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.)
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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.
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F -1/;ZZ)cU/7L )l,/) L" - clcc/c
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~ Kathryn M. Cook
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Estate of
roa~
, Dece9~ed
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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 ...................................
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:Richard I L .ch23z--?
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i , // A IT (Sup. Ct. I.Q.....Ne-:r---==-
363", N:>rth Front.---81:reet
Harrisburg, PA 17110-1533
ADDRESS
(717)236-9577
PHONE
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12412501
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MAY ~ 7 2.000
'.0212006
INT IN
IE~T
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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
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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
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(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.
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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.
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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
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We, r)l(/)~til:J A- / /')('Cl/ (tnel lJj)({{).. t< )".\/)
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, 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.
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Sworn to and subscribed before me this
I . ). . , /. IV 19 8 8
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/ day of
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N t.ary fPubl ic
My Commission Expires: