HomeMy WebLinkAbout07-25-07
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15056051058
REV-1500 EX (0IHl5)
PA Depertment of RewrIJe *'
BInau of IndividulII Taxes
PO BOX 2lI0601 INHERITANCE TAX RETURN
HarrisIlII'g, PA 17128-4l601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
SocIal Sealrlly Number Date of Death
179-12-5800 02/09/2007
OFFICIAL USE ONLY
ColIlty Code Year
Q\ 01
FIle NtInber
o \5CP
Date of BlI1h
05/12/1923
Decedenfs Last Name
Sheaffer
(If AppIICllbIe) Enter SurvIvIng Spouse'. Infonn8tIon &.Iow
Spouse's Last Name Sutftx
Sutftx
Decedent's FIrst Name
Maynard
Spouse's First Name
Spouse's Social Sealrlly Number
THIS RETURN MUST BE FLED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
.' 1. Original Retum
2. Supplemental Retum
i......_.)
3. Remeinder Retum (date of death
prior to 12-13-82)
5. Federal Estate Tex Retum Required
(=.
c=") 48. Future Interest Compromise (date of
death aft8r 12-12-82)
,_..' 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
~. 10. Spousal Poverty Credit (date of death c:_) 11. Election to lex under Sec. 9113(A)
~ 12-31-91 and 1-1-95) (Attach Sell. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAnON SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
4. Limited Estata
c:>
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
Peter J. Russo, Esquire
Rnn Name (If Applicable)
"'"
=
(717) 591-1756"") 5
(;;0,-
REGISTER OF'~~ ~E ONti=
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First line of address
3800 Market Street
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Second line of address
City or Post 0IIice
Camp Hill
DATE FILED
State
PA
ZIP Code
17011
Correspondent's e-mail address:
Under penalties of peljUl)'. I declare that I have examined this return, Including accompanying schedules and statemenls, and to the best of my knowledge and belief.
it Is tI\le, correct and complete. Declarellon of preparer other than the personal representative Is b8sed on alllnfonnatlon of which preparer has any knowledge.
51 Jt:JRE OF PE BlE F ING RETURN
1- i1-07
ADDRESS
3800 Market Street Camp Hill, PA 17011
PLEASE USI!! ORIGINAL FOIUI OIlLY
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15056051058
Side 1
15056051058
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15056052059
REV-1500 EX
Decedenfs Social Security Number
Decedenfs Name:
Maynard
L Sheaffer
179-12-5800
RECAPITULATION
1. Real esIat8 (Schedule A). . ...... . ........... .......... . ..... ......... 1.
157,580.04
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or SoIe-Proprietor (Schedule C) . . . .. 3.
4. Mortgages & Noles Receivable (Schedule D). . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank DeposIts & MlsceIIaneous Personal Property (Schedule E) . . . . . . .. 5.
6. JoInUy Owned Property (Schedule F) C) Separate BIIing Requested . . . . . .. 6.
7. InIBr-VMlS Transfers & Miscellaneous Non-Probate Property
(Schedule G) C) Separate BIRIng Requested.. . . . . .. 7.
93,222.69
8. Total Gross Assets (total lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8.
250,802.73
9. Funeral Expenses & AdmlnishtlYe CosIs (Schedule H). . . .. . . . . . .. . . . . . . . .. 9. 14,132.29
10. Debts af Decedent, Mortgage liabilities, & Liens (Schedule I). . . . . . . . . . .. . . . . 10. 9,498.34
11. Total DeductIons (total Unes 9 & 10).. .. .. . .. .. .. .. .. . .. . .. .. .. . .. .. . . . 11. 23,630.63
12. Net Value of Estate (Line 8 minus Line 11)..............................12. 227,172.10
13. ChariIabIe and Governmental BequeslslSec 9113 Trusts for which
an eIecIIon to lax has not been made (Schedule J) .. .. . .. .. .. .. .. .. .. .. . .. 13.
14. Net v.lue Subject to Tax (line 12 minus line 13) ..... .. ... .. ..... ..... .. 14. 227,172.10
'-"-'-'-~~-'.'~"---,--,-,--""------,-----,._--,,,_._-,--~,--~"~"-,~,,--,~-,,--,,,--_,__~_,_~_.,_,_,,__,,_"______"'__'""_'~'_'______', _..____""'w._._______.__"____",~_.__~__~,__._.__
TAX COMPUTA11ON - SEE INSTRUcnONS FOR APPUCABLE RATES
15. Amount of Line 14 taxable
at the spousal lax rate. or
transfers under Sec. 9116
(a)(1.2) X .0_ 15.
16. Amount of Une 141axab1e
atHnealrate x.045 16. 10,222.74
17. Amount of Line 14 taxable
at slbIng rate X .12 17.
18. AmountofUne 141axab1e
at collateral rate X .15 18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 10,222.74
20. Fill IN THE OVAL IF YOU ARE REQUESnNG A REFUND OF AN OVERPAYMENT C)
L
15056052059
Side 2
15056052059
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
Maynard L Sheaffer
STREET ADDRESS
111 Austin Drive
File Number
DECEDENT'S SOCIAL SECURITY NUt.eER
179-12-5800
CITY
Enola
I STATE
PA
I ZIP
17025
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1)
2. CredilslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits ( A + B + C ) (2)
3. InterestJPenally if applicable
D. Interest
E. Penalty
TotaIlnteresWenalty ( 0 + E ) (3)
4. If Une 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT.
FIR In oval on ,. 2, Une 20 to request. refund. (4)
5. If Une 1 + Une 3 is greater than Une 2, enter the difrerence. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58)
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 [iJ
3. Did decedent awn an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 [iJ
4. Did decedent own an Individual Retirement Aa:oun~ annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 [iJ
IF THE ANSWER TO ANY OF THE ABOVE QUEsnoNS 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) (ill]. 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 retum 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) percen~ except as noted in
72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)J.
The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)J. 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-1502 EX+ (6-98.
COMMONWEALTH OF PENNSYLVANIA
INtERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Maynard L. Sheaffer 21-07-0156
AU ....1 property owned IOIIIy or n I telllnt In COlllmon IIlUIt be ",ported It fllr IIIIrtet VIIuI. Fair m8lltet VIIIIe Is defined as the price al which property would be
exchanged between a wiling buyer and a wiling seller. neiItIer being compelled to buy or sell. boIh having reaaonabIe knowledge of the relevant facts.
RelI property wlllch .. JoIntIy-owned wItIt right of IUMvorIhIp mUlt be dllclolld on Schedule F.
SCHIDUU A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
111 Austin Drive, EnoIa Pennsylvania
157,580.04
TOTAL (Also enter on One 1, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
157,580.04
...t...~ .
A. B. " .: OF LOAN:
. U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.DFHA 2.DFmHA 3. [gJCONV. UNINS. 4.DVA 5.DCONV.INS.
6. FILE NUMBER: 17. LOAN NUMBER:
SETTLEMENT STATEMENT 07-142 0205255581
8. MORTGAGE INS CASE NUMBER: OLD MORTGAGE INS CASE NUMBER:
, 1021/F/6.5% SKS
: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked "{POCr were paid outside tha closing; they are shown here for informational purposes and are not included in the totals.
1.0 3198 IPALADINO.FRANK.PFDI07.14211Sl
'D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Frank A. Paladino and Estate of Maynard L. Sheaffer SUNTRUST MORTGAGE INC.
. Bonnie S. Paladino 901 SEMMES AVENUE
111 Austin Drive RICHMOND, VA 23224
Enola, PA 17025
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1857112 I. SETTLEMENT DATE:
, 111 Austin Drive
Midstate Abstract Company
,Enola, PA 17025 March 30, 2007
Cumberland County, Pennsylvania PLACE OF SETTLEMENT
I
2331 Market Street i
: Camp Hill, PA 17011
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
~OO. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
.101. Contract Sales Price 170000.00 401. Contract Sales Price 170000.00
1102. Personal Prooertv 402. Personal ProoertV
~ 03. Settlemenf Charaes to Borrower (Line 1400) 5 802.44 403.
104. 404.
105. 405.
Adjustments For Items Paid Bv Seller in advance Adjustments For Items Paid Bv Seller in advance
106. CitvlTown Taxes to 406. CItv/Town Taxes to
107. County Taxes 03130/07 to 01/01/08 378.88 407. CountvTaxes 03130/07 to 01/01/08 378.88
108. School Taxes 03130/07 to 07/01/07 430.11 408. School Taxes 03/30/07 to 07/01/07 430.11
,109. 1st Qtr. Sewer/Refuse 03130/07 to 04/01/07 2.56 409. 1st Qtr. Sewer/Refuse 03130/07 to 04/01/07 2.56
'110. 410.
,111. 411.
.112. 412.
: 120. GROSS AMOUNT DUE FROM BORROWER 176,613.99 420. GROSS AMOUNT DUE TO SELLER 170,811,55
1200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
:201. Deposit or earnest monev 1 000.00 501. Excess DeDositTSee Instructionsl
'202. Princioal Amount of New Loan(s) 161 500.00 502. Settlement Charnes to Seller (Line 1400\ 12674.24
203. Existing loan(s) taken subfeci to 503. Existina loan(s) taken subiect to
204. 504. Payoff of first Mortgage
,205. 505. Payoff of second Mortaaae
,206. 506.
207. 507. -IDeoosit disb. as DroceedS)
'208. 508.
:209. 509.
Adjustments For Items UnDsid Bv Seller Adiustments For Items UnDaid Bv Seller
210. Citv/Town Taxes to 510. Citv/Town Taxes to
211. County Taxes to 511. County-Taxes to
212. School Taxes to 512. School Taxes to
1213. 513.
,214. 514.
215. 515.
1216. 516.
217. 517.
!218. 518. Radon Mitiaation to Enviroauest 557.27
219. 519.
220. TOTAL PA/D BYIFOR BORROWER 162,500.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 13,231.51
300. CASH AT SETTLEMENT FROMITO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross Amount Due From Borrower (Llne 120) 176613.99 601. Gross Amount Due To Seller (Line 420) 170 811.5E
302. Less Amount Paid BylFor Borrower (Line 220) ( 162,500.00) 602. Less Reductions Due Seller (Line 520) ( 13.231.51
303. CASH ( X FROM) ( TO) BORROWER 14,113.99 603. CASH ( X TO) ( FROM) SELLER 157,580.04
~~~,~.~
The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein.
Seller
L. SETTLEMENT CHARGES I
I
700. TOTAL COMMISSION Based on Price $ 170,000.00 -@ 6.0000 % 10200.00 PAID FROM PAID FROM
Division of Commission ({ine 7001 as Follows: BORROWER'S SELLER'S
01. $ 5,125.00 to RElMAX REALTY ASSOCIATES FUNDS AT FUNDS AT
02. $ 5,075.00 to THE HOMESTEAD GROUP,INC. SETTLEMENT SETTLEMENT
03. Commission Paid at Settlement 10,200.00
V04. to
aO.ITEMS PAYABLE IN CONNECTION WITH LOAN
01. Loan Oriaination Fee % to
02. Loan Discount % to
03. Appraisal Fee to Central Penn Appraisal . POC:B350.00
04. Credit Report to Kroll Factual Data 16.77
805. Tax Service Fee to Valutr~ Real Estate Servo 78.00
06. LOL Flood Certification to FIS Flood Servo 1.50
07. UF Flood Certification to FIS Flood Servo 5.50
08. AOministratlve Fee to SUNTRUST MORTGAGE INC. 600.00
?09. Mortgage Broker Fee to CENTRAL PA MORTGAGE, LLC POC: Lender $3997.13
e10.
811.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From 03130/07 to 04101107 @ $ 28.760000/day ( 2 days %) 57.52
902. MortaaQe Insurance Premium for months to
1903. Hazard Insurance Premium for 1.0 vears to Allstate POC:B450.84
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
001. Hazard Insurance 3.000 months $ 37.57 oer month . 112.71
1002. Mortoaoe Insurance months $ 121.13 oer month
1003. Citv/Town Taxes months $ oar month
1004. County Taxes 2.000 months $ 41.60 oer month 83.20
1005. School Taxes 10.000 months @ $ 137.85 per month 1,378.50
006. months $ oer month
007. months !G ner month
008. Aaareaate Adjustment months ! Der month -354.14
100. TITLE CHARGES
1101. Settlement or Closlno Fee to
102. Abstract or Title Search to
103. Title Examination to
104. Tille Insurance Binder to
105. Electronic Document Preo. to Midstate Abstract ComDanv 50.00
106. Closino Service Letter to Midstate Abstract Comoanv 35.00
1107. Attorney's Fees to
7includes above item numbers: }
, 1108. Title Insurance to MIDST A TE ABSTRACT UoI/I!. I. C: tu.# 1 087.88
I fincludes above item numbers.11 02 1103 & 1104 )
11109. Lender's Coverage $ 161,500.00
1110. Owner's Coverage $ 170,000.00 1,087.88
111. Endorsements 100, 300, 8.1 to Midstate Abstract Company 150.00
112. Notary Fee to Midstate Abstract Company. 10.00
113. NotaryFee to Mldstate Abstract Company 5.00
114. Overnight Fees & Handling to Mldstate Abstract Company 15.00
1115. Wire Fee to Midstate Abstract Company 10.00
11116. Transaction Fee to RElMAX Realty Associates, Inc. 250.00
1117. Transaction Fee to The Homestead Group, Inc. 100.00
1118. Tax Receipts to RElMAX ReallY Associates 5.00
200. GOVERNMENT RECORDING AND TRANSFER CHARGES
201. Recording Fees: Deed $ 40.50; Mortgage $ 64.50; Releases $ 105.00
202. CitvlCountv Tax/Stamos: Deed 1.700.00' Mortaaoe 1,700.00
1203. State Tax/Stamos; Deed 1700.00; Mortoaoe 1 700.00
1204.
11205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Survey to
11302. Pest Insoection to B & T InsDectfons Inc. Full HomelRadon 445.00
1303. 2007 CountvlTownshlD Taxes to Debbie LUDOld Treas. 09-15-1288-348 499.24
1304. 2nd Qtr. Sewer/Refuse to East Pennsboro Townshlo Authoritv 115.00
11305. Deed Copy to Tn-County Abstract 15.00
11400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103 Section J and 502. Section K) 5,802.44 12.674.24
: By signing page 1 of thls slal8men~ the slgnetories ecknowledge r:ecelpl of e completed copy of page 2 of this two page Sle~ 4 ----
Midstate ~tract Com an
. .V."
Settlement AQent
p y
Buyer/Borrower: Frank A. Paladino and Bonnie S. Paladino
Seller: Estate of Maynard L. Sheaffer
Lender: SUNTRUST MORTGAGE INC. 0205255581
Property: 111 Austin Drive / Enola
Settlement Date: March 30, 2007
Disbursement Date: March 30, 2007
Check Amount: $ 157,580.04 (PALADINO.FRANK.PFD/07-142/15)
Pay To: Estate of Maynard L. Sheaffer
For: Closing Proceeds
MIDSTATE ABSTRACT CO.
NEBS To Reorder. 1-800-225-6380 or www.nebs.com
PRODUCT LM260C USE WITH 9380 ENVELOPE PRINTED IN U.S.A.
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REV-1508 EX+ (6-98) .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Maynard L. Sheaffer
Include the proceeds of Illgation and the date the proceeds were received by the estate.
All ptOpIfty joIntly-ownecl with light of lurvtvonlllp must be dlacloHd on Schedule F.
FILE NUMBER
21-07-0156
ITEM
NUMBER DESCRIPTION
1 PNC Checking AaxxJnt
2 Certificate of Deposits
3 Refund Blue Cross
4 Refund Pabiot-News
5 Ufe II'lSUrlI1C8 proceeds from Veterans' Administration
6 Interest Payment
7 Refund from Comcast
8 Cindy Sheaffer Mortgage payoff
9 Sharon Mackert Mortgage Payoff
10 Refund from AM ad <ad
11 Sale of Car
12 2006 Income Tax Refund
13 Interest Payment
14 Selective IIlSlI'aItC8 Refund
15 Blaine MIs Mortgage Payoff
16 Cash
17 Personal Property/Appraisal
18 Insterest Payment
VALUE AT DATE
OF DEATH
3,670.02
20,643.92
140.95
106.55
5,111.06
7.33
12.56
38,084.50
7,283.28
177 .64
5,800.00
30.00
131.02
47.00
3,868.15
125.00
7,931.00
52.71
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
93,222.69
o PNCBAN<
c./).
frDrn {X,JSDY1aJ...
<JJu.<!..f-U?~
auf lN<
..
""......,~,--, \ IVVJ
235 NORTH ENOLA ROAD
ENOLA PA 17025
Cashbox 01 AM
* Dej:__
09:33 F~~ L' _
Account Number
Tran Amount
X2791
$20,643.92
* Depos it Cash
09:44
Account Number
Tran Amount
Cash Amount
FEB 21 2007
XXXXXX2491
$3,670.02
$3,670.02
W/S 1D WWSH10B1 Sequence Number 00009
Batch 401
W/S 1D WWSH10B1 Sequence Number 00015
Batch 701
This deposit or paYlent is accepted subject to
uerification and to the rules and regulations of
this bank. Deposits lay not be auailable for
illediate withdrawal. Receipt should be held
until uerified with your statement.
This deposit or paYlent is accepted subject to
uerification and to the rules and regulations of
this bank. Deposits lIIay not be auai1able for
illediate withdrawal. Receipt should be held
until uerified with your statement.
..
n $3 qq 3./5" . from
~ mills - fo~ C
JJ /d. 5.00 .- t2cLSh FtZlfYJ
{,U(LtJ!.t:r
_>..___. . .. r I V,,",W
Cashbox 03 AM
* Deposit Multi/Mix
11 :51 FEB 9 2007
Account Number XXXXXX6~
Tran Amount $3,993.15
Cash Amount $125.00
W/S TO WWSH1082 Sequence Number 0009
Batch 302
This deposit or peYl8nt Is accepted subject to
verification and to the rules and reguletions of
this benk. Deposits IllY not be available for
i'lediate withdrawel. Receipt should be held
until verified with your stete.ent.
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ENOLA (108)
235 NORTH ENOLA ROAD
ENOLA PA 17025
Cashbox 01 AM
* Depos it Check
12:15 JUN 11 2007
Account Number
Tran Amount
XXXXXX2791
$47.00
WIS 10 WWSH1081 Sequence Number 00181
Batch 401
This deposit or pamnt is accepted subject to
uerification and to the rules and regulations of
this bank. Deposits lay not be auailable for
ill8diate withdrawal. Receipt should be held
until uerifled with your state.ent.
.;
-
AWARD STATEMENT
Department of the Treasury
Financial Management Service
Philadelphia Financial Center
PO Box 51321
Philadelphia, PA 19115-6321
IN REPLY REFER TO:
310/295
RETURN CORRESPONDENCE TO:
Department of Veterans Affairs
P.O.Box 7208
Phila., PA 19101-7208
FILE NUMBER:
V 3340490 2
000248
103340490020000419
FEBRUARY 27, 2007
ESTATE OF
MAYNARD L SHEAFFER
C/O CINDY SHEAFFER, ADM
103 SHARON ROAD
ENOLA PA
17025-1803
WE ARE AUTHORIZING PAYMENT OF $ 5,111.06 TO YOU FROM GOVERNMENT
LIFE INSURANCE POLICY V 3340490.
A CHECK FOR $ 5,111.06 REPRESENTING THE LUMP SUM PROCEEDS
OF YOUR SHARE OF THE POLICY IS ENCLOSED UNLESS YOU ASKED
TO HAVE THE PAYMENT DEPOSITED DIRECTLY INTO YOUR BANK ACCOUNT.
*THIS IS A ONE SUM PAYMENT.
**THIS REPRESENTS 20 DAYS INTEREST PAID FOR THE PERIOD FROM
THE DATE OF DEATH UNTIL MARCH 1, 2007.
..
AMOUNT OF THIS ADDITlONAL YOUR SHARE YOUR SHARE DEDUCTIONS FROM YOUR SHARE AMOUNT AMOUNT OF THIS
INSURANCE POUCY INSURANCE AMOUNT LOAN I LOAN INTEREST I LIEN INSURANCE AWARD
(PAID-Up)
5,000 ALL 5,000.00 $ 5,000.00
AMOUNT OF EACH NO. INSTALLMENTS NO. INSTALLMENTS NO. INSTALLMENTS NO. INSTALLMENTS AMOUNT ACCUMULATED
INSTALLMENT (ORIGINAL) PREVIOUSLY PAID THIS PAYMENT REMAINING PAYMENTS
* 5,000.00
PREMIUM REFUND DIVIDEND DlV. INTEREST TOTAL DISABILITY OTHER PLUS ADDITIONS
ADDITIONS PAYMENTS
30.90 64.80 ** 15.36 Ill. 06
PREMIUMS DUE LIEN LIEN INTEREST PRIOR PAYMENTS TOTAL DISABILITY LESS DEDUCTIONS
DEDUCTIONS OVERPAYMENTS
10 THE TREASURY DEPARTMENT WILL ISSUE A PAYMENT FOR THIS AMOUNT 5,111.06
QUESTIONS ABOUT YOUR INSURANCE? CALL US TOLL FREE AT 1-800-669-8477
VAFORM 29-5851 OPERATORS ARE ON DUTY MONDAY THROUGH FRIDAY 8:30 AM TO 6 PM EASTERN TIME
SEP 1998
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Cashbox 01 AM
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09:04 MAR 12 2007
Account Number
Tran Amount
XXXXXX2791
$5,111.06
W/S 10 WWSH1081 Sequence Number 00046
Batch 402
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This deposit or PBYlent Is accepted subject to
verificBtion end to the rules end regulations of
this bank. Deposits ley not be 1I1111illlble for
Imdlllte withdrewel. Receipt should be held
until verified with YDUr statement.
..
THE PATRIOT-NEWS
PO Box 2265
Harrisburg, P A 17105
Check Date: 02/01/2007
Invoice Number
001149901 ,2007-01-30
SUBSCRIBER REFUND
Vendor Number: 9999999999
Invoice Date Voucher ID
01/30/2007 00015089
Questions regarding this check contact the AP Dept 717/255-8260
Gross Amount
106.55
Check No. 0900005034
Discount Taken Paid Amount
0.00 . 106.55
.
Total
Discounts
Total
Paid Amount
$106.55
Check Number
0900005034
Date-
02/01/2007
Total
Gross Amount
$]06.55
$0.00
- + Capital BlueCross
'\\
CHECK NUMBER:
30012690
.
GROUP I SUBGROUP 10:
00900001 -
02121/07
MAYNARD SHEAFFER
C/OTHEESTATEOFMAYNARDSHEAFFER
111 AUSTIN DR.
ENOLA, PA 17025-2686
..** Explanation Of Refund ......
Refund Reason: Subscriber Deceased-Maynard Sheaffer-800345845
Total Refund Amount:
$140.95
Health care benefit programs issued or administered by Capital BlueCross andlor its subsidiaries, Capital Advantage Insurance Companye and Keystone Health Plane Central. Independent licensees of the Blue Cross
and Blue Shield Association. Communications issued by Capital BlueCrass in its capacity as administrator of programs and provider relations for all companies.
NF-49 (5/2005)
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Individual Billing Invoice
Date: 02/J 612007
Subscriber ID:
800345845 Current Premium:
$268.25
Invoice Number:
070470000059
Retroactive Adjustment:
$0.00
Payment Due Date:
03/18/2007
Adjustment:
$-409.20
Subscriber Name:
Maynard Sheaffer
Past Due Premium:
$0.00
Contract Type:
Subscriber Only
Total Premium Due:
$-140.95
Plan ID:
Security Plan C
Coverage Period:
0110112007 - 02/28/2007
This is your billing invoice from Capital BlueCross. If you have any specific questions about your
invoice, contact Capital BlueCross Customer Service Department at 1-800-962-2242. Payments are due
on or before the due date to ensure prompt claims service.
Thank you for choosing Capital BlueCross as your health insurance carrier.
If you have children under the age of 19, they may be eligible for free or low-cost coverage through the
Children's Health Insurance Program (CHIP). Call1-800-KIDS-101 (1-800-543-7101) for more
information.
PLEASE PAY THE AMOUNT INDICA TED ABOVE FOR "TOTAL PREMIUM DUE." MAKE
CHECK PAYABLE TO CAPITAL BLUE CROSS AND INCLUDE YOUR SUBSCRIBER ID
ON YOUR CHECK.
TO ENSURE PROPER CREDIT, DETACH THE BOTTOM PORTION OF THIS INVOICE
AND RETURN WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE TO:
CAPITAL BLUE CROSS
PO BOX 779515
HARRISBURG, PA 17177-9515
800345845
03/18/2007
Notice Concern in Chan es
O Check here for name, address and
other changes.
See back for instructions.
Amount Due
Subscriber ID
Covera e Period
Pa 'ment Due Date
0I/0I/2007 - 02/28/2007
$-I40.95
Invoice No: 070470000059
26825
tlETURN THIS PORTION WITH YOtJR PAYMENT TO:
1...111..1111.....1.1.1.1...1.1.11..1..1..11.....11..111...111
MA YNARD SHEAFFER
111 AUSTIN DR
ENOLA, PA 17025-2686
10-01
CAPITAL BLUE CROSS
PO BOX 779515
HARRISBURG, PA 17177-9515
13009000010000608003458450010107520070796000001409522
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040
ENOLA (108)
235 NORTH ENOLA ROAD
ENOLA PA 17025
Cashbox 04 AM
* Deposit Multi/Mix
11 :26 FEB 26 2007
Account Number XXXXXX2791
Tran Amount $247.50
Cash Amount $0.00
W/S 10 WWSH1083 Sequence Number 00150
Batch 302
This deposit or pay.ent is accepted subject to
verification and to the rules and regulations of
this bank. Deposits lay not be available for
imdiate withdrawal. Receipt should be held
- until verified with your stateaent.
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COMCAST CABLE COMMUNICATIONS 040CBDT-OOOO03801013
4008 N. DUPONT HIGHWAY
A TTN: SUPPORT SERVICES
NEW CASTLE, DE 19720
03721
MAYNARD SHEAFFER
111 AUSTIN DR
ENOLA, PA 17025-2686
,..., 1/ ...",.....,.,.,.,...,.,. 1/..,..,.."....., ,... 1/...,1/
@omcast.
Dear Maynard Sheaffer,
The attached check represents a subscriber refund for account number 09547-249251 in the
amount of $12.56. If you have any questions or concerns regarding the refund check
you can write us at the address above or call Com cast's toll free customer service number
at 1-888-COMCAST.
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Check Number: 158327400
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DETACH AND RETAIN THIS STATEMENT
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE.
IF NOT CORRECT. PLEASE NOTIFY US PROMPTL Y NO RECEIPT DESIRED.
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Cashbox 03 PM
* Deposit Multi/Mix
17 : 30P APR 9 2007
Account Numbe r' XXXXXX2791
Tran Amount $7,283.28
Cash Amount $0 .00
W/S 1D WWSH1082 Sequence Number 00082
Batch 301
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This deposit or PBYlent Is accepted subject to
verification and to the rules and r~gulations of
this bank. Deposits IBY not be evelleble for
lllledlete wlthdrewel. Receipt should be held
until verified with your stetelent.
Bank of America ~
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March 29, 2007
Dear Maynard L Sheaffer,
Enclosed you will find a check which represents a credit balance refund from your Bank of America
account.
Remember that all credit balance refunds are subject to final audit. Any adjustments will be posted to
your account.
If you have further questions, please contact our Customer Satisfaction Department at 1-800-441-9977.
We appreciate this opportunity to be of service to you.
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09:14 APR 27 2007
Account Number XXXXXX2791
Tran Amount $5,800.00
Cash Amount $2,000.00
W/S 10 WWSH1081 Sequence Number 00026
Batch 301
~.JO ftUKIH tNULA ROAD
ENOLA PA 17025
Cashbox 03 AM
* Deposit Check
12:35 APR 20 2007
Account Number
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W/S 10 WWSH1082 Sequence Number 00170 :
Batch 402
This deposit Dr PIIYlent Is eccepted subject to
verificlltlon llnd to the rules IInd regulations of.
this benk. Deposits IllY not be llulIlleble for
illedlete withdrawal. Receipt should be held
until uerified with your stlltelent.
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verification and to the rules and regulations of
this blink. Deposits IllY not be llvllilllble for
Illedlete withdrllwlll. Receipt should be held
until verified with your stetelent.
TYPE OR PRINT) Certificate of Title must be submitted within 20 days, unless the purchaser is a registered dealer holding the vehicle for resale.
WARNj!\lG - FEDERAL AND STATE LAWS REQUIRE THAT YOU STATE THE MILEAGE
(ODOMETER READING) IN CONNECTION WITH THE TRANSFER OF OWNERSHIP.
FAILURE TO COMPLETE OR PROVIDING A FALSE STATEMENT MAY RESULT IN
FINES AND/OR IMPRISONMENT.
IMPORTANT NOTICE
Please be advised that in lieu of notarization on this form, verification of a person's
signature by an issuing agent who is licensed as a vehicle dealer by the Pennsylvania
State Board of Vehicle Manufacturers, Dealers and Salespersons, or its employee is
acceptable. The signature and printed name of the issuing agent or the issuing agent's
employee, date of verification, the issuing agent/licensed dealership'sdealer identifi-
cation number (DIN) and business name, must be listed in the space provided for
notarization. Vehicle seller and purchaser must sign only in the presence of an officer
empowered to administer oaths or an authorized agent as identified above. .
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GMAC
-
P.O. Box 8100 Hunt Valley MD 21030
1-800-200-4622
March 22, 2007
MAYNARDL SHEAFFER
103 SHARON RD
ENOLA PA 17025
Account No. :
Contract Date:
VIN:
Vehicle:
Date Amount
Financed Paid: 03/13/2007
020-902981835
03/26/2003
2G4WS52J221274102
2002 SUIC CENTURY
Dear GMAC Customer:
Thank-you for financing your vehicle through your dealer and GMAC. We hope
you found our services to be convenient and easy to use.
When you're in the market for a new vehicle. please visit your local General
Motors dealer. And when it comes to financing your vehicle, don't forget to
ask your dealer about GMAC!
Want to know more about other GMAC Financial Services products and services -
like mortgage and real-estate financing, insurance products, investment
opportunities or commercial financing? Visit us on the Web at www.gmacfs.com.
Thanks again!
Sincerely,
GMAC Financial Services
WAC001
MAIL
PIF
020-902981835
001.017528461
III 1 III 1111 II IIIIIIUI I III 11111111111111
..... '-;li;-
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ESTATE APPRAISAL REPORT
OF
PERSONAL PROPERTY
OF
Maynard Sheaffer, deceased
date of death (d.o.d.) February 09, 2007
111 Austin Dr.
Enola, P A 17025
for:
Cindy Sheaffer, Executrix
81-
Peter Russo, Esq.
3800 Market St
Camp Hill, PA 17011
AS OF:
d.o.d. February 09, 2007
Reported on March 20, 2007
BY:
Ibis Appraisal
.
Servlces
I45 N. H4111JVeT St.
.Ra JJ/>>( 24-
C4,{i64 PA qOrj
(717) 243-3474
iDfo@ibisappraisJdB.com
~ibisappraisaJs.com
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TABLE OF CONTENTS
Table of Contents
Appraisal Certificate
Appraisal Summary
Photograph & CD-ROM Instructions
Personal Property Listing
Location: Basement
Location: Back Bedroom
Location: Front Bedroom
Location: Dining Room
Location: Throughout the Household
Location: Kitchen
Location: Laundry Room
Location: Garage
Location: Living Room
Appraisal Summary (Copy)
References
Statement of Qualifications
Assumptions and Limiting Conditions
2
3
4
5
6
6
17
18
21
22
22
24
25
26
29
30
31
32
2
APPRAISAL CERTIFICATE
I hereby certify that, upon the request for the estate appraisal of the personal property of
Maynard Sheaffer, deceased, 111 Austin Dr. Enola, P A 17025, I have personally and
physically inspected the listed personal property. The personal property was appraised to
determine the FAIR MARKET V ALUE, AS OF d.o.d. February 09, 2007 & reported on
March 20,2007. The date of inspection was February 28,2007.
The information and values contained in this report are based upon my experience as an
appraiser and other reliable sources. The personal property was found to be in FAIR to
EXCELLENT condition, unless otherwise noted. Values are reported piece-by-piece,
and/or as a whole. All values reported have been determined with consideration to the
condition of the item, market conditions, and salability factors.
Ibis Appraisal
services
3
APPRAISAL SUMMARY
It is in my opinion, that as of d.o.d February 09,2007, the Fair Market Value of the
personal property of Maynard Sheaffer, deceased, 111 Austin Dr. Enola, PA 17025:
(Seven Thousand Nine Hundred Thirty One Dollars and Zero Cents)
($7,931.00)
Ibis Appraisal
.
erV1CeS
The report must be read in its entiretv. The Appraisal Summarv ONLY is
not the appraisal report.
4
Photograph and CD-ROM Instructions
Ibis Appraisal Services has provided you with a CD-ROM that houses all of the digital
photographs of all of the items appraised. The CD-ROM also contains a saved copy of
the appraisal report. This CD-ROM may be kept with the paper copy of the appraisal
report or kept off-site, such as a safety deposit box.
The photographs are saved in the JPEG picture format, meaning that all of the file names
end with a ".JPG".
The file names correspond to the written appraisal report's Corresponding Photograph
File that is included at the end of each item appraised.
Getting started with your CD-ROM
I. Insert the CD-ROM into your computer's CD-ROM Drive. If you do not have a
computer or access to a CD-ROM Drive--a copy store, office supply store, or public
library will be able to help you view and/or print your pictures.
2. Your computer may contain one or several different software programs that will
allow you to view your pictures. Examples of these programs are Draw, Photo Editor,
Picture It! Express, Photo Suite, My Photo Center, Photo Studio Lite, Photo Shop
Pro, Picture CD, or Photo Deluxe. The program that is included with a digital camera
is another way to view your pictures.
· Select the program for viewing photographs and open the program.
3. Click FILE, and Click OPEN.
4. Use the Pull-Down, "Look in" Menu and select the D Drive (D:) or whichever drive
is designated as your CD-ROM (sometimes this may be the E Drive (E:) on your
computer).
. NOTE
· Your CD-ROM Drive is designated with a small CD-ROM graphic Icon or a
cartoon representing the drive.
· The drives of your computer can be found under My Computer section of the Pull-
Down "Look in" Menu. Common Drives are: A Drive (floppy disc drive), the C
Drive (hard disc drive), the D Drive (CD-ROM Drive), and the E Drive (sometimes
CD-ROM Drive; sometimes an external drive, like a CD-ROM Writer, Zip, or Jazz
Drive).
5. Double-click on the photograph you wish to view.
5
1
2
3
4
Personal Property Listing
Cable. Large selection of wire cabling.
Location: Basement.
Corresponding Digital Photograph Files:
r0320362 & 70320364.jpg
Nails. Large selection of various size nails.
Location: Basement.
Corresponding Digital Photograph Files:
r0320363, 70320365 & r0320378Jpg
Pipe Fittings. Large selection of various size
pipe fittings.
Location: Basement.
Corresponding Digital Photograph File:
r0320367.jpg
~. Vintage metal rail sled.
Location: Basement.
Corresponding Digital Photograph File:
r0320366.jpg
$125.00
$100.00
$45.00
$10.00
6
5
6
Generator. Class 90 13 generator Type:
0062.
Location: Basement.
Corresponding Digital Photograph File:
r0320368Jpg
$200.00
Clamps. Large selection of various size
clamps, including furniture clamps.
Location: Basement.
Corresponding Digital Photograph Files:
r0320369 & r0320370.jpg
$45.00
7 Nail Gun. Wood Tek Stock: 832378 nail $40.00
gun.
Location: Basement.
Corresponding Digital Photograph File:
r0320372. .
8 Fastening Tool. Jamerico IT-loo fastening $50.00
tool. Powder Activated.
Location: Basement.
Corresponding Digital Photograph File:
,0320373. .
9 Clamp Saw. Rockwell clamp table saw, $120.00
Delta Division.
Location: Basement.
Corresponding Digital Photograph File:
r0320374. .
10 Belt Sander. Skil belt sander, 3", Model: $300.00
449.
Location: Basement.
Corresponding Digital Photograph File:
r0320375Jpg
7
11
12
13
14
15
Hammers. Large selection of various size
hammers.
Location: Basement.
Corresponding Digital Photograph File:
r0320376Jpg
$30.00
Paint Sprayer. Fine coat Wagner sprayer,
Number: 0275030.
Location: Basement.
Corresponding Digital Photograph File:
70320377.jpg
$30.00
Screwdrivers. Large selection of various
size screwdrivers.
Location: Basement.
Corresponding Digital Photograph File:
70320379
$85.00
Saws. Large selection of various size
handsaws and blades.
Location: Basement.
Corresponding Digital Photograph Files:
70320380 & r0320402. .
$150.00
Bit Set. Pilot bit set.
Location: Basement.
Corresponding Digital Photograph File:
r0320381.jpg
$10.00
8
16
17
18
19
Wrenches. Large selection of various size
wrenches.
Location: Basement.
Co"esponding Digital Photograph Files:
r0320382 & 70320388Jpg
Screws. Large selection of various size
screws.
Location: Basement.
Co"esponding Digital Photograph Files:
70320383 & 70320394.jpg
Awls & Chisels. Large selection of various
size awls and chisels.
Location: Basement.
Corresponding Digital Photograph File:
70320384.jpg
Router. Ryobi router, heavy duty, Model:
R-5oo.
Location: Basement.
Co"esponding Digital Photograph File:
70320385Jpg
$250.00
$100.00
$400.00
$30.00
9
20
21
22
23
.
Hand Drill. Skilcraft drill.
Location: Basement.
Corresponding Digital Photograph File:
r0320386.jpg
$1. 00
Shingles. Four full packs of black asphalt
fiberglass shingles.
Location: Basement.
Corresponding Digital Photograph File:
r0320387.jpg
$40.00
Trimmer Base. Stanley industrial laminate
trimmer base, Number: 82978.
Location: Basement.
Co"esponding Digital Photograph File:
r0320389.jpg
$15.00
Rulers & Measures. Large selection of
various sized rulers and measures.
Location: Basement.
Co"esponding Digital Photograph File:
r0320391.jpg
$65.00
10
24
25
26
27
28
Orbital Sander. Porter Cable orbital sander,
Model: 334.
Location: Basement.
Co"esponding Digital Photograph File:
r0320390.jpg
Belt Sander. Stanley industrial belt, Model
.01.
Location: Basement.
Corresponding Digital Photograph File:
r0320392.jpg
Plane. Vintage early twentieth century
Fulton plane.
Location: Basement.
Corresponding Digital Photograph File:
70320393. .
Cutters. Large selection of various size
metal and wire cutters.
Location: Basement.
Co"esponding Digital Photograph Files:
r0320395 & r0320413.jpg
Bench Grinder. Craftsman 1/3 HP bench
grinder, Model: 397.
Location: Basement.
Corresponding Digital Photograph File:
r0320396.jpg
$8.00
$30.00
$20.00
80.00$
$35.00
11
29
30
31
32
33
34
Router. Stanley router, Model: 91258.
Location: Basement.
Corresponding Digital Photograph File:
r0320397.jpg
$65.00
Sawzall. Milwaukee sawzall.
Location: Basement.
Corresponding Digital Photograph File:
r0320398. .
$45.00
Tool Boxes. Various size tool boxes,
modern and vintage including Craftsman.
Location: Basement.
Corresponding Digital Photograph Files:
r0320399 & r0320400. .
$60.00
Saw. Black and Decker Super Saw Cat.
Location: Basement.
Corresponding Digital Photograph File:
r0320401Jpg
$8.00
Router. Makita 3606 router.
Location: Basement.
Corresponding Digital Photograph File:
r0320403Jpg
$25.00
Levels. Two large levels.
Location: Basement.
Corresponding Digital Photograph File:
r0320404. .
$20.00
12
35
Saw. Vmtage two-handed saw.
Location: Basement.
Corresponding Digital Photograph File:
r0320404. .
36
Measuring Equipment. Selection of
measuring equipments.
Location: Basement.
Corresponding Digital Photograph File:
r0320405.jpg
37
Handsaws. Two handsaws.
Location: Basement.
Corresponding Digital Photograph File:
r0320406.jpg
38
Clamp. Superior Clamp.
Location: Basement.
Corresponding Digital Photograph File:
r0320407 Jpg
39
Desk. Mid twentieth century desk.
Location: Basement.
Corresponding Digital Photograph File:
r0320408.jpg
40
Lamp. Vintage early-to-mid twentieth
century hobnail and candlewick milk glass
lamp.
Location: Basement.
Corresponding Digital Photograph File:
r0320409Jpg
$10.00
$40.00
$8.00
$20.00
$5.00
$5.00
13
41
42
43
44
45
Rocking Chair. Vintage nineteenth century
Victorian Eastlake rocking chair.
Location: Basement.
Corresponding Digital Photograph Files:
r0320410 & 7032041 J.jpg
Carriers. VariOllS selection of tool carriers.
Location: Basement.
Corresponding Digital Photograph File:
70320412. .
Molding. Huge selection of wood and wood
molding.
Location: Basement.
Corresponding Digital Photograph Files:
70320415-r0320418.jpg
Air Compressor. Bostitch oil free air
compressor, 2.0HP, 6.0 gal.
Location: Basement.
Corresponding Digital Photograph File:
r0320419.jpg
Wood Rollers. Six wood rollers.
Location: Basement.
Corresponding Digital Photograph File:
70320420Jpg
r
$200.00
$30.00
$550.00
$50.00
$90.00
14
46
47
48
49
Drill Press. Delta Rockwell drill press,
Model: UE-62F-610. Number: 119-8602.
Location: Basement.
Corresponding Digital Photograph File:
r0320421.jpg
$125.00
Drill Bit Box. Vintage wood drill bit box.
Location: Basement.
Corresponding Digital Photograph File:
r0320422.jpg
$20.00
Table Saw. Delta table saw XL-1O.
Location: Basement.
Corresponding Digital Photograph File:
r0320423.jpg
$200.00
Table Saw Joiner. Homecraft Delta table
saw joiner lathe.
Location: Basement.
Corresponding Digital Photograph Files:
r0320424 & r0320425.jpg
$100.00
15
50
Miter Saw. Ryobi 10" miter saw.
Location: Basement.
Corresponding Digital Photograph File:
r0320430Jpg
Table Saw Joiner. Delta table saw joiner
lathe.
Location: Basement.
Corresponding Digital Photograph File:
r0320426.jpg
51
Planer. Dewalt planer Type 1, 60Hz, 12Ov.
Location: Basement.
Corresponding Digital Photograph File:
r0320427.jpg
52
Radial Arm Saw. Delta Muhiplex 4O-A
radial arm saw.
Location: Basement.
Corresponding Digital Photograph File:
r0320428.jpg
53
Radial Arm Saw. Dewalt radial arm saw.
Location: Basement.
Corresponding Digital Photograph File:
r0320429Jpg
54
$100.00
$300.00
$45.00
$40.00
$70.00
16
55
56
57
58
59
Joiner. Clamp joiner, roller, lathe.
Location: Basement.
Corresponding Digital Photograph Files:
r0320431 & r0320432.jpg
$70.00
LOCAD N:BACKBEDR M
Chest. Mid-to-Iate twentieth century chest
with mirror. Maker: Basset.
Location: Back Bedroom.
COn'esponding Digital Photograph File:
r0320433.jpg
$50.00
Bed. Mid-to-late twentieth century cannon
ball twin bed.
Location: Back Bedroom.
COn'esponding Digital Photograph File:
r0320434.jpg
$30.00
Nightstand. Mid-to-late twentieth century
wood nightstand.
Location: Back Bedroom.
Corresponding Digital Photograph File:
r0320435.jpg
$15.00
Lamp. Mid-to-late twentieth century brass
lamp.
Location: Back Bedroom.
Corresponding Digital Photograph File:
r0320437Jpg
$10.00
17
60
61
62
63
ATION: FRONT BEDROOM
Secretaty. Mid-to-Iate twentieth century
hardwood secretary.
Location: Front Bedroom.
Corresponding Digital Photograph File:
r0320438Jpg
$100.00
Glassware. Various selection of modem
miscellaneous glassware.
Location: Front Bedroom.
Corresponding Digital Photograph File:
70320438Jpg
$15.00
Bed. Mid-to-Iate twentieth century double
bed headboard.
Location: Front Bedroom.
Corresponding Digital Photograph File:
70320439. .
$20.00
Table. Mid-to-late twentieth century
hardwood occasional table.
Location: Front Bedroom.
Corresponding Digital Photograph File:
r0320440Jpg
$20.00
18
64
Blanket Chest. Mid twentieth century
blanket chest.
Location: Front Bedroom.
Corresponding Digital Photograph File:
r0320446.jpg
Lamp. Early-to-mid twentieth century lamp
with milk glass shade.
Location: Front Bedroom.
Corresponding Digital Photograph File:
r0320442.jpg
65
Figurine. Queen Elizabeth II memento
statue 1988.
Location: Front Bedroom.
Corresponding Digital Photograph File:
r0320443. .
66
Chest. Vintage early twentieth century oak
chest.
Location: Front Bedroom.
Corresponding Digital Photograph File:
r0320444.jpg
67
Rocking Chair. Mid twentieth century
hardwood rocking chair.
Location: Front Bedroom.
Corresponding Digital Photograph File:
r0320445.jpg
68
$8.00
$1. 00
$175.00
$35.00
$35.00
19
69
70
71
72
Dresser. Vintage early twentieth century
oak dresser.
Location: Front Bedroom.
Co"esponding Digital Photograph File:
r0320447.jpg
Lamps. Two vintage early twentieth century
hobnail and candlewick milk glass lamps.
Location: Front Bedroom.
Co"esponding Digital Photograph File:
r0320448.jpg
Books. Selection of miscellaneous books.
Location: Front Bedroom.
Co"esponding Digital Photograph File:
r0320449.jpg
Books. Two sets of Audels, Plumbers and
Steamfitters Guide. Full set. 1st edition and
~ editions.
Location: Front Bedroom.
Corresponding Digital Photograph File:
r03204050. .
$250.00
$20.00
$50.00
$60.00
20
73
74
75
76
77
L ATION: DININGR M
Dining Suite. Mid-to-Iate twentieth century
dining suite with dining table and six total
chairs - four side chairs and two arm chairs.
One of the arm chairs is the captain's chair
in the back bedroom and one is in the
basement.
Location: Dining Room.
Corresponding Digital Photograph File:
r0320451. .
Frames. Large selection of miscellaneous
picture frames.
Location: Dining Room.
Corresponding Digital Photograph File:
r0320452Jpg
Chairs. Two mid-to-Iate twentieth century
bar chairs.
Location: Dining Room.
Corresponding Digital Photograph File:
r0320453Jpg
Cabinet. Mid-to-late twentieth century
wood china cabinet.
Location: Dining Room.
Corresponding Digital Photograph File:
r0320454.jpg
Glassware. Large selection of miscellaneous
glassware.
Location: Dining Room.
Corresponding Digital Photograph File:
r0320455Jpg
$100.00
$10.00
$10.00
$40.00
$35.00
21
78
79
80
~
Decanter. Penn State decanter.
Location: Dining Room.
Corresponding Digital Photograph File:
70320456.jpg
$15.00
Lazy Susan. Pfaltzgrafflazy Susan.
Location: Dining Room.
Corresponding Digital Photograph File:
r0320457.jpg
$10.00
Silverware Service. Oxford Hall stainless
steel silverware service.
Location: Dining Room.
Corresponding Digital Photograph File:
70320458. .
$30.00
81 Knick Knacks. Large various selection of $25.00
knick knacks and figurines.
Location: Throughout Household.
Corresponding Digital Photograph File:
r0320460. .
LOCATION: KITCHEN
82 Microwave. Old model Portland $1. 00
microwave.
Location: Kitchen.
Corresponding Digital Photograph File:
r0320461 Jpg
83 Knife Set. Cutco knife set. $3.00
Location: Kitchen.
Corresponding Digital Photograph File:
70320462Jpg
22
l
84
Flatware. Miscellaneous selection of
flatware.
Location: Kitchen.
Corresponding Digital Photograph File:
r0320472Jpg
Toaster. Sunbeam toaster.
Location: Kitchen.
Corresponding Digital Photograph File:
r0320463.jpg
85
China Service. Service ofPraltzgraff brown
drip china including cookie jar, spoon rest
and salt/pepper shakers.
Location: Kitchen.
Corresponding Digital Photograph Files:
r0320459 & r0320464.jpg
86
China Service. Service for 8 ofMZ Austria
china.
Location: Kitchen.
Corresponding Digital Photograph Files:
r0320465 & r0320466Jpg
87
China Service. Service for approximately
14. Wedgwood Spiral Royal Blue.
Location: Kitchen.
Corresponding Digital Photograph Files:
r0320467 & r0320468. .
88
China Service. Several pieces of Hall
Autumn Leaf including bulbous water
pitcher, regular water pitcher and coffee pot,
cups and a waste bowl.
Location: Kitchen.
Corresponding Digital Photograph Files:
r0320469-r0320471. .
89
$5.00
$150.00
$225.00
$250.00
$90.00
$2.00
23
90
91
92
93
'\
Cooking Items. Miscellaneous selection of
cooking items.
Location: Kitchen.
Corresponding Digital Photograph File:
r0320473.jpg
LOCATION: LA
Stein. Schweiz King beer stein.
Location: Laundry Room.
Corresponding Digital Photograph File:
r0320474.jpg
Stein. Sheffield foxhunt stein.
Location: Laundry Room.
Corresponding Digital Photograph File:
r0320475.jpg
Stein. Halt Mass a. Ziel. Trink Nie Zuviel-
Original King. West Germany stein.
Location: Laundry Room.
Corresponding Digital Photograph File:
r0320476.jpg
.
$10.00
$15.00
$3.00
$15.00
24
94
95
96
97
98
Stein. Wien. Original King stein.
Location: Laundry Room.
Corresponding Digital Photograph File:
70320477.jpg
Stein. Salzburg. Original King stein.
Location: Laundry Room.
Corresponding Digital Photograph File:
r0320478.jpg
Computer. Older model Etower 633
computer.
Location: Laundry Room.
Corresponding Digital Photograph File:
70320484Jpg
Printer. Lexmark Z22 printer.
Location: Laundry Room.
Corresponding Digital Photograph File:
70320485Jpg
LOCATION: GARAGE
Lawn Mower. Craftsman EZ Mulch Turbo
riding mower with 42" cut.
Location: Garage.
Corresponding Digital Photograph File:
70320479Jpg
$15.00
$15.00
$50.00
$10.00
$450.00
25
.
99
$250.00
Snowblower. Tom 524 snowblower.
Location: Garage.
Corresponding Digital Photograph File:
r0320480Jpg
100 Ladder. Modem ladder. $35.00
Location: Garage.
Corresponding Digital Photograph File:
r0320481Jpg
101 Yard Equipment. Miscellaneous selection of $40.00
yard tools and equipment.
Location: Garage.
Corresponding Digital Photograph File:
70320482. .
102 Weed Wacker. Black and Decker cordless $35.00
Grass Hog.
Location: Garage.
Corresponding Digital Photograph File:
r0320483. .
LOCATION: LIVIN ROOM
103 Livin8 Room Suite. Mid-to-Iate twentieth $150.00
century oak living room suite including sofa
table, television stand and two end tables.
Location: Living Room.
Corresponding Digital Photograph File:
r0320486. .
104 Lamps. Two twentieth century brass table $20.00
lamps.
Location: Living Room.
Corresponding Digital Photograph Files:
r0320487 & r0320488.jpg
26
105
106
107
108
109
~
.
~. Modern floor lamp.
Location: Living Room.
Co"esponding Digital Photograph File:
r0320489.jpg
$12.00
Chair. Twentieth century plush wing chair.
Location: Living Room.
Co"esponding Digital Photograph File:
r0320490.jpg
$40.00
Chair & Sofa. Matching twentieth century
plush chair and sofa.
Location: Living Room.
Co"esponding Digital Photograph File:
r0320491Jpg
$85.00
Print. Ray Hendershon print, framed and
matted.
Location: Living Room.
Co"esponding Digital Photograph File:
r0320492Jpg
$8.00
Clock. Seth Thomas mantel clock with
cherubs.
Location: Living Room.
Co"esponding Digital Photograph File:
r0320493Jpg
$8.00
27
110
~
.
.
Television. Sony 32" color television.
Location: Living Room.
Corresponding Digital Photograph File:
r0320494.jpg
$55.00
Total $7,931.00
28
~
.
4
.
APPRAISAL SUMMARY (COPY)
It is in my opinion, that as of d.o.d February 09,2007, the Fair Market Value of the
personal property of Maynard Sheaffer, deceased, 111 Austin Dr. Enola, PA 17025:
(Seven Thousand Nine Hundred Thirty One Dollars and Zero Cents)
($7,931.00)
Ibis Appraisal
.
V1CeS
The reoort must be read in its entiretv. The Aooraisal Summarv ONLY is
not the aooraisal reoort.
29
"
.
.
Appraisal References
Abe Books. http://www.abebooks.com
Brickers. Chuck E. Auction. 93 Texaco Rd. Mechanicsburg, PA 17050. 717-776-5785.
Conestolla Auction COmDany. Inc. 768 Graystone Rd. Manheim, PA 17545. 717-898-
7284. http://www.conestogaauction.com/auctions/
Dewalt. http://www.dewalt.com
eBay. http://www.ebay.com
Gottshall. Jr.. Roy Auctions. 113 Forge Rd. Boiling Springs, PA 17007. 717-258-6222.
Hershey. Dan Auctioneerinll Service. 3 Brown Rd. Shippensburg, P A 17257. 717-532-
4647.
F. Lonev. C.A.P.P.. L.P.1. 2007. Personal Communication
Ocker. Carl E. Auction. 4401 Philadelphia Ave. Chambersburg, P A 17201. 717-264-
6578. http://www.kennysauction.com/
Old Wood Workinll Machines. http://www.owwm.com/PhotoIndex/ByType-
Detail.asp?Type= 14
ReDlacements. http://www.replacements.com
Rowe's Auction Service. 2505 Ritner Hwy. Carlisle, PA 17013. 717-249-2677.
http://www.rowesauctionservice.com/
Sears. http://www.sears.com
York Town Auction. Inc. 1625 Haviland Rd. York, PA 17404.
.
.
30
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.
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Statement of Qualifications
Alyssa L. Loney, C.A.P.P.
Professional Designations and Certifications
C.A.P.P. - Certified Apomiser of Personal Prooertv designation earned through course work
and classes provided by the Institute of Appraisal of Personal Property.
Archaeological Resources Protection Act - Certified to conduct investigations and damage
assessment that pertains to violations of the United States federal, state, and local laws
pertaining to archaeological sites and cultural properties. Including by not limited to the
Archaeological Resources Protection Act of 1979, National Historic Preservation Act of
1966, the Native American Graves Protection and Repatriation Act and the American
Antiquities Act of 1906.
Professional Accomplishments
. State Historical and Underwater Archaeologist for the State of Louisiana.
. Attended the Conservation of Indian Artifacts Symposium sponsored by the Smithsonian
Institution and the Tunica-Biloxi Indian Reservation, Marksville, Louisiana.
. Director of the West Virginia University Historical Costume Museum.
. Research Archaeologist! Artifact Instructor for CADW (Welsh Historic Monuments)!
University of York, England.
. Research and Preservation Specialist for the Maryland Historical Trust.
. Presented and published works for national and international organizations including the
Society for Historical Archaeology, Middle-Atlantic Archaeology Conference, Southeastern
Archaeological Conference, Louisiana Archaeological Society, and the Maryland Historical
Trust.
Education
B.Sc.
Historical Textiles and Clothing, 1992, West Virginia University, Morgantown,
West Virginia, United States.
Medieval Archaeology, 1995, University of York, York, England.
Certified Appraiser of Personal Property, 2001, Institute of Appraisal of Personal
Property, York, Pennsylvania, United States.
Certified to conduct investigations and damage assessment that pertains to
violations of the United States federal, state, and local laws pertaining to
archaeological sites and cultural properties.
First Step Entrepreneurial Series, 2001, Kutztown University of Pennsylvania,
Small Business Development Center.
M.A.
C.A.P.P.
A.R.P .A.
S.B.D.C.
Presently
Director and Founder ofIbis Appraisal Services. Member ofInstitute of Appraisal of Personal
Property, American Society of Appmisers, Appraisers Association of America, International
Society of Appraisers, and Professional Coin Grading Service.
Conducts extensive on-site appraisals, assessments, analyses, and authentication of personal and
cultural property. Operates on local, national, and international levels. Conducts research on all
objects considered personal and cultural property.
31
.
~
.
.
,.
Assumptions and Limiting Conditions
The term "Fair Market Value", as used in this report, is defined as follows: The highest price an
item would bring if the sale occurred under normal market conditions providing
I. neither the buyer or seller is acting under duress,
2. the property has been exposed on the open market for a reasonable length of time,
3. both the buyer and the seller are aware of the potential assets and defects,
4. no unusual circumstances are present.
This appraisal was based upon the following assumptions, limitations, and conditions:
1. The information contained in this report was gathered from sources considered reliable,
personal examination, research of authenticity and comparable sales and/or auction prices.
2. No responsibility is assumed for matters that are legal in nature, including, but not limited to:
the representation of others concerning the value, authenticity, condition, origin, or
provenance of an item appraised.
3. The appraiser assumed that a normal and careful examination ofthe property was sufficient
to determine its quality and condition and that no extraordinary examination procedures were
to be utilized, unless these were specially requested and the expenditure of funds therefore
authorized.
4. The appraiser's court attendance and expert testimony report, if required, are not included as
part of this report. The appraiser does have the right to refuse testimony.
THE UNDERSIGNED HEREBY CERTIFIES;
1. That I have no interest now, nor have I had an interest in the past, nor shall I
contemplate an interest in the future, in the property covered by this appraisal.
2. That to the best of my knowledge and belief, all statements and information included
in this appraisal are true and based upon objective findings and that no pertinent
information has been knowingly withheld or deleted in this report.
3. That neither the employment to make this appraisal or compensation for doing so is
contingent upon the value of the property.
It is the firm belief of the appraiser that the information furnished in this appraisal report and the
conclusions drawn from this information are true and correct, but they are not guaranteed.
Ibis Appraisal
.
rV1CeS
.A.
32
REV-1511 EX+ (12-99*
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETlJRN
RESIDENT DECEDENT
SCHIDULI H
FUNERAL EXPENSES &
ADMINIS1RA11VE COSTS
ESTATE OF
Maynard L. Sheaffer
FILE NUMBER
21-07-0156
Debta of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
2
3
FUNERAL EXPENSES:
Service
Cemetary
LlIlcheon
8,172.00
1,195.00
229.00
1.
B. ADMINISTRATIVE COSTS:
1. Personal Reprhe.llatiftl's ConInis&ioIIS
NlIne of Personal RIlPllISIlIlIalive(S)
SodaI Security Number(s)/EIN NunDr d Personal RIlpresentalives)
S1nlet Address
City
Y8ll'(s) Commission Paid:
State
Zip
2.
Attomey Fees
4,000.00
3. FamIy Exemption: (If decedent's address is not the same as clairnant's, attach expIanalion)
Claimant
S1nlet Address
City
~ d CIainant 10 Decedent
SIaIe
. Zip
4.
ProbaIe Fees
536.29
5. AccounIant's Fees
6. Tax ReUn Preplnr's Fees
7.
TOTAL (Also enter on lile 9, Recapitulation) $
(If more space is needed, inSBrt additional sheets of the same size)
14,132.29
Sullivan Funeral Home
51 North Enola Drive
Enola, PA 17025
732-5400
STATEMENT OF FUNERAL GOODS AND SERVICES SELECfED
Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items, we will
explain the reason in writing below.
If you selected a funet:IJ that may require embalming, such as a funeral viewing, you may have to pay for embalming. You do nO! have to pay for embalm.
ing you did nO! approve if you selected ~~}J'/:~uriaI. If we charged for embalming, we will explain why below.
For the Service of . Date of Death ~ -1 - 07
Charge to:
Name
Address
A. OIAJlGE FOIl SElMCES SELI!Cl1lD:
I. PROFESSIONAL SERVICES / (IJ
=~~~ ~.~~~~.::::: :':~Jf;;:-
Other pleparation of body
sUB.TOTALOFPRoFESSioNAi"SEiM~.... .AI $#410,{fO
2. FACIUI1J!S AND SElMCES
Use of faci1iIies and services for
viewin8 (VJSitationlWake) .. . .. . .. .. $
Use of fac:ililies and services
for funeral c:=mcny ............. $
Use of faci1iIies and services for
Memorial Servke ................ $
Use of equipment and services
for graveside service .. .. .. .. .. .. .. $
Other use of faciIi1ies
. . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . $
SlJB.TOTAL OF FACIUl1FS/IlQVJPM ...........A2 $-====
3. AUJ'OMOTIVE EQUlFMl!NT
Vehide 10 transfer =ains 10 Funeral Home '.91. '6
Local .. .. . .. .. .. .. . .. . .. . .. .. .. . $L-
Hearse (Cask.. CoadI) ,?,J,f t()
Local........................... $~
limousine
Local .. .. .. .. .. .. .. .. .. .. .. .. .. . $
Family car
Local........................... $
Flower car or lIor.&I disposition
Local .. . .. .. .. .. .. .. .. .. .. .. .... $
Lead car/clergy car
Local .. .. .. .. .. . .. .. . .. . .. .. .. .. $
Car for pallbearers
Local........................... $
Out oflOWn transpOI1ation........... $_
$- Sl~:;;'
SUB-TOTAL OF AuroM011VE EQUIPMENT .........A3 $
TOTAL OF PROFESSIONAL SERVICES,
~~~.~~~~.... .... ... ..........A $ 3"SIY
B. CHAllGE FOIl MEROIANDISE ~.!O f!v--
=f!J':~""'" $-
Olher Receplacle ..... . . .. . . . . . . .. . $~
(Desai.p<ion) ~ ..AA~
=;:~litF"..... $~
.\cknnwh:dgel11l."" C'MUs' . . . .
Rc1jisref book(sJ . . . .
Mc'11lOl)' folders ..
PrJrcr canJs . , . .
T cmpor.uy gr.lvc marker
lluri:d do<hing .
. .. . $-5tfs-
.....$~
..... $~
.$-
.~
.$_
....$_
City
S e
Other clothing
.....B $J'IJS-~
Cremalionum .................... $
{Desai.p<ion}
$
$
TOTAL MEROIANDISE SELECTED . . . . . .
C. SPEOAL CHAllGES:
Fmwarding of remains to
OTIIER
$t
(Funeral Home)
Receiving of remains from
brune<tiate B~ ~~).. . .. .. . .. . :
Direct Cremation .................. $
$- --
SUB-TOTAL OF SPEOAL CHAllGES .................C $_
D. CASBADVANCED ~
Opening GlOve ............ .
Cemetery Equipment ........ ...... $
La< and Deed .. .. .. . .. .. .. .. . .. .. . $
Newspaper Notices-Local .. .. .. .. .. . . $
Newspaper Nolice&-<lu,.<lf-rown ...... ~
Telephone & Telegrams .... ... . .. .. . $
AUf.... .. . . . . . . . .. . . . . . . . . . . . . . . . $
Cetgy/Mass Offering ...............
. PaJIbeareIs .. . . .. . .. .. .. . .. . . .. .. . $~
Certified . of the th .. .. .. .. . $
CcrtifIa.te'i.~ f:t-: ."Ir. co. . . . . . . . . . $
PoliceEscoJ!..r:' ... ... ............!m
F1~;~~./~<::::::::i~
. .
$
. $
$ ,
$ : t-.
.. .. .. .. .. .. ....0 (ifltI
We charge you for our services in oblaining:
(specify aub advances /bat are marlled-up)
SUMMARY OF CHARGES
A. Professional Services, facilities and
Equipment, and Automotive
Equipmenl . . .. . . . . .
B. Merchandise
C. Special Charges .....
D. Cash Advances. . . . . . . .
TOTAL OF AU SEcnONS
PAID AT TIME OF OR PRIOR W A-:-:.-L
ARRANGEMENTS. . . . . . . . . . .vW~.
BAlANCE DUE . .. .. .. .. .. ..
REASON FOR EMBALMING
::::d~~~
.::: :$MJ. (() p#Z-
........_...~s Ja~ '"
")'U,tw... $
............ 00
,
P~.
~,Ol
yO" 101d-
&"
If :11'1)' law. t.'cmClcr)'. or crcm;uury n:tluircmcnlS haye: n:tluirc:d the: pun.:h:Jsc
(If :Ior of dll~ ilClns listed :,hc.lVt:. the \:1\\' or n..--quiremcnl is explained helm\.
1 ;lgrl.~ thoU I 113\'C c~ll1i~xJ the items of g(Kx.Is and services sdCl.led alxm.~ and ruunJ lhl"1ll tu Ill' ,:om..'1.1 and :H':<..1lflling III the ;4rr.tngcl1ll'nu.: I hare rClflU.:sh:d. I ;h:knowk-Jgl..'
n..'l'cip( of:l n)p)" of Ihis StoItemcl1l. of Funeral Goods .and Scrviccs SclClll.'tl. I rcprcsl'nt lh:il I ha\'t.: slIflll"icnl. funus :l\"ailahl\: fur pa)'mCni uf the rash prit',-", fllr lh.., gl.kf\.I:-;
:II1U scryi\:c~ Sdt'l1CU. I alsu :I~rcc (u 11l;lkc parl~lt:m uf S within ...bys. I ;Igrc..... LtJ he ~Iintly :10<.1 sen:rod)r li~hle: with ;Illron.... d:\l,,; wil.,
sign..;, hdo\\', A lal..... dl~rgc (If per munth :ulluunling to 1>I.:r y....~1f willl'k: :lpplie:d 10 th..., unp:lid h~t1~ni.."'. IA:~illnillg .I;i~..
Irol11 lhe: Lbb: uf this ~~n..'cmenl. l will also pay (0 the Fum::t.tl Din:cIlJr all rca.sun~hlc n 1St:' Il:.lid hl" th.... Fun....r"JI I>irct:tur to l.."lJIh.'C1 :unuUnL'i I O\\"l' LInder thi.... :igr....I,:Ili.:1l1
'11Ill..""" co.'iLS may indude at(()mc)'s. fees, ('oun l'tJS!S ~nt.l other 11.J.'itS. Anr aduilion:1i ~l:lyi~'cs <If 11l<.'Ti.'h:lI\dise ()rderL't] llr rt.......lllCSlct.1 afler Ihe 1.1att... uf IJli~ ~lgICI,."IIIt..'nl \\ iil
l)l~ t.11n...U. :d Ran of this ;lg' 'menl. nd the l"lJ:t1 tilt..' ~uf \\'iII he rcJ1t..'l"It..'f..I un the fin:!1 hill Of ...1~ltcllIl'nL
(Sl.:aIJ
lSl.:~I)
(I'urcil,..,r)
r 1"'Jm-rh;mi:o l'unl.'f"JI Uu...",J(lo A_ll,.....liun
iorm - 600 Revised 1/04
\l.HH1' I'''III.'''.J~ 1>11.....,0,
i"\.I\' :.,.,,;, ;:,;..;
.1"...,...
IOU:INGG~ltt~N (;IlMn~l1.Y
Hm(J1U\'U~!" · CNfWl III&. '.'70" .. \1U'H'41~
~s~ aO:~HJ~)4
THIS AGREEMENT PROVJDES FOR ENDOWMENT CARE
CEMETERY INTERMENT RIGHTS, MERCHANDISE AND SERVICES PURCHASElSECURITY AGREEMENT
Date: ",;2, (\ (',' f 'I 624 No.
The undersigned, referred to as "Purchaser", hereby agrees to purchase the Interment Rights; Merchandise and Services described
herein, subject to acceptance and approvl!l ofJhe above named cemetery, hereinafter referred to as "Seller".
PURCHASERt' I'" r\ \ \ / \., ( ;' ~\ -\, ( TELEPHONE: i II' I ' ( I' ,'..) ') I:
ADDRESS I ('.'? , "/J~.., 1'/1"'" 'T> I. ,<;1'\ (, \ (,. I~')(\ /1-1 {, ,,~t::;
," Street I l ( ", ('. City
Name of Deceased f"\ I , ..'\ ~".. ,'-, '~ ,,\ \,... " ,J'<, '., " ,.\, "\1 r
Description of Interment Ri~hts: ( '.,' \ S. ,:~ C' \,
Issue Certificate of Interment Rights to:
Address
Slllte
Zip
Street
City
Slllte
Zip
INTERMENT RIGHTS. MERCHANDISE AND SERVICES
Interment Rights (including Endowment Care of $ -,.,..,..... ) $ ..........0...,.-....'.
...................................................................
Interment Fees.. ........ ...... ... ....... ........... ............ ......... ........... ............ ........ .................................. ....... .................. ......... -il/ 'iC":~ . ,('.
Memorialization - Type ............................
Size Design ........................... ' "
Memorial Base - Type ............................
.......,..."._.,...e.
Size Color ...........................
Memorial Endowment Care of -~.'.~......, .~.._,...,~^'.._. '"
...................................................................................................................................
........... ,..,~ ..
Memorial InstallationlInspection Fee. ........... ... ........ ......... ................... ........................................ .............................
Outer Burial Container - Material ............................
",,,,".., .~..,.
Model Supplier ...........................
Cremation Charge .... ...... .......... ... ... .... .... ... .... ......... .... .............. ........................ ............................................................ ......,..-(......~.',,,.-., ,. .....,.-.....'"
Urn - Type Size ...........................
Flower Vase- Type ,'"''''''
............................
Nameplate................................................................................................................................ ...................................... .,,,-..,._,.-...,.-.....
Lettering -. .....~,.,.,.-',...<:"._-- ..~.... ,'"
.......................................................................................................................................................................
'-~<I:......,"-...~--,
Other ...........................
,
Other ....;,....................
............................
Sales Tax .---.......""........"',..............-,. ...,
.....................................................................................................................................................................
TOTAL CASH PRICE ............................................................................................................................ I I ("( , .J
I \
LESS: .\.).;\..,....C\:;.:~\...lL:f:(..b....................................
\ r ('" ( t....~
Down Payment Cash $ \ \.
l.' .. .. .
Other Credit ....._--'.,.....,....~."-
.................................................................................................
$< I t ({'~\ c.t'. :>
Total Down Payment .......................................,...................................................................................... I
UNPAID BALANCE OF CASH PRICE ............................................................................................. $ "(:"1:"
REMARKS:
,
TERMS - CASH SALE
The Total Cash Price is due and payable as of the date of this Agreement. A delinquency charge of .";;'..-..",, percent will be
assessed monthly on any balance not paid within 30 days of the date of this Agreement. If Jess thanfuJJ payment is received, Seller
~hSlln (lprlnrt thp SI~prllP(l (liPlinOlllt1n",,,, ",haroll 'ronl t:hA cnnnnn." ..o....a;VQ,t and ~...dU ........ .o.....i>>:....d...... ^, .....ft ....n..,_~".. ____1..._..1 .._ .........
..
..
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0663854
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Ord
10tJ7 20
71oo~~
Name
Address
~I
QUAN.
C.O,~ ,\ CHARGE I ONACCT'lMDSE,RETDj PAIDOOT I
DESCRIPTION
PRICE
AMOUNT
,.()c/
Rec'd by
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of wills
One Courthouse Square
Carlisle, PA 17IT13
Rece~pt Date:
Rece+pt Time:
Recelpt No.:
2/16/2007
14:55:23
1047354
SHEAFFER MAYNARD L
Estate File No. :
Paid By Remarks:
2007-00156
JA
------------------------ Receipt Distribution ------------------------
Fee/Tax Description PaYment Amount Payee Name
PETITION LTRS TEST
WILL
AUTOMATION FEE
SHORT CERTIFICATE
JCP FEE
Check# 1690
Total Received.........
260.00
15.00
5.00
12.00
10.00
----------------
$302.00
$302.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
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f
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, P A 17013
March 30, 2007
Cumberland Law Journal is published every Friday by the Cumberland County Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Peter J. Russo, Esquire
Maynard L. Sheafer, Estate
RE:
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
March 16, 23, 30, 2007
Advertising Cost
75.00
Proof of Publication
$ 0.00
Second Proof Request
$ 0.00
Payment received
$ 75.00
Total Amount Due
$ 0.00
Becky H. Morgenthal, Executive Director
~
(^"
,
'.
o
r
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16,1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
55.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
VIZ:
March 16, March 23 and March 30, 2007
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
Sheaft'er, Maynard L" dee'd.
Late of Enola.
Executrix: Cindy E. Sheaffer. 103
Sharon Road, Enola, PA 17025.
Attorney: Peter J. Russo. Es-
quire. 3800 Market Street. Camp
Hill. PA 17011.
~
TO AND SUBSCRIBED before me this
day of March. 2007
~
' NOTARlAL SEAL
LOIS E. SNYDER, Notary Public
. Carlisle Bora, Cumberland County
~ My Commi:.;"ion E<pires March 5, 2009
,.,;tUlrJ<.;:.l".:....,"."..MI'~..O':'...,.......;Ji'}'.$k.
Ibis Appraisal services
.
P.O. Box 24
145 N. Hanover St.
Carlisle, PA 17013
.
.
.
(717) 243-3474
Info@ibisappraisals.com
www.ibisappraisals.com
STATEMENT
March 22, 2007
Cindy Sheaffer, Executrix &
Peter Russo, Esq.
3800 Market St.
Camp Hil~ P A 17011
RE: Maynard Sheaffer Estate Personal Property Appraisal
Dear Ms. Sheaffer and Atty. Russo:
Please find enclosed the requested five hard copies and five digital copies of the Maynard
Sheaffer estate . personal property appraisal report. Should you need any more items
appraised or have any questions and comments, please do not hesitate to contact
Ibisas@earthlink.net or me at (717) 243-3474. I can also provide extra copies ifneeded. . I
APPRAISAL FEE: $540.00 t,j I Ii 10
PERSONAL PROPERTY: 60. OO/hour x 9 hours = $540.00 t j.. 10'.3
PERSONAL PROPERTY:
Ibis Appraisal Services has researched, consulted, and appraised the personal property of
Maynard Sheaffer, deceased (date of death February 09,2007), 111 Austin Dr. Enola, PA
17025. The final report was completed and produced on March 20, 2007.
Thank you!
Yours faithfully,
REV-1512 EX+ (12.00) ..
COMMONWEALTH OF PENNSYlVANIA
NlERITANCE TAX RETURN
RESIDENT DECEDENT
SCHIDUU I
DEBTS OF DECEDENT,
MORTGAGE UABlunES, & UENS
ESTATE Of FILE NUMBER
Maynard L. Sheaffer 21-07-0156
RIpoIt dIbls Incun'Id by ... dIcIdInt prior.'" dIIIh which NIIIIIned unpIkIa 01... dID 01 dIIlII, including lIIlnIIIIburIIc 1IIICIIcII1lqlllIIIII.
ITEM VAlUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. AAA Financial Services 1,800.00
2 Verizon 40.64
3 PA American Waer Co. 15.62
4 PPL Electric Utilities 35.76
5 GMAC 262.56
6 UGI 195.25
7 Waggoner, Fruitiger & Daub, CPA 200.00
8 Verizon 1.63
9 Byerly Insurance 188.00
10 PA American Waer Company 12.62
11 PPL Electric Utitlies 36.91
12 Cindy Sheaffer - UHAUL Truck 59.17
13 Susan Rickens - Trash Removal 134.00
14 UGI 66.30
15 PPL Electric 10.68
16 IBIS Appnisal Services 540.00
17 Locke's Automotive 95.88
18 PA American Water Company 6.01
19 Susan Rickens - Ads for Tools and Car 48.00
20 GMAC (final payment) 3,576.31
21 Hospice of Central PA 2,000.00
22 Sam One - Mortgages and Satisfaction Pieces 173.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, Insert additionat sheets of the same size)
9,498.34
ummary
For Service To: Maynard Sheaffer
111 Austin Dr
Account Number: 24-1312239-7
Premise Number: 24-0601399
----....-Prior Balanc8o-------------
Balance from last bill
Payments prior to Feb 20, 2007. Thanksl
Total prior balance, Feb 20, 2007
-----Current Water Charges~----
Service Charge
Water Volume ($.005735 x 600)
STAS PAWC Water -0.44%
DSI- PAWC Charge 5~00%
Total water charges, Feb 20, 2007
$17.42
-17.42
.00
Billing Period & Meter Information
Billing Date: Feb 20,2007
Billing Period: Jan 19 to Feb 16 (28 days)
Next reading on/about: Mar 16, 2007
Rate Type: Residential
11.50
3.44
-.07
.75
15.62
Meter readings in current billing period:
Meter Number N075643832 is a 5/8-inch meter.
Present-estimate 50100
Last-actual 49500
Gallons used
$15 . 621
------AMOUNT DUE ------------
t'
\01
'3\\ .
~
Water Usage Comparison
Monthly usage in hundred gallons.
1.0
eo
M A M J J A S 0 N 0 J F 2 ;'f
a r a u p u e c 0 e a g 8
r y n 9 p t v C n
7 ~.
*=Estimate
Messages to you from Pennsylvania American Water
Any portion of the water charges which is not paid as of 3/19/07 will be subject to a 1.50% penalty.
* Customers may use their credit card, debit card or par.. by electronic check only by calling toll free: 1-866-271-5522.
Customers may also pay on-line at www.water.paymybill.com. A service fee will apply.
* Approximately 4.72 percent or $.73, of State taxes are included in your current bill.
* Effective January 1, 2007, the Distribution System Improvement Charge (DSIC) has increased from 4.92%
to 5%. This charge funds the replacement of water distribution facilities.
* Effective January 1, 2007, the State Tax Adjustment Surcharge (STAS) decreased from -0.33% to -0.44%.
* Effective August 14, 2006, the State Tax Adjustment Surcharge (STA$) decreased from -0.29% to -0.33%.
Customer Service & Emergencies 1-800-565-7292 (24 Hours)
For Hearing Impaired Customers TOO 1.-800-300-6202 (24 Hours)
Visit us on the INTERNET: www.pawc.com
RAWlOOAMW491
AIM
0412
25935
,---- -- ~ ~ ~ ~----- -----. ~--- -- - ...-- - -~-- ----- ---- -- ~- ~~ - - -. ~ - - --~ -- -- -- ----- - - - - - - - - - - - - - - -- --- -- --. - - --- -- - - - - - -- --- - - -- --- -- -- - - - - ~-_.,
Customer Account Information Billing Summary
For Service To: Maynard Sheaffer
111 Austin Dr
Account Number: 24-1312239-7
Premise Number: 24-0601399
------Prior Balance---------------
Balance from last bill
Payments prior to Mar 20,2007. Thanks!
Total prior balance, Mar 20, 2007
--------Current Water Charges----------
Service Charge
Water Volume ($.005735 x 100)
STAS PAWC Water-0.44%
OSI- PAWC Charge 5.00%
Total water charges, Mar 20, 2007
$15.62
-15.62
.00
Billing Period & Meter Information
Billing Date: Mar 20, 2007
Billing Period: Feb 16 to Mar 15 (27 days)
Next reading on/about: Apr 17, 2007
Rate Type: Residential
11.50
.57
-.05
.60
12.62
Meter readings in current billing period:
Meter Number N075643B32 is a 5/B-inch meter.
Present-actual 50200
Last-estimate 50100
Gallons used
$12.621
------AMOUNT DUE -------------
oGl.' \01
r ':l\~ '1 IdJ
Water Usage Comparison
Monthly usage in hundred gallons.
:.~
v
~,
e.~
::~'':'
2
o
o
6
A M J J
p a u u
t y n I
ASONDJFM2
uecoeaeao
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7
Messages to you from Pennsylvania American Water
Any portion of the water charges which is not paid as of 4/16/07 will be subject to a 1.50% penalty.
· Customers may use their credit card, debit card or par. by electronic check only by calling toll free: 1-866-271-5522.
Customers may also pay on-line at www.water.paymyblll.com. A service fee will apply.
· Approximately 4.72 percent or $.59, of State taxes are included in your current bill.
· Effective January " 2007, the ~istribution System Improvement Charge (OSIC) has increased from 4.92%
to 5%. This charge funds the replacement of water distribution facilities.
· Effective January " 2007, the State Tax Adjustment Surcharge (STAS) decreased from -0.33% to -0.44%.
· Pennsylvania American Water customers can be of great service to the community by clearing
the snow around public fire hydrants, so that they remain visible and accessible for our local
fire crews. It's a small step that could go a long way in making the community safer.
The reading used for this bill corrects previous estimate reading.
Customer Service & Emergencies 1-800-565-7292 (24 Hours)
For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours)
Visit us on the INTERNET: www.pawc.com
RAWlOO
002671/002671 PC LCS AV05 I
A1M
15208
\
ustomer Account Information
Billing Summary
-----Prior Balance-----....--------...
Balance from last bill
Payments prior to Apr 03, 2007. Thanksl
Total prior balance, Apr 03, 2007
-----Current Water Charges--.----
Service Charge
STAS PAWC Water -0.44%
DSI - PAWC Charge 5.00%
Total water charges, Apr 03, 2007
$12.62
-12.62
.00
For Service To: Maynard Sheaffer
111 Austin Dr
Account Number: 24-1312239-7
Premise Number: 24-0601399
Billing Period & Meter Information
Billing Date: Apr 03, 2007
Billing Period: Mar 15 to Mar 30 (15 days)
Next reading on/about: Apr 17, 2007
Rate Type: Residential
-----AMOUNT DUE --.------.--.
$6.011
Meter readings in current billing period:
Meter Number N075643832 is a 5/8-inch meter.
Present-actual 50200
Last-actual 50200
Gallons used
()d- . 01
t' 0' I
J ' I \O\~
J
Water Usage Comparison
Monthly usage in hundred gallons.
MJJASONDJ
auuuecoea
ynlgplvcn
F M A 2
g ~ r g
7
~Mes es to you from Pennsylvania American Water
This is yo inal Bill for rvice. It has been a pleasure serving you and we hope we may again have the
opportuni in the futur
.. Custom se their credit card, debit card or pay" by electronic check only by calling toll free: 1-866-271-5522.
Customers may also pay on-line at www.water.paymybill.com. A service fee will apply.
.. Approximately 4.72 percent or $.28, of State taxes are included in your current bill.
.. Effective January 1, 2007, the State Tax Adjustment Surcharge (STAS) decreased from -0.33% to -0.44%.
Customer Service & Emergencies 1-800-565-7292(24 Hours)
For Hearing Impaired Customers TOO 1-800-300-6202 (24 Hours)
Visit us on the INTERNET: www.pawc.com
RAW100AW0781
001269/001269 PCBQ32 TAT02 16
A1M
5.75
-.03
.29
6.01
. .
\
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17481
. . ..
PPL Electric
Utilities
Electric
Service
For:
MAYNARD SHEAFFER
III AUSTIN DR
ENOLA PA 17025
Questions about
t6is bill? Please
contact us by Mar 14
at 1-800-342-5775
(1-800-DIAL-PPL)
or write to:
Customer Service
827 Hausman Rd.
Allentown, P A
18104-9392
www.pplelectric.com
Electric
Use
This graph shows
your electric use
over the last 13
months.
Types of
Meter Readings:
Actual
-
~
~
D
Estimated
Customer
, , .
\ , I, I
~\...'"
pp":"rfi~:
~ ",
", ..
Page I
n::nYQvr':ailt~N~;i;;'"
57189-57017
Summary Page
Balance as ofFeb 21, 2007
Char~s:
TotafPPL ELECTRIC UTILITIES Charges
Total Charges
$ 0.00
$ 35.76
$ 35.76
Account Balance
$ 35.76
Q~ ' \D~
2>\ \ \
\
24 KWH - Average Per Day Meter Reading Information
1
eter
20 Feb 21 Actual 15088
Jan 23 Actual 14795
16 29 Da s KWH BIlled ~
Average - Feb 2006 2007
12 T emlierature 35F 24F
KW Per Day 10 10
8
Yearly Use: Total A verjje
4 Use Mont J
Mar 2005 - Feb 2006 4477 37
0 Mar 2006 - Feb 2007 3604 300
FMAMJ JASONDJF
2006 Months 2007
Other important information on back ...
"t.'
.. ~ . ..
PPL Electric
Utilities
Electric
Service
For:
MAYNARD SHEAFFER
III AUSTIN DR
ENOLA P A 17025
PPL Electric Utilities
Customer Service
827 Hausman Rd.
Allentown, P A
18104-9392
1-800-342-5775
(1-800-DIAL-PPL)
www.pplelectric.com
General
Information
Next meter
reading
on or about
Mar 22
, , ,
\ ,I I I
""..\....::./.~; ,
. I ..'
pp J~~:
'. ..
Page 3
;':E::YQUtBiUA.:Ct:.QQhtNi;iiri~::EE;:..
57189-57017
Total from Last Bill
Payment Received Feb 7 - Thank You!
$ 37.95
$ 37.95
Billing Details
Balance as of Feb 21, 2007
$ 0.00
Current Charges
Char~es for - PPL ELECfRIC UTILITIES
Residential Rate: RS for Jan 23 - Feb 21
Distribution Charge:
Customer Charge
200 KWH at 2.1 8300000t per KWH
93 KWH at 1.97500000t ~r KWH
PA Tax AdiSurcharge at -0.04900000%
Transmission Ch~e:
293 KWH at 0.50800000t per KWH
Transition Charge:
200 KWH at 1.33800000t per KWH
93 KWH at 1.18600000t per KWH
Generation Charge:
Capacity and EnerID'
200 KWH at 5.72800000t per KWH
93 KWH at 5.03400000t per KWH
PA Tax Adj Surcharge at 0.12600000%
Total PPL ELECTRIC UTILITIES Charges
7.96
4.37
1.84
-0.01
1.66
2.68
1.10
11.46
4.68
0.02
$ 35.76
Account Balance
$ 35.76
Generation prices and charges are set by the electric generation supplier
you have ctiosen. The Public Utili~ Commission remtlates distri15ution
prices l!-nq servi~s. The Fe4eral Energy Regulatory Commission regulates
transmIssIon pnces and servIces.
PPL Electric Utilities uses about $2.47 of this bill tOjJay state taxes. In
addition, about $2.15 of this bill pays the PA Gross Receipts Tax.
The Transition Charge includes an Intangible Transition Charge (IrC) and
the applicable gross receipts tax which to..ðer amount to $3.11. The IrC
is a per usage cl1arge app-roved by the Public Utility Commission which
PPL E1ectnc UtilitIes cOllects as agent for PPL Electric Utilities Transition
Bond Company LLC and which tliat company uses to service debt incurred
to recover a portion of PPL Electric Utilihes' stranded costs. The gross
receirts tax, which is collected for the Commonwealth of Pennsylvania, is
equa to 6.02% of the ITe.
For your convenience, you can now payyour bill using your Visa
MasterCard, Discover, or ATM Card. Call BiIlMatrixat 1-800-672-2413.
B~IIMatrix will charge your credit and A TM card a service fee for making
thiS payment.
PPL Electric Utilities: Highest in Customer Satisfaction with
Residential Electric Service in the Eastern U.S., six years in a row, tied
in 2006.
J.D. Power and Associates 2001-2006 Electric Utility Residential Customer
Satisfaction StudY(SM). 2006 study based on a total of26,688 consumer
resnonses. In the East, the 14 largest electric companies were ranked in the
stuoy.
ww~'jdpower.com
"
~
.
~~, "-j:
~
4 .. . -.
PPL Electric
Utilities
Electric
Service
For:
MAYNARD SHEAFFER
111 AUSTIN DR
ENOLA P A 17025
Q.estioDs about
tliis bill? Please
contact us by ADr 12
at 1-800-342-5775
(l-800-DIAL-PPL)
or write to:
Customer Service
827 Hausman Rd.
Allentown, P A
18104-9392
www.pplelectric.com
Electric
Use
This 8!"8ph. shows
your electric use
over the last 13
months.
Types of
Meter Readings:
Actual _
Estimated _
Customer D
'-
24 KWH - Average Per Day Meter Reading IDformatio8
20 Actual 15394
Actual 15088
16 KWH Bllled ~
Average - Mar 2006 2007
12 TWGJrature 39F 35F !
K Per Day 8 11
8
Yearly Use: Total Ave~
4 Use MOD
Apr 2005 - Mar 2006 4421 36
0 APr 2006 - Mar 2007 3686 307
MAMJ J ASOND J FM
2006 Months 2007
. , ,
\ , I I '
.. ~ .. I. I ..
''':..I...~.:' ,
pp J~~:
" l/jl
Page 1
57189-57017
,'. ..~'~~.~;';'-~.~,.~;. ". .,.,~.:- '. -, ....,.. ...,;..'''.-.
-_.._-_..~_..-" . ..
--,,-,.-..,,-:..,..-.., - .
- - -
....'N,__.,..'..,_.__.....~~.._.'.~........_....._..
. . ~ ... . -, ..- --....~..........-.
_".-:;t,.,,:-..;,;,;...;-
Summary Page
Balance as of Mar 22, 2007
~~L ELECTRIC UTILITIES Charges
Total Charges
$ 0.00
$ 36.91
$ 36.91
. AccOlmt Balance
$ 36.91
~\~\QI OD
?A l \'0
Other important information on back ...
.:~
PPL Electric
Utilities
Electric
Service
For:
MAYNARD SHEAFFER
111 AUSTIN DR
ENOLA PA 17025
PPL Eledric Utilities
C.stomer Service
827 Hausman Rd.
Allentown, P A
18104-9392
1-800-342-5775
(1-800-DIAL-PPL)
www.pplelectric.com
General
Information
Next meter
reading
on or about
Apr23
.
, , ,
\ ,I, '
, '\ ... I' ,
pp"~Il~:
. ",
" N
r::::::S::J
Page 3
Total from Last Bill
Payment Received Mar 2 - Thank You!
$ 35.76
$ 35.76
Billing Details
Balance as of Mar 22, 2007
$0.00
Current Charges
Char.,ges for - PPL ELECTRIC UTILITIES
Residential Rate: RS for Feb 21 - Mar 22
Distribution ~:
Customer Cbai2e
200 KWH at 2.1830oooo~ per KWH
106 KWH at 1.9750oooo~ ~r KWH
PA J:ax.Adi~mcbarge at -0.04900000%
TransmISSIon Cbarze:
306 KWH at 0.56800000t per KWH
Transition Cha:rt!e:
200 KWH at1.3380oooo~ per KWH
106 KWH at 1.18600000~ per KWH
Generation Cbame:
Ca~itv and Energy
200 KWH at 5 .7280oooo~ per KWH
106 KWH at 5 .0340oooo~ peJ KWH
PA Tax Adj Smcbarge at 0:12600000%
Total PPL ELECTRIC UTILITIES Charges
7.96
4.37
2.09
-0.01
1.74
2.68
1.26
11.46
5.34
0.02
$ 36.91
Li:r~iI=:f~1::;Z;;;:::;:j~~;:::;;;l;t:::i:~::;h~:f;!.~:~~~~jr~~~ZiI.I~ilfA11~!I~~~:~~;~~
Account Balance
S 36.91
Generation prices and cha:rt!es are set by the electric generation supplier
you have coosen. The Public UtilitY Commission re2uJ.ates distrioution
prices 1p14 servi~es. The Fe<Jeral Energy Regulatory 'Commission regulates
transmISSIon pnces and semces.
PPL Electric Utilities uses about $2.55 ofthis bill toJl3Y state taxes. In
addition, about $2.22 ofthis bill pays the PA Gross Receipts Tax.
The Transition Charge includes an Intangible Transition Cha.me (lTe) and
the applicable gross receipts tax which tQgether atDOl.mt to $3.'23. The IIC
is a p'er usage <2~e approved by the PuNic Utility Commission which
PPL Electric Utilities collects as agent for PPL Electric Utilities Transition
Bond Company LLC and which t1i8t company uses to service debt incurred
to recover a portion of PPL Electric Utilities' stranded costs. The gI"Ol!S
receipts tax, which is collected for the Commonwealth of Pennsylvania, is
equal to 6.02% of the IIC.
For your convenience, you can now pay-your bill using your Visa,
MaSteJCard, Discover, or ATM Can:t. Call BiUMatrix at 1-800-672-2413.
BiJlMatrix will charge your credit and A TM card a service fee for making
thIS payment.
PPL Electric Utilities: Highest in Customer Satisfaction with
Residential Electric Sel'Vlce in the Eastern U.S., six years in a row, tied
in 2006.
J.D. Power and Associates 2001-2006 Electric Utility Residential Customer
Satisfaction StudyffiM). 2006 study based on a total of 26,688 consumer
reSP-ODses. In the East, the 14 largest electric companies were ranked in the
stuay.
wwwJdpower.com
\.
,
I,
. ,- ~
- .-t.f
\ "
'd
. , . ...
PPL Electric
Utilities
Electric
Service
For:
MAYNARD SHEAFFER
111 AUSTIN DR
ENOLA PA 17025
~~
~out
t6is bill? Please
contact us by Apr 20
at 1-800-342-5775
(1-800-DIAL-PPL)
or write to:
Customer Service
827 Hausman Rd.
Allentown, P A
18104-9392
www.pplelectric.com
Electric
Use
This graph shows
your electric use
over the last 13
months.
Jypes of
Meter Readings:
Actual _
Estimated M'3i,;)!1
Customer 0
, , ,
, , t. !
, \ ... .f .-
ppf~=
" no
Page I
.'
.~
\,
24 KWH - Average Per Day Meter Reading Information .
I
eter
20 Mar 30 Actual 15485
Mar 22 Actual 15394
16 8Da s KWH BlIled ~
Average - Mar 2006 2007 "i ,
12 TecnJrature 52F 52F
KW Per Day 7 11
8
Yearly Use: Total Avera~e
4 Use Month!
Apr 2005 - Mar 2006 4381 36
0 Apr 2006 - Mar 2007 3559 297
AMJ J ASOND J FMA
2006 Months 2007
'tc'
57189-57017
.^"~ ,~""''','l''Io''''.''.,,",'' _.......,...,...........r......p... .':""".~.....-.-.'""-.-..".'!'".....,.....,""'...~._.....~.'"1"'_"''''',....__._......".......'"',.,..'"'' ..-.""~........,:.~.~..~ "'.-.,'"'.,........__...~._...,.._,."''','''.,...'-_._~'''~'.~._<__..C._,.M~~ ,_ ...._...~...,_..:_'.,.~ .",~ .'. -"",.. ~'_..~...."':""...,.."'._.!...-..,~....~_."'~..,.. ._...""""~..""..,""".,.""."''',...__",.
Summary Page
Balance as of Mar 30, 2007
Char~s:
TotarpPL ELECTRIC UTILITIES Charges
Total Charges
$ 0.00
$ 10.68
$ 10.68
Account Balance
$ 10.68
()&-. /01
r ~ I~ \ \
~IO
Other important information on back ..
... .
PPL Electric
Utilities
Electric
Service
For:
MA YNARD SHEAFFER
III AUSTIN DR
ENOLA P A 17025
Floal Bill .
PPL Electric Utilities
Customer Service
827 Hausman Rd.
Allentown, P A
18104-9392
1-800-342-5775
(1-800-DIAL-PPL)
www.pplelectric.com
General
Information
, ' ,
\ , I , '
'~.:.~I::.~<~'
pp J~~:
~, no
Page 3
";';';;';;;;<;Y9wBi lAiWQmitNtiriibef..::.;............
57189-57017
Total from Last Bill
Payment Received Mar 30 - Thank You!
$ 36.91
$ 36.91
Billing Details
Balance as of Mar 30, 2007
$0.00
Current Charges
Char,ges for - PPL ELECTRIC UTILITIES
Residential Rate: RS for Mar 22 - Mar 30
Distribution Charge:
Customer Charge
53 KWH at 2.18300000t per KWH
38 KWH at 1.97500000t per KWH
Transmission Charge:
91 KWH at 0.56800000t per KWH
Transition Charge:
53 KWH at 1.33800000t per KWH
38 KWH at 1.l8600000t per KWH
Generation Charge:
Caoocitv and Energy
53 KWH at 5.72800000t per KWH
38 KWH at 5.03400000t per KWH
PA Tax Adj Surcharge at 0.12600000%
Total PPL ELECTRIC UTILITIES Charges
2.13
1.16
0.75
0.52
0.71
0.45
3.04
1.91
0.01
$ 10.68
Account Balance
$ 10.68
Generation prices and charges are set by the electric generation supplier
YOll have cnosen. The Public Uti1i~ Commission regJllates distrioution
prices ~n4 servi~s. The Feqeral Energy Regulatory "Commission regulates
fransnllsSIon pnces and servIces.
PPL Electric Utilities uses about $0.73 of this bill to..,pay state taxes. In
addition, about $0.64 of this bill pays the PA Gross Receipts Tax.
The Transition Charge includes an Intangible Transition Charge (ITC) and
the applicable gross receipts tax which to~ether amount to $0.95. The ITC
is a ~r usage cl1arge app-roved by the PuOlic Utility Commission which
PPL Electnc UtilitIes collects as agent for PPL Electric Utilities Transition
Bond Company LLC and which t6at company uses to service debt incurred
to recover a ~rtion ofPPL Electric UtilitIes' stranded costs. The gross
receirts tax, which is collected for the Commonwealth of Pennsylvania, is
equa to 6.02% ofthe ITC.
For your convenience, you can now pay your bill using your Visa
MasterCard, Discover, or ATM Card. Call BiIIMatrix at 1-800-672-2413.
B~IIMatrix will charge your credit and A TM card a service fee for making
thIS payment.
PPL Electric Utilities: Highest in Customer Satisfaction with
Residential Electric Service in the Eastern U.S., six years in a row, tied
in 2006.
J.D. Power and Associates 2001-2006 Electric Utility Residential Customer
Satisfaction Study(sM). 2006 study hased on a total of 26,688 consumer
resp'onses. In the East, the 14 largest electric companies were ranked in the
stuay.
>>'>>w.jdpo wer. com
".,
.
I.
,.
UUU1~~2
tt..t!mm
Billing Summary for Service to:
MAYNARD L SHEAFFER
111 AUSTIN DR
ENOlA PA 17025
'~
Rate Classification:
Residential Heating
Billing Period:
01/25/2007 to 02/23/2007 (29 days)
Estimated Read
Questions?
Call 717-232-1811 or write to UGI at
PO BOX 13009
Reading. PA 19612-3009
. Your current UGI charges include
State taxes totaling S 6.29.
CPT 220 423 1965 02 1
5.80
5.22
4.64
4.06
3.48
2.90
2.32
1.74
1.16
0.58
0.00
Average CCF Per Day
.
. ... . .
FMAMJJASDNDJF
200& Months 2007
. = Estimated Usage
Average
Last
Year
This
Year
CCF/day 2.34
Daily temperature 350F
4.59
240F
(i
Past BiIIlnformatlon . UGI Utility
The account balance on your last bill was ..............
Thank you for your payment of ...................................
Your balance, as of 02/27/2007 .................................
S 145.58
-145.58
0.00
Current BiIIlnfarmation - UGI Utility
Customer Charge ............................................................ 8.55
Commodity Charge ( 133 CCF atS1.05451) .......... 140.25
Distribution Charges (First 50 CCF at $0.39220) .. 19.61
Distribution Charges (Next 83 CCF atSO.32735) .. 27.17
PA State Tax Surcharge ................................................. -0.33
Total Current Charges - UGI Utility ............................. 195.25
UGI Utility charges owed this bill..................................................................................
Total Amount Due, Please Pay by Due Date (03/21/2007) .....................................
$195.25
$195.25
~\1I\D1
Meter Information - Next Read Date March 2&, 2007
Meter Number Previous Reading Present Reading
1307760 2842 (company) 2975 (estimated)
CCF Used
133
Messages from UGI
.Your current price to compare is $ 1.05451/CCF.
· Your total annual usage is 599 CCF. Your average monthly usage is 49 CCF.
· We can make your energy costs easier on your budget with our 12 month Budget Billing
plan. Your monthly payment would be approximately $ 92.00. For more information
about this plan call UGI. ..
· Help prevent pipeline damage. accidents and service disruptions. If you see someone
digging near your home please call UGI.
Jf you pay at a payment agent please take your entire bill. Make check payable to UGI.
Keep this part for your records. Important Information is on the back of this bill.
0001235
Billing Summary far Service to:
MAVNARD SHEAFFER EST
111 AUSTIN DR
ENOLA PA 17025
Rate Classification:
Residential Heating
Billing Period:
02/23/2007 to 03/27/2007 (32 days)
Company Read
Questions?
Call 717-232-1811 or write to UGI at
PO BOX 13009
Reading, PA 19612-3009
* Your current UGI charges include
State taxes totaling $ 2.13.
CPT 220 423 1965 02 1
5.80
5.22
4.64
4.06
3.48
2.90
2.32
1.74
1.16
0.58
0.00
Average CCF Per Day
. . ... . .
MAMJJASDNDJFM
2006 Months 2007
· = Estimated Usage
Last This
Average Year Year
CCF/day 3.71 1.25
Daily temperature 390F 390F
,..^./~ .
~ ----~-
Past Bllllnfarmatlon . 001 Utility
The account balance on your last bill was ................
Thank you for your payment of .....................................
Your balance as of 03/28/2007 ...................................
$ 195.25
-195.25
0.00
Current BII/lnformatlon - UGI utility
Customer Charge .............................................................. 8.55
Commodity Charge ( 40 CCF at S1.05450) .............. 42.18
Distribution Charges (First 40 CCF at SO.39200) ... 15.68
PA State Tax Surcharge .................................................. -0.11
Total Current Charges - UGI Utility ............................... 66.30
UGI Utility charges owed this bill..................................................................................
Total Amount Due, Please Pay by Due Date (04/20/2007) .....................................
oJ.' {O'
r ~ I~ J'
o
lot
Meter Information - Next Read Date May 24, 2007
Meter Number Previous Reading Present Reading
1307760 2975 (estimated) 3015 (company)
CCF Used
40
Messages fro.. UGI
· Your current price to compare is $ 1.05451/CCF.
· Your total annual usage is 535 CCF. Your average monthly usage is 44 CCF.
· We can make your energy costs easier on your budget with our 12 month Budget Billing
plan. Your monthly payment would be approximately $ 80.00. For more information
about this plan call UGI.
· Help prevent pipeline damage, accidents and service disruptions. If you see someone
digging near your home please call UGI.
If you pay at a payment agent please take your entire bill. Make check payable to UGI.
..Iie.ept~J.sr~rt_!O!~~! ~~~~~. .!~p~!:t!~,~..lrn!O'.~!!!iI!I~~!__.~~. ~~-....~~.~~..c:!H~!.!}.l!~:~.~
I
<il
$ 66.30
$ 66.30
.'
\.
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~ <-..,
. .
vo,~
We never stop working for you.
MAYNARD L SHEAFFER
Account Summary
!,~yment Received Jan 26. Thank You.
Balance
Previ~~~~!,,~rgE!~__.____________ $ 27.~
- 27.95
$ .00
New Charges
Verizon (page 3)
Yerizo~~_,:!g Distan~~(page 4)
Other:...~rovide~~J page 5)
!~~~_f';J~!"~!,,.arg.!~~~~_
Total Due: (Past Due + New)
CONSUMER ALERT!
Check your bill this month for a new service provider.
Questions about your bill? Call 1 800 660-2215
See page 2 for all other Verizon contact information.
~
VerJZSllI
$ 21.92
6.00
12.72
$ 40.64
$ 40.64
Billing Date: 02/01/07 Page 1 of 6
Telephone Number: 717732-0331
Account Number: 717732-0331 59536Y
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Account:
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00027290 1T0000173925
33- P A P082
7117320331 20010907
717 732-0331 595 36Y
020107
Become a Literacy Champion! Call your local business Do not send payment
office and sign up to donate $1 a month to
Verizon Reads.
00027290 01 AV 0.293 ECP03611 0081
MAYNARD L SHEAFFER
111 AUSTIN DR
ENOLA PA 17025-2686
1...11111.111.....1.1.1.1...1.1.11..1..1..1111...1111.1111.III
10971707320331595802802130
.~~~~._-_..."... '~"""'{' ...".~".. .,.. ""',.
You are enrolled in Verizon's Direct Pay-
ment Option. The total due will be deducted
from your bank account on 02/26/2007.
4000000000000000004064200000
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Billing Date: 02/01/07 Page 3 of 6
Telephone Number: 717 732-0331
Account Number: 717 732-0331 595 36Y
We never stop worklng for you.
MONTHLY SERVICE - BASIC (Feb I to Peb 28)
Description Qty
I Flat Rate Unlimited Service I
2 Dial Tone Line I
3 Federal Subscriber Line Charge I
4 Federal Universal Service Fee I
Total
Unit Rate
6.85 6.85
6.44 6.44
~16 ~16
.60 .60
S 20.05
RATE ADJUSTMENTS
Description
5 Rate increase (.Ian 2 to .Ian 31)
Federal Universal Service Pee
Total
Amount
$ .001
Days
30
Qty
I
.03
$ .03
BASIC SERVICE TAXES AND SURCHARGES
6 Federal excise tax
7 P A Relay Surcharge
8 Adjustment due to change in Relay rate
9 E911
Total
P erizon haJic charge.f
Total Ve,.;zon charges
Reference ID CQIQUIN732
V crizon Reads
If you have called your local business office and signed up to be a Literacy
Champion, a tax deductible $1 donation will be included monthly in the Verizon
section of your bill, Contributions will benefit Verizon Reads, a non-profit
organization supporting literacy programs. Even if you call the local business office
to sign up, you are not required to pay' the literacy donation. Phone service will
not be terminated if you do not contnbute. To discontinue your literacy donation
call the phone number listed on page 2 of your bill.
Restatemcnt of Charl:cs:
Regulations require Verizon to group your charges as shown below to make it
clear which charges you must pay to avoid suspension of your local service. Basic
includes charges for local calling, applicable tax and fees.
.59
.08
CR .08
1.25
S 1.84
$ 11.91
$ 21.92
Toll includes charges for regional and lon~ distance calls. Non-Basic includes, but
is not limited to, internet service, inside Wife maintenance, Caller ID, and Voice
Mail. Non-payment of any past due basic charges could result in suspension of
your basic local service after you receive a separate written
statement.
Past Due Balances
Current Charges
Total
$ 21.92
$ 6.00
$ 12.72
$ 40.64
Basic $ .00 $ 21.92
Toll $ .00 $ 6.00
Non-Basic $ .00 $ 12.72
Total $ .00 $ 40.64
Included on this portion of your bill is approximately $1.22 for P A taxes
on utilities
CHANGE IN CHARGES
Monthly Rate for Residence Package Services to Increase
Effective April 1, 2007, the monthly rate for various residence package services
will increase. A $2.04 increase will be reflected on bills dated on or after
April 1, 2007 for the following packages:
Verizon Local Package
Verizon Local Package Extra
A $2.00 increase will be reflected on bills dated on or after April I, 2007 for
the following packages:
33 P082 7177320331 010907 07 PA210.HBRDAl
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'~<'
ve.i~ We never stop worlclng for you.
Verizon Long Distance
Verizon Long Distance
recover the fees foreign telecommunications
comr,anies impose for terminating calls to
mobile or wireless numbers.
If you would like more information about
Premium Termination rates and/or to fmd
out specific rates, call our business
office.
Billing Date: 02/01/07 Page 5 of 6
Telephone Number: 717732-0331
Account Number: 717732-0331 59536Y
Calling Illan and Account Summarr
Recurfijig--cliarges are fofllie period of Jan 25 to FeJj 24.
Amount
t State and local tax
2 State and local surchar~e
3 Federal Universal Service
4 TalkTime 30
Total
Total Ve,.;zon Long Db.tallce Charges
$ .l.t
.25
AI
.').00
$ ".1111
$-6.00
al",,, $I' ti},.Jfl;u:r:.
Billing for ES B I
The fol1owing charges appear on your Verizon bill as a service to ES B I.
your billing questions to the phone number on the right.
Billing on behalf of Hospital Services
NOTICR: New Service Provider This Month
Billing Questions call 1 888 295-3724
MISCEIJLANEOUS CHARGES AND CREDITS
Direct
Charges and Credits for 717 732-0331
5 Dee 27 Hosp Tel Chg 12.0D
Total S 12.1H)
For questions concerning your bill, call the number listed at the top of this section.
The cal1s on this page were forwarded by ESBI, the clearinghouse agent
for Hospital Services.
TAXES ANI> .'EES ON ENHANCED SERVICES BILLING INC.
6 State sales tax .72
Total S .72
ESBI non-basic service charges $ 12.72
Totalfor ESBI ** $ /2.72
Nonpayment of provider charges will not result in the disconnection of your local
telephone service; however, col1cction of unpaid charges may be pursued by the
service provider.
)'or more information on ESDI,
1)lease access their World Wide Web Site address at: httll://www.bilhicw.eom/csbi
33 P082 7177320331 010907 07 PA210'HBRDA1
00027290 1T0000173929
1Illll1illltli
For hilling
(llIcstiolls !:ull
1 RUII 6611-2215
Fol' ES HI
(lucstioIlS, !:ull
toll frcc
I !lX!I 295-3724
. .
; ',~
,
\l'l~~f~r~~"%:;~l(~I~t$:1!!t~:..:7},Y;P,i1"~fi~!~'~;\,""!fi$9.'~:';$r,*~~)\'1K!I;N~~~,!%'i'~;'f!i{:i.;"'!~':':;' ,
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JJ:l'.:;.;i:;3!;t-,~/f;;3~"'_':i::.L::5:::::2::Z:~::_,'::-:t~~/.:;,._~..~C':.;,ill{;'':!:,- ,:-l,,/,",Y,-,1'\Ii',P3.)o;:-", ,:.\;,~,'"
\~
Verima
Billing Date: 03/07/07 Page 1 of 6
Telephone Number: 717732-0331
Account Number: 717 732-0331 59536Y
We never stop worlclng for you.
MAYNARD L SHEAFFER
ONE-BILL"
Account Summary
Are You A ONE-BILL Customer?
Get your Verizon and Verizon Wireless
charges on a single bill each month!
Sign-up is easy at verizon. com
Already a ONE-BILL customer?
Find out about important
changes in the "For Your
Information- part of this bill.
$ 40.64
- 40.64
$ .00
Previous Charges
Payment Received Feb 26. Thank You.
Balance
New Charges
Verizon (page 3)
Verizon Long Distance (page 5)
Total New Charges Due
Total Due: (Past Due + New)
-$3.18
4.81
$1.63
$1.63
-
Moving? 1.B66.VZ-MOVES
Across the street or across the
nation, one call can do it all.
Call us for internet, phone and
entertainment in your new home.
- FINAL BILL -
Full amount is due upon receipt.
<I- OO:r Pl1
) .' i- ~ 0 v/~ n ~ JLl \ #.
pO. i.?-') ... \J C~ I <300J-
Le 1v..5' I il 0 0 J- -
/00;).
Pt'
3}113}07/
a~cJ
Questions about your bill? Call 1 800 660-2216
See page 2 for all other Verizon contact information.
. '
~'
V8ndlP
We never stop working for you.
VERIZON BASIC SERVICE
RATE AD.JUSTMENTS
Description
1 Rate increase (.Tan 1 to Fcb 28)
Dial Tone Line
Total
ADDING AND CHANGING SERVICE
For 717 732-0331
This section shows partial-month billing. If you are adding a new product, it shows
charges for the number of days that you had the product before your Billing Date.
If you are removing a product, it shows credits for the days you did not have the
product but had paid for it in advance. You can fmd your month-in-advance
charges in the MONTHLY SERVICE section.
Services Removed
Product Description
2 Flat Rate Unlimited Service
3 Dial Tone Line
4 Federal Subscriber Line Charge
5 Federal Universal Service Fee
..'!Ii
Billing Date: 03/07/07 Page 3 of 6
Telephone Number: 717732-0331
Account Number: 71 J 732-0331 59536Y
Qty
1
Amount
Days
$ .01758
58
1.02
$ 1.02
Qty Order No. Effective Oates
1 DOSV28460 Feb 23-Feb 28
1 DOSV28460 Feb 23-Feb 28
1 DOSV28460 Feb 23-Feb 28
1 DOSV28460 Feb 23-Feb 28
Total Services Removed
Total Adding and Changing Service
BASIC SERVICE TAXES AND SURCHARGES
6 Federal excise tax
Total
Verizon ba...ic charges
Total Verizon charges
Reference ID CQIQUIN732
Thank you for the opportunity to serve you. You have been a valued
Verizon customer. If you need to establish telephone service with another
utility, please use this message as a record of your prior Verizon service.
Restatement of Charges: m______ _____ n_____
Regulations require Verizon to group your charges as shown below to make it
clear which charges you must pay to avoid suspension of your local service. Basic
includes charges for local calling, applicable tax and fees.
CR 1.37
CR 1.39
CR 1.23
CR .12
CR 4.11
CR $ 4.11
CR .09
CR $ .09
G'R $ 3.18
CR $ 3.18
Toll includes charges for regional and long distance calls. Non-Basic includes, but
is not limited to, internet service, inside wire maintenance, Caller ID, and Voice
Mail. Non-payment of any past due basic charges could result in suspension of
your basic local service after you receive a separate written
statement.
Past Due Balances
Current Charges
Basic $ .00 CR $ 3.18
Toll $ .00 $ 4.81
Non- Basic $ .00 $ .00
Total $ .00 $ 1.63
Included on this portion of your bill is approximately $.19 for P A taxes
on utilities
Total
CR $ 3.18
$ 4.81
$ .00
$ 1.63
CHANGE IN CHARGES
Changes In Your Local Directory Assistance Services
Beginnmg May 1, 2007, Local Directory Assistance call rates will change from
$0.95 to $1.25 per call. For Residential customers, monthly call allowances will
change from two free per month to one per month. You may continue to ask the
operator for two listings per call.
33 P082 7177320331
07 PA210'HBRDA1
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~
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We IJIIVfH' stop worlcIng for you.
Billing Date 03/07/07 Page 5 of 6
Telephone Number: 717732-0331
Account Number: 717732-0331 59536Y
Verizon Long Distance
Verizon Long Distance
The following charges appear on your Verizon bill as a service to Verizon Long
Distance. Direct your billing questions to the number on the right.
Notice of Price Increase
Effective 4/21/07, calls placed to American Samoa
will now require dialing I + area code (684) +
telephone number. Additionally, these calls will
now be billed as domestic calls and .your rate per
minute may increase or decrease depending upon
your long distance plan. For customers who have
Basic Rates lon~ distance plan and have ICP w/City
Rates or UnlimIted Country International Plans,
your rate will increase from $0.37 to $0.40.
Verizon Long Distance offers a variety of calling plans
that may better meet your needs. Visit www.venzon.com
or call your local business office for more information.
Domestic
Date
1 Feb 9
2 Feb 9
3 F eb II
4 Feb 12
5 Feb 12
6 Feb 12
7 Feb 13
8 Feb 13
9 Feb 15
10 Feb 15
Total
Calling Plan and Account Summary
Recurring charges are for the period of Feb 25To-Mar.24'~
Til!le Place called
4:47pm FtLauderdl
5:51 pm FtLauderdl
4:06 pm FtLauderdl
5:36 pm FtLauderdl
6:19 pm FtLauderdl
9:02 pm FtLauderdl
9:52 am Delray Bch
9:53 am FtLauderdl
9:59 am Lake Worth
10:01 am FtLauderdl
Number called
954 382-1071
954 236-2597
954 236-2597
954 236-2597
954 236-2597
954 236-2597
561 706-2217
954604-2411
561 313-3631
954468-3336
_. '(y~~~_.r~r~Qd
DOD Day
DOD Eve
DOD Night
DOD Eve
DOD Eve
DOD Eve
DOD Day
DOD Day
DOl) Day
_ILDlL12,!X-
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
11 State and local tax
12 State and local surchar~e
13 Federal Universal Semce
14 Prorated Monthly Recurring Charge
15 TalkTime 30
Total
Total Verizon Long Distance Charges
*DOD = direct dialed call Per = person-to-persoll call
Opr = operator dialed call
33 P082 7177320331
07 PA210'HBRDA1
00000380 1TOOOO001803
I"" .
__ Min,-__j\JTlO~nt
2 S .00
20 .00
20 I. 50
10 1.00
5 .50
R .SO
I .10
4 AO
] .10
I .10
--'--$4.50
_ ___ AJTI (I I! nt
$ .28
.20
.33
CR .50
.00
-----S..31
--.$-4:lH
For hilling
Ijuestions call
1 ROO 660-221 S
CANCELLATION NOTICE FOR NON-PA.YMENT OF PREMIUM
Insured: MAYNARD L SHEAFFER
MAIL NOTICE TO:
MAIL PAYMENT TO:
35 06F 5043276
09-01-06
MAYNARD L SHEAFFER
111 AUSTIN DR
ENOLA PA 17025-2686
SELECTIVE INSURANCE
BOX 371468
PITTSBURGH PA 15250-7468
111.11.1.1.111.1.1.1.11111111.1.1111.11111111..11111..1.1..1.1
1111111.. .111111111.1.1.1...1.1.11111111..111111111.1111111111
1365059051030620070000018800000001880016373705000403020706190901200600006
Notice Date
Cancellation Date
iIJ. I .
^"--, H
~f}..l.-\(;( . PAYMENT MUST BE HONORED BY YOUR BANK
Y ':\... \01 TO REINSTATE COVERAGE. .
?\:v .
DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT
BILL ACCOUNT t 365-059-051
03-06-2007 03-23-2007
Ageritt3S
..,. .
..... :.>: .....
HE HAVE NOT RECEIVED YOUR PAYMENT OF $1&&.00 DUE 02-27-2007. WE WILL CONTINUE YOUR
COVERAGE WITHOUT LAPSE IF FULL PAYMENT IS RECEIVED PRIOR TO 03-23-07.
FAILURE TO PAY WILL RESULT IN THE CANCELLATION OF YOUR POLICY.
c:Oriipa~Y:B~~~S1JRANcECOMP~ o.F ~<:A.... >..tr.~crNUriIbet:f 5fl43276C[) .j\ge ..po1i~Yt:)~te 89-01.';'06.
.. .. . ........ .... . ..' . .... .... ... ... ... ... . .... .... .......:.. ..
00 02962' 000'00. BXERlY INSU~NC?~~(;~!S..JlROKER? nile ...... ...... ....p~~it~: }17~7~1-4010.': ....
-.- . .. .'. . ... ....... . .... '. ......... '. .' ..... ... . . ..... ... . .'. '" .... . . ...... .:
CAN~ELLATIONWILLTAKE t:JtI:::J$CtJ2iOl. AM S'f.ANDARI)'I1l\1:& ONCl3-2~07:
.....:. :
ftIMPORTANT NOTICE - SELECTIVE INSURANCE IS NOTIFYING THE DEPARTMENT OF TRANSPORTATION THAT
THIS INSURANCE IS BEING CANCELLED. YOU MUST OBTAIN COMPULSORY AUTOMOBILE INSURANCE COVERAGE
IF YOU OPERATE OR REGISTER A MOTOR VEHICLE IN THE COrol'lONWEAL TH OF PENNSYLVANIA AND YOU MUST
NOTIFY THE DEPARTMENT OF TRANSPORTATION THAT YOU HAVE REPLACED THIS COVERAGE.-
YOU HAVE THE RIGHT TO REQUEST THE PENNSYLVANIA INSURANCE
COMMISSIONER TO REVIEW THIS ACTION BY SELECTIVE INSURANCE.
TO DO THIS, SIGN AND SEND A COpy OF THIS FORM WITHIN 30 DAYS
TO THE PENNSYLVANIA INSURANCE COMMISSIONER AT ONE OF THESE
OFFICES.
Pa. Insurance Commissioner - Reviews
1400 Broad and Spring Garden Streets
Philadelphia, PA 19130 Tel:(215) 560-2630
Pa. Insurance Commissioner - Reviews
1321 Strawberry Square
Harrisburg, PA 17120 Tel:(717) 787-2317
Pa. Insurance Commissioner - Reviews
Rm 304 State Office Building
300 Liberty Avenue
Pittsburgh, PA 15222 Tel.(412) 565-5020
Pa. Insurance Commissioner - Reviews
P.O. Box 6142
Rm 513 Baldwin Building
Erie, PA 16512 Tel.(814) 871-4466
I request the Pennsylvania Insurance Commissioner Review the (cancellation) (non-renewal) of this insurance policy.
(Signature of Insured)
Insured:
MAYNARD L SHEAFFER
111 AUSTIN DR
ENOLA PA 17025-2686
IF yOU HAVE ANY TROUBLE GETTING NEW INSURANCE, ANY IN-
SURANCE AGENT OR BROKER MAY GET THIS INSURANCE FOR
YOU THROUGH THE PENNSYLVANIA FAIR PLAN OR THE PENN-
SYLVANIA AUTOMOBILE INSURANCE PLAN (WHICH HANDLES
ASSIGNED RISKS) IF YOU ARE ELIGIBLE FOR IT.
~arnott
R E WAR D S.
Opening/Closing Date:
Payment Due Date:
CUSTOMER SERVICE
In U.S. 1-800-338-5960
Espanal 1-888-446-3308
TDD 1-800-955-8060
Pay by phone 1-800-436-7958
Outside US. call collect
1.847-888-6600
03120/07 - 04/19/07
05109/07
Minimum Payment Due for Credit Access Une
Total Minimum Payment Due
$1800
$18.00 ACCOUNT INQUIRfES
P.O. Box 15298
Wilrllington DE 19850-5298
VISA SIGNATURE SUMMARY
Account Number: 43885400 1099 7657 PAYMENT ADDRESS
P.O. Box 15153
Wllmm!Jton, DE 19886-5153
Previous Balance
PaymHnt, Credits
Purchases, Cash, Debits
New Balance
$883.10
-$1.186.10
+$1,241.40
$938.40
Credit Access Line
Available Credit
Cash Access Line
Available for Cash
$7,700
$6,761
$1,540
$1,540
VISIT US AT:
www.chase.Gom/marriall
MARR'QII RfW~BQ$P~!~I$ fAR~El}
Points earned this statement from purchases
Adjustments for purchases
Total points earned this siatvmont
Points transferred to Marriott
1.173
5
1,178
1,178
TRANSACTIONS
Trans
Date Reference Number
Merchant Name or Transaction Description
Amount
Credit Debit
0311824692167078000059337276 CHARLOTTE RUSSE 253 CAMP HILL PA
63/18 2439900707804100.191o'ii2.A.EAGLEoOTFtR000019i'fcAMp.HILCPA..-------__d_. --. --. --.-.
03122 -24-427337OSf720022706531 - -Mt-OOt~A[Dis-f=2837 -RDMrViELsTbwt~fpA- __n_______ ---- -.. ..u__...._
63/23 241'170570a3730833769819'HOYT I-iARRl'ssDRG14'HAi=fFlIsT3iJRGPA ..-.-.. ..
03l2224610437082oo4f17149848'' G1ANTFo6bsTORES-#263Et~OLAPA-- ---.----
03122 242i539768f90001f; 1 00044' 'MTTioPE-Wlt,ie' SHOPPE:'f::jiANHEIMPP, --.-.- - --.----.-.
03122-. 24323-037082-12~f6ilo10027--'-CENfEFfsT-REEt--GRfL[--ENOCA .PA---' -- . - .--- - _..n__
03126'24692167085000614307963 'GRC.PROACTi\rSOLUTION 800-23&-6050--CA
ofY2Ei 74733697006186000016690'AEROSOLES 119'HARFhsaURGPA------- --...
03i26 24694267086086254855200- -M'ARTINMicROWAVE'423-=-8940035 -tN'---- .
O~23 24-717057087730871-537124- Ffovt-HARRISeURG-14HA-RRiS-SLiRG-PA----'--- ---. __..n.._.' .-----
03l2824'323007ci88253041010062 -FRANKLvN'sfuolo'c-AMPHlClPA --... .-
O~30 24616777090si6001'2679893'--18OOGOTJUNK'MORGANTOWr\j PA ...
o3iso24435657090206o8923006j '--WjNE&SpiRlfs21'1TEN6C(p~.--n- .----
o4l0f"2471-jo'57092120923842289-"--'TMOBILE-Non;i56fMECHJ\NICSB'i.jRCf PA-- - --.. ...._.n_._
04l0i247650 1 'l092...?OO882367ioo seTIsf[TFF[6tAi.:cb;i.ffNC:'8i7~'788'-3356 PA ------ ---.
o4io~J44450076937ii4766B83996' CVS-PHARt~fACY#252i'c03-EtJCL(-;oA-"- ---.... - ~
iW03 24765017094200002262667... 'SECi:.STUFFloCAl~COM--:-fNC. '8ii~ 788-3356 -PA' ....--...
0'4/'04 24435657095206094270650--WINE&SPi'Rii's 21TfENOLAPA---.u ._______.u_.
64104 247926270952066994oo21s-'eURGERKHI,IG#555 - a07-HAR'RISBUR'G PA'-' ____.n. --.-.... ..._._.n_._'__
04/0424270747094300202120028 .'-PREMIER EYE-CAREGRP INC'HARRiss'lJRG pA
04106 2443565iog7i0709648012T--WfNE &SP'IRiTsof6f'AT.:tOONA-PA' ----.---.- no. -.
04108 T09809827383871384QOOog---PAVMENT -::.tHANK'VOU' .--.--.--.----- . .----.- -- .-
04/09 2421.o7371oo207i885~00083-..--H6ss;sSTEAK &SEA~49:ENbCENOLA"PA --~-------_. _on. -------
o4Tf1--1-fo ff6- f273855468f80000~f.--PA 'lMENT--~-fRA.Nt(YOU---"_on__.._---- --- - .-- -. --- - - --",,".
04l10'247650171'6f20000227-1ooEf"SEiIsfuFFCOCACCOM, INC. 817-788-3356 PA---.--- .---. -- .-.-------. ----
04713' 24692167103000122645779 -sn-R'*SiRTus RADi(Y888~539-7474-NY- - -.-..-.-.- -- .-.
04114 243990071002-11525370'045' --PiERl------6<XH5255CARIisLEPA-...
041 j 724765017108200602278907-- SEL[sfuFFIOCAL.c6M~ iNC:877.:i88~3356PA
... .. ... ~~:9.9
17.43
5.29
27.00
32.19
112.35
67.86
48.65
69.00
37.52
12.00
83.24
134.00
28.60
_____ _.___"._.___.. ,______. m.
31.79
~ -.....-.. .._.__._-----~~---.~,.,_.- .-....--
1600
5618
8.00
27.54
6.55
178.80
20.13
983.10
23.53
134.00
8.00
--~_.__.._._--,. .---"..-------- -- .......--. .---
1994
201.82
--.- ---.'.---.--.. ._---.
8.00
o00ooo1 FIS33334 C 2
000 N Z 1S U7104;19
Pag" 1 of 4
05056 MA MA 14605 1091000002053146050':
\,
.
I,
1-80B-GOT-JUNK!
THE WORLD'S LARGEST JUNK REMOVAL SERVICE
CAP 211. 6
Capital City
P.O. Box
Wyomissing, PA 19610
Phone: (866)
Moving: 0
..
,Date: 3/3 0
Driver: ~k b-.-
Route#: ,1: \
Start lime: 1>; y )
End lime: 1; 00
Name:
Company Name: .....................m.mm................................m.m................
Mailing Add ress: ..........CZ.G............5..h..tJf.O'.r.:!..........K..c!..........
WHITE COPVOFFICE YEllOWCOPVCUENT
~~;.:::::::::t~~~~i.:~:::::::::::::::::::::::::::::::....~~~~~;~~~~.i.~~.~;............../~C... Zip/Postal: .....l..?~.?)
Home: .......?J..J..~..~.!.t'f....m.m..... Offic e: ........ye?::m~..2...!...J.5~m.............................m.m.
Fax: ........................................................... Job 10: .......m!...:~~~::..3....7...?I.............m.m...............
Pickup Address: ..................~l.~.~.~:~..................m............... City: ............m.m..m...........................
......
Load Size
Description Price
/1) " / c -'-~t tV/.._
..
Discount
Subtotal
Sales Tax
Total $/ 3
OM/C 'R\'ISA OCash OCheck o Invoice OOther..,..................m.....
POI: ....................... CC#: ...:i:?..i~..... - j~.'!...?.~.....- ...LQ.~.']..... - J..~ur.7..
Expiration Date: ......Q.~.L...... - .....0..5.......... Security Code: ...........l.Xj.......................
Name (if different from above): .........~S'!.~.....................................................m................
Signature: .................m...................................................... Date: .7.....3..l..~4./-()..J..........
MM I DO I YY
TE;RMS: All accounts are dua upon receipt unless credit has baen established, then eccounts ere due within 30 deys. Overdue aCcounts are
subjectto 2% intarest per month (24% per annum). As owner, agent, ortenentofthe above location, I hereby authorize the abOlfework and agree
to make payment specified end acknowledge the work hes been satisfactorily completed. If this eccount is essigned to an outside agency for
collection,l/We agree to pay all associstad fees, which will be added to the outstanding balance of the account,
Contract Receipt
Page 1 of 1
ROADSIDE ASSISTANCE: CALL 1-800-528-0355 EQ#: - JH 7109T Contract: 23094079
Dispatched From: 811055 - SAFE-PROTECTION(NO)
IU-HAUL EQUIPMENT CONTRACT
Contract Number: 23094079
Sunday 3/25/2007 12:55 PM
II
In-Town Rental (OUT)
U-HAUL MECHANICSBRG
(811055)
4725 OLD GETTYSBURG
MECHANICSBURG , PA. 17055
(717)763-7677
Customer Name:
Cindy Sheaffer
Email: cinsheaf@aol.com
103 Sharon Road
Enola, PA 17025
Customer Ph No(s):
717-732-3278
717-802-2154
Customer D/L:
18135332
PA
0708
Customer DOB:
Jul 05, 1958
Equipment MI Out
Rental Out Date/Time: 3/25/2007 12:58 PM Rental Due Date/Time: 3/26/2007 12:00 PM
. Failure to return the equipment by the Rental Due time may result in additional charges.
mated mated
ax: arges
Actual
~'!!~~.
$69.45
JH 7109T
AB01403
AZ
estimated Subtotal:
Estimated Tax:
Motor Vehicle Tax:
estimated Total Charges:
Rental Deposit Paid:
$69.45
$7.56,
$2.00
$77.01
$0.00
Network:
Visa
Account:
XXXXXXXXXXXX02438
Auth:
Auth Only
Credit Card Payment:
Net Paid Today:
$0.00
$0.00
SafeMove Declined for Equipment JH 7109T .
. I confirm that the mark on the picture of a fuel gauge on this contract matches the fuel gauge reading on the truck. I agree to retum this truck with
this amount of fuel or pay a $30 fueling fee and a minimum of $4 per gallon for fuel used. U-Haul does not reimburse if this truck Is returned with more
fuel than when It was dispatched. U-Haul pays for oil (save receipts).
. U-Haul provides the Customer with minimum limits of protection required by that state or province where arises any claim, suit or cause of action.
This provided protection is In excess or secondary to any insurance coverage(s) of the Customer. Customer assumes Sole Responsibility for any and all
liability that exceeds the applicable minimum limits of protection for that state or province.
This description of coverage supersedes and renders void any Liability Insurance Coverage(s) described or Implicated in the U-Haul Document Holder.
. I understand that this equipment must be returned to the same U-Haullocatlon where It was rented. I understand that the minimum rental charge
for equipment returned to a different location is twice the amount of the current One way rate from this U-Haullocation to the actual drop-off location.
. Failure to return this equipment by the contract due date and time and pay all amounts due (including the cost of damage) can be construed as intent
to defraud and is punishable in accordance with state and local laws.
. I confirm that the equipment I am renting Is clean and I agree to return this equipment clean or pay a cleaning fee.
. I understand that the equipment rented Is water resistant and not water proof.
. I agree to pay all fees Incurred in collecting unpaid rental charges and fees.
. I aCknowledge that I have received the appropriate User Instructions and acknowledge my responsibility to fully read and understand these User
Instructions before operating the equipment.
. I understand that I am financially responsible for all damages to equipment.
. I acknowledge that I have received and agree to the terms and conditions of this Rental Contract and the Rental Contract Addendum.
~~
a n
\t,' .('\'
"w 9
Scott Greenfield
Customer Signature - (Cindy Sheaffer)
https:/ /uhauldealer.com/ContractPrinting/ contractPrint.aspx?source=printingObjects&origl... 3/25/2007
Hospice of Central Pennsylvania
98 South Enola Drive
P.O. Box 266
Enola, PA 17025
Invoice
Invoice Number:
Voice:
Fax:
717-732-1000
717-732-5348
1741
Invoice Date:
2/6/07
Page:
1
Resident:
Maynard L. Sheaffer
III Austin Drive
Enola, PA 17025
Resident ID: SheaffML
Payment Terms
Net 30 Days
. Due Date
3/8/07
Description Amount
~esidential Care - February 6-12, 2007 2,240.00
.COPV
Total Invoice Amount
2,240.00
Check/Credit Memo No: 1687
Payment/Credit Applied
2,000.00
TOTAL
240.00
Thank you for choosing Hospice of Central Pennsylvania.
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Ibis Appraisal Services
.
.
(711) 243-3474
Info@ibisappraisals.com
www.ibisappraisals.com
P.O. Box 24-
145 N. Hanover St.
CaTlisle) P A 17013
.
.
STATEMENT
March 22, 2007
Cindy Sheaffer, Executrix &
Peter Russo, Esq.
3800 Market St.
Camp Hill, PA 17011
RE: Maynard Sheaffer Estate Personal Property Appraisal
Dear Ms. Sheaffer and Atty. Russo:
Please find enclosed the requested five hard copies and five digital copies of the Maynard
Sheaffer eState personal property appraisal report. Should you need any more items
appraised or have any questions and comments, please do not hesitate to contact
Ibisas@earth1ink.net or me at (717) 243-3474. I can also provide extra copies ifneeded. . 1
APPRAISAL FEE: . $540.00 L/ I /110
PERSONALPROPER1Y: 60.00Ihourx9hours= $540.00 fP- 1-- 101.3
PERSONAL PROPERTY:
Ibis Appraisal Services has researched, consulted, and appraised the personal property of
Maynard Sheaffer, deceased (date of death February 09, 2007), 111 Austin Dr. Enola, P A
17025. The final report was completed and produced on March 20, 2007.
Thank you!
Yours faithfully,
Search One Abstracting, Inc.
The Chelsea Building
3800 Market Street
Camp Hill, PA 17011
Invoice
Date
.7/18/2007
Invoice #
286
Bill To
Estate of Maynard L Sheaffer
P.O. No. Terms Project
Quantity Description Rate Amount
806 WertzviJIe Rd - Mtg Search & Copies #56185 28.00 28.00
103 Sharon Rd - Mtg Search & Copies #56186 26.00 26.00
930 WertzviJIe Rd - Mtg Search & Copies #56188 28.00 28.00
Recorder of Deeds Recording Fees for 3 satisfaction pieces 81.00 81.00
Processing and recording satisfaction pieces 10.00 10.00
I
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~'vY\~ cJL ~ IOI~ cf(qlOI
I
I
Total $173.00