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HomeMy WebLinkAbout04-28-15 (2) May. 14, 2013 11 ; 1 ORM No. 4269 P. 1 PETITION FOR PROBATE and GRANT OF LETTERS FILED j16/1)3/2013 10')-.S4 P' I F1 REGISTER AND RECORDER Estate of Jeffrey Coons, Sr,, decedent No. Aq1S-A?15D FR4KL IN COUNTY also known as C=3 F'EN0,iYLVA:NIA N4 rn' 201312372 To: Register of Wills of FranQ gunty C") Deemed. 70 171 r-n co "6 The petition of the undersigned respectfully represents that: Your petitioner(s) is/are 18 years of age or older and appl(ies)for Letters rT1 .0 of Administration I co � (d.b,n,;pedente lite;durante absentia;durante minoriate) Decedent was domiciled at death in 16 Lenwood Park,Franklin County, Shippensburg, Pennsylvania 17257 with his family or principal residence at 16 Lenwood Park,Franklin County, Shippensburg,Pennsylvania 17257. soukvla"IPN'Z�n (list street,number,municipality/township) Decedent,then 48 years of age,died May 4,2013 in Hershey Medical Center,500 University Drive, Hershey, Dauphin County,Pennsylvania 17033, FOR LITIGATION PURPOSES ONLY Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ o. (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in PA situated as follows; 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: Name Relationship Residence Deanna Domingo Adult Daughter 510 South Seacrest Boulevard Boynton Beach,FL 33435 Jeffrey Coons,Jr. Adult Son Currently Incarcerated in Franklin County Prison 16 Lenwood Park Shippensburg, PA 17257 THEREFORE,petitioner(s)respectfully request(s)the grant of letters of administration in the appropriate form to the undersigned. SIGNATURE TYPED NAME AND RESIDENCE Deanna Domingo 510 South Seacrest Boulevard Boynton Beach,FL 33435 May. 14. 2013 11 : 11AM No, 4269 P. 2 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA : SSN: 202-54-7780 COUNTY OF WASHINGTON The petitioner(s)above named,swear(s)or affirm(s)that the statements made in the 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 above petitioner(s)will well and truly administer the estate accord ing,,to)14%li!.a P„ S /�t7 q/��� jt,• woo rM1A o•br Tw1 MY Go l�� sc5 lls'Vd befolr fl;V:tliasl�l of, _ L y,Yi 1 - vf'o &��lZ Bter �,r ,.;:, , '} '!L 'fie NO. Estate of Jeffrey Coons, Sr.,Deceased DECREE OF PROBATE AND GRANT OII+LETTERS AND NOW, ,2013, inAcc�sideratipn of the petition on the first page hereof,satisfactory p f having been presented befbre e.; !X CREED that the instrument(s) dated _ aa` ��`�'' `'ems �fr'o described therein be admitted to prob to and filed of cord as the-laOt°vwi�l'o�;F. � � and letters are hereby granted to h rn r ✓ ->,.j°;'�'����`,�,w ,' r tsder a 11Yil'ix �e Documents Attached: Oath of Subscribing Witness(s) ❑ Virginia Shenkan,Esq. Sup. Ct.1.D.#57861 Oath of Non-subscribing Witness(s) ❑ Virginia Shenkan Law Center,P.C. Oath of Witness(s)to Mark ❑ P.O.Box 1130 Renunciation(s) ❑ New Castle,PA 16103 124-652-8000 ,,,��� May. 14. 2013 11 : 11AM No. 4269 P. 3 EKED (16"j,"-13/2 3 1.03:54 PH REGISTER AND RECORDER RENUNCIATION FRANK"IN COUNTY E'ENhS`,'I_'JDNTA _ Ire: t Num: 201312374 REGISTER OF WILLS F 8&K 1N COUNTY, PENNSYLVANIA Estate of Jeffrey- Coons, Sr. Deceased I, Jeffrey Coons, Jr. �,111 my capacity/rela.tiombip as ._..__..- ........_ lPripf R'Vpnra} adult son of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Deanna Domingo 2 ieO n s !Dad�1 !S*.ErocthrreJ lStr•setddd,essl lCrny swe.Zrpj E'xeeu.ed in,>Register's Office Executed out of Register$Ogee Swom to or affumed and subscribed Before the tuidersigned,persoaally appeared the before me this day party exK11ting this renunciation and certified of that he or she execated the rewinci t}' n for the purposes stated within of this , h1 day of U/ Deputy f6r Register of Wills Aotary public my conunxssion Expires; c) f y $ ao 13 i (SAgz,t w*mid SPa!of NoiAly ar Wr w*Xxtiol gU41ikiad to edznm.i�cer o�tF�s. Skov dasa o£�pilR+rioR of tiau+ry's Cammixyiart.) am-14ONWEALTH OF 91�+t+ v► NOTARIAL SIM 'A INgft t Shoemaker,NolIFy R4011P Boos RfV= rev,10.13,06' *wjj gb'eorough.curdlb90804 ' tmwlsslon ExQlr99�111 -2 F �DD Bond No. 71417388 � y _ :1 ?E[? 11111/2013 1:11. 11 COMP �EalSIER ArD kEC c==EAECGUN ENN_ LVANF Western Sureany � 1'3 73st Nura4 G Know all Persons by these Presents: f N G � G THAT WE, Deanna Domingo as Principal, ' F and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the Commonwealth of Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsylvania in the sum of 6 f• Five Thousand and 00/100 Dollars ($ 5,000.00 to be paid to the said Commonwealth, or its certain Attorney or Assigns, to which payment well and truly to be made, we bind ourselves jointly and severally, for and in 6he whole, our heirs, executors and administrators, firmly by these presents. Sealed With Our Seals-Dated the 23rd day of May in the year of our Lord 2013 The Condition of This Obligation Is Such, That If The Above Bounden Principal, as Administrator of all and singular the Goods, Chattels, and Credits of Jeffrey I. Coons Sr. deceased, does make or cause to be made, a true and perfect inventory of all and singular the Goods, Chattels and Credits of the said deceased, which have come or shall come to the hands, possession or knowledge of the Principal or into the hands or possession of any other person or persons, for the said deceased and the same so made, do exhibit, or cause to be exhibited, into the Register's Office in the County of Franklin within thirty days from the date hereof; and the same Goods, Chattels and Credits, and all other the Goods, Chattels and Credits of the said deceased, at the time of his/her death, which at any time shall come to the hands or possession of the Principal, or into the hands and possession of any other person or persons, for the said deceased do well and truly administer according to law, and further do make or cause to be made, a just and true account of said Administration, within six months from the date hereof, or when thereunto required by the Orphans' Court, and all the rest and residue of the said Goods, Chattels and Credits which shall be found remaining upon the said Administrator's account, the same being first examined and allowed by the Orphans' Court of the county having jurisdiction, shall deliver and pay unto such person or persons at the said Orphans' Court, by their decree or sentence, pursuant to law, shall limit and appoint, and shall well and truly comply with the laws of this Commonwealth relating to collateral inheritances; and if it shall hereafter appear that any last will and testament was made by the deceased, and the same shall be proved according to law, if the said Principal being thereunto required, do surrender the said Letters of Administration into the Register's Office aforesaid, then this obligation to be void, otherwise to remain in full force. F. �4�5n �ed in the presence of F r• . , We G Principal 01 fl g� y�ly�a F i•w. a mi Principal ; � .... '+� WESTE SURETY COMPANY d '� Wa ^# � A d DV # 7 G � By Form 1149-A-72-2002 Paul T.Bruflat,S for Vice President y G Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota,and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America,does hereby make,constitute and appoint Paul T. Bruflat of Sioux Falls State of South Dakota its regularly elected vice President as Attomey-in-Fact,with full power and authority hereby conferred upon him to sign,execute,acknowledge and deliver for and on its behalf as Surety and as its act and deed,the following bond: One EXECUTOR JEFFREY I_ COONS SR_ bond with bond number 71417388 for DEANNA DOMINGO as Principal in the penalty amount not to exceed: $5.000.00 Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company duly adopted and now in force,to-wit: Section 7. All bonds, policies, undertakings, Powers of Attorney,or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary,Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attomeys-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Vice President with the corporate seal affixed this 23rd day of May 2013 ATTEST WEST R SURE.010 COMPANY oy By- - Nelson,Assistant Secretary Paul T.,Brpfat,Vice President ��Eeltllfftlf/#r/off 1111 ZIP STATE OF SOUTH DAKOTA ' ss COUNTY OF MINNEHAHA t ftdsu ti...,. On this 23rd day of May 2013 before me,a Notary Public,personallyappeared Paul T. Bruflat and L. Nelson who, being by me duly sworn,acknowledged that they signed the above Power of Attorney as vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntar act and deed of said Corporation. �ih5bbhyhs�i�h�a�shyhh yyy�i�i+ s S. PETRIK S 5 AE NOTARY PUBLIC(SEALIS sSOUTH DAKOTA s Notary Public +�ahh�+hyhhhShhhh hyh0yyh4y+ My Commission ExpiresAugust 11,2016 lvmr Form F1975-1-2012 %4t FILED 07/08/2013 3:44.14 PM RMSTER AND RECORDER FRANKLIN rGLINt 1r PEE Nh_:YL4ANI.A STATUS REPORT UNDER RULE 6.12 IClrt dlini: 201315246 Name of Decedent: Jeffrey Coons, Sr. Date of Death: May 4, 2013 Will No.: Admin No.: 2813-0350 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules,I report the following with respect to completion of the administration of the above-captioned Estate: 1. State whether administration of the estate is complete: Yes No_X_ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: One year 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the court? Yes No b. The separate Orphans' Court No. (If any) for the personal representative's account is: C. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases,joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: June 28, 2013 r Si ture V' inia Shenkan, Esq. P I.D.No.: 57861 Virginia Shenkan Law Center, P.C. 2712 Carlisle Street New Castle, PA 16105 (724) 652-8000 Fax: (724) 658-4444 Personal Representative _X Counsel for Personal Representative cc: Register of Wills Franklin County, Via First Class Mail Deanna Domingo, adult daughter, Via First Class Mail ORIGINAL IMPORTANT NOTICE FILED NOTICE OF ESTATE ADMINISTRATION 07/00/2013 3:42-56 FtpREGISTER AND RECORDER THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEYF,I0'R.IN COUNTY PROPERTY FROM THIS ESTATE OR OTHERWISE PENNSYLVANIA Inst NUM: 201315245 Whether you will receive any money or property will be determined wholly or partly by the Decedent's will. If the Decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF FRANKLIN, PENNSYLVANIA In Re: Estate of Jeffrey Coons, Sr., deceased Admin No.: 2813-0350 TO: Deanna Domingo 510 South Seacrest Boulevard Boynton Beach, FL 33435 PLEASE TAKE NOTICE of the death of Decedent and the Grant of Letters to the Personal Representative(s) named below: Deanna Domingo, adult daughter, 510 South Seacrest Boulevard, Boynton Beach, FL 33435 The Decedent, Jeffrey Coons, Sr., died on May 4, 2013, Dauphin County, Pennsylvania. The Decedent died INTESTATE without a will. The Personal Representative(s) of the Decedent is/are: Deanna Domingo, adult daughter, 510 South Seacrest Boulevard, Boynton Beach, FL 33435 The Decedent died INTESTATE, and a Petition for Grant of Letters of Administration was filed with the office of the Register of Wills of Franklin County, Franklin County Court of Common Pleas, Chambersburg, PA. A copy of the Petition may be obtained by contacting the Register of Wills' office and paying the charges for duplication of the records. Date: June 28, 2013 VIRGINIA SH N LAW CENTER, P.C. Virgi Shenkan Counsel for Administrator 2712 Carlisle Street New Castle, PA 16105 (724) 652-8000 Fax: (724) 658-4444 4tV ORIGIML cc: Register of Wills Franklin County, Via First Class Mail Deanna Domingo, adult daughter, Via First Class Mail CERTIFICATION OF NOTICE under RULE 5.6(a) Name of Decedent: Estate of Jeffrey Coons, Sr. Date of Death: May 4, 2013 Admin No.: 2813-0350 To the Register: I certify that Notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above captioned Estate on June 28, 2013: Name: Address: Deanna Domingo, adult daughter 510 South Seacrest Boulevard Boynton Beach, FL 33435 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none Date: June 28, 2013 VI GINIA S N N LAW CENTER, P.C. Virg' a Shenkan Cou el for Administrator 2712 Carlisle Street New Castle, PA 16105 (724) 652-8000 Fax: (724) 658-4444 cc: Register of Wills Franklin County, Via First Class Mail Deanna Domingo, adult daughter, Via First Class Mail 09, 1GIN A'L PILED 03/04/201c 3-25.3L PM pennsylvania REGISTER AND RECORDER FRANKLIN COUNTY DEPARTMENT OF REVENUEPENNSYLVANIA InSt NUM: 2fi15D4ltis� BUREAU OF INDIVIDUAL TAXES Telephone 717 787-8327 February 20, 2015 MS LINDA MILLER REGISTER OF WILLS FRANKLIN COUNTY COURTHOUSE 157 LINCOLN WAY EAST CHAMBERSBURG PA 17201 Re: Estate of JEFFREY COONS SR File Number: TO BE ASSIGNED County: CUMBERLAND Date of Death: 05/04/13 Dear Register of Wills: The subject decedent legally resided in CUMBERLAND County as of the date of death. Accordingly, you are authorized to cancel file number 2813-0350'All matters concerning this estate should be maintained under CUMBERLAND County File Number TO BE ASSIGNED. All original Inheritance Tax documents for the subject decedent should be forwarded to the CUMBERLAND County Register of Wills; however, you may wish to retain a copy, including photocopies of all receipts for the collection of Inheritance Taxes in the subject estate which have been issued by your office. ase contact m t the telephone number above if you have any questions. incerely, Laurel Fulmer, Supervisor . Inheritance Tax Division Department of Revenue I PO Box 2806011 Harrisburg, PA 17128 1 717.787.8327 1 www.revenue.state.pa.us