HomeMy WebLinkAbout08-07-15 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA,v
c � _�' rn
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for L.etters �p�ified b�ow,�n�in
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the appr�pr�t�orrr�7 �V.� �-a�
,,.� _ , ~-7
� r � v. �,
Decedent's Information �"���°'� ����'�''�� ; -, � `���w'
Name: WILBUR T. COY File Na: �- � "�
(A.ssigned by Register)�'��
alk/a: _ �
a/k/a: �.. �_ c�
��a: Social Security No: 169-�8-510'�' i— �'�
Date of Death: Auqust 1 2015 Age at deatl�: 69 p U' �
Decedent was domiciled at death in Cumberland County, Pennsylvania (Stare)with his/her last
principal residence at 110 Railroad Lane Shi ensbur PA Southamaton Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Chambersbur Hos ital Chambersburq Franklin PA
Street address,Post Office and Zip Code City,Township or Barough County State
Estimate of value of decedenYs property at death: 25,000.00
If domiciled in Pennsylvania............................ All personal property $ 0.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ 0.00
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania............................................. ............ $ 50.000.00
TOTAL ESTIMATED VALUE. ... $ 75.000.00
Real estate in Pennsylvania situated at: 110 RallrOad Lane Shippensburct PA Southampton Cumberland
(Attach additional sheets,if necessary.) Street address,Post Ottice 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 Decedenl,dated 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 bom 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.t.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 growids 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 seazch has/have ascertained that Decedent left no Will and was survzved by the following spouse(if any)and heirs(attach
additional sheets,if necessary):
Name Relationshi Address
Wilbur T. Coy, II son 19 Short Lane, Shi�pensburg, PA 17257
Katrina A. Coy daughter 240 East Orange Street, Apt. B, Shippensburg, PA
Logan A. Coy son 7029 B Park Raad, Orrstown, PA 17244
Page 1 of 2
Form RW-Ol rev. 10/1//20//
..� iu r.,T ar��. ,
�r, � r,-�
� p F'�1 n
� � � V7 �
�
ff �al e Only ° �='
Oath of Personal Representative ��` '� � ��,{
COMMONWEALTH OF PENNSYLVANIA } _ "� i " �
} SS: _ , � _�t
COUNTY OF Cumberland } ~ " ��
Petitioner(s)Printed Name Petitioner(s)Printed Address" �
Wibur T. Coy, II 19 Short Lane, Shippensburg, PA 17257
The Petitioner(s)above-named sweaz(s)or affirm(s)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 Decedent,the P�ioner(s)will well and truly administer the estate according to law.
Sworn to�j affirmed and subscribed before ✓�i,�i. � � � Date ��7�%.�
me t is /L�'day of %",�' __ Date
B Date
y Date
or t Register
BOND Required:Q YES Q NO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
Ub
Lett rs. . . . . . . . . . . . . . . . . . . . . . $ �� � Attorney Signature:
( )Short Certificate(s).. . . . . , v� ;'"���� �
( )Renunciation(s).. . . . . . . . �
�...,, �:._._.
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: Thomas P Gleason Esquire
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . ID Number: 82259
. . . . . . . . ' v
' Firm Name: Law Office of Thomas P. Gleason
Address: 49 West Oranqe Street
�j. _ . . . _ ,o D Shippensburq PA 17257
. . . . . . . . Phone: 717-532-3270
. . . . . . . . ,
Automation Fee. . . . . . . . . . . . . . . � � Fax: 717-532-6673
JCS Fee. � � Email: tomqleason@tomqleasonlaw.com
TOTAL. . . . . . . . . . . . . . . . . . . . . $ C�
DECREE OF THE REGISTER
Estate of Wilbur T Coy File No: ���/`� ��� �—
a/k/a:
AND NOW, � ��� in consideration of the foregoing Petition,
satisfactory proof having be presented before me, IT IS DECREED that Letters of Administration
are hereby granted to Wilbur T Coy II
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of record as the last Will(and o icil(s))of Decedent.
_%a,�,y � ,�//� �� � �
.i (�',�/ �. ,
� gister o �Wills ��� �' ��� '�'��`-
�` i
�:
F�.m Rw oa rev.loi�ri2ou ,�� ��-`�/�age�f 2
�.,,,,,,,,,, ,r �r irr „
,,�,,.������;�����;�,�.
�� � �� �
,��
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
�" �
-t �� cuM , I
e No. 2015- 00862 PA No. 21- 15- 0862
�'� ��� ��1`
O 9Z Estate Of: WILBUR T COY__
(Fi�st,Middle,Lastl
� � v
� La te Of: SOUTHAMPTON TOWNSHIP
CUMBERLAND CQUNTY
w
Deceased
Soci al Securi ty No:
'1750
WHEREAS, WILBUR T COY
IFirst,Middle,Lastl
late of SOUTHAMPTON TOWNSHIP CUMBERLAND COUNTY
died on the lst day of August 2015 and,
WHEREAS, the grant of Letters of Administrat:ic!n
is required for the administration of the estatE:�.
THEREFORE, I, LISA M. GRAYSON, ESQ. _, }�'.egister of Wi11s in and
for CUMBERLAND County, in the Commonwealth of Penr_sylvania, have
this day granted Letters of Administration to:
WILBUR T COY ll
who has duly qualified as ADMINISTRATOR (RIX) 01:- t:he estate
of the above named decedent and has agreed to ac�minister the estate
according to law, all of which fully appears of r,_�cord in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA.
4IN TESTIMONY W�IEREOF, I have hereunto set my .`iand and affixed the seal
of �r'�y`�'of�ce on t1�.e 7th da y of August 2015.
c,.� = �-'
__ .
`� ' �- �
� _ ��
�.,. � �
�.a a. __.
`,, L • � Register of ills
F L5 ! . C�...
C� �., • , ` ��.
cr ca, __1 �
Cw7 '"..:> :;,_ c.:�'
� C� � p, l.0 c�'o
(11 �� �' � �
LY` � � b �
S"`,, C.>
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
�-�
�
c� � � rn
RENUNCIATION � � �' � a
r� .� � ,,,, �
m � � � e.�
} I-:. t""' ^ � 9'+"1
REGISTER OF WILLS r Y� ��V � ' `'
, ,,, �.� ,_, c>
CUMBERLAND COUNTY, PENNSYLVANIA ' : � �_� ��
�7
U�I" /✓ r L✓ O Lf � . ..— C�
r.��a Cy fil
'��, r.._
� � O
F �
Estate of LL�u2 �. GG , Deceased
I� j,� .�y, . , �, , in my capacity/relationship as
(Print Name)
�� of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully reyuest that Letters be issued to
�,)��I�i.� � CLt� 1� -
,-,
�� �I � i 5 .�k .,�,, �..( � �
,
—� (Signature)
(Date)
��a�� �°> P�.s 1� ����
(Street Address)
Drr��-1�,,,� I�A 1�7a�i
(Ciry,State,Zip) �
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , that he or she executed the renunciat_,ipn for the
purpo es stated within on this�_day
of ��4c�z����.,,� , ��'��1�
� ����, �� �
� �
Deputy for Register of Wills Notary Pub�ic I
My Commission Expires: �1� ' ���
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMNIOi'�IV�,IE.F!t_TH OF PENNSYLVANIA
p��:)TAR�RL SEALPublic
4Celty S.Baker,Notary
Form RW-06 rev. 10.l3.06 Ship6'}4'•n;��'`�+'`�BQr�,Cumberland 201fi
�y-F,EN;pj�;n''.VANI�GIAi ON OP N07ARIEs
MEMBER,
„-..�,,i.,�..,�_.n^nfi^ r
;-�
� �
� � � �.
cQ _� rn �,
RENUNCIATION � � � <=� �
�, s � _.�, �
��� y. r--- r���
.�
;;;
r-�- _.,., ;. ,.� , ��
REGISTER OF WILLS = ' `'
�. � __,
CUMBERLAND COUNTY, PENN5YLVANIA � � � �'—�'
� � ` �_.., _-_ c;�
�--� � r�
a���/.�"0��� � � � �
N ...�
. �
Estate of
''�J�L�v2 �. e-v , Deceased
I� -� � , in my capacity/relationship as
(Print Name)
d��1���s- of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
t,J�11��r � ('.� Z�
�I �-I I �� � %-,��,'_ u � �
(Date) � (Sign ture)
�U� ���� ,;.�ra�ae Sfi. fi�3
(Street Address)
S t "� .�;��i,�,� �o?S 7
(City,State,Zip)
Executed in Register's Office Executed out uf Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of that he or she executed the renuncia ton for the
�
purpos s stated within on this �'`�`� day
of �t.. t c;�' , �01 S
t,
�: _�'I ` 1
Deputy for Register of Wills Nota PuC�lic
My Commission Expires:�� r� � � �
(Signature and Seal of Notary or other official qualified to
administer oaths, Show date of expiration of Notary's Commission.)
�'��-M���—��Ep�C�Tf i�R1A�L S ANNSYLVANIA
KE:'�yy S.�3����iser,Notary Public
Form RW-06 rev. 10.13.06 ghippen+sl;urg ESc�ro,Cwnberland County
My Cer�'inr+�';'•'�i'�:��Fxpires�eb.7,2016
µEM--gER,pErIPdSYI�\I'F�IJiA ASSOCIATION OF NOTARIES