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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY., PENNSYLVANIA
Petitioner(s) named below, who is/aze 18 years of age or older, apply(ies) for ~ Letters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form:
Decedent's Information
Name: VIRGINIA L. RAUllABAUGH
a/k/a:
aJk/a:
a/k/a:
Date of Death: FEBRUARY 12, 2012
r I~ 1vt
File No: ~ I "- ~ ~~
(Assigned by Register)
Social Security No: 162-22-7127
Age at death: 82
Decedent was domiciled tat death in CUMBERLAND County, pENNSYL.VANIA (stare) with his/her last
principal residence at 28 NOTTINGHAM DRIVE. SILVER SPRING TOWNSHIP. 17050 CUMBERLAND COUNTY
Street address, Post Office sad Zip Code City, Township or Borough Couaty
Decedent died at 28 NOTTINGHAM DRIVE. MECHANICSBURG. SILVER SPRING TOWNSHIP, CUMBERLAND. PA
Street address, Post Office and Zip Code City, Towuship or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvatlia ............................ All personal property $ 5,000.00
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ........................ Personal property in County $
Value of real estate in Pen~tsylvania ......................................................... $ 163,900.00
TOTAL ESTIMATED VALUE.... $ 168.900.00
Real estate in Pennsylvania situdted at: 28 NOTTINGHAM DRIVE, MECHANICSBURG, SILVER SPRING TWP CUMBERLAND
(Attach additional sheets, if necessary.) Street address, Post Office sod Zip Code City, TownsWp or Borough County
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/shelthey is/are the Executor(s) named in the last Will of the Decedent, dated APRIL 10, 2005 and Codicil(s)
thereto dated
State relevant circumstances (eg. renunciation, death of execator, etG)
Except as follows: after the lexecution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding whereih the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a child bom or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
0 NO EXCEPTIONS ~ EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendenter life, durante absentia, durante minoritate
If Administration, c.i±a. or db.n.c.ta., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds fir divorce had been established as defined
in 23 Pa. C.S. § 3323(8) attid was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS b EXCEPTIONS
Petitioner(s), after aproper fieazch has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) ~tt~ heirs (attach
additional sheets, ifnecessttty): (7 ~-~
._..n e:J
Name
Relationshi [iF
Addresses fTi t:, ;; L
_~r r" -
m iV _ c...
~ -,-.; ..
.7 ~ `' 1 ~°i ~... ~~
_
~7 `~
'~ ~ . • f'
Form RW-02 rev. !0/I1/30/l Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND
{'~ ! ~;.~
Petitioner(s) Printed Name Petitioner(s) Printed Address
STEPHANIE A. MADDEN 2 FAIRFIELD LANE MECHANICSBURG ~
l1MR~Pl A^~^ ~~ . PA
The Petitioner(s) above-named swear(s) or affirm(s) 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 edent, the Petiti(o~ner(s) will well and tru y administer the estate according to Iaw.
Sworn to or affirmed and subscribed before H ~ Date a I ay I a-
me this ~ " day o • Y ~ , ~j~`~.
By: .~
For the R ister
Date
Date
Date
BOND Required: Q YES Q NO To the Register of Wl/ls:
FEES: Please enter my appearance by my signature below:
Letters ...................... $ 260.00
( 1) Short Certificate(s)...... 4.00
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........
WILL ........ 15.00
Attorney Signature:
;~ ~3_ .
Printed Name: ROGE .IRWIN, ESQUIRE
Supreme Court
ID Number: 6282
Firm Name: IRWIN & McICNIGHT, P.C.
Address: 60 WEST POMFRF.T CTRF.F.T
('.ARi.iSI.F, PA 1701
Automation Fee ............... 5.00
7CS Fee ..................... 23.50
TOTAL ..................... $ 307.50
Phone: (717) 249-2353
Fax: (7171249-6354
Email:
DECREE OF THE REGISTER
Estate of VIRGINIA L. RAUDABAUGH File No: ~ I ~ ~ '~ ~-
a/k/a:
AND NOW ,~~ , in consi erati n of the fore oing Petition,
satisfactory-pro g been before me, IT IS DECREED that Letters
are hereby granted to
in the above estate and (if applicable) that
the instrument(s) dated /~{ C~
described in the Petition be 'tted to probate and filed of record as the last W~,11(and Codicil)) o~ Decedent. (-~
Register of Wills
Form RW-02 rev. /0/ll/2011 ~ ~ Pate 2 of 2
HIO?$Oi REa i9/I I I
LOCAL R ERTIFICATION OF DEATH
WARNING: It 'may±N~, ~tQ,r~ )u I to this copy by photostat or photograph.
Fee for this certificate, `.66.00 COQ f 1 ~~B 24 a~ ~ (; 11"""""""--- This is to certify that the information here given is
1~'r~,~jH OF pE~y :_ correctly copied from an original Certificate of Death
ttt,Fot. t~'~ duly filed with me as Local Registrar. The original
C~ERK 0~ : ~~ - _ ~~ certificate will be forwarded to the State Vital
~ .,~ Zs
~P~i'S vOUR ° ~ a Records Office for permanent filing.
Cl1MB~Ri f~;V~ Cn ,~ .f f
P 18210834_
Certification Number
Type/Print In
Permanent
h
`~
O
- • . ,~ _ . ~~ ,,,~~~``~~ DEB ~
-----..rMENT 0
~~~~~~"""" -Local Fegistrar Date Issued
COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
CERTIFICATE OF DEATH State Flle Number:
lack Ink
1 as[, suffix) 2. sex aoc•a, .ae.:u...r •~~•• •~°• - - -
. Decedent's Legal Name (Firs[, Middle,
emale 162-22-7127 Februa 12, 2012
Y
Al r Foreign Country)
Vi inia L_ Raudabau h
(;~~nd
e
te of Birth (MO/Day/Year) (Spell Month) Ta. Blrthplac
D
6
S p
C
st
~
a
.
a. Age-Last Birthday (Yrs) Sb. Under 1 ear Sc. Under 1 Da
82 Months Days Hours Minutes Aug _ 18 , 1929
Tb. Birthplace (County)
) B .Did Decedent Live In a Town hip?
t No
lude A
I
b
8 .
p
er -
nc
a. Residence (State or Foreign Country) ' Bb. Residence (Street and Num
degedent uyed In °'ilver Boring twv.
ham Drive E~Yes
ttin
8 N
,
g
o
PA 2
B d. a i p ~ (~p ty) Q No, decedent lived within limits of city/bor
Code)
ce (ti
id
land
i
~
p
en
age)
Se. Res
umper
use' i am I r to first marr
Married Widowed 11. surviving Spo s Mame (If wife, g ve n e pr o
of Death Q
Tl
9 me
. Ever in Us Armed Forces? 30. arital Status at
d Q Never Married Q Unknown
Q Yes ~ No Q Unknown ~ Divorce
13. Mother's Name Prior to First Marriage (First, Middle, Last)
12. Father's Name (FfrsC, Middle, Last, Suffix)
Clara Bo er
o stale, n cgde)
John P _ Conle
Ralatlonship to Decedent 14c. Informant's Mailing Address (Street and Number, ty, P
14b
.
14a. Informant's Name
2 Fairfield Lane- Mechanicsburg PA 17050
o Ste anie Madden dau hter
......... .
a. P ace a eat --••••" Facil ~~~~~~~~~ Decedent s Home
.........
~ Ity ~~
i
~ H
~
.
G d 5
osp
ce
.................... ......................................,.~ p....„.a
a Hospital:
..................................... •I eat ccurre omewhere Other Than
s Inpatient
ital: L
s
5 i
H
d i
h
ec ~)
I a
p
n a
o
er
Ot
f Death Occurre
Dead on Arrival Nursing Home/Long-Term Care Facility ( p
th
f D
ea
15d. County o
Q Emergency Room/Outpatient Q
City or Town, State, and Zip Code
• 15c
b
a~ .
er;
15 b. Facility Name (If not Institution, giv! street and num
cemetery, c amatory, or other place)
r
Date o4 Disposition 16c. Place of Disposition (Name of
166
-
,
.
]. Crematlgn
Bu lal r
16a. Method of Oisposition Q Donation --
2012 Ho££man-Roth EPaanaral Home & Crematory
t
t
L:7 F
b 14
a
e
,
p Rempval from s
e
Other (specify) 17~ .~ ature of Funeral serW ce Licensee r Person In Charge of Interment 17b. license Number
tion of Disposition (City or Town, State, and Zip) f
L
d
2 oca
16
.
l/ 013144E
Carlisle, PA 1701
vim. Name and complete Addreaa pf F„meral Fa~mty 219 North Hanover Street , Carl isle , PA 17013
& Cremato
to Indicate what
Ho££man-Roth Funer 1 Home
O
R
M
O
l
i
r~' if to be-
r
s
Self or h
18. Decedent's Education - Gheck the b
whethertha de edent the decedent conside ed h m
ribes
d
b
D
ttl
ri
t
e
t
I- e c
that
est
f death. box
me
Q Korean
he
ad at
l
highest degree or level of school comp 4 o
anic/Latino. Check the "ry0" w White
h/His
i
S
p
pan
s
is
Q Bth grade or less b
if decedent Is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese
x
Q No diploma, 9th - 12th grade No, not Spanish/Hispanic/Latino Q Americain Indian or Alaska Native Q Other Asian
no Q Asian Indian Q Native Hawaiian
h school graduate or GED completed ~
Hi
Chi
g
ca
Yes, Mexican, Mexican American,
Q Chinese Q Guamanian or Cha morro
Some college credit, but no degree
Q Yes, Puerto Rican
Q Associate degree (e.g. AA, AS) Q yes, Cuban Q FIIlpino Q Samoan
Q Other PadFlC Islander
Q Bachelor's degree (e.g. BA, AB, BS)
MEng, MEd, MSW, MBA) Q Ves, other Spanish/Hispanic/Latino Q lope Haze
Ms
MA
ree (e
d
'
,
,
.g.
eg
s
Q Master
Q DoROrate (e.g. PhD, Ed D) or ProfE•ssional degree (Specify) Q Other ('_:peclfy)
. MD DDS DVM LLB JD
indicate what the decedent considered himself or herself to be.
USEPRETIREDk
NE t
I
^
a
n
o
DO N
OT
working Ilfe
most of
21. Decedent's single Race Self-DesignaKlon -Check ONLY O
done during
Samoan
~J While Q Japanese 0
American Q Korean Q Other Pacific Islander Manager -
i
f
can
r
Q Black or A
Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure
d 22b. Kind of Business/Industry
Asian Indian Q Other Asian Q Refuse
Q Native Hawaiian Q Other (Specify) Clothing Store
' Q Chinese
Q Guamanian or Chamorro
, Q Fili Pino
ITEMS 23a - 2gd MUST BE COM LETE 23a. Date Pronounced Dead Mo Day Vr 23 . Signature o Pe~rrson Pronoun~e/Lng Death Only w en applica le) 23TC~. Ucenze Nu~myber
~ ~ 3 O ~ S S
S OR
1
~~
Q a , a ~ ~ a- }~ // ~ ~ i
__~ ~ f
{~
BY PERSON WHO PRONOUNCE
rEC-~- T ~~^
CERTIFIES DEATH
23d. Date Signed (MO/Day Yr) 24. Time of Death , ^ ~ ~ wl 26. Was Medical Examiner or Coroner Contacted? Q Yes ~ No
CAUSE OF DEATH Approximate
u ties, or complications--that directly caused the death. DO NOT enter terminal a ants such as urdlac arrest. Interval:
Add additional lines If necessary Onset to Death
Enter the h 1 f t+-diseases, Inj
n a line
i
.
.
y one cause o
26. Part
or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter onl
rrest
,
respiratory a
nnr-4us-t~.k;c, aale.~o (.u~onta of L~t~L.~_ _
I
IMMEDIATE CAUSE ---------------> a.
Due to (o as a consequ nce of).
(Final disease or condition
resulting in death)
b Due to (or as a consequence of):
sequentially Ilst conditions,
If any, leading to the cause
listed on line a. Enter [he Due to (or as a consequence of):
UNDERLYING CAUSE
s (disease or Injury that
u+ initiated [he events esulting d. Due to (or as a consequence of):
in death) LAST. '
27. Was autopsy p rformed7
In Part 1
i
ven
es aus
Enter other I Ifl t b ditl t Ib ti t d th but not r ul[Ing in the underlying c e g
Q Vei Q No
Part 11
26
.
.
28. Were autopsy findings available
to c plate the c of death?
a
o
Q Ves
No
~ 29. If Fefnale: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death Homicide
Ves O Probably atural Q
E thln past year
~NO Q Unknown Acclde nt Q Pending Investigation
/~I`f~i-Not pregnant wl
suicide Q Could not be determined
ath
f d
a4
~' e
e
Q Pregnant at tim o
Q
Q Not pregnant, but pregnant Within 42 days of death
ear before death 32. Date of Injury (MO/Day/Yr) (Spell Month)
1
t
3 d
~ y
ays
o
33. Time of Injury
Q Not pregnant, but pregnant 4
Q Unknown if pregna n[ within the past year
h
l) 35. Location of Injury (Street and Number, City, State, Zlp Code)
j oo
34. Place of Injury (e.g. home; construction site; farm; sc
36. Injury at Work 37. If Transpo orlon Injury, Specify: 36. Describe How Injury Occurred:
Q Ves Q Driver/Operator Q Pedestrian
Q No Q Passenger Q Other (specify)
1
S 9 CertiFler (Check only one): cur anner stated
Certifying physician - To the best of my knowledge, death oc red due to the caux(s) and m and lace
and due to [he c se(a) and man r stated
~
date
ti
e
h
P
d
~ .
,
,
,
e
m
at t
Q Pronouncing 8. Certirying physician -TO the best of my knowledge, death occurre
and place, and due to the e(s) d manner bred
date
t the time
d
,
, ,t' h `yam
~a
Q Medical Examiner/Coroner - On' a basis of examination, and/or investlgatlon, In my opinion, death o .t ,t r{e-
~l J~^y~
' N
V
Title of certlFler~ M /J - License Number
~ Signature of certifier:
39c. Date Signed (MO/Day/Vr)
~ //
39b. Name, Address and Zlp Co~ of er n Completing C u Death (tam 2 ) O 2 ' t iI
'
~~
S Y 42. Registrar Flle Oa[e Mo Day r
41. Re trot s 51 n tut
40. Registr = District Number __ a She L.~ t L.F =.
T V
O r
43. Amendments /
_
B
H105-143
Disposition Permit No. U ~ ~~ ~ a T nev ui, av..
LAST WILL AND TESTAMENT
I, VIRG1I~TIA L. RAUDADBAUGH, of Silver Spring Township, Cumberland County,
Pennsylvania, de~claze this instrument to be my Last Will and Testament, hereby expressly
revoking all Wily and Codicils heretofore made by me.
1. I direct my Executrix to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my Executrix to sell any realty owned by me at my death,
and not specifically devised herein, at either public or private .sale, and to give good and
sufficient deeds therefor, in fee simple, as I could do if living.
3. I give, devise and bequeath all of my estate of every nature and wherever situate to my
three (3) children, MELVIN D. RAUDABAUGH, STEPHANIE A. MADDEN and RICHARD
W. RAUDABAUGH, JR. shaze and shaze alike, the child or children of any deceased child
taking the shaze their pazent would have taken if living.
4. Should MELVIN D. RAUDABAUGH be deceased, then his share shall go to his
children, ZACHAIRY DAVID RAUDABAUGH, AARON JOSEPH RAUDABAUGH, PETER
ANDREW RAU~ABAUGH and SARAH MAE RAUDABAUGH in equal shares. Shouldh~
~_.~'
STEPHANIE A. MADDEN be deceased, then her shaze shall go to her children, ~ HAND, ~;
.-ter, ~ ~ ~ ~ ~>
r ~ ~1J
~. r'rl fV '=' ~
~~~' =~
A ~ tV ~~ rn
SCOTT SCHWARTZ and ERIC ANDREW SCHWARTZ in equal shazes. Should
RICHARD W. RAUDABAUGH, JR. be deceased, and because he has no children of his own,
his shaze shall be divided equally between my six (6) grandchildren named above.
5. Should any portion of Paragraph No. 4 take effect, and any grandchild be under the
age of twenty-one (21) yeazs, then their shaze is to be held in TRUST by ROGER B. IRWIN,
ESQUIRE, of Cazl~sle, Pennsylvania, and be used by said TRUSTEE far their health, education
and maintenance. When each grandchild reaches the age of twenty-one (21) yeazs, then said
TRUSTEE shall distribute his or her shaze to him or her.
6. I nominate and appoint STEPHANIE A. MADDEN to be the Executrix of this my
Last Will and Tesltament; she is to serve as such without bond. Should she die before my
death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered,
I nominate and appoint MELVIN D. RAUDABAUGH and RICHARD W. RAUDABAUGH,
JR. as substitute Cb-Executors, also to serve as such without bond, with the same powers as are
given herein to my Executrix.
7. I herel$y suggest that my personal representative retain the services of Irwin &
McKnight as attorneys in the settlement of my estate.
IN WITN~SS WHEREOF, I have hereunto set my hand and seal this ~~ ~ day of
200
(SEAL)
Y IRGINIA L. UDABAUG
2
Signed, sealed, published and declared by VIRGINIA L. RAUDABAUGH, the above-
named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her
request, in her presence and in the presence of each other have subscribed our names as
witnesses hereto.
~e~~~~
3
ACKNOWLEDGMENT AND AFFIDAVIT
WE, VIRGINIA L. RAUDABAUGH, MARTHA L. NOEL and SHARON L.
SCHWALM, the 'Testatrix and witnesses respectively, whose names are signed to the foregoing
instrument, being' first duly sworn, do hereby declare to the undersigned authority that the
Testatrix signed arad executed the instrument as her Last Will and Testament, that she had signed
willingly, that she executed it as her free and voluntary act for the purpose herein expressed, and
that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a
witness and that td the best of their knowledge the Testatrix was, at that. time, eighteen years of
age or older, of sound mind and under no constraint or undue influence.
VIRGINIA ~AUDABAUG
L.
SHARON L. SCHWALM
COMMONWEA~.TH OF PENNSYLVANIA
COUNTY OF CLUMBERLAND
. SS:
Subscribedy sworn to and acknowledged before me by VIRGINIA L. RAUDABAUGH,
the Testatrix herein, and subscribed and sworn to before me by MARTHA L. NOEL and
SHARON L. SC~WALM, witnesses, this id' day of April, 2005.
C~~
COMM ~IJG~EA FI ~~'I~NNSYLVANIA
~ otari,al Seal
Roger B. Irwin, Nohary Public
Cadisle Boro, Cumberland County
My Commission Expires Oct. 3, 2008
Member, Pennsylvania Association Of Notaries
4