HomeMy WebLinkAbout08-28-08~~~~~~o~ ~o~ ~r~QBA~~ ~~D ~~~~ Q~ ~~~~~x~
REGISTER OF WILLS OF ~°~ /1~l3E~2L/~ COUNTY, PENNSI'LVANIA
Estate of ~Gh t7~~/ ~ i ~/11 Q S
also Known as
. Deceased
File Number a7/~od ~" O~0
Social Security Number ,<~~- ~b'" ~ T 77
Petitioner(s), wlro is/are 1 S years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELON4)
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A. Probate and Grant of Letters Testamentary and aver that Petitionerlp~ is /.aye the ~h4llta ~--~• ~h.olnrlS named in the
last Will of the Decedent dated ND/, ~~i Zoo/ ~1-sedisil!{s}dated'
(Stole reievnnt circunrstarrces, e.g., renoarciatiar, death ojezecutor, etc.)
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:
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^ B. Grant of Letters of Administration n `'"''
(/jnpplicable, euler.• c.t.a.; d.b.n.c.t.a.; penderue life; durmrre absentia; dru• noritate) a
°^7 ~ C `
PetitionerO after a proper search has /have ascertained that Decedent left no Will and was survived by the following sper~' any) 6ral hetrs ,{,If
Administration, c. r. a. or d.b.n.c.t.a., enter date of N'ill in Section A above and complete list of heirs.) ~ m N -;
Name Relationshi Re i ~ {
vi C_ - -
CJ`1
(COMPLETE INALL CASES:) Attac/: additialral sheets if necessary.
was domiciled at death in
(Lis! street address, toiwdciq~, township, count), state, zip code)
County, Pennsylvania with,his /her last principal residence at
Decedent, then _~5 years of age, died on . l S oZDOS( at HD~i. ~•IOII'>[ /YQS~Pi/d~~ F. ~~/II?..f dor0 Ti,1.a
Decedent at death owned property with estimated values as follows:
(lf domiciled in PA) All personal property $ .s', 000. e0
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania l n $ ~t ~Qp, 00
situated as follows: '~~B ~wnte ~r~Ve IYleehan~cs6rtNT (Htt~pdul ~wp~/~ ~lura'.,nd Co+u~
Wherel'orc, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the gram of Letters in the appropriate form to
the undersigned:
or primed name and residence
/t'oNA•GD W. ~~~K
X ; ~~ ~~ 94 ~e.,, Y.~//~ d.. ~clcsfm~ ns~rr MD 2i~SS
Fa•nr H6V-U? rer. !0.11.UG Pagel Of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSI'LVANIA
SS
COUNTY OF G Lt rn Q E 2L~f• /V ~
The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are true and con•ect 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 affim~ed a~n./d-subscribed
before me the r O ' ' ' day of
- For Register
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Signature ojPersara! Representative
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Signntm•e ojPersonnl Representmive - ~
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File Number: ~'~ ~ ~ ~ ` ~ b g
Estate of ~r0~ y ~ • ~L0~1145 ,Deceased
Social Security Number: ~~5- .~la - ~~f 77 Date of Death: ~~~5-~ZdOB
AND NOW, ~ ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I EC ED that Letters ~e~5fltnle/IfarN
are hereby granted to ~o /1 !e ~~ /~fJ . ~1D/11l1.f
in the above estate
and that the instrument(s) dated Nov /9, 200/
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of ecedent.
FFFS
Register of Wills ' /
Letters ............... $ ~~.
Short Certificate(s) ........ $ ~Q, ~ Attorney Signature:
Renunciation(s) .......... $
Wei 1p1 ... $~-~~
<~l~ ... $ 1c~,D~
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...
... $
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... ~
... S
TOTAL .............. ~~
Attorney Name:
Supreme Court 1.D. No.
Address:
Telephone:
Char/mss ~ S!i%e%~~s ~c
3~S/3
~ C/ouser Gtr
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F~,•n~ R~~'-o? rev. l0.l3AG Page 2 of 2
c Cn5 Dry Irt! /!~-' ~ I •-`/ ~ - ~ CJ 1J J
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 14792421
Certification Number
NI05~113 REV 112005
TYPE , PRINT IN
PERMANENT
BLACK INK
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
DxeMrp (Fist miMw, wd, sahal STATE FILE NUMBER
Dorothy L. Thomas 2. Female 3 SacWSaurNyN,unpa "0
115 - 36 - 1477
I ew~mrl lhwd I UnM I M s. Dab a arm IMmm, ) T. .. ( alq etW « ) 9s. Pbce a ream (clra «r)
ww oar. Hwas aeesw
Yrs.
65 October 2, 1942 Wilkesbarre, Pennsylvaniarp~ °tl1eC
d Deem Bc. Coy, Boro, Twp. d Opm IqupaSad ^ ER / Oulpnaem ^ DDA ^ N«si
W. faNry Nana IN nd au14d6n, ~
~ weB1 ~ e1n'bef) 9. Wet DxeMN d tNSparic Oigin7 ~No
Cumberland East Pennsboro Holy Spirit Hospital I"r'°a'~'~
rs Used O[aarlisn IXbtl d...s,5.,...:,., ..... .~..~-..- .~ __. _._.. _..... Alax6an, Pudb Rinan, ak,)
Kind d Was I Kew
Beauty Consultant
15.OaumrN'a HaNalp Amaze (Shea. MY / bwn, swr, aD code)
418 Pawnee Drive
Mechanicsburg, PA 17050
md't Name (Fpd, nidde, wd,
NormdN's Harr (Type / PrtN)
abpna d Ddpuebrl
BurW ^ Removd Iran Sar
- Sorily.
James J. Thomas
Ronald W. Thoma
CremaOOn ^DarNan
run My rear)
August 15, 2008
Nana IJ Resioa a ^Oprer ~ gpanly:
^ Yes 10. Rau: Am«6an b0an, BscM, Wtwa, at.
I» White
s 206. h"xmdN's Maisl9 Amap (coed. dry / bwn, ors. tip cede)
12. Was Oarrdad evd N tlr 13. Deoadwra EbtuOm (~'yY ady Nplpy Wade wnpbbdl 11. Abdal 9wwa: Atdrbd. Nawr Atarnad, t3
U.S. AmIW Faas7 Elamerpry / Sac«ddy (P12) Copepe (TJ « Sr) WabrM, Dn«cep ISpxWy) ~r+q ~'aa IN wM, qiw rrrYlan ndllq
^Yp ~"° 2 Divorced
DeuMM's
Aaad ReaiOerc 17a. sbb PA Lrq"w ln°eea4" 170. ~,Yp, DecedNS lwad 6 amp en
Iro.caaxy Cumberland TOWndipT nd.^NO,DecMaeLNedwiNn Twp
Aauw Luis d Cay / Boo
19. Homer's Nwu IFid, mime. mai0en aurrrur)
Louise G. Wer
1199 Longvalley Road Westminster, MD 21158
21b. Des a DspoeAm p1aNn My yw) 21c. Pbu d Dspocilon (Name d urrsbry. adnday a arW peal 21d. laafon
(CYy / bwn, eW, n0 aodN
e^y~ August z0, 2008 Trindle Spring Mechanicsburg, Pa. 17055
Uaxue Nurwd 22c. Name arw Addrep d Fatiry
FD-012662-L Myers Funeral Home, Inc. 37 East Mafn Street Mechanicsburg, PA 77055
~`.a'V'ar aary~a-sax mh wen cerHyg e.To h badlmy trnaknpa, rWm a:arra0 d tlr 9ma. ear w pau dawn. (sgna5r. ens Wp
physifian r 161 wapW d wrr d dpNi b / 230. Licdre NumOar 23c. Dab Sgrd IKrnm. day, war)
eery ww. d mwl.
wlb 2`pnalouncp dwm ~ ~'~°A &. Taro d Optll N ~ 25. Dar Promntca0 Dead (Haws, My, Yprl
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CAUSE OF DEATH (Sar Nu4ractlorls atM ~) , Approx6rw erMrval
pan 27. Pan I. Erect Nr TdIi109tallBHY -«seasea, eMrrrs, a mnVaoaons pral6recgy cdaed me mom. DO NDT seer bnMW weaa wM p wtiac arrest. , Onsd b Deem
espFabry anesl. a wMncwer a0rs3ation wwrw aroweg er etebpy. lid orYy ar care m pcn sr.
n~ Vp~ IFaw aseawa t
osaml t
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Due b (a p a mrre9uence dl. i
151 mndlars,l any. D_
b cress bbdm Yra ~
Ewa UIOEIkYINO CAUSE Due b la p ^ consequence dl:
16saap a bFrY M' Nr '
awns reaeap n rbaml IAST. j
c. Due b la p a cansequerce d):
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30a. Was anAiwpsy 30D. Were Aulopsp Fee ~e~ 31 Mamer of Dean 32a. Dew tl 0yury (MaVh, My, War) 320. DascnOe lbw mYuy Dcarrrep
PeMmed? Arap5la PMr b
tl Cause d DpmT awry ^ Ilarucide
^ Y p• nl~ ~, ^ Aaiaam ^ Pw.Nn 3za ere a
This is to certify that the information here given is
correctly copied from a~ 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.
Local Registrar Date Issued
Z8. Wee Casa Rdd~rad{~b~ Aladby Eaamb«! C«aW for s Reason Omd mn Gorroapr a Damon?
^Yp MI:"
Lnrr c2w . .. ~ 28. Dw Tdr«o Use CwrE,p b Daam7
5d na redMip h me unMrrylg wip gwerl 6 Pan l ^ Yp ^ PreOwyy
29. rtl~flams~s~~~'"'
{,L~• rgFW wNhn Dsa Yesr
^ Prerrm a Irr d Mom
^ Na wared. ew wares ease 12 MY5
d Mom
^ Na werwa. des wares /3 days b 1 year
b11ore Mam
^ tAinown N werea wwm, ar pe51 yes„
3&. Pwu d syay: Nortr. Fenn, BYaal. Facbry,
Oraw BuAaNw. eb. (SpaaM/
w ^ Yes 9lirvplpabon ~ wY«Y 72a. bury dW«N7 321. q Trenspelaaon NMrY (SPxryY
^ Sukwe ^ Casd Nd M Debmrro M Oriva / ~. ~
^ Yas ^ No ^ DP«d« ^ PasSanpa ^PeMSaian
33a. CdYa (ard aey «rl Other' ~wr'
330.
are andiW ~~~~/
• D~r1w prrdnlan (Pnysean carurn9 were a seam warn enaMr PnvSinan nos waran<ea Mom and narplawa eem n) Y" '
io 9r Oad d my lrrowbdpa, deem tbCYtfM pus to Uw ewsa(sl did alanrrr p astad_ "' _ -""
• Prono«c0q arq swlilY69 ptys6sn IPnysiadi Oelh prwrurcirp deem and cenityinp b wuae d Mam) __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 33c Licdre N
To 9r Opts my arrwltdpa,dxm oalnWal tlr liar,Mb, arW psca, and puab Ur cwssly site manedpsWad-________ __ ^
• Ytdkd Eaaaarw 1 Caarr _ _ _ _ _ _ _ ~ ` ~ ~~ ~~
On 9r Oaas d aaam0ralbn and / a bwsNgation, b my opinion, Mato ac«red d the tier, Mr, wd pear aM dw b Nr ow a
aa(q and mwrr p atalad_ ^ 34. Name a~n-d A~m~ps a PorJJ,w,,ttn Wlq Cmpded Cd.
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1I/1 yy!
I, DOROTHY L. THOMAS, of Mechanicsburg, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament,
and revoke any and all Wills and Codicils made by me.
ITEM I: I direct that all my just debts and funeral
expenses, including my grave marker and all expenses of my last
illness, shall be paid from my residuary estate as soon as
practicable after my decease, as a part of the expense of the
administration of my estate.
ITEM II: I give, devise and bequeath the rest, residue
and remainder of my estate of every nature and wheresoever
situate as follows:
A. 50% in equal shares to my grandchildren, ZACHARY R.
THOMAS and OLIVIA D. THOMAS, or the survivor of them.
B. The balance of 50% to my son, RONALD W. THOMAS, or
his issue, per stirpes.
i~ - ~ -
ITEM III: All Federal, state and other death taxes
payable because of my death with respect to the .property
forming my gross estate for tax purposes, whether or not
passing under this Will, including any interest or penalty
imposed in connection with such tax, shall be considered a part
of the expense of the administration of my estate and shall be
paid out of the residue of my estate, without apportionment or
right of reimbursement.
ITEM IV: I direct that no executor or his successor
serving hereunder be required to post bond or enter security in
any jurisdiction.
ITEM V: I appoint my son, RONALD W. THOMAS, Executor of
this my Last Will and Testament. Should my son, RONALD W.
THOMAS, fail to qualify or cease to act as Executor, I appoint
RONALD E. THOMAS, Executor of this my Last Will and Testament.
ITEM VI: I appoint my son, RONALD W. THOMAS, Guardian of
the estate of any minor beneficiaries. Should my son, RONALD
W. THOMAS, fail to qualify or cease to act as Guardian of the
estate of anfT minor beneficiaries, I appoint RONALD .E. THOMAS,
Guardian of the estate of any minor beneficiaries. Such
guardian shall not be required to post bond or enter security
in any jurisdiction.
2
j ~
ITEM VII: where appropriate throughout this my Last Will
and Testament, all references herein to the singular or the
masculine shall include the plural or the feminine,
respectively.
ITEM VIII: I direct my personal representative to employ
HOWARD B. KRUG as attorney for my estate. This provision is
made solely at my request and without urging or suggestion by
the said HOWARD $. KRUG.
IN WITNESS WHEREOF, I have //hereunto set my hand and
seal this ~ day of d ~~»'1 ~ZJ~ 2001.
v ~~~'~~''' ~ ( SEAL )
DOROTHY: THOMAS
The preceding instrument, consisting of this and two
other typewritten pages, was, on the date thereof signed,
published and declared by DOROTHY L. THOMAS, the Testatrix
therein named, 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.
l~- ~ ~ {~'Y~ residing at ~~J~~~a~/~ ~!"~
residing at
3
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
WE, DOROTHY L. THOMAS,
~~
witnesses, respectively, whose
or foregoing instrument, being
declare to the undersigned aut:
and executed the instrument as
ss:
and
the Testatrix and the
names are signed to the attached
first duly sworn, do hereby
~ority that the Testatrix signed
her Last Will, and that she had
signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the Testatrix,
signed the Will as witnesses and that to the best of their
knowledge, the Testatrix was at that time eighteen years of age
or older, of sound mind and under no constraint or undue
influence.
'i
DOROTHY THOMAS
L
Witness
Witness
Subscribed, sworn to and acknowledged before me by DOROTHY
L. THOMAS, (t~'he QT,~estatrix, and sub(s~cribed and sworn to before me
by _~ ~ fur and ,I ~~ S~ 3P~ 1
witnesses, this ~~~ day of /~~O"~P~yI,~-P~ 2001.
Nota Public `~~:
Notarfal Seal `_ -.
Angela S. Eaton, Notary Public "` = `~.:
Harrisburg, Dauphin County -' . ~ ~ '~ !
4 My Commission Expires Jan. 12, 2004. ._
Member, PennsylvaniaASSOCiationotNotarfes