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02-14-11
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WII..LS PE/T~I~TION FOR PROBATE AND GRANT OF LETTERS Estate of f ~~ • WI~D~ ~ll~S Deceased ESTATE NO: 21-r ~~ ~~J a/k/a• rl~. p fl a/k/a: a/k/a• ss No• `~ DS- ~- s~bD Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION °A' or `B' AND "C" as applicable: ~ A. Probate and Grant of Letters Testamentary or ~ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters under the last Will of the above-named Decedent, dated ._ _ _ and codicil(s) dated _ _ (State relevant circumstances, e.g. renunciation, death of executor, etc.) Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted after execution of the instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(pJ: ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent life, durante absentia, darante minoritate) C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will 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 Will in Section A and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g),~ccept as follt~ps:_ r .'.? Name A(111M•! D _ ____ ___ Y6l ~~ 4 T ~~ C~ r~~ _~ UJG AUDI l lV1VAL Jltl;t:l~ Ih IVt:(:I;,JANY THIS SECTION MUST BE COMPLETED: Dec e w coo icil at death in Cymbt At __ ~~ ~l.e~ 2n ue, vino ~:~ -ri /~/_ ~1~ 5...1 .. ^-y.J~ ~~~ ~ `- WT..~ ~~-' .i ~~ r-rt L7 y or principal residence (Stmt address with Post Office and Zi Code, Munlic-ipality: Township, Borough, City)1' 1 Decedent, then _~ years of age, died ~al ~ i ~D1 ~ at ~p t~LLt 1 PQ, (Monte, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA All personal property $ U d u ~ (~ _If not domiciled in PA Personal property in Pennsylvania $ If not domiciled in PA Personal property in Couttty $ Value of Real Estate in Pennsylvania $ '' 1111 Total Estima'teld Vrra~~lu~ej ,~$ 0.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) _`d 01 ~ ~~ ~'[ ~ Y +~`ttJ~ y'Q • 1 ~~b ~~ Signature(s) Name(s) & Mailing Address(es) ccj ~ Co /G ' ~-eoti'T ~Ccz;'"' ~t m. ~~~ m nw-va wvwcu ~~.~o. w oy ~.umoenana county penning xenon oy the court Page t of 2 Oath of Personal Representative COMiVIONWEALTH OF PENNSYLVANIA n n SS COUNTY OF l ~.~ r ~ ~ , 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 the J y-~ day of ~ 1 ~t I F the Register Signature oJPersonal Representative Signature ojPersonal Representative Signature ojPersot:al Representative Y•J *~ ~ "T 1 c, t -t ~-+ ; ~y T C7 ~ :.~~~ .~" File Number: Estate of Social Security Number:, 'm C.J"t `'~ cr.:~ Deceased Date of Death: AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters are hereby granted to and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ a5~0©.(~ Short Certificate(s) ........ $~ •~C~ Renunciation(s) .......... $ S• ~~ ACS ... $ ©a ~-uft~r~_f-ri7-v~., ... $ a3.62~ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ c~~o~ Register of Wills Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: in the above estate Fa~m RW-0_' rev. l U.13A6 Page 2 of 2 IOS.SpS RgV f01 /07) 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 17047187 Certification Number This is to certify that the information here given correctly copied from an original Certificate of Dea duly filed with me as Local Registrar. The origin certificate will be forwarded to the State Vit Records Office for permanent filing. G2-vn___-~ ~ ~. ~A~ 2 8 011 Local RegisU•ar Date Issued ~ :v c~ ~ ,~i ~ -T. :7 r-n ~ ~ ~ r ~ C7 ~ ~ r- t r ri~~. - ~ rn ~ ~ _ ~' . r-' a r~+~ :::'. 1..:7 ~ C'7 ~ ' ~. ~' n Z7 ~ ~ ~ ` .n• cn ~ a~ 3 REV 112°0° I PRRIy IN 3MIINEyIy sac alR COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions end examples on rovsros) ~.,.,.~ n, +. Nema d Daoedw (Fb4 mNda, WL auArl 2.9« 3. Sore 9eouMy Number ~. Due d Daub (Maw, d•Y• Y•M Carrie Coulson Stevens Female 208 38 5500 _ _ Jan 26 2011 & Ape per eromerl lAlder 1 IANr 1 & DeM d BM 7. end etm a Be. Pleoe d Deetll CMtlc a« 6 3 eeallne orp Na« Mlrlr N~o/epi4l: Derr vim. May 29, 1947 Harrisburg, Pa VJbpedaR ^ERloaprem ^DDA ^NunMpNa« ^Rwdrna ^arr-seedy e6 De.ey d oar, ee. enr, eoro, Drh ee FadMy Noma M rpt betledn, pM rer and nnd«>r) 3. W« DeoedeM a weport OdpbT No ^ Y« +o. Race: Arrrnon bun, era, WHr, eb. Cumberland East Pennsboro Holy Spirit Hospital l~ ,eb) ( • ++. Daoe9edY UeIW daolk ear mad d Ile oo notew 12 Wr Daodrp ava b er 13 Dacadr8e Eaye;tln (sPealy aiy M2Frr preee anon) U. Maur area: McMr, Never Mnled, 10. saMip spare m •Ir, pe• ,«idee iwr) lane d wak R+nd d euirrrlbdrey U.S. Amrd Fanre4 , ~ Seoaidery (0.12) CoMpe (+~ a 5r) WNo•ad DRa«d (~•a'y) Secretar Hos ital ^r« ®Na U k Married Eric T. Stevens Y8'Deptl""~e~1Ap1ddri~'"'c°~"'""'rr''~pav°°) 4 2 6 Ridge Ave DeC~""~' Pennsylvania ~,,°i;°v" East Pennsboro '~ R°1MNq° +Te. stele 17e.~ Yee, oecedre twed b TNp . Enola Pa 17025 T , wea.ern ttb.eaeey Cumberland ' +Td.^~ l a c3y~eao 18. Febefe Name (FNet, mbda, ler, edMcl 19. Matlrh Name (Fhq, nYdee, melds eunwna) Roy M. Singer Carrie Lillie 2d. blamed'e Name (Type I PrPd) 20b. Mamw'e Maaq AdAw Ism dy I ben, err, bP ade) Eric T. Stevens 426 Ridge Ave., Enola, Pa 17025 2te. Mebod d Drpadlbn ~ C]ltCr«rtlon ^ Do«en 2+b. ore d Drparal Mad6, dn.Y•a) 21a Pro d depoepbn lNe•la d onrWY, aemaaY a aerr peo) z+d. taoen (Gry~bwn, rer, eP code) ^ euw ^ Remar aom awe ~ wr CnerRen a oartbn Autlrrbtl ^ ~,,,,- ~ ~,,,,~,,~,~~,„,.~„ ~.«^,~ ~ Jan 28, 2011 Evans Cremation Service Leola, Pa s«wrl.bne«(«pran.dbp«rr') ?2b.uaewNuMw z2.. ~N•m••~~•e•aF•~r Sullivan Funeral Home - FD011897-L 51 N. Enola Dr. Enola Pa 17025 Casper Renras•c any wMn aerleyklp zs.T ,n even rMe«, ar reWI.IMO~•• er) Z0. Numb« 23o Der siprd flwar, hy, Y«r) pryMdr r na ealebr r tyne d even n «ry a..e d ern. L G pM« ~-~ mW ~ a~ b/ P•r~ 21. Time d OeaMi Pmrured D«d (Fbdh, ery year) 2s. Wee Ce« Rune b MadaY Fmrw I Caarr a Raven Odrr drn ? • alr pronaeere arm. ~ M. ^ V« IR'S'( Ro CAU9@ OF DEAiyi (9er ~ AppodmeN hrrrvek N: Emw otlrr 2e Dr Tdrxo lra CaibWle b 7 Vern 22. Pad is Enla M ~~- drre«, bM•r•, a anplardr - tlr+dMeay Me tlerh. DD N0T rrmNrd event eurh «ordlac erroq, ~ dwt b Derh bd sat naMbp b er uardylrp our pNen b Pad I. ^ V« ^ Prdray raeperay ener, a «Illaler aeetdon aerut aM•ye er Wobp/. W aAy ar auee m «dr rr. ~- ^ udao•n ~A~~i ~ . (r1 c'I A 3i-gn G A-p a~+/'o Cf}KC N'`/amo~ of '1~ (I Ve+z i b,~eol~t . N Y Ps R r~s t o w . ~ "~ Rr + b (a «eoQ: ee oardtlar,rM', b ,(M"ICIV•O WIC' ~~(Y1'(~fl.`/ i `~~ w pwr~ r wd r•u P art ~d ^ . ~{NIDERLYRID CA{ISE e. D« b (a « e oaregrw eQ: r ~d~~~ ^ Y~Y ew~ir N^InrN 11 derh) IAST~ ~ ~ d eeelh ^ Not ggient, but paps 13 deye b 1 yen Du b (a « e odw4~• olT ~ belae d«tn d. ~ ^ Uriarwn ° praprd wllln tlN Per yea 90a. Wr n Aubpey P d'1 e 306 War Aueopey Rldripe 31. Memer d Derr 32s. Deb d Way fMa*, day, yee0 326. Deeor6a How bJuy Oonered ~ 32C Pro d MaY Noma, F«n, 3aeel Faaey, omr e Avdehr Pea b Cnprrm ,~~ ^ ~~ ONo BuRdnp, ue. ISbedy) d Ceu« d D«M? ~/~ ^ Y N ^ Y ^ N ^ Aaidre ^ Pen~9 ran 32d. TY« d rMY fie. MGM r wadfl 321. ° Trrupwrtlon WuY ICY) 32Y. t.aoen d AyaY (36eu. ay I bYm. tier) « CJ o r o ^ stYcide ^ Caild Nd b Darrmerd ^ Y« ^ No ^ thlverll)arabr ^ Parerpu ^ Ped«trWr M Oenr•SP•r+N' 39e. Cain (drek •rr ar) eitln lre • artlryal e relen(P6 eldrl«nyi au«dbee vArrl enotlrr p nrbaced deeri eM mr rW Ran 231 396. Sipreee end TM d CertlOer PR ~/'Y r~^~7 /~ ~ gp y y q P p R ro eearawy rrerrrdpa, rer6earerw ew b Ilr ••••NN end mrew«eerW _ - _ _-- _ _ -- _ _________________ - - PiarrlaYlp enearRFree PbyeMrn(Phyaior+boa pawlae darh ru adRyYlpbcededdeNhl Teer6ramrrloredwwRaea.weawRewdre,rrP~.re«burarrMh.rm.wr«wra----_------ ^ • ererrEe.errnrc•rerrr ------- 39c. lbrre Flamer MO ~ 2l ~I~ta 33a DUe p+onri, day, year) ~ ~S7 + I I OntlrReiaaarerW«and/ar tmrWpetla4bmy apblar, deeel aearnd rdr a«,dre, ndprea,rr a«btM errNN rr errr«errd. ^ 3d.Nr«rr AddeydPennWM Carprled CeueaD«In (Rem 27F TypalgH '' j"~'r "d l02~1 ~I o71 / I ~I %°~ 7 d'je/ "`~r Ih'p ~~, l'1~t t 3tis-e ^M~dc.e~R.~~ 1 0 ~ ~ .. _ ,/ ~ DNpa,ltla, Pemdt No. V S~" of S U t -> ~`~`~ _ -~ -,. ~`~ ~ , ~ ~, C7 t-~ ~; ~ o Imo' ~ `.-y ~.+ _ ;" ~.7 7 C. O ~ ~~ ,. _.~.;; ~ _ ~ ~~ ~ ~ ~~ CABBIE R. COULSON I, Came R. Coulson of 31 Ridge Avenue, Enola, Cumberland County, Pennsylvania, 17025, 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 maybe 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 direct that my bodily remains be cremated and my ashes be disposed of at the discretion of my Executor. ITEM IV: I direct that all of 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 pass to and become part of my residual estate and pass as set forth under Item V below. ITEM V: I give, devise and bequeath all of the rest, residue and remainder of my property, real, personal and mixed, to Eric T. Stevens, now or formerly of 31 Ridge Avenue, Enola, Cumberland County, Pennsylvania, 17025, provided he survives me as set forth herein. In the event that Eric T. Stevens does not survive me then I give, devise and bequeath all of the rest, residue and remainder of my property real, personal and mixed to my son Michael E. Coulson, now or formerly of 84 Front Street, West Fairview, Pennsylvania, 17025, provided he survives me as set forth herein. In the event that Michael E. Coulson fails to survive me then I give, devise and bequeath all of the rest, residue and remainder of my property real, personal and mixed to my grandson Michael S. Coulson, now or formerly of 84 Front Street, West Fairview, Pennsylvania, 17025. yr ITEM VI: In the settlement of my Estate, my Executor shall possess, among others, the following powers to be executed for the best interests 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 liens or 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 VI (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 all legal expenses of my last illness and my 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. (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) The right and discretion to elect the most appropriate settlement options for any pension plans, individual retirement accounts or other employee benefit options, as deemed most appropriate by my Executor, assuming such election shall be in accordance with procedures established by the plan's administrative committee or administrator, as the case may be, if such elections have not been made prior to my death. (1) To do all other acts in judgment of my Executor necessary or desirable for the proper and advantageous management, investment and distribution of my Estate. (m) The right to engage accountants, attorneys, appraisers and other agents, as deemed necessary by my Executor, to render advice toand/or represent my Executor, as my Executor deems necessary or appropriate to the administration and preservation of my Estate. ITEM VII: Any person who shall have died at the same time as Testatrix or in a common disaster with her, or under such circumstances that it is difficult or impossible to determine who died first, or who shall fail to survive Testatrix by a period of thirty (30) days, shall be deemed to have predeceased her. ITEM VIII: I nominate, constitute and appoint Eric T. Stevens to be my Executor (herein referred to as "Executor"). In the event of the death, resignation, refusal or inability of Eric T. Stevens to serve as Executor, I nominate, constitute and appoint my son Michael E. Coulson to serve as Successor Executor in his place. My Executor is specifically relieved from the duty or obligation of filing any bond or bonds. ITEM IX: If at any time, any minor child or legally incompetent person shall be entitled to receive any assets hereunder, Rosie Z. Dennis, now or formerly of 1608 Naudain Street, Harrisburg, Dauphin County, Pennsylvania shall act as Guardian of the Assets payable to such child or legally incompetent person and shall have full authority to use such assets in any manner as such Guardian shall deem advisable for the best interests of such child, including college, university, post- graduate or other education, without securing court order. ITEM X: In all references herein to any Executor, Guardian, Beneficiary, or other, the use of any particular gender or the plural or singular number is intended to include the appropriate gender or number as the text of this my Last Will and Testament may require. IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will and Testament, consisting of this, the next and the preceding two (2) pages this ~ day of ~jpp , 1999. Carne R. Coulson, Testatrix SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, Carne R. Coulson, as and for her Will, 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 in attestation thereof. Witness Name Address ~ / ~~ Address ~ 17 /U Witness Nam ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: COUNTY OF 7~(.1 p ~ ~ ~ SS.. I, Came R. Coulson, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does 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 Came R. Coulson the Testatrix, this 81,x. day of 5,p~~,w,,b~, 1999. Came R. Coulson Not ry Public My Commission Expires: (SEAL) MOTARIAI SEA-- Public JOHN R. BEINHA~R~ No~~ Cou~~ Lower Paxton 7wP; ~ ~ M 1° Ch 13 2003 ~ Commission Ex ~ p AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: :SS.: COUNTY OF 1~f4-~P~" `~ We, ~s-..erg ~~i"n Q :~//(/~'!~l/1 ,P~ILL~ and ~iViJ ~ f' },~u,g~ , 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 Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness, in the hearing and sight of the Testatrix, signed the Will as a witness; and that to the best of our knowledge, the Testatrix 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 subscri d to b me by ' !9!!¢ ~~-- .~.-~IGLO and u witnesses this ~ day of ~~nA~L,.~ n~ , 1999. Nota Public My Commission Expires: (SEAL) NOTARIAL SEAL JOHN R. BEINHAUR, Notary Public Lower Paxton Twp., Dauphin Coup M Commissbn Ex 'res March 13 203 ~~~~ rtness I, Eric T. Stevens, resign my duty as Executor of the Last Will and Testament of Carrie R. Coulson (Stevens) and appoint Michael E. Coulson as Executor to handle the affairs as outlined in her will. w~ Eric T. Stevens 'c ael E ulson f-~r-~/ Date ~-3~-r1 Date n i~/ ?' i t ,f Witne Date ff COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL SU2ANNE M. DEDERER, Notary Public Cramp Hill Botn, Cumberland County My Commission lxplras Aupust 20, 2013 -~ n ~ '*3 r r-n = C7 ~ c~ G> .7 ~ :-A _~ ~z„ Z t i ._. - C? ~ ~,~ -s-i cJ'1 O