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Home My WebLink About11-19-08REV-1500 EX (fi-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN FILE NUMBER 21 _ 08 0456 RESIDENT DECEDENT COUNTY CODE YEAR -NUMBER - - DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ Hook, Joanne M. Z L!J DATE= OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) W 04/08/2008 11/12/1927 (~I,I (IF AIPPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ N/A SOCIAL SECURITY NUMBER 203-20-5648 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER w ~ 1. Original Return ~ 2. Supplemental Retum ~ 3. Remainder Retum teats of seam poor to fz-ts-ez) a ~, ~ a ~ ~ 4. Limited Estate ~ 4a. Future Interest Compromise taste oraeath seer tz-tz-az) ~ 5. Federal Estate Tax Return Required ~ a m 0 6. Decedent Died Testate tAnacb copy of waq ~ 7. Decedent Maintained a Living Trust (Attach copy or trust) _ 8. Total Number of Safe Deposit Boxes a ~ 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death between t2•ai-st and t-t-ss) ~ 11. Election to tax under Sec. 9113(A) tAnacn s~, o) r THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: w Z NAME COMPLETE MAILING ADDRESS o Randall K. Miller, Esquire 1255 South Market Street N FIRM NAME (1fApplicable> Suite 102 Randall K. Miller, Attorney at Law Elizabethtown, PA 17022 o TELE=PHONE NUMBER ~ (71'7) 361-8524 1. f2eal Estate (Schedule A} {1) 13 3 , 6 5 3.0 2 2. Stocks and Bonds (Schedule B) (2) 0 • 0 0 3. (:losely Held Corporation, Partnership or Sole-Proprietorship (3) 0 . 0 0 ~ 4. Mortgages R Notes Receivable {Schedule D) (4) 0 • 0 0 C~ c::.-, =v U `'^' ~ -) ' ' - _ s - 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 9 , 2 7 5 . 2 2 _. r ;~ - t = ;-) „~.- - Z (Schedule E) = ~ ~ ~ ~ 6. Jointly Owned Property (Schedule F) (6) 7 , 7 8 9 . 9 9 ~ _~, Q (~ Separate Billing Requested ~ ~ i J ~ 1. Inter-llrvos Transfers & Miscellaneous Non-Probate Property (7) 0 . 0 0 _ ~_1 ~ ~~ r~~ - -~-~ H (Schedule G or L) -r> ~, .~. a Q 8. lrotal Gross Assets (total lines 1-7) (8) ~ 15 0 ,~18 . 2 W 9. 1=uneral Expenses & Administrative Costs (Schedule H) (9) 10 , 615.7 6 ~ 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 9 , 3 3 9.9 7 11. lrotal Deductions (total Lines 9 & 10) (11) 19 , 9 5 5 . 7 3 12. Idet Value of Estate (Line 8 minus Line 11) (12) 1 3 0 , 7 6 2 . 5 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) _0 . 0 0 rna e e u e 14. IVet Value Subject to Tax (Line 12 minus Line 13) (14) 1 3 0 , 7 6 2 . 5 0 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z ~ 15. Amount of Line 14 taxable at the spousal tax 0 • 0 0 0 • 0 0 Q H rate, or transfers under Sec. 9116 (a)(1.2) 130 762.50 16. lamount of Line 14 taxable at lineal rate ~ x .0 (15) x .0 4~ 1s ( ) 5, 884.32 ~ 17. Amount of Line 14 taxable at sibling rate 0 . 0 0 x 12 (17) 0 • 0 0 ~ U 18. Amount of Line 14 taxable at collateral rate - 0 • 0 0 _ x .15 (18) 0 • 0 0 (19) 5, 8 8 4. 3 2 19. lrax Due ~ 20. I~ • • r, • • > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Deceden1t's Complete Address: STREET ADDRESS 3120 tilorningside Drive ~fnCamp Hill sTATEPA ZIP 17011 Tax Paynnents and Credits: 1. Tax Due {Page 1 Line 19) (1) 5 , 8 8 4 . 3 2 2. CreditslPayments 0.00 A. Spousal Poverty Credit B. Prior Payments 0 . 0 0 C. Discount 0.0 0 Total Credits (A + g + C) (2) 0 . 0 0 3. Interest/Penalty if applicable D, Interest 0.0 0 E, Penalty 0 . 0 0 Total Interest/Penalty (D + E) (3) 0 . 0 0 4. ff 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) 5 , 8 8 4 . 3 2 A. Enter the interest on the tax due. (5A) 0 . 0 0 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) __ 5 , 8 8 4 . 3 2 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 : ...................................... ...... ^ Q c. retain a reversionary interest; or .................................................................................................................... ...... ^ 0 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? ........ ...... ^ ^x 4. Did decedent own an fndividuai Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. ...... ^ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, Under penalties of perjury, I dedare that I have examined this return, induding accompanying schedules and statements, and to the hest of my knowledge and belief, it is tn~e, coned and complete. Dedaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS SIGI~FyTU~R~E OF PREP~,RE~~TH TH REPRESENTATIVE- DATE -- -- - - ADDRESS 1255 South Market Street, Suite 102, Elizabethtown, PA 17022 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. §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 0% (72 P.S. §9116 (a} (1.1} (ii}]. The statute does not exemat a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are stiff! applicable even if the surviving spouse is the oniy 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. §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 4.5%, 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 12% (72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (6-98) SCHEDULE A COAAMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Joanne M. Hook FILE NUMBER 21-08-0456 property owned solety 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 wilting seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant fads. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F IT"EM NUIUIBER DESCRIPTION VALUE AT DATE OF DEATH ~~ 3120 Momingside Drive, Camp Hill, PA 17011 133,653.02 TOTAL (Also enter on tine 7, Recapitulation) 3 133,653.02 (If more space is needed, insert additional sheets of the same size) 09/0/2008 09:7 FA% 717 780 7480 ~ 1gALAR [dj001 A. U.S. DEPARTMENTCFHOUSING end URBAN DEVELOPMENT SETTLEMENT STATEMENT i1rLEPRo PA PROPERTY Leeegnnt SETT~.EMENTS, LLG B.TypE0FL0AN 4660 Trindle Road -Suite 103 Gamp HI11, PA 17011 ,. O FIiA 2.O FMHA 3~] CONV. UNWS. d. (t va s. O coNV. ws, Phone: (717) 441-1671 FAX: (717) 763-7460 e. FILE NUMBER: 30081 7. LOAN NUMBER: 400217298 8. MORT. INS. CASE NO.: C. NOTE: This form is tumishad to givo you a etstement of actual settlement costs. Amounts paid to and by the LetUemant agent an shown. Items marked '(p.o.e.)' wen paid outside the closing; they are shown here for Informational purposes and ere not Included in the totals, D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER; KEITH A. EISENrTOWER J'OADTIvB M. HOOK ESTATE COMMERCE BANI( MATTHEW L, HARMAN G. PROPERTY LOCATION: 3220 MORNINGSIDE DRIVE H. SETiLEMENTAGENT: PA PROPERTY SETTI,EMr'~NTS I. SETTLEMENT DATE: 09/30/08 CAMP HILL, PA 17011 PLACE OFSETTLEMENr: Century 21-Walak, Camp Hill, PA J, SUYYARY OF 00RROWER'S TRANSAC710N: K. SUMBAARY OF S6LLER'97RANSACTION: 100. GROSS AMOUN7 OUE FROM BORROWER aoc.OROSS AMOUNT DUE TO SELLER to t, Convect sales prlco 17 5 0 0 0. 0 0 aol.Contract sales pries 17 5 0 0 0. 0 0 toe. Personal property aoz.Parsonal property to,.Settlamentchargestoborrowsr(Iine1400) 5053.75 4oa. tea. aa. 103. aa3. Adjustments for items paid by Seiler in advance Adjustments for Items paid by seller in advance cos, Ciryffbwn talc to 4as.Clry/Town tart to ,v7.countyta~t 09 30 08to12 31 08 210.16 ao7,Counryrex 09 30 OSro12 31 08 210.16 to9.Asseasment3 to aoe.Aaaaalnents to tos.sehooltax 09 30 08to06 30 09 1268.72 ao9.scnooltax 09 3 08to06/30 09 1268.72 t to. to ato. to nt. att. 112. a12. 7zo.OROSSAYOUNTDUEFROM60RROWER 161532,63 aza.GROSSA110UNTDUETOSELLER 176478.88 zoo. AMOUNTS PAID BY OR IN BEHALF OF BOAROWER SCO. REDUCTIONS IN AMOUNT DUE TO SELLER 2a7.Deposltoreamestmoney 17500.00 aot.Excessdepasit(seatnstructlons) I 17500.00 z0z. Principal amount of new loan(s) 175 0 0 0 . 0 0 Soz.Settlement char es to seller (line t400) 7.92 2 .4 2 203. 6tistinq loan(s) taken subjeci to so3,Existing ban(s) taken subject to zoa, 5ca.Payotf of Fret Mortgage Loan SUSQUEHANNA 8e~~jK 3 3 9 91.3 2 za5. a35.Payoft of Second Mortgage Loan zoa sae. Y.SRRti PAE AUCTIONEER 6 912 . i2 z07. 507. 2CS. 3oa. zoa. sos_ Adjustments for items unpaid by seller Adjustments for items unpaid by seller 2to.Clry/1"owntsx m sto.Citylrawntu ~ to I 2t L County tax to st l.Couny tax to ' _ - 21 iseeamen,a ~ zta.Schoolta< ro I s7s.Schvo;tex to 214. 514. 275. I 575. 276. 619. 217. I 5 i 7. 219. 31 e. 213. 51?. 220.TCTAL PAID RY/FOR OORROYt'ER 192500.00 300. CASH AT SETTLEMENT FROM OR TO BORROWER 52a.TOTAL REpUCTION AMOUNT DUE SELLER 60325.86 Soo.CASH AT SETTLEMENT TO OR FROM SELLER so;. Gross amount due from borrower (line 120) 18253 2.63 Sot.Gross amount due to seller (line 420) 17 n 7 8 .88 3e2. Less amount paid by/for borrower (line 220) ~ 19 2 5 0 0. 0 0 ec2. Less reduction zmount due seller (Ilse 520) 6 0 3 2 5 . 8 6 sos. CASH (j FROM) ((]q O) a ROWER 67 .37 so3.CASH ((~ TO) ([ j FROfE) SELLER 116153.02 J ~ c'~ Buys orrower's Signa Sallei Signature HUD• Rev. 5186 09/50/2008 09:97 FAa 717 769 7480 -+ WA)jAK U.S. DEPARTMENT OF HOUSING AND URBAN DEVELpPMENT SETTLEMENT STATEMENT L SETTLEMENT CHARGES 30081 Pp1DFROAA 7p0, TOTAL SALES/BROKER'S coMNISSION kaaod en prioa S 175 0 0 0 , 00 BORROWER'S FUNDS A7 Division of Commission (line 700) as follows; TOtdl.: $ 0.00 SETTLEMENT lot. $ to 702. $ tc ~ ooz 2 SELLER'S FUNDS AT 703. Commission paid at Settlement 704. eoo. tTEYS PAYABLE Ix cONHec'rtON WITH LOAk e01. Loan Origination Fee % eat. Loan Discount eo3, Appraisal Fee to % TY EBX APPR . $ 6 0 0 POC Boa, Credit Report to 805. Lander6 Insp00tl0n Fes eos. PloodCert. TRANS UNION $2 .50 1ST AM. BLOOD $18 POC POC e07. App). Fee acs. Doc . Pre eos. Courier UNISHIPPERS $11.67 POC em. elt. sot. Interest from v09~30~ 08 to09~30~Oey®S /day sot. Mortgage insurance Premium for mo. to so3. HazardlnsurancePremiumfar lyrs.to STATE FARM $751 POC 90a. yrs, [0 905. 000. RESERVES DEPOSITED WITH LENDER FOA Dot. Hazard Insurance mo. ®$ /n,o. opt. Mortgage Insurance mo. ®S /mo. 003, CitylTovm tax mo. ®$ lmo. ooa, County tax mo. ®$ 6 9.67 /mo. 005, Assessments mo. ~ $ /mo. ~coe. mo. ~ s 141.74 /rno. 007. mo. ®S /m0. I tot. Settlement or closing feeto toz. Abshact or title search to 1ST AM . to3. Title examinatlon to toe. Title insura~ca binder to fo5. Document preparation to toe. Notary fees t0 CASH to7. Attorney'efees to (includes above items No.:) toe. Titis rnsuranca to PA PROP (includes above items No.:) t00. Lender's Covetflge $ tto.Ovmer's coverages 175, 000 ttt. EIv~ORSE. PA PROP nz. CL . SVS . LTR STEWAP.T 1t3. 200, GOVERNMENT RECORDtN~ AND TRANSFER cHARGEs zo1. Recording fees: Deed S 38.50 Mortgage $ 47 . zoz. City/countytax/stamps: Deeds 1750.OOMortgage$ za3. State taxlstamps: Deed$ 1750.OOMort9ag93 2oa. EX , MAIL eos. 300. ADDITIONAL SETTLEIdENT CHARGES Sot Survey to aa2 pest InsoeMion to S POC ~ 40.00 10.00 MENTS 1233.75 I' ~~ I KENTS 150.00 ANTY 35.00 86.00 ~ 1750.00 1750.001 yENT'S I 9.00 9.00 I - I ----I--_----__- - _ I r ®~ eos. TAX CEF;T BONNIE MILLER ; 10.00 j 4C0. TOTAL SETTLE6aENT CHARGES (enter an Linos 103 and 502. Sections J and K) 1 50 93.7 5 1 192 2.42 ~ Pontes agree Ina: no liability M assumed ey Sahbmml Agent br lne aecaraq of inlormation lurnhhed by olhors ea shown on the MuD-t Sdtlsmsnt 9talemenl. Selltrmanl Agent henoy e.pressy nlsMa the rghl to dspoah any amounts collaolsd tar dleburaemenl in an intone: DeeAng 9Cn0dn1 In a Podsrelry h`wrrd Inalitulion :red to crad6 env Interest w earnad:o h own secevnt a: addlUOnel compenn:mn Icr iY services In Ime tnn-.,e6en, HUD CERTIFICATION OF BUYERS AND SELLERS I have carefully rye d the HUl}t SOCJemen: Statement to Iha hest of my tcnowledg0 and belief, ills a Uuo and a0tu.'a[e eralement of all reC9lpts and disbUfSOments made on my accq¢.t( y me jt/thlp.~DSaett further csN at t have received a Dopy of the HULA t Settlement Statement ~/~ J ,~ ' < r ~ evwrar aortowsrt Slgnelu_~ / belkra n2lun Bw, er's Addreas6 Phone; Shccr' Nrw ACdnaa Plmnr: The H 0.t gar menl SmtemaM which (nave prepared e a ;rue end eccurote account of this Venesalan. I have caused orate cause me ryr, to bed d.axd b aaeoMancP with this statement. ~~~~~ n BYnsmem Agent prlr WARM VG: h'a a s to knowingy. Me tabs statements le ter unilyd Slates on inn or any s:ntbr loan. Pena6les upon avnvictipn can Include a nee and imvrisonment. ror eeulls sus t ilA 18: U.S. Cotlc S.chon 1007 and Sectbn 1010, HUD-1 Rev. 6168 ~~ _ _ 10404 PA. PROPERTY SETTLEMENTS, LLC SETTLEMENT TRUST ACCOUNT y -~ty 4660 TRINDLE ROAD CAMP HILL, PA 17011 60-1878J313 NUMBER (7171441-1671 .ONE .HUNDRED FIVE THOUSAND ONE HUNDRED FIFTY THRF~Eand 2 / 10 0 DOLL~lt4~T- - - - 9/30/08 $105,153.02 PAY TO THE ORDER JOANNE M . HOOK ESTATE OF Qo rF - VJP ('. SP qF T# ~ 3 C- 0 81 _ __--___ ___- ~~.-_~__~..___ r'P._s9FC• Jp , L `kq~ 5F ~~ 1 II'0 L040411' ~:0 3 L 3 L8 78 7~: 2 20 L006 5 7 211' PA PROPERTY SETTLEMENTS, LLC SETTLEMENT TRUST ACCOUNT Chk# 10404 T# 30081 10404 Date Payee 9/3C1/08 JOANNE M. HOOK ESTATE Item Description TOTAL Amount $105,153.02 603 .Net to Seller $105,153.02 _.. _ .. +;.. _+,1 a,~.:}S : ~, .!~ ~t. 4 ,:.YG. ~,. .Q'. '1S'~~ .,.., ., _F ?.°.'.:r: .-., w _~:"`~at s~R~ti:rt: ~~~.` ~"'~~.Sks 4~`!7"'dY ...~~txJY? .k..~.:}T.'.. ~.a .r,,.. ~. d.1~~~"`. _ _ M __-_ PD PRnPFRTV CFTTI FMFILTC~I r ---_____- - -___- -__..-~-~,~ -_- -_ -- -- SETTLEMENT TRUST ACCOUNT ~Bis rs L U ~ y 4660 TRINDLE ROAD CAMP HILL, PA 17011 ~~ ~~ (7171441-1671 DATE ~~(/ LL ~'~-' 7~~~+ GC..~ ~ ~'"_ L~J) -e DOLLARS 8 d~~a. ai n _ . ..~ n.ok luep~riry INTEGRITY BANK FOR To r SPFFVJP CrGfF_ Jf FL UTHORIZED SIGNATURE Fc~`'HO S~~J 11'00 209911' ~:0 3 L 3 L8 78 7~: 2 20 L006 5 7 211' >- ., .., .,.. .:.-.-- , , ~• t:?t;L1:~I?t:15"aa~`t":.fiTM~-''il'k .-a ..._ _-- RANDALL K. MILLER ExPU~NAnoN AMOUNT so-912/313 ATTORNEY AT LAW (^ ~ ~ n 1255 SOUTH MARKET ST. v `7 SUITE 102 ELIZABETHTOWN, PA 17022 OUNT .. _ _ - • F - ~ CHECK SATE TO THE ORDER OF CHECK NUMBER EFERENCE .AMOUNT ESCROW ACCOUNT :,1 ~:_ MR~~~7 LITITZ, `q, ;,` nsus~ EHANNABANC PA II^p06 L64-I' x:03 L309 L 23~: 08 L 1 2 258 0 III' REV-15G8 EX+ (e-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDt~ILE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY __ ESTATE: OF FILE NUMBER Joanne M. Hook 21-08-0456 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 NUMBI~R DESCRIPTION VALUE AT DATE OF DEATH 1. Members First Federal Credit Union account #24013 savings and checking 5,629.36 2. The Patriot News refund of premium 6.45 3. Comcast Cable refund of premium 3.74 4. Verizon refund 0.10 5. US Treasury stimulus payment 449.00 6. US Treasury income tax refund 991.00 7. Diakon Lutheran Social Ministries refunds 143.00 + 52.16 195.16 8. PA Property Settlements, LLC refund of school taxes paid at settlement 1,700.92 9. PA Property Settlements, LLC refund of sewer fees paid at settlement 192.50 _tp, ;Susqu~hanna. Ran'c escrow disbursement 6.24 11. PPL refund 100.75 TOTAL (Also enter on line 5, Recapitulation) S 9 , 2 7 5 . 2 2 (If more space is needed, insert additional sheets of the same size) S~ ___ Issued By: Moneyprem Payment Systems, Inc. st ~ MEMBERS 1 P.O. Box 9476, Minneapolis MN 66480 t)rawae: Boston Safe Deposit & TrusC Company Boston, MA 6-709!110 00 0000341299 FEDERAL CREDIT UNION >~-~- =' DA PE o P.o. l3ox 40 04/22/08 $5,629.36 Mechanicsburg, Pennsylvania 17055 ** Five Thousand Six Hundred Twenty-Nine and 3 6/100 DOLLARS ** pFFICIAL CHECK PAY .Drawer: MEMBERS 1ST FEDERAL CREDIT UNION f O. SIGNATURES REQUIRED FOR CHECK ~ V 52,500.00 THE ESTATE OF JOANNE lv1 HOOK ' TO THE ~ ORDER - CONT LL R OF II 34 L 29911 -~.0 ~ L00709 2~.0 L600 L L30478 2 THEPATRIOT-N'EWS ,re~~loticA:vcHASr;~nNK,N.n. so~r7 0900023209 Attn,; Controller Syracuse, NY z l PO Box 2265 Harrisblarg,PA 171.05 Datc 04/17/2(108 Pad Amount S~**6.45*** ****SIX AND ~15J10~ DOLLARS**** rAY JOANNE„M. HOOK ~b TO THE 256 coNOV Av1~/. ELIZABETHTOWN, PA 1.7022 Au rued Signature ORDER OF Authorized Signature 11'0 9000 2 3 20 911^ ~:0 2 13093?9~: 60 X111879 L5811' TO THE OF2DER OF: JOAN HOOK 5SCRIB'~ER ACCOUNT NUMBER: 09547 219188 Issued by Integrated Payment 5ysrems lna, Englewood, Colorado AUTHOR¢ED:51GK.~TUIZE II^~ ~u ~nqu^ ~_ Ln 20009 79~: 6800 L 594 L00 5 L Lu^ .Q 3}_ h~ R 7t. ~'tj y '~'~ ~ CA ~j cH O ~f1 H H ^ ^ , d x C7 . > y t ~, ~~ rr '~ 1t ~t.* a 0 ~.~,4 ~.- S ~, ;.d..x ~ d . ,,,b x-. ~ n. 4 ; , ~~ _ ~~ ~~4 N ~ y H ~~-! 4 _ _ ~ ` ~ 4 u-F ~~. .Z~. 5 .-i F 4v i 1 LJl . '1r ~~ ~' i ,w •_:N X. ~' `~ y ~:;r'-~- K 616 , 2 6 6, 4 2 0 ~,`'~~'; =~: o„? ` Check No. ~'~ 07 04 08 59 AUSTIN, TEXAS 2309`25503644 ~~ w 2309 25503644 20090900 I30 OHOOK KANS CYSTIMULUS ~ Pay to (~n~~~n~~~~~ni~i~i~u~~n~~~u~~~~~~~t~n~~n~~~~~n~ri~~~~ he order o! :JOANNE HOOK DECD 12/07 ~ LYNN C FITZPATRICK-EXEC 44 1020 N UNION ST $****449*00 MIDDLETON PA 17057.-2158 P.E610NAL CISBOR91NOriiF10ER VOID AFTER ONE YEAR 2008 ECONOMIC STIMULUS PAYMENT ' ''' iij !-11;s;!I_ili Ilia ~ ~ ~l OQ7,_~T~i=~~Ii~~~i1- j 1~s!= ji ~11~ IsI il~~~l;li~l~~ , I IT~~ ~ T~ _~: I'~ 11 Ij~ ih ~I1 il1 _i=r ~ ~~~I~ T-rl tt Ir- I r I ~' 1~ ~i,~~i it IL1 L ~!~sl ~ ~ ~i' ~i i~l~ ill r-}I r 11 ~-. l ice- .~C~_ ' ~ I,~ ' i ~_~ I-LI I_ ~ ih"II'I=~I~ _r~"H !i ~-fY_~li!~1~ ~1 ~!=1~!'iI;~L~-I i.._~ ~"'r ~l~i';l.~ijl=iT~~,i~ !isle i-1-'- -_ - -• ..,~I'«II.111= ,-til~~_i~ ~r ~l i-i= 21=1~r_~-~ x:000000 5 LBO: 25503644 Ln' 040708 ~ooo~ A 5 3 7, 14 5, 1 14 'r;;'~'`t ~~ Check No. _ ' ~~ O6 27 08 11 AUSTIN, TEXAS ~ + ~ 2309 13.11540b 2309 13115406 20090900 I30 ~ OHOOK KANS CYTAX REFUND Pay to ~n1~~~~~~~~~nn~~~i~n~~n~i~ui~~~~iF~~n~n~~~~~~nni~~~~ .;" the order of JOANNE HOOK DECD 12/07 LYNN C FITZPATP.ICK EXEC 06 10.20 N UNION ST $****991*00 MIDDLETON PA 17057-2158 N E:YEAR aeo~oRw eisau2sn+c-gtvicca VOIDAFTER O g N 111,,, L~~~Il~lfs!j~.Lj~~~j~~F'ilii~Q~~~.ii~'j-jj~i~l~~~il~~ll~~l~il ,t 1T ~ ~ ~ i 11 ~~I, s~i-~t~~l~ ~ '"~ ~1 ~ ;fir' -~- ~ _ , I , ~/, T - ) ~ ~ ~ 111 f j , +~ ~ Y `~L~ ~,~' l~ -~-~- L~.~~~- ~~I ; ~~r-fir„ lll~ . ~ ~~ il l I f ii il ~ f i! ~~ li ~l~ 't~il~L~ ~ f ~~I ~~I~ ~ ~~ I 'l = l ~ i sl-.rlsi l lil . I i - .. fi' 2 309~~~n^ ~:C700000 5 LBO: L 3 ~ L 54067u' 040608 DIAKON L UTHERAN SOCIAL MINISTRIES 58~i51 ESTATE OF JOANNE M HOOK 225379 07/17/08 INVOICE NUMBER INVOICE DATE INVOICE DESCRIPTION GROSS AMOUNT DISCOUNT NET AMOUNT 70808 07/08/08 REFUND 143.00 0.00 143.00 143.00 0.00 143.00 DIAKON .L UTHERAN SOCIAL MINISTRIES 58~i51 ESTATE OF JOANNE M HOOK 225379 07/17/08 INVOICE NUMBER INVOICE DATE INVOICE DESCRIPTION ' GROSS AMOUNT DISCOUNT NET AMOUNT. 70808 07/08/08 REFUND 143.00 0.00 143.00 (r'~Q•FIXw~IXXR(1'+~} aH~~~~tlit~)~{~~XFrQ~ iXim(}~, THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER u~(p~~}WHh~~~y~w~}f~~` ~X~~~f~~~~+•~,) DIAKON .L UT~IL~`RAN SOCIAL 1VIINISTRIB~ --- ---, ---- - - wa,cHOVIA sAIVK- --- 960 CENTURYDRII?E 3 50 MECHANIC'SBURG PA 17055 s1o DATE CHECK N0. AMOUNT' ~~ 07/17/0.8 225379 *143.00* ONE H U N D R E D F O RTY-THREE AND 00/ 10 0------------------------------------- Void after 180 days PAY ESTATE OF JOANNE M HOOK 58551 To THE C/O LYNN FITZPATRICK ORDER 256 CONOY AVENUE OF ELIZABETHTOWN PA 17022 ~~mX!~~tXW~h~IX,~d7a3Hi~t~MX1~{X~@~'*d THE BACK OF THIS DOCUMENT CONTAINS AN ARTIFICIAL W 6 2nd signature required over $20,000.00 OLD AT AN ANGLE TO VIEW D~:XIR~Ck~tXk•C}~IXi~k}~W)(W{),gXl~k~~Arv~i; II•n a a ~ ~ `~411^ ~~n ~ lnnn ~n ~~_ ~nnnCl 3[-l[-l 79~R ~,u' DIAKONLUTHERANSOCIAL MINISTRIES C Q [, C 1 ~'C'PZ1 TT7 n>r .TnArTnTF M unnK 228733 08/14/08 INVOICE NUMBER INVOICE DATE INVOICE DESCRIPTION GROSS AMOUNT DISCOUNT NET AMOUNT 80708 08/07/08 REFUND 52.16 0.00 52.16 52.16 0.00 52.16 DIAKON L UTHERAN SOCIAL MINISTRIES SA551 ESTATE OF JOANNE M HOOK 228733 08/14/08 INVOICE'NUMBER ' INVOICE DAl"E _.. INVOIGE.DESCRIPTION GROSS AMOUNT DISCOUNT NET AMOUNT 80708 08/07/08 REFUND 52.16 0.00 52.16 -..w-~- -a -o -- ~jdXW~tXp~~tXN~gXt Q~MXIm(}~MXM~~p1Xh~(yN; THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER ~~IXi«~~Xw~y°~`~~~w~"°~R?°~°St.'~ ' ~, - -- - - _-_ _ __-- r~rrn~Y' 7Qn!'TAl ]IiTT7VTCTRTF,~' WACHOVIARANK 960 CENTURYDRIVE MECHANICSBURG PA77055 3-50 310 .DATE: CHECK NO. AMOUNT 08/14/08 228733 *52.16* FIf=TY-TWO AND 16/100--------------------------------------------------- Void after 180 days i PAY ESTATE OF JOANNE M HOOK. 5855.1 TO THE C/O LYNN FITZPATRICK ORDER 256 CONOY AVENUE OF F ELIZABETHTOWN PA 17022 2nd signature required over $20,000.00 ~~aX!~~~1Xi~~(~'e±Xk~aXk~()~eiXt~w'.tXl~~t THE BACK OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW ?~dX~Q?~XF ~rotXtd~•}oiXta_(}viX1.~Q~gXi.(~.i -- - -- ... ,..- _..-. -. ..-,r-.r, r.-, ~.^ ~nnnn inn nnn n r..^ Z ~. - ;' ~o :; i;, ~~ ~`,~ -d A -;I " < . G ~'' O k '~' ., A ~rTl rn- ~rn3~J `r" " ~om..~ vT~z^C ~ ; -~ tf D of ., 37 "'~ r". f-Y, ~oA3 ~:.. D h G z ~~ U~; ~ 1 ~ ~,; C7 "~ .: o~d~~~~di .ry~C4v ~o s r. s ~~ G9F=~~ e~,: h '•. tt F;~~ } =~ tr.: ~;;' r'- 4°. O :: [ V W W A_. _. _. '-.___._-_--___-__ N '~ I `\ m _~ ``y m D i ~ r 0 .a .: O w r w r .: r, _ rtia rv 0 r O O' R~ rv 0 a D N ,~ 2 D .. i C ` ~ y ~~ m~ D~~T ~ ° m ~ V=~~~t N ~~o~~ Dm~ m ;~ocm cz ~y r r n v a ~. 0 w w m G {f} C" - ~ ~ a5 .ry ~~"" te g . ' h ' ~ a v r ^ O f S f ` ~ G9f.''ac' FS :~ C7 O CJ ~0 t~ Cd -~ Un nu _~ O uu ~- O C7 C] j~ ~] • • n~ .!] ui n~ o ~, °' m ~, o -<: ; `'= ~ m ~` ~o ~ G ~ „ - ,;, - ~ ~ x ~ ~ ~ ~~ Y ;,~ ~ a ~ !~ ~ " e ;,Q ; 3 3. a ~ RlN\5= (~D - Z1 r vi r o B. '- r- H U ~ D f D c~ Z Z m d ~ ~ Ov O ~ ~ ~ -« ~ m Z -n ~+ D ' o ~j s -t O r-' 3 ..a / ~ h ~ ~ -~ N Q ~ Q C ~ = C o . OD~O ~ = Z,:r ~ C DO r .-p, ,,._, m p~ ~ K ~ ~ a r-~ t~ ~ , m "~ .~ , c ~ ~ ~ x ~ m 0 N N i.,. •'~~ ~ t~ ~ ~~w ~~ ~~ ~ j ~~1~~~~'~~ ~ ~ f ~ 1 ~ ~ / y~ a', Z ~ o m 0 ~ p o ~_ N ~ _ en Q7 ~) _ ix O CJ1 00 N -.-. t ;. a~. ~ i n ~ O ro I d d `, ~ _ rn ~ ~ ~ ° ;n ' .~ ~ ~ ~ ~' _~M *~ a, ~z * Q *~ i~ ;a w ~ ~ ~ ~ ~'., Chit ~ ~ j Z D fD N N C7 lD n O a m m ~c DETACH AND RETAIN THIS STATEMENT (~.~-' LOAN CHECK (t lam'' SUSQUEHANNA BANK PA THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW. IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT DESIRED. DESCRIPTION Ol SUSQUEHANNA BANK PA Member FDIC JOANNE M HOOK 3120 MORNINGSIDE DR CAMP HILL PA 17011-5820 Escrow Disbursement/Overpayment Refund Check Reference ##: 5044136 Check .Amount: $**6.24 I ~Susquef ~ann~ ~. o. 10/02/2008 ~~~~ ~ 41-0004718 ISSUED 4Y: MONEVGfiAM PAYMENT.SYSTEMS,INC 5-709.'. F c3.BOX 9416;MINNEAPOL[S,MN 55a80 j~p URH';iE[. ECSTON 5Af~ DEPOSIT&TRUST.CO. acsroN,MassACr+userrs J DATE AMOUNj 10/02/2008 $***6,24 '{ 'PAY ~TOANNE M HOOK TO 3120 MORNLNGSIDE DR Draw usquohanna ik P THE ('AMP HILL PA ].7011.-5820 ORDEH OF c AUTHORIZEa SiGNRTURE II' 4 10004 7 L8n' _~:0 i L00 709 2~:0 i 600 1 2089 L90n' REV-1509 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY OWNED PROPERTY ESTATE OF FILE NUMBER Joanne: M. Hook 21-08-0456 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Lynn C. Fitzpatrick 256 Conoy Avenue E-izabethtown, PA 17022 daughter B. C. JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION Of PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST ~ • A• 2 / 2 2 - Smith Barney Citigroup Global Mkts, Inc. acct 724-03271-19 525 15 , 5 7 9.9 7 50 7 ~ 7 8 9 •9 9 ~ -- 2007 __ TOTAL (Also enter on line 6, Recapitulation) I E 7 ~ 7 8 9 - 9 ~ (If more space is needed, insert additional sheets of the same size) Nov-13-06 Oi:33pm From-Smith Barney 11 North 3rd Street 2nd Flopr Strawberry Square Harrisburg, PA 17101 Tel 717 760 1700 Fox 717 233 2090 Tali Free 800 2371700 111 233 2090 T-207 P.002/002 F-4&1 ~ ~~ smith Barney ~zavember 13, 2008 l~andal i K. Miller Attorney at Law 1255 South Market Street Suite 102 Elizabethtown, PA 1 ?027 SZ.e: Estate of Joanne Hoak C?n February 20`h our office received a letter dated February 14t1i instructing Smith Bamcy to add the name of Lynn C. FitzpahZCk to account 724-43271-19-00$ signed by Joanne Hook, these instructiol~s 1~t~c:re completed on February Z2, ?007. The account held the folloti~~ir~g assets on April 8, 2008: Cash $63.45 1531 _?39 shares oFFranlclin Pennsylvania Tax .hree lncoarxe Eb Class A on 04/08/08, these shares had a value of S 10. ] 3 per share totaling $15516.5. I£wre can be of any futrther service please £eel free to contact txs. Sincerely, Suza hadle Customer Sen~ice Associate for 1-tobert L. Beard Vice Presidem -Wealth h~ianagement Financial Advisor THE Ak3V~/~; SUMri1nRYJPC~ICESlQL+OTES/STAT15rtCS 1-[A~~6 !ti.6'N a1~T.~fNFi) FRhI~( SEMI?RUES u+E BELIEVE TO BE RELIASLF, SUl~ tv~ Cr1tv'NUT GU.'LI:_yNTEE ITS ACCURA('Y" UK CUMPLi;'i 1;NL•SS. PAST PCRFORMANCE I5 i~0 GUARANTEE OF Fl iTt.IRF. RESUL'1S. Citlgroup Global Markets Inc. ThC lnforrnation 521 forth was obtainetl from ~oUr ce5 tvnich we believe reliable but we co not guarantee its accuracy or completeness. Neither the informnlivw nOr qny r, ~~I r.lnn aKpra:;cd com}itu}es ~ :oli~ikn}ion by ux e1 the pur[hese Or :61C Of dny :ECUrit i@5, REV-1511 EX+ (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE: OF FILE NUMBER Joanne M. Hook 21-08-0456 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t ~ Auer Memorial Home and Creation Services, Inc., 4100 Jonestown Road, Harrisburg, PA 17109 1,643.12 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)IEIN Number of Personal Representative(s) _ Street Address City .State Zip Year(s) Commission Paid: 2. Attorney Fees 8,300.00 3. Family Exemption: (tf 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 322.00 5.- - Accountant's Fees _ _ - - 6. Tax Return Preparer's Fees 125.00 ~. Cumberland Law Journal -advertise estate 75.00 s. The Sentinel -advertise estate 150.64 TOTAL (Also enter on line 9, Recapitulation) I $ 10,615.76 (If more space is needed, insert additional sheets of the same size) N~gMORIAL ~~' ~ AVER MEMORIAL HOME A.IVD CREMATION SERVICES INC. c~~~A S1~ N ERV 4100 Jonestown Road • Harrisburg, PA 17109 • 1-800-720-8221 • Fax 717-541-9943 • Shawn E. Carper, Supervisor 280383 MC5 Apr 8, 2008 Ms.. Lynn C. Fitzpatrick 25Ei Conoy Avenue Elizabethtown, PA 17022 Joanne M. Hook - Deceased SPECIAL CHARGES X Direct Cremation $1,395.00 Forwarding Remains Receiving Remains Immediate Burial Nationwide Guarantee Program Worldwide Travel Protection TOTAL SPECIAL CHARGES $1,395.00 PROFESSIONAL SERVICES Services of Funeral Director & Staff Embalming Dressing/Cosmetizing/Casketing Facilities & Staff for Viewing ($200/hour) Facilities & Staff-for Funeral Service Facilities & Staff for Memorial Service Staff & Equipment for .Viewing ($200/hour) Staff & Equipment for Funeral Service Staff & Equipment for Memorial Service Private Family Viewing _. Witnessing the Cremation Packaging/Forwarding of Cremated Rema ns Fersonal Delivery of Cremated Remains Scattering of Cremated Remains TOTAL PROFESSIONAL SERVICES' $0.00 AUTOMOTIVE EQUIPMENT Removal Vehicle Casket Coach Flower Car Lead Car/Clergy Car Service Vehicle Family Car TOTAL AUTOMOTIVE EQUIPMENT $0.00 MERCHANDISE Register Book Memorial Cards Thank You Cards Remembrance Package Casket X Walnut Finish Scattering Urn Alternative Container Outer Burial Container. Veterans Flag Case Grave/Memorial Marker TOTAL MERCHANDISE CASH ADVANCED ITEMS Grave Opening Cemetery Equipment Vault Service Charge Newspaper Notice X Harrisburg Patriot Clergy Church/Organist/Soloist Flowers X Crematory Charge X County Coroner Fee X 10 Certified Copies of Death Certificate TOTAL CA5H ADVANCED ITEM5 SUMMARY OF CHARGES Special Charges Professional Services Automotive Equipment Merchandise Cash Advanced Items SUB TOTAL CREDITS TOTAL AMOUNT PAID Apr 15, 2008 BALANCE DUE $1,395.00 $0.00 $0..00 $125.00 $123.12 $1,643.12 $0.00 1 643.12 ~. $1,643.12 $0.00 $125.00 $123.12 $125.00 $38.12 Included $25.00 $60.00 THIS STATEMENT MAY NOT REFLECT ALL NEWSPAPER CHARGES RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Receipt Date: 4/22/2008 Cumberland County - Register Of Wills Receipt Time: 10:27:08 One Courthouse Square Receipt No.: 1052410 Carlisle, PA 17613 HOOK JOANNE M Estate File No.: 2008-00456 Paid By Remarks: RANDALL K MILLER AJW ------------------------ Receipt Distrib ution ----- -------- ------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 32.00 CUMBERLAND COUNTY GENERAL FUN JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 -------------- CUMBERLAND COUNTY GENERAL FUN Check# 8822 -- $322.00 Total Received......... $322.00 r Bor~eman & Babb CERTIIETED PUBLIC ACCOUNTANTS 710 Bridge Street New Cumberland, PA 17070 Phone: (717) 774-8129 INVOICE BILI: TO Joanne Hook 1020 N Union Street Middletown, PA 17057 DATE INVOICE # 4/7/2008 801502 ~ I TERMS ._ __ ~ Due on receipt ~ DESCRIPTION QTY RATE AMOUNT 2007 FEDERAL INCOME TAX RETURN 95.00 95.00 Schedule E -Supplemental Income & Loss 20.00 20.00 Schedule R -Credit for the Elderly or Disabled 5.00 5.00 PA 40 -PENNSYLVANIA STATE RETURN 25.00 25.00 I PA Schedule SP -Special Tax Forgiveness 5.00 5.00 Fee Reduction -Current Year Only ESTATE OF JOANNE M HOOK oa-oe LYNN C FITZPATRICK EXEC June 2 to One hundred twent -five Susquehanna .Susquehanna Bank PA wwwsusq ehenna.net For C x:03 1309 1 23~: `J 100046 6 24 2 u' 0 i i i -25.00 I -25.00 111 2 0 0 60-912/313 BDate __.-_~ - ~ _ 12 5.0 0 Dollars ~ Ft:;~;;, t oa.o. o~ a.~w. Total $125.00 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 June 6, 2008 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Randall K. Miller., Esquire Joanne M. Hook Estate RE: Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on the following dates: May 23, May 30, and June 6, 2008 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 0 .00 - Total Amount-Due - - $ 75.00 _ - ESTATE OF JOANNE M HOOK oa-oa LYNN C FITZPATRICK EXEC June 11 , 20Q~}ite Pay to thE~umberland Lana Journal Order of _ ~ ~ 7 5.0 0 Seventy-five and no Dollars 8 F~~~°~~~. ' ~:~.°. Susqua_hanna Susquehanna Bank PA wwwsusquehanna.net 115 66-912/313 13 For ~..~ ~~n~i:~ngLa~~~ innn~c~a~a 1~~ n11~ RETAIN THIS PORTION FOR YOUR RECORDS TH]3 SENTINEL - LEGAL RANDALL K. MILLER P.O. BOX 130, CARLISLE, PA 17013 AD NUMBER CLASS SALESPERSON BILLING DATE LINES 349063 10 PUBLIC NOTICES wolfs 05/28/08 36 * 2 AD DESCRIPTION START DATE STOP DATE EXECUTRIX NOTICE LETTERS TESTAMENT 05/14/08 05/28/08 PUBLICATION INSERTIONS RATE NET AMOUNT GROSS AMOUNT 3 THE SENTINEL - LEGAL 3 LGL 143.64 'I.'OTAL AD CHARGE 14 3 . 6 4 3 PROOF OF PUBLICATION OlPRF 7.00 DAY!i RUN PURCHASE ORDER Est.JoanneHook MESSAGE: Thank: you f o Deadlines fo 11 a.m.; Tue. Thursday is is Thursday , I f you have Tammy Shoema; Fax your leg. You c:an also Plea~le send PAY THIS AMOUNT ~ 150.64 1$0.77* 116 ESTATE OF JOANNE M HOOK oa-o8 LYNN C FIT2PATRICK EXEC so-s12is13 13 June 11 , 2008Date Pay to the The Sentinel - legal ~ $ 150 .64 Order of One hundred f i f t and 64/ 100 ollars 8 ~sR;:YO~ .7usquehannQ Susquehanna Bank PA wwwsusquehanna.net J ~/~~ For Cl~a~,~~~r°"'.._-~ _...I~-- • 42 -' 0LL6 ~:03L309L23~. L0004662 GUARDIAN SAFETY®BLUE Harlantl Clarke DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT THE SENTINEL -LEGAL Est . Joannexook ranv w•~n nnn~ ~c~~ r nn n~nnz om ent __ 0 __ 349063 PUBLIC NOTICES 05/14/08 05/28/08 GROSS AMOUNT OF AD DESCRIPTION BILLING DATE TELEPHONE NUMBER ~ $Q 77 EXECUTRIX NOTICE LETTERS TESTAMENT 05/28/08 717-361-8524 DUE AFTER 06/27/08 RANDALL K. MILLER 1255 SOUTH MARKET ST. ELIZABETHTOWN, PA 17022 Itt~lllu~lll~~~~~l~lt~l~llnl~l TOTAL AMOUNT DUE 150.64 ENTER AMOUNT ENCLOSED ~ .. .. .. .. .. .. .. .. .. .. ... .. ~.. ..nnnnnnnnn nnnnn~ nnnnnhAA/~'1 CnLn'I REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDI~LE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8~ LIENS ESTATE: OF FILE NUMBER Joanne M/ Hook 21-08-0456 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. iTEfd NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1~ Susquehanna Bank mortgage payments on acct# 5044136 - 300.95 X 5 1,504.75 2. Lower Allen Township sewer and trash 367.50 3. PPL 644.35 4. Continuing Care Rx 88.75 5. Health Network Labs 244.20 6. Bonnie K. Miller, Tax Collector 2,497.61 7. PA American Water 91.3 0 ; 8. Schilling Appraisals -appraise real estate 500.00 9. Frey Village 1,944.23 10. Nationwide Mutual Fire Insurance Company -homeowners' insurance 397.00 11. ABBIS Lawncare 134.20+95.40+95.40+ 3 2 5 .0 0 12. Oxygen Qualifying Services 53.52 13., York Waste Disposal - remove trash from property 481.76 14. Paul Niemiec - lawn care until settlement of proper y 200.00 TOTAL (Also enter on line 10, Recapitulation) ; 9 , 3 3 9.9 7 (If more space is needed, insert additional sheets of the same size) PAYMENT# 172 ACCOUNT#0000000005044136. DUE DATE JOANNE M HOOK FOR AN ADDRESS CHANGE OR PAYOFF INFORMATION' CALL 1-800-31.1-3182. SUSQUEHANNA BANK RA PO BOX 2010 Real Estate Loan LITITZ, PA 17543 AMOUNT DUE I May 1 08 300.95 Additional Principal & Additional Escrow S Other $ Amount Enclosed 501030980 00000504413 08 00000030095 2 ~: 50 LO 30 980: 000000000 50 4 4 i 3 611' 08 Name Estate of Joanne. M. Hook 101 Account No ~bbb~-/l~oCo~1~~~I Date 4-23-0$ so-sizis13 Pay to the Orderaf Susquehanna. Bank, PA I $ 300.95 Three hundred and 95/100 ~°~~° Dollars 8 ~..... ,SuSQueh(,~nnQ Susquehanna Bank PA wwwsusqueAsnne.net For ..._C:~ 7~G~~~~~~' ~:0 3 13 0 9 L 2 3 ~: PAYMENT# 173 ACCOUNT#0000000005044136 DUE DATE AMOUNT DUE JOANNE MHOOK --- _ -- )un 1 08 300.95 fOR AN ADDRESS CHANGE OR PAYOFF MFORMATION CALL 1-800-311-3182. Additional Principal. S SUSQUEHANNA BANK PA _ Additional Escrow S PO BOX 2010 Real Estate Loan Other g LITITZ, PA 17543 Amount Enclosed ,r~QD . 4 S 501030980 00000504413 08 ODD00030095 2 1:50 10309801: 0000000005044 L 36-~' 08 ESTATE OF JOANNE M .HOOK LYNN C FITZPATRICK EXEC Pay to the ~ ~~ ~ ~ Order of oa-oa 109 p 60-912/313 5 _d' O ~ QO i3 Date Dollars 8 0:~:,~„~ 8.<k ,Susquehanna Susquehanna Bank PA wwwsusquehanne.neti For __~--~~~~'/ _..~.~r-~2~ 1:0313091231: 1000466242 ~i' 0109 PAYMENT.# 174 ACCOUNT#0000000005044136 DUE DATE AMOUNT DUE JOANNE M HOOK )ul 1 08 300.95 FOR AN ADDRESS CHANGE OR PAYOFF MFORMATION CA{.4 1-800-311-3182. Additional Principal S SUSQUEHANNA BANK PA Additional Escrow S PO BOX 201:0 Rea! Estate Loan 'Other 5 ~~ LITI7Z, PA .1:7543 Amount Enclosed D~.J I 501030980 00000504413 08 00000030095 2 x:50 i030980~: 0000000005044136~i' 08 E5TATE OF JOANNE M HOOK oa-oe 119 LYNN C F{TZPATR{CK EXEC ' so-sivaia June 2 3 , 2008 Date tia ~ Pay to theSus uehanna Bank P.A f $ 300.95 Order of q Three hundred and 95/100 Dollars ~ ~~~~_'~~ SUSG~Ue~'lUtlYlGt Susquehanna Bank PA warvvsusquehanna.net For ~i D ''t' ~ ~ ~ ~o -~.``~~ C~~`- • ~• 466 24 2 ~~' O L L9 ~.0 3 ~ 309 L 2 3. 1000 GUA DIAN SAFETY®BLU- HaAanE CIeMe - - PAYMENT# 175 :ACCOUNT #V000000005044136 DUE DATE AMOUNT DUE JOANNE M HOOK :Aug i 08 300.95 FOR AN ADDRESS CHANGE OR PAYOFF INFORMATION CALL 1-800-311-3182. Additional Principal $ SUSQUEHANNA BANK PA Additional Escrow S PO'BOX 2010 Real. Estate Loan Other $ LITITZ, PA 17543 Amount Enclosed .ICJ ~ ~ 9S 501030980 00000504413 08 00000030095 2 x:50 L030980~: 0000000005044 L 36i~' 08 123 ESTATE OF JOANNE M HOOK o4-oB .LYNN G FITZPATRICK EXEC so-srel313 l3 07-11-08 Date Pay to the uehanna Bank I $ ?00.95 Order of Susq 5 100 Dollars 8 "'~~'_~~ Three hundred and 9 / ~«° ~USRuehpnna Susquehanna Bank PA wwwsusquehenne.net /~-~~C-~ For G ~:03L309~23~: X000466242 ~~' 0L23 GUARDIAN SAFE ®B~UE~ PAYMENT# 176 ACCOUNT#00000000060441.36 DUE DATE AMOUNT DUE JOANNE M HOOK .Sep 1 OS 300.95 FOR AN ADDRESS CHANGE OR PAYOFF INFORMATION CALL 1-800=311-5182. AdditionaF Principal S SUSQl1ENANNA BANK PA Additional Escrow S PO BOX 2010 Rea{ Estate loan other s LITITZ, PA 17543 - Amount Enclosed 501030980 00000504413 08 00000030095 2 I:50 i0 3098011: 000000000 5044 L 3611' 08 ESTATE OF JOANNE NI HOOK oa-os ~ 28 4 LYNN C FITZPATRICK EXEC so-sizts~s . 8-22-08 Date 13 Pay to the Susquehanna Bank ' $ 300.95 Order of ~ Dollars 8 0~;:°'^~ ~raP h~inrlrarl and-9._ri/1CL ,;~R'°° Sus'RuehQnna Susquehanna Bank PA f ~ wwwsusquehenna.net 1 For • l~~ of 2 8 I 1.0.3 l 30.9 L 2 31. L000466 24 24 i GUAq IANGA.'~::SdLUE- LOWER ALLEN TOWNSHIP 1993 HUMMEL AVENUE Telephone CAMP HILL, PA 17011 717-975-7575 ACCOUNT NO. BILLING DATL 7L100440-0 04/01/08 tiFHVI(:F 01)17HFtiSi 312Q MORNINGSIDE DR BILLING PERIOD 04/01/08 - 06/30/08 SEWEq RLPU5E CURRENT 64.00 CURRENT 111 . o0 ARREARS ARREARS PENALTY PENALTY ADJUSTMENTS ADJUSTMENTS Total Total Sewer 64.00 Refuse 111.00 DUE DATE • • • 05/01/08 175.00 A 10% Penalty on Sewer AND a 10% Penalty on Refuse are added if full payment is NOT made within 30 Days of the Billiing Date. Adjustrrlents include Lien Fees, NSF charges, etc. LOWER ALLEN TOWNSHIP 1993 HUMMEL AVENUE CAMP HILL, PA 17011 Please Return This Stub with Payment ACCOUNT NUMBER 1100440-0 SI=RVICE ADF)RESS 3120 MORNINGSIDE DR AMOUNT DUE BY os/o1/o8 175.00 AMOUNT DUE AFTER o 5/01/08 192.50 TOTAL AMOUNT PAID > ' ~ ~" ~ Mail To: -+- JOANNE M . HOOi~ 3120 MORNINGSIDE DR CAMP HILL PA 17011 Estate of Joanne M. Hook 102 Name 60-912/313 Account No j D C L ~-I l~~r+a-~-l 2-L( Date 4- 2 3 -0 8 13 Paytothe Lower A11en Township ($ 175.00 `- Order of ~: ollars ~ One hundred sevent -five SUS~L7e~1at711A - Susquehanna Bank Pn wwwsusquehenna.net For ~:03L309L23~: OC'larkt.AmsAtun GUPHUln~Snf~clr ei~c ..o~ 0 0 o i r . ~ N r~ r~ ~ C ~ Q ~ l0 CO ~ N r1 ~'+ r~_ ~k N Z ~ ~r W to _ (~ r 3 m . rn ~ 0 ~ o ~ ~~d 3 n O O ~ Z m ~ W S J y ~ W o \ \ ~ Y Q ~ r1 D Oza Q~ a C ~ ~ ~ Z O O Z .j3 - . ~ ~ Q ~ >W M U Q o '~ N ~ 0 •f- >- w O Z W r Q ~ O N y '~ ~ i J Z ~ a J ~~ J N = Q D ~ Q oo a ~ z ~, o ~ ~ ~ F ~ a ~ ~. ESTATE OF JOANNE M HOOK oa-os LYNN. C FITZPATRICK EXEC 8-22-08 129 60-912/313 13 Date Orde~of e Lower Allen Township ~ ~ 192.50 One hundred ninety-two and 50/100 Dollars ~ F°;~:'ea ~:~~"~, Susquehanna. Susquehanna Bank PA wwwsusquehenna.net For x:03 1309 1 2 3~: X000466 24 2 ii' 0 i 2~ Keturn this part to address below with a check payable to Yi'L Electric Utilities Corporation ~" 13~ A~czs#s~ Net 04330-74045 AV 01 012425 948348 63 A**5DGT JOANNE M HOOK 3120 MORNIIVGSIDE D 2FL CAMP HILL PA 17011-58 {~u{~~n~~{{unn~~ui~~i~~~~~n~ui~~~~~nmf~~~~nn~~~~~ P~a~o:~,~r '.. :.<_<__.. Y 'f'lits AeuefNict . _. ?: May 7, 2008 $106.28 Amount Enclosed (~ ~I PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-GENNI ALLENTOWN PA 18101-1175 1 7400001D6284000010628^ 0433074045 Return this part to address below with a check payable to PPL Electric Utilifies Corporation ;: ~'-Accosi~tttl~npRfjct 04130-74003 AV 01 012424 946348 63 A*`5DGT JOANNE M HOOK 3120 MORNING5IDE D 1 FL CAMP HILL PA 17011-5 May 7, 2008 $160.68 Amount Enclosed PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-GENNI ALLENTOVJN PA 1 51 01-1 1 75 L~~116~JII~~~~~~IL~~If~I~I~I~~I~~~I~III~~t~~611L~~~~ll~l 1 77-000D160681DOD0160684 04],30740D3 Name Estate of Joanne M_ unnlr 105 .Account No--~pb~ a~~ Date MaY 6, 2008 _ ta- Paytothe~PL Electric Utilities Corporation I $ ` 266.96. Order o£ Two hundred sixty s' x and 9f f 1 (10 Dollars 6 ~. Sus'pjuehanna' Susquehanna Bank. PA wwwsusquehenna.net For ~ ~~c~ L~'EC ~~..r, _ _-- .,~ ~:03'L309 L 23~: GUAFOIAh1®SAFETY BLUE Y OC'k~ke American Return this part to address below with a check payable to PPL Electric Litilities Corporation ~OIIC~A[~3 AC~OF![1f ~IC1t111:}Gl _. ~ -: P3ea5t~.Ira '~ ~ ~~ pd ~'"T~ttIS#~131A11I3t 04130-74003 Jun 5, 2008 $127.70 Amount Enclosed AV 01 011667 027488 64 A"5DGT JOANNE M HOOK ~ a ~ ~ 3120 iVIORNINGSIDE DR 1FL • CAMP HILL PA 1701 I-5820 PPL ELECTRIC CITILITIES 2 NORTH 9TH STREET RPC-GENNI ALLENTOWN PA 18101-1175 ~u[~~~uF~~~[nFn~~[n~~F~[~[~n~u[~[~~~nni~[~~~ntu~~-~ 1 72000012770200DD127704 0413074003 ESTATE OF JOANNE M HOOK oa-os 112 LYNN C FITZPATRICK EXEC 60-912/313 June 2, 2008 13 Date ' Pay to the Order of PPL ~ ~ 12 7.7 0 One .hundred twenty-seven and 70/100 F•~;~~;; Dollars ~ ~; ~~: •. Susquehanna Susquehanna Bank PA wwwsusquehenne.net For ~ _ ~~~---~~ ~~1~ "~~' " ~:03i309123~: 1000466242 ii' 011~ PPL Electric Utilities Electric Service For: JOANNE M HOOK 3120 MORNINGSIDE DR 2FL CAMP H[LL PA 17011 Questions about this bill? Please contact us by Jun 5 at 1-800-342-5775 (1-800-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric_com Ele Use This p helps your e Types Meter Actual Estimc Custor / 1 1 ^ ~':''~''+'.-' Page ] :~-_~_ pp ~~ Y~~B31E,t~cnr~ntN~mbe~ '''' 04330 74045 ., n E_lac " iao:calf ' vewriti Summary Page ESTATE OF JOANNE M HOOK LYNN C FITZPATRICK EXEC Pay to the PPL Order of oa-os 114 J u n_e 2, 21L~ 8 Date 60-912/313 13 51.57 Dollars ~ ~;~,"~. ~~ Fi ft~ nnP and 57/1 (l0 """ Susquehanna .Susquehanna Bank PA NnyWSUSquehanna.net - ~:0 3 L 309 L 2 3~: LD00466 24 4~-' 0 L L4 'y Other important information on back ~ -------------------------------- ----------------------------------------------------- -------- ----------------- -------- ------ ------- _ _ _ _. - -Return this-part to address below with a check payable to PPL Electric Utilities Corporation - Yotii AEO Ac~oilyt Nau>3 04330-74045 AV 01 011672 027488 64 A"SDGT JOANNE M HOOK 3120 MORNINGSIDE DR 2FL CAMP HILL PA 17011-5820 PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-CrENNI ALLENTOWNPA 18101-1175 ~nl~~~nl~~~ului~~ul~~l~l~l~u~ul~l~~~unl~l~~~nul~~t~ 1 520000051572000005157D D433074045 xeturn tens par[ to aaaresS below w>tn a checK payable io YYL blectnc Unl>ttes l;orporatton ~:~i}]. Ac~OVi~C Nw~EF 04130-74003 AV 01 013065 108376 64 A`•5DGT JOANNE M HOOK 3120 MORNINGSIDE DR 1FL CAMP HILL PA 17011-5820 ~ut~~~ni~~~uuu~~tu~~l~t~t~n~tts~~~~~nn~~~~~~unr;~~t~ ~asc Fa ~ ~ T.`` Tlics {imQul Sul 7, 2008 $105.81 Amount Enclosed o ^ a. o ®o. ~- o PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-GENN 1 ALLENTOWN PA 18101-1175 1 19DDDD105819D000105814 0413D740D3 Return this part to address below with a check payable to PPL Electric Utilities Corporation ~`~ &r~l 1~cCOtlt~.1\itr>tt~c~ 04330-74045 AV 01 013066 108378 64 A**5DGT JOANNE M HOOK 3120 MORNINGSIDE DR 2FL CAMP HILL PA 17011-5820 ~~ Fl~ey~e Ida $ P:i `_3~iss A~,aQsi,E Jul 7, 2008 $34.49 Amount Enclosed PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-GENNl ALLENTOWNPA 18101-1175 ~nl~~~m~~~unn~~n~~~~~l~i~u~m~~~~~un~~~~~~un~~~~~ 1 310DOOD34491DOODD34490 0433D74045 ESTATE OF JOANNE M HOOK oa-os :LYNN C FITZPATRICK EXEC 122 7-08-08 D t 60-912/313 13 ae Order-0f PL Electric Utlit_esR__Irlc.__ -_ ___~ $ _1.4.0.3.0 __ nnA 1„~nr3rAr3 fort~an~ 301-~0* ollars ~ `~~~~:~~ ~:~.. Susquehanna .:Susquehanna Bank PA wwwsusquehanne,net For ~~~ ~• 23~: L000466 24..2 i~' 0 i 2 2 .03~309L SAiET Y®9U PPL Electric Utilities Electric Service For: JOANNE M HOOK 3120 MORNINGSIDE DR 2FL CAMP HILL PA 17011 Questions about this bill? Please contact us by Aug 6 at 1-800-342-5775 (1-800-DIAL-PPL) or write to- E: U Thi hel ,yoi 1V1F Ac Est Cu; Customer Service 827 Hausman Rd. Alh"+,,., n n 182. ww ESTATE OF JOANNE M HOOK oa-os LYNN C FITZPATRICK EXEC 126 60-912/313 7-31-08 Date 13 Pay to the PPL Electric Utilities Order of ~ $ 18.3 4 F.i ghteen and 34/1 n0 Dollars 8 `~~~~°~ ~:~c": Susquehanna Susquehanna Bank PA wwwsusq uehenna.net For ~~~~_~~~~ x:03 1309 L 23~: L000466 24 2 ~~' 01 26 Gl1AROlAN SAFFTYEC RII ~1 i90 i05 85 X13 a urea 2007 Months 2008 Other important information on back ~ - _ - Keturn this part to ad ress IieIow w><~ a check payable to PPL Electric ~[Jtilities Corporation __ ': > '~4tic_1#tT1 l~cc§iM ~1r~1:........: ::: Flea~e.;~a 1'a ;Thin AiaQtu;t 04330-74045 Aug 6, 2008 $18.34 Amount Enclosed AV 01 017436 198246 84 A"'5DGT ^ ^ a' ^ JOANNE M HOOK 3120 MORNINGSIDE DR 2FL ~~ff CAMP HILL PA 1 70 1 1-5820 PPL ELECTRIC UIILII'IES 2 NORTH 9TH STREET RPC-GENNI ALLENTOWN PA 18101-1175 ~m~~~n~~~~n~u~~~m~~~~~~~~n~u~~~~~~uu~~~~~~nu~~~~~ 1 76000^01834600^^01834^ 0433074045 ~. ;.:: , '~~~~...;.'°.~' Page 1 + .- p p :=~ _ :: Y~tirBfll A~Gtiiu~tlltimfsfz '~~' .04330 74045 '~..,: Summary Page Balance as of Jul 16, 2008 $0.00 Char es: Tota~PL ELECTRIC UTILITIES Charges $18.34 Total Charges $18.34 ::. Account Balance ,~ ,~,. $18.34 :~: '`::-•%:: ;- Page l ' PPL Electric ;:-- ..__ ;~: - pp YaucBl:Accd~ii~Nutftbex Utilities . `'" 04330 74045 -FT~e ~ ~a ~a 1 ~i,~ ~stua Electric Summary Page Service Balance as of Aug 14, 2008 $0.00 For: Char es: JOANNE M Hoox - Tota~PL ELECTRIC UTILITIES Charges $14.61 3120 MORNINGSIDE DR 2FL ' CAMP HILL PA 17011 Total Charges $14.61 ... :: Account Balance $14.61 Questions about this bill? .Please contact us by Sep 4 at 1-800-342-5775 (1-800-DIAL-PPL) .. or write to: , Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com E>,_ L -- ~ L 131 ESTATE OF JOANNE M HOOK oa-os 642 LYNN C FITZPATRICK EXEC 60-912/313 590 TlJ 9-3-2008 13 Date 52 Yo` ovi me ~ pay to the PPL Electric Utilities ~ ~ 14.61 Order of Ty .~~,,, Fourteen and 61 100 F Dollars ~ ~;~,°l.a~ Ac; thly 57' Susquehanna Bank PA Est ~ Susquehanna wwwsusquehanna.net Cu; ~ ~ I^~/ G,-C _ For x:03 L309 L n' O~L 3 L 23~: L000466 24 _ GUARDIAN AFETY®BLU HerlarW Clarke Other important information on back '~ . ~ u ~..,.,...., ~........., ., -r~-------- - __ Y;wb%:~tTk ~#vtt.N:aiiit~~~ ~ ~~ ~ lsa~ his t3.mQi~t 04330-74045 Sep 4, 2008 $14.61 Amount Enclosed AV 01 011779 272238 59 A**5D6T ~ ~ ~r o a a. ® o JOANNE M HOOK 31 ZO MORNINGSIDE DR 2FL CAMP HILL PA 17011-5820 PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC~ENN1 ALLENTOWN PA 18101-1175 ~n~~~~n~~~~nnn~~u~~~~~i~~~ir~u~~~~~~nni~~~~~nu~~~i~ 1 3300000146130000014610 0433074045 ` Return this part to address below with a check payable to PPL Electric Utilities Corporation Y oitt:~ll pccaurtl`Itunbcr 04330-74045 AV 03 012798 428866106 A""5DGT JOANNE M HOOK %LYNN FITZPATRICK 2S6 CONOY AVE ELIZABETHTOWNPA 17022-1400 -Plca~ pa~+t I3 Pa TIi5 Ptinotiik Oct 22, 2008 $24.87 A[rx~unt Enclosed ^^a~ooo.~o PPL ELECTRIC [ICILITIES 2 NORTH 9TH STREET RPC-GENNI ALLENTO WN PA 18101-1175 II'I~~Il~l~ll~tll'~~Ilttt~~~~{'II1~1IIII~1~1'~Itt~t~~tttll~~tf{It 1 3200000248720080024870 0433074045 ;e aalnias zauto;sna [[ea io u[oa'gan+ldd~nnnnnn ;e alnpagas a~eiino~ main -;uauodu[oa ll~q ~Cq ~C[en ~Ceru a~~e[{osns aqZ ~[[!q mo~C u~ papnl:xt~ Saxe; a;~;s snouen u[ saSa¢[la;aa8ai o; sa;ei au;gala uo `;ipaia e io `aS~ei{a d - a~~eya~nS ;uau[;sn[p~+ xe1, a;s;g ~asn e(;~iaua ;sed ,...,. r -,...~ __. .., _. _ _ .,,. _~,.<,..._a_.,~~.. .._.,,....,.-. ...... .........., .,.,r .....,._ ... ~.._....._.,. ESTATE OF JOANNE M HOOK oa-os 136 € LYNN C FITZPATRICK EXEC so-s~2r3i3 ~ 10-15-08 Date 's ~ Pay to the PPL Order of ~ 2 4.8 7 o:: ,,~e ~ Twenty-four and 87 Dollars ~ ! B~c4. Susquehanna Susquehanna Bank PA wwwsusquehenne.net For ._c~~%~`~~~~._.1~~' ~' 00466 24 2 i~' O L 36 t.0 3130 L 2 3 . L• ,... .. f ~ t.,: a ... .. '.: 4S ., 4 ,_ , ~:' C~' 'c. +.: ~ i ';. '.3s f:? M} 'i ` G :1. i? i : [!1 :. ~: Fl ? ;:d ~:~ fiY F? Yl 'G _. f .: -.. , I . {.,.., ;..,, 1,...T. ;... .1 .., .. , ,.:. . .:... ... ._ ... ...: ": i~~.. ..._.. ~ ... ~. ._. . ,.i , , ..,. . ,.. .. ~ S .. .._. .... ..: ~....~1f.... ~l~ i'i I~:I.t... I~t {: C {:? i j E 3 #: ~~ : .M. {.i f'j (y}:~..s.i•;~? ~ 1 F ~~' I ~_ l::.Y'1 ii :i. Y'Y C.~ La .=i .~. c:l ll i. L•? i i Tt [t ~ 1 Y"t j: E: 3': C:.~ C"s ~; t? C~ E3 ' . !=aY ~' lY I ESTATE OF JOANNE M HOOK oa-os 1A1 LYNN C FITZPATRICK EXEC 60-912!313 Maur Fi F 2008.. Date 13 Pay to the Continuin Care. RX ~ $ 87.59 Order of g F i ~h f-T_c a~rr~ n a n r~ ~U / ~~ (1 ollars LI o" ~~C Susquehanna s~sq~ena~,a Bask Pn wwwsusquehanna:net ~_ .For _._ ~ ~!~'Yc~.~ ~.03i1309L23~. 1000466242 OLOL u.nnm ~inr4. UARDIAN SAFETV® BLUE ~_~ t~.! 1.. is .Y' c;: ~: _.~ :.:..•r .v rr ~.~ t:1 t: is t£? ~". F1 '~~ ~~,`•:e ~#: ~3f~ : r:i 1~ ,~ .~, f~ #.'1~ e~1 ~ +::i ~s. ?f`t~ iy ._) f,f Y}'~< tli=. .#, j..:`i_r`{~•.;~...: i•::i'i~ ... i•-j''-:~~4i'•(~`:{x~. tit ~}.i3...l i`';! c^~i:.i~:i t.~1 :~['S3 'Y f=:tip+x t.. ., ..... _ {t ,: ..+f _ , t 7 ... t::! .. ,ti ~ . i : .. .., :: ....1.. ~.... ..1' ;'} 3:...~.. ~ + t ., y •i r~! + f7 t ? 1 ~, ?~•:2~ . rz : <:P.._4•:: •.a !+. :.tW ~_~. •; 4'l.~ rvX' : 2~.t~ s ~"t~::. :..»..t i ~'; lt•7.~.'._i.... i-%<;.y_. {:':.fk%'i ;..'{%~`•': ;_ r:{~°. 1'._~. ~ ! :::+; i ~:_t"1.~~.i.,.. ~1.1"' E '•,+ :l t? i.!~'.~. ?'{ ct ~. c3'f'3 C: r? i:=i `t . ~: / z,! _. _~ % :_Si:~ I ,,11::~ .~.: •kr1:;d 9 ,~'!:R~~t1i ~ ~'`tGi'!°~•`;3::~•';..~.. „_. ";"~"#;=1~'•`~''` :' iif .% ~~!'. ~"!~r-- ~- .... - ESTATE OF JOANNE M HOOK oa-oa 120 LYNN C FITZPATRICK EXEC 6-26-~8 60-912/313 Date Pay to the Order of Continuing Care RX ~ 1.16 Lars Q s :~~;:: .7usque//a~]nQ Susquehanna Bank PA wwwsusquehanna.net ` For x:03 1309 i 23~: 1000466 24 2 ~ ~~~6~. ~ - ~~~ 1 20 ...-•.x r .•.y. 113 i.._,.., ...._-i ,C~ _'d. { ..r. .~"•t i' _L. ..~.i" - "r i:. •";!' s-t. •~ •.... s~•.... ._ ~.J ~K •..t ~., {^s ..._:.... t a. ~ •s s•~t a. _. _.t t.: _: t . _.f ri.,::. / ,~. .~. . •._r,.i _ _~-?~. ~ .,c <` {'-'tt~ ~'f-<i'i'Ei' ~~:ul (.~'--'t ,„ ~. ;;. ~+._._t;-l. }' ~:a. C. s. ,:. .. ~.:.---1:°-,.+' ... :r-- _ - _- _ - f"~::`1ri 7: ~f: •L f.1: ~.4..#t`a1 .S. 1.4~~.~~•'d 5;% v~t~'~!i'i ~':: id ii ./' r' `_~ e-;L E._ ~'.: 1',i . ;..tv`1t'`b x:; L_. s'.C.•' ~.-tt_` a :~ t:. 7. '>_i .! * { T_. ^t. { } "! i .1. - 1 l ~ .: 1' !`• .t. .~.,. is .., .. _ !`' i ~ e.. { f t,t ! t t~. ~~- . :'. 'v. ~ i.}!.l.l. ~. .i:~. ,_(.t:{. S. a ~` t t•!:fFli:) 9, ;~f 2, ~~ f7>W' ~. iii t•!+::i ~.. % 1.. 1. ,_6 Health Network LABORATORIES 2024 LEHIGH STREET ALLENTOWN, PA 18103 Toll Free: (866) 530-0809 Phone: (610) 530-0809 Fax: (610) 530-9811 Tax ID: 23-2948774 Patient Name: JOANNE M HOOK ADDRESSEE: 0400-63 JOANNE M HOOK FREY VILLAGE EAST 1020 N UNION ST MIDDLETOWN PA 17057-2158 IF PAYING BY VISA OR NASTERCARD, FILL OUT BELOW OVISn ~~ uMASTENCARU CARD NUINEA AMOINT SgNATVRE E%P. DATE ~~STATE~jI~`~tTaATE -~ ~_PAYTHISAMOUNT__. ~ ..-,'~A000UNT.NO.,~~`~ 03/10/2008 $55.64 182L167085-0 CHARGES AND CREDITS MADE AFTER STATEMENT SHOW AMOUNT ~~ ~ / DATE WILL APPEAR ON NEXT STATEMENT. PAID HERE J , l0 ~ MAKE CHECKS PAYABLE /REMIT TO: ~ ~n~~~~i~nnl~~~n~~~~~~1~~1n~~nl~~ruu~~~~~~~~f~~~n~~i~~ HEALTH NETWORK LABORATORIES P 0 80X 501986 PHILADELPHIA, PA 19175-1986 ^ Please check box if above address is incorrect or insurance ~ PLEASE DETACH AND RETURN TOP PORTION WITH information has changed, and indicate change(s) on reverse side. YOUR PAYMENT IN ENCLOSED ENVELOPE Health Network Lr1130KATORILS 2024 LEHIGH STREET ALLENTOWN, PA 18103 Toll Free.: (866) 530-0809 Phone: (610) 530-0809 Fax: (610) 530-9811 Tax ID: 23-2948774 Patient Name: JOANNE M HOOK ADDRESSEE: 0400-30 JOANNE M HOOK FREY VILLAGE EAST 1020 N UNION ST MIDDLETOWN PA 17057-2158 ^ Please check hox if above address is incorrect or insurance Information has changed, and indicate change(s) on reverse side. IF PAYING BY VISA OR MASTERCARD, FILL OUT BELOW r~ Ir~~r LJVIS/~ L.~ ^MAS (ERCARU ~_I CFRD NUMNER AMOUNT $IDNATURE E%P. DA fE -~ ' STA7E~N'~ FATE ,?~ PAY TH15 i4MaUjJ7 = ~ x ;' i4GCCIUNY' NQ.-' `_ 03/21/2008 $55.39 182L135346-0 CHARGES AND CREDITS MADE AFTER STATEMENT SHOW AMOUNT ~~~. DATE WILL APPEAR ON NEXT STATEMENT. PAID HERE ~ MAKE CHECKS PAYABLE / REMIT TO: ~~ ~u~~~~~~un~~~~ni~I~E~~~~nT~~n~~~nnn~~~~t~~1~~~n~~~~~ HEALTH NETWORK LABORATORIES P 0 BOX 501986 PHILADELPHIA, PA 19175-1986 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT IN ENCLOSED ENVELOPE ESTATE OF JOANNE M HOOK oa-o6 102 LYNN C FITZPATRICK EXEC so-s1v313 2008 13 May 6 , Date Pay to the Health Network Laboratories ~ $ 111.03 Order of nnP hand rPr~ P1 even and 03/1.A0 Dollars ~ D.~al~e un ~«. Susquehanna Susquehanna Bank PA vAnwsusquehanna.net Fnr ~:03L309123~: 66242 II' OL02 110004 Health Network I_ABORATORI ES 2024 LEHIGH STREET ALLENTOWN, PA 18103 Toll Freel: (866) 530-0809 Phone:.(610) 530-0809 Fax: (610) 530-9811 Tax ID: 23-2948774 Patient Name: JOANNE M HOOK ADDRESSEE: oaoo-~s JOANNE M HOOK FREY VILLAGE EAST 1020 N UNION ST MIDDLETOWN PA 17057-2158 Please check box if above address is incorrect or insurance information has changed, and indicate change(s) on reverse side. IF PAYING B Y VISA OR NASTE R CARO. FILL OUT BELOW rr y ~A ' ^VISA ~. ~1 MASIEFCAHD ~~ GARD NUMBER AMDUNf 5gNATURE EXP. DATE ____.___-_.-_. __.- _._ T-- -.--._ _ _ _ -. ~ STATEMENT DATE PAY THIS AMOUNT ~ ACCpUNT NQ 07/04/2008 $133.17 183L128576-0 CHARGES AND CREDITS MADE AFTER STATEMENT SHOW AMOUNT DATE WILL APPEAR ON NEXT STATEMENT. PAID HERE ~ MAKE CHECKS PAYABLE / REMIT TO: ~~ ~u~~~~i~tnn~~~ur~t~~~~~~u~~~ur~~uuu~~~~~~~t~~~u~~~~~ HEALTH NETWORK LABORATORIES P 0 BOX 501986 PHILADELPHIA, PA 19175-1986 PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENTIN ENCLOSED ENVELOPE Physician: JosEPH w LAHR Diagnosis Code: ,,, Procedure Da4e Code Description Amount -0:3/19/08 36415 PHLEBOTOMY CHARGE 8.'00 03919!08 80053 COMPREHENSIVE METABOLIC PANEL 29.35 03/19/OS 80061 LIPID PANEL 46.'55 03/19/08 84443 TSH 46.45 03/19/0.8 - P9603 TRAVEL CHARGE/MILE (3) 2,;82 ESTATE OF JOANNE M HOOK. oa-os 125 LYNN C FITZPATRICK EXEC 6U-912!313 7-23-08 ,3 Date ' Pay to the Order of_ Health Network Laboratories ~ $ 133.17 One hundred thirty-three and 17/100 ,~~/Dollars ~ ~';:"°°~ "r. :~ t . Susquehanna Susquehanna Bank PA , wwwsusquehanne.net / For ~ c!v ~~~~- i , ~:031309~23~: 100046 6 24 2 II' 025 _. __.. _.... Hnand Clarke.-._ _-._. _- _~ _..-_. _•.__.. __._ ._._..__-- __ -.._.._ _._ _ __-_ - -_____ _.-____. __._.._- _...._.-6k/AR IAN BAFETV® _-_ __.__.. _._. 9tUE Current 31-60 Days 61-90 Days 91-120 Days 121-180 Days Over 180 Days Amount D $133 17 ue: . $0.00 $0.00 $133.17 $0.00 $0.00 $0.00 HEALTH NETWORK LABORATORIES P O BOX 501986 PHILADELPHIA, PA 19175-1986 Your act oust Is Qast due Please remit payment at this time ~ '~ ~, ~~ Tax ID: 23-2948774 Thank ynu ;,' ~' ~ ' ~' 3~~-~~ ~ sr~ ~ ~~~ ~~` Billing questions call: (810) 530-0809 w ~`~ ~ ~ ~~ ~` ~ ~ ~ ~ ° Account Number: 183L128576-0 I ' ~~'' ~~~~~ ~ Patient Name: JOANNE M HOOK y( STATEMENT ~~~~~~II~~II~~~~Il~~l~~ll~~~il~~l~~ll~~l~l~l~~~l~~~~~~~~l~~l SEE REVERSE SIDE FOR IMPORTANT BILLING INFORMATION ~~ IF TAXES ARE IN ESCROW, FORWARD TO MORTGAGE GO. PAYABLE ro: BONNIE K. MILLER, TREASURER 1993 HUMMEL AVENUE CAMP HILL, PA 1 701 1-5938 oesc ASSESS.NO -13001602 MAP IVO: 13-23-0551-027 3120 IYIORNINGSIDE DRIVE ACRES .300 DEED 0031 H' 00765 LOT Resid~9ntial Apartments RESIDENTIAL -APARTMENTS rAx HOOk:, JOANNE M PAVER 3120 tJIORNINGSIDE DRIVE CAMP' HILL PA 17011 OFFICE MON, TUES &THURS 9-4 OR BY APPT r+ouas: CLOSIED WEDS, FRI & HOLIDAYS BON NI E_MILLER ~ LOWER-ALLEN. PA.US PHONE (717) 975-7575 EXT 1701 IF TAXES ARE, IN ESCROW, FORWARD TO MORTGAGE CO. PAYABLE TO: BONNIE K. MILLER, TREASURER 1993 I-IUMMEL AVENUE CAMP HILL, PA 17011-5938 oesc: ASSE:iS.NO -13001602 MAP NIO: 13-23-0551-027 3120 MORNINGSIDE DRIVE ACRE:i .300 DEED 0031 H' 00765 LOT Residential Apartments RESIDENTIAL -APARTMENTS rAx HOOK, JOANNE M PAVER 3120 biORNiNGSIDE DRIVE CAMP HILL PA 17011 oFFicE MON, TUES &THURS 9-4 OR BY APPT HouRS CLOSED WEDS, FRI & HOLIDAYS BONNIE MILLER~LOWER-ALLEN.PA.US PHONE= (717) 975-7575 EXT 1701 I HnrH r tH t.ur r ow no: zvoz •-..I AL.. nio nniarn onna cr~~e..,nnf of Reol Fcfata Taxac Rill rlata• 3!01!200'. Assessed Land Improvement Mineral Total Values 31,350 138,430 0 169,780 COUNTY OF CUMBERLAND, PENNSYLV Discount Face Penal Rates .00228500 .00228500 2 % 101 COUNTY R/E 71.63 316.31 380.18 387.94 426.7? Rates .00018000 .00018000 2 % 101 COUNTY LIB 5.64 24.92 29.95 30.56 33.62 TOWNSHIP OF LOWER ALLEN Rates .00100000 .00100000 2°s 101 MUNIC. R/E 31.35 138.43 166.38 169.78 186.76 Rates .00050000 .00050000 2 % 10$ FIRE SRVS 15.68 69.22 83.20 84.90 93.39 Rates .00050000 .00050000 2 % 10 % DEBT SVC 15.68 69.22 83.20 84.90 93.39 Rates 1.00 ST LIGHT 78.00 78.00 78.00 TAX AMOUNT DUE -> ;820.s~ $836.08 5911.89 If Paid On or 1-fter 3/01/2008 5/01/2008 7/01/2008 If Paid On or Before 4/30/2008 6/30/2008 IF NOT PAID BY O7/OtNZ00y ~ Fl~s tla~ wu_~ esc ne i vesnnv ~ v ~ ru CLAIM BUREAU FOR COLLECTION AND FILING OF A LIEN AGAINST YOUR PROPERTY. *" SEE REVERSE SIDE OF BILL FOR A BREAKDOWN OF YOUR COUNTY TAX DOLLARS " Return Bill with Payment. For a Receipt ,Enclose Self Addressed Stamped Envelope. TAX COLLECTOR COPY .Bill No: 2452 _..I AI... nio nniCn~ DMR cl~fnrt~unt of ROA{ Fcta4t.TAYP~. .Rill {7atP• 3/01/2008 Assessedv Land Improvement Mineral Total Values 31 350 138 430 0 169,780 COUNTY OF CUMBERLAND, P ENNSYLV Discount Face Penal Rates .00228500 .00228500 2 % 10 % COUNTY R/E 71.63 316.31 380.18 387.94 426.73 Rates .00018000 .00018000 2 % 10 % COUNTY LIB 5.64 24..92 29.95 30.56 33.62 TOWNSHIP OF LOWER ALLEN Rates .00100000 .00100000 2 % 10 % MUNIC. R/E 31.35 138.43 166.38 169.78 186.76 Rates .00050000 .00050000 2 % 10 FIRE SRVS 15.68 69.22 83.20 84.90 93.3.9 Rates .00050000 .00050000 2 $ 10 % DEBT SVC 15.68 69.22 83.20 84.90 __.__93_.39_ Rates 1.00 ST LIGHT 78.00 78.00 _78,.00 TAX AMOUNT DUE --> ;s2o.si Sas6.os xs».es If Paid Oa or 1-fter 3/01/2008 5 01/2008 7/01/2008 If Paid On or Before 4/30/2008 6/30/2008 __ ~c unr aeon av m/nw2nn9 THIS BILL W ILL BE RETURN ED TO TAX CLAIM BUREAU FOR COLLECTION AND FILING OF A LIEN AGAINST YOUR PROPERTY, '* SEE REVERSE SIDE OF BILL FOR A BREAKDOWN OF YOUR COUNTY TAX DOLLARS •' Return Bill with Payment. For a Receipt ,Enclose Self Addressed Stamped Envelope. _ _ ____ -Estate of- -36ailne M _ ~Ioal~ -___ Name _ _ 1.0.3.._ _. Account No j ~' ~ (J ~ ~ Lf ~Lt ~-L( Date 4 - 2 3 - 0 8 60-9121313 13 Pay to the >30nnie K. Miller, Treasurer ~ $ 820.91 Order of _ Eight hundred twenty and 91/100 Dollars 8 Susquehanna Susquehanna Bank PA www.susque~ n' . ~ ( ~ ~ I For __ .__._-.__-_-. _ ~:03L309L23~: GUAnDIAN®SAFETY BLUE WBL OClarke Am.rkan TAXPAYER COPY PAYABLE TO: BONNIE K. MILLER, TREASURER 1993 hiUMMEL AVENUE CAMP HILL, PA 1 701 1-5938 CONTROL NO: 013- 000458 DESC: JOB TITLE: FULLY RETIRED DEADLINE TO APPEAL OR CHANGE JOB TITLE IS 90 DAYS FROM BILL DATE. PH 240-6365 OR i-888-697-0371 EXT 6365. 2008 Statement of PensonalTaxes _ _- Assessed Value 0 COUNTY OF CUMBERLAND Discount ~_ Rate 5.00000 _ 21i ~ CNTY P C 4.90 _ TOWNSHIP OF LOWER ALLEN Rate 5.00000 21;~ TAX AMOUNT DUE -> it Paid oa or 7-Ltsr rax HOOK, JOANNE M PAYER 3120 AAORNINGSIDE DRIVE CAMP HILL PA 17011 OFFICE MON,I"UES &THURS 9-4 OR BY APPT r+ouRS: CLSED WEDS, FRI & HOLIDAYS BONNI E_MILLER @LOW ER-ALLEN. PA.US PHONE (717) 975-7575 EXT 1701 PAYABLE TO: BONNIE K. MILLER, TREASURER 1993 HUMMEL AVENUE CAMP HILL, PA '17011-5938 CONTROL NO: 013- 000458 oesc JOB TITLE: FULLY RETIRED DEADLLINE TO APPEAL OR CHANGE JOB -TITLE IS 90 DAYS FROM BILL DATE. PH 240-6365"OR 1-888-697-0371 EXT 6365. TAx HOOK., JCANNE M PAYER 3120 MORNINGSIDE DRIVE CAMP HILL PA 17011 oFF~cE MON,'fUES &THURS 9-4 OR BY APPT HouRS: CLSED WEDS, FRI & HOLIDAYS BONNIE_MILLER43LQWER-ALLEN.PA.US PHONE (717) 975-7575 EXT 1701 _ _ __ ____ _ Esta~e_o~ Joa-nne M.--Hook- Tfame Account No f 6 ~ c~ ~-~le~ a-L1`~~~ 1_Q4 ___ 60-912/313 13 Date 4-24-08 Pay to the -Order of Bonnie K Miller, Treasurer I $ 9.80 Nine and ~~~i nn Z-~ ° " Dollars 6 ~.;e~ ,Susquehanna Susquehanna Bank PA wwwsusque enna.net ~1 rya /D r-- ,~ For ~ i (l ;~- -7 0~ ~ ~ U_. ___C ~. ~~~~~k;~._-~.~_~~- L=~~° ~:03i309L23t: %~~ Bill No: 4248 Bill pate: _ 3/01 /2008 5.00 5.50 10~ _ S.SQ S11.oo 4.90_ 5.00 s9.so slo.oo 3/01/2008 I 5/01/2008 4/30/2008 6/30/2008 7/01/2008 Return Bill with Payment. For a Receipt ,Enclose Self Addressed Stamped Envelope. TAX COLLECTOR COPY Bill No: 4248 2008 Statement of Pensonai Taxes Bill Date: 3/01 /2008 --- _ Assessed v~r„e . n COUNTY OF CUMBERLAND Discount ~ Fate Pem ~ Rate 5.00000 ~ 2 _ CNTY P C 4_.90 _5_00 (___ 5 TOWNSHIP OF LOWER ALLEN Rate 5.00000 2~ MiTN P/C _- _ _ 4.90 _ _ 5.00 5 •- TAX AMOUNT DUE ->~ Ssso I ;to.oo I ~ _ 1 811 TL Paid Oa for 1-lter 3/01 2008 5/O1 /2008 7/01/; It Paid Oa or Hatore 4/30[20.08__ 6 30 2008- _ _ uNP ID AXE M TO D LIN LL 01/0 9 Return Bill with Payment. For a Receipt ,Enclose Seif Addressed Stamped Envelope. GUARDIFN®SFFETY BLUE WB OClarke Amerimn TAXING AUTHORITY: WEST SHORE SCHOOL DISTRICT TAX YEAR: 2008•-09 REAL ESTATE TAX NOTICE LOWER ALLEN TOWNSHIP PAYABLE BONNIE K. MILLER, T/C (717) 975-7575 PROPERTY ID TO: 2233 GETTYSBURG ROAD 13230551027 CAMP HILL, PA 17011 TAX SCHOOL ~• • • RATE 10.5 ON OR BEFOR REBATE DATE ON OR BEFORE FACE DATE AFTER PENALTY DATE REBATE 1,666.90 BY 09!01/2008 1,666.90 FACE 1,700.92 BY 11/01/2008 1,700.92 PENALTY 1,871.01 AFTERI1/01/2008 1,871.01 TO: HC)OK, JOANNE M 1020 NORTH UNION STREET #226W MIIDDLETOWN PA 17057 FOR: 3120 MORNIINGSIDE DRIVE BILL DATE - 07/01!2008 DELINQUENT BILLS ARE TURNED OVER TO TAX CLAIM ON 1213112 0 0 8 ASSESSED VALUE 169,780 HOMESTEAD EXCLUSION 7,788 FARMSTEAD EXCLUSION 0 NET ASSESSMENT 161,992 ESTATE OF JOANNE M HOOK LYNN C FITZPATRICK EXEC 04-08 ~-~~-0£3__D t 130 60-912/313 13 ae Pay to the Order of Bonnie K. Miller, Tax .Collector ~ ~ 1,666.90 Sixteen hundred sixty-six and 90/100 F•=; ;;; Dollars ~ ~.^~c°.. C ,Sus~uehp/ ,na Susquehanna Bank PA wwwsusquehanne.net For ~~'G~Ii'~1~ ~:03L309L23~: X00046624 ..411' 030 WEST SHORE SCHOOL DISTRICT PAID TO: REAL ESTATE TAX NOTICE BONNIE K. MILLER, TIC (717) 975-7575 2233 GETTYSBURG ROAD CAMP HILL, PA 17071 LOCATION OF TAXED PROPERTY PROPERTY ID a~~n unou~ur_cinc nonio ~~~ince~no~ SCHOOL TAXES PAID AT ASSESSED VALUE ^ ^ 169,780 10.5 HOMESTEAD EXCLUSION BA E FACE PENALTY 7,788 BY 09/01/200 1 666.90 REBATE FARMSTEAD EXCLUSION , 0 BY 11/01/200 1,700.92 FACE NET ASSESSMENT AFTER 11/01/2008 1,871.01 PENALTY 161,992 WEST SHORE SCHOOL DISTRICT HOOK, JOANNE M 1020 NORTH UNION STREET #226W MIDDLETOWN PA 17057 BILL DATE - 07/01/2008 BILL # 013347 REBATE - 09/01/2008 FACE -11/01/2008 TAX YEAR: 2008-09 BILL # 013347 TAXPAYER'S COPY TAX COLLECTOR'S COPY 00024063591390000000000001305010 ~ Penn~y~van~.a ~_ Amen.ican Waxen PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 3120 Morningside Dr 003927 i AV 0.312 3927/3927/003927 019 i PCELKG IIIIIIIIIIIIIt111111111111111111111111111111111111111111111111 JOANNE M HOOK 3120 MORNINGSIDE DR CAMP HILL PA 17011-5820 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 1111111111111111111111111111,11111111111111111111111 Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse side. __ ESTATE OF JOANNE M HOOK oa-os 103 LYNN C FIT2PATRICK EXEC 60-912/313 May 6. 2008 Date 13 Pay to the Order of Pennsylvania American Seater ~ $ 13.05 Thirteen and 05/100 8 F.~;•;; Dollars ~ ~;.°„ . SUSgUehQl?I'1G~ Susquehanna Bank PA wwwsusquehanna.net For ___ C_.~~~`~~~~_,~~~` ~:03L309i23~: L00046624 41i' OLO3 Harland Clarke nl1A DIAN o.:rc..d oiOE 00024063591390000000000002734010 Penn~yEvan~.a t.`~--`_ Amen~.can G1u,~eh ~ PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 3120 Morningside Dr 023366 1 AV 0.324 3366/23366/003366 065 1 PCFtYH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11111111111111111111111111 JOANNE M HOOK 3120 MORNINGSIDE DR CAMP HILL PA 17011-5820 -ay hu t.ue ~rderof -PA Am__~rcan Water Twenty-seven and 34/100 '~L./~ Susquehanna Susquehanna Bank PA wwwsusquehenne.net Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print in/ormation on reverse side. Customer Account Information Billing Summary Joanne MHook ----------Prior Balance------ --------------- vice To For S : er 3120 Morningside Dr ~_ Prior Water,8alance $18.91 Account Number;~24-0635013-9 PriorB~lance Other -$4.90 PremiseNumber: 24-0375.889 Payments priorro Jun l2; 2008. Tltartks.l .00 Total prior balance, Jun 12, 2008 14.01 B~Iling Per%d & Meter Information --=------current water Charges---------- Bi(iing date: ~ Jun'12, 2008 Service Charge 12.00 Billing Period: ~~tay 07 to Jun 06 (30 days) DSI - PAWC Charge .45"% . 05 Next reading on/about: Jui Og, 2008 Total water charges, Jun-12, 2008 12.05 Rate Type= Residentiai ' ----------Other Current Charges--:.----- = ~ ~ ~ H2b-Help To Others ~ 1.00 Meter readings in current bihingperiod: Late Payment Charge . 28 Meter ~lurtber ri041267538 is a 5/8-ineh, meter. Total other charges, Jun 12, 20018 1.28 Prese~tt-'actual ~ ~~ ~ 4903U0 Last-actual 40300 ---------AMOUNT DUE ----- ------=~------- i $27.34 Gallons used ~, .. y__..___ _. _.~ ...~ ... J -- .' ~ w _, , ~~--a . - 1 .. 18 ' ESTATE OF JOANNE M HOOK oa-os LYNN G FITZPATRLCK EXEC so-slz/313 j 13 ' Jung' ~~-, ~rlr1R Date - --. ~~ j `~ i ') i I Ti nr Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 I~~~II~I~I~~~I~I~I~I~II~~~I~~~I~I~~I~~~II~~I~I~~II~I G ~ • J z ~ s.~",,, Dollars ~ """"' a.~c,, o~ x:03 L309 i 23~: 1000466 24 24+x' O L L8 00024063591390000000000001382019 ~ Penn~y~van~.a ~'~ Ame,n~ean Gla~en PO Box 371412 Pittsburgh, Pa. 1 5250-74 1 2 For Service To: 3120 Morningside Dr 030721 1 AT 0.346 2721/30721/002721 110 7 PCF97W III11111111111111111IItI11111II111111I1IIIIIIIIIIIIIIIIIIII111 JOANNE M HOOK C/O LYNN FITZPATRICK 256 CONROY AVE ELIZABETHTOWN PA 17022-1400 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 IIIIIIIIIIIIIIIIIIIIIIIIItI111I1111I111111111I111111 Please check here to add H2O-Help to Others contribution to your monthly bill or to chancde your address or telephone number. and print information on reverse side. -- - Cusfomer Account lnformafion Billing Summary Far SeKVice To: ' 'Joanne M Hook ----------Prior Balance-----------------;----- ~" ~" _3.12© Momir~gside Dr Prior WaterBalance ~,~ $31.24 _ Account ~lurtiber:~~4-0635913 9 ~ - Prior $alance Other -$3.90 premise JJ~umber.-=2~ 03.7889 ~ Payrftentspr+or-to Ju( la, 2008 Thanks/ I -27.34 Tatal prior balance, Jul 14, 2008 .00 Billrng Period & 1l/leter Information --------Current Water Charges---------- _BilUng ~afa_ ,1ui_14;_2008 ~. ~ ~ Service Charge 12.00 Billin~yPerjod; ;Jun 06fo Ju108 (32 days)Wafer Volume ($.006809 x 100) .68 ~, Next reading oralabout: Aug O8, 2008 DSI - PAWC Charge 1.08•% ~ .14 '_ `Rate Type: ResiciEntial Total water charges, Jul 14. 2008 12.82 ". ; ~ ----------t7ther Currerit Charges--=------- Meter readngsin'current billing period: H2O-Help To Others 1.00 tvlete_r Number N04126Z538is a 5/8-inch~rneter. Totalother charges, Jul 14. 2008 1.00 Present actual 490400 Last actual , 490300 3~~ = ---AMOUNT DUE ----- ------------ $13.82 Gallons used ~. ~Q aY~ JN JY~J'r I ESTATE OF JOANNE M HOOK oa-oe LYNN C FITZPATRICK EXEC -._..124 60-912/313 13 Date 7-23-OS Pay tothePA American Water Order of Thirteen and 82/100 R Susquehanna Susquehanna Bank PA wwwsusquehanns.net - Fnr 13.82 F::~~ ~: Dollars 8 ~~;;~•~~ ~:03L309123~: LOOD466242~1' OL24 00024063591390000000000001313014 -~~ Penn~yPvun~.u ~-•~= Amen~.cun wu~en PO Box 371412 Pittsburgh, Pa. 1 5250-74 1 2 For Service To: 3120 Morningside Dr 031891 1 AT0.3463891/31891/003E91 121 i PCFH3N I~~~III~~~III~~~~~I~I~~I~I„III,I~~III~~~II~~~-1~1~~11~~~11~11 JOANNE M HOOK C/O LYNN FITZPATRICK 256 CONROY AVE ELIZABETHTOWN PA 17022-1400 1 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 I~~~Il~l~i~~~l~i~i~l~ll~~~l~~~i~l~~l~~~li~~l~l~~ll~l Please check here to add N20-Help fo Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse side. Z2Z0 a 2h299`~000t :~~2ZbD1_t~0:~ ~~~e~~w~~ ~ ao~ ~au-auueyanbsas•Mmm Vd >lueg euueyanbsnS yuun~anbsns a~~Q 80-ZZ-8 El _ EtE/z1s-os 3X3 ~1011i1t/dZlid O NNA'1 LZ 1- so-bo ~i00H W 3NN`dOP ~O 31V1S3 ,;a ~,t;~~a:s ~ sa~t1oQ 00I/8T PuE uaa ~~ZLtS, 6 t ' ar T $ ~a~E~y ueaZZauiV did ,to aapap auk o~ rt~d ~ __ - __: , _- 1~ 00024063591390000000000002396018 ~ Penndy.wan.~a "`, ~ AmeJi.%can Gla#en ~ PO Box 371412 Pittsburgh, Pa. 15250-7412 ,! For Service To: 3120 Morningside Dr 029082 1 AB 0.351 1082/29082/001082 110 1 PCFWDY Illllllllllllllllllllllllllllllllllllllllllllllltllllllillllll JOANNE M HOOK C/O LYNN FITZPATRICK 256 CONROY AVE ELIZABETHTOWN PA 17022-1400 Closing Bill Please check here to add N20-Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse side. ESTATE OF JOANNE M HOOK oa-o8 LYNN C FITZPATRICK EXEC Susquehanna Susquehanna Bank PA wwwsusquehenne.net For ~ _ _ ~:03L309L23~: 1000466242 u• 0137 ^~ 10-15-08 Date Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 I111111111111111111111111111111111111111111111111111 137 60-912/313 13 Pay to the Order of PA American Water $ 23.96 Twenty-three and 96/100 Dollars e F.°°~~~~ ~ ~:~:,,. Hm,~~~, ~~,' _ PA C ertdied R eside ntial R E App ra ise r !El ANY ONIVE eEC,NNIC81UN0.1ENMBYIVAIIM,T®5 ort~cE:e,n Tesw,a ean~E: a,quams rnx: Q,O rss„n T0: LYNN C. 1=ITZPATRICK C/O RANDALL K. MILLER, ATTORNEY AT LAW 1255 S. NIARKET ELIZABE"fHTOWN, PA 17022 Telephone Number: 361-8524 Fez Number: 361.9071 ANemak Number: E-Mrl: SEND PAYMENT TO; SCHILLING APPRAISALS 889 EMILY DRIVE MECHANI(:SBURG, PA 17055 PHONE; 717-795.9412 FAX: 717-795-1161 INVOICE INVOfCE N~Ai18E14 080740 DATE MAY 1, 2008 gEfEpENCE Internal Order N: Lender Gee N: Client Fik N: Main File N on form: Ogp74p Other Fik N on form: Federal Tez ID: 234602152 Employer ID: DESCRIP'~ON Lender: 'PRIVATE (ESTATE SETTLEMENT) Client: LYNN C. FITZPATRICK Purchacer/Bomower: PRIVATE APPRAISAL FOR ESTATE Property,4ddrea: 3120 MORNINGSIDE DR City: CAMP HILL County: CUMBERLAND State: PA Lp: 17011 Legal Ddoription: SEE DEED ATTACHED FEES AMOUNT FULL FORIN 1025 104 PAYMEPJT IS DUE IN ESTATE OF JOANNE M HOOK luoa THANK `fOU LYNN C FITZPATRICK IXEC sa-31v313 13 May 6, 200~ate Pay to the Schilling Appraisals ~ $ 500.00 Order of f`'1 B Y ll Five hundred ars ,. Do Susquehanna ~~~^~ ~r,k .Y..:~wwN.NN..N., For 1:03 i 309 1 2 3t: L000466 24 n' 0 i04 SUBTOTAL Soo.oo PAYMENTS AMQUNT Check #: Date: ^ Deecripdon: C eri cTc~ . e. on. ; _- - -_ __ Check#: _ _ .Date;. --_ Deecdption: -- - _ ___ SUBTOTAL TOTAL DUE $ soo.oo Fonn NN6 -'MIinTOTAL" appraisal sotlware by a la mode, inc. -1-800-ALAMODE SCHILLING APPRAISALS (11 n 795-9412 RESIDENT STATEMENT FROM FREY VILLAGE .4020 MORTH UNION STREET MIDDL.ETOWN, PA 47057-2199 717-930-1200 I Statement Date Due Date ACCOUNT NUMBER 04/30/2008 05/23/08 01.140082 • ~ $1:,958.33 ~ AMOUNT PAID $ /8` ~ ~ , (~ ~ Please make check payable to FREY VILLAGE JOANNE M HOOK c/o LYNN FITZPATRICK 256 CONOY AVE ELIZABETHTOWN, PA 17022 Remit To: Diakon Lutheran Social Ministries PO Box 8500-52473 Philadelphia, PA 19178-2473 Comments POA's for Ivledicald must provide copies of Health Insurance premiums & proof of pay tio h 2 3 if - ment to Business Office for each payment made.Please contac ave any you 1 t Stan Bortner~a 717-930-1 ques ns. _ __^ __ - __ Date Description, ; .. Days/ .' Charged Paynnents ~' ¢alance , . ~ L - - Units, ~ - (Credit) l _ _ Balance Forward $7,404.97. $7,404.97 03/31/08 -03/31108 Routine Daily Incontinence (27) $(63.45) $7,341,52 04/07/08 - 04/07/08 Bed Alarm 1 $1.55. $7,343.07 04/07/08 -04/07/08 .Oxygen concentrator 7 $27.16. ~ ~ ~~ $7,370.23 04/07/08 - 04/07/08 Oxygen Tank.- Small 1 $25.00 ~ $7,395.23 04/07/08 - ~D4/07/08 Routine Daily Incontinence.. 6 $14.10 $7,409.33 04/08/08 - 04/30/08 R&B Private Pay (23) $(5,451.00) $1,958.33 TOTAL BALANCE DUE: $1,958.33 ~/~~a. 0 1 ESTATE OF JOANNE M HOOK oa-oa LYNN C FITZPATRICK EXEC 105 60-912/313 --- - _ -_ Pay to the F r e V i 11 a e Order of y g ~~ 1, 8 9 2.0 7 F• Eighteen hundred ninety-two and 07/100 ~ <Dollars ~ a:~,~"'. Susquehanna Susquehanna Bank PA wwwsusquehenna.net For _ _._..__.._..~~~~~~'~~c~i-..~XG ~ ~:03L309L23~: 100046624 4i~' 0105 FACILITY NAME RESIDENT NAME FREY VILLAGE JOANNE M HOOK ACCOUNT NUMBER 01140082 RESIDENT STATEMENT FROM FREY VIILLAGE 1020 NORTH UNION STREET MIDDLETOWN, PA 17057-2199 717-930-1200 Statement Date Due Date ACCOUNT NUMBER 0.5/31 /2008 06/23/08 01140082 AMOUNT PAID $ 5~ ~ ~ (o Please make check payable to FREY VILLAGE JOANNE M HOOK c/o LYNN FITZPATRICK 256 CONOY AVE ELIZABETHTOWN, PA 17022 Remit To: Diakon Lutheran Social Ministries PO Box 8500-52473 Philadelphia, PA 19178-2473 .:..Comments _ POA's for Mledcaid must provide copies of Health Insurancepremiums 8~.proof of payment to Business Offce for each payment ~rnade,Pleas_e_contact Stan Bonner a~717-930_1213 i~ou have an~gusstions ___ Date , i Description - DaysL '; r Charges! Y` Payments Balance ~, l - _ Uniis ;` (Credit) I . Balance Forward $1,958.33 $1,958.33 04/07/08 - 04/07/08 Routine Daily Incontinence (6) $(14.10) $1,944.23 05/09/08 - (15/09/08 Payment Check # 105. $1,892.07 $52.16 TOTAL BALANCE DUE: $52.16 ESTATE OF JOANNE M HOOK oa-oe LYNN C FITZPATRICK EXEC June 11 , 2008 Date 117 60-912/313 13 Pay tothPFrey Village Order of ~ $ 5 2.16 Fifty-two and 16/100 ~'~~ Dollars 8 o:~t~,~o~ ~u~q-uehann wwwsusquehanna.net For ~~~ ~:03L309L23~: - _ __ _ - - __ -- Susquehanna Bank PA b000466 24 2 li' O ~ L 7 FACILITY NAME RESIDENT NAME ACCOUNT NUMBER FRFY vll I AGE JOANNE M HOOK 01140082 N ~ ARLEEN B MILLER, LUTCF ~ 2515 MARKET ST 0 °o CAMP' HILL PA 17011 ao m 0 How to Contact Us Nationwide Representative: ARLE:EN B MILLER, LUTCF AGENT NUMBER :0012023 ~ 717-i'30-9366 0 a m For Payment Of: ANNUAL RENEWAL ~G ~~ i r~ E: F'f L-r [)i 1'c 106 ESTATE OF JOANNE M HOOK o4-os LYNN C FITZPATRICK EXEC so-s12/3t3 13 5-12-08 Date Pay totheNationwide Mutual Fire Ins. Co. ~ $ 397.00 Order of ~~ F:: ~ ~; Three hundred. ninety-seven and do Dollars 8 ~;~,~~_~~ Susquehanna Susquehanna Bank PA wwwsusquehanna.net ~5~.^.~ For ~ L'~ ~.0 3 L 309 L 2 3~. L000466 24 2 • insurance. tions. 869.00 83.00 I 786.00 ° _,OR- If You Would Prefer Our Installment Plan, Pay ..... .......:. .................. ................................ $ 397.00 RETAIN THIS PORTION FOR YOUR RECOPC)S ~~'~`~~`"~" V-0500 RETURN THlS PORTION WJ1TH PA`(Iti~1EN'f JOANNE M HOOK ENT Total Amount Due Installment Amount Due , $ 786.00 -OR- $ 397.00 Policy Number Due Date 58 37 MP 045478 ; MAY 28, 2008 YOUR NATIONWIDE AGENT IS: Make Check LrrIII~Lrrrtllllrrr~r~IlrrILLlrrrLLlrJrJJrIrrlJlrrrl ARLE.EN B MILLER, LUTCF Payable To: NATIONWIDE MUTUAL FIRE INSURANCE AGENT NUMBER 12023 COMPANY 717-i'30-9366 PO BOX 13958 PHILADELPHIA PA 19101-3958 HOMEOWNER BILLING STATEMENT Polic~r Number '.. Date Prepared - 58 37 MP 045478.6._ _ 91 , APR 29, 2008, .-~.._..-__-._.~- Total Amount Due Installment Amount Due* ~ Due Date $' ' 786.00 -OR-$ 397.00 ~ MAY 28, 2008 *(Includes a $ 4.00 installment service charge). We will bill a second installment of $ 393.OOplus $ 4.00 service charge on or about OCTOBER 18, 2008 ' Irrrlllrrrlllrrrrrrllrrrllrlrlrlrrlrrrlrlllrr„rlrlllrrrrrllrl JOANNE M HOOK 3120 MORNINGSIDE DR CAMP HILL PA 17011-5820 .., -. ., -,. -„~,nnnnn n-~ ~ -t ~ r nnnnnrr [u7Il ~ I'lnflnrl7IILf11'1 fll'lnfln797f1r1 ~A 7 a J~hQI~ ~.GWr1~rfF~_ ~~~~~ CUSTOMER'S ORDER NO. DEPARTMENT DATE qq 4 '~ ~ '~O NAME ..., ~..~ O £! u1~~ ~~ oa (~ ADDRESS CITY, STATE, ZIP SOLD BY GASH C.O.D. CHARGE ON ACCT. MDSE RETD PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT 1 2 "l ~ _ l.a W 'vim dvlcs r.n'~"i 1 i FS~ s ir~c sh~lcs zc~kl'I ~n~l. ~I ~b~ 4 5 6 ~`~~ l~wh YV~~wr~ '~~ ' z~ 7 i~ 8 9 `3U `'. t.,ciwv~ ~Vt{s~~ ~~ ;D~ 10 11 ~ 1 ~,1Siwt;• IM~I~' 12 13 14 ~ 15 16 17 18 19 20 RECEIVED BY exams KttP 11115 SLIP FUR REFERENCE , 5805 ~ s, '~. ~~- ESTATE OF JOANNE M HOOK oa-oa LYNN C FITZPATRICK EXEC 5-12-08 Date Pay to the p,BgIS Lawncare Order of One hundred. thirty-four and 20/100 Susquehanna Susquehanna Bank PA www.susquehanna.net ~ /~ j ' For L000466 24 2 II^ O L08 1:03 L309 L 231: _ 108 60-9121313 13 ~, 134.20 8 F•:r ~:; Dollars ~ a,°~•~° ~,zch , ~~ llaS2~ ~ ~~~~ i~i, i~ ~. 92~~6 CUSTOMER'S ORDER NO. DEPARTMENT DATE .., mill-~~ NAME ~/~ ~_ 1 l ~ ~(~: C~ ADDRESS CITY, STATE, ZIP SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE RETD PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT 1 2 ~ ~t ~ w ~ /hG +'r~~ ~ ~ ' 3 4 J ~2. Wh ~n 3 I~ 5 6 S- ~ wy~, Y1nlLI ~ ~ i ~~ 7 ` ~~ 8 9 10 .ESTATE OF JOANNE M HOOK oa-oa 113 LYNN C FITZPATRICK EXEC 60-912/3 i3 June 2 , 2008 Date 13 Pay to the ABBIS Lawncare Order of ~ ~ 9 5 .4 0 nsL4A 10 0 s"""" Ni n~~-f; srP a ~ ollars I~ ~•~~°r. o" .Susquehanna .Susquehanna Bank PA wwwsusqueAanna.net ~ For __.,--------_._w__-.__._..._.__~___....___.____ ^~ ~:031309i23~: 10004662424n' OLL3 ~c~.: ~~ ~~ 6SU ~~,RI~ a.w~cc~. 9560 CUSTOMER'S ORDER NO. DEPARTMENT DATE Co--~.-ohs NAME U14t ~ ~L Ca.~'`('1 G ' ADDRESS Mann. t 5~ ~ \ J r~ CITY, STATE, ZIP C ~~~ . P~ SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE RETD PAfD OUT QUANTITY DESCRIPTION PRICE AMOUNT 1 2 Utv~ innutri 3 `~ 4 5 '~ l..s~wrr~ W~c~ ~,1,5Sb 6 `~- 7 8 ( .- ~ ~ ~ rti~..rr. 1NW~ -2 p J, ~Ob 9 ~- k 10 Y 11 12 13 14 i5 16 17 18 19 20 RECEIVED BY >~a~ KEEP TH15 SLIP rul-i IitrtFitlVC:t 5805 ESTATE OF JOANNE M HOOK oa-os LYNN C F{TZPATR{CK EXEC 6-26-08 Date 121 60-912/313 13 Pay to the ABBI S Lawncare ~ $ 95 .40 Order of _ ninety-five and 40/100 ~ F::~°_ Dollars ~ ~;,;,~.~~ Susquehanna Susquehanna Bank PA wwwsusquehanna.net _ / g~ // ~(/~ For I:D 3 1309 1 2 3~: 1000466 24 2 I' 0 1 >' 1 OXYGEN QUALIFYING SERVICES 1345 SHIREBOURN HICKORY, NC 28602 IF PAYING BY CREDIT CARD, FILL OUT BELOW: ^ wsA ^ rusTERCARD CARD NUMBER EXP DATE AMOUNr SIGNATURE MUST INCLUDE 3 DIGIT SECURITY CODE ' STATEMENT DATE i PAY THtS~AMOUNT _1_ ACCdUNT NO.. For all/ billing questions, please call:(828) 330 - 0080 Ext. 102 08/08/08 53.52 5044 Office Hours:M-F 9-5 EST - ---- - E-Ma~i1:02G2Smandy@charterinternet.com CHARGES AND CREDITS MADE AFTER STATEMENT SHOW AMOUNT ~~ 2' ~~ DATE WILL APPEAR ON NEXT STATEMENT. PAID HERE O~ ADDRESSEE: 11578-63 JOANNE HOOK 3]L20 MORNINGSIDE DR CAMP HILL PA 17011-5820 I~~~Ilitt~lll~~tt~~llt~~lltl~i~lt~l~~~itlll~l~~~ltlllt~~~~litl ~~ MAKE CHECKS PAYABLE / REMIT TO: ~~ OXYGEN QUALIFYING SERVICES 1345 SHIREBOURN HICKORY, NC 2862 It~l~ll~~l~~llt~ll~~~~~l~ll~~llt~llllll~~~l~titlt~l~l~l~~~litl Please check bo>: if above address is incorrect or insurance Information has changed, and indicate change(s) on reverse side. PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT IN ENCLOSED ENVELOPE SVC DESCRIPtION CHARGES MDCR RCPTS "INS RCPTS PAT RCPTS ADJUST BALANCE INS PENDIN 02/07/06 SPIROMETRYW/GRAPHICRECORDNI 55.00 24.42 0.00 0.00 24.47 6.11 02/07/06 SPIROMETRIC RECORDING, PATIENT 85.00 37.54 0.00 0.00 38.07 9.39 02/07/06 SPIROMETRIC RECORDING, PATIENT 38.00 16.65 0.00 0.00 17.19 4.16 02/07/06 SPIROMETRIC RECORDING, PATIENT 47:00 20:90 0.00 0.00 20.88 5.22 02/08/06 SPIROMETRY W/GRAPHIC RECORDNI 55.D0 24.42 0.00 0.00 24.47 6.11 02!08/06 SPIROMETRIC RECORDING, PATIENT 85.00 37.54 0.00 0.00 38.07 9.39 02/08/06 SPIROMETRIC RECORDING, PATIENT 38.00 16..65 0.00 0.00 17.19 4.16 02!08/06 SPIROMETRIC RECORDING, PATIENT 47.00 20.90 0.00 0.00 20.88 5.22 02108!06 NONINVASIVE EAR/PULSE OXIMETRY 30.00 .15.05 0.00 0.00 11.19 3.76 7 . 134 ESTATE OF JOANNE M HOOK oa-oe LYNN C FITZPATRICK EXEC so-s12i313 13 ~-4-08 Date Pay to the Ox gen ~ualifying Services ~ ~ 53.52 y Order of Fifty three and 52/100 Dollars 8 ~,~~~~~~ Susgiuehanna Susquehanna Bank PA ,N,NWSUSquehenne.net ~ - _ -- For ~:0 3 L 309 L 2 3~: L000466 24 2 u' 0 L 34 UAFDIAN SAFETY®BWE Harland Clarke- __ __ _ - - f L f 1 ** Payment Due Upon Receipt * Thank You ** Current 30 Days 60 Days 90 Days 120 Days NOW DUE P ENDING 0.00 0.00 0.00 0.00 53.52 $53.52 responsibility EjRESPONDnTOITHISySTATEMENT W4THIN 30 DAYS ANDtRECEIVEoA gJiing Qu stions'Phone: (828) 330 - 0080 Ext. 102 25% DISCOUNT ON YOUR BALANCE DUE. V1le are an Inrllapendent Diagnostic Testing Facility: Our testisg maybe required by ygur OXYGEN QUALIFYING SERVICES Insurance company to verify your need for home orrygen:'After calling your insurance 1345 SHIREBOURN company, call us for billing questions at (828) 330-0080 Ext. 102. HICKORY, NC 28602 STATEMENT immiiiiimiuiiiiuiiuii~iiliiimii~~muu~miiui SEE REVERSE SIDE FOR IMPORTANT BILLING INFORMATION YORK WASTE DISPOSAL, INC. 3730 SANDHURST DRIVE YORK, PA 17405 07/15/08 1090686 3811 30 040229 8 (800) 210-9675 ESTATE OF JOANNE HOKE FOR PERIOD: 3120 MORNINGSIDE DR CAMP HILL PA 17011 PAGE NO. 1 WORK ORDER#: 1086095 7./01/08 20YD OPENTOP DELIVERY 1.00 107.99 7./01/08 FUEL/ENVIRO FEE-INDUST 1.00 57.99 WORK ORDER#: 1088455 7/08/08 20YD OPENTOP HAUL/REMOVE 1.00 207.99 7/09/08 FUEL/ENVIRO FEE-INDUST 1.00 57.99 7/09/08 DISPOSAL-PER TAN .83 60.000 49.80 \~ ~~ f~.1 ~ UUU n,l'`' ,~~/l],' i `~ ~:~ DO NOT SEND PAYMENT ** CREDIT CARD TO BE CHARGED PAYMENT TERMS: DUE UPON RECEIPT Please visit our w~bsite www.yorkwaste.com 481.76 481.76 -------- ~ !F PAYING BY MASTERCARD OR VISA, FILL OUT BELO`N CHECK CARD USING FOR P,4'(MENT .....~~ ^ MASTER CARD ^ VISA York Waste Disposal, InC. cAan NUMBER AMOUNT ,~~~, an a wINNx~o coM~NAnoN - York, PA .1.7405-1.401 sicNAn;Ne E71P. DgrE REPUBLIC _. ~~ SERVICES, INC. Check box if address has changed. See reverse side. Please write your account no. on your check and make payable to: Irrrliirrrlilrrrrrirlrrlrlrrriirlrrlllrr111,rrri,lrrlirrrrlrll sNGI_P 1 ~ IrlrrlilrrrrrlrilrJrrlLrrrrrlllrrlrrrllrlrrrlrrllJrrririirrl ESTATE OF JOANNE HOKE YORK WASTE DISPOSAL, INC. 256 CONOY AVE PO BOX 9001837 C/0 LYNN FITZPATRICK LOUISVILLE, KY 40290-1837 ELIZABETHTOWN PA 17022-1400 3811300402298000109068600000481760000000000 acCOUNT STATUS Page 1 of 1 LYNN C. FITZPATRICK ,.- PH.717-367-5237 _ 256 CONOY AVENUE £UZABETHTOWN, PA 17022 ~ PAY l'O THE !J~ ~ ORDER o~ T ~ ~ ~ [ Gy 0 G~ ~.L~=~ cam' ~.re s ~ 1~a313 6250 DATE ~"`~ MEMO ~ -<ii, 1eG2. t~..~-- ~; ~302955~: 26790028L2~~'6250 -- - - _- --: ~' - L_ ,:^ . . - - - _ _ ~ r, - - ° ~ ~ g _ - - ;--~ ; _'? :Posting Date 2008 Sep 03 :Research Seq # 5600796168 Account# 2679002812 Check/Store # 6250 DB/CR DB Dollar Amount $200.00 Bank # 096 Branch # 04313 Deposit Acct # 1016113012 Record Type # O1 z u m ~,:~~ z ~~~ ~~ (~ ~~JV V ) ~ r r ., m "'t `••- _ - Q ~` ~ b~p ~ 1 C ~ ~~ \~N . ~`I - c-~1 '* t 1 t http://pc-ncrweb l .mandtbank.com/inquiry/servlet/inquiry 10/15/2008 REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATIE OF FILE NUMBER Joanne M. Hook 21-08-0456 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE i TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 ~ Lynn C. Fitzpatrick, 256 Conoy Avenue, Elizabethtown, PA 17022 daughter 100.00 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 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I S 0.00 (If more space is needed, insert additional sheets of the same size) ~~~x~~ r~X ~~.~ ~~~~~~~~e~~ .~~ c-~ JOANNE M. HOOK I, JOANNE M. HOOK, of 3529 March Drive, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking any and all prior wills and codicils thereto by me at any time heretofore made. FIRST I direct that all my just debts and the expenses of my last illness and funeral shall be paid from the assets of my estate as soon as practicable after my decease. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable,. for the cremation of my body and all suitable and appropriate expenses related thereto. SECOND I give and bequeath all automobiles, household effects and other tangible personal property, not including cash or securities, owned by me at my ea , oge er w n ali policies - _- of insurance thereon, to my daughter, LYNN C. FITZPATRICK, of Elizabethtown, Pennsylvania, providing that she is living on the sixtieth (60th) day after the date of my death. Should my daughter, Lynn C. Fitzpatrick, not be living on the sixtieth (60th ) day after the date of my death, I bequeath such tangible personalty and insurance thereon to my grandchildren, DANIEL CRAE FITZP ATRICK and SHEA DENNIS FITZPATRICK, to be divided between or among them as they shall agree, any children who are then minors to be represented in such agreement by my Executrix. In the event that no agreement is reached, the said personalty shall be sold, in whole or in part, as my personal representa- tive shall determine, and the proceeds shall become a part of my residuary estate. Any item of personalty passing to a minor under this paragraph may be delivered to the minor or to any person to hold for the minor, as my Executrix thinks advisable, and the receipt of any such person, including the minor, shall constitute a full and complete discharge to my Executrix. THIRD I give, devise and bequeath the residue of my estate, ' c.~- of every nature and wherever situate, to my .daughter, LYNN C. FITZPATRICK, provided that she is living on the sixtieth (60th) day after the date of my death. In the event my daughter, Lynn C. Fitzpatrick, is not living on the sixtieth (60th) day after the date of my death, then I give, devise and bequeath the residue of my estate, of every nature and wherever situate, in equa s ayes, to my gran c i ren, DANIEL CRAE FITZPATRICK ana SHEA DENNIS FITZPATRICK, the share of any grandchild who does not survive me to pass to his living descendants, per stirpes, or in the absence of any living descendants, to his brother or his living descendants. Should his brother not be living nor -2- have any descendants, the share shall pass to the former grand- child's heirs. FOURTH In the event any issue of mine who is entitled to a share of the residue under Item Third has not yet attained the age of thirty (30) years at the time for distribution to him or :her, then I give, devise and bequeath the share of each such ibeneficiary to my trustee hereinafter named, IN TRUST, never- 'theless, upon the following terms and conditions: A. The income and so much of the principal as may, in the sole discretion of my trustee, be neces- sary for the education of the beneficiary shall be paid to the beneficiary or shall be applied directly for his or her benefit, provided that no payment shall be made except for educational s purposes. B. Any income not so paid or applied shall be accum- ~ ulated and added to such beneficiary's share of the trust estate. C. Any income and principal remaining in such hPriPf i c~i a~ ~~ Ghare ~ t1i~_fr~c+-_chal l lsa~i_ tributed to such beneficiary when he or she attains the age of thirty (30) years. D. In the event any issue of mine who has not yet attained the age of thirty (30) years at the -3- time of my death dies before distribution of his or her entire principal share, then such share shall be distributed as follows: 1. To such issue's then living descendants, per stirpes, absolutely; or in default of such descendants, 2. To such issue's siblings or their living descendants. Should no siblings be living nor have any living descendants, the share shall pass to the original issue's lawful heirs, to be determined as if such child died intestate in the Commonwealth of Pennsylvania at the time set for distribution (the share thus accruing to any issue of mine for whom my trustee then holds assets in trust hereunder shall be added to such trust and thereafter held as though originally forming a part ~ thereof). E. Any income or principal payable to a beneficiary under this Item Fourth may be accumulated or expended for the education of such beneficiary as the trustee, in its sole discretion, may determine. My trustee may, in its discretion, pay the said income or principal directly to the beneficiary, to the person having the care or -4- control of such beneficiary, or to any institu- tion entitled to such payment by reason of services rendered to or to be rendered to said beneficiary, without the intervention of a guardian. FIFTH All principal and income, until actual distribution to the beneficiaries, shall be free of the debts, contracts, assignments, alienations and anticipations of any beneficiary, and the same shall not be subject to any levy, attachment, execution or sequestration. SIXTH I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate ~ as a part of the expenses of the administration of the estate. SEVENTH My personal representative and trustee shall have the following powers in addition to those vested in them by law and by other provisions of this Will: A. To retain any or all assets of my estate, real __ _ __ or personal, without regard to any principle of diversification, risk or productivity. B. To invest in all forms of property (including stocks or other securities of my corporate fidu- -5- ciary or its successor, or of a holding com- pany controlling my corporate fiduciary or its successor, and common trust funds and mortgage investment funds, whether maintained by my corporate fiduciary or its successor or others), without restriction to legal investments, as they may deem proper, without regard to any principle of diversification, risk or productivity. " C. To purchase investments at a premium or discount. D. To exercise all rights of a security holder or (1 shareholder in any corporation; to give proxies; to join in any merger, consolidation, reorgani- zation, voting trust plan, or other concerted action of security holders; and to delegate U. di ti d i scre onary ut es with respect thereto. E To sell at bli i t l . pu c or pr va e sa e, to exchange or to lease, for any period of time, any real or personal property, and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper . F. To allocate receipts and expenses to principal or income, or partly to each, as my corporate trustee thinks proper. -6- G. To borrow money from my corporate fiduciary or others and to mortgage or pledge any real or personal property as security therefor, in their sole discretion. H. To compromise any claim or controversy without order of court or consent of any beneficiary. I. To exercise any option, right or privilege granted in insurance policies or arising from ownership of investments. J. To permit my minor grandchildren to occupy any real estate retained or acquired upon such terms O and conditions as my trustee may deem proper. K. To make any distribution herein provided far in cash, in kind, or partly in each, at valuations fixed by my personal representative or trustee at the time of distribution. EIGHTH I appoint my daughter, LYNN C. FITZPATRICK, Executrix of this, my Last Will and Testament. Should my daughter, Lynn C. Fitzpatrick, predecease me or for any reason fail to qualify as such E xecutrix, or having qualified, fail to serve as such ~ w irm of WIDOFF, REAGER, SELKOWITZ & ADLER, P.C., of Camp Hill, Pennsylvania, as my surviving Executor of this, my Last Will and Testament. -?- NINTH I appoint the law firm of WIDOFF, REAGER, SELKOWITZ & ADLER, P.C., of Camp Hill, Pennsylvania, as Trustee of the i:rusts created under this Will. TENTH My Executrix and Trustee shall not be required to post security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of eight (8) typewritten pages, the first seven (7) of which bear my signature in the margin for the purpose of identification, this ~~/`C day of ~ , 1982. ~'~,. (SEAL ) Joanne M. Hook Signed, sealed, published and declared by the above- named Testatrix, JOANNE M. HOOK, as and for her Last Will and Testament, in the sight and presence of us, who, at her request, in her sight and presence of each other, have hereunto subs,.cribed our names as witnesses. ~~i- ~ L Address ~/~`~ ~ .2 ~ f r' ~ ~- ~~.~' `_,~a..- ~-~~~..~ Address ~~ ~.°~ ~~- ~ ~~ ,~~. car- -8- 1~andalC~. Miller Attorney at Law 1255 South Market Street, Suite 102 Elizabethtown, Pennsylvania 17022 (717)361-8524 -- Fax (717)361-9071 November 17, 2008 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 RE: Estate of Joanne M. Hook Will No. 21-OS-0456 Dear Sir or Madam: Enclosed herewith are an original and two copies of the Inheritance Tax Return in the above-referenced estate. I have also enclosed a check in the amount of $15.00 for the tax filing ff;es and one for $5,884.32 in payment of inheritance taxes are due. Kindly send a stamped copy of the return to our office in the enclosed self-addressed stamped envelope. Thank you for your kind attention to this matter. Very truly yours, ~, j` ~' ~~~~ ~i' (~ / ~ ' '~- -•.~ r ; _., ~ _ Joanne M. Miller ';; -- ~ Legal Assistant to - Randall K. Miller - ~.{ ~' t N COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: JOANNE M. HOOK, THE TESTATRIX, WHOSE NAME IS SIGNED TO THE FOREGOING INSTRUMENT, HAVING BEEN DULY QUALIFIED ACCORD- ING TO LAW, DO HEREBY ACKNOWLEDGE THAT I SIGNED AND EXECUTED THE INSTRUMENT AS MY LAST WILL AND TESTAMENT; THAT I SIGNED IT WILLINGLY; AND THAT I'SIGNED IT AS MY FREE AND VOLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED. SWORN OR AFFIRMED TO AND ACKNOWLEDGED BE RE ;ME BY JOANNE M. HOOK, THE TESTATRIX, THIS ;T~~ DAY OF .e.....~~. , 1982. COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ~~ Testatrix ~1.LG~l c'~~t a~ ,~ l~~ No~ubl i c AUDREY C. tiEtiEER, NOTARY PUEI[C S S : CAMP H!!.l BORO, CUNI9ERl.QNO COUNTY NiY COMMIlSSION £;{glk?f;s JAN. I.g, F98o l~IQlPfJEr, PCS3Siryly7ia ~'s":.OL'eYi~ri%: ~d0~r~f'I~S WE , ~'~~ ~~ ~~~~~'f AND 92%cL L/L- ~i9~.~ r-y~i ~,~Y THE WITNESSES' WHOSE NAMES ARE SIGNED TO THE FOREGOING INSTRU- MENT, BEING DULY QUALIFIED ACCORDING TO LAW, DEPOSE AND SAY THAT WE WERE PRESENT AND SAW THE AFORESAID TESTATRIX SIGN AND EXECUTE THE INSTRUMENT AS HER LAST WILL AND TESTAMENT; THAT SHE SIGNED WILLINGLY AND THAT SHE EXECUTED IT AS HER FREE AND VOiLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED; THAT EACH OF US IN THE HEARING AND SIGHT OF THE TESTATRIX SIGNED THE WILL AS WITNESSES; AND THAT TO THE BEST OF OUR KNOWLEDGE THE TESTATRIX WAS AT THE TIME EIGHTEEN (18) OR MORE YEARS OF AGE, OF SOUND MIND AND UNDER NO CONSTRAINT OR UNDUE INFLUENCE. WORN OR ~,~'jFIRMED TO AND SUBSCRIBED TO BEFORE ME, ~~e--rem-~~~~~~~~~i~~--~~~~•~~ t Witnes No y Public RUOREY G. KE!•ltER, NOTARY PUB.lC CAMR Hll.L BORO, CUlABEFlk~N4! COUNTY A1Y COMNIISSlgN E;(PlRf.S JAN. IS, 1986 Mem3~rr, Pennsylv::tiz ~ss~s:'satioi~ i3, Notaries 1 ~~ .. ~is~S ~ ~ ~~ ~~ ~ t~ ~W ~, ~ -- ~ ` mfr.,'. -._ -:;: ~ ~._ o v "' ` c°~ 1.800.GoFedEx 1.800.463.3339 fedex.cam PEES HERE RECIPfENT- o N n mm m t '~ ,~ n. Q I3 3 n `~9 3 ~ ~ O ~ ~a mm 9 ~o ~~ n ° .Gi `° 14°c `~ ~ ea m la A G~ 3 ~m'O~ ~ ' ~ moo' ~ 1n ~ I ~ ~ ail ~~ ~~ ~~ _ ~ ~~ ~ ~~ ~ ~ ' g C.d m l ~~ ~It1 _ lei ~ ~ 1 _ ~ ~ ~ I ml 1 I _ ~ I I ~ ~u ~~ ~ >~~ ~, ~ ~ ~ ~ ~ ~mK O I m ~, ~ ~ ~ ~ ~~ ~~ `° ~ ~ iT' ~J ~ ~ o I ~ ~ I ~i II3 II ~ ~ ~ I ~ ~+ I i ~' ~- ~ ~ ~ ~ ~ to ~ , ~ I o~ I i ! I ~ gl ~ ~ _ I ,~ ~~ , ~ j s ~ ~I ~ . ~~ ~~ ~ ~ - v w N A O 6 v n