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PETITION 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: Paul B. Toomey File No: 3 (z
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 195-16-4511
Date of Death: January 8, 2013 Age at death: 88
Decedent was domiciled at death in Cumberland County, Pennsylvania (state) with his/her last
principal residence at 1 Lonesdorf Way, 17015 Carlisle Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 1 Lonasdorf Way, 17015 Carlisle Cumberland Pa
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania. All personal property $ 12,207.00
If not domiciled in Pennsylvania Personal property in Pennsylvania $ 5,6()000
If not domiciled in Pennsylvania . . Personal property in County $
Value of real estate in Pennsylvania $
TOTAL ESTIMATED VALUE.... $ 17.807.00
Real estate in Pennsylvania situated at: 1249 Snowdale Rd. 17823 Dornsife Upper Mahonoy Twnpship Schuylkill
(Attach additional sheets, if necessary.) 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 April 20, 2000 and Codicil(s)
thereto dated
State relevant circumstances (e g. renunciadon, 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 bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
O 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, e.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 divor e6'h- qd been est&Wshe4 dined
in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ~s rn O
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co i7)'
® NO EXCEPTIONS ® EXCEPTIONS ► n c> m
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the followFu sgupifar4'ond jh~ys0tach
additional sheets, if necessary): O O
C~ n -D -rl 1
Name Relationship AddTESSC-> --r,
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Forln RW--02 rev. 1011112011 Page 1 of 2
Oath of Personal Representative Official use only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s) Printed Name Petitioner(s) Printed Address
Cheryl L. Warner 110 Pennsylvania Ave. Cam Hill PA 17011
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 well and truly administer the estate according to law.
Sworn to o affirmed an subscribed before l z ( ,1L) Date
me tk day of
k b, , 0C 11 Date
L
Date
For the Register Date
r
BOND Required: ® YES ®N To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters $ ( "C Attorney Signature:
( ) Short Certificate(s)...... Cl)
( ) Renunciation(s)......... O n
( ) Codicil(s) pp rn
( ) Affidavit(s)............ Z _
i
Bond........... Printed Name: `
~ M C.)
1.41
Commission Supreme Court. Q?
Other_ _ ID Number: C) Z)
C a t`
F
r,r~f . CU Firm Name:7
L`)_CC Address: °y r-~ Vy
p
Phone:
Automation Fee Fax:
JCS Fee . Email:
TOTAL $
DECREE OF THE REGISTER
Estate of Paul B. Toomey File No: '~'2 3
~ f
a/k/a:
AND NOW, tdl~t in cons}deration of the foregoing Petition,
satisfactory proof having been resented before me, IS ~ SCREED that L tters ,
are hereby granted toZ ( (U-2- 3
in the above estate and (if applicable) that
the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
% ~~n
I/ 1 ) J_ ~Z 1~ ,
Register of WI is
Fonn RW-02 rev. 10/11/2011 Pfgge 2 of 2
RECORDED OFFICE OF
REGISTER OF WILLS
1013 FEB 13 Ail ? 1 00
P 19065249 CLERKOF
JAN102013
ORPHANS' COJRT~
CUMBERLAND CO., PA
Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS
Permanent/ CERTIFICATE OF DEATH
Black Ink ~(J
1. Decedent's Legal Name (First, Middle, Last, Suffix) State File Number:
2. Sex 3. Social Security Number 4" Dare of Death (MO/Day/Yr) (Spell Mo)
Sa. T O CL - - / / -
Age- Birthday (Yrs) 5b. Under 1 Year . Under 1 D.
6. Date of Birth (Mo/Day/Year) (Spell Month) 7a. Birthplace (Ci and State or Foreign Coon ) Oil(
Months Days Hours Minutes •S l7
y~ 7b. Hirthp lace (County)
8a. R_esidence (State r Foreign Country) 8b. Residence (Street and Number - Include Apt c. Did Decedent Live in a Township? OL2
s, decedent lived in / _
8tl. Residence (CO ty) L
io"
Cv n Be. Resident (Zip Code) j Q [:]No, decedent Ilved within limits of ci y/born.
9. Ever in US Armed Forces? 10. Marital Status It Time of Death Cj Married Widowed 11" Surviving Spouse's Name (If wife, givename Prior to first marriage)
~'es E3 No Q Unknown C3 Divorced 0 Never Married Q U
12. Father's Name (First, Middle, Last, Suffix) 13 Mother's Name Prior to First Marriage (First, ddle, Last)
w
14a. Informant', Name 14b. Relationship to Decedent 14C. Inf -.nt's Mail Address (Sand N ber, City, State, Zip Codej f 7 O
h
G Q V "'et- Ave- .....................'.-...'°."-ir AL"/
......Q..... . a. P ale o o c c e P Occurred in a Hospital! c on y one
t~~..
o Inpatient ;If Death Occurred Somewhere Other Than a Hospital: [ Hospice Facility
Q Emergency Room/Outpatient [3 Dead on Arrival Decedent s Home
_ ursiog Home/Long-Term Care Facility Other L.t
ad 156. Facility Name (if not institution, give street and number; (Specify)
15c,City or Town, State, and Zip Code cvocc t isposit 1Sd. County of Death
LL Cc-+~beYlp. C S ) S C cC'tv~b
16a" Method of Disposiion Burial 1__] Cremation 16b. Date of Disposition 1 c. Place of Dion (Name ...mcemetery, State, and Zip)
m E3 Removal from State E of ce Donation
crematory, or other place)
~ Other (Specify)
16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of Funer 1 Service Licensee or Person in Charge of Interment 17b. License Number
0 17c. Name and!5Cl om pier Add, D
ess of Fu n~ r I Facility
18. Decedent's Education -Check a that best describes the
pie 19. Decedent of HisP nic Origin
i- highest degree or level of school comted at th ti
8th grade or less -Check the 20. Decedent's R ce - Chec ` NE O MORE ra s to indicate what
e me of death. box that best describes whether the decedent the decedent considered himself or herself to be.
Is Spanish/Hispanic/Latino. Check the "No" it7Korean
No diploma, 9th - 12th gratle box if decedent is not Spanish/Hispanic/Latino. Q Black or African American 0 Vietnamese
C] High school graduate or GED completed not Spanish/Hispanic/Latino
Some college E3 American Indian or Alaska Native 0 Other Asian
Q credit, but no degree Ves, Mexican, Mexican American, Chic
Q Associate degree ano E3 Asian Indian
(e.g. AA, AS) ~ yes, Puerto Rican Q Native Hawaiian
E3 Bachelor's degree (e.g. RA, AB, BS) O yes, Cuban E3 Chinese Q Guamanian or Cha mono
Q Master's degree ED Fill Q Samoan
(e.g. MA, MS, MEng, MEd, MS W, MBA) Q Yes, other Spanish/Hispanic/Latino Ej Japanese
LJ Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Other 0 Other Pacific Islander
. MD, DDS, DV M, LLH JD (Specify)
21.a.Ueecedent's Single Race Self-Designation - Check ONLY ONE to Indicate what the decedent considered. himself or herself to be. 22a. Decedent's Usual Occu
lyy White - Japanese Samoan Patton -Indicate type of work
Q Black or African America Q Korean done during most of working life. DO NOT USE RETIRED.
O 0
0 American Indian or Alaska Native E3 Vietnam Other Pacific Islander
0 Asian Indian Ej Don't Know/Not Sure
~ Other Asian Ej Refused
E3 Chinese :3 Native Hawaiian Q Other (Specify) 226. Kind of Business/Industry
¢ 0 Filipino Ej Guamanian or Chamorro L Q.
IT
By PERS44
EMS 23, - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO Day/Vr) 23b. Signature of Person Pronouncing Death (Only when ap icablef 23c" license Number
CERTIF ES DEATH PRONOUNCES OR 0(-02 _
23d. Date Signed (MO/DaD y/Yr) 24. Time of 8Death
ir) 0,9 ~ 2S. Was Medical ExamIner or Coroner Contacted? 0 Yes No J _ail CAUSE OF DEATH
26. Part 1. Enter the chain of events--diseases, Injuries, or complications--that direct) AP Proximate
respirato Y caused the death. DO NOT enter terminal events such as cardiac arrest interval:
ry arrest, or ventricular fibrillation wcithout sh~~owf~lnng the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines If necessary Onset to Death
IMMEDIATE CAUSE a. ,~5~
(Final disease or condition que f)
resulting In death) b~ S / t ~~as a°nsc 7A _
Sequentially list conditions, G/to/(o Jas as consequence 'f).
if any, leading o
t the -u-
listed ue t
on line a. Enter the -
UNDERLYING CAUSE Due to (or as a consequence of):
(disease or Injury that
J - Initiated the events resulting
f~> n death) LAST. Due to (o as a consequence of):
~..1 S 26. Part II. Enter other si fica/n~t conditio ntributin to death but not resulting io the underlying cause given in Part 1 2]. Was an auto P
o Ye rfor ed?
m PsY e
~ s ~
_ zs" were a opsY findings a aRabic
to co Plete the ca useyf'~ea~n?
29. If Fem ale : 30. Did Tobacco Use Contribute to Death? 0 Yes No
o Not pregnant within past year Yes 31. Manner of Death
m 0 Pregnant at time of death O Probably atu ral Homicide
Not pregnant, but pregnant within 42 days of deatM1 Unknown 0 Accident 0 Pending Investigation
y.~ 0 Not pregnant, but pregnan t 43 days to 1 year before death 32. Date of In"u Suicide
• E3 Unknown If pregnant within the past year 1 ry (MO/Day/Yr) (Spell Month) 33 Could not be determined
. Time of Injury
\ 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zlp Code)
36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred:
E3 Yes 0 Driver/Operator 0 Pedestrian
Q No E3 Passenger M 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 ✓L Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated
C3 Medical Examiner/ ;t he-b Jry~I/slon, d//yam' (y/q~tigation, In my opinion, cleat oC cured at the time, date, and place, and due to th~e'cauusse( ) and nr
Signature oftertifier:J Tit
of certifier License NUmber:ly`~ Q/-3 ~7;~to~
39b. Name, Address any, Cod f P~yr ,{C,om~pleting Cause ot.Deai tem 26) C 39c. Date Si
,-Ur Ef
/(<sol, C~~«[ 4C gned (M /ynL
rt [ zC` ( % 3 ZJ 3
40. Registrar's District Number I 41. Registrar's Slgnatlyg 42. Registrar File Date (MO/Day/Yr)
43. Amendments / - / ~Q~
O
g
Disposition Permit No. H105-143
- REV 07/2011
pill an~ C, r'stam-ent rn
C~
CD
OF rn ' ca u~ :a
PAUL B. TOOMEY r- r W 7
I, PAUL B. TOOMEY, presently residing at 522 Eshelman Street, Borough 9f Highs
pire,~ i
a
Dauphin County, Pennsylvania, declare this to be my Last Will and Testament, revoking othtf
Wills and Codicils previously made by me.
1. The expenses of my last illness and funeral shall be paid from my estate.
2. I give my real estate located at R. D. 1, Dornsife, Pennsylvania, to my step-daughter,
Kendra C. Jumper. However, it is my wish and desire that Kendra permit my wife's other
children, Cheryl L. Riddle, Cathy R. McDonald, and Paul E. McQuilkin to use the property during
her lifetime, and that they assist her with its maintenance and upkeep.
3. I give all the rest, residue and remainder of my estate, wheresoever situate and of
whatsoever nature to my step-children Paul E. McQuilkin, Cheryl L. Riddle, Cathy L. McDonald,
and Kendra C. Jumper, share and share alike, per stirpes, to be divided among them in as nearly
equal parts as practical.
4. I authorize any fiduciary, herein named, to exercise the following powers, in addition to
those given by law, to be exercised in their sole discretion.
A. To retain any real or personal property which may at any time form a part of my estate
as long as deemed advisable.
B. To invest in any real or personal property without restriction to legal investments.
C. To purchase investments at premiums; to charge premiums to income or principal or
partly to each. To subscribe for stocks, bonds, or other investments; to join in any plan of lease,
mortgage, merger, consolidation, reorganization, foreclosure or voting trust and to deposit
securities thereunder; and generally to exercise all the rights of security-holders of any corporation.
To vote, in person or by proxy, securities held by them and in such connection to delegate their
discretionary powers.
D. To repair, alter, improve, mortgage or lease for any period of time any real or personal
property and to give option for leases.
E. To sell at public or private sale, for cash or credit, with or without security, to exchange
or to partition real or personal property, and to give options for sales or exchanges.
F. To borrow money from any person or institution, and to mortgage or pledge any real or
personal property.
G. To carry on any business owned or controlled by me at death for whatever period of
time they shall think proper, and they shall have the power to do any and all things they deem
necessary or appropriate including the power to borrow and to pledge assets contained in my estate
security for such borrowing; and the power to close out, liquidate, or sell the business at such time
and upon such terms as to them shall seem best.
H. To compromise claims. II
1
I. To make distribution in cash or in kind or partly in each.
J. To apply directly for the needs of any beneficiary, in case of the disability of such
beneficiary through illness or other cause, any income or principal that is payable to such
beneficiary.
K. To exercise all power, authority and discretion given by this Will after the termination of
any trust created herein until the same is fully distributed.
5. All interests hereunder, whether principal, income or remainder, while undistributed and
in the possession of any fiduciary named herein, and even though vested or distributable, shall not
be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of
any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or
anticipation.
6. I appoint my step-daughter, Cheryl L. Riddle, Executrix of this my Last Will and
Testament. Should she for any reason whatsoever, be unable or unwilling to serve, then I appoint
my step-daughter, Cathy L. McDonald, as alternate.
7. No fiduciary named shall be required to enter bond or furnish sureties in any jurisdiction.
IN WITNESS WHEREOF, I set my hand and seal this 20th day of April, 2000.
Paul B. Toomey
Signed, sealed, published and declared as and for the Last Will and Testament of Paul B. Toomey,
the Testator, in our presence, who in his presence and in the presence of each other, and at his
request, have hereunto set our hands and seals as subscribing witnesses hereto.
Residing at
Residing at
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF DAUPHIN )
I, Paul B. Toomey, the testator, 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 purpose therein expressed.
Sworn or affirmed to and acknowledged before me by Paul B. Toomey, the testator, this
20th day of April, 2000.
F
Notary Public Paul B. Toomey
NOTARIAL SEAL
DANIEL K. BAYER, Notary Public
Steelton Borough, Dauphin County
my commission Expires May 18, 2002
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF DAUPHIN )
We, Allen D. Smith and Rose Marie Kleinsak, the witnesses whose names are signed to the
attached or foregoing instrument, being duly qualified according to law, do depose and say that we
were present and saw the testator sign and execute the instrument as his Last Will; that the testator
signed willingly and that he executed it as his free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the testator signed the Will as witnesses; and
to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind
and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by Allen D. Smith and Rose Marie
Kleinsak, witnesses, this 20th day of April, 2000.
Notary Public Witness
NOTARIAL SEAL
DANIEL K. BAYER, Notary Public _ ~ \j
Steeiton Borough, Dauphin County -~!„e
My Commission Expires may 18, 2002
Witness