HomeMy WebLinkAbout05-04-07 (2)
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REV.1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes ~
PO BOX.280601 ~
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Vear
INHERITANCE TAX RETURN
RESIDENT DECEDENT 2 1 0 6
FHa Number
753
Date of Birth
174208884
08132006
07061928
Decedent's Last Name
Suffix
Decedent's First Name
WAGGONBR
SARA
MI
B
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
[!] 1. OrIginal Return
o 4. Limited Estate
6. Decedenl Died Testate
(Attach Copy of WiI)
o 2. Supplemental Return
o
o
o
48. Future 1m-I CompnImise
(dale of deeIh after 12.12-82)
o
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
00
o
7 Decedenl Maintained a living Trust
. (Attach Copy of Trusl)
8. Total Number of Safe Deposit Boxes
9. Litigation Proceeds Received
10 Spousal Pov.Iy Credit (date of death
. batM8l12-31-ll1 and 1-1-95)
o
11.Election to tax under Sec. 9113(A)
(Attach Sch. 0)
~ORRESPONDENT. THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number .
CRAIG A. BATCB ESQ. 7177319600
Firm Name (If Applicable)
GATES, BALBRUNBR & BATCB,
REGISTER OF WILLS USE R~L Y
City or Post Office
LBMOYNE
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DATE:,f< D
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1013 MUMMA ROAD, SUITE 100
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First line of address
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Second line of address
State
PA
ZIP Code
17043
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Correspondenfs ..mail address: C.Hatch@GatesLawFlrm.com
Harvey Kenneth Waggoner Jr.
I PA 17050
Craig A. Hatch Esq.
DATE
S13/o '7
Lemoyne, PA 17043
Side 1
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J.505b01l2111a
REV-1500 EX
Decedent's Name: Sara B. Waggoner
RECAPITULATION
1. Real Estate (Schedule A).......................................................................................... 1.
2. Stocks and Bonds (Schedule B)............................................................................... 2.
3. Closely Held Corporation. Partnership or Selie-Proprietorship (Schedule C).......... 3.
4. Mortgages & Notes Receivable (Schedule D).......................................................... 4.
5. Cash. Bank Deposits & Miscellaneous Personal Property (Schedule E)................ 5.
6. Jointly Owned Property (Schedule F) D Separate Billing Requested............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) D Separate Billing Requested............. 7.
8. Total Gross Assets (total Lines 1-7)....................................................................... 8.
9. runeial C:"'Peiises & Administrative Costs (Schedule II)......................................... 9.
10. Debts of Decedent. Mortgage liabilities. & Liens (Schedule I)................................ 10.
11. Total Deductions (total Lines 9 & 10)...................................................................... 11.
12. Net Value of Estate (Line 8 minus Line 11)............................................................. 12.
13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J)................................................. 13.
14. Net Value Subject to Tax (Line 12 minus Line 13)................................................. 14.
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate. of
transfers under Sec. 9116
(a)(1.2)X ~
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
0.00
179,771.94
0.00
0.00
19. Tax Due............. ... .......... ..... ................................................................ .................. .... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
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15.
16.
17.
18.
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Decedenfs Social Security Number
174208884
161,900.00
26,517.75
1,205.75
10,765.49
200,388.99
19.320..60
1,296.45
20,617.05
179,771.94
179,771.94
0.00
8,089.74
0.00
0.00
8,089.74
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lSOSbOlli!llla
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REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-06-753
DECEDENT'S NAME
Sara B. Waggoner .
STREET ADDRESS
274 Susquehanna Avenue
CITY I STATE /ZIP
Enola PA 17025
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
8,089.74
0.00
3. InterestlPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + 8 + C)
(2)
0.00
Tota! InterestIPena!ty (D + E)
('1\
,VI
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Chec;k box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(4)
(5)
(SA)
(58)
8,089.74
8,089.74
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D
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.
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;..................................................................................
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?.. ..... ............................ ................................... .................... ................. ...........
Yes No
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[!]
[!]
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 spouse is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)).
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 zero
(0) percent [7~ P.S. ~9116 (a) (1.1) (Ii)). The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements
for disclosure pf 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 parentJ an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. ~9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent,
except as not$! in 72 P.S. ~9116 1.2) [72 P.S. ~9116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings Is twelve (12) percent [72 P.S. ~9116 (a) (1.3)). 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.
R~.1502 EX'" (8-98)
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8CHI!DUU A
REAL ESTATE
COMUONWEAI. rn OF PENNSVl VANIA
lNt1ERITANCE TAX REllJRN
RESIlENT DECEDENT
ESTATE OF
Waggoner, Sara B.
FILE NUMBER
21-06-753
All real property _eel aoIe1y or _ a lIInant In common muat be ~ at fair m81kel value. Fair market value Is deIlned as the price at which property would be
exchanged between a wIing buyer and a willing seller, neither being compelled to buy or 881, both having reasonllble knowledge of the relevant facts.
Real property which Is jointly_eel with light of survivorship must be d1scloeed on schedule F.
ITEM
NUMBER
1
DESCRIPTION
1 Cabin located at 113 Cottage Lane, - Shermansdale, Perry County, Pennsylvania
t7090; being Tax Parcel No. 040, 147.01-009.000; transferred to Harvey K. Waggoner
and Sara B. Waggoner by James O. Eslinger, Jr., and Susan E. Eslinger, by their
deed dated August 11,1977, and recorded on August 11,1977, in the Perry County
Recorder of Deeds Office at Deed Book 265, Page 70. Value per attached appraisal.
VALUE AT DATE
OF DEATH
49.000.00
2
1 Single-family dwelling located at 274 Susquehanna Avenue, - Enola, Cumberland
County, Pennsylvania; being TalC Pare,,' No, 14-0832..0095-0000000-09; transferred
to Harvey K. Waggoner and Sara B. Waggoner by Morlor Hoover and Catherine M.
Hoover, on August 6, 1951, by deed recorded in the Office of the Recorder of Deeds
of Cumberland County, Pennsylvania, at Deed Book 14T, Page 480. Harvey K.
Waggoner predeceased Sara B. Waggoner, thereby vesting sole title to the
premises in Sara B. Waggoner. Value is gross sales. price.
112.900.00
TOTAL (Also enter on Une 1, Recapitulation)
161,900.00
.
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Fonn PA-1500 Schedule A (Rev. 6-98)
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Reo:'.1503 EX+'(6-I8}
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8CHEDUU .
STOCKS & BONDS
C~THOFPENNsYLVANIA
INHERITANCE TAX RETURN
RESIlENT DECEDENT
Waggoner, Sara B.
FILE NUMBER
21-06-753
ESTATE OF
All property jolnlly-owned with light of aurvlvor1lhlp mua1 be dIlCloHd on Sch8dule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VAlUE OF DEATH
1 814 shares of Manultfe Financial Corporation common 31.625 25.742.75
stock; - DOD High $32.02 per share; DaD Low $31.23
per share; DODAVG $31.&25 per share.
2 US Savings Bonds 775.00
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TOTAL (Also enter on Une 2, Recapltullltlon) 26.517.75
(If more space Is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule B (Rev. 6-98)
Re:-"1508 EX'" (6-91)
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SCHIEDULII IE
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEAl. TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIlENT DECEDENT
ESTATE OF
Waggoner, Sara B.
FILE NUMBER
21-06-753
Include the proceeds of litigation and the date the proceeds -. received by the estate.
All property /<Ilntly-owned with the I1ght 01 Hl'VlYarahIp IllUSt be dIKIoeed on Khedule F.
ITEM
NUMBER DESCRIPTION
1 AAA Membership - refund
VALUE AT DATE
OF DEATH
62.37
2 AT&T - refund
14.81
3 Donegal Mutual Insurance Co. - refund of unused auto premium
174.00
4 MCI - refund
95.59
5 Refund of insurance premium
158.98
6 Miscellaneous Personal Property - value is sales price
700.00
TOTAL (Also enter on Line 5, Recapitulation)
1.205.75
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
R~.1509 EX. (8-98)
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.eN.DULII P
JOINTL Y-OWNED PROPERTY
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIlEHT DECEDENT
ESTATE OF
FILE NUMBER
Waggoner, Sara B. 21-06-753
If... .... _ m_ joint w1lh1n one ,.... of the decedent. dID of dNlh. It must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A.
B.
C.
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTllUTION AND BANK ACCOUNT DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSE1' INTEREST DECEDENT'S INTEREST
JOINTL V-HELD REAL ESTATE.
1 A 3/18/2002 PNC Bank - Certificate of Deposit 6,179.46 50.000% 3,089.73
Acct. No. 31000276716
2 C 3/18/2002 PNC Bank - Certificate of Deposit 6,179.46 50.000% 3,089.73
Acct. No. 31600278186
3 B 3/18/2002 PNC Bank - Certificate of Deposit 6,179.46 50.000% 3,089.73
Acct. No. 31400279497
4 A 7/20/2001 PNC Bank - Checking Account 2,992.60 50.000% 1,496.30
Acct. No. 5140311911
TOTAL (Also enter on Line 6, Recapitulation) 10.765.49
(If more space Is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule F (Rev. 6-98)
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R~V.1151 EX" (12-99)
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COMUONWEAL TH OF PENNSYlVANIA
INHERITANCE Till( RETURN
RESIDENT DECEDENT
SCHBDUU H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Waggoner, Sara B.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-753
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 5,345.78
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s): .
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees
3. Family Exemption: (If decedenfs address is not the same as ciaimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 13,974.82
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 19,320.60
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
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Rev.1502 EX" (8-IllI)
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SCHBDUU H-A
FUNERAL EXPENSES
continued
~THOFPENNSYl.VANIA
N1ERrrANCE TAX RETURN
RESIlI!NT DECEDENT
Waggoner, Sara B.
FILE NUMBER
21-06-753
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Brachendorf Memorials, Inc. -gravesite marker
295.00
2
Post-funerallunch80n
472.78
3
Richardson Funeral Home - funeral goods & services
4.578.00
Subtotal
5.345.78
. Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
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8CHBDULB H-87
OTHER
ADMINISTRATIVE COSTS
continued
Rev-1!102 EX. (6-lIII)
COMMONWEAlTH OF PENNSVlVNMA
NtERrrANCE TAX RETURN
RElIllENT DECEDENT
ESTATE OF
Waggoner, Sara B.
FILE NUMBER
21-0&0753
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
American Window & Repair Co. - window repair to 274 Susquehanna Avenue
property
84.80
2 Comcast - cable bill 143.46
3 Cumberland Law Journal - publication of estate notice 75.00
4 East Pennsboro Township - sewer bill 105.70
5 Expenses incurred In cleaning, moving and hauling junk from - 274 Susquehanna 112.00
Avenue property.
6 Expenses incurred In cleaning, moving and hauling property from - 274 911.52
Susquehanna Avenue property.
7 Fidelity National Insurance - flood Insurance premium 535.00
8 Joe Keller - lawn maintenance at Perry County property 200.00
9 MCI - phone service 237.27
10 Miscellaneous Administrative Expenses - (postage, photocopying charges, etc.) 42.30
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11 Notary Public - fees 5.00
12 PA American Water - utility bill 101.30
13 Patriot-News - publication of estate notice 272.10
14 PNC Bank - account service charges 46.20
15 Register of Wills - short certificates 20.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H-B7 (Rev. 6-98)
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Rev-1502 EX+ (6-81)
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8CHEDULE H.87
OTHER
ADMINISTRATIVE COSTS
continued
coMMoNwEALTH of PENNSYLVANIA
INHERITANCE TAX RETURN
RESIlENT DECEDENT
ESTATE OF
Waggoner, Sara B.
FILE NUMBER
21-06-753
ITEM
NUMBER
DESCRIPTION
AMOUNT
16
Sadler Oil Co. - fuel oil
232.20
17
Settlement charges on sale of - 274 Susquehanna Avenue property. See attached
copy of settlement statement.
10.103.00
18
UGI - utility
96.76
19
W. Perry School District - real estate taxes on cabin
348.66
20
PPL - electric; utility fJervice
302.55
~
Subtotal
13.974.82
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
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Rev.1512 EX"'(6-98)
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SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIlENT DECEDENT
Waggoner, Sara B.
FILE NUMBER
21-06-753
ESTATE OF
Include unrelmbul1l4lCl medlcaI expen_.
ITEM
NUMBER DESCRIPTION
1 AUTORx - pharmacy bill
VALUE AT DATE
OF DEATH
23.99
2 Comcast - cable bill
47.82
3 Discover - credit card debt
67.43
4 Donegal Mutual Insurance Co. - auto insurance premium
233.00
5 Dr. Innero - medical bill
37.92
6 East Pennsboro Ambulance - emergency medical transport
102.50
7 Fidelity National Insurance Co. - flood insurance premium
(paid prior to date of death and check cleared after date of death)
535.00
8 HealthSouth - medical bill
17.00
9 MCI - phone service
63.39
10 PA American Water - utility bill
28.29
11 PNC Bank - credit card
86.42
12 PPL - electric utility service
53.69
TOTAL (Also enter on Line 10, Recapitulation)
1,296.45
(If more Splllce Is Meded, additional plIIgeB ofthe same size)
Copyright (c) 2002fonn software only The Lackner Group, Inc.
Fonn PA-1500 Schedule I (Rev. 6-98)
REV-1513 ~ (9-00)
ESTATE ()F
NUMBER
I.
1
2
3
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHI!DULI! ..
BENEFICIARIES
.
Waggoner, Sara B.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS pnclude outright spousal
t1istributions. and transfers
under Sec. 9116(a)(1.2)]
Harvey Kenneth Waggoner Jr.
5105 Inemess Drive
Mechanicsburg, PA 17050
FILE NUMBER
21-06-753
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
RELATIONSHIP TO
DECEDENT
Do Not Ust T~.I
Son
60,785.86
Randy Steven Waggoner
2633 NW 123rd Terrace
Pompano Beach, FL 33065
Douglas Allen Waggoner
1060 Jackson Road
Covington, KY 41011
Son
59,289.39
Son
59,289.39
Total 179,364.64
Enter dollar amounts for distributions shown above on lines 5 through 18, as appropnate. on Rev 1500 cover sheet
ll. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TdTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group,lnc.
Form PA.1500 Schedule J (Rev. 6-98)
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DEATH CERTIFICATE
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This is to certify that the infonnation here given is cOlTectly copied from an original certificate of death duly filed with me as
Local Registrar. The original ce11ificatell be forwarded to the State Vital Recor_ffice for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Local Registrar
Fee for this certificate. $6.00
P 12627253
AUO 1 7 2006
Date
COWONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. vrrAL RECORDe
CERTIFICATE OF DEATH
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LAST WILL AND TESTAMENT
OF
SARA B. WAGGONER
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LAST WILL AND TESTAMENT
ill:
SARA B. WAGGONER
I, SARA B. WAGGONER, now of 274 Susquehanna Avenue, Enola, Cumberland
Cbunty, Pennsylvania, 17025, do publish and declare this to be my Last Will and Testament,
hereby revoking all other prior wills and codicils made by me.
(Q)~W
FIRST: Family Bacqround and Appointment of Executor.
(A) FAllli~ and Bacqround Information. I am not currently married. My children are
HARVEY KENNETH WAGGONER, JR., DOUGLAS ALLEN WAGGONER and
RANDY STEVEN WAGGONER. Throughout this Will, HARVEY KENNETH
WAGGONER, JR., DOUGLAS ALLEN WAGGONER and RANDY STEVEN
WAGGONER will be referred to as "my children". The word "issue" will include my children
as well as my other descendants.
(8) Appointment of Executor. I appoint as my Executors (all hereinafter referred to .
as Executor) under this Will, the following named persons to serve without bond and without
being required to account to any Court:
Executon: My son, HARVEY KENNETH WAGGONER, JR., and my
grandaughter, JODI L. RINEER, (or the survivor) to act jointly or
individually.
SECOND: Funeral and Last Illness Expenses: TaxeS.
(A) Expenses of Funeral and Last Illness. I direct my Executor to pay my funeral
expenses and the expenses of my last illness from my estate.
(8) Taxes. I direct my Executor to pay any and all estate, inheritance, succession,
legacy, transfer and other death taxes or duties, by whatever name called, including any and all
int~est and penalties thereon, imposed under the laws of any jurisdiction by reason of my death,
upOn or with respe(,1 to any and all property included in my gross estate for the purpose of such
taJQes, whether such property passes under or outside of this Will, out of my residuary estate,
without being prorated or apportioned among or charged against the respective devises, legatees,
belleficiaries, transferees, or other recipients of any such property or charged against any property
pWfsing or which may have passed to any of them. The Executor shall not be entitled to .
reimbursement for any portion of any such taxes from any sucQ. person.
THIRD: Taneible Penonal Property. Except for those items excluded below and
thOiSe items enumerated in the Letter of Instruction, I bequeath to my siblings, living at the time
of ~y death, all tangible personal property, including but not limited to Clothing, jewelry,
he 1. looms, furniture, personal effects,.motor vehicles, and all other similar articles, which I own,
an the insurance thereon, to be divided between my children,- HARVEY KENNETH
W , GGONER, JR., DOUGLAS ALLEN WAGGONER and RANDY STEVEN
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LAST WILL AND TESTAMENT.
ill:
SARA B. WAGGONER
PAGE 2
WAGGONER, as they may select in as nearly equal shares as is practical. If my children do not
survive me, I leave such tangible personal property to the issue of my children; per stirpes. If
there is any disagreement. as to distribution, I direct my executor to make such distribution. The
decision of my executor shall be final and binding. Any items not selected or any items which
my executor considers unsuitable for my grandchildren may be distributed or sold in the sole
discretion of my executor 3!1d, if sold, the net proceeds therefrom shall be added to the residue of
my estate. Tangible personal property shall not include: (1) any and all property used by me in
any business, (2) cash on hand or on deposit in banks, (3) stock or securities, (4) any type of
evidence of indebtedness, and (5) any life, health or accident insurance policies.
Notwithstanding any other provisions in this Article THIRD, I may leave a separate,
dated and unsigned Letter of Instruction, which I shall place with my Will, containing directions
as to the ultimate disposition of certain of the property bequeathed under this Article THIRD, and
such Letter of Instruction shall determine the distribution of such items.
FOURTH: Residuary Gifts.
(A) I give, devise and bequeath all the rest, residue and remainder of my estate, of
every kind and character, real, personal and mixed, tangible and intangible, and wherever
situated, including any lapsed or renounced legacies or devises (and including any property over
which I may have a power of appointment), in equal shares, to my children, HARVEY
KENNETH W AGGONER,JR., DOUGLAS ALLEN WAGGONER and RANDY STEVEN
WAGGONER, per stirpes.
(8) Distributions Duriot Administration. Prior to final distribution of my estate, the
Executor, in his discretion, may make partial distributions to one or more beneficiaries or Trusts.
As a consequence, the Executorship and any Trusts created under this Will may exist
contemporaneously. A distribution may be made subject to any indebtedness or liability of my
estate.
FIFTH: Powers of ~xecutor. In addition to the powers and duties as may have been
granted elsewhere in this Will, but subject to any limitations stated elsewhere in this Will, the
Executor shall have and exercise exclusive management and control of the Estate and shall be
vested with the following specific powers and discretion, in addition to the powers as may be
generally conferred from time to time upon the Executor by law:
(A) In the management, care and disposition of the Estate, the Executor shall have the
power to do all things and to execute such instruments, deeds, or other documents as may be -
deemed necessary or proper, including the following powers, all of which may be exercised
without order of or report to any Court:
(1) To sell, exchange or otherwise dispose of any property at any time held or
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LAST WILL AND TESTAMENT
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SARA B. WAGGONER
PAGE 3
acquired hereunder, at public or private sale, for cash or on tenns, without advertisement,
including the right to lease for any tenn notwithstanding the period of the Estate, and to
grant options, including any option for a period beyond the duration of the Estate.
(2) To invest all monies in such stocks, bonds, securities, mortgages, notes,
choses in action, real estate or improvements thereon, and any other property as the
Executor may deem best, without regard to any law now or hereafter enforced limiting
investments of fiduciaries.
(3) To retain for investment any property deposited with the Executor hereunder.
(4) To vote in person or by proxy any corporate stock or other security and to
agree to or take any other action in regard to any reorganization, merger, consolidation,
liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note
or other security.
(5) To use attorneys, real estate brokers, accountants and other agents, if such
employment is deemed necessary or desirable, and to pay reasonable compensation for
their services.
(6) To compromise, settle or adjust any claim or demand by or against the Estate
and to agree to any rescission or modification of any contract or agreement affecting the
Estate.
(7) To renew any indebtedness, as well as to borrow money, and to secure the
same by mortgaging, pledging or conveying any property of the Estate. .
(8) To retain and carry on any business in which the Estate may acquire an
interest, to acquire additional interest in any such business, to agree to the liquidation in
kind of any corporation in which the Estate may have an interest and to carry on the
business thereof, to join with other owners in adopting any fonn of management for any
business or property in which the Estate may have an interest, to become or remain a
partner, general or limited, in regard to any such business or property and to hold the
stock or other securities as an investment, and to employ agents and confer on them
authority to manage and operate the business, property or corporation, without liability
for the acts of such agent or for any loss, liability or indebtedness of such business if the
management is selected or retained with reasonable care.
(9) To register any stock, bond or other security in the name of a nominee,
without the addition of words indicating that such security is held in a fiduciary capacity,
but accurate records shall be maintained showing that such security is a Estate asset and
the Executor shall be responsible' for the acts of such nominee.
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LAST WILL AND TESTAMENT
.QE
SARAH. WAGGONER
PAGE 4
(B) Whenever the Executor is directed to distribute any Estate assets in fee simple to a
person who is then under twenty-one (21) years of age, the Executor shall be authorized to hold
such property in Trust for such person until he/she becomes twenty-one (21) years of age, and in
the meantime shall use such part of the income and the principal of the Estate as the Executor
may deem necessary to provide for the proper support and education of such person. If such
person should die before becoming twenty-otie (21) years of age, the property then remaining in
trust shall be distributed to the personal representative of such person's estate.
(e) In making distributions from the Estate to or for the benefit of any minor or other
person under a legal disability, the Executor need not require the appointment of a guardian, but
shall be authorized to payor deliver the same to the custodian of such person, to payor deliver
the same to such person without the intervention of a guardian, to payor deliver the same to a
legal guardian of such person if one has already been appointed, or to use the same for the benefit
of such person.
(D) In the disbursement of the Estate and any division into separate trusts or shares,
the Executor shall be authorized to make the distribution and division in money or in kind, or
both, regardless of the basis for income tax purposes of any property distributed or divided in
kind, and the distribution and division made and the values established by the Executor shall be
binding and conclusive on all persons taking hereunder. The Executor may in making such
distribution or division allot undivided interests in the same property to several trusts or shares.
(E) The Executor shall be authorized to lend or borrow, including the right to lend to
or borrow from any trusts which I or my husband may have established during life or by will at
an adequate rate of interest and with adequate security, and upon such terms and conditions as
the Executor shall deem fair and equitable.
(F) The Executor shall be authorized to sell or purchase at the fair market value as
determined by the Executor, any property to or from any trust created by me or my husband
during life or by Will, even though the same person or corporation may be acting as Executor of
my estate or as Trustee of any of my other trusts.
(G) The Executor shall have discretion to determine whether items should be charged
or credited to income or principal or allocated between income and principal as the Executor may
deem equitable and fair under all the circumstances, including the power to amortize or fail to
amortize any part or all of any premium or discount, to treat any part or all of the profit resulting
from the maturity or sale of any asset, whether purchased at a premium or at a discount, as
income or principal or apportion the same between income and principal, to apportion the sales
price of any asset between income and principal, to treat any dividend or other distribution of any
investment as income or principal, or apportion the same between income and principal, to
charge any expense against income or principal or apportion the same, and to provide or fail to
provide a reasonable reserve against depreciation or obsolescence on any assets subject to
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LAST WILL AND TEST AMENT
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PAGES
depreciation or obsolescence, all as the Executor may reasonably deem equitable and just under
all the circumstances. If the Executor does not exercise the.above discretionary power, the cash
or accrual allocation shall be in accordance with Chapter 81 of Title 20 of the Pennsylvania
Consolidated Statutes, orthe corresponding provisions of subsequent state law.
(B) If at any time the total fair market value of the assets of any trust established or to
be established hereunder is so small that the corporate Trustee's annual fee for administering the
trust would be the minimum annual fee set forth in the Trustee's regularly published fee schedule
then, in effect, the Trustee in its discretion shall be authorized to terminate such trust or to decide
not to establish such trust, and in such event the property then held in or to be distributed to such
trust shall be distributed to the persons who are then or would be entitled to the income of such
trust. . If the amount of income to be received by such persons is to be determined in the
discretion of the Trustee, then the Trustee shall distribute the property among such of the persons
to whom the Trustee is authorized to distribute income, and in such proportions, as the Trustee in
its discretion shall determine. .
(I) Except as otherwise provided in this Will, when the authority and power under
this Will is vested in two (2) or more Executors or Trustees, the authority and powers are to be
held jointly by the Executors or Trustees, respectively. A majority of the Executors or Trustees
may exercise;; any authority or power granted under this Will or granted by law, and may act _
under this Will. Any attempt by one such Executor or Trustee to act under this Will on other
than ministerial acts shall be void. The action of one such Executor or Trustee under this Will
may be validated by a subsequent ratification of the act by a majority of the Executors or
Trustees.
SIXTH: Ripts and Liabilities of Executor.
(A) No bond or other security shall be required of any Executor.
(8) This instrument always shall be construed in favor of the validity of any act or
omission by any Executor, and any Executor shall not be liable for any act or omission except in
the case of gross negligence, bad faith or fraud. Specifically, in assessing the propriety of any
investment, the overall performance of the entire Estate shall be taken into account.
(C) Each Executor shall be entitled to receive reasonable compensation for services
actually rendered to my estate, in an amount the Executor normally and customarily charges for
performing similar services during the time which he/she performs the services.
SEVENTH: Spendthrift Provision. No beneficiary shall have the power to anticipate,
enc:lunber or transfer his or her interest in the estate in any manner other than by the valid
exercise of a power of appointment.. No part of the estate shall be liable for or charged with any
debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any
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LAST WILL AND TESTAMENT
.QE
SARA B. WAGGONER
PAGE 6
creditor of a beneficiary.
EIGHTH: Tax Elections.
(A) In determining the estate, inheritance and income tax liability relating to my
Estate, the Executor's decision as to all available tax elections shall be conclusive on all
concerned. If the Executor joins with my husband in filing income tax returns, or consenting for
gift tax purposes to having gifts made by either of us during my life considered as having been
made one-half by e.ach of us, any resulting liability shall be borne by my Estate and my husband
in such proportions as they may agree. In accordance with IRe Section 2632(a) and without
regard to whether a Federal estate tax return is actually filed, my Executor shall allocate so much
of the Federal Generation Skipping Transfer (GST) exemption amount as will fully exempt any
generation skipping transfer which may occur under this Will.
(B) The Executor may, in its discretion, determine the date as of which my gross
estate shall be valued for the purpose of determining the applicable tax payable by reason of my
death.
(C) The Executor may, in its discretion, decide whether all or any part of certain
deductions shall be taken as income tax deductions (even though they may equal or exceed the
taxable income of my estate and whether or not claimed or of benefit on my estate's income tax
return) or as estate tax deductions when a choice is available; and in the event that all or any part
of such deductions are taken as income tax deductions, no adjustment of income and principal
accounts in my estate shall be made as a result of such decisions.
NINTH: Definitions and General Provisions.
(A) Survival. Any beneficiary who dies within sixty (60) days after my death shall be
considered not to have survived me.
(B) Captions. The captions set forth in this Will at the beginning of the various
articles hereof are for convenience of reference only and shall not be deemed to define or limit
the provisions hereof or to affect in any way their construction and application.
(C) Children. As used in this Will, the words "child" and "children" shall include
persons who are legally adopted and the issue of said persons, whether born in or out of wedlock,
so long as any person born out of wedlock is acknowledged in a written instrument executed by
the one of their natural parents who is a descendant of mine to be the child of said descendant.
The word "issue" shall include descendants of all generations inclllding adopted persons. A
posthumous child shall be considered as living at the death of his parent. The birth to me or the
ad~ption by me of a child or children subsequent to the execution of this Will shall not operate to
revoke this Will. Except for discretionary di~tributions which may be made unequally among a
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LAST WILL AND TEST AMENT
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SARAH. WAGGONER
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group of persons and distributions pursuant to a valid exercise of a power of appointment, in
making a distribution to the children of any person, the property to be distributed shall be divided
into as many shares as there are living children of the person and deceased children of the person
who left children who are then living. Each living child shall take one share and the share of
each deceased child shall be divided among his then-living descendants in the same manner.
(D) ~. Unless otherwise stated, all references in my Will to section and chapter
numbers are to those of the Internal Revenue Code of 1986, as amended, or the corresponding
provisions of any subsequent federal tax taws applicable to my estate. .
(E) Other terms. The use of any gender includes the other genders, and the use of
either the singular or the plural includes the other.
(F) Powen of 1\ppointment are Exercised. By this Will I exercise any and all
Powers of Appointment which I possess at the time of my death.
IN WITNESS WHEREOF, I, SARA B. WAGGONER, the Testatrix, have to this my
Last Will arid Testament, typewritten on eight (8) pages, including the Acknowledgment and
Affidavit, set my hand and seal this 8th day of June, 2006.
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Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will
and Testament, in the presence of us, who have hereunto subscribed our names at her request, as
witnesses hereto, in the presence of the said Testatrix, and in the presence of each other. Each of
us further declares that he or she believes the Testatrix to be of sound mind and memory. The
preceding instrument consists of this and seven (7) oUter consecutively numbered typewritten
pages including the Acknowledgment and Affidavit.
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ACKNOWLEDGMENTANDA~AVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
The Testatrix and the witnesses whose names are signed and subscribed to the attached or
foregoing instrwnent, being first duly sworn and qualified according to law, do hereby
acknowledge, depose and say to the undersigned authority, that the Testatrix signed and executed
the instrwnent as her Last Will in the presence of the witnesses; that she signed it willingly or
willingly directed another to sign it for her; that she executed it as her free and voluntary act for
the purposes therein expressed; that each of the witnesses were present and saw the Testatrix sign
and execute the instrwnent as her Last Will; that each subscribing witne.'ls in the hearing and
sight ofthe Testatrix signed the will as witnesses; and that to the best of their knowledge the
Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint
or undue influence.
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Sworn to or affirmed, subscribed to, and acknowledg
Testatrix and witnesses, this 8th day of June, 2006.
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CO ONWEALTH OF PBNNSYLVANIA
Notarial Seal
. Tert L w~. Notary Public
~ Bolo. CUInbertand County
CommIs8Ion ExpIres Jan. 20. 2fXrl
. Meqlber, Pemsylvanle AuooIfttlon m Ntlt~
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SCHEDULE A
REAL ESTATE
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MADE THE 11th day of August
of our Lord. one fAou8and fIine 1ut.ndred seventy seven (1977)
in the year
BETWEEN JAMES O. ESLINGER, JR. and SUSAN E. ESLINGER, his wife, of East
Pennsboro Township, Cumberland County, Pennsylvania,
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Gmfttors ,
and HARVEY K. WAGGONER and SARA B. WAGGONER, his wife, of EastPennsboro
Township, Cumberland County, Pennsylvania,
Gmfttee s :
WITNESSETH,tlrllt in COtIBideration of
Eight Thousand and 00/100 . ($8,000.00)
i. hand paid. the receipt whtweof "we"" acTmawledged, the BlJ.Ulgmtltors do
and COft1181/ to the 8aid. (lmAtee s, their heirs and assigns, as tenants by
Dolla""
,hereby grant
the entirety,
ALL that certain tract of land with improvements thereon situate in Carroll Town-
ship, Perry County, Pennsylvania, bounded and described in accordance with that
certain survey of Louis J. Harford, R.S., dated August 8, 1977, as follows, to wit:
BEGINNING at an iron pin in the eastern line of a 10 foot right of way at corner
of lands now or formerly of James O. Eslinger, Sr.; thence north 02 degrees 17
minutes 58 seconds east 65 feet along the eastern line of said 10 foot right of
way to an iron pipe at corner of lands now or formerly of Kenneth Yorty; thence
north 86 degrees 05 minutes 13 seconds east 152.52 feet along lands now or for-
merly of Kenneth Yorty to an iron pin; thence north 86 degrees 05 minutes 13
seconds east 14 feet along lands now or formerly of Kenneth Yorty to a point along
the western bank of Shermans Creek; thence along the west bank of Shermans Creek
south 06 degrees 31 minutes 51 seconda west 65.71 feet to a point at corner of
lands now or formerly of James O. Eslinger, Sr.; thence south 86 degrees 05 minutes
13 seconds west 9 feet along lands now or formerly of James O. Eslinger, Sr., to an
iron pin; thence south 86 degrees 05 minutes 13 seconds west 152.64 feet along lands
now or formerly of James O. Eslinger, Sr., to an iron pin in the eastern line of a
10 foot right of way, the point or place of BEGINNING.
CONTAINING 10,603 square feet.
THERE IS FURTHER granted and conveyed unto the grantees herein, their heirs and
assigns, a right of way over the roadway 10 feet in width which borders the western
side of the property herein conveyed, in c~ with other persons entitled to use
the same, for the purpose of ingress and egress from said lot of ground ~n a
southerly direction and thence in a wester.ly d1:rer.t1.on to the township road.
BEING the same property which was conveyed to James O. Eslinger, Jr., and Susan E.
Eslinger, his wife, grantors herein, by two deeds, to wit: Deed of James O. Eslinger,
Jr., dated June 17, 1974, and recorded in Perry County Deed Book 237, Page 65, and
deed of Kenneth L. Yorty and Connie R. Yorty, his wife, dated June 17, 1974, and
recorded in Perry County Deed Book 237, Page 67.
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11317
PERRY
SlIIe PA
TABLE OF COIlTENTS
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UIWl ................................................................................................................................................................................................................................ 1
AIIdIIIonal ComparIbIes 4-6 ..........................._................................................................................................................................................................. 7
5m)llCl PholDs .................................................................................................................................................................................................................. 8
AdcIlIanal'SUlJjec:l PhokII ................ ................................................................................................ .............. .................................................................... 9
CciIqJa1bIe PholDs 1.3 ...................... ................................................................................................................................... ............................................ 10
Comp;nbIe PhorJs 4-6 .................. .................................................................................................................................................................................. 11
IlSPAP Idenlil1callDn ...................... ..............................................................._............................................................................................;.................. 12
MuIa-Purpon SuppIImenlaI AddenIbn ............................................................................................................................................................................ 13
BuIdIng Slilb:h :....................... ...........................................................................;.............................................................................................................. 15
loc:aIIon Map ................................_.....................................................................................................................................................:........................... 16
ApIJraiser's CdficaIll ..... ........... ................................................................................................. .............. ................. ............. .............. ............................. 17
Invoice .............................................................................................................................................................................................................................. 18
Form TOCP - 'TOTAL Ill' WIndaws" ..... soIlW1r1 by III mode. inc. - 1-8lJG.Al.AM0ilE
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MlchaII R En! mn 730-3010
ifill No. 113170901 Paae "11
U If R id tiaI A rai aI R art 11317090
n onn es en 'ppr s epl fit I 11317090
The lIIIIII08I 01 Ills nmrt Is III nmWlll tlle IIl*/cIenl will an IICC8IIIlt. and adIwaIIIv &UIIlIOIlId. ....... III tlle II1lIlIIl valUe 01 tlle sublecl DIllIlBI1V.
PnIIIlIIv AddlISs 113 COTTAGE LANE CIIy SHERMANSOALE Slale PA ~ Code 17090-8517
eon- KEN WAGGONER 0_ 01 PubIc Record SARA WAGGONER, ESTATE County PERRY
DEED BOOK 237' PAGE 65
ASSlSSOI's Pm" 040.147.01-009.000
N~ Name RURAL SHERMANSDALE AREA
OtcIllllll1l ! '0- - TII1aI1l '';( VacR Special Assessl1lllnls $
x Fee SInDI r leaseOOkl . r: Oller tdlsc:rllel
AssiInnn TWO -II PII1:hast Transdln :. RelDInce TraneadIon 15: Oller ldesatJe\ ESTATE OF SARA WAGGONER
l.oo.rtClenl ESTATE OF SARA WAGGONER Adlhsa 274 SUSQUEHANNA AVE.
Is tht sulJjIIct IJIlIPBl\Y cUlllldly oIIeRd lor $IIle or has D been oIIeRd for sale In tht 1we1ve monIhs prior 10 tht eftec1lYe dale ollis appraisal?
Reoort dala soorcelsl used, oIlMiMniirAlSi and _sl.
Tax Year 2006
Map RlIftt8ncl 040.147.01..Q09
o C PIll
R.E. TiIlIIlS $ 465.0013240
Census Tract 0305.01
HOA S r:. per year C per month
o Yes ;& No
I C did U did IIClIllalylll tie canIIaCllor sale for tht ~ ~ nnucIb1. ElipIaIn tlle I8Slllls 01 tlle NysIs ollhll canIIaCl for sale 01 why lhe lIIIlysis was not
PIIfaImed.
CoolraClPrtce $ 0Ite 01 Contra:! Is lhe IIIIDIIY seier the ownerolllUblc reconj? r Yes ,"', No DiU Sourcefsl
Is lhn any financial assIslance (loan cllargH, sate COIICIISlanI, gill or downpaymerd usls1ance,lIIc.llo be pIid by any party on behalf olllle bonower'I
" Yes. I1IIlIII tlle 10laI dolW amount and descrlle 1he "ems to be oaId.
DYes _No
HeM: 1lIllI1IIlI1Ii1'lClll 11#" ..1IOl.....lIClDn.
ChacIIIIdcI 0IIrIIIII1lauIlna TI'MlII ~ HouIlna ""-d lIlld lIIe '4
I.ocIlIon llMlall SubIIban .~ Rural PnIIIlIIv Vabls "X. mtasIno . ~ SIabIe [; Ileclilinn PRICE AGE One-Un" 85 % i
Suilil 'If 0WIr75" 25.751 '7 Under25" I Shonaoe ;Z In BalInce r! OverSupply S fIllVI\ tVlSl 2-4 Unit 2.5"
GIoll*I n RaIid R SlaI* r~ Slow I Martalana Tine I 'Under 3 mils R. 3-6 nha '1 Over 6 mdIs 30 low NEW MIIIII.flllllv 2.5 %
8000dartes ROUTE 1'7 TO THE NORTH THE SUSQUEHANNA RIVER TO THE EAST 200 'HiIliI 200 CoomIIclal 10 %
II~ER Nn ~OUNTY TO THE SOUTH ANO TUSt'-'l.RORA STATE FOREST TO THE WEST. 100 PIIII. 30-60 01her %
~ RURAL AREA WITH AVERAGE ACCESS TO EMPLOYMENT, SCHOOLS. SHOPPING AND RECREATION.
MarbI CondIIons IlrQ/dInn sumOltlor lhI__ concluslons\ MARKET CONDITIONS ARE GOOD. PROPERTY VALUES ARE INCREASING. DEMAND
AND SUPPLY APPEAR TO." IN BA' Jl.Nr.E. AVERAGE MARICI"T1NG TIME IS CURRENTlY 60 TO 120 DAYS. AVAILABLE MORTGAGE
RATES AND TERMS HAVE RBiN ATTRACTIVE.
IlInBISlons 65 X 152.~ X 65.71 X 152.64 AIea 02288 ACRE 5I1IDll RECTANGLE, MIL VIBw CREEK
S CIassIllcaIIon 101 RESlnI'NTIAL Z RESIDENTIAL SINGLE FAMILY
Z ~ ,.... r'..... NoncorIonnIna I~ Use) 'i No Zonna ,,1IeaaI tdesclllel
Is lhI hiahest and best use 01 s as in.roved 101 as and tlle lIIISIlIl us.? i7 Yes r' No "No. descr1be
UIMlee NIlIc Olher ldeloltbel PuIIIID Olher (deIoItbeI llIl-eIIe - T_ Publlo Pllvele
EIec1ricI\y :z n Willer n 11<', WELL SI!eet GRAVEL '7
Ges Ii NlA SanIIJrv S- " X' SEPTIC AIIe'I NlA I
fEMA Saet:IaI Flood Hazard Area r' Yes 0( No FEMA Flood Zone X FEMA Mall" 421949OO10B FEMA M'"' Date 9/411987
AIIIle Idles and 011-. lYPical 1M lhIlMkef _? ::'?i Yes n No "No, describe
All thtre lIlY adVelIe silt C1IldIIIons or .lIIemaIlaclor1 (1IIIIlIIIU encroacm.a. envionmenIII concIlIons. land uses etc. ? 'Yes:'7 No "Yes. describe
NONE NOTED DURING INSPECTION. APPRAISER IS NOT EXPERT IN ENVIRONMENTAL MATTERS. COTTAGE LANE IS A PRIVATE
ROADWAY MAINTAINED BY THE PROPERTY OWNERS THAT HAVE ACCESS. SUBJECT IS NOT LOCATED IN A FLOOD?:.QNE AQ..CORDING
TO THE FLOOD SERVICED USED HOWEVER THAT MAY NOT BE THE CASE SINCE SHERMANS CREEK IS A PROPERTY BOUNDARY.
ClenerIl- FoundlIllon EdIdar llIIClIIIfan 1IIIleIIIlaI--' InlIrIIr mamrlIm/eondlllon
Unils)( One r- OnewlllAccesoorvUnll . CoocIeteSlab r CrawlSpace ftJundaIIonWaIIs -'BLOcKiWOoDPIER Floors PLYWD/CPT
#ofSlolles 1.5 . f.-Basement 'nPi.tialBasemenl Ea1edorWaIIs EXTERIOR PLYWD. Wals WOOD PANELLING
T'/III X Del.' 'AD. n S-Del./End UnlI IlaMmeIi AI1a sq.ft. Rool Swface FG.SHI~G.~ETAl Ti1rfIIfkUh WOOD/STAINED
'',1' ~- fi Pmoosed ,", Under Cons" Balement finish " Gmters & llownsPllUlS ALUMINUM 8a1h FkIor CARPET
DesIon tSlYIel 1.5 STORY i 0UIslde Emv/Ed ' SUmn Pumn \\1ndow Twe WD/ALUM.COMBO. 8a1h Wainscot PANEL
Y..-SUII 1976 Evldeflceol k1feelelIon SfonnSash/lnsutated PARTIAL r....~....... None
Elfee1tveAlIOlYrs\ 25 . n.mnn... , '.SellIemInt Screens PARTIAl >: Ortvewav "oICars 6
Aile . .;. None 1_, fWA 'IIWBB I: RIlllart AmenIIIes i . Woodstove sl " llrtWwav'Swface GRAVEL
Ilnlo S,* SIaIrs 1'7 0Ih.- STO\110 Fuel . KEROSENE ,: _'sl " ~ ftnce . G...... , III Cars
Roor ScUllle IC~ ' ,Central Nf ConcIIIolina "XI PaIIoIDeck DECK ~ Porch . r.>l11lYl " of Cars
J finished r Heaf8d'~ .i' - llIher ' Pool C 0Iher l All ~ Del. r' Bullt~n
~es; . IIeInIermr :'X'1lannoIOw!n .-', DIshwasfJer . D1snosal ii IoIcrowaw I WasherillMr 0Iher idescrlle\ -
RriIll1ed ana __lIIlIde contains: 4 RiIoms 2 IlednJoms .5 8a1h(s) 1.560 Square feel of Gross lMnoArea Above Grade
MIIlonaIIIaklIlls (special eneqlV eIIIcIent Ilems. lie.). NONE NOTED.
Describe tht condIion ollhllll/llllOl11IllnchldiM I18Ided reolIirs deIerieralIon. remvallons, remodeIno. etc.\. PROPERTY CONDITION AND CONDITION OF
IMPROVEMENTS ARE TYPICAL OF THE NEIGHBORHOOD FOR A SEASONAL OWEWNG Of..!!:!!~ AGE IN THIS PRICE RANGE:---
PROPERTY WOULD BE _13~DlbY t'Cc;!'PTED IN THE MARKETPLACE. .
Are thtre any physical deficiencies or adverse condIlIons tI1aI aIlecllhl~ soundness, 01 stnIclurallnlecJrltv Of 1hiiiiiHiMiVi
r ,Yes > No II Yes, describe
Does !he properly generally conform to 1he neig/Ibolhnod (lunc1lonaI UlIIly, style, condIIon. use. construction. etc.)?
iLi Yes 0 No "No, ~crIbe
Frllddl8 Mac Form 70 March 2005
Page 1 of 6
Fannie Maa Form 1004 March 2llOb
Form 1004 - 'TOTAl for Windows'lIJllII1lisaI soflwln hy a Ia mode, Inc. -l-800-AlAMOOE
e
e
IfIlNo. 113170901 Paae#21
~1Mm
I'urcM'IIioIOec
CREEK ACCESS
11317090
Unifonn Residential Appraisal Report FIIo# 11317090
1liIlt ill 2 cur- mflnd 101 sale In lie In price 1rom $ 30.000 to $ 60,000
1liIlt ill 7 ............ sales In .. wINn 11I11III t\IIIIit I1llII'II1s IIl1IIiIa In sale orice 1rom S 30 000 to $ 60.000
fEA1UIE I SUBJECT COMPARAIlLE SALE , 1 ClliI'ARABLE SAI.f , 2 COMPARABLE SAI.f # 3
AdIms 113 COTTAGE LANE R.R.12 D1MSVllLE RD. ROUTE 850 200 SCHOOLHOUSE RD.
SHERMANSDALE PA 17090-851 MILLERSTOWN PA 17062 ICKESBURG PA 17037 DUNCANNON. PA 17020
PnIldnitYIOSuhIoct 15.05 miles 19.03 miles 8.76 miles
5* Pdce $ $ 50 800 $ ~ 900
WePrlcelGrossUv.A/!a S "".ft. $ 38.49 "".ft. ." $ 57.27 sa.ft.1 $ 33.46 s,,:ft.
llaIa SalIn:elsl . MLS IMLS MLS
VlIlficaliDn Soutailsl LISTING OFFC. 10108030\ LISTING OFFC. 10122041\ LISTING OFFC.10109141\
VAlUHDJUSTMENTS DESCRPTlON --IiSCRPTION +H $ Aduslmlnl DESCRPTION +(.)$ _ DESCRIPTION +1.\ $ AdiJSb11enl
Sales orRnlnclng TOM: 28 DAYS TOM: 8 DAYS TOM: 91 DAYS
Canceaslons CONV. CONV. CONV.
Dale at Sale!l1l111l 03-23-05 11-23-05 03-24-05
LocaIiDn RURAUAVG RURAUEaUAL RURAUEaUAL RURAUEaUAL
LelSehc*lIFee - FEE SIW'LE FEE SiMPlE FEE SIMPlE FEE SIMPLE
SilIl 0."'.... ACRE 0.50 ACRE 0.90 ACRE -500 0.55 ACRE
ViIw CREEK CREEK AVERAGE +500 AVERAGE
Desian lStvtel 1.5 STORY RANCH 1.5 STORY RANCH
_OuaIIvalConslruclloa AVERAGE AVERAGE AVERAGE AVERAGE
AcllaI AGe ~25\ 38125\ 361251 7A125\
CandIlIun AVERAGE AVERAGE AVERAGE AVERAGE
AbovIGrade TaIIIIB_.1 BlIIs lallllllmns.1 Balls lallllllQs. Balls TaIIIIB_.1 Baths
RaomComt 41 2 1.5 5 I 2 I 1 -500 2 I 1 I 0 +1,.!lQ9 ._~.T~. [ L _~?QQ
Gross livIno AIM 1 580 so.ft. 1 392 sa.ft. +940 784 50.11. +3980 1 013 sO.ft. +2 830
IIaIemeoI & Finlshed NONE NONE NONE NONE
Roams IleIaw Glade NlA NlA NlA HlA
FtIIIclIcnlI UIIftv TYPICAL MKT TYPICAl MKT TYPICAL MKT TYPICAL MKT
KERO.STOVE OIL FA. .MII KERO.STOVE OIL FA
NONE NOTED NONE NOTED NONE NOTED NONE NOTED
NONE NONE I NON!' NONE
DECK SUN RM. ENe.PORCHES.5OO ENeI .PORCH
CREEK ACCES CREEK ACCES NONE +1 000 NONE
33900'
+500
-500
+1000
.Net AdUs1menlITatlii\ "+ X'. $
I4lSlICl We Pri:e Net Adj. 0.1 'I
at ClmInIMs Gross Adi. 3.8 'I $
I i)( lid ' did not research the sale or lrlI1SIer hIs10IY .ath
60 [X!+""" S
Net A4 12.2l1
50 740 Groes Mi. 16.7 'I S
iIId COI1IIaIIIJI sales. n nat, exaIaIn
5480" +" S
NiIlAdj. 9.U
50.360 Gross Am. 15.7'1 S
3330
37 230
- MY resBGh ,dId:<:'c lid not reveal an- nrirr sales or \nI1S1en at... subject properly Iolthe1lnll Y8III'S prior to h enlldlve. of \liS appraisal.
_llaIaScuce SPERRY COUNTY TAX RECORDS
IMY resBGh r: did '7 did not reveal any orier sales or translen at... comoarabIe sales lor ......1Iior 10 lt1e . of sale of It1e c_ sale.
llaIa SlUCe(s) PERRY COUNTY TAX RECORDS
I R8IllIlIt1e resuIls atlt1e researeh lI1d ........s 0\ It1e nrilr sale or transfer h IRIrv of If1e aRd cor 1DnIiII sales I- addIIIonaIllIW sales on ..... 31.
Il9A SUB.ECT COMPARABLE SAI.f #1 C<IIPARABLE SAlE #2 COMPAR_~LE SAtE ~
Dale 0/ Prior SalelTranster NONE WITHIN PREVIOUS NONE OTHER THAN NONE OTHER THAN NONE OTHER THAN
Pdce of PrIor SalrlTransler THREE YEARS. ABOVE ABOVE ABOVE
Dala Souree(sl COURT HS. RECORDS COURT HS. RECORDS COURT HS. RECORDS COURT HS. RECORDS__
Ellechve 0aIe 01 0IIa 8out'celsl . 09-22-06 09-22-06 09-22-06 09-22-06
AnMysIs 01 prior sale or transfer hlsloly 01 the subilcl PIUIIllI1Y lI1d cOllllllllble sales NO PRIOR TRANSFER OF SUBJECT ~ PAST 3 YEARS.
Summ~ of Sales Comparison Approach IN AN EFFORT TO OBTIAN COMPARABLE SALES WITH SEASONAL DWELlINGS SIMILAR TO THE
SUBJECT SEARCH PARAMETERS WERE EXPANDED TO INCLUDE THE PREVIOUS 24 MONTHS AND PERRY COUNTY IN ENTIRETY. ALL
SALES HAVE UTILITY SIMILAR TO THE SUBJECT. THE COMPARABLE SALES AVAILABLE DID NOT AllOW THE SUBJECrS GLA TO BE
"BRACKETED". THIS APPRAISER BELIEVES IT APPROPRIATE TO ACCEPT GLA ADJUSTMENTS GREATER THAN 500 sa.FT.
AN ADJUSTMENT OF l5.00I sa. FT. WAS USED FOR GlA DIFFERENCES.
APPRAISER'S NOTE: ATYPICAL ADJUSTMENTS DUE TO THE UNlaUE CHARACTERISTICS OF SUBJECT PROPERTY: LOWER PRICE
RANGE WIll CAUSE THE ADJUSTMNET % TO BE HIGHER.
InlIcatId Value iiV Sales Com S 49 000
Indlc8IlId V.... bY: 5*1 $ 49,000 Colt AppnIIch (ll IIMIopIdJ S Incame ApproIch (I deYIIopedl S
ADEaUA-rg~BIg:I.PATA IS AVAILABLE WITH SEVERAL SALES IN THE SUBJECrS PRICE RANGE AND MARKET AREA. THEREFORE
T!iE SALES COMPARISON APPROACH TO VALUE IS THE BEST METHOD FOR THIS APPRAISAL.
Tlis apflI'iisalls made 3i "as Is", 0 subjeclto COf11IIefton pel plans and speclIIcalians on1htt basis Ii a hypolhelical cordUon thallt1e inprovemems hlYfl been
~Ied. ;-::: subJecllo 1htt following repairs or aIIenIlIons on Ihe basis 01 a hypolheIcaJ condlllon thallt1e repais or aIIeIaIIons have been CDll1p1eted, or 0 subject to 1htt
loIIowi.. '.....lId .,sueclioo based on 1htt elliraonlinarv assURlllion lhaI1htt condllon or dIlfIcIencv does not reauie aIIIllIIIOII or IIKIair;
IIIIed on 1 c:omplele vIIuIl InIpICIIan GIllie InlIItar Ind uleIlar ""1 of. the UIect ~. de4lMd Icopt of work, IlIIIIInInt of lnulllpllOftl Incf lniliing' -
condItIono, IlId IppfIIIer'I 0IltIIclalI0n, my (ourI opinion of the -ut YIluI, . deIInid,' of till mI pIOp8I'Iy tIlIllI the lubjIcI 01 tIIII rwporlll
$ 49 000 n 01 SEPTEMBER 20 2006 wlIIch \I the dIIII 01 - Ind the IIIIcIlvt dIIe of tIIII .......
Freddie Mac.Form 70 March 2005
Pal/82u16
Fannie Mae Form 1004 March 2005
Form 1004 - 'TOTAl tor WIndows' 'IIfIIll1sal5nflware hy ala mode. Inc. -1-800-AlAMOllE
~ ,
e
e
It lie No 113170901 PIlII #31
Uniform Residential ADOra sal Report
113170110
fit, 113170110 ,
.
.
COST APPIlOlCIl TO VALlIE (1ICIt........1W F...- ....,
Provide ldlQIaIIlnIormatIon foi'the linder/client \0 repIclIIIIthe below CQSf tiglns lIld calculations.
Support for lhellli1lon oj slle vHIe (sunvnlfY oj cllll1PHile land sales or oII1Ir I11Ilhods lor IIStImaIIng sill vabI) COST APPROACH IS LESS RELIABLE THAN
THE SAU::S COMPARISON APPROACH FOR THE EVAlUATION OF THIS SUBJECT PROPERTY AND THEREFORE NOT USED.
ESlIotATED n REPAllIlUCTION OR REPlACEMENT COST NEW
Source of cost da1a
lnrn cost service Elftdlve date 01 cost data
CoolmellIs III Cost ana Cllcu1al1ons _.bIInn tIc.1
COST APPROACH IS LESS RELIABLE THAN THE SALES
COMPARISON APPROACH FOR THE EVAlUATION OF THIS
SUBJECT PROPERTY AND THEREFORE NOT USED.
OPWION Of SITE VALUE
DWELUlG
SclFllii>$
Sa R. lii>$
Scl.R.lii>$
-$
...... -$
...... ... -$
............. =$
.......... =$
. ....... -$
...---
T ofaI Estlma1t of Casl-New
lllSs Plwslcal FuncIlanaI I Enema!
Ooonlclallon I
IIIlnnldohHf Caet 01 .. -- :..........
'At-ls" Vallie of SIte IrriDnMlments ....... ..................
Estinated Remaillna Ecanonic ute (HUD and VA IlI1IvI Vears IICIICATED VALUE BY COlT AJIIIIIOACH
INCOME APPROlCIl TO VALlIE (lICIt requRd by FIIIIIIe....'
~sUmalld Mana1Iy MIIke1 Rent $ X Gross Rent MuI1lpler _ $
SUll1ll1alV of Income ApproacII (i1ckKIng support foi' martref rent and GRM)
-$1
=$
-$
"'$
IndlcaIed Value by Income Annm:lch-
PROJECT IWORIIATION FOR PIIII (NIIIIPIcIIIItI
Is the dm/oper/bUlder In conlrol oIlhe Homeownels' Atsaclallan (HOA)? . VIIS L: No IiIlI type(s) !': lle1acI1ed ' AlIacl1ed
Provide lhe fcIowIng Intarmalton foi' PIlls ONL V Ilhe deveIooerlbuildells In contraI of lhe HOA and lhe sublecf DIlIII8I1v Is an attached dwdIno unit.
Legal Name of Project
Jataloomber of phases Tol~ I1UIl1Ile< 01 units
TofaIoombeJ ol urilS I1l1IIld Tatall1Ull1lle< of units for sale
Was the projec1 created by 1he canveistan of 9iiir.o bulIcIno(sllnto a PIll? ' VIIS
Does lhe project conlai1 any mulfi.dWllino lDts? '. VIIS No DaIa Saurca
Are lhe units common e1em~,and recreallan f~lII1Ies complett? 0 VIIS C No "No, describe lhe status of completion.
Total number 01 units sold
DaIa _Is)
n No I Ves, date 01 CDllYl'.rsIon.
~ lhe common eIemenls leased \0 or bv the Homeowners' Association? r l VIIS r No" Ves descrlle the rentll terms and _.
IJ!scribe common eIemenIs and recreallonal tacllties.
Froddle Mac Form 70 March 2005
Page 3016
Fannie Mae Form 1004 March 2005
Form 1004 -"TOTAl foi'Windows' waisaJ soltwln by a Ia modo, Inc. -l-800-AlAMDDE
T
e
e
IfIttDl1.J 13170901 Paae #41
Untfonn Residential A
11317090
RIll 11317090
This report form Is designed to report an appraisal of a one-unit property or a one-unit property wl1h an accessory unit;
Including a unit In a planned unit development (PUD). This report form is not designed to report an appraisal of a
manufactured home or a unit In a condominium or cooperative project.
This appraisal report Is subject to the following scope of work, Intended use, intended user, definition of market value,
statement of assumptions and limiting condiUons, and clll1lfications. ModIflcations, additions, or deletions to the intended
use, Intended user, definition of market value, or assumptions and Ilmlling conditions are nof permitted. The appraiser may
expand the scope of work to Include any addiUonal research or analysis necessary based on the compleldty of this appraisal
assignmllnl. ModIfIcations or deletions to the certifications are also not permitted. However, additi0nai certifications that. do
not constitutll mallrlal alterations to this appraisal report, such as those required by law or those related to the appraiser's
continuing education or membership In an appraisal organization, are permitted.
SCOPE OF WORK: The scope of work for this appraisal Is defined by the compleldty of this appraisal assignment and the
reporting requirements of this appraisal report form, includlng the following deflniUon of market value, 'statement of
assumptions and Hmlting condiUons, and certifications. The appraiser must, at a minimum: (1) pelform a complete visual
inspection of the Interior and emOOr areas of the subject property, (2) Inspect the neighborhood, (3) inspect each of the
compareble sales from at least the street, (4) research, verify, and analyze data from reHable public and/or private sources,
and (5) report Ills or her analysis, opinions, and conclusions in this appraisal report.
INTENDED USE: The Intended usa of this appraisal report Is for the lender/client to evaluate the property that Is the
subject of thl.s appraisal for a mortgage finance transaction.
INTENDED USER: Ths Intended user of this appraisal report Is the ,lender/client.
DEANITION OF MARKET VALUE: The most probable price which a property should bring In a competitive and open
market under all condlUons requisite to a fair saIs, the buyer and seller, each acting prudently, knowledgeebly and assuming
the price Is not affected by undue stimulus. Implicit In this definition Is the consummation of a sale as of a specified date and
the passing of tftle from seiter to buyer under conditions whereby: (1) buyer and seier are typically moUvated; (2) both
parties are well Informed or weR advised, and each acting In what he or she considers his or her own best Interest; (3) a
reasonable time is aIiowed for exposure in the open market; (4) paymllnlls made In terms of cash In U. S. dollars or In terms
of financial arrangements comparable thereto; and (5) the price represents the normal considsratlon for the property sold
unaffscted by special or creative financing or sales concessions* granted by anyone associated wl1h the sale.
*Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are
necessary for those costs which are normally paid by sellars as a result of tradition or law In a market area; these costs are
raadlly identifiable since the seller pays these costs In virtually all sales transactions. Special or creative financing
adjustments can be made to the comparable property by comparisons to financing terms offered by a third party Inatitutlonal
lender that Is not already Involved In the property or transaction. Any adjustment should not be calculated on a mechanical
dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's
reaction to the financing or concessions based on the appraiser's Judgment.
STATEMENT OF ASSUMPTIONS AND UMITING CONDITIONS: The appraiser's certification In this report Is
subject to the foliowlng. assumptions and limiting conditions:
,. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title
to It, except for Information that he or she became aware of during the research Involved In performing this appraisal. The
appraiser assumes that the title is good and marketable and will not render any Opinions about the tiUe.
2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements.
The sketch Is included only to assist the reader In visualizing the. property and understanding the appraiser's determination
of its size.
3. The appraiser has elC8mlned the available flood maps that are -provided by the Federal Emergency Management Agency
(or other data sources) and has noted In this appraisal report whether any portion of the subject site Is located In an
identified Special Flood Hazard Area. Because the appraiser Is not a surveyor, he or she makes no guarantees, express or
implied, regarding this determination.
4. The appraiser will not give testimony or appear In court because he or she made an appraisal of the property in question,
unless specific arrangements to do so have been' made beforehand, or as otherwise required by law.
5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the
e
e
!tile NO 1 UlIUWI I'iIae #~I
Unifonn Residential Appraisal Report
11317090
FIll' 11317090
APPRAISER'S CERTlACATION: The Apprai8er certifies and agrees that:
1. I have, at a minimum, developed and raported this appraisal In accordance with the scope of wlll1< requirements stated in
this appraisal report.
2. I performed a complate visual inspection of the Interior and tllltlIrlor areas of the subject property. I reported the condlllon
of the .Improvements In factual, specific temlS. I IdenlIfled and raported the physical deficiencies that could affect the
Uvablllty, soundness, or structural Integrity of the property.
3: I performed this apprai8al In accordance with the requirements of the Uniform S1andards of Professional Appraisal
PraclIce that were adopted and promulgated by the AppraIsal Standards Board of The Appraisal Foundation and that ware In
place at the time this appraisal report was prepared.
4. I developed my opinion of the market value of the real property that Is the subject of this "port based on the sales .
comparison approach to value. I have adequate comparable market date to develop a reUabIe sales comparison approach
for this appraisal asslllllment. I further certify thai I considered the cost and Income approaches to value but did not develop
them, unless otherwise Indicated In this report.
5. I researched, vertlled, analyzed, and reported on any current agreement for sale for the subject property, any offering for
sale of the subject property In the twelve months prior. to the effective dale of this appral.. and the prior sales of the subject
property for a ~nlmum of thres yen prior to the effective date of this appraisal, unless otherwise indicated In this report.
6. I researched, verlfied, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior
to the dale of sale of the comparable sale, unless otherwise Indlca!f!d In this report.
7. I selected and used comparable sales thal'are 10cationaUy, physically, and functionally the most similar to the subject property.
8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home thai
has been built or win be bull on the land.
9. I have reported adjustments to the comparable sales thai reflect the market's reaction to the differences between the subject
property and the comparable sales.
10. I verlfied, from a disinterested source, allnfomlation In this report thai was provided by parties who have a financial interest In
the sale or financing of the subject property.
11. I have knowledge and experience In appraising this type of property In this market area.
12. I am aware of, and have access to, the necessary and appropriate pubic and private date sources, such as mulllple Ustlng
services, tax assessment racords, public land records and other such data sources for the area In which the property Is located.
13. I obtained the Infomlation, estimates, and opinions fumlshed by other parties and expressed In this appraisal report from
reDable sources that I beHeve to be 1me and correct
14. I have taken Into conslderatlon the factors that have an Impact on value with respect to the subject neighborhood, subject
property, and the proximity of the subject property to adverse Influences In the development of my opinion of market value. I
have noted In this appraI8al report any adverse condlllons (such as, but not Umlted to, needed repairs, deterlorallon, the
prasence of hazardous wastes, toxic substances, adverse environmental condltlons, etc.) observed during the Inspection of the
subject property or that I beC8n18 aware of during the research Involved In performing this appraisal. I have considered these
adverse condlllons In my analysis of the property value, and have reported on the effect of the condlllons on the value and
marketability of the subject property.
15. I have not knowingly withheld any significant Infomlation from this appraisal report and, to tl18 basi ul my knuwledge, all
statements and InfOmlatlon In this appraisal report are true and correct.
16. I stated In this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which
are subject only to the assumptions and Umlllng condlllons In this appraisal report.
17. I have no present or prospective Interest In the property that Is the subject of this raport, and I hava no present or
prospective personal Interest or bies with respect to the partlclpants In the transaction. I did not base, either partially or
completely, my analysis and/or opinion of market value In this appraisal report on the race, color, reHglon, sex, age, marital
status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the
present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law.
18. My employment and/or compensation for perfOmllng this appraIslII or any future or anticipated appraisals was not
condllloned on any agreement or understanding, wrillen or otherwise. thai I would report (or present analysis supporting) a
predetermined specific value, a predetem1lned minimum value, a range or direction in value, a value that favors the cause of
any party, or the attainment of a speclflc result or occurrence of a spaclfic subsequent event (such as approval of a pending
mortgage loan application).
19. I personally prepared all conclusions and opinions about the relll estate thai were set forth in this appraisal report. If I
relied on slgnlflcant real property appraisal assistance from any Individual or Individuals In the performance of this appraisal
or the preparatIOn of this appraisal report, I have named such Indlvldulll(s) and disclosed the specific tasks perfomled in this
appraisal report. I certify that any individual so named Is qualllled to perform the tasks. I have not authorized anyone to make
a change to any Item In this appraisal report; therefore, any change made to this appraisal Is unauthorized and I will take no
responslblllty for It.
20. I ldentIfled !he lender/client In this appraisal report who Is the individual, organization, or agent for tile organization thet
ordered and win receive this appraisal report. . .
Frsddle Mac Form 70 MMch 2005
Page 5 of 6
Fannie Mae Form 1004 Man:It 2005
Form 1004 - 'TOTAl lor W'ndowS' appraIsaIlolMn by ala mode, h:. -l-800-AlAlolOlJf
T
12/19/2006 12:39 FAX 763 1907
ei
LER
e
i1002
;
/.
i.:
,
)4 '
i:
- ! THE ADDRESS ,OFt,~HE!-'I"U'l.IN-N~aG ~RMtTE~ ' ~
, 1296 KELTDN . ROAD. H.IGHLNC' ,ARI<. ~,HI~L., P '.
" : J ' THOlMSI. MYERS
;,1(: ': I , 9N, BEHALF. OF
~~______________~__._1_i_:_:____~_________~ --, -~-_._-------------------------~-----------~~.
I " : ki "..' . t. ~ ; THIS INDENTuRE.
\::E~ 3,208) ';:" " :, I "It6"~.t" 'r.tAOE, tHE 6TH 'DAY 'of AJJO~T l,~,: THE, YfAR ,
j'MORLO HOOVER ET Ult j' , "; '.. ~~i61 '1', FOUR '-;DRO 'CItE THOOtlAND N IN~ liUM:)JEO ~, F\f
TO , ! "~. ." IIQl!t ~~': 'TY ONE. , ,i,
'HAR\o€Y K. WAGGONItR [T,\j)(" '. BET EH;YORLOR HOOVER ,>>10 CATHERINE'M. HOOVER. HIS' 111"1
.CONS. 11.00 ' ,:':;~ '7 . 'Of 'THE B ROOi "01" w.'*b1liliE,"C'O'uNTY OF PERRY Mil STATE or
LOC. TOWNSliIP 01" EAST ~NN6BORO '''PENN6YLV IA: '~ARTlE8 O~FT.HE' FIRST pAm:. GRAN;fOR,S. ANl
10ATEO AU~UST 6. 1~1,. :, " : liAR EY ;' . WAGG!"QER. A~ 'ARA 8. WAGG~, HIS Win, or
iENTD. Al1f$UtlT 6. 1?51 " ,THE i. \ .HI ; of. .E'AS~ PEN~ElCRO. COUNTY Of:' CUaeERLAtI) AtII ,
I ,;' : ' sTATE 0 PF; YlVAN~. PA~T1ES OF THf.. ~ECOIC) '~RT.,
,! WITNESsETH. THAt.!JtlE; SAID' PARTIES OF T I"I~T PART,' FOR,A~ IN C.."DERATIO~, OF THE BU~ 01
~ONE DOLLAR {tt.OO) A~ ~~R ~ALU~LE. CONllII)j R~::1~6 LA:WUL MQHEY,OF THE UNITEDSTATEl$,.Qf' AKRI~
'WELL 'AND TRULY PAID B~ TH~ Sf-IO PARTIES or', E ECONJ Pi\RT' TO' THE iAIO PART IE~ OF THE"FIRST ~AR"
:AT MIl BEFORE niE SEA~ING All) DEL'IVERY OF ESE:' PRESENTS, :THE' Rl;:CEIPr. WHEREOF 1,5, HEREBY Ac~'
'. . . I': . '[. ", : ":
:EPIIED. HAVE GRANTED..~ARG~ltlm. SOLO. Al-iEN~.: Nf'EOfFED, RELEASED, CONVEYED AICt'CONFI~. ,'NO
. f . , ". . .
8'1' THESE PRESENTS. DO: GRANT. BARGAIN, SEL.L,: ALII N. ENfEOF'F, RElEASE.. CONVEY AND CC>>IFIRM ll1ITO!THI
, , I' ,':, ' ,
SAID PART IEs OF THE '~catll pAin. THE I R HEIR ASS IGNS. '
...._. . t . . I. .
ALL THAT CERTAIN/, LOT! OR, PIECE OF. I.AND, I TE, ilN THE TOWNBHlr OF EAST ~l'(NB80RO. COUNTY. OF
'. J ....
CUMBERLAIIl AND STATE,:OF PENNiYlVANIA. MORE AR'ICULARLY BOuM AI'lO DESCRIIlE.Q' A:5 FOlLOWli. TO,Wll
. . .' . ... ... ,
, - BEGINNING"4H TH~ NORTHERLY L1NE'OF SUi E; HNA ~v.E~ilE At THE Oll:lTAHcE OF lilXTY~fiVE,1C~)
~ I '" " . .
,I"EET MEASURED EASTWA'joLY 'ALONi, SAID LlI€.~, AV, UE ,fROM ~E ~OUTt!EASTERI.Y EXTREMITY OF THE:,..ARC (
, CURVE CONNECTING ,nIE:EA5'~E~lV LIN~ Of wr.fM NG: vENUE "1T~THl ~NQfTHERLY L!/'E. OF SAID SUSQUEHANH.
:AVEtolJE. AIoI) EXTENDIN~ TH~NORTH TEIt (10 BEl EElS TWENTY -(2<Jt1'1.w<<JTES WEST OtE HU III RED , F'~RTV '
:(140) fEET; THENCE NbRTH 'llEVENTY-NINE '(79) DE: EEli FORTY (..0) MINUTES EAST TWENTY-FIVE.~5) F,EE,
I . I. t '0., . I .
tHENCE SOUTH 'TEN (leD DEGREEs 'TWENTY (20) I~ Ea t;AST ONE HUtGm> FORTY (14.0), fEET TO THE NORTI
~RlYLINE or liUIlQUEH~NA'!;"VENuE 'AFOREllAIDJ' ni:, CE ALONG T~E"ljAID SUSQUEHANNA",4VENUE so~~'stVErt.
'. ' , ~ ....... . . . .'. ',' . } ,'.:'
J'Y-NINE (7?) DEGREES; "ORlf~)MIPlJTES WE6 T' HTY-FlVE (2S) F.E.ET TO THE PLACE Q,F BEGlttlING.,
" I. '. I; '. .' " . . .
HAy I NG THEREON iERECTEO THE EA6T liALF' I"! t.ITwo liTORY OOUBLE FRAME O~ELL lNG' IiOJSE. KNO'flN tiS
" ,'" l' " , ..
~O. 27;' SUSQUEHANNA iAVErt.I,E. ENOLA. pmNaY AN, A.
I '. l ~. r..' i: . . I
:' BEING ~~ liAIAEi~EMI;~ES~'WHICH CHARLE, M.!liHEAF'fER AND \5EULAH M., SHEAfFER. ~'18,WIFE, B~ DEEr
OATED MAY 18, 1951.;AfI) RECORDED IN THE E LAfC) COUNTY RECORDER'S OIlFICE lit DEED BOOK R'ln.
; " " I' " , " ,,'
YOLo 14. PAG~ )8B. IR~:hf AJ:lD CONl/EVeD U 0,.- ~Q. HOOVER~ ~E OF THE GR~NtOR~ HEREIN.
i TOGETHER WITHIALL ~1Il ~INGULARTHE,'E 'ENlIS. HEREDITAMf.NT81\HQ, AP~R~CES ~O 'FHE:8AAIE
BELONGING, OR IN tWlSE'A~ERTAINltilQ,' T E EVERSION. OR REVER81Qf411, REMAINDER AND RtMAlNDEf
RENTS, ISllUES AND', OF'lTS' '~EREOF'; ,Il1O 'L~' ALL THE ESTATE, RIGHT. TITLE, .'ftNTEREaT. PROPERTY,
I . . . . .
,eLAI... AND 06MAHO ~ATSOEYER, BOTH IN LAw A~:lQUrry ~ ,OF THE' '6410 PART I E:; OF. THE F'IRl:I'T pARr, OF,
IN, TO OR ,?UT OF ~'ElSAl~ P~JSES. ~;' VE~. 'p~ AtI> PARCEL niEREOF: -"', I' : : ,'.
TO HAvE At.O TO HolD THE. liAID PRE.,lli . 'iWITH ALL Art) !SINiLAR THE APPURTElNANCES. UNTO THE
!lAID PARTIE$ OF THt llECONO PART. THEIR IR:AND AtilllGNtS. 'TO Ato FOR.THE ONLY PROPER UllE'ANlJ BE
, I " '.'
HOOF OFTtlE IlAID ~TI ES; OF THE SECoND P RT' THEIR HE ISS AND AS81GNS FOREVER.
.AND THE SAID rART1U 01" THE FIRtlTP I FOR TH~MliELV'ES. THEIR HEIRli. ExECUTORS AM) ADlIIlNlt
TRATOR5. DO BY THaDE PRt1JENT'l:l. COVENANT, G IT /NO AGREE to AND WiTH THE liAIDPARTIES OF-.THE
ISECOND,PAR,T. THEI~HEIR~A~' AS'SIQNS~ TH T , EY, THE l>AIOPARTI,S'OF THE F.IRl.iT J>ART ,!,N)'THEIR '
IHE IRli. ALL .,Hoal ~ULAR ~E, HEREDITAMEN ~"~R~ISU ~ftE"'A80VE DEllCRIBED:Mo G,ki.HttDOR AoEtl
I . . .
'!TIONED,A~ nfTEND$D, SO TP. BE, Wlnt THE flU ENANCES, UNTO THE.llAIO PARTIES OF THE ,fECO/tO PART,
I" ;THEIR HE,I~S~AND,A'llIGNS,~AGAINtiTI THE'SAI TIE8 OF 'THE FIRST PART,ANO'THEIRHEJRS AND A,"AINt
, -----
12/19/2006 12:40 FAX 763 1907
.
REAGER&ADLER
~003
e
---_..--:"~.- . .
PART tHEREOF', SHALL At<<) WILL BY ''THEBE PRES NTS,WARRANT .AND F:OR:VE~ DEF~No.
IN'WITNESS W.tEREOF, THE SAI!J.PARTIES OF1'!'lE F'I~T PART,;-1lAV['HEREONTO sET 1l1EIR H~S AM:! SE.6L.S
THE DAY"~ YEAR FIRST ASO.JE WRITTEN.' " ,,'I '
SI'GNE~. SEALED AII)'OELlVERED .
, '. IN 1l1E PREsENcE OF
MILDRE'D' H. STONE
STATE OF PENNSYLVAN IA t. ','
COUNTY OF' CU"'ERI.~ I S6~,
.' . . .1. .:'. .
ON THIS, THE' 6TH DAY ,~F'AUGtIST, 195~, BErOR~ M~'~llDRED HOO~~'I:lT~~ ~HElJNDE~I"GNED OFnCER,
PERSONALI.Y APPEARf!) MeRLO HOOVER' All) CAHTER'nlE M. HOOVER',KIS WIFE~ KNOWN TO ME (OR SATISFACTORILY
PROVE~) TO BE 1l1E' PERSON wtiOSE N~S..ARESUBSCR 1.8ED: TO TH-E WITHIN: INS1:RU.iI, AND CKNOII.EOGEO THAt
, " . l' J . '
THEY EXECUTED sAME F~ THt:: PURPDliES 'tHEREIN CDNTAINED:. ,",. . '1,
, .' IN,~WrTN~S5. WHEREOF', <HERE~mrf~ tm, ,H~O' ~ ~Ff:~CIAl :SEAl. :,. .:,
. ' ." ~REl), HOOPY STONE ~
. .' , , 'j
NOlARY PUBLIC " ',' ,.
.. " .1.,., '.I'. . I
MY. COM EXP MARCH '30, ,1955
, . . " .' ... ., ~\ Slo '. .'
. , : CERTIFICATE OF RESID~CE ' , " , I
I ~O H.BY CERTIFY .'THA~ THE PREctSE RESID~NCE ~f' THE .ITHI,"; N~D,:GRANTEE IS
ENOLA, 'PA. . ' ", ',' "..., ',' '., t.. ' '
. ~. . )...
THOMAS I. UVERI ~. 'f
" .1 . . 4"
: EM ': ' i,AT:O~NEY FOR: GRANTEE,~ : L ,:.. ' .
------:~-- -------- ------ --~-----i ------ -, -- ~---"':-'-'-~-:-------:'-;~~;~~~\~;~-------~---~--------:
NO. 12086 ~... ' I . " ,.:,
t ;OS 'GF " lI6I\E. TI:IE 4TH 'OAY '~F'AUGU5T INT~E YEAR OF OUR
DEED ' . JPDR r-.
lEV I G. FLEMING ~~/11 ';LORb bNE TH~SAfO :NIN~ t.IUNDREDFIETy-oNE..
TO t ,JlCVltnAlf8ETWEEN LEVI 'G~ fLEMING, AlSQ KNOWN A~ LEVI.
RAll'H 5. WIOENER'ET U~' · G. F'~ING. SF' tHE 8~~H OF L.t~YNE~'t:OUNTY Or:CUMBERLANO AND
. IiTATE Of" 'PENNSYLJANI A, 'p~iy 'OF llIE ~f.i Rtn' P~, . AIIl
CONS. 11.00 :. .
, RALPH S. Wt6ENER,ANO:MARIE:E. WIDEN~. HIS WIFE, or LOwER.
. LOC. LOWER ALLEN TOW~P . ALLEN TOWNt/iIP. COO"~YOF ~ERlAN~ ANd STATE OF' 'PENN~,YLVANIA.
D'A.TEO AUGU~T 4, 3.951 ,- . " ' .' ,
PARTI E5 or THE SECOND PART. '
ENTO.AUGUST,6,'19S1 t W1TNESSEtH~;~~AT 'I'H~, :;AIO :PARrtoF THE FIRST PART, FOR ANO!
, "I ' ' : . ".
: INCO~IDE~ATlON OF' T~ElK'M OF ONE DOlLAR'~.el.OO):'ANO OTHER VA~A8LE,CONtiIDERATlONS lA'F'Ut. M~EY
or THE UNITED STATES OF AMERICA, WELL AND' TRULY PAID BY THE- ~A'ID. PARTrES OF THE SECOND PART TO THE
.' . . '; ,'.:.. .' . .f.. . .., " '.
itA 10 PARTY OF THE FI ~~'r PART, ,AT AND. BEFORE THE, 5EA~ING' AND' DELI'VERY OF. TI;lEllE, PREaENTS, 1l1E RE-
CUPT WHEREOF ,18 HEREBY ACK~WLEOOED. HA~ GRAN EO:, BARGAINED. SOLD. ALI-EMED, ENfEO~FED, ~ELEA~ED.
CONVEYED AND C'ONF' 'AMED, rND BY :rHESE PRES~TS. ooits.aRNlT ~ ~ARG~I N. SELL" ~I EN, ENFEOFF, RE- .
LEASE, C\1!IIvEY A~ CONrl~: UNTO THE SAI~ ~ARTI Ell or :llIE SECOND PART, THEIR HE.IRS AfO ASliiGNS,
All THAT CERTAIN Ldr OF LAND SIUTATE"IN "'MiA ALLEN T1lwNIHlP' CUMBERL.AND COUNTY, PENNllYLVANIA.
. I ~ .
WIl: PARTICULARLY BOUNDED AND DE~RIBED AS FOIlLO\lS:
. I I' ... . .
.' ._ ON THE EAST BY PROp,ER'TY OF J. C; ~Ct.lER, ON ,THE SOUTH ,BY ~S ,OF THE PHI lAD EL PH I A, HARRI liBURG,
AND PI TT$BURGH R"lI;I.RpAD~ ON lHE lEST BVl.,06 NOW:OR rORWERLY Of MARY; E. .COl~ANi AND ~N THE NORTH
BY, HUMMEL AVNEUEi ''(lfnA':NING I" FRONT ON HUMMEL AVENUE THIRTY-FIVE (~5) 'FEET ~ ,EXTEII)ING ,SOUTH-
WARILY AT AN EvEN .IDTH:E1GH'I'Y-F'IvE (S'S)"FEET: ..oRE o",ieE~s, TO: LANDS OF' PHILADELPHIA, HARRlliBURG
. ~ ..' . . . ". ~.' .:, . . . I
ANO PI ns8U~ RAI'LROAD;' HAViNG lHEREON ERECTED 'J!. ~INGl.E 'TIO SlORY f,RAME BUNGALOW HOU:X:, NO'. 1701
HUMMEL AvE:""', LOWERAl.L~ 110. IP.~ cuMsERLAtlD ~uNTY, PE~SytVAN I A.::' . " I
_:.. -aE1-NG -l'HE"'SAa.E"PREMISES"WlHCH -uAAv 't-; 'COLEMAN '''''0 "C(D.t:~l'-~fJ-dLEUA;-HER .'HUSaANO fff DEED
DATED SEPTEMBER 3. 1926 AND RECORDED ,IN llIE cUMBERL*", ~TY 'RECORDER'S orF'lCE IN DEED BoOK "L:
, . . .. ,
VOL;~ 10, PAGE 516, GRAM'rED AND CONVEYED UNTO LEVi ~. r~EMING. ~E SAID LEY I G. FLEMiNG' BEING THEN'
.( ~,N~R I ED, EN,!ERED UNTO AN IIGREEMENT OF' SALE DATED C;ToaER 20, 1947, AND RECORDED I N THE OFF'I CE .
'n__' , ..,__,," ""^" "" "AI'''' _~ lIi.lio"M"AV HF Ar.REEO TO 'SELL' ANO CONVEY SAID, PROPERTY
---.---.....-- ,.. ..--
..... "
Si
.:-~
MORLq, ~OOVERo (~EAl).
,CATHtRINE HOOvER' Q6EAL)
I .....
"
..C)
...., "
-;:- vml:ll'lv. ":)U"-U"Q:) ,.
B. TYP OAN:
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.oFHA 2.DFmHA 3.I!ICONV. UNINS. 40VA 5.0CONV IN!;
6. FILE NUMBER: 17. LoAN NUMBER:
SETTLEMENT STATEMENT 06-749 12306408
8. MORTGAGE INS CASE NUMBER: ~kg MORTGAGE INS CASE NUMBER:
654/F15.75%
C. NOTE: TIUa form is furfllsheel to give you a s/alltment of lICtual seWement costs. Amounts paid to and by tha settlement agent are shown.
Items marlled jPOCr ware paid outside /he closing; /hey are shown here for informationel purposes and ere not included in /he tolals.
I.. 3IlI8 ILEEN.RYANAPFOIlllI-74l1151
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Ryan A. Leen and Sara B. Waggoner Estate Philadelphia Financial
Shawntell M. Smllh Mortgage Corp.
274 Susquehanna Avenue
Enola, PA 17025
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1857112 I. SETTLEMENT DATE:
274 Susquehanna Avenue Mldstate Abstract Company
Enola, PA 17025 December 29, 2006
Cumbefland County, Pennsylvania PLACE OF SETTLEMENT
2331 Market Street
Camp HID, PA 17011
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
101. Contract Sales Price 112900.00 401. Contract Sales Price 112,900.00
102. Personal ProD8rlv 402. Personal PmDArtv
103. Settlement Chamas to Borrower (Line 14001 4,971.86 403.
104. 404.
105. 405.
Adiustments For Items Paid Bv Seller in edvBnce AtJius/mentr For Items PaId Bv SeHer in adv8nce
106. CitvlTown Taxes to 406. CllvlTown Ta_ 10
107. CounlYTIl<8S 12/29/06 10 01/01107 2.09 407. t".nunlvTaus 12/29/06 to 01/01/07 2.09
108. School Taxes 12/29/O!i. to 07/01107 477.87 408. School TlIXtIs 12/21W6 to 07/01/07 417.87
109. Sewer/Refuse 12/29106 to 01101107 3.45 409. SewertRefuse 12/29/06 to 01101/07 3.45
110. 410.
111. 41,.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 118,355.27 420. GROSS AMOUNT DUE TO SELLER 113,383.41
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. OeoosK or earnest money 1 000.00 501. Excess O"""sU See Instructions
202. Prindoal Amount of New Loan sl 112014.00 502. Settlement Charoes to Seller Line 1400 8 103.00
203. Exlstino loan/sl taken subiect to 503. ExisUno Ioan/sl taken subiecl to
204. Down PvmVCloslno Cosls .PHFA 1,329.00 504. Payoff of first Mortoaae
205. 505. pown/f of second Mort"aoe
206. 506.
207. 507. /Danosll diab. as oroceedSI
208. 508.
209. Seller Pd. Closino Costs 566.44 509. Seller Pd. Closiila Costs 566.44
Adluslmenls For lfems UnoBid Bv Seller Ad'us/menls For items Uno aid By Seller
210. CltvlTown Taxes to 510. CU.fTown Taxes to
211. COUnlv Taxes to 511. County TlIXtIS 10
212. School Taxes 10 512. School Taxes 10
213. Seller Pd~Preoalds 1.433.56 513. SeHer Pd. Pre"alds 1 133.56
214 514.
215. 515.
216. 516.
217. 517.
218. 518.
219: 519.
220. TOTAL PAtD BYIFOR BORROWER 116,343.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 10,103.00
300. CASH AT SETTLEMENT FROMITO BORROWER: 100. CASH AT SeTTLEMENT TOtFROM SELLE!R:
301. Gross Amount Due From Borrower (Line 1201 118355.27 601. Gross Amount Due To Seller IUne 4201 113383.41
302. Less Amount Paid BY/For Borro_r Line 2201 ( 116,343.00 802. Less Reductions DUll Seller line 5201 ( 10,103.00
303. CASH ( X FROM) ( TO) BORROWER 2,012.27 603. CASH ( X TO)( FROM} SELLER 103,280.41
The undersigned hereby acknowledge receipt "f a completed copy of pege. 1 &2 of this statement & any attachments referred to herein.
90rrower
4",.~
Ryan A. Leen
~~1.~ iL'L~-~
awnlell M. mllh
Seller
'&e~k.
-,
~!.ll). TOTA~ COMMISSI.O~ B~d. L. SETTLEMENT CHARGES .
s 112.900.00 @ 6.??oo % 6,n4.oo PAJO FROM PAlO fROM
DilMIon af CommlS3lOlJ fIine 7001 8S Follows: 1lOM000R"S seu.ER'S
1701. $ 3,412.00 10 RElMAX Realty Associates f\JHOS AT FUNOS AT
702. $ 3,362.00 to Jeanette DaVIS Real Es ate sem.eMENT SETTlEMENT
703. Commission Paid al Settlement 6,n4.00
704. to
100. ITEMS PAYABLE IN CONNECTION WITH lOAN
801. loan' Otiainatlon Fee % to
802. loan Discount % to
'803. Appraisal Fee 10 Scott Archibald POC:B375.00
804. CredU-RlMlOrt to Equlfax 22.56
805. lende!'s Inspection Fee to Scott Archibald 100.00
806. Flood Certlftcallon to 1st American Flood Data Sve. 16.00
1607. Admlrnstratlon Fee to Phlllldelphls Financial Mortaaoe Corp. 325.00
808. Commitment Fee to Ph Iadelphla Financial Mortaage Co",. 75.00
809. MIP to HUD 1,655.39
810.
811.
BOO. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCe
901. Interest From 12/29106 10 01101107 <l!l $ 17.890000lday ( 3 days %) 53.67
902. Mortaaae Insurance Premium for montha to
903. Hazard Insurance Premium for 1.0 vears to Insurance Com08nv POC:B366.00
904.
905.
1000. RESERVES DEPOSITED WITH lENDER
1001. Hazard Insurance 4.000 months S 30.50 ""'r month 122.00
1 002. Mortasa8 Insurance manths S 45.98 ~r month .
1003. CilvfTown Taxes months $ r month
1004. County Taxes 12.000 months s 20.81 r month 249.72
10OS. School Taxes 8.000 months @ S n.25 r month 618.00
1006. months <Ill S r month
1007. months "" .. month
1008. Annr""ate Adluslment months <Ill .. r month -455.79
1100. TITLE CHARGES
1101. 5ettlllmenl or Closlna Fee to
1102. Abstnlct or Title Search to
1103. TUIe C.';"'ins"'n to
1104. Titllllnsursnce Binder to
1105. Electronic Document PreD. to
1106. Closinn Service Letter to Midslate Abslract Comoanv 35.00
1107. Attorney's Fees 10
lincludes above item numbers:
110R. TItle In~u"'n"" \0 u,n"TATE ABSTRACT PHF A . ?"... 6Q?:Al
includes aboVe Item numbers.1102 1103 & 1104
1109. lender's Coverage S 112,014.00
1110. Owne(s c;overaae S 112,900.00 692.81
1111. Endorsements 100, 300, 8.1 \0 Mldstate Abstract Company 150.00
1112. NolaryFee to Mldslate Abstract Company. 10.00
1113. NotaryFee to Mldstata Abstract CompanY 5.00
1114. Ovemight Fees & Handling to Mldstate Abstract Company 15.00
1115. Wire Transler Fee
1116. Transaction Fee to REIMAX Realty Associates 195.00
1117.
1118
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 38.50: Mortgaae $ 93.00; Releases S 131.50
1202. CitvlCountv T ax/Slamps: DAAd 1,129.00' Mortaaae 1,129.00
1203. Slate Tax/Slamos: Deed 1 129.00; Mortn- 1,129.00
1204. Ass~nmentotMnrtaeoe \0 Cumberlan" ~oun'" Recor....r nl Dee". 27.00
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Survey to
1302. PeMln~ion to
1303.
1304.
1305.
1400. TOTAL SETTlEMENT CHARGES 'Enter on LInes 103 Sectton J and 502. Section Kl 04,971.86 8 103.00
By _pog.1 c/ Ilia -. tho..."..... ~ ......"'. camplOIOd COIlYoI_ 2"'........ -.....,.... a.
&U//A..--/
Mldstate ael Company
Setllement Agent
Certified \0 be a INe copy.
(06-.'74g/08-749/5 )
It
It
PA REV-lSOO
SCHEDULE B
STOCKS and BONDS
,
Iistorical Quotes: Charting Tools f1j'ooking Up a Security's Exact Closing Ie - BigCharts
lIIanulife Finl Corp
Aonday, August 14, 2006
;Iosing Price:
31.51
32.00
32.02
31.23
572,100
Go To Charting ... ~
)pen:
1lgh:
.ow:
folume:
No Splits
2-Month Daily Chart of Manulife Finl Corp
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Page 1 of
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OJ Stock Ownership
Mdlon Investor Services
POBox 3310
South Hackcnsack, NJ 07606-1910
SARA B WAGGONER
C/O KENNETI I WAGGONER
5105 INVERNESS DR
MECHANlCSBURG PA ]7050-8318
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@. Mellon
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Company Name MANULIFE FINANCIAL
CORPORA nON
Account Key W A GGONER-SARABOOOo
Control Number
TIIII-(.'rcc Number 800-249-7702
Stock Certificate ShareS'"
Book-Entry Shares
I 0 If YO. u want to transfer s. hares 10 more than one owner check this hox.
1. Shares To Be Transferred Please include the additional owner information on a separate page in the
same format shown in step four.
Total Shares
To Be Transferred
To Be Transferred
*Plea'le attach and send the actual stock
certificates together with this form.
To Be Transferred
t os' C ~.r Ilficates
. _ l' "..
- . .
2. Required Signature
Each registered owner must sign their name exactly as it appears on the
account, or the authorized person(s) must sign in his/her legal capacity.
The wldersigned herehy irrevocahly constitute and appoint Mellon
Investor Sen'ices as attorney to transfer the shares with full power of
substitution in the premises.
Signature:
Signature:
Medallion Signature Guarantee
Signature(s) must have a Medallion
Signature Guarantee from a Commercial Bank, Trust
Company or Broker, if required.
Date:
Daytime Phone Number:
3. New Shareowner(s) Account Type
. Exampl~olName Fo . ... .........,......m
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Check One.
D Individual
o Joint
D Trust
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D Corporation
D Olher
(please specifY)
4211
000000001664
00175056501R1DWAGGONER-SARABDDOO
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PA REV-lSOO
SCHEDULE E
CASH, BANK DEPOSITS &
MISCELLANEOUS PERSONAL
PROPERTY
Your AT&T Statelent
September 27 - October 26, 2006
#BWNCJFM
ltll 9171118 94111112lt 7276.9.366.89066
1'11111111111111111.1.1.1,"1.1.1111111.1111111111
HARVEY WAGGONER
274 SUSQUEHANNA AVE
ENOLA PA 17025-2427
1..111111.111111.1.111111111" 11111111111. II .1.1 .111." .111.." 111.11.11
"11I11111,lf'. (.j ,'IUIL: '
Previous balance..... ...................................... ..... ...... ..-14.81
Payments............................................... .:....................0.00
Credit balance as of October 26 ... ........._. ...............-$14.81
Current charges ......... ..................... ..... ............. ........ .$0.00
Credit Balance
-$14.81
Please do not send payment. You have a credit balance.
"0111 "',11 111!~'" ,\Ii I L, 11. ll[~
Never Mail Another Check to Pay Your AT&T Bill.
For the ultimate convenience, enroll in AT&T Automatic Bill
J Payment (ABP) and have your future payments automatically
deducted from your enclosed check. To enroll, check the box
and sign on the line on the back of the remittance coupon, and
return with your payment. Or sign up for online billing to review
and pay your bill each month by logging onto your AT&T Online
Billing account at http://www.att.com/remitdoc
DCl.l<!' .\ llllCllill, .\ ilL 1',1- ;Ih 11
Please write your customer 10 on your check or money order
made payable to AT&T. Do not send cash. 00 not staple this
portion to your payment. Thank you.
Credit Balance -$14.81
Amount enclosed: $ I
00 Not Pay
1.11..11111.1.1.1'111111.11111...1.111111111.111111111.1.1..11
AT!&T
Pctl BOX 8212
AURORA IL 60572-8212
11.1.111.1.11" 1.1. n I" '111" ...1 II III. 1111 .1.1.111.11. 111..1 II ..11.1.1
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~stomer 10 17 732-9816 0189411
Page 1 of 3
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Customer Service: 1800 288-2747
Text Phone (TTY): 1 800 833-3232
Internet Address: www.att.com
Extra! Extra!
Stylish new cordless
phone from AT&T with
touch-sensitive keypad
speakerphone,
expandability, and more
for only $49.95! Continued
~
Benefit news
Sign up for AT&T Online
Billing and you won't get
another paper bill! To sign
up just visit
http://www.att.com/online
Continued ~
Why more customers are
choosing online billing!
Simply visit
http://www. customerservice
.att.com to manage or set
up your online account.
Continues on back .jI
~ at&t
HARVEY WAGGONER
Sep 27 - Oct 26, 2006
Customer 10: 717 732-9816
Moving?' It's hassle free with
AT&T. Check the box, print your
new address on back.
Save your check! Visit
www.att.com/remitdoc
n~~?n~A~~~~n~~~An~nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn~
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~DONEGAL
COMPANIES
P.O. BOX 300 . MARIETTA, PA 17547-0300 . 1-SOO-8n-0600
INSUREDS COpy
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DONEGAL MUTUAL INSURANCE COMPANY
INQUIRIES 'CALL: 1-800-877-0600
CANCELLATION MEMO 0005579
BILLING
11/28/06
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PAF 3046150 0001
AUTOMOBILE
WAGGONER SARA B
C/O KEN WAGGONER EXEC
5105 INVERNESS DRIVE
MECHANICSBURG PA 17050-8318
11I,11I1II11I..1I1.1.1I1I.11I1.1I1I.1II1111I1,1I1I..IaIIIII.11
POLICY EFFECTIVE: 7/24/06
TOTAL POLICY PREMIUM: $904.00
ACCOUNT BALANCE
466.00
PRO-RATA
CANCELLATION EFFECTIVE 11/13/06
640.00CR
BA AT REQUEST OF INSURED: SOLD CAR
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REFUND DUE $174.00*
A CHECK WILL BE SENT UNDER SEPARATE COVER.
A DALE MCGUIRE AGENCY INC
G 1231 N MARKET ST
E POBOX 10
N DUNCANNON PA 17020-0010
T
TELEPHONE (717)834-3193
!M-l (6103)
THIS STUB MUST BE RETURNED WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE TC ENSURE PROPER CREDIT.
METHOD OF PAYMENT
o Check Enclosed 0 Charge my Credit Caret
1. Enter information on reverse or
2. Pay by telephone at 1-800-877-0600 or
3. Pay online at www.donegalgroup.com
~
PLEASE
MAKE
:;HECKS
'AYABLE
TO
o ADDRESS CHANGED?
PLEASE SHOW ADDRESS CHANGE ON THE BACK OF THIS STUB.
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MCI Account: 2 FSS0553
Telephone Number: 717 732-9816
Customer Service: g www.mci.com/service
Statement Date: 11/07106
Page 1 of4
. 1 888 624-5622
Summary of Charges
Previous Charges .......................................
Payments through 11/06106 ......................
Long Distance Adjustments ......................
Balance Forward .........................................
Current Charges .........................................
$125.78
$126.53 Cr
$125.78 Cr
$126.53 Cr
$30.94
Cred it Balance ...........................................
$95.59 Cr
Payment Due Date .........................;..........
CREDIT BALANCE
Y ouraccountc:urrentlyhasaCredit Balance,
* * * No Payment Necessary. * * *
'.11111.1111'1111.'.'.'.'11.'.'.'11'..'.1111111111'.'1111.'1.'
#BWNBMMR .....0010-000-001787 AT1 .308
#2FS50553NR000007# 033 *NRBB*75*01'.
SARA WAGGONER
274 SUSQUEHANNA AVE
ENOLA, PA 17025-2427
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-Me.
Get $1 off your monthly billl
With EasyPay with eAlert, your
monthly charges will be
automatically billed to your
credit card. You'll receive an
e-mail summarizing your bill with
a.llnk to yourlnleractlve
statement! To sign-up, call
1-888-MCI-LOCAL or sign up
online at
www.mci.comlEasyPay .
----c~- 1
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Vendor No. 1 RFCBMSC
Vendor Name Estate of Sara Waggoner
Our Account With You
Payment Doc. No. 2000572272
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Check No. 1003164663
Check Oate 1 2/01/2006-
Dete Invoice No. Doc No.
Net
Gross
Discount
11/29/2006 2FS5055300000138 1905612244
Check Total
158.98
O~OO
158.98
158.98
PAGE 1 / 1
-- T
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PA REV-1500
SCHEDULE F
JOINTLY OWNED PROPERTY
-OCT -=-23-2006 lEI: 42
PNCBANK
412 768 3458
P.01
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~ PNCBAN<
October 24, 2006
Traci L. Sepkovic
1013 Mumma Road, Suite 100
Lemoyne, P A 17043
RE: Estate of Sara B. Waggoner, deceased
SSN: 168-36-3016
DOD: 8/13/2006
Dear Ms. Sepkovic:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
CertUIeates of Deposit
Account #31000276716
Established 03/18/2002
SARA B W AOOONER
HARVEY K WAGGONER JR
DOD balance: $6,164.35 + 515.11 acOlUCd interest
Interest Paid 1/1/2006 - 8/13/2006 ~ 5143.64
Acoount #31400279497
Established 03/18/2002
SARA B WAGGONER
DOUGLAS A WAGGONER
DOD balance: 56,164.35 + .$15.11 accroed interest
Interest Paid 1/112006 - 8/1312006 - $143.64
Account #31600278186
Established 03/18/2002
SARA B WAGGONER
RANDY S WAGGONER
DOD balance: 56,164.35 + 515.11 accrued interest
Interest Paid 1/1/2006 - 8/13/2006 - $143.64
ChecldDg Aeco.nt
Account #5140311911
Established 07/20/2001
SARA B WAGGONER
HARVEY K W AGGONERJR
DOD balance: 52,992.60 + 50.00 accrued interest
Interest Paid 1/1/2006 - 8/13/2006 - $0.00
Page 1 of2
-1
OCT-23-2006 18:42
PNCBANK
412 768 3458
P.02
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Please note that this office only provides date of death balances COt' deposit accounts
(IRAs, CDs, Checking and Savinp accounts). We do Dot process any financial
traDSactioDI or pro\'ide statements. If you need assistance with any of these items,
please call 1-888-PNC-BANK. (1 ~888-762-226S) or stop by your local PNC Bank branch
office.
Sincerely,
GWtllk ~
RacheUe Wells
1"800-762-1775
P7 -PFSC.Q4.F
500 first Ave.
PittSburgh PAl 5219
Page 2 of2
Mcmbc:rFDIC
TOTAL P. 02
-- ------1- -- - --
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PA REV-1500
SCHEDULE H
FUNERAL EXPENSES and
ADMINISTRATIVE COSTS
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. Invoice
Brachendorf Memorials, Inc.
21 31 Herr Street
Harrisburg, PA 17103
DATE INVOICE #
8/30/2006 26124LB
BILL TO
Waggoner, H. Kenneth Jr.
5105 Inverness Drive
Mechanicsburg, P A 17050
CEMETERY DUE DATE PROJECT
RoUingGr... 10/28/2006
The lettering for the below mentioned name has been completed Thank you for
your patronage
DESCRIPTION
AMOUNT
Sara B.Waggoner
295.00
Total
$295.00
$0.00
$295.00
DOWN PAYMENT
BALANCE DUE
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Pasta e Fagioli
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Lasa Classico (12)
Chicken Parmigiana
Manicotti
Cheese Ravioli
Chicken Giardino
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WHITI! COPY' - GUEST YELLOW COPY - RESTAURANT
R....pply lOO3S0219
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Qu.I~.Wectlon. .avin... Iv.ry D.y.
Vi.lt u. on the Int.rnet
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.v.ry tl~. VOU .hop vlth u.. If there
I. anvthln. ~or. I e.n do to I~prove
vour .xp.ri.ne. pl.... call or writ..
Rick W.rn.r, Stor. "an...r
Giant Food Store 1263
310 Ea.t P.nn Drlv.
Enole, PA 17026
Store T.l.phon.: (717) 909-7012
I Phar~acv- T.lephon.: (717) 909-6950
01115/06 4: 111fP"
THANK YOU
48005633823
PEPSI2LTR BC 1.59 B
SC BONUSBUY SAVINGS .30-8
Prlc. YOU P.y 1.29
__,.__.~,.__A___,'_:_'!I._~_____~_____,~..._~__,._,__....._~......:..._____...'__,_'--
TOTAL BEFORE SAVINGS
YOUR TOTAL SAVINGS
TOTAL AFTER SAVINGS
TAX PAID
....TOTAL
CASH
CHANGE . .:-> r,
TOTAL NUMBER OF ITEMS SOLD. 41
8/15/06 4:19 PM 0263 19 0008 119
80.66
18.79
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****** BONUSCARD SAVINGS
BONUSCARD SAVINGS
fOTAL SAVINGS
2006 BONUSCARD SAVINGS
SUMMARY *Uu
18.79
18.79
720.37
*:***** REWARDS POINTS SUMMARY *~*****
GAS Earn RedeeN Balance
4**444******..*!~......~______~~? .
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Soup for 12 Minestrone Pasta e Fagioli I I Zuppa Toscana
Breadsticks (6)
Breadsticks .(12)
Oo! Entrees
Pasta wI Sauce ,', Lasama Classico (8)
Pasta: 1'-1 Lasama Classico (12) -
Sauce: Chicken Parmigiana
ADD: Manicotti
Pasta wI Sauce Cheese Ravioli
Pasta: Chicken Giardino
Sauce: Other:
ADD: Other:
I S'Jjecial Instructions:
QI'Y-
Slice
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Cutlery Kits Bread Sticks Cheese # Set-Ups
Serving UleoliiIs Dressing Mints
Plates Croutons To Go Menu
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Resupply 100350219
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your .xp.rlenc. pl.... c.ll or write.
Rick W.rn.r. Store M.n..er
Giant Food Store 1263
310 E..t P.nn Drlv.
Enol.. PA 17025
Store Telephon.: (717) 909-7012
Ph.r~.cy Telephone: (717) 909-6950 '
08/15/06 4:14PM
THANK YOU
48005633823
PEPSI 2L TR BC 1 .59 8
SC aONUSBUY SAVINGS .30-8
Price YOU P.y 1.29
___ __.~'._A__"__o...!t_~._-.:...._______":'_~~_._..__..~_._..__',_~_-"---,.. --_
TOTAL BEFORE SAVINGS
YOUR TOTAL SAVINGS
TOTAL AFTER SAVINGS
TAX PAID
....TOTAL
CASH
CHANGE ,.,-. f,
TOTAL NUMBER OF ITEMS SOLD. 41
8/15/06 1:19 PM 0263 19 0008 119
80.66
18.79
fi
11.
****** BONUSCARD SAVINGS
BONUSCARD SAVINGS
rOTAL SAVINGS
2006 BONUSCARD SAVINGS
SUMMARY UB*
18.19
11.79
720.37
*:***** REWARDS POINTS SUHMARY *~*****
GAS Earn Redee~ Balance
*******.....&..~~u. 0 427
" ... .. .. .. w. _. ... ..... .. .. .~ .. ._
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Soup for6 Minestrone Pasta e Fagioli I I Zuppa Toscana
Soup for 12 Minestrone Pasta e Fagioli I I Zuppa Toscana
Breadsticks (6)
Breadsticks (12)
I'anie& 'Ib Col p.ntre\,..
Pasta w/ Sauce ... Lasama Classico (8)
Pasta: '-I LasalUlll Classico (12) .
Sauce: Chicken Parmigiana
ADD: Manicotti
Pasta w/ Sauce Cheese Ravioli
Pasta: Chicken Giardino
Sauce: Other: ~
ADD: Other:
Snecial Ihstroctions:
QTY.
Slice
Half
Whole ..
QTY.
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QTY.
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Cutlery Kits Bread Sticks Cheese # Set-Ups
Serving UlaIsiIs Dressing Mints
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"Y 10.1 II to .nlur. your ..tt.faction
.very tl~. yOU Ihop with u.. If there
II .nythlnl ~ore I c.n do to l~prove
your exp.rl.nc. pl.... c.ll or writ..
. Rick Wlrn.r, Store ".nl..r
Gl.nt Food Store 1263
310 E..t P.nn Drlv.
Enol.. PA 17025
Store T.I.phon.: (111) 909-1012
i; Ph.r~.cy T.lephone: (117) 909-6950
08/15/06 4:14PM
THANK YOU
48005633823
PEPSI2LTR BC 1 .59 B
SC BONUSBUY SAVINGS .30-8
Prlc. YOU PlY 1.29
__ ..._.''J. _a_ _,.____...-~_.._.____ _._-.. .._.~_.,._--_.,._--_._--'-~-~~.~.~..;,,--, .
TOTAL BEFORE SAVINGS
YOUR TOTAL SAVINGS
TOTAL AFTER SAVINGS
TAX PAID .
....TOTAL
CASH
CHANGE
80.66
18.79
(,
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..~.. r;
TOTAL NUMBER OF ITEMS SOLD. 41
8/15/06 4:19 PM 0263 19 0008 119
****** BONUSCARD SAVINGS
BONUSCARD SAVINGS
fOTAL SAVINGS
2006 BONUSCARD SAVINGS
SUMMARY *** u
18.19
. 18.19
120.31
*:***** REWARDS POINTS SUMMARY *~*****
GAS Earn Redee~ Balance
********K**KK~K~~>>. 0 427
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Richardson Funeral Home Inc.
29 South Enola Drive
Enola, P A 17025
(717) 732-0587
Michael G. Murray
Supervisor
April 29, 2006
For The Services of: Sara B. Waggoner
Total of Professional Services,
Facilides and Automodve
Equipment.... ............ ...... ..... ......... ............... ...... ... ... ......... ........... .........$ 3190.00
Charge For Merchandise Selected:
".
Casket: Haven Line; Franklin 20 Ga. Protective........................ ...$ 13,88.00
Outer Burial Container Provided By Cemetery ...--;---.--
Total Balance Due:
"-
,
. ~h~nk you,
A. . // / " ./1_ .-.-..;;..
.//~,.~;......~,~::.- ,; v/::--- /-..-~
Michael G. Murray, Sopervisor
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&<.icharu' guneral fJ{ome, c!Jnc..
29 SOUTH ENOLA DRIVE
ENOLA.PA 17025
(717) 732-0587
MICHAEL G. MURRAY
STATEMENT OF FUNERAL GOODS AND SER.VICES SELECTED SUPERVISOR
ChalJCS 3re only for thotc Items that you sdccted or that 3re required. If we 3re required by bw or by 3 CClllctery or cn:m3lory to IIIC my Items, we will
cxpbln In writlnll belnw.' '
If you selected 3 funcr3lth3t may require cmb3lm1ng. sucb IS 3 funcr3l wltb viewIna. you may have to p3y for cmbaImIng. You do not haft to p:lIy for cmb3ImIllll
you did not approve If you selected ~ such IS 3 direct cremation or immediate burial. If wc c:haqJcd for cmbaImIllll, wc wiD czpIaIn wby below.
I'orthcServlceof ~4/tA - lJ. /../0 n "',.,F'..... ' DUeofDadl .Au~...,~-L4,.;;HCf.
Clwscto,;I/. Ae4"Pf-It /J'~~~l'f''''''''JA. 5"/Q-r 1';,,_//7P.J:~ /l.r ~,..,-",-".'-I.
~ ' ~ ~ ~ ~
A. CHARGE fOR SERVlCIS SELIlCTIlD, Other cJotbing ld /7 (/S 6 /
1. PROFESSIONAL SRVlCES :7":. u .-
ScrvIccl; of funcr3l DIrcctorlStaff .... ~ .-
=~~;i~ '~i bc;d;" ... . .... ~0 =~:on~ . .. .. .. .... . ....... .-
.-
.-
.-
TOTAL MERCHANDISE SIlUCTIlD. . . . .... . .. .... . .. B ._
Co SPECIAL CHAIlGES.
JlorwardInll of reMans to
011lER
................................- .-r;U/ .
SUB-TOTAL O' PROJIIlSSIONAL SERVlCIS. . ... .... AI ~
2. fACIUTlES AND SERVICES
Use of facilities aod services for -,AI
vl~lng (Visitatlon/Waltc). . . . . . . .. d (...,..-"
Use of facilities 30d services
for funcr3l ceremony............ ._
Use of facllltlcs md services for
McmorlalServlcc ............... ._
Use of equipment md services
for Kravcsldc servicc............. ._
Other use of facilities
(l'uncr3l HOIIIC)
\lccdvi,. of rcmalnI from
.-
(l'uncr3l HOIIIC)
Immedlatc Burial.......... .... ... ._
Direct Crcnwlon................. '_
.-
SVB-TOTAL O' SPECIAL CBARGI!S ...... . . . . . . . . .. C '_
D. CASH ADVANCED
. . . . . . .. . . . . . .. . . . . . . . . . . . . .. .. ,_ Opcillnj Gi..e .................. .~~
SUB-TOTAL O' 'AOLITII!SII!QUlPMENT ........... A2'_ Cemetery Equipment.............. .-
Lot md Deed. . . . .. . ... ... .. . . ... ._
3. AUTOMOTIVE EQUIPMENT Ncwsp3pCt Notices-Local ......... .~
~~Ie.t~.~~~e~.~.~.~~~'- ~:::::~=~~~:::: :=--
Hearse (Cakct COKb) ACirfltcl....y..~:~: O' ~c.rI.;,;, '. '. .... '. .... '. '. '. '. '. .... !'7'r""' " ';;-
Local............................_ -a'....... ." .... ~
Umollsinc Pallbarers . . . . . . . . . . .. . . . . . . . . .. '_
=~1~ .~.. ....M...~._~.. ....- ~=t~~ ~f.~.~...... ..r:.",ll
Loca\. . . . . . . . . . . . . . . . . . . . . . . . . ., ._ Police Esccxt . . . . . . .. . . . . . .. . . . .. .
Flower cu or I10nI disposition FlowctS ........................ fT'A/ ~
Local. . . . . . . . . . . . . . . . . . . . . . . . . .. ._ Vault Service CIwJc . . . . . . . . . . . . .. ._
Lead t'ulclelllY ar '-
LocaI............................_ '-
Car for p3Ubl:arm '-"-
Loal. .. . . . . . . . ... . . .. .. . .. . .. .. ._ '-
Out of 10wn tnnsportadon......... '_ .-
.- .-
._ SVB-TOTAL O' ADVANCES....................... D ._
SlJB..TOTAL OF AutOMOTIVE EQUIPMENT........ A3'_ Wc c~ you for our scrvlccs In obtaInIllI=
TOTAL OF PIl0mSIONAL SEIlVICES. (sp<<th auJJ '"'- tINIl - ",."..",)
FAOLITIES AND AUTOMOTM
EQmPMENT ... .. .. . .. .. .. .. . .. . .. .. . .. .. .. . ... A ..l1.!JL &IS Ii
'-
Aeknowledacment ard5 ........... ._
Rqisler book(s) ........ .. . . . . .. .. ~
Memory folders .................. s......:...
Prayer cuds. . . . . . . . . . . . . . . . . . ... 'r-r--
Temporary llravc IlIlU'ker . . . . . . . . . . . ~
Burial clothing ................... '-b-
13JI'CC that I have cnmlncd 11M: Ilrms of pods and services selected 3boYc md found them 10 be corm:t md accordl"lIO the unnscmcms I ha", requested. I actnowlcd&c
lCCCipl of 3 copy of this SbtcmcDI of Funeral Goods md Scrvkcs ScIcclcd. I rcprcscnt thai I have sul6dcnt fundsanlbblc for psytllCllI of the cash price for the JOOds
md services sclCCled.1 also 3JI'CC 10 make p:lIytIICIlt of ........ within --' days. J aptC 10 be joInIIy IIId scvcnIIy lIablc.wlth.anyonc else who
. below. A laiC chalJC or _ per mooth amountlnlto ./. per ycsr win be 3pp1lcd to the unpUI bmncc bcJlnninI ./ days
flOlll lbe dale of this 3 . r1 also psy to tIM: Funeral Direclor an'ia.onabk: COlIS psid by the l'uneraI Dliector to c:oIIca _Iowc..dcr tIllS apecmcnl.
".. COlIS Y iocl 3<<Omc' . n t6sts and other s, Any addltIoIW 1C"1ccs or mctchandlsc ordered or RIqUCSled Utct the dalo of this apccmcnt win
~ .. """'....... .......<<~. :J:<
~?l?' ~~~/
...~ I'IIICraI DIrCClor)
WHITE. PancnI DJrecror YIIJ,.OW I'wIcnI
SUMMARY O. CHARGES
A. Professional Services, l'adlities md
Equipment, 30d AUlomotive .
Equipment. . . . . . .. . . .. .. . . . . . . ., s.3.J5lg .if ~
B. Merchandise..................... .~. "" '7
C. Spcd31 CbUJlcs .... .. .. .. .. .. .... ._
D. Cash Advmccs................... ._
TOTAL 01' AU SECTIONS. . . . . . . . . . . . . . . . . . . . . . " ._
=~~~~:~~:7~:7: ::::: ::::::: ::::: ~~~~ ~'
~ING~..IL~ Tt7g'.0.,)
If any bw, cry, or ~Ilory requlrc'iilcms have required the purcbase
of my of the ilems listed abovc the bw or requln:mcnt Is explained below.
-
B. CHARGE 'OR NIlRCHAMOISE SILBCTED~,
M .' '00
Casket.... ..r.7v..e. ""............ n..~ ~ '
~. ;
(Dcs~ripUonL. "",' ~ ,(/ 7 ""'; '" "'.
.ilit-':> )"..... .. 7- ... E... (/
ther Receptacle..:.:............ .-
(Description)
Outer burial container............. .~
(Description)
- T
lit ·
nvolce
AMERICAAINDOW REPAIR CO.
5409 LAURIE LANE
ENOLA,PA 17025
717 728-0483
.'
Bill To:
MR. WAGEONER
274 SUSaUHANA
ENOLA, PA
Number: 1316
Date: December 15, 2006.
Ship To:
MR. WAGEONER
274 SUSaUHANA
ENOLA, PA
Tenns
INSTULATION DATE
12/1512006
WORK BY
GARY
Tax 1
Product 10 Description
GL ASS REPLACEMENTS
"V' ,
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( t.(
Mlo/
,,-~...... -_-:.........~._- -----~-~---_._-_.._~~-_.-
.j
Quantity
1.00
THANK YOU FOR USING AMERICAN WINDOW REPAIR COMPANY~'
Price
80.00
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Sub-Total
State Tax 6.00% on 80.00
Total
Amount
80.00
$80.00
4.80
$84.80
o - 30 days 31 - 60 days 61 - 90 days > 90 days Total
$84.80 $0.00 $0.00 $0;00 $84.80
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@omcast.
ACCOUNT
NUMBER
DATE
DUE
TOTAL
AMOUNT DUE
Visit us on the web at
www.comcast.com
09547188044-01-4
01/07/07
$47.82
HARVEY WAGGONER
How to reach us...
How to reach us:
4830 Carlisle Pike, Suite 0-14
Mechanicsburg, Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a day, seven days a week
..FClf sefviceat . ...
< 274SUSaUEHANNA AVE
.... ENOLA "'\17025-2427
Summary otCharges
Statement Prepared 12/13/06
Billed from 12/21106 to 01/20/07
47.82
47.82 cr
45.25
2.57
$47.82
Detail of Charges on back
Previous Balance
Payments (includes payments received by 12113106)
Cable (Video) Services
Lax~, Surcharges, & Fees
Total Due
News from Comeast
Thank you lor your prompt payment. For your convenience, we now accept regular
and automatic monthly credit card payments and direct debit.
e
e
@omcast.
ACCOUNT
NUMBER
DATE
DUE
TOTAL
AMOUNT DUE
Visit us on the web at
www.comcastcom
09547188044-01-4
11/07/06
$47.82
HARVEY WAGGONER
How to reach us...
How to Mach us:
4830 Carlisle Pike, Suite 0-14
Mechanicsburg, Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a day, seven days a week
For service at:
274 SUSQUEHANNA AVE
ENOLA PA 17025-2427
Summary of ChargeS
Statement Prepared 10/11/06
Billed from 10/21/06 to 11/20106
95.64
95.64 cr
45.25
2.57
$47.82
Detail of Charges on back
News from Comeast
Thank you for your prompt payment. For your convenience, we now accept regular
and automatic monthly credit card payments and dir~ debit.
-r
e
e
@omcast.
ACCOUNT
NUMBER
DATE
DUE
TOTAL
AMOUNT DUE
Visit us on the web at
www.comcsst.com
09547 188044-01-4
12107/06
$47.82
HARVEY WAGGONER
How to reach us...
How to Mach us:
4830 Carlisle Pike, Suite 0-14
Mechanicsburg, Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a day, seven days a week
For service at:
274 SUSQUEHANNA AVE
ENOLA PA 17025-2427
Summary of Charges Statement Prepared 11/08/06
Previous Balance
Payments (includes payments received by 11/08106)
Cable (Video) Services
Taxes, Surcharges, & Fees
-Total Due
Billed from 11/21/06 to 12/20106
47.82
47.82 cr
45.25
2.57
$47.82
Detail of Charges on back
News from Comeast
Thank you for your prompt payment. For your convenience, we now accept regular
and automatic monthly credit card payments and direct debit.
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398484
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PRDORTED
FIRST CLASS IIAIL
U.s. POSTAGE PAID
TRICK OR TREAT 6 TO 8 PM
TUESDAY OCTOBER
Telephone 732-0711
OffIce Hours 8:00 to 4:00 Moo 1I1ru Fri
-'
t t
110 0
HARVEY K. WAGGONER
274 SUSQUEHANNA AVENUE
ENOLA . PA 170aS
1m III , ulll"", ", ,1.1" .',1 ", ,IIIJ,JlUllIll.I,I"IJ, '111
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MCI Account: 2 FS50553
Telephone Number: 717"732-9816
Customer Service: g www.mci.com/service
Statement Date: 11/07106
Page 3 of 4
. 1 888 624-5622
*
Me.
Integrated Service Summary
Service for 717 732-9816
Neighborhood 200 (10/07/06 to 10/19/06)
Local Service Summary
Service for 717 732-9816
Three-Way Calling Promotion (10107/06 to 10/19106)
Call Waiting (10/07/06 to 10/19106) ..................................
Caller 10 with Name & Number (10107/06 to 10/19106)....
Call Waiting ID with Name & Number (10107106 to 10/19/06)
Taxes and Surcharges .........................................................
Current Charges
Taxes and Surcharges
MCI Local Service
PA Local 911 .......................................................................
Federal Excise Tax .............................................................
State & local Taxes ............................................................
Federal. State & Local Surcharges ....................................
Network Access Surcharge- Primary Line .......................
Carrier Access Charge-B ..................................................
MCI Long Distance Service
State & Local Taxes ............................................................
Federal, State & Local Surcharges ....................................
Federal Universal Service Fee ...........................................
Total Taxes and Surcharges
For Your Information .n
$18.45
$18.45
$.00
$.00
$.00
$.00
$12.49
$30.94
$1.25
$.21
$.09
$1.11
$6.50
$1.46
$10.62
$.40
$.50
$.97
$1.87
$12.49
Your basic local service is $20.76 and consists of charges for your
monthly callil19 plan, local calls m~e, network accessytele-relay
services, 911, ahd any rest oral or Installation charges. our
non-basic local service is $2.87 for all other local charges. Your
dial tone will not be affected by failure to pay any non-basic local
telecommunication charges.
Thank you for choosing Mel
Local Phone Service.
. ~'V
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Invoice Continues
on Reverse ...
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'IIeighborhood Account: 2FS50553
felephone Number: 717732-9816
;ustomer Service: g www.mci.com/service
Statement Date: 09/07/06
Page 3 of 5
. 1 888 624-5622
The
Neighborhood
built by Mel
ntegrated Service Summary
3ervice for 717 732-9816
Neighborhood 200 (08/07/06 to 09/06/06)
Thank you for choosing MCI
Local Phone Service.
$43.99
$43.99
_ocal Service Summary
3ervice for 717 732-9816
Three-Way Calling Promotion (08/07106 to 09106106)
Call Waiting (08/07106 to 09/06106) ..................................
Caller 10 wltb Name & Number (08/07/06 to 09/06106) ...
Call Waiting 10 with Name & Number (08107106 to 09/06106)
$.00
$.00
$.00
$.00
.ong Distance Summary
Paper Billing Fee .................................................................
$.99
$.99
$17.66
.axes and Surcharges .........................................................
:urrent Charges
$62.64
.ocal Directory Assistance
)8/07/06-09/06/061
:a1ls From 717 732-9816: .
'otal Dlrect~ Assistance
lirectory Ass stance Allowance
lirectory Assistance Charges
~
1
2
o
Amount
$.00
.ocal Toll Service
:alls from 717 732-9816:
'ate . Time Place Number Rate Mln Amount
.",g 1!_._1!:49~._."'~\t!P.Qrt I PA.___.J1?_5E)I-f?~8~_~_4t!L___-.!i ..._.__.,9<!.
.u.91~__J2:0?I:l_yo~ ,13,0, . d. !17 577-50~_g4t!L_.1_J)9
,ug 1:3 1~:031:l._ ~~f1l~_IPt\_.__ 7t7?29-o!iH!._.~4t!L.__ J .. _......_.99
,lJ9.1 ~_J?: l!!p.Jdm! , e..A . .. _ _ ____ I176gti=!?~8g .--X'H:1r_____. .t___. ._ ___,9<L
.ug 13?:4 7pUt~~ , PA .. ..?1I!i?~_::~38? ?4t!r.. n..J~ _ .00
.U.9 1 ~_ 2:!i1Q_~9~~,f'An on' n ?8?~",:"~98~ _.2.4HL ..... .!i.nd_.:QQ_
u.s..1 ~__1!;511:l..!,~w~!QWIJ.J PA_I.F_ ~ 13.::4Q!?L_~t!r._.._.L______....:99.
u.g J 4._1g,:!i1P..J,~cast~~LP!L ___. Z17.. ~!!J:::! l~!L_~'!.I:!r.._.._ ~_ ______ ,QQ.
ug~1 . 2:!)gp L.an<:~ter .PA. .. IE f?8.~~gQ()_g!!t:lL._ 1 ,qq
otal Calls from 717 732-9816 $.00
Invoice Continues
on Reverse no
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e
Neighborhood Account: 2FS50553
Telephone Number: 717732-9816
Customer Service: g .www.mci.com/service
Statement Date: 09107106
Page 1 of5
. 1 888 624-5622
Summary of Charges
Previous Charges .......................................
Payments through 09106106 ......................
Balance Forward .........................................
Late Payment Charge @ 1.20% ................
Current Charges .........................................
Ii"~', .,.. ;.<^ '.,,~ ,. .-.,. _<.<~,' '. ^ ,...... .. "', ,.' , ,... "/ "," .. _, .c, .....-c_ ....>~. ".. . ".A ...>;'."_-., " . ,.<
Total Amount Due .....................................
$62.64
$.00
$62.64
$.75
$62.64
v' ,.x.,......,... . .",,-,.... A^'...,..;>.".._..~,., '_1
L</ ....... .-.,:.<......."'..,... ,....~. .<.".'>','9.".....,..~".,.....<>,.,."..... .",7:......,-'.... .....,~., "V".'_ ....,..? ... .,....",,, .,.
$126.03
Past-Due Charges Due ............................
Current Charges Due ...............................
.-.;
UPON RECEIPT
1U/02l06
Please See Reverse For Important Account Informa~ion
REMINDER: A 1.20% late payment charge will apply to any
unpaid balance as of October 06, 2006 .
The
Neighborhood
built by Mel
Get $1 off your monthly billl
With Easypay with eAlert, your
monthly charges will be
automatically billed to your
credit card. You'll receive an
e-mail summarizing your bill with
a link to your interactive
statement I To sign-up. call
1-888-MCI-LOCALor sign up
online at
www.mcLcomlEasyPay.
~"
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Neighborhood Account: 2FS50553
Telephone Number: 717732-9816
Customer Service: g www.mcl.com/servlce
Statement Date: 09107106
Page 2 of5
. 1 888 824-5822
Th.
Nelpborhood
built by Mel
When to PIIr,our"
Your payment mull be RlCeIved by the 'PAYMENT DUE DATE' In ORIerto be reftected on your
nextlnvolce. If_don't receive payment for the clwgeaon thlutlltement by the 'PAYMENT
DUE DATE', ~ account wi become palIt due end may be subject to coIIectlon activity.
L8te p....... Fee
PIe.- note thet your account wi! be ~ elete payment
cheIge If your payment Is not receMId by the payment due dele
given In the Reminder notice below the Sumnwy of Chergea on
Page 1. The cllelge Is celculllted et 1.20')(, of ,"y unpeld emount
from the ptWVtoul month'llmIoIce.
How to PIIr,our IlII
Mal your check end l1II1llttance Ilub In the retum envelope or a IlIndard envelope Ind return to;
THE NEIGHBORHOOD, BULT BY MOl
PO BOX 105271
ATlANTA, GA 30348-6271
QueelIone end _~.. ebout,our IlII
YourlocalllfVice provider Is MOImetnl Accea TIlIIlIIlIilIIlon
Setvlcae, LLC. If you ha\lI any qlHllllonlabout IlIlII, acculllCYof
your bI or about the WII'IouI cllelgel on your bI, ..... Conlllcl
our Cu810mer Service by ph_lit the numller above, through the
Internet at www.mclcomfeeMce, orwrte us lit the
.Conapondence' 1dd_1Ited to the left.
Coo..........._end ....... Aooe8e
~ Written lnqulrle8: The Neighbofhood, P.O. Box 4600, lows City, IA 52244-4800
g Online Account Meneger from MCt www.mclcomleervlce
Changes to,our -.rt - MowIng?
If you',. momg or need to meke changes to your scC:ount. ..... cal the Customer Service
number shown sbove. A CuIlomer Service PIOfe88lonel wi be heppy to alllllll you.
Our records indicate a balance of $62.64 remains from30ur previous invoice(s).
Payment for this entire balance is due -UPON RECEIPT- offhis invoice. If the
entire balance has been mailed, please disregard this reminder. If not, please
contact us at 1-800-444-1872 to ensure your account remains active.
Invoice ContlnlJes on Next PaUl).
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WD:OUPI31
LAW OFFICES OF
GATES, HALBRUNER &-HATCH, P.C.
1013 MUMMA ROAD. SUITE 100 . LEMOYNE, PENNSYLVANIA 17043
(717) 731-9600 . FAX: (717) 731-9627
LOWELL R. GATES, LL. M.
LL. M. in Taxation
Also Admilled to Massachusetts Bar
MARK E. HALBRUNER
CRAIG A. HATCH, CELA
Cartified as an Elder Law Attorney by
the National Elder Law Foundation
CLIFTON R. GUISE
Also Admitted to practice before the
U.S. Patent & Trademark Office
SARAH E. McCARROLL
May 3, 2007
BRANCH OFFICE:
3 WEST MONUMENT SQUARE, SUITE 304
LEWISTOWN, PA 17044
(717) 248-6909
WEB SITE:
www.GatesLawFirm.com
CORRESPONDENCE ADDRESS:
Lemoyne Office
STACEY L. NACE
Paralegal/Office Manager
TRACI L. SEPKOVIC
Paralegal
VALERIE LONG
Paralegal t<l
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Cumberland County Courthouse
Office of the Register of Wills
One Courthouse Square
Carlisle, PA 17013
RE: Estate of Sara B. Wagoner
FOe No. 21-06-0753
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Dear Register of Wills:
Enclosed for filing are the Pennsylvania inheritance tax return (in duplicate) and Inventory
for the Estate of Sara B. Waggoner. I am also enclosing two checks: one in the amount of $130.00
as payment of the filing fees and additional probate fees owed with the filing of the Inventory, and
a second check in the amount of$8,089.74 as payment of the inheritance tax liability. Please time-
stamp the additional photocopies of each document and return them to our office in the enclosed
envelope.
Thank you for your assistance in this matter.
Sincerely,
ul2C1J4~iv
Traci L. Sepkovic
Paralegal
Enclosures
cc: Harvey Kenneth Waggoner, Jr., Executor
.
e
CAMP HILL POST o?FrCE
CAMP HILL. Pemsylvania
170113717
4134870011 -0097
09/20/2006 (800)275-8777 02:14:12 PM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
7.80 Ndn 2 $7.80 $15.60
Lib/Flag PS
Bk
2c Navajo 6 $0.02 $0.12
Jewe 1 ry PSA $0.39
EP 6x9 Env - 1 $0.39
RP
To'tal: $16.11
Paid by:
Cash $16.11
Order stamps at USPS.com/shop or call
1-800-Stamp24. Go to .
USPs.com/clicknship to print shipping
labels wIth postage. For other
Information call 1-800-ASK-USPS.
Bill': 1000302412969
Clerk: 08
All sales fInal on stamps and postage.
Refunds for guaranteed services only.
Thank you for your business.
Customer COpy
Customer Account Informatione
For Service To: SARAH Waggoner
274 SusquehaMa Ave
Account Number: 24-0645411-2
Premise Number: 24-0381310
Billing. Summary
e
--Prior' Balance
Balance from last bill
Payments prior to Oct 19, 2006. Thanksl
Total prior balance, Oct 19, 2006
---Current Water Charges-
Service Charge
Water Volume ($.005735 x toO)
STAS PAWC Water-0.33%
DS/- PAWCCharge 4.92%
Total water charges, Oct 19,2006
Other Current Charges-
Customer Protection Sewer Line
CustomerProtection WaterLine
Total other charges, Oct 19,2006
$28.29
-28.29
.00
11.50
.57
-.04
.59
12.62
9.00
5.00
14.00
I $26.621
.
Billing Period &Afeter Information
Billing Date: OCt 19, 2006
Billing Period: Sep15toOct 16 (3tdays)
Next readingonlabout: Nov 15,2006
Rate Type: Residential
Meter readings in current billing period:
Meter Number NOOOOl3431 is a SIB-inch meter.
Present-actual 735400
Last-actual 735300
Gallons used 97'1.0
Messages to you from Pennsy!vania American Water
Any portion of the water Charges Which is not paid as of 11/13106 will be subject to a 1.50% penalty.
· Customers may use their credit card, debit card or pay by electronic check only by calling toll free: 1-866-271-55
Customers may also pay on-line at www.water.paymybill.com. A service fee wi/I apply.
· ApproXimately 4.72 percent or $.59, of State taxes are included in your current bill. .
· Effective October " 2006, the Distribution System Improvement Charge (DS/C) has increased from 3.70% to 4.9
This charge funds the ITilplacement of water distribution facilities.
· Nine Pennsylvania American Water treatment plants across the state have been nationally recognized
this year for achievin(l high standards in drinking-water quality. Visit www.pawc.com and read about
.Pennsylvania Amencan Recognized for Ongoing Safe Water Practices" under "In the Spotlight"
· Sign up for American Water's automatic payment plan and pay your bill automatically on the day irs
due. No more checks, stamps or late billsl To sign up, fill out the enclosed application and retum
it with your bill, or caD our customer service center 24/7 at 1-800-565-7292. Irs that easyl
· Effective August 14, 2006, the State Tax Adjustment Surcharge (STAS) decreased from -0.29% to -0.33%.
Justomer Service & Emergencies 1-800-565-7292 (24 Hours)
=or Hearing Impaired Customers TOO 1-800-300-6202'(24 Hours)
/lslt us on the INTERNET: www.pawc.com
12 3
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CustomerAccountlnforma~/on .
For Service To: SARAH Waggoner
274Sus~ehanna Ave
Account Number: 24-0645411-2
Premise Number: 24-038131 0
Meter readings In current billing period:
Meter Number N000013431 is a S/8-inch meter.
Present-actuali i735400. ....
Last-actual .735400.[..;;';;
Gallons used
Billing Summary e
---Prior Bala"ce-
Balance from1a$t bill
Payments priortoNov17, 2006.Thanksl
Total prior bllance,Nov17,2006
-CurrentW8ter Charges-
Service Oharge
STAS PAWC Water -0.33%
OSI- PAWCCharge 4.92% . .
To~lwatercharges. Nor17'2006
-___Otherc~rrentCharges . .
Customer Protection Sewer Une.
Customer Prot8ction WaterUne
Totll other charges, Nov 17,2006
Billing Period & Meter Information
Billing Date: Nov 17, 2006. ....
Billing Period: Oct 16to Nov 14 (29 days)
Next reading onJabout: Dee 15, 2006
Rate Type: Residential
"""'
11.50
-.04
.57
12.03
9.00
5.00
14.00
$26.031
Messages to you from Pennsylvania American Water
Any portion of the water Charges Which is not paid as of 12/12/06 will be subject to a 1..50% penalty.
.. Oustomers may use their credit card, debit card or par.. by electronic checf< only by calling toll free: 1-866-271-5522
Oustomers may also pay on-line at www.water.paymybill.com. A service fee will apply.
.. Approximately 4. 72 percent or $.56, of State taxes are included in your current bill.
.. Effective October 1, 2006, the Distribution System Improvement Charge (OSIC) has increased from 3.70% to 4.92
This charge funds the replacement of water distribution facilities.
.. This year maries the 15th anniversary of Pennsylvania American Water's H2O - Help to Others Program - a
program that assists low-income customers who qualify. pay for their water bill through grants, a
discount on the service fee and free water-saving deVIces. In the last 15 years, Pennsylvania American
Water, in partnership with the $1 Energy Fund, has provided more than 9,000 grants in excess of $1.6
million. In addition, more than 16,000 customers have been enrolled in theprogram's monthly
service charge discount and have rtiCeived free water-saving devices and education. A new H20 .
program grant season is now open. To learn if you qualify for for H20 Program, call 1-888-282-6816.
.. Effective August 14. 2006, the State Tax Adjustment Surcharge (STAS) decreased from -0.29% to -0.33%.
~- . 'f
llO16Oll 0ll0069. llOO 17509
Customer Service &. Emergencies 1-800-565,.7292 (24 Hours)
For Hearing Impaired Customers TOO 1-800-300-6202 (24 Hours)
Visit us on the INTERNET: WYiW.pawc.com
AHA Q738
~ r-
1-----
customer,Accou~t.lnfO~mat1on..,_
For Service To: SARAH Waggoner .:.i:,;
274 Susquehanna Ave
" . Account Number: 24-0645411-2
Premise Number: 24-0381310'
'..,',':"BIIIJngSummary. '
"'" '. . .', "
,,' .-P~I~r Bal~rice-~~
Balance from 'IastbilJ ,', '. '. .. .'
.... Payments'prior.to Dec 19. 2006~ rh~;,ksJ
"'.' Total prior balance, D8c 19, 2006',
~Curreni Water Charges.. .
Servide Charge'.. .... .
Water Volume ($.005735 X 200) , .'
STAS PAWCW.lilter~O.33% .'
. '" . DS/~PA~9qhaig84,92.%, '.' ..',
..... · ':: Total..te'r charges, D8C19,'2006
:~.m '.Other Current charg.s~ '
'. Oustomer Protection Sewer Une . .
.. . CustotMT Protdon WaterUne . . .
.,Total other charge.., Dee 19,2006
", '.
Billing Period & Met.r Information .,
BIlling, Date: Dec19, 2006 .... . .'
Billing Period: Nov14toDec15 (31 days)
NeXtreadlngonJabout:Jan17. 2007
Rate type:. Residential . , ,
. " -
. , , .
Meter readingsln current blUingperIOc:l:'.
Meter Number N000013431 isa 5/8-inch'meter:'.
Present-actual. 735600 .
Last-actual 735400 ...... .
Gallons us8d
Messages to you from Pennsylvania American Water
Any portion of the water ChliT!Jes which is not paid as of 1/16/07 will be subject to a 1.50% penalty.
· Season's greetings to all Pennsylvania American Water customers.
· Customers may use their credit card, debit card or par.. by electronic check only by calling toll free: 1-866-271-5522.
Customers may also pay on-One at www.water.paymybill.com. A service fee will apply.
· Approximately 4.72 percent or $.62, of State taxes are included in your current bill.
· /Effective October 1 r 2006, the Distribution System Improvement Charge (DSIC) has increased from 3.70% to 4.92%.
This charge funds the replacement of water distribution facilities.
· Have you winterized your home? For tips on how to protect your pipes and meters from freezing,
take a look at the insert included with this biN.
· Pennsylvania American Water owns and operates 35 water treatment plants, four wastewater
treatment plants and over 9,100 miles of pipeline, ranging from two-inch pipe to 48-inch pipe. Our
company understands the importance of investing in our treatment and distribution faciDties to
help ensure the quality and reliabilitY.. ofthe service we provide to our customers. This year,
the company invested over $147 tnIllion on infrastructure improvements. Of this. approximately $51
milDon was invested in pipeline replacements and improvements.
· Effective August 14, 2006, the State Tax Adjustment Surcharge (STAS) decreased from -0.29% to -0.33%.
'." "
. - . .
Customer Service & Emergencies 1-800~5615-i292(24;Hours) ..'
For HearinglrnPaired Customers TOO 1..a00~300-6202 (24' Hours)
Visit us on the INTERNET:Www;pawc.cam<: ...' '" "
RAW100AMWOBlAUWll91
-----p....-... ~~'i1f-:~.f;;,'~y'.... -,
Customer Account Information'
For Service To:
. , ,-:." '''-::",-'
Billing Period & IfIeterlnformatlolt
.-Billlng ,Date: ,J_an--O~, '20,07_ , -c', ': _,__, " \ ","
Billing' Period: '. Dee 15 to Dee 29 (14days) .
Next relKllngonhlbout: . Jan 1 ?,2007
Rate Type: Residential '
BllllflfiSummary .
. .............':..pl'tor sIlt.rioll...... '
.B~~nCefrornlastbill
Payment~ prior to Jar, 03,2007. Thanks I
. .... ,Total~rlc)r~alan~;Jan O~, 2007
'.' .., .',current VI~ef Charges"
SeWi~ Chafge>d'<': '. .....
Wat., VoJu",~($.OO~735 x 300)'
,..' STAS.pAWCWater..a.33%
. [)~I~.,P.1WPJ?h~g~4.92~,.,.....
'. T~tlllNaterchargesl.Jan03;~07 ,.'.
,.~~e~q~r~~Ch~rgeB7-
'. .....,bufJtomer protectjcmSewer Line
CustomerPrptection Waterline ..'
.Total~th8r qharges,JanQ3, 2OQ7
Meter readings In current bUlingperiod:
Meter NurnberNOOOO13431 is a 5/8~ineh meter. '
Present-actual 735900..
La~~a~u~ 735600
Gallons used
'Messages to you from Pennsylvania American Water
This is your Final Bill for service. It has been a pleasure serving you and we hope we may again have the
opportunity in the future.
The due date pertains to current charges only. Any past due balance should be paid immediately.
* Customers may use their credit card, debit card or par.. by electronic check only by calling toll free: 1-866-271-5522.
Customers may also pay on-line at www.water;paymybill.com. A service fee will apply.
* Approximately 4. 72 percent or $.35, of State taxes are included in your current bill.
* Effective January 1, 2007, the Distribution System Improvement Charge (DSIC) has increased from 4.92<'/0
to 5%. This charge funds the replacement of water distribution facilities. .
· Effective January 1,2007, the State Tax Adjustment Surcharge (STAS) decreased from -0.33% to -0.44%.
* Effective August 14, 2006, the State Tax Adjustment Surcharge (STAS) decreased from -0.29% to -0.33%.
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ADVERTISING INVOICE / STATEMENT # :
- -..
. . .
09/01/2006 - 09/30/2006
ES, HALBRUNER & HATCH, P.C
. . . .
. ..
$ 531.27
Net 30 Days
. .
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$ 0.00
$ 0.00
$ 0.00
0000271105
. . : : . . . I.... . . 1'-
1 09/30/2006 GATES, HALBRUNER & HATCH, P.C THE PATRIOT-NEWS
ATTN:MARKE.HALBRUNER P. O. BOX 2066
: . . : 1013 MUMMA ROAD, SUITE 100 MECHANICSBURG PA 17055-0996
LEMOYNE, PA 17043 USA
11885
. . . :
11885
o Address changes on back
o Credit Card Payment on back
.TnTJ!Y;;~i,..'"jT.'J;'"i~~i. "to.
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09120 0001565923 Waggoner Estate/800P-Main Legals LETTERS TEST AME}t. 1.00 x 20 Li 3 272.10
DA PennLive, PNCO, Start Date: 91612006 60CL 4.5350
09120 0001566026 Robert Thorpe Estate/800P-Main Legals LETTERS OF ADf\ 1.00 x 19 Li 3 259.17
l DA PennLive, PNCO, Start Date: 9/612006 57CL 4.5468
t-I'd lol1."-I/()b Amount to Pay: $531.27
STATEMENT OF ACCOUNT AGING OF PAST DUE AMOUNTS
r$:=':--' $ 0.00 I $ 0.00
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$ 0.00
$ 531.27
trbt patriot-Ntws
Now you know
All Billing Inquires (717) 255-8213
Fed. ID # 23-1304402
lsar" I
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* UNAPPLIED AMOUNTS ARE INCLUDED IN TOTAL AMOUNT
0000271105
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RECEIPT FOR PAYMENT
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GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Receipt Date:
.Receipt Time:
Receipt No. :
WAGGONER SARA B
Estate File No.:
Paid By Remarks:
2006-00753
H KENNETH WAGGONER
MW
Fee/Tax Description
SHORT CERTIFICATE
Cash
Total Received.~.. .....
11/27/2006
11:36:26
1046447
Receipt Distribution ------------------------
PaYment Amount Payee Name
8.00
----------------
$8.00
$8.00
CUMBERLAND COUNTY GENERAL FUN
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RECEIPT FOR PAYMENT
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GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17U13
WAGGONER HARVEY K
Estate File No. :
Paid By Remarks:
Receipt Date:
Receipt Time:
Receipt No.:
2000-00310
H KENNETH WAGGONER
MW .
Fee/Tax Description
SHORT CERTIFICATE
Cash
Total Received... ......
11/27/20.06
11:37:56
1046448
Receipt Distribution ------------------------
PaYment Amount Payee Name
4.00
----------------
$4. .00
$4.00
CUMBERLAND COUNTY GENERAL FUN
OMB NO. 2502-0265 4
A. B. TYPE OF LOAN:
U.s. DEPARTMENT OF HOUSING & URSAN DEVELOPMENT 1.0FHA 2.0FmHA 3. OOCONV. UNINS. 4. OVA 5. OcoNV. INS.
6. ALE NUMBER: r 7. LOAN NUMBER:
SETTLEMENT STATEMENT 06-749 12306406
8. MORTGAGE INS CASE NUMBER: OLD MORTGAGE INS CASE NUMBER:
654/F/5.75% SKS
C. NOTE: This klrm is flrnished /0 give you a statement of actual setIIement costs. Amounts paid /0 and by the setIJement agent are shown.
Items marlced "fPOCr wwe paid oUf8ide the closing; they are shown here for informational purpo888 and are not included in Iha totals.
1.0 ..... fLEEN.RYAN.A.PF[),()D..74M)
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME ANO ADDRESS OF LENDER:
Ryan A. l.N1 and Sara B. Waggoner Estate Philadelphia Financial
ShawnteII M. Smith Mortgage Corp.
274 Susqueharlna Avenue
EnoIa. PA 17025
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1857112 I. SETTLEMENT DATE:
274 Susquehanna Avenue Mdstate Abslracl Company
EnoIa. PA 17025 Oecember29,2006
Cunbertand County. Pennsytvania PLACE OF SETTLEMENT
2331 Market Street
Camp HID, PA 17011
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO Al!LUR:
101. Caltract Sales PrIce 112900.00 401. CaItract S8lee PrIce 112900.00
102. Personal Prooolrtv 402. PersonaI~
103. Set1Iemenl CNraes to Borrower IUne 1400 4971.86 403.
104. 404.
105. 405.
A-11I For Items Paid Bv SsIter In advance A................ For Items Paid Bv SeHer in advallCB
106. CIlvITown Taxes to 406. r".ltuITown Taxes to
1 07. C'.tIllnlv T.es 12129106 to 01101/07 2.09 407. r"'--Taxes 12/29J06 to 01101107 2.09
106. SchooITaxes 12129/06 to 07101107 4n.87 406. School Taxes 12129106 to 07101107 477.87
109. s-1Reruse 12/29J0610 01101107 3.45 409. SewerIReIuse 1212910610 01101107 3.45
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 118.355.27 420. GROSS AMOUNT DUE TO SELLER 113,383.41
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. llIlnnoII or eemest ....-.-. 1 000.00 501. Excels n;;;;;R;t ISee Instructions
202. PrlnciDaI AmW1l d New ~ 112.014.00 502. SatUement 1'.- to Sef1er Une 14001 8 103.00
203. ExilIIlnn loanlsl taken .. ohIect to 503. 1'.0ttInn loan s taken 8'~ to
204. Down CosIa -PHFA 1 329.00 504.~offlrst Mortoaoe
205. 505. d second Lhtnsomo
206. 506.
207. 507. '''''''''''K dlsb. 88""""""""
206. 506.
209. Seller Pd. Cloeino Cosls 586.44 509. Seller Pd. Cosinn Costa 586.44
A For Items Hiiiiiijif Bv Seller ~rliustmenlB For Items Unmoid Bv SeHer
210. atvITown Taxes to 510. . own Taxes to
211. ComlvTaxes to 511. Taxes to
212. School Taxes to 512. Sc:hooI Taxes to
213. Seller Pd. PnlrlMk 1 433.56 513. SelIerPd~ds 1 433.56
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. TOTAL PAID BY/FOR BORROWER 116,343.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 10,103.00
300. CASH AT SETTt.EIII!HT FROMfTO BORROWER: 600. CASH AT SETTLEMENTTOIFROM SELLER:
301. Gross Amount Due From Borrower Une 1201 118355.27 601. Gross Amount Due To Seller lUna 4201 113383.41
302. Less Arncu1t PaId - Borrower IUne 220 ( 116.343.00) 602. Less ReductIons Due Seller Une 520 10,103.00
303. CASH ( X FROM) ( TO) BORROWER 2,012.27 603. CASH ( X TO){ FROM} SELLER 103,260.41
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The undersigned henlby acknowledge receipl of a completed copy of pages 1 &2 d this statement & any attachments referred to herein.
Bonower
Seller
Rya1 A. l.N1
Sara B. Waggoner Estale
ShawrlteII M. Smith
'.--''''''''''-yv "~."!'.. ----,.~
Pogo 2
L. SETTLEMENT CHARGES
700.TOTALCOMM~B~onPm. $ 112900.00. IIIl 6Mllt1'>l. 6 n4.00 PAlO FROM PAlO FROM
Division 0 'Ine 7001 88 Follows: BORROWER'S SEU.ER'S
701. $ 3,412.00 III REIMAX ReaItv AssocIales FUNDS AT FlJN)S AT
702. S 3,362.00 III ~ Davis RelII Estate SETTLEMENT SETTlEMENT
703. commission PIIid III SeaIement 6.n4.OO
704. III
BOO. ITEMS PAYABLE IN CONNEC11ON WITH LOAN
801.l.o8n 0riatnaIl0n Fee % 10
802. l.o8n DIsalunt % 10
803. AoDralsaI Fee 10 ScottAn:hlbald POC:B375.00
804. CnldIt ReIlort III EauIfax 22.56
805. l.ender's lnsDection Fee III Scott Archibald 100.00
806. Flood Cer1lftcation 10 1st American Flood Ollis Svc. 16.00
807. Administration Fee III Rnanc181 325.00
808. Commitment Fee 10 Rnanclal 75.00
809. MIP 10 HUO 1,655.39
810.
811.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From 121291116 III 01101107 IiIl $ 17.890000/dav I 3 dlMl %) 53.67
902. ~ Insurance Premium for moilths to
903. Hazard Instnnee Premium for 1.0 vears 10 Insurance COmDBllv POC:B366.oo
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazwd Insurance 4.000 moilths $ 30.50 DBI' month 122.00
1002. MOrt_ Insurance months $ 45.98 DBI' month
1003. CltvlTown Taxes moilths $ DBI' month
1004. C<u1tv Taxes 12.000 monlhs $ 20.81 DBI' month 249.72
1005. School Taxes 8.000 moilths $ n.25 per month 618.00
1006. moilths $ oer month
1m? - S """ mnnth
1008. bnent moilths S oermonlh -455.79
1100. TTnE CHARGES
1101. SlIltlement or C10Rin0 Fee III
1102. AblItract or TiUe Seen:h 10
1103. III
1104. T1tIe InsLl'8llC8 BInder III
1105. EIeclronlc Document Preo. III
1106. CIosIno SeMce L.etler 10 Mldstate Abstract Comoanv 35.00
1107. AIIomev's Fees 10
finchxM.. above 118m numbers:
11M. .... M1DSTATE ABSTRACT PHFA - 25% 692.81
(Includes above I18mnumbers:1102 1103 & 1104 I
1109. Lendel's ~ $ 112,014.00
1110. Ownel's Coveraae $ 112,900.00 692.81
1111. Endorsements 100,300,8.1 III Mldstate AbstnK:t Com n 150.00
1112. NoIarv Fee III Mldstate Abstract Com 10.00
1113. NoIarv Fee III Midstate Abstract Com n 5.00
1114. ~Fees&HandlInQ 10 Midstate AbstnK:t Com 15.00
1115. Wire Transfer Fee
1116. Trensaction Fee III REIMAX R8lIIIY AssocIates 195.00
1117.
1118.
1200. GOVERMENT RECORDING AND TRANSFER CHARGES .
1201. RecardIno Fees: Deed $ 38.50 : MOltOllCl8 $ 93.00: Releases $ 131.50
1202. CitvlCoLntv Tax/SlIImos: Deed 1129.00' MOltOl108 1129.00
1203. State TaxlStamos: Deed 1129.00: MnrInAne 1129.00
1204. Assianment of MOrtoaae 10 27.00
1205.
1300. ADDI110NAL SETTLEMENT CHARGES
1301. !bvBv 10
1302. Pest InsDeCtion 10
1303.
1304.
1305.
1400. TOTAL SETTLEMENT CHARGES (Enter on L....,03. Ssctlon J and 1lO2, Section K) 4,971.86 8,103.00
By -'gnIng f"IOe 1 or IIlaIllatem8nt. Ihe ~ ~ r.ceIpt of. compteted copy fA P-v8 2 of thte two ~. IIIIement.
Mdstate AbstnK:t Company
SelUement Agent
CertifIed to ba a tnJe copy.
(08-740 I 08-7<M111 )
0001288
~
I1A' 'E,rlCE
Jllllna Summary for Service to:
lARVEY K WAGGONER
174 SUSQUEHANNA AVE
:NOLA PA 17025
~ate ClallmcaOon:
~esidential General
IIl1l1ng Period:
lB/23/2006 to 09/22/2006 (30 days)
Remote Device Read
~uestlonl?
:all 717-232-1 B11 or write to UGI at
PO BOX 13009
Reading, PA 19612-3009
tDur current 001 charges include
State taxes totaling $ 0.53.
CPT 221 613 6520 03 1
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Past BllllnfDrmatlon - 001 UtIlity
The account balance on your last bill was ................
Thank you for your payment of .....................................
Your balance as of 09/26/2006 ...................................
$ 16.52
-16.52
0.00
Current BllllnfDr..atlon . 001 UtIlity
Customer Charge ..................._.._....._....._....__..... 8.55
Commodity Charge ( 5 CCF at $1.12200) ................. 5.61
Distribution Charges (First 5 CCF at $0.45200) ...... 2.26
PA state Tax Surcharge .............._................................ -0.02
Total Current Charges - UGI Utility ................................ 16.40
UGI utility charges owed till. bIll ..........................-...................................-..........
Total AIIIount Due, Please Pay by Due Date (10/1712006) :....................................
$ 1&.40
$1&.40
Meter Information" Next Read Date Novemller 20, 2_
Meter Reading InfDrmatIoa Meter Number
1186804
Pl'IlVlou. Reading
3230 (estimated)
PntI8IIt Reading
3235 (remote)
CCF Used
5
Messag81 from 001
Your tUITent priCe to comparo i:: $ 1.111 89/CCF.
Your total annual usage is 123-CCF. Your average monthly usage is 10 CCF.
Help prevent pipeline damage. accidents and service disruptions. If you see someone digging near your home please call 001.
Your bill does not display a usage graph because your average daily usage is too low.
If you pay at a payment agent please take your entire bill. Make check payable to 001.
Keep this part for your records. Important Information. Is on the back of this bill.
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0001456
~~"..
BIlling Su....ary far Service 10:
iiARVEV K WAGGONER
274 SUSQUEHANNA AVE
f:NOLA1'1I 17025
Rate Clanlflcatlan:
Residential General
BIlling Period:
~ 0/23/2006 to 11/20/2006 (28 days)
Remote Device Read
~uestlans?
Call 717-232-1811 or write to UGI at
PO BOX 13009
Reading, DA 19612-3009
~our current UGI charges include
State taxes tDt:Jlling $ 0.43.
:PT 221 613 6520 03 1
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Paat Bllllnfarlll8tJan - 001 UtIlity
The account balance an your last bill was ..............
Thank you for your payment of ...................................
Your balance as of 11/22/2006 .................................
S 16.35
-16.35
0.00
Current Bllllnfar..atlon - 001 UtIlity
Customer Charge ................;............................................ 8.55
Commodity Charge (3 CCF at S1.11333) ..........._ 3.34
Distribution Charges (First 3 CCF at SO.45333) .... 1.36
PA State Tax Surcharge ................................................. -0.02
Total Current Charges - UGI Utility ............................. 13.23
001 UtIlity che..... DWed this bill ..................................................................................
Total Amount Dae, Plea.. Pay by Due Datil (12/18/2006) .....................................
$13.23
$13.23
Meter Infa.....tlan .. Next Read on. "'n_1} 24, 2007
Meter Readlnglnfoflllatlon ..... Number
1186804
Prevlaua Reading .
3240 (estimated)
Pre.nt Reading
3243 (remote)
CCF Used
3
Menages alii 001
Vour current price to compare is $ 1.11189 /CCF.
I'our total annual usage is 106 CCF. Your average monthly usage is 8 CCE
Help prevent pipeline damage, accidents and service disruptions. If you see someone digging near your home please call UGI.
(our bill does not display a usage graph because your average daily usage is too low.
If you pay at a payment agent please take your entire bill Make check payable to 001.
Keep this part for your records. Important Information Is on the backo' this bill.
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00014111
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Billing Summary for Service to:
HARVEY K WAGGONER
274 SUSQUEHANNA AVE
ENOLA PA 17025
Past Bill IlItDl'lllatlon - UGI utility
The account balance on your last bill was ...._....._.
Thank you for your payment of _.....................__......
Your balance as of 12/26/2006 .._..................._........
$ 13.23
-13.~3
O. 0
Rate Cla.lflcatlon:
Residential General
Billing Period:
11/20/2006 to 12/21/2006 (31 days)
Estimated Read
Questions?
Call 717-232-1811 or write to UGI at
PO BOX 13009
Reading, PA 19612-3009
Your current UGI charges include
State taxes totaling $ 0.47.
CPT 221 613 6520 03 1
Current 81111_l'IIIatlon - UGI Utility
Customer Charge ..................._.._..............._.........._.... 8.55
Commodity Charge ( 4 CCF at $1.07250) ............... 4.29
Distribution Charges (First 4 CCF at $0.41 000) .... 1.64
PA State Tax SurCharge ................................................. -0.02
Total Current Charges - UGI Utility .................._......... 14.46
UGI UtIlity charges owed this bill ......................_..................................................;......,
Total AnIount Due, PI.... Pay by Due Da. (01/18/2007) ........._................._.......
$14.4&
$14.4&
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Meter Infol'lllatlon - Next R..d 0.. January 23, 2007
Meter Readlnglnfo.....tlon Meter Number
1186804
PI'II'IIDUS Reading
3243 (remote)
Present Reading
3247 (estimated)
CCF Used
4
Meslagel tram UGI
Your current price to compare is S 1.05451 /CCF.
Your total annual usage is 96 CCF. Your average monthly usage is B CCF.
Help prevent pipeline damage. accidents and service disruptions. If you see someone digging near your home please call UGI.
Your bill does not display a usage graph because your average daily usage is too low;
'j
If you pay at a payment agent please take your entire bill. Make check payable to UGI.
Keep this part for your records. Important Information I. on the back of thl. bill.
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0011382
ttu.~m.
.
Bllllq Su.....ry far Service to:
HARVEY K WAGGONER
274 SUSQUEHANNA AVE
ENOLA PA 17025
Past Bllllnformatlan - 001 UtIlity
The account balance on your last bill was. .._._.....
Payments .............._.....................................................
Your balance as of 01/02/2007 (due now) ................
$ 14.46
0.00
14.46
Ra" Classification:
Residential General
BIlling Period:
12/21/2006 to 12129/2006 (8 days)
Final Read
QuatIons?
Call 717-232-1811 or write to UGI at
PO BOX 13009
Reading, PA 19612~3009
. Your current 001 charges include
State taxes totaling $ 0.17.
CPT 221 6136520031
Current Bllllnforllatlon .. UGI utility .
Customer Charge __......._._........._..._.._......._ 2.28
Commodity Chlirge ( 2 CCF at $1.05000) ........_....... 2.10
Distribution Charges ............_..._................................... 0.79
PA Stata Tax Surcharge ..............._................................. -0.01
Total Current Charges. UGI utility ................................ 5.16
UGI utility eha.... DWIIcI this bUl..........._................................ ........................
T....I Allaunt 0., P..... Pay by Due Data (01/2412007) .__.............................
$19.12
$19.12
.....r Reading IIIfDrnIatJon
Meter NUllber
1186804
Prevlo.. Reading
3247 (estimated)
P.....nt R....I..
3249 (final)
CCF Uaad
2
MeaagUfrDlIUGI
.Your current price to compare is $ 1.05451 ICCF.
· Your total annuai usage is 80 CCF. Your average monthly usage is 6 CCF.
IThank you for your business. You have maintained an excellent payment history with UGJ. This bill may be used as a credit reference for
obtaining future utility service.
I Help prevent pipeline damage. accidents and service disruptions. If you see someone digging near your home please call UGL
'Your bill does not display a usage graph because your average daily usage is too low.
If you pay at a payment agent please take your entire bilL Make check payable to OOL
Keep .this part for your records. Important Information I, on the back of thla bill.
.
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DGaa/Electttc Dc_CaltI DModIcaI/DonteI FOR REO ROE R IN G :;; f~::~
DT%phono DT_ D~Cano i:~
DFOOd D~.Auto) DSavinga&l_ I ;. . l"; -,
~ D=-~) DOther HAl.
_ 1/ >~~/ L P^;;~::
. i< t::~&:\;;:"" \.
(~ /".. f 1"ilA '
2_/1"7, C -" ~_,,"',l,ANCE
-/, /c~
"'~-.a
. ChocIc Iype 01_
. Add doldo on memo line
. Retain diJpIk:meo in Deluxe ChocIc box.
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PPL Electric
Utilities
Electric
Service
For:
SARA WAGGONER
OFF AIRY VIEW RD RR 1
SHERMANS DALE PA 17090
Filial BiIJ
Questions abOllt
this hill? Please
cnntnct liS by .lan 23
af 1-800-342-5775
(l-800-I>IAL-PPL)
or write to:
Cllsfomer Service
827 Hausman Rd.
Allentown. P A
18104-9392
www.pplelectric.com
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" ..
Page 1
rAjj:~'0Ul1f::NIiit.lbet::,:::: .
......wl' ....s
49700-84018
Summary Page
Balance as of .Jan 2, 2007
Charges:
TotarPPL ELECTRIC UTILITIE.~ Charges
Total Charges
':.~~.:".. ...!!J,!~~,~tt~[f..~'t~~"~
Account Balance
$ 0.00
$ 6.95
$ 6.95
$ 6.95
Electric
Use
This graph shows
your electric use
over the last 13
months.
Typcs of
Mefer Readings:
Actual _
Estimated k:':'",1 ,
Cllstomer D
6
KWH - Average Pel' Day
5
4
3
2
o
JFMAMJJASONDJ
2005 Monlhs 2006
Mefer Reading IlIrornlatioll
Actual
Actual
KWH Btlled
Tofal
Use
356
24
Other important information on back ~
Yearly Use:
Jan 2005 - Dec 2()05
Jan 2006 - Dec 2006
863
841
~
A vcrage
MonUlly
~~o
2
:, ~.
pp".....'.~..~.','.'.~.-
pj:ry,,-,
. ..
Page 3
PPL Electric
Utilities
Electric
Service
Total/rom Last Hill
{lavnienl Rece;ved Dee 20 - Thank You!
$ 8JJ9
$ 8JJ9
Billing Details
Balance as of .Jan 2,2007
For:
SARA WA{i(iONER
OFF AIRY VIEW RD RR I
SHERMANS DALE I>A \1090
$ 0.00
Current Charges
Char~l'S rur - J)J)L EI,ECTRlC UflLITIES
Reskfcntial Rate: RS 1hr Dee 12 - Dl.'C 30
Distribution Charge:
Customer Charge
22 KWH at 2.19300000t pc.r KWH
PA Tax Adj Surcharge at -()J19700000%
Transmission Charge:
22 KWH at 0.6())OOOOOt per KWH
Transition Charge: .
22 KWH at I.36100000t per KWH
Generation Charge:
Capacity and Energy
22 KWH at 5.663()(IOOO~ per KWH
Total PPL ELECTRIC UTILITIES Charges
Final Bill
4.80
0.48
-0.01
0.13
0.30
Itl)L Electric (lenities
ellstolllel' Service
1:<27 Hllllsnmn Rd.
Allentown, P A
18104-9.W2
l-son-342-5775
(I-HOO-OIAL-I)PU
\Vww.pplelecllic.com
1.25
$ fl <)5
'P,ay::'t~J~i~~u~;.:';~~.l,p~:t"~~';'a..~3~~~,., .,
Accuunt Balance
General
Information
Generation prices and charges are set by the electric generation supplier
you have cHosen. lbe Public Utility Commission regulates distritlution
prices ~n(~ servi~es. The Fcqcral El1ergy Regulatory 'Commission regulates
tranSllllSSlOn pnces and services. .
PPL Electric Utilities uses about $0.48 orthis bill to pay state taxes. In
addition, about $0.41 ofthis bill pays the PA Gross Receipts Tax.
The Transition Charge includes an Intangible Transition Charge (lIC) and
the applicahle gross l;t~ceipts tax which ((~ether amount to $0.25. The ITC
is a per usage cl1arge app,fOved by the Pu61ic Utility Commission which
PPL Electnc Utilitlcs collects as agcnt1br PPL Electric Utilities Transition
Bond Company] J ,(' and which that company uses to service debt incurred
to recover a portion ofPPL Electric Utilities' stranded costs. The gross
rcceirts tax, which is collected Ii.)!" the Conll11onwealth of Pennsylvania, is
equu to 6.02% ofthc lTC.
For your convenience, YOll can now pay your hill using your Visa,
Mastcl('ard, Discover, or A TM Card. Call BiIIMatrix at 1-800-672-2413.
Bi,IIMatrix will charge your credit and ATM card a service lee fi)r making
thIS payment.
PPI, I~Jectric Utilities: lIi,ghest ill ClIslumt.'r Satisfaction with
Residential Electric Service ill the fl:astern IJ.S., six years in a row, tied
in 2006.
J.D. Power and Associates 200] -2006 ElcclIic Utility Resideutial Customer
Satislaction Study(sM). 200n study hased on a total of26,688 consumer
resnonse.s. In the Easl, the 14 largest electric companies were ranked in the
study.
"'It'1-I ',jdpo "'er. ('om
'c.
.PPL Electric
Utilities
Electric
Service
For:
SARA WAGGONER
274 SUSQUEHANNA AVE
ENOLA P A 11025
Final DOl
Questions about
this hill? Please
contact us by Jan 19
a'I-800-342-5775
(1-800-DlAL-PPL)
or write to:
Clls'orner Service
827 Hausman Rd.
Allentown. P A
18104-9392
ww,v.pplelectric.com
Summary Page
Balance as of Dee 29, 2006
CharKcs:
TotarPPL 'ELECTRIC UTILITIES Charges
Total Charges
,:~~~;.rt""~'~~
Account Balance
e
e
Page 1
04140-72012
:':' r........ en.'
$ 0.00
$ 8.93
$ 8.93
KWH - Average Per Day
30
25 ____
20
15
to
5
I
OS
\ I \ II \b~
Electric
Use
This graph shows
your electric use
over the last 1 J
months.
TYlles of
Metn Readin~s:
Actual _
Estimated h,:,)'J
Customer D
(I
JFMAMJJASONDJ
2005 Months 2006
Mete.. Reading Information
\IIetel'
Dec 29 Actual
Dec 18 Actual
11 Davs KWH Billed
21280
21219
~
Average - Dec
TemJ:lCrature
KWH Per Day
Yearly Use:
Jan 2005 - Dee 2005
Jan 2006 - Dec 2006
2005
36F
16
2006
41F
6
To'al Average
llse Monfhlv
6 110 50l)
3905 325
Other important information Oil back ~
PPL Electric
Utilities
Electric
Service
For:
SARA WAGGONER
274 SUSQUEHANNA AVE
ENOLA I)A 17025
PPL Electric UtiUtles
ellStomer Service
R27 Hausman Rd.
Allentown, P A
18104-9392
1-800-342-5775
(1-800-DlAL-PPL)
www.pplelectric.com
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Page J
04140-72012
Totalfrom Last Bill
Pavment Received Nov 29 - Thank You!
$ 21.43
$ 21.43
Billing Details
Balance as orDec 18,2006
$0.00
Current Charges
Char~C5 for - PPL ELECfRlC UTU,ITIES
Residential Rate: RS for Nov 16 - Dec 18
Distrihution Charge:
Customer Charge
143 KWH at2.19300000~ per KWH
PA Tax AdiS,' urcharge at -0.09700000%
Transmission f'barge:
143 KWH at O.60500000~ per KWH
Transition Charge: '
143 KWH atl.3610000~ per KWH
Generation Charge:
Capacity and En~y
143 KWH at 5.66300000~ ~r KWH
P A Tax Adj Surcharge at -0.06900000%
Total PPL ELECTRIC UTILITIE.~ Charges
8.00
3.14
-0.01
0.87
1.95
8.10
-0.01
$ 22.04
Account Balance
$ 22.04
General
Information
Next meter
reading
on or anoul
Jail IR
Generation prices and charges are set by tbe electric generation supplier
you bave chOsen. Tbc PubTic Utili~ Commission regulates distri6ution
prices ~n4 servi~es. Thc Fcqcral Encrgy RcgulatOly'Commission regulates
transmIssIon pnces and servIces.
PPL Electric Utilities uses about $1.56 of tbis bill tOjlay slate taxes. Tn
addition, about $1.31 ofthis bill pays the P A Gross Receipts Tax.
The Transition Charge includes an Intangible Transition Cbarge (TTC) and
the applicable gross receipts tax which {(~ether amount to $1.'0 I. The [1'C
is a p'cr usage (;l1arge apnrovoo by the Public Utility Commission wbicb
PPL Elcctnc Utilil1es cllllects as agent f(lT PPL Electric Utilities Transition
Bond Company LLC and which tliat company uses to service debt incluTed
to recover a JX!rtion of PPL Electric Utilities' stranded costs. Tbe gross
rcceirts tax, which is collected (1)r tbe Commonwealth of Pennsylvania, is
equa to 5.96% of the nc. , .
For your convenience, you can now payyour bill using your Vi~
MasterCard, Discover, or A TM Card. Call BiIIMatrix at 1-800-072-2413.
B~IIMatrix will charge your credit and A TM card a service fee (ilr making
thiS payment.
I)PL )l~lectl"ic Utilities: Highest In Customer Satisfaction with
Residential Electric Service in the Eastern U.S., six years in a row, tied
in 2006.
J.D. Power and Associates 2001-2006 Electric Utility Residential Customer
Satisfaction StudY1SMj. 2006 study based on a total of26,688 conSlmlcr
resnonses. In the East, the 14 largest electric companies were ranked in the
st ully .
>>'w'w'jdpo w'er.co 1/1
PPL Electric
Utilities
Electric
Service
For:
SARA WAGGONER
OFF AIRY VIEW RD RR 1
SHERMANS DALE PA 17090
PPL Electric IJtiUties
Customer Service
827 HUllsmulI Rd.
AIl~ntown, P A
18104-9392
1-800-342-5775
(1-800-DlAL-PPL)
www.pplelectric.com
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Page 3
49700.&401&
....Werl'c
Totalfrom Last Bill
Pavment Received Nov 29 - Thank You!
$ 7.99
$ 7.99
Billing Details
Balance as of Dec l'2, 2006
$0.00
Current Charges
. Char~es for - PPL ELECfRIC UTlLlTmS
Residential Rate: RS for Nov 10 - Dec 12
Distribution Charge:
Customer Charge
1 KWH at 2.19300000t per KWH
PA Tax AdiS._ lIrc.harge af -0.09700000%
Transmission rbat.:ge:
1 KWH at 0.605UOOOOt per KWH
Transition Charge:
1 KWH at 1.36JOOOOW per KWH
Generation Charge:
Capacity and Energy
1 KWH at 5.663UOOOOt per KWH
Total PPL ELECTP1C UTILITIES Charges
8.00
0.02
-0.01
0.01
0.01
0.06
$ 8.09
Account Balance
$8.09
General
Information
Next meter
reading
on or about
Jan 12
Generation prices and charges are set by the electric generation supplier
you have cnosen. The Public Utility Commission reg!Jlates distritiution
prices ~n~ servi~es. The Fe4eral Energy Regulatory Commission regulates
Jransmlsslon pnces and servIces.
PPL Electric Utilities uses about $0.57 of this bill tOj)ay state taxes. In
addition, about $0.48 ofthis bill pays the P A Gross Receipts Tax.
The Transition Charge includes an Intangible Transition Charge (ITC) and
the applil~ahle gross receipts tax which tc!ðer amowlt tll $O.U1. The ITC
is a rer usage cl1arge apDwved by the PuOlic Utility Commission which
PPL Electnc UtilitIes collects as agent for PPL Electric Utilities Transition
Bond Company LLC and which that company lLC)es to service debt incuned
to recover a Mrtion of PPL Electric UtilitIes' stranded costs. The gross
receipts tax, which is collected fbr the Commonwealth of Pennsylvania, is
equa to 5.96% ofthe nc. -
For your convenience, you can now payyour bill using your Visa
MasterCard, Discover, or A TM Card. Call BiIlMata-ix at 1-800-672-2413.
Bi.IIMatrix will charge your credit and A TM card a service fee for making
1hlS payment.
PPL Electric Utilities: Highest in Customer Satisfaction with
n.l'sidential Electric Service in the Eastern U.S., six years in a row, tied
in 2006.
J.D. Power and Associates 2001-2006 Electric Utility Residential Customer
Satisfaction Study(sM). 2006 study based on a total of26,688 consumer
resnonses. In the East, the 14 largest electric companies were ranked in the
stuoy.
wl1'w.jdpo\1.'er.com
----. -1
PPL Electric
Utilities
Electric
Service
For:
SARA W AGOONER
274 SUSQUEHANNA AVE
ENOLA PA 17025
Questions abollt
this bill? Please
contnct us by Dec 7
at 1-800-342-5775
(1-800-DIAL-PPL)
or write to:
Cllstomer Servi~e
827 Hausman Rd.
Allentown, P A
18104.9392
www.pplelectric.com
.
PP"lf j:.:
. -':,- "\
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Page 1
04 J 40-720 12
Summary Page
Balan~e as or No\' 16, 2006
Charjtes:
TotarpPL ELECTRIC UTILITIES Charges
Total Charges
Account Ba lance
...i[L~t~~!~.~i~::'1-;....~'~
KWH- Average Per Day
30
25 _.
20
15
10_
5
o
so.oo
$ 21.43
$ 21.43
Electric
Use
This graph shows
your electric use
over the last 13
months.
Types of
Meter Readings:
Actual _
Esti ma ted h);;.il
Customer D
ND.lFMAMJJASON
2005 Months 2006
Meter Reading Information
Weter
Nov 16 Actual
Oct 18 Actual
29 Davs KWH BIlled
A \'cragc - Nov
TemJ!erature
KWH Jler Day
Yearly Usc:
nec 2004 - Nov 200:)
Dee 2005 - Nov 2006
2005
SIP
14
Total
Use
6091
4707
21076
20939
-rn
2006
49F
S
Average
Monthly
508
392
Other important information on back ..
PPL Electric
Utilities
Electric
Service
For:
SARA WAGGONER
OFF AIRY VIEW RD RR I
SHERMANS DALE PA 17090
Ollcstinns about
this bill'! Please
contact us hy Dee J
at 1-800-~42-5775
(1-800-DlAI ,-PPI ,).
or writc to:
ellstomer Service
827 Hausman Rd.
Allentown, PA
18104-9392
www.pplelectric.com
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pp':'~'e.k..:.~~:~
Ir.<'~-
'., TM
Page ]
'\': . I LAcroiirit.Ni;imhei":',/: .,.
49700-84018
Summary Page
Balance as of Nov 10. 2006
Char~s:
TotarpPL ELECTRIC UTILITIES Charges
Total Charges
$ 0.00
$ 7.99
$ 7.99
Account Dalance
Electric
Use
This gmph shows
your electric use
over the last U
months.
Types of
Meter I{eadings:
Actual _
Estimated 1"';"'4
Customer D
6
KWH - Average Per Day
5
4
3
2
o
NDJ FMAMJ JASON
2005 Months 2006
Meter Reading Information
eter _
Nov 10
Oct 12
29 Da s
Actual
Actual
KWH BIlled
840
840
----0
Yearly Use:
Dec 2004 - Nov 2005
Dec 2005 - Nov 2006
Total
Use
461
I
Average
Monthly
3R
(I
OCher important information on back ~
~ --1 -----, ---- n'
PPL Electric
Utilities
Electric
Service
For:
SARA W AC,c'rONER
OFF AIRY VIEW RJ) RR 1
SHERMANS DALEPA 17090
Qnestlons about
this bill? Please
contact us by Nov 2
a' 1-800-342-5775
(1-888-D1AJ,-PPL)
or write to:
Customcr Scolcc
827 Hausman Rd.
Allentown, PA
18104-9392
www.pplelectnc.com
ppll::.
Page I
.:AC(i(iQnt: :Nultlber:::,:< <:-',,: ....
49700-84018
Summary Page
Balance as of Oct 12,2006
Char~s:
T otarpPL ELECTRIC UTILITIES Charges
Total Charges
50.00
$ 7.99
$ 7.99
:oa ....::w....
Electric
Use
This gmph shows
your electric use
over the last 13
months.
Types of
Meter Readings:
Actual _
Estimated Pit::::1
Customer D
6
5
4
KWH - Avemge Per Day
3
2
o
ONOJ FMAMJ J ASO
2005 Months 2006
Meter Reading Information
e'er . .
Oct 12
SeJJ 13
29 Da s
Actual
Actual
KWH Billed
Yearly Use:
Nov 2004 - Oct 2005
Nov 2005 - Oct 2006
840
840
--u
Total Average
Use Montlt411y
541 5
J 0
Other important information on back ~
.~...--r-
PPL Electric
Utilities
Electric
Service
For:
SARA WAGGONER
274 SUSQUEHANNA AVE
ENOLA PA 17025
Qllestions abollt
this bill? Please
contact us by Nov 8
at 1-800-342-5775
(1-800-DIAL-PPL)
or wlite to:
Cllstomer Senice
827 Hausman Rd.
Allentown. P A
18104-9392
www.rr!p.lf:':~.rir., r.nm
PP'c'
., 1M
Page 1
04140-72012
::::C,::,:,.':':.::l..wh. 'u:.a',( '"'(c...
Summary Page
Balance as of Oct 18, 2006
~:fP~L ELECTRIC UTILITIES Charges
Total Charges
$ 0.00
$19.49
$19.49
Account Balance
$19.49
Electric
Use
This graph shows
your electric use
over the last 13
months.
Typcs or
Metcr Readings:
Actual _
Estimated 1"""":;;:1
Customer D
KWH - Avernge Per Day
Mcter Reading InrorlDation
Meter
Oct 18
Sel? 19
29 Davs
20939
20822
--m
2006
S8F
4
30
25
20
15
10
5
o
Actual
Actual
KWH Billed
A ver'age - Oct
Tem~rnture
KWH Per Day
Yearly Use:
Nov 2004 - Oct 2005
Nov 2005 - Oct 2006
2005
6SF
13
Total Average,
Use Monthly'
6077 5015
4984 415
; I ..
I I
ONDJFMAMJ JASO
2005 Months 2006
Other important information on back ~
e
e
PA REV-1500
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES
and LIENS
T
Payment Reque8t
.u~
e
October 10.2006
SARA WAGGONER
274 SUSQUEHANNA AVE
ENOLA. PA 17025
Amount Due:
$23.99
Dear SARA WAGGONER:
Attached is a statement listing medications for which your insurance company (SHELBY INSURANCE)
has indicated you do not have coverage. Inasmuch as Auto Rx has paid the pharmacy for these
medications, you now owe us $23.99, which is the difference between our billed amount ($23.99) and
the amount paid by your insurance company ($0.00).
The transactions have not been paid by your insurance carrier for the following reason(s):
· Claim Deni~d
Please remit payment for the amount due to the address listed below or call us at
1-866-4AUTORX to discuss this matter. If we are not contacted within 10 days of the date of
tbis I.u.r. your tile may b. ref8FJ8" te a eelleetleA aleAey.
S phanie Cromar
AUTO RX, lC
PO Box 271589
Salt lake City, UT 84127-1589
(866) 428-8679
THIS LETTER IS AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION RECEIVED
WILL BE USED SOLELY FOR THAT PURPOSE.
e
@omcast.
Service Charges Detail
'pate
Description
Previous Balance
e.
~~I?I~(V~~otServices
09/21 -10/20 Basic
09i21 -1 ui<!u E:xpanded ~ervice
09/21 -1 0/20 Add" Outlet
--- ----. ------Total Cable (Video) Services
Page 2
Amount
$47.82
Ta~es.L-S~charges, II Fees
09/21 -10/20 Franchise Fee
O~!~_!-=!O!'?Q__ FCC Reg Fee
Total Taxes, Surcharges, II Fees
Total Due
8.90
36.35
0.00
$45.25
2.51
0.06
$2.57
$95.64
--- ----I
,-
\-
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,-
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;~.
.!-
kDDunt Number
CUb orClwdIt ArMH&M
--,._.', ,1.:._, _ ._'. _' ___:': .
-----.-ii;-' -.--- .,' -..--.-------,,-- - ----
DtP
0_ o.te
$18,313.58
$30.00
09115106
Cr8d1ts (CR)
Poetlng T_ACtIon RefeNnce
Oat. Date Number T~
'URCHASES AND ADJUSTMENTS
>8/17 08/17 0070 VS C LATE FEE FOR PAYMENT DUE 08/16
TOTAL FOR~LLING CYCLE FROM 07/28/2006 THROUGH 08/26/2006
l1~'.J WE DID NOT RECEIVE YOUR PAYMENT BY THE
thO PAYMENT DUE DATE. AS A RESULT,
~ J THE PROMOTIONAL RATE WILL NO LONGER BE
0\ \~ IN EFFECT AFTER THE CLOSING DATE SHOWN
,I '\ ON THIS STATEMENT FOR
1\ "CATEGORY A.
~\I 1 ~
A' ~. ~
<,1\ ~~ ~f
\(' ~
AUGUST 2006 STATEMENT
Chergee
15.00
$15.00
$0.00
o J I' ~
r 1l"~ 0<(,\'
- -,-- -- -- ----------- --- - - - ~- - -------
IMPORTANT
NEWS
ENJOY THE CONVENIENCE AND FLE;XIBILITY OF THE Et~CLOSs) CHECKS.
YOU ARE A VALUED CUSTOMER. WE WANT TO MAKE SURE YOU ARE AWARE THAT WE HAVE NOT
RECEIVED YOUR PAYMENT. PLEASE SEND THE AMOUNT DUE TODAY.
IF IT HAS BEEN MAILED, THANK YOU.
r;UMMARY OF TIIANSAC7IONS
roTAL MINIMUM PAYMENT DUE
Pnwloua BeIence (-) ..... (+) Cull (+) F'IIn:hlI.- end (+) PwIadIo Rete (+)1'IwlRcIIan .... (00) New BeIence
end CredItB Advencee AdIUatmeI* PlNANCE CHAAGD PINANCE CHARGE. TolIII Put Due Amount .............. $15.00
Cummt Peyment $15.00
$70.22 $0.00 $0.00 $15.00 $1.20 $0.00 $86.42 TatlIl Minimum I'1Iymeftt $30.00
Due .................................
O.lX>>'
24.99%
19.24%
$0.00
$75.77
FOR YOUR S4T1SFACTION, EVERY HOUR, EVERYDAY
. Fer CUlIbImlr SlIIWIIctkJIlIld ~ to lhe mhlIIlIItIlm8Bl hbmIilbl =-
baB1c8, .,8111b18 ad. ~ IlllllMd, IIII'tIIlIIlIII clJe. ~
lIIcha hfmnIIIJlrl. If 10.... ~ lIllIIilmII1lI, call .
. Fer lIlO rrelBcommunlcattlJl Device fer fie DellI) l\IIIIIlJn:8,
cal1-lI00-346-3178.
. Mall PlIrtIllll1lB 10: BAN<CARD SERw:ES, P.O. BOX 15137. WUINGTON. DE
1~5137.
. BItlg rkfIlB n pr8llllV8Cl ~ ncpy. Mall batg hcJJrIas. UlIIIIg
fcrm 1II1l81!1!!:!i. aid ~ 10:
IlAtI(CARO SEINICES. PO. 5m6. WUINGTON DE l!1l15O-5026.
f:/NANCE CHARGE SCHEDULE
Category
::ash Advances
A. BALANCE TRANSFERS, OIECKS 0.000000% DL Y *
B. ATM, BANK ................ 0.068465% DLY *
C. PUROIASES .................. 0.052712% DLY *
PeriodIc Reta
CoIT.=::.ldIIlg
P--*lI8 Rae
BeIence
~a:.
FOR THIS BilliNG PERIOD:
ANNUAL PERCENTAGE RATE......................
. Periodic Rate May Vary
19.24%
{/rIt:IIIdtM PwIodk; RIttw uti nu..:tk1n Fe. ""- CIIMga.)
PLEASE SEE REVERSE SIDE FOR IMPORtANT INFORMATION.
USE011
4214 01Z Y 4NG 0402 0000 00
431302737522 4281 PAGE 1 OF 1
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BILLING INQUIRIES CALL: 1-800-877-0600
09/25/06 PREMIUM INVOICE 0005579
PAF 3046150 0001
I
N WAGGONER SARA B
S 274 SUSQUEHANNA AVE
U ENOLA PA 17025-2427
R
E 1...111.11111.....1.1.1.1.111.1.1111111.1111111.111.11111.1..1
D
AUTOMOBILE D
A C C 0 U N T S TAT E MEN T
TOTAL PREMIUM
AMOUNT RECEIVED
911.00
226.00
ACCOUNT BALANCE 685.00
* AMOUNT DUE 1 07217~r--- --------- 233 . 00
NEXT INSTALLMENT DUE 01/24/07 233.00 .
CURRENT INSTALLMENT INCLUDES $7.00 SERVICE CHARGE.
o
R
M
OL
RO
T S
GS
A
GP
EA
EY
E
E
DM-1 (8103)
AMOUNT DUE
$233.00*
A DALE MCGUIRE AGENCY INC
G 1231 N MARKET ST
E POBOX 10
N DUNCANNON PA 17020-0010
T
TELEPHONE ( 71 7 ) 834 - 3193
"
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ACCOUNT NUMBER
DATE OF STATEMENT
e 9/2006
26*27967306
PATIENT NAME
SARA B WAGGONER
BILLING HOURS ARE lOAM TO 4PM
iiiliiiiiiilii
-
-
-
-
-
II
PAYMENTS AFTER THIS
DATE WILL APPEAR ON
YOUR NEXT STATEMENT
BALANCE
AMOUNT DUE
$19.77
e
INSURANCE PAID THEIR PORnON ON THIS ACCOUNT. YOU ARE
RESPONSIBLE FOR THE BALANCE. PLEASE MAIL PA YMENT IN FULL
TODA Y.
Place of Service: HOLY SPIRIT HOSP IP
Referring Doctor: ANAND JAGANNA TH MD
MAKE CHECKS PAYABLE TO:
WEST SHORE PATHOLOGY
PO BOX 750
SCRANTON PA 18501-0750
800/238-3614
'Date Doctor
06/29/2006 STEPHENSON SWAMIDOSS, MD
06/29/2006 CHARLES EVANCHO, MD
06/29/2006 CHARLES EVANCHO, MD
06/29/2006 CHARLES EVANCHO, MD
09/06/2006
09/06/2006
09/18/2006
SEE REVERSE SIDE FOR IMPORTANT BILLING INFORMATION
Code Description
88112 CYTOPATHOLOGY SMEARSW IN
88313 SPECIAL STAINS GROUP II
88342 IMMUNOPEROXIDASE STAIN
88305 SURG PATH SINGLE COMP
1199 MEDICARE CONTRACTUAL ADJUSTMEN
1101 TRAVELERS MEDICARE
4082 UNITEDHEALTHCARE
For questions call, 8001238-3814 and when prompted enter your Identification number as follows 2129*27967306
THESE SERVICES WERE PERFORMED BY THE PATHOLOGIST AT HOLY SPIRIT HOSPITAL.
PLEASE DETACH AND RETURN THE BOTTOM PORTION WITH PAYMENT
Page 1 of 1
Amount.
110.00
36.00
55.00
130.00
-169.36
-129.32
-12.55
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SARA WAGOOnR
~ 274 SUSQtJBBAlOfA AVE ;:...(
!/ .' , ;. ~ l7025-2427~
. .~ ~ ~' \I
~ ~ Dear XCI CUstomer: ~
~I
~
XCI
LOCAL KARICftS
P.O. BOX 105406
ATLAlITA, GA 30348-5406
SXFIIE (385l08)~
~
~ .........
~ ,
~it
FRI96JLY RE~~ 1 t J
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Me.
OCtober 17,
Amount due:
Account no:
CUstomer Phone: (717)
A balance of $63.39 remains from your previous invoice(s). Please
help us resolve this issue by double checkinq your records.
This letter reflects payments posted throuqh 10/16/2006 and it is
possible our records do not reflect your most recent payment. If this
is the case, we apoloqize for the inconvenience and please disreqard
this notice. However, if payment has been overlooked, please resolve
this outstandinq balance immediately usinq one of the followinq payment
options:
- Kail in your payment usinq the remittance portion below.
- call XCI to arranqe payment by credit card: AJlERlCAlf EXPRESS,
DISCOVER, JCB, JlASTERCARD or VISA.
- call XCI to arranqe payment by Intell-A-check.
If you have any questions or would like to take advantaqe of an
alternative payment option, please call one of the followinqnumbers.
IICI COIfTACT HUKBBRS
RESIDElfTIAL ACCOmrrS: (800) 206-9811
BUSlXESS ACCOUIfTS: (800) 840-9491
Xonday - Saturday
8:00 a.m. - 12:00 a.m. EST
----------------------------- DETACH HERB ---------------------------------
Customer Account Infotmation
For Service To: SARAH Waggoner .
274.Susquehanna Ave
Account Number: 24-0645411-2
Premise Number: 24-0381310
:1.
Billing Summary
e
11.50
6.88
-.06
.68
19.00
9.00
.29
9.29
$28.29
"
. Messages to you from Pennsylvania American Water
Any portion ot the water Charges Which is not paid as ot 10/16106 will be subject to a 1.50% penalty.
.. Customers may use their credit card, debit card or par.. by electronic check only by calling toll free: 1-866-271-55
Customers may also pay on-line at www.water.paymybill.com. A service tee willapp/y.
.. Approximately 4.72 percent or $.89, ot state taxes are included in your current bill. .
.. ~tfective July 1,2006, the Distribution System Improvement Charge (DSIC) has increased from 3.65%
to 3.70%. This. charge funds the replacement ot water distribution facilities.
.. Help protect our watersheds. Dispose of household chemical wastes at a permitted hazardous material
tacility. . Never dump old paint, solvents or used oil on the ground, where they can eventually end up
in local streams or drinking water sources. See this month's bill insert for more tips.
.. Sign up for American Water's automatic payment plan and pay your bill automatically on the day irs
due. No more checks, stamps or late billsl To sign up, fill out the enclosed application and return
it with your bill, or call our customer service center 24/7 at 1-800-565-7292. Irs that easy/
.. Effective August 14, 2006, the State Tax Adjustment Surcharge (STAS) decreased from -0.29% to -0.33%.
.!." '",'
Customer ServicEt & Emergencies 1-800-565-7292 (24 Hours).
For Hearing Impaired Customers TDD1-800-300-6202(24 Hours)
Visit us on the INTERNET: www.pawc.com
123
"1M
I
I
5011
PPL Electric
Utilities
Electric
Service
-For:
SARA WAGGONER
274 Sl ISQ1JRFlANNA AVE
ENOLA PA 17025
Qlles.iolls ahon.
this hill? Please
contact liS hy Oct 10
a' 1-800-342-5775
(I-KOO-OL\ I ,_PI" ,)
or write '0:
Cllstomer Service
827 Hnusman Rd.
Allentown, I' A
1 R 104-9 ]92
www.pplclectric.com
-,-
,. ,.;{,
""':L ..
Page I
04140-72012
inAc)i;i.i~ltN:l,ll11bet .'
Summary Page
Balance as orSep 19,2006
Charges: -
Tot.afPPL ELECTRIC UTILITIES Charges
Tubl Charges
Me'er Reading Inrorrnauon
Me.er
Sep 19
Aug 17
33 Duvs
Actual
Actual
KWH Billed
Average - Sep
Tem.Qernture
KWH Iter Day
Yearly Use:
Oct 2004 - Sep 2005
Oct 200:li - Sep 2006
2005
74F
21
To'al
Use
6119
5251
'l~t):Jj.ter;m~~..'~,.
Account Balance
$ 0.00
$ 45.60
$ 45.60
$ 45.60
Electric
Use
. This graph shows
your electric use
over the last 13
months.
Types or
Me'er Readill~s:
Actual
-
D
D
Estimated
Customer
30
KWH - Average Per Dny
25
-- -
- _. -. --.- ~-----._- --
.. t-. -. -.-- - -. --.. .- f--
- - -. -- -.- -..-
. .-
. I ..
I
20
15
to
5
o
SOND.I FMAMJ .f AS
2005 Months 2006
Other important information on back ~
20822
20417
---;m)
2006
70F
12
Aver'age
Mnn'hly
510
1J3R
PPL Electric
Utilities
Electric
Service
For:
SARA WAGGONER
OFf AIRY VIEW RD RR I
SIIERMANS DALE PA 17090
PPL mechic 1/tilities
('nsComer Service
827 I Iallsman Rd.
Allent.own. P A
I 8 J 04-9392
J -800-:l42-5775
(J-800-I>IAI,-PPL)
www.ppJeJeclric.com
'. \,. ~I" ~ (:" ./ "
p~\:~"""'\;,:~~
tlt;..~
<(.-6,""....
",.1\1
Page 3
'AwmintNiJJtiber .
49700-840 I 8
Total from !'ast Bill
Pal'"ient Received Sep 11 - Thank You!
$ 8.09
$/W9
Billing Details
lIalance as orSep 13,2006
$0.00
(:urrent Charges
Charjtes for - I.PL ELECfRIC IJfUJTJIt:S
Residential Rate: RS for Aug I r - Scp B
Distribution Charge: .
Customer Charge
P A Tax Adj Surcharge at -tl.09700000%
Tolal PPl, FLEC1RIC UTJI ,IllES Charges
Other Char!e1i fur PPL EIt.'Ctric Utilities
I ,ale Paymcl1f Charge
Total of Other Charges
8.00
-0.01
$ 7.1)1)
0.10
$ 0.10
. .'::iii..... '. '..',.'.......'.......,'....,.... ......,.. '.'.'. ....'..'..'...'.u.. .'........ ....'...1',....',.....1or,.....,......o..........'....1..~.:....,.a.,............,.,..........~.........'......,". ...., ..... ... .... m.,,: ...............
.Il~u.. ~... V~ '.' ..~...p.:~f,;~t~~:'.;;';~~;tf;:j;~;;~t;j:i,;;~i"'~~,,.;;'!j:~,f~'
Account 8alance $ 8.09
General .
Information
Next met.er
rellding
on or IIhOll1
Oct 12
Generation prices and charges arc set by the elcctric generation supplier
you have ctiosen. The Public Utility Commission re~Jlates distribution
r.rices ~11(' servi~es. The Fc('eral Energy Regulatory 'Commission regulates
. ransnllSSlon prices and servIces.
PPL Electric Utilities uses ahout $0.57 ofthis bill topay state taxes. In
addition. about $0.48 of this bill pays the I)A Gross Receipts Tax.
For your conveniencc. you. can now pay.,Your bill using your Visa.
MasterCard, Discover. or ATM Card. Call BiIIMatrix at 1-800-672-2413.
Il~IIMlItrix will charge your credit and ATM card a service fce Ii:)r making
thIs paymcnt.
Now you call rcceivc and pay your PPL Electric Utilities' bill online.
Check our web site for more inf(mnation and to sign up --
www.pplelectric.com
No charge
Convcmcnt
Secure
SA VE MONEY
Savc postage and late charges - sign up It)r Automated Ilil" Payment.
Dish wa..,hers use about 13 gallons (If hot water per load. 'Jbat's less than
washing dishes by hand. Always use fun loads on the shortest cycle.
When washing dIshes by hand, don't let the hot watcr nm continuously.
Inli:mnation about app-liancc energy use and HIlS on saving energy are
available through the Energy Library on our Web site. .
www.pplelectflc.com.
"
PPL Electric
Utilities
Electric
Service
For:
SARA W A(i(JONER
OFF AIRY VIEW RI> RR 1
SHERMANS DALE I'A 17090
Qne~fiolls ahOlI'
this bill? I'lense
contnctllS. hy Oct 4
a' t -H00-:\42-5775
( I-HOO-DlAL-PPL)
or write '0:
('llshnner Service
827 Hculsmnn Rd.
Allentown, I' A
18 J04-(H92
www.pplelecltic.com
, ,
\'.~~~~: {./IJ,
P (/I"....~"''''.<:.':::.~
4;.......-
~...~.....
., ~
I'nge I
Summary Page
Ralanct' as or &-1) B. 2006
Charges: .
Tolar!'PL ELECTRIC UfllJTJES Charges
Total Char~es
n1nnt.~'JJ,~..,
Account Balance
so.oo
$ 8.(1)
$ 8.(1)
$ fUll)
Electric
Use
This graph shows
your dectric use
over the Inst 1:'
months.
Types or
Me'er ReadhlJ:~:
Actunl _
Esti mnted [:::<1
Customer D
6
KWH - Average I'er Dny
5
4 ____m________
.3 m______.._____
2 ________.________
o
SONDJ FMAMJ J AS
2005 Months 2006
Me'er Readin2 I1.formaflon
840
840
--0
Yearly Use:
Oct 2004 - Sep 2005
Oct 2005 - Sep 2006
Total Avera~e
~;26 Mo.'~'i~
I /I
Other important information 011 back .~
1-------- ----~-~
.
.
*** END OF ATTACHMENTS ***
LAW OFFICES OF
GATES, HALBRUNER ~HATCH, P.C.
1013 MUMMA ROAD. SUITE 100 . LEMOYNE, PENNSYLVANIA 17043
(717) 731-9600. FAX: (717) 731-9627
LOWELL R. GATES, LL. M.
LL. M. in Taxation
Also Admitted to Massachusetts Bar
MARK E. HALBRUNER
CRAIG A. HATCH, CELA
Certified as an Elder Law Attorney by
the National Elder Law Foundation
CLIFTON R. GUISE
Also Admitted to practice before the
U.S. Petent & Trademark Office
SARAH E. McCARROLL
May 7, 2007
BRANCH OFFICE:
3 WEST MONUMENT SQUARE, SUITE 304
LEWISTOWN. PA 17044
(717) 248-6909
WEB SITE:
www.GatesLawFirm.com
CORRESPONDENCE ADDRESS:
Lemoyne Office
STACEY L NACE
ParalegallOlfice Manager
TRACt L. SEPKOVIC
Paralegal
VALERIE LONG
Paralegal
Cumberland County Courthouse
Office of the Register of Wills
Attn:Chris
OneCourthouseSqwue
Carlisle, PA 17013
RE: Estate of Sara B. Wagoner
File No. 21-06-0753
Dear Chris:
Per our conversation today, enclosed is a check in the amount of $80.00 as payment of the
additional probate fees owed with the filing of the Inventory for the Estate of Sara B. Waggoner.
Please return the original check in the amount of $130.00 to our office.
Thank you for your assistance in this matter.
Sincerely,
WctX xfy~~
Traci L. Sepkovic
Paralegal
Enclosures
cc: Harvey Kenneth Waggoner, Jr., Executor
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