HomeMy WebLinkAbout09-21-05
Estate of
also known as
C, Norman Adams, Deceased.
J
171-05-1641
PETITION FOR PROBATE and GRANT OF LETTERS
No. ";;).. '\ . ~ S - ~ '-\ '\
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Renelle L. Brown
OClal Security No.
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the executQr$ named
in the last will of the above decedent, dated Au~ust 28, 1!Jf8{Jl11
and codicil(s) dated N/A
Decedent was domiciled at death in Cumberland
the Decedent's last family 91.principfll resWenCalt
le~; r!l.ult</t ~ r w ~.
COUlm', I]nnSYI~ Wi~ aJ
.J6- Ea~t Ui2h Street 7 'f() It 'dbtid tJ1-t.. OIL"
Decedent, then
at
years of age, died
September 9, 2005
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) 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:
$
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented
herewith and the grant of letters Testamentar
thereon.
~/ .' ~~e(s) ofPetitioner(s)
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Re lie L. Brown
Residence(s) of Petitioner(s)
23 Circle Drive
Carlisle, PA 17013
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OATH OF PERSONAL REPRSENTATIVE
CUMMUNWEATLH OJ<' PENNSYLVANIA
CUUNTY Uj<' CUMHEKLANlJ
Sworn to or affirmed and subscribed
before me this "'). " :>\ day of
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Estate of C, Norman Adams, Deceased.
, Deceased
DE(;R.EE O~' PROBATE AND GRANT O~' LETTERS
AND NOW "S ....~ ~~, J... " , 20~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
August 2M, 199M, described therein be admitted to probated filed of record as the last will oj
L, Norman Adams, Deceased. ; and Letters are hereby granted to
KenelJe L. H rown 0
Probate, Letters, Etc.
Will
Renunciation
Short Certificates ( '\ )
JCP
Automation Fee
Bond
FEES
$
$
$
$
$
$
$
Total_ $
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K~lster ot WIlls 1
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Kobert M. J<'rey --...j
All UKNhY (Sup. Ct. tV. No.)
5 South Hanover Street
Carlisle, Pennsylvania 17613
ADDKJ<.;SS
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(717) 243-5M3M
PHONh
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REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
Estate of c. Norman Adams
NO. 21-05 - ~I..\\
Also known as
.Deceased
Robert M. Frey
(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 C. Norman Adams, the
TESTATRIX, sign the same and that HE signed as a witness at the request of TEST A TRIX in
HIS 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 J- '\ ~ day of
September 2005
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Register
r~ ~ j,/}~ /A>>-r
Robert M. Frey
5 S. Hanover Street. Carlisle P A 17013
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Deputy
Name ~,_~;
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5 S. Hanover Street. Carlisle PA 170lf~
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REGISTER OF WILLS OF CUMBERLAND COUNTY
OA TH OF NONSUBSCRIBING WITNESS
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Estate of C. Norman Adams
No. 21-05 - ~\.\'\
Also known as
i'"".)
.Deceased
co
Trisha A. Liess and Mary C. Wert
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
they are familiar with the signature of C. Norman Adams, testatrix of (one of the subscribing
witnesses to) the codicil/~ presented herewith and that they believe/believes the signature on the
codicil/\Yill is in the handwriting of Krista King to the best of their knowledge and belief.
r1d~
Trisha A. Liess
Sworn to or affirmed and subscribed
Before me this \J.. \ ~ day of
of September, 2005
5 S. Hanover Street. Carlisle PA 170]3
7;(4:11 Wvd
Mary C. Wert
(~~~, ~~~ ~~~\
Register
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Deputy
5 S. Hanover Street. Carlisle PA 17013
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RENUNCIA TION
In Re Estate of C Norman Adams, deceased.
To the Register of Wills of Cumberland County, Pennsylvania.
The undersigned Stephen C. Adams, son of the above decedent, hereby
renounce(s) the right to administer the estate and respectfully ask(s) that Letters
Testamentary be issued to Renelle L. Brown
WITNESS my hand this 15th day of September, 2005,
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Step n C. A s
Affirmed and subscribed before me this
15th day of September, 2005.
9(G GOU:JEU cf1GLt; DR.
Address
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Notary Public
(blJtUA y. S(!,
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:29 ~c27
NOTARIAL SEAL
TRISHA A. UESS, NOTARY PUBLIC
BOROUGH OF CARlISlE, CUMBERLAND co, PA
MY COMMISSION EXPIRES MAY 20, 2006
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This is to certify that the information here given is correctly copied from an original ccrtifilal~ or de Ith dllly flied with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for pn!llanent Iii m",
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6,00
p ., 0, <
, , SEP 1 2 2005
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No, Dale
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
co
TYPElPRINT
'N
PERMANENT
BLACK INK
CERTIFICATE OF DEATH
SEX
"Male
STATE FILE NUt.4BER
SOCIAL SECURITY NUMBER
3,174
05 - 1641
Q,\
BIRTHPLACE (City and PLA E OF TH h
Slale or Forllign Country) HOSPITAL
di b " p'" I~p~~.nl 0 ERlOulpallenl 0
i,Lan s urg, J-l.. lb.
FACILITY NAME (If not tnsUlullon, gi....e slreet and number)
lntrutin
0011.0
R...Oj~""" 0 ~~~Iy) 0
RACE. American Indian, Black, White, at
(Spectfy)
to, White
SURVIVING SPOUSE
(Wowife. glv, maiden I\8me!
AS DECEDENT E~R IN
U.S, ARMED FORCES?
YesD No~
12.
MARITAL STAruS - Married,
Never Manied, WIdowed,
Dlvorcecl(Speclfy)
14, Wid:Med
17b. Countv
PA
Crn1berland
0"
decedent
live In II
to.....nshlp?
11c:. f&J Yes, decedent lived In
17d.D ~Kh~e=:7~~n:o'
<wp,
~
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MOTHER'S NAME (First, Middle, MalSlen Surname)
19. Hazel J. Foster
INFORMANT'S MAILING ADDRESS (Street, CltyfTown, Stilte, Zip Cod~
20'0 23 Circle Drive, Carlisle, P1'. 17013
PLACE OF DISPOSITION_ Niilma of Cemolery, Crematory LOGATION CltyfTown, Slale, Zip Goda
or Other Place
city/bQro.
17013
Inc., Carlisle, PA
DATE SIGNED
(Month, Day, Yeer)
23b,f&j 50/ ",,Sf~' dbOS"
WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONE~
26. Yes 0 No t::T
: Approximal.. PART II: Other significant eondmons contributing to death, bul
,intarvlllbetween no!rasulting in Ihe underlying cause given in PART I.
:onsslanddeath
5eQuenliallylisleonditions
ifan}/,leading 10 immediate
. cause. Enter UNDERL YlNG
CAUSE (Dise8se or injury
. th81lnltiatedavents
resulting ondellth) LAST
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
OF DEATH?
E
DUE TO (OR AS A CONSEQUENCE OF)
DUE TO (OR A ACONSEOUENCE OF)
N1Jlural
MANNER OF DEATH
W
D
D
Homicide
DATE OF INJURY
(MoIIIl1,D8y,V88r)
D
D
D
TIME. OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
Accidtlnl
Pendinglnvestigillion
Could nol b@d@termined
30a. 30b. M 30c.
PLACE OF INJURY - At home, rerm, slreel, fectory, office
l!uilding.slc.(Spedfy)
30.,
YesD NoD
Yes 0 No
Yes 0
NoD
Suicide
30d,
LOCATION (Street, CilyfTown, Stale)
28.. 28b,
CERTIFIER (Check only one)
'~~~~"J.:~IGJ~~lf:~~~~JFuh~.:~ C~~i:;.~.rdu;: t~ a,e:~a:;~:~(:J~~3r,g~X~i;.ia~s h:t~Fe~,~~~~~,~ ,~,~~.t~.~~~ .~~.~~~~~~.~.I.I~r::.:~~
29.
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'MEDICAL EXAMINER/CORONER
~:~~:rb::~~~~~,~~~,~~I.~~ ,~~,~~~.I~V~~.I:~.~~~~,~:.I,~ my opinion, death occurred at the tlma, dale, and place, and due to the caw.as(a) and 0
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REGISTRAR'S SIGNATURE AND NUMBE
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'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician bntl1 pronouncing death and certifyin\! to CilUSiI of death)
To the but of my kno.....I-.:Ig., death occurred allhe UmA, date, and place, and dua to the cilus.s('jand manner 88 stated...
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LAST WILL AND TESTAMENT
OF
C. NORMAN ADAMS
I, C. NORMAN ADAMS, widower, of 36 East High Street in the Borough of Carlisle,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this as and for my Last Will and Testament,
hereby revoking and making void any and all Wills by me at any time heretofore made.
1 . I direct my hereinafter named Executors to pay all of my just debts and funeral
expenses as soon after my death as may be found convenient to do so. I direct that my funeral
services be conducted by Ewing Brothers Funeral Home, 630 South Hanover Street, Carlisle,
Pennsylvania, and that my body be interred beside that of my wife, Hazel A. Adams, on my burial
lot located in the Traditional Section of Westminister Cemetery near the Borough of Carlisle in
North Middleton Township, Cumberland County, Pennsylvania, which lot is located beside the lot
on which the bodies of my parents, George W. Adams and Hazel 1. Adams, are interred.
2. I direct that all inheritance, transfer, succession, estate and death taxes which may be
payable on account of my death, including interest and penalties thereon, shall be paid from the
residue of my estate regardless of whether the assets upon which such taxes are based are included
in my probate estate.
3. All of the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath as follows: One-half (1/2) to my
son Stephen C. Adams, his heirs and assigns, provided he shall survive me by a period of ninety
(90) days, but should he fail to survive me then to such of his issue that shall survive me by a
period of ninety (90) days, per stirpes; and the other one-half (1/2) to my step-daughter, Renelle L.
Brown, her heirs and assigns, provided she shall survive me by a period of ninety (90) days but
should she fail to so survive me then to such of her issue as shall survive me by a period of ninety
(90) days, their heirs and assigns, per stirpes.
4. I hereby nominate, constitute and appoint my said son, Stephen C. Adams, and my
said step-daughter, Renelle L. Brown, or either of them as co-Executors of this my Last Will and
Testament and I further direct that neither of them shall be required to post any bond to secure the
faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will
and Testament written on one (1) page, this 28th day of August, 1998.
c ^ Sz~a~;;? ~~~~.J
C. Norman Adams
(SEAL)
Signed, sealed, published, and declared by C. NORMAN ADAMS, the Testator above
named, as and for his Last Will and Testament, in our presence, who, in his presence, at his
request, and in the presence of each other, have hereunto subscribed our names as attesting
witnesses.
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