HomeMy WebLinkAbout11-18-08 (3)15056041046
R~~-1500 EX (05-04) ot"FIC1Ai USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes ~ INHERITANCE TAX RETURN
Dept. 280601 c
Harrisburg, PA 17128-0601 ~ RESIDENT DECEDENT ~. ~ U ~ L~~'
ENTER DECEDENT INFORMATION BELOW
Socieil Security Number Date of Death Date of Birth
/` aR/y2do8 o3/6/93S
Dece:dent's Last Name Suffix Decedent's First Name MI
(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
~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death
prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust -~ "' 8. Total Number of Safe Deposit Boxes
(Attach Copy of Wili) (Attach Copy of Trust)
O 9. litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
COIRRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO
Name Daytime Telephone Number
/" ask .L ~ ~ ~ N f/ ~ o U S ~
Finn Name (If Applicable)
Fin~t line of address
2' ~ p ? W a< <r d ~' S T
Second line of address
City or Post Office
c'~M~p /~; LC
State ZIP Code
~ / 7 ?~i ula o 3
REGISTER OF WILLS Ua~ONLY
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E .~ ,-- -
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+-
-- ;; _ _
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DA~# FILED ~ `~ t
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P~ ~7o~i
Correspondent's a-mail address: 1~7~~/`~~~ ~~/~ ~~'"~
~~
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it i:; true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON FOR FILING RETURN DA
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
l 15056041046 7,5056041046 J
J
15056042047
REV-1500 EX
Decedent's Social Security Number
_ Decedent's Name.
REC APITULATION
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.
9 9 ( ) ............................
Mort a es & Notes Receivable Schedule D 4.
. •
5 Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ....... . 5.. ~ ~ ~ ~ T• /-
~
6. Jointly Owned Property (Schedule F} ~ Separate Billing Requested ...... . 6. p
~ ~ ~ ~• ~ I
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested.......
. 7.
ES.
Total Gross Assets (total Lines 1-7) ..................................
.. 8. ` t / j
~ J .7 1
7
0
/
•~
9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. ~
y
/
~1
~ I 7s .7. (p
10.
11.
12.
Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ..............
Total Deductions (total Lines 9 ~ 10) .................................
Net Value of Estate (Line 8 minus Line 11) ............................
.. 10.
.. 11.
.. 12. ~ 837 ..
. 3
8 0 ~ Q .~j//
~ ~~ a . 10
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ......................
.. 13.
•
14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. ~ ~~U • ~O T
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)11.2) X .0_ .
15.
16. Amount of Line 14 taxable
at lineal rate X .0 - •
16.
17. Amount of Line 14 taxable
at sibling rate X .12 •
17.
18. Amount of Line 14 taxable ~ ~~
at collateral rate X .15 ~ • ~
18. / / ~ /
19. TAX DUE .........................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
I / 3/.a q
O
Side 2
L 15056042047 15056042047
~~
REV-1~~0 EX Page 3
Decedent':s Complete Address:
File Number
DECEDENTS NAM~~E// //-
STREET ADDRESS
~S ~ ~?~~_ ~Q~
CITY STATE ZIP
~,,.d C< .4 /7a ~s
Tax Payments and Credits: a'~
1. Tax Due (Page 2 Line 19) (1) ~,3 ,
2. Credits/Payments
A. Spousal Poverty Credit
___
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2) _ n
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total InterestlPenalty (D + E) (3) ~~ --
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4) . (~
O
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) ~~ ~~/
A. Enter they interest on the tax due. (5A) -Q
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
/3/,
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :.................................................................................... ...... ^
b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^
c. retain a reversionary interest; or .................................................................................................................... ...... ^ (~
d. receive the promise for life of either payments, benefits or care? ................................................................ ...... ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ........................................................................................................ ...... ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ........ ...... ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................................. ...... ^
IF THE ANSVNER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling isdefined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV 75J8 e;. -~! ,?)
SCHEDULE E
CQMMOVWEALTN OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC.
.N"ER~TANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF ~ FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
~ ~
TOTAL (Also enter on line 5, Recapitulation) ~ $ ~~ ~ ~'~"
~,
(If more space is needed, insert additional sheets of the same size)
aev.+so~ ex . ;i-9»
~ '
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF ,
FILE NUMBER
a~-
If an asset was made joint within one year of the decedent's date of death, k must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME I ADDRESS ~ I RELATIONSHIP TO DECEDENT
B.
C.
JOINTLY-OWNED PROPERTY:
SCHEDULE F
JOINTLY-OWNED PROPERTY
~(2s G/,c~Tz~.GjC,~
~~4, ~, i ~Q~~
~~~
ITEM
NUMBER LETTER
FOR JOINT
TENAIJT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
Include name of financial institution and bank account number or similar identifying number. Attach
deed for jointly-held real estate.
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
TOTAL (Also enter on line 6, Recapitulation) I E .J p~0~~
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+(72-99)
c~,.,;~
~Lj SCHEDULE H
ys S~
COMMONWEALTH OF PENNSYLVANIA
FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OiF// // FILE NUMBER
~GiCChc !/ i~ ~~ ~ ~~Q g~
Debts of decedent must be reported on Schedule I.
ITEM
NUMBEF! DESCRIPTION AMOUNT
A t FUNERALEXPENS~E/I ~ i
L
r
~~ s ~~~~~~~~ 3io .
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
.. Q ~.
City State Zip
Year(s) Commission Paid:
2. Attorney Fees
Q
l
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) ~7
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees ~ /~~
5. Accountant's Fees
~-Q r"
6. Tax Return Preparer's Fees
~~ r
7.
TOTAL (Also enter on line 9, Recapitulation) $ ~~83
(If more space is needed, insert additional sheets of the same size)
REV-512 cX+ i?2-G3)
~~ ~ SCHEDULE 1
co~~MONwEnuTH of RENNSVw,aNin DEBTS OF DECEDENT,
wHERiTnNCE Tnx RETURN MORTGAGE LIABILITIES, & LIENS
RESIDENT DECEDENT
ESTATE C~~ FILE NUMBER
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
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c~~ c~~cc~ , ~, ~s°
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g ~,~ /~~
TOTAL (Also enter on line 10, Recapitulation) $ I ~ O //.
(If more space is needed, insert additional sheets of the same size)
REV-151(3 EX+ (9-00) ~,
SCNEDIJLE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTAT~E,,~ FILE NUMBER
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not ListTrustee(s} AMOUNT OR SHARE
OF ESTAT
I
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)
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ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS S
W
HO
N ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, O N REV-1500 t;c3VtR SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART [I -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~ $
r)
(ff more space is needed, insert additional sheets of the same size)
REGISTER OF WILLS
CUMBERLAND COUNTY
PENNSYLVANIA
CERT{FICATE OF
GRANT OF LETTERS
No . 2008- 0084D PA No . 21- 08- 0840
Estate Of : THELMA NEDRA BURRIS
/First, Middle, Lastl
a/k/a : NEDRA BURRIS
Late Of : EAST PENNSBORO TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Security No : 192-30-1525
WHEREAS, on the 14th day of August 2008 an instrument dated
May 7~h 1991 was admitted to probate as the last will of
THELMA NEDRA BURRIS
(Fiisl, Middle, Lastl
a/k/a NEDRA BURRIS
late of EAST PENNSBORO TOWNSH/P, CUMBERLAND County,
who died on the 19th day of February 2008 and
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wills in and
for CI~I~IBERLAND County, in the Commonwealth of Pennsylvania, hereby
cer~`i fy that I have this day granted Letters TESTAMENTARY to;
IRIS L RDUSE
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to Iaw, all of which
full y appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA.
II~7 TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 14th day of August 2008.
r,i' ~,
f .~ /egister ~o~, ills 1
De
* *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
WILL
c._-
I, THELMA NEDRA HUBRIS, also known as NEDRA HUBRIS, of Enola,
Cumberland County, Pennsylvania, revoke my prior wills and declare
this to be my last will:
ITEM I. I direct my executor hereinafter named to pay all ~ -
inheritance taxes, funeral expenses, and just debts as soon as'
convenient.
ITEM II. I give to LISA C. ROUSE all my bonds in a safe
deposit box at the Dauphin Deposit Bank and Trust Company, all the
sums in my Checking Account at the Dauphin Deposit Bank and Trust
Company, and all the sums in all savings accounts that I may have
at the Pennsylvania State Employes Credit Union, less net of
inheritance tax due as a result of my death, together with my "old
doll" received from my natural mother.
ITEM III. I give to my nieces, LOVEEN H. HARGLEROAD, HEATHER L.
HARGLEROAD, SHANNON L. HARGLEROAD, my crafts and yarn, to divide
among themselves as they decide.
ITEM IV. I give to my nieces, TWILA HAWBAKER and CHERI~
HAWBAKER, my ceramic dog collection, to divide amongst them as
they may decide.
Page 1 of 5 Pages.
ITEM V. I give to my niece, SARA HARTMAN; my diamond pierced
stud earrings and my stuffed plush animal collection.
ITEM VI. I give to HELEN McCABE; a/kja KAY McCABE, my black
onyx ring and my black onyx pin which she had given to me as a gift.
ITEM VII. I give the residue of my estate, real and personal,
in equal shares to MARTIN ROUSE and MARK HAWBAKER~to divide among
them as they may agree, or in the absence of agreement, as my
executor may think appropriate. However, articles which my executor
considers unsuitable for MARTIN ROUSE or MARK HAWBAKER may be
sold. The share of any beneficiary under this residuary clause
who predeceases me or dies on or before the thirtieth day following
my death shall be distributed to his or her issue per stirpes
living on the thirty-first day following my death and in default
of any such then-living issue such shares shall be added to the
share of the other beneficiary under this residuary clause. My
executor may, without further responsibility, distribute property
passing to a minor under this article to the minor or to any person
to hold for the minor.
ITEM VIII. No interest in income or principal shall be
assignable by, or available to anyone having a claim against, a
beneficiary before actual payment to the beneficiary.
Page 2 of 5 Pages.
ITEM IX. All federal, state, and other death taxes payable
on the property forming my gross estate for tax purposes, whether
or not it passes under this will, shall be paid out of the principal
sums of my checking account at the Dauphin Deposit Bank and Trust
Company andjor the sums in my savings accounts at the Pennsylvania
State Employes Credit Union.
ITEM X. I authorize my executor:
A. To retain and to invest in all forms of real and
personal property, regardless of (i) any limitations imposed by law
on investments by executors or trustees, (ii) any principle of law
concerning delegation of investment responsibility by executors or
trustees, or (iii) any principle of law concerning investment
diversification.
B. To compromise claims and to abandon any property
which, in my executor's opinion, is of little or no value;
C. To borrow from and to sell property to others,
including my beneficiaries hereunder, and to pledge property as
security for repayment of any funds borrowed;
D. To sell at public or private sale, to exchange or
to lease for any period of time, any real or personal property,
and to give options for sales or leases;
E. To join in any merger, reorganization, voting-trust
Page 3 of 5 Pages.
~..~„`
plan or other concerted action of security holders, and to delegate
discretionary duties with respect thereto;
F. To use administrative or other expenses of my estate
'~;` as income tax or estate tax deductions and to value my estate for
tax purposes by any optional method permitted by the law in force
when I die, without requiring adjustments between income and
>_
principal for any resulting effect on income or estate taxes; and
G. To distribute IN KIND and to allocate specific
assets among the beneficiaries in such proportions as my executor
may think best, so long as the total market value of any
beneficiary's share is not affected by such allocation.
These authorities shall extend to all real and personal
property at any time held by my executor or my trustee and shall
continue in full force until the actual distribution of all such
property.
All powers, authorities, and discretion granted by this will
shall be in addition to those granted by law and shall be exercisabl
without leave of court.
~~ ITEM XI. I appoint IRIS ROUSE executor of this will. Should
~i
IRIS ROUSE fail: to qualify or cease to act as executor, I appoint
MARTIN ROUSE executor under this will. No personal representative
appointed hereunder shall be required to give bond or furnish
sureties in any jurisdiction.
Page 4 of 5 Pages.
ITEM XII. The term "executor" and "trustee" or any pronoun
used to indicate the executor, trustee, any other fiduciary or any
beneficiary shall be deemed to apply to one or more than one person
or corporation and to the masculine, feminine or neuter gender as
the case may be.
IN WITNESS «F-IEREOF, I have hereunto set my hand and seal to
this, my last will, this ~ day of MAY, 1991.
tiQ~/1'Vt~~tr ~2 i(SEAL)
THELMA NEDRA~ BURRIS, a/k/a
)7 ~ ,1~ w i~ , L,"I ~ r h.y ~' ~ ( SEAL)
NEbRA BURRIS
SIGNED, SEALED, PUBLISHED, and DECLARED by the above testatrix,
as and for her last will, in the presence of us, who thereupon at
her request, in her presence and in the presence of each other, have
hereunto subscribed our names as witnesses.
Page 5 of 5 Pages.
STATE OF PENNSYLVANIA )
( ss:
COUNTY OF DAUPHIN )
We, THELMA NEDRA BURRIS, a/k/a NEDRA BURRIS,
/{~~ ,~ ~ ~ . r-~~~ ~ m ~ 1 and IV Ia N G v C ~ ~ L ~~ % i R the testatrix
and wi~nesses, respectively, whose names are signed to the attached
or foregoing instrument, being first duly sworn do hereby declare
to the undersigned authority that the testatrix signed and executed
the instrument as her last will and that she had signed willingly
and that she executed it as her free and voluntary act for the
purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the testatrix, signed the will as witness
and that to the best of our knowledge, the testatrix was at that
time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
THELMA NEDRA BURRIS, a/k/a
~- , l t
NE RA UR-}RIS
~ %~ J( 1. tf-~'l•?3~2~
Witnes
Witnea
SUBSCRIBED, sworn to or affirmed, and acknowledged before me
by the above-named testatrix and by the witnesses whose names appear
above on ~"`c~-~ , 1991.
~ ~ I
ry P lic
r~loterial gal
Pau~ne ?atti i hcm ;, l~;otary Public
t•ta~risburg, D .t:~hin County
My Corc; ni:~ion Expires AFxil 15, i ;r35
Member, Pennsylvania Association of Notaries
LaILL OF
TH~LA'IA NBDRA BU'Z?2IS
a/k/a
NEDR.A BURRI S
LAW OFFICES
HEPFORD, SWARTZ ~ MORGAN
III NORTH FRONT STREET
P.O. Box 889
HARRISBURG. PENNSYLS'ANIA 17108-0889
TELEPHONE 717 234-4121
:°~ ~ t o s-~'ra
,.r:000NT N0. ACCOUNT TYPE
718773702 M8T SELECT KITH INTEREST
NEDRA T BURRIS
LISA K ROUSE
89 AUTUMN LN
ENOLA PA 17025
00 0 06121M NN I17
7556
STATEMENT PERIOD PAGE
FEB.02-MAR.03,2008 1 OF 4
INTEREST EARNED FOR STATEMENT PERIOD 0.25 SUMMERDALE PLAZA
INTEREST PAID YEAR TO DATE 0.83
ACCOUNT SUMMARY
BEGINNING
BALANCE DEPOSITS 8
OTHER ADDITIONS
CHECKS PAID OTHER
SUBTRACTIONS CURRENT
INTEREST PA ENDING
BALANCE
N0. AMOUNT N0. AMOUNT N0. AMOUNT
6,368.85 4 3,588.00 12 3,447.26 3 864.36 0.26 5,645.49
ACCOUNT ACTIVITY
POSTING
DATE
TRANSA TION DESCRIPTION DEPOSITS,INTEREST
8 OTHER ADDITIONS CHECKS i OTHER
SUBTRACTIONS DAILY
BALANCE
02-02-08 BEGINNING BALANCE 56,368.85
02-04-08 DEPOSIT 1,700.00
02-04-08 CHECK NUMBER 3630 30.00 8,038.85
02-07-08 CHECK NUMBER 3631 100.00 7,938.85
02-08-08 CHECK NUMBER 3634 1,500.00
02-08-08 PURCHASE ON 02/08 212.15
FAMILY DOLLAR NEM CUMBERLA PA
02-08-08 CHECK NUMBER 3633 53.32 6,173.38
02-11-08 QVC CHECKPAYMT 000000000003632 b00.00 5,573.38
02-12-08 CHECK NUMBER 3637 150.00 5,423.38
0,2-19-08 CHECK NUMBER 3638 100.00 5
02-20-08; US TREASURY 303 SOC SEC 1,092.00
__. __
_ c,414.?8
i
/~11~7&T Bank
ACx~OUN'F NO. ACCOUNT TYPE
15004211274234 M8T PERSONAL SAVINGS
STATEMENT PERIOD PAGE
AUG.02-NOV.02,2008 1 OF 1
00 0 06121M NM 017
NEDRA T BURRIS
2707 WALNUT ST
CAMP HILL PA 17011
INTEREST EARNED FOR STATEMENT PERIOD 0.12
INTEREST PAID YEAR TO DATE 0.45
43172 O
a~
ACCOUNT SUMMARY
SUMMERDALE PLAZA
BEGINNING
BALANCE DEPOSITS 8
OTHER ADDITIONS WITHDRAWALS 8 OTHER
SUBTRACTIONS CURRENT
INTEREST PAID ENDING
BALANCE
N0. AMOUNT N0. AMOUNT
317.36 0 0.00 0 0.00 0.13 317.49
ACCOUNT ACTIVITY
POSTING
DATE
TRANSACTION DESCRIPTION DEPOSITS,INTEREST
8 OTHER ADDITIONS W/DRAWALS 8 OTHER
SUBTRACTIONS DAILY
BALANCE
08-02-08 BEGINNING BALANCE 5317.36
09-02-08 INTEREST PAYMENT 0.05 317.41
10-02-08 :INTEREST PAYMENT 0.03 317.44
11-02-08 :INTEREST PAYMENT 0.05 317.49
ENDING BALANCE 5317.49
ANNUAL PERCENTAGE YIELD EARNED = 0.14
EFFECTIVE JANUARY 2, 2009, THE FEE FOR MAKING A WITHDRAWAL FROM YOUR SAVINGS
ACCOUNT AT AN ATM IN A FOREIGN COUNTRY MILL BE THE GREATER OF 55.00 OR 3% OF THE
U.S. DOLLAR AMOUNT OF THE WITHDRAWAL.
EFFECTIVE SEPTEMBER 12, 2008, IF YOU DEPOSIT CHECKS WITH ROUTING NUMBERS THAT
START WITH 0110, 0111, 0112, 0113, 0114, 0115, 0116, 0117, 0118, 0119, 0211,
2110, 2111, 2112, 2113, 2114, 2115, 2116, 2117, 2118, 2119 OR 2211, FUNDS FROM
THOSE DEPOSITS WILL BE AVAILABLE FOR WITHDRAWAL SOONER. FUNDS FROM THESE CHECKS
WILL NON BE AVAILABLE ON THE SECOND BUSINESS DAY AFTER THE DAY OF YOUR DEPOSIT.
LOOBA (8/07)
~~
One M & T Plaza, Buffalo, New York 14JA0
'.iummerdale Plaza
October 10, 2008
1251
NEDRA T BURRIS
LISA K ROUSE
2707 WALNUT ST
CAMP HILL PA 17011
Re: CD Account Closing Notice
Account # 31003917117606
Dear Nedra T Burris,
v
~ ~~r
'We are writing to confirm that on 10/06/08, your CD account was closed or transferred.
At that time, the balance was $6,297.57.
'We'd like to remind you that M&T Bank is committed to providing you with solutions to
all your financial needs. To find out more about the many ways we can help you with
those needs, simply stop by any M&T Bank office or call the M&T Telephone Banking
Center at 716-626-1900 or 1-800-724-3222. Or if you'd like, visit the M&T website at
www.mandtbank.com.
'Thank you for banking with M&T Bank.
Sincerely,
M.~ehe~e Ca~Qe-Nee~vh
Michele Cole-Hector
Customer Service Manager
SMACCL A7.RCS1
~~]~i
Gn~e M & T Plaza, Auffalo, New York 14780
>ummerdale Plaza
October 10, 2008
1250
NEDRA T BURRIS
LISA K ROUSE
2707 WALNUT ST
CAMP HILL PA 17011
Re: CD Account Closing Notice
Account ~# 31003917117599
Dear Nedra T Burris,
~~µk,~
`JVe are writing to confirm that on 10/06/08, your CD account was closed or transferred.
At that time, the balance was 55,039.34.
`JVe'd like to remind you that M&T Bank is committed to providing you with solutions to
all your financial needs. To find out more about the many ways we can help you with
those needs, simply stop by any M&T Bank office or call the M&T Telephone Banking
Center at 716-626-1900 or 1-800-724-3222. Or if you'd like, visit the M&T website at
www.mandtbank.com.
Thank you for banking with M&T Bank.
~iincerely,
~1~.ehePe Co.Qe-Hee#an
1Vlichele Cole-Hector
Customer Service Manager
SMACCI. AZRCSI
'
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Woman Within Credit Card. Jul 31 2008
Trans Referonce Deferred End Transactlon
Dab Number Dats Description Location Amount
This Month's Activity:
01/22!08 122998163 PAYMENT -THANK YOU
;10.00 CR
As a reminder, we may assess a Late Fee to your account if you do not pay at least your Minimum
Payment Due by the Payment Due Date shown on your billing statement.
To make a payment by phone using your checking account, please call us at 1-888-520-5340 or pay
online at https://onlineaccess2.mycreditcard.cGwomanwithin- clidc'Pay Online'.
Save a stamp! Do paperless!
Now you can receive and pay your Woman Within credit card monthly billing statement on-line.
Securely log-in through womanwithin.com, Gidc on the credit card link to access your account
online, then click "e-statemenC' to enroll.
Statement Summary: Account: 032-230-930 Payment Due Date: 02129!2008
Credit limit ;1,950.00 Average Deity Balance ;25.93 Previous Balance ;30.03
Available Credn ;1,928.97 DAILY Periodb Rate 0.06246% + New Charges ;0.00
Closing Date 02104/2008 Corresponding ANNUAL - PaymentslCredits ;10.00
Days in Billing Period 32 PERCENTAGE RATE 22.8000% + FINANCE CHARGES ;1.00
Scheduled to Pay 510.00 =New Balance ;21.03
Past Due 50.00 ANNUAL PERCENTAGE Minimum Payment
Minimum FNNANCE CHARGE ;1.00 RATE 43.98909'o n /6 3
Deterred Trans Balance ;0.00 p(r
NOTICE: Sea reverse side for important informatlort
~~p~1~
Page 1
Thank you for being a BrylaneHome customer!
Your satisfaction is very important to us.
We realize that excellent customers like you are our most valued
asset and we appreciate your business. That is why we are
committed to bringing you the latest merchandise, the best values,
and fast personal service.
If you have any questions regarding an order, please contact
BrylaneHome at 1-800-528-5156 or visit us online at
bryl~nehome.com. Thank you again!
~ ~~~
B IaneHome. All the ri ht touches. All the ri ht rices.
Sustainable style. Look for our
green living organic cotton
collection plus energy saving Save time and postage. Pay your
biN online. 1Ys easy to enroll
through www.brylanehome.com You can always get what you
want. Buy now.... and pay
later with our deferred
roducts for our home. billin lan.
Trans. Reference Deferred End
Date Number Date Transaction
DescHptbn
Location Amount
This Mpnth's Activity:
10!08/07 1623848000 02105/OS BRYLANE KITCHENS DEFERRED PURCHASE
CERT REDEMPTION ,DRYER
X0.48
Deferred Transactions have ended during this billing period. These transactions are now included in
your current balance and minimum payment due.
As a reminder, we may assess a Late Fee to your account if you do not pay at least your Minimum
Payment Oue by the Payment Due Date shown on your billing statement.
To make a payment by phone using your checking account, please call us at 1-888-621-3809. Payments
can also be made online at https://on{ineaccess2.mycr rd.cclbrylanehome - clidc'Pay Online'.
~~
Statement Summary: Account: 170-566.249 Payment Due Date: 03/01/2008
Credit Limit ;800.00 Average Daily Balance ;0.00 Previous Balance ;t0.000R
Available Credit ;779.52 DAILY Periodic Rate 0.06246% + New Charges ;30.48
Closing Date 02/052008 CorrespondingANNUAI - Payments/Credits ;0.00
Days n Billing Period 30 PERCENTAGE RATE 22.8000% +FlNANCE CHARGES ;0.00
Scheduled to Pay $10.00 =New Balance ;20.48
Past Due ;0.00 ANNUAL PERCENTAGE Minimum Payment ;10.00
Minimum FlNANCE CHARGE ;0.00 RATE 22.80009'0
Deferred Trans Balance ;0.00
NOTACE: See reverse side for Important lntormatlon
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Ch~c~erst~nding what's important
Summerdale Plaza Office
If you have any questions, please
call our Telephone Banking Center
at 1-800-724-2440
Today's Date: Business Oate:
02/21/2008 02/2112008
Time: 02:08 PM
Installment Loan Payment
~***89460001 $599.76
6121 / 09 89
~Je appreciate your business.
Thank You!
M&T E3ank
ca~edfor. NEDRA T BURRIS
cccunt Numtasr. 5490 9987 8522 1566
April 2008 Statement
Credit Line: $17,100.00
Cash or CreditAvailab/e:
Summary of Transactions Billing Cycle and Payment Information
Previous Balance $998.12 Days in Billing Cycle 31
Payments and Credits - $0•~ Closing Date 04/28/08
Purchases arld Adjustments + $0.00
Periodic Rate Finance Charges + $11.05 Payment Due Date 05/21/08
Transaction l=ee Finance Charges + $0.00 Current Payment Due $21.00
- Past Due Amount + $44.00
New Balance Total $1,007.17 Total Minimum
~'
Payment Due
FIA CARD SERVICES'"
-~ ~~'
ForJnformation on Your Account lrsiC
www.fiacardservices. co m
Call toll-free 1-800-223-7046
TOD hearing-impaired 1-800-346-3178
Mail Payments to:
FIA CARD SERVICES
P.O. 80X 15726 '
WILMINGTON, DE 19886-5728
Mad BifJing in uq hies to
FIA CARD SERVICES
P.O. BOX 15026
WILMINGTON, DE 19850-5028
s ., • ~ . t `~ ~~ ~
~ ~ ~ i~
OUR RECORDS SHOW YOUR ACCOUNT IS PAST DUE
-----_ - -___,__ - --.---_ _,____
._.. - __.____..T__~~- -- _
._.. _ - : --T nn - --
. ;y,. -~.,,~, -- ~--
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s~
Promotional CorrespondingAnnuat APR Balance Subject to
Category Transaction Types Daily Periodic Rate Percentage Rate Type Finance Charge
Balance Transfers 0.035589% V 12.99% S $0.00
Cash Advances 0.060247% V 21.99% S $0.00
Purchases 0.035589% V 12.99% S $1,001.46
Annual Percentage Rate for this Billing Period: ~ 2.99•,
(Includes Periodic Rate Finance Charges and Transaction Fee Finance Charges that results in an APR which exceeds
the Corresponding APR above.)
APR Type Defiinitions: Daily Interest Rate Type: V=Variable Rate (Interest Rate may vary}; APR Type: S= Standard APR (APR normally in effect}
~~
ESTODM
.. _
~/ ~ ~V
`~ Customer Service 1-800-367-9444
Servicio al Cifente 1-800-328-0890
a~~~ ' nt # 403 9001 9517 X Payment Address OCARD PO BOX 530905 ATLANTA, GA 30353-0905
otatement Date: 03/16(2008;Days In Period: 29 ixXk` Billing inquiries QCARD PO BOX 981462 EL PASO, TX 79998-1462
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ACCOiUNTi SUMMARli' ;. ,,;
Credit Line Available Credit
$0.00 $0.00 Payment Due Date
04/10/2008 Minimum Payment Oue
$20.00
155.87
TRANSACTfON SUMMARY
Post Date Tran Data Order Number Item // Descri tan Amount
02!17 02!15 3390220957 C2806 "KISS SOMEONE" HERSHEY KISSES KEEPSAKE $34.42
DOLL BY MARIE OSMOND
02/17 02/16 3382057190 M16627 MRS. PRINDABLE'S 8-PC. GOURMET GIFT BO $10.71
SAMPLER
EASYPAY INSTALLMENT 3 OF 4
02/17 02/17 3382520680 V24833 SET OF 3 12-LED SUPER BRIGHT FLASHLIGHTS $6.53
i EASYPAY INSTALLMENT 3 OF 4
02/19 02119 3390744955 F02697 TRAVELON CRINKLE NYLON EXPANDABLE $33.44
HIPSTER/ SHOULDER BAG
02/19 02/19 3390664600 K6502 SET OF 2 NONSTICK COLOR-CODED 4" PARING $18.63
KNIVES
02/21 02/21 3381397516 M17065 SHIP WEEK 12/17 JUNIOR'S 7" 4-FLAVOR $10.54
CHEESECAKE LAYER CAKE
EASYPAY INSTALLMENT 3 OF 4
02!21 02/21 3386809429 V25040 AIR INNOVATIONS MID SIZE TOWER IONIZER $23.30
"" AND AIR CLEANER
.. EASYPAY INSTALLMENT 2 OF 2
'=' 03/01 03101 PAYMENT -THANK YOU - $554.72
03101 03/01 3388095185 A65990 QUACKER FACTORY SIDE ZIP MOCKNECK $18.30
~' SWEATER WITH RHINESTONE TRIM
~ EASYPAY INSTALLMENT 2 OF 2
-_ NOTE: YOU HAVE A PROMOTIONAL PURCHASE EXPIRING. SEE PROMOTIONAL PURCHASE BELOW FOR DETAILS.
~_
sss+
,~, PAYMENT DUE BY 5 P.M. ON THE DUE DATE. We may convert your payment info an electronic debit. See reverse side for details.
^~ NOTICE: See reverse side for Billing Rights and other important information.
5484 0034 FKG 1 7 16 080316 0 Page 1 of 2 9339 3000 GV04 18698
Springdale Statement
225 Four Seasons Lane
Enola, Pa 17025 Billing Period Statement Date
12/8/05 - 3/31/08 3/31108
Property Unit Type Acc #
Spr 89 Autumn 2 BR D 476
Previous
Balance Current
Charges Current
Credits Balance
Due
0.00 17,165.00 -17,165.00 0.00
SATE ~ TRANSACTION DESCRIPTION _ ~ AMOUNT
_ • _, ~g Payment Received -Thank You 3626
_ _ - ~ g Rent Charge
_ : _ 3 Payment Received -Thank You 3642
:_:.-..:a --- Rent Charge
-625.00
L'
_ __ ,~ 625.' -
Jv tlstlgs ~iiO ~bf ~{,~.~1
j 9~~n~~~~~~
Electric
Service
For:
NEDRA HUBRIS
89 AUTUMN LANE
ENOLA PA 17025
Final Bi0
Questions about
this bill? Please
contact us Apr 22
at i-800-34~-5775
(I-800-DIAL-PPL)
or write to:
Customer Service
827 Hausman Rd.
Allentown, PA
18104-9392
www.oolelectric.com
Electric
Use
Tl~s graph,shows
your electric use
over the last 13
months.
TyQea of
Meter Readings:
Actual .
Estimated
Customer Q
P ge l
l
~'" ~ 1
;fie. ~~~~ ~
1
Summary Page
Balance as of Apr 1, 2008
four. Iit`;A~eou :: tr cir
91380 83047
...:ac<altt ~ o~vrnfa ..
$79.00
Char es:
Total~PL ELECTRIC UTILITIES Charges $185.44
Total Charges ~ $2b4.44
Account Balance
~~~v
72
60
4$
36
24
12
0
KWH -Average Per Day
~~ ~~
Meter Reading Information
$264.44
Meter #87755775
Apr 1 Actual ~ ,
Mar 25 Actual
7 Da s .KWH Billed
49232
43172
~ 60
Average -Apr 2407 2008
T erafure 47F 42F
KWH Per Day 41 9
Yearly Uae: Total Averagge
Use Aionthly
May 2006 -Apr 2007 4814 818
May 2007 -Apr 2008 7476 623
Other important information on back ~
PPL Electric Utilities uses about $18.51 of this bill to pay state taxes. In
addition, about $15.60 of this bill pays the PA Gross Kecelpts Tax.
The Transition Charge includes an Intangible Transition Char e {(TC) and
the applicable Toss receipts tax which to ether amount to $0.~8. The ITC
is a per usage c~arge approved by the Public Utility Commission which
PPL Electric Utilities collects as agent for PPL Electric Utilities Transition
Bond Company LLC. and which that campany~uses to service debt
incurred to recover a portion of PPL Elecfrie Utilities' stranded costs. The
gross receipts tax, which is collected for the CortunonWealth of
Pennsylvania, is equal to 5.9% of the ITC.
For our convenience, you can now par your hill using your Visa
Mas erCard, Discover, or ATM Card all BiIlMatrlx at 1-800-~72-2413.
BillMatrix will charge your credit and ATM card a service fPP ~ r ---~~-----
this pavrnent.
A M J 3 A S O N D J F M A
2007 Months 2008
PP~ctric
Utilities
Electric
Service
FoI:
NEDRA HUBRIS
89 AUTUMN LANE
ENOLA PA 17025
PPS ~ ~ba.
agr. _. lF: coudc' in' "r'.
91380 83047
Summary Page `~
Balaace as oC Feb 22, 2008 .J"' ' $0.00
Char es:
Tota1~PL ELECTRIC UTILITIES Charges $55.18
Total Charges $55.18
Account Balance $55.18
Questions about
this blll? Please ~~
contact us by Mar 14 ~~~
at 1-800-34Z-5775
(1-800-DIAL-PPG) ~ 1~
or write to: ,~~ I ..
Customer Service
827 Hausman Rd.
Allentown, PA '
18104-9392
www.pplelectric.com
Electric
Use 84
70
This graph shows
your electric use 56
over the last l3
ll~nths. 42
Types of
Meter Readings: 28
Actual - 14
Estimated o
Customer Q
KWH -Average Per Day
PMAMJJASQNDJF
2007 Months 2008
Meter Reading Information
Meter #87755775
Feb 22 Actual
Jan 24 Actual
29 Da s KWH Billed
48485
46724
1761
Average -Feb 2007 2008
Temperature 24F 32F
KWH Per Day 74 61
Yearly Use: Tolai Average
Use Monthly
Mar 2006 -Feb 2007 8667 722
Mar 2007 -Feb 2008 9675 806
Other important information on back ~
Information
Next meter
reading
on or about
Mar 2S
YYC UI11CUy UU ~D1JO.UV
Including this bill, you used 338.23
After this payment, your budget is behind $180.23
Generation prices and chargges are set by the,electric generation supplier
you have chosen. The Publtc Utility Conuntssion re Mates distribution
nces and services. The Federal Energy Regulatory~onvnission regldates
~ransrnission prices and services.
PPL Electric Utilities uses about $5.53 of this bill to ay state taxes. In
addition, about $4.66 of this bill pays the PA Gross Receipts Tax.
~~
veri on ,~ ~
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Account Summary
Previous Charges $50.83
Payment Received Jan 21. Thank You. - 51.00
- _ -
Balance Forward - $ .17
New Charges
Verizon (page 3) $ .38
Total New Charges Due Feb 28 52.38
Total Due 52.21
Questions about your bill? Call 1 800 860-2216
See page 2 for all other Verizon contact information.
Change of billing address?
Go to verizon com/billingaddress or see page 2.
Billing Date: 02/01/08 Page 1 of 6
Telephone Number : 717 732-8019
Account Number: 717 732-8019 250 76Y
Moving?
Moving? 1-866-VZ-MOVES
Across the street or across the
nation. one call can do it att.
Call us for Internet. phone and
entertainment in your
new home.
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Get More Than an
Extra Day This Month
Get AAore Ume online riownloading
purchased vrdeos. photos, music &
games & less time waiting. Switch to
Verizon High Speed lntemet (up to 3M)
and see It's ~31.99Anonth for one
year. Call 1-866-785-0968 to sign up.
SUBJ. to rnsblctions & avai+aB+lity.
~ Detach & return payment slip with your check. payable to Verizon.
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{'eriznn non-ha.sic charges ** ~r- 54.57