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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)th�
following and respectfully requests the grant of Letters in the appropriate form:
Douglas E. Lewis
DecedenYs Information ,���
Name: William E.Lewis File No: 21 -14
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Decedent was domiciled at death in Cumberland County, pA (Srate) with his/her last
principal residence at 1507 Bridge Street New Cumberland Cumberland
Street address,Post Offce and Zip Code City,Township or Borough County
Decedent died at Washington Hospital Center Washington DC
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedenYs property at death:
If domiciled in Pennsylvania........................ All personal property $ Over 60,000.00
If not domiciled in Pennsylvania................. Personal property in Pennsylvania $
If not domiciled in Pennsylvania................. Personal property in County $
Value of rea/estate in Pennsylvania........... $
TOTAL ESTIMATED VALUE$ 60,000.00
Real estate in Pennsylvania situated at
(Attach additional sheets,if necessary.)
Street address,Post Office and Zip Code City,Township or Borough County
QX A. Petition for Probate and Grant of Letters Testamentarv � �
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Wili of the Decedent,dated
� �s� and Codicil(s)
thereto dated
(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 mar ,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.
❑X NO EXCEPTIONS� EXCEPTIONS
� B. Petition for Grant of Letters of Administration (Ifapplicable)
c..a.; . .n.; . .n.c..a.;pe en e ite; uran e a sen ia; uran e minori a e
If Administration,c.t.a or d.b.n.c.t.a.,enter date of Will in Section A above and complete list nf heirs.
Except as follows:Decedent was not a party to 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 kdling nor ever adjudicated an incapacdated person. � �.� _��
�NO EXCEPTIONS❑EXCEPTIONS �� �� �~'
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Petitioner(s),after a proper search haslhave ascertained that De�rt left no Will and was survived by the following spouse(if any�c#-�'2irs(attach�j r �'�7
additional sheets,if necessary): �Jw,°, _
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Name Relationship Address -;' �'" ' -;-�
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Oath of Personal Representative Offcial Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Douglas E.Lewis 11343 Dutch Hollow Road
Culpepper,VA 22701
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 D cedent,Petitioner(s)will well and truly administer the estate according to law.
y� �f1,c��lu C[.�'C�uJ� Date S/t5/2c`�l�
Sworn to or affirmed and subscribed b fore ,i- T
rne t ' ��� ay of C 'i� ��fe
y � �� {^� oats: ��f
B : �C� o�r, �-,�..-_
For the Register t ' '��� �
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BOND Required? � Yes �o To the Register of Wills: ��-'i_ Uy t "
Please enter m y appearance by my sig f�below: �. �
FEES
,`2 ,� ��-.- .�..� --r',
Letters............................................ $ � J� Attorney�ignature: d' "':- �:"
_ .,�- rY7
_"_ •
(�)Short Certificate(s).......... /'cj.� � � �
�' , \ �` N �n�
( )Renunciation(s)............... L�,(,� a- "v'� l�J
( )Codicil(s).........................
( )Affidavit(s)....................... Pri ted ame: .�l�N �Il)l �
Bond.............................................. Supre Court �� � � �
Commission................................... ID Number:
Other
y`F� 1� C � ������c5� Firm Name: Stone,Duncan&Linsenbach
(`��vv Address: 3 N.Baltimore Street
� 15�
Dillsburg,PA 17019
Phone: 717/432-2089
Automation Fee............................. S,� � Fax: 717/432-0158
JCSFee......................................... La� "1
n E-mail: J4.+�• M.t w1 lC�/n` "C ()WlC(��i /�(�
TOTAL........................................... $ r7S!-I C���7D
DECREE OF THE REGISTER
Date of Death: 07/22/2014
Social Security No: 210-26-5187
Estate of William E.Lewis File No: 21 -14
a/k/a:
AND NOW, �� �- , �� � ,in consideration of the foregoing Petition,
satisfactory proof having b presented before me,IT IS DECREED that Letters Testamentary
are hereby granted to Douglas E.Lewis
in the above estate and(if applicable)that the instrument(s)dated t,t,►'j f' �_-�j
described in the Petition be admitted to probate and filed of recor a a last Will(and Cod' il ))of Decedent. �
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`�EW LL'MBERLA�"D, I'E\;��Yf V?,?v I?, 17C70
LAST WILL AND TESTAMENT
OF
WILLIAM E. LEWIS
I, WILLIAM E. LE[nllS, of New C�nberland Borough, Ctunberland Cotmty,
:'Pennsylvania, being of sound mind, memory and understanding, do hereby make,
'publish and declare this as and for my Last Wi11 and Testament hereby revoking
and rn��cing void any and a11 other wills by me at any time heretofore made.
I.
I direct that my Executrix hereinafter named shall pay all my just
debts and fzmeral e�enses as soon as conveniently may be done after my decease.
\ II.
A11 the rest, residue and remainder of my estate, whether real.,
persona.l or rnixed, and wheresoever situate, I hereby give, devise and bequeat��i
�.mto my wife, ISABEL G. LEWIS, if she survives me by a period ot thirty da_ys.
��f my said wife does not survive me by a period of thirty days, then this gift
; to her shali be di.vested and I then give, devise and bequeath my entire estate
�
.; �.� follows:
; :�
A, lhze-half (2) lmto my son, DOUGL.��.S E. I�WIS, i_f he survives rr�.
. B. Chie-ha�f (1,) Lu1ro �m� da�.�g;�?_er, ;�E:dISE A.�I TL'�JIS, if scle st�-�rivF><; �-
1 1 l.
- T h��_�ebv ilonu.na.te, c��ns ti�u�e and appo int my �ri_fe, 15A�3EL G. LEWIS,
�
� :.,= Exeti,.atri..x. of T�?.is, *ny Last L�?il1 ar�d Test�nent_. If the said Isa'�e1 G. Lew�s
SI'�Jl.iCa �)Y'E'_CIE:f:�'E.'<?.SE' :ri!c�, �c11..L t0 C�',a�i1':V l7". C--C.'�3.`�� rC) �Cr cLS SllCrl� ^t�E'T: L T1C)P�11_71c1tE �
��
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a�i:st��ute a1�c �:,�_�o�_r�r mv son; ?��UC±.:'�:� r. I.EWT_S, as Executor. ��; � �?
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IV.
No fiduciary acting under this Wil1 shall be required to post bond
in this jurisdiction or in any jurisdiction in which he may act.
IN WITNESS WI�REOF, I, WILLIAM E. I�'WIS, the Testa�or, have unto
this, my Last Wi11 and Testament, set my hand anc� seal this . �'`� day of __ ,
A. D. , 1985.
�: �" �SEAL,�
�i.:',� f I��, ..�- � �:�<_�.:,-::�
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of William E. Lewis , Deceased
Jan M. Wiley, Esquire and Douglas E. Lewis
(Print Name/s) (Print Name/s)
(each) being duly qualified according to law, depose(s) and say(s) that she/he/they was/were well-
acquainted with William E. Lewis and am/are familiar
with the handwriting and signature of the decedent, and that the signature ofw�iiiam E. �ew�s
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
William E. Lewis is in his/her own proper handwriting.
/ � p��'1-t C�f4 C._.�"C.u,v�
�►^ �1J V
(Signature) Jan M. Wiley, Esquire (Signature) Douglas E. Lewis
3 N Baltimore Street 11343 Dutch Hollow Road
(Street Add2ss) (Street Address)
Dillsburg PA 17019 Culpepper VA 22701
(City,State,Zip) (City,State,Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
bef re me this��_da
of � c7 ww ��
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eputy for Register of il W�a r �' - ��
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Form RW-O4 Rev. 10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc.
RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of William E. Lewis , Deceased
�. Isabel G. Lewis , in my capacity/relationship as
(Pnnt Name)
Executrix of the above Decedent, hereby renounce the right to
�__�
administer the Estate of the Decedent and respectfully request that Letters be issued to � ==
� �_ �
, �
`�� xa. r, � `
Douglas E. Lewis . ��� � -� �;
�=E:-' � � . -
E---_ -, — - ' �?
L��,_ cn . ;_:.
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(Date) /L�j��`�J .. `� � ���
(signature) Isabel G. Lewis CT�
70 Palmer Drive
(Street Address)
Etters PA 17319
(City,State,Zip)
Execut d in R ister's Office Executed out of Register's Office
Sworn to r affi med and subscribed Before the undersigned personally appeared the
befo me i ��fih da arty executing this renunciation and certified
X that he or she executed the ren�n�j�tion for the
of , �`f. purposes stated within on this µT� day
of , c�01� .
'� � ��v�Q,��.��,�
Deputy for Registe f Wills Notary Public
My Commission Expires: l� I�����
(Signature and seal of Notary or other official qualifed to
administer oaths. Show date of expiration of Notary's commission.)
i:()MMONWEALTH OF PENNSYLVANIA
; Notarial5eal
i Sarah Ann Kuhn,Notary Publlc
� Franklin Twp.,York County
� My Commission Expires Nov.16,2016
�1EMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES
Form RW-OS Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc.
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
, �
y �F ��M .
�� (��� e�� No. 2014- 00771 PA No. 21- 14- 0771
J 9 Es ta te Of: WILLIAM E LEWIS
o �� v (Fiist,Middle,Last1
v �
� � La te Of: NEW CUMBERLAND BOROUGH
� CUMBERLAND COUNTY
Deceased
�750 Social Security No:
WHEREAS, on the 26th day of August 2014 an instrument dated
June 21st 1985 was admitted to probate as the last will of
WILLIAM E LEWIS
ffiist,Middle,Lastl
late of NEW CUMBERLAND BOROUGH, CUMBERLAND County,
who died on the 22nd day of July 2014 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonweal th of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
DOUGLAS E LEWIS
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all of which
fully appears of record in my offi ce a t CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 26th day of August 20�4.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)