HomeMy WebLinkAbout03-22-05
Estate of James
a/so known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. dl- OS -.;L 10
To:
L.
Collins
Register of Wills for the
Deceased. County of C/.L",hlrl.."d in the
Social Security No. 175- 22- q. 79(" Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut rij(
in the last will of the above decedent, dated sed. II
and codicil(s) dated
named
, y{2NW
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in C'1(4/w/' County, Pennsylvania, with
h'~ last family or rincipal residence at /.3: kJeJley ZJr/I'~ ,
L.",()e-- ~.Jf ;'w.o. ~ f1,'''J1. tJ,~M
. (list street, n~mber and muncipality)
Decendent, then 77 years of age, died f'rIllNh Ie. , t9- -a,05' ,
at H*/;, l....~'./ #~'hz/. ~~ M7~ ,!?/f .
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows:
(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 . $ ;?,,-. ppp.-
situqted as follows: ~9' ~s/9' [;;y're. ~t!t'~'tnl"csJI<''1 (Lo&)~ A//;H T4J")
L:.(/4!bi'/.ud ~= J
,-
5; 19"&7' "
WHEREFORE, petitioner(s) respectfully re uest(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
theron.
(testamen ary; administration c.La.; administration d.b.n.c.t.a.)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ") ss
COUNTY OF CU/1'}/8EIlLM~ J
Cl
"'-
The petitioner(s) above. named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly adm~ister the est~ate ac rding to law.
Sworn to or affirm~ and subscribed { ~~~b {f5ff/i~~ ~
before m hiS ,;(.1 day of ~ .- - 1'-- _ ~
\ \ doO'5W _ ..
\ ~ ~
~ ~
. Reg" ler ~
No. d.1-05- ~55
Estate of
~C^ ;
('!cKLe~
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ch.;2,:;). ..JllOS-W_. in consideration of the petition on
the reverse side hereof. satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated q - II - d.t ;0(')
described therein be admitted to probat and filed of res;ord as the last will of
and Letters
are hereby granted to
. FEES i 5. 00
~ters,Etc. ......... sCio,ro
Short Certificates( ).......... s:1 () .o()
RiR\lR8iQtiQ~~~~~ t;.()O
c\1l0 s\O.DO
TOTAL slyo.=
Filed .. ~ .-: .~.~ : . ~.<?C?$. .. .. .. . .. .. .. .. .
\kU<n-In~",,~ '~
Register of Wi~ .
~E:~~
ATTORNEY (Sup. Ct J.D. No.) 3!JS73
b CA>#'~ A"tI., lI(eehLJlI'c.sbltJ<f/~
ADDRESS V /7 iPSS-
7/7-7~6 -.&ZtPf
PHONE
REGISTER OF WILLS OF
OATH OF SUBSCRIBING WI
COUNTY
SS
(each) a subscribing witness to
law, depose(s) and say(s) that
codicil
will presented herewith,
the testat , sign the same and that
request of testat_ in h presence and (in tli
other subscribing vi" ss(es)).
ch) being duly qualified accordin to
present and sa
\
Sworn to or affirmed and subsc .
me this
51 ed as a witness at the
resence of each other) (in t presence of the
.~
'.
'-,
'-,
~ame)
19_
'<~
(Address)
Register
(Name) \
(Address)
REGISTER OF WILLS OF C II /}f 13€'7U,If,ob COUNTY
OATH OF NON-SUBSCRIBING WITNESS
/JII1I2Y EUZII~t;/Jj ~8tE
(~ a subscriber hereto, ~ being duly qualified according to law, depose(s) and say(s) that
~ /5 familiar with the signature of :7/!f</l/5S L. CL;~A/S
"'Codkil
will
EHln.:..;G;uo vviL1I....J~'--,.., to) the
presented herewith and
..eai"il
believes the signature on the will is in the handwriting of
testat~ of teRe ef tllQ
that
SIIli
JIlIfft&S t.... CeUltVS
to tll!l b~st of ,h,(!-r "" knowledge and belief.
Idr]c)~) ..s.;\r/>;!c~,J:!'O;V
Sworn toili) i\~~~ifand subscribed before
me this M day of
*1 0 . JY'-.:uoS"
, A(\\\~
Regisrer
C\,w1\
~
& ~dL
)~gt:l;:-
ame ..
~f' <<'d., MeM4'/l/CSbu'(jn /TtP5S
(Address)
(Name)
(Address)
REGISTER OF WILLS OF Ctl/J&9!.UAlIJ COUNTY
OATH OF SUBSCRIBING WITNESS
fl/l/M!LES E- S/I/GZ-i)S ::zzz:
~ c6Eii.::~1
(eacn) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that lIE ~/f-S present and saw
,~B L. &LL./-1IS
the testator , sign the same and that fiE: signed as a witness at the
request of testa~ in h is. presence and (in the presence of each other) (in the presence of the
other subscribing witness(es))_
~/
day of
)4:7PoS
~
~;;:L;/~
C#~ R:. S#'(~:L!L
(Name),
;;. cr.,/lser RtI., /JEchzn/csbu'J' Ii'" 1705'S:
(Address)
(Name)
(Address)
REGISTER OF WILLS OF
OATH OF NO~UBSCRIBING WIT
ereto, (each) being duly qualified a ording to law, depose(s) and say
familiar with the signature f
testat_ of (one of th~ subscribing witnesses to) the presented herewith and
codicil
that believes the ~:,ignature on the wi is in the handwriting of
me rhis
day qf
';ubscribed he fore
q
.~e~lsrer
Name)
_4. adress I
n".,'."" ',',\
This is to certify that the information herc given is correctly copied from an original certitlcate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanen~ filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
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P 11336990
No.
JIem-# 11lL-
~d redd .;h1ai'l:S+
'Ie 3 - /iJ-(;!J"
, J/1/-1/ J.tL-tJ ~,iJrr,
Local Registrar
qxMMJ I~ ,,)~tJ
Date
f'...)
r"-)
HI05.143 H~, 2.'!>7
21 -0 5 - 2,0
COMMONWEALTH OF PENNSYLVANIA" DEPARTMENT OF HEALTH. VITAL RECORDS
TYPE/PHINT
..
PERMANENT
BLACK INK
CERTIFICATE OF DEATH
NAME OF OECEOENl (FnI.IAiddle,laSl)
James l.
Collins
'"
2M-ale
BIRTHPLACE (Cilyand P A
Slato<>rF<>reIgnCountry) HOSPITAL
RittsDurgh PA ~n:....n'~
,
AGe:(l~.tBII\May)
77
,,,
,
COUNTY Of DEATH
Cumberland
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"
DECEDENrs USUAL OCCUPATION
KIND Of BUSINESS/INDUSTRY
(';,':;::;~:'"~:':~i."';:'rZl.r':,,~'
lIaSystems Annal i st l1[ederal
DECEDENT'S MAILING ADDRESS (SIt"t. CilyfTown, Slale. Zip Code)
134 Wesley Drive
,rechanicsburg PA 17055
DECEDENT'S
ACTUAL
RESIDENCE
($eeiMltuctions
Ofllllhetsida)
Ha,St"le
PA
Cumberland
Hb_Counlv
FATHER.SNAME(Fioo"Middla.laal)
18 Raymond Stephen Collins
INFORMANrs NAME (T~pe/P'inl)
2D~_ Mar Coble
METHOD Of DISPOSITION
BunellXlC,emaliun Gemoval from Slale 0
OUler ,ee,ty}
ST~Tf f'l~NUMilEA
SOCIAL SECURITY NUMBER
,.17522 4796
OATEOF DEATH (Moolh. Da~, Vea,}
,.reh I. leX>
1l""""'.O ="'ID
RACE-Arnari<:an Indian. alack, WMe,..1
(SP"C'M
White
"
Did
deeedenl
li""i"il
lown$hlp?
M,.\RITALSTATUS-Mil....OId
N.....e'M..n1ed.Widowed.
DNo,ced(Specily)
14 Widowed
17<:_ rn Ve~.Je<;""""\~vll<li" Lowe r
~"
SURVIVING SPOUSE
(~...,f.,..'....m'''""''''''''1
A 11 en
1111. 0 =ioi~~~~I~ii~Ol
eilylb",o
MOTHER'S NAME (firsl, !IIlddle, Maiden Sum~)
19. Mar W. McFarland 011 i s
INFORMANT'S MAILING ADDRESS (SI<eel, CllyfTOWf1, Slilte, Zip C<:>de)
2&D7 N. lewisberr Road Mechanicsbur PA 1
PLAC!i. OF DISPOSITION. Name 01 Cemet..ry. C,ematory lOCATION. CllyfTown, Stol'e, LIp Cod..
",OIh..Place
,J
DATEOFOISPOSITION.
IM"""',D."v..,)
3-23-2005
""'.,, '''''!''
22b.I"U-U t"662-l
21e Indiantown Ga Cemete
N~fi: ANO ADDRE;l.$ OF fAClllT'(
~"yers I"uneral Home
LICENSE NUMBER
17003
PA 170 5
bo.~\oImyk""""edDe,deathoceurredellhelime.deleendpl.ce.lated
ignalu,a.ndT,l!e)
".
TIME Of DEATH
2._ 6.'
O/l..lE PRONOUNCED PEP<.D (Moffih, Da~, l'aaf)
U. f1b.,d.. I IX)
21. PART I; En..,.... ""....., 1nJ~'Io' .'e....pUc."on...h'eh ..".."1ho"..1lI. l:I.nol ""to,.h. ",.d. .Idylng, ,".h.. ,.,ol.e 0' ...pl..",'l' ."..~ .h.,. '" ho.",.~"..
~'.'.n!.ono ,a<<.........h "n.
'!--J(
DUE TDIOO~SACO~SEauENCEO
SequeJ1I",'lyli.>l.;undniullS
ifany, laad",~ I"immediale
ca~se En'e,UNOERlYING
C,l.USE iDiw"">l m \nju1)'
olhallnilialedavenl.
(esuitin~<lndealh) LAST
I:
DUE TO(OOAS~COt<SEOUENCEOf)
OOE TO (ORAS ACOt<SEQUENCE 01')
"
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,
<
I~
WERE AUTOPSY I'R-lDINGS
P<.VAILABLEo PRIOR TO
COMPLETION OF CAU:;~
OfOEAHH
MANNER. Of DEATH
DP<.TEOF INJURV
l"'cn...O."v...)
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o
Homiclda
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o
o ~~:CE OF INJURY
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Ac",denl
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CHHIFIER(CheckOOI~OIIa>
'~:'Malf.;r.::I~r::'~~~~3:l."~~:~I,~g~~'1;~~d':lu:,," I~ lI:':~a::~:~:r~~3f.r.'~~~:a~.h:I~e;~~~~~:u.~.~.~~~~'..~,_~ ,:~~~~~~~~.~ .i~~.'_n.~~.)..
"
'PRONOUNCIRG AND CERTIfYING PH~S'CIAN (Ph,"I"..," ..,'h ~.",)ou"cin~ death .nd "~(\,fy'ng to ~.""" 01 dedit,)
Tolh.boo.tol...ykn"wl.ay.,daalhoceu"edal.hall....,d~la.andl'laco,ar>d<.!u.lolhacau.ul.)anllm.r>no<uatalall.
vi
"Y -
IA/~I/.MI
o 5
Anniville PA
Mechanicsbur
OAT SIGNED
(Moolh.Day,Year)
l3b l3e
WAS CP<.SE REFERRED TO A MEDICAL EXAMINER /CORONER?
2G Vasa. NoD
:A9p,oximal<l PART I!: O[l\a,.igilifica.ntcotu1itioo~~IilI\tIo<l.l>OIh.1>uI
. inleJVal between net'eiUltinDin1haund..~yinD...u.aDivaninPAATI
:0II!i<11 and death
: ~
TIME OF INJURY
'fasONoO
JDb. M 30e. JDd.
Al hOflla. I.,m. slraal, facIO<)', otIIca L.OCATION (51'....1. CilylTown, Slate)
..........0
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LAST WILL AND TESTAMENT OF .TAMES L. COLLINS
I, JAMES L. COLLINS, of the Township of Lower Allen, County of Cumberland and
State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make,
publish and declare this my Last Will and Testament, hereby revoking and making void any and all
prior Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my decease as
the same can conveniently be done.
2.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise and bequeath to my five (5) children in equal shares, to wit: Mary
Elizabeth Coble, Corrine Patricia Gilbert, Gregory Richard Collins, Robert Brendan Collins, and
Stacie Louise Russell.
3.
I nominate, constitute and appoint my daughter, MARY ELIZABETH COBLE, to be the
Executrix of this my Last Will and Testament. In the event that she should predecease me or for
any reason be unwilling or unable to act as such Executrix, I nominate, constitute and appoint my
son, GREGORY RICHARD COLLINS, to be Executor in her place and stead. I further direct
that they shall not be required to file bond or other security in the Office of the Register of Wills
for the purpose of administering my Estate.
,;fir
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 11 day of
all
5-e r~""'~R. , A.D. 2000.
~~,.<- ';1~
MES L. COLLiNS
(SEAL)
Signed, sealed, published and declared by the above-named JAMES L. COLLINS as and
for his Last Will and Testament, in the presence of us, who at his request and in his presence, and in
the presence of each other, have hereunto subscribed our names as wit ses.
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