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)
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Residence~ of petitioner~ ll\
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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
~.
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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
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it 0 . '0
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S .(1)
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IS :E tld
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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
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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.
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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