HomeMy WebLinkAbout06-27-07 (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 Veer
INHERITANCE TAX RETURN
RESIDENT DECEDENT 2 1 0 5
Date of Birth
508407336
10192005
02011937
Decedent's Last Name
Decedent's First Name
Suffix
FINK
JOSEPH
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
Suffix
Spouse's First Name
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
[!] 1. Original Retum
D
D
D
D
D
D
3. Remainder Retum (date of death
prior to 12-13-82)
5. Federal Estate Tax Retum Required
2. Supplemental Retum
4. Limited Estate
4a. Future Interest Compromise
(dete of deeth alter 12-12-82)
D
[K]
D
7 Decadent Maintained a Living Trust
. (Attach Copy of Trust)
6. Decedent Died Testate
(Attach Copy of Will)
8. Total Number of Safe Deposit Boxes
D
11. Election to tax under Sec. 9113(A)
(Attach Sch. 0)
10 Spousal Poverty Credtt (date of death
. between 12-31-91 and 1-1-95)
9. Litigation Proceeds Received
File Number
0959
MI
MI
~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number
JERRY A. WEIGLE ESQUIRE 7175327388
Firm Name (If Applicable)
WEIGLE & ASSOCIATES. P,C.
REGISTER OF WILLS USE ONLY
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<.DI\1;I: FILED :%
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First line of address
126 EAST KING STREET
Second line of address
City or Post OffIce
SHIPPENSBURG
State
PA
ZIP Code
17257
that I have examined this retum, including accompanying schedules and statements. and to
aration of preparer other than the personal representative is based on all information of which prepa
S LE FOR FILING RETURN
Susan Ann Fink
DATE
y-I
Jerry A. Weigle Esquire
Side 1
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REV-1500 EX
Decedent's Name: J 0 S e p h Fin k
RECAPITULATION
1. Real Estate (Schedule A).......................................................................................... 1.
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.
6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 Separate Billing Requested............. 7.
8. Total Gross Assets (total Lines 1-7)....................................................................... 8.
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 Govemmental Bequests/See 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'iaXable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
245.633 46
16.
o 00
17.
o 00
18.
19. Tax Due............... ............. ............. ..................... ........................ ................ ............... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
L
Side 2
],5056042],48
Decedent's Social Security Number
508407336
363,500.00
90.324.55
453.824 55
61.818 54
146.372 55
208.191 09
245,633 46
245.633.46
o 00
11.053 51
o 00
o 00
11.053 51
D
],5056042],48
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REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-05-0959
DECEDENT'S NAME
Joseph Fink
STREET ADDRESS --
316 East Burd Street
CITY I STATE jZIP
Shippensburg PA 17257
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
3. InterestlPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
TotallnterestlPenalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 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.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3)
(4)
(5)
(5A)
(5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
11,053.51
0.00
11,053.51
11,053.51
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred;.................................................................................. D
b. retain the right to designate who shall use the property transferred or its income;.................................... D
c. retain a reversionary interest; or.................................................................................................................. D
d. receive the promise for life of either payments, benefits or care?.............................................................. D
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................. ........... ...................... .................. ................................. 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.
No
[!]
[!]
[!.]
[!.]
[!.]
[!]
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 exemDt 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 decedent's 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.
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Rev.1HZ EX+ (8-18)
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SCHEDULE A
REAL ESTATE
COMMONWEAl. TH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIlENT DECEDENT
ESTATE OF
Fink, Joseph
FILE NUMBER
21-05-0959
All ,nl property owned 80Iely or a. . tenent In common muet be NpOrtlld et fair m.rket velue. Fair market Y8Iue Ie defined a. the price al which property would be
axchanged baIween a wiDing buyer and a willlng seUer, netIher baing compelled 10 buy or sell, both hevlng raaaonabla knowledge of the ralevanl 'acts.
Real properly which I. JoIntly-owned with rlght of .urvlvonhlp mu.t be dl.cloalld on schedule F.
ITEM
NUMBER DESCRIPTION
1 316 East Burd Street, Shippensburg, Cumberland County, PA
VALUE AT DATE
OF DEATH
147,500.00
2 318 East Burd Street, Borough of Shippensburg, Cumberland County, PA - gross
proceeds of sale 12-28-2006
86,000.00
3 320 East Burd Street, Borough of Shippensburg, Cumberland County, PA - gross
proceeds of sale 9-29-2006
130,000.00
TOTAL (Also enter on Line 1, Recapitulation)
363,500.00
(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 A (Rev. 6-98)
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Rev-15G1 EX+ (1-")
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SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COI.NONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RES1DENT DECEDENT
ESTATE OF
Fink, Joseph
FILE NUMBER
21-05-0959
Include the proceeds of MUgalIon and the date the proceeds were received by the as18ta.
All property jolntly-owned with the right of sUM_hip must be dl.cl....d on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 318 East Burd Street, Borough of Shlppensburg, Cumberland County, PA- 456.31
proration of real estate taxes at settlement
2 320 East Burd Street, Borough of Shippensburg, Cumberland County, PA - 981.97
proration of real estate taxes at settlement
3 F & M Trust Checking Account #34-09333 4.926.94
Accrued Interest on Item 3 through date of death 0.35
4 F & M Trust Savings Account #08-10666 88.30
5 M & T Bank Checking Account #97232564 1.542.21
Accrued interest on Item 5 through date of death 0.11
6 M & T Bank Savings Account 015004206834332 18.526.10
Accrued interest on Item 6 through date of death 3.30
7 Thrift Savings Plan Account 39.734.96
8 1986 Cadillac Automobile - not running at date of death, proceeds of sale 2.000.00
9 1998 Lincoln Automobile - not running at date of death, proceeds of sale 500.00
10 Personal Property - gross proceeds of public sale 10-27 & 28-2006 21.564.00
TOTAL (Also enter on Line 5, Recapitulation)
90.324.55
(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)
· 'REV-1151 EX+ (12-"1
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SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fink, Joseph
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-05-0959
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
9,346.60
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City
Year(s) Commission paid
State
Zip
Attorney's Fees
See continuation schedule(s) attached
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
2.
7,237.50
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
Register of Wills, Cumberland County
530.50
5. Accountant's Fees
6. Tax Retum Preparer's Fees
7.
other Administrative Costs
See continuation schedule(s) attached
44,703.94
TOTAL (Also enter on line 9, Recapitulation)
61,818.54
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
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. R.v.150~ EX+ (8-HI
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SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Fink, Joseph
FILE NUMBER
21-05-0959
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Holcombe-Fisher Funeral Home
9.346.60
Subtotal
9.346.60
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
, #. I
Rev.1S02 EX+ (8.81)
I
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SCHEDULE H.B2
ATTORNEY'S FEES
continued
COMMONVIIEALlM OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIlENT DECEDENT
ESTATE OF
Fink, Joseph
FILE NUMBER
21-05-0959
ITEM
NUMBER
1
DESCRIPTION
Weigle & Associates, P.C. - attorney fees
AMOUNT
900.00
2
Weigle & Associates, P.C. - attorney fees
1.200.00
3
Weigle & Associates, P.C. - attorney fees
5.137.50
Subtotal
7.237.50
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B2 (Rev. 6-98)
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Rev.1502 EX+ (1-911
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SCHEDULE H-87
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fink, Joseph
FILE NUMBER
21 ~5~959
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Borough of Shippensburg - water, sewer, refuse three properties
3,343.29
2
Borough of Shippensburg - rental license fees
124.00
3
Borough of Shippensburg - real estate taxes three properties
4,214.36
4
Cumberland Law Journal - advertising Letters Testamentary
75.00
5
Expenses of public sale of personal property - including advertising real estate _
$2,156.40; advertising personal property - $1,076.20; labor - $2,235.00; auctioneer's
fee - $2,156.40
7,540.00
6 F & M Trust Estate Checking Account #10-76809 - account service charges 111.35
7 F & M Trust Estate Checking Account #10-76809 - estate checkbook fees 16.75
8 John Stee - property maintenance 2,975.00
9 Linda K. Klein - notary fee 20.00
10 Magisterial District 9-3-01 - snow removal fine 100.50
11 Maintenance expenses preparing vehicles for sale - reimbursement owed to Susan 9.82
Fink
12 Milton Stackfield - estate sale clean-up and trash removal 4,905.00
13 Nancy's Lock and Key - changing locks on real estate properties 262.22
14 News Chronicle - advertising Letters Testamentary 76.25
15 P P & L - heating three properties 8,928.26
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
I' ,. I
Rev-1502 EX+ I....)
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SCHEDULE H.B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEAl. TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fink, Joseph
FILE NUMBER
21-05-0959
ITEM
NUMBER
AMOUNT
DESCRIPTION
16
Penelec - electric service three properties
1,989.42
17
Penn Mar Oil - storage unit rent
771.68
18
Penn National and Foremost Insurance Companies - homeowner's and fire
insurance policies on three properties
3,040.00
19
Postage Expense - reimbursement owed to Susan Fink, Executrix
121.02
20
Register of Wills, Cumberland County - filing PA Inheritance Tax Return
15.00
21
Register of Wills, Cumberland County - filing Family Settlement Agreement
100.00
22
Sailhamer Real Estate - market analysis of three properties
300.00
23
Sollenberger's Title Transfer - sale of Lincoln
39.50
24
SprintlEmbarq - long distance telephone charges
647.98
25
Susan Ann Fink - Executrix expenses related to several trips from Minnesota to
Pennsylvania including: lodging and rental cars ($729.59); meals ($731.10); and
travel expenses ($435.53)
1,896.22
26
Traveler's Insurance - auto premium
427.50
27
Weigle & Associates, P.C. - reimbursement for postage, xerox copies, and long
distance telephone calls
100.00
28
Zullinger-Brenize - outdoor maintenance of three properties
2,553.82
Subtotal
44,703.94
Copyright (c) 2002 fonn software only The Lackner Group. Inc.
Fonn PA-1500 Schedule H-B7 (Rev. 6-98)
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R.Y.1512 EX+ (....)
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SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLYANIA
INHERITANCE TAX RETURN
RESDENT DECEDENT
ESTATE OF
Fink, Joseph
FILE NUMBER
21-05-0959
Includ. unrelmbureed medical .xpen....
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 318 East Burd Street, Borough of Shippensburg, Cumberland County, PA - real 9.572.96
estate settlement expenses including: realtor's commission - $5,160.00; transfer
tax - $1,720.00; 2006 county taxes - $413.70; final oil bill- $260.00; final utilities bill-
$214.26; document preparation - $85.00; and seller assist - $1,720.00
2 320 East Burd Street, Borough of Shippensburg, Cumberland County, PA - real 49.308.69
estate settlement expenses including: payoff of F & M Trust Company mortgage -
$36,680.95; attorney fees - $225.00; real estate transfer tax - $1,300.00; overnight
fees - $10.00; 2006 county real estate taxes - $555.27; final water and sewer billing -
$347.15; realtor's commission - $7,800.00; security deposit - $1,300.00; rent 10/5/06
to 11/1/06 - $1,090.32
3 Big Dog Rentals - storage unit rent 646.00
4 Diller Plumbing - repairs 120.00
5 Emergency Services - owed at date of death 153.00
6 F & M Trust - mortgage balance on 316 East Burd Street, Shippensburg, 75.882.95
Cumberland County, PA
7 F & M Trust - mortgage payments on 320 East Burd Street mortgage from date of 5.389.92
death to sale on 9-29-06
8 Klinger & Associates - 2005 income tax preparation 475.00
9 Long Distance Telephone Service 27.01
10 M & T Bank Checking Account #97232564 - checks clearing after date of death 466.15
11 M & T Bank Savings Account 015004206834332 - withdrawals in transit at date of 3.529.40
death
Total of Continuation Schedule
See attached page
TOTAL (Also enter on Line 10, Recapitulation)
146,372.55
(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 I (Rev. 6-98)
" I
Rev-1512 EX+ (5-98)
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.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RET\JRN
RESIDENT DECEDENT
ESTATE OF
Fink, Joseph
FILE NUMBER
21-05-0959
ITEM
NUMBER
12
DESCRIPTION
Tenant Jumper - return of security deposit
VALUE AT DATE
OF DEATH
700.00
13
Verizon - cell phone billing
101.47
TOTAL (Also enter on Line 10, Recapitulation)
146,372.55
Copyright (c) 2002 form software only The Lackner Group. Inc.
Form PA-1500 Schedule I (Rev. 6-98)
, ,
REV-1513 EX+ ('-00)
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SCHIDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
1
Fink, Joseph
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS pnclude outright spousal
aistributions..l and transfers
under Sec. l:1116(a)(1.2)]
Susan Ann Fink
15120 Gleason Lake Drive
Plymouth, MN 55447
RELATIONSHIP TO
DECEDENT
Do Not Uaf Truateelsl
FILE NUMBER
21-05-0959
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
NUMBER
I.
Daughter
100%
245,633.46
Total 245,633.46
Enter dollar amounts for distributions shown above on lines 5 through 18, as appropnate, 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
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
,4
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LAST WILL AND TESTAMENT
I, JOSEPH FINK, presently residing at 316 East Burd Street, Shippensburg,
Borough of Shippensburg, Cumberland County, Pennsylvania, being of sound mind,
memory and disposition, do hereby make, publish and declare this my Last Will and
Testament, hereby revoking and making void all wills by me at any time heretofore made.
FIRST. I order and direct the payment of all my legally enforceable debts
and funeral expenses as soon as may be convenient after my decease.
SECOND. I give, devise and bequeath all my estate, real, personal and mixed,
whatsoever and wheresoever situate, to my daughter, SUSAN ANN FINK.
THIRD. In the event my said daughter, SUSAN ANN FINK, should
predecease me or is not living on the sixtieth (60th) day following my death, I then give,
devise and bequeath my said estate as follows:
A. ONE SHARE to my sister, MARIA PINCKNEY. In the event the said MARIA
PINCKNEY should predecease me or is not living on the sixtieth (60th) day following my
death, I then give, devise and bequeath said share to my brother, ERNEST FINK.
B. ONE SHARE to my brother, ERNEST FINK. In the event the said ERNEST
FINK should predecease me or is not living on the sixtieth (60th) day following my death, I
then give, devise and bequeath said share to my sister, MARIA PINCKNEY.
FOURTH. I nominate, constitute and appoint my daughter, SUSAN ANN
FINK, to be the Executrix of this my Last Will and Testament; if she be unable to fulfill
the duties of Executrix, I then nominate, constitute and appoint my sister, MARIA
PINCKNEY, to be the Executrix of this my Last Will and Testament.
FIFTH. I direct that my personal representative shall not be required to give
bond for the faithful performance of her duties in any jurisdiction.
IN WITNESS WHEREOF, I, JOSEPH FINK, have hereunto-set my hand and seal
to this my Last Will and Testament, written on one page, this b"7X day of
...;p~cr~tf'c~ , 2001.
~07
(SEAL)
WEIGLE, PERKINS & ASSOCIATES - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
..
. This instrument was by the Testator, on the date hereof, signed, published and declared by
him to be his Last Will and Testament, in our presence, who at his request and in the
presence of each other, we believing him to be of sound and disposing mind and memory,
have hereunto subscribed our names as witnesses.
~~.Idffid
~l~L04 -1.1 ~
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, JOSEPH FINK, the person whose name is signed to the foregoing instrument, having
been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and
voluntary act for the purposes therein expressed.
~;i7
Sworn or affirmed to and acknowledged before
me by JOSEPH FINK, thiT.~ essttaatt90f". . .
this (J~':day of . l~~ 2001;
(cJ r
NOTARIAL SEAL
. \Ierrv A, Weigle, Notary pubr
$hlpj)enabw'g, PA Cumber1and
l:l
WEIGLE. PERKINS & ASSOCIATES - ATTORNEVS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 17257-1397
"
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND ~ : .
We, ~.fA and-ll--\.n"" L. Trn~ ,
the witnesses whose names are slgne to the foregomg mstrument, bemg duly qualIfied
according to law, do depose and say that we were present and saw JOSEPH FINK, the
(
Testator, sign and execute the instrument as his Last Will; that he signed willingly and that
he executed it as his free and voluntary act for the purposes therein expressed; that each of
us in the hearing and sight of the Testator, signed the will as witnesses; and that to the best
of our knowledge the Testator was at the time eighteen (I8) or more years of age and of
sound mind and under no constraint or undue influence.
~f1W#d
~ ~ --C~
o
by
o,wf
NOTARIAL SEAL /
JeO'Y A. Weigle, Notary Public !
Shl~nsburg. PA Cumberland County
o .mls<:!r'r.l.l'7'< ~:. . (lctob~r 07 2002
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WEIGLE. PERKINS & ASSOCIATES - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
(j}/ailha/1HtW rf1-(;al C(6Jta/(~, (A~,.
494 E. King St. Shippensburg, Pa 17257
Office (717)532-6059/Fax (717)530-5181
www.sailhamer.com/info@sailhamer.col11
November 9, 2005
Susan Fink
1510 Gleason Lake Drive.
Plymouth, MN 55447
Dear Susan,
,
This analysis has not been performed in accordance with the uniform standards of
professional practice which requires valuers to act as unbiased, disinterested third parties with
impartiality, objectivity and independence and without accommodation of personal interest; it is
not to be construed as an appraisal and may not be used as slIch for any purpose.
In response to your request for a comparable market analysis of real estate of the Estate
of Joseph Fink located at 316 East Burd Street, Shippensburg, PA, Cumberland County, I am
sending you my estimation of current market value.
The lot is served by public water and public sewer and is improved with a 2 ~ story brick
over/under duplex dwelling; the first floor contains a kitchen, living room, central hall, 3
bedrooms, laundry room with ~ bath, a full bath, and pantry. The2"d level contains
kitchen/dining area, 3 bedrooms, central hall, and full bath. The third level is attic and partially
finished room. There is a gas fired boiler located in the basement which supplies heat to both
units. Roofing material is of asphalt shingles. The overall condition of the property appears to be
good. The neighborhood consists of similar type dwellings, including a mixture of single family
homes, student and other income producing rental units.
Based upon my personal investigation and findings, it is my opinion that the comparable
market analysis would indicate a current market value of $145,000 to $150,000.
Sincerely,
~~~
Ron Sailhamer
Broker of Real Estate
~ lItIIIIOne I" obIIClIlIIe
Tj'.CC; <3-~=fc-'~-
-~~--,
. ,
. . A. Settlement Statement ANAL
u.s. Department of Housing and Urban Development
OMS No. 2502-0265 leXDires 9/30f200tn
adison s. TYPE OF LOAN
1. OFHA 2. OFmHA 3. K1Conv. Unins.
4. nVA 5. neonv. Ins.
6. ALE NUMBER I 7. LOAN NUMBER
ervlces MC1642 20612045
8. MORTGAGE INSURANCE CASE NUMBER
C. Nate: .........~ _ .............~=_...... ....................~... _ nat IIiCIudId 1n..1DIIa I TItIeExpress ~ System
WMfIIIG:. II. Cltlieao ......... ao~~...... on.... or:-;:-.................- tlpOII Printed 1 at 13:05 all
~ _.............. For..... _ 11 U. .. CollI 8IcIIon 1 ... 8IcIIon 1010.
D. NAME OF BORROWER: RIchard L Alloway, I and Kill Alloway
AOORF~~: 946 I"':: PA 17201
E NAME OF SELLER: Su88n Am fink, as ExecuIrIx of Estate of Joeeph Fink
ADDRESS:
F. NAME OF LENDER: One Source IIortpge, u.c, ISAOAlATINA
: 1720 S EdInonde Lallllll. SuIte JL L.ew1AvlllA. TX 75f1IfI
G. PROPERlY ADDRESS: 318 East Bunt Str8et, ShIppen8Iu'g, PA 17257
-
H. SETTLEMENT AGENT: IIIdIIon SeIIIement ~ LLC, Telephone: 717-264"534 Fax: 717-264-4537
PLACE OF SETTI..EMENI: 94& UncoIn WIN &till. . PA 17201
I. SETTI..EMENI DATE: 1?12112OO1
J. ARYOFB :IS~IIUN: K. SUMMARY OF CH:II I .
.
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE 10 SEU.ER
101. - ~fI6.000.00 401. Contract . -86.000.00
102. Personal Prooerlv 402. Personal Pmoertv
103. ~dIaraes to 1400\ 4JWlM 403-
104. 404.
1M. 406.
Is tor Items nAltlbveeller In advanCe Ad for Items oald bv seller in advanCe
1 06.CavIlown taxes 406. Civllown taxes
1 C11. C'4I1lv taxes 1212MJ6 to 12131. 4.12 407. Cotnv taxes 1212MJ6to 12/31. 4.12
108. School taxes 1212MJ6toOflM7 452.19 408. School tl!lDll 12/2MJ6100lf.lJll1T 452.1.
109. 409.
110. 410.
111, 411,
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 91~ 420. GROSS AMOUNT DUE TO SELLER _.......M
200. AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE 10 SELLER
201. DlIIosit or esmesI monev 1 000.00 501. I:~ see
3)2.- d new loans 68.800.00 502- to - - 1400\ 7.631l1O
203. s\taken~to 503. sl taken~ to
204. 504. Pavolf of F'ust Mortaaae Loan
205. PJOc:eedIi 'rom 2nd rnICJ 15412.11 506.
206. 506.
207. seier assist 1.720.00 5C11. seller assist 1 720.00
208. 508.
209. 509.
for IIem8 .... for IIIm8 ......
210. .r.IvAown taxes 510. Cilvllown taxes
211. r.lUllv taxes 511. CcuIlv taxes
212. SdlOClI taxes 512. School taxes
213. 513.
. 214. 514. Final UtiIties to Boro 214.21
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
. - __... ___..,_...... ...,....... PU.P" C'oe'" en Q 11:79 ..
~--
I. NNIlIC vr u:J'tU!;n.
V,--.. y.............". ...-. -.-D-' --, --.. .-. -- -. ..... .
. 1720 S Edmonds Lan.. SuIte 8. Lewl8v1l1e. TX 75067
G. PROPER1'\' ADDRESS: 318 East Burel Street, Shippen8bII'g, PA 17257
H. SET11.EMENT AGENT: IIadIIon SeaIement Svcs-CtwnbenIburg, LLC, Telephone: 717-284-4534 FIX: 717-264437
Pl.Al:E OF 948 Lincoln W-' lI!!_-" -. PA 17201
L~T DATE: 12I28l2OO6 It YOF~S
J. 1JF . ~ THAN . AC'nON:
.
100. GROSS AIIOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. r~ sales Drice 88 000.00 ~. 881Il1O..00
102. PefsonaI ~ 4Cr2. PetSOn8l-
10.1. to borrower IIiM 140m 4836.56 403.
104. 404.
105. 405.
tor Items nRid bit seller In advance Arll.....nenls for Items oaId bv seller in advance
106. IfA_ 406.
107. 0uIlv taJes 1212MJ6to12131M6 4.12 1111. 12I2IW to 1M1. 4.12
108. 1212MJ6 toCJ6l3lW7 452.19 408. 1212MJ6 toOli/3MT1 462.19
109. 409.
110 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 91.292.ff1 420. GROSS AMOUNT DUE TO SELLER
_ AIIOUNTS PAID BY OR ON BEHALF OF BORROWER 500. REDUCTIONS IN DUE TO SELLER
201. D8DoIif or earnest monev 1.1100.00 501. Excess IlMoRIIlsee .
202. of new kRIll &8JIOO.OO r.M. to 1400\ 7.638.70
2m.. s to 503. to
204. 504. Pavoff of First loIIn
205. Ploceedl! from 2nd mlo 15.412.11 505.
mB. MR.
2J17. .... assist 1.720.00 507. seller assist 1.720.00
.. 508.
209. 509.
for ....... eeIIer for ...... ':":-'1 ~ eeIIer
210. laKeS 510. CIlvIlown talr8s
211. 0UIIv laKeS 511. ~taJes
212. Schoo! laKeS 512. School taxes
213. 1\13.
214. 514. Fi1aI UtiIties to Rom 214.28
215. 515.
216- 516.
217. 517.
218. 518.
219. 519.
220. TOTAL PAID BYJFOR BORROWER 86.932.11 520. TOTAL AMOUNT DUE SELLER 9.572.96
_ CASH AT SET11.EIIENT FROM OR TO BORROWER 600. CASH AT SElTLEIlENT TO OR FROM SEWR
901. GIo88 -- due from borrower IIine 1201 91.292.87 601. G to seier -- ....., 86.456.31
302. less borrower IIinA 220\ 86.932.11 602. Less reducIIon IlIIIl'llri due seier line 5201 9.572.96
_ CASH FROM BORROWER 4.360.76 603. CASH TO SELLER 76.883.35
.-nnnE FORM 1_1EUER STA1I!IENT: ..... ..Iol...... .............. .. ........_ ..........olIoII.... ............................... --...... It,... -*-'....... rwIUrn,
. 1.\ J .....,. ........... .. lie ....... .. JOU ... ..... II ............. fie ......... and ...1A8 .......- ... . ... nal........... ..... CCIIIlIMt ... ....... dIecrlbed 011
.. .....~ - ..............at..". H.""..
Y.... .......!If............... ___ eplt (FeeL TalD No: )... ,...--=a .......llII.o4IIIcadon........... . JOU do -.........,... ..4lo..-....... ............
....... ,....,.. .......cIIlI.~....... .......1Il'.... UndW....... fII P-PY.I-aIy...... ilumIIW~-"""''' mr --=a.....,., ....~ numIIer.
1111:_-_- ,_- _' 8EU.ER(S) SlGNA11IRE(S): ,
tlI!LJ.eR(IIMEW IIMJNG ADDRESS:
SI!U.I!fI(8) PHONE ...-ER8: (H) (W)
A_.......
_=5. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
File Number: MCl642
'FlNAL
pAGE 2
I S~~MENTSTATEMENT TitleExoress Settlement SYStem Printed 12I28l2OO6 at 13:05 MD
//1,.. SE1TIJ;MENT CHARGES PAID FROM PAID FROM
700. TOTAL SALESlBROKER'S COMMISSION baSed on once _000.00 . 6.000 = 5.160.00 BORROWER'S SElLER'S
Division 01 convnission tine 700) as folows: FUNDS AT FUNDS AT
701. S 5 160.00 to SaHhamer Real Estate SETTLEMENT SETTLEMENT
702.. S to
703. Coinmission naid at SeIIIement 5160.00
800. ITEMS PAYABLE IN CONNEcnoN WITH LOAN
801. Loan Oririnatlon Fee 1.500 % The Vault. 100 ISAOA 1.032.00
802. Loan Discount %
803. Fee to ZIobrowIId Is 375.00
804. Credit RllIlOIt to The VauIlloo ISAOA 14.77
805. P Fee to The V8Ult.1nc ISAOA 595.00
806. .. Fee to One Scuce u.c.ISAONAnllA LA 695.00
807. YSP nd bv OSM to The V"'1nc ISAOA S688.00 POC bv Lender
808. AdmilSittation Fee to One Source u.c.ISAONA11IIA LA 45.00
809. F100d CertificatIon Fee to One Scuce LLC.ISAOAlAnllA LA 12.00
810.
8".
9OO.1TEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From 12I28l2OO6 to 0110112007 OS 15.3151 JdAv 4 Dava 61.2.6
1lO2. Insurance Pnmium for to
903. HazaRlInst.rance Pnmium for 1 VMI' to State Fmm IP.O.C.) 618.00 BuY.-
904.
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. HazardInsU1rlce 3 mo. OS 51.50 /mo LA 154.50
1002. .. mo. OS /mo
1003. Cilv pmrwtv Tax mo. OS lmo
1004. Tax 10 mo. 0 S 31.34 hno LR 313.40
1005. Schl:!oI tmr_ 6mo.OS 34.48 /mo LA 206.88
1009. . . to One Source u.c.ISAONAnllA LR -322.81 0.00
1100. TITLE CHARGES
1101. SeItIement or dMm fee
1102. AbstraCt or title ssan:h
1103. Title exarninaIIon
1104. 11\Ie Insurance binder
1105. Doa.ment to Soulh CenInd Home Inc. 85.00
1106. Nnbuv Fees
1107. AItomev's fees
r1llCludes above items No: \
1108. Title Insurance to IIadI80n TIlle 852.22
flllCludes atnM items No: l
1109. ~ &8.800..00 .
1110. Enhanced 0M1er'8 Pob 88.000.00 .8&2.22
1111. End 100. End 300 End 900 to IIIdIDn TItle 150.00
1112.
1113. to IIadIIon TItle 35.00
1200. GOVEIHENT RECORDING AND TRANSFER CHARGES
1201. Fees Deed S3UO 7UO : Release S 115.00
1202. :::.: .. ...
Deed
1203. Slate t - .. ..00
1204.
1205.
1300. ADDITIONAL SETTLEIIENT CHARGES
1301. alO6-~Taxes toLll8LHeIm 413.70
1302. Home'" to ..... Home ShIeld 427.40
1303. to Chlmbdn'e Pelt CoI*oI 75.00
1304. Oil BiB to SaIIh8mer RIll EIbde 26O.OD
1_. TOTAL SETTLEIIENT CHARGES tenter on IinM 103 Section J and 502 Section 10 4836.5& 7.638.10
~~".1f;r~~""----
11
. I I
10."'" IEQUIED BY LENDER TO BE PAID IN ADVANCE
)1. kterest FRlI1l 1..... 10 0110112007 OS 15.3161/dav 4 Dan 61.26
l2. Ins&.nnle PnImiIn for to
)3. HamId Insurance PnlmkIn Inr 1 ... to Stale I=.m IP.O.C.) 618.00 Buver
)4.
:15.
100. RESERVES DEPOSnm WITH LENDER FOR
01. 3 mo. os 6UiO /roo LR 1&4.&0
02- Insl.nnce mo..i /roo
03. Tax mo..s /roo
04. Tax 10 mo. . S 31.34 /roo LR 313.40
05. SchoaI taxes 6 mo. os 34A8 /roo LR ...
.09 to One Source u.c.ISAONAnllA LR -322.87 0.00
00. 11ILE CHARGES
01. SeIIIenMn or dosina fee
02. AMInII!t or tiIle search
03. 1IIe
04...... . -'-
05. 10 SouIh CeI*II Home Inc. 85.00
08. Natarv Fees
f17. fees
above Items No: }
08. liIIe to IIIdIIIon TIlle 8&2.22
al.Jowellems No' )
09. lJJBn PoIcv --- .
10. Owner's PoIcv --- -852.22
11. End 100 End 300 1:.... OM 10 II8dIIon TIlle 1&0.00
12.
13. to IIIdIIon I_TItle 35.00
.. GOVERNENI'RECORDItG AND TRANSFER CHARGES
01. Fees Deed S3UO -=-18.&0 - - 115.00
02. Deed . . ... 860.00
03. Slate "Ii Deed .-- ... 860.00
04.
05.
_ ADDITIONAL SE11lEIIENT CHARGES
.01. 2006 Comtv Taxes 10 ..... L Helm 413.70
G2. Home to AmerIcIn Home ShIeld 427.40
.os. 10 ca..berIn.. Pelt ConIroI 75.00
04. Oil BI to SIIIhM.- a.I EII8te 260.00
100. TOTAL SETTLEIIENT CHARGES ,-. on .-- 1m. SecIion J and 502. Section Kl 4.&16.56 7638.70
HUD CER1W'ICA1'ION OF BUYER NID 8ELLER
~:?..~~. "...-...-...--....-----...--
rI.1 I .........caprClf..fIUDo1 r r-lllll ~
" _ ~ 'L~'~
-~~7e~/~
WIIIIIrJ: ".A~lO 1CIIG~....y IIIIKE '....,A....... 101HE
.........011_ CIIU."'-.................. COfI"_
.IIICI.UIII!A"'__ ._~J-.Jn. POR DET__" 1IILE 1.
L CODe eBmClIt... _..:lIOII10'10.
--.... .....I.--..-...--....
::~....." _..t:;:"''''''':i;-:;;Vlp
.~
DdO 5tM1~-t
OMS NO. 2II02.o2tl8
A
U.s. DePARTMeHTOF ~. URBAN DeVEL.OPIIIEHT
SElTLEIIENT STATEMENT
1. FHA 2.0FmHA
6. FIlE NUMBER:
2llIIllOO547
8. MORTGAGe INS CASE NUMBER:
C. NOTE: na iJmt. ""*'-III>>... JOII. ........,oIedl/111......., ClIIIs. AnaMIs fM/dll>>endby.............____
....-w "fPOCf'- fM/dcMllllt.....,. they _ "-',.,. ""'Mb1,""" pupoMS end_IIfIIIndIIdId"'......
t. _
D. NAME AND ADORESS OF BORRO.w:R: E. NAME AND ADORESS OF SEUER: F. NAME Nt) ADDRESS OF I.EHDER:
AlFRED D. DOOM'"
LORI L DDOM..............
10 EDGE Hl.l.lNE
Sf 1lPPE~ PA 17257
ESTATE OF JOSEPH FINK
5. COHV.INS.
0n1lIlMn lIerlIc
77.....1Gng ....
~ PA 17257
G. PROPERlY L0CA11ON:
320 EAST BURD STAEEl'
SHr>PENS8URG. PA 1~
CunbnndCcully, "*~
H. SET11.EMEHT AGENT: 25-1lMl11ill8
BerMnlSeIIImn~RegIon. u.c
StIpIMar 29. 2GOlS
......1Oll15lO8
L SET1l.EMENT DATE:
J.
PlACE OF SETlU!MENT
T1 EeIlIGng SRel
~PA 17257
BOAROWER'8 TRANSACTION
1ao.
.101. Pllce
102. ,.....
103. SelIIInln lD
104.
106.
f1I11
.... PIId Selllrlll-...a
tOlll5lO8 lD 01Al11l7
1 lD f111011l7
lD
108. _ _
f11 T_
108. ~ 11111 .......
109.
11G.
111.
1
1.. GROSSAA<<XMTDUEFROII8QClAOl"'"
..
201.
01__
AInDlft cI
. ...,
.
lD
It
OF SEW!R'8
..
401.
C2. ,.....
a.
40l
IlUI!
Pllce
.
_.85
....
4
41"
1
m. GROSS AA<<XMTDUE TO SB.U1R
...
130,.1.117
38,8lIO.I5
,.....
210. _T.-
211. Sc:hcllllT_
212-
213. AM 101OM18to 1
214-
215.
216.
217.
218-
219.
220. TOTAl. PNDBY~ 8ORAOMER
300. AT
301. a.-AmcIII1I Due'" em-
3lI2. ~AmcIII1I PIId em-
303. CASH ( FROM' ( X TO' BORROMCR
FoT....
510. to
511. to
5 lD
1 0ll0.32 513. AM
514.
515.
518.
517.
1118.
519-
138.380.32 ll2O. TOTAL RI!DUC7ION AMOfJItrDUE SElLER
... CAIIH
801. 'Ii
8D2. lMI...... Due StIlt
403. CASH ( X TO' ( FROM' SEU.ER
48.3DU8
.~..a:;:. "-"
IllJmMor
SIIIr ESTATE OF JOSEPH FN<
BY:
s.-Am....... E-*IK
/
.... 2
1- SETTLEMENT CHARGES
~.1 T 1 IN........PrIce S 13llOllO.oo .. 6.??oo,. 7-B1ll1,oo -- --
-~ -.... -
701. III _AT _AT
702. to II~ --
1Il~ 7,1Oll.OO
lilt. lit
......- MYAaIl..;OONIEC1IONWITtI UWC
1.??oo ,. III o..-llInk 1-M1
lllI2. loin DIIcold ,. lit I
lI03. lit !tiii.iW .
lit
.- lit
-II
1It~
lit
lit
lit
... ..... B.Y LI!IIDI!R 10 _ MID" ADVANCe
lI01.......FtalI ~ 11m_ --. $ ,." ( '0 .... ,.,
aD. far -lit
llO3. HIDrd fNIma PIIillIIm far -...... lit
1104.
llO5.
...... RI!IIIM!S o6OeI1I!DWITtI LeNDI!R
1001. IIIClnb OW' IIICIlIl
1OQ2........ fNIma IIIClnb .. IIICIlIl
1003. CaolnhiI'_ T_ IIIClnb .. ma1I'i
1004. -T_ IIIClnb .. ma1I'i
100s. AlII I I __ IIIClnb , D ma1I'i
1Mll - . " -
1007. IIIClnb , D .. ma1I'i
1lll1R -- S --
1100. 1ITLE ctfARGES
1101. -cw'--"''''' lit
1102. HIInlII cw 111II ...... lit
1103. lit
1104. TIlII lit
11"" lit
110&. -.... lit :=WMdIu 5,0ll
. lit &~ 225.00
J
1ft GW'I_
--.....~
mil[ ~
111 ~ ~
1. &710
...
111a
1"~IUfCClRIMOAHD1RANIFERCHARGD
~o.d $ 3lJ.S):MaIt.a. $ 7Ul). ...... $ 1~
1.31KlOO. -
1203. SlIIe 1i ......- 1.3ll1l.00.- 1.3110.11I.
1204. r
1205. -,
1-. AIlIII1IOIML CHARGES
13Dt. _ lit
IE lit
1303. .... lit ..... 8IIIImR w: 10.00
1304. T_ Ilt U.L- T_~ 5l55.27
1306. FIIwI WIler 1Ild.... lit 8lIIauah III N:d. 7011llOO4 347.15
1400. "IOTA&. II!11U!III!HT CHARGES -... u.-1n. ...... J.... 111m.. 1C1.237.42
..__,......-.._____...__.._2........ , \, J 1 '^^-^
... ~ RIgIon. w:
SeIIIImenI
~1lI be allUe Cllflr.
# 1lJIIII5G"""" 121 1
TRUST
wn.fmtrustonline.com
May 24, 2007
MAY 2 5 2007
Weigle & Associates, P .C.
Attorneys at Law
126 East King St
Shippensburg, Pa 17257-4295
RE: Joseph Fink
Ms. Linda Kline:
In reference to the above customer, our records show the enclosed information to be
accurate as of May 24,2007.
If I may be of any further assistance, please contact me.
Sincerely,
---L2~-~ty 4- C~//? /
Trudy A. Glunt
Deposit Operations
717-264-6116 888-264-6116 P.O. Box 6010 Chambersburg, PA 17201-6010
FIN A N C I A L SOL UT ION 5... FRO M p. E 0 P L E YO U K NOW
TRUST
nw.fmtrustonline.com
Date of Death Valuations
Customer Name: Joseph Fink
Date of Death: 10/19/05
Accl Tvoe Account Number ODen Date Close Date Balance Accruedlnt Total Balance Account Owners
Checkina 34-09333 0612912001 11/02/2005 $ 4,926.94 $ 0.35 $ 4,927.29 JoseDh Fink
Savinas 08.10666 0612912001 11/02/2005 $ 88.30 $ . $ 88.30 Joseph Fink
717-264-6116 888-264-6116 P.O. Box 6010 Chambersburg, PA 17201-6010
FIN A N C I A L S 0 lUT ION S... FRO M P E 0 P .. E V 0 U K NOW
,<,.:;"c_.":;",o;~!:>:::;.';';&:';:~~T",,i;'~
'rlJ M&fBank
499 Mitchell Road, MiIIsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
May 14,2007
Weigle & Associates PC
Attorneys At Law
126 East King Street
Shippensburg, Pennsylvania 17257-1397
MAY 1 6 2001
Re: Estate of: Joseph Fink
Social Security: 508-40-7336
Date of Death: October 19. 2005
Dear Sir or Madam:
Per your inquiry dated May 9, 2007, please be advised that at the time of death, the above-named decedent had on deposit
with this bank the following:
1.
Type of Account
Checking Account
Account Number
97232564
Ownership (Names of)
Joseph Fink, Melva K Fink ...
Opening Date
01/28/8Q Closed 08/09/06
Balance on Date of Death
$1,542.21
Accrued Interest
$
O.ll
Total
......... ....._..,_.... ..H.H_ .... .............. 'n....'...~.. .....~.~ ..._..... ,.........~... ..~..........._........_..._.M....._.M......._ ",'M'"
$1.542.32
2.
Type of Account
Savings Account
Account Number
015004206834332
Ownership (Names of)
Joseph Fink ...
Opening Date
10/25/02 Closed 11/04/05
Balance on Date of Death
$18,526.10
Accrued Interest
$
3.30
Total
$18,529.40
Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the
information above, you believe there are additional accounts not referenced, please provide us with an
account number and/or the name of any possible joint account holder. For any additional information on the
above accounts, including ownership and any changes, closures and/or reimbursement of funds, please call
the King Street Office # 717-532-4132.
Sincerely,
~*2.-?t:(7I C-l!?c..-~
Nancy Clag~'
Records Management
~"r_,,",,~-.-~_~~,,:::';';:'~
~:
-
FIlAL SF..TrLEMEIT
Date
10/;;'7) .2 ~/o 6
OWN~o5e ph ~r~1t E:slqfe.
Addre!. ~/(, l:.. 941'4, Sf- Sh'fitnsb:.J (lA
Date of Sal.. I () \ J.l.l ~ 'if 0 y:, Sale Location
-,r7 1 ,. r ~ O' I tf}e~"Z.. ~J ~ f"
Auctionee&AJ 6lJ(e rl!'''a. dtnf\Jltte I QII Cleric l)t~ ft'iJ("/~
Other
\(.~ 6lk(.(' ~ . r-
Cashier. I h.u /.> to Q ~ s J-
-
PROCEEDS OF SALE:
1Y41.SLJ
Cash._.......... .__._..__._....._......_...... $
\ ~3d.~c5D
Checks......._............ .........__....___..
U~ ':'.f': bh,;?'
Other __.......,_..~~!:....!1.~~...:~.__....!Lc.._....__.._.._...._._ ....._._. ._...._..._.____
'i(<.I.. ~b
Miscellaneous (see anached list)..._._.____..__.__...............
TOTAL PROCEEDS OF SALE...no___.__._____.________$
~, ~"if, c. {)
}
lESS SEUER'S SALE EXPENSE:
Auctioneer's Fee .---..---.-.----..--...L~1.P.......--.-- $
Other SeUer's Expenses
Advanced by Auctioneer:
" J. ~It r lr~ II ~ i R.u \ t. :) J~ R:- .
" Pq~D ~11/ Pro Df j't;
I
L \ ' J~
~ \')0,' \~.q hi' )( ..}i,.o 0
~ I 5 lea . LlO
I t\ ~. a 0
J" () 1~, lid
.;.c 1.35"~ 0 0
MbceJlaneous (see' attached list) _______..___.._.
. B ~ipse :.2.~~!;~~ DEDUCT 'TOTAl SelLER'S SALE EXPENSE.____...$ 1 S If-~ ~!) t;:)
'R~ f,"I.\~r.l: ~l1k", l~t7II)O TOTAl NET PROCEEDS TO SEUER.......$ l'iO').tJ,.cC
. 'I, (or we), the seller of goods, merchandise. and/or property sold at public auction on above date and
location, acknowledge and accept this settlement of proceeds of S"hl. I (or we) agree to accept all .....
sponslbility for providing merchantable tifte to all goods, me andls and/or rty sol and for
deUvery t of title to the purchaser. ~/' "
" i .. }' ,I ,.,/, .
~ iJ . I 'J' r.' ,..~.,. . :....
>11 (D~~;~ :'~) L" "
'I. {;' ,. . / " t .J.':" .
- ...~ .... ~.,/~, ,._..e.',--
Auctioneer or Cashier's Signature (Seller's Signature)
FINAL SETTLEMENT-Form No. F8-69. 12.00 per pad, 10 ped8 at $1.50 BlIGh. 20 or mar. al S1.25 eech.
Reorder from: MISSOURI AUCTION SCHOOL . 1800 aenllUe. . Kansaa City, MO 64102 . Phone 816.421.7117
TRUST
COMMUNITY
OFFICES IN
FRANKLIN,
CUMBERLAND,
FULTON AND
HUNTINGDON
COUNTIES
www.fmtrustonline.com
0022 0014 4980
Y
STATEMENT O'F ACCO'UNTS
10-76809
1.1.1"1.1"1"1.1"11,"1.1"11111.1111111"1111.111".1.1..1
************AUTO'**MXXED AADC 170
3730 0.8530 MB 0.326 30 36 3
JO'SEPH FXNK JR ESTATE
C/O' SUSAN A FXNK EXEC
15120 GLEASON LAKE DR
PLYMOUTH MN 55447-4370
STATEMENT PERXO'D
FRO'M THRO'UGH
1-01-07 1-31-07 0
PAGE 1 O'F 2
6 ENCLO'SURES
5
1.62
* XNDtCATES
AMOUNT'
2.505.00
1.047. '02 "
Z .1975 . 00
2'99.41
, 7
,SUMMARY"
XN CHECK :NUMBERS '.
CHEC~.,'.i'1".il!O'.,..
~lJ4...
'1'8'$
1116
TOTAL AMOUNT OF QfECKS
***
. YXELD.EAR.N,ED DXSCLO'SURE FROM
"'~(;EYXELD ~RNEO
~ COLLECTED8ALANCE
ED .
1-01-07 THRO'UGH 1-31";07 ***
.3$_
5.453.60
1.62
*** SI;R.VZCI;,FEEDXSCLO'SUREFROM 1;"01-07THRO'UGH 1-31-07 ***
BMKxT ,A~VEBXLLPAY1AT3.95
3.95
Dl:RECT
xN(tUl:l'U:esTO':
TELEPHO'NE:
F&M TRUST...SHXPPENSBURG O'FFl:CE
13SHXPPENS8URG SHO'PPXNG CTR
SHl:PPENSaUR.G. PA '17257
717-530-2100 OR 717-530-2101
.. '~'.~." ";:"'.",,";."lO"~'~..fl!l'lfl"-"""';"""_"-'i"~"'"
CHAMBERSBURG
BOILING SPRINGS
MARION
MONT ALTO
NEWVILLE
SHIPPENSBURG
WAYNESBORO
CARLISLE
TRUST
. '.~14 . - _ .' 180
~~"~~E' _._
_ ~___-J $ JtJl/1- ".
· JX>L!.A&S . liE:'
.......~
~14 182 .
_'7J;..1J-3~. ClI
1~t.f1;'"J~.
. . s.:fIr./... :
01116107 Childt #OI~. Amo\i.nt$299.41
01112/07 Check #0186 Amount $142.58
Account: 1 07680
Statement Date 1/31/200
Page 1 of
o 1102107Ch.. Not?9 Am.o~S2.5()S.00
01/16/07 Ch~ #0181 AmolJlitS2.975.00
'. .ll!:!!!;4'
. ...
- --==-- . ~ .
- '-9.~*JaIr-.'
s .~3.~_
185
DOLUIlS & ~.
... _.-eo,.
01111107 Check #0185 Amount $713.00
~--'--~-~-~~---",""T"-"l'>'~-- ~-~ ,-,,>,:.:"-~~w-.~~,..--...--~~"----
TRUST
COMMUNITY
OFFICES IN
FRANKLIN.
CUMBERLAND,
FULTON AND
HUNTINGDON
COUNTIES
www.fmtrustonline.com
0022 0014 4885
Y
STATEMENT OF ACCOUNTS
10-76809
1.1.1111.1111111.1111111I1.11111111.111I11I1111I1.11I1111.1..1
************AUTO**MZXED AADC 170
3736 0.8530 MB 0.326 29 36 3
JOSEPH FZNK JR ESTATE
C/O SUSAN A FZNK EXEC
15120 GLEASON LAKE DR
PLYMOUTH MN 55447-4370
STATEMENT PERZOD
FROM THROUGH
12-01-06 12-31-06 0
PAGE 1 OF 2
1 ENCLOSURES
5
1:.~"~'I..cI:.""""tt.~"'" '........".iL"?I.C~.1
""+~1".""1!i.' '. "':"'.-.f'_v"
QlEC"NO
. . "1,.78
TOTAL' :iNUMBI!R OF CHECKS
: . AMOUNT
2.400.00
'... ',1
CHECK NO
ToTAL AMOUNT OF CHECKS
,SERV:tCE
, . '.FEES"
'.95'
, '.:-, -- -, . ,
. ENDXNG .'
. BALANCE..
11.+29~55
Qtposx~/, ..C:He:~$/
CREDrrS '. 1 DEa3:TS' , 2
3.56 . '3.229.4:3
ZNTEREST PAXD THZS YEAR
ACCOUNTj'XNTEREST ZNFORMA,TZON
24.64
DATE Acavrrv DESCRZPTZON'REFERENCE
DEPO$XTSI
CREDZTS
000779.>0000
00300300790
. ?CHECK SUMMARY
*. XNDXCATES 'SKZP.X'" CHECK
, , '
EARNED DXSCLOSURE FROM
EARNaD
BAtANCE
***'SERYXCE FEE OXSc:lO$URE FROM 12-01-06 THROUGH 12-31;';06 ***,
BANk:XT ACTXVE SZl:L;L' PAY . 1 AT
TOTAL SERVXCE FEE
5 ERVXCE , FJ;E.....~c:E,XNFQ..nON FROM.12...01-0~THROUGH 12-31-06
AVER.l'GEL,EJ)GERB~<=E 11.974.72 AVEMGECPt..LEcTED8ALANCE
MXNXMUMLEDGERBAt.AI\lCE, ' , ];1.42.9 .94 MZN;t_UMCOLLECl'EDBAL.ANc:E
**-REG DOSERVZCEFEE DXSCLQSURE XNFORMATZQN' "FROM .3:2...03....06' 'THROUGH
FEE ,STM'T.CTD' YTD'
OVERDRAFT FEEO.QO 30..,00
13..974.72
11.429.94
12-31-06 *.* .
OXRECT
ZNQUJ:RXES TO:
TELEPHONE:
F~ TRUST -SJiXPPENSBURG OFFXCE
13 SHZPPENSBURGSHoPPXNG CTR
SHXPPENSBURG. PA];7257 .
7.17-530";2100 OR 717-530-2101
-C_'-'1""'='~""'-~"--~"",,:,-:'J'T . ." "~~:'.~,.'1..."'~~~---'-
TRUST
CHAMBERS BURG
BOILING SPRINGS
MARION
MONT ALTO
NEWVILLE
SHIPPENSBURG
WAYNESBORO
CARLISLE
Account: 1076809
Statement Date 12/29/2006
Page 1 of 1
,. JOSEPHFINlC,':":'srr~Te. ,.- -: ..:..e;a14' ._': _.- ':,178.
'SUSANA-~ - ", ~ '_ '.
'_CUASll'W~llIL - - -_': >>>~
- PLWClURf.II'C", _ : I><< . -
. 'W'"
- t '. ' . .-
- J " " ,,- ,. _'
- ..' .- .;,,~ ~ ~.~1/1J6.. - _ -
:~-/JlIie.-I~4l, ...:.
, . ':0-5 UOt;30&': ~-O~'&"BO
. . -..
~
12/07106 Check#0178 AJnountS2,400.00
r:'..'.vv. .v.~v ~-- ... --~ ----
. .
.
~_.-"~'l"!'~~q'\l'"97~~':7'",fI""::'_-
LOAN ADMIN. ON-LINE HISTORY BROWSE
3Jro E'Q",I B~ ~
0022 4/12/07 RETAIL LNS BIS4072
ACCT TYPE MLN ACCOUNT NO." 3040117484 DATE 09/01/05 SEQ.NO. 1
LIm: NO
LN-TYPE 3 SUB-TYPE 0 PLAN-NO 307 SHORT-NAME FINK JOSeph.
STATUS 1 LOCKOOT 0 WARNING 0 PD-TO-DATE 05/01/07 NEXT-REN-DT 08/01/16
LEDGER 100 BRANCH 314 OFFICER MLS PLR 10009-000 COUNSELOR 0 DELQ-RPT 0
LINE S3Q/
NO ENTRY-DT TIME
1 09/01/05 1
2 10/03/05 1
j ~~/02/05 ~
12/01/05 1 829.43 REG-PMT 12/01/05
12/30/05 1 0.00 ESC INT 01/01/06
01/03/06 1 829.'3 REG-PMT 01/03/06
02/01/06 1 B29.43 REG-PMT 02/01/06
03/01/06 1 829.43 REG-PMT 03/01/06
04/03/06 1 B29.43 REG-PMT 04/03/06
05/01/06 1 829.43 REG-PMT 05/01/06
06/16/06 1 829.43 REG-PMT 06/16/06
1r '" '" MORE ACTIVITY PRESENT * ... ·
... ... ... MORE ACTIVITY PRESENT 1< .... ....J _ / _ r- -:z ~ _ r-,., t;;'':::;
UPtlATE COMPLETED 1./ OK ~...:J../ ;.. - ~,...O /
(f1f-II/! ~~ ~~.
'-fpJ ~r f~~ Y~I :;t4~
tJ'>'L ~ "-1-~!s ~r A'Y\..- ;Zk- --I~
c;( .L:- ~ ~ 5f 75; ?J":<. crs-:
TRAN-AMT DESC EFF-DATE
829.43 REG-PMT 09/01/05
829.43 REG-PMT 10/03/05
82~.4j REG-PMT illo~/o~
4
5
6
7
8
9
10
11
BAt-AFTER PD-TO-DT TRACE-NBR
~275.39 10/01/0S 300100617
75882.95 -11/01/05 300100636
754~.27 12/01/05 100100041
DIN=05-00l-00041
01/01/06 300100629
01/01/06 999802054
02/01/06 300100640
03/01/06 300100626
04/01/06 300100632
05/01/06 300100655
06/01/06 300100646
07/01/06 300100008
75091.32
75091.32
74692.10
74290.59
73886.78
73480.56
73072.21
72661. 42
~
~ /"\.~ /1/7 ~O d ~&1-3~OI
~ o---<!k~-'l- ~ .rrr- .
Received Time Apr. 12. 3:29PM
.*****~
* ~
..
*
Thrift Savings Plan
P.O. Box 385021
Birmingham, AL 35238
IHRIF!
SAVINGS
PLAN
01056L501 lAB 0.326 "AUTO H~ 0 4073 !l5447.~37020
1.1.1111.1..1111.111111111.11111111.1111111111111.1111111.1111
SUSAN FINK
15120 GLEASON LAKE DR
PLYMOUTH, MN 55447-4370
10/1112006
Dear Sir or Madam:
A death benefit payment has been processed from the Thrift Savings Plan (TSP) account of:
Participant's Name: JOSEPH FINK
Date of Payment: 10111/2006
Total Amount of Payment:
Minus Amount withheld:
Net Amount Paid to You:
Payment Method: EFT
The amount paid to you by check or direct deposit will be reported to the Internal Revenue
Service on Form 1099-R, Distributions from Pension, Annuities, Retirementor Profit Sharing Plan,
IRAs, Insurance Contracts, etc. You will receive a copy of this form by January 31 of next year.
$39,734.'96
$3,973.50
$35,761.46
If your adpress shown is not correct, please notify the TSP immediately. Materials mailed
to an incorrect address may not reach you. Mail your address information to the address on the
letterhead.
If you have questions, call the ThriftLine number shown below. Callers outside the United
States and Canada should call (404) 233-4400 (not a toll-free number). The TSP Service Office
hours are Monday through Friday 7 a.m to 9 p.m. eastern time. You can also write to the TSP
Service Office. Please include your daytime telephone number and your entire Social Security
number 011 all corcljsponuence. Note: If you are a member of the uniformed services, do not
provide your Defense Switched Network (DSN) telephone number.
Web Site: www.tsp.gov
ThriftLlne: 1-TSP-YOU-FRST (1-877-968-3778)
Fax number: 1-866-817-5023
TOO: 1-TSP-THRlFT5 (1.77-847-4385)
B-d
vOSO-El.v-E91.
IIe:JoW W~.L
Notice: DC40S I
14552.~ la~'WlllllOlll)("A(I:l1
d22:S0 1.0 60 ~ew
--. c~""":';-~"'f""i.r':':rAI.i:~j~"~~~~~"'''''o'-'''-
.~0r(Ii1LC4R -ANb Lo1)6-tr{ b- -- fJA .
'(7' 0JfL- )
"0 tJr.i -:DEt- JaJ(P
B77rT17 751 LL S /
~-~
G
/
WELCOME TO
SMITHS GAS MART
600 2ND ST
HIGHSPIRE PA 17034
717 939 7011
3D4?10'7205-QOJ SMTTH r,AQ
Descr.
qty
~t
44.64
UNLD CA It06 16.0656
@ 2.179/ G
I ~..~;-
Sub Tot.:!l 44.M
Tax 0,00
TOTAL 44..64
~ CWIR6E $ 44.64
THANKS,COME AGAIN
REGIt 0001 CSH# 014 Dk'll 01 TRANIf 13218
00/28/06 18:12:05 Sllt AB123
:.~: :::. ~".: ..-. .,:-:
i :'~_.. r , ,.' :::~.
I. &-.~ (~ i:~' I f"~ ;
,
;.;:..
~n:::LJ:';.OMf= Tn Ur,n --MARTS
10'; ::' St
ShiD~r.;r!~hlIFq PA 17257
~"', :!~T "~M.T- R I~~
Ll\_ 1'!t!I\ u I'll.!
SHIPPfNS, PA
flFAl FR: 4211884-R3C
'.: ~..~;: ~'(}.:?>~:':~\' ,/'~,~ /' -,
"i>r~ l(. -:/ - ;:'~{
.'.:-.,. _-.~;.-..'_. ~""+';"'L._. '."'__.r_'_'_'_~
. ~ c .:
DlJllIGAE DUTThIiR RECEIF'
WISA XXXXXXX5050
GAf.~D ~ 505
TNV ~ P3C562B
AUTH H92912B
03/01d06 1.4:45
lHlLfR ~ 42.11884
nm MAF~TS THe
SHTPPFNF PF1
PUMP ~ 03 PPE
Gf~I.J ON'B '3,121
PRIGr/GAL $ 2., ;~'11
FUEL SA!.( $ 22,79
TnTi~i.. ([:) $ 22~ 79
,_ ,a .. MO~:.E THAN A
f~ONVENI ENCE STOF:.E 'w ~ a
."~"~~....""..
!~
VtfL{ hlfL+- LOt6-1~&
CoNT.
@
-'-", ,._,~ - ---"-'- - ---- -"-,-,-- ~,- ."-----.- .-'.-- -',--.
'AVIS
d
!1,
830344583
/' Am System u",.....
CXXXXXXXXXXXXXOO85
04/08
MIDDLETOWN!PA!17~57!US
1042
:;. >RET'tlRN< ( RA DOCUMENT 532507323
CARi 4 7 4 4 5 1 5 GRP W
RENTED: 25AlJ6Ob/rmoj} AT: HARRISBUR6 APO PA
RtIURN: 28AUOO6I11i.~ AT: HA.~ISBUR6 APO PA
DUE IN: 28AUG0b/2LOO AT: HARRISBURG APO PA
I'll OUT: 20909
7DTAL MILES DRIVEN:
PLATEI PA EDG4797
BRY CHEV TREX /tOR
i'll IN: 2117e
263
FUEL OUT: 8/8
FUEL IN: 8/8
****....OPTIONAL SERVIGE5******
PHONE: 717-944-44(l1 370451
RATE: BA/W TIME: 3 DY 9 If(
MIN 1 DAY
RATE NOT VAlID AFTER 110N 23:59
o It! @ .00
o HR @ 24.97
4 DV @ 49.'14 199.76
o WI< @ 349.5B
o i'lIH'
8A/W 263Fi'I
01 SCflijIT 5. Ox 9.99
FUEL SERVICE: .4a711~I
b.l2f1/6AL
SUBTOTAL i89.77
TAX 6.0001. + 11.39
**10.001 FEE oj- 18.98
I2X PASS CAR RENT TAX + 3.80
#$4.00/DAV SURCHAAGE + i6.00
TOTAL CHARGES 239.94
At'iOUNT DUE CV USO 239.94
* PA PASSH46ER CAR RENt TAX-
# $2 PA STATE SUR & $2 etG
**CONCESSlOO RECOVERY fEE
<'IEnm OF PAVI'IENT: VISA 00fl5
AUTH: 34855/239 L
DRIVERS LICi USMNXXXXXXXXXXb914
WIZARDi SR81bN
AWDi 5888873
LDW: 19.99/DAY DECLINED
PAl: 5.95/DAV DECLINED
PEP: UNAVAIl
All: 12. 'n/DAY DECLINED
\'iCi:ALL TII'IOTHY
GENERAL MILLS
15120 6LB\SlJN LAKE DR
~INNEAPOLIS.~.S5447.US
PREFERRED-SELECT
?REFERRED
---------NOTICE5----------NOTICES----------NOTICES----------NDTlCES--________NOTIDES ----------NDTICES----------NOTICES
""'....THE A/'fOUNT THAT APPEARS IN "AlmNi DUE" HAS BEEN ""'''FUEL SERVICES ADD'L IF CAR IS RETURNED WiTH LESS
BILLED TO YOUR VISA CARD. fUEL THAN ifiEN RENTED.
"""'ALL CHAR'aES ARE SUBJECT TO AUDIT AND CHANGE IF ANY '....'.r rlAVE READ AND AGREE TO THE lERI1S AND CONOIHONS
ERRORS ARE FOUNO. SHOwN ON THIS RENTAl IlOCUt1E.~T AND ON THE SEPARATE
""""FOR LOCAl.. INQUIRIES CAll 717-944-4401. ALL OTHER RENTAL 1XlCUMt'llfT JACKET DELIVERED TO ''1E WITH THIS
INQUiRIES CALL 800-352-7900.' RENTAL DOct.ll'lE!llT.
...........THAN!< YOU FOR RENTING FROM AVIS,
""""I'fINH1l.Jrl CHARSE IS 1 DAY (24 HRSl PLUS MILEAGE. X SIGNATURE IS ON FILE.......... RENTAl #532507323
(ll1.at'"./ocn/\ J'-tJ..'.Jltl' I; o. ':1L If'!.
;;;/(.ii'''';;~''''''7,,~~~-
,! ROOp,: Slay: 08125-08128
~_. .filnk,Susan
Weekday:
Weekend:
0.00
0.00
~o1)&rr{G-
~T.
@)~
The Shippen Place Hotel
32 East King Street
Shippensburg, PA 17257
..'.-...............'..... .....,........ '.. ........... -. ........
eUE~IMFQ_1'tON
Full Name:
MI"8 Susan Fink
Address:
15120 Gleason Lake
Mlneappolls, 55447
$.TAY1~1WA""QH"
Checkln: CheckOut: AdullslChild:
0812512006 Fri 0812812OO8 Mon 2/0
Weekday: Weekend: Tax Exempt:
0.00 0.00 No
Conf t: Room:
45,888 Accessible Non-Smoldng Queen
Phone Deposit:
Room Deposit
.. of Keys:
* Rate change during .,
Q~Q.~SIt~WN
Total Room:
Other Chargee:
Total Tu:
04108 Total Stay:
Notes: Payments:
Balance Due:
. ..
.
C>"I'f1ER_ftitA'fic)N
Car Info:
342.00
0.00
27.36
369.36
0.00
369.36
Guarantee:
CCO 4761-6400-2214-0085
Printed: 0811812006 at 08:02 AM
Valuables must be placed in office safe. Otherwise~ we cannot ~!'l!Ol"m... ~.r"""~''''''''
required.
By signing hereon, you agree that your liability for II
that the Indicated person, company, or association.
T'. ,~--K---'"
. .stration, IdentificaIion is
X
Slgnatura:
I8V81'8I1y liable In the event
Irges.
, .
F' ..,
;;.. '._"' '. ..
-!::
(VI fttL,S --
p;J(~r f1/G ,rf f!1l. f9?-rtiZ--
1J11l~lZ T ~ tML, 8(2c- /o~
FIRE muSE
606 North Second Street /
( 717)234-6064
Date: 8/25/2006 Time: 6:21:54 PM
Status:
Approved
Card Type: Visa
Card Nulber: XXXXXXXXXXXX0085
Expiration Date: 4/30/2006
Card Owner: SUSAN A FINK
/
Swipe/Manua 1: Swipe
Server 10: 28
Server Hale: Joani
Check tlJIIber: 464686
Table Number: 30
Dining Area: Dining ROOI
Nulber Of Covers: 2
Guest #: 1, 2
AtOJNT 54.65
TIP Iv --
TOTAL ~1f.. !JS
Approva 1: 048055
x
-
(f2AV0L-
--
10 P4.
cD
. '+ ....
"
I") _
bLtUU
C:(~....'+ UJ?<':l
.
~/ .' " ~(.A
~; u ~ A ti A-' . 1 -e.
/' ~. '(61"') 10" -~'t
(}Lf /0 5
I
I
Sbb21lf't
) ). CI - ? ~: ?> 7
,of
0lY.
ITACSA GRILL ~
Anton Airfood Inc.
Minneapolis St.Paul
International Airport
St. Paul HN. 55111
CHECK: 1 654
SERVER: 1025 JENNY
DATE: AUG24'06 19:53
CARD TYPE: VISA
ACCT .: XXXXXXXXXXXX0085
EXP DATE: XX/XX
AUTH CODE: 068402
SUBTOTAL: 1 1 .70
TIP: ~ ~
TO T A ~~~ ~~~~~~~~ ~~~Ig~~i:.~ ~~ _~... ~
CUS~O:::::f~:A:~:~::---
AMOUNT ACCORDING TO CARD ISSUER
AGREEMENT
2ND COPY FOR GUEST
- .----.-.. .----------
i/'
~
tI~lB1\iS
eON ,.
.~~p .",..-." '-~".
't -to _ ::ll" --.. "'~....., u ..; a j
-1MPRIN1BI DATA OILY #lINE ltllS UNE- DO NCJT CIRClE EXPIRATION DATE
_4/G8 V
.)U$AN A FINK
f-~t!f.:S'-_nJ
1:-3 t-h~fRR .I
;;-\;:"1.. HiF~F
, .. ,i}i};H. .:;J i 7r-:J~
EXPIRAnoN
0DAT~"
CHECKED
;'~~~';IHAL ~~ L'. ~
.~ 1 ~?j8t:5
~~~!:~~~~ f lit
):~j~J03-t !:.:J!8~4J:=:
--....-..
.. ......... ... ....
t
8
ffi
!
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u
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;~:~.~:':~~>:>::";;:<~<<:~>::,;'08 >3;0-:
:)~;=:H~ ~~}t~~.f.~: I r~l.) .~~-;
>~ ~t: ~..3 ::1~ ~:t Ti~E;
At}Tt1 f-lt):; :~~5::;E, 1.:-:
~.;:~:' :::}; is
5128LtOl
.....-....,
\
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THE BLACK HmS[ HljfAllRANT
SHIPPENSBURG. PENNSYLVANIA
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CARA V SvrCk:.
BROILED CRABCAKE
SPINACH SALAD
Pint of Lager
MARTINI-FLAV~ED. apple
/2
. :LJ 08/26/06
18.95
8.00
2.50
5.25
.~~ 3~
Sub Total: 34.10
Tal.. 1.62
08/26 20:56 TOTAL: 36 .32
THANK YOU FOR DINING WITH US
PLEASE DRIVE SAFELV
1II8nk You
MI~ O-~
.... ~ _ .. - .1.........
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YOU FOR YOUR
VISIT
/
STOCK"S ON SECOND
211 North 2nd Street
Harrisburg, PA 17101
(717) 233-6699
SERVER: KIERAN
CHECK #A2025 TABLE: 0-11
DATE: 08-28-06 TIME: 08:02PM
Merchant # 000000205021
Cardmember: SUSAN A FINK t
VISA : ************0085 A.J~.
Exp : * * I * * ~)
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HAYDN'S ON PINE
l1axine's
Check Tab eo... Se I'Ve r Tille Date
25581 9378 1 99 10:58:48 Pt1 8/28/2
006
------------------~---------------------
GlEST . 1
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Purchases
. $ 1 1 q 88
. $ lP""-
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. $.../..1.1:_,___
Courvoisier US
Hacallan 12
8.00
12.75
Seve rage Sub- T ota I
SUB TOTAl
SfUS TAl(
20.75
20.75
0.00
--------------------------------------
Tip .
Total
CHECK TOTAL
20_75
------------------------------------.
THANK YOU
H.>cine-.
-----------------------------.;...------ - ,.
... ...
Guest
Copy
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PlEASE HELP US SERVE YW BETTER
CIRClE YOUR RESPONSE
J ~~uth 060859
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FOlD OIR.ITY
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SUPERB AUERfI6E POOR
SlfERB flUERfI;E POOR
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//
ANTON AIRFOOO
CAPITOL CAFE
HARRISBURG IHI'L AIRPORT
13 Jessica
6/1 8664 GST
MAR05' 06 11: 46AM
**** SEAT 1 ****
CLUB WRAP
TO GO
W A TE R V A S A" 250 Z
SUBTOTAL
TAX 0.54 AMOUNT
******* *******
SUBTOTAL
TAX
AMOUNT
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1. 99
8.98
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0.54
$9.52
Onl ine C@"'fe /
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830 NcNallara Bui lding
Detroit. HI 48242
734-942-9791
734-942-9781 (Fax)
Aug29 ' 06 11: 13AM
Visa/M.C.
XXXXXXXXXXXX0085
04/08
010960
4897
3066 BRAtIII C
SUSANA FINK
Date:
Card Type:
Acet I:
Exp Date:
Auth Code:
Check:
Server:
Subtotal:
Tlp:
T ota 1 :
8.47
Keep this copy for your records.
*Cust"ome t~ Copy*
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830 McNaaara Building
Detroit, MI 48242
734-942-9791
734-942-9181 (Fax)
Aug29' 06 11: 12AM
Visa/M.C.
XXXXXX~XXXXX0085
04/08
010454
4894
3066 BRAtIlI C
SUSAN A FINK
Date:
Card Type:
Acct I:
Exp Date:
Auth Code:
Check:
Server:
Subtota 1 :
TiP:_
Total:
1 .99
Keep this copy for your records.
*Customer COpy*
:s~( fJPlfiG- 1;r(7) r-(OS-rft-L Sei2VI ces -
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SH1PPENSBmG POST (fflCE
5HI~. pemsylvanla
172579998
4134870257 -0098
08/28/2006 (717)532-2314 04:12:04 PM
Sales Receipt
Product Sale unit Final
Description Qty Price Price
MIftAPOLIS * 55447 $9.70
Parcel Post
6 lb. 9.70 oz.
Instrance $2.30
IrlSlrance AIIomt $100.00
Label': VF9229260t1US
The UPS store -. /0. ; '3 /
3863 Union f\t:Ptb: t Road
Harrlshurg, pp 17JlJU
U17) 561 4fi23
08/29/06 08: 4!) AM
We are the une stOIJ tor all yotll
sh 1 pp i ng , pus tn1 dnd bus i ne~::. n~ed~~.
Issue PVl:
MltfaP(LIS ltI 55447
Parcel Post
13 lb. 7.8 oz.
. -. InSlr8fle8--. - -- - -
InSlrance AIIoLnt : $100.00
Labe I ,,: VF922926095US
$12.00
$13.65
~~e otter d 11 the serv ices you lif~!..l
to keep your !Jus iness go ill';,
::==::==
-$2.30---
1IIIIIIIIIIIIIIIRIIIIIIIII~i'illltilll.IIII~lllllllil
Issue PVI:
MltlEAPOlIS ... 55447
Parcel Post
54 lb. 1.0 oz.
Nomach Parcel Post
Instrance
lnarance AIIoLnt $300.00
Labe I .: VF922926100us
$15.95
$22.84
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Sublutal $ b~: .~~'l
l'llal ~ 5j.~13
$2.90
$4.40
ACCOUNI NUMBER *
VJSA $ ti2.B:i
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Issue PVI:
$30.14
I<ecelpt 10 83853612111190U0081% !)1l1 I it:III:;
CSH: Center Iran: 6344 kt;lJ: illll
Total:
Paid by:
Persona I Check
G
lhdnk you tOl '11S11 lilY .)ur ::itore.
Please \;ome bdtk dga In soon.
BIlll: 1000203011120
Clerk: 11
All sales final on stanrps and postage.
RefU1ds for guaranteed services only.
Thank you for YOlr business.
CUstOlW" Copy
Whatever your bus iness ,lIld persomi 1
need::;, we are here to :::;erve YOll.
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G~ARD AUTO PARTS
28B ~. KING STREET
SHIPPENSBUR6, PA 17257
l11S;i:Cl~
n10:542929891513672
TID: 488311
83,84,86 12:92:58
htch D: IU
VISA
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Appr Code: 89393C
Total:
Inv': 889885
$ 9.82
APPROVED 89393C
CU5to.~r COpy
THANK YOU'
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'1;?'1'~~M .
. . '.200 WalKIng Street
~"BI'Ir ~: P.O. Box 315
~I~ : Shippenlltug. PA 17257-0315
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Tax Exemption:
PO Number:
Tenns: Due 101h
12:02
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Accounling Day: . 4
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OE Quality, Courteous
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LOCAllY Owned Since 1940
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f'III1h'HllL Y ~3(1 1401 S lORE: 530-1602
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CHANGE
60.89
3.60
64.49
64.49
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RETURNS WITH RECEIPT THRU 10/24/2006
AUGUSf 25. 2006
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(612) 725 4670
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GENERAL PARKING - TRANSIENT
Next time use Epark
and save $2 per da~
TRANSACTION ttJM8ER 1700
ENTRY TIME/DATE 08:47 08-25-Ofj
PAYMENT TINE/DATE 12:48 08-29-06
f~~RET BoO~~7Jg
l.ICENSE MN PD161
OPERATOR 337
FfbTAL $88.00
CASH PAYMENT $88 . 00
CHA'Jl"E $100.00
11U $12 . 00
I .__,
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8/25/2006 1 :27:54 PM I
DeIaWMe Hortb CGftlPi\ri8S
WWW.NEWSGIFTS.DETROITW
734-247-6887
Ref S()j::
8/25/2006
Assoc: lFLUCKES
\IIPli
100:!3
I~'ih.l ~/~/ IhF.
Receipt #: 1767
Store: 0138
Cashier: lFLUCKES
3001
ll. :, '_d'j f".r~'ll t.
$3.95
1 Unit(s) Subtotal:
RECEIPT TOTAL:
Tend:
Ch..ge:
[.: I f"I'~ I
Cash: $20.00
We appreciate your business!
All Returns and Exchanges require an original
receipt.
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11/15/06
Page 3 of 8
New Activity continued
AmountS
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SPECIALTY RETAIL
ROC No. 00000oo000
10126106 - 0;:1& i 1:'> LAKESHORE U~.. ----
CARD & SOUVENIR STORE
TURKEY HILL #283 QSHIPPENSBURG
GROCERIES/SUNDRIES
ROC No. 4270283011
~_.---_. -. ..
SHIPPEN PLACE SHIPPENSBURG PA
Arrival Date Departu18 Dale
10127/06 10129/06
00000000
SUNOCO 0013998006HARRISBURG
SUNOCO
0035825 030315045
----.---------...-. ...
10129/06 GILlIGANSBAR&GRILL US
RESTAURANT
FOODIBEVERAGE
TIP
AVIS RENTAL lICENSEEMIDDLETOWN
Localion
Rantal: MIDDLETOWN PA
Return: HARRISBURG APO PA 37
Ag188ment Number: 536287474
Renter Name: MCCAlL,TIMOTHY
Reference Number: 53628141
._-_.....
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10121/06
PA
10129(06
ND Df Nights
2
10129/06
PA
PA
14.44
2.00
10l3OI06
PA
Date
06110/26
06(10130
F(~ 1L'lI.73V'?
._ .._u___ ~
937.78
10130106
WINGATE INN HARRlSBUHARRISBURG
LODGING
ROC No. P09053..Q1
PA
--.-........--
11(15106 . _,.__._. ..,~..__ _11- --Ii
Total of New Activity
Finance Charges
Billing days this period: 31
Average Daily
Balance S
Daily Actual ANNUAL Nominal ANNUAL
Periodic Rate PERCENTAGE PERCENTAGE
RATE RATE
Purchases
Cash Advances
10.424,18
0.00
0,0664%
0.0828%
24.23%
0.00%
24.24%
30.24%
Periodic
FINANCE
CHARGE $
214,57
0.00
214.51
Certain of the periodic rates and /\PRs above may be variable. Those rates may vary
based upon the prime rale identified in the Wall SIreet Journal, as described in your
eardmember Agreement as currently in effect,
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Page 1 of 1
5142
v.shippenplace.com
/
Room Folio Checkln CheckOut Balance
203 47281 10/26/2006 10129/2006 0.00
Master Folio Weekday: 94.00 Weekend: 94.00
.n I Voucher Charges Credits Balance
tom Revenue - 5.00 discount. 89.00 i 0.00 89.00
6.000% 5.34 I 0.00 94.34
iotel Tax - 2.000% 1.78 I 0.00 96.12
r;;~ 0.00 110.62
~.4.50 :
10m Revenue - 5.00 discount. 89.00 ' 0.00 199.62
6.000% 5.34 0.00 204.96
iotel Tax - 2.000% 1.78 0.00 206.74
" 10m Revenue - 5.00 discount 89.00 0.00 295.74
,
6.000% 5.34 0.00 i 301.08
,". . " iotel Tax - 2.000% 1.78 ; 0.00 302.86'
" ......--
:press - THANK YOU 0.00 C02.as 'J 0.00
,d Taxes
I 0.00
I 267.00
~s I
-. . "- .00% 16.02
"', " '. iotel Tax 2.00% i ! 5.34
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10129/2006 09:00 AM
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APPROUAL # 5b2b53
PUf'lP :It J....3. 6 _
11.5b~ G @$ 2.199
th"11 ~~e~ $ 25.42
TOTAL
$r
~01 EISENHOWER 1~,'111
HARRISBURG PA
Thank '-(':'u .
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Estes Lskeshore Ne~s
MSP International Airport
Concourse All7
St. Paul, H" 55111
612-726-6180
987 F i StWnlllMe r Blvd
117)839-%75
Statu;;:
Date: 1O/29/tIlUti 1 Hfle: IO:u4:56 P~1
Card Type:
Card Number:
Exp i r a I i 011 Dd I Po :
Ca rli Owne r :
A!JlJllJved
Amer'ican Express
XXXXXXXXX>:X2005
2/:"1/2008
HLCAlL/THIOTHY A
:n 1':.l-:....:la'I~~ m
lrllllsection .:
Oats: 10/26/2006
Cashier: 28
250334
lige: 6:56:50 PH
Register': l
S"11 pe/14alilld J ; S~li Pl~
Server Ill:
Server Name:
Check NuntJe r :
Table Number:
Dil)\I)9 Area: Bar
Number Of Covers: 1
Guest n: 1
AMOUNT
GRA WHY
TIP
31
Duke
12u795
2111
Iten
Description
Alount
..--- -.. -...--..-..-.......--..--..----------------__.._.._ ...___u_____
---..- ----- --- ---"'--'" --- --....- ---------,. ..---... --- .._----- --...
014024069103 PC HAGAZInE
002200000486 ORBIT GUM PEPPERMINT
S5.99
51. 69
--------.. -------
----------------
'/4.44
0.00
2..-
/
Sub Totel $7.68
MN ~0.50
lotal S8.IS
Aner;can Express Tendered )/ I~
Clrd: XXXXXXXXXXX2005
Auth: 52746~
Change Due so II
TOTAL L~~9Ji.___..._
IIII~I WII III DIII.lllm mil nil
* 2 5 033 4 *
rhank YOU for shopp i ng
Estes Lakeshore Hews
Ue hope you'll cOle back soon!
Approval: 509739
I AGREE, 1'0 'CONPlY l'JI1H
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: Date
Ti~e
?age
10130/06
03<: 41
1
WINGATE INN Harrisburg Pa
1344 EISENHOWER BLVD
HARRISBURG, PA 17111
PHONE: 717-985-1600
FAX: 717-985-1208
Acct# P09053-01
Room# 202
/
Rate Code
Group
Room Type
Room Rate
AA
\\' \
~\ \
. <, . MCCALL TIM (RM/TX)
NK1
84 . 1 5
Arrive OCT 29 06 21 :46
Depart OCT 30 06
Payment AX XXXXXXXXXXX2005
Exp: 02/08
Date
Desc:ription
Reference
Room
Charges
Credits
OCT 29 ROOM CHARGE
OCT 29 6% OCCUPANCY TAX
OCT 29 3% COUNTY TAX
As a TripRewards member,
To become a member visit
84.15
5.05
2.53
you could have earned 841 points for this
us at triprewards.com or call 1-800-FOR-TRIP.
stay.
Balance Due:
91 .73
I agree that my liability for this bill is not waived 0
Authorized Signature:
?l",,,se cont.act. ~h., M"C:CigCT i1bCl~t dflY .iss'~cs with your st"y. Wing,ltc Inr.
or <lif., U "tu/, IlI"Y contact you ubo'-lt gooc;,; ...nd service,. unless YOI~ ca:l
(177-333-6663 or ...:-itc :.0 ~ox 27'iiiiJ, r~in:leilpoli.s. ~IN ~;;17.7-C9:0 Lo opt ::>117..
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Creat i ve Hostivi ces
Famous Fami ia
{612>727 - 56
KNUTE"S
Ti cke.t #5044
2006-10-26
Oate: 10/27/2006 Time: 1:09:10 AM
Status: Approved
Card Type: Uisa
Card Number: KKMXXKXXXXXX9509
Expiration Oate: 11/30/2009
SUI i pe/Nanua I : S. i pe
Server Nane: ZOO 1 - Bk Bar PM
Check Number: 152274
Tab Number: 7974
Profit Center: 2 - Bar Down
Plfrsons: 1
Card Owner: LAUALLIE/SHANE P
l~'~o 5 1235044
6;38 PM
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Cashier: Nansanet
lRANS 1#: 5044
SLICE PIZZA FAMIGLIA
TOTAL
HSP 6.5%
Amount Due
...-
CREDIT CAff'!
Mmount Due
AMOUNT
23.00
Thanks for eating with LIS.
A division of Compass Group.
GRATUITY
TIP
TOTAL
0..00
.3_~s_~~
Approval: 018822
* Custome~ Copy *
/
CREATIVE HOST SERVICES IM~
MSP AIRPORT
# 14878
612-727-1856
2006-10-23
i'II
SALE
NAME MCCALL/TIMOTHY A
AUTH CODE : 123456
Amer i can E>:P/'l:~ss
II * lnrlunr"'j( :u2005
CASHIER : Nansanet
CHECK : 5044
- ~--
AUTH AMOUNT $4.04
TOTAL CHARGE: $4.04
2006-10-26 L3 T5
BOTTOM COpy FOR GUEST
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6:37 PM
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3.79
3.79
.25
$4.04
$4.04
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