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Home My WebLink About11-29-06 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C () .tV( B COUNTY, PENNSYL VANIA Estate of GRA c:. E: also known as -c /\(r" t.~ y File Number of!, O(p -Ie) yg , ':IV'l') v". } , :l~ot. . Deceased Social Security Number Ii? J - f> C) - '- ~~ I. Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the ~ J 0 if W w: M (... ~ r narned in the last Will of the Decedent dated J ~ ,,~r /9 ~:~ and codicil(s) dated () r--...l (State relevant circumstances, e.g., renunciation, death of executor. etc.) ~ 0 ~ ,:.;:.: '-'--~ ::::0 . . ~ .." , , Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ~~~me~ offe~~; ,.~} for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ; '. >~ q-~ N ," .::;; (f) 5:: 1..0 ':J ~.~8~:bo () ..-:-' c ~~ _~~--1 (lfapplicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; duritnte~oritate) = .,.' -- (..'3 ::D .. /'/' Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following ~use (if any) t&ia heirs:- (Jfi.~; Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) .r:- o B. Grant of Letters of Administration Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in County, Pennsylvania with his / her last principal residence at . (List street address, town/city, township, county, state, zip code) Decedent, then years of age, died on at Decedent at death owned property with estimated values as follows: (If domiciled in P A) 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 $ Jf7.~. t"I~~ $ $ $ situated as follows: Wherefore. Petitioner{s) respectfully request{s) the probate of the last Will and Codicil{s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: T ed or rinted name and residence P}\. Form RW-02 rev. 10.13.06 Page 1 of2 () ~ ~ /6<l? COMMONWEALTH OF PENNSYLVANIA Oath of Personal Representative COUNTY OF The Petitioner(s) above-named swear(s) or affinn(s) that the statements in the foregoing Petition are true and correct ~he best 0:(':\\ c:::::> '-'J,"') the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(Will well an~ly~~\'Q\ <.;; 0 0 ". .:,,', .,,~':Q :;.,::::: " ' C{\:t. 9 r'> 'c) ','I -'~'ii ' .... ( , ,'" 00;:: \::Q...... ~, '~::;.. "u~ ") 7"":.. --'.'~ -,;. -, 'i"';\ administer the estate according to law. SS 'c-'c} ..,,' '-,--" ""/->' O~ . ~ -'() ~v __.l } ";~)~ s:- '" Signature of Personal Representative Signature of Personal Representative File Number: Estate of ~ RA c.. ~ 1- , IYfc. L() r , Deceased Social Security Number: J S?" / -!; (). to? 7 6 Date of Death: Noll. J So. ;l.. Oa ~ AND NOW, }J () v. tJ.-9 ,:LcH"'t:=. having been presented before me, IT IS DECREED that Letters are hereby granted to ---.J C'l 1111( \.4/'. ft/fc Ca r , in consideration of the foregoing Petition, satisfactory proof -r~ ~ rA "1 ~N Po. p.r in the above estate and that the instrurnent(s) dated described in the Petition be admitted to probate and filed of record as the last WiI FEES Le~ers ............... $~ Short Certificate(s) . . q . . . . . $ J~ . cU Renunciation(s) .......... $ U,.'}\ ~\ ... $ ~p .. . $ k~ .. . $ .. . $ ... $ .. . $ .. . $ .. . $ ... $ TOTAL.............. $ tjsiP. cP \6ce la, (b S.CD Form RW-02 rev. 10.13.06 Attorney Signature: Attorney Name: Supreme Court LD. No.: Address: Telephone: Page 2 of2 HIOH05 REV 1105 This 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. Ci.o _ 'oLlt WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~.\\..~-.~~~ Local Registrar Fee for this certificate, $6.00 p 12994962 NOV ! 0 2006 Date o ~O :0". :::0 '"JJ-o ;2:[' CJ ~~~ }(J -)O~ ()C ::0 :J:J-f :r> t-..:J = = C7'\ 2: C) ...::: '" 1..0 J> .:it .t:"" .t:"" II1llll.M3IE1._ TWeI~1N - I!l.lIl<II( ~LTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH . VITAL RECORDS CER11FICATE OF DEATH -- 16, 2006 LAat ,et:. 17a.1I V..t\adoMUood.. Upper ~fj. f f1 i n 17<1. C :....~"'LJooj- Twp. ClIl'I- - Unknown ~~T11e PA 17241 ............_-~...- .,(../if-rr ~ 0 -7.......,. /I I (p / ;;u:;o <to 111 _......., "''ll.lWIft &.Ior"~-_""""'''''''''''''''''''_''_DONCII____.__ .......,_..___-.......,.LMIOIy..._.._.... ===~ :ri.. t~...-:-. . !(f.~ ~,:,~~,:,. ~. &;1:.....__ =-.:=.'=...~~ ___..... PlrtI:8*r"*'...... ~. liD.... (hot"'-' bull1lll-......undoIIIill_IiMn..FlltL r_u. '" D v. Dp,-, CIlDD~ r DNoI__.JOIO D PNpnol...."_ C :r=-"Ili__C,. D :r=--IH_43,."'1J01O _r....._...,.. &ll:.==et:./'SlIOOIlj Fary. ~ ~ ID(DrM ........... aI): .. w....-- lllIl._ -- -""""'~ oIc.."_ Dv. 13'.. Dv. D.. " B"- D- D- DPondIlg--. D_DClloifdNolbo_ II;IT oIl1;1T I l!i I ~\i~;~4l~"'~"t"-'~,wrY!T'~~j~~~~~_,.,_._~..,_ . .__ _._ 0/;/ /D tf~. " I: ~.. ~".,.t. :~ ) "' f{ LAST WILL AND TESTAMEiBOfi fiOV '29 Alill: 44 CLERr( OF ORPHt'lN'S COURT I, GRACE I McCOY, of, Lower Mifflin TowneljW:n:c..~:efi{a,dd; County, Pennsylvania, being of sound mind and memory do hereby make, publish and declare this to be my last will and testament, hereby revoking any wills or codici,ls previously ttlade by me. Item 1. I direct that all my just debts and funeral expenses be fully paid as soon as may be conveniently accomplished after my decease. Item 2. I devise' and bequeath all of my estate of every nature and wherever situate to my husband, JOHN F. McCOY, providing he shall survive me by sixty days. Item 3. Shou14 tbe gift in Paragraph No. 2 not, take effect, I devise and bequeath all of my estate of every nature and wherever situate to my son, JOHN W. McCOY. Should JOHN W. McCQY not survive me as provided above, I devise and bequeath all of my estate of every nature and wherever situate to any children of JOHN W. MOC6Y, then living, born of bismarriage to NANCY STRAYER McCOY, j I ~ share and share alike. Item 4. I nominate and appoint' JOHN F. MCCOY to be the executor of this my last will and testament,he is to serve as such without bond. Should he i' ~ c': die before my death, renounce or refuse to serve !or any reason, or die leaving any of my estate unadministered, I nominate and appoint JOHN W . McCOY as 1 ~-~ substitute executors; also to serve as such without bond, with the same powers ~ as are given herein to my executor. '\ -] ,. i , , .t1J'Ih IN WITNESS;WH.E;REOF, I have hereunto set my hand and seal this II ., day ;1 ;f ~ of Otkbe r /9(8 ~ ~ ~~ ~ !II ~ ~ ~ ~~'~~ GRACE I McCOY , , ~ .~ :; !: ~ ~ ~ 1 ~I :\11 Signed, sealed, pu1;>lished aI\d daiared by GRACE! McCOY, the testatrix ~ L j- 't! :"\ '. " \; -, ,ie' ~"'~<f!- J' '" .~..;~_' 10 .~; ~' above named, as and for her last will and testament, in the presence of us, who ; ,,' .' '. tl ~~,,/' A'~: .:~,,,_ ;:" . at her request, iU,/her. ptQ~ence and in the presence of each other have subscribed our nam,es as witnesses her,eto. .,# ~I i !iiil ~: ", '*>~'~"'~~ '~'~~4:'~.,',." "....., ,.';'- ',. .' . " t."" :."',lr~(.~.4 ~ 'tJ?a <f ~~;~P)~., 1J~,wv1I/~ I Ill! ./7..~l/) .), ,~ltt~_MlQ/i_"',~f,~~~'W~~~l~t,!'N.~<r.7>'.::.'!; .....,."":"Ii-.,~l;~",.~,~~ ~~,,"'If'''''......."..,.... .."r!lIl<.....'-.......~.....,..ro':'."'c.,..:r..."""'''''_,..,~___~.'_..._~_.. ... . ,. iC~WLEPGM~i' tAND 4FFIDAVIT COMMONWEALTH OF PENNSYLVANIA j , '" , '.,~ SS.~. " i^' COUNTY OF CUMB!R4AND We, GRACE 1. McCOY, J'E?.$S( I~ll{! n "E. Situ t,~~ ~' 'E. ~ ho~ma kr and the Testatrix 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 her last will and that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of his knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. 1 ~ ] ~ ~ ..cf- >n:.. ~(Seal). ~ (L b. JLe..6.~~~.~ ,(seal) ~. . ~ /S/~al) Subscribed, sworn to and acknowledged before me by GRACE 1. McCOY , , ~ ~ ,5 ;: j ill ~I , ~ i 11 f J!: ':Jl i ~ ~ ~ ;i ~ 'I ~ ~ ~ anJI.e fen ~...sJw ;;;,k~~r 6r!. iobr! r the Testatrix, and subscribed and sworn t6 before me by .j~;5~ ! ;?SllI'//lt!Ihr /4.,.: ,. .' , witnesses, this ~ day. of 1983. ~q (>~ (SEAL) . ;~::lV~COHICl(. NOTARY PUBliC . IY COI"'SSIOrtC::~::~:R~~U2NTV .mber. Pennsllvania As . .. ..' 1987 SOcllltlon Of KOlari., " ~ l\ . ~ :1\ ~ ~ ~ ~ ~ ~'! " .;;j 11 ~ if' ~ tt :~ ~ ~: .. i iJ f ~. ~