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Home My WebLink About12-08-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of MARLIN C. ADAMS File Number ~ ~ ~ ~ 1 ~~ also known as ,Deceased Social Security Number 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 named in the last Will of the Decedent dated 9/28/2008 and codicil(s) dated (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: B. Grant of Letters of Administration (If applicable, enter: c. t. a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs:(Ij Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent, then 76 years of age, died on 11 /26/2008 at 250 FRANKLIN STREET, CARLISLE CUMBERLAND COUNTY. PENNSYLVANIA 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 $ 1.000.00 $ 135.000.00 250 FRANKLIN STREET, CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA situated as follows: Wherefore, Petitionet(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: Signature Typed or printed name and residence // 1. MELINDA KARPER 769 BALTIMORE PIKE GARDNERS PA 17324 Page 1 of 2 Form R{i'-02 rev. 10.13.06 (C'OMPLE"!'E LN ALL CASES:) Attach additional sheets if necessary. D z tb Deceden¢ was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at 250 FRANKLIN STREET CARLISLE PA 17013 CUMBERLAND PENNSYLVANIA (List street address, town/city, township, county, state, zip code) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND 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 a d subscribed `1 Signatur of Personal Representative before me the ~/~daty of j r ~ Gx-~ ~ ~ ~ ~ Signature of Personal Representative ~__} C~ ~ ~ i ~1 j !~: `~~ C'7 For the Register Signature of Persona! Representative - \' G~ + __ ~. J V ; L,_ . "F'i '. J L_- - -- - - ~V ~~ =.J + .~ ~_ .~~ ~~ File Number: e)D Estate of MARLIN C. ADAMS ,Deceased Social Security Number:172249750,~ ~ ~y/~~j Date of Death: 11 /26/2008 AND NOW, il~~ ~ ~ '. ~~~Y'~~~ ,mow , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that LettersTESTAMENTARY are hereby granted to MELINDA KARPER in the above estate and that the instrument(s) dated SEPTEMBER 29. 2008 described in the Petition be admitted to probate and filed of recor~ij~as the list Will (~td Codicil(s))~of Decedent. Letters •••••••••• FEES Short Certificate(s) •••••••••••• Renunciation(s) •••••••••••••••• JCP .. AUTOMATION FEE .. WILL .. $ 260.00 $ 4.00 $ 10.00 $ 5.00 $ 15.00 .... $ .... $ .... $ .... $ .... $ .... $ TOTAL . ............................. $ 294.00 ter Attorney Signature: Attorney Name: MATTHEW A. McKNIGHT Supreme Court I.D. No.: 93010 Address: 60 WEST POMFRET STREET CARLISLE PA 17013 Telephone: 7172492353 Form RW-G~2 rev. ~o. i3.o~ Page 2 of 2 ,C~~Atw I~~GI~Tf~~,l~'~ ~~~~°I~I~~,°TIGIV GF ~~~I~ WARNiN~: ~t is illegal to ~uplieate tha:~ copy by photostat or photo~r~ph .' )',vp '1115 Ce:1.(,.t.._ '`{'_r~il C'~_;1i;it~t!i _ __, ~~yy ,'. ~t~~~P lFr! ~~' i;U(t t_tiw' it )tC .. I li ~i .,f t ` !): f; 2 :~~ ~ c14" )Lill' i11C(4 ~ 1 7r?. I I ~ 1 _f+. ~ 1 I ~_ 1+ t ,~ rL ~ ~ a ~ ~ ;riihu~m ~ ~_I I ~' t ~..,~ .t.:L ~~ ~~ ~ ~ tC+rttra. i_)I jt, i,,+t ;lriali.,ir I~.i,l ~, ~ ,; ysf~, * o ~'~~`'9yr t ~~~~~' ~ ~ ~~~e~ac~-~c~`D~t-aI~X' Q~ C 2 `r ~(I08 ~°f~T ---- -- - - _ - -- - - _ ~_ _ hJ ~ t~ Q ; ' _~C7 1 ~ _'. C y . i~ /y\ .-. ) r LJ r~ ; -~ C~ H105-143 REV 17/2006 ~ ~~ TYPE /PRINT IN PERMANENT BLACK INN 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH //}} {~ (See instructions and examples on reverse) STATE FILE NUMBER p( 1 D [~J 1 ~~ 1. Name of Decedenl (Frst. middle, last, Suffix) 2 Sex 3. Social Security' Number 4. Date of Death (Month, tlay ear) Marlin C. Adams Male 172 _ 24 _ 9750 November ~6, 2008 5. Age (Lest Birthday) Under 1 year Under 1 day 6. Date of Birth (MOnm, day, year) 7. BiMplace (City aM stale or foreign country) Ba. Place of Death (Chetlc Doty one) 76 """"~ °a" "°"rs """~°` 1932 Carlisle, PA Hoapnal: othen Sept . 23 ~ ^ pa ^ DOA ^ Nursin Home Residence ^Other - Spcsdty'. In Bent ^ ER / Outpatiem g Yrs 6h. Counry of Death &. Ciry, eoro, Twp. of Death /M. Facifily Name (fi not ireHMion, glue street and number) 9. Was Decedent of Hispanic Origin? ~ No ^Ves 10. Race: Amenran Indian, Black, Wine, etc. berland Carlisle C 250 Franklin Street (If yes, speciy Cuban, (Specilyj um Mexkan, Puerto Rican, etc.) Whlt,? 17. Decedent's Usual lkc clan Kind of work done dun most of workn life. Oo not slate retired 12. Was Decadent ever in the 13. Decedents Etlucation (Sped(y Doty highest gads completed) t4. Marital Status: Marred, Never Marzied, 15. Surviving Spouse (It woe, give maiden nzme) Kintl of Work Kind of Business I Industry U.S. Armed Farces? Elementary /Secondary (0-12) College (1-4 or 5~) Widowe4 Divorced (SpeciM S oe Mf f}~Yea ^NO g Widowed t6. Decedent's Mailing Address (Street, ciy /town, state, np code) Deceden's Did Decedem Live in a 17c Decedenl Uved in Tw ^ Yes id 77 S t A t l R 250 Franklin Street p. . , e F,A a c ua es ence a. rownahip? Carlisle, PA 17013 t7b. coanty Cumberland ntl. CK7 ~DecedentoUved wimin Carlisle city/Bprp 16. Famer's Name (Prat, middle, last, suaix) 19. Mother's Name (First, mKKRe maiden gumame) Bertha Richwine Frank Adams 20a. Inlortnanl's Name (Type ! Pnnt) 20b. Irrfonnanl's Mailing address (Sweet, cM /town, stale, zip c Melinda Karper 769 Baltimore Pike, Gar ens, PA 17324 21 e. Matted of Dispositiron ~ ^ Crematbn ^ Doretian 21b. Date of Disposition (Month, day, year) 21c Place of Disposltbn (Name of cemetery, crematory or oNar place) 21 d. Location (Ciry l sown, state, np rode) [$Bdtial ^ flemovanromSate wa.crelrueeneroenanonAwwdme • Dec. 2, 2008 Cumberland Valley Memorial Gard. Carlisle, PA 17013 ^ Olhar -Specify: ! by Meekal Examiner /Coroner? ^ Yes ^ No 22a. Signature d Se7' 22b. license Number 22c. Name and Address of Family Hof fman-Roth Funeral Home & Crematory , Inc . ~ 138425 Complete Rama 23a< oMy when cerlityirg 23a. To Hre bell of my knowledge, death occurred at the time, date and pWce stated. ($gnalure and tole) 23b. License Number 23c. Date Signed (Month, day, year) physician k no' evaileble at tlme of deem to cenlty caaSB d death. Hems 24-26 must be competetl by person 24. Tine of Deam m 10 26. Date Prawuru4 Dead (Month, day, year 2x08 November 26 26. Was Case Relerre~ to Medical Examiner I Coroner for a Reason Olhar than Cremation or Donalion7 Y qN wneprorm~,n~eaaea,h. M ~ : p . , ^ e ea CAUSE OF DEATH (See instructions and examples) , Approximate interval: Pan II: Enter other sign fcent corMilions mntnbutinq to death, 28. Did Tobago Use ConM6Ne to Death,? Item 27. Pan f Enter me chain of evenLS - rFSeeses, injuries or cornpicetions - that directty caused the death. DO NOT enter tenninel events such as caNiac arrest, Onset to DeaN hul not resuning in the untledying cause given In Pan I. ^ Yes ^ Probebty respiratory anesL or ventricWar fibrillation wittwN showing the etiology. List any one cause on each One, ^ No ^ Unknown IMMEDIATE CAUSE (Final tliseass or *, \ 1 C caxlHbn resulting In death) ~ \ 1~\ ~ ^t ' la a C n ~~ W 'y 29. II Female: ^ N ithi _ ~~,~~,, Due to ( a consa1gdence oty: Sequentiallyy Gat canNlbns, if any, b. i r ~ \ < ~ he at pregunl w n past year ^ Pregnant at Hine of tleath i leadno to Hte ~'AUa6 Fated on IXIe a. Due to ( az a mnsequen f): S ^ Not pegnam, Du1 pregnant wimin42 tlays Enter the UNDEflLYpiG CAU E (e'sease ar injury met initiated me c \~~ ~ ~ ~ \u !i ~ of deem events resulting m death) LAST. . Due to (or as a consequence oty'. ^ Nol pregnant, but pregnant 43 days Ie 1 year before death d. ^ Unknown if pregnant within Ina past yea :ace. Was an Autopsy 30b. Were ANOpry Findings 31. Manner of Death 32a. Date of Injury (Month, 63y, year) 320. Deacnbe How Injury OcCUrreO 32c. Place BuiryM ng, elemesP a~~/ Street, Factory, Penarmed? Available Pnor to Completion ol Cause of Death? r~~~ JCJ\`atual ^ flomicitle - ^ Yes ~NO ^ Yes ^ No ^ Accident ^ PenQrg Invastigalion 32d. Tine of Inryry 32e. Inlury at Work? 32f. It Transponalion Injury (Specity) 32g. Location of Injury (Street, city l lows, stale) ^ Suidde ^ DWM Nol be Determined ^Ves ^ No ^ Driver l Operator ^ Passenger ^Petlestdan M ^Olher - SpeciM' 33a. CENfier Icheck Dory one) 33b. Sgnatu3aaop TAIe of CeniNer f ) 1 ( I • CeNlrying physican (Physcian ceNtyag cause of deaN when another physidan has pronounced dealt arM completed Item 23) Beath atoned Oue to the cause(s) one manner as atatee_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _; _ _ ^ To the best o1 my krlowleege / ^ ~1,.,L t1/ y , • Pronouncitg ono cerlM/Ing physician (Physician bdh prorwtmcirg death arM cenitying to cause of death) ~ and manner es stated d d t the cause s i t e l 33c. License Number L .Date Signed (Month, day. year) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ue o ( ) e, on p ace, an To the beet of my knowleege, death axunee M the t me, Ba l E i / L roner • M di „~ ^ ~ ~ ~ ' ~/ , L 1 ~ ( O ^' j~ ca xam ner o e On the owls of examination aM I or invndgedon, in my opinbn, death xcunea at the time, date, arm place, and due to the cause(s) and manner ea stated- ^ 34 Name and Address of Person Who Completed a se of Death (Item 27) Type I Print ~ ' ear) Date Filed (Month da 36 Preti Malhotra, 25 N. 32nd St. Camp Hill 17011 38. Registar a Sl nV,Diat ~JC• Ix~, I ~ I d I ~ I p I ' , y, y Disposition Permit No. ~J JyJ ") ~ 1 V `I r~.~ ~, LAST WILL AND TESTAMENT `~' _; , `T _ ~-~ O -f r~~ .f .~ ~ -~i Marlin C. Adams _.,_~:~ ;~, I MARLIN C. ADAMS, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly .revoking all Wills and Codicils heretofore made by me. ONE. I direct my Executrix to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this Wi11, shall be paid by the Executrix of my estate. TWO. My Executrix may, at her discretion, compromise claims, borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. I authorize and empower my Executrix to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My Executrix is authorized and empowered to engage in any business in which I ~)Id7 may be engaged at my death, for such period of time ai~er my death as seems expedient to said Executrix. THREE. I give, devise and bequeath all of my estate of whatever nature and wherever situate in equal shares to my three (3) daughters, KARAN SMITH; MARLENE GILLAUGH; and MELINDA KARPER, per stirpes. FOUR. I nominate and appoint my daughter, MELINDA KARPER, to be the Executrix of this my Last Will and Testament. In the event she has predeceased me, failed to qualify or is not able or does not serve for whatever reason, I then appoint TROY KARPER to be the Substitute Executor of this my Last Will and Testament whereby the said Substitute Executor shall have the same powers as are given to the original Executrix hereunder. FIVE. No Executrix or Executor acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. SIX. No beneficiary may assign, anticipate or pledge his or her interest in any income or principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or otherwise reach any such interest. SEVEN. If any person or institution entitled to share in any distr~b~tion under the terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest the probate of this Last Will and Testament, such person or institution shall forfeit his, her or its entire interest inherited hereunder and all provisions in favor of such person or institution shall be declared void and of no effect. The share of such person or institution so forfeited shall be distributed as part of the residue pursuant to Paragraph Four hereof except that if such person or 2 institution is entitled to share in the said residue, that interest shall be distributed proportionately to the other residuary distributees. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~f day of September, 2008. * j ~' ' (SEAL) MARLIN C. ADAM Signed, sealed, published and declared by MARLIN C. ADAMS, the above-named 'Cestator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other have subscribed our names as witnesses,hereto. ,, ...-~' 'l _,~%s' { ,, .,~ ~r ACKNOWLEDGMENT AND AFFIDAVIT WE, MARLIN C. ADAMS, CHERYL L. CLELAND and MATTHEW A. McKNIGHT, the Testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament, that he had signed willingly, that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the best of their knowledge the Testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. i 1 MARLIN C. ADAMS J ~ {, CHERYL .CLELAND ~~~ ~~~ MATTHEW At,..McKNIGHT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by MARLIN C. ADAM5, the Testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and MATTHEW A. McKNIGHT, witnesses, this} r' day of September, 2008. COMMONWEALTH OF PENNSYLVANIA // ~ -' ~- Notarial Seal t"~: r,, ,,,~ T ~LL.. ~ ~ (4-,t_ Marsha L. Noel, Notary Public N a Pu liC CarllaM Toro, Cumberland County M QonNt~sion Expires Sept. 18, 201 t !AM ~ of Notaries .. 4