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HomeMy WebLinkAbout06-14-07 --I 15056051058 REV-1500 EX (O6-05) PA Department of Revenue '* Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Number Date of Death OFFICIAL USE ONLY ~~~~O/~e Year INHERITANCE TAX RETURN RESIDENT DECEDENT File Number 21 06 · 0526 Date of Birth 11/15/1946 Zeigler Decedent's First Name MI Decedent's Last Name Doris A (If Applicable) Enter Surviving Spouse's Infonnatlon Below Last Name Suffix First Name ?~~~~~~...?<>~~I~~~~~~~~~~r.. THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW (W) 1. Original Return <.:::> 2. Supplemental Return <.:::> 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required c;:) <.:::> 4a. Future Interest Compromise (date of death after 12-12-82) c::> 7. Decedent Maintained a Living Trust (Attach Copy of Trust) c::;) 10. Spousal Poverty Credit (date of death t'=> 11. Election to.tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name ~~yti~.~..'1"eleph()~~...~.~'!1~~r..... 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes 4. Limited Estate <.:::> C) c::;:; ZIP Code (717) 241-4436 ~:_~ ....C) .....J I .."."REGISTER:~LLs.'usEONLym I ; .;' '; I 1.... -rJ Wolf & Wolf First line of address 10 West High Street - ".~ ... Second line of address :::.:~ or Post Office State DATE FILED (...) co:" Carlisle 17013-2922 Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF R RSON RESPONSIBLE FOR ILlNG RET RN DATE 06/14/07 ADDRESS 121 West Hunter Road, Carlisle, Pennsylvania 17015 SIGNATURE OF P- ER OTH AN REPRESENTATIVE DATE 06/14/07 e, PA 17013-2922 PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056051058 15056051058 -I -.J 15056052059 REV-1500 EX Decedent's Name: RECAPITULATION Doris A Zeigler Decedent's~~al~E3~rity~~f1"l~~r : 184-36-6498 1. Real estate (Schedule A). ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 170,000.00 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3. 4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5. 10,031.92 6. Jointly Owned Property (Schedule F) c) Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c:> Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets ................................... 8. 73,000.00 253,031.92 23,205.93 304,487.46 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 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 Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. -74,661.47 14. Net Value 12 minus Line .... . . .... . ....... ...... 14. -74,661.47 TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X.O 45 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 . . 15. . 16. 0.00 17. 18. 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT . L 15056052059 Side 2 15056052059 ---I REV-1500 EX Page 3 Decedent's Complete Address: DECEDENTS NAME Doris A Zeigler STREET ADDRESS 121 West Hunter Road DECEDENTS SOCIAL SECURITY NUMBER 184-36-6498 CITY Carlisle STATE PA ZIP 17015 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 1,000.00 Total Credits ( A + B + C ) (2) 1,000.00 3. InterestlPenalty if applicable D. Interest E. Penalty TotallnterestlPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in avalon Page 2, Une 20 to request a refund. (4) 1,000.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5) (5A) (56) A. Enter the interest on the tax due. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 (iJ b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 (iJ c. retain a reversionary interest or.......................................................................................................................... 0 [i] d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 (iJ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ~ 0 3. Did decedent own an Win trust for- or payable upon death bank account or security at his or her death? .............. Ii) 0 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. 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 [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 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 decedenfs lineal beneficiaries is four and one-half (4.5) percent, except as noted 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. REV-1SD2 EX- <...... COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Doris A. Zeigler 21-06-0526 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION 121 West Hunter Road, Carlisle, PA (Appraisal Report Attached) VALUE AT DATE OF DEATH .. 170,000.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 170,000.00 REV-1508 EX' (....) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Doris A. Zeigler FILE NUMBER 21-06-0526 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Members 1st FCU (11 - Checking) 2 Members 1st FCU (OO - Savings) 3 2003 Chevrolet Monte Carlo LS (Kelly Blue Book Value Attached) Good condition 79.50 152.42 9,800.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 10,031.92 REV-1510 EX+ <...... COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Doris A. Zeigler FILE NUMBER 21-06-0526 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INClUDE THE NAME OF THE llWISFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICA8lE) VALUE 1. 125 Ridge Road, Southampton Township, Cumberland County 76,000.00 100 3,000.00 73,000.00 Leann M. Zeigler, Daughter, September 26, 2005 2 M.H. Technologies 401 (K) Profit Sharing Plan - Beneficiary Designation 266,096.30 100 0.00 Leann M. Zeigler, Daughter **" Value of Funds as of March 31, 2006, #2 not taxable as decedent was not yet age 591/2 as of her date of death. 3 TOTAL (Also enter on line 7 Recapitulation) S 73,000.00 (If more space is needed, insert additional sheets of the same size) REV-15ll EX+ (12-99* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULI H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Doris A. Zeigler FILE NUMBER 21-06-0526 Debts of decedent must be reported on Schedule L ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Ewing Brothers Funeral Home Cumberland Valley Memorial Gardens 4,067.60 1,100.00 2 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Leann M. Zeigler, Administrator Social Security Number(s)/EIN Number of Personal Representative(s) 176-58-5163 Street Address 121 West Hunter Road City Carlisle State PA Zip 17015 Year(s) Commission Paid: 2007 2. Attorney Fees 17,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State . Zip Relationship of Claimant to Decedent 4. Probate Fees 190.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 8 The Sentinel - Legal Advertising Cumberland Law Journal - Legal Advertising Appraisal Fees - Diversified Appraisal Services 173.33 75.00 600.00 7. 9 10 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 23,205.93 REV.1512 EX- (12-03) . COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABIUTIES, & UENS ESTATE OF FILE NUMBER Doris A. Zeigler 21-06-0526 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, Including unrelmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 645.00 75.00 State Farm Insurance 2 Frances H. Del Duca 3 Allied Interstate (Carlisle Regional Medical Center) 200.00 4 Vivian Coy - Tax Collector - Shippensburg Township 887.97 5 Judy Campbell- Tax Collector - South Middleton Township Property Taxes 2,042.42 172,862.97 73,509.86 16,043.13 180.00 6 Countrywide Home Loans - Mortgage 121 West Hunter Road (Account 038132651) Beneficial- Mortgage 125 Ridge Road (Account 711715-00-566440-7) Beneficial- Line of Credit (Account 711715-06-511735-3 Discover Card Services (Account 6011 002230650103) Washington Mutual (Credit Card Account 4185-6604-6805-0103) Citibank USA NA (Credit Card Account 5121 0701 02767494) Wells Fargo Financial Bank (Account40711000 03011511) Chase Bank USA (Credit Card Account 5490922490122471) Bank One (Credit Card Account 42627701 02392381) 1,218.90 8,762.53 6,124.84 14,195.09 7,700.00 7 8 9 10 39.75 11 12 13 14 15 William Capshaw (Personal Amounts Due) 304,487.46 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) RE\L1513EX'(Wl) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Doris A. Zeigler FILE NUMBER 21-06-0526 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 Leann M. Zeigler Daughter 100% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18. AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S (If more space is needed, insert additional sheets of the same size) '~:;"""'3<'~= '.' SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS LOCATION: 121 West Hunter Road Carlisle, Pennsylvania TAX PARCEL NUMBER: 40-24-0758-045 IMPROVEMENTS: One-story detached single-family dwelling. PROPERTY RIGHTS: Fee simple interest. OWNERSHIP mSTORY: The subject property is owned by Doris-k-ZeigJer. No transfer of the subject property has taken place during the past three years. SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of the property's highest and best use, consideration of all three approaches to value, and the application of those relevant to the valuation of the subject. OBJECTIVE: To estimate the market value of the subject property as unencumbered EFFECTIVE DATE: April 28, 2006. illGHEST AND BEST USE: Continued use as a single-family residence. COST APPROACH: N.A. SALES APPROACH: $170,000 INCOME APPROACH: N.A. FINAL VALUE CONCLUSION: $170,000 2 \". - - """-"~'; APPRAISAL CERTIFICATION I hereby certify that upon application for valuation by: THE ESTATE OF DORIS A. ZEIGLER the undersigned personally inspected the following described property: All that certain piece or parcel of land, with the improvements thereon erected, situate in South Middleton Township, Cumberland County, Pennsylvania, bounded and described as follows: Beginning at a point on the western side of Boxwood Lane on the dividing line between Lots Nos. 13 and 14 on the Plan of Forge Road Acres; thence by said dividing line, South 75 degrees 24 minutes West 150 feet to a point; thence North 14 degrees 36 minutes West 116.09 feet to a point on the southern side of West Hunter Road; thence by the southern side of said Hunter Road, North 85 degrees 16 minutes East 152.25 feet to a point on Boxwood Lane; thence along Boxwood Lane South 14 degrees 36 minutes East 90 feet to the place of beginning. To the best of my knowledge and belief the statements contained in this report are true and correct, and that neither the employment to make this appraisal nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of April 28, 2006 is: ONE HUNDRED SEVENTY THOUSAND DOLLARS $170,000 The property was appraised as a whole, subject to the contingent and limiting conditions outlined herein. ~ Larry . Foote Certified General Appraiser GA..OOOO 14-L 3 st Send Inquires to: SOOO Louise Drive PO Box 40 Mechanicsburg, PA 17055 www.members1st.org Main Switchboard: (717) 697-1161 or (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 TOO: (717) 697-5312 or (800) 283-2328 ext. 5312 TeleBranch: (717) 795-6049 or (800) 237-7288 MEMBERS 1st FEDERAL CREDIT UNION 3925 1 AV 0.293 3925-3925 '...11111.1111'111.11..11..1..1..111.,11,1.1",,1.1.,,11.11..1 DORIS A ZEIGLER 121 W HUNTER ROAD CARLISLE PA 17013-4339 - - === - - - Statement of Accounts Apr 01, 2006 thru Apr 30, 2006 Account Number: 123677 Account Balances at a Glance: Checking: 79.50 Savings: 152.42 Certificates: 0.00 Loans: 0.00 Money Management: O. 00 Page: 1 of 1 Please read the enclosed insert regarding the change in obtaining your vehicle title when you payoff an auto loan. CHECKING ACCOUNTS 11 - CHECKING Date Apr 01 Apr 30 Transaction Description Balance Forward Ending Balance Additions Subtractions Balance 79.50 79.50 SAVINGS ACCOUNTS 00 - REGULAR SAVINGS Date Transaction Description Apr 01 Balance Forward Apr 30 Deposit Dividend 1. ??oo10 Annual Percentage Yield Eamed 1.04U% from 04/01/2006 through 04/30/2006 Apr 30 Ending Balance Additions Subtractions Balance 152.29 152.42 0.13 YTD SUMMARIES 152.42 TOTAL DIVIDENDS PAID 00 REGULAR SAVINGS 11 CHECKING 0.51 0.00 Total Year To Date Dividends Paid NOTE : Total includes closed shares 0.51 Don't forget about our new Member Loyalty Rewards Program. The more products you have with us, the more benefits you'll receive. Ask an associate for details or visit our website at www.members1st.org for details. M1ST01 .' .11I1., lie Boak · ...... .. THI ftU5TED IIE50UIlCE . ... . .MIL.. Close Window [~ .:.. $P~D TO PRINTER ft' li~ il< It I' , ff H, It htUu.. 2003 Chevrolet Monte Carlo LS Coupe 2D BLUE BOOKe PRIVATE PARTY VALUE - advertisement - Condition Value Good $9,800 '" Excellent (Selected) $10,505 Fair $8,880 Vehicle Details Engine: V6 3.4 Liter Transmission: Automatic Drivetrain: FWD Mileage: 44 ,000 Selected Standard Equipment Air Conditioning Power Door Locks Power Steering Tilt Wheel Power Windows AM/FM Stereo Selected Optional Equipment Cruise Control ABS (4-Wheel) Single Compact Disc Power Seat Cassette Dual Front Air Bags Alloy Wheels Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. New Dealer Used Dealer Refinance Person..to-Person 5.69% 6.99% , .25% 9.15% 8.15% Vehicle Condition Ratings ../ Excellent (Selected) DDDDD $10,505 "Excellent" condition means that the vehicle looks new, is in excellent mechanical condition and needs no reconditioning. This vehicle has never had any paint or body work and is free of rust. The vehicle has a clean title history and will pass a smog and safety inspection. The engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. The vehicle also has complete and verifiable service SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS LOCATION: 125 Ridge Road Shippensburg, Pennsylvania TAJ{ p~~ ~l8R: 39-16-0224-014 IMPROVEMENTS: One-story detached cabin. PROPERTY RIGHTS: Fee simple interest. OWNERSIDP HISTORY: The subject property is owned by Doris A. Zeigler and Leann M: Zeigler. The property last transferred on September 26,2005 for a consideration of $1.00. SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of the property's highest and best use, consideration of all three approaches to value, and the application of those relevant to the valuation of the subject. OBJECTIVE: To estimate the market value of the subject property as unencumbered. EFFECTIVE DATE: April 28, 2006. mGHEST AND BEST USE: Continued use as a cabin. COST APPROACH: N.A. SALES APPROACH: $76,000 INCOME APPROACH: N.A. FINAL VALUE CONCLUSION: $76,000 2 APPRAISAL CERTIFICATION I hereby certify that upon application for valuation by: THE ESTATE OF DORIS A. ZEIGLER the undersigned personally inspected the following described property: 1\11 that certain piece or parcel of land, with the improvements thereon erected, situate in Southampton Township, Cumberland County, Pennsylvania, bounded and described as follows: Beginning at a point in the roadbed of the Ridge Road; thence over the Ridge Road, North 49 degrees 25 minutes 19 seconds East, a distance of 100.00 feet to an existing spike; thence South 40 degrees 37 minutes 13 seconds East, a distance of 165.77 feet passing through an existing point on line 24.90 feet from the aforesaid existing spike to an existing iron pin; thence North 48 degrees 56 minutes27 seconds East, a distance of 100.00 feet to an existing iron pin; thence North 40 degrees 37 minutes 04 seconds West, a distance of 164.93 feet to an existing spike in a roadbed of the Ridge Road, passing through an existing point on line 19.85 feet from the aforesaid existing spike; thus over the Ridge Road, North 49 degrees 25 minutes 19 seconds East, a distance of 67.52 feet to a point passing through an existing nail 32.49 feet from the said point; thence South 40 degrees 37 minutes 04 seconds East, a distance of 264.94 feet, passing through a set point on line 13.19 feet from the aforesaid pint in the road bed of Ridge Road, to a set iron pin; thence South 48 degrees 56 minutes 27 seconds West, a distance of 300.00 feet to a set iron pin; thence North 40 degrees 37 minutes 13 seconds West, a distance of266.61 feet to the place of beginning, passing through a set point on line 10.57 feet from the aforesaid place of beginning. To the best of my knowledge and belief the statements contained in this report are true and correct, and that neither the employment to make this appraisal nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of April 28, 2006 is: SEVENTY-SIX THOUSAND DOLLARS $76,000 The property was appraised as a whole, subject to the contingent and limiting conditions outlined herein. ~~~ ~~F~~ Certified General Appraiser GA-000014-L 3 -'"- ... &ollh \P~\lO .. R BERT P. ZIEGLER EE:Ol:;J:l, 0F DEEDS . " ~ :'u.\ , :~' CO U NT Y - F.\ .05 EP 27 PrI 2 51 Return To: Integrated Real Estate Processing Jeanette Korzinski 290 BiJmar Drive Pittsburgh PA 15205 T05-903382 TRANSFER: (This SpIce Reserved For Recorder) MOTHER TO MOTHER AND DAUGHTER..FULLY TAX EXEMPT. THIS INDENTURE Made the 26TH day of SEPTEMBER ,2005 BETWEEN Doris A. Zeigler, Single (hereinafter called the Grantor), party of the first part, and Doris A. Zeigler and Leann M. Zeigler, both Single, (hereinafter called the Grantee), party of the second part, Witnesseth, that in consideration of the sum of One and 00/100 Dollars ($1.00), in hand paid to Grantors by the Grantees, the said Grantors do hereby grant,. bargain, sell and convey unto said Grantees. their heirs. successors and assigns, all the right, title, interest. claim and demand of the said party of the first part, of, in and to the following described property: All that certain tract ofland shown and delineated as Parcel "A" on a certain subdivision plan for Martin J. Reese and Curfman and Zullinger, Registered SurveyolS, which subdivision plan is duly approved and recorded in the Cumberland County Recorder ofDecds Office, in aud for Cumberland County, at Plan Book 75, Page 53, situate in Southampton township, Cumberland County, Pennsylv~ and being more particularly bounded and described as follows: to wit: Beginning at a point in the roadbed of the Ridge Road, a State Forest road; thence over the Ridge Road, north forty- nine (49) degrees twenty-five (25) minutes nineteen (19) seconds East, a distance of one hundred and zero hundredths (100.00) feet to an existing spike, thence along other lands of grantee, South forty (40) degrees 1hirty- seven (37) minutes thirteen (13) seconds East, a distance of one hundred sixty-five and seventy-seven hundredths (165.77) feet passing through an existing point on line twenty-four and ninety hundredths (24.90) feet from the aforesaid existing spike to an existing iron pin; thence continuing along other lands of the grantee, North forty-eight (48) degrees fifty-six (56) minutes twenty-seven (27) seconds East, a distance of one hundred and zero hundredths (100.00) feet to an existing iron pin; thence continuing along other lands of the Grantee, North forty (40) degrees thirty-seven (37) minutes four (04) seconds West, a distance of one hundred sixty-four and ninety-three hundredths (164.93) feet to an existing spike in a roadbed of tile Ridge Road, passing through an existing point on line nineteen and eighty-five (19.85) feet from the aforesaid existing spike: thus over the Ridge Road, North forty-nine (49) degrees twenty-five (25) minutes nineteen (19) seconds East, a distance of sixty-seven and fifty-two hundredths (67.52) feet to a point passing through an existing nail thirty-two and forty-nine (32.49) feet from the said point; thence along other lands now or formerly of the Grantor, South forty (40) degrees thirty-seven (37) minutes four (04) seconds East, a distance of two hundred sixty-four and ninety four (264.94) feet, passing through a set point on line thirteen and nineteen (13.19) feet from the aforesaid point in the roadbed of Ridge Road, to a set iron pin; thence along other land ofOrantor, South forty-cight (48) degrees fifty-six (56) minute twenty-seven (27) Seconds West, a distance of three hun~and zero hundredths (300.00) feet to a set iron pin; thence along other lands of BOOK 271 FACE 119 ,I. . ". ~ ,.....~,.....--...I...-...- .. J" Grantor, North forty (40) degrees thirty-seven (37) minutes thirteen (13) seconds West, a distance of two hundred sixty-six and sixty one hundredths (266.61) feet to the point and place of beginning, passing through a set point on line ten and fifty-seven hundredths (10.57) feet from the aforesaid point of beginning. With the appurtenances: TO HA VB AND TO HOLD the same to and for the use of the said Grantee(s}, hislher/their heirs, successors, and assigns, forever, And the Grantor(s) for hislherltheir heirs, successors, and assigns hereby covenant and agree that they will W ARRANT GENERALLY the property hereby conveyed. NOTICE: THIS DOCUMENT MAY NOT/DOES NOT SELL, CONVEY, TRANSFER. INCLUDE OR INSURE THE TITLE TO THE COAL AND RIGHT OF SUPPORT UNDERNEA m TIlE SURFACE LAND DESCRIBED OR REFERRED TO HEREIN, AND THE OWNER OR OWNERS OF SUCH COAL MAY HA VEIHA VB TIlE COMPLETE LEGAL RIGHT TO REMOVE ALL OF SUCH COAL AND, IN mAT CONNECI'lON, DAMAGE MA y RESULT TO TIIE SURFACE OF THE LAND AND ANY HOUS~ BUllDING OR OTHER STRUCfURE ON OR IN SUCH LAND. THE INCLUSION OF nus NOnCE NOT ENLARGE, RESTRICT OR MODIFY ANY LEGAL RIGHTS OR ESTATES OTHERWISE CREATED, TRANSFERRED, EXCEPTED OR RESERVED BY THIS INSTRUMENT. (This notice is set forth in the manner provided in Section 1 of the Act of July 17, 1957, P.L. 984, as amended, and is not intended as notice of unrecorded instruments, aany.) Witness the hand(s) and seal(s) of the said Grantor(s). Witness: ~ ~A1~ ~'-m (J JuAJJ- NOTICE THE UNDERSIGNED, AS EVIDENCED BY TIm SIGNATURE(S) TO THIS NOTICE AND THE ACCEPTANCE AND RECORDING OF TIDS DEED (IS I ARE) OBTAINING TIlE RIOlIT OF PROTEcrION AGAINST SUBSIDENCE, AS TO TIlE PROPERTY HEREIN CONVEYBDt RESULTING FROM COAL MINING OPERATIONS AND THAT TIlE PURCHASED PROPERTY, HEREIN CONVEYED, MAY BE PROTECTED FROM DAMAGE DUE TO MINE SUBSIDENCE BY A PRIVATE CONTRACf WITH THE OWNERS OF THE ECONOMIC INTEREST IN THE COAL. nus NOTICE IS INSERTED HEREIN TO COMPLY WITH THE BITUMINOUS MINE SUBSIDENCE AND LAND CONSERVATION Acr OF 1966, AS AMENDED 1980, OTC. 10, P.L. 874, NO. 156 ARTICLE 1. Witness: ~1-~ oLfVl&~ ~ .l1J'~ Q.. Lft1..I ~) ~gl~~~ ck-~ (l\;) ') L.0 Leann M. Zeigler 800K 2'11 PAGE 7.21) - ---- .. ..-." .-.. '''.. ._-",,_., -. f ----".. --'T - ..". '.~""'''~''''''.'''''''.''-.'.'''''''-'' . ... Conunonwealth of Pennsylvania County of CUMBERLAND On this, the 26TH day of SEPTEMRF.'R ,2005, before me, a Notary Public the undersigned Officer, personally appeared Doris A. Zei21er and Leann M. Zehder. known to me (satisfactorily proven) to be the person whose names are subscribed to the within instrument, aDd acknowledged that they executed the same for the purposes therein contained. In Witness Whereot: I hereunto set my hand and official seal. My Commission expires: IV(31/oc; ~.Q ~ Q'-IvL&v~ Notary Public DENISE M CHUBB COMMONWEALTH Of PENNS LVAN Notarial Seal Denise M. Chubb, No~ PubJic Rye T~., Perry County My Commission Expires Oct. 31,2005 Member. Pennsylvania AsSOCiatfon 01 NotarIes j ( r;:,.:., (hiS to be re d ,; cor ed ~:; !~~nd County P A ..~ ..~;' ...'......l~...~:....~:.. A!:...41f / " . /~.~ I? [ , I '~I-~l:Order 0 f Deeds ~ , ' BOoK 271 PAGE 72f ') I -. ", " . ~~ Certificate of Residence 1, the undersigned, do hereby certify that the Grantee's precise residence is: Address: 125 RIDGE ROAD, SHIPPENSBURG, PA. 17257 Witness by hand this 26TH day of SEPTEMBER , 2005 A.D. ~()If-9~ Deed From, Doris A. Zeigler To Doris A. Zeigler and Leann M. Zeigler, Both Single Mail to: 125 Ridge Road, Cumberland, PA 17057 Commonwealth of Pennsylvania ) ) County of ) ss. Recorded on this day of . 2005 A. D. In the office of the Recorder of Deeds for Cumberland County, Pennsylvania. ~ I" BOOK 271 PACE 722 '0 - CI) ..... co -.;t ..... N C") co or- co -.;t ..... N co Q S s:: (J U') ~ LI') N I"- l."O 0) U') ~ U') N I"- 0) M ::s s:: ~ cO N ,...: ,...: M ~ cO N ,...: M cQ CIJ 0 (G ..... or- ~ l."O C") C") I"- ..... ~ LI') ffi C") C") I'- ..... U') en (J "jij LI') ~ l"- e N "l:I" I'- 0 N Q (J <( CO N ai' cO cti' ..... N N ai cO cti' N uS l."O m ..... I'- QO O'l I"- eg ..... 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''It () en .2 ~ <C it; :!: ~ ~ -:5 ~ w w ~ (/) ": ~ (/) CD IV ~ 0 <( 0 <( I- ~ C1) J: ~ s:: ... 0 I- ~ J: '0 z I- Z 0 0 Q) ~ 0 Z Z 0 c :;: ::::l - :5 C1) 0::: ::::l :5 ~ 0 0::: .! 0 ::I 0 C1) W > ... ::::> w :;: J:l 0 tu ...J ::::l >< :.p C1) 0 ::::l ::::> ftS 0 u 0- m >< Co :E C1) w >- u: Q) ~ 0 tu 0- C ".: 0 "~ :x:: (!) 0::: I iIi ~ 0 >- u: >- (J c <( w ~ :x:: (!) 0::: I III 0 0::: U 0::: <( ::::l 0 )( Z <( 0::: <( ::::l W W C1) 0 C1) <( ~ I- ~ co 0 III 0::: <( ~ I- 0 Z jg C W W ~ z r,- Q) uJ Z ~ 0 .. >- i: w CI) :;E (J :;E i: 0 - Q) ?1i z e Q) >- W :;E C >- 0 )( 0 ~ .. ?1i z I- ::s o ...J CG ::i 0 0- 0::: ::I g ::i 0 0 0::: '0 0 - a.. ~ z W J: ~ Q. 0 0 19 rn 0- Z uJ J: ~ 0 c (J Co:;E Q) 0 0 b E 0:: :;E 0 0 I- C2 lIS (J ~ W ... :;E u: 0 0 l- e::( Q. N Z I- UJ 0- <( W :;E u: N Z 0- " Rug 25 2006 3:04PM EWING BROTHERS FUNERAL HO 7172437553 EwiJig Brothers Funeral Home, Inc. 630 South Hanover Street Carlisle, PA 17013- (717)243-2421 p. 1 August 25, 2006 Leann !vI. Zeigler 121 W. Hunter Road Carlisle, PA 17013 The Funeral Service for Doris A. Zeigler We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN I'IEMIZED STATEMENT OF THE SERVICES, FAClLITIES. AUTOMOTIVE EQUlP:M:ENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING 1HE FUNERAL ARRANGEMENTS. 1. -PROFESSIONAL SERVICES Services of Funeml. Director/Staff. . . . . . . . . . . . . . . . . FUNERAL HOME SERVICE CHARGES . . . . . . . . . . TIlE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THA T YOU HAVE SELECTED . . . . . . . . . . . . . . . $3895.00 $3895.00 $3895.00 Cash Advances Certified COpiC3 of the Death Certificate. . . . . . . . . . . Sentinel obit . . . . . . . . . . . . . . . . . . . TOTAL CASH ADVANCES AND SPECIAL CHARGES.. . $72.00 $100.6Q 5172.60 Total Total Cost. . . . . . '. . . . . . . . . . . . . $4067.60 SUB-TOTAL INITIAL PAY~NT I DISCOUNT I CREDITS TOTAL MI0UNf DUE $4067.60 0.00 14067.60 The unpaid balance over 45 days is subjected to. 1.00 % sccvice clJarge per month - 12.0000 % per annum. THE ESTATE OF DORIS A. ZEIGLER 60-7269/2313 LEANN M. ZEIGLER, EXECUTOR 1671075056 C/O WOLF AND WOLF <:1 f. ) 10WHIGHST. DATE~S ~j i ~~~~ z~~::LE~~~7::;~L ~JM~ !'oli~~~:!!~2~~ i 8sovereign Bank" soverelgnbank.com MEMO f)(J f{ r~ U;I ~L-C1L... f1;l r . 1010 I: 2 :1 3. j 7 2 b Ii 3.1: ~.~~) 3. b 7 ~ 0 7 50 5 b II' ~ 0 3. 0 ,.. ~ Cumberland Valley Memorial Gardens A DIVISION OFSTONEMOR PARTNERS, L.P. 1921 Ritner Highway Carlisle, PA 17013 Phone (717) 243-3541 Fax (717) 243-4495 Invoice No. 2992 INVOICE ~ Customer Name Leann M. Zeigler Address 121 West Hunter Road City Carlisle State P A Phone Cell: 717-226-8082 Date Order No. Ref# FOB 6/2312006 ZIP 17013 26-3-0125.7 Qty Description Unit Price TOTAL 1 Balance of Contract #23-0-0263 $1,100.00 $1,100.00 Grave Opening/Closing and Casket Supplied 5/3/06 for Interment of Doris A. Zeigler SubTotal $1,100.00 Payment Details 0 Cash Taxes State 0 Check 0 Money Order TOTAL $1,100.00 Name Insurance Assignment not paid. THE ESTATE OF DORIS A. ZEIGLER 60-7269/2313 1011 LEANN M. ZEIGLER, EXECUTOR 1671075056 c/o WOLF AND WOLF!o. ttI 10 W HIGH ST. DATE Pi"l-C;X{ ~ I PAYwnm CARU:::;70~w, If!iW>InJft> tAUJ~ I $r.l....".:.<<o~'.>.QT.."..! ORDER OF ~llM~ ~:SJ~j)aa~",_~,- I e:l,. t-/1()L/xJ oJ i71Le h~~>"J r J60LLARS. (j) ="= i 8Sovereign Bank" · MmdO dr3g~b&~1 ':t(lA.A-rnJf:!/:~)" 1:~~~~?~bq~l: ~b?~O?505bll.~O~~ RETAIN THIS PORTION FOR YOUR RECORDS REMITTANCE ADDRESS I BILL TO THB SBNTINEL - LEGAL ATTORNEY AT LAW NATHAN C. WOLF P.o. BOX 130, CARLISLE, PA 17013 AD NUMBER I CLASS SALESPERSON BILLING DATE LINES 309941 10 PUBLIC NOTICES wolfe 07/19/06 46 * 2 AD DESCRIPTION START DATE STOP DATE ADMINISTRATOR'S NOTICE LETTERS OF 07/04/06 07/18/06 PUBLICATION INSERTIONS RATE NET AMOUNT GROSS AMOUNT 3 THE SENTINEL - LEGAL 3 LGL 166.98 TOTAL AD CHARGE 166.98 3 PROOF OF PUBLICATION 01PRF 6.35 DA YS RUN PURCHASE ORDER PAY THIS AMOUNT 173.33 208.00* Est.D.Zeigler er * AFTER 08/18/06 MESSAGE: Thank you for advertising with The Sentinel. Deadlines for in-column legal advertisements: Monday is Friday at 11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon; Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday is Thursday at 12 Noon. If you have any questions regarding your Legal bill please call Tammy Shoemaker 243-2611, ext 203. Fax your legals to 243-3754, attention Tammy.Shoemaker You can also EMAIL yourlegaltoClassifiedads:elassified@cumberlink.com DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT THE SENTINEL - LEGAL . POBOX 130 CARLISLE PA 17013 Est. D. ZeJ.gler er . . '. AD NUMBER CLASSO START DATE STOP DATE 309941 PUBLIC NOTICES 07/04/06 07/18/06 AD DESCRIPTION BILLING DATE TELEPHONE NUMBER ADMINISTRATOR'S NOTICE LETTERS OF 07/19/06 717-241-4436 GROSS AMOUNT OF 208.00 DUE AFTER 08/18/06 ATTORNEY AT LAW NATHAN C. WOLF 10 W. HIGH ST. CARLISLE, PA 17013 1.1111111.1111111..111111.1111.1 20200000003099410000000000000002080000000173334 TOTAL AMOUNT DUE 173.33 ENTER AMOUNT ENCLOSED d 333 Diversified Appraisal Services Real Estate Appraisers and Consultants INVOICE 35 East High Street Suite 101 Carlisle, Pennsylvania 17013-3052 DATE: February 22, 2007 Tel: 717.249.2758 Fax: 717.258.4701 TO: The Estate of Doris A. Zeigler AMOUNT: $600.00 FOR: Appraisal Reports 121 W. Hunter Road, Carlisle 125 Ridge Road, Shippensburg Thank You, TERMS: Due upon receipt ~~- Larry E. Foote Certified General Appraiser GA-000014-L Tax ill Number 206-36-6731 \ \ ,: \ THE ESTATE OF DORIS A. ZEIGLER LEANN M. ZEIGLER, EXECUTOR c/o WOLF AND WOLF 10 W HIGH ST. ~ CARLISLE. PA 17013 ! ~~~J:'" OlVerJ]~11JIr~~ I Sir t1~ J~~ 1" . i 8Sovereign Bank" sovereignbank.com MEMO Jpf/(1A\,f1AJ I: 2 3 ~ 3 7 2 b 'i ~.: 60-7269/2313 1671075056 DATE~~ ~ ~r;;(LC $rlAVO~"56"'''!: ~ JL...~.,...._..:: DOLLARS fn ="..._. 1040 "" ~. 3~l 'A--.J W . b 7 ~ 0 7 50 5 b II. . 0 ~ 0 - RUG-25-2886 82:22 PM STRTEFRRM 717 258 1864 P.83 U4n FAlM .. nUUIIlA"'CE Fire Policy Status AUGUST 24, 2006 ZEIGLER, DORIS A 121 W HUNTER RD CARLISLE fA 17013-4339 H Ph. (717)249-6847 FIRE Policy: 38-C2-8090-4 F Yr issd: 1971 Xref: YRs with SF: 9+ Location: 125 RIDGE RD SHIPPENSBURG PA 17257 Term: CO NT Type: HO - HOMEOWNERS Coverage information A-DWELLING 92800 DWELL EXT 9260 B-PERS PROP 69600 C-LOSS USE ACT LOSS Renew date: JUN-30-07 Premium: 287.00 CANCELED NON-PAYMENT DATE CANCELED 08/14/2006 L-PERS LIAS DMG TO PROP M-MED/PERS 100000 500 1000 Amount due: Date due: Bill to: 287.00 JUN-3D-06 INSD Prey prern: 283 Prey risk: 89,400 Deductibles, applied: 500 ALL PER Messages: Year built: 1961 Constr: FRAME Zone: 38 Home alert: SA Sub zone: 01 Occupancy: S Families: 01 Roof Roof type: COMP ~ ! PAYTOTHE ORDER OF 5, THE ESTATE OF DORIS A. ZEIGLER LEANN M. ZEIGLER, EXECUTOR C/O WOLF AND WOLF 10 W HIGH ST. CARLISLE. PA 17013 3 c fARtY) LI/VO!l.JO I~ 60-7269/2313 1671075056 1003 DATE ~/11J(' rp[~Jj;J~] v..:<_,;;.,..~.<,.",.,.,..-._.......,~..'~''>''--:< A -- OLLARS l!J =.... i ~ ! _Sovereign Bank- ! sovereignbank.com MEMO U-MJO'N'''V~ I: 2 ~ ~ ~ ? 2 b q ~I: ~ t-u.J\ Tr] J' 1Jt A J ~ b ? J. 0 ? 50 5 bill . 0 0 ::1 ... AUG-25-2e~6 ~2:21 PM STRTEFRRM 717 258 let64 P.etz II'AU F.IU~ A "UUlIIAI'lC' Fire Policy Status AUGUST 24, 2006 ZEIGLER, DORIS A 121 W HUNTER RO CARLISLE PA 17013-4339 H Ph. (717) 249-6847 FIRE Policy: 38-J5-4631-4 F y~ issd: 1971 Xref: YRs ~ith SF: 9+ Term: CONT Type: HO - HOMEOWNERS Renew date: JUN-08-07 Coverage information Premium: 358.00 A-DWELLING 153800 DWELL EXT 15380 CANCELED NON-PAYMENT B-PERS PROP 115350 DATE CANCELED 07/23/2006 C-LOSS USE ACT LOSS Amount due: 358.00 L-l?ERS LIAS 300000 Date due: JUN-08-06 DMG TO PROP 500 Bill to: INSO M-MEO/PERS 1000 prev prem: 354 Prev risk: 148,100 Deductibles applied: 500 ALL PER Messages; Year built: 1992 Constr: FRAME Zone; 38 Home alert: SA FE Sub zone: 01 Families: 01 THE ESTATE OF DORIS A. ZEIGLER LEANN M. ZEIGLER, EXECUTOR CIO WOLF AND WOLF 10 W HIGH ST. ~ CARLISLE, PA 17013 i PAYTOTHE 3\ -c:_ fARtY) ORDER OF J \ I 5, ,LJ/JOlZl/J;;:1/3 ~ i eSovereign Bank- o sovereignbank.com MEMO t1117 OUlA-rJ&I'l.!J 60-7269/2313 1671075056 1003 DATE ~/~o(, Gce~~O(J' =- """'"-- I: 2 l ~ l 7 2 b ~ ~ I: ~I-~ m 5'g/;~ ~ b 7 ~ 0 ? SO 5 b III ~ DOl WI' FRANCES H. DEL DUCA ATTORNEY AT LAW TEN WEST HIGH STREET CARLISLE, PENNSYLVANIA 17013 Mrs. Doris Zeigler . 121 W. Hunter Rd. Carlisle, P A 17013 AREA CODe: 717 249-1323 FAX February 6, 2006 256 -4940 FOR PROFESSIONAL SERVICES RENDERED DATE HR. DESCRIPTION OF SERVICES Preparation of Power of Attorney; trip to Forest Park for Execution $ 75.00 ,"' ~ i PAYTOTHE ORDER OF I ~ ~ ." I .. THE ESTATE OF DORIS A. ZEIGLER LEANN M. ZEIGLER, EXECUTOR c/o WOLF AND WOLF 10 W HIGH ST. CARLISLE, PA 17013 f~~rJ (. <f;' 5 L-\-- P f;L . OVCN ~ev~j'v Iv] - fiye: ~fP: _Sovereign Bank- sovereignbank.com MEMO POA -: 2 j ~ j ? 2 b g ~I: . 60-7269/2313 1671075056 DA~~ I $,7J.oO I ft D:~~::S-~ 1013 -- _. -..-. ;i~.~JO{~A ) ~b? ~O? 50 51;11- ~O ~ 37\=J II! v. IYVIIVVI Oll,e:; 'I/'CUI, V'"Y. ~/jedlnterstate. Inc, P.O. Box 1954 Southgate, MI 48195-0954 IIII"IIII~ 1I11111lml~ 1111/ fll~ Ifill 11111 ~"llfI~ 111111111111 800 Interchange West 435 Ford Road Minneapolis, MN 55426-1096 Toll Free: 800-966-0755 MM1182867272/X01 008 8459409 0059764/0215 1...111...111'...1111..11..1111..11...11.1.1. ...1.1...11.11..1 Doris A Zeigler 121 W Hunter Rd Carlisle, PA 17013-4339 May 2, 2006 DATE OF SERVICE: November 23, 2005 ACCOUNT #: 82867272 REFERENCE #: 9325264 CLIENT: CARLISLE REGIONAL MEDICAL CTR TOTAL DUE: $200.00 Dear Doris A Zeigler: The above referenced provider has requested our assistance in the follow up of selected accounts. According to our records, the balance due is the patient portion after insurance payments, if any, have been applied. If you have secondary insurance coverage, please contact our office with the complete billing information. , In the event that you have no insurance, or your insurance has either paid their fortion, applied the balance to your deductible, or has rejected this claim, call the above number to discuss paymen of your account. It is the policy of thp. hosoital that the patient portion of the bill is due at the time that services are renoered. .. .,- --.... u;,.j+ httn'II~IIip.dinterstate.callipaY.com and use the following information: T1~NSNTAMTEZOEF'GDlOERR'S A. ZE'GLER . , EXECUTOR 60-7269/2313 c/o WOLF AND WOLF 1671075056 f 10 W HIGH ST. ~ CARLISLE, PA 17013 a PAYTOTHE ~) J I /,'11 "f:J . /!! ORDER OF ~ l..-U I!:7:J ( v l. tJ1..;;7}ofi &- ! ~ ~ ,JlI/N/J~ d~~ ~ i t)sovereign Bank- Re( sovereignbank.com MEMo 'f"JZQ..c. 'f ..J I I: 2 H 'l? 2bq ,I: -et.4G ." !1l. ~~ ) ~ b ? ~ 0 ? 50 5 b II' ~ 0 ~ 2 ' 1012 tv of this debt or any 30 days from fill obtain verification I. If you request this Ime and address of DATE ?/z~J:too t; I I ....L.- ~flJgt)U-1 .--., , ,.,'.' "C.".'-._':1-'. ~A'.->"I:",*-".kJ*_o......~ DOLLARS tD =- -..-. for that purpose. a service fee - the lIP Sincerely, Account Representative 800-966-0755 Allied Interstate, Inc. - -- Detach and return with payment Date: May 2,2006 Client Ref Number: 9325264 Client CARLISLE REGIONAL MEDICAL CTR Amount Due: $200.00 Amount Remitted: $~' ct; Payment and Correspondence Address: MM 1/82867272/858 Allied Interstate, Inc. Healthcare Division P.O. Box 361533 Columbus, OH 43236-1533 1.1..1..111..1.11111..11.11..11.1.1.1111.1111.11.111 X01 TAX INFORMATION August 23, 2006 Cumberland County - South Middleton School Dist. - South Middleton Township Name as it appears in Tax Duplicate: ZEIGLER, DORIS A Acct# 40-24-0758-045 Location: 121 W HUNTER ROAD 121 WEST HUNTER ROAD CARLISLE, PA 17013 Land Improvements Total Assessment 27,510 ~21,380 148,890 T A X STATUS Tax Year* Taxing Authority Face Arnt Status Arnt Paid Date Paid Amount Due 2006 County 327.1.1 UNPAID 359.82 2006 Library 26.80 UNPAID 29.48 2006 Township 23.82 UNPAID 26.20 2006 School 1,660.12 UNPAID ~,626.92 ---------- ---------- Total Due 2,042.42 * The School tax year is July 1. of the year shown, through June 30 of the following year. Both the Township and County use the calendar year. If prior year info is needed please contact The Cumberland County Tax Claim Bureau. I, Judy Campbell, Tax Collector for South Middleton Township do hereby certify the abc ~~rmation to be the true and correct Tax Status of the above 1:' tHE ESt LEANN 1J~~r DORIS A . ~-cLt ! c/o WOL~LERJ ExilEIGLER (stenedl ! PJ\Y1'o ...............CAR~~s~ Hp/ci~/DS~OLF UtOR 60-7269/; ORD THE 1;;, :.1\ 1 767107.~13 - - - - - - i - 13ROF 'J) 1 7013 "VVO ~ % DJ\TE_ ~h S/7 .'1-./ 1009 1 '1~~J. /.. ~ Fee for th, i 8S0ve.rei it,. $r'''- ~:~e c~~;~: '<EA<o /2 ,:re~nbank.!~ D~~=fJ~} tor .5C3.3?~:~L!L.o2{ @ ~~ NEW OWNER: . '. ..: .S'i'.O'i'50S~M/ ... ~ - Q/I- ~OO ..71-~ MAILING ADDRESS: .' q ---____.Iffa ** PLEASE PAY TAX CERTIFICATION WI'.ln ._ - THANK YOU! 1 . d dSS:10 90 EZ ~nH '~06-o7 SCHOOL REAL ESTATE TAX NOTICE ;HIPPENSBURG AREA SCHOOL DISTRICT or' t:../... F A { E ~-{ C :;:} F; ~." JULY 15 2006 Bill No: 2530 AX AYER: MAP NO: 39-16-0224-014 PAR A PB 75 PG 53 Seasonal-Used < 50% Of Year Ift~~~ k 005843 ZEIGLER, DORIS A & LEANN M 125 RIDGE ROAD BIGLERVILLE PA 17307 TAX AMOUNT DUE ------> Due Date If taxes are in escrow, forward this bill to your mortgage company. If unpaid by 12/31/06 tax~s Will. be turned over to Cumberland Co. Tax Claim Bureau. Return Bill with payment. For a Receipt, return both copies with a Self Addressed Stamped Envelope. $1.00 fee for additional receipts requested. AYABLE VIVIAN F COY 0: SOUTHAMPTON TWP BLDG 200 AIRPORT ROAD SHIPPENSBURG PA 17257 ESC: OFFICE HOURS: MONDAY 5:30 - 7:30 PM TUESDAY 9:30 - 11:30 AM CLOSED HOLIDAYS PHONE 717-532-6462 02530407012006000072559000074040000081444397 IF TAXES ARE ESCROWED, FORWARD TO MORTGAGE CO TAXPAYER COpy Bill No: 251~ Bill Date: 3/0 1 1200f Total 59 710 DI8coUiii Face 2 t 10 t 128.56 131.18 144.30 2 " 10 t 10.53 10.74 11.81 5 t PAYABLE TO: Control No: 039 - 001326 Assessed Land Values 31 520 VIVIAN F. COY, TAX COLLECTOR COUNTYOFCUIIBI:JIUND 200 AIRPORT RD (SOUTHAMPTON TWP) Rates .00219700 SH/PPENSBURG, PA 17257 COUNTY R B 69.25 Rates .00018000 ASSESS.NO -39001326 COUNTY LIB 5.67 MAP NO: 39-16-0224-014 TOWNSHIP OF SOIIfjfAjiP'TON 125 RIDGE ROAD Rates. 00010000 .00010000 ACRES 1.840 DEED 00271/ 00719 MONIC. R B 3 .15 2.82 PARAPB75PG53 I) 1\ .. .... TAXAMOUNTDUE_> Seasonal-Used < 50% Of Year ~ RESIDENTIAL - SEASONAL ;I - -O~ ~ oesc: .00219700 61. 93 .00018000 5.07 TAX 'AVER ZEIGLER, DORIS A & LEANN M 125 RIDGE ROAD SH/PPENSBURG PA 17257 If'FICe MARCH - DECEMBER OURS: MONDAY 5:30PM - 7:30PM TUESDAY 9:30AM - 11 :3OAM PHONE (717) 532-6462 12/19f2006 .. SEE REVERSE SIDE OF BILL FOR A BREAKDOWN OF YOUR COUNTY TAX DOlLARS" Return Bill with Payment. For a Receiot . Enclose Self Addressed StamoAd EnvelnnA . af4 aI.QuIbJwide- HOME LOANS --.-, Ac~~~~;-N~mb;;--'_;~--~--l =date Property address 121 W Hunter Rd. \ MONTHLY HOME LOAN STATEMENT 00 1 764 8 01 MB 0.328 "AUTO TO 0 2e6111013-4339 MSR CA AG 0000--0-- Ml6045 IN 24 DORIS A ZEIGLER 121 W Hunter Rd Carlisle PA 17013-4339 111111111.111,1111111. .11111..1..11,"11.1.111"1.1'1111.11111 . CUSTOMER BULLETIN ". ................... ..... ........ . " " . " " . " " . " . . . " " " " " " . " .- " . " " .. " . " . . Doris A Zeigler, . . . . . . . . . . . . . . . . · · · .. FEBRUARY 2006 HOME EQUITY UPDATE ..................... We estimate that you have up to $18,106 of availab~e equity in your lwmo.\ Through cash-out refinancing, you might be able to transform some of that equity into cash. Call Countrywide" Home Loans today, to find out how you may be able to take advantage of the variety of home loan products we have to offer. Apply now, and if you qualify to tap into your available home equity I you could have cash t.o: -Consolidate higher-interest-rate debt! . Meet immediate financial needs Cash-out refinancing could help you meet financial goals. To apply, call 1-800-551-0898. l.Property valuation is based on statistical data, is not an apot'aisal and should not be n>lil!d upon for any purpose other than D08sible loan qualification 2.See back of next page for details. Itestrictions apply. Program terms are subject to change. Some products not available in all states. This is not a commitment to lend. All rights resel'Yed. HOME LOAN SUMMARY $1,164.93 Home loan overview 8S of 02JD6I2006 Principal balance $172,862.91 late Charge if payment received after 03/16/2006 $58.25 Date Payments received 02/0612006 $1,164.93 Amount due on 03JD1/2006 as of 02lO6/2006 Home loan payment due 03/0112006 (see next page for account details) NOTICES It's valued customers like you who've made Countrywide one of the nation's leading home loan lenders. We take pride in using our resources and experience to make the dream of homeownership a reality for more and more people. Your BCcount...HOW YOU WANT IT, WHEN YOU WANT IT Next time you want to confirm a payment (or even make a payment), log-in to cUsIOIDers.countrywide.cOlD. Manage your account with powerful tools like paying on-line, viewing tax and escrow data or checking your account details. Bypass the phone and log-in to the Web! Restrictions apply. Calls may be monitored or recorded to ensure quality service. We may charge you a fee for any payment .returned or rejected by your financial institution. subjectto applicable law. Pay online today or enroll in an automatic Pay Plan. ed to make a one-time, online fment? Or would you prefer to enroll in electronic payment service where 'l1lents are drafted automatically? ichever you choose, Countrywide kes it easy. . onto customers.countrywide.com If you haven't already, create a user name & password Click "Payment Services" Le of the payment services could even you build the equity in your home ~r! IS and conditions apply. A service fee may be led. Please read website for elU'OlIment details. !Account number I Doris A Zeigler 121 W Hunter Rd. Carlisle, PA 17013 (1) 038132651 Payment due Mar 1,2006 $1,164.S3 Atter Mar 16. 2006 late payment $1,223.18 PI... ..... ...1 i........ . die reverse Ii.. of.... -.-. I SEE OTHEI SIDE fOR IMPORTANT INFOIMAnON 2li61 Additional Principal 11.1.1..1111111111..1.11.1111..1111111.1.1..111.1.1111..1..111 CounIQwide" PO BOX 660694 DALLAS TX 75266-0694 1111.1.1.11111.1.11111111111'11.11111.111111.11.1,"1.11111.11 Additional Escrow I Other Check total 038132651100000116493000122318 419 VILLAGE DRIVE SUITE 2 CARLISLE PA 17013 tA Beneficiar Statement of Your AccoUl Member HSBC ID Group Payment Coupon ,...,\,;\"vuu, I,umDt::1 ne'w gdldJ11;a "",rusmg-vau: r caymel1\.UUtf uc:"a 711715-00-566440-7 .73,509.86 03-08-2006 04-01-2006 IVlIIUIJUJm Mllluunrt.1tl '1,222.1 DORIS A ZEIGLER Mail Payment To: 111.1.11I1111.1.11111.1.11.1.11I1111.111.11111I.11..11.11I1111 BENEFICIAL POST OFFICE BOX 4153-K CAROL STREAM IL 60197-4153 1.11..11......111.1..1...1.1..1 n.II.I.I...II..I..11 o 1001222117117150056644070073509865 FOR ASSISTANCE: 419 VILLAGE DRIVE SU ITE 2 CARLISLE PA 17013 717-249-1515 ACCOUNT SUMMARY . Account Number Closing Date.' 'payme~~pue Date' Standard Payment Amount. .Past Due '. Minimu.", Amount Due , . - '. , '.' .... .'71r715~()O:566440~7 ; ...... 03~8-2006' 04-01-2006... 596.15 625.96 t,222. , 1 1-877-812-6523. Need to rush your payment? Please see the enclosed statement insert and choose the option that works best for you. 419 VILLAGE DRIVE CARLISLE PA 17013 ~ Beneficial~ Statement of Your Account Memher HSBC ID Group Payment Coupon 1-\t,i\,;uuln nUlIlUtU l'ItdW CClldll\fU CIIIIIlY Vellts LlUI:r LJdU= MI"nnum raYlnlllH. LlUI 711715-06-511735-3 16,043.13 06/06/06 06/28/06 1 ,278~5( 0606010943 1...11111.111'11...11..11..1111..11...11.1.111..1.1'1111.11..1 DORIS A ZEIGLER LEANN M ZEIGLER 121 W HUNTER RD CARLISLE PA 17013-4339 Mail Payment To: 111.1.11I1111.1.1.11..11.11I.1..1.11I.11..11.1111..1.1.11.11.1 BENEFICIAL FINANCE POST OFFICE BOX 4153-K CAROL STREAM IL 60197-4153 1.11..11......111.1111,"1.1"1'1111.1.111.11..11111 o 3001278507117150651173530016043135 For Assistance: 419 VILLAGE DRIVE CARLISLE PA17013 800-550-3278 Your Credit Line Has Been Suspended Your Available Credit is $ .00 Account Summary 1'\Ct;gum nUllluar DIlling vall! 711715-06-511735,.3 06/06/06 vue Vilnl .....moull' rills' vue MInimUm raymem vue 06/28/06 926.00 1,278.50 (-) CredIts & ( + ) Advances & (+) FINANC~ (+ ) Insurance "New Balance Adjustments other Charges CHARGE Charges .00 31.50 284.66 .00 16,043.13 PreVIous Balance (-) Payments 16,047.97 321.00 Account Detail Since Last Statement Transaction Date 05/15/06 05/18/06 Posting Date 05/15/06 05/18/06 Transaction Description LATE CHARGE PAYMENT Transaction Amounl 31.50 321.00. To evaluate and maintain the quality of our service to you, you permit us to listen to and/or record telephone calls between you and our representative. You may request a credit line reduction or cancellation at any time during the life of this loan. Contact us at '-800-564-7797 or visit our website at www.Beneficial.com/creditline for additional information. YOUR CREDIT LINE HAS BEEN SUSPENDED BECAUSE OF YOUR FAILURE TO MAKE TWO OR MORE PAYMENTS WHEN DUE UNDER THIS AGREEMENT. YOUR AVAILABLE CREDIT IS $0.00 ATTENTION... YOUR CREDIT LINE IS SUSPENDED UNTIL YOUR ACCOUNT IS UP-TO-DATE. PLEASE REMIT THE THREE PAYMENTS NOW DUE TOTALING $1,278.50. Average Daily Balance $ 14,864.96 Monthly PeriodiC Rate 1.915% ANNUAL PERCENTAGE RATE 22.980% CURRENT FINANCE CHARGE S 284.66 Page 1 of 2 "New Balance mayor may not include interest accrued since the billing date. If you have questions on this billing, please call Customer Service at 800-550-3278. Written inquiries about billing errors or questions and any nonpayment correspondence, including instructions on how to request a credit line reduction, cancellation, or reinstatement, should be addressed to Benericial Customer Service, 419 VILLAGE DRIVE, CARLISLE PA 17013. Please include your name, address, and account number on all correspondence. Mail payment to: BENEFICIAL FINANCE, POST OFFICE BOX 4153-K, CAROL STREAM IL 60197. NOTE: PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION RBg.~.~IY.~Q.?E~J ~ ~oI16 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF DORIS A ZEIGLER , Deceased No. 2006526 of 2001 To the Clerk of the Orphans' Court: Enter the claim of DISCOVER FINANCIAL SERVICES, LLC Acct. 6011002230650103 In the amount of $180.00 J against the above entitled estate. The decedent, who resided at 121 W HUNTER RD CARLISLE PA 17013 died on 04/27/2006 . Written notice of said claim was given to LEANN ZEIGLER ,if known to claimant, at (Personal Representative or counsel) 121 WEST HUNTER RD, CARLISLE, PA ,17013 on September 18,2006 (Date) (Claimant) Address: 2323 Lake Club Drive, Suite 300 Columbus Ohio 43232 Claimant's Counsel Address CCrQ)~l1 ",<:;~:,."'~~'l(C"'~~'~':'f1'i'~~'~'. ' . '::":';~-' \ _----.'---11 Washington Mutual I PAYMENT DUE DATE MINIMUM BALANCE AS OF PAYMENT 0411012008 ACCOUNT NUMBER P.O. Box 660433, Dallas, IX 75266-0433 Indl.. CIwIge of AcIcIrMe Below (.... .... or bIIIdllnk) J 05107106 I J $39.75 ( I $39.7514185-8604-6850-010 AIIOUNT ENCLOSED (u.. blue or bllCk Ink) Address: ADt, $DDDDDoD[ City; State: liD: Home Phone: Work Phone' N 000 Make Checks Payable to Washington Mutu E-Mail: WASHINGTON MUTUAL OARD SERVICES P.O. BOX 660487 DALlAS TX 75266-0487 1111.1.1.111.1.1.1111.11111111I.1..11111.111.11111.111.11I'111 DORIS ZEIGLER 21112911 121 W HUNTER RD CARUSLE PA 17013-4339 l'IIIIIII.III'II.IIIII.IIIII..IIIIIIIIIItI.IIIIII.I'IIII.1I1I1 41BSbbD4bBSDD1D3 0003'75 0003'75 D737SDD DB DETACH HERE ... I N C CDLR915C '192 1274 HYD 7 16.411 Peg. 1 of 1 N I" 21..2911 - - - - == = Statement Date - - ;; - == - - - - == Available Credit for Cuh Advances 88 of 04110106 - - 0411 0106 == - = T.....actlon. - - - iiii - iiiiiii - - iiiii - - -- Date Description Amount No Activity This Month FOR BILUNG ERRORS AND IMPORTANT INFORMATION, SEE REVERSE SIDE. Balance Category Av....ge Dally Balance Dally P"odlc Annu81 % Rate RJde (APR) Finance Ch.-a. Grace Terms Standard Purchue - Current Cycle $39.24 .0797%- 29.09%* $0.97 Term A Standard Ouh - Current Cycle $0.00 .0797%* 29.09%* $0.00 Term B ANNUAL PERCENTAGE RATE this billing cycle: 29.86% *Th... rat. may vary. For 24-hour Automated Account Information, please caJI1-866-892-WAMU(9268} or viBit UB at www.wamucarda.com Your account lalaaued by Waahlngton Mutual Sank, Henderaon, NY. R E eEl V ED JAN 0 9 Z007 COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION NOTICE OF CLAIM In Re: The Estate of: Court File No: 21-06-0526 DORIS A ZEIGLER Deceased TO: THE CLERK OF THE ORPHANS' COURT DIVISION: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. S3532(b)(2). 1) Claimant's name: CITIBANK USA NA (SEARS ROEBUCK & CO) C/O BALOGH BECKER L TO 4150 OLSON MEM HWY 2) Claimant's address: #200 MINNEAPOLIS, MN 55422 877 -768-4494 3) Creditor listed below is the owner and holder of a claim in the amount of $ 1218.90 4) The facts upon which this claim is based: This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. 5) Decedent's address: 121 W HUNTER RD CARLISLE, PA 17013 6) Date of Death:" 04127/06 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by On behalf of the claimant, I do solemnly declare and affirm under the penalties of perjury that they Information and representations ma rein are true and correct to the best of my knowledge, information and belief. Dated: J;)j rJ.-?(j CTb Jenlfer C. Melby In..fgct Written notice of claim was given to Person as stated below: NATHAN WOLFE Name 37 S HANOVER ST STE 201 Address CARLISLE PA 17013 City /State/~ 1- -07 Date notice mailed I Representative and/or his/her counsel COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION NOTICE OF CLAIM In Re: The Estate of: Court File No: 21-06-0526 DORIS A ZEIGLER Deceased AKA DORIS ZEIGLER TO: THE CLERK OF THE ORPHANS' COURT DIVISION: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. 93532(b)(2). 1) Claimant's name: WELLS FARGO FINANCIAL BANK CIO BALOGH BECKER, L TO 4150 OLSON MEMORIAL 2) Claimant's address: HWY STE 200 MINNEAPOLIS, MN 55422 877-768-4494 3) Creditor listed below is the owner and holder of a claim in the amount of $ 8762.53 4) The facts upon which this claim is based: This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. 5) Decedent's address: 121 W HUNTER RD CARLISLE, PA 17013 6) Date of Death: 04/27/06 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by On behalf of the claimant, I do solemnly declare and affirm under the penalties of perjury that they Information and representations made herein are true and correct to the best of my knowledge, informatio Dated:dI3/~~ Written notice of claim w~s given to as stated below: NATHAN WOLFE Name 37 S HANOVER ST STE 201 Address CARLISLE. PA 17013 CitY/State/~~~ o?I:!X::L Date~tice ma~ eagan M. Probst gela Horn/Thersia Lee, Atty-in-Fact AttorneV.ln-Fact epresentative and/or his/her counsel .... JUL-07-2006 FRI 09:20 AM PHILLIPS&COHEN ASSOC, FAX NO. 302 388 0970 ~lllLL1~~ ~v COHEN ASSOCIATES, LTD. 258 Chapman Road, Suite 205 Newark, DE 19702 PH (302) 355-3500 FX (302) 368-0970 p, 02 Office Hours: M - Th: Sam - 9pm; Fri.: Sam - 6pm; Sat: Sam - 12pm July 7, 2006 The Estate Of Doris A Zeigler 121 W HUNTER RD CARLISLE, fA 170134339 Our Client: Client Acet.# Our Acet.1 Prio.. Balance Settlement: CHASE BANK- USA~ N..A. 5490922490122471 4937780 $6,124..84 $5,000..00 The Estate Of Doris A Zeigler: Pursuant to our telephone conversation of July 7, 2006, Phillips and Cohen Associates, Ltd. has been retained to serve as authorized . representatives for CaASE B~- USA~ N.A... Effective immediately, Phillips and Cohen Associates, Ltd.. has been authorized to accept $5,000.00 as settlement in full on the above referenced account if consummated On or before JULY 24, 2006. Upon receipt of $5,000.00, the Estate will be released from any further obliqation to CHASE BANK- USA- N.A. regarding the above referenced account. SETTLEMENT TO BE CONSUMMATED AS FOLLOWS: $5,000.00 CASHIER'S OR A~TORNEY'S TRUST CHECK, SENT VIA OVERNIGHT EXPRESS MAIL. TO BE RECEIVED BY PHILLIPS AND COHEN ASSOCIATES AT THE ABOVE ADDRESS ON OR BEFORE JULY 24, 2006. UPON COMPLETION OF THE SETTLEMENT, THERE WILL BE NO FURTHgR OBLIGATION REGARDING THE ACCOUNT AND NO CLAIM WILL BE FILED AGAINST THE ESTATE OF Doris A Zeigler. Thank you for you,r proIl\pt attention to this matter. M~, Adam S.. Cohen Co-Chairman/CEO This is an attempt to collect a debt and any information obtained will be used for that purpose. This communication is from a debt collector. FORM 93 - O. C. DIVISION RECEIVED JUl17 2006 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS. COURT DIVISION IN RE: ESTATE } } } } } } OF No. 21-06-0526 of 2006 DORIS A ZEIGLER (Deceased) CLAIM To the Clerk of Orphans court Division: Index and make proper entry in your official records of the claim of OMNIUM WORLDWIDE, INC. for BANK ONE (Claimant), account # 4262770102392381, in the amount of $14,195.09 against the estate of the above named decedent. This claim is filed under Section 732 (b) (2) of the Fiduciaries Act of 1949 as amended. The said decedent, who resided at 121 W HUNTER RD, CARLISLE, P A 17013-4339, died on April 27, 2006. Written notice of this claim was given to NATHAN WOLFE, 10 W HIGH ST, CARLISLE, P A 17013 (Personal representative, if any, or counsel). July 10 , 2006 ~ (Claimant) OM UM WORLDWIDE, INC. 7171 MERCY RD, SUITE 400 PO BOX 6618 OMAHA, NE 68106 800-999- 3 778 (Claimant's Address) I' i-Iz5J lL?HJer - We e,. ~.~ Lf,5Z).,ro.V (:;>.. \ G MS T"*-'" - d-..3 c}iJ ct> 4b \\J~.~ T ,^b*.s~OLO<Lf""- \U ~ie.c\MK ~{oO", tJ1.) N g.(..i:) .~'WA-f"~ '\>",^""",,p ~^J. cu.\ (LJe~ ? ~ pe-5 ) ~ J<l(...T~vt ~ 11f("- I goo .lJ etiJ sr o..tJe.c- c}.JO c"" 0-'1' ~ S CJi) V tJ ~.~ (L 4! to ~ - tv ~ v\.r-..c.. c:r-e- ~. e-o ~ ~.e~ \L~ If- OdJ B.~ I~ ') I r> w~l b~~ Y'Y\~~ 'r..4JJ. 16 ~ <i.I f lk. c.OiiiJJIf" OvT - . . +- 7()Jv ~.CU-'2.Q ''])4+((\.)7- ~~ ~. ~ ~eJ, <X\ "-CL.{..l.iIl\ - CUi\h.. 8. 't.~ Sc~ (,tJ V Co W/;"ct \"",s\--r(p;. \\. If ~~\\I e\<:.. tv ~ . C~g.J-- V ocr Of~ e.\&- - c..J e....r~:-'^ ~l tv >1~ W;&-5 ~ 0 \.t..r ~ ~ JU...., "",l. 'r\\ \ N e.. - "1::.'V6--1 l'r g. IV" e.:i 4. t'\, r <::> t:-:r; ~ {) ~ 1) eF P \C'l ~ Sj ~ /UC9 C ~'A."~ "'-61 Pt L.=. l 7 0-0 ~ ce-