HomeMy WebLinkAbout04-0109
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of RUTH E. GARMAN,
also known as RUTH L. GARMAN,
Deceased.
Social Security No. 202-20-6075
No. ~/- DJ./- 109
To: Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioners are 18 years of age or older and the Executors named in the Last Will and
Testament of the above Decedent dated March 23, 1998 (Carl L. Garman, the Executor named therein,
having died November 28, 1999).
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or
principal residence at 575 McClures Gap Road, Carlisle (North Middleton Township), 17013.
Decedent, then 76 years of age, died January 18,2004, at Harrisburg Hospital, South Front
Street, Harrisburg, Dauphin County, Pennsylvania.
Except as follows, Decedent did not marry, was not divorced and did not have a child born or
adopted after execution of the Will offered for probate; was not the victim of a killing and was never
adjudicated incompetent: None
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: 575 McClures Gap Road, North Middleton Township,
Cumberland County, PA
WHEREFORE, petitioners respectfully request the probate of the Last Will and Testament
pr. esented herewith and the grant of letters testamentary7Lt ~on.
,~ ./ 0/ (/7 (i
j;Ja#M/~ c'?t-'777u/lA ' A; C J 1z-<./-../1/~~
Barry L~Garman Dennis E. Garman
351 Willow Grove Road 590 McClures Gap Road
Carlisle, P A 17013 Carlisle, P A 17013
$ 120,000.00
$
$
$ 100,000.00
=====================================================================
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAL TH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
The petitioner(s) above-named swear(s) or affirm(s) that 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 above decedent, petitioner( s) will well and truly administer the estate according to
law.
:B;/U~~a~
(/
Barp! Garman
~
Dennis E. Garman
cF 1
ct. Ylc.:<-/vvt"~
Sworn to or affirmed and subscribed
before me this ~H day of
E~k:1 ~)/ ,2004.
flM~-:.t9//MLt:~M<2i-. ,~
r//J ~ter
No. ~/-OJ.f..I09
Estate of RUTH E. GARMAN, a/k/a RUTH L. GARMAN, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, FELJ.eu;I;J~ ~
, 2004, in consideration of the petition on the
reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument dated March 23, 1998 described therein be admitted to probate and
filed of record as the last will of Ruth E. Garman, a/k/a Ruth L. Garman, and Letters Testamentary are
hereby granted to Barry L. Garman and Dennis E. Garman.
Will Book #
Page
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Rister of Wills
FEES
Probate, Letters, Etc.
Short Certificates( 4)
c:jif796S
TOTAL
$ 0:2/0, CJO
$ I rJ..C)U
$ c:2/. GO
$ /0. GO
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Stephen L. Bloom (Supreme Court I.D. #49811)
2100 Longs Gap Road
Carlisle, P A 17013
(717) 249-7717
Filed R6 $; Of
c:\ Office Documents\Office - Estate Administration\9279.3pet.l.doc
H'n<;..C'n.:; L',T:"\' 0(0.(,
This is to certifY that the information here given is correctly copied from an original certificate of death dul~ filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filIng.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
~~. ~~~U-t.N
Local Registrar ~
Fee for this certificate, $2.00
p
9990623
JAN 2 1 200~
Date
""05.:4.3 R..... 2117
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
'T
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UNQEA 1 DAY
HoutI ! MintA.
SEX
STATE FILE !\lUMBER
SOCtAl SECURITV NUMBeR
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NAME OF DECEDENT IF"'sl. Middle. L_l
I, Ruth
AGE (l.nr BirNey)
E. Garman
76
UNOEA 1 YEAA
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202
20
COUNTY OF DEA'f'H
BIRTHPlACE Ie.,..,. and PlACE OF DEATH let-eek 0f11y one .. rnslrUCl.ons on omer !IOltt
Stale Of FCt8lCJ" CounlTy) HOSPITAL;
Duncannon, PA ,,,,,,,,,..,, KI
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FAClllT'Y NAME {II 1'I001f'lSf'fUflO/"l, grve Weet and numbefl
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Dauphin
DECEDENT'S USUAL OCCUPRION
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11 Crystal Finisher l~rie Frequency Con
DECEDENT'S MAIUNG ADOAESS (SI,..c. City~. SCaN. Zip Code) DECEDENT'S
575 McClures Gap Road ~~'HcE
Carlisle, PA 17013 ~~
...Harrisburg
KINO OF BUSINESSltNOUSTAY
'I.
FRHEA'S NAME (F.... MicIdle. l_)
to. I. H. Edward Lon ere
tNFOAMANT'S NAME (T YJ*Pl'inf)
Dennis E. Garman
METHOO OF DISPOSITION
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Donotion ""'"'_
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SIGNATURE OF F
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MARITAl STATUS. Mam.d
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MOTHER'S NAME (First. Middle. Maden SufnM'le)
11. Catherine Rhean
INFORMANT'S WAIUNG ADORESS lSereel:. CityIlOwn. State. Zip COOl)
2Gb. 590 McClures Gap Road; Carlisle, PA 17013
PlACE OF OISPOS.TION. Name Of Cemetery. Cr4ImalOry LOCRION. Cityfl'own. Stat.. Zip Code
or Ochef "'ace
SURVIVING SPOuSE
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".,Westminster Mem. Gardens "d.
NAME AND AOORESS OF FACHJTY
"..&ing Brothers Funeral
LICENse NUMBER
Carlisle, PA 17013
Hane, Carlisle, PA 17013
ORE SIGNED
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MS CASE REFERRED 10:0 EXAMINEAlCOAONEA? No0"
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To the -.. of my knowtedQe. death occurred.. !he lime, date, and plac., and due to the cauM(a) end manne,.. .latH
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04
PcIFILES\DA T AFILEI WILLS\9279,W. WIL
LAST WILL AND TESTAMENT
I, RUTH E. GARMAN, of North Middleton Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
ITEM ONE
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes shall be paid to the extent possible from the assets held or passing under ITEM
FIVE hereof as soon as practicable after my decease and as part of the administration of my estate.
ITEM TWO
In the event my husband, CARL L. GARMAN, shall predecease or fail to survive me by
thirty (30) days, then I give such items of personalty as are. itemized in a certain list attached hereto
to the persons named thereon, which list is signed and dated by me at the end thereof.
ITEM THREE
If my said husband is living thirty (30) days after my death, then I give, devise and bequeath
all of my estate, both real and personal property, unto my said husband, CARL L. GARMAN,
absolutely. Ifmy said husband does not so survive me, then I give, devise and bequeath all the rest,
residue and remainder of my estate, both real and personal property, unto my Trustee to be held or
distributed by such Trustee under ITEM FIVE hereof.
ITEM FOUR
In the event my said husband shall disclaim al! or any portion of any devise or bequest made
to my said husband under the foregoing ITEM THREE, then the amount otherwise payable shall be
held by my Trustee under ITEM FIVE hereof For purposes of the Trust established under ITEM
FIVE hereof, my said husband shall not be deemed to have predeceased me by virtue of my said
husband's exercise of the right to disclaim set forth herein.
ITEM FIVE
RESIDUARY AND DISCLAIMER TRUST
My Trustee shall hold the assets received under ITEMS THREE and FOUR hereof, if any,
R P (3
R.E.G.
Page 1 of 8 Pages
for the following purposes:
A. My Trustee shall pay the net income, at least quarter-annually, to my husband, CARL
L. GARMAN, for life. In addition, my Trustee in my Trustee's sole discretion, may invade the
principal of the Trust for the proper and adequate support of my said husband.
B. My Trustee shall further pay to my husband, CARL L. GARMAN, annually, such
sum from the principal of the Trust as my my said husband may request in writing, provided,
however, that said sum may not exceed the greater of Five Thousand Dollars ($5,000.00) or five
percent (5%) of the aggregate value, at the time of said request, of the principal of the Trust
hereunder.
C. Upon the death of my husband, CARL L. GARMAN, my Trustee shall distribute the
principal ofthe Trust to my children, SHERRY J. SNYDER, TERRY A. GARMAN and PAMELA
K. WESTON, in equal shares, absolutely. I have intentionally excluded my other children, BARRY
L. GARMAN, DENNIS E. GARMAN and THOMAS L. GARMAN, from the distributive
provisions hereof in recognition and acknowledgment of the ample provision already made for them
through conveyances during my lifetime. To the extent that my residence at 575 McClure's Gap
Road, Carlisle (North Middleton Township), Pennsylvania, shall form a part of the principal of this
Trust to be distributed, such distribution shall be subject to the condition that my said children,
BARRY L. GARMAN, DENNIS E. GARMAN and THOMAS L. GARMAN (or any partnership
comprised of said children), shall have the right of first refusal to purchase same on commercially
reasonable terms and conditions.
D. In the event that any of my said children shall fail to survive my husband and me, but
shall leave issue surviving, then such deceased child's share shall be held by my Trustee and the net
income therefrom shall be used for the support, maintenance and education of the issue of such
deceased child. My Trustee shall use as much of the principal as it shall deem desirable for said
purposes. My Trustee shall distribute absolutely the principal of such share of such deceased child
to the issue of such deceased child per stirpes as each shall attain the age of twenty-five (25) years.
In the event that any of my children shall fail to survive my husband and me and not leave issue
surviving, then such deceased child's share shall be added to the shares of my other children as if
fT~G
R.E.G.
Page 2 of 8 Pages
originally a part thereof.
ITEM SIX
POWERS OF EXECUTOR AND TRUSTEE
In addition to the powers conferred by case law, by statute, and by other provisions hereof,
my Executor and Trustee and their successors, shall have the following discretionary powers
applicable to all property held by them which powers shall be effective without order of any court
and shall exist until final distribution.
A. To retain any property of any nature received by them for whatever period they shall
deem advisable;
B. To invest and reinvest all or any part of said property in such stocks, bonds, common
trust funds, securities, accounts, certificates of deposit (including, but not limited to, stocks, bonds,
common trust funds, securities, accounts or certificates of deposit ofthe Trustee) or other property,
real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the
property which a fiduciary may purchase;
C. To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash
or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration
of any trust herein, without liability on the purchasers or lessees to see to the application of the
proceeds, and to give options for these purchases without the obligation to repudiate them in favor
of a higher offer;
D. To execute and deliver any deeds, leases, assignments or other instruments as may
be necessary to carry out the provisions of any trust hereunder;
E. To borrow money, including the right to borrow money from any bank and to
mortgage or pledge any asset of the estate as security;
F. To assume continuance of the sfatus of any beneficiary with regard to death, marriage,
divorce, illness, incapacity and the like in the absence of information deemed reliable without
liability for disbursements made on such assumption;
G. To pay from the trust, or the income therefrom, all debts or claims against my estate,
or any taxes or similar charges on my estate;
Itlt. a-
R.E.G.
Page 3 of 8 Pages
H. To make any distribution hereunder either in kind or in money, or partially in kind
and partially in money. Distribution in kind shall be made at the market value of the property
distributed, and my Trustee, in my Trustee's absolute discretion, may cause the share distributed to
any distributee to be composed of property similar to or different from that distributed to any other
distributee;
1. To exercise any subscription right in connection with any security held hereunder,
to consent to or participate in any recapitalization, reorganization, consolidation or merger of any
corporation, company or association, the securities of which may be held hereunder, to delegate
authority with respect thereto, to deposit investments under agreements, to pay assessments, and
generally to exercise all rights of investors;
J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries
of any trust hereunder;
K. To continue in any partnership, joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
L. To compromise claims;
M. To continue for whatever period of time as they shall deem necessary any ownership
as a tenant in common or as a partner, in real estate or other property and to act as I could have done
had I been living;
N. To lend money to my estate or to any trust created hereunder or to purchase from the
estate or from any trust created hereunder, at the market value thereof at the time of purchase, any
securities or other property tendered to them by my estate or any trust created hereunder at any time
and from time to time within a period of nine (9) months after my death;
O. In the event that any amounts are payable hereunder or under any trust created
hereunder to a minor, or to a person otherwise under legal disability, or to a person not adjudicated
to be an incapacitated person, but who, by reason of illness or mental or physical disability is, in the
opinion of the fiduciary(ies) hereunder, unable to properly administer such amounts, such amounts
may be paid by the fiduciary(ies) hereunder in his, her or their sole discretion in any ofthe following
ways as he, she or they may deem best:
/fEe,
R.E.G.
Page 4 of 8 Pages
1. Directly to such beneficiary;
2. To a legally appointed guardian of such beneficiary for the benefit of such
beneficiary;
3. To a person having custody of such beneficiary for the benefit of such
beneficiary;
4. By the fiduciary(ies) hereunder using such amounts directly to the benefit of
such beneficiary.
Evidence of the application of payment of an amount in such a manner shall be a full and complete
discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This
paragraph shall be applicable to payments of income as well as principal.
P. To employ agents, attorneys and proxies and to delegate to them such power as my
personal representatives and Trustees consider desirable and to pay reasonable compensation for
such services as may be rendered by such agents, attorneys and proxies;
Q. To conduct an inventory of any safe deposit box necessary to the administration of
my estate.
R. To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of my Estate.
ITEM SEVEN
PROTECTIVE PROVISIONS
All income or principal held for the use, and benefit of the beneficiaries of any trust hereunder
shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor
shall any such interest, while in the possession of my Trustee, be liable for or subject to the debts,
contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or
sequestrations under process of law.
ITEM EIGHT
APPOINTMENT OF EXECUTOR AND TRUSTEE
I nominate, constitute and appoint my husband, CARL L. GARMAN, as Executor of my
estate. In the event that my said husband shall predecease me or fail to act as Executor, then I
REt;
R.E.G.
Page 5 of 8 Pages
appoint my sons, BARRY L. GARMAN and DENNIS E. GARMAN, as Executors of my estate.
I nominate, constitute and appoint my husband, CARL L. GARMAN, as Trustee of any trust
created hereunder. In the event that my said husband shall fail or be unwilling to continue to act as
Trustee, then I appoint my sons, BARRY L. GARMAN and DENNIS E. GARMAN, as Trustees of
any trust created hereunder.
A majority of all income beneficiaries of the trust or trusts created under this Agreement may
from time to time remove any corporate trustee then acting for reasonable cause and substitute
another corporate trustee; provided, however, that such successor corporate trustee shall not be a
related or subordinate to anyone or more of the beneficiaries hereunder within the meaning of
Internal Revenue Code ~672( c) or successor provisions. When the removed corporate trustee has
received written notice of its removal and has been notified in writing by its successor corporate
trustee of the latter's acceptance, the removed corporate trustee shall surrender all books, records,
and assets in its possession comprising any portion of the trust or relating to the trust. In no event
shall the removed corporate trustee charge a "termination fee" based on a percentage of trust assets
as a result of such removal but shall be entitled only to charge such fee as fairly represents the cost
of any accounting required by the beneficiaries or successor corporate trustee as part of such removal
and substitution. The removed corporate trustee shall not be relieved of liability until its successor
has qualified and the removed trustee's accounting, if applicable, has been settled or the beneficiaries
and successor corporate trustee have otherwise accepted an account stated in lieu of a formal
accounting. As used in this paragraph, the term "reasonable cause" includes, but is not limited to:
(1) poor investment performance, (2) the removal of all current income beneficiaries from the state
in which the corporate trustee is licensed to conduct business as a corporate trustee, (3) inattention
to the reasonable needs of the beneficiaries, (4) lack of communication between trustee and
beneficiaries, (5) inaccurate or unclear transaction statements or statements of account, (6) conflicts
between the corporate trustee and the beneficiaries, (7) merger, acquisition or deteriorating financial
condition ofthe corporate trustee, or (8) high turnover of account officers assigned to any trust under
this Agreement.
/fea-
R.E.G.
Page 6 of 8 Pages
ITEM NINE
WAIVER OF BOND
I direct that neither my Executor nor my Trustee or their successors shall be required to file
any bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be
required to obtain any order or approval of any court for the exercise of any power or discretion set
forth in this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 23rd day of March,
1998.
/Cu..lL ? 1l~
Ruth E. Garman
(SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence ofthe said Testatrix and of each other.
~hUiY O'J. ~
-~~
Page 7 of 8 Pages
COMMONWEALTH OF PENNSYL VANIA )
: SS.
COUNTY OF CUMBERLAND )
I, Ruth E. Garman, Testatrix, 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; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein expressed.
Jf~ ~ -'.1a/lNlA .rIA_ I
Ruth E. Garman
Sworn or affirmed to and acknowledged before me by Ruth E. Garman, the Testatrix, this
23rd day of March, 1998.
~AA~ ~'-r
Notary Public ~
Notarial Seal
Corrine L. Myers, Notary Public
Carlisle Boro, Cumberland County
. My Commission Expires May 27, 1999
L
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We, ~.rHSe.. J.... JJ and .s~~ 1.. 131 b-~
the witnesses whose names are SI ed to the attached or foregomg instrument, being duly qualified
according to law, do depose and say that we were present and saw Ruth E. Garman, the Testatrix,
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of
us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our
knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence. .,
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Address rgt~. '1fJ~~~f
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Address fb1 A. 1-1 ~.-' L. S+:
~-.rl,~'e. PA /7013
,
Sworn or affirmed to and subscribed before me this 23rd day of March, 1998.
~h_;".cX ))~
Notary Public
Notarial Seal
Corrine L. Myers, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires May 27, 1999
Page 8 of 8 Pages
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BLOOM STEPHEN L
2100 LONGS GAP ROAD
CARLISLE, PA 17013
-------- fold
Hr>
ESTATE INFORMATION: SSN: 202-20-6075
FILE NUMBER: 2104-0109
DECEDENT NAME: GARMAN RUTH E
DATE OF PAYMENT: 04/14/2004
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 01/18/2004
NO. CD 003816
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $9,000.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
AEMARKS:
CHECK#1017
SEAL
INITIALS: JA
RECEIVED BY:
i _.
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REGISTER OF WILLS
$9,000.00
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: RUTH E. GARMAN, a/k/a RUTH L. GARMAN
Date of Death: January 18,2004
File No. 2004-00109; PA File No. 21-04-0109
D
d
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To the Register:
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I certify that Notice of Beneficial Interest required by Rule 5.6(a)of the O'rphans' Court
Rules was served on or mailed to the following beneficiaries of the above estate on~pril 13,.2004:
Address
j:;.
N
Name
Sherry J. Snyder
Terry A. Garman
Pamela K. Weston
Barry L. Garman
Dennis E. Garman
Thomas L. Garman
122 Frytown Road, Carlisle, PAl 70 13
411 Willow Grove Road, Carlisle, P A 17013
421 Willow Grove Road, Carlisle, P A 17013
351 Willow Grove Road, Carlisle, PA 17013
590 McClures Gap Road, Carlisle, P A 17013
584 McClures Gap Road, Carlisle, PA 17013
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: N/A
Date: April 13,2004
~~
-Stephen L. Bloom, Esquire
2100 Longs Gap Road
Carlisle, P A 17013
(717) 249- 7717
Capacity: Counsel for Personal Representative
C:IOffice DocumentslOffice - Estate Administrationl9279.3certnotdoc
r
COI\1iYlOt';...\'EA~TH OF P",i',j"SYLVANIA
lEPARH,1ENT O,~ "EVENU:::
BUREAu OF INDIV,DUAL TAX:::S
DEFT. 280601
hARRiSBURG, PA 17128-0601
REV-1162EX111961
RECEIVED FROM,
PENNSYLVANIA
INI-lERIT ANCE AND EST A H TAX
OFFICIAL RECEIPT
GARMAN BARRY L
351 WILLOW GROVE ROAD
CARLISLE, PA 17013
-------- 'old
ESTATE INFORMATION: SSN, 202.20.6075
FILE NUMBER: 2104-0109
DECEDENT NAME: GARMAN RUTH E
DATE OF PAYMENT: 10/18/2004
POSTMARK DATE: 10/18/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 01/18/2004
NO. CD 004507
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $123.40
I
I
I
I
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TOTAL AMOUNT PAID:
REMARKS: BARRY L GARMAN
CHECK#1037
INITIALS: VZ
SEAL
RECEIVED BY:
REGISTER OF WILLS
$123.40
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REV.li~on'I'-<>OI
D 2. Supplemental Return
D 4a Future Interest Compromise (dale of death after
12.12-82)
D 7 Decedent Maintained a Living Trust (Attach
copy a/Trust)
D 10. Spousal Poverty Credit (date of death between
12~;B:9l and U.-95)
THIS__S.E9T!C:>_~^~.Y.~ BE. COMPJ~~T~_~:..6.LJ~9C:>.i=I_~ESPOI"!!?_I;NCiI;.6.N.9 CONAl?~NTJAL TAX:.!~F=ORMAT!C:>N.~HOU_~[:)_.~.~ DIRI;9:LED TC?:___
NAME - -- - I COMPLETE MAILING ADDRESS
Stephen L. Bloom I
2100 Longs Gap Road
Carlisle, PA 17013
(1) 92,000,00
(2) None
(3) None
(4) None
(5) 85,779.14
(6) 24,25
(7) 66,784.47
(8) 244,587.86
(9) 30,485,96
(10) 838.00
'.
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17126-0601
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DECEDENTS NAME (lAST FIRST. AND MIDDLE INITIAL)
Garman, Ruth E.
DATE OF DEATH (MM-DD-YEAR)
DATE OF BIRTH (MM-DD-YEAR)
01/18/2004
10/04/1927
APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL)
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Decedent Died Testate (Attach copy
a/Will)
Litigation Proceeds Received
Original Return
4 Limited Estate
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FIRM NAME (if applicable)
Stephen L. Bloom, Esquire
TELEPHONE NUMBER
7]7/249-77]7
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule 0)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
FILE NUMBER
21 04
COUNTY c;OrlF_ Y~A8
SOCIAL SECURITY NUMBER
00]09
NUM8rR.
202-20-6075
THIS RETURN MUST BE FilED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o
o
1
3 Remainder Relurn (date 01 death prior to 12-13.82)
5 Federal Estate Tax Return Required
8 Total Number of Safe Deposit Boxes
o 11.Election to tax under See 9113(A) (Attach Sch 0)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
(11)
31,323,96
(12)
213,263,90
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
x .00 (15)
213,263,90 x .045 (16)
x .12 (17)
x ,15 (18)
(19)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15.Amount of Line 14 taxable at the spousal tax rate,
or transfers under Sec. 9116(a)(1.2)
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16.Amount of line 14 taxable at lineal rate
17.Amount of Line 14 taxable at sibling rate
18 Amount of Line 14 taxable at collateral rate
19. Tax Due
20 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT,
(13)
(14)
213,163,90
9,596,88
9,596,88
>>BE SURE TO ANSWER ALL QUESTIONS ON REVERSESIDEAND RECHECK MATH<<
- ~- -~_.~
Form REV-1500 EX (Rev, 6-00)
Copyright 2000 form software only The Lackner Group, Inc.
I STATE PA ZIP 17013
(1) 9,596,88
9.000,00
473.68
Total Credits (A + B + C) (2) 9,473,68
Decedent's Complete Address:
STREET ADDRESS
575 McClures Gap Road
CITY
Carlisle
Tax Payments and Credits:
1. Tax Due (page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. Interest/Penalty if applicable
D. Interest
E. Penalty
TotallnteresVPenalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(3) 0.00
(4)
(5) 123,20
(SA)
(56) 123.20
Make Check
to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Did decedent make a transfer and:
a. retain the use or income of the property transferred;..
b. retain the right to designate who shall use the property transferred or its income;..
c. retain a reversionary interest; or..
d. receive the promise for life of either payments, benefits or care?..
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?.
Yes
~
o
o
~
No
~
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o
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
Under penalties of pe~ury, I declare that I have examined this return, including accompanying schedules and statements, and 10 the best of my knowledge and belief, it is true, correct and complete, Declaralion of
preparer other than the pers<:l.n_a~.cepres~t(ltlve IS based on ~1I.!0!9..r:.~~I!o_0.Df which prep~.C~_has _~ny knowledge
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
B~r:L.Garm~ ~~
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SI~~.RBOF PERSON RESPONSIBLE FOR FILING RETURN
Irnts E. Garman (";1
/ ~'V1"v"i' '-
~'A1UR[O'OF PREPARER
351 Willow Grove Road
Carlisle, PAl 70 13
ADDRESS
590 McClures Gap Road
Carlisle, PA 17013
ADDRESS
2100 Longs Ga'p Road
Carlisle, PA 170 I 3
DATE
,0V. ;.-1
- ~,
J.~ CG' ,-{
DATE
c.) ,__-1
1.2,':;0 ~ ~.
DATE
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 99116 (a) (1,1) (i)]
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 39116 (a) (1.2)]
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 39116
12) [72 PS 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S, 39116 (a) (1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
..
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCETA:XRETURN
RESIDENT DECEDENT
ESTATE OF
Garman. Ruth E.
FILE NUMBER
21 - 04 - 00109
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price
at which property would be exchanged between a willing buyer and a wimng seller, neither being compelled to buy or sell, both having
reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on
schedule F.
ITEM
NUMBER
1
DESCRIPTION
VALUE AT DATE OF
DEATH
92.000.00
Residence - 575 McClures Gap Road, Carlisle, PA - Date of Death fair Market Value per attached
Appraisal Report
TOTAL (Also enter on Line 1, Recapitulation)
92,000.00
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCETAXRETURN
RESIDENT DECEDENT
ESTATE OF
Garman, Ruth E.
I FILE NUMBER
I 21 - 04 - 00 I 09
Include lhe proceeds of liligalion and fhe date fhe proceeds were received by the esfafe. All property jointly-owned with the righl of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
I
DESCRIPTION
VALUE AT DATE OF
DEATH
3,500.00
f 997 Cevrolet Lumina Automobile, Actual Sale Price
2
Eric Insurance Group - Policy #Q 12-2190006H Refund
361.00
3
Members I st Federal Credit Union, Savings Account #57834-00
2.308.19
4
Members I st Federal Credit Union - Certificate of Deposit #57834,40
f,f70f6
5
M&T Bank - Checking Account #36340499
70,798.64
6
GE Life and Annuity Assurance Company - Policy #2900059225 Refund
97 LIS
7
Personal Property of Decedent - pcr attached Personal Property Appraisal
6,670.00
TOTAL (Also enter on Line 5, Recapitulation)
85,779.14
*'
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Garman, Ruth E.
FILE NUMBER
21 - 04 - 00] 09
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A
Thomas L. Garman
584 McClures Gap Road
Carlisle, PA ]7013
Son
JOINTLY OWNED PROPERTY:
ITEM
NUMBER
LETTER
FOR JOINT
, TENANT
DATE
MADE
JOINT
1 DESCRIPTION OF PROPERTY
ilnclude name of financial institution and bank account number
or similar identifying number. At1ach deed for jointly-held real
estate.
1 DATE OF DEATH 'I % OF DATE OF DEATH
DECO'S VALUE OF
VALUE OF ASSET 'INTEREST DECEDENT'S INTEREST
09/27/]976 Safe Deposit Box #0000]28 - M&T Bank/Carlisle
West Branch - Contents per Safe Deposit Box
Inventory
I
48.50
50%
24.25
TOTAL (Also enter on line 6, Recapitulation)
24.25
.~
~
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Gannan, Ruth E,
I FILE NUMBER
21 - 04 - 00109
ESTATE OF
ITEM
NUMBER
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes,
DESCRIPTION OF PROPERTY DATE OF DEATH % OF
Include the name of the transferee, their relationship to decedent and the date of transfer DECO'S EXCLUSION TAXABLE VALUE
VALUE OF ASSET {IF APPlICABLE1
Attach a copy of the deed larreal estale INTEREST;'
John Hancock Life Insurance Company - Annuity Contract
#BK3003231
66,784.47 100'X,
66,784.47
TOTAL (Also enter on line 7, Recapitulation)
66,784.47
ESTATE OF
.*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATlVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Garman, Ruth E.
FILE NUMBER
21-04-00109
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES:
Ewing Brothers Funeral Home, Inc. - Funeral Services
9,437.50
2
Westminster Cemetery' - Grave Opening/Closing
995.00
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Barry L. Garman Dennis E. Garman
Social Security Number(s) I EIN Number of Personal Representative(s):
194-44-7541 209-46-0851
12,229.40
Street Address 351 Willow Grove Road
City Carlisle State PA
Year(s) Commission paid
Zip 17013
2
Attorney's Fees
Stephen L. Bloom, Attorney and Counsellor at Law
5,753.34
3 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4
Register of Wills of Cumberland County
313.00
Probate Fees
5. Accountant's Fees
6.
Accounting Associates
60.00
Tax Return Preparer's Fees
7.
I
Other Administrative Costs
PP&L Electric Utilities - Decedent's Residence During Administration
243.84
2
Sprint (Telephone Service) - Decedent's istration
226.80
Total of Continuation Schedule(s)
1,227.08
TOTAL (Also enter on line 9, Recapitulation)
30,485.96
ESTATE OF
3
4
5
6
7
8
9
10
II
'*
Schedule H
Funeral Expe!15e5 &
Acmnistralive Cosls continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESI DENT DECEDENT
Garman. Ruth E.
York Waste Disposal Inc. - Trash Hauling
Timmons Oil, Inc. - Heating Oil
The Sentinel - Classified Ad for Sale of Automobile
Goodville Mutual Casualty Company - Homeowners Policy
Robin K. Sollenberger, Tax Collector - 2004 Real Estate Tax
Direct TV - Final Billing
Diversified Appraisal Services - Property Appraisal
The Sentinel - Legal Notice
Cumberland Law Journal - Legal Notice
FILE NUMBER
21 - 04 - 00]09
Page 2 of Schedule H
75.54
196.61
25.19
90,00
348.74
18.37
275.00
122.63
75,00
ESTATE OF
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Garman, Ruth E.
Include unreimbursed medical expenses.
ITEM
NUMBER
I
2
3
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
Pulmonary and Critical Care Medicine Associates, P.c.
DESCRIPTION
2003 Federal Income Tax Due
2003 Pennsylvania Income Tax Due
FILE NUMBER
21 - 04 - 00109
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
100.00
373.00
365.00
838.00
REV-1513 EX+ (9-00)
'*
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Gannan, Ruth E.
I FILE NUMBER
21-04-00109
NUMBER
RELATIONSHIP TO
DECEDENT
Do Not UsLTrustee(s)
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Sherry 1. Snyder
122 Fry town Road
Carlisle, PA 17013
Daughter
2
Terry A. Gannan
411 Willow Grove Road
Carlisle, PA 17013
Son
3
Pamela K. Weston
421 Willow Grove Road
Carlisle, PA 17013
Daughter
4
Thomas L. Gannan
584 McClures Gap Road
Carlisle, P A 17013
I Son
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet:
,
II. !NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
,
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1SDD COVER SHEET I
AMOUNT OR SHARE
OF ESTATE
One-Third of Estate
Residue and Annuity'
One-Third of Estate
Residue and Annuity
One- Third of Estate
Residue and Annuity
24.25
F'.FII.I'S',IJAT,\j'-ILE'..WII.IS91?9.WWII
~@[f2)W
LAST WILL AND TESTAMENT
I, RUTH E. GARMAN, of North Middleton Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
ITEM ONE
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes shall be paid to the extent possible from the assets held or passing under ITEM
FIVE hereof as soon as practicable after my decease and as part of the administration of my estate.
ITEM TWO
In the event my husband, CARL L GARMAN, shall predecease or fail to survive me by
thirty (30) days, then I give such items of personalty as are itemized in a certain list attached hereto
to the persons named thereon, which list is signed and dated by me at the end thereof.
ITEM THREE
Ifmy said husband is living thirty (30) days after my death, then I give, devise and bequeath
all of my estate, both real and personal property, unto my said husband, CARL L GARMAN,
absolutely. If my said husband does not so survive me, then I give, devise and bequeath all the rest,
residue and remainder of my estate, both real and personal property, unto my Trustee to be held or
distributed by such Trustee under ITEM FIVE hereof.
ITEM FOUR
In the event my said husband shall disclaim all or any portion of any devise or bequest made
to my said husband under the foregoing ITEM THREE, then the amount otherwise payable shall be
held by my Truslee under ITEM FIVE hereof For purposes of the Trust eSlablished under ITE\1
FIVE hereof, my said husband shall not be deemed to have predeceased me by virtue of my said
husband's exercise of the right to disclaim set forth herein.
ITEM FIVE
RESIDUARY AND DISCLAIMER TRUST
My Trustee shall hold the assets received under ITEMS THREE and FOUR hereof, if any.
tr f. G,
REG.
Page 1 of 8 Pages
for the following purposes:
A. My Trustee shall pay the net income, at least quarter-annually, to my husband, CARL
L. GARMAN, for life. In addition, my Trustee in my Trustee's sole discretion, may invade the
principal of the Trust for the proper and adequate support of my said husband.
B. My Trustee shall further pay to my husband, CARL L. GARMAN, annually, such
sum from the principal of the Trust as my my said husband may request in writing, provided,
however, that said sum may not exceed the greater of Five Thousand Dollars ($5,000.00) or five
percent (5%) of the aggregate value, at the time of said request, of the principal of the Trust
hereunder.
C. Upon the death of my husband, CARL L. GARMAN, my Trustee shall distribute the
principal of the Trust to my children, SHERRY J. SNYDER, TERRY A. GARMAN and PAMELA
K. WESTON, in equal shares, absolutely. I have intentionally excluded my other children, BARRY
L. GARMAN, DENNIS E. GARMAN and THOMAS L. GARMAN, from the distributive
provisions hereof in recognition and acknowledgment of the ample provision already made for them
through conveyances during my lifetime. To the extent that my residence at 575 McClure's Gap
Road, Carlisle (North Middleton Township), Pennsylvania, shall form a part of the principal of this
Trust to be distributed, such distribution shall be subject to the condition that my said children,
BARRY L. GARMAN, DENNIS E. GARMAN and THOMAS L. GARMAN (or any partnership
comprised of said children), shall have the right of first refusal to purchase same on commercially
reasonable terms and conditions.
D. In the event that any of my said children shall fail to survive my husband and me, but
shall leave issue surviving, then such deceased child's share shall be held by my Trustee and the net
income therefrom shall be used for the support, maintenance and education of the issue of such
deceased child. My Trustee shall use as much of the principal as it shall deem desirable for said
purposes. My Trustee shall distribute absolutely the principal of such share of such deceased child
to the issue of such deceased child per stirpes as each shall attain the age of twenty-five (25) years.
In the event that any of my children shall fail to survive my husband and me and not leave issue
surviving, then such deceased child's share shall be added to the shares of my other children as if
rTfG
R.E.G.
Page 2 of 8 Pages
originally a part thereof.
ITEM SIX
POWERS OF EXECUTOR AND TRUSTEE
In addition to the powers conferred by case law, by statute, and by other provisions hereof,
my Executor and Trustee and their successors, shall have the following discretionary powers
applicable to all property held by them which powers shall be effective without order of any court
and shall exist unti I final distribution.
A. To retain any property of any nature received by them for whatever period they shall
deem advisable;
B. To invest and reinvest all or any part of said property in such stocks, bonds, common
trust funds, securities, accounts, certificates of deposit (including, but not limited to, stocks, bonds,
common trust funds, securities, accounts or certificates of deposit of the Trustee) or other property,
real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the
property which a fiduciary may purchase;
C. To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash
or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration
of any trust herein, without liability on the purchasers or lessees to see to the application of the
proceeds, and to give options for these purchases without the obligation to repudiate them in favor
of a higher offer;
D. To execute and deliver any deeds, leases, assignments or other instruments as may
be necessary to carry out the provisions of any trust hereunder;
E. To borrow money, including the right to borrow money from any bank and to
mortgage or pledge any asset of the estate as security;
F. To assume continuance of the status of any beneficiary with regard to death, marriage,
divorce, illness, incapacity and the like in the absence of information deemed reliablc without
liability for disbursements made on such assumption;
G. To pay from the trust, or the income therefrom, all debts or claims against my estate,
or any taxes or similar charges on my estate;
R€(J.
R.E.G.
Page 3 of 8 Pages
H. To make any distribution hereunder either in kind or in money, or partially in kind
and partially in money. Distribution in kind shall be made at the market value of the property
distributed, and my Trustee, in my Trustee's absolute discretion, may cause the share distributed to
any distributee to be composed of property similar to or different from that distributed to any other
distributee;
I. To exercise any subscription right in connection with any security held hereunder,
to consent to or participate in any recapitalization, reorganization, consolidation or merger of any
corporation, company or association, the securities of which may be held hereunder, to delegate
authority with respect thereto, to deposit investments under agreements, to pay assessments, and
generally to exercise all rights of investors;
J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries
of any trust hereunder;
K. To continue in any partnership, joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
L. To compromise claims;
M. To continue for whatever period of time as they shall deem necessary any ownership
as a tenant in common or as a partner, in real estate or other property and to act as I could have done
had I been living;
N. To lend money to my estate or to any trust created hereunder or to purchase from the
estate or from any trust created hereunder, at the market value thereof at the time of purchase, any
securities or other property tendered to them by my estate or any trust created hereunder at any time
and from time to time within a period of nine (9) months after my death;
O. In the event that any amounts are payable hereunder or under any trust created
hereunder to a minor, or to a person otherwise under legal disability, or to a person not adjudicated
to be an incapacitated person, but who, by reason of illness or mental or physical disability is, in the
opinion of the fiduciary(ies) hereunder, unable to properly administer such amounts, such amounts
may be paid by the fiduciary(ies) hereunder in his, her or their sole discretion in any of the following
ways as he, she or they may deem best:
trEG
R.E.G.
Page 4 of 8 Pages
1. Directly to such beneficiary;
2. To a legally appointed guardian of such beneficiary for the benefit of such
beneficiary;
3. To a person having custody of such beneficiary for the benefit of such
beneficiary;
4. By the fiduciary(ies) hereunder using such amounts directly to the benefit of
such beneficiary.
Evidence of the application of payment ofan amount in such a manner shall be a full and complete
discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This
paragraph shall be applicable to payments of income as well as principal.
P. To employ agents, attorneys and proxies and to delegate to them such power as my
personal representatives and Trustees consider desirable and to pay reasonable compensation for
such services as may be rendered by such agents, attorneys and proxies;
Q. To conduct an inventory of any safe deposit box necessary to the administration of
my estate.
R. To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of my Estate.
ITEM SEVEN
PROTECTIVE PROVISIONS
All income or principal held for the use and benefit of the beneficiaries of any trust hereunder
shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor
shall any such interest, while in the possession of my Trustee, be liable for or subject to the debts.
contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or
sequestrations under process of law.
ITEM EIGHT
APPOINTMENT OF EXECUTOR AND TRUSTEE
I nominate, constitute and appoint my husband, CARL L. GARMAN, as Executor of my
estate. In the event that my said husband shall predecease me or fail to act as Executor, then I
In:. {;.
R.E.G.
Page 5 of 8 Pages
appoint my sons, BARRY L. GARMAN and DENNIS E. GARMAN, as Executors of my estate.
I nominate, constitute and appoint my husband, CARL L. GARMAN, as Trustee of any trust
created hereunder. In the event that my said husband shall fail or be unwilling to continue to act as
Trustee, then I appoint my sons, BARRY L. GARMAN and DENNIS E. GARMAN, as Trustees of
any trust created hereunder.
A majority of all income beneficiaries of the trust or trusts created under this Agreement may
from time to time remove any corporate trustee then acting for reasonable cause and substitute
another corporate trustee; provided, however, that such successor corporate trustee shall not be a
related or subordinate to anyone or more of the beneficiaries hereunder within the meaning of
Internal Revenue Code 9672( c) or successor provisions. When the removed corporate trustee has
received written notice of its removal and has been notified in writing by its successor corporate
trustee of the latter's acceptance, the removed corporate trustee shall surrender all books, records,
and assets in its possession comprising any portion of the trust or relating to the trust. In no event
shall the removed corporate trustee charge a "termination fee" based on a percentage of trust assets
as a result of such removal but shall be entitled only to charge such fee as fairly represents the cost
of any accounting required by the beneficiaries or successor corporate trustee as part of such removal
and substitution. The removed corporate trustee shall not be relieved of liability until its successor
has qualified and the removed trustee's accounting, if applicable, has been settled or the beneficiaries
and successor corporate trustee have otherwise accepted an account stated in lieu of a formal
accounting. As used in this paragraph, the term "reasonable cause" includes, but is not limited to:
(1) poor investment performance, (2) the removal of all current income beneficiaries from the state
in which the corporate trustee is licensed to conduct business as a corporate trustee, (3) inattention
to the reasonable needs of the beneficiaries, (4) lack of communication between trustee and
beneficiaries, (5) inaccurate or unclear transaction statements or statements of account, (6) conflicts
between the corporate trustee and the beneficiaries, (7) merger, acquisition or deteriorating financial
condition of the corporate trustee, or (8) high turnover of account officers assigned to any trust under
this Agreement.
rr Er...
R.E.G.
Page 6 of 8 Pages
ITEM NINE
WAIVER OF BOND
[ direct that neither my Executor nor my Trustee or their successors shall be required to file
any bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be
required to obtain any order or approval of any court for the exercise of any power or discretion set
forth in this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 23rd day of March,
1998.
/?w1..> ~ 1l~
Ruth E. Garman
(SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
VJv/lUa' ~. 'ntt
d!- -y
-----;/", .;;,,~
-
Page 7 of 8 Pages
COMMONWEAL TH OF PENNSYL VANIA )
SS.
COUNTY OF CUMBERLAND
)
I, Ruth E. Garman, Testatrix, 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; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein expressed.
It...tt. g ..J.1QJV>..o.l'1I\~'
Ruth E. Garman
Sworn or affirmed to and acknowledged before me by Ruth E Garman, the Testatrix, this
23rd day of March, 1998.
Notarial Seal I
: GorrinE; L. Myers. Notary Public --.
Carlisle Boro, Cumberland County I
~~: com~~~~l.!X~~~~~__~.:: 27~~~::.J
t~AAJ:..e ('~';)~/1)
Notary Public
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We, J;;:en1SL. J.... JJ!:f-: and S-kpkr. L. eJ t-C'..... _
the witnesses whose names are signed to the attached or foregomg instrument, bcing duly qualified
according to law, do depose and say that we were present and saw Ruth E. Garman, the Testatrix,
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of
us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our
knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence.
lfJ/mat t Ju~
Address ~~~s I~h,;b~~f
---Y~~ .~-
Address/f:lr, E?<. ,-, /I <, 1. -:;:-r
/. . I ).J '.
t,.,,"",-,' '.s e ,},;r ;'7[:1/'<)
Sworn or affirmed to and subscribed before me this 23rd day of March, 1998.
('.WH_ ~_.cX ))?4~
Notary Public
I~')ta~ial Seal
'_:'Jri"iflt! L MYf:','S, Notary Public
Carlisle Boro. (.;;rnberfand County
My Commisslol' r:,,(wes May 27,1999
Page 8 of 8 Pages
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APPRAISAL REPORT
575 McCLURES GAP ROAD
CARLISLE, PENNSYLVANIA
PREPARED FOR
TIIE ESTATE OF RUlli E. GARMAN
BY
LARRY E. FOOTE
DIVERSIFIED APPRAISAL SERVICES
35 EAST HIGH STREET, SUITE 101
CARLISLE, PENNSYLVANIA
17013-3052
(717) 249-2758
II
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SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS
LOCATION: 575 McClures Gap Road
Carlisle, Pennsylvania
TAX PARCEL NUMBER: 29-07-0471-036
IMPROVEMENTS: One and one-half-story detached single-family dwelling.
PROPERTY RIGHTS: Fee simple interest.
OWNERSHlP HISTORY: The subject property is owned by Ruth E. Gannan. The
property was purchased on July 17, 1954 for a reported
consideration of $1.00 and ownership transferred on deed
reference 15-W-350.
SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the
subject's area, an inspection of the subject property, an
estimation of the property's highest and best use,
consideration of all three approaches to value, and the
application of those relevant to the valuation of the
subject.
OBJECTIVE: To estimate the market value of the subject property as
unencumbered.
EFFECTIVE DATE: January 18,2004.
HIGHEST AND BEST USE: Continued use as a single-family residence.
COST APPROACH: N.A.
SALES APPROACH: $92,000
INCOME APPROACH: N.A.
FINAL VALUE CONCLUSION: $92,000
2
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APPRAISAL CERTIFICATION
I hereby certifY that upon application for valuation by:
RUTH E. GARMAN
the undersigned personally inspected the following described property:
All that certain piece or parcel of land, with the improvements thereon erected, situate
in North Middleton Township, Cumberland County, Pennsylvania, bounded and described as
follows:
Beginning at a nail in the center ofthe public road leading from the Carlisle-Newville
Road to Cranes Gap, which point is on the line ofland of Merle E. Miller; thence by the center
line of said road, North 14 degrees West, 100 feet to a nail; thence by the lands of William
Garman and wife, North 80 degrees 45 minutes East, 175 feet to a stake; thence by the same,
South 14 degrees East, 100 feet to a stake on line of land of Merle E. Miller; thence by the
latter land, South 80 degrees 45 minutes West, 175 feet to the place of beginning.
To the best of my knowledge and belief the statements contained in this report are true
and correct, and that neither the employment to make this appraisal nor the compensation is
contingent upon the value reported, and that in my opinion the Market Value as of January 18,
2004 is:
NINETY-TWO THOUSAND DOLLARS
$92,000
The property was appraised as a whole, subject to the contingent and limiting conditions
outlined herein.
K~
Larry E. Foote
Certified General Appraiser
GA-OOOOI 4-L
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PURPOSE OF THE APPRAISAL
The purpose of this appraisal is to estimate the Market Value of the subject property as
of January 18, 2004.
Market Value, as defined by the courts, is the most probable price estimated in terms of
money which a property will bring if exposed for sale in the open market, allowing a
reasonable time finding a purchaser who buys with knowledge of all the uses to which it is
adapted and for which it is capable of being used.
Frequently, it is referred to as the price at which a willing seller would sell and a willing
buyer would buy, neither being under abnormal pressure.
IDGHEST AND BEST USE
Highest and Best Use is defined by the Appraisal Terminology and Handbook,
published by the Appraisallnstitute, as "the most profitable likely use to which a property can
be put". The opinion of such use may be based on the highest and most profitable continuous
use to which the property is adapted and needed, or likely to be in demand, in the reasonable
near future.
However, elements affecting value that depend upon events or a combination of
occurrences which, while within the realm of possibility, are not fairly shown to be reasonably
probable, should be excluded from consideration. Also, if the intended use is dependent on an
uncertain act of another person, the intention cannot be considered.
Based on the above definition and after seeing the site, neighborhood, and area, it is my
opinion that the present use of the subject is its Highest and Best Use.
4
'.:,>:.,
Ruth Garman Estate
Invoice No. 1
.':':':'>:':"':
575 McClures Gap Rd.
Car1isle, PA 17013
717-243-3265
.-.-..... -.....-..--. .
,... ....... ..
~~
INVOICE ~
Customer
Name
Address
City
Phone
.l(imber1y Vliickard_.
1630 Waggoners_Gap_B~
Car1isle
717-243-4626
- -- ----- - -- -
PA
17013
Date
Order No.
Rep
FOB
5/1/04
I Glti- J==-- D.l!scription
,
1 11997 Chevrolet Lumina Car
I
I
_ynit.F'.lice l
$3,500.00
TOTAL
$3,500.00
_L.
--....- ..--
-- -- SUbTotal- ~ u_ $3,500.00 :
Shipping & Handling r~- I
Taxes _._Sta.!.e_~_ _ I
I
-TOTALl $3,500.00 I
Payment Details
@ Cash
o Check
o Credit Card
Name
CC#
Expires
IOffice Use Only - -..-
Insert Fine Print Here
Insert Farewell Statement Here
I ERIE
Jil. INSURANCE
.....;000;; EXCHANGE
,~ Member' Erie Insurance Group
ERIE.
ERIE INSURANCE EXCHANGE
P.o. BOX 1699 ERIE. PA 16530
NAMED INSURED COPY
CANCELLATION NOTICE
MAIL DATE 06/04/04
BAL: S361.00 CR
POLICY NUMBER Q 12 2190006 H
POLICY EFFECTIVE DATE 12/21/03
PIONEER FAMILY AUTO POLICY
CANCELLATION EFFECTIVE
05/08/04 12.01 AM
5T ANDARD TIME
NAMED INSURED
1,,,1/1,,,11/,,,,,.1/,,1/,1,,1.1
ESTATE OF RUTH E GARMAN
C/O BARRY GARMAN
351 WILLOW GROVE RD
CARLISLE PA 17013
AA7167
WE ARE NOTIFYING YOU THAT THE ABOVE POLICY IS CANCELLED AS OF THE CANCELLATION
EFFECTIVE HOUR AND DATE SHOWN ABOVE. IF WE HAVE BEEN ASKED TO PROTECT OTHER
INTERESTS, WE ARE REQUIRED TO ADVISE THEM OF THIS CANCEL LA TION.
THE REASON FOR THIS ACTION :
ASSURED DECEASED
***FORMERLY - GARMAN, RUTH E
PREVIOUS BALANCE
UNUSED PREMIUM
PRESENT BALANCE
$.00
$361.00 CR
$361.00 CR REFUND CHECK ENCLOSED
00342
AA7167
WOLF J P WOLFE INSUR INC
:132EXC 6/00
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
CERTIFICATE OF DEPOSIT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Estate of: RUTH E. GARMAN
Date of Death: 101/18/2004
Social Security Number: 202-20-6075
~lst
MEMBERS 1st
FEDERAL CREDIT UNION
57834 -00
10/16/1979
$2,307.12
$1.07
$2,308.19
None
57834 -40
01/20/2000
$1,169.11
$1.05
$1,170.16
None
t; ERS 1ST~E. RAL CREDIT UNION
d;l':v",dd~M
D nise A. Wolfe
Insurance Supervis
April 20,2004
-.'_____n._ __._,__ _ _.____ ____
SOOO Louise Drive. EO. Box 40 . Meehanicsburg, Pennsylvania 17055 . (717) 697-1161 . wwwmemberslst.org
m1M&rBank
499 Mitchell Road. MilIsboro. DE 19966 Mail Code DE-MB-12
Stephen L. Bloom
Attorney and Counselor at Law
2100 Longs Gap Road
Carlisle, Pennsylvania 17013
Phone (888) 502-4349
Fax (302) 934.295:;
April 16, 2004
Re: Estate of: Ruth E. Garman
Social Security 202-20-6075
Date of Death: Januarv 18, 2004
Dear Mr. Bloom:
Per your inquiry dated April!2. 2004, please be advised that at the time of death, the above-named decedent had on deposit
with this bank the following:
I.
Type of Account
Checking Account
Account Number
36340499
Ownership (Names oj)
Ruth E Garman
Opening Date
08D8164 (Closed03It&0~
Balance on Date of Death
$70,79864
Accrued Interest
S
000
Total
S70,798.64
2,
Type of Account
Savings Account
A ccount Number
02/0000IJ//960IJ6
Ownership (Names oj)
Ruth E Garman
Thomas L GarmoJ1
Opening Date
09127176 (C/osedlJ/I/6104)
Ba/ance on Date of Death
$I}(}OO
Type of A ccount
Safe Deposil Box
Box Number / L<x:ation
00001281 Carlisle West
Ownership (Names oj)
Ruth E Garman
OpeninJ; Date
081/4103
For further account information, closures and/or reimbursement of funds. etc. please cat! the Carlisle West Office #
717-240-6717,
~~
Nancy Clagett
Records Management
'8\ GE Life and Annuity Assurance Company
\:"iUJ1 POBox 6700
~ Lynchburg, VA 24504-6700
0000000022900059225 1
',111111111111111111',"1','1111..11111111,11".,.1"..11,1,III
THE ESTATE OF RUTH E GARMAN
C/O BARRY GARMAN
35l WILLOW GROVE ROAD
CARLISLE PA l70l3-83l6
Description
Policy Number
Payment Information
PLEASE DIRECT
INQUIRIES TO:
1-800.253-0856
Amount
Comment
Check N'mb" 2 90 00 5 92 2 5
Check Total
$971.15
Check Date 02/18/04
C'OIJI,FRM10.l9.01
Please detach before negotiating check
'....
"
Kevin M. Wickard
140 Pleasant Hall Road
Carlisle, PA 17013
(717) 241-5341
February 10, 2004
Ruth E. Garman
575 Mclures Gap Road
Carlisle, PA 17013
I, the undersigned appraiser, have personally inspected the articles
listed on the attached summary. To the best of my knowledge, the
values stated are true and correct as of February 10, 2004. I have
found most items to be in good condition and have taken into account
both physical and functional depreciation in arriving at conclusion of
value.
I further certify that I have no personal interest in this property and
that neither my employment nor compensation is contingent upon the
valuation of this property.
In my opinion the fair market value of the items contained in the
estate of Ruth E. Garman as of February 10, 2004 is $6,670.00.
Respectfully submitted,
"
1~ ~1J~
;2-J(j -0 'I
Kevin M. Wickard
KITCHEN
Refrigerater
Microwave
Mixer, toaster etc.
Dishes
Pots & Pans
Table with chairs
Dry Sink
Small TV
China Closet
Clock
Dishes in China Closet
Oil Lamp
Bracket Light
Hutch
Depression (cherry blossom)
LIVING ROOM
TV, stand & VCR
Wall clock
Lamps
Oak Table
Sofa
Rocker and Mics. Chairs
Phone Stand
MOM'S BEDROOM
4 pc. Bedroom suite
safe
gun cabinet
Misc. ammunition
H.R. 410 (gun)
Stevens 30-30 (gun)
.22 Mag (gun)
Savage .22 (gun)
Rem. 30-06 (gun)
.22 Marlin (gun)
SPARE ROOM
3 pc. Bedroom suite
Sewing Machine
2 lamps
Phone stand
300.00
30.00
20.00
25.00
20.00
100.00
50.00
20.00
300.00
100.00
100.00
25.00
100.00
100.00
200.00
150.00
35.00
25.00
100.00
250.00
100.00
25.00
1,000.00
100.00
75.00
25.00
150.00
150.00
100.00
150.00
300.00
100.00
100.00
10.00
25.00
25.00
CLOSET
Sweeper
Toys
BEDROOM
3pc. Bedroom Suite
puzzles
toys, games and records
crocks
train
(2) cedar chests
Chest of Drawers
Bed and dresser wi mirror
ATTIC
Misc.
GARAGE
Washer
Dryer
Refrigerater
Chest freezer
Upright freezer
Tools, ladder etc.
Model LS 1997 Chevy (car)
(2) Sleds
TOTAL
50.00
20.00
50.00
5.00
10.00
50.00
25.00
75.00 each
50.00
25.00
10.00
50.00
25.00
20.00
50.00
50.00
20.00
1500.00
25.00 (both)
$6,670.00
STEPHEN L. BLOOM
.\ 'I r () R :\ L Y .\ N [) C () l: 1\ ~ ]': L I. () R .\ T L .\ \\'
WWW I'RACTICALCO!JNSEL COM
2 1 () 0 L () '.; (~.' (; .-\ I' R I 1\ ])
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April 21. 2004
Pennsylvania Departmel1! of Revenue
Harrisburg District Office
Attn: Sarah Musser
Lobby, Strawberry Square
Harrisburg, PA 17]28-0101
RE: Estate of Ruth E. Garman
Social Security No. 202-20-6075
Date of Death: January] 8,2004
Dear Ms. Musser:
T 1:1.1.:1' fIO_"! - 1 - .2 .Il) - - I -
I; \ I S I ,\1 I L I - I - 2 ~ () - - 'i -
[' () I I J: j{ i:I H - - 'i -I K () (,() ~
Enclosed please find a completed and signed Safe Deposit Box Inventory, which was
conducted on April 20, 2004, regarding the above estate. Please feel tree to contact me if you have
any questions or need additional information. Thank you.
Very truly yours,
Stephen L Bloom
Enclosure
C:\OIl'icc Documcnts\Ollkc . !-:state ArJminislraliol1\9279,3sm J dOl;
PR.\CT1C.\f, COl'.'\SEL + CHRJSTIA;\J PERSPECTIVE
Il.EIf-4B5EX+(1.9l)
~..J~'~
'Jo(,,'.~
SAFE DEPOSIT BOX
INVENTORY
COMMONW~ALTH OF PlNNSYLYM~IA
DEPARTMENT OF REVENUE
INHfRlTANCf TAX DIVISION
DEPT 280601
HARRISBURG, PI> 1712B_0601 Please Print or Type
MUST BE COMPLETED BY REPRESENTATIVE OF FINANCIAllNSTlTUTlON WHERE SAFE DEPOSIT BOX IS LOCATED AND RETURNED TO ABOVE ADDRESS
COUNTY CODE FILE NUMBER SOCIAL SECURITY OR DEATH CERTIFICATE NUMBER
;;2 1;;2. COlt"> 0 ;2 _
(STATE) (ZIP CODE)
l::cNt0:r:S r {;Nc,V\{\,'-J
(STREET ADDRESS)
(CITY)
(STATE)
(ZIP CODE)
S0c Me CLv<:LS c,AF(?c":'o..,b, C~L.J.SL~ PA 1/01'3
NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING
o. (NAME) (RelATIONSHIP)
\Jt.NtJ1.S r- ('~Ai2I-AAN ~NIC.'KI:...c...v-<c".Z
{STREET ADDRESS) (CITY) (STATE)
S00 Me ( ,..2t> r:~/Wi2c'i\0 . C,WL.J"LL. ;JA 170/'3
,
b. (NAME) (RElATJONSHIP)
~'( J_ (;,AI2M.P\?J ~:ONI C1<-L<..ulOK
(STREET ADDRESS) (CITY) (STATE)
S5:1 /,,;.LLLCw {,{Zoi,C:i2u--=\;.c>. /.A;2.LJ'SlC PA 17013-
,
c. (NAME) {RELATJONSHIP}
S,-,oP,-Ic::N&CCI'-" .' f' "-,0. A."oc2/'JCY
(STREET ADDRESS) (CITY) (STATE)
:2.100 5 AP /2oPc0 C.Pt(2L::i~LC:JA {70 1"3
NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED
(NAME)
(ZIP CODE)
IZIP CODE)
(ZIP CODE)
5-lt2.:..cT
(CITY} (STATE)
(ZIP CODE)
o.
A{2KAN
b. (NAME)
5:7 S fv\ c C Lv"2~." C:,p,p f2..vAD
(CITY) (STATE) (ZIP CODE) (CITY)
CN4..:JSLE PA 17015;
NAME AND TITLE OF EMPLOYE TAKING THE INVENTORY
(STREET ADDRESS)
(STATE)
(ZIP CODE)
L
WAS A WILL IN THE BOX? __ YES J(NO If ye., G. Oat. of will: ____
b. Name and oddr... of penona( T~pr...ntQtIY., If named In the will
(NAME)
{STREET ADDRESS)
(CITY]
(STATE)
(ZIP CODE)
c. Nam. and addr... of attorney, If any
(NAME)
6l'E..f'f-\2l'J L 6LOOf'/\, E.~C~.
(STREET ADDRESS)
,:2.100 lO/\J(;,S C.l\r,2.c'AD CA(2LL"LC
(CITY)
PA 1/0/3
(STATE)
(ZIP CODE)
SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS
(1) Cash: Report total only.
(2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are
to be designated by name of company; certificate number, date of certificate, name in which stock is registered,
and number of shores and class of stock.
Poge
of
-----_.~~------_.~
----.-----.---------------- -- .--.-----------
(3) Obligations of U. S. Government: Number of items, date of issue, face value, names in which registered
and type of ownership, i.e., jointly held, payable on death, ate.
(4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds)
(5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, lost date appearing in
book, name of bank and branch, and balance.
(6) Jewelry, Coins, Stamps, Manuscripts, etc: list and describe os fully os possible.
(7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe os
fully as possible.
(8) All olher conlenls.
I I!.~M I
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ITEM DESCRIPTION
~f\SH "It 4<6.
-r 2-l.:r...... (< 0
50
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PLA~
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---~--- -----_____.1
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---.-.-~----..--. - -1
- -- --------1
.----- ------ _ __I
II CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COpy OF
. CORRECT AND COMP erE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY" I
SIGNATURE S~N:TUR/%~ C' / )1.\ ---.--1
~ ~~ ../ <:>l~"'-L-_ I
PR NAME PRINT NAME AND CHECK APPROPRIATE BOX BELOW' -------~- --- ---- 1
I 5t'e..~~" L L'>/ po",,", ;:SA~ L . CA,0-1A>--J / DeNNn r=. GA((rv,I'1N' J
~PRINT TITLE r ~~ ~tCHECK APPROPRIATE BOx- -.-------___n__
^ ^ J I rRJExeclJtor(trix) CJAdmir'listrotor(trixj
/+ctCO,,,,,,,,\ Jcx (:S":c.:h'" 0..(. ~ e,,--t . [JE"a', "p'","'a';v. [:J )0;"'.2""'''..01 ,of, d'f'O",Ioo"--~_
NOTE: Attach additional 8%" x 11" sheet (s) If necessary or use duplicates of this page of form.
INDMDUAL ANNuI1Y APPliCATION
CONTRACT lYPE
Flexible PremIum Defernd Annulty ~. BK 30 032 31
Contract No,
INITIAL PREMIUM
$
Request for Subsequent Premium Notices: Amount $
[ntelVaI: _ Monthly _ Semi-Annually
- Quarterly _ Annually
EFFECI1VE DATE
JUllU J.J.auI.,;Ul,.;r.. IV.lUlUC1J Lilt; JIl~uram;c::: \....Ompany
John Hancock Place, P.O. Box 853, Boston, MA 02117
JOINT OWNER (if applicable)
Date of Birth
Soc. Sec. No. / Tax ill No.
MONTH
DAY'
YEAR
BENEFICIARY
ANNUITANT
Enter joint ownership and other special cases here.
See sample designations on reverse.
lYPE OF ANNUI1Y
Date of Birth
_ Male _ Female
Soc. Sec. No.rrax ill No.
OWNER (If other than Annuitant)
_ Non-Qualified
_ Pension / Profit Sharing /401(k)
_SEP
_ IRA RolloverfTransfer
_IRA
TuYur
_ HR-1O
_Other
_ SIMPLE IRA
Date of Birth
The contract anniversary nearest the Annuitant's:
90th birthday Other age
WILL TIlE ANNUI1Y APPUED FOR REPLACE OR
CHANGE ANY EXISTING ANNUI1Y OR UFE
INSURANCE?
DATE OF MATURITY
Soc. Sec. No. / Tax ill No.
, SPECIAL REQUESTS
~ Yes _ No
If Yes, indicate:
ForIifeann1lit}!witli-.a,gtIlItal1t""i~riodtlf.t"n. years;jthe.optioniyieldfactor
at a e 65 is 5;22; .. . .
lqQ.~iiRf8!i. ... t"..l!Y..JIZan..-..... .".. ce. .Ii.-. Tps.co. ..ntract., .". ...."'a.y. '.be.."r;turn. '. ed .by ,d~livering i.t
Wltliltt.lO~~:~r'i.itS.~!p.t.,t~Hl\~fG:O:JlIPanY"atJ:loston, ..MA; or. to.tpe
agency office tiiro. ... ugh. 'wlitCh,'t.W8S..... .dCliyered.; .llimteiliate1yupon our receIpt
of .this!. oonttal;t,:it..'wjlkbe:NOiAr....pm~ili. . ,,:6e..giJinin. . g. All premiums. less any
witlfdfilwa!s@lll!lletrefUrii:l&li\\1ffibH(I'da .
SIGNATURES
The following applies to each of the undersigned: To the best of my knowledge and belief, the statements in this application are true
and complete. I understand that no agent or representative is authorized to waive or change any of the conditions or provisions in the
application or contract. The contract (consisting of this application and the attached contract) will take effect as of its Effective Date,
but only if the annuitant is living on that date and the Initial Premium (as shown above) has been received at John Hancock's Home
Office.
Issuer
Contract Type
Contract No.
~ 1035 Exchange (please submit cost basis information.)
Annuities are NOT insured ,by FDIC, and are NOT obligations of
any bank. The financial instil!ltion'doesnot 'guaranteeperformance
by the insurer issuing.the. aiiliiiit;y,.nor is.it insured.by the FDIC,
NCUSIF, nr any other.federaJ,entity.
OWNER
ANNUITANT. IF OTHER 'mAN OWNER
JOINT OWNER, IF ANY
SIGNED AT CITY
STATE
"/";
AGENT SIGNATURe
LICENSE II) (f
DATI"
Agent: Is the annuity applied for intended to replace or change any existing annuity or life insurance? _._ Yes _,_ No
Agency and Number
Agent Name and Number
\ '::;fi~(jPA~97PA
Telephone No. 800-422.0237
CLAIMANT'S STATEMENT (COMPLETE EITHER A OR B)
Notice
A. Withholding of Federal Income Taxes From Distributions or
Withdrawals From Annuities, IRA's, Pension, Profit Sharing, Stock
Bonus and other Deferred Compensation Plans
Under the Tax Equity and Fiscal Responsibility Act of 1982, we are required effective January 1, 1983 to withhold Federal Income
Tax from the distribution or withdrawal you are to receive unless you elect not to have withholding apply. Withholding will
apply only to the portion of your distribution or withdrawal that is included in your income subject to Federal Income Tax. If
we are not able to determine the taxable portion of your distribution then we will presume that the entire distribution is
taxable and withhold on that basis. If applicable, we will give effect to the $5,000.00 death benefit exclusion.
Election for Recipients of Proceeds
o 14Q D9.! .!Yitnt to have Federal Income Tax withheld.
iiI I Jv .llimt Federal Income Tax withheld from my distribution.
iPlease indicate the percentage you would like withheld ( %). If no percentage is indicated, the
Company will automatically withhold 1O%}.
In addition, if you live in CA, CT, ME, MA, OR, V A, VT, we will withhold the applicable state tax.
Even if you elect not to have Federal Income Tax withheld, you are liable for the payment of Federal Income Tax on the taxable
portion of your distribution or withdrawal. You also may be subject to tax penalties under the estimated tax payment rules if
your payments of estimated tax and withholding, if any, are not adequate. Withholding is merely a method of paying taxes
which you owe and therefore does not change your total tax liability.
Annuity #: K k -:Sf: 0 ;):1 ~ 1
S J s: i Cj I .- 4-;), - 75 1'1
.TA.G.'. 17;2- .5;;>. - 36.26
P J(W: 17'3 -- -5;;' - "37 ''is I
Social Security #:
Print Your Name: Sh<-.rv 1. 5wJer. l.dV A. (;. .-...... i\.~~L V (J,."""n
f" r _, .
Your Signature:
Date: A ra.u n. 200'+
.
B. AMENDME
To DEFERRED ANNUITY(JES) ONLY
IF SPOUSE IS B EFICIARY OR JOINT OWNER, AND UG ACCOUNTS ONLY
OWN HIP CHANGE / CONTRACT C INUATlON
Full Name of each new
- isted number!s) be amended as follows:
Contract(s):
It is requested that the application/contract with respect to
[would like to assume full ownership (keep the ab
lies) active} under my name, due to the death of the annuitant/owner.
Relationship
Your Signature:
te:
l~m~~OO~~~~~~~~~~~~~~~~~~~~~~~~~~II~~
John Hancock Lire Insurance Company
Post Office Box 772
Boston, Massachusetts 02117
FINANCIAL SERVICES
X'3
((',~(~cL, L,c",,,,,J ceil .
{\eLeevc'ck I,[,cc <S(-c~-icc."",~,,-;;.)
SHERRY J SNYDER
122 FRYTOWN ROAD
CARLISLE, PA 17013-8982
DEATH BENEFIT
BK3003231
I
M00002
CHECK NO, 380- 00026988S
CHECK DATE-
4/26/04
~YEE- SHERRY J SNYDER
~NUITANT - RUTH E. GARMAN
DEATH PROCEEDS
FEDERAL TAX WITHHOLDING
$
$
22,260.60
-458.07
CHECK AMOUNT
$
21,802.53
380-000269889
It you have any questions, please call CUstomer Access at1.8OQ..732-5543 any business day between 8 a.m. and 7 p.m. Eastern Time.
EO. 2000
John Hlneock li" In.urlne. Complny_ PO Bo..: 772. BOlton, MA Cl2117
AGENCY
ANNUITY CONTRACT
~
TRANSACTION
.Qil&
"2
CHECK NO. 380- 00026988
In HancOCk Ute Insurance Company
BK3003231
DEATH BENEFIT
CHECK DATE DOLLARS, CEN~
4/26/04 *******21,802~53
'***********TWENTY ONE THOUSAND EIGHT HUNDRED TWO DOLLARS AND 53CENTS***********~
PAY TO THE
SHERRY J SNYDER
122 FRYTOWN ROAD
CARLISLE, PA 17013-8982
OR DER OF
WaChovia Bank, N.A.
Augusta, Georgia
/) ~)~~
(U_G I~- ~ .
Ewing Brothers Funeral Home, Inc.
630 South Hanover Street
Carlisle, PA 17013-
(7 17)243-242]
January 23, 2004
Dennis E. Gannan
590 McClures Gap Road
Carlisle, P A 17013
The Funeral Service for Ruth E. Garman
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please
feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
I. PROFESSIONAL SERVICES
Services of Funeral Director/Staff. . . . . . .
FUNERAL HOME SERVICE CHARGES
SELECTED MERCHANDISE:
Solid Copper 320z Bates Casket Lav.. . . . . . . . . , . . . . . .
lunerjean Chief Vault . . . . . . . . . . . . . . . . . . . .
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THATYOUHAVESELECTED. . . . . . . . . . . . .
$3375.00
$3375.00
$4495.00
$1295.00
$9165.00
Cash Advances
Clergy/Mass Offering, . . . . . .
Certified Copies of the Death Certificate .
Flowers, . . . . . . . . . .
Hairdresser. . . . . . . . . .
TOTAL CASH ADVANCES AND SPECIAL CHARGES.
$75.00
$30.00
$132.50
$35.00
$272.50
Total
Total Cost
. . . . . . . . . . . . . . . . . . . .
$9437.50
SUB-TOTAL
INITIAL PA YMENT! DISCOUNT! CREDITS
TOTAL AMOUNT DUE
$9437.50
0.00
$9437.50
The unpaid balance over 45 days is subje-.:itd to a 1.00 % service ch&rge per month _ 12.0000 % per annum.
D\ ,
\G-
?;oO( ~~
)/} ,/6Y f~;j f{J,:f
;;/I~
Member of National Funeral Directors Association
Ii L 1.1 _'UU...\
12: 1 j
il i-:":."L:l-'jjf.:,
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Westminster Cemetery
ll59 "'{,\\Iv:JI\' Road . Carli~le. PA 17013
717.249.2Q29
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RECEIVED rnON:Y17 ~10 0365
p,el
STEPHEN L. BLOOM
,\.I'I"()Rr\I':Ylr\[) C:()I'~SI:I.I.()R .1'1" L.III'
WWW PRACTICAI.COUNSEl. COM
21 ()O l.()~(;~ (; ,\1' ]~():'l)
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Invoice submitted to:
Garman, Ruth E. Estate
c/o Dennis E. Garman, Co-Executor
590 McClure's Gap Road
Carlisle PA 17013
April 13, 2004
In Reference To: Estate Administration
Invoice # 1398
Professional Services
1/20/2004 Preliminary Administrative Matters
2/4/2004 Administrative and estate accounting matters: Prepare Petition for
Probate and Grant of Letters, Proposed Decree of Probate and Grant of
Letters, Estate Information Document and Exhibits for presentation to
Register of Wills
2/5/2004 Appearance at Register of Wills Office to present Petition for Grant of
Letters; Administrative matters; Telephone conferences with Real
Estate Appraiser; Office conference with Executor: Review asset
information; Review Certificate of Grant of Letters and Short
Certificates: Prepare IRS Form SS,4
2/6/2004 File IRS Form 5S-4; Correspondence With IRS; Telephone conference
with Executor
2/28/2004 Administrative and estate accounting matters; Review appraisal of
personal property of Decedent
3/4/2004 Review Appraisal Report on valuation of Estate Real Property;
Correspondence: Estate Administration matters
3/5/2004 Telephone consultation with client
4/1/2004 Telephone conference with Department of Revenue, Administrative
Matters
P RAe TIC :\ J C () I \.: -" L J + C [-I R 1ST i i\ '\ P L R S P 1-.: C T I \' L
I I',I.J-:I']I (IN I - 1 - 24 ') - - I -
I' -\'-SJ .\1 I 1.1 - I - 2 49 - - , -
T ()J. I I' R 1-:1. 8 - - ; .1 8 9 (, ()2
Hrs/Rate
Amount
0.67
185 OO/hr
123.33
169
185.00/hr
313.32
174
18500/hr
321.64
0.33 61.67
18500/hr
0.16 30.06
18500/hr
0.31 57.86
185.00/hr
0.05 9.25
185.00/hr
0.51 95.17
18500/hr
Garman, Ruth E. Estate
4/6/2004 Telephone conference with Department of Revenue
4/12/2004 Administrative and estate accounting matters; Preparation of required
Notices of Beneficial Interest In Estate and correspondence with
Beneficiaries re same; Certification of Notice Under Rule 56(a),
Correspondence with Members 1 st Federal Credit Union and M& T
Bank re documentation of date of death account valuation for
Inheritance Tax Purposes; Inquiry correspondence with Pennsylvania
Department of Public Welfare, Estates Recovery Program, re status
and existence of Medical Assistance Claims of the Commonwealth;
Preparation of required Legal Notices for publication and
correspondence with Cumberland Law Journal and The Sentinel re
publication of same; Preliminary Inheritance Tax Calculations for
estimated discount payment purposes; Telephone conference with
Executor
4/13/2004 Administrative and estate accounting matters; Review John Hancock
Annuity Contract and related documents, Preparation of Annuity Claim
Form and Exhibits; Correspondence re same; Determine Inheritance
Tax matters re same
Estimated reserve for remaining administrative and estate accounting
matters, Including: Consultations and correspondence with Executors.
Miscellaneous correspondence; Appearances at Register of Wills
Office for filing of Certifications, Inheritance Tax Estimated Payment,
Inheritance Tax Return, Status Reports and Inventory; Preparation and
finalization of Inheritance Tax Return, Schedules and Exhibits,
Preparation and finalization of Inventory; Preparation and finalization of
Release, Receipt and Refunding Agreements; Safe Deposit Box
Inventory and filing of related documentation with Department of
Revenue; Real Estate Conveyance Matters, including preparation,
execution and acknowledgement of Fiduciary Deed and Affidavit of
Value and appearance at Recorder of Deeds Office for Recording of
same; Review of correspondence and responsive documents from
Register of Wills, Department of Revenue and Department of Public
Welfare; Miscellanous tax matters
For professional services rendered
Balance due
PAYABLE UPON RECEIPT - THANK YOU
P R :\ c: TIC:\ ). C () I' '\ S [.: J. + C J I R 1:\ T; ;\ \; P FRS l' Fe T [ \' 1
Page
2
HrslRate
Amount
0.08 15.42
18500/hr
3.78 69884
18500/hr
2.23 411.78
185.00/hr
16.00 2,96000
18500/hr
27.55 $5,09834
$5,09834
Invoice submitted to:
Garman, Ruth E. Estate
c/o Dennis E. Garman, Co-Executor
590 McClure's Gap Road
Carlisle PA 17013
August 26, 2004
In Reference To: Estate Administration
Invoice # 1455
For professional services rendered
Supplemental matters re sale of 575 McClures Gap Road ($100.00)
Previous balance
4/13/2004 Payment - thank you
8/26/2004 Payment - thank you
Total payments and adjustments
Balance due
PAYABLE UPON RECEIPT - THANK YOU
Hours Amount
$100.00
0.00
$5,09834
($5,098.34)
($100.00)
($5,198.34)
$0.00
STEPHEN L. BLOOM
ATTORNEY ,IN]) COUNSELI.OR AT L,IW
WWW PRACTICALCOVNSEL COM
2100 l.oN(;;'; C;Al' RO'\I)
C::\!{ I. r S 1.1':. ]) I.: N I\ S \". V,\ J'\; I f\ 1 701 3
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Invoice submitted to:
Garman, Ruth E, Estate
clo Dennis E. Garman, Co-Executor
590 McClure's Gap Road
Carlisle PA 17013
October 12, 2004
In Reference To: Estate Administration
Invoice # 1486
Professional Services
10/12/2004 Supplemental adjusted reserve for final administrative/estate matters
For professional services rendered
Balance due
PAYABLE UPON RECEIPT - THANK YOU
PRACTICAl. C:OCNSEL .. CHRISTIAN PERSPECTIVE
TI.:r.I-:I'II()t\< , - J - 2 , 9 - - I -
1;.\l:s , 'I' 1.1: - I - 2 49 - - , -
TOLl j;H !-.I H':' C , , 8 <) I, () .:;
Hrs/Rate
3.00
18500/hr
300
Amount
555.00
$555,00
$555.00
RECEIPT FOR PAYMENT
--~----------------
-------------------
Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Recetpt Date
Recelpt Time
Receipt No.
2/05/2004
09:24:53
1035483
GARMAN RUTH E
File Number 2004-00109
Remarks DENNIS E GARMAN
AC
Transaction Description
PETITION FOR PROBA
EXTRA PAGES
SHORT CERTIFICATE
JCP FEE
Distribution Of Receipt ------------------------
Payment Amount Payee Name
270.00 CUMBERLAND COUNTY GENERAL FUN
21.00 CUMBERLAND COUNTY GENERAL FUN
12.00 CUMBERLAND COUNTY GENERAL FUN
10.00 BUREAU OF RECEIPTS & CNTR M.D
Check# 5949
Total Received.. .... ...
$313.00
$313.00
Accounting Associates
1849 W Lisburn Rd
Carlisle, PA 17013-9734
717-258-6671
March 4, 2004
CONFIDENTIAL
RUTH GARMAN
590 MCCLURES GAP ROAD
CARLISLE, PA 17013
For professional services rendered in connection with the preparation of your 2003 individual tax
return:
Form 1040 (Individual Income Tax Return)....................................................$ 35.00
Schedule E Page I (Supplemental Income & Loss)......................................... 40.00
Social Security Wries ....................................................................................... 15.00
PA Form PA-V (payment Voucher)................................................................ 10.00
PA Form PA-40 (Income Tax Return)............................................................. 10.00
PA Sch E (Rental Income)............................................................................... 10.00
Amount due $ I~
fJs~jJ 2>~ -- t~. ;-<J
(pel
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PPL Electric
Utilities
Electric
Service
For:
CARL GARMAN'
575 MCCLURES OAP RD
CARLISLE PA 17013
Questions about
this bill? Please
contact us bv Mar 1
at 1-800-34~-5775 or
484-634-4900
or write to:
Customer Service
827 Hausman Rd.
Allenlown, PA
18104,9392
v.W'W'.pplweb,com
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YO\1fBiU'Ai:.cOl1lltNUriibei
20070-74000
lJ" ,'whb\'a "'ldr\~,i'h';il':'::::;'
$ 41.23
Charges:
Totafl'PL ELECIRIC UTILITIES Charges $ 36.45
Total Charges $ 77.68
p..'~'l!i:,." "diOMt'N(i:J^tei".thanfMah. }'20J)4;;"J;.;'
.~""~r;t:i~'~~i<";~:;:'("'" "&",i',~~~1- /(!",,,"-,;,;,;,_,,>{;j":"~";\'t~~jt:,:;:,:,~::;"-(i?t~,~:?L ,.
Accounl Balance
Meter Reading Information
A vcrclge - Feb
Temperature
KWH Per Day
Yearly Use:
Mar 2002 - Feb 2003
Mar 2003 - Feb 2004
2003
241'
18
Total
Use
8639
7551
Summary Page
Balance as of Feb 6, 2004
$77.68
Electric
Use
This graph shows
your electric use
over the last 13
months.
Types of
Meter Readings:
Actual
-
1"'71
~
D
Estimated
Customer
36
KWH - Averdge Per Day
30
.-- -
-
--
- - ~
- - .. -
24
18
12
6
o
FMAMJJASONDJF
2003 Months 2004
5288
4927
361
2004
211'
13
A veruge
Monthly
720
629
Otber important information on back ...
-._~-._-_.._._-_._-
PPL Electric
Utilities
, 111 '
P.p";'r~i(
.":""TM
Page 1
YQur:BillA~'~/.u-' Number .'
20070,74000
: Use:wheilcallh-' orwrilini!.'
Electric
Service
Summary Page
HaJance as of Mar 9, 2004
$ 0.00
For:
CARL GARMAN
575 MeeLl IRES GAP RD
CARLISLE I'A 17013
Char res:
TotaFPPL ELECTRIC UIlLITIES Charges
$ 33.23
Tolal Charges $ 33.23
l'.a~'J11~1A.ppiglt',N<( .f~tel:ijJ:llJjl\1lit:30,"20(ll:\.~ ,., ;'~~~:' ;;i..r
Account Balance
$':'''3''~g
'''-'~'''*-.
'''':''''''',','i,;.,':~',
$ 33.23
Questious about
this bill? PJe~se
contact us bv Mar 30
lit 1-800-341-5775 or
484-634-4900
~j/J-6/6c(
o;;'/(j(3
or write to:
Customer Service
827 Hausman Rd.
Allentown, PA
18104,9392
www.pplwcb.coln
Electric
Use
36
KWI I, Average Per Day
------- ----._~--
Meter Reading Informution
eter#7389206
M~r 9 Actual
Feb 6 Actual
32 Davs KWH Billed
This graph. shows
your eleclnc use
over lhe last 13
months.
30
D
Avrrngc - M.ur
Tcmper.Jture
KWH Per Day
Yearly Use:
Apr 2002 - Mar 2003
Apr 2D03 - Mar 2004
2003
27F
17
5601
5288
-m
2004
36F
1(1
24 ~___
Types of
Meter Readings:
Actnal _
Estimated 1>>1
Cu.slomer L=:J
18
12
6
1'01111
Use
8659
7359
A vrruge
Monthly
72~
613
MAMI IASUNDJ l-'rvl
2003 Months 2004
--------------------------------------------..-----------..----------------
Other important in/ormation on back -+
.-----------.--------~------ -------~------.------------------_____h___
I
II
I
PPL Electric
Utilities
I
I
Electric
Service
For:
CARL GARMAN
575 MCCLVRF.5 GAP HD
CARLISLE PA 17013
Questions IIbout
this bill? Pie",,,,
contact us by Apc 28
at 1-800-342-5775 or
484-634-4900
or write to:
Customer Service
827 Hausman Rd.
Allentown, PA
18104.9392
WWW.pplweh.eom
ppl
Page 1
YiJl.lrBiIlt\c-COlwt NlUnber
~
20070-74000
{lse wht'jj c~lllin' of t~'rifj~
Summary Page
Balance as of ApI' 7, 2004
Charges:
TolalPPL ELECTRIC UTILrITES Charges
Total Chargcs
$ 0.00
$ 28.69
$ 28.69
Pa,y ,TIlls AlUoUllt 1'IoLalcl: than ApI' 28, 2004 .~... ,. ..
ACCollnt Balance
$ 28:69
$ 28.69
DJ- '.'.(
\ I (7 I
11 .yt
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,e
,
Electric
Use
'Ibis graph shows
your electric use
over the last 13
months.
Types of
Meter Readings:
Actual _
Estimated 1'//1
CUsTomer [:J
KWH - Average Per Da) Mder Reading Information
36 -----. .. -~'--- ---._---
<'leI' #73892068
30 -----..------- ---- A~r 7 Actual )862
Iv <lr 9 Actual 5601
24 2Y f)a 's KWH B,lled -m
--.~. --. _.~--_._._--~
A vCr',agl' - A.p.. 20(}J 2004
18 TCIl1~er<l(ll~e 451' 421'
KW J Per nay 14 9
12
Y"ady Use: Tofal Avcrult'
6 Use Month y
May 2002 - AI'r 2003 8686 724
0 May 2003 - Apr 2004 7164 597
AMJ JASONDJFMA
2003 !vlonlhs 2004
Othcr important in{(lrmation on back ~
------------------------------------------------------
-.--------------------------------------------------------.------------------------------
PPL Electric
utilities
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Electric
Service
Summary Page
Balance as of May 7, 2004
Page 1
Y&:lr]3ill-Aii.counfNuinbe:r::' ;.:
20070- 74000
:U~whe:if:caliri'~" -\V""} ':_:>:
$ 0.00
Charg<'s:
TotarPPL ELECIRIC UnUTIES Charges $ 27.69
Total Charges $ 27.69
Pa>i /1''f!i~$~hi\Jlt:"Xlo:Darei.';tba1I:tIJn::;l '2I\04:;:iJl:~7":~'Jij;;r}r;i:~;$0t7 .69
:" ,.<<;:;1;,~~,,",g1;>.~.!L',&~~"h?lg;;,,~>i}:~;t\~:'i}'''k~'''>'.':.>:c::~;;:' .,,,'\....;. ,,,,co,:"', ".- -:"i_ ,~,s:"r't;."."." '.: J;;;1::<;'-'W,'S~':;"-'~_~' :q,/)q_"liA~'i(,b"'\':_:'/'/0"d'd
Account Balance $ 27.69
For:
CARL.GARMAN
575 MCCLURES GAP RD
CARLISLE PA 17013
Questions about
this bill? Please
contact us by Jun!
at 1-800-342-5775 or
484-634.4900
~d I qJoc{
6 I
o)-V
,
or write to:
Customer Service
827 Hausman Rd.
Allentown, PA
18104,9392
www.pplweb.com
KWH - Average Per Day
Meter Reading Information
Electric
Use
36
~ - _._--
- -
-.- -
-- .. ~ -. ----
- , ~ ---
- - - -
lllis graph shows
YOUT eleclric use
over the last 13
months.
30
24
18
Types of
Meter Readings:
Actual _
Estimated he,1
Customer D
12
6
o
M1 J ASOND1 FMAM
2003 Months 2004
6110
5862
~
Average - May
'femperature
KWH Per Dny
Yearly Use:
JUIl 2002 - May 2003
Jun 2003 - May 2004
2003
57F
16
2004
56F
8
Totll)
Use
8690
6946
Average
Moutbly
724
579
Other important information on back ~
--~----~----- - ---- -- -------.._---------- -------..---- -.-. -- -- --~------ -._--------. - - -------------~.._-------~--_. --- ..._--.-.. - -~-._------._-_.._---
I
I
I
PPL Electric
Utilities
I
Electric
Service
For:
CARl. GARMAN
575 MCCLURES GAP RD
CARLISLE PA 17013
Questions about
this bill? Plense
contact us by lUll 29
al I-HOO-342-5775 0"
4H4-634-4900
or w."itcto:
Customer Scr"vicc
827 I-lausman Rd.
Allentown, PA
18104-9392
www.pplweb.com
Balance as or JUIl fl,2004
Charge>:
Total ['PI. EI.ECTRIC lTI1LI'I1ES Charges
Total Charges
I Pay 1'hls Amount J:'Io'Latcr thunJ.uIl29,2004>
Account Balance
ppl
Summary Page
Poge 1
Your Bill AC-i."OUJ11 Nuniber
20070-74000
Use. Whf"llCallin r or Writin'
$ 0.00
$ 31.24
$ 31.24
.,c.".".,
. ,$31.241
$ 31.24
'f'~<:
Electric
Use
lbis graph shows
your electric use
over the last 13
months.
Types of
Meter Reudings:
Actual _
Estimated 1.':1
Customer c::J
36
KWH - Average Pcr Day
30
24
18
12
6
o
J JASON])J FMAMJ
2003 MOllths 2004
Metel" Reading Illfol"lualion
cln 73892068
Jun 8 Actual
Moy 7 Actllol
32 Do s KWH BIlled
64().j
6110
~94
A vcr-age - J un
T empcralurc
KWH Per D<1Y
y curly 1lse:
1ul 2002. JUlI 2U03
1111 2003 - JlIlI 2U04
2003
591'
00
2004
681,'
9
1'01111
IIsc
8044
6600
Aycnlg
MOlllhl
67
5S
Olher imporlanl inli...malion Oil back -+
I
PPL Electric
Utilities
I
I
Electric
Service
For:
CARt GARMAN
575 MCCWRES ClAP RlJ
CARLlStE PA 17013
Ouestions about
Ihis bill? Please
conlacl us by Aug 30
at 1-800-342-5775 or
484.634.4900
or write to:
Customer Service
827 Hauslllan Rd.
Allentown, PA
18104-9392
www.pplweb.com
Summary Page
Balance 'L' of Aug 9, 2004
Char~es:
Tolarl'PL ELE(TRIC UTII.ITIES Charges
Total Chargc,
Ipay This Amount No Later thun Aug 30, ~004
Accounl Balance
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Page 1
Your Bill ACCOl1llt Number
2007U- 7 4000
lei . T writini.!
$ 0.00
$ 45.31
$ 45.31
$ 45.311
$ 45.31
Electric
Use
This grJph shows
your electric use
over the las. 13
I11onlbs.
Types of
Mcter Readings:
AClnal _
l'slimaled 0
Customer c:J
36
KWIl- A\'t'rag{~ Per Day
Mell'.' Re8din~ [ufol"luatioll
7313
6837
-476
30
A vcrag" - Aug
'l'cmpcmluH.'
KWH Per Day
Y"lIdy (lse:
Scp 2002 - ^ug 2003
Scp 2lKI3 - Aug 2lKJ4
2003
741'
36
2004
73F
15
24
18
12
6
o
Total
Use
X041
5521
~~~:~i~1;
67D
460
ASUND.lI,'MAM.I.lA
2003 Months 2004
Otllc.' important inli.rlllation on hack -+
______________..______H__________~_____________.._____________.__.____ ______ ____u______________n_________________
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Monthly statement: January 25, 2004
10f 5
Customer service
1-800-829-8009
Internet address
sprint.com/focal
Customer number
717-243-0496.756
Summary of Current Charges
Total
Monthly Service Charges
22.85
Taxes and Surcharges
Other Charges and Usage
Previous charges
Payment January 12 - Thank you!
Balance
38.81
-38.81
.00
Total Due:
Date Due:
Feb 18. 2004
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Monthly statement: February 25, 2004
1 of 7
Customer service
1.800.829-8009
Internet address
sprint.com/local
Customer number
717.243.0496,756
Summary of Current Charges
local
Long Distance
Total
Monthly Service Charges
2090
00
20.90
Charges and Usage
6.36
1500
2136
7.27
135
862
Previous charges
Payment
Past due balance
36.93
.00
36.93
Past due amount - Please pay immediately
Current charges of S50.88 due by Mar 78,2004
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Monthlv statement: March 25, 2004
10f 6
Customer service
1.800.829-8009
Internet address
sprint.com!Jocal
Cllstomer number
717.243-0496_756
Monthly Service
Other
Taxes and Surcharges
Previous charges
Payments and credits: page 3
Balance
87,81
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Monthly statement: July 25, 2004
1 of
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Customer service
1.800,829.8009
Internet address
.print.comllocal
Customer number
717.243-0496-758
Summary of Current Charges
Total
,_.
Monthly Service Charges 21.97
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Partial Month Charges -.40
Other Charges and Usage 6.34
Taxes and Surcharges 7.26
Total\:lI\'rentgharges .............. ...... 135.17
..~
Previous charges
Payment
Past due balance
35.34
.00
35.34
Total charges dUEl:
$70.51
Past dueamoun.t - PIElasCtpay . Immediately
Current charges ~e by Aug 18,2004 .
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NNNYNV~IY
YORK WASTE DISPOSAL, INC. . PO BOX 1401 . YORK, PA 17405
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FOR PERIOD: .-.-: CARLISL~ PA 17013
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PRIOR BALANCE
37.77
YORK:845-1557 LANC:581-8383 **DOORS MUST
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PLEASE REMIT PAYMENT IMMEDIATELY.
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263207 880
~F.fAIN tkls PO~fIOill I!:t.>R YOUR RECORDS
'.,--.0...~j}~,;,;j~'~.:J1.:' '" 'J.~v.:~) ~,.
AD DESCRIPTION
CHEVY, 1997 LUMINA LS SEDAN. 45K MI
PUBLICATION
THE SENTINEL
TOTAL AD CHARGE
~
LINES
4
STOP DATE
04/27/04
GROSS AMOUNT
AUTOS FOR SALE
INSERTIONS
6
1 HANDLING
DIHAN
1. oi
DAYS RUN
PURCHASE ORDER
PAY THis AMOUNt
20,99
25.19*
-'
* AFTER ,-1
MESSAGE:
SENTINEL CLASSIFIEDS - direct 240-7130 or dial 243~2611, 69'-4611,
582-0100, 530-0155. FAX your ad to 243-3754.
You can also email your ad to: ads@cumberlirtk.dbm.
Be sure to include your name, mailing addrQg~ and a phbne number
we can reach you at to verify your ad.
~~I f?/o'1
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4- /or3
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.
Goodvllle Mutual Casualty Company
1"25 \^'gst Main Street, PO Box 489
,'Yew Holland, PA 17557-0489
www.goodviJle.com
Homeowners POlicy
Renewal
Premium Bill
Policy Prefix:
Policy No.
Mailbox:
HO
532159
81
Named Insured
and
Mailing Address
Agency name
anQ Address
RU th E Garman
575 McC1ures Gap Rd
Carlisle PA 17013
3739
Miller Insurance Associates, Inc.
19 Brookwood Ave
Suite 102
Carlisle PA 17013
(717) 243.4400
Renewal Premium:
$345.00
Policy Dates
6/01/04 to
Pay in FuJi 2-pay Plan 4-pay Plan 6-pay Plan
Payment Date Due Payment Date Due Payment. Payment Date Due
1 $345.00 6/01/04 $177.00 6/01/04 C. $90.00 6/01/04 :> $62.00 6/01/04
2 $176.00 12/01/04 $90.00 9/01/04 $62.00 8/01/04
3 $90.00 12/01/04 $62.00 10/01/04
4 $91. 00 3/01/05 $62.00 12/01/04
5 $62.00 2/01/05
6 $59.00 4/01/05
Pay: $345.00 $353.00 I $361. 00 $369.00
Pay Plans include $4.00 service Charge per payment.
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6/01/05
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ACCOUNT NUMBER
DATE DUE
Statement Date: 02102104
Page J of J for:
CARL GARMAN
For Service at
590 MCCLURES GAP RD
CARLISLE, PA 17013-8951
Previous Balance
( . ) Payments and credits
(+) Charges and taxes
s AMOUNT DUE
(
ACCOUNT ACTIVITY
Start End
Description
Previous Balance
Payment
Subscriptions For Receiver: 1023-037003
01/31 02124 TOTAL CHOICE and STARZ! Monthly
Sales Tax
$18.37
Amount
57.23
0.00
-36.66
'2.20
-----------------------------------------
$18.27
AMOUNT CUE
~cl
Y.P- 00)... <./
'('I I ) '3 I 0 I
';} r
57.23
36.66
.2.20
Entertainment continues on DIRECTV.
Please call the number listed below
to reactivate your services today.
610uSS ADOI 682 1m 682 1/1 12---_.. 680
Diversified Appraisal Services
Real Estate Appraisers and Consultants
INVOICE
35 East High Street
Suite 10 1
Carlisle, Pennsylvania 17013-3052
DATE: March 3, 2004
Tel: 717.249.2758
Fax: 717.258.4701
TO: The Estate of Ruth E. Gannan
AMOUNT: $275.00
FOR: Appraisal Report
575 McClures Gap Road
Carlisle, Pennsylvania
Thank You,
~~
TERMS: Due upon receipt
Larry E. Foote
Certified General Appraiser
GA-OOOOI4-L
Tax ID Number 206-36-6731
RETAIN THIS POll IIUN I'UII YUUII III:I.:UIIU:'
wrANCE ADDRESS I BIll TO
SENTINEL - LEGAL STEPHEN L BLOOM, ATTORNEY
P.O. BOX 130, CARLISLE, PA 17013
AD NUMBER I CLASS SALESPERSON BILLING DATE LINES
262920 10 PUBLIC NOTICES 28 05/05/04 34 * 2
AD DESCRIPTION START DATE STOP DA TE
NOTICE LETTERS TESTAMENTARY ON THE 04/20/04 05/04/04
PUBL leA nON INSERTIONS RATE NET AMOUNT GROSS AMOUNT
3 THE SENTINEL - LEGAL 3 LGL 116.28
TOTAL AD CHARGE 116.28
3 PROOF OF PUBLICATION OlPRF 6.35
DAYS RUN
/' .~ Ir}
PURCHASE ORDER PAY THIS AMOUNT 122.63 147.16*
Est.RuthGaman "-
'----- /' AFTER 06/04/04
MESSAGE:
/Y'J. 5-J4-c4
re~ bS'fau CJu~J:
~ Itn..'?
Thank you for advertising with The Sentinel.
Deadlines for in-column legal advertisements: Monday is Friday at
11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon;
Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday
is Thursday at 12 Noon.
If you have any questions regarding your Legal bill please call
Tammy Shoemaker 243-2611, ext 203.
Fax your legals to 243-3754, attention Tammy Shoemaker
You can also EMAIL yourlegaltoClassifiedads:ads@cumberlink.com.
Please send a cover letter including your name and address as an attachment
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
MAY 7, 2004
Cumberland Law Journal is published every Friday by the Cumberland County Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Stephen 1. Bloom, ESQUIRE
RE:
Ruth E. Garman aka Ruth 1. Garman, ESTATE
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
---------------------------------------------------------------------
-------------------------------------------------------
Advertisement inserted on following dates:
APRIL 23, 30, MAY 7, 2004
Advertising Cost
$ 75.00
$ 0.00
$ 0.00
$ 75.00
-------------
Proof of Publication
Second Proof Request
Payment Received
Total Amount Due
$
0.00
-------
---------
Payment received APRIL 21. 2004
by Beckv H. MorgenthallExecutive Director
(,2
Pulmonary and Critical Care Medicine Associates, P.C.
1631 N. FRONT STREET
HARRISBURG, PA 17102
PHONE: (717) 234-2561
ROBERT C. GilROY, M.D.
WilLIAM M. ANDERSON, III, M.D.
FRANKLIN J. MYERS, III, M.D.
RICHARD G. EVANS, D.O.
GEORGE K. SHAHINIAN, M.D.
SAFA P. FARZIN, M.D.
STATEMENT DATE
I
L
H I~: - ,;.. G ,cq;: IV! A !\,
575 ~CC~JRES 5A? RJ
=AR~:S~~ ~~ 17013
I
ACCOUNT NUMBER
03/:1..'2/.;)'1
~
113J2
" \
,-..;
DATE
DESCRIPTION
CHARGE-
CREDIT
~J-'~ 5AR~AN (41342.0)
'1_/03 lOt
,ll/26/IJ.::(
CRr-reAL CARE 1,S~ ~OJR
::~s ~m~-~ ~E0ICAR~
250.00
',:",i2~/'Jd
'2/02/0L
$100.00 was ~;~p~lec :0 YOJ"' d2tuc~i~:2
AQ~uSt~2~~ 5:.61
7'3. 71
=~e Pm~-GE ~I~E 13.68
- D-:I~_ :='JR R:;,)'-'-j (:,;1R:'I'l{~,\j
~l.
3/) s/o'i
1P /!!!~
~~~ :3 -HE BALANCE GUE. P~fAS~ CA~L 23t-256: Ie Q0ES~:QN
- -,-. Ie, ," ,-..... ~ ,",~ '/
Filing Instructions
Individual Income Tax Return
Taxable Year Ended December 31, 2003
Name:
RUTH GARMAN
.~/,.,y
:5 3;; DIG
Federal Filing Instructions ~ Y I
Your 2003 Form 1040 shows an amount due ~A check in the amount of$373 should be
made payable to the United States Treasury and mcluded with the voucher. Write "S.S.N. 202-20-
6075, 2003 Form 1040" and your daytime phone number on the check.
Sign and date the return on Page 2. Initial and date the copy, and retain it for your records.
Mail the Form 1040 return, the check and Form 1040-V by April 15,2004 to:
Internal Revenue Service
P.O. Box 80101
Cincinnati, OH 45280-000 I
Do not attach your payment or Form 1040-V to your return or to each other. Instead, put them
loose 10 the envelope
P I, F'I' I ' OJ.. 3/3/ c>y
ennsy vama I 109 nstructJons L '1P'
~ j011
Your 2003 Form PA-40 shows an amount due 0 365. 1\ check 10 the amount of$365 should be
made payable to the Pennsylvania Department of evenue Write "S.S.N. 202-20-6075, 2003
Form P A-40" on the check.
Sign and date the return on Page 2 and mail it by April 15.2004 to:
P A Dept of Revenue/Payment Enclosed
1 Revenue Place
Harrisburg, P A 17129-000 I
STEPHEN L BLOOM
U- 218! LONGS ~P RD
0'-"1 CAIttISLE 1-0.: PA 17013
UJ=! - a:: >
C~ ,..~;;;: -. ~c)
cc:;,.,. x: u-CC'
U-17, oC( 0(.)('-.
O'~.J ~(f)>'
o a~. r- cc: Z <-
LC.l~ j:!.! ::J~c~ CUMBERLAND CO COURT HOUSE
-, c/) u OIL
5(,'15 \.JJ 0-0::' CARLISLE, PA 17013
~it~~~it-~~plo~~ii3i"-~YCE~i~~{~iiti:~;~J~~~,i~A~~M~~Wi~;~~~~ioiiJii:i!-iili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
RUTH E FILE NO. 21 04-0109 ACN 101
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG, PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
12-20-2004
GARMAN
01-18-2004
21 04-0109
CUMBERLAND
101
*'
REY-1547 EX AFP (09-04)
RUTH
E
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
ESTATE OF
GARMAN
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 12-20-2004
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
.00 X 00 = .00
213,263.90 X 045 = 9,596.88
.00 X 12 = .00
.00 X 15 = .00
(19)= 9,596.88
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
92,000.00
.00
.00
.00
85,779.14
24.25
66,784.47
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of rax Return
13. Charitable/Governllental Bequestsj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
30,485.96
838.00
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
244,587.86
(11)
(12)
(13)
(14)
3] .323 96
213,263.90
.00
213,263.90
l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-14-2004 CD003816 473.68 9,000.00
10-18-2004 CD004507 .00 123.40
TOTAL TAX CREDIT 9,597.08
BALANCE OF TAX DUE .20CR
INTEREST AND PEN. .00
TOTAL DUE .20CR
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE ...J
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~S~
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
, Deceased
No. 21 - 04 - 00109
Date of Death 1/18/2004
Social Security No. 202-20-6075
Estate of
Garman, Ruth E.
also known as Ruth L. Garman
Barry L. Garman Dennis E. Garman
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the
Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that
which appears in a memorandum at the end of this Inventory. INVe verify that the statements made in this Inventory are true
and correct. INVe understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
Attorney:
Stephen L. Bloom
Pernona! Rep,ese~ d
Signature: /. ~A--
Bar'Y' . Garman~
Signature: , /~
Dennis E. Garman
I.D. No.:
49811
Address:
2100 Longs Gap Road
Carlisle, PA 17013
Address: 351 Willow Grove Road
Carlisle, PA 17013
Signature:
.c~
Telephone: 717/249- 7717
Telephone: 717-243-2843
Dated:
/O/I~/o4
Personal Property
1997 Cevrolet Lumina Automobile - Actual Sale Price
3,500.00
Erie Insurance Group - Policy #QI2-2190006H Refund
361.00
Members 1st Federal Credit Union - Savings Account #57834-00
2,308.19
Members 1st Federal Credit Union - Certificate of Deposit #57834-40
1,170.16
M&T Bank - Checking Account #36340499
70,798.64
GE Life and Annuity Assurance Company - Policy #2900059225 Refund
971.15
Personal Property of Decedent - per attached Personal Property Appraisal
6,670.00
Total Personal Property
$85,779.14
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$177,779.14
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
continued
Estate of Garman, Ruth E.
also known as Ruth L. Garman
No. 21 - 04 - 00109
Date of Death 1/1812004
Social Security No. 202-20-6075
, Deceased
Real Estate
Residence - 575 McClures Gap Road, Carlisle, PA - Date of Death Fair Market Value per
attached Appraisal Report
92,000.00
Total Real Estate
$92,000.00
2
.
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
N fD d t Garman, Ruth E., alkJa Ruth L. Garman
ame 0 ece en :
Date of Death: January 18, 2004
Estate No.: 2004-00109
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes 0 No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to No. I is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0 No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes 0 No D
"-')
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk ofthe Orphans' Court and may be
attached to this report. ~ ~
D t March 10, 2005 . ~
a e:
~gnature ~
Stephen L. Bloom, Esquire
Name
2100 Longs Gap Road
Carlisle, PA 17013
Address
717-249-7717
Telephone No.
Capacity: 0 Personal Representative
0. Counsel for personal representative
;