HomeMy WebLinkAbout09-03-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Lyrian I. Kough File Number c~ f - ~~"J "~ Q~~ S
also known as
ecease Social Security 201-16-1730
Petitioner(s) who is/are 18 years of age or older, apply(ies) for:
[X] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the
last Will of the Decedent dated October 31, 2006 and codicil(s) dated
N/A
state re evenat ctrcumstances, e.g. renunctatton, eat o 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: No exceptions
] B. Grant of letters of Administration
(If'applicable enter: c.t.a.; .n.c.t.a.; en ente tte; urante a sentta; urante mtnorttate
Petitioner(s) after a proper search has/have ascertained that Decedent left no wll 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 ill in Section A above and complete list of heirs.)
Decedent then 86 years of age died on 8/13/09 at Claremont Nursing Center
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.)
(If not domiciled in Pa.)
(If not domiciled in Pa.)
Value of real estate in Pennsylvania
situated as follows:
8,000.00
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 form to the undersiened:
vuc;a a l.a. vuJuca
~~/,~ ~~--~ ~~ 1909 Fry Loop Avenue, Carlisle, PA 17013
~~~ PJ
~
4.:?
y ~ ~
1 ~
~ ,
,•
'~ ~
,
r
'" -
i ''~
__ ~
- ^^~
J 1.
-~-..~
-~'.~
a -
w ,
'
,
o
w
Page 1 of 2
COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last principal residence at
47 Waterside Drive, Carlisle, Pennsylvania 17105 ~,..., ~- Fr_,.~-~ ~„-,1 '~~,, n ~ ~ ! r
OATH OFPERSONAL-REPRESENTATIVE
COMMONWEATLH OF PENNSYLVANIA
coulv'rY of CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corn
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 apd subscribed
before me this ~~r ~ ~ip~F'Y1 ~r o2~
For the Register
. ~~
Robert M. Snyder
~.,
~'
s~
,~ ~ r~ ;.;
File Number: - -:~ W
~„ _.
EState Of Lyrian I. Kough
,~ ~~>
,-
~ -
Deceased -~ --
,
w
N
Social Security Number: 201-16-1730 Date of Death
S/13/09
r
AND NOW , 20~in consideration of the Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Robert M. Snyder
in the above estate
and that the instrument(s) dated October 31, 2006
described in thte Petition to be admitted to probate and filed of record as the las Will (and Codicil(s) of Decedent)
Register of Wills
FEES ~
Signature
Attorne Name Robert G. Fre
Y Y
Letters
Short Certificates Sup. Ct. I.D. No 46397
Renunciation
Address: 5 South Hanover Street
Carlisle, Pennsylvania 17013
Telephone: (717) 243-5838
TOTAL.. .
Page 2 of 2
_
LOCAL REGISTRAR'S CERTIFICATION OF DE~~1wH
WARNING: It is illegal to duplicate this copy by photostat or photograKih.
Fee for this certificate, $6.00
P 15729601
Certification Number
This is to certify that the information hers given is
correctly copied from an original Certilicate of Death
duly filed with me as Local Registrar. The original
certificate will he forwarded to the State Vita]
Records Office for permanent filing.
L~it~e. ~~~'e~a•c~, `D~~cnte~C' A U Q~ 1 5 2009
Local Registrar Jute Issued
r~~
0
H10Sf/3 REV 1112086
TYPE / PRINT IN
PERMANENT
SLACK INK
i~
I~
0
z
r
=
0 ~ -l
;
.
..
- ~
'1
T ~~ ~ ..
~ I
{
`? ~ s
W
~. ~
~ r-,> r-,. i3 ,
,
-
',; U ' 1 f
~z7 W - ,
.~ --) ~ ,
tV
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse) ~r._~ ~„ ~.,,,...,~.,
I. Name d Decedent IRrsL mitltll9, 4s1. wlfix) 2. Sex 3. Social Secunry Number a. Date of Deam (MOnm, tley, year)
Lyrian I. Kough female 201 - 16 - 1730 August 13, 2009
5. Age (last Binhtley) lhlMr 1 year Untler 1 M 6. Date d Binh (Monty, day, year) 7. BiMplam (City and stale or feel count l M. Plem d Death (Check an orrel
86 M"°" °"' "°°' "`""` May 9, 1923 Monroe Tw "°'0"al
°
1B
C
tl--
p •
,,.
~a
e~Y
a
'
Yrs.
^ Inpatient ^ ER / OuIpaMM ^ DOA T~rlureing Home ^ ResiMrce ^OIMr - Spedy:
8b. Caunry of Deem &. City, Soro, Twp. d Death co. Fadmy Name III rot Inslllufial, glue nred arM number) 8. Wee Decedent of Hispenk Origin? ®Ne ^ Yes 10. Race: Amerkan Indian, Blade, Whne, eh.
Cumberland Middlesex Twp. (white
Claremont Nursing and Rehabilitatio (
~
e
~
~
~o ~";
,
x
,
,
,
, „~.j
11. Demtlant's Uwal eon Kind al work done M ~ most d w«d IM. Do riot slab retired 12. Wss Decedent ever in the 13. Dacetlen s unaon Spedy only hlgMSl Breda completed) ta. Medal Bbkla: MarrbO, Never Marred, 15. SurvNirg Spwse (n wife, give meitlen name(
Kntl of Wok KkM of &raklM / Intluelry
Ins
ector Car
et f U.S. Armed Fames? Elementary /Secondary (0-12) Cdlage 11 d ar 5+) Widowed, Dhvmetl (SpedFj7
p
p
g. ^vee CANa gyre. Never Married
16. DxeMnt'a klnFrp Address (Street dry 1 town, smte, zip code) DemMnYS Did DemMnl
47 Waterside Dr. Carlisle
PA 17015 AdualRenMnm ,Ta.Sate Pannaylvani_a m
„d.f},~,~p,M,,,~;n Lower Frankford Two. Tom.
e
g
a
, v
r
fl
lp4
,n.caady Cumberland rid.^NO,DeceaeMLiveewimm
Acroel omits d Ciy r Som
19. Famefa Name (FireL mitlda, 491, aMix) 18. MotleYa Name (RM, midde, meitlen surname)
Jacob M. Kough Ruth E. Beecher
20a. IMarmanYS Name (TYDa I Print) 200. Inlorment's MaiWlg Atlheae (Street, cnY / tlasn, slate, zq cede)
Robert M. Snyder 1909 Fry Loop Ave. Carlisle, PA 17013
2, a. Mnfatl d Oiepmtlion ^ Cremation ^ Dorrafin 210. Date d Depmmon (Madh, day, Year) 21c. Place d OisPmdlon (Name of cemetery, aemalory a odter plan) 21 d. Location ICM I town, stale, rip code)
g[y(Dadra ^ RemwallromState ~ wrcr.m.Mn«DOnalonAathodxe0
^ August 18, 2009 Westminster Memorial Gardens Carlisle
PA 17013
CIDxr -Spa fly by Madkal EzamMar / Caroner7 ^Ves ^ No ,
--
22a. Signaeae d Funerel _ acMp as eudU
~ ,__,/a" 71L. Lkame Number
138425 22c. antl Atldresa F
Hfman-~ot~ Funeral Home and Crematory Inc. 219 N. Hanover St.
Carrpbte Mme 23ac orgy wfwn mdlfYmq 23a. To Mal d my knavbtlge, deem occurred et tle tlme, Mle ant place ateted. (Sgnaaae end tills) 23b. License Numher 23c. Date Signed (Month
Mr year)
phyeiden u not available al6ne d deem to
mdlymwaddeam. ) ', Z C.~ TE-~~ ~ ~'
~ ~ Wiz.,:. ~ N
~~ 17 u4 ~ I ~ ,
C~.~A~~.s ~- )3 ,-ao~5
norm za-zfi loon M canpbmd h Derson
h za. r a Deem ~ 2s. Data PranvKed Dead IMonm, ear, r•a) zs. was case Raf.rred ro Me6ml f famine! / caner ror a Reason omer man cremetlon «DaretiorYm
w
o Dmnources Meet. I Y CY M' A +•l ('~ k S t (3 ~~ Li C'? ~j ^Yae B?m
CAUSE OF DEATH (Sea Inslrue0ona end eaampiw) r Ppproximeb interval:
Mm 77. Pad I: Feder me ggiljDy(gy>x8a -tloeaus, irryu~, a eanlpWallona - Uet dYeNy caused the deem. DO NDT enter lemanal events Such as mrdac angst, r Onset ro Dnm
k Pen II. Enter dher slonifimm mrmbna conlrm~dm m deem
MI not reaulmg F the uMerlying muss given in Pen I. 26. Dm Tobacco Use CanmLMe to DeaM?
^ Va ^ Prabeby
reap
abry anon, a vanMNar fibdnaMn wnlpd slxavhq the slldgry. Un adY am muse m each n. l
/
j
+
RAMEgATE CAUSE ~~Faa~~anl da°
a
1 1
'
[J~No ^Unknown
m
/~,,~,; l
/
/~ F,,/
/
nrldlilNrl resukmg n deedq l
' a. ~ L 7 K(~S C ~ /~ r/ /Y I ~ / S ~ 1 /J 1 ~ HG
r 28. II Femah:
Dm ro I« as a c«weQUence oq:
/
' ^ Not pregnant wiwn peal year
seynna~~y an matlliawrs. a airy, y
~
~ ~ ^ Pregnant n 8ms d deem
.
ka3rp to the cause Neled m gn a
Fms me UNDERLYRID CAUSE Dn m (or es a mrreequerrm oQ:
(9aBa88 a in
ury con iratlelM de
µ
^ Nd pegmM, but DregneM wnMn d2 days
WI
y~
evade resulting In mom) UST. c. C. d dmm
Due to (a as a coreepuenm oU:
^ Na pregrenL bW pregnant 43 days to 1 year
tl.
r Mlae death
^ UrlNrlawm H pregnant wignn the past year
30a. Was an Aubpay
Penarred7 30h. Wan Auropay RMmgs
Avanable Pda m Celrlpmlion 31. Manor of Deem 32e. Dale d In u Monet, de ,year)
1 ry ( Y 32b. Dew. La How I ' Occurred
nNry
32c. Place d Iryury: Home, Farm. slrerx, Fecrory,
'
d Cause d Deem? Q ~~ ^ Ho^~B Ofike Bunting. em. (Spea
y)
^ Yea ~ No ^ Yes ^ No ^ Amidenl ^ PeMng Investigaan 32tl. 7kna of Injuy 32e. Injury n Work? 321, M Trenap«laa« Injury (Seedy) 32g. Lantim of Irqury (Sheet dlY I faun, Hate)
^ SuidM ^ Count Na M DetenMned ^Ves ^ No ^ Driver I Opereta ^ Passenger ^Pedesalen
M ^Dlher - Seedy
~' DAY (~k any ~) 33b. Sgmmre antl The C oilier
• Candying phyalckn ImYsidan ceniyvp muse of dmm when another physidan Ms pronounced deem antl canPleted Item 23)
T
t
M
t d
k
l
d /fn
a
he
a
my
now
e
ge, Math xeurred due tome mues(s) and manner as eteMtl~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
• P
i
nt
m
i
_ _ ~ ~ W v'Yl
~ /v r
r«rounc
ng a
m
y
ng pnyaklan (Phyeiclan bdh praeunnrg Mnh and cennyirg to muse d Mamj
r u»MStamylawwl.age,Memom,rr.asltMnme,a.ta..ndplaca,.nadnrolM.waggandm.nrrara:shred------------------ ^
• rwedkelExamm«/Caanar J3c. License Number
~ ,Y ~
y 33tl. Date goad I ih, MY. Year)
r°A
f
O
n
Ma
b
a
n
s
al
a
x
a
m
inatmn
end 1 a i
m
es
ti
gaUon,
in my opinion, death occurred n the tMne, dent, and p4m, and do to tM cause(s) and mann« as ablad-, ^
34 Name antl AMress d
P
rson W
ho Canpkletl
C
use of
eam (Ite m 27) Ty
p
el
Pnm
~
~
R~ i
r
w
V~\y
/~/
~\
Q\
~~
(
J
~
'
~
O
L
,~
,~
~
,Dale Filed ( m~ mY. yder) e
/m
/
/)
'')9
n
L //n/ /~}I ,y
y
R
[
~D~C'~ ~ /W mot' ~~/~ J I ~'
J' (' / I ~L" / 3
~""
~ 7 !~
t_.nl.V~ TC • \ ~~C-~~x'~ ~
(
/
Disposition Permit IM. - l J~(p J / ` I
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Lyrian I. Kough ,Deceased
Robert G. Frey and Sharon DeVos
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were we
acquainted with Robert M. Frey and Trisha A. Lies witnesses to the Will of Lyrian I. Kough and
re familiar with the handwriting and signature of Robert M. Frey and Trisha A. Lies, witnesses
to the foregoing instrument purporting to be the Last Will and Tesatment of
Lyrian I. Kough and is in their own proper handwriting.
(Signature)
5 South Hanover Street
(Street Address)
,V
ignature)
5 South Hanover Street
(Street Address)
Carlisle, PA 17013
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
befo e me this ~~"~'' day
of ; X966- o~UO~
GQ
Deputy for Register of Wills ~ ,
Carlisle, PA 17013
(City, State, Zip)
~-.a
~~ 4
-
~o ~ -
~ _
~ cn ,:ry
`T w ~ ' t
r ~ ~;~
`' W -_
' .....
~-, _ - J -
~ _~
v
W
~
N
LAST WILL AND TESTAMENT
OF
LYRIAN I. KOUGH
I, LYRIAN I. KOUGH, single woman, of Lower Frankford Township, (mailing address:
47 Waterside Drive, Carlisle, Pennsylvania 17015-7723), 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 and making void any and
all Wills by me at any time heretofore made.
1. I direct my hereinafter-named Executor to pay all of my just debts and funeral
expenses as soon after my death as may be found convenient to do so. I direct that my funeral
services be conducted by Hoffman Roth Funeral Home 219 North Hanover Street, Carlisle,
Pennsylvania, and that my body be interred on my burial lot located in the Memorial Gardens
Section of Westminster Cemetery in North Middleton Township, near the Borough of Carlisle,
Pennsylvania.
2. I direct that all inheritance, transfer, succession, estate and death taxes, including
interest and penalties thereon, which may be payable on account of my death shall be payable
from the residue of my estate regardless of whether the assets upon which such taxes are based
are included in my probate estate.
3. I direct that any Eastern Star jewelry in my possession at the time of my death shall
be returned to the Old Bellaire Chapter of the Order of Eastern Star, Carlisle, Pennsylvania, to be
used by it in accordance with its usual practices.
4. I give and bequeath all jewelry and articles of personal use and adornment which
consist only of costume jewelry of no intrinsic value, but of sentimental value, to my nephew
ROBERT M. SNYDER, for distribution by him to those persons he feels would appreciate
receiving any of it as a sentimental remembrance of me.
5. All of the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath in ten (10) equal shares as
follows, provided that each one shall survive me by a period of ninety (90) days, but should any
of them fail to so survive me then the share such deceased person would have received shall pass
to such of his or her issue as shall survive me by a period of ninety (90) days, per stirpes, and if
there be no such issue then the same shall lapse and be divided among the remaining nine (9)
shares:
(a) One share to my niece, PAMELA McKAY.
(b) One share to my nephew, ROBERT M. SNYDER.
(c) One share to my nephew RODGER ANDERSON.
(d) One share to my nephew RICHARD ANDERSON.
(e) One share to my nephew LARRY LAY.
(f) One share to my niece, LINDA WEBEER.
(g) One share to my niece KAREN KOUGH.
(h) One share to my nephew JOHN KOUGH.
(i) One share to my niece CINDY WOLTZ
c~
o
::
~°
=p ;
~ ,
~.,. ~--
- =,. rr. t
-,-~
~,,~ ,;~ ~
_
,',111
,
__
_
~
~i
;?
~
- w
N
(j) One share shall be divided equally among the three children of my deceased nice
Tammy Aungst, who are MELISSA BROWN, and NICHOLAS AUNGST, and MATTHEW
KELLER.
Last Will and Testament of Lyrian 1. Koug ~~~rWaC> ~' ~'
Page 1 of 2
w K
6. I hereby nominate, constitute and appoint my nephew, ROBERT M. SNYDER, of
1909 Fry Loop Avenue, Carlisle, Pennsylvania, as Executor of this my Last Will and Testament,
but should he predecease me or fail to qualify or cease serving as such, then in such event I
nominate, constitute and appoint my nephew, LARRY L. LAY, of 99 Mohawk Road, Newville,
Pennsylvania, as alternate or successor Executor, and I further direct that neither of them shall be
required to post any bond to secure the faithful performance of his duties in the Commonwealth
of Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and
Testament, written on two (2) pages, this ~ ~ ~~ day of ~~ ,2006.
oC ~ (SEAL)
LY AN I. KOUGH
Signed, sealed, published and declared by LYRIAN I. KOUGH, the Testatrix above-
named, as and for her Last Will and Testament, in our presence, who, in her presence, at her
request, and in the presence of each other, have hereunto subscribed our names as attesting
witnesses.
r~f'~ ` ~',1~
Last Will and Testament of Lyrian 1. Koug page 2 of 2