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Home My WebLink About06-27-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND estate of Grace M. Raudenbush also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the named in the last Will of the Decedent dated and codicil(s) dated (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 bom or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as provided in 23 PA C.S. section 3323(g): B. Grant of Letters of Administration (/fappticable, enter: c.t.a.; db.n.c.t.a.; pendentetite; duranteabsentia; duranteminoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by [he following spouse (if any) and heirs: (/f Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationshi Residence John R. Raudenbush Son 3612 Copper Kettle Road, Camp Hill, PA 17011 Daniel E.E. Hayes Son 4222 Van Hill Road, Greeneville, TN 37745 Francis E.V. Hayes Son 301 Mohn Street, Apartment 501, Steelton, PA 17113 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland 3812 Copper Kettle Road, Camp Hill, North Middleton, Cumberland Count (List street address, town/city, downship, county, stale, zip code) Decedent, then 87 years of age, died on September 25, 2008 County, Pennsylvania with his /her last principal 'A 17011 COUNTY, PENNSYLVANIA File Number ~ I -' 1 (JUG" l~tl Social Security Number 186-14-7682 at Church of God Nursing Home 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 (If not domiciled in PA) Personal properly in County Value of real estate in Pennsylvania situated as follows: 0 rJ 0 .~.~ at --- r 1 ~-," ~_~ ~ ~•-t:7 tU r - , '~-s - - ..:.. _~ `_'~ r-n t~ -~c7r~ Wherefore, Petitioner(s) respectfully request(s) the probate of the last WiII and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: 'rl~ ~'~' ' I John R. Raudenbush, 2812 Copper Kettle Road, Camp Hill PA 17011 Form RW-01 rev. 10.13.06 RW-02 Page 1 of 2 W~ 105.805 kF.V (01/07) 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 1479 ~Rn Certification Number This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me a~ Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ..4.c~..~ak,l,:.._. ,~~ a ~ ocal Registrar Date Issued ~~ ~~ ~ ~ C_._ r ~ 1 ;`~7 ~ S~3 ~'r .`r'Ti ~~ ~~ d "r1 H705-143 REV 11:2006 TYPE. PRINT IN PERMANENT BLACK INK I T Name 5. COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructlona and examples on reverse) STATE FILE NUMBER mMae, last su1Dx) Secwpy Numher Grace M. Raudenbush 2Female 3 ~ 186 _ 1q 4 Doled DeaM (Morph, tlay. year) 7682 September 25, 2008 lhMer 1 year Under 1 day 6 Dam N a,m ru,.u. a,,, ...... 87 Nonaw aye Hours ~~` . -_-~,~-" ." '_.•••- •• •- ~,,,~.~~~r, aa. rvw a ueam (c;lleck apy one) Yrs June 11, 1921 Chester PA IbsPilal: odwr: . BD. Courtly d Deari &. Ci ty, Boro, Trop . al Daab Bd. FaMtiy Name (M rld instit , ution, 4ve sb6et and reaMerl ^ Inpalia nl ^ ER / Oulpanem ^ DDA wsinq Hume ^ Reslaence ^(>,ner ~ SpecpY Cumberland North Middleton g Church of God Nursin Home 9. Was Decedem d Hispank Or T No (Il yea, '~"" ~ ^ vea N>~ awn. to Raw Amerlwn bdan D1aUC.wMa, eb ~ 71. Oecedap's Usual Ccc Don KDb of rood dew most d wodi tile. Do nd ateb reMetl 12. Was Decedent ever r dw 13. Dewd@nl'c Education (Spedry Dory fDgwsl grade ear Mexica buM) n, porno Rican, etc.) 14 M ( , M W h it@ Emp oyes Rep. Korb d BuNMae / N ommonwea~i "of Pa U.8. MmM Foam,rpT FJemsnYry /s~co Mary (0.12) " p Cdkge (1~4 « S.) . arius Sutue: Merded. Nswr Merwd. Widowed, Divorced (Speuy1 15. Sumo oW Spouse ID rope, give maian name) . ^yea ldNd 1 l Widowed 18 Decedent a Maircy AtldrBSS (J1r6eI, Gdy / 1«/n. SDIIB, Ilp Coda) DBGBdBID'S 3812 Copper Kettle Road AcmlalReaidance ,7a Slaw PA °iODece°°d am P en Live in a 17c ~ Yes Dxedenl W tl i Camp Hill, PA 17011 . ve n 17b. Count TownalppT p Cumberland Tw Y 17tl. ^ No, Decetlem lived within IB. tamer's Name (Frsl, mMde, Iasi sunix) Ac4N1 ~~ d Ciry / Boro ' John Jackson 19 Momer s Name (First, midele, marten smrwrlw) ' Mary Ellen Hampton 2w. Inlornant s Name (Type /Pmt) John Raymond Raudenbush 20Dkdmrwm'sMalWUgAtldresa(SD.M,cpy 'b""~a•~co°e 3812 (topper Ket~le Road Camp Hill, PA 17011 2,a. MerimdDieposition ^aemaDOn ^ Dawtiw 21b. OMe d DuPOSigorl (Morph gar reap zlc Place a Dis o nb N e°naI ^ RenavalbanSlaie WuGamatbnaDonatlonAutlwrind , . . p s n ( ame a cemetery, crematory a o1Mr paw) z1tl. Lecatim ICpy I lam, mw. Ip cotle) ^ Mr-sp¢tii WdeelEaambwr/CwarrT ^yaspNp Se tembet29,2008 P Holy Cross Cemetery Harrisburg, Pa. 17111 22a SgNw uneral Serv acting as ~1 22b. license N aNrar 22c. Name arbAtlde ss of fadtiry ~ FD-012662-L Myers Funeral Home, Inc. 37 East Maln Street Mechanicsburg, PA 17055 Conplele hems 2 ~ Doty room cenpyug To rig oral knowledge, deem occurred al rie row, tlaw and DWCe SMW. ($iptw Ma orb titlB) plysiuan s nd avapaNe al one d Oeam iu 23b. Licerwe Number 23c. Daps Signed (Morph. day. year) wary wnsedd~~m '' 2 7 rSI(3' ~~~ 9^i7S--s~ODFl Worms 24@6 moat w compeletl Dy person to pranances eeatrt 4. k1w nd ~~~T 25. Dale Pralacced Dead ( dey, year) ~ / I (l M ~' Z8. Was Casa Referred b MrMky Exardrwr / Coroner br a Reason Omwr Iwo CrgmWwn w DoMtiwT CAUSE OF DEATH (Sn inatruclbne samples) J OD~ nom 27 Pan I. Entw the epamyLHYtpli.. dseases, Wpxies, or conpticatwns - trot dr , Apgeaimaw Wen eCDy Caused IM mari. W NOT Mbr Terminal events aucn as cardac arrest, Qiwi b Dean respiatory anent a vedncuWr librsutiw wNMW showing the elwbgy. Wsl qtly aw cause on each Ipw. , WMEDIATE CAUSE 1Fswl ds¢ase a ~ cwlduon resulDrp m seam) _y, a rv~^CI 9~'(- . ~. ~c:--~~ ~ ~ 1 v~ ~- 1 Due b (« es a sequence «). r 1 Seq tiaNy Mu condlwru, n any b. r le brie cause ksted «~ne a. Enter ITw UNDERLYING CAUSE Due b (w as a consequarlce ol(. ~ Idaedsa w nyny Thal WlWiotl Vin 1 BVarpS rnsUNllg In death) LAST ~' 1 Due b (w ore s coneoquew:p d). 1 tl. 1 l 30a. Was an ANWSY 3a0. Were AMapsy Fuldngs 37. Manner of Deam 32a Dale al Injwy IMwm, day, yeap 32D. Descnhe How Iryury Occ«re0 Penonned? Available Prior b Completion ri d Caus¢ d Deam? lENdlwal ^ HomkM¢ ^Yes II: Em« Wwr bd net reweng h rie untlBYlypq rouse grvan n Part 1. t_~ Y¢s ~~// IW Y¢s' Nu Acuwnt ^ Penang Invecbyatiwi 32tl. TYIw d Iryury 328. Inyary al Work? 321. N Tran Don I ~, KS ^ ^ sDona nN+D'(SPetry) 32q. Locaixxtdlryury($1ie61, ^ Swede []Could Nul w Duternutab ^Yes ^ No ^ Drwer I Opurabr ^ passenger ^Petleslrian 29. Dd ToDaCCO Uw DorpnDW¢ b Dealh7 ^ Yes ^ ProDady ^ No ^ Unknown zg. n Female: ^ Nd preynanl wMm pest year ^ Pregnant N nme d tleam ^ Nnl prcynanl. Dip gnyrwnl wwun 42 W ys Ip dnam L 1 N+p pinyiWiN. Mil piutpwn113 days W 1 ynw Dekxe dedh ^ Unkrown K gegnam minor me past year 32c Puw d bjury Ibme, farm grad, faaory, Onice Swdrg, ea: (syzcMl / town. stow) M' awr ~ Specify: 33a. CeNlwr ([neck uNy owl 33b. SgnaWre' q Cartier r • canirylrre pnyablan IPnys~Wn ceniryny cauw of tlealh when ;uupner plrysicWn has pioiwwx.'etl d:alh and axrydelad Item 23) ,_. D To Uw Deal al my knowudpe, deem occwrsd tllw b Uw cauw(s) art manner as cutad_ _ _ _ _ _ _ _ t• l • Prormunebp and eMilying pnyaeian IPhyscian bpli prawwxmy dealn arM ceititying to reuse of deaihl - - - - - - - - - - - - - - - - - - - - - - - - ~ ~ Launs'e 33d Dale Sgrwtl Ihaniln, Jay. year) To Ne Deal of my Mowbdge, tlealA «curred sl lM time, dale, arM place, and due to IM cauce(a) art manner as aure~ _ _ _ _ _ _ _ _ ^ _ • YatllcalEumDwr/Caonu _________ ~` O ~ ( S _ ` ~~ Z S'(O On tM wale of sxemhwlion and / a InvasligNion, In my opinbn, tlealh occurred al me lima, dale, and place, orb due to !M cauee(e) art ma«wr a ewled_ ^ 34 Noma girt Atldress of Peron WM ConpleWa Cause d Onath Illem 27) Type i Prwl 35 tai s Signature and DurrK 3fi Dale FNed (Morph, day, Year) -a• G u I ST W I fe D• ~ n.a.. ~ (~ 1 I i ~ 1 /~~~ TICS 8 N, .'~ U N ~~Q l ' Disposilron Permt No. O'SlD7~ O- L`\~~ r~ p_ O Oath of Personal Representative GDibtMONWEALTH OF PENNSYLVA.'~IIA SS COUNTY OF ~,~~r~1~ The Petitioner(s) above-named swears} 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 persona] representatives} of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or aff`uried~an7d subscribed before me the ~ / ~~ day of of Persona! Rapresentative ~D'p ~ ;: ' JS ~ ~ t - ~ ~ ~ ~ r.J ... . ~ o ~ cJ - `~ 7~ ~, ~n Q FEES Letters ......... ...... S Short Certificate(s) ........ $ Rertunciation(s} .. ........ S . , , S Attorney Signatwe: ' ~ ' S Attorney Name: Amy H. Backenstose ... S .. , S Supreme Court I.D. No.: 87008 Address: Law Offices of Peter G. Angelos, P.C., Governor's Plaza South ... $ $ Building #3 Suite 330, 2001 North Front Street ' ' ' $ Harrisburg, PA 17102 ... $ TOTAL . . . . .. . ....... ~ 0•~ Telephone: 717-232-1886 Signature o~Persona~ Representative Signature ofPerso~ RepresrnEative OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of~umberland The Petitioner(s) herein nam ear or affirm that the statements in oregoing Petition are true and correct to the best of the knowledge an el.ief of Petitioner(s) at, as personal representative(s) of the Decedent, Petitioner(s) will well and truly admen he ate according to law. Sworn to or affirmed and subscribed before me this For the Register DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~n-CSC ~. ~.~ ~Ll(~~'1'~~7(AS~1 ,Deceased File Number: 21- r- _. ~, --- -r, ao-. fa. ~-~ :_ ~ -r- ~: ~, ...-- Q ~ -["` ~ ~ ~ ~.~ a AND NOW, this ~ day of ~`1F' ~-C~' ~ , in consideration of the Petition on the reverse side hereon satisfactory proof having be n presented before me, IT IS DECREED that Letters -Testamentary ~f Administration are hereby granted to: ~~ (Irapplicable, enter c.ta, d.b.n., d.b.n.c.t.a, etc.) _ . ~l~~flfl ~- KI.tL~e,Y~t ~-115.~~ in the above estate and that instruments(s) dated described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda Farner Strasbaugh r 1 i ,L, ~~,~ Register of Wills 'I tit FEES: Letters ....................$ ~'~ Will..... ~---' Codicil(s) ............... __ (~,) Short Certificates (~) Renunciations....... ~ ~~~(~ Bond ............................ Other ............................. ................................. Automation FEE......... 0 JCS FEE ................... 2 . 3 .( TOTAL ................$ -~' Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 RENUNCIATION REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA ~ x 1 ~O ~: i "7` __ ~c7o --~, -: ;: -.~ r_. `r' c,. Estate of Grace M. Raudenbush I, Daniel E. E. Hayes (Prins Name) Son Deceased in my capacity/relationship as of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to John R. Raudenbush ~lBlza~~ (Date Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 rf, ~. (Sign ur 4222 Van Hill Road (Street Address) Greeneville, TN 37745 (City. State. Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~'`~' day of ~ ~~ , ~o I f ~~ ~~~~ I Notary Public My Commission Expires: 1 ~ ~ ~`~'~ 1 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTORIAL SEA4 Anne M. VeneseV~,-Notary Pubtle City of Hartisbur'~, Daupbin County My Commission Expiros July 6, 2014 R _. Cumberland RENUNCIATION REGISTER OF WILLS COUNTY, PENNSYLVANIA ~ r-.a r•-. ~- ~~ ~, ;-~, ~ c_.. '~ ~ -~: ~ r~ ` ~ rrc ~ r~ ~ . - -. - ,--, ~z.~ ~~ ~; , _~ - ~~'° -r, - ; .~ n rv ~ ~ ~~ c.,: o Estate of Grace M. Raudenbush Deceased I, Francis E.V. Haves , in my capacity/relationship as (Print Name) Surviving Son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to John R. Raudenbush (Date) re) 301 Mohn Street, Apartment 501 Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Street Address) Steelton, PA 17113 (City, State, ZrpJ Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~ day of ~ l ~`~~ _ ern- ~, Notary Public My Commission Expires: ~-~ `~ t -~ 1 (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTORIAI- $ AnM M. Vs~svich, Nohry City ~ Harrisburg, DsW>hln County RW-O6 My Commisabn ~,xpires dub 6°~