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Home My WebLink About09-14-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Karl H Thoma also known as COUNTY, PENNSYLVANIA ° _ C'~ File Number ~ / ~'' i ~. ,Deceased Social Security Number 103-20-5661 Karl C Thoma Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or `8' BELOW.-) ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent, dated 09/13/2001 and codicil(s) dated State relevant cimumstances, e.g., renunciation, death of executor, etc. After the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: B. Grant of Letters of Administration d.b.n.c.t.a. (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pedente life; durance absentia; durance minodtafe) 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. ord.b.n.c.t.a., enter date of Will on Section A above and complete listof 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: Name Relationship Residence Andrew J. Thoma Grandchild 82nd ESC, 326 En Br~ - - ~-, _ Apo, AE 09391 `=~ David Thoma Grandchild 49 Dogwood Lane '?=~ ._ ruin n 1 - ~ rn __ Geoffre CThoma Grandchild -~ rn ~ - 1607 1/2 Pine Street -~ - ~ 1 ~ N w rl n LA 701't 8.~ ~ "' (coMPLETEINALLCASES:)Attachaddirionalsheetsifnecessary. See continuation schedule attached ~ ;,..,, -_ ,_.~; Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal re~ence at " ~,,~ r-~ c-~T ._ .Cumberland. PA (List street address, town/city, township, county, state, zip code) Decedent, then ~4 years of age, died on 08/06/2011 at South Middleton Township, Cumberland County Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania situated as follows: Wherefore, Petitioner(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 Karl C Thoma 1130 Shannon Lane ~j ~ .~ ~ ~ _ ~ Carlisle, PA 17013 All personal property Personal property in Pennsylvania Personal property in County ~. ~J~. tfJ Form RW-02 Rev. 12-26-2010 (interim form, pending action 6y the CouR) Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 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 and subscribed before me this ~ day of n \~ ~~ Forth egister Personal Representative File Number: Estate of Karl H Thoma .. Social Security Number: 103-20-5661 Date of Death: 08/06/2011 _ , i~rt r_ ~; .o.- -: ~.. __{ ~ ~ rri D ~•7 C7 -r~ t: . Deceased AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters of Administration d.b.n.c.t.a. are hereby granted to Karl C Thoma in the above estate and that the instrument(s) dated 09/13/2001 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES ~ Letters ............................._........... $ ~~ ~~`, ~,\'~ , Short Certificate(s) ....................... $ ~,~j .~ ~' j Renunciation(s) ............................ $ ~~ C G i. i (I $ 1'~ ~ ~. ~, $ $ $ $ TOTAL ................................... $ t% U 1,~ ~~ of Personal Karl C Thoma Signature of Personal Representative __ '~-t a _, --,-, ' -~ Register of Wills Attorney Signature: ~ , Attorney Name: Mark A. Mateya Supreme Court I.D. No.: 78931 Address: 55 W. Church Avenue Carlisle. PA Telephone: 717-241-6500 Form RW-OY Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Karl H Thoma File Number also known as ,Deceased Social Security Number 103-20-5661 ~~ Relationship Residence Joseph Thoma Child 54 Etville Avenue Yonkers, NY 10703 Karl C Thoma Child 1130 Shannon Lane Carlisle, PA 17013 Paul Thoma Grandchild 54 Etville Avenue Yonkers, NY 10703 Peter Thoma Grandchild 54 Etville Avenue Yonkers, NY 10703 Walter R Thoma Child 770 Clayton Street #1 San Francisco, CA 94117 3I U~SIF H~A n~lu^, LOCAL REGISTRAR'S CERTIFICATION OF MEATH WARNING: It is illegal to duplicate this copy by photostat or photcsga aph. Fee for this certi'~ica[e, $6.OU P 1_7_7_27548 Certification Number This is to cehnt~ tlr,L+ ;iir intit n1aYi,~,( la~lc ~i~~c°r; i cohrec[1>~ copiccl r~1(1: ~ It us i=ilT ., t c~titil;lt~~ L1f I)c.llf duly tiled ~t~ilh I~~L~ .(, I ,yurl R ,~-t!~~u~. i~hc ~~ri~,ir,a certifiruc ~~.i =1~ 3~;ru,(rdecl (~1 tit' Staf~ Vita Records Ot~l~il,~~~ '-~r jTCrr,~1(rent `~li~-~~_ / - Local Rc~i~lr.(~ ~ 1?<1tr~ 1<r.utx! C7 :_: ~ "'~ ~ ^ ' '~' ~ n ;_; ~ _ ~. i-- "' - - - rr t _ _ - ~ ~; ~... __ .,~~_~ ~--, ~7 .T~ "+ J ? --1 - -~ =J ~. ~ -_ ;-ri " f HI05143 REV 11/2006 TYPE/ PRIM IN rERkIANENr BIACN INK JI L 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See inskruckions and avamnlnc nn re.•e. ok c+..rc r_.~ ~.~~~..o~o . Name of Decedent (Fks4 mmdk, last, su16x) 2. Sax 3. Socld Secudty Number 4. Dale d Death (Alonllt day, year) Karl H. Thanes Male 103 - 20 - 5661 Au st 6, 2011 5. Age (Last Bllthday) Untler 1 yea Under 1 tlay B. Desk d Birth (Monti, day, yea) 7. BNthplace (Clry and slam or loreign country) Ba. Pkce al DeaN (Cbeck oMy one) Mwwe D"I" tbwx MFMm Hospml: when 84 Yr° 5/12/1927 Freiburg, Germany ^mpatleM ^BRIOalpatleM ^DOa ~Iadig Hnme ^Resldenca ^Dlher-Specgy: Ph, County of Death Bc. Cih. Born. Trop. of Dedh be. Faciiry Name Qf m(Insgluaon, gyve strcel and nunberj 9. Was Decedent d Hlspank Odgmi ~ No ^ Yes 10. Race: Amedcan Indian, Black, While, ek QI yes, spacUy Cuban, !S!x'PifYl Cumberland oath Middleton " Ct3Tnberland Crossin s Ret. Calm. Mexkm,PuemRkan,em.) Wh1te , 11. Decedent's Usual Oau alien NIM of work dom dodo moss of roam INe. Do mt stale regrod. 12. Was Decadent aver in tlm 13. DaedenYS Educatlan (Spedty onty hlghesl grade conplektl) 14, Mabel Smms: Mardetl Nava Masted, 15. Survivkg Spouse (II wim glue maben name) NI"u of Warh NiMoy Buslmu/lndusq , U.S.Ammtlforces7 Ekmenlay/Secondary (0.12) College (1-0a5•) Nhdawed, OWaced (SpeciyJ - „ Staff Photo a her Grtunnan Aerospace f~dYaz ^Na 11 Widowed - • 16. Decedent's Mogmy Address (Street city / bwn, stale, zip wdej Is Dm Deaedent l PA 1 Longsdorf Way Actua Resldemo t7a. Sbk live in a 17c. Yes, Decedent LNM in ~ South Middleton Twp, • Carlisle, PA 17015 ,>ti. Dggpty ~lunberland T"w"shp7 17d. ^ No Decedem used within AciadLkdmor ctyrgan d er s are Irs e, azL su ix s ame irs m , ma n sumama Jose h Thanes Frieda Braunin 20a. InyortnanYs Nam (TYP°I Pe^9 om~an s g ress eat c ty town, stale, m e Karl C. Themes 1130 Shannon Lane, Carlisle, PA 17013 21 a. McUmd of D'apastlbn ^ Cremation ^ Dombn 21h. Dam d Olspodtlan (Month, day, yea) 21 c. Plae of Disposl'lion (Name of cemetery, cremalay a other place) 21d, Laalbn (City I town, slate, np code) ~BUid ®Rertwvd from Smm ;W C • as ranaUona Donation AUlhorlxod ^ aher~ sp°`dy, ; ByMetllcalExnmlmnrCoro""° ^rea ^"° 8 13 2011 Glenwood Gamete Littleton, NH : 22a. SlgnduedFu rvke Licensee rs as h) ~'- 22b. Cleanse Number, 22c. Name and Address of FacgNy - - FD 012633 L Ekving Brothers Funeral Herne, Inc., Carlisle, PA 17013 Campkm Items 23ac oM when cagl ' _ Y ynng h kl k l 3 tl l W rd 2]a. Ta the best of my , dash oaumed d tllo bma, date and Ira Makd. SI naue ant gUe D (g ) 23b. Lkerse Numhar 23c. Desk $Igned (Month, day. yea) p ys an ava a d me o oa h m m a certity causeddeaN. • _ / ~ - ~I \'(~ )Gi I/ Nems 2426 mull be campkled by perms • robes Promumes tlealh 24, Time d Daalh 22" l ~} ` ' ~ 25, Dak emumed Dead (Month, day, yea) 26. Was Caza Referred to Medkd ExaMner / Caromr la a Re Other than Crem 'mar Donatlon7 . d 1 / M. U Z61 ^ Yes .PfNo /` c CAUSE OF DEATH (Sin lnzlruetlona antl amples) I ApproxkvblMerral: Par/II: EMa ogler slgnik ant wnddlom conUlhuOngb deaM 28. Dltl Tobacco Uss COnaihukm Demh7 Ikm 27. PART I: Erdar gk ntugn o(aveMS~dmeazes, bjurlesacanpAcatlom•thd dkecgycaused the deaN. ONOTenmr krmkld events SUCK azcadiac amsl reap res a n cda fiMWalbn wiUwut showirg tlm etlology. Lhl oMy one rouse on eah gm. ~ Oreal m Death but mt resuting k the undertying cause gWen k Pat I. ^ Yes ^ Pmhady n 5^ ( d dmase a / L ^ ; S ~ ~^ No Ubenown ^ ^ m ~ ~ ~ ndtlon rosuan m CJi ~ /L,e Qom,( ~~ 9 1 ~ a /~ / v l.a 29. II Female: Duo m (a az ua~}°e oQ: ~ .~ ^ NolOregnanlwilhln pall Yea SequeMlafiy gstmndtlons, II anY, h. ~/"'C ~ u'a'~. C~ J ~ w'A~i kstllnp to Cause flsmtl am Nm a. E O ^ PRAndnl d line of deah uem(aazamnsequence o0: nkr Pie UNDERLYING CAUSE ^ NolpregnanL hul pregnant wilNn 42 days (dkeaze a lnNry Ihd IMtlded the evenm resultlnp I" death ~ LAST. Dues m (or os a consequence o0: of death ^ Not pregnant hW pregnant d3 days b 1 year e. ddea0 '~ - ^ UN~mxndDragmd wig4n the pall yea 30a. Was an Autopsy 306. Were AumpsY Fllafkgs 31. Mama Death 32a. Dale of Injury (Manlh, day, yea) 32h. Domdbe How Injury Occured: Pedorrred7 Avagade Prior to Campletlon 32c. Rxa dlryury: Ibme Faint Street Famary, al Causad0eah7 mud ^Fkrddtla Office BuidinA. ale. ($PeoYYI ^Ves Na ^Ves ^No ^ACCldenl ^Pandirg lmesgpallon 32tl. TlmentlnJury 32e.lnjury al Work? 3T1. If TrssporWmnlnjuy (Spetiy) 72A. LacaOOn oflnlury (Skeet d ty/bwn,smm) ^Sukide ^Count NOl be Ddem6red M ^ Yes^No ^DdvalOpaaa ^PazmnAer ^Pedestrian . ^~~ SPaPxy: 33a. CenlYier (check ody one) h. Slpnalu antl Tltlc IC ' Cortllying physlcmn (Physldan <entlyin9 Pause d death when amgvr physkkn has pranouncetl tladh ant canPkktl Ikm 23) Tathe bast of my Nmwledgq tlealh occurred dues to the cause(s) and manner as smtetl _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - t- _ _ _ _ _ _ _ _ _ Promuncing and cMBying physlctan (Physkmn both promundng death and catltyinq m cause d dedh) _ T° lho best of my krwwkdgG tloalh occumM d the Ume, date, and pluo, and due la Cho cause(s) and manner as smlad_ _ _ _ _ _ _ _ _ _ _ ^ _ _ 33c Lke Number 73d. ate 5 ay, year) 9 d N, d _ _ _ • MMlcaI ExMNnerl Carontt D ~'Lf / ~,~,,j~ ~ /( n the bests of examinaUOn andyor invesUgagan, In my oplnlon, death oc<urted at the Ume,date, and place, and due to lho wuse(s)antl manna as staled___^ 74 Name and AdNess of Perron YAa Co~kmd Grose of Death pro m 27)T Point 35. Registrar' reand DlslrktN~~ X~ Lc'~ I ( Irk, I ( I a I ~'~ `~aI ~( 3P, Dam FAeU (MaMh, daK Yaxl Michael J. Meglaughlin, MD ~ . - ~ 125 Parks Ave. , Gettysburg, PA 17325 lliSDositlon Faisal NO: `~ t0 / ~/O LAST WILL AND TESTAMENT OF KARL HEINZ THOMA ~~, ,_r ~-- ~~, :', ~_ .~ le I>FBR;1 r~C)I f)fti IUI~ Attorney At Law 15 Main StreeT PO Box 233 Littleton, NH 0356 (603)444-4887 Fax (603) 444-506`- 1, Karl Heinz Thoma, of 40 Fairview Street, Littleton, County of Grafton, and State of New Hampshire, do make this will and hereby revoke all other wills and codicils previously made by me. 1. DEBTS, EXPENSES AND TAXES: I direct that all my legal debts, funeral expenses and expenses of administration be paid as soon after my death as practicable. I fiirther direct that all such debts and expenses as well as all estate, inheritance, transfer, legacy or succession taxes (state and federal), and any interest or penalties thereon which may be assessed or imposed with respect to my estate, or any part thereof, or my will, including the taxable value of all policies of insurance on my life and all transfers, powers rights or interests includable in my estate for the purposes of such taxes and duties, shall be paid out of my residuary estate as an expense of administration and without apportionment, and shall not be prorated or charged against any of the other gifts in this will or against property not passing under this will. 2. REAL PROPERTY: A. All of my right, title and interest, whatsoever it maybe, in real property located at 40 Fairview Street, Littleton, N.H., or any ,~ other home I may subsequently acquire as my residence, I devise to my wife, Jane Pruden~Thoma. If Jane Prudent Thoma predeceases me then this real property shall be divided equally between my three children and my five grandchildren such that each person receives an equal 1/8 share of the value of the real property. If one of my children wishes to acquire the property that child wishing to acquire said property shall be allowed to do so and the fair market value of the real property shall be considered in that child's equal share as defined in this Will. Any distribution under this paragraph shall be made per capita. My three children are: Joseph Thoma of Yonkers, New York; Karl Christian Thoma of Carlisle Pennsylvania; and Walter Raimond Thoma of San Francisco, California. My grandchildren are: Peter Thoma, David Thoma, Paul Thoma, Geoffre Thoma and Andrew Thoma. -~ I .= ~ ~' -.`~ - - ~ ~ .. -_ _:~~ ` -~ ~ - • ... '~J; _ _~~ - .t~ ti ~ ' 3. TANGIBLE PERSONAL PROPERTY: A. All tangible personal property I own at the time of my death, I bequeath to my wife, Jane Pruden~'I'homa. If Jane Prudence ,~-' Thoma predeceases me then all my tangible personal property sh '`~ be divided equally between my three children and five grandchildren such that each person receives an equal I/8 share of my personal property. 4. INTANGIBLE PERSONAL PROPERTY: I give and bequeath to my wife, Jane Pruden~homa, any intangible personai property owned by me at the time of my death, including, but not limited to, bank accounts, stocks, and/or bonds. If Jane Pruden~Thoma predeceases me, then I give and bequeath i any intangible personal property owned by me at the time of my ` death to my three children, and five grandchildren in equal shares, per capita such that each person receives an equal 1 /8 share under this paragraph. ~.- a t+,1 `4 ~~,\ ~~ 5. RESIDUARY ESTATE: All the rest, residue and remainder of my estate, of whatever kind of nature, wherever found and however, acquired, including any of the foregoing bequests in this will which for any reason fail to take effect and any property over which I have a power of appointment, I give, devise and bequeath to my wife, Jane Pruden~homa. In the event Jane Pruden~I'homa does not survive me or we die simultaneously, Igive, devise and bequeath said residue and >~~,~ remainder of my estate to my three children and five grandchildren in equal shares, per capita. If none of the beneficiaries listed above survive me, then said property shall be added to my residuary estate and distributed in accordance with the laws of New Hampshire as if I had died intestate. f ~EBR~1 G<)I (~E~ IUk Attarney At Law 15 Main Street PO Box 233 Littleton, NH 0356 (603)444-4887 Fax (603)444-5066 5. ADMINISTRATIVE POWERS: My executor and any other administrator or executor administrating my estate shall have the powers, in addition to those granted by law, as are granted to trustees by the Uniform Trustees' Powers Act (RSA 564-A), as it may be amended from time to time. Where the context of this statute requires, the word "executor" or "administrator" shall be substituted for the word "trustee" and the word "estate" shall be substituted for the word "trust". ~` 4 ~_~ i r~ ,`k-°- ~, `~ ,, i ~F~~~ c~oi uE~~~ zuh Attorney At Law 15 Main Street PO Box 233 Littleton, NH 0356' (603)444-4887 Fax (603) 444-506`. 6. SIMULTANEOUS DEATH: No person shall be deemed to have survived me, or any other person or event under the terms of this will unless such person survives the end of the period commencing with the close of the calendar day of my death, the death of such other person or when such event occurs, and ending with the close of the thirtieth (30) calendar day thereafter. 7. EXECUTRIX: I nominate my wife, Jane Pruden~~homa, to be executor under this will. If Jane Pruden~'I'homa should be unable or unwilling to serve in this capacity for any reason, then I nominate my t attorney, Debra Zuk, as alternate executor. It is my desire that Jane Prudenz~-Thoma or the designated alternates shall be allowed to serve with the minimum bond required by the Probate Court. 8. DISPOSITION OF MY REMAINS: It is my desire to be buried at the Glenwood Cemetery if possible. Otherwise I have no specific requests regarding the disposition of my remains but leave that to the discretion of my executor. 9. FAMILY UNIT: I am married to Jane Pruden~-~homa. I have three natural children at the time of executing this Will: Joseph Thoma of Yonkers, New York; Karl Christian Thoma of Carlisle, Pennsylvania; and Walter Raimond Thoma of San Francisco, California. I have five grandchildren at the time of executing this Will: Peter Thoma; David Thoma; Paul Thoma; Geoffre Thoma and ~fidrew Thoma. Except as c,~ otherwise expressly provided by this will, I intentionally make no provision for the benefit of any child of mine, nor issue of any child of mine, whether now alive, now deceased or hereafter born or deceased. 10. DEFINITIONS: Masculine, feminine and neuter pronouns shall each include all genders, and the singular the plural, and vice versa, where the context or facts so admit. The captions and paragraph headings of this will are inserted only as a matter of convenience and for reference, and in no way define, limit or describe the scope or intent of this will, nor in any way affect this will. IN WITNESS WHEREOF, I hereunto set my hand and seal and, in the presence of two (2) witnesses, declare this to be my will this 13`" day of September 2001. For identification, Ihave signed each of the five (5) pages of this will. .,, Karl Heinz hom Signed, sealed, and declared by the said Karl Heinz Thoma, as and for his will, in the presence of us, who, at his request, in his presence, and in the presence of each other, hereunto set our names as witnesses. n ~ residing at ~QTc~..A . ~, i ,~ t,- ~ ~. .~k ,~- ~.-~.-~~e~-~ residing at :~ f n -~~~ - ~t.~~ C ACKNOWLEDGEMENT AND AFFIDAVIT FOR SELF PROVING WILL PURSUANT TO R.S.A. 551:2-A The foregoing instrument tember, 2001 b~ . th~'`textato follows: ledged befer~, me~/~h~ 13`x' day of _ ~ ~ (7~/!F~< and tnesses, who under oath cTo s~~~ear as 1. The testator signed the instrument as his will. 2. This was the testator's free and voluntary act for the purposes expressed in the will. 3. Each witness signed at the request of the testator, in his presence, and in the presence of the other witness. ~~Et~w~ GC )I LIEN LUh Attorney At Law 15 Main Street PO Box 233 Littleton, NH 0356' (603)444-4887 Fax (603) 444-506`.. STATE OF NEW HAMPSHIRE COUNTY OF GRAFTON, SS. 4. To the best of my knowledge, at the time of the signing, the testator was at least 18 years of age, or if under 18 years was a married person, and was of sane mind and under no constraint or undue influence. Ct tary Public My Commission Expires: DEBRA ZUlC, Notary r~ublic MY Commission Expires May 2$, 2cc32 \Vill-"I homy-Karl ~,~ J ~J ~~F~~,'~ ~~(~~~E~ z~ r~ Attorney At La~N 15 Ma'm Stree~ PO Box 233 Littleton, NH 0355 i (603) 444-488; Fax (603)444-5Gb5 RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Karl H Thoma ,Deceased C7 .~-~ O -- l-~ ~ _ -~'~~ .. - -- - : I-s-i _._ n ~ ~ ~~ :-~ . ~ C::3 ~7 -_ ,- ~~ Walter R Thoma in my capacity/relatiohip as .. ; -; ~T; Child of the above Decedent, hereby renounce Hie right tom administer the Estate of the Decedent and respectfully request that Letters be issued to Karl C. Thoma 3 ~` I (Date) (Signature) Walter R Thoma 770 Clayton Street #1 (Street Address) San Francisco, CA 94117 (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 of-s~1e executed the renunciation for the purposes stated within on ~~ Z day of ,S~F~Fenbt~ ~! /' ~.9 ~-A. / '~%N\ N ry Public My Commission Expires: Se g , ,~ c, ao I( (Signature and seal of Notary or other official qualified to administer oaths. Sho~w~da e e it tin f t ) JON GARRETT FOOSE z~ ~`• k: ~'`, Commission # 17b4299 = ~ ., Notory Public -California € ~~i San Francisco County Gomm. Sep 20, 2011 Form RW-06 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Karl H Thoma ,Deceased C7 -~~ _t_ _~ ,., ~.~ :~%>~- -s: -- -- ~ -, ya Child Joseph Thoma in my capacity/relai:4~i,p as nn ame '" ~ C - of the above DeePdAnt, here!~~ nn(~nce;/fhe riggt~ ~.; administer the Estate of the Decedent and respectfully request that Letters be issued to Karl C. Thoma ~~ ~ ~ ~ ~ (Date) / ,..--- (Si9 J ph 54 Etville Avenue (Street Address) Yonkers, NY 10703 (City, State, Zip) Executed in Re Sworn to or affirm before me of ~ ~-' subscribed ' da~ ~. Deputy for Register of Wills Form RW-06 Re~.~o-~s-2oos 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 purposes stated within on this-.day of ~~ _, ~al~ Notary Pu My Commission Expires: ~(~3 I I ~~ (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) ROBIN GUBIN NOTARY PUBLIC, STATE OF NEW YORK QUALIFIED IN WESTCHESTER COUNTY RECD, #4940®15 MY COMM. EXP. AUG. 31, 20,~ Copyright (c) 2006 form software only The Lackner Group, Inc. RENUNCIATION REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Karl H Thoma Debra G Zuk Esquire --- nn ame Executrix .~•°. ignature Debra G Zuk s ire administer the Estate of the Decedent and respectfully request that Letters be issued to Karl C. Thoma ~ ~~ l I (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills ,Deceased ~, ~ l-. - _- °~~ r- -_ ~y rn ~. `-- =TJ .Fr` :~J f ~•~ :-. Jam- _ '; in my capacity/rela~nship ~ ` __ ~ ~' D `~' `.~ --rn of the above Decedent, hereby renounce the right to 32 Main Street Ste 104 (Street Address) Littleton NH 03561 (City, State, Zip) Executed out of Register`s t7ffice Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the re unciation for the purposes stated within on this~_day of °~ No ry Public ++t+++ll~'~~ii/// My Commission Expire ~~~~~~ ~€N ~• /S ~~~%i (Signature and seal of Notary or other official qualified t ~~ ~ .•'S•~E1TF •'' ~9 /i administer oaths. Show date of expiration of Notary's c`~1rn~ion.) - My- ~,~•, ~MM~SSION •:~Z s :Z MAR(~~, '•.~,~~, 201 ~:- 6 Q. %~~~20~ A PP~B \G \\\~~` ~~ / ~ / I I I I ~ n u \ 1 \ \ ~ ~ ~~ Form RW-06 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.