HomeMy WebLinkAbout02-21-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WillS OF
Estate of Thomas S. Williams
also known as
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21-07- J'1()
, Deceased
Social Security Number
168-12-9462
Florance K. Williams
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~'or 'B' BELOW:)
00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the
last Will of the Decedent, dated 02114/2002 and codlcil(s) dated
Harold K. Williams, appOinted as Initial Executor In said Will, renounces his right to serve evidenced by
Renunciation filed herewith.
Slel,ue/event c;cumstBnces, e.g., refNJnc/a/ion, death of executor, elc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
..........................................................................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................................
o B. Grant of Letters of Administration ~ ., )
(It appIlCBDle. enter: C.t.B.; a.bon.c,t.B.; peclente lite; Clutante absentlB; ClUt'ante minOrltattIJ-.. .J ~ _ ,--: ~-'~ - I
Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following~e (if any)-and heir$Llf2,
AdministratIon, c.t,a, or d.b.n,c,t,a., enter date of Will in Section A above and complete list of heirs,) "~ co;) rr1 ; .- ;-~
--,.. C) co. ::-.';
=:':;;r-- N
Name
Relationship
Residence
-0
:L:.
I'~
-,-
.,-_._,
?=:~
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with hislher last principal residence at
26 Cardinal Drive, Carlisle, South Middleton, Cumberland, PA 17015
(List street address, town/city, township, county, state, zip code)
Decedent, then 87 years of age, died on 01/0612007
at Outlook Polnte at DlIIsburg, 153 Logan Road, DlIIsburg, PA
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:
Over
100,000.00
$
$
$
$
0.00
.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
.....................................................................................................................................................................................................................................
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and COOlcll(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
.....................................................................................................................................................................................................................................
Signature
Typed or printed name and residence
Florance K. Williams 26 Cardinal Drive
Carlisle, PA 17015
r/7;
(717) 249-2167
Form "0 Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland
The Pettloner(s) above-named sw~r(a) or affirm(s) that the statements In fhe foregoing Petltlon are true and corcect in the best of
the knowledge and belief of Petltloner(s) and that, as personal representatlve($) of the Decedent, Petitioner(s) will well and truly
administer the esfate according to law.
Swom fo or affirme~d,~(and subscribed
b re me This Ca" ~ ~ day of
~~
r
the Register
File Number.
yi y.I/i~~.~~
"""°"r'""' Florence K. Wflliairfs °
c
'i-
a i
'~ '~ r'
? -c~ rTi
=- m N ~ t",
_
`7~ _ --~
resentstNe
,_
._ ..
-i
'7
N c_~
r~i
~
_
I"'
C.fi , <
)
-
CJt
- ~~
Estate of Thomas S. Williams ~~
Social Security Number. 168-12-9462 gate of Death: 01/06/2007
AND NOW. ~ -~urw~ Q~_ , in wnsideretlon of the foregoing Petltlon, satlsfacl!o
ry proof
having been presented before me, IT IS DECREED at Letters Testamar~tarv
are hereby grented to
and that the Inat-ument(s) dated 02/14/2002
described in the Petltlon be admitted to probate and filled of record as the last
FEES
Letters ............................................ $ ~ (~
Short Certlflcate(s)............~........ S ~ ,f~
~ $ f~ a'
$ /o, !R7
$ ,S c~
$
$
$
TOTAL .................................... $ ~ u U
above estate
(and Codial(s)) of Decedent.
Attorney Named No V Otto III
Supreme Cour~ I.D. No. 27763
Martson Law Offices
address: 10 East High Street
Carlisle, PA 17013
Telephone: 717-243-3341
Farm RW-02 Rev. farazaoe Cavr~~ (y ~ooe ram saN+aia o~y nw Lxknx croup. one.
Page 2 Or 2
Attorney s~gnawre: ~~
HI05.905MS REV. 6/06
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~
Ot -1"70
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
~~ tfVY!fL
Frank Yeropoli
State Registrar
1026039
JAN 2 3 2007
No.
r--:>
=
-=
-...
-1")
rrJ
DJ
N
cpate
u
'-j.....
_.J
-'1
N
en
en
H105.~V 1112006
TV PAM IN
PER NENT
BlACK INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instruction. and example. an rev....)
1. Name of Oecedtnl (First. 1JidcIe, last, stMixl
STATE FILE NUMBER
Thanas S. "Tim" Williams
- 9462
4. Date 01 Death (Month. day, \,ear)
January 6, 2007
5.AlJellJlstB4rthdaYI
87
Twp
v~
7.Birt ace Cl andstBteorlo Sa. Place of Death Checkon one)
Mar. 19, 1919 Hanover 'l'ownship,PA Hospital' """" Personal Care
o Inpalilnl 0 EA I Outpatient DooA 0 Nursing Home 0 Residence c&other. Specify:
ad. Facility Name (If nat inSltllullon, gt.te atree! and llII'l'lber) 9. Was Deced8n1 of Hispanic Origin? XX No 0 Yes
(II yes, specify Cuban,
MexIcan, Puerto Rican. e1c.)
14. Marital Status: Martied, Never Married,
Widowed, DiYOfC9d(Specify)
~
8b. Coon~ oIlle81h
York
11. Decedent'sUul
Kmd 01 WorIc
13. Oecedenrs EliJcatlon (Specify only highest gndB completed)
Elementary I Secondary (()'12) College (1-4 or 5.)
8
PA
Luzerne
C~/Boro
Widowed Deceased
Did Decedent
live In a '7c,~ Yes. Decedent Uvlld ill Wilkes-Barre
Township? 17d. 0 No, Oecedent Uvld wilhi1
AclualLimilsof
. 16. Decedtnf. Mailing Addnls; (Street, city IkMfI, state, zip code)
166 Nicholson st.
Wilkes-Barre
18. Father's Name (First. mickle, last, suflx)
Two.
17b. County
PA 18702
19. Mother's Name (First, midtlt, maiden sumalTlll)
Edna GrOVer
201>. -roMaiO'G'_I_.cIlyl_.Ia""~_J
26 Cardinal Drive, Carlisle, PA 17015
Robert G. Williams
I
~
~
Ov" K]No
lOI.ln~IIIlII'I"_I1il>oIPrlnll
21b.D"'~D_(_."y.yeBI}
11, 2007
211;. f'IIt:e 0( 0lsp0&I\I0n (Name oll;'rnetery, aematory 01" other place)
210. Location (City I town. state, zip code)
PmMnuel OlnIAtery
IbrranOl! Twt:l., PA 18'10'7
105 N. Main st
Inc. F .H. Ashley, PA 18706
23b. Ucense Number . a F ~ L 23c. Date Signed nth'J;:' year)
cJ.-<..:>O& I . /"=/ 0 7
;::/-=>
CAUSE Of DEATH (See InelructkJnl .,d exampl..)
ft8m 27. Part I: Enterlhe libIID...M..rdr-dlseaHs, Iljunes, orcxmplcatlona-1Iat drectly caosed \tie li8aIh. DO NOT emertemlinal events soctl as canhc arrest,
respiralory arrest, or V8f1lrictjar ftIr11a11011 wIhout IMwIng lhe eloklgy. L.I&l: arty one cause on each line.
Approximate Interval: P8I111: Enter other siallllcanl cordtions contnl'lutlno to death, 28. Did Tobacco Use COOIIibute 10 Death?
OnsetklDeaItt Culno1resull1nginlheundMyirlgcause~ninPartl 0 Yes DProbably
~ 0 Unknown
29. II Female:
o Notpregnatll wllhin past year
o Pregnanlattimeofdea1f1
o Notpregnanl,bulpre!Pl8nlwjthln42days
01 death
o NoI pregnam, bulpregnan143daysto I year
beloredellth
o Unknownilprvgnanlwithinlhepaslyear
32c.PIaceoflnjury:Home,Farm,Street,Factory.
OIIIee Building. e1c. (Specify)
~
'M
.-t
.-t
'M
~
=~~=)~
d I'.r.e 0"..r-<-
At? he ( "....t...-' .I
Due 10 (brasaoon&eq\lflf'lCeof):
SeqUlI'Iti8Itt 1st cmdItlcn, If any,
IlIlIdlnalDllecausellsl8clonlinea
E_ hi UfrI)ERlYWQ CAUSE
~~~ml:,~e
b.
Due to (or III a consequence of):
0IJe 10 (Of as a COOieQUSne8 of):
~~
t-
OO
d.
n.__F.1Ings
AY8ilablePriorto~ion
of Gluse of 0NttI?
3Oa. Was an Autopsy
PlIlformed?
31. Manner of 0eatI
[3Na1unlI 0-
D-OPtoOngln_
0- o Could Nolbo_",
..
32d.TlIMoIl/;lry
Dv.. ~ No
Dv" DNo
32g.Locatior'lollnjury{S1reet,city/lOWl1,S18le)
J
391.. c.tIfi.r (cfteck only on_) 33b. SIplurlil and Tille of
~:t::::::"~:"~~':=C:;-':=:~..d~_:d~~:n:a~___~_....___..______ 0 ~
PronOVlNllng UHI certitwtftg phpidB (Pt1ytIician baIt1 pronouncing death and ~ 10 C8uee d d..thl 33c. LicenM NU'1J:r 33d_ Dale Signed 1.4onttl. da . year)
::..-:.::.:r-.-..........'..-.....................'...-.I......n"".........----------------- [? uJ-A,)O(P9I"tf- L J 10 O}
b... 01 or 1rMStiptk)n, In my optnlon, dMIb occurred lit the 1ime., dlle, IInd pllce, snd due to the caust(s) and man_ II stlltML 0 34. Name and Address of Person Who COI'llll8Ied Cause oj Death (lIem 27) Type I Print
[,or,' Ltt/(; <u ~ r
~'t h~... .tr u-,
'X I "'5, ft
Disposition P8rm~ No. J") oj ~
~
~
o
~
;!i
.;.. ..
i
runst ~ill nw ijttstnmtttt
0"1- ('[0
OF
r-,'"
c-::>
:3
{"-)
-'1
["7"\
(;'J
-0
THOMAS S. WILLIAMS
-D:'"'
r;-;1
en
cJi
:;
I, THOMAS S. WILLIAMS, Widower, of 166 Nicholson Street, Wilkes-Barre, Pennsylvania
18702, do make, publish and declare this to be my last will and testament, hereby revoking all wills
and codicils at anytime heretofore made by me.
ARTICLE I: I order and direct that my funeral be modest in character and in keeping with
my station in life.
ARTICLE ll: I order and direct that all of my just debts, the costs of my last illness and my
funeral expenses be paid from my estate as soon as practicable after my decease, as a part of the
expense of the administration of my estate.
ARTICLE ill: All of the rest, residue and remainder of my estate, real, personal or mixed, of
whatsoever nature and wheresoever situate, and whether acquired before or after the date of execution
of this my Last Will and Testament, I give, devise and bequeath to my brother, HAROLD K.
WILLIAMS. In the event that my brother, HAROLD K. WILLIAMS, shall not survive me, then, I
give, devise and bequeath my said estate to his issue who survive me, per stirpes.
ARTICLE IV: I nominate, constitute and appoint, my brother, HAROLD K. WILLIAMS,
executor of this my Last Will and Testament. In the event that my brother, HAROLD K. WILLIAMS,
shall not survive me or if he is unable or unwilling to act or to continue to act as executor, for any
reason whatsoever, then, I nominate, constitute and appoint my sister-in-law, FLORANCE K.
WILLIAMS, successor executor.
ARTICLE V:
No fiduciary under this will shall be required to give bond or other security
for the faithful performance of the fiduciary's duties. Any such fiduciary shall the following powers,
in addition to those given by law:
To invest in, accept and retain any real or personal property, including stock of a corporate
fiduciary or its holding company, without restriction to legal investments.
To sell, exchange, partition or lease for any period of time any real or personal property and
to give options therefor for cash or credit, with or without security;
.. .,
To borrow money from any person including any fiduciary acting hereunder, and to mortgage
or pledge any real or personal property;
To hold shares of stock or other securities in nominee registration form, including that of a
clearing corporation or depository, or in book entry form or unregistered or in such other form
as will pass by delivery;
To engage in litigation and compromise, arbitrate or abandon claims;
To make distributions in cash, or in kind at current values, or partly in each, allocating specific
assets to particular distributees on a non-pro rata basis, and for such purposes to make
reasonable determinations of current values; and
To make elections, decisions, concessions and settlements in connection with all income,
estate, inheritance, gift or other tax returns and the payment of such taxes, without obligation
to adjust the distributive share of income or principal of any person affected thereby.
ARTICLE VI: Any term used in the singular or plural, or in the masculine, feminine or neuter
form, shall be singular or plural, or masculine, feminine or neuter as a proper reading of this will may
reqUIre.
IN WITNESS WHEREOF, I, THOMAS S. WILLIAMS, have subscribed and sealed and
do publish and declare these presents as and for my last will and testament, in the presence of the
witnesses attesting the same, at my request this It/' day of F~
1L.r.,/~
..q too
THOMAS S. WILLIAMS
,2002.
{SEAL}
The above instrument, consisting of this and one other typewritten page, including the page
on which the undersigned have subscribed their names as witnesses, was at the date thereof signed,
sealed, published and declared by the testator as and for his last will and testament, in the presence of
us and each of us, who, at his request, in his presence, and in the presence of each other have hereunto
1.J
subscribed our names as witnesses, this I ~ day of
C4~aJ L'
r~ ____________/
r~ if ' 2002.
residing at Ir.~ I 121
residing at J~4/f1/'f # M
61~nD
OATH OF SUBSCRIBING WITNESS(ES)
C")
C;O
.~~-, :TJ
;~~F)
::-;-,,..r-;-1
.c_: ::u
<~.J ./,.,,"
I"-~
C""'"~
=
--'
....,
,-'-1
CO
N
REGISTER OF WILLS
C Lb IV} bel-- J../l Iv' cI COUNTY, PENNSYLVANIA
c;
'"'"1
-0
::E::
N
U1
en
.:;1
Estate of
THOMAS S. WILLIAMS
, Deceased
CATHY A. LEVI
, (each) a subscribing witness to
(Print Name/s)
the IJl Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he / they was / were present and saw the above Testator / Testatrix sign the same
and that she / he / they signed the same and that she / he / they signed as a witness at the request of
the Testator / Testatrix In her / his presence and in the presence of each other.
~igMC;; ~ t{ ~EV~ I
(Signature)
SOC Heisz Street
(Street Address)
(Street Address)
Kingston, FA 18704
(City, State, Zip)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
day
before me this
of February
I~~ day
2007
of
OJ.~ m.&~
Notary ubhc
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Deputy for Register of Wills
NOTE:
To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
COMMONw~t-.Fn~ OF PENNSYLVANIA
~VIT!\pl.c.l SEAL
ANGEl I' !v1 ~'!}(.i ,'(ANDI. Notary Public
L.'1" : 'n H:' v . LUi'irne County
,MJ,(;".';" ..; . December 19, 2009
FormRW-03 rev./O./3.06
0"1 ~ \ '1V
OATH OF SUBSCRIBING WITNESS(ES) (S~
.._~:\~ C}
" ' ---.-
-< 1:/ .~\
.~) ~:r~
:;2)Q,
>~
'::D
.;-~
--0
---
r-'>
~
::;..>
--n
1'""
co
rV
-
REGISTER OF WILLS
C/UM ):;ef.1-IlNd COUNTY, PENNSYLVANIA
...-c.
~
r;:?
<.J'
Cf'
Estate of
THOMAS S. WILLIAMS
, Deceased
N. BRIAN CA VERL Y
, (each) a subscribing witness to
(Print Name/s)
the 0 Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he / they was / were present and saw the above Testator / Testatrix sign the same
and that she / he / they signed the same and that she / he / they signed as a witness at the request of
the Testator / Testatrix In her / his
Shickshin
(City, State, Zip)
(Signature)
(Street Address)
(City. State. Zip)
before me this
day
Executed out of Register's Office
Sworn to or affIrmed and subscribed
151-
before me this
Executed in Register's Office
Sworn to or affIrmed and subscribed
of
February
day
2007
of
(
K'~, IiV\ ~J~
Notary Pubr
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Deputy for Register of Wills
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
COUMONWEALTH OF PENNSYLVANIA
FormRW-03 rev. 10.13.06 NOTARIAL SEAL
KAlliRVN M. PIERSON, NOTARY PUBUC
KINGSTON BOROUGH, WZERNE COUNlY
Mf COMMISSION EXPIRES MAY 15, 2007
RENUNCIATION
REGISTER OF WILLS
COUNTY, PENNSYL VANIA
(J)! - {lU
LJ
2~~
-'(;::~(~
--).~~
-.:.~
Estate of
~J
,.~ // Zt;;JJ~.J/
"," -
J
t! f ~~l!;~~~v
I-/I? J~tJ L D
(Print Name)
(~LvQ
I
administer the Estate of the Decedent and respectfully request that Letters be issued to
(/:-? 'U"') f1' / ,
/i?~L-/ /1, 2t. A/~
; ~
I,
If
W /). L //-lM S:
, in my capacity/relationship as
r-'
=
<3
-n
.-n
'co
N
-
-0
:>
rv
.'
cJ\
(j\
, Deceased
of the above Decedent, hereby renounce the right to
J,~^~ r W~~
(Signature)
;2/ C1LJ.~cJ ~
(Street Address)
(p .J./llALlOR a
(City, State, Zip)
b- U :<'12ot:J?
(Dale) cJ'
Executed in Register's Office
Sworn to or affirmed ~d subscribed
befO'Z'4 day
of .... , ;;;?:D7 .
s
(7 6(~
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of
~j)~ ~
;2.c1f)epu R~ister of Wills
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13. 06