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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) ~ <?<u/Ju//I .~ ::-/",/ Re lie L. Brown Residence(s) of Petitioner(s) 23 Circle Drive Carlisle, PA 17013 .J ,; ", I"~,) co- OATH OF PERSONAL REPRSENTATIVE CUMMUNWEATLH OJ<' PENNSYLVANIA CUUNTY Uj<' CUMHEKLANlJ Sworn to or affirmed and subscribed before me this "'). " :>\ day of ~~~ ~~3. . ....~ ' "'~ 0 ':.~:'A~~ ~ c,<- V~ :~~eglster No. ").\-~S .~'--\'l u 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_ $ ,20 ~ '-\5. \5. c:, ."\ "~I S, ~~, \;,~ ~~~. K~lster ot WIlls 1 ~ ~.~~;~">.. "0~ Kobert M. J<'rey --...j All UKNhY (Sup. Ct. tV. No.) 5 South Hanover Street Carlisle, Pennsylvania 17613 ADDKJ<.;SS '2-,\..i ."'~ (717) 243-5M3M PHONh Filed S~ ~" (''''') r':i -..,....j " C) r'~ -::J ,0 (~;:; ~:I ;'"-j i 1'1 --, r;-? CD 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 ~~~, ~~, ~ ~~~4 Register r~ ~ j,/}~ /A>>-r Robert M. Frey 5 S. Hanover Street. Carlisle P A 17013 c..~ '{,~~, ~ Deputy Name ~,_~; ( ) 5 S. Hanover Street. Carlisle PA 170lf~ Ii'! , 1-'-..) r:.~-) ", 0) REGISTER OF WILLS OF CUMBERLAND COUNTY OA TH OF NONSUBSCRIBING WITNESS C~ u .-',--1 _Cl ~.:";~~ 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 ~''\l ~ ~ .\<.~... ~ ~.. \ , ~~~\ Deputy 5 S. Hanover Street. Carlisle PA 17013 - "'),\ .<::JS -~~\ 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, .~ Cfp/~ Step n C. A s Affirmed and subscribed before me this 15th day of September, 2005. 9(G GOU:JEU cf1GLt; DR. Address ~t1.rL~ Notary Public (blJtUA y. S(!, f :29 ~c27 NOTARIAL SEAL TRISHA A. UESS, NOTARY PUBLIC BOROUGH OF CARlISlE, CUMBERLAND co, PA MY COMMISSION EXPIRES MAY 20, 2006 --) J t''':) ......'.J ;",) co H'Il"'" "'I ..,,, ~ \ _ ~ S _ ~ i4.1 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 ....'. " No, Dale 2i',~ ~:()~~;e:i~~~ _OJ ~ , f'') ; ',~ H105.143 Rav. 2187 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, ~ ~ < ~ 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. ,. Z '" o '" u '" o ~ o ~ z '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 ". REGISTRAR'S SIGNATURE AND NUMBE t:\. ~~C~-U jJ,o. '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... ~J \ Id.-Il 10 I 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. rz~ h7_ 7-.; ~'-- tr/j C,', ' C__I' , ".J '"._....,} ':;:";:..;0