HomeMy WebLinkAbout08-30-11IN THE COURT OF COMMON PLEAS OF CLIMB
ERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETT
ERS
Estate of WILLIAM J. PALMER, JR.
a1k/a: ,Deceased ESTATE NO: 21- ~ ~ ' ~ 1~~
a/k/a:
a/k/a:
SS NO: 191-18-2101
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMP
applicable: LETS SECTION `A' or `B' AND "C" as
~ A. Probate and Grant of Letters Testamentary or ^Administr '
and aver that Petitioner(s) is/are entitled to the aforementioned LettersoTESTAM r d.b.n.c.t.a. (complete Part Calso)
the last Will of the above-named Decedent, dated 12/16/1987 ENTARY
RENUNCIATION FOR JAMES T. PALMER IS ATTACHED and codicil(s) dated under
GRACE K. PALMER DIED ON 08/08/09 HERETO
(State relevant circumstances, e.g. renunciation, death of executor, etc„) ~_
Except as follows, Decedent did not m '
~'ry, was not divorced, and did not have a child born or adopted afte`-- ~ ` _ 1w~.. ~~~
instruments offered for probate; was not the victim of a killing, was never ad'u ' _
party to a pending divorce proceeding at the time of death utton of;xhe , _.,-- ~,
J dicated an incapacitated pees wad. " ~ot a ~ -
23 Pa. C.S.A. § 3323(8)• N q wherein grounds for divorce had been esta~' '"~ '
,x~ x ~ as d~e,~iined in'
. ,..
^ B. Grant of Letters of Administration ~ ''~
.> -r}
~~c
(If applicable, enter d.b.n., pendent lite, durante absentia, durante m `~
C. Petitioner(s), after a proper search, has/have ascertained that Deceden ~T~te) ~ ~-- `~'"'
.~, ~..~
following spouse (if any) and heirs (If Administration c.t.a. or d.b.n.c.t.a. t enter d Will and was survived by the r' ~'
heirs); was not the victim of a killing; was never adjudicated an incapacitated erate of Will in Section A and complete list of
proceeding wherein grounds for divorce had been established as provided in 23 pa d was not a party to a pending divorce
C.S.A. § 3323(8), except as follows:
Ne..,o
ent
1111,, a~~ 1 iuly MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Penns lvani w'
At 1 LONGSDORF WAY SOUTH MIDDLETON TOWNSHIP CARLISLE CUM his/her last family or principal residence
(Street address with Post Office and Zip Code, Munici ali Townshi Borough BERLAND COUNTY PENNSYLVANIA
Decedent then 88 p ty~ p' '
years of age, died 8/12/2011
-- at CARLISLE, PENNSYLVANIA
Estimated value of decedent's property at death: (Month, Day, Year of death) (City and State where death occur ed)
_If domiciled in PA
_If not domiciled in PA All personal property $ 241 000.00
_If not domiciled in PA Personal property in Pennsylvania
_Value of Real Estate in Pennsylvania Personal property in County $
Total Estimated Value $
Location of Real Estate in Pennsylvania: (Provide full address if possible. $ 241 000.00
Signature(s)
Name(s) & Mailing Address(es)
WILLIAM J. PALMER, III 3117 PHEASANT RUN IJAMSVILLE MD
-„~ ~a
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
Page 1 of 2
c.v IVI/U/1
LGCAL REGISTRAR'S CERTIFICATI
WARNING: It is illegal to duplicate this co ~N 'OF DEATH
pY by photostat of photograph.
Fee for this certificate, $6.00
P 17727605
Certification Number
This is to certify that the information here given is
correctly copied fro-n an original Certificate of Death
duly filed with nne as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
~ ~~
~Il~ ~ ~12~11
Local R_eg)strar Date Issued
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H105-113 REV 11/!006 fi`'
TYPE /PRINT' IN
PERMANENT
BucK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH
lNx • VITAL RECORDS
CERTIFICATE OF DEATH
1. Nmne ~ I~dane F
( s
et, middle. last, suffer) (See Instructions and examples on reverse)
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STATE FILE NUMBER
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5. Aga (Last Bkdrda
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under 1
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under 1 ,
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fie, Plata of DeeN Ctyck anal b ~ 1 ~ i 1
Yrs.
• fib. CwxMy of Deets
~m 44__ ,~, __
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( ~ ~ ~~ ~~ Nazareth, PA
6c Born Tw'P~*~ Pte,
th 1~ uClleton ~. Facllily Name (If not Inetltutbn, Siva street and number)
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L!'Inpetient ^ ER /
Cu~etlent ^ DCA other:
^ Nureing Home ^ Residence ^ CNrer • Spedl
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~ ~ C~,~ , • 9. Was Decedent of Hispanic Orlgin7
_ yy, (I} y~ Y ~
11. Decedenra Usual lion 16rd of work done """`" I O ~ CA~ e r l
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No ^ Yes y
10. Race: American Indan, Bieck, Wfuta, etc.
(
Mai of Work „
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ax
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n, Puerb Rkan, etc.)
~t of IHe. Do rat slate red 12. Wad Decedent ever in the 13.
Ys Educetlo ~ f
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i
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KlrWof Buernese/Industry U.S. Amxsd Forces? (SPeah onry hlgfyst grede compbtad) 14. Madtel Status: Married, Never Herded, 15. Survfvin S t
T ffic COntr 1 In ern. Boiler Works Ek7rneMary /Secondary (0.12) College (1d a 5+) Widowed, Divorced (Specyyj 9 !dose (N wile, give maiden name)
• 16. Decadence Mailing Address (Street, city /town, state, zip coda) ~ Ves ^ No 12 Wldawed
1 Longsdorf Way AR siderlce na. stale PA -
Did Decedent
Carlisle PA 17015 l-"a'n a 17c. CXI Yes, Decedent I.;red in O 7 h M; d 1 Pi'nn
17b. cwa,ny Ctanberland township?
1 B. Fathers Name (First, ndde, lest, suffix) 17d. CI No, Decedent Lived widdn Tom'
William J. Palmer ~l'~L"""e~
19. MoMers Name (Flrat, middle. nrekten sumeme) City / Bwa
2oa. Intormartrs Name (Typo! Print) Rheda - Dr~IInheller
P III lob. Inlonrlertrs MaMirtg Address (sweat, cNy /town, state, zip coda)
• 21g"""~''~DispoS6on r 3117 Pheasant Run, I'amsville, MD 21754
~CremaMon ^ Danatbn 21b. Dale of Disposition (Month, day, Year
^ Otlier Brxial ^ Removal horn State i yyq Cremstlan or Darlatlon Autlariyad ) 21c. Place of DLvpositlon (Name of cemetery, crematory w other plots)
by Mkdkal ExrMner/Ceeyr? 21d. Locaiion (City/tam, stare, ip coda)
~ z2e.S' dF ~ licansee(a ~ ~Y~^ ~ 8/15/2011 EtTaris Cremation Services
- 2zb. Lk;ense Number 22c. Name and Address of FacNfty Leola , PA
FD 012633 L E%iriq Brothers Funeral H
°ny "'ten ~mMn9 23a. To the best of my know) , death oaxlrred at the rime, dare and place stated. (Signature and title) ome , Inc . , Carlisle , PA 17013
f~Y~n is not avaMeble at Nme of deem b
cattily cause of death. 23b. License Number 23c. Date Signed (Month, day, year)
lNrra 242s rtuel be completed by person 24, Time of DeeNr 25. Date Prop
~ wla Prorarsaee death. rxyd Deed (Month, day, year)
) S ~ M. d S r 2 ~ ~ f / 26• Was Case Ref^err~ed to Medical Examiner / Corwrar for a Reason Otfrsr than
CAUSE OF DEATH (Sea Instrttctbna and examples) 1 ^ Vss `°~, N° C~~^ w Dona6m?
Item 27. PaA I: Erser the ffien of events _ dbea58s
respiratory arrest, or ventricular 6brilletIautor o ~ . N~ ~~, ~u~ ~ deelh. DO NOT enter temYnal events such es cardiac arrest, ~ Amate intarvak Part II: Enter owrer .
etiology. List atty one cause on each Iky. Onset to Death but not resultlrg rn the urtde ~ 26. Did Tobacco Usa Contdbule to Death?
~~~~m ~ disease w r rMng cause given in Par! I. ^ Yes ^ probayv
~ F /~ r 1~9f^Y.
a. Q r G~ I LQ.1~1'~1 r ^ No
~ rP /VY1 ~1/}, ~ ~ r t nknoxm
Due to (w as a corrsegrrence o r F~Q'~ , ~T~~~ 29. If Female;
~equentlelly Met cond6ans d arty r t v T7
l~r ~ dre ease Mslad pr Mne a. b r
UNDERLYING CAUSE Due to (or as a ~ ^ ~ Pfe9^ant wMhln Past Year
consequence nt): r
( w ' ~ kdMaked the r ^ Pregnant et time of death
events resuaing a deem) LAST. c. r ^ Not Pregnant, but
Due 10 (or as a consequence r Pregnant wr7hin 42 days
r ^ Nol pregnant, but pregnant 43 days to 1 year
30e. Port AuloPgY 30b. Were Autopsy Findings 31. Manner of DeaM i betas death
Available Pdor to Comlledon 32e. Date of Injury (Month, daY, year) 32b. Describe plow Injury Occrmed ^ Urdoawrt d pregnant vnlhin the peal year
of Cause of Death? ~ Natwal ^ t{en;~ 32c. Place of I
Mr!rY Home, Farts, Street, Factory,
^ Vas r'I0 ^ Yes ^ No ^ AcddeM ^ Pendeg lmestlgetion 32d. Tkne of Injury 32e. I Office Buik4ng, etc. (Beatify)
n)ury M Work? 32f. N Treneporladon Injury (Specl/Y)
^ Sukide ^ Could Nw be DetenNryd M ^ Yea ^ No ^ Driver/Operator ^ Passenger ^ pedestdan 32g. location of InJury (fittest, cN1' /town, slate)
33a. Certifier (dreck only one) Other • Specify;
To ~M~phmyNern ~ ~ ~~» ro N»~ anoNbr plryaicren has prwaunced death end completed Ikm 23) 336. Slgnan,re and T1Ne of cerNner
nause(a) and mamyr a steed _ _ _ _ _ _
• To r^Y knowNdga, loth oct:u~rred MM 1M Nr~m, ~ deaN and oerfiying to cause of death) - - - - - - - - - - - - - - - - - - - - - - - - - - ^ 33c. License Number M I
• Madlal Exurrhy,/Corey, plea, and dos to the cause(s) end mYrner ss atsted_ _ _ _ _ 33d. Date Signed (Month, day, year)
on Ny b..is w exemfnetlon end / e invastigatlet, in - - - - - - r1 • ~ ~ { C r 3 ~ ~ t,
my opinion, daaM occunad at the time, date, and place, end due to the tau ~ ~ 6 ~ '2 2 ~Tj (' )
se(a) and manner as stetsrL ^ 34. Narty and Address of Person Wla Co
R•9yhar a end mpleted Ceuee of DeaM (I 27) Type / Pdnt
p~BJ`c-F~ K~`De`c' eX- ~ ~ ( ~ c,~ ~ ~ I I .Date Flied (Month, deY, rear) C R r^ C / CG' ~ r ~ ~ y' (rP ~ (,~. ~ ~~ s
Disposition PermN Wo~- () ~n I ~n 1 G I
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RENUNC~TI ~ ~ ~~ ~ ~ s~ :~ ~ '~ . ,LL
L. r
ON.
CLERK ~~~
a
REGISTER OF WILLS fi (3~P~~~i'~ Cd~~JRT
UMBERLAND Lit~h,~~ ~ =~~;1' ~''~;°~;'~; r" °. ~ , ~A.
--~ COUNTY, PENNSYLVANIA
I
I
Estate of ~LLIAM J, pA,L,MER, JR.
Deceased
I, JAMES 'I'. PAI.MER
EXECUTOR (Print Name) in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the .Decedent and xespectfull r
y equest that Letters be issued to
WILLIAM J'. PALMER, III
'~ ~ ~ [ r
(Date) ~ ~~
(S lure)
15311 HEATHRIDGE DRNE
(Street Address)
Executed in Register's Office
S~~orn to or affzxmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW_06 rev J0.13.06
TAMPA, FL 33625
(City, State, Zip)
Executed out of Register's Office
Before t<~is 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
2n t t
-~--~
l.ro.-
Notary Public
MY Commission Expires:.l. ~2.~ zpi,~,~
{Signature and Seal of Notary or other official 9eralified to
administer oaths. Show date of expiration of Notary's Commission.)
~~ ~°-. s ranoR
:+: MY COMMISSION # EE 037493
,,, ,. Pr EXPIRES: December 12, 2014
•Rf,~;c. Bonded Thru Notary PubUc Underwriters
1l - ~~ ~
?~ttsY ~i11 rzn~ C~estttmrtct
I, WILLIAM J. PALMER, JR., of the Township of Stroud,
County of Monroe and Commonwealth of Pennsylvania, being of sound
mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby
revoking and making null and void any and all wills and
testaments or writings in the nature thereof by me at any time
heretofore made.
ARTICLE I
I hereby order and direct my Executrix, hereinafter
named, to pay all my just bills, not barred by the statute of
limitations or other law, and expenses of my last illness and
funeral expenses as soon as conveniently possible after my
decease . ~ -._
.~. .
ARTICLE II '~~~~ ~:.
-`~ ~-~~C
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_`''~ ~
I give , devise and bequeath all of my prop~'rty and ~~°
r°~•:
estate, real, personal and mixed, of whatsoever kind and nature
and wheresoever situate, to my wife, GRACE K. PALMER, provided
she survives me for a period of thirty (30) days.
ARTICLE III
_t - ~?
;~ ;,
t__;
- _
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_,
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~`~ ~
In the event my wife, GRACE K. PALMER, and I shall die
the event either of my said two (2)
share and share alike. In of such deceased
n should predecease me, then the share
childre
his lineal descendants who do survive me,
child shall pass to
share and share alike.
ARTICLE IV
nt one of my children should predecease me
In the eve
is of such deceased child shall not have
and the lineal descendan hen I direct that the
' ed the age of twenty-one (21) years, t
attain
h lineal descendants shall be held in Trus
share or shares of suc Ouse of such
I hereby name and appoint the surviv ing sP
and
remaining child as Co-Trustees until the
deceased child and my ears.
ndants reach the age of twenty-one (21) Y
lineal desce
shall hold, manage, invest and reinvest
My Co-Trustees
cumulation of income thereon, and shall use
the same, and the ac
nd rincipal or so much thereof as in Co-
and app1Y the income a P
ma be necessary or appr~~priate for the
Trustee's discretion Y college education. Any
child's support and education, including
so applied shall be distributed to the
principal or income not
when he or she attains the age of twenty-one
child absolutely
(21) years.
ARTICLE V
constitute and appoint my wife, GRACE R•
I nominate,
this my Last Will and Testament and if
PALMER, as Executrix of
ARTICLE V I
other security shall be
I direct that no bond or
for hereb~- app°inted by
Executrix or Co-Execu Will may
o f any in which this
' enCe in any j ur isd ict ion
required
reason of nonres id
other cause whatsoever.
be proved, or for any
ARTICLE VII
. rustee, if a Trustee is
that mY EXecutr ix and T
I direct to and not in limitation
er this Will , in addition the f ollowing
appointed and em Y law, shall have
authority g iven th b
of any
polders: owned
bonds, and inVestmentstocks,
stocks, in other
(a) TO retain ato invest and reinvest confined to
and without being to sell
me, ts, and
by investmen
bonds and ,~ iny~e s 1ne peeSOn or by
known as legal
what are same, eithE.r
and transfer the
attorneY• stocks, bonds or
and pledge anY security
money ropertY of the estate as
(b) To borrow
other personal p
therefor . stocks ,
subscribe f or
any opt ion t o t o j ° in in any
To exercise and exchange,
c) investments,
~ bonds or other consolidation, oration
mortgage of any core
plan of lease, foreclosure bonds or
reOrgan1Zat e estate maY he>ld stocks ,
in which th
other investments. art of the trust
any p• or may become
indef initelY which is
(d) To retain ersonal,
estate, real orrpto make sale thereof .
unproductive, o in kind.
e distribution in crash or
e ) To mak of any lif e
I _ , the proceeds ions
_.~ a„~ receive ,..,.; ~P anY °pt
three (3) sheets, my hand to the bottom of said preceding three
,~" ~~
hand and seal to this last sheet this /~/~
(3) sheets, and my
day of December, 1987. ~~ -~
.~
.~ SE L )
ILLIAM J. LMER, JR. ,~'~,
The writing contained in this and the p.receding three
(3) sheets was signed and sealed by the above named William J.
Palmer and by him published and declared as and for his Last Will
and Testament, in the presence of us, who have hereunto sub-
scribed our names as witnesses at his request, in his presence
and in the presence of each other.
,•
~~
~ ~~
COMMONWEALTH OF PENNSYLVANIA s
COUNTY OF MONROE ~ ned to
JR., whose name is sig
I, WILLIAM J. PALMER, having been duly qualified
instrument,
the attached or foregoingb acknowledge that I signed andeaXe~uted
according to law, do here y that I sign
instrument as my Last W ill andfreet andnvoluntary act for the
the ned it as my
willingly; that I sig
ressed. 1
purposes therein exp ;, ~.
i
_ ~`
f
lliam J• ~
Sworn or affirmed t ° aby
fore ,. e ,
subscribed ~,
this ~~ ~ ~ ~ d aY o f J~-'~-~'
~-
ILONA G. p~rF~~~`~N, i~OTARY PUBLIC
S~ro;~:is~~.o~ g,~u~roe CoLrty, PA.
c,~y Commis sun Expires Aug.24,1991
COMMONWEALTH OF PENNSYLVANIA
I~~
r, Jr.
COUNTY OF MONROE
~~ ~ f~
~ es are sig~~~ to the a ta.ched or foregoing
to law, do depose and
the witnesses whose nam ualified according
n and execute t e
instrument, being duly q
that we were present and saw Tetament;sthat he signed
say
instrument as his Last Will and es
executed it as his free and volutherhearing
willingly and that he and that to
ur oses therein expressed; that each of us in
f or the p P ned the Will as witnesses; hteen
and sight of the Testator sig
knowledge the Testator was at t:hertnoeconstraint or
the best of °uears of age, of sound mind and unde
~lg) or more y
undue influence .
~.
~~
Sworn or affirmed to and
_ r . _.,... m o ~'1 ~T