HomeMy WebLinkAbout10-27-05
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Estate of THOMAS W. JOHNSON No. 6l /~d 1)0 s- --q ro
also known as To:
Register of Wills for the
,Deceased. County of CUMBERLAND in the
Social Security No. 204267663 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older and the execut rix named
in the last will of the above decedent, dated JANUARY 18. 2000
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in CARLISLE. CUMBERLAND County, Pennsylvania, with
h is last family or principal residence at 700 WALNUT BOTTOM ROAD (CARLISLE BOROUGH)
CARLISLE. CUMBERLAND COUNTY. PENNSYLVANIA 17013
(list street, number and municipality)
Decedent, then 73 years of age, died 5/26/2005
at FOREST PARK HEALTH CENTER. CARLISLE. PA 17013
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:
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:
$
$
$
$
7.300.00
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant ofletters testamentary
thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
X
NOR
1350 LIBERTY STREET
HARRISBURG PA 17103
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF CUMBERLAND SS HAROLD S. IRWIN, III
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 ofpetitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and trul dminister e estate a rding to law.
Sworn to or affi~~ ~1}d subscribed ,{ X
r fT'^- day of
Register .hCM-^d-.J
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No.
:Af- ~,/J/) 'f:/" CJ7{)
.
Estate of THOMAS W. JOHNSON
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW OCTOBER . 2005 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that the instrument(s) dated 1/18/2000
described therein be admitted to probate and filed of record as the last will of THOMAS W. JOHNSON
and Letters TESTAMENTARY
are hereby granted to
NORMAN JOHNSON
FEES
Probate, Letters, Etc.. . _ . _ . . . $ ~5.1) D
fi IlJ \ $ /Ip-OO
Short Certi lcates \- I )-......
Renunciation. . . . . . . . . . . . $ ~l 0
oJ C-PrIlU rv $ t t;.DD
Will 0/ I S-{)D
TOTAL ...::u.a.. $
Filed. .c)~~?1-Pl>S. . . . . . . . . .
64 SOUTH PITT STREET
CARLISLE PA 17013
ADDRESS
717-243-6090
PHONE
HI05.905 REV.(Ol/04)
This is to certifY that this is a true copy of the record which is on file in
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
P I ~ P OC...r:-ez::-CJ
the Pennsylvania Division of Vital Records in accordance
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~ GtJ.. !I~
No.
Charles Hardester
State Registrar
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
3517912
JUt 29 Z005
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~Date
C-":1
t. Thanas
AGE (Last B~
.. 204
26
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-:'055863
f-v . ~
DA.TE OF' DE.A1.Sl:Ionlh. OilY, '/NtI
May 26, 2005
H10S. i43 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
NT
73
W. Johnson, Sr.
UNDER 1 YEAR UNOeR 1 D1(Y
MonthI Days Hotn! ..Inut..
SEX
I. Male
STATE FILE NUMBER
SOCIAL SECUAITV NUU8ER
:NT
'K
NAME OF DECEOENT (FIfSI. Middle. lUI
v".
BIRTHPLACE {City and Pl.ACE OF' DEATH (Check only one - iftIlnslrucboos on 0IheI SIde)
Sta18 Of For8lQnCounlfyl HOSPITAL:
Carlisle, PA lnpo,;ontD
7. ...
FACILITY NAME (II no! lnsMulKJrl, g.1Ie sit", and numbeq
~D
S.
COUNTY OF DERH
.a I . Ib. Cumber land
DECEDENT'S USUAL OCCUIWlON
~~~~:O~::~:f
ilL Truck Driver ...~.S. Postal Servi
DEceDeNT'S MAlLtNO ADDRESS (Street CityllOwn. Stale, Zip Code) DECEDENT'S
700 Walnut Botton Rd. ~~~HCE
Carlisle, PA 17013 :;e-..=::""
11.
FATHER'S NAME (First. Middle. Last'
11. Thcrnas Johnson
IHFOR....",..SHAMElTypoIPrinQ
.... Thanas W. Johnson, Jr.
METHOD OF DISPOSITION
IlurioI D C......IIonKJ R........tromSUI.D
IlonolIonD 00-_
.21L
StGNRURE OF
MARITAl ST,~ruS. "anted
Never "a"led. 'Mdow.d.
llIYc<eod (Speeolyj
Divorced
RACE. Arnencan Ind.n. Black. WhM:.. etc.
_I
'0. Black
SURVIVING SPOUSE
III WII.. owe m8lden NIlTI.'
17..S181.
, 7b. Coun
Cumberland
DId
-
....".
lown.hlp1 17d.6a ~-'::-=of
MOTHER'S NAME (First. Middle. Maiden Surname)
II. Niana Meals
INFORMANT'S MAIUNO ADORESS (Street. CityIiJwn. SUite. Zip Code)
. 125 N. 21st. Street, Camp Hill, PA 17011
PlACE OF DtSPOSrTlON. Name Of c.met....,. CretMtoIy lOC~1ON . Ci1yITown. &.1., Zip Codtt
Of 0Ih0f ......
Eagle Cremation Srvcs I.d. Leola, PA
NAME AND AOORESS OF ",ClLITY
~in Brothers Funeral Hone,
UCENSE NUMBER
....
Carlisle
city.-.o.
.. carl:lac 01 ,esptr.wry ."nt, ahock 01 hear1 hltlure.
Carlisle, PA
ZI,
t Appraximllt.
'in1.,.,.~
: onMI and dMth
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PlACE OF INJUAY . A1 home, farm. _Ireet. ~. orfice
building. etc. ISpecily)
2l1li. 21. 3Oe.
CERTIFIER CCheck only one)
-CER'fWYlNO PHYSICIAN (Physcaan certlfying cause of death when another physic:.an has pronounced death ana ccmpleted Item 23)
Tbhbeetofmy knowtedge.deIlthOCC1lf1'edd.,.10th.cau.e(_).ndmannera. _t81ed.......................................,.............
t"
c.
d.
Homicide D
Penclng InvestlQlllon 0
v.. D No CoM noC be delermined D
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
YH D NoD
-MEDICAL EXAMINER/CORONER
On lhe baal. 01 ...mlnatlon and/or Investigation, In my opinion, death occurred allhe lime, dala, and place, and due to the CauM(s) and
manner.. stated.. .... .......................... ,..........,.".......... ,........................................
31..
REGISTRAR'S StONATURE AND NUMBER
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D
-PROHOUNCINQ AND CERTIFYING PHYSICIAN IPhysic13n boIh pronOUncIng dealh and certitytng 10 cause of dealhl
To... ~ofmy knowledvp.. $.thoccurrecf.t Ih.tlme,d_te. .ndptae.. .nd due 10 1M c.us.(S..nd mann.,.. .t.led..........................
...
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
RENUNCIATION
Estate of THOMAS W. JOHNSON
also known as
No.
;2 /r70tJ~-qSl>
, Deceased
The undersigned, JOYCE S. COPE, executor named in the last will and testament
(Relationship) (Capacity)
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters TESTAMENTARY be issued to NORMAN G. JOHNSON
Witness my
Sworn to or affirmed and subscribed
~J'
before me this
N ry ublic
My CommissiQR E:xp es: ~.
NOTARIA EAL
HAROLD S.IRWIN, Ill, N Y PUBLIC
~ARUSLE BOROUGH, COUNTY OF CUMBERLAND
(Sign~;~~1>~~~~~g1oBER 22. 2000
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
RW-3
hand this 4TH day of OCTOBER 2005
fl.!!.? t.l s' ~ (Signature)
JOYCE S. COPE
365 NORTH HANOVER STREET, CARLISLE
(Address)
PA 17013
(Signature)
(Address)
(Signature)
(Address)
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N
en
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
of
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LAST WILL AND TESTAMENT
I, THOMAS W. JOHNSON, of 365 North Hanover Street, Carlisle, Cumberland
County, Pennsylvania 17013, do hereby make, publish and declare this to be my last
will and testament, hereby revoking all wills heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and
administrative expenses as soon as convenient after my decease. I direct that all
inheritance taxes imposed or payable by reason of my death and interest and penalties
thereon with respect to all property, whether or not such property passes under this
Will, shall be paid by my personal representative out of my estate.
2. I authorize and empower my personal representative to sell any realty
and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or
bills of sale therefor, in fee simple, as I could do if living. My representative is
authorized and empowered to engage in any business in which I may be engaged at
my death, for such period of time after my death as seems expedient to said
representative.
3. I give, devise and bequeath all of my estate of whatever nature and
wherever situate to my brother, Norman Johnson.
4. I nominate and appoint Joyce S. Cope to be the personal representative
of my estate, to serve without bond. If she cannot or does not serve, then I,appoint ~'-~
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Norman Johnson to be the substitute personal representative, also without bond,_,
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5. I appoint Joyce S. Cope to be the guardian of my son, Thomas W.
Johnson, Jr., if he is under the age of eighteen at my death.
6. I suggest that my personal representative retain the services of Harold S.
Irwin, III, Carlisle, Pennsylvania in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 18th day of
January, 2000.
~~~
THOMAS W. JOHNSON
(SEAL)
Signed, sealed, published and declared by the above-named person as and for a
last will and testament, in our presence, who at said person's request, in said person's
presence and in the presence of each other have hereunto set our names as
subscribing witnesses.
~r&~
Yit41 J.ktfCk-
ACKNOWLEDGMENT AND AFFIDA VIT
WE, THOMAS W. JOHNSON, GAY L. IRWIN and HEATHER A. BARBOUR,
the testator and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that
the testator signed and executed the instrument as his last will and that he had signed
willingly, and that he executed it as his free and voluntary act for the purpose herein
expressed, and that each of the witnesses, in the presence and hearing of the testator,
signed the will as a witness and that to the best of their knowledge the testator was, at
that time, eighteen years of age or older, of sound mind and under no constraint or
undue influence.
~~~~
THOMAS W. JOHt:iSON
~~-
GAY L. IR
Y:!~d?-~. ~~
HEATHERA. BA BOUR
COMMONWEALTH OF PENNSYLVANIA
:ss:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by THOMAS W. JOHNSON,
the testator herein, and subscribed and sworn to before me by GAY L. IRWIN and
HEATHER A. BARBOUR, witnesses, this 18TH day of January, 2000.
IIOIMIAL 11M.
toNNIIa.. COYLa.IIOrMY "*-'C
~OQllOA.'" a_.lbll.MDCOUNTv
- ""a4111tON ..... OC"I'OIID 17 2001
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