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HomeMy WebLinkAbout02-06-13L PETITION FOR GRANT OF LETTERS REGISTER OF WILL$ OF CUMBERI.ANA COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information rte/ Name: Nora K. Coldren File No: ~~ ~ ~°~' ~1~ L a/kla: (Assigned by Register) a/kla: a/k/a: Social Security No: 19416-2100 Date of Death: 88 J.enatcAvac. ~-~. col 3 Age at death: >~ 8 ---r Decedent was domiclled at death in Cumberland County, penncyly n; (stare) with hislher last principal residence at 3 C,ir~le Lane. Mechanicsbur¢, Silver Sorine Township. Mgchanicsbur¢. PA 17050 Cumberland Street addrew, Poat Office and Zip Code City, Township or Borough County Decedent died at 3 Circle Lane Mechanicsbtu¢ Silver Sprin¢ Township Mechanicsbur¢ PA 17050 Cumberland Pennsvlvania Street address, Post Orfice and Zip Code City, Township or Borough Conaty State Eadmete of value of decedent's property at death: If dorttfcfled fn Pennsylvania ............................ All personal property $ 8,000.00 /f not domiciled frt Pennsylvania ........................ Personal property in Pennsylvania $ If not donrfcUed in Pennsylvania ........................ Personal property in County $ Value of real tstate fn Penrtsylvania ......................................................... $ 100.00f1(Nl TOTAL ESTIMATED VALUE.... $ 108.000.00 Real estate in Pennsylvania situated at: 3 Circle Lane, McChanicsbur¢, Silver Sprinsr Township, Mechanicsbur>;, PA 17050 Cumberland (Attach additional sheets, ijnecessory.) Street address, Pau Otrice and Zlp Code City, Township or Borough County ® A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) avers} hdshe/they is/are the Executor(s) named in the last Will of the Decedent, dated July 21, 1997 and Codicil(s) thereto dated none. - - -- --- -- ------------------------ Stale relevant circumstaaeea (eg. renanciadon, death of execamr, eta) Except as follows: after the 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 was neither the victim of a killing nor ever adjudicated an incapacitated person. ~ rte, NO EXCEPTIONS ©EXCEPTIONS [] B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente If Administration, cta or db.n.c.wa., enter date of Wlll in Section A above ande~list off` her?_3. o v ~ 00 Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds. for~jv~e ~l bee~stabti'h;e3~s defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated pe(6~n~CQ ~ ~ a NO EXCEPTIONS 0 EXCEPTIONS ~ '-1 ~''~ t"' R~r Petitioner(s), afters proper search hasPoave ascertained that Decedent left no Will and was survivedby the following spout j fany~trt~eirs (attach additional sheets, if necessary): Name Relatiaashi Address Form RW-O2 .ev. ~o~trizou Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address Clinton W. Coldren 1535 Soniat Street Now Orleans LA 70115 The Petitioner(s)above-named sweat(s) or affjtm(s) the statemen the foregoing Petition are tru c t to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the c the titione ) 1l w mister the estate acco ng t aw. Sworn to or affirmed and bscribed before Date ~ l me this ay ,o.~ Date $ ; Date ZGI F~r th~Regi r Date BOND Required: ®YES ~ NO FEES: Letters ...................... $__Sk' •" ( r/1) Short Certificate(s)...... _~~ • ly ( alt'' )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ... .......:..... . Other (mil: ....... ........ ~~~ Gt] w~ v To the Register of Wftls: Plesae enter my appearance by my atgnature below: Attorney Signature: Printed Name: Keith O. Brenneman, Esquire Supreme Court ID Number. 47077 __ - __ _ ____ _ Firm Name: Snelbaker & Brennen, P. C. Address: ~4_131~st Main S r ..~. •.~ .-. ...... Phone: 717-697-8528 Z+ ~ ~ ~ ~ ~ Automation Fee ............... Fax: 717-697-7681 ~-. _~ -,-. i-~j---~--a} 't4 JCS Fee ..................... Email: ~ n .~ ~ ~-*'t TOTAL ..................... $ D C _.. t:7 DECREE OF THE REGISTER ~"' ~ N ~^ Estate of Nora K. Coldren File No: ~ ~ ' 1,3 - (~ ~ ~ +/ a/k/a: AND NOW, ~e b~ucuu ~ °~~ 3 , in consider tion of t e foregoing Petition, satisfactory proof having been pres n d before me, IT IS D~ E~REED that Letters ~~ are hereby granted to 1~Lorc.. 1~ . Co ~ c~ i en ;Y,_~ ~ .dam „~ in the above estate and (if applicable) that the instrument(s) dated _ described in the Petition be Form RW-02 rev. 10/III2011 probate and filed of rec rd as the last Vill (and Codicil(s)) of R ister of Wills ~~ of 2 HIDS_SOS REV (9/Iq !3- /s"j LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal. 3o.duplicate this copy by photostat or photograph. RECORDED OFffCE nr Pee For [his certificate, $6.00 This is to certify that the information here given i RECf$TER O~ Wil.L correctly copied from an original Certificate of Deati ~d13 ~~ duly filed with me as L<xal Registrar. The origins ~' ~~ ~ certificate will be forwarded to the State Vita Records Office fur permanent filing. P 19065748 cf_ERfc of: /~ ~~ ORPHANS' COURT `"'~"~~ ~- JAp 2 5,ZU13 Certification Number C~lMHER~AND riQxg PA local Registrar Date Issued /p~Typa/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH ~ VITAL RECORDS P•'^1e"•^` CERTIFICATE OF DEATH el k 1 k State F le Number. 1. Deeedant'a Lpal Name (First. Mlaala, Last, Su n) 2. sex 9. sxlel Security NYmbar a. Date a Death (MO/ ay/vr) !Spell Mo Ss. Ag.-Leff Birthday Vrf) Sb. Un err 3 y >r 5c Un er 1 D 6. D>te of Irth (MO/Day a>r) (Spell Mont T>. Blr<hpl>ce (CIH>nd [a<. Or Foreign ountry) MOrKhf D>ys HoVrs MlnuLef rSLlnb Pa Tb. Birthplace (COUnLy) M. Rafltlence stet. or Fore n Goun<ry) ealaanp ( tree[ and Number- Inclu • Apt No. g<. Dla Den ant Llve Ina OwnMlpT 17i1'es, tleceaaM INad In ~_~~~ V~ -~]-itj~ CwP~ gd. Realdence (CPVntyl 3 h. RMlaenu (21p Coda) ~ NO, aecedent Ilvetl wKM1in IlmKf of titY/born. 9. Ewr n V rm Forcp9 30. Msrlt>I !L>CYf et Tlme Of Death arded Wltle 11. surviving SpoYSa•s me (If wife, gHa name pHei (o rtt marriage) QYU ~NO Unknown ~Olvorcetl ~NeyerMamled ~Unknow Terr Ford 1 . Father's Name (First. Mldtlle, Last, suNlx] 13. Mother x Nam. PHOi [o i rst Marnage (First, Miadla, Lszt) Jacob W. Dietz Nora er 14.1 erman!'a Name lab. Relaflonahip to Decedent lac. InfOrment's Malling Aaaross Strea<intl NumMr. CM/, stet., ZIP rAae) Ford Fhlsband ircle e.Mechanicsbur Pa 17050 xW If Death O<Nnatl In a HOSpI<al: y~lnpatlen< a. ap o ut ep en y one .................................. ........................ SK Death Occurred somewhere Other ~an > Hospital: HOaplp Fa<IIIH DecOdsnf'a Homs Einar nc ROem/OUt atleni Deaa en ArrN>I Nunl HomeJton -Term Gra F>CIII Other s eclM 15b. F>c111[y eme If not IntMYHOn, gNa street and number, 15c. Glty or Tpwn, stale, snd ZIp Gede 15d. CoV my of Death 3 le a Me i sbu a O '6erland lea. et qd M Dlapos tlon ur41 Crama[len 186. O>ta M ObpotMOn Iga. Place of Df3poarclOn (Name o pmetery, oema<ory, er er oboe) ~( Ramevsl Kom SOb ~ Donation Ofh.r sw<I ) 2 2 13 lawn oriel dens 1 . Low<lolt of DisppsKlen (ercy or town, 5<eee, and 21p) of non 9erv1 Llems or Person Inc rye of Interment 176. ucense NYmber a 011654-L ITC. Name and CemplaN 4ddreta o9 Funeral Faculty ~ 1 . D cadent f Eaucat On - ehack [he box Mat best atcrlpas Me 19. Decetlent o HlsPanlt OHgin - Che Lhe O. Dsce ant's Race - <MC ONE OP MORE race! to Indicate what hlihasf tle/rN or IWeI of school eOmPletad aC the time o/ death. box that bast aea<Ntxs whaMer Me tlecedenl the dapdant considered himself Or herself <o he. ~ g[h grade or lass It sp>nlah/Hlspanlc/LatlnO. Check the "NO" [~Whlta ~ KOraan Q_NO diploma, 9th - 12th grade 1{h acfiool gratluata or OED complaHtl bo~o>a>K' decedent is not spanHh/Hispanlc/Latlno. yv~e, not 3panlfh/Hlxpank(Lptlne Q-Black Or AMcan AmeNUn 0 Vletnameaa O American Intlian er glafka Na[IVP ~ Other Asian ~ soma eOllage credk. bue ne degree O Vas, Mexican, Maxiean American, Chicano Q Asbn Indbn Q Na<iw Hawaiian Q Nsocla[e de{tee le.g. As., ASI ~ Veer, PYartO Riran Q Chmaia ~ Guamanl>n er Chsmorrq Q Betheler'x degree (e.g. BA, AB, BS) [] Ves, Cuban ~ Flllpin0 ~ Samoan Mascot's aagrae (..{. MA, M5, MEnb MEd. MSW, MBA) O Yes, other spanlah/Nlsp>nic/Latlno ~ Japanese O O<har pacific ixlsnder 0 Dacterata (a.g. PKD, EGD) or PrOfa>llpnal tlepee (spacKy) p Other (SpeclTy) . MD DDS DVM LLB JD 21. Decaden[ f single Pap Seif-DaslgnaClon -Check ONLY ONE to Indicate what the decadent <onsideretl himself or herself w bn. 22a. Deeadant•s Vsual OccupatlOn - Inalca<a Cype of work WRtta Q Japanese d Samoan done during meat of workin{ Ilfe. DO NOT USE'RETIRED. Black Or Afripn Amerlpn Q Korean ~ OtMr PaclRC !slander ' i LJ3JC ve $E3Cr E Q 4meripn Intlian or Alafka NaLIYe Q Vietnamese ~ Don't Know/NO<SYre Execut p Asian malan Q Other Nlan Q R<fYaed 22b. Kind o Business In Yffry ~] Chinese O Natlw Hawaiian O Other 15peclry) tai O Fmpn.e O GY.maman er chamorro 1 . - a. a np D.. Mp Day 3 . signature o anon mnoun<Ing Deat n y w an ap u 3c. cents m sy .g11lON wno PteoflovNCes oR -- \ ~ ~ t a~ RT,PIa D TN ~ - a ~ •~ ~^-1 R ,.- 5 3 t 2ld, b S{gn (MO D>Y r 24. T ma o atM ~ \ ~j , fry - 25. Was Metligl Ex minaC Of Coroner COM>ctadT Q Vas No CAUSE OF DEATH APprpximat. 26. Part 1. En[ar Ma fhain pf wants-diseases, INurles, or wmpllcatbna-Mat direc[ly causetl the death. DO NOT enter terminal ewnes such as carabc arrest m<eml: raaplratory arrest' or wntrlculsr flbrlllatlon wtthou<showing the etiology. D O NOT ABBREVIATE. Eller only one taus. on a line. Atld atldKlonal lines If necezfary Onset fo Death / t IMMEDIATE UUEE ----------> a. ~~s~•aNAiC~ lY1~K-S ~x2ie. aJ-a ![2re(~t1 (Final alfaeu or condttion ua to (or as a con equence at): rasul[Ing In daatn) ! b. i Segwntl>Ily IIaL condlClOna, Due to (or as a consequenp ofi: t if any, leading to the uYS. IIStW on fine a. Enter the c. UNOLRLVINO GY56 Due to (Or as a consequence Of): l (disease er Inlury Mat 1 iniNeted the events .esuttinl d. Due to (or es a consequence ef): E b deem) LAlT . 2p. P>Y[ 11. En[ar eC a bY< nOi resUiLing In f f Vnderlying CLYN B1vM M P>n 1 27. Was an aV[Opsy perfq ea7 ~ ~ L 9'~E Y a No J~ <~ ~ 1 26. are >u<OpaY R 1n{s available <O complete the cause deathT V s NO 29. If Fa~Il~le: LrJ Not prainant wl[hin Past War 30. Dld Tebatto Use Cgntribu<e to Deaf^T ~ Ves ~ ProbabN 31. nner of Bath Natural ~ Homicide ~ Pmgnant at Lima of danh ~../ ® No ~ Unknown ~ gCClaent Q Pending Inveatigatlon ~ 0 Not pregnant, but pregnant wtthin 42 Gays oT death 0 suicide ~ Could net be determined Q Not pregnant, but pregnant 43 tl>ya to l year bebre deetfi 32. Deter o In)ury IMe/Day r) (Spell Month) Q Unknown H Pregnant within [hI psa[ Vear 33. Time of Inlurv 3A. Flap pI INury •.g. home; consnuctlen ells; arm; sehgol) 35. Location of InIVry tract and NVmber, CIN• State, ilp Cede) 36.INury a[ Work 37. 11 TreniPOrn[lon inlury. SPe<Ny: !B. Describe How Inlurv Occurred: Q Yat 0 DriverJOpan[or ~ Pedanrlan Q Np O Paffenger Q Other (SPaCKY) gee. K err (C a<k only one): ~unirymg physician -TO the bast of my knowledge, death oscurroa due to the pYSe(s) and manner stated Q PronouncMg >~ Grt1ry1 hyal<lan -TO the best OF my knowledge, death occurred ax ehe Yme, data, antl plat., ana due Lo Me pufab) and manner stated Matlipl Eaaminsr/Gar ne On [ha basis M examinPtbn, erW{rn Imastlgatlen, In my opinion, tleath occurretl of Nis time, tlete, sntl place, and due to the cause(s) an d manner sta[e0 Q SI{natYM OI prYlflert TKIe Of certlRer: ~~r~ LlCenie NYmbM: A~-C~~/p `7 y~~ 39 Nama, Ad rasa ana 21p Code of PeY>On COmpletint Cause Death (Kam 26) 39c. Oat. !!Arses (MO Day/yN To ,,.o ..~ . ~~, ; - v sue-- .3 4 erg stnrz t NYm r 1. egls[rars turn 3. eg 7FF sr OS<e Me y 49. Amendments Olspotltion Permit NO.C/~I(J ~O!/ REV10]1011 ~7J./S~ LAST WILL AND TESTAMENT I, NORA K. COLDREN, of the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I hereby declare that (a) I am fully aware of the fi existence of my son, namely, Joseph A. Coldren, (b) I am intentionally omitting him as a beneficiary of my Estate, and (c) make no provisions for him herein. It is my intention that Joseph A. Coldren shall not share in the distribution of my Estate. THIRD. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my son, namely, CLINTON W. COLDREN, absolutely and in fee simple. If my said son, CLINTON W. COLDREN, does not survive t+. 0 w a v. 0 A W O ac 0 v w I.AW OFFICES SNELBAKER. BRENNEMAN & SPARE me, then and in that event, I give, devise and bequeath my said .-~ r~idua~yo~state unto his natural issue living at my death per c-~ a s~irpQ~ subject to the protective provisions contained in tt~~ a I~m hereinbelow with regard to any beneficiary who has to ~ the age of twenty-three (23) years at the time for of my Estate. FOURTH. If any beneficiary hereinabove has not attained the age of twenty-three (23) years at the time of distribution, I order and direct that the distributive share of such person shall be paid over and delivered unto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, (or its successor by merger, consolidation or other corporate reorganization) as my testamentary Trustee, ZN TRUST, NEVERTHELESS, to hold, manage, invest, accumulate income and reinvest until said beneficiary attains the age of twenty-three (23) years, at which time said trust shall be terminated and the net proceeds thereof be paid over to the beneficiary absolutely. I authorize and empower my said Trustee to invest the assets of said trust in any reasonable manner and not be limited or restricted to so-called "legal" or statutory investments for fiduciaries. I designate any trust hereunder to be a spend-thrift trust. The beneficiary shall have no right to invade, pledge, assign or otherwise dispose of the assets of said trust (including income) nor shall any creditor of a beneficiary have any right to seize, levy or execute upon said assets by reason of any pledge, assignment or other transfer, voluntarily or involuntarily, made by said beneficiary. I further authorize and empower my said Trustee to use, LAW OFFICES SNELBAKER, BRENNEMAN & SPARE consume, expend and apply from time to time such amounts of principal and income of and from said trust which in the exercise of its sole discretion shall be determined to be reasonable and necessary for the beneficiary's education. The term "education" shall be construed and interpreted to mean college or other post- highschool training which is intended to improve the ibeneficiary's productivity as an adult or enhance the quality of his or her life. In considering what is reasonable and necessary, my said Trustee shall take into consideration the I~primary responsibility of the beneficiary's surviving parent to ~~provide such education. It is my will and intention that the -2- foregoing discretionary provision for education shall be supplementary to the parent's primary responsibility. LASTLY. I nominate, constitute and appoint my son, namely, CLZNTON W. COLDREN, to be the Executor of this, my Last Will and Testament, but if for any reason he should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY (or its successor by merger, consolidation or other corporate reorganization), to be the Executor hereof, each and both to serve without bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOF, I, NORA K. COLDREN, have hereunto set my hand and seal to this, my Last Will and Testament which consists of three (3) typewritten pages to each of which I have affixed my signature this °t ~'"~ day of A. D. , one Thousand Nine Hundred Ninety-seven (1997). i~~~~=cGt~/ • (SEAL) Nora K. Coldren The 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 by NORA K. COLDREN, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in ~e presence of each other, have subscribed our names as witne s ereto. LAW OFFICES S NELBAKER. BRENNEMAN & SPARE -3- COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, NORA K. COLDREN, RICHARD. C. SNELBAKER and CHRISTINE M. WHITE, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influ/e'`n~ce~. ~_o-F~G~ ..~~ =~ Witnes~ Subscribed, sworn to and acknowledged before me by NORA K. COLDREN, the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER and CHRISTINE M. WHITE, witnesses, this v~ ~ ~ day of ~~~ 1997. Nota Publ c LAW OFFIClS SNELBAKER. BRENNEMAN AC SPARE Peh'Ide J. Thortmon~Notary PtibAC IMBd1MiMk1~g sOrO. CURlb9fI811d MY CamilfNdbn FxpIn9Y Def 8~~ 1~9 Mnrtbe~ P'wtitijMar~eAseod6rhndMot~+iRs