HomeMy WebLinkAbout03-29-06
Register of Wills of Cumberland County
PETITION FOR PROBATE and GRANT OF LETTERS
Estateoi RtlflfJ./J ~. 7hOItlAS No. 200~-02 7~
also known as To:
Register of Wills for the
County of Cumberland in the
Commonwealth .of Pennsylvania
. Deceased.
Social Security No. O~O - ~O ... !~b I
The petition of the undersigned respectfully represents that:
Your petitioner( s), who is/are 18 years of age or older, and the execut.Q.[ named in the last will of the
above decedent, dated r\ l1.4tk. ,J.. 'l \ 9~ <6 , ~
and codicil( s) dated )
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cu ~bu \~ J
PennsY.:lvania, . bolast fami or p'rinci al residence at h
'O~ ,.., I' .,a r. }<~ (l,ftic.S U~
(list street, number and municipali )
Decedent, then '" years of age, died f..e),. It.(~ 20 0<::' . at J\ """riSh\lr, ~oS'pih...1
Except as follows, decedent did not many, 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:
County,
~
170 S-o
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
(lfnot domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
So. 000
,
$
$
$
$
WHEREFORE, petitioner( s) respectfully request( s) the probate of the last will and codicll( s) presented
herewith and. the grant of letters
(testamentary; dministration c.t.a.; administration d.b.n.c.t.a.)
thereon.
-- Signature(s) ofPetitioner(s)
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Residence~ of Petitioner( s)
t-f 1- '1 5~fle Br/d~ DAd ~v(6.- ;>A / I~Y
Register of Wills of Cumberland County
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYL VANIA
}
SS:
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affrrm(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 representative(s) of the above
decedent petitioner( s) will well and truly administer the estate according to law. ~
Sworn to or affIrmed and sYfscribed { -9 &-> 7'
Before me this J. q-f day of {,. l '--"
'-fVlavh .20 ()~
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'-jJtItJ11)J{)4lu1i; Register .
~ No. 21JOIo ,^ ()2, 7S
Estate of kJnfl/d E. 'Thomas,' , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW '--1VltJALJL ,j q<ftl 200h, 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
~ fJ:fp ~ -q).1 q g g' , described therein be admitted to pr~bate filed of record as the last will of
fJJJn E. LV milS ; and Letters are hereby granted to \James ::f. TJ11)ml2~
FEES
Probate, Letters, Etc. ............. $
Will.... .. . ... . . .. .. . .. . . , . .. '" . .... $
Renunciation.. . , . . . . . . . . , , . . . . . . . . . $
Short Certificates (/) ............ $
JCP.. .. . . . . .. . . . . . . .. . . .. . . . .. . , . . . .. $
Automation Fee. ............ ...... $
Bond..,.............................. $
Total $
Filedlt1t1J\d7 ~ 20.12k
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RegisterofWillsf2l.Jl ~---, ,~
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/6. 00 Attorney (Sup. Ct, LD. No.)
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Address
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Phone
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Register of Wills of Cumberland County
Estate of
OATH OF NON-SUBSCRIBING WITNESS
R.c h. 0- \ci ~. \lDt\l\ as
No. 200(0.- 0275
Also known as
, Deceased
) cu)\( <; j. -rhOr\t\~
S~. oJOV1 R l-UL"SOJlO
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
we a.i<... familiar with the signature of R eh a.QJ b~ 711 Om Ct S , testat_ of (one of the
subscribing witnesses to) the codiciVwill presented herewith and that we believe/believes the signature
on the codiciVwill is in the handwriting of R lJh ~ J c. n tr'n,a 5 to the best of
tJ u t knowledge and belief.
Sworn to or affirmed and subscribed
Before me this ;)qfh day of
t"V1I1A ('.it- , 20~
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t-{2.1 ~tfu. ~~ Rd 6M~ fA
(Address)
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Register .... . J 11
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De ty
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(Name)
1-{).1 50-/1. &,,' ~ t..f &elc.- fA.
(Address)
Ii C' :
Thl~ i~ to certify that the infornlation here given is correctly copied from an original certificate of death duly filed with me as
Lucal Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent'4filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
No,
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Date
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TYPElPRINT IN
PERMANENT
BLACK INK
lNarr; 01 Decede;;-j(i:-I(~rrUdd;-iastJ-'------
Ronald
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
~~
8 Birthplace (CRy and stale or lore I count
3 Social Security Nurroer
STATE FILE NUMBER
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5~:~L~1 b~rthdaY:: _ ~:~:~r~a:~_I-f::J:u~:~r S :1~I;rth (;0; :ay Yiar~ 39
all Coun.... 01 Dealh & CUy Bora 1 wp of Dealh
Dauphin Harrisburg
;~ 11D'eC-ed~Oi~-lJsual&cUal.onKmd of work donedU,io mOsT ol.;QtkT;,g life, do not sidle retired
Kind 01 Work Kmd 01 Business/lnduslry
.s,gl~LS!! D .e.LY.i..sJLr. _M.anufaciJJ.rin
: 16 Decoldenl's Mailing Address (Slreel cllyMwn slale. Zip code)
A
080
30
8261
Elmira NY
Other
o ERlOul all;ln' 0 DOA 0 Nurs"Q Hume 0 Resldeoce 0 OIhe,. S c.
9 Was Decedenl 01 Haspanic Origin? 10. Race: AmerICan Indlln Black. Wh~e. ele
X! No 0 ~:~~~~e~us::i~ic~~~) (Sl~th i t e
E .
Thomas
Hospital
6025 Hummingbird Drive
17a Slale
13 Decedenl's Educahon S OCI
Elemenlary/Secondary (012)
__-1.~
PA
C!:JmQ ~ r 1 (!rg1
h, hesl rade co Ieled
College (1-4 015+)
14 Marllal Slalus: Marned, Never marned
Widowed, DIVorced ($peed)'!
Ui~~-e
Did Decedent
Live in a 17c)fJ Yes. Decedenl LIVed in
T ownsh~?
15. SurvIVing Spouse (II Wile, gIVe maiden name)
DYes
Decedenl's
Actual Residence
~ ~'1!Qg ~.rl
Twp
la-trtai5si! ~lfi, ~iM+9-~~a--
Unknown
17b County..
17d 0
No. Decedenl Lived within
Actual lImils 01
C~yi!Joro
19 Molher's Name (Flrsl. ffilddle. maiden surname)
2O:lInlOrma--;;(sName (Type'p~----------------'-- 2Gb Inlormanl's'Mallrng Address (Street, cilyl\own, slate, zip code)
Unknown
James J. Thomas
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21b. Date 01 DispositIOn (Month. day. year)
429 Sample Brmd~ad Enola PA 17025
21c Place 01 DISpositIOn (Name 01 cemelery, crematory or olher place) 21d Localion (Cllyl\own, slate, zip code)
Mechanicsburg PA
1705
MECHANICSBURG PA 17055
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1-- -- : ~prOXlfllate ,nlerval
n"m 27 Pari I. Enlar the ~a - dISeases, If'llJIles 01 comphcato>ns -II,al dlred~ causold the death DO NOT enler lern~nal events such as cardiaC arresl : onsello death
:~:;::~:r;~~;~ v(:::~~:re:r~~:lOn WilhOUI~'"";" ". ~'~~ 00 '0' :"",.... ~~:."~ ~..
COnddom resuQlng in dealh) ~ a - _ _ AJ b.~.1.-L.. ~.~ _,
eIO(OraSaconsequ~ceOQ~."'- . I
SequenllallyhslconddlOns ./any. , . .W~t..i\ ....} ,~~
_ ~~~~~~o ~~Dc:~~~~~c~nu~~e a Due 10 (or as a c()nseq~e ofj
. (disease or .'Jury Ihat Indlaled Ihe
~ e..nls resuAlI1g In dealh) LAST
Part II. Enler olher sionifrcanl cond~lOns cool,rbulino 10 dealh.
but not resunlng .. Ihe underlying cause giveo in Part t
28 Did TobaCGo Use Contr"u,e 10 Dealll?
o Yes 0 Probably
o No ;. Unknown
29 If Female:
o Nol pregnanl w~hln pasl year
o Pr egnalll allrme 01 dealll
o No! pregnanl. bul pregnant wdh,n 42 days
of dealh
o No! prell"anl. bul plegnanl 43 days 10 I year
before dealh
o Un~nown ~ plegnanl wUh.n Ine pasl yea,
32c. Place olInIU/)': Home. Falm, Street. Factory, O"lCe
Building. etc ($peCJfyj
Due 10 (or as a consequence 01)
--- ~- ~
30a Was an Aulopsy 3Gb Wele Aulopsy FlOdlllgs II Ma~ 01 Dealh
Perlornoed? Available PrlO' 10 CO"l'lel",n r1f Nalu,al 0 HURlIClOe
/ of Cause 01 Dealh?
o Vas o"No 0 ,es 0 No 0 Accidenl 0 Pending 'nvesligal"n
o SUICide 0 Could Nol Be Delermlned
-330. Certifier (check only one,----- ~-- ------
CertIfying physkLan (phYSICian certrtylOg cause 01 deaUI wl,en ar.oU,"r p!lyslCIan has pronounced dealh and cOlfl'leled lIe1ll23)
To the best ot my knowledge, deillh occurred due to the CilUSe(S) ilnd manner as sl.1tw.....
32d T,;;;OII~-'
32g. LocilllOn (Slleel. crtyl\own, slale)
Pronouncing and cetlifying phYSIcian (PIIYSlCldn buill plunounclng dealll and ct.rl.fyrng Iv cause 01 dealh) 3 ale Srgned (Monlh. day. year)
To the best of my ~nowledge, deilth occurred althe lime, dale, and plale. ilnd due 10 lhe CilUSe(S) and rnannel as sUted... .0 (f5 /. ~ A 1 I 'I )1t1~
Medical exammer/coloner _ -' '\ b" ~ . __
-C-" O~t~ ba,si~~~ e~~n~~~~~~~~~~~~~~~~~!~~~~~~l~~~~~I.~h~~me, d~.and ~~~e~~~,~~~ Ihe cause(sl ilnd mannel as sU~=-,=-_ __ 34 o.,"/nd Mdrel of P17;. Who CofI'fJlelff'fJe/Jl.of De!Z)em 27) TypeIPrlOl
3'A.' gll,ar,S,ynaluleandO"lrICINunoel .... . ... ,T~DaleFlled(Monlt..day,Y"ar) .. K'()/Ji!€.r tlRdM. '(J; r /J
:d1UrLuL(Lt4;t~~._________J~..Ll~1;j)~___lh:'h.lSdOOb_ itJJ ole/.. .,Pas! Rc:LII!J;.L'~.L'l//1J _,__.___.
. I J (See instructions and exa;p7es on reverse)
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Jut Will anb aftsfamtnl nt
RONALD E. THOMAS
BE IT REMEMBERED, that I, RONALD E. THOMAS, of Hampden Town-
ship, Cumberland County, pennsylvania, being of sound and
disposing mind, memory and understanding, do hereby make, publish
and declare this instrument to be my Last Will and Testament,
hereby revoking and making null and void any and all prior Wills
and Testaments and Codicils or Writings in the nature thereof by
me at any time heretofore made.
FIRST:
I direct that all my just debts, inheritance and
estate taxes, if any, and the costs of administrating my estate
be paid as soon as conveniently may be after my death.
SECOND:
All the rest, residue and remainder of my estate,
be the same real, personal or mixed of whatsoever nature and kind
and wheresoever situate, including any property over which I may
have any power of appointment, I give, devise and bequeath unto
my beloved sons, to wit: JAMES J. THOMAS and RONALD W. THOMAS,
equally, share and share alike, per stirpes.
THIRD:
I nominate, constitute and appoint my son, JAMES
J. THOMAS to be the Executor of this my Last Will and Testament.
If the said Executor shall fail to survive me, or is otherwise
unwilling or unable to act, then I hereby appoint my son, RONALD
W. THOMAS as successor Executor. I vest my said Executor with
full power and authority to sell, transfer and convey any
property, real or personal, which I may own at the time of my
death at such time and price and upon such terms and conditions
.,
--.
...
. I
(including credit) as the Executor may determine. Such sale
shall be at public or private sale and shall not require approval
of the Court. No fiduciary acting hereunder shall be required to
post bond or enter security in any jurisdiction.
IN WITNESS WHEREOF, I the said RONALD E. THOMAS, have to
this my Last Will and Testament, contained on two (2) sheets of
paper, subscribed my name and affixed my seal, this 29th day of
March, Nineteen Hundred Eighty-Eight (1988).
ad (1/ 4~
RONALD E. THOMAS
Signed, sealed, published and declared on the day and of the
date hereinabove by RONALD E. THOMAS, the Testator above named,
as and for his Last Will and Testament, in the presence of us,
who at his request, in his presence, and in the presence of each
other, all being present at the same time, have hereunto
subscribed our names as witnesses.
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ADDRESS
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