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Home My WebLink About09-14-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS 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 respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: Clara L. Woods a/k/a: a/k/a: a/k/a: Date of Death: /12 File No: 21' ""- ~~ d ~~ (Assigned by Register) Social Security No: Age at death: 82 Decedent was domiciled at death in Cumberland County, PA (State) with his/her last principal residence at 2300 S~rin~ Road Carlisle North Middleton Township Cumberland Street address, Post Oftce and Zip Code City, Township or Borough County Decedent died at 1134 Pheasant Drive North Carlisle Street address, Post Office and Zip Code City, Township or Borough Cumberland PA County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ................................All personal property $ 1,000.00 If not domiciled in Pennsylvania .............................Personal property in Pennsylvania $ If not domiciled in Pennsylvania .............................Personal property in County $ Value of real estate in Pennsylvania .............................................................. $ TOTAL ESTIMATED VALUE.... $ 1,000.00 Real estate in Pennsylvania situated at: (Attach ndditionnt slteets, if neeessnry.) Street address, Post Office and Zip Code City, Township or Borough County ® A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 6/22/12 and Codicil(s) thereto dated Nine State relevant circumstances (e.g. renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ® 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 lite, durante absentia, durante minoritate If Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ EXCEPTIONS 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 (attach additional sheets, if necessary): Name Relationship Address C7 . . ~ ..t7 i`*-, r-- ~ ...i ,I n~~ .. _..._ - -+ _. rv Form RW-02 rev. l0/11/2011 " Tl -- n ,_ ~_ f .~ t'T'1 ~;~ Q , Page 1 of 2 ~`"~ Oath of Personal Representative Use Only ~-~ _~ ~ L.l { { *..Y .i f .._ COMMONWEALTH OF PENNSYLVANIA } -~ ~"~' _..._ COUNTY OF CUMBERLAND } ~ ~.-1 - ~~ -.~ ~ ~_ _ ~..~ Petitioner(s) Printed Name Petitioner(s) Printed Address ~ , W ~ -- '- 186 Buffalo Hollow Road tv - Ste hen L. Woods Glen Gardner NJ 08826 The Petitioner(s) above-named swear(s) or affirm(s) 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, the Petitioner(s) will wel__1-_-a~nd truly administer the estate according to law. Sworn to or ffrmed a u d b fo ,~~..•-^ ~ , ~ ' ~~'~ Date ~o } I ~,v 1 ~;~, me thi _r }' ~ ' Date ~'~ - ~ /`('/~~./~ Date By: Register Date BOND Required: ^ YES ® NO FEES: Letters ....................... $ ( ~ )Short Certificates(s) ..... . ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Ot er .......•• Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ Estate of Clara a/k/a: - j ~ in consideration of the f~~re urn Petition AND NOW, IP .~ /~- , g" g , satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Stephen L. Woods _ _ in the above estate and (if applicable) that the instrument(s) dated June 22 2012 - described in the Petition be admitted to probate and filed of record as,the last Will (and~odicil(s)) of Pec ~~~dp ~~U~~///l ~~~~~ b ?S ~O :L To the Register of Wills: Please enter my appearance by my signature below: Attorney Signatu ~ ~1 ~ ~~ ~~ ~ ~ , ~~ ' t~/ ) ? i ., ,, / Printed Name: Geor e B. Faller Jr. Supreme Court ID Number: 49813 Firm Name: Martson Law Offices Address: 10 East High Street Carlisle PA 17013 Phone: 717-243-3341 Fax: 717-243-1850 Email: gfaller(a~martsonlaw.com DECREE OF THE REGISTER /~- J~~~ oods ___ File No: 21 Register of Wills ~~~ ~ ,~,~ ~/ Form RW-02 rev. 10/11/201 / /~t Pa e 2 of 2 ,~~ - i~i',o~. ~~ g ~ , - / a -- loo ~ ~~~:~~i~.~~a~~~=1i -~~~. ' ' ~. .. t'jK~ i C _.L.'.1 1~~~1~ S~Or ti)i~ t~c~rlilic•atc. ~.r) t~Ft) .'~~2 Std' ! 4 FF~ 3~ ~ ~ ~ .~:~~' ~ _ . ~. ,~ .r } OAP, ~,~,~~ .~ .~ _,, ,~ ~. _ . -, ~~, ,~ ~ ~ ~ ~ f~, ~t1~1~~P~~~ t;ul . ~ ~~ 0., PA 5 Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH • VITAL RECORDS Permanent CERTIFICATE OF DEATH Black Ink State File Number: 0 5 3 ld.~, V f cJ Z 1. Decedent's Legal Name (First, Middle, last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Clara L_ Woods Female ugust 15, 2012 Sa. Age-Last Birthday (Yrs) 56. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/D a /Year) (Spell Month) 7a. Birthplace (Cityy and S tate or Foreign Country) g2 Months Days Hours Minutes Dec 4, 192 NewV111e, PA ' 7b. Birthplace (COU n[y) Sa. Residence (State or Foreign Country) 86. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Live in a Township? PA 2300 Spring Road ®Yes, decedent lived in N _ Middleton twp. 8d. Residence (County) Cumberland 8e. Residence (Zip Code) l~]Q13 ~ No, decedent lived within limits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death ~ Married Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) Q Ves ~ No Q Unknown ~ Divorced Q Never Married ~ Unknown 12. Fath s Name (First, Middle, Last, Suffix) l 13 th is N e Pr to First Marriage (First, Middle, Last) `~" ~ ~ ~~um T _ Stum Pau io .a _ 14a. Informant's Name - - - - 14b Relatio rtshipto Decedent h d I f m is Mailing A dr s Street a Nu b r, Ci tat Zip de) PA t'~ar~is`~e san ~ ive orr'~~ ~~~~ ~ 0 ter aug Wilmale W_ Thomas , , ea 15a. Place of Death Chec o 1 one .-+. If Death Occurred in a Hospital: LJ Inpatient - = ^ .+-. 1f Death Occurred Somewhere Other Than a Hospital: LI Hospice Facility ~ Decedent's Home [] Emergency Room/Outpatient ~ Dead on Arrival . ~ Nursing Home/Long-Term Care Facility ~ Other (Specify) ~ ~ 15b. Facility Name (If not institution, give street and number; 15c. City or oyy n, tote, and Zip o 15d. County of Death ~ l ~1"~C 1134 Pheasant Dr_ North a.s e, PA Car O13 Cumberland 16a. Method of Disposition Burial 0 Cremation 166. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) m ~ Removal from State ~ Donation At1g 20, 2012 Westminster Cemetery r~ Q Other (Specify) _ - a~i ~ 16d. Location of Disposition (City or Town, State, and Zip) 17a. Sign a of Funeral Servi L' In Charge of Interment 17 b. i u ber i~~g~~ Carlisle, PA 17013 ~ g c. a and C le e A ress of Fun ral cility ~o~~man-~2~tfh `~unera~ dome & Crematory, 219 North Hanover Street, Carlisle, PA 17013 m 18. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what ~°- highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be. '~ 8th grade or less is Spanish/Hispanic/Latino- Check the "No" W White ~ Korean ~ No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. ~ Black or African American ~ Vietnamese ~ High school graduate or GED completed ~] No, not Spanish/Hispanic/Latino ~ American Indian or Alaska Native 0 Other Asian Q Some college credit, but no degree Q Yes, Mexican, Mexican American, Chicano ~ Asian Indian ~ Native Hawaiian 0 Associate degree (e.g. AA, AS) Q Yes, Puerto Rican ~ Chinese ~ Guamanian or Chamorro Bachelor's degree (e.g. BA, AB, BS) Q Yes, Cuban 0 Filipino ~ Samoan Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Yes, other Spanish/Hispanic/Latino Q Japanese ~ Other Pacific Islander Doctorate (e.g. PhD, EdD) or Professional degree (e. MD, DDS, DVM, LLB, JD (Specify) 0 Other (Specify) 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work ~] White Q Japanese Q Samoan done during most of working life. DO NOT USE RETIRED. ~ Black or African American 0 Korean Q Other Pacific islander Housekeeper ~ American Indian or Alaska Native ~ Vietnamese ~ Don't Know/Not Sure Q Asian Indian ~ Other Asian ~ Refused 22b. Kind of Business/Industry Chinese Q Native Hawaiian ~ Other (Specify) Self Employed Filipino ~ Guamanian or Cha mono ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Yr) 23 b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH _ ~ ~~ ~ -^ ~ ~~ - ~~` ^~~~~~^ K ~--7 23d. Date Signed (Mo/Day/Yr) 24. Time of Death ` -' ' Q 25. Was Medical Examiner or Coroner Contacted? Q Yes No CAUSE OF DEATH Approximate 26. Part I. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: one c/ause on a line. Add additional lines if necessary Onset to Death respiratory arrest, or ventricular fibrillation without showing the etiology./(R/O NOT ABBREVIATE. En/t/e~r only ~ ~ - IMMEDIATE CAUSE ---------------> a. ~;~~>•- • ~ ^ OLA~I.~s C.. i ~~Y\C>dT ' (Final disease or condition D to (or as a co sequence of):~ resulting in death) b. ~r \ W~~ IV GAS! .la~l ~ ~~ ~ sj /M~~ Sequentially list conditions, Due to (or as a consequence of): if any, leading to the cause listed on line a. Enter the c. UNDERLYING CAUSE Due to (or as a consequence of): ~ (disease or injury that initiated the events resulting d. w v_ in death) LAST. Due to (or as a consequence of): 26. Part 11. Enter other sieniflca nt conditions contributinz to death but not resulting in the underlying cause given in Part I 27. Was an autopsy performed? o Q Ves No g 28. Were autopsy findings available to complete the cause of death? Q Yes ~ No 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death E ~ Not pregnant within past year ~ Ves Q Probably ~ Natural 0 Homicide u° ~ Pregnant at time of death ~ No ~"'~known ~ Accident ~ Pending Investigation Not pregnant, but pregnant within 42 days of death ~ Suicide 0 Could not be determ(ned '° Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (Mo/Day/Yr) (Spell Month) ~ Unknown if pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: Ves ~ Driver/Operator ~ Pedestrian 0 No ~ Passenger ~ Other (Specify) 39a. Certifier (Check only one): ~ Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated Q Pronouncing & Certifying physician - To th best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated use(s) and m a n n er stated rred at the time, date, and place, and due to th e ca h cc u ~ Medical Examiner/Cor - On the sis examination, and/or investigation, in my opinion, deat /~ / ~ ~ / ~ ~ ~ ~ ~ f u Signature of certifier: Title of certifier: / vC./ License Number: t).~ ~cs / 7 J 39b. Na dr and C de of Person Comp in Cau a of Bath ( m 26) ~ 39c. Date ged o/Oay/V r) ~ ~ r1 ... . L ~ i>~.o,~ O / 0 2 ~ 's strict Number 41. Registrar's u 40. Registra r 42. Regist ar File ate (MO Day/Yr) ~ f ~ U .~ ` 43. Amendments Disposition Permit No. ~ (. T li 1 ~ L \ H105-143 REV 07/2011 F:~F[LES~Clients\11031 Woods\1103L1.wi112012 ~~~ ~~ ~ LAST WILL AND TESTAMENT ~ r,"~ ~- d~_. -~ ~ _ ~c"? - ~- I, CLARA L. WOODS, of North Middleton Township, Cumberland County; ~~nnsyl~ia, ~- _° .. ~~ ~~ being of sound and disposing mind and memory, do hereby make, publish and declare this to l~e,my -~~ Last Will and Testament, hereby revoking any and all former Wills or Codicils made by me. 1. I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all death taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. 2. I give, devise and bequeath all of my estate, both real and personal property, unto my children, WILMALE W. THOMAS, ROBERT A. WOODS and STEPHEN L. WOODS, in equal shares, absolutely. 3. I nominate, constitute and appoint my son, STEPHEN L. WOODS, as Executor of my estate. In the event he is unwilling or unable to so act, then I appoint my daughter, WILMALE W. THOMAS, as Executrix of my estate. 4. I direct that my Executor, or his successor, shall not be required to file a bond to secure the faithful performance of their duties in any jurisdiction. 5. I authorize and empower my Executor, or his successor, in their sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms and such prices as they may deem advisable; to borrow money for any purposes connected with the e'~ [Initials] Page 1 of 3 Pages protection and preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any share to be composed of cash, property or undivided fractional shares in property different in kind from any other share; to employ agents, attorneys and proxies and to delegate to them such power as my Executor, or his successor, consider desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may be necessary to carry out any of these powers. In addition, I direct that my Executor, or his successor, shall have the power to conduct an inventory of any safe deposit box necessary to the administration of my estate. ~~ ~ f N WITNESS WHEREOF I have hereunto set my hand and seal this ~ day o ay~~ Clara L. Woods SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testatrix and of each other. Page 2 of 3 Pages COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, Clara L. Woods, ~ . r~V~x~ I : ,and r f-Qc~.f«- the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her last Will and that the Testatrix has signed willingly, and that the Testatrix 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 Will as a witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Clara L. Woods, Tes~tri Witne Witness Subscribed, sworn to and acknowledged before me by Clara L. Woods, the Testatrix, and subscribed and sworn to before me by ~ ~~ ~ and T/1~./y ~!'~ `-~ , the witnesses, thisa?.2~~ day of a.r-~- , ~l2-. !L ~~ Notary Public coo~-Tx of r~snv~ NOTARIAL- S~ public Victoxia ~,. Quo, Notary Carlisle Boro, Cumberland Co 2014 My commission expires -e,~~ ber Z0, Page 3 of 3 Pages