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Home My WebLink About03-17-06 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Dorothy Mildred Graham also known as No. 21-06- 0;; ?J~ , Deceased Social Security No. 182.22.5117 Thomas Asper Graham, III and Sharon Louise Adams Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or 'B' BELOW) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Co-Executors the Decedent, dated 01/31/1994 and codicils dated named in the last Will of State relevant circumstances, e.g., renunciation, death of executor, etc. 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: Decedent was married to Thomas A. Graham, Jr. "fie marriage ended in divorce on June 27, 1974 in Cumberland County, Pennsylvania (c.t.a; d.b.n.c.ta; 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: o B. Grant of Letters of ,Administration I Name Relationship Residence I (COMPLETE IN ALL CASES:) Atach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 121 Walnut Bottom Road, Shippensburg Township (list street, number, and municipality) 121 Walnut Bottan Road, Shippensburg, Cumberland Courty, at Pennsylvania (Location) Decedent, then 77 years of age, died 03/03/2006 Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property $ (If not domiciled in PAl Personal property in Pennsylvania $ (If not domiciled in PAl Personal property in County $ Value of real estate in Pennsylvania $ 60,000.00 situated as follows: Hopewell Township, Cumberland COlnty, Pennsylvania, bounded and described pursuant toa compass survey in 1962. 1,500.00 Wherefor~, 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 Thomas Asper Graham, III 216 Goodhart Road Shippensburg, PA 17257 Sharon Louise Adams 759 Ridge Road Shippensburg, PA 17257 \ ";f;J71J{1O 4.. (~~u~Cld~- (.., Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc Form RW-1 (1991) d!-Ob.-Od31 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 tie 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. 7f!r/17JatJ 4~&fd/J6 fi!J Thomas Asper Gr am, III Sworn to or affirmed and subscribed ~7 r' before me this ( , day of 1~1 tJ l- (L. , !- 00 1/ Sharon Louise Adams ~;/ 0 &Ulf1P<.-Shz,i;ry L .~ jOd~ ( k ;}IJ1~ _..FDrth~eR" ;"."' pa u, <I - f.Jd. _ ~ ~~ &/1 _ /tJ' _~J.C1 { ~ C"-UL;2JL-'t. /V~ No. I 21-06-' 0;;"3 q . Estate of Dorothy Mildred Graham , Deceased also known as Social Security No: 182-22-5117 Date of Death: 03/03/2006 AND NOW, c/j~Ci:rz.l:- /7 , ;2()' {)Co ,in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [g] Testamentary 0 of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Thomas Asper Graham, III and Sharon Louise Adams, in the above estate and that the instrument(s) dated 1/31/1994 described in the Petition be admitted to probate and filled of record as the last Will of Decedent. ___ FEES fi1~ d"-<- d-u4/7.LL- ~o.5' bLL~7 L Letters..........................................$ j ]; S 0 J ;CJ-..v\"4< L 1>---/ --z---r1--t . ~ L_'" ~ Register of Wills IJ-.UD ~ ~.~ L-- 1 - Attorney: Richard L Webber, r., Esquire Short Certificate(s)...................... $ Renunciation............................... $ ~( . 1 ).. .....w.,..L ........$ 15 . UD 1.0. No: 49634 Weigle & Associates, P.C. 126 East King Street Shippensburg, PA 17257 Extra Pages ( )......................$ Address: Codicil.......... ....................... ......... $ JCP Fee.....:-:1.....J1Y..lY...........$ l C;. 00 Telephone: 717-532-7388 weig leattywebber@earthlink.net Inventory...................................... $ E-Mail: Other............................................ $ TOTAL............................ $ l 77- 0 J Prepared by the Pennsylvania Bar Association Copyright (c) 2004 form software only The Lackner Group, Inc. Form RW-1(1991) Thi" 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 cel1ificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. Fee for this certificate. $6.00 p 1 I'"\?!:" '"1' r;" C' ,) ...... ~ ,) d ( :) .:J I... ~ ;t,. ?C'l> 0 D' te J'1EJJ1 # g d ShHA.-LcI Re<J.d ~ J ShipI' 4M.-;/b 1(-(' 7 /Ie ~1.J4 ('4.f e. ~te'r --&f~(1 ~~~6 Hl05'43 Rel/. 01106 TYPEJPRINT IN PE:AMANENT BLACK INK 1 Name of Decedenl (First, middle. lasl) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH . J 17 3 Social Secmijy Number STATE FilE NUMBER 4 Date.ol Dealh (Month. day, yeNlr) Doroth 5 Age (Lasl bir1hday) 182 - 22 March 3, 2006 7, Date 01 Birlh Monti,. da . ear 77v" Bb Counly of Deatll 1928 aher lienl (J DOA ~ Nursin Home 9 Was Decedenl of Hispanic Origin? ti No 0 Yes (If yes, specify Cuhan Mexican, Puerto Rican. elc.) Cumberland Shippensburg Twp. 11 Deceoenfs Usual Occu lion Kind of work done durin maSI 01 workin lile, do nol slale retired Kind 01 Work Kmd of Businessllnduslry Cook Johnnies Restaurant 16 Decedent's Malllflg Address (Sliest c:kyllown. stale, lip code) hi hest radeco leled Cc\\ege (' ,4 Pf 5+) 14. Marital Status: Married, Never married, 15 Surviving Spouse (If wile, give maiden name) Widowed, DivOlcOO (SpecifY! Divorced 121 Walnut Bottom Rd Shippensburg, FA 17257 17. Slale pennsvl vania ~~e~~eQen\ 17c.~ Yes. Decedenl LiYed in Shiooensbura Townsh~? Twp 17b. County Cumberland 17d 0 No, De<:edent Lived within Actual Limds 01 Crtyl8oro \8 Fa1her's Name (FiTSl, rmoole, \as1) 19, Mother's Name {Fust, middle, maiden surname) Ira Lee Geor e 2Ca. In/ormant's Name (Typelprintj Velva Pearl Bowers 2Ob, Informant's Mailing Address (Slree!, crtyl1own, slate, zip code) o w en :::J en <( ~ Sharon L. Adams 21a, Method of Disposrtion at Burial 0 Cremalion 0 Removal from Slate D Other - Specify ~ 228 Signature 01 F 21b. Dale 01 DlSposrtlOn (Month, day, year) 759 Ridge Rd. Shippensburg, FA 21c. Place 01 Disposkion (Name of cemetery, crematory or other place) 2006 Ho ewell Cemeter 22c. Name and Address ot Facil~y OJmberland Cb. PA o DonatIOn 26 DYes ~o ,Approximale inlerval Partll: Enler olhef I i n ndd onsello death but not resuhing in 1he uoo'ertylnQ ca I _....._-~- Did Tobacco Use Conlribute 10 Dea!h? g ~~s ~~o:: 9 Ufemale tl NOlpregnantwilhinpaslyear o Pregnant al lime 01 death o Not pregfl8.nt, but plegnanl wilhin 4? days 01 death tl Nol pregnanl. bul pregnanl 43 days to 1 year beloredealh , 0 Unknown it pregnant wilhirt the pasl year 32c. Place of Injury: Home, farm. Stree\. Faclof)', Otlice Building,ete (Specify) Sequentially list cond~ions, ~ any, leao'ing 10 the eause listed on Linea - Enter the UNDERLYING CAUSE . (disease or injury Ihal iniliated the events resuning in death) LAST Due to {or as a consequence 00 DYes 'fNO d 30b Were Autopsy Fllldlngs Available Prior to Comple!ioll 01 Cause oj Death? o Ye5 0 No 31 Manner or Death ~\ural 0 Homicide 32n, Dale of Injury (Monlh, day. year) 32b, Describe how Injury OccUIle<l 30a Was an AUiOPSY Perlormed? o Accidenl o Suicide o Pending Investigation o Could Not Be Determined 320 l1111eollnlury 3?e.lnjurya\Work? DYes 0 No r- rti o w () w o u o w ;:, <( z 33.'1, Certifier (check only one) Certltymg physician (physician cel1itying catlSe 01 dealh when anolher phYSICian has pronti!Jf)ceo' death and corf1lleleo' Item 23) To tlK' best of my knowledge, death oCCLlrred dLle to the cause{s) and manner as slated... .. Pronouncing and tenltyln9 phys.ician (Physician both plOnounc:inij dealh and certltying io cause 01 dcalh) To lhe besl 01 my knowledge, death oCCllrred atlhe time, dale, and place, and due 10 the CJuse(s) and ~nncr as stated Medical cumtner/coronet On the basis 01 examination andlor Investigation. in my opln 35 flRgisilal's Signav,lIe ann Disllic\ NIJnD m.m./ 32[, If Transportahon Injury ~ispecifyJ o Driver/Operalor 0 Passenger o Pedestrian 0 CXher - Specify 33b, Signature and Trtle of Cer1ifler Nr-. .-::J'/ ['tI D 33c, Lic'I!nsc Number M~'--\~~\\ 32g, Location (Street, C~y!lOWll, slale) 7", -5 J1.l f1 vE.. (.'JlfJ/I1i';tJfI,.':>15'V'?I;, ji'A /7:lC1 ;, ........,0 330'. Dale Signed (Mcmth, diy. year) ~ \ ~ ~ r;;. L2iL, 2r IIS-I 34 Name and Ad:F~:f';r ;:'~.o""1)~u~tralll (Item 27) TypelP,;,,' 'j I; \ <;, \~ IW'~ ~~I>~ <.J>!l~ W ~f~ r allhe lime, date, and ploace, and due to the CIUSe(S) and manner as staled ........0 (See instructions and examples on reverse) "' v' LAST WILL AND TESTAMENT I, DOROTHY MILDRED GRAHAM, being of sound mind, memory and understanding, do make, publish and declare this my Last will and Testament, hereby revoking all prior wills and codicils made at any time before by me. FIRST: I direct that all my funeral expenses and just debts be paid as soon as practical after my death. SECOND: I give, devise and bequeath my property, be it real, mixed or personal, wherever situate to my children, Thomas Asper Graham, III, Sharon Louise Adams, Brenda Jean Graham and Kimberly Ann Graham, in equal shares, share and share alike, per stirpes. I direct that my children may receive property in kind, according to value. THIRD: I direct that my hereinafter named Executors give to my children the right to purchase my residential real estate at the fair market appraised value. The right of purchase shall be extended to my children in the following order: Brenda Jean . I . Graham, Klmberly Ann Graham, Sharon LOUlse Adams, and Thomas Asper Graham, III. FOURTH: I nominate, constitute and appoint Thomas Asper Graham, III and Sharon Louise Adams, as Co-Executors of this, my Last will and Testament. IN WITNESS WHEREOF, I, DOROTHY MILDRED GRAHAM, to this my ....I1JsY Last will and Testament, set my hand and seal, this _2 day of January, 1994. 1fJ1t'rAL!J /lLJ!.~lud"-~~..k..:"^, (SEAL) Dorothy Mildred Graham ~,>~" "--~ , Sworn to and subscribed, declared and published by Dorothy Mildred Graham, as her Last will and Testament, and so done in the presence of we the witnesses, who sign at her request, and in her presence, and in the presence of each other. COMMONWEALTH OF PENNSYLVANIA: :SS COUNTY OF CUMBERLAND I, DOROTHY MILDRED GRAHAM, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last will and Testament; and that I signed it willingly; and that I signed it as my free and voluntary act for the purpose therein expressed. ,(j/) ,) il "/ .//t/u~.1 M~Y"Fr'! .~Af..,f J ...-/1 Doroth~ Mildred Graham Sworn to and acknowledged, before me, by Dorothy Mildred Graham, the Testatrix, . s,~J Sf-- day o~ Ja uary, 1994. lUt otary Public . NOTARIAL SEAL DAWN MARIE SHOOP, Notary Public Shippensburg, Cumberland County, PA My Commission Expires Feb. 5, 1996 COMMONWEALTH OF PENNSYLVANIA: :SS COUNTY OF CUMBERLAND We, H. Anthony Adams and Sharon Coleman Adams, the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we saw the Testatrix sign and execute the instrument as her Last will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses, and that to the best of our knowledge and understanding the Testatrix was at the time at least eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. Sworn to and subscribed before me by, H. Anthony Adams and Sharon Coleman Adams, the witnesses, this ,~Sf day of January, 1994. ChtVll Notary Public NOTARIAL SEAL . DAWN MARIE SHOOP, NO~ry ~Ub~A Shippensb~rg,. cUEmb~r\~~Gb~~, .(996 My CommISsIon xp,re