The URL can be used to link to this page

Home My WebLink About01-20-15 IN RE: : ORPHANS COURT DIVISION ESTATE OF NALINI PANDYA, : COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY : PENNSYLVANIA LATE OF BOROUGH OF CARLISLE : WILL NO. 2015- : ADMIN. NO. 21-15- (�CC�'�S ;.,, �� c� �; � rn PETITION FOR SETTLEMENT OF A SMALL ESTAT� � � �; o PURSUANT TO 20 Pa.C.S.A. SECTION 3102 ''' =r� � r.%> =? �_.� _..._ �-, .. ..� _.� -`� r_._ r�� "", r,i f"� C� ; ��J TO: THE HONORABLE JUDGES OF SAID COURT: � � ;-, . ; ,� ' .>> � � �:::'_ The Petition of Aniruddha Pandya respectfully represents as follows: � ' � : �:-, ' V,� G..,.. `,,.�� r _ 1. Decedent, Nalini Pandya, died on January 9, 2014, a resident of t�e B�orougl�f �" � Carlisle, Cumberland County, Pennsylvania. 2. Petitioner, Aniruddha Pandya, is an adult individual whose address is 18211 Kitzman Road, Cypress, Texas, 77429. 3. Petitioner, who is the widower of the Decedent, resided with Decedent at 516 3ra Street, Carlisle, Cumberland County, Pennsylvania, until Decedent's passing. 4. A copy of Decedent's Death Certificate is attached hereto and incorporated herein as Exhibit"A". 5. At the time of Decedent's death, Decedent was seized of various assets held jointly with Petitioner, as husband and wife, which passed to Petitioner by operation of law. 6. Petitioner has now become aware that Decedent held one account in her individual name at the time of her passing, said account being held at Members lsr Federal Credit Union, 5000 Louise Drive, Mechanicsburg, Cumberland County, Pennsylvania, to Account No. 132180. _� 7. Subsequent to Decedent's death, Petitioner paid all fees and expenses associated with Decedent's funeral to Hoffman Roth Funeral Home and Crematory, Inc. as � evidenced on the receipt attached hereto and incorporated herein by reference as Exhibit"B". 8. Your Petitioner is not aware of any outstanding financial obligations of any nature existing in Decedent's name alone or for which Decedent is solely obligated. 9. As such, Petitioner has paid all known debts associated with the Decedent's death and the processing of matters related to the Decedent's estate. 10. There are no additional probate assets of which Petitioner is aware which could be included in decedent's estate. ll. llecedent and Petitioner have three natural children, namely: (A) Sheela Trivedi 18211 Kitzman Road Cypress, TX 77429 (B) Kirit Pandya 1 White Oak Blvd. Mechanicsburg, PA 17050 (C) Upen Pandya 475 Lakeview Drive Spring Grove, PA 17363 12. The passing of any non-probate assets has no affect upon Decedent's estate as those assets passed directly to Petitioner as joint owner. 13. As the only assets of Decedent passed by operation of law to her husband, Petitioner herein, and the asset that is the subject of this Petition will pass to Petitioner, there is no Pennsylvania lnheritance Tax due from Decedent's passing. 14. To Petitioner's knowledge, there are no other parties to whom benefits from the Decedent's passing would be due. � 15. To Petitioner's knowledge, there are no individuals entitled to receive distribution or payment of any items referenced in Section 3101 of the P.E.F. Code, nor have any individuals received such benefits or assets referenced therein. 16. This estate has assets, exclusive of real estate, totaling less than $50,000.00 and, therefore, may be resolved pursuant to 20 Pa.C.S. Section 3102 through the filing of the within Petition for Settlement of a Small Estate. 17. The children of Decedent and Petitioner have executed Consents to the within Petition, and said Consents are attached hereto and incorporated herein by reference as Exhibits "C", "D" and "E". WHEREFORE, Petitioner requests your Honorable Court to issue an Order directed to Members ls` Federal Credit Union, 5000 Louise Drive, Mechanicsburg, Cumberland County, Pennsylvania, Ordering the release of the funds held in Decedent's name in Account No. 132180 to Petitioner. tfully itted, e �,. riffie, Esquire rney�or Petitioner Supreme Court ID No. 34349 200 North Hanover Street Carlisle, PA 17013 (717) 243-5551 (800) 347-5552 I verify that the statements made in the foregoing document are true and conect. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. DATE: �2—I � 'ZO ��7 ��'`'�`�Ct Aniruddha Pandya 05.805 REV(9/11) �� 8 ��9� �� 8 ��T9�� 6'1 B � WARPIIIVG: it is illegal to duplicate this copy by photostat or photograph. ee for this certificate, $6.00 ��"'"��----. This is to certify that the information here given is ��'"�1H OF p . `�,��'��,P _ Fy�;�_ correctly copied from an original Certificate of Death �.`o� - _ G` duly filed with me as Local Registrar. The original �o_ =� = z, certificate will be forwarded to the State Vita] 3� -.;� a� Records Office for permanent filing. : � � � � � � � � � ``�`S°qyr � ��.�?''� �.:�.�.'��.�.�c-�ex- JA 9 014 --,,�1ENT�F � � ,,,,,,,,,,,,,,,�� Certification Number Local Registrar Date Issued Type/P�Int In COMMONWEALTH OF PENNSYLVANIA�DEVARTMENT OF HEAITH�VITAL RECOR�S P`��'a"e"` CERTIFICATE OF �EATH Biack Ink State Flle Number: 1.Oecetlent's Legal Name(Flrst,Middle,Last,Suffix) 2.S�x 3.Soclal Securlty Number 4.Dat�of Death(Mo/Day/Yr)(Spell Mo) Nalini A_ Pand a Female 172-70-9570 Janua 9 2014 Sa.Age-lsst BlKhday(Y�s) Sb.Unde�1 Yea� Sc.Unde�1 Da 6.Date of BiRh(Mo/Day/Year)(Speil Month) 7a.BIKISD�ace(Clty and State o�Foreign Country) ' 82 nna�ms oaYs Ho��s Mm�tes Sept 18, 1931 Sndia 7b.Birthplace cco��c�.�7nlcnown Sa.Resldenc�(Stafe or Foreign Co�ntry) 8b.Resltlence(Sireet and Number-IncNde Apt No.) Hc.Dld�ecedent Live In a Township7 � �PA � 516 TYaird St� O Yes,decedent Ilved In ewP. sa.ae:moo�e co.,., > � � Cumber an�d ae.n�side.,co�ziP coee> ],7O],3 L�SNo,decedent Ilved within m„iss ot Carlisle oih•/bo�o. 9.Ever In V med Forces2 10.Marital Status at Tlme of Death Marrled � Wldowetl 11.Surviving Spouse's Name(If wife,glve name prlor to flrst marrlage) �Yes No �Unknown � Olvorced O Never Marrled �Vnknow Aniruddtia Pandya 12.FatheYs Name(Flrst,Mlddle,Last,SUHIx) 13.Mothe�'s Name PHor fo First Marrla Bha3:la]. Kodhari Chandrika �UCISCT10WI3��rst,Mlddle,last) 14a.In/ormanf's Name � 14b.Relailonshlp to Decedent 14t.InformanYs Malling Address(Street and Number,City,State,Zip Code) o Aniruddtaa Pandya husband 516 Third St_ , Carlisle, PA 17013 Wi a.a ace o oea� c ec on�o.,e � � _ If Death Occurred In a Hospi�al ❑Inpatlent �If Death Oceurred Somewhere OthcrThan a Hospltal: ❑Hosplce Faclllty b Oecedenf's Home O Emergcncy Room/Outpatient � Dead on Arrival � Nursing Home/Long-Tarm Care Facilliy O Other(Speclfy) � i156.Fa[Ility Name(If nof Instltutl ive streat anQ number) 15c.City To State tlz�a d ISd.County of OPpth Manor�Care� �Hea�t� Services Car�is�J.�e, i�A 1��.5 �:umberland m16a.Method of Olspositlon O Burlal Crematlon 16b.Date of Dlsposltlon 16e.PIaGe of DlsposiHon(Name of cemetery,crematory,or other piace) $ O Remo�a�from seaee O oonae�on Jan 2014 Hoffman-Rotk-i Flaneral Home & Crematory - O'Other�(Speclry) �: 16d:Locatlon o(Disposltlon(Q Town,State,and 2ip) . 17 Sign of Funerel Servl Llee Person In Charge of Interment 176.License Number � Carlisle, PA �7013 013144L � � E 17c.Name antl Complete Address of Funeral faelllty � � s � 18.Decetlent's Educatlon-Check tlie box ihat best describ¢s ihe 19.Oecede�t of Hlspanle Origin-Clieck che 20.DecetlenYs Race-Check ONE OR MORE races fo Indlcate what �- hlghest degree or level of school completed at the Nme of death. box that best descHbes whecher�he decedenc 2he decedmt considered himself or herseif co be. 0 Sth grade or less Is Spanish/Hispanic/Latlno. CheCk tlie"No" �Whlte � Korean � No tliplOma,9th-12th grade 6ox if decedent 15 nOt Spanlsh/Hlspanlc/LaNno. � Blatk or Afrlcan Amerl<an 0 Vletnam�se 0 High school g�atluate or GED completed No,not Spanisl�/Hlspanle/Latino O Ame�lenn Indle�or Alnske Yativo 0 OLhr_�Aalan O Somv calloge cretlit,but no tl¢gree 0 Ves,MexiCan,Mexlcan AmeNcan,Chlcano �Asian Indlan � NaTive Hawallan � AssOclate degree(e.g.AA,AS) �Yes,Vuerto Rlcan . �Chinese � Guamanlan or Chamorro � � Bachebr's degree(e.g.BA,AB,BS) 0 Yes,Cuban � FIIlpino � Samoan � Master's degree(¢.g.MA,M5,MEng,MEd,MSW,MBA) 0 Yes,oiher SpaNsh/Hlspanic/LaHno p lapa�ese O Other Paclflc ISlander 0 Ooctorofe(a.g.PhD�EdD)or Profe551ona1 degree (Speclfy) �Other(Speclfy) .MD DDS DVM,LLB JO 21.DecedenYs s�ngte Race Self-Oesignat�on-Check ONLY ONE 2o Indicate what the tlecedent consldered himself or herself co be. 22a.Decedent's Usual Occupatlon-Indl<aie type of work 0 Whlte �Japanese 0 Samoan done d�ring most of working II(e. DO NOT VSE RETIRED. 0 Blaek or Afrlcan AmeAean 0 Korean � Other Padflc Islander - SCYl00]. Teaeher 0 AmeriCan Indian or AlaSka Native �Vlefnamese O Don•t Know/Not Sure � � �Aslan Indlan �Other Aslan O Refused 22b.Klntl of Buzlness/Industry � � Chinese � Native Hawallan � Other(Specify) PL1b11C .SCl'100�. � Filipino �Guamanian or Chamorro ITEMS 23a-23d MUST�BE COMPLETED 23a.Date Pronouncetl Oead(Mo/Day/Vr) 23b.Slgnature of Person Pronouncing Death(Only when applicable) 23e.Ucense Number BY PERSON WHO PRONOUNCES OR CERTIFtES DEATH �^� �l 23d.Date 5lgned(Mo/Day/Yr) 24J �m eath �� !�� / e� ) S� � 25.Was Medlcal Ezaminer or Coroner Contacted7 � Yes �No � CAUSE OF DEATH � n ximate ppro 26.Part 1. Enier the chain of events--diseases,InJurles,or complicatlons--that directly causetl She deaih. DO NOT enfer terminal ev�nis such as cardlac arrezt, � Interval: respira[ory arrest,or ventAc�lar Flbrlllatlon wlthout showing the edology. DO NOT ABBREVIATE. Enter only one cause on a Ilne. Add addlHonai Iines if necessary. I Onset to Death ( � � IMMEDIATE CAUSE ---------> CCJ�/��/�� //�� '�`w- Q� • (Final disease or condltlon a � Due to(or as a consequence ofl: - � resulHng In Eeath) � . b. Sequentially Ilst condlHons, Oue to(o as a consequ nce of): � If any,leatling to the cause � �Isted on Ilne a. Enier the VNDERLYING CAVSE � Oue to(or as a consequence of): � � (dis�ase or inJury that � � F initlated the events resulHng tl. ' � � in death)LAST. Due to(or as a consequenca of): � 1 s �26.Part 11. Ent¢r other 1 I a d ti n 1 v In but not resulting In che underlying cause glven In Part I. Z7.Was an autopsy p�rformed7 � � �� O Yes No � 28.Were autopsy(Intlings avallable m to complete the cause of death7 d O Yes o ^� 29.1/Fernale: 30.Dltl Tobaeco U5e Contribute Yo Death7 31.Manner of Deafh S Not pregnant wlthin past year � Yes � Probably atural � Homlcidc O Pregnant at Hme of death �-R6 O UnknOwn � Accldent � Pending Investigatlon m p Not pregnant,but pregnant wlthln a2 days of deach p Sulclde p Could not be determined . '- ��Not pregnant,buf pregnant 43 daye to 1 year 6efore death 32.Date o/In u Mo Da Spell Month) � Unknown If pregnanY witl�in the past year 33.Tlme of InJury 34.Plaee of InJury(e.g.home;constructlon site;farm;schaol) EXHIBIT �reat and Number,Glty,Co�nty,State,Zlp Code) 36.Infury aC Work 37.If Transportatlon InJury,Speclfy: � Occurretl: O Yes O Driver/Operotor O P�destrlan 0 No � Passenger � Other(Speclfy) 39a.Ce ler-physlclan,certlfied nurse practlHoner,medlcal examin Certlfying only-To che best of my knowledge,daath o<curred d � O Pronouncing 8.Certlfying-To the best of my knowledge,death due to ihe cause(s)antl manner staied. _ (^C 0 Medical Examiner/Coroner- the basis of examinatlon and/o red at the tlme,date,and place,and due to the cause(s)and man=er siated. �v �a- Slgnature af<ertlfle�: TIHe of rertifler: � -� Llcense Number:�OC a�'�,f L 39b.Name,Addrcss and Zip C Person Completing Cause o/Death(Item 26) 39c.DaGe Slgned(Mo/Day/Vr) � Dar 1 Guistwi e, 56 Ashton Street, Carlisle, PA 17015 �� T «� 4D.ReglstraYs Dlsfrlct Number 41.Registrar'S Slgnature 42.Registrar Flle Da[e(Mo/Day/Yr) d,l-a.�0 �Q�:.,�A.�f��,.�� e�-- �( 43.Amendments � O � _. ._. _ .._. /�� //\2 l Q H305-143 - -- Li'r ncxs�-nnncw_ �.__. r`U":''` - • ;� C�risA,F�rsyvar._a i 7�i_'• 717.i4�.�v!1 ,,'frno}.Fs��_��i.�,:,1 i • faxF�i��3_��FL.� '� :�•:.��efis�-�an�.,�...,... FLa14ER�-1t_ Ht7��iF � C:RE1r1:�TC�R4'', [NC;. �,�`�..�f��:r��,,-� C�tq�rHNn*�TT4t7—Cks��c-c�a�s�t ��mEHa�-�i�H�siu�t Rdf�t_�.Fiibum�—Sr.p_sttias :.ss�n G.Sha�'—F�mzlDir�ter Iht�EF�—F�lI}ir��r February 14, 2014 Aniruddha Pandya - - -- 15211 KitzmanRoad - - __ _ -------_ __ __ _ - -- _ Cypress,TX 74429 Statement of Funerai Expenses for: Nalini A. Pandya Date of Death: January 9,2014 Account Id: 17076-007 PACKAGE: Immediate Cremation � 2,Zg0.00 OPTION 6-Cremation Sub Total: $ 2,290.00 TOTAL FUNERAL HOME CHARGES: $ 2,290.00 CASH ADVANCES: 36.00 6 Cefified Death Certificates at$6.00 each � Add'I DCs $ 18.00 Coroners Fee $ 30.00 Sub Totai: $ 84.00 Anruddha Pandya Credit Card Feb 14,2014 2,374.00 Total Funerai Expense: $2,374.00 Total Payments Made: $ 2,374.00 Balance: $ 0.00 EXHIBIT � CONSENT TO PETITION FOR SETTLEMENT OF A SIVIALL ESTATE � I, SHEELA TRIVEDI, have reviewed the foregoing Petition and consent to the entry of an Order providing for the release of funds held by Members First Federal Credit Union, 5000 Louise Drive, Mechanicsburg, Cumberland County, Pennsylvania, in the name o£ my late mother, Nalini Pandya, in Account No. ��- f � , to my father, Aniruddha Pandya. � � V-�� .� DATE: 2�2Z Za��I ��- SHEELA TRTVEDI EXHIBIT � � CONSENT TO PETITION FOR � SETTLEMENT OF A SMALL ESTATE I, UPEN PANDYA, have reviewed the foregoing Petition and consent to the entry of an Order providing for the release of funds held by Members First Federal Credit Union, 5000 Louise Drive; Mechanicsburg, Cumberland County, Pennsylvania, in the name of my late mother, Nalini Pandya, in Account No. 132180, to my father, Aniruddha Pa��dya. �1 �'' � c` � -�� /� � ��-�%' DATE: 1 =, UPE , PANDYA EXHIBIT .� 0 a e CONSENT TO PETITION FOR SETTLEMENT OF A SMALL ESTATE I, KIRIT PANDYA, have reviewed the foregoing Petition and consent to the entry of an Order providing for the release of funds held by Members First Federal Credit Union, 5000 Louise Drive, Mechanicsburg, Cumberland County, Pennsylvania, in the name of my late mother, Nalini Pandya, in Account No. 132180, to my father, Aniruddha Pandya. DATE: d! - 0 3 - 2o i S ��a�. � � ! KIRIT PANDYA EXHIBIT � � IN RE: : ORPHANS COURT DIVISION ESTATE OF NELINI PANDYA, : COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY : PENNSYLVANIA LATE OF TOWNSHIP OF MIDDLESEX : WILL NO. 2015- : ADMIN. NO. 21-15- CERTIFICATE OF SERVICE �! I, Bradley L. Griffie, Esquire hereby certify that I did, the �o day of January, 2015, cause a copy of the within Petition for Settlement of a Small Estate Pursuant to 20 Pa.C.S.A. Section 3102 to be served upon Respondents, Sheela Trivedi, Kirit Pandya and Upen Pandya, by first class mail,postage prepaid, at the following addresses: (A) Sheela Trivedi 182ll Kitzman Road Cypress, TX 77429 (B) Kirit Pandya 1 White Oak Blvd. Mechanicsburg, PA 17050 (C) Upen Pandya 475 Lakeview Drive Spring Grove, PA 17363 DATE: � �-c� � � � �� y I;:Griffie, Esquire tx�rney for Petitioner