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06-13-08
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of W'lltam A. Cook also known as File Number ~ ~ V y a~~ I Deceased Social Security Number 144-40-3846 Petitioner(s), who is/are 18 years of age or older, apply(ies} for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of last R/il1 of the Decedent dated er that Petitioner(s) is J are the Executrix codicil(s) dated None 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: B. Grant of Letters of Administration (Ifappltcabte, enter.' c. t. a.; d. b. n. c. t. a.; pendente liter durante absentia; durante minorttate) Petitioner(s) after a proper search has I 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.) Residence (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland (List street address, town/city, township, county, state, zip code) Decedent, then 58 years of age, died on April 14, 2008 at Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania 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 Getters in the appropriate form to the undersigned: or onntetl name +~~ ! 1- ~ \~ ~ ~ Christine Cook, 236 Ewe Road, Mechanicsburg, PA 17055 CUMBERLAND COUNTY, PENNSYLVANIA rv m C~ - at'~ t~~~ - - :3C tU CJ $ 3,000.00 County, Pennsylvania with his !her last Form RW-02 rev. 10.13.06 Page 1 of 2 Oath of Personal Representative COPvIMONWEALTH OF PENNSYLVANIA COUNTY OF 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 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 sffirmed and subscribed before r:~e teie ~-day of "Y''~'i r.1 ~ A Z~ ~'. Fbr the Register ~ f ~ \.~t--- ~l n r ~ '~-' Signature of Personal Representative ~_ ~~ -L„ tst -- Signature of Personal Representative ~_ iJ3 ~ ~~. ~ -~ c~ ~ ~~ -~ `- t., Signature ofPerso»al Representative ~ - ~7 ~ - - _ ~ . QD File Number: ~ ~~~ Estate of William A. Cook ,Deceased Social Security Number: 144-40-3846 Date of Death: April 12, 2008 AND NOW, ~ "~ ~ ~ ~~ , in consideration of the foregoing Petition, satisfactory proof having been presented befo e me, IT IS DECREED that Letters Testamentary are hereby granted to Christine Cook in the above estate and that the instrument(s) dated ~ described in the Petition be admitted to and filed of reco d as the last W' 1(and Codici (s)) of Decedent. FEES ~ Register of Wi!!s Letters ..... ~ ~D ... $ Short Certificate(s) ..vim..... $ ~a Attorney Signature: Renunciation(s) .......... $ L~II~ ... $ I~ J c..,~ ... $ 1 O `~' ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~d 0.00 Attorney Name: Susan H. Confair Supreme Court I.D. No.: 70241 Address: 2331 Market Street Camp Hill, PA 17011 Telephone: 717 - 763-1383 Form Rw-oz rev. ln.l3.o6 Page 2 of 2 105905MS REV, 6/06 This i;s to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with A.ct 66, P.L. 304, approved by the General Assembly, June 29, 1953. Military Status WARNING: It is illegal to duplicate this copy by photostat or photogralph. -~ ! .~1101C~~ Q Cabin B. Johnson, M.D., M.P.H. Frank Yeropoli Secretary of Health .State Registrar ~.43~058 tv tsu~ 2ao~ ~.~ ~ - :-~ ~. ,~' , ~ . __ ©© ~~ ~.. ~ _ _ CO No. Htos-1 asREV n/2ob6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 044450 TYPE/PRINrIN CERTIFICATE OF DEATH PERMANENT BLACK INN (See instructions and examples on reverse) ~r~,.< <„ ~ ,,, ,,,o~„ Z, w 0 t. Name d Decedent (First. middle, last, sutt'u) 2. Sex 3. Social Security Number 4. D e of Death Month, day, year) William A. Cook male 144 - 40 - 3846 5. Age (Last Birthday) Untler 1 year Urger 1 day 6. Date of Birth (Month, day, year) 7. BiAhDlace (C and state a foreign c'ouMry) Ba. Place of Death (Check on ate) 58 Mwahs DeYS HW16 Mirwres Hospital: Diner' O March 6, 1950 Atlantic City, NJ ~ Yrs ®Inpauant ^ERIo uNatient ^ DOA ^ Nursing Home [ ] Reskknce ^Omer ~ Specify: Bh. Coumy of Death &. Om/, Boro, Twp. of Death Bd. Facility Name (It not instddion, give sheet antl number) 9. Was Decedent of Hispanic Origin? ~ No ^ Ves 10. Race: American Indian. Black, Whbe, etc. Cumberland E. Pennsboro Twp• ' Ut yes, spedty Cuhan. ($PsdNj Mexkan,PUertoRican,etc.) white 17. Decedent's Usan Kintl d work tlone du' most d work) Ida. Do rl°I state refired 12. Was Decedent a in 13. Oer,Meds Education ( only highest grade completed) 14. Marital Status: Mertietl, Never Married, 15. Surviving Spouse (If wse, give maiden name) Kmd d Work Kind dBusiness /Industry US. Armed Forces? Elementary / SecorMary (0-12) College (t ~4 or 5+) Wdowed, Dnorced (SpaaM LossPreventionM r. Retail ®vea ^NO 12 2 Married Christine Stanley f 6. DBCatleM's Mailing Address (Street, tlry /town, state. LP code) 236 Ewe Road DecetlenYS Did Decatlent AdualResitlence naSlate Pennsylvania wema nc.®Yea,Deceaemweeln Lower Allen Twa. Mechanicsburg PA 17055 t7b. coanty Cumberland Taan,nw? t7a.^No, Decedent lived wimm , Aaual limatsd City / Boro i6. Fatha's Name iFirsl midde, fast, 5d1ip Frederick C. Cook 19. Mother's Name (first. mitlde, maiden Sumama) Gladys Lockerbie 20a. IMOmlard's Name (Type / PnMI 20b. InbmwnYS Meiling Address (Street riry /town, state, zp axle) Christine Cook 236 Ewe Road, Mechanicsburg, PA 17055 21 a. Memod d Daposdion ®Crematbn ^ DaaOon 21 b. Date d Disposaicn (MOmh, day, year) 27c. Place of Dicpositlon (Name d canaery, crematory ar sine pace) 21 d. Locatiai (Gry) town, state, nP code) ^ aaia+ ^ Ra"'°'at'`°"'sa'a ;wnCronabonor0onatlorlAUmoAad ^ Omer ~ Specvly: !try wdle.l Exandner / CaonerY ®Yes ^ No April 17, 2008 Evans Crematory Schaefferstown, PA 17088 22a. Signs d Funeral Service (a as such) 7lb. License NdMer 22c. Name arxl Address of Facility - ~ FD 013 340 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 Cortplae bam 23a.: Dory when axdtying 23e. Tome best d my krawladge, deem occured at me rime, rise all pace salad. (Signature and title) 230. License Number 23c. Date Signed (Momh, day, Year) physidan s nd avdkmle al time d deem to carsty cause m deem. tlertxs 2446 must be xrtpleted by person d 21. Tine d Deem ~: S 7 A 25. Date Pmrroax;ed Dead (MOnm, tlay. year) ~ • ( 26. Was Case Reiertetl to Medical Examiner / Canner for a Reason Other man Crematbn or ponation? wM proncaxes eatR , M. }~Ip,~ ,L ~ n V i~ d d ^ Ye8 ~ No CAUSE OF DEgTX (Ses Nntr,xtlons >mtl examples) r Approximate interval: Pan II: Eller Diner gjgrcfs'ant vn tilims contnbWnp mdeem, 28. Ditl Tobacco Use CoMADde to Deem? Item 27. Part I: Ems me cban d eyeMS - 6seases, uqunes, a cartplicalbns -mat dxec1N reused me death. DO NOT aver tartlinal evems such as cardiac ertest. r Onset to Deam but nd revdNrg in me uMerhying cause given m PaA I. ^ Yes ^ ProOabN respiretay arrest. or ventricWar abfaatbn willed stowing me etidogy t ~~ ry one cause on each Foe. r Lis (-' l di O ^ No (] UMmown (~ ; ""- ` ~ ) ~ sease or Q ~, ~ ~ ullin9 kt rieeM ~'O. ~(`~ 29. M Female: F ~ -~ a. C-~ r ^ Duero (a as a encryo~: d Nd pregnant wdhM past year r~ ~ ~~/1 r Sequentasy F5Y mMitlons, tl any, b, ~ to 1 I (~ ~.~ O too-, leerin ~ b the rouse Nsted on Noe a ^ PregtuM d time of deem g . ErAer me UNOERIWMG CAUSE Due to (a as a con nce op: r ^ Nd pregnam, bd pregnnarrt witlin 12 tlays (rFsease a mWY mat mMatad me c. ~ evags resuMwg m deaml LASE. d Beam Due to (a es a consepuence oq: r ^ Not pregnant bn pregriam 43 da s ro t Y Year d' ~ setae deem ^ urAnown a wtlren me vast year 30a. Was an AdapsY 30b. Were AdapsY Firxlings 31. Marina of Deem 32a. Date d Injury (Monh, day. Year) 320. Describe Now Injury Occunetl 32c. Pace d ItMuy: Fame, Farm. Sheet. Faday, PeAomled? Avasade Prior b Cortpletlat r-I,~ r.nN w ^ Hankies OMce Building, dc. ISpecrryJ d cause d Deem? L~ ^ Yes [.}'No ^ Yes [] No ^ Pccident ^ Pestling mves0gation 32d. Tune d InWry 32e. Injury at Wak? 32f. d Treisporta0m Injury Isva'MI 32g. Location d Inury (SlreeL city /lows, sea) ^ Sw.itle ^ Caltl Nd be Detetmiried ^ Yes ^ No ^ Dover / Operate ^ Passemger ^Pedeslnan M gha~Spapry~ 33a. CerOYx±r (dtedc atly ale) 3~. Signature and Ne d Gertilrer • CMMykp Ia8'sklen (Pnysitian ceA+Mng cause d Beam when anomer physician has prorrourx;etl deem and ) ampletetl hem 23 Y ' t (,J ~.~ - _ To rill beat d my knowkdpe, deem oaurted due ro the cause(s) and mrxra u stekd. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ ^ • Praromx:IMl ~ certNYm9 PM~~ IPhysican both Pronouncing tleeth antl ceAilying to cause d Beam) To rill best d mY ~ Wslh occurred rR me rime, sate, and place, end inns ro the eauee(e) arM manner as sleled_ _ _ _ _ _ _ _ _ _ _ ^ _ _ _ _ _ _ ., 33c. License N bar ugh n/I / 1 /1 / ~C 33tl. Date Monm, da $gnetl 1 Y. Year) • Medlin Exnnher / Coroner tl Al m Ml tb i O U M t d d m ^ ~ (r l 1,/ L (7 0 . ' ~ b exm na on a a v ga n, my opin n le e a on, doom occurred at the time, Wk, arq piece, end due to the cause(s) end manner es sUted_ 34. Name anltl A/tlIdress of Perso ° Completed Gauss d Deat (Item 27) Type I Prim n~ 35. Regish gnahre and ~ al ~~ a~ ~ ~~ 1 - 36. Date FAed (Man , daY, Year) ~ ~~ ~ ( ~a (jO1L t^/^ _ (M w /~ 'a I 2~ 5t S ( ~r ~'fil, ~ ~ • ~ 7 0 5 y N 5 E Disposttron Pemlit No. aq_) `-t i 1 :- C`> `" ' _ ~'~ y C © r-~-a ~ ~~~ ttt ~txt~ t`~~~~~~~~x~~ .~:~ ~ ~~J c~ _ rn ~-~ .A~ ~ ~ Y v ~%l ~ .- - WILLIAM A. COOK - =~ rt.:. •- ""~ '~' i I, William A. Cook, of Mechanicsburg, Cumberland Coufi~y, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking any and all prior Wills and Codicils thereto by me at anytime heretofore made. FIRST I direct that all my just debts and the expenses of my last illness and funeral shall be paid from the assets of my estate as :goon as practicable after my decease. I direct that I be cremated. I authorize my personal z°epresentative to expend funds from my estate in such amounts as my personal representative shall consider for a proper memorial service in my memory along with a suitable memorial for my remains. SECOND I give and bequeath all automobiles, household effects and other tangible personal property, not including cash or securities, owned by me at my death, together with all proceeds of any insurance thereon, to my wife, Christine Cook, providing that she i;s living on the sixtieth (60th) day after the date of my death. Should my wife, Christine Cook, not be living on the sixtieth (60th) day after the date of my death, I bequeath such tangible personalty and insurance thereon to such of my children as are living on the date of my death, to be divided between or among them as they shall agree, any children who are then minors to be represented in such agreement by my Executor. In the event that no agreement is reached, the said personalty shall be sold, in whole or in part, as my personal representative shall determine, and the proceeds shall become a part of my residuary estate. Any item of personalty passing to a minor under this paragraph may be delivered to the minor or to any person to hold for the minor, as my Executor thinks advisable, and the receipt of any such person, including the 'minor, shall constitute a full and complete discharge to my :Executor. Notwithstanding the above, I give and bequeath $10,000.00 to ~-' ~~----~'"~'J my daughter, Kimberly Caok. ~;~,~ THIRD -~~°~~~' I give, devise and bequeath the residue of my estate, of every nature and wherever situate to my wife, Christine Cook, providing ghat she is living on the sixtieth (60th) day after the date of my V death. In the event my wife, Christine Cook, is not living on the sixtieth (50th) day after the date of my death, then I give, devise ~~~ and bequeath the residue of my estate, of every nature and wherever situate, to my sons, Richard A. Cook and Charles M. Cook, to be divided equally, share and share alike. The share of any deceased child to pass to his or her descendants, per stirpes. 2 FOURTH In the event any beneficiary who is entitled to a share of the residue under Item Third has not yet attained the age of twenty-one (21) years at the time for distribution to him or her, then I give, devise and bequeath the share of each such beneficiary to my trustee hereinafter named, IN TRUST, nevertheless, upon the following terms and conditions: A. The income and so much of the principal as may, in the sole discretion of my trustee, be necessary for the maintenance, support, medical expenses, and education of the beneficiary, shall be paid to the beneficiary or shall be applied directly for his or her benefit. B. Any income not so paid or applied shall be accumulated and added to such beneficiary's share of the trust estate. C. Any income and principal remaining in such beneficiary's share of the trust shall be distributed to such beneficiary when he or she attains the age of twenty-one (21) years. ' D. In the event any such beneficiary who has not yet ~~~ attained the age of twenty-one (21) years at the time of my death dies before distribution of his or her entire principal share, then such share shall be distributed to such beneficiary's then living descendants, per stirpes, 3 absolutely; or in default of such descendants, it shall be distributed in accordance with Item Third of this Will. E. Any income or principal payable to a beneficiary under this Item Fourth may be accumulated or expended for the maintenance, support, medical expenses, or education of such beneficiary as the trustee, in his sole discretion, may determine. My trustee may, in his discretion, pay the said income or principal directly to the beneficiary, to the person having the care or control of such beneficiary, or to any institution entitled to such payment by reason of services rendered to or to be rendered to said beneficiary, without the intervention of a guardian. FIFTH All principal and income, until actual distribution to the °~ beneficiaries, shall be free of the debts, contracts, assignments, alienations and anticipations of any beneficiary, and the same sYiall not be subject to any levy, attachment, execution or sequestration. ~l,~ SIXTH I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, 4 shall be paid from my residuary estate as a part of the expenses of the administration of the estate. SEVENTH My personal representative and trustee shall have the following powers in addition to those vested in them by law and by other provisions of this Will: A. To retain any or all assets of my estate, real or personal, without regard to any principle of diversification, risk or productivity. B. To invest in all forms of property (including stocks or other securities of my corporate fiduciary or its successor, or of a holding company controlling my corporate fiduciary or its successor, and common trust funds and mortgage investment funds, whether maintained by my corporate fiduciary or its successor or others), without restriction to legal investments, as they may deem proper, without regard to any principle of diversification, risk or productivity. C. To purchase investments at a premium or discount. D. To exercise all rights of a security holder or ~`~ shareholder in any corporation; to give proxies; to join \~ in any merger, consolidation, reorganization, voting trust plan, or other concerted action of security 5 holders; and to delegate discretionary duties with respect thereto. E. 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. F. To allocate receipts and expenses to principal or income, or partly to each, as my corporate trustee thinks proper. G. To borrow money from my corporate fiduciary or others and to mortgage or pledge any real or personal property as security therefore, in their sole discretion. H. To compromise any claim or controversy without order of court or consent of any beneficiary. I. To exercise any option, right or privilege granted in insurance policies or arising from ownership of investments. ~~ J. To join with my wife, Christine Cook, or her personal '~ representative, in filing a joint income tax return, and to join in any gifts made by my wife for gift tax ~~ purposes. Any income of gift taxes due on such returns and any deficiencies, interest, penalties or refunds thereon shall be allocated between my estate and my wife 6 or her estate as my Executor and my wife or her personal representative may agree. K. To permit my minor children to occupy any real estate retained or acquired upon such terms and conditions as my trustee may deem proper. L. To make any distribution herein provided for in cash, in kind, or partly in each, at valuations fixed by my personal representative or trustee at the time of distribution. EIGHTH Should my wife, Christine Cook, predecease me before any of our children have reached the age of eighteen (18) years, I appoint rt-y brother, Frederick C. Cook, III, of 5cullville, New Jersey, as guardian of the persons and estates of such children, in order that they may be adequately cared for in the proper environment. If t:he aforesaid Frederick C. Cook, III, is unable or unwilling to act or to continue to act in that capacity, then I appoint my parents, Frederick C. Cook, Jr., and Gladys Cook of Cardiff, New Jersey, as . the guardian of the persons and estates of each of my minor <~ chhildren. NINTH I appoint my wife, Christine Cook, of Mechanicsburg, Pennsylvania, Executrix, of this, my Last Will and Testament. Should my wife, Christine Cook, predecease me or for any reason 7 fail to qualify as such Executrix, or having qualified, fail to serve as such Executrix, then I nominate, constitute and appoint my father, Frederick C. Cook, Jr., of Cardiff, New Jersey, Executor of this My Last Will and Testament. TENTH I appoint my brother, Frederick C. Cook, III, of 5cullville, New Jersey, as Trustee of the trusts created under this Will. If the aforesaid Frederick C. Cook, III, is unable or unwilling to act or to continue to act in that capacity, then I appoint my father, Frederick C. Cook, Jr., of Cardiff, New Jersey, as Trustee of the trusts created under this Will. ELEVENTH My Executor and Trustee shall not be required to post security :in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consistin of ei ht 8 g g ( ) typewritten pages, the first seven (7) of which bear my signature i.n the margin for the purpose of identification, this ~~ day !\~ of May, 1990. Testator 8 Signed, sealed, published and declared by the above-named Testator, William A. Cook, as and for his Last Will and Testament, in the sight and presence of us, who, at his request, in his sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. Address 233 ~ Imo, rl~~ ~', E ~ Address ~C% ~ G~-~% ~z ~. /~b~s ,. COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF C1~.~~~-k.~~,~.~`(~. ) I, WILLIAM A. COOK, THE TESTATOR, WHOSE 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 AND TESTAMENT; 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 WILLIAM A. COOK, THE TESTATOR THIS 1j~ DAY OF MAY, 1990. Lt~APA A~~,1°~~14,, ~t~a,~~'r ~i~~'~,lC ~lv~t(~~t5§fif~~ ~l+~s~,i5~b"~fi~t '4~s.`-«.;~ ib"e P~ COMMONWEALTH OF PENNSYLVANIA • SS: COUNTY OF ~~-~~''~-~~~'~~~ ) WE, ~Ij ~ L.G~'~zc, AND ~~'~y ~~/{,BG.~~~ THE WITNESSES W~~HtJSE NAMES ARE SIGNED TO THE FOREGOING INSTRUMENT, BEING DULY QUALIFIED ACCORDING TO LAW, DEPOSE AND SAY THAT WE WERE PRESENT AND SAW THE AFORESAID TESTATOR SIGN AND EXECUTE THE :INSTRUMENT AS HI5 LAST WILL AND TESTAMENT; THAT HE 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 BIGHT OF THE TESTATOR SIGNED THE WILL AS WITNESSES; AND THAT TO THE BEST OF OUR KNOWLEDGE THE TESTATOR WAS AT THE TIME EIGHTEEN (18) OR 1!~ORE YEARS OF AGE, OF SOUND MIND AND UNDER NO CONSTRAINT OR UNDUE INFLUENCE. SWORN OR AFFIRMED TO AND _ DAY OF MAY, 1990. ..~.,~. m ,~~ :~~ ~. . '~43;t~;~, ~~::afi Vii' ~~:ik~; t%r„i5'si;w~'r 4 ~k~;Y':''~ CRIBED TO BEFORE ME, THIS ~1~~.~. ss Witnes$f U U of ry Public