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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the appropriate form:
Decedent's Information
Name: TERRY L.EARHART File No: 19?
a1k/a: TERRY LEE EARHART (Assigned by Register)
aWa:
atkla: Social Security No:
Date of Death: February 27,2014 Age at death: 71
Decedent was domiciled at death in Cumberland County, Pennsylvania (State)with his/her last
principal residence at 27 Eastgate Drive Camp Hilt Hampden Township Cumberland County Pennsylvania
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Seieet9pecialty Hospital Cam Hill Cumberland Count PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania.,........ .......... . ....... All personal property $ 5,000.00
If not domiciled in Pennsylvania, ........ .... Personal property in Pennsylvania S
If not domiciled in Pennsylvania. ............ Personal property in County $
Value of real estate in Pennsylvania......... . .. .................... . . . ..................... . $
TOTAL ESTIMATED VALUE. ... $ -----J 0-Q0.00
00
Real estate in Pennsylvania situated at:
(Attach additional sheets,dnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
F1 A. Petition for Probate and Grant of Letters Testamentary
Petitioners)aver(s)helsheRhey is/are the Executor{s}named in the last Will of the Decedent,dated and Codicil(s)
thereto dated r
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State relevant CIrCUrttStanee6 leg.renunciation,death afceeeatar, JrrI
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Except as follows: after the execution of the insemment(s)offered for probate Decedent did not many,was r(otdArbrFq,wabl+2tapa�tpa pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g)�aryl did nnoott havti s efiiPd born t or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. 7-- 7: o. 9
G NO FXCEPTIONS Q EXCEPTIONS c—i O -ri =3
B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,J.b.n.c.t.a.,pendente 13durante absin-lit,;d4%t inorieate
If Administration,c.t.a. or d.b.n.ca.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
Petitioner(s),after a proper search has1have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets,if'necessar}):
Name Relationship Address
Donna B.Earhan Spouse 27 Eastgate Drive
Camp Hill PA 17011
Hugh Earhart Son 2011 Dickinson Avenue
David Earhart Son 220 Dunbar Drive
Mechanicsburg,PA 17050
Allison Simpson Daughter 1012 W.Poplar Ave.
York PA 17404
rovw RW-o2 rev. 1011112011 Page I of 2
Oath of Personal Representative official Use Only
—
COMMONWEALTH OF PENNSYLVANIA }
( / } SS:
COUNTY OF �,L(
,. frtp{. 1&,,Gl }
Petitioner(s)Printed Name Petitioner(s)Printed Address
Donna B.Earhart 27 East ate Drive Camp Hill PA 17011
The Petitioner(s)above-named swear(s)or affronts)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 R epresentative(s)of the Decedent,the Petitioner(s)will well and truly administer the estate according to jaw,
Sworn too 'timed and s bscribed b �yj4 y{ Date 5
me th' da f -_, __ Date
y: _ Date
e 1 re Date
BOND Required: 0 YES (2) NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ 30.00 Art to Signature:
( 3 )Short Certi nts).. . ...... 15.00 --=�
( ) Renu il(s). . . . . . . . . . . . /S,00 �
( )Affidavit(s).. . . . . . . . . . .
Bond... . . .. — . . . .. . . .. . . . . Printed Name: Vance E.Antonacci,Esq./David M.Watts,Sr.
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other to Number: 83725(Antonacci);42232(Watts)
Inh.Tax Return . . . . . . 15.00 0 '
Inventory ... . . . 15.00 Firm Name: McNees Wallace& Strrick LLC rn s
. • . . . . . . Address: 100 Pine Street O n
. . . . . • • . PQ Box 1166
... . .... Harrisbure,PA 171m-6 65=
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x co, a s
Phone: 717-581-3701 _ o
Automation Fee. . . . . . . . . . . . . . . _ 5.00 Fax: 717-291-2 18 0 '?T_
JCS Fee, . . . . . ... . . 23.50 Email: vantnnacri�,inwn rnc— ,� ~ ,
TOTAL, . . . . . . . . . . . . . . . r= R7
(!) Co
DECREE OF THE REGISTER
Estate of TERRY:.I{ EARHART File No:
aWa: TprrX Len Farb rrt jyJ
AND NOW, /�J t in consideration of the foregoing Petition,
satisfactory proof having been 16esented before me,IT IS DECREED that Letters of Administration
are hereby granted to Donna B.Earhart
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.
gister of Wills
Form RW-02 rev. 1011112011 Page 2 of 2
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RENUNCIATION
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� / � REGISTER OF WILLS o -o ryt
LaILII�COUNTY, PENNSYg9I7D Z3
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Estate of ��I \IC y != 1 t/l(7 1 t K7 Deceased
I, P ur5 t--I t= ii Rt—I AR 1 in my capacity/relationship as
(Print Name)
-S O hC __of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
-DtpNN A B, EPEP1 R I
✓✓ S�Z3 � 2c� 1 �(
(Date) (Signature)
(Street Address)
,�rn P { f/ LLr P/ l70&
(City,state.ZiP)
Executed in Register's Of 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 renunciati n for the
purposes stated within on this day
of 90 1 it
Deputy for Register of Wills Notary Public
My Commission Expires:
(Signature.and Stal of Notary or other official qualified to
administer oaths- Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Naomi Losch,Notary Public
city or Harrisburg,Dauptim County
F'ann R PY-06 rev. 10 13,06 My CommlWon E*bes Aug.16,2015
MEMBER,PENNSYLVANIA ASSOOAT(ON OF NOTARIES
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RE NUNCIATION
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REGISTER or WILLS ,1 ` a
C� COUNTY, PENNSYLVANIA
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CD c cr�
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Estate of � �T �� Deceased
I, `J1� I�/t/ � in my capacity/relationship as
(Print Name)
90 _of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
-5] 2411f _
(Dale) (Signature)
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(Sweet Address)
Q50
(ary.state.zrp)
Executed in Register's Of 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 '4 day
Deputy for Register of Wills Notary Publl --- —_-
My Conunission Expires:
l
(signatuee.and Seal of Notary or other official qualified to
'administer oa!hs. Show date ofexpiralion of Notary's Commission)
COMMONWEALTH OF PENNSYLVANIA
NOTARIALSEAL
GINA KOLANKO,Notary Public
Hampden UP.,Cumberland County
Form xw-oe re, 10 13.0e My Commission Expires February 12,2010
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RENUNCIATION :
RE ISTER OP WILLS n N r`i
COUNTY, PENNSYLVANIAN ry cn o
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Estate of LEE FARM Deceased
I,
in my capacity/relationship as
(PrineN me� ..
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
5IaLi 'Al ' M
(Dale) - (Signawre)
Ll
(S'n-eetAddrexs)
(Cily,pmre..7ip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Pofore 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 zD_�j_day
f_
Deputy for Register of Wills Notal r Public
Nly Commission Expires:
(Signetdre and Seal of Nolm'y or other official quah5ed to
administer oaths. ShowcLVC,ofeNraiion of Notary's Commission.)
����JJMMMM N07ARIAL.g�VANIA
GINA KO�,gNKO,Notary public
MY Commi n Ex Cumberlantl Count'
Forty RN-06 rev. 10,13.06 Pires February 12,2ptg
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA ADMINISTRATION
No. 2014- 00517 PA No. 21- 14- 0517
Estate Of: TERRY L EARHART
(First,Middle,Last)
a/k/a: TERRY LEE EARHART
Late Of: HAMPDEN TOWNSHIP
CUMBERLAND COUNTY
0 Deceased
Social Security No.
WHEREAS, TERRY L EARHART
Tnst.Middle,Lasil
a/k/a TERRY LEE EARHART
late of HAMPDEN TOWNSHIP CUMBERLAND COUNTY
died on the 27th day of February 2014 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, LISA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
DONNA B EARHART
who has duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and has agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURTHOUSE, CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 27th day of May 2014.
Y��
1*( D uty
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
May 24, 2014
Please send all the certificates to me:
Donna Earhart
27 Eastgate Drive
Camp Hill, PA 17011
Thank you.
Sincerely, �p
Donna Earhart ,
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