HomeMy WebLinkAbout04-05-13 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: Ada Grace Cocklin _
— -- File No: _� ---
a/k/a: — (Assigned by Register)
a/k/a: -- — - - -- —-
a/k/a: __ _- Social Security No: _
Date of Death: ?12812012
Age at death: 9 4
Decedent was domiciled at death in Cumberland County, FA.- _ _ (State) with his/her last
principal residence at 1000 Claremont Rd 17013 iddlesex Townshi._� _C_umberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedentdiedat 1000 Claremont Rd 17013_ Middlesex Township -_- Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania................................All personal property S 3 4 -1 0 0 0 . 0 0
If not domiciled in Pennsylvania.............................Personal property in Pennsylvania S
If not domiciled in Pennsylvania.............................Personal property in County $ _-
value of real estate in Pennsylvania.............................................................. $ -__-4.5,0 0 0 • 0 0
TOTAL ESTIMATED VALUE.... $ 7 9.?0 0 0 . 0 0
Real estate in Pennsylvania situated at 802 F a i r f i e l d St . 17 0 5 5 Monroe. TownshiD Cumberland
(Anach addhional sheets,rfnecescary) 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 9� and Codicil(s)
thereto dated
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 born or
adopted,and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
® NO EXCEPTIONS ❑ EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration(If applicable)
c.t.a., d.b.n.,d b.n.c.1.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.
❑ NO EXCEPTIONS ❑ EXCEPTIONS
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(attach
additional sheets, if necessary):
Name Relationship- Address
m � C
rn Q
- -- - �� C>
c-� c• — 7�
Form 1rw-02 rev. 10/1 2011 —d G- Me 1 of 2
o -t,
Oath of Personal Representative Official Ue Only
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF Cumberland
Petitioner(s)Printed Address Petitioner(s)Printed Name______'____T_____________ '
P . O . Box 804 , 1,1,5 W . Broad Street
M
Key a Elizabethville G>
stone hip Services P A _��2 3
W _U
r-
M
C7
C) ca
CD
The Petitioner(s)above-named swear(s)or affirms)the statements in the foregoing Petition are true and correct to the best of the knowledge aM belief C,
ol'Petitioner(s)and that,as Pcrsonai Representative(s)of the Dec administer the estate ace
Sworn to or affirmed and subscribed before Date
met ay of Date
By: -------- Date
For the Register
Date
BOND Required: LJ YES 3,NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. . . . . . . . . . . . Attorney Signature:
Z_ Short Certificates(s) . . . . . .
Renunciation(s). . . . . . . . . . _4
Codicil(s) . . . . . . . . .
Affidavits
Bond ). . . . . . . . . . . . Printed Name: D a vi d H• Stoiia -i E S__q_kkl
. . . . . . . . .
Commission . . . . . . . . . . . . . . . . . . . . Supreme Court
Other ID Number: 3 97_8 5_
...... . . . . . .
Firm Name. Stone LaFaver & Shekletski
._1 -- . . . . . . . . .
Address: 414 Bridg_e.....Stre e t
P . O . Box E
New Cumber 1 and P A 1?070--�
. . . . . . i Phone: 71,7-774-74_.35
F -74-3869 ax. 7 1 7____ 7
Automation Fee . . . . . . . . . . . . . . Email: dstone@stonelaw- net
JCS Fee . . . . . . . . . . . . Z_I
TOTAL . . . . . . Z-
DECREE OF THE REGISTER
Estate of Ada- Gra-ce _C o c k_l i n File No:
a/k/a: -------
AND NOW,
in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters
are hereby granted to Key st-one-Guar di ans hip Sery ices
—----------------- in the above estate anc {if applicable)that
the instruments)dated 9/30/2009
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Decedent.
Register of Wills L
Form RW-02 rer, 10 11 2011
Page 2 of 2
RECORDED OFFICE OF
REGIS,*FER OF
LAST WILL AND TESTAMENT '9PR F-119 10 90
OF CLERK OF
ORPHAP�S' COURT
GRACE A. COCKLIN CUMBERLAC41) CO., PA
1, Grace A. Cocklin, now or formerly of 802 Fairfield Street, Mechanicsburg,
Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do
make, publish and declare this my Last Will and Testament, hereby revoking all Wills and
Codicils by me at any time made.
ITEM 1: 1 direct that all inheritance and estate taxes becoming due by
reason of my death, whether such taxes may be payable by my Estate or by my Executor
out of the property passing under this Will, which is not specifically devised or
bequeathed, be paid as an expense and cost of administration of my Estate. My
Executor shall have no duty or obligation to obtain reimbursement for any such tax paid
by my Executor even though on proceeds of insurance or other property not passing
under this Will.
ITEM ll: I direct that before any distribution of assets is made to my
beneficiary as set forth below, that, in the event that I have any pets at the time my death,
that the first $4000.00 of the assets of my estate be set aside for the care and
maintenance of such pet, including end of life or burial costs. Set funds may be provided
to any individual or agency who shall care for my pet or pets.
ITEM III: I give and bequeath all of my household furniture and
furnishings, automobiles, books, pictures, jewelry, china, linen, silverware, wearing
E -
apparel and all other like articles of household or personal use and adornment to
Carolynn Stuart, now or formerly of 2722 Walnut Street, Apt. A, Camp hill, PA 17011.
ITEM IV: I give, devise and bequeath all of the rest, residue and
remainder of my property, real, personal and mixed unto the aforementioned Carolynn
Stuart.
ITEM V: Any person who shall have died at the same time as Testator,
or in a common disaster with him, or under such circumstances that it is difficult or
impossible to determine who died first, or who shall fail to survive Testator by ninety (90)
days, shall be deemed to have predeceased him.
ITEM VI: I hereby nominate, constitute and appoint the aforementioned
Carolynn Stuart to be my Executor (hereinafter "Executor"). My Executor and Trustee are
specifically relieved from the duty or obligation of filing any bond or other security.
ITEM VII: In all references herein to any Spouse, Executor, Beneficiary
or Child, the use of any particular gender or the plural or singular number is intended to
include the appropriate gender or number as the text of this my Last Will and Testament
may require.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last
Will and Testament, consisting of this and the preceding one (1) page, this 30 day of
September, 2009.
Um--Grace A. Cocklin
---/ 00!A%4'1N!"1rA1-TH OF PENNSYLVAN4,
Page 2 of 4
L,%f,�fjy, r'3t4?ry Public
f !arrisbuf_U, Dauphin County
my Commission Expires Jan. 1u, 2011
SIGNED, SEALED, PUBLISHED AND DECLARED by the above named
Testator, Grace A. Cocklin as and for her Will, in the presence of us, who, at her
request, in her presence and in the presence of each other, have hereunto subscribed
our names as witnesses in attestation thereof.
i
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.:
COUNTY OF DAUPHIN
I, Grace A. Cocklin, the 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 Grace A. Cocklin,
the Testator, this 30 day of September, 2009.
i
I Grace A. Cocklin '
Notary Public
My Commission Expires:
(SEAL)
COM!ON'WrAI_TH OF PENNSYLVANIA
N01 Tajj-41 SEAL
AL"
MARK K. EMERY; Notary Public
City of Harrisburg, Douphin County
My Commission Ex
Page 3 of 4 pres Jan. 10, 2011
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS.:
COUNTY OF DAUPHIN
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 nd subscribed to before me by
and � � ��a 6 this 30 _ day of
September, 2009.
Witne s '� �
Witness
7
Notary u is
My Commission Expires:
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
NO`S RIAL SEAL
MARK K. Ew°E?�Y, Notary Public
City of Harrisburg, Dauphin County
My Commission Expires Jan. 10, 2011
Page 4 of 4
RECORD D OF
REGIST!!:R OF
RENUNCIATION
?K3 APR
REGISTER OF WILLS CLERK OfF
(%imberland COUNTY, PENNSYLV awrN AN S' COURT
CUMBERLAND Co.. PA
Estate of Ada Grace Cocklin Deceased
1, Carolyn Stuart in my capacity/relationship as
(Print �':ine)
friend of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Keystone Guardianship Services
(Date) (Signature) V/
4708 Florence Avenue
(Street Address)
Mechanicsburg PA 17055
(04,State,Zip)
Executed in Register's O�,f,"ce Executed out of Register`v Qfflce
Sworn to or affirmed and !,t bscribed Before the undersigned personally appeared the
before me this —day party executing this renunciation and certified
of that he or she executed the renunciation for the
purpo es stated within on this 8' day
of
Deputy for Register of Wi I Notary I
My Cemission Expires:
(Signature and Sea]ol'Notary or other official qualified to
administer oaths.Show date ofexpiration of Notary's Commission)
NOTARIAL SEAL
KEVIN PAPULA
Notary Public
HAMPDEN TWP,CUMBERLAND COUNTY
ForinRW-06 rev, 10.13.06 My Commission Expires Jan 28,2014