HomeMy WebLinkAbout01-17-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of Thomas S. Davis
also known as
File Number
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. Deceased
Social Security Number 174-18-0327
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executor
last Will of the Decedent dated March 6, 2001 and codicil(s) dated
named in the
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution oftlte1~men1@ otTete~;;.:_j
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: C) '-i~ ::; ) c:):
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(State relevant circumstances, e.g., renunciation, death of executor, etc.)
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o B. Grant of Letters of Administration
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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: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
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(Ifapplicable, enter: c.t.a.; d.b,n.c.t.a.; pendente lite; durante absentia; durciiJlJ. minoritate)
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Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
105 Cherry Lane. Carlisle. Middlesex Township. Cumberland County. Pennsvlvania 17013
(List street address, town/city, township, county, state, zip code)
Decedent, then 85
years of age, died on January 9, 2007
at Carlisle Regional Medical Center, Cumberland County, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(Ifnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
30,000.00
situated as follows:
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:
T d or rinted name and residence
avYc>
James T. Davis, 96 Cherry Lane, Carlisle, P A 17013
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
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 beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
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Sworn to or affirmed and subscribed
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before me the / '! day of
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Signature of Personal Representative
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Signature of Personal Representative
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File Number:
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, Deceased
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Estate of Thomas S. Davis
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Social Security Number: /7 Y ~ I B - 0 Z Z 7
AND NOW, .J1,'1W11L1 Il cJCQ(
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having been presented before me, IT IS DECREED that Letters
are hereby granted to .l{UN " \. ho. ItS
Date of Death:
January 9, 2006
, in consideration of the foregoing Petition, satisfactory proof
-Te 3~Cf..ltl+j
in the above estate
and that the instrument( s) dated 3-0 - 0 \
described in the Petition be admitted to probate and filed of record as t
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Letters .......... ~~.~~ $ q O. ()lJ
Short Certificate( s) . ~. . . , . $ c:::/o. Ob
Renunciati~(~' f' .... .::: ~15. ()1..:>
~p .. $ IO-a;
~-0 .. . $ J:?
...$
... $
...$
...$
.. . $
.. . $
TOTAL .. .. .. .. .. .. .. $ I'IO.cV-iT.6&-
Attorney Signature:
Attorney Name:
Thomas J. Ahrens
Supreme Court I.D. No.: 80143
Address:
52 Gettysburg Pike
Mechanicsburg, PA 17055
Telephone:
717-697-1800
Form RW-02 rev. 10.13.06
Page 2 of2
P10.".R05 REVl/05
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. oll-5?
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
, Local RegIstrar
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13127721
,. JAN 11 2007
No.
Date
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TYPE 1 PMIT IN
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
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Thomas S Davis Male 174 - 18 -0327 January 9. 2007
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. Carlisle. PA 17013 .7b. c..n, Cumberland -.-.. COy 1 Boo
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Lorenzo Da v.;s Ella Mae Hoover
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James T. Davis 96 Cherry Lane, Carlisle. PA 17013
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LAST WILL AND TESTAMENT
I, THOMAS S. DAVIS, a resident of Cumberland County, Pennsylvania, do hereby make, publish, and declare this
to be my Last Will and Testament, hereby revoking any and all Wills and Codicils heretofore m~~ by me. ~ _
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FIRST: I direct that all my just debts and funeral expenses be paid out of my estate as soon afte~~ldeatR-8s is :
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SECOND: I give, devise, and bequeath all my estate, real, personal, and mixed, of whatever kiri~nd whegjl..er
situated, of which I may die seized or possessed, or in which I may have any interest or over whicJ~I may havtS-ftny
power of appointment or testamentary disposition, to my spouse ANNABEL C. DAVIS. If my said spouse &{;\es
not survive me, I give, and bequeath the said property to my children: James T. Davis of Carlisle, PA; John R.
Davis of Lafayette, CO; Michael S. Davis of Frostburg, MD; Terri A. Davis of Dallas, TX; and Todd P. Davis of
Springfield, MA in equal shares or to their lineal descendants, per stirpes.
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THIRD: In the event that any beneficiary fails to survive me by thirty days, then this will shall take effect as if that
person had predeceased me,
FOURTH: I hereby nominate, constitute, and appoint JAMES T. DAVIS as Executor of this, my Last Will and
Testament. In the event that such named person is unable or unwilling to serve at any time or for any reason, then I
nominate, constitute, and appoint JOHN R. DAVIS as Executor in the place and stead of the person first named
herein. It is my will, and I direct that my Executor shall not be required to furnish bond for the faithful performance
of his duties in any jurisdiction, any provision of law to the contrary notwithstanding, and I give my Executor full
power to administer my estate, including the power to settle claims, pay debts, and sell, lease or exchange real and
personal property without court order.
IN WITNESS WHEREOF I declare this to be my Last Will and Testament and execute it willingly as my free and
voluntary act for the purposes expressed herein and I am of legal age and sound mind and make this under no
constraint or undue influence, this lc.. ,'^ day of ~ l'ln c>.;v , 200 I at Carlisle, State of
Pennsylvania. ~ - ,
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The foregoing instrument was on said date subscribed at the end thereof by THOMAS S. DAVIS, the above named
Testator who signed, published and declared this instrument to be his Last Will and Testament in the presence of us
and each of us, who thereupon at his request, in his presence, and in the presence of each other, have hereunto
subscribed our names as witnesses thereto. We are of sound mind and proper age to witness a will and understand
this to be his will, and to the best of our knowledge testator is of legal age to make a will, of sound mind, and under
no constraint or undue influence.
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residing at Ie? Chuv'-'j J.dJ1e t:rli-< f/I/7d/3
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residing at /btb (!j tftl(j- ~ ~MlL0IfJ /'7~/~
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FORM OF INDIVIDUAL ACKNOWLEDGMENT
Commonwealth of Pennsylvania
County of York
On this, the _6th day of March 2002, before me ELAINE N DRUCK, the undersigned officer, personally
appeared THOMAS S DAVIS, known to me to be the person whose name is subscribed to the within instrument,
and acknowledged that he executed the same for the purposes therein contained.
Notarial Seal
Elaine N. Druck, Notary Public
Manchester Twp., York County
My Commission Expires Mar. 21, 2005
Member, Pannsytvama AssoClation of Notaries