HomeMy WebLinkAbout10-04-11PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of
REGISTER OF WILLS OF
naniPl R_ Coldren
CUMBERLAND
COUNTY, I~ENNSYLVANI
File Number 21 ~'
also known as Social Securir/Number 189-09-1680
Deceased
Rebecca E. Sherman
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE `A' or '8' BELOW: )
EX@C:UtrIX named in the
^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
last Will of the Decedent dated 11/01/2007 and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
After the execution of the documents offered for probate: Decedent did not marry• was not divorced; was not a part~r to a pending divorce proceeding
wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323 (g); did not have a child born or adopted; was not the victim of
a killing; and was never adjudicated an incapacitated person, except as follows:
n/a
B. Grant of Letters of Administration
app ica e, enter: c..a.; ..n.c..a.; p en e i e; urante a senha; uran a minon ate
Petitioner(s), after a proper search, has/have ascertained that Decedent left no W ill 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 on Section A above and complete•list of heirs); was not the victim of a killing; was never
adjudicated an incapacitated person; and was not a parry 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:
536 W. Cumberland Road, Enota, PA 17025
(List street address, town/city, township, county, state, zip code)
Decedent, then 90 years of age, died on 09/16/2011 at Holy Spirit Hospital, Camp Hill, PA
Decedent at death owned property with estimated values as follows: 330,000.00
(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 $
$ 139,500.00
Value of real estate in Pennsylvania
situated as follows: 536 W. Cumberland Road, Enola, East Pennsboro Township, Cumberland County, PA.
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:
Signature Typed or printed name ~tnd residence
Rebecca E. Sherman 22130 Putt Lane
Ernola, PA 17025
f . ,/yl,yt c7,,."
Form f~ -f)2 Rev. 12-26-2010 (intedm form, pending action by the Court)
Copyright (c) 2010 form software only The Lackner Group, Inc.
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(COMPLETE IN ALL CASES:) Attach additional sneers 1r necessary. ~_
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
W/t,RNING: It is illegal to duplicate this copy by photostat or photograph.
~Thi~ is Itt ~:crtifv that the :niiTrmatiun here given i[,
e t~tn this certilit.atr. S(,.Illt c(yrrcctl~t cly[~ial Innn a)r t~n~~ln;il C crUtlra[e 1~t Dc,(t~
Multi lilyd with mr a~• i.(t~al Registrar the (ynguml
certilicatc- ~~ili hl' ~un~ur;lcc! tt~ the $tatc Vigil
IZe~~Ynl>• Olfil_(: fi;r prrnulnent filing.
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Certifi~atlun Number j
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
Ht05.114 REV 1t/2WG CORONER'S CERTIFICATE OF DEATH
TYPE I PRINT IN '
PERMANENt (See instructions and examples on reverse) STATE FILE NUMBER
2. Sex 3. Serial Beauty NwMer 4. Date of Deam (Month, day, Year
BUCK INK #33-101
1.Name Of Decedent (First, middle. last, suffix) Male - Se tember 16 2011
Daniel R Coldren Ba. Placed Deelh (Check onry one)
7. Birmplace (city end dale or lomign caMry) DNtt:
5. Ape (mil &MdeY) UMer 1 year under 1 day 6. Date d Birth (M«m, day, year) Hospilel:
"'~"¢ pan "°'"' """~ Enolar PA ^ IopatieM ER / OulpetieM ^ DOA ^ Nurshg Home ^ Residence ^Otlar ~ Spedty':
90 Yrs. Se tember 22 1920 1p.Rac¢: American lMien, Black. WhNe, ek.
Bd. FatlMy Name (11 rid inst8ubon, give eked and number) 9. Was Decedent d N6Pmk Origin? ®No ^ Vas (~I/1
w. county a beam Bc. c'ny, Bom wv. Deem In re¢. ¢pecdy cubm~,
Mexkan, Puerto Rkan, etc.) Whlt@
Cumberland East Pennsboro Hol S irit Hos ital emaidan name)
lion K,M d wore done du ~ most d wakl file- Do ^d sole retied 12. Was Decedent ever in the 13. Decedent's Education I~ciN ^r4Y highesl9~ canpleletl) 11. Madml Slalus: Married, Never Mamed, 75. Surviving Spase (lf wile, gN
^ Cdlege (1-4 or 5+) Nfldowe~l, Divorced (SpeaM
11. Decedent's Usual Kind d Buttress I kxlusq U.S. Armetl Faces Elemanlary /Secondary (o-121
Kindd Work ^Ves ~ WidOWed
Machinist Manufacturin Didoecedanl East onnneehnn, Twn Twp.
Decedent's p0 Live in a 17c. [Yes, Decedent Uvetl in
16. Decedents Mairg Adtlress (Slreel, cnY /lawn, state, zy cotle) Actual Reslderice 17a. Stele Tow«hip?
536 W. Cumberland Rd. rid ^ Na, Decerent lived wlmin cirylBpa
fro. coanty Cumberland Adual umis of
Enola, PA 17025 19. Mdher's Name (First, middk, maiden wmame)
18. Fame's Name (Fast, nidtlle, last, suffix) Florence Comp
Russell Coldren
20h. IMormanYs Mang AtlNess (Slreel, city I town, state, zip code)
20e. InlomanYS Name (Type I Prinq 2280 Putt Lane Enola, PA 17025
Rebecca Sherman 21 d. Laati« (Cdy I sown, state, zip code)
~~~ ^ ~~ 21b. Dale d Disprsilion (iA^^m• ~Y• Year) 2/c. Place of Disposnkn (Name of cemdery, crematory a dhn Place)
z1a. MemW a Disposnion E Carlisle, PA 17013
o ^ Burial ^ Removal from Slate Wp Craretl« or Donetkn ANhodzed ^~ September 17, 2011 Hoffman Crematory
M Medical Examier I Coroner? ^ Yes
'L ^ Oltsr-Speedy:
~ 22h. License Number 22c. Name ant Address d Facility
a. ore d Funeral Service Lkensee (or person aaag as such) Sullivan Funeral Home 51 N. Ender Dr. Enola, PA 17025
_ , ' ~- __..-- FD-13845-L zx. Dat¢ sipnad IMOnm. mr, reran
23b. License Nmher
Complete hens 23a-c only when cenilying 238. Tome heel d my knowledge. death occurred el me hme, dale ant place slated. (Sigialure and litk)
physidan s rid available at time of Death to
cerfh cause d deem 26. was Case Reterted to Medical Examiner / Coroner for a Reason Omer than Cremation or Damion
24. time of Deam 25. Date Praalaced Dead IMonm, day Year) )t7veS ^ No
~ Hens 24-26 must be cpnpleled M' person jy~~' ~'
wla pronaalces seam. 2:40 A : " Se tember 16 , 2011 ,Approximate imerval. Pan II: Eller dher SIg "- "' "'' s CpnwOet « to deem, 28. Did Tobacco Use C«bibde m beam?
CAUSE OF DEATH (See Inetructlona end exampke) Yes Probabty
• Item 27. Pan I: Enter me chak d eveMS -diseases, Injuoes, a cerrplx:aaois -met dredty caused me deem. DO NOT enar temnnal everds such as cardiac aed, 1 Ousel to Death but rid resulliig k ma underlying cause given k Pan I. ^^ ~ O Unknown
respiratory arrasl, or veMrkdar fbnfat'wn wilhod showing ifs etiology. Ud only are else «eadi Ikte. ~ 29. If Femak:
r
MMAEDIATE CAUSE (Final disease or ^ Not pregnant widen past Year
cor101kn resulMgndeam) ,~ a. As iration Pneumonia ^ Pregnant at timed aealh
Due to (a as a anse9rerae o0'' ~ Nol bd Pregnant wimn 42 days
kst caridilans,nany. b. ESO ha eel D s ha is ^ °fe~'
~f' ~ d death
Iea~grre ^w ~~ °A ~ a' Due to for as a consequerrz of):
Enter IM UNDERLYING CAUSE ~ ^ Not preglant, lxn pregr~em a3 days to 1 year
(deeeese W inpxy tllal nlfieled the p. , before daalh
evens resildng m aedh) LAST. Due to (or as a corsequerra op: r ^ Unknown f pregnant wifkn the past year
d, r 32c. Place d Irtjisy: Home. Farm, Street, Factory,
31. Manner of Deam 32e. Dale d Injury (MOnm, 08y, year) 32h. Describe Haw Irrytxy Occurretl ~ Office Buildng, dc. (Specify)
Spa. Was n Adapsy 30b. Were Anapsy Fixkngs
Perlomled7 Avafade Prior a Complalan ~I Natural ^ Hornkide
d Cause d Death? 14' 32e. Irqury at Work? 32f. It Transportation Injury (Speak) 329. Locatkn d Injury (Street, dtY /town, slate)
^ Acadenl ^ Pendng Imestigatkn 32tl. Tune d Inplry DrWer I Operator ^ Passerger [~edashlm
^ yes '~yl No ^ Yes ^ No ^ Yes ^ No ^
W'` ^ suickle ^ Coukl Nd be Detennned M. Other - Spea'x
33b. Signatur 6../~
~~~(~~) , __/~ Coroner
CMfykg physklan IPhysiaen cenily,g cause of Beam rmen andher phYsida^ has pf0Ap1"~ deem and cmgleled Item 23) _ _ _ _ _ _ _ _ _ ^ 33d. Dale signed (M^^m. ~Y• rear)
• To the bend my knowleape,deamo«urrw duewuw awMs)end manner ac stelecl------------------------
_ _ _ _ _ _ _ 33c. Llcerise Number 201 1
• Pro«uahg end certlrylrg lailYekla^ (Physidan Dom Worb'"r:inp deem and cendyig b cause of death September 16 ,
To tM but of my kn„xkdga, deem «euned at the In1e, date, and plea, end due to ma caueelel ervl manner ee slated- _ _ _ _ - - -' -' ^
' Medal Exrnklar I Corarer Han, deem «curted at me Ume, sate, ell plxe, end due to me ceute(s) ant mmner ae eMted.. ~0~pg s of P who Completed cause d Deem (Hem 27) Type /Prim
°w OnlMbaeUOle,emnationandlorlnvestlgetlon,inmyopl' ~~~p~d (;, ~ckc:nrode, Coroner
w ~ ~ IeFA M«m, r.vear) 6375 Basehore Rd. , Suite Ill
o ~, pegi5lrar' aNre are net N ~ ~~ ~ - ~ Me chani D ~ 3 ~ n s n
Disposilbn Permit No. ~L~ t? ~ ~ _ _ -
Oath of Personal Representative
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COMMONWEALTH OF PENNSYLVANIA } SS '' ~ rn t
COUNTY OF Cumberland
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The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to
Petitioner(s) will well and
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the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the ~ -
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administer the estate according to law. ~ -
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Sworn to or affirmed and subscribed ~,
Signature of Persona! Representat+ve Rebecca E. Sherman
Ch
befo~e me this /J_ day of
A /~ /~ ~ i~ d fl l~ .! ~ ~ _ I ~
Signature of Personal Representative
~ ~r~l.il~•~o L~
For the RP_glster Signature of Personal Representative
File Number:
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Estate of Daniel R. Coldren ,Deceased
Social Security Number: 189-09-1680 Date of Death: 09/16/2011
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to RebeCCa E. Sherman
in the above estate
and that the instrument(s) dated 11/01/2007
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters .............................. :. ~ $
Short Certificate(s).......:~•••••••• $
Renu ciation(s) ............................. $
I ~ $ i O~
r C~ $ - -~
$ ~ , r~
$ -- --
TOTAL ....................................
Form RW-02 Rev. to- 13-2006
$ 3._
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Attorney Signature: ~~
Attorney Name: amuel L Andes
Supreme Court I.D. No.: 17225
Address: 525 North 12th Street
Telephone:
Lemoyne, PA 17043
717/761-5361
Copyright (c) 20061orm software only The Lackner Group, Inc.
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WILL
OF
DANIEL R. COLDREN
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I, DANIEL R. COLDREN, of East Pennsboro Township, Cumberland County, Pennsylvania,
declare this to be my last will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker and all
expenses of my last illness, and any and all taxes and assessments imposed ley any governmental body as a
result of my death, whether on property passing under this will or otherwise, shall be paid from my
residuary estate as soon as practicable after my decease as a part of the expense of the administration of
my estate.
ITEM II. I give, devise, and bequeath the residence I own at the tune of my death, whether I
occupy it at that time or not, to CHET COHICK, provided he survives my death by sixty (60) days.
ITEM III. I give, devise, and bequeath any automobiles or motor `rehicles I own at the time of
my death to my cousin, REBECCA E. SHERMAN, provided she survive my death by sixty (60) days.
ITEM IV. I give, devise, and bequeath all of my possessions and e.>tate of every nature and
wherever situate as follows:
A. Six and one-half (6.5%) percent to SARA MAE PUTT ESSIG, provided she
survives my death by sixty (60) days and, if she does not so survive my death, to the other
persons taking under this Item of my last will in the portion they take.
B. Fifty-Three and one-quarter (53.25%) percent to REBECCA E. SHERMAN,
provided she survives my death by sixty (60) days and, if she does not so survive my death,
to the other persons taking under this Item of my last will in the portion they take.
C. Six and one-half (6.5%) percent to DANIEL PUTT, provided he survives my
death by sixty (60) days and, if he does not so survive my death, to the other persons taking
under this Item of my last will in the portion they take.
Page 1 of 4
_ _ _ _
', D. Six and one-half (6.5%) percent to DENNIS McMASTEF:, provided he
~' survives my death by sixty (60) days and, if he does not so survive my death, to the other
persons taking under this Item of my last will in the portion they take;.
E. Six and one-half (6.5%) percent to SHERYL MINNICH, provided she survives
my death by sixty (60) days and, if she does not so survive my death, to the other persons
taking under this Item of my last will in the portion they take.
i
F. Six and one-half (6.5%) percent to JOHN GABRIEL, provided he survives my
v
death by sixty (60) days and, if he does not so survive my death, to the other persons taking
s
~ ` under this Item of my last will in the portion they take.
~ G. Fourteen and twenty-five one-hundredths (14.25%) percent to CHET COHICK,
\ provided he survives my death by sixty (60) days and, if he does not so survive my death,
to the other persons taking under this Item of my last will in the portion they take.
ITEM V. I appoint my cousin, REBECCA E. SHERMAN, executrix of this my last will. Should
v,
- ~ the said REBECCA E. SHERMAN predecease me or otherwise fail to qualify or cease to serve as
executrix of this my last will, I appoint my cousin, DANIEL F. PUTT, executor of this my last will.
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ITEM VI. In addition to the other powers and authorities granted to my personal representative
by Pennsylvania Law and by the other terms and provisions of this will, I hereby give to my personal
representative the following powers and authorities effective without court approval and until actual
distribution of all property: to compromise any claim or controversy; to make distribution in cash or in
_~ kind, or partly in cash and partly in kind, and in such manner as my personal representative may determine
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and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or
`~ other securities in any corporate fiduciary or its successor without restriction to investments authorized for
I Pennsylvania fiduciaries, as my personal representative deems proper, with~~ut regard to any principle of
I
I risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any
principle of risk or diversification; to sell at public or private sale, to exchange, or to lease for any period
of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms or conditions as my personal representative deems prc-per; and to allocate receipts
Page 2 of 4
and expenses to principal or income or partly to each as my personal representatives deem proper in their
sole discretion.
ITEM VII. I direct that my personal representatives and fiduciaries shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this L- day of
'~ ~ t_~, -_ , 2007.
~;
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DANIEL R. COLDREIJ
The preceding instrument, consisting of this and two other typewritten pages, each identified by the
signature of the testator was on the date thereof signed, published, and decl~~red by DANIEL R.
COLDREN, the testator therein named, as and for his last will, in the presence of us, who at his request, in
his presence, and in the presence of each other, have subscribed our names ors witnesses hereto.
l 1 '~
Sarr}uel L. Andes
~ ~-'
Amy H ins
Page 3 of 4
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COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND )
The undersigned, being the testator 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 foregoing instrument as
my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein
expressed.
--.. -
. _~_
Jib!` 1GLC~ l i'~ ~~
DANIEL R. COLDREN
Sworn or affirmed to and acknowledged
before me by the testator named above
this ~ S' day of Novr~v~Be(Z , 2007.
Notary
NOiTMML •EAL
I.11gN EIII~L~; NOTNIy l1NLIC
LEM011UE ~OIIQ. 01~Np CQ
MY CCA~OM E1~~ PY.1. ~
COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND )
WE, SAMUEL L. ANDES and AMY HARKINS, the witnesses whose names are signed to the attached or
foregoing instrument, being duly qualified according to law, do depose and say ghat we were present and saw the
testator sign and execute the instrument as his last will; that he signed it willingly and that he executed it as his free
and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed
the will as witnesses; 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 or affirmed to and
acknowledged before me this
~ s + day of N v ~ PM S E'/2 , 2007.
~ ~,
amuel . Ande
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Amy Harl~ii s
Notary Public-~ ~ ~ ~~
d Co.
~ ~Nqg~ p{plgES fEd t,'00o
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