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HomeMy WebLinkAbout07-19-07 (3) REV.1502 EX+ 112.85) * COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE FilE NUMBER ESTATE OF Pearl M. Brymesser (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value which 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 fads. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. NONE TOTAL (Also enter on line 1, Recapitulation) (If more space ;s needed, insert additional sheets of same size.) s o REV. 1503 Ex. (1.97) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Pearl M. Brymesser All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. NONE -0- TOTAL (Also enter on line 2, Recapitulation) $ - 0- (If more space is needed, insert additional sheets of the same size) RE,'J.1504 EX. (1.97) SCHEDULE C CLOSEL Y.HELD CORPORATION, PARTNERSHIP or SOLE.PROPRIETORSHIP COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Pearl M. Brymesser Schedule C-1 or C-2 (Including all supporting infonnation) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting infonnation to be submitted for sole-proprietorships. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH NONE -0- TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-1507 EX+ (1-97) . . ~~\~l~ '~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE ESTATE OF FILE NUMBER Pearl M. Bryrnesser All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. NONE -0- TOTAL (Also enter on line 4, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-15GB EX + (1-97) ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER Pearl M. Brymesser Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11 . DESCRIPTION Certificate of Deposit, #31700256954, at PNC Bank Certificate of Deposit, #31200264341, at PNC Bank Certificate of Deposit, #31200290469, at PNC Bank Certificate of Deposit, #31500298810, at PNC Bank Certificate of Deposit, #31100308673, at PNC Bank Savings Account, #5130381633, at PNC Bank Direct Deposit Account, #5140445418, at PNC Bank Club Account, #574112322, at Sovereign Bank Miscellaneous items of personal property and 1990 Ford Tempo automobile. See attached appraisal $50.00 United States Series EE Savings Bond issued on 2/24/99 $100.00 United States Series EE Savings Bond issued on 9/14/94 VALUE AT DATE OF DEATH $6,678.33 5,426.61 18,897.48 13,499.55 12,222.58 4,997.07 1,901.37 245.00 972.00 34.84 85.32 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV.1509 EX. (1.~7) SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Pearl M. Brymesser If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. wilbert G. Devore Carol L. Devore 419 Glenn Avenue Boiling Springs, PA 17007 Daughter Son-in-law B. c. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY '10 OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 9/22/ 7 Real Estate situated at $177,885.60 pO% $88,942.80 419 Glenn Avenue, Boiling Springs, PA 17007. See attached copy of Deed. Al so attached is copy of Property Assessment TOTAL (Also enter on line 6, Recapitulation) $ 88,942.80 (If more space is needed, insert additional sheets of the same size) ~EV.'5'0 EX + (1.~7) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Pearl M. Brymesser SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBA TE PROPERTY FILE NUMBER 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 %OF ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE ATTACH A COPY OF THE DEED FOR REAL ESTATE, VALUE OF ASSET (IF APPLICABLE) NUMBER INTEREST 1. NONE TOTAL (Also enter on line 7, Recapitulation) $ -0- (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) _ , ~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Pearl M. Brymesser FILE NUMBER ITEM NUMBER A. Debts of decedent must be reported on Schedule I. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Hoffman-Roth Funeral Home & Crematory, Inc. 219 North Hanover Street Carlisle, PA 17013 $7,719.30 2. Westminster Cemetery, LLC - Monument 1159 Newville Road Carlisle, PA 17013 795.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 2. Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State _ Zip Year(s) Commission Paid: Attorney Fees Anthony L. DeLuca, Esquire 5,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 4. Claimant Street Address City State _ Zip Relationship of Claimant to Decedent Probate Fees 189.00 5. Accountant's Fees 7. 6. Tax Return Preparer's Fees 75.00 8. 9. 10. Legal Advertising - Cumberland Law Journal Legal Advertising - The Sentinel 158.81 30.00 Filing Fees Inheritance Tax and Inventory George's Flowers 122.96 TOTAL (Also enter on line 9, Recapitulation) $ 1 3 , 856 . 26 (If more space is needed, insert additional sheets of the same size) REV-151~ EX+ (12-03) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Pearl M. Bryrnesser Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER 1. $50.00 2. DESCRIPTION Roy D. Gottshall - Auctioneer Appraisal of personal property and car One half of existing Mortgage to First United Federal Savings and Loan Association. Assigned to Washington Mutual. Copy of Mortgage is attached. VALUE AT DATE OF DEATH 18,783.99 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 18,833.99 , REV-151,3 EX+ (9-00*, COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF NUMBER I FILE NUMBER Pearl M. Brymesser 1. RELATIONSHIP TO DECEDENT NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Dennis R. Brymesser Son 308 Shughart Avenue Boiling Springs, PA 17007 AMOUNT OR SHARE OF ESTATE 50% 50% 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 2. Carol L. Devore Daughter 419 Glenn Avenue Boiling Springs, PA 17007 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) / LAST WILL AND TESTAMENT OF PEARL M. BRYMESSER I, PEARL M. BRYMESSER, a resident of 419 Glenn Avenue, Boil~ng Springs, Cumberland County, Pennsylvania being of . c~, sound mlnd, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ITEM 1: I direct that all my just debts, the expenses of my last illness and funeral expenses be paid as soon after my decease as the same can conveniently be done. ITEM 2: I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this Will or otherwise, excluding, however, any property over which I have a taxable power of appointment, provided, however, that no residuary beneficiary shall by reason of this provision be denied the benefit of any deduction, credit, favorable rate of tax or other benefit which by law enures to such beneficiary. ~' / P;~<rf ~M~sir~>~'~-~" 1 '-'-"'~'.''l'''''''''.'''.~'' :".~"'.'o/.]r"'~r' LAST WILL - TESTAMENT OF PEARL M. BRYMESSER ITEM 3: I bequeath unto my son, DENNIS R. BRYMESSER, if he shall survive me, the sum of Twenty-Five Thousand ($25,000.00) Dollars. ITEM 4: I give, devise and bequeath all of the rest, residue I :'1 " ! ~. and remainder of my estate, real, personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my death, in equal shares, unto my children, DENNIS R. BRYMESSER and CAROL L. DEVORE, provided, however, that they survive me and are living sixty (60) days after the date of my death. ITEM 5: If and in the event that a child of mine does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate, which such deceased child would have received if living, to my surviving child. ITEM 6: I hereby nominate, constitute and appoint my children, DENNIS R. BRYMESSER and CAROL L. DEVORE, Co-Executors of this my Last will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond or other surety is required of them in this or any other jurisdiction for their performance of this office. /) ;6/ .. .-L// pJiit~~7 ~E~i~~7--~>-'~ e A J 2 OF PEARL M. BRYMESSER ITEM 7: If any provision of this will or of any Codicil hereto is held to be inoperative, invalid or illegal, it is my intention that all the remaining provisions thereof shall continue to be fully operative and effective, so far as is possible and reasonable. IN WITNESS WHEREOF, I, PEARL M. BRYMESSER, the Testatrix, have to this my Last Will and Testament, typewritten on three (3) consecutively numbered pages, subscribed my name and affixed my seal this /~'J-d<- day of April, 1993. //1 ,/ ./ ./; 7/2~;2?' :?1~_..._.~(SEAL) signed, sealed, published and declared by the above named PEARL M. BRYMESSER, as and for her Last will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and of each other. /7~~J4residingatA-t7 rr ., ,4,/2C7<1;?- (~ t' / ' Yj;''':/'cz;, If It ,jj;<,< residing at ~&;'c17 '?14 '7' I v~ 17C"7 3 ~/if:3:;;/~'t11~:~:~?fL.... ~.e:fd..~~-;o- ~. " ~;~~'~~~:~^~~"T~,/ ~ ,c;;,;~:"~~_~~;'M{t,,::~'III') r,t br--/ (/, hl . --r / .,4' c:2/~'~~{/?~"~;2" 4Y'~~1i2c;}:,~-*:;~pl>,d~(",;~" a(?~""?"'~(:=',, ~4%/ ~ / ~+7~-T) " C _// +. /J 2! ~., -;f:.L.~~, CL~~~_~2?ce~~r ~~;;;Jt. --..4-. / sa~/" /' ~ 7u;1~f'?;;7A~dr --~ ,-~., ?:.. /: _ ~a't., _,.I!2~~-'r~2,..l~/~-2fl:., .' Z~Jk c;2.S' /I/r',yl ~-' ~.~-:Z:~;J _---~~~e:- _A'~.C!-,d- /' ./ /I f. 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'W111.a' 3Jtt~1?nturrf 1tb~l' till' ZZnd cloy of September, A. D. onnhou..nd nino hundred.nd eighty-seven (1987), hrlween Ihe Corpor.;ionby ti,e ...'me.' ..yle and citle 0/ CUMBERLAtlD BUILDERS, INC., a Pennsylvania corporation, with its principal plll.;:~'~e QJI/JMless in HarriSburg, Dauphin .County,. Pennsyl- vania, Grantor, Party ol: the First P,art -A N,D.-,WILBERT G. ~eV~~ and CAROL L. DeVORE, hilt, wife, and PEARL M. 'BRYMESSER'l,lu~f,l<<;"woman. mdlVldually, TOWnship , South Middleton, . Y Cumberland, .n lhe Sill. 0/ Pennsylvania, Grantees,Parties a/the olher pm lDUnl'Dtll'UI Th.c Ihe..id . Party of, the First Pa'rt, lor Ind in eon. .idcmion 01 Ihe ..um o/SEVENTY-NINE THOUSAtlD NINE' HUNDRED' ($79,900.00) _______ -------:------------ Doll..., I.wful man.y of Ihe Uniled SlaIn,. Iv il in hand p.id by the ..id Parties of the Second Part, . " lhe lime of lhe ueculionhercol, Ihe receipt whereof is hereby ICkftOwledgcd, h.. sranted, b.rs.ined, 101.1. '.Iiened. en.f';'ll'ed, released Ind confirmed. Ind by Ih."- prestn.. .dar. xr.nl. b.rs.ill, ..11. Ilien,' .nlrolt, rei.... and confirm unlo che ..id Parties of the Se,cond Part, their heirs, and JSsiSRI," ,lI',lhat c.ruin pi... or r..e.. of land. .ilu", in South Middleton Township, Cumberland .County, pennsy vania, more particularly,bounded and described as fOl,lows I BEGINNING at. a point On the northern dedicated right-of-way line of 50 foot wide Glenn Avenue, at tl:le dividing line between Lots Nos. 3 and 38 on the hereinafter mentione\lSubdivisionPlan/ thence along 'said , dividing line, North 27 degreas03 minutes 04 seconds West, 159.52 feet to a pqintlthence along lands now or .formerlyof John Brenneman and ' lands now or formerly of Ed,ward P. McCord, North 68 degrees 45 minutes 04 secondS. East, 114.88 feet to a point; thence along the dividing line between Lots Nos. 38 and 38A On said Plan, South 23 degrees 30 minutes 40 seconds East, 151.44 feet to a point on the no~thern right-of-way line of Glenn Avenue; thence along said right-of-way line by a curve to the left with a radius of ~99.68 feet,. a distance of 105.00 feet to a p~int, the place of BEGINNING. BEING Lot No. 38 On the Final Subdivision Plan of Cumberland Hills, SectiOn 2, prepared for William H. Hooke, Jryand Kurt E. Suter by . Robert G. Hartman, Jr., P. E., dated June 5, 1979, and recorded in Plan Book 36, Page 100, Cumberland County records. HAVING thereon erected an aluminum bi-level dwelling hou~e known and nwnbered.as 4,J9 Glllnn Avenue, aoHing Springs, PA J7007. BEING the sarno premises which William H. Hooke, Jr., and Kurt E.' Suter, t/d/b/a Hooke, Suter, by deed dated Noverilber 17, 1986, re- corded in Deed BOok H, Vol. 32, Page 883, Cumberland County records, granted and cOnveyed unto Cumberland 'Builders, Inc.., Grantor herein. TITLE to the within described real estate shall be vested in the above named Grantees as follows: W~lbert G. DeVore and Carol L. DeVore, his wife, as tenants by the entireties of an undivided one-hl!>lf interest; and Pearl M. Brymesser, single,woman, individually, as sole tenant of an undivided on.e~halfinterest; the relationship between the said undivided one-half interests to be that of, joint tenants with th4! right of survivorship and not a. tenanU in common. I 'i. '_1, ~~.!~:-!.~ Cumbo Co., P.. -'t R..I I..,.. T,...,., T.. 0.1. .'i{:J.~:.F ,...,Jq!.,.s.! ,-6>1l~~.H. t/~' c;.::, c...... 0.. 01... Cel. ,.... ~ ~. 1',...,.4' mA),IA~ School DM. C""b. Co.. P.. J" .R..I l...t. T,...I.. T_ ..,;, . ." o~ o,i? 39~J_~ O."b~.../..""'. AM" ;(."~.... .:,.::; ~~.I-\.v'~CL;, . ~,IlloI. CeL ,.... ~ ~d~ Y 32 rA~E 595 ..--.......---,-~ .. " ..:' :..,........:'.,.'..1 '., i: , ~- ~ ~ 1 .~ wi ...1 ~ .. l; ;;a E-< -ci ;: .~:!i :J..~t: :;!r::l8 '-1:S:~~ czl~~ !~~~ ~E-< ~~~ ~~~~~ dr::llQ ~~"C!~ ~~=- ~e5~~ raI~:;;J !!aoE-t ~~~ ~a~~ ~up.. &:...(;io MORTGAGE s .... Q'., ..... .. o ::i! <:> <:> r- - 'i l ~ ~ ~ ~ = ~ <:> <:> <:> <:> 0- .. bIl s:: '':: 0- tI) bIl ",:3 ~~ < ~p.. .. Q) > -< fl .. (3 ~ ~ j j TF .,.lft.l THIS MORTGAGE. ("lkcurity ID5trJlm~t")iapV~0J] ........i..Y....~~P.~.~.~~-~..~.~/.....r..........d'..m.......r'l" 19.&J..... The mortgagor Is ...W.;l.,l,R~.1:.~..Q.,...y.!\I....9.~.~..~~....~.~.:r.!'?t..m-.,...w.~..y..9.1i.~A..;\;\kl!..~.L!!'.I.. .!'!-.n... ..~~.~.:r....~!'''' _:a.f-~.l'l.._"-~::r;......,........................,,............T.... ("Bon-owy,"~. Thll S!'Curlty Instrument Is &lv..n to .:f.j,);.,.~...P'.'(\i.,t;.I'.!1..;Jf."d..r..l . A .P'.,!-y';,;!!.HnL9.;Ii..!.;';!:!I'.~..;V,"l'Ia.H~~...9."M..n?~.._n-...9.~.._f...~_..!!J?Mr.&P.................... .........~ which Is or1\aplzcd and existing ~Jgb~~~~~s.~~r.~:j;i!~:~~'i.'ii.::~U~&i:~::::=~:::::~:::::::::::::::.~.~:~~.~~~.~~..:::~:::::::~:~~~:::~~:::::.~;~i:~(:d:~;;j: Borrower owes Lender the principal SUm of .S.iXt.JC"..t.WQ...'J:hQ.\llusJ).d..JU.ne...HW1dJ;.e.d..At1.d..~OI..I.OO:c.7.;-;:C;";-;;-;.7.7.;-;"'."'-- .;:-;:;;;;:-:;-..,-;;-;::-.7.;-;::-:c..,-;;-;::-.7.;-;:c.7.;-;;:-;:;;;;;-;;-;;;;-;;;-.-Dollan (U.S. S~.l..~~.QAO.Q:............). This debt is evidenced by Borrower's note dated the same dat.. as this Security Inatrument ("Note"}. which prgvid... for monthly payments. .....Ith the full debt. If not paid earlier. due and payable on .............................Q~~t;i.\:I".l\'..j.....f<.QJ.Z.................................... This Security In.trument seeures to Lender: ea) th.. repayment of the d..bt evidenced by th.. Note, with Interest. and all renewal.. extensions and modiftcatlons; (b) the payment of all other sums. with Interest, advanced under paragraph 7 to protect the security of this Security Instrument; and (c) the performance of BolTower". covenants and agreements under this Security Instrument and the Note. For this purpo.... Borrower does hereby mortgage. arant and convey to Lend..r the following described property located in ..... ............... ..... .CJ.1mQ".+.J..n.4...... ...... ......... ............... .................................... ................... County. Pennsylvania: (See Schedule "A" a.ttached hereto and made a. part hereof. ) which has the address of ...........................1!:!.?...g~~.~.~:!.!P.:~.'"I...................... ..............~.~~g.~lJ..~J.>.~~~.~.a.I........... ISr.-t) (Cltyl Pennsylvania ......................J..1.9.9.7.................... ("Property Address"); . (Zip Cod.) TOOETHER WITH all the improvements now or hereafter eraoted on th.. property. and all easements. rights, appurtenances. rents, royalties, minerai. oil and JI1IS r1ahw and prolltl, water riahts and stock and all fixtures now or hereafter a part ofthe property. All replacements and additions shall also be covered by this Security Instrument. All or the foregoing is referred to in this Security Instrument as the "Property." BORROWER COVENANTS that Borrower Is lawfully seised of the estate hereby conveyed and has the right to mortgage, granl and convey the Property and that the Property Is unencumbered, except for encumbrances of record. Borrower warrants and will defend generally the title to the Property agalnst all clalma and demand.. suhject to any encumbrances of record. THtS SECURITY INSTRUMENT eomblnes uniform covenants for national use and non-uniform covenants with limited varia.tions by jllrisdietion to constitute. uniform security instrument covering real property. PENNSYLVANIA-Slnsle ~amlly--.FHMA/I'HLMC UH'I'OftM IHSTRUM!:HT 1'"",, 3039 -12/.3 ~ 91l 39\1d LLt>86E:t>Ilt>S 11l:81l 1~~7/~~/Ja TAXPAYER'S COpY. KEEP THIS PORTION FOR YOUR RECORDS MUNICIPAL COIlE: 0\0 eLL o,lTE: 07101107 PROPERTV; 041' GLENN AVI!NUE 11LL NO.' 1307 MAP CODl.: .G021-211>>-293 TAIlEI ",,"AJlllI TO: TAX Y'LLll; 11.3& ,Judy e.mpbell ASaESllEP V/l.LUl!: 158Qo1O MAKE CHECKS PAYABLE TO: Judy Campbell PO Box 300 6 Hope OrNe Boiling Springs, PA 17007 RETURN SERVICE REQUESTED ~5T~ISDUE/l.Ng~YA'~YOU~EHERIIBY REQUP11!gTO M/l.KE PA'IMl9O'TIlEIU!OI'. 11~-1~ DEVORE, WILBERT G << CAROL L , pEARL N BRYMESSER 419 GLENN AVENUE BOILING SPRINGS, p~ 17007 OR \ NO glSCOUNT cHEClt , ~ DISCO\IHT TOll6I31!07 Sl.7<iO.23 ""'*" p,\yMEIl1 SS91.91 w....o....- 8/31107 .:II,."....SI...:s::!lfI,.:l.l:.''';I''.."..:lI~...'.:..I"1101 ~. ---.....-. ..-----_.. - LB 39\;1d LLt-86Et-Bt-C; " 't AMOUNT S F~ gQI01l1l7 '10 101S11O'1 n,m.74 SECOIID PA""ENT $591.91 . hid Oe or"- Qf3OI07 "'MALTY 11/01107 10 1213,m $1,953.31 FIliAL p,t,YllEIl1 $591.91 __011"- 101S1J07 T~:R~ laa7/~alJD