HomeMy WebLinkAbout08-24-05
PETITION FOR PROBATE & GRANT OF LETTERS
, deceased.
No. 21-05- "\ c.., ~
To: Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
Estate of PHYLLIS V. THOMAS
also known as
Social Security No.
174-05-2990
The Petition of the undersigned respectfully represents that:
Your Petitioners, who are 18 years of age or older and the Co-Executors named in the Last Will of the
above decedent dated Aoril1 0.2000 ,and codicils dated none . The Executor named none
died . Renunciations for none attached hereto.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal
residence at 226 Peach Glen Road. DickinsonTownshio. Cumberland Countv. Pennsvlvania
Decedent, then .J!L years of age, died
Julv 23 ,2005, at
Sarah Todd Memorial Home
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: N/A
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in PA
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania, situated as follows:
226 Peach Glen Road. Dickinson Townshio. Gardners. Pennsvlvania
$353.000.00
$
$
$82.000.00
WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented
herewith and the grant of letters testamentary thereon.
Signature(s) and Residence(s) of Petitioner(s):
~ ~ ,c{L
Roger in, Esquire
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
55
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 representative of
the above decedent, petitioner(s) will well and truly administer the estate according to law.
~~.~
Rog B. Irwin, Esquire
Cl
-~-o
~ :~-~
Sworn to or affirmed and subscribed
before me this 24'h day of
August, 2005.
(,~,,~ ~~~
Register \
~<S\<...\(~\ ~"~~
r-..>
=>
C~
c...:"l
2:~
::0
r-Tl
C")
"J
::~~
C)
r ...-n
, '~:J
- OJ
'-'-'-h
-..,
- -,~ C5
"l'-n
". ~;2,
~.~
c-~~)
['.)
.,
c..n
\.0
No. 21-05- I\' ~
Estate of
PHYLLIS V. THOMAS, deceased.
DECREE OF PROBATE & GRANT OF LETTERS
AND NOW, Auaust 24. , 2005, in consideration of the Petition on the
reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s)
dated Aoril10. 2000 described therein be admitted to probate and filed of record as the
Last Will of Phvllis V. Thomas ; and Letters Testamentarv are hereby
granted to Roaer B. Irwin, Esauire
FEES
Probate, Letters, Etc. . . . . . . . $ 410.00
Short Certificates(-6-).. .. ... $ 24.00
Renunciation(s) ........... $
JCP ...... .. . .. '" . . '" . $ 10.00
Automation Fee. . . . . . . . . . ..$ 5.00
Other Will . . . . . .. .... $ 15.00
TOTAL: .... $464.00
Filed.. . . .. .. . .. . .. . . .. . .. . .. .. ..
"'~ ~~ ~ ~"
Register of Wills q.\<: \ ~...~
IRW~~~~IGHT ,-- ~
Ro er . I in E uire Q6282l
ATTO NEY up. Ct.1.D. No.)
60 West Pomfret St.. Carlisle. PA 17013
ADDRESS
717-249-2353
PHONE
HIDS.HOS REV 1/05 'J.. " - <:::l S - "II., '3
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
I
.
I
,
.
.
~
t
o
~
~
-C
0....
TYPElPRlN'f
'"
PERMANENT
Bt.ACK1NK
o
~
,
~
"
'"
"
Z
W
o
W
~
o
.
o
!
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
Li-~~(~~~~
\ll"",(~\"rotpli~...~_
l:!S~.. ". :".r.;;"
I"~' .. ~,
!~ ~_ '0_.,__ '''' ,~\
Cf .: -1:;
l,-, .' '."'.' . I".,
\*'. iI,,:_ -,/*1
\* -~--_, - ~i
'":.~ - - ~\.\
" }?IAffNl ~\ ~"i".""
"""'",,,,,,,#,,,,,/#IJ,,I'
P 11850875
No.
JUl Z6 2005
Date
SO
,J
,~l ,___
J_'-._~
--_.1
,\"1'1
:::..2
I~
N
=
c.~
c.n
E:
<t)
,,>
.r-
"'-,""
-:0
([1
C-,
o
~X)
c::'J
en
(,:J
')C")
1-"-0-1
--f\
c~)
rT1
", (-)
-:'1.,
_..J
"--I
U1
U>
Hl0~.14:l Re.. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
STATEALEIiU"'9E"
NAME OF OECeDENT IFln~ M1ddlft, Last)
1. Phyllis V. Thomas
AGE (LaolBirthcllly)
""
2.'Female
SOClAL SECURITY NUMBER
OATEOF DEATH (McnIh.08y.Yn,)
...July 23,2005
,.
'74- 05
-2990
91
""-.
'"
BIRTHf'lACE (CIIy and p
cdl~I1)e"i'1"'a1icrIC =b
...
notlnetibJllon.givestrwl&nd...._l
IlooIllo_O =~l 0
AACE_AmerIca1Ind1.n.IlIadc.Wlli..
(Spedl'yWhite
...
,..
..
COUNTY OF DEATH
~I
Carlisle Todd Memorial
... "-
KIND OF BUSINESS IINOUSTRY
MARIT,o"l..STAruS-M.med.
-~=t~~.
l;\ever Married
'Home
b.umberland
DECEDENT'S USU,o"l.. OCCUPATlON
Lalrmr"::':~=
11~ la
OECEDENl'S WJLING ADDRESS (SlRlIll, catr:rrawn, Sl.le. Zip Code)
.. 226 Peach Glen Rd.
Gardners, PA 17324
"
FATHER'S NAME (FJJl,j.4iddlol. j.astl
18. Jesse c.layton Thomas
INFORIMNT'S NAME (TypoIF'mt)
20~ Nancy Zenuch
MrntOO OF DISPosmoo
oOon.llonO Burilll[jCremricn~emovalIromS"'leD
218. QlMrjSpedly)
SIGNA OFF"JE ERVl ELICENSEEORPERSQNACTINGASSlJCH
. ,
".. .
ComplBl.llemsZ3a-<:onIy..........
p!lysldanlsllOtavahblol",dmeofdulhlo
certlty_ordHIh.
1le...24.28mUSlbacompll!ledby
perwnwhOpo'(ll'I:IOOcesdlllllh.
SURVIVING sPOUSE
(W_.__......)
AS DECEDENT EVER IN
U.S. ARMED FORCES?
YesD NoK]
".
...
2?PARTI: E_"'d_''''J_'''~_OOlOMd''''_. O..ot
Uol.nly......._..._II....
17~S18le ppT>n!O:lvlv::llni::ll~~8lIl 17<:.!3:Vas.dacedenllvtldln n;,...lc;n!O:lnn
17b.CountvCumberland ::..~? 17d.D ::rtWn~l=of
MOTHER'S AAME (first, Middle, NaldenSumsme)
11. rni starner
INFORMANl'SMAIlINGADORESS(Streel, CIIyfl"own. it-le.Z!Il.Coda).. PA 17324
~. 25 Peach Glen Rd.. uaraners,
I'LACEOf DISPOSITlON-N.....otCemelety. Crematory LOCATION .Clly/TOWfl. SleIlI'i~Code PA 17065
M~~ollySprings Cern. Mt..HollySpr ngs,
21c. 21d.
~l~~wt~atoryMt.Hol YSpr1ngs,P~'7
L1CENSC NUMBER DATE SIGNED
(J" "13 "1-fl ,.....,",..'. /
". KN'" '> "/ L 'k05
WAS CASE REFERRED TO A MEDICAl EXAMINER /CORONER?
24. v_D No.l?J.
;AppmIcImoIle PARTn:Olh..-sl""lfiou'tamdHlon.conlributingto~bul
'inIeN8lbe~ II(II",suItlngin1heUnd~gClllJMgMlninPARTI
: ""seI.-.ddlIalh
...
65
c
IMMEDIATE CAUSE (Flnal
dlsellMorcondltlon
lesuIllrogIn deillhl-
CIA.
l..-
,<
A EOUEH
l"
,
.
~^~
DATE OF INJURY
_,Oey.YOM)
TlME OF INJURV
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
MANNEROFOEATH
,-
""""
~
o
o
o
D~EOFINJURV
lnM\tIg."""(SI'OGffYl
_.
HomicidB
P9l1dingmvestiQlolion
VelD NoD
3Gb. M. 300:.
At home. famI, slnlol~ladDry.omce
'KO ,o~
2t& 28b.
CERTlFIER(Ched<on/y"""l
.'~~IG..r:~~~:3:~.~:{=rlll~.~.~tJ:f~.~~.~.,:,:,.~.~~.I~.~)...
'KO
~O
Couldnolbadoterrnlned
,"-
".
"PRONOUNCING AHD CERTIFYING PHYSICIAN (F'I\yIldlIn both prcnounclng d8IlIh ond c:er1HyinlI to __ ofdllllltl)
TothsobPtolJn)lImowrNlI'.dMthOCCUrndatlNtlma, date,...dp~.anddl.t.tolho~.landlllllll""..w.d.
"MEDICAL EXAMINERICORONER
:::'b:~~~~ .MdI....~.....tnrnyOplnlon._ ...........d"'.".IIm.."".., and PI_,~.~~~.~.~.~~~.(.)....:I D
".
REGlSTRAR"S SIGNATURE AND NUMBeR
OQNALDJ.KO\IACS.MD
'l'tIDw8IHc:Ms~PIKbCrior
32. 1358l.utt1oM1Rd.,BoingSpmgo,~11OO7'
:TEFILED(Mon1h.D:J"~ ()~ .
".
~111Cl.1\IDI
LAST WILL AND TESTAMENT
I, PHYLLIS V. THOMAS, of Dickinson Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
I. I direct my executor to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my executor to sell any realty owned by me at my death, at
either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I
could do if living.
3. I give, devise and bequeath all of my estate of every nature and wherever situate as
follows:
(1) The sum of $10,000.00 to Charlotte Carbaugh, of Fayetteville,
Pennsylvania;
(2) The sum of $10,000.00 to Genevieve Newman, of Fayetteville,
Pennsylvania;
(3) The sum of $10,000.00 to Ruth Myers, of Fayetteville, Pennsylvania;
(4) The sum of $5,000.00 to Uriah United Methodist Church, of Gardners,
Pennsylvania;
""
(" ~-~-,
\.:::'}
..:.:"1
"
-c)
.::2
"
f".,)
.',,",
,
~,.~~
--'-1
;-:;---1
- -; ( )
:-)
--"'1
--1 h-l
;-;C:J
-) C~)
'-,
-. -~..,
)
rn
} ,--'
<..-'1
U>
(5) The sum of $5,000.00 to The United Methodist Church, of Mount Holly
Springs, Pennsylvania;
(6) The sum of $1,000.00 to the Crystal Cathedral Ministries, of Garden
Grove, California;
(7) The sum of $1,000.00 to the Red Cloud Indian School, of Pine Ridge,
South Dakota;
(8) The sum of$I,OOO.OO to St. Josephs Indian School, of Chamberlain, South
Dakota;
(9) The sum of $10,000.00 to The Heart Association-PA. Affiliate, of
W ormleysburg, Pennsylvania;
(10) The sum of $1 ,000.00 to The Salvation Army, of Carlisle, Pennsylvania;
(11) The sum of $500.00 to The Golden Age Club, of Mount Holly Springs,
Pennsylvania,
(12) The sum of $5,000.00 to American Lung Association of South Central
Pennsylvania, York, Pennsylvania;
(13) The sum of $5,000.00 to American Cancer Society, Capital Region Unit,
Harrisburg, Pennsylvania;
(14) The sum of $5,000.00 to the American Red Cross, of Carlisle,
Pennsylvania, and
(15) All the rest, residue and remainder to The Children's Miracle Network,
The Milton S. Hershey Medical Center, Hershey, Pennsylvania 17033, and
Children's Wish Foundation International, 8615 Roswell Road, Atlanta,
Georgia 30350-7526
2
4. I nominate and appoint Roger B. Irwin to be the executor of this my Last Will and
Testament, she is to serve as such without bond. Should he die before my death, renounce or
refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and
appoint Marcus A. McKnight, III and James D. Hughes, as substitute executors, also to serve as
such without bond, with the same powers as are given herein to my executor.
5. I hereby suggest that my personal representative retain the services of Irwin,
McKnight & Hughes as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ,() ~ day of
April, 2000.
~'X~EAL)
YLLIS V. THOMAS
Signed, sealed, published and declared by PHYLLIS V. THOMAS, the testatrix above
named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her
presence and in the presence of each other have subscribed our names as witnesses hereto.
cik//P~
vt1!!~X V;U~
3
ACKNOWLEDGMENT AND AFFIDAVIT
WE, PHYLLIS V. THOMAS, CHERYL L. CLELAND and MARTHA L. NOEL,
the testatrix and witnesses respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed
and executed the instrument as her Last Will, and that she had signed willingly, and that she
executed it as her free and voluntary act for the purpose herein expressed, and that each of the
witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the
best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound
mind and under no constraint or undue influence.
~ ]f. -7~..,..
PHYL S V. THOMAS
C~~~
~ 'I-CJtMY
M HA L. NOEL
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by, PHYLLIS V. THOMAS, the
testatrix herein and subscribed and sworn to before me by CHERYL L. CLELAND and
MARTHA L. NOEL, witnesses, this ,,,! day of April, 2000.
3,oL
atar' Seal
Roger B . Notary Public
Carlisle Boro. Cumberland County
My Commission ~~plres Oct 3, 2000
Member Penrl':Oy",_~, Ita Association ot NotafliilS