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Home My WebLink About04-08-08 REV-l5QO EX -+11HJO) , REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) J- Z W C W (,) W C MANN LORRAINE DATE OF DEATH (MM-DDYear) E. DATE OF BIRTH (MM-DD-Year) o 1/10/2008 04/23/1938 (IF APPLICABLE) SURVlViI'JG SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ ~ :!5U) u IX:.:: w Q.u ::cOO U IX..J Q.1ll Q. c( ~ 1. Original Return o 4. Limited Estate o 6. Decedent Died Testate (Attach copy 01 Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dale 01 death a"er 12-12-82) o 7, Decedent Maintained a Living Trust (Attach copy 01 Trusl) o 10, Spousal Poverty Credit (dale 01 death between 12.31-91 and 1-1.95) OFFiCIAL USE ONLY FILE NUMBER 2 -08 0 0 5 9 '""'C'5U'NTYCO'5E --vEAr- - - NUMSER- - SOCIAL SECURITY NUMBER 1 86- 3 0 - 6 4 7 6 THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (dale 01 death peoria 12.13.82) o 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) I- Z W C Z o Q. Ul w IX IX o U TIiIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS ROGER B. IRWIN ESQUIRE 60 WEST POMFRET STREET FI RM NAME (If Applicable) IRWIN & McKNIGHT TELEPHONE NUMBER 717 249-2353 0.00 X _(15) 0.00 89,333.31 X .045 (16) 4,020.00 0,00 X .12 (17) 0.00 0.00 X .15 (18) 0.00 (19) 4,020.00 CARLISLE 1. Real Estate (Schedule A) 2 Stocks and Bonds (Schedule B) (1) (2) (3) (4) z o i= ~ :J !:: a.. <( (,) W 0:: 3, Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested Tinter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (8) (~, \ .~. I (6) (7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subjectto Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o S :J a.. ::iE o (,) ~ J- 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < (11) (12) (13) (14) PA 17013 150,000AO r-- O~~IAlU~EC~Y c'~ I. ::n-- _~ .;,-~) -'0 ,. ;-;;) I CO --, ,. q :=> . / l' C.~) .~::~.\~ );" .-.. (-) - 'l .);-),~) 145004lf I 1____. ___________________ """'0 :.&.: .': en) j - .-_. , 1'~-\ \-::. '..; .J r::? crt -J 164,500.42 33,015.20 42,151.91 75,167.11 89,333.31 89,333.31 o d I C Add ece ents omDI ete ress: STREET ADDRESS 424 WEST PENN STREET CITY I STATE I ZIP CARLISLE PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 4,020.00 201.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) 201.00 T otallnterest/Penalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, A GENT 0.00 0.00 3,819.00 3,819.00 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN · x:' IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;... ........................ ............. ..................... ............ 0 00 b. retain the right to designate who shall use the property transferred or its income;...................................... 0 00 c. retain a reversionary interest;.or........................................................... ........................... ............ 0 00 d. receive the promise for life of either payments, benefits or care?.......................................................... 0 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.... .... ... ... ...... ... ......... ... .......... ......... ... ...... ... ... ...... ......... ..... D 00 3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death:?............... 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ............... ... ......... ......... ... ... ....... ... ...... ......... ... ..... .... ...... ............. 0 00 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES. YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of pe~ury, I declare that I have examined this retum, including accompanying scheduies and statements, and to the best of my knowiedge and belief, it is true, correct and compiete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN 1~ 134 CONNOR DRIVE ROYERSFORD SIGNATURE OF PREPARER. OTHER THAN REPRES~TATIVE }/) . a:U-:.. ADDRESS 60 WEST POM RET STREET CARLISLE ADDRESS DATE i-1/iI6h I PA PA 17013 \"... -.-.' For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefICiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)). The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is 12% [72 P.S. 99116(a)(1.3)). A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502' EY.+ (6-98) '* cOI'AMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE ()F FILE NUMBER I 1 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 property which is jointly-owned with riaht of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION 424 WEST PENN STREET, CARLISLE, PENNSYLVANIA SOLD - SETTLEMENT SHEET ATTACHED VALUE AT DATE OF DEATH 150,000.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 150000.00 REV-1508E-X + (6-98) . CONMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE ()F MANN SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER LORRAINE E. 21 08 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. 0059 ITEM NUMBER 1. 2. 3. DESCRIPTION M&T BANK - CHECKING ACCOUNT #2677087278 M&T BANK - SAVINGS ACCOUNT/HOLIDAY CLUB ACCOUNT #025004920114771 PERSONAL PROPERTY - APPRAISAL ATTACHED VALUE AT DATE OF DEATH 283.24 600. 18 13,617.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 14500.42 REV-1511 EX + (12-99) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE ()F MANN LORRAINE SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER E. 21 08 0059 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. HOLLINGER FUNERAL HOME & CREMATORY, INC. 9,346.90 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees IRWIN & McKNIGHT 8,300.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees REGISTER OF WILLS 279.00 5. Accountant's Fees 6. Tax Return Preparers Fees PATRICIA A. ROSENDALE 350.00 7. CUMBERLAND LAW JOURNAL - ESTATE NOTICE 75.00 8. THE SENTINEL - ESTATE NOTICE 166.60 9. NOTARY FEES 25.00 10. TERRY LINDSEY - TRASH REMOVAL 625.00 11. JIM McCOOMB - CARPET 600.00 12. CLOSING COSTS FROM SALE OF REAL ESTATE 10,735.26 13. ZIEGLER'S MOVING - MOVING EXPENSE 1,320.94 14. ROY D. GOTTSHALL - APPRAISAL ON PERSONAL PROPERTY 55.00 15. STEVEN W. BARRETT - APPRAISAL ON REAL ESTATE 325.00 16. KRUGER'S - MOVING BOXES 24.91 17. U-HAUL - MOVING EXPENSE 233.30 18. KRISTY MULLEN - REIMBURSEMENT OF HOUSEHOLD ITEMS (REPAIRS) 317.86 TOTAL (Also enter on line 9, Recapitulation) $ 33,015.20 (If more space is needed, insert additional sheets of the same size) Continuation of REV.1500 Inheritance Tax Return Resident Decedent MANN LORRAINE Decedent's'Name E. Page 1 21 08 0059 File Number Schedule H - Funeral Expenses & Administrative Costs - B7. ITEM NUMBE R DESCRIPTION AMOUNT 19. KRISTY MULLEN - REIMBURSEMENT OF TRAVEL EXPENSES 235.43 SUBTOTAL SCHEDULE H-B7 235.43 REV-1512EX + (6-98) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS CONMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE ()F MANN FILE NUMBER LORRAINE E. 21 08 0059 Include unreimbursed medical expenses. ITEN NUMBER DESCRIPTION 1. STATE FARM BANK - PAYOFF OF FIRST MORTGAGE LOAN SEE SETTLEMENT SHEET VALUE AT DATE OF DEATH 29,229.85 2. KOHL'S/CHASE BANK USA, N.A. #0440664332 - CREDIT CARD 250.96 3. ESTATE RECOVERIES, INC. - BON-TON - CREDIT CARD #2116041015206007 963.70 4. DCM SERVICES - TARGET NATIONAL BANK - CREDIT CARD #4352376737701706 2,589.30 5. AARP CREDIT CARD SERVICES/CHASE - CREDIT CARD #4408039090203223 7,616.24 6. SHIPLEY ENERGY - PROPANE 235.33 7. KOUGH'S OIL - FUEL OIL 603.53 8. BOROUGH OF CARLISLE - WATER/SEWER 43.73 9. EMBARQ - TELEPHONE 153.31 10. PP&L - ELECTRIC 183.51 11 . COMCAST - CABLE 185.22 12. STATE FARM INSURANCE - HOMEOWNERS/CAR INSURANCE 97.23 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 42151.91 R:'"'' "..'* COMI'AONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER 1. SCHEDULE J BENEFICIARIES . .. . FILE NUMBER 21 08 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) 0059 AMOUNT OR SHARE OF ESTATE 89,333.31 REMAINDER 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 LORoAI"n:: E NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)J 1. KRISTY MULLEN 134 CONNOR DRIVE ROYERSFORD, PA 19468 Lineal 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) I!M&TBank 499 Mitchell Road. MIIlsboro. DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302) 934-2955 January 28, 2008 Law Offices of Irwin & McKnight West Pomfret Professional Building 60 West Pomfret Street Carlisle, Pennsylvania 17013-3222 Re: Estate or Lorraine D Mann Social Security: J 86-30-6476 Date of Death: Januarv J 0, 2008 Dear Sir or Madam: Per your inquiry dated January 17, 2008, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: I. Type of Account Checking Account Account Number 2677087278 Ownership (Names of) Lorraine D Mann * Opening Date 11/07/86 Closed 01/17/08 Balance on Date of Death $ 283.24 Accrued Interest $ 0.00 Total $ 283.24 2. Type of Account Savings Account / Holiday Club Account Account Number 025004920114771 Ownership (Names of) Lorraine D Mann * Opening Date 11/03/83 Closed 01/17/08 Balance on Date of Death $ 600.16 Accrued Interest $ 0.02 Total $ 600.18 RECEIVED fJAN 3 0 2008 IRWIN & McKNIGHT lAW OFFICES 3. Type of Account Checking Account Account Number 111112 Ownership (Names of) Lorraine D Mann * Opening Date 08/01/71 Closed 11/30/07 Balance on Date of Death $ 0.00 ** Closed prior to the date of death Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please call the High Street Carlisle Office # 717-240-4536. Sincerely, ?'l/o/.t?~~ Nancy Clagett Records Management d~cL-4~ 4~'p!~~ ~ -)/..:<'/ WI ~~..d'; ~ C ak:.1!5:Z.4:../ r/JJ ./ '/0/3 .::y7/Z~~Y-~~~~~~r;?ha.(~vte ~~ ~~~]; C/ '7/J ~"-r- ~ ^rt!..'~7-Y4~ ,p:ZL~'d;:, J() k~U?;C:<~~k~aJcS~~ ~/ ~ ~. ~~::';~~::L Y--a.Lo/~'~~;,-r- &. ~z7/d~-4~r- ? , --,L c/~ ;pc2~f ....-#~e. ,. 6 k?$k ~?~~~. 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I ~ /fta~Jt ,'/ ~ . O' * I V'.' ~- /~~ 10 hl7 , I I I I I I 867'00 + 12,750'00+ ! /, ';;~13' 617' : I~ 7' I ;Z-/~~ 0'* " ;;:: _ 472<JO+ ~ 222'00 + -g;-.--; 73'00: c /-J#--;~ ~I (~ .' "'n's "",,,- -- , ! t>..'v'v I <t~,"'." '.~": '. 'J":' .~ C' ;f;L~r-- I"; "') ,"" . t 'c ".,.,' ~ :z~t '<iI ,; ~-., ::'~9'\; ,'" __ Rv./&do~~~:~~~~ "Jf"~/~ '/ _ 7 ~o ~~")<;~'\~.)c, .. v2-/.Y-oP ,\" ,.J\.' l;'lo. -~[? '\' rJ~ '<i 12,750.00 ' A. Settlement Statement U.S. Department of HousinQ and Urban Development A .,,. OMB No. 2502-0265 B. Type of Loan 1. 0 FHA 4. OVA 2. 0 FmHA 5. 0 Conv. Ins. 3. ~ Conv. Unins File Number 08-28 Loan Number 2476852 Mortgage Insurance Case Number N/A c. NOTE:This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "p.o.c" were paid outside of closing; they are shown here for informational purposes and are not included in the totals. D. NAME AND ADDRESS OF BORROWER: Bradley M. Nailor KristJ L. Monnett 863 Bumthouse Road, Carlisle, PA 17013 401 Pine Hili Road" PA 17013 E. NAME AND ADDRESS OF SELLER: Estate of Lorraine D. Mann 424 W. Penn Street, Carlisle, PA 17013 F. NAME AND ADDRESS OF LENDER: Taylor, Bean & Whitaker Mortgage Group 1417 North Magnolia Avenue, Ocala, FL 34475-9078 G. PROPERTY LOCATION: 424 W. Penn Street Carlisle, PA 17013 H. SETTLEMENT AGENT: PLACE OF SETTLEMENT: TIN: I. SETTLEMENT DATE: Law Office of Andrew H. Shaw 200 South Spring Garden Street, Suite ", Carlisle, PA 17013 33-1098509 03128/2008 I RESCISSION DATE: J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Price $150 000.00 401. Contract Sales Price $150 000.00 102. Personal Property 402. Personal property 103. Settlements charges to borrower: 403 (from line 1400) $5,11'7.73 104. 404. 105. 405. ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 106. City/town taxes to 406. City/town Taxes to 107. County Taxes 03/28/2008 to 01/01/2009 $361.20 407. County Taxes 03/28/2008 to 01/01/2009 $361.20 108. Assessments 03/28/2008 to 07/01/2008 $313.92 408. Assessments 03/28/2008 to 07/01/2008 $313.92 109. 409. 110. 410 111. 411 112 412 120. GROSS AMOUNT DUE FROM BORROWER: $155,792.85 420. GROSS AMOUNT DUE TO SELLER: $150,675.12 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or eamest money $1,000.00 501. Excess deposit (see instructions) 202. Principal amount of new loan(s) $150,000.00 502. Settlement charges to seller (line 1400) $10,735.26 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to 204. Gift Money $4,792.85 504. Payoff of first mortgage loan State Fazm Bank $29,229.85 205. 505. Payoff of second mortgage loan 206. 506. 207. 507. 208. 508 209. 509 ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: 210. City/town taxes to 510. City/town taxes to 211. County taxes to 511. County taxes to 212. Assessments to 512. Assessments to 213. 513. 214. 514. 215. 515 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR $155,792.85 520. TOTAL REDUCTIONS $39,965.11 BORROWER: IN AMOUNT DUE TO SELLER: 300. CASH AT SETTLEMENT FROMfTO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER 301. Gross amount due from borrower (line 120) $155,792.85 601. Gross amount due to seller (line 420) $150,675.12 302. Less amount paid by/for borrower (line 220) $155,792.85 602. Less reductions in am!. due seller (line 520) $39,965.11 303. CASH ( D FROM) ( DTO) BORROWER: 603. CASH ( D FROM) ( ~TO) SELLER: $110,710.01 HUD-1 (3-86) - RESPA, HB 4305.2 PAGE 1 HUD-l (Rev. 3/86) L. OMB No. 2502-0265 SETTLEMENT CHARGES ?QQ.10\P--l SP\lESIBROKER'S COMMISSION BASED ON PRICE $1.50, 000. 00 @ 5 % = $7,500.00 PAII"lI=ROM BORROWER'S FUNDS AT SETTLEMENT PAID I=~OM SELLER'S FUNDS AT SETTLEMENT DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: 701. $3,750.00 to Hooke, Hooke Iii Ec.k:man 702. $3,750.00 to Hooke, Hooke Iii Ec.k:man 703. $0. 00 to 7~. $0.00 ~ 705. Commission paid at settlement 706. $7,500.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN: 801. Loan onglnalion fee % to Tay~or, Bean Iii Whi taker Mortgage 802. Loan discount % to Tay~or, Bean Iii Whi taker Mortgage 803. Appraisal fee to: Di versi.fied Appraisa~ Services 8~. Credit report to: Letort Mortgage Group 805. Lenders inspection fee Tay~or, Bean ,. Whi taker Mortgage Group 806. Mortgage insurance application fee 10 Tay~or, Bean Iii Whi taker Mortgage Group 807. Assumption fee Tay~or, Bean Iii Whi taker Mortgage Group 808. Par Premium to Letort Mortgage ($2,824.50 POCL) 809. Processing Fee to Letort Mortgage 812 Tax Service Fee to Tay~or, Bean Iii Whitaker 813 Administrative Fee to Tay~or, Bean Iii Whitaker $350.00 $28.82 $550.00 $73.00 $525.00 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE: 901. Interest from 03/28/2008 to 04/01/2008 @ $27. 74/day $110.96 902. Mortgage insurance premium for 903. Hazard insurance premium for 9~. Flood insurance premium for 905. mos. to yrs. to yrs. to 1000. RESERVES DEPOSITED WITH LENDER: , 001. Hazard insurance 3. 00 months @ 1002. Mortgage insurance , 003. City property taxes 1004. County property taxes 1005. Annual assessments 1006. Flood insurance months @ months @ 2. 00 months @ 8. 00 months @ months @ months @ months @ Escrow Adjustment $24.09 per month $80.00 per month per month $40.21 per month $99.84 per month per month per month per month $72.27 $80.42 $798.72 1007. 1008. 1009. Aggregate Accounting 1100. TITLE CHARGES: ($409.71) 1101. Settlement or closing fee to 1102. Abstract or title search to 1103. Title examination to 1104. Title insurance binder to 1105. Document preparation to 1106. Notary fees to 1107. Attomey's fees to (includes above items Numbers: 1108. Title insurance to Security Titie/AndreW' H. ShaW' (includes above ilems Numbers: 1102, 1104, 1107 1109. Lenders coverage $640.00 ( 1110. Owners coverage $618.75 ( 1111. Endorsements 100, 300, 8.1 1112. C~osing Protection Letter to Security Titie 1113. $702.751 $150,000.00 ) $150,000.00 ) $150.00 $35.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES: 1201. Recording fees: Deed $38.50 ;Mortgage $60.50 1202. City/county tax/stamps: Deed $1,500.00; Mortgage 1203. State tax/slamps: Deed $1,500. 00 : Mortgage 1204. 1205. Mountain VieW' E~ectric, LLC , Releases $99.00 $1,500.00 , Other $1,500.00 $~, ~ 70. 00 1300. ADDITIONAL SETTLEMENT CHARGES: 1301. Survey to 1302. Pest inspection to 1303. av...rnigbt F....s $30.00 $30.00 13~. 2008 Borough/County taxeB $472.80 1305. Wire/HERS .fee to Tay~or, Bean Iii Whitaker $22.50 1306. Fina~ Wl1ter/SeW'8r $62.46 1307. Homs Warranty To First American Homs $399.00 1400. TOTAL SETTLEMENT CHARGES $5,117.73 $10,735.26 1 have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief. it is a true and accurate statement of all receipts and disbursements made on my account or by me In thiS transaction I further,certlfy that I have received a copy of the HUD-l Settlement Statement -.z:, ~///i~/ ./ '7/ . / _ Selleror ~/J. /2,-ii. LiJL Borrower" 0~ Z'/j~- Date ....?/L?~// t Agent /" ~ I ~} ,. vu'--- Br::~!PY. . Nailor, ..--_, I. " '. ." Estate ortrraine D. Mann r /' ./7 P..----o (' n ---f) I)' /7. ~ /-1, .-( / if!-! j/Seller or /"\ Borrowe.r:...:-::::-/) {,-rL2- l i . / ,/1/} /1.0C-: Dat0'C:7'r/ " Agent ( I Kristi L Momu/tt { . { ] I :::: ~~';~:.:::~'"' S.',m,"' ,'cl> , ",,, ore,,,,,, ;, , <ru, ,"d '=m" ,=""' " '"" ,,,",,,ti,o. '",,, ~;,I:; ~'~rtd ~""""'" m ,="'"~ "0 .> " Date: SettieMentAgent /j ~J'l V - Date. ~~J;'\ ~ U6 ~)"drew Shaw Date: . ~! l-it(d Date: WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprison- ment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. COMBINED UNIFORM HOUSEHOLD GOODS BILL OF LADING AND FREIGHT BILL - NOT NEGOTIABLE ISSUED AT DATE ,<" '0,' BY ; 'i RECEIVED SUBJECT TO CLASSIFICATIONS TARIFFS, RULES AND REGULATIONS INCWDING All TERMS PRINTED OR STAMPED HEREON OR ON THE REVERSE SIDE HEREOF IN EFFECT ON THE DATE OF ISSUE OF THIS BILL OF LADING. SHIPPER Kti1;;y \:';.1(;(. CONSIGNED TO Krist} MCkn ADDRESS 424 W, Pe"i' TEL. (bIn, 322,;'SM ADDRESS ~J4 CerinO! Cd.." TEL, ____ CITY _ Can<slf; STATE PI', 17013 CITY R"'{t,,,;knl . STATE Toe property deswbed below (conlentsand conditions of packages unknown) consigned and destined as shown below, which said company (the word ccmpany bemg understood Ii1rQughaut this oontmct as meaning any person or corporation In possession of the property under the contract) agrees 10 carry to desli""tlOn Indlcaled be'ow, II w;thln Ihe scope 01 ,Is lawlut operalion. O1herwlse to deli'{e' '0 a'lOlnel camer 10 dellvel 10 said destination, .it is mutually agreed, as to each carrier a1 all. or any of sa,d properly over all or any polllon of rOelte to <ksunation, and to McI1 parly at allY lime Inlerested In alJ or ary of said plllperly, lI1al every servIce to be per10rmed hereunder Shall be subject to all condrtlons not prohlblled by law, whether pnnted or wrItten herein conlamed in eluding 1110 CO!1dlt'ons on back herc-ot, v.i1Icn are hereby agreed to by s11lpper and accepted for hlmsell and his assigns. Delivering Carrier Rates based on tarilf__.~__.__ Supp, Gross Wt. ._'____._ Tare Wt.. Net WI. - H ,,, R~ lrllTAILS FOR SPECIAL SEBVlCES D ExpedIted service ordered ...." 'byshipper Deliyer on or before__ _______~__._:___~_ D."-- "..' . Shipment completely occupied at._._...m"d'~ - cu. ft. vehiclo D Exclusive use of a _cu. It vehicle ordered ,f- -lH S C0LLECTK},\! tt1STRUcnO~.:, Subject to Section 7 of the conditions. if this ship~ n:ent is to be dclivcred to the consignor \"iithouf f8C0Urse -to the consignor, - the consJgr,or shall sig!'l Ihe followtn9 statement. The carrier snail not make delivary of rhis shl;;ment lrith:out ~yment of transportation and all Dlher lawful d'rargos:: ,_ _ _', J,', ; :/ X-:$tlfPtMrG$tg'i1' Shipper's are required tc dec.are in wTltlng the (elcase value of tho propc!'ty. The agreed or declared V11lue of tlJu pr(JpaflY is t-Ieroby specillcally statQd by ~t{PP6r to bo nO~,~f~,edin9 ,~O~ per pound X 'It.....,;:,,;.;; //.< 'C,' I (SHIPPER OR AGEN . ) TIle shipper hereby declares valuallOns in Q.l((;9SS of IN limit set forth above 0:"\ the fotow1I1g specific arti~ II the total Rctual chargf!s DO NOT EXCEED ttte estimate by more- than 10 percent you rnust be prepared to pay ALL OF THE AC 1UAL CHARGES prior to the mover unfoading your goods, If Ihe total chargos DO EXCEED the estimate by, more than 10 percent the mover is required to deliver the lull and com- plete shipment upon' paymont of tho estimated charges plus and additional $25.00. or 10 percent of the eSlimste whichever is g.""reated. and you may deler paYing the balance for 15 days after dehvery. VEHICLE NO. ":) BlLiI PUC No Min Ship, Wt. TRANSPORTATION FOR DISTANCES OF 40 MILES OR MORE BASED ON WEIGHT ' 1. Transportation: wI. ,: . ,,'_Ibs. mi.; @ $ 100 Ibs, ._._._.___ 2. Valuation Charge:for liability on part of carrier in excess 01 that assumed when its lowest rates are charge: On Transportation: $ ._ @._per $100, or fraction thereof On Storage,in"Transit @ U To be released at 60ft per pound pefarticle 3. Additional transportation charges: (explain) '~Origi'L Dest. 4. Pickup or delivery for storage in transit _Ibs,; @ $ _per 100 Ibs, 5, SIT lsl day Ibs,; @ __c cwl. Ea, add, day Ibs.; @ _It cwt 6, Warehouse handling ___.___.._...._.Ibs,; @ It per 100 Ibs, (one time charge) 7. Extra pickup or delivery at u. S. Special serVicing of appliances ,__Origin 9. Hoisting, lowering, or cmrying pianos, heavy articles (explain)_ 10. Bulky item (Aulo, Baal, Trailer, Etc,) ...________..____,..__,....__,__......,,_ ..__._.............,., If boat give overall length . ... leet. Handling charge $ 11. Packing, Unpacking and Containers (see below) 12. Labor charges 13. Elevator/Stairs 14, Excessive Distance 15. Fuel Surcharge Destination . TRANSPORTATION OF SHIPMENTS FOR DiSTANCES OF 40 MILES OR lESS ARE BASED ON MAN AND VtHICI..E HOURS , 16. Man and Vehicle hours . .....___ Van(s) Men 17. Labor.,.......... ,_.__man/men for ____ hrs.; @ 18. Travel Time Charge 15, Fuel Surcharge 19, Other services .No, of Hours @ per hI. __.. per man per hour u______ TIME RECORD Start (EXPLAIN) A.M P.M, A,M, P.M, Cut.tomorlnitiaJ::. 3 cubic feal 3 cubic feet 4:< cubic leet 6 cubic feet 6~ cubic feet WARDR06E CARTON, not less U'an 10 cubiC feet MATTRESS.~ARTON, C.!:~__..___.___._ MATTRESS CARTON (Not exceedln 39" x 75" MATTRESS~ARTQNINot exceeding 54" x 75") MATTRESS CARTON (Exceedin 54'. x 75") MATTRESS CARTON f39" x BO") MATTRESS COVER (plastic or a er CORRUGATED CONTAINERS CRATES Gross Measurement of Crate or Container Add Conlalner, Packing, and Unpacking totals together arod Insert new totals in fine 11 above TOTAL CONTAINER CHARGES TOTAL PACKING CHARGES TOTAL UNPACKING CHARGES AlL CHARGES TO BE PAiD IN CASH, MONEY ORDER OR CERTIFIED CHECK BEFORE PROPERTY IS REUNQUISHED BY CARR'ER OR CARRIER SHAll BILL THE FOLlOWING PARTY: .....F CHARGE U PREPAID iJ CO.D;:J _. $/. 3,10711 , $ I ~," . "". ' . ; January 16, 2008 Hollinger Funeral Home & Crematory. Ine. Eric L. HoIIin~er. Supervisor Estate of Lorraine D. Mann 424 West Penn Street Carlisle, PA 17013 The Funeral Service for Lorraine D. Mann: We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. piease feei free to contact us if you have any questions in regard to this statement. THE FOllOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Service Traditional Merchandise: Oa k Casket Vault - Galvanized 12 gauge $3,850.00 $2,100.00 $1,275.00 AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN ACCOMMODATION. THE FOllOWING IS AN ACCOUNTING FOR THOSE CHARGES. Cash Advances Certified Copies of Death Certificate (10) Clergy Flowers News- Sentinel News- Patriot Grave Opening Cemetery Equipment $ 60.00 100.00 280.90 111.00 185.00 1,210.00 175.00 Current Balance: $9,346.90 'i I 501 NORTH BALTIMORE AVENUE. MOLlNT HOLLY SPRINGS. PJ::NNSYLVANIA ] 7065 · (717) 486-3433. FAX (717) 486-3215 www.hoIlin\1ertuneralhome.com ~ ESTATE CLAIMS SERVICE 9441 LBJ FREEWAY · LOCK BOX 30 . DALLAS, TEXAS 75243 972-644-6360 February 8, 2008 MS. Kristy Mullan 134 Connor Dr. Royersford, PA 19468 Re: Lorraine Mann KOHL'S/CHASE BANK USA,N.A. ACCT #0440664332 PC #114032 Dear Ms. Mullan: Our client, Kohl's/Chase Bank USA,N.A., has advised us that their account holder, Lorraine Man~, has passed away and that you may be handling the estate. Please be advised that the Notice of Administration, as well as all inquiries and disbursements to KOHLIS/CHASE BANK USA,N.A., should be directed to the following address: KOHL'S/CHASE BANK USA,N.A. #114032 P.O. BOX 741026 DALLAS, TX 75374 I have enclosed a copy of the last Kohl's/Chase Bank USA,N.A. statement and would appreciate your contacting me if I can be of further assistance. I can be reached at 800-648-1519. Very truly yours, ~{~ Mark E. Bennett Encl. -;,: SC8~20/1 01/16/2008 KOHL'S ACCOUNT STATUS DISPLAY 01/16/2008 17:06 ID: KMM1 Acct :, 0440664332 52 Cycle; 6 Bi: 01/06/2008 Due: 01/31/2008 MVC: N VIP: N St/L~: 90 601 CBS - DECEASED Op: 01/14/2006 Closed: 01/14/2008 Ins: N N~l: LORRAINE MANN Home: 717 218 - 0840 Pull: Naxne2: Bus1: AScr: Addx 424 W PENN ST Srce: I 00000001 Emp: NScr: R N cis : Rstr: CARLISLE PA 170132234 AdChg: 01/17/2006 : Instr: PRMENT DECEASED 1/10/08 REC D/C ACTEAS: N Pymnt H: F---F-----FM------FMF-F- Dun H: 000000000000000000000000 MRC: N Last Stmnt Curr Stmnt Auths Last Reage: Prv Bal: 65.50 250.96 Avl Credit: pur/Adv: 250.96 Disputes Returns: Last Pymnt: Fee/lnt: Cr LInt E Cr /Dr Limi tExt : Pymnts : 65. 50 MVC Pur CIs Bal: 250.96 250.96 250.96 Issued Cards 955 01/08 743 01/06 1249.04 1500 65.50 12/18/2007 10% 01/14/2006 354.46 Dbt Cde: N Cnt Sts Issue date '--'----- -------..-----.------.....-----.--- --------~-_..~~-._._- . ., . / ,// 4150 OLSON MEMORIAL HIGHWAY, SUITE 200 MINNEAPOLIS, MINNESOTA 55422-4811 TELEPHONE 763-852-8620 FAX 877-326-8784 TOLL-FREE 811-210-9145 Hours (CST): 7:00 am - 9:00 pm M - TH 7:00 am - 5:00 pm F 8:00 am - 12:00 pm 5 March 12, 2008 Account No ************1706 UnDaid Balance $2589.30 Reference No 4394000 Dear Sir or Madam: Our company represents TARGET NATIONAL BANK. We have learned that LORRAINE D MANN, who was a valued customer, has passed away. Please accept condolences from our client and our company. As indicated above, there is an unpaid balance on this account. Please accept this letter as a Notice of Claim on behalf of our client. This letter is sent to you solely in your capacity as personal representative of the Estate of LORRAINE D MANN. Please call our office toll free at 1-877-210-9145 to discuss resolution of this matter and payment on this account. If you are not the personal representative, please contact us with the name and address of the personal representative or attorney who is handling the estate. Cordially, OCM Services, LLC *IMPORTANT NOTICE* Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office will assume this debt is valid. If you notify this office in writing within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office will obtain verification of the debt or a copy of a judgment and mail you a copy of such judgment or verification. If you request of this office in writing within 30 days after receiving this notice this office will provide you with the name and address of the original creditor, if different from the current creditor. NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION -Side 1 of 2- IONBAL0017001 n*Detach Lower Portion and Return with payment*** 1 IIIlI II II II UlllllllmllU 11UUI1IIIIIUlllUIIlllllllllllllml DIB IllIIU rJ{ DeM Services, LLC .'.". 4150 Olson Memorial Highway, Suite 200 . ., Minneapolis, MN 55422-4811 ADDRESS SERVICE REQUESTED Reference #:4394000 Client JD: TARG31 Unpaid Balance: $2589.30 Checks Payable to: TARGET NATIONAL BANK Amount Enclosed: I $ March 12, 2008 1 IIUII &1 1111 .llmi UmlDi 1IIIilllIIHlIUIIWI~liIUllma.llm un WI III 1111 oeM Services LLC 4150 Olson Memorial Highway Suite 200 Minneapolis MN 55422-4811 .1.1..1.1"1111,.1,1"1,1.1,,11..1.,,,11,"11.1.1.11",,.11, 0475788 0014036 4394000-7001 111,111.1".1..1.11,,1. ,1,,"111111.1,1,..1..1"11.,1.,1,.11,1 The Estate of LORRAINE D MANN LORRAINE 0 MANN 134 Connor Dr Royersford PA 19468-1894 MRP Credit Card Services ~ ',omCHASEO OpenlnljlGlosing Date Payment Due Dale. Minimum Payment Due 12119/07 - 01/18/08 021 1 2108 $19800 /' Account Number: 440803909020 3223 VIS~ ACCOUN1 SUMMARY Total Credit Line Available Credit Cash Access Line Available for Cash Previous Balance Payment. Credits Purchases. Cash. Debits Finance Charges New Balance $7,25268 -5>20000 +$441 18 +$12238 5761624 524,600 $16983 $12300 512.300 CUSTOMER SERVICE In US 1-800-283-1211 Espanol 1-888-446-3308 TOO 1-800-955-8060 Pay by phone 1-800-436-7958 Outside US call collect 1- 302. 594-8200 ACCOUNT INQUIRIES P.O Box 15298 Wilmington, DE 19850-5298 PAYMENT ADDRESS PO Box 15153 Wilmington, DE 19886-5153 VISIT US AT: www.chasecomlcreditcards Your account is closed. Please continue to make monthly payments tJy the due date until your balance is paid in full. TRANSACTIONS --------_._-------~._--- Trans Date Reterence Number Merchant Name or Transaclion Description 12/1824423637353108994894873 1212024692167354000435755121 ___u__ H _ _... - __.__ __m._ 12/22 24692167356000726130313 __ _u_ ___ . -- .----' ..- - -- --- -- .-- ..- - -- 01101 10010010200000126363971 01101 12/31 24423638001128516830241 - - - _0 -- - -. 01/05 24210738006206000001535 - -- ------- ----- 0110624692168006000201285386 -------. -- --- ~ - -- -- - 0110724158138007101912740104 KWIK FILL 262 086 CARLISLE PA -- .-- .----_.- -.....- ----.,.-------.'-'- --- GIANT FOOD #112 CARLISLE PA . . ___ ____ n_ __ __' --- -- -- - --. ..- GIANT FOOD #112 CARLISLE PA - . - . - - ----' -- - - - --- .. ---- ---- --- - - - -- - Payment Thank Y ()u EOle<.;tronic Chk ANNUAL MEMBERSHIP FEE _ _ .U"__ ___' __ .0-- _._____". --- _0 KWIK FILL 262 086 CARLISLE PA - . - __no __ _ __.0 . ___ . ,.. -- ~-- - REi) ROBIN #338 CARLISLE PA 0--- _d__ . __ ...__ - ___ ._" -.. ._n . __ - __n_ - . SRR'SIRIUS RADIO 888-539-7474 NY STUDIO :3 HAIFfbESIGN -CARLlSL.E PA FINANCE CHARGES Finance Charge Due To Periodic Rate $122.38 $000 Category Purchases Cash advances Daily Periodic Rate Corresp 31 days In cycle APR V .05271% 1924% V .06367% 2324% Average Daily Balance $7,48934 $0.00 Total finance charges Effective Annual Percentage Rate (APR): 19,24% Amount Credit Debit 200 00 Transaction Fee $000 $000 Accumulated Fin Charge $000 $000 $21.70 75.31 97.23 10.00 22.02 5747 142.45 15.00 FINANCE CHARGES $122.38 $000 $122.38 Please see Information About Your Account section for balance computation method grace period, and other important information. The Corresponding APR is the rate of interest you pay when you carry a balance on any transaction category The Effective APR represents your total tinance charges - including transaction fees such as cash advance and balance transfer fees - expressed as a percentage. X ':\000006 F\S~jJ335 C 4 000 N Z 18 0801 18 Pdge 1 ~)t 1 OU009 MA UC 02019 01810000040550201901 WebBEST Receipt Page 1 of3 . . ROADSIDE ASSISTANCE: CALL 1-800-528-0355 - EL 541JK Contract: 24393050 Dispatched From: 811067 - ONEWAY TO: SPRING r:ITY, PA - SAFE-PROTECTlON(NO) IU-HAUL EQUIPMENT CONTRACT II One-Way Rental (OUT) ::::J Contract Nu~ber: 24393050 Saturday 1/26/20088:58 AM U-HAUL CTR CARLISLE 1111 HARRISBURG PIKE (811067) CARLISLE, PA. 17013 (717)249-8818 Customer Name: JAMES MULLEN Email: JIM@IDIMENSIONZ.COM 134 CONNOR DRIVE ROYERSFORD, PA 19468 Customer Ph NO(s): 610-209-3100 610-948-3727 Customer D/L: 22133800 PA 0210 Customer DOB: Feb 15, 1970 Destination: SPRING CITY, PA Due Date/Time: 1/28/20088: 59 AM Return Equipment To: THE DEPOSITORY INC 25 MENNONITE CHURCH, SPRING CITY, PA (610) 948-05:15 Days Allowed: 2 MI Allowed: 142.0 Extra MI Allowed: 30.0 Extra Day Rate for the EL $40.00 Per Day $0.40 Per MI Eq~iR,!,-:n~ ~-IMI O'Ut--!MI ~at~ IIMI ~h!,!~~___. _ o~-:~~.9~ J'IR~-~~!! ~at~. _. ~el1_t..a~.cF'!!'!le '-rES~i~!'t~~ c~a;9-;s~ ---'!A~aTCha~~;~-'- . EL 5413K 125162.0, $0.00 $0.00 $123.00\ $123.00i $123.001 ' ~~~95.4 AZ ~ ;... .._ .... _L __ "".. ..\... _ ..." __ ..._ ._0< __.__. "._ L ._ ..". " -. -.. --" _J. .---," I Estimated subtotal: $123.00 Estimated Tax: $9.84 Motor Vehicle Tax: $4.00 Support Sales Item: $49.45 Estimated Rental Charge (including DepOSit): $186.29 Rental Deposit Paid: $0.00 ~2 ~... , , f . . , Net Paid Today: $186.29 $186.29 Card Type: Visa Account: XXXXXXXXXXXX95851 Auth: 087466 Credit Card Payment: ~__....._ ,.......~IT ''''-J' >-_nln';i'lQS1;):::llQO UlO:)" J:::lll3:::ll'lnl3qn; (Sd'llQ 'iiunU"!ld=:::l:'lJnOS (, xdSl3 Old ~:::l;):::lJ j'3U ~l U~JdPl3JlUO J; .WebBEST Receipt . . Page 1 of 1 IU-Haul Sales Item Invoice Contract Number' 00299361 Tuesday 3/18/2008 9:21 AM Part Code MED POLY Card Type: Visa x II Sales Items U-HAUL CTR CARLISLE (811067) 1111 HARRISBURG PIKE CARLISLE, PA. 17013 DescriDtion BOX,MEDIUM,3CF 18X18X16" T APE,POL YPROPYLEN E, 2 "X55YD, RL Quantity 20 ea. 1 ea. Subtotal: Taxes: Total Charges Including Tax: Item Cost $2.07 $2.95 Support Sales Item: Total Charges: Previous Paid: Account: XXXXXXXXXXXX91061 Auth: 221779 Credit Card Payment: Net Paid Today: steve karpa Customer Signature https:/luhauldealer. COm! contractPrinting/receipt.aspx?source=transaction Obj ects (717)249-8818 Line Cost $41.40 $2.95 $44.35 $2.66 $47.01 $47.01 $47.01 $0.00 $47.01 $47.01 3/18/2008