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
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(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
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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.
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14125319
4 /2008
Certification Number
Local Registrar
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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
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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
"
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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+(~
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RICHARD LEE HADFIELD
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!, 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. ~
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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~~
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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. //
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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.
/
/
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({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