The URL can be used to link to this page

Home My WebLink About09-05-14 � , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of : TERRY L. EARHART : : No. 2014-00517 Late of Hampden Township, : Deceased : DISCLAIMER OF INTEREST PURSUANT TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES AND FIDUCIARIES CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE TAX ACT, AND SECTION 2518 OF THE INTERNAL REVENUE CODE 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. Allison Simpson of 1012 W. Poplar Avenue, York, PA 17404 (hereinafter "Disclaimant") desires to disclaim her right and interest to her 1/3�d share of the one-half of the estate residue passing to the DecedenYs issue. 5. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. C.S. § 6201) provides that any person to v✓hom an interest in property would have devolved may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes � � � the interest disclaimed, (b) declares the disclaimer and extent thereof, and (�i�signed 6y tl� � � � :.n ci a disclaiming person. � _ � -° `� � :� T,, r-- ,.,^� r,-i � -�'• �' CJl �-rj C7 z,� cn _. �._ :;Y_. . c.j � :� ;-:. �:�� `'� � 3 .�- -?� ., �, ,, � � ,. 1 y C�J F- t�1 --, r .� ~ N 't1 � �� 6. Disclaimant has been advised of the legal and tax consequences of executing this Disclaimer. 7. Disclaimant therefore does hereby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that Disclaimant does or may have to a 1/3�d share of one-half of the estate residue passing to the Decedent's issue. 8. It is the intent of Disclaimant that this Disclaimer constitute a qualified disclaimer under law, inciuding Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its provisions be so interpreted. IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions concerning the validity of this Disclaimer, Disclaimant has hereunto set her hand and seal this�day of , 2014. WITN SS: DISCLAIMANT: �� lison Simpson COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF CvrvL��cn,�G� : On this, the o�"�day of �� , 2014, personally appeared Allison Simpson, known to me to be the person whose name is subscribed to the foregoing Disclaimer and acknowledged that she executed the same for the purposes therein specified and further stated that she desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial seal. f, r co�+� ni �ENr; r�v Ni� <� � r�pT�nN.SE� otary Public MICHELLE dAKER.NNary rurli Hart►p�a�7iwp..CumbeAand GunlY iwly Cormdssion EA�w INaY 7�ZOtB 2 . � IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of : TERRY L. EARHART : r..� � No. 2014-�517 ° �, Late of Hampden Township, : � �o �� r�'-�' p . -v Deceased : `�' � �' -° �'`� r-�a .�-�� r� rn ,"� rt3 � � ::� c� . _ . ; . �'::7 �a DISCLAIMER OF INTEREST PURSUANT ' `�`' �-� � ��n �'�' TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES AN�>�tflUC1ARIES"� � CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE TA��CT, A�1'D ,•�— rn SECTION 2518 OF THE INTERNAL REVENUE CODE�W�� '—' "' Q 00 `'� 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. F'ursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. Allison Simpson disclaimed her right and interest to her 1/3`d share of the one- half of the estate residue passing to the Decedent's issue; therefore her disclaimed share would pass to her issue, namely Jakyra Simpson, Aryana Simpson, and Alaina Simpson. 5. Aryana Simpson (age 16) and Alaina Simpson (age 14) are minors, therefore Allison and Ryandell Simpson, as the natural guardians of their respective estates (hereinafter the "Disclaimants") hereby desire to disclaim on behalf of Aryana and Alaina, any right and interest to the estate residue passing to them as a result of the disclaimer of Allison Simpson. 6. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. C.S. § 6201) provides that any person to whom an interest in property would have devolved h� may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes the interest disclaimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. 7. Disclaimants have been advised of the legal and tax consequences of executing this Disclaimer. 8. Disclaimants, as the natural guardians for the estates of Aryana and Alaina Simpson, therefore do hereby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that Aryana and Alaina do or may have to the estate residue passing to them as a result of the disclaimer of Allison Simpson. 9. It is the intent of Disclaimants that this Disclaimer constitute a qualified disclaimer under law, including Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its provisions be so interpreted. IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions concerning the validity of this Disclaimer, Disclaimants have hereunto set their hand and seal this ��`� day of_�J��. , 2014. WITN S. DISCLAIMANTS: � li �14 AI ison Simpson, Natural uardian for Aryana Simpson and Alaina Simpson � � Rya dell Simpso , Natural G ardian for Aryana Simpson and Alaina Simpson 2 . � COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF ��ti��a-�-��,� cf� : On this, the��day of �J� _, 2014, personally appeared Allison Simpson and Ryandell Simpson, known to me to be the individuals whose name are subscribed to the foregoing Disclaimer and acknowledged that they executed the same for the purposes therein specified and further stated that they desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial seal. COMMOf�W ALTH OF P Ni: YWANIA ' NOTARfAL 3EAL Z.��A:�C, /��=� NdCHELLE W1KER,Nota�►Pub1iC Hampden7w�.,Cwn�mndC,�ur�► otary Public �hrco�or+�s��.�o�a 3 , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of : . � TERRY L. EARHART : c � � � � No. 2014-0(�1� cr� � c� Late of Hampden Township, : rn z � � ,�, � . =�� y, r- ..,; c� Deceased : f~ � �� "�' �� rn _.., 1�� E7 c'� �"_a ,.,,, — "T7 <�� e.`� � ',r7 '�'1 _� .,. `�i � '�1 DISCLAIMER OF INTEREST PURSUANT ' -'-j w �.. rn TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES AND,�IDUCIA�S � p CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE TAX ACT, A1�D 'T� SECTION 2518 OF THE INTERNAL REVENUE CODE ; 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. Allison Simpson disclaimed her right and interest to her 1/3�d share of the one- half af the estate residue passing to the Decedent's issue; therefore her disclaimed share would pass to her issue, namely Jakyra Simpson, Aryana Simpson, and Alaina Simpson. 5. Jakyra Simpson, currently residing at 1012 W. Poplar Avenue, York, PA 17404 desires to disclaim her right and interest to the estate residue passing to her as a result of the disclaimer of Allison Simpson. 6. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. C.S. § 6201) provides that any person to whom an interest in property would have devolved may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes � � the interest disclaimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. 7. Disclaimant has been advised of the legal and tax consequences of executing this Disclaimer. 8. Disclaimant therefore does hereby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that Disclaimant does or may have to the estate residue passing to her as a result of the disclaimer of Allison Simpson. 9. It is the intent of Disclaimant that this Disclaimer constitute a qualified disclaimer under law, including Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its provisions be so interpreted. IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions concerning the validity of this Disclaimer, Disclaimant has hereunto set her hand and seal this��day of �vl , 2014. WIT DISCLAIMANT: �— akyra Si pson 2 COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF �-v��"��'�-� : � � On this, the ��day of J l , 2014, personally appeared Jakyra Simpson, known to me to be the person whose name is subscribed to the foregoing Disclaimer and acknowledged that she executed the same for the purposes therein specified and further stated that she desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial seal. ,�,: r ° � MONWEfiL1ii F PENh Y VANIA � �'y� S�r��'�' r�OTA�t�.SEnt. Notary Public MICHELLE BAKER,Notary PubiC Nampren Twp..Cumberla�d CaKMf► My Cort�misslon Expires MaY 7�20/0 3 , , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION � Estate of : � � � rn . 3' � ti:l7 G� O TERRY L. EARHART : rn � r> �° '�' p : No. 2014-OQ�'� �., ;��y r� cn ,�� r� Late of Hampden Township, : �,: c, �� _ . .;�:��c.� : r_: -c� �� -�n Deceased : '�=�' °�,r � '"' � : r__. :'�: c-� ::t w r= rn .._,� r �. � � Q DISCLAIMER OF INTEREST PURSUANT ` °° � � TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES AND FIDUCIARIES CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE TAX ACT, AND SECTION 2518 OF THE INTERNAL REVENUE CODE 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and' Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. Hugh Earhart of 2011 Dickinson Avenue, Camp Hill, PA 17011 (hereinafter "Disclaimant") desires to disclaim his right and interest to his 1/3rd share of the one-half of the estate residue passing to the Decedent's issue. 5. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. C.S. § 6201) provides that any person to whom an interest in property would have devolved may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes the interest disclaimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. � � . . 6. Disclaimant has been advised of the legal and tax consequences of executing this Disclaimer. 7. Disclaimant therefore does hereby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that Disclaimant does or may have to a 1/3�d share of one-half of the estate residue passing to the Decedent's issue. 8. It is the intent of Disclaimant that this Disclaimer constitute a qualified disclaimer under law, including Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and sectiorr 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its provisions be so interpreted. IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions concerning the validity of this Disclaimer, Disclaimant has hereunto set his hand and seal this �U day of �U N� , 2014. WITNESS: DI IMANT: �"ti.�ui-�� G�. SW aw�ye.�c- Hu Earhart COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF : On this, the� day of �U,�,� , 2014, personally appeared Hugh Earhart, known to me to be the person whose name is subscribed to the foregoing Disclaimer and acknowledged that he executed the same for the purposes therein specified and further stated that he desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial seal. �.`�� Notary Public COMMONWEAL�Ii OF PENNSYLVANIA Notarlal Seal Naomi Losch,Notary Public 2 My�Commlasslon Explres Aug.6 u2015 MEMBER,PENNSfLVANIA A550Cl/t''[ON OF NOTARIES . . !N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of : �-�, : � s � � TERRYL. EARHART : � ° rn � : No. 2014-C�5� � v� � �° Late of Hampden Township, : � x�� — '�� ;"-- s m ; '�. � - ' � .�:�; c� Deceased : '=' � , � _.� � . ca �,- r' DISCLAIMER OF INTEREST PURSUANT � � TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES ANI7"�IDUCIAf�1fS � � CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE TAX ACT, AND SECTION 2518 OF THE INTERNAL REVENUE CODE 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. Hugh Earhart disclaimed his right and interest to his 1/3�d share of the one-half of the estate residue passing to the Decedent's issue; therefore his disclaimed share would pass to his issue, namely Matthew Earhart, Daniel Earhart, and William Earhart. 5. Matthew Earhart, currently residing at 2011 Dickinson Avenue, Camp Hill, PA 17011 (hereinafter the "Disclaimant") desires to disclaim his right and interest to the estate residue passing to him as a result of the disclaimer of Hugh Earhart. 6. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. C.S. § 6201) provides that any person io whom an interest in property would have devolved may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes �J' � . ti the interest disclaimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. 7. Disclaimant has been advised of the legal and tax consequences of executing this Disclaimer. 8. Disclaimant therefore does hereby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that Disclaimant does or may have to the estate residue passing to him as a result of the disclaimer of Hugh Earhart. 9. It is the intent of Disclaimant that this Disclaimer constitute a qualified disclaimer under law, including Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its provisions be so interpreted. IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions concerning the validity of this Disclaimer, Disclaimant has hereunto set his hand and MM NWEALTH OF PENNSVlVAN1� seal this ��h day of �f� 2014. NoT'�tw's�u' � ' Shannon M.CoveR,Nohry Pubtk Lsmoyne Cumbetimd County � �ssion Fatpins Feb.25,2Qt3 ,*ENIIiYLYAMM AtiOCfATION OF N::�:=:F' WI --- DI NT: -� _.. � __ , , � Matthew Earhart 2 COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF : ... , On this, the /G-'''' day of ;'��`;'._'� , 2014, personally appeared Matthew Earhart, known to me to be the person whose name is subscribed to the foregoing Disclaimer and acknowledged that he executed the same for the purposes therein specified and further stated that he desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial seal. , �� - ,�..�_. ...�;.� 1''�' ��., _ ,�.� Notary Public � 3 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION � Estate of : � o `� rn �rn-, c� � ,-`�'r, �'' o TERRY L. EARHART : � � c� `n <n � : No. 2014-(3(�5�' � �.y r-6; n Late of Hampden Township, : �= � = ' '`' ° �� : ' �a _ 'n -�-� -7-� Deceased : � � -' -" � ; , w �� rn _, _� r... F... � c> DISCLAIMER OF INTEREST PURSUANT r °Q � TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES AND FIDUCIARIES CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE TAX ACT, AND " SECTION 2518 OF THE INTERNAL REVENUE CODE 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. Hugh Earhart disclaimed his right and interest to his 1/3�d share of the one-half of the estate residue passing to the Decedent's issue; therefore his disclaimed share would pass to his issue, namely Matthew Earhart, Daniel Earhart, and William Earhart. 5. Daniel Earhart, currently residing at 2011 Dickinson Avenue, Camp Hill, PA 17011 (hereinafter the "Disclaimant") desires to disclaim his right and interest to the estate residue passing to him as a result of the disclaimer of Hugh Earhart. 6. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. C.S. § 6201) provides that any person to whom an interest in property would have devolved may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes � � the interest disclaimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. 7. Disclaimant has been advised of the legal and tax consequences of executing this Disclaimer. 8. Disclaimant therefore does hereby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that Disclaimant does or may have to the estate residue passing to him as a result of the disclaimer of Hugh Earhart. 9. It is the intent of Disclaimant that this Disclaimer constitute a qualified disclaimer under law, including Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its provisions be so interpreted. IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions concerning the validity of this Disclaimer, Disclaimant has hereunto set his hand and seal this .�y� day of Su�y , 2014. WITNES � .�'' � DIS IMA T: f,� ___------- aniel E art 2 COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF : On this, the �Y�+ day of J��y , 2014, personally appeared Daniel Earhart, known to me to be the person whose name is subscribed to the foregoing Disclaimer and acknowledged that he executed the same for the purposes therein specified and further stated that he desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial seal. �� COMMDN�Al.T�I�F PENIVSYLVANIA NotaAal Seal Robert).Ator,Notary Public MAdison 7Wp.,COlumbia County My CommiSSfOn res Nov.29 2015 MEMBER;P€NN$1'6VAMJA 1TON OF NOTAttIE$ 3 � IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, P�INSYLVf�IA � ORPHANS' COURT DIVISION � o �� c-m� � r.T, ,,,... a r, c; Estate of : � � �... � `-� � . ;- _;� ,,-� � ;:� ra TERRY L. EARHART : �� ' . . _�� ca ,_�.. � _� -� : No. 2014-Otl5:1;7 > � _, -�-, Late of Hampden Township, : � ` w �- � : � , r� Deceased : . '—' �' -°� c�o DISCLAIMER OF INTEREST PURSUANT � TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES AND FIDUCIARIES CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE TAX ACT, AND SECTION 2518 OF THE INTERNAL REVENUE CODE 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. Hugh Earhart disclaimed his right and interest to his 1/3�d share of the one-half of the estate residue passing to the DecedenYs issue; therefore his disclaimed share would pass to his issue, namely Matthew Earhart, Daniel Earhart, and William Earhart. 5. William Earhart is a minor, therefore Hugh and Rebecca Earhart, the natural guardian of William's estate, (hereinafter the "Disclaimants") hereby disclaim on behalf of William, any right and interest to the estate residue passing to him as a result of the disclaimer of Hugh Earhart. 6. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. C.S. § 6201) provides that any person to whom an interest in property would have devolved may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes 1 � the interest disclaimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. 7. Disclaimants have been advised of the legal and tax consequences of executing this Disclaimer. 8. Disclaimants as the natural guardians of the estate of William Earhart therefore do h�reby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that William does or may have to the estate residue passing to him as a result of the disclaimer of Hugh Earhart. 9. It is the intent of Disclaimants that this Disclaimer constitute a qualified disclaimer under law, including Chapter G2 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its provisions be so interpreted. IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions concerning the validity of this Disclaimer, Disclaimants have hereunto set their hand and seal this �J day of ��N� , 2014. WITNESS: DISCLAIMANTS: r�'tiA�l/y��► Cc S v r.�-�f� �� Hugh Earhart, Natural Guardian for William Earhart „ � i �� C,� SW�� Rebec a arhart, Natural Guardian for William Earhart 2 COMMONWEALTH OF PENNSYLVANIA : COUNTY OF��1��n : SS: On this, the�� day of �i�t,�_ , 2014, personally appeared Hugh Earhart and Rebecca Earhart, known to me to be the individuals whose names are subscribed to the foregoing Disclaimer and acknowledged that they executed the same for the purposes therein specified and further stated that they desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial seal. Notary ublic COMMONWEAL'i'F�OF PENNSYLVANIA Notarial Seal Naomi Losch,Notary public Gty of Harrisburg,Dauphin County My Commission Exp�res pug,16,2015 MEMBER,pENNSY�VANIA A$Spap'npN Of NOTARIE$ 3 � � IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of : : �, TERRY L. EARHART : c� � � � � No. 2014-0�5� J.� � o Late of Hampden Township, : �► -� � r�, x, : � � r-�-- ._� c�. Deceased : `� -:- r', � � � „. c�= -" . _ _ . . , -_;,, � �:.:.; �-, , _, -ta --� -r� �-, ::, �,� � . �,,, -n DISCLAIMER OF INTEREST PURSUANT `-� r`; �` � TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES AND:FI�UCIARY�ES r-r- m CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE T�f ACT, Af� �.' -a*t SECTION 2518 OF THE INTERNAL REVENUE CODE 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. David Earhart of 220 Dunbar Drive, Mechanicsburg, PA 17050 (hereinafter "Disclaimant") desires to disclaim his right and interest to his 1/3�d share of the one-half of the estate residue passing to the Decedent's issue. 5. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. � C.S. § 6201) provides that any person to whom an interest in property would have devolved may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes the interest disclaimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. � � ', ,. 6. Disclaimant has been advised of the legal and tax consequences of executing � this Disclaimer. 7. Disclaimant therefore does hereby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that Disclaimant does or may have to a 1/3�d share of one-half of the estate residue passing to the Decedent's issue. 8. It is the intent of Disclaimant that this Disclaimer constitute a qualified disclaimer under law, including Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its' provisions be so interpreted. ` IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions conc,erning the validity of this Disclaimer, Disclaimant has hereunto set his hand and� (� v �5�-�— seal this�day of , 2014. WIT . DISCLAIM N : c---°-- ---� � \ --� David Earhart COMMONWEALTH OF PENNSYLVANIA : ��( SS: COUNTY OF ��1 : On this, the�day of � v , 2014, personally appeared David Earhart, known to me to be the person whose name is subscribed to the foregoing Disclaimer and acknowledged that he executed the same for the purposes therein specified and further stated that he desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my han n otarial s COMM6hii�f lu.t� NOt IIC NOTARIRL SEAL CHERYL�.GARMAN,Notary Public Hampden iwp.,Cumberland County . My Commission Expires May 20,2016 � 2 . , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION � Estate of : � o � rn � : �, z' "��-�'.; c' o TERRY L. EARHART : � � ca � �J~� � : No. 2014r60�1 f P � >�� rv; Late of Hampden Township, : ;� G� �� ;°'' � . �� ..� �> �s . �..' _�.3 `�t Deceased : ` � �''' . - "� c`� _ .:. , -, w . , �:_,; r- rn DISCLAIMER OF INTEREST PURSUANT . E-... � c� TO CHAPTER 62 OF THE PENNSYLVANIA PROBATE, ESTATES AND FIDUCI�IES � CODE, SECTION 9116(c) OF THE PENNSYLVANIA INHERITANCE TAX ACT, AND SECTION 2518 OF THE INTERNAL REVENUE CODE 1. Terry L. Earhart died intestate on February 27, 2014. 2. Terry L. Earhart was survived by his spouse, Donna B. Earhart, and his three (3) children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sections 2102 and 2103 of the Pennsylvania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: (1) First $30,000 plus one- half of the estate residue to the Decedent's spouse, Donna B. Earhart, and (2) one-half of the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. David Earhart disclaimed his right and interest to his 1/3�d share of the one-half of the estate residue passing to the Decedent's issue; therefore his disclaimed share would pass to his issue, namely Joshua Earhart, Cole Earhart, Reese Earhart, Bryn Earhart, and Jude Earhart. 5. Cole (age 7), Reese (age 4), Bryn (age 3), and Jude (age 8 months) are minors, therefore David and Ginger Earhart, as the natural guardians of their respective estates, (hereinafter the "Disclaimants") hereby disclaim on behalf of Cole, Reese, Bryn, and Jude, any right and interest to the estate residue passing to them as a result of the disclaimer of David Earhart. �?' � 6. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code (20 Pa. C.S. § 6201) provides that any person to whom an interest in property would have devolved may disclaim that person's interest in whole or in part by a written disclaimer that (a) describes the interest disclaimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. 7. Disclaimants have been advised of the legal and tax consequences of executing this Disclaimer. 8. Disclaimants as the natural guardians of the estates of Cole Earhart, Reese Earhart, Bryn Earhart, and Jude Earhart therefore do hereby and forever irrevocably disclaim, renounce, and refuse to accept all right, title, and interest that Cole, Reese, Bryn, and Jude do or may have to the estate residue passing to them as a result of the disclaimer of David Earhart. 9. It is the intent of Disclaimants that this Disclaimer constitute a qualified disclaimer under law, including Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(c) of the Pennsylvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the Internal Revenue Code of 1986 (26 U.S.C. § 2518(b)), and that it and all of its provisions be so interpreted. IN WITNESS WHEREOF, intending to be legally bound and intending to comply with all provisions concerning the validity of this Disclaimer, Disclaimants have hereunto set their hand and seal thisC�'" 'day of � ��, 2014. W ESS: DISCLAIM S: � �L1.. David Earhart, Natural Guardian for Cole Earhart, Reese Earhart, Bryn Earhart, and Jude Earhart � � _ "V ' � '�. ,"��. j Ginger Earh� rt, afural Guardian for Cole Earhart, Re se Earhart, Bryn Earhart, and Jude Earhart 2 . . , COMMONWEALTH OF PENNSYLVANIA : SS: COUNTY OF �v� _ : On this, the'� ay of �� , 2014, personally appeared David Earhart and Ginger Earhart, known to me to be the individuals whose names are subscribed to the foregoing Disclaimer and acknowledged that they executed the same for the purposes therein specified and further stated that they desired that such Disclaimer be recorded as such to the extent required by law. IN WITNESS WHEREOF, I have hereunto set my hand and Notarial seal. ) COMMBMWtI�i.ta� NOTARIAL SEAL CHERY�R.GARM/W,Natary Put�ic No a Ublic Hampder�Twp•,Cumbedand Couniy My Commission Expices May 20,2016 3 � l � IN THE COURT OF COMMON PLEAS UF CUMBERLAND CDUNTY, PENNSYLVANIA O;RPHANS' COURT t�IVISIQN � Estate of • c� � � � • c Q rn c� TERRY L. EARHART � � � �„� � cn � � No. 2014-Ofl51�' n � �-�i � Late of Hampden Township, : �.,. =� `,' v' �� ' ...� G'' ' p O Deceased . ' r-' ,.' '° �' � . -,� � �::: c� ; c.,� r' t� �`', i--� DiSCLAIMER OF iNTEREST PURSUANT �� a~a � p TO CHAPTER 62 C�F THE P�NNSYLVANIA PROBAT�, ESTATES AND FtDUCIARIES CO�E, SECTIDN 9116(c) OF THE P�NwSYl�VANIA INHERITANG� �AX AGT, AN�D SECTION 25'I$ f3�THE INTERNAL REVENUE CpDE 1. Terry �. Earhart died intestate on February 27, 20�4, 2. Terry L. Earhart was survived by his spouse, Donna 6. Earhart, and his three {3} children, Hugh Earhart, David Earhart, and Allison Simpson. 3. Pursuant to Sectians 2102 and 2103 of the Pennsyluania Probate, Estates and Fiduciaries Code, the Decedent's Estate is distributable as follows: {1� First $30,Q00 plus one- half of the estate resi�ue to the Decedent's spouse, Donna B. Earhart, and (2) one-h�lf vf the remaining estate residue equally between the Decedent's issue, Hugh Earhart, David Earhart, and Allison Simpson. 4. David Earhart disclaimed his right and interest to his 113`� share of the one-haif af the estate residue passing to the DecedenYs issue; therefore his disclaimeci share would pass ta his issue, namely Joshua Earhart, Cale Earhart, Reese Earhart, Br-yn Earhart, and Jude Earhart. 5. Joshua Earhart, currently residing at � (�I Fpo2T, ,M , ss� s s,��, desires to d[sclaim his right and interest to the es#ate residue p�ssing to him as a.result af the disclaimer af David Earhart. 6. Section 6201 of the Pennsylvania Probate, Estates and Fiduciaries Code {20 Pa. C.S. § 6201} provides #ha# any person to whom an interest in property would have devolved � � f , � ! may disclaim that person's interest in whole or in part by a written disclaimer that {a) describes the interes# disc(aimed, (b) declares the disclaimer and extent thereof, and (c) is signed by the disclaiming person. 7. Disclaimant has been advised of the legal and tax consequences of executing this Disclaimer. 8. Disclaimant #herefore does hereby and forever irrevocably disclaim, renaunc�, and refuse to accept all right, title, and interest that Disclaimant daes or may have to the estate residue passing to him as a resuEt af t�e disclaimer of David Earhart. 9. It is the intent of Disclaimant that this Disclaimer constitute a qualified disclaimer under law, including Chapter 62 of the Pennsylvania Probate, Estates and Fiduciaries Code, section 9116(cj of the Pennsyfvania lnheritance Tax Act (72 P.S. § 9116(c)), and section 2518(b) of the In#ernal Revenue Code of 1986 (2$ U.S.C. § 25�8{bj}, and that it and all of its provisions be sv interpreted. IN WITNESS WHERE4F, intending ta be legal(y bound and intending to comply with all provisions concerning the �a[i�lity of this Disclaimer, Disclaimant has hereunto set his hand and seal this l S day of „SI ut�Y , 2014. WITNES . �ISCLAI NT: Jc�s arhart 2 i . ► STATE QF : : SS: COUNTY OF : �n this, the /.S"}day of Ju�_�. , 2014, personally appeared Joshua Eafiart, known to me to be the person whose name is subscribed to the foregoing Disclaimer and acknowledged that he executed the same for the purposes therein specified and further stated that he desirsd that such Disclaimerbe recorded as such to the extent required by iaw. IN WITNESS WHEREOF, I have hereunto set my hand anci Notarial seal. � .--------_, ublic I,ema��m T� .�LJ�'�� "��1�At�10 USC§i'044a 3