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HomeMy WebLinkAbout07-12-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of BETTH L. THOMAS a/k/a: a/k/a: a/k/a: SS NO: 162-22-1734 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: D A. Probate and Grant of Letters Testamentary or ~ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforementioned Letters TESTAMENTARY under the last Will of the above-named Decedent, dated 9/27/1982 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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(g): N A ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 (If Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Section A and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g}, except as follows: ~~ T+ ~ *1 T. ~ ~. .-~ :. E~1 ...., . ._:i . ~` z -~ z-=-~ _.,_i ~- .. ~. ~... t'T'1 THIS SECTION MUST BE COMPLETED: --.-- ~~ ecedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principatl residen~ D At 9 HELEN AVENUE MONROE TOWNSHIP MECHANICSBURG CUMBERLAND COUNTY PENNSYLVANIA 17055 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 81 years of age, died 7/2/2011 at MECHANICSBURG, PA (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA If not domiciled in PA If not domiciled in PA Value of Real Estate in Pennsylvania Total Estimated Value $ 6,000.00 $ 150,000.00 $ 156,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 9 HELEN AVENUE, MECHANICSBURG, PENNSYLVANIA Signature(s) Name(s) & Mailing Address(es) ROBERT L THOMAS 62 SUNSET DR MECHANICSBURG PA 17050 ~ CHARLES E THOMAS 412 FAIRWAY DR MECHANICSBURG PA Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2 j /~ ~,~ Deceased ESTATE NO: 21- lT ~=U ~,~c=_ All personal property Personal property in Pennsylvania Personal property in County OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of,Cumberland The Petitioner(s) herein named swear or affirm 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 ~~~~ before this ,~~~ day of tom' :~ -^~ ~ rT,-~ ~'.'~ _- ~''_- the Register ~ ~ ~ , ~,-=, :::~, _ _, ~ --~-~ ; . DECREE OF PROBATE AND GRANT OF LETTERS ~~ ~ ;-~ ~--' Estate of BETTY L. THOMAS ,Deceased File Number: 21- - ''"'~~,°~" AND NOW, this _~~ day of ~ , in consideration of the Petition on the reverse side hereon, satisfactory proof ha g been presented before me, IT IS DECREED that Letters x Testamentary of Administration are hereby granted to: (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) ROBERT L. THOMAS AND CHARLES E. THOMAS in the above estate and that instruments(s) dated 9/27/1982 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. x Glenda Farner Strasb ; ~~ Re ister of augh, ~~~ ~ ~~ .~ g Wills ``~ FEES: Signature of Counsel Required to Enter Appearance Letters ....................$ 260.00 W111 ....................... 15.00 COd1C11(S) ... ........... . (2) Short Certificates 8.00 ( )Renunciations....... Bond ............................ Other ............................ ................................. ................................. Automation FEE......... 5.00 JCS FEE .................. 23.50 TOTAL ................$ 311.50 A 's Si nature ~ ~~ ~ PRINTED Name: ROGER B. IRWIN Supreme Court ID No.: 6282 Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Phone: Fax: (717) 249-2353 (717)249-6354 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 LOCAL REGISTRAR'S CERTIFIC~-T14N C)F DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17451872 Certification Number This is to certify that the inforli~tation here given is correctly copied from an ori,,in~~l Cet-tific~~tc of Doath dilly filed with me as Local Registrar. 7~he original certificate will he forwar~.~ed to the :Mate Vital Records Office fcyr permanent riling. C'.... ~~. t-e~K4~~i JU _~ Local F;egistrar Date Issued r .,_ ~ ~ ~ c_..,. y--rrt C ~ C. ~ , C~ r"" , - < , & ~,.,.- tf~ ~ N ----: _ ~ ~ ._ ^ ~ ~} E, ~..~ .,G: H105.144 REV 11 TYPE /PRINT I PERMANENT BLACK INK „ _ _ _ _ - W 3 e U COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE Nue4BeR yrJJ-VJJ 1. Name d Decedent (Fast, nridde, last, suRix) 2. Sex 3. Sadel Seaxily Numbs 4. Date d Death (Month, daY, Yar) Be tt L Thomas ~ Female 16 2 - 2 2 -17 3 4 Jul 2 2011 5. Age (Leal Bimway) UMer 1 year Under 1 day 6. Date d Birth (Month, da ,year 7. & ace and state a ) Ba. Plea d Death (Chedr on are Moms Days Fiore MYxMe ~: OUrar 81 Yre. January 5 , 19 3 0 Car 1 i s 1 e ^ Inpetfent ^ ER / t)tApatlant ^ DOA ^ Nrxakp Hans Readena ^oma - spadly: County d Death 8b Bc. CNy, Born Twp Deatlr Nd. FadNty Nama (N nd kratdrNan, ghro oleo erd number) Amedan Irdfen, Black, Whke, ero. a e c 9. Wee Decedent d Hbpanb Odgin7 ~ No ^ Yes 10. R . - ~ P Q ~ (11 yes, sPecitY Cubsn, W ~ 1 L e Cumberland Monroe 9 Helen Drive Mexlcen,PuerroRfcan,ero.) 11. Deadera's Usud Occ lion Kind d work d one rtaa d Ate. Do rat slate 12. Was Decedem ewr kt Me 13. DecedenYa Edraatbn (Spedly ony highest grade compl eted) 14. Medal Statue: Martled, Never Mertied, 15. SurvNkrg lrporree (If wife, give maiden name) Divorced (Spedfy) Widowed Kind d Work Kxrd d Bwkrsu / krdnky Laborer Manufacturing U.S. Armed Faces? ^Yes ~No Elernentery / Secondary (0-12) Unknown Cdlege (1-4 a 5+) , Widowed - 18. s M (street, ph /town, sate, zp code) ~J Y1 e 1 e Il H v e n u e Decedents Did Decedent Actual Reaiderae 17a. Stale P e n n s v 1 v a n i a Uve ins 170, ~ y~~ pint Lived in Monroe Twp. Mechanicsburg PA 17055 TowrrsMp7 17d. ^ No, Deaxlem Uved wNhln ,7b.cDUmy Cumberland ~,d cm,/Boo 18. Fatfra's Name (First, mkklb, lest, sulfa) Clarence Chronister 19. Mdher's Name (First, FNddte, melden sumenre) Dolly Martin 20e. InrorrnenCe Name (Type /Print) 20b. InlorrtrenPa McNkrg Address (Street, d tY 1 rown, ebb, zip code) PA 17055 ive Mechanicsbur D i 412 F Charles E. Thomas g r rway a 21a. Method d DiapoeiUOn ^ Cremelan ^ Daretlon 21b. Date d Diepadron (Monts, day, year) 21c. Plan of DiepaNbn (Noma d amaery, aemarory a odrer place) 21d. Laxtlon (CNy /town, stab, zlp code) - ~"'"' ^ R°"'°"°i''°"'~ ^ - ~a~,"°"a ^YB8^~, July 8, 2011 Cumberland Valley Mem. Gar. Carlisle PA 17013 ~ 22a. d Furrera l ~d^9 ~ ~) 22b. Llcerree fJrarrber 22c. Name end Address d FadlNy - - FD-012662-L Ewin Brothers Funeral Home 630 S. Hanover St Carlisle P e Name osrtlfying . To the d my knowledge, death occurred at the tkrre, date and place aaled. (Slgnekrre and tide) 23b. License Number 23c. Date Signed (Month, daY, Yam) phyekisn b available a dme d death ro ceANy caws d death. • ~~ ~ ~ ~~~ ~, ~~ 24. Time d Death 25. Date Pronounced Dead (Month, day, year) 25. Was Case Referred to Medal Examiner I Caarer IOr a Reason Other then Cremation or Donetbn7 w~ ao~xaes aeaar. A rx . 6:00 P . M. Jul 2 , 2011 Yas ^ "° CAUSE OF DEATH (Sae Instructions and exampbs) r Apprordrtrae kderval: Nem 27. Pad I: Ender the -diseases, kr)uries, a corrplkxdaa - drat drectly caused the death. DO NOT eder termkrel ewxrb such as car6ac arrest, r Onset to Death Pert II: Enter odrer but not resWtlng kl the undedying cause gNen in Part I. 28. Did Tobacco Use Cadlibrae ro Oeath7 ^ Yes ^ Pmbebly respiraory arrest, a vemricular 1~riNadDn widraA stawkp the etkrlogy. List only are caws on each line. i ^ No ^ UnWawn ~MWEpIAI, ~ (Frrsl)disease a ~ deaM Hypertensive Cardiovascular Disease ~ a DM, Obesity 29. If Female: ^ ~~ ~ . Due to (a as a rbnsequerae d): r r N any, b r SeprerrdelY Asl axMNkns ~ ^ Pregrram a tka d death . , ENadra to tl~re~RLYNIG CAII&E a Due to (a as a consequence of): ~ ^ ~ f>~nt, but pregFard wlWn 42 days d death ~a~Y~~~~ o ' i resuNrrg n death) LAST. - t, but pregnem 43 days ro 1 year ^ Due to (a as a cen>requence op: • d. ~ befordeeUr ^ lMWawrr d pregrwe wNhkt!'ie Pwt Y~ 30a. Was Bn Auropey 30b. Were' Autopsy Fkrdrrgs 31. Manna d Death 32a. Date d Injury (Month, day, Year) 32b. Describe How Injury Occrrned 32c. Pkce d kiay: Hans, Farm, 9tleet, Factory, OfAce Building, etc. (SipecNyJ Perkxmed7 AvaYabb Pda ro CanipMtion d cause d Dean,? ~Nelu~ ^ FionAdde ^ Yes ~No ^ Yes ^ No ^ Acddent ^ Perrdkrg krvesligation 32d. Time d Injury 32e. Injury a WorkT 321. II Trerrsponedon Injury (Specify) td ^P d 32g. Location d Injury (Street, ah' I town, state) ^ Suidde ^ Could Nd be Datermkred ^ ~ ^ Yes en e es ^ Ddva/ l7pareror ^ Passenger M Otlrer Sf~fY 33s. CertlAer (dreclr only era) 33b. • GrtllyNrg phyadnr (physician cerdlying cause d death when uranrer plryeidarr has praraFxaed death and oorrrpleted Nam 23) as.nr«ant.d~r.au»«asaa),ndm.~rara.awe.-------------------------------- ^ TonNl,.aamY~~ ~ oroner , • PraraFareYq and aFiMyhq PNY~ IPhYW~r+ botlr Prenaardng dash and cmtNYkq ro caws d deem) ^ 33c. License Number 33d. Dw Signed (Monet, day, Yad To Una boa d my WrowMdge, deellr oaumd a ttw tlme, dw, and plea, arts dw to the auaa(e) end nrmwrer u ahted- - - - - - - - - - - - - - - - - - • fMaalExvdnw/Daa»r Jul 5 2011 On Bra bob d sxemNredon and / a krvaetlgdlorr, In mY ~Ior4 death courted a the tlra. dw, end plea. and due to the ease(s) and FnelNler u atab4 34. Nero and Address d Person Who Campbted Ceuee d D.am (Morn 27) Type /Prim Coroner Eckenrode Todd C ~,R reamp~,ld aw,r~r (r~ \_ ~ I ~ I~ I 11 ( I ~ I ~~~ 35 DeleFNed(Madh,daY,Year) , . 6375 Basehore Rd. , Suite X61 • v - ~-t . ~0J-r~k~>r~l~ P ~ ` Dispositbn PennN No. ©`Q `~ 1 Ll / __ ~ _ ~ _ ;~~ r;,,~° z . r~ t ~_7 ` ~.. ~+~. -_°- . j ~.-}`.r ' ` , 1 .. , ~~ ~_ ~~ ,~ :~ , , .~~ -- ---- r- ~n I, BETTY L. THOMAS, of Monroe Township, Cumk>e_r'land County, '~-°~` Pennsylvania, declare this instrument to be my last will and testament, hereby expressly revoking all wills acid codic ils heretofore made by me. 1. I direct my executors to pay all of my c~e~bts, funeral and administrative expenses as soon as may be done conveniently after my decease . 2. I authorize and empower my executors to sell any realty owned by me at my death, at either public or privvate sale and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I devise and bequeath all of my estate of every nature and wherever situate to my five children, share and share alike, the child or children of any deceased child t akin; the share their parent would have taken if living. 4. The share of Karen L. Thomas shall be held in trust by Farmers Trust Company, for the use of my daughter, Karen, for and during her natural life, and the income and principal of said trust shall be paid to her guardian for her support, maintenance and medical needs, as necessary. Upon her death, what-ever remains of income or principal shall be distributed to her brothers and sisters, share and share alike. 5. I nominate and appoint Robert L. Thomas ~~nd Charles E. Thomas to be the executors of this my last will acid testament, they are to serve as such without bond. 6. I hereby direct that Charles E. Thomas sriall be the __ _ _ I guardian of Karen L. Thomas. 7. I hereby suggest that my personal representative retain the services of Irwin, Irwin & Irwin as attorney~> :in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my Yia:r~d and seal this ~rT~ day of September, 1982. .,, cc,,<21 ( SEA: TTY L. THOMAS E ~ Signed, sealed, published and declared by Betty L. Thomas, the above named testatrix, as and for her last will and testament, A 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. ~i A1. Mpy~Aall ~~kn ,~ /...~ ~- -z- i ! ~ ACKNOWLEDGEMENT AND AFFIDAVIT We, BETTY L. THOMAS BETZI A. MORRISON , and SHARON L. SCHWALM the teUtat~ix ~~nd t,r~~ vri_t;.l~:,;.~cs, respectively, whose names are signed to the foregoir~~ instrument, being first duly sworn, do hereby declare to thc:~ undcl r.:_~ ~i. ~;nr, d authority that the testatrix signed and. t~xecuted t;he instrument as her Last Wi1.1 and that she had signed. wi1_linl~ly, 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 ~~Till as a w~_tness and that to the best of their knowledge the testat; rix tivas ~a.t that time eighteen years of age or older, of sound mind and und~~r rlo constraint or undue influence . BET Y L. THOIKAS BE I A. MO RIS S ARON L . ~ CEi L COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY 011' CUMBERLAND Subscribed, sworn to and acknowledged b~~ fore me, by BETTY L. THOMAS , the testat ri:x and subscribed and sworn to before me by BETZI A. MORRISON and SHARON L. SCHWALM witnesses , tr~is Z'7`~ day o f September 19 82 . CARLISLE D O, 4~E!~t~~D COUNTY ELY C,O~tv}! fV Pi~tfS OCT. 3, 19~~