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HomeMy WebLinkAbout05-25-06 . Register of Wills of Cumberland County Robert Lewis Collins Estate of ~< also known as PETITION FOR PROBATE and GRANT OF LETTERS No. ~\-DV - ti,~~ To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsy Ivania .Dece ased. Social Security No. 219-18-3027 The petition of the undersigned respectfully representS that: Your petitioner(s), who is/are 18 years of age or older, and the executJ:..i.xnamed in the last will of the above decedent, dated Ma y 7 . ~ 1 993 and codicil( s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was dOpliciled at death in rllm hp r 1 ;:J n n County, Pennsylvania, with h -, t family or principal residence at 7 a 1 -' t.reet New Cumberlandpenns lvania 17070 (list street, number and municipality) Decedent,thenJU.yearsofage,diedApril 28 .20~at Holy Spirit Hospital. 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: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (Ifnot 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: $ 1,200 $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters t:estamentary (testamentary; administration c.t.a.; administration d.b.n.c.ta) thereon. .~a~s) ofPetitioner(s) ,~~ . //?~~ Residence~ of petitioner~ ll\ \S\ cJ:::.nrv s..) IJ J Cu.v.A<::lOL (JA \'CSlC) \'_l' .;...,.....J. I,:'-"j .' '.j'__~v J >di \J I" \ ('nU' \ S :[. ~~d S~Z J\~'~ JU (, ':~'. I ~ r,"J-,'(1)-:Jd. CI-" -Ji"" 4j\j ll:J\JCVv....l" jU :,]01..; . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE 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 ofpetitioner(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 ;x...{~;'d/(! I V~~ Bef9!~ me this :l l{ day of { f/L tA Y ,201J1/ ~a ~r(lt1 G'lrt<sblbtL ~ Reg/~ ~ -{pt r No. 02 J ,-- 0 b --() l.{ J(, Estateof f!.6hul ~'S ~/~rJ,Deceased COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss: U'l ~. I ~ DECREE OF PROBATE AND GRANT OF LETTERS I!l!Iit .J--'-f) 20fu in consideration of the petition on the reverse side proofh mg been presented before me, IT IS DECREED that the mstrument(s), dated , described therein be admitted to prob},J.te filed of record as the last will of s ; and Letters are hereby granted to f.1L,.ft,. ~ W[,0 FEES Probate, Letters, Etc. ............. $ Will ................................. $ Renunciation...... ...... .... ....... $ Short Certificates (,0) ............ $ JCP. ....... '" ..... ........ .......... $ Automation Fee................... $ Bond. . . .. . .. .. . . .. . . .. .. . . .. .. .. .. ... $ . .;;1~1(),i . . $ FIled Co. O}~,:; <" J D. tV /S.n it 0 . '0 1{).ifO S .(1) q,Ok~ ,.. ..,( j ,. '__l I,J \.J IS :E tld C7 .,' 'OJ A 900l ~Yii+r' ..J".,II__'J ~ Fit~J.M~ - t!JIi;//L- ~~ll~~ B"sB Attorney (Sup. Ct. 1.0. No.) l?."L S .l6.,rSr. ~~ )..tILL, ~A \1\:)" Address (-hI) 343.-32~ Phone Thi~ 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 original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 No. ~J?;r Local R~ p 12411260 MAY 022006 Date -a -< 1"') (;, C,) c..,) N 3 RIv. 01106 'PRINT IN iANENT .CK ilK 1. NanlO of Oocodont (Firs!. niddIe.las\) COMMONWEALTH OF PENNSYLVANIA 0 DEPARTMENT OF HEALTH 0 VITAL RECORDS CERTIFICATE OF DEATH Robert L. 18 STATE FILE NUMBER 4. Oalo 01 O"lh (t.tonlll. day. y..r) ~ \ -2, ~ ~XJ(p 5 Age (last binhday) 82 Yrs. .=. lib. Cllunly of 00.1ll 3. Social Socurly Nunter Dal. of Birth nlh da . ..r Cumberland E. Pennsboro Twp. 10. Race: American Indian, Black. Whilo. o\C. ( oSpod(y) white 16. h' .do Ioled College (1-4 or 5+) 1 14. Marui S1alus: Marri<ld. Neve' mamad. 15. SUIVMn1l Spouse (II wife. r;,oll1lidon nama) WIIloWlld, Oivon:ed (SI>o<:i/)! Married Ruth. Kohle 757 Carol Street New Cumberland, PA 17070 18. F.Ill.... N.ma (First, middIo.last) Did DlICodent Liveina 17e.O Y",Oocodenll..ivodin T ownsh,,? Twp. 17b. County Cumberland 17d. ~ No. 000ed8I\ I..ivod wlllin AclualUmilsof New Cumberland Cilyl8olo , 9. Mother's N.me (Fnl. _Ie, moklen lurnama) Lewis R. Collins 201. Inlorman1's Nama rr~) Mary Jenkins 2Ob. Inbrmant'l Maling Addr... (Slraet. eilyl1own. stall. zip codl) Ruth K. Collins 757 Carol Street, New Cumberland, PA 17070 21a. llethodofDisposiion ;II [l{ Burial 0 Cramolion ;a 0 Dlhef-S is 22a. !iq\ltute of UNKI -,.. 21 b. Dall of Diaposilion (Month, day. year) 21e. Placa 01 Oisposition (Nama of """",I"'Y. cramoto<y or oille< place) 21d. Location ICilyAown. stato. z!> coda) o Removal ~om Slate o Donation May 2, 2006 22b. Ucanse Nurrber FS 012 849 L Rolling Green Memorial Park ower Allen Twp., PA 17011 220. NamaandAddrassofFaelilyParthemore FH & CS, Inc. P.O. Box 431 New Cumberland PA 17070-0431 23b. License NurrtJel 230. Dale Signed (Monlll. day. year) ~=::': 23a :;: cartify cause of dealh. :.: lams 24-26....' be CCJn'llIaIad by polSOn -:II - pronounces dealll. -= 24 r.... of Dealll 26. W.. c..e Relerrod \0 .lIedica' ex......lCoroner? ; O~. CAUSE OF DEATH (Set InaIrUC:llona and ......) IIam 27. Part I: Entor the ~ - dia...... injJrias, or""""'ions -lhal diroclly caused the dealh. 00 NOT anter IeminaIlVenIs luch .. Clldiac .nlll\. rI&Ilia\oC'I.neol. or._ _lion _ showI1g the lllok>gy. 00 NOT aIlbr...te. Enter ""IV one cause on a ine. III1EDIATE CAUSE (Fill' dis8asa or ClIndbln rasuftng in doalll) ~ I. led..,;, o Yes Ql No : ApproItmale in1erval: : onoll to dealll ParI II: Ent. othet' limibnl condmnl mntrbdinn fn dlll8lh but ncI ,es. in Illa undeIIying causa r;,en in Part I. 28. Did Tobaa:<> Use ContrIxrte to Dealh? o Yo 0 Probably o No tXunknown 29.~IllIlIa: Nol pragnanl wlhin pas! year Prepnl et tima of d..1ll o NoI pragnant, but pregnanl wlhin 42 days oldealll o NoI pragnant but pragnanl43 days b 1 year bebro dealh o Unknown rt pregnanl wihin the past y..r 320. Placl of Injury: Home. Ferm. Streot Factory. Oftice lluiIding.elc:.(SprJciIJ1 ':: Soquen\iaIy list COIIdUlns. rt any. IIelding 10 Iho c:auae Is10d on Uno a. · En\... Iho IlIlllERl V1MG CAUSE jj (diaoase or injny Illallniialed Illa i"- rosu<<ing in doatll) tJ.Sf. e All. T:>:):o A 'i2.~ P.:z::ttA"'7'i:)flJI 'Pftf:pL UIL12.. D~~~OY~/Z..t..?~ zr. c. JilrrJ:.~oi2c.-.4N .:57"576.41 F/J-XLv1flt:l.... Duo 10 (or as a <:onsIlqIlInCe 01): b. :113OlI. was an AiJtopsy Parbrmod? o Ves ~ d. 3Ob. Were ~ FIlllinQa Avalable Prior to CorrI>IeIion 01 Cau.. of Death? OY.. ONo 31. Mannor of Dealll .4 Natural 0 Honicide o ....,idenl 0 Ponding Investigalion o Suicide 0 Could Nol Be Oelerrrinod 321. Dall ollnjury (Monlll, day, year) /I!D License Nunter 33d. Dele S' V. vear) 1"1 D CJ 5'/ OZc? / L y z ~(1 " 34. Name end Address 01 Person Who ~1'lP Causa of02'!'lI. (nlm 27) Typo/Prinl D 1f VPP VC6- 0 ~ #..).) (k) e;o M:ra.. $ ///APt/A OIL l? #()lll- I P Ii- 33>. Descrl>e how Inju<y Occunod: 32d. r.... oflnju!'f 321. 32g. loCallon (Slraot cilynown. llale) M. 333. c.tlflar (_ only 0IlI) CartIfytng pllySlcIan (Physician eartllying cause of daatb.when enolhar physicien lias pronounced d..th and COft1lIelod nlm 23) To the _ 01 my _go, death occUll'tld due 10 tile cause(I)lnd IIIInner u _ .....___...._.__._........_............._........____................_............_.._._.0 Pronouncing Ind C8IIIIyfng p/lySlclan (Physician both pronouncing dlllh .nd certifying 10 causa 0' d"lh) To Iha bulol my knowledge, .....th oceurred IlIha tllIII, dlte. and plael,.nd due 10 IIle ..uaa(.)lnd l1li""" II .latod..._..................._.._.._._..........._._._.........O lledlcll...mlnerlco","", On lha bo.1s 0' I..mlnallon Ind/or investigation, In my opinion. dealh oceurred lIthe time, dill. .nd p1ael, and due I. the ClUse(I) Ind manner I. .1IIod ........0 35. RegSIra(~I~r~ ~/I~/I/I 5. z. -z.()O C, (See instructions and exa pies on reverse) 003796-00001/March 12, 1993/CRW/24321 " 1East JDill nub mtstattttut OF ROBERT L. COLLINS I, ROBERT L. COLUNS, of the Borough of New Cumberland, County of Cumberland, and omrnonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby ake, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills eretofore made by me. ARTICLE I I direct the payment of my legal debts and the expenses of my last illness and disposition of my emains from my estate as soon after my death as conveniently may be done. All of the foregoing shall be considered expenses of the administration of my estate. ARTICLE II I bequeath all of my tangible personal property (excluding cash or securities), together with any existing insurance thereon, to my wife, RUTH K. COLLINS, if she survives me for a period of thirty (30) days. If she does not so survive me, I bequeath said tangible personal property to my children, JAMES J. COLLINS, II and liAImARA C. OYLER, to be divided between them in as nearly equal shares as possible by my Executrix after giving due regard for their personal preferences. ARTICLE III I devise and bequeath all of the residue of my estate to my wife, RUTH K. COLLINS, if she survives me for a period of thirty (30) days. If she does not so survive me, I.devise and bequeatl!~'all of the residue of my estate in equal shares to my children, JAMES J. COLLINS, II a~d ~:r.\RB~Ace. OYLER. ,,) '~"f I "-' '? i'~ "'I (,.L, Ov ,;,J ~; ,~; it::'r: ~}DCZ j ,IJ -f\ .:J"- (';1 '(\ -.,. v IJJ:.JJ 003796-0000llMarch 12, ~993/CRW/24328 . . Should any of my children have predeceased me, the sh~e of such deceased child shall be distributed to his or her issue, per stirpes. In the event that a child has predeceased me without leaving issue to survive, the share of such deceased child shall be distributed to my surviving child or the issue of any child who has predeceased me leaving issue to survive, per stirpes. ARTICLE IV I appoint my wife, RUTH K. COLLINS, Executrix of this my last Will. In the event of her inability or unwillingness to act or continue to act as Executrix, I appoint my daughter, BARBARA C. OYLER, Executrix. ARTICLE V I direct that my Executrix, or her successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so. IN WITNESS WHEREOF, I hereunto set my hand and seal this rr'-'~ay of May, 1993. ~i,~~ Robert L. Collins (SEAL) Signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament in the presence of us, who at his request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. 003796-0000llMarch 12, 19,93/CRW/24328 '> , . ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND I, Robert L. Collins, Testator, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~t.~ Robert L. Collins Sworn or affrrmed to and acknowledged before me, by Robert L. Collins, the Testator, this day of May, 1993. 7-'^- ~_Yl>fWJu_ Notary Public NOTARIAL SEAL SHARON L. PREBLE, NOTARY PUBLIC lEHOYNE BORD. CUMBERLAND COUNTY L~:. C~!S~I.~ ~~~IRES MAR. 24! 1994 003796-00001/March 12, 15?93/CRW/24328 " , . AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND We, ~ t 1111aU{ Jv and the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the foregoing instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at least 18 years of age, of sound mind and under no constraint or undue influence. ~j,~~# . Sworn to or affirmed to and subscribed to before me by ('. R 0 q l1}ticL Ul t:JjV. and m I/',~ 1I e ~ I witnesses, this I't/-l- day of May, 1993. \5vYU ill Y\ \f) lJll f Notary Public NOTARIAL SEAL SHARON L. PREBLE, NOTARY PUBLIC lEMOVHE 80RO. CUMBERLAND COUNTY MY COMMISSION EXPIRES MAR. t4. 1994