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HomeMy WebLinkAbout95-0128This is to certify that the certificate hereunto attached is a true and accurate copy of the original death record on file with the Division of Vital Records, and that Frank Yeropoli, whose name is subscribed thereto, was at the time of subscribing the same and now is Director, Division of Vital Records of the Department of Health, for the Commonwealth of Pennsylvania, duly appointed and commissioned as directed by Act 66 of the General. Assembly, approved 29 June 1953, P.L. 304. AUG 16 2001 Date HIOS.1N Rev. 1191 TYPEXIYNT M xnnc IHIL i5 a Z _ ~ ~_ Fran eropoli, ' ectdr Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS -_ ._ .. CERTIFICATE OF DEATH (Coroner) NAMEOF DECEDEHT1Fn41Adds.lar) SECURRV HUMBER~.-~ DQE OF OErO'l/R.1a•h. DeY. YS•rl 1995 10 Feb o ~ - i 6 a . 1$3 , . . - +. Carl S Barker Z Male >~ - see ileeuce«emaEla yes) ADE (lay 9p9Wa» uHDEn,YEAR UHOERIDAY DRE DF 91RIYI e11TTIwLnce (CITY erIE PLAL~OF ceATTI(Clrckavy ar orNEn : pAeryl, slre«FOry9nCw«Y) ~ '''°""" °"" "°«` "`"°' Augus~~ ~ LEWISTOWN, "'"""° ~( '~' ^ 1e ^ DOA ^ Han. ^ ReyEerK• (SP.dYI ^ 8 8 Yr.. 19 0 6 , COUNTYOF DEI9I1 CT',SORO DE4H FAC,ARY NAMEMrial~ ,yveyrey Wremeer) Vi,B DECEDENT OF HLSPANIC ORgINT RACE•Arrurkri MiElen, BUOk WNr. rc. 93 Re ency Woods South, Na® Yw^HYewepsceyCueen. ~0•`IM B Cumberland Middlesex Carlisle """°"~'"•"` ,w White k. gHOOF9usr+E w,BOEDEOEHTEYERw OECEDEHf'BEDIICRION MAFtlUL8WU9-Marta suRVrv9gsPOUSE N.~+~ (M wia. p~ema7en mow) U.S. ARMEDFORCESY ~~ ~~ IOMHM dwae Eau mW a rr,E•er bauar~ilrea) Yae^ H•® I,~a«s+> WIDOWED , SALESMAN MANUFACTURING , , DEC~Hr'sMAr9NDAODRESS(Se..LCAyTrow.l.swe.nncaae) DECEOENra ~h_ PENNSYLVA_NIA ~ „e,®Y,e,~,,,~~1eEh MIDDLESEX ,,,,, 93 REGANCY SOUTH " ,~ CARLISLE, PA 17013 onotl1r90ij ,,,, CUMBERLAND ""'"""' „y.^ w9lyn~al~usd o•r10em - vATNEn'S HAMS (Floc Midde. LrQ MOT/IER'SHAME (F:eL Mgae. MrMn Sununu) ,w MILTON E. BARKER ,,. JESSIE P. BILLETT 9VFOItAANTB NAME RYP•Rr~9 MIFORIAANf'8 MA41ND ADORE3813YSe1.Cilyl4 .Sla•. LDCau) G. RANDY SOUDERS 99 REGANCY SOUTH CARLISLE PA 7 1 OFp DATE OF DISP'OSITgN 018POSRION-NrludCsraay, Cnrnray Pr LDCIPgN•CMy/Wwn,SUM, 27p COM BuW® Cranstlon^ Rerrrwel hor slr.^ PA«+h. M:`hr, p aolw oarwl^ oElr~sn.dy~ ^ !10 02-14-1995 ,. DILLSBURG CEMETERY ,aDILLSBURG, PA 17019 aF SERVICE AC7IND AS SUCH R NAME ANOAOORESB OFfACMJTY ~ - 9fw COCKLIN N ,q ,,,,, - I ~ - Ere eer d my WpwIeE9•. Ewn om.ne r w ane. E.I. wvueewlea. ucEHSE HUMBER DATE sgHED Norvh. DSy, Ver) nol aveeWMr Eerllb ISpMWeenE ye) d Ertel. ~, 3Ee. ~ 9rm2•.1l slur b•alrrpHrE DY TIMEaF OFFN AprX. DATE PRONOUNf.'ED DEAD(MarN.DN.Nw) Wl9 CASE REFERi1EDlO MEDICAL EXAMINERM.ORONERI No^ WO " Februar 10, 1995 ""'°"'""°"°"°""Ci0i1 9 : 0 0 A. M. :a. Y :,. ,. . tT.RMrt L• Enartlr aewew Vlpew«ampeulbrs wHdl oewsEtM dsetll. Do ndawtlu noysd A'Mq•euirraWec«uV-rorYamy.NxM«Mxt hlue. iAppuo~ee PMT4: In me unEaYlinSn Abu LeA onlyar vrrsan eedl M. parr arW darn 9Y119DIATECAd7iE lFpral I « Probable M ocardial Infarction i rwlYrpNeeen)~ DUE10 (OR ASACONSEOUENCE OF): j Yterry9orrs DUETO fCR ASACONSEOUENCE OFl: SnIK Me6prYrMElele ' crow EreerUNO[ILYtlq CAIMII IDyeess«vyury - r YIIIeIeE evares DUE TD (OR PS A CDNSEOUENCE OF): in ESer)LAST i 9NSAN AUTOPSY V/EIE AVIOPSVflND11Ri3 MANNER OF DEATH 014E OF NJURY THE OFINJURY 9UURYAT WORK9 ceSCRISE HOW 9LlURY000IIW,ED. PETiPORh1E0T Ie113.ASLE M'e01110 oEa'10Nirr aPCausE Nr«r ~ Hon•aee ^ l1AOr~•DH. ~) w. ^ Ho ^ W«r ^ Mnrtlll ^ PeMV M. 9k. p~ `AU ^ No j.`! N1e ^ No ^ p p Aookre ^ PLACE OF IKNRY-NMm•.fam. ebML Uda%dlb LOC/QgNis•'M. CdYR .Slab) 1M. Zee. 9nkdd• ^ Court not W derrrnvnE Zr. riyn9, re. (Spacily) 70s. 991. DERTINEII(CMCk «y my dewnwh~n MdtnryryaGBn hseV«n«1C•E Ee.n erd cangwsE rm 23) ~ ~CMTIFYwD PHYSN:IAN (Phyirin raNyVq mw• ^ mw. aadwYlae.r+9•.a..In.an.r.Ea.mrrcr+.le)•narnr..r»wua ..................................................... SNiN4URE E Coroner a,a R DATE SgNED (M«dh, Day. yer) L~cENSE HUMa oH~ N~AHD ~ °R ~ ~.n'°otnael'uew.)`""°.nsdua~.wr'..wew .......................... ^ u ~ 9,e. 9,E. Feb. 11.1995 Te ~ ... Erln. SnoN.E NAME AHD ADDRESS OF PERSON NRpC01APLETED CAUSE OF DEATH Qlem zTj ryye«PriM Michael L. Norris, Coroner ' ~,,.~"e,,,,n„,~,,,,,IDn,,,eP,,,wr,,e.e,1,e~«,,,eEr,eeN,n.,E.,.,,,,Ep.,.,.nEE1,.I.w.ay~.).nE 405 Fairway Drive IR.nrM...ww .................................................................................................. ~ Mechanicsburg, Pa. 17055 a,.. RE '3 SgNATURE AND NUMBER /~ / ~ ~ / 6 DATE FILED Day. a9. ..Ec2u''~SC- ~ 9.. ~ i t REV-1500 ~JN+ j7-94) ` 1`, ?r ~'' ~ ~ ~ ~ ~ ~ ®',U; F A SPOUSALDFATH AFTER 111ft3~1 !41 CHECK HEI I~s'""""'-- J POVERTY CREDIT IS CLAIMED t_1 r : R~SIDENI' DECEDENT FILE NUMBER -"-- ---~I C,OMMONWEAITH OF PENNSYLVANIA (TO BE FILED IN DUPLICATE ,'~ j DEPARTMENT OF REVENUE WITH REGISTER OF WILLS ~ DEPT.2tl0aD1 ~ CO NBER pAND 9YEAR O1 28 NUMB HARRISBURG, PA 17128-0601 W 8 0 w Y 4 y =~o v ~ a ¢~ o~ v z 0 !_ c is z 0 4 F d a under penatttes or perjury, I declare that 1 have examined this return, including occompanytng schedules and statements, and to the best of my knowledge and br it is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than the personal representati based on all information of which reparer has any knowledge. SI ATURE OF PE SON SPO IBLE FOR FIL G RETURN ApDRESS PATE 99 REGENCY SOUTHs__CARLISLEL_ PA 17.013_ 8-30-95 51 ,NATURE OF PR ARER HER THAN REPRESENTATIVE AUDRFSS DATE ts[jxxJJK, c.A~~..+~g _ 93 REGENCY SOUTH )CIAI SECURITY NUMBER DATE OF DEATH DATE Of BIRTH CARLISLE, PA 17013 1 82-01 -1 621 ----___ -- -.2__1Il-95_._ -. _-. --fl=30=Dfi co~nl r.rTMn~.,,T a,.,r ' APPIICAlIE) SURVIVING SPOUSE'S NAME (LAST, FIRST AIJD MIDDLE INITIAIj SOCIAL SECURITY NUMBER BARKER . J~B~_SIL.___._-._..____ -_ _ -_ UAIKAIOWI.~_--------- ~] 1. Original Return ^ 2. Supplemental Return ^ 4. Limited Estate [__f 4a. Future Interest Compromise (for dates of death after 12-12-82) ~] 6. Decedent Died Testate [.~ 7. Decedent Maintained a living Trust (Attach copy of Will) (Attach copy of Trust) 1 I - _4- 8 ~-~ 7 ~ {}Q------- -- 12) -- --- -~ y ~-~ • 1 fi- ----- --- -- (3 I - - -=Il=------- 14) ------0=--------------- - -0- (6 I - ------------- - (y I -----_ ~ ------- - RICCI & TANEFF 4219 DERRY STREET 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule 6) 3. Closely Held Stock/Par-nership Interest (Schedule C) 4. Mortgages and Notes Receivable (Schedule U) 5. Cash, Bank Deposits & Miscellaneous Perwnul Prupnlty (Schedule E) 6. Joigtly Owned Property (Schedule F) 7. Transfers (Schedule G) (Schedule L) 8. Total Gross Assets (total lines I-7) 9. Funeral Ex enses, Administrative Costs, Miscellaneous Expenses (schedule NI 10. Debts, Mortgage Liabilities, liens (Schedule.l) 11. Total Deductions (total lines 9 8 IU) 12. Net Value of Estate (Line 8 minus line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (line 12 minus Line 13) 15. Streusel Transfers (For dates of death after 6-30-94) See Instructions for Applicable Percentage on Reverse Side. (Include values from Schedule K or Schedule M.) 16. Amount of line i 4 taxable at 6% rote (Include values from Schedule K or Schedule M.) 17. Amount of line 14 taxable at Is% rate (Include values from Schedule K or Schedule M.) 18. Principal tax due (Add lax from Lines 15, 16 and 17.) 19. Credits Spousal Poverty Gedil Pliur Payments ^ 3. Remainder Return (#or dates of death prior to 12-13-I ^ 5. Federal Estate Tox Return Requirec L 8. Totol Number of Sofe Deposit Boxl (B) -3_Z fJ_0 4.4 7 --- 191 --13~ X9-4-. 41--------- 728.57 (10) -------------- (15) (1 ~~ 3 r ~ 4 5.81 -____ Discount Interest (I1) .141218.66 (13) - 0 - _ (14) ___?~ r 4 8 5.81 -0- x .ob = 1 4.40 __.____ x .1 s = __~~_48 6 .8 7 (18I - -3 r 501 . 27-- -._- - -0- t19) - --------._...- .._. 1201 -0- - _ 3,501.27 (21B) - 3"~ 501 . 27------ __ -- + __ _ ----- t ----- 20. If line 19 is greatsr than line 18, enter the dift~rence on Line ZQ. This is the OVERPAYMENT. ~^ 21. IF line 18 is greater than Line 19, enter the difference on line 21. This is the TAX DUE. A. Enter the interest on the balance due on line 21A. 8. Enter the total of Line 21 and 21 A on line 21 B. This is the BALANCE DUE. Make Check Payable to: Register of Wllls, Agent RE1~-1502 EX+(12-85 substitute) COMW:nNWEALTH OF PA-INHERITANCE TAX RETURN -RESIDENT DECEDENT SCHEDULE nA° REAL ESTATE ' - I Estate of: FILE NUMBER: CARL S. BARKER, SR. 1995-00128 (Property Jointly-owned with Right of Survlvorsh~ must be reported on Schedule F.) All real estate should be reported at hlr market value which Is deflnsd ae the price at which properly would be exchanged between a willing buyer and a willing solier, neither being compelled to buy or sell, both having reasonable knowledge of the relevant hcts. Item Value at date Number Description of death 1. Personal residence (1992 Commodore, Manufactured Home, Serial Number CQ24145A) located at 93 Regency South, Carlisle, Middlesex Township, Cumberland County, PA 17013. Decedent purchased and obtained title to said residence from Regency Homes, Inc. under Pennsylvania Certificate of Title For A Vehicle X45366297001 BA. The date of death value of said residence was established by Regency Homes, Inc. as the selling broker. The residence was sold and conveyed by the Executor to Donna S. Goudy by the referenced Certificate of Title executed and dated April 17, 1995. A copy of the settlement sheet and related documents is attached hereto and made a part hereof. The residence value is computed below and taken from the settlement sheet: Contract Price ... .......$19,000.00 Less: Seller Credit For~Shed........$ 625.00 18,375.00 I$ 18,375.00 Note: Value of shed included on Schedule E, Item 6. TOTAL (Also enter on Line y, Recapitulation) . I $ 18 , 3 75.00 RE\I-1503 EXt (4-88 substitute) COMMONWEALTH OF PA-INHERITANCE TAX RETURN -RESIDENT DECEDENT SCHEDULE ~~B~~ . STOCKS and BONDS Estate of: FILE NUMBER: CARL S. BARKER, SR. 1995-00128 ( Atl Properly Jo1nUy-owned with Right of Survivorship must be reported on Schedule F.) Item Value at date Number Description of death 1. United States Savings Bonds, Series EE: Issue Date Face Value Serial Number 2-08-91 $ 100- C277199876EE 2-08-91 $ 200- R70690127EE 2-08-91 $ 500- D27273152EE 2-08-91 $ 1,000- M41827879EE The above referenced bonds were redeemed through the Dauphin Deposit Bank, Harrisburg, PA ........... $ 1,118.16 TOTAL (Also enter on tine 2, Recapitulation) I $ 1, 118.16 R€V-158 EX+ (2-87 substitute) COM-u1UNWEALTH OF PA-INHERITANCE TAX RETURN- RESIDENT DECEDENT SCHEDULE"E" - CASH BANK DEPOSITS and MISCELLANEOUS PERSONAL PROPERTY Estate of: CARL S. BARKER, SR. FILE NUMBER: 1995-00128 (All Property lolntly-owned with Right of Survlvorshlp must tae reported on Schedule F.) Item Value at date Number Description of death 1. BANK DEPOSITS (a) Farmer's Trust Company, 19 Main Street, New Kingston, PA 17022, Checking ,42547 ............. $ .3,026.84. (b) Farmer's Trust Company, 19 Main Street, New Kingston, PA 17022, Savings X32007 .............. $ 5,337.57 2. ~ AUTOMOBILE (a) 1993 Oldsmobile, Model Ciera, VIN ~1G3AG55N9P630- 4890. Appraised by Brenner Cadillac Oldsmobile, Inc., 2222 Paxton Street, Harrisburg, PA ........ $ 6,600.00 3. I SECURITY DEPOSIT (a) Regency Homes, Inc., .Carlisle, PA; Refund of security deposit on Lot ,~93, located at 93 Regency South, Carlisle, PA 17013 ............... $ 220.00 4. INSURANCE (a) Flagship City Insurance Co. Erie, PA; Refund of unexpired/unused portion of automobile insurance premium ......................................... $ 99.00 (b) Capital Blue Cross, Harrisburg, PA; Refund of unexpired/unused health insurance premium ...... $ 127.20 (c) Capital Blue Cross, Harrisburg, PA; Medical bill remimbursement ................................. $ 7.20 5. BURIAL PLOTS Decedent purchased five grave plots under a certain deed dat d 2 e 1 -07-70 from Dillsburg Cemetery more particularly described under said deed as L t 57 o , Section Q containing 200 sq. ft., being ten feet by twenty feet. Said plots were purchased at a price of $ 400.00. Decedent and his former buried in two of the five I i spouse are plots. Three plots remain. n v ew of the fact that the plots are not readily saleable, they have no current market value. Thus , the plots are valued at the price at which they were acquired ........................................ $ 240.00 6. HOUSEHOLD GOODS & CLOTHING (See Supporting Schedule). $ 2,553.50 TOTAL (Also enter on Line 5, Recapitulation) . I $ 18 , 211.31 REV-1511 EX+(7-88substitute) COMM7NWEALTfi OF PA -INHERITANCE TAX RETURN -RESIDENT DECEDENT SCHEDULE °H° .. FUNERAL EXPENSES, ADMINISTRATIVE COSTS and MISCELLANEOUS EXPENSES Estate of: FILE NUMBER: CARL S. BARKER, SR. 1995-00128 Item Number Description AMOUNT A. FUNERAL E%PENSEB: 1. Cocklin Funeral, 3o N. Chestnut St., Dillsburg, PA - Basic Services .......................... $ 2,450.00 - Casket and Vault ~~~~... $ 1,53.0.00 - Suit, Flowers, Certificates,~Grave~Preparation and Other Expenses .............................. $ 690.00 B. ADMINISTRATIVE C08TSi 1. Personal Representative Commissions: Gerald R. Souders $ 2,600.00 S.S.# of Personal Representative: 178-48-1140 Year Commissions Paid: 1995 2. Attorney Fees Ricci & Taneff 4219 Derry Street, Harrisburg, PA 17111 .............. $ 3,000.00 3. Family Exemption...... ..................... $ - NONE Claimant: Not Applicable " " " " Relationship: Not Applicable Address of Claimant at Decedent's death: 4.IProbate Fees - CUMBERLAND County, Register of Wills - Probate and Letters .................. $ 72.00 - Short Certificates . .............. ~~~~~~~~~~~~~ $ 30.00 - J.C.P. Rec~istratlon~Fee. .... ....~....~~~~~~~~~ $ 5.00 - Final Filing Fee-PA Inheritance~Tax Return........ $ 15.00 C. MISCELLANEOUB EXPENB S: 1. Advertising Fees: - Cumberland Law Journal .. $ 40.00 ............. - Patriot News .................................... $ 59.08 2. Bank Fees: - Dauphin Deposit Hank (Stale Date Check Charge) .. $ 5.00 3.~Auctioneer Fees: - Frank Potteiger, 269 N. Middlesex Rd., Carlisle, PA 17013 ........................................ $ 767.55 4. Sale of Home-Closing Costs (See Supporting Schedule). $ 2 226.46 TOTAL (Also enter on Line 9, Recapitulation) . I $ 13 , 4 9 0.09 REV-1512 EX+(7-s8 substitute) COMMONWEALTH OP PA-INHERITANCE TAX RETURN -RESIDENT DECEDENT SCHEDULE ~~1~~ MORTGAGE LIABLETIES and' LIENS Estate of: CARL S. BARKER, SR. FILE NUMBER: 1995-00128 Item Number Description AMOUNT 1. Agway Energy Products, P.O. Box 747037, Pittsburg, PA 15274, # 798-565-14 .............................. $ 240.46 2. PP&L, 2 North 9th Street, Allentown, PA 18101, # 520-2339-010 ...................................... $ 62.06 3. PA. Dept. of Revenue, Harrisburg, PA (1994 State Income Taxes) ....................................... $ 5.00 4. Ricci & Taneff, 4219 Derry Street, Harrisburg, PA 17111 ........................................ ..... $ 366.00 5. Polyclinic Professional Services Inc., P.O. Box 249, Cumberland Valley Family Physicians, Greencastle, PA 17225, # H00319 ..................... $ 55.05 TOTAL (Also enter on Line ~o, Recapitulation) ~ . I $ 728.57 REV-1513 EX+(2-87 substitute) COAhMt)NWEALTH OF PA-INHERITANCE TAX RETURN -RESIDENT DECEDENT . SCHEDULE "J" BENEFICIARIES Estate of: CARL S. BARKER, SR. FILE NUMBER: 1995-00128 Item - Number NAME and ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT A• TAXABLE BEQUESTS: 1. SPECIFIC BE UESTS (a) Carl S. Barker, Jr. Stepson $ 120.00 525 Hoc~estown Road Mechanicsburg, PA 17055 - Cemetery Plots (50$ Interest) (b) Betty Jane Barker Daughter $ 120.00 523 Hoc~estown Road Mechanicsburg, PA 17055 - Cemetery Plots (50$ Interest) 2.~ RESIDUARY ES (a) Gerald R. Souders Friend/ 50$ 99 Regency South Benefactor Carlisle, PA 17013 (b) Theresa M. Souders Friend/ 50~ 99 Regency South Benefactor Carlisle, PA 17013 Item Number NAME and ADDRESS OF BENEFICIARY AMOUNT OR CI-IAQ{: ~1C eQTATr - - - -- .• -•-_ .,.......... ~,, ~a , ~, nucat,~nu~auon) I $ - 0 - COMMONWEALTH OF PA-INHERITANCE TAX RETURN- RESIDENT DECEDENT SUPPORTINQ STATEMENT SCHEDULE E, ITEM 6 Estate of: FILE NUMBER: CARL S. BARKER, SR. y99.5-00128 Item Value at date Number Description of death '"~jn'-' ..I $ 2,553.50 COMMONWEALTH OF PA-INHERITANCE TAX RETURN- RESIDENT DECEDENT SUPPORTING STATEMENT SCHEDULE H, ITEM C-4 Estate of: FILE NUMBER: CARL S. BARKER, SR. 1995-00128 Item Value at date Number Description of death .................................... $ 2,226.46 w---===~ -"-~ i ~~ ~! '; l_Ab"~' WI~~ AND ~IyES fAMEN`~' O~ (:Afll. S. eAHKEH, Sr. KNOW All. MkN t!Y I11kSk NHESENTS, tlrat I, CARL S_ BARKER, Sr., presently res i d i ny a l_ ~ t Iteyerli:y Sartt:lr, M) del l esex '1'ownshi p, Carlisle, C-tniGerldnd c:c,-urly, k~ennsylvarria, Ueing of sound and disposing nrirrd, wewui y and rJnt~ei~Sl:alld ltri~, do lret~eUy make, declare and puU l3 sh the s i.u Uc: u-y t.ast W l l l and '1'estan~ent, lrereUy .. ~evolcj.rry ally avid d 1 1 w i 1 15 ynd c:udi.c~i is liegeLofure ruade l,y me. Gtrrently, 1 am trwparet~d trum my wlfa, I~AARY M. t3ARKER, and am Jn the procests of PIv41'ca proceadlnps_ 1 enl wrh ny Ildtt ury lasl WIII In an effort to dlsbrheril my Bald wife from recel~ Qf ~n~ property that I may have, In~btdlnp properly whlclt Is currently held In Jolnt ownership whh my w fa. At the 1.iiue ut e~xec:ution of tlii.s document 1 have a daughter, BETTY .TAKE RAKER ("13E`I'~'Y JANE") , born April 12, 1928, alld a stepson, CARI. b . BARKfrlt Jr . ("CARD, .7r . ~~) , born December 2 , 192 6 ft om my prey ~ uuai wdrr ~ age to MARCEI.I.A BARKER, who died in November 197Q. k~xcept fur the beqquest of cemetery plots coptairied herein it !s ury intention to make no otlYer gifts of my p~•a e>:^ty to myy s~:epsun, CARI., .71 . , or rrry daughter, AEZ'TY JANE, or tY}e~r reepective de:;.:er-dantr~ fJecause tyreyy leave, over the years, taken advantage of u-e i,y aUandoning nre, igr,ol ing rrry needs in my Wa~itlg xeai:s Witlrcllawlny tlrel~' love and affection, refusing me the most rud~menta~~y help dtrd dssisl:ance, forgetting me on holidays, acrd fa i l i ny i.y u~q i ntd iu any kind of contact with me. ~~~.~.lUil1!C~91t~11g4!l1~llliE: 1 ~l l i eut drat T be i nL-erred i.n a plot owned uy me in the l7~llbk-uly -.eruetary alongside tug first wife, MARCELLA AA#tK>JR ('rMAIZCEI.I,A") , 4--+1 t-tiat a su i taU l e headstone Ue erected and i17Rat=lUed upon sold pl~•l:. 1 rut:thee:- di.-:•ect that rug .funeral be eonaNctecl with a MdbUlll~: uereuiony. `i'he toi:al cost of ury funeral ~.ncl>zdin~ my heddat.on~ ~it-a l) not exceed l:lre su~u of F' i ye ~'tiousand a11~ Oci/xx C)ollal-5 ($5, -,uu. uu) . ~_ Inltlals fe8e -~-_ -- - . b~=--I~2lli-~i)Il FlW~1111 1~~1lStllitf~Ik: 1 d i i eu t t l i a t a 1.1. toy :.just debts , expenses of my Last jllnebb, and funeral expenses shall be paid by my k.xecutor het~e i nu t t ec named , f rou- iuy estate as soon after my death as practicable. IHlB~.$R~.~jf1~ ~~u~l~- 1 hey eby give, devise and bey[ieath to my stepson, cARI, Jr. , anti u,[y da[[yl[ter, 8E'i"1'Y JANE, 41tio shall survive me, my Dillsbury (~u-el~:t~y p1Uts to be divided between them as they may ayr'ee, ur in the dbsen~e of an agreement, witt[i-n thirty (30) Jaye of my d~atl~ wt3 guy l;xeuutor iuay think at~p~•opriate. I .. make this bequest to ~:HK1~ .1[ . and tilJ'1"1'Y :JANE because they are the only persons wl-u man 1'adsunably [oaks use of said pt•oper•ty. If C~RI~ Jr. ar-d HE'I"1'Y ~IANlJ .iu not survive [ue, then said plots shall be distributed lri au..;.~,tdo[~~%e wilt[ uiy Residuary Estate. ~!!$Tti~ls~tYF~!#d~: ~ give, devise and bequeath all the rest, Kes~ciue a[1d reu[a 1 ndei , ur u-y estate, whether real, personal or mixed and o~ wliateve[.~ naLurc~ and wherever situated, including lapsed i.eyacies, and any property over which I may have polder of appointment, to n-y beneXaatorb, GERAId) R. SoODERS {"GERALD"), and his wife, '1'ftERk~SA M • SuU[)lvKS ("'l'fiERESA") wt[o shall survive me, to pe divided betweet- LI[e,u as they may agree, or in the absence of an agreelper[t witl[ii[ tht~.ty {3U) days of [uy death, as my Executor tray think c[pprop[: i atc: _ 1 t Gk~RAI.t) and THERESA do not survive me, but leave descer~da,~l ~ 4JI1~~ survive [ue, then tl~e i r descendants ahai.l receive, pa~~ aL1cl~es, tt[e share Gk;RAI.~D and `1'l1ERESA would hays ~ecei-ved 1[ad th~:y survived me. 'J'he disposition of my ~es~c~uary estate is /.c~l[-y [odds for ttie x•easons and purposes set ~prth ~n a SUppo~~t Air eemetit dated ;ta[luary 25, 1995. fnfllal~ Paps -~- EIFIIi~krsl~l~c~-~xs~tl.~lsul_ rl~~ 1--1~=1 eat i n i ncotue or pr 1 r-c !pal shall be assi.gpable or Ue avallwl,le I:u a--yone 1-~-vit~iy a cla.i.-u ayai.nst any belief iciary l.,etut= ~: ~~:t---~ 1 l,ayme--L to Ll-e 1;er-et ci ary . ~~~'~~ Alt tc:J~l a 1 , ~-tdte and uti-er death taxes payaUl.e on file property tut-ul--y -uy yt oss estate for tax purposes, whether or Pot it passes ur-d~i 11-1 s will shall be paid out of the principal of my l u5 iduu- y testate jur~t- as i f they ~rere my debts, app pone of tl-ose I:axc:s rtl-dll Ue charged against any beneficiary. ~l~I~lTt~i_1~11~t1 YI~IYIr~el~ 1 wuthor i ~e n-y ~xec-ttor to do the following: ]~, ~o cotupruu-i be ~: I a itus~ a1-d to aUandort any property which is of little ul' t-c:, value) S. TQ sell at uUlic ot.' private sale, to exchange or lease Apr any pet~~ud of l i-ue, anY real or perso-tal property, and to give ol;l: i ut-a tur bales or leases ) C. `i'o Uorrow truu+,. a--d to sell property or to others, and to pledge p~ut,erly us s~~:urity for repayment of any funds r.;Ur l'OWeCI j p. ~t'o use adwittlstrdl-iva or other expEt-ses of n-y estate as ipcoutte tax or acetate tax deductions and to value my estate €or tax purposes UY apY optional method permitted by the law itl force wt-~n I die, Without requiring adjustments petwaen income dt:d principal for any resulting effect on ~-pcotpe or est~-I a taxes, E. To dia~trilJutd i!- ki--d and to allocate specific assets amongg fire )Jane f i u i ar i es i n such proportions as my executor ~eneficiail,abt~sl-atelisyr-ot affected byasuch alloeati.oany W Y 1 €1~iT!!~. >1~11lsr: Cara-l.sle, PA, 1 nuu-l-,ul-~: a--d appol'til GERAI~U K. S~[JhERS, of t.u U~ 11-t: >rxeuutur of t1-is Will ; a-~d i f for any ~-edson he sl-tall tai 1 ~,- -.~dbu to sc:rvc~, ! notuinate anti appoint THk~RESA M • gulll~~lt~ ut -:~t- 1 1 s l e, PA, as Executor har eund 11181 d Pale - ~-- . direct that »o l;x~:cul~.~ -,e required to Xurrtlsh a--y surety or su~'eties or bo-ici tul- ll,~ taitl-tul pelforu-ance of t!-elr duties in any Puri-sdiction. ~~;~_~-~ Nu ~,ersun Hauled or described ill this Will shall pe c~esmed to have survived we unless he or she is :li.ving on the th~.rlri eth (3U) day a>: L~r the day of my death . ]~~NI~i: Except tur LhG 1,r~~luest of iuy cemetery Plots, 1 ~ntentiondlly make !-~, ulh~r provision for any c!-ild or other issue of mine, eiLhe~ ~-reaentiy living or hereafter born. IN WITNkBS WttkHEUF, i have hareunto set my hand and seal this 25t1~ day of Jar-uary, 1995. / CAHL. 8- pAflKE~i; 8r. 'the preceding .)nstruwent, col~sistiny of this and three (3) other typeWr~tteli payes, wary un the date thereoF signed, publ shed and declared by CAAI_ S- pAflKEfl, Sr., the Testator, therein named, as and for his Fast Will dud Test:autent ill t:he presence of iis, witnesses, Whc,~a#~~li.s rey-iest In hIb presence ar-d in the presence of each ql-`her, I}dve suUsc.l 31.c:d oui' t-djr-e~; a5 witnesses hereto . / of 3?1;~ L~!!Y §!1~l._li~ ~ ~ ~- 9._PA_11111 t~f~ _----- - U __. _ . - o F .4~ !;l fir! Y ~`titl=~. t~il~~?!![9..Pfl~.1'~ 11 J. Rtccf P~A~ -4~- r~ Inplal~--^ ~~ €tTAZ'>r pk, t'ENNSY t,vAN t A COUNTY O~ [~A[]kt! l N ss. '1'he '1'sstatu, , GAflt- S• flAflKEfl, Sr., and the witnesses, Peul Taneff and ~1'~pAry.1• fllacl, wtic~be ifiwiuet~ die a1.~ned to i:tie attached or foregoing ~t1R~~'111nent, peing tlt:st duly r~wo~'n, do hereby deolaxe to the Nnde~i~i~~ned euthorlty Ludt the Testator signed and executed the ~natru~-ent as his fart Will and that he had signed willingly, and ~~~~ he executed it os his Free and voluntary act for the u~'~Qaes therein ax~rersed, acid that each of the witpesses, in ~he ~xesence and hearlny of the .Testator, signed the Will as W~tnes>~ and that to the pest o€ their knowledge the Testator was At that tune eigt~tee,~ years o~ age or older, of sound mind and under no constraint ur undue influence. Tea aa1o~~ ~ ~ - "- -- --- ------- - - ~if~Kf=~~ sr- - t --- Wltne~~ ul and v - 'r l c \--- (' ------ Wfi~ - s ~: g~pgo __ _ : ~i f cc - SupRcr.lped, Sworn to wria Aukt~ow~ edged pQ€p~'s Ale py CAfil- S- ~AflKEfl, fir. aw Testator ~ and pupNcr ped and sworn to before me #~y ~ANf TanafY AI>iJ Grp~ar~ J. RIcc1 w 1 tresses , Pt'1 January 25, 1. 95. Notary U C - My Comrriisslon expires: PJolarisl Seal Buis M. Wark:y, rk,~iY f'~~tgic ~~.~~~, f -kiirulx~rg,pa~yd~inC.a,rdyy My (;u~rui ussion Expifu:; ;iu~ it 25.1595 I~Ittal~ Papa -~s-- - .,~* ~~ GI'AQoly J. Ricci Paul Taneff April 17, 1995 TO WHOM IT MAY CONCERN: RI('C'I & TANEFF ATTORNEY'S AND COUNSELLORS AT LAW 4219 Derry Street Harrisburg, PA 1711 i Tel: (717} 564-5833 Fax: (717)564-8683 RE : CARL S. pARKEj~ Estate Sale of: 93 R~.GEIyCY SOUjt( To: ~ l~0 l "'rc ; Please be advised that as Executor and Attorney for the Estate of CARL S. BARKER, we will erasure that all Federal and Pennsylvania Estate/Inheritance taxes arrd utilities to date of sale will be paid that could constitute a lien on the premises located at 93 REGENCY SOUTH, MIApLESEX TOWNSF;IP, Cumberland County, Pennsylvania. I hereby agree to indemnify and hold harmless 1 __ _______ ~ for any such Estate/Inheritance taxe arrd or utilities which may operate as a lien on the above premises. 1 further agree, upon request, to provide evidence that said taxes anti utilities have been paid. ~ L a -_ti. e -~.~'~ ~ 1 to : E p O p -- --- Attorney for CARL S. BARKE also admiaad in Illinois i.'~ FIB ~ LI5PI1~ PH~~~EL"II.E~l~NP i~AI1C-`!~[I I~'TICN Date; A~r.~l 17- 19.~~ _~.________` ~ ~ Estate of Carl Barker to Goud '. 93 Regency South 1, The undersigned Purchaszr(s) represents that on the above date he completely inspected the property wtiicli he is p~.i.rchasing at the above address . Janice Kimball _ Sales Agent, Regency Hanes Inc., Broker, accoc~anies Furchase.r(s) during the inspection. 2. The Purchaser(s) determined to his satisfaction that the property was in substantially the same condition as it was when he entered into the Sales Agreement to purchase wine. 3. The Purchaser(s) acknawl~jges that all of the non-real estate e.Ytra items as outlined in his Sales Agreesi~cit were on the premises at the time of the pre- settlement inspection. 4. Furthermore, the Purchaser(s) states that during the course of the inspection the Broker's Sales Agent d~ix~nstratad to Purchaser's satisfaction that the plumbing, heating and elect_ri~:al syst~ns were, in fact, functioning in a satisfactory manner. The following items were checked ( ) and found to be in working order: Ar~?r~-Aw~u~ ~~.IC _. -~~ Stove ~_---Oven ~~ ~~ '~ ~~~'------ _E~cisting light fixtures ~~ ELCctric wall outlets _ -~J ~~hwasher") ,D' posal~~ PllhlTdlhG E~chaust Fan ~- "` _ Faucet:; _ ~-rP iE•as vti. Agent Seller HPAT•II~ ///-- AIR CYN]ifiICZtII~ `pY~ I/~1e, the un ersigned Purchaser(s) of the above captioned property, have be-..n advised by :Regency Hanes Inc. of our right to apre-settlement inspection. We hereby decline and waive our right to such inspection and the benefits thereof and agree to hold harmless Regen~~l Hc~s Inc, and its agents fran any and all liability which may arise due to~he condit~.on of subject property. Purchaser _ ~~ ~~ C, Purchaser ~_____.__ ~~_ ~ ~~ ~' I S 1.' I"1' I. GH L' N'C SCI I~.r. ~cl.a:'~jl ~_~-~~.-c3.f:.1~ ,~'L%. _ t,b'I' N _._~"~1« --------- r ~ - ----- ~- S~._ _' -- ___~~_-1L~-------- SIISL.GI~-S_'t'lif\Ilt;f\t "l' 1 UIt:; --- -snl.ea Dull r;: 'l S_~.y1111CZ.-L?L---- I.I::, t, ( 1/1111111 :>.i I lrll ~_~~~.•-~(,/ t.l.u~ t-nYUrt : tl~~'fy -- 12 ~~ --- - l.ls:;:; a ru l,lt ; _~1 ~J _lr~~`_ia~O 1-- I _ ,~~~I'IUd1A'l'IUII UI' I~il' tuafl': _ ~:Lyj /~~ L'LUS I-Itultnrll•u I,r~ 'lnxea;; _ _ c~~ ~c1 _. _ .. ~ _. _ -- t~l,u;; a rnl,lt : 1 t l S _ uut; •ru/t~uutt :;I:I.Lr:u:; / / ~! . A A A A A A A A A A A A A A A A A A A A A A• A A A A A A A A/ A A A A A A A A A A A A A• A A A A A A A A A A A A A M A A A A A A A LIl1YLRS 'I'RAI•I:;nt:'t't..(I:; SnIr1:;5 1'It l l r: ~ ~ - ----- - _ t ~~~-- l'IUrIUIT) lrrl ul~ I tr1" It l::rrt-: \ '~ I'I1 )un'r t)ll ur •lnxh.~. :;c:II11~iI 'L~~ (~~/~[ t i,1IIILY `_Y~1~_L.~-- ---------__~.~-7-~~=~\~l~~' (1'1'11 l:lt ~::~'C ~- (~,.~:~:? ~ _ ~1 C~__~L' I•f;:"i lil:!'t);>1•r Iil:a I,IVIa~; ~ "; r,i?ss nrtnurll r rrthrlc"t;l,: ---_--1fL_1.1~!--.~.-- •rrrrn I, ~ 1)111: '1'll/PIU)t1 IIIIY1:11;; $--.,-__~~~L-`__~~- A A A A A A A A A A A A A A A L A AAA ; A A A A A A A• A A A 4 A A A A A/ A A A A A A A A A A A I A A 4 A A A A A A A A A A A A A ursrlutt~e,rtl,u ~: ~~ ~ . f ~ ~:. ~~I~~'- ~:- - r~ i ~! 1 ~ A.:'('I tt~r'- ~~t.t~~ _- -_ _L~ .lam ~ _ ,~~'~~>/:Y? ~~ X11.-1 ! ~ ~ ~_i s ~-~,~.5~-=-~~~`-' l~e~ -. -----Lz ~L~1.~ - ~` Y!~! I_F -- .~`_fr• -~I 1 t 4 .~~.~., C_ C'..S F~Y I'Y-J - / ~~`_I\f .'_5..._ J; / \\,. Q1 ~.... _-_--.. ~_-. SI I,LLIi 1)I)YI:R / / ~ ~ ~ i c /) l ~- ~ ,iz c~~ ~G<., e.., i ') j:; / fir' .. ,. ~r( .. /1`e. ~. C>~ ~Z ~~ 11 ~ ~ i C.. SiJ - ~ , , (, ~ ~ _. l ~ LIMITED TRANSFERRING TITLE/CERTIFICATE OF OWNERSHIP t::s fate of Car 1 S . Barker, Sr . I, (or wt;) I~CLd1d K. Souders, Executor __ -- -------------------------- ---- ---- --~ buyer(s), seller(s) ur rCyralerad owner(s) of the following described Manufactured Home or Recreational Ve- tu~aa Maf.c; ~a}l:)c)RE ____ Model: CLIPPER 199_2 -__ _ --- -_ Year:_ _ Senal ram t=c~24145A Velii..ic; ideal flu or HUD Cert. No _ -- _ _ Fluor Flitch t,oior _... SIZe 14_. x _6n Size: .__-------x-- apl,uu it _ __ __ _ -- _ - ~~ ~iiy I~,~~~I ~inwncy Irr Fact for the purpose of siyniny any title, or certificate of ownership i~auc~.i i,y u~~ Uivi~,~~n .,f Motor Vefucle~ of tha Slats of PENNSYLVANIA foi bansternny the registration covering the Manufactured borne or Recreational Vehicle de- s..nbe~J ~Luve IlV WI I t`ItSS VVI tEHEOF, lha undersigned has executed this instrument t // ~ ~ ~ ~~ (SEAL I dY ~a-- C ~,. _~-~~A-'r"-r~r.`d'! - ~, se er owner. Executod iri qia ;~resel~e, of BY -.------___-- _---- ~ as buyer, seller or legal owner. i T f ~ f (` ' -/~~ S w ~+s~~(ur) Notary Public ' Situar5prir~7T1;,;~,Cti~;i~~ar:.ndC~tu~ry _My Canti;tissir:~n t-xfars;, Jan. ~, t 9~8 ~- (~ c, ms ----- i Mascout nos TJ9r Iris-9) Llnlrrru .~~u6ljf'iI~ (1~C~~itfYI~IGPitf t'It.#flsrr:xttlrvl; "trrl.rJl.t::k7'1F1Ca"C r: Ur' c7WIV~:k51ltY ~~ ~,, :-I~ ~". ., 1~ L~ , I, (or we) S~~°~L='._ f=._~-'. ) ~ _ I~ .. ~~1! [ c,C.~' f-~~. ,buyer(s), sialer(s) ~ c~»~~dE',~' or registered uwucl(s) of tti.: fullu~-iug llcs~ribed Mobile/I~lanufactureil Houle or Recreatiuual Veh-cl~ i~ Make: ~~'~~ ~, ~ ~ ~` _ , --~- - ~ ~ ~:~.:~_ t~"i- h"loJcl: _ ----- ----- Year _ i ~_~ ~~-' _... Serial No. ~_ ' " >> ' ` ' --~ Vehicle idc:nt. No. or IiUU l'clt. Nu ------- _ -~ Fluor ~ ~ Hitch __~_ JILL: / LX~s_('? SIGe. L Color. •- )~-"~ _ ~' ~ ~' ~~--' -~~ / C. / . i _ .: II -~ appuln( ---- _-..._lc~ / 1-11.1 / ~ya~ i~~~ i`• as aly,(or purl ~uon,ey-lu-Fact fur tlt ~ ' rpose of signing any title, or certificate of ownership issued by lilt Ulvlswu ut Namur Vehicles of the State of for trallslerring th+r rel;istiatiuu ~oveling the h[obile/I~tarlufactured Holne or RGcrea- tiona! Vehicle; ~iescnbell aho~c. IN WITNI=SS WEiEREt )t•, Iltc: un~tGrslglled tlas executed [1llS InstrulneR[ Ilus_ ~~C~ .~ - /~ ~._ (SEAL) By_4 l,n ~r_4,c:~ ~. _ ,.-._~L,~/ as buyer, seller or legal owner Executed in the preszt-~C of By ___ as buyer, seller or legal owner. (ar) notary public / I~~utCll :~ Suy Jw~~ah ~:in;t:w!.r4ul:~yFr:~,f::: `~: _,r J DIV. ii('r1 l'.'.N.~ ~^ ';:.(.ii.a. t14yi;olrim~lr,;;,;n Ea~;~r., /~;,, ~(t~d __ RECAPITULATION Appraised value of Personal Property,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,:_ 19.329.47. Appraised value of Real estate,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,~ 18.375.00. Total Appraised value,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,w......_.,,,,,,,~ 37,704.47. AFFIDAVIT OF PERSONAL REPRESENTATIVE County of CUMBERLAND ss: GERALD R. SOUDERS, Executor of the Estate of CARL S. BARKER. SR ,deceased, being duly sworn according to law, depose and say that the Items appearing In the Inventory includes all of the personal assets wherever situate and all of the real estate 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 decedent's death; and that decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears In a memorandum at the end of the Inventory. ,Q--- ~4 ~ ~ ,_ . J ~ ~ _ __. ~ - xecutor 93 REGENCY SOUTH, CARLISLE, PA 17013 Sworn to and subscribed before me on August 30 1995. Otary u C - Commission Expires [SEAL] Notarial Seal Linda M. Pishney, Notary Public Swatara Twp., Dauphin County My Commission Expires June 21, 1999 No: 1995-00128 In the Matter of the Estate of CARL S. BARKER, SR., late of 99 REGENCY SOUTH, CARLISLE, PA 17013, MIDDLESEX Township, In the County of CUMBERLAND, Commonwealth of Pennsylvania, deceased. INVENTORY OF REAL AND PERSONAL ESTATE Filed In the Register's Office of CUMBERLAND County on: ,~ s. 4219 Derry Street, Harrisburg, 17111 egsero s BOOK: PAGE: ORPHANS' COURT RULE 6 12 To be filed with the register of Wills Office within nine (9) months after the date of death. REGISTER OF WILLS OF CUMBERLAND COUNTY STATUS REPORT BY PERSONAL REPRESENTATIVE No. 1995-00128 Name of Decedent: CARL S . BARKER SR . Soc.Sec. No: 18 2 - 01-16 21 Date of D~th: 2 -10 - 9 5 Name of Personal Representative: GERALD R . SOUDERS Capaaty (check one) Executor ....................... X Administrator .............. _ , Administrator c.t.a...... _ Administrator d.b.n..... THE COURTS Is the admnistration of the estate complete? Yes X No If "Yes" haw was the administration ended? (check one) By court accounting ............ . By account stated to parties in interest... x . Did the parties release the personal representative? Yes No X . Other (exnlainl Total amount paid to date to creditors and for funeral and administrative expenses......... $_ 14 , 2 54.66 . Total value of distributions to date to beneficiaries. . ..........................$ 19,948 54. If administration is not complete, estimated value of assets still in administration.... , , ••-•$ _ 3.,501 27. 1 certify under penalty of perjury that the foregoing Information Is correct to the best of my knowledge, information and belief. ~ ~ ` , DATE: August 30, 1995 --.__..- xecutor or state This report must be signed by the personal repres native oNone ofOthem whe ARoLeS ha ane,tor by counsel for the estate. (Pa. 8. Doc. No. 84-08. Filed January e, 1984. 9:00 a.m) PENN8YLVANIA BULLETIN, VOL. 14, N0.1 SATURDAY, JANUARY 7, 1984 RW-27 (Substitute)