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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland 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
Name: Leroy W.Coy File No: j
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: March 15,2013 Age at death: g J
Decedent was domiciled at death in Cumberland County, Pennsylvania ((State) with his4w 1 sit
principal residence at 6,,y- ,-►+ W /A/ l!/ �� m �� :✓�
Stree address,P t O�fficce and Zip Code C4,-qt Township or Borough u �/ C
Decedent died at CA'.*tierj`ik"Y" �SA� / C4,-rt he�rS6'H vz; /'/`f— �2 /Yz<
Street address,Post ice and Zip Code City,Towns or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsyl vania.......................... .. All personal property $ 15,000.00
If not domiciled in Pennsy lvania. ...... . ............ . ... Personal property in Pennsylvania $
If not domiciled in Pennsy lvania. ...... . ............ . ... Personal property in County $
Value of real estate in Pennsyl vania......................... ...... . ................. ..... ... $ 000
TOTAL ESTIMATED VALUE. ... $ 15.000.00
Real estate in Pennsylvania situated at: N/A
(Attach additional sheets,if necessary) Street address,Post Office and Zip Code City,Township or Borough County
✓❑ A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated July 18,2012 _and Codicil(s)
thereto dated None
State relevant circumstances(e.g.renunciation,death of executor,etc.)
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(g),and did not have a child bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS Q EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent 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(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
0 NO EXCEPTIONS O EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the followig spouse(if any)and heirs(gtttyach
additional sheets,if necessary): .
C c i3 trl
i"t'1 �
_)
Name Relationship AddrFa
Joyce E.Gruver Daughter 231 Strohm Road
Shippens bur PA 17257 __
c� a:..
2 —ii
J ✓".i C7
-v
Form RW-02 rev. M11112011 Page I of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland SS: R E 0'01.?,
Petitioner(s)Printed Name Petitioner(s)Printed Address
Joyce E.Gruver 231 Strohm Road,Shippensburg,PA 17257 3 Fj R,R 2-7 0 5
C U M B E R
The Petitioner(s)above-named swear(s)or affirm(s)the statements iAhe 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 Decede�t,the Petitioner will 11 and truly administer the estate accordi g to law.
Sworn to or affirmed and subscribed before Date /Q
me this day of Date
By:
Date
For the Register Date
BOND Required: 0 YES 01 NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ Attorney Signature:
Short Certificate(s). . . . . . TC-I
Renunciation(s).. . . . . . . .
Codicil(s). . . . . . . . . . . .
Affidavit(s).. . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . Printed Name: Gregory R. Reed
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 23705
I Firm Name: Law Offices of Gregory R. Reed
.. . . . . . . Address: 3120 Parkview Lane
.. . . . . . . . Harrisburg, PA 17111
.. . . . . . . . Phone: (717)238-0434
Automation Fee. . . . . . . . . . . . . . . Fax: (717)238-8469
JCS Fee. . . . . . . . . . . . . . . . . . . . .
Email: lawnffire.�reedpalaw com
TOTAL. . . . . . . . . . . . . . . . . . . . . T-,
DECREE OF THE REGISTER
Estate of Leroy W.Coy File No:
a/k/a:
AND NOW, in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT I DECREED that Letters
are hereby granted to-:-1-1/('/f I.� , I "', ;'i c
in the above estate and(if applicabie)that
the instrument(s) dated
described in the Petition be'Amifted to probate and filed of record as the last Will(and Codicil(s)) of Decedent.
-kegtster of Wills
Form R W-02 rev. 10/1112011 P ge2of2
%
LAST WILL AND TESTAMENT OF LEROY W. COY
KNOW ALL MEN BY THESE PRESENTS, That I, LEROY W. COY, currently
of Lower Swatara Township, Dauphin County, Pennsylvania, do make, publish and
declare this instrument to be my Last Will and Testament, hereby revoking and making
void any and all former Wills by me at any time heretofore made.
FIRST—I direct the Executrix hereof to pay all my just debts, funeral expenses
and costs of administration as soon as conveniently may be done after my death. I further
direct the Executrix hereof to pay all inheritance, estate, transfer and succession taxes
which may be levied or assessed upon any property which is included as part of my gross
estate for the purpose of any such tax.
SECOND —I give, devise and bequeath all the rest, residue and remainder of my
estate, both real and personal, to my stepdaughter, JOYCE E. GRUVER.
THIRD—I appoint my stepdaughter, JOYCE E. GRUVER, to be the Executrix of
this, my Last Will and Testament. I do hereby give to the Executrix hereof full power,
discretion and authority at any time or times to sell, at private or public sale, mortgage,
lease, pledge, exchange or otherwise deal with or dispose of the property comprising,my
estate upon such terms as deemed best, to settle and compound any and all claims in favor
of or against my estate as deemed best and, for any of the foregoing purposes, to make, r
C Q w ni
execute and delivery any and all deeds, mortgages, contracts, leases, bills of sa cV other =3
instruments necessary or desirable therefor.
LWC W-1 W-2 '.:, r.,
O Cd) U
C Il 'Y7
LASTLY—I direct that no fiduciary appointed by this, my Last Will and
Testament, shall be required to give Bond and that if, notwithstanding this direction, any
Bond is required by any law, statute or rule of court, no Surety shall be required thereon.
IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will. and
Testament, consisting of two (2)pages on the margin of which (except this page) I have
affixed my initials this day of _.T�,�y , A.D. 2012.
LEROY W. COY
Signed, sealed, published and declared by LEROY W. COY, the above named Testator,
as and for his Last Will and Testament. This document was executed at his request and in
his presence, and in the presence of each of us, and we have hereunto subscribed our
names as attesting witnesses.
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
:ss
COUNTY OF DAUPHIN
I, LEROY W. COY, testator whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will; and that I signed it willingly and as
my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and acknowledged before me by LEROY W. COY, the
testator, this
l'day of 2012.
LEROY W. COY, Testator
c �r
Notary Public
NOTARIAL SEAL
SARA E REED
Notary Public
SWATARA TWP., DAUPHIN COUNTY
My Commission Expires Apr 29, 2013
AFFIDAVIT
COMMONWEALTH OF PENNSYVLANIA
:ss
COUNTY OF DAUPHIN
We, Gregory R. Reed and Caleb M. Reed, the witnesses whose names are signed to the
attached or foregoing instrument, being duly qualified according to law, do depose and say that
we were present and saw the testator sign and execute the instrument as his Last Will; that the
testator signed willingly and executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of the testator signed the will as
a witness; 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 to or affirmed and subscribed to before me by Gregory R. Reed and Caleb M.
Reed, witnesses, this /J'4--day of uk&A- 32012.
Witness
Witness
Notary Public
NOTARIAL SEAL
SARA E REED
Notary Public
SWATARA TWP.,DAUPHIN COUNTY
My Commission Expires Apr 29,2013