Sarah Hall was born in Chowan County, North Carolina sometime between 1743 and 1759. The daughter of an Anglican missionary, Sarah Hall married Dr. Arthur Howe, a doctor in Edenton sometime prior to 1774, the year of Dr. Howe's death. In addition, also in 1774, Sarah Howe and her mother and sisters signed a nonimportation agreement that later became known as the Edenton Tea Party Resolves. Sometime later she married Joseph Underhill and she died sometime after his death in 1789.