but noC resulHng in the undarying cause given In Par[1 �. 27.Was�a autopsy p�Aorm�tli � � � ��fYLC-1/'IJ i/�. '�'�°I!/�},JJ'L-� . . 0 Yes No 26.W�re autopsy Flnd ngs available 1 ' _ �tn compleTe the cause of death? .�� � � O ves �No _1 29.If Female: 30.Ditl Tobacco Use Contribute to oaamz 31.Manner of Death �Y Q Not pregnant withln pasf year 0 Yes 0 Probably �Nat�ral 0 Homicide � � Q Pregnant at time of deaih � �No � Unknown 0 Accident � Pending InvestlgaTion 6 � Q Not pregnant,but pregnant within 42 days of deait 0 Sulcide 0 Could not be de�ermined Q Not pregnant,but pregna�t 43 days to 1 year before tleafF 32.Date of Injury(MO/�ay/Vr)(Spell Month) �� � Unknown If pregnant wlthin the past year � 33.Tme of InJury 34.Place of InJury(e.g.home,const�uction slte;farm;school) 35.Locafion of InJury(Street and Numbe�,City,Sfate,2ip Code) Y � � 36.Injury at Work 37.If Transportation Injury,Specify: 38.�escribe How Injury Occ�rred: Q Ves 0 DrNCr/Operato� O Pedestrian �� 0 No �Passenger � Other(Specify) `� 39a. rtifler(Check only one): �C¢rtifying phystcian-To She besi of my knowledge,death occurred due to the c �se(s)and manner staLed ol 0 Pronouncing 8.Cartifying physician-To the best of my knowledge,death o red at[he tlme,date,and placc,and d�e to the cause(s)and m r statad Q Medical Examiner/COroner-On ihe basls of exa `tion Inv�sHgatlonr in my opinion,deaSh occurrad at the Lime,date,and place,and due to the cause(s)and manner sfatetl _J Slgnature of certifle�: Ttle of certifler: M O License Numbe�:� ��-Q Yl s YY Z- " 396.Na.�m�a,Addr�e!ss and Zip Cotle of Pe�son Completing Cause of�aa/t-h--(liem 26) /� 39c.DaSe n! {MO/D3y/Y�) � 40.Registrar s D stric�cr J 41.Registra�'S Signat� ✓ /� ` G'✓ � 42.Re �File Da�Mo Oay.�. � a.1- a�o #1.�=;-= �-�- �- °� aa.nr.,e�ar„e�cs � �+��rC � ��\ , H105-143 Disposition Permii No. ) �-� `t REV 07/2011 Verification The undersigned petitioner hereby verifies, subject to the penalties of 18 Pa. C.S.A. § 4904 (relating to unsworn falsification to authorities), that the facts set forth in the foregoing petition which are within her knowledge are true, and, as to the facts based on information received, after diligent inquiry, she believes them to be true. F �L � � ' �`._w S YM IE GALLELA i / Joinder We, the undersigned, being parties other than the petitioner beneficially interested in the estate of the foregoing decedent, do hereby certify that we have read the foregoing petition and join the prayer thereof. � - __ ._ �^ � ' ,� � /�� . ' �'��.Cti C�"� �' c ' `._ Itemized List of Disbursements Made Prior to Filing of Petition Estate of Michael S. Gallela, Jr. � Payor Amount Type of Payment Estate $3,428.47 Funeral expenses Estate $ 700.00 Crypt expenses Estate $ 640.00 Religious services