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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 iii the appropriate form:
Decedent's Information � �,/�_ / � �
Name: James S.Lewis File No: LO
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 204-03-8138
Date of Death: Age at death: 92
Decedent was domiciled at death in Cumberland County, penn�u��•�_ (S�aie)with his/her last
principal residence at 801 N Hanover Street 17013 Carlisle Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Church of God Home 801 N.Hanover Street 17013 Carlisle . Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Bstimate of value of decedent's property at death:
/f domici[ed in Pennsylvania....... . .......... . . ... . . . . . All personal property $ 17,937.77
If not domiciled in Pennsylvania. . . .. . . ......... . . ... . . . Personal property in Pennsylvania $
/f not domiciled in Pennsylvania. . ......... . .. ... . ...... Personal property in County $
Value of real estate in Pennsylvania......... . .. ...... . . .. .. . . . . . ... . ..... . . .. . . . ... .. . . .. .. . $
TOTAL ESTIMATED VAI..UE. ... $ 17.937.77
Real estate in Pennsylvania situated at: ----
(Attach additional sheets,if necessarv.) Street address,Post Office and Zip Code ('ity,Township or Borough Counry
� A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)nained in the last Will of the Decedent,dated February 6th,2006 and Codicil(s)
thereto dated none --
State relevant circumstances(e.g.renunciation,death of exe<�utar•,etc.)
Except as follows: after the execution of the instrument(s)offered for probate DecedenC 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 per;on.
�NO EXCEPTIONS Q EXCEPTIONS _
❑ B. Petition for Grant of Letters of Administration (Ifapplicabte) _.
c.t.a.,d.b.n.,c�.b.n.c.t.a.,penclente lite,durante absentin,durante minoritate
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A apave 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 adjudicateJd an incapacitated person.
O NO EXCEPTIONS O EXCEPTIONS —_
Petitioner(s),after a proper search has/have ascertained that Decedent left no W ill and was survived b,y the following spouse(if any)and heirs(attach
additional sheets, if necessary):
Name Relationshi Address
Cynthia J.Lewis Daughter 38 Burwick Drive
Mechanicsbur PA 1'7050
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� Oath of Personal Representative .�
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COMMONWEALTH OF PENNSYLVANIA } C p � � �
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Petitioner(s)Printed Name Petitioner(s)Printcd Address `� `
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C nthia J.Lewis 38 Burwick Drive Mechanicsbur PA 17051) � ' - ��
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The Petitioner(s)above-named swear(s)or affirni(s)the statements in the foregoing Petition are truc and currect to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s)wili well and truly administer the estate according to law.
Sworn to or affirmed and subscribed beforef � � � -�J Date L Z��._5`
me thi �$ay of ,� ___ Date
Date
B Date
r the gister --�
BO1VD Required: Q YES Q NO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
. b b Attorne Si nature:
Lette � . . . . . . . . . . . . . . . . . . . . . . $ ll/(� Y �
( �) Short Certificate(s). . . . . . •a�
( )Renunciation(s).. . . . . . . . /� ���.J�
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s).. . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: James IVI.B�ch
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Oth r ID Number: 18727
� . . . . . . . j 5�00 --
Firm Name: Law Office of 7ames M.Bach
ac a' nV . . . . . . . .
�Q-�b Address: �5 South Snor ing Hill Road
. . . . . . . --
Mechanicsburg,_PA 17050
. . . . . . . .
Phone: (717)737=2033
Automation Fee. . . . . . . . . . . . . . . `QO Fax: 717 737_�220
JCS Fee. . . . . . . . . . . . . . . . . . . . .
�• ',j 0 Email: ctaff�_(a>i�n�°^��^^�'��m
TOTAL. . . . . . . . . . . . . . . . . . . . . $ 9�6
/`y5�.50
DECREE OF THE REGISTER
Estate of James S. Lewis File No: _ �� �� � �/ �n
aJk/a: �---
AND NOW, � �0� , in consideration of the foregoing Petition,
satisfactory proof having een presented before me,IT IS DECREED that Letters testamentarv
are hereby granted to Cvnthia J.Lewis
in the above estate and(if applicable)that
the instrument(s)dated Februarv 6th,2006
described in the Petition be admitted to probate and filed of rec d as the la�t Will(and Cod� il(s))of Decedent.
C�-�
egis er of Wills
age 2 2
Farm RW-OZ re>>. 10/11/2011
Last Will And Testament Of
JAMES S. LEWIS
I,JAMES S. LEWIS, of the TOWNSHIP OF LOWER ALLEN, COUNTY
OF CUMBERLAND, COMMONWEALTH of PENNSYLVANIA, being in good
bodily health and of sound and disposu�g mind and memory, and not acting undex
duress, menace, fraud, or undue influence of any person whomsoever, merely calling to
mind the frailty of human life, and being desirous of disposing my worldly goods while I
have the strength and capacity so to do, I do make, publish and declare this my LAST
WILL AND TESTAMENT. I hereby revoke, cancel and annul all my former Wills
and Testaments, including codicils thereto, by me at any time made, and declare this
alone to be my LAST WILL AND TESTAMENT.
AS TO SUCH ESTATE IT HAS PLEASED GOD TO ENTRUST ME WITH IN
THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS,VIZ:
ITEM 1. I ditect that my Executr� hereinafter named, pay and discharge all of my
just debts, funeral and testamentary expenses.
ITEM 2. I order and direct that my bodily remains b cYemated. I fuYthex ordex
aslci direct that my remains be placed fo�: bw-ial at th Indian To n G�a�pj'�
Cemetery, Gxantville, PA. I am a vetexan and I wish to be buried in the
veterans' cemetery.
ITEM 3. All the rest, residue and remainder of my enti�e estate, wheresoever
situate, and whatsoeveY it may consist of, I give, devise and bequeath,
absolutely, and in fee, as follows:
1. One third of my net residuary estate to my dearly beloved daughter
CYNTHIA J. LEWIS,per stirpes.
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JAME S. LEWIS
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2. One thiYd of my net residuary estate to JAMES S. LEWIS,JR., per
stirpes.
3. One third of my net residuary estate to CYNTHIA J. LEWIS,
NEVERTHELESS IN TitUST AS TRUSTEE FOR SCOTT J.
LEWIS, per stirpes, my beloved son. "I he TRUSTEE, CYNTHIA J.
LEWIS shall use these funds for maintenance and welfare of SCOTT J.
LEWIS and make distributions in acco.rdance with his needs, using her
discrerion related to same. This trust will end when the funds have been
distributed and or consumed by distribution to SCOTT J. LEWIS or on
behalf of SCOTT J. LEWIS.
ITEM 4. I nominate and appoint CYNTHIA J. LEWIS as Executrix of this my
last will and testament. In the event my Executrix named herein fails to
act or cannot act for some reason, them I nominate and appoint JAMES
S. LEWIS,JR., to act in her stead.
ITEM 5. I order and direct that my Personal Representative(s) named herein us�,,,
the legal services of�AMES M. BACH, as Attorney for my Estate.
ITEM 6. I direct that my personal representatives, as well as theiY successoYs
shall not be required to give bond for the faithful performance of
their duties in any jurisdiction.
ITEM 7. I direct that all estate, succession,legacy, inheritance or other transfer
taxes, however designated that shall become payable by reason of my
death in respect of all property comprising m��gYoss estate for tax
purposes,whether or not such property passes under this LAST
WILL, shall be paid by my Executor out of my residuary estate.
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ITEM 8. I gxant to my personal representatives herein named, in addition to,
but not in limitation of those poweYs vested b��law, to be exercised
',�with priox application to or appxoval af any court, the power and
authority to retain indefuutelv any property, to invest and reinvest
any assets or the proceeds derived from the sale of assets, although
said investments may not be of the charactex prescribed by law, to
sell, convey, assign, transfer and encumber any property, to pay,
settle or compromise all claims, to make distribution or divisions in
cash or in kind, and in general to exercise all powexs in the
management of any propexty hereunder�vhich any individual could
exercise in the management of similar property owned in her own
xight, and to execute and deliver any and all instrLunents and to do all
acts,which may be deemed necessary and pxopeY.
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JAIVIES S. LEWIS
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA)
) ss
COUNTY OF CUMBERLAND )
I, JAMES S. LEWIS, 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 to or affirmed and acknowledged before me, by: the TESTATOR this 6th day of
Februar�,2006. i
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JAM S S. LEWIS
i d�OTARIAL SEAL /f,��r/1f;i
`,Ea hr1. �ACH, Notary Public ��r '��
.r:, ��;�ior� Twp., Cumberland Counry J � S M. BACH,ESQUIRE
,._._,r_
r C;:;rnrnission Expires May 13, 2007 N TARY PUBLIC �
echanicsburg, PA 170 0
My Commission Expir s: 05/13/07
The preceding instrument consisting of this and two (2) other typewritte �s;
identified by the signature of the TESTATOR,was on the date thereof signed,published and
declared by JAMES S. LEWIS,the TESTATOR therein named as and for her LAST WILL
AND TESTAMENT.
Residing at 352 S. S�orting Hill Road
MARY . �LAYC Mechanicsburg,PA 17050
. � Residir_g at 352 S. S�ortin�I-Iill Road
S SANN C. IiAL'FFNLA Nlechani.csourg.PA 17U50
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA)
• ) ss
COUNTY OF CUMBERLAND )
We, MARY L. CLAYCOMB and SUSANN C. KAUFFMAN, the wimesses whose
names are signed to the attached ox 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 her LAST WILL; that the TESTATOR signed it willingly and that he executed it
as her free and voluntary act for the purpose therein expressed; that each witness in the hearing
and sight of the TESTATOR signed the WILL as witnesses; and that, to the best of our
knowledge, the TESTATOR was,at the time, 18 or more years of age,of sound mind and under
no constraint or undue influence.
Sworn to or affirmed and acknowledged befoxe me, Uy: MARY L. CLAYCOMB and
SUSANN C. KAUFFMAN,wi esses,this 6�day of Februar,�2006.
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MARY . YCO SANN C. I��UF N
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J ES M. BACH, ESQUIRE
. __ TARY PUBLIC
NOTARIAL SEAL Mechanicsburg,PA 17050
� a�S M. BACH, Notary Public
' � Twp., Cumberl�nd County �'iy Commission Expires: OS/13/07
s ,.
'�+9 ' .-� �xnirds May 13, 2007
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