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Home My WebLink About04-03-12Reset PETITION FOR GRANT OF LETTERS REGISTER IOF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s;1 named belovN, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) thel, following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Informatio Name: MAr stet E. Cook File No: ~ ~ ` ~ ~ ' ~ ~~ a/k/a: (Assigned by Register) a/k/a: a/k/a: - Social Security No: Date of Death: March 23 012 Age at death: 84 Decedent was domiciled t death in Cumberland County, PennSylvan;a _ (stare) with his/her last principal residence at 549 Do ood Drive Mechanicsbur PA 17055 U er Allen Townshi C mberland Coun Scree address, Post Otftce and Zip Code City, Township or Borangh County Decedent died at 503 No 21st Street Cam Hill Yenns ivanta i tut 1 t:asr rennsoorv iowu„~~ •,uuiuciiwiu ~.v~„=~ Street sdd as, Post Oftice and Zip Code City, Township or Borough County State Estitnate of value of decedent's roperty at death: Ijdomiciled in Pennsylva ia ............................ All personal property $ 7,000.00 Ijnot domiciled in Penns lvania ........................Personal property in Pennsylvania $ Ijnot domiciled in Penns lvania ........................ Personal property in County $ Value of real estate in Pe nsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 7,000.00 Real estate in Pennsylvania si red at: None (Attach additional sheets, if necess ry.) Street address, Post Oftice and Zip Code City, Township or Borough County ® A. Petition for Pro ate and Grant of Letters Testaments ZaoG' Petitioner(s) aver(s) helsh they is/are the Executor(s) named in the last Will of the Decedent, dated October 9, ~9i3 and Codicil(s) thereto dated N/A. Dar ene A. Bruner a named co-executrix has renounced in favor of Petition r Connie L. razier State relevant circumstances (eg. renunciation, death of executor, etc.) Except as follows: after th execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child born or adopted; and Decedent w s neither the victim of a killing nor ever adjudicated an incapacitated person. •® NO EXCEPTIONS :EXCEPTIONS B. Petition for Gr nt of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente lice, durance absentia, durance minoritate If Administration, .~a. or d b.n.c.ta., enter date of Will in Section A above and cpmplete list of heirs. Except as follows: Dec ent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8) d was neither the victim of a killing nor ever adjudicated an incapacitated person. ..._ a NO EXCEPTIONS Q EXCEPTIONS n_ ~'~' •a~ N Petitioner(s), after a prop r search has/have ascertained that Decedent left no Will and was survived by the following s~if any) an~eirs (aj~i}~' rs- additional sheets, if nece sary): _~; ~ rte- ~ ` ~= Name Relationshi Address ~:L?~ w i -' ~ O sa- - ,~ G ~,~ ~ ~ t~ --+ ~. .. v r.~ Forn Rw oz rev. loilliaolt !, Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF Pl/NNSYLVANIA } } SS: COUNTY OF Cumberland } Official Use Only ~f~~ ~_: Petitioner(s) Prin d Name Petitioner(s) Printed Address CLERK ~'~ Connie L. Grazier P. O. Box 697 Millheim PA 16854 s=R°~ wvr ~'.0 pA The Petitioner(s) above-named wear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Pe onal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law. `y n ~ i / ~it,ll/`G Date D ' v'~ / Sworn to o:r affirmed and ubscribed before ~ me 's of ~ ~~ Date Date Date BOND Required: Q YE~ Q~ NO FEES: Letters ............... II' ...... $ ~ ~~ ( 5 )Short Certificate( )...... o~~~ ( i )Renunciation(s).. ...... .~ ( ) Codicil(s) ...... ...... . ( )Affidavit(s)..... '~...... . Bond .................1,....... Commission........... I...... . Other ~LI w 11 • Ir • • • • • • -;~---- ...... ...... ...... i ...... ...... Automation Fee ........ ...... . JCS Fee . ............ '~ ....... TOTAL ............. ~ ....... $ --6:b0 To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: 113 . L~zr DECREE OF THE REGISTER Estate of Mar aret E. C ok File No: a/k/a: AND NO ~ , in consideration of the foregoing Petition, satisfactory pro n been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Connie L. Grazier in the above estate and (if applicable) that the instrument(s) dated October 9 2006 described in the Petitio be admitted to probate and filed Form RW-02 rev. 10/11/2011 Z __ _ H105.805 REV (9/III -- - - _ - - - - - - - - ~ RAR'S CERTIFICATION OF DEATH ~ , ~ ~~~; Ito duplicate this co b hotostat ;~; , ~,~ PY Y P or photograph. . , ~. v I i..' ..t_I,~ Fee for this certificate, $6.OQ~ ~ ~ AE~~ - 3 A~ g' ~ l LERK QF OR HAWS uOURT P 1$ ~ ;~ 5 ~ ~~MR ~~ ~trd-~ co . PA Certification :(Number ffi G 8 2g~ E 8 x/Print in rmanenl This is to certify that the information here given is correctly copied from an original Certificate of Dean duly filed with me as Local Registrar. The origina_ certificate will be forwarded to the State Vital Records Office for permanent filing. Local Registr r Date issued COMMONWEALTH OE PENNSYLVANM • DEPARTMENT OE HEALTN • VITAL 0.ECO0.D5 CERTIFICATE OF DEATH .._ -.. - ='9az'et E. Cook p~ sst Blrthdry IYrsI Sb. Under 1 Year Sc. Under ] Da 6. Oate of Birth IMa/Dry/rearl i 84 Months Dan NWrs Minutes June 15, 1927 nx lSbtew FOn~n Country) Bb. ReaMer¢e lStrM aM Number-Indude Apt Na.l &. nnlcpunn 549 Dogac~7od tJrive aE~erland k. Rnkenu Inp eoeel ^ y J3 ArmW Fwusi 30. MarltN Statw x Tlme e/ DeaM ^ Martkd W owed =](No ^Unynawn ^peorkd ^Nenr Marred ^Unynown ' Name (First Middle, last, Sulflvl 13. Moth lter Andrew F'i~ko,+ ._ Sbk ^ 0matlon Na I March 29, wakbn I[flr w yawn, stale, xa npl 17,. SlBlsan csburq, PA 17055 1 .....~,.n. mMpi dxeaem (wee b ~Op lecetlent IMd wlthb INnrcs of uk Mechanicsburg Cemetery or person In Uage of Interment 17b.IA:enx Number ~_ FO•-T39630 trop. ChM dgree w kyel x xhoW camgxee at Me time o/ deaM. ------- -- ev.........,. ~, enpane urspn - cMCR the b tMt Best tlexHbes whether the de d t 20. DecadeM's Race -ChM ONE OR MdtE races to hMlute whx ^ ^ N hBnMwlol dl b 9M ce en Is SpaMShMkwnWlaHro. Chxkthe'NO' the decedent ronskknd hlmseN w herseM m be. Q[WMte ®N P ma, - IIM Brade ItlIeW padwn w GED rom kted bov N decedent N not SwnhhMNynic/LaHno. N ^ &acy w A/rkan Amxkan ^ Ronan ^ Vietnamese ^ e me toile{[ credlL but rn deBn o, rot SpanbhMbpanir/ntlne ^Yes, Mninn, Mxlun American Gk ^ Amerkm IMbn or Alasya NaHVe ^ Other ASkn ^ butte dapee (wE. AA, ASI , ano ^ Ye:. Puerto Rlun ^ Asian Indkn ^ Native Hawaiian ^ ^ M s dnne Ie.B. BA, Ae, Bsl era dryrx le j. MA, MS MEnE MEd MS W MBA( ^ rn, sawn ^ CBlnese ^ Gwmankn or tnamo.ro ^ Filipino ^ Lmwn ^ , , , , axe k.B. ph0, EdDI w Prokulowl degree ^Yes, other Spanish/Nispank/ntlno ^lapanefe ^O[her htlflc ldaMer e . MD 005 OVM ltH 1D IspeTRYI ^ Other IspeclNl Cf Syyle Mte Sxl-OeslBnxlon - ChecY ONLY ONF to NW tte ^npanex kate what Me dxadent wnAdxed himself or hersell to M. 2Za. DeudenYS Usux OcrupaHOn-IMk t t l ^ ^Sppban wAMnn Amerkan ^ROrNn ^pthx PxHklskndar a e ype a wary ~r'e duHrymost of woryhq life. WNOT USE RETIRED. ^ erkanlndkn or Alaxa NatM ^VktMmex ^DOn't Know/NOt Sure C1eL'k ^ Intlkn ^ OtMr AFlan ^ Refused I3b RIM f QER ^NatM Hawallan ^OtMrlSpecl(y) . o BuabusRMuatry a^° ^Gpama""nwtnamwro Ta00k Publishin /Di t !M3 RnN MUST BE t:OMPlE1FD WNO MDNOUNtE3011 DurN 23a~DSale prorwu De (MO aY 1 // la/-<'h a3 ~u ~,~r 23 nature of Person PronounclnE DeaM (Only wMn app kabkl g s ributia 13c Llunx Num r 19 /N ZS. Was Medkal EVaminerw Crooner COnkctadi Ws i ^^ N CAUSE Of DEATH -T_ 26.h LEnter the ~aln ofewnW-dNeaus, InWHes,wcompR caHom--that tlire0 0 NOT AaProtlmale n pin[ory arrest. ar ventrkular flbdllatlon wrchwd shoMna 0e mtu~ermi the etbloBY DO NOT gBBgEVbs E+Enk W nalewenis such as nrdlx erns[ Inteml: I (MME (ATE UUSE --._.a won • lne. Atld additbnal Ilnes It necessary j Onxt t° DeaM (Final beax wcondrcbn •~ rewrc baeaMl to ar asacone0uence all: Se u lh Il a H arw, Na / x mMkbns, dlrykthewx Due to for conragwrce ofl: /J listed Ilne a. EMx Me _~/ ~ ) /~•P~'- tINOE Id LYING G115E orir~ury thx Due to Iw as a wnseouence oil: Un - F Mitlat tM axnk nsurcirp d. ~ In dace 1 (AST. Due to Iw as a eanxawxe oil; - yy s_7 IB.h II. Enkr otMrsyOMuM mndtbn t deM but rat rexltinE In thewMrlyirKrwxBMnin Partl F 27. Wu an aukpsY pMarmad] E Yea No It. Wen autepayflMlnp awikbk b wmplek Me taux xdxM7 39. If Fe ~ preBnaM wMMn paN ywx 30. Did Tobxro Use WnMbute to DNM7 31. MawNr of 0vat ^Yes N° h I ntx[Imexdexh ^Yes ^ ProbabN ~NO ^Unynown ~flatunl ^ Nomkide ~ ^ proBnant, but PreBnaM wlthM al day o/death ^Aaldent ^PeMln6lnvastlEatbn ^ / t~ ~ tenant a3 day to 1 yar 6elwe tleuh er 32.Oah of Inlury (MO/Da /Yrl (S N M ^ 5°klde ^ Cpuld rrot M determined U ^ know I prapnnt wMdn the wx yo y onMl Pe ^ re ^ D.her/opentw ^ hdestrt,n ^ Na ^ rasxMx ^ Ixnxlsw°NVl iwa/Grt (ChM anry oriel; qta phykkn - To tM bex x my krwwdMH. dexh ocamd due k the nuxlsl and manner rtated ^ Pre ndN 6 CMI/y1M Wtyklan - To the best x my knowkdEa, deaM xcvrrctl at the Nmt, tlata, aM plxe, aM due to the cauxlsl aM mannx sated ^ Medl Evaminer/toromr- n the h evamlMtbn, and/ inwstlp[bn, in mY oplnbn, death occurred at the time, oa'k,Iand pkce, aM due W Me nuxlfl and manner anted syn+k x certdkr: a.K.Q ntk x nrtMer: ~{ rA , S. !"A a ~Q 3 E"1 l L.1.+ O. Name, ressaM ZlpC edPeraw ee,eeru,.. r..... w,.._.. ,..__._. _.. Lkense Number: O ~I Dlapmltbn permit Np._ 069361 A M105-1e3 REV O]/2031 ~nPr,,~; ~ ; , ,:~~;E QF ~F(~. ,_, __ ., a',12 APR -3 ~,~ 8~ GZ RENUNCIATION GLERi~ GF ORPHAN'S GQU~T REGISTER OF WILLS GUM~ri~~ A~~{~ ''~~ PA CUMBERLAND COUNTY, PENNSYLVANIA Estate of I, Darlene A. Name) E. Cook Darlene A. U~CC~c.C.i ~. ~~ (Signature) 4 R 8 z ~-n~c-o ~~-~,.~2e~- ~ (Street Address) n administer the Estate ~f the Decedent and respectfully request that Letters be issued to Connie L. Grazier March 30, 2012 (Date) (city. stare, Zip) Executed in Register Sworn to or affirmed before me this of Office Executed out of Register's Office d subscribed Before the undersigned personally appeared the day party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this 3o K' day of /'11A•tt<i ~~ Deputy for Register o~j Wills Form RW-OCR rev. 10.13.06 Notary Public ~ ~~ ~ My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Deceased swsxi , in my capacity/relationship as of the above Decedent, hereby renounce the right to COMMONWEALTH OF PENNSYLVANU Notatrial5eal Susan L. Matrazl, Notary Pubik Med~abury Boro, Curnbaimd Covnty M,y CamtiMNon ExpNrs Nov. 2K, 2015 nEra~svlvaw asoa~noN of Nar~s cn LL - E i ~_I~ r- . r: - _ LYE ' J ~ ~_~, Cr__ cY' ~~ cc M i ~y_ [~l LAST WILL AND TESTAMENT C I, N~ARGARET E. COOK, of the Borough of Mechanicsburg, County of Cumberland, t. ~~ t~ L_. ~~c~Comm~nwealth of Pennsylvania, being of sound and disposing mind, memory and ~~ ~ m~rstand~ng, do make, publish and declare this as and for my Last Will and Testament, here y revoking d making void all former wills and codicils by me at anytime heretofore made. FI ST. I order and direct that all my just debts and funeral expenses be paid by my F.xecutrice5 or Executrix, as the case may be, hereinafter named, as soon as conveniently may be done after any decease. SEII OND. I give and bequeath a sum of money equal to five per centum (5%) of my net distributable estate unto my grandson, namely, TODD A. GRAZIER, absolutely, if he survives me. T IRD. I give and bequeath a sum of money equal to five per centum (5%) of my net distributable estate unto my grandson, namely, STEVEN A. GRAZIER, absolutely, if he survives n~e. F CJRTH. I give and bequeath a sum of money equal to five per centum (5%) of my net distributable estate unto my grandson, namely, DANIEL R. GRAZIER, absolutely, if he survives ~ me. I give and bequeath a sum of money equal to five per centum (5%) of my net distributable estate unto my granddaughter, namely, KAREN R. NOBLE, absolutely, if she ~ survives I give, devise and bequeath all the rest, residue and remainder of my Estate, real, ~I personal and mixed, whatsoever and wheresoever situated, in equal shares unto my two (2) namely, CONNIE L. GRAZIER and DARLENE A. BRUNER, share and share alike, LAW OFFICES SNELBAKER SC BRENNEMAN, P.C.. absolutely and in fee simple, if they survive me. I~ my daughter, CONNIE L. GRAZIER, should predecease me, I order and direct that her share of my residuary estate aforesaid shall be distributed in equal shares unto her then living I children share and share alike. my daughter, DARLENE A. BRLJNER, predecease me, I order and direct that her share of my'residuary estate aforesaid shall be distributed in equal shares unto her then living children, sh re and share alike. If my said daughter should leave no children to survive her, then and in that vent, I order and direct that her share of my residuary estate aforesaid shall be distributed ~n equal shares unto the then living children of my other daughter, Connie L. Grazier, share and sure alike. I nominate, constitute and appoint my daughters, namely, CONNIE L. GRAZIER and DARLENE A. BRLJNER to be the Executrices, of this, my Last Will and Testament, but if for any reason either of said daughters should fail to qualify as said Executrix or cease so to serve, then and in that event, I nominate, constitute and appoint the daughter so qualifying or surviving to be the sole Executrix hereof, each and both to serve without bond or other secu~ity as a condition of qualification hereunder. IN WITNESS WHEREOF, I, MARGARET E. COOK, have hereunto set my hand and seal to thi~ my Last Will and Testament, which consists of three (3) typewritten pages to each of which I have affixed my signature this 9th day of October, A.D., Two Thousand Six (2006). (SEAL) ARGARET E. COOK LAW OFFICES SNELBAKER SC BRENNEMAN, P.C. T e preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared y MARGARET E. COOK, the Testatrix therein named, as and for her Last Will and Testamen , in the presence of us, who, at her request, in her presence and in the presence of each other, ha e subscribed our names as witnesses hereto, -2- ,~, TH OF PENNSYLVANIA COUNTY bF CUMBERLAND SS. We~ MARGARET E. COOK, RICHARD C. SNELBAKER and JANE J. GOONEY, the Testatrix ar instrument, Testatrix si; signed Willi expressed, Will as a wi eighteen yep the witnesses, respectively, whose names are signed to the attached or foregoing ping first duly sworn, do hereby declare to the undersigned authority that the and executed the instrument as her Last Will and. Testament and that she had y, and that she executed it as her free and voluntary act for the purposes therein that each of the witnesses, in the presence and hearing of the Testatrix, signed the ~s and that to the best of his or her knowledge, the Testatrix was at that time of age or older, of sound mind and under no constraint or undue influence. Tes trix itness itness LAW OFFICES SNELBAKER & BRENNEMAN, P.C. ~unsc abed, sworn to and acknowledged before me by MARGARET E. COOK, the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANE J. GOONEY, th witnesses, this 9th day of October, 2006. VIUIVwEALTH OF PENNSYLVANIA Notarial Seal Susan L. Matraa, Nolary PubNc ~n~sburg eoro, Cumberland County Corrrrrssion E~iires Nov. 24, 2007 r, Pennsylvania Association Of Notaries 4`' , Notary Public -3-