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HomeMy WebLinkAbout02-07-08 Estate of also known as Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Richard Lee Hadfield NO.;? I-OJ' -()Ic~'-i . Deceased Social Security No. 196 - 26 - 403 9 Valerie A. Rasnake Petitioner(s). who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW) [R] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut r ix the Decedent, dated 07/31/2001 and codicil(s) dated None 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: o B. Grant of Letters of Administration (c.I.a.; d.b.n.c.t.a; pendente 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: r Name Relationship R~ence ~:~ i 1 ....~ >;:1 --;1 I!C:~ .- C:J ....--j ; I - ~./ j ,.- '<.- f' :;:~ t -,) (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumber land 1: County, Pennsylvania with his/he~ last family or principal residence at 261 E Street, Carlisle Borough, Carlisle, PA 17013 (list street, number, and municipality) Decedentthen-ZLyearsofage,died 02/01/2008 at Carlisle Regional Medical Center, PA (Location) C,.:; 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 $ $ $ $ 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 a riate form to the undersi ned: T Valerie A. Rasnake 1604 Bulls Run, Jo rinted name and residence a, MD 21085 Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form 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 acc ding to law. Sworn to or affirmed and subscribed I- r....) C2 ,C) ',"J C;~.:J C',J -UC) i'1 C':; No. ~ I-D?: ~Ol5+ '. -n I -.l :r:~ .' Estate of Richard Lee Hadfield Deceased ", Social Security No: 196-26-4039 AND NOW. ~lYUkOUN~ ~ n Date of Death: 02/01/2008 (-,) , ;?MK ' in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters []] Testamentary 0 Of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Valerie A. Rasnake in the above estate and that the instrument(s) dated 07/31/2001 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES ~ ~~A. ,--J;:ao.'>f-xuJ:t~ ct:: Regisr1f" . . '. ~I- , . ~- II ^--~ ames M. ~nson ~ Attorney: Letters. . $ En .00 $ .3;; . dD Short Certificate(s). Renunciation. $ Affidavits ( $ 1.0. No: 84133 Turo Law Offices 28 South Pitt Street E'n. Q r c:.~~s ( W".I.\\ $JS.oo Address: Codicil. . $ Carlisle, PA 17013 JCP Fee. $Ja,()D Telephone: 717/245-9688 Inventory. $ $ 5.<.)0 TOTAL. $ 15:;.00 Prepared by the Pennsylvania Bar Association Copyright (cl 1996 form software only CPSystems, Inc. Other Form RW-1 (1991) HI()'! Xn'i Rf..V 11)1/(\7, LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 p Date Issued 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. -'. C'" ~ ' ~l.,Ht ~. '""~~~~EE' 14125319 4 /2008 Certification Number Local Registrar CJ :J~ -t.} tr~j t_J t:,;;:,' c.:...::l C\:, . C/) :;:"- -T1 r.--, W r -.J .:1::....... C') Hl05-143AEV 1112006 TYPE / PRINT IN PERMANENT BlACK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) 1. Name of Decedent (First, middle. faSI, suffix) STATE FilE NUMBER 4. Date or Death (Month, day, year) Feb. I, 2008 5. Age (Lasl Birthday) 6. Date of Birth (Month, day, year) 7. Birthplac:e(C Sa. Place of Dealh (Ched< only one) Hospital: Inpalienl 0 ER / Outpatient 0 DOA 0 Nursing Home 0 Residence 9'~~~e:;:~t~~:~nicOrigin? Lk'o 0 Yes Mexican, Puerto Rican, elc.) 14. Marital Slatus: Married, Never Married, Widowed, Divorced (Specify) 10. Raca:American Indian,Black, lNhile,etc. 1- White 72 Jan. 19,19:36 v" . I . !lb. County or Dealh Cumberland ad. Facility Name (If not institution, give street and number) Twp. Carlisle Regional Medical 12. Was Decedent ever in the U,S, Armed Forces? Dves DNo Decedent's AclualAesidence 17a. Stale 17c. 0 Yes, Decedentliv9d in 17d.[XNo,Oecedentlivadwilhln ActuaIUmilsol City/Bore . 16. Decedenfs Mailing Address (Slree!, clIy !Iown, illate, zip code) 261 E Street Carlisle, PA 17013 Pll Cumberland Twp. 17b. County Carlisle 18. Father's Name {First, middIe,last, sulfix) Homer H. Hadfield 19. Mother's Name (First, midlle, maiden surname) Hanna Miller Loucks c w ~ => ~ 208. InlOlTllBllt's Name (Type I Prinl) 2<tI. Informant's Mailing Address (Street, dty! town, sIBle, Zip code) Valerie Hadfield-Rasnake 1604 Bulls Lane, Jo I MD 218. Method of Disposition I XJ Cremation 0 Donalion 21t!. Dale of DIsposition (Monlh, day, year) 21c. Place of Disposition (Name of cemetery, eternatOf)' or other place) o ~,~:.."o R'''''''''fromSlate ! ~:';'~"r=:~~""jijv"DNo 2008 Hoffman-Roth Funeral Home & :.SlgnalureofF~~such) 22b.UcenseNumber 22c.NameaooMlressof FadJity CoolpIete hems 23a-c My when certtlyirlg 23a To !he best of my knowledge, death OCCUrred atllle time, dale and place stated. (Signature and title) =~"::~eattimeofdeathIO f Cc;~ M~ 21d. Location (City/town, slala, zip code) Carlisle, PA 17013 hems 24-26 musl be compIetBd by person wt10 pronounces death. 24. lime of Death 25. Dale Proooonced Dead (Month, day, year) 11.1.7.. I'M 2{ t (7..0015 CAUSE OF DEATH (See Instructions and examples) hem 27. Part I; Enterlhe ~ - diseases, injurle6, or complications -!hat directly calJSEld the death. 00 NOT enIerterminaJ events such as cardiac arrest, respiratory arrest, or venl1'lcular libriIlalion without showing !he etiology. UsIonty one cause on each Hne. ~~~~~~~\lise~ Approximate lotervaJ: Onset to Death 28. Did Tobacco Use Contribul& 10 Death? o Ves DP- o No' Unknown 29. II Female: o NOIpregnant wiltlin past year o Pregnant at tirne of death o Nolpf8glanl,butpregnanlwilhin42davs 01 death o NoI pregnant, but Jlflll11an143 days 10 1 year before death o Unknown if pregnanl within the pest year 32c.=~~~=)Street,Factory, Sequenl:I:te~=~~ a. = UNDERLYING CAUSE (lIseaseori!PY!ha1 inillallld the evenl5 resultifJgl1 death) LAST. DU"O(f.~~~ 'toPA-T ~ b. Co~~-nllp. IIC1IHLT Due 10 (or as a consequence on: . Fit IL..Utzk Due 10 (or as a consequence 01): d. 3Oa.WasanAutopsy Performed? n. Were Autopsy Flndmgs Available Prior 10 Completion ofCauseofDeaIh? 31. Marmer of Dealh ~No"~1 D_ O-, DP""ngln~tJon Os.." 0 C""" Not bo Dotem;nod M. Dv" litNo Dves DNo 32d. Tlmeol Injury 32g. Location of Injwy (Street, city I town, Slale) ~ ~ is " " 338. Certiller (check only one) CertIfying physlcf.ln (Physician cer1llying causa of death when another physician has pronounced death and completed 119m 23) To the best of my knowledge, dhth occurred due to the CBUM(S) Md manner 8ll,t8tecL............ _ _..... _......... _..... _... _ _.. _ _..... _.. _ _..._ ~=:~: :W~~=~~= =~i=;:;~~:~~o~::~~~: tMnner 88 stated............... _ _.. _ _ _.. _ _ _..... 0 ~::~m~":~~~= and I or Investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(.) and manner as slaled.. 0 I~ II 1d.11 ID I Disposition Permit No. 1mi f c;m+(~ ~18!i. ~ll 01 (fJfnmenf ( ) ana ~ .' ') RICHARD LEE HADFIELD . i , , <:.0 r -,J .'..- "...< ,I.,') !, Richard Lee Hadfield, of Newville. Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I~ ,I I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured Obligations. xJ" which, in his, her or its opinion, it might be proper and more advantageous to retain or :., renew and pay as they become due and payable. If I do not own a burial plot or a grave ff . marker at the time of my death, I authorize my personal representative, in his, her or its 1M. ~~ sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and I V Y to expend sums from my estate for this purpose. ~ r ---r.".,~ tt,,, r- ' SECOND tfY 0 ;r~ r I give, devise and bequeath my entire estate together with all insurance proceeds thereon of whatever nature and wheresoever situate to my beloved children, Matthew L. Hadfield, J. Luke Hadfield, and Valerie A. Rasnake, share and share alike, per stirpes, providing that they survive me by sixty (60) days. Uj;l~~ I THIRD My executor is authorized and empowered to exercise from time to time in his, her or its sole discretion and without prior authority from any Court, in respect of any property forming part of any trust hereby created or otherwise in its possession hereunder all powers conferred by law upon trustees or executors and the testator intends that such powers be construed in the broadest possible manner. FOURTH I nominate, constitute and appoint my daughter, Valerie A. Rasnake, of Joppa, Maryland, Executrix of this my Last Will and Testament. In the event Valerie A. Rasnake is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint Earl Rothermel, of Blandon, Pennsylvania, to serve instead. I direct that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. FIFTH I hereby declare it to be my expressed desire that my personal representative employ Turo Law Offices of Cumberland County, Pennsylvania, for legal advise and assistance regarding this my Last Will and Testament, they having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and 'I::- Testament this 316 of ,2001. r(J;~i.~ lLLI---Ll ^-,l. LJ t tLIl W~L Witness ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA :SS COUNTY OF CUMBERLAND I, Richard Lee Hadfield, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to the law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ") ;' Sworn or affisrned and acknowledged before me by Richard Lee HadfileJ( the Testator, this ,3(~ay of 1M t.!I ,2001. // / . ~ ~/~. Notary Pub (J Notarial Seal Robert J. Mulderig, Notary Public Carlisle Boro, Cumberland County My Commission Expires Nov. 13, 2004 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA :SS COUNTY OF CUMBERLAND We, bGllln ~. VUClLtz.. and Lt. 11 fC_ /<A. ~k I f1 (Lu-', the witnesses whose names are attached to the foregoing document, being duly qualified according to the law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. / / /) ({C IlLt tJ. l/ J tLji_lD(L~ ) Sworn or affirmed and subscribed before me by bctU (l i-~. lAJ(A-C+'z._ and ttl1f fv~ - S~-CH1()Uf this 31Sr day of JuuI ,2001. ~~~~ Notary P c Notarial Seal Robert J. Mulderig. Notary Public Carlisle Boro, Cumberland County My Commission Expires Nov. 13, 2004