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Home My WebLink About10-31-11IN THE COURT OF COMMON PLEAS Olr' CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of ~ ~ O L .J _ ~~ L~"d j\~ ,Deceased ESTATE NO: 21- , a/k/a: a/k/a: a/k/a: sslvo: ~Ol~-i~-~iq~~ Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as a plicable: ~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 ~ ?~ 1-~iD Z, and codicil(s) dated _ _ (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 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(g): ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent life, 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 Address Relationsbi to Decedent ~~ `. ~ __ _ ' - ~: ,-~ 1ICF Ar)nrT 1(1NA1. RI-iFFTC IF NFf'FCCARV _ _,_. :__-~ - ).1 . _ -- THIS SECTION MUST BE COMPLETED: _a ` ; __ - Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family oic~~.'rinc~al ~`~sidence _ ~__ At ~`,z2~ l;~iLSD LA~I~, APT ~i3~_ (~~~CN~1t~iCS~cJ2C~ PFD j,~7~S5 ~ 7 =;~,= (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) ~ ~ ~:~'> {-; Decedent, then ~ years of age, died ()C-t"D'C3 ~.R Z3. Zbt ~t ~ C N 1~ ~l ~ C ~'d L) 'I` C~ P (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 $ If not domiciled in PA Personal property in Pennsylvania $ _If not domiciled in PA Personal property in County $ -Value of Real Estate in Pennsylvania $ 6Tot/al Estimated Value $ C~ ~ ~~'~' Location of Real Estate in Pennsylvania: (Provide full address if possible.) /v ~ ~~ ~^ Signature(s) Name(s) & Mailing Address(es) ;~ KFt>, ~ oKnS% 1 :- - ~- ~' / ~ :~ ~ ~.~ .~ .2~, .~ ~ s ~r /7 ~'fl~ 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 ofPennsylvania T ~' ' SS r> ~-+ County of Cumberland :_~ -~ _~, u-:, ~ ,~ -- - _ "- ~ 5 T, The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petition are true-and`' C correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representatives) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed be e me thi • ~h day of 1 II T . P :. ~ ~' / !! l 1~G~1JlG1 DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~ ~ "~ ~a/~ / ~ ,~~ ,Deceased File Number: 21-_ ~~ AND NOW, this ~ da~ol` (1 ~~J , in consideration of the Petition on reverse side hereon, satis actory proof having been presented before me, IT IS DECREED that Letters Testamentary - of Administration h ~~~~s ~~~~ ~a ~h~tr the above estate and that instruments(s) dated _ admitted to probate and filed of record as the last FEES: _ Letters .................... ~ Will ........................ - 7 CodiciI(s) ................. -- ( ~~ Short Certificates • Gc` ( )Renunciations....... Bond ............................. Other ............................. ................................. ................................. Automation FEE......... 5.00 JCS FEE ................... /I~ 23.50 TOTAL ................$ (~ ~~~SLj m Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Form RW-02 revised i 2.26.10 by Cumberland County pending action by the Court Register of Wills Signature of Counsel Required to Enter Appearance are ereby granted to: d.b.n.c.t.9., etc.) Page 2 of 2 al~v v~G~S described in the petition be ill d Codicil(s) of Decedent. OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17959504 Certification Number This is to certift; that the information here` +aiven an-rectly copied from an original Certificate oi~ Dca duly filed with me as Liycal Regi~~trar. The origin. certificate will be forwarded to the State Vit Records Of~~ic~ i~)r permanent tilin~~ _~~~/!_ Local Reglsnar [date [sued _ _ _ _ _ C7 __ - - O --- '~-~ ` ~ __ s ~j ~nw~lA3 REV 112006 _ ~ . - TYPE PRmr lH COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~_'" ~-`~ "'-t PERMANENT _... `71,_y) T. - :._ et,+cK1N11 CERTIFICATE OF DEATH ;=_. --- - r (See instructions and examples on reverse) ~ -~% " - I. Name d (FssC nedde, lass. wllia) STATE FILE N R`'•I :'',. ; ~r- ,T; ~, \ ^~ ~ 2. Sea 3. Sows Sawray NumDN . Dw d Dear (MOM. VY,-Nar1 L ~ ~ J ` ~ Z~G -to -9tRq to -~ - lG 5 Aq./I~~w armory) unaN t N ~hbe, 1 m 6- Dw a e:m rAOnm. as . 7. - antl wa «I m«, ea. Pl.c. a Dead cn.a ore `/1 ~ Mmms Dan Ho«a Mnuln Yrs. .. '7 - HoSD~t]I'. ONN: dn. County d Dean Bc. Cin, Twp. Deem G+etl. FadMy Name (lt nq Irn0luaM, give sne9t and raarber) ^ Irylatlera9 ^ E~~OulpaaenH 0n ~' Nureag Home ^ Reeiderrr ^ Oarr ~ SpeDaY ( No ^ Yes 10. Baca: AmriOat 6t0als. BWA, wleh, ae V IM r Q. 8 N- Vl ~ \ 16 ra. wamr canon. Q- Mealnn, Puram Roan, eb.) 1~1 1 `~• I t. Deceaenl's Usua Occ eon iNind cl work ]one du most d IAe, tb not sss reeretl 12. Was Gewaad evN .n the 3. Dacededs EdxaOOn 1 N onry ngnesl grade «mpetedl 14. Medal sutw: Marne0. Never MarneO, I S Survrvag Spouw IN wda, 4J Iwn a'Ncn of Business i IrquMry U S. Amwd F«cas? Elementary /Seconds;6121 Cone iN~.~• D's'~ (~hl Ar+ ~~ ~) l ~ 9a (t~a or 5,) \ ~Yl eG~ lG ras ^ No t6. Decadenl's MaAng Adtlras's ISV^reyet, ary r town. state. lip coda) Decedents .S-Z Z 6 (/.J~ 1 ~(! ~ 4,.,N ~~ y' ~3 Aaua Resaenca 17a. $1.16 _ Did Decedent Towwnmshapn 17c. yy Ves, DecedNq brad in ~, FL-11 T IA d 1 C fro. ~+nb _V nd No, DBCetlanll;retl whin 76. Famefs Name IFast. mitlde, Ias( sums) Aaua Llrras d Din YBOtD • ~ ,^ 79. Momef Narro Ifrst midtlle magan surnanw) zoo mlomwm Name IryD6 i Pnml V ` O Y-' N~.U 1 / l zan Inbnnanrs Maa.y Aam Isu«t. i rown. seta. =p o r _ eta Memod d Di IBC, ?U (~Q V 2Y" , hl~ 2L~tG~.v~,l[,S ~ I ZLl~ yv~1 ^ CleRnlnrl ^ Danaaan 2to. Date d Oisposmm (Honor, tlay, Year) 21c. Psca d Dispwiaon IName certw a omN ^ Odw ~ ^ Rrnorm tram sate i wu cnmwm « owuan Awta+ad ~~] j~b~n WOaI• 21d. t.uatial IGMi room,, wu, np 1 ny teedbat Eaarrwrr/Cororrr7 ^ Yea^ No ~ ~ -sac I - I' ~ r ~{A~u { V (~~ IQN~, N N ~ t \1 Q ~{, ~~ 22a of F rat Sams `ensee ~ stag such) 22n. Licansa N«rlOer 22c. Nema and Addess a FaOliry ~ ~ . Z2/ - ~ K An ~ f P'y'6 1~ 1 C~ 23a< gray wrrn ursnug 23a. Toms d . tlaaN aogrrstl et dr Imo. tleb antl pace shed ( re and sae 27b. License NimDN pMs~1 n nd avawWr al une d dsam n ~ - Z~ -" 1 23c Dau (MOM, dW, Ysu) cwmy cane d tlwat. ~~U...k~_,Y ~~\ ~~' C \~~\ ` _ ~ \Q\~~ ~~ \\ w IINr6 2A~26 mwl a o]rripleted oy person 2a. Tana d Daam \ J 25. Daa Deatl (M«M, day, Year) 28. Was Casa` R~elarred b Medical` \sEaanww i Coroner to a Rwson ppiN man wta prorn«C95 seam. ~'~ P M. \O Z~~ '~{./+.O CrrnYm a Dun1m? ~-~r ~~ ^ Yee Item 27. Pan I: EnIN ma Wn d ovens - d6eases, CAUSE OF DEATH ISea utatructtwrs sad aaampMs) , Approumara mrerval: Part II: Enbr amN vNUrre. a mmpicanoin ~ mar dlreNY caused tM Outli. DO NOT en1N umuna .vans such as cardiac arrest. Ousel to Dnm 26. Db Tanxm the CarlobuM b Dean? rasprabry arteM, « venlsa:War hnnuaaam~ ~w~nd sMNrg me eaaopy.~t'mJony err rsine m acn Gne. Mt n°I raadO^g n• me undNN+q caws gluon n Pat I. ^ Yy ^~ ,nn6OOn ~eaaalg dean) dsease « I 1 V ~` ~ ~ ~ ~ " ~ 1~Y ^ No -~- a. Z ~~tly ~ 1.~ V Srl to Ia as a c«wgwrr ~ D s•~naal~~l ~ndaa,,. d any. a ~ ~ A-r G~-~ 0 G~rY14.,n1)1 fl ~ ^ rwrd when wa Y.a we6rg b cross Noted on tine a. -f 6aa ma UNDEIILYYIG CAUSE Due n (a as a c«aspwrca oQ. l [[ ,,~~ Pr°g"aa brr d esslt - lassasa a eY«y ma +watsa me T-tJ Na preytaa, DM pregtrs wetlu a2 daN .reds rewaMq a, tleam) usT. Fl_ FI ddwm d~ Dw b la u a ansaprrlce oq: ^ Nd pnyW(dt Dre9na e3 drys b t Na ~ boas dWh ba. Was an Autopsy 30b. WNe Autopsy Findrys 31. Maurer a Dean 32a. Dare d I y ' ^ lkavnww 1 pregra r<hNt M pat Nor PMOmwo? AraNanM Pn« n Comprnon nor IManm, 4a . year) 32D. DeuriW How Inlury Occurred d Cause of Dean? Nara ^ MOrrantle 32c. Place d IrwaY Herb. Farrq Segel Facbry, OI6u BulOap, ab. lSprlil ' ^ras ~ No ^ras ^ No ^ Amtlent ^ PNalbg bwsa9aM^ 32a. rasa d lnyny 32e. w«r at rook? 7n n rrensportaOm Irqury fSPeaN7 32g. Loaem a nun lstrea, wY I form, seta) ^ Sande ^ Caub Nd Oe Debrmned M ^ Yas ^ No ^ Ornari Operabr ^ Passenger ^ Petleslnan Omar ~ Specrry: 33e Cemfwr tnnck mry suet ` tNtMNq ptYNOwr IPnyscun can 33D re TNIe d Ceml r dyuy cause d tleam win aromer pnysioan nag IaeridurlCBtl moor am compleletl Item 23) ~ ~T- ~Y To IM nsa d my Nnowladge, doom occurred dw b tM ~ rv~~~ uwels) and Hanna o alagd _ _ _ _ _ _ _ _ _ • Prwroaning and arnlying physkrn IPnyycsn IMm prunaxnug loam and cendyag ro cacao d haml - - - - - - - - - - - - - - - - - - - - - - - - 73c Ucanse Nu 30tl. DaM s IMOnm, Oe eel To dr OeN d my Nnowtetlga, dean occurred a IM Unr, doh, aM pro, and aw to IM oase(s) and manner u a44d_ _ _ _ _ _ _ ^ (~ • tMNCalEaarmMr/C«aner ------ M cJ 2 ~ ~ 33 ~o a~.1'~ ~~ On IM taus a aaarrunarion and / or inveetigst y apnron, loam occurred at tM tuns, dNa, and plxa, ]rid dw to tM causelel and msnnN as eta . ts4 ^ 3~A'rNNone Atlaeu a Person WM our tetl Cause d GeeOyltem 271 ?IDs. Pmt ~ 35 Reg6uars lure 'rvf` I'~~ ~, ~ ~. V I _. t//), r ~~ a ~jre= ' _ Y. I /~3~ 5 b !Q i //n~~~dlc IIJC,t-a Dispos'Ibn PNmll No. `7 i./ ~/~ I -i-~~ 'r n 4 t7 <:7 _,~ LAST WILL AND TESTAMENT ~ ~_ ~~ ~ n - _.,~ ~~,~ PAUL J. HILTON - ~~ c. ` > ` I, PAUL J. HILTON, of Swatara Township, Dauphin County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do make, utter, and publish this, my Last Will and Testament, hereby revoking all former Wills by me heretofore made. 1. I order and direct that my Executor, hereinafter named, shall pay in full as soon as may be conveniently possible after my decease my just debts and funeral expenses, including all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, both State and Federal, to which my estate or the transfer of any property passing hereunder or otherwise passing by reason of my death, may be subject, and to charge such taxes against the residue of my estate, it being my intention that none of the aforesaid taxes or any of the property required to be included in the gross estate under the provisions of any State or Federal Law now in force and effect or hereafter enacted, shall be pro-rated among the persons interested in my estate and to whom such property is or may be transferred or to whom any benefit accrues. 2. I give and bequeath my furniture, furnishings, books, silverware, jewelry, pictures, objects of art and all other domestic and household effects and personal goods and chattels of every nature and wheresoever situate, in accordance with a Memorandum which I shall leave with this, my Last Will and Testament. Any of the above property not disposed of by my Memorandum shall be added to the residue of my Estate. 3. I give and bequeath Five Hundred Thousand ($500,000.00) Dollars to DOROTHY GOFFUS, of 4909 Franklin Street, Harrisburg, PA 17111. In the event that Dorothy Goffus should predecease me, then this share should be added to the residue of my Estate. 4. I give and bequeath Twenty-five Thousand ($25,000.00) Dollars to JOHN C. LATHROP and EVELYN LATHROP, his wife, or the survivor of them, of 4913 Franklin Street, Harrisburg, PA 17111. In the event that John and Evelyn Lathrop should both predecease me, then this share should be added to the residue of my Estate. 5. I give and bequeath Twenty-five Thousand ($25,000.00) Dollars to MARIE REAMS of 205 Treziyulny Street, Osceola Mills, PA 16666. In the event that Marie Reams should predecease me, then this share should be added to the residue of my Estate. 6. I give and bequeath One Hundred Fifty Thousand ($150,000.00) Dollars to CHARLES D. KOKOSKI and KATHY A. KOKOSKI, his wife, or the survivor of them, of 6209 Westover Drive, Mechanicsburg, PA 17055. In the event that Charles and Kathy Kokoski should both predecease me, then this share should be added to the residue of my Estate. 7. I give and bequeath One Hundred Fifty Thousand ($150,000.00) Dollars to ANDREW W. GOFFUS and SHERRY A. GOFFUS, his wife, or the survivor of them, of 943 Manor Drive, Steelton, PA 17113. In the event that Andrew and Sherry Goffus should both predecease me, then this share should be added to the residue of my Estate. 9. I give, devise and bequeath all the rest, residue and remainder of my Estate, to KATHY A. KOKOSKI and ANDREW W. GOFFUS in equal shares as follows: A. One share to KATHY A. KOKOSKI. In the event that Kathy A. Kokoski should predecease me, I direct that her share shall pass to her husband, Charles D. Kokoski and her issue, in equal shares. B . One share to ANDREW W . GOFFUS. In the event that Andrew W . Goffus should predecease me, I direct that his share shall pass to his wife, SHERRY A. GOFFUS, and his issue, including his son August Checci, in equal shares. 10. I nominate, constitute and appoint CHARLES D. KOKOSKI and/or KATHY A. KOKOSKI, of Mechanicsburg, Pennsylvania, or the survivor of them, to serve as Executors of this, my Last Will and Testament, to serve without bond of any type whatsoever. 11. In the event that both Charles D. Kokoski and Kathy A. Kokoski predecease me or are unable to serve for any reason whatsoever, I nominate, constitute and appoint ANDREW W . GOFFUS of Steelton, Pennsylvania to serve as Executor of this, my Last Will and Testament, to serve without bond of any type whatsoever. IN WITNESS WHEREOF, I have to this, my Last Will and Testament, set my hand and seal at the end hereof, this 2~n day of March , 2002. PAUL J. HILTON The preceding instrument, consisting of this and two (2) pages, was on the date thereof signed, published, and declared by PAUL J. HILTON, the Testator therein named, as and for his 3 Last Will and Testament, in the presence of us, who at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. ,--- `~~WITNESS WITNESS ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) ss COUNTY OF DAUPHIN ) On this 26`h day of March , 2002, PAUL J. HILTON, John A. Roe and Ann M. Robinson, the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament, and that he signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of his/her knowledge, the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. WITNESSES: ,~ ,- ~~ ~-`"' `~- (Seal) ~ ~°~ (Seal) ~~ f' ~ P J. HILTON ~~ 1~ t~ - :~'Ct d~ t ~-c.~ /~•~ (Seal) 4 Subscribed, sworn to, and acknowledged before me by PAUL J. HILTON, Testator, John A. Roe and Ann M. Robinson, witnesses, this 2~h day of March , 2002. C~ 1 ~, ~ __.> Notary Public (SEAL) C ~p ~i F;. ~ ee~'aa '~~.~~!~'4 s N~ 1 ~. ~If~^1 1 r ti~ ii iop{"<ifli~'+ ~+.uL~.,iuil t,r ~E:G~UCii:S MEMORANDUM To The Last Will and Testament of PAUL J. HILTON 1. A picture of a Dutch boy and girl to Evelyn Lathrop of 4913 Franklin Street, Harrisburg, Pennsylvania. 2. Sligh Grandfather's Clock to Dorothy Goffus, 4909 Franklin Street, Harrisburg, Pennsylvania. 3. An oil painting of Sheik to Charles D. Kokoski, 6209 Westover Drive, Mechanicsburg, Pennsylvania. 4. The marble top table to Kathy A. Kokoski, 6209 Westover Drive, Mechanicsburg, Pennsylvania. Date: PAUL J. HILTON 6