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HomeMy WebLinkAbout10-30-14 Reset 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, appiy(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: LILLIAN D.THOMAS File No: a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: APRIL 24 2014 Age at death: 91 Decedent was domiciled at death in SENECA County, NEW YORK (state)with his/her last principal residence at 369 EAST MAIN STREET WATERLOO NY 13165 VILLAGE OF WATERLOO SENECA Street address,Post Office and Zip Code City,Township or Borough County Decedent died at 369 E.MAIN ST.,WATERLOO NY 13165 VILLAGE OF WATERLOO SENECA NY Street address,Post Office and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: Ifdomiciled in Pennsylvania............................ All personal property $ If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $ If not domiciled in Pennsylvania. ....................... Personal property in County $ Value of real estate in Pennsylvania......................................................... $ 101„000.00 TOTAL ESTIMATED VALUE. ... $ 101,000.00 Real estate in Pennsylvania situated at: 1125 LINN DR.,CARLISLE PA 17013 CARLISLE BOROUGH CUMBERLAND (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 and Codicil(s) thereto dated State relevant circumstances(eg.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. 0 NO EXCEPTIONS 0 EXCEPTIONS 0 B. Petition for Grant of Letters of Administration (If applicable) c.t.a. c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate If Administration,ca a. or&b.n.c.t.a.'i 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 (D EXCEPTIONS John I Thomas died July 23,2009 Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survivedby the following spouse(ifany)and heirs(attach additional sheets,if necessary): Name Relationship Address JOHN D.THOMAS SON 6/6 BALA STREET,P.O.BOX 38 SEBASTOPOL VICTORIA 3356 AUSTRALIA BEVERLEY F.J.THOMAS DAUGHTER 3072 STATE ROUTE 89 SENECA FALLS.NY 13148 RECORDED OFFICE OF REGISTER OF WILLS Form RW-02 rev.1011112011 2014OCT3OmW Pagel of 2 CLERK OF ORPHANS'COURT' CUMBERLAND COUNTY Z7C Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s)Printed Name Petitioner(s)Printed Address JAMES M.ROBINSON ESQUIRE 129 S.PITT ST.,CARLISLE PA 17013 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 Deced t,the Petitioners) 1 w and truly administer the estate according to law. Sworn to or affirmed and subscribed before Date l OL3-1 O3-1I me this3U'h da of &Afr, ?I4 Date By: C do' 0 Date For the Register Date BOND Required: ® YES 0-INO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters. ..... . . ... . .. ..... . .. $ 1�400 Attorney Signature: ( 3 )Short Certificate(s).... . . l5 z ( )Renunciation(s)..... . . . . ( )Codicil(s). . . .. .. .... . . ( )Affidavit(s).... ........ Bond.... .... . . .. . . . .. . .... . . Printed me: JAMES M.ROBINSON,ESQUIRE Commission. ... ... . . . . . .. .. . . Supreme Court Other'f(j 1 I . . . . ... . ID Number: 84133 1 . .... . 1 5 1 r*V.-tqy- V . .-ti . 15 Firm Name: TURO ROBINSON ATTORNEYS AT LAW ..... . .. Address: 129 SOUTH PITT STREET ..... ... C.ARI.TST.F„pA 17013 . ... . Phone: (717)245-9688 Automation Fee. .... . .. . . . .. .. Fax: (717)245-2165 JCS Fee. . . . .. . ..... . . . . ..... 35.Sb Email: j nhinsnn h�rnlaw_rom TOTAL. . . . . . ... . . .... . . .... $ 3M.50 0 68-- DECREE OF THE REGISTER t ` 21�,, Estate of LILLIAN D.THOMAS File No: �' !1�.� �� ! a/k/a: t , AND NOW, 111_ J 1 201 `i' ,in consideration of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters of Administration c.t.a. are hereby granted to James M.Robinson,Esquire in the above estate and(if applicable)that the instrument(s)dated October 5 1979 described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. RECORDED OFFICE OF b �k"Zr�l REGISTEROFWUS 11d ster of Wills 2014 OCT 30 mw� Form w age 2 of 2 CLERK OF ORPHANS'COURT CUMBERLAND COUNTY DOH 1961(812011) RECORDED DISTRICT NEW YORK STATE 4921 DEPARTMENT OF HEALTH RESIDENCE REGISTER NUMBER CERTIFICATE OF DEATH STATE FILE NUMBER 1.NAME:FIRST MIDDLE LAST 2.SEX: 3A.DATE OF DEATH: 1 38.HOUR: L J /f/a^ •'TT M� MALE FEMA MOom �DAYY YEAR[ 1 NCHS /F , 1 D . i lJ cC/ 01 fest 'Y 2>_5 ---'o/Y v m 4A.PLACE OF DEATH: HOSPITAL HOSPITAL HOSPITAL NURSING PRIVATE HOSPICE OTHER 4B.IF FACILITY,DATE ADMITTED. (Check one) DOA ER OUTPATIENT INPATIENT HOME RESIDENCE FACILITY (Specify): i MONTH DAY YEAR 1 11 130 1 4C 4C.NAME OF FACILITY:(If not facility,gine address) I 4D.LOCALITY: Check one and specify) I 4E.COUNTY OF DEATH: I CITYVILLAG TOWN I Huntington Living Center 1 ❑ )1 ❑ of Waterloo Seneca 413 4F.MEDICAL RECORD N0. I 4G.WAS DECEDENT TRANSFERRED FROM ANOTHER INSTITUTION?(If yes,specify institution name,city or town,county and state) NO 00307505 I Q Y❑ �- ES 5.DATE OF BIRTH: 6A.AGE IN I 68.IF UNDER 1 YEAR 6C.IF UNDER 1 DAY 1A.CITY AND STATE OF BIRTH:(Ifnot USA,Countryand 7B.IF AGE UNDER 1 YEAR.NAME OF H( YEARS: I ENTER: I ENTER: I Region/Province) i BIRTH: O 0 O MONTH DAY YEAR L months days I hours minutes I I U I I w 05 24 1922 91 yrs.1 1 !I Mel bourne ,Australia I H V) O 8.SERVED IN U.S.ARMED 9.DECEDENT OF HISPANIC ORIGIN?chackthe boxes mat best describe xmemerinedecedemis Spanis"ispanioUtloo. 10.DECEDENTS RACE:Gack one or more racesromdirate wiWl rhe deccdentmnsiderWhirrsenahei (Z, U U FORCES?(Speciryyears) a O O A l�No,not SpanishMispanidLatino B❑Yes,Mexican,Mexican American,Chicano 7A nNO YES `�' A[�Whde/Caucasian 8❑Black or African American C El Asian Indian D❑Coe �7�✓.� R,0 Ell C❑Yes,Puerto Rican D❑Yes,Cuban E❑Filipino F❑Japanese G❑Korean H❑Vie'. Nt O V w E❑Yes,Other Spanish/HispanicUtino(Speciry) J❑Native Hawaiian K❑Guamanian or Chamorro M❑Samoan O 0 V--4 O 7B 11.DECEDENTS EDUCATION:Chor the box mat best desefibes the highestilegive orknivefofsohoolcompiatedat the Arne ofdaelh. L)M Q 1❑5 81h grade 2❑9th-12th grade;no diploma 3❑High school graduate or GED N❑American Indian or Alaska Native(specify) ^' U 4 W Some college credit,but no degree 5 ElAssociate's degree 6❑Bachelors degree P❑Other Asian(speedy) R[I Other Pacific Islander(spec v U 7❑Master's degree 8❑DDctoraterProfessional degree S❑Other(specify) 12.SOCIAL SECURITY NUMBER: 13.MARITAL STATUS: 14.SURVIVING SPOUSE: NEVER MARRIED MARRIED WIDOWED DIVORCED SEPARATED Enter birth name of spouse ❑1 El R13 El Els It married or separated. N/A 15A.USUAL OCCUPATION:(Do not enter retired) 115B.KIND OF BUSINESS OR INDUSTRY: 115C.NAME AND LOCALITY OF COMPANY OR FiRmCarl i sl e AnTly Clerk !military/PX War College, Carlisle, PA 16A.RESIDENCE: 16B.Cdunty or ReglorVProvince 16C.LOCALITY:(Check one and specify) 16F IF CITY OR VILLAGE,IS RESIDENCE t SI (State or Country if not USA: CITY VILLAGE TOWN WITHIN CITY OR VILLAGE LIMITS? 1{I dnotUSA) New York Seneca ❑ 97 ❑ of Waterloo I%uYES ONO IF NO,SPECIFY TOWN. 16D.STREET AND NUMBER OF RESIDENCE: 116E.ZIP CODE: 25 369 East Main Street 113165 17.BIRTH NAME OF FIRST MI LAST 18.BIRTH NAME OF FIRST MI LAST FATHER/PARENT: David A. Claridge MOTHER/PARENT: Violet Wheatley 30 � 19A.NAME OF INFORMANT: 119B.MAILING ADDRESS:(include zip code) Kevin E. Higgins 1 84 N. Virginia Street, Waterloo, New York 13165 20A.1 IXBURIAL 2❑CREMATION 3 0 REEMOVAL 4 O HOLD 5❑DONAFTTIION 1 20B.PLACE OF BURIAL,CREMATION,REMOVAL OR OTHER DISPOSITION. 120C.LOCATION:(City or town and state) 60ENTOMBMENT 05 02 1 2014 ffndiantown Gap National Cemetery 1 Hanover PA t8 21 A.NAME AND ADDRESS OF FUNERAL HOME: 1 21B.REGISTRATION NUMBER: } Hoffman-Roth Funeral Home and Cremtory nc. 219 Hanover Street, Carlisle, PA 17013 I FROW101L 22A.NAME OF FUNERAL DIRECTOR: 122B,SIGNATURE OF FUNERAL DIRECTOR: ` 122C.REGISTRATION NUMBER: William M. Mull 1► , i 12555 23A.SIGNAT RE OF REGISTRAR: 238.DATE FIL D: 24A.BUR OR REMOVAL PERMIT ISSUED BY 24B.DATE ISSUED: MONTH DAY YEAR MONTH DAY YEAR Ds` ► 4 12B 12014 1 ITEMS 25 THRU 33 COMPLETED BY CERTIFYING PHYSICIAN-•OR-•CORnmFi ORONER'S PHYSICIAN OR MEDICAL EXAMINER 25A.CERTIFICATION: To the best of my knowledge,death occurred at the time,date and place and due to the causes stated. OCOD Certifier's Name: License No.: Signature: ?-2 month Da Year CANCER Certifier's Title: 0❑Attending Physician 0 Physician acting on behalf of Attending Physician Addres L. / / � 1❑Coroner 2[1 Medical Examiner/Deputy Medical Examiner 199 C. / /a h jr. k1a7'Cr1w A 1 167 ( 250.If coroner is not a physician,enter Coroner's Physician's name 8 title: License No.: Signature: Month Day rem 25C.11fertffler is not attending physician,enter Attending Physician's name d title: License A ss: 26A.Attending physician Monin Day Year Month D Year 26B.Deceased last seen alive Month D Year 26C.Pmunounced Momh D Year T me attended deceased: FROM Q� 0 ZO✓L To Qe� ZS ,D or[! by attending physician: 2 0/CF Dead CNefc jt=191TT1 AT 27.MANNER OF DEATH: UNDETERMINED PENDING 28.WAS CASE REFERRED TO 29A.AUTOPSY? 298,IF YES,WERE FINDINGS USED TO DETERMINE NATURAL USE ACCIDENT HOMICIDE SUICIDE CIRCUMSTANCES INVESTIGATION CORONER MEDICAL EXAMINER? NO YES REFUSED I CAUSE OF DEATH? LVJi ❑2 ❑3 ❑4 ❑5 ❑6 0 . 1❑YES ❑1 ❑2 1 0❑No 1❑YES t. i CONFIDENTIAL SEE INSTRUCTION SHEET FOR COMPLETING CAUSE OF DEATH CONFIDENTIAL 30.DEATH WAS CAUSED BY: ENTER ONLY ONE CAUSE PER LINE FOR B,AND C. APPROXIMATE INTER( ()() ()) BETWEEN ONSET AND DEATH PART I.IMMEDIATE CAUSE: (A) DUE TO OR AS A CONSEQUENCE OF: �< (e) /?LIQ roc/ G((/TL I �ClYf 0 o DUE TO OR AS A CONSEQUENCE OF: I I a d ' PART 11.OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO() �`��./ L � DID TO CCO USE CONTRIBUTE TO DEATH? DEATH BUT NOT RELATED TO CAUSE GIVEN IN PART I A: C� /C.L J�f Z'C( 0 NO 1❑YES 2❑PROBABLY 3❑UNKNOWN o MONTHF INJURY,DATE: I HOUR: 1318.INJURY LOCALITY:(City or town and c my and state) 131 C.DESCRIBE HOW INJURY OCCURRED: 1 31D.PLACE OF INJURY: 131E.INJURY AT WORK? I I I I I NO YES On ❑D ❑i o F 31F.IF TRANSPORTATION INJURY,SPECIFY: 32.WAS DECEDENT 33A. FEMALE: 33B.DATE OF DELIVERY: ❑ ❑ HOSPITALIZED IN NQS � MONTH DAY YEAR 1 OTHER 2❑Passenger 3 Pedestrian LAST 2 MONTHS? q YES 0 'Ne" pregnant wllhin last year 1❑Pregnant attlme of death 2❑Not pregnant,but pregnant within 42 days of death a❑o7u,FR IsoeciNl ISI D ❑1 3❑Nn,n,?avant hen nmm�anf 41,1-to 1 vear haom death d n Ilnvnmvn it ornnnanr wPnln oast va.ar kid.:; RECORDED OFFICE OF REGISTEROF WILLS 2014 OCT 30 M C UOF T COUNTY LAST WILL AND TESTAMENT OF LILLIAN D. THOMAS I, LILLIAN D. THOMAS, a domiciliary of the Commonwealth of Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this instrument to be my LAST WILL AND TESTAMENT. I hereby revoke any and all wills and codicils by me heretofore made. I IDENTIFICATIONS AND DEFINITIONS I am married to JOHN I. THOMAS ("my Husband") . We have two children, JOHN D. THOMAS and BEVERLEY.F.:J HIGGINS. References in this Will to "my Children" include thN a two children and any other lawful children born to or adopted by me. c� The following definitions obtain in any use of the terms in this Will: 1. "Descendants" means the immediate and remote lawful, lineal descendants of the person referred to, and it means those 9 descendants in being at the time they must be ascertained in order to give effect to the reference to them, whether they are born before or after my death or of any other person., The persons who take under this Will as Descendants shall take by right of representation, in accordance with the rule of per stirpes distribution and not in accordance with the rule of per capita distribution. Persons legally adopted when under the age of fourteen years shall not be differentiated from blood descendants for any purpose. 2. "Survive me" is to be construed to mean that the person jreferred to must survive me by thirty days. If the person referred to dies within thirty days of my death, the reference to him shall be construed as if he had failed to survive me. II PAYMENT OF DEBTS AND TAXES I direct my executor to pay the following before any division or distribution under the following articles: 1. All of the expenses of my last illness, funeral and of the administration of my estate. 2. All inheritance, transfer, estate and similar taxes (including interest and penalties) assessed or payable (Page 1 of 4 Pages) 1 by reason of my death, on any property or interest in my estate for the purpose of computing taxes. My executor shall not require any beneficiary under this will to reimburse my estate for taxes paid on property passing under the terms of this Will. III RESIDUARY ESTATE A. I define "my Residuary Estate" as all of my property after the payment of debts and taxes under Article II above, including real and personal property, whenever acquired by me, property as to which effective disposition is not otherwise made in this Will, and property as to which I have an option to purchase or a reversionary interest, but excluding property as to which I have no interest other than a power of appointment. B. I give my Residuary Estate to my Husband if he survives me. IV CONTINGENT SPECIFIC BEQUESTS A. If my Husband does not survive me, and I am survived by my grandson, KEVIN HIGGINS, I give, devise, and bequeath to him my painting of the Egyptian Spinx and pyramids. B. If my Husband does not survive me, and I am survived by my daughter, BEVERLEY 'F-U. HIGGINS, I give, devise, and bequeath to her my jewelry, with the exception of my gold charm bracelet which I give to my grandson, KEVIN HIGGINS. C. If my Husband does not survive me, and I am survived by my daughter, BEVEPRLEY.'F..`J. HIGGINS, I give, devise, and bequeath to her the 24-carat set of gold china, the silver flatware, the gold flatware, crystal, TD and the silver service. D. If my Husband does not survive me, and I am survived by my son, JOHN D. THOMAS, I give, devise, and bequeath to him the Blue Danube sets of china and stainless steel flatware. E. If my Husband does not survive me, and I am survived by my daughter, BEVERLEY 'F.'J• HIGGINS, and my neighbor, MRS. MUSCI, I give, devise, and bequeath to them in equal shares the Noritaki china. F. If my Husband does not survive me, and I am survived by my son, JOHN D. THOMAS, I give, devise, and bequeath to him my Husband's Ivory, J wood and stone carvings plus his gold pocket watch. G. If my Husband does not survive me, and I am survived by my daughter, BEVERLEY7F.J. HIGGINS, and my son, JOHN D. THOMAS, I give, devise, and bequeath to them my paintings, which are to be divided equally between them, with the exception of the above-mentioned Egyptian painting. V CONTINGENT RESIDUE If my Husband does not survive me, I direct my executor to divide my Residuary Estate into equal shares and to distribute those shares as follows- 0 1. one share to each of my Children then living 2. one share to the then living descendants of each of my Children who is not then living. (Page 2 of 4 Pages) a , i VI APPOINTMENT OF EXECUTOR I appoint my Husband, JOHN I. THOMAS, as Executor of this Will. If JOHN I. THOMAS .is unable or unwilling to serve in this capacity, I appoint my son, JOHN D. THOMAS, and my daughter, BEVERLEY F.rJ. HIGGINS, as co-executors, to serve instead. I request that my executrix or executor, whichever the case may be, not be required to furnish bond or securities. IN WITNESS WHEREOF, I have at too1 4 f 0 f o l Ajkz to L 1 M_ this ^S day of —�C 1979, set my hand and seal to this my LAST WILL AND TESTAMENT consisting of four (4) typewritten pages, this included, the preceding pages hereof bearing my signature. (SEAL) LILLIAN D. THOMAS Signed, sealed, published and declared by the above-named Testatrix, as her LAST WILL"AND TESTAMENT, in the presence of all of us at one time, and at the same time, we, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses, and we do hereby attest to' the sound and disposing mind and memory, of said testatrix at th.5 date hereof, and to the performance of the aforesaid acts of execution at A this — day of Q 1979. cNAME ADDRESS � / ,5 AC911d� 'S (Page 3 of 4 Pages) COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND ) ss: Before me, the undersigned authority, on this day personally appeared LILLIAN D. THOMAS, DEBRA M. LEIBEL KEITH A. SARBAUGH , and DIXIE LEE STONER , known to me to be the testatrix and the witnesses, respectively, whose names are subscribed to the annexed or foregoing instrument in their respective capacities, and all of said persons being by me duly sworn, the said LILLIAN D. THOMAS, testatrix,- declared to me and to the said witnesses, in my presence that 'said instrument is her LAST WILL AND TESTAMENT, and that she had willingly made and executed it as her free act and deed for the purposes therein expressed; and the said witnesses, each on his oath, stated to me, in the presence and hearing of the said testatrix, that the said testatrix had declared to them that said instrument is her LAST WILL AND TESTAMENT, and that she executed same as such and wanted each of them to sign it as a witness; and upon their oaths each witness stated further that they did sign the same as witnesses in the presence of the said testatrix and at her request; that she .was at that time eighteen years of age or over or being under such age, was or had been lawfully married, or was then a member of the armed forces of the United States or of an auxiliary thereof or of the Maritime Service and was of sound mind; and that each of said witnesses was then at least fourteen years of age. f 4 Q A JY - �J�'1�✓YYL /zL- LILLIAN D. THOMAS, Testatrix L; { WITNESS �r WSS 7),( WITNESS Subscribed and acknowledged before me by the said LILLIAN D. THOMAS, testatrix, and subscribed and sworn to before me by the said DEBRA M. LEIBEL KEITH A. SARBAUGH , and DIXIE LEE STONER witnesses this 5 day of October 1979, NOTARY EUVU, NoMry PuMic Codiab Borough, Cumberland County My Commission Expires May 31 1982 M "%14 qn ;Now" (Page 4 of, 4 Pages) RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY,PENNSYLVANIA Estate of LILLIAN D. THOMAS ,Deceased I, JOHN D.THOMAS , in my capacity/relationship as (Print Name) SON AND NAMED CO-EXECUTOR of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to JAMES M.ROBINSON,ESQUIRE 0 9 OCT 2014 (Date) (Signator 6/6 BALA STREET, PO BOX 3'8 (Street Address) SEBASTOPOL,VICTORIA,3356 AUSTRALIA (City,State,Zip) Commonwealth of Australia State of victoria Executed in Register's Office City of Mel bourExecuted outA llster's Office Consulate General of the United Sworn to or affirmed and subscribed StnthsOfArneri$efore the un rsigned personally appeared the before me this day party executing this re unciation and certified of that he or she exec a the renunciatiorn for the purposes stated w' i on this-nLLI of - -- Al//rz 1 Deputy for Register of Wills Notary P li Step en .erste My Co m' Sion Expire Cans� 1 Commission does,Pn t expire (Signa e a Seal of Notary or other official qualifiedto adminis er ths. Show date of expiration of Notary's Commission) RECORDED OFFICE OF Form RW-06 rev.10.13.06 REGISTER OF WIL.I.S I 2014 OCT 30 CLERK OF ORPHA NS'COURT MVV CUMBERLAND COUNTY ' I i F � W, 0 0 U � UO RENUNCIATION �" �S F REGISTER OF WILLS p Qo CUMBERLAND COUNTY,PENNSYLVANIA I U Estate of LILLIAN D. THOMAS Deceased I, BEVERLY F. J. HIGGINS , in my capacity/relationship as (Print Name) DAUGHTER AND NAMED CO-EXECUTOR of the above Decedent,hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to JAMES M.ROBINSON,ESQUIRE (Date) (Signature) 3072 STATE ROUTE 89 (Street Address) SENECA FALLS,NY 13148 (City,State,Zip) Executed in Register's Office E ' Cmc Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified of that he or she executed the renunciation for the purposes stated within on this 3 o t I,— day Of S-ente MW-2r- .9(3 /�/ Deputy for Register of Wills Notary Public My Commission E s: eC< O's, aLo 1 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) F.bNA M.KRIE61ELSTEIN Notary Public in the State of New York Qualified w Seneca County No.Ot Form RW-06 rev.10.13.06 KR MY Comm.Expiress Dec. 7 Dec.8,20-1-(P REGISTER OF WILLS 'CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA 't of CuMeF No. 2014- 01034 PA No. 21- 14- 1034 C2 �Z Estate Of: LILLIAN D THOMAS D (First,Middle,Last) V C= 70 Late Of: WATERLOO NY C M rn CUMBERLAND COUNTY �: c> C) oil Deceased M c) --j C., Social Security No: � m W m p 1750 n C,0 - � c'„ — -?7 �Z WHEREAS, on the 31st day of October 2014 an instrumen dateC70 j= m r October 5th 1979 was admitted to probate as the last wi4� of a t-� LILLIAN D THOMAS (First,Middle,Last) late of WATERLOO NY, CUMBERLAND County, who died on the 24th day of April 2014 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, LISA M. GRAYSON, ESQ. , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters of ADMINISTRATION C.T.A. to: JAMES M ROBINSON who has duly qualified as ADMINISTRATOR(RIX) C.T.A. and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE, CARLISLE, PENNSYL VA NIA, IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 31st day of October 2014. Regi#r of Wills �1 C� V-L ep ty **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)