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HomeMy WebLinkAbout07-28-06 Estate of George R. Cook also known as PETITION FOR PROBATE and GRANT OF LETTERS ~ \ G10 - 0 l0lc'A No. To: Register of Wills for the , Deceased. County of Cumberland in Socia! Security No. 1 78 - 24 - 5 527 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: y our petitioner(~ who is/xoc 18 years of age or older an the execut r ix in the last will of the above decedent, dated January 29 :xmd:)cHd:imi{~IDe1a! the named , 19~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumber land his last family or principal residence at 1 28 South Camp Hill Borough County, Pennsylvania, with 31st street , (list street, number and muncipality) Decendent, then 74 years of age, died Ma y 25 ,:we 2006, at 128 SOllth 31st stn~@t, Camp 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: none Decendent 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: $ 10,000.00 $ $ $ WHEREFORE, petitioner(x) respectfully request(s) the probate of the last will mdxlMJd:icN~)c presented herewith and the grant of letters testamentary theron. (testamentary; administration c.i.a.; administration d.b.n.c.La.) '" n:; u C v :'2~ "'~ v.. ~g -00 c'';:: ro"':::: 3tt v..... :; 0 -;;:; c .~ ifJ "). . / -' .,/1-. /j ,.l- . '-.N<"1':./2t:t:YL' '/,/ / (/ tOte<./<. Kathr n M. Cook 128 South 31st Street Camp Hill, PA 17011 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I s~ COUNTY OF CUMBERLAND J ::; The petitionerOO 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(X) and that as personal represen- tativeCiiQ of the above decedent petitionerQ{) will well and truly administer the estate according to law. _I / J -? F -1/;ZZ)cU/7L )l,/) L" - clcc/c r ~ ~ Kathryn M. Cook L V; <)Q' ;:::; 2 n; ~ Estate of roa~ , Dece9~ed '"'\ - .;2.0 AND NOW 0\ .w=-9l.L., in consideration of the petition on the reverse side hereof, satisfactory roof having been presented before ~6- /lG 10 IT IS DECREED that the instrument(s) dated ~ I CUI 0< 1 ( described the.-ein be admitted to probate and filed of record as the last will of cl Cj J (u") U. U. , '1 -do9ti~ i q~g I ~ and Letters ~>t&~fYl" fl ; LV are hereby granted to . 1 () ~ /v-)QcfJl 'I 0 n 1 . FEES P bt L Et $ 't~.0() ro a e, etters, c.. . . . . . . . . Short Certificates( ).......... $ - .R.eRyfteiatiofi . \oJ I !I. . . . . . . . . .. $ 15. dJ . ~ ~cfi r~k, $ Ie:;. DC) TOTAL _ $ 7S-.Cf: Filed ................................... , Jckf if / 1\ J :Richard I L .ch23z--? f, // , i , // A IT (Sup. Ct. I.Q.....Ne-:r---==- 363", N:>rth Front.---81:reet Harrisburg, PA 17110-1533 ADDRESS (717)236-9577 PHONE '--" '"' d \ . l'J Lo'- OI,J)(c}"\ or p 12412501 /) . ~ . ", ~!1.,.~ MAY ~ 7 2.000 '.0212006 INT IN IE~T "" COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH George R. Cook 5 Age (Lasl BirthdaYI 24 - 5527 5T A TE FILE NUMBER 4, Date of Death (Month, day, year) May 25,2006 11, Decedent's Usual Occupalion (Kmd of work done durin mosl of workin life. Do nol state retired Kmd of Work Kind of Business I Industry Matager Bell Atlantic 16. Decedent's Mailing Address (Street city Ilown, slale, zip code) 128 South 31st Street Camp Hill, Pa 17011 18 Father's Name (Firsl, middle, lasl, suffl~) Charles H. Cook 12. Was Decedent ever in the U,S Armed Forces? ~Yes DNa 3 Social Security Number 1 Name of Decedent (First. middle, last. suffiX) Yes 6 Date of Birth (Month, da ear) Other 74 May 6,1932 Williamsport Pa DDOA o Nursing Home No DYes ~ ReSidence 0 Other, SpeCify 10 Race Amer,can Indian, Black, White, ele {Specify} White [Meedent's Actual Residence 17a, State Pa Old Decedent Livelna Township? Hc 0 Yes,DecedentLivedin 17d [j{ No, Decedent Lived wlthH~ Actual Limits of Kathryn Wise 8b. County of Dealh 8d Facility Name (If nol institution, give street and number) Cumberland 128 South 31st Street 13 Decedent's Education (Specify only highest grade completed) Etem,r~ry / Secondary (0-12) College (1-4 or 5+) 14, Marital Slatus: Married. Never Married Widowed. Divorced (Specify) Married Twp t7b County Olmnprl~nrl 19 Mother's Name (First, middle, maiden surname) Ocre M. Cohan Camp Hill City/Bora 20a, Informant's Name (Type I Ponl) 20b Informanl's Mailing Address (Street. city / town, slate, zip code) Kathr n Cook 128 South 31st Street Cam Hill Pa 17011 21b, Date of DisposiHon (Month. day, year) 21c. Place of Disposition (Name of cemetery. crematory or other place) 21d Localion (City I town, state. Zip code) Gate of Heaven Mechanicsburg,Pa 22c NameandAddressoffacih'y 1903 Market Street Myers-Harner Funeral Home Inc Camp Hill, Pa 17011 23b License Number 23c Dale Signed (Month day. year) Ilems 24-26 must be completed by person whopranounces death 24 Timeo/Death 25 Date Pronounced Dead (Month, day. year) 26 Was Case Referred 10 Medical Examiner,' Coroner for a Reason Other Ihan Cremation or Jonation') o y" jg No CAUSE OF DEATH (See instructions and examples) Item 27, PART I: Enter the cha!Jl.9~_~DJs. - diseases, inJunes. or complications - Ihat direclly caused the death DO NOT enter terminal events such as cardiac arrest respiratory arrest, or ventricular fibrillation without showing theetiok:lgy.listonlyonecauseoneachline ~~~~l~~~~~t~~~; j:~~~\ disea~ C~~'..c. I 6/-AS'{7 0,""6'f1"~ ~ Approximate interval: Part II: Enter other ~[lill~ll\..QmdillQ.ns conlributino to death. 28 Did Tobacco Use Contribute to Death? Onset to Death but not resulling In the underlying cause given in Part' ~ Yes 0 Probably o No 0 unknown 29 If Female o ~Jclpregnantwilhinpastyear o Pregnantaltlmpofdealh Sequentially list conditlons, If any ~~~~~o 0~~~~l~~n ~~~;E (disease or injUry that Initiated the events resulting in death) LAST b Due t~:;; pnseQUen70 ca 670 Duet~j;s~enceOe~l~ Due 10 (or asa consequence of) DYes ~o 32d TimeellnJury 321 If Transportahon Injury (Specify) o Driver I Operator 0 Passenger 0 Pedestflan o Other - Specify 33b Signature and TitleafCertifler 32g Localion of InjlJry jSlreet city I town, state) 1 year Dy"' DNa 31, Manner of Death ~Natural 0 Hom~ide o Accident 0 Pending Investigation o SUicide 0 Could Nol be Determined 32a. Date of Injury (Month,day. year) 3003 WasanAulopsy Performed? 30b ofCauseo! De"th? 3303 Certifier (check only one) ;~7~~~~s~~r~~~nn~:'~~~:~ ;:;I~~~C~:~: ~fu~et~~;:n~~ua:e~~h)e~~;y~i~~~e~~/s~~~:~ ~e~t: ~~ ~~P~~_I~~ 2~)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $ ~~Ot~~u=~~;fa~~ ~~:~~~~,h::~~~~:~:r::; ~~ht~~~~~~i,n;n~e::::e~da~~rtiZ~:g1:0t~~:uo~~:~~~d manner as stat!d_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _...D ~~~c:~~:~.m~~~~;f~~;~~ and I or investigation, in my opinion, dealh occurred at the lime, date, and place, and due to the cause(s) and manner as stat!ct _ ...D 'GZ> oS-o I c(, t?f /L 33d Date Signed (Month, day, year) S - dG-O (, ~ ,.;l,.I/ , ~, / II, 36 DateFited (Month, day, year) .s '.,{,/~ c 34 Name and Address of Pers..Q.n Who Co?-pleted C"ause of Death (Item 27) Type / Print J;-r J iN' ,~- ..>'" Jill I/?'tfrn 10 5 1:r.d~ (?A 1 ?/I'] (See instructions and examples on reverse) LAST WILL AND TESTAMENT OF GEORGE R. COOK I, GEORGE R. COOK, now of Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils made by me. ITEM I. I direct that all of my just debts and funeral expenses, including the cost of my gravemarker, if any, shall be paid from my residuary estate as soon as practical after my decease as a part of the administrative expenses of my estate. ITEM II. I give and devise all of my estate of every nature and wherever situate unto my wife, KATHRYN M. COOK, provided she survives me by thirty (30) days. ITEM III. If my wife, KATHRYN M. COOK, shall predecease me or die on or before the thirtieth (30th) day following my death, I then give and devise all of my estate of every nature and wherever situate, in equal shares, unto my children, or their issue, per stirpes. ITEM IV. I appoint my wife, KATHRYN M. COOK, as Executrix of this my Last Will and Testament. Should she fail to qualify or cease to act in such capacity, I then appoint my sons, STEVEN P. COOK and JEFFREY R. COOK, as Contingent Co-Executors of this my Last Will and Testament. No bond shall be required of my personal representative(s) in any jurisdiction. ITEM V. In addition to the powers given to my Personal Representative(s) by operation of law, the following powers a~~ herein given to him to be exercised by him at his sole discretion. (The words "he" and "him" as used herein shall be deemed to include the words "she", "it", "they", "them", "his", and "her" as appropriate.) A. To retain any property received and to invest any funds held by him during the term of my Personal Representative's service in any stocks, bonds, notes or other securities or property, real or personal, within the limitations of the law. B. To continue the operation of any business in which I am engaged or in which I have an interest at the time of my death for the term of his service as he deems advisable, with the power to borrow money and to pledge the assets of the business and to do all other acts which I, in my lifetime, could have done, or to delegate such powers to a partner, manager or employee without liability for any loss occurring therein. c. To hold investments in the name of a nominee, exercise and dispose of warrants. D. To sell or otherwise dispose of any property, real or personal, at any time forming a part of my estate, during the term of his service, for cash, property or credit, in such manner and on such terms as my Personal Representative deems advisable within the limitations of the law. E. To manage, operate, repair, improve, mortgage or lease for any term any real estate at any time held or owned by my Personal Representative. F. In general, to exercise all powers in the management and settlement of my estate which any individual could exercise in the management of similar property owned in his own right upon such terms and conditions as my Personal Representative deems best, and to execute and deliver all instruments and to do all acts which he may deem necessary or proper to carry out the functions of a Personal Representative. G. To engage in litigation and compromise, arbitrate or abandon claims and property. H. No interest of any beneficiary of my estate shall be subject to anticipation or to pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have power in any manner to charge or encumber 'his or her interest, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of the Personal Representative : ~/i '- ~1f1( ., t//Pf .. George. . Cook - 2 - hereunder for the liability of such beneficiary, whether such liability arises from his or her debts, contracts, torts or other agreements of any type. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of , 1988. Z~~4~:zfft!~ Geo ge . Cook The preceding instrument, consisting of this and two other typewritten pages, identified by the signature of the testator, was on the day and date thereof signed, published and declared by George R. Cook, the testator therein named, as and for his last Will, in the presence of us, who, at his request, in his presence and in the presence qf each other, subscribed our names as witnesses hereto. .'. '? ' -~ ~~ ; ,/ r} /1__ I J ;;--, - ", :,~: '- / ....... '\ if \.;~_LJ' .~.}. , i( \ I ! '-'- .,/- I , / jo"-, - 3 - ACKNOWLEDGMENT cor~10NWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN I, GEORGE R. COOK , testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. f L "'5</ Sworn or affirmed to and acknowledged before me, by George R. Cook , testat or , this ~.. IIi} day of j J / .1:.(..: -" I L; I , 19 88 ~~~~'ty 'jub~l~j( My Commission Expires: AFFIDAVIT COr.-lllON\vEALTH OF PENNSYLVANIA 55: COUNTY OF DAUPHIN : /': 1)1 ! j . I We, r)l(/)~til:J A- / /')('Cl/ (tnel lJj)({{).. t< )".\/) I I I , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testat or sign and execute the instrument as his last Will; 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 that time 18 or more years of age, of sound mind and under no constraint or undue influence. "/ j ,./':;. ., Sworn to and subscribed before me this I . ). . , /. IV 19 8 8 ./;,1"'0," VI' . (! //, / day of ~ J [-eLL, . ...J f~l, ~/{ N t.ary fPubl ic My Commission Expires: