HomeMy WebLinkAbout01-0116
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of GJeMV/UE W (V06/C~.
also known as
No.
C-rWC: To:
,;} 1 - (} 1- lIfe,
Register of Wills for the
County of in the
Commonwealth of Pennsylvania
Deceased.
Social Security No. / ~ i - {5/ - ;;{ 9' 7 (/
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are ]8 years of age or older, appl Il?'S
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Oecendent was domiciled at death in (; (/'/'/6 E)(' L-- i4 JI../ 2J County, Pennsy.lvania, with
h 15 last family or principal residence at 77t .:rCl.,/-!AAlCVG'!e S7 e/l,eL/5L~
(list street, number and municipality)
Oecendent, then f",t years of age, died q -{: (/ 'lS , 19 f.3
at 7/'v SO, ~/ANCV~/l sr, r.li1If'LI.sL~
Oecendent at death owned property with estimated values as follIows:
(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
situated as follows:
: l ~~;~
$
$
Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
.. Name /,I
c;~4N VILLI: W/~cc/E.
Residence /2 ..J::J
d' ~ 6e=~fi?YTI ILl- ./--.J. r/8C;, //1 /7/ C '7
THEREFORE, pctitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} 55
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
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirmed and subscribed f
befOr~ ,2&, day of
Ynnh~' . ..D. y,rM1luz..~ I
Register L
~CUf~J4 W', er~'
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No. 21-01-116
Estate of
GRANVILLE W. COOPER SR.
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW JANUARY 29, 2001 ~_, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that GRANVILLE W. COOPER JR.
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to
GRANVILLE W. COOPER, JR.
-_._---p-~-------~
in the estate of
GRANVILLE W. COOPER SR.
mtl/t~I!. ,0./.I~ F ./!./2. .U/JA7Zi:"2..~/~
Register of Wills
FEES
Letters of Administration $ 25.00
Short Certificates(l) . .. . . .. . .. $ 3.00
Renunciation ................ $
JCP $ 5.00
TOTAL _ $ 33.00
Filed ..;r~.l!~~:r..~~ 1....... A.D. ~ 2€W1
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
~'ljS IS to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The ori,sinal certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It isUlegal to dUplicate this copy byphotostlltor photograph.
Fee for this certificate, $2.00
No.
'3;:....~. ~..u~t-\w,~
Local Registrar
1934997
JUN. 1 6 1993
Date
H'05.'43 Roll. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
liNT
ENT
INK
NAME OF DECEDENT (F"nt. Middle. Last)
SWEFIlE~
SOCIAL seCUAfTY NUMBEA
168 - 01
~\
~)o
Carlisle
KINO OF BUSINESSIINDUSTRV
LICENSE NUMBER
010343-L
Old
-
......
Cumherbmd ~? ....tiU~~~::of
MOTHER'S NAME (FIrst, Middle. M8idetl Surname)
ft. Rose Warner
INFOIlMANf'S "!lolLING ADDRESS iSk.... CilyfT~. S.....lipCode) .
. 770 ~outh Hanover ~treet, Car11sle, PA 17013
PlACE: OF DISPOSITION. Nameof Cemetery, Crtmltory LOCATION .Cltyf'lbwn, State. rip Cod.
Ot~~"Zcemetery iddlesex Twp., Cumb. CO. , PA
Itc. ltd.
NAMEANDAODAESSOFMCIUTY 0 man- ot
....219 North Hanover ~treet
LICENSE NUMBER
.
..0.0....._......
MARITAl. SWUS.Mo_
--.-.
Wicrowe-cf""<'>')
SUAV1\11NG SPOUSE
Of wife, give I'n8lden name)
Church
DECEDENT'S
ACTUAL
RESIDENCE
(Seeinllruc:tions
on other side)
11.. Stllta
lwp.
t7b. Coo
Carlisle
-.
Coo er
Removal from Steteo
IApproxmar.
!~r:.~=
I
I
PART n: Otnet significant concIitIonI contributing to dHth, but
not 'eeulting In t,. uncfertyIng eauee given In PA.RT I.
E
~
DuE 10 (OR AS A CONSEOUENCE OF):
DATE OF INJURY
IM_. DoY. _I
Natural Q-"'" Homlcidl 0
......... 0 P_InvostIgo,;on 0
... 0 No "'" 0 No 0 _!do 0 CouId""'..........;_ 0 f'l.ACEOFINJURY.A1homo.I...................Offlco M.
... ..... .1. ;::'~"o.(Spoc;ty)
CIJlT_(~onIy""'l
..CER1'Pt'rNQ lIHYSIcIAN (Physician certifying cause of death When another physician has pronounced death and completed hem 23)
-"'Metot'"".~I"'occurr.dd""fDtheoawe(')'ndmanner..Ratecf.................................................... .
WERe AUTOPSY FINDINGS
-'lABLE PAtOR 10
COMPlETIoN OF CAUSE
OF DEATH?
MANNER OF oeATH
TIME OF INJURY
INJURY If! WORK?
OESCAI8E HOtV INJURY OCCURRED.
"'" 0 NoD
o
...
.~ AND CUt'r1PYING PHYSICIAN (Physician both PJOnOuncing dealh and certifying 10 cause 01 death)
To.... bMt 01 my knowtedge, ~ OCcurrect It the am.,.... and piece, Mad.. to the '*'Mfa) Ind rMn.... ..1t8ted.. . . . . . . . . . " " . . . . . . . . . . .
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
IUREAUOF INDIVIDUAL TAXES
DEPT .280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
No.AA 471975REV.1162EX(11.96)
RECEIVED FROM:
r
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
eAANVILLE w COOPER JR
301 BERRYHILL ROAD
HARRISBURG. PA 1710Q
101
$ 1 1 (7'. 3Cr'
FOLD HEI
FOlD HERe.
ESTATE INFORMATION:
FH..E NUMBeR
11..8001-0116 SSN 168-01--2970
NAME?!_,r(9~~ILLE W ~~ST)
DATE OF PAYMENT
2/06/2001
(MI)
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COUNTY
CUMBERLAND
DATE OF DEATIi~
6/U'/l..3
REMARKS
TOTAL AMOUNT PAtD
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RECEIVED BY )::~d>Ijl';l' {:';?~r~A:'-'~'<~>::~R~
MARY C. L,j'l~.nS,,,. ~.""" J ,I' ,l -
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REGISTEfY/OFWILLS /", If)-<.,/ /",
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POSTMARK DATE
0/00/0000
Ct<<CK* 93
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
.
No.AA 478232 REV-1162 EX (11.96)
RECEIVED FROM:
I
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
GRANVILLE W COOPER JR
101
$259.80
302 BERRYHILL ROAD
HARRISBURG, PA 17109
--- FOLD HERE
FOLD HERI
ESTATE INFORMATION: I
FILE NUMBER
21'--2001--0116 SSN 168'-01-E!970
NAME OF DECEDENT (LAST) (FIRST) (MI)
COOPER GRI~NV I LLE hi SR
DATE OF PAYMENT
4/0(-; /200 1
POSTMARK DATE
3/31/2001
COUNTY
CUMBERLAND
DATE OF DEATH
6/19/1993
'-'".....,~yil.Ll::. w '-~.... ...." JR
$259.80
TOTAL AMOUNT PAID
Cw
"
REGISTER OF WILLS
RECEIVED BY
MARY c. LEwI~ ;
REGl STER OF' ILLS /d.j(tl,'llt 47.1
;';k,
REMARKS
CHECK*, 0097
SEAL
"
\. /6-c:20 6-,J/
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
11-1/
c1r/
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA l1kZU-0601
.
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-02-2001
COOPER SR
06-19-1993
21 01-0116
CUMBERLAND
101
I..
GRANVILLE W COOPER JR
302 BERRYHILL RD
HBG PA 17:109
,- '\, "
\ 'I"
Amount Remitted
\\.
REY-1547 EX AFP <12-00)
GRANVILLE W
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ......
REv=is4j-E"x--AFP--li'2=ooY-NorIcE--oF-YNHERITANcE-i"-A"x-APPRAISEMENT-:--AL'[OWANCE-oi-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF COOPER SR GRANVILLE W FILE NO. 21 01-0116 ACN 101 DATE 04-02-2001
TAX RETURN WAS: ( ) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
( X) CHANGED
SEE ATTACHED NOTICE
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
5,303.51
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
I~ an assessment was issued previously, lines 14, IS and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
02-06-2001
NOTE:
RECEIPT
NUMBER
AA477975
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
INTEREST IS CHARGED THROUGH 04-17-2001
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
(9)
(10)
1,313.63
.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
5,303.51
(11)
(12)
(13)
(14)
1.313 63
3,989.88
.00
3,989.88
.00 X 00 = .00
'3,989.88 X 06 = 239.39
.00 X 00 = .00
.00 X 15 = .00
(19)= 239.39
AMOUNT PAID
119.39
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
119 .39
120.00
139.80
259.80
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (6-88)
*.
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
REVIEWED BY
ACN
2101-0116
101
Granville W Cooper, Sr
Deborah Washington
SCHEDULE ITEM
NO.
EXPLANATION OF CHANGES
H
B-3
The claim for the family exemption has been disallowed. The claimant must be a spouse
or if no spouse, a parent or child living in the same household as the decedent as of the
date of death.
ROW
Page 1
/ rP- rJ. CJiP - ~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
c.,l.. ~
~/~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
REV-1U7 EX AFP nZ-OOl
GRANVILLE W COOPER jR
302 BERRYHILL RD
HBG PA 17109
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-30-2001
COOPER SR
06-19-1993
21 01-0116
CUMBERLAND
101
GRANVILLE W
! 1.
AIIount R_i Had
{'~ .
~ 'L
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this for. with your tax pay-.nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiEV:i,'irj-E3f-AFP--(i'~f:iioT------...--ifiHEiiTANCE-TAX-STAfEMEtiT-OF-AC-ciir.iiff--.-..---------------------
ESTATE OF COOPER SR GRANVILLE W FILE NO. 21 01-0116 ACN 101 DATE 04-30-2001
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-26-2001
PRINCIPAL TAX DUE: mu"'m'"U,,,U"",,,,,,
239.39
PAYMENTS (TAX CREDITS):
PAYMENT
DATE
02-06-2001
03-31-2001
RECEIPT
NUMBER
AA477975
AA478232
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
139.30-
AMOUNT PAID
119.39
259.80
TOTAL TAX CREDIT
239.89
BALANCE OF TAX DUE
.50CR
INTEREST AND PEN.
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL DUE
.00
.50CR
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
G
STATUS REPORT UNDER RULE 6.12
Name of Decedent: W COOPER GRANVILLE, SR
Date of Death: 6-19-1993
Will No.
21-01-116
Admin. No.
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 x No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
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 x
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 x No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date:
5-7-2001
. t'v ['+~""'l#f;jf-
Sl.gnature .'
.........'
W. COOPER GRANVILLE, JR
Name (Please type or print)
302 BERRYHILL RD
Address HARRISBURG, PA
( 717) 545-4374
Tel. No.
-'-J
Capacity:
x
Personal Representative
Counsel for personal
representative
(MAH:rmf/AM3)
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
W COOPER GRANVILLE SR
Date of Death:
June 19, 1993
Will No.
21-01-116
Admin. No.
To the Register:
...-
~
I certify that notice of (beneficial interest) 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 2-1-01
Name
Address
W. COOPER GRANVILLE JR.
302 BERRYHILL RD, HARRISBURG, PA
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
MAY 7, 2001
Signature
Name J/lhV< udt tV ' f/"-4-kJ)
~U
Address -3 D ~ A e fi/<- V.I-/ i L t. A,
1-14 /<-;2 / 5 ~ V /f C; , A.. /"1/ tJ 9
Telephone (7/7
S:-~J- q-37~
Capacity: ~ Personal Representative
_Counsel for personal representative
IN3~Alld~3^O Nil ~O aNn~3~ II ~NIIS3nIJ3~ 3~1I nOA ~I 3~3H Kl3H:)
O.OZ
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