The URL can be used to link to this page

Home My WebLink About09-19-06 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION 2t-Dlor6<i \l,., Estate of .JASON RAYMOND also known as No. To: Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania Deceased. Social Security No. 085-66-5949 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl y for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with h is last family or principal residence at 815 ADD'etree Lane. Mech.nlcsbura. H.mDden TownshlD (list street, number, Twp. or Bom.) Decedent, then 40 years of age, died 9/212006 at 815 ADD'etree Lane. MecMnlcsbul1l. Pennsvlv.nl. 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 property in County Value of real estate in Pennsylvania situated as follows: NONE 6.000.00 0.00 0.00 0.00 $ $ $ $ Petitioner era after a proper search ha ve the following spouse (if any) and heirs: ascertained that decedent left no will and was survived by Name Relationship Residence 4010 SILVER BEACH ROAD WILLIAM H. RAYMOND FATHER BALLSTON SPA NY 12020 4010 SILVER BEACH ROAD f"-.} SUE ANN RAYMOND MOTHER BALLSTON SPA NY,--..12020 c:::> ,.- cr" cn [-;-i ". .":'i - _',L ; l.D - --. , '~!I ( ...;;:,. THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the appropriate form to the undersigned. ~ 8 ~ U> --- ~~ u "'8s ~.~ ~'.g ~Cl.. ~'O 0.0 Vi 4010 SILVER BEACH ROAD BALLSTON SPA NY 12020 4010 SILVER BEACH ROAD BALLSTON SPA NY 12020 n Cf'\ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affmn(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 above decedent petitioner( s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed ~r ~O day of t- ~tJ1 ~~)Jt,rwbw tw' ~ \VI f'~ ~ter iJ ~~~11~ ~ { H _ ON D ~ \ "J ~ 1~~.i~~--9,j r"-") C;, = u.... (f) r~"~l ~() \..0 No. ~ 1- O~... 6 ~ I ~ co (1"\ Estate of -'ASON RAYMOND , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW .$.ept-('7h.lJ..l~ /1. ;1/JO /0 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that WILLIAM H. RAYMOND and SUE ANN RAYMOND is/are entitled to Letters of Administration, and in accord with such fmding, Letters of Administration are hereby granted to WILLIAM H. RAYMOND and SUE ANN RAYMOND in the estate of -'ASON RAYMOND ~/<"'- fit?/iiU- ~AIJlty~ FEES . Le f Admini" $ -45. f/lJ tters 0 stratlOn. . . . . . Short Certificates ( )...... $ J J. -II B R~R\HleiiNKm. .,plr-)P. . . . . . $ IS <J l-P -rNT]) $ I 5 TOTAL _ $ Filed . . . . . . . . . . . . .. A.D. f 7 Y (Sup. Ct. 1.0. No.) 54 EAST MAIN STREET MECHANICSBURG PA 17055 ADDRESS 717-697-4650 PHONE IU~.~05 REV 1/05 ;:1is 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 permanenPfiling. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. f~~A'M Local egistrar Fee for this certificate, $6.00 p 12828039 .J1~~1/l-->; d~ rJ)ate c:;;> >-~ r~ 0-' - ,..' . ~J ?':',~ \J,) CD en "105.1" REV 1I2l2OO6 NPE I f'RI;T IN ~r #30-325 1. ..... 0/ 0-. (fill middIe.._1 Jason 5. 19' (IAol8il1dlr1 40 VII COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH (CORONER) Raymond 8 D*0/8IrII Aug. 28,1966 2006 1M> Cconfy '" IllIIIII Cumberland 11. ~UaIol Kind"'__ ~l are h <M1nrrna n 12. w.~_.... 1)$ AnnId FoIteo? OVos cgNo Docedonro Actual Roulolrr.e 171. SIal l1b. Colny PA Cumberland 11..1) V..Oecod..HMldin H-"mprlpn l1d. 0 :....~o/LMId- T.... s ~ 3 18 DocedonrollailqJ_tShol.cIy/_. _. ~""J 815 Appletree Lane Mechanlcsburg PA 17050 18 f............ IFni. middIt, Iaol. ....) William H. Raymond :lOa ~..... lllP"/Pli1Ij Sue Ann Brown 211 IIotoocl '" IlispooIIon o e..na 0 Romo;alllum SIal Oller . ~ Ciyllloro 19. .......o.....tFnI, middIo. --I Sue Ann Brown 2Ilb 1nbmIIIt'. Mailing _ (s.., cIy I "",", _, ~....) 21b. 0oIo '" Illopooilicln plonfI, clay, ,.al 170 8 FUNERAL HOME E MAIN 5T MECHANICSBURG PA 17055 2311. LlcenIt_ ZIt. D*Sipd(MoIIIh,clay,JOIIl 24 TimoolOull Aprx. 25 DaIoPrunouncodOud(Monfl,clay,yoarl 4:00 A. N September 2, 2006 CAUSE Of DEATH ,......._..... ...m.....l 110m 21 PARI I. Enlorhllllillli__ ._,..,...., or ~ .1I1aI_, cauSllcl ""de'" DO NOT _loImIll3l.....1S sucI1.. ""dioc ""0$1. ....iUy ....... or __ fa-. ....." showong .. etiology. Usl """ one """"" 00 each Ir10 =~=-~ · Pendin2 Investigation Due 10 (Of". conleQU<<lOf of) 28 Wos c.o Ra4or..s kl_ E.......I Comnor b I Ae..... Oller.... eram.IiDn OI~? It VOl 0 No 321 KTr__IJlIutYISpacj#fJ ODn""/Opo<- oP- OP_1Il M 0 Oller. SpocIy l3a. c.-.Id>edl only onol 33ll. ~ . ~~~~"::::=:":=~':.=:'~'::~~~~':":.~)__________________.D .. Coroner . --''''' ~......- (PhjSdarll>ollllf1lllOUl1CJn9 delUund coniCyvlg 10 C....... doillh) 33c llconso NIlmbor nt. 0oIo Sipd (........,. day. jOarj T...._ ....,UIoooIodgo. _CICCII"""Il.... limo,"', and pIaca,.... duolO .... "",,",01 and_. .. "1Il1<L - - - - - - - - - - - - - - - - _..0 S b 5. 2006 ___I eo.- eptem er 0......_. "-. _lot Invaollgotion, IIImv llfIInloo, - """"""..... -,.... - pIaca, Ind duo lO 1/10 cauoacoJ ond.......... .1JIf<l. _ ~ 34 ~JPl/ofltlloolr _ woo ~c.. '" QNf1 (110m 21] TIP" I_ . . M1cnae L. Norr1s, Coroner oSV-MlclllialOO_ ') J8 OoIoflecl(Monlh,cloyro-l 6375 Basehore Road Syite #1 '~1I '"",-1/1;;1..1 Se 7:5:3>ooG Mechanicsburg. PA 170)0 (s.. instructions and examples on rev.Be) o VOl Ii.No ON.... D- 0-, )!lPIfldng In........ 3211 T... 0I1n!ur1 o SuicicIo 0 eo..! NoIIlo 00_ Pa1 M. ENIr oIwr IID'likalt antiIiDM mMihllilWl m dHIh buI ool-*ing ".. \IIllloIljrlg <aM given in Part I 28. Did ToIlacco IJoo ~ III 0Utl? o Yes 0 ProlloIiy ONoOU<*l-. 29.__' o NoI~ - past JOII o 1'1oplI0I.... 01 do... o ,... l"ognanI, "'l"ognanI_.2 dap ol- D NoI ~ buI-,,"ol3 doll 10 1 ro- ol_ D llflkI-. d -"" ...., lit Pll'ljOa' 3:lc Place oIlnjufy tbno, F.... -. F"'*"Y, 0Ik0 1luiIdIng, << tSpoaly) =l0oi...-...."'1, . 1Oc..1ioIocl1ll1lllo1 EtlIor UIlIlPI.Y1NG~ t_OI""tIhal_1IIo ..... -*'Il1I do... J LAST. Dueto(Qf..~on tNe 10 lot . . cor'lMCIueACe of) :xJa w. III A&lqJIv _? n _ A&lqJI, FindinQl A,_ Pnor 10 C<lml>I*ln '" c.use 01 000rII7 31. _"Ooall\ )\.v.. 0 No r71: Clr.6rl)l ; ) - ()I,r DY , (p .. Form S-3OO6 ADMINISTRATORS County of Cumberland BOND , Pennsylvania. deceased 1 ~ No J of Estate of late of Jason Raymond KNOW ALL MEN BY THESE PRESENTS, That we William H. Raymond and Sue Ann Raymond as Principal, and The Ohio Casualty Insurance Company , a corporation ofthe State of Ohio , and authorized to become sole surety in the Commonwealth of Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsylvania, for the use of those interested in the estate, in the sum of Twelve Thousand and 00/100 ($ 12,000.00 Dollars, to be paid to the said Commonwealth, to which payment, well and truly to be made, we do bind ourselves, jointly and severally, for and in the whole, our heirs, executors, administrators, successors and assigns, and each and every of them, firmly by these presents. Sealed with our seals and dated September 8, 2006 THE CONDmON OF TIUS OBLIGA nON IS, That if the above bounden William H. Raymond and Sue Ann Raymond County of Cumberland 1 ~ ss: J ain in force. Administrator according to law, this obligation, shall be void as to those who shall so a Sealed and delivered in the presence of: (Seal) IP.lNJd: ~ By State of Pennsylvania I, William H. Raymond and Sue Ann Raymond do solemnly swear that, as the Administrator of the estate of Jason Raymond deceased, I will well and truly administer the estate of said decedent, according to law. Sworn and subscribed before me this '$J{.k day of ~~ A.D.z,oDIo and letter~stratlOn granted unto . j~G'rSTER } NOTARIALS DEBORAH L. RYAN, Notary Public Mechanicsburg Boro., County of Cumberland . I II..! LI 6! l-'{"' (1nnz S I :8 \tv oj,) ':lUU vLJ..I..'\...lJ.J. J.J....J.LI VV1 ..l VJ. .1 V" u.l'- V.i" ./"1...1.1 VJ.'-l,J..,;, 1. . THE OHIO CASUALTY INSURANCE COMPANY WEST AMERICAN INSURANCE COMPANY No. 35-931 Know All Ken by These Presents: That TIlE OIDO CASUALTY INSURANCE COMPANY, an Ohio Corporation, and WEST AMERICAN INSURANCE COMPANY, an Indiana Corporation, in pursuance of authority granted by Article VI, Section 7 of the By-Laws of The Ohio Casualty Insurance Company and Article VI, Section 1 of West American Insurance Company, do hereby nominate, constitute and appoint: John J. Richardson, Jr. or Lisa B. Richardson of Dillsburg, Pennsylvania its true and lawful agent (s) and attorney (s)-in-fact, to make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all BONDS, UNDERTAKINGS, and RECOGNIZANCES, not exceeding in any single instance ONE MILLION ($1,000,000.00) DOLLARS, excluding, however, any bond(s) or undertaking(s) guaranteeing the payment of notes and interest thereon And the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the Companies at their administrative offices in Hamilton, Ohio, in their own proper persons. The authority granted hereunder supersedes any previous authority heretofore granted the above named attorney(s)-in-fact. In WITNESS WHEREOF, the undersigned officer of the said The Ohio Casualty Insurance Company and West American Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of each Company this 7th day of November, 2001. Aa.-.- 4~ Sam Lawrence, Assistant Secretary STATEOFOIDO, COUNTY OF BUTLER On this 7th day of November, 2001 before the subscriber, a Notary Public of the State of Ohio, in and for the County of Butler, duly commissioned and qualified, came Sam Lawrence, Assistant Secretary of mE OIDO CASUALTY INSURANCE COMPANY and WEST AMERICAN INSURANCE COMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn deposeth and saith, that he is the officer of the Companies aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and the said Corporate Seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal at the City of Hamilton, State of Ohio, the day and year first above written. ~ J. 4rt1 Notary Public in and for County of Butler, State of Ohio My Commission expires August 6, 2002. This power of attorney is granted under and by authority of Article VI, Section 7 of the By-Laws of The Ohio Casualty Insurance Company and Article VI, Section I of West American Insurance Company, extracts from which read: Article VI, Section 7. APPOINTMENT OF ATIORNEYS-IN-FACT, ETC. "The chairman of the board, the president, any vice-president, the secretary or any assistant secretary of each of these Companies shall be and is hereby vested with full power and authority to appoint attorneys-in-fact for the purpose of signing the name of the Companies as surety to, and to execute, attach the corporate seal, acknowledge and deliver any and all bonds, recognizances, stipulations, undertakings or other instruments of suretyship and policies of insurance to be given in favor of any individual, firm, corporation, or the official representative thereof, or to any county or state, or any official board or boards of county or state, or the United States of America, or to any other political subdivision." Article VI, Section I. APPOINTMENT OF RESIDENT OFFICERS. "The Chairman of the Board, the President, any Vice President, a Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint attorneys in fact for the purpose of signing the name of the corporation as surety or guarantor, and to execute, attach the corporate seal, acknowledge and deliver any and all bonds, recognizances, stipulations, undertakings or other instruments of surety-ship or guarantee, and policies of insurance to be given in favor of an individual, firm, corporation, or the official representative thereof, or to any county or state, or any official board or boards of any county or state, or the United States of America, or to any other political subdivision." This instrument is signed and sealed by facsimile as authorized by the following Resolution adopted by the respective directors of the Companies (adopted May 27, 1970-The Ohio Casualty Insurance Company; adopted April 24, 1980-West American Insurance Company): "RESOLVED that the signature of any officer of the Company authorized by the By-Laws to appoint attorneys in fact, the signature of the Secretary or any Assistant Secretary certifying to the correctness of any copy of a power of attorney and the seal of the Company may be affixed by facsimile to any power of attorney or copy thereof issued on behalf of the Company. Such signatures and seal are hereby adopted by the Company as original signatures and seal, to be valid and binding upon the Company with the same force and effect as though manually affixed." CERTIFICATE I, the undersigned Assistant Secretary oCThe Ohio Casualty Insurance Co~pany and West American Insurance Company, do hereby certify that the foregoing power of attorney, the referenced By-Laws of the Companies and the above Resolution of their Boards of Directors are true and correct copies and are in full force and effect on this date. INWlTNESS WHEREOF, I have hereunto set my hand and the seals of the Companies this Ii~J day of < lilt' {:.:_""", ~.",tJ ~~/~ Assistant Secretary 8-4300