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Home My WebLink About03-31-2005 PETITION FOR PROBATE and GRANT OF LETTERS 2-( - 0 5 ~.33( ELIZABETH M. ADAMS No. To: Register of Wills for the , Deceased. County of Cumberland in the Social Security No. 193-24-1729 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older pi tl~f execut or in the last will of the above decedent, dated Apr ~ . and codicil(s) dated None Estate of also known as ~~ed , 19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland Coumy....Penns.ylvania. with her last family or principal residence atClaremont Nurs~ng and RenaD~l.~ t.at~on Center, Middlesex Township, Cumberland County, Pennsylvan~a (list street, number and muncipality) Decendent then 101 years Qf Me died March 13. ~ 2005 m Claremont Nursing and ~ehabilltation Center, M~ddl.esex Township. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 'f\Trm p " Decendent at death owned property with estimated values as follows: (If domiciled in fa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $5,000.00 $ $ $ None WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codici1(s) presented herewith and the grant of letters tes tamen tary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. RECORDED - REGISTER OF WILLS ~~Y- 2005 MARCH 31 Cumberland County, P A ~~.~ 303 SherOE'Tnst-nW7" 'Rn;:!n McchanicEburg, FA 17055 ........ 30 ~ c: co Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA j' ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that 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 represen- tative(s) of the above decedent petitioner(s) will well an ruly administer the esta according to I Sworn .. to or. affirmed. and SUbscribed. { before me this '3 \ S\- day. of March . ~005. ~~ '\;~ ~ \ ~~. '<.~\ ~~~~R ister 1-,;".00.1 (Address) Register f'.) I'" (Name) (Address) H105.805 REV 1105 This is to certify that the information here given is correctly copied fro~ an original cen;ificate of death duly. filed with me as Local Registrar. The original certificate will be forwarded to the State VItal Records OffIce for permanent filIng. WARNING: It is illegal to duplicate this copy by photostat or photograph. 11335677 No. ihn-I'l ~ " Local Re~ Fee for this certificate, $6.00 p MAR 1 6 2005 Date RECORDED - REGISTER OF . WILLS ~<;'L 2005 MARCH 31 Cumberland County, P A 105.143 Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FIlE NUMBER s. 101 v,.. COUNlY OF DEATH SEX SOCiAl SECURllY NUMBER 2. female 3. 193 24 1729 BIRTHPLACE (City IIld P F TH State or Foreign Country) HOSPITAL Kingston, PA -0 .""",_0 OOAO 7. Sa. FACILllY NAME (If not Institution, give .treet and number) DATE OF DEATH (Month, Day, Vear) .. March 13 200 1. AGE (Last Birlhday) :::.vI 0 RACE . American Indian, Black, Whila, e (Specify) Cumberland jfiddlesex Twp. KIND OF BUSINESS IINDUSTRV 1G. white SURVIVING SPOUSE (If", uM maicMn,..,....,) lb. DECEDENrS USUAL OCCUPATION (""WOI'kingol~ -=-~:r- i Cl k State Government 11L Sen or er 11b. DECEDENrS MAILING ADDRESS (Street. CltylTown. Stete. Zip Code) 1.. MARITAl STATUS. Married. Never Monied. WIdowed. IlIvon:ad (Specify) widowed 426 Bridge Street, Apt. 1 11. New Cumberland, PA 17070 FATHER'S NAME (Fn~ MIddle. Last) 11. John Racik INFORMANrs NAME (TypelPrint) ~L Gilbert Becker METHOD OF DISPOSI!!2N . Donation 0 Burial ~ Cremation Gemov'l from Stala 0 . 21L 0Iher (Specify) 21b. . SIGNA E FU SER LICENSEE OR PERSON ACTING AS SUCH DECEDENrs ACTUAl RESIDENCE (See inatl'UcIIon. on cIher side) 17b. County DId decedent Cumberland ::.~? 17d. ~~=of New Cumberland MOTHER'S NAME (Fnt, Middle. Malden SlS'JlII11O) 11. Mary Vargo INFORMANrs MAILING ADDRESS (5-. CitylTown, Slate. Zip Code) 2Gb. 303 She herdstown Road, Mechanicsbur , PA 17055 PLACE OF DISPOSITION. Name of Cemetery, Crematory LOCATION - CitylTown. Slate. Zip Code or Other Place 17.. 0 Ves. decodlllt_1n Iwp. citylbaro. March 16 2005 LICENSE NUMBER 22b. FD 013 340 L PA 17055 a. s 21. : Approximate . interval be : onset and death SeqUIIlIlolly Ilsl condWona I b. Wany, leading to immediate . cause. Ento< UNDERL VING CAUSE (Disease or Injury .. thatlnltlated events resulting on death) LAST d. WAS AN AUTOPSV WERE AUTOPSV FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? DUE TO (OR AS A CONSEQUENCE OF): DUE TO (OR AS A CONSEQUENCE OF): No MANNER OF ~n:...--- Natural I.d"'" Homicide o o DATE OF INJURV (Monlh, o.y, V..r) TIME OF INJURV INJURV AT WORK? DESCRIBE HOW INJURV OCCURRED. Pending Investigation o o -O~O O 30.. JOb. M. 3D.. PLACE OF INJURV . At home, fann. .treet. factory, ofIice """"."'.(Spoclfy) 30.. D NUMBERZ;:.? ~ . ~Pi . :Q..d.4#'_:"'~";'""":"" I~ /I~ /1/ I 3001. LOCATION (Street. CitylTown. State) 301. CERTIFIER ~ Ve. 0 No Ve.O Coutd not be delermined 21.. 2Ib. CERTIFIER (Check only one) l~~fof":~~Jl'~lh~.rJ'':t':a=~~:(:r~.r.e.h:~~~.~~~.~~.~~.~~.~.~~).................. 21. .P:oo~::~~Gm~~;I:JI~::.::H~:.c:.: lr'~=~::.::';'~c::.~thd':'~ ~~u~~i~=.(.,.. ...t.d...................... 0 'MEDICAL EXAMINER/CORONER :..-::r~I:.::::.~I.~.t.I~.~~.~~~~~~.~~~~:.I~.~~~~.~~~:.~~~~.~~~.~.~.~~.~.~~:.~.~~.'.~.~~~:.~~~.~.~.~~.t.~.~~~~.~~!.~~.. 0 318. REGISTRAR'S SlGNATU e;u- ~. /t. <>lOos- LAST WILL AND TESTM1ENT I, ELIZABETH M. ADAMS, Widow, of the Borough of New Cumberland, County of Cumberland and State of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my last Will and Testament, hereby revoking and making void all former wills, codicils and other testamentary dispositions by me at any time heretofore made. 1. I direct my executor, hereinafter named, to pay as soon as prac- ticable after my decease all my just debts and the expenses of my last illness and burial. 2. I give, devise and bequeath all of my estate - real, personal and mixed - unto my children, Ruth M. Becker and John J. Adams, equally, share and share alike. 3. Should either or both of my said children predecease me, then and in that event, I give and bequeath the share of my estate to which such deceased child would have been entitled had he or she survived me, unto his or her issue per stirpes. 4. I nominate, constitute and appoint my son-in-law, Gilbert M. Becker, executor of this my last Will and Testament. Should my said son-in-law fail to qualify or cease to act as executor, I hereby appoint my son, John J. Adams, and my daughter, Ruth M. Becker, and the survivor of them, executors of this my last Will. IN WITNESS \~EREOF, I, ELIZABETH M. ADA}lS, the Testatrix, have hereunto set my hand and seal to this my last Will and Testament on this ~"'~ day of '1- is'' t!;j;;k'( ,1980. :g.... ~ t. . " ~p. .,?~ ~ ,(/;'1 ~-''/--'~'-:7 (SEAL) RECORDED - REGISTER OF WILLS ~~"- 2005 MARCH 31 Cumberland County, P A Signed, sealed, published and declared by the within named Elizabeth M. Adams as and for her last Will and Testament in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto. ~%~ /~~ ~)?~r REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat_ in h presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19_ (Name) (Address) Register RECORDED - REGISTER OF . WILLS ~s.\<.. 2005 MARCH 31 Cumberland County, P A (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS Gilbert M. Becker (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that he is familiar with the signature of Elizabeth M. AdaTI\s ctmI.NK will that hp. presented herewith and cadiMKx believes the signature on the will is in the handwriting of testat- r; v of :(noKxllld'x:ibexxomoribingxlfilJmSsex~)o(he Elizabeth M. Adams to the best of his knowledge and belief. ;J ~ A:- ~ Sworn to 0' affj,med and subscribed befo,e ~~ ~ I me this 3" ':;"(' day of GilberrtNtM,l?) ams \I\~~~\\ "'::L~~S "::)Q 303 Shepherdstown Rd., Mechanicsburg, PA '. ~~~ 17055 ~~lt\... ~ . ~_ -. ,,\ (Address) ~ ~ . ~~ \ ")" ~t. '\)~ Register (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS William L. Sunday ~i'titx (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that he was present and saw Elizabeth M. Adams the testat r; X , sign the same and that he signed as a witness at the request of testatr i v in h 11 p r presence and CiiXDtlX~JeXOO)(CX~XOlWCJX'<<){(in the presence of the other subscribing witness(es)). ., , ., "'. Sworn to or affirmed and subscribed before me this 1IH.eJt 3/ ~ ~ -.-'6\! ~ eX y , Regi e COMMONWEALTH OF PENNSYLVANIA Notarial Seal Susan L. Matrazi, Notary Public Mechanicsburg Bora. CUmberland County My Commission Expires Nov. 24, 2007 Member, Pennsylvania Association Of Notaries ~~r~ - William L. Su day (Name) 39 W. Main St., Mechanicsburg, (Address) (Name) (Address) REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of codicil will testat_ of (one of the subscribing witnesses to) the that presented herewith and codicil believes the signature on the will is in the handwriting of to the best of knowledge and belief. Sworn to or affirmed and subscribed before me this day of 19_ t.......;....l (Name) (Address) . I Register f,) f'" " (Name) (Address) PA 17055 No. ")., '\ . ~ S . "3 '3 \ Estate of ELIZABETH M. ADAMS , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~ 1("<' \ \ ~ NJX ? n n 50 consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated April 2. 1980 described therein be admitted to probate and filed of record as the last will of Elizabeth M. Adams and Letters Testamen tary are hereby granted to Gilbert M. Becker ~~ ~~ ~~~~\~\ ~~. \<.~ ":L~--~~I . } l " RegIster of Wills . SNE AK C. B FEES Probate, Letters, Etc. ......... $ ~~ Short Certificates(3) . . . . . . . . .. $ \, ~ RelitiReiati13R ~\,.............. $ \ 5 . :S~ ~ " ~\J\\\ . \.\~S $ \.5 TOTAL _ $ ~'").. .~~ Filed ................................... ~5 (717) ~q7-RI:)?R PHONE