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COH"6/rr1Wt'AIIII Of III "'N!i....' VANIA
ntPANTHfHl m RP" loll/I
lIiJlUAU Of IHUIYllllJAl TAlUS
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INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
I C'
NO. 21 -- '1'1- 0,-",
~7102700
01-20-97
TVPE OF
ACCOUNT
[] SAV INOS
:X] CHECKING
[.I TRUST
[I CERTIF .
EST. OF GEORGE SULLENBERGER
5,5. NO. 162-22-1899
DATE OF DEATH 12-19-96
COUNTY CUMBERLAND
GEORGE F SULLENBERGER ~_\'("'-_' ^' ~ ~c\
.4LU 'AMPUi 8RID&~Il" (p:;' ,,' T,",-,,-~,4~., . '_
,~ -4lA-l1ll2'".r l.""'-"~""", r\'\. \ O:.:>S
REHIT PAYHENT AND fORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
FULTON BANk hili provldld the Depart.l"t ",ith thl lnforflll'ltlon II,t,d below which hili ba.n used In cnlculatlnr; thl!
pohllt.\al tax du.. Thllr rlcord. Indlctt. thllt at thl dlllth of th. 1'1110111 dlcedent, Y..lU wlr. a joint owner/bln.flclary of this account.
If yOU '..1 thl. lnforlllatton It Incorr.ct. pln.. obtain wrlttDn Gorr.cUo" 'rolll the flnanol.1 If1,Utution, "ttach a copy to thl. lorlll
and return It to the above addr.... Thlt I!lccount Is taxable In llccordllnce with the Inheritance Tllll taws of tt18 COlllllllonwulth of P,ann.vlvf'lnh.
loIcutlon. Mav b. BIlI.,.rea by cUJ ling \ / III If:Ji "O~(.I
COMPLETE PART 1 BELOW
Account No. 5630-83433
. II
II SEE REVERSE SIDE FOR
D.te 04-12-91
e.tablhhl,d
FILING AND PAYMENT INSTRUCTIONS
6~3.55
50,000
341.78
.06 )
20.51 Ci~ i8
~~ TAXPAYER RESPONSE
m I FAlLURE TO RESPOND lULL RESULT IN AN OFFICIAL TAX ASSESSMENT BAseD OM THJS NOTICE ]
Ai, d Tho above Inforlllat Ion and tlt)( dUiII It \':orract.
~ 1. You .av chao.. to rllll t pllYlllent to the Reg I.ter of Wi lis wi Ih twn (;OP !.I of th I s not Ice to abta In
Ii dltcount or .!Vold Irlt.r..t, or YOU lIIay ch.ck hall "A" f'lnd return this notlc. to lh. Reghtor of
Willi and I'ln official IIl1uuent 101111 bt llllued by tho ~A Oeplrt..nt of Rev.nu..
AClcount aal.nee
P....c.nt hlCabl.
AMount Subject to
Tax Rete
Potential Tax Du.
To In.ure proper credit to your IIccount, two
(2) coalu of thl. notlc. inUit llccolllpanv your
Pllv..nt to the Re"l.t.r of Wl1l.. Hilke check
pnynble tell "Reglst.r of WJ1II, Avont",
M
M
HOTE: If hx pay..ntl are IIlId4l within thr..
(1) 1II0nths Q.~ dacedent'';I dnte of duth,
y'ou lIIay doduct a 5% dls~ount of the Ill" due.
Any Inherltl'lncCl lOX aut 104111 1!CIl:o" dellnq\I"nt
nine (91 .anths lifter thll dllte of d8llth.
T.,
[CHECK ]
ONE
BLOCK
ONLY
PART
[!]
T~"
tINE
E J.
.. ( :1
}~ w (ii' u.
... ~...,
~J
PART
[!J
DATE
PAID
-I
PAVEE
DESCRIPTION
A~'OUNT PAID
~-
.
I
TOTAL (Ente... on lineD !i of TalC Co",put.Uon)
tt,.t the fllct. I haY. r.port.d abo". .r. true, c:orr.c:t .nd
I.f, ~J!",L ( ')'.J__LG.?J.~.M..1)
WORK ( )
~NE NUMBER
OENERAL INFORMATION
1. FULURE TO RESPOND WILL RESUl.T IN AN OFFICIAL TAK ASSESSMENT lollth applloable Illt.rut bu.d all t"for".t1on
'ub.ltt.d bv thl flnanolll In.tltutlon,
" Inh.rltlnu tlM b.aa.... delinqulnt nln. .onthl "ftlr thl dlud.nl'ft dlth II' dnlh,
}. " joint .Ctount It tnlbll 1"1" though thl dICllde"t'. n,... WIU nddtd ns II IUttUr nf tlon\llnll"CI.
It, Acoount. {InclUding tho.. held blhl.." hutblnt! ..nd wlf., whlllh the dUldlnt put In joint ".... within onl vur print to
d..th It. fullv t.~.bl. II tr~.f.r.,
5. Aocount, ..Itbll'hld Jolntl~ bltWI.n hu.b.nd and wlf. mnr. thin onl y...r prior to d.ltth Itr. not tlMabll,
6. AoClounh hlld bv 1\ dlcld."t "In trill' for" Itnolh.r or oth.r. fll'lI '''lCflbh fully,
REPORTING INSTRUCTIONS . PART
1
TAXPAVER RESPONSE
I. BLOCK A - If the J"for..tloM Ind cOllputation In the notlc. ar. tmrrect ,md deduction. fire not b.IMc. c:hl..d, pliO' an "X"
In blor.k ttA" of P.rt 1 of the "lI",plv.r Rup(ln.... ..ctlon. Sign two coplu lInd .ub.lt thu with your chick for the lI.ount of
t'l( to the A.ghtlr of Wills elf the county Indlcat.d. Th. PA O.pllrtlll.nt of R.v.nuI will l..uI .n officllll .......Mnt
(Forlll REV'lS~a EX) upon r.c:elPt (If the r.turn fro. the R.ght.r of Will..
Z. ILOCK B - If the u."t .pecUI.d on this nl)tlc. hili b..n or will b. r.portad Ilnd tall pain with the p.nn.ylvanla Inhlrltan<l'
TAK Rlturn fllld bY' the decedent'. repre..ntltlv.! platllil I'In ")(" In blotk "I" uf PArt I of the "hlCpayer ~"po~'(l" ..otlon. Sign on.
copy and r.turn t" the PA Dapart..nt of R.v.nu., lIuruu of IndIviduAl Tl'lK". n.pt Z&06111, Harrl.burg, PA 11lU'06Dl In the
.nv.lope provld.d.
3. MOCK C . If the notice Infor..tlon 11 Incarrlct And/or deduction. ara b.lng Olah'ld, ch.ck block "c" and co.plot. Part. Z IInd 3
~.~~"'rd,l"'::l I,;, ~~,~ l'1r~ru"'t.l~T'~ b~.l.~:,. o.:l::;~! ~"" <:,"r!~r f'11 ~'JI'~lt t,~OI!l \t1~h ~'l"'r ('10 p." (~r t!',o tl'l~u~t o~ t:::~ P.l":::l!;,~~ tc tl":o "':I:.;ht~:-
of willi of thl county Indicated. Th. PA n.part..nt of R.v.null w1l1 l"uI an offlchl anOllu_nt ("'ora REY-1S4& EM) upon r.cclpt
of tho r.turn fr08 the Roghter cf Wl1l1.
TAX RETURN . PART 2 - TAX COMPUTATION
UHf.
1. Enter tho data the account originallY WSI ..tatlllsh.d cr tlU.d in the llIannlr .lthlUng at date of d..th.
NOTE I Far a d.c.d.nt dying aft.r IZ/lZ/121 Account. which the dlc.dent put In joint na... wlthin ono (1) 'I tar of d.ath art
taltabl.fully ill tren.h". However! there I. an .xcludon not to .ltc...d 13,000 pot tranlhr.. r.gardl... of the ....lu. of
the .ocount or tho nueb.r nf account. hlld.
If. double a'larllk (1111) app.er. b.fort ~our flrlt nallll In tho addr'" pOl'tlan of thil notice, tho $S,ooa IIl1clullon
a1rledY hIS b"',l U.duch<l frail the 10CO\lnt ba1an08 fl' I'.parted by tho financial in.Utution.
2. Ent.r the total bal~. of tho a~cuunt inclUding Int.re.t ft~cru.d to tho dati of d..th.
3. Th. p.rcent tit the account th.t \. taxable for ..ch ,urvlvor I. d.hr.ln.d a. follow. I
A. The paro.nt tlMable for joint ....t. ..tabIUhod ..orl then on. !t.ar prior to tho d.c.d.nt', d.athl
1 DIVIDED ev TOTAL NUHBER Of
JOINT OWNERS
[XIMP1.l A joint ....t r.gl.t.r.d
DIVIDED BV TOTAL NUt1BER OF )(
SURVIYINO ,JOIN1' OWNf:RS
In th. na.. of th$ d.o.d.nt and two oth.r
100 . PERCENT TAXABLE
perlon. .
1 DIVIDED!V 5 (JOINT OWNERSl DIVIDED IV Z (SURVIVORS) . ,167 )( 100 . 16.7% (TA)(ABLE FOR E~CH SURVIVOR)
I. Th. parc.nt tlKlbl. for a...ts cre.ted withIn an. ~tlIr of the d.c.dent'l death or acccunts own.d by tho d.c.'.nt but htld
In tru.t for anoth.r IndlvlduIH.) (trult b.r"fioJerl..)1
1 OIYIDED BV TOTAL NUHBER OF SURVIVING JOINT
OWNERS OR TRUUT IENEFICIARIES
)( 100 . PERCENT TjU(~alE
[)(Ilplll Joint acoount rllhter..d In the nfll. of tho d.ud.nt IInd two ath.r p.rlonl and ..tabllshed within on. ynr of delth by
the dlcld.n t .
1 DIVIDED IV Z (SURVIVORS) . . SO )( lOtJ . SOy. (TAXABlE FOR EACH SllRVIVOIO
4. The IlfllOUl'lt 'ubjlct to till Clln. 4) II d.ter.lnld by llultlplYlng the alJcount balanc. (I1n.. 2) by thlll perc.nt \I)Cable Clin. 3).
S. Enter the total cf the dlbt_ and d.duction. It.ted In Part 3.
6. Th' e.ount huutbl. (11nll 6) II dlter..inld by sUbtrl<:tlng the debt, and d.duotlon. (Ill'll Sl fro. the IIlIount sUbJ.ct to tlK liin. 4'.
7. Enter the .pproprlate tl)( rlllt 01n. 7) a. d.ter.ln.d below.
A. For d.t.. of d..th occurring eft.r 6/3tJ/94, the ta)C rat.. for transfo,. to ,pou... art at follow.\
1. Datu of d..th or. or af\l1r 1I1/9(t and b.for. 1/1/95 tho rat. I. 3%.
Z. Datu of d.llth on or aft.r 1/1/95 tran,forl to .pou... will b. tftK.d at o:! tax rat..
Notal for dat.. of d..th prior to 7/1/94 tranl"" to SpOUI" lire tuabl. lit 6Y..
I. Tr8n.hr, to 111'1811 d.sc.ndllnh including father, .other, Icn, daughter, grandchildren, .on-in-law,
d.u"M.r-In~law, .tepchtld IInd th.l:- IlIu, are tllxabl. It ,Ix p.rtlnt (6%),
~. Tr.n.f.r. to .11 othar, including broth.r, ,l.t,r, unci., aunt, neph.w and nlac. are tl",ab1. at flft..n p.rolnt (IS%).
D. If you ClhlltnllO the t'l( ratl, plies. sPlclfy your relatlonlhip to thl d.old.nt In the ar.. provhJ.d.
e. Thfl aIlOl.",t of ta", due (line ft) 1. d.toraln.d by aUltlplylng tht 1I1l10unt \axlblll (111'1' 6) by the tlK rate (IIn. 1),
CLAIMED DEDUCTIONS. PART 3
DEBTS AND DEDUCTIONS CLAIMED
Allowabl. d.bt. and dlduttlonl 8r. detarlllln.d a. fallowa:
A. You I.gllly ar. rewpon.lbl. for pay,ent, or tho utat. .ubj.ct to ad.lnl.traUon by a perlonll 1..pr...nt.U.... II in.ufficlent
tc pity the deductlbl. lhu.
8. Vcu actually na1d the d.bts after death of tt'l. dlcedlnt and clln furnllh pI'oof uf pay..nt,
C. D.bts being clal..d .Ult bl 1\..Jud fullY 1n Part 5. If additional .pac. Is ",..d.d, u.. plaln pap.r & in" II )1". Proof of
pay.lnt Illfty bl! requ..tad by the PA OIPlrt..nt of R.....nu..
TAXPAVER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES,. TAXPAVER INQUIRV UNIT IN
HARRISBURG AT (717) 787-8327. TDDI (717) 772-2252 (H~ARING IMPAIRED ONLY)
~Of'
NOTICEt
PAYMENT,
REJ1ICD (an I
To fulfIll the r....lrlltent. of hotlon 2140 of the Inherltence Wld Elht. TlU! Aot, ,Act u of 1"1. <72 P.'.
"'Uon ~UOl.
I/lItMh U. top portion of thh NoUoo Md IlAMlt with ~0Ll" p.ynnt to the A..lItlr of 111111 printed on the
rWlr.' deN.
~- Haik. ~ 0" .-new order P8yehle tot REGISTER OF WillS, AClEHT.
1\11 p.~t. received .,,11 flrllt be epplled to .,y Int.t"t ~Jch RV M M, with .,y ,....1""" ."Ued to th. tll)!.
A refund of . tax crlldlt, tlhlch "*' not ,.ltquutoMt on t~ bx ,.Iturn, ..y lMi r....stMi by cOMpllUntI Ir'I "AppHClItlon
for A..ft.... (If ....,.ylVWll. X~rlt.~ Md E'lllt. TaM" (~:Y-l:JU)' Appl1C4t1on. IItl IV1ltlabll .t Uw Offlol 0'
u,. R..ht.r of 111111, MY of the Z] Ae"aou. Ohtrlot OHIo.. or by 0..111". thII If*llll Z4~hOUr ~....rlng ..r\llce
nullblirl for fo!"'.. orcHIrlntilll In Penn.vl"".,!e l"800-362-l0SD, Ollhide Pennlylvenla rmd w!thln IOMl
"rrl~r. Ir.. (117) 717-0094, rDDI (717) nZ-2l-Sl m~.rJ"II 1....11." Only).
OIJECTlONSI Any pIIrty In Inter'lt not ..thflld with the ....nl...."t, .ll~ or dh.l1~ af ~tlon. 01' ........,t
of taM (tno1~1", dboomt or lnt.r..t) .. IOoNn on thh MotlC\e MY obj~t ..UMn .htty (60) den 0' rece1pt of
th1. ttotlce bYI
--"rUt..., protltlt to thrs PA ~rtMnt of AiaViW1U&l, ao.rd of AppMlI, Dttpt. 161OZ1, "'rrld)ur\ll, PA 111fI"1Dn, OR
~-.l"t1ng to hoNa th4l ..ttar chitarlltf'ttld at the IlI.mlt 0' ttt. 1tOC\0000000t of tns ~rllonel rep".I"'~llItlvI, OR
--.....1 to tM DrphBn.' Court
ADMIN-
ISTRATIVE
tDRRECTlOWS I
DtSCDllfTI
PENAL TV I
INTEREIT I
FM:tvll arror. dlKOYlrkt on thl. ........."t IhoUld be Iddr...ed 1n NrtUns tOI PA o.plrtMnt of RIY...,..,
lur..., of Indlvlctu.1 TalC.., ATTNI Po.t A.......,t Rlvl... Unlt, DEPT. 210601, "'t'rhburil, PA 17121-0601
PhonII (717) 787-6505. s.. p.-ge S of the bookllt ftInlltrUClUonl for JM4ir1tl!llnCe TalC Alturn 'Ill' a Auldlnt
~tft {REV~1501) for an expl~tlon of ea.inl.tr.tlvelv correctable erro, t.
If WlY taH due h peid Nlthln thrH (5) calender IIlOf'ith. .Hlr the mcldtwlt'. death, . fly. ptlrc4Int (SXl
dhoount nf the taM paid h .UONed.
Th. 15): tax IIIntIllty non~part1clp.t1on ,.".Ity .. CCNlpUtMf on U. total of thli ta. Ind lnt.rut .....ud, and not
paid befare Jlnuarv II, 1996, the fir.t day lifter ttM end of ti. tB)C -",.tv period. Thill nOfl-partlCllpaUon
,....1 tv is ."..ll1bll In the .... IIIf...r end In the the .... tiN p.r lod II you MOUld .....1 ow, taM and intlrll.t
tn.t MI been ....... .. IndlClt.o on thh notlClt.
Inte,.eat Is cMrged _Imine Ilith ftnt day 0' tt.lInquencv, or nine (9) MM'lth. IflCf DOll U) day
fr_ thtI Mtl of death. to the date 0' paYMnt. TalC.. which ben8M dlllnquent baforl Janus,.y 1, 1912
bMr Intera.t It the r.te of .he (6):) perc""t pe,. ~ ~lcu3.ted at . daih r.t. of .000164.
All tlOC.. wt11c:n ___ dalllMpdGnt on or aft.r JlIOUIIry 1, 1982 ..UI bMf' lnt.,...t at a rata IIhlch 101111 VI,.y frOll
Ml.",<tar y..r to O8l"r Y"I' ldth that rat. annouIlC.-d by the PA ~art:.ant of RlvltnUI. The oppllC1lbll
Intare.t r.t.~ for 1912 through 1997 W,.II
V..r !.!!!f1r..t Rllta Dally Int.ra.t Fnotor Ve.r Intar..t Rlt, Dalh Intera.t F8Cltor
1912 ZOX .0005048 1981 'X .000247
19a.\ lOX . OOO.\!I 19ea-l"1 m .000301
.... llX .000301 1'" 9X .000247
19ts m: .0OOlS6 1993-1994 n .000192
1'16 lOX .000274 1995~1"1 OX .OOOr47
"-Int.r..t I. calculated .. foHowlil
INTEREST . IA~CE OF TAX UNPAID X NUKlER OF DAYI DELINQUENT X DAILY INTEREBT FACTOR
--Any NoUoi liPOId aft.r u.. talC bec<Mta. chUnquant will raUlMlt an Inter..t t:llcul.Uon to flfte8n US) a..
!Mynnd the Mte of tht ........"t. If ptlYMflt h IIIde aftar ttWI Intereflt ~tat1011 drilte IhoWn on thI
Hotl~., .odltl~l Intara.t lU.t be calcul.ted.
3
01/11/97 .6293,44 .6293,44 SITE,KC-CD TM,CD-6375 ACID,KCBI005
Lp!ir~:i/~ ~.tII [~'~,IIj1,LANC81 [.Mlti^~fb~.1
FO.BT 34 Al 1 1170 VC 0011 CV 4 02/04/90 02.30,20
CHOICE VISA
P,O, BOX 0501
GEORGE F SULLENBERGER SR HAGERSTOWN, MD
ATTNY ACCOUNT-CODE-BAA4 USA 21740-0501
ENOLA PA
17025-1023
For CUllom., 8trvlu tall 0' ftrll.
800" 9 2 5" 88 71 :17/.'~'I'/(:~I~'II~~I:,I~tttl~IJIl ~l~~Qn':l
BOX 6248 111~ulveYllllr HUllIll
CHOICE VISA ~OUX FAll.S, SD
AtCllunt Numb., 11 7
4428 1351 1120 0997
PAYMENT DUE DATE 01/11/97
IU".mlnlO,le Ta'll Cr.dll Lint e.." Ati...nu Umll ~# New Ihl.nu ~_ ~VlUlbl. C,.dlt LlM Alull,blt tlllt" !.In.
12/17/96 $6000 .3500 I .6293,~4 ~EE BELOW SEE BELOW
Sille II I'''~' III 'ill tlOflru"
AI.' I ;111"0 II ~t !lIiI "flU'1l1
AlIllIlIll
'.
I "II lit"
"
Your accoun~ remains pa t due, The ~ota1 balance
h due noW,
0.1' recorda show home phon 717-79 -9676 anct
b.siness phone 717-766-7605. so update ebove
cc upon H i!'lcorrect.
\ (~
~\
A<< t lu m . . to..
PrtVIOll1 +Purchll"lI . P-rmtnl. . CttdlUl +Flntnu + Lilli . B,II"c, f'llrMlnOllG
a,l.net a. Adv'n~" ChuQ'" Ch"'111 AdvMlnnll1l
AmouniOCI 10000
I'nrchhllll 629~ 4 I 6293~4 I'tloli
fll11/Alll'Il' l'utllUo 619344
101111 6293,4 6293 4 Mlnl\mltlue 629344
A"t.8umma'r PURCHASES PURCHASES AD~ANCES
NUlnhlll 01 tlll~~ 32 FRSTt1300 OVER$l300
..1!!.!.!..!'1.!.!.!.!~_---=-=--
RhIIlIH'('nllhlecllo
'lIlIlIH'C(.lliIIl1e
"I!tIIHIILfl/t!(I 1.40000Y. 1,15000y' ,04603Y.
tllllninl,IAn!l1l1l1 16,000Y. 13.800Y. 16,800y'
f'l'rcl!I111111/lAl,lll
AnnUlI p~,unl'II' RI'. 16.000:{ 13,800y' 16,800y'
3
FO- SD
01/07197
[f~.l].l[~l!mJ
34 Al 1
$2202,33 $2202.33 SITE,KC-CD
Dj~i1,.i!!~ii!i'cfl [M1N'.IM(iJuM I
0179 VI 0009 VI 1
CITIBANK
P,O, BOX 8501
HAGERSTOWN, MD
USA 21748-8501
TM,CD-6375
ACID,KCBI005
02104/98
02,30,28
GEORGE F SULLENBERGER
ATTNV ACCOUNT-CODE'ANA2
ENOLA
17025-1023
PA
For CUllom., ..",Iu nil or writ.
Attount Number
800- 9i~"8871
//~6U~5~~l.LS' SO
;h17 .
InlbilllnllllUIUlrilllwrlletll
\l1I.Hl'ltlrClU:ClIl!lngwlllnll\
prOlo,veYOllrr!g'llll,
Citibenk Vi...
4128 0024 2943 9214
PAVMENT DUE DATE 01/07/97 ~~
St"""".,1 Pit. 10hl C'tdlllln. e.." Adv.nu Umll HIW 8.ltntl ;a~'II'bl' Credit Un. AuU,h1, Cuh L1n_
12/13/96 $1850 $310 .2202,33 S E BELOW SEE BELOW
,Jjllllll "In II I., ~I"ll(l'" ActV ... 111'(1 II~ II /J1t11111Hl 11'1/' , lllor " ,
V, ur accoun ,.em&ins pei~ due. The 1;ohl balanoe
iI due now,
~'.P
,
n" " Summ. u.
Prtv/oul +PI/rc:h.... . Peym'n" . Cr.lllf. + Fln.nu + L,II. . B.I.ne. Pu,MlnDUIJ
BII,ne. " Adv.ncu Ch.rg.. ChlrD" I\dy Mtnlluo
220233 I\mOlll110CI
PlItr.'lu,el I 2202 33 rlltlll
Allvllncnl 33 Ph.tOIlIl 22~~ 33
ltltnl 2202 2202 33 Mill I\mlOUII 220 33
RII.Summ.rv PURCHASES ADVANCES
NUlI\I!IlflfllltlVS 3Q_
IHliBlIlIllnf'I'tllll1
Klllllllr.~ ~uhlec1 'II
flflllllCflCfhllgn
retllllllcAlllro 1,65000y' ,05424Y.
NOltlllllllllnlluul 19,800y' 19.800Y.
"llICCllllllJ"llIllfl
Annuli P.,unllgl Rill 19,800y' 19.800Y.
01/03/97
I}Mn)I!!i)^!!]
.4043.72 .4043.72
[HI.wil,ALA.', irc,"..,",~.1 r .." . .. J
. .. ~~ ," .~INA~fp~I:.
34 A1 1 0179 MC 0006 MC 4
CIn BANK
P,O, BOX B501
HAGERSTOWN. MD
USA 21748-8501
SITE I KC-CD
TM,CD-6375 ACID,KCB10P5
FO-SD
02/04/98 02,30,28
GEORGE F SULLEN~ERGERSR
ATTNV ACCOUNT-CODE'PZA4
ENOLA
17025-1023
PA
~U'IOm., Ihrvlcl ull or wrll.
~ 800- 5-8871 Illrllllllllglnqulrllllwnteln
Ci tibenk MasterCard .....i~' 6 00 lhlr,ntlo.,u;t111I1ngWlllnol
IltlllorvoyourflUIII..
SIOUX ALLS. SD
AttOUrll Numb., 57117
5424 1800 2890 4867
PAVMENT DUE DATE 01/03/97
RIII.m.nIO.ll ToUI C"dll Un. C..h AdvancI Urnl Newa.llnco A' lIabl. Cr.rlll lIn. A....II.bl. C..h lIn.
12110/96 .4100 nooo $4043,7Z SE BELOW SEE BELOW
.llel) 'Cl~ll I n"faroncl'_ ^" tHnl;lIlllH\ '1Illvl1lel\ fllnOl1l C , .. " ,
r~ ur aecoun ~ remains P88 dua. The to al balance
due now.
I
A" nlSumm. A --
Prl\'IOll' +PlIrch.... . PllvmlntJ . Cr,dl1. +Fln.ncl ... l,l. .. O.I.nel flurMll\lluo
S.lane. A My,nul Ch.t\lll Ch.r\l" A(lvMlnDuo
I 4043'2 ^nlOUnl(J(:1
purGhll'OB 4043 2 ffllll 72
i\dW'IICOIi I'UlnUO 4043
lotlll 4043 2 4043 '2 Mln/l.mlUuO 4043 72
RI" Summlrr PURCHASES ADVANCES
NlIllIl,orO,Ilny. 32
lllIIBllliIlUrll!l(lll
"n\lUIUl ~Uhll'(1 10
flnlHlt!\ttllltflCl
rlHiolJlf-nnH< 1.6500070 .0542470
l~omll1nl Alm"..1 19.80070 19.80070
rllr(f'llturl"Uiltt,
Annuli Ptrc.nllll' Rlt. 19.80070 19.80070
J
01/03/97 .1452,41 $1452.41 SlTE:KC-CD TM,CD-6375 ACID,KCBI005
1l~(!i~,j!jiiiJ [~tW8I\lAH~fl [toiIH^MTi>~f, J
FO-SD 34 Al 2 1178 MC 0006 MC 4 02/04/98 OZ,30,28
CITIBANK
P,O, BOX 8501
GEORGE F SULLENBERGER SR HAOERSTOWN, MD
ATTNV ACCOUNT-CODE-ANAZ USA 21748-8501
ENOLA PA
17025-1023
Citibsnk MasterCerd
Ate.unl Numb.,
;;
I
5424 1800 Z739 3336
PAYMENT DUE DATE 01/03/97
.tal,menl 11'1. TD"l Credit Lint C..h Advlnu Llmll /
12/10/96 $1550 $1550 I
NIIIOlll'uolll !In'lIll1l1r1,II
,!,our acooun
is dua now,
O"r record.
b"sinsss ph
coupon if i
Act nt au .
Previa""
e,llnCI
I'ufchnr,ow
AdVlIlICllfi
1452 1
1452 1
101111
flnl.Summary
NUnlhotof,lnyn 32
~L'1111'(!11~~
1\I111I1I[1l Rulljll~\ tll
IIIIIlI1COf.!lrl!,gO
f'ftrl(,(f!(':1'I1I11I
tHIlIlltUII^tHlUllf
"",cllnlllllr.ll"ln
AnnulI ParcenlllV' Rill
F..r CUllom" Suvln nil or w,lt.
800-925-8871
BO 6500
SIO X FAllS, SO
571 7
lo,llllli"'lll1tIUlrlllwr41ItIQ
tlH,lIlllltllNI'l1nlHnllWIII nol
'"UllrvllyoUrrlutlll.
[IVI IIrn'llI I'" 1\'
New Bllance I AIIIII,bl. CrllrUt Un. Av,II,bl, Ct.h lint
$1452.41/ SEE BELOW SEE BELOW
"
remains past~~~~e total ba1ance--
MIltHIII
In/llor,
show home phone 717-766-7605 end
ne 000-000-0000. Pleaso update ebove
correct ,
,
1.65000Y.
1~.800Y.
19.800Y.
.05424Y.
19,800y'
19.000Y.
A . .
+Purch.... .Paym'n" . Cr.llll. + Flnlnu t l.t. .. 811.nl;l PurMlnOUD
& Adv.nc.. Chari" Chlr,,, ,\lIv MlnOUD
AnlDUncOCl
I 145241 f~U
!'UIOUD 1452 1
145?41 MIl,l\mtlluD 1452 1
PURCIlASES ADVANCES
..
01/03/97 .4043,72 .4043.72
!!E!~~illLi.!A~~J [1t.!w "1.A~rJ rJ.i~]~!l~_~J
34 Al 1 0179 MC 0006 MC 4
CIT IBANK
p,O, BOX 8501
HAGERSTOWN. MD
USA 21748-8501
FO-SO
GEORGE F SULLENBERGERSR
ATTNY ACCOUNT-CODEoplA4
ENOLA
17025-1023
PA
Citibank MastBrCard
Account Numb.,
5424 1800 2890 4867
PAYMENT DUE DATE 0l/03/97
Sl,l,ml"' 0111 TDIII Cr,dlt Un, C.~h AttY,,,,,, llml
12/10/96 .4100 $3000
~
SITE I KC-CO
X
TM,CD-6375 ACID,KCBI005
02104/98 Oi 1 30 ,28
~'tD",,''l' a,rv nullo, wr t.
At IV t HlflfCln.t1illllCfl1N11
~iO ~ 6
SIOUX
57117
5-8871
00
ALLS, SO
forbllllllU Inqulrlllwrllllo
Ihl"u,drll..:callltIOWlllnOf
prlutvtyollrtlghll.
/llll III o~t III 11MC'Il'l1fll"
N.w 8.I.nel Av lI,blt Cndlllln. Avall,lIl. e.... Lint
$4043.72 SE BELOW SEE BELOW
"
Mlloun H
I lor "'I
Yc ur accoun~ rBmains paa dUB, Tha to al balancB
is dUB now,
. . tOUt
+Purch.... .J'eymlntt . Credit, tFln.net + lltt . B,llltCt f>u,MlnUue
IAdv'"uI Chu... CI'I",,, AdvMIIIOllO
AfIlountOct
I 4043~2 FMI
PUIOUt 404372
4043, 2 MlnAmtDutl 4043.72
PURCHASES ADVANCES
Ate lBumml,
Prevloul
S.I.nce
l"urcl'lblU
I.dv,,,cr.l
TOIIII
40(t3r72
404372
R.,. Summery
NarnbtltOf tlllyt
IlIlrBlIlIlIgPetlUll
32
1llllllllcCllllbler.ltp
Ith1\I\CaCtullue
rarllHllr. ~ll\(l
NntmlllUAlH1Uftl
I'f1tcelltlloeR61&
Al'lflult PlrClntlUI Aal.
1. 65000Y.
19.800Y.
19,800y'
,05424Y.
19.800Y.
19.800Y.
01/03/97 .1452,41 .1452.41
f.PMT ouiliAifl G.@!:!~iJ\'i~fJ ~~j]
SITE,KC-CD TM,CD-6375 ACID,KCBI005
FO'SD
34 Al 2 1178 MC
0006 MC 4
CITIBANK
P.O. BOX 6501
HAGERSl'OWN. MO
USA 21748-8501
02104/98
02,30,28
GEORGE F SULLENBERGER Sk
ATTNY ACCOUNT-CODE-ANA2
ENOLA PA
17025-1023
Account Number
FI, CUllom" .,rvlc:e nil or ",rll.
!ftoO-92S-8871
B~~ 6500
SID X FALLS. SD
571 7
for blltlhg InlllllrlllWrllltu
lIUlllddrllll;clllHlGWlllnot
pfllurvl)'ourr1Iltltl,
Citib.nk MasterCard
5424 1000 2739 3336
PAYMENT DUE DATE 01/03/91
8lat,ment 0111. hi" Cndll Un. C..h AlIY'net Limit
12/10/96 $1550 $1550
New hlenel I Av.II.~I. endlt lIn. Anll,bl, C..h lIn.
.1452,41/ SEE BELOW SEE BELOW
!llllllutt'll.tOl ll/lfetlJnr.al
Vo ur accoun
is dua now.
O"r record. show home phone 717-766-7605 and
b. Biness ph~ne 000-000-0000. Please update above
c'upon if incorract,
^C IVI IIlCIlllllllil8 Ill! nl
ramains past \""a, --I.:'a total balBnce
Amount
I " or ere
I,
." hi Summlr
P,."loUI .
a,llnt'
1'IIIOhIllO. 1452 1
A.dvftncu
lotnl 1452 1
Rill Summlry
NumbllrOlfll'lVI
Ihllflllllngf'llflod
Amounl (JUI
+Purchu.. . P~m'i'lI' . Cr,dlt, +FlnllnCl + Lit. . alllancl f'lIrMlnOUO
& Ad"'IIIC.. Chlrll" en.f'" /\,."MlnDul
145;"1 AmountQCL
I FOell
"!lnDul 145241
1452'11 MlnA.mtOulI 1(,5241
PURCHASES ADVANCES
32
8111l1nCClllhlee\IO
JlnnnCllCnllrge
NHlncllolllll1l
Nnrnlnlll^llnual
rercIlInlllo.Rlllll
Annuli P.runl'''' R.t.
1,65000%
19.000%
19.000%
.05424%
1.9.000%
19.000%
."
FO- BT
01/11/97 $6293.44 $6293.44
I ~ :] /Jii~.Wb..A.....'.-.A. H..."..'..",'.'I [ 1
~~.ii>if(li~!. __ u _~!l'^...L~Q"
34 Al I 1178 VC 0011 CV 4
CHOICE VISA
P.O. BOX 8501
HAGERSTOWN, MO
USA 21748-8501
SITE I KC-CD
TM.CD-6375 ACID,KC81005
02/04/9b 02.30.28
GEORGE F SULLENBERGER SR
ATTNY ACCOUNT-CDOE~BAA4
ENOL A
17025-1023
PA
!'or CUlffltnlr 8.rvlu nil af wrlh
800-925-8871
BOX 6248
CHOICE VISA ,;;CJUX FALLS, SO
At>Cotml Numb., 11 7
4428 1351 1120 8997
PAYMENT DUE DATE 01/11/97
St..,"ul'll Oai. ht,1 end It Un. Cllh AdvlnCl I hnll Nlw B.ltln~. \sAVIlIlbl. Cr.dltlln. Allall.bll CliO L1na
12/17/96 $6000 $3500 $6293.44 EE BELOW SEE BELOW
fQt tlllllnQ Inqulrill WtltG In
ItllllldlttClU.C41lIhllwlllnal.
ptlll'fVOYOUfflWlllt,
'1IIIotlll'o~IOl lI!1'nMr!'"
f\CI'~"l'lil~t!ital"IIIl"r.t
Amount I
Filn.or nt,
."
Your accou.,t remains
is due now.
Our records
blsiness ph
Cl upon if i
p..4t due.
The ; otal balance
show home phon 717-79 -9676 and
ne 711-766-7605, rise update above
correct.
\ (D
~\
." nlSummarv AmClunt DUI
Pr.vloul +Purehn.. . Plf)'m.nt. 'Cr,dlw +~In'nc' + lat. . B.I,ncD f'urMlnDuo , 100100
S'I.nc. - & Advllncu Chug.. Chit,.. AovMInOUO
Amounl0Cl
f'U'CllIlllll 6293 4 6293M felt' 6193!44
AlIvllllce, 629314 6293144 ""UO\l~
1111"! MlnJ,n1l0ult 6293'44
".t. Sumltll'V PURCHASES PURCHASES ADVANCES
Nurnboto,dllYI -~ FI/ST$130 0 OVER$1300
1I111BllllngPltrlO('
RPllIrlCtlfilllljf'cttu
rlnllnCeChllr(le
PeriOdlcnllte 1,40000% 1.15000% .04603%
NUllllnalAlIflUll1 16.800% 13.800% 16.800%
f'ntCllnllllH,llillll
Annuli P,rcllnl.'ll' ~Il' 16.800% 13,800% 16.800%