HomeMy WebLinkAbout10-13-11ON FOR PROBATE AND GRANT OF LETTERS
PETITI COUNTY pE~SyLVANIA
REGISTER OF WILLS OF Cumberland
File Number
Robert W. Thom son
Estate of 191-14-8475
also known as ,Deceased Social Security Number
Petitioner(s), who islare 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:) executor named in the
p. Probate and Grant of Letters Testamentary an and oodicti (s)tdat d ~s) is ~ are the
ecutor Fa L. Thom son has renounced in favor of the contin ent executor David R. Thom son who is 21 ears o a e
last Will of the Decedent dated
The named cx
or older er the Last Will and Testament. Continued on a Separate Page
(Slate relevant circumstances, e.g., renunciation, death of executor, etc.)
Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
Except as follows,
ate, was not the victim of a killing, was never adjudicated incapacitatPd~, C S section 3323 (g). a pending divorce proceeding at the time
for prob
of death wherein grounds for divorce had been established as provided in 23
B. Grant of Letters of Administration lieable, enter: c.t.a.; d.b.n.c.t.a.; penderEte life; durante absentia; durante minoritate)
(IJaPP
r a ro er search has /have ascertained that Decedent left no Wolin ale e Is t cf heirs )by the followinguse (if any) and heirs: (If
Petitioner(s) afte p P ~ __ _
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above an P R °~~ e -
Relationshi ~ ~ C''+ _
Name
_a.. G
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._. --., C_ Ji ~
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(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Cumberland count ,Pennsylvania, with his ~ herHamtnderlTeTownsh
Decedent was domiciled at death in Mechanicsbur PA 17050
1135 Lambs Ga Road
(List street address, town/city, township, county, state, _ip codes g/6/2011 at 1135 Lambs Ga Road
90 years of age, died on PA 17050
Decedent, then ------ Ham den Townshi
Mechanicsbur
Decedent at death owned property with estimated values as f All personal property $
(If domiciled in PA)
Personal property in Pennsylvania $
(If not domiciled in PA) i^ Count
(If not domiciled in PA) Personal property Y $
Value of real estate in Pennsylvania ~y.t,~~.h,=:~,r ~~t^~:i<~ ~t~
situated as follows:
herefore, 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
W
the nndersiened: nted name and residence
/C
Typed or pn
Signature 1 g9 Beagle Club Road
~ David R. Thompson PA 17013
Page 1 of 2
Form R ~'-02 rev. 10.13.06
Oath of Personal Representative r~ _, , ~ ;~. ~l-
c
. ~~.. I
COMMONWEALTH OF PENNSYLVANIA .. SS
~: i l.,•:., i ~, ; 1
couNTY of Cumberland
ears or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
'~~~tbv~I~and truly
The Petitioner(s) above-named sw O ~ ~ ~ ~~~ ~~.~
and that, as personal representative(s) of the Decedent, PetitionQer~(FN .', , ` PA
the knowledge and belief of Petitioner(s) ~~ ~l -~_„ ..~~- ~ ;';
administer the estate according to law.
Sworn to or affirmed~a~di~ubscribed
~" ` y
before me the i~-•--~' 1 of
~~s,, ,»... ,
Signat- ersonal Representative
Signatu sonal Representative
File Number:
Deceased
Estate of Robert W. Thom son
Date of Death: 9/6/2011
Social Security Number:191-14-8475 ry roof
_____ , in consideration of the foregoing Petition, satisfacto p
AND NOW, Testamenta
having been presented before me, IT IS DECREED that Letters
ranted to ~aVld R. Thom SOn in the above estate
are hereby g
of %e edent.
s
) ~ ~
il
(
c
i
and that the instrument(s) dated
itted to probate and filed of recor a the last Will (and od
d
m
described in the Petition be a Q
~
`~j
'`
'
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~~
FEES
~j Q~ egist of Wills
_ ~
Letters $ ~ Attorney Signature: _._-~ ,,
Short Certificate(s) ~•~••~•~~~••
David H. Stone ES wire
Renunciation(s) ~••••~••~•~••~" $
~,, Attorney Name:
1l~! ~-l~~ ~~~~ $ ~~~--22-- ~
N 39785
--cam $ ~ o.:
Supreme Court LD.
$ --- 414 Brid a Street
~••~ Address:
New Cumberland
$ _~_ 17070
.... $ ---- PA
_ 717-774-7435
$ Telephone:
... . $
TOTAL ............................ . $ ----
Page 2 of 2
Form RW-02 rev. 10.13.06
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
HtDS.t43 REV „2ooB CERTIFICATE OF DEATH
TVPE t PRINT IN STATE FILE NUMBER
PERMANENT (See instructions and examples On reverse) 4. Dale of Death IMonln. tlay. year)
BucKwK z ~, 3 so<iaisec~nryNanoa14 _ 8475 Se t. 6 2011
,.Name of I~¢benr (Fim, middle, last spt%.) ~ --~f [ale 191 n
~ ~ _ t , l ° h+ 3 or lorei I) Ra. Place of Deam (Check onry one) a^er
6. Date of Binh (Month, y, year) 7 B;nnplace (City and stale g" COU" ry Hospilat. MvI
under, year Under t daY Nursing Nome L'!1 Resmence ^Ot er. SpecM.
s Ag¢ (Las; Biendar) Mn~ Days „curs ~~e '1921 `Power Clty / PA ^ mpaeea ^ ER i owvaoem ^ ~A ^ 13. Race: Amerkan radian Black. wane, do
- May 21 / s Was Decedent o` Hlspanx organ ~] N" ^ v¢a IspetiM
90 Vrs Bd Facilay Name (It no, ;nsmwon give sveet and numbed pl yes, speciy Cuban.
gc. CM. eoro. iwp. of Deam Metican, Pueno Rican. etc.l W1'llte
set ~9N
- Bn ca,nry d Deam Tr'm 1 1 35 Lambs Gap Road II was a ma Ban Hamel
Hampden rPwp c I ni nest grade completedl l4 Marta Status Marred. Never Marred. t5. Sururv;rg $poU
Cumberland ~~•r- 4 rr s. widow¢d. Di~emaa (spe<iM L _ Boyer
l%e. ce not stale reriredl lz. was Decedea ever m me l3. cecedents Edreauon l o-i2M Dry 9Couege (t 1 Married Fay
It. pecebern's Usual Ottu tan (KinO of woM done Burin tops, of wo U S grmed Forces° Elementa; ,Z ecordary
N;M of Work KxM Ol Business) lrMUStry ®Yes ^NO V-.... to TwP
• Naval De t Ddecec¢dem
• Decedents lVania ~ Yes. Decedent Lwed m
-a sate Perris TUOwnsnip? tie ^ No. Decedea ^yed wamn dry l Borp
'.6 Decedents Mailing Address (Street. city i town. state. zip code) Actual ReSrdence '.. Aaual Limi6 of
I 1135 Lambs Gap Road ,7b cpprry Cumberland
McChBniCSbur PA 17050 tg Namers Name (Prst. middle, maiden surramel
Margaret Houtz
1 B. Father's Name (First, midd¢, last, sdl'nl l town, Stitt. Zip Coda)
RO E. Th SOri zoo mtormanrsMaiungnaa¢ss(sreet 6ry PA 17013
199 Bea 1e Club Road Carlisle
20a. Inlpmanta Name (Type I Pnnt1 21 d. Location (CM %town, sate. lip codes
paV ld R . Thom SOn 2ID. Data pf D;sposi6on (Mwtn, tlay Yeaq 2tc. Place of Drsposinon (Name of cemetery, crematory pr omer place) z,rinVll le / PA
i ^cremzhM ^Dor~twn 2011 Indianto4m Gap National Cemetery
z, a Mempd m Dieppsn;nn ^ tea ^ No Sept . 9 /
j~ Bprai ^ Remoyaiiromstat¢ i nyMeaitai=xamn°oriae«otr~ee,'~riaed ket Plaza Way
^ Other-Spectly: 22b.LtenseNUmbn 22c.NameantlAddressotFacilily ~ ~n1CSbilr PA 17055
2za. sigr~t Ja prF r~ servKe Licenaee rapn adrrg as epd,l Pp_138630 Malpezzi Funera.L Home zat. Date signed (Mpnln, dav. rears {
_ ~ z3b. ticeue Narroer ~~,~ ~ r~~ I 1
~ ad tZ~7 3 ~ l 5c Z L_
ems 23a~c only when ceMyi 23a To Ire bass off my~ am ocNrted at me t'me, date and Dlace s (Sigr>awre and e) for a Reason Olner Man Cremation or Donaaorz
ConWle ~_._- .~'~
yhysid snot available at time of Bea o 26. Was Case Reterredsl0 Med;cal Examiner! Coroner
cents cause d Beam- 25. Date Prmouncetl Deatl IMOn~ tR daY;r¢arl ~ /~~1 L /y ^Yes L~J~ 1N,,
2d. Tme pf~ ` Liif~~.SA••~• lz--~~V 1 Beam. 28. DvJ Tdlacco llse ConViEde to Deamv
Hems z4-26 muss ce compleletl by person ~ Li M. t Appnximate interval. Pan %~. Enter doer fi a I c A tiorE rust ~ ^ Ves Probady
who prdwunces Beam. Od not rasa%ing In the underlying Wuse guar rn Pan I. ^
CAUSE OF DFJk7H ( inshuctlons antl exampled ^ No ^ Unknown
Ul'rort5 - mat dir¢caty Caused the Beam. DD NOT enter terminal ¢v¢nIS such a5 Cardiac arrest. Ousel to Death
Item 27. Pan I: Enter the h n of events -diseases. injures, or Nrnpli list ~ ~¢ Cause on each Ilse. 29. % Female'.
ventricular fibrillation whhout SMwrr5 tEa Nidp9Y ~'
respiratory artest, or /'I~ , { / - ^ Not Dregnaa w%Mn Dasl Year
S ~ y-(j ,~ !, ,, r ~ •q ^ Pregrrent at time of Beam
IMMEDIATE CAUSE IRrW disease or I I t nnin 42 days
corWilan rasa%irg m death) _-)i ^ Not pregnarn, but pregnan w
Due to (or as a Consequence op. _ d Beam
Sequenaalry psl Condkipns, d any, b. ^ Not pregnaa. ba pregnant 43 tlays 1p t year
leaMg to me cause listed on line a. Due ro for as a consequence op: _ before death
Emer the UNDERLYING CAUSE ^ Unknown a pregnam wilnin the pas year
(d'sease or injury roar initiated the
ev W resumng m Beata IAST. C Due to (tr as a ronsequence o~-. r _~-
32t 0%ica BuilGnq~, etocm(Spenty( Street. Factory,
d. ¢ 32b. Describe Haw Injury Occurted
32a. Date of Injury (Month. day. y art
30b. Were Adop~Y Fillings 31 Mann of Deam
3Ja. Was an Auropsy Available P r to Canplelion Hanrclde 329 Lorafion d Injury (Slfeel, city f Iowa, slate)
Penomrtd? Natural ^ 32e. InWry al `Non'? 32i. II Transportation Iryury (Speaty)
pl cause d Deame Penal t estigatKKi 32a. nm¢ d miprv ~] Dryer i operator ^ Passenger ^Peaesman
-/ ^ Accidea ^ "~ "0 ^ves ^ No
^ves L3N+" ^ res ^ No ^ suicide ^ W M ^om¢r spedN: n
c la Nana Detertninee
33b-Sigratura all Tile of Genllie~ - ~ y
33a. Candler ([neck only noel p y5idan nay pronouncetl Beam antl completed Item 23) - - - - - - - - - - ~ ~ ~_ D~ igned,W9n~ tlay, y ~ r)
• Carlilying physician (Physiaan cen%ying rouse pl tleath when arminar n 33c. License Number ~ ^ ((,, ''7~l
To tM best of mY krwrAedge. Beam occuned due to Me causHs)dea:h and nity~gta ~~~auu of deaths---------------- ~y.l~l ~7 ~y.,~ C/f~ ~^f
• Pronouncing and cenitying physician (Physician bom pronouncim; nd due tt the teasels) and manner as atated_ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ ^ ' , / UUU
To the best of my knowledge, death occured at the time, date, and place, a am ;Item 21) Type' Pnnr
d manner ae stated_ ^ and Address of Per ~[ Ccmpp~~ 1~jQ yey(R~
Medical Examiner I Coroner death occurred al the time, dale, and place, and due f0 me causelsl an 34 Nate ~" I$n2(I l.. tiUlfll M u ,
on n,e Hasid a examinahon and r or inyeshganon, m my opinion, l Filed (MOnm Bar. year) 2151 L'inglestown Rd.
36. Da e1' S
~~ ~ R' gis r s Sjgna,ur¢ arrd D~stua um ' ~ ~ '~ i ~ ~ 1 ~ ~~ K • ~ ~ :
/ ti
0599603
Disposiuon Parma Nn.
r ~ - _, . ~
ATH OF SUBSCRIBING WITNESS(~~)} r
O
C! rR~. ~F .
ORN~-l~'~ 4~' ~~;JRT
REGISTER OF WILLS C~i~4R":- ,~ ' ,~~ i ~ ~ ' Pq
Cumberland COUNTY, PENNSYLVANIA
Deceased
Estate of Robert W. Thom son
(each a subscribing witness to
John M. Eakin
(Nrint Nnme's)
the 0 Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) ann the same
he was present and saw the above Testator stg
say(s) that
he signed the same and that he signed as a witness at the request o
and that
the Testator in his presence and in the presence of each other.
~`,
(Signature)
1 Main Street
(Street Address)
(Street Address)
Mechanicsbur PA 17055
(City, State, Zip)
(City. State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ~ ---
Executed out of Register's Office
Sworn to or affirme~d~a~nd_, ,subscribed
before me this ~-~-'Y~- day
of ~ ~ ~~-
r
otary Public
Deputy for Register of Wills My Commission Expires: 7" 7" ~~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Cc~"""'
NpTARii~ GOWEN
~ at time o~j~~tt~'
NoUry Public
NO"f E. "To be taken by Officer authori-red to administer oaths. Please have present the original or copy of instrum t ` CS9tiRa BORO. CUTA6ERlANO t
MECHANi ,~ ~, 2014
~Ily Commia:ioo ExP~ -
Form 24V-03 rev. lO.l3.0G
TH OF NON-SUBSCRIBING WITNESS(ES)
OA
REGISTER OF WILLS
Cumberland COUNTY, pE~iSYLVANIA
Deceased
Estate of Robert W. Thom son
and
Denise Thom son was well-
ualified according to law, depose(s) and says(s) that she
(each) being duly q and am familiar
Robert W. Thom son g Robert W Thompson
acquainted with
' h the handwriting and signature of the decedent, and that the si nature of of Rob rt W Thomason
wit
to the foregoing instrument purporting to be the Last Will and Testament
;~ ;,, h;~ own proper handwriting.
(Signature)
(Street Address)
(City, Slate, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
I ~.'~ day ~~,
before me this ~ n ~ x -
~~~ ~ ~ f ^ft T C7 ~ l
of _..,
..} ~~ ~_ c..: _.
V l~ J ~~
r ~ ''.p..
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_.`~-i7 -j... _
t for gi er f Wills :~~~ _.._ ';T;
--
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Form R 6V-Od rev. 10. ] 3.06
199 Bea le Club Road
(Street Address)
Carlisle PA 17013
(City, State, ZiP)
nr
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a , ,~I w: ; l ~ ~ .
ENUNCIATION C~ER.F; {~~
ORP-~';~i'~ ~'C~!P~T
REGISTER OF WLLLS
Cumberland COUNTY, PENNSYLVANIA
Deceased
Estate of
in my capacity/relationship as
I, Fa L. Thom son renounce the right to
rP""''`'Rt4e~ of the above Decedent, hereby
s ouse
e Estate of the Decedent and respectfully request that Letters be issue to
administer th
David R. Thom son
l te)
Executed in Register's OJf ee
Sworn to or affirmed and subscridbad
before me this
of '
Deputy for Register of Wilts
Form Rt%'-Of rev, 10.13.06
,,
(Signature)
1135 Lambs Ga Road
(Street Address)
PA 17050
Mechanicsbur
(City, State, "Lip)
Executed out ojRegister's OffCe
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the rcnunc~at~n for the
purposes stated~within on thi-~~ -day
of -~ '
~'J ---
Kota ublic
My Commission Expires:
(signature and Seal of Nottw or other official qua6fie to
iration of Notary's Commission. j
administer oaths. show date of exp
COMMONWEALTH OF PENNSYLVANIA
N TARIAL SEAL
JENNIFER A. MEARKLE, Notary Public
New Cumberland Boro'reCu j be~and~1~o•
My Commission Exp' Y
l~ - ~~~
LAST WILL AND 'TESTAMENT OF RQF~E_~,T W. THOMPSON.
I, R!~BERT W. THOMPSUi~i , of the Township ~:~f Hampden., County
,.? CumbE:rland an~.~a_ ~,,i~„te of Pennsylvania, being of sound. art: dis-
posing m_i~,.d, -nemory and unders~~anding, do make, p~.zbli>h and de-
cla!'e this my Last 1,~Ii1.1 and Testament , ;~careby r evoking; and. making
void arty anc.a a~-.1 prior Wills by one at any time her~`~ofo re made.
1.
I c~, i~~ect the payment of a1_1 my just debts ~cri:a funeral expens~:°
•:s soon. after my d:~,ease as the same ~;a~a conven'_Lently '~~~~ d >ne.
2.
A. 1.1 the rest , residue and ra.7lai.~.~ der of my estate, r,=al, per-
sonal a.~,a rn~ xed, of whatso::vt~r nature and whex,e ;never situate, I
;ive, devise and. 'oe~ueath to my wife, l~'ay Z.. Thompson, absolutely
and in fee simple .
3.
I,-~ t_~=~-~ event my wife sho°ald predecease me c~~r should die wit~:~in
thirty (3J) day=- ~~-~=~''om the date of my d;ath, I ~;ive, devi~~ and
bequeath my e:=.t=ate as follows:
A. ~n the event my sort, ?avid F~. Thompson. -~_~ 21 years of
age ~~r ,elder, he shall rec give the ent ire estate absolutely and
in fee simple .
i3. _n the event my sore, :.)avid R. Thompson, clas riot reached
my estate
l"~ 21 sl~~all be distributE~~~~ a~~ follows:
_,
(1) . 1''I~T ~.,vife's diamond r :Lr~~ together wit ,~u~h '
~
~- O ~
'''
~ : ;
;
~
items •
~ furnit~~~.t~e, jewelry
and ot:~_c~r pe _
~ ~~
rsona.-'1~'~, _,
_
, ~ ~._
'
items shall be given t.> rny- on, David R. c~, ~,;
Th~n'tt.~~
:.,
absolutely. _ ~ :: ~.
_ ~ , ~,
- - :..~
~'
~
,
ra... ti.f~ CJ
r_ -r~
-1-
(?) . A11 the rest, r:sidue and remain~~t'r of
my estate sha1.1. be converted to Nash by my Execut _~-r
aiid paid to Cumberland County Natior..al Bank and
Trust Co_npany, in trust, r.Z,, :Tertheless, to :i_n~,%~:::st
and reinvest and to pay for the mair:~tenance, suppor''~
end education of my :-ion, David R. Thorp;-~on, such
funds a.s in the sole discret,i~~n of the Tru.~,tee a.~~
are reasonably nac~ssary for these purposes, I
author-i_z,_; payment from pr~inci_pal as well as income
even though t~le ~ rust may be exhau~~~t,E=d then. eby.
WIi~~ r~. rly son reaches agF: 2.1, the trust, shat L ~~ ease
and determine and the balance of thy, principal,
toget~ier with any undis~-:~~ibu~~ed incorle shall be paid
to him.
1~
"r ~Z:~minate, constitn:l-,e and appoint my ~~T~._.f_'e, Fay L. Thompson,
Executrix of this my Last Will and Tes:;ament, and in. the e~?ent
she should p:r~'decease me or for any reason be unab:l ~ or unwilling
to ar;t pis such, then l n,~minate, constitute and appoint my sore,
David R. Thompson, ~_.f he has reached ag: ~'l, but if he has not
YF~ached age 21 on t~'r~~ '.ate of my death, I n:.~mir..ate, consti~i,ute and
appoint my sister-in-law, Shir=_c;y Umho='~tz, of Fiar~ lsburg, Pennsy7_-
~~ania, to be the ExF~~cutri:x. of this mf L-~~;t Will_ and Testaln~r;.t in
his place any ~i,ead.
Ind WITNESS L~THEREOF, I have '~~~~r:=unto set m~T hand. ~~~rt seal this
`' ~~"~~~ day of ~VTov:mber, 1975
~ .,A~
' ~ ~ (SEAL)
~~~ ~ ~~ir ~~t '~
1
-}~R~>?ert W. Thompscr~
~,
Signed, sealed., c~ublished and d_~=~ _~larE;d by the above
1;>;led Robert W. Tho~7~pson, as and for his Last Will and
Tc~~-,=r,ament , in the pr~:,~ence of us who hav: ~~ubscribed our
-aa~r;-: hereto as witne uses, at the req~zest ~>n :>aid testator,
_;_-,1 '__-i.s presence and 1_Tl l:.he presence of eac-i other.
~" _;
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