HomeMy WebLinkAbout11-22-05
Estate of ...It:>YCE q. A-LJA/nS
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
J trY;- 1073
No.
To:
Register of Wills for the
Deceased. County of C Lt..m ber/a.nd in the
Social Security No. ~ - ,2~ - ? .3~' Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the executors
in the last will of the above decedent, dated
and codicil(s) dated
named
, 19_
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in e /.LIftw/i'LIld
her last family or principal residence at -2[)S" .5c.6u",/~;//
A//~ 7AU/Afh /P'l .
(list street, number and muncipality)
County, pennSYIV~a, with
Ave. &~ ~if' L~~
Decendent, then
at
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:
Decendent 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 fOllO~S ~l.LV/K//1 Ave. . I'nmp #//1
e/.UH~IMf~ . A ," .
,
7~
years of age, died
A/I?V- oS
, Jd .2GOS ,
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$
$
$
$ 52>g:o. -r- ,
u.~w~ /f/I~~q') ~~
)-:-1-', C)
I I J '"-"'-c.,
WHEREFORE, petitioner(s) respectfully
presented herewith and the grant of letters
e uest(~he probate of the last will' and;}odi~s)
(testamentary; administration c.La.; administr~~ii-~:,b.n'~':a')
I
J
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF ~ f/ f11 EElli.A-#/)
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 represen-
tative(s) of the above decedent petitioner(s) will well
~L
Sw o.m to or af. f2~ ~ and su bscribe d { ;,:
before me this day of
rum ~~ . ~r
)'J fJ -.~Fl. .. Ll'P~t4~.LU~' . ./
, ('~ W~
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d truly administer the estate according to law.
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Estate of
.?- I" 0 ~~ I ();}- 3
No.
06C.>jYic- U' /J-{lor'Y<J
DECREE OF PROBATE AND GRANT OF LETTERS
, Deceased
Iv () Ii -e "'Yl h-t:' (' .-:) ''\ ,....xl ::4) () 5'
AND NOW v 1...7 19-_, 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 '- J tt' 1'1 \) C) () 0 Y
described therein be admitted to probate and filed of record as the last will of J oVc.e. //. /I d(;/t'<<'
I
and Letters 7 -j::5 il';" "h ;;-)1., 1-rt72 y-
are hereby granted to (.J.,. It r2 r( Y r: If D;9 IV! r 'r P IV C };3 yy;U/C (v'}:J-
'~l cJ-t/L . HLA/I/, Sk S:f(,ho/ L--
~.i f!f/~ Ih '~~/J2;
Register of Wills
1,1 / IJ
Probate, Letters, Etc. ......... $ .4.-
Short Certificates(h ) . . . . . . . . ., $ }- LI OJ)
R~n .Wi.!.!.......... $ IS.Oj)
\J (, ~ ttr\J1V $ i S?)6
TOTAL $ 02 &> Y
Filed ..!~ ~':': < hi') &. {: . 'c?C?'j dliJJ.S".
FEES
~~~M
A ITORNEY (Sup. Ct. J.D. No.) 3J>S-/3
?; {!k;tlser Rt4 l}fedPl1c.sltl'J. ~4- /7/Js:f
ADDRESS
7/7- 7~~ c:?2/J 7
PHONE
H]ll::;,,(1::; Rf:\
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.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
P """'"'''''''''1'70
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No.
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L(lL'al Registrar
NOV 1 0 2005
Date
o
Co
.'. . -~,"J
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C:_'~:)
C:":,.J
C..n
(',.)
r-::,
8b, Cumberland
DECEDENT'S USUAL OCCUPATION
(~r:~:i~O~~eu~~rir~~red) t
. 11a. Homemake r 11b. Own Home
DECEDENT'S MAILING ADDRESS (Street, CityfTown, State, Zip Code) DECEDENT'S
205 Schuylkill Avenue ~~~~D'i}NCE
Camp Hill, PA 170 11 ~~~~~~'::t.;~)ns
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
..
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05.143 Rev. 2187
1..0
1.
AGE (Last Birthday)
72 Yrs.
U. Adams
SEX
2. Female
STATE FILE NUMBER
SOCIAL SECURITY NUMBER
3. 204 26
5.
COUNTY OF DEATH
HOSPITAL:
Inpl!lllentD
8a.
FACILITY NAME (If not institution, give street and number)
BIRTHPLACE (City and
State or Fcrefgn Caunl1?> A
7. New Cumberlan
ERlOulpallemtD
DOAO
Residence 0 ~~:~if"() 0
RACE - American Indian, Black, V\lhite, et
(Specify)
8e. East Pennsboro
KIND OF BUSINESS I INDUSTRY
AS DECED~NT EVER IN
US. ARMED FORCES?
YesO NoGg
12.
17a. Stale PA
10.
Iolh it e
SURVIVING SPOUSE
(If wife, give maiden name;
MARITAL STATUS - Married.
Never Married, WdOWed.
Divorced (Specify)
14, Widowed
17b. Counly Cumberland
Did
decedent
live in a
township?
17e. g] Yes, decedent lived in
Lower Allen
twp
17d. 0 ~~hi~e:t~~~lj~~~ of
citylboro.
27. PART I: Enter the diseases, injuries or complications which caused the death. 00 not enter the mode of dying, such as cut:'iac or resp!n1tooy arrest, shock or heart 'ai;ure. : Approximate
List only one c.euse on eollch line. , InteNal between
: onset and death
o the best of my knowledge, death occurred at the time. date and place stated.
(Signature and Title)
238.
TIME OF DEATH
24. 315
MOTHER'S NAME (First, Middle, Maiden Surname)
· Sara Arnold
INFORMANT'S MAILING ADDRESS (Street, CltyfTown, State, Zip Code)
20b,205 Schu lkill Avenue, Cam Hill, PA 17011
PLACE OF DISPOSITION- Name of Cemetery, Crematory lOCATION. CityfTown. State, Zip Code
OrOlherPlaeeCremation Society 0
21e. PA Cremator 21d. Harrisbur PA 17109
NAMEANDADDRESSOFFACILlTYAuer Memorial Home & Cremation
22e. Services Inc. Harrisbu PA
LICENSE NUMBER DATE SIGNED
(Month, Day, Year)
28.
Wa ne Kitzmiller
Mr. Larry Adams
AM
Sequentially lisl conditions I cb..
if any. leading to immediate
cause. Enter UNDERLYING
CAUSE (Disease or injury
. that initiated events
resulting on death) LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPLETION OF CAUSE
DEATH?
DUE TO (OR AS A CONSEQUENCE OF).
/l /l::>,... V)<{/.,
DUE TO (OR AS A CONSEQUENCE OF)'
/It/v If /?;,"/u,_ -n -rl-v,/v.
PART II: Other significant conditions contributing 10 death, but
not resulting in the undertying cause given in PART I
:J....../~.....i'^
,A.J t..r 1/ u (~
DUE TO (OR AS A CONSEQUENCE OF):
Accident
MANNER OF DEAr
Natural B'
o
o
o
o
o
308. 30b. M
PLACE OF INJURY - AI home, farm, street, factory, office
bUilding, etc. (Specify)
30e.
Yes 0
No
SiJicide
Homicide
Pending Investigation
Could not be determined
DATE OF INJURY
(Monti'!, Day. Year)
TIME OF INJURY
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED
'MEDICAL EXAMINER/CORONER
On the basis of examination and/or Investigation, In my opinion, death Occurred at the time, date, and place, and due to the causes(s) and
manner as stated ........................... ..................... ...................... ...............,..
31a.
REGISTRAR'S SIGNATURE AND NUMBER
~~~
~/I~/ /1
"'$<-
DATE FILED (Month, Day, Year)
34. ~ /0
(/
28a. 28b.
CERTIFIER (Check only one)
~~;~~Fti:tGor::.~~I~Je...~hJ,sd~rh cg~~~~~~u:: teg tte:~harr~~(:)~~3~)~ri~~~~s h~~f~g.~~~~~~. ~~~~~ ~~.~ .~.~~~~~~ .i.t~~ .~~).
29.
'PRONOUNCING AND CERTIFYING PHYSICIAN (PhYSician both pronouncing death and certifying to cause of death)
To the best of my knowfedge, death occurred at the time, date, and plae". and due to the causes(s) and manner as stated,...
2"" 5"
.
LAST WILL AND TESTAMENT OF JOYCE U. ADAMS
I, JOYCE U. ADAMS, an unremarried widow, currently of Lower Allen Towship,
r.....')
Cumberland County, Pennsylvania being of sound and disposing mind, memory and untf.!trstandin~'ao
C--: (-) ("':'.1"1
make, publish and declare this my Last Will and Testament, hereby revoking and making'void an~~:
and all prior Wills by me at any time heretofore made. i'')
r,)
1.
C)
-..-.-)
I direct the payment of all my just debts and funeral expenses as soon after m{decease asJ!.1e
same can conveniently be done.
i -)
2.
There is currently in existence a Funded Revocable Trust Agreement made by me, my
late husband, and my son Larry E. Adams, with Dauphin Deposit Bank and Trust company for the
benefit of my said son, dated February 25, 1992. Dauphin Deposit Bank and Trust Company has,
through various takeovers and mergers now been succeeded by Manufacturers and Traders Trust
Company, more commonly called M & T Bank. It is currently being considered as to whether or
not this Trust needs to be revoked in an effort to order my affairs in a better and more productive
fashion. In the event this Trust is revoked or amended or in the event before the date of my
death a new and similar trust is established, I hereby give, devise, and bequeath all the rest, residue
and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate to the
Trustee of such Trust or Trusts, as the case may be. I am currently contemplating naming PNC
Bank, National Association as such Trustee, but this grant and gift shall be considered to go to any
Trustee or Successor Trustee of such Trust or Trusts, as the case may be. My Trustee shall add
the property given, bequeathed and devised by this Item to the principal of such Trust or Trusts,
as the case may be, and shall hold, administer and distribute the property in accordance with the
provisions of the said Trust or Trusts, as the case may be
3.
I nominate, constitute and appoint my son, LARRY E. ADAMS and PNC BANK,
NATIONAL ASSOCIA TION, to be the Co-Executors of this my Last Will and Testament. I
further direct that they shall not be required to file bond or other security in the Office of the
Register of Wills for the purpose of administering my Estate.
f WITNESS WHEREOF, I have hereunto set my hand aod seal this
o'AUV;;-- _, A.D. 2004.
Jiol
day of
~fA~
~4
JOY~D~
(SEAL)
Signed, sealed, published and declared by the above-named JOYCE U. ADAMS, as and for
her Last Will and Testament, in the presence of us, who at her request and in her presence, and in
the presence of each other, have hereunto subscribed our names as witnesses.
~E'~<p
4-~
REGISTER OF WILLS OF ell /JJ/)t::-"YlL/f#JJ COUNTY
OATH OF SUBSCRIBING WITNESS
(!/lA-IZLCS E. .5#/1:::-"705:zzE hit/' LM,.ey E. 4/J/f/J2.S
eodieil-
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that ~ Were present and saw
~y(!€ II. -+#/IR1.S
the testatrh , sign the same and that fky f'Ar.J. signed as a witness at the
request of testat~ in her presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)).
~
.~~ (~~
me ibis d..~ day of t!li1U-/t!$ E: Sh/e/4S'(Name)
J.i10VC1YII3E:R, ~ . V1'~""'S,jl, ~ (Y'UserM, /}JUh~J1/csJu1' /J"" /7OSS
r- uu)(L fj;t)L/W ;-I1WJLt'-CWif0 ~ ~Add"")
V]J)A Re~er x _ t:._
,,,..-- 'vm U{LL 111#)' E. .tIP/gMS (Name)
/ )/(\~ d~ Se.J,uy/k/11 At'~/ C'd~ ~i'~ /YA- /74//
r () (Address)
o
Sworn to or affirmed and subscribed before
: i,
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RE~ISTER OF WILLS OF ;2 I- tJ 5--IO;}- 3 COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto. (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of
codicil
will
testat_ of (one of the subscribing witnesses to) the
that
presented herewith and
codicil
believes the signature on the will is in the handwriting of
to the best of
knowledge and belief.
Sworn to or affirmed and subscribed before
me this day of
19_
(Name)
(Address)
Ref-tister
(Name)
,Address)