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HomeMy WebLinkAbout07-16-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVA^N'IfA Estate of Marilia B. Coleman File Number 21-10 --17~0~ also known as ,Deceased Social Security Number 165-38-1569 Dennis R. Coleman Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or'8' BELOW.') named in the ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the EX@CUtor and codicil(s) dated last Will of the Decedent, dated 08117/2Af16 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 app ica e, en er c..a.; ..n.c..a.; p en e i e; uran e a sen ia; as survived by t d ll uran a moron a e he following6~ouse (if any n (lf~ )~d heirs w an Petitioner(s) after a proper search has/have ascertained that Decedent left no Wi n A above and complete list of heirs.) ~ ti S i-+ ~, t o ec Administration, c.t.a. or d.b.n.c.t.a., enter date of WII in _., Residence Relationship ? ` , ~ = _` Name -~ ~ ~ ~ ~ ~ _ ,-'- w , -~ N (COMPLETE IN ALL CASES,) Attach additional sheets if necessaCounty, Pennsylvania with his /her l nd b last principal residence at a er Decedent was domiciled at death in Cum 1100 Crandon Wa Mechanicsbur Ham den Cumberland PA 17050 (List street address, town/city, tov>~nship, county, state, zip code) died on It1R12'>;12A10 at Loyalton of Creekview Nursing Home Cumberland County, Pa ears of age , Decedent, then ~_ Y Decedent at death owned property with estimated values as follows: 90,000.00 (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: tha undersianetaioner(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 `. ~~ Typed or printed name and residence Dennis R. Coleman 5211 Elsmere Avenue Bethesda, MD 20814 650-759-9377 (cell) Form RW-02 Rev. tons-loos Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-10 Estate of Marilia B. Coleman also known as ,Deceased Social Security Number 165-38-1569 RPlationshig Residence Name Son ~ Dennis R. Coleman Son PA Fernando A. Coleman Daughter PA Anna Maria B. Cool David A. Coleman Son PA ra c~ -' ':7 C7 CQ 0 C _ ., r, ._'.. ... ~m ~ r..~ ~ -~tn~ ~~ ~~~~, ~ C~ " ('rl ~ w ~`~ ~ w 3 N Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } 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 affirmed and subscribed ' before me this ~~ day of _c~~~ Forth gister Dennis R. Coleman Signature of Personal Representative C o . , , rj ~"'' ~ t..-. f -f . l _ .~-- ~ Signature of Personal Representative r} ~ "" '~ :, ? ~ , ... 1 ,V;~j~ ~ - ~ -~ ~1 r.~ +....., r-t-t File Number: 21-10 •~ .~ ~ •s;~ >~ ,Deceased Estate of Marilia B. Coleman Social Security Number: 165-38-1569 Date of Death: 0612312010 `~ o~C~I U , in consideration of the foregoing Petition, satisfactory proof AND NOW, ' having been presented before me, IT IS DE EED that Letters Testamenta are hereby granted to in the above estate and that the instrument(s) dated 08/1712006 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters .......................................... $ 210.00 Short Certificate(s) ....................... $ 20.00 Renunciation(s) ............................ $ Automation Fee $ 5.00 JCS Fee _ $ 23.50 Will $ 15.00 $ $ $ $ $ TOTAL ................................... $ $ 273.50 Att Ati Camp Hill, PA 17011 _ Telephone: 717-737-3405 Page 2 of 2 Form RtN ()Z Rev. 10-13-2006 ~ Copyright (c) 2006 form software only The Lackner Group, Inc. Supreme Court I.D. No.: 06262__ Saidis Sullivan Law Address: 2109 Market Street O'I' /~ ~ OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA ,ceased Estate of Marilia B. Coleman ~'-' ~~ TE ~ C'~ ~ r... r~ t ", _? ~ ,'y-~ _ , -r- t s l ` ~ `~ ~ -° ~ John E. Slike ~-~'~ -s~s (each) a subn9 ~ witness t o ~~i ~' Yvonne M. Sersch t Names) i P ~-~ ^ ~? ~- .:.> r n ( p. ~ ' ~ Codicil(s) presented herewith, ® (each) being duly qualified according to law, depos N e(s) and Will the say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in his /her presence and in the presence of each other. ~~ (Signa Yvonne M. SerSCh (Signet John E. Slifce 1802 St. Clair Road 1705 Linewood Drive (Street Address) (Street Address) Cam Hill PA 17011 (City, State, Zip) New Cumberland Pa 17070 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed for Register of Executed out of Register's Office Sworn to or affirmed and subscribed before me this-- day of Notary Public My Commission Expires: (Signature and seal of Notary or other otficial qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RUY-03 Rev. 10.13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. ~;x„5 RED ..,.;„,, ~~ - ro-o7a-y LOCAL REGISTRAR'S CERTIFbCAT IONoOF tDEATH WARNING: It is illegal to duplicate this copy y p gee for this certificate, X6.00 P 16587118 Certification Number 43 REV 112008 E I PRINT iN =RMANENf ILACK INK ~1 Nana 5, Ape (Itm BirlhdaY) Uriaer i •« ~~•.•• ,~ leontlr 0•Ye Ilaxe rmese 87 Yrs. Bb~C, apn~Y,d,.,Dr7tll~.~,.1 Bo. CYY, Boo, T'.D. d D•eln n~•r~ ~ dwakdme mrtd we.t Kam d Waa Kam d Budrmee Claims Examiner lth Ins 18. Deatlnd's MeiBrp Addrrs (Strrl, dH /town, mare, Tip Dude) 1100 Crandon Way- ,_„~„ Name 20a lnfartrnYs Name (T I Prkd) David Co~enlan 21 a. Method d DID ^ Budm ^ Ranwm hen slm 71a. sjreu~d Fun«r s«NO. i a o plryeidri k M evYe6le m tlme d demh o d demh This is to certify that the information here given is correctly copied from an original Certificate of Death duly tiled with me as Local Registrar. The original certificate w~~ill be forwarded to the State Vital Records Office for permanent filing, ~~ m. ~~ ~ JU 1 9 010 Loco] Registrar 1~ate [sued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH n N r~ ~~ C~ © Cam.-. ~;, .4~ T .l G , (See Instructions and examples on reverse) STATE FILE NUMBER 2. Sea 3. Sacim SeaaMV Nanbar 4. Dale d 0•aN (Madh, dry, Yrr) .._.._,_ ~clc _ 1ST-'IS~Q hmp 2~_ 2~1~ 8. Dme d Slrm morr _ _ _ _ _ Hoepgel: Other. October 11, 1922 Rio De Janeiro, Brazi i„a,e„t ^ ER I o~aenl ^ DDA N«eing Her ^ Rralence ^ Olher - spedly: 9. Wr Deeed«d d 1gaP•nk Ondn7 ^ Yr 10. Race: Amedcen Indbn, Blade, WMk, ek. Bd FecNty Name (H M InetleMOn, d•e elreet end numb) (q yr, epedH Cuban, (Spedly) Loyalton of Creekview IAnttian, Pwrk Rlran, ek.) White 14. Mentm $tahe: Manbd, Never Menbd, 15. Survhing Spcuee (11 wile. Olve maiden name) > nm arms 12 Wr Deadertl ev« in the 13. Dead«de Eduatla (Spedhy only ~~ P•d• angl•>~) Widowed, Dlwrad (Spedyl U.S. Amend Fazs4 FJementary I Seardary (0.12) Cogege (11 a Sr) ~.dY Y, IrKlrtry Rty~~ Gi VWau • ~ • ^ Yr !D! No JT Dltl Decederd DeadanPe Pennsylvania ore k a 17c. (~ vr, Iksedem Lived ~, -H~dan rwp. Adud Reeld«ta 17a. Slate Twahpi 17d. ^ No, Decedent Lived wiWn 17b. County G~YIIberlBnd Aclual Umgs d ciy I Bat 18. MoNefe Name (Fam, mmdle, ialden eumarnel MariS MDndeiro 206. Morrrde MYap Addme (Street, dry I town. mate z1P model 4701 Maple Ave. Mecfiar-icsbur8i PA 17055 21D. Dme d Dlepoeitlori (Month, daY, Y•«I 21e. Place d DlepdeMlai (N«r d arrielary, aemaMmr4 a other place) 21d. Locatlon (Ciryl kwm, at(ee~n, ~zip~cod~e)p ~ ®Cremedm ^ Danelkn y "F'+1~ 7 wr cretrudn «o«lmmrt Atdn«iaa 3tIIle 28 2010 Ebllinger (~emation Service Mt . Ebll s PA r M Medlal FardnerlCa«rrt Yr^ No ~ .,w ~ ~..... aa.,•.. 22c. Name end Addrer d Fedgry v.,......-ve~.wsnr F1 more 7 u[Ylle Idea. To IM been d C. aMly our 2w DataD«rn ~ 25. Dale ~ Drd (Month, d~azY, Y••r) } 24. Tar d Deem J~ ~3 ao.~ a~ ~ a M u ~ deem ' ~ K CAUSE OF DEATH (~• InstruoNOno and eaarnplso) W NO'f enNr temNnm events such r ardx enes4 drM d th i Approtdmem arrvm r Oreel k Death . e q«n Z7. Pen I: E1rr the ' dMeeer, kKair, a wnip8atlone • Met dredly terme hAer gbnNaeon wghaA mtowhq lM emkpF List onto one our do each qr. i r ~ r arrem, a vr m r y reepira A i~W P F y ~ y ~ I~~.•i!L"M !~- ~~tcy»Ya tla+r~eeW~tlrq~'m ~tl~l~ a . Dw c« r a a~aa~ ae an: /~/J~,~ H~~~~~ Q ` ~ l6± YrtS 7~ 1i ~' ~ / fnl artNeore, q any. b. (17 d~ S e. Due k la r a aroea+erae dl: ~ ~~ G - ; ~ U (dieere a injury Beet dialed 1M a i r event rruia^9 n drgr) LAST. Dos k la r a mreeGUerta d): d. 37a Dam d InNN IMenM~ deY~ Y••rl 326. Dral6e How Irryury Oaurred 30e. Wr en Autopsy 30b. Were Aukpry Findage 31. Merar« d tkmh hble Prkr b Cdtgkmn ^ A ve Db. Ucenee NurMer ~//~oaaaQL- 23c. Dare slgnea (M~. aY. Y••rl ,~,,,~a3,~iv 28. Wr Car RelBnod to M•dna~ Exanhbr I Coral« to a Reewn OMx qwn Cremetlm a Dmetlon7 Enrr orb 28. DM Tc6eao Use ContdWk ro DeeM4 ^ hd not readtlrq n Me uridedyhtg ease dean k pen I. ProDebly ^ Vr ^ No ~' r~ yawn 29. q e: Nd pregnant wghln past year ^ pregnant at tlme d deeM ^ Na Pregnant, Dm DreTaM wghn 42 days ddrm ^ Na pregnant, but pregnant 43 days to i yrr afore drM ^ Unkwwn q pregnant wimn dw peal veer 32c. Olfia &xldirig. mHane, FSP~'/Sheet Faclay. Perlamed'I ~ Natural Homkide r~yy d Luse d Oeapaytlni 32d. Time d Irqury Sze. Inryry et WorK! 321. H Trerportetlon InWry ISP•dNl 32g. L«atkn a aqua (street dly I town, arena) ^ Vr LO. NO ^ Vr pa No ^ Amdent ^ Peal'ag Imretlige8m ^ Yes ^ No ^ Ddv«IOpereta ^ Preenq« ^ Pedeetrlen ^ SukMa ^ Coidd Na a Dmemirad M. Wmr ~ Sp«v/yc 396. Siprewre end Tqk d 33e. CertlBer (check ady sent hr damn end anVl•ted It«n 23) - OeMltYq pDymcWt(Ftrymd«i aoNyaW our ddesth wlmn uaNer phydden Mo^^a~ --------------------- 33d. Date Spied (Maim. dev~ /~ Toth 6emdmyp~y~,ymh oxwndermtl»aa.ye)req nrettrl«rmmtl-__.,--_-_- 93a Lkww Naha G/'Lf • l'roraraletrq erd attlMra PM•i~ c^ ~+Pmnaaa.+m arm «m arlllyaq m awe d drdl) ^ 6SO039 ~ L ymheawrodmtMaM dens, end pro, rddd.mme enre(e)na ar«wrmedd__________ ______ To the 6rt d rey bloaMdga, -- «.~ Cy~w~d~0a~m6~11bm z%I TYPa I Pdm • Medlem F.argrwlCa«rr k aemh oeaand r 8n rhos, aom, rd wro, re ea. m m. awM•) rd m.mrr r males ^ 9+. Nema J ~.-~ N ~ Ten ~~ '~ On tlr 6eeYdex~on «ml«mvrtlgWa4 my dPWd•n. i. Y 98. Filed ( . day, Yeor) (,j 35. Repmrate end ONtrld ~`^' ~ /~ ~~ ~ ~ , ~ W ~9 Q ~ l ~ • ~ ~ 7 2.0 - pig No. 0492725 ' ~ cs -C~ ';,- ~~ ~ ~ ~ ) .~ ~ ~ ~.., i , t , ' -~ ~~-- .I3 Q~ _. . J TY Cl] ~ (,,, C~.> ~--r ~ c"'3 ~ r , .. --fx LAST WILL AND TESTAMENT <~i ~~ ~ v ,-.~ ._, MARILIA B . COLF1~iN N I~ CILIA B. COLEirII°iN of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will and associated codicil or statement previously made by me. I - I direct the payment of all my just debts and funeral expenses out of the cash assets of my estate as soon as practical after my death. II - I bequeath the sum of $5,000 to each of my two granddaughters, Aliree S. Coleman and Britt L. Coleman, payable out of the cash assets of my estate as soon as practical after my death. III - Unless prior to my death, I have sold certain named items of tangible personal property, not including cash, securities and real estate, or gifted such items to my children or others, I bequeath them in accordance with the Attached List, which is hereby incorporated into my Last Will and Testament. The remainder of my tangible personal property, not so designated on the Attached List, including jewelry, household goods, vehicle and personal effects, together with the proceeds of publicly selling any such property that my children (Fernando A. Coleman, Dennis R. Coleman, David A. Coleman and Anna Maria B. Cool) may not want, shall be divided among them by my Executor based on independent professional valuation and in as equal shares as possible, Page 1 of 4 ~. ~ C . adjusted in accordance with paragraph VI below. IV - I devise and bequeath all of the rest, residue, and remainder of my estate of whatever nature and situate, including. cash, securities and real estate, to my children in as equal shares as possible, based on independent professional valuation and adjusted in accordance with paragraph VI below. V - Should any of my children predecease me, their share of my estate shall either be paid to his or her issue if any, per stirpes, or else divided among my surviving children in as equal shares as possible, based on independent professional valuation and adjusted in accordance with paragraph VI below. VI - My son Fernando's share of my estate shall be reduced by $5250. This amount is the negative impact that his loan balance of $7000, if it continues to be unpaid, will have had on the estate shares of my other 3 children, and it shall be distributed to them in equal shares of $1750. VII - I appoint my son, Dennis R. Coleman, Executor of my Last Will and Testament. Should he fail to qualify, cease to act, or become unable to act in this capacity, I appoint another to act as Executor. No personal son, David A. Coleman, representative in settling my estate shall be required to post bond in this or any other jurisdiction. I desire that my Executor engage the services of John E. Slike of the law firm Saidis, Guido, Shuff & Masland to assist in settling my estate. Page 2 of 4 fYr1. i3 C IN WITNESS THEREOF', I have hereunto set my hand and seal on l ~~day of 2006. this, the - ~~~Y~a~ (SEAL) ~,,. a Marilia B. Coleman ublished and declared by MARILIA B. COLEMAN, Signed, sealed, P on this and three (3) other sheets of Testatrix therein named, in our presence, paper as and for her Last Will and Testament, who, in her presence, at her request, and in the presen wetnessesh other, have hereunto subscribed our names as attesting Name =-e ----- Name dress A dress Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) WE, the undersigned testatrix and witnesses, respectively, whose names are signed on the foregoing instrument, first dul sworn, do hereby declare to the undersigned being y authority that the Testatrix signed and executed the instrumen and her Last Will and Testament fre will and volundtarylactgfor the that she executed it as her purposes therein expressed, and thaX esihned the willeasewitnesses presence of hearing of the Testatri g and that to the best of their knowledg of sound mind, andsunderhno time eighteen years of age or olde , constraint or undue influence. Testatrix Subscribed, sworn to and acknowledged before me byboth Testatrix, and sub~jribed an sworn to before me by cia of 2006. witnesses, this / 7 Y Notary Public Yb~ !~ `' Witness LIST OF NAMED PERSONAL pROPERT~Y~BET UET T CORPORATED INTO THE LAST WILL OF MARILIA B . COLFI~IAN RFC'TpIENT OF BE UO EST ITEM Anna Maria (1) Aquamarine Ring (platinum w/small diamonds) Anna Maria (2) Toreador Ring David (3) Grandfather's Gold Pocket Watch Aliree (4) Gold Snake Bracelet " Good Shepherd Church (5) Ecce Homo" Oil Painting Page 4 of 4