HomeMy WebLinkAbout07-19-06
Register of Wills of Cumberland County
Estate of Chester w. Cooper~ Jr.
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. Q J- D (p- 0(0(-/)
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Deceased.
Social Security No. i62=i2=~753
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execu~ named in the last will of the
above decedent, dated July 26 ,2001
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Camp Hill Cumberland County,
Pennsylvania, with l1i.-'plast family or principal residence at
We~t Shore Health & Rehab. 770 Poplar Church Rd.. Camp Hill. PA 17011
(list street, number and municipality)
Decedent,then~yearsofage,diedMay 23~ ,20~,at Holy Spirit Hospital, CaII}p Hill, PA
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
(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:
$ 6 ~ 000 . 00
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary
(testamentary; administration c.t.a.; admmistration d.b.n.c.t.a.)
308 Sunset
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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 of petitioner(s) and that as personal representati e(s) of the above
decedent petitioner( s) will well and truly administer the estate according to . w.
Sworn to or affirmed aI1JlqUbscribed ,>f. (l ,
BeforT me this I'I . day of { Martha C. Herr
,,_ dly ,2001:'
:J}U/l/rM J0iIW.- ~~
fV1 e.. mR~r0 fYp
COMMONWEALTH OF PENN8YL VANIA
COUNTY OF CUMBERLAND
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No. t2 roh--{)fo 4 S
Estate of Ches ter W. Cooper, Jr ., Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW 20if\;'in consideration of the petition on the reverse side
hereof, satisfactory pro f h ng been presented before me, IT IS DECREED that the instrument(s), dated
, described therein be admitted to probate filed of record as the last will of
-Chester W. Cooper, Jr. ; and Letters are hereby granted to Martha C. Herr
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation....................... $
Short Certificates ( ).. .. .. .. .. . . $
JCP.................................. $
Automation Fee................... $
Bond................................. $
Total $
Filed l/1.1J~ 20_
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$3 (717) 255-8014
Phone
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~d~~dDorrance (32~7)
Attorney (Sup. Ct. J.D. No.)
210 Walnut St., P.o. Box 11963
Harrisburg, PA 17108-1963
Address
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i hi" I"~ iu L'cltily that the ini()]"tlJatinn here given is correctly copied from an original certificate of death duly filed with me as
RL'~i"lr;ir The ori:c:inal certificate \\il! be forv.:arded to the State Vital Records Office for permanent riling.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
!'Ct' IlH' thi" LenificalC. S6.00
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MAY 242006
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'RINTIN
ANENT
;KINK
1. Name 01 Decedent (First. middle. last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH STATE FILE NUMBER
Chester W.Cooper Jr.
5. Age (Last birthday)
78
8-25-27
Other
o ERlOut atienl 0 DOA CJ Nurs" Home
9. Was Decedent of HispanK: Origin?
-R No 0 Yes (ffyes, spedfyCuban.
Mexican, Puerto RICan, elc,)
o ResOlence 0 Other, i :
10. Race: American Indian, Black, Wh~e, ele
(SpecifyJ
white
Cumberland
Camp Hi 11
17e. Slat.P P. n n a .
17b. County Cumber land
Did Decedenl
live in a He. 0 Yes, Oer.edehl Livad in
Township?
15 Surviving Spouse (If wile, give maiden name)
11. Decedent's Usual Oc.c alian Kind of work done durin
't Kind 01 WorK
accountant
f6. Oecedan/'s MaHing Address (Slleel, CITyJlown, slale, zip code)
770 Poplar Church Road
Camp Hill PA 17011
Twp.
17d. 0 No. Decodenl Lived wlhin
Aclual Limits of
Cllyl8oro
18. Falhers Name (F"s:, middle. last)
19. Mother's Name (Firsl, nlddle. maiden surname)
Chester W.Coo er Sr
20a. tnlormanl's Name (Typ&'prinl)
Blanche Funk
2Ob. Informant's Mailing Address (Street, clly~own, Sial., zip code)
Martha C.Herr
308 Sunset Dr New Cumberland PA 17070
Con-Q-Lite Crematory
21d. Localion (CiIy~own. slale. zip code I
Scbaefferstown PA 1708
21b. Date at D~poslion (Month. day, year)
21c. Place or OisposHion {Name 01 cemelery, crermloT)' or olher place)
22b. License Nurrbe:
FD013945L
22c. Name and Address 01 FacUiIy
Neumyer Funeral Home Inc. 1334 n.2nd St Hbg PA
23b. L~ens. Numllef
230. Dale Signed (Month. day, year)
- ttems 24-26 mus! be cofTllleled by person
. who pronounces death
24 Time 01 Death
S'L/b AM
26. Was C~Ofem to a Medical Examiner/Coroner?
. , Yes 0 No
CAUSE OF DEATH (see Instructions and examples)
Item 27. Part I: Enter the ~ - diseases, injuries, or COrT4>licalions - that directty caused the dealn. DO NOT enter terminal events such as cardiac arrest.
respiratory arrest. or ventrK;ular fibmlation wrttloot showin etiology. DO NOT abbreviate. Enter only one cause on a line.
..UEDIATE CAUSE (Final d~ease or
condition resoling", dealh) -7 a.
Due 10 lor as a consequence o~:
Approximate inlerval' Part It: Enter other i inn 10 trill tin
onsello dealh but nol resulting in the underlying cause given in Part I,
h.
28. Did T ob),lse Contrilule to Death?
o Ves Probably
o No 0 Unknown
29.
Sequentially I~I condiions. ~ any,
leading to the cause listed on Line a
- Enler Ihe UNDERL YlNG CAUSE
. (disease or injury that initiated Ihe
events resurtirlg in death) LAST
Due 10 (or as a consequence o~'
3Ca. Was an Autopsy
Performed?
o Ves ~
d
JOb. Were Autopsy Fin(lIngs
AVailable Pnor to Cor!'4Jlelion
01 Cause of Death?
DYes 0 No
31. Ma~1 Dealh
_.4" Natural 0 Homicide
o Accident 0 Pending Investigation
o Suicide 0 Could Not Be Determined
32a. Date o'lnlury (Month. day. year)
32b Describe how Injury Occuned:
o Not pr ant, bul plegnanl 43 days 10 1 year
belore death
o Unknown if pregnant within the past year
32c. Place 01 Injury: Home, Farm, Street, Factory, Office
Building. elc. (Specify)
Due to ~or as a consequence o~:
320. lime ollnilJry
'h'~
33d. Date Signed (Month. day. year)
32e. Iniury al Work?
DYes 0 No
321
32g Localion iSllool, ,ily~own. slate)
M
330. Certifier (check only one) _
Certifying physician (Physidan cefl/tying cause of death when another physician has pronounced death and completed "em 23)
To the best of my know~ge, death occurred due to the cause(s) and manner as stated ."...""................... .................."........"
Pronouncing and certlfylny physician (Phys~lan bolh pronouncing dealh and certilying 10 caus. of death)
To the best 01 my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated ... ......... ......................................... ..........0
Medical examtner/coroner
On the basis of examination and/or Investigation, in my oplnkm, death occurred ..t the time, date, and place, and due to the cause(s) and manner as stated .........0
1.,(1/ I~I/ (
.5:<.
(See instructions and examples on reverse)
34 N:~O~dresy~;~ ~;r!'4Jle~US:Dealh (Item 27) TypelPrm'
P C>.. t"l) \)
WILL OF CHESTER W. COOPER
I, CHESTER W. COOPER, of Harrisburg, Dauphin County,
Pennsylvania, declare this to be my will and revoke any wills or
codicils previously made by me.
I. My Family. I am an unmarried man and I have 10
adult nieces and nephews: David Cooper; Richard Cooper; Joyce
Horton; William Cooper; Martha C. Herr; Terri Ann Scheffey; Gary
Cooper; Kim Cooper; Christine Cooper; and Thomas Benner. I have
no children either natural or adopted, nor have I had any
children who are deceased leaving issue surviving them.
GIFTS
II. Tanqible Personal Property and Household Effects.
I give all my tangible personal property and household effects,
together with all insurance thereon, to such of my nieces or
nephews as survive me, to be divided among them as they may agree
or, in the absence of agreement, as a court of competent
jurisdiction shall conclusively determine.
III. Residuarv Estate. I give the residue of my
estate, real and personal, in equal shares to such of my nieces
or nephews as survive me; provided that if a niece or nephew does
not survive me but leaves issue who survive me, such issue shall
receive, per stirpes, the share that niece or nephew would have
received had he or she survived.
ADMINISTRATIVE AND TAX PROVISIONS
~'
IV. Protective Provision. During the/ time any income
or principal that is distributable to'"! aI;1Y ,benefiGi~:r;)f under my
will is held by my executor, no inter'e~t-' in~ o'r' iign'eii..to that
~.j ~:_h:JJ\J CJ~(.JOJ:d
;)1-O{P-D~4(
income or principal may be sold or pledged or disposed of in any
way by the beneficiary except to the extent I have specifically
provided otherwise in my will. Until distributed to and received
by the beneficiary, the income and principal shall not be:
A. applied in payment of any debt or
liability of the beneficiary;
B. subject to any interference or control of
any creditor of the beneficiary or any public
authority; or
C. subject to attachment or seizure by any
legal or equitable procedure.
V. Death Taxes. All federal, state, and other death
taxes payable because of my death on the property forming my
gross estate for tax purposes, whether or not the property passes
under this will, shall be paid out of the principal of my probate
estate so that the burden thereof falls on my residuary estate,
and so that none of those taxes shall be charged against any
beneficiary or any outside fund.
VI. Manaqement Provisions. My executor (and his
successors and survivors) shall have all powers given to them by
law, including those specified in the Pennsylvania Probate,
Estates, and Fiduciaries Code, or any successor statute. Unless
otherwise required by law, my executor may exercise these powers
as often as he considers advisable without having to seek or to
obtain court approval.
These powers shall extend to all property at any time held by my
executor and shall continue in full force until the actual
distribution of all such property.
2
FIDUCIARIES
VII. Executor. I appoint my niece, Martha C. Herr,
executor of this will. If, for any reason, my niece fails or is
unable to qualify, or refuses or ceases to act as executor, I
direct that Larry Herr serve as my executor. I further direct as
follows:
A. Any individual executor may resign at any
time without court approval.
B. No executor shall be required to give
bond or other security in any jurisdiction.
:2,~
IN WITNESS WHE
day of 0
have executed this will on the
2001.
,.. j
(!~ 'J/ ~(SEAL)
CHESTER W. COOPER .
In our presence the above-named Testator signed this
three-page document on the date indicated above and declared it
to be his will; and now, at his request, in his presence, and in
the presence of each other, we sign as witnesses.
~~
Wl.tness
Witness
Residing at: :3> 3 Y E/~ Av~"\~
~ r?4 l1-o~1
/
Residing at: '-{.:1{ %)//'5 ;f:J.
HI} {LiZ 661-/;2 'I i 1?4 /7//;;(
~ 4,!o~
3
SELF-PROVING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~C\,~J \.- ,,--.
'i
S8.
t We, Chester W. Cooper, and jj tfJDf/J/2() -.U Ii /JZI9 Ai r:: e- ,
and M If L-D w e- the Testator and the witnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument
as his Last will and that he had signed willingly (or willingly
directed another to sign for him), and that he executed it as his
free and voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and hearing of the
Testator, signed the Will as witness and to the best of his or
her knowledge the Testator was at that time 18 years of age or
older, of sound mind, and under no constraint or undue influence.
~
/ / . '}j. ~/2bV
Chester W. Cooper, Te{tator
~~~~
ltnes ~
.;(:.1-.8.-/ // .~
Witness
~
Subscribed, sworn to, and acknowledged before me by Chester W.
co, o~er, If' Te'jltator, and subscr~~d an~,' "sworn to
-4&o.()/-OI:.;;/ t::s>c.rCiV\t.-( and ,c(1q ~ /g~
this ,...)!.t +t-'-day of ~v 1,-/ 2001.
I
NOTARIAL SEAL
P!'MELA S. WOLFE.. Notary Public
City of Harrisburg, Dauphin County
M Commission Expires Dec. 22, 200
before me by
.,....,.wi tnesses,
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