HomeMy WebLinkAbout06-06-06
.
Register of Wills of Cumberland County
Estate of Linda C. Cohen
also known as Linda Coldren Cohen
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
No. ::J l--=-{lt1 - [) Lf b (1
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
, Deceased.
Social Security No. 182-40-7937
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ies
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with h~ last family or principal
residence at 541 West Cumberland Road, Enola, PA 17025-2544
(list street, number and municipality)
Decedent, then 56 years of age, died March 23
536 West Cumberland Road, Enola, PA 17025
,2006
, at
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 estat~~f~~i\%~rland Road
situated as follows: Enola, Pi\. 17025
$ 75,000
$
$
$ 101,000.
Petitioner_ after a proper search ha~ ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
N R I f h' R 'd
ame e a Ions Ip eSI ence
David Joseph Coldren Cohen SON 6114 Wallinqford Way, Mechanicsburq, PA 17050
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form
to the undersigned.
Residence(s) ofPetitioner(s)
6114 Wallingford Way, Mechanicsburg, PA 17050
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COUNTY OF CUMBERLAND
COMMONWEAL TH OF PENNSYLVANIA
SS:
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and
correct to the best ofthe knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well ~nd truly administer the estate ,acl1in: to~~w? ~ p~
Sworn to o. r affirme9 mId subscnbed { 'i-~~
Before me this fa ..A- day of (
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Estate of ' .,' . , Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ,j U-I Le ~1/~'1'~ 20~ljn consideration of the petition on the reverse
side hereof, satisfactory proof having been presented before me,
IT IS DECREED that f2t / /) it ,j c. 0 II t/1
is/are entitled to Letters of Mmi~is~tion, and in accord with such finding, Letters of Administration
are hereby granted to ViiI/it J C (}/,el"
in the estate of
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Iiegister of Wills ;/
FEES
Probate, Letters, Etc. .............
Will .................................
Renunciation.... . . . .. ... .. . .. . . .. . .
Short Certificates (19 ............
JCP................................ ..
Automation Fee...................
Bond.. .. . . .. .. . . . . . .. .. .. . .. . .. .. ....
Total
Filed "t~\t.~ 20_
$
$
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$
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Attorney (Sup. Ct. J.D. No.)
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Address
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Phone
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12411140
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,~~~~~T 1/30-203
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH (CORONER)
,~ . -,
(.)
STATE FILE NUMBER
5. Age {Last Birthday)
56
Aug. 17, 1949
echanicsburg,Pa
3. Social Security Number
4. Date of Death (Month, day, year)
March 23, 2006
1. Name of Decedent (First, middle, last. suffix)
Linda
L
Cohen
y~
6. Daleo/Birth Monlh,da ,
7. Birth ace Ci
536 W. Cumberland Road
D'npalienl DERIOuJpalienl DOOA DNu<s,ngHome
9. Was Dec~t of Hispanic angin? 6a No 0 Yes
(If yes, specify Cuban,
Mexican, Puel10 Rican. etc.)
llResidence 0 Other - Specify
10 Roce: American Indian. Black. White, ete
(Soecify!
White
541 W. Cumberland Rd.
Enola Pa 17025
18. Father's Name (First, middle, last, suffix)
12. Was Decedent eve!' in Ihe
U.S Armed Forces?
Dyes ~NO
Decedent's
Actual Residence 17a. Stale
13. Decedent's Education (Specify only highest grade completed)
Elementary I Secondary (0-12) College (1-4 or 5.)
U k
14. Marital Status: Married. Never Married,
Widowed, Divorced (Specify)
Divorced
Bb. County of Death
Cumberland
Bd. Facility Name (If nol institution, give street and number)
11 Decedenfs Usual Occo ion Kind 01 work done du most of YKJr1l:i lile. Do not slate relired.
Kind of WOfk Kind of Business I Industry
Lab Manager DEP
. 16. Decedenfs Mailing Address (Street, city I town, slate, zip code)
17b.County
Pennsylvania
Cumberland
Did Decedent
Uveina
Township?
17CJ(Jc Yes, Decedent lived in
17d.D No,De~ntLivedwilhin
Aclual limits of
East Pennsboro
Twp
City/Bora
Daniel Coldren
19 Mother's Name (Fi~t, middle, maiden surname)
Margaret B. Miller
20b Informant's Mailing Address (Street, city flown, state, zip code)
641 Wallingford Wa Pa 17050
21b. Date of Disposition (Mooth, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21d. Location (City I town. state. zip code)
208. Informant's Name (Type I Print)
David Cohen
. ~
21a. Method of Disposition
o Burial 0 Removal from State
D 01""'- Specify..
22a. Signalu Fu
Evans Eagle Cremation Leola, Pa
22,. Name and Add""solFo:;HIy Sullivan Funeral Home
51 N. Enol D
23b. License Number
Items 24-26 must be completed by person
who pronounces death
24 Time of Death
25. Date Pronounced Dead (Monlh, day, year)
March 23, 2006
26. W~ Case Referred to Medical Examiner I Coroner lor a Reason Other than Cremation or Donation?
JIl Yes 0 No
}j(yes D No
31 Manner of Death
o Natural 0 Homicide
):( Accident 0 Pending investigation
o Suicide 0 Could Not be Delenmned
: Approximate inlerval Part I!: Enlerolhef sianiocant conditions conlribulina to death 28. Did Tobacco Use Contribute to Death?
: Onset to Death but not resulting in the underlying cause given in Pal11 0 Yes 0 Proba~y
o Nc 0 Unknown
29. If Female
o Not pregnanl within p~t year
o Pregnantallimeofdeath
o Not pregnant. but pregnant withm 42 days
afdeath
o Not pregnant, but pregnant 43 days to t year
ofdealh
o Unknown ifpregnanlwithin the past yeaf
32c Place of Injury: Home, Farm. Streel, Factory,
Office Building, etc. (Specify)
CAUSE OF DEATH (See instructions and examples)
Item 27. PART I: Enter lhe q,.aJIL9~- diseases, injunes, or CCfTlplicabons. that directly caused the death. DO NOT enter terminal events such as cardiac arrest.
respiratory arrest. or ..-enlticular fibrillation without showing Iheetiology.list only one cause on each line
=~gl~~e~S:~~~ J:~~\ disea~
Overdose of Prescription Medications
Due to (or as a consequence of)
Sequentially list condilions,. if any,
~~~1: ~DE~L~NG ~::U~E
(disease or injury tl1at iniliated the
. events resulting in death) LAST.
Due to (or as a consequence of}
Due 10 (or as a consequence of)
3Oa. Was an Autopsy
Performed?
30b Were Autopsy Findings
Available Prior 10 Completion
of Cause 01 Death?
Jl!l Yes D No
320. Time of Injury
Unknown
P.M
Enola, PA
33a. Certifier (check only one)
~~i:::i:~r~~~~~:I:;:~ :~i~~c~~U: ~u~et~~;:::;~~~~~~~~~e~~s~:t~n~~ ~e~~ ~~ ~p~~_It:~ 2~)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .D
~:t~~u:;~~fl~ ~~:~~~~~~a~:~ir:~ :hl:~:~~i,n;n~~:c~da~~rtj~:gl~O ~~:uo::~t:~d manner as stat!d.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _-D
Medical Examiner I Coroner "C7I
On the basis of examinaHon and J or Investigation, in my opinion, death occurred at the Orne, dale, and pl.et, and due to the cause(s) and manner as stat,4. _ p
Coroner
14.1/~I/I/1
33d. Date Signed (Month, day, year)
April 25, 2006
34~T'/l.mti1'T' ~e.~~m'gJ ~a"'C'b't'llJfl'~F) Type I Pnel
6375 Basehore Roadr Suite #1
Mechanicsburg, PA 7050
(See instructions and examples on reverse)