HomeMy WebLinkAbout05-13-10~'~~'I ~IQIlT ~®~2 ~'~Q~r~7['L~ A.ll~D ~R~.IlT~' Q~' ~,~~"~L~S
REGISTER OF WILLS OF C U,MG3~'2L/9~NID COUNTY, PENNSYLVANIA
Estat: of ~~/ /~l''/11~1 ~`e/l1 h y ~.j20/IIIrS File Number G~ ~' /O - ~ ~ L' f
also l:nosan as W/~/i¢/1! ~7i ~~ZO/nLs
Deceased Social Security Number ~~y'~+Z- 66~z,
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(C'Ohtl'LETE 'A' or 'I3' EELOGV:)
(~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(p~is /sG the ~r ~~'~ ~ ~ ~' ~~ named in the
last Rill of the Decedent dated /1~D,V. ~~P, ~~~ a+~-eed~sil{s3~a~c'd` '~'Kt ~~e,,•ty /1liG/( o
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(State relevnnt circunrsta~rces, e.g., renuncintiott, death of executor, etc.) ";_ n -C c .
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of E11es~tis'~~t-tumenE(s~i offettrtl
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: _' `~% "'r'~
~ --
^ >3. Grant of Letters of Administration -~ v ~ ~~
(!f appiicnble, utter: c.t.n.; d.b.n.c.t.a.; pendente life; durante nbsentia; durnrue tninoritnte) Q~ '
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: (!f
Admiaistration, e.t.a. a- d.b.n.c.t.a., enter date of Yhili in Section A above and complete list of heirs.)
(CD~IPLETE IIV ALL CASES:) Attach additiata! sl:eels if necessmy.
Decedent was domiciled at death in eI'~ Coun ~, Pennsylvani with his l+i~et last principal residence at ~7 W~i 1~e
OG/~ ./~lv~ Si/e'el~S r; ~,~s s l/ ~ 05o c 6r •e)
(List sweet address, town/cih~, township, com ~, stale, zip code) G f 1 f
Decedent, then FS~S years of age, died on ~1 / 2rI/D at ~ ~.di~YT /7A~ EQSf U~~'JSI~/'2~ /ul~o.
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property S asp ~~Q' ~~ ~~~
(If not domiciled in PA) Personal property in Pennsylvania S
(lf not domiciled in PA) Persona] property in County S
~talue of real estate in Pennsylvania S; .7.5; GL'!~• °iO ca/y~M
~3? wh,~ ~~k ~ld~,/ mil' /. S~~ . Tub Cw~b Co. ~~x~tQ.
situated as follows: ~
N~herefoie, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with tliis Petition and the grant of Letters in the appropriate form to
the undersigned:
Si~~namre n Tvped or printed name and residence
x ~~ ~ Kerr /
h~o e s ~ 5t ~ rn cl o n VA .20!70 313 0
Form liYl'-02 rer. 10.13.06 Pare j Of ~
Oath of Personal Represel~tative
COh,~IMONWEALTH OF PENNSI'LVANIA
SS
COLJNTI' OF CC[ M 13 '~~
~~he Petitioner(s) above-named swear(s) or affirm(s) that the statements iu the foregoing Petition are true and conect 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 affirme~djand subscribed
before me the '~ -^' ~ day of
~i•~~
K ~~`~
Si~nntureoJPersa,alRep,esentative ~<4~7ZO2f/ ~D~~PT ~~~
K~7rtRY R. /N6cCL, mKa
Signnurre of Personal Representative
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Register Si„nnture afPersa,nl Representative
For
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File Number: `
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' Tor~rQS ~rk~ lam, lli cm N. Thon~ds
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,Deceased ~ = c->
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Estate o
Social Security Number: ~~~' ~L - 06 ~'Z Date of Death: ~~1 9. ?~~a
.AND N04~t, ~ / t ~ ~G~, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS ECREED that Letters T S~/!-P.l2f'a/'
are hereby granted to ~~erty~ QObe1^t n1 u ~~ d k~- ~" ~ ~' M ~' ~ -
in the above estate
and that the instrument(}-dated /VOLE, oZ~ ~d0~
described in the Petition be admitted to probate and filed of rec r~l as the last Will (and Codicil(s)) of Decedent., ,
PEES E ~ ' i
Register of N~ilis ~ ~~ _ ~ e ,~
Letters .............. $ ~/~y~~~?~ ~ ~'
Short Certificate(s) ........ $ ~~ Attorney Signature: ('
Ren~mciation(s) .......... $ C`iGt~~PS ~ s~ iG~4~t u
,- -. Attorney Name:
~ ~{ ~ .. $ ~~•~C.'
f a`L,t~.~~ .. $ ~ ~ ~ Supreme Court I.D. No.: 3 ~ 5 / ~
.. $ Co Clo u~,- 2d
Address:
.. $
.. $ /y12~~an~cs bk r~, p/¢ /joss
.$
_ $
. $ Telephone: 7~7 7~e(o "17~L0~
.$
OTAL .... ......... $ ~ ~ ~ : 5 ~
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Pa~~e 2 of 2
Fora /241'-0? ,~ei•. l0.l3.OC `~
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Htns-l43 REV nrzaa6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
FERAIANI"NT" CERTIFICATE OF DEATH
BucK INK (See instructions and exam les on reverse
P STATF FII F NI IMflFR
t Name of Decedent (first middle, IaG, suffix) 2. Sex 3. Serial Security Number c Date d Deam (Norm, day, year)
William H. Thomas male 184 - 12 - 0682 May 9, 2010
5. Age (Last &Mday) Under 1 err Under t tla 6. Data of BiM Manor, tla , ear 7 BiM ce C' arW stale or lorei moot Ba. Place of Deam Check onl one
88 Monms Day3 Hwrs MnNes / / A ^~ PA Hospital: Olhe!
V 3 28 1922 nJ
,
Yrs. Inpatient ^ ER I Outpatient ^ DOA ^ Nursing H«ne ^ Residence ^ Omer Speciy
County of Death &. Ciry, Bono, Twp. of Deam
fib Bd. FacBity Name (h rot insGlmion, give street aril number) 9. Was Decedent of HLSpanlc Origin? ~ Nr. ^Yes t0 Race- Amer~ran indan, Black. White, etc.
. (Ryas, speary taboo, (spangn
Cumberland East Pennsboro Holy Spirit Hospital Mexican, Puerto Rican, etc.) white
11. DeretlenCS Usual Oct Goo Kintl of work done tlurin most of world life. Do not state refi as Decedent ever In me 13. Demdent's Etlucatan (Specify only hghasl g2de canplated) 14. Marital Slates: Martietl, Never Manned. 15. Sumving Spouse (If rode gne maiden name)
12.
W
W
~r~ ISSN)
KiM cl Work Kind of BusinessllntlustryAllth y
g
ri 1.~ Forms? Elementary I Secondary (at2) College (1-4 or 5+)
'
widowed
civil engineer PA School Bldg C]vee ®ND 2
16. Decedent's Ma~iing Address IStraet, chy /town, state, zip code) Decedent's Did Decetlem
PA LNe m a tic
oeceoenl ^~ed m Silver Spring crop
®ves
37 White Oak Blvd. ,
.
Actual Residence t7a. State
Cumberland T°"r"""ip' rid. ^ Np. Decadent ~~ed wrlhin
Mechanicsbur PA 17050 17h cam'"ry Actmal Limda mf Ciryieoro
16. Fathers Name (First, middle, last, suffix) 19. Momeh Name (first, middle, maiden sumtarrre)
David Thomas Mary Myers
20a InformanCS Name (Type /Prim) 20b. Inlormanfs Mailing Address (Street, ctty I town, crate, zip code)
Kerry R. Mu11 400 Queens Row Street, Herndon, VA 20170
27 a Medcd of Dlspositlon ~ Cremation ^ Donaton 21b- Date of DisposlGOn IMOnm, day, year) 21c. Place of Dieposilion (Name of cemetery, crematory or other plain) 2ttl. Location lCiry Mown. state. zio code) PA
^ Banal ^ Removal from stale r Was Cremation or Donation Aulhor®d May 10 , 2010 Hollinger CYematory Mt . Holly Springs
^ Ves^ Nm
^ rrhBr~ S ' by Medical Examiner/Coroner?
~ 22a Signature of Funeral Seryice Lice (« person acting as such) 22b. License Number 22c. Name and Address of Facility g M~ket Plaza Way
~ -~ ~ ~~.,~_,~ FD 011667 L Malpezzi Funeral Home Mechanicsbur PA 17055
Complete Hems 23at my when cenirying „ 23a. 7o the of my knowledge, deem occurred al the dine, date and plate stated. (SlgnaNre and title) 23b. License Number 23c. Dale Srgneo iMOnth, day. year)
PhYscian Is not available al lime of deem to
mrtiry rouse a seam.
24 Tlme of Deatn 26. Date Pronaurred Deatl Door, day, year) t~ Medical Examkter I Cororer f« a Reason Omer than Cremator or Donatron?
26. Was Case Rete
n
ed
Items 24-26 must ce completed dy person
woo praaunces dean. (Z `, ~ ~~ M. ~ ~ O r
-
/
^Yes ld 140
CAUSE OF DEATH (See instructions arM xamples) I Approximate interval: Pay tl: Enter Diner 3i9 'fx2 t dtl t'b G I tl m 26. Ditl Tobacce Use Contribute to Deam?
Item 27. Part I: Enter me chain of events -diseases, injuries. or mmplica0ons -mat directly caused dre tleam. DO NOT enter terminal events such as cardiac arrest Onset to Deam but not resulting In me underlying cause given n Pan I. ^ yes ^ Prooably
respiratory arrest. or ventriwlar fibrillation wimout showing the etkaogy. tut only erne cause on each Ilre. ^ No ^ Unkrown
IMMEDIATE CAUSE Final disease or q /~~{.~ ^,/
mrxftbn resulting in beam)
~ (~('r
C~ ~~ ("~ f W~
" 29. It Female
^ Nat
re
nant wihin
ast
ear
~
I !
I
f (
~
a Due to ( a consequena
~ p
p
g
y
^ Pregnant err dine of deem
~
J
~
Seq bellyy Nsl coMNmS'rf any
b
~ ~~ ^ ~ r "' ~ - ^
,
.
leading ro m listed M line a. Due ro (r a5 nsequ
Ent me UNDERLYING CAUSE Not pregnant out pregnant within a2 days
of death
p
(dL case a injury oral Ir:ua,ea the
S ~ ! ~
r
n
^ N
t
out
t 43 d
I
c.
vents resultng In deem) LAST.
r pregnan
t
p
egna
year
o
ays to
D m (« as a consequence o¢ before cream
^ unknown it pmgnam wihin Rte Dast year
d,
30a. Was an ANOOSy 30b. Were Autopsy FkMings 31. Manner of Deam 32a. Date o1 Injury (MOnm, day, year) 32b. Describe Mow Injury Occurred 82c. PWCe of Injury. Home. Farm Sheet Factory,
ORlce Builtlirg, etc. (Speay)
Perlormed? Available Prror to Completron
f C
f D
m? r-n ~
Y.~ natural ^ Hom'rc5de
t
^
~ o
ause o
ea
^
^ ^ Accident ^ Pending Invesligafwn 32d. Tine of Injury 32e. Injury at Work? 32f If Transportation Injury (SpeciryJ
^
^
^ 32g. Locatl«t of injury (Street ctly /town, state)
Yes
No Yes
Nc ^Yes ^ No Pedestrian
Passenger
Diner/Operator
^ Suiade ^ Cmltl Not he Determined M. ^ Omar ~ Speay
33a. Certlfier (check only ore) 33b. Signaler and TM1Ie M Certifier
• Cenitying physlcun (Physktian certirying cause d tleam when another physican has pronounced deem and completed Item 23)
^ . ,
To the best of my knowledge, death occurred due to the caufe(s)and manner as stated--------------------------------- 33c. License mbar 33tl. Date S' ed (Month. day, Vear)
• Pronoundng arW cerGtying physician (Physician born pronouncing tleam and ceNfyirg m cause of tleam)
~
d /~~
Xl)
S t
~ i
~
^
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,
To the best al my krxrwfedge, death occurred at the dine, date, and place. and due to the cause(s) eM manner u state ~~~
(J~ V~
j
G
/
• Medcal Examiner/Coroner
On the balls of examination and / «investigation, in my opinion, deem occurred at the time, date, arM plate, and due to dro cause(s) and manner tl sMled_ ^ 34. Name and Address of Person Who ComDlated
Cause of Deam Illem 27) Type i Pnnl
36. R s Sgnature and Derma Number
ICI [ ICI 1 ICI 36. Date Fila_d (MOnm, daY. vaarl ^
,u(C - `/ f //.T .7 ~G, r) I I ' ~r F
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~ ~^r ~ Rio u„
fi//cc ,:C i;
~ ~ U e Disposttion Permit No. ~) ~~ ` ~ `~'
LAST WILL AND TESTAMENT OF WILLIAM HENRY THOMAS
I, WILLIAM HENRY THOMAS. currently ofthe Silver Spring Township, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory and understanding. do make,
publish and declare this my Last Will and Testament. hereby revoking and making void any and all
prior Wills by me at any time heretofore made.
I direct the payment of all my just debts and funeral expenses as soon after my decease as the
same can conveniently be done.
4
b
I have been fortunate enough to have managed to have accumulated several collections of local
interest. [direct that those which are listed below in this paragraph be sold at a public auction
locally and that the net proceeds therefrom be given to the Mechanicsburg Public Library:
a) My collection of old photographs, including a good number taken b~~
Sanniel Kuhnert. ,,"
r'~ t~-a
b) My collection of postcards and miscellaneous items of Mechanicsbur ~ ~~ ~ ' ~ '~
g, :_' ~ _~
,~~ ~ ,
Cumberland, Dauphin and Perry Counties, including the Localities ~ rr-i _._.,
.7 cil
located therein.
=J''~' ~
:C_
c) My collection of carvings. art, prints, and paintings, including a good_._.:~y w ,_-_ '~~
i=~-1
~== Q ; .~ ~
number of items by Ned Smith. excepting, however, the woodcarving of ~--,
-..~
a red-tailed hawk, which I hereby give and bequeath to my step-son.
KERRY ROBERT MULL.
d) My book collection as it relates to Mechanicsburg. Cumberland,
Dauphin and Perry Counties, inchding the localities located therein.
I give and bequeath all of my books and other items related to the old Cumberland Valley
Railroad to my friend, John Albright, of Carlisle. In the event that he predeceases me. this gift
shall lapse and the items are to be sold along with and the proceeds distributed as per those
items in Paragraph 2 above.
The balance of my Railroadiana, book, post card and ephemera collection shall be sold at a
public auction at the Horst Auctioneers in Ephrata, Pennsylvania. The net proceeds therefrom
shall also be given to the Mechanicsburg Public Library.
~t is n1y .vish that my fr nd, l~t~~~~y Eaker. of Lancaster be retained to handle th,~ 17r~p«~ai;Uii
of my collections for auction. Any fees he might charge and any reimbursement for any
expenses he might incur for so doing shall be deducted from the proceeds of the respective
auctions.
[ give. devise, and bequeath all the rest, residue, and remainder of my estate. real, personal and
mixed, whatsoever, and wheresoever situate, to my stepson, KERRY ROBERT MULL.:
a) In the event that he predeceases me, then the residue of my estate shall
go to his daughter, ERIN HEATHER MULL. per stirpes.
7. I nominate, constitute and appoint my stepson, KERRY ROBERT MULL to be the Executor
of this m}~ Last Will and Testament. In the event that KERRY ROBERT MULL should
predecease me or for any reason be unwilling or unable to act as such Executor, I nominate,
constitute and appoint my sister, VELMA WOLLTT, of Silver Spring To~~~nship, Cumberland
County, Pennsylvania, to be Executrix in his place and stead. I fiirther direct that they shall
not be required to file bond or other security in the Office of the Register of Wills for the
purpose of administering my Estate.
My Executor or Executrix should consult with my friend, Rev. Edward Rosenberv concerning
the best mode of auctioning my collections, he to be given a reasonable compensation for his troubles.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this o?Gf~ da_v of
/~i~/dr~rG,i , A.D. 2001.
G~
---~~~ =~~! - -- (SEAL )
WILLIAM HENRY TH~~ --
Signed. sealed. published and declared by the above-named WILLIAM HENRY THOMAS as
and for his Last Will and Testament, in the presence of us. who at his request and in his presence. and
in the presence of each other, have hereunto subscribed our names as witnesses.
~~~^~~
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OATH OF SUBSCI2~BI?`~C ~'~'ITNESS(~S) ~' ;rn w
- - A~
-~
-~ ~ ~_~
P,EGISTER OF V,~ILLS __~ ~ _ . ;
C' ~ m (3nc~D COUNTY, PEi~11~T SYL~~ANIA -~ _ =+ o -; r:-1
-r
' ~ho/NQf li~4 ~/i~~i4r!! /~• 1Lto/12QJ ,Deceased
%s.ate of ,~t1~~~~i2jl'I ~~~ ~
~^ subscribing witness to
~4A"~~ ~ ~~i E~l.~s ~ >
(Print Namels)
th; ~ ~%ill ~~) presented herewith,-~eacl~}-being duly qualified according to lain, depose(s) and
T~..+~i~u, sign the, same
say(s) that ~/ he /-t~~+- waste present and saw the abo~~e Testator
signed as a wetness at the reques~: of
and that -~s~-/ he !~ signed the same and that ire-/ he ,
th° Testator~~~ in .~e~-his presence and in the presence of each other.
.~
x~ ~~
(~Siy-en~auire) ~~~ _ //~
~jay~GS F GLLrt
~c (~IOL,l.S21 ~ct~'
(St eet Address)
~'jp~jQiY1~CSduJ~', ~ ~7oSS
(Cit)-, Stntc, Zip)
(Signatw'e)
(Sweet Address)
(Gigs state, Zip)
Execi~ited i~1 Reb ister's Office
Swon~ to or azfirned and subscribed
~ ~ t h day
before me this
/'
~.
~puty for Register of ~'il
E.~ecacted otct ofRebister's Office
Sworn to or affirmed and subscribed
before me this day
of
Notar}~ Public
My Commission Expires:
(Signature and Seal of Notary o: other ofCicia! qualified to
administer oaths. Shoe' date of expiration o. Notary's ~omnussion.l
idOTG: "~ c be taken by Oft"leer authorized to administer oaths. i'lease have present the original or copy of Instrument(s) at time i f notarization.
form RU'-01 re~~- 10.13.06
~~
"?
~ ...c -
~ ~
OATH OF SUBSCRIBII`+1G WITNESS(ES)
-, ~ _
,~-, ~ - t
REGISTER OF WILLS ~ ~~:,~ c ;~ ~ ' ~~
(' /,t, m 13~~e!~ COUNTY, PENNSYLVANIA ~-" o ~> :-~
~`~ _. ~ G' --- ~ ~ C.~'
1
~jnQS l~~~t ~/~~~i,(/!~ /~, Tlo.~4.s ,Deceased
Estate of ~~ ~~ ~ ~ NCnr
~or~t~j f~ • ~gmer
a subscribing witness to
(Print Name/s)
r~~.~~--~t~~~ resented herewith, fsas~i-}being duly qualified according to law, depose(s) an
the S9 Will ~T1t~p r T +.,+~- siQn the same
' that she ~ waste present and saw the above Testator~~ ~ b
says)
si ned the same and that she ~~' signed as a witness at the request of
and that she ! g
the Testator ' T°~ +~~ in -his presence and in the presence of each other.
(Signature)
(Sh'eet Address)
(City, State, Zip)
Execacted in Register's Office
S~~~orn to or affirmed and subscribed
before me this day
o _'
Deputy for Register of Wills
..///.,/. ~ ~~~.~~il/lC/mot
(Signature) p~D~y ~• Q~~'~E~'
(Sn'eet Address)
fY1ec-ha~,csdti r~, ~<1 i Soso
(City, State, Zip)
Execacted occt of Register's Office
Sworn to or affirmed and subscribed
before me this f ~ ~ day
of ~ ~~~
Notary Public
My Corrunission Expires:
(Signature and Scal of Notary or other otiicial qualified to
administer oaths. show date of ezptration of Notary's Commission.)
C~~~i4`'P~i~jdJ?er~u iii ~I notairzauon~
o ms rumept ~! ,1~~
f,u i
rJOTE To be taken by Officer authorized to administer oaths. Please have present the original qr~5`-~~r~~ ~~ t t t
I oi~ei3ai0E l Mly v l'"'~ t ;t_ttt>~ °'''. ? )'", ;~
i My t;ommassron ~XG r, $ __
itllembe.,- r Aen"cVl~,^„rn,s <•,.~,~ c. atic.i,~ t :~
orni R hP-03 rev. 10.13.06