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Home My WebLink About01-0164 Estate of Edward W. Harker also known as PETITION FOR PROBATE and GRANT OF LETTERS ~/-O/- /(P '/ No. To: Deceased. Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. 1 ~1-1h-7Rgg The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut rix in the last will of the above decedent, dated MRY 2 S and codicil(s) dated named ,19~ (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 305 Fairview Street ~ /J ~,' I;t:t~ "/ Carlisle. PA 17011 J/ULU //ilftt u{":r/Lt~ (list street, number and muncipality) Decendent, then ~_ years of age, died January 10, 2001 , 19 at Carlisle, Pennsy~vania 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: Decendent at death owned property with estimated values as follows: (I f 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: $ 10,000.00 $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; administration C.La.; administration d.b.n.c.La.) theron. It .!)~ 1/tt1;;~/ <\1'= 3~ 4.1 '- ~ 0 ~ c 00 V) Jane D. Harker 305 Fairview Street r.Rrlislp, PA 17011 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I S'"' COUNTY OF Cumberland J :::i The petltioner(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 represen- tative(s) of the above decedent petitioner(s) will / / . -; c ,- / <5,..~ -..:;.x' C' Y - '- J S, worn, to" or affirm, e.,d, , ,and ~ .~, u b sui bed" t . -Sth. -.. ~e !hlS ~;; s:-:/-~ nay of <-- Fe~ru rt I . ..2D.o..l- \. .' ~'tT"C / ~./ :J42~:7 t2 ;'L MARY C" IS I R gist r REGIS...' OF WILLS /~-:teL/ / ;6JPrr t.- ~o. 21-2001-0164 Estate of Edward W. Harker , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW February 12th, ~2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated May 25, 1999 described therein be admitted to probate and filed of record as the last will of Edward W. Harker and Letters Testamentarv are hereby granted to Jane D. Harker FEES ~0 / ;0) e,/J · ,/ . . lfl{{,./ '-' (~v~ /2LG/>M;k~L~' 6 Regjtit of Wills MARY C LE,-WIS ::..n;zZ?!' '/, 'I i v:..'l REGISTER OF WILLS z/ Probate, Letters, Etc. ......... Short Certificates( 5) . . . . . . . . . . Renunciation ................ x-Paaes (3) JCP $ 40.00 $ 15.00 $-- $ 9.00 TOTAL _ $ 1:).00 o February .12th '" 200.1 . $. p.9. 00. . . Hubert X. Gilroy, Esquire (29943) A TIORNEY (Sup. Ct. LD. No.) 4 North Hanover Street, Carlisle ADDRESS Filed (717) 243-4574 PHONE CALL A'ITORNEY WHEN LETTERS ARE FINISHED r) '/3 ,,- ,s 10 Lt'rrd~' tiLl! rhe intormaricI1 here given is corrcct!: lOpll'd )111 ;1,1 urlglnal Cl'llillcitc III ,lul\' iikd wirh llle ;h ell [";11'. The ongllla\ (eHiflelle will he forw;ndcd to 1\)l' SCire \iLlI !{c',urds \HTiCl' f~)r 1)\.'nJLlIl\'111 [:i WARNING: It is illegal to duplicate this copy by photostat or photograph, ll',' t\'r [hi., ,-c'ltihclf\.'," Oil ~'--';lllfnfi;_;-', ___ ;.;.,<~~\~_oEfi:t;.:,:~" ~.;:".~/ <t,F.'7.C ,,;~/. ~'":\ ~ ~.~<d.a..~1C?~\ ,~ ~. ',~ Y" ~\ l~ ~"~'" .~~I ':::. <.,..) , ' i ~_ ",.;. ~ :.-./ \~ * (:~._ ~. ,'/' *~'i \~ a - ~'\~! .~ ~, ~-::;S // \"'-'. -i1,f-----. -'. _ -' '-\\, '(-",Y '('~<";,- IMENl ~\" ,I'" '<~~'-!!J-!!~- P 6347744 :\, ' 21-2001-164 ,--'. , ',. t:\ ~ ~~ ~ ,~:~._,__~__~~~~___._ U~-t.J.,~.;..i I (ll JAN I ~ J 1 ZUOi [ ),] 1 \. 105.;4.3 Rev 2/87 COMMONWEALTH OF PENNSYLVANIA 0 DEPARTMENT OF HEALTH 0 VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUM8ER SOC'Al SECURITY NUMBER DATE OF DEATH ,MCt'lttL Oa.,.. Il!al) NAME Of DECEDENT ,f,r.. Modd'.. cHI SEX 2, Male Edward W. Harker 143 - 36 7899 c, January 10 I 2001 AGE fLa.. B""",ay) UNDE R 1 YEAR Months Doys UNDER 1 DAY Hours I Minut.. BlRTHPLACE tC,ty ar.d P~E ()f: DEATH ICt'>eck ontv I)f\9 -- ..;.ee In~'fucl~ on ~l '3t08) Slale Of FcretQ'1 CounlfY) HOSPITAL Bayonne, NJ 1""".ion.!;EJ ERlOutpa.ionIO 7, .., FACllrTY NAME (If not InsN'ultOl"l. Q'....e slre-el: and numberl g:;ofylO [);d -- Min. """'ship? 17d.D ::=~of MOTHER'S NAME (F.sl. M'ddle, Me","" Sv,"ame) It. Helen V. Jozwiak INFORMANT'S MAIUN(l ADDRESS (Street CIlyITown, Slate. lip Codel ~. 305 Fairview Street, Carlisle, Pa. 17013 PLACE OF DISPOSITION. Name 01 Cemolory, C.omalOl'( LOCATION, CilylTown, S,.,o, Top Code OO'Ot_~ Yorktown Cremation Service 210, 57 5, COUNTY OF OEJUH ;),1 Cumberland Carlisle Ie, ... . IlL A 0 n 11IlLaw-private pract' DECEDENT'S MAILING ADDRESS (5....,. COlyITown, s.... Top COdel DECEDENT'S 305 Fairview Street ~~~~ Carlisle, Pa. 17013 ~~~~~ 11., State P1l. Cumberland '" FATHER'S NAME IF;'... ModdIe. LaSO) Edward W. Harker Ilb, Coun ", INFORMAHT'S NAME (TypelP"n.) zo., Jane Harker lolETHOO OF DISPOSITION _ 0 C.ometion [J _IYomSI.,OO (SpecOly 2001 012748L :ne. TIME Of DEATH DATE PRO UNCED DEAD (Mon"" Day, Y.a.) 24, 8 ~ s-o M, 25, I I 0 \ Q I 21. PART I: Ent.' In. diseases. inluries Of comp6tcahOns which causl!'d tne MAth 00 not enter lhe mode 0' dyino. such as cardiac or respiratory arrest. shock Or heart failur. List onty one caus.e on each tine l : ('f\e-~0,-/tt",1Yc.. SC1liM.W'VV\f ce II (AVC.(y{tJYH, OUE1O(ORASACDNSEOUENCE~ o+'~ -J--()-{\J "'-C._ DUE 10 (OR AS A CONSEOUENCE Of): DUE 10 (OR AS A CONSEOuE NCE Of)- WERE AUTOPSY FINDINGS MANNER OF DEATH A",",'LABLE PRIOR 10 COUP\.ETION OF CAUSE g 0 OF OEJUH? HatUllf Homicide Acctdent Pending Investigahon 0 V.. 0 No 0 Suic.,. 0 Could not bre de1emunl!td 0 DATE OF INJURY (Mon",. Day. learl RAce. Amencan Indian, 6tKk., White. !tIc (SllOCI'Il White 10, MARITAL STIJUS ' Mamea Ne..... Manied. W~. OiYOrced (Specllyj Married SURVIVING SPOuSE llf ....de. grte ma.csen name. 170,[Zl 'tWo, __..lived in IS,Jane Simmons South Middleton "'P CllYIl>on> NAME AND ADDRESS OF FACILITY Ho nc, 219 North Hanover LICENSE NUMBER 23b, 23e, WAS CASE REFERRED TO MEDICAL EXAMINEAlCORONER? ""s C!Q ""D' 211, I Approximate : interval ~n I Onset and death , : PART II: Other signincant condtIiona conlributing to death, buC not resufttn9 in me ~ C8UH ow-n in PART I TIME OF INJURY INJURY AT WORK7 DESCRIBE HON INJURY OCCURRED, _ 0 NoD 300, 3Ob.'" JOe, PLACE OF INJURY. At home. larm. street. laC1Ot'V. offici building, .tc. ISpeclfv' 2M, 28b, 300. CERTIl'IEA lC~ed< oniy onel .~~~~t:;~~~~::~=;" c=~~ c:: :.a~.:".:zs:~:~~~::~ :~~:~r(:~ Qealn ana can~ele<] !lem 23) 0 .PAONOUNCING AND CERTIFYING PHYSfClAN (PhySIClC1n 001t'. ~,:)nourcln9 oealh and cenl1Ylng 10 cause of Qealtl) To lhe be-s1 of my kt'lOw'.cI';JfI!, death occurred at U\.e lime, date, ancl pllce, and dUI to the cau5e(') and manner.. slated.. 'MEDICAL EJ(AMINERICORONER On the b..il of examination and/or InvesUgJiUon.ln my opinion. de.th occurred at the time, date, and place, and due to the cause(t) and manner IS ,tated.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jl.. REGISTRARSSIGNATUREA~~.RR ". C""o' . ~-'- \ ~l"1 ~~d\.~ ~\I,"~\IOI DATE SIGNr(Mon7~Y' lean 31e, 31d, ,_( -0 1 NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE Of DEATH (".m~y~t (), hv?0y, y~ o 32, "2.- 'l- (J vJI lf~ {'.j- Ci~ ., (t J le., Pt+ I') 0(.3 ::TEFILEDIMon",Da~, ~\ B-OO \ ,~ LAST WILL AND TESTAMENT OF EDWARD W. HARKER I, Edward W. Harker, of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, in manner and for the following: 1. I hereby expressly revoke all Wills and Codicils heretofore made by me. 2. I hereby direct my Executors to pay all my just debts, funeral and administrative expenses out of my estate, as soon as practicable after my death. 3. I give and bequeath certain specific items of personal property to those individuals set forth in the Memorandum which accompanies this will. Said Memorandum is incorporated herein as a part of this paragraph of my Will. To the extent such list does not dispose of any such property then I direct that such property shall become a part of my residuary estate and to be distributed in accordance with paragraph 4 herein. 4. Should my wife, Jane D. Harker, survive me for a period of thirty days following my death, I devise and bequeath my entire estate, real and personal wherever situate to Jane D. Harker. 5. In the event, my wife, Jane D. Harker, shall predecease me or die on or before the thirtieth day following my death, I give, devise and bequeath all the rest, residue, and remainder of my estate, real, personal, and mixed, of whatever nature and wheresoever situate, which I may own or have the right to dispose of at the time of my death, to my son, Joseph G. Harker. 6. I do hereby nominate, constitute and appoint my wife, Jane D. Harker, as Executrix of this my Last Will and Testament.. I further direct that she shall not be required to post any bond to secure the faithful performance of his duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have signed and published this my Last Will and Testament 'i. /~,..--:7f;f._ consisting of 4 pages in the presence of the Subscribing Witness, this t/-:"'\ Day of (/1(lA-^f We, the subscribing witnesses certify that the Testator signed this Will in our presence after reading the same and declaring it to be his Last Will and Testament. We, further certify that the Testator was of sound and disposing mind and memory and under no constraint or undue influence. \~ ~\,-,\\\:)w~cl Qn.,kik"7A \ \-,t;l~ --"~ Q.,~ ~ (Ls.---:J , .~-o"""-- Witness: \ . \ - S< ~ Address: Witness: M~^' u. /~,J~ , . Address: 1< D f1 i i1..t l, ~ <)' ') c. L- (; 1 Sv' -.1 \ ~ f t~ ACKNOWLEDGMENT TO LAST WILL AND TESTAMENT OF EDWARD W. HARKER Commonwealth of Pennsylvania ) )SS: County of Cumberland ) I, Edward W. Harker, Tesz:ato hose name is signed to the within Last Will and Testament dated this 2(:-:"\f)ayof -'I1{Jo..t^ , 1999, having been duly qualified according t law, do hereby acknowledge that I SigneCWilli gly as my free an~ary act for the u pse erein expressed. ~ 'J Edward W. -. sW70t and acknowledged before me by E~ward W. Harker t?' j/}.AU/, ,1999. ,i _ . ~ 1 ,. I I ~~'{J ,,/ NOT AAIAL SEAL ! \.:i ;,.3:INIA H. DANIELS. Notary Public ! C:disle 80ro, Cumberland County !"I~t~-;c\r!~i!!..~...E!.eires Oct. 19, 2000 AFFIDAVIT OF WITNESSES Commonwealth of Pennsylvania ) )SS: County of Cumberland ) ~~ ,..l We, \Yl ~c~\ \~ ~~cs CU\ And 'Sha..\c(\ \.)I...L\U- , the witnesses whose names are signed to the Last Will of Edward W. Harker, dated fa This d5 ~ Day of fY\~ ,1999, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as Witnesses; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. .~~ ~(,t;, ~~~ Oi~ J' (~L , Sworn to and subscribed before me by f'\; Q.,\)~ \ \ L ~ \ OS bUrl And 5 ~ (" Of\ ~LL\d Witnesses this Q. t:,~ D~y Qf \'<\~I ,1999. ~. ~ ....~..~,...',~~.3' ., . NOT AAIAL SEAL l VlfiGINIA H. DANIELS. Notary Public ; Carlisle Boro, Cumberland County I L~CClmmission Expires O? J~ 2000_...1 '" i MEMORANDUM I, give the following specific bequeaths: 1. Rowboat to my brother James Harker. 2. All tools and sporting equipment to my son Joseph G. Harker. Date: ;/l/17_. ._"):-) leI' :(7'r ,,,"",,,, ;/ f({r., L- . I i\ u Sworn to and subscribed to this ).. L.,....,P'. Day of '. jl / / ,I/~ , 1999. ~1 /~.::;;J L"" NOTARIAL SEAL .. . VIRGINIA H. DANIELS, Notary Public Carlisle Bora, Cumberland County My Commission Expires Oct. 19, 2000 . JRD/June 30, 1992/17858 JUN 1 2 20'XYv' Estate No.: 21-01-164 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Estate of Edward W. Harker Late of South Middleton Township NO. NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: Jane D Harker Counsel for Personal Representative: Hubert X Gilroy Esq Date of Grant of Original Letters: February 12, 2001 Date of Delinquency Notice: May 22, 2001 The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Register of Wills on May 22, 2001, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: June 11, 2001 1 "' ~ ~ /J I / !LJ! ) , (i/ / {/ff~~ . . Lewis, Register of Wills l. 'l Distribution: Personal Representative Counsel for Personal Representative Estate File )7~ ,}It I A hearing is scheduled for?f at C;~30 in Courtroom No.3. If the Certification of Notice is ~lled prio to l1he hearing date, the hearing will automatically be c . ,V L1 tine? .~ cDY ~ tD~ j ~Q.d v - \ +- 0 \ i ~ E. JOHN H. BROUJOS HUBERT X. GILROY BROUJOS & GILROY, P.C. ATTORNEYS AT LAW 4 NORTH HANOVER STREET CARLISLE, PENNSYLVANIA 17013 TELEPHONE: (717) 243-4574 FACSIMILE: (717) 243-8227 INTERNET: brgilroypc@ao1.com NON-ToLL FOR HARRISBURG AREA . 717-766-1690 June 13, 2001 Mary C. Lewis Register of Wills Cumberiand County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Edward W. Harker File No. 2001-00-164 Dear Mary: Please accept this letter as a certification of notice under Rule 5.6(a). The name of the Decedent is Edward W. Harker. The date of death is January 10, 2001. The file number is 2001-00-164. I certify that notice of beneficial interest of estate administration required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above Estate on June 1 3, 2001 : Jane Harker 305 Fairview Street Carlisle, P A 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a). ESTATE OF EDWARD W. HARKER By: ;th / HUbJ: x~, Esquire Attorney for the Estate of Edward W. Harker R~V-1500 EX + (6-00) '* COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT ~:\~.\ r OFFICIAL USE ONLY '\ \ ~ '. CY ,') FI~EN~MB~R 0 0 1 6 4~~~~ cOUNhCOiSE ---YEA~ - - 'iWMBER-- DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER I- Z W C w () w c HARKER, EDWARD W DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) 01/10/2001 08/16/1943 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 1 43- 3 6 - 7 899 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER w ~ ~~(/) uo:~ wg,u J:o:g u a.. lD a.. c( [Xl 1. Original Return D 4. Lirnited Estate D 6. DecedentDied Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy oITrust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 3. Remainder Return (date of death prior to 12-13-82) D 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch O) ~ Z W C Z o a.. (/) w 0: 0: o U THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS HUBERT X. GILROY 4 NORTH HANOVER STREET FIRM NAME (If Applicable) BROUJOS & GILROY PC CARLlSLE,PA 17013 TELEPHONE NUMBER 717 -243-457 4 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D 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) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) z o i= <( ...J :::> l- ii: <( () W 0:: (1 ) (2) (3) (4) (5) OFFICIAL USE ONLY (6) 44,646.43 (7) (9) (10) 14 Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o i= <( I- ::J Q. :2 o () >< <( I- 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 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 0.00 0.00 X ~(15) X _(16) X .12 (17) X .15 (18) -0- (19) 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (8) 84.00 (11 ) (12) (13) (14) 44,646.43 84.00 44,562.43 44,562.43 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < ''''''''''('''1 . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF HARKER EDWARD W FILE NUMBER 21 01 0164 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 19,146.43 M&T BANK - ACCT # 138762 2 PLANE 23,000.00 3 1993 SUBARU CAR 2,500.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 44 646.43 ',,,,,,,,,,.,,,,, '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF HARKER EDWARD W FILE NUMBER 21 01 0164 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. S. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Register of Wills Filing Fee 69.00 8 Inheritance Tax Return 15.00 TOTAL (Also enter on line 9, Recapitulation) $ 84.00 (If more space IS needed, insert additional sheets of the same size) .",;"""."", '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF HARKER EDWARD W FILE NUMBER 21 01 0164 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. JANE HARKER WIFE 100% 305 FAIRVIEW STREET CARLISLE, PA 17013 ~: "' "'J.~ , ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, 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 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX i i ;: i DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-23-2005 HARKER 01-10-2001 21 01-0164 CUMBERLAND 101 (,;- HUBERT X GILROY BROUJOS& GILROY 4 N HANOVER ST CARLISLE REV-1547 EX AFP (03-05) EDWARD W Amount Remitted PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ~~V-~I:,.Yt.w".n~~1r!,.w~m!t.W.!Mftftrf~M."t."'~.l~l!!!JIWf~.~tbV~M:Y.~?r.............. ... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HARKER EDWARD W FILE NO. 21 01-0164 ACN 101 DATE 05-23-2005 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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) .00 .00 .00 .00 44,646.43 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 84.00 .00 (11) (12) (13) (14) NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 44,646.43 84 DO 44,562.43 .00 44,562.43 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. 44,562.43 X 00 = .00 X 045 = .00 X 12 = .00 X 15 = (9)= .00 .00 .00 .00 .00 . ~ ._n. lu:::"'c~r I II (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ * 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 A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage. Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: BROCJOS & GILROY -1- NORTH HANOVER STREET CARLISLE, PA 17013 Qty Fee Description Additional Probate Fee Total 40.00 $40.00 Total: $40.00 /j..~V; \\\ ) \ \\ ,\~ , \ ~-~\jS\)(~ -~(~,-' //;\ \ - \j\.j ~~J Checks should be lnade payable to (he Register oC\vTills. Terms: Net 30. ", ~. '-.~ ~ i . . "l~,,:.,,: ~,\~, :'.' :~ ;:" :' 'fe...... .; . .'- ,',' i__,:, " ";' " .' . ~:~. hank you. 243 3/7/2005 Edward W. Harker 21-01-0164 CCP y , t oj ;/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Edward W. Harker Date of Death: January 10, 2001 Will No. 2001 - 164 Admin. No. 21-01-0164 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 No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 6 months 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No 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 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: ( (dfJ) st!u~ Hubert X. Gilroy. Esauire Name (Please type or print) Broujos & GIlroy, P.C. 4 North Hanover Street Address Carlisle, PA 17013 ( 717 ) 243-4574 Te 1. No. Capacity: Personal Representative (MAH:rmf/AM3) x Counsel for personal representative Cumberland County - Register Of Wills Hanover and High Street Carlislel PA 17013 Phone: (717) 240-6345 Date: 12/06/2002 JANE D HARKER 305 FAIRVIEW STREET CARLISLEI PA 17013 RE: Estate of HARKER EDWARD W File Number: 2001-00164 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 1/10/2003 Your prompt attention to this matter will be appreciated. Thank You. SincerelYI fJun1'~}J'l.P1tfY'd~, ft.+. MARY C. LEWIS J ~ REGISTER OF WILLS cc: V File Counsel Judge Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 phone: (71 7 ) 240 - 6345 Date: 12/01/2004 GILROY HUBERT X 4 N HANOVER STREET CARLISLE, PA 17013 RE: Estate of HARKER EDWARD W File Number: 2001-00164 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 1/10/2005 Your prompt attention to this matter will be appreciated. Thank You. GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (71 7) 240 - 6345 Date: 12/16/2005 JANE D HARKER 305 FAIRVIEW STREET CARLISLE, PA 17013 RE: Estate of HARKER EDWARD W File Number: 2001-00164 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 1/10/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, /.... r.- ~ f.,. .:v / : '" , . ~ ..dk~ L~~te-c)Jt&... .' - .--./ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge ~ vce Cumberland County - Register Of WIlls One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-.6345 Date: 12/06/2005 GILROY HUBERT XAVIER 4 NORTH HANOVER STREET CARLISLE, PA 17013 RE: Estate of HARKER EDWARD W File Number: 2001-00164 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 1/10/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, A. , '..~:J .. ...=A ~/i.;:~. ..' .' ....11. '. . ;:;> , ]' . ..':Jt"" l ' " .' J".-.:.,U -~J GLENDA FARNER STP~SBk6GH REGISTER OF WILLS cc: File Personal Representative(s) Judge {~ ,., ~fCVt{ ...~,;" @g"'" ~ ......~A ~ ~J ,~./ ~ R(e~!~~~:r uf"'\/'JIn~ (pf CUTls.'ibei"land CGUutj- STATUS REPORT UNDER RULE 6.12 Name of Decedent: Edward W. Harker Date of Death: January 10, 2001 Estate No.: 21-01-0164 o 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 Q 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.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No GJ b. The separate Orphans' Court No. (if any) for the personal representative's accOlUlt is: c. Did the personal representative state an account informally to the p~"i:ies in interest? Yes IiI No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of t rphans' Court and may be attached to this report. Date: 01-17-?006 ~" Hubert X. Gilroy, Esquire Name 4 N. Hanover street Carlisle, PA 17013 Address 717/243-4574 Telephone No, ~apacity: O Pe--s~.nal p e--ps<>-+"+~'.re i vi 1 ,1.... }Jl'-' ",,11 t.a.l.l v ~ Counsel for personal representative Vt