Loading...
HomeMy WebLinkAbout04-15-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Inez T. Davis also known as N/ A File Number ~I -O~ -- 0124 , Deceased Social Security Number 195-07-0672 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) [X] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor last Will of the Decedent dated 7/29/1997 and codicil(s) dated N/A named in the (State relevant circumstances, e.g., renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born 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: N/A o B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) r--;) Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following8)ouse (if any~d heirs: (.T[r:J Administration, c.ta. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs) (,.,O::! : ~~ ~'" :J.J .- . "-', Name Relationshi Reside;J C.! :::0 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his / her last principal residence at 48 Colqate Dr, , Camo Hill. Lower Allen Two. PA 17011 (List street address, townlcity, township, county, state, zip code) Decedent, then 102 Camo Hill years of age, died on 4/4/2008 at 48 Colqate Dr. Lower Allen Two. PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (lfnot domiciled in PA) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania $ $ $ $ 35,000.00 150,000.00 48 Colgate Drive, Camp Hill, Lower Allen Township, Cumberland County, Pennsylvania 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: Typed or printed name and residence JlL Ralph L. Thrush, III 6105 Sommerton Dr. Mechanicsbur PA 17050 Form RW-02 rev. 10.13.06 Page 1 of2 '. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 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 of the knowledge and belief of Petitioner( s) and that, as personal representative(s) of the Decedent, Petitioner( s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed i ~~:zzc Signature lfPersonal Representative RALPH L. THRUSH, III Signature of Personal Representative Q >:~ 'll "to ~~:: F~; : c>) 5? :~. E_~ ~ .,.)~ =0 "TJ --; )5:, Signature of Personal Representative File Number: d 1 - 0'6 /" Dtf;}4 Estate of Inez T. Davis , Deceased I'-.) = = = :;e,- -0 ::0 ',;J ;~g ~l~ ;':'.;' :~3 l' ) fJl ':.:"J (- ':J 'i "1"1 '')"'1 . (j rrl ) ,-) . '; ~ CJ1 ::\:- ::g '-9 N CJ1 Social Security Number: 195-07-0672 Date of Death: 4/4/2008 AND NOW, I ') tt, 1~.J , ;2(xj( , , in oon'id,rntion. of th, fomgoing Petition, "ti,f"tory pmof having been presented before me, IT S DECREED ~hatLette0t' ~hl mft1 +arJ are hereby granted to ~I 1_. Th (Lt~ ~ I Ill-- in the above estate and that the instrument( s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. tJI Lri ria ,JaIfRt. I[J Jb; Lubtliufj L, Reg"",,~ W,i/, ~~ ( PfJr Cff u>p- @l,) FEES Letters ' . , .. .. , . , . , . , . , . , . , . , . , . , , , . Short Certificate( s) Renunciation(s) """""""" -WIll ~~ f&na hJ'v'L :::: TOTAL ".""......."""".""" Form RW-02 rev. 10.13.06 $ :lliJO,CO $ ~O,OO $ $ $ $ $ $ $ $ $ $ $ Attorney Signature: 15.00 iO.6D 5.iA) Attorney Name: DAVID H. STONE Supreme Court J.D. No.: 39785 Address: 414 Bridqe Street New Cumberland PA Telephone: 717-774-7435 0/0. tt> 17070 Page 2 of2 ep\wills\davis.inz\7-97 LAST WILL AND TESTAMENT (") ~-=O "-D -~~ (J")^ I"-.J <:::) (:;:) <::0 OF :;:a. -0 :;.0 (J1 INEZ DAVIS t:5 ;~~ ;po =i';~ 1..0 . . I, INEZ DAVIS, of Lower Allen Township, Cumberland -)=0 --i :::J -P County, N P'enn- sylvania, declare this to be my last will and revoke any will previ- ously made by me. ITEM I: I devise and bequeath all of my estate of every nature and wherever situate as follows: A. Fifty (50%) per cent thereof to my nephew, RALPH L. THRUSH, III. B. Twenty-five (25%) per cent thereof to my nephew, SCOTT ALLEN THRUSH. C. Five (5%) per cent thereof to my brother, RALPH L. THRUSH, JR. D. Five (5%) per cent thereof to my sister, lONE THRUSH MILLER. E. Five (5%) per cent thereof to my sister J. H. THRUSH LINDENBERGER. F. Five (5%) per cent thereof to my nephew, DANIEL L. POTTIGER. G. Three (3%) per cent thereof to my niece, JANIS LINDENBERGER. Page 1 of 3 ~ H. Three-fourth (%%) per cent thereof to my niece, AUDREY FOSTER. I. One-half (~%) per cent thereof to my niece, MARCIA NEWCOMER. J. Three-fourth (%%) per cent thereof to my nephew, JIMMY LINDENBERGER. ITEM II: I appoint my Executor and his successors guardian of any property which passes, either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this ap- pointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make paYment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM III: I appoint my nephew, RALPH L. THRUSH, III, Executor of this my last will. Should my nephew, RALPH L. THRUSH, III, predecease me, fail to qualify or cease to act as my Executor, I appoint my brother, RALPH L. THRUSH, JR., and his wife, PAULINE THRUSH, Co- Executors of this my last will. Page 2 of 3 . I ITEM IV: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his/her duties in any jurisdiction. IN WITNESS WHEREOF, seal this ~ day of I, INEZ DAVIS, ~ have hereunto set my hand and , 1997. ( ~ SIGNED, SEALED, PUBLISHED and DECLARED by INEZ DAVIS, the Testa- trix above named, as and for her Last will and Testament, and in the presence of us, who at her request, in her presence and in the pres- ence of each other, have subscribed our names as witnesses. ~ Y; Lt/! J. ~j), >,},t/' '1(/ Wl. ess "t1el-'Y ~j ,L, Aadress l}eUJ~J-'-..4.0 III Address / c Page 3 of 3 r 01. " -og" Q{f'J. y LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 P 14328859 Certification Number This is to certify that the information here gl ven is correctly copied from an original Certificate of Death duly filed with me as Local Regstrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~,Zs~ AIR 0 I 2008 Date Issued (") ~O _c, .:0 , <:J .:-r:c) ~~~~ tti c/)X po...;;, c;:::; C;:, 0:> > ., ::::t, (:;-'0 .:d -II , jJ -0 --I )> :boo ::r. W N 0'\ ..:0 1"1'", C.'-) c.~.) :".J} 2~~ .:J ~. . C-") -"1 -(1 c"5 n, .-:> "T"+ Ul REV 1112006 PRINT IN AANENT CK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER 1. Name of Decedent (RrsI, middle, Ias!, suffix) Inez T. Davis 5. Age (lAsl Birthday) 6. Dale ol Birth (Month, day, year) October28,1905 Carlisle Pa Bd. Facility Name (II not institution, rjve street and I'llmlber) 48 Colgate Drive 11. Oecedenfs Usual lion Kind of work done durin most of work" Hie. Do no! stale relired Kind 01 won.: Kind of Busiless Ilndusby Secretary Mech.Navy Depot . 16. Decedent's Mailing Address (Street, city ftown, stale, ~code) 12. Was Decedent ever in the U.S. Armed Forces? Dves ~ 13. _'s Edt.<alioo (Speci~ on~ highest grade completed) Elementary I Secondary (0-12) College (1-4 or 5+) 12 Decedenrs Actual Residence 178. Stale 17b. Coonly Pa Cumberland 4. Dale of Death (Month, day, year) 0672 A ril 4 2008 14. Marital Status: Married, Never Married, W_. O;vorced (Spedf'/J Widowed ~ ~nt t7c. fu Yes, Decedent Lived in Township? 17d. 0 No, Decedent Uved within Actual Umils of Lower Allen Twp. C;~IBoro 19. Mother's Name (Firs!, middle, maiden surname) Anna Morrison 2Ob. Informanfs MaRing Address (greet, city ftown, slate, zip code) Approximate interval: Onset to Death ~J~:J:~Si :a~~~ a. Seque~~~~=,~ ~a. = UNDERLYIMG CAUSE (cfisease or Injury Itlal initiated lhe evenls resulting In death) LAST. b. Due 10 (or as a consequence of): d. 302. Was an Aulopsy Pertooned? JOb. Were Autopsy Rndiogs Available Prior 10 Completion otCause of Death? 31. Manner of Death ~ Natural 0 Homicide o Accident 0 Pending Investigation o Suicide 0 Could Not be Determined M. 321. If Transportation In)ury (Specify) o Driver I OpefaIOf 0 Passenger DPedeslrian Dather. Specify.. 33b. Signature and Tille 01 Certifier 329. Localion of Injury (Streel,cilyl lown, stale) DYes r::tNO Dves DN' 32<1. Time el Injury 23b. License Number Hill, Pa Home Inc 1903 Market Hill Pa 1701 2fJ. Was Case Referred 10 Medical Examiner! Coroner lor a Reason Other lhan Cremation or Donation? D Ves No Parll!: Enter other sicI1ificanl condilions contlibutioo 10 d8a1h, but not rasulling in Ihe under1ylng cause giYen in Parl I 28. Did Tobacco Use Cootribute 10 Death? D Ves DProbably 6il N, D Unk"".n 29. If Female: \1 Not pregnant within past year D Pregnant at lime 01 death D Notpregnanl.bulpregll8nlwithin42days a/death D Not pregnant, but pregnant 43 days to 1 year before death D Unknown if pregnanl within the past year 32c. Place of InjUry: Home, Farm, Street, Factory. Office Building. elc. (Specify) 33a. Certitier (check only one) ~~~~r~~i::=n=~c:= :e~~~ ~l:~~:~h~~n::: ~:~~_ ~~h_a~ _~~~:n ~~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 ~ . ~o::c:~,a~ ~~~=h:~~a~~:~~ :~i:~~~:~~::C~~~~~~~:rol~=~~:~ manner 88 stated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D . ~:~~:~sm~~~~~h~~:; and' or investigation, In my opinion, death occurred atllle lime, date, and place, and due 10 the cause(s) and mannet" as stated_ D :R'9lstrnr'ss~natu~~ ~ ,9-, /1 .?,. I I / I ,,";a' i1ed( 2-t~da~yea-l Disposition Pennil No. c:? /,7'....r ?V":" r- 33c. License Number ;; {- 08- 0 ~:J-'-I OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA () (;-~ 0 .' :i:J :~JC, '1;: j:,,:"':- 'c'l r1 , ~~>) ~ .,' :,~-.~5 .;;?, , ':0 . ,-~ ~ Estate of Inez T. Davis David H. Stone and ,~_AYE R.. LUCKEY :l:. ::it \D N 0'1 , Deceased t~ = r= <= J:>>o -0 ;:0 U1 , (each a subscribing witness to (Prii'l .Vame/s) the [X] Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say( s) that XWXxx! they and that ~tthey the ~nTes tri XWIDrX were present and saw the above ~ / Testatrix signed as a witness at the request of signed the same and that xlmKiIKithey III her)'(Jm~ presence and in the presence of each other. Jf~~P , LUCKEY ~ 414 Bridqe St (Street Address) 414 Bridqe St (Street Address) New Cumberland. (City, State, Zip) PA 17070 New Cumberland (City, State, Zip) PA 17070 Executed in Register's Office Sworn to or affirmed and subscribed Executed out of Register's Office Sworn to or affi~ and subscribed bef~ this \t:S day of ~\\ Q~~ , before me this day of sign the same s::~C") 8 ?-'~5; 3: Oc:o 3: 33. 0 ;:;!.g.zz ~ ::l.:....O~ _.~ :o~ m g5.O)>~ mcoX::D:r ~op::!> ~. ~ r. ~ '" C") zen" oc: 0 m m ~3i>n"~ . g.:2 r lJJ !::3~-u ~ .:>c: < ""c.!:!: l> gC") ('i' Z <DP j;: ~~~ 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.) 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, Form RW-03 rev, /0,/3,06