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Home My WebLink About10-12-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of George Wesley Cook also known as George Wesley Cook Brenda Ann Cook Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) File Number ~ \ D 'l Oq~~ , Deceased Social Security Number 209-28-9022 IZl A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the executrix last Will of the Decedent dated September 12,1991 and codicil(s) dated 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 (If applicable, 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.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship ~~~ '. ,:J:J . ... c; ': ;:..2 . I. r" ~ --i -)~~) N -- :>::.::.- (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland 13 Rasoberry Drive. Mechanicsburg. P A 17050 (List street address, town/city, township, county, state, zip code) -) - "=-=-) ~ County, Pennsylvania with his / her last principalr~dence at= . - ""J--j Decedent, then 70 years of age, died on September 30, 2007 W 0'\ at 13 Raspberry Drive, Mechanicsburg, PAl 7055 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 / t?, Ot?O. dt) . $ $ $ $ situated as follows: 13 Raspberry Drive, Mechanicsburg, P A 17050 Wherefore, Petitioner(s) respectfully request(s) the probate ofthe last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: ~ /3 A ~Jt).Aics};tLlJ ;:;/1 / 7tAS~ Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTYOF---0,~~rJ SS 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 ofPetitioner(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 ({) ~~ A ~<)z Signature of Personal Representative before me the day of -;(~J ::Ci :"";.~, ., C::~") -.J o (""") Signature of Personal Representative () Signature of Personal Representative f',,) ~;;-~ -2a.. 1-"1 File Number: ~ \. 01 OS'ci3 } 1 :..~ !'! v.) -.l Estate of George Wesley Cook , Deceased Social Security Number: 209-28-9022 Ckb\~\ ld Date of Death: September 30,2007 in the above estate and that the instrument(s) dated September 12, 1991 described in the Petition be admitted to probate and filed of record as the last Will FEES CO Letters ... .\.O'}O~" $ Short Certificate(s) .ld.). . $ Renunciation(s) .......... $ \.0\ \\ .. . $ ...JCP .. . $ ~:\v .. . $ .. . $ .. . $ . .. $ .. . $ ... $ . .. $ TOTAL . . . . . . . . . . . . . . $ Lts"" R Attorney Signature: \s \0 S Attorney Name: R. Mark Thomas, Esquire Supreme Court J.D. No.: 41301 Address: 101 South Market Street Mechanicsburg, P A 17055 Telephone: 717-796-2100 ~ -&.66- Form RW-02 rev. 10.13.06 Page 2 of2 H105.805 REV (01107) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 p 13823139 Certification Number This is to certify that the information here given i~ correctly copied from an original Certificate of Deatl duly filed with me as Local Registrar. The origina certificate will be forwarded to the State Vita Records Office for permanent filing. v~ tr~ Local Registrar lLJ 1 j 1"'1 Date Issued Q f"'-.,.) -c::::'J C.:::> -..J ,C) ,) 1'; _..;~(~ ........j m :J:J rv W -..J ... COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (SH Imltructlone and elUlmplea on re_> ~\ D'l cPt H105.144 REV 11J2OO6 TYPE I PRINT .. - IlUCI<INK 131-106 l._oI_lfftI._,__ George ".I\MI~ w Cook ..-..- 70 8d.Fdy_I...._.gIvo_..._ 1. ...-.. v... July 2. 1937 Hartl.burg. Pa. lb. Counly 01 0oll\ 8C. CIIy. Cumberland Silver Spring 11, 08ttdId'1 UslIII at __.. IRllIt ok .... Do noI.... Kildol_ Kildd__/~ Communications M"lm~ . 18._.-.g__I_dtl_.-.",~ 13 Raspb.rry Driv. M.chanlcsburg, PA 17050 1111. Counly PA Cumb.rland 14.=:-~_ 15.~.....tJI...gIvo__ Married Brenda L.mbert Sliver Spring llld_ u..... -.." 17~ 'DlVto._Uoadil 17d.ONo._Uoad_ -~.. Cllyl- r. 18._._lfftI.___ "_'___,11II._ Grover C. Cook Sarah M. Bak.r llIa.lnIonnantt_crlll&'PMI) Brenda Cook 2OII._.lIoilng--l_aor/__",-1 13 Raspberry Drive Mechanlcsburg, PA 17050 2'd.~~/__.._ Sch..ff....town, P.. 17088 21~"""..DifIloolIIOn_CII-,...-,..-_ Conollte Crem.tory i ~ ,~- I OnIIImo..th , , . , . , , , , , , I , . , . 22c._""_oIFdy Myers Funeral Home, Inc. 37 Ea.t Main Street Mechanlcaburg, PI. 17055 231>. Uconoa _ 23c. - Slpd~"" Y""I :l'l1.MT____f8l>o<'>> OlltMffOpooalof 0_ O- M. OOIlor.lljlodj< 33L CoIIIor (dIoc*"'Y IN) 33b. ~ . CaoIIvIoI__~....,........CII___,,-,,~_"'~IIom23) '" ~ Ta.._.... _ __......._>1- _. __ _ _ _ __ _ _ _ _ - - _ _ - - - - - -- - - - - - - - - - - - - 0 . -......_COIIJiInI..,-(~boOh~-...~.......~- 33c.~_ Sld._ll9lOlI_..,,""" Ta.._...._--....-.--'*"_.........-.l--.-------n-----n--- 0 'October i. 2007 . .... E..-.I c:ora- Nt oo.._.._...,.IltItIIIgOIloo,............__.....__...'*"...........-tl...-.-- ..... 34._onol_oI_WNCaopioI!dCauttot,Dollll_m .,."./..... n1cnae~ L. Norr1st Goroner ... I a ,11 ~I JI~ I 31 -~1'~ ~~~~a~~~:t~~e . ~~QI7~5~te '1 ...................... ~qa+. 24.T_"OnlI\ prx. 25.__0a0d~.dIIy.""" 2:00 A. M. September 30. 2007 CAUSE OF DEATH 1-""-' _..........1 110m 21. PtoIt _..-...-__. _.._-....dItdIy.........-. OONOT____.caniac_ -....v_...---_..._.liolanlj...........-..... :S:~=~ . Chronic Obstructive Pu}.monarv Disease CUI 10 (or .. a consequence 01): ="-"&010 >> CIlMIlllldClfth.. --- =-~~~ b. DueID(Qf.aoon&lCf.lll'l'tof): c. 3lIa.WllIto_ -- Dut..I......_ol): d. 3llb.__-' -_..~ 01 Cautt CII lltolIl1 3211._~_ 31._CIIlltolIl ~_ 0- 0-01'OOdinll............ 0- OCGoOiNol.._ Ov. ()INo Ov. ONo I 1'5 I .. ~. a,_ea._.. 1!!Iv.. ONo ....~__..-__.._ .llld_Uto~..DoaII1 1Io<....-vil...............gIwonilPtolI. 0'" 0- ONoO- a.'_: 0...._-....,... 0........._01_ 0...._110<_-42. CII_ 0...._110<_13...,,... 0=...-:"_-......... 321:.==~_F_ Coroner LAST WILL AND TESTAMENT I, GEORGE WESLEY COOK, a residen t of Cumberland Coun ty, 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 declare that I am married to BRENDA ANN COOK, and that I have one (1) son, WESLEY LEE COOK, born December 29, 1971. At the time of the wri ting of this Will, I realize that I have other children from a former marriage, however, I have not had contact with my other children for several years and it is my intention that if any property passes under this Will to any of my children, then all that property will pass to my son, WESLEY LEE COOK. II I direct that my debts and funeral expenses be paid as soon after my death as is practicable by my Executrix out of my residuary estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for federal estate valuation or tax purposes. III I direct that all estate, succession, legacy, inheritance or other transfer taxes, however designated that shall become payable by reason of my death in respect of all property comprising my gross estate for death tax purposes, whether or not such property passes under this LAST WILL, shall be paid by my Executrix out of my residuary estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for federal estate valuation or tax purposes. / S :\\ 4. 2\ .1.JD ; c' IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my wife, BRENDA, provided that she survives me by thirty (30) days. V If my wife, BRENDA, shall predecease or fail to survive me by thirty (30) days, 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 son, WESLEY LEE COOK, per stirpes. VI I nominate, constitute and appoint my wife, BRENDA ANN COOK, as Executrix of this LAST WILL, to serve without bond. If my wife is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my son, WESLEY LEE COOK, as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, GEORGE WESLEY COOK, have set my hand to this LAST WILL this /;l yt., day of Sxp-f~ rnfre r-; 1991. ~ iM~d ", I . \ .j-. GEO . ~EY COO 2 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, GEORGE WESLEY COOK, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified acco~ding to law, do hereby acknowledge that I signed and executed the 1nstrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. ~tt~oL Sworn or affirmed to and acknowledged before me by GEORGE WESLEY COOK , Testator, this 1(;2 Y1-. day of &pf-~n] 6-er ' 1991. " ~(~~ y/).~ Notary Public Notarial Seal Diane M. Smith, Notary Public echanicsburg Boro, Cumberland Count My Commission Expires June 22. 1992 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, 1<. J1 Ia.rk 7-Aorn4:S and /Y7u.f'r~ I K. lJo.../f-ers;JJL , 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 Testator sign and execute the instrument as his LAST WILL; that GEORGE WESLEY COOK signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at the time 18 years of age or more, of sound mind and under no constraint or undue influence. Sworn or affirmed to and acknowledged before me this !bllf-f,.. day of &pf...ern~r- , 1991. JJ~ h1 ~ Notary Public i"~:)~a! ~d: S ~:al Di~119 M. SlIliih. Notary Public .; ",:,.~s:Jurg 801'0, Cumberland Count .'~~~0~:::.:::22:c: ",,:; June 22, 1992