The URL can be used to link to this page

Home My WebLink About03-0933 PETITION FOR GRANT OF LETTERS Estate of Pauline E. Spidle No. also known as , Deceased Social Secudty No 207-09-1206 Petitioner(s), who is/are 18 years of age or older, appty)ies) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the executor ~ Decedent, dated 9/1/1989 and codicil(s) dated named in the Last Will of the State relevant circumstances, e.g., rertunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child bom or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: i B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pandente lite, durente absentia; durente mino~ste) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland residence at 744 Pine Road, Dickinson Townsship (list stree{, number and municipality) Decedent, then 89 years of age, died October 16 ,2003 , at Carlisle Hospital, Carlisle~ Pennsylvania (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PA All personal property ......................................... $ (if not domiciled in PA Personal property in Pennsylvania .................... $ (if not domiciled in PA Personal property in County .............................. $ Value of real estate in Pennsylvania ........................................................................................ $ T~al ..................................................................................................................... $ Real Estate situated as follows: 744 Pine Roadr Carlisle, Pennsylvania Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Si nature County, Pennsylvania, with his/her last family or principal Typed or pdnted name and residence Michael E. Spidle 744 Pine Road, Carlisle, PA 17013 2,200.00 76~000.00 78,200.00 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are tree and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the administer rate c, cor i to Decedent, Petitioner(s) will well and truly Sworn to and affirmed and subscribed before me this ~--0~% .. day of DECREE OF REGISTER Estate of pauline E. Soidle II I Deceased No.~,I- 0~" CL~L~ also known as Social Security No:207-09-1206 Date of Death: AND NOW, ~,~L~--~J._~_ li~l ~0o ~ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters I~/Testamentary I~ of Administration ((c.t.a., d.b.n.c.t.; pendeflte lite; durante absentia; durante minoriate) are hereby granted to in the above estate and that the instrument(s), if any, dated .~ - t, - ~C~ c~C~ described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Letters .................................... $~' Short Certificates(s) ............... $ Renunciation .......................... $ Extra Pages ( ) ...............$ I.T.R ....................................... $ JCP Fee ................................. $ Inventory ................................ $ Other ...................................... $ Io, OO TOTAL ........................... .$ ~ ~'. 0 c) Telephone: ~ c~.~ DATE FILED: (~~ng wit~ss to the will presente~erewith, (each) being duly qualified according to /law, depose(s) and s~(s) that ./ present and saw / / × w ' the testat / , sign the same and~at ,~ signed as a itness at the requestof~at '- in h~4~sence and (in the presence~f~ch other) (in the presence of the ~t:~if t oU~olilif~itdnlsfleS)s~'s~cribed before me this 19,__day of / (Name)~ /(~ress) Register (Name) o (Address) me this ~1~.~ day of REGISTER OF WILLS OF O,~.~.,-,L,.~-\c~,& COUNTY OATH OF NON-SUBSCRIBING WITNESS (e~cb) testat~ of (one of the subscribing witnesses to) the presented herewith codicil that to the best of ~1)~ knowledge and belief. Sworn to or affirmed and subscribed before (Address) ~ "70 ~.~ his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P :9749729 No. Local Registrar OCT 1 9 200:3 Date COMMONWEALTH OF PENNSYLVANIA · OEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH SEx ISOC~At SECU~ffv NU~e~ ~ - ~. - i ~ ~ un~no~.) , : ,. - , /4~ P~ne Ko~d ..... I~G~'~ ...~.. ~v~~ ...... ' '-George H. Hye=s~S=. Henderson Michael E. Spidle ylvanla 17013 tobe~ 20~2003 ~[[ey Memorial Gardens :umberla ro Twg. onty,Pa. ,.E) LAST WILL AND TESTAMENT OF PAULINE E. SPIDLE I, PAULINE E. SPIDLE, widow, of Dickinson Township (mailing address: 744 Pine Road, Carlisle, Pennsylvania 17013), Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I direct that my body be interred on my burial lot beside that of my husband, Henry E. Spidle, in Cumberland Valley Memorial Gardens located along Governor Ritner Highway near the Borough of Carlisle, Pennsylvania. 2. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my son, Michael E. Spidle, his heirs and assigns, but should he fail to survive me then to his issue, per stirpes. At the present time my son is not the father of any child or children. 3. Should neither my son nor any issue is my son survive me, then in such event all of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to such of my brother and three sisters who shall survive me by a period of ninety (90) days, per stirpes, but if any of them shall fail to so survive me then the share such deceased brother or sister would have received shall pass to such of his or her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue the same shall lapse and be added to the other shares of my brother and sisters. I hereby nominate, constitute and appoint my son, Michael E. Spidle, as Executor of this my Last Will and Testament but should he predecease me or fail to qualify or cease serving as such, the in such event I nominate, constitute, and appoint Farmers Trust Company and its successors, One West High Street, Carlisle, Pennsylvania 17013, as alternate or successor Executor, and I further direct that neither of them shall be required to post any bond to secure the faithful performance of his or its duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (1) page, this 1st. day of September ,1989. Pauline E. Spidle ~ Signed, sealed, published and declared by PAULINE E. SPIDLE, the Testatrix above-named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. LAST WILL AND TESTAMENT OF PAULINE E. SPIDLE ROBERT M. FREY ATTO R N EY-AT-LAW 5 SOUTH HANOVER STREET CARLISLE. PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Pauline E. Spidle Date of Death: October 16.. 2003 Will No. 2003-00933 Admin. No. 2003-00933 To the Register: I certify that notice of (beneficial interest) estate admlni~tration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on February I , 2004 : Name Address Michael E_ Sp)dle 744 Pine Rd.~ Carlisle, PA17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) ~ Date: April 2, 2004 1717: [ d E- 8dl/ Signature Name Paul Bradford Orr, Esquire Address 50 E. High Street Carlisle, PA 17013 Teleph°ne(71 ~] 258-8558 Capacity: ~ Personal Representative X Counsel for personal representative JRD/June 30, 1992/17858 In Re: Estate of PAULINE E SPIDLE Late of DICKINSON TOWNSHIP Estate No.: 21-03-933 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-2003-933 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: MICHAEL E SPIDLE Counsel for Personal Representative: PAUL BRADFORD ORR Date of Grant of Original Letters: 11-10-2003 Date of Delinquency Notice: 02-20-2004 The undersigned, Glenda Famer-Strasbaugh, Register of Wills, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Register of Wills on FEBRUARY 20, 2004, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 03-15-2004 Distribution: enaa earner Strasbaut~h, Register of~lls Personal Representative Counsel for Personal Representative Estate File A heating is scheduled for ~ t//,~g) ~ at ~'~'~.~In Courtroom No. 3. If the Certification of Notice is filed/prior to tile hearing date, the hearing will automatically be cancelled. George 1~ H~, ~J. m Postage Certified Fee Retum Reciept Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees '~-~.~t. No.; or PO Box No. ~ -- · Postmark Here · Complete items 1, 2, item: 4if ~ Delivery is desired~ · Print your name and address on the reverse . so that we can return the card to YO~m~ilpiece' · Attach this card to the back of the 4. A~e~ to: Is delivery a t ~a,¥, 17 ~ if YES, e~mr deliver/ad~maa ~ ORR PAUL BRADFORD 50 E HIGH STREET CARLISLE PA 17013 [] Registered [] Retum Reoeip~ for Mercl~ t [] Insured Mail- [] C.O.D. ' 4. Restricted Deavm~ ~-x~m Fee) []Yin - 2. Article Number . '~ '~.1'~ '~ ~ gust 2~1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 0041 24 ORR PAUL BRADFORD 50 E HIGH STREET CARLISLE, PA 17013 ........ foJd ESTATE INFORMATION: SSN: 207-09-1206 FILE NUMBER: 2103-0933 DECEDENT NAME: SPIDLE PAULINE E DATE OF PAYMENT: 07/06/2004 POSTMARK DATE: 07/06/2004 COUNTY: CUM BERLAND DATE OF DEATH: 10/16/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $3,232.23 TOTAL AMOUNT PAID: $3,232.23 REMARKS: SEAL CHECK# 131 INITIALS' JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS REV-t500 INHERITANCE TAX RETURN FILE NUMBER Z Z OECEDENF5 NAME ;L/.,S-I FRS [ AND MDDLE ..... .,,...~ PAULINE E. SPIDLE RESIDENT DECEDENT / SOCIAL ,SEOURiTY 209-09-12061 OA'FE OF DEATH .M.M-DD YEAR! DATE OF BRTF ~P'~d DD ,"EAR} THIS RETURN MUST 3E FILED IN DUPLICATE WITH THE 10/16/2003 08/21/1914 REGII TER OF WILLS F 4wPi "ARL= m iR\,'I\,e~G SPOUSE S NAt'~E LAST FIRST ~*~,~, ~.'-,~E !'dliA_, SOCIAL SECURITY Nt ,MBER --' :~u¢~,umen.q ,~,.~ C-] 3. Remainder ~*ME I COMPLETE MAILING ADDRESS PAUL BRADFORD ORR, ESQUIRE 50 EAST HIGH TREET o aaEs OF AUL n DFORD 1 ................... TELEPHONE NUMBER l (717) 25~558 I, ': Res ~sate ~Scheduie A) d} 80,830.00 E~]! Origina! Retort i]4. Limited Estate4 [~] 6, De';ede,',t Died ]e,~t~ E]9. Wtigation Proceeds Received 2 Si,:x:ks and Bonds iScheduie B) 3 Closdy Held Corpom!k;n Partnership or Soie-Pmprietomi~ p 4. Mortgages & Notes Receivab~, (Schedoie 5. CaShr Bank ~pos~(s & (Schedule E} 6 Jointly Owned Property (Sched¢te ...... bepa~m~ ~i ,~r,9 Requested 7. k:ter-Vivos Transfers & Miscellaneous Non-Pr,;bate PropeEy SchedtJe G or L ) 8 Total Gross Assets (;o~ai Unes !-7 9. Funera! Expenses & Administrative Costs (Scheduie H', ~0 Debts of Decedent. !~ Total Dedu~ions 12 Net Value of Es~te 14. 15¸ ate Tax Return Required er of See Deposit Boxes tax under Sec 9! 13iA} ,,tL~.~, I6. '[7 ~8 t9. 20 5,335.6¢ 11,867.59 ~.~ 2,470.67 14,338.26 71,827.43 made Schedue J Net Value Subject to Tax {Wne !2 m~nus Line ~EE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Amount of Line 14 Laxable at the spousal tax rate or transfers under Sec. 9~I6 (a)(! 2) Amount of Line 14 taxab!e at iineal rate Amount of Line 14 taxaNe a; sibiing rare 71,827.43 × ,r, 45 x .!2 Arno Jnt of Lina i4 .axah!~ at coitatera! rate · x 15 Tax Due 71,827.43 3_,232.23_3__ Decedent's Complete Address: STREET N:)DRESS 744 PINE ROAD C~TYCARLiSLE Tax Payments and Credits: !, Tax Due ifa? 1 Line ~9,~ 2 Q'edits/Pa?enb; A. Spouse! Poverty C.edit B. Prior Payments C. Discount I STATEpA Int~¢rest.?ena!ty if appiicable D. interest E. Penait~ Torsi Credits ( A - B + C ,2} Total Interest/Per airy ( D + E (3} If Line 2 is greater inert Line + Line 3, enler ti}e d ff,,-;rence. Ti's is the OVERPAYMENt. Check box on Page 1 Line 20 to request a refund !f Line i ~ Line 3 is greater than Lice 2. enter ihe d florence. This is ~te TAX DUE. A. Enter ~he interest or~ the tax due. B. Enier the total of Line 5 - SA. This is the BALANCE DUE, 5) z~P 17013 3,232.23 0.00 0.00 3,232.23 0.00 3,232.23 Make Check Payable to: REGISTER OF WILLS, AGENT lATE BLOCKS t'.le S PART OF THE RETURN. and complete. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPR !. Did deceden*~ make a transfer and: Yes a. retain the use or income of the proper~y iransterred: [] b. retain ihe right tn designale who shall use the properly transferred or its income; ....................................... D c. re!sin a reversk)nary interest: or ................................................................................................................. ~ d. receive the promise for life o~ either payments, benefits or care? ~ 2. tf dealh occurred after December !2. 1982 did decedent transfer property wthin one year uf death w~hout receh4ng adequate consideratbn? ~ 3 Did deceden~ own an "in trust for" or payable upon death bank accoun[ or security a~ his or her death? ........... ~ 4 Did decedent own an hxtividua~ ~etiremen~ Accounh annuily, or other non-probate prope~y whicf contains a beneficiary designation? .................................................................................................................. ~ IF THE ANSWER TO ANY OF THE ABOVE ~UESTIONS IS YES, YOU ~UST COMPLETE SCHEDULE 6 AND FILE IT ~ Under penallias of perjury, I declare that I have examined this relum, including accompanying schedules and statements, and te the best of my kno~edge and belief, it is true, Declare~on of preparer o~her than the pem~al,j:~entalive is bas~d~ on all information of tCnich preparer has any knowledge. ADDRESS /' ' SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS For dates of death on or afte~ J¢iy !. 1994 and before January 1, 1995, the (ax '~te m'~posed on the roi va,~e of transfers to ~r fei the use of the ttrviving spouse is [72 P,S. ~9i16 (a~ ii.I) z~' or .aL,~a ~¢ ''~', d~¢~,~ , un u,~ an ..... anuari~ ~f ,, !99b, t?e tax rater,~ -¢imP°sed- on,the~ ,-ne[..value~, ~ of transfers, to. or. for ~e use of the sur, viving spouse ~' 0~1 [~2 P,S. ¢91 t6 the surviving s~ouse is the any beneficiary For dates of deah on c,r after Aly i, 2000: the (a~ rate imposed on !he ne~ rage of transfers from a deceased child ~,~entpone years of age or younger at death b or for ~he use of a dural parent, an adoptive parent. er ~ stepparent of the child is 0% [72 RS. }91!6(a)(1 2}] The tax rate imposed on the ne~ value of transiem to 0¢ b the use ct the decedent's lineal beneficiaries is 4.5%, except as no~ed in 72 RS. }9!' (! 2) [72 RS. ~9!16,~a.~(I)]. The tax rate imposed an the net value of ~ransfers to or for the use of the decedent's eib!mas is !2t. ?2 RS {i9ii6(a)(1.3)]. A sibling is de'ined, under Section 9182 individual who has at least one parent in common with the decedent, whether by blood or adoption REV-1502 EX*- (6~98) SCHEDULE A COM ON 'E^LTH Or REAL ESTATE iNHERiTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMB :'R PAULINE E. SPIDLE 2003-009)3 All real property owned solely er aa a tenant in oemmon must be reported at fair market value. Fair market value is defined as the pri ;e at which property would be exchanged between a willing bwer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge )f the relevant facts. Real property whic~ is jointly-ow.ed with right of survivorship must be disoloaed on Schedule F. ITEM VALUE AT DATE N UMBER DESCRIPTION OF DEATH I. 744 Pine Road, Carlisle, Dickinson Township, Cumbodand County, Pennsylvania 80,830.00 TOTAL (Also enter on line 1, Recapitulation) $ 80,830.00 (if more space is needed, insert additional sheets of the same size) THIS IS NOTA TAX BILL MAILING DATE: May 10, 2004 District: 08 - DICKINSON TOWNSHIP School..: CA~LISLEAREASD Location: 744 PINE ROAD & SR 3006 LAND APPX .5 ACRES TAXABLE Land Size .... : .32 acres Property Type: R Residential Building Parcel Identifier: 08-31-2197-016. Old Assessed Va ue 2004 i New Assessed Value (2000 Market x 100%) Market Value (2004 Market x 100%) Land 15,000 18,000 18,000 Buildings 61,880 62,830 62,830 TO,A, 76 880 80,83080,830 2004 Clean and Green Vail ~es Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest I and, Such values become effective only upon application and approval. AIl applications must be received by the Assessment Office by 4:30 p.m. on Octc ber 15. 2004. Those previously approved for Clean and Green do not nee d to re-apply. Pennsylvania law requires that all real estate be valued as of the most recent county-wide reassessmen~. The last reassessment, or tax base year, was 2000, Since the last reassessment in 2000, properties have been assessed at 100% of Year2000 value (the "Pre-Determined Ratio"), The r~ew tax base year will be the Year 2004, with the new assessed values becoming effective for the 2005 tax year. The Pre-Determined Ratio remains at 100%, Your new assessed value equals your Year 2004 market value. When the new 2004 tax base is determined after this reassessment, all taxing, districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year after reassessment (2005), the county and all townships and boroughs may not increase overall revenue on their existing taXbase by more than five percent (5%) and school districts may not increase overall revenue on their existing taxbase by more than ten pement (10%). The county and the othertaxing bodies will make these decisions next year, and may choose not to increase overall revenue. Ofcourse, some individual's taxes will go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2004 COUNTY tax figures. THIS ESTIMATE DOES NOT INCLUDE ANY BOROUGH TOWNSHIP, OR SCHOOL DISTRICT IMPACT. ESTIMATED COUNTY TAX IMPACT: Current 2004 County mills = 2.352 Adjusted 2004 County mills = 2.138 $ 181 : 2004 County Tax BEFORE Reassessment. $ 173 : 2004 County Tax AFTER Reassessment. Ne: 0~:30 DEED ELMA I. BEARD TO; HENRY E. SPIDLE, ET riX C OMS: ~1, DO THIS INDENTURE, MADE TI-[ 3)TH DAY OF NOVEMBER IN THE YEAR OF OIIR LORD ONE THOI!SAND NINE HUNDRED AND FORTY-SI X. BETWEEN El_MA I. BEARD, A WlDOW~ OF THE,T.OWNsHIP OF DICKINSON COUNTY OF CtIMBERLAND AND STATE OF PENNSYLVANIA, I~HE GRANTOR AND PARTY OF THE FIRST PART; AND HENRY E. SPIDLE AND PAHLINE E. SPIBLE, HIS WlFE~ LOC: DICKINS(~I TWP. DATD: NOVEMBER :~O, 19~.~* ~)B0~H OF THE SAID TOWNSHIP COUNTY AND STATE THE GF ENTO: APRIL :l. gt I0~.?... OF THE SECOND PART; WlTNESSETH, THAT TIE SAID PI FOR AND IN CONSIBERATIO[q OF TIE SUM OF ONE (~1.OO) DOLLAR AND OTHER GOOD ATION LAWFUL blONEY OF TilE',UNITED STATES OF AMERICA, WELL AND TRULY PAID B' THE SECOND PART TO THE SAID P/~RTY OF THE FI PST PART, AT AND BEFORE THE EIq THESE PRESENTS, THE RECEIPT WHEREOF IS HEREBY ACKNOWLEDGED, HAS GRANTED, IENED, ENFEOFFED, RELEASED, CON~EYD AND CONFIRMED .AND BY THE~E PRESENTS D SELL, ALIEN, ENFEOFF, RELEASE, CONVEY AND CONFIRM UNTO THE SAID PARTIES AND ASSIGNS, ALL THAT CERTAIN TRACT OR PLOT OF LAND SITUATE IN THE TOWNSHIP OF DICKI LANDAND STATE OF pENNSYLVAnIA, MORE PARTICULARLY BOUNDED AND DESCRIBED AS ON THE NORTH BY THE PINE ROAD, OH THE EAST BY PROFERTY OF THE GRANTOR WEST BY PROPERTY OF EARL BOWE; AND ON THE SOUTH BY PROPERTY OF TIlE WITHIN A DISTANCE OF ONE HUNDRED (1OO) FEET IN FRONT ON THE SAID ROAD AND EXTEND EVEN WIDTH A DISTANCE~OF TWO HUNDRED FIFTY (250) FEET; THE'.E~STERN AND OF THE PREMISES HEREIN DESCRIBED BEING AT RIGHT ANGLE5 TO THE SAID PINE CORNERS OF THE PLOT HEREBY C~IVEYED BEING MARKED AND DESIGNATED BY IRON P THE PROPERTY HEREIN DESCH~BED IS PART OF .THE TRACT OF LAND THAT LESTER BY HIS DEEO DATED THE 6TH DAY OF OCTOBER 10~.5, AND DULY RECORDED IN THE OI OF DEEBS IN AND FOR ThE COUNTY OF CUMBERLAND AND STATE OF PENNSYLVANIA, I 13, PAGE 50.5, SOLD AND C(~IVEYED TO EL~(A I. BEARD, THE WITHIN NAMED GRANTO AND MARY B. MYERS, BEING THE INDIVIDUAL NAMED AS HAVING AN EQUITABLE DESCRIBED PRE)41SES, BY VIRTUE. OF A CERTAIN DECLARATION OF TRUST EXECUTED D~LY RECORDED, ~IOINS IN THE EXECUTION OF THIS DEED IN ORDER TO EVIDENCE T -D WITH HER FULL KNOWLEDGE AND CONISENT ~ND AT HE~-; DIRECTION. TOGETHER WITH ALL AND SINGI_AR THE BUILDINGS, IMPROVEMENTS, WOODS, WAYS PRIVILEGES, HEREDITAIdENTS AND APPURTENANCES, Tu THE 5AIVlE BELONGING, OR IN AND THE REVERSION AND REVERSIONS, REMAINDER AND REI~4AINDERS, RENTS, ISSUES AND OF EVERY PART AND PARCEL THEREOF; AND ALSO ALL THE ESTATE, RIGHT, TITI POSSESSION, CLAIM AND DEMAND WHATSOEVER, BOTH IN LAW AND EQUITY OF THE SA PART, OF, IN, AND Tu THE SAID PI.(EMISES, WITH THE APPURTENANCES; TO HAVE AND TO HOLD THE SAID PREMISES, WITH ALL AND SINGLAR THE APPUR' SAID PARTIES OF THE SECOND PART, THEIR HEIRS AND ASSIGNS, TO THE ONLY PROI BE[)OOF OF THE SAIB PARTIES OF THE SECOND PART, THEIR HEIR5 AND ASSIGNS FOI AND THE SAID PARTY OF THE FIRST PART HEREIN NAMED, FOR HERSEI~F, AND. HI AND ADMIHISTRATORS,*DOEs*BY THESE PRESENTS, COVENANT, GRANT AND AGREE, TO PARTIES OF THE SECuND PART, THEIR HEIRS AND ASSIGNS FOREVER, THAT SHE THE FIR~ST PART HEREIN NAMED, AND HER HEIRS, ALL AND.' SINGULAR TIE HEREOITAMLNT: ABOVE DESCRIBED AND GRANTED, OR IvlENTIONED AND INTENDED SO TO BE, WITH TIE THE SAID PARTIES OF THE SECOt~) PART~ TIEIR HEIR~ AND ASSIGNS, AGAINST HER THE FIRST PART HEREIN NAMED, AND HER HEIRS, AND AGAINST ALL AND EVERY OTHI WHOMSOEVER LAWFULLY CLAIMING OR TO CLAIM THE SAME OR ANY PART THEREOF, AND FOREVER DEFEND. · IN WITNESS WHEREOF, TIE SAID PARTY OF TIlE FIRST PART TO THESE PRESENT: HER HAND AND SEAL DATED THE DAY AND YEAR FIRST ABOVE WRITTEN. SIGNED, SEALED AND DELIVERED IN THE PRESENCE OF ELMA I. BE. JACOB M. GOODYEAR MARY B. MYI ANTEES AND PART lES RTY'OF THE FIRST PART ,ND VALUABLE CONS IDE R- TIE SAID PARTIES OF EALING AND DELIVERY CF .ARGAINED, SOLD, AL- ES GRANT, BARGAIN, TIE SECOND PART~ SO'l, COUNTY OF CUMBER- FOLLOWS, TO WIT: .REIN NAMED; ON THE NAMED GRANTOR ~I..N~- NG IN DEPTH AT AN ;TERN BOtJNDARY LINES ',DAD AND THE FOUIR NS. L. DUNCAN, A WIDOWER, 'FICE OF THE RECORDER DEED BOOK "A", VOL. IN FEE. NTEREST IN THE WITHIN ~Y EL, A I. BEARD AND IAT THE SAME IS E XECU'E R, GHTS~ L I BERTIES ANY~/I ~E AFPERTAI N lNG AND PROFITS THEREOF, .E, INTEREST ,, PROPERT ID PARTY OF TIE FIRST :ENANCES, UNTO TIE )ER USE, BENEFIT AND {EVER. iR HEIRS, EXECUTORS AND WITH THE SAID SAID PRRTY OF THE , AND PREMISES HEREIN APPURTENANCES, UNTO THE SAID PARTY OF ~R PERSON OR PERSONS kLL AND WILL WARRANT HAS HEREUNTO SET' RD ( SEAL~ :RS, (SE~.) STATE OF PENNSYLVANIA SS: , COUNTY OF CUMBERLAND ) : ON THE 3OTH DAY OF NOVEN~I~R, 19&O, BEFORE ME DEPUTY RECORDER OF DEEDS IN AND FiOR. THE COUNTY AND STATE AFORESAID~ THE UNDERSIGNED OFFICER, PERSONALLY APPEARED ELMA Io BEARD~,~ A WIDOW, AND MARY B. MYERS, UNMARRIED, KNOWN TO ME'(OR SATISFACTORILY PROVEN) TO BE THE PERSONI WHOSE NAIVE IS SUBSCRIBED TO THE WITHIN ItlSTRUMENT, AND ACKNOWLEDGED THAT SHE DULY EXECUTED THE ;/V~IE FOR THE. PURPOSES THEREIN ¢ONTAIKED, AND DESIRED THE SAME MIGHT BE RECORDED AS SUCH. ,'. 'w"T.Ess Writ. EOF. , .E.E,,.TO S~T ~ .AND AND OFF,C,AL SEAL...~'~:~.~.-- · ~RENN[ DE PtUC THE ADDRESS OF TIlE WlTHIN-NAI![D GRANTEE IS DICKINSUN TWPo, PA~~' WALTER G. GROOME ON;..BEHALF OF THE GRI,NTEE. NO. 913~ , ~ '""~'""'"*'"" THIS DEED, MADE THE NINETEENTH DAY DEE% ~tiC?~l~'~tlBl~l YEAR NINETEEN HUNDRED AND FORTY-SEVEN ( ROY S.Z_.ULL'I~GER,:E-T UX ' {~AND STATE OF pENNSYLVANIA, PARTIES OF THE FIRST PART CONS: I~[1. oOO X f ZULLINGER AND DOROTHY M.ZI~JLLINGER~ HIS WIFE, OF THE LOC: SHIPPENSB{~RG~ PA. _ - % SHIPPENSBURG, COUNTY OF CUMBERLAND AND STATE OF .PENN DATED: APRIL 10,"X~9/+? ~ OF THE .~COND PART, Ef11.TD: APRIL. 19~ I(~? ' WlTNESSETi! THATX'qN CONSIDERATION OF THE SUM OF ONE (t~l.OO) DOLLAR..AND OTHER CONSIDERATIONS, IN%HA.~ PAID, THE RECEIPT WHEREOF IS HEREBY ACKNOWLEDGED, THE SA HEREBY GRANT AND 0 THE SAID GRANTEES ALL THAT CERTAIN LOT ~F GROUND SITUATED IN THE TOWNSHIP O?,/$HIPPENSBURG, COU AI',D STATE OF PENNSYLVANIA, .OUNDED AND DESCRIBED AS FOLLOwS/t~ BEGINNING AT A POINT ON IE NORTHERN SIDE OF RICHARD/C(VENUE WHICH POINT NORTHWARDLY ALONG L~/~I[~S OF THE SAID LESHER A PERTY ELIZABETH LESHER; HUNDREO TWENTY-FIVE (125) FEET THE SOUTHERN SIDE/0F AN ALLEY; THENCE EASTWAR ALLEY A DISTANCE OF TWENTY (20) L. REBUCK AND.KATHRYN Lo REBUCK, HI,' TI-ROUGH THE CENTER OF THE PARTITION AND THE HOUSE ON THE LOT OF THE SAID ,,,,~A,~ IN THE NORTHERN LINE OF SAID RI( OF SAID RICHARD AVENUE, A.DISTANCE OF BEING IMPROVED WITH THE WESTERN ONE TO A POINT ,1~. LINE OF LANDS ABOUT TO BE COI~ 'IFE; THEN,6'E SOUTHWARDLY ALONG LANDS OF THE BETWEEN THE HOUSE ON THE LOT HERE A DISTANCE OF ONE HUNDRED TWENTY/FI AVENUE~ THENCE WESTWARDLY ALONG TIE FEET TO A POINT, THE PLACE OF OF A DUBLE FRAME DWELLING HOOBE AND O~ lAN EXP. JAN., 1950 )F APR;IL, I/f,~THE AND E~.N~ GUT SHALL rY O~F CUMBERLAND ,?~,ND ROY S. BOROUGH OF iYLVANIA, PARTIES ~OOD AND VALUABLE GRANTOR S DO t, ITY OF CUMBEHLAND CORNER OF PRO- STANCE OF ONE LY ALONG SAID VEYED TO ROBERT SAID REBUCK AND BY BE lNG CONVEYED VE (125) FEET TO NORTHERN LINE; BEGINNING, AND 'HER I MPROVEIv[NTS, -,'.'r ,_o5.' co...'..-.. ,.¥ ,.',:'o o, (."$1NGLEWOMANI) TO THE SAID WA~~1 GUTSHALL AND EDNA G~SHALL, GRANTORS HEREIN, S~ O DEED BEARING DATE THE 2~.TH DAY OF NOVEM~E'R, 19~.5, AND ENTERED OF t~-"~,XORI2 IN THE OFFICE OF THE RECORDER OF DEEDS ,. A.D FOR CUM~,LAND' C~,/¢r~. PE~.SYLVAN.A.I. DEED BOO,B", VOL. ~:~. PAGE AND THE SAID GRANT'S WILL WARRANT GENERALLY THE PROP RTY HEREBY CONVEYED.T FIRST ABOVE WRITTEN./ .% / ?/SEALED AND DELIVERED ' ,~.R,L- .UM,~L ~A'TER C.~TS.A~L (S~AL) EDNA ". GU~ALL (SEAL) ON THIS 19TH DAY OF APRIL, A. D. 19~.?, BEFORE DIE A NOTARY PUBLIC IN AND ~ ISAID COUNTY AND STATE, IPERSONALLY APPEARED '~HE.~ABOYE NAMED WALTER GUTSHAL~. (SI~iGLEMAN) AND EDNA GUTSHALL (SINGLEWOMAN) his is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. Calvin B. Johnson, M.D., M.P.H. Secretary of Health 3212230 No. Charles I-iardester State Reg strar d UN 0 2004 D ~te I. (e.g.. Wh, e. I OF HEALTH CERTIF OF DEATH {Phyticlan) TATE FILE IFirttl (Mlddt*k - (hit) i Da~.i~d~ Spidle ' name . ,i^. P~uline .'$pid'i:g.. ). '744 ~Pine. Rd; U~I J~Mtio~ · Enter Gnlv on~ cau~ ;ir line for iAI P.M, 29D, ' 29G ,i ;;a· ~ tim )~ '; ,. ~( . - .~ :.:=.' ,..~ ?. , .- . '~-- ~ "~yg'~=~Ek ,,. ,,.. . " i , . :.:,' ':"' :" i.,'. Pi~ II , ~r ~t~s -, i: ~le of Injury (~., Div. Yr.) I 1 ~ ol i~j~ ot ~,k? . ~ ol Injury IAI ~, f,rm. street, etc.) ~ 29E. - ' ~ ~. "' (First) I ; ~ tMi{kll') l Shea'f fer :' 1'701 '3 iCttv, bore, twp~). REV-1508 EX*, <6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF PAULINE E. SPIDLE SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 2003-00933 ITEM NUMBER 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 di_-_,:!_-,_-.-,d on Schedule F. DESCRIPTION Personal Property - items located at 744 Pine Road, Carlisle, Cumberland County, Pennsylvania M&T Bank; Checking & Savings Account VALUE AT DATE OF DEATH 2,34O0O 2,995.69 TOTAL (Also enter on line 5, RecapitulaUon) $ {If more space is needed, insert additional sheets of the same size) 5.335.69 ACCOUNT NO. I ACCOUNT TYPE ;' STATEMENT PER[OD 9835404774 FREE CHECKTNG NOV. 13-DEC. 12,2003 O0 0 04331M NM 017 PAGE 10F1 ESTATE OF PAULINE E SPIDLE MICHAEL SPIDLE, EXEC 7qq PINE RD CARLISLE PA 17013-9112 MT HOLLY SPRINGS i :DATE 11-13-0,,. 11-25-03 11-25-03 11-25-03 11-25-03 11-26-0-~ 11-26-03 11-28-03 ---------- ACCOUNT N: BEGINNING BALANCE DEPOSIT CHECK NUMBER 0106 CHECK NUMBER 0102 CHECK NUMBER 0104 CHECK NUMBER 0103 CHECK NUMBER 0107 CHECK NUMBER 0101 CHECK NUMBER 0105 ENDING BALANCE ACTIVITY & OTHER. ADDITI'ON.~ 2~995.69 SO.O0 210.00 52.$6 37.89 228.00 166.00 SO.O0 BALANCE :. $0.00 2,995.69 2,6q5.24 2,251.24 2,201.24 $2,201.24 101 104 107 11-26-03 11-25-03 11-26-03 166.00 52.56 228.00 102 105 11-25-03 210.00 103 11-25-03 37.89 11-2B-03 50.00 106 11-25-03 $0.00 JIM BISTLINE, AUCTIONEER 61 SUNSET DRIVE, CARLISLE, PA 17013 PHONE (717) 243-7794 Lic.# AU001418L March 14, 2004 To Whom It May Concern: On March 14, 2004, at the request of Mr. Michael Spidle, I conducted an appraisal of the items listed on the enclosed four sheets. These items are located at 744 Pine Rqad, Carlisle, Pa 17013. Values assigned reflect what one could anticipate receiving if they were to be offered at public sale. Respectfully, Spidle Estate 744 Pine Road, Carlisle, PA 17013 Page 1 Milk glass Candle sticks 4 Chicken on the nest 6 Tumblers w/pitcher Slipper Wine decanter Compote 7 Vases Candle sticks Candy dish Epergne 3 Baskets 6 Ashtrays Rose bowl 3 Fruit bowls Cake plate Slipper 4 rose vases Butter dish Pickle jar Salt & pepper Mustard 2 Miniature lamps 3 Toothpicks Slipper light Pedestal candy dish Cookie jar 2 Goblets Table lamps Nautilus Eggshell (china for 12) Pressed glass Compote Salt & pepper 3 Toothpicks Pitcher Pair lights Dish Other Rayo lamp (elec) Cuckoo clock 5.00 pair 10.00 lot 20.00 15.00 10.00 10.00 30.00 lot 10.00 pair 2.00 10.00 10.00 lot 10.00 lot 5.00 30.00 lot 10.00 5.00 10.00 lot 5.00 5.00 2.00 5.00 10.00 lot 10.00 lot 5.00 5.00 20.00 5.00 lot 5.00 lot 25.00 5.00 2.00 10.00 lot 20.00 10.00 lot 5.00 20.00 15.00 Spidle Estate 744 Pine Rd., Carlisle, PA 17013 Page 2 Living Room Coffee table and end tables 2 Overstuffed chairs Footstool Stereo in cabinet Pair hexagon flower stands 3 Brass table lamps Barometer/wall clock Dining Room Table w/5 chairs Telephone table w/seat Side Buffet Small Buffet Kitchen Metal cabinet Oak pedestal table w/4 chairs Electric wall clock Microwave Refrigerator Misc. everyday china Fiesta 6 dessert bowls 4 fruit bowls creamer/sugar (dark green) salt & pepper 6 saucers 1 cup 4 9" plates 6 dark green salad plates 3 light green salad plates 2 dark green soup bowls 3 light green soup bowls 20.00 lot 20.00 lot 5.00 1.00 10.00 lot 15.00 lot 10.00 50.00 5.00 25.00 15.00 5.00 75.00 15.00 10.00 25.00 20.00 lot 100.00 lot 80.00 lot 40.00 lot 12.00 30.00 lot 15.00 40.00 lot 36.00 lot 20.00 lot 30.00 lot 40.00 lot Spidle Estate 744 Pine Rd., Carlisle, PA 17013 Page 3 Misc. cutlery Flatware Pots & pans 2 Roasters Back Porch Stand Stool Bedroom 4 Piece suite (veneer) Sewing machine Wall stand Attic Plank bottom chair Dresser Oval stand China Cabinet Cookie Jar 3 Metal Cabinets Slaw Board 2 Trunks 2 Rockers Singer sew table Wood Kitchen table/2 chairs 5 Drawer chest of drawers Mantle dock 2 Oil lamps 8 Pudding crocks 3 Barn lanterns 1 Oil lamp Wood box Hanging iron candle lamp Christmas Decorations 2 Stands 3 Piece porch set 3 Table lights Baby Carriage Boxes of yarn 2 Misc. chairs 10.00 5.00 15.00 10.00 lot 20.00 5.00 75.00 20.00 5.00 10.00 10.00 15.00 45.00 25.00 10.00 lot 5.00 50.00 lot 30.00 lot 40.00 30.00 15.00 10.00 20.00 lot 60.00 lot 30.00 lot 25.00 40.00 20.00 25.00 20.00 lot 35.00 15.00 lot 5.00 10.00 lot 10.00 lot Spidle Estate 744 Pine Rd., Carlisle PA 17013 Page 4 Basement Painted Hoosier Cabinet 75.00 2 Potato crates 5.00 lot Cookie Jar 10.00 Empire Dresser 60.00 3 Old oil cans 30.00 lot Stone/Grinding wheel 20.00 Hand tools 35.00 Dietz Lantern (rusted) 20.00 Old table saw 10.00 71/4" circular saw 5.00 Yard ornaments 20.00 lot 2 Tool trunks (empty) 30.00 lot 2 Wood step ladders 10.00 lot Porch chairs 10.00 lot Potato fork 10.00 Old garden/lawn tools 25.00 lot Wheelbarrow 15.00 Old table drill 20.00 1 Plank bottom chair 5.00 Iron coal stove 10.00 The contents of the basement were under water 3 times in the past 15 years. REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF PAULINE E. SPIDLE SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 2003-00933 ITEM NUMBER Debts of decedent must be reported on Schedule ]. DESCRIPTION FUNERAL EXPENSES: CUMBERLAND VALLEY MEMORIAL GARDENS EWING BROTHERS FUNERAL HOME FLOWERS - GEORGES FLOWERS ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Pemonal Representalive(s) Street Address City State Year(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant MICHAEL E. SPIDLE Street Address 744 PINE ROAD City CARLISLE Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Retum Preparer's Fees ADVERTISING OF ESTATE: CUMBERLAND LAW JOURNAL ADVERTISING OF ESTATE: THE SENTINEL Zip State PA .Zip 17013 AMOUNT 945.00 7,070.00 121.90 1,32900 2.000.00 228.00 75.00 98.69 TOTAL (Also enter on line 9, Recapitulation (If more space is needed, insert additional sheets of the same size) 11,867.59 // trier Highway Carlisle, PA 17013 (717) 243-3541 Fax: 717-243-4495 INTERMENTFENTOMBMENT AUTHORIZATION AND INDEMNIFIC. ATiON -DATA ON DECEASED- The undersigned hereby asr¢cs Io indcnufil'y and hold harml . ~__2e ~omey; fen, and against any ~ h or Ute~ ma~s.~.~?icier' i~ agc~ and employees from an '~'~. ~necemcie~ [~=s ~r~a{ care lo ~vo a .~ ~;~o=~o,. ;n COnnechon wllh he Inlc~cm c .... y and all LIAU]LI FY mclud ~ ~ such cnor in Ihc ]ntcm~--, g .... . ,- ~,,u,3, out In ~e cvcm an/nadvcr/cn[ c-~- .m_. '"' ~,,,~momcnt, or Inurement au~oriz ....... momomcnt, or Inurement n s own cxocnsc ,-;,;~::..~;~ ~c~t.~r, Ibc c~mcl~ry shall have thc '~ 'FHcE USE ONLY /~,~ &~ SPA~VERIFiC~N' ' ....... t, any uamlty for such crror. '" I o.o.~ I o.o.o. / M~~~~~,~ -. -DA'FA ON NEXT OF KIN OR REPRESF. NTATIVE. c.& L-t c~- t~ ,4 D I 3' -BURIAL INFORMATION. -FOR OFFICE USE ONLY- ~e~ed. md hereby aulhorizes Oil cemelery Io m~k~ dilpolilion orlh, r~m~inl ollh~ d~c . ' . . . . c~i~el ~d ~pr*~e~ ~1 Ih~y ~r~ Ihj o~jr or ~olhori~d re r~s~nlllivc ~ ~ ner/-~ ~d [~ md~cnled., Ihc undersigned h~r au~o~i~ o~ of said j.l~lc.I Righ~ of~e p of Ih_ .w.._.~.i u~.lc abovc described ].lc~l I ~;m.,.~,~II Inlerm~nl, Enlomhm~nl, jnurn~c.I oflhc r~mains ofolc hcr, in nanlcd dcc~d. Th~ c~mcl, ~mby dialed Io l~.is~ ins ~llalion or inslal n....u.~ ~,o ncr, lnlcrmcn Righls described herein I any oulcr burial container Io Ibc exlc~l requ;-cd by 'aw pur-h~cd *y is .... ' , ~, in Connection with U~is FLOWERS WILL BE/~M?D FIVE Family Verified ~ . Surveyed By ~- A Lt ..... . Checked By ~?~~_ A ng DAYS FROM BURIAL STATE~F. NT OF FUNERAL GOODS AND SERVICES Si~.I.ECTED Charges are only for those items that you selected or that are required, ff we are required by law or by a cemetery or crematory to use any items, we will explain the reason in writing below. If you selected a funeral that may require embalming, such as a funeral with viewM, gu,you may have to pay for embalming. You dc ing you did not approve if you~-~'ted arrang~e.nts such ~,.,direct cr~.'on j~.../i,~/mediate burial. If we charged for embalmin For the Service of ,~,/- L'i%e_.~...~ ~.__ _ ~ -~-~., ~r//t'o .... ' Date of Deal Charge to: Name A. CHARGE FOR SERVICES SELECTED: 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff .... $__ Embalming ...................... $ Other preparation of body Address SUB-TOTAL OF PROFESSIONAL SERVICF~ ......... A1 $ 2. FACILITIES AND SERVICES Use of facilities and services for viewing (Visitation/Wake) ......... $ Use of facilities and services for funeral ceremony ............ $ ~ Use of facilities and services for Memorial Service ............... $ Use of equipment and services for graveside service ............. $ ~ Oth~r use of facilities not have to pay for embalm- City -., S1 ate Other clothing Cremation urn ..................... (Description) OTHER ' $ $ ~'~'TOTAL MERCHANDISE SELEC'IZD ................. B. $.~ . C. SPECIAL CHARGES: Forwarding of remains to (Funeral Home) Receiving of remains from (Funeral Home) $' Immediate Burial ................. $ Direct Cremation ................. SUB-TOTAL OF SPECIAL CHARGES .... ] ............ C $ Cemetery Equipment .... /. ......... Lot and Deed .................... Newspaper-Notices--Local ......... 8_ Newspaper Notices--Out-of-town .... 8 __ Telephone & Telegrams ........... 8 __ Airfare ......................... Clergy/Mass Offering .............. $_ Pallbearers ...................... ~ertified. Copi~s of the,, Death,, Vault Service Charge~, ......... '..... $. SUB-TOTAL O~ &DV/~ICES ....................... D We charge you for our services in obtaining: (specify cash advances that are marked-up) SUB-TOTAL OF FACILITIES/EQUIPMENT ........... A2 $__ 3. AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Home. Local ........................... Hearse (Casket Coach) Local ........................... Limousine Local ........................... F~rnily car Local ........................... Flower car or floral disposition Local ........................... $__ Lead car/clergy car Local ........................... $__ Car for pallbearers Local ........................... $__ Out of town transportation ......... $__ $__ $__ SUB-TOTAL OF AUTOMOTIVE EQUIPMFNT ........ A3 $__ TOTAL OF PROFESSIONAL SERVICES, FACILITIES AND AUTOMOTIVE EQUIPMENT ............. . ...................... A $.__ B. CHARGE FOR DISE SELECTED: Casket .~//./-g~--~</. ...... .. ......... .~' : _ Other Recepta~;l~, ...... ..~. ........ $ (Descriptionl.~,L~. Outer burial contaj~r ............. $ (Description) ~. ' .dgement cards ........... $ ~ r~e ~ok(s) .................. $ M~ .ders ... :.' ............. ~ ds ..... ................ $', Temporary grave marker ........... $ ' Burial clothing ................... $ .- I agree that I have examined the items of goods and services selected above and found them to be correct and according to the arrangements I receipt of a copy of this Statement of Funeral Goods and Services Selected. I represent that I have sufficient funds available for payment o and services selected. I also agree to make payment of $ within days. I agree to be jointly and severall per year will be applied to the unpaid balance signs below. A late charge of ' per month amounting to. from the date of this-agreement. I will also pay to the Funeral Director all reasonable costs paid by the Funeral DirectOrortO collect amount:after COUr~ Those costs m:y include attorneys' fees, costs and other costs. Any additional services or mcrchandise ordered rcqucstcd be considered,p~r~,/of ...... this agre~,ment ,~n.. d. the co~t/,~reof,, will be reflected on the final bill or statement.,...~C ...... ;, we will ~lai~ why below. SUMMARY OF CHARGES A. Professional Services, Facilities and Equipment, and Automotive Equipment ...... $, B. Merchandise ..................... $] C. Special Charges .................. $] D. Cash Advances ................... $ ~ /? r/O' TOTAL OF ALL SECTIONS. . . $. PAID AT TIME OF OR PRIOR .TO ARRANGEMENTS ................................. $.~ BALANCE DUE ................................... $ If any lay/(, cemetery, or/ematory requirements :~f any,df the items listed above the law or requi~ rave r%uired the purchase ement is explained below. ave requested. I acknowledge ? '~, the cash price for the goods ~ liable with anyone else who~..--~' beginning .da~s I owe under this agreement. te date of this agreement will !'[~ .; RETAIN THIS PORTION FOR YOUR RECORDS REMIIfANCEADDRESS I Bit[ TO Tile SENTINEL - LEGAL{ PAUl, BRADFORD ORR P.O. BOX 130, CARLISLE, PA 17013 AD NUMBER ] "C'-~,-§~--' SALESPERSON BILLING DA]F I. INFS 258431I 10 PUBLIC NOTICES 29 02/11/04 i 27 AD DESCRIPTION START DA t'E --- i S tOP ESTATE NOTICE LETTERS TESTAMENTARY 01/24/04 02/07/04 PUBt. ICATION INSERTIONS RATE NET AMOUNT GROSs AMOUNT 3 THE SENTINEL - LEGAL 3 LGL 92.34 TOTAL AD CHARGE 92.34 3 PROOF OF PUBLICATION 01PRF 6.35 l DAys RUN ! I .u.c,As. ORDER PAY THIS AMOUNT 98.69 I ]. 18.43* n'ualin,q soid]e i I · 'AFTERO3/12/04 MESSAGE: Thank you for advertising with The Sentinel. ! Deadlines for in-column legal advertisements: Monday is Friday at 11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at]12 Noon; Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday is Thursday at 12 Noon. If you have any questions regarding your Legal bill please c.a. ll Lori Saylor 243-2611 ext. 201 Fax your legals to 243-3754, attention Lori Saylor You can also EMAIL your legal to Classified ads: ads@cumberlLnk.com. Please send a cover letter including your name and address a an attachment CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 FEBRUARY 20, 2004 Cumberland Law Journal is published everY Friday by the Cumberland £ Association and is designated by the Court of Common Pleas as the official legal Cumberlan'd County and the legal newspaper for publicati'on of legal notices, TO: Paul Bradford Orr, ESQUIRE Pauline E. Spidle, ESTATE Legal advertisements must be received by Friday Noon. All legal adverti~ paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: FEBRUARY 6, 13, 20, 2004 Advertising Cost Proof of Publication Second Proof Request Payment received $ 75,00 $ 0.1)0 $ 0'.(~0 $ O.CO $ 75.()0 ounty Bar publication for ing must be CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 FEBRUARY 20; 2004 Cumberland Law Journal is published.every Friday by the Cumberland C Association and is designated by the Court of Common Pleas as the official legal Cumberland County and the legal newspaper for publication of legal notices. TO: Paul Bradford 'Orr, ESQUIRE Pauline E. Spidle, ESTATE ounty Bar publication for Legal advertisements must be received by Friday Noon. All legal adverti3ing must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: FEBRUARY 6, 13, 20, 2004 Payment received by Advertising Cost Proof of Publication Second Proof Request Payment received Total Amount Due $ $ $ 0.30 $ 0..)0 $ 75.00 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L. 1784 STATE OF PENNSYLVANIA : : COUNTY OF CUMBERLAND : SS. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of tt State aforesaid, being duly sworn, according to law, deposes and says that the Cm Journal, a legal pehodical published in the Borough of Carlisle in the County and was established January 2, 1952, and designated by the local courts as the official periodical for the publication of all legal notices, and has, since January 2, 1952, issued weekly in the said County, and that the printed notice or publication attacl~ exactly the same as was printed in the regular editions and issues of the said Cum' Journal on the following dates, viz: FEBRUARY 6, 13, 20, 2004 Affiant further deposes that he is authorized to verify this statement by the Law Journal, a legal periodical of general circulation, and that he is not interested matter of the aforesaid notice or advertisement, and that all allegations in the foreg statements as to time, place and character of publication are true. Spidle, Pauline E., dec'd~ Late of Carlisle. Executor: Michael E. Spidle, 744 Pine Road, Carlisle, PA 17013. Attorney: Paul Bradford Orr, Es- quire, 50 East High Street, Car- lisle, PA 17013. e County and nberland Law State aforesaid, legal een regularly ~'d hereto is ,erland Law Zumberland n the subject )ing a Marie CoyniEditor i SWORN TO AND SUBSCRIBED befo :e me this 20 day of FEBRUARy 20~14 NOTARIAL SEAL LOIS E, SNYDER, Notary Public Carlisle Bom, Cumberland County , My Commission Expires March 5, 2005' ACCT.g DO NOT FORGET TO ORDER FLOWERS FOR THANKSGIVING. PLEASE ORDER EARLY. PLEASE 004955 PAY THIS BY THE END OF NOVEMBER TO AVOID A REBILL CHARGE. THANKS. :, ..... , ~ , CHARGE! !CHAR~ CHARGE: TAX CHARGE ,, 10/19/03 CHARGE / 131731 FAMILY SPRAY 115.0~ 6.90 121.9( 121.90 Pauline Spidle . STATEMENT. A MINIMUM REBILLING CHARGE OF ACCOUNT DUE AND PAYABLE UPON RECEIPT OF $1.00 WILL BE ASSESSED ON ALL ACCOUNTS OVER 30 DAYS PAST DUE. WE APPRECIATE YOUR BUSINESS RECEIPT FOR PAYMENT Cumberland County - Reqist Hanover and High Street Carlisle, PA 17013 er Of Wills Receipt Date 11/10/2003 Receipt Time 14:33:26 Receipt No. 1034655 SPIDLE PAULINE E File Number Remarks 2003-00933 MICAuXEL SPIDLE JA Transaction Description PETITION FOR PROBA SHORT CERTIFICATE JCP FEE Distribution Of Receipt Payment Amount Payee Name 200.00 CUMBERLAND COUNTY GENERAL FUN 18.00 CUMBERLAlgD COUNTY GENEPsXL FUN 10.00 BUREAU OF RECEIPTS & CNTR M.D Check# 1802 ~228.00 Total Received ......... 228 00 REV-1512 EX+ (12-03) SCHEDULE I co~uO.WE~T, o~ PE..S~LV*.I^ DEBTS OF DECEDENT, IN.E,rr, WCE'r~,rruRN MORTGAGE LIABIUTIES, & UENS RESIDENT DECEDENT ESTATE OF I FILE NUMBER PAULINE E. SPIDLE ~,..,-,.._,-......... ~uuo uuu,3.3 RE ITEM NUMBER 2. 3. 4. 5. 6. 7. 8. 9. 10.. 12. 13. 15. ~ort debts Incurred by the decedent prior to death.which remained unpaid as of the date of dean Including unreimburs~d .med__!c~_l VALUE AT DATE DESCRIPTION OF DEATH Homeowners Insurance to Allstate Medical: to Central Penn Medical Group-Carlisle Perscription: Weis Pharmacy Department Medical: Andorra Radiology Association PC Medical: Vascular Associates Central Penn Medical Group Emergency Medical: LANC HMA PHYS MGMT CENT PEN Medical: Blue Mountain Ansethesla Assoc Property Tax Bill to Carolyn R. McQuillen Newspaper Delivery to The Sentinel Utilities: Trash Removal to Waste Management Utilities: Electric to Met-Ed Jim Bistline, Auctioneer - Personal property appraisal Death CeA§cate for Henry E. Spidle VCN Vital Records Cumberland County Recorder of Deeds: copies - Deed ~ 744 Pine Road, Carlisle, PA TOTAL (Also enter on line 10, Recapitulation) (If mom space is needed, insert additional sheets of the same size) 2,470.67 767.00 11.69 15,40 413.34 69.93 56.80 198.53 11.69 179.48 156, O0 16068 299.63 100.00 25.00 5.50 Detach along perforation. Please make check or money order payable to ALLSTATE. Return above portion with your payment in the enclosed envelope. Homeowners Insurance Bill Policy Number: 0 28 153315 04121 Premium Period: 4/21/03 To 4/21/04 (12:01 A.M, Standard Time) Policy Issued To PAULINE SPIDLE 744 PINE RD CARLISLE PA 17013-9112 Due Novembe Minimum $ 4~.,5( Agent And Telephone NumJ Policy Number Description 744 PINE RD "J KELLEY & SON INC (717) 737-60~0 3 28 153315 04/21 AIIstate. You're in good hands. ate 21, 2003 ~ount Due )er Payment Options Option 1 II you want to pay in full: · Pay $ 210.00. · You will receive no more bills until your policy renews or you make a change in coyerage result, ing in a~lditionm premiums. Choose the payment option below that best meets your needs. Option 2 If you want to make the minimum payment: · Then your payment schedule will be as follows: DUE DATE MINIMUM AMOUNT DUE 11/21/03 $45.50 12/21/03 ~ $45.50 1/21/04 $45.50 2/21/04 ' ' $45.50 3/21/04 $45.50 · Each payment includes a $ 3.50 installment fee. Option 3 If you want to pay less than the full amount but more than the minimum: · Pay any amount between $ 45.50 ands 210.00. i · A new payment ~chedule for your remaining paymepts will appear on your next bill. · You will be charged a $ 3.50 installment fee pach time you choose this payment opt on 'his statement as of November 1, 2003. 031102026487A 18 (OVER) Transaction History (From 10/1/03 To 11/1/03) 10/1/03 Previous Balance 10/11/03 Payment Received - Thank You 10/11/03 Installment Fee Charge 11/1/03 Balance (To Pay In Full) 252.00 + 45.5O - 3.50 + 210.00 Important Information If you fail to make this installment payment you will receive a cancellation notice and the amount due will include the premium and fees due from this installment. if you have any questions, please contact your agent. ,.. Detach along perforation. Return above portion with your payment in the enclosed envelope. Please make check or money order payable to ALLSTATE. Homeowners Insurance Bill Policy Number: 0 28 153315 04121 Premium Period: 4/21/04 To 4/21/05 (12:01 A,M. Standard Time) Policy Issued To PAULINE SPIDLE 744 PINE RD CARLISLE PA 17013-9112 Policy Number Description 0 28 153315 04/21 744 PINE RD AIIstme. You're in good hands. Dui D~te and Time April 21, 2004 at 12:01 A.M. -~ Minimum ~mount Due $ 49,88 Agent And Telephone Number "J KELLEY & SON INC (717) 737-6630 Payment Options Choose the payment option below that best meets your needs. Option 2 If you want to make the minimum payment: · Pays 49.88. · Then your payment schedule will be as [ollows: DUE DATE MINIMUM AMOUNT DUE ! DUE DATE MINIMUM AMOUNT DUE 4/21/O4 $49.88 ( 5/21/04 $49.92 6/21/04 $49.92 7/21/04 $49.92 8/21/04 $49.92 9/21/04 $49.92 11/2!/04 1/2'1/05 3/21/05 10/21/04 $49.92 $49.92 12/21/04 $49.92 $49.92 2/21/05 $49.92 $49.92 · Each payment includes a $ 3.50 installment fee. Option 1 If you want to pay in full: · Pay $ 557.00. · You will receive no more bills until your policy renews or you make a change in coverage resulting in a~ldit onal premiums. Option 3 If you want to pay less than the full amount but more than the minimum: · Pay any amount between $ 49.88 andS 557.00. · A new paymen~ schedule for your remaining payments will appear on your next bill. · You will be charged a $ 3.50 installment fee each time you choose this payment option. This staternent as of April I, 2004. 040402023922A (OVER) Transaction History (From 11/1/03 TO 4/1/04) 11/1/03 Previous Balance $ 210.00 + 11/24/03 Payment Received- Thank You $ 210.00 - 3/5/04 Renewal Premium $ 557.00 + 4/1/04 Balance (To Pay In Full) $ 557. O0 Important Information This bill reflects your renewal offer premium. By remitting your payment, you are -agreeing to ali of the terms contained in the policy, endorsements and policy declarations which are in effect during the policy period. For each check, electronic transaction or other remittance which is not honored because of insufficient funds or a closed account, you will be charged $ 20.00. If you fail to make this installment payment you will receive a cancellation notice and the amount due will include the premium and fees due from this installment. If you have any questions, please contact your agent. Date; From 10/03/03 To 10/03/03 10/23/03 3/01/04 3/01/04 3/01/04 4/01/0 Code CHG PMT ADJ ADJ ADJ Descriphon Patient : Spidle, Pauline M Account : 0000009776 Diagnosis: 585 00532 -Anesth, Access Medicare Filed... Medicare Payment Medicare Write-Off Blue Cross Write. Off Reverse Write-Off Account Balance Venus Circul $11.6~ Amount $588.98 $46.75- $530.54- $11.69- $11.69 MD$$TB '$o.ooI Over 90 Days Past Due $°-°1 Over 60 Davs $0.00 Over 30 Days Current $11.69 0 - 3 0 Days Balance Due $11.69 THIS IS THE COPAY THAT IS DUE BY YOU. THANK YOU. 1-800-757-7288. Central Penn Medical .;roup-Carlisle P.O.Box 619 E Petersburg, PA 175~0 800-757-7288 Federal Tax ID: 23-30i3255 Please Make Checks Payable To Provider (QESP)40:T0~6:001337:001:0000: Weis Markets · 1000 SOUTH SECOND sTREET~ P. O. BOX 471,,SUNBURY~ PENNSYL~ iRC, Date APR i Dear ~. ~_-~ 0 ~ (~_ : · We have submitted the following charge(s) to Medicare on your behalf at our Weis Pharmacy: SERVI'CE PROCEDURE BI'LLED MEDTCARE SUPPLEME DATE CODE AMOUNT PAI'D 'PAZD TOT/ IANTA 17801-0471 for services rendered NTAL AMOUNT DUE TO WEIS Please be advised that although our pharmacist did indicate a supplemEntal insurance to cover the portion that Medicare does not, the said insurance company did NO1 pay all, or a portion, of this amount either (i.e. deductible amounts, co-insurance amounts, etc.). Therefore, will you kindly make remittance in the amount indicated above. An envelope has been provided for your convenience. / Payment is due within 30 days of this invoice.! Thank you for giving us this opportunity to serve you. / WEIS PHARMACY DEPARTMENI' PLEASE RETURN BOTTOM PORTION WITH PAYMENT. MAKE CHECK PAYABLE TO WEIS ~HARMACY DEPARTMENT. DATE DOCTOR CODE DESCRIPTION AMOUNT 10/08/03 CHARLES LOH MD 71010 CHEST SINGLE VIEW 27.00 10/16/03 ERNEST CAMPONOV() 71010 CHEST SINGLE VIEW 27.00 10/14/03 ERNEST CAMPONOV() 71010 CHEST SINGLE VIEW 27.00 10/09/03 MATTHEW PASTO ~ 74150 CT ABDOMEN UNENHANCED ~1 185.00 10/09/03 MATTHEW PASTO ~H 72192 CT PELVIS UNENHANCED ~ 169.00 10/09/03 PHILIP MOLDOFSK' 71010 CHEST SINGLE VIEW ' 27.00 10/10/03 PHILIP MOLDOFSK' 71010 CHEST SINGLE VIEW I 27.00 12/16/03 0200 MEDICARE PAYMENT ' -21.30 12/16/03 9200 MEDICARE WRITE..OFF -54 . 36 WE BILI ED BLUE SHIELD FOR THE SERVICES YOU RE( EIVED BUT THEY HAVE NOT RESpON~ED TO OUR BILL. 'PLEASE CALL US TO VERIFY YOUR CC VERAGE OR PAY THE BALANCE DUE. DIAGNOSIS 786.50 , $ 413.34 This Billing office is open 8:30-4:00. If you have questions concerning your Bill, please call the number shown above. 8?9 ANDORRA r DIOLOGY ASSOC PC PO BOX 892 [ CONCORDVILLE, PA 19331 Tax ID #: 233J016413 tG INFORMATION PR !iilV I (.i~t..]E,~ I:.~i~i...ANCE ....... ). 0, 00 10/03/~.~3xx: 3~533 Do Not Use 585 12~:.1.00 64.60 11/18/~3 Adj:Medicare Write 93'7',9~.. 11/18/:~3 Plan Payment :10512. 258, 4t- 11/18/~3 Plan Payment ;:10512 0.0vi 02/13/t~4 Plan Payment: 10025 0. coverage terminated 10/03/l~3xx:/ 7~.942 Endo-Ultras Guid Need P1 585 ~B3.00 0.00 11/18/~3 Plan Payment:lO512 0. 11/18/1~3 Adj:Medicare Write ~.3.00.-. 10/03/ ~3xx: 7(~003 Fluoro Guide For Needle .585 53.00 5. 11/18/ )3 Adj:Medicare Write 2~.35 .... 11/18/ )3 Plan Payment :10512 21. mcr rejects: 7~942. C[]B15/ ' not paid seo .. *** PENDING AT CARRII~R *** 09/04/~1xx~ 99212 Office Visit-strai~:~htfor 585 50.~,~) 0. 00 09/27/~1 Adj:Medicare Write 15. 71... 09/27/1~1 Plan Payment :10318 27. 43- 10/09/~1 Plan Payment :02955 6.8~ .... 09/30/~3xx'.~ 99252 Hospital Consult-Expande 996.62. i27.1~,~ 0.00 10/28/ )3 Adj:Medicare Write 59.27- 10/28/ ~3 Plan Pa,~ment :10507 54. lt:~.-. 11/10/ ~3 Plan Payment :~1001'7 13.55..- 10/01/:~3xx 99251 Flospital ConsL~it-Focused 9~d6.(~2 63.00 0.00 10/28/~3 Adj:Medicare Write 29. Vascular Associates P 816 Belvedere Street ov Tax Id Ca~-lisl,~.PA 17al:R ~'anne: '71 PLEASE RETAIN THIS PORTION OF STATEMENT FOR YOUR RECORDS Ig!Yi/ll~t $[l[IJ]/l ~ , ,~,,, , ,,,, , , , , ,,, , , ;91:.;~120 ' ~ . 120 + PATIENT / Insurance Balance [ 0.00 0.00 0.00 0.00 0.00 0.00 BALANCE ~~Patient Balance I~~69" 93 O. 00 0.00 O. ~,~ ~¢9. q3 0 ~/,Z~ . AMOUNT DUE Vascular Associates [~:' 816 Belvedere Street Est Pauline M Spidle 744 Pine Road Carlisle~F,A. 1-'?~1.:',~ ~ Carlisle~PA 17013 '717-241-50?0 AC¢°~nt tN° Amoa~t D~e 0;~/05 /04 Please remove and return this portion with your payment. ,~ 10/28/ .~3 Plan Payment. :1050'? I 11/10/ .~3 Plan Payment: 1001'? Vascular Associates P 816 Belvedere Street ov Tax Id Carl isle. PA 1'701~ Ph,)ne: 71 7-"241-50'7~ STATEMENT FOR YOUR RECORDS ,, cd~h:t, PATIENT Insurance Balance O. 00 0. O~ O. 00 0. 00 0. OIZQ I 0. 00 BALANCE Patient Balance ~9. 93 0. 00 0. 00 0. 00 69. 93 __ 0. 00 AMOUNT DUE ~ 69.93 DATE TREATING PROVIDER DESCRIPTION OF SERVICE CHARGES/CREDITS BALANCE 09/28/03 1107 LASEK M EMERGENCY DEPT VISIT 391.00 12/04/03 1107 LASEK M PENNSYLVANIA MEDICARE 12/04/03 1107 LASEK M INSUPoANCE WRITE-OFF WE HAVE FILED MEDICARE AND ACCEPT ASSIGNMENT. A_NY PORTION ABOVE THE MEDICARE ALLOWABLE IS WRITTEN OFF. ANY BALANCE REMAINING IS A REFLECTION OF YOUR 20% CO-PAY OR DEDUCTIBLE PORTION OWED TO THE PROVIDER. PLEASE REMIT BALA/~CE TO THE ADDRESS INDICATED ON THIS STATEMENT. THANK YOU FOR YOUR COOPER3~TION. Referred by LASEK M.D., ROBERT&~' i~0 -113.62 -248.98 28.40 Please Remit Payment to: If yOU have questions regarding this bill please call CENTRAL PENN MEDICAL GROUP EMERGENCY ' PO BOX 468 1-866-247-3 141 (toll tree) or email EAST PETERSBURG, PA 17520-0468 patientinqui _ry _~,,mjca.netl THANK YOU. FOR YOUR CONVENIENCE, YOU MAY PAY ONLINE AT www. mjca. net DATE TREATING PROVIDER DESCRIPTION OF SERVICE II CHARGES/CREDITS BALANCE 10/08/03 1102 CRIM M. EMERGENCY DEPT VISIT 11/10/03 1102 CRIM M. PENNSYLVANIA MEDICARE 11/10/03 1102 CRIM M. INSURANCE WRITE-OFF WE HAVE FILED MEDICARE AND ACCEPT ASSIGNMENT. ANY PORTION ABOVE THE MEDICARE ALLOWABLE IS WRITTEN OFF. ANY BALANCE REMAINING IS A REFLECTION OF YOUR 20% CO-PAY OR DEDUCTIBLE PORTION OWED TO THE PROVIDER. PLEASE REMIT BALANCE TO THE ADDRESS INDICATED ON THIS STATEMENT. THANK YOU FOR YOUR COOPERATION. Referred by CRIM M.D., LAURA E 391.00 -113.62 -248.98 28.40 CENTRALPlease RemitpENNPaY men!MEDi~,,,:.AL GROUP EMERGENCY If you have, ittcstions regarding this bill please call 1-866- '47-3 141 (toll free) or email PO BOX 468 - , EAST PETERSBI !RtL t' \ 17520-0468 patient i ~q~l-y(~mjca.net. THANK YOU. ~:OR YOUR CONF'ENIENCE. YOU MAY PAY ONLINE AT wi, ~ m/ca. net 010204 NITECKI 1~) II~DICAt~ PAYMENT -41.92 010204 NITECKI MD I~DICARE ADJUST~NT -4.85 021904 NITECKI MD INSURANCE P~NT 0.00 101403 COLLINS 1~) 99232 IN PATIENT SUBSEQ LEV 2 SPIDLE, P 57.25 010204 COLLINS 1~) MEDICARE P~NT -41.92 010204 COLLINS I~) MEDICARE ADJUSTI~NT -4.85 021904 COLLINS 1~) INSURANCE PAYI~NT 0.00 101503 COLLINS I~) 99232 IN PATIENT SUBSEQ LEV 2 SPIDLE, P 57.25 010204 COLLINS MO MEDICARE P~NT -41.92 010204 COLLINS MO MEDICARE ADJUST~NT -4.85 021904 COLLINS MO INSUP-ANCE PAYI~NT 0.00 101603 COLLINS MO 99231 IN PATIENT SUBSEQ LEV I SPIDLE, P 34.64 ~ 010204 COLLINS ~) I~DICARE PAYI~NT i -25.37 010204 COLLINS MD I~EDICARE ADJUST~NT -2.93 021904 COLLINS MO INSURANCE P~NT I 0.00 STATEMENT ' CLOSING DATE: 03/10/04 PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE: 225612 IHS ~ElffD'FB'G PATZ~ ~ TOTAL ~ G'WJ'R..t~NT NEWBALANCE ~AY THIS AMOUNT 1~7.09 167.09 16'7 ~ 0.9 i 167.09 SEND INQUIRIES TO: ! i IJ~NC liMA PHYS ~ CENT PEN : (717) 789-4328 f~ ~w 1o, Mo o. LOYSVILLE PA 17047 IRS ~: 233013255 ! i L00803 T2~NG ~,~ O10804 TARNG 010804 TARNG 02].2O4 T~G 02~204 T~G 100803 T~G 010804 T~G 010804 T~G 021204 ~G 021204 T~G 100903 T~G 010204 T~G 010204 T~G 021904 T~G 100903 CO,INS 010204 CO, INS 021104 CO, INS 021104 CO, INS 99222 IN PATIENT INITIAL LEV 2 MEDIC2~RE PAY]~NT MEDICARE AD J~TST~NT CAPITAL BLUE C]P, OSS PAY~N PER INS-NO COVERAGE 93010 ECG INTERPRETATION REPORT I~DI Ci~RE pAYlv~NT I~D I C/~E ADJUSTMENT CAPITAL BLUE CROSS PAY]~N PER INS-NO COVERAGE 99232 IN PATIENT SUESEQ LEV 2 lV~D I CARE PAYlv~ NT MEDICARE AD JUSTI~NT INSUI~ANCE PAYmeNT 99291 CRITICAL C2~RE, 1ST HOUR I~DI CARE PAY]~NT MEDICARE PAYI~NT MEDICARE ADJUSTMENT SPIDLE, P SPIDLE, P SPIDLE, P SPIDLE, P 115.54 9.30 57.25 221.95 -84.61 -9.78 0.00 0.00 -6.82 - .78 0.00 0.00 -41.92 -4.85 0.00 0.00 -155.15 -28.01 STATEMENT CLOSING DATE 03/'10/'04 PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE: 225612 CONTI~'JED NEW BALANCE PAY THIS AMOUNT SEND INQUIRIES TO: LANC HMA PHYS ~HMT CENT PEN 1104 MOTOR RD LOYSVILLE PA 17047 IRS #: 233013255 (717) 789-4328 021904 COLLINS 1~) INSURANCE PAYmeNT 100903 COLLINS 1~) 36489 INSERT CVC THRU SKIN 2YRS SPIDLE, 010204 COLLINS 1~) I~DICARE pA_V~NT 010204 COLLINS I~) MEDICARE ADJUSTMENT 021904 COLLINS 1~) INSURANCE PAYmeNT 101003 NITECKI 1~) 99232 IN PATIENT SUBSEQ LEV 2 SPIDLE, 010204 NITECKI I~) MEDICARE PAYmeNT 010204 NITECKI ~) I~DICARE ADJUSTMENT 021904 NITECKI MD INSURANCE PAYI~NT 101103 NITECKI 1~) 99232 IN PATIENT SUBSEQ LEV 2 SPIDLE, 010204 NITECKI I~) MEDICARE PAYMENT 010204 NITECKI I~) MEDICARE ADJUSTI~NT 021904 NITECKI ~H) INSURANCE PAYmeNT 101203 NITECKI 1~) 99232 IN PATIENT SUBSEQ LEV 2 SPIDLE, 010204 NITECI~ MD MEDICARE P~NT 010204 NITECKI I~) MEDICARE ADJUSTMENT 021904 NITECKI 1~) INSURANCE PAYI~NT 101303 LqITECKI I~) 99232 TN PATIENT SUBSEQ LEV 2 SPIDLE, P 255.30 57.25 57.25 57.25 57.25 0.00 -103.02 =126.53 0.00 -41.92 -4.85 0.00 -41.92 -4.85 0.00 -41.92 -4.85 0.00 STATEMENT CLOSING DATE: 03/10/04 PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE: SEND INQUIRIES TO: CONTll~'ED LANC H~ PHYS ~ CENT PEN 1104 I~)UNTORRD LOYSVILLE PA 17047 IRS #: 233013255 (717) 789-4328 225612 F~ANyE W BALANCE THIS AMOUNT SPIDLE, P 57.25 99232 IN PATIENT SU~SEQ LEV 2 ~DIC~ PAYMENT MEDICARE ADJUST~NT CAPITAL BL~ CROSS PAY~N PER INS-NO CO~E 99~32 IN PATIENT S~SEQ LEV 2 ~DIC~ PAY~NT ~DIC~ ~ST~NT C~IT~ B~ CROSS PAY~N PER INS-NO CO~E 99232 IN PATIE~ S~SEQ LEV 2 ~DIC~ PAY~ ~D~I C~ ~ST~ C~IT~ ~ ~OSS PAY~N PER INS-NO CO~E 100203 AT,BRIGHT 111703 ALBRIGHT MD 111703 ALBRIGHT MD 020504 ALRRI6~AT MD 020504 ALBRI6H{T MD 100403 ALBRI ~T 111703 ALBRI6~T MD 111703 ~%LBRI6H{T MD 020504 ALBRI~HT ~ 020504 ~L~RI~T ~ .11703 ~BRI~HT 11703 gBRI ~ ,20504 A~BRI~T ~ )20504 ~BRI~T ~ SPIDLE, P 57.25 SPIDLE, P 57.25 -41.92 -4.85 0.00 0.00 -41.92 -4.85 0.00 0.00 -41.92 -4.85 0.00 0.00 STATEMENT 02/11/04 PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE: CLOSING DATE: INS PENDING PATIENT BAL TOTAL BAL CURRENT BAL P~,ST DUE 225612 NEW SAI.A~CE 31.44 31.44 31.4~ iPAY THIS AMOUNT 31.44 SEND INQUIRIES TO: I,ANC ~ PHYS ~ CENT PEN 1104 MOUNTOR RD LOYSVILLE PA 17047 IRS #: 233013255 (717) 789-4328 100303 CHESS SERVICES RENDERED PAULINE 461,50 101q03 BILLED:HGS ADMINISTRATORS 101403 BILLED:CAPITAL BLUE CROSS 111903 MEDICARE PAYMENT 46,75- 111903 MEDICARE ADJUSTMENT 403,06- 111903 CO-INSUR $11,69 0,00 ~011504 NO INSURANCE PAYHENT 0,00 i011S04 INS TERMED ON 090103 0,00 i .OUR OFFICE HAS BEEN. I NFDITJ4ED THAT_YOU HA~E NO INSURANCE COVERAGE IN FORCE. PLEASE CONTACT THIS OFFICE IMHEDZATELY SO THAT PAYNENT ARRANGEMENTS CAN BE MADE, STATEMENT CLOSING DATE: 01/lS/04 PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE: BALANCE PAYMENTS NEW BALANCE OVER BA~NCE OVER BALANCE OVER BALANCE OVER NE~ BALANCE FORWARD & CREDITS CHARGES 30 DAYS 60 DAYS 90 DAYS 120 DAYS PAY HIS AMOUNT 0,00 449,81- 461,~0 0,00 0,00 0,00 0,00 i 11,69 I SENDINQUIRIES TO: (800)827-34~8 BLUE MOUNTAIN ANESTHESIA ASSOC P 0 BOX 249 GREENCASTLE PA 1722~ t IF TAXES ARE ESCROWED, FORWARD THIS BILL TO YOUR MORTGAGE CO., CASH/MONEY ORDER ONLY AFTER 12/16/04 PAYABLE TO: DESC: CAROLYN R. MCQUILLEN 1044 PINE ROAD CARLISLE PA 17013-9373 MAP NO: 08-31-2197-016 744 PINE ROAD ACRES .320 LAND APPX .5 ACRES Residential Building RESIDENTIAL TAX SPIDLE, PAULINE E PAYER 744 PINE ROAD CARLISLE PA 17013 OFFICE HOURS: MON 6-9PM TUES 9-12 NOON APR 22&29 5-7PM**NO SAT, SUN OR HOLIDAYS***CLOSED 12/24-01/02/05 PHONE & FAX (717) 486-5907 TAXPAYER COPY Bill No: 2172 Control No: 008-001776 2004 Statement of Real Estate Taxes Bill Date: 3/01/2004 Assessed Land I Improvement Mineral Total Values 15,000I 61,880 0 76,880 COUNTY OF CUMBERLAND DiScount Face Penalty Rates .00214900 .00214900 2 % 10 % COUNTY R/E 32.24 132.98 161.92 165.22 181.74 Rates .00020300 .00020300 2 % 10 % COUNTY LIB 3.05 12.56 ~15.30 15.61 17.17 TOWNSHIP OF DICKINSON Rates .00003000I .00003000 2 % 10 % ~JNIC. R/E .45I 1.86 i 2~ 2.31 2.54 TAX AMOUNT DUE > $183.14 $201 If Paid On or After 3/0;./2004 5/01/2004 7/01/2004 If Paid On or Be£ore 4/3(,/2004 6/30/2004 IF NOT PAID BY 12/15/2004 THIS BILL WI],L BE RETURNED TO TAX AGAINST APR 2 7 200 / ' CAROLYN R McQIJILLIEN TAX COLLECTOR Return Bill with Payment. For a Receipt, Enclose Self Addre~ssed Stamped Envelope. %,, CHANGE OF ADDRESS/CUSTOMER SERVICE QUESTIONNAIRE PLEASE DETACH AND RETURN WITH YOUR REMITTANCE 21258 STREET CITY STATE ZIP EFFECTIVE DATE Please circle the appropriate rating below: (1) Excellent, (2) Very Good, (3) Good, (4) Fair, (5) Poor How would you rate our performance in... Timeliness of delivery Placement of the newspaper Condition of newspaper Delivered (dry, clean, etc.) Accuracy of billing Overall Other 12345 12345 12345 12345 12345 12345 When£r[ you have called us, how would you rate our efforts in... Providing courteous 'and caring attention to your specific needs Resolving your specific problem or satisfying your specific needs Other 12345 12345 12345 What suggestions do you have on how we might provide better products or services: 744 PINE RD RETAIN THIS PORTION FOR YOUR RECORDS . THE SENTINEL P.O. BOX 130 CARLISLE, PA 17013 NAME ACCOUNT NUMBER SPIDLE, PAULINE 21258 5108 IS PAID TO I ~108 11/04/03 I TOTAL PAID: $ DELIVERY SERVICE WILL CONTINUE UNLESS WE ARE OTHERWISE NOTIFIED. IN THE EVENT OF A PRICE ADJUSTMENT YOUR SUBSCRIPTION MAY BE PRORATED. IF YOU HAVE ANY QUESTIONS CONCERNING YOUR BILLING CALL THE SUBSCRIBER SERVICE DEPARTMENT: (717)-243-2611 WASTE MANAGEMENT WASTE MANAGEMENT OF CENTRAL PA 4300 INDUSTRIAL PARK RD CAMP HILL PA 17011 (717) 232-0878 (800) 642-8850 (717) 763-9153 FAX INVOICE Customer: Account Number: Invoice Date: Invoice Number: Terms: Current Invoice Amount 52.56 Page 1 of 1 PAULINE SPIDLE 611-0060755-0061-8 03/01/2004 2336171-0061-2 Due Upon Receipt Total Amount Due Description Previous Balance Amount 52.56 Total Credits and Adjustments Total Payments Received Total Current Charges 0.00 52.56- 52.56 Total Amount Due Total Amount Past Due 52.56 0.00 I;:'se~iCe E~ation:81~60755' "Spidle ' P;aulne.,~4~' ..... Ei~e ....... ~ Date Description Qty Amount 02/29/04 Landfill surcharge rel rs mar apr may 04 1,56 1.00 Curb service rel rs 1 51.00 Total Current Charges 52.56 %'. Please pay total amount due. you for your business. WE CAN NO LONGER ACCEPT LOCATIONS. PLEASE USE R COUPON 3FFICE '~S ON PAYMENT / WANT TO PAY THIS B~ PHONE~ Please call 1-800-303-5813 Io make a corlvenient, ;ecure paYment. Available 24 hours a day, 7 dals a week. / Want Io pay this bill on-line? GO to www.wm.com Io learn more about WM ezPay and make a convenient, secure payment. All payments will be posted to ,our oldest outslanding invoice. WASTE MANAGEMENT WASTE MANAGEMENT OF CENTRAL PA 4300 INDUSTRIAL PARK RD CAMP HILL PA 17011 (717) 232-0878 (800) 642-8850 (717) 763-9153 FAX INVOICE Customer: Account Number: Invoice Date: Invoice Number: Terms: Page 1 of 1 PAULINE SPIDLE 611-0060755-0061-8 12/01/2003 2260739-0061-6 Due Upon Receipt Current Invoice Amount Total Amount Due Description Previous Balance Total Credits and Adjustments Total Payments Received Total Current Charges Total Amount Due Total Amount Past Due Amount 52.56 0.00 52.56- 52.56 52.56 0.00 Date Description Qty Amounl 11/30/03 Landfill surcharge rel rs dec 03 jan feb 04 1.56 1.00 Curb service rel rs 1 51.00 Total Current Charges 52.56 Please pay lotal amounl due. ' you for your business. WE CAN NO LONGER ACCEPT I LOCATIONS. PLEASE USE REMI COUPO['~ WANT TO PAY THIS BILL BY 1-800-303-5813 to make a con Available 24 hours a day, 7 da Want to pay this bill on-line? G more about WM ezPay and ma payment. All payments will be posted to invoice. 'AYMENTS AT OFFICE r TO ADDRESS ON PAYMENT PHONE? Please call venienl, secure paymenl. 's a week. ~ to www.wm.com to learn <e a convenient, secure our oldesl oulslanding WASTE MANAGEMENT WASTE MANAGEMENT OF CENTRAL PA 4300 INDUSTRIAL PARK RD CAMP HILL PA 17011 (717) 232-0878 (800) 642-8850 (717) 763-9153 FAX INVOICE Description Amount Previous Balance Total Credits and Adjustments Total Payments Received Total Current Charges 52.56 0.00 52.56- 55.56 Total Amount Due 55.56 Total Amount Past Due 0.00 Date Description Qty Amount 05/31/04 Landfill surcharge rel rs jun jul aug 04 '~ 1.56 1.00 Curb service rel rs I 54,00 Total Current Charges ,, 55.56 Customer: Account Number: Invoice Date: Invoice Number: Terms: Page 1 of 1 PAULINE SPIDLE 611-0060755-0061-8 06/01/2004 2399591-0061-5 Due Upon Receipt Current Invoice Amount 55.56 Total Amount Due Please pay total amount due. you for your business. ANOTHER $5.00 TRASH TAX COI~ lING? VOICE YOUR OPINION AT WVVW,PAWASTEINDUSTRIES, DON'T DELAY. ACT NOW. Want to pay this bill by phone? to make a convenient, secure p a day, 7 days a week. =lease call 1-800-303-5813 ~yment. Available 24 hours / Wahl to pay this bill on-line? Gqto www.wm.com to learn more about WU ezPay and mal~e a convenient, secure payment. / All payments will be posted to y, )ur oldest outstanding invoice. Billing Period: Next Reading Date: On or about Jul 08, 2004 Bill Based On: Actual Meter Reading June 08, 2004 Bill for: PAULINE E SPIDLE 744 PINE RD CARLISLE PA 17013 May 07 to Jun 07, 2004 for 32 days Residential Page I of 4 M66 To avoid a 1.50% Late Payment Charge being added to your bill, please pay b~ Met-Ed ~ Customer Service PO Box 16001 Automated Outage Reporting PA 19612-6001 . Collections %', Definitions dCUS.t,om..er C,harge -. Part of the .mon. thly. basic striDudon, cnarge to cover cos!s for Dilling, m.eter re.ading, equip, merit, maintenance, and aovance(] metering wnen in use. Distribution Charge - Cha.rges for the use of oca w res, transformers, sulSstations, and other equipment used to deliver electricity to end-use consumers from the high-voltage transmission lines. Estimated Bill - !f th s is. on your bill we c. oul,d not read your meter this Billing period. Insteao, we est mat, ed. your u.se: We .w. ill .cor. rect. any difference between what we estimateo an(] your actual use the next time we read your meter. Gen. er.ation. C, ha. rge - Charges for the pro(]uction or e~ecmcity. Kilowatt-hour {kWh) - The basic unit of e!ectric.energy tot which most customers are cnargeo in cents per Ki~owatt-hour. Late Payment Charge - This is a charge for . not paying your bill by the day it is due. vleterinvCredit.- A credit t,o a. customer'.s bill or m. etersprovi(]ed by an electric generation suppfier (EGS). Meter Reading Credit - A credit to a customer's bill for meter reading service performed by an electric generahon supplier (EGS). If you invoice Number: ~l~O~UbbbUbl I-age Z o! 4 Multiplier - !f this is on your bill we must multiply the e~ectric use recorded on your mete.r .by the number shown. This gives us the t.ota~ Kl~owatt-hours you used for this billing perioa. Prorated Bill - If this is on your bill, the current billing period is for. less than 26 days. or more than 35 days or a rate cnange occurrea during the current billing period. Service Charge; This is a charge on your.first bill for the cost or opening your new account. State Taxes - Your bill includes several state taxes. One state tax is the Gross Receipts Tax. Your total current bill includes approxima.tely $1.46 in Gr.oss Receipts Tax and a. pproximatel.,v .$2.36 in t..ot.al st_ate taxes. This (]oes n..ot inc~de State ~a~es lax. If you pay State ~a es/ax, you will see it as a line item on your bill. State Tax Surcharge - An adjustmen,t to the state taxes recovered through Met-Eds basic charges. T~;ansition Charge -Charge, s . on eveFy customer's bill to cover an electric utility's transition or stranded costs set bv the Public Ut ity Commission, which is referred to as Competitive Transihon Charge in our tariff. fhTara, nsmission C, ha. rge - §harges for mov. jng ig.n,, v.olta~le e,.~e.c.~,n~.i.ty from a gene, rat!qn citify to me (]istr~Dut~on lines of an electric distribution company. Important Information Questions or Complaints? Customer Contact Information have Met-Ed billing questions or Customer Service? Call 1-800-545-7741 complaints, write Met-Ed, PO Box 16001, Reading, PA 19612-6001 or call 1-800-545-7741 Automated Outage before the due date. Reporting? Our representatives can give you information Collections? about rate schedules, explain the different charges, and tell you how to make sure your bill TTY is correct. To learn more about Met-Ed's customer services, visit our website at: http://www.firstenergycorp.com. For Your Protection All of our employees wear Photo I.D. badges. Ask for an I.D. before letting anyone in your home. If you are still not sure, please call. Mon-Fri 7:30-7:00 Call 1-888-544-4877 24 Hour Service Call 1-800-962-4848 Mon-Fri 7:30-7:00 Call 1-800-522-2376 When you contact us, you may be asked for one of the following: Your Phone Number: Your Account Number: Your Premises Number: 1-717-486-5126 10 00 19 2936 8 5 2220630 A ~tEnergy Company May07, 2004 Bill for: Page 1 of 4 PAULINE E SPIDLE 744 PINE RD CARLISLE PA 17013 Billing Period: Apr 08 to May 06, 2004 for 29 days Next Reading Date: On or about Jun 08, 2004 Bill Based On: Actual Meter Reading Residential To avoid a 1.50% Late Payment Charge being added to your bill, please pay by the due date. / ~ I~iel~.i~ued by: J'~t~'-~ Customer Sen/ice 1-800-545-77411 , ,-,. i 11~0A019612.6001__. _. ~ ~ --:cA(~l~emc~°tneds.- , Outag~T Reporting I~08~_~24-44~87 Definitions dC. Us.t.om..er C.harge ~ Part of the .mon. thly basic istriDution cnarge to cover costs tot billing, m.eter re.ading, equip, ment maintenance, and a(]vance(] meter ng wnen in use. pist.ributio .n Ch.arge - Cha.rges for the use of oca~ wires, transformers, suostations, and other equipment used to delive, r electricity to end-use consumers From the hign-voltage transmission lines. Estimated Bill - if this is on your bill, we could not read your meter this billing period. Instead, w..e est mat, ed. your u.se: We .w. ill .co.rrect. any oifference Detween what we estimate(] an(] your actual use the next time we read your meter. Gen. er~tion. C. ha. rge - Charges for the pro(]uction or elecmcity. Kilowatt-hour (kWh) - The basic unit of e!ectric.energy, for which most customers are cnarge(] in cents per Ki owatt-hour. Late Payment Charge - This is a charge for not paying your bill by the day it is due. oeteri.ng Credit ,- A credit t.o a. customer'.s, bill r m. etersprovi(]ed by an e~ec~ric generation supplier (EGS). Met. er R. ea.ding Credi.t - A. credit to a cus!ome[-s D for. m.eter reaain, g servic.e. performed by an e~ectdc generation suppfier [EGS). Ir~volce IXlUmDer: ~:::)~ZU:)~'I~O~'age z oT ,~ Multiplier - !f t.his is on you. r ,bill, we mu.st multiply the e~ectric use recoraea on your meter .by the number shown. This gives us the t.otal K~owatt-hours you used for this billing perioa. Prorated Bill - If.this is on your bill, the current billing perioa is for. less than 26 days,or more than ;~5 days or a rate change occurrea during the current billing period. Service Charge.-This is a charge on your.first bill for the cost or opening your new account. State Taxes -You. r bill includes several state taxes. One state tax is the Gross Receipts Tax. Your total current bill includes approximate!y $1.36 in G, r.os.s R. eceipts Tax and a. pproxm, ateLv .$2.19 .in [..ot.a~ slate taxes. This aoes n_ot. inc~ae State ~a~es /ax. If you pay State ~a~es/ax, you will see it as a hne imm on your bill. State Tax Surcharge - An adjustment to the state taxes recovered through Met-Ed's basic charges. Transition Charge - Charges on eve.ry customer's bill to cover an electric utility's transition or stranded costs set by the Public Utility Commission, which is referred to as Competitive Transihon Charge in our tariff. ara. nsmission C. ha. rge.. - C. harges for mov.!ng ig.n,, v.olta.ge e,.~ec.~.nbjty ~rom a gene. rat!qn cility to me aistriDufion lines of an e~ecmc distril~ution company. Important Information Questions or Complaints? If you have Met-Ed billing questions or complaints, write Met-Ed, PO Box 16001, Reading, PA 19612-6001 or call 1-800-545-7741 before the due date. Our representatives can give you information about rate schedules, explain the different charges, and tell you how to make sure your bill is correct. To learn more about Met-Ed's customer services, visit our website at: http://www.firstenergycorp.com. For Your Protection All of our employees wear Photo I.D. badges. Ask for an I.D. before letting anyone in your home. If you are still not sure, please call. Customer Contact Information Customer Service? Call 1-800-545-7741 Automated Outage Reporting? Collections? TTY Mon-Fri 7:30-7:00 Call 1-888-544-4877 24 Hour Service Call 1-800-962-4848 Mon-Fri 7:30-7:00 Call 1-800-522-2376 When you contact us, you may be asked for one of the following: Your Phone Number: Your Account Number: Your Premises Number: 1-717-486-5126 10 00 19 2936 8 5 2220630 April 08, 2004 Bill for: PAULINE E SPIDLE 744 PINE RD CARLISLE PA 17013 Billing Period: Mar 09 to Apr 07, 2004 for 30 days Next Reading Date: On or about May 06, 2004 Bill Based On: Actual Meter Reading Residential Page 1 of 4 M66 To avoid a 1.50% Late Payment Charge being,added to your bill, please pay by I~!~ued by: ,,~_, ~,.~ customer service ~-800-545-7741 I PO Box 16001 ~ A~utom,.ated Outage Reporting ~1-888-544-4877 /Readin~ PA 19612-6001 .... ~""" uoll~¢;ions ~1-800-962-4848 Definitions ,u,stomer C.harge -. Part of the .mon. thly. basic ist. ribution, cnarge to coyer cos!s For Dilling~ m.eter re.aaing, equip, mere, maintenance, ana aavancea metering wnen in use. rlDoist,ribution Ch.arge - Cha.rges for the use of ca~ wires, transtormers, substations ana other equipment used to de!iver electricity to end-use consumers Trom the nigh-voltage transmission lines. Es.timat, ed Bill - !f this is, on your bil!, w,e c. oul,d not reaa your meter this oilling perioa. ~nsteaa, w,,e estimat, ed. your u,se: We .w. ill .cor. rect, any aifference petween wnat we estima, tea aha your actual use the next time we reaa your meter. Generation C. ha. rg.e. - Charges for the production of e~ectncny. Kilowatt-hour (kWh) - The basic unit of e!ectric.energy, for w,h..ich most customers are cnargea in cents per Ki~owatt-hour. Late Payment Charge - This is a charge for not paying your bill by the day it is due. fMeteri.ng Credit.- A credit to a customer's bill or metersproviaed by an electric generation supplier (EGS). Meter R, eading Credi.t - A. credit to a cus.tomers bill for. m.eter reaain, g servic.e. penormed by an electric generation supplier (EGS). If you Invoice Number: 95600616579 Page 2 of 4 Multiplier - !f this is on you, r bill we must multiply the e~ectric use recoroed on your meter .by the number shown. This gives us the t,otal K~owatt-hours you used for this billing perioo. Prorated Bill - If this is. on your bill, the current billing period is for. ~es.s than 26 days. or more than 35 days or a rate change occurreo during the current billing period. Service Charge.- This is a charge on your.first bill for the cost ot opening your new account. State Taxes - Your bill includes several state taxes. One state tax is the Gross Receipts Tax. Your total current bill includes approximately $1.37 in Gr,os.s R. eceipts Tax and a. pproxim, atel9 $2.21 .in tota~ slate taxes. This ooe. s not, incr_ude State Sales !,ax. If,you pay State ~a~es lax, you will see it as a ,ne item on your bill. State Tax Surcharge - An adjustmen,t t.o the state taxes recovered through Met-Eds oasic charges. Transitio. n .Charge -Charge. s on .e.y.e.ry customers Dill to cover an e~ectric uti~ity's transition or stranded costs set by the Public Utility Comm_ission, which is referred to as Competitive/ransihon Charge in our tariff. fhTara, nsmission C. ha. rge..- C. harges for mov. ing ig.n., v.olta.ge e,.~e.c.t, nb. ity ~.rom a. gene, rat!qn citify to me oistrioution ~ines or an e~ectr, c distrilSution company. Important Information Questions or Complaints? Customer Contact Information have Met-Ed billing questions or Customer Service? Call 1-800-545-7741 'complaints, write Met-Ed, PO Box 16001, Reading, PA 19612-6001 or call 1-800-545-7741 Automated Outage before the due date. Reporting? Our representatives can give you information Collections? about rate schedules, explain the different charges, and tell you how to make sure your bill TTY is correct. To learn more about Met-Ed's customer services, visit our website at: http://www.firstenergycorp.com. For Your Protection All of our employees wear Photo I.D. badges. Ask for an I.D. before letting anyone in your home. If you are still not sure, please call. Mon-Fri 7:30-7:00 Call 1-888-544-4877 24 Hour Service Call 1-800-962-4848 Mon-Fri 7:30-7:00 Call 1-800-522-2376 When you contact us, you may be asked for one of the following: Your Phone Number: Your Account Number: Your Premises Number: 1-717-486-5126 10 00 19 2936 8 5 2220630 Billing Period: Next Reading Date: On or about Apr 07, 2004 Bill Based On: Actual Meter Reading March 09, 2004 Bill for: PAULINE E SPIDLE 744 PINE RD CARLISLE PA 17013 Feb 11 to Mar 08, 2004 for 27 days Residential Page 1 of 4 M66 To avoid a 1.50% Late Payment Charge being added to your bill, please pay by the du Bill issued by: ~ . ^ Met-Ed ~us[omer ~ervice 1-1 PO Box 15152 E_m,.erg..ency/Power Outage Reading PA 19612-5152 rJo,ections 1-~ 00-545-7741 I 88-544-4877 I ~0-962-4848 J t Definitions dC. Ustomer Charge -. Pa~t of the mon_thiy, basic stdbution, charge to cover costs tot billing, m,eter re.ading, equip, ment, maintenance, and aovanceo metering wnen in use. iDistribution Charge - Charges for the use of ocal wires, transformers, substations, and other equipment used to deliver electric ty to end-use consumers from the high-voltage transmiss on lines. Estimated Bill - If this is on your bill, we could not read your meter this billing period. Instead, we estimated your use. We will correct any difference between what we estimated and your actual use the next time we read your meter. Generation Charge - Charges for the production of electricity. Kilowatt-hour (kWh) - The basic unit of e!ectric,energy for w.h)ch most customers are cnargeo in cents per Ki~owatt-hour. Late Payment Charge - This is a. charge for not paying your bill by the day it is due. fMetering Credit.- ,A credit to a customer's bill or metersprovioeo by an electric generation supplier (EGS). Meter Reading Credit - A credit to a customer's bill for meter reading service performed by an electric generabon supplier [EGS). Invoice Number: 95100652092 .gage 2 e.f 4 Multiolier - !f this is on you. r .bill, we must multiply the.e~ect.ric use recoraea on your meter by the numoer snown. This. gives us the total kQowatt-hours you used for this billing period. Prorated Bill - If this is on your bill, the current billin~ period is for les.s than 26 days.or more than 35 ~lays or a rate change occurred during the current billing period. Service Charge ~- This is a charge on your first bill for the cost ot opening your new account. State Taxes - Your bill includes several state taxes. One state tax is the Gross Receipts Tax. Your total current bill includes approximately $1 27 in Gross Rece pts Tax and a. pproxim, atelv $2.05 in tota state taxes. This aoes not include State Sales Tax. If you pay State Sales Tax, you will see it as a hne item on your bill. S. ta. te .Tax Surcharge. - An adjustment to the state taxes recoverea through Met-Ed's basic charges. '' Char e -Charge. s on eve.fy Transition . g . · · customeCs bdl to cover an e~ectnc ut~htys transition or stranded costs set by the Public Utility Commission, which is referred to as Competitive Transibon Charge in our tariff. ia.ra. nsmi.s, sion C. ha. rge..- C. harges for mov. ing ig.n,, v.oltage e..~e.c.t, ncj.ty Trom a gene. rat!qn ci~ity to me oistriDu[~on lines of an e~ectnc istribution company. Important Information Customer Contact Information Questions or Complaints? If you have Met-Ed bill~ng questions or Customer Service? complaints, write Met-Ed P.O. Box 15152, Reading, PA 19612-5152 or call 1-800-545-7741 Emergency/ before the due date. Our representatives can Power Outage? give you information about rate schedules, Collections? explain the different charges, and tell you how to make sure your bill is correct. To view your rate TTY schedule at your local office, call 1-800-545-7741. To learn more about Met-Ed's customer services, visit our website at http:l/www.firstenergycorp.com. For Your Protection All of our employees wear Photo I.D. badges. Ask for an I.D. before letting anyone in your home. Call 1-800-545-7741 Mon-Fri 7:30-7:00 Call 1-888-544-4877 24 Hour Service Call 1-800-962-4848 Mon-Fri 7:30-7:00 Call 1-800-522-2376 When you contact us, you may be asked for one of the following: If you are still not sure, please call. Your Phone Number: Your Account Number: Your Premises Number: 1-717-486-5126 10 00 19 2936 8 5 2220630 PAULINE E SPIDLE ~.~;~.,~i'.~~ Page 3 of 4 Invoice Number: 95100652092 M66 Daylight Saving Time begins at 2 a.m. on Apdl 4, 2004. Please remember to turn' When contacting an Electric Generation Supplier, please provide the customer numbers I Call Met-Ed at 1-800-545-7741 with questions on these charges. Met-Ed Basic Charges Customer Number: 0801318440 0002220630 - Residential - ME RS 01D Customer Charge Generation Charges 327 KWH x 0.043570 Transmission Charges 327 KWH . x 0.001720 Distribution Charges 327 KWH x 0.030290 Transition Charges 327 KWH x 0.007630 State Tax Surcharge 0.25 0.19 Total State Tax Surcharge 0.44 Total Met-Ed Charges Date Reference Amount Payments: 02/19104 -36.51 Total Payments -36.51 6.67 14.25 0.56 9.90 2.50 0.44 $ 34.32 Residential Meter Number S41156346 Present KWH Reading (Actual) 290 Previous KWH Reading (Actual) 99,963 Kilowatt Hours Used 327 PAULINE E SPIDLE invoice Number'. 95100652092 Usage Comparison 0 M A M J J A S O N D J F M A-Actual E-Estimate C-Customer N-No Usage Mar 03 Mar 04 Average Daily Use (KWH) 18 12 27 38 Average Daily Temperature Days in Billing Period 32 Last 12 Months Use (KWH) ~,~v,, . Avera Billing Period: Next Reading Date: On or about Mar 09, 2004 Bill Based On: Actual Meter Reading February 11, 2004 Bill for: PAULINE E SPIDLE 744 PINE RD CARLISLE PA 17013 ,lan 09 to Feb 10, 2004 for 33 days Residential Page 1 of 4 M66 To avoid a 1.50% Late Payment Charge being added to your bill, please pay by the due Met-Ed PO Box 15152 PA 19612-5152 Customer Service Emerg..ency/Power Outage Collec[ions 0-545-7741 PAULINE E SPIDLE ~ Page 3 of 4 Invoice Number: 95200611915 M66 Due to the extremely cold weather we've been experiencing lately, you may be using more electricity to keep your home comfortable. As a result, your usage, and your bill, may be higher than normal. Also, you may recieive a bill that is estimated, which can occur when harsh winter weather prohibits meter reading. To help avoid estimated bills, be sure your meter is easily accessible. Please clear a path to it. Or call us to request a form to se~ reading by mail. Call Met-Ed at 1-800-545.7741 with questions on these charges. Met-Ed Basic Charges Customer Number: 0801318440 0002220630 - Residential - ME_RS_01D ~d your Transition Charges State Tax Surcharge Customer Charge 6.67 Generation Charges 353 KWH x 0.043570 15.38 Transmission Charges 353 KWH x 0.001720 0.61 Distribution Charges 353 KWH x .0.030290 10.69 353 KWH x 0.007630 2.69 0.26 0.21 0.47 Total State Tax Surcharge Total Met-Ed Charges Date Reference 01/15/04 Amount -38.14 ustments Payments: Total Payments 0.47 $ 36.5i -38.14 Residential Meter Number S41156346 Present KWH Reading (Actual) 99,963 Previous KWH Reading (Actual) 99,610 Kilowatt Hours Used 353 PAULINE E SPIDLE Invoice Number: 95200611915 Usage Comparison F M A M J J A S 0 A-Actual E-Estimate C-Customer N-No Usage Feb 03 Feb 04 Average Daily Use (KWH) 1,!,7~ Average Daily Temperature Days in Billing Period zo Met-Ed A F~rstEne[gy January 09, 2004 Bill for: PAULINE E SPIDLE 744 PINE RD CARLISLE PA 17013 Billing Period: Dec 09 to Jan 08, 2004 for 31 days Next Reading Date: On or about Feb 09, 2004 Bill Based On: Actual Meter Reading Prorated Bill Residential l'age I o! 4 M66 To avoid a 1.50% Late Payment Charge being added to your bill, please pay by the due Met-Ed PO Box 15152 PA 19612-5152 Customer Service Emergency/Power Outage Collections 11 7 PAULINE E SPIDLE '~ Invoice Number: 95010621553 M66 Customer Number: 0801318440 0002220630 - Residential. ME_RS_01D Customer Charge Generation Charges Total Generation Charges Transmission Charges Total Transmission Charges Distribution Charges Total Distribution Charges Transition Charges Total Transition Charges State Tax Surcharge Total State Tax Surcharge Total Met-Ed Charges 276 KWH x 0.043570 96 KWH x 0.043570 96 KWH X 0.001720 276 KWH x 0.001720 96 KWH x 0,030290 276 KWH x 0.030290 276 KWH 96 KWH x 0.007630 x 0.007630 12.03 4.18 16.21 0.17 0.47 0:64 2.91 8.36 11.27 2.1'1 0.73 2.84 0.07 0.21 0.06 0.17 0.51 6.67 16.21 0.64 11.27 0.51 Date Reference Amount Payments: 12/15/03 -39,49 Total Payments and Ad -39.49 :-$39.49 Residential Meter Number S41156346 Present KWH Reading (Actual) 99,610 Previous KWH Reading (Actual) 99,238 Kilowatt Hours Used 372 U~ rage 4 oT 4 PAULINE ESPIDLE Invoice Number: 95010621553 Usage Comparison JFMAMJJ A-Actual E-Estimate C-Customer N-No Usage Jan 03 Jan 04 Average Daily use (KWH) 19 12 34 37 Average Baily Temperature Days in Billing Period 31 ~ ~3~ Last 12 Months Use (KWH) o,~o~ ~ Billing Period: December 09, 2003 Bill for: PAULINE E SPIDLE 744 PINE RD CARLISLE PA 17013 Nov 07 to Dec 08, 2003 for 32 days Next Reading Date: On or about Jan 08, 2004 Bill Based On: Actual Meter Readin9 Residential Page I of 4 M66 Total payments/adjustments -37.89 Balance at billing on December 09, 2003 ~ 0.0~ CurrentMet_Ed_Basic ChargeSconsumpUon : : . 39!49 ! TO~l: DUe~by DeC::~ ~3:.~ ~ease pay thiS:~oU~t i: :: :: i: ::: $39i~ To avoid a 1.50% Late Payment Charge being added to your bill, please pay by the due c ate. Bill issued by: Met-Ed ._J~_ ;~F__~ Customer Service 1 .800-545-7741 Emergency/Power Outage 1 .888-544-4877 PO Box 15152 ~,'~,~-~ Collections 1 .800-962-4848 Readin<~ PA 19612-5152 ....... ~ ~ PAULINE E SPIDLE I[ Invoice Number: 95580517764 M66 Best wishes for a joyous holiday season from all of us at Met-Ed. You may be eligible for cash assistance on your electdc utility bill by applying for Energy Assistance. We can assist you. Contact us from 7:30 a.m. to 7 p.m. at 1-800-545-7741. When contacting an Electric Generation Supplier, please provide the customer numbers below. Call Met-Ed at 1-800-545-7741 with questions on these charges. Met-Ed Basic Charges Customer Number: 0801318440 0002220630 - Residential - ME RS OlD Customer Charge 6.67 Generation Charges 388 KWH x 0.043570 16.91 Transmission Charges 388 KWH x 0.001720 0.67 Distribution Charges 388 KWH x 0.030290 11.75 Transition Charges 388 KWH x 0.007630 2.96 State Tax Surcharge ' 0.29 0.24 Total State Tax Surcharge 0.53 0,53 Total Met-Ed Charges $ 39.49 Date Reference Amount Payments: 11/24/03 -37.89 Total Payments -37.89 Total Pa}/ments and Adjustments -$37.89 Residential Meter Number S41156346 Present KWH Reading (Actual) 99,238 Previous KWH Reading (Actual) 98,850 Kilowatt Hours Used 388 ~~~~~ Page 4 of 4 PAULINE ESPIDLE Invoice Number: 95580517764 Usage Comparison D J F M A M J J A S O N D A-Actual E-Estimate C-Customer N-No Usage Dec 02 Dec 03 Average Daily Use (KWH) 19 12 Average Daily Temperature 37 41 Days in Billing Period 33 32 Last 12 Months Use (KWH) 6,487 Avera~le Monthly Use {KWH) 541 Generation prices and charges are set by the electric generation supplier you have chosen. The Public Utility Commission regulates distribution prices and services. The Federal Energy Regulatory Commission regulates transmission prices and services. tl .I Me,--Ed November 07, 2003 ~U~t N~m~@~ Page 1 of 4 _ , M66 AF~tEr~r~,C~--~ Bill for: PAULINE E SPIDLE 744 PINE RD CARLISLE PA 17013 Billing Period: Oct 07 to Nov 06, 2003 for 31 days Next Reading Date: On or about Dec 10, 2003 Bill Based On: Actual Meter Reading Prorated Bill Residential Tota payment~adjustments '~' - -42.37 : Balance at billing on November 07, 2003 0.00 070 Current Basic Charges Met-Ed- Consumption 3789: ge g added to your bill, please pay by the due date. PAULINE E SPIDLE ~o~t N~:: ~OQQ ~9 29~,~0~5.~,:~ Page 3 of 4 Invoice Number: 95490503117 M66 As a result of a PaPUC Order effective 10/24, Met-Ed's Generation Charge has decreased and its Competitive Transition Charge has increased. For customers who have not selected an alternative supplier, this change will not affect your total bill amount. Don't miss the enclosed brochure on Dollar Energy. Return the application form to sign up for the program and help your neighbors. W ' Customer Number: 0801318440 0002220630- Residential. ME RS 01D Customer Charge Generation Charges Total Generation Charges Transmission Charges DistribuUon Charges Transition Charges Total Transition Charges 6.67 202 KWH x 0.046060 9.30 167 KWH x 0.043570 7.28 16.58 16.58 369 KWH x 0.001720 0.63 369 KWH x 0.030290 11.18 202 KWH', x 0.005140 1.04 167 KWH x 0.007630 1.27 2.31 2.31 State Tax Surcharge 0.24 0.28 Total State Tax Surcharge 0.52 0.52 ,Total Met-Ed Charges $ 37 89 Date Reference Amount Payments: 10/16/03 -42.37 Total Payments Ad ustments -42.37 -$42.37 Residential Meter Number 841156346 Present KWH Reading (Actual) 98,850 Previous KWH Reading (Actual) 98,481 Kilowatt Hours Used 369 ~C~~b~;~i~[ ~! Page 4of 4 PAULINE E SPIDLE Invoice Number: 95490503117 Usage Comparison NDJFMAMJJ IA.Actual E-Estimate C-Customer N-No Usage Nov 02' Nov 03 Average DailY Use (KWH) 19 12 Average Daily Temperature 47 54 Days in Billing Period 30 31 Last 12 Months Use (KWH) 6,738 562 Average Monthly Use (KWH) ~ JIM BISTLINE, AUCTIONEER 61 SUNSET DRIVE, CARLISLE, PA 170013 PHONE (717) 2437794 AU001418L March 14, 2004 Dear Mike, The charge for the appraisal at 744 Pine Road, Carlisle PA is $100.00. Please send it to the above address. Thanks for the business. Respectfully, ~m Bis~t~-~e~ Transaction ID V07-0022850-1 Certificate Type: DEATH Name on Certificate: HENRY E SPIDLE Spouse's Name: Date of Death: 6/18/1988 Place of Death - City: County: 21 VitalChek Receipt VCN Vital Records Credit Card Authorization Code: 563492 Sex; Copies: Carrier: Daytime / Delivery Telephone: Relationship: Request Fee this Item: Other Agency Fees this Item: Ship To: VCN Fee $ 7.00 HOLLINGER FUENRAL HOME & CREAMATORY INC ' 501 N BALTIMORE AVE MOUNT HOLLY SPRINGS, PA 17065 Carrier Fee · $ 0.00 Date/Time Requested 6/7/2004 (~ 1:28 I~m 2 REGULAR MAIL / $18.00 $ 0.00 A~encv Other Request FeeA~ency Fees Total Fee $ 18.00 $ 0.00 $ 25.00 BUREAU OF INDIVTDUAL TAXES TNHERITAHCE TAX DTVTSTOH DEPT. 280601 HARRTSBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSNENT OF TAX RE¥-Z547 EX AFP (51-55) PAUL BRADFORD ORR ESQ P B ORR LAW OFFICES 50 E HIGH ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-30-ZOOq SPIDLE 10-16-2005 Zl o :o933 cU LA. 10~ ~ A.ou PAULINE E MAKE CHECK PAYABlE,AND R~4ZT PAYMENT TO: REGISTER OF ~'IL'LS CUMBERLAND CQ;~COURT H'*"*'OUSE 5:, CUT ALONG THZS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SPIDLE PAULINE E FILE NO. 21 03-0933 ACN 101 DATE 08-30-2004 TAX RETURN gAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Esta*e (Schedule A) (1) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/PartnershAp Interest (Schedule C) (3) q. Mortgages/Notes Receivable (Schedule D) (q) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (S) 6. JoAntly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adc. Costs/HAsc. Expenses (Schedule H) 10. Debts/Nortgage LAabA11tAes/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 80/8:30.00 .00 .00 .00 5/355.69 .00 .00 (8) 11,867.59 NOTE: To insure proper credA~ to your account, submA~ the upper portAon of thAs form wAth your tax payment. 15. NOTE: ASSESSNENT OF TAX: 15. Amoun~ of LAne 1~ at Spousal rate 16. Amount of LAne 1(~ taxable at Lineal/Class A rate 17. Amount of LAne lq at SiblAng rate 18. Amount of LAne lq taxable et Collateral/Class B rata 19. PrAncApal Tax Due TAX CREDTTS: PAYHENT RECEIPT DISCOUNT DATE NUMBER INTEREST/PEN pAID (-) 07-06-Z004 CD0041~4 .00 86,165.69 2,470.67 (11) 16.3S8.26 (12) 71,827.43 CharAtabla/Governeental Bequests; Non-elected 9115 Trusts (Schedule J) (13) . O0 Ne~: Value of Es*ate Sub~ec* to Tax (lq) 71,827.43 Tf an assess;ant ~as ~ssued previously, l~nes 14, 15 and/or 16, 17, 18 and 19 ~ill reflect figures that include the totaZ of ALL returns assessed to date. (15) .00 X O0 = .00 (16) 71,827.43 X 045 = 3,232.23 (17) . O0 x 12 = . O0 (18) .00 x 15 = .00 (~9)= 5,232.23 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. AMOUNT PAID 3,232.23 .00 .00 .00 3,232.23 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND (CR): OBJECTIONS: ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 11) 1981 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonaealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the 1aclu1 Class B (collateral) rate on any such future interest. To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act 15 of ZOO0. (71 P.S. Saction 91q0). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Make check or money order payable to: REGISTER OF ~ILLS, AGENT A refund of a tax credit, ~hich ~as not requested on the Tax Return, may ba requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-I~IS). Applications are available at the Office of the Register of Nills, any of the Z5 Revenue District Offices, or by calling the special Iq-hour answering service for forms ordering: 1-800-561-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-q~7-50Z0 iTT only). Any party in interest not satisfied with the appraisement, allowance, or disalloeance of deductions, er assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 17118-0601 Phone (?17) 787-650S. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three (2) calendar months after the dacedent's death, a five percent (51) discount of the tax paid is allowed. The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (61) percent per annum calculated at a daily rate of .00016q. All taxes which became delinquent on and after January 1, 1982 ~i11 bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through ZOOq ars: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ ZOX .0005q8 ~'~"~'8-1991 111 .000501 ~ 91 .OOOZq7 1982 161 .000q58 1992 91 .O00Zq7 ZOOZ 61 .O0016q 1984 112 .000501 1992-1994 71 .000191 2002 51 .000157 1985 1~Z .000556 1995-1998 9Z .000247 2004 ~Z .000110 1986 IOZ .000274 1999 72 .000192 1987 IOZ .000174 ZOO0 7Z .000191 --Interest is calculated as follows: :INTEREST = BALANCE OF TAX UNPATD X NUNBER OF DAYS DELTNQUENT X DALLY TNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown an the Notice, additional interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/15/2005 SPIDLE MICHAEL E 744 PINE ROAD CARLISLE, PA 17013 RE: Estate of SPIDLE PAULINE E File Number: 2003-00933 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 10/16/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/15/2005 ORR PAUL BRADFORD 50 E HIGH STREET CARLISLE, PA 17013 RE: Estate of SPIDLE PAULINE E File Number: 2003-00933 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 10/16/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~.~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge \..-v ,~ . RegIster of Wills ofCuDlberland County STATUS REPORT UNDER RULE 6.12 Date of Death: PAUL(tvC: ~IJ SP)[)LE Ocr ZIt ~003 ~OO~- Qaq33 Name of Decedent: Estate No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. S~ther administration of the estate is complete: Y~ No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. I is Yes, state the following: a. Did the person~esentative file a final account with the Court? Yes 0 NOy\ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the pers~presentative state an account informally to t interest? Y~ No 0 c. Copies of receipts, releases, j accounts may be filed with t I ^ 11 ill ^ ,~ttached to this report. Date:~ Signature JAU0 B) () 1'(~ Name So f.- H l6-1-J ')1 Ad(717 ') 25?~2~S'6 Telephone No. I" J.LJ' IJ I :[I!!d '" I ""1 "c"l I .{.",:i.,; ::Juu ,-,' ;:-..: Capacity: 0 Personal Representative ~ounsel for personal representative 'ur. ::j"'J., n"G' ,,,..~ .J ~J;.jJiJ U:J 'ciJJ:d (}~t