HomeMy WebLinkAbout11-19-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C.\~b tor I (1+-d-- COUNTY, PENNSYLVANIA
Estate of -millA~ \ ~ C6 rJeJ i d C~O 'n>
also known as
-P'\ e uc.il ~ Cb ~e.\) t\. 5-\-\ ~ -Q..l
File Number
'd. \ 0, \C\~
, Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COi~1PLETEIA'or'B'BELOW:) . ,-r' l U,At.. CtJ(€Jr\O"Y\
e/l-eCu..1\:ll'"", l'errl -I dr.1'\
VA. P"b," "d G",,"[ L,"'" T ,", m" "7,rd "" ili" P<titi",,( ,) "I "oth, ..... '" ~b 1'\ l-e \J i ~ ~oj.'m'd 'othe
~ Will of the Decedent dated 't'J - p.. ~ -(j and codicil(s) dated .N ( k
(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 a tel' execution of the instmment(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
Name
Relationshi
ResroenW ~
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(COiI1PLETE IN ALL CASES:) Attach additiollal sheets ifllecessary.
Cr~JJ) I€', P if'
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Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property $ So 0 I &l1'O
(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 $ ~(J, 0l1D
,
'''",tod" [,II,w' I (j :2. J.Io I {eJ1 6 au if: /J4xJ / Carl ale, / jJ If Fl (J 1'7
Wheretore, Petitioner(s) respectfully request(s) the probate of the last ill and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
/
Forl/l RW-02 rev. 10,13,06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C ~ <3--r\ d.
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and conect 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
1<1
day of
--,
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Sworn to or affirmed and subscribed
Signature of Personal Representative
Social Security Number:
C d (I) n.5 ' Deceased
Date of Death: <;(- 1~..3
AND NOW, ~j\NU"\~:( \0\ , ~()\)\
having been presented before me, IT IS DECREED that Letters
are hereby granted to . I - L 6'
FEES
Letters ...3W.QI;:P. $ 6\1)()
Short Certificate(s) . . .~. . . $ 8 Attomey Signature:
Renunciation(s) ......... . $
W\\\ $ \~ Attomey Name:
\
-JC~ $ ,0 Supreme Court I.D. No.:
~-\o $ S
$ Address:
$
$
$
$ Telephone:
$
TOTAL ............. . $ 30-500
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as
Form RW.O] rev. /0./3.06
Page 20f2
l-I!O'i.~f)5 REV (1))/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificat~, $6.00
P 13888204
Certification Number
~
L ~105-143 REV 1112006
TYPE J PRINT IN
PERMANENT
BLACK INK
This is to certify that the information here given is
correctly copied from an original Certificate of Dcath
duly filcd with me as Local Rcgistrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
. t\. ~~~~~NOY 1 4/2007
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and axamples on reverse)
6. Date of Birth (Month, , &1)
(Cffyandstaleot
94 V<s.
Sb', County 01 Death
" I. Cumber land
11.Decedenl'sUsual
Klnd~_
Harenaker
8/10/1913 Newburg, PA
8d. FaclRy Name (If no! institution, rpe street and ntmbBr)
ional Medical Center
13. _t's Edutallon l"""'" only h/ghoIl grade completedJ
Elementary I Secondary (()'f2) College (1-4 or ft+)
8
PA
Cumberland
.. 16. Decedenfs Mailing Address (Street, city floWn, stale. zip cocIe)
102 Hollenbaugh Rd.
Carlisle, PA 17015
Decode....'
Actual Residence 17l1.. Stale
Hb. Coun~
~
::>
~
ii
OOlher. """"':
10. Race: American Indian, Slack, While, etc.
I~
White
14. =:"='i'~r"'rried, 15. SurvMngSpou,eI"wiIa, Qivemaidon"""",)
WidcMed
Did Decedenl
LNelna
Township?
South Middleton
17c. 5l: YMI, Decedent I.iv8d in
170.0 No,Decedent_..".
AetuaILlmltsof
Twp.
City/""'"
19. MoIher's Name (Arst, midde, maiden surname)
Bertha Watkins
2Ob.1""""",,,'Mailng-"lSbeol,cily/_.sta18...._1
PO Box 70966, Fairbanks, Alaska 99707
2fc. Place of DIspo6IIIon (Name ofcemetery,ctematory Ol'other place)
1terns24-26mustbecomplet&dby person
whopror'lOlflC8Sd8aIh.
CAUSE OF DEATH (See Instruction. and eX8m ee)
1lem27. Part I: Enterthe~-dseues, injOOes,excornplications-thatdrectlycausedlhedeath. 00 NOT enlerterminal events Sldl as cardac arrest,
~,"""or--""__"""*'glhetl/ology.lJsl"""""''''''''''_h.
=~~=)...~ .. <.....l..lTI S
Due to (Of as a consequence 01):
M~S€.N'-;1e 't-\ (,;
Doe to (or 88 a conaequence 01):
I ApprOJ:lrnateinlerval:
I QnsetloOeaIh
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IeachtlothtcuelisllKlonlin8a.
ErdBr hi UNDERLvtNG CAUSE
=-~~4't'lhlhe
Due to (or as a consequence 01):
d.
308.W80"_ "".__FOldngo
p_ _PriorIoComplollon
of Cause of Deeltl?
Dv.. ~ DV.. DNo
3'_oIlleelh
~ 0-
O-OPonding_
DSu_ OCouldNolbo__
32\1, TIme olln~
M.
338. Certifier (check only one)
. Conffylng~(~~"""~--__"'__""'_ll8m23)
Tothe t.I of My 1lnowtedgI, dIIIh 0CCWNd due 10 IheC8USl(I)1I'Id JnIMII' U 1I1It8cL...... _ _.............. _.......... _...........................
. ;~:=="=:"==::'=lolollw~=_"""""__m_____m_m 0
:c'= === and I or ktvatIptjon, In mr opinion, duth ocamwd.....1Jme, date.. and place. 8Ild due 10 the cauee(1) and rnlIr'II'IIIf" etIted.. 0
i
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o
!
l.;l II I d. I I I 0 I
o;,,,,,,itIonP,,,,,'No ODrFl~4!O
':~~d'~~"ty
"AJnroe '1'Wp. , ]::Ilf'
Hane, Inc., Carlisle, PA 17013
231:>. Liceo8e Number 231:. Dall Signect (Month, day, year)
~1?'1';>6f> .L 'Yr1./'-'
26. Was Case Referred ~icaI Examiner f Coroner for a Rel180n Other than Cremation or Donation?
o V" [3llO
Parlll: Emer other slonifiClmtmntllinf1ll ~ /a dMfh 28. Diet Tobecoo Ute Contrltlute to Oedl?
b~nol_.lh'undoIlylng08Ullll","".P"'1. 0 V.. Dp~
[3-tIo 0 unknown
29.IIF8fl'l8Ie:
G-Msr__""yoer
o P_"tlm9~"'lh
o Nolpoognant."'P__42da'!'
ol_
D Not_,"'..........43da'!'lo1yll9l
.........lh
O-..........._...""yll9l
321:. PIIIcI ol1n;Jry: Home, Fann, Stteet, Factory,
.-""""ll,....(Spec/Iy)
32g.Locatlonoflnjury{Sb'eet,clty/llJwn,stale)
330. 0.18 Signed (Moo1lh. day. ""I
M..I}-Cl44 eC;U -'- "I 14-(0'1
34. ......",,""""" 01 P..... Who Ca>lploled Caun~ Ileelh litem '7) Typel P"",
Wl'-'-'A\M. .r. K~IAFF.'lllt.hvj,ClfO
,e..'2.( SP(l.{N(., ltC.yo e/4,tlI,u.f'l..P- fA
l1<J l)
LAST WILL AND TESTAMENT
OF
MADDIE CORDELIA COONS
I, MADDIE CORDELIA COONS, a legal resident of South Middleton Township,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and
understanding, do hereby make, publish, and declare this as and for my Last Will and Testament,
hereby revoking all other wills and codicils heretofore made by me.
First, I direct that all my just debts and funeral expenses, including my grave marker,
shall be paid from the assets of my estate as soon as practicable after my decease.
Second, 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.
Third, I make the following bequests:
A. I devise all real property that I own at the time of my death and the personal
property located upon that real property, to my daughter, Terri-Lynn Coleman. Terri-Lynn
Coleman will identify those items which are already her possessions, including furniture, stuffed
animals, books, flat ware, photographs, jewelry, clothing and other personal property; these items
are not to be included in my estate. Should my daughter, Terri-Lynn Coleman, fail to survive me
by thirty (30) days, the real and personal property described in this paragraph shall become a part
of my residual estate. I bequeath certain articles of my household furnishings, personal effects,
and personal property as set forth in a separate memorandum, which I intend to sign and keep
with my copy of this Will, to the persons named in that memorandum.
B. My residuary estate is defined as the assets of the estate that are in the estate
after the deduction of debts, funeral expenses, taxes, and those items bequeathed in subparagraph
A, above. If my residuary estate contains cash assets of $100,000.00 or more, I devise and
bequeath the following cash amounts to the below-listed persons, who have survived me by thirty
(30) days. If any of these persons has failed to survive me, the deceased person's portion shall
become a part of my residual estate.
Page 1
To my nephew, Samuel L. Stine, $2,000.00;
To my nephew, K~n~eth L. St~ne, $2,000.00;. " '. '. '\'n8
To my nephew, WIlham L. Stme, $2,000.00;vd ,\"", (' ;\~'U~uO
T . SAM $500000' 'tli IU,j ~)ti"~' ,'-'u
o my mece, ue nn asser, , ., .L -\0 '>\H=\T)
To my grandnephew, Jerry L. Miller, $2,000.00; - " -
~ t't :~ Wd 6 k^ON lUn~
hr.r,
, -
_-, :,rMCC'
:~: I_I!"':' ,'~: (,J:r':~;l:'/:Y
-j , '".J1J-,U 1J...i\.),-,'wv",J
..;\j ~ ' -
To my grandniece, Shelly Jean Wetzel, $2,000.00; and
To my friend, Pauline Wurfl, $3,000.00.
If my residuary estate contains cash assets of $100,000.00 or less, no distributions
shall be made to the specific persons in this subparagraph.
D. I devise and bequeath the remainder of my residual estate, of every nature and
wherever situate, as follows: Seventy-five percent (75%) to my daughter, Terri-Lynn Coleman,
and twenty-five (25%) to my nephew, Lynn Levi Reed, provided they shall survive me by thirty
(30) days. Should Lynn Levi Reed fail to survive me by thirty (30) days, I devise and bequeath
the whole of the remainder of my residual estate to Terri-Lynn Coleman. Should Terri-Lynn
Coleman fail to survive me by thirty (30) days, I bequeath twenty-five percent (25%) of the
remainder of my residual estate to Lynn Levi Reed; and seventy-five percent (75%) of the
remainder of my residual estate shall be divided equally between the following charities:
1. The Humane Society ofthe Harrisburg Area, Inc., at Sinclair and
Eppley Roads, Mechanicsburg, Pennsylvania.
2. The American Heart Association, Pennsboro Center, 1019 Mumma
Road, Suite 200, Wormleyburg, Pennsylvania 17043
3. The Disabled American Veterans, P.O. Box 14301 Cincinnati, Ohio
45250-9721.
Fourth, I nominate, constitute and appoint my daughter, Terri-Lynn Coleman and my
nephew, Lynn Levi Reed, as Co-executors of my Last Will and Testament. Should either of
these persons predecease me, the other shall serve as sole executor. If both ofthese persons shall
predecease me, I nominate, constitute, and appoint my friend, Doris Trostle of Carlisle,
Pennsylvania, as the executor of my Last Will and Testament. I hereby relieve my Executors or
their successors from the necessity of posting security in connection with their duties as such in
any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, co~~ of four (4) typewritten pages, each of which bears my initials, this
eJ.(,rlf day of D~ , 2004.
121CtM.\\..\. ~~~ ~."'
M UDIE CORD . IA COONS
TESTATRIX
lc-'~A...-
Page 2
n'l t: ~
MtC '-.
SIGNED, SEALED, PUBLISHED, AND DECLARED by the above-named Testatrix,
Maudie Cordelia Coons, as and for her Last Will and Testament, in the presence fus, who, at her
request, and in her sight and presence, and in the sight and presence of each other have hereunto
subscribed our names as witnesses.
'xl 2 .'~
. , <' \
C IlfIt~
WITNE /
.z~~~c %~ %d~..LL
WITNESS ~
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
ss.
COUNTY OF CUMBERLAND
)
I, MAUDIE CORDELIA COONS, Testatrix who name is signed to the 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 willingly; and that I signed it as my
free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me by Maudie Cordelia Coons, the
Testatrix, thisoZ~ rH-day of () cetUA.... ,2004.
, ~
'rr t'u.-,-.d~'~ 6~' ~" r~
~UDIE' CO JA COON~_.
Notarial Seal
PamelaJ. Kuenzie, Notary Public
South Midd\etOI1 Twp., Cumberland County
My Corrvnission Expires Sept. 18, 2006
Member, Pennsylvania AssoCiation or Notaries
N FOR
COMMONWEAL OF PENNSY ANIA
My Commission Expires: 1''-/ J-/J r
(SEAL)
Page 3
'~M~C'
AFFIDA VIT
COMMONWEALTH OF PENNSYLVANIA )
ss.
COUNTY OF CUMBERLAND )
, andZd~M Z4:p.- ,the
witnesses w ose n s a igned to the foregoing instrument, being dulyqualified according to
law, do depose and say that we were present and saw the Testatrix sign and execute the
instrument as her Last Will and Testament; that Maudie Cordelia Coons signed willingly and
executed the foregoing document as her free and voluntary act for the purpose therein expressed;
that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to
the best of our knowledge the Testatrix was at that time eighteen or more years of age of sound
mind, and under no constraint or undue influence.
~a~ed. t~ZO:ledged before me b~h ,!&'7I{t.-JifA
and - ~ 1;~? ~ , WItnesses, thI~ ~ r# da 0 . 7;, ~~
2004.
\,J 2
',f. . .... 7/
~.t4~~
~d f}~ ~L J:L
WITNESS
Notarial Seal
Pamela J. Kuenzie, Notary Public
South Middleton Twp., Cumbertand County
My Commisslon Expires Sept. 18, 2006
Member, Pennsylvania Association Of Notaries
(SEAL)
Page 4
The" r~1 .
MCC