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HomeMy WebLinkAbout04-29-09PETITION FOR PR IO'B~(A~~T,DE~rAND GRANT Off' LETTERS REGISTER OF WILLS OF ~Ll~ I ~l~ ~~ COL~TY, PEV~iSYLVANIA Estate of ~/GGClV~~[~< ~ ~vyle T- also known as File Number Deceased Social Security Number 1G ~ - 3 ~- Z- ~ 95 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (CO;YIPLETE A' ar 'B' BELOIY:) ~A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the .E?~e fc.9~~ named in the last Will of the Decedent dated ~~ ~ I S ~ ~{ I and codicil(s) dated (State relevant circumstances, e.g., renunciation, dealt ojexecutor, 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 C'7 C na c;ma c~ ~: i ~ tt 7~ - "U -.~ ~7 an~errs (!f i ti. r _; r ; ~l ---) (COtYIPLETE IN ALL CASES:) Attack additional sheets if necessary. Decedent was domiciled at eaIch in ~y^^ber~ a~dl County, Pennsylvania with his /her last principal residence at (List street address, town/city, township, county, state, zi code) A Decedent, then ~ years of age, died on 4 Z~ ~_ at ~ Z' 3 ~o ["tM Decedent at death owned property with estimated values as follows: ~ /~~ Q ~, (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, etitioner(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 undersi ed: Signature Ty ed or rioted name and residence Wt ~ ~ t a.r. ^'I Ll~f'lt ~ooo ~S-f~[rh~~lr L-~~r ~fi~rf~ ~ 4~d ( 9 Forst R6V-0? ref-. 10.13.06 Page I of 2 (Ijapplicable, enter: c.t.n.; d. b.n.c.l.n.; peadente life; durance absentia; durntiF~~u~ritnte) t ~ Petitioner(s) after a proper search has J have ascertained that Decedent left no Will and was survived by the following spons~i~tny Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ; Oath of Personal Representative COMMONWEALTH OF PENNSYLVANLA SS COliNTY OF .~' ~ a m bP,t~- i Qn ~ . The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tine and con•ect 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 affirmed and subscribed before me the ~~ day of adD For the gister Signature ojPer~rsal Represerstative Signature oJPersannl Representative ~ a CO w Signature ojPersonn! Representative =, ~ ~ ~ %~ ~~ J ~ :l J Filne Niu/mber: dL ~ " ~J-1 ~ V~ U 1 ~/ ~ ~ ~J~-l.~ ` D GJ Estate of rr~~ , De/c'e~ased ~ Social Security Number: ~ ~ Date of Death: ~~~L. ~~ ~-' ..~ ,;. i~~`t ~" ::..' Cr :7 =~- _:- , .- ti -:J - ----~ _~ _' ____ -, AND NOW, ~"I ~,~_, , ink onsidera~ion ~f the foregoing Petition, satisfactory proof having been presented before m~,JIT I~,DECREED that Letters are hereby granted to in the abtwe' estate and that the instrument(s) dated - ' described in the Petition be admitted to probate and filed of recordPa the last Will (and C~dicil(s)) of Deceden,;~ , + Q FEES Letters ............... $ W Short Certificate(s) ........ $~_ Renunciation(s) .......... $ ... $ II'' ..: $___L ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ Register of Wills f~'~/ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: r-~~„~ Rw.u? rev 10.13.0( Page 2 of 2 __ _ _ __ 1nl~s ~eos Nei Sul/r,-, - - ~ ~ - ~~~~~~ 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 15188835 Certification Number 'This is to certify that the information here given is correctly copied from an original Certificate of Death duly tiled with me as Loral Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. LG~ ~ ~r~,~APR 310 9 Local Registrar ~--Date Issued f7 ° -~ .o ;'; ~~ ~ y N r' ~7 ~l~ - -- `~ ~~ _.~ 'C7~i 3~ ~~~ t~ ~ O 1' ~' w aEV 11!2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS fPMR11 MIN CERTIFICATE OF DEATH ;K INK See instructions and exam les on reverse P I STATE FILE NUMBER 1. Name d Draredem (First mitlde, teal, suffix) l ~ ~~ 2. Sex 3. Social Secudry Number ' 4. Dale of Death (Honor, day, year) c~ "- ci ~ - ~e v /r •~t e ~` female - 2199 165 - 38 Aril 2^, 2009 5. Age (last &rtlMay) Under 1 ar UMer 1 day 6. Dale BiM (Month, day, year) 7. BiNplace (C' and stale a I ~ country) Be. Place of Deem (Check on aye) - klomla 62 Data Haas kNxMS December 29, 1946 York, PA HosMtal'. Other. Yrs. ^Inpatlem ^ER/Outpatient ^DOA ^Nurekg Home ®Resitlence ^Olher~Specity. 6b. Coumy d DeaM &. City, Sono, Twp. of DaaM 6d. Fa61iry Name QI nd iretiMron, gNe snea and number) 9. Was Decedent ai Hispartic Origin? ®No ^ Ves 10. Roca: American Inden, Black, While, etc. Cumberland E. Pennsboro Twp. 1213 Mallard Road (If yes, speclry Cuban, Mexican,PuenoRken,ele) (Specify) white 11. Decedents llsual aen Kind d work d one Gr' most d worts Ale. Do nd stale rea 12. Wes Decedent ever in the 13. Decedent's Etlucatbn (Specify Doty Nghesl grede comp leted) 14. MariW Status: Manisa, Never Mamed, 16. Surviving Spo use (II wife, give maiden name) Knd d Work Kind d Business! IMuslry U.S. Armed Faces? Elementary / Secaxlary 10.12) College 11-0 ar 5+) Widowe4 Dnrorced (Spea/y1 Re istered Nurse Healthcare ^rea [~No 12 4 divorced i6. Dacwdent's Mailkg Address (Street, city I sown, state, zip code) Decedent's Did Decadent Aaual Resklerna va. score Pennsylvania Livens t7q,®yes, pecedem Liveds E. Pennsboro Twp. 1213 Mallard Road TownsMp? 17d ^ No Decedent LNetl within Cam Hi 11, PA 17 011 ,7b. count' Cumberland Actual Umits of ciy /Sao .16. Father's Name (Pest. midde, lest sues) 18. Moma'a Name (First, MDAe. maiden sumemel Geor a W. Little Bette D. Kemmerly 20a. InlormenYS Name (Type! Print) 20b. InlamenYs Meiling Address (Street sly /town, elate, z'ry cadol James P. Coyle 4776 N. Woodruff Avenue, Whitefish Bay, WI 53211 21a. MelMd d Deposition ®Crernaaan ^ Datadon 21 h. Date d DapoaNlon (Haan, day, year) 21c. Noce d DisposiAm (Name d cemetery, crerneNry a omen place) 21d. Lawtion (City I town, slate, zip code) ^ eenm ^ RemovalhomShle weecrem.KataDaretlarAutlarhsd April 21, 2009 Evans Crematory Schaefferstown, PA 17088 ^ Dmer - Spedry: by Aledkal Examiner /Coroner? ©Yes ^ No 22a. Sgrelure d F (a rson acting es such) fib. license Ntmter 22c. Name and Address d Faaliry - FD 012 848 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 Corrplela Kane 23ac ady wren cenRyirq 23a. the hest d my knowledge, death oaurred al the 4me, dale erM place stated. (Signature end tlAe) 23b. Lcense Number 23c. Date Signed (MOnin, day, year) pnysidan a nd eveiehle el erne d deem to cenNy cause d seem. Nerts 24-26 must be cargleled by person 24. Time d Deem 25. Date PranalPetl Dead (Magh, day, year) 26. Wes Case Raferte0 w Medical Examiner /Coroner for a Reason Other Ihan Cremation a Donation? wia Prorlaxxes deaU. ~ M' ~ 20 -ZDO ^Yes ^ No CAUSE OF DEATH (Sea Instruetiona and examples) r Apprexnate inleml: Pan II: Enla otlsr sartKxant conditions contnLUlinp to deem, 28. Did Tobago Use Caninbule to Dea1n? Item 27. Pan L Emer tts T -Diseases, mjunea. a Cromplka9as -met dbectty tensed ds deem. lYJ NDT amen terminal events such as cardiac arrest r Onset b Deam but cal resulAng n K1e uMenying cause given in Pan 1. ^Yes ^ Probably respiratory arrest, a vednculer fibriNaACn whhoW sharing ate eAObgy. List only one cause on each line. / ~ A ^ No ^ Unknown MIMED4ITE CAUSE (Prat diseases / / '- n~t~~~~~ ~ _ _ Q cat6lion rewaing n rJeath) -~ a, / Q/l~/t/A~ 4 (!Ti ('iyan•ai+' ( i 29. II Femele~. ^ Due to (or as a consequerx:a off: t t $egsd'aly lal coriditlars, N arty'. p, t Not pregnant wNhin past year ^ Pregnant at tkne of deem baylq b me cause Asted m foe a. Emer the UNDERLYNG CAUSE Due to (or as a amsequence oq: I t ^ Nol Dregnanl bm pregnant wilKln 42 days (educe re Add tlUMeeUJ~u~ST~ c~ I ~ m of death Due to (or as a consequence op: r ^ Not pregnaN, but pregnam 43 da s l0 1 ear Y Y d. r balsa Beam ^ Unkrawn it pregwnl wilhm the pass year 30a. Was an Autopsy 30b. Were Autopsy PxxArgs 31. Manner of Deam 32a. Dale d Injury (Month. day, year) 32b. DescrNe FWx Injury Occurred 32c. Mace of Injury: Home, Fartn, Street, Factory. PerbmxW? Avaiable Pdor b Canplelbn ^ Natural ^ lianicirle Ollice Building, etc. (SpenlyJ a Corse d Deem? ^ Y~ ^ No ^Yes ^ No ^ Accder't ^ Penang Imestigelron 32d. Time d Inuy 32e. Injury at Work? 321. H Trerslwnellon Injury (Spedty) 32g. Location d Injury (Street, cNY I sown, state) ^ SuiClDe ^ CCUItl Not he Determine0 ^ Yeb ^ No ^ DmM / OOerala ^ Passenger ^Pedeslnen M Other - Spedly: 33a. Cenifiar (Check Doty one) 33b. Sigreture a Na d nlfer ' CerlRyin9 PMaklan (Physician certiMn9 cause of death when enotlsr Physician has praaunced deem end arnpleled Nam 23) TO Vie heft d my knowledge, dMVt OpcOrred due 10 the CeKee(a) and InMnlr a6 alated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ '. • Prortwndng end cedNying phrak4n (Pnysidan boor praaaxing Beam and cenitying to cause d death) ^ d h i d d d h d t d 33c. License bar 33tl. Dale Sgned (MOnlh, day, year) '~. To the best d m _ _ _ _ _ _ r knowledge, deaM occurte et t e t me, ate, and plus, an ue to t e cause(s) an manner es sta e _ _ _ _ _ _ _ _ _ _ _ _ • MadkNExsminer/Corona WMyk ~( ~J ~z6z 2~~ On the bees of exeminadon end / ar investigation, in my opinion, death occurred at the time, dale, end place, and due to the causes) end manner as stated_ ^ (~ r 34 Name and Address d Persm Who Can lelded~Cause of Deathxsrlla~m/p71 T I Print ~ ~ p 3 R ' ~ d Da 36 D t i M or ' z ( `r rT t ~' U egistrar lure an l 6. . a e an y, year1, ~ ( ,,.~~ Disposition Permit NC. p.'.~, ) 24 ~. / C7 c ~-, c~ ~ .b ~ , , -=~, - - - WILT, CJ ' •, -:.-, ~ C3 ti7 ~ ~~; C:J :-. ~ -,-, -> rn N :.n - .- - ~ ~ -: ~ - JAIOQ[JF.C.II~ R. COYI.S -r ~ r~ _ -~-~-i ~A CT I, JA~C7QUSLII~ R. O~YLE, of Camp Hill, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITII~~I I. I direct that all my just debts and funeral expenses, including my C~ ~9 gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practi- cable after my decease as a part of the expense of the administration of my estate. ITIIrI II. I give and bequeath all of my household goods, automobiles, jewelry, and all other articles of household and personal use, equipment and ornament, together with all insurance thereon and relating thereto, in equal shares, to those of my issue, per stirpes, as survive my death by thirty (30) days. ITH~I III. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate, in equal shares, to those of my issue, per stirpes, as survive my death by thirty (30) days. IZ'F~I IV. Should any of my issue entitled to a share of my estate not have .attained the age of twenty-three (23) years at the time for distribution to him or her, 'I devise and bequeath the share of such issue to my hereinafter named trustee, IN iSEPARATE TRUSTS, to hold, manage, invest, and re-invest, the shares so received, and the accumulation of income thereon, and to use and apply from time to time such portion 1 of income and principal thereof as my trustee thinks proper for the comfortable support, maintenance, health, welfare, and education of the issue or to make payment for such purposes, without further responsibility, directly to such issue, or directly to any person taking care of such issue. Any principal or income not so applied shall be distributed to such issue when he or she attains the age of twenty-three (23) years, or if he or she dies prior thereto, to his or her personal representative. IT@4 V. I appoint my brother, WILLIAM T. LITTLE, trustee of the trust or trusts created by this my last will. In addition to the other powers and authorities granted to my trustee by Pennsylvania Law and by the preceding paragraph of this my last will, I hereby give my trustee the following special powers and authorities: A. To retain any or all of the assets of my estate, real or personal (including any stock or securities of any corporate fidu- ciaries), without any regard to any principle of diversification, risk, or productivity; B. To invest and re-invest in all forms of property without restriction to investments authorized for Pennsylvania Fiduciaries, as my trustee deems proper, without regard to any principle of diversification, risk or productivity; C. 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 my trustee deems proper and in the best interests of the beneficiary or beneficiaries of said trusts; 2 D. To allocate receipts and expenses to principal or income or partly to each as mY trustee from time to time deems proper in its sole discretion; E. To compromise any claim or controversy; F. To exercise any option, right, or privilege granted in insurance policies or in other investments; G. My trustee may accumulate the income from this trust during the term thereof but may, from time to time, distribute from current income or from accumulated income or from principal such amounts as my trustee, in its sole discretion, deems advisable for the education, welfare, and comfort of the trust beneficiary. ITEM VI. All of the interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or attachment. ITEM VII. I appoint my brother, WILLIAM T. LITTLE, guardian of the person of my minor children. ITEM VIII. I appoint my brother, WILLIAM T. LITTLE, executor of this my last Iwill. ITEM IR. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to ~~compromise any claim or controversy; to make distribution in cash or in kind, or partly 3 in cash and partly in kind, and in such manner as my personal representatives may 3etermine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; 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 my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITF~i X. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNF~S WHEREOF, I have hereunto set my hand and seal this ~~~~~ day of i~~ , 1991. J Q NE K. COYLE 4 The preceding instrument, consisting of this and four other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by JACQUELINE K. COYLE, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. ~- 5 COMMONWEALTH OF PENNSYLVANIA ) ( SS.. COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing 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 the testatrix named above this /,$'~ day of /Vla ~ , 19Q1 . Notary blic F,:~- ..., SEAL ZYi~:~; ~:i;-.~.:" iJG~ry PubiiC Lemeyn•a 3cr~o,~Cumaerland Co., Pa. ~C1y Corr~rnission Expires Aug. 17, 1992 COMMONWEALTH OF PENNSYLVANIA ) ( SS.. COUNTY OF CUMBERLAND ) WE, GEORGE A. VAUGHN, III, and MICHAEL L. BANGS, 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 the testatrix sign and execute the instrument as her last will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes 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 18 or more years of age, of sound mind, and under no constraint or undue influence. ~~ ~~ r ~ ~~f Sworn or affirmed to and acknowledged before me this ~,~`' day of /Vl a y , 199/ . L ~~ Notary- blic ~s~ P.; ra:~;A~ sE~,i %~.~~, iJuiary Puulic Lcrroync i; o, CumNerland Co., Pa. Nry Commission Expires Aug. 17, 1992