HomeMy WebLinkAbout04-03-14 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C U IN 8FR14IUDI� COUNTY,PENNSYLVANIA
Petitioners) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof avcr(s)the following and respectfully request(s)the grant of Letters in the appropriate form:
Decedent's Information !2
Name: Larrw F, Adams FilcNo: ;u-/5t - 630!S
a/k/a: (Assigned by Register)
aWa:
a/k/a: Social Security No:
Date of Death: Mtrch i A. A014 Age at death: $
Decedent was domiciled at death in Cte1r%iser1nmd County, nns%4 I VAha (State)with his/her last
principal residence at 3 25 W IGV 7�Fi ys, � pt, 3129 MP,l'nntCG ur+l Lnit� ��—T i�• p�
Street address,Post O tee and Zip Cod e^ Cirywnshl rough County
Decedent died at fiedu J9iro*f We.Sp/fa/ diq� //i%/ CAM k4jamd tIX
Street address,Post Office and p Code City,Township or Borough County State
Estimate of value of decedent's property at death:
//domiciled in Pennsylvania............................ All personal property $ 6e DOD• CO
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania S
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $� •a a
TOTAL EST71M�ATED VALUE. ... $n
Real estate in Pennsylvania situated at:_' a D S SP,hlA yKi ll .4ve t )o" /�t��f lio"r'/r�/Lpr eura Dante l
(Attach additional sheets.ifnecessary.) 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 Ware the Executor(s)named in the last Will of the Decedmt,dated z/ /; '_7_07'
'205" aad-Gedieil(�
thereto dated
Slate relevant circumstances(eg.renunciation,death of executor,ere)
Except as follows: after the execution of the instmmcm(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.
NO EXCEPTIONS ❑ EXCEPTIONS
❑ B. Petition for Grant of Letters of Administration (if applicable)
aLa.,d.b.n.,d.b.n.c.t.a.,pendente lite,duranle absentia,durance minoritate
If Administration,c.ta. or db.n.c.ta.,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.
0 NO EXCEPTIONS ❑ EXCEPTIONS
N
Petitioner(s),after a proper search has/heve ascertained that Decedent Icft no Will and was survived by the�oliowing spos9ifany�nncirs(attach
additional sheets,ifnecessary): t. M n
Name Relationship d e s&, gn
;;0 r-r— Z m w; V
z .
_VC o
o r F
m
Form RW-01 rev.10/1112011 Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
) SS:
COUNTYOF Ctt Il7PJ(;2L/4IVD }
Petitioner(s)Printed Name Petitioner(s)Printed Address
tIMOA LtrND ERG N BAY9 P'96-2oX 59410D fflu, A4 / o/
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'Farted t t W anit w and truly administer the estate according to law.
Sworn to pr affirmed a subsc_i ed bg Jr b�, c Date
me i ay o (DUI V� 4YE � Date
By: Date
Date
c()
N
BOND Required: O YES �( NO To the Register of Wills: t7 s
FEES: / Please enter my appearance by my sig uD below: M R1
L((et�ters)). . . . .. . . . . . . . . . . . . .. $---;r� A�tto�rney Signature: C7 Cro A .CA
Short Certificate(s). . .. . . M
m
Renunciation(s) . .. . . . . . b
Codicil(s) O
_
o O
( )Affidavit(s).. . . . . . . . . . . / Z .
Bond.. . . . . . . . . .. . . . . . . . . . . :. Printed Name: CnA'l' F
Commission. . . . . . .. . . . . . . . Supreme Court 1'•' rn
Other . . . . . . ID Number: 3BSiJ ? r- in O
. . . . .. . . W Firm Name:
. . . . . . . Address: C O SE/^ .
me
q io,�.4 l7ess'
Phone: 7/7- 766-O.ZO 9
Automation Fee. . . . . . . . . . . . . . . Fax: '717- S
JCS Fee. . . . . . . . . . . . . . . . . . . . . n(c�3 _ Email ces' ie&/ fl�'-d A ,n
TOTAL. . . .. . . .. . . . . . . . . . . .. $
�/ DECREE OF THE REGISTER
Estate of p� E /16/a NS File No:
aWa:
AND NOW, in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED Letters TCSfd min),a ru
are hereby granted to � K 0 thpt n E LA
A
I in the above estate and(if applicable)that
the instrument(s)dated 21/oY Q.7. A'905'
described in the Petition be admitted to probate and filed of record as the la''s((t�,�Will(and Codicil(s))of Decedent.
ti 2 /)
gister of Wills ` /�
Form RW-01 r".1011112011 Page 2 of 2
LAST WILL AND TESTAMENT. c
3; m Am
OF I'm m m
Z Cnx W 17O .
} ! 'a ♦}.[�y..;, t��'I1[l'iZ a\al[:J, O C; O O
n C,
LARRY E. ADAMS , o
rn
z Cn o
I, LARRY E. ADAMS, of 205 Schuylkill Avenue, - co _n
Camp Hill, (Lower Men.Township),:Cumberland County, Pennsylvania,
Make, publish and declare this as and for my Last Will and Testament,
hereby revoking all other Wills and Codicils heretofore made by-me.
FIRST: I direct that all inheritance, estate, transfer, succession
and death taxes,'as well as my just debts and funeral expenses;,of any'kind
whatsoever',`which'may be payable by reason bf my death; shall be paid
lout of"the'principal of my.esta'te as the saine'can'conveniently be done.
SECOND: I give,,,devise and bequeath,all,the.rest;residue
and remainder 'of,lnv estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together v%lith any insurance policies thereon, as follows:
(a) Twenty-five percent (25`%) thereof unto the`GRACE
UNITED METHODIST CHURCH, 313 Herman Avenue, Lemoyne,
Pennsylvania, strictly for the use of its building fund and for general.
maintenance of the buildings and grounds; and
i (b) Twenty-five percent (25 %) thereof unto the LINCOLN
CHAPEL, of Laurelton, Pennsylvania, 17835-9998, strictly for the use of
its building fund and for general maintenance of the buildings and
Signed, sealed, published and declared by the above-named Testator
as and for his Last Will and Testament in our presence, who, at his request,
in his presence and in the presence of each other, have hereunto subscribed
our names as attesting witnesses.
70 \('4'1' 0/1 a y _ �✓�
Address /�.f ! 7�S Name
Address 149- Ocls-,5 Nam
3
I 1 �.-3 jIT
RECORDED, OFFICE OF
REGISTER OF WILLS
OATH OF SUBSCRIBING WITN SP -PM 1 48
CLERK OF
REGISTER OF WILLS ,ORPHANS' COURT
CUMBERLAND COUNTY, PENNSY
,GVM?jLAND CO., PA
Estate of Larry E.Adams
Deceased
Andrew C. Sheely and Becky M. Knisely
(each) a subscribing witness to
(Print Name/s)
the 0 Will ®Codicil(s)presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that •sly I by they was/were present and saw the above Testator/TwAg4ix sign the same
and that she ,'he , they signed the same and that sly they signed as a witness at the request of
the Testator/+esfeAriii 1ker-f his presence and in the presence of each other.
kQ w � W
J 0
G p� p
(9l nal re) i`ri jrZj'VV,Qi z (Signal Gr)� V1 t`V^� O
at S C C �F" Z
701 Jenna Court 927 nepper Drive a d Z v o
(Street Address) z.IQ a (Street Address) - —a ci w g
I N
Q i o °—' °r z
Mechanicsburg,PA 17055 W � `' Mechanicsburg,PA 17055 a l
3: u+ E ?i waEi
(Clry.State,Zip) O z z (City,State,Zip) p z o
Ce
8
V
g E
Executed�fegister's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed
before me this �S day before me this ar SA day
^
of AW4 of _'gely.
L)4p"u i4er of Wills Notary Public
/UDT/1,C�y My Commission Expires:
(Signature and Seat of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s)at time of notarization.
Form RW-03 rev. 10.13.06
�
grounds; and
(c) Twenty-five percent (25 %) thereof unto the FIRST
CHURCH OF GOD, of Shiremanstown, Pennsylvania, strictly for the
use of its building fund and for general maintenance of� the buildings and
grounds; and
(d) Twenty-five percent (25 %) thereof unt.o the AMERICAN
leT��TIJT�3AI. R�D Lt��SS, �U�S E Street NW, Nintll Floor, Washing-
ton, D.C. 20006, to be used specifically for the National Disaster Relief
Fund.
THIRD: I nominate and appoint PNC BANI�, NATIONAL
ASSOCIATION, Executor, of this, my Last Will and Testament. I direct
that PNC BANI�, NATIONAL ASSOCIATION arid its successor shall
not be required to post security or a bond for the perf�ormance of their
duties in any jurisdiction.
IN WITNESS WHEREOF, I have heYeunto se�t iny hand and seal to
this, inv Last Will and Testament, this� day of November, 2005.
(SEAL)
LARRY E. ADAMS
2