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Home My WebLink About01-0502 PETITION FOR PROBATE and GRANT OF LETTERS 2(-0\ - 5D2.. Deceased. No. To: Register of Wills for the County of Cumb e r land in the Commonwealth of Pennsylvania Estate of John H. Garrett. II also known as Tnhn H ~~rrp~~ Social Security No. 164-30-3213 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executnr in the last will of the above decedent, dated ? 7 ~ h n f M ~ Y and codicil(S) dated N / A named . 19....ll.- (state reje\'ant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumb e r land County. Pennsylvania, with h ; c:: last family or principal residence at 409 N. 2nd Street, Wormlevsburg, PA 17043 (list street, number and muncipality) Decendent,then 63 years of age, died May 11, ~ 409 N. 2nd Street, Wormlevsburg, PA 17043 Except ~ follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered fer probate; was not the victim of a killing and was never adjudicated incompetent: . Decendent 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: 409 N. 2nd Street. Worm] eYRhllrg PA ,u 2001 , $ $ $ 25,000.00 $ 50.000.00 170111 WHEREFORE, petitioner(i) respectfully request(s) the probate of the last will ~ presented herewith and the grant of letters ~ p ~ ~ ~mpn ~ ~ ry (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. - ,e U C.J C U "0 -. ._ II) 11)_ u.... c:ll:U C "00 c';:: <<I';:: _u ,ec.. u.... 30 <<i c ell Ci.i OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I s~ COUNTY OF CUMBERLAND J ~ 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 represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. OMJ'ft \0- ~6~- ~ ~ oc' :s ~ - s::: ~ ~ ~o. 21 - 01 - 502 Estate of JOHN H GARRETT II a/k/a JOHN H GARRETT DECREE OF PROBATE AND GRANT OF LETTERS , Deceased AND NOW MA Y 23, ~~ 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 MA Y 27 ~ 1 993 described therein be admitted to probate and ftled of record as the last will of ,10HN H r,ARRFTT T T rl III Irl lOH~1 H GfiRRETT TESTAMENTARY DAUPHIN DEPOSIT BANK AND TRUST COMPANY NOW RY MERGER ALLFIRST TRUST COMPANY OF PA~ N.A. and Letters are hereby granted to FEES Probate, Letters, Etc. ......... S 11 5 . 00 Short Certificates( 1 .. . .. .. ... S 9 . 00 Renunciation ................ S . X-Pages S 6.00 JCP ~.uu TOTAL _ S - Filed . .~I;\ Y. .2 ~ , . '?"QQ J.. . . . . . . . . . .1. .~: : .~~ ~ifG.~!:~ f1f)Iio9fd' 20558 MARY CLEWIS Edmund G. Myers, Esq. ATTORNEY (Sup. Ct. 1.0. No.) Johnson, Duffie, Stewart & Weidner POBox 109 ADDRESS Lemoyne, PA 17043 (7171761-4540 PHONE Letters picked up by Kurt R. Williams from Allfirst H105.11;' 9EV. P 88 i FEE FnR " >-115 CERTIF:, WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSVL VANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. T 4 9 0 0 7 0 2 //i,I/(';";;;;-";'/;-, ,;11"'\,\\ OF p"'-~ 4\..\. \. ~/ "n_]4t",/~, ~\~"'/ ~'cF -~~ '~\'~~/' Ili.a.~\'~~~ ,~ ~( ~ '.y~ (~ ~. .'" \ ;Z. % ~C)i :z,;'_ !-~ ~ c.J\, -'l'_~.,I'.:r::.~ \~ "-. -"", ' " .~ *', . '~.' .., ,.,' , * J '... a ''----.- /~f' \\' <%' /~ l '%.. ~fi- ....~~/~ '~~--,7:rMENl \\\ ~ ,."v '<~~~'!'!!./.l!!.!!.EJ.!IJ!!~/ 5--~/-ol Date of Issue of This Certification Name at Decedent ____ J aU rJ-----tt------- ~IC(;;G;(( 7L x \(\ J .. 'IAlj-30-~l~ 5-11-'0 ( Se J~--- Social Secunty No.~___--~--- Date of Death Date at Birth - q-~-;J:s tJ.o~hPlace - _~1Cl st!:ue~ )f1r. Place of Death 0 OK"',""' -. IJIl ^l\b~;<J.D ,~~? '" RacelJMLl~__ Occupation -I-fJ1JIL/Jl7i()JL/-f/.!g,~_ Armed Forces? (Yes or No) k/\ ' Decedent's Ij~ AI ~ J../Dc::t:'I1, 1/\ I' it '-LC I 1\ /lA ~ ~/' ~ -mfiQ Marital Status tJLV~- Mailing Address -~s::;;:L---t~L..,,~JJ/.-rL{ c';;:,?,::/OCArGL) l!IIVT~ Informant .1J.t; <;z;rJ F- ]'J~ Funeral Director ~ CiI.IML- J ~M.s ~~:~af~~t~~~~~~e~/ &:.J')Y4-(4_~ofollIAL~ /l{~,tfk; ~ I ~=-~ I Interval Between Pari I: Immediate Cause : Onset and Death (a)fD&.LjJ~uG &A/JMv1~ -+ I I I I I I I I I (b) (c )___________ Pari II. (d) Other Significant Conditions Manner of Death Natural ~ Homicide Accident Pending Investigation Suicide Could not be Determined Describe how injury occurred: o o o Name and Title of Certtier fiJJ. ClII4-tL L kf bW.5. 1-3"7~ L...ll52r-:-ll_ L> r P'I\.,. ~ .,.-:" /r-I,II J . ~ /~ ~ (M.D., D.O., Coroner, M.E.) AddressJQ_~ _{/fT..=~f:. La ~l6 l'lA f;UI/fMCS,t:>U<-t! /fr17o.5V . - This is to certify that the information here given is of death duly filed with me as Local Registrar. T e State Vital Records Office for permanent filing. .-- 6 -dJ-Ol______ ~;'lt~-. R"'cPI\e.~j by Local RC9lStfll' ,. 009131-0000llMay 12, 1993/EGM/GMM/26011 1EClSt l1Iill Club WtSbtuttut OF JOHN H. GARRETT, II a/k/a JOHN H. GARRETT I, JOHN H. GARRETT, II, also known as JOHN H. GARRETT, of the Borough of Wormleysburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills or Codicils at any time heretofore made by me. ARTICLE I I direct the payment of all my legal debts, and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently may be done. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and whatever jurisdiction imposed, shall be paid from my Residuary Estate as part of the expense of the administration of my Estate. ARTICLE II I give and bequeath my automobile, household and personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, unto my stepson, CHRISTIAN F. WAGNER, JR., Maitland, Florida, provided he survives me. ARTICLE III I give, devise and bequeath all the rest, residue, and remainder of my Estate, of whatsoever nature and wheresoever situate unto my stepson, CHRISTIAN F. WAGNER, JR., provided that should 009131-OOOOlIMay 12, 1993/EGM/GMM/26011 he predecease me, I give, devise and bequeath the same unto his then-living issue, per stirpes by representation. ARTICLE IV I name, constitute and appoint DAUPIDN DEPOSIT BANK AND TRUST COMPANY, Executor of this my Last Will and Testament. Should DAUPIDN DEPOSIT BANK AND TRUST COMPANY, decline to so serve, I name, constitute and appoint my stepson, CHRISTIAN F. W AGNER, JR., alternate Executor to complete the administration of my Estate. I direct that no fiduciary appointed herein shall be required to post bond for the faithful administration of duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this .2 7r!icJay of ~ ' 1993. \'\xBJA J /I ~ 0: o v vv ...., (SEAL) John H. Garrett, II ~ II ~ (SEAL) John H. Garrett Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. ~p~ ~a7~4 009131-OOOOllMay 12, 1993/EGM/GMM/26011 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA :SS COUNTY OF CUMBERLAND We, JOHN H. GARRE'IT, II a/kla JOHN H. GARRETT, ~dmtt#ld t1.. yV}!1~f$ and 72ai.pJ. II. Wrtjkt, .Jr. , the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of hislher knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~!~ff: ~fJ~ n H. Garrett ~b w~ ~/~/ WIess Subscribed, sworn to and acknowledged before me by John H. Garrett, II, a/kJa John H. Garrett, Testator, and subscribed and sworn to before me by e.d'MJ.vVId ~. ~e r.5 and 7?04J... H. WHj /..;t J 1-'. , witnesses, this J711aay of mo- 1993. ~LA~~ Notary PublIc Notarial Seal Nina June Davis, Notal)' Public lemoyne 8oro, Cumberland County My Commission Expires Cd. 31,1994 Member, Pennsylvania Association of Notaries L .. Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of John H. Garrett II No. 2001- 00502 also known as John H. Garrett Date of Death 05/11/2001 ,Deceased Social Security No. 164 - 30 - 3213 Allfirst Trust Company of PA, NA, 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 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 Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: Edmund G. Myers, Esquire Personal RepreSenlativ~ ,;- -;l ( J J !I' / J, d ~n Signature: .,.-( '1 I' {ll/l U I LfAYl/. Allfirst Trust Company 0 PA, NA 1.0. No.: 20558 Signature: Address: 301 Market St. PO Box 109 Address: 213 Market Street Lemoyne, PA 17043-0109 Harrisburg,PA 17101 Telephone: 717/761-4540 Telephone: 717/255 - 2097 20, MtI~~ ),-0-01 I Dated: Description Value (See continuation page(s) attached) (Attach additional sheets if necessary) Total: 81,666.78 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form'RW-7 (1992) - Estate of: Date of Death: County: INVENTORY John H. Garrett II 05/11/2001 Cumberland CASH: Allfirst Bank Checking Account #0010253130 - Date of Death Balance Capital Blue Cross - Refund of Health Insurance Cash found in Estate Received from Nationwide Funds 658020 NW Tax-Free Income Fund D 2001002225 Received from Nationwide Funds 658024 NW Money Market Fund Prime Shares 2401008400 Received from Tredegar Corp. STOCKS/LISTED: 129 shares Albemarle Corporation 14 shares Tredegar Corp. REAL ESTATE/PA: 409 N. Second St. Wormleysburg, PA, 17043 - Appraised Value 2,921.18 265.89 90.00 23,493.93 11,628.07 101.52 2,896.69 269.50 40,000.00 TOTAL RECEIPTS OF PRINCIPAL......... ...... 1 38,500.59 3,166.19 40,000.00 81,666.78 ---------------- ---------------- f --- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: John H. Garrett, II alk/a John H. Garrett Date of Death: May 11, 2001 Will No.: 2001-00502 Admin. No.: To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 6( (10 ( Name Christian F. Wagner, Jr. Address 11431 Dwights Road, Clermont, FL 34711 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None. Date: 6 ( l/ 0 I ~ Signature Name: Edmund G. Myers, Esq. Johnson, Duffie, Stewart & \l\Ieidner Address: 301 Market St. P. O. Box 109 Lemoyne, PA 17043- 0109 Telephone: (717) 761-4540 Capacity: Personal Representative X Counsel for personal representative 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 ALLFIRST TR CO OF PA NA 213 MARKET STREET HARRISBURG, PA 17101-2127 __n____ fold ESTATE INFORMATION: SSN: 1 64-30-321 3 FILE NUMBER: 21-2001- 0502 DECEDENT NAME: GARRETT JOHN H II DA TE OF PAYMENT: 08/10/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 05/11/2001 NO. CD 000132 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3,400.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: ALLFIRST TRUST CO OF PA NA CHECK# 20229470 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $3,400.00 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-' '62 EX(' '-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ALLFIRST TRUST CO OF PA NA 213 MARKET STREET HARRISBURG, PA 17101 -------- fold ESTATE INFORMATION: SSN: 164-30-3213 FILE NUMBER: 21-2001- 0502 DECEDENT NAME: GARRETT JOHN H II DA TE OF PAYMENT: 11/26/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 05/11/2001 NO. CD 000551 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $78.46 I I I I I I I I TOTAL AMOUNT PAID: $78.46 t REMARKS: ALLFIRST TRUST CO OF PA NA CHECK# 20258488 SEAL INITIALS: SK RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS lfo -;)JJ-0 REV-1S00 EX t (6-00) CAPB HpRL EplO CRAC KOTK ES REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER o E C E o E N T COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128~0601 DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL) Garrett II John H. DATE OF DEATH (MM-OO-YEAR) 2001-00502 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 164-30-3213 THIS RETURN MUST BE RLED IN DUPUCATEWITH THE REGISTER OF WILLS SOAL U SE'S HAM L HI tAL C' OFFICIAL USE ONLY 3 date of death . Remainder Return prior to 12-13-82) 5. Federal Estate Tax Retwn Required 8. T otlll Number of Safe Deposit Boxes 11. Election to lax under Sec. 9113(A) (Anach Sch 0) X 1. Original Return 2. Supplemental Return 4. LImited Estate 4a. Futwelnterest CompromIse (date of death after 12-12-82) X S. Decedent Died Testate 7. DecedentMilIJltajnedaLlvlngTrust 0 (Attach copy of Will) (Attach copy of Trust) D 9. LitlgatlonProceedsRecelved 010. SpausafPovertyCredlt 0 (date of death between 12.31-9111nd '.1-95) if COMPLETE MAILING ADDRESS P NAME C 0 0 Kurt R. Williams R N FIRM NAME (If Applicable) R 0 E E Allfirst Trust Com an S N T TELEPHONE NUMBER of PA, NA 213 Market Street Harrisburg, PA 17101 2 - 0 1. Real Estate (Schedule A) (1) 40,000.00 2. Stocks and Bonds (Schedule B) (2) 3,166.19 3. Closely Held Corporation, Partnership or (3) l!)<W Sole-Proprietorship = (t' 9 4. Mortgages & Notes Receivable (Schedule D) (4) ioli'e R 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 38, 511~. 59 i5 E (Schedule E) <: C A 6. Jointly Owned Property (Schedule F) (6) None N P 0'\ I D Separate Bilfing Requested T 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 12 , 3 ~ll.j~O '"" U L (Schedule G or L) -0.. 0 A ;po -., T a. Total Gross Assets (total Lines 1-7) ,'0....'. (a)O I 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 12,277.35 0 N 10. Debts of Decedent., Mortgage Liabilities, & Liens (Schedule I) (10) 482.49 11. Tolal DeductIons (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) C o M P T U A T X A T I o N SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(aX1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Llhe 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 0.00 81,275.84 0.00 0.00 x X X X .0 0 .045 .12 .15 (15) (16) (17) (la) (19) OFFICIAL USE ONLY ::o1?r (1)0 '\!.~ [) "."......" :";~;~ 9 Co,, .,1 o 94,035.68 12.759.84 81,275.84 81,275.84 0.00 3,657.41 0.00 0.00 3,657.41 Copyright (c) ZOOO form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 409 N. 2nd Street CITY I STATE I ZIP Worm1evsburll PA 17043 Tax Payments and Credits: 1. T.x Due (Page 1 line 19) 2. CreditslPayments A. Spousal Poverty Crod~ B. Prior Payments C. Discount (1) 3,657.41 3,400.00 178.95 Total Credits ( A + B + C) (2) 3,578.95 3. InterestlPenalty if applicable D. Interest E. Penalty TotallntorestlPen.1ty ( D + E) (3) 4. If Line 2 is greater than Line 1 + line 3, enter the difference. This is the OVERPAYMENT. Chock box on Page 1 line 20 to request a rolund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the lotal of line 5 + SA. This is the BALANCE DUE. (5B) Make Chock Payable to: REGISTER OF WILLS, AGENT ,;'!!;l;::ii;l:ll;; :;: l':":':":'i:..':;::iii:;mmmmml!!i!mmililllillllf!ii!li!llilillffiillllllllmmmmmmm!!lmm!lllmmiillllllll!!!!mmli1IIIlllmmllll!illlilllllmlll!llllllllll!I!I!!lmmmlmlllililllllIlm mmll!!l!!![i!!i!llllmmmlmmmmili. !!!!ij!!!m "U!!!11!~~1i!1~1i!i!"', :";:;;':i:i:;i;: Ill': " PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; . . . . . . . . . . ~ ~~x 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 ~or" or payable upon death bank account or security at his orherdeath? . . . . . . . . . . . . . . , , . . . . . . . . . . . . , . . , . , . . . . 4. Did decedent own an Individual Retirement Account., annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . [!] D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 0.00 0.00 78.46 0.00 78.46 o o [!l [!l Under penaltIes of perjury ,I declare that I have examined this return, Including accompanying schedules and statements, and to the best of my knowledge and belief, [t Is true, correct and complete, Declaration of preparer other than the personal representatlve]s based on aJllntormatlon of which preparer has any knowledge, SlG ~REoFPERsoNRESPONJ.l,FORF[L1NGRETURN A11first Trust Company of PA, NA OATE \tui R. 11/ VI,6#yt- --~i~r-~~~~i~~!'-~r!'-i7i(fC---------------------- 2o,NoVp/11~r 2Coi SIGNATUREOFPREPAREROTHERTHANREPRESENTATiVE Allfirst Trust Company of PA, NA OATE 213 Market Street - -H;;rr-isb;;":~ ~ - -PA---i jicfi-- - - - - - - - - - - - - ----- - - --- !:"I'I;::::;I:! i',:' ,':l:;::d:,:, '",',:: ,i;lil~l;ii!fIW: i!!I!!!!I!!!!!!I!! 1!!I!mmmml!III!!!!mml!!IIII!!ililmmi!I!!!!!I!!!!mmll!1!111!!!!li!!lllllill!!i!!!I!!l!l!mm!l!l!!!!IIIII!!!ilmmmil!!!III! !l!Jl!lllmm!!!!!!!llJ!!!!!!mm !!m1!lmm~illm limmmll!!!!!! !ll!!I!!!! !!!I!!!!I!lilli!!!lllilmmmm!!! 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 .pouse is 3% [72 P.S. 9116 (.)(1.1)(;)1 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"1" [72 P.S. 9116 (a) (1.1) (in]. 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. 9116 (a) (1.2n . 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. 9116{1.2) [72 P.S. 9116(aX1l1 The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12"1.. [72 P.S. 9116(aX1.3}]. 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. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV-1502 EX +(1-97) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER John H. Garrett II SS# 164-30-3213 05/11/2001 2001-00502 All real property owned solely or as a tenant In common must be reported at fair market val.... Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledoe of the relevant facts. Real property which is iointly-owned with riaht oIsurvlvorshi- must be disclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 409 N. Second St. Worm1eysburg, PA 17043 - Appraised Value 40,000.00 TOTAL (Also enter on line 1, Recapftulation) $ 40,000.00 {If more space is needed, insert additional sheets of the same size} Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Re.... 1-97) REV-1503 EX .(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS FILE NUMBER John H. Garrett II 55'" 164 - 30 - 3213 05/11/2001 2001-00502 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE NUMBER OF DEATH 1 129 shares Albemarle Corporation, CU5IP #012653101 2,896.69 2 14 shares Tredegar Corp., CU5IP #894650100 269.50 - - TOTAL (Also enter on line 2. Recapitulation) 3,166.19 (It more space is needed, insert additional sheets of the same size) Copyright (el 1996 form software only CPSystems, Inc. Form REV-1503 EX (Rev. 1-97) REV-1508EX+(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF John H. Garrett II SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY SSil 164-30-3213 05/11/2001 FILE NUMBER 2001-00502 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 disclosocl on Schoclule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF OEATH 1 A11first Bank Checking Account #0010253130 - Date of Death 2,921.18 Balance 2 Capital Blue Cross - Refund of Health Insurance 265.89 3 Cash found in Estate 90.00 4 Received from Nationwide Funds 658020 NW Tax-Free Income Fund D 2001002225 23,493.93 5 Received from Nationwide Funds 658024 NW Money Market Fund Prime Shares 2401008400 11,628.07 6 Received from Tredegar Corp. 101.52 TOTAL (Also enter on line 5. Recapitulation) $ 38,500.59 (It more space is needed. insert additional sheets of the same size) Copyright (e) 1996 form software only CPSystems, Inc. Form REV-15G8 EX (Rev. 1-97) REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYlVANIA INHERITANCETIJiJ( RETURN RESIDENT DECEDENT ESTATE OF John H. Garrett II SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY 55jl 164 - 30 - 3213 05/11/2001 FILE NUMBER 2001-00502 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. ~ES~RIP~ON ?,F PRRP~RTY '"I. OF ITEM INCLUD TH NAM OFT ETR S EREE THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE RELATIONSHIPTO~'61 ENT 1,0 THE DATE OF TRANSFER. NUMBER ATTACH AC THE D ED FOR REAL ESTATE. VALUE OF ASSET INTEREST OF APPUCABLE) 1 IRA Account #87000 1 1,979.71 1,979.71 5.497. Accrued Interest 55.98 55.98 2 IRA Account #87000284918005 1,692.46 1,692.46 4.337. Accrued Interest 12.65 12.65 3 IRA Account #87000284918007 1,652.58 1,652.58 4.437. Accrued Interest 11. 23 11. 23 4 IRA Account #87000284918006 1,560.01 1,560.01 4.727. Accrued Interest 24.21 24.21 5 IRA Account #87000284918002 1,753.29 1,753.29 5.107. Accrued Interest 85.50 85.50 6 IRA Account #87000284918003 1,747.61 1,747.61 5.107. Accrued Interest 76.91 76.91 7 IRA Account #87000284918004 1,6~5.67 1,685.67 5.107. Accrued Interest 31. 09 31.09 . - TOTAL (Also enter on line 7. Recapitulation) $ 12,368.90 (If more space is needed, insert additional sheets of the same size) Copyright (el 1996 form software only CPSystems. Inc. Form REV-1510 EX (Rev. 1-97) REV-1511 EX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF John H. Garrett II Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. SSf! 164-30-3213 FILE NUMBER 2001-00502 05/11/2001 DESCRIPTION AMOUNT 1 FUNERAL EXPENSES: Michael J. Shalonis Funeral Home - Funeral Expense 3,818.43 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Allfirst Trust Company of PA, NA Social Security Number(s) I ErN Number of Personal Representative(s) Street Address 213 Market Street City Harrisburg State PA Zip 17101 4,083.34 Year(s) Commission Paid: 2001 2. 3. Attorney'sFees Johnson, Duffie, Stewart & Weidner Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 3,100.00 City Relationship of Claimant to Decedent State Zip 4. Register of Wills 135.00 Probate Fees s. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Borough of Wormleysburg - Sewer and Refuse Expense 104.00 2 Cumberland County Register of Wills - Short Certificate 30.00 3 Cumberland Law Journal - Cost of Advertising and Proof of Publication 75.00 4 Dennis P. Freistak - Charge for Real Estate Tax Receipts 4.00 5 Harrisburg Locksmith Service - Repair Locks and Make New Keys 40~ N. Second St. 109.18 Total of Continuation Schedule(s) 818.40 TOTAL (Also enter on line 9, Recapftulalion) $ 12,277.35 (If more space is needed, insert additional sheets of the same size) Copyright (e) 1996 form software only CPSystems, Inc. form REV-1S11 EX (Rev. 1-97) Estate of: John H. Garrett II Soc Sec #: 164-30-3213 Date of Death: 05/11/2001 Continuation of Schedule H-B4 (Probate Fees) Item Description IF Amount 1 Kurt R. Williams - Reimbursement of Probate Costs 135.00 135.00 Estate of: John H. Garrett II Soc Sec #: 164-30-3213 Date of Death: 05/11/2001 Continuation of Schedule H-B7 (Other Administrative Costs) Item Description II Amount 6 Johnson, Duffie, Stewart & Weidner - Reimbursement of Filing Fees 26.50 7 Pennsylvania-American Water Co. - Utility Expense 29.61 8 Pennsylvania Power and Light Company - Utility Expense 22.42 9 Robert R. Jones, Appraisers - Appraisal of Real Estate 275.00 10 Seabury & Smith, Inc. Property Insurance (Fire) 186.50 11 Seabury & Smith, Inc. Liability Insurance 42.03 12 The Patriot News Company - Cost of Advertising and Proof of Publication 236.34 818.40 REV-1512 EX +(1-97) COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF John H. Garrett II SCHEDULE I DEBTS OF DECEDENT, MORTGAGE L1ABILInES, AND LIENS SS1I 164-30-3213 05/11/2001 FILE NUMBER 2001-00502 Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION Dennis P. Freistak - 2001 Real Estate Taxes AMOUNT 279.36 2 Pennsylvania-American Water Co. - Utility Expense 9.85 3 Pennsylvania Power and Light Company - Utility Expense 85.16 4 Verizon - Utility Expense 15.52 5 West Shore Oil Co., Inc. - Heating Fuel Expense 92.60 TOTAL (Also onl.r on lino 10, R.cao~ulation) $ 482.49 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97) REV-1513 EX +(9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF John H. Garrett II 05/1112001 SS" 164-30-3213 NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY I. TAXABLE DISTRIBUTIONS [Includ.outrlgh'_dlstri............ transfers unci_ see. 9116(.)(1.2)] 1 Christian F. Wagner, Jr. 1141 Dwights Road Clermont, FL 34711 RE~~~~r~Trustee(.) Stepchild FILE NUMBER 2001-00502 AMOOF E~;A~ARE Entire Residue ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU la. AS APPROPRIATE. ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 0.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insen additional sheets of the same size) CopyrIght (e) 2000 form software only The Lackner Group. Inc. Form REV-1513 EX (R.v. 9-00) \ ." / b- ~3r:2-6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ReCOrclu.... Recisf-. DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG~ PA 17128-0601 .02 JAN 18 P 3 :1 5 KURT R WILLIAMS ALLFIRST TRUST CO OF ~&:rk.. 213 MARKET ST Cumher);.; HBG PA 171'or. "..un RA 01-14-2002 GARRETT 05-11-2001 21 01-0502 CUMBERLAND 101 * REV-15U EX AFP el2-00) JOHN H Allount Rellitted (1) (2) (3) (4) (5) (6) (7) (9) (10) ) CHANGED 40,000.00 3.166.19 .00 .00 38.500.59 .00 12,368.90 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subiect to Tax 12,277.35 482.49 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 ~ RE-Y=is'trj-ix--AFP--fi1f=ooi--No;--ici--oF-.rNHiifiTAifCE-;-AX-A-PPRjrisii'-ENT~--Ar.LowAiicE-crR----------- --- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GARRETT JOHN H FILE NO. 21 01-0502 ACN 101 DATE 01-14-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 94,035.68 (11) (12) (13) (14) 1:1'.71;9 84 81,275.84 .00 81,275.84 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. Hortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets NOTE: If an assessment was issued previOUSly, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of LIne 14 taxable at Collateral/Class B rate 19. Principal Tax Due (15) .00 X 00 = .00 (16) 81,275.84 X 045 = 3,657.41 (17) .00 X 12 = .00 (18) .00 X 15 = .00 (19)= 3,657.41 TAX CREDITS: PAYHENT RECEIPT DISCOUNT (+) AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 08-10-2001 CDoOO132 178.95 3,400.00 11-26-2001 CDOO0551 .00 78.46 TOTAL TAX CREDIT 3,657.41 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT-- (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) E ---- CERTIFICATION OF NOTICE UNDER RULE 6.3.1 INRE: ESTATEOFJOHNH.GARRETT,II Ol\-Ol- ~ To the Clerk of the Orphans' Court: I certify that written notice of the filing and audit of the John H. Garrett, II First and Final Account of Allfirst Trust Company of Pennsylvania, N.A. was sent to the heirs and/or unpaid claimants on April 22, 2002 via certified mail. The following is a list of said heirs and unpaid claimants. Christian F. Wagner, Jr. 11431 Dwights Road Clermont, FL 34711 Internal Revenue Service Philadelphia, P A 19255 Notice has now been given to all persons entitled thereto under Rule 6.3.1. Date: By: '>'1 T f(. IAJ. tl4-J- urt R. W llhams Assistant Vice President & Trust Allfirst Trust Company of Pennsylvania, N.A. P. O. Box 2961 Harrisburg, PA 17105-2961 Telephone: (717) 255-2097 C)\ Capacity: Executor ~ N N P e_ ,l ~ ..,; .... ..... r .... -........ - .-...... ~ p 'i"O'e E ~~~:: "'-.....c ;;:: (; () >. C:~U~m 8-0 '" . cg~5 8:: gi '" ~ 0 0 <( ..c .... .... I ~ 0. ~ Wi.c -..... c i "C '3i ~ ""0 '5-' C:~.o t'I U .- N c= 0. >.~.~ ...... 20"0 _.- ~:;! Q - :-o~o t ~r' ~ c: ~ :;3 CO_:3 8 iliiJiif ; :1.sJ'lJ'11 I ~j"J fJa I i~ii aJfii ~,'Ial,l.l'il 1j i ~j.l~ ~ i iJtti.k0 fJ15 112 " , ffif~! f ISI all f ::: Jai 11 < ::; .. L/: . . -J ".; c..: 4: ~ il~lalil z ~o H 4:0 E-l0 OE-l ~~z ,~ ZH ::> ~ ~Cf) :::c: ::>f-I :>-lU ~ HO '4: t9 0::> Z~ 1Jlat111 ~I Cf}:>-lH 4:~ ::> UIll 4::><: 4:~Cf} U 0 UH ~~ ~ H H~ ~ 4:~ ::E ~la.1 its. 1~ ~ ~i~J ~ > HO 0 f-I 0 ... ~~H III ~Cf} U4: ...0 4:H Z ~i Jla!t 5~~N ~ f-IE-t t9 ZO f-I IE - 01":> 0 f-IE-t ~ ~ H Cf} ... d ~ ~l~l' ::E ~o ~~ 0 ::> ~o ::>4: :2: ::>Lil ~ ~~ III ~~O:::H OuOO E-t 0:::0::: ~ Cf} o Cf}Of-lZ ii,l,i Ii :ci <IJ ~ lit U U I 4: 4:4: E-t >-t ZO 4: ~.a~ f ~ ~- ~ E-t t90 4: ~ 4:~ E-t> Cf} ~ ~ 0 Cf)~ o Cf} I ~ :2: E-t0::: o:::>-t f)-tal!;} . en 0 Z..-l :::C::::C: 0::: cn~ HCf} Z i f-I~4:N 0 0::: ~z ::r: ~ ~ ~~ ZZ 3: HO ~z 0 ::> ~. :::c::::c: ~z ~~ I a IIi -.. o ~ 0 00 4: 4:~ U 0 Z t-:lt-:l ~ COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0502 ESTATE OF JOHN H. GARRETT II ALSO KNOWN AS JOHN H. GARRETT, DECEASED ---------------------------------------- ---------------------------------------- FIRST AND FINAL ACCOUNT OF Allfirst Trust Company of Pennsylvania, NA, Executor ================================================================================ Date of Death: May 11, 2001 Date of Executor's Appointment: May 23, 2001 Date of First Advertisement of Letters: June 8, 2001 Accounting for the period: May 11, 2001 to April 23, 2002 ================================================================================ Purpose of Account: Allfirst Trust Company of Pennsylvania, NA, Executor, offers this account to acquaint interested parties with the transactions that have occurred during this administration. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Allfirst Trust Company of Pennsylvania, NA 213 Market Street Harrisburg, PA 17101-2127 (717) 255-2097 Or Edmund G. Myers, Esquire Johnson, Duffie, Stewart & Weidner 301 Market Street LemoYne, PA 17043 . f :. SUMMARY OF ACCOUNT Estate of John H. Garrett II, Deceased For Period of 05/11/2001 through 04/23/2002 Page Proposed Distributions to Beneficiaries 14 PRINCIPAL Receipts: Per Inventory Filed 3 This Account 4 Net Gain (or Loss) on Sales or Other Disposition 5 Less Disbursements: Debts of Decedent 6 Funeral Expenses 6 Administration Expenses 6-7 Federal and State Taxes 7 Reserves 8 Balance before Distributions Distributions to Beneficiaries 9 Principal Balance on Hand 10 For Information: Investments Made Changes in Investment Holdings 11 INCOME Receipts: This Account 12 Net Gain (or Loss) on Sales or Other Disposition Less Disbursements Balance Before Distribution Distributions to Beneficiaries Income Balance on Hand 13 Investments Made Changes in Investment Holdings COMBINED BALANCE ON HAND 2 Current Value Fiduciary Acquisition Value 25,633.14 25,633.14 --------------- --------------- --------------- --------------- 393.89 3,818.43 2,095.20 3,478.46 7,320.34 81,666.78 127.56 (170.86) 81,623.48 17,106.32 64,517.16 40,000.00 24,517.16 1,115.98 0.00 1,115.98 0.00 1,115.98 0.00 1,115.98 25,633.14 RECEIPTS OF PRINCIPAL AS PER INVENTORY AS FILED CASH: 05/11/01 Allfirst Bank Checking Account 2,921.18 #0010253130 - Date of Death Balance 05/11/01 Capital Blue Cross - Refund of Health Insurance 05/11/01 Cash found in Estate 05/11/01 Nationwide Funds 658024 NW Money Market Fund Prime Shares 2401008400 - Proceeds Received 05/11/01 Nationwide Funds #658020 NW Tax-Free Income Fund D 2001002225 - Proceeds Received 05/11/01 Tedegar Corp - Received STOCKS/LISTED: 05/11/01 129 shares Albemarle Corporation 05/11/01 14 shares Tedegar Corp REAL ESTATE/PA: 05/11/01 409 N. Second St., Wormleysburg, PA 17043- Appraised Value 265.89 90.00 11,628.07 23,493.93 101.52 2,896.69 269.50 40,000.00 TOTAL OF INVENTORy.............. .......... 3 Fiduciary Acquisition Value 38,500.59 3,166.19 40,000.00 81,666.78 CASH SUBSEQUENT TO INVENTORY: 01/10/02 Master Trust Policy - Return Premium for Property & Casualty Coverage for 409 N. Second St., Wormleysburg 127.40 04/04/02 Tedegar Corp - Cash Dividend 0.16 TOTAL RECEIPTS OF PRINCIPAL...... ......... 4 127.56 81,794.34 -------------- -------------- GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS - PRINCIPAL 08/06/01 Gain 129 shares Albemarle Corporation Net Proceeds Fid. Acq. Value 08/06/01 14 shares Tedegar Corp Net Proceeds Fid. Acq. Value 2,708.90 2,896.69 286.43 269.50 16.93 TOTAL GAINS AND LOSSES/PRINCIPAL........... LESS LaSS............. . . . . . . . . . . . . . . . . 16.93 187.79 NET GAIN OR LaSS........... . . . . . . . . . . . . . . . . (170.86) -------------- -------------- 5 Loss 187.79 187.79 05/31/01 06/01/01 06/04/01 06/08/01 06/26/01 06/26/01 08/03/01 06/01/01 06/04/01 06/04/01 06/05/01 06/18/01 06/21/01 07/03/01 DISBURSEMENTS OF PRINCIPAL DEBTS OF DECEDENT PPL Utilities - Utility Expense 30.22 Dennis P. Freistak, Tax Collector - Real Property Tax for 409 N. Second St., Wormleysburg 279.36 Pennsylvania-American Water Co. - Utility Expense 9.85 PPL utilities - Utility Expense 54.94 Dennis P. Freistak, Tax Collector - Real Property Tax for 409 N. Second St., Wormleysburg 4.00 Verizon - Telephone Expense 15.52 TOTAL DEBTS OF DECEDENT... ..... .... ..... ............ FUNERAL EXPENSES Michael J. Shalonis Funeral Home 3,818.43 TOTAL FUNERAL EXPENSES. ........ ....... .............. ADMINISTRATION EXPENSES Cumberland Law Journal - Cost of Advertising and Proof of publication 75.00 Kurt R. Williams - Reimbursement for Probate Costs 135.00 West Shore Oil Co., Inc. - Heating Fuel Expense 92.60 Harrisburg Locksmith Service - Repair Locks and Make New Keys for 409 N. Second St., Wormleysburg 109.18 cumberland County Register of wills - Short Certificates 30.00 Robert R. Jones & Associates - Appraisal of 409 N. Second St., wormleysburg, PA 275.00 Pennsylvania-American Water Co. - Utility Expense 9.85 6 393.89 3,818.43 07/17/01 oa/03/01 oa/06/01 oa/07/01 oa/07/01 oa/oa/01 oa/22/01 oa/22/01 oa/22/01 09/04/01 09/10/01 10/02/01 11/20/01 12/03/01 02/22/02 oa/oa/01 11/20/01 Borough of wormleysburg - Utility Expense The Patriot News Co. - Cost of Advertising and Proof of Publication Pennsylvania-American Water Co. - Utility Expense Transfer to Income - Closing Interest on NW Money Market Fund Transfer to Income - Closing Interest on NW Tax-Free Fund PPL utilities - Utility Expense Pennsylvania-American Water Co. - Utility Expense Seabury & Smith, Inc. - Liability Insurance Seabury & Smith, Inc. - Property Insurance (Fire) Johnson, Duffie, Stewart & Weidner - Reimbursement of Filing Fees cumberland County PPL Utilities - Utility Expense Pennsylvania-American Water Co. - utility Expense Cumberland County Register of wills - File Inventory and PA Inheritance Tax Cumberland County Register of Wills - Additional Probate Fee Johnson, Duffie, Stewart & Weidner - Attorney I s Fee 104.00 236.34 9.a8 a5.10 4a6.74 5.45 9.88 42.03 186.50 26.50 16.97 11.la 28.00 85.00 35.00 FEDERAL AND STATE TAXES TOTAL ADMINISTRATION EXPENSES... ... .... ...... ... .... Cumberland County Register of wills - Prepayment of PA State Inheritance Tax cumberland County Register of wills - PA Inheritance Tax Balance Due 3,400.00 7a.46 TOTAL FEDERAL AND STATE TAXES........ .... .... ....... 7 2,095.20 3,478.46 RESERVES Allfirst Trust Company of PA, NA - Executor's Fee 4,083.34 Cumberland County Register of wills - Cost to File Account 137.00 Johnson, Duffie, Stewart & Weidner - At torney I s Fee 3,100.00 TOTAL RESERVES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL DISBURSEMENTS OF PRINCIPAL...... .............. 8 7,320.34 17,106.32 -------------- -------------- DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Christian F. Wagner, Jr. 08/29/01 409 N. Second St., Wormleysburg, PA 17043 - distributed in kind TOTAL DISTRIBUTIONS TO BENEFICIARIES. ..... 9 40,000.00 40,000.00 PRINCIPAL BALANCE ON HAND Description Current Value Fiduciary Acquisition or as Noted Value ARK Money Market Portfolio 24,517.16 24,517.16 24,517.16 24,517.16 --------------- --------------- --------------- --------------- 10 . CHANGES IN INVESTMENT HOLDINGS - PRINCIPAL 409 N. Second St., Wormleysburg, PA 17043 05/11/01 08/29/01 Albemarle Corporation 05/11/01 08/06/01 inventoried distributed in kind 129 shares inventoried (129)shares sold -------------- -------------- o Tedegar Corp 05/11/01 08/06/01 14 shares inventoried (14)shares sold -------------- -------------- o 11 Cost 40,000.00 (40,000.00) 0.00 -------------- -------------- 2,896.69 (2,896.69) 0.00 -------------- -------------- 269.50 (269.50) 0.00 -------------- -------------- Albemarle Corporation 07/06/01 Tedegar Corp 07/06/01 10/16/01 RECEIPTS OF INCOME DIVIDENDS 0.72 0.16 TOTAL DIVIDEND INCOME..... ..... ........... INTEREST ARK Money Market Portfolio 06/01/01 07/02/01 08/01/01 09/04/01 10/01/01 11/01/01 12/03/01 01/02/02 02/01/02 03/01/02 04/01/02 Transfer From Principal 08/07/01 08/07/01 0.03 5.63 7.04 94.10 86.21 71.65 59.22 55.04 52.90 46.47 48.20 TOTAL INTEREST INCOME...... ............... OTHER INCOME Closing Interest on NW Tax Free Fd Closing Interest on NW Money Market Fund 486.74 85.10 TOTAL OTHER INCOME........................ TOTAL RECEIPTS OF INCOME.......... ........ 12 . 16.77 0.88 17.65 -------------- -------------- 526.49 526.49 -------------- -------------- 571.84 571.84 -------------- -------------- 1,115.98 -------------- -------------- .. INCOME BALANCE ON HAND Current Value Fiduciary Acquisition Value Description or as Noted ARK Money Market Portfolio 1,115.98 1,115.98 1,115.98 1,115.98 --------------- --------------- --------------- --------------- 13 .. . , ... PROPOSED DISTRIBUTIONS TO BENEFICIARIES or as Noted Fiduciary Acquisition Value Current Value Christian F. Wagner, Jr. ARK Money Market Portfolio - Residual Principal and Income Cash 25,633.14 25,633.14 25,633.14 25,633.14 25,633.14 25,633.14 -------------- -------------- -------------- -------------- 14 .. f.. , AFFIDAVIT Allfirst Trust Company of Pennsylvania, NA, Executor under the Last will and Testament of JOHN H. GARRETT II, deceased, hereby declares under oath that it has fully and faithfully discharged the duties of its office; that the foregoing Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to its knowledge, there are no claims now outstanding against the Estate; that all taxes presently due from the estate have been paid; and that more than four months have elapsed since the first complete advertisement of the granting of letters in this estate. f V ~~ If. t) lvania, NA, Executor AIlflrst Trust before me this Subscribed and sworn to ,:J:] MI day of alJ/}~1 , 2002. I t {f1llr~u tJ;j, -/l,z~ Notary Pubtic I NOTARIAL SEAL I DONNA M. LONGNAKER, Notary Public Harrisburg, Dauphin County I My Commission Expires Oct. 27, 2003 Member, Pennsylvania Association of Notaries 15 PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION. v ~ CJK .-. STATUS REPORT UNDER RULE 6.12 Name of Decedent: JOHN H. GARRETT. II a/k1a JOHN H. GARRETT Date of Death: May 11. 2001 Will No.: 21-01-00502 Admin No.: 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 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 ~ 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 Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. ~/J)y-- Signature D. Date: Lf!l't/CJ5 , Edmund G. Myers, Esq. Johnson, Duffie, Stewart & Weidner 301 Market Street, P.O. Box 109 Lemovne. PA 17043-0109 Address (717) 761-4540 Telephone No. Capacity: Personal Representative ~ Counsel for Personal Representative Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/09/2003 DAUPHIN DEPOSIT BK & TR CO 213 MARKET STREET HARRISBURG, PA 17101-2127 RE: Estate of GARRETT JOHN H II File Number: 2001-00502 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 I, 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: 5/11/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: V'File Counsel Judge