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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COIJNTY,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: Mervl H. Sheaffer File No: ����� � VS��
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 162-22-0764
Date of Death: December 8,2007 Age at death: 86
Decedent was domiciled at death in Cumberland County, pennsylvania (Saa�e)with his/her last
principal residence at 210 Big Spring Road,Newville 17241 West Pennsboro Townshiv Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 210 Big Spring Road Newville 17241 West Pennsboro Township Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
Ifdomiciled in Pennsylvania............................ All personal property $ 31,660.35
Ifnot domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of rea!estate in Pennsy[vania.... ..................................................... $
TOTAL ESTIMATED VALUE. ... $ 31.660.35
Real estate in Pennsylvania situated at: None
(Attach additional sheets,if necessary.) 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 February 11, 1982 and Codicil(s)
thereto dated
n •- �v
�—� --�—
State relevant circumstances(e.g.renunciation,death of executor,&�u)Q � n
�7 =� �..,. �
Except as follows: after the execution ofthe instrument(s)offered for probate Decedent did not marry,�no"�'di�o}�ced,r�ras notfx"�ait�to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. §733�(ga;-and�ot}iaVe a:Child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated perso� k � G'. ;�� ''�
� c� �L .
. ;.n, G- �,�
�NO EXCEPTIONS �EXCEPTIONS °`�- -.
�-;, .,.
�: �� -°� --' m
� B. Petition for Grant of Letters of Administration (If applicable) �
c.t.a.,d.b.n., d.b.n.c.t.a.,pendente lite;�'urante a �ntia,'durk�"te minoritate
�,�,
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above an�complete l�t�t of tieir�
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.
�NO EXCEPTIONS � EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(ifany)and heirs(attach
additional sheets,if necessary):
Name Relationshi Address
235301v1
Form RW-02 rev. !D/1!/20/l Page 1 of 2
Oath of Personal Representative ' Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF }
Petitioner(s)Printed Name Petitioner(s)Printed Address
M.Thomas Sheaffer 130 Lebo Road Carlisle PA 17015
Daniel M. Sheaffer 10 Leeds Road,Newville PA 17241
The Petitioner(s)above-named swear(s)or affirm(s)the statements in e foregoing P ' n e and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Dece e er(s)wi(1 1 and truly administer the estate according to law.
l _._._..
Sworn to or affirmed a subscribed before �/ Dace 5'� ''
me �^'.day o , ,2.�( Date
BY� Date `— `r
�-^ .
For the Register C) �f$ ��_
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BOND Required: � YES � NO To the Register of Wi[ls: � '`' � "`"` `�`*
FEES: Please enter my appearance byrmy"�g�tur�elow.�; z-
f` - ^ J� �: ��
Attorney Signature: �` f , ,�, � '"<<
Letters . . . . . . . . . . . . . . . . . . . . . . $ � v� r� y :
( � ) Short Certificate(s}. . . . . . . �.a �°„ �� . --' ��
( ) Renunciation(s).. . . . . . . . `' `"` , µ ��
r�� °,;�s CJ ..... i:-�
( ) Codicii(s). . . . . . . . . . . . . � _ ` � '
-��� r. �;;°� C3
( ) Affidavit(s).. . . . . . . . . . . :�-a � °�i
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: G12I1I1 R. Davis
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Ot � . . . . . . . . ID Number: 31040
,p�� l
'L' F:I!�. . , Firm Name: Latsha Davis & McKenna, P.C.
. . . . . . . . Address: _1700 Bent Creek Boulevard
. . . . . . . . Suite 140
. . . . . . . . MechanicsburQ, PA 17050
. . . . . . . Phone: (717) 620-2424
Automation Fee. . . . . . . . . . . . . . . Fax: (717) 620-2444
JCS Fee. . . . . . . . . . . . . . . . . . . . . - Email: gd3ViS ldy aw.COm
T�TAL. . . . . . . . . . . . . . . . . . . . . $ .
DECREE OF THE REGISTER
Estate of Mervl H.Sheaffer File No: �(1� b"J�
a/k/a:
AND NOW, � ,��, in consideration of the foregoing Petition,
satisfactory proof having been presente efore me,IT IS DECREED that Letters T stamenta
are hereby granted to ��1(��� ' n�(
'�(�,� �i�,.� .� in the above estate and(if applicable) that
the instrument(s) dated February 1 I, 1982
described in the Petition be admitted to probate and filed of record as the last Will (and Codi il(s)) of Decedent.
I�egister of Wills �.� r\n�w �!
� d'lf�
Form RW-02 rev.ioiilizn�i Page 2 of 2
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H105.905 REV.(8/ll) � � �'
This is to cenify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with
the Vital Scatistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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N�. CUA�BERLAP�'i ��., �'/� Date
H105�143 REV 11R006 COMMONWEALTH OF PENNSYLVANIA•DEPARTMENT OF HEALTH•VITAL RECORDS 120016
TYPE I PRIM IN
PERMANEM CERTIFICATE OF DEATH
BLACK INK (See instructions and examples on reverse)
STATE FILE NUMBER
1.Name M Decedenl(F�st,middle,lasl,sufiz� 2.Sez 3.Sodal S�urity Number � 4.Date ath�Momh, y,year) D
Meryl H. Sheaffer Male 162 _ 22 _0764 �
5.Age(last Birlhday) Untler 1 year Under 1 day 6.Dale ot Birlh(Month,day,year) 7.Bidhplau(Ciry and state m faeign couniry) 8a.Place ol Deam(Check oMy one)
86 � � �� � October Pen p (��5}�mb. "°�'�' �1ef
Yrs. �$2 1 ����L Y r H ❑Inpatienl ❑Efl I OulpadeM ❑DOA �]Nursing Home ❑Residence ❑Olher-Specily:
' 8b.Coimty M DeaM Bc.City,Bom,Twp.d Death 8d.Facil' me(tl not itsdMion,giue speel and�mber) 9.Was Decedent W Hispanic Odgin? �No �Yes 10.Aace:American In�an,Bladc,While,elc.
• P�re�,sv�aN�unan, ISP�i1
, j , Cumberland est Pennsbor ' Q '� Mezican,PUerroRian,etc.) White
. 11.Decedenl's Usual tbn pid d wak done dud most of warlti Gk.Do nd state 2ti 12.Was Decedent ever in Ihe 1. cedenfs Educa�on Spedly only highesl grade campleted) 14.Marilal5tatus:Married,Never Martied, 15.Surviving Spouse�1I vnle,give maiden name)
�p�Wp� p��g�y����� U.S.Armed Forces? Elementary I Secondary(P72) Callege(i-0 or 5+) W��'ed,Divaced(Speaf�
Farmer Agriculture ❑v� �jNo 12 Widowed
• �s.n��m:�wu naa�ss�sr�i,�y���,��,��� DecedeM's omo��m West PennSboro
21� B i g S p r i ng R d Actual Residcnce 17a.State PA �e m 8 17c.�Yes,DecedeM Lived in Tw�.
NeWVllle PA 17241 T�h�P� na.❑rio,Decedemlivedwilhm
� vb.Counry Cumberland �i�„�� �,��
� 18.Fatl�er's Name(First middle,las�sull6c) 19.Mother's Name(First,miMlle,mai�n sumame) �
� Willis H. Sheaffer Lola Brindle
zoa.mror��nrSN�eRyPe�rnm� Daniel M Sheaffer �1��L e�ds�xoa��Ne�wville PA 17241
21a.MetMdofDisP� ; ❑cre�, ❑oo�uo� zib.o��m �:u� 1r�m a�,y�1 �°�����l��`C�PP'�P��thren a.� �1� �,� 1
o �s�� ❑Removal ham 9ate j W�Cremetion or ponetion ANhm¢M 12�11�L 0 b�! d�.1���', ��17 015
� ❑on���s�ry: j byMedicelExaminerlCoroner7 ❑r�❑No Cemetery
Q ' aaa.Sgnam F s � Lxe�ee pe�an acro ss san ?26.license N�mne� .(�a ht t�a •
< . � �, , D 13895 L Newville, PA 17241
can�e�z��ody wna�ce xx�s r m �dge,aeem a�me e,d���d�ce �s�wre snd uue� 2sn.ucensB N�mn�r 2ac.oa s�d��wmn,aey,yea�
plr�ddan is not ava�ank at ume ot a Q /L.t��/ ��
ce����� g
� I�ms 24-Z6 must be mipeled by peBan 24.Time ot Death 25. te Pmnowceed pead(Mordh,day,yea� 2fi.Wes Cese Rekrred 'cal Fzaminer/Coroner for a Reason OtMr then Cremali�on a natianP
n
,' who pmarces dea�. D I M. �Yes No
CAUSE OF DEATH(See InstruMions and examplw) i ApqoAmete imenal; pazl II;Emer dhar ggnif�m conditims wM�Nrm m deetli. 28.Dq ToOauo Usa CaroEUle lo Dealh7
1em 27.Part I:E�r tlie��-6seases,igudes,a camplications-tlat drecUy ca�sed Me death.DO NOT eMer teiminal eueMS s�h as aidiac arral, � Omet to Death Mn nM resdting in the unde�yirg puse given n Pad L ❑Yes Pmbeby
resp�abry arrest,or vw�tra,+Aar PoriMation vritlrout slivxiig ihe etiobpµlisl oNy ona cause an each Fne. �
� � No ❑Wdvp�m
wIM�EUIIAiE�CA�S�E(��dsB2Se 0f � �� � fj ♦� �
aeam _� a. V��1� � � '/'� �, i 29.tl Feirele:
Due b(or as a ue�e oq: i ❑Not pregnenl wBldn pest year
Se�en1�IIy 6st candtions,il e�ry, p, � ❑Pie9raN at time d death
b��pb Ifie cause Gsled on ine a Due�O(a as a c�nsequence oQ: � ❑N�Pre9re���but p2p�ent wBhn 42 days .
Emer�e UNDERLYING CAUSE
� ��IOng i��)iat� c. i d dealh
Due to�or as a consequence oQ: i ❑Not pregreM,hul pregreM 43 dys to 1 year
� d i befpe dexN
❑Unhiown q pep�am wMin the Pas1 Year
30a.Was an ANOpsy 30b.Were Aukpsy Fmdngs 31.Menner ol DeaN 32a.Date ol Injory(MaMh,day,yea� 32b.Descri6e Hav In'ryry Oauried 32c.Phace ol Injuy:flome,Farm,Slree�,Fadory,
Pedomred? Availade Prior ro Campklim � ���A,e�.(�Nl
of Ca�se of Death? ���I ❑Homi6de
�Yes �No �Yes �No ���"� ❑�^d1��"��� ��Tme ol Injury 32e.Injury at WorK.� 321.II Transporla6on Iry'ury(Spebly) 32g.Loca6on of Injury(Sreet,dly I tam,slate)
❑Suiade ❑CaAd Not be Deteimined M ❑Yes ❑No ❑Dmer I Operator❑ ger❑Pedeshen
� om��s�;rr
33e.CeNf�er dreck m ane 33b.S'nature en r �
� N � � D
• Cedllyhig ph�s�cien(Phys�an cer6tying puse d deaM xfien andher physician has prapurcetl death and completed Bem 23) �
To tlie best ol kn �
mY owkd9e�deelhoxurredduetothecausqs�andmanneresstafe�-------------------°-----------Q� .
� Pronamcing md ceAHY�9 PM�len(Physaan bolh pronoundng dealh ard certilying to cause d death) 33c.License r 33d.Date Signed(Matlh,dag Year)
Z Tothebafofmyknowkdge,dealhxcurtedatthetime,dak,andpkce,endduetothecause�s)aiWmanmrassiaM�_________________❑
o • MedialFxaminerlCaoner ' O�I O �� $ ' � I � ����d '�'
� On Ihe 6acis M examinetion aM I or imes6galion,In my opinion,death accurred at the time,date,and place,and due to the wuse�s)and man�rer as slated_❑ �p�pp���yuse.of DeaN ptem 27)Type/Pdnl
0 34.Name and Addr ol Persan N7p �
�erry[ K G✓;3*�✓;I-c
0 35.R ,..Signature an Distn r 36.Date Fled(Monlh.daY�S'�d S d a .i P�rt S�.
Z ► ' �,� � I � I�I I I 0 I 1 c.o,�^I,r le P A i 7 oi�'
Disposition Peimil No. 1,Q�`('��
LAST WILL AND TESTAMENT OF MERYL H. SHEAFFER
I, MERYL H. SHEAFFER, of Penn Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and
Testament, in manner and form following:
l. I hereby expressly revoke al1 Wills and Codicils
heretofore made by me.
2 . I hereby direct my Executrix to pay all my just debts,
funeral and administrative expenses out of my estate, as soon as
practicable after my death.
3. Should my wife, Rema M. Sheaffer, survive me for a
period of thirty days following my death, I devise and bequeath
the remainder of my estate to Rema M. Slzeaffer.
4 . Should my wife, Rema M. Sheaffer, predecease me or die
on or before the thirtieth day following my death, I devise and
bequeath the remainder of my estate to my children, Margaret M.
Shetron, M. Thomas Sheaffer and Daniel M. Sheaffer, in equal
shares; and to the issue, per stirpes, of any child who is not
then living.
5. I nominate and appoint Farmers Trust Company, Carlisle,
Pennsylvania, Trustee of the share of any beneficiary who may be
under the age of twenty-one years. The income and/or principal
of said trust may be accumulated or expended for the maintenance,
education and support of such beneficiary as my Trustee in its
sole discretion may determine; and my Trustee, in the expenditure
of income and/or principal for such purposes, may, at its discre-
tion, apply the same directly without the intervention of a
guardian or pay the same to any person having the care or control
of said beneficiary or with whom the beneficiary resides, without
duty on the part of the Trustee to supervis� or inq��re into the
� �, w ��a �
application of the funds by any person to � any�ay±me�it is so
� �: r� -c c.�s ;;:;
�... � r-- � .__ ��
.� � f r? � ;-2 E� r-,-;
^:.+c���e
C�� `= ' .:� �:3
'.�/ �.y � � �Y 'w..Y
. �1 ��a `� �w.,' .�..�
.� w��, � ~��d
� 1 � `"�T `'� � :a•^ �f�l
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f"�.► '�
made. The balance of such income andjor principal shall be paid
to such beneficiary upon reaching the age of twenty-one years or
to such beneficiary' s estate in the event of death prior thereto.
6. I namina�e and appoint my wife, Rema M. Sheaffer, as
Executrix of �his my Last Will and Testament, and as substitute
Executors I nominate and appoint my children, Margaret M. Shetron
M. Thomas Sheaffer and Daniel M. Sheaffer.
7. I direct that my personal representative (s) and Trustee,
as well as their �uccessars, shall not be required to �ile bond
or security in any jurisdiction.
TN WITNESS WHERE4F, Z have hereunto set my hand and seal
this �� � day af February, 1982.
_..�
� �:
i (S EAL)
eryl .
WTTNESS:
-,.
�� J�
��`��,�, �� �--�
CaNffMONWEALTH �F PENNSYLVANIA :
. SS .
COUNTY OF CUMBERLAN� �
z, Meryl H. �hea,�fer, Testatar, whose name is signed to the
at�ached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will; that I signed it
willingly; and that I signed it as my free and voluntary act for
the purposes therein expressed.
Sworn or affirmed to and ack owledged befare mer by Meryl
H. Sheaffer, Testator, this �;,.� �/ � day of February, 1982.
;.
sta
. �---�� !
,�A�lt�'F �. H�(�TZLER, N�T�RY PU�L1C
� 2 � � .,4_-.< � �;-' ;^ ,.:��`-y �yr�;~lis1�, P;�l
My ��mrn�ssior� Excsires Jc�nuc►ry 27', 1983
COMMONWEALTH OF PENNSYLVANIA :
. SS'.
COUNTY OF CUMBERLAND .
We, Tom H. Bietsch and Roger PZ. Morgenthal, the witnesses
whose names are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we
were present and saw Testator, Meryl H. Sheaffer, sign and
execute the instrument as his Last Wi11; that he signed will-
ingly and that he executed it as his free and voluntary act for
the purposes therein expressed; that both of us. in the hearing
and sight of the Testator signed the Will as witnesses; and that
to the best of our knowledge the Testator was at that time 18 or
more years of age, of sound mind and under no constraint or
undue influence.
Sworn or affirmed to and subscribed to before me y Tom H.
Bietsch and Roger M. Morgenthal, witnesses, this /� � day of
February, 1982 .
� ►�C
Witness '
/�-- i` l�l
i ness
� �.�. ,
J,�'�I�!�'� E. H�RT�LER, NOTARY PIJBLIC
�� a,,�,.,.�_,��,.,�,�_; ��:snty Cr�rlis{e, PA
f����,� '';�,��aissson Ex�ires January 27, 1R83
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