HomeMy WebLinkAbout02-16-07
Estate of Joyce L. Coffey
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Joyce L. Coffey
also known as
No.
~\
D~
DloG\\
, Deceased
Social Security No. 206321264
Stephanie L. McCullouQh (formerly Stephanie L. Coffey) and Jennifer C. AmiQh
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE "A" OR "B" BELOW:)
n A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or
UU Decedent, dated 1/23/2004 and codicil(s) dated
Stephanie L. Coffey is now by marriaQe Stephanie L. McCullouQh
named in the Last Will of 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 documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
o
B. Grant of Letters of Administration
(c.I.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence-.) I
(',~ ',''') -
>--" '::.J '.
C) ....,....
- . .
,- ", ,'-"
.... -
-- ... ,.~
.( , -
-, ,
.~
, :".,.. ,
'-
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. .r::-
Decedent was domiciled at death in Cumberland County, Pennsylvania. with his/her last familfl)"r principal
residence at 123 CleversburQ Road, ShippensburQ, Southampton Township, Cumberland County, Pennsylvania
(list street, number and municipality)
Decedent, then 66 years of age, died May 8 ,2006 . at 123 CleversburQ Rd., ShippensburQ, PA 17257
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PAl All personal property......................................... $
(if not domiciled in PAl Personal property in Pennsylvania .................... $
(If not domiciled in PAl Personal property in County.............................. $
Value of real estate in Pennsylvania ........................................................................................ $
Total ..................................................................................................................... $
25,000.00
0.00
25,000.00
Real Estate 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:
Typed or printed name and residence
PA
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and 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 estat according to law.
Sworn to and affirmed and subscribed
. ~
before me this _\ lL day of
February. 2007
m"f2X .;'" L
Q ~ C
. ,
J7 . i '/L) ./ .
Jen fer~
-
OrhLtv '
-0
c.....
il
-.J
Estate of Joyce L Coffev
DECREE OF REGISTER CUMBERLAND COUNTY
Deceased
No.
~\ b ~ D\cO\l
also known as
Social Security No: 206321264 Date of Death: 5/8/2006
AND NOW, February \ lc 2006 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters I&) Testamentary 0 of Administration
(c.I.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Stephanie L McCullouQh and Jennifer C. AmiQh
in the above estate and that the instrument(s), if any, dated January 23, 2004
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters .................................... $
$
$
$
$
$
$
Inventory & Tax Forms............. $
$
Short Certificate( s) ...............
Renunciation...... ............... .....
Affidavit (
) .......................
)............ ..
Extra Pages (
Codicil.................................
JCP Fee .................................
Other .......... .......... ........ ..........
TOTAL .............................$
RW-7A
60.00
J!Jkck~A~jY1JcPf2R~
4.00
Attorney
10.00
Attorney: Joel R. ZullinQer, Esq.
I.D. No: 17516
Address: 14 North Main Street, Suite 200
ChambersburQ
Telephone: (717)264-6029
DATE FILED:
PA 17201
5.00
94.00
H ln~.BO) REV Ii{):"
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.
, ",'fIIHU//~",,,,,,,~
1111'~ ~~\\\ OF PE;;----.
,,'__~""'l" '(/If'.
\III\~' _. . f,<Ci\
~~~. ~~
i~/ cc ".' , \~~
~S\ .;l~. /~,~
... '. " . . ~
\*~..~.... .-. .~'J*l
\.~ .. /~II'
;. '* /~ ,,1
""-~-__W1MEN1 \)(~\:,'IIII'
""""''',J/J//J//nllJ1J1''''
--.;
~
Fce for this certificate. $6.00
~.- ,)
P 12540544
~
~ ~:~~?o
/" - -.
Dale ...,..,
-..J
Hl05.1~3 Rev. 01106
TYPE/PRIIH IN
PERMANENT
BLAC1( INK
1. NameoIOecedent(FirSl.mkldle,lasl)
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH . VITAL RECORDS '.' \ r--.. I" f'..loOl
CERTIFICATE OF DEATH STATE FILE NUMBER 0. U ~ u- \
3. SocialSecUlilyNurroel
~. Dale o! Dea\h (Moll\h,day, year)
Yr5.
7. Daleo/BkIh Monlh,da , ear)
206- 32 -1264
Ma 8 2006
~ceL.
5. Age (l<:ISlbfrlhd8Y}
8. Birll lace CiI andslaleolloTE!'
66
17,
Carlisle, PA
Bd. F&cililyName(Unolinslitulion.givestreelllndnurrber)
Olher:
o ERIOul alienI 0 DOA 0 NUIsinQ Home Xl Residence 0 O1her - S cif
9. rSN~ec~el~;~ ~1~::;~~~~~n~Uban, 10. (~~~~;:lerican Indian, B(acll, Wilife, efc.
Mexican, Puer10 Ricall,elc.)
8b. CounlyolOealh
Cumberland
~\
n "
n
~
1B
h'hesl redeco leled
College {1.-4 or 5+)
104. Marilal Slalus: Married, Never married,
Widowed, Divorced (SpsciM
Married
15. Surviving Spouse (If wile, give maKlellll8me)
17b. County
Pennsylvania
Cumberland
~~e~~edenl 17c. ~ Yes,Oecedenllivedin
Townshp?
Donald E. Coffey
Southampton
Twp
123 Cleversburg Road
Shi ensburg, PA 17257
Falher'sName(First.n~ddle,lasl}
17d.D No, Decedenl Livedwilhin
k:lualLimils01
CityfBoro
19. Molher's Name (Firsl, middle, maiden sumame)
Nelson Shu hart
2Oa. Informant's Name (Typelprml)
Ruth Wert
20b. Informant's Mailing Address (Sbeel, city/lown. slale, zip code)
o
W
to
::>
to
<(
::;
<(
Donald E. Coffey
21a.. Method al Oisposilion
)fJ Budai 0 Cremalion
~. 22a. ~gn~\l~~ ~fSpeci :
~
21b. Dale of Disposllkln (Monlh, day, year)
123 Cleversburg Road, Shippensburg, PA 17257
21e:. Place of DjsposUion (Name 01 cemetery, clemalory or other place) ~uiti~~if~~rt,~aleC~Wfi t y ,
Cleversburg Cemetery Southampton Twp.. PA 17257
22c. Name and Ad!l1ess 01 F8ciJ~y
Fogelsanger-Bricker F.R., ro Box 336, ShiwensWrg, PA 17257
23b. License Nunilef 23c. Dale Signed (Month, day, yeal)
.R.N ';i.~Htq~1- /l5-C~-O"-
~-
I CofTll lems 23a-c only when cer1itying
:::. physcl1In is no! 8vailable alUme of dealh 10
~ certUycauseofdealh.
~ llen)S24-26l11lJslbecorrpleledbyperson
:. WhopJOllouncesdealll.
24.
26. Was Case Referred 10 B Medical ExarninerIC0lOner7
o Yes ~NO
CAUSE OF DEAlH (See lnslruclions and examples)
llem27. Patti: Enle/lhe ~~ -diseases, injuries, or COfllllicaliolls -Ihaldifeclty caused the dealh. 00 NOT enle! terminal evenls such as cardiac arresl,
res[liralory aI/est, or ventricular rlbrillation wilhoul showing lhe eliology. DO NOT abbTeviale. Enler only one cause on a lille
~:~~~~~;e~~I~l~~~J~~~~disl!~r 8. f""\'L~/~~~+''- ~c.t'."/~",' '''Cl"'()..0 ~t-.'Ul-
Due 10 (or as 8 consequence oil:
Appro~imate inlerval Parlll: Enler olher SkmWC81l! condilion5 conlril.1U!inll-!O deal/!,
onsellodealh bulnolresul1inginlheundef~ingcausegivellinParll
dF
c3 g
.-l ~
"
<ll
0
1-
:z
W
0
W
0
W
0
LL
0
w
:2
<(
:z
Sll.QI.lll.n!iaIJylisJrondilions,ilsn}',
leading 10 lhecause lisled 011 Ulle a
Enler 1he UNDERLYING CAUSE
[diseasem[njllrylf1alinifiafedlhe
evenls lesulting in dealh) lAST
b_
~_\c--... "'-vt ~\.'1Itr.. \ ..r-.,;
~'t."t,. , ..."...~U-~~
28. D;d Tobacco Use Conlribule \0 Death'
DYes 0 Probably
",P(.No 0 Unknown
29. llfemale:
~NoIPregnal\\Wilhil1f1aslyeal
o Plegnan1alUmeoldeath
o NOlpregnanl,bulplegllantwilhin42days
o(dl!2lh
o Nolpregnanl.bll\plegl\alll~3dayslo 1 year
berosedealh
o Unlmown il pregnallt within Ihe past yeat
32c. Place 01 Injury: HOllie, Farm. Sheet, Faclory, Olrrce
Buiklillg, ele. (Speci~')
Due 10 (01 BS a consequence oij:
DUll 10 (or asa consequence oij:
o Yes _No
,.
3Gb. Were Autopsy Findings
AvailablePtiolloCof\1llelion
ofCauseo/Dealh?
DYes lJ No
31. MannerolDealh
~ Nalural 0 Homicide
o Accidenl 0 Pending Investigalion
o Suicide 0 Could Nol Be Delennllllld
32a.Oaleofll1jury(Monlh.dar.yeai)
320. DeSCTIDe hDw )nju/y OccUlred
30a. Was an AUIOpsy
Perfolmed?
35. Regishsl'sSignatureandOislriclN ler
32d. TimeollnjulY
32g. Localion{Slteel,cilyllowll,s\ale)
338. Ceftifier (check only ollej
Certifying physician (physiciall cerlifying cause ofdealhwhen anolher physician h asptotlounceddealhandcomplatedUenl23)
To the besf o( my knowledge, death occurred due 10 lhe cause{s,alld Il12nner as 51aIed*___
Plonoundng and !:crtifying physician (Physician 110111 prollollndng dealh and cenilying 10 cause at dealh)
To IlIe besl 01 my knDwledge, rle.alh occlmcd a\ the Illlle, dale, and place. and due \0 Ihe cause(s) and manner as staled....._.
Medicalexamhlerlcoronct
OnUm basis 01 examination andior invesligaUon, in my opini
~
L-.
33d. Da:sn7~h'daY, :~
/L/) 12./I,S!
Name Md Address of Persoll Who ~ICll!d Cause 01 Oetllh (nem 27) TypefPlinl
.. 'U,.,., Ao 'l(;~;.>o~ !>. ~
"Z-,-o\...J_ \~Q;""_~\
"-"..-\:...-.... \~ ',=\<>.:!,.
K
~
JRZ - 5.1 coffey.2
January 16, 2004
( .~
;'-~''''
-'1
-~
.'
;
<-~,
LAST WILL AND TESTAMENT
;-1
0\
r:;
1
... ; I
I, Joyce L. Coffey, of 123 Cleversburg Road, Shippensb\ITg,
--.l
Cumberland County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do hereby declare this to be my will,
hereby revoking any and all former wills and codicils thereto by me
heretofore made.
I.
I direct that all my just debts and funeral expenses,
including all expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administration of my estate.
II.
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my husband, Donald E. Coffey,
providing he shall survive me by thirty days.
III.
Should my husband predecease me or die on or before the
thirtieth day following my death I give, devise and bequeath the
}(
f
residue of my estate of every nature and wherever situate to my
children, namely Stephanie L. Coffey and Jennifer C. Amigh, in
equal shares, provided that the share of any child who predeceases
me or dies on or before the thirtieth day following my death shall
be distributed to said beneficiary's issue, per stirpes, living on
the thirty-first day following my death, and in default of any such
then-living issue, such share shall be added to the share or shares
of my other child.
IV.
In the event my husband, Donald E. Coffey, and both of my
children, and all of their issue predecease me or die on or before
the thirtieth day following my death, I give and devise the residue
of my estate of every nature and wherever situate as follows:
A. Fifty percent thereof to my husband's sister, Bonnie
Purcell, provided, however, should my said sister-in-law
predecease me or die on or before the thirty-first day
following my death, her share shall be distributed to her
issue, per stirpes, living on the thirty-first day
following my death;
B. Fifty percent thereof to be divided into six shares, with
one equal share to my sister, Sylvania Negley, one equal
share to my sister, Gloria Rueger, one equal share to my
sister, Gladys Kammer, one equal share to my brother,
Emory Shughart, one equal share to my brother, Nelson
Page 2
ct{
~
Shughart, and one equal share to the issue per stirpes of
my deceased brother, Gabriel Shughart.
v.
In the event that anyone entitled to a share of my estate
shall be under the age of twenty-three years at the time for
distribution to such beneficiary, I constitute and appoint Orrstown
Bank, with principal offices in Shippensburg, Pennsylvania, as
trustee of any property which passes either under this will or
otherwise to said beneficiary. Said trustee shall in the trustee's
sole discretion and without order of court, use principal as well
as income from time to time as may appear to be necessary for the
beneficiary's welfare, comfort, medical care, recreation, support
and education, without responsibility to the beneficiary or to any
person taking care of the beneficiary; and the remaining balance in
the hands of said trustee shall be distributed to said beneficiary
when the beneficiary attains the age of twenty-three years. If
such beneficiary dies prior to attaining the age of twenty-three
years, said trustee is authorized in the trustee's discretion to
pay part or all of the beneficiary's funeral expenses and the
remaining balance ln the hands of said trustee shall be distributed
to the beneficiary's personal representative. In the event the
funds held by the trustee for any beneficiary become in the opinion
of the trustee too small for proper and efficient administration,
the trustee, in the trustee's sole discretion, may deposit such
Page 3
~
funds in a savings account ln the name of the beneficiary.
VI.
Any fiduciary under this will shall have the following powers
in addition to those vested in them by law and by other provisions
of my will applicable to all property whether principal or income,
including property held for minors, exercisable without Court
approval, and effective until actual distribution of all property:
A. To retain any and all of the assets of my estate, real or
personal, without regard to any principle of
diversification of risk.
To invest in all forms of property including stock,
common trust funds and mortgage investment funds without
restriction to investments authorized for Pennsylvania
fiduciaries as they deem proper, without regard to any
principle of diversification of risk.
To sell at public or private sale, to exchange or to
lease for any period of time any real or personal
property and to give options for sales, exchanges or
leases, for such prices and upon such terms or conditions
as they deem proper.
D. To allocate receipts and expenses to principal or income
or partly to each as they from time to time think proper.
E. To compromise any claim or controversy.
F. To distribute in cash or in kind or partly in each.
Page 4
B.
C.
~
~
G. To hold property in their names without designation of
any fiduciary capacity or in the name of a nominee or
unregistered.
VII.
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.
VIII.
I appoint Stephanie L. Coffey and Jennifer C. Amigh, as co-
executors of this my will. Should my children predecease me, fail
to qualify or cease to act, I appoint Orrstown Bank with principal
offices in Shippensburg, Pennsylvania, as executor of this my will.
IX.
No bond shall be required of any fiduciary hereunder in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
last will and testament, consisting of seven typewritten pages, the
first five of which bear my signature in the margin for the purpose
Page 5
of identification this A..~ ~ay of
......
9&~~~~
^
, 2 "~r
~oP
~_ (SEAL)
Signed, sealed, published and declared by the above-named
testatrix as and for her last will and testament in our presence,
who in her presence, at her request and in the presence of each
other have hereunto set our hands as attesting witnesses.
J'f'fJ ~~'""-4:-1 &.-W,!JA
Jffl Intb1y Iof 4J \S!~,
We, Joyce L. Coffey,
-/~ ~ the
/
respectively, whose names are signed to the
2'~/"
/
/, /' . f and
testatrix
and
the
I.
witnesses
attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testatrix signed and executed the
instrument as her last will and testament and that she executed it
as her free and voluntary act for the purposes therein expressed
and that each of the witnesses, in the presence and hearing of the
said testatrix, signed the will as witnesses and to the best of
their knowledge, said signer was at that time eighteen years of age
Page 6
or older, of sound mind and under no constraint or undue influence.
Subscribed, sworn to and acknowledged
before me by the above-named signer and
subscribed and sworn to before me by the
above-na~ this c2=J day of
~/. ' 2H7
c/~~~
[4 ~ ",
Notar 7 ubllC
F-'--'
--_.<
l I
I" "
., <1 \,
t
~
1
1--
, ~ \,,;;..: ,'-
'i' C;,; 'I'..,.r,~", ~ i
,"\i":- " "". ,- .
2'c~Lx~:rf'~'3 ;~-'t;v ~"~'~"i ~atl.;~-'
Page 7