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HomeMy WebLinkAbout02-09-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYL VANIA Estate of Gertrude E. Cox also known as File Number a~-()7- (J/?J~ , Deceased Social Security Number 195-07-8885 Robert F. Cox, Executor Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) Ii] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor last Will of the Decedent dated November 26,2002 and codicil(s) dated N/A named in the (State relevant circumstances. e.g.. renunciation, death of executor. etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: o B. Grant of Letters of Administration (lfapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Administration, c.t.a. or d.b.n.c.l.a.. enter date of Will in Section A above and complete list of heirs.) Name Relationship Res~... ce '"'~ ,~~~ .- .~ -r", ''''j) ::::-,---~ r-..,) ; .'- ) \.0 'I " ':-.J (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. " )::P.> ~ -'- Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal (~ence at 116 November Drive. Apt. I. Camp Hill Borough. Cumberland County. Camp Hill. PA 17011 .j (List street address, townleity. township. county. state. zip code) .J::"" Decedent, then 98 years of age, died on February 3, 2007 co at ManorCare, Camp Hill, Cumberland County, Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania 70,000.00 $ $ $ $ situated as follows: None Wherefore. Petitioner(s) respectfully 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: T ed or rinted name and residence ~ Robert F. Cox ~r 3751 Long Point Drive York, PA 17402 FormRW,02 rev/O./3.06 Page 1 of2 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 ~y~)~ Signature of Personal Representative (-,...., r", ~ -.I ." rrt en I l.O On'; Signature of Personal Representative Cc~o ::t:"! 1~7 ~-r'n ~ ~~~S .'>::---..., - c/) ;<~ --) Signature of Personal Representative [ ['i File Number: .::- 0::> Estate of Gertrude E. Cox , Deceased Social Security Number: 195-07-8885 Date of Death: February 3, 2007 AND NOW, having been presented before me, IT IS DECREED that Letters are hereby granted to Robert F. Cox , in consideration of the foregoing Petition, satisfactory proof Testamentary in the above estate and that the instrument(s) dated November 26,2002 described in the Petition be admitted to probate and filed ofre rd as the last Will (and Co icil(s)) of Decedent. r1 FEES hJ Letters ............... $~ Short Certificate(s) . . . . . . . . $~ !Ren~nCiation(s) .......... $ r:::..OV ...$ I~J. ... $ IO,DO ()Iil ~ DYl ... $ .590 $ $ .. . $ . .. $ . .. $ .. . $ TOTAL ...... .. .. .. .. $ I ~ l..rDD Attorney Signature: Attorney Name: Jo~ J. Shorb, Esq~ire, c/o Stock and Leader Supreme Court I.D. No.: 18020 Address: Susquehanna Commerce Center East 221 West Philadelphia Street, Suite 600 York, PA 17401-2994 Telephone: (717) 846-9800 Form RW-02 rev. 10.13.06 Page 2 of2 HJ05.805 REV l!O5 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. )~..... C\. ~~~ Local Registrar Fee for this certificate, $6.00 p 13310461 FEB 5 2007 Date o =1,=:1 "';' C'~ => --.. '1 l'""l C':J I \..0 j/-07-0/3:lJ ~ 11. 0ecIdIrts lIIuII Kildol_ Credit Clerk most of ...Oonot..... ~0I_/""""" Furniture Co. COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions snd exempl.. on rev......) 3.SocloJSecuritt_ 195- 07 -8885 Sa. Place of 0e8lh Check one - 10/28/1908 Harrisl)ur PA D_ DEJl/~ DOOA tb1lng...... D_ DOhr-SpocIfy: ".F.ayNome(llnol_."'_""''''''*l ..:,1"'>"=~0IlgIn' ~No D.... 10.~_,_,__.",. Manor Care ___.oIc.) WQite 12.__'_Olho 'a_._~onIy~_~ ".___.__. 15. SuMmgSpouoe(..."._......1 U.B.AImod""",,,' Elomontmyl SecondIIy (0-'2) CoIogeI'...or5+) _1llYon:od(SjlociJ! D.... IXlNo 12 Nevered Marri DocodonI'8 Did 0ec0d8nt AcbIReIldence 171.SIldePAnnCly.r'7::1ln; it. =1 17c.Dv..DecednUvldin 17b.County ("nmn9"" ::linn . 17d.CX~~rwltlil CamD Hill .r:- eo 105-143 REV 11/2006 TYPE I PRINT IN PERMANENT BLACK INK ..._" STATE FILE NUMBER 6.Dateof~ 7._ .. """ 01 De8Ih -. dIy."'" 2/3/2007 . ,s._.MoIng_-.clly/-._.2lpc0d81 116 November Dr. Apt.1 Cam Hill PA 17011 's. F......Nome 1Finl,_....._1 Martin J. Cox 2ll8. -. N8m8 ITypo/Pllnt) Robert F. Cox 2'L_0I0l8p00IU0n 1Wp. CllyfBoro ~ ~ 19.--' Nome 1Finl,__....-} Senia Eschbach 2Ol.-'M8Ii1g_-'cllyf_._Z\lc0d81 3751 Lon Point Dr. York 21~Pllaol_(Nomool_._"_"","1 Holy Cross PA 17402 2'd.l.oc8tionIClly/-._.Z\lc0d8} Harrisburg, PA .... Nome ""'_ 01 F.ay HollingerFH&Crematory501N.BaltimoreMt.hollySpringsP 23b.Ucen88_ 23l:."""59*'(Monlh.dIy."'" 17065 ']..- ~ - 4: 35AM. CAUSE OF DEATH (Soo""""""" ond 0_) 18m '0. Part I: EmIr ..cbIlil.JtJltDI-~ 1rpIes, or~-1lIl clrdycauB lhe dedi. DO NOT erErler'nWlal ewnts lRJCh 18 cardlC8mlSt, .....,.-,,----.g...8lIology.UlIIonIy"".....on_.... 4J- =-~~~~ L ~~"'\.L. l . F~ Duetolor88._: \ ~_"'-'8Ifj. b. e::&: a;r~ c::: a. Due to (or u a coneequenoe 01): ='...:.:.tt':...'"'l'I'm" -- Onset .. Il88lh 2B.OIdTobIlccoUseConlrb.teIoD8llh? DI'88 D DOlo 29L~ ,kr"'p<ognor<-p88Iyoor D_......oI_ D "'__"'pIIgI1l81I_82d8yo 01"'''' D "'__"'_83d8yo"'"", --- D-'__.......,.., 321:1:=:=~i_F8Clory. Dueto(or.'~of); d. DVoo rNo 301>.__""- __to~ arCluledDealh? DVoo FNo 31. ofOelltl ....... D- o- D___ D8<DM DCo<8d.....__ 32d. TIme of Injury 32g.Looollonol.....I......cllyl_,_1 308.W08.._ - M. ! ~ o ! .... """"'I""'" only...} . ----.....~--........_""_-""'_Il8m23} To" "''''my IcnowIIdge, dellhoccurnad dull to the C8UIIII(s) n _.. stIAId-_.... _.. __....... __........ __........ _................... . . ;:.::=:.-:.::=."'="=::=:.."'::."..:::...~=-.___m____m__m_ D . ==-..= and/or InvestigaUon.ln my opInion,..... oc:curnd lItt.tkM,.lndplla, InI due to the~.) nmannerulllat..a.. 0 ~ee~ 35. ~ __No. LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, GERTRUDE E. COX, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. II I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. III I give, devise and bequeath all of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my niece DOLORES SULLIVAN, my sister-in-law ELEANOR COX, and my nephew ROBERT F. COX, in equal shares, per stirpes. IV I nominate, constitute and appoint my nephew ROBERT F. COX as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, GERTRUDE E. COX, have set my hand to this LAST WILL this )., 10 day of 'n~ , 2002. ~ Signed, sealed, published and declared by the above-named GERTRUDE E. COX, as and for her Last Will and Testament, in the presence of us, Wr:.O, t her request and in her presence, and in the presence of each other, have h reunlVSUb: . ~ a our names as wimesses. I ' I L fijb)~ .' ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, GERTRUDE E. COX, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. -~~.~ GERTRUDE E. COX Sworn or affirmed to and acknowledged before me this~ gday of ~ ,2002. No~c/1~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND we/t(V((f(,EL 1<. (,~jlf[0:~J5ti" and Li6a t ~aJi , the witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her LAST WILL; that GERTRUDE E. COX signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and :t to the best of our knowledge, the Testatrix was at the time 18. Years. of age.. i;ore~.O.f.S nd mind and under no constraint or undue ffifluence. /ill 1ft; f< ( II L-'-.. A.-A _ ~ ~_ _AJ _ A/\