HomeMy WebLinkAbout06-17-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C U M B E R�A N D ___,_____ 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: LARRY E• HARVEY, SR• ___ __ File No: �I I � - V' �� I�
�a: _ _ _ (Assigned by Register)
a/k/a: — — ----- ---— —
�a. _ _ Social Security No: 206-32-4599
Date of Death: 4/7/2 013 _____.__ _ ______ Age at death: ?o —
Decedent was domiciled at death in _C__UMBERLAND ___ County, PENNSYLVANIA (State) with his/her last
principal residence at 19 BELLMORE ROAD __ 17011 LOWER ALLEN TOWNSHIP CUMBERLAND
Street address,Post O�ce and Zip Code City,Township or Borough County
Decedent died at 2244 GETTYSBURG ROAD 17011__. LOWER ALLEN TOWNSHIP CUMBERLAND PA _
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedenYs property at death:
If domici[ed in Pennsylvania................................All personal property g 3 9 0,7 2 6-6 2
If not domiciled in Pennsylvania.............................Personal property in Pennsylvania $
Ijnot domiciled in Pennsylvania.............................Personal property in County $
Value of real estate in Pennsy[vania.............................................................. $ 17 3,5 0 0•0�
TOTAL ESTIMATED VALUE.... $ 564,226•62
RealestateinPennsylvaniasituatedat: 19 BELLMORE ROAD 17011_ LOWER ALLEN TWP CUMBERLAND
(Attach additronal shee[s,if neces:sary.) SMeet address,Post Oftice and Zip Code City,Township or Borough County
❑ A. Petition for Probate and Grant of Letters Testamentarv
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated 3/__2_7l�_�_0_'Z_�and Codicil(s)
0
thereto dated ""S—� -�--�-�
C � � �
State relevant circumstances(e.g.renunciation,dea[h ojexecutor,etc.) W!� � �—O
m �' c-J z u' �.'
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,was not dive"Re�v�ot ap�rty to�e�ng
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and�t�ha�a chitd�born;� �
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. � � �c p �
❑ NO EXCEPTIONS ❑EXCEPTIONS ___—_.____ — _ � � �' �� � ~I� --.
,-r, �� — � �•`�
:'.:.� r-- ~ �--_:. = C�
� B. Petition for Grant of Letters of Administration(Ifapplicab►e) AD_MINISTRATOR C•T•A� '" ' ,r-- �'�
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,cklrante absentia,kl�rante�in tate
�""`' v?
If Administration,c.t.a. or d.b.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.
❑ NO EXCEPTIONS �EXCEPTIONS DECEDENT MARRIED LINDA L.HARVEY 12/16/09 ___ _
Petitioner(s),after a proper search has/have asceRained that Decedent left no Will and was survived by the following spouse(if any)and heirs(aaach
addrtiona!sheets,if necessary):
---- -- r _ _-- — — —�
I ---
Name I Relationship �_ Address
- --- --- --- -------
- --- --_ _ -r -- - ---
i �'19 BELLMORE ROAD
,LINDA L_HARVEY ------__-_----_- _-__._tWIFE_ _. ____.___ CAMP_H_I_LL_--_---- _------._- PA 17011 _—�
� 'I 3840 GILES CIRCLE AVENUE i
ILARRY E_�__HARVEY, JR� _____ __�SON_____ __ NORFOLK __ ____VA 23513 _____I
171 WEST MAIN STREET
�LISA SUE BOLTON iDAUGHTER WINDSOR_ _ ________ _ PA__17366 _
---------- --__-- ----- ----- ---- �
—----- ---
803 LUTHER STREET
_LONNY_L• HARVEY__________________ . S_ON_ _ _ ____IHARRISBURG __________ PA_17112
Form RW-o2 re�.lo;'Il:2ol! Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Petitioner(s)Printed Name Petitioner(s)Printed Address
803 LUTHER STREET
LONNY_L__HARVEY _. ___ HARRISBURG _______ PA 17112
I
--L--
The Petitioner(s)above-named swear(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 Decedent,th etitione(s)w'I wel and truly administer the estate according to law.
Sworn to or affirmed and ubscribed before Date �
me t ' � day of , 2 013 __ Date
By: _-����� -- Date
or t e Register ___ Date
BOND Required: ❑ YES ❑ NO To the Register ojWil[s:
FEES: Please enter my appearance by my signature below:
Letters... .... . ............ . . . $ �L�C� Attorney Signature:
l� �
( �l' )Short Certificates(s) ...... —�l��L ' � I
( �} )Renunciation(s)........ . . _ '�-C'•��_ I " �
( )Codicil(s) .......... . . . . ----- _ ,a.
( )Affidavit(s). . . . . . . ..... . '
Bond PrintedName: SUSAN H. CONFAIR
Commission .. ....... . .. . ....... _— Supreme Court
Other ,,, , __ ID Number: 70241 _
-- .. ..
�E�i Vl ����V� . . . . . _ � ,�;�
�- FirmName: REAGER & ADLER, PC __
LU ��� _......... � Address: 2331__MARKET STREET __
�
""""' CAMP HILL PA 17011
----
-- — - ... ..... . _ — -�;
« �
- ----..... . . . . --- i Phone: 717-763- 83 _ � � rn
-- ...... . . . I Fax: 717-73D-'ffi6� c � �
,� ---
Automation Fee ....... . . ..... . . . .—�?- '
� — � Email: SConfair�e��Ad�rPCcr^e�
JCS Fee ..... ....... . ....... . . . ��—�- � � �-�
. .� �----- 3' E--a rvf 'T`
--- r y -
TOTAL . ..... ..... .. .. ..... . .$ -- -- � -.7 �.P =.
------- � G^) � � {>
DECREE OF THE REGISTER � �' � � -k� T��
c� �> , � p=�
� � ..,.. � .-w �� S
. ; �-. ���:� � ��_ 3-�,�7
Estate of LARRY E�__ HARVEY, SR_.__ File No: _ �---_�.—� �
�• '�
----- --- —----— - ---
a: — ---- --------- --- ----- �---
AND NOW, —_______, __ , in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters
--_ _ __.___ are hereby granted to .—___.__—_____—______
____ _ ____--— ______.___— in the above estate and(if applicable)that
the instrument(s)dated —_— ----
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
Register of Wills
FormRW-02 r��.1o,1�-zo�� Page 2 of 2
Oath of Persanal Representative ot���ai use o,��x �
COMMONWEALTH OF PENNSYLVANIA } �
} SS:
CQUNTY OF CUMBERLAND __� } �
-- - -_ ___ __- -----_��__ - -- --�
Petitioner(s)Printed Name Peritioner(s)Printed Address
-- ---- ��__ —__----��_._-----_---
8t13 LUTNER STREET
LONNY L__HARVEY _.___T___ HARRISBURG _�_ ____ _ PA 17112
-----_ __- _-__ ---_----- --- - -
----_ ...-____._.-- _ _�___�. �_.
�---__ --- — _..---�--- --------------_.___ —__... 1
The Petitianer{s}above-named swear{s}or affirm{s}the statements in the foregaing Petition are true and correct to the besi ofthe knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)af the Decedent,ih etitione(s)w'I wel and truly administer the estate according to law.
Swarn to or affirmed and ubscribed before - � _ ___ _ t�ate �t1��,�
me t � �-� day of � 2013_ - Date ----
BY: - _---__ __ --- --- _ T Date ---- -_ _.__
or t e Register T_�,__ T�_ __ _._ _ Date _ _ �
BOND Required: ❑ YES 0 NO To the Register of Wil[s:
FEES: Ple$se en#er my appearance by my signature betaw:
- - - --- �
Letters....................... $ �4"C---�---_ �Attarney Signature:
( � )5hart CerkificaCes(s) ...... ----�.���-� � .__ 1
{ � }Ren�nciation{s).......... ..._ '�'�--- � '� r ��-��" � �
{ }Codicil(s} ... . . .... . .... . --- j ----- ----- , --=--- _ �____ _-_.__
-------
( )Affidavit(s}............. --------- ' �,
Band Frinted l�ame: SUSAN__H• C4NFAIR � _i
Commissian .. .... ... ... ........ .._---.�----- Supreme Court
ID Number: ?Ci241 __�_._
Other --- - ,�} . ...... � -- � _�
�t. 'lEr'�� �l ���_1�.��.� . . . . . �r?_�� -- � Firm Name: _ _
REAGER, & ADLER, PC __
� e.t�� --��-�-��--- i � � �
1,�� � --- ,........ t .f.�b I Address: 233], MARKET STREET -----. ,
- __ ----........... . . -- -�--� --
--- '
------ -- - -- -
__.------.-_----- ---- ........- _--- --- � C A f1 P H I L L ----- -- P A_ ]�7�],],
----
_�,
_.__---------_ _......•-- --------- •
� �
---- -_.-- - .....,. .. .___---- - Phane: ?17-7 6 3�8 3 -- `-`'--�-r�-�__.�
--- ------- ......,... _.--- -- _ - -�6� -
---- Fax: 7],7 73� _ c_.. � �
��_�
Aut�matian Fee ... .. . . . . . ..... . . .. `?=-�� -- Email: S C�n f e i r�A�r Ctnc c�
JCS Fee ....................... '�.��(,`— - __�C.'�. ----_
^� �— ---_ !�7 y' t" }'"" �r} t"f' --�
---------�t"_�-tr"t �,j �°,,:,'+
TaTAL . ..... ..... . . . . .... . . .� ___� �.:�
---- -� G'� � G t;:r
DECREE OF TI�E REGISTER `� �' �' �� �! �
c°� �> , �' --'�
.;m ...
. __
� ;�� c�
:� � � ,_ � �� �-���7 S
Estate of t_ARRY_ E._HARVEY,--SR_.-----.-----------..___ �'ile Na: _ �G--
- �--------�--�-63----
a/k/a: ---. _-------- ------ ------___ -.. - -- - -._�.--- ----_- --"'----�-�------� --__
AND NOW, __�_l.�_�,?1"__��.��e� __---, --`�r �' �=�._. ,in on/si��eratian of the�oregoing Petition,
satisfactory praaf having been presented before me,IT IS DECREED that Letters `��!__Q�'��__���-
are hereby granted to �
_ _..� _.___- .------. - __
-- -__.
---� �__--- - �7-� - - --- --- _- in the above estate anci tif applicable}that
the instrument(s)dated �u�z=-��_�L--�-f.--_ --- '�',�- - - . -____.—____-__._ _-_��. __-----
described in the Petition be admitted to probate and filed of record as the last VJill{and Cadicil{s}}uf Decedent.
�C�..�:�����.��. _���{S��� �
Register of Willsl� �t ���,��r� ������- '
F�rn�awoz r��.io�it.�2o�� � "-
. �' ge2of2
ESTATE OF LARRY E. HARVEY, SR. —CONTINUED
The named Executor—M & T Bank renounced as Executor and respectfully request that
Letters be issued to Lonny L. Harvey.
The decedent's wife—Linda L. Harvey renounced and respectfully request that Letters be
issued to Lonny L. Harvey.
The decedent's son—Larry E. Harvey, Sr. renounced and respectfully request that Letters
be issued to Lonny L. Harvey.
The decedent's daughter—Lisa Sue Bolton renounced and respectfully request that
Letters be issued to Lonny L. Harvey.
H105.805 REV(9/1 p
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 R E c o�a�� ���(�� �� ,,,,�������� --. This is to certify that the information here given is
�y- s„�� �� ,, ,��Ep�TH OF pF�;y�_ correctly copied from an original Certificate of Death
R�G�il 1 ��4 G� 1� ,��'
�����'o� = G d u l y fi l e d wi t h me as Loca l Regis t rar. T he origina l
��.�3 ��� �� �� �i 1� `o z: certificate will be farwarded to the State Vital
;v y a� Records Office for permanent filing.
.
P 1939986 � `* - . *'��` �
c�E�x �� _°�,�,q9 �.a~��'' `-���1 j� �P 1�1 013
R r H A N S C O U�°i ' TMENT��'���,,
t �
Certification Number �""'-����������"""� •
_ _ _ _ _�����RLA��_���+' �`� __ ._ _ Local Registrar Date Issued
TYPm/P������ COMMONWEALTH OF PENNSVLVANIA•OEVARTMENTOF�HEALTH•VITAI RECORDS
Pai ekinkt #2013-04-169 CERTIFICATE OF DEATH
Sfit!F{!e Nurtlbe�:
3.Oecederrt's Le6a1 Nama(flrsl,M�tltlle,L�st,SuHix) _.SeX 3,Social Security Number q,Oa��of Ueat1�(MO/Oay/Yr)(Spe11 Mo)
` ' .Larry E Harvay Sr. Mala 2 O 6-3 2-4 5 9 9 April 7,20'13
Or Sa.Ag�-i.aat Bir[hday(Yrs) Sb,UnAe�1 Yea� Sc.Under 1 Oa . 6.OaYe ot Birth/MO/Day/Vear](Speil Mo�th) 7a.Birthplace(Clty ae�d 5[ate or For�ltn Country)
Mon[hs. Oeys Houn �nr.,��s�� Harrisbur
7o Janua 2'1, 1943 7b.Binhplacetcoo..cy� DaLi hiri
Ha.Resldet+ce(Stat�or Forcign Country) Sb.Residenc�(5trcet and Number-Include Apt No.} Sc.Dld Decedeni Llvc in a Tow�shipT
'I 9 Bellmore Road ��,a�ae„�iti.�e�„ �.
se.rtes�e���e c�o��cv��
Cumb2Z'1 and ae.rt�s�aenc�{zlu eode) � '7 �No,tlecedent Itv�d w![I�in IImF[s or �Ky�,o,
9.Ever in 45 Armad Force�sT 10.Maritet SWfus at Time ol Dea[h �Marrisd � WI ow�d 11.Survivin Spouse's Name(If wife,ghre rwmc Orlor to flrst marriage)
p ves ]�o O uomow., O or�orc�d O Ne�«r.narr�ea O untoow L 1 r1�8 L� B 1 Ou:gh
12.Father's�Name(Flrst,Middle�Les4 Sufflz) 13.Moth�r's Name Prlor to Flrst Marriag�(Flnt,Mlddle,Last)
Leonard Ceci1 Harvey Sr_ Sara C1a
34g.Informa�t's Name 34b.Relationship to��cedent 14c.IMormsnt'z M�Iling AdOresz(Street antl Number,C1ty,Sta�e,Zfp CoAeJ
� Linda L_ Harve Wife 19 B�lmore Road Cam Hiil PA '170'1 '1
._......."'................ ........_...._..."•' _•""""'__""""'..._......:... ..a:...a.�'e""ca�......ec_,on,yona
� �f Oeath Oceurretl 1�a Hos I[sl:. .t " ''"'""......................wt.............."""...........""""__. .._......_........_..""".........
p Inpa[lent F It Oe>th Occurr�tl Somawh�re Othe�TM1en a Hospital: y Hosplce Facllity �p�Kdent's Nom�
o []Ems, ency Room Outpa.clent Q Deatl on Arrival f . �Nurzing NomaJLOng-Term Care Facility Other(Specify) PeAci Lot
Cyyy i5b.Facllity Name(If not insttcu�ton,give streei a�U number; 1SC.GIH or Town,Statc,a'+tl Zip Cod� IS�f.County of oaafh
� 2244 Ga sbur Road Cam Hfil PA 170�� Cumberlan
�,, 16a.Methetl of DISOa��NOn 0 Bu�lal Q Crematlon 16b.Da�e of Dtspoxition 16c.Plate i Olzpositlon(Name of cemetery,crematory, otti«placa)
� pne..,��r.n`�c1�� poo�eno„ 04 10/20'1 Hollinger FH & Crematory 2nc
ocher s ry
16d.lotatlon ot Oispositlon(Clty o�Tow�,State,and Zip) 17 1 atU�e of Funeral 5 rvic�Lf �P��on in C of Interment 176.Littrtx Nvmber
� MT_ HoZly Sprin s '1 7065 � FD-O'1 4'1 5'I -L
€ 17c Name and Complete Address of Funeral Facllity
� � m
.� 1H.DecetlenYS EducaHOn-Check che box that beet descrlbes the 19_Deceden[ot Hispanic Origin.-Glieck the 20.OecedenYs Nace-Chetk ONE OR MORE�xes to{�d{catc what
highast degree or level of school complelad at thn time of deoth. box[hai best describes whe�her the tlacedenl the d�c�d�nt consid�red himself or h�rsQl(to be.
�8ch grade or less � It Spanich/Hizpanlc/�aNne. Chlck tMe^NO" Whlte 0 KoK��
No diploma,9th-12th qrede box it deced�ht is not Spanish/Hispanic/Latiho. �Black or African Amerlcan �vfetnam�s.e
Q High school g�aAUate or GED comple[eC �No,not Spanish/Hlspanlc/latlno Q Am�rion Indlsn orA(aska NatNe 0 Other Azien
�Some coilege cred�C,but�o degree �Yes,Mexican,Mexican AmeHwn,Ct�icnno �Asian InElan j_j Native Hawai�an
Q Asaocfate de6�ea(�.S_AA,AS) Q Yes,Puerte Rlcan Chines�
�BachNOr'a degrae(e.g.BA.qB,BS) Q Ves,Cuben . � �Guamanian or Chamomo
�Q FiIIPf�o �$amoan
Q Maste�'f dagrea(e,g,MA,M5,MEng,MEd,MSW,MBA) O Yes,other Spenlsh/Hlspenic/Letl�o Q Japanesa O�M1�r Pacit'.c Island�r
O Ooetorate(e.g.PhD,�EdD)or Prol�ssional tlBgr�e �Spec(fy) . O Othe�(Spedfy)
.MD ODS,DVM LLB JD
21.D¢cMmt's Single Rate Self-DesignM{on-Check ONLY ONE to indicatewhaf ehe decetlent consideretl htmself or herzelt Co be. 22a.Decedent's Vswl Occvpatlon-Indicate typi of work
White Japan�s� don�d�rins most o(workf�g IH�. 00 NOT USE RETiREO.
O p Samoan
Black or Afriwn Ameri�can 0 Korean Q bther Paciflc Islander T ' J T
0 Amerlcan Indlan or Alaska NatNe O Vietnemese �Don't K�ow/NOt S�ra /�L(G K NOCiEE
�� �Asian indlan Q�Other Aslan �Refused 22b.Kind of Bu5lness/tnduslry
� Q Chie�efe Q Native Hawallen �Other(Speci(y)
O F���P��o� O Gusmanian o�Chemorro �� �7 /��
��u /n CT
fTEM523a-23 MUST BE COMPLETEO 23a.Oata Pronounced Oead Mo Oay�Vr 23 .Sig�ature of Person P�onouncing Oea[h{Only when applfcaWe) 23c Licensc Num
BY PERSON WMO PrtONOUNCES OR
CERTFlES DEATH �
23A.Oace Signed(MO/Day/Yr) 24.71mm of Oeath
A fOX. 'I:OOA.M. 25.WasMedlcalEKarrt�nerorcoronerCOntacced7 m Yes No
� CALJSE OF DEATH Approximafe
26.PaK 1. Ent�r M�ghain o/sv�nts--dfseases,in)urles,or compllcafions--that dlrecHy csused the death. 00 NOT�nter terminal events such as csrdisc arrert = Infervai:
raspirafory arresf,or ve�t�lcularlibrlllet�on wifhout showing the et7ology. DO NOT ABBREVIATE.EnTer Only one ceux on a Iine.Add addiUonal lines if necessary F Onset to DeMh
IMMEDIqTE CAUSE --------s Panding Investigatlon
�Final di5ease Or COndlYlOn buc!O(Or�a a consequenc�o�: 9
rcs�alNnQ in d�a[h) �
b.
Sequent�ally Iist condltlons, Oue to{or az e cOnSeqUence ofJ: �
tf any,lead:ng to the cause
1lsc�d on Rnc a. EnMr the.
UNDERLVING CAUSE Due to(a�as a consequmce of): F�
� (tlisease o�i)ury that
� �i�iva�ea<n:e.,e�is ree�eer.+a a. �
�F in doe[h)L/15T.
Due to(or as a consequ�nce o�:
. � 26.-Vart 11. Ente�oiher;' ifi t dlti t ib tl t d th but nOi rasu(ting in the underlytng eauu given in Part�l 27.Wes a�autopry perFOrtned7
� m res O No
$ 2H.W�re autopsy Rndinys availabk
co com W ers m�caus�w a�acn�
� � � � � . Ye5 .m No
e29.H Femalg: 30.Old Tobacco Uu Con<rlbu�e fo Deaah? 31.�Manne�of Death
�Not pre8�ant within past
0 Pregnan[at Hme af deathYCa, O�'es 0 Probably �0 Natural �Homiddr
� �Not v�B�ant�but prngnant Wlthin 42 dayz of tleatY � NO 0 Vnknown �Accident m Vending Im�estisatten
0 Su�dtt� �Cuuld no[be detertnineA
Q NoT pregnant,but pr@gnant 43 days to 1 year!�elore tleatF 32.Date of Inj�ry(MO/Aay/Yr)(Spell�Monthj
0 Unk�oWn H pr�gnant with�n the past yea�
33.Tim¢of Injury
34:vlace of InJury(e.g.home;construction site;tartn;school) 35.Lotation of Inj�ry(Sereat antl Number,C
ky,5tate,2Ip Code)
36.InJury et Worlc 3].if T�anzport.atlon Injury.Spetify: 38.Describ�How In}ury Occurced: �
0 Yes Q Dr1v�r/bperemr �pcaestria�
0 No �Passenger 0 Other(Spacify)
39a.CerHqer(Check only one):
�Certifyin6 Physiclan-To thw best ot my knowledge,death occurred due to the ra�se�s)and monner ztated
�Pfonouncing 8.Certifying physidvn-TO the best of my knowledge,death occvrretl aS the time,date,atitl place,and due to the�cause(s)and manner stat�d
m Medlcal Examfner/�(�'} -On e Dazlz f inoifon,and/ inveztigatlon.In my opinion,deaU�occurrcd a[the time,date,and piaca,antl due to the cause(s�and manMr stace�d
s�a�ewr��c�.c�her_l�- J�+�:-�� ���9�Q nne ot«nin.r:Coronar
-Uce�s�Number.
396.Name,Address and Zip Code ot Person Completing Ca�se of Oeath�ICem 26] 39�Dat�5i6��IMO/Dayhr)
:� Charlas E.Ha0 Coronar. . 6375 Beaehore Road,Su(te�,Meehanicaburg,PA �7050 Aprfl H,20'13
p 40.Ne�ln�ar's DfStrlcC Numbet 41_Rcglstro�'S 5 LUte 42.Rcgistrer File Dat�I o Day
- 43.Amendmenb � -� // �//�/�v��
0
� � �� [
. . Disposi[lon Permit No. V a J /O / � H10S1t3
. . . . . _ . �r---
0.EV O7/20Y3
Last Will and Test�.m�r��
� � � � �
OF rn = � z � �r
� y. r � ;�r +�
r � rn � �.� �
Larry E. Harvey, Sr. � "-' � o �.`=
c� �, � e.z� :, -�
n � _, � ._ --�
I, Larry E. Harvey, Sr., currently residing at 19 Bellmore Re'a�CampH�ill,��er
-v � �, �°, =�
Allen Township, Cumberland County, Commonwealth of Pennsyl�"ania, bein�f sound
and disposing mind, declare this document, consisting of i � pages, including this page,
along with any properly executed codicils and/or amendments hereto, to be my last Will
and Testament. I hereby revoke any and all previous Wills, Codicils, or statements of
testamentary intent whether oral or written, at any time heretofore uttered, made or
executed by me. To constitute a"properly executed" codicil or amendment, such
modification must be in writing, signed by me, notarized, witnessed by at least two
individuals, and attached to this document, notwithstanding any legal provision, whether
statutory or common law, requiring less or to the contrary.
PART I: DEFINITIONS
The following terms shall have the meaning herein given, unless the context in
which they are used clearly indicate otherwise:
CHILDREN: My biological ofFspring and any person I lawfully adopt;
ESTATE: All of the PROPERTY I own or in which I have a partial interest;
PROPERTY: All items of value, of real, personal or mixed nature, wheresoever
situate;
Page 1 of 18
SURVIVE: The term"survive", when used in the context of a condition
precedent to an individual receiving inheritance under this Will, shall mean to live thirty
(30) days beyond my death. The thirty(30) day period shall begin to accrue at 12:OOa.m.
on the day following the date of my death, and end at 12:OOa.m. on the 31 St day after the
accrual start date.
TRUST ESTATE: Any and all PROPERTY of my ESTATE which I have
directed to be used to form part or all of the corpus of any Trust created by operation of
the provisions of this Will.
Paragraph headings shall be for reference only and shall not effect the meaning or
intent of the provisions of my Will.
PART II: DISPOSITIONS
I intend to dispose of all of my PROPERTY in the following manner:
A. I direct that the Executor of my Will pay all of my just debts, funeral expenses
and costs associated with the administration of my ESTATE. With this direction, I
authorize and empower my Executor to expend for my funeral and interment such
amount, as he or she may consider necessary and proper, without regard to any limit
imposed by statutory or common law.
B. I direct my Executor to pay all inheritance, estate, succession, and legacy
taxes of whatsoever nature and kind, to which my ESTATE, or the transfer of any
PROPERTY passing hereunder or otherwise passing by reason of my death, may be
subject, and to charge such taxes against my ESTATE. It is my intent that none of the
aforesaid taxes, either federal or state, on any property required to be included in my
Page2of18
ESTATE, under the provisions of any state or federal law now in force or hereafter
enacted, shall be prorated among the persons interested in my ESTATE to whom such
property is or may be transferred or to whom any benefit accrues.
C. I give and bequeath my entire ESTATE as follows:
1. Subject to Paragraph D, to my former wife and friend, Linda L.
Harvey, currently residing at 19 Bellmore Road, Lower Allen Township,
Cumberland County, Commonwealth of Pennsylvania, if she SURVIVES
me, I give:
a. all the contents of my house situate at 19 Bellmore Road,
Camp Hill, Lower Allen Township, Cumberland County,
Commonwealth of Pennsylvania;
2. To each of my children, Larry E. Harvey, Jr. of Norfolk, Virginia, Lisa
S. Harvey-Bolton of Windsor, Pennsylvania, and Lonny L. Harvey, of
Linglestown, Pennsylvania, who SURVIVE me, I give:
a. a sum of money not to exceed $100,000.00 each. This sum
includes any money received by them from any life insurance
policies I own at the time of my death; .
b. The balance of personal property owned by me at the time of
my death, divided into as close to equal shares as possible,
following the bequest in paragraph C.l.a.;
c. Should one or more of my children predecease me, then the
share that would have gone to the deceased child(ren) shall be
divided equally among the SURVIVING children.
Page3of18
3. I give my personal residence, to wit, 19 Bellmore Road, Camp Hill,
Lower Allen Township, Cumberland County, Commonwealth of
Pennsylvania, along with any money and property remaining after the
bequests in paragraphs C.1 and C.2 have been satisfied, to my Trustee, IN
TRUST. The residence shall be for the use and benefit of Linda L. Harvey
for the duration of her natural life, or any shorter time as she may elect. In
the event the contingency set forth in Paragraph D is not met, at any time,
then this bequest shall lapse and pass as part of the residue of my
ESTATE. The additional money shall be used to pay to Linda L. Harvey a
stipend in the amount of$400.00 per week, adjusted annually for inflation.
D. All bequests to Linda L. Harvey shall be made if, and only if, she is still
residing with me at my last principle place of residence at the time of my death. It
is my wish that Linda L. Harvey, alone, have the use and enjoyment of my
personal residence. Should Linda L. Harvey remarry, cohabit with a paramour, or
become deceased, then the trust provision granting her the right and privilege to
the use and enjoyment of my residence shall lapse and the residence shall pass
according to immediately following Paragraph E.
E. In the event that the bequests in Paragraph C.3 lapse due to the contingency in
Paragraph D not being met, or upon the death of Linda L. Harvey, I leave my
entire ESTATE, or the residue thereof if Linda L. Harvey received the benefits of
the bequests to her herein, to my SURVIVING children in as close to equal shares
as possible, subject to the provisions of Paragraph C.2.c.
Page4of18
PART III: APPOINTMENTS
EXECUTOR: I appoint M&T Bank to act as Executor of my ESTATE.
TRUSTEE: I appoint M&T Bank to act as Trustee of any trust created by
operation of the provisions of this Will.
PART IV: POWERS AND DUTIES OF EXECUTOR
Subject to the directions in PART II: DISTRIBUTIONS, and in addition to any
powers or duties granted by Statutory or Common law in existence now or which may
hereinafter be enacted or created, I grant to, and impose upon, my Executor the following
powers and duties, with respect to my ESTATE:
(1) Final distribution of my ESTATE shall be made NO MORE THAN six
(6) months from the date the final claim regarding distributions, values thereof,
additional beneficiaries, or any other claims against my ESTATE, if any, are
resolved. Prior thereto, partial distributions may be made whenever my Executor
shall deem it advisable. Distributions may be made in cash or in kind, or partly in
each.
(2) The value of any property distributed in kind shall be set by my
Executor, unless a challenge thereto is made by one of the beneficiaries of my
ESTATE. In the event there is a challenge to my Executor's determination as to
value, the actual dollar value of the distributions shall be equal to the fair market
value of the PROPERTY to be distributed. Should a dispute arise as to the fair
market value of any particular piece of PROPERTY, my Executor shall obtain the
service of an appraiser, or other person qualified to render an opinion as to the fair
Page5of18
market value of that PROPERTY. My Executor shall, in its sole discretion, select
the appraiser or other qualified person. The opinion of that appraiser or other
qualified person shall be final and binding upon both my Executor and the
beneficiary to whom that PROPERTY is to be distributed. In any event, the
dollar value of the PROPERTY to be distributed shall be set at the time of
distribution.
(3) My Executor shall in its sole and absolute discretion select assets or
property to be distributed in satisfaction of any devise or bequest in my Will
without respect to the income tax basis of such assets or property. My Executor
specifically is excused from any duty of impartiality with respect to the income
tax basis of such property.
(4) My Executor is authorized to distribute to any beneficiary of my
ESTATE any asset of my ESTATE subject to any and all indebtedness incurred
by me or by my Executor which indebtedness, in the sole and absolute discretion
or opinion of my Executor, need not be paid first, or to distribute any such
property or asset subject to any or all mortgages, deeds of Trust, or the liens,
encumbrances, or obligations created by me or by my Executor.
(5) If any beneficiary to whom my Executor is authorized by this
instrument to make distributions is under a legal disability or is, in the opinion of
my Executor, incapable of properly managing his or her affairs, my Executor may
make such distributions in any one or more of the following ways:
(a) To such beneficiary directly;
Page6of18
(b) To the guardian, committee, conservator, or other similar
official of such beneficiary;
(c) To a relative of such beneficiary to be expended by such
relative for the benefit of such beneficiary, including payment to such
relative;
(d) To a custodian selected by my Executor under an applicable
Uniform Transfers to Minors Act; or
(e) By my Executor expending the same directly for the benefit of
such beneficiary.
Any person(other than the beneficiary) who receives a distribution for the benefit
of the beneficiary pursuant to the preceding sentence is authorized to give a valid
receipt and discharge for the distribution. The distribution to such beneficiary or
other person to whom payment is made or enTrusted shall be a complete
discharge to my Executor, and my Executor shall be without obligation to see to
the further application of such distribution.
(6) Any decision made under this Section or any other provision of this
Will by my Executor with respect to any matter shall bind each beneficiary of my
ESTATE, and any other person whosoever interested in my ESTATE, and my
Executor shall not be required to make any compensating adjustments between
income or principal or among any beneficiaries, Trustees, or any other person as a
result of my Executor's action or inaction.
COMPENSATION AND BOND: I direct that my hereinbefore-named Executor
shall not be required to give bond for the faithful performance of his or her duties in this
Page 7 of 18
or any jurisdiction. Any executor herein named or otherwise appointed shall be entitled
to reasonable fees commensurate with its duties and responsibilities, taking into account
the value and nature of my ESTATE and the time and work involved, without regard to
any statutory provision as to fees, and if it is a corporation, then not less than its then
current minimum fee for such services. If any licensed attorney or certified public
accountant shall serve as executor, such person shall be compensated for services
rendered based on such person's customary charges for legal or accounting services.
LIABILITY OF EXECUTOR: The Executor shall be liable only for its own
negligence or willful misconduct.
PART V: POWERS AND DUTIES OF TRUSTEE
(1) To exercise all powers granted to, and carry out all fiduciary duties
imposed upon, Trustees by the common law or any applicable statutes (as they
exist at this date or are subsequently amended), to the extent they increase the
powers granted to Trustees. If, however, those powers are in conflict with the
provisions of this Will, the terms of this Will shall prevail;
(2)To retain any property becoming a part of the TRUST ESTATE,
including non-productive property, without having to account for the loss of
income;
(3) To convey, sell, transfer, exchange, partition, mortgage, pledge, lease,
assign, or otherwise dispose of, hypothecate, or deal with any and all properties in
my TRUST ESTATE;
Page8of18
(4) To borrow or lend money for such purposes and on such terms and
conditions as the Trustee deems appropriate;
(5) To invest and reinvest any assets, funds, properties, or income of the
TRUST ESTATE in such properties or investments (whether income-producing
or not) as the Trustee deems appropriate;
(6) To continue the operation of any proprietorship, partnership,
corporation, or other business owned by the TRUST ESTATE, including the
power to carry out and enforce the provisions of any agreement for the disposition
of my interest in any such business enterprise, even though the Trustee may be
fmancially interested in such business or agreement;
(7) To acquire, hold, and pay premiums on insurance upon the life of any
Trust beneficiary, and to exercise any and all rights to ownership thereof; and to
purchase other types of insurance for any beneficiary; provided, however, that all
incidents of ownership with respect to any policies of insurance on the life of any
Trustee shall be vested in and exercisable solely by another Trustee;
(8) To execute and deliver oil, gas, and other mineral leases containing
such unitization or pooling agreements and other provisions as the Trustee shall
think fit; to execute mineral and royalty conveyances; to purchase leases,
royalties, and any type of mineral interest; and to execute and deliver drilling
contracts and other contracts, options, and other instruments necessary or
desirable to participate actively in the oil, gas, or mining business. All of the
foregoing may include such terms, conditions, agreements, covenants, provisions,
or undertakings as the Trustee shall think fit;
Page9of18
(9) To accept from any source any property acceptable to the Trustee to be
held as part of any Trust hereunder. The Trustee also is authorized (but not
directed)to accept from the Executor, at the termination of the administration of
any estate of which any Trust established herein may be the beneficiary, the assets
delivered by the Executor to the Trustee on the basis of the accounting therefor as
submitted by the Executor, without requiring an audit or other independent
accounting of the acts of such Executor. No Trustee hereunder shall have any
duty, responsibility, obligation, or liability whatsoever for, or any duty,
responsibility, obligation, or liability whatsoever for failure to rectify, the acts or
omissions of said Executor; and
(10) To employ at the expense of the Trust qualified experts to inspect and
assess the environmental or similar risks in connection with any real property
owned or proposed to be acquired by the Trust, without reducing the
compensation payable to any Trustee.
(11) In dividing the Trust estate into separate shares or trusts, or in
distributing the same, the Trustee shall have the power to divide or distribute in
cash, in kind, or partly in cash and partly in kind, using different properties
according to their value or undivided interests in the same properties, as the
Trustee shall think fit; and for any purpose, including division or distribution, to
value the Trust estate or any part thereof reasonably and in good faith, such
valuation to be conclusive upon all parties.
(12)Notwithstanding any other provision ofthis instrument, the Trustee
shall have the power to ternunate any separate Trust established by this
Page 10 of 18
instrument whenever in the Trustee's opinion such Trust is so small in value that
the administration thereof no longer is economically advisable, after first
considering, however, all financial or special advantages to the beneficiary or
beneficiaries of continuing the TRUST ESTATE. In the event of such
termination, the Trustee shall distribute the remaining Trust assets to the then
income beneficiary or beneficiaries, as provided above in PART II. The Trustee's
judgment shall be final and binding upon all interested parties, and distribution of
Trust assets in any manner provided in this instrument shall relieve the Trustee of
any further responsibility with respect to such assets. In no event shall a
beneficiary, while serving as a Trustee hereunder, exercise the discretion granted
in this Section
(13) The Trustee may make with respect to the property of the TRUST
ESTATE such elections under the tax laws applicable to my ESTATE and to the
TRUST ESTATE as the Trustee in its sole discretion shall determine. No
compensating adjustments between principal and income, nor with respect to any
Trust, shall be made even though the elections made under the tax laws by the
Executor of my estate or the Trustee may affect (beneficially or adversely) the
interests of the beneficiaries. The action of the Trustee shall be binding upon all
beneficiaries.
(14) In the event of physical or mental incapacity of any person to whom
or for whom principal or income from the TRUST ESTATE of any Trust created
herein may be paid (either during the term of a Trust or upon final distribution of
Page 11 of 18
a Trust), the Trustee may make such payment in any one or more of the following
ways:
(a) To such person directly;
(b) To the guardian, committee, conservator, or other similar
official of such person;
(c) To a relative of such person to be expended by such relative for
the benefit of such person, including payment to such relative;
(d) To a custodian under an applicable Uniform Transfers to
Minors Act; or
(e) By the Trustee expending the same directly for the benefit of
such person.
The Trustee's determination of the incapacity of any such person shall be final,
and the Trustee shall not be responsible for the application of any payment after
the same has been made to any person in accordance with the provisions hereof.
(15) The powers of the Trustee to enter into any transaction shall in no
way be limited by the fact that the same or another party to such transaction is a
beneficiary, the estate of a beneficiary(whether living or deceased), a Trust
created by or for the benefit of a beneficiary(whether living or deceased), my
estate, a Trustee of any Trust (including Trustees appointed herein) acting in a
capacity other than its fiduciary capacity, or an executor or administrator of any
estate(including mine) acting in a capacity other than its fiduciary capacity.
(16)The Trustee shall be entitled to reasonable fees commensurate with
its duties and responsibilities, taking into account the value and nature of the
Page 12 of 18
TRUST ESTATE and the time and work involved. If any licensed attorney or
certified public accountant shall serve as Trustee, such person shall be
compensated for services rendered based on such person's customary charges for
legal or accounting services. The Trustee shall be reimbursed for the reasonable
costs and expenses incurred in connection with its fiduciary duties hereunder. No
Trustee, whether original or successor, shall be required to furnish bond or other
security, except as herein expressly provided.
(17) If at any time any TRUST ESTATE shall consist in whole or in part
of assets located in a jurisdiction in which the Trustee is not authorized or is
unwilling to act, the Trustee may appoint an ancillary Trustee for that jurisdiction
and may confer upon such ancillary Trustee such rights, powers, discretions, and
duties to act solely with respect to such assets as the Trustee may deem
appropriate. The ancillary Trustee shall be answerable to the Trustee for all
monies and other assets that may be received by it in connection with the
administration of such property. The Trustee may pay to the ancillary Trustee
reasonable compensation for its services and may absolve it from any requirement
that it furnish bond or other security.
(18) If at any time the Trustee of any Trust created by this instrument
("this Trust") shall also be acting as Trustee of any other Trust ("other Trust") for
the benefit of the same beneficiary or beneficiaries and upon substantially the
same terms and conditions, the Trustee is authorized and empowered, if in the
Trustee's discretion such action is in the best interest of the beneficiary or
beneficiaries of this Trust,to transfer and merge all of the assets then held in this
Page 13 of 18
Trust to and with such other Trust and thereupon to terminate this Trust. The
Trustee further is authorized to accept the assets of the other Trust that may be
transferred to the Trustee of this Trust and to administer and distribute such assets
in accordance with the provisions of this instrument.
(19)No Trustee shall be responsible or liable for any loss to the TRUST
ESTATE that may occur by reason of depreciation in value of the properties at
any time belonging to the TRUST ESTATE nor for any other loss to the TRUST
ESTATE that may occur, except that each Trustee shall be liable for its own
negligence or willful misconduct.
(20) Any Trustee may resign by filing a written instrument duly
acknowledged of record with the Clerk of Court of my County, which filing shall
deprive immediately any such resigning Trustee of all powers as Trustee
hereunder except those powers appropriate to the administration of the Trust
during the time required for the transfer of the Trust assets; provided,
nevertheless, that at least thirty(30) days prior to such filing, the resigning
Trustee shall give written notice thereof to those persons who could in the
discretion of the Trustee receive income from the TRUST ESTATE and are at
such time sui juris. No purchaser from, or other person dealing with, any Trustee
is obligated to examine such Records, and any such person acting in good faith
shall be protected in all transactions with any Trustee, whether or not any such
resignation has taken place.
(21) Upon the appointment and qualification of any successor Trustee, the
same duties shall devolve upon, and the same rights, powers, authorities,
Page 14 of 18
privileges, and discretions shall inure to it as to the Trustee originally designated
hereunder; and all rights, powers, authorities, privileges, and discretions shall be
exercised without the supervision of any court.
(22) If a corporate Trustee should, before or after qualification, change its
name, be reorganized, merged, or consolidated with, or acquired by any other
corporation, or be converted into or assign its trust functions to a different type of
entity, the resulting entity shall be deemed a continuation of the former one and
shall continue to act as Trustee or continue to be eligible to become a Trustee, as
the case may be.
(23). I direct that the Trustee pay all costs of maintenance on my
residence, including, but not limited to, insurance for the full replacement value,
taxes, assessments, and ordinary repairs so long as Linda L. Harvey resides
therein and meets the requirements of Part II, Paragraph D.
PART VI: MISCELLANEOUS
INVALID PROVISIONS: If any part of this Will shall be found to be invalid,
illegal, or inoperative for any reason, it is my intention that the remaining parts, so far as
possible and reasonable, shall be effective and fully operative. My Executor may seek
and obtain court instructions for the purpose of carrying out as nearly as may be possible
the intention of this Will as shown by the terms hereof, including any terms held invalid,
illegal, or inoperative.
Page 15 of 18
In Witness Whereof, I have set my hand and seal to this my last Will and
Testament, this�day of �'ln�/�'1 , 200"1.
(SEAL)
L y . ey, Sr.
Signed, sealed, published and declared by Larry E. Harvey, Sr., the above-named
testator, as and for his last Will and Testament, in the presence of us, who, at his request,
in his presence at the same time, have hereunto subscribed our names as witnesses.
a-ra� �. +�sm�,�.,� 1 o-.�Q.
(Signature of witness) Address
�
� � �N . �o��
Y
City tate Zip Code
,�i�� my Pk t���� c� .
e of witness) Address
�'l�,�Hn;�, �� »�sl'
City State Zip Code
. _
` (�(C�c� �'��Q 1l,�1l�(fz� ,��--
(Signature of tness) Address
���SG U+�G— C�/� � �1/�Z
City State Zip Code
Page 16 of 18
. •
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA :
SS.
COUNTY OF �i.�,w� � J��CZ�1� . :
I, Larry E. Harvey, Sr., the testator whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will; and that I signed
it willingly and as my free and voluntary act for the purposes therein expressed.
�
L y E. rvey, Sr.
Sworn to or affirmed and acknowledged before me by Larry E. Harvey, Sr., the
testator,this � � �'' day of ZN( CC (/7/�, , 200 7.
SEAL �
���
No�iiut� �t Notary ublic
:tE►�o fuaEn
Notc�a�r ►ubNc
G11�1Mt�O�OII�M,CIN�MD
My Commiwbn ExpMw Nov t�.ZO10
Page 1'7 of 18
�.�,..�:,.:
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA :
� V' �(� V� d : SS.
COUNTY OF� �,:,v�n :
We, Do�l�a�l�. �,-ehmw � �� �U�nr,�
and �J�- SPiFr�,�►'�y� , 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 the testator sign and execute the instrument as his
Last Will; that the testator signed willingly and executed it as his free and voluntary act
for the purposes therein expressed; that each subscribing witness in the hearing and sight
of the testator signed the Will as a witness; 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.
� �
tnes
�.
i ness
Sworn to or affirmed and subscribed to before me by � ���� �.-t�►'Yu�
,
'��^� P4�''�'"'`' , and t7��c- SP�E���+'�ti� , witnesses,
this �7 h day of l�l��� , 200�7.
SEAL i
. �� '_._---
..��
t�wt�utu►t sE�u ot Public
iTEIHEN O FU6ETT
Noto�r Vublic
CM�IINL�OROUf:�M.CUM�lIMD
My Commiaion EzpHu Nov 1 A, ZO10
Page 18 of 18
..�, �;s
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RENUNCIATIOI�T m � �, � �-"� �'
� y�. r r-� �-;..� ;,.,�
� � � � �:�_ ��:�
Iy U, °`J �, .;:��
REGISTER OF WILLS � ` �'' �-a
,� :.� . ..,�
C: r„�.
CUMBERLAND COUNTY, PENNSYLVANIA -� �: � � � ;�
`,,,�� 4`_ F. _ ;�i"3
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J � � �j 'TT�
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Estate of L A R R Y E• H A R V E Y, S R• ,Deceased
I, M & T B A N K , in my capacity/relationship as
(Print A'ame)
E X E C U T 0 R of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
LONNY L- HARVEY . �vM�.'?3� �.. �aCri
�:cr- :�s•��sr�ent
Tr�as� Ctsz�:cer
1�,� �: �� � � , ,
(DateJ gna rre)
213 MARKET STREET
(Slreet Address)
HARRISBURG PA 17105
(Crty,State,Zrp)
Executed in Register's Office Execute�l out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certi�ed
of , . that he or she executed the renunciat�'on for the
purposes stated within on this�e-day
of JUNE � 2013 .
l�f'i��Z',(/� lG� ° l L�Y���
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature and Seal of Notary or other offcial qualified to
administer oaths.Show date of expiration ofNotary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seai
Donna M.Langnaker,Notary Public
C�ly of hlarMsbury,Dauphin Counry
Form RN!06 rev. 10.l3.06 Commisslon Expiras Oet.27,2015
MEMBER,PENNSYLVANIA ASSOCIATIpN pF NpTqRIE$
:�,
n ° �s
w � rn
RENUNCIATION � � � � �
rn � � � u� �.:3
� D r ►—" r�� ;,r7
r � � -�.! �;,;; c:3
REGISTER OF WILLS � �? �
� � �
CUMBERLAND COiJNTY, PENNSYLVAN��' � � �` -��:
<:� c-� ,_ . . _'}
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Estate of LARRY E• HARVEY, SR• , Deceased
I, L I N D A L• H A R V E Y , in my capacity/relationship as
(Print Name)
W I F E of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
LONNY L. HARVEY ,
��� �--1 , � �� �
(DateJ (Signat reJ
19 BELLMORE ROAD
(Street Address)
CAMP HILL PA 17�11
(Ciry,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , . that he or she executed the renunciation for the
purposes stated within on this 4TH day
of JUNE , 2�13 ,
r ��y�
Deputy for Register of Wills Notary ic
M o ission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENN5YLVANIA
Notarial Seal
Jennifer S.K.Gross,Notary Public
Form RW-06 rev. /0.13.06 Camp hlill Boro,CumbErland County
My Commission Ex ires Se li 2016
MEMBER,PENNMYANU ASSOCfATdON OF NOTARI�S
_ �s
n w � ��
O �
� � C � �
RENUNCIATION � � � `�, !�
r�'+ s c�s —; �
�7 pY r' ►--` ;�; �;s
Y'- � fTt -�] ;:, �
� CI? � �;' �%'
REGISTER OF WILLS �' c� c� � '`' -��y
n �' "'' �.��: �_a
CUMBERLAND COUNTY, PENNSYLVANIA o � ►-� ;-- ;,-�
-�7 � t--� �� °
U� �
7� —J
Estate of i e R R� E. H A R V E Y, s R. , Deceased
I, I_A R R Y E. H A R V F Y, J R. , in my capacity/relationship as
(Print NameJ
c o N of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
IONNY L. HARVEY .
0(� -o7 -ao13 �- � ��-y
(Date) (Signature) j'
a�40 GILES CIRCLE AVENUE
(Street Address)
NORFOLK VA 23513
(City,State,Zip)
Executed in Register's Offce Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , . that he or she executed the renunci�on for the
purposes stated within on this�—day
Of JUNE , 2013 ,
. � �
Deputy for Register of Wills Notary Public
My Commissi Ex ires:
I�y t!nmrr+l��on�rpiret Maroh�'1��1�
(Signature and Seal of Notary other official qualified to
COU1t���er oaths.S I e ' , Notary's Commission.)
Cur�none,�canfVStat�r „tJt u
f ceriily Ff�is p be a eort�plete,f ,�tcUq�
@x�����ductioe ai orfpinal doct++�elf
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Form RW-06 rev. 10.13.06 ������
; �iy Cop�mission E�rpire�: 3/ ,.�,��
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RENUNCIATION � � � �' �
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REGISTER OF WILLS D � � —� � �
CUMBERLAND COLJNTY, PENNSYLVAI�A�; �� � �
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Estate of LARRY E. HARVEY, SR• , Deceased
I, LISn s. HaKVEY-BOLTON �ka r.i �a suP Bolton , in my capacity/relationship as
(Print Name)
D A U G H T E R of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
LONNY L. HARVEY ,
�O- �- ! � • _._
(Date) (Signature)
171 WEST MAIN STREET
(Street Address)
WINDSOR PA 17366
(Ciry,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , . that he or she executed the renunciation for the
purposes stated within on this � �"�� day
Of JUNE , 2013 .
�
�
I� �
Deputy for Register of Wills Notary Public
My Commission Expires: � 5 •��3
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
COMMOiVWEALTH OF PENNSY VANIA
�--NoteHal Seal
Kimberly L.Johnson,Notary Public
Form RW-06 rev. 10.13.06 Red Llon Boro,York County
My Commissfon Expires Aug.5,2013