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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 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: Betty L. Cover
a/k/a:
a/kla:
a/k/a:
Date of Death: October 16, 2011
File No• ~ ~ -- ~ ~ ~- ~ a~,~
(Assigned by Register)
Social Security No: 182-22-8406
Age at death: 83
Decedent was domiciled at death in Cumberland County, Pennsvlvania (crate) with his/her last
principal residence at Bridees at Bent Creek. 2100 Bent Creek Blvd. Mechanicsbure Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at Bridees at Bent Creek, 2100 Bent Creek Blvd. Mechanicsbure Cumberland PA _
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ............................ All personal property $ 9,000.00
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $
If not domiciled in Pennsy!vania ........................ Personal property in County $
Value of real estate in Pennsylvania ......................................................... $
TOTAL ESTIMATED VALUE.... $ 9.000.00
Real estate in Pennsylvania situated at:
(Attach additionat sheets, ifnecessary.)
Street address, Post Office and Zip Code City, Township or Borough County
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 12/06/1979 and Codicil(s)
thereto dated The Last Will and Testament of Decedent names Richard E. Cover as executor who has renounced in favor of
State relevant circumstances (e.g. renunciation, death of executor, erg)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
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., pendente life, durante absentia, durante minoritate
If Administration, c.t.a. or db.n.c.t:a., 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 for divorce had been established as defined
in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS ~ EXCEPTIONS
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 (attach
additional sheets, if necessary):
Name
Relationshi a-~ :~
Address C'7
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Form RW-01 rev. 101! 1!201 /
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Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
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Petitioner(s) Printed Name Petitioners
Michael S. Cover 1817 Foxhunt Lane Harrisbur PA 1
The Petitioner(s) above-named sweaz(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 Decedenjt`, thti will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed before ~~ ~'l.~ Date ~ ~ `o~ ~ -~° ( ~
me ~ day of ~~, Date
$y; ~ o Date
r the Register Date
BOND Required: Q YES Q NO
FEES:
Letters ...................... $
( 3) Short Certificate(s)...... 6
( 1) Renunciation(s).........~i • O~
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ......
Automation Fee ...............
JCS Fee ..................... -
TOTAL ..................... $
To the Register of Witls:
Please enter my appearance by my signature below:
Attorney Signat
_~
Printed Name: John A. Feichtel ~
Supreme Court
ID Number: 77426
Firm Name: Saidis, Sullivan & Rogers
Address: 5,35 North 12th Street, Suite 400
i,emoyne, PA 17043
Phone: 717-612-5800
Fax: 717-612-5805
Email: ~fPich .I csr-attnrnPycrnm
DECREE OF THE REGISTER
Estate of Bettv L. Cover File No: ~ 1- ~ ~- ~'~ ~~
a/k/a:
AND NOW, ~i(ei\ A~_~„~~ r' 2 1 2 ~ c I , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters ?P, ~~L-G G~~G ~~~..(~ (~\/
are hereby granted to _~,~ C ~~,~~~ 5 . ~ C ~, 9 r
in the above estate and (if applicable) that
the instrument(s) dated 12 1( t
described in the Petition be admitted to
Form RW-02 rev. 10/11/2011
filed of record as the last Will (and Codicil(s)) of Decedent.
egister of Wills
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Page 2 of 2
Official Use Only
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 I n)s (s to cerury (n,a( (ne )nrormanon nere given Is
correctly copied from an original Certificate of Death
duly tiled with me as Local Registrar. The original
certificate will be forwarded to the State Vital
5 Records Office for permanent filing.
P 17 7 2 6 9 9 2 C.~~~'~.c.~,~pe-~c~c' 0~'T 1~ 2011
Certification Number Local Registrar Date Issued
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N11s.1u REV 118008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
T ~~~I SIN
~cac 1„K CERTIFICATE OF DEATH
(See Instructions end examples on reverse) STATE FILE NUMBER
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Richard F 21 00 Bent Creek Blvd. Mechanicsburg, PA. 17050
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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Estate of BETTY L. COVER
I, RICHARD E. COVER
(Print Name)
Executor/Husband
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
MICHAEL S. COVER
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
( ~~ .
~at eJ ~_..
Bridges at Bent Creek, 2100 Bent Creek Blvd.
(Street Address)
Mechanicsburg, PA 17050
(City, Stare, 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
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
COMMONEWALTH OF PENNSLVANIA
COUNTY OF CUMBERLAND
~7~'" ~~ ~
On this, the ~ day of ~611~I1'1L~__,f" , 2011, before me, the undersigned officer, personally
appeared John E. Slike, Esquire, known to me (or satisfactorily proven) to be a member of the bar of the
highest court of said state, Supreme Court attorney license no. 06262, and a subscribing witness to the within
instrument, and certified that he was personally present when RICHARD E. COVER, whose name is
subscribed to the within instrument, executed the same, and that the said person has acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
Notary Pu 'c
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
KELLY R. HOWELL, Notary PubFc
Lemoyne Boro., Cumberland County
Commla:uon 2, 2014
LAST WILL AND TESfiAMENT
OF
BETTY L. COVER
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.I, BETTY L. COVER of the Borough of 1'4echanicsburg,
Cumberland County, Pennsylvania, declare this to be my Last
Will and Testament, hereby revoking any will previously made by
me.
I - I direct the payment of all my just debts and
ARNOa D~ SLIHE Bc BAYLEY
A aOw waY rAT es~
C'w xr Ravi, PexNSr ~vnxu iao~i
funeral expenses out of my estate as soon as may be practical
after my death.
II - I devise and bequeath all of my estate of whatever
nature and wherever situate unto my husband, Richard E. Cover,
providing he survives me by sixty (6Q) days.
III - Should my said husband fail to be living on the
sixty-first (61st) day following my death, then I devise and
bequeath all of my estate of whatever nature and wherever
situate unto my issue per stirpes.
IV - I appoint my husband, Richard' E. Cover, Executor
of this, my Last Will and Testament. Should my said husband
fail to qualify or cease to act as such, then I appoint my son,
Michael S. Cover, to act in this capacity. Neither of my
personal representatives shall be required to post bond in this
or any jurisdiction.
IN WITNESS 6VHEREOF, I have hereunto set my hand and seal
on this,
the
/_ `f~
day ,~
of ~ :~..~~
~-~~i 1Q79.
r
~~ J
-''~' 7/ ~~ (SEAL)
tty L. Cover
Page 1
Signed, sealed, .published and declared by BETTY L. COVER, Tes-
tatrix therein named, on this and one (1) other sheet of paper
as and for her Last twill and Testament in our presence, who, in
her presence, at her request and in the presence of each other,
have hereunto subscribed our names as attesting witnesses.
11RNOLD~ $LIHE ~c HAYI.EY
ATTORNEYS A7 LAW'
('wxv H~v~.,Pexx sriv.xu ~~oi~
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Name
Ca~'Nl.~~
Name
ddress
Address
Page 2
COMMONWEALTH OF PENNSYLVANIA)
. SS.
COUNTY OF' CUMBERLAND)
I~ BETTY L. COVER , the testat rix whose name is signed
to the attached or foregoing instrument, having been duly quali-
fied according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will; that I signed it will-
ingly; and that I signed it as my free and voluntary act for the
purposes therein expressed.
Sworn or affirmed to and acknowledged before me, b ~~
BETTY L C~ER, the testat rix this ~ day
of _ D~ -~~ 1g 7g -
r
No ary Public
Thelma 5. AAcCauslin, ~d~tar~ I'.g'slie
My Commission Expires ;~Ey t, i~'.;_
Camp tiiif, PA ~c;n~aria;:' .,,., s~e
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY OF CUMBERLAND)
WE, the undersigned,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do degose ar><d
say that we were present and saw the testatrix sign and execute
the instrument as her Last Will; that BETTY L. COVER
signed willingly and that BETTY L. COVER executed it
asher free and voluntary act for the purposes therein expressed;
that each of us, in the hearing and sight of the testatrix signed
the will as witnesses; and that to the best of our knowledge the
testatrix was at that time 18 or more years of age, of sound mind
and under no constraint or undue influence.
~~
J ~.,,.~~
?RNOLD, SLIKE b BAYLEY
ATTORNEYS AT LAW
2109 MARKET STREET
CAMP HILI. PENNSYLVANIA 17011
Sworn to a d subscri d before me
this (O day of 19 ~g
c--~
tary Public
Thelma 5. A9cCauslin, Notary Public
My Commission Expires !u!y ~, 158
Camp Hi11, PA ....,._ fumbedand County