HomeMy WebLinkAbout10-30-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPARTMENT 280601
HARRISBURG, PA 17128-0601
October 22, 2007
Telephone
717-787-3930
Mr. Bradley C. Jacobs
Register of Wills
York County Judicial Center
45 North George Street
York, PA 17401
----..i
Re:
Estate of Beverly I. Bink /,,/
File Number: 2107-0902 v
County: Cumberland
Date of Death: 12/16/06
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Dear Register of Wills:
The subject decedent legally resided in Cumberland County as of the date of death.
Accordingly, you are authorized to cancel file number 6707-0416. All matters concerning this
estate should be maintained under Cumberland County File Number 2107-0902. .
All original Inheritance Tax documents for the subject decedent should be forwarded to
the Cumberland County Register of Wills; however, you may wish to retain a copy, including
photocopies of all receipts for the collection of Inheritance Taxes in the subject estate which
have been issued by your office.
Please contact me at the telephone number above if you have any questions.
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Claudia Maffei, Supervisor
Document Processing Unit
Inheritance Tax Division
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
STATEMENT OF ACCOUNT
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R' ' Of WILLS
.1 SEP I q P2t 'b
REV-1607 EX AFP (03-05)
HOWARD C BINK
418 RENO AVE
NEW CUMBERLAND
J UfttCI:A L,.C E,H'1 E R
YOR K. pl\
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
09-04-2007
BINK
12-16-2006
67 07-0416
YORK
101
BEVERLY
Amount Remitted
PA 17070
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
45 NORTH GEORGE STREET
YORK, PA 17401-1240
NOTE: To insure proper credit to your account. submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE
-.
RETAIN LOWER PORTION FOR YOUR RECORDS
~
REV-1607 EX AFP (03-05)
*** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF BINK
BEVERLY
FILE NO. 67 07-0416
ACN 101
DATE 09-04-2007
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYMENTS. THE CURRENT BALANCE. AND. IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-21-2007
PRINCIPAL TAX DUE: 17,603.58
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-13-2007 YK012858 823.56 15,647.62
08-04-2007 YK013697 .00 1,132.40
TOTAL TAX CREDIT 17,603.58
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
"
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
un" WAV De nile 4 ~EFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BINK HOWARD C
418 RENO AVE
NEW CUMBERLAND, PA 17070
--~----~ fold
ESTATE INFORMATION: SSN: 189-20-1047
FILE NUMBER: 6707-0416
DECEDENT NAME: BINK BEVERLY
DATE OF PAYMENT: 08/06/2007
POSTMARK DATE: 08/04/2007
COUNTY: YORK
DATE OF DEATH: 12/16/2006
NO. YK 013697
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1 , 1 32.40
I
I
I
I
I
I
I
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2421
SEAL
INITIALS: JOK
RECEIVED BY:
REGISTER OF WILLS
$1,132.40
BRADLEY C JACOBS
REGISTER OF WILLS
05-28-2007
BINK
12-16-2006
67 07-0416
YORK
101
APPEAL DATE: 07-27-2007
( See reverse side under Objections)
Amount Remittedl
MAKE CHECK PAYABLE AND REMIT
REGISTER OF WILLS
45 NORTH GEORGE STREET
YORK, PA 17401-1240
BUREAU r~ INDIVIDUAL TAXES
INHERITANCE lAX. n~VISION
PO BOX 2B0601 t\ ~ _' ~_l \ :~
HARRISBURG PA 17128-060,1 ,- r.. 'C' -.- ,- ,. r,--
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
~
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
.IUD' C I A.L CE~'~T [f)
HOWARD C BINK ' ('
418 RENO AVE
NEW CUMBERLAND PA 17070
*'
REV-1547 EX AFP (06-05)
BEVERLY
I
PAYMENT TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
-------------------------------------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BINK BEVERLY FILE NO. 67 07-0416 ACN 101 DATE 05-28-2007
TAX RETURN WAS: ( ) ACCEPTED AS FILED
( X) CHANGED
SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
.00
305,666.66
.00
.00
2,500.00
84,359.30
.00
(1)
(2)
(3)
(4)
(5)
(6)
(7)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
(9)
ClO}
1,335.43
.00
Cl1)
Cl2)
Cl3)
Cl4)
10.
11.
12.
13.
14.
Debts/Mortgage Liabilities/Liens (Schedule I)
Total Deductions
Net Value of Tax Return
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate Subject to Tax
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
(8)
392,525.96
1.331i.43
391,190.53
.00
391,190.53
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of Ahh returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
Cl5) .00 X 00 .00
Cl6) 391,190.53 X 045 = 17,603.58
(17) .00 X 12 = .00
Cl8) .00 X 15 = .00
Cl9)= 17,603.58
PAYMt::.NT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-13-2007 YK012858 823.56 15,647.62
PAYMENT MUST BE MADE BY 09-16-2007*. TOTAL TAX CREDIT 16,471.18
BALANCE OF TAX DUE 1,132.40
INTEREST AND PEN. .00
TOTAL DUE 1,132.40
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
REV-1470 EX (60S",
INHERIT ANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
FILE NUMBER
Beverly I. Bink
REVIEWED BY
ACN
6707-0416
101
Anita McCully
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
Lineal heirs are taxable at the rate of 4.5% for dates of death on or after 07 -01-2000.
ROW
Page 1
-.J
15056051058
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REV.1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
File Number
6.7
OJ
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Date of Birth
189-20-1047
12/16/2006
02/22/1926
Decedent's Last Name
Suffix
Decedent's First Name
MI
Bink
Beverly
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
(e'
1. Original Return
2. Supplemental Return
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
4. Limited Estate
f
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy oITrust)
10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
Howard C. Bink
(717) 605-1733
Firm Name (If Applicable)
City or Post Office
New Cumberland
State
ZIP Code
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REGISTER OF WILLS USE ONLY
First line of address
418 Reno Avenue
Second line of address
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PA
17070
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Correspondent's e-mail address:howard.bink@navy.mil~ r-
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Under penalties of perjury. I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledg~d belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of Which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDRESS
'f!~
1-
ADDRESS
Side 1
L
15056051058
15056051058
-.J
-.J
15056052059
REV-1500 EX
Decedent's Social Security Number
Decedent's Name:
Beverly
Bink
189-20-1047
RECAPITULATION
1. Real estate (Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
0.00
305,666.66
0.00
0.00
2,500.00
84,359.30
0.00
392,525.96
1,335.43
0.00
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) C:J Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested.. . . . . .. 7.
8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8.
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11.
1,335.43
391,190.53
0.00
391,190.53
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14.
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2)X .0_
16. Amount of Line 14 taxable
at lineal rate X.O _ 0.04
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
15,647.62
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
15,647.62
20. Fill IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
15056052059
-.J
REV-1500 EX Page 3
Decedent's Complete Address'
File NUrTl.bJlr .
,
.:
DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER
Beverly I Bink 189-20-1047
STREET ADDRESS
403 Summit Road
CITY T STATE I ZIP
New Cumberland PA 17070
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
15,647.62
Total Credits ( A t 8 t C ) (2)
0.00
3. InteresVPenalty if applicable
D. Interest
E. Penalty
TotallnteresVPenalty ( D t E ) (3)
4. If Line 2 is greater than Line 1 t Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
8. Enter the total of Line 5 t SA. This is the BALANCE DUE.
(5)
(SA)
(58)
15,647.62
0.00
15,647.62
5. If Line 1 t Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 ~
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~
c. retain a reversionary interest; or.......................................................................................................................... 0 [Xl
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [KJ
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 [KJ
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 ~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. ~9116(a)( 1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1503 EX+ (6-98.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Beverly I Bink
FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Vanguard Total Bond Market Index Fund 55,785.32
2 Vanguard Wellesley Income Fund 172,769.74
3 Vanguard VFTC Custodial IRA 59,548.29
4 Vanguard Prime Money Market Plan 17,563.31
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
305,666.66
REV-1508 EX+ (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Beverly I. Bink
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
Furniture
2,500.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
2,500.00
REV-1513 EX+ (9-00) '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Beverly I Bink
FILE NUMBER
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1 Howard C. Sink, 418 Reno Avenue, New Cumberland, PA 17070 Son 50%
2 John R. Sink, 409 Summit Road, New Cumberland, PA 17070 Son 50%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX+ (6-98.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Beverly I Bink
FilE NUMBER
If an asset was made joint within one year of the decedent's date of death, It must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Howard C. Bink
418 Reno Avenue
New Cumberland, PA 17070
Son
B. Howard C. Bink
418 Reno Avenue
New Cumberland, PA 17070
Son
C.
John R. Bink
409 Summit Road
New Cumberland, PA 17070
Son
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 09/22/98 House-403 Summit Road, New Cumberland, PA 17070 153,000.00 50% 76,500.00
2 B 11/11/98 Bank Account-Checking #771029349 Sovereign Bank 3,658.60 50% 1,829.30
D
3 C 7./II/<i7 Land-244 Bosler Avenue, Lemoyne, PA 17043 12,060.00 50% 6,030.00
TOTAL (Also enter on line 6, Recapitulation) $ 84,35930
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (12-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Beverly I Bink
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
See summary
962.40
tI '
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year{s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State .Zip
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Living Expenses (see summary) -2,276.76
8. Insurance Expenses (see summary) 308.84
9. Real Estate Fees (see summary) 325.00
10. Tax Expenses (see summary) 1,128.00
11. Medical Expenses (see summary) 887.95
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
1,335.43
COMMONWEALTH OF PENNSYLVANIA
DEPARtMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 67
07500108
02-19-2007
REV-1St'i3A AFP (1-00)
EST. OF BEVERLY I BINK
S.S. NO. 189-20-1047
DATE OF DEATH 12-16-2006
COUNTY YORK
TYPE OF ACCOUNT
o SECURITY
Ii] SEC ACCT
o STOCK
o BONDS
JOHN R BINK
409 SUMMIT ROAD
NEW CUMBERLAND PA 17070-2852
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
45 NORTH GEORGE STREET
YORK, PA 17401-1240
VANGUARD GROUP has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset.
If you feel this infor.ation is incorrect, please obtain written correction from the transfer agent, attach a copy to this form and
return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania.
Questions may be answered by calling (717) 787~8~27.
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 9911346663
DOD Valuation
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
ill
x
305,666.66
50.000
152,833.33
.045
6,877.50
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax payments are made within three
(~) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
[CHECK ]
ONE
BLOCK
ONLY
A. DThe above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest. or you may check box "An and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
B. rt7(The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
~to be filed by the decedent's representative.
C. c=JThe above information is incorrect and/or debts and deductions were paid by you.
You must complete PART 0 and/or PART m below.
PART If you indicate a different tax rate. please state your
~ relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON ABOVE ASSETCS)
1
2 X
3
4
5
6 X
7
LINE 1- DOD Valuation
2. Percent Taxable
3. Amount Subject to Tax
4. Debts and Deductions
5. Amount Taxable
6. Tax Rate
7. Tax Due
PART DEBTS AND DEDUCTIONS CLAIMED
[!]
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
*
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of perjury. I declare that the facts I have reported above are true. correct and
complete to the best of my knowledge and belief. HOME C )
WORK C )
TAXPAYER SIGNATURE
Tt:l L'Dun..lC' IUllun...."
..
January 22, 2007
A Vanguard"
Vanguarcte Voyager Servicee
Estate of Beverly Bink
403 Summit Road
New Cumberland, PA 17070-2852
P.O. Box 1120
Valley Forge. PA 19482-1120
www.vanguard.com
Re: Estate of Beverly Bink
Account Values
To Whom It May Concern:
We are responding to your request for the values of the following accounts as of December
16, 2006. Please convey our sincere condolences to the family of Beverly Sink for their loss.
Since that date fell on a non-business day, we are providing the values for December 15,
2006. On that date, the number of shares, price per share, and the value of the account
were as follows:
I I B" kld""d I A
BeverlY " In - n IVI ua ccount
Name Fund # Shares Price Value . Accrued
IAccount # Dividends
~anguard Prime Money 0030- 17,563.310 $1.00 $17,563.31 $22.62
Market Fund 09911346663
rv'anguard Total Bond 0084-
Market Index Fund Investor 09911346663 5,561.846 $10.03 $55,785.32 $120.01
Shares --
rvanguard Wellesley Income 0527- 3,263.501 $52.94 $172,769.74
Fund Admiral Shares 09911346663 -
Please note that as of December 18, 2006 (the business day following the date of death),
the funds' share balances remained the same. However, the share price had changed to the
following:
Name Price
Vanguard Prime Money Market Fund $1.00
Vanguard Total Bond Market Index Fund Investor Shares $10.03
~anguard Wellesley Income Fund Admiral Shares $52.91
VSLH 122005
.f
l'
B" k
BeverlY I. In - Trad tlonallRA
Name Fund # Shares Price Value Accrued
~ccount# Dividends
Vanguard Wellesley Income 0027- 2,725.322 $21.85 $59,548.29
Fund Investor Shares 09840788127 -
Please note that as of December 18, 2006 (the business day following the date of death),
the fund's share balance remained the same. However, the share price had changed to:
$21.84.
If you have any questions, please contact your Voyager Service Team at 800-284-7245.
Voyager's business hours are Monday through Friday from 8 a.m. to 10 p.m. and on
Saturday from 9 a.m. to 4 p.m., Eastern time. One of our dedicated Voyager associates will
be pleased to assist you.
Sincerely,
._......~
~~~.:..;...~..~...... .....
;.~..,~'":>':.::.'.::.: '."",.. '.:,".:'
.. ~,'..
James H. McCutchan
Registered Representative
Correspondence Number 20054653
THE APPRAISAL FIRM, INC
:r:k~ ~ ,
FHe No. 07000048
APPRAISAL OF
LOCATED AT:
403 SUMMIT ROAD
NEW CUMBERLAND, PA
FOR:
HOWARD BINK
UNKNOWN
17111
BORROWER:
HOWARD C. BINK
ASOF:
January 30, 2007
BY:
BETTY MCCONNEll
CERTIFIED APPRAISER
19 WEST MAIN STREET, MIDDLETOWN, PA 17057 PHONE: 717-944-0620 FAX: 717-948-9383
THE APPRAISAL FIRM, INC
x+~~ a: J
File No. 07000048
01130/2007
HOWARD BINK
UNKNOWN
17111
File Number: 07000048
TO WHOM IT MAY CONCERN:
In accordance with your request. I have appraised the real property at:
403 SUMMIT ROAD
NEW CUMBERLAND, PA
The purpose of this appraisal is to develop an opinion of the market value of the subject property. as improved.
The property rights appraised are the fee simple interest in the site and improvements.
In my opinion. the market value of the property as of January 30, 2007
is:
$153,000
One Hundred Fifty-Three Thousand Dollars
The attached report contains the description. analysis and supportive data for the conclusions.
final opinion of value. descriptive photographs. limiting conditions and appropriate certifications.
SINCERELY,
~ t2 >7t!~
BETTY MCCONNELL
CERTIFIED APPRAISER
RL-000566-L
19 WEST MAIN STREET, MIDDLETOWN, PA 17057 PHONE: 717-944-0620 FAX: 717-948-9383
The ouroose of this summarv appraisal reoort is to orovide the lender/client with an accurate. and adeouatelv suooorted. ooinion of the market value of the subiect pro'aertv.
Prooertv Address 403 SUMMIT ROAD City NEW CUMBERLAND State PA Zin Code
Borrower HOWARD C. BINK Owner of Public Record HOWARD C. BINK Countv YORK
Leoal Descriotion DEED BOOK AND PAGE NUMBER:1338-5592
Assessor's Parcel' 67-27-000-05-0096-00-00000 Tax Vear 2007 R.E, Taxes S 2 500 EST.
Nel hborhood Name N/A MaD Reference 3119-B-08 ADC MAPS Census Tract 202.20-9280
Occuoant I J Owner I X I Tenant I I Vacant Soecial Assessments S NONE flPUD HOA S NONE T T;'r vear I 1 ner month
Prooertv Ri hts Aooraised I X I Fee Simole I I Leasehold I IOtherfdescribel
Assi nmeot Tvne I I Purchase Trensaction I iRefinance Transaction I X lather fdescribel DETERMINE VALUE FOR THE SUBJECT PROPERTY,
Lender/CHent HOWARD BINK Address UNKNOWN
Is the subiect orooertv currentlv offered for sale or has it been offered for sale in the twelve months orlor to the effective date of this aooraisal? 11 Ves IXl No
Report data source(s) used. offering price(s). and date(s). SEE ATTACHED ADDENDUM
I 0 did W did not analyze the contract for sale for the subject purchase transaction. E~plain the results of the analysis of the contract for sele or why the analysis was not penormed.
THIS APPRAISAL IS TO DETERMINE MARKET VALUE OF THE SUBJECT PROPERTY.
Contract Price S N/A Date of Contract N/A Is the orooertv seller the owner 01 oublic record? Ves r lNo Data Sourcel~l N/A
Is there any flnanclal assistance (loan charges. sale concessions, gin or downpayment assistance. etc.) to be paid by any party on behalf of the bortower? OVes O'NO
If Ves. report the total dollar amount and describe the items to be paid. S NONE THIS APPRAISAL IS TO DETERMINE MARKET VALUE OF THE
SUBJECT PROPERTY.
Note: Race end the racial comnosltiol1 of the nel hborhood ere not annralsal factor~.
Location I J Urban Ixl Suburban r 1 Rural I Prooertv Values rillncreasinn I 1 Stable r 1 Declininn PRICE AGE One.Unit %
Built.Uo I laver 75% X 125.75% I I Under 25% f Demand/Suoolv f 1 Shortaoe f xl In Balance r lOver Suoolv SIOOOl (Yrsl 2-4 Unit %
Growth I I Raold I X I Stable I JSlow I Marketlno Time Ixl Under 3 mths r 13-6 mths r lover 6 mths Low Multl.Familv %
Neighborhood Boundaries SEE ATTACHED ADDENDUM Hioh Commercial %
Pred. Other Vacant %
Neighborhood Description SEE ATTACHED ADDENDUM
Market Conditions (including support for the above conclusions) SEE ATTACHED ADDENDUM
Dimensions REFER TO DEED Area .5668 ACRE ShaDe IRREGULAR RECTANGLE Viaw AVERAGE
Soecific Zonino Classification RESIDENTIAL Zonino Oescri tion SEE ATTACHED ADDENDUM
Zonino Comoliance Ixl Leoal r 1 Lenal Nonconformlnn fGrandfathered Usel I 1 No Zonlnn I IlIIenal Idescribel
Is the highest and best use of the subject property as improved (or as proposed per plans and specifications) the present use? 00 Ves 0 No If No, describe.
Utilities PUblic Other rdescrlbel PUblic Other fdescribel Off.sltelmnrovements TV"e Public Private
Electricitv Ixl I I Water Ixl r1 Street ASPHALT TiT TT
Gas il r'J Sanltarv Sewer Ixl Tl Allev NONE TT 11
FEMA S""cial Flood Hazard Area rUlves IxlNo FEMA Flood Zone ZONE "C" FEMA Mao , 420923 0002 A FEMA MaD Date 02/15/1978
Are the utilities and off.sita Imorovements tvoical for the marllet area? IxlVes I INo If No describe.
Are there any edverse site conditions or external factors (easements, encroachments. environmental conditions. land uses, etc.)? OVes [KINo If Ves, describe. SEE
ATTACHED ADDENDUM
Units I xl One I lane with Accessorv Unit I Concrete Sleb r 1 Crawl Soece Foundation Walls CON. BLOCKlAVG Floors WWNNLlHW/AVG
# of Stories 1 I X I Full Basement I I Partial Besement Exterior Wells ALUM&BRICKlAVG Walls DRYWALL/AVG.
TVDe [X1Det. f 1 Att. f 1 S.Det./End Unit Basement Area 1340 sn. n. Roof Surface SHINGLE/Ava. Trim/Finish WD/PAINT/AVG
I X J Existino I I ProDOsed f I Under Const. Basement FInish 50% Gutters & Downsnouts ALUMINUM/AVG Bath Floor VINYL/AVG.
Deslon 1St Ie) 1 STORY Ixl Outside Entrv/Exit I 1 Sumn Pumn Window Tv"" THERMALS/AVG Bath Walnccot CERAMIC/AVG.
Veer Built 1980 Evidence of f llnlestation Storm Sash/Insulated NONE Car Storane r 1 None
Effective Aoe IYrs130 I Damoness I I Settlement Screens YES lril Drivewav # of Cars 2 CARS
Attic None Heatlno I X I FWA II I HWBB II I Radiant Amenities WoodStov;;! , Drivewav Sunace BRICK&STONE
J OraD Stair Stairs lather I Fuel OIL !Ixl FireDlacels) , 1 Fence IXlGaraoe , of Cars 2 CARS
JFloor i Scuttie Coolino I I Central Air Conditionina 1 Patio/Deck Porch lCarDOrt , of Cars
'lFinlshed Heated I Individual II lather I Pool Other IXlAtt llDet llBuilt.in
Aooiiances I I Relrineretor Iii Ranne/Oven I Dishwasher I 1 Disoosal I I Microwave I lWasher/Drver I 'lather Idescrlbe)
Finished area above orade contains: 5 Rooms 3 Bedrooms 2.00 Bath/sl 1 340 Sauare Feet of Gross Llvinn Area Above Grade
Additional features (speCial energy efficient items. etc.), SEE ATTACHED ADDENDUM
Describe tl1e condition of the property (including needed repairs. deterioration, renovations, remodeling. etc.). SEE ATTACHED ADDENDUM
Are there any physical defociencles or adverse conditions that affect the iivability. soundness, or structural Integrity of the property? . Dves1X}No If Ves, describe.
Does the property generally conform to the neighborhood (functional utility. style, condition, use, construction, etc.)7 lxJ Ves UNo If No. describe.
it Mac Form 10 M.d. 2005 Produced \Ising ACI Sllftw.., 800.234.1121 www.lClwell.cOlll Farrie Mae F0l1Tl1004 Mai'ch 2005
SUMMARY REPORT OF A COMPLETE APPRAISAL
Uniform Residential Appraisal Report
Page '''6
-xh.~ ~ t
File No. 07000048
l004_0i062V06
There are 0 comoarable ofDoerties currentiY offered for sale in the sub'ect neiahbarhaod ranoina in orice from $ 125000
There are 1 camoarable sales in the sublect neiohbclhaoo within the DBSt twelve months lan~no in sale mice from $ 125000
FEATURE I SUBJECT I COMPARABLE SALE NO.1 COMPARABLE SALE NO.2
." ,"""IT 'OAD ~ ::M~";; '"' W,,-""''',"OAO
Address NEW~' ...n<~ NEW CUMBERLAND NEW CUMBERLAND
Proxlmitv to Sub ect ~ 0.14 MI SE ~
Sale Plice $ N/A 175 000 $ 130 000
Sale PrIceIGrossLiv Area 110 0 $ 10517 so h $ 116.49 sn. h
Data sourcei;I' MlS MLS
Venficauon Sourcelsl COURTHOUSE RECORDS COURTHOUSE RECORDS
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION ,(.I' A~""""'" DESCRIPTION ,'.1' A~"""""l
Sale Dr Financing CONVENTIONAL CONVENTIONAL
Concessions NONE NONE
Date 01 Sale/TIme 04/28/2006 04/24/2006
Lacatlen SUBURBAN SIIBURBAN SUBURBAN
leaseheld/Fee Slm Ie FEE SIMPLE FEE SIMPLE FEE SIMPLE
Site 5668 ACRE .6198ACRE NOADJ. .4959ACRE
View AVERAGE AVERAGE AVERAGE
Desinn'St leI 1 STORY/AVG. 1 STORY/AVG. 1 STORY/AVG.
Quallt 01 Construction FRAME/AVG. FRAME/AVG. MASONRY/AVG
Actual Aoe 47 YEARS 48 YEARS 36 YEARS
Condition AVERAGE GOOD .a 800 AVERAGE
Abcve Grade ToIlll IBd""'! aa"" T"'" lBdrm,1 aa"" ToIllll8dr..J aaths
Room Count 5 I 3 I 2.00 6 T 3 I 2.S0 -2000 6 I 3 T 1.00
Gross Llvinn Area1S.00 1340 sn. It. 1664 Sa. h. -4900 1116 sn. h.
Basement & Finished FULL BASEMENT FULL BASEMENT NO BASEMENT
Rooms Below Grede SO% FINISHED UNFINISHED +3 SOD N/A
FunctionalUtilltv AVERAGE AVERAGE AVERAGE
Heatinn/Coollnn FWAlNONE FWAlCENTRAL -2 SOD H01WTR/NONE
Enernv Efficient Items THERMAlPANES SIMILAR SIMILAR
Garana/Carnort 2 CARS ATT. 2 CARS INTEG. +2 SOD OFF ST. PARKING
Porch/Patio/Deck NONE SCREEN PORCH -2 SOD PATIO
1 FIREPLACE 1 FIREPLACE 1 FIREPLACE
COVERED PATIO -1 500
SUMMARY REPORT OF A COMPLETE APPRAISAL
Uniform Residential Appraisal Report
NetAd'ustment Total) _ fl+ Ixl. 1$ 16200 Ixl+ r l. 1$
A~usted Sale Plice Net Adj. -9.3% I Net Adj. 17.6% I
ofComnarables Gross Adl. 16.1% I $ 158800 Gross Ad'. 18.4% I $
I'W did Udld not research the sale Dr transfer history of the subject property and comparable sales. II not, explain
J:f-~~~'
File No. 07000048
ta S 2SO 000
to $ 250 000
COMPARA8LE SALE NO.3
472 SPRUCE ROAD
NEW CUMBERLAND
1.9 MI ESE
$ 136 000
$ 88.08sa.h,rr'-- ';';"
MlS
COURTHOUSE RECORDS
,'.IS"",""""",
DESCRIPTION
CONVENTIONAL
NONE
1 0/2S/2006
SUBURBAN
FEE SIMPLE
NO ADJ. 4846 ACRE
AVERAGE
1 STORY/AVG.
FRAME/AVG.
49 YEARS
INFERIOR
TotO IBdrm,J aarm
8 I 4 I 2.SO
1,544 sn. h.
FUll BASEMENT
PARTIAllY FIN.
AVERAGE
+2500 FWAlCENTRAL
SIMILAR
+S 000 2 CARS ATT,
-SOD DECK
1 FIREPLACE
+4 000
+3 400
+5,000
+3 SOD
22 900
I J+ [Xl- 1$
Net Adj. -13% I
GrossAd'. 11.3% Is
NOADJ.
+6 800
-2000
-3100
NO ADJ.
-2500
-1000
1800
134 200
Mv research I 1 did r X I did not reveal anv nrior sales Dr translers of tM sub'ect orooerN for the three vears mior to the effective date 01 this annralsal.
Data sourc;;;;- COUNTY RECORDS
Mv research I'l did IXl did not reveal anv nrlor sales or transfers of the comoarable sales lor the vear Olior to the date 01 sale 01 the comoarable sale,
Data sQUlcers\ COUNTY RECORDS
Reoort the results of the research and analvsis of the ndor sale Dr transfer historv 01 the subiect orooertv and com arable sales reoort additional orior sales on oaae 3l:
ITEM SU8JECT COMPARABLE SALE NO.1 COMPARA8LE SALE NO, 2 COMPARABLE SALE NO.3
Date of Prior SolelTr"nsler NONE WITHIN 36 MONTHS NONE WITHIN 1 YEAR NONE WITHIN 1 YEAR NONE WITHIN 1 YEAR
Price of Prior SalelTransler NA NA NA NA
Data Sourc~I;)' COURTHOUSE RECORDS COURTHOUSE RECORDS COURTHOUSE RECORDS COURTHOUSE RECORDS
Effective Date of Data Source(,) DATE OF THIS APPRAISAL DATE OF THIS APPRAISAL DATE OF THIS APPRAISAL DATE OF THIS APPRAISAL
AnalySis of priar sale or transfar history oJthe subject ploperty and comparable sales SEE ATTACHED ADDENDUM
Summary 01 Sales Comparison Approach. SEE A TT AC H ED AD DE N DU M
152 900
Indicated Value bv Sales Comoarison Aoaroach S 1S3 000
Indicated Value bv: Sales Camnarison Annroach $ 153 000 Cost Anoraach fif develoned! S 45 000 Income Annroach (if develoned\ l
THE SALES COMPARISON APPROACH TO VALUE IS CONSIDERED TO BE THE MOST ACCURATE METHOD OF DETERMINING MARKET VALUE.
THE REPRODUCTION COST APPROACH IS USED TO SUPPORT VALUE. NOT ENOUGH HOMES IN THIS VALUE RANGE ARE RENTED TO USE
THE INCOME APPROACH TO DETERMINE VALUE.
This appraisal is made !Xl "as is,' 0 subject to completion per plans and specifications on the basis al a hypothetical condition that the improvement' have been completed,
o subjecl la the IQ\lewing 'epailS or alterallons on the baSis 01 a hypothetical condition that the repairs Dr alterations have been completed, Dr 0 subject 10 the following required
inspection based on the extraordinary assumption that the condition Dr deficiency does not require alteration Dr lepair: SEE ATTACHED ADDENDUM
Based on a complete visual inspection of the Interior and exterior areas of the subject property, defined scope of wor~, statement of assumptions a.nd lImiting
conditions, and appraiser's certiflcation, my (our) opinion of the market v~lue, as defined, of the real property that is the suttiect of this report is $ 153,000
as of 0113012007 ,which Is the date of lnsoectlon and the effective date of this anoraisal.
dill Mec Foon 10MNd12005 Produced umg ACI,ortw8fe, BOO.2JU727wwuciweb.com Fannie Mae Form 10lW March 2005
Page Z ol6 l00"_O~ 062906
The Appraisal Firm, Reelly
SUMMARY REPORT OF A COMPLETE APPRAISAL
..:Jte. \AA .i-,
THE ONLY INTENDED USER IS THE LENDER/CLIENT STATED HEREIN. ANY OTHER USER IS AN UNINTENDED USER.
THE MARKET VALUE DEFINITION HEREIN IS PROVIDED BY AND DEVELOPED SPECIFICALLY FOR THE REPORT AS PROVIDED BY FREDDIE
MAC AND FANNIE MAE.
THE'INTENDED USE OF THIS APPRAISAL IS FOR MORTGAGE UNDERWRITING PURPOSES FOR THE INTENDED USER HEREIN UNLESS
OTHERWISE SPECIFIED.
THIS REPORT IS NOT A HOME INSPECTION. APPRAISER ONLY PERFORMED A VISUAL INSPECTION OF ACCESSIBLE AREAS AND THIS
APPRAISAL CANNOT BE RELIED UPON TO DISCLOSE CONDITIONS AND/OR DEFECTS IN THE PROPERTY.
CLARIFICATION OF INTENDED USE AND INTENDED USER:
THE INTENDED USER OF THIS APPRAISAL REPORT IS THE LENDER/CLIENT. THE INTENDED USE IS TO EVALUATE THE PROPERTY THAT IS
THE SUBJECT OF THIS APPRAISAL FOR A MORTGAGE FINANCE TRANSACTION SUBJECT TO THE STATED SCOPE OF WORK PURPOSE OF
THE APPRAISAL REPORTING REQUIREMENTS OF THIS APPRAISAL REPORT FORM AND DEFINITION OF MARKET VALUE. NO ADDITIONAL
INTENDED USERS ARE IDENTIFIED BY THE APPRAISER.
'I~
Provide adeouate information for the lender/client to reolicate the below cost fioures and calculations.
Support for the opinion of site value (summary 01 comparable land sales or other methods for estimating site value) SEE ATTACHED ADDENDUM
ESTIMATED fl REPRODUCTION OR 11 REPLACEMENT COST NEW OPINION OF SITE VALUE. '" = $ 45 ODD
Source of cost data OWellinn 1 340 So. Fl. @ $ ..." $ 0
Qualitv ratino from cost service Effective date 01 cost data Bsm\: 1340 Sn.Ft. So. Fl. @ $ ... = $ 0
Comments on Cost Aooroach loross livino area calculations. deDleciation. etc,)
SEE ATTACHED ADDENDUM Garaoe/Careort 522 So. Fl. @ $ .." $ 0
Total Estimate 01 Cost.New " $ 0
Less 60 Phvsical "j Functional I External
Denreciation 1 I = $1 0
Denretiated Cost of Imnrovements . ",. ... = $ 0
"As-is" Value of She Imnrovements ...... ... = $
Estimated Remainino Economic Life CHUD and VA onlvl 20 Years INDICATED VALUE BV COST APPROACH. " $ 45 000
_ilRREl~lellfj'<:Ij'\.I~41~
Estimated Monthlv Market Rent $ X Gross Rent Multielier =$ Indicated Value bv Income Aooroach
Summary of Income Approach (including support for market rent and GRM)
R'tIIll8\F$4Il
Is the develooerlbuiider in control of lhe Homeowners' Association rHOAI? LJves IINo Unh lvMfst T TDetached I I Attached
Provide the followino information for PUDs ONL V if the develonel/builder is in control of the HOA and the sub'ect nronertv is an attached dwellinn unh.
Lenal name of nroiect
Total number of phases T ota' number of units Total number of unhs sold
T olal number of units renled Total number of units for sale Data sourceCs)
Was the nroiect created bv the conversion of an e,istino bUild",;'rs! into a PUD? lIVes I I No If Yes. date of conversion.
Does the reiect contain any mulli-dwellinn unhs? liVes TlNo Data sourcelsl
Are the units, common elements, and recreation facilities complete? Uves UNo If No. describe the status of completion.
Are the common elements leased to or by the Homeowners' Association? [JVes UNo If Yes, describe the rental terms and options.
Describe common elements and recreational facilities.
Freddie Mac Form 70 Mwch 2005 Produced ~s- ACI software. 800.2348121 w_.aciWeb.cum Fame Mae Form 1004 March 200
Uniform Residential Appraisal Report
File No. D70DDD4B
'"
Page3ol6
l00~))~ 0621106
../ ~ _ __ _j ~ -) ~BARBJ1,.AA SU~pLE:;"SjJ[;LIV~N f
1:;; ::;ztt:. "_:NEW C~~~~!<~~~~~i~~~~J~17036'19?1 -.
'1i' ,'.~-
/<
v~\-
THIS DEED
:tt-e.~~'
Made this 22nd day of September, 1998;
BETWEEN BEVERLY I. BINK,~dividUallY and as surviving widow of HOW ARD H. BINK,
herein designated as the Grantor, -
e (
AND BEVERLY I. BINK and HOWARD C. BINK, tenants in common with right of survivorship,
herein designated as the Grantees;
WITNESSETH, that the Grantor, for and in consideration of the sum of ONE DOLLAR ($1.00)
money of the United States of America, to the Grantor in hand well and truly paid by the Grantees,
at or before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged
and the Grantor being therewith fully satisfied, do by these present grant, bargain, sell and convey
unto the Grantees forever,
ALL THAT CERTAIN piece ofland located in tairview Township, York County, Pennsylvania,
more particularly bounded and described as follows; to wit:
BEGINNING at an iron pin on the southwestern comer of Lot No. 14, property of Lilah Walker, on
the Plan of Reeser Summit; thence in a northerly direction, bordering on Lot No. 14, a distance of
one hundred seventy (170) feet to an iron pin; thence in a westerly direction, bordering on Lot No.
15, a distance offifty-five and forty-six hundredths (55.46) feet to an iron pin at Pine Ridge Drive;
thence in a westerly direction, along Pine Ridge Drive, a distance of one hundred twenty-five and
three-tenths (125.3) feet on a curve; thence in a southerly direction, bordering on Lot No. 16, a
distance of one hundred forty-nine and ninety-four hundredths (149.94) feet to an iron pin at Summit
Road; thence in an easterly direction, along Summit Road, a distance of one hundred forty (140) feet
to the point of BEGINNING.
BEING Lot No. 15, Plan of Reeser Summit.
SUBJECT to the restrictions recorded with the Plan of Reeser Summit and entitled to the privilege
of water furnished by the Reeser Summit Water Company.
BEING the same premises which James D. Rockey and Helen P. Rockey, his wife, by their deed
dated June 25, 1956 and recorded on the Office for the Recording of Deeds in and for York County
in Deed Book 43B , page 153, granted and conveyed to Howard H. Bink and Beverly I. Bink, his
wife. Said Howard H. Bink died on August 19, 1997, and was survived by his wife, Beverly I. Bink,
Grantor herein.
THIS IS A TRANSFER FROM PARENT TO CHILD AND IS EXEMPT FROM TAX
.~ ~'"
11_"0'0.,. ,~
-- BOOK
1338
-- r-Atit.'
5593
:L.h",,-4,
IN WITNESS WHEREOF, the Grantors has hereunto set their hands and seals the day and
year first above written.
SIGNED, SEALED and DELIVERED
in the pre ce for ATTESTED by
")
WITNESS
. BINK, individually and as
idow of Howard H. Bink.
COMMONWEALTH OF PENNSYLVANIA )
) SS.
COUNTY OF CUMBERLAND )
On this 22nd day of September, 1998, before me, a Notary Public, the undersigned
officer, personally appeared Beverly I. Bink, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within instrument, and acknowledged that they executed the
foregoing DEED in the capacity therein stated and for the purposes therein contained.
IN~osetmYhand:=: ._
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Notary Public "'O~"lJ ,~~ ,. Ida..
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My commission expires:
I HEREBY CERTIFY that the precise address of the Grantee herein is:
403 Summit Road
New Cumberland. P A 17070
..-- Sovereign BanK
::rk~ ~Z-
STATEMENT OF ACCOUNTS
1-877-5OV-BANK (1-877-768-2265) www.soverelgnbank.com
statement Period 12/11/06 to 01109/07
TOTALLY FREE PREMIERCHECKlNC .
TOT ALL V FREE PREMIER CHECKING statement Period 12/11/06 . 01/09/07
BEVERL Y' SINK
HOWARD C 81NK
Account I 771029349
Balances
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7 Check(s) Posted == $4.848.69 . .. .. .
An asterisk (*) indicates a skip in sequential cheek numbers which may be caused by one of the following: ; . . .. .'
. A check not yet received .... . ..
. A check that was converted to an electroniC transaction, which will be Jisted in the "Electronic Checks Posted" .' .'
section below. If no checks were electronically converted, this section will not appear. . .
Account Activity -
Date Description Additions Subtracti.ons BalanGEt
12-11 Beginning Balance $5,392.25
CH-l;,'" , ~.: ~.""~ -~(4,"';r.>"i':'t~'4"""'" >' 4f~-",.-,Ln';;-".,.:'"'~~..;","'~"'''/!>';. :/';;-;;:"",{....-6'~"'~..)""'...j,~-"",.r'.."--;;. ..,...,,:-'>.......-"'::...,~~_5.~" ~/'\-.",,~.. ;:" ~ <. ~ "'.." 't.".",
_.t;;<i'Dj'.ti!,.",.t"l~ll'" ,f"" ". !:, '~;:r'if<:'1;;_~")\;"~jf.i'':~-+;-'V~^:''y(-~~ f!Zll1li'Y,j.j::::h'.,r-,~~' "r~', . <.'Y.NI' . "r " - .,<<<i~',}~, .J@" ~,
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Deposits/Credits
+ $2,598.94
Average Daily Balance
$3,849.01
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Checks Posted
Check # . I~e Paid
Amount ieference #
Check' Qjlte Paid
2403*
12/26
$154.42
613214320
2407
01/05
2405
12/15
$3,906.00
646757540
01-05
CHECK
2407
$380.00
$3,095.50
;1"~~"(""':;:-"-"'''''h~ilirt'''''"~ij;.'~~''''~f''''''''\~':-:~rr~r''''''''''' ,..~~.,,)''''' ~"'''';W;'-O; ~",.~ ~""""f""'~"":j'"",,,>:r""9;.~~;--'" "'~ 0'~>*~OO'<',>~ r -;>>; '" <;:i",~=~-"",,"O:.~,,~;> """'~~~';;<f~' ~. ~;'.,- +~,.~'" ~~"b""'"j; ~... ""~~..
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01-09
Ending Balance
$3,042.50
~
page 3 014
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Be_ ANTHONY B. ANJ~QESKI and KATHLEEN H. ~QZESItI, his wi~e
hereafter grantors
'0
AND
HAROLD H. SINK and BEVERLY I. BINIt, his wife and JOHN R. BINK,
grantees
Wiln..Klh. dtac in coRlidcraaaa 01 the BUIll of One Dollar,
One and no/lOOth's---------------------------------------~
in """d paid. .be '_'pc whereof i. hereby a.x-Iadl.d. ,he laid G.alllor do
hereby Iran, and coavey to the laid Gr"",n I
ALL that certain lot of land situate in the Borough of LelllOyne, County of
Cumberland and State of Pennsylvania. IIIOre particularly bounded and described
as follows:
BEGINNING at a point, the southeastern intersection of BOssler Avenue and
Third Street: thence along thP ~outhern line of Bossler Avenue, North 50
~;.~~.. ',degrees -'>, minutes East. adi!:tance of 40 feet to a point; thence South
Yll"JC: ,. ':'.,40 degrees.a minutes East. a distance of 67 feet to a point; thence South
~.:;." ..".. 50 degree~ 00 minutes West. ..:distance.of 40 feet to a point on the eastern
line of Third Street: thencf;- along the sane, North 40 degreesO min\l.t~$
West"a dJstanceHof 61 feet ,".0 a point, the place"lif'Beginning. .
BEING the sane premises which Boyd E.Freese, Executor of the Will of
Annie M. Sinmons, deceased, by deed dated May S, 1959, recorded in
Cumberland County Deed BookC, Vol. 19, Page 331. granted and conveyed
unto Robert L. Fry and Emma P. Fry, his wife, and erroneously included
on the deed to Anthony B. Andrezeski and Kathleen Andrezeski dated and
recorded on September 22, 1986.
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A~D the .aid Grantor Wal Wan&llt IrnenU,. rhl!' properb' h~~,. conveyed.
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IN WI'INESS WHEREOF, .. uid ~~r.. _ . luad' lAd aa1
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COUNTY OF C~ ~ 551
0" rhil. tho 11 tta cla,. oE j- ~ A. D. 19 'r7 , beEon III.
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r HEREBY CERTIJIY, ~ do. ~ ~ .of tbc Grus_ ...
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July 01, 2006
T AX NOTICE
UREA~ TAXES WILL B~
[ I
! THESE TAXES A.RE DUE AND P/\YABLE I
I
~CH REAL ES
LEMOYNE BOROUGH
REAL ESTATE TAX
2006-2007
! * 000120 *
L!~~__~_~n_!___
9.9000:
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!;F.NT TO THE TAX
D!SCOUNT i NET
I
117.00:
CLAIM BIIREAU 12/31/06
: PENALTY : ACCOUNT # 12210265285A
- !12-21-0265-285A
119.39 i 131. 3311_ BOSLER AVENUE
,& SOUTH THIRD STREET
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Pay Above
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117 001 119 ~91 J31.331Assmt
Due B~ i Due Bb Due Afterl
9/01/ Gl 1J/Ol/ 6il1/01/061
12,060
Make Checks Payable To:
FAITH A. NICOLA
510 HERMAN AVE
LEMOYNE, PA 17043
(717) 761-7785
TUES a WED 9:00 AM - 11:30 AM
MARCH,. APRILL JULY & AUGUST:
MONDAYS 4-6 yM ALSO
CLOSED DEC 26TH & 27TH
CLOSED ALL HOLIDAYS
BINKL HAROLD H & BEVERLY I
403 ~UMMIT ROAD
NEW CUMBERLAND PA 17070
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TAX PAYER
Backup to Schedule H
Funeral Expenses & Administrative Costs
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AVER MEMORIAL HOME AND CREMATION SERVICES, INC.
4100 Jonestown Road · Harrisburg, PA 17109 · 1-800-720-8221 · Fax 717-541-9943 · Shawn E. Carper, Supervisor
261334
STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED
Charges are only for items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items you have not selected, we will explain the reasons
in writing below. If you have selected services that may require embalming, you may have to pay for embalming. You do not have to pay for embalming that you did not approve. Embalming
is not required for direct cremation or immediate burial. Embalming is not required by law, except in certain special cases. If you are charged for embalming, we will explain why below.
For the Service of Bever ly Irene Bink Date of Death
M.r. Huwcu (j C. Bluk
Charge to: 418 Reno Avenue, New Cumberland,
Name Address
A. SPECIAL CHARGES:
Direct Cremation .................................... $895 . 00
Forwarding Remains to ........................
(Funeral Home)
Receiving Remains from ......................
(Funeral Home)
Immediate Burial ..................................
Nationwide Guarantee Program............
Worldwide Travel Protection ................
Pre-Arrangement Registration ..............
TOTAL SPECIAL CHARGES .........:.....................................$.895 . 00
B. CHARGE FOR SERVICE SELECTED:
PROFESSIONAL SERVICES
Services of Funeral Director/Staff ........
Embalming ............................................
Other Preparation of Body....................
Other
FACILITIES, STAFF AND EQUIPMENT
Use of the Facilities and Staff for
ViewinglVisitation ..................................
Use of the Facilities and Staff for
Funeral Ceremony..................................
Use of the Facilities and Staff for
Memorial Service ..................................
Use of the Staff and Equipment for
ViewinglVisitation at another location ....
Use of the Staff and Equipment for
Funeral Service at another location ........
Use of the Staff and Equipment for
Memorial Service at another location ....
Private Family Viewing ..........................
Witnessing Cremation............................
Packaging and Forwarding Cremated
Remains (Registered Mail) .................. $ 5 5 . 00
Personal Delivery of Cremated Remains ..
Delivery of Cremated Remains..................
Delivery and Coordination of Cremated
Remains to a Private or National Cemetery
Scattering of Cremated Remains Over
Land or Sea ............................................
TOTAL OF PROFESSIONAL SERVICES ..............................$55 00
C. AUTOMOTIVE EQUIPMENT:
Removal Vehicle ....................................
Casket Coach..........................................
t'amily Car (eg. Limo) ..........................
Flower Car or Floral Delivery ..............
Lead Car/Clergy Car ................................
Service Vehicle ,.....................................
TOTAL OF AUTOMOTIVE EQUIPMENT ................................ $0.00
12-16-2006
PA 17070
City
Date of Arrangements 12 - 1 7 .- 2 006
<<717)} 774.-4339
StatelZip Phone No.
D. MERCHANDISE
Register Book ........................................
Memorial Folders/Prayer Cards............
Thank You Cards ..................................
Remembrance Package ........................
Urn(s) .................................................... $ 3 5 .00
(Description) Plastic Container
Alternative Container ............................
(Description)
Urn Outer Burial Container ..................
(DescriptioulP U r 1 a 1 Va u 1 t
Veteran Flag Case # ..............................
Casket ....................................................
(Description) Cas k e t
Outer Burial Container..........................
Grave Marker/Memorial........................
OthePther
OthePther
TOTAL MERCHANDISE ........................................................ ~:3 5 .00
E. CASH ADVANCE ITEMS:
Grave Opening ......................................
Cemetery Equipment ............................
Newspaper Notices ................................
Newspaper Notices ................................
Airfare.......... .......................... ........ ........
Clergy/Mass Offering ............................
Pallbearers ....................... ...... .................
Certified Copies of the Death Certificate.. $1 2 0 00
Flowers... ... ........ ... ... ........... ... ... ........... ....
Vault Service Charge ................................
County Coroner Fee ................................ $ 25 . 00
Organist ... ... ... '" ................................. .....
Soloist .......... .................... ..... .................
Honor Guard ..........................................
Crematory Charge.................................... $400.00
Other
TOTAL OF CASH ADVANCES .................................................. $ 545 . 00
We charge you for our services in obtaining:
(specify relevant cash advance items)
SUMMARY OF CHARGES
A. Special Charges .....................................$ 8 9 ~ 00
B. Professional Services, Facilities ............ $ 5 5 . 00
C. Automotive Equipment............................ Sell. 00
D. Merchandise .......................................... $ '3 5 00
E. Cash Advance Items ................................$ 545.. 00
SUBTOTAL ........................................................................$.1. , 5 i0 00
DISCOUNT ............................................................................';": S 21'')8 . 00
TOTAL DUE ......................................................................$~ r 262.00
PAID.................................................................................""$.1 , 1 ~ 5 .00
.' BA,lANCE D,UE ...............................:........................................ SO 1 ? 7 .00
If any legal, cemetery, or crematory requirement has required the purchase of any of the items listed above, we will e~plain 'the requirement below:
I agree that I have examined the items of goods an services selected above and found them to be correct and according to the arrangements I have requested. I acknowledge receipt of a copy
of this Statement of Funeral Goods and Services Selected. I represent that I have sufficient funds available for payment of the cash price for the goods and services selected. I also agree to make
payment of $ Fu 11 within 3 days. I agree to be jointly and severally liable with anyone else who signs below. A late charge of 1 11 2 % per month
amounting to per year will be applied to the unpaid balance beginning 4 days from the date of this agreement. I will also pay to the Funeral Director all reasonable
costs pai ~neral Director to collect amounts I owe under this agreement. Those costs may include attorneys' fees, court costs and other costs. Any additional services or merchandise
ordered r e Gesle~,~r, ,e",da,te, of this agreement will ~o,nsidered part of this agreement and the cost thereof will be reflected on the final bill or statement.
(Seal) / i ~,.' I , / "u ,/ 12-17-2006
1\ ^ ( chaser)' (Date)
YV\( 1~-f7'--lOO~
(Licensed Funeral Director) (Date)
REASON FOR EMBALMING
(Seal)
fL~1t"Z-
0
is
u.
.00 10.00 J
.00 10.00
.00 1.29
.00 50.26
.00 20.00
.00 10.00
.00 10.00
.00 10.00
.00 4.65
191. 00
.00 10.00
.00 35.00
.00 2.65
r::~'~~~l"4' + r::':~''''':1 + L~I""~':'I:r"=rl""'::':~:~ _ LI'K':~~~':-"1
.51.55 I
NON-LEGEND
FOR MONTH
122..30 11
LEGEND
FOR MONTH
~
173.85
.:::fl;-1-tftPtp }JM-Ju- :ll.5Y r'-l2- ~c.~ #~d-,\
df:;. 'I <t 3 ]>~_i--- t! rY, '/2.- <H -:If 2.. '} 2.'1 J.,;., ""7 ,$ /.>' <{, L( L
I IGHMARK@-1F 23 2.-f r:~b~y IFf, '12--
-fF Z} 3:1 f1"JIlt..4 15 i I I.f 2-
if Z7J,S' Jt-ir/I /5'1; ,-/v-
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Dear BEVERLY. t 2.J' ~- 5-e.~
Z- 3 ~ 7 D l.hi.--;::' /ry rV 3-
Monthly Payments (Rate infonnation was mailed during the Retiree pen 'Enrollment period): if y. 'f 2-
. Enclosed you will find your 2006 Highmark coupon booklet. Your Payment in the amount
of $154.42 must be received in our office on or before the 15th of each month.
. You may pay more than one month at a time and you may combine this payment with
your Medicare Premium payment, jf applicable.
December 22, 2005
BEVERLY BINK~
403 SUMMIT RD
NEW CUMBER NO, PA 17070
RE: Hiahmark Retiree Medical Contributions
Late payments and Cancellations:
. You are required to make a monthly contribution for your benefit programs.
. Your monthly payments are due in our office on or before the 15th of each month.
. Failure to pay on time may result in termination in benefits.
. If you are terminated for non-payment of benefits, you are not permitted to re-enroll in
benefits under the Highmark Retirement Plan in the future.
It is important that you keep in touch with the Corporate Employee Benefits Department in the
event that this agreement cannot be upheld or you experience hardships.
Checks must be made payable to:
"Highmark VEBA"
Payments must be mailed to:
Highmark Inc.
Corporate Employee Benefits Ste 2A 312
PO Box 890089
Camp Hill, PA 17001-9746
*Important Note:
Checks mustme made payable to "Highmark VEBA". If checks are not issued properly, they
will be returned and you may experience in an interruption of coverage.
If there are any questions, feel free to contact our office at 1-800-341-1524.
Sincerely,
Highmark Corporate Employee Benefits
Corporate Offices:
Camp Hill PA 17089
Fifth Avenue Place. 120 Fifth Avenue. Pittsburgh PA 15222-3099
www.highmarkcom
lHP-Q04 (R3-00l .3100]
COMMONWEALTH OF PENNSYLVANIA ~...~-f4:~
PUBLIC SCHOOL EMPLOYEESt RETIREMENT SYSTEM
Mailing Address
PO Box 125
Harrisburg PA 17108-0125
Toll-Free - 1-888-773-7748
(1-888-PSERS4U)
Local- 717-787-8540
Building Location
5 North 5th Street
Harrisburg P A
Web Address: www.psers.state.pa.us
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RE: Beverly I. Bink *
S.S.# 189-20-1047
January 17, 2007
HOWARD C BINK
418 RENO AVE
NEW CUMBERLAND PA 17070
Dear Mr. Bink:
Thank you for your correspondence.
A prorated payment of $227.37 ($250.08 minus $22.71 federal withholding tax) forthe
period of December 1, through December 16, 2006, was due Beverly I. Bink, and is now
payable to The Estate or Next of Kin.
To make payment to the estate, submit a Short Certificate showing the appointment of
the executor or administrator ofth~. e~,te~~: /J:. ;photocopy of the Short Certificate will be
accepted if the official seal is visible. A copy of the deceased member's will is not
sufficient proof of appointment.
If Beverly I. Bink did not leave an estate, the enclosed "Next-of-Kin Affidavit" (PSRS~85)
must be completed before a Notary Public and returned to this office. Please read the
instructions carefully, specifically the order of preference. Election of this form indicates
that no formal estate is in existence.
The payment dated December 29, 2006 for $426.59 was already electronically
transferred to Harris Savings Bank, account #0771029349.
The December 29, 2006 payment will have Federal Withholding Tax (FWT) of $42.61
deducted and paid to the Internal Revenue Service (IRS). Since this information will be
reported to the IRS for the tax year 2006, PS ust be reimbursed for the FWT of
$42.61. Total reimbursement due PSER s $469.2 ($426.59 net payment plus $42.61
FWT 2006. Please Make your check or m r payable to PSERS and send to
the mailing address shown.
, -',' ;" -.' . '. ..- Ji._J , ~. . ,: . . .
Enclosedis'PSERS Health Options Program Information sheet which applies to any
surviving spouse oq:lependent(s) of the deceased member. . .
A 1 099-R will be sent which will report the deceased member's income for the
year 2006. This form will be necessary for the preparation of the final income tax return.
1099-R's are generated and issued at the end of the calendar year.
G~!~N rrf'i
"H(!,i~,l~ ,ltt, · "~,,..tt.l'4'~
THIS AGREEMENT PROVIDES FOR )
CEMETERY INTERMENT RIGHTS, MERCHANDISE AND SER
Date: I..:J. C '1
The undersigned, referred t() as "Purchaser", hereby agrees to purchas~ th
herein, subject to acceptance and pproval of the above named cemetery, h~
PURCHASER
ADDRESS ,"" .~.
Name of Deceased--P,p.. J 1"s;1 'l--=:f --r?J" I~k
Description of Interment Rights: .--.r-- . ~31 t'l.' \
Issue Certificate of Interment Rights to:
Address
s~
INTElWENT RIGHTS MERCHANDJ
Interment Rights (including Endowment Care 0($ -- ) .................
Interment Fees ........... ...................................... ..........................................................:
Memorialization - Type
Size Design
REMARKS:
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Nameplate...........;.............................................;............:...;;.......................................;
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TOTAL CASH PRICE .;..........................................................................
~~::payment.cash ~~......C.k..#.~.~.l.QJ...............................
Other Credit ........................;...................................... .................................
Total DownPayment ...;..........;..............................................................................................................
UNPAID BALANCE OF CASH PRICE ....................;........................................................................
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Genworth Financial
PO Box 40007, Lynchburg, VA 24506-9939
...~.~...
- -
...~.~...@
1<~ ~ t~
January 3, 2007
Howard Bink
418 Reno Ave.
New Cumberland, P A 17070
CLAIMANT:
POLICY NO.:
CLAIM NO.:
Beverly Bink
KSN620 109 1
A076 1 11
Dear Mr. Bink:
Please accept our sincere condolences on your recent loss.
The final benefit check is being sent under separate cover. This payment is for the period
December 01,2006 through December 12, 2006 in the amount of $720.00.
We have asked Policyholder Services to cancel this policy and refund any premium due.
If you have questions regarding this, please contact our Policyholder Services at 1-800-
456-7766.
Please let us know if we can be of further service to you during this difficult time.
· Toll free at: (800) 876-4582. We are available Monday through Friday from 6:00
A.M. to 5:00 P.M. (Pacific Time).
· By mail at: P.O. Box 40007, Lynchburg, VA 24506-9939
· By Fax at: (888) 557-5526. Please be sure to include the claim number on the
documents. Please allow 48 hours for faxes to show in our system.
Thank you for choosing Genworth Life Insurance Company for your long term care
insurance.
Sincerely,
~~,J. J\~~
Christy Harrison
Benefit Analyst
Claims Services, Genworth Life Insurance Company
Affiliated Company: Genworth Life Insurance Company
R-e~Jl 'g
Milestone Banking
Grow. Achieve. Tluive.
Ask for detliIs. call-877 -s(w-1lANK (1-877-768-2265), or visit sovereignbank.oom.
",. .,
Sovereign Bank
wrnMR RECEIPT
L
Date 01/10/07 16:04 Teller 005 5
Deposit Seq: 026
AN: *******9349 0057
Transaction AMount: -.720.00
Ledger Balance: .3,095.50
BROOl8 (Rev. W04)
Melltler FllIC
A076111
CLA IMANT NME : BEVERLY I. B I III(
(800\876-458'
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WEST SHORE EMS. ALS
205 GRANOVIEW AVE
SUITE 211
CAMP HILL, PA 17011
Phone #: (800) 367-0512 Federal Tax 10: 23-2463002
PATIENT NAME: BEVERLY BINK
3075972A
PATIENT NUMBER:
CALL NUMBER:
189201047A DATE OF CALL:
HBC103568595001B TIME OF CALL:
CALLER:
FROM:
TO:
34211 MDEN
3075972A ECAR
12/13/2006
INSURANCE: MEDICARE B
HIGHMARK
5225 WILSON LN
HOLY SPIRIT HOSPITAL
BEVERLY BINK
5225 WILSON LN
MECHANICSBURG, PA 17055
REASON(S)
FOR
TRANSPORT
ALTERED LEVEL OF CONSCIOU
CEREBROVASCULAR ACCIDEN-
INVOICE
DESCRIPTION OF CHARGE QUANTITY UNIT PRICE AMOUNT
PARAMEDIC INTERCEPT A0999 1.0 617.52 617.52
3CC SYRINGE A0394 1.0 1.70 1.70
ANGIOCATH (14-24) A0394 1.0 5.50 5.50
EKG ELECTRODES A0396 1.0 4.70 4.70
EXTENSION SET 8" NEEDLELESS A0394 1.0 4.35 4.35
GLUCOSE BLOOD A0394 1.0 6.42 6.42
NEEDLES (ALL) A0394 1.0 1.06 1.06
OP SITE A0394 1.0 5.19 5.19
. otal Charges 646.44
DESCRIPTION OF PAYMENT RECEIPT PAYMENT DATE AMOUNT
P j1:(Y ~ ~tJlj
1/ r /67
1tf?J Total Credits 0.00
PLEASE PAY THIS AMOUNT - INVOICE DUE UPON RECEIPT -.. $646.44
RETURNED CHECK FEE - $32.00
Payment is expected from you.
I
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~
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AVER MEMORIAL HOME AND CREMATION SERVICES, INC.
4100 Jonestown Road. Harrisburg, PA 17109 · 1-800-720-8221 · Fax 717-541-9943 · 'Snawn E, Carper, Supervisor
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261334 MC5
12-17-2006
Mr. Howard C. Bink
418 Reno Avenue
New Cumberland, PA 17070
Beverly Irene Bink - Deqeased
SPECIAL CHARGES
X Direct Cremation
Forwarding Remains
Receiving Remains
Immediate Burial
Nationwide Guarantee Program
Worldwide Travel Protection
TOTAL SPECIAL CHARGES
$895.00
$895.00
PROFESSIONAL SERVICES
Services of Funeral Director & Staff
Embalming
Other Preparation of the Body
Facilities & Staff for Viewing ($200/hour)
Facilities & Staff ~or Funeral Service
Facilities & Staff for Memorial Service
Staff & Equipment for Viewing ($200/hour)
Staff & Equipment for Funeral Service
Staff & Equipment for Memorial Service
Private Family Viewing ~ .,'
Private Identification Viewing
X Packaging/Forwarding :Q~ ,Cremated Remains
Personal Delivery of Cremated Remains
Scattering of Cremated ~e~ains
Other
TOTAL PROFESSIONAL SERVICES-.
AUTOMOTIVE EQUIPMENT
Removal Vehicle
Casket Coach
Flower Car
Lead Car/Clergy Car
Service Vehicle
Family Car
TOTAL AUTOMOTIVE EQUIPMENT
, ,.
$55.00
$55.00
MERCHANDISE
Register Book
Memorial/Prayer Cards
Thank You Cards
Remembrance Package
Casket
X Plastic Container
Alternative Container
Burial Vault
Veterans Flag Case
Grave/Memorial Marker
Other
Other
TOTAL MERCHANDISE
CASH ADVANCED ITEMS
Grave Opening
Cemetery Equipment ,I.' , ..:
Vault Service Charge
Newspaper Notice
X Patriot News
Clergy
Church/Organist/Soloist
Flowers
X Crematory Charge
X County Coroner Fee
X Certified Copies of Death Certificate
Other
TOTAL CASH ADVANCED ITEMS
SUMMARY OF CHARGES
Special Charges
Professional Services
Automotive Equipment
Merchandise
Cash Advanced Items
SUB TOTAL
$895.00
$55.00
$0.00
$35.00
$647.40
$1,632.40
DISCOUNT
-$268.00
\.." 1.
TOTAL
~., I. C'! ;-, \1"'$1,364.40
=- I' :. ~-:; r:'.
AMOUNT PAID
12-16-2006
""$1,262.00
BALANCE DUE
--
$35.00
$35.00
$400.00
8'25:00
$120.00
t :~-- <1 p"~ : ;"\
$647.40
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r I ~ I
n ;-
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. ..-,
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. j, .~ j 1,_;
THIS STATEMENT MAY NOT REFLECT ALL NEWSPAPER CHARGES
~~ ",. ,'; ,__, i..-...
i'." 'to' I
MERCHANDISE
Register Book
Memorial/Prayer Cards
Thank You Cards
Remembrance Package
Casket
X Plastic Container
Alternative Container
Burial Vault
Veterans Flag Case
Grave/Memorial Marker
Other
Other
TOTAL MERCHANDISE
CASH ADVANCED ITEMS
Grave Opening
Cemetery- Equipment ,J,".J..
Vault Service Charge
Newspaper Notice
X Patriot News
Clergy' '
Church/Organist/Soloist
Flowers
Crematory Charge
County Coroner Fee
Certified Copies of Death Certificate
Other
TOTAL CASH ADVANCED ITEMS
X
X
X
SUMMARY OF CHARGES
Special Charges
Professional Services
Automotive Equipment
Merchandise
Cash Advanced Items
SUB TOTAL
DISCOUNT
$895.00
$55.00
$0.00"
$35.00
$647.40
$1,632.40
-$268.00
(."1. ~"~~
;. I ~ :-;-= (:'1
~., I. '.J t i-, j '$1' ,364.40'
...$1',-262.00' :
TOTAL
AMOUNT PAID
12-16-2006
r.,
f ,..BALANCE DUE
--
\<e~ tr,~
$35.00
$35.00
..; ':.1
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I ..... ; .~. '.." -
"_",. ~. _ ,.-. i;
'",,' ,",: r ,"
,$400.00
"c', "'-'S2S;00
$120.00
i. J_~'.I.:l :-,; ~..:;. . ~. h ,"..~.
'.1._,tJ'j...J ,\ '.1, -', '.:.'....J
$647.40
.. ;'1:1" . .
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THIS STATEMENT MAY NOT REFLECT ALL NEWSPAPER CHARGES
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COMMONWEALTH OF PENNSYLVANIA :r ~
PUBLIC SCHOOL EMPLOYEES' RETIREMENT SYSTEM ~ ,,,
Mailing Address
PO Box 125
Harrisburg P A 17108-0125
ToU-Free - 1-888-773-7748
(1-888-PSERS4U)
Local- 717-787-8540
Building Location
5 North 5th Street
Harrisburg P A
Web Address: www.psers.state.pa.us
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RE: Beverly I. Bink "*
S.S.# 189-20-1047
January 17, 2007
HOWARD C BINK
418 RENO AVE
NEW CUMBERLAND PA 17070
Dear Mr. Bink:
Thank you for your correspondence.
A prorated payment of $227.37 ($250.08 minus $22.71 federal withholding tax) for the
period of December 1, through December 16, 2006, was due Beverly I. Bink, and is now
payable to The Estate or Next of Kin.
To make payment to th~.estate, submit a Short Certificate showing the appointment of
the executor or administratorofthe es~!~. p;. photocopy of the Short Certificate will be
accepted if the official seal is visible. A copy of the deceased member's will is not
sufficient proof of appointment.
If Beverly I. Bink did not leave an estate, the enclosed "Next-of-Kin Affidavit" (PSRS~85)
must be completed before a Notary Public and returned to this office. Please read the
instructions carefully, specifically the order of preference. Election of this form indicates
that no formal estate is in existence.
The payment dated December 29, 2006 for $426.59 was already electronically
transferred to Harris Savings Bank, account #0771 029349.
The December 29,2006 payment will have Federal Withholding Tax (FWT) of $42.61
deducted and paid to the Internal Revenue Service (IRS). Since this information will be
reported to the IRS for the tax year 2006, PS ust be reimbursed for the FWT of
$42.61. Total reimbursement due PSER s $469.2 ($426.59 net payment plus $42.61
FWT 2006. Please Make your check or m r payable to PSERS and send to
the mailing address shown.
Enclosectis.PSERS Health OptiBf1~Progra~ Information she.et which applies to any
surviving spouse or pependent(s) of the deceased member.
A 1099-R will be sent which will report the deceased member's income for the
year 2006. This form will be necessary for the preparation of the final income tax return.
1099-R's are generated and issued at the end of the calendar year.
THE APPRAISAL FIRM. INC
~~ ~\7
file No. 07000048
......... INVOICE .........
File Number: 07000048
02/01/2007
HOWARD BINK
UNKNOWN
Borrower :
HOWARD C. BINK
Invoice # :
Order Date:
07000048
01/10/2007
403 SUMMIT ROAD
NEW CUMBERLAND, PA
$ 325.00
$
Invoice Total
Deposit
Deposit
$
($
($
325.00
325.00 )
)
Amount Due
$
0.00
Terms: DUE UPON RECEIPT
Please Make Check Payable To:
THE APPRAISAL FIRM. INC
19 WEST MAIN STREET
MIDDLETOWN, PA 17057
Fed. J.D. #: 25-1758123
10% PENALTY AFTER 30 DAYS
SENT TO COLLECTIONS AFTER 60 DAYS (CLIENT RESPONSIBLE FOR ALL FEES)
19 WEST MAIN STREET, MIDDLETOWN, PA 17057 PHONE: 717-944-0620 FAX 717-948-9383
~-c..~~'~
BEVERLY J. BINk
HOW C. BINk
ROAD
403 SUND rJA 11il70
NEW CUM . r.
6O-72lI8I23t3
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STATEMENT OF ACCOUNTS
1-877-SQV-BANK (1-877-768-22651 www.soverelgnbank.com
statement period 12/11/06 TO 01109/07
TOTALLY FREE PREMIER CHECKINC
TOTALL Y FREE PREMIER CHECKING Statement period 12/11/06 - 01/09/07
SEVERL Y I SINK
HOWARD C SINK
Account H 771029349
Balances
-
.
===
... ,.,.....
-
-
-
-
=
-
AmOU'l~ ~eference # ==
...~
=
$380.00 615506820 -
..
7 Check(s) Posted = $4,948.69 -
An asterisk (*) indicates a skip in sequential check numbers which may be caused by one of the following: _
. A check not yet received -
. A check that was converted to an electronic transaction, which will be listed in the "Electronic Checks Posted"_
section below. If no checks were electronically converted, this section will not appear. .
Account Activity -
Date Description Additions Subtractions Balance
12-11 Beginning Balance $5,392.25
Deposits/Credits
+ $2,598.94
Average Daily Balance
$3,849.07
Checks Posted
Check #'~e Paid
Amount Reference #
Check 'II Q~te Paid
2403*
12/26
$154.42
613214320
2407
01/05
2405
12/15
$3,906.00
646757540
01-05
CHECK
2407
$380.00
$3,095.50
~.
page 3 of4
7711'1"')/l.,.I"
BEVERLY I. BINK ..._
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statement period 12/11/06 TO 01/09/07
BEVERLY L BINK
H==r.:oNK e;,.n:= 2403
NEW CUloIIlERLAND. fA '7D70 71, I
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771029349 # 2405
12/15/06 $3,906.00
,.
BEVERLY I. BINK
HOWARD C. BINK
40:1 SUIlIllT ROAD
NEW CUMllEJllMD, fA 17",0
2407
....~...k,:Up7
I $ .38? rPrP
,-
1-1{ '"
.1'8II2JII
""......
\ =::.~+;_r;~.. C.L"'~_
! ::C~<<-Jl~""~"...L G:)J.,t-;.....;..~ ~ DOLLAR. ~ =.-=
.SovereIgn Bank-
......J!:{~com 2~~.=_tS:~s,~--.!!!.-
I: n n? 2G"I II: O?? 10 2.. 3""1" 2"0?I"00000 38000;"::
771029349 # 2407 01/05/07 $380.00
page 4 of4
771029349
statement Period 01/10/07 TO 02/11/07
BEVERLY I. B1NK
~~~K ~n:3 2414
NEW CUMBERtAND. PA 17070 T ~ lh. ;
;::. ". ""......::.J.iiKJ.A~~f>'
r'
.onon.. . Il '. ... _ . I II $
l"'E~:"~-L.~~ I /9'>:z..fL1'
i _b~WI~P4 .-.t--.!f:;r ---------- DOLLAR' ~ s:::- X ""V'
'''Sovereign Bank-
...~- -"II L/./
......;~.'f c,4::_ _~L.c.,__~__!!:
__ I:BB?2(;,'HI: 0?B02q:il,q..21, ,.. ,0'00000'02"0,0'
771029349 # 2414 01/22/07 $102.40
BEVERLY I. BINK 0 7 CfXJO q.. ~
HOWARD C. BINK ~ 2416
003 SUMMIT ROAD
NEW CUIoIBERlAND. PA. !7070 ""TL~~.._2-f+7
: :~~;E -r~e. /lfi.!:!JJJ..'J' F........ I $ 32...S". '7'4'
'__. J:~.~~....:.I......"r.<Lf-w"o/--.{..,.. ~...t * '---'--'" ._DOLLons fil ' . ...
tlSoverelgnBank' . -
-.........com 7/ U
--i.f.f.-?-:-~...~.,.Lt..~..J...-I}-I'f.,'".1 -- /1r,....L C- . .._
: _ I: cH3?2!:;Q":._ 07U02HI,5~..:2.1dl:.-"'00000H500"'::::-
~\,.- V\.
.2'40~
.' ....~.141"."73.~1
I $ /'>'I..pq
~ DOLLAR' m J;,,::;::;"
t!!;(J.C'O. N;
l~~~-r;.~.~-_.~
O-'i'''HOi'l3...''1~ 2t, u
01/16/07'-' $646.44
~~ 2415
DATE :::r;....~},;...#..,
. I $ .. ,/b7 ~
~ DOLLARS til ;:':"~
$469.20
BEVERL.Y I. SINK
HOWARD C. BINK
403 _l100\O
NEW CUMBl!RINlD. PA .70111
~"=' 2410
"".... :r.....,~:2,-Yf7
~ :::~~A~""~" c'J",'l,y*\... I $ 7S",,pcf'
-.f!, 6.-A~ ~ DOLLARS fil =-=
i ... ~" . I . ..;I'"",-~. :O<~"n_' 1""'"
; . ~!~C~Q~~~10~~VOl ~~~.
~sove~~i8eBaa00~~ 2607057
.... f1m.-::11.:I-.I__'~- C::_I_~~~_._~
~li\37~~Q'~ 07?'02Qi~q~21,'0 100000075001
\ v.. Ii"
771029349 # 2410 01/22/07 $75.00
8EVERLY I. BINK
HOWARD C. BINK ':n":': 2 412
003 SUMUlT l100\O
NEW cuMileAlAND. PA 17070 -r-- 8
""TE~'7-'4~i;1
. ~:;.~~~..f Il: t,.' .. $ "7. bb
; ?llGt _~8-~ ,,;:;:7.=/,4!-'1- DOLLAR' trJ4":.;":.:'
~"=-.~ove. ~ignlJaItr. -~.- . __~:H____q-:-:-'~--~'-----~--- -
-,:,. _........,........com_____ ___~-=.~~c-~tt:I;:...- - -~ -
I:~ H ,.'ilr.rU': 0 ?BO 2Hl,q.'~.., c ."0000001:. 7bl:..~.
771029349 # 2412 01/18/07 $67.66
771029349 # 2416 02/07/07 $325.00
page 4 of4
771029349
I
- 0411\.
t Sovereign BanK
<-0 ry
STATEMENT OF ACCOUNTS
1-877-S0V-BANK (1-877-768-2265) www.soverelgnbank.com
statement periOd 01/10/07 TO 02/11/07
TOTALLY FREE PREMIER CHECKING
TOTALLY FREE PREMIER CHECKINC statement PeriOd 01/10/07 - 02/11/07
SEVERt. Y I SINK
HOWARD C SINK
Account H 771029549
Balances
Deposits/Credits
NVitrydra
,
=
. . ...
..........-.
-
~
..........-.
-
---
-
-
-
-
:': ..
Amount Reference # :===
'~
"
,===
,
-~
,
~,
8 Check(s) Posted = $1,910.70 '
An asterisk (*) Indicates a skip in sequential check numbers which may be caused by one of the following:-
. A check not yet received--
. A check that was converted to an electronic transaction, which will be listed in the "Electronic Checks Posted" .
section below. If no checks were electronically converted, this section will not appear.
Account Activity -
Date Description Additions Subtractions Balance
Beginning Balance
. ';[)t;PQ$n-;T
CHECK
+ $2,092.00
Average Daily Balance
$3,761.26
Checks Posted
Check # Date Paid
Amount Reference #
Check # Date Paid
01/18
$67.66
, 43910i
693746380
'46200
631208080
01/22
2414
01/22
$102.40
2412
2416
02107
$325.00
616389310
'Q
634555380
0.1-17
01A8
01-18
01"22
01-22
02-02
02-07
02-11
CHECK
OHECK'" "
CHECK
CHECK
CHECK 2416
Ending Balance
$67.66
, $102:40
$75.00
$46920
$325.00
page 3 0/4
Statement Period 01/10/07 TO 02/11/07
BEVERLY L SINK
HOWARO C. BINK
'I!lS SIM4IT ROAD
NEw aJMSSUItD. PA 17070
~ 2410
..111 :r...."y+-~1
01/22/07 $75.00
BEVERLY I.BINK
HOWARD C.BINK
403 JUMun' ,ROAD
NEW CVIlllellLAND. PA t'/U'/U
~ 2412
.....~......,J..;~~..,
$ 6 7. (,,~
-a-ol.l".s/il-j;':,"':.",:
01/18/07 $67.66
2413
,.,.",' $-'7 1.; ~+&t
)'==- :.W-,-"f tfl.~; fl1$ -A-LS 1$ l,'fb.'T'f
. 5 " 'I, 1:M. ~I:r ~ P-+' ~
! . ,~ ..~. . ..., -Si)!. ~ ~ DOLL.... ~!a'::'
, . p B.8nk-
...;,' ~i:i .'.. 'jJ 'c..Q'J. ..
~'? .....~_._~..__...~-_...
. ~Z3l.?~~~l~ O??lO~q~~~~l~l3 'OOOfio&~&~~,
~- <
BEVERLY L BINK
"=~~K -;"n::: 2 414
_~.P"''/U7ll T _Jb.:
c. ::, u:,e.~fIUA...,-.-r~1
~.. .
,9~~~ I $ /~:z..H
! _~~.Jvd- -,-;.;'" ,......t-.!ftr.....-......--. OOLLA.. Iil ==-
8SovereignBank'
_;~I.f'*'J.7f' _~L_C~__~__.!!:
,:nU?2b'UI: 0?U02q3~q~2I,ll, '00000 lO 21,0'
$646.44
771029349 # 2414 01/22/07 $102.40
BEVERLY L BINK 07 CtXJO ~~"
HOWARD C. BINK am_ 2416
403 SUWAT ROAD
NEW cwoeAlANll, PA 17070 _-r;._~__. 3th. LJJ.-r
.. DAlI~_-rT'
; :~;;. -r:.\!.. !:l:Tf.t:Jili.'1IF....... ' 1$ 32.S":.#
:.. -r;t.~.e.~I....."""Lfw..fy..f..u. "...t.-* _____ ._DOLLAns /il ,....:::. .
eSoverelgnBank- - -
..- -..-._,', " II U
.-~r.rf,,~ ~..,~;"::J:.~A.I!7r..',..1 _ /#'....~ c.. . . _ .. .
- -'.1:.23-1 lUr;.'l.l':. 'P.O,? UO.2'l3~.'l.l!.:2!o:lb-...aoooo 3'Z saa...=-
~, 2415
.....' ::J'K~.'~JP#"
771029349 # 2416 02/07/07 $325.00
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page 4 of4
771029349
l0
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BEVERLY L BINK ___
"=:f..='K .........
-~ M mmI .... ''ftl/~
=:---!l:..L.....,-t- fLG"Bk 1$/,7"'1.</2-
I ~ ~r. . q-a-. ~
I 0...- /.--'-":- "':'''-/.r-t:;.;..--..:.~ -"....,:... Dcii.LAR~ til e:::-
. ~B8nk-'"
. ~-
2400
-
_~~~~.t
0'11 10 l'B ..ql" i!"00 ...00000 I. 5.... i!'"
Statement Period 12/11/06 TO 01/09/07
BEVERLY L BIHK
H=:rC~NK ~ 2403
_~"""_ -n, 'I
.... .J' ~OJ-,,-I'Il-4>rf>"
l =l:'_~~k~.J:... 1/~&4- k. . ,I $/S~~~
! ()k~ I....../, ,..I +"1'7-."...,.: f ,;;p,J. ~OLCARI til :S.'::'
8sovereigD Bank- . .
...............-
If
-
~~c.. ~_~
0'11 1.0 i!q j..q.. i!"0 j 100000 I. 5....1o"
i
I:BU?i!&'l.I.I:
771029349 # 2400 12/26/06 $154.42
~~':r:c --= 2404
... --.- RlW>
_~ M .- ~j)..-..J.-,JI;?+~
=::- . AJ~..f 16",...."7 . I $ 11~.ar
I I.2J,0~'A1j #,,-~~~ DOLLARS ~ ==
.Sovereign Bank". .
_ ----- _~..d-c.-.! d.:.J.. ___~
I:BUHlOq~l: 0??1.0i!qj..ql"i!"0" 100000&?3B5,~
771029349 # 2404 12/21/06 $173.85
;.' .~~AR"ira\'=< a ~rJJ'f -== 2406
...--.- RCWI
_cu&RlAHD.RA "..... .....k..J.-.17,-'Z-f>~
.......- " o..-L;v-~,,( If... I $ 12-1. ~
I _1Il"~. rr
I ~~...l--l ""'-). u-.. ~ ~OLLARS III e::-
. t)sm:erelgn Bank"
_ ~-:::::rc;;:rc __~c.._~~
~i!313?i!&ql.~ 0??1.0i!q3..q"l..01O 10000Qll?001
771029349 # 2406 12/19/06 $127.00
=~a':.':f.c: ~'= 2408
40S _MIT RCWI
.- C\JUIIl!RI,ANII..... .1OlD .....;];, _"'1 7., ~7
AM OI.mTO\1NE FLOIIST t GIEENElY
=~ . . . 1 $ >.7. pt
i EE1r-fJ,~ ~ DOLLARS ~ 5::-
8BovereignBank"
____.. '/J J /'. L-J.
_L1~~~"; FZMII:Z:L.. -~~------~
~i!31.3?i!&ql.~ 0??1.0i!Q3..q"i!..08 ...0000005300...
771029349 # 2408 01/09/07 $53.00
'I:B U? i!&q 1.1:
771029349 #2403 12/26/06 $154.42
r--
BEVERLY I. BlNK
HOWARD C. BINK
401_ RlW>
NEW~"" 110lD
-
..-
2405
.....~~~
=.'::" Be-+l..., /J~J..,t.,1 t..'v.':2. I $ 3, f'/'h.;X;
17J....h+J,~~.;......J,.."'1.-L4~'" ~~ DOLLARS Ii} ==
. ftsoverelgnBank:
--..--
--~~-_.~
-
I: i!3 B? i!(;Q 11:
O??I.Oi!Qj~Q..i!..os "'OOOOjQO&oo...
771029349 # 2405 12/15/06 $3,906.00
I'
BEVERLY I. BlNK
HOWARD C. liNK
<<II _ ROMl
NEW CIAlIlERlAHD, RA .7D7lI
-.;:" 2407
.... J;.o"A7 ~ 2.P(l7
I $ 3B9. rI>,p
~ DOLLARS Ii} ==
~
r"'.y\
CD
...TOlI. p '2-._ ~ c ~
CllUlIIIOF~J-r.::l~a ~oL
! ::t:1-~ .JI...../~ G:)47,.....L '"f-
eSovereIgn Bank-
-.J!4~ ~..f;...~__~~~
.: ~ 3 I. 3? i!IOQ 1.1: O?? 1.0 i!'n~Q" i!~01.~ ...0000038000..... ~
771029349 # 2407 01/05/07 $380.00
page 4 of4
771029349
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BINK JOHN R
409 SUMMIT RD
NEW CUMBERLAND, PA 17070
-------- fold
ESTATE INFORMATION: SSN: 189-20-1047
FILE NUMBER: 6707-0416
DECEDENT NAME: BINK BEVERLY
DATE OF PAYMENT: 03/14/2007
POSTMARK DATE: 03/13/2007
COUNTY: YORK
DATE OF DEATH: 12/16/2006
NO. YK 012858
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $7,823.81
101 I $7,823.81
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$15,647.62
REMARKS:
CHECK# 1001/1001
SEAL
INITIALS: JOK
RECEIVED BY:
REGISTER OF WILLS
BRADLEY C JACOBS
REGISTER OF WILLS
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