HomeMy WebLinkAbout09-02-10PETITION FOR P OBATE AN GRANT OF LETTERS
REGISTE,,~R~/O~tF WI~jLyL~S OF~n / CI COUNTY, PENNJSYLV/A~NIA
Estate of ~~ tm ~iG~ // I• ~-~/ 6 ~I ~s -//C. File Number ~/ ~ /V ~ ~/~
also known as ~ ~ _~~ /' ~~/ ~
Deceased Social Security Number ]'- ~F~/
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / aze the ~ X 10 C~ 107 . named in the
last Will of the Decedent dated ~~ O .~ and codicil(s) dated
relevant circumstances, e.g., r¢nurtciation, death ojexecutor, eJC.)
Except as follows, Decedent did not marry, was not divorced, and. did not have a child bom or adopted after execution i
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters of
(Ijapplica6le, ertrer.• c.r.n.: d.b.n.c.t.a.: pendente lire; durartte absentia:
Petitioncr(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following
Adntirtistration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list ofheirs.)
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I Name Relationship Residence I
(COMPLETE INALL CASES:) Attach additional sheets
Decedent was domiciled at death i
her last principal residence at
O D ` 12.E r N
(List street address. towrt/city. township, county. state, ip code)
Decedent, then ~ years of age, died on S /~ at /d~ 0 CLa.~'Prna~trlt' ,P.~/ CfarL~'SLp ~/~
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Decedent at death owned property with estimated values as follows: q
(If domiciled in PA) All personal property $ I ~ O D b
(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
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 undersigned:
5~ nature T ea or nntetl name ana cesraence
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Form RW-02 reg. ro.ls.od Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF ~~~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con•ect to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
/I A i
Sworn to or affirmed and sybscribed
bef me the ~~ day of
~` ~~d
Signature ojPersona(
r-,s
a
Signature
Register Signature ojPersann! Rep,•esentative
File Number:,
Estate of ~~~
Social Se rity
AND NOW,
having been presen ed b~e/f
are hereby granted to UI~ umber: nll7 " 4
a m~ejj IT IS-•D~ECRE D that
jIDtt? ~J ~ OCR
and that the instrument(s) dated
described in the Petition be admitted to probate and fil c
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Date ofDeath: /v
consideration of the foregoing Petition, satisfactory proof
in the above estate
of record gs jhe last Will (and Cpdicil(s)) of
Register of
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
r-ern, Rw-o? rem lU.13.06 Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.f10
P 16429926
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 Off e for rrnanent filing.
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Loca] Registrar Date Issued
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FEnmxnerr CERTIFICATE OF DEATH $
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LAST WILL AND TESTAMENT '=~ r ; ~ _;
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EMMETT M. COLLINS. SR. :~~~ w E ,:
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I, Emmett M. Collins, Sr., now or formerly of Boiling Springs, Cumberland
County, Pennsylvania, being of sound and disposing mind and memory, do make, publish
and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils
by me at any time made.
ITEM I: I direct that all inheritance and estate taxes becoming due by
reason of my death, whether such taxes may be payable by my Estate or by any recipient
of any property, shall be paid by my Executor out of the property passing under this Will,
which is not specifically devised or bequeathed, as an expense and cost of administration
of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for
any such tax paid by my Executor even though on proceeds of insurance or other
property not passing under this Will.
ITEM II: I hereby exercise all powers of appointment which I may have at
the time of my death in favor of my Executor, and all property subject to all such powers
shall be included in my Estate.
ITEM III: I give and bequeath all my household furniture and furnishings,
automobiles, books, pictures, jewelry, china, linen, silverware, wearing apparel, and all
other like articles of household or personal use and adornment to my wife, Marie J.
Collins, if she survives me.
ITEM IV: I give, devise and bequeath all of the rest, residue and remainder
of my property, real, personal and mixed, to my wife, Marie J. Collins, if she survives me.
If my wife, Marie J. Collins, does not survive me, I give, devise and bequeath the same to
the following individuals, to be distributed to them, as follows:
(a) Twenty-six and two-thirds (26-2/3%) percent to my daughter,
Ruth Ann Palmatier, per capita, now or formerly of Deposit, New York;
(b) Twenty (20%) percent to my son, Emmett M. Collins, Jr., per
capita, now or formerly of Carlisle, Pennsylvania;
(c) Six and two-thirds (6-2/3%) percent to my granddaughter, Lori
Ann Amey, per capita, now or formerly of Bloserville, Pennsylvania;
(d) Twenty-six and two-thirds (26-2/3%) percent to my daughter,
Waneta J. Goodwin and her issue, per stirpes, now or formerly of Camp
Hill, Pennsylvania;
(e) Ten (10%) percent to my daughter, Donna M. Baker, per capita,
now or formerly of Carlisle, Pennsylvania; and
(f) Ten (10%) percent to my son, Jack L. Caudill, per capita, now
or formerly of Louisville, Kentucky.
If any of the beneficiaries above-mentioned predecease me, with the
exception of Waneta J. Goodwin, their respective shares shall be divided among the
remaining beneficiaries on a pro rata basis as determined by their respective percentage
interests.
Page 2 of 8
ITEM V: In the settlement of my Estate, my Executor shall possess, among
others, the following powers to be executed for the best interest of the beneficiaries:
(a) To sell, either at public or private sale and upon such terms and
conditions as my Executor may deem advantageous to my Estate, any or
all real or personal estate or interest therein, whether owned by me
severally or in conjunction with other persons or acquired after my death by
my Executor, and to consummate said sale or sales by sufficient deeds or
other instruments to the purchaser or purchasers, conveying a fee simple
title, free and clear of all trust and without obligation or liability of the
purchaser or purchasers to see to the application of the purchase money or
to make inquiry into the validity of said sale or sales; also, to make, execute,
acknowledge and deliver any and all deeds, assignments, options or other
writings which may be necessary or desirable in carrying out any of the
powers conferred upon my Executor in this Paragraph V (a) or elsewhere in
my Will.
(b) To pay all costs, taxes, expenses and charges in connection with
the administration of my Estate. My Executor shall pay expenses of my last
illness and funeral expenses.
(c) To distribute my Estate in kind or in money. If any assets are
distributed in kind, they shall be distributed at their respective value(s) on
the date(s) of their distribution.
Page 3 of 8
(d) To retain any investments I may have at my death so long as my
Executor may deem it advisable to my Estate so to do.
(e) To vary investments, when deemed desirable by my Executor
and to invest in such bonds, stocks, notes, money markets, real estate
mortgages or other securities or in such other property, real or personal, as
he shall deem wise, without being restricted to so-called "legal
investments."
(f) To mortgage real estate and to make leases of real estate.
(g) To borrow money from any party to pay indebtedness of mine or
of my Estate, expenses of administration or inheritance, legacy, estate and
other taxes.
(h) To vote any shares of stock which form a part of the Estate and
to otherwise exercise all the powers incident to the ownership of such stock.
(i) In the discretion of my Executor, to unite with other owners of
similar property in carrying out any plans for the reorganization of any
corporation or company whose securities form a part of the Estate.
(j) To distribute my personal property directly to the Guardian of the
person of any minor beneficiaries hereunder.
(k) To elect such settlement options as deemed most appropriate by
my Executor with respect to any pension, profit sharing or other retirement
plan in which I am a participant.
Page 4 of 8
(I) To do all other acts in the judgment of my Executor necessary or
desirable for the proper and advantageous management, investment and
distribution of my Estate.
ITEM VI: Any person who shall have died at the same time as Testator or
in a common disaster with him, or under such circumstances that it is difficult or
impossible to determine who died first, shall be deemed to have predeceased him.
ITEM VII: I nominate, constitute and appoint my daughter, Waneta J.
Goodwin, to be my Executrix (herein referred to as "Executor"). In the event of the death,
resignation, refusal or inability of my daughter, Waneta J. Goodwin, to serve as my
Executor, I nominate, constitute and appoint my granddaughter, Sundee L. Goodwin, now
or formerly of Harrisburg, Pennsylvania, to serve as Executrix. My Executor and
Guardian are specifically relieved from their duty or obligation of filing any bond or bonds.
IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will
and Testament, consisting of this, the next three (3) pages and the preceding four (4)
pages this 3ObE. day of , 2003.
C~~-~.~T yYt ~ ~~.y~
Emmett M. Collins, Sr.
Page 5 of 8
SIGNED, SEALED, PUBLISHED AND DECLARED by the above named
Testator, Emmett M. Collins, Sr., as and for his Will, in the presence of us, who, at his
request, in his presence and in the presence of each other, have hereunto subscribed our
names as witnesses in attestation thereof.
5115 East Trindle Road
Mechanicsburg, PA 17050
72 South Pin Oak Drive
Boiling Springs, PA 17007
Page 6 of 8
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.:
COUNTY OF CUMBERLAND
I, Emmett M. Collins, Sr., the Testator whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will; and that I signed
it willingly and as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and acknowledged before me by Emmett M. Collins,
Sr., the Testator, this 3D#. day of~Z~~711AhcL , 2003.
Emmett M. Collins, Sr.
agc-Public
My Commission Expires:
(SEAL)
NOTARIAL SEAL
CONNIE R. SHULT2, Notary Public
Mechanicsburg Bxo., Cumberland Coumy
Canmission Expires A st ]9, 20D6
Page 7 of 8
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS.:
COUNTY OF CUMBERLAND
We, John R. Fenstermacher and Robyn A. Cronin, 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 Testator sign and execute
the instrument as his Last Will; that the Testator signed willingly and executed it as his
free and voluntary act for the purposes therein expressed; that each subscribing witness,
in the hearing and sight of the Testator, signed the Will as a witness; and that to the best
of our knowledge, the Testator was at that time 18 or more years of age, of sound mind
and under no constraint or undue influence.
Sworn to or affirmed and subscribed to
Fenstermacher and Robyn A. Cronin, witnesses, this3(~,,f,,~f
before me by John
~ c~~la 2003.
R.
N ublic
My Commission Expires:
(SEAL)
NOTARIAL SEAL
CONNIE R. SHULTZ, Notary Public
Medranc~sbur9 eoro.. Cumberland County
Commissron Expires August 19, 2006
Page 8 of 8
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