HomeMy WebLinkAbout03-24-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Robert Alton Adams
also known as
COUNTY, PENNSYLVANIA
File Number ~~ " ~ ~ -' (`j
Deceased Social Security Number 189-09-4653
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Thomas W Adams
last Will of the Decedent dated June 9, 2006 Warned in the
and codicil(s) dated N/A
Joann C. Eberle (daughter) and Barbara L. Adams (daughter) renounce the right to administer the estate of the Decedent.
(State relevant circumstances, eg., renunciatio» 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
® B. Grant of Letters of Administration
(If applicable, enter: c.t.a; db.n.c.t.a.; pendente liter durante absentia; durante minoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived b the followin
Administration, c.t.a. or db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) y g spouse (if any) and heirs: (If
""°"""„" Residence
.~~~~ ra _~L/ /.~ - cl.~ n /1
(COMPLETE INALL CASES.) Attach additional sheets if necessary.
Decedent was domiciled at death in Oberland
(List street address, town/city, township, county, state, zip code)
Decedent, then 89 _ years of age, died on February 22, 2010
at his domicile at 31 Greenfield
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
County, Pennsylvania with his /her last principal
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situated as follows: 31
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) Presented with this Petition and the
the undersigned: grant of Letters in the appropriate form to
W Adams 20566 Guthrie Road, Rehoboth Beach, DE 19971
Form RW-O2 rev. 10.13.06
Page 1 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
~ ~~~544~.~
Certification Number
H705.143 REV 11/2008
TYPE/PRINT IN
PERMANENT
BLACK INK
1. Name d Detxiderd (Frei, m
Robert
5. Aga (Law BiNMay)
89 Yre.
eb. essay a Deem
C<.m~berland
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die, lent srATa)
A . ~ 1Adams tlraer 1 aey
Morwa Daf+ lfous lessee
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ ~
CERTIFICATE OF DEATH ;,p --~
(See instructions and examples on reverse)
STATE FILE NUMBER
2. Sex 3. Social Seaaity Number 4. bate a Deem (Month, day. year)
M 189 - 09 - 4653 2/22/2010
8. oared 9MIh /lennen ,~.,, .....~ . ~~..~-'--- ..,,. ...
~ ~ ~ 11
Bc. Ciy, Bao, Twp. a D~th
South Middleton
IOM a Work
Vice President Fr Kind of 8uakleea /
, Switch &d l~fg
18. Decederd'e MsMng Address (Street cn1' /town, stare, zip coda)
31 Greenfield Drive
Carlisle, PA 17015
18. Fatller•a Name (FYat rtlidde, leaf auflh)
Tt1c[nas A. Adams
ZOa. IntormenYa Name (Type /PAM)
Thanes W. Adams
21 e. Metlad a DlepoNtlon
BuAel ^ Removal horn Sate ^ Crernstbn ^ Donetbn
^ 081er - Spsdry; ryas Crarllatlarl a Dorledort Autllorlted
ibdlal Examtrtar / Carorrer?
2za SIpr~Wre d F~eral,Sarvtce Lkeroee
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11/ 1 920 Carlisle , PA ^ Inpetienl ^ ER / olaperrent ^ DOA ^ Nursing liana ~] Resaence ^08y,.
8d. Fedity Name (K rat irxdiuion, ghre street and number) 9. Wee Decedent a ~ec8y:
Hiep°nie ~'? ®t't0 ^ Yes 10. Race: AmeAean IraAen, Blade. wlrire, etc.
• 31 Greenfield Drive °'''~• "D°a"r' ~"~"• (spy
Mexioen, Puerto Rican, atcJ White
12. Was Decedent ever re 9re 13. Decedents Educatlon (Seedy onty hlylaat grade complabrg 14. Marirel Srelus: Married, Never Married, 15. SurvrvMg Spouse (g w8e, give maiden Hama)
U.S. Armed Forces?
• ®Yes ^ No Erementary / Secorldery (0-12) College (1-4 w 5+) Wrd Divorced (SPedh)
5 Widowed
Decedents ~ Decedent -
Aa~ R na. sale PA ? 17a. ~'.e, Decedent t.wed In South Middleton ~.
fro. wady CtIIt-17Pr~d 17d. ^ No, oecedera Lived within
Alduw Lhrib a Clry /Boo
19. Homer's Name (Fast middle, rtrdden surname)
Ella - La
20b. Iniomrent'a Mating Address (Street, dry / trim, stare, zip code)
20566 Guthrie Rd., Rehoboth Beach, DE 19971
21 b. Date a DlspoaNion (Monet, day, Year) 21c. Place a Dlapos(tion (Nmre a cemetery, cremetay a other placai 21d. Lacatlorr
(Ciy /town, score, zip cads)
^Yee^No 2/25/2010 estminster Memorial Gardens Carlisle, PA 17013
22b. Lcense Number 22c. Name ant Address a Fedlgy
FD 012633 L Ewin Brothers Funeral Hone, Inc., Carlisle, PA 17013
conprere Irerro 23ec onty when cerotyYg d my ~ deem aaurred w the ,data and stared, tore ant )
tx~n k na avaNable at tlrtre d death b
osrtlly calve d death. ` Q r 23b. NurMer 23c. Date ( ,day, year)
Intro 24.28 must be mnpbbd by person 24. a Deatlt 25. Dare Dead (Montt, day, yle~ar)
who praratrtcea death. ~~ M, aOr d 28. W^ Case Re rte1~ Medcel Exenpnar / Caster a Reason r Man CremeBon a Darel
Item 27. Part I: Enter tla ~~ a ~ A~t~Ses 1 red )
>~ih gLmoli - diseases, directly reused the deem. DO NO ertrer terminw event
h r APP~~ia kderve
s suc
es certiec
reaPketaly mast a verHrlpAer AbrlMslbn wtlhota alawin9 the e8ology. list only are reuse on each ins.
~ Ortaet b Death
cortditloi~reetetetp~tirotlijd'°eaBB or
ANA
t
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a.
Due b (or ac a vn
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aaneeglrertce on:
i
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b
re oauee
on Ik
ie a
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Futbr UIOERLYNfi CAUB~ Due to (or es a conseQllerae of):
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bverde repq 1n d'~eedt o• r
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Due to (or es a consegtrertce a):
d. i
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30a. Was en Aurepsy
Petfamed7
30b. Were Autopsy Rrtdrtps
Avaiebb Prbr b Compblbn
31. Memer a Deelh I
r
32e• Date a Injtxy (Harm, day, year) 32b. Destxibe How trtjull' Occurred
d cease d Deem? ~ ^ IionYaide
^ Y ~ ^ A
id
nt cc
e
This is to certify that the information here given is
correctly copied from an original Certificate of Deatl
duly filed with me as Local Registrar. The origins:
certificate will be forwarded to the State Vita:
Records Office for permanent filing.
~. ~ ~>~i~b .~
~'iz'~ F~ 2 2/Zatq
Local Registrar Date Issued
Part II: Ertrer amer 28. Did Tabaooo flee ContAbure re lkatlt?
hat rat reatAtktg Nt the tatderlykg cause given in Part I. ^ Yes ^ probably
^ No ~ lhtlaawn
_ K`Vrrs-~ Qf,,,l~trt, 29.dFemale:
^ Na prsgrtare wihNt peat Year
^ Pregnant w Okne a death
^ Na pregnant but pregnant wimtrt 42 days
a death
^ Na pregrlertt trot pregnarp 43 days re 1 year
belora deem
^ lktkrlown i pregnera wimit con peel Year
~ ptllCe ~ tSD~+h/ StreN, F+~Y.
as ^ Yea ^ No ^ Pendrtp Iraresigebdn 32d. Time a InJtxy 32e. InJtay at wale? 32f. 8 Trarwpabtlon ~haY (Spedty)
329. Location a Injury (Strew, MY /ream, stare)
. ^ Swtdde ^ CoiAd Na be Detenttktad ^ Yea ^ No ^ DAver I Operator ^ passenger ^Pedestrrert
33e. Certlfier(dark M.
onty anal ~' SPedA':
• ~htrlY Physbiart (Physidart ca 33b. signglmg and rme a
To dta bast a ~n9 cause a deem when another phyreiclnn has pronouaed dram ant corttpreted hem 23) ~(
my knowladpa, deem oaprrrW dw b dte eatrne(s) arM mercer as abbd- _ - - - _ - ~~ ~Ira.r -~
To~1~ ~kq phyaklart (Physician born pnxalatdrtp deem ant aerNfyinq to awes a deem) - - - - - - - - - - - - - - - - - - - - - - - - - -
my ImawMdga, loam occurred w die time, date, ant pleas, end due to the ause(a) and manrar as sfatsd_ _ - - _ - _ _ _ - - ^ 33c. License NaMer 33d. Dab Signed (Month, day, Year)
wdlaw P.zurtiner /Coroner w~ o t r ~ u t r ~ b ~~' 26
On dla ifaab a examination ant / or hlresllgstlon, M my opinion, loth oaurred w the dme, deb, end place, and due tithe - - - - - - - • ' ~.Y ~7 -1 ~0
txwe(a) and manner ea abted_ ^ 34. M Address of Peroan Who Corn~bp Cease a Deem (Item 217 Type / Prht
Regwrar's S' ant Ohtrid Nur9parl 3ti. b Filed (Monet, day. Year) ""~ O(~ ~, ~ {~,f1~~! W ~ l ^ ~'a
~ i td I_ I ~ of ' ^tp 1,~ rvel~v~, V •4~'w~V c,=,rV~aw (~2. t70~
Dispos8bn Permi No. ~(-}-,~j.~y ~ ~{.t ,
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Robert Alton Adams
Deceased
I, Barbara L Adams
(Pent Name) , ~ my capacity/relationship as
Executor/Dau~hter of the above Decedent, hereby renounce the ri t to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Thomas W Adams
(Date)
Executed in Register's Office
~,
_ ~c~ /~ ~,,,,,,,~--
(Signature) b
239 Skyline Drive
(street AalrJress)
Carlisle PA 17013
(cty sm~ zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
'~d ~~~~ ~r~-~~d~~~~~
1~1C10~ ~tN~N~O
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.~ ~~ +~z. 83~ ~1d~
Form RW-06 rev. 10.13.06
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LL,
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Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciati n for the
purpose fated within on this ~' ~
of y
Notary .Public ~'
My Commission
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
AY ~ ~
i'~M~t Bx~iat} 13
LAST WILL AND TESTAMENT
OF
ROBERT A. ADAMS
I, ROBERT A. ADAMS, of 308 Glendale Street, Carlisle, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and
understanding, c+o make, publish and declare this as and for my Last Will and
Testament, hereby revoking and making void any and all former Wills, Codicils, or
writings in the nature thereof, by me at any time heretofore made.
FIRST: I hereby order and direct my Executrix or Executor,
hereinafter named, to pay all my just debts, funeral expenses, testamentary
expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as
may be conveniently done after my death, out of my residuary estate.
SECOND: I give, devise and bequeath all of the rest, residue and
remainder of my estate, be it real, personal or mixed, of whatsoever kind and
wheresoever situate, to my wife, MILDRED W. ADAMS, provided she survive me by
thirty days.
THIRD: I have made an advance of the sum of Fifty Thousand
($50,000.00) Dollars to my daughter, BARBARA L. ADAMS. In the event that
wife, MILDRED W. ADAMS, fails to survive me by thirty (30) days, `.~a 've m~,
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daughter, JOANN C. EBERLE, and my son, THOMAS W. ADAMS, ea ~~
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of Fifty Thousand ($50,000.00) Dollars to equal the advancement made t
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daughter, BARBARA L. ADAMS. If my wife survives me by thirty (30) days, this gift
shall be deferred until her death.
FOURTH: In the event that my wife fails to survive me by thirty
days, I hereby give, devise and bequeath my residuary estate to my children, in
equal shares, THOMAS W. ADAMS, of Philadelphia, Pennsylvania, JOANN C.
EBERLE, of Charlotte, North Carolina, and BARBARA L. ADAMS, of Carlisle,
Pennsylvania.
FIFTH: If my daughter, JOANN C. EBERLE, predeceases me, I
leave the share of my estate which she would have received to her husband, JAY
EBERLE. If my son, THOMAS W. ADAMS, predeceases me, I leave the share of
my estate which he would have received, one half to my daughter, JOANN C.
EBERLE and one-half to my daughter, BARBARA L. ADAMS. If my daughter,
BARBARA L. ADAMS, predeceases me, I leave the share of my estate which she
would have received, one-half to my daughter, JOANN C. EBERLE and one-half to
my son, THOMAS W. ADAMS.
LASTLY: I nominate, constitute and appoint my wife, MILDRED
W. ADAMS, to be the Executrix of this my Last Will and Testament. In the event
that my said wife, MILDRED W. ADAMS, shall be unable to serve as Executrix for
any reason, I appoint my children, THOMAS W. ADAMS, JOANN C. EBERLE and
BARBARA L. ADAMS, as Co-Executors. No Executor shall be required to file bond
in this or any other jurisdiction.
2
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
da of
y ~~ , 2006.
i
Robert A. Adams
SIGNED, SEALED, PUBLISHED and
DECLAFcED in the presence of:
;~G
3
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, ROBERT A. ADAMS, Testator, 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 that I signed it as my free and voluntary act for the purposes
therein expressed.
Sworn or affirmed to and acknowledged b ore me, by ROBERT A.
ADAMS, the Testator, this %~- day of 2006.
,~
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d /
l
Robert A. Adams, Testator
4
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
We, .and
the witnes~e whose names are sign to the attached or foregoing instrument
being duly alified according to law, do depose and say that we were present and
saw Testator sign and execute the instrument as his Last Will; that he signed
willingly and that he executed it as his free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of the Testator signed
the Will as witnesses; and that to the best of our knowledge the Testator was at that
time 18 or more years of age, of sound mind and under no constraint or undue
influence.
Sworn or affirmed to and subscribed to before me b ~a~,,~=C
and ~ ~
this day
of , 2006.
~~_
~.
Witness
.~~
tness
Nota ~ ublic
NOTI-RN1L 8EAl
~ ~. MARHEVKA NOTARY PUBLIC
tX~IIBEALA~ID COUNTY, PA
M1f~i i~M810N EXPIRES JUNE 8, 2010
5
RENUIITCIATIQN
REGISTER OF WILLS
CUMBERLAND CO~Ty~ PENNSYLVANIA
Estate of Robert Alton Adams
Deceased
I, Joann C Eberle
(Print Name) , ~ my capacity/relationship as
Co-executor/Dauehter of the above Decedent, hereb renown
Y ce the nght to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Thomas W Adams
(Date)
'~ ~'
~'~`-'v`
_~ Chestnut Drive
(street Aatibess)
Boiling Springs PA 17007
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
~„~...;.
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
furpo~es~ within on this ~lt day
~~ ~o~t~
r
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1 r` ; ,~ '~~ ~:~~, -... ,Notary public
~~ ~~-~ ~-• ~~ s ~~~~~~~~ My Commission Expires:
l~f~l~„~) ~ N#d~0
Form RW-06 rev. 10.13.06
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(Signature and Seal. of Notary or older official qualified to
administer' oaths. Show date of expiration of Notary's Commission.)
ARTAI, , A
BARBARA E. STEEi~ Notary Public
Carlisle Born, Cumberland County, PA
My Commission Ex Tres June 7, 20l 1