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HomeMy WebLinkAbout07-11-11CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: DORIS H. SHEERER Date of Death: DECEMBER 29, 2010 Date Letters Granted: JUNE 20, 2011 File Number: 2011-000698 To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on JULY 11 2011 Name: STEVEN J. SHEERER TRUDY SHEERER DAVID JONES CINDY L. JONES ZACHARY SHEERER KATHY SHEERER HEATHER SHEERER LEACH Address: 36034 ROUTE 35 N, RICHFIELD, PA 17086 36034 ROUTE 35 N, RICHFIELD, PA 17086 283 SKYLINE VIEW, CARLISLE, PA 17013 283 SKYLINE VIEW, CARLISLE, PA 17013 365 HIGH STREET, HANOVER, PA 17331 365 HIGH STREET, HANOVER, PA 17331 P.O. BOX 82, THOMPSONTOWN, PA 17094 (If more space is needed, attach separate sheet. ) Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except: NONE Date o ~ rr - ~ ~'~ Signature of Person Filing this Form ... Capacity: ~ Personal Representative Counsel ,., ~ Q `"~ } E ~~ ,_._ o`=-- ANDREW J. BENDER ES ..z.-..~. _, ~- ' -'' L~ ~ ~ ~~: , Name of Person Filing this Form `~~~ ' ` ~ _ `-'~- ~ ~~ ~~~ ~"' 61 WEST LOUTHER STREET _ ._~ t:'- , ..,~ ~ CIS :rr' Address ,-,_ .~,~ J ~~ CARLISLE, PA 17013 :~ ~~, -~ p.... (717) 249-1177 LY _ ~-.~.~:~ ~ ~~ ~..~ Telephone Form RW-08 rev. 10.13.06 ATTACHMENT TO CERTIFICATION OF NOTICE UNDER Pa. O.C RULE 5.6(a,~ Name: Address: AMY S. HIMELRIGHT 5847 SIMSBURY DRIVE, HARRISBUR(J, PA 17111 CHRISTOPHER JONES 7818 STATE ROUTE 374, CLIFFORD TOWNSHIP, PA 18470 STEPHANIE JONES 7818 STATE ROUTE 374, CLIFFORD TOWNSHIP, PA 18470 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRArTION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether yozc will receive any money or property will be determined wholly or pertly by the decedent's will. If the decedent died without a will, whether yoac will receive any money or property will be determined by the intestacy laws of .Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND _, PENNSYLVANIA IN RE: ESTATE OF DORIS H. SHEERER , ]Deceased File Number 2011-00698 TO: STEVEN J. SHEERER (Beneficiary) 36034 ROUTE 35 N, RICHFIELD, PA 17086 (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ®testate (with a will) or ®intestate (without a will). You may have a beneficial interest in the estate as follows: SON OF DECEDENT/BENEFICIARY NAMED IN DECEDENT'S LAST WILL ANL> TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (717) 241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills of CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SOUARE, ROOM 102, CARLISLE, PA 1'7013 and telephone number is (7171240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date ~`7 11 11 •f.:l ~i-~' Signature of~Person Filin this Form ANDREW J. BENDER, ESO. Name of~Person Filing this Forrn 61 WEST LOUTHER STREET Capacity: ~ Personal Representative Address ®Counsel for Personal Representative CARLISLE, PA 17013 (7171249-1177 Telephone Form RW-07 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR C)THERWISE Whether yozc will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died withoict a will, whether yo,~c will receive any money or property will be determined by the intestacy laws of ~pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND IN RE: ESTATE OF DORIS H. SHEERER File Number 2011-00698 TO: TRUDY SHEERER __, PENNSYLVANIA Deceased 36034 ROUTE 35 N, RICHFIELD, PA 17086 (Beneficiary) _ (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ~ testate (with a will) or ®intestate (without a will). You may have a beneficial interest in the estate as follows: BENEFICIARY NAMED IN DECEDENT'S LAST WILL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (7171241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills of CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SOUARE, ROOM 102, CARLISLE, PA 1'7013 and telephone number is (7 1 71 240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and baying the charges for duplication. Date ~~ ~' 1 f ~ - Signahrre of Person Fili g this norm ANDREW J. BENDER, ESO. Capacity: ®Personal Representative ®Counsel for Personal Representative Name of Person Filing this Forrn 61 WEST LOUTHER STREET Address CARLISLE, PA 17013 (7171249-1177 Telephone Form RW-07 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6~ THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR C)THERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether yo~!c will receive any money or property will be determined by the intestacy laws of ~pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF IN RE: ESTATE OF DORIS File Number 2011-00698 __, PENNSYLVANIA Deceased TO: DAVID JONES (Beneficiary) 283 SKYLINE VIEW, CARLISLE, PA 17013 (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ®testate (with a will) or Q intestate (without a will). You may have a beneficial interest in the estate as follows: BENEFICIARY NAMED IN DECEDENT'S LAST WILL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (7171241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills of CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was riled with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SQUARE, ROOM 102, CARLISLE, PA 17013 and telephone number is (7171240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date V7 ~~ ~~ Signature of Person Filing thi t'orm ANDREW J. BENDER, ESQ. Capacity: ~ Personal Representative ®Counsel for Personal Representative CUMBERLAND H. SHEERER Name of Person Filing this Form 61 WEST LOUTHER STREET Address CARLISLE, PA 17013 (717) 249-1177 Telephone Form RW-07 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR C)THERWISE Whether yotc will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died withoict a will, whether yon;c will receive any money or property will be determined by the intestacy laws of ~!'ennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND _, PENNSYLVANIA IN RE: ESTATE OF DORIS H. SHEERER ,Deceased File Number 2011-00698 TO: CINDY L. JONES (Beneficiary) 283 SKYLINE VIEW. CARLISLE, PA 17013 (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ~ testate (with a will) or ~ intestate (without a will). You may have a beneficial interest in the estate as follows: DAUGHTER OF DECEDENT/BENEFI_CIARY NAMED IN DECEDENT'S LAST WILL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (717) 241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills of CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was riled with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SQUARE, ROOM 102, CARLISLE, PA 17013 and telephone number is (717) 240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and Laying the charges for duplication. -'""- Date ~~ ~~ ~ r /' Signature of Person Filing this J~or ANDREW J. BENDER, ESQ. Name of Person Filing this Form 61 WEST LOUTHER STREET Capacity: Personal Representative Address Counsel for Personal Representative CARLISLE, PA 17013 (717) 249-1177 Telephone Form RW-07 rev. 10. J3.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined ,wholly or partly by the decedent's will. If the decedent died withotct a will, whether yoac will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF _ IN RE: ESTATE OF DORIS H File Number 2011-00698 __, PENNSYLVANIA I>eceased TO: ZACHARY SHEERER (Beneficiary) 365 HIGH STREET. HANOVER. PA 17331 (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ®testate (with a will) or ~ intestate (without a will). You may have a beneficial interest in the estate as follows: GRANDSON OF DECEDENT/BENEFICIARY NAMED IN DECEDENT'S LAST WALL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed. are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (7171241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills c-f CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SOUARE, ROOM 102, CARLISLE, PA 17013 and telephone number is (7171240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. V ~ ~~ ~ ~ 4 Date Signatcrre of~Person Filin this Form ANDREW J. BENDER, I?S0. Capacity: ®Personal Representative ®Counsel for Personal Representative - SHEERER CUMBERLAND Name of Person Filing this Form 61 WEST LOUTHER STREET Address CARLISLE, PA 17013 (717) 249-1177 Telephone Form RW-07 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether yotc will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether yo,u will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF IN RE: ESTATE OF DORIS _ _ File Number 2011-00698 TO: KATHY SHEERER __, PENNSYLVANIA Deceased 365 HIGH STREET, HANOVER, PA 17331 (Beneficiary) _ (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ®testate (with a will) or ~ intestate (without a will). You may have a beneficial interest in the estate as follows: BENEFICIARY NAMED IN DECEDENT'S LAST WILL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appoi~lted are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (717) 241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills ~~f CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SOUARE, ROOM 102, CARLISLE, PA 1'1013 and telephone number is (717) 240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and baying the charges for duplication. Date ~~ ~~ ! ( " Signature of'Person Filing this orm ANDREW J. BENDER, :ESO. Capacity: ~ Personal Representative ®Counsel for Personal Representative CUMBERLAND H. SHEERER Name of Person Filing this Forra 61 WEST LOUTHER STREET Address CARLISLE, PA 17013 (717) 249-1177 Telephone Form RW-07 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether yocl will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether yo1.1 will receive any money or property will be determined by the intestacy laws of 1~ennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF IN RE: ESTATE OF DORIS _ _ File Number 2011-00698 __, PENNSYLVANIA Deceased TO: HEATHER M. SHEERER LEACH (Beneficiary) P.O. BOX 82, THOMPSONTOWN, PA 17094 (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ~ testate (with a will) or ®intestate (without a will). You may have a beneficial interest in the estate as follows: GRANDDAUGHTER/BENEFICIARY NAMED IN DECEDENT'S LAST WILL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (717) 241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills of CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was riled with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SQUARE, ROOM 102, CARLISLE, PA 17013 and telephone number is (7171240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date ~~ ~ ~ ~, s Signature of Person Filing th s t%orm Capacity: ®Personal Representative ®Counsel for Personal Representative CUMBERLAND H. SHEERER ANDREW J. BENDER, ESQ. Name of Person Filing this Form 61 WEST LOUTHER STREET Address CARLISLE, PA 17013 (717) 249-1177 Telephone Form RW-07 rev. !0.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether yoac will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died withocct a will, whether yotc will receive any money or property will be determined by the intestacy laws of ~'ennsylvania. BEFORE THE REGISTER OF WII.LS, COUNTY OF CUMBERLAND _, PENNSYLVANIA IN RE: ESTATE OF DORIS H. SHEERER , L)eceased File Number 2011-00698 TO: AMY S. HIMELRIGHT 5847 SIMSBURY DRIVE, HARRISBURG, PA 17111 (Beneficiary) _ (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ®testate (with a will) or ^ intestate (without a will). You may have a beneficial interest in the estate as follows: GRANDDAUGHTERBENEFICIARY NAMED IN DECEDENT'S LAST WILL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appoir,~ted are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (717) 241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills of CUMBERLAND County. If the Decedent died intestate, a Petition. for the Grant of Letters of Administration was filed with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SOUARE, ROOM 102, CARLISLE, PA 17013 and telephone number is _(717) 240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. ~-"' Date ~7 / ~ t f r •••~ Signature o~'Person Filing t is ~brm ANDREW J. BENDER, l?S0. Name of Person Filing this Form 61 WEST LOUTHER STREET Capacity: Q Personal Representative Address ®Counsel for Personal Representative CARLISLE, PA 17013 (717) 249-1177 Telephone Form RW-07 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR C-THERWISE Whether yoac will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether yot.c will receive any money or property will be determined by the intestacy laws of ~°ennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF IN RE: ESTATE OF DORIS CUMBERLAND _, PENNSYLVANIA H. SHEERER ,Deceased File Number 2011-00698 TO: CHRISTOPHER JONES 7818 STATE ROUTE 374, CLIFFORD TOWNSHIP, PA 18470 (Beneficiary) _ (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: ®testate (with a will) or ^ intestate (without a will). You may have a beneficial interest in the estate as follows: GRANDSON OF DECEDENT/BENEFICIARY NAMED IN DECEDENT'S LAST WILL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (7171241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills of CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SOUARE, ROOM 102, CARLISLE, PA 17013 and telephone number is (717) 240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and I-aying the charges for duplication. 1 ~ Date ~~ ~ ~ (I '` -- Signature of Person Filing is Form ANDREW J. BENDER, l?SO. Capacity: ®Personal Representative ®Counsel for Personal Representative Name of'Person Filing this Form 61 WEST LOUTHER STREET Address CARLISLE. PA 17013 (717) 249-1177 Telephone Form RW-07 rev. 10.13.06 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION PURSUANT TO Pa. O.C. Rule 5.6 THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR C-THERWISE Whether yoil will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether yogi will receive any money or property will be determined by the intestacy laws of l~ennsylvania. BEFORE THE REGISTER OF WII.LS, COUNTY OF IN RE: ESTATE OF DORIS File Number 2011-00698 TO: STEPHANIE JONES __, PENNSYLVANIA Deceased 7818 STATE ROUTE 374, CLIFFORD TOWNSHIP, PA 18470 (Beneficiary) _ (Address) Please take notice of the death of the Decedent and the grant of Letters to the personal representative(s) named below. The Decedent died on the day of DECEMBER 29 2010 , a resident of NORTH MIDDLETON TOWNSHIP, CUMBERLAND County, PA. The Decedent died: Q testate (with a will) or ~ intestate (without a will). You may have a beneficial interest in the estate as follows: BENEFICIARY NAMED IN DECEDENT'S LAST WILL AND TESTAMENT (If additional space is needed, use separate sheet) The name(s), address(es) and telephone number(s) of all personal representatives appointed are: NAME ADDRESS TELEPHONE CINDY L. JONES 283 SKYLINE VIEW, CARLISLE, PA 17013 (7171241-5005 If the Decedent died testate, the will has been filed with Office of the Register of Wills of CUMBERLAND County. If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of CUMBERLAND County. The Register's address is 1 COURTHOUSE SOUARE, ROOM 102, CARLISLE, PA 17013 and telephone number is (7171240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and payin the charges for duplication. Date ~~ ~ t Signature of'Person Filing tJ s Form ANDREW J. BENDER, I?S0. Capacity: ~ Personal Representative ~ Counsel for Personal Representative CUMBERLAND H. SHEERER Name of'Person Filing this Form 61 WEST LOUTHER STREET Address CARLISLE, PA 17013 (7171249-1177 Telephone Form RW-07 rev. 10.13.06