Loading...
HomeMy WebLinkAbout06-15-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of . a/k/a: a/k/a: a/k/a: Anthony BeCoats Deceased ESTATE NO: 21- ~~„~ ` ~ b SS NO: 088-70-1925 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ti> ^ A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (c~_ glete Par~~L' also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters ~ ~v ~-- ur~in the last Will of the above-named Decedent, dated ________ ___ and codicil(s) date 7 c7 _x =~~ ~~ -~z~., c1I ` ~ a ~=- ~a (State relevant circumstances, e.g. renunciation, death of executor, etc.) ~ C -~ ~ ;,~ ~' ~ Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted a~e~xecutiot~ef theE! rnn instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated ~rson, and ~Y3S notes party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as4lefined in 23 Pa. C.S.A. § 3323(g): p B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante 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), except as follows:- Name Betty J BeCoats 1824 Sloan Drive Charlotte NC 28208 Mother Arlester BeCoats 5065 Isabella Cannon Drive Raleigh NC 27612 Father Leslie BeCoats 1824 Sloan Drive Charlotte NC 28208 Sister USE ADDITIONAL SHEETS IF NECESSARY :nl THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 2318 New York Avenue Cam Hill PA 1701 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 40 years of age, died 4/30/2011 at Lemoyne PA (Month, 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 $ 1,500.00 If not domiciled in PA Personal property in Pennsylvania $ If not domiciled in PA Personal property in County $ Value of Real Estate in Pennsylvania $ - Total Estimated Value $ 1,500.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) wt_ W _~_~ P_ 7\,i..:l:.... A ,7,I..soclnc\ Signa refs) 1.A1110~J~ ~ ...A.....s ~........,.,\..,, r` Betty J BeCoats, 1824 Sloan Drive Charlotte NC 28208 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2 OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm 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 tp law. f Sworn to or affirmed and subscribed '' be ore me this ~ ~ day of e -~- __, ~ o A ~' ~o `~ _ ~ vi ~ ~ ~_ x:°: c-~ For the Register ~o~ ~ ~ _' <;. '. -,-, DECREE OF PROBATE AND GRANT OF LETTERS ~ - ~~ m _1 Estate of ,Deceased File Number: 21- AND NOW, this day of , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary X of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) Betty J BeCoats in the above estate and that instruments(s) dated described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda Farner Strasbaugh, Register of Wills FEES: Letters ....................$ 20.00 Will ....................... Codicil(s) ................. (10) Short Certificates 40.00 (1) Renunciations....... 5.00 Bond ............................ Other ............................ ................................ Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ 93.50 Signature of Counsel Required to Enter Appearance Atty's Signature PRINTS ame: Jam A Miller Es uire Suprem Court o.: 61352 Address: 4 South 17th Street Camp Hill PA 17011 Phone: 717 737 6400 Fax: 717 737 5355 Page 2 of 2 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court ;~~ ~ „~ ~I -l/-CP~C~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. ~fi.00 P 17299821 Certification Number i.1N REV 71!2008 YPE I PRINT IN PERMANENT This is Uy certify tslat the informatitm hers _iw~en IS correctly copied frt~n~ ur ctri~~inal Certificate of Death duly filed with inc a> Loco] Regisu~ar. The ori~~inal certif)cate ~~~ill ire lor~a~arded to the State V[tal Records Offiee i~ur permanent filing. ~- MaY, ~ 0 20» lam. ~ i --~--1-- -- --- Local Registrar Date ]slued Crp -= ~~ ~ ~0 ~ ~ ~r ~7 {'-~1'~in ...' ~i a7 ~ --, r ~ ,` ~?~1. ~~~ t:..rl:r"~r-f OC _ Y -'O~ _._. ~-n COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH vem l.a•in•Mlnna .nd w><nmeles en reversal STATE FILE NUMBER 0.,..1. Noma d Oxrdarn (Piet, nildle, Mu, erABtQ ~~ 2. Sr 3. Social Nwber . Date d Ortlt (Monm, day, year) . fK~~r ~~p,4 /S /k~(C D - ~ - (q~ April 30, 2011 /~ Undo 1 ~ e. Deb d BIM (Mash, r) 7. a ace eM ebb a Bw Pba d Deets Check one s. Age (last Bidrtlay) Umu 1 Y FbepiW: Other: Mae. 0srs Han MM° ~' /~ /~ • ~ VD ( ~ • ~ V rE CJC ~ • ' ^ hpe8em ®ER! pdpedem ^ DOA ^ Nosing Noma ^ Residence ^Oltbr ~ SpedhM Y n. • Bb. OounH d DasNi Bc. CNy, Boo, Twp. d Death Bd. Fsdfty (N not irrYSreon, give ante! end amber) 9. Wr Deredenl d Nisparic Ortph7 ~ No ^ Vas 10. Race: AmeMfan~irden~Bla~ckl Wl~na. etc. (N yea, WecIN Coven. (SpeaPl1 t,/L.r "---/~ Dauphin Harrisburg Harrisburg Hospital M.ekan, PuMO Rlcen, «~.) 11.OeceduRe Uaud Knd d work don oast d Ne. Do nt Bleb 12. Wee DeadeM a79r M me 13. Daadrra EduaBon (Spedq amy IdglbM Fade eamPbted) 1/. Memel Sbt~ Marded, Never Mertbd, 15. SurmNng Spouse (N wile, pFro maiden name) Dlwn:ed (SperM1 ilowad U.S. Awned Faa67 Ebnbnbry / Secondary (0-12) Cdbge I1 ~ or 5.) G wai d &elraa l NduaaY ~E VE~ ~+'~ • E • 1& Dead.Me FAdWtg Addrw IBreel d7 / 2A ) Ofd Decedent ~,,~ /` crl mwri~a, op{de DBCedeflYa Q Live Ina 17c. ^ Yes, DantMl lived h Twy. Amrl Re•Iderca ,7.. Seta A ~ ~ TOW~p? lJ ^ , e , F1 t.! A ,7d ^ No, Dewdenl LNed weMn Z 3 [ ~ i ~~ /~ „'• ~ ,7b. CoumY ~I ~/J(/~ ~I ~ AcNel iJmu d CMY! Boro _ Y !! ~/1 / " ' / 18. Fames Nuns (Piet, mldtla, lea MAAs) /l 1B. MdMh Name (Kral, midde, mebee sumemel ~ ~ (~ oa Jc/~ *1~~~ ~ ~~ zoe. Inlmnenre N.me (Type l Pdm) 2 ~E /,•' a ~ 2gh./I~bynsm'a MsY Add dN / ~, , bP fie) ~ (~~ ~~,,[ _ ~() /~~/~ • (/~~)i ddd4ia7/J( /~ G-N*/e veT~" ~`~'~ 2- ^~~ ~J~ /`'w7•-rr~~ lF V ~ .. . E n d DYpaeNOn (NO^ma~de!aartarY, aunetaY n ~-eyr~,resla~c.) 21d. Laaem (ONY I C~w,n[ua~te, z10 code) ~/ ~f d Depo ~1 21c. Pl/a eNbn (Mas^h, de Y, Y 21e. d DlWrson ^ fkaneNan ^ Danseon 21b. Dale ec ~rz s~c • ~ C~ ~•C ! ~ 1 ~ I w 7IM Buial ^ Rraval lmm gate .•• -7"" ~ l~C onR^Yr^NO M/t ! 3 ``mac ~•e~/~~I• /•I.cM/O/ Y dlW E mt rar Me ^ timer ~ SPOaYt` w Serviaela ream) 7 a~L ~ 1411/as~ F~al~`/~ ~;/A~ ~~~ ~~ s~i~. .Q. ~~b //~~ s / cayyyp 29e. To th b«t d , drip oa~ared at the tlme~ date and pace atetW. (SlgnMe end tltle) 23b. Doerme Mmber 23c. Deb 9giwd (Mats. day, year) psme glee sly when plryeidm b na avallehle at time d drm b pnpy uine d arm. Tlmr d Drm 25. Date Prdriounad Deed (Morph, daY, Year) 26. wee Cre Rafemed ro Medan Esaminer / Cacner fa a Rarm OIMr than Cremation a Danatbn? 21 • . !lams 2428 m•l tie mniplebd by Mre•+ nl 30, 2011 ~ yr ^ "° wlto pew drm. 10:35 P M. AP CAUSE OF DEATH (Sae Nwlneetlorra end eeampbe) r Appadrnele iaervd: a mnpla8me-mal drecdy auwd me drdl 00 NOT rbr tamlinl evNe BeCh r ardec emeM, r Orwel b Deem ir~alr h tl evaaa -darer tl d • Par111: ranar iAer ' dA not rewlbq h dk undMyFg saw glvew h Pert 1. 28. Did Tobexo Usa CaN6iAe ro Oeam? . ^ Yes ^ Pmbeby , , r e Nam 27. Pvl I: Fsler reeplrabry anent. a vundaaer rbd4tlon wlmaa slioa45 tlro inklogy. Llet aiy orb awe m each IFb. r r ~ No ^ liilarovm MYEdATE CAIrSE FYMI dlreee a i ~ matic Brain Injury ; Ai h T 2B. N Femab: Mm wNNn Mq year ^ Nd re r ig caMeonrw rau ) _ge. a. Due b (a r a aawwmce dC ~ p p ^ Piegam et time d drm Pedestrian Struck ~ rsl oaitllcns. 2 ury, b, ^ Nd prrrgrom, aA laeQbm wMr e2 days A Due m (a «e dansegwnce ofl~ r ~ ~y~~y ~m ~ d deem ~e ~y al or MwN dMm) UL4T c. ^ Not prgrrt. hul pragnm 43 days to , yrr Due m (a r a wMewance oft: ; r Mlae deem ^ UNUionn N prgrem wNhin me Met Year d. • age Wr m Adopey 300. Wen Aubpey FMnpe 31. Martyr d Deem 32a. Deb d hl•Y (Mash, day, yrr) 2011 i130 A 32D. Oralbe Flow mhaY Dearmd Pedestrian vs vehicle 32t. Plre a Iryurr Hans. Form, Sbsal Fatlory, ea~na,ero./sir) Rooa~wa I>arlomed7 AvaladaRtorbcanpldion ^~ ^ pr , y ^ yr ®No d Guea d Drm? ^ yr ^ No ® ^ pubiq In~ergetlori 32d. Ten d it~tay 92e. hJury tl Wark? 321. N Tmapabaon IR'ay (SWc'N) ^ orM.r! OMruar ^ Preaigar ®Padaunui Leatlan d ijreY (Sree4 cey /town. stab) ~0~ 200 Block of Lowther Street, Lemoyne, PA ^ sredae ^ could Na ee Debnnsxd 09:35 P M. ,~ ^ ®N0 Ogw. yydy. 33e. Camear (idMdt mry ar( 33b. Title a DerBrYirg PhYaklm (Phyesdm rNlyyq awe d deem whr anmu i>lryakbn pea pmrpuitc« deedr end aai•leted Vern 23) ______________________ ^ d mrrwrabbL Lisa A. Potteiger, Chief Deputy __________ To tlr bsMd myloawNrga,dwm rxamd drbtlr rarrla)an • ProrronMeg and rrdying phYetdm (Phyelden ham prdrancsq deetlt ant aro7ying ro awe d dent) ant drmtlr auaep)end mamerr sbbd------------------ ^ d ity dW 33c Number 33d. Deb Signed Iktonm, deY• Ye•) May 2, 2011 - ,an p , Tama wadery krowbdge, deem eaaandrtM tbr, ____ -. ___ _._..'- • Iledlal EerdrwlOoranr oWdoM1 drM aeeurrad M the 8rr, dab, rM Pie. and dw b 1M ramp) rd mrnar r rdabd_ ® M m 8 I i 8 ~ Name ant Adde« d Person Who Con•bled cause d Deets INUn 27) Type! Pam y en. a rvr ge On Ste baab d aeuNnllr and . Lisa A. Potteiger 35. Rspdrare ant .. ~ Io711 ~°Z I~ ~~ ~ ~ //.»M~ _ ~~ Oak lMg1N'. , y«`) .J~/Q ~~ 1271 South 28th Street Harrisbur PA 17111 __ __ - detwdUon Parton No. sr rp! y ~-'-t' (] JUN-10-2011 07:59 From:KE ESQUIRE 6107389770 To: 19197810822 ti/g/y011 6:59 PM FltOlt: Greae Roatl Settlemnt Miller Lipsi~ee LLC 'r0: 610T369770 PAOE~ 002 OP 002 n i-- O 1;1 ~j r~~ - 2rn r ~~ ~~ t-~~~ _`~ 7 I.tENUNCx,ATION ~~' RI:GISI'Eft pF WILLS Cumberland __ __ COUNTY, PCNNSYLVANIA ~-i- Pa9e:3~5 !^„~ c. (r cn -~ ;`~1 ~ ~ C,~: ~y~ f-~. r i', fh- =) ~- 'C~--j ~_=- tT *3 Deceased ~~tate of Anthony BeCoats I, ,Arlester BaCoats in my capacity/relationship as (Pant Wns~J of tha above Decedent, hereby renounce the ng t to r ~mirtister the ,Estate of the Decedent and respectfulty request that Letters be issued to ~eCUted in Register's Office Sword to or affirmed and subscribed l~fote me this day of; --- ~?gpNty for Register of Wills Fpnn RW~6 rsr, l0.li.Ob 5065 Isabella CanAO~a Drive 15troet Add+sssl Ralei tl NC Execaled ow oJRegis~er's Ojftce (Sis,quoe uid Sml of Nolary of other official Qualified \ H~ administeroaths. ShswdateoYayiinahnnofJrotatY=~~,,~ .~Q~~ ~ ~ '~ . i Before the undersigned petyopally appeared the party executing this renunciation and certified that he or she exeeuted the renunciation for the purposes stated within on this __~~ daY of_.~P a 7~ // of ry ublic My Commission xpires: .,tttttN„ !M~ J C AtA~ Wca' pTAtRy~~`~~~ Y~ ~ , '~, ~°UBL~G ; ~~ .. , ,~,•. ,~ i ~BTON~-'''''~ J uIl~i via ~~~ (dwsj