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Home My WebLink About08-02-06 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Carl T. Raffensperger also known as No. 21-2006- tJ\o~~ , Deceased Social Security No. 174-20-8039 Daniel H. Raffensperger Petitioner(s), who is/are 18 years of age or older, appl(ies) for: (COMPLETE 'A' or 'B' BELOW) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the the Decedent, dated 11/11/2005 and codicils dated Executor 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 eXl3cution 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.t.a: d.b.n.c.t.a; pedente hte; durante absentia; durante mll1oritate) 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: I Name Relationship ~esTcJence ~ ., -- j .' -- - , . .,~' (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her family or principal residence at 325 Wesley Drive, Apt. 3131 ' Lower Allen Township (list street, number, and municipality) -"j Decedent, then 80 years of age, died 07/23/2006 at MS Hershey Medical Center, Derry Twp., Dauphin County (Location) 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 100,000.00 $ $ $ $ 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: Ignature or pnnte name an resl ence '12 Meadowbrook Lane IElizabethtown, PA 17022 Prepared by the Penns}-1vania Bar Association Copyright (c) 2004 form software only The Lackner Group. 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 DElcedent, Petitioner(s) will well and truly administer the estate according to law. -- Sworn to or affirmed and subscribed before me this ~ Jn~'1. , :JJ7Y ~~~ day of No. 21-2006- olo '6.:). Estate of Carl T. Raffensperger , Deceased also known as Social Security No: 174-20-8039 Date of Death: 07/23/2006 AND NOW, , 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.I.a.; d.b.nc.l.a.; pendElnte lite; durante absentia; dUrante minorital~l. r 'i (:,~ are hereby granted to Daniel H. Raffensperger, Executor in the above estate and that the instrument(s) dated 11/11/2005 described in the Petition be admitted to probate and filled of record as the FEES Letters.......................................... $ 210.00 ~ ~~~ba1.-~(~ IJ1A Register of Wi~ / fA1L~, ~ . lion M. Gruber ft ~~ay~ Short Certificate(s)...................... $ 16.00 Renunciation............................... $ Attorney: Extra Pages ( )......................$ Address: 17540 Russell, Krafft & Gruber, LLP 930 Red Rose Court, Suite 300 Lancaster, PA 17601 Telephone: 717/293-9293 Affidavits ( )...........................$ I.D. No: Codicil......... ........ ................... ...... $ JCP Fee. .................. ........ ............$ 10.00 Inventory... ........... .............. .......... $ E-Mail: jmg@rkglaw.com Other............................................ $ 20.00 TOTAL............................ $ 256.00 Prepared by the Pennsylvania Bar Association Copyright (cl 2004 fonm software only The Lackner Group, Inc. Form RW-1 (1991) :\ \'('1 ':,;'1; [ 0. \ - 00-6 (O~J- Ii, .::' '~' \ 1 r" ~.-'o. 1\ ',\ ;! ';)\- W.ARNiN G; it is illegal to duplicate this copy by photostat or p1lotoqra!lr: p ',' \ ~ ~:~~_~" lFp/;;;:~~>, " ~v . "'1"- ,/,,~' . . 'J;i o. il ,L?~ '%\ ....=>~ ~, t~*':~~:;c"lt '-~"- ~,~~~~:~~ ~,~:y' 12645703 ;1! I< 1/ ; . .' ,~()C:< , ",: . ~J 1 1 /" ;/ . / '--\... . . , I"~ I j tf /1 (c . ' 0'.' 1 I (I C-~~) 1 Name 01 Decedent (First. middle, lasl) COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER 3 Social Securrty NUrrDer 14_ Date 01 Death (Month. day, year) July 23, 2006 I' s" Carl T. Raf f ensperger male 174 - 20 - 8039 6 Under 1 ear Under 1 da 7 Dale a/Birth (Molllh, dav, ear I 8 13!1lhvlare {eil}' and state or loreign country\ 8a Place of Death lCheck only one) I Months Days Hours I Minutes I January 5,1926 ILititz, PA l~s~~~~'lienl 0 ERlOulalient 0 DOA l~h~ur!>ingHorne 0 Residence 0 Other-Spe6fv' &. City. Boro, Twp_ 01 Dealh Bd_ Facllrty Name (If not inslilution. give slr!;!!;!t and nurrber) 9. '.NaS)/OCedenl 01 Hispanic Origin? 10 Race' American \nd~n, Black. White, ele p-o'No 0 Yes (If yes, specify Cuban, (SpeCify) Derry Twp. M.S. Hershey Medical Center M,,<oo.PuenoR",",etcl H105_143 Rev_01106 TYPE/PAINT IN PERMANENT BLACK INK 5 Age (Lastvirlhday) 80 y" _ Sb, County o! Oealh ~ Dauphin n 11 De<:edenr~ Usual Oc:~ Kind of work dOl1e durin 1OO~1 of workil1g fife: do nof slafe retired Kind ot Work I Kind of Buslnes~'lnduslry President/CEO Publishing n 16 Decedent's Mailing Address (Streel. crty,lown, slale, zip code) ~ 325 Wesley Dr. Apt.1I3131 - Mechanicsburg, PA 17055 white 12 Was Decedelll eller in lhe US 13 Decadent's Educalkln (Spe<:i onto{ hi hest rade cOrreJleled 14 Marrtal Slalus: Married, Never married, 15 Surviving Spouse (II wile, give maiden name) Armed Forces? I ElemenlarylSecomtary (0-12) I College (140r 5+) Widowed, Divorced (Specify) byes 0 No 12 2 married Eleanor L. Wilson :u:i~n~;rdence 17aSta\e ~_~____H_~_'____'_~ ~~e~~edenl 17c.$'Yes,DecedenIUvedin Lower All_~~~~_ T'ftl) Townsh~? 17b. co",~_guInJ::eElaI1_d 19 Mother's Name (First. middle. maiden surname) Elizabeth Trimmer 18 Falhe(s Ndme (Fllst. middle, last) Horace Raffensperger 2Oa. Informant's Name (Type/pllnt) 17d 0 No, Decedenl lived wrthin ktual Limits 01 Cilyl8oro Eleanor L. Raffensperger 20b, Informant's Maihng Mdress (Streel, CrtyIIOWfl, stale, zip c(lde) o R~lTCVa\ hom Stale JulL26, 2006 325 Wesley Dr. Apt.#3131 Mechanicsburg PA 17055 21c Place oj Disposrtion (Name of cemetery. clematory or other place) \21d. Location (Cityl1own, slate, zip code) Hoover F.H. & Crematory, Inc. Harrisburg PA 17112 I ;22c. Name and Address of Facilitv tioover Funeral Home & Crematory, Inc. P.O. Box 475 Hershev PA 17033 23b. Lk;ense Nurri:ler 23c. Dale Signed (Month, day, year) o w <f) ::> <f) <( :i 21a MeUlod 01 Disposition o Burial ~emalion o Other - Specify: : 22. SAt"ttutiJ;:,,eo\ZP'j:001;::::UC~, 122;~"eo~~u;~'34_L ~1,ele1Iems 23a-c only when certifying 23a_ To the besl 01 my knowwre, death occurred allhe lime. dale and place staled. (SI\tfUlture and lrtle) phYSClaO IS nol available at lime or dealh 10 . certltycauseofdealh . lIems 24-26 must be cO/Tllleled by person 24 Time oC Death 125. Dale Proom.mced Dead (Monlh, day, yeal) : whop'o",u","d..th c):S'+ '\JM 0\A.~'j 1-3 l 1-0010 CAUSE OF DEATH (See Instructions and examples) llem 27. Part I: Enter the chain 01 events - diseases, injuries, or complications - fhar direclly caused Ihe death. DO NOT efllel terminal events such as cardiac arrest, respiralory arrest, or venlrK;ular fibrillation wrthoul Showing lhe eliology. 00 NOT abbleviate Entel only one cause on a line ~~~d~~~;e~~~~:J:~~~:dis~r a ___r~2_~_<'=-<:~ W:r =)~-\~~'!_(~~________.-__~_~ Dueto(orasaconsequeflCeo~ b ~Y:\~J\'\..\LLlf\t~.c~____~__ .____.___ Due 10 (or as a consequence oQ' 21b_ Dale of Disposition (MOnlh. day. year) o Donalion Sequenlially list condrtions. il any. leading 10 lhecause lisled on Line a. - Enter lhe UNOERt. YING CAUSE . (diseaseoriniurylhalinrtiatedlhe events resuning in death) LAST Due 10 (or as a consequence o~ 3Oa. Was an Autopsy Perlormed? d 30b Were Autopsy Findings Available Prim 10 Cc~l!>rion o! Cause 01 Dealh? DYes 0 No I 32e.lniuryaIWork? DYes 0 No 31 Manner 01 Death ~cural 0 Homicide 32a. Dale or Injury (Month,day. year) o Accident o Suicide o Pendinglnveslioation o Could Not Be Detelmined o Yes ~No 32d, Time of llliury M I- Z W o w o w o CL o w :2 <( z 33a_ Certifier (checkonfy oneJ Certifying physician (Physician certilyiflg cause of dealh when another physician has prooounced dealh and cOIl'pJeted Item 23) To the best 01 my knowledge. dC.1th occulred due to (he cause(s) and manner as slated... Pronouncing and certifying physician (Physician both plDnouncing death and certifying 10 cause ot death) To the best 01 my knowledge, death occurred allhe lime, date, and place. af'ld due 10 the cause(s) and manner as stated"...... ... Medical ex.amIDer!coroner On the b.asis of examination af'ld/or Investigation, In my opinion, death occurred at the lime, date, and pface, and due to the cause(sJ and mart~r as Sl.lled ........0 ..........,0 ................~ 136 7e f~'d;~~t~'~ 35 Regislr3r'5 Sign3!U1eandDisilict Nurrtler . ~~n:...J.L~l?-I;)..I~ru ~'-r (See instructions and examples on reverse) Approximate interval onsello dealh 26. tW.J:-Case Referred 10 a Medea! Examiner/Coroner? lh~~es 0 No Part ll: Enter other ~rlCant cond~ions conlri\)Utina 10 dealh, bulno! resuMing inlhe underlying cause given in Part f. 26 Did Tobacco Use Contribute 10 Death? DYes 0 PrObably o No B""Unkl'\OWn _(O'PIJ~p__ _t'-IOfl ~~LllilLL,JJ<A 29 IlFemale o No! pregnant within past year o Pregnant allime 01 dealh o Nol pregnanl, bot pre~nant within 42 days 01 death o Not pregnant, bul pregnanl 43 days to 1 year beloredeath o Unknown if pregnant wilhin the past year 32c. Place of Inlury: Home, Farm, Slreet, Fadory, OffICe Building. etc. (Specify'! 321:>, Describe how Injury Occurred 321 If Transpor1alion Injury (Specify) o Driver/Operalor 0 Passenger o Pedeslrian 0 Other - Specify: 33b, SignalureanclTiUeofCenifier 2~'~ 33c. ~D"~:h b~ 3:r~M02~Ye.2.()O Co 3~ Name and Address of Person Who Completed Cause 01 Dealh (Item 27) Type/Print c: . I:::!'s, Hershey Medical etL c It:t;::ll-a IVt f:ALI}d~rsheY, PA 17033 32g. Localion (Slreet.cilyr'lown, stale) '~ 'i 6" /." \. (i _~ - -1/";\.). Lt.. \- \...i .u..: uc.\ ~ 1fiast ~ill atW ij!t5taml~nt I, CARL T. RAFFENSPERGER, of Derry Township, Dauphin County, Pennsylvania, revoke my prior Wills and declare this to be my Last Will and Testament. FIRST: I make the following gifts of tangible personal property: A. I give my golf clubs to my grandson, SHAWN MEADE. B. I give my automobiles, household and personal enects and other tangible perso~aJty oflike nature to my wife, ELEANOR L. RAFFENSPERGER, if she survives me by thirty (30) days. Ifmy said she does not survive me by thirty (30) days, I give all the tangibie personal property owned by me at my death to such of my children and stepchildren as survive me, to be divided among them as they may agree; or, in the absence of agreement, articles as to which they disagree shall be sold and the proceeds thereof added to my residuary estate. SECOND: I give the residue of my estate to DANIEL H. RAFFENSPERGER and JON M. GRUBER, in trust, to be held, administered and distributed as follows: A. If my wife, ELEANOR L. RAFFENSPERGER, survives me, then during her lifetime: (I) The net income shall be paid to her at least monthly; (2) As much of the principal as my trustees may think desireable from time to time for the welfare, comfort and support of my wife are to be paid to or for her benefit. My primary consideration is that my wife be able to maintain the standard of !living to which she was accustomed at the time of my death. B. Upon my wife's death, the balance remaining in the trust at her death, including undistributed income, shall be distributed as follows: (1) Seventy-five percent (75%) thereof shall be divided equally between FRED (;RAFFENSPERGER and AMY R. MEADE. If either of my said children is not living at the time of my death, but has left a child or children then surviving, the share of said deceased child shall be distributed to his or her then living child or children. If such deceased child leaves no surviving child or children, said share shall be added to the share of my then living child, or the issue of any deceased child, per stirpes. (2) Twenty-five percent (25%) thereof should be divided equally among TODD W. LEHMAN, JON V. LEHMAN, and LOUISE M. LEHMAN. - 1 - If any of my said stepchildren is not living at the time of my death, but has left a child or children then surviving, the share of such deceased stepchild shall go to his or her then living child or children. If such deceased stepchild leaves no such surviving child or children, said share shall be added to the share of my then living stepchildren, or the issue of any deceased stepchild, per stirpes. C. If my wife does not survive me, the residue of my estate shall be distributed according to Paragraph SECOND B (1) and (2) above. THIRD: During the administration of my estate and the trust created herein, my personal representative and my trustees, and their successors, shall have the following powers in addition to any other powers given herein or by law, each of which shall be exercised without any order of Court: A. To retain and to distribute in kind any or all of the assets of my estate. B. To invest in income producing real estate, and any securities, stocks or other personal property, including common trust funds, which he may deem for the best interest of the estate or trust, according to the standards of prudent investment. C. To sell at public or private sale, to exchange, to lease, or to give options for any periods of time, for any or all of the property of my estate, for such prices and upon such terms and conditions as he thinks proper herein. D. To borrow money from any person or institution, and to mortgage or pledge any or all of the property of my estate. E. To compromise any claim or controversy. F. To exercise any option, right, or privilege granted in insurance policies or in other investments. G. My trustees can apply the net income of the trust created herein for the maintenance and education of the beneficiary of the trust created herein, should such person by reason of illness or any other cause, in the opinion of my trustees, be incapable of disbursing it. H. All shares of the principal and income hereby given shall be free from anticipation, assignment, pledge or obligations of the beneficiaries, and shall not be subject to any execution or attachment. 1. To distribute in cash or in kind or partly in each. J. My trustees can apply the net income of the trust created herein for the support of the beneficiary of the trust created herein, should such person by reason of illness or any other cause, in the opinion of my trustees, be incapable of disbursing. - 2 - K. All shares of the principal and income hereby given shall be free from anticipation, assignment, pledge or obligations of the beneficiaries, and shall not be subject to any execution or attachment. FOURTH: I direct that all inheritance or estate taxes which may become payable on any property passing under this Will shall be paid by the beneficiary of such property. FIFTH: I appoint DANIEL H. RAFFENSPERGER, executor of this Will. If he should fail to qualify or cease to act as executor or trustee, I appoint M & T INVESTMENT GROUP, executor or trustee in his place. I direct that no fiduciary acting hereunder shall be n~quired to enter bond in any jurisdiction. IN WITNESS WHEREOF, I have unto this my Last Will and Testament, typewritten on four (4) pages, set my hand and seal, this ~ day of ,2005. . l' (- ,t'" '/ /'/1 . 1.<- . ' !., (. .,.", /.,' '7 ,{ , ,. CARL T. RAFFBNSPE;RGER (SEAL) Signed, sealed, published and declared by the above-named, CARL T. RAFFENSPERGER, as and for his Last Will and Testament and in the presence of us, who at his request and in his presenc_~, and i~,the presence of each other, have subscribed our names as witnesses thereto. ~I ._,."~- ~~..,_.... ~;,t". ,J ;'-.,-...-,,--"''''- residing at " \;, ,~" J, \~. j ,~ I ,. . f .'\ \ '\ '\ I , '.L.\.. t\.../,-.r''l, I " I ( ,",c\... ~A.-v \,. c.- residing at i i ~. ~I~) /I-r'\ .J./. ..+(" '- ' . I >. A I l' I. I i I ... 3 ... COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF LANCASTER ) We, CARL T. RAFFENSPERGER, '" '; and \,- -,,'.. j~~, .~.,." i~ L (;; ,. '~,~. <~_ ~~...._ vi {~. ~.; , , the Testator and the witnesses, respectively, w'hose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the Will as witnesses and that to the best of the witnesses' knowledge, the Testator was at that time eighteen (18) years of age or older, of sound mind and under no constraint or ~e influence. t~'_l "/'-..,.-/" // l,C,!:/ i j/ / _,. CARL T. RAFFEN'Si~ERG12R, Testator Witness ;,/ .-----.... ~ \ I l '-C.,-- <2-. ( C' ,', ), . /' ,_-\.-,-,Ll' l.,.', . ~.. -.......' ~....--- . Witness Sworn to and acknowledged before me by CARL T. RAFFENSPERGER, the Testator, and subscribed and sworn to before me by the witnesses, this ~ day of ~J;)(;~...t;":.,,-.:.. , 2005. - l\\ ' \' \:.. \, (', ',' ' '-' . \\ ' \ \., ,,\'.f)~,,- '''',,~ \ ,\ C,~i,,-~__ Notary Public f'==P NO rA.Hl,~L t::S;L I' MICHAEL G. McFA!L, i\lota;y Publit:J H "E, liz, abeth"t",o';wj COIJNY, t~y ~.ommfs"" 2GGG 106941.2 - 4 -