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HomeMy WebLinkAbout06-26-12t -s Reset PETITION FOR GRANT OF LETTERS REGISTER OF WII,LS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the following and respectfiilly request(s) the grant of Letters in I:he appropriate form: Decedent's Information G`~I ,_ I ~ _ ~~ Name: DELTA ANN LEWIS File No: _[ a/k/a: (Assigned by Register) a/lc/a: a/k/a: Sodsl Security No: Date of Death: ~~ D / ~ Age at death: 88 Decedent was domiciled at death in CUMBERLAND County, rI?NNSVI.vAhnA (ware) with his/her last principal residence at 442 WALNUT BOTTOM ROAD. CARLISLE. CARLISLE BOROUGfi. PA Street addreuti Pou Onice aad Zip Code Chy, Toweship or Borough County Decedent died at 442 WALNUT BOTTOM ROAD. CARLISLE. CARLISLE BOROUGH. PA Street address, Poet OIBee aed Zip Code City, Towastlp or Boroagh Comty State Estimate of value of decedeaYs property at death: /JdomieUed is Penney!venie ............................ All peraonalpmperty S 400,000.00 /jnot domklled in Pennsylvania ........................ Personal property in Pennsylvania $ /Jnot domiciled fn Pennsylvania ........................ Persona[ property in County $ Valae ojrcal estate !n Pennsyiwnia .......................................................... S TOTAL ESTIMATED VALUIi..... $ 400.000.00 Real estate in Pennsylvania situated aC NoOe. (Attach addinonalsheets, ifneressory.J Street address, Post Office aad Zip Code Clty, Towestlp or B//oroagh Couety ® A. Petition for Probate and Grant of Letters Testamentary $ C//Jit r'No~l` i ~ °~ o01, Petitioner(s) aver(s) he/she/they is/are the Executor(s) named N the last Wiil of the Decedent, dated ~ftdinha fyri,ZBi'i and Codicil(s) thereto dated Snte rekvu[ circuomtaaca (eg. renuatiatlon. dears of ezecaror, ac) Except as follows: afterthe execution ofthe instrnment(s)offeredforprobate Decedent didnot rnarry,was not divorced, was notapatty to spending divorce proceeding wherein the grounds for divorce hed been established as defined in 23 Pa. C.S. § 3323(8), and did mt have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ~ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d.b.n.c.t.a., pendente life, dumnte absentia, durante minoritate If Administration, c.ta. or db.st.cta, enter date of WiB in Section A above end complete Bst of heirs. Except as follows: Decedent was mt a party to a pending divorce proceeding wherein the grounds far divorce had been established as defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. © NO EXCEPTIONS O EXCEPTIONS Petitioner(s), after apropersearch has/have ascertained that Decedent leftno WiII and wee survivedbythe additional sheets, if necessary): C Name Relatioaehi Address ~ r L US ::, m C7 _, - a ~~ 5 O x~ -~-, ~~ n C n CJ~ Ci t~'i~ n :z7 C7 r~- r~ ~i __ -n =' C7 _ m ~n~ porn BW-oz reg. loalaol! Page 1 of t Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } ss: COUNTY OF CUMBERLAND Qtlle181 t)ae only f!.0't~,~~, ,rH4~ ~ 7n1~1 111\I I,r •\~ IIY. A Petitoner(s) Printed Name Petition s GLENNA T. COX 124 W. Middlesex Drive Cazlisle PA 17013 ~~ ~~r „ ~;;,~ -} B RLAND C ., PA The Petitioner(s) above-named swear(s) or affum(s) the statements in the foregoing Petition ace true and ComxK to the best of the Inwwledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Dece tt, the Petitioner(s) will well and truly administer the estate ac~c/ording to law. Swo too affirmed an subscribed before ftC ;~~i4L Date //Gliy/,y ~2 ~ ~a /~ e th' ~ay~of t/it. ~ OIZ _7- Date/ Register Date BOND Required: Q YES v NO FEES: // Lett s ...................... $~ (~) Short Certificate(s)...... ~.T.~1~~- ~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commiss' n. i (i .............. Other ~........ /~ Automation Fee .............. . JCS Fee ..................... TOTAL ..................... $ mom ~a~ ~ Estate of DELIA ANN LEW1S File No: ~! r ~ ~' 7e Y a/k/a: AND NOW, _ satisfactory proof the instnanent(s) dated described in the Petition To tAe Register of Wills: Please eater my appearance by my signature below: Attorney Signature: Printed Name: William P. Dou Ias Supreme Court ID Number: 37926 Firm Name: Douglas Law Office Address: 4'i W Sro,th St Carlisle. PA 17013 Phone: 717-243-1790 Fax: 717-243-8955 Email: hharMnrCdrarthlink net DECREE OF TIIE REGISTER presented before me, IT _ aze hereby granted t0. to probate and filed in consideration of the the above estate and Petition, that ParnlRw-oz rev. iaiJizorr /~ / ~/~/ ~~~/ ,$aee 2 oft l .xla.nu (s[ t. nt n c~~n<rv) gb. Rexmente (s< .na N cobs- mtlme Apt rvu.) ola o nwnsnlPp 442 Walnut Bottom Road pV.x, eaeeat wee _ [.., p Ha. a.xla.na until Carl Tale ere. Reneena (nP coeel n, e.vea[ u..a wlmin mm~. m tIN/bn<n. N 9. Ever In Vs Armed Forcesi 1D. M a Q Ma we [u TI e <rl 11. surviving Spouse's Nvme of wife, gNe name prier to nta<maNlage) l O ~ V ra N I~Unknewn ~ O ua N lea O Unknawn VO 3 hMeYS Neme IGIrsC Miaela, LasC suNb~) 3 ~ 33. Motn t Nlanlaga (fns[. Mltltlla. Lav[) aa Creec~ilrx RObert Lee Taylor Loul la. mrorma['x N.me 34b. R.b[IOnxnlp <o wt.aa< let. mmrmarx M nor nsarcax isemee ana Number, gi s eel ~ ~a,IpPA a ~ Glenna T. Cox niece 124 W. M leae:lE Dr.a Car s 17013 d ._._...._........._.........._..........._......... _ ..... .......................L............a.:...aces....eaq....._ec,_on.y one ............................... Th Xe l ~~~ ~ Syyyy 11 DeatM1 Occu.rttl In a Hospital: Inpatient ilf DeatM1 Occurred 5amewnere OtIM1er Vn a Hospi<al: t~ ~p ce Fac111N Y~ Decetlen<'s Hame ~ EmsryaneV Roam/OUtpatlant Deetl on ANiVeI Nursing Home/Long-Tam Gre Falll O<M1er (6pec1 1 ' p 356. fvcIIIN Name (If not Instltutlan, [IVs street entl numbs.. 15 c. CIN or Town, State, and 210 Code 13e. County oP Deajn 2 Thornwald Home Carlisle, PA 17013 CLmJbar and 6v. Ma<hotl of Dlsposltlon Butlal Cremation 166. Ua<e of Dlsposltlon 3 Place of Olspnyl<lon Nemr- of came rcma Ivice terv.t tprv. tr otne.p 1 G ®Remnv.I nnm so[e ODnn.nn" May B, 2012 reenwood Ceme•tery oen.r ISP.cINI 15a. Lacetlon of Dlsposltlon (CIN or Tnwn, State, entl 2101 }Ya. slgnau .al service CM1 1Tb. L mbvr a .. or P.rxon In se of Imermem (tense nu Hamilton, OH 45026 138504 ana cnmPNt. Amt..x nr Fun.ra FatnlN No h Hanover Street Ca lisle PA 17013 .~ utlent'a Etluutlnn-CM1eck entl boz Ma bu[tleacnbea tM1e Ongln-CM1eck <M1e ceaan['r Rece-CM1eck ONE OR MORE UCa to lnalcae west O l l nlgnat tlegue or level of scnnol completes et eM1e time of tleatM1- bov tnvf best tle c rlbas wne<ha<tna eeceeem ceeent coniltleretl M1lmself err uNtn be. a ~ gM grade or lass aM1/XI Ic/Ln kFM1e" $1 Whl<e 0 Karevn p O No diploma, 9tM1-13tM1 greee bow lf decedent iz not ipvnlan/XI n141+[Inn. Ofilack or ATnun Finarlcvn O V 0 NIHT vcnool H<eeua a a O omeletetl ®v t 3p ISM/Hlsp IcmLatCn O Am m nor Alaska Netlve ~ Otne<Ta l sl 0 Sa college crcelt, bu<no tle8re en A erl an, CM1lcano Q Aslen lntllvn 0 NetlVe Hawellvn i1 ~ Wsoclete tleHree le. g-M As) 0 Ves, Puerto Plcan QC 0 G or CM1amorro la a $1 BacM1elorl tleHree (e. B0. A B51 0 V Cuban ~ filiplno ~ svmovn ~ :" om: p M rce o-.. Mn, M MEnH. MEe, Msw, MgAI o Y : seer spenlen/Hlxp.nlt/L.nnt o „pae.:e o Dm.r Paint lalaeer O oocmrcte (e.g: P DI n<prnfalnnm deerce (spetlM O otne. (SpalNl M1 . MD DOS OVM LLB JD slnHle Race 6el0.0exlgnalnn-cneck ONLY ONE[n lnslcate wM1at[ne secetlent <onsltleretl M1lmself or neraelf <n be. cesent'x VSUeI OCCUpalon-Intllu<e NPe of wnrk 3 e t x ® Wnlte ~ Japanese O Samovn done tlurlry mast of workinH Ilfe. DO NOT VSE RETIRED. O slack n.Anman nm.rman p K O Dmer Padnc Islanaer Teaehar p A Inei.n n. Al.xk. Na<i.,e o y o D w/tint 6,.rc n e O Asian inalan p omm Asian O R.mz a zzb. KI a a wanexx/I aurtrv p cr.m..e O n awaLn o omv apeclM Public School n D Fniann O G l.n nr cn.mn.rn ~ v MF3 o P[RSON WND PRONOUNCES OR z3.. e P.onounte tl .v . s na„rc n Perxnn eronopntmH Dear n v w .n .pP m. a t. utaae Nem e. TIF1l50EMTN [ 3tl tl IMn/Davn.l z sg . Time or o.am ~Q/~/3 y'$Sp 7 L OS 2 zs. was Meama Ea.mm.r ere .r cp.tatceaa O 113-N CAUSE OF DEATH Approalmvte ~ e team nr a ntx--eeeaaea, mJDnea, or tompnt.mns-me<abettov t.Dx.a entl aeatn. Do NOT enter terminal ..,atx x.an at tarelat artert ryel: ~ ' reepLaery.rrest. er Veno-l nmr nb.nlamn wrzno.,<xnnwmg m..nningy. D ng nTE. Enter nnN nna...xe nn.Ime. nee aemnon.nmex if n.uxxarv i ett .a<n o N T gR6m ~ Dm o D IMMeDIATe cADSE -----> e. \ 5 <(_Ra.:.\~ ST~o\r. E l E.~ Ie IN Iron Due eP for ez a canseau•nt. on: n ' :meml .e ~~a re e m g i b. ~ sebuenHarly INe tonm[Inn:. Due w (o<s a tenx.puat. nn: j n.nY, L.amH w cn. t.,.xe J umaon nne .. Enter the c 1 Due to (or a a consequence o0: j i oae olr rvVns l N ~ e s i t v m d..~ptusc is raven^g a. Due m Int ax a tnnmeuence Pn: a z6. Fvrt Ib Enter omen bv<nn<rexomne m me uneeevm8 Dose alVen In p.n I zT. ws en .u< Pxv P.rform.a> vet Nt ~ ]B. Werea YFlntlln l m~ [n e<M1e cease aPtlutM1 i O N 9. If Famvle: n Vse Con<rlbute to DeaM1i O T 31. M r of Dutn a g ~ N tPreenan[wltM1ln Pa<year D V ~ PnbsnlV a[uul 0 Momlcltle ~} {ever vt time of eevM ~ N O V nknawn [] Accltl e t P e alnl .~ O N [ wlMln 93 eaVa of tleatM1 tl : O E u a ntl tleterminetl Icl le n ~ Not pregnant, but pregnant 43 says <0 1 err beiare tlea<n s ere of In/ury (MO/OaV rl (spell Man[F) ~ UnknawnllP<egna[wl<nln [na Pavt Year .Time of lnlury . Place of In/u<y Ie.H. name, canst.uctlnn xlu, (arm, xcnnon Caution nl lnJury Isnae<antl Number, CIN, Stae, Zlp Coea . m/ury v ork . Xr.vnsponaUOn Iryury dry: . Deavme IJO... mlurv occunetl: o r O Drlv.r/Dpere<o. p Pea.xo-Ln o Ne o P.xxen r o Dme.ISpetlNl er Icneck onN nne): 1 99 15C rt 1fYm PM1VSICIan-TO the bes<ol my knowledge. tlevM Otcurratl due to entl ceure(ala tea ~ P rtlNin prays tea bu of my kna lesge tetl a tM1e [Ime, tlat ntl plv e(s) ens m btl m g a n g t O Meel<el Ere ine~/COr O bawls of e 1 Ion, entl/err Inves<Iga<lon, In m o Inlon, tleatM1 accu rcs a tM1e <Ime tla1ta entl plea entl due to tM1e uu ann rtv se(s)antlm <etl nn p~~ e°~l~a^tA ~D~~tl 7-kt ~ a~ . a sl8nrturt of certlflen Title of certlfler:~ t n c Y 39 b. Neme, Atleretx ana Zlp 5~ere of Pa n Completing Cauu f0 a n (I[e 161 _ ` t - ~ ' 39 Dae slgnes V/VrI e LTJWaw i•.: Ya•D I Ci.( O v P. VF (~(`l / I r"3C~,v'. a 11~~ C>Ca"L1~a. \S 5 t L .Reel... Ix<n N..m er .Begat ~1 rFl. te n a r ~ F a ~l a . nm.nam.nta . DiaPnalNnn Permit n O ~ 3~L RED e~-lea /zou LAST WILL AND TESTAMENT I, DELIA ANN LEWIS, of Carlisle, Cumberland County„ Pennsylvania, being of sound and disposing mind, memory and understanding, declare the following to be my last will and testament, hereby revoking an.y and all wills heretofore made by me. Item I. I direct my executrix hereinafter named to pay a.ll my just debts and funeral expenses. Item III. I give, devise and bequeath all my property, both real and personal, to be divided as follows: A. Fifteen (15%) percent to Bonalee Winkler B. All the rest, residue and remainder of my estate to my niece, Glenna Taylor Cox. However, if Glenna Taylor Cox should predecease me, the remainder of said property (after the above-mentioned portion given to Bonalee Winkler) is to go to the heirs and assigns of Glenna Taylor Cox. Item IV. I nominate, constitute and appoint my niece, Clenna Taylor Cox, as my executrix, and direct that she shall serve without bond. ~~N WITNESS WHEREOF, I have hereunto set my hand and seal this \\ "~ day of September, 2006. ,./(~J ///1 s DELIA ANN LEWLS Signed, sealed, published and declared by the above named testatrix, as and for her last will and testament, who at her request, in her presence, in our presence, and in the presence of each other have hereunto subscribed our names as attesting witnesses: Q W~~ 7'fi=~. cis ~~: C7 D -, ~, Z N O~ S~ O O ~ C'' ~. CC. -_C, n~ r i n r _~ -~ i {'~ m C7 COMMONWEALTH OF PENNSYLVANIA COUN'T'Y OF CUMBERLAND We, ~ and L ~L~/Y~ whose names are signed to the attached or for oing ins ment, being duly qualified according to law, do depose and say that were present and saw testatrix: sign and execute the instrument as her last will, and that she signed willingly and that she executed it as her free and voluntary act for the purposes therEain contained, that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge, the testatrix was at that: time 18 or more years of age, of sound mind and y~,der no c¢~'tt~int oq~undue influence. 2,a Sworn to and subscribed before meme~ day of tember, 2006. _ Ntl111Nlwl CnMN MIO~U, Cu~ ~ uMp ly CawYNM~ Eapra Jum ~~ 2001. COMMONWEALTH OF PENNSYLVANIA COUN'T'Y OF CUMBERLAND I, DELIA ANN LEWIS, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Delia Ann Lewis Sworn to and subscribed before me this the ~~day of September, 2006 ~'~''~ _ "~ otary NOIMW ONI AeN ~ Cox, NOlrr Publk CaNN Nwwh, CuMNeNnd Cowigr Oly Comae Ex~NN ,Nmt 7, ION