HomeMy WebLinkAbout08-13-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
, Deceased
Social Security Number
[)'\ Ollo\
/7tf ~O
(;;'1/~
Estate of y4a. L
also known as
\.0
Ct)~?~
File Number d \
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is lare the
last Will of the Decedent dated dvt'l <.. S :;l ~(; 3 and codicil(s) dated
t!.")( (" '- "'~ <A-.
named in the
(State relevant circumstances, e.g.. renunciation, death of executor, etc.)
Except as follows, Decedent did not malTY, was not divorced, and did not have a child born or adopted after execution of the instJ1lment(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: 0 ~
<:=:>
Co -oJ
o B. Grant of Letters of Administration ~;g A ~
, (If applicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dui<<b~'Pi'lritate):: : .. ,J
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the followin~.:sP~~f any~d heiw'ar .
Administration, c.t.a. or d.b.n.c.t.a., ellter date of Will in Section A above and complete list of heirs.) ',:-:-; 8 ~ ::;;;! . c "
-.-,- -"'""'
Name Relationship Re~~ '-i
)> 0
..0
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in C-.:> o(Y"\ bLe. \..p.r- ~ County, P
~ \'N'\ ') ci:a:: .u-
(List street address, townlcity. township, county, state. zip code)
Decedent, then 8 \
years of age, died on ~<'- '\ '--
at
\$"'
;;2~1
0030 J4N1
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
IOu,ouo.
.
I..t::
$
$
$
$
situated as follows:
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 fOlm to
the undersigned:
Forlll RW.02 rev. /0./3.06
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
~~ ~ ~ / O-ftcA
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con-ect to the best of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
day of
r--.~
~,
=
-...l
Sworn to or affirmed and subscribed
Signature of Personal Representative
:'nICJ
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Signature of Personal Representative
C>
\.0
File Number:
d\ 61 <:::>1\0\
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Sod" S"",,~~ '1 -; d. b 10,-\ \ ~
AND NOW, ~ ,_ , 6lJb~
having been presented before me, IT IS DECREED that Letters
are hereby granted to ~Q '-' L- Coc> ~-r
\
Estate of
, Deceased
Date of Death:
P\ ~n\ \ ~ .;)D(:) I
, in consideration of the foregoing Petition, satisfactory proof
\" es -\ G-.'t'r\c.='(,\~ f\...I
\
in the above estate
and that the instrument(s) dated ~\...).0e. ~ .;{ ex:> ~
described in the Petition be admitted to probate and filed of record as the last Wi
~ \0 .CP
~O. c>D
FEES
Letters .... .IRQ.~~"'.' $
Short Certificate(s) . . . . . . .. $
Renunciation(s) .......... $
~\\\ $
...J C<? $
~\o $
$
$
$
$
... $
... $
TOTAL ... . . . . . . . . . . . $
Attorney Signature:
\'5.00
'0.00
~.oO
Attomey Name:
Supreme Court I.D. No.:
Address:
Telephone:
~\Oa .00
Porm Ri-V-02 rev iO.1J06
P"o-p? "f?
~ -~- ~ -. -
H105.805 REV 1/05
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.
~!>l~
Local Registrar
Fee for this certificate, $6.00
p
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REV 1112006
PRINT IN
!ANENT
CKINK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on revarse)
STATE FILE NUMBER
a\ (J,\(Yllo\
Yr!.
May 15,1925 Lykens,Pa
Bd. Facilty Name (11 nat inslil1.<ion. giYe _ and runbeI)
4. Dele 01 DeeIh (Month. dIy. yeer)
A ril 15.2007
1._oI_(FlrsI._.l8sLsuIIIx)
Karl W. Coo r
5. ,.",. (l.aII Birlhdayl Urder 1
.....
7.
( and_or
. 81
o Other . Spocify
10. _:._lndIan. Bleck. White. ole.
(5pecI//l
12. Was DecedInt 8Y8l' in the
U.S. AImed Fon:es?
~V.. ONo
1Jecodo<lI'.
_-.co 17a._
17b. Cou1Iy
Pa
Cumberland
17c. ~ Yes, Decedent l..iYed in
17d.O No,_liYadwllhin
Adu8l UmlIa 01
Twp.
City/Bon>
19. MclI'or'. _(Filii, _..-........1
Ethel Hoffman
2Ob.1nIormanl's MaIi1gAdclrees (Slroat,dIy t_. _ zip code)
r 220 St John's Drive Camp Hill. Pa 17011
21~PlaceolDilpoaition(Nama0l_._or-pIacol 21d.LoeoIion(City/_._.zlpcodel
Hollinger Crematory Mt Holly Sprimgs Pa
andAdclreesolFacIIIy 1903 Market Street
ers-Harner Funeral Home Inc Hill Pa 17011
238. To.... baa! 0I1ff/~. desll1 or:cunad" II1a lima. data and pIaco 1I1a1ad. (SlgnaIulo and 1II1a) 231>. Ucanae Number 23<. 0aIe Signed (Month. day. yee~
O'()
CAUSE OF DEATH <_1_ ond eumplH
Item 27. Pal11: EnlerIl1a~--. i'julIeI, or~-lI1IIdlredlycausadll1ades".1lO NOTanter_......_..ca_......
18IpOIory...... or___ wilI1auI_1I1a alIoIogy. LIII orly one.,... '" aach.... I
S"~,\~A~ a '-nl/h0lLhr (~MU'nIrl1A a,y,~~7UMPuI1
Due to (or aa a consequence of): {j J:
~ I
Due to (or as I consequ&nC8 of): :
I
I
I
I
I
26. Was Case Referred 10 Medical Examiner I Coroner for a Reason Other Ihan Ctemation or Donation?
Ov.. ONo
PartH: Enter__"'-"_Io_
bIA nat resulting 10 II1a tnlaIIy\'lg cauaa Ii'IIllIn Part I.
28. Did Tobea:o Usa CcnIJiIluIe '0 Daalt1?
o Yes ...0 Probably
Q1lfo 0-
29. II Famala:
o NoIprewI8I1l_pallyear
o ",-","tlmeol_
o NoIP"IJ18I'I,buIpr81Jl81l1wllhic142days
01_
o NoI pcvoanI. bIA prewI8I1l43 days '0 1 year
boIcn _
O_WprewI8I1l_lI1apaslyear
32c. Placa 01 Injury. Home, F8IlIl. Slreal. Faclory.
~1luIkIng.oIe.(Specify)
~1aI_.I"".
to ClUllIIsI8d on Ire I.
EnIar UIIlERI.Y1NG CAUSE
=:-~n':..,nrmrll1a
c.
Due 10 (01' as a consequence of):
OV.. ONo
OYes ONo
3Ula",..0I1lea1h
o NaIlnI 0-
0- 0 Pandnglnwallgallon
o~ OCculdNolbllllal8llllilad
32d.T... 01 Injury.
32g. LocaIIon 01 Injury (Slroat, dIy 1_._1
d.
3lla.Was..~
-
:n.. w... ~ RndIngI
A_ _10 CompIallon
oICaullaolllealh?
M.
33a.~(_orlyonel
. Cer1IlyIng"",**,~cac1IIyinQca....oI___~hasplOOOUl"<lld_and"""",,",,lIam23)
To lie _ '" Iff/ IcnowIadga, _ _.....10 lie cauao(l) 1I1CI_.. -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
. =:=,~"=:::"~II1CI~=~c;.,.~=_..------------------- 0
. =="=lI1CIt..~.lnrnyoplnlon.__"IhaIlma._lI1CIpIaco,lI1CIdualollecauao(l)II1CI_"-- 0
. day. year)
35. Aaglalrar'a
~
llIspoai1Ion PannitNo.
LAST WILL AND TEST AMENT
OF
KARL W. COOPER
I, KARL W. COOPER, having my legal residence at 220 St. Johns Drive, Camp Hill,
Cumberland County, Pennsylvania, hereby declare this to be my Last Will and Testament, revoking
all other Wills and Codicils heretofore made by me.
ARTICLE ONE
I declare that I am married to KA Y L. COOPER (my "spouse").
ARTICLE TWO
I have two children born to me whose names and birth dates are as follows:
NAMES
BIRTH DATES
CYNTHIA K. COOPER
February 19,1953
KARL E. COOPER
May 21, 1955
ARTICLE THREE
I direct the payment from my estate of the expenses of my last illness and funeral as soon
after my death as conveniently may be done.
\ 'j ",' e, 0",\1(',,"\
v~ \)'.) -,_'~:r'd i0
lU"(V, c; ~,:\11 '/"1:.40
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III \J' 1.,o'J
:J,..! lit j I
60;1 Hd S 1 ~nv LGE
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ARTICLE FOUR
I intend to leave a memorandum which will direct the distribution of certain items of
tangible personal property, and I request that my wishes as set forth in said memorandum be
followed. To the extent that my tangible personal property is not disposed of by memorandum, I
give all of the tangible personal property that I own at my death, including any household furniture
and furnishings, automobiles, books, pictures, jewelry, art objects, hobby equipment and
collections, wearing apparel, and other articles of personal and household use, equipment and
ornament, and all insurance thereon to my spouse, provided she survives me by thirty (30) days. If
my spouse fails to survive me by thirty (30) days, I give all such items to my children, or their issue,
per stirpes, provided they survive me by thirty (30) days, to be divided among them as they are able
to agree. If my children or their issue fail to survive me by thirty (30) days, or are unable to agree as
to the distribution, all such items shall be sold and the proceeds distributed with the residue of my
estate.
ARTICLE FIVE
I give the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate to my spouse, KA Y L. COOPER, provided she survives me by thirty (30) days. If my
spouse fails to survive me by thirty (30) days, I give the rest, residue and remainder of my estate
in equal shares to my children, CYNTHIA K. COOPER and KARL E. COOPER, provided they
survive me by thirty (30) days. If either of my children fails to survive me by thirty (30) days, his
or her share shall be. distributed to his or her then living descendants, per stirpes. For purposes of
any distribution under my Will, KARL E. COOPER's stepsons, THOMAS R. SMITH and
CHRISTOPHER L. MOTES, or their issue, shall be considered issue of KARL E. COOPER.
2
ARTICLE SIX
If any such descendant of mine has not reached legal age under the law of the jurisdiction in
which that descendant is domiciled at the time of distribution under this Will, then distribution of
his or her share shall be made instead to the custodian under the Pennsylvania Uniform Transfer to
Minors Act, and all provisions of that Act as they exist at the time of this Will shall apply to the
distribution. If necessary for legal transfer to that custodian, my Executor shall convert the assets in
that descendant's share to cash or securities.
ARTICLE SEVEN
No beneficiary or remainderman under this Will or any codicil hereto or any trust created
hereunder shall have any right to alienate, encumber or hypothecate his or her interest in this Will or
any trust created hereunder in any manner, nor shall any interest of any beneficiary or
remainderman be subject to claims of his or her creditors or liable to attachment, execution or other
process of law.
ARTICLE EIGHT
Should the payment of expenses, claims and taxes from any Qualified Retirement Plan or
Individual Retirement Account ("IRA") assets which comprise my estate cause my estate to be
disqualified as a "Qualified Beneficiary," it is my intent, and I hereby direct that, to the extent
practicable, no expenses, claims and taxes shall be paid from such Qualified Retirement Plan or
IRA assets.
3
ARTICLE NINE
I appoint my spouse, KAY L. COOPER, as Executor of my Will. If she is unable or
unwilling to serve, then I appoint my children, CYNTHIA K. COOPER and KARL E. COOPER,
or either of them or the survivor of them, as Executor of my Will. If both are unable or unwilling to
serve, then I appoint SARAH COOPER-DAVIS and CHRISTOPHER L. MOTES, or either of
them or the survivor of them, as Executor of my Will. I give to my Executor, in addition to and not
in limitation of the powers given by law or by other provisions of this Will, the following powers
with respect to settlement of my estate to be exercised from time to time in the discretion of my
Executor, without further order or license of the Register of Wills or of any court:
1. To retain any property, pending distribution hereunder, to invest in or purchase any
property without restriction to legal investments for fiduciaries, to distribute property in kind, to
compromise claims, and to sell any property at public or private sale;
2. To borrow money from any person including any fiduciary acting hereunder, and to
mortgage or pledge any real or personal property;
3. To engage in litigation and compromise, arbitrate or abandon claims;
4. To make distributions in cash, or in kind at current values, or partly in each,
allocating specific assets to particular distributees on a non-prorata basis, and for such purposes to
make reasonable determinations of current values;
5. To make elections, decisions, concessions and settlements in connection with all
income, estate, inheritance, gift or other tax returns and the payment of such taxes, without
obligation to adjust t~e distributive share of income or principal of any person affected thereby;
4
6. To invest and reinvest in every kind of property and investment which persons of
prudence, discretion and intelligence acquire for their own accounts;
7. To manage, control, repair and improve all real property;
8. To procure and carry at the expense of the estate insurance of the kinds, forms and
amounts deemed advisable by the Executor to protect the Executor and the estate against any
hazard;
9. To pay all taxes, assessments, fees of the Executor and all other expenses incurred
in the collection, care, administration and protection of the estate;
10. To exercise such powers, herein conferred, after the termination of the trust estate
until final distribution of the estate assets; and
11. To do all the acts, to take all the proceedings, and to exercise all the rights, powers
and privileges which an absolute owner of the property would have, subject always to the discharge
of their fiduciary obligations; the enumeration of certain powers in this Will shall not limit the
general or implied powers of the Executor; the Executor shall have all additional powers that may
now or hereafter be conferred on them by law or that may be necessary to enable the Executor to
administer the estate in accordance with the provisions of this Will, subject to any limitations
specified in this Will.
No bond shall be required of any fiduciary hereunder in any jurisdiction. No fiduciary
hereunder shall have any liability for any mistake or error of judgment made in good faith.
My Executor shall receive reasonable compensation for services performed as determined
by the court in which this Will is admitted to probate.
5
ARTICLE TEN
I realize that Executors are given discretion by law to make various elections which affect
the income and estate taxes payable by estates and beneficiaries, as well as the relative shares of
beneficiaries, such as taking administration expenses as deductions for either estate or income tax
purposes, selecting options for the payment of employee death benefits, electing to take a qualified
terminable interest as pmt of the marital deduction, selecting alternate valuation dates, postponing
the payment of taxes, filing joint income tax or gift tax returns and redeeming corporate stock. The
decisions made by my fiduciaries in any of these matters shall be binding upon, and not subject to
question by, any affected persons. I rely upon my fiduciaries to take into consideration the total
income and estate taxes payable by reason of their decisions including those payable by my
survivors, and they are authorized in their discretion, but not required, to make adjustments between
income and principal as a result thereof.
ARTICLE ELEVEN
I direct that all estate, inheritance and other taxes in the nature thereof, together with any
interest and penalties thereon, becoming payable because of my death with respect to the property
constituting my gross estate for death tax purposes, whether or not such property passes under this
Will, shall be paid from the principal of my residuary estate, and no person receiving or having a
beneficial interest in any such property, whether under this Will or otherwise, shall at any time be
required to contribute to or refund any part thereof; PROVIDED, however, that this direction shall
not apply to the taxes on any property included in my estate solely because of a power of
6
appointment thereover which I possess but have not exercised or on any qualified terminable
interest or to any generation-skipping transfer taxes.
ARTICLE TWELVE
In the event that my spouse and I die simultaneously, or that the order of our deaths is
uncertain, my spouse shall be deemed to have survived me.
IN WITNESS WHEREOF, I have at Hershey, Pennsylvania, this S- day of
~
.J U N e.. , 2003, set my hand and seal to this Will, consisting of seven (7) pages.
~~9- U_ ~
KARL W. COOPER
SIGNED, SEALED, PUBLISHED and DECLARED by KARL W. COOPER, the above
named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request
and in his presence, and in the presence of each other, have hereunto subscribed our names as
witnesses.
xLJ.()VYJ l!2 f!j~1f!dJ-tc Residence
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Residence
HafIlShul!JJ fA /7//-;).
7
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY
OF DAUPHIN
We, KARL W. COOPER, 5u~ctf) )')1. C)~~Jce and Je,\\irr:t Sn7/tll
Testator and witnesses, respectively, whose names are signed to the attached and foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator
signed and executed the instrument as his last will and that he had signed willingly, and that he
executed it as his free and voluntary act for the purpose therein expressed, and that each of the
witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the
best of his/her knowledge the Testator was at that time eighteen years of age or older, of sound
mind and under no constraint or undue influence.
_~~ u.... ~~.
TESTATOR
J-LU)(ffit [J1. ~~otfc
WITNESS
(fPH~trs
Subscribed and sworn to and acknowledged before me by KARL W. COOPER, the
Testator, and subscri~ed and sworn to before me by SA SLy! /iI. ~/Gvj 1M Je and
I /((C,/('CL I \fn/th , witnesses, on this ~. 5; ;!jJ{F3 .
f/
~U X J1~
Notary Public
Notarial Seal
Linda L. Fetterhoff, Notary Public
Derry Twp., Dauphin COunty
My Commission Expires Nov. 8, 2003
MEMORANDUM TO THE LAST WILL AND TESTAMENT OF
KARL W. COOPER
It is my desire that the items listed below be distributed in-kind to the individuals whose
name or names appear opposite the items listed:
DATE
KARL W. COOPER