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HomeMy WebLinkAbout94-00949 i..-" . PETrrlON FOR IJROIlATE lIud GRANT OF LETTERS t::~I(I/(' II)V;.nc.<A1 rtcdlhc'<l (~(rca/ No, cQ( -1Jf~.1.'f1._._.__~ (I/.\'() klllll\'lI (1.1'.. To: .. .. l\l~~istn or Wills ror th~ I I /)I'('I'IHl'(/ COUUI)' or .c1.1.~.t-...dl_. III the s~;('"iisl';'II~I'YN(J, .. J qc,.....{J,;1..5 .'fiX'C' ('ommOIl\\'clllth or PC1l1lsy11'1I11111 Thc pctilloll or Ihl' lIudcrsi~lIcd l~spcclrulI\, r~pr~s~lIls Ihlll: Yom p~lltioll~r(s), who is/llr~ IX y~urs or II~C or old~r lIulhc c,~ccul.oL._.__._____lIumed III the 111.1\ will or Ih~ IIhol'l' dm'dcIII, dlllcdl.J.n. J4'\'~.&. .._. _._____..___, 19_ IIl1d codlcll(s) dill cd , ... ..... ... ... ... . .... ".,'1' \''-.\\l:L...._1.1-'/ ."......_.. ("all' Il'll'\'illlll'ir(lltlhlilllrC', l'.~, ICllullda,jol1, dcalh III' ('\l'\.'UIIII1 etc.) DCCClldl'lIl 11'11.1 domlcll~d III dClllh III. C""oM bl.Ck,'/,,, -...... l'41lY, I'ellllsylvllnln, with I~. ~~t.~T.~~1~/(11~ll:i~I~lr~sld~IIIQ ~tl'j~~(~PL~t~i.?i\.tL~l___ __ (Ihi ,Ul'CI, llumh\.'1 nnt! 1Il11I,dpalil~'1 lJe~d~lIl, tl<h~II.....,3.5:'... YCil1'S or II~Ji' dicd.. ..........~t /-f>r............p.;---, 19..J1~1 , III E;~I;~I~itllo~'~;i~~r~(n(~I~I;;I;~':~~~I~i;~';'~&;I~;mi'(~~I;~t hllv~(i :O~~ ~r ~doP(ed IIftcr cX~\'lIllol1 or Ih~ will orrcrcd ror prohlltc; WIlS nollh~ I'iclim or II killing alld was IIcver adjlldlell(ed incomp~lelll: .._...... ........... ......._.......... ......___....._....____..__, lJecclldclIllIl dClllh oWllcd propcrty with cslimlltcd 1'II111cs liS rollows: (If domlcilcd ill I'll.) All pcrsolllll propcrty $-"1. i)\l<.> (If 1101 domicilcd ir, I'll,) I'cr.lOlllllpn'pcrty III I'CIIIISyll'lIl1ill $ (If 1101 domicilcd ill I'll,) Pmolllllpropcrty in COllnly $__ Vuhic of rcnl cslate In I'cnnsyll'lInin $ __. sitlllllcd liS follows: ...__..._....___._..._n...___...........________._----". WHEREFORE, pClllioncr(s) rcspcctrully requcsI(s) thc prohatc of the IlIst will und eodlell(s) prescntcd herewilh IInd Ihc granl or Icllcrs.__..:t~.~"'Lt..,d<'lj.c.i4_________ (lc,tnI1lCIIIllIY, ndllllnhlflllloll l',l.n.; Illlllllnhtrllllon d.h.n,c,l,n,) (heron, . 'Ii 5 'C_ '~~ ",0 C 'C,g ij.. ~~ ll'~ ~o a iii --'---'r----' ~ O~;I~ /;/1 ~p~b ~~~€LIL_ It, _ Ct''''''f'''t. --...:iil.?fo......~ (.\, (' c:'r -.-C~I.I.~L-e. _.~, 171\ j ) __.....J..'LL!..L(!ff. ._._ ___..._____... __.. __u_,_,_u,,__ '..__n.h__.__ ., _. _". .___.___n,_u___. ____-. _.____.__..__...._ n"_n__. .._u _ _ ________.__ _ _ ..___ _.....u_ ______ OATH OF IJERSONAL REIJRESENTATIVE COMMONWEAtl'H OJ<' I'ENNSYLV ANIA } Hli COUNT\' OF -..~.~~l.~,.;L_.__. The pctllloncr(s) IIhOl'c.nlll\1cd "H'lII'(S) or IIrfirl\1(s) Ihllllh\' stlllCl\1cnlS Inlhe foregolllg pelltlon arc trne IIl1d corrccllO thc h~s' of Ihc knowlcdgl' IInd hclief or pClltioncr(s) nnd tllllllls pcrsonal represen- tntil'e(s) or Ih\' IIhol'l' dccedcnt pClilloncr(s) willwc I nnd Irllly IIdlrdlllslc5 thc cstlltc ~ordlng to law. Sw~rn (0 1~1 IIl'1irmc(7TW1d \nhSClihCdM { .~/;. /f!~~ ~ hclolc 1\1\' thiS rWmBrR . -- . di~4ol // -, - - .........__.. ~ m ~..-.(tll~i~ f'~~'Z ,Mm t '12jft:.. . --.... ~=~==== l! ~C. LEWIS R",elll!'r' .(1 ...__ ...____. ~ ,;;y , , I I I I I. I '. , ' , j,tZ. 1ft J(", ,!"I/(1,"'i du.t4. Jltjjd :td""! r '1r7J~ A()tN,th:~'~~,JJt'" ~ ((de 1tf.tl:,A.'la/M J(j/plt/tt. 7& '...?Ir,ctfd",~;( ...t!(..vtl/j ./!.(J~))f ;!utl/.Iloc, :v;zd.t ,ttfUd:;F1, ' ,~/( laid .(l,)(c/ --;(,t_lU.lt.(/~/, ' ./ , ' ,C,1/jj,L ttd,( -1 ~111?f .:IL'!~ ...I!~u k.l( '/j~;Jt?-"'dd, __(lUwd~ .' . 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I:''''", ,..~( 1 , ...-.,...---.-.. CERTIFIED COpy OF VirAL RECORDS )" DATE ISSUED 0'1/12./1 ~ '1~~' 1 .' Till. i'lllu(I anll tl1;1'1 'l.IpIOdu,II(ltl III H\!IlloclJnw~1 O!fICI,lI111~(IltlO,url "na ,t: , . - M 0 p'lIe.a on 1016 III ,he ofllCQ olltlO Nov..d~ COlJllt1 tlulll, Olllllll\.1l-1nl {J,I',(< (:. .. ~.t. "",,> " m:OIS1f1AII NEYAOA. COUNTY CAllrOnNIA STA'\ E 01- ",ll.IfOkNIA l'OliNl\' OF NEVADA Thil copy not Vllid unle'~ prepared un en~f.\td hl:lfllcr dl'plmyinll sell Anti ~i'I"IUlt uf Mcgi,,,ar ,/ . " , .. "" ,. " ,I'. .' I, I' , . I) ,t{)' I::";,: - J'._' " d'. (' " " ',": I' f.., 1;\ ,~ ,:~ , ;(t),C\~: q:,I' 'I,' " " I.',' " 'I. " 1 ,i<li: ii' ,. I, ',Ii " ,1/, 't"J, ;. i,."';",', "ch' ,';\'," ib 'I{ , " .' 'i , " ',. ,,. I,'t.l- r;1 ,_.oj I" " ,. '-I' I', I' " ,~ \, ' 'i (,' 'I, " " /. I. " j" .. ,. , ,',', j,l! , ,. ,. I. ,. , j',l! '\. II I. , ,. ,I. .." ;,. ,I d' " " "I' , , , , .,. I I',,' "", " ., , ,. , '" ti: ,; '1 (i " ,::' ,. 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" , ',I \. ,. , \', /1/,' .' t16 '.~G " 6t16 H " J' I' s- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedentl Correal, Vincent MattheW Date of Deathl September 5, 1994 Will No. 21-1994-00949 Admin, No. To the Registerl I c.rtify 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 I ~ Mr. & Mrs. Joseph Correal M.dres8 290 Echo Road. Carlisle. p~ 1701, Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Datel ';'). \ \ L . 'I'.... U"\ t:,cf ,.. \"I () .c~ N () .r, iLl 5: " 6 '. ,',1 '.'\ :J ~ :\ f:' " ~ 01; :' .' '.'1 I.) :,\ '6 'i)} t!~ um ~ ~a:: Name John B. Mancke, Es uire North Front Street 2233 Address_ Harrisburg, PA 17110 Telephone(71') 234-7051 x Personal Representative Counsel for personal representative CapacitYI B. Enltr Ih. 10101 of lin. 20 and 20A on IIn. 20B, Thll II Ih. BALANCI DUI, Mak. ChICk Payabl. lal R.gl.,., a' Will., Ag.nt ~. . . ..1 SURI TO ANSWIR ALL QUI11l0N. ON RIVIIII S~AND TO uc1iiclC MATH....::\'::.'.',~i'.... .;......-~ Und.r plnchlll of perjury. I declare thaI I hove .Ilomln.d this "Iurn, Including accompanyIng It:h.dul" and I10llm.n". nnd 10 Ih. b.I' of my IInowl.dge and blli,f, It h 'fUI, (Orlftl and (ompl"I. I dlclar. IhOI (III r,al,"ol, has bun repcul.d allrUI...(\'1oth, yo1u., D.clarallon of pr'panr olh" Ihc..1'l Ih. p.'lonal "p"I.n1ati"'1I il .alld 00 01110'0''''01100 of whl,h P" orll hOI ooy knowl.dgo, Josapn coC'ceal I ,'/ " "1 Ill" U "A 'C 0 0<1 b.TI I~ 'I.. Cadisle, PA 17013. /1 'Jj();/' ,1(/ · v .OORm ~:l33 N. ~'C'ont St. 5flt" (YL Lr-..-- _._ HardsbuC'9' PA 17110 e, "Esq. .IV.llCO I:, '-('."1 ~ ~~S i5~il ~ "i ii 82 ~ I a '. /? 5"> 1.3 tkr P /.. /r' -!~ COMMONW\AUH O. P(NN5Yl"'ANI" OH.. MI"I 01 IIVINUI lOll 0 "CliO'. 1117 HA,UIUUItO.'" 1110$.l3l~ N " Il"!!T, 'IRST, AND MIOOl~ INITIAl) Correal, Vincent M. , c;.. ) !., ,J, 'I {" - ~ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) I . PILI NUMI.. I 21 _._ bNIY coDe o N'~ M'llU AOOlITf 290 Echo Road ~OfOfmr-7m-i511iffi1.. -, Carlisle, PA 17013 I 09/05/94 110 11',1 / C' R Cumberland ___ C(l~~.n.'._.__..._n__. l] 2, Suppl.",.nlal Rolurn r J 3, Romolndor R.lu,n l'or dol II 0' d.olh p,lorto 12.13,82) I] 5, Fodl/ol Ellol. Ta. ROlurn Roquilld ._ B, TOlol Numbl/ 0' So" D'poliI80.o, 1994 949 YeAR NUMB/R U I Y NUM'~" 196-62-5420 ~ 1. Original R.lurn o 4, lI",il.d Ellolo o 40. FululI Inll/III Comp,o",lI. Ifor clOIO. of d.olh okll 12,12,821 o 6. D",d.nl Diad To,'ol. [J 7, Da,od.nl Malnloinod 0 living T,ull _ (Allach ,opy of Will) IAllo,h 'a y of TrUll) ALL CORRUPONDINCE AND CONP'DINTlAL TAX INPOlMAn .sttOtl'" .1 DIRICnD TO, A . - M ~ AI IN A ORrrr-- John B. Mancke, Esq. 2233 North FC'ont Street Harrisburg, PA 17110 'I ,',(. ~ 'i' ')!; I,'. ~ '!'';}''..: .__._ ._..... _h_ _.h._'uo'.",__. z ~ ! 1. R.ol E,lol. IS,h.dul. A) ( I) _..____._..... .0. 2, Slo,kl and Bond. ISchadul. B) ( 21 _._._ n. _.0 ... 3, Clollly H.ld SlocklPorlnlllhip Inl...II ISchodul. C) (31 __..._.....Q,.., 4, Mo"gagll and Nolol Rocolvablo (Sch.dulo 01 ( 4) , 0__ S, COlh, Bank D,poll" & MI"ollonooul Po"onol P,opOrlyl SI __.__ lO,4.2P~~2.... IS,h.dulo EI 6, Joinlly Ownod P,op.rly ISch.dula F} ( 6) , I L.l'Zs...,Q!L 7, T,an""1 ISchadul. GIISch.dul. II I 7) __, 0 B, Tolol G'OIl A.II" I'alolllnll 1,7) 9. Funllol e.p.nlll, Ad",lnlllroli,a COllI, MllCOllonooul ( 9) Exponlll IS,hodul. H) 10, D.bl', MOrlgog. 1I0blllllol, ll.nIIS,h.dul. I) 110) 15'/370.~L 11. Talol D.duCllo.. I'olollinll 9 & tOI 1111 __ 12, NOI Volu. 01 Ellolallina 8 minullino III (12) ,_,-=1L5.:J8.6t__.. 13. Chorilobl. and Govo,n",onlol BoquollllS,hodul. JI (13) _....__oo_.....__.__~__._.._,. 14, NOI Volu.~.~~~~~!..a-'_~.!..~2 minullln. t~_,______,__.__..J!~ ". -7..l.53.B..~4.. o IS, A",ounl 01 Ilno 14 lox obi. 016% rola {IS)____.._._______.. _~ .06. _______..._..____...._. Ilndud. va lUll 'rom Schadul. K or S,h.dul. M,} 16, A",ounl of lin. 14 to.oblo 01 15% rol. (In dud. valu.. 'rom Sch.dul. K or S,h.dul. M,I 17, Prin,lpollO' duolAdd 'ox "0'" lina 15 and from lino 16,) 18. Crodih Prior Paynl'/'jls Dhcount '_'" ........ .........,. h. + ,....____,.. ...__.._..... 19, If IIno 1B il groolor lhon Iln. 17, .nlor Ih. diUoron" on lina t9, Thl.lllho OVIRPAYMENT. mc: 20, If lin. 17;. yraollllhon IIno IB, onlor Ih. diU."n" on lino 20, Thill. Ih. TAX DUI, A. Ente, the inte,.., on Ih. balanc. due on lin. 20A, ~ ' . , I 81 21,641. 55 13, -19J.,d,.y.._ 29,l!JU.19 (161_. o ~ ,15. .--.--.---..... (171 o . -.,--_._-._-_.._-~._.__._-,. Inlll'" Ch~(~ hNO if you UfO f(>que~ting a refund of your OVl'fpUYlnt'nl (181 119) o .----------.--..... o '.. ___._._u_.._.,.._._._ 120) ........._...._....._.Q.............. 120AI -...... ..._...._ __.. ...0....... (20B) ...___,_..___Q..,___..., ,-; J I {'I'. ------ --.--, ,. ."",,_.' ~... ., ::I.';":,.,';.,..\~,~, " ';,\' ,1:'I',l',:,~,i~: I, '1\" ';""'1 .\ ' '" lIYoUOl re,., ~'~71':" , ,:'~ ':.,'" .'. ,:~,::3:';I::',' ' W' . -, ....,., .....-..... ... .~, ..,' " ".... " .-.,'" " :' \I;i~\ ,y~ :/' '; ':';.'\ , " "L',' ..." .., ' , . , , . "'.,";' ' ,.-....". SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Vincent Matthew Correal 21-94-00949 I VALUE AT OATS Of DEATH 1 731.73 1,291.18 ,; 1,127.19 V 919.00 " 465.00 / 542.40 / 1,578.00 / , '. 14.23 ,,I 15.82 ,; 782.00V 3,000.00 {All ,..,.If'( I.h"'_.'~ with th. ."h. .f 1....,.....h1' ..... b. d'ul..... .. Seb.d.'. 1'1 N~~~ER D6S<:lUPTION - 1. Madne FedeL'a1 Credit Union Account *208926, Jacksonville, 2. Navy Federal Credit Union, Vienna, VA Acct. *1573700-000 3. JMIC Life Ins. Co., P.O. Box 9410, DeerfLe1d Beach, Florida 4. Cameras 5. Sycamore Canyon Refund 6. U.S. Treasury Moving 7. Back wages ,8. Southern CA Gas Co. Refund 9. City of Anaheim 10. IRS Refund 11.. Household Furniture "1, ., " " " ',f. \ 'i .. " . " TOTAL (AIIO .nler on nn. 5. R.capltulotlon S 10,466.55 (Anodo odd'"o.olll\. . 11" ,h.... il tno.. 'po.. ,. ...d.d,1 . i' I' _. ...~~~~~;::~ _ . -.-::.::.~,:"~~-.t ::~,~"~:::~.'" ~,', ""'._......,.c':...:'..\:7:,~~.:~.~::.n:..L...,~:..N-. .......,.."... ..:.!.<",","W '\l"..~~'~'~O':';;"':'~..~.;,..." , .'l:'.., '..'':':,' ,',,;:"','.'''.''-',' :', 7 - "'~,.' . . ...' M ~.. ,'j." " " , ...._~,~, ~~7' ,*,-: ',''':::, : ' COMMONWwn. 0' 'INNS-hv;'NlA INHlllTloNCt t4lC ..ru.N '1llOlNr DlCIDlNT SCHEDULE F JOINTLY.OWNED PROPERTY UTATI OP Vincent Matthaw Correal I FILS NUMBER 21-94-949 ,- Jolnl t.nGnt(.I, NAMS A. Karen Schaefer Correal ADDRESS Simultaneous death ReLATIONSHIP TO DECSDENT Wife e. Joseph Correal 290 Echo Road Carlisle, PA 1~013 Father C. --' Jofnlly-ownl. p...p.rtYI LmlR DATI '" ITeM !'OR TOTAL VALUE DECD'S DOLLAR VALUe OP NUMIIBR JOINT MADe DUC?IPTlON OP PROPBRTY TlNANT JOINT OP ASSIlT % INT. DEcaDENT'S INTeREST 1. A 91 Mazda Miata 12,350.00 50 6,175.00 ./ 2. B 91 Mitsubishi 10,000.00 50 15,000.00 / v . ,/ .' - S 11,175.00 - TOTAL (,10"0 Inlor on IIn. 0, Recapltulatianl - (II mall 'po.. i. n..dod Inllrl addiflano/,h.." 01 fom. ,Inj .' .." . ,'" ,~::',:":;~;f~~ii.~', , /:. '.:~::~' , ,.......... .NUII a. ,..... . ..,.... I..... '. , ,-, ;.~~.,. ~:-: .~.,~~ :,~: : ," j ."'" '." :1"'-'\ '.: ~'; :...~/...r....'.. ,., . ., " .. .~.' ,.." ~.,,.I,:, ....,.. . ,_'.'. .' " 1.... '. 1"~:.:Ji .......:.. ...," " ...,..' .... " " , ," :',,:~,~~'>i,~1;:~:::~,"', '....:~. " "SCHEDlfu H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS eXPENSES "... '''',,, ..,'''.. "- .~ . ,': ~." . , .'./ '1;:~';" ..:.'... ., ~i COMlolOHWIALIlf or "HHm'lANlA IHHIIlTAHCt we AIl\lIlll ~I IO'Hr o'aOIHT Pl.II'. Print .r T . Vincent Matthew Correal 21-94-949 ITEM NUMBSR OesCiUPTION AMOUNT 1. 2. Pun.ral ex".n,... Gingrich Memorials & Lots (St. Patrick's1 Funeral Expenses 5,690.00 / 3,535.00 ./ A. B. Admlnlnratfv. Con.. 1. P.nanal R.p~..nlatlw Commission. Soda I SOCIlrfty Numb.r .1 Flr1onol R.p,....nlallYOI YCllr Commission. paid , ' , 2. Allomoy F... 3. Family Exemption Clalmanl R.latlon.hlp AcId..... .f Claimant .1 d.ced.nl's d.ath SI....I Add..... Clty Stal. ZIp Cod. 4. Prohat. F... 56.00 ./ C- oo Mbcelllsn.llu, bp.ns.n , .. , Death 'Certificates 90.00 1. ./ ., 2. Dickinson College Memorial Service Food 1,139.50 .I 3. Trip to California ~ ,500.00 4. Lodging in California 606.00 " S. Expenses in California 325.00 6, Storage Fees 367.96 v 7. 8. TOTAL (Alsa .nlor on Un. 9, R.capltulatlon) (If more '\loc. I. n.....d, In..rt IIddltloncsl .h.... 0' 111m. ,'u.) S 13,309.46 II " CT" ,VH. . RD .:, , PA '.1,7013 '."!j':'''' '" ,..." " . $S42DOLLARS :. " .:;'1;,' 1:000000 5 ~81: , .'''~''' ',.\~;ff'::."::, ~.tf\,.'\ ~,,' ,~ ,~..... . \ . . ,; " "-7 '~~i::';'i,~~"~~~:$~~!ftff::~~~'~.,''':'t~~' :'~~(},;;~%m~~f~tJ;~ '~:~~{'~A1; . t~ ~~ "~~'~I'\~i~1i \i:U~, ",,"l, '. }:!t~~~~~A~"4~liJl" 'o.:t " ''/;!,J'" ' "j'.;,~'AV'1 '~;"~~~"L4'~~\d":"~ I ''''! t.! ~ I""~~;~~~'ih~'.;~" :I." ,~~ . , rl;~;~'J;f.: 1I"".,.,r~;).~';r....~<~I'<\,l:G':I~":~:{~\';P;'~~"! "'~:"'kf" ',~J~' "t.!':.':'~;" . ~1i:'.I1 ! l.( 'r, l..n- 'oI,":,';olI. ~\' .' <(, 'I ,mr .,'l'. ' Ml' ~~ ~:.;i3: "~J1~~".'1 "',;. lI'~...~, , ;.~ ,~'I ...''Tl''......,,; '~j!t,~,-f'!~'~", \1< 1~'iII, "t~ I. 1 ~'.'1lr.'" ~I~.- 'i"" I ....-. 'Y j;"" ,:f, ...: ," f:} ",,~.'I ""';:.J(' :v ~ .. .",..tl'H"el'll~u f:,I1':"'.':t1 . ,i':.r+.~!;J""" ,.;"",, .,:,Ir,''''' .f::, '''':'''~~ ' , ," . 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'!"~,"I,"" '~~}" 1"1,, '1'1., 'l'''~ "~'h' ~" ...." ';>/.. "..~""",." ....' ,"..,' '1I2\J'1';,~1"BLA'C'K';'I~LO'W ;t R "2'1// " ,,, ;," ,". \~.,' ~",,",,",'" , ," (,::;, I\~;~", 1I101..108a.u" ': ~ 2 2000 2 ~81: ~ 10 ?CI8o ~oll" ~ ~ fY':'~J.f~j-:'~..:~1~~',,~:' '.: ...... ~~~~"'f.'..:\;,\.~." . '4" .tlan.e.nk :;.:' . '. .' JMIC LIFE INSURANCE CO. Of/TH C4RO"'" N.A. P,O,BOX MI0 1V1U4 NC.-...... 110 N,W. 12TH AVENUE , ,. DBERFlELD BEACH, FLORIDA 33<<.1"9410 :.. L IN.URSD I CLAIM NO. I LDAH NO, J VIKOJilNT M COIUlBAt. C1l40"'288 ~MIC-- 51687 IaaD.L III DATB 10/25/94 , ~~:li::!*~:li::H~~1i.:~fi:)t::::::;:~::fi~r:::::t:::a:~: ,f,':""""",,,,,,,,.,,,,...,,,,,,,,...,,,,,,,,:o/i,1.,ilt,1!::f.':,I..ilt:;r.,, 'A Yi:;'ONETHOUSAND:ONE' HUNDRED TWENTY-SEVEN DOLJ;ARS' NINETEEN CENTS=-' _':::'- '. ,:':':=--';;=~::;I:~~,,:"'..:.:. :?::~. ~7:~,~=~: :,::,~.':: .~ ~.~.. ::". .~ -~~ :7" :~:: ":: _7-:' '~,,;,,:,: ~ :::;:.~.;~ '~~~~. ~;"'.. ::~'.::. '~7..-:,:~~; , . .-- , -- ,....~ '.. 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",,/ .' . ,.~' '~~','~.',':;!,Jo>~TI.J i'r.N(j".;N......&NO,i..;i..EN..COD....."..~', ': ""::\' ',: ' ,:", ' " " "~'," ',!,' , ,:.l:~,..,~'. lo." 1\ ,OR",,, IT ..~. Iii ""'", .,~ N'....... ' I, I,. 7(\ .", . , "",' ... ..,,,,. r:......:?<if!\.J~.'"I'h~l,I..-J....Hi<..........I,',,';'\\",<f,',..., ""1",""';\'"',"'"11",,, ..,'"..,,,..,,,,.', 'I, '" "","",',' ~''I'. r, '~,:l~t}. :,,,,K, .'\,....;;'f! "'l~ ~,"-~.. ur iii....,. ",,~'. \ \l~ '\ ..' .}'/ .'., <. ~ .., , ! of" ' . j "fUC't, "-",111..,. , \'., Il;_t'JI'4'1'" t:<<'{tt. ;Mf" '6\'" "', '1<)., ."\ : "'1"1'''' ,.~ "",' , ,,' I, ",t." \", ',.," ~ l"rf~': ..t' ' .v. .-- 1'0-4. ." j I '..., ~ ., , 'I' , t,', .", , oj '. _. . .. "'0 .... ........' .'-.... ~\'t'\r.;>,1>'I;(I',.~~, JS{ '~PA;#"l' OUt: ' ilJ..;>,'~I'" ~ t ",,.~'f,,o.. . '.,J .', ",'I" ",1 ;.:....1."11n. . I;. ":".'j~ "1...t.1'~~""~".}o!"l"\';;"':$t._~'1I,>!o'''t.~!\'I''!.'\r '.,tfi!", I:,} )'l;',t. ~".,,'." '\'1'.,.....1, . ..,.:.'"~l'~' ,'., ~, YIII'~\ ...,.r""-.I~I'f\'~..), ~t"":tt""IOo~""'$""',~'lI",l'd~' ,.., - ~',~r." ',,' 'I ,"'., ".. ' ,lo '" , '''I'''; ..r:t.,.,;_ ,:'~,L,.t,"":',,,,;:,",' ...~N:'}'l~;f.,::,.,. ',..".~ ,,'..:" " "",',I",.:t"",I":"~"'I'.. I ,~..-..' ..J ..." ~, . ..,.10.. ......., ." , , . '-,...'.', , ".. .. ., ;" "L! 4..\., \.. ' II'~" 7 ~ ~"II' ,: ~ 2 2000 2.. 71:..1;02 O....? ~ ~1I1 ~-_._, .-.~ .---..---, . ... .-., -_.. .-.--- -- " UNION BANK ". . REGIONAl. HI!AO OPFICE " LOS ANCIIlLlIS, CAlIFORNIA ';,'. :., ISSUED BY CHECK NIIMllBA DATE I , /'i,.,ICJIJnWNCI.UQIIrIA,WCOWNft "1"". '..;".."., 'J..~)y "\." :~K\,--j..:., ." .:~/~;. ',1 ~ GIS ~m~~. ,REIMBURSEMENT AND ;.;CUSTOMER ACCOUNT 'REFUND CHECK ACCoUHr NUHlEN .0'-579.-52'-521-1, , ' .1H1 :::14 ;J;;~; . ,,"',. ,/;/:""".', 'I''''.&..~' .1 . "': J'~l.'1 '~ I .~ " ."il. i'ii" /"":i1i,J,' ...y:141~~:~\~,'~~j,~~ ,"~'1 ,1\">'i'A":;n;;.' {,." .,'"'tV....,." . 'j~~. ..v~1:1"!,...\.~. _L.i~I:,I~l ' ..; '~'I;<~"'" ,~" .. ,'II:" ~i. . j "'.i~~:f~ ~. ',;~ o(~if~,~,.. ,..... ,"., ;,' "I~:~~;~~:;';~::='" ~ ,!; ,.,'-t:]..I\..,~ ,.v"" ' ",...--, . , " ' ~ y f1~:,~~ , . V 0' (;::.t;-I ~U~';' tJ1C cr' -'" I..~" 'a.l',~1O: .' il' "'. .'. ,..'~',I,.'..;;ll~~",:~',..r-!1(T~~~1:" ." \I,.'.~'t.1r,.. .~I.....r,\..~j.., \.. II~ 09/30/94 806035 0.' _, PAY TO THE ORDER OF VINCENT H CORREAL "JOSEPH CORR.EAL 290 ECHO RD" CARLISLE PA 17013 ""SO (;0 :1511' I: ~ 22000.. q 1;': ~OOO ~ 21:.000111 " '''"'' '0401'~) TIX Compu. tltlon ISH Plgl 23,) II you Win, Ihl IRS to I\QIIIt your 11X, ... PIgI ai, Credits (SH PIQlI 21,) Other Tlx.. (SH plgl lS,) Payments Mlch Forml w-a, W-2Q, Ind 109V-R on thl troll!. Refund or Amount You Owe Sign HI,.. Kill) 1 c:opy oI'hlll'llUm 'Of your rte:OIllI, o If you It, mimed 'lIIn9 "Plt.llly and your SDOUlII II,mlzes deductions at you 1'1 I dUII'I111u5 IlIln, III DIge 23 Ind cneck herl, , , . . 1'"mIIlG dlduc"an. from SCh1du11 A, line 29, OR Stlndlrd dlduo"an snown aelow lor 'lour II ling I1l1us But It you oh..,kld Iny box on IInl 331 or b, 00 10 PIOI 23 10 IIno you, IlIndard dtOuotlon, II you chlCktO bOI 3:l<l, you' standlrd deduClion 's litO I Slngl......$3,800 I Hlld 01 nouSlhOld-$S,800 . MlllleO lillng 10lnlly or QUllllylflg wldowllrf-$8,350 . MI""d '1lIng SlPlIllIly-53,175 Subtltc' IIhl 34 f,om IInl 32 , , , , " ,.""""" It IInl 32 II 113,150 0' 1111, mulIlDly 12,410 by Ihl 10111 numOer of ..lmDllonl olllmld on IInl at, If IInl 32 II OVII ~3.BSO, III Ihl wOlklhll' on PIOI 24 for Ihl Imauntlo tnllt , 1"lbl, IMOIM. SubtrlCt line 38 ',om line 35, II line 38 II mort Ihln IInl 35, Intll ,0- , Till, ChICk If from 10 Till Tebll, b 0 TIX AliI SChedul", 0 OCIPIIII Olin Till War!<. thill, Of dO Form 8815 (IH plgl 21). Amounl from Form(l) 1811 ~ I I AOOltlof\llllllln, ChICk If "om I 0 Form 4970 b 0 Form 4972 Add linn 381nO 39, , , , , , , , , Credit for child InO Oepend.,,1 CI" "Donset, AnICh Form 2411 Credit lOr IhI Ildll1y or thl dlSlbfed, Altlch Schedule R, , ForliQn till credit, AUlch Form 1118 , , , , . Other Clldltl (SH PIOI 2S). ChICk If 'rom I 0 Fo,m 3800 b 0 Form 8398 0 0 Form 8801 d 0 Form IIPlCIIy)_ .... 18 Add IIn.. I I Ihrough 44 , , . , , , , , , , . Ie Subt~' line 4S from line 40, If IInl 45 II mort Ihln IInl 10, Inlll ,0. . 11 SI!l.lfl\ploym.,,1 lalC, AUlch SChedule SE, , , , , , , 18 Alllllf\IIlIVI minimum till, Anach Form 8251 , , , , " '" I' RICIIl'u", IIX", Check If troln I 0 Form 4255 b 0 Form 881 I 00 Form 1828 80 ' Socllllecun1y Ind MedlCl/IIIX on liD income nol rlported 10 employ"" AUoch Form 4137 81 Till on qUlllnld rlllllmenl plln.. Including IRAI, If requlrld, IUICr, Form 5329 , sa Advlncl IImld Incoml credll Plymlnll from Form W.2 , 53 Add IInH 481hrough S2. TIll. II your lotal tax, , , , , III FldlrlllncOmll1l Withheld, IIlny ill,om FOlmlll11)99, chIck ~ 0 88 1!l91 nlirnl!1d tal pal""enlllrtO Imounl 'DPlled from 1993 l1tum , ,. hmId 1_ C1Idt1. H required, IUICh Scnedull EIC ('H PI;' an, NontUlbll Iltrtld Income: Imount ~ I I I, Irtd type ~ ',"".......,....,......"""......"......"..,, ,. Amount paid with Form 4888 (el1."lIon reqUflt) , , " 11 Ellc... IOc:III 'ICUrtty Ind RRTA IIll wllnheld (III PIQI 32) ,. Other PI'/ll*'lI. ChICk If from I 0 Fonn 213Q b 0 Form 1138 8t Add IInII &1111 h S9, ThIll I,. OUr tolll , , , " ~ H lint 80 1l11lO111111n lint 53, .ubtrICIllnt 53 from lint eo, TllIIII "" emount you OVlRPAlD, Amount 0111111 81 you wlnt AII'UNDID TO YOU, , , , , , , , , , , Amount of 11M S1 you want AI'PlIIO TO YOUft llt6lSTlMATfD TAX ~ 83 It IInl 53 II more Ihan IIno 80, .ublllct IIno 80 from IInl S3, TIll, IIlhe AMOUNT YOU OWl. FOf delllll on hOw 10 pay, Ineludlng whit 10 wntl on your Plym"'l, 1M plgo 32 . , , 8fI Eltlmllld tu II III I 33 , AIIO IncluOe on IInl 81 sa Undet DIMItttt 0' '*11.1'Y, I decln INI , hive ...."lIntO Inlt ttlum II'\d 1CCOm00000i"IQ tc"*",,," and ,llltmItltl, and 10 'M bMt 01 "'I knowttd9l WId -, 1!lIy'" trill, COINC1, II\d camlllll', Ooc:ItI'Uon 0'_ (Olholllltn 1I/l00\'lll ~ ""* on.11 ,,10,m,l11on 01 wt1~n _11II1111 knowltdOl, I6Qn1ture I . ' ".J 0111 'tou' occuPtllon /J.. ( " . " 81 -. 81 10 .1 II 83 81 :12 Amountlrom IIno 3 I Ildlulled groll Income) , , , , , . , , , , . , 331 ChICk If: 0 You Will 8S or old II, 0 Blind: 0 SpouM WII 85 01 oldll, 0 Blind, Add Ihl numbll 0' bO..1 checked lbove Ind In III In. 10111 he", , , ,~3:la b If you, pa"nl(Or .0mlOne 11111 cen clllrr, you III Oloendenl, ChICk he" , ~ 33b ~ ~3c 31 Enlll Ihl 'Iralf of your: 3a H 31 H 3t I/) It 12 13 .... 11 12 13 1iQII01UrO, 11 , IO'nll9lum, BOTlol mUIII>Q!\, Plld "-,, t.. P' ...-., "Plrer. '1Im'1 r_ U.I Only 11 oo/f p.z - - - ~ - ~ 18 18 11 18 It 80 81 sa 53 o - ~ - - - 'U,I,_''''''",OIIooc IIM-I7I,1olol 1 Wlgn, IIllrln, IIPI, IIC, AlIleh Form(11 W.2 , , , , , , , , .. Tuable Intlrnllncoml (1M plgl 15), Alllch SchlClull 8 ~ OVII' S400 , b Tu...empt Inll1'nl 11M Pig. 18), DON'T Includl on IInl 81 8b . Dividend Incoml, Anteh SchlClull B If over ..00 , , , , 10 TUIOII refund., crldlt., or otlMtt of lilt. II\d IOCIllncom. tun (1M p.gl 18) , 11 Alimony rec.lvld , , , , , , , , , , . , , , , 12 Bu,'n_ Incoml or (lOll), AIIIch Schldull C or C.EZ . , , , '2 Cepllll glln or (lOll), 'f required, alllCh Schtaull D (_ pegl 18) 14 Othll' glln. or (10_1, Anach Form 47g7, . , , , , , , , , , , . , ,.. Totl/lRA dilt11but1onl. l.1!!J U b TIXIbII tmOII11 (III PIQI 17) EncloM, but do,.. TOIll_OM llId annurtJet i..1!!J I---.J b TIXlbllImOIIll (III P1Q117) noIllIICh, any y payrnenl w~h 1. RtntII ,. _I, roylltJN, pI/1MrIhlpa, 8 corpoIltJona, ~, 110, AlIICh Sehtdult E ~ reMn, ,. FlillIllnoome 0I1101e). AIIICIl Sehtdult F , "",.""" 11 Unemployment compenlltlon (_ PIgt 1 I) , , , , , , , , , , , , , ... Soclll ,tICUrttY bInefllI I... I I -.J b TIXIbII tmOII11l111 P1Q1181 21 Other Income. Ulllype and unounl__ plgt 11......................,......,...... Z2 Add the lI/llOunllln Ihl'lt I column 'or 11111I 7 thr h 21, Thllls aur toWIlnoOlM . 2:lII Your IRA dldu.:1lon (_ PIgI tg) , , , , 2:lII b SllMt'1 IRA lltWeIlon (Mt pegt 18), , . 24 Moving IX~, AlIICh Foml 31103 or 3803.F CIlIllom lilt U en.hlll of Mlf..."pIOymIn1 WI, , , , , 1nI1NCIlon, , ,.. W-tmployld hIIIth I"",ranel dedUC110n (1M ptgI 21) 27 KeogIt ret~ plan and lIIf""'pIoyld SEP deduction . PtnIIly on Nrty wllhdrtwll of IIvlngt, . . , , , . ~IlIid,IItciIIItm'ISSN. I I 20 Add lInN 23a UI h 29, TntN III O4JIloIII 1IIlmt."'" 21 SuDtrlCllIIII 30 lrom lint 22, TIIII ~ your 141_.... ~, ~ "" ltIln 125,2tIl1l1ll1 ctill4liv1d wtt1t Itsllhln It.OOO ~ I Cf\IId dlclnl IIvI wtIII Nt 'Elmecllncoll1l CIIllIt" Oft 27. CII. No, 12'110 .~IJ Label Is.. Ins!ructlOns OIlN1lI12.) U.. the IAI Ilbol. Olh.IWIII, ple..1 prlnl or IYPI, P,uldtnllll Ellcllon Clmpllgn ~ Sot PI I 12.1 ,. 1 2 3 4 FIling Slalus (8H plgl 12,) ChICk only onl OOX, Exemptions (Sot pegl 13,1 II more Ulan IIx dtpll'ldll'lll, 1M Plgt 14, Income AltIoh Copy I of VOUt Panni W.2, W,2Q,1IlCI I*," hen. If you did not get I w.a, ... peg. 15, Adjustments to Income L/;::::' L~ t=. 17 Y j.:.// .st:;t:l,r' ,-:J-/ 11ft! . 4 I . . o.o.rtnMtn1 QIU,.. r'...wy-ln,.",., "....ttnll. SWvIG. <1lO\94 u.s. IndivIdual Income Tax Rlturn iPl U~ Fo, th. yW J.n. l-Otc. J1 19~4. Of 01"., ItJI 'IHI OIQIMInQ Uti n.n'l et) .... IRS U.. 0Nv-00 r'IOf ..nil Of ttOOtf ltl m.. tMt:., , lve~, lOCllng ,I. OMS No, 1114&.0074 Vour _ lIOurtty numlllt /'/ t, i.i.: ,~J'IJ...C SpoUM'IIOCIII MOunty numb<< j/t,. 7,,)/ 7,l' For PrlVIOV Aol Ind PlperwOrtc Rtducllon Aa1 Notioe, I" plge 4, VI. No NOli' Choc",ng 'V,,' wrll not ctllng. '(OO( INl Of tttluc. youl reruna, I' . JOIr'l1 '.lllm, tOOllN , 'If II nama If\d IMI.I \.Jill nlm. H . . I Hom. .C1a"III"~rTlO" 1M '''Mil. II ~'ou nav.,. PO, DOl, ,.. g'Q. 12. I I ADI. (\(), 00 you wanl S3 10 10 IhlS fund?, , , , , , , . , If a ,olnl ilIum, does YOllr 'OOUS. wanl $J 10 go 10 Ihll fund? , Single Mimed II ling 10lnt ilium (.van II only anI had incomll ....: ,.. . MlIllld 1IIIng lIPa'llI filum. Enler 'OOUSO'I socJII sec:unty no, 'bOva and IuIlI1lll1l hfla, . ,,19,ft--N c..t"l~'t:'i';t ~ Haad of houSlhold (Wllh QUllllYlng pIlSOn), 1511 page 13,llllhl Qulilfylng peraon is . Child bill not your dtplndll'll, onllr Ihls Child's name h.II, . 5 QUill In WidOw or) Wllh dopendlnl child I elt S .. diad . 19 , Sol .. 0 VOUIIIIf. If your Palont (or sotT1lQnl llso) CII1 clllm you u . dtplndtnt on hi. or hit' tu ilium. do not cnlCk 00' Sa, BUI be sur. 10 chick the OOx on lint 33b on PIQI 2 b 8 UN, , , , . , , , , , , , , , , , , , , , , o Olpendlnll: III hI<' I II '01 1 or O~", (al 'Pl",lnl'l It) N.lmt HI"', IMIII, and IUl ",m., 11~lJnd~' d.p.ndtnt~' ~OCItJ IlCurlri r./AUonsnlp 10 13, } ~'":.. , .... , III,""", III NO. olrronml "'~/II"''' '''il.~r ..., ., . II," willi ,.. . ,",'11'" willi ""b'" a_.. lIIOIItillll_ "" la' 0.,,_ ... .. 114_....._ d "your cntld il~n'IINa With you buill cllimacl U your dlpandent undar I prl.lgas lQrllmlnl, Cl1lCk hili . 0 ::- I Tall! numbor 0' ,,"m tlon. clllmed , , , , , , , , . , , I"'" - - 21 21 . ,.. , , " "', ",' ,. ,,'I .' II " \,. ,,' '.. ", , " ".' 1 " "I " " I " , , . Ii " " , " \. , , " '.1 I,' I' , 'I' , , 'il. 1'". " ,. , , .,1: " ., 'I " " f , , , , t j L I t [ iN. , +In h , t 1,',; , , ~ ' ~ , " ~ f -'-' , .ltl ,\ ~ \' I , ,p;q . \ ~ , , t 11'\1 ~ . . ~ ~ . . , L ' flJ , .., . r ~ ( l,i'I I t , t ~, r, r i, n~ ~ ~ r II I I , " ", .' 11'1' " 0) y , , I' " , I. II i [I' j.tfI ., . " I It' ~, , II " I , " I. I" 1" .' '110 . .. " I' ' . .' , .. , ..I " .. ,.1 , I , I , i r " ! Il'~ , I I I I' ~ , I~, ~ n.1 . I ... . '" ! i. 11, . I , I I. 1, .R ! ,< ~ ~ I ~ ..- , .. I ! , !, I C..,:' of ~ 14 r ~ I ~n ~ I\Nrl'~ Ii t, . ~i, ~ II ~ l,iA,,"' 8~ If ~ I:N'~ ,~~Jr Ilal j.""! !", HlH J' t~l,r: .. I " 'I ffln ~() . I" II - '. , ./. ,1 1'.1 ! I ~ ~ .' , . ~ ,.l! " ',I' I.'; '. " I lJ,j' t ~: ~ ., .. " .'*t ,f: I,; ., " ,I' I, I' , , " ".1 I, " - ,. , , " .' " , ", , , ,'." ", ., , " :riB I RETAIL INSTALMENT SALE CONTRACT O,,'er Number 3007 ComraCl Number ~~ Co-Buylll-Name and Addrom (Include Coumy and ZIp Codel. Crl<lffor (Seller Nome and AddieSl) 1 IT M CORREAr, JOSEPH 11 CORRF..ALFREYSINGER PONTIAC, INC. 290 ECHO [{()J\IJ ~90 ECHO ROAD 62'51 C'...i\RLISLE PIKE CARLISLE PA 17013 CARLISLE PA 17013 MECEUU1ICSnURG PA 17055 CUMBERLAND COUNTY CUMBERLAND COONTY -, , ~J 'lIlu, Iht Buyor (and Co-Buyer, 11811'/), maybltfl"-vehicledeocnbed betoYI 101 cas/lor oncrl<lll Thecas/l pricelsshown betoYI as "Callh Pr1ce," Thectedff price la sI10wn below u "lbtal Sale PrIce:' By signing this contract, you choose 10 buy lhe vehicle on ctedlt under the agroeme'rte on lhe Iron! llnd back 01 this conu..:t. \ lIeeoripllon of YeI1laIe. 'lIlu sllflHI to buy and !he Credrtor agrees to selllhe lolbwlng vehicle: NeworUted . Yeer Malee and Madel ' IlacJy Type Vahlcle IdenUtlcallon No, NEW 199 I!X:LIPS! 2-DOOR 1l1!udl-0eecr1be body and ma.1or ltema of equlpmenl~: 4A3CS44U4LE160544 UI8 lor Whlcl1 Purchued iaPeraonal 0 agrtc:ultural tJ bUll"... 0 FEDERAL TlllJTlt.lM.lJ!NOtG DISClOSURES ANNUAL PllACElmGERATE The caaI of your credit u e yeerty rate. FIlAHCE CHARGE The dollar amount the . Cledit...1 cost you, 10.90 'll. . 3637.00 Amount FInanced The arnaunl 01 credit pi,," ..dedlo you or on your behfJI, . 1 '062. nn Total of Paymente The amounl you WIll have paid after you h8V<l made all pay- mel'lls as SChedulsd, I 1 c; ~QQ nn TotaUI.. Price " . TIllloIaJ coat of your pun:hue on crl<lll. includl,-.q your dawn- psyment of. 5!i~ 1. Illl is , ...,.,." nn Your I'lrymenI ScIle1ule Wlllle: Numbef 01 Payments Amounl 01 PSYlTllnlS , When Payments"'e a... Monthly beginning .. 0, aa Follows: l.Ite Cllelve.lf a payment It not paid In lull within 10 daynft", It is due, you will pay a-Iate cha/1jl, If Ihe VI'i1ele purchesed I. a heavy commercial motor vehicle, the chaiQewIU be 4% 01 !he amount of the payment thai is late, If !he ..hide purchased isot/.hlghwlly business orfann equipmenl, Ihe ch8/g8wlll be 5% of the amount of !he payment that is 14ft. Otherwise. !he chatgt wUl be 2% per month on the amount 01 the paymem that Is late, compuII<I on Ihe basis 01 a lull calendar month tor any fraclIonaI month period In _ of 10 days, PNpeyment. II you pay 011 lit your debt early you may be enlitled 10 a IlIIu:Jd 01 pan ofth. financo chlllge, lIecurtty Intorwl. 'lIlu are g~1ng a socu"o/ !nt_In the vehicle being purchased, , Addltlanelintorm.tlon: Seelhe other side 01 this contract tor more inlonna1lon including Information about nonpaymeflt, defaull, any requlre<frapayment In lull" befora !he lChecIuied tille, PIlIJlll'/111Ifllltunds' and securtty IntllllSt . . , .. ITEMIViTlON OP AMOUNTFlNANCED. 1 Cuh Price (Including any accessortea, I8rv1cstl, and laxlll) 1.1bt.alOownpeyment~ Net1lade-;n', MIa + Cash DownpaymentS 19l1(l.~g "\... :, :., ,;: ~,+Othet(OeIctibe) nl>U,= S. '3S24.1l1l . '""",,, 'Illutlllde-lniss., .. . '- s i~i1' M j2! ~ ,fIJI:rl;::- ~. ...... .. :~. MaJ<e' M<x:Iel _ ~..- :lIUn-...a.,~:t!:J:J.i1."~~^(i-!::;:'U;::,":":':':C:, - '.'. '.~: ",;;,.., "",.~' ,.CS::':;"_,<,, ':':;';'Ot:PH'~:;-iI\O.J.EXC~:"'L ..-....~"-'W ,. 11M......" .,. .....' t I '.'" , --.., ...., . ..,~...... ~ '." ...., ......... ......s., .~"".... ..."....._ ,3 1 .- ,.,... ,. ,'... ~ ..,......~..._-.._.._...~- ___.."1lJ'" ..OltWr.;.;~"""'~;;::"~sJdlo"'.>-:';;;'lbutBehlmO:'I' .. "1' .: 0-" ., ":-,,,,- ,. ,- '0"-.' -'~I"''' w"D D"\.I:.."...., ""'Ie" .....-v-"'.""'''''''''V \JU..w......' .-...J.-. ..,..J....... .'....~, . _ ......lJ I..... l''=' ,,.1 ~..._I'lc;:;r:c:;;r"n ..r, 'A CoaiI 01 Required PhysioIJ Demege Insurance PaJd to !he Insurance Company Named Below-Covering WRs'~IQthrlVehk::l&:~ ":[''''"'1'11, .\ '0' . ~', -.1'" ''''Or: ,. '" .t. _ S . I" '.';Ii'C'OIi~ ~ R_I~ PaJdto the:in8uraneeCompany ~.II,~,j(~~J:"Co~~rg'L 9':.\ "H.OL '\;~'JL C'. ,U'~ ;,:,c: '''I' '::. -:,~Mechan6cIl~I.fq":JI:,'r~1 ",' "', ~.... ..~, - :.. "....' $,,'3"" 'N<A' ."'. :-';".j~.;.'~ij-.n.",~t:::~I\uPli' ..'., .' '^ ,"" .'1""" !"lV.II' :I'Q .....1901'01. l.\1I1 ,~,.~ .., , ~. "'~: "<'l'", l"'~:11"''''a' "c. ....'..."..11...., ,"'(ile ~, ."I,^ "I '.,,,, "d, .... -1'" ""'02 '0',1"1', ...CColtalOlltlOl1lijl........t;JM,IildIOl:,~'lCidei1UndHeaItI1lnsuranoeforthe1ilmofU1l CaittntctP'aJd"Oll1'''''' 0 ',.u .' -"" ..". ,.. ".'" . ~,o " . tr..nnc.~7~NwnedBe4ow '.._"".......... ,'~,-.. ..v+I.~:;~U~-~.Hj.'u..'~,1..1f>O"~Jl^~9~t&SC.OQ~,\,f1jR~-2Wit'ilJGbB~WeUI ,..~'~, tJf.~ .._ \'\~'~.'\~jti(i-9{~'~Y'...JU OtI8bllty:AcX:ideiiaild HMtUrS: it:':.. ;.~ (W, ,'';l ::"3 '\€f::P.i :'C,iM'1l1J1~~';~lJ31~':=' ....:JIr~ J,lpa'j..~H..jU MIll 11:DC>fIIdIIF....P~ti:i.GcW.~.;~lt...........&.. '., '.' .. ..'......".,1 I:"'~' .It!l-'.s.-t,....... ,...,.......~~~.d...'''JCJi;.:..SnIlOl,Z~~Pj'~9. IUt.. ~".;.' . -.... \ . ~_ . _. . . .. H ..... q; nn. I,""" ~',l'- .'q/.19'W....':I. ,.. ,'- '..." . .., "~''''-'... ... . ...r... ",.w!::t.., .,C t .. III ',,"'" '/J .,la..,.,ncluded G:&ItlPrtce. h"~,!, ' )""'':1''''1''' . """""'-'f" .. ,.,. ",,,, .....,,"...'...01$... .....,Q-?..nnlt ....:lIjCl 0019h..3q W!tJ ,~u\.:CIO :l:I...GIoo...,,,_;lloenee'l/1It/orjeglslratjonE:M&(IIemlD~q,~, " .,'", ~" s '9 no. " pe,~~I\'I\IflcII,,9J,~,r-. '''' ,. .. .,,,,, 'n'."~"'QL"n""'u.SCOUI"',,;,;blm..,ouaII.lWllc~eIOIll1lIG' ~1~~CllIrlII'.ISeller~IdeillItY,wt1o will receive payment and descl1be pulllOM.... IOL Wll ~81.l'CI8 " bti4 01 ~ ~l' ,ll.llOf.l!,IlllIOI.l OIJ ,",0110111>- ClllqJlOl~"""llI.I8RII8Cll:!lIVUc:8C~I6&aouIL'rror. Jwr.n"/1' "1"'0 O'""l C9' 8"^"U onlQllJl8lul~l!ou ,on!" alf 1~8 M,uq<3M ,C~.~',\R Ao~ ~Ulq,1\lCIlIlG pllf~ Illll9WOI'~ LGC91^aq r^ 11.19" ",q~"," -"',no" " .." $,='0 ,lit~"M" ,. '" I ':.,.::...1.-...OtfW"Ch.~luOttwl:Gn''lbtr8ehllt''-_,...-..-"""*, ~( . .-""!~, . ~.~~~ '''~~M~-Mtn..".{''J.c.::-. --...- " ~'~l.JrI ".... __ .._ ,. ".!f\..,-.t:I~4)/,Hff:.,...\11IJ..:,',.'~1I ......~~,;.,;1;..\1 ., __. , ~~~..,,,~.., nn ~~~ s :.;""1i .n~' {11;.,(0 ,,".. .;.t:' - ;.~Of!o.C! vul^ ,; , JU',rPtiliiibi ItlI' "IU^ ~UI' lW vU l10'IV\1.~~ .l"lf.'lr.)~",\ ii.~~11l! 'Clt; ...,J.;J..,'_'......'ofP ..;... 5+8 "oo NAlIIIOnII uc6 u.IU_ ~ tlIIlM . ~,.' t', ",.j :ql Ii1Mllioil.'>>!llIIIa:lJMln. . . ,"". ' , " ..;,..."cC.' 'PaymInlSd1edule"-*I~OfS 2&1. liS' NCh,~beoIMlng .: ,: :WI. 7 19-%-lIf" lChedultd paymenta IIW imlg~~ or ~~, u I ,,.. ': ,I' . ;.......'~II..,". '.. "~~......"...--.... '"-M''''' "'ll')<;;;,~' ....." .,' I' '~ll'l'.",$. t,.,C'~r''''!.''llf,m,,:,, . ... ~ ~' - .. . ,."II'J',.' , ,.1. led eove, .. .. . ",' I..~." any,ll1IUIlI'lClllachedled below, the poIlc1n or birtJftc&lealnlled by 1M CompanIM nameclWiIl~termund conditione, . 'I\equllwd PhyIlcaI D.lIlIlIl";InIu_~P._ daniigi.i'';;u,.;,.ela,~Ulred, but ~'u may .~~, . . al FlopIlr IlIIUnine., The !'Ol'ofll1t1. 'obfaInolnk~of,anylll)lI:~\Va!\l,whIl,~~;~.!(le.<::redl!or, ~.~IGllhla!\\",ra,..')C"':",1a ~~~.Ja ,~~ln4B~Il1"ellum~tiolJ,aoo,ve;,.. "'.~, shOWn """ thlhtmlzAUonIbcNl. . ',J. .........&)'01......,. ....... .,..'" ,.' , ". .. I",,_eomp.ny '. ' RI. Tlrm:~monthe InalIIandeCompllly "''''', c" !iIl\" ,Dt .. N/AohOedllct~CoIIiIIooondllther,:,"",.,..,J: 'I, ,c"U~:I," ,.'..or....:,', Tenn:D36inonth1or38,OOOmllet,wtilclleveroccurafl11ot .. ""'DFulCorilprahonttwtndudlngArafl"eftlridConilllnodAddllloil8lCoverlgo., ,:...'. r'! Term: 0"',:1 ,.l,. ."e.''','.' ~ c " '" : ...." D ,:r~. :", o<<tuCilblii cOmplthitOslVt.lndUdlng Aro;'Tneft iirid combined Add~ionai ';," 0525 DeduCtible D.ssO ~~~, b ,. II 'L OedUctJt>ie:; 1:1' '''''cMrIgI C'lijJII.J~ ....uw IrJ'J-J ;~'.J .....e ~rj,l ..:,.;:., r~;"~',t' I;! 1,\J;'~.".': ...... ,..,..,1'1 .. .., . I~., ,.. ..' /.n.. . of 'm: ~l1o'f"~I'.',:)lpryot"\l1l1"9Ae '10,00"'. 9 1~:I1'-,-,").;j~ ":1:: '1':,1r'.' t;~' ::'.-,JI 1.\J~k.lU~19Z ;~1111. ;,:,":',:,,~ 1 ,!,..:fI ,~~"j,i:.i": ~ 'I.!.~. .'\ "I; ':',",i~j ;,fJ ' DFIra,ThllUndCombinodAddtlonalCovtrage '. ..., . ""', ',q,'"" ~" ",'" r09"": '~,'ii~ttd'!6""" 'l'landl!lbOrCoiti'\[JR.ntaIRe.:n~:-OCBAadk;EQUIPmerrt "J~I:' .(~',.' r\;.~,~~' ;~'t;1" ,.,' "''':1'' '." ;'- ". ...', '~ ,..DptIcinaI QwdlI LllW8ftilJeiiAoclcloritIlid I*Ilh t_..... Crad~ life Insurance anlfcredhcddenl and health lnauranclllWnot requlrad to obtIln cred~ ancr.: ,wIll,lIOtbep!OWided~)'O!l..lof:lhem and agree to pay the oddltlonaJ COlt. II yo<>wanI'thla Inau_;CI1eCI< the InIurance doslrtd and sign beIo\I<lI.you '-' ,choMn~~.(X)It.ehaHnlo4C~tha 1t.rn""""naboYe~ ....;....; ,'..~c.:',"'ii\Jt,I' ,:.'."~ "I~l1t J ,_.-. ': '31..J~';~~ .. .. ~ :11." ':~'- '-,)('l!lV' :,.~".''J.l~ '..... _ .t..r-..... ,._. '. ......... ,_.t'...":f.""~-Jl~'::o.."... '."':. .' '1 ,,,.\nle~mr:,:n\9i.;" ,l'.>n.o(1;;(.' I'.:' ~'.i;\ ',:(. r;~~,~~~~~:OUte.{8uyerOC0-8uyerO)~ I; ~{loJJ"'J "'.'::uC: ....'." .": I': ~t'/0.48 ,!I:':'!l1--",' CVil C~ ,,,~r"l 1\.',"; fY',l'''''' ""'.. .~,,,;,rtl-I "... 'Illl' "',' .,. '....':' ~I,....A.!I' ."fl"'G ""JJ'\t' 0 D1sabWty,'Acddentand Health (Buytt'JOnfybu:jJ.".'1 -,,~;;: ""()m. "r, ,;' "'tr.CJl "......"...\~..!I~'\,I..~_.... .....u.._I:I........u...:J.,.... '"',l,...... . '... ~ . 101 '~ "...'il~~;\t;o ~IJ 11... ,'.~ .\:'~.I:,!j ',~:; .;:~': ~;'3(,' .'~~J!\ ~:"Ii ";""..~;i" .\' ':i' ,,', .1",...,-:.,:.. ~." ',::; :I~illl "'!lap I, ~.t~'..,~"~ i ,;, ".;:',':i~ ..\' ;~,~,~,~~~""~)~...,: l,:;~" ''', ." .. (HomIOffloeAddrlll)"..... . , '" -....,. I,. <<.....!. ~.d( C,: '", ~ ....', .,.. .. '(NameofllllUl1If-ll&H) "f;i.f1al~.:~ "..(. ,'i':j.;IC"~" I i~,~.,' " ' :;.-;., ...U:" ),'.,\ 1..1'g . " ... "Thla polley wIU JllIY.llI'IlOUIllIIdueCWtltllo oontract.UPto~"'NIA :,,:': ;:'.1 ;:;..O.::t~~ll',,' :;;0 I '3iJ!C'S' :;..JL' :: j-=' "':' ,1:';1;,7:, ....'_., -::' ~", f', J "''-II::.. ,- >':'!:'~.t\ :UZrii.JiJCa ~~'.,~ "O'~' '. 7('.:'1 i:..., ".' .. .., .. 'J ~. , :. '. '-('Horn&Offioe Addl'lSlr' Je " ,1' ~1.I1~ I '''I,ll' ...' I .\'~,:..,.,::: .,:','. ,. ,\.i ,...:.:-..~:.,' ,.' ~..:"11';'...IK'lt,J:!tiJt ':'. .'. .. '.'.',. 'L' "...,,.. .:~ :~.. ',',. '11 .. - f":"I.' . "'c(.<)'~: ~. . . r' :,:~" nCL ' " .... d.' . "', _ ,.,..', ~. ,.' , . . "" " .,'~ ,.., ~ - ':. ... '. ' , .' .APPROVAllt DESIRE m OfITAIN'THE' CREDIT tIFE'ANO/OR'ACCIOE'NT AND HEALTH INSURANCE CHECKED,A8QVE FOR THE PERSON PROPOSED FORi~SU~~,~,~,~,~;,:.lJ'~':~~.~i~~~~;.',~ '~':'~"~I . .'t:,~,". ':.:~ ',,'" .f ....;. .,' . ,'.-;,:. "J ~':i ,. Buyw SlgnI1ura 0.18 Co-Iluyer S1gnalllre Dale ':TltE'INlIURAHCI!. IF ANY, REF\!IlfiED TO'IN ,ms CONTRACT DOES NOT INCLUDE COVERAGE FOR BODILY INJURY AND PROPERTY OAMA(iE CA~TOOTltERS.f;,::(, .' . :'" :.' . . .. . .. .. . ..', , ~ .. . .... . '.'" Bee the other aldI ollhlloontrlCl for other ImporIIIlI agiMmonta, Inchldlng your aglMmenllo glw tile. CndItor I NCUrtty In1tMIln 1_- premlullW andfMHII(T' ,Ulc.r.~'Jt.;."::" "'.' " " ,,".' You~:'~L:,~~dIl.onS~) ",'}MO,) :~(OOY) Wr~~, ,'~~~ :' A' , I"'.' :00 "C'.' ..." NotlcetoBuyer' "". Do not sign this contract In blank; '", " . ." , . Youaree.ntltlectto an exact copyotthe contmct you sign. KHP!t1.0.P.~. .ectyourlegatrlghts~.. ~",: ..... j{. /17 _ _ ~ .~~: ,::,e:t..'!1.;:.AI~~-::':':"~~~for: plI.yI' ~ Co-the8B~"~ ~I ~ ,,,;, , .:'. --,--__.. "-,~ l::.'i iIiiO..,."I""_.... ''V lOW........ _laeperaonwn-nomelaonthetltletolhe~1lUI 'iloeo no:hIYo'1opeythe dIbt'. :rl1I.cxHluyIr<<othIr owner knowIll1et'the Crad"or hU I ollnlho vehk:ie and conaerU to the MCUrjty lnlerlll.l,UJ&UI'i! I ou.:CM11If~hIre..:,.....,.." '..... ..... '., Addresall(i .1("/' ", ~'" ".,a'\I"i;"~g~lud CtdcrSlgnl~JtJ' :~".:" ")1"'1' ,..."t.' '11", '1...6,)"1'11 '" '~~. . "Jl~..:P Bv~~~ijl.i., ,.~ ,~',",l':, J .,~r( ,..~I-.. ..'. ,fi:!'TttIe.; ,':';':1:;. ',c;.N)p'. .'.._....tl",...,.'.,I,.UI~~_:~~~r;ilk" ".:, ,.;.~':,.~".'~ \IJ,'~I'; J!KI::~lD~'- ,U~gried!'~~edge".~.IP,t from seflet: .ot'atrue,'correct'lllrKl'~plete:copy:ot,thI8 c:o bactattllll8or.aecutlnn~lIuu,~", "I ... n' .'" ,.'.., _,~,t." ". , ,.." "1'."~Io,.. ,,..............,..pl..!.L.:....u .!....,~t,;..r, .. ,'.I,~ _.,....!. ....., ,\;;."~...,.,,...~,,~..~r:c~~JI.!~,I'':I~!'7'.'J _' '. ',\,'-:'J .,~' . -,..,,; 'r: "'"''''~'''''''''''';:'.J''''l''' . r: ..:.~ ':-. ""'111 ~S1 ,els':~l,,:r :, WQ'~,1~6';.:)!7Jr.'~:~5tf" ec;::EI~sisl' ..". ..., ....", .,:' " ~c ~~~':~l:~: OMUQLI~ft "..I':: :,i~l'>';. :'.,J" ..:'l'\ ;tC'~I;::' ,;_ ..' ~.,J:'; ...."'.. :,.t<~1~ ~.~ ..".... ",r,:;'ll~.;lil,";:, ...: :..,...'I~......:;J .,', ...~ujl~ia Ii: . ;'(,,1 ,,;9\. ;...~~EtlIWbOtl.o.111... '7'':<:02.lii.'.:, Z109 ""- 1l).91 (For \1M In the SIIlI of P8nnayl'/lnll) (1 of 4) NolIoI: 8M Other SIde DUPLICATE ORIQINAL - BUYER'S COPY \ 'ZS'Z<lV'll 'I ...._ ._L--M'>- -- .--- . , , . , . . , . , , : . , , 1 , , , . , , . j j Ja : 1 I ~ I . Hi J .1 ] I III ~ll s g , I, I' I'. " ". tOOI!J IVdCI:Ol SS/II/ZU :-----;-,., ",' '. ,. , ~ ~ .~ f ~ i I ~ ~ ..~ I ~ .. " II 'It :~ J , n, 1 ,! ) ;1 " " ::::'::':':: I ~ _ " , ' , , '11 :::::' , '. d', . :' : ii ' ' ~hu ~ ; E : : : i : ..J. J~ ' : ~ ; '"0 III . Ii ' , "t> ' , U :.= ~ : : ~ : ; ~ ~ !1 ~ : In : "6 Po > .. . oil : i U : ,; ~ OClR@:= :: ~.r::Cl~o~'O I!~ 0; ;CE~!~ oil .. I j :~ni~ h j R : Ii ,II lZ rl IUh . i 5~ 5" ]! ! 1..1 i6i1li ~! sf !l i~n At": .'1 ! 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III""..... 100........ , " ' ' " ":,.i ~ ' ' , ", , . , I ' , , , ,... . ' ' , . ' , " ' I . , : ~ : : : ~ : ' , . , , ' ' ~ ' . ..:':: . :::: ,., lI!' : , , " , . - - " !! ",' '" ~ I: : : ~ i J j , I f j ~ "2 ~ : : j! ::: E ~ ~ ~ r : : :~Nl' ti : Ii::": :::2~ i ~'~" ~"J..l, .1: !::1:UJ::j~f" n:: 20"'~ii': 2....::.:"'::.;t~! ~ ~n II' L H: ~ j~~ : I d ( : 1'~ ~ 1 ~ i d ~Ii~r;lt sr:E'it :l ~j'~~!ri'~~~ ~ ~ ~~n i~n] ~nH ~J~ :~h~ill~ ~)'! ~~H llia~,;;:! ~~';;:lI~ 1; ~8~~"'''']'':l!.E ~.!l~ ~ f"lEo "'Il.llrll ~ ~ uz~..o" ~..< i~~- ~;j I! ~ H d i iH ni~ ~ j I ~ ~ ~ if II n III111 I III ~ 011 ' , " , , , , . , ' , , . liD to fO IV" CZ: 01 V61ZZ/ZO ,/,' "... .. :'I' ..-o;~ ",. ~'I~"~:1 .},,' ..,' I ...'.Ii'..ol Jr _,1, n.." ... . ,-.' ""'rE" ," ,r, I,. I' ~,~ ..,Jr. ';., .' I ;\~~~:~I :~ ::~G~: ..~,~' "~~11 ;if1~~ I: ;\,;~J .. .. :I... ,,~.. ..' . ,::~~N: ~u~E~~ .""""j,,'~~'m, . ~,....L' (. ,wU. ,~rtl}.) '; . l~e~, ~~ ANAHEIM-COMFORT SUITES 201 VIA CORTEZ ANAHEIM HIL.I.S CA 92807 921-1100 AceU P34600-00 Room" 409 ~:-':: I ~~7~, ,.J"~: ,,~rt'i"'rl "I.t.Wl,f.. Rate Code l3r-p/Mkt PH/R Room Type Q Room Rate ~3.00 ..~,....-~. .. "-"'''' ",.... .' /..) ,'/ ..... . l .~?" /, ! , ,./ /:', '~""..' .........<.,"',,~\ ' ". (. "i.' I., J.,.., ...._' .,.,-. ".' , ......,.1'.. ........l'",'r"t'..............;............'.. " . ~~PTENBER 27. 1?"4, ~51~31~~ ~~ Ar-r-ive SEP 22 94 18130 Oepar-ll SEP 27 94 Payment BC 42~0 042 799 301 07/9~ Date O..er-iption Refel"enee Room Chal"ge. Cl"ed 1t . BEP 22 ROOM CHARGE 408 ~3.00 Routed Fl"olol Aeet P~4600-01,Jtem 1 BEP 22 CITY TFlX 408 6.89 Routed From Fleet P~4600-01,Item :: BEP 22 ROOM CHARI3E 53.00 BEP 22 CITY TAX G.89 BEP 23 I.OCFlI. TEI.EPHONE TTI. CHI3 408 1.a8 Routed Fl"om Aeet P~4GOO-Ol,Item 3 BEP 23 ROOM CHARI3E 408 ~3.00 Routed Fr-om Flec:t P~4600-01,Item 4 BEP 23 CITY TFlX 408 6.89. Routed Fl"om Ac:c:t P~4GOO-Ol,Item ~ BEP 23 ROOM CHARGE . ~3.00 BEP 23 CITY TFlX 6.89 "- I QUaST JOP'f , , , . , " .' ,t.' ,,' \, "I' I, l, , I , " " I , '" . ".. 'I' , , , . , " , I: I I .,; I I' ',', .' . , H \. I' , I' I' I 'I. \. " '.," 1-'. , ' , ,I , I , iF .1' I' \.' ", ,,\. I' .' " l ,/ ",I /~ '"I)at. 09/27/94 ;: Tj, m. O~h 49 ( - " Pa". 2 CCA'ANAHEIM-COMFORT SUITES 201 VIA CORTEZ ANAHEIM HILLS CA 92807 921-1100 Aeet.. P54E Room* 409 Rat. Cod. Grp/Mkt, 'Room Typ. Room Rat. CORREAL/PAULA' Arr1v. SEP 2294 D.pal"'t SEP 27 94 . ,P'i'ym.1'I11 8C 4250 042 799 301 07/95 . " "", .~'.. ,_.. " Dat. D..Qr1p1I101'1 R.1'erllne. R~o~ C/,....".. Cr SEP 24 ROOM CHARGE 408. 53.00 ,Rout.d ,From A~et 1354600-01, It.m 6 SEp 24 CITY TAX 408 5.89 Rout.d From Aeet P54600-01,Ihm 7 SEP 24 ROOM CHARGE 53.00 SEP 214 CITY TAX 6.89 SEP 24 LOCAL TELEPHONE TTL CHG 408 .64 Routed From Aeot P54600-01,Item 8 SEP 25 ROOM CHARGE 408 53.00 Rout.d From AQet Pl54600-01,Item 9 SEP 25 CITY TAX 408 6.89 Routed From Aeet P!54600-01,It.m 10 SEP 25 ROOM CHARGE 53.00 SEP 25 CITY TAX '.6.89 " ., '. I, , ,I' Jilt. Tim- I=o'llge 09/;::7/9"- 0~j49 3 C CA ANAH~IM-COMFORT SUITES a01 lilA, CORTEZ . ANAHE!~; HILL:.~ CA 9;::6(''7 9O::1-1l(l(> Aoot" P54GCI(l-( Rc,em* 4(19 Rate .code Grp/Mkt PH/f RClc.m Type Q Rc.oln Roate Arrive SEP ;::;:: 94 11: Dep~rt sap a7 94 CORRe:A~/PAU\..,i:', Pe,ymer,t: . 9C 4250 1)42 79... ~Ol 07/.90;; Dilts De&cript iorl R.'f'.rerloe Roorn Chflrgell Cre SEJ:' iE:S \..OCA\.. TE\..EPHONE TTL CHG 406 .104 RO~lted Frc'ln Acct ~'546(ICI-Cl1, I t ern 11 SEP 26 ROOM CHARGE 408 53. ~)(l - Reuted From Acct P54e,CI(I-Ol, I tern 1;:: SEP ~S CITY TAX 4(18 11,.89 Routed Frc,1O Acct P54600-01, Item 13 SEP :::s ROOM CHARGE 53. (10 SEP ab CITY TAX e..a9 SEP ;::11, LONG DISTANCE TTL CHG 4(18 4.G(1 RO~lt.d FreIn Acct P54 GOO-(Il, I t ern 14 SE~' ;::7 MASTERCARD/VISA PAID IN FULl. VISA E<i\l~rlc' D~le I .Oel D1 rlct Bill S i gr",t 1.lre 1___________________________________________ ""~., ; ,,,';II~j l.l\~ I.....)". ....~........, 4' ' . ~ ,.. ~ "I " .\~I,~J..III- ., !.- '. . I, 'v I' j Reconcllllatlon of Trip Expenses 'I ", Dati em Thu a 9/22 Din er-Slzzler Frtda 9/23 Lunoh Dinner-Olive Garden Saturda 9/2~ Lunoh-Plzza Dinner- TI Gasoline Monda 9/28 Lunoh-Subwa Dlnner-P~ BB Desert Tue8da 9/27 Mot61-Comfort Su~e Car-Avis Gasoline Totals 50% of Total BalanCfl j," [, ;" ". \,1, " " I' II "i! " , I . !~: :, .;1 " I" j', I" I .., I' ,1'1' 01, "-, '1."'1' "I. " i'O ',I'! I, :-; I. pl. " I" I' ", , , p V 1'01'_" ,. l' ('. " " ,. Ii , '"t " , I' I' I, ., , , ',. I' \, I', ",' ,. ;,i"" I; " ,:t, '1 '1' l' i", L' I :': , ,. p, ,. , l' \ , , " .1 \',' 'I II' I, " I ., ; 1; i ,I J Bob ~8.~8 I., "'1 134,00 " 31.00 18,80 25.9~ 54.25 I' 23,81 806,06 " " 199.80 17,00 I " 8ce.ce' 550.88 1158.94 578.47 578.~7 ill-, 2'7,59 .27.59 ,1,- , I'. I' " , I, I' 'II I' I' :1 ,;1 l., "''- 'i! .. If!' , - ~ I, , , ,. 'r,'!. '" '." ,,- 11' I'd, , I "'1' ,1;1 l,i .. ';1 ," ' I" '" .1 III' ,', '. ,I,;" ,. /I " i' ,1. 1', ii', ,'I. " '" " I' .;'1 ,. " ,. I, ,,' ,.' ,,' ,; 'i,;,' ., I' I , I' ''-' ""1 " I'; I' 'I 1" ,,1,,'1 II, ", " ,.,'" I' d' 'I " " , 'I,'. ,. '. " ....... ,'....:.,:.,. " .' " .' . ,," -- 'f, ': :HI AOORISS ":1l.aUlJe YOU INOICJfE JUIJI'I i~llL UPD~ra ~~~ 'JW PIfOtllJC~$ .WU ~ERVIC!S .l$SOCIA1rO \~"H YOUR HOUSfHOLO, "'OOAt" USAA FEDERAL SAVIHGS BAHK CITYIlATEV' _..-- PO BOX 21658 ..IIDIIICIPHONI .. TULSA OK 14121-1658 '."'IIS'NO" _ _ C wiA 111 'A=~ P~D,\\P ~~~~ ~B .,. 631.15 50.00 11/11/94 631.15 5416 30PO 2104 1554 $ ,..........11 N................ 1'00 PWSI DlTN:H AHD lNCLOsa TOP PQATlONwmt PAYMlHl, ........____IJr'fOl.f...,...,......,..oe ....,.............._*""".....,..... ., 1lI...................,llnDf III M ~............. . - ., n _ __ USAA FEDERAL SAVIHGS BAHK PO BOX 2912 OMAHA HE 68103-2912 11,'""/,11"1.11".',,1,,..111.1,1,,,/1,1.1..,11,",'1.,11,1 VIHCEHT M CORREAL APT 214 8231 E BLACKWILLOW CIR AHAHEIM CA 92808-1915 - - DD921f21f51. 51f11.3DDD21C1f1551fDDC1.31L5DCC~3LL53 " ACCOUNT NUM8ER e&W AVAll.4llU! WdW Cc\A1WllNT PA~OUB PA~B CIlBDIT CI. SlNIlD.\11I 5416 3000 2104 1554 0 HOHE 31 10/17/94 11111/94 631.1!! DATI Of ~NUMBIlR CHARGES, PAYMENTS, AND CRF.OlTS SINCE LAST STATEMENT AMOUNT TRAH9. POST, VMlICA"YlM 1Il~1'IIWIftIIIWIID-' I PREVIOUS 8ALAHCE 631.15 I . I I I I AS REQUIRED BY LA YOU ARE HEREBY HOTIFIED THAT A I I HEGATIVE CREDIT R ORT REFLECTIHG OH YOUR CREDIT I I I RECORD MAY BE SUB TTED TO A CREDIT REPORTIHG I I AGEHCY IF YOU FAI TO FULFILL THE TERMS OF YOUR I I I CREDIT OBLIGATION. I I I , I , I c;;;f~j// I I I , I , , , j)/Illi/C/I;I! J;~~4IPf 11/11 , , I , I It; ftJ/tf' 71ft7 /r~, K I I 'ttll t I~M~~tI/J;7'-1cL)l I , I;I(~II OJ fJYO , , I , , , , , I I I I I I PR8V\OUS BM.\NCE PAYMENTS CRl:DITS PURCHASES AND DEBIT 'Cln:~8~ NEW BALANCE CASH ADVANCES AOJUSlMENTB 631.15 0.00 0.00 0.00 0.00 O,U 631.1!! AN AMOUNT FOLLOWED BY A MINUS SiaN H IS A CREDIT OR A CREDIT BALANCE UNLESS OTHERWISE INDICATED, ..,. f,' ' Stnd InquirWt To: USAA CARD CEHTER PO BOX 21658 TULSA, OKLAHOMA 7~121 AV!RAlI! Stnd PI'"*"" To: FO BOX 2912 OMAHA HE 68103-2912 OAl.Y 5416 3000 2104 1554 FOR CREDIT CARD INQUIRIES PLEASE CALL: IAl.ANCl! SUIJECTTD I ANIlUAL 'IRGIIlTAI.UTI I 12.50 UNITED STATeS ' Tulta ~NAHC! CIWlOI!S I _MII--.n I 1.042 1.800.922.9092 . '91 B-e804-1 0400 0.00 " ,~-'" LF..AA. TS VOU""YPlYIltNewBl/M(tll'lwtlOltornOt1IlIl"f""" To I'IOldIlXMloNl FWneICNtOnon P\r'ctIMM.YOU~P'Y"'NtwIa&lnclIllOwn on ~ ....,...".. t1f lIlIlJUIt" 11 you..... "WJNe. MAS$ACHU8ETTS. Of velWOHt, ...... not Idd FInIrU ~ b' P\ICNIM Iof III ...._."""'.._..._b..._ W. ....'...ctC/Wotb__......c.un_I___ TIIti MIeNN 'II'lM'IwtII w UN of CoIMnlIncI ChIckII.-om fM _ we Pl*IhtCIIh MoiItlGt 10 yoN Accoln ldIM cw. A4mCt" IltId WI W. "'(I:M Ntw 8aIancf on.. ~ hCldII "'" CUIt~. MIl 'I'OU NY fM... New 8IMnct!PIIII 1M -. J'OU',......... WllIInCIl..dt l'il'IMc4 CI\II9II\IIICetUiIt on fie CUPl ~ frOm"~ _1iIIId ItlOYt lAWlI\I.'" CMnAcMnct" .nfl.ll HOTICE: 8N rev".. "dt for IMperlln! tnformttlon, _._ .__4'_"_" _4...._'___________~ . SEARsCharge PO BOX 105702 ATLANTA GA 30348 .-Iff,-/( , !J. ;;") ;P 7' Accounl Number: Billing date: 651051 326049 October 25, 1994 1",11I,"11I,"".11..11,1,1",1,1",1.11.1"1,1,,11",.1,.11 VINCENT M CO~REAL 29U ECHU RO CARLISLE PA 17013-9529 ACCOUNT SUMMARV Previous balance Total payments TOlal charges + TOlal credlls FINANCE CHARGE . Now llaluncs $872,76 0,00 0,00 0,00 0,00 $872.76 Scheuuled paymsnt: Mlnl(11urn due: Dua data: S25,00 S50.00 Nov.mber 24, 19U , ,et'tJ'i-'ltor-'FaJ-L-..., 'i6~~r~e clle?1(" ~:l HELPFUL INFORMATION Available Credll: NOI18 Illhe amount of Available Credllls nOI sufficient, or you havs a qusstlon, call: 1.800.689.8415 M.F 9.9 SAT 9.6 ET Mall any billing error notices to: P,O, BOX 105702 A TLAN-T A GA 30348 Pissse Incluue your account number with any correapondenca. SEARSCHARG~ BONUS CLUB You can earn money-saving Bonus Cenlllcates just by using your SearsCharge, Now, mars thsn ever, II pays to s~op al Searsl FINANCE CHARGE Average ANNUAL Monlhly Average FINANCE SCHEDULE Dally PERCENTAGE Periodic Dally CHARGE BalanC9 RATE Rate Balance All over $0,00 18,00/. 1.5% Tolal SO,OO NOT1!: See olher side for Importanllnlormatlon --------------------------------- .-- - ~,~ R ERS "..~ I" I. ...... I" _,.. "-' ,.... '. ,,_, b I'. ,.... .'" ,...., ... Y. , ....., ,''', '.. .:.., II':-~' ..,. I, .'''" ;' ''', . .... . ........;.. .......',.. '. ",...... ' .. ....... ..... " . .:.. "h,l '\..... ,) ,- ~RLJST ,J:" ':.. '.., '~'''~ \ .", ,., 'w.' ,., I,,'\,..\~,,:..,,~ \. \")'.'> /Ji",;!:::;:;t",)") ,., '" ~'~;; '''':'''''1' ~'.'''''''I\'AltlAU.'i'' J::!. " 19~ ea-m"., SJ5;;/?' fl&i!-PlI5//i r:.&IV 7#/f e:;GIfT /It'dtJ,I(M ~VeNrY IW'p: I OR Mi. aIV.,.e<1€' . C5/ IJ.t;'/ ,7~ /'C' '/ L- --l $ g7J., 1(". lfL::. :;zL~ DOLLARS eSTATe OF VINCENT rCIlRl?l?L ~L.~ .. .. ---------.---- 1:0 2 ~ 2o..? 201: II' ~ 2'" 2 51,1, 211' .,'oooooa? 2? lO,I' loan Servicing Canter , P.o. IOlC .... ~ N1LKII-IARR. PA 11775-"00 S~~!1 tI".L__.~_ Sll'"ft~! Ilwlel IINO COIUWPONDIINCI TOt P ,a. lOll ..01 NILKeS-IARRe PA 1'775-'100 I/AJ(J CIlICX MYAlU TOt I SALLIE HAl VIKcm 1'1 CORREAL 290 ICHO ROAD CARLISLE PA 17013 1111/1/11.11I111...11..11.1111.1 111/0 CIlIClC.! TO O~R MYMINT ADOIWSl P.O. lOll .2255 PHOENIX AZ 11072-2255 WRlTII YOUR ACCOl1Nl' NIlMIU ON ml C1lICIC. ACCOl1Nl' NUMIIIU !!.,.. U-M20-T] Dlllba31DS3? 1~bb2S42Dl 000010052 CUUIHT ffiONlIII cn71 24'-1101 o ~--.._...."" "- -...... _ _ "'........... __.2~_~.!'!~"',!l~______._____ ,,_, MYMIlN1' DUll DATI AAlOUlfT PoUT DUI ~D1ATELV I I' 100.'2 - '__0.. .. .... . ._.....____.._.....__.., Dear VINCm 1'1 CCRREAL, 10/04/94 Thil il a reminder. OUr record. .how that your payment i. overdu~ on. the edUcation loan. Itarred (*) balow. YOIIL' aocount .tand. as follow. I CUrrent Principal Balanoe Monthly Payment Amount Last Paylent Received Pllt Due AlIIount $ Total Amount Due by 10/16/94 $ $ $ 6,866.46 100.52 08/22/94 100,52 201.94 5#'# 7" . r:J~1JI C/If. Oc,-r, II; /91 ~ -- Plea.e .end the above invoice with your oheck for the past due amount al .oon as po..1ble. Send your check to the PAtI'IIKT ADDRESS listed above .- this is the fa.te.t way to credit your account. If you have que.tion., plea.e call u. toll.free at (BOO) 458.2080. Thank you for taking .care of thi. right away, If you have already .ailed your payment, we thank you. To make sure your payments are on til. in the future, con.ider paying electronioally with Sallie Mae'. Direot ReDIV ISM\ Plan. Direct Repay is convenient and s~ve. you money beoaus. we cut your interest rate by 1/4%, Call u. at the number listed above to find cut more. Customer Servioe P.S. You oan find out the date and amount of your Illlt payment at the touch of a button. call us at (800) 458'2080 an~ select option 1 fro. our ~uto.ated voioe .y.te.. Teleoolaunications Devioe for the Deafl (800) 848-8986 11111mPlIIIII TIlIIJft belo" Inoluda aU !be 1011II III your aocount with lU. LO&lll markocl with . liar (0) .... tbe 1011II !tImid 10 1II111i11e1l.a'. LON!IIATI OllOuw. LON! AMOUNt' OUTSTANDINO P1UNCll'AI. INTIUST IlATI LON! PlloallA.ll · "IWU . 1,611." . 2,17'.31 ..... STAPPOIlD · "1"1" I,'U." 1.17'.31 ..... STAJI'OIlD · WW19 I,'''.n 1,706." ..... STAPPOIlD · 01/11191 L, 'I.... Ill. 06 1.0" .TAJI'OIlD IlotLo.S_C_II.DIt_,(SIiIIIIf... Ifl IYITDC GIIII ~ tI jf,~ Ale: 1IIIII0llilDIIIIIIII /' LRIV.1S,.7 IX AFP U2.9,.* _ALnl Of _LVAIIIA lVMTImlT Of IIIVllU: IIJII!AU Of INDIVIDIIAL TAXEI lVT, ZI06I1 1WIR111tJRO, PA 1111'-0601 /'I-d'/t, ,-;?, C1o'f t/ NOTICE Of INHERITANCE TAX APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OP TAX ACN 101 DATI 06"06"95 DATI OF DIATH 09"05"94 ~~b~~O. CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO VOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FO~ WITH VOUR TAX PA~ENT TO THE RE8ISTER OF WILLS, KAXE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOI JOHN B MANCKE ESQ 2233 N FRONT ST HIG PA 17110 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLU, PA 17013 r Anount R..med 1 CUT ALONG THIS LINI ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iliV:iiii'i"ix""FP""nZ-:94Y"iiiiT'icE"-oJi-iiiiliififAN"ci"T"A'x"ApjiilA"iiiiifiiir;""Li."oiiiii(ci"iili"m.mmm... DISALLOWANCE OF DIDUCTIONS AND ASSISSMINT OF TAX EITATI OF CORREAL VINCENT M FILE NO. 21 94-0949 ACN 101 DATE 06"06-9S TAX RETUIlH WAS, (X I ACCEPTED AS FILED I) CHAHllED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..l E.t.t. (So~l. Al III 2. Stock. IIIld lond. (Schedul. I) (21 S. Clo..ly Held Stock/P.rt~rlhlp Int.r..t (Schedul. CI (51 4, Nod_I/Noh. R...lnbl. tSchldul. DI (41 I, C.lhllenk Dope.lt./"llo. P.rlcnll Prop.rty ISchlduI. EI (II 6, Jointly OWned Property (Schedule FI (6) 7. Tren.f.ro I"~l. QI (7) I. Tot.l Ao..t. .00 .00 .00 .00 10.466.55 11.175.00 .00 (.1 21,641. 55 APPROVED DEDUCTIONS AND EXEMPTIONS I " F....r.l E_...lAdII. Coote/"lIc, E.pen..o (Schedul. H) ('I_ 10. IlIbte/NortG_ LilhUIU.olI.11lI1 (Schedul. Xl UOI 11. Tot.l IIIdu<lUono 12. Not V.lu. of TIM Roturn n. ClIIrltlhlo/Oov.rlWMlt.l Bequeote (Schedl.,l. J) 14. Net V.lu. of Eot.t. Subj..t to T.. 13.309.46 15,870.73 (111 U21 USI (14) 2Q .1 An 1 Q 7,53B,64" ,00 7,538.64,- If .n ........nt wa. i..u.d pr.viau.1Y, lin.. 14, 15 .nd/ar 16, 17 Ind 11 will refl.ct figur.. th.t inalud. the tat.1 of ~ r.turn. .......d ta dlt.. ASIEISMENT OF TAXI 1&. AM<rot of LIlli 14 .t S"""..l r.t. (1&1 1'. AM<rot of LIlli 14 t..0II1. .t Llnoel/Cl... A r.t. (16) 17. AM<rot of LIlli 14 t..oIIl. .t Coll.t.r.I/Clolo I r.t. (17) 18. Prlncip.1 T.. Due TAX CREDITS I PAV"GNT DATE NOTEI ,00 X .03. ,00 X ,06. ,00 X .15. (1.) .00 .00 .00 .00 . RECEIPT HIJItB ER DISCOUNT Ct) INTEREsT I-I AItOUlIT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE .00 ,00 ,00 ,00 . IF PAID AFTER DATE INDICATED, SEe REVERSE FaR CALCULATION OF ADDITIONAL INTERIST. ( IF TaTAL OUE IS LEst TKAN U, NO PAYllENT II REllUIRED. IF TOTAL DUE II REFLECTED AI A "CREDIT" (CRI. VDU "AV IE DUE A REPUND. lEE REVERtE SIDE OP THIS PORN FOR INSTRUCTIONS.I 'po,.tno,.. oq ,... ,....'U, llUOIIlJIIII '101I1ff . 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H 'I. \ , .., "~I , IN REI ESTATE OF KAREN ELIZABETH CORREAL I IN THE COURT OF COMMON PLEAS I CUMBERLAND COUNTY, PENNSYLVANIA I ORPHANS COURT DIVISION I I NO. 21-94-1049 IN REI ESTATE OF VINCENT MATTHEW CORREAL I IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION NO. 21-94-949 RELEASE KNOW ALL MEN BY THESE PRESENTS, that Jane Schaefer, of 28 Cherryfield Drive, West Hartford, cor 06107, beneHciary of the Estate of Karen Elizabeth Correal, late of the Borough of Carlisle, Cumberland County, Pennsylvania, does hereby acknowledge that she has received from Robert D, Schaefer, Administrator of the Estate of Karen Elizabeth Correal, Deceased, the amount of Zero Dollars ($0.00), in full satisfaction and payment of all such sum or sums of money available for diAtrlbution in the aforementioned eatate. AND, THEREFORE, the said Jane Schaefer does by these presents, remise, release, quitclaim and forever discharge the said Estate of Karen Elizabeth Correal, Robert D, Schaefer, individually and as Administrator as aforesaid, his heirs, executors and administrators, of and from the said payment, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or. by reason thereof, or any other act, matter, ~ause or thing ~hatsoever, from the beginning of the world to the day 0f rh~ dote of these presents. BE IT ALSO KNOWN that the aforesaid Jane Schaefer, does hereby acknowledge that she has received from Joseph Correal, Executor of the Estate of Vincent Matthew Correal, the amount of "1","-" ."1 , " \. " r '. ~ .' n " .. IN REI BSTATB or KARBN BLIZABBTH CORRBAL IN THB COURT or COMMON PLEAS CUMBBRLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION NO. 21.~4-104B IN REI ESTATB or VINCENT MATTHEW CORREAL I IN THE COURT or COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION NO. 21-~4-~4!l RELEASE KNOW ALL MEN BY THESE PRESENTS, thnt Robert D. Sohaefer, of 28 Cherryfield Drive, West Hartford, CT 06107, b8neficiary of the Estate of Karen Elizabeth Correal, late of the Borough of Carlisle, Cumber11nd County, Pennsylvania, does hereby acknowledge that he has received from Robert D, Schaefer, Administrator of the Estate of Karen Elizabeth Correal, the amount of Zero Dollars ($0.00), in full satisfaction and payment of all such sum or sums of money available for distribution in the aforementioned estate. AND, THEREFORE, the said Robert D. Schae.fer, does by these presents, remise, release, quitclaim and forever discharge the said Estate of Karen Elizabeth Correal, Robert D. Schaefer, individually and as Administrator as aforesC1id, his heirs, executors and administrators, of and from the said payment, and of and from all actions, suits, payments, accounts, reckonings, claims and delllands whatsoever, for 01' by reason thereof, or any other act, matter, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents, BE IT ALSO KNOWN that the aforesaid Robert D. Schaefer, does hereby acknowledge that he has received from Joseph Correal, Executor of the Eotate of Vincent Matthew Correal, the amount of .i .l4.- IN RBI BSTATB or KARBN BLIZABBTH CORREAL I IN THB COURT OF COMMON PLEAS I CUMBBRLAND COUNTY, PBNNSYLVANIA I ORPHANS COURT DIVISION I I NO. 21-94-1048 IN RBI BSTATB OF VINCBNT MATTHBW CORREAL I IN THE COURT or COMMON PLBAS I . CUMBERLAND COUNTY, .PENNSYLVANIA I ORPHANS COURT DIVISION 1 I NO. 21-94-949 RELBASE KNOW ALL MEN BY THESE PRESENTS, that Paula Corr.al, of 290 Echo Road, Carlisle, Cumberland County, Pennsylvania 17013, beneficiar.~ of the Estate of Vincent Matthew Correal, late of the Borough of Carlisle, Cumberland County, Pennsylvania, does hereby acknowledge that she has received from Joseph Correal, Executor of the Estate of Vincent Matthew Correal, the amount of Zero Dollars ($0,00), in full satisfaction and payment of all such sum or sums of money available for distribution in the aforementioned estate. AND, THEREFORE, the said Paula Correal does by these presents, remise, release, quitclaim and forever discharge the said Estate of Vincent Matthew Correal, J'oseph Correal, individually and as Executor as aforesaid, his heirs, executors and administrators, of and from the said payment, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents. BE IT ALSO KNOWN that the aforesaid Paula Correal, does hereby acknowledge that she has received from Robert D, Schaefer, Administrator of the Estate of Karen Elizabeth Correal, the amount ... \' o IN REI ESTATE OF KAREN ELIZABETH CORRBAL IN THB COURT OF COMMON PLBAS CUMBERLAND COUNTY, PBNNSYLVANIA ORPHANS COURT DIVISION NO. 21-94-1048 IN REI ESTATB OF VINCENT MAT'l'HBW CORRBAL t IN THB COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION NO. 21-94-949 RRLBASR KNOW ALL HEN BY THESE PRESBNTS, that Joseph Correal, of 290 Echo Road, Carlisle, Cumberland County, Pennsylvania 17013, beneficiary of the Estate of Vincent Matthew Correal, late of the Borough of Carlisle, Cumberland County, Pennsylvania, does hereby b~knowledge that he has received from Joseph Correal, Executor of the Estate of Vincent Matthew Correal, the amount of Zero Dollars ($0,00), in full satisfaction and payment of all such sum or sums of money available for distribution in the aforementioned estate, AND, THBREFORE, the said Joseph Correal does by these presents, remise, release, quitclaim and forever discharge the said Estate of Vincent Matthew Correal, Joseph Correal, individually and as Executor as aforesaid, his heirs, executors and administrators, of and from the said payment, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoever, from the beginning of the world to the day of the date of these presents, BE IT ALSO KNOWN that the aforesaid Joseph Correal, does hereby acknowledge that he has received from Robert D, Schaefer, Administrator of the Estate of Karen Elizabeth Correal, the amount . . .....-~...R..."f...~..'.. ~..,,......,,, 1',':.--. ,'r' ,