HomeMy WebLinkAbout06-20-07
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Register of Wills of Cumberland County
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PETITION FOR PROBATE and GRANT OF LETTERS
Estate of ~VI.:~~ pl. ~/I"/tt:J.s No. d.. \ () '1 O~q2>
also known as To:
f
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
. Deceased.
Social Security No. /''7'- /6 - 5~p,;l.
The pe,tition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, and the execut_ named in the last will of the
above decedent, dated ~f /) , 20 ~ J5
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
County,
Decedent, then~Z years ofage, died JIfA~tll ~/. 20 /)#at 7,'..$"t:J ?/r;
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:
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:
~ :17~ . del
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters
(testamentary; administration c.t.a.; administration d.b.n.c.t.a)
thereon.
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Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
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COUNTY OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
SS:
The petitioner(s) above-named swear(s) or affrrm(s) that the statements in the foregoing petition are true and
correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above
decedent petitioner(s) will well and truly administer the estate ac or' to law.
Sworn to or affirmed and ~ubscribed
Befon: ~'rs d. U day of
ALIL1L ,20 67
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No. ~ I Dl DS<=)3
Estate of Lt:lll'::Q.... \.D \\\(')~.s.., Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~~ d,a 2cP', in consideration of the petition on the reverse side
hereof, sa!\tory pr oofhaving been presented before me, IT IS DECREED that the instrument(s), dated
~ ~2> . described therein be admitted to probate filed of record as the last will of
~nm~ ; and Letters are hereby granted to E'~d...s mD~
FEES
Probate, Letters, Etc. ............. $
Will................................. $
Renunciation................ ....... $
Short Certificates (/ ) ............ $
JCP. ... . . . . ... .. . .. ... . .. . .. . . . .. . . .. $
Automation Fee................... $
Bond......................... ........ $
Total $
Filed tn/JO - 20fl
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Register of Wills ~
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Attorney (Sup. Ct. LD. No.)
Address
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Phone
fIIOS.XOS REV I/OS
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.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Local Registrar
Fee for this certificate, $6.00
p
12410020
APR 0 6 2006
Date
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;>AINTIN
IANENT
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1. Name 01 Decedent (First, middle, last)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
~ \ (:)l~~3
4. Dale of Death (Month. day, year)
Louise W. Thomas
s. .....IWllHrthday)
82 VIS.
Bb. Coun~ 01 Ooalh
Cumberland
3-31-06
7. Dale of Birth nlh da , ear
Lower Allen
Spec.Hosp.
on esl Ieted
College (1-4 or 5+)
14. MarUI Status: Married, Never rrBITied. 15. Surviving Spouse (1f wife. give maiden name)
_,DiwlClld(~
820 Lisburn Rd
Camp Hill, PA
17a. Slala P A
~~.~nl 17C~ ves,DecedenlLOedinLower Allen
Townsh~?
Twp.
17b. CoU11~ Cumber land
17d. Cl No, Decedent lived within
Aclual Umils of
ClyiBoro
18. Father's Name (Arsl. middle, last)
Lester C. Sawyer
201. Informenfa Name (T~I)
Edward S. Thomas
19. Moth9l"s Name (First. rTiddte, maiden surname)
Rachel E. Ensor
201>, tnlormenl', Meilng Address (SIreel, clyllown, slate, ~ code)
2494 Cope Dr. , Mechanicsburg, PA 17055
, Name IInclADdrllSl of F"
USSeiman t'uneral Home
21d. location (CIlyIlown, sllle, zip code)
amp Hill, PA
Hummed
21c. Prace of Dlspositkm (Narre of cemelery. alirNtory or other place)
Rolling Green Mem.Park
24. Time of Death
/q: 5'1' M.
CAUSE OF OEATli (SM Ina_ ,nd .".....)
Rem 'l7. Partt Enter the ~ -dMases, injJries, or co"1*a1ions - the1 di8Clly caused the death, DO NOT entSf teminal evenls such as cardiac arrest,
rQ4)i'lIory anest. orvenlrk:uter fibrilali:ln withoulshowi'tg the etiolQgy. DO NOT alJbreviIte. Enter only one cause 011 a 1Ina. ~
=~:t,:::d~ a. . f2.~~1 f!.f110f<"f ff} I L-- UR/t.
Due 10 (or U a consequence o~:
Due to (or as a conseqU<<lCe 00:
fNWVY'lONI f1
Cl+re.ONIC-- O€rrJNC.1f IJ-e
rjJvL(VI~NAtc.-'-1 f{)U:.t'l{i
28. Did Tobacco UN Contrbute to Death?
o Ves .Z""'obeb~
[J No [J Unknown
29. ftFOf1'OIo:
o Not pregnanl wIh" past year
o Pregnant allime 01 deolh
o Nol p!_n~ butpr_nt within 42 days
ofdealh
o Not prlql8nt. but pregnanl 43 days 10 1 year
before death
C Unknc:Lwn if pregnant wiIhin the past year
32c. Place of Injury: Home, Farm. Street. Factory. Office
Buid~g, ale. (Speci/)1
Approximate interval:
onset to death
Sequenlioly 1st condiions, ~ any,
'II teacIng 10 the cause Isted on Lne a.
Enter the UNOE!IL V1NG CAUSE
. (cliseaseorinJlfYlhalit~iatedlhe
...... resuling ~ deolh) LAST.
b.
c.
Due to (or u a consequence of):
o Yes ~No
d.
3Ql. Were AuIop5y Fondings
AvaillblePrioftoCon1>folion
of Cause 01 Death?
o Ves)i!l'"'No
31. Manner 01 Death
;4!I'Nalural 0 Homicide
o I'<c_ 0 Pand~g lnvesligellon
o Suicide 0 Could Not Be Determined
328. Date 01 Injury (Month, day. year)
32d. Time of Injury
32b. Descrbe how Injury Occurred'
3Qe. Was an Aulopsy
-
32g. I.oolllon (Street, c!yolown, slate)
M.
338. CerllfteI'(c_on~one)
certIfytng physician (Physician certifying cause of deattrwhen another ptIyslc;an has pronounced death and c:orJ1)leled nem 23)
To the best of my knowledge. death occurrtd dill to the caUll(s) Ind mIIn.. as stalld ~.,~,'.'._.'~M~'_M_'.".~_MM'__~MMM'~_""'_'MMM~""~~....MM....M....._..Mm..O
_log ,nd corUtylng phyaJolo. (PIIysi:ien both pronouncing deolh ,nd certilying 10 co",a of deolh)
To the best 01 my knowledge, death occurrtd at the time, date,and placetlnd due to the ClUll(s) and manner II 1tI1Id.__M...._~.__..M...~.~..___M~_..._MD
lIocI1cal.a_
On the balls of euninadon and/or investigation, In my opinion, death occurred at the t1m1. daIe,and piKe, and due to the caUH(s) and manner II stated MMMM.O
35. Regietrat' 5qlatura and District Nu_ 36. Oate Flied (Monlh, day, y..~
~
1~l/leo'll/l'
~~
~.lnstructlons and examples on reverse)
~. o.l'sz;rs/6'r.')
34. Name and Address 01 Person,.!" ~ Gause <>W1I!lI.Ift!.'!' 2!LT.tJ>!'Prinl
I' lo/rJC.l C (/LVlTvv nr'V"VY'7 f) :s-
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LAW OFFICES OF
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STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
WILL OF
LOUISE W. THOMAS
I, Louise W. Thomas, of, Cumberland County, Pennsylvania,
declare this to be my last Will and hereby revoke all prior Wills and
Codicils.
1. I direct that all my just debts, funeral expenses,
gravemarker and administrative expenses shall be paid
from my residuary estate as soon as practicable after my
death.
2. I direct that all inheritance, estate, transfer, succession
and death taxes of any kind whatsoever which may be
payable by reason of my death shall be paid out of my
residuary estate.
3. I direct that my entire estate be distributed as follows:
A. I leave everything to be distributed in equal shares
to my sons, Edward Thomas and Richard
Thomas. Should either of my children predecease
me, their share shall go that deceased sons
children in equal shares.
4.
I appoint both sons, Edward Thomas and
Richard Thomas, jointly, as Executors of this my last
Will.
5.
The Executor of this Will shall have the power to
distribute my estate in kind or in cash, or partly in either.
6.
I direct that no Executor acting under this Will shall be
required to enter bond in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this --'!!:.. day
of ~(O · 200~.
(~W.~
Lise W. Thomas
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
Louise W. Thomas, as and for her last Will in the presence of us, who
at her request, in her presence and in the presence of each other have
subscribed our names as witnesses hereto.
~1~
WI .ESS / '.
~5Z~
WITNESS
LAW OFFICES OF
STEPHEN}. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE. PA 17013
ACKNOWLEDGMENT
State of Pennsylvania
ss
County of Cumberland
I, Louise W. Thomas, the testatrix, 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 as my free and
voluntary act for the purposes therein ex ressed.
Sworn to or affirmed and acknowledged before me by Louise W.
Thomas, the testatrix, this / Sl day of M~v olfJO.:3 ,
2003. I
iOfARIAL lEAL IIQaIC
L~"'::"'''''CO
MY COIIII8IIOII"'rJ. "14.1004
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Notary Public/Attorney
AFFIDAVIT
State of Pennsylvania
ss
County of Cumberland
We, :tJG/)OMH S.IJNSTfNE and /OJ>]) ]) ELP , 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 the testatrix sign and execute the
instrument as her last Will; that the testatrix signed willingly and
executed it as her free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testatrix signed the Will as a witness; and that to the best of our
knowledge the testatrix was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
~;1.4~ ~~ A)~
S10rn to or affirmed and subscribed to before me by witnesses,
this J..!!.. day of Hc,v , 2003.
/ .
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Notary Public/Attorney
NOTARIAL SEAL
EUIABETH A "MS, N01'AIIY PUBLIC
LOWER ALLEN TWP, CUllBERLAND CO
MY COMMISSION EXP. JUNE 14,2004
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Register of Wills of Cumberland County
RENUNCIATION
Estate of Ll'JthSe JtJ, '1i'~/JI'JA-..s
Also known as
No. 'J. \ 0\ oSq?J
, deceased
To the Register of Wills of Cumberland County, Pennsylvania
Theundersigned ~/c.Jl~yJ 7tOYI'Lr:J-S 50 IV
(Name) (Relationship) (Capacity)
of the above decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters
be issued to EOal A~ 17 .s:
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Witness my/our hand(s) this 3' day of
, 20 (J h
fYI A-1
Affirmed and subscribed before me this
5 day of fYJ f\ 1
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Notary Public
QuJ,.:~-,O ~ ~~
(Signature) -
R 011 3 en"!. .~J 3 ~ W~/ofe....,) )fn. )~J,k
(Address)
Natalial veal
Bonnie Engler, Notary Public
DerF8flee 1w13., l\,l;!QlJla CQI.nty
y. Commission Expires Jan. 14, 2007
~r. pennsylva~ssociation Of Notaries
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Affi!1ed and ~ribed before me this
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(Signature)
(Address)
(Signature)
(Address)
(Signature and seal of Notary or other official
qualified to administer oaths. Show date of
expiration of Notary's commission)