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Home My WebLink About12-07-05 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Thomas Arthur Melton Jr. No. 21~ 0 lJJ - 3 also known as Thomas A. Melton , Deceased Social Security No. 259-18-7120 Joseph C. Melton Petitioner{s), who is/are 18 years of age or older, appl{ies) for: (COMPLETE 'A' or 'B' BELOW) o A. Probate and Grant of Letters Testamentary and aver that Petitioner{s) is/are the Executor named in the last Will of the Decedent, dated 09/21/1976 and codicils dated Decedent's wife, Vivian L. Melton, predeceased testator having passed away on 10/26/2005; M&T Bank (formerly Dauphin Deposit Bank) renounces its right to administer the estate; William Curtis Melton and Larry Arthur Olttlfnv f. i f1 &UI] 1:.,-... ~'::"t-L iil ,,' ~ c-'b or State relevant circumstances, e.g., renunc. iatiqrlJ death of executor, etc. ,J v,upl1 t-. /~1.,; l t vi'" } tt. <.~ f L, ,-,d'''Li /". Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: none 00 B. Grant of Letters of Administration c.t.a. (c.t.a; d.b.n.c.t.a; pedente lite; durante absentia; durante minoritate) Petitioner{s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 4 Annette Dr., East Pennsboro Township (list street, number, and municipality) Decedent, then 84 years of age, died 11/03/2005 at Good Samaritan Hospital, Lebanon County (Location) 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 PAl Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 4 Annette Drive, East Pennsboro Township, Enola, PA 17025 32,000.00 115,000.00 Wherefore, Petitioner{s) respectfully request{s) the probate of the last Will and Codicil{s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Signature Typed or printed name and residence Joseph C. Melton 33 Augusta Drive.,) Annville, PA 17OQ3 \.j C,C. :l'.'i C...J .. Prepared by the Pennsylvania Bar Association Copyright (c) 2004 lonn software only The Lackner Group. Inc. ~\)\j ...i'- Fonn RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania 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(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. ~~ C. ~11-tl~ Joseph C. Melton Sworn to or affirmed and subscribed ".- 'fl before me this I day of wd~1) , )!l) ( i1uY1~vHviI!Jt l~);(U-J /J --I ? . II L. for th~ Register II IvA.. t#1Vt/l IZ/I /~.J (Jy . . No. 21~~- ali - 00 'J.- Estate of Thomas Arthur Melton Jr. also known as Thomas A. Melton , Deceased Social Security No: 259-18-7120 Date of Death: 11/03/2005 AND NOW, \J rrN u..A1Z '-J ,3 ,JODLP , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 0 Testamentary 00 of Administration c.t.a. (c.I.a.; d.b.n.c.l.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Joseph C. Melton, liKeGtltOf- A1')11YlI/\i 1ST rzA. TO R- in the above estate and that the instrument(s) dated 9/21/1976 Short Certificate(S)........J.......... $ 3 J- .- ,..:LU.1LLWC described in the Petition be admitted to probate and filled of record as th ast Will of Decedent. 'ill0L~llA FEES Letters.......................................... $ . rl;'o. ~-- Reg'''''cof W"~ ~1tJ11 f Renunc',at',on \ S ' r1'T'1 (' i" 'I I,: {.,' ..........................y..'$'-:-/I ~ L " I il.1L.J . I ~ / k. ...;" j Attorney: John E. Slike, Esq. Affidavits ( )...........................$ I.D. No: 06262 Said is, Shuff, Flower & Lindsay Address: 2109 Market Street Extra Pages ( )......................$ Codicil. ........ ........ ........ ................. $ JCP Fee.......................................$ " S- f /,/ Camp Hili, PA 17011 Telephone3 (717) 737~3405 ,.J Inventory............................ ...... .... $ E-Mail: WlLL Other.......... ................ .................. $ ,,(- - 1<':> . OC. u_J L- , '~\ '7 ,.,.\:.)0 TOTAL............................$ ~- h '3 rr~ LID Form RW-1(1991) Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. 1111)l)W" RL\ ii(15 This is to certify that the information here given is correctly copied from an original certificate of death duly riled 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. Fel~ for this certificate. $6.00 P 11832324 No. ~Iliillllll//J'///;"""" \IIIII~~\.\ljJJf PEl----_ III'."..~V ~(4'J'."'-__ /,' ~/ "'~- i~~' ..~\~\ /f~/ .... '\y~ 1~c:::J~ :"..... .~~ ~(...)". , ~-d' .,~~ ~*\-: ,;.0. ~.._.~ *~ \~ .... "~,/ "'-~ .' /~" - -t.?~ /......<c.~ I' "'-"'--- fMfNf~\" III~II ........'''''''''////1111111/1111111 {}~- /J( ~~ Local Registrar ., NOV 0 7 2005 Date Ci t....:J (~:'J :~~.:::1 :-J 5.143 Rev. 2/87 COO.O'WEALTH 0' ",omVA"A . DEeA'''''''' 0' HEAL'" . VI,^,~ CERTIFICATE OF DEATH I --.J '.;'.:l U1 Cf'.) 5. 84 Yrs. COUNTY OF DEATH STATE FILE NUMBER NAME OF DECEDENT (First, Middle, Last) 1. Thomas Arthur Melton Jr. AGE (Last Birthday) SEX 2. Male BIRTHPLACE (City and P F 0 State or Foreign Country) HOSPITAL: 7Ed i SOil, Georgia ~:.'eol 0 FACILlTYjlJAME (If not institutior., giv~ street and number) 2005 ERIOutplltien-l 0 DECEDENTS ACTUAL RESIDENCE (See instructions on other side) 17a. State PA MARITAL STATUS - Married, Never Married, \fv1dowed. Dil/Orced (Specify) 14. Widowed 17C.l[J Yes, decedent lived in East ResIdence 0 ~:~fy) 0 RACE - American Indian, BlaCk, Wtlite. at (Specify) 10.White SURVIVING SPOUSE (Irwife, give maiden name) 8b. Lebanon 8e. Leboanon DECEDENT'S USUAL OCCUPATION KIND OF BUSINESS {INDUSTRY 17b. County Cumberland Did decedent live in a township? Iwp 11d. 0 ~~~~~~7~1~:~ of citylboro Sr. MOTHI;.R'S NAME (First, Middle, Maiden Surname) 19. Larr~e B. Fuller INFORMANTS MAILING ADDRESS (Street, CitylTown, Slate. Zip Code) 20b. 33 Augusta Dr. Annville, PA ]7003 PLACE OF DISPOSITION- Name of Cemetery, Crematory LOCATION. Cityrrown, State. Zip Code or Other Place 21c. Hollin er Crematory NAME AND ADDRESS OF FACILITY 22c. Richardson F .H. Inc. 29 S. Enola Dr. LICENSE NUMBER Pa 17065 17025 a. Sequentially list conditions b. if any, leading to Immediate cause. Enter UNDERLYING CAUSE (Disease or injury I c. that initiated events resulting on death) LAST d. WAS AN AUTOPSY 'M':RE AUTOPSY FINDINGS PERFORMED? AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? DUE TO (OR AS A CONSEQUENCE OF): Yes 0 MANNER OF DEATH g o o DATE OF INJURY (Month, Day, Year) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED Natural Homiclde o o o 308. 3Gb. M. PLACE OF INJURY. At home, farm, street, factory. offi building, etc. (Specify) 30.. .PRONOUNCING AND CERTIFYING PHYSICIAN (Physiclan both pronounclng death and certifying to cause of death) To the best or my knowledge, death occurred at the Ume, date, and place, and due to the causes(s) and manner as stated............. .......0 ......~ SIGNAT Accident NO'~ Suicide Pending Investigation Could not be determined 28a. 28b. CERTIFIER (Check only one) ~f~'d1~t~tGor:;t~~~~e~~s~~:rh~~gr.i~g1'~: t':1 g,e:~a~~:(:r~~3r~X~~a~s h~f~~~.~.~~~~~.~~ .~~~~~.~.t~~~?~). 29. 'MEDlCAL EXAMINER/CORONER ~~.::rb::I:t=e:xamlnatlon and/or Investigation, In my opinion, death occu~~.~~.~~~.~.~:.~~~~.' and place, and due to the causes(s) and. 0 31a. ~~/rl RENUNCIATION In Re: Estate of Thomas A. Melton, a/k/a Thomas Arthur Melton, Jr., deceased To the Register of Wills of Cumberland County, Pennsylvania. The undersigned, surviving son of the above decedent, hereby renounces the right to administer the estate and respectfully asks that Letters of Administration, c.t.a. be issued to his brother, Joseph C. Melton. WITNESS my hand this ~ day of December, 2005. By: Arthur Larry Melton 103 Iron Master Road Cherry Hill, NJ 08034 L (;7-/(-05 /7// ) J I , '"', l'i..L '-..... ~ 'i,..'~ l"- i. /1 '1 ~ II / I i~,,"- " (I" P L ,( ~'L,-U;~2it1l /) .. i..."'-_ y I~"i- ill;,.. ,) ::.. r' /J . : ' .I... -..:d.u..~__--1j/ III lt1/ . j 'J I J if 1.1 . '"I '1'1') . /..,J 1/ ,. . II Ii! [. t /. l.A ,--J'" vlil L y."'<.1<.J....c. I ,.j ~\..,/i.'t. J ,,0 . (.;,\ I' v 1'.1 -) ~ '-r ) 0..>-' '.' d..) 1 _ ,./( ,::i./~ a-> /J (., T-:: /2 ~/ . I ~::J ,,-, .:;:-) ~, -'.. -- .. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Shelby L. Yingling, Notary Public Camp Hill Boro. Cumberland County My Commission Expires Aug. 2, 2009 Member, Pennsylvania Association of Not;>';M , ~ ~ - RENUNCIATION In Re: Estate of Thomas A. Melton, a/k/a Thomas Arthur Melton, Jr., deceased To the Register of Wills of Cumberland County, Pennsylvania. The undersigned, surviving son of the above decedent, hereby renounces the right to administer the estate and respectfully asks that Letters of Administration, c.t.a. be issued to his brother, Joseph C. Melton. f(7?L WITNESS my hand this ~ day of~ec, mber, 2005. . . , 1 "~YJ 1 By:/t ~ ~/ William Curtis Melton 1700 Delancey Place Philadelphia, PA 19103 ,/ .' I,., '/'1' . J II . A.. l/t , 1 III t,: 14.-/' lfi '" / . L.. (,' '^\ ), t / ,,' 11 J I..;.. I , Ii.- (.., '1 ;: [/L-.,y u' l/v ,L"'L/i)L(V:Ji/~, /,l/"L__ ~ "-' - IbI "'...,'" . '1 /) . {'. ....} ....,\_... 7( d,-,; cr; If/~,,' ),L r,.Jti,. Ji-.,,,.-J , . j/ f~ t;/', j , ,/ c.... r-~_" /1 . ! J;t>ilj" J\" [t/J11.j.~ l' //rTZ7:Cl /;iuJ!./(/_- .~ .--.-j - . -A- / /.'/ I / C', / ~ : .'1 , / .(') I, vJ' / J(j; j,,'1 ,:....J e, '" -' 2/....."', . /1 ) C',' ".,1, I} v...,..-. vI. Jillj . < / COMMONWEALTH.oF PENNSYLVANIA SheI Notarial Seal Camp ~ L Yingling, Nota/}' Public My Com .~ro, Cu~nct County Mem mISSIOn Expires Aug. 2, 2009 ber, Pennsylvania ASSOCiation of Notaries' C:-:') c..n C) r-i'l c') CT'I :r-:-';I .::- RENUNCIATION In Re: Estate of Thomas A. Melton, a/k/a Thomas Arthur Melton, Jr., deceased. To the Register of wills of Cumberland County, Pennsylvania. The undersigned, Vice-President and Trust Officer of M & T Bank (formerly Dauphin Deposit Trust Company), hereby renounces the right to administer the estate and respectfully asks that Letters of Administration c.t.a. be issued to Joseph C. Melton, son of the decedent. WITNESS MY hand this Zf)~ay ~l'~ ZOD~ .. Trust Officer Affirmed and subscribed before Me this 2.0 day of,)J.p.L1h1l-1..IfA./ , ~()OS .- ~.PAA'1~ d1'~ ~~~ ) N"otary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA Notarial Seal Deanna L. Wells, Notary Plblic City Of Harrisburg, Dauphin ColI'lty My Commission Expires Dec. 6. 2008 M!>..,..i)!" p~.,rSV'V'lnla Association Of Notaries --.., ....'-~.". ( LAST WILL AND TESTAMENT OF THOMAS A. MELTON I, THOMAS A. MELTON of Enola, Cumberland County, Pennsylvania declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practicable after my death. II - I devise and bequeath all of my estate of every nature and wherever situate unto my wife, Vivian L. Melton. III - Should my said wife predecease me, then I devise and bequeath all of my estate of every nature and wherever situate unto my issue in equal shares per stirpes. IV - All taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed shall be considered a part of the expense of the administration of my estate, and my personal representative or representatives shall have the absolute power in his or her discretion to pay the same at once whether or not the law under which they are imposed permits the postponement of all or part of them to a later time. V - I appoint my wife, Vivian L. Melton, Executrix of this, my Last Will and Testament. Should she fail to qualify or cease to act as such, then I appoint Dauphin Deposit Trust Company, Harrisburg, Pennsylvania, Executor of this, my Last Will and Testament. Neither of my personal representatives shall be required to post bond in this or any tt~risdiction. 2109 MAR.K-IT STIlEET ~ , \'< BS ft.'u i- L_ -_.l Page I ARNOLD, SLIKE & BAYLEY ATT(lR,",n:ys AT LA\X.' CAMP HILL, PENNSYLVANIA 17011 IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the 2) S-T day of "EPr~H"j!;~ , 1976. / ~~d~~ Thomas A. ton (SEAL) Signed, sealed, published and declared by THOMAS A. MELTON, Testa- tor therein named, on this and one (1) other sheet of paper 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. .~ a'IJ\~~J ~ Name ~, ARNOLD, SLIKE & BAYLEY :\TT()H~LYS AT LAW' 2109 MAIlKET STREET Page 2 CAMP HILL. PENNSYLVANIA 1701 I COMMONWEALTH OF PENNSYLVANIA) 55. COUNTY OF CUMBERLAND) I, THOMAS A. MELTON , the testator whose name is signed to the attached or foregoing instrument, having been duly quali- fied according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will~ that I signed it will- ingly~ and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged THOp.ASJ. ~E~TON the testator , this ~~ ' 1976 before me, by dJ"# day of ~~4e~L~ , Notary Public Thelma S. McCauslin, Notary Public My Commission Expires July \, 1980 Camp Hill, PA Cumberland (o~n\'1 COMMONWEALTH OF PENNSYLVANIA) 55. COUNTY OF CUMBERLAND) ~ tC~. j. G. ~0-. WE, ~ ~ . ... 1 the witn ses whose names are signed to the attached or foregoing instrum ,being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his Last Will~ that Thomas A. Melton signed willingly and that Thomas A. Melton executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses~ and that to the best of our knowledge the testator was at that time 18 or more years of age, of so~nd mind and under no constraint or undue influence. ~J~ "r4 r;. -f, ~~I aj' tIIK......IY~ AT 1.'\\\' Sworn to and subscribed before me this c~J& day o;k-' 1976. ~~4nv(!a~ l Thelma S. McCauslin, Notary Public M Commission Expires July \, 1980 . Y (urrb,::,:;;nd Counw (~n'~ ri'; r:-;. I), SUKE '" BAYLEY '9 MAaK.ET ST'a1ET ,I., PENNSYLVANIA 17011