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'
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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
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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„
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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
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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
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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
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lCrny swe.Zrpj
E'xeeu.ed in,>Register's Office Executed out of Register$Ogee
Swom to or affumed and subscribed Before the tuidersigned,persoaally appeared the
before me this day party exK11ting this renunciation and certified
of that he or she execated the rewinci t}' n for the
purposes stated within of this , h1 day
of U/
Deputy f6r Register of Wills Aotary public
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�DD Bond No. 71417388
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COMP
�EalSIER ArD kEC c==EAECGUN
ENN_ LVANF Western Sureany
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Know all Persons by these Presents:
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G THAT WE, Deanna Domingo as Principal, '
F and WESTERN SURETY COMPANY, a corporation duly licensed to do
business in the Commonwealth of Pennsylvania, are held and
firmly bound unto the Commonwealth of Pennsylvania in the sum of
6
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Five Thousand and 00/100 Dollars ($ 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.
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By
Form 1149-A-72-2002 Paul T.Bruflat,S for Vice President y
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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
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STATE OF SOUTH DAKOTA '
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COUNTY OF MINNEHAHA
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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.
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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