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Home My WebLink About10-21-05 . . Cumberland.... . Register of Wills at . county I Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Betty Jean Koppenhaver No. c::21 - 05-()Q3... ':) also known as , Deceased Social Security No. 204-1 ~-2603 l'ctl\H>I'CI(>>1. whO is/alt:' 1 EI -tea'JI 01 aye or older. 8p~Yliesl 101 (COMPLETE "A" OR "B" BELOW:) liI I A. Probate and Grant of Letters and aver that Petitioner(s) is/are the executrix named in the Last IWiJl of the Decedent, dated Ma y 2. 2005 and codicil (s) dated Stare '~evant circumstances, e.g., renunciation. death 01 executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not hilve a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: : I I Q 8. Grant of Letters of Administration (c.I.8., d.b.n,c.l.a: penrlCtlle lire; alllllfHe (Jb~(.>fl"": d,/tl".!t: 1I1H""i'/'I,'! Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the folio ing spouse (if any) and heirs: Name Relationship Residence o Decedent was domiciled at death in Cumber land County, Pennsylvania, with his/her last facffl1ly or pnnClpal residence at 100 Mt. Allen Drive U er Allen Townshi Mechanicsbur PA 17055 (list streel, IIIJUlbfi'1 ilUd nM.mlc.lpalil vI Decedent, then 81 years of age, died October 1 '2@5at Messiah Villa e MechaniC5btirg PA Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property .................... (It not domiciled in PAl Personal property in Pennsylvania. . . . .. . . . . . (If not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . . . Value of real estate in Pennsylvania ....................................... Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Real Estate situated as follows: $ 50 000. 0 $ $ $ $ Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(sj presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence Reeta M. otto 106 Sunset Drive New Cumberland PA 17070 RW-7 Oath of Personal Representative Commonwealth of Pennsylvania County of The Petitioner(s) above-named swear(s) and 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 Decedent, Petitionerlsl will well and truly administer the estate according to law. Sworn to and affirmed and subscribed before me this t2-/$t {)(!:(:If;b~,- day of tIS \1 " . ~ ~ ( f.~U'.jrl(l.O,j -1tlA - ~QA ~- ('lug hJ x {l-t~/ ~ GL:L DECREE OF REGISTER Estate of Bettv Jean Koppenhaver also known as Deceased No. ~I-OS- OQ33 Social Security No: 204-18-2603 Date of Death: October 1, 2005 AND NOW, @~~.A ec::21 . cJ~, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters (g] Testamentary 0 of Administration are hereby granted to Reeta M. otto Ir..l./I.; d.ll.lu;.I.. l't.'Hth.'tll': lilt:; dllliilllC a\ls~r'II", dUU11I1': 'UII,(>III.")I"I in the above estate and that the instrument(sl, if any, dated May 2, 2005 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters.......................... . Short Certificate(s).......... Renunciation....... ........... Affidavit ( J................. Extra Pages ( )............ .c6ei~il.~............. JCP Fee........................ $ Cfo. 00 $1d-'00 $ $ $ $ I 5 . 01..'") $ t () . 0-6 Inventory & Tax Forms... $ other.DJ.).~../;u-$ 5 cO TOTAL................ $ J3d. eN RW-7a Esquire 1.0. No: Address: Etters PA 17319 Telephone: 717 938-3396 DATE FILED: Register of Wills of Cumberland County OATH OF SUBSCRIBING WITNESS Estate of R, 1fJ y~ I)", ~~ v !< No. ,';;11 - O~ - 0'13':' Also known as , Deceased J~ -\ / , (each) a subscribing witness to the willi codicil presented herewith: (e~ch) being duly q ualjfied accordi g/ to law, deposer s) and say( s) that ~ ~ "'..,.,' present and saw /3R if JI J R 4- v- l-:J!)J t lvf, ~ , the testat$ sign the same and that signed as a witness at the request of the testat~n h ft.... presence and (in the presence of each other) (in the presence of the other subscribing witness(es). o r ir~ C ~ L- /' r}- Sworn to or affirmed and subscribed Before me this c!) ) ST day of CcU'bx-^- , 20 OS 311 kl r [. LA ~ \_::...J ~.t:'tAR- <!MtUA. ~ ~Qun1-J Register ~ -~ (). f~\ ~ ~lU\+ N ~A'*(} eputy (Name) <,.,'""1 .';'-i --' i ; I (Address) .-;.. ) C") o Ii Cumberland Register of Wills of County, Pennsylvania OATH OF SUBSCRIBING WITNESS Estate of Betty Jean Koppenhaver No. cJl-OS- - Oq~3 also known as , Deceased Linda J. McDaniel ~GI4a subscribing witness to the [] codicills} bdwill(s) presented herewith, l€aoI=l) being duly qualified accor ing to law depose(sl and say(sl that she/ne+tne;- was/III/Jir-€ present and saw the above Testator(rix) sign the sam~ and that she/he/they signed as a witness at the request of Testator(rix) in~~/herrtb.e.i.r..presence and in the pre~ nce of each other 5a in the presence of the other subscribing witness(es). (. (Signature) I:' ~) 1250 stillhouse Lane Etters (Address) {Address) before me this Sworn to or affirmed and subscribed a:? 0 --f-I-] day of OC.T .oJ3.€J<.... , 1~ lOel{ COMMONWEALTH OF PENNSYLVANIA Notarial Seal Patricia A. Gordon, Notary Public Fairview Twp., Vorl<. County My Commission Expires July 31, 2009 Member, Pennsylvania Association of Notaries ~~ ~:bl:=' ~ " My Commission Expires: 7 - .J( - o~ (Signatu'~ and seal o! NotcllY OJ olher olhr,.IH! NOTE: To be taken by officer authorized to admlnister oaths. Please have present the original or copy of Instrument(s) at time of notarization. qu<JId,~d 10 aUIIl;llislt:I 081ns ::;tww dDlt:: 01 CXpll<lllOfl o! NOlary'S COllllniSSIOll,1 RW-ll H105.112 REV 1105 (FEE FOR THIS CERTIFICATE $600) WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH GERT. NO. T 5963429 10-05-2005 Date of Issue of This Certificati n Facility Name County City. Borouyh or TOw'l~hlr City or Town Name of Decedent Betty Firs! Jean Miudle Sex Female Social Security No. 204-18- 2603 Date of Death Date of Birth 11-05-1923 Birthplace Valley View, PA Cumberland Upper Allen Twp. Place of Death Messiah Villa e Race White Occupation Secretary Armed Forces? Decedent's Marital Status Never Married Mailing Address 100 Mt. Allen Drive Numhor '3)rDet Informant Reeta M. Otto Funeral Director James Reed, Jr. Name and Address of Funeral Establishment B ffin ton-Reed Funeral Home 200 West Main Street Valle Part I: Immediate Cause (a) Presumed Pulmonary Embolism Atrial Fibrillation Ventral Hemiorraphy I ., I I I I I (b) (c) (d) Morbid Obesity Part II: Other Significant Conditions Coronary Artery Disease, Diabetes Mellitus Manner of Death Describe how injury occurred: Natural ~ Accident 0 Suicide 0 ~-C'-'l Homicide Pending Investigation Could not be Determined o Name and Title of Certifier Jennifer Weber, D.O. Address 100 Mount Allen Drive. Mechanicsburg, P A 17055 (M.D., D. 'j Coroner, ME) This 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 permanent filing. 10-05-2005 Date ReceIVed by local Registrar Street Address i City, Borough. TUW'lhhlp LAST WILL AND TESTAMENT OF BETTYJ.KOPPENHAVER I, BETTY J. KOPPENHAVER, of Cumberland County, Pennsylvania, being of sound niind and memory, do make, publish and declare this my Last Will and Testament, hereby revoking and>. ,"I j' making void any and all wills by me heretofore made. FIRST: I order and direct that all of my just debts and funeral expenses be paid by my- hereinafter named Executrix as soon after my death as may be found convenient. , ) . 'I SECOND: All the rest, residue and remainder of my estate, real, personal and mixe~, ofg whatever nature and wheresoever situate, which I may own or have the right to dispose of at the hme of my death I give, devise and bequeath to my cousin, REETA M. OTTO. In the event that THIRD: I hereby nominate, constitute and appoint my cousin, REET A M. OTT , as fails to survive me, then I give my entire estate to her husband, GEORGE OTTO. Executrix of this, my Last Will and Testament, and I do direct that no bond shall be required of such Executrix hereunder. My said Executrix shall have full power at her discretion to do any things necessary for the complete administration of my estate, including the power to sell at p blic or private sale and without order of Court, any real or personal property belonging to my estat , and to compound, compromise or otherwise to settle or adjust any and all claims, charges, debt and demands, whatsoever, against or in favor of my estate, as fully as I could do ifliving. In the event that my cousin, REET A M. OTTO, does not survive me or fails to qualify, then I nominate, constitute and appoint her husband, GEORGE OTTO, as the alternate Executor. Said alternate Executor shall have all of the powers, privileges, duties and immunities as herein 1 '[.../~,--t. more fully set forth for my original Executrix. II ! , IN WITNESS WHEREOF, I, BETTY J . KOPPENHAVER, the above Testatrix have setlmy , , hand and seal to this my Last Will and Testament, which consists oftwo (2) pages, to each ofw~ich I I have affixed my signature this J-, ~ 9_/ day of (Y1 A Y , zt05. ~(7 L~ (SEAL Betty J oti'penhav. r Signed, sealed, published and declared by the above named Testatrix as and for her Last ill I and Testament, in the presence of us, who at her request and in her presence and in the presenJe of each other have hereunto subscribed our names as witnesses. 2 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Betty Jean Koppenhaver Date of Death: October I, 2005 Will No.2 ()O J- - 0 0 ~1 s.3 Administration No. To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above captioned estate on October 21,2005. Name Address Reeta M. Otto 106 Sunset Drive, New Cumberland P A 17070 Notice has now been given to all persons entitled thereto under Ru~.6(a) except: No Exceptions. Date: r ~/7.1 J 6J- ~ - ! O. Sechrist, Esquire 8 Old York Road Etters P A 17319 (717) 938-3396 Supreme Court ID #15609 Capacity: _ Personal Representative X Counsel for Personal Representative -;-1 ) --; -, j.') - ~