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HomeMy WebLinkAbout02-06-10.- .. PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Ctxrln~,a~++- ~ COUNTY, PENNSYLVANIA Estate of ~j •</1 q„ { : ~L.L lI~ZS File Number C~' ' ~ ~ "- o, ~1~ '-T also known as ,Deceased Social Security Number ~ ~ ~ - ~ ~ - ~~ ~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) L'! A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the '.hL~17YG named in the last Will of the Decedent dated l0 ~ 6`$ / 2BD'S and codicil(s) dated rt ~~ i (State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ '~'T t~ri a~ Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution ~ i~tmentEc) offe i.- for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~'='~ ~ ~ "~`"'` ^ B. Grant of Letters of Administration C ~ "v (COMPLETE IN ALL CASES:) Attach~~ad~~d``it~~ional sheets itf necessary. q Decedent was domiciled at death in \;tN1Y ~1r~ / County, Pennsylvania with his /her last principal residence at ~ ~J ,~,_ _JN.t~4. ~~ p q~ ~ t7o 50 - ~ ~ So (List street address, town city, township, county, state, zip code) Decedent, then ^~ years of age, died on at Decedent at death owned property with estimated values as follows: 1 "~ (~ ~} (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: ~©`!~' (If applicable, enter.• c.t.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; dur¢gpe~noritate) •~ ~"`~ 33y~' 'C ~ ~~1 Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) ~i !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.) 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 appmpriatelform to the undersi¢ned: }' ~ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA r n SS COUNTY OF ~(,vw1. G~w~~J . 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 lrnowledge 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 l..~f/V _ ~ ~_ Signature of Personal Representative day of before me the ~ ,.. -*t a `. ;~ r-~-1-:: _ _ Signature of Personal Representative ~ ... - ~ .:I ~(,lJ'L) C7 C ' ti For the Register Signature of Personal Representative ~ "~'1 ~ : ~ '~~ ~ -~~ i`'r~i " ?r .~" .. O ~ File Number: ~ ~ ' ~ y - d I ~ 3 Estate of_~~~ /l 0.. I~ L-C~1-L IN ~ ,Deceased ~ S - t ~ ' ~ 11 ~o Date of Death: ©~. - O Z ~' ~ I ~ Social Security Number: ~ II AND NOW, ~2~ i'U o~ V l A 6 ~ 9 ~ . ~U ~ 6 ' in consideration of the foregoing Petition, satisfactory prpof having been presented before me, S DECREED that Letters 2 rit 3 n ~ are hereby granted to ~U~~ ,~,d~ } - ~ n ~,~ i n ~ . , in the above iestate and that the instrument(s) dated ~ ~ - ~ - ~-o0 3 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ ~ ~ Register o Wi11s ~ ~.J„~ _ Short Certificate(s) ........ $ I o~ • ~ Renunciation(s) .......... $ ' ~ ~J ~ ~ ~ ... $ 1 F, `U~yO1 O V~• ... $~ W ... $ ... $ ... $ ... $ ... $ ... $_ TOTAL .............. X50 ~6:AA- Form RW-02 rev. 10.13.06 Attomey Signature: Attorney Name: , Supreme Court LD. No.: Address: Telephone: Page 2 of 2 105.805 REV 101/07i 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 16193426 Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Offic for p anent filing. l0 Local Registrar na Date Issued C7 ~' o :~ ~.._ i.r,~ r*7 ~i ? c~? rras-I+zrav rV20a8 COMMONWEALTH OF PENNSYLVANIA • DEPAATMENT OF HEALTH • VITAL AECOADS iYPEr PRWT W "r CERTIFICATE OF DEATH (Sea Inatruetlona and szampMa on nwraa) sruro ae F u. 'ti-C ~ ~ ~....1 ~Uy~ CJ1 ~,, .._: CJ~~ „~ C.yn~~ ~ 'i"t --~ A ~ `f' ~ ~-~ 1 rant d Owaan sal nnlra.'~ e1n`I z. Sw 1 Scrod SaawaF tuner - - -- -° ^ Oar a awn, . rwl . F 1 195- 14- 3116 a ~ .~ s Aga LL+r urr 1 far leraa 1 ay e. Drs a l9rn Irarae. , T. ara abi « 1 k Fru a Oaaar Isola «rl awr: urn rq.a rru. HaaWr. pnK 86 rr. December 5, 1923 Coatesville, PA ^,~, ^en,awe.r ^~, ~„"„~,~ ^Maarar ^1~•s9aaM: m Caurar d Derr k. CM. B«o, Tp. d Dann ~ b. faarr Nrw (p rd mattes, yr rw ra nngar, 9. Wae Daoaara d Kpnc pya? ®"o ria 10. Race: Mrrnan nun 8rri wet at Clunberland upper Ally Zwp• hl k S S I A N ~: r L L rl G !: ` tlraa w~,. ~, 4fiite 1r 0iaoraa uwr nro a .on Dort au mar a w M m err 12. ww Oacaaarn irr n ar 17. OaraaraY Eucrm (9FicaY anN rgrr qra meFMW N. rrar SWw rrrra. Mw Urro, IS. Sruwrp Spare la rr. q.a rnron nanral Ifar d wart Kara a 8rrrru i curvy U.S. Nap Faow? EwwaarY / Saoatlary (O.12J C'~awpa 11~ « 5.1 Wiaaeaq lleoraa ISpacaN ^rr 18. Daaar.'t AIWq IWBrr 19ra1 ay' urrl rra, xq aaal 0aaaaera'a aara 0a ~ 183 Woods Or. Mur Rwrrw n.. sat _ ~ Aartnax van i a r, Y1 ,TG parr.o.aa«+1,~«^ __Silver .~ri nv rs Mechanicsburg PA 17050 17e essay C`umt>~rland TaawrpT 1Te.^Na, paea0aNlxaaMln , Mrl heir d Cp r llpr 18. 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COLLINS ~-~o~ ~ ~~, ~~ .:.' ~' ~ ~ . :;~ ~ !, Sylvia V. Collins, having my legal residence at 183 Woods Drive, ° Mechanicsburg, Pennsylvania, do hereby declare this to be my Last Will and Testament, revoking all other Wills and Codicils heretofore made by me. FIRST: I direct the expenses from my last illness and funeral to be paid from my estate as soon as practicable after my death. SECOND : I give, devise, and bequeath all my estate and property, including all property of which I shall die seized and possessed, all property to which my estate shall be otherwise entitled at the time of my death, and all property over which I shall have power of appointment, of whatsoever kind or nature and wheresoever situated, be it real, personal or mixed, absolutely and forever, in equal shares, to my issue Russell W. Collins, Michael D. Collins, William E. Collins, Ronald L. Collins and Robert E. Collins. If -one or more of my issue predeceases me by thirty (30) days, then the surviving issue shall receive all of my estate and property. THIRD: All the residue of my estate 1 give to my issue Russell W. Cotiins, Michael D. Collins, William E. Collins, Ronald L. Collins and Robert E. Collins to share equally. FOURTH: I appoint Russell W. Collins and Michael D. Collins, Executors of this my Last Will and Testament, f request that the Executors be permitted to serve without bond and without furnishing any other security. I further direct that the Executors be allowed to serve without the intervention on any Court except required by law. FIFTH: All estate, inheritance, succession and other death taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property compromising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the principal of general estate, as if such taxes were administrative expenses, without appointment or right of reimbursement. I authorize my legal representatives to pay all such taxes at such time as may be deemed advisable. • ~ .. ~, °~ IN WITNESS WHEREOF, I have at Camp Hill, Pennsylvania, this 8th day of October, 2003, set my hand and seal to this, my Last Will and Testament consisting of three (3) pages, including the acknowledgment. v S is V. Collins SIGNED, sealed, published and declared by Sylvia V. Collins, the above Testatrix, as and for her Last Will And Testament, in the presence of us, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. Witness Residence ~•~p ~ `'~ '`~ ~~ ° ~ 1 Witness ~ S~. / Residence C~~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, the undersigned, being the Testatrix and witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say 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 was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. _ ~ T tatrix ~~ ~ _~,_ fitness ~ ~ 3 W aoa2o ,(~..,~. , ~~ Tom- /7~sp - Residence ~ a 7 s-c 3b'vSn.a,•/f~ ~'~~--~' Residence ~~ ~ '~~ i~ ~ ~ ~ Witness ss Residence ~ ~o~~ Subscribed, sworn to and~cknowfedged before me by the above -named witnesses and Testatrix, this b -, day of nC-to~~ , 2003. _ 1 Notary Public My Commission Expires: Commonwealth Of Pennsylvania Notarial Seal Nicole Chianar, Notary Public Hampden Twp., Cumberland County tiny CorrWr>ission E~cpires Nlay 19, 2007 Member'. Pennsylvania Association Of Wofarles n r.a ° ~ o ~. : RENUNCIATION cat ~ ~ r*t ' ~ ~~~; , ~: f --~ .pry ~ X _ ~ -_ .'~.s r ~.7 REGISTER OF WILLS ~a~ ~ r Cumberland COUNTY, PENNSYLVANIA ~~ ~~.~` s=,=; .~ ~ ~+~Y "l'9 Estate of Sylvia F. Collins ,Deceased I, Michael D. Collins (Print Name) CO-Executor in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~~ ~ , ~ ©/~ ~. - (Date) (ignat e) 8 Gordonville Rd Executed in Register's Off ce Sworn to or affirmed and subscribed before me this D9 day of Fcl,~,x,ar , z~~c~ Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Street Address) Aston, PA 19014 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this 6 9 day of ~-z ~~~~ zd t o Notary Public My Commission Expires: ~ cy~ t C~~'`' Zo ~ Z (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMO TH OF P~NNSYLVANW tYatwir sw MithaN C. Ful~kltl, Ploary Pubpc Mbn 7wp., DN~w~r~ CCIMI!!r Aiy-Cgt~iOn dM1.10, tOtZ of I~olatiss