HomeMy WebLinkAbout02-25-08 (2)
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15056041125
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes' .
PO BOX 280601
HarrisburQ, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
C.-', ';;: _, ~
County Code Year
INHERITANCE TAX RETURN 2 1 0 7
RESIDENT DECEDENT
File Number
o 7 5 5
Date of Birth
18634 1 369
07212 007
03121942
Decedent's Last Name Suffix
Decedent's First Name
LAW L E R J R
J 0 S E P H
MI
A
(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
00 1. Original Return
o 4. Limited Estate
00
o
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy ofTrust)
10. Spousal Poverty Credit (date of death 0 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
o
o
o
o
8. Total Number of Safe Deposit Boxes
2. Supplemental Return
o
o
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
D A V I D
C
MILLER
J R
E S Q
71793 9 9 ~ 0 6
Firm Name (If Applicable)
REGISTER OF WILLS USE. ONLY
First line of address
i .1
110 0
S P R I N G
GARDEN
D R I V E
Second line of address
SUI TEA
City or Post Office
State
ZIP Code
DATE FILED
\..-: "
MID D LET 0 W N
P A
17057
Correspondent's e-mail address:OAVIOeMILLERJR@VERIZON.NET
Under penalties of perjury, I declare that I have examined this retum. including accompanying schedules and statements. and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
S aU E,F PERSON RES SIB E FO F NG RETU N
/" \
. '- .
ADDRESS
218 COCKLEYS DRIVE /
~L{E:e~NREPR;:ATIVE
AD ESS l
1100 SPRING GARDEN DRIVE, SUITE A MIDDLETOWN
PLEASE USE ORIGINAL FORM ONLY
MECHANICSBURG
PA 17055
DATE /
:> /2' oi
.
PA 17057
Side 1
L
15056041125
15056041125
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15056042126
REV-1500 EX
Decedent's Name: JOSEPH A. LAWLER, JR
RECAPITULATION
1. Real estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3.
4. Mortgages & Notes Receivable (Schedule D)
........................ 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)
,6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
........................... 8.
13. Funeral Expenses & Administrative Costs (Schedule H) . . . . . . . . . . . . . . ., 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10)
. . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . 13.
14. ~et Value Subjectto Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . 14.
T AX 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.O _
16. Amount of Line 14 taxable
at lineal rate X .0_
1'7. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
o. 0 0
o. 0 0
770094.15
o. 0 0
1\3. Tax Due
. . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . .19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056042126
Decedenfs Social Security Number
186341369
17800000
o 0 0
5.
646700
6.
7.
62857960
81304660
3623512
671733
4295245
77009415
77009415
15.
o. 0 0
O. 0 0
92411.30
O. 0 0
92411.30
16.
17.
18.
o
15056042126
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10: 02
WILL
OF
JOSEPH A. LAWLER, JR.
I, JOSEPH A LAWLER, JR. of Cumberland County, Pennsylvania, make this
my Last Will, hereby revoking any and all former wills or codicils made by me.
ARTICLE ONE
Payment of Last Expenses
I direct my Personal Representative to pay the expenses of my last illness and
my funeral expenses as soon as may be convenient after my death.
ARTICLE TWO
Tangible Personal Property
Section 1. All my automobiles, household and personal effects, and other
tangible personal property of like nature (not including cash or securities) I give as I may have
provided in a memorandum kept with the original of this Will, or to the extent not so provided,
my sisters CATHARINE BORDA and MARY ABRUZZESE, as are living on the thirty-first
(31st) day after my death, in such shares or by such items as they may agree upon or, if they
are unable to agree, then in such shares or by such items of approximately equal value as they
may select by lot. Any such property not so distributed shall be sold and the proceeds added
to my residuary estate passing under Article Three of this Will.
ARTICLE THREE
Residue
Section 1. Outright to Sisters. I give all the residue of my estate remaining
after application of Section I of this Article Three to my sisters, CATHARINE BORDA and
MARY ABRUZZESE as are living on the thirty-first (31st) day after my death, outright and
free of trust, in equal shares, the share of any predeceased sister to be distributed to such
sister's issue, per stirpes, subject to the minor beneficiary provisions contained hereinafter.
Section 2. Ultimate Distribution. If any amount of my estate hereunder
remains undistributed under the foregoing provisions, my Personal Representatives shall
distribute such amount to those persons who would have been entitled thereto if I had died at
that time intestate, unmarried, without children surviving, and domiciled in the Commonwealth
of Pennsylvania.
ARTICLE FOUR
Minor Beneficiaries
If any beneficiary who is entitled to receive absolutely and free of trust a share
of the principal of my estate or any trust created hereunder, except pursuant to Article Two
hereof, is under the age of twenty-one (21) years (hereinafter in this Will called a "minor,"
notwithstanding the fact that such beneficiary is deemed to possess legal capacity because said
beneficiary has attained the age of majority under applicable state law), such share shall either
be:
Section 1. Distributed to a custodian of said minor under the Pennsylvania
Uniform Transfers to Minors Act or under a similar act of any other state; or
Section 2. Placed or retained in the possession of my Executor who shall have
discretion to use or apply so much of said share and so much of the net income, if any,
therefrom as he may deem advisable toward the health, maintenance, education and support of
said minor, accumulating and investing any income not needed for such purposes and later
utilizing it therefor if deemed advisable, until said minor has reached said age or has sooner
died at which time my Executor shall distribute the rest of said share, together with any
accumulated income then remaining, outright to said minor or to his or her estate, as the case
may be. For the purposes of such administration my Executor shall have all the powers, rights
and discretions elsewhere conferred upon him by this Will or by law and shall be entitled to
the same compensation in respect of both income and principal as if acting or continuing to act
as testamentary Trustee with respect to said share. My Executor shall not be under any duty to
sell any tangible personal property that may be subject to this Section 2 in order to render the
proceeds productive of income and may in his discretion allow said minor to have the
possession and use of any such property notwithstanding his or her minority without liability
on the part of my Executor for wear and tear, damage or the loss that may result therefrom. It
is the intent of this Section 2 to constitute my Executor as the holder of powers in trust for the
purposes above indicated.
2
ARTICLE FIVE
Other Provisions Affectin~ Trusts for Minors
Section 1. Disbursements to or for the Benefit of Minors. In the disbursement
of funds paid under this Will to or for the use and benefit of any beneficiary who is a minor,
the Executor may make payment of the same to the parents, guardian or such other person
having custody of the person of that minor at the time such payments are made, but without
liability on the part of the Executor to see to the application of said payments by the payee, and
the receipt of any such person shall be a full acquittance of the Executor as to any amounts so
paid, or the Executor may make payment of the same directly to or for the benefit of such
minor. The Executor is also hereby authorized to make payments of such funds to a custodian,
which may be a person or institution appointed by the Executor, as a transfer under the
Pennsylvania Uniform Transfers to Minors Act or under a similar act of any other state, and
the receipt of the custodian shall be a full acquittance of the Executor as to any amounts so
paid.
Section 2. Stock Dividends. Corporate distributions received in shares of the
distributing corporation shall be allocated to principal, regardless of the number of shares and
however described or designated by the distributing corporation.
Section 3. Spendthrift Provision. During the continuance of any of the trusts
created under Article Four of this Will the principal sums thus held in trust for the
beneficiaries, respectively, and the income thereof shall not be subject to or liable for any
contracts, debts, engagements, liabilities or torts of such beneficiaries, or any of them, now or
hereafter made, contracted, incurred or committed, but shall be absolutely free from the same,
and the beneficiaries under Article Four hereof, shall have no power to sell, assign, or
encumber all or any part of the said principal sums or their interest therein respectively, or the
income thereof, or to anticipate the said income. If any anticipation, assignment or transfer,
whether voluntary or involuntary, or by operation of law, shall be made or attempted by or
against any beneficiary under Article Four hereof, all further payments to said beneficiary of
income or principal of the trust shall be suspended for such period of time or indefinitely (but
in no case for longer than the term of the trust) as the Executor shall determine and, in lieu of
such payments, the Executor may apply so much of the income or principal of the trust, or
both, as the Executor may deem necessary for the health, support, maintenance and education
of said beneficiary, and all income of the trust not so applied shall, in the sole discretion of the
Executor, be accumulated and added to the principal of the trust fund at such time or times as
the Executor may deem to be in the best interests of the beneficiary.
Section 4. Rule Against Perpetuities. No trust created hereunder shall fail to
vest within twenty-one (21) years after the life of the last to die of a class consisting of my
issue in being, and upon the failure to vest within such period, any such trust shall terminate
and the assets thereof shall be distributed outright to the beneficiaries of said trust per stirpes.
3
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1
ARTICLE SIX
Personal Representatives
I appoint my sister, CATHARINE BORDA, as my Personal Representative
under this Will. My said Personal Representative, or any successor Personal Representative,
shall have the authority at any time to appoint another individual or a bank as an additional or
successor Personal Representative. In the event CATHARINE BORDA becomes unable or
unwilling to serve as Personal Representative, and no successor has been appointed, I appoint
sister, MARY ABRUZESSE as successor Personal Representative. In addition to the powers
conferred by law, my Personal Representative shall have the following discretionary powers,
exercisable without the need to obtain court approval:
Section 1. Power to Retain Assets. To retain as part of my estate any property
received hereunder, without any duty of diversification.
Section 2. Power to Invest. To invest and reinvest the principal of my estate in
such stocks, bonds, mortgages, securities or other property, real or personal, without being
limited to the classes of securities or investments in which fiduciaries are by law authorized to
invest funds.
Section 3. Power to Deal With Assets. To sell, exchange, lease, encumber,
option or otherwise dispose of all or any portion of my estate, real or personal, in such manner
and upon such terms and conditions as are deemed advisable, and to make, execute and deliver
any documents necessary to effectuate any powers herein granted.
Section 4. Tax Powers. In connection with the making and filing of all income
tax, estate, inheritance and other death tax, gift tax and other tax returns and the paying of
such taxes, to make such elections, decisions, concessions and settlements, including
extensions of time for the payment of any federal estate taxes or other taxes due, as may be
deemed proper, without liability to any person thereby affected, and without the necessity of
making compensating adjustments.
Section 5. Power to Distribute in Kind. To make distributions of my estate in
cash, in kind, or partly in cash and partly in kind; and to make non-pro rata distributions in
kind without consideration of the income tax basis of the assets distributed.
Section 6. Real Estate and Proceeds. I do not wish to have the value of my
estate reduced by the forced sale of any real estate which I may own at my death. I therefore
authorize my Personal Representative to retain such real estate until such time as it can be sold
for its fair market value and, if necessary in order to provide funds for the payment of any
debts, expenses, estate taxes, inheritance taxes, transfer taxes and other taxes of a similar
nature payable by reason of my death, I authorize my Personal Representative to borrow
money and for that purpose to mortgage any such real estate and to execute and deliver all
4
notes, bonds, mortgages, and other instruments and to perform all acts necessary, proper or
convenient in connection therewith, any and all such loans and mortgages to be made in the
sole discretion of my Personal Representative and for such amounts and upon such terms as
my Personal Representative deems proper.
Section 7. Business Powers. My Personal Representative may carryon any
business owned and operated by me or my estate as a sole proprietorship or any business
conducted by a limited or general partnership of which I or my estate was a partner for
whatever period of time my Personal Representative may deem advisable, and to that end my
Personal Representative shall have the power to do any and all things deemed necessary or
appropriate, including the power to pay any negative cash flow, the power to incorporate any
such business or hold the stock as an investment, the power to borrow and pledge assets held
in trust as security for such borrowing, the power to liquidate or sell any such business or such
interests therein at public or private sale and at such times and upon such terms as my Personal
Representative deems advisable, and the power to employ agents to manage and operate such
business without liability for the actions of any such agents, or for any loss, liability, or
indebtedness of such business, if the management is selected or retained with reasonable care.
Section 8. Waiver of Bond. No Personal Representative hereunder shall be
required to give bond for the faithful performance of duty in any jurisdiction.
ARTICLE SEVEN
Source of Payment of Debts. Expenses and Taxes
All estate taxes, inheritance taxes, transfer taxes and other taxes of similar
nature, together with any interest and penalties thereon, payable by reason of my death upon
the property constituting my gross estate for death tax purposes, whether or not such property
passes under this Will, and all debts, costs of administration and other proper expenses paid by
my Personal Representative shall be paid from the principal of my residuary estate passing
hereunder, without reimbursement from or apportionment among the legatees or devisees or
persons having a beneficial interest in any such property. Assets sold by my Personal
Representative to make payments hereunder shall be selected, to the extent advisable, so as to
minimize the recognition by my estate of gain for income tax purposes. My Personal
Representative may enter into such agreement or make such election to pay all or any part of
the death taxes on any future interest as may be deemed appropriate, and such agreement shall
be binding upon all parties in interest.
5
ARTICLE EIGHT
Interpretation of Will
Section 1. Singular and Plural: Use of Gender. Whenever used herein, the
singular shall include the plural, the plural the singular and the use of any gender shall be
applicable to all genders.
Section 2. Definition of Child. Children or Issue. Whenever the terms "child,"
"children" and "issue" are used herein, such terms shall include adopted children, regardless of
the date of adoption, with full effect as if they were the natural children of the adopting
parents. Such terms are also intended to include persons in gestation at any pertinent time
under this Will, provided such persons survive birth by thirty (30) days.
Section 3. Captions. The captions of articles and sections of this Will are for
convenience of reference only and shall not affect the interpretation of this Will.
Section 4. Governing Law. I hereby declare that I am a domiciliary of the
Commonwealth of Pennsylvania and that the succession laws and other applicable laws of the
Commonwealth of Pennsylvania shall control the interpretation of this Will and the ownership
of any property passing at the time of my death other than under this Will, and that no
succession laws of any other nation or state shall have any applicability to this Will or the
ownership of any other property passing at the time of my death other than under this Will.
[REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]
6
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'-"'-';'",.
IN WITNESS WHEREOF, I h~ve hereunto set my hand and seal to the original
of this Will only this 1.2 day of cJ~ , 2000.
f (SEAL)
Signed, sealed, published and declared by JOSEPH A. LAWLER, JR., as and
for said person's Will in the presence of us and each of us, who, at said person's request, in
said person's presence and in the presence of each other, have hereunto subscribed our names
as witnesses thereto the day and year last above written.
7J- ffi/
Residing at
Uill ~ ~/~
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Residing at ~~ ~ \\ "\ Pt\
7
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ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
)
)
)
SS:
COUNTY OF DAUPHIN
We,~,f'{jG'D? C~\6... , ~bo{(')-. \. ~ tJ>\+~
and JOSEPH A. LAWLER, JR., the Maker of this Will and the witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being first duly sworn, do
hereby declare to the undersigned authority that the Maker signed and executed the instrument
as the Maker's Last Will and that the Maker signed willingly, and that the Maker executed it
as the Maker's free and voluntary act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the Maker, signed the Will as witnesses and that to
the best of their knowledge the Maker was at that time eighteen years of age or older, of sound
mind and under no const~. t undue influence.. /J /) , ,
. /~ ~ L, rfJ-r. ~
l1'SEP A. LAWLER, JR.' Witness ~
~"\6~ ~ rcv&)~
Witness
SUBSCRIBED, sworn to and acknowledged before me by JOSEPH A.
LAWLER JR, the
I\rtmcw p C~\
()eJ-- .
Maker,
and
and subscribed and sworn to before me by
io.rbJ.m. L . fO.:it/l , witnesses, this ~ day of
,2000.
...
l'YlQ.QJ;nct 1Yl.;}J.( clll-0
Notary Public
Nctanal Seal
Melissa M. Zeiders, Notary Public
Harrisburg, Dauphin County
My Commission Expires Feb. 24, 2003
Member, Pennsyil/anl2. A5Sociatlon at Notaries
L0225178--10/ 17/00
8
REV-1502 EX + (6-98)
'*
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
JOSEPH A. LAWLER, JR 21 07 0755
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real orooertv which is iointiv-owned with riaht of survivorshio must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
5 ROUND HILL ROAD, CAMP HILL, PA 17011
(COPY OF SETTLEMENT SHEET ATTACHED)
VALUE AT DATE
OF DEATH
178,000.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
178 000.00
Oct-04-07
09:45 FrQm-WSB
p." Settlement Statement
717 541 3496 T-058 P.OOl/Doa F-Z97
u.s. ~tof ~lng and U'OM Oa'illlQp~nt
B. T vet!: fA Ulan OMBAnnrovl!! No. 26Il2-0286lalmlm6 ~11~ FINAL
1. OFHA 2. DFrnHA 3. mCMv. Unfm. \ 6. FIlo /Wiler I 7. llla'l NlIIIlbIJ' I 8. MortUIlIlIl ~ Ca5s /iu1Ib6r I
4. nVI\ 5, nt".MII. InB. PlFNlI7.aPlN 1932675
a.NalIl; =.iillPfUl.r-""""''''I''dA~=tnoylll*_'.''''farl/lf.__'''''''''''~I~\l1e- 1111~ SIllI1emen\ SySlIlm
1I1t1ft <llriIo IOIdIiIwII!Ia' _,.,... 1II!1ItlII"''"' Ltldld lil8IIJ'" '!li''''lnlo'-''' 1/.....'\'llt,\"""'I"" "f'OlI PIlNlld 101ll.1I?Ml' all2:J8 BG I
_<.W\""'..........Il<f~_f...dvIooItI-NIo l1L1. 9.CJl1lI_ ~!l!!lIl1ll$odvtl o.
O. MM1E0f'8~ Oanlel G. MIIrtln
ADDRESS:
a ~ OF 5EI.L~: E!ItaI:a of .IolIeph A. Lawler. .If. . I
AOOJ:lllI\S,
F ~ OF l..!/ItIER; laylor Bean & Whltlker JIodgagO Corp.
""""""'.". 1417 N011h MlIIlIlOII.. A""""O-~ FL 34415-9078
G. PROPSRT'f AOOl'1.ESS: 5 Raund Hill F\D~, CampHltl, PA 17011
Eallt Psnll8boro TO\I41ShlD
H, ~TAGENT: PInnacle Land rransmr. LLC, TlIlflphone 117-920-3331 Fax: 717.92O-33n
PLACE Qf SEfTl8oIl:NT: 424Z Cad16!e PIke. 5\\1,,,19'\ ea"';' I-IUI. PA 11011
I. S@1lEYENT DA~ 10/0312007 cnON: K SlIMMARY OF SaLER'S TRANSActiON:
J~ SUMI OF BORROVVER'S
tOOl GROSS~NT oue fROM BORROWER 400.-GIi)ss AMOOHT 1-
101. CDnlr~ ~aj;; nri~ t781iID~ 401. r........... sala5 m.." 178J1QO.OO
102. PemmI PrntIMV 4(}2, p~ PrI"lMf1lt
l03SSlllall1lllltCh-tQ !iAllll.50 4~
104. 404.
I 10li.. dfi'i'
ItEm; oaill bv !I811Br In ..rntM(8 Adil.l!llmllfllg W IImm ""Id bv!lllllllf In Iid-
100, elf 400 C
107, CauntvliueS 1010at07III 12131J07 113.00 407. rh~-1axBIi 101031071~ im1107 t 13.Jl0
1CB. A 4nl\
1Q(j ~.MnlTax 1 ffll5..llT 409, .l!toIImI TalC 1111ll3l071DQI!iJlII08 . 1.165.97
llO. Sa<.wr 101031071012131/01 1 '12.50 410_ - 11W31071D 12fJ11ff7 112$1
111, 411.
112- 0412.
124). GROSS AMOU~T DUE FRoM aQRR.O'M;R 11Wlm.97 420. GROSS AMOONT DUE TO 6ELl.ER 179.391.47
20!1. AMQUm PAID BY OR ON BEHAlF OF 8ORR~ 500 AmUCTIONS tNAiiOifNT OOE TO SEllER.
~M. Os 1000.00 ~1 1/100.00
2ll2. PtlnClDa;mwnt of nawl~ 11&.000.00 !ill2. lWilnnllltlt dumtoRlo 8Il1cr tUne 14001 2972.30
203. Exlsllno 101011;\ takIm ~ fa ~J. EJIstm rom(ID ~ &ublocI: to
204. 50.t p;M'f/f nI F11!1/ LbjnMO lAY!
205. 506.
2Ot'I, 003.
207. 507.
200 !i08.
209. &Ill.
AdIw;tman1tr... ilelM unnald bv BUSf Adltllbnellla fOl' ltDmIi;;.......l.oI ~. Beller
211). a 510. -t:INI~ I81BIi
211 511. COUnIV tama
212. AB$SllIlIY1d 512, AssB8Glll1l!11:l.
213. 513.
a~. 514
21!i. 515.
211], 511l.
217 517.
2'18. 518.
2111. 511l.
220. TD1'AL PAlO_ 1 t9 000.00 320. TOT,Ii1 RFnliCT1OI11 AMOUNr DUE SELLER 3.972.30
300. CASH AT SET . FROM OR TO eoRRClWEP IlOO. CASH AT Sfrn.EMJ:NT TO OR FROM S1:u.ER
3':l1. GIl:iSB""""""dusl~(\Iti!l12!l\ 1114 BOUT 1lO1. G duelo"p.rnJlB4WJ 179 J91.47
302 lC".~ r br:JnnoMIt (1100 220\ t19.11mM li02- Loss~iIIMI.ntduedlW/lng52m 3.9n.ao
303. CASH FROM BORROWER ti5 800,\)1 603. CASH TO SEL.I.ER 175,419.171
SUBlS11'1'1m< Fa,., lOOD GI:IJ,~A lrrol.TOMENT: "half1!llm!JlUlII""._ _to '-".\'ll:'ll""" a<ld II bo~.,~'Ilt"'lC: I~ lloAl.... IIW"_ ,""","",.1JIo .........
:...~'!f:~:.t:,='~~='.J.,~IomIt'........liIl1o..,panod.nol IR8d_..... Th.ClIIlII1I<t_.r>.___..
~.;.-=':..~~",U;:=':"o=.=~~:e;=.:~.:;=~"'=;::.I.':.='=',"=:="~~.
""_._"_'_'_'..--- kLUlRlllllllGw>1\JlEtSt. I
aa.~ NEWNI\A.JNCI'O;lRE!S8: _
&aw.!6If'11ONENUMI!:!IlI' .ll1l ~
Oct-04-07
09:46 From-WSB
L.I.~ ut.... r'V"'I"flo-,'''t -t ~ ....,......."1... ,,-.... _,._
717 541 3496
T-058 P 003/003 F-Z9T
----:---=~"ETTLEMENT STA~T . .
TIlW='''''''''!l SemI!"""" S>I!lll!lll IOtrlM ,Ml3/2OO7:11 2:J11 M\.j
L. SEm.~ CHARGl:S _ PAlO FFmM PAlO FROM I
TOO. TOTAL eAlESlBR~SCoMUISSlON baR(j 01'\ ~78 nop.oo::. OOfII'IOIJ\lER'S SELtJ;lfS
DMj;jon nf """'1111"'''' Iii;;'" 700\ as f~ FUNDS AT FUNPSAT
~~ 10 Smt.EMeNT S~
102. S to
i Tlli Coomis&ion l'lafd Ii!!: SeItlIl/J'101ll .
aOO.1TEM6 PAYAii~ IN CONNECnoN IMTH LOAN
001. loan CriniiR1l11nFfI~ ~
. Ba2:' I-".~ f'lI..I'nunl %
1103. AoMllAal F.... 16 BMai ............~- Gr.."" . . liJlO Buvur
ACl4. C I
805. Tax SaM"" 1=M ttl TltlllorBeln & whitaker MOO~. -
t.R 13.00
006, ""..'nk>.....lnn Fee to Tavlor Sean & Wttl~ Mart .. LR 515.00
801. IMmIMERS 1=1\.. \0 TavlOr 8- & WhltaIulr L! 22.50
BOll. Par r.o Bentz MtrrtlI_ GfDUtJ S1.RoD.6ll P
BOIl. Flood Can Fee r.o TiWll'lI' Baan & Wh~r~~ t"....... l.R 18.50
61~.
B11,
900. ITEMS REQUIRED BY LEHOEIJ TO BE PAlO IN ADV~e
Q(]t I"t-ol J;"mm 1 Is) 11/011;2007 . Gl'A '2lU1l11l Jdav 29~ LR !ml1l9
M2. IIbmBM In&ll , " for In
003. H 1 war 10 Don Ins Co. 'P.o.C.\ 391.00 Buvor -
lCl/'
GfI4.
005.
1000. RESERVES IJ!;PMlTI"O W1llllENDER rnR.
lOOt ~ lMul'aIICI!I ~ 1ll\I~@J> 13.\l1l 11m LR DIU7
\002, lAMt"""" I."',"""'" lM:ai lmc
1M3. n-nt1ll5: JIM
lm4 Ta~ 9 ma:'f1'Il!. :\&20 /JTIO LR 343..88
lllO!i AnruaI Ass...""""'ra 5 mo. iU 130.14 Iron LR 6&3.70
1009, slwda Ad&.<lmAnl In Tllllor Bean & WIlIIakIll' Men lR .285.24 0,011
11Ofi. TIiu;.CHARGI'=~
110t. Sa!llclr<<it 0' ~1<1!tmfnc
1tO~t AkolrArI,..Uue-
11il.'l n
1104. DnCl.ftl!!fll RarrIIMil I'M ID P11m~' Lan.! Tnmsf", LLC . 50.00
1106 !'1"..-.'5ubol to Pinnacle Lind T =n 75..00
, 106. Nolmt FIlC& III P1nMdelandTl'MIsflf LlC 22.00 10.00
1107.
Ilndud"" above u....... N'" I
1108. Tlfb ln5ur~e III Plnllllde \.Qt1iJ Transfer UG 1123.$
s ""'~ \ I
)109. U1ndl!l1'$.~ 11~llII.
1110 Om8f"& f'dlt;v 118.000,00 . 1,123.88
1111. ~nd I~a.~ 300 81d 900 10 P1nnil(.'!$lMd TflI\IIifar. u.c 1 $1.00
1m.
1113. ClcsnaSldlr 10 P1nAG-'ft' __.01 Transfer U.C 35.00
11llO. GOVERNMENT AND TRANSFER CHARGES
1201. R...crdlnn FM<ll"Wld !:3B.50 .,..._c6li.!lD .0..._.... co 107.00
1202.. alvrfuJn~ lllld!llSQJDll 0eIlll $1.790..00 : lAortallQlI $ ~ 11UO.DII
1203, OIled 51 780.00 1.711f1.l1O
1!><'l4
1205.
1300. ADOITIOlW. CHARGES
1:l1l1. Ir=m~ Wru fMm to Plnnade Llmd r;;m,.illl" u.c ~OO
_J 302. OWImlnllt I ':" ~n In Plnmmltl LaI'IcI ~.OO
131l3. Bat ~ an 2007.06 ~ooI Tax lD IlAbbIa LUDDId 1J167 .30
1~. 41hOlrSawof to cast Penflllbol'O T~~ 115.00
1<<10. TOTAL SEl11...EMENT Q1.f.ItGES Ianill'" QIlI1n8S 10~ !W-J1tm J ~~~ ~--"IlI\K\ !i400.50 '1I72.30
HOJO G5mlO'IC&ll"'" "" BLMR AND lIS.I-l'R
I how .....~II1NI._.... I __111__"~ " IIl*llNl of rnv ...~_.....,. t..._ ""'__... orll.-pc.Ofld~. _.nill\''''''''''
orby"",,,,.iIo._ .......~I~_'~~."""'oI.,.H.I[)-' flwlimorlI~.
~,../ / I. ."....,..,.'
. .. . ..... . ~
. ,
I II! I I /.' I ..' I .:"
'a<<iiliaf..",,~"'~.Jr
. /. ...' .'
.
., I
~~rA~"cw~~~ca.Y~~!W.\{t~~
I:m,..cl~~ AKl ~~. FOR tler",1S BEE 1TI1.E lL
uS COOIl lallllHl~il1o.
_'....0.1 5oIl.._/l1oIomml-.'I_..-.dr-......... .-lIIill1.
v_.II'\.._..wI\_~ki<ll"'I>o' ___IhIo_1
.\ I . .
, ' ., \ .
s:mi/w1ENf"""~'" I. . ,0.1 '.. 'j.' ~. ~ ,1-.' DII'IE. .".
\
REV-1508 EO)( + (6-98)
*'
COMMONWEALTH OF PENNSYLVANIA
!NHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
JOSEPH A. LAWLER, JR
FILE NUMBER
21 07 0755
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
1.
2.
3.
4.
5.
6.
7.
8.
9.
DESCRIPTION
VALUE AT DATE
OF DEATH
1,260.75
PNC BANK
(COpy OF LETTER ATTACHED)
PERSONAL PROPERTY
2,000.00
REFUND OF COUNTY TAXES FROM REAL ESTATE SETTLEMENT
(COpy OF SETTLEMENT SHEET ATTACHED)
REFUND OF SCHOOL TAXES FROM REAL ESTATE SETTLEMENT
(COPY OF SETTLEMENT SHEET ATTACHED)
REFUND OF SEWER FEES FROM REAL ESTATE SETTLEMENT
(COPY OF SETTLEMENT SHEET ATTACHED)
REFUND FROM COM CAST
113.00
1,165.97
112.50
99.20
REFUND - JOHNS HOPKINS MEDICAL CENTER
90.00
REFUND - A.T.&T.
29.58
2007 FEDERAL INCOME TAX REFUND - DECEDENT'S FINAL RETURN
1,596.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
6467.00
:)ei),1,1, 2001 3::24fM
PNC bANK 4IL-!U~-Llqi
i~ U, L 't J \j
I,
o PNCBAl\K
September 14} 2007
David C. Miller, Jr.
1100 Spring garden Drive, Suite A
Middletown, P A 17057
RE: Es.tate of Joseph A. Lawler, Jr., deceased
SSN; 186-34-1369
DaD: 7/2112007
Dear Mr. Miller:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Checking Account
Account #5140036972
Established 07/01/1974
JOSEPH A LAWLER JR
DDD balance: $1,260.75 (non-interest bearing)
Please note that this office only provides date of death balances for deposit accounts
(IRAs. CDs, Checking and Savings accounts). We do not proc:e8S any financial
transactions or provide statements. Jfyou need assistance with mlY of these items,
please calJ 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank bmnch
office.
Sincerely,
G\~LJvJv
Rachelle Wells
1-800-762-1775
P7-PFSC-04-F
500 first Ave.
Pittsburgh PA 15219
Member FDIC
Oct-04-07
09:45 From-WSB
A. Settlement Statement
717 541 3496 T-OSS P 00Z/003 F-ZQ7
u.s. ~of Hctl4lng and U!'Can OsVlllll>>/MOl
a. Tvee 01 Loso OMaAooroval No. 26D2-028ti 19l/lll11!l611r~\ FINAl..
1. []FHA ~ 9Fm1-W\ 3. KlCh'N. tJntna. III FIlo t-.imlEir 17.lllCln NlIIIillJ" \8. MottgllQll ~Cass H\mb6r
4. nVA 5. IIConv.lns. PlFN07-11P1N 1932676
I C.NolD; ~~'qo""'r_~"'''~~.Itloy~__larl/lf_-'_'''IIGl=:;;''_. -r ll~SIlII1emen1Sy61em
I -~J!.",...h1l6'!'~I1I!~III/a1o!l11"''"''l.tllll<llimlt,,,,Ij1II''''f'''''''''''''IlIJl!-_~uplllI -.........10..--- ......... -. .".~....-.
'"'_ . lnoI.dU"'DD,,.. ~",d1ltlllhl_TGolaLl.R.r......_...,,1IO llIlS..""O. 1-'1<...... llllWllNfllll4:.Xl_
O. NAME 01> eORRO'M:R: Daniel G. MIIrtIn
AlmRF!'18:
e. NM.E Of Seu.EFl:
~ESS,
F~or~fl;
~<;;
G. PROPeR'N AI:lP'iBS;
EsfalO of JoMph A. Lawler. ~.
'J'iI)'Iof Bean & Whltakar MortgagQ Coql.
1417 NOIth MIIQI1l]JI;J A1I9Ilillt. ~ FL 34475-9018
5 Round Hill Road, Camp HJII. PA 11011
Ealit Penll8bQrQ T~hiD
H. SETTl.J!/IENT AGENT: Plnnada Land Transfar: LLC, Tolephon& 117-1120-3331 Fax: 117.920-3:s32
I PlACE 9f ~r~ 4242 ClIdla!e PIke. SultI;l191. ea"';" HlII. p" 17011
1-', WJ1EMENT DAT.e;..._ 1010312007
, J~ 5UMMARv OF BORIi0WER'5 : K. SUMMARY OF SELLER'S TAANSAdTION:
-1Q.G: GROSS AMOUNT DUE ffiONI BORROWER 400. GROSS AMOOHT DUE 10 SEll ER
101. COnl'lI(U3~ on"'" 178.000..00 dll'l, CMl"",taala&mr..
102. Pmmru.I PmlWlV 402.
103 ~M\ dl- to brJrrrng,r filM 1.41'1\\ !\4ll9.50 403.
104 404
105.. ~
17Il.llOO.DO
ArlluatfTRInltllo, Itsms ""id b~ !l81ler 10 IldIlMCB
AdIU8fml1nts Iilr II!!rrE calli bv sellar In ad"""""
100. Cll
107. S 1010Jl1J71ll12131/07
108. A -~---
1nQ. Sa"""1 Tax 10f0l/O
1\0. S-, 101fl31071012131/07
111
112.
120. GROSSAMQUMTDUE FRoM B~R
ZOO. AMOUNTS PAm BY cRON 6EHAlF OF SORROM:R
~1i'I. Os
202 PrlncM :wnaunl at" new flSlS
203. Ex'tollnn \MnlI<I ISkIm suI'lIed 10
204.
~05.
:!(ll'l.
2W
208
2OlI.
d!lll C .0.
113.00 407 ~,.,"", IaKe& 1D1m/071tl17131/07
4I'J!t A-IS
11ll5Jll 409. ScInlI TCIl( 1Q/03ItTIOQIW3UIQ&
112.50 41ft s..- 1M}31Q7In1~1lii7
411.
412
1a.um.97 420. GROSS AMOUNT DUE 10 SELLER
500. REtlOO'TIONS IN AllOUNT OOE TO SELlER
1.000.00 501 ~ \nBUudica'c&l
118.000.00 !iIl2. ~D"8'iI dia"';;;; ID SDIer IIlM 14001
rm. (!!l ~ cublAr.tw
5114. . UortaMtllA...
5Il5.
tm.
507.
fi/JA
fili.
113.110
. 1.165.91
112,SO
179.39t.47
1.llOll.00
297UO
Acl iter!!!;. unnaldbu sBU.r
Atlltlltmenla tor ltomli IllIlllr
510. CItWtwII8m1i
511. Cl1ImvlllXBf;
512, AssB8~
513.
514
51S.
51f1
SW.
518.
Sl~
{19000.00 52lJ. Mill RFnlIC;TIOTl\ AMOIMr DUE SEll ~R
1lI1O. CASH AT semEMENr TO OR FROM sa.LJ;R
184800.91 BIl1. G"""'~lWlu"du8IoM'erlllf1842Ol
119.000.GO li02- Loss ~ G1Ml1lll due c6IW llM.!i2m
6Ii BllO.97 803. CASI-I TO SELLeR
3.972.30
210. CI 8
211
212. ~snIS
2tJ.
214.
21!i.
2Ul.
211
~B.
21l1.
22o.TOfALP~
300. CAsHA~MORTOeoRflOWGR
301. Gl'OS8 alNll.-;t diJe from ll\lnnII&r lllne 12[11
302 I .."..~ r';;;;;;""'" (!Ino 220\
W. CA.SH FROM MRROWER.
179 391.47
3.972.:\0
175.419.17
8U8lSl"IVI~fOl'ftollllllgli&lolo~AIlTA.TEMEN'" ll....._'"'R__,.._...=,"'_rtbof,';J.""I~~- l,~""""""'nfljo ...."'"
~":r'':'~:''~:;..Z):r~~,:J:'~''''IiI'''''''IiI'''fIl\IGRllIIn ImId_ ,at... Th.t:DNnIa_"'..._...
=.;."=':.:~==.r:;=:...~=~~~-=..::~~.:;;::.r:::=:"-=,:::.I:.~=~'"'.:l;~~~.:...
",,_._._,_._._R.LLBlISlllICWoTlJlEl$l: I
aa,fiAIl)NEW_INO~S: _
e!aw'lilll"l'lClNE N\JMll\l'Iil' .1Hl LYo'l
U.U..UL..} 1""'II",,,"",'..t _, ,......................,..-_.._._
~S.FITLEMENT STATEMBIIT
L. SETn.~ CHARGI:S _
100, mrAt 5ALESlBR~SCCMMISSlON ~ Ot\ nrb !l:t78 OOO.OD~
OM!;!on 00\ sa falJcwl;: .
~~ 10
702. S ID
, 103, CDfT111JalllOl'lllal~ Ii!t SelIIsll'Cl1l
eoo./TEMe pAYABLE IN CO~t.lECT1ON W1TIi lOAN
001. Lollll on.*,..u!:ll'l Fal! %
ao2: J..." n1..rnunl 'ill
803. AnMllAAl Foo 'n SilrIIZ MoJtosIlQ Groutl
!\OlI. ClBlllr Rnnm
fItJ5. TllXSaMClI""'"
8CI6. A<!Mlnl<llrRl~ Fee
l!O7. IMmIMERS r-""
aOll. Par
B09 !:Itwll"M Fee
f11~.
811,
900. ITEMS RE9UlRSD BV LENP~ TO BE PAlO IN ADVANCE
OOt '"1-41-';;;;;;;- 10lO3l2OO7 k> 11/Oi/2007 . ;iM.
002. !lbms"" In ,. for 11>
003. Hi!liIrll laf 1 ve;v LO
"lI14.
JlO~.
100" O(;tlruUTEP WIn! UNDER mjr
1001- i1;J:zW~Cll ~ mo,@.! 33.011 11m
10~ lAMtnAnS I..""'"""" 1M. Fill Ime
1003. clIv P /In S! Irm
1004. Til~ 9 RIll.. i'll. 3B.2D IrnD
1005. MnJa( Ass...""""'te e mo. 8, 130.14 JIM
10ll9, .~_....... sllll:l& 4,11"'-'111 In T8IIIor Bean & WhIIakIl'Mat
11011. niLE CHARG~~
1101. 8Bltlcmcllt or rln";"'fDO
110') ......-... - tllllllA1lr.h
1103. n
1104. fWI....... RaDieval I'M 10 Phmacle Ltnd Tnmsf..... LI.C
1106 tIne......D ISub 01 M.rt~iillnht ID Pinnacle LBIId l'flllIafoI' L~
1106. NClarv FIlQ& 10 Pinnacle land TI';\f\tfIlf LLC
1107. .U_ ,.
Ilno=JlKles above HAM NP'
1100. Tll~..... riil1Ge
"bilTnSNno
)109. 1Jlntl~-P.Sr
1110 OII.nars Pdhr
1111. ~nd Ino ~ 300 End 900
11'~ .
111 ClesklaBvrllr
12/ . GOVERNMENT I
12t' . REtordno t::1lIl!l1i~ s3B.50
12l CllvlCllul1
1203-
1204.
, "05.
1300. AOIlITtOlW. n...... .......NT CH,ll.~
1301, Ire""'"' Wru 1'60 f?\ to Plnnadel...... Tl'lUIQfer, U.c
_.1302. CMlmlant't1FPI<n 10 PlnniICl.Land-.~
1:ID3. BaI ~ an :lOO7-CB SItMalTn ID OAhbIa Lunald
1:w.. &lhOlrSe\Wt III Ea:It~oT-Jlj;\
Dc t-04-0 i
09:45 From-WSB
717 541 3496
T-058 P.003/003
F-297
TlIlPl=.n_!l Se\IIB"""" s'V!l1tlm l"rirIlM 1MDal!J7 ::lI 1 </::iK H\;
PAID f'RlJM PAID ~
_ f3Oi'tfIOIJ\oER'S SELUi:ft'S
FUNOSAT FUN09AT
Srnt..eMeNT S~
-...-
li.oo bur
rn Tavlor BelIn & WhIll1ker Mofl......... Cam.
to TavlOl' eon & Whlt;tlcar Marl
10 T avlOr B!8l & WhItaker UtIrtnlomI Com.
to Buntz M
Ii) Talltill' Boan & Whltaksr~~ll Com.
I.R
LR
~
71.00
515.00
22.50
S1.80D.6ll p""'"
Ul18.50
2CU1oo Itlav
29 n;;;
LR
5mtllll
Ins Co.
'P.Q.C. \ 391.00 Btllltll'
LR
99.21
LR'
LR
I.,R
343..88
653.70
-285.24
0,00
iii Pinnacle LaflI1 Tl'aIIskr U.C
!iCUlO
75.00
22.00 10.00
I
11Z,U8
"
150.00
35.00
101.00
1780.1lll
178ll.oo
21l.00
211.00
1J167.30
115.00
5.401150 2.972.30
118.QQO,1IO .
118,000.00 . 1,1naa
10 P1nniKM L'U'ItI TllIl\IIif/ll'. u.c
10 P1M..~I.., _nil rr.nsfer. U.C
AND TRAHSFER CHARGES
68.!lD '~Rlllllaso S
D"",U1.70D.OO . u_~_
I:kloo 1.780.00 . L!.v<n_ ~
1AOO. TOTAL Sl';TTt.EMENT CI1AAGf!S
looter QfllmS 10~. !'lonlM J BrId!i02. SAI!Ilan K\
""" _"""'I1""'tJIllo.MR ANllll1ll+J:R
I h"'''Io(~'''''''_ '"". :som_ e._..~",.r>o_'" ~~_!OOhI.IIo'_ ..,_.IIt_...or...-pe."""~I/llIIll''''nv''''ll'Il
orby","" ~ _~~Il\_,~."""'aI.16 ,~SlaIoiflliOll.
~./ ,; / 7', '
. - . ..
...
.' !i r I II~ I ,/; 1 ,:
'e1iliiiDlJ.....ft""..-.Jt.
EWn~r~m~~~
~cs&~~\~MO
.
'/,
/
".,.. tiUo.1 SllDfttft1ld S",u,mmt""'" llWlJe ~r".uGlW1a ~ cf Ibl.
._ \_..........ooII_\I;'"k'ias..~ ......--....-.
'/ ( . '
( I . I .
llC.miMEHr"""'~"; L. ~.1 '.. .,'.' , I ~\ J.. . QA~; . ;.
COMCAST CABLE COMMUNICATIONS 040CBDT-000004377695
4008 N. DUPONT HIGHWAY
A1TN: SUPPORT SERVICES
NEW CASTLE, DE 19720
@omcast.
04654
JOSEPH LAWLER
5 ROUND Hill RD
CAMP Hill, PA 17011-2636
1.11111111111",11,11."11.,1.1,11,,.,11.,11,.1111111,1.1.11.1
Dear Joseph lawler,
The attached check represents a subscriber refund for account number 09547-187726 in the
amount of $99.20. If you have any questions or concerns regarding the refund check
you can write us at the address above or call Comcast's toll free customer service number
at 1-888-COMCAST.
----
-
-
-
-
-
===
----
----
~
-
~
-
-
-
-
-
-
-
-
----
----
-
-
-
-
===
----
~
DETACH AND RETAIN THIS STATEMENT
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRlBED ABOVE
IF NOT CORRECT, PLEASE NOTIFY US PROMPTLY NO RECEIPT DESIRED
',;,'c; 1040 u.s. InctlvlOUallnCOme lax I"(eturn "UUI
I ~I-.~l L"'~'r:.~,~e '1ear J~n, l-pac 31, 2007, 0( other t8)( yem bCllPnnlns ' 2007, tltlcilng
,","UJC' ~ I 'lour n:Sl nilfTI" ~r1.:llnlt;~1 WU;tii'DE CEASE D
':O~C ~I :',''''0::; ~ P' A LAW' R JR
1_~:;.tcL,;ji;:'i:l5 f"J ~-- -~
on pa00 'I ;;':' : i, Ilff b b,' JOI::l courn, ~OUSEl'6 first nil.m:l ann Initial Last nllflW
~ \l)e IR.S L
~L _ H r'Home ~,;qraB5 (nuctp['!'WA'llPJ:mh"'flitJ~:eA 600 p~ 12. "ilt 00. You must enter
: e~~;';~'il ~ I 2 ~_ 8 _ CO" K LEY S ... your SSN(r;) above ..
'_ jy~, E I e,1Y, 10'," ~r poal O~ICB, slillo, ""<:I ZIP COde. Ifyoll have a foreign !ldllrll:>~,'eoo ~ 12, CheC\<lng a box i:lliIlow will not
pe~sldBntml Mecnan:l.csbur PA 17055-5809 ehange your taxorrefund,
!:Iection C"n:'Palgn \IIio- Check h8rB If you, or your spouse if filing jointly, want $3 to go to this fund (see page 12) ,... You I Spou~
1 IXJ Single 4 1-1* 0/ hetlsenOIll (WlIn ~lifyitlg pafllllll), 1600 f'lIlge 13,) If
;:: . I Married filing jointly (even if C i'lly One had income; ~~ ~~~,=r:::' s ettlklllUllIQl yQUf QepandBn~ om....
3 1--1 MolrtiC~ filing 68pSr<l1/:IY. enter SPOUStl'S SSN atJav6 snd full ...
n"m~ nere ... 5 Qualifying wldow(er) With dependent child (see page 14}
6 a X Yourslllf, If someone can claim you as a dependent, do not check box 6a .........} ==:: 1
EXlilmptions :::::, ~
\:J \_._\ Spouse ......................... . . . . . . . . cn6clllllo:
T~'~ \",~n raer c Dependents: (2) Dopendonra ~) Dependent's ~~ C':~i1d . IM:d lIiIh)04
,,",, E'Q"0~me '_""I r,am" ~eiBl security nl.lmller reiatlonshlp to ,1' rlBx ) ~ ~~ =:
<< scpIWllIjOn
(&iDQ PBIF ftl)
,-, _ '~. n ,~ (1 ~,
,,' y '.'.
r.:iting
Status
::'l~d~ O:i!Y
2!'~:C '::-<~.Y._
incQme
Alliidi Form{s)
W-2 rier;;, All,Q
ilttacli Form:;
W.20 ..rd
092-R ~t tJx
Wi!.5 wtt!1he!d,
Y(LJ CiO II';~
(Jel 3 \;....j,:LI
_._ _ "",-"..""_ ..or,
t;;C" i,Ji01;;Ji;!' r;;:;.
_",e:iose, but 00
not atlSGl1, any
pJyrnem Ai.a.
J-"-"'".".'",- "".t:'
'i~lj;Ji;Jt: \.,Iw<~
~()r-rll 1040-V.
Adjusted
Gross
____".....,.0-
,n...lVIII'Ii'o?
.-;fO'l
'-'11]1
F r Or1-";S~.
717 541 ~49S
"_'7I",t,
, ,...~
c_a~'
I """'.
b
1()
,{ 1
12
13
14
15a
1fia
.. .1 6b 1
. . .
.1 9b I
Spouso's l;OCiaI ~ity rum:r
I
r-.....- IlIIllc
;;r~lIlxM>
1\4!1 rumcn.llIl r-1
Ilnoli illlIrIe ,. I 1 1
s" -raxabla InM6St. Attaoh Sch~ule B if requ1red ....
b Tax-exempt. interest. Do not incliJd~ on line Sa .
Sa Ordinary dividends. Attach Sct1edule a If required ."
QUiliifi~d dividends (see page 19) . . . .. . .,
TaxsOltt r~fuf]d5, cfedlts,. or uff~~ 01 Slate and local Income taxes (see page 20) . . . .
214
Alimony fet.a.ived . ... . 4. "" .. ... fI .. .. .. ... .. to to " '" 4- ,. .. . , l , .
i:iuslness income or (lOS5), Attach Schedule Cor C.EZ' .. .. ... ... .
C~pital gain or (105$), Attach Schedule D it required. if not required, check here .... ..0
Otller gains nr (lOSS6S), Anach Form 4797. . . . . . . . . . . . . . .
IRA distributlo ns . , . '115a 'I I b Taxable amount (6&0 pilSO 21)
P<1nsiof]s amI annuities ',163, _ b Taxable amount (_pagIl~
Rental real estate, royalties, partnerships, S corporations, trusts, elC, Attach Schedule e
Fann Illcome or (loss), Attach Schedule F .. . . . . . . . , . - .. ....
Unemployment cvmpensation .... . .., . . . . . . . . . .
Social seC~jflty benefits .1 20a I 11 , 742 I b TB,'(aOle amount {E.tlIl page 24)
Other iflcome,
17
18
19
20a
21
23
Add the amounts in the far right column for llnes 7 through 21, ThiS is your total Income
Educator expanses (see page 26) . ........... 23
11
24
Cort~1n iJkl~"'''SS ""pon:;~ Qf reseflli6ts, [>O<f\>mine <\(l16t6, omd
lee-IOBBls Co.....mmcl11 oiIidals AMen Form 2106 or 21Q5.CZ
Health saving!> account decuctlOI1, Attach Form SSSS
Mov;ng expenses, Attach Form 3903 . ..
One-half of self.employment tax, Alteen Schedule SE
~e.t.eli'\plo~ed SEP, SIMPLE, and qual\'f1ed plan~ '" .
Self-employed health insuranca deduction (see page 26)
l'>en~!tY Qf] early withdrawal of sailings .. . . .
Alimony paid b Recipient's SSN ...
[RA deduction (soo page 27) .... .. . ..
Studenl !oan if\lerS51 deductiQfl (5e~ page 30) .. .. .
Tuition end fee~ deduction. ,...ttach form aSH . .. ..
Domestic production activities dedlJctfon, Attach Form 6003 .
/',dd lines 23 through 31a and 32 through 35 . . . . . . . .
Subtract line 36 from ill'\& 22. This is your adJLlSted g:ross IncQm~
d To\a\ \lumber of exemptions claimed .. . . ,. .. . , . . . . . . .. . . .
7 Wages, salMies, tips, elc, Attach Form(l;) W-2
2S
26
,,"
-,
28
29
10
31a
32
33
,&
~~
35
J6
;=o[ Cn",clOSUie, Privacy Act, and Paperwork Reduction Act Notice, tfee pGSe 83.
37
24
25
26
27
28
Z9
30
31a
32
33
J4
35
.., .~
[;eA
7
sa
'\!.....".:.r '
,<.rw'"q:__.'\
sa
214
:~i:.~f:-:
. 10"1
11
12
13
14
1Sb
16b
17
13
19
20b
(3.000\
22 727
406
21 I
..... 22
20,347
~~:'~~~~{
>.i.i.'fl:",',;
7.:~.<i;":~;
~':~:<.: "
:," ,.\
h'I:"');
"".,.
~i.l"r'-J
~/~,i~)r;:
~~~;..;,[;
~1fin~:,
:l(.i.......'1~
's~'"',",1
7~;;.:,;:,.1
';r- :; .~:~ <."..
."',' \
il"',.[':'
r-;;.rt.~X!l~..'
~,;:,~ ~ ;j"
:<'::"1
',:: ~, " i 'I'
36
37 I
20.347
F'orm 1040 (2007)
~ ;;;1....30-03
Tax flnd
CI'I_"';~+""
'v,.,...,~
i Stand;m.1
; DG:::h.;ct!i:tn
for_
. ?eo::;\" who
CheCked any
\::-0:< cr, Iliti{~
~$.a. o.r. ~1.D_ or
I.Vf1(:,.: ~cl:i uc
claimed as a
oepeild"mt,
s:;;e p~g~s 31
= f\,i otner3:
I, ~it"\r;(~ c.r
! r~i(ri~d [lling
~t~~t~~te\y,
48
49
fhrrie<;i filing 50
IOintl., or
QL-,,-,iryln[:l 51
N~c,...Q\;"oiAel.;i
Siu,7uC1 52
H~f!j of 53
, nouseholc, 54
! $io6C
, ! 55
'---'.-.__..____-----..-1
55
'Sf
58
Other
Taxes
b
40
r-41
I r", ' :"" Ii '--'''l'!
:..'......"'111
Frcm-WSB
42
117 i::A 1
r II '-'a.rl
3496
T-700 P.003/00e F-952
18 6 - 3 4 -1 3 69 !"age;,:
38 347
43
44
45
46
if line 3S i~ ~117,300. or Io>;s, m.lllply $3,4CO bvthetatEli rlOllT'd)et'ot exarnptJOns ~lmed on Una
cd, IIJlne 38 i. e_er ~117_300, &8l! tho wOf'l(Sheel on p<lQe:3:3 . . . . . . . . . . . . . . . . . . . . .
Taxable income. Subtract hne 42 from line 41. lf line 42 is more than line 41, enter .Q-
O ~ 0
Tll>< ('''OpIlae :>::i1.Choc1<lf"n,daxlatrom: a Form(s)8814 b UForm4972 C I FOrm(s}SSas'
Alternative mmimum tax. (see page 36). Al\ach Farm 6251
Add lines 44 and 45 .................
Cr<ldrt ror C~Jld and dependant Cllre expenses. Attach Form 2441
Credit for tho:; elderly Dr the disabled. Attach SCtiedule R
Education credits. Altach Fonn Sa63
Residsntial energy crBdits Attach Form 5695 .....
Fcrelgn lax crB(jjt Auach Form 1116 if required ........
Child tax credit (see page 39), Attach Farm 8901 if requIred ..
Retirement savings contributions credIt Attach Form 88l:lO . . .
CredIts from: II OfDfTT1ll3se D G, orm aaS9 ~ R"OITTl 8839 . .
Of her credits:.. LF0ITTI3S00 b OFOl'mBBOl C .....lOf1'l'l
ADd lines 47 through 55. These ara your total credits .....
Subtract lin" 56 from line 46. If 11M 56 is more than 110$ 46, enler.o-
Self-emploj,ment tax Attach Schedule SE ............
Unreported 50clal security and Medicare tax from: a o Form 4137 b o Form 8919.
Additlonalla;.: on (RAs. other qlJallfied retirement plans, etc. Attach Form 5329 if required
Advance earned Income credit payments from Form{s) W-2, box 9
HousehQld ~mployment taxes. Anach Schedule H
Md lines 57 throl.lgh 62. This is YCl.lr total tax
Federal \i'\coma tax withheld from Fcmns W.2. and 1099
47
59
50
61
52
63
----- --------.-.-- -~.
Payments 64
, ---'1 65
I if yow M,ve a 66a
i Qu~rlf1Jng
: Ch:'d, 3ITciCh I b
'i 5c,\ed~l~ EIC i 67
--~~----j
~C{~O 1200::;:3 SEPH A :r AWLER JR
38 ,:"mount from iirJe 37 (adj'lSied gross income) . . . . . . . . . . . . . . . .
39a Check { X1 You were born before January 2, 1943, n 6Ilnd. } Total bou&
f: U Spouse was born before January 2, 1904J, L! Blind. eh$t;ketl"'39.a 1
t ,'cvr .po",e MOO1~S I;lfl ~ ~"plol'Sle rfllUm or you werll Q QUIlI_lUa allan. :iCO pg 31 & eI1ll/:j( tlBre ... 3ib
Itemized deductions (frem Schedule A) or your standard deduction (see left margin)
Subtract line 40 from line 36 ,..............................
Refund!
I>reo M;'O:ll17
Sr;:e p~be Sl,~
ilf"'ld fill \n 74~,
~'4i;, ~ld 74::1,
or fo", 8e,~
Amount
You Owe
Third Party
Designee
Sign
Here
jOinT return?
Se~ pzge 1'3,
KefT' ij CllPY
tor yeur
recor-d;;
O~\M
f WI""
pn:;parer's
Use Only
E!;P,
2007 eetlmatBd tax payrl'llll'll3 l\r\Q llmoo{l\ ll\l\l\\od t(am 200'$ re\l.\rn
E<.1rn6d income credIt (EIC) . . . . . . . . .
..... 66b
........,..". .~
47
4fI
49
50
51
52
53
54
55
64
65
lllla
:',
....
2 727
,;~'~~'::~r
'~) l~"..r \,
:;f!'..{;'
. ~, ....1 "! .
'L,,~:":':'
40
4'\
~:_~IJ;;:.' ~
..........,. ,
;.~;:~
...
56
57
58
59
60
61
62
63
6
13
650
..
f
3
10
1
400
297
13
1 131
1
131
1 131
FORM 1099
E.8
69
70
71
72
73
740'1
~ b
~ d
75
76
67
68
69
70
....... 72
73
74a
2 727
1 596
1 596
No
Doslgnee'$ OilfnB F'tlDnc"". P~IIQfNlll1lCBtloo ~
ItI-CAROLANN WEt\lDLAND ....,17-691-05,4:dumberWIN).... I~
uncJ.or P<>fl"W.' 01 pe'luIY. I ~~~""' tholll nave examined !hili rcil.4rn and 1lCCQn'l;lCI'\YIn9 act\8dula& and stlltemetl\&. iIl\IllC me ~ ollr/i l<l\CWIOOIl" ~J'lQ
~~I.6r, ,r;ey are true, c.orrtlCl, and corrolalll, DecJaratLOfl or preP8f!lr (other than taxpayer) I:l ~cl on all IIlIOffilllllgn Of whlcn prepalllf n=~ Any ltnowhWoo.
'(cur :lJgnaw"" Da18 Your =pAl!Qn Daytime phQr>o nUlT\ll8r
~ Spoc;llll'a si<Jns!Ur<>, 11 ,,;olr.1 return.
bclUI m.ast $\gn.
Oat~
Preparsr's
;;::gn~ttH'O
Cllecklf
01 - 2 9 - 2 0 0 Iitllf~yeQ
Tax Service
Road Suite 1
PA 17050
PrepaJB(S SSN Q( PTIN
n P00003138
i:IN 51 - 0 4 2 , 4 52
l~lrTTt's nome .:or
.,.curs ~ &slt-cmpIQyotl),
2lCdrefiS, and ZIP r;.ode
tTaxtowne Communit
5265 East Trindle
echanicsbur
RETIRED
SilO\l~e'~ oc;l;~\o11
717....697-3779
PllonO nc, '7 1 7 - 6 9 1 - 0 5 4 3
Form 1Q4O (2Q07')
REV-1510 lOX + (6-98)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
JOSEPH A. LAWLER. JR
FILE NUMBER
21 07 0755
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME Of THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDfNT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER THE DATE Of TRANSFER. ATTACH A COPY OF THE DEED fOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPliCABLE) VALUE
1. AMERICAN UNITED LIFE INSURANCE CO ANNUITY 628.579.60 100. 628.579.60
(COPY OF LETTER ATTACHED)
TOTAL (Also enter on line 7 Recapitulation) $ 628,579.60
(If more space is needed. insert additional sheets of the same size)
Experience
Reputation
Service
Thomas C. "Tim" Noll, CLV
Chartered Financial Consultant
Tami Noll Russo
CPA-CFP"'-CLU
PHONE:
(717) 939-0968
FAX:
(717) 939-434'f
OFfICE ADDRESS:
1420 Farmhouse Lane
Middletown, PA 17057
MAILING ADDRESS:
P.O. Box 205
Highspire, PA 17034
WEB ADDRESS:
nollfinancialservices.com
E-MAIL:
nollfinancial@c:omcast.net
Registered Representatives of
and securities offered through
OneAmerica Securities, Inc.,
Member NASa. .IlK
A Registered Investment
Advisor, OneAmerican Square,
Indianapolis, IN 46206,
(317) 285-1877, which is not
affiliated with Noil fjnancial
SeJVices.
September 20, 2007
David C. Miller, Jr.
1100 Spring Garden Drive
Suite A
Middletown, P A 17057
RE: Estate of Joseph A. Lawler, Jr.
Dear Dave,
Enclosed please find copies of AUL's letters to Joseph A. Lawler, Jr.'s
sister/beneficiaries, Mary C. Abruzzese and Catharine M. Borda. As indicated,
the total proceeds paid for his AUL-IRA accounts were $628,579.60.
If I can be of any additional assistance, please feel free to call upon me.
Best regards,
r/~~
Tkomas C. "Tim" Noll, CLU, ChFC
TCN: kks
encl. (2)
REV-1511 EX + (12-99)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
JOSEPH A. LAWLER, JR
ITEM
NUMBER:
A.
1.
2.
3.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
FILE NUMBER
21 07 0755
Debts of decedent must be reported on Schedule I.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES:
WIEDEMAN FUNERAL HOME
GINGRICH MEMORIALS
FUNERAL LUNCHEON
12,072.00
1,950.00
549.12
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name 01 Personal Representative (s) CATHARINE BORDA
Social Security Number(s)/EIN Number 01 Personal Representative(s)
Street Address 218 COCKLEYS DRIVE
City MECHANICSBURG
10,500.00
State PA
Zip 17055
Year(s) Commission Paid:
Attorney Fees DAVID C. MILLER, JR. SUPREME COURT 10 # 36504
6,000.00
Family Exemption: (II decedent's address is not the same as claimant's. attach explanation)
Claimant
Street Address
City
Relationship 01 Claimant to Decedent
State
Zip
Probate Fees PROBATE FILING FEE ($298.00); SHORT CERTIFICATES ($8.00);
PUBLICATION FEES ($113.00)
419.00
Accountant's Fees
Tax Return Preparer's Fees
R/E SETTLEMENT - NOTARY FEE (COPY OF SETTLEMENT SHEET ATTACHED)
R/E SETTLEMENT - TRANSFER TAX
R/E SETTLEMENT - SCHOOL TAX PAYMENT
R/E SETTLEMENT - SEWER AUTHORITY PAYMENT
CORY SNOOK - DEED PREPARATION FEE
HOME REPAIRS TO SELL REAL ESTATE (LOWE'S) $46.60 (WIRING) $17.64
HOME CLEANING & TRASH REMOVAL ($105.00) ($150.00)
PATRIOT NEWS ADVERTISING TO SELL REAL ESTATE
ELECTRICAL REPAIRS TO PASS INSPECTION PRIOR TO SALE OF REAL EST.
EXECUTRIX'S EXPENCES - MILEAGE (175.8 .. $0.485 = $85.26)
10.00
1,780.00
1,067.30
115.00
120.00
64.24
255.00
248.20
1,000.00
85.26
TOTAL (Also enter on line 9. Recapitulation) $
(If more space is needed. insert additional sheets 01 the same size)
36235.12
Charges are only for those items that you selected or that are required. If we are required by low or by 0 cemetery or crematory to use any items, we will explain in writing below.
If you selected a funeral that may require embalming, such os a funeral with viewing, you may hove to pay for embalming. You do not hove to pay Jar embalming you did not
approve if you selected arrange~ents such os 0 direct crem~on or immediate burio!.lf we charge for embalming, we will explain why_belo," .., .0
For the service. of: i.,.?T'" ,~c'll o(CL '4~..k1 Date of Death:. (k.?u/ '1/. .... ., tJ?i /)
y ,~ <.'2 G I~ , , t. -- / r' /1
Charge to: ../);<;) /.:::'0'.4/; ON[lo-~l'/.5' .,U;.f'?U2:;:> /. /11~. /7VL-A.a..,....-&-"'_(.<._;<: l"'C'~ 1'leSS-
Nom, Add"" >>~. '}. 1_... (,,,_,State. Zip
Flowers ,Cfl:,..,.t?l.i...'''!2..1,(j..-r.-...i:.4.......... $' 3/~J? 00
..p.~
lfanylaw, cemetery or crernatory re.tJ'irements have required the purchaser afony of
the items listed above, the low or requirement is explained below. .
f. /. t;;, / -".;.,. Aj'f'/', 'j dA,);j""", -",'7;:1;'
,rl,.,., ,..<J.Cv"J -" j. 'A ~><..-/"v / ~../.., rZ4./ .LI' ~-'...N,",. /
/ ' .// ' , r
I agree that I hove examined the items of goods and services selected above bnd found them to be correct and aCcording to the arrange meA(, I hove requested. I acknowledge receipt of 0 copy of this
Statement of Funeral Goods and Services Selected. I represent that I hove sufficient funds available for payment of the cosh prices for the goods and services selected. I also agree to make payment of
$ ..LiD'''::'' r.iU within '15' ,joys. I agree to be iointly and severallyfiable with anyone else who signs below. A late charge of L% per month amounting to '.:.1.. % per year will be applied
the unpaid balance beginning '::f.;;;" days from the dote of this agreement. I will also pay to the Funeral Director 011 reasonable costs paid by the Funeral Director to collect amounts I owe under this
agreement. Those costs may includeafforneys fees, court costs and other related costs. Any additional services or merchandise ordered or requested aher the dote of this agreement will be considered
port of this agreement and the cost thereof will berefleded on the finol bill or statement.
A. CHARGE FOR SERVICES SELECTED:
1. PROFESSIONAL SERVICES
Services of Funeral Director/Staff ................................. $
Embalming .......... .. $
Dressing, Casketing and Cosmetology......................... $
Other preparation of body... ............................. .. $
$
It//'::;."" 0
'/LJD.() 0
1'/5 CJ D
(A 1) SUB-TOTAL OF PROFESSIONAL SERVICES .............. $
2. FACILITIES/SERVICES/EQUIPMENT
Use of facilities and services for viewing
(Visitation/Wake) ................... ............ $ ';'15,-1". aD
Additional staff and equipment for viewing in
church or residence ........ ....................................... .. $
Use of facilities and services for funeral ceremony or
additional staff and equipment for service in church
or residence ......... .................................... ... $ I-I'IS'.OO
Use of facilities and services for Memorial Service ........, $
Use of equipment and services for Graveside Service.... $
$
$
(A2) SUB-TOTAL OF FACILITIES/EQUIPMENT ................. $ '/3<". N?
3. AUTOMOTIVE EQUIPMENT
Vehicle to transfer remains to Funeral Home - Local..... $
Hearse (Casket Coach) - Local................................... $
Limousine -'- Local.......... .......................... ........ $
Family Car - Local ....................................... $
Use of Utility Vehicle.... ......................... .................... $
Out of town transportation ................ $
~;';9~,:)o
.,"1)/;. c ~7
//1', r IJ
';(5. tJ ()
(A3) SUB-TOTAL OF AUTOMOTIVE EQUIPMENT ............ $
(,75.60
(A) TOTAL OF PROFESSIONAL SERVICES, FACILITIES
AND AUTOMOTIVE EQUIPMENT .............. $ L/r5.5.0o
B. CHARGE FOR MERCHANDISE SELECTED:
~~;~~~;i~n~d~:.;:;{q;'p~Z..~~~~'Z;d~. $
ijik,?--,t.-h .vJI ./,t,-v<{,~ V.,l/Yfz:t
Otho/Receptacle ..... $
Description
'-/lr5tJ, 00
Outer Burial Container. ............................................. $ /195/)0
Description &.1-1' ..f.,p-?l~./" &<<--{ilf L)",.-u/7.
Casket Engraving ...... ........................................ $
Custom Casket Panel.................................. ... $
Acknowledgement Cards ..... ........................ $
Register book(s) .. ...................................... $
Memory Folders .......... ....................................... $
Prayer Cards .................. .......................................... $
Temporary Grave Marker............................................ $
Burial Clothing ..................... .................................... $
Other Clothing.. .............................................. $
Custom Graphic Design and Printing ........................... $
Laminated Obituary ................................................... $
AlIC-
-111<..
l"F
I'
(Purchaser)
(Purchaser)
Cremation Urn ......
Description
....... $
Urn Appliques/Medallions ............................... $
Engraving ................ .................. $
Interior and Exterior Crucifixes ...................... ............. $ $,/1, () ()
Refrigeration .............................. ................ $
(B) TOTAL MERCHANDISE SELECTED ... $ (;.:-:/3. ,16
C, SPECIAL CHARGES:
Forwarding of remains to ......................
............. $
1:.
1'-.
i
~
~
i
(funeral home)
Receiving Remains from ....,.
"" $
I
-t,.
~
(funeral home)
Immediate Burial.............................................., .... $
Direct Cremation .................................. ..... $
Opening Grave/Crypt/Niche ...............,..... $
Cemetery Equipment .................................... . $
Newspaper Notices - Local (estimate) ............ ..... $
Newspaper Notices - Out-of-town ........... $
Honor Guard ................................ ... $
~~ffi." ...,.. ,.. ,............ $
Clergy Honorarium ...~(l..l--!:{j,:(,~...... ...... $
Pallbearers $
Certified Copies of Death Certificate $
Crematory Charges ...........:.......... .. $
Coroner Cremation Authorization ....... .................... .. $
Organist. .......................... ................... .... $
Soloist .......................................... ..... $
Altar Servers ................ ........................... ..........., $
'3$,), no
/.3;1.:.)L
.;3..:7f'. r"'r1
;;'5r. ell)
/) .;.;? (} ()
/(y1.t.... c~
~L:.~' ("1('
0. . /.' ~,.? .;; /1/i/]
-~0/__ ~-""'. .... tv /
,/ /. ,ateV
/ftzL~ ..~~;~4,e~Y'./
(licensed Funeral Director)
.1)).;
~~.' '. ~.,' - .
I
ORDER FORM
ingricl
Since 1921
5243 Simpson Ferry Road, Mechanicsburg, PA 17050
(717) 766-5622 · Fax (717) 766-8007
www.gingrichmemorials.com
;/'-.;.4. 'D, J ^
SOLD TO: f" \ , i '\ .I)f'.r' \( ".
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Agreement: A 50% deposit is required to commencement of work.
Agree to pay stated balance upon erection regardless of labor troubles or shipments or any other good reasons, This order or contact
cannot be cancelh,d by customer unless agreed by both parties. The article herein mentioned shall remain the property of James R.
Gingrich Memorials until paid in full and they reserve the right to remove the same is not paid as stated.
I agree to carefully proofread all names and dates for accuracy and accept full responsibility for any errors or omissions, THERE
WILL BE AN ADDITIONAL CHARGE FOR ANY LETTERING ADDED TO THIS MEMORIAL AFTER ERECTED ON THE
CEMETERY.
I further agree to pay the balance stated for the work performed under this contract within thirty (30) days of receipt of the final invoice
and further agree that interest shall accrue at the rate of one and one-hall percent (1 Y2%) per month on the unpaid balance owed to
James R. Gingrich Memorials not paid within thirty (30) days of the invoice date. In addition thereto, I agree if it becomes necessary
for James R. Gingrich to institute legal proceeding to collect any funds due from me for my account being past due thirty (30) days,
to pay all court costs and attorneys fees incurred by James R. Gingrich Memorials to collect the same.
Location i:- \,-
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Upon Completion $ Lfl <;', ;; (
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(I further agree that the above names. spelling, and dates are correct)
PINK-Customer GOI nI=NRnn_Q'~Mh
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.. 19J: 218 COCJ<l.EY$ OOLVE 717-697-3779
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RODNEY L BORDA
CATHARINE M. BORDA
PA uc. 1SM0562
211 COCKL.eYS DRIVE 717_-3779
AG.PA 1~SQ I
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RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Receipt Date:
Rece~pt Time:
Recelpt No.:
8/10/2007
10:10:16
1049485
LAWLER JOSEPH A JR
Estate File No. :
Paid By Remarks:
2007-00755
CATHARINE BORDA
WZ
-------- --------------- Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST
WILL
SHORT CERTIFICATE
JCP FEE
AUTOMATION FEE
Check# 4592
Total Received.........
260.00
15.00
8.00
10.00
5.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
CUMBERLAND COUNTY GENERAL FUN
$298.00
$298.00
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RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17a13
Receipt Date:
Rece~pt Time:
Recelpt No.:
9/27/2007
12:38:26
1050032
LAWLER JOSEPH A JR
Estate File No. :
Paid By Remarks:
2007-00755
LAW OFFICE DAVID C MILLER JR
AJW
------------------------ Receipt Distribution ------------------------
Fee/Tax Description
SHORT CERTIFICATE
SHORT CERTIFICATE
Check# 1468
Check# 1460
Total Received.........
Payment Amount
4.00
4.00
Payee Name
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
14.00
4.00
8.00
LAW OFFICE OF DAVIDC.MILLER,JR.
1100 SPRING GARDEN DRIVE;SUITEA
MIDDLETOWN, PA:17057
PH. (717) 939'-9806
PENNSY\.VANIA STATE EMPLOYEES CU
HARRISBURG. PA 17106-7013
60-8111/2313
1450
DATE
Aug 30/2007
AMOUNT
$ $38.00
Thirty Eight ******************************************************** 00/100
~
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"
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PAY
TO THE
ORDER
OF:
d
Publication Fee - Letters Testamentary -
11100 ..... SOu' ,01: 2 3 ~ 38 It It 1t!;1:
~
'!
The Paxton Herald
101 Lincoln Street
Harrisburg, PA 17112
~
13
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THE PAXTON HERALD
Fax
(717) 657-3523
n. Padon w.tDkt.. ~10 Eorl on-. ..........rg. A\ 17112 "1W5~
Central P8nn8y1vanis'8 Larg88t WtJtJkly N8w8pap8r
Office & Plant - (PO Box 6310) 101 Lincoln Street
Harrisburg, PA 17112
East Shore
(717) 545-9540
(717) 545-8762
~OOF OE PUBLICATION
STATE OF PENNSYLVANIA
COUNTY OF DAUPHIN
Before me, the subscriber, a Notary Public in and for the said County,
personally came Lisa M. Carnes who, being duly sworn, doth depose
and say that she is CLERK of THE PAXTON HERALD, a
newspaper of general circulation published in Harrisburg, Pennsylvania~--
That THE PAXTON HERALD was established on the 28th day of
June, 1960, and has been published continuously since that date;
That the advertisement, of which a copy is attached hereto, was
published in the advertising calm of4HE PAXTON HERALD in
all respects as ordered in the issue(s) of' -5', q-l,'}. q-lt] dC()7
Affiant further deposes that she is not interested in the subject matter of
the aforesaid notice or advertisement, and that the allegations in the
foregoing statement as to the time, place and character of publication
are true.
Swam and subscribed before me this day of
(J(__~~'i>'- ~ ri-J:::501 A.D.
\
(~
( ~C..,. .
\::~ Public '
._.....~.._-~~..---I
, y ;~'J2_~;i: I
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"'~l'~+""'lnthe
.Estate'. ... ...iofJ..=.... :.1" ."':-:....~..-
... .... MO ....w...r, Jr.,
,"'-.-............. .. .g":~;,;IaIe.-"
of ~t PennsboroTownship,
~~;County,.Pennsyl~
"8flfa;tla.vebe~m granted to
Catl),rine M;. Borda~ AUper~
SQrls<illdebtedto.the Etiltate
arerequ,steato makeimme-
diate payment 8flCI those ha,,~
i. n9C.. ram...s sw wiill presenUhe. m
.fclrsettiementwithout defayto
.~for the Estate:
. ". /. DaviclC.MUIer,Jr.,Esquire
1.100. . .SpMg~rden Drive,
.. Sui1eA
~~
. ~9-12, 9-19
LAW OFFICE OF DAVID C. MILLER, JR.
1100 SPRING GARDEN DRIVE, SUITE A
MIDDLETOWN, PA 17057
PH. (717) 939-9806
PENNSYLVANIA STATE EMPLOYEES CU
HARRISBURG. PA 17106-7013
60-8111/2313
1449
DATE
Aug 30/2007
AMOUNT
$ $75.00
Seventy Five ******************************************************** 00/100
PAY
TO THE
ORDER
OF: Cumberland Law Journal
Publication Fee - Estate Notice - Estate of Joseph A. A'fIEH~IIE@T:(;NAl8"t.
1/100 ~~~gll. .: 2~ .~B.. 1.bl: OL.Sqq .7977111
r,t:'
J.
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
ss.
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,depases.andsays 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:
September 7, September 14 and September 21 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.
SWORN TO AND SUBSCRIBED before me this
---2Ldayof September. 2007
Lawler, Joseph A., Jr., dec'd.
Late of East Pennsboro Town-
ship.
Executrix: Catharine M. Borda.
Attorney: David C. Miller, Jr.,
Esquire, 1100 Spring Garden
Drive, Suite A, Middletown, PA
17057, (717) 939-9806.
Q;/~~d~
Notary
NOTARIAl SEAl
DEBORAH A COWNS
Notary Public
CARLISlE BORO. CUMBERlAND COUNlY
My COl'nIl'lI$$Ion expires Apr 28, 2010
\Jct-1.l4-Ur
09:45 From-WSB 717 541 3'96
~ T-05S P 00,/003 F-297
A. Settlement Statement u.s. ~tofH0\l41ng Bnd Urtlll!1 OtlV0loPmenl
8. T~/; ~ LOan OMB A ravill No. 2502-0286 8 "'6 ~ 11 09 FINAL
\ t OFHA 2. OFmHA 3.. !l0clW. UnN:.] 6. Fllo lUt/er= 7. ~ NIllIlblJ" 6 MllI1111lg6 \nSuar1al Case Number
. 1.3,'" 5. 9,Conv.lnll. .__I_PlFN07.11P1N ~ 1932675
I ,... ~m~ ''';UttllMn~g''Y''Ui:l1IIiII ~*IJb.9h4 ~UJ:l ~
u. Noll:; fl'!l'1!.\,,"~lPtUl.r-.ptol,,'''d.'''''_.\llO'f'''_'''''''lorlill.ItIlIIIon_'ond''''''''~.ldIdI~ItIe_
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. _....._...,.tI.lIn..n_~...dalllll1MO:T'IIo lDU. 9. CCClIIIlOClIM \1lO\1lIIls". a.
D. NAME OF 8~ Daniel G. MIII1ln
AnrlRF);l;:
Eo NME Of 5SIJ.ER: Estata of ~ A.1.awIor. Jr. . I
"M~ess,
F tolAME OF L.El>tJER;. l' ~Ol' BlIln & WhItaker MortgagcI CQqI.
..~<:. 1411 NOtth MlItInoU.. A.~Q. Ol:ala. FL 34415-9078 I
G. PROPeRTY ^OOflE5S~ 5 Round Hill kom, Camp HJtt, PA 17011 I
Enlit PsnnsbllrtJ T~h(P
H. SETT\.talIelT AGENT: Pinnacle Land Tran.: LLC. TlIlephone 111.920-3331 Fax: 111.~
PlACE Qf SErllEM:NT: 4242 CHIllS/a PIka. Suite 191 CIImD Hm. PA 17011
I.sm\.EUE~ 1~ K SUMMARY Of SELLER'S TRANSACTlDN:
J: OF BOR'R~nON:
100r OROSSAMOUNT OUt; fROM BOI\ROWER 400. G ~'AMOONT I:lUE 10 SElLER
- 101. Conlr~ ~eles mica 17811Oll00 401. .....,,;,.., ssle& mite I 178 000.00
102. ~PrDlll'lllV 402.
lQ3 Selllemenleh-IQ 5.4Qlt.50 403. I I
tii4~ :: J
10!i.
l1l!!m& ruill b~ !laler In IidIIMca AdIl18lmanl.:; Illr 1tM'S oakl bY ooller In iW""""" ~
100. O1~lIllWl1ll1l1i18 400
. 107. ('.I",ntv Iiue$ 1ll1D31a1lO 12131/07 113.00 407. C<lUl1IvIaKeti 1ll1OO101t^iZ31107 113.00 \
108. A 4I'Ill. """"""""'15
,no Q"fvv.1 Tax 1 1.185.91 409. ?&1Wll TiIIC 1G1B3/01toQIlI3lI/08 1165.91
110. s,,;,,;r i 0I00J071o 12131/07 \12.00 4111.'~ 11l1f}3107 In 12/31/117 11Z.50
11t . 411.
112- 412-
12<1. GROSS AMOUNT CUE FRoM IJClRROWf;R 1M 1100.97 ~O. GftOSS AMOONT OUE TO SEL1.eR 1;9.:l91.47
2Oll. AMOum PAID BY oR ON DEHAlf OF BORR(WVER 500. RS:lUCT1ONS IN AMOUNT DUE TO SELLER
~01. Os 1.000.00 601 e- rw".,."t 'MIl iI1atrudiO"'~ 1 ooD.OO
2ll2. Pt\ new I"""" 118.000.00 !m. Set\lo"~ t:\Ia""'" In soler IlIne 14001 2!m.30
203. ExisllntlloSn/611BkBn ""hi.... fI\ ~3. Exlslm lDlllIID ~lln GUblBtt 10 -
lJ4. 504. ,;:.;;.;.rr~11lI '-1arlaaao Lo..'V't
205. 5lI5.
201'l. 606.
207~ 507.
206 6lll\.
209. 509.
Adlu.&tmlll\\t - kIr ilsnJi u BUer Adlultrnellla tor llams unL'\3td""lW'lIilllllr
21(). CI B 510. CIlvJ~ IBma -
211 511. Cwntv lilXlI&
212. Aes~ 512, Asa8a~ I
213. 513. I
'214. 514 -1
215. 51S
216. 51!!
217 S17.
2'18. 518.
211l.. IiIQ
~Il. Tt'l1'AL ~AlD aYmR BOR~ 119 000.00 520. TOT~ RFDlicTIOM AMOUNT DUE SEL/..ER 3.1m.SO
aao. CASH AT NT FROM OR TO BORROWeR 600. CASH~T SEmEMeiT TO OR FROM SELLER ~
301. GIOGa armtIN duIIll'!II1'I ~iiln1!l12l11 .. 1lW BOO.1fT
302. '-= ~.".. -"'.......rbonnwatlllno:!20\ 119 OQQ.oO 1301. GNJ5lI moulltdU81~~ElI'lII::~ -=F 179:1-47.
Ip2.. L(Il!S ~ arm dull6& 520) 3 12.30
303. CASi FROM BORROWER. 65.900.97 603. C,&,Sl1 TO SEl.LER I 175,419.17\
SUBtrr1'J\l'tliFO,.., 1DGO GCLLG;A STATWENT." "Th.lII(llRnIRmt~tnmIm""'~ln=IDIt IIrld HI ~.al="'t:: 1~GtJr\l-- Ir"rOU NW ~roo~n ~. ""wfr\,
:...~..:~~~~=-~~=~IIomIjI~Ia"''''Il'"1Dd'not IRSd_." "'" ,.,..,:''''''1Il:I1AI..f'!...................
=.=~~XO~~:=:.~=!::l:::~=:lr:~:~=-::=~\:.~====~::.n=:,.,.
"'''_'_'_'_'_'_ ku,ERISISI/l;NATLIlElSt, I
&f'\..J;/IlS} NEWJ.lM.1NCl foQ:JRI!S8: _
6ElIJ:Il18If'11ONENlMII:Pll, .lHl ~
yl",,1,--"""'--l,Jt
u~;~o rrom-WSB
sm' EMENT ST' .TEMit.if -"- .. . .
717 541 3496
T-068 P.003/003 F-Z9T
__. L A. TI!l.tEyn_g Sews""'"' S"'Illl1l 0lrinl1'I11l'l1U1r.!G07 <1l <:Jlllfu
L. sem.~ CHARGES PAlO FROM PAlO FROM I
1'00. -rniile&l t:"'IQR~sr..oMUISSlON _ onorbl S178ooo.QO; BORRO\IIlER'~ SELlJ:R'S
DMtilon M """'11'/ QQ'-81 r~ . FUNOS AT FUNDS AT I
701. ~ 10 $E1l1...EMefT S~SNT 1
702. !Ii tll
, 1(\3. Coomlsaioo Dalct lilt SelfJIlII'll~ . ,
81lO.ITEMS PAVABLE IN eo~N WIW lOAN
001. Loan OnrnnR1lnn FIlll %
-Rn? I.....~ -l'1I-..rounl 0/0
RO~, ApMllsal 1"00 It.> BanlZ MoltmDll GroUn tP.O.C.1 Z7{i,oll BWl.Ir
fl()l.CI1!l!~
9Q..1\. Tax Ssr.nca F9Il tq TavlorBean lI.. Whltaker~. -
I.R 73.00 I
806. Al'lfIlln.."..,inn Fee to 1lW10I'~an & Wl1ltakarMm1 LR 515.00
ftr7. IMmIMERS r:ru. -10 TavtOr BIllIII & WhItlIker M~CM1. lR. 22.50
aoo. plJl' Plern14m Pd by lJlnctlr to Bflntz Mona.. ~ M 8oD.611 pnc b>JLendOf I
:: Rood Cat Fee 16 l'iWlor Baan & WItltakftr ytortgaaa Com. \..R 1B.50 I -\
I
900. IreMS REcUlm;D BY LENnl=R TO B'!! PAlO IN ADVANCE; I
-Wit lnt-of !;mm 10103120117 It' 1110112007 If1l$ 2lU1011/dav Z9Davti LRI Stlllllll I
I 002, ~Bfl4l1n~Pramltn for 10
flIll HazmJ I t:lf 1 WiU' 10 DDnoGaI Mutual 1M Co. rP.C.C. \ 397.00 Bu\lftf' ~
'lI14.
oo~
10011. RESERVES DEPOSITED wrrn L~oeR FOR \
1001. ~!lIeUlBlll2l ~ mo, @J 3:MlO lma LR BU1
\U~ LIml";"E1I.""""",,, mo.tfll~~ Imo
1!lO3. ...... /Ill 1m
im.. "~'n'" ~Cmtv T,,," 91l1tl.1i'Jl 3II.2D //no Ifl 34SJlO
1005. MruaI .l\ss""""""'lll 5 "",ft 130 74 1m LR 653.7fl
1009.'----. el~B Adh,"'""'nt "" TlI'IIor Bean & Wtila\llll' Mort I..R .285.24 0.00
1100. niL~CHARGt.C;_ = - [: ~
I lOt 5a\tlcme(lt Or ckI61n.:1 fOD . - \
110? A.......I:!... tiU4 u:vm
I 1103. T1t19 examl11:ll[on
\104. ~ RBtrie'Ja! Pen In Pll1l1aclti 4!ld Trans11l1' LI.C 50.00 I
1106 tl;;.,p;:,.n ISub 01 ......"" RI.hl Iu P!nnllClel.lmd 1'I'1ln&far. -Ll1.' --: 75.00
1106. "'c''''''FIlCli III Pinnacle \.and Tl'i1IIsflll' lLC 2200 111.00
1101. ... I
nndudes above u...... Wa: ) -I
i 108. TIn! 1n&uTa1CE! 11\ P1nnBde l.lmil Transfer w:; 11XUB I
11....1,"'....;. abav9 b;m& ~ \
, 10D. lBndef$~ 118.Ql!Q.OO . I
I
1110 Ov.nara Pdl<:v 118,000.00 .1,1n.aa '"I
1111.'-~nd 100. End 300 EnIl9llD 10 P1nniK.'lG I :.nrl Tl'lIllifar. u.c 1SO.00
111~ ~ I
1113 C10silnSvdJr 10 Plnn Transfer U.C I _35.00
1m GOViRIIIMENT RECORDING MID lRAHSFER CHARGES I 107-:00 -i
1')fl.(Ii.;;:.;;;.t..; l=^~ "'"~" "38.50 . 6l:UO :Rsllla&D ,
'1m. Cllvllnln~tllldslBmllB Oelld $1.780.00 : lhlnOlllHl $ 1 780 00
1103. $I Drled !&i.7BO.OO ;O;-~: ' ~ 1.78\1 00
1"'\,1 ~ ~
'_1205, - k =i
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Print or Save IrJ1ii9(!__________
Account:
Check:
Date:
Amount:
Reference No.:
5001053836
1016
09/25/2007
$120.00
87740494
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J AND ~ HARD~RE l!
1060 DLD TRAIL RD
ETTERS. PA 17319
111-938-8063
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64428 GL.PREM.EXT.S/G WHT/BS2
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2223 TERMINAL: 12 06/23/07 16:18:57
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HOME ABOUT US CONTAC
Account Summary Transfers eStatements Bill Payer Services Visa loan A~
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Front of Check:
RODNEY L BORDA
CATHARINE U. BORDA
PALJC. 1334051i2
211 COQCLi.YS DRIVE 717-6874779
~ PA 17Q5S.58Q9
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The Patriot-News
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CAMP Hill
ColI ntry Club Pat k . 2 be Iioom,
1!j bath. big rOJlll, fireola:~
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eat-in 1Khen'W/iSlandandcercn
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CAMPHu.L
CoumyClub Park. 2 bedroom,
1:5. bath, wig room, firepla;:~
dirirg lQO/1I. Iftl)' r~d
eat-in kithen'WrlSl8nd andceram
C COIIrie !tops, Ita rdwood fbors,
flllishedbaselElltw/wel bar and
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and otte II~ Oinilll 10011I
tall sere as '3 rd Bedroom
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PNC Bank Online Banking
Print or Save Image
Account:
Check:
Date:
Amount:
Reference No.:
5001053836
1025
11/14/2007
$1,000.00
85248989
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REV-1512 EX + (12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JOSEPH A. LAWLER, JR
FILE NUMBER
21 07 0755
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death. including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. CHASE CREDIT CARD BALANCE 4,889.06
2. AT&T 70.09
3. VERIZON 62.51
4. PP&L 380.03
5. PA WATER COMPANY 91.12
6. COMCAST 108.79
7. SHIPLEY OIL COMPANY 255.15
8. JOHNS HOPKINS - MEDICAL BILLS 326.93
9. EAST PENNSBORO TWP - TAXES 533.65
TOTAL (Also enter on line 10. Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
6 717.33
_~~.......o.J_ _..........."...., ....-J....l"".I..I."......L.lt3'-V1J
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CHASE 0
Chase.com I Contact Us I Pnva(v PoliC\' I I
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Note: You can cancel a payment before it is processed by clicking the Cancel link under tl1," ('tIC'I'
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Payment history for CREDIT CARD (...1906)
~~y.m~!lLQ.~~e *' Corrtirmation NumPer OJ~~_~riPtiQ.I)A.mQlJlJt Checking Account
// 1010212007447401438 Internet $1,000.00 Members 1st Credit Un (.1032)
"'- 0812112007 432158431 Internet $200.00 Members 1 st Credit Un (.. 1032)
U 07(12J2007 Internet \IA.~--=;':;')
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@ 2007 JPMorgan Chase & Co
https://cards.chase.com/EPaylEpayPaymentHistory.aspx
10/8/2007
PNC Bank Online Banking
Page 1 of 1
Account Detail
IF ree Checking XXXXXX3836 . ...:.1
View All Accounts I Edit Account Nickname I Help?
Available Balance: $173,231.30
Summary
Current Activities_ Transaction History
Online Statements
AutoAlerts@
This is not a statement of your account. These are authorized or submitted items not yet processed against your
account. When they have posted, they will be reflected in your transaction detail. Transaction detail is available
on the Transaction History page. These items may affect your available balance.
Current Deposits
Effective Date
This account has no current deposits.
Amount
'_'__"'_"'_""_'__"'__~_'_'__~~_____'___ _,__~__,_,_____,____,,_,,___'____'_____~'''___''_'___'____"__"~__._._._.,,_____.. ,~,,_______,"'___"'~_r_""',~_' '_'_'_'__'___"'-_'~'__'____"_'.
I Current Withdrawals '
\__...________________...___.__ "n'" ~._~~._.__._.______~__,._._..__..____._.._...______'___.____-.._._____'__<.__._~...___..._~._~_'_._."._..._,._~_I
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https:l Iwww.onlinebanking.pnc.com/alservletJT odaysActivi tiesServlet? account=1 I I I III II 14/... 10/12/2007
"'~'}'~~~~r..
Your AT&T Statement
July 26 - August 25,2007
#BWNC,IFM
110918003544601311 B
111.11111,111.",1.1,,1.1,,1.1,1..1,1111.1.1,,1111I11," 111111
JOSEPH LAWLER JR
218 COCKLEYS DR
MECHANICSBURG PA 17055-5809
~ \l\f
\::J Customer 10: 717 737-2457 0035446
~'~ J1 Page 1013
if ,/ J)\
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~ Extra! Extra!
Get your telephone and DSL network
equipment at one place,
www.att.com/buy .
~~
~ at&t
Customer Service: 1 800 222-0300
Text Phone (TTY): 1 800 833-3232
Internet Address: www.att.com
Summary of charges
Previous balance.... ............ . ..............................................29.58
Payments..... ............................ ...0.00
UNPAID BALANCE DUE UPON RECEIPT ...................................$29.58
Other charges an,j credits... ............... ...... .............p 2 ........ .... .
Taxes and surcharges.... . .. .......p 2 ..............111
Current charges due Sep 8, 2007................................. ............$10.93
We did not recElive full payment of your previous balanc Your
total amount due includes a late fee which is included in the
Other Charges and Credits Section by service if applicable.
~
Benefit news
Sign up for AT&T Online Billing and you
won't get another paper bill! To sign up
just visit www.att.com/online
Why more customers are choosing
online billing! Simply visit
www.customerservice.att.com to
manage or set up your online account.
Total amount due
$40.51
Your AT&T Statement
April 26 - July 25, 2007
#BWNCJFM
#0"1180035446013# 3946.5.188.411471 AVO.312
1111111.11111.111..111..11 1.111111111.11 11111111.1111.1.1..1.1
JOSEPH LAWLER JR
5 ROUND HILL RD
CAMP HILL PA 17011-2636
1..11111111..111.1.11111...11.1..111'111111'111.1.11.11.1.11.1'111.1.111
Summary of charges
Previous balance........................................................ ..-0.58
Payments..................................................................... 0.00
Credit balance as of July 25 ......................................-$0.58
AT&T One Rate<Bl Plan calls...........................p 3.............0.90
Other charges and credits............................. p 4.......... .26.13
Taxes and surcharges................................... p 4.............3.13
Current charges ........................... ........................ ....$30.16
Total amount due
Date due
$29.58
August 19, 2007
This statement includes charges from the last three months.
Your savings and benefits
Never Mail Another Check to Pay Your AT&T Bill.
For the ultimate convenience, enroll in A T& T Automatic Bill
Payment (ABP) and have your future payments automatically
deducted from your enclosed check. To enroll, check the box
and sign on the tine on the back of the remittance coupon, and
return with your payment. Or sign up for online billing to review
and pay your bill each month by logging onto your AT&T Online
Billing account at www.att.com/remitdoc
iiIoiIIio/
.~
f,'S at&t
~
Customer 10: 717 737-2457 0035446
Page 1 of 5
Customer Service: 1 800 222-0300
Text Phone (TTY): 1 800 833-3232
Internet Address: www.att.com
n
w"-
Extra! Extra!
Get your telephone and
DSL network equipment at
one place,
www.att.com/buy.
~~~\
\ 01
I A Jl~
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tW
Benefit news
Sign up for AT&T Online
Billing and you won't get
another paper bill! To sign
up just visit
www.att.com/online
r'1....'";~....(.1Il'":' Qr l,.""'-r""1.-
~
verl70n
JOSEPH LAWLER JR
Account Summary
Previous Charges p_~__
Payment Received Jul 30. Thank You.
Balance
$ 33.29
------_.~._-+,-._~- -
- 33.29
$ .00
New Charges
Verizon (page 3)
Total New Charges !,ue___~________
Total Due: (Past Due + New)
Please pay upon receipt
- FINAL BILL -
Full amount IS due upon receipt
: )
V:\
\ ~I
$ 29.22
$ 29.22
$ 62.51
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Questions about your bill? Call 1 800660-2215
See page 2 for all other Verizon contact information
Change of billing address?
Go to venzon com/billlngaddress or see page 2
Billing Date: 08/08/07 Page 1 of 6
Telephone Number: 717737-2457
Account Number: 717737-2457 123 37Y
1-866-Vl-MOVES
Moving? 1-866.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
=r;;;;:-:;;'I
-- t....:::...J
Complete A Survey For A Chance
To Win A MOTORAZR Maxx Ve Phone
Complete a survey & you'll be entered
for a chance to Win a Motorola
MOTORAZR maxx Ve phone
Go to Venzoncom/blllsurvey
for rules & to complete your sUlvey
Surveys must be completed by 10/1/07
One survey per household
'Y Detach & return payment slip with your check payable to Venzl;:1
PPL Electric
Utilities
Electric
Service
For:
JOSEPH A LAWLER JR
5 ROUND HILL RD
CAMPHIlLPA 17011
Final Bill
Questions about
this bill? Please
contact us by Oct 24
at 1-800-342-5775
(1-S00-DIAL-PPL)
or write to:
Customer Service
827 Hausman Rd.
Allentown, P A
18104-9392
www.pp1electric.com
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" TM
Summary Page
Balance as of Oct 3, 2007
Page 1
:',""':":.M~titmu:Ai:(,*:m$fuii;:.::::>
44700-73015
..WbMQaU'... ::j}x'Wi:Jtm
$76.25
CharRes:
TotarpPL ELECTRIC UTILITIES Charges $41.31
Total Charges $117.56
\jiintijWj:~iji~j~i~t$~:m~i1:Q~(~~12jMi1::;m:;;:;:jtH.:m:::::
Account Balance
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$117.56
_~ v 01.
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Electric
Use
This graph shows
yow- electric use
over the last 13
months.
Types of
Meter Readings:
Actual .
Estimated r....l
Customer D
KWH - Average Per Day Meter Reading Information
72 Meter #75940268
Oct 3 Actual 28323
60 Sep 12 Actual 27949
21 Days KWH Billed 374
48
Average - Oct 2006 2007
36 T wnerature 62F 67F
K Per Day 11 18
24 Yearly Use: Total Avera~e
12 Use Month y
.11 Nov 2005 - Oct 2006 5763 480
Nov 2006 - Oct 2007 11384 949
0
ONDJFMAMJ JASO
2006 Months 2007
Other important information on back ~
-----------------------------------------------------------------------------------------------
PPL Electric
Utilities
Electric
Service
For:
JOSEPH A LAWLER JR
5 ROUND HILL RD
CAMP HILL P A 17011
PPL Electric Utilities
Customer Service
827 Hausman Rd.
Allentown. P A
18104-9392
1-800-342-5775
(1-800-DIAL-PPL)
www.pplelectric.com
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44700-73015
:::':"'3::':::::'::~:"W!("""
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Total from Last Bill
$163.77
Billing Details
Amount You Still Owe as of Aug 10,2007
5> 163.77
Current Charges
Char~es for - PPL ELECTRIC UTILITIES
Residential Rate: RS for Jul12 - Aug 10
Distribution Charge:
Customer Charge
200 KWH at 227851600~ per KWH
600 KWH at 2.06499900~ per KWH
186 KWH at 1.94224000~ Nr KWH
PA Tax AdjSurcharge at -0.04900000%
Transmission Char..,ge:
986 KWH at 059627400~ ~r KWH
PA Tax Adj Surcharge at 0.12600000%
Transition Chame:
200 KWH at1.33800000~ per KWH
600 KWH at I.18600000~ per KWH
186 KWH at 1.09500000~ ~r KWH
PA Tax Adj Surcharge at 0.12600000%
Generation Cliarge:
Capacity and Energy
200 KWH at 5.72800000~ per KWH
600 KWH at 5 .03400000~ per KWH
186 KWH at 4.6I800000~ ~r KWH
PA Tax Adj Surcharge at 0.12600000%
Total PPL ELECTRIC UTILITIES Charges
Other Charges for PPL Electric Utilities
Late Paymenl Charge
Total of Other Charges
8.05
4.56
12.3 9
3.61
-0.01
5.88
0.01
2.68
7.12
2.04
0.01
11 .46
3020
8.59
0.06
$ 96.65
2.05
$2.05
Account Balance
$ 262.47
General
Information
This bill includes a previous balance. If you have paid this amount, please
accept our thanks and pay only the current charges.
Customer Account Information
Meter readings in current billing period:
Meter Number N042457455 is a 5/8-inch meter.
Present-actual 299600
I_ast-actual 299100
Gallons used 'BOO
Billing Summary
--------- Pr ior Sa Ian ce-----------------------
Prior Water Balance
Payments prior to Sep 25,2007. Thanks!
Total prior balance, Sep 25, 2007
----------Current Water Charges---------
Service Charge
Water Volume ($.005735 x 500)
STAS PAWC Water -0.44%
DSI - PAWC Charge 6.42%
Total water charges, Sep 25, 2007
----eo-eo-Other Current Charges---------
Late Payment Charge
Total other charges, Sep 25, 2007
For Service To: Joseph A Lawler Jr
5 Round Hill Rd
Account Number: 24-1186826-4
Premise Number: 24-0384021
$75.88
-75.02
.86
Billing Period & Meter Information
Billing Date: Sep 25, 2007
Billing Period: Aug 17 to Sep 19 (33 days)
Next readmg on/about: Oct 18, 2007
Rilte Type: Residential
11. 50
2.87
-.06
.92
15.23
.01
.01
$16.101
----------AMOU NT DU E ------------------
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Water Usage Comparison
Monthly usage in hundred gallons.
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Messages to you from Pennsylvania American Water
Any portion of the water charges which is not paid as of 10/22/07 will be subject to a 1.50% penalty.
. Effective August 25, 2007, the Distribution System Improvement Charge (DSIC) has increased from 5%
to 6.42%. This charge funds the replacement of water distribution facilities.
. The due date pertains to current charges only. Any past due balance should be paid Immediately.
. Customers may use 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.paymybilJ.com. A service fee will apply.
. Approximately 4. 72 percent or $. 71, of State taxes are included in your current bill.
. Effective January 1, 2007, the State Tax Adjustment Surcharge (ST AS) decreased from -0.33% to -0.44%.
. Have you moved or changed your phone number? Please let us know, so that we can update our
customer records. To update your information, call us toll-free, 24 hours a day at 800-565-7292.
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0036391003839 PCD3A8 T A V04 123
Customer Service & Emergencies 1-800-565-7292 (24 Hours)
For Hearing Impaired Customers TDD 1-800-300-6202 (24 l-lours)
Visit us on the INTERNET: www.pawc.com
RAW100AMW08IAMW071
A1M
29980
Billing Period & Meter Information
Billing Date: Aug 22, 2007
Billing Period: Jul19 to Aug 17 (29 days)
Next reading on/about: Sep 20, 2007
Rate Type: Residential
Meter readings in current billing period: )
Meter Number N042457455 is a 5/B-inch meter.
Present-actual 299100
Last-actual 298200
Gallons used
Customer Account Information
For Service To: Joseph A Lawler Jr
5 Round Hill Rd
Account Number: 24-1186826-4
Premise um er: 24-0384021
Billing Summary
-----Prior Balance------------------
Prior Water Balance
Payments prior to Aug 22, 2007. Thanks!
Total prior balance,Aug 22, 2007
-------Current Water Charges-----
Service Charge
Water Volume ($.005735 x 900)
STAS PAWC Water-O.44%
DSI- PAWC Charge 5.00%
Total water charges,Aug 22, 2007
------AMOUNT DUE -..-------.----.
Water Usage Comparison
Monthly usage in hundred gallons.
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7
$57.60
.00
57.60
11. 50
5.16
-.07
.83
17.42
I $75.021
Messages to you from Pennsylvania American Water
Any portion of the water charges which is not paid as of 9/17/07 will be subject to a 1.50% penalty.
The due date pertains to current charges only. Any past due balance should be paid immediately.
. Customers may use 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.paymybJlJ.com. A service fee will apply.
. Approximately 4.72 percent or $.82, of State taxes are included in your current bill.
. Effective July 1,2007, the Distribution System Improvement Charge (DSIC) remains unchanged at 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%.
. Have you moved or changed your phone number? Please let us know, so that we can update our
customer records. To update your information, call us toll-free, 24 hours a day at 800-565-7292.
. At/en/ion Customers on the West Shore: Beginning the week. of August 12, Pennsylvania American Water will
be changing its treatment process from chlorine to chloramines. NOTE for kidney dialysis patients
and fish owners: Chloramines, like chlorine, must be removed from water used in the kidney dialysis
process and from water used in fish tanks and ponds. Customers were mailed a brochure with commonly asked
questions and answers in July. A copy of the brochure can also be found on the website at
www.pawc.com. under "Important Customer Alerts".
Customer SeNice & 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
RAW looAMW981AMW991
001699/0016"9 t'LLUt:ll TAVOO 123
AIM
19460
Customer Account Information
-- -~ - - -. ---..- - -- -.-- .--- -. - - -- - -- ----- -~ - --- - -. ------- -- ----..- - -- ---~ - -~--- --- - --------- -- ------ -. ----~ -- - - -. ~- ---. --. --.. - ~-- -----. -- - -. -. - - - - ~- - - -.... .-- - - -. -. - -- ~-- ~- - -._- - .-- - - -. -- --. .-.-
For Service To: Joseph A Lawler Jr
5 Round Hill Rd
Account Number: 24-1186826-4
Premise Number: 24-0384021
Billing Period & Meter Information
Billing Date: Jul 24, 2007
Billing Period: Jun 19 to Jul19 (30 days)
Next reading on/about: Aug 17,2007
Rate Type: Residential
Meter readings in current billing period:
Meter Number N042457455 is a 5/8-inch meter.
Present-actual 298200
Last-actual 290600
Gallons used 7600
Water Usage Comparison
Monthly usage in hundred gallons.
::\
m
. -.
Billing Summary
.....--.Prior Balance--..--.-------
Prior Water Balance
Payments prior to Ju/24, 2007. Thanks!
Total prior balance, Ju124, 2007
-----Current Water Charges-----
Service Charge
Water Volume ($.005735 x 7,600)
STAS PAWC Water -0.44%
DS1- PAWC Charge 5.00%
Total water charges, Jul 24, 2007
.----.--AMOUNT DUE --.----------
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mo1\ IO %s paa::>xa JaAaU II!M 11 'pa1aldwo::>
$87.64
-87.64
.00
11. 50
43.59
-.24
2.75
57.60
$57.60\
@omcast@
ACCOUNT
NUMBER
DATE
DUE
TOTAL
AMOUNT DUE
Visit us on the web at
www.comcast.com
09547 187726-01-9
PAST DUE
$99.20
For service at:
5 ROUND Hill RD
CAMP HIll PA 17011-2636
How to reach us...
How to reach us:
4830 Carlisle Pike, Suite 0-14
Mechanicsburg. Pa 17055
(717)540-8900
Telephone Customer Service
24 hours a day; seven diiYS a week.
JOSEPH .LAWlER
Summary of Charges
Statement Prepared 08/09/07
Billed from 08/21/07 to 09/20/07
49.60
0.00
47.00
2.60
$99.20w
Detail of Charges 00. back
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News from Comeast
Our office has not received payment for your previous balance as of this billing. If
payment has been made, thank you. If you have not made payment. you must remit
immediately in order to avoid late charges. If you would like an updated account
balance. please call the Customer Service Phone number in the upper right corner
of your bill.
@omcast
Service Charges Detail
Date
Description
Amount
Previous Balance
@ Corncast Cable Television
07/26 - 09/20 Basic Cable
Limited Basic
07/26 - 09/20 Basic Cable
Expanded Basic
Total Corneast Cable Television
Taxes, Surcharges & Fees
07/26 - 09/20 Franchise Fee
07/26 - 09/20 FCC Reg Fee
Total Taxes, Surcharges & Fees
Total Due
$99.20
16.08 cr
68.83 cr
$84.91 cr
4.56 cr
0.14 cr
$4.70 cr
$9.59
Page 2
r.Lease maKe cnecJt payab.1e to SHIPLEY. Thank You for your payment.
5 ROUND HILL ROAD
CAMP HILL, PA
Total Gallons Start Meter:
Total Gallons Delivered on 7/25/07 at 9:44
Price per gal. 2.4990
VOLUME DELV ADJ. 60 DEGREE F
For Your Information Only:
Record of Previous Deliveries:
Heating Season 6/01/07 through
Total Gallons Delivered Since
5/31/08
6/01/07
Product: BIO HEAT
Total Amount Due
0.0
102.1
102.1
~ow get even more value out of your Shipley Energy Account!
:;0 to ShipleyEnergy.com and log into your account to get instant savings on
Jasoline at any of our Tom's Stores!
Shipley Energy Co. PO BOX 5006 YORK, PA 17405-5006
www.ShipleyEnergy.com (800) 839-1849 717-848-4100
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1222
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$255.15
Customer#
443796
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466458. H.4980770(7232)056. 02J
P.O.BOX 961
BROOKFIELD WI 53008-0961
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JOSEPH A LAWLER, (.0/1
5 ROUND HILL RD -;/ /
CAMP HILL PA 17011-2636 1 .~..,
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OSI COLl..E:CTION SE:RVICES INc'
888-850-6427
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CREDITOR:
JHHS-JOHNS HOPKINS HOSPITAL
--_..----_._-----
ACCOUNT #:
4980770
864119482
-._-"-~._-_._-----_._----
DATE:
July 31,- 2007
AMOUNT:
$194.96
-,_._----- -.....-.----.-----'-
INTEREST:
$0.00
FEES:
Does Not Apply
TOTAL DUE:"
$194.96
L.-__.__.__.__._._______~.._
" This Balance Is A Sum Of Balance(s)
From (1) Account(s).
. lospoh A Lawler. vour account with our client is:
-- . ......, ...... .
-
THE JOHNS HOPKINS HOSPITAL
P.D. BOX 537118
ATLANTA, GA 30353-7118
{410) 550-7330
STATEMENT OF ACCOUNT OF
HOSPITAL CHARGES
$~~'
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0101
JOHNS HOPKINS
MEDICINE
View and pay your statement at www.hopkinshospital.org '.
Email Customer Service at: customerservice@jhmi.edu
-- Guarantor Name and Address:
THE JOHNS HOPKINS
HOSPlTAL.
INSURANCE INFORMATION ON FILE
HEALTH ASSURANCE Group No. 161232211 Policy No. 85653948101
1,,11111111111111111111.1111 1.1.11111,11..11..111111111.1111.1
JOSEPH A LAWLER
5 ROUND HIll ROAD
CAMP Hill, PA 17011-2636
PAGE: 1 of 1
Please verify that Name, Address, and Insurance Information are
correct. Corrections can be made on reverse side of statement.
~t#~~.'.larUi"~~l.'I~- '
JOSEPH A LAWLER JR
L__~__._____.____.
. -
13080-9494 -T5VOaG79NQC 1 C2.3 ! IY! I!\I\!I II~~ !l1!1! I!I!! IUII!~~m!!II!II!!! 11111 MI! Iml1l!!~I!IU!
· . - · . · - · . - · . \-- ~8~/'~2(l1~/f;f;'l0~7~~._;W.tU '""""''''"
051134892 1/25/07 - 1/25/07 __
864293329
"RANSACTION DATE: . ,. SUMMARY OF CHARGES: ;c . AMOUNT: TRANSACTION DATE:' . 'I:"'''' SUMMARV'OF CHARGES: -
. .
01/25/07 MRI 160.00
TOTAL CHARGES 160.00
ORIGINAL ACCOUNT BALANCE 160.00 f(t, '* 10 I \ 1)
06/25/07 INSURANCE PAYMENT -128.00
ACCOUNT BALANCE 32.00 (k' j;L'~
Your account is now delinquent. Avoid further collection
action by paying your balance in full today.
fl'P'?-1':'J. r"'" ...."".r~_? C";A.... f...... ;......t'\o"1'......... '-,...f............. ...~,~-. ......,,.......-,'""'nn. -~_\.... ....J,....~.........~~f
".....11 f......_ ....\.... .-...._
STATEMENT OF PHYSICIAN SERVICES
(AS OF JULY 8, 2007)
ACCOUNT NUMBER: 30-1134892
PATIENT NAME: JOSEPH A LAWLER JR
PAGE 2
INVOICE NUMBER: 30-41014092
CHARGES
PROVIDER: STUART GROSSMAN MD
JHU DEPT OF ONCOLOGY
PAYMENT ACTlVITY .'.
05/16/07 . INSURANCE CLAIM FlLED
06111/07 PPO'PAYMENT... ;. . ... . . . .'; . . . .... .
06/12/07 INSURANCE CLAIM. Fl LED
06/26/07 MEDICARE PAYMENT
$203.00 MEDICARE PAYMENT . . . . . u . . . . .
$203.00 CONTRACTUAL ADJUSTMENT......
AMOUNT pENDING WITH INSURANCE............
0.00 (A)
03/29/07 99214/QV-OFF/OUT VISIT,EST,LEVEL 4 ..................
TOTAL:
$75.06
$109.17
$18.77
(A) SEE .EXPLANATION OF BENEFITS (EOB) FROM YOUR INSURER
I
IMPORTANT: THIS STATEMENT INCLUDES FINAL NOTICE INVOICES THAT WILL BE SENT TO A COLLECTION AGENCY UNLESS WE RECEIVE PAYMENT ':
FROM YOU BY JULY 18, 2007.
I
PATIENT PAYMENTS RECEIVED SINCE 06/08/07...
INSURANCE PAYMENTS RECEIVED SINCE 06/08/07.
$0.00
$98.17
ACCOUNT BALANCE INSURANCE PENDING PATIENT OWES
$108.77 $18.77 $90.00
THANK YOU FOR CHOOSING THE JOHNS HOPKINS UNIVERSITY CLINICAL PRACTICE ASSOCIATION!
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THE JOHNS HOPKINS UNIVERSITY CLINICAL PRACTICE ASSOCIATION
PO BOX 64896, BALTIMORE, MD 21264-4896
(410)933-1200
1-800-657-0066
-
THE JOHNS HOPKINS HOSPITAL
P.O. BOX 537118
ATLANTA, GA 30353-7118
(410) 550-7330
..:~.
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View and pay your statement at www.hopkinshospital.org'
Email Customer Service at: customerservice@jhmi.edu
Guarantor Name and Address:
1",111",111",."11",11.,1,1,11",,11,.11.,11.,,,1,1,1,,1,1
JOSEPH A LAWLER
5 ROUND Hill ROAD
CAMP Hill, PA 17011-2636
~~i$IJI1w:t't~I~~~~"'~JI- --,....
JOSEPH A lAWLER JR
L_____________
'TRANSACTIO DATE:
03/01/07
03/01/07
03/01/07
03/01/07
03/26/07
03/28/07
03/28/07
04/09/07
~
.
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051134892 3/01/07 - 3/01/07 I 8/06/07
1if~I'J[.I!I~~.la;~~~~~fi.ln.H~::AI ~-, '1IIIIl~1~,I\'Jr~';\.I.\;l.t!:t'-M'~~.-, .. .
865367007
. . SUMMARY OF CHARGES: ,..
MRI
160.00
TOTAL CHARGES
160.00
ORIGINAL ACCOUNT BALANCE
160.00
CHEMISTRY LAB
ONCOLOGY PHLEBOTOMY
ONCOLOGY CLINICAL LAB
INSURANCE PAYMENT
MEDICARE ADJUSTMENT
MEDICARE PAYMENT
BLUE CROSS PAYMENT
23.29
10.13
16.41
-39.86
-9.60
-13.60
-136.80
ACCOUNT BALANCE
9.97
DI~
STATEMENT OF ACCOUNT OF
HOSPITAL CHARGES
JOHNS HOPKINS
MEDICINE
THE JOHNS HOPKINS
HOSPITAL
INSURANCE INFORMATION ON FILE
MEDICARE Policy No. 186341369A
PAGE: 1 of 1
Please verify that Name, Address, and Insurance Information are
correct. Corrections can be made on reverse side of statement.
-: 30eC-04~"T5CGA 73~1.3C(; 1374
!!!!!!!II!!!!!~Y!!!!!!I!!~!!!!!II!!!!I!!!!!!!!!!!i!!!!!!!!!I!!!!!II!!!!I!!!!I!!!
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We have not received payment on your account. Piease remit
within 15 days from the date of this notice to remaIn in
good standing.
'.,1"" ~ . ~".........+......'" i-":-~,......_.~;_._ ...~. . _..., _
---.....................................................................................................................................................................................................................................................................................
MAKE CHECKS PAYABLE TO:
DEBBIE LUPOLD
98 S. ENOLA DRIVE, ROOM 101
ENOLA, PA 17025-0769
RETURN SERVICE REQUESTED
BILL #: 3560
Please indicate:
o 2ND INSTALLMENT :J 2ND INSTALLMENT WITH PENALTY
MAIL TO:
DEBBIE LUPOLD
98 S. ENOLA DRIVE, ROOM 101
ENOLA, PA 17025-0769
1...111,"111111,,1,1,1.1,11".1,"1.11..1.1..1
EAST PENNSBORO SCHOOL DISTRICT 2007/08 REAL ESTATE TAX NOTICE
RETURN THIS PORTION WITH PAYMENT FOR SECOND INSTALLMENT
PROPERTY LOCATION
05 ROUND HILL ROAD
LOT 7 PB 12 PG 35
Residential Building
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LAWLER, JOSEPH A JR
5 ROUND HILL ROAD
CAMP HILL, PA 17011
CASH
CHECK #
AMOUNT $
SECONOINSTALLMENT
NO DISCOUNT
If Paid On or Before
9/30/07
$533.65
If Paid After
10/31/07
$587.01
....H.....................................................................................................................................................................n..................................................................................................................................
MAKE CHECKS PAYABLE TO:
DEBBIE L.UPOLD
98 S. ENOLA DRIVE, ROOM 101
ENOLA, PA 17025-0769
RETURN SERVICE REQUESTED
BILL #: 3560 ~
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DEBBIE LUPOLD Y'\ {:::; I,,~
98 S. ENOLA DRIVE, ROOM 101 \ l,~ ,,:),IY \ IJ/\
ENOLA, PA 17025-0769 S J '\ \
1.,.111...111,1",.1.1.1.1.11...1...1.11..1.1..1 ~\'V
Please in~:
o FULL PAYMENT
o 1 ST INSTAllMENT
MAIL TO:
1111111' 1111 'III' '~U 111\\ IlIII \\1\1 UIII 11111 1'111 'III 1111
EAST PENNSBORO SCHOOL DISTRICT 2007108 REAL ESTATE TAX NOTICE
RETURN THIS PORTION WITH PAYMENT IN THE ENCLOSED RETURN ENVELOPE
PROPERTY LOCATION 0
05 ROUND HILL ROAD LAWLER, JOSEPH A JR W
LOT 7 PB 12 PG 35 5 ROUND HILL ROAD
Residential Building CAMP HILL, PA 17011 N
E
R
CASH
CHECK #
AMOUNT $
FULL
PAYMENT
2% DISCOUNT FACE PENALTY
TO 08131/07 09101107 TO 10131107 11101107 TO 12131/07
$1,568.93 $1,600.95 $1,761.05
OR
_ If Paid On or Before
. 8/31/07
$533.65 I
11587 - 356Q
,,,-,,,,,,,. ".
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JOSEPH A LAWLER JR
SCHEDULE J
BENEFICIARIES
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List T rustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outrtt s~ousal distributions, and transfers under
Sec. 9116 (a (1. )]
1. CATHARINE BORDA Sibling 385,047.08
218 COCKLEYS DRIVE
MECHANICSBURG. PA 17055
2. MARY ABRUZZESE Sibling 385,047.07
1753 CREEK VISTA DRIVE
NEW CUMBERLAND, PA 17070
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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
FILE NUMBER
21 07 0755
(II more space is needed, insert additional sheets 01 the same size)
REV-1162. EX(11-96\
-F '/i::D rROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
':;OF:OA CATHARINE
: 18 COCKLEYSVILLE DRIVE
,!:::CHANICSBURG, PA 17055
.j iL, TE.
-~_._-
iNFORMATION: SSN: 186-34-1369
I\J1BER: 2107-0755
fH NAME: LA WLER JOSEPH A JR
F PAYMENT: 10/15/2007
,l\;:(K DATE: 10/12/2007
Y: CUMBERLAND
-
,f= DEATH: 07/21/2007
~ -----"-~"
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NO. CD 008811
ACN
ASSESSMENT
CONTROL
NUMBER
AlVIOUNT
101 I $87,000.00
1
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TOTAL AMOUNT PAID:
!.~'~'1ARKS: CATHARINE BORDA
CHECI<# 1023
INITIALS: OM
RECEIVED BY:
TAXPAYER
$87,000.00
GLENDA FARNER STR.L\SBAUGH
REGISTER OF WILLS
REV-1500 Discount, Interest and Penalty Worksheet
Discount Calculation
Total Amount Paid within three calendar months of the decedent's date of death:
87.000.00
Discount
4.578.81
Interest Table
Year Days Delinquent Balance Due Interest
this time period this year this period
Before 1981
1982
1983
1984
1985
1986
1987
1988 throuah 1991
1992
1993 throuah 1994
1995 throuah 1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
TOTALS
Penalty Calculation
If the decedent's date of death was on or before March 31, 1993, insert the applicable amount:
Total Balance Due on January 17, 1996:
Penalty:
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DAVID C. MILL1R 11\.
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February 22,2008
Glenda Farner Strasbaugh
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, P A 17013
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RE: Estate of Joseph A. Lawler, Jr.
File No.: 21-07-0755
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Dear Ms. Strasbaugh:
Enclosed for filing please find an original and one (1) copy of REV -1500, Inheritance Tax
Return - Resident Decedent. In addition, I have enclosed a copy of the first page of the return and
would ask you to time stamp that copy and return it to me in the envelope provided.
On page three of the return the remaining taxes due for the estate are $832.49. A check,
#1032, from the Estate of Joseph A. Lawler, Jr. is enclosed for that amount.
I am also enclosing an original and one (1) copy of the Inventory Sheet for filing. An
additional copy, for a total of three (3), is enclosed and I would ask you to time stamp that copy and
return it to my in the envelope provided.
I am enclosing check #1033 from the Estate of Joseph A. Lawler, Jr., in the amount of
$15.00, as the filing fee for the Inventory Form and the Inheritance Tax Return. Thank you for your
cooperation in this matter. Should you need additional information regarding this estate please
contact me.
Respectfully,
CllJXillA
David C. Miller, Jr.
DCM:eas
Enclosures: Inheritance Tax Return (original and one copy)
Inheritance Tax Return (copy of page one for return)
Inventory Sheet (original and one copy)
Inventory Sheet (one copy for return)
Return Envelope
cc: Ms. Catharine Borda (w/encl oflnventory Sheet)
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