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HomeMy WebLinkAbout06-21-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of SHIRLEY M. COOMBE ~J File Numbe G ~ ~(~^ ~ ( r a(Q also known as Deceased Social Security Number _174-20j-8,179 Petitioner(s), who is/aro 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ® A. Probate aed Gnat of Letters Test ameeta and aver that Petitioner(s) is /are the EXECUTRIX last Will of the Decedent dated OG // named in th and codicil(s) dated e (State relevant circumstances, e.g., remarciodon, death ojexecutor, etc.J Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of tlhe instrument(s) olFered for probate, was not the victim of a killi ng and was never adjudicated an incapacitated person: B. Greet otLetters otAdminiatration (Ifapplicable, enter: at.a.; d.b.n.c.t.a.; pendente lire; dumnte absentia; durance r»tnorilote) Petitioner(s) after a proper search has /h ave ascertained that Decedent left no Will and was survived by the following spouse (if any) and Administration, c.t.a. or d.b.n.c.t.a., enter date ojWill in Section A above and complete list of h i heirs: (If e rs.) o Name Relationshi Res r}-, ~ ~ ~~- tY ~~:7 (COMPLETE INALL CASES.) Attach addltiona! sheets if necessary. _ ~~ - "ri N Decedent was domiciled at death in CUMBERLAND County Pennsylvania with hi 100 MT D / ~ ``-.~' , s her last prartcipa si~ddnce at RIVE HAM SB G PER ALLEN TOWNSHIP C (List street add-ess, town/ciry, township UMBERLAND COUNTY PA 17055 count t ~ ~ ~~ , y, s ole, zip code) Decedent, then 82 years of age, died on JUNE 27, 2010 ~~~ ~C' UPPER EN TWP. CUMBERLAND COUNTY PA 17055t MESSIAH VILLAGE, 100 MT. A~,I~EN DR, Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) S A6~0. ~j~ e, Perso l na property in Pennsylvania S (If not domiciled in PA) Personal ro Value of real estate in Pennsylvania p ~m''n County S S:_ situated as follows: Wherofore, Petitiorkr(s) respectfully request(s) the Probate ofthe last Will and Codicil(s) presented with this Petition and the ~ unders~gn~' grant of I.etter~ in the appropriate form to / j~/ ' ~ T or rioted name and residence ~ C , C'~/ZrsTiNE Codtit,~~ N ~l-fZBo~ /~l ~~o Form RW-02 rev. 10.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 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) ofthe Decedent, Petitioner(r;),wiil well and truly administer the estate according to law. Sworn to or off-it~ned subscribed before ~ the -~,~;,,~--_____ da of Y 10 ~G~ or the Register argnature of Personal Representative Signature of Personal Representative Signature of Persona/ Representative //JJ c File Number: ,Ci~' ~ 0 ~ Q~p Estate of SHIRLEY M. COOMBE ~ I~ceaSed Attorney Signature: ~'. -_ C," _' r i' ~•, R:. ~~ t'~ TI "s •-~ .~• ~~ ~ Social Security Number: 174-20-8179 L~ ~ Date of Death:JiJNE 27 2010 AND NOW, having been presented before me, I IS ~ D , in consideration of the foregoing Petition satisfact E that Letters TESTAMENTARY ° o*Y proof are hereby granted to C. CHRISTINE COOMBE _ and that the instrument(s) dated _QC T, // , ~ (~ ~ t~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) FEES Letters ............... $ Q ov Short Certificate(s) .. , , , , .. $ ,~ a V Renunciation(s) ..... $ -- SC~ ... $ 2350 ----~-- ... $ -dO ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ - Sb '~- Form RW-02 rev. 10.13.06 0 (~ r 1 IV N O ir~the a$orcp estate -- Supreme Court I.D. No.: 83993 Address: 10 W. HIGH ST CARLISLE, PA 17013 Telephone: ~ (717)243-5513 Page 2 of 2 Attorney Name: THOMAS E. FLOWER n~o~sU~ ILEV (O1Po7) - - _ - _ _ Lo ,~'-~o o~~g CAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6;00 This is to certify? that the information here given i correctly copied from an original Certificate of Deat duly filed with me as Local Registrar. The origin: certificate will be forwarded to the State Vita Records Office fbr permanent filing. P 158'7130 Certification Number ~~ Local: Registrar ', Date Issued r.~ o «., Cp , ~ rr-~ e ~ ,1 t Q ~ N -rs ~. "t 7 i" 1kY 1,Ilpk6 ~ ~ ~ •~ ~,wrtr, COAAMONWEALTH OF'PENNBYLVANUI • C!7 l7EPARTMF.N'r OF HEALTH • YRAL RECORDS CEFf71FlCATE OF DEATFI ,~wao.r+.ra}a.rw,Krip (tiM in~tructlons Ind ~,ramplN on nwny sr~re ~ -ukeEn Shit- M. GDOmbe Female a ~~~20 ~.w s.'r' n"`M'°+'- , ua., ~. aw a sn - 8179 27 ~ ~0 rru 0* ,y~ rrr - L ~ :r 1L d ar daabyao.n ~"' 18 192'7 Utica I4Y ~c 01ir l,attero,r.R;.apr, M.F~drr iw ~~ euo*r.._.^oa ' . M ~a»~.ara Q>Obetland "".~ a vb. o.bar a,y,,,,k pp~q ~ '~ nrurr Daw, ap.a,, ,,. Allest I~rr,,o.F,~ aa.w ~ ,a bar,. ^a, war, «G a a ,! wr Dwary qa b YN ,S~ow,e,ny :. 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COOMBE -~p ~ ~. d ~, ..J ~ N ~ r._ ~„~. ---1- .. I, SHIRLEY M. COOMBE of the Borough of Camp Hill','.~erlan ~~ d unt y, Pennsylvania, declare this to be my Last Will a;~n ~ ~ - 'd Testament, h r Y~"I i~ .. ere}~y revoking aMy will ;pxsviou~s~~:y made by me: . i ~~ ~~ ~~ I - T direct. the payment , of all my just a.ebts ~ ~.nd funeral; expenses out o~ z+~3~ estate as "'soon as ma be y' pra~tical',a~ter my death. II - I devise. and bequeath ,.all of my! estate '©f j whatever nature and wherever situarte unto my husband, William F. Coombe. III - Should my skid husbahd ' predecease„me, ~th~n I devise and bequeath all of my estate of whatever nature and w~e~resoever situate unto ihy issue per stirp~$.; I~ - I appoint the following executors of my,.es~tate in the priority indicated, so that if anyone fails too qualify'o~,ceases to ~t aet, the next shall be ub'stitute executor: my husband,~~Iilliam F. Coombe; my `daughter,' C. Christine. Coombe.; my .son, Jeffrey' L. Coombe; my son, David Michael Coombe; CCNB $ai%k, N.A,~ Ca~ctp Hi11i'Pa. None of my personal. representatives'''shall be required "to t ~pond° in this or any jurisdiction: Q r,N /~/ ,,` ` <~C~~ -. ,, " ~ ~ Page. 1 _ <' l ~ ~ ~rc A' - ~~ ~. ~' ARNO~D & SL(KE, ATT . QRNSYS-AT-LAW,. Y109 IMA~tKL;T QTRpgT. CAMP t11LL, PA 17011 r. ~. _. W_ _ _.. _. . _~::.- ._.- -- -- .. y ,~ - ~ ~ _ ~. IN WITNESS WHER~'OF I have hereunto set m hand any T-,Ll ' ~~,, ~ Y ~ seal on this, the day o f ~ ~=2:/ 19 $ 4 • e:/ (SEAL) it ey M. Coo e Signed, sealed., published and declare+dby SHIRLEY.M. COp~IBE, Testatrix therein named, on this and one (1) other si~det of her Last Wi11 and Testament in our presence, who, n~her~presericer at her request and in the pxesence of each other, have hereunto subscribed our names as'~ttestng witnesses.' ;3 Page 2 '' ~' COMMONWEALTH OF PENNSYLVANIA) COUNTY OF - SS. CUMBERLAND) WE, the undersigned, the testatrix and the witnesses, respectively, whose names are. signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority t]~~t the testatrix signed and executed the instrument as her Last Will ar~d~Testament and that she signed willingly. (or willingly directed anothe~;to sign for her), and that she executed it as her-.free will and volur2tary act fore the purposes therein expressed, and that each of the wi~2pesses, in the presence and hearing.vf .the testatrix signed the will'a~'witnesses and that to the best of their knowledge the testatrix was at~that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. Subscribesi, sworn_to and acknowledged before me by ~Y~e testatrix, and subscr,,~E~e~ sworn to be ore me by both witnesses, this /~ day of f~~[[ 198 otary Pu ihV TNEiMA S. McCAUSLlN,~ NOTARY-PUBLIC MY Commission Expire;. ,~yly~° g~ 29813 ~mD Hill, PA Gumtieryarld County ARNOLD & SLIKE, A7TORNEyS.AT-LAW 4109 MARKET STREET, CAMP HILL, PA 17011 ,, i ~• C?~-n 1~ c., statrix