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