HomeMy WebLinkAbout02-11-091505607121
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
Po6ox2eosot 2 1 0 8 0 5 1 3
Hamsbu , PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 7 7 2 4 7 3 5 5 0 4 2 6 2 0 0 8 0 1 1 9 1 9 3 1
Decedent's Last Name Suffx Decedent's First Name MI
N E A L I D A M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffx Spouse's First Name
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Requiretl
death aker 12.12-82)
B
^X 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ oxes
8. Total Number of Safe Deposit
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
O
between 12-31-91 and 1-1-95) )
(Attach Sch.
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
A S G M I L L E R 7 1 7 2 4 9 2 3 5 3
D O U G L
Firm Name (If Applicable)
I R W I N & M c K N I G H T
First line of address
6 0 W E S T
Second line of address
City or Post Office
C A R L I S L E
State ZIP Code
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Correspondent's a-mail address:DMILLERna IRWINMCKNIGHT COM
Jnder penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my kr
t is true, coned and complete. Dedaration of preparer other than the personal representative is based on all information of which preparer has ai
Slf'R,4~TURE OF PERS~(2N RESPONSIBLE FOR FJ~tN~RETURN n ~~
ADDRESS
0 WES'V POMFRET STRE
L 1505607121
P O M F R E T S T R E E T
PLEASE USE ORIGINAL FORM ONLY
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REV-150
Decedent's Complete Address:
File Number
21 08 0513
DECEDENT'S NAME
IDA M. NEAL
STREET ADDRESS
502 N. BEDFORD STREET
CITY
CARLISLE STATE
PA ZIP
17013
Tax Payments and Credits:
1. Tax Due(Page2Line19) (1) 1,018.00
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B +C) (2) 0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total InteresUPenalty (D+E )
4. If Line 2 is greater than Line i +Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.t,
5. If Line 1 +Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 +5A. This is the BALANCE DUE.
(3) 0.00
(4) 0.00
(5) 1,018.00
(5A)
(5B) 1,018.00
Make Check Payable to: REGISTER OF WILLS, AGENT
. ,w.i;'•'~ vfa~r dry .. ,M1{ w~,~7 .~ ~~,~ ,~°, ~ '~y,ry9 i.~.XM ~, ~ s,~t .a".m 6~*2,= w1rJ° ~~#i, ~. s ..3,,
~~ t . ]t ~ M' I : ~ ar ~ . l~ ..k'.' ;r;5'
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 transfened : ................................................................. ...
. ^
b. retain the right to designate who shall use the property transferred or its income : .......................... ^
:
..
c. retain a reversionary interest; or ........................................................................................... ..... ^
^
d. receive the promise for life of either payments, benefits or care? .................................................. .....
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate considerafion? ................................................................................. ...... ^
3. Did decedent own an "intrust for" or payable upon death bank account or secudty al his or her death? ... ...... ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
crontains a beneficiary designation? ............................................................................................ ...... ^ ^X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
(72 P.S. §9116 (a) (t.t) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and fhe statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only benefciary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased childtwenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (O) percent [72 P.S. §9116(a)(1.2)).
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) (72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling 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
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
IDA M. NEAL 21 08 0513
All real properly ovmed solely or as a tenant in common must be reported at falr market value. Fair market value is defined as the pdce al which property would be
exchanged between a willing buyer and a willing seller, nefiher being wmpelhsf to buy orsell, both having reasonable knowledge of the relevant facts.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 502 N. BEDFORD STREET, CARLISLE, PA 17013 40,000.00
(If more space is needed, Insert additional sheets of the same size)
REV-1500
All
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
were received by the estate.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. COMMERCE BANK -CHECKING ACCOUNT #536708472 105.81
2. PERSONAL PROPERTY 150.00
TOTAL (Also enter on line 5,
needed, insert additional sheets of the same size)
REV-1511 EX+(10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES 8
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
IDA M. NEAL 21 08 0513
Dells of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
t. HOFFMAN-ROTH FUNERAL HOME 5,823.88
2. CUMBERLAND VALLEY MEMORIAL GARDENS -OPENING AND CLOSING 412.00
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representatlva (s)
Street Address
City
State Zip
Year(s) Commission Paid:
p, AnomeyFees IRWIN & MCKNIGHT
3, Family Exemptlon: (If decedents address is not the same as claimants, attach explanation)
(:laimant
Street Address
City State
Relationship of Claimant to Decedent
7. REGISTER OF WILLS -FILING FEE
8. STEVEN W. BARRETT REAL ESTATE -APPRAISAL
9. BRETHREN MUTUAL INSURANCE COMPANY
10. CLOSING COSTS FROM SALE OF REAL ESTATE
11. PATRICIA BAUMGARDT -HOUSE CLEANING
TOTAL (Also enter on line 9, Recapitulation) I $
4. I Probate Fees REGISTER OF WILLS
5 AxounUnYs Fees
6. TaxRetumPrepamfsFees PATRICIAA. ROSENDALE, CPA
Zip
2,650.00
124.00
350.00
30.00
325.00
220.00
3, 322.81
600.00
(If more space is needed, Insert additional sheets of the same size)
REV-1512 EX+(12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUmt7ER
IDA M. HEAL 21 08 0513
Report debts incurred by the decedent priorto death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. SEARS -CREDIT CARD #5049 9480 8154 3755 1,877.86
2. (AMERICAN GENERAL FINANCE -ACCOUNT #149813498205
3. (THREE SPRINGS FAMILY PRACTICE -MEDICAL
4. (CARLISLE REGIONAL MEDICAL CENTER -MEDICAL
5. (FOOT LOCKER -REIMBURSEMENT OF PENSION
TOTAL (Also enter on line 10, Recapitulation) ~ S
(If more space is
631.00
141.61
1,024.00
101.35
REV-1513 EX+(g-p01
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Trustee(s) AMOUNT Oft SHAHt
OF ESTATE
I TAXABLE DISTRIBUTIONS [InGude outriyyhtsppousal disUibutions, and Vansfers under
Sec. 9116 (a) (12)j
1. BRIAN L. BAUMGARDT Lineal 11,311.15
502 NORTH BEDORD STREET REAL ESTATE &
CARLISLE, PA 17013 1/3 REMAINDER
2. TAMMY LYNN NEAL WILLHIDE Lineal 11,311.15
1155 GREENSPRING ROAD REAL ESTATE &
NEWVILLE, PA 17241 1/3 REMAINDER
3. PATRICIA ANN NEAL BAUMGARDT Lineal
244 W. NORTH STREET 1/3 REMAINDER
CARLISLE, PA 17013
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, O N REV-1500 COVER SHEET
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $
more space Is neeoeo, msen addmonai sneers onne same
SCHEDULE)
BENEFICIARIES
WILL OF
IDA M. NEAL
LAW OFFICES OF
STEPFIEN J. HOGG
401 E. LOUTHER STREET
CARLISLE, PA 17013
I, IDA M. NEAL, of Carlisle, Cumberland County,
Pennsylvania, declare this to be my last Will and
hereby revoke all prior wills and codicils.
1. I direct that all my just debts, funeral
expenses, gravemarker and administrative expenses
shall be paid from my residuary estate as soon as
practicable after my death.
2. I direct that 'all inheritance, estate,
transfer, succession and death taxes of any kind
whatsoever which may be payable by reason of my death
shall be paid out of my residuary estate.
3. I direct that my entire estate be distributed
as follows:
A. T_ leave to my grardchildrer., Tammy Lynn Neal
and Bryan L. Baumgaret, my house located at 502 North
Bedford Street, Carlisle, Pennsylvania.
B. Should a grandchildren predecease me, then
that share shall go directly to the other grandchild.
Should both grandchildren predecease me, I leave the
house to my daughter, Patricia Ann Neal.
C. I leave the remainder of my estate of whatev-
er nature and wherever situate to be divided equally
among my grandchildren and daughter: Tammy Lynn Neal,
Bryan L. Baumgaret and Patricia Ann Neal.
4. I appoint my daughter Patricia Ann Neal, as
Executrix of this my last Will.- If she should prede-
cease me or cease to act in such capacity, I name my
son, Robert Neal, Jr., to so serve.
~~
~ 't
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5. The Executrix of this Will shall have
the power to distribute my estate in kind or in
gash, or partly in either.
6. I direct that no Executrix acting under
this Will shall be required to enter bond. in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto het my
hand this~~~ day of ~(.- ~~ (~ 19% .
i
IDA M. NEAL
~._~ ~ ~~~11 ~~~~
~~ v
LAW OFFICES OF
szEr~x J. xocG
401 E. LOUTHER STREET
CARLISLE, PA 17013
The preceding instrument consisting of this and
two other pages was on the day and date hereof signed,
published and declared by IDA M. HEAL, as and for her
last Will in the presence of us, who at her request,
in her presence and in the presence of each other. have
subscri$ed our names as witnesses hereto.
L1
', ' ~~ ~ '' 1' , .~.
V~
LAW OFFICES OF
STEPHEN J. HO(~G
401 E. LOUTHER STREET
CARLISLE, PA 17013
ACKNOWLEDGMENT
LAW OFFICES OF
sTEr~N J. xoc,G
401 E. LOUTHER STREET
CARLISLE, PA 17013
Commonwealth of Pennylvania
County of Cumberland
ss
I, IDA M. NEAL, the testatrix, whose name is
signed to the attached or foregoing instrument, having
been duly qualified according to law, do hereby,
acknowledge that I signed and executed the instrument
as my last Will; that I signed it willingly and as my
free and voluntary act for the purposes therein
expressed.
IDA M. NEAL
Sworn to or affirmed and ackno~~~ic~ed befl
by IDA M. NEAL, the testatrix, this -~ /~f~`~day of
199. i% % / ~~ ~~'.
County of Cumberland
_,--t ' ,
r y~~,rnal ,m! ~,~
~~
£, a; ~ 'ti`' ,'hk Cr ,ref N to a
~.~ t t C 'X'x+ .._.
_._- --- AFFIDAVIT
,,
4 ~'
Commonwealth of Pennsylvania
ss
Swor to or affirmed and su~ c b -_ to before me
by witnesses, this ~, ;day of ~ ~Z .,-, 1993 .
We, Fi~Dt-K~c K ~. ~F15 5 and ~ c-r~~.. 1~ .14 ~a\-~.,r
the witnesses whose names are signed to the attached
or foregoing instrument, being duly qualified accord-
ing to law, do depose and say that we were present and
saw the testatrix sign and execute the instrument as
her last Will; that the testatrix signed willingly and'
executed it as her free and voluntary act for the pur-
poses therein expressed; that each subscribing witness
in the hearing and sight of the testatrix signed the
Will as a witness; and that to the best of our knowl-
edge the testatrix was at that time 18 or more years
of age, of sound mind and under no constraint or undue
influence. ` )
~:,;I, w i
LAW OFFICES
IR WIN ~ McIQVIGIIT A. Settlement Statement
U.S. Department of Housing and Urban Development
OMB No. 2502-0285 ex fires 11/30/2009
B. TYPE OF LOAN
WEST POA9FRET PROFESSIONAL BUILDING
60 W 1. ^FHA 2. ^FmHA 3. l7Conv. Unins.
4. OVA 5. Conv. Ins.
EST POMFRET STREET
CARL/SLE, PENNSYLVANIA 17013-3222
(717) 249
2353 6. FILE NUMBER
STONER81.09 7. LOAN NUMBER
-
mm rn a youaa man • eu Darr a
C. Note: Inma marketl'1p.o.ar' waw wa auu1C• tM clwme: ttlMwyy w slwwn run br IMOnutlon wm
WMNING: Itbaerlmamknow hmaln feuaaWm•~sbtlu UMnd BtWaan tk4 oram/ o
comktlon can InUUtl• a M• oral mwm. For AMaIN tae:7nu 70 U.B. CPE• BaQlon'1007 8, MORTGAGE INSURANCE CASE NUMBER
a ama apa ana own.
o.u aM are not InoWMtl M the tauu. Titlelxpress Settlement System
tlwr slmtlar/onn. PSUltlu upon
ana 8ectlon mto. Printed 01/3012009 at 09:29 JMR
D. NAME OF BORROWER: BLAINE H. STONER
ADDRESS: 549 N BEDFORD STREET CARLISLE PA 17013
E. NAME OF SELLER: IDA MAY NEAL ESTATE
ADDRESS: BO WEST POMFRET STREET CARLISLE PA 17013
F. NAME OF LENDER:
ADDRESS:
G. PROPERTY ADDRESS: 502 N BEDFORD STREET, Carlisle, PA 17013
Carlisle Borou h
H. SETTLEMENT AGENT: i&M REAL ESTATE SERVICES, LLC, Telephone: 717.249.2353 Fax: 717-249.6354
PLACE OF SETTLEMENT: West Pomfret Professional Bid 80 West Pomfret Street Carlisle PA 17013
I, SETTLEMENT DATE: 01/3012009
J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. Contract sales rice 40 000.00 401. Contract sales rice 40 000.00
102. Personal Pro rt 402. Personal Pro
103. Settlement cha es to borrower line 1400 708.50 403.
104• 404.
105. 405.
Ad ustments for Items aid b seller in advance Ad ustments for Items aid b seller In advance
108. SchcolTax 01130109to06130109 365.55 408. School Tax 01130109to06/30109 385.55
109. 409.
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 41074.05 420. GROSS AMOUNT DUE TO SELLER 40 365.55
200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER
201. De sit or earnest mone 501. FJCCeS3 De osit see instructions
202. Print al amount of new loans 502. Settlement cha es to seller line 1400 3 296.16
203. Exislin loan s taken sub'ed to 503. Existin loan s taken sub ed to
204• 504. Pa off of First Mart a e Laan
205. 505.
206. 506.
207. 507.
208. 508.
209. 509.
Ad'ustmerds for items un aid b seller Ad ustments for items un aid b seller
211. Count taxes 01101109to01130/09 26.65 511. Coun taxes 01101109to01130109 28.65
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. TOTAL PAID BYIFOR BORROWER 26.85 520. TOTAL REDUCTION AMOUNT DUE SELLER 3 322.81
300. CASH AT SETTLEMENT FROM OR TO BORR OWER 600. CASH AT SETTLEMENT TO OR FROM SELLE R
301. Gross amount due from borrower line 120 41 074.05 601. Gross amount due to seller line 420 40 365.55
302. Less amounts aid b/For borrower line 220 28.65 602. Less reduction amount due seller line 520 3 322.81
303. CASH FROM BORROWER 41047.40 603. CASH TO SELLER 37 042.74
., w nrneeT.~CtIT nc uro IsINt, AND URBAN DEVELOPMENT File Number. STONERBI.08 PAGE 2
UA.,VU"nw mu., v. .~ ... .. ._ _.
SETTLEMENT STATEMENT Tkle ss settlement S
L. SETTLEMENT CHARGES
700. TOTAL SALES/BROKER'S COMMISSION based on dce $40 000.00 =
Division of commission Ilne 700 as follows:
701. to
702. to
703. Commission ald at Settlement
tem
not a
PAID FROM
BORROWER'S
FUNDS AT
SETTLBMENT
PAID FROM
SELLER'S
FUNDS AT
SETTLEMENT
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Od ina8on Fee %
802. Loan Dlscounl °/.
603. A raisal Fee
604. Credit Re rt
805. Lender's Ins 'on Fee
806. Mo a e A Ilcetlon Fee
807. Assum on Fee
808.
809.
810.
811.
900. REMS REQUIRED BY LENDERTO BE PAID IN ADVANCE
901. Interest Fran to Ida
902. Mo a Insurance Premium to to
903. Hazard Insurance Premium for to
904.
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insurance mo• hnD
1002. Mc a Insurance mo. Imo
1003. CI Pro Tax mo. Imo
1004. Coun P Tax mo. 27.96 Imo
1005. School Tax mo. 73.15 Imo
0.00 0.00
1009. A re ate Anal sis Ad'uslment
1100. TITLE CHARGES
1101. Settlement or closl fee
1102. Abshact or title search
1103. Title examination
1104. Title insurance binder
1105. Document ration 10.00
1106. Note Fees 25000
1107. Attome s fees
includes above items No: 1101.1102 11031907
1108. Title Insurance
includes above keins No:
1109. Lender's Covera NONE
1110. Owner's Cove a 40 000.00 -
1111,
1112.
1113. ,. ,,,
GOVERNMENT RECORDING AND TRANSFER CHARGES..
1200
.
1201. Recordin Fees Deed 48.50 M' ' 'Release ~ ~
400 00
1202. Ci ICoun taxlstam s Deed 400.00 • Mat a e 400.00
1203. State Tax/stam s Deed 0.00 • M
1204.
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surve
1302. Pest In coon
1303.
2007 COINIP/SCHOOL TAXESto TAX CLAIM BUREAU
1304 1 2.35
.
2008 CO/TWPISCHOOL TAXESto TAX CLAIM BUREAU
1305 1355.22
.
1306. Flnal WU-Swr # 006749 to BOROUGH OF CARLISLE 105.59
1307.
1308.
..r•.r. nuenn_ec ra.ae...e aaaa Ana Rnrllnn J antl 502. SeCtlan KI _ 708.50 3296.16
Wa and xwnte eletarnerrt of all rewipta and dbburesmeMa made an my awoum or b
IDA NAY NEAL ESTA7E
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UNR~ STATES ON TNIS OR ANY SIMSAR FDRN.PENALTIES UPON CONw ON 1 have uauwd or wxl rtewe MSfuMa Nf be dlaburead In aecertlaxe wllh M4 abtamant
~S ICODE SEECTION 1001AND SECTION 010 ~~~ 8EE TITLE 78. / 3~ O
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HUD CERTInCAT10N OFBUYERAND SEDER
July 19, 2008
Commerce
CBank
Douglas G. Miller
Law offices of Irwin & McKnight
60 West Pomfret St
Carlisle, PA 17013-3222
RE: Estate of: Ida Mae Neal
Tax Identification Number: 177-247355
Date of Death: April 26, 2008
To Whom It May Concern:
Jt4i~ < ~ 2'~~
fRWIIV & VJIcKItiIGH'i
-AN! i}FFICE
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type: Checking
Account Number: 536708472
Date Opened: July 3, 2004
Primary Owner: Ida Mae Neal
Date of Death Balance: $105.81
Accrued Interest: $.02
Principal Balance: $105.79
YTD Interest: $.22
Please feel free to contact me at (717) 412-6127 if I may be of further assistance.
Sincerely,
CindL y Shultz
Support Associate/Deposit Services
Commerce Bank
Commerce Bank /Harrisburg, N.A.
PO Box 4999
3801 Paxton Street
Harrisburg, PA 17111-0999
commercepc.com
Hoffman-Roth Funeral Home & Crematory, Inc.
219 North Hanover Street
Carlisle, PA 17013
(717)243-4511
May 12, 2008
Robert E. Neal
15 McBride Avenue
Carlisle, PA 17013
The Funeral Service for Ida Mae Neal 15319-107
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please
feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
OUR SERVICE:
Traditional Funeral Service Package $4150.00
FUNERAL HOME SERVICE CHARGES $4150.00
SELECTED MERCHANDISE:
Viceroy Casket $1260.00
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THAT YOU HAVE SELECTED $5410.00
Cash Advances
Newspaper Obituary Notice- Sentinel , $79.92
Newspaper Obituary Notice -Sentinel 2nd run $39.96
Clergy Offering $75.00
Certified Copies of Death Certificates, $60.00
Flowers. $159.00
TOTAL CASH ADVANCES AND SPECL4L CHARGES . $413.88
Total
Total Cost , $5823.88
TOTAL AMOUNT DUE $5823.88
This statement is net and payable in full within 30 days of receipt.
Please return this portion with your Remittance
$ Amount Enclosed Service ID # 15319-107
Ida Mae Neal
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, Wnte to us at PO Box 6283 Sioux Falls, SD 57117 6283
IDA M HEAL ~ paymaM Oue Date
Account Number: 5049 9480 $154 3755
i Page 1 bf 1 ~ 05/14/08,
Your Account Summary
Billing Cycle Closing Date 04/16/08
Amount:Over Credit-Line $I)'.00
Amount:Past Due $0.00
Total Minimum Due' $81..98
Previous Balance- $1;900:08
Payments & Credits $6520
Plarehases & Debits " $D.00
OtherGharges $0.00
TotafFINANCECHARGES $42.98
Account Balance $1,877.86
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Your Credit Sumrnary
Total Credit Lirie $1,980:00
Total Credit Available $0.00
ACtlVlty Sale Dete Poet Date Deacdption Amount
04/11/08 04/11/08 PAYMENT-THANK YOU -65.20
Avenge
Daily
Rates 'Rate Varies Balance Balance
Pedodic Rate Periodic
D=Day FINANCE
M=Month CHARGE
SEARS
REGUUIR
EXTERNAL
REGULAR
CASH ACCESS
REGULAR
Days in Billing Pedod: 30
$1,877.86 $1,907.85 27.40%' .0751%(D)' $42.98
$0.00 $0.00 27.40%' .0751 %(D)" $0.00
$0.00 $0.00 27.40%" .0751 %(D)" $0.00
Effective ANNUAL PERCENTAGE RATE: 27A0% Minimum FINANCE CHARGE: $0.00
Please }ollow payment instructions on reverse side. Payment must be received by 5:00
p.m. local time on Payment Due Date.
Sears Card®
II I I"I IIII II I'II'll"II I II'I'I I I I III
Account Number: 5049 9480 8154 3755 II I
Payment Total
Account Balance Due Data Minimum Due
86 05/14/08 $61.98
$1
877
Amount Enclosetl
,
.
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c~- IDA M NEAL
°~ 502 N BEDFORD ST
-_ CARLISLE PA 17013-1913
Please make address changes on reverse side.
IIII II II'~IIIII'111I'~IIII IIIII'II III II~II VIII II I1111"IIIII~
Make check payable to
SEARS CREDIT CARDS
PO BOX 183081
COLUMBUS, OH 43218-3081
200 5049948081543755 0187786 D006198 D006520 1110
~ IIIIIIII Ilh IIIII Illla II ~ ~~ III IIIII ~~~~~ IIIII Alll IIIII IIIII IIIII ~~~~ ~ ~~ ~~~ IIIII IIIII IIII IIII
P.O. Box 48458
Oak Park, MI 48237
Return Service Requested
05/13/08
IDA NEAL
502 N BEDFORD ST
CARLISLE PA 17013-1913
I~11111~1~111~~~~~~11~~1111~1111~111~~111~111~11~~~~~1~1~~1~11
Phillips & Cohen Associates, Ltd.
Ph 800-259-6991
Fx 302-368-0970
Office Hours:
M - Th: 8am - 9pm
Fri: Sam - 6pm
Sat: 8am-12pm
258 Chapman Rd
Suite 205
Newark, DE 19702
Account#: 5049948081543755
Balance: $1877.86
---------------------------------------------------------
*** PLEASE DETACH ANU RETURN IN THE ENCLOSEll ENVELOPE WITH 1"OUR PAYMENT ***
Client:
Client Account#:
Our Account#:
Balance:
Citibank
5049948081543755
12174482
$1877.86
To The Estate of IDA NEAL:
Our company represents Citibank in reference to an account in the name of IDA NEAL. We have teamed that IDA
NEAL, who was a valued customer, has passed away. Please accept condolences from our client and our company.
There is an unpaid balance on this account. Please accept this letter as a Notice of Claim on behalf of our client.
This letter is sent to you solely in your capacity as a personal representative of the Estate of IDA NEAL, please call
our office toll free at 800-259-6991 to discuss resolution of this matter and payment on this account. If you are not the
personal representative, please contact us with the name and address of the personal representative or attorney who
is handling the estate.
Cordially,
Phillips & Cohen Associates, Ltd.
** IMPORTANT CONSUMER INFORMATION **
Unless you notify this office within thirty (30) days after receiving this notice that you dispute the validity of this debt or
any portion thereof, this office will assume this debt is valid. If you notify this office in writing within thirty (30) days
from receiving this notice, this office will: obtain verification of the debt or obtain a copy of a judgment and mail you
copy of such verification or judgment. If you request this office in writing within thirty (30) days of receiving this notice,
this office will provide you with the name and address of the original creditor, if different from the current creditor. This
communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used
for that purpose.
Phillips & Cohen Associates, Ltd. • 258 Chapman Rd, Suite 205 • Newark, DE 19702 • 800-259-6991
,ncco..n.Tnc cnn~ c, cnm n nnn.ne ~ a n.o, m ~ ~n~ n t nn i .n ~ ~ PC Ai f141
AV\rV Mtla Vap aa.rttaerta
IDA M NEAL AMERICAN
Please re/er questions or requests br money to the address bebw. Please include
your name antl account number on any correspondence.
AMERICAN GENERAL FINANCE
6 S HANOVER ST
CARLISLE, PA 17013-3306
Phone: (717)243-6055
Retain dlla portion IDr your records
t st Due
P Past Due Total Payment Additional Past Due Charges Accrue
Account Curren
Amount Due a
Amount Char es Amount Due Due Date if Pa ment is Received After
Number
13498205 90.00 181.00 4.05 275.05 Jul 06, 2008 Jul 16, 2008
Previous Balance ..........
Pg 1 0l 1
CALL THE AMERICAN GENERAL INSURANCE HOTLINE AT 1-804325-2147 EXT 5232 WITH ANY QUESTIONS YOU MAY HAVE
ABOUT INSURANCE OR OTHER NON-CREDIT PRODUCTS.
~ YOUR ACCOUNT IS PAST DUE. IF THERE IS A PROBLEM, PLEASE CALL (717) 243-6055 . WE
MAY BE ABLE TO HELP. IF YOU HAVE ALREADY SENT YOUR PAST DUE AMOUNT, THANK
~/~ YOU.
Contact us on the internal at www.bansfasl.com
T
y
0192854 0000131]0 OAGD13 JULOB (03)
Please tlerech and return rhla poMon with your payment
Puase smp er eu. ems a use nN, .,mlesse.everoPS m nmm rms. wrmPaN m we aeemas 5.mw.
CHEGH HERE FOfl SPECIAL PAYMENT MPLICATION ANO/OR ADDRESS CORRECTION ON aAGN.
AMERICAN GENERAL FINANCE
6 S HANOVER ST
CARLISLE, PA 1]013-3306
or
~iENERAL
FINANCIAL SERVICES
A Member of American International G,OUP. Inc.
www.loansfast.com
Statement Date: June 21, 2006
Regular Payment: $90.00
631.00
All loans are sublecl to normal credfl poACy.
SLP16 '040AS2'
149813498205
a $ 275.05 Ju106,2008
$ 278.14 Jul 16, 2008
AMEItIC4N
(GENERAL
FINANCIAL SERVICBS
®n Mw.e., o, nma.men ima...nenN mo.o. mo.
Yes, l would like additional cash.
• 0192854 000013170 OAGDE3 JOLOB (03)
IDA M NEAL
502 NORTH BEDFORD ST
CARLISLE, PA 17013-1913
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AMERICAN GENERAL FINANCE
P.O. BOX 742536
CINCINNATI, OH 45274-2536
)I~u~l~l~u l)II)IU)r)u(n)I(I~I~n I)~u ))nu)~u~~nu))I)
149813498205000009D0000002750500002781400D063100000D09D00
/REGIONAL
MEDICAL CENTER
Po aox aloo
Carlisle, PA.17013-4100
July 03, 2008
zsatnz~
IDA M NEAL
502 N BEDFORD ST
CARLISLE PA 17013
DEAR IDA M NEAL
STATEMENT
005761595
PATIENT: IDA M NEAL
PATIENT #: 9399998
BALANCE: $1,029.00
ADM.. DATE:-09/19/08
Thank you for choosing Carlisle Regional Medical Center for your
healthcare needs. We value your use of our facilities.
Your insurance company was billed and has paid according to the
benefits of your policy. However, there is a patient balance due
which is indicated above. Your payment is important to the efficiency of
the hospital and our attempts to hold down costs. Please mail your check
or money order today. For your convenience, we accept Visa, MasterCard,
Discover and American Express(see below).
If you have additional insurance information which you have not previously
provided, please notify us immediately. Furthermore, if you are not able
to pay this account in full at once, please contact us for payment
arrangements.
If you have questions regarding the balance of this account, please do not
hesitate to call us at the number shown below. Thank you for your prompt
attention to this matter.
If you have already made payment, please disregard....and thank you.
PLEASE RETURN LOWER PORTION WITH YOUR PAYMENT
CARLISLE REGIONAL MEDICAL CENTER PATIENT: IDA M NEAL
PATIENT REPRESENTATIVE PATIENT #: 9399498
800 361-9160 BALANCE: $1,029.00
8:30 A.M. TO 5:00 P.M. ADM. DATE: 04/19/08
PIA 03
** CREDIT AUTHORIZATION **
CARLISLE REGIONAL MEDICAL CENTER
VISA(_)MC(_)DISC(_)AMX(_) P.O. BOX 4100
EXP DATE ( ) VIN# ( ) CARLISLE PA 17013-4100
CARD # ( )
PMT AMT ( )
SIGN ( )
03 *CALLS/INQUIRIES MAY BE MONITORED FOR QUALITY CONTROL*
127