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IN RE: THE MATTER OF KACY L. : COURT OF CONAAON PLktS (4'la'
ANDERSON, A MINOR CUMBERLAND COUNTY,PENNSYLVANIA
: ORPHANS' COU T DIVISION
: NO. 21-14-��— --
PETITION FOR THE APPOINTMENT OF A GUARDIAN OF THE ESTATE OF A MINOR
UNDER THE AGE OF EIGHTEEN (18) YEARS, IN ACCORDANCE WITH 20 PA. C.S.5111(a),
AND FOR DEPOSIT OF THE FUNDS INTO A RESTRICTED BANK ACCOUNT
TO THE HONORABLE,THE JUDGES OF SAID COURT:
The Petition of SHERRY L.ANDERSON and CAROLJ.SNYDER,respectfuuyrepresent
that:
1. The minor is KACY L. ANDERSON,born September 7, 2003, who resides part-time
with her mother, Sherry L.Anderson, and also with her father, Donald E. Anderson Jr.
2. The Petitioner SHERRY L.ANDERSON,biological mother of the minor child, resides
at 914 Bosler Avenue,Lemoyne, Pennsylvania 17043.
3. The Petitioner CAROLJ.SNYDER,maternal grandmother of the minor,resides at 3851
Dora Drive, Harrisburg,Pennsylvania 17110.
4. The biological father of KACY L.ANDERSON,born September 7,2003 is DONALD
E.ANDERSON,who resides at 558 Walnut Street,Lemoyne,Pennsylvania 17043,who
consents to the Petition as being presented,which Consent is attached hereto.
5. No guardian has been appointed, and it is necessary that a guardian of the estate of the
minor be appointed because the minor is named as a Beneficiary in the Will of her great-
aunt, Sara J. Ross (67-13-0145), and receives a distribution from her great-aunt's estate
equal to$71,714:48(sec BELCO Community Credit Union statement attached as Exhibit
W).
6. SARA J. ROSS ("Decedent") departed this Earthly life on December 28,2012,leaving a
Last Will and Testament dated August 15,2008,which was probated in the Office of the
Register of Wills of York County, Pennsylvania on January 24, 2013.
1Aw OFF{CE OF
WM.D.SCMACKM 7. Letters Testamentary were granted to your Petitioner,Sherry L.Anderson,as evidenced
by the information contained in Register of Wills File No. 67-13-0145.
8. The interest of Kacy L. Anderson should be represented by Sherry L. Anderson and
Carol J.Snyder,your Petitioners in this matter,because the Testatrix specifically provided
that her niece, Sherry L. Anderson, be appointed.Trustee.of the sums received by the
Beneficiary at the time of her death.
9. Control of the account of Kacy L.Anderson shall be maintained until September 7,2021,
the date upon which Kacy L. Anderson attains the age of 18 years.
WHEREFORE,Petitioners request that the Court appoint SHERRY L.ANDERSON and
CAROLJ.SNYDER as Guardians of the Estate of Kacy L.Anderson,and authorize the distribution
of assets from the Estate of Sara J. Ross, Deceased, to her, for the benefit of the minor, with which
proceeds to purchase an insured savings certificate in her name, as Guardians of the Estate of the
above-named minor, marked as set forth in the Decree attached hereto.
Respectfully s
6 HRACK, III
Attorney for Petitioners
1AW OFFICE OF
WM.D.SCnRACK III
BELC O
C:i,7hLNU N1Y1' ('Hk C+IT �.1N1l+N
BELCO COMMUNITY CREDIT UNION
CAMP HILL BRANCH
3500 TRINDLE RD
CAMP HILL PA 17011-4439
Inquiries Call: 800-642-4482
Acot X486 SARA J ROSS ESTA
-Eff: 08/13/14 Date : 08/13/14
Tlr: 1349
1 : 46pm
Withdraw from SAVINGS 0001
Prev Bal: 1.34 ,557 . 26
Amount :
New Bal: 500 . 00
Seq:
134 , 057 . 26
#282860
Deposit to CHECKING 0040
Prev Bal: 8 , 871 . 70
Amount : 500 . 00
New Bal: 9 , 371 . 70
Seq:
#282861
Aoct X486
Avail Bal 50001 134 ,052 . 26
Avail Bal S0040 9 ,371 . 70
Authorized by
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EXHIBIT "A"
IN RE: THE MATTER OF EVAN C. COURT OF COMMON PLEAS
ANDERSON and KACY L. CUMBERLAND COUNTY, PFNNSYLVANIA
ANDERSON, MINORS ORPHANS' COURT DIVISION
NO.
VERIFICATION
I, SHERRY L. ANDERSON, the Petitioner herein, verify that the facts set firth in this
Petition ill the above-captioned action are true and correct to die hest of nn knowled c, inliu nation,
:md belief. This verification is made subject to the penalties ol'Section ,,1901 c>f the Crimes Code (18
Pa. C.S. §1901) relating to unsworn f clsilication to authorities.
SHERRY L. ANDERSON
LN�1 Orrice or
Wm.D.SCI ukAC'K Ill
IN RE: THE MAT'T'ER OF EVAN C. : COURT OF COMMON PLEAS
ANDERSON and KACY L. : CUMBERLAND COUNTY, PENNSYLVANIA
ANDERSON, MINORS : ORPHANS' COURT DIVISION
NO.
1ERIFICAT-10
I, CAROLJ. SNYDER, the Petitioner herein,verify that the facts set I-ol-tb in (his Petition in
the above-captioned action arc true and correct to (lie best of my knowledge,information,anci belief.
This verification is made subject.to the penalties of Section 4904 of the Crimes Colic (18 Pa. C.S.
§4904) relating(o unsworn falsification to authorities.
—
---------------- ! _ L_
CAROL J. SNYDER
LnN- OI'FIO'l1 rF
W m.D.Sc�l-nv c'K III
IN RE: THE MATTER OF EVAN C. : COURT OF COMMON PLEAS
ANDERSON and KACY L. CUMBERLAND COUNTY, PENNSYLVANIA
ANDERSON, MINORS : ORPHANS' COURT DIVISION
NO.
CONSENT
I,the undersig(icd, DONALD E.ANDERSON,Jr.,father of EVAN C.ANDERSON and
KACY L.ANDERSON,consent to the appointment by the Court of SHERRY L.ANDERSON as
Guardian of the Estate of tltc minors thatarc al iliated with the bequest Ibr(Ile purix>sc of uiana,;dnn
bequests from dtc ESTATE OF SARA J. ROSS.
/ �G ' _ -
--- ------- -----
DONALD E. ANDERSON,Jr.
UXI onquim
IN RE: THE MATTER OF EVAN C. COURT OF COMMON PLEAS
ANDERSON and KACY L. CUMBERLAND COUNTY, PENNSYLVANIA
ANDERSON, MINORS ORPHANS' COURT DIVISION
NO.
CONSENT OF PROPOSED GUARDIAN
1. I,flit;undersigned,SHERRY L.ANDERSON,liercby consent to act as Guardian of the
ESTATES OF EVAN S. ANDERSON and KACY L. ANDERSON.
2. I, Sherry L. Anderson, presently reside at 914 13oslcr Avenue, Lemoyne, Pennsylvania.
3. I wn a citizen of tlic I7nitcd States of America, and caul speak., read and write the I;ngli:li
language.
4. lam the Executor of the Last Will and Testament of SARAJ. ROSS, (lie ,neat.runt of
the su(ject Minors who will immediately upon being appointed tralislcr the bequest ol'lhc
great-aunt to Elie Minors` estate, and in such capacity have no interest adverse to the
Minors.
SHERRY L. }ANDERSON
Proposed Guardian
fay% orriceor
w}t.D.S HAC%III
IN RE: THE MATTER OF EVAN C. : COURT OF COMMON PLEAS
ANDERSON and KACY L. CUMBERLAND COUNTY, PENNSYLVANIA
ANDERSON, MINORS : ORPHANS' COURT DIVISION
NO.
CONSENT OF PROPOSED GUARDIAN
I. I, the undersigned, CAROL J. SNYDER, hereby consent to act as Guardian of the
ESTATES OF EVAN S. ANDERSON and KACY L. ANDERSON.
2. I, Carol J. Snyder, presently reside at 3851 Dora Drivc, Harrisburg, Pennsylvania.
3. I m7 a citizen of the Ilnited Slates of America, and can speak, read and Write the English
language.
4. As the grandmother of the.sub.ject.Minors, I have no interest adverse to the Minors.
AACAROLJ. SNYDER
Proposed Guardian
L,w O!^mcr:OF
Wm.D.S( lA(KIII