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HomeMy WebLinkAbout03-24-0915056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes ;~ County Code Year File Number POBOx28oso1 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 08 0748 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 208-38-5854 .06/25/2008 12/23/1952 Decedent's Last Name Suffix Decedent's First Name MI Railing Sandra K (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI n/a Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ri' 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate 4a. Future Interest Compromise (date of 5. Federal Estate Tax Retum Required death after 12-12-82) 6. Decedent Died Testate 7. Decedent Maintained a Living Trust _ _ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Mark W. Allshouse, Esq. (717) 582-4006 0 _ C7 ° ,, Firm Name (If Applicable) ~ "- REGtSTE~ILLS US&'~NLY ' Christian Lawyer Sol. -~'-~ v ' First line of address r r.~ _ ~ .x- 4833 Spring Road , \ ~ ~ -, , - Second line of address ~ ~ --~ • • , -,~ ~ City or Post Office State ZIP Code BATE FILED ~ -- - --- ---- - -- Shermans Dale PA 17090 Correspondent's a-mail address: mark@christianlawyersolutions.com Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN T R OF PERSON RESPON IBLE F ~ FIL G RETURN DAT~ ADDRESS 619 North West Street, Carlisle, PA 17013 SIGNATURE _ ~~~ REPRESENTATIVE DATE m~-z~-~o it'Spring Road, Sherrrlfans Dale, PA 17090 PLEASE USE ONLY Side 1 15056051058 15056051058 J 15056052059 REV-1500 EX Decedent's Social Security Number Sandia K Railing ' 208-3$-5854 decedent s Name: __ RECAPITULATION 1. Real estate (Schedule A) ............................................ . 1. 134,900.00 2. ...................................... Stocks and Bonds (Schedule B) 2. . 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3. 0.00 4. 9 9 ( ) ............................ Mort a es & Notes Receivable Schedule D 4. . 0.00 5. Cash, Bank Deposits i3< Miscellaneous Personal Property (Schedule E) ....... . 5. 44,235.07 6. Jointly Owned Property (Schedule F) Separate Billing Requested ...... . 6. 2.67 7. Inter-Vivos Transfiers & Miscellaneous Non-Probate Property 00 0 (Schedule G) Separate BiAing Requested....... . 7. . 8. Total Gross Assets (total Lines 1-7) ................................... . 8. 179,137.74 9. Funeral Expenses & Administrative Costs (Schedule H) .................... . 9. 34,457.64 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............... . 10. 103,803.00 11. Total Deductions (total Lines 9 & 10) .................................. . 11. 138,260.64 12. Net Value of Estate (Line 8 minus Line 11) ............................. . 12. 40,877,10 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ....................... . 13. 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ....................... . 14. 40,877.10 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 00 0 15 0.00 . (a)(1.2) x .0_ . 16. Amount of Line 14 taxable at lineal rate x .0 45 39,877.10 16. 1,794.47 17. Amount of Line 14 taxable 000.00 1 17 120.00 , at sibling rate X .12 18. Amount of Line 14 taxable 0 00 0 00 . at collateral rate X .15 18 . 19. TAX DUE ....................................................... ..19. 1,914.47 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 15056052059 REV-1500 EX Page 3 npcpdpnt's Complete Address: File Number 21 08 0748 DECEDENT'S NAME DECEDENTS SOCIAL SECURITY NUMBER Sandra K Railing 208-38-5854 STREET ADDRESS 927 North West Street CITY STATE Carlisle F'A ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 1,914.47 2. Credits/Payments 0.00 A. Spousal Poverty Credit __- B. Prior Payments 0.00 C. Discount 0.00 -- - Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable 0.00 D. Interest _ _ E. Penalty 0.00 Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1,914.47 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 1,914.47 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.......................................................................................... ^ 0 b, retain the right to designate who shall use the property transferred or its income : ............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ ^ 0 1F THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1} (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-hall (4.5} percent, except as noted in 72 P.S. §9116(1.2) (72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL. ESTATE ESTATE OF FILE NUMBER Sandra K. Railing 21-08-0748 -- All real property owned solely or as a tenant in common must be reported at fair market value. Fair market vaiue is defined as the price at which property would 6e exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. It more space is needed, insert additional sheets of the same size. REV-1508 EX+ (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Sandra K. Railing 21-08-0748 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 2000 Ford Focus LX Sedan 4D 4,860.00 2. 2007 Ford Edge 20,230.00 3. Members 1st Federal Credit Union, Mechanicsburg, PA -Savings Account # 215404-00 16,954.95 4. Members 1st Federal Credit Union, Mechanicsburg, PA -Checking Account # 215404-11 1,303.24 5. Qepartment of Revenue -check # 8558567369 - 2008 tax refund 12.27 6. Comcast Cable -check # 851202284 -refund for account # 09547-361517 16.51 7. Central PA Hematology & Medical Oncology -check #4477 -refund of overpayment of medical bill 63.66 8. Embarq -check # 0015357556 -refund for overpayment of telephone bill for account # 717-240-0221-412 112.44 9. Yard sale proceeds -sale of personal property 234.00 10. Miscellaneous householdlpersonal property, clothing, etc. 448.00 TOTAL (Also enter on line 5, Recapitulation) $ ! 44,235.07 (If more space is needed, insert additional sheets of the same size} REV-1509 EX+ (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA .IOINTtY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Sandra K. Railing 21-08-0748 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCR{PTION OF PROPERTY INCLUDE NMNE OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACri DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % of DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1. A. AmeriChoice Account # 36701 Senior Shares 5.34 50% 2.67 TOTAL (Also enter on line 6, Recapitulation) ~ $ 2.67 (If more space is needed. insert additional sheets of the same size) REV-1511 EX+ (12-99) SCHEDULE H FUNERAL EXPENSES & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Sandra K. Railing 21-08-0748 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Ewing Brothers Funeral Home, Inc. a. Professional services 4,250.00 b. Casket and vault 2,785.00 c. Grave opening 1,200.00 d. Sentinel and Patriot obituaries 392.42 e. Clergy, death certificates and flowers 356.00 2. Ashland Cemetery -burial lot 1,900.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number{s)/EIN Number of Personal Representative(s) _ Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 7,165.50 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State .Zip Relationship of Claimant to Decedent 4. Probate Fees 318.00 5. Accountant's Fees 6. Tax Return Preparer's Fees ~. Central Penn Business Journal -estate advertising 115.00 s. Cumberland Law Journal -estate advertising 75.00 9. The Sentinel - advertisement of sale of vehicle 33.99 SEE ATTACHED CONTINUAT{ON SHEETS TOTAL from attached continuation sheets 15,866.73 Tl1TA1 /~lcn antor nn lino Q Racanitulatinnl ~ S 34,457.64 (If more space is needed, insert additional sheets of the same size) Estate of Sandra K. Railing No. 21-08-0748 SCHEDULE H FUNERAL EXPENSES ADMINISTRATIVE COSTS Continuation Sheet -Page 1 company description payments total 10. PA Dept. of Transportation 2007 Ford registration $36.00 $36.00 11. PPL Electric Utilities June electric utility bill $62.69 Account # 06370-78025 July electric utility bill $48.74 927 N. West St., Carlisle, PA August electric utility bill $21.44 September electric utility bill $22.24 October electric utility bill $13.98 November electric utility bill $15.26 December electric utility bill $21.34 January electric utility bill $18.84 February electric utility bill $16.84 TOTAL $241.37 12. Travelers Insurance July automobile insurance $156.00 Account # 977165348 August automobile insurance $224.00 September automobile insurance $161.41 October automobile insurance $151.41 November automobile insurance $62.41 December automobile insurance $62.41 January automobile insurance $62.42 February automobile insurance $62.42 TOTAL $942 48 13. UGI June/July gas utility bill $60.82 Account # 217775620022 August/Septembergri utility bill $45.64 927 N. West St., Carlisle, PA November gas utility bill $2.57 December gas utility bill $19.25 January gas utility bill $17.34 TOTAL $145.62 14. Wells Fargo Home Mortgage June mortgage payment $717.15 Account # 135009702 July mortgage payment $717.15 927 N. West St., Carlisle, PA August mortgage and late fee $741.70 September mortgage payment $717.15 October mortgage payment $717.15 November mortgage payment $717.15 December mortgage payment $722.70 January mortgage payment $722.70 February mortgage payment $722.70 March mortgage payment $722.70 TOTAL $7,218.25 continued on page 2 Estate of Sandra K. Railing SCHEDULE H FUNERAL EXPENSES ADMINISTRATIVE COSTS Continuation Sheet -Page 2 15. Ford Credit Account # 42106355 July automobile payment 2007 Ford Focus August auto payment 2007 Ford Focus September auto payment 2007 Ford Focus October auto payment 2007 Ford Focus November auto payment 2007 Ford Focus December auto payment 2007 Ford Focus January auto payment 2007 Ford Focus February auto payment 2007 Ford Focus March auto payment for 2007 Ford Focus TOTAL 16. Sprint Account # 717-240-0221 17. AT&T Mobility Account # 35182341-001-40 18. Embarq Account # 717-240-0221-412 19. E. James Soto TOTAL telephone bill cell phone bill telephone bill repairs to 927 N. West St. in preparation for- sale of property-front door, roof, garage, etc. see attached invoice details 20. Borough of Carlisle March-June water and sewer charges Account # 00631 July-October water and sewer 927 N. West St., Carlisle, PA November-January water and sewer TOTAL 21. Capitol City Oil October heating oil 927 N. West St., Carlisle, PA December heating oil January heating oil TOTAL 22. Cumberland County Register filing fee for Inheritance Tax Return of Wills $428.92 $444.45 $435.87 $435.87 $435.87 $435.87 $435.87 $435.87 $435.87 No. 21-08-0748 $3, 942.46 $38.49 $38.49 $760.39 $760.39 $112.44 $112.44 $750.00 $606.00 $108.55 $72.48 $100.20 $299.00 $239.00 $239.00 $1,356.00 $281.23 $777.00 $15.00 TOTAL-CONTINUATION PAGES (appears on bottom of Sch H) $15,866.73 RFV (51%rrY~ (i~-OSl ~'i` Pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Sandra K. Railing 21-08-0748 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Holy Splrlt Hospital, Camp Hlll, PA -medical bill -acct # 31609043, 31967193, 32023376 & 31255458 1, 030.53 2. Kinetic Imaging, Harrisburg, PA - mecial bill -acct # 9386661 4.20 3. Kunkel, Surgical Group, Camp Hill, PA -medical bill -acct # RAILSA-00 355.00 4. Apria Healthcare -medical bill -acct # 0370ARX148 10.63 5. Quest Diagnostics -medical bill -acct # 5037194732 5.91 6. Quantum Imaging & Therapeutic Associates -acct # 260905-QQITA 658.63 7. Penn State Milton S. Hershey Medical Center -medical bill - 9091683 300.18 8. VNA of Central Pennsylvania - visting nurse medical bill gg.gg 9. Celtic Healthcare, Inc. -home health servcies medical bill 67.20 10. Mary Peiffer -home nursing care medical bill 150.00 11. Pinnacle Health Hospitals -medical bill 3,283.60 12. Camp Hill Emergency Physicians -medical bill -acct # 31967193 847.00 13. Bronstein Jeffries, PA -medical bill -acct # 41480 56.00 14. Carlisle Regional Medical Center -medical bill -acct #s 7737803 & 84300406 997.71 15. Members 1st Federal Credit Union -account # 215404-03 home equity loan 12,939.84 16. Wells Fargo Home Mortgage -account # 0135009702 83,026.69 TOTAL (Also enter on Line 10, Recapitulation) I $ 103,803.00 If more space is needed, insert additional sheets of the same size. >, pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE ~ BENEFICIARIES ESTATE OF FILE NUMBER Sandra K. Railing 21-08-0748 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 2116 (a) (1.2).j 1. Ashley R. Hudson, 17 S. Baltimore St., Mt. Holy Springs, PA 17065 .grandchild 1000.00 2. Garrett Q. Greeger, 17 S. Baltimore St., Mt. Holly Springs, PA 17065 grandchild 1000.00 3. Bailey R. Greeger, 17 S. Baltimore St., Mt. Holly Springs, PA 17065 grandchild 1000.00 4. Aeryona E. O'Donnell, 8 Terri Drive, Carlisle, PA 17013 grandchild 1000.00 5. Evan M. Greeger, 17 S. Baltimore St., Mt. Holly Springs, PA 17065 grandchild 1000.00 6. Donna R. March, 131 N. East St., Carlisle, PA 17013 sibling 1000.00 7. Florence R. Fisher, 619 N. West St., Carlisle, PA 17013 mother 50% 8. Rebecca L. Greeger, 17 S. Baltimore St., Mt. Holly Springs, PA 17065 child 16.6% 9. Patrick D. O'Donnell, 8 Terri Drive, Carlisle, PA 17013 child 16.6% 10. Alison E. Krom, 12 Carter Place, Carlisle, PA 17013 child 16.6% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUG H 18 OF REV-1500 COVER SHEET, A S APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. M $ If more space is needed, insert additional sheets of the same size. LAST WILL AND TESTAMENT OF SANDRA KA Y RAILING BE I'I' KNOWN that I, Sandra Kay Railing, a resident of the State of Pennsylvania, in the County of Cumberland, being of sound mind, do make and declare this to be my Last Will and Testament expressly revoking all my prior Wills and Codicils at any time made. I. Personal Representative: I appoint Florence R. Fisher (mother) of Carlisle Pennsylvania, as Personal Representative of this my Last Will and 'Testament and provide if this Personal Representative is unable or unwilling to serve then I appoint Rebecca I.. Greeger (daughter), of Mt. Holly Springs, Pennsylvania, as alternate Personal Representative. My Personal hepresentative shall be authorized to carry out all. provisions of this Will and pay my just debts, obligations, and funeral expenses. I further provide my Personal Representative shall not be required to post surety bond in this or any other jurisdiction, and direct that no expert appraisal be made of my estate unless required by law. lI. Guardian: If in the event that I shall die as the Physical Guardian of Aeryona E. ODonnell, then 1 ask that the order be re-evaluated by the court. I ask that the court along with her parents, Patrick 1D, ODonnell and Shantay Boone, make a decision based on the best interest of the child. ./ .. ~~~. Bequests; I direct that after payment of all my just debts, my property be bequeathed in the following manner: 1. ~ ask that my home be sold at a fair market value. 2. I ask that my Members First Federal Credit Union Rome Equity Loan be paid off with any Insurance monies. 3, I ask that my Mother, Florence R. Fisher ,take responsibility for my Automobile Loan with Ford Credit Company. She may choose to refinance and purchase the vehicle for herself or sett it at a fair cost, whichever she deems fit. ST.AT,~MENT OF WISI~IES f, Sandra Kay Railing, do hereby set forth certain wishes and requests to my personal representatives, heirs, family, friends, and others who may carry out these wishes. I understand that these wishes are advisory only and not mandatory. My wishes are: 1. I ask that all my Boyd's Bear Collection, in its entirety, be left to my granddaugher, Ashley Hudson. 2. ~ ask that my Blue Zirconia Jewelry including my Birthstone and Necklace be left to my granddaughter, Ashley Hudson. 3. ~ ask that my Grandmothers Ruby ring be left to my granddaughter Bailey Greeger. 4. ~ ask that my Mothers Diamond Engagement Ring and Wishing Well Pin be given to my daughter Rebecca Greeger. 5. I ask that all other jewelry be divided equally amongst my children. 6. I ask that my 1Vf other, Florence R. Fisher first select any of my personal property as she desires. I ask that she then distribute any other personal property i.e.: personal items, furnishings, clothing, etc. to my 3 children as she deems appropriate. 7. I ask that after all of my debts are paid in full, my home is sold, my Home Equity Loan is paid in its entirety, and funeral costs are paid, the remaining money be left to my mother, Florence R. Fisher I ask that she do the following before dividing it between herself and my three children. 1. ~ ask that she establish a trust fund in the amount of X1000.00 (which may be distributed at the age of 21) to each of my grandchildren listed below. She may use the financial institution of her choice. A. Ashley R. Hudson B. Garrett Q. Greeger C. Bailey R. Greeger D. Aeryona E. ODonnell E. Evan M. Greeger 2. ~ ask that she leave my sister Donna R. March the sum of $1000.00. 3. I ask that she leave my sister Karen K. Szwiec nothing as she is f nancially secure. S. I ask that after my mother distributes the money to my grandchildren and to my sister, Donna R. March she then will keep 50°f° of any remaining money and the other 50°~° shalI be evenly distributed between my 3 children listed below: A. Rebecca L. Greeger B. Patrick D. ODonnell C. Alison E. Krom 9. In the event that my mother shall predecease me, I leave 100®fQ of the remaining money to my daughter, Rebecca L. Greeger. i ask that she then equally divide any of the remaining money between herself and her brother and sister. 10. ~ ask that xny Grandfather Clock that is presently at 627 North East Street, residence of Elizabeth Fisher, be given to my daughter Rebecca Greeger. ~__.~ Testator Signature -~ bate 1V Witnessed: The testator has signed this will at the end and on each other separate page, and has declared or signified in our presence that it is her last will and testament, and in the presence of the testator and each other we have hereunto subscribed our names this day of ` , :~~~ ~ ~ . ~_ ~'. ~ ~i ~- Witness Signature ~~~~ ~ ~; Witness Signature Witness Signature Address address F ~~~- ~~ ~~ ~ >~ 'L..., '~ _ F ~F~. /` •. Address ACKNOWLEDGMENT State of ~ - County of ~ ~ , ~-~ ; - _. Jam. and The testator and the witness, respectively, whose names are signed to the attached and foregoing instrument, wore sworn and declared to the undersigned that the testator signed the instrument as her Last Will and Testament and that each of the witnesses, in the presence of the testator and each other, signed the will as witnesses. Testator .Witness R x _ ~- F ~^ Witless Witness ~.. appeared ~~ ~ ' ~~. ;~. ~`~~~ ~~~~~ personally known to me (or proved to me on the basis of"satisfactory evidence) to be the person who name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument, Witness rn~ hand and offwcial seal. Signature Affiant Known Produced I~ `~- TYPe of ID ~- ;~ :, (Sear - ~~~s-5 ._._m,_ kryry ~6"9.t4i'~~o~ °~- ~t3(~3~.t~. ~*3Cl~r~'.Rfi~R~Tf~G I. __.. ,~ . ~ ~~6`~~~~;J ROB£RT F. ZfEGLPR RECO~cD~f; ~F GELDS i:f~M8ERLi~!;~ Ct7UN7Y-PA '01 Jl1~. 31 Pfd ~ Q0 Tax Parcel No. 06-19-1643-095 THIS DEED, ~~- da of Jul in the year of our Lord two MADE THE Y Y thousand one {2001). BETWEEN DAVID C. LEBO, Widower, of 912 Forbes Road, Carlisle, Cumberland County, Pennsylvania Grantor, and SANDRA K. RAILING, single woman, of the Borough of Carlisle, Cumberland County, Pennsylvania Grantee WITNESSETH, that in consideration of Eighty-nine Thousand Nine Hundred {$89,904.00) ---------------------`-`-` Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said grantor does hereby grant and convey to the said grantee, her heirs and assigns. ALL that certain lot of ground situate on the east side of North West Street, the Borough of Carlisle, County of Cumberland and State of Pennsylvania, between E and F Streets, bounded and described as follows: On the west by North West Street; on the north by Na. 929 North West Street; on the east by an alley; and on the south by lot of ground formerly of Marcus A. McKnight later of Harland Stickel, having a frontage on said North West Street of 25 feet and extended eastwardly at an even width a distance of 190 feet to the aforesaid alley, and having thereon erected the southern one- half of a double frame dwelling house known and designated as No. 927 North West Street and Cumberland County Tax Parcel No. 06-19-1643-095. BEING the same premises which U.S. Bank National Association TR U/A dtd 4/1/98 (Home Equity Trust 1998-1) by deed dated May 25, 2000 and recorded in the Office of the Recorder of Deeds in and for Cumberland County in Deed Book 222, Page 57, granted and conveyed unto David C. Lebo, the Grantor herein. And the said grantor hereby covenants and agrees that he will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, said grantor has hereunto set his hand and seal the day and year first above written. witness: COMMONWEALTH OF PENNSYLVANIA f / [SEAL] vid C. Lebv COUNTY OF CUMBERLAND_~-- On this, the ~ /J~U day of July, 2001, before me, the undersigned officer, personally appeared David C. Lebo, widower „ known to me (or satisfactorily proven} to be the person(s) whose name(s) is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. •=,"l.,. IN WITNESS WHEREOF, I have set my hand and official seal ,_.:Srt:-~`~.:nY~,,:~:'-~ DICE F.8411K8iN1'~, JR. NQTARY Pl19lIC ~~/]~/,// [ c.~~a~-. Ca1f#.181€ 80110, CtJ1~ G01lIrT'~, ~- - ~- '_.''",~'~' `.~ f M A1Y 001AWi610N DO~IiiEB JAMUMII- 6.1006 .. . . ~--.. I do hereby certify that the precise residence and complete post office address of the within named grantee(s) is July ~J 2001 Atto ey f ~~ COMMONWEALTH OF PENNSYLVANIA ss, COUNTY OF CUMBERLAND RECORDED on this day of A.D. 2001, in the Recorder's office of tie i o , Boak , Page ~ l.erf i ~y `~h~S ~'~ re~rb~ ~n Cumberland County PA Given under my hand an the seal of the sa%~ ce, the date above written. ,. «~ ~..r.~.~T'~ a` •, Recorder ~2ecorder of Deeds doaK X47 ,-n~c34;~2 03!23!2009 05.57 FA7~ 7172430$$3 Pxudential March 23, 2009 Prudential Homesate $®rviC9s Gr4ap f3 9runkwoad Avenue, $uiia A Carlisle, PA 17015 Office 717 7,45.7100 697-?.4cJ2 Fax 717 245~{?5B3 ~ oo2toas To: Mark Allshouse Re: Estate of Sandra Railing - 927 N. West St., Carlisle, I'A 17013 Dear Sir, As per your request, ! am providing you with my opinion of value for 927 N. West St., Carlisle, PA 17013. I believe the value of this property to be in the range of $129,900 to S 134,900. In addition, I have provided a copy of our listing agreement far the property as well as information an three comparable prpperties that have sold or are pending. If you have any cluestians, please call me at 3$5-4500. Sincerely, ~~~ ~~ Trieia Negley PRUDENTIAL HOMESALE ~ qn indecendrntly nwnrd xn~l o!>a8~~1 memA~ of Pnidennxl Aen! Ea~n~e AH~hxres, Inc 03/23/2009 D9:D7 FAX 717240883 1 BROKER (Cartrpany) 2 Y.ICIEIVSEE{S) , s s1~x.LER 4 Doe9 Seller lave a Listing e It yes, explain: 7 1. is N 1s identification (Tax ZD #; Parcel PRUDENTIAL NDMESALE Lot, Block; Dot;d Bock, ~ 0o3~oos Present Use et~rding bate) ,0 2. STARTING tic ENDING MATES t)k' LI3TIhtG CQNTRA,CT (ACSC1 CALLED "TER11K") 75 A. No Association o£ itEALTOItS`~ has see or recommended the term of this contract. Tay law, the length or terra of a liatiag ~ 18 user may net exceed one year.lBroker and Seller have discussed and agreed upon the length or term o£ tbtis Contract. 17 13. Starting Date: '1'fti is Contract atarlg whoa. signed by Broker an,d Seller, unless otherwise stated here: ~F~ (~ 1s C. I;ndir~ Date: This Contract ends on ` 1s 3. QUAY. AGENCY ` ~ Seller agrees that Broker may else represent the buyer(s) of the Property. The Broker is a DU'AX. ,A,GENT when repmscntiztg boot z1 Sella end the buyer in the sale of a properry. ~ 4. I)ESIGNATEb AGI~tCX ~ ^ Nat Applicable. ~ ~'`~,, Applicable. Broker may designate licensees to represent the separau interests a£ Seller and the buyer. Licagsee (ide~f"ted ~ above) is fibs Designated Agent, who will act exclusivel as the Seller y A,gerrt. If Property is introduced. to ttte buyer by a liceausee ~ in the Company who is not representing the buyer, than that licensee is authorized to work on behalf of Seller. If Licensee is also T~ the Buyer's Age~at, then Licensee is a DCJfU., ACrENT. ~ 5. BROKk.R'S FEE ~ No Associatiop p£I~EALTQR$~ has set or cccaz~omended the Broker's Fee. Broker and Seller have negotiated the fee that Seller will ~ pay Broker. Broker's Fec is (,~ % of the salsa price AND ~~~1~''[;.q ,~. paid by Seller. a1 6. COOPER,A~TTOI~T WI'I~ OTHER BRUYfERS ~ Li.CCnsee has explained Broker's company,policies about cooperating withl other brokers. roker aad Seller agree that Bmker will pact', ~ Broker's Fee a £ee to auuotb~er broker who procures tlae buyer, is a member of a Multiple Listiag Sorvitx (MGS), and who: ~ A. represents Seller (SUBAGENT). Broker will PaY of/from the sale ptigG_ ~ represents the bayer (.~U7fER'S AGEN'T). Broker will pay ~ afl~row tbo Salo price. ~ A Buyer's Agent; even if eompems$t'ed by Broker far Seller, gill represent the interests of tl~ bayer: ~ ~~ does not represent either Seller or a buyer ("I'RANSAG7It7N LICENSEE), ~ Broker will pay ~~ l~ oflfrom the sale price. ~ T. P'AYMEN'T' !)F BRQKER'S FEE 4o A. Seiler w~l pay Broker's Fee if Property, yr spy awnerahip interest in lit„ is avid or eat.haaged daring the term of dais 47 ContraC# by Broker, Broker's salespersozws, Seller, ar by any ether persva or broker, a# the listed price or any price accept- "~ able tv Seller. ~ B_ Seller wiA pay Broker's Fee if a ready, willing, and able buys; is Found by Broker or by anyone; including Seller. A willing buyer ~ is and who wilt pay tkte listed price or more for the Property, or one who has submitted an offer accepted by Seller. ab C_ Seller will pay Broker's Fee if negotiations that are Pending at the Ending Date of this Contract result in a sale. 4s D. Seller will pay Broker"s Fee for a solo that occurs after the Ending Date of this Contract lF: ar (l) The sale occurs within _ Q ~~ of the Ending Date, AND ~ (2) The buyer was shown or negotiated to yllb the Property during the term of this ooneract, ANI) 4s (3) "1'he Property is not listed under an "exclusive right LO sell contract" with another broker et the time of the sale. ~ E_ If a buyer suns an agreement of sate rhea reuses to buy the Property, or if a buyer is unable to buy the Property because of fail- 57 ing to do alt the things required of the buyer in the agreement of sate (buyer default), Seller will pay Broker sx ~,!~; ~ t~ of/fxom buyer's deposit tnorties, QR the Broker's P'ee lit Paragraph 5, whiehtwer is less. sa F. [f the Property or any part of it is taken by any govemmeet for public use (Eminent Domain), Seller will pay Bmicer's Foe tipm ~ any money paid by the government. ~ G. [f a sale occurs, aroker's Fee will be paid upon delivery of the dcxxd or odser evidence of transfer of title ar interest. If the Property ~ is ttaasf~erred by an installment cantracl; Broker's Fee will be paid upon the execution of the irrstaihrrerrt contract. aC1~.S P'ttge 1 of 4 '~~ 1 Pennsylvania Association Qf REALTORS° coAYRrGkT P1Civlv$YrYAi'liAA530C1AT[DN oFREAL7'QRb'r2009 b107 Y.,ISTING CONTRACT + "Z,~,J }u( XLS E$CX.TJSIVI>~ J[\t.~THT '1'Cl SELL "EAL ~+ ST~'~,'~ Tisis form t'ecotnmanded and approved For, but not roatricted to use by, the memhaty of the Peonaytvania ABeocititioe of REAX.TQItSe (i'AR). 03/23/2009 05:58 FA?t 7172450683 PRUDENTIAL HOMESALE f~004/009 ANX CHANCES TO TffiS 1PAGlr ~1(USx EE MAri)E A~XI II~iITIAI,F~ ON EACH COPY ~ 8. DUTIES OF BROKER AND SELLER ~ A. 13rokcr is acting as a Seller's Agent, as described in the Consume{ Notice, to market the kroperty and to nogotiate with poten- ss riot buyers. Broker will use reasonable efforts to fmd a buyer far the Froptrty_ ~ B. Scller will cooperate with Broker and assist in the sale of the Property as asked by Broker: 4~ C. All showings, negotiations and discussions about the sale of the Property will be done by Broker on Seller's behalf Ail written ~ or oral inquiries that Scller reeves or learns about regarding the PrapeRy, regardless of rlac souri:e, will be t+efcrred to Brolaet: ~ ):7_ if the Property, ar any part of it, is rented, Seller will give any leases to Broker befort signing this Contract. If any leases are ~ oral, Scller will provide a written summary of the terms, including amount of rent, ending dart, and Tenant's'trsponsibilitics. ~ E. Seller will not enter into or renew any leases during the term of this Contract withotrt first giving notice to Broker. ~ 9. BROKER'S SER'V'ICE TO BUYER ~ $roker may provide services to a buyer far which Broker may accept a fee. Such services may include, but arc not limited to: ~ deedldocumtnt preparation; ordering certifications required for closing; financial scrvicts; title ttatrsfer and preparation services; ~ ordering insurance, constrttetion, repair, or inspection services. Broker will disclose to Seller if arty fees are to be paid by Buyer. ~ 10. BRt)T£Elt NOT RESPONSIBLE l~ O)IZ pAMAGES ~ Seller agrees that Broker and Broker's salespersons are not responsible far ati}+ damage to the P'rope+tty or any loos or theft of per- '~ sonal goods from the Property unless such damage, toss or then is directly caused by Broker ar Broker's salespersons. ~ 11. D)cPOSiT MONEY 7e A. Broker, or any person Seiler and the buyer name in the agrecrnent of sale, will keep all deposit monies paid by yr for the buyer ~ in an escrow account until the sale is completed or the agreement of sale is tettninated_ If held by Broker, this escrow account 7a will be held as required by reel estate licensing laws and regulations. Seller agrees that the person keeping the deposit monies ~ may wait to deposit auy encashed check that is received as deposit money until Seller has accepted an offer. '~ B. If Seller joins Broker or Licensee in a lawsuit for the rearm of deposit monies, Seller will pay Broker's and Licensee's attor- ~ net's' fees and costs. ~ iz. OTHER PROPERTIES at Seller agrees that Broker may list other properties for sale and that Broker may show other properties to prospective buyers. ~ 13. CONFLICT OF IlV'Tk~REST ~ A conflict of intet'e9t is when Broker or Licensee hae a financial or personal interest where 13rolter' rn Licensee cannot put Seller's ~ irrterests before any pther_ if Broker, Licensee, or any of Broker's salespeople has a conflict of interest, Broker will notify Scller in ~ a timely niamAtr. es 14. PUBLYCATION O)P SALE PRICE ~ Seller is aware that the Multiple Listing Service (MLS), newspapers, and other media may publish the final sale prico of the ~ Property after settlement ~ 15. SELLER WxY.L REVEAL DEFECTS & ENVIRONMENTAL HA2,A,RDS ~ A. Seller (including Sellers exempt from the Real Estate Seller I7isclosurc Law) will disclose all known material defects and/or ~ environmenral hazards on a separate disclosure statement. A material dtfeet is a problem or condition that; ~ (i) is a possible danger to those living on the Property, or ~ (Z) has a significant, adverse eefect on the value of the Pragetry_ ~ The fact that a skructural clement, system or subsystem is near, at or beyond the end of the normal useful life of such a struc• ~ rural element, system or subsystem is not by itself a material defect. ~ $. If Seller fails to disclose known material defects aard/or environmental hazards: ~ (i) Scller will not hold Broker or Licensee responsible in a»y way; se (2) Seller will pmtect Broker and Licensee from any claims, lawsuits, and action that result; ~ (3) Scller will pay all of Broker's and Licensee's costs that result. This includes attorneys' fees and court-ordered pa~+ment: too or settlements (money Broker ar Licensee pays to end a lawsuit or claim). tat 16. IF PROPI~RTY WAS BUILT BEFORE 1978 tae The Residential Lead-Based faint Hazard Reductiori Act says that any seller of property buih before 1978 must ,give the buyer ar too E'PA pamphlet titled Protect Your Ftmtily From Lead in Yaur home-The seller also must till the buyer and the broker what tine sell too er knows about lead-based paint and lead based pairrt hazards that are in or on the propeny being sold. Seller must tell the buye tae haw the salter knows that lead-based paint and lead-based paint hazards are on the property, where the kad-besnd paint and lead roe based paint hazards are, the oortdition of the painted surfaces, and stay other information seller knows about lead-based paiaat sa~ tot lead-based paint hazards on the propEtty. Any seller of a pre-1978 stnicture must also give the buyer atiy rewz~ds and reports th¢ t~ the acllcr has or can gat about lead-based paint ar icad~based paint haxazds in or around the property being sold, the commo:a area; toe or other dwellings in multi-family housing. According to the Act, a seller must give a buyer 10 days (unless senor and the buye tto agree to a different period of rime) from the time an agreement of sale is signed to have a "risk assesatncnt" or iax.~tection far pot rig Bible lead-based paiaat hazards done on the property. Buyers may choose root to have the risk asstssmeat or inspec.~tion for lead pav; tiz hazards dons. if the buyer chooses not to have tltc assesarncnt yr inspection, the buyer must inform the seller in q+Yiting of tb 1,a choice. The Act does not require the setter to inspect for lead paint hazards or to correct lead paint hazards ore the property. The A~ ttn does not apply to housing built in 1978 or later. XLS Page 2 of 4 03/23/2009 09:58 FAk 7172450683 PRUDEMTIkL HOMESALE (~j005/009 ANY C'AANG~S x4 TH$'1SS PAGE MUST BE 1V)AUE AND INITIALED ON EACH COkX its I7. RECOVERY FUND ,ia Pennsylvania has a Real Estate Recovery Fund (the Fund} to repay any person who has received a final court ruling (civil in judgment) against a Feansylvania real estau licensee because of fraud, zuisrepresentativn, yr deceit in a real estate transac-~ lie lion. 'The Fund repays persons who have not been able ~ callpct true judgment after trying all lawful wa~+s t4 da so. For cam- iie plate details about the Fund, call (117} 783-3b58, or ($00) 822-2113 (within Fetu-sylvania) and (717) 783-4$54 (outside ago Pennsylvsnia)- i2i ],$. NUTICE TO PERSONS UFF'Ii1tING TO Sk~LL OR RTNT $QU$ING xN >PENNSYLYANIA I~ t2~ Federal and state laws make it illegal for a seller, a broker, or anyone to use RACE, DOLOR, RELIGION or RJ'T.IGIOUS i23 CREED. SEX, DISA$ILITY (physical ar mental:), k'A.MILIAL STATCJS (ehildnea under t 8 years of age), AGE {40 or older), tza NATIONAI.OI~IGIN, USE OR HANDLINCriTRAXNING OF SUPPORT OR GUIDE AN>lM,A~.S, or the FACT OF RBLA- ,rs TIONSHIP OR ASSOCIATION TO AN IIJDZv1DUAL KNOWN TO T-IA'VB A x7ISA8ILITY as reasons for refusing to sell, i26 show, or rent properties, loan nnaney, or set deposit atraaunts, or as reasons for' any decision relating to the sale of property, iFf 19. AI~UI'TIONAL OFFERS i26 Unless pxohibited by Seller, if Broker is asked by a buyer or cooperating brokeK about the existence of other offers an the ~ i29 Property, Broker will reveal the existence of other offers and v+~kiether they were obtained by the Licensee identified in this tso Contract, 'by another Licensee working with Bmkar, or by a eooperetiag Broker. ONCE SELLER ENTERS INTO AN iii A~rREEMENT OF SALE, BROKER XS NOT REQUIl2ED TO PR,ESEI+IT OTHER OFFERS. is2 2t). TRANSFER OF THIS CQN'I'RACT i33 A, Stoker will notify Seller immediately in writing if Broker transfers this Contract to another broker when: i34 (1) Broker stops doing, business, OIt i35 (2) Broker forms a new real estate business, OR ~~ (3) )3rolcer join, bis business with another i37 Boller aprons that Broker may transfer this Contract to another broker. Broker will notify Seiler inatttediately in writing i3B when a transfer occurs ar Broker will lase the right to transfer this Contract Seller will foilOw all ttiegetiremetns of dais ,~ Contract with the new broker. iao H- Should Seller give or transfer the Property, or an ownership interest in it, to anyone dwnittg the term of this Contract, all iai owners will follow the regttirementy of this Contract. tat 21. NO OTHER CONTRACTS ia9 Seller will not eater IntA another listing Contract with another broker that begins before the Ending bate of dais Contract. iao 22. >EISTIRE CONTRACT ins This Contract is the ensue agrecurent between Broker amd Boller. Any verbal or written agreemerrts that were made before iA6 are not a part of this Contract. tat 23. CHANGES '1 C] T'HYS CONTRACCT i4a AU changes to this Contract must be in writing and signtd by Broker and Seller. tea TA. SPECIAL YNSTrtI7C'I'110NS iao The OfC,ce of the Attorney General has not pre-appz~aved any special conditions or additional kerms added by aa}t parties-Any iai special conditions or additional terms in this Contzaet must comply with'the pennsylvatnia Plain Language Coasuttta ysz Contract ftCt- is3 2S. COFYR><GHT i5a Tn corrsideratlan of Broker's efforts to tmaricet Seller's Property ss stated to this Contract, Seller grants Broker anon-exclu- i56 sive, world-wide license (the "License"} to use any potentially Copyrightable materials {the "Mat+et'itils'~ which are related to i56 the l~raperiy and provided by Seller t0 Broker ar Broker's representerive(s). The Materials may include, but ate trot limited iS7 to: photographs, images, video recordings, virtual touts, drawings, written descriptions, remarks, and pricing information i56 related to Seller's Property. This License permits Brglcer to submit ttte Materials to one or more multiple listing services, to ise include the Materials in compilations oPptnperry listings, and to otltorwise distribute, publicly display, reproduce, publish and ieo produce derivative works from the Materials fax any purpose that daps not cvnllicc with the express terms of this Contract. lei The License rosy not be revoked by "seller and shall survive the eradirtg of this Contract. Seiler also gtarAS Broker the right i62 to sublicense to others any of these rights granted to Broker by Sellac Bolter rtprasennts and warrants to Broker that the ,~ LiGensc granted to Broker for die Materials does net violate or infringe upon the rights, including lay copyrights, of any per- i84 son or entity. Seller understands tbat the terms of the License do not grant Seiler any Iegai right t0 any works that Hmlcer is5 tray produce using the Materials- _ -_ 7t][.S Page 3 of 4 OS/23I2009 09:5D FAX 717250683 PRUDENTIAL HDfAESALE [~j006/009 ~~ 187 use tss +7a 17t 172 tr 174 175 178 1rr 178 t~ sea tet 762 183 iBl 165 166 187 186 tee 1B0 t97 taz 7 9;t ssa 146 tab 797 198 +9g 260 2oz xm zoo zoo zaa m7 z6e 2ti. MAR]tCETl.NG Ql' PAQPERTY Where ~ernaitted, Bxokar, at Broker's optia><a, >JOa~+ Fpr sale sign i5(Sold sign C] Key in office box 'nt /olecironuc advertising, including photographs address in printlelo+etroeic advortisiulg. 13. Br wi11!^ will not use a 1Vlultiple Listing Service tMiS) to advertise the Property fio other real esmte bxolcets and salespersons. Sclicr agroea that Broker,l~icenaee, and the MLS are eat reapanaibl4 for mistakcs in the MLS and/tu advertising of the Property. 27. I'T'EMS A~lCLT1pED/NOT IlVCI,'CIIIED IN THE PRIC'lg 4F THE PRDIPERTY A. INCLUDED i7a thwr sale are all existing items permanently installed in the Property, free of trans, including plumbimg; heating; lighting fixtures (including chandeliers and ceiling Earls]; water treahnevt systems; pool and spa equiprtteixt,; garage door apeilets sad transmitters; telovisioo antennas; unpotted shrubbery, pian2ings, and trees; any rennairring heating and waking fuels stared 4n the Property at the time of settlexnenr sump pumps: storage shods; mailboxes; wall to wall carpeting, existing window sct~eens; storm windows and screen/starw dpoas; window cover~iotg hardware, shades and blinds; built-in air ctmditioners; built in appliances; and the rangolaven, unless otherwise stgted. Also included: $. LEASED items (not awnod by roller}: C. EXCLUDED Fixtures and items: TITLE 8c FOSSESS][ON A. SO11Cr wlil glYe po68e7331oIl of 1roperty to a buyer at settlement, Or 4n B. At settlemvtlt, Seller will give full riglat$ of ownership (foe sit[rple) to a buyer cxcxpt as follows (1) 1vlaneral Rights Agreements: (2) Other: C. Seller bas: ^ ARattgagc with: Amount of balance S Address: Phone: Acct_ #: d Equity Loan with. Amount of balance ~_ Address: Phone: Acct. ~: _ ^ Seller autFwri2es Broker to receive mortgage payoff aadlor equity lean payoff information from leader(s). D. Seller has: ^ lodgments ^ Municipal Assessment ^ Past Due Taxes ^ (,)titer. $ $ _ $- 3 E. if Seller, at any tune on ar since January 1, 1998, has baea obligated to pay support usrtkr an order on record in any county, list the county grad the Domestic Retatipras Number ar Dotket Number: TA.XE9, UTILITIES, & ASSt7CTATION FEES A_ At settlement, Seller will pay one-half of the total heal Estate 'X'ransfer Taxes, unless otherwise sixted here: B. Real F..state Property Tax Assessment ~ _ Yearly T~xss S _ Wage/Income Tax ~ Per Capita Tax $ C. Estimated Utilities {trash, wats7C, sewer, electric, gas, oil, etc.):._ D. Association Foes S Include: BUYER FINANCING Seller will accept the following arrsngcraaents far buyer to pay for the Property: ^ Cash ^ Convenciaaal mortgage ^ FHA, Mortgage Q VA mortgage ^ Seller's help to buyer (i£ any): zos Setter has read the Consumer Notice as adapted by the State Real Estate Commission at 491Pa. Code §35336. 21a Seller gives permiissiotM for Sinker to send information abo~et this transaction to the far number(s) andlor a-mail rtddrras(es) listed bebr. 2++ Seller has read the essiire Contract before aigaing. All Sellers must aigm this Contract. 212 Return by Fncslmlle {FAX) canstitates acceptance of this Contract 273 NOTICir BEFORE SIGNING: TF SiF~I.ER HAS L)[rGA]<. QUESTIONS, SEF,.LER IS ADVISED Td CONSULT AN ATTORNEY. z+a SELLER'S MA[1..rNG ADDRESS? ats 278 P$Q~YL• ~,F.A~:; _ _ FrMAII,: 2n BELLE .c,[.P o ~-5~../-~ /'i 1T .d ~ DA'rL - -- - - - - Z7a SELLER eta SELLER z2o BROKER (Company ~2t ACCEPTEf) BY DAr» DATE !2-.." -~`~ ~`-l ~ DATE XIS ]Page 4 of 4 03!23!2003 09:58 FA7t 7172450683 PRUDENTIAL HDMESALE i~ 007/009 Virtue! Tour Virtual Tour S~tus Sold Type Attached G7t-r larlFsle LPG $129,Qp0 SO: CENTRJRY 21-A BETTER WAY CLD: 6/4/2 ~' 129 ~Int; COMentlonal SP$ ~iz9,ti00 t~uktc Lifltas 224 B Street And41 7 10157058 17019 ficme tQ be BuiR Man Carlisle SabdhrNsllon Scif fit Carpsle Geuntir Cumberland bir Ftge11 Tot Sq R Above 1500 Squsr~e Ft Source Approximate Squsne Feet Bebw !ot D!m Aclt+as 0.0500 Year Built /- 1900 Deripn Townhouse 9~rle 2.5 teary Comet Frame Ext vinyl I3Rarit COrKrete Floor Full Interior AooesS ParkF On Street Parki War1r8 # Br 3 # ~fi: Fi M 1 # FP ax i!,$2 Year 2007 Pss:espsbn tevei Bth: F N No F'ea Room Lvi Dim Room ~wf Dim App! Mlon~ve, plshwasher, [)Ispossl, ReFrigeratnr, Ra1'tge-EJec LR Level 1 11.10x14.6 MBR Leve12 11.9x10.9 Misc. Ro~om~tic, I~undryr RGOr1:, ~putar Room tMLeveJ 1 1+~,SX11.2 BRI Cool Ceiling Fan, ~~nlral Air FR ttlR~ Level 2 14,9x10.8 Hest llectTlc, Forced Alr, Oil, Speoe Beaters DEN Btt3 Levd Z 15x11.4 AaX Heat Other ILIT L~rel 1 18.2x8.17 BR4 Wt 9wr Public $evmr, Pub11C Water' BR5 t~tt Featsre Potnh OR iLaundry RoorLevel l f?qulp Smoke Detectors, Gelling Fan, Cable ~y OR 28onus Room Level 2 Dint Formal Dini Room OR 3Foyer Level 1 ***LTKE NEW*** Mother ]erry Swat#z Builder home. Terry has tweaked this comer property tp its g:+eater potential. Be+auttful new kitchen, paths, flooring, wa11s 8- lightlruj. New roof, 5lding, windows, patio and IaT+dscaping. New 3pp1'rannes !~ central air. Great tombination of ttie old and new. Excellent value. SMO: Call Owner I.BJC Combo LO CENTRAL PENN RFAL t sl'AT ~: (717 582-0050 SAC 4 (3AC 3.OV TLS 5040 SPRWG ROAD SHERMANS CMI,I` PA 17090 1.A QIFF DELLINGER r cell: (717) 440-0227 A~.nat LA 2 LT Otl7er L.A ,3 ~ infatmaUnn prpvlded Is deemed Tellable but not guaranteed. Qa123/Z~D09 09h6T AM C5T 03/23/2008 08:b9 FAX 7172450663 PRUDENTIAL NDMESALE f~]00$!049 Ylrtuaf Tour Virtual Tour Scotus Pending Type AtGadted Ciitlr CarsiSie LP¢ $132,ODp 90: NOOKS, HOOKS & ECKMAN IlC REALCII.R>': 417.3/Z009 Mr zo t~nc: Sp,'J~ ~1~~ O 1~ ~ a 5 CARTER PL Agee 7 i11176Z2Z 17D13~428 Hama to ae Built No Mun Carlisle Su6dhrislanHafCyon Hill Sch Qlst Carlisle County Cumberland Dlr FrottfROM CARLISta: 34S (HOLLY Piif)`j 1ST LEFT TiJRN PAST CHILI'S RESTAURANT. ACROSS FRAM RQLLING DRIVE. Tot Sq Pt A6wve 1344 Square R 9ourpa Pubis Recprds Square Feet Bebw Lat Wm App O.OODU Year Built /- 1987 O~Ipn Townhouse 9litie 2 Stay Cone~t Frame Ext BMC1t Bsmt CAna'ebe Floor Full Pa FinishE Pollan OPf Street Padd W No # Br 2 # dtlt: F2 H i # FP 1715 Yesr 2-09 Po~msaalon feral Bth: F M Yes Fee Room LW Dfm Room Lvi Dim Appt Mlaowave, Ulshwasher, DisTx~sal, Range-Slat LA Level 1 MBR Level 2 13'5X17 Miar+ Rooms DR Level 1 BRi Coal Meat Pump FR HRH Level Z 12'5X14'5 Hest Heat Pump DEN BR3 ~ Aux Heat ICIT Level i BR4 Wt SWr Public Sewer, Pubik Water BR5 Ext Feature Patio, Poach OR 1, Equip Smoke p~ectors, Ceiling Fan OR Z Dini Eat-In K"rGcfien Fom~al Diri R~ogm OR 3 BQNG WfIMN WALKING dISTANGE OF WALMART, CHILTS, MIDDLE SCHOOL & GIRLISLE SWIM CWB TMIS TOWNHOME HAS 2.5 BATHS ~ MANY UPGRADES AS DESCRIBED BELf?W- THIS END UNIT CANDO WOULD BE GREAT FOR YOUNG PROFESSIONALS OR 1ST TIME BUYERS ALIKE. THE LARGER BEDROOMS GNE ROG3M FOR RJRNINRE, THE FULL BASEMENT IS GREAY FOR STORAGE. RECENT IMPROVEMENTS - DINING ROOM CEIt.ING FANJSTORM DOORJ1nNYL & LAMINATE I~Lt30RINGfOAK STAiRSJ PAINT/APPLIANCES $HO: CaA Last Otiioe, Lodd7ox LBX CPML 10 B-H AGENGY REAL, ESTATE 04°eke: (71?) 243-TODD SAC 2.5 BAC 2.5 TLC Sf>3 N. MANdVl7t 5t' CARLISLE PA I7G13 LA DOUGLAS BROKER HEINEMAN CH,L: L717) 579.9912 bhagency~tpmcast.tret u z LT Exduslve Right ~ ~ ow tnrorrnatinn provided Is 4eened ~euable but not guaranteed. 03J331zoos o9:s4 AM c;-T 43f23/2009 09:59 FAk 7172450683 PRUDENTIAL HDMESALE I~j009/009 Virtual Tour SO: N~-U~SELL DETWILER REALTY CI.Ja: $JZ7J2008 >"1ir 17 Fines Comrentional SPA $135,900 3213 JUNIPER ST Anea 7 10166794 1.7013-Z5Z4 HoM~~e fiv b~B Bunk Mun Carlisle SubdivlsbnWlLLdW CROSSING Sd~ blst CariWe CowrtQ Cumberland Dir FignfitOM CARLISLE SQUARE, EAST ON 641 (HIGH STREET}, RJQN SPRING GAR,QEN, RJON JUNIPER TO HOME ON RIGHT. Tot Sq Ft Abo~va iZ88 Square Pt Source Public Records SquBr+e Feet Below 560 Lo# D!m Acres 0.0800 Year swift /- 1976 Design Townhouse Style 2 Story Cortst Frame Ext BrFdt, Vinyl Bent Full Partial Finished Pi11d OFf Street Pa Paved Dr Wd Na # Br 3 ~ Bth• Fi N i ~ ~' 1 ax 1676 Year 07/08 Possr~bn Lewaf 13th: F fi t+lo Fee Room Lsl Dim A,oon1 Lv10fm AWM plshwasher, Disposal, R,efrlgeratnr, Range-Elegy iJt Level 1 12'QCi9 MBR Level 2 13'8X' 10'9 Misc. RoonrAttx, ether DR Level i 11X12 BRl Coal Celling Fan, Window Units FR BRZ Level 2 12'4X9'$ Nest Baseboard, Ele[~lc DEN BR3 Level 2 8'10X9 Ara Heeit flr~t+.place W/Insert faT Level 1 11X19 BR4 VYt Swr Public Sewer, Public Water BR5 f;7[t featalrr~ PaUO, Starrn UOOrS, EXlst, Storm NfindoWS, ExtSt Olt 1Sunroam Cavell Bgrrlp Smoke pe1~ec'ivrs, Calling Fan, Cable Ready OR Z Dini Ui~ A2a CfR 3 ---- IMMACULATE TOWNHOUSE CONVENIENTLY LOCATED T4 SHQPPING, PRIDE OF OWNERSHIPI NUMEROUS UPGRADES INCLUDING NEW WINDOWS .& H2d HEATER IN 2007, NEW SIDING & ROOF IN 200$, RENOVATEQ IQT WJ CERAMIC TILE FLOORS, NEW PERGO FLt]OR IN SUNROOM. EN]OY SUMMER EVENINGS ON THE NEWER PATIO $. SPAQOUS FENCED IN YARD, PARTIALLY FINISHED BA5EMENT W/ FIREPLACE WOULD MAKE A GREAT FAMILY RQL?M. NC ASSOC FEES! A 7QY Tn SHOW, F9.FASE NO SHOWINGS AFTER 7PM Sl10: Coil USt Office, LoCId~Ox LBX CPML LO RFAL ESTATE EXCEL OfHae (717) 258-8934 SAC 0 BAC 2.5 TLG Q 403 N. NANOVER ST CARLISLE PA 17013 LA ]ON S COLIINS (717) 386-0367 cnlllns~inny~gmali.oom ~p 2 LT F~cduSive Right LA 3 OW Informatlon provided is deemed reNaWe taut oat gtl8ranteed. ~s/o4/loos u6aaa w*M CxT 927 N West Street, Carlisle, PA 17013 -Prudential Homesale Services Group Page 1 of 2 e'"--a ' Sign In ~` . i.~~'~t New User? Sin Up Nrrra4xs P _ Harrisburg, A rn ~ P+,= .erica M Search Y~.?aiin~ _edler Rrdvtn#ag tteraurres d`tsaut t Home Contact Helg Featured Listings ~ New Homes ~ Area._I_nventory ~'~.°,_~ I the future of real estate. Now. : ~ "#figE~e4t in Satisfactinn for Rome Sellers rLmong "° ~ I, NeXt ~fQPs Request a Home Tour k To team more about this property, ~ National Fu{I Service " Send Pro to a Friend p~Y use Contact or call 800-383-3535. _ _. Rea! Estate Firms , ~, - , ,, :~ Save to My Portfolio ' Prudential Homesale Customer Service "'~"'•°' " ' ~-~" ~~- '^ ~~ ~~ ! Make an Offer Wa print 927 N West Street, Car{is{e, PA 17013 go to map _. Pria~e: $134,900 Bedrooms:3 Bathrooms:lJ1 Garage:l Square Ft: 1,128 Lot Size: 0.11 y ~ Price Per sq/ft for this property: $119 Average Price Per sq/ft for this area: $123 Median Home Price for Cartisle, PA: $204,900 Year Built: 1926 School District: Carlisle MLS Number: 20172950 Live Date: Dec Ol, 2008 Property Type: Single Family Area Location: 7 Subdivision: n/a County: Cumberland Status: For Sale Map page: n/a PraPerty Information Many Upgrades Have Been Made To This Home Including New Furnace, Front Door, Fence And Spadous 20X20 Deck. Format Dining Room For Entertaining And A Mantel To Decorate. Large Eat-In Kitchen. Powder Room And First Fioor Laundry. Fabulous Deck Overlooks Yard Leading To One Car Garage. Additional OFf Street Parking. Fenced Yard. GP.nEraa Estimater3 iiJ{pnthsy Payment Bedrooms: 3 Full Bathrooms: 1 Askin Price(S): Half Bathrooms: 1 Parking/Garage: 1 g $134,900 Square Feet Above 1,128 Square Ft Source: Public Records Down PaymentlS): $26,980 Grade: Interest Rate: 30 yr. fixed @ 6% Stories: 2 Calculate Exterior Comments Pvlonthly Payment: $647 _ Exterior Features: _. Deck, Porch irJtd?riCDr LflmmenES Dining: Forma! pining Room Fireplaces: 0 Full Bathrooms 2nd 1 Half Bathrooms 1 Floor: - Main: Misc. Rooms: Laundry Room GQnstruction Basement: Full Construction: Frame Design: Townhouse Exterior: vinyl Roof: Composition Year Built: 1926 Equipment 2007 Ford Edge -Suggested Retail Value - Official Kelley Blue Book Site ~~ }~ 7H~U5T£D~R~SOU~RCE _~ .._ _~ I s_. __ _ _. _.__ .. __._.. i-i r'a SYFf.+ 0.45rr ._v. f,< Used Ca rS °~,E.;f.?3trt? ~2 TJS yt fir M, __. _.. v„Yn2y if. 4'3... tffc';xi` .__. _._.. i ?<!':9S`y XO ~s'+I "F` ......_... .._... .~ ..___.._ _ _,.._,. _...._.,.. €rlAS iig126'ls I G"~'i i:C {k Z{?SU 6i3 #3C'« }'r~~`"' fat 4`&'F'4 t _tf .;N' ! s ,~ ~,'rh . <.> d Car I.ISt n.z __ert' i_~ 6ran~d CO.np?[° Vehicles ! Pc •e! t ~ a under M .., f _~ f ry:Ptl Y~h'flCt CARFA;( V?h+CIP H~St~~Y wo5come Sack r... ~I: 1:'r• r, .., N ~I';t A. u I iY,f• e C. ...... ~.:rh+ ,~.~ .=ll' - itti~.lE &L'3€ .JJIi'' :JG„EST:~} ~L T~°~ rA~U~ Suggested Retail rq<. Ettimated Payments Value C4nE17LlOn - -_. . VO.~Ue ; 396 /mo (r 5.54 % APR '~ Excellent $2q,230 ff tl '. ,J e ~ ool+ .e. _ . dAl' su6flastea Ratan f ' .: aP° Vaie¢ ASSnme$ t' ..:'P( ~n:15 Ex[e/lent f 4}'.. . ,f, .: ~. P ^_pol9 rr 'E'fl~d.>r~ it [ ai Search Used Cars ~L ~ ~ j ft j Ft'¢e CARFAX recRrd check _.. ~*`** Shopp ng Toots ;.acpf i a .ud Ch`r.k Average Consumer Rating (f f4 Revoews) F~ ad ,+~ .~:_....!: In i nm ~'~4-~., ;~.. Cyr :,.ire ......~ ~.. rs 1•.., ... en... .tar '°~"~wY~'."L-~ 4.5 out of s 1 ...I, 'ehtc le SssF3fiar ?''+L''t•3 'e <!'. s*~SE;4 FJl k t3k fAB ~ ' ziJ69 Fore esy¢ n Biue Book Ciassifietlc' t t acrd .. 'nt.,es rd tc More R¢sulis 3) f „IYS m fes~ `.. ..... . _.. _...... ._ .. r,P cone ~ rot, To V9ew Ads, click Vehid¢ Highlights Mil¢a9e: 3.F~O~I n~t (~np ~.~7i ~L[U~t E.~~ FVM1 ~+r+~:i En9sne: vf; s. `i direr Special Package Oflert TranslniSSion: J(ttonl a !'.i~.: ' Cdn !eN.h n+i lli0ns`c.. Drir@train: G`ND Selected Eryuipment Chanrya Eryuipment; team more now Stantlard Air Conditioning Cruise Control Alloy wheels r Power Steering AM/FM Stereo Stability Control Compare Used vs. Nara Power Windows Dual Front Air Bags iractlon Control Power Door locks Front Slde Air Bags S~ 0.00 to S2>,Oi!(1 - ~ Trlt Wheel AHS {4-Wheel) !?~)th fJ?:•+anC; ,~~ec ~ Optional ctl`r Multi Compact Disc To View List, Click ~~~~ tf#~~~~~ ~~~~Fr ~ Blue Baok Suggested Retail Yalue the KPIle.y glue Book Sunpestr.d fr,P.tOil ValuC. is +epresfn!'a;ne Of ded'.ers" Select Yea.._ atikln9 O'~Ces l nd f= U*e G}drrinri iiuint for rteg0'ui MiOn betw~,^,r:n .3 c~Nt ~untf?r Hoff a dealer. Thks 'iu4?^-ste4 R~:Ctfil Vylus .5 .. .'tr:~t Nee ~•ChicYe hoe been - full' n't.iint. r: dot has a lean title Fist 'I'h is •:d dl,n Eakes IntU nt: l[fE dCnir!r!;~ orolil. ~ O:i:i for aclvE:riiS=np, ;;alec co[r;rni::5=<:~ns nn;:l ' Mhcr'rpSt50t fininC bU1 FPGS fh: Fool ialF{ I<P. 'wl{I sk i+bp lP.Si de;~endinr; nn the Vehiele.'[ aft~.ar! .^.gndil:lOn, C~rl'uiarlP)', t}'p!? C~f Warri~riLv off_red and to[a! Indrket tor;rlitions. `~Ca ;i,>',r .~~do~~'' Vehicle COndikion Ratings !.=,.< f,-T:.tfa;t ;t.,:: Page 1 of 2 1'7ttn•Uunanxr khh rnm/KRR/T TcPr-1(`arc/PririncrRPnnrt/7nn7 Fnrrl F.1RP (22717 Retail T+vr 1 1 /71 /~nnQ Jul-30-200$ 08:25 AM ArneriChoiee FC~1 -SPORTING GRN (717)5919695 2(2 Kelley Blue Book -Suggested Retail Pricing ~2e~sart -Ford, Focus - Q£ficial T~e11ey Blue ... Page 1 of 2 advertis0ment 1 Cc~ndltl+~n ifalue ~f Excellerpt ~~Fr~60 (selected) . ~ ~ - .^• Sugygstad RgtaiE Val e r' ' : ~ ,. ~ ~~- ~ ~ r~. , Assumes Exoollant Condition... Iri'p~ ~~ ~~~~' , ^ rl~ rea R> ti'''p } ~ 1 ~! Ht~v~ ~ gut nc~'? ,Q~Q Find the right ai the right prlat. 'aft zQQQ F~r~d Focus LX S~dian 4t) ~LtfE BOOK®SIiGG~$TEa RETAIL ~~tU~ .:..- n~; a.~. ;, ...wart ~ . ••v~n>z+ao.~mv.+ue;vrA'^YA~4r..^.~+uPr. r ~Y1M6tity '~:•i.iS"~'f= ztir'~xsrrav2~7AC.r ~yers~e Consumer I~ating (7b3 Reviews) Read Reviews 9~f~ 4.3 aut of S Checlc aut the tncentlveg avallaE)!e on ~ 2(348 Ford Foes eview This Vehtde ew ^....t e-._,;'x,~~.°.._: :sxr. :s'^r~ ~.w~a..~r.i~ttf~!~c+`«.:-.,7~,r~~y,~~4:Z=z;.;~r,.i ,-~~;~.v-+-,a't2~Lrc'S^~:tz>'yrir,Ra~' Vehicte HighEights 4Wileage: ?9,44p Engine: 4-Cyl. 2.0 liter Transtnisslene 5 Speed Manua{ brivekrafn: FWD ':~- ,F•.^-rr=:~aaxrrar~rr~tc.Y~~„~.-~_ „„.~ .. -~~r3: Selected Equipment Standard Alr Conditioning AM/FM 5terea Dual FrronC Alr E3egs Power SteerlnQ Cassette ~lu+e $oak Suggested Retail Value The Ke'.tey Blue Book Suggested Retell value is represe tatlve of dealers' asking prices and Is the starting pair>r for neQOtiatlpn between consumer and a dealer. This Suggested Recall Vafue assumes that the vehicle h s been fully recandltfoned and has s c{ean title nistbrr. This value al5q t0kes into ccount the dealers' prpflt, costs for advertlsingr sates commissions and other cos of doEng business. The final save price will likety be 1e55 depending an the vehlcle'S a ual condttlanr popularity, type of warranty offered and Iota! market conditions. Vehft:le GOndition ROtings "~ ExCBflerlt (seiectedj ~i Sen4 to Printer htt~:llwww.kbb.tom/KBB/UsedCars/I'xicingReport. aspx7WebCategoryId=3 S&Yearld~20... 7/29/20Q8 --~-. atlvertisemenc -..-,"-. "~ `® IaIEMBER515t FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued interest Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner LOAN ACCOUNTS: Account Number/Suffix Date Loan Established Principal Balance at Date of Death Name of Co-Borrower Loan Type Security Interest 215404-00 03/19/2002 $16, 942.45 $12.50 $16,954.95 None 215404-11 03/19/2002 $1,303.24 $.00 $1,303.24 None 215404-03 11 !26/2005* $12,939.84 None Home Equity 927 North West Street Carlisle, PA 17013 Contractual Pledge Of Shares '`Loan does not have life coverage. Paid in full on 7/16/2008. Estate of: SANDRA RAILING Date of Death: 06/25/2008 Social Security Number: 208-38-5854 a IVIBERS 1ST FEDE CRE T UNION Danielle A. Kline Insurance Services Specialist August 12, 2008 5000 Louise Dzive PO. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org ___ _~ ____ _- __~ - _ i ~ ~, 00000! 001~~ Oi8; 012209~~ 81874058 086759`; 019-172 ~ 6C3=142 $5 58567369 - =~~ ~=pT ~ PFE? DA'E ~Ov ~dG° Ir F~c~ r N- ~ j ~ 1'~ - '~"-' FULTON BANK ~ ~ F ~ "f~f ~' ,.r ~, ` LANCASTER, PA ` ' '~ "'"~~' 02/06/2009 VERIFICATION AVAILABLE - "POSITIVE PAY" PROTECTEQ "F' PAY - ~~~ TWO _~, -~ ;- O~D~'~ ~~ VOID AFTER 180 BAYS **~*~**~*~~**12.27 SANDRA K RAILING DLN 071000186401 REV REFUND 619 N WEST ST _~ ,,+. CARLISLE PA 17013-1967 °' ° ~...~..~ RR ll {{ 11 `` `` {{ 99 {{ qq {{ {{ '~ ~ ~ .. ~~ ~ I. - `. ~ - IB11 ELI{!II t11A1911 I { ACII~Af~~eRf 111 ~11111I N~III~~~I~~II~~I~I FS 'RcR ~ ~-VtiJ~~~~A,^~iiA III 5 5 6 7 3 6 9 II' ~. U 7 M~® ~~ C G~ w • C~~ ~ 31G ~ f {I~ COMCAST CABLE COiVIMUNICATIONS oaocapT-oooooselo9zo 4008 N. DUPONT HIGHWAY ATTN: SUPPORT SERVICES NEW CASTLE, DE 19720 06052 SANDRA RAILING 927 WEST ST N CARLISLE, PA 17013-1437 '~~tlll7l{911taifi~llta~la~aa~1911iI~11I~11111~11tlipl~itl Alll Dear Sandra Railing, Comcast The attached check represents a subscriber refund for account number 09547-361517 in the amount of $16.51. If you have any questions or concerns regarding the refund check you can write us at the address above or call Gomcast's toll free customer service number at 1-888-CONiCAST. Check Date: 01 /03/2009 Check Number: 851202284 DETACH AND RETAIN THIS STATEMENT THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCR?BED ABOVE. ff NOT CORRECT, PLEASE NOTIFY US PROMPTI.X. NO RECEIPT DES?AED. A P•" cStP"mi- "a _b,~~'. Ei-"~ R a ~ - - - e ;~ ~ a ='S `: T. 5 p ~r'iMCAST FINANCIAL AGE1~iCX.C~RPORATIUN 854,202284 '°, COMCAST C,,4BLE COIVINIUNICATICO~IS GRC?UP C4MI'ANY - z~7 Iozo 01 f03/2009 ~~.Y EXACTLY: SIXTEEN DOLLAf~8 AND 51 GENTS ~ '"""`"16.51 ! '~ THE ORDER OF: SANDRA RAILING JSSGRIBER ACCOUNT NUMBER: 09547-361517 ~- . cd by integrated payment Systems Inc.,En¢lewood, Colorado ~~. -~ AUTHOR3ZED SIG TUR£ -`K'orean Chase Bank, N.A., Denver, Colorado --„ -, ~~. .. .. ... ,. 1. -:. . .. e~`4 ~t8 3091' ~: 10 20009 79~: 680.08 5 it 20 2 2844~i` Central Pennsylvanuz to~O~~ ~' ecficac Q~~~ ~SSOC1.at~S, ~C. Jobe D. Conroy, Jr., D.O., F.A.C.P., F.A.C.O.I. Scott G. Banxes, D.O., F.A.A.O.I. Li Mi.~ Isaac Liu, M.D., F.A.C.P. Joyce A. McCorkle, R.N. Scott C. Fetter, ll.0. P~a~~°e n9R,.~er Date: RE. Refund Dear ~ ~::~~~:~`:. ~: Recently we received date (s) of service. ~ .; Affiliated ivirh~ JOHNS HOPKINS ~~ONCOLOGY CENTER \~± a payment from both you and your insurance company for the same Therefore, we are issuing a check to ,you in the amount of ~` We apologize for any inconvenience this may have caused you. If you have any questions, please call us at (717) 737-5907. ,Sincerely ~.-. `:, Billirrg-f~epartment tipper bevel, 50 N. 12'~~ Street • Lemoy~xe, Pennsytvaaaia 17043 • 717 737-5767 • FAX 737-6268 • info@cphmoa.com ~~~~ MB 01 000829 10267 B 6 A illll~llinllnll~i~lillr~l~r~Il,l~lit~n,l~l,~ll~lll,~~l~l~ll~ ESTATE OF SANDRA K RAILING MARK W ALLSHOUSE ESQUIRE 4833 SPRING ROAD SHERMANS DALE PA 17090-8313 Vendor# 0000830403 Vendor Name: ESTATE OF SANDRA K RAILING Check Date- 1 0 / ~1 / 7008 Chark Nn nn1 5357558 Voucher ID invoice Number PO Number Invoice Date Gross Amount Discount Paid Amount 00830403 717-240-0221-412 10/15/2008 112.44 0.00 112.44 FINAL CREDIT customer Refunds Total Gross Amount Total Discounts Total Paid Amount 000001/000001 $112.44 $0.0 $112.44 Send inquires to: 5000 Louise Drive PO Box 40 Mechanicsburg, PA'i7055 ww+tiv.membersi st.org Main Switchboard: {797) 697-1161 or (800) 283-2328 EZ CaFI[ (717} 697-x372 or {800) 283-4372 TDD: {717) 697-5312 or (800) 283-2328 ext. 5312 Tele6ranch: {79 7) 795-6049 or {800) 237-7288 ESTATE OF SANDRA K RAILING C/0 FLORENCE R FISHER 619 N WEST STREET CARLISLE PA 17013 Statement of Accounts Aug 25 , 2008 thru Sep 24 , 2008 Account Number: 334543 Account Balances at a Glance: Checking: 612.21 Savings: 16.97 Certificates: o . 00 t_oans: o . 00 Money Management: o . o0 Page: 1 of 2 Your aggregate balance as of September 1st is $287.51. An aggregate balance of $2,500 and having 3 products wi!! place ~o~a in the Silver MLR level. Access over 25,000 surcharge-free ATMs in the United States. See the enclosed insert for more details. CHECKING ACCOUNTS 11 -CHECKING iDate Transaction Description Additions Subtractions Balance Aug 25 Balance Forward ~ 2,248.46 Aug 28 Check 000106 Tracer 0122797995 45.64-'~ 2,202.82 Processed Check - UGI UTILITIES TYPE: UTIL PMT ID: 231174060 Aug 28 Check 000105 Tracer 1602778159 ~' 444.454 1,758.37 Processed Check - FORD MOTOR CREDI TYPE: CHECKPMTPA ID: 8884140177 Aug 28 Check 000104 Tracer 0011743025 741.70-~J 1,016.67 Processed Check - WFHM MORTGAGE TYPE: CHECKPAYMT ID: 7708044134 Aug 28 Check 000103 Tracer 0001079551 ~, 115.OOa',~ 901.67 Aug 28 Check 000107 Tracer 0001059159 ~ ~ 224.00 677, 67 Aug 31 Deposit Dividend 0.250°f° J~ r 064 678.21 Annual Percentage Yield Earned 0. 250% from 08!09/2008 through 08!39!2008 ~'*~_--^` Based on Average Daily Balance of 2, 559. 96 Sep 22 De osit b Check ~ ~ p y „;~ ~; ~~ ~ C~~~ ~, ,.., G~ ~~ ~~ „ 234: 00 t 912.21 Sep 24 ~ Ending Balance 912 21 CHECK SUMMARY Check # Amount Date Check # Amount Date 000103 115.00 Aug 28 000106 45.64 Aug 28 000104 741.70 Aug 28 000107 224.00 Aug 28 000105 444,45 Aug 28 5 Checks Cleared for 1, 570. 79 SAVINGS ACCOUNTS 00 - REGl1LAR SAVINGS Date Transaction Description Additions Subtractions Balance Aug 25 Balance Forward 16.97 Sep 24 Ending Balance 16.97 --- Continued on following page--- 9 INVENTORY OF HOUSEHOLD ITEMS 1DOUBLE BED WITH SPRINGS AND MATRESS 20.00 1 DRESSER 10.00 CHEST OF DRAWERS 10.00 1 SINGLE BED WITH SPRINGS AND 1VIATTRESS 15.00 2RRESSER 16.00 1 LIVING ROOM SUITE (SOFA & CHAIR) 25.00 1 ROCKER 5.00 TV SET(2S INCH-6 YEARS OLD) 15.00 1 SM. TV SET 10.00 2 END TABLES 10.00 TV STAND SAO COFFEE TABLE 10.00 SMALL KITCHEN SET(TABLE & CHAIRS 15.00 DINING ROOM SUITE& 6 CHAIRS 30.00 WHITE KITCHEN CABINET 8.00 SMALL KITCHEN APPLIANCES; (mixer, toaster, coffee pot etc) 20.00 ASSORTED NIC-NAGS AND PICTURES ETC. 10.00 1 7FT REFRIGERATOR(? YEARS OLD) 50,00 ASSORTED DISHES .SII,VERWEAR AND COOKING UTENSILS 20.00 ASSORTED POTS PANS & BAKEWEAR 20.00 4 TABLE LAMPS 16.00 5 SMALL LAMPS 7.50 1 UPRIGHT VACUUM 7.50 1 LAWN MOWER (5 YEARS OLD) 15A0 WICKER PORCH SET 30.00 MISCELLANEOUS BEDDING, CURTAINS, AND ETC. 25.04 1 AREA RUG 15.00 ASSORTED THROW RUGS ETC. 8.00 TOTAL X448.00 Note: All furniture items(except as noted) are over 10 years old. Ewing Brothers Funeral Home, Inc. 630 South Hanover Street Carlisle, PA 17013- (717)243-2421 June 30, 2008 Florence R. (Highlands) Fisher 619 N. West St. Carlisle. PA 17013 The Funeral Service for Sandra K. Fisher Railing We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE, THAT YOU SELECTED W HEN MAKING THE FUNERAL ARRANGEMENTS. 1. PROFESSIONAL SERVICES Services of Fun;.ral Director/Staff - - - - - - - $4250.00 FUNERAL NOME SERVICE CHARGES - - - - - - - • $4250.00 SELECTED MERCHANDISE: Alpine White I8G Gasketed Casket . - $1560.00 American Vault _ _ $1225.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $7035.00 Cash Advances Opening Grave, - - $1200.00 Clergy/Mass Offering - $125.00 Certified Copies of the Death Certificate $72.00 Flowers. - $159.00 The Sentinel obit with photo, - $153.20 Patriot Obit no photo. $239.22 TOTAL CASH ADVANCES AND SPECIAL CHARGES . $1948.42 Total Total Cost , - - $8983.42 SUB-TOTAL $8983.42 INITIAL PAYMENT !DISCOUNT /CREDITS 0.00 TOTAL AMOUNT DUE $8983.42 The unpaid balance over 30 days is subjected to a L50 % service charge per month - 18.0000 % per annum. LL1AM M. EWING SEYMOUR A. EWING ~. CARLISLE, PA.,17013 19 - , a IN ACCOUNT YMITH ASHLAND CEMETERY ~numents and Headstones OWNED BY Cemetery Lots Cleaned & Lettered EWING BROTHERS FUNERAL HOME Available oncrete and Metal Vaults 630 SOUTH HANOVER STREET Provide For The Care Available Telephone 243-2421 Of Your Lot Area Code - 717 ., ;~ ~,~~ ~ a ,u.. ~~ 9: '4 ~ ~, e . 1. ~~a ,"" ~ ~. a ,. t_ ~ r . ,A m % a ..: a _. Reeeint Will Not Be Returned finless Requested RECEIPT FOR PAYMENT GLENDA FARMER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 RAILING SANDRA K Receipt Date: 7/16/2008 Receipt Time: 10:15:26 Receipt No.: 1053398 Estate File No.: 2008 -00748 Paid By Remarks: FLORENCE R FISHER AJW ----------------------- - Receipt Distrib ution ------ ------- -------- --- Fee/Tax Description' Payment Amount Payee Name PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 28.00 CUMBERLAND COUNTY GENERAL FUN JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 - - ---- CUMBERLAND COUNTY GENERAL FUN Check# 2277 - -------- - $318.00 Total Received_._...... $318.00 I N V O I C E s ~Q~' a"ax:cr Slseei Narris5ssr~, PA ~7 7~1~-X36-43~iC ~~. , - -------------- INVOICE TO ------------ Christian Lawyer Solutions, LLC Attn: Mark W. Allshouse, Esq. 4833 Spring Road Shermans Qale, PA 1790 s!1 sl2oos ORDER #: 59298 TERMS; Net 30 Days -------------- ADVERTISER ------------ Christian Lawyer Solutions, LLC INVOICING: Advertiser DESCRIPTION OF CHARGES COST = CREDIT = BALANCE PUBLICATION: CLASSIFIEDlCENTRAL PENN BUS. JRNL COVER DATE: 8/15/2008 RATE CARD: DESGRIPTION OF AD: Legal listing: Estate of Sandra Kay Railing REP(S): MARK SUNDAY SIZE: LEGAL LISTING, COLOR: 8&W PAGE: SPACE SUB-TOTAL: 115.00 BALANCE DUE: 115.00 THEME: CLASSIFIED AD/CENTRAL PENN BUSINESS JOUR 115.00 0.00 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 2493166 Fax: (717) 249-2663 August 15, 2008 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Mark W. Allshouse, Esquire RE: Sandra Kay Railing Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: August 1, August 8 and August 15, 2008 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director zoo- ~ ~_,. `~ -v ~~~ - ~'he Sentinel ~ .~ ~.. , Sax 1311 Irarllsie Fa. 17®13 ~ ~ Received frorn: ~ ~ ;:~; ~,.^~ / , ~-,G% ; - ~- ,1 ~~ , ~ ,,~'~.~ For; ~ Circ. Retail ~ _ ~3ther ~~,;;.V~~F fir-- ~~ ~!~- ~. Irivaice N®. _ 1 % ` ~J ~ f Initialed by ` 64324560401RA ~ 2F~tDK36C87BA72261 ~ FeRD ~ Sid ~ 2007 ~ ENY5130 ~ 69AR 31 2010 00000 iitie Number Vehicle identification Number Vehicle Make F Type Year Plate Number Expiration Date Reg. Gr. WL Comb. Gr. 1Nt. Odometer Reading ~ ENTYS Inscra nce Co. Name. NA1C Na. Irsura nce Pohcy Number Policy Ettectiv_g. Dace .. Policy Expo on g~Ye- w - - 7 - Mo. ! Day t Yt Mo. i Dav i Yr. 1f you wish to contribute 51.00 to E ~~~~ indicate ?f Of 1 the Organ Donation Awareness e ee~~ duplicates ai t ; ~.a 36.~Q S1.50 each herea Trust Fund (ODTFj piease ~Q2QO~~7~iG643295~QDC1~b~C3 Street Address JA~ii~A ~ RAI~i~a°~ i,~P ~~ r~j /~./~ }~~"~•"""~'~"~'"-~...~ j City Z` P ~ ; ,,~'i /~ f. SEate 7~p Gode tv'ry/Gur signature a;knowl=_dges that Il»~e may lose mylcur ope~a'ing privilege or ~~ehicie registration for failure io iraint..in fi~~n ial iespan ib~if y (insu~anpQj on the~currently rzaistered vehicle fog to .:erioc cf reeisisatior,. 1~-G~.r`.-F':-'. C~cf. .~=",.,~"'~rr3~PP/~C~L._ ~~ !r^:+j.F.~E..f~~..--~ ~ ~ ,~/~j ~ ice? ,/ ,, ~,p ,~,, y ~ /" Ef _ f f ` ~j,'~ ~` ~, ~ ~~ ~ ~f~ ~j~ i` ~ °+.f~~1~ `~,~~€~-~'.< `'h ; ,~ fr..fJ F~f ~-~^- ~-~-~"""'7~.'' 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A A .4 A.iA'4•V 4A A4., tt pJl Pp 6A'c.v l•4Ad 411+ld mAAVAA .~A1T-~I?fF~~S-CY.ti2A[tfi~'it3L -- E ._-: ~'-e~Qi~a'F$Y., P@.."•:~#Ss`.:'?4.F~43»~ -~;`~ ~ ---- 0370-78025 1~tao 12, 2008 $111.43 l~z~:o~st ~,AAClosed A'v` 01 0? 4326 210938 ~ 3 A.° "5DG T i~j~ ~-- 927 )~! ~~c5 4 5T CnP7,h1.,E ~!~ 17013-i~c37 PPL ELECTRIC UTILITIES 2 N~JR.-1"H 9TH STREET RPC:--C=FIv~T; l-°+:`'_,~.~';NT~~TN ~'A I fiS 01-1175 1F-ACA~IAFA@YKA AA6AR 54AAk AAAAA 4I A$-A9-AA4A &A-AM AAN AR ~AAAkA6RRB9 1, ~~6~~~9~~AZ~A~~~~C1C17~A~A~A~£~~' ~~~ ~~1~8C€~5 r-- '~ diir BrB ~lccaratie 3~i-fi~f~ea .. ::.. 05374-7805 AV 011 014529 288858 75 A"5©GT SANDRA K RAiI_.ING 927 N WFST ST CARLISLE PA 1 70 1 3-1 437 p1~ge~a ~ ~:~!:a~%`T1~f3.A?~?sA.>ti~t, Sep 10, 2008 $21.44 Aanvunt Enclosed PPL ELECTRIC IJTILITIES 2 NORTH 9TH STREET I3PC-GENNi ALLENTOWNPA 18101-1175 LpAIlIApp111AAAAApIEAAEIAAAAl1~lAAlAAILLAAIAAIJ1AAAlAIAAII 1 b3, C][300IJt1441flD0aD21444 Q63?0?8[125 ~.3;~.Lt 'a ~a~Ft rL. ?~i a~Cs-s°~J T,Er~CG~ ~%YfY3 a Y:;~~C~ ys1d~~~%4: ? ~ D. " i~'kcF~>aEv ~ 1?e.9sF~~S'„~3z~.ATZe<4C~ -------- ~ _, ~ . s -~: ~ . 3C~G'etE,~ hSLF#2~?sv '"~; ~-: ~'~v,-3SC:_f~2 ~1- -. _ ~ ~_ ~.~:z~:~,.FPifCTE1i3C...:. :~s ~ ,. 3 f. ;iJ'' /~i-?~"J~'iS ; ~ci ~ ~~ L~~la~ f ~ ,{6y^~~•G~ E ~~ E'iaaat»~a# ~~xccsec? ~' v? u:45~~ 92L'4S 85 eg<"5~G[ --t r---- 7 r---' ~-~ --~ ~ i ~ ~ ~ f 1: S i~t.~:~~:',C,i 11:.C 4j ii+L~r~T ILJ l~~ fFF~~''.11Z.d i ~ i ~ ~ .~".~ a :U..pC.3 :~-''t~~~{:.;11ST~`1 C-~LL~~~i~T~ ~4Y :'~ ~~1 !'Jl J~-i I JS 52f c: ~4. ;,i€78$` F6 Q7a~. zgg 0 B Lq =e8 !, 7e:P sat..g~ .'~i2~47`-E'=! ~ ~°c€°~~~~sy~eEo~~E~~ i~$i°tie~1~~ ., -. '; '~ ouc.~~ ~;ecciC;t3t N7 ~ ~':~av $ _..: ; :. . 1f~ .: 3'hts.otu~t ~3637E~-78~2~ ! ~ ~~v ~ ~ 2f~08 $13.98 { Aanoaant ~~aclesecl P,J G1 G i ~61G fi0803B fig A"5DG ~ ^ (-`~ ~, ^ ~ ~- SA~4DRA K ~ZfaIL,:NG L~~~ I ^~~`'~^ I ~-~' ~~ eLJ ~t Y~Si i ~~.ZLiSLE PP e 7tJ a 3-1437 ~r~ ~L~crx~c grrf~r~Es 214©~TH 9TH ~TR~ET RPC-uE1~Tlti1 p e7p 3p(5gC(4 g g pp q[1 gg6q p{q ¢7i gryg} p ggyy AI-i-E1~•1TQWNF~ 18101-1175 €~ap7~~~~Gfi~$eN75G~9^tl~~~Ifift~9j"@~~(8'~A'1Q°e{4~11~°~1!°~~'~~~~~~7l~~~~~°~l[6 i¢ {: ^~E'~ ~'[7 la 73~hdi1t~/~ 1°3,.84.7 .$!~ 9{~~iJ 4J 1.,i~RJ~~ 8~°L c,.6~~(1..1~~6.16~ ,_ ~.w ~ ~ cz.~s3`>* ~:?ktt:ec ' a~~~s- ?3 . rs~ t f rye:: i~~p~s <~ ~' t r;~. 3 (e,~, a ~~^S ~ - r.~ ~~ / ~~ ~~~~~ f PLC: 3 a G,~~B 3 itI % S.L~ i { F f F q ~ud7~71..~32 L~.ridQ'.~•S'.~a z ~f11 371 ~r, ~•'~~;i ~a~~.~iFi1~l~f h ~~-. ct~ °€. ; .~ ~4 e7lbF r ,""z~~F~exal6tB ~w;: y-9 __ __ ,.' it ~~ _~+.%~:_ -~ i ~ ~ lY' .mod ..~~. ,~ i, 'vti'~.~i ~1 G .-_ if ~-~ ~ f ~ ~ i -~ ' - ~V~ _. L ~ ~~-~S ~J t[~r~!~=a:~~:s4E:~i'~s:a~`;g~aerc~~yas~~s~~fia5~;e~~`g~~s~p§. _ _- M1 i z*u3sc ~~3'tit~S~Y ~ .~ --°-~aV ~~3iSa xt'r: "~.:>a f ~ 4 J :mss s~; Lfv~~ + ~~ia.~~ ~i -,~-~! Ii t ~ ~ f~ ~~~ ~' '.iAV~111~i<.... .~fi~V--,i.~ L~.il~-i.3 Zi~~~1i i'°3kc[!5?0553°d EO5~~3 i3 ~~~J 3~d&C766 ~~Sq S"44 B3e@P~8fi~6 ~3 G4 P~~~'+ YE::r l~iil .Acct i ~t l~ryiher _] ~ fl637fl-78fl25 AV 4i 976665 925698 66 A`°5DGT SANDRA K RAILING 927 N WEST ST CARLISLE PA :7013-1~?37 ,,.. -- Please P~ •$ ' ~ Pa` T1~cS Piiliouc#t~ I'~ar 16, 2flO3 $16.8 P~~jx7Iulllnt~Enl;I dosed ~ ~~ of L_1 ~, L_i ~ l'°~ i- i'°~ 14 ~~'` I PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-GENN1 Ai,LENTOI~V!~ P~ i& l U l- I! 75 ~i~~I~~tlfl~li3~l9~~,g~,Rai,Ed,~Ili6~f~n~o~~~'~iso~oi~~a~ttill~~ ~ ~~aaaaa~~8~~aaaaal~~~~ a~~~c~8aa5 83~ A Make CheCICS payable t0: '= = "_ 009812105181 F3116B25 6634 06/25/08 oJRSa~ CARLISLE INS SERVICES SANDRA RAILING Billing Account No. 977165348 TRAVELERS REMITTANCE CENTER ONE TOWER SQUARE HARTFORD, CT 06183-1001 Illnnllrent!llnlurllrrnttttnrtlerne~llllenl DD39373737,36353334384039393939920000~560000004580066 AMOUNT ENCLOSED UNPAlD BALANCE $458A0 • $156.00 DUE DATE ~ JULY 15, 2008 .~a~~ Make Checks payable to: - - - - ~ ` 009896!05144 F3116B26 6656 07!28/08 CARLISLE fNS SERVICES SANDRA RAILING Billing Account No. 977165348 TRAVELERS REMITTANCE CENTER ONE TOWER SQUARE HARTFORD. CT 06183-1001 ttteeeellrrreelllrrirrrllreeellllerellerreerllllrrel D03937373],36353334384039393939920000224000000375D010 CARLISLE INS SERVICES SANDRA RAILING Billing Account No. 977165348 P3ease do not stapie gout check to this stub. TRAVELERS REMITTANCE CENTER ONE TOWER SQUARE HARTFORD, CT 06183-1001 IIIererlieereelllrJrrellerrrllll,rrllrrreeellllrrrl OD3937373L36353334384D393939399200D016Z4100017670D98 a31 A OJr~685 _~~ ~., AMOUNT ENCLOSED $1,767.00 MINIMUM AMOUNT DUE $161.41 -DUE DATE OCTOBER 15, 2008 ~-say. 74A(d $\~ ~d1G4AJ~ ~ l~{Jle R~. T~~/~k ~'rJ 'J. ~t;t fl. 2n i ~~e'4F ff.~'~'_? 1 (J }f' 010264105346 F3116B26 6720 10127/08 oJR68 CARLVSLE IN5 SEP.VtCES ~ AMOUNT ENCLOSED SANDRA RA9LfNG Billialg Accou~et No. 977165348 UNPAID BALANCE :oFy~ =?zeck tc is:is stub. $1,615.59 TRAVELERS REM(TTANGE CENTER ONE TOWER SQUARE F1EAR T fiFORyyfD, CT 06183ip-1CCl!1 ii`` gg '~6o®tal2elnoli~o~~eu~~ono~~l~ua'laeueit~liea'Y t]0393?3?37,3635333438~t13939393992DDOD3,51~i1,DQD],67,55953 Pa"ii\74P:iL4;'r3 c';~lllpt.~N rt~UE $151.41 DUE DATE NOVEM6ER 15, 2008 FL-sa: o„ ., ....., :.~ .....-...w war uwisc cv. _.-,_, _.s ... _. _,.., .. ~ urEU c;r <er,ccC-: CJP,68'I 000428!00097 F3116B50 6741 11/25108 CAP.LISLE INS SERVICES AMOUNT ENGLOS=_D ~ SANDRA RAtL1NG ~ i, Billing Account No. 977165348 ~ ~~ ` i TRAVELERS REM!TTANGE CENTER ONE TOWER SQUARE k-i.4RTFORD. CT 06183-1001 lliiu~ttnccefl3:~fon~~nn~~i~enOfeuGII~I11IA99 ~4g.~5~ t~'J rsU~ saw if UNPAID BALANCE $579.18 ~ ti36i~3Nit,3¢vi ,~a(~'3GlJN s GCE $62.41 DUE DATE DECEMBER 16, 2008 QD393?3737,36353334384D3939393992QDOD0624ZDDDD5791,8D8 ~¢~{ At~TMOt<rlobiie R CARLISLE INS SERVICES ~ ~ >• 1 VALLEY ST SUITE 101 CARLISLE PA 17013 Please refer to this bitting account number 0009 when calling or making payments. 831 Billing Date: NOVEMBER 25, 2008 Due Date: .~ ~' ~ 6 ~ a~Y `~ =~~*~S T O~~S % GALL ;95: SANDRA RAILING 927 N WEST STREET Automated 3ifling and Payment Information 1-800-550-7716 CARLISLE RA 17013 Availabia 7 days a week Claim sen?ice 1-800-CLAIM-33 Policy Questions or Change of Adadress {717) 241-5995 i a''i ~~.u t3 i5$':~>°_ `ViSSa $r~vr:5'8~'S.~'C3~?"3 ~ ii-3 `~~`d`p~ ~ 6x ~~§`"~93 ~~8~?~ ____.____._-.. _ _ -- ___ ____~_.- IVlinimum Unpaid Policy Name Policy. dumber Policy Period Amount ®ue balance Auto~obii2 977165348 101 1 10(15/08 to 10/15/09 $57.41 X574 . 18 Service Charge This Month ~5--~ $5.00 Total - - ~ ~ '' $62.41 ' l $579.18 Make chec~s~ }payable to: i ~ ,~e~~~-~ ~':.k f',,, ~` a~~?faies 009207/04817 F3116B26 6780 91/26/09 CARLISLE INS SERVICES SANDRA F~AILBNC~ Bilging Account No. 977165348 ?°R~e :So ;ct sia€:ie y'..~:f. t~ ri-ipr:7 tiCl .~i?$ `..'at1 L;. TRAVELERS REMITTANCE CENTER ONE TOWER SQUARE HARTFORD, CT 06183-1001 ii Iii111l111611AlllAAl701lISQR1ll~~7B9~~479i1!@IllH3Al as. a OJR681 AMOUNT ENCLOSED UNPAID BALANCE ~ $464.36 /1$I~tiP,+??.EIvS t=~t•:1.~i311iT L7~'C $62.42 -DUE DATE C7G'39373 ~31~3~3~33343840393~393992~C1aDQ6?42C1QrJC~4643664 1 f='nrJli #n a^.~}r ~! i~(lft/IRT1~'!1! i '4~ h ~ nrc~r~~+ .J nr h...-.1, + Tr, f. ~ a - rr.__,- - `~ ~ ... i/ y i .v vava!-: yr-a~[_ a e..+`y ~.: ~.u~t 4~r ~n vi Ural Erb ct iri~:~ui i~. 1 v Sidi i i.i~, u..71 ~ i vVCi ~i IiJ tJi lit or go to www.amp.trave{ers.com 2. Make a ONE TIME PAYMENT via credit card or bank account by phone cr at mytravelers.com f~~~~ cFaec~s ~3~3ra&~te fea. ~ ; ~~ _ v :. - ~ -~ a'- ' 00939104963 F3436B26 6800 52/23/05 cJ=.s3. CARLi Lc lNS StRVICtS AM©!!N g ENCL©SED SdAP1d~.3~~a ~61g~l~li ~ . ~pllesaa~ Acccs~as~f !L®. 97~'~6 a~46 ElNPABD BALANCE ~_~- _. ac;c c:::.. s =c~.~~ . $406.94 t RAVE~ERS pEM6?-TAi'~{CE CEN`i ER i~"s3sdi".,,;;,~; ;:.°.;~'.' .. ~ _ O~fE i OU1fE° SQUARE i~§$A,R-;;=ORi~. CT [[J6183-1~t~'I BB @@ X62.42 gAFAIA@~~@@@3E ~C~99@~f@Af~A@@@~Ei9{AA~~"s Af f4f 9~~~f@f~5 ~~~ ~~1~E ~~~~~7??~~,3~~533~438~~~°,~Q~~~`~92~,i7L1~~,6~~~C~~G~4069~~4 Piease pay by the due date UGI Utilities, Inc- to avaid the {ate charge. --=- PO Box 7i 203 Please retum #his portion Philadelphia, PA 19176 with your payment -- , __. -- ' -- EhS sF9 NICE CPT 217 775 6200 22 1 RG flue Gate a~,iy 18, 2ooa yy `` ff {`{ ff yy ii l 1111'/1~141'11111IAelf~~Hllttll~~ 1' ~ I f ~~~ ~ 1 ~ 1 it 1 IA1 11AUI I AAI 1/I ~**~~~~~*~*AUTO**5-DIGIT 17013 $30.22 SANDRA K RAILING 927 N WEST ST ~ ~te large CARLISLE PA 17013-1+37 $30.60 2so 217??56~DD22D?~180~,DO0D~022DDD0380000000DDDDDDOOODD0008 UGI Utilities, lnc. PO Box 71203 -~- Philadelphia, PA 19176 x G,4S SERVICE Customer Numher 217 775 6200 22 RG ~A/OI I~AA1~1~/1/111~'p A~~AIAIA ~I~AA~1/1~4'll/N11~/~~1/1 ~I~A1~1 ~~~~~~~~~~*AUTO~*5-DIGIT 17013 SANDRA K RAILING EST Cf0 FLORENCE FISHER 927 N WEST ST CARLISLE PA 17013-1437 Piease pay tay the due date to avoid the late charge. Please retum this portion with your payment. ~. "- Y_._ _ p_~ yq;tgg_ .-__. 3 (li..caY.,, ..,,. ...~.. August 18, 2008 1 1 . $ 45.64 yam:: s ~. .._ ~>_ $ 46.21 280 ~~,??75h20022o81$OcDOD04564DDDD5?DDDDDDDDOODDDDODDOODD4 UGi Utilities, Inc. PO Sox 7i 203 ' ~~~' _ Philadelphia, PA 19176 __. ~'~: c SE,?+~lLE ..ice-~._- • 3' _ _ .... Customer Number 217 775 6200 22 ~G IAAI@i9AAA@~$IB9AAA@~IIIEA 03AI~ARII~eeE~9~A1A91118 ~~8BAi1$116~ ~##~~~~~#~'~Ai~TO~~S-DIGIT 1.7013 SA~i?sl~A !~ RAI L I NC ES Cft~ ?=i_c~R`I~~CE :=ISEIER X27 ~ TEST ST c~~l_~sLE ~A ~7a~3-~~~~ Please pay by the due dale ` -- to avoid the late charge. Please return this portion vt+ii7 your payment. j i~~~te ~: ~~ecember 12, 2008 Ili 1 l $ 2.57 ~ `~~-_~ka'~~~ irt~F $ 2.60 2a~ :~~z~5~~aa~z~ay2o~aaoaaa.~`aDODa~nooDaooDDOaDODOOOOOOO~ Check here and see reverse for address correction Loan Number Total Payment SANDRA K RAILING 690il038901fOt380t 15801 ACMYNP 708 0135009702 $717.15 Il~l~fr~filillrrlll„~~{1111,LIIL~~I~IIIr~II1~IL~~llllllr~l WELLS FARGO NOME MORTGAGE PO BOX 11 701 NEWARK NJ 07101-4701 III~~~L,~I~~~IIII~,~~~rII~L~II~~~III~~~~~~II11~~~~~~IIL~1~1 ..~ 708 g1350~9702 8 10~0007177~5[]0741?~IIQ717Z51J~~DlJaC4 ~~OOOOaQ1~787997122 8 Page 1 of Retum Mail Operations ;n PO Box 14411 -~ Des Moines, IA 50306-3411 ~~ .. For Informational Purposes ILIL~~IIL~IIL,11111E,~I1~1rII~IJIJ~IIJ~JIIJJILII~I 038901 1 M8 0.369 6905(0389D1/Ot3801 158 01 ACMYNP 708 SANDRA K RAILING 927 NORTH WEST STREET CARLISLE PA 17013-1437 tn111nt111mn~11u11nnlLlnlulirlrt~mm~nnun Summary Payment (Principal and/or Interest, Escrow} Optional Product(s) Current Monthly Payment Overdue Payments Unpaid Late Charge(s) Other Charges TOTAL PAYMENT 07/01/0$ Property Address $717.15 927 NORTH WEST STREET $0.00 CARLISLE PA 17013 $717.15 Unpaid Principal Balance $83,026.69 (Contact Customer Service (or your payoff balance) $0.00 0 00 $0 Interest Rate 5.250 . Interest Paid Yeas-to-Date $2.191.88 $0.00 Taxes Paid Year-to-Date $486.88 345 06 $1 $7'(715 Escrow Balance , . Activity Since Your Last Statement Late Date Description Total Principal Interest Escrow Charge Other 06/13 PRINCIPAL PMT $32.85 $32.85 06/13 PAYMENT $717.15 $126.97 $363.94 $226.24 i;5i19 MTG INS PMT $54.08- $54.08- PMI MORTGAGE INS CO his statement is for informational purposes only and is being provided as a courtesy should you voluntarily decide to make your loan payments. This statement should not be construed as an attempt to collect a debt or a demand for payment contrary to any protections you may have received pursuant to your bankruptcy case. If you have received a discharge, and the loan was not reaffirmed in the bankruptcy case, we will only exercise our rights as against the property and we are not attempting any act to collect the discharged debt 4om you personally. Monthly Mortgage Statement Statement Date 06/13/08 Loan Number 0135009702 Customer Service Online wetlsfargo.com ~' Telephone (866) 234-8271 Fax (866)278-1179 Payments PO Box 11701 Newark NJ 07101 TTY DeaflHard of Hearinc (800)934-9998 Correspondence PO Box 10335 Des Moines IA 50306 Important Messages If you wish not to receive a statement, please contact us at the number above. _- _.. Loan Number 0135009702 - Total Payment $1,458.85 Check here and see reverse for address SANDRA K RAILING correction. .. - 22871026287/004561 084 Ot ACMZCQ 708 __ ~- IL1/I1111111IIJIIIIIIIIIIILIlIIl111L11IIIIIIIIIIILIIIIJI - ~~ WELLS FARGO HOME MORTGAGE __ __ PO BOX 11701 NEWARK NJ 07101-4701 - ~- _,-... IIIIIJ1111111111{111,IIiLIIIILIIIIIIII IIIIIILIIIIIIIIIILI `~ _ __ _ 708 01350D9702 8 1D000D71715DD?417001458850143430 OOOODD007,892278D61 8 ~~_ Retum Mait Operations PO Box 14411 Des Moines, to 50306-3411 For Informational Purposes 1111111111111111111111111111111111111 I I I I I I I I I I l l l i l l l l l l l l l l l 026281 1 AT 0.346 2281I026287/00456t 084 01 ACMZCQ 708 SANDRA K RAILING 927 NORTH WEST STREET CARLISLE PA 17013-1437 1111111111111IIIIIIIIIIIIIIA11111111111111111111111111111 t1 Summary Payment (Principal and/or Interest, Escrow) Optional Product(s) Current Monthly Payment 08/01/08 Overdue Payments 07/01/08 unpaid Late Charge(s) Other Charges TOTAL PAYMENT 08/01/08 Property Address $717.15 g27 NORTH WEST STREET $0.00 CARLISLE PA 17013 $717.15 Unpaid Principal Balance $83,026.69 (Contact Customer Service for your payoff balance) $717.15 $24.55 Interest Rate 5.250% $0 00 Interest Paid Year-to-Date $2.191.88 . Taxes Paid Year-to-Date $486.88 $1,458.85 Escrow Balance $1,236.90 Page 1 of 2 Monthly Mortgage Statement Statement Date 07!18/08 Loan Number 0135009702 Customer Service Online www.wellsfargo.com/ym '~' Telephone TTY Deaf/Hard of Hearing (866) 234-8271 (800) 934-9998 Fax (866) 278-1179 Payments Correspondence PO Box 11701 PO Box 10335 Newark NJ 07101 Des Moines IA 50306 Important Messages If you wish not to receive a statement, please contact us at the number above. Activity Since Your Last Statement Date Description Total Principal Interest Escrow Charge Other 07/16 LATE FEE $24.55- 07/14 MTG INS PMT $54.08- $54.08- PMf MORTGAGE INS CO 06/16 MTG INS PMT $54.08- .$54.08- PMt MORTGAGE INS CO Late charges are assessed after the Gose of business on the assessment date and only after all payments received have been applied. This statement is for informational purposes only and is being provided as a courtesy should you voluntarily decide to make your loan payments. This statement should not be construed as an attempt to collect a debt or a demand for payment contrary to any protections you may have received pursuant to your bankruptcy case. If you have received a discharge, and the loan was not reaffirmed in the bankruptcy case, we will only exercise our rights as against the property and we are not attempting any act to collect the discharged debt _ _ Loan Number 0135009702 - Total Payment $1,458.85 ~ ~ ~ ~ ~~ 'p /' Check here and see rnverseforaddress SANDRA K RAILING correction. _ 0429!032429/000857 '119 Ot ACMZNW 708 •'~'~ ~ ~~ ILLIr~IlIIIIrr11L~IJrIlli~rll~rLILII~~ILl~11~1~1111rL1 WELLS FARGO HOME MORTGAGE PO BOX 11701 NEWARK NJ 07101-4701 IIl~~J~~~I~r,Iill~~r~~~ILLJL~~111~~r~r~II11~~rrr~IlL~l,1 ~~,;; LL~ ~~~ ~~ 708 OZ350D9702 8 10000071715007417001458850Z43430 OOOOOODOZ935048652 8 Page 1 of 2 Retum Mail Operations Po Box 14411 Monthly Mortgage Statement ~ Des Moines. IA 50306-3411 s s'• Statement Date 08/05!08 Loan Number 0135009702 For Informational Purposes rllrrrlll,~III~~I11111~~~11~1~11~1~1~11I~I~IIII~~ll~lrll~l~ 032429 1 AB 0.351 0429(032429/000857 719 O7 ACMZNW 708 SANDRA K RAILING 927 NORTH WEST STREET CARLISLE PA 17013-1437 n~~~l~nlllu~n~ll~~llur~ll~l~~lull~l~ul~~l~llnrl~ln Summary Property P.ddress ?ayment (Principal and/or Interest, ESCfOW~ $717.15 g27 NORTH WEST STREET Optional Product(s) $Q,QQ CARLISLE PA 17013 Current Monthly Payment 09/01 /08 $717.15 Unpaid Principal Balance $82,899.02 Overdue Payments 08/01/08 $717.15 (Contact Customer Service for your payoff balance) Unpaid Late Charge(s) $24.55 Interest Rate s.250% Other Charges $0 00 Interest Paid Year-to-Date $2,555.12 . Taxes Paid Year-to-Date $486.88 TOTAL PAYMENT 09!01108 $1,458.85 Escrow Balance $1,463.14 Activity Since Your Last Statement Date Description Total Principal Interest Late Escrow Charge Other 08105 PAYMENT $717.15 $127.67 $363.24 $226.24 This statement is for informational purposes only and is being provided as a courtesy should you voluntarily decide to make your loan payments. This statement should not be construed as an attempt to collect a debt or a demand for payment contrary to any protections you may have received pursuant to your bankruptcy case. If you have received a discharge, and the loan was not reaffirmed in the bankruptcy case, we will only exercise our rights as against the property and we are not attempting any act to collect the discharged debt from you personally. Customer Service Online www.wel Isfargo.com/ym '~ Telephone (866)234-8271 Fax (866) 278-1179 Payments PO Box 11701 Newark NJ 07101 TTY Deaf/Hard of Hearing (800) 934-9998 Correspondence PO Box 10335 Des Moines IA 50306 Important Messages If you wish not to receive a statement, please contact us ?t the number above. 0324291000857 ACMZNW 0429 ETM1C0p5 1 • Loan Number 0135009702 ~"=s ~ ~ ~' s €~ a: ~ ~f I L ` • ' Total Payment $717.15 „ pr r.°: ,~,:.` e!`3'~a.: St4rShcail E~, ~a,A - ~ririrl~..r';.i s Check here and see ___~__---- _ _ _..__ ---- ---- ~---_ _._ raddress SANDRA K RAILING v ti , - - Lit{~ o rrec6on C ~,~ ~_.~ , 'ki~B~c;S "~ • 5437/027437/00543708401ACNOT6708 . .` . . ____.._._. ._ _______ .__._ .____ _. _.__._-._.__. r _ ti ~, ~ ~ :rfd,ti.E' r, NJIIIIIINILIIIL11111111~ILIi1LI111wI1IlIlIIIL1ILIIJI ,, I ~;~~ ~ -, WELLS FARGO HOME MORTGAGE " "` PO BOX 11701 NEWARK NJ 07101-4701 '~`~d`''`~e-"~6 '` - ~~ I IIIwIt11IIII11Il11III1111I IIII II I II III I I ~ i11111 III t11 I II III III - -_ . i' ~ e ~r s' ' n`~ i 3 .Fri 3 , 708 0135009702 8 100000717J,50074170007177,Sfl000000 000000002082558255 8 9 , ; ~ Loan Number 0135009702 Iveorlth€v enzyme,:*. A ~ ~ J ~ ( 5 • ^~ Total Payment $717.15 ~ j x ~snt ar:~; y~ ( L -s = A~vitionai g nrfii%t~39 . Gheck here and see ~ - ---- --- - --.- reverse for address SANDRA K RAiUNG - ~' correction. .ase spec;j+ Late ' c 7594/00959alG03t8704407 ACNO4M 708 ~.. .;~i0 jai iisn` i5. ~ 4~.. n.~E ~2S r s nai .; --. - - __- _ ~ .~_ Jtt?er ~' ' - IIIIi11t1111f11t1{Ivw111~1 IlIlll lll l llltl lll illl llt l ~ ~ to ~r5 tp ~ ~ 1I lw l l l w l l WELLS FARGO HOME MORTGAGE ~ g4s. ~ _ -~ _- _ _ - PO BOx 11 ~a1 NEWARK NJ 07101-47Q'i _. ArJs~li;or;at ~ ~ IIIII IYI { IIII 7 I IIlIitfI III IIII 1I6 I i s I 1w t ,Il 1 11 I III IiIIIt t1111w l , ~~ ~Lal A a.zssr4 E,~~i~se~ ~ / d ~ 7 ~ 1~7 L, ease ~c rat sen cass€ ! . 7D8 0135009702 8 100000717 15007~170007171~0000000 0 00 00000 19.`I7690813 8 Loan Number Total Payment ' 3,,,7'J ~C h ,~F Check here and see reverse for address ESTATE OF SANDRA K P,AILING correction. 7"035/023636/007636 09307 ACNtIK 708 IIIL611111IIIIIIIIII1111ILLIIIIIIiIaIlllili111I11IIILl1Il V`JELLS FARGO HOME MORTGAGE PO BOX 11701 NEWARK NJ 07101-4701 nnnullnlllleullllaflllineflllnl//lfitelslc111inil 0135009702 : € : r h ~ ~ ~~ r.: ,_. $717.15 ;dr.~ arr:. a ~ .. ~.. - _v 77~, _ ..... x _ R_... -., , ~ ~ ~ ~~ 7D8 01~350D9?D2 8 ]~OD00071~715D07417000717150DOOD00 DODDOOOD2211905201 8 „~ ~ loan Number ~ Total Payment - _ Check here and see reverse for address ESTATE OF SANDRA K RAILING correction, o7ss/,6o7ss~oomss 606 ei acNZez 7oa {{r{9{99{{{{r9{{{{~mrrm{{{r{e{{9{{{9e{r{{{m{{9e{{{9r{{{e{aL9{{ WELLS FARGG HOME MORTGAGE PO BOX i 1701 {N99 gEWggARiiK NyJ@@p07101gg-8g470{1 1$$99 BB gg@e 1g tEFaem4'deslperall4ta<n.aFF9elem{{rzm{f teeeeasll{{e9m99m~ftrt{9@ .~... .. ~•. 7Q~ Qi:35QC197D2 ~ 3,DDDDD722~DDD~4725DD72~?DQQDDDDD DDODDDDD23~539D671 ~ -~ - 4 ~.~. ~ ~ Loan Number 0335009702 v - ~`" ~ = ~~ rFr~ Y I ~ ~ m ! ~ 9 ,~ Total Payment $722.70 ' • ;~,~ , Cf'iu F%541-~.-ia.G) r 7 9Cv'v' nP !C Check here and see __ _. _ - --_- -_ _ _ .. _ _ reverse for address ESTATE OF SANDRA K RAILING ~ correction. Pn ,~ _. 4265/004265!004265 020 07 ACN2kCJV 708 -~ ~'~ ~ : {{r{9{n{{{{{{n{{9{e{99{{9{{9{nf1{{rM9lm{{{remi{{{9{{9{{9{r{ - ^c . - .. a WELLS FARGO HOME MORTGAGE _ ._____ __ ~. - _ ----__._- FO BOX 11701 .ro NEWARK NJ C71C1-x701 , "'` x~~,~°' `- p {{{999{s9e{999{{{{9errmr{{r{99{{e9e{{{e9r9me{{{{samara{{{a9{9, , ~. ~D8 DZ~~Da~-~D~ ~ ~,DDDDO?227DDi77~72~DD7227aDDaDQDD QDDaoona~~sQ71m5~,85 ~ ~.:, ~ - >~ ~ Loan Number ' r 0335009702 n~ r~ ~~ " ~ Total Payment $722.70 -,-,~ ,:, ! ., ~` ~_ _ ="_~cI~~E ~ ~.. Check ,here and see __ reverse for address ESTATE OF SANDRA K RAILING correct+on. ~ ; 2fta _ s~ 2025!002026/00405'001102 ACN3TC 708 "~ ~- {, $?~€~g5 e {{r{e{r9{{{{{{n{{r9{{{{n{lu{{r{e{{{{ { r{{u{ {{{ {r{{ {{{ ;~ ` ~ ~ ` r r r9 r r 'f„t:3`5 - WELLS FARGO HOME MORTGAGE _ _ ___- PO SOX 11701 NEWARK NJ 07101-4701 ~ ~~}~,r:a: _ .~ .~~ {{{ m{{a{m9{{rn{{{ f0{n9{u9{nr{{{{nn e {{{{ { { si rra 9 9nnr er m ~ ('~~ 4 7DB DZ35DD97D2 8 ],Clf]©D07227DDD74725D0722?ODDtltl~t~n nnnnnnnn~m-o-~-,-~,~-.~ ~~ _ Loan Number 0135003x02 ~_ -~ i ®tal Payment $x22.70 ~~ Check Sere and see reverse for address ESTATE OF SANDRA IC P.AfLING c~rrectron. SSa3/CO5fi~3/0055u30230~ ACNSV170E -" ~g e~filit~~'~SI149~IfiE9iefi'flfitl9fflli0flCf~IBfif'f~6f9f ~1a~f i8~~ ~. - ... WELLS FARGC HCME MOR ~ GAGE PO BOX 11701 ~$$ E'JI~B8AP,$$K iV.@aigg 4071014d-¢¢Q70@16 §§ $$ gg pp @@ qq ~6 ~fff68@Btl A8fi~8B 518ff If9gE~f 8969iA i~6fif 44fie~~diff fif0f~~9fi6~f@ m"Y ! ?fly fl~35flfl`S7fl2 ~ ~flflflflfl7~27OflC°4725^fl7~2~®QflflflflflQ ®flQQCl®Ofl~~~,7,42~~?~ -~ ~"'~~. ~: Account Number 42106355 Vehicle Description 2007 FORD EDGE VEN 2FMDK36C87BA72261 Statement Date 07/2812008 Payoff Amt Good Thru $ 22,312.02 08/17/2008 QLStomer Service Gerlter 1-$00-727-7000 Flours of Operation Mon-Sat7am to8pm CST Website Address www_tordcreditcom Refer to back of statemetrt for additional contact mforma'tion. DATE DESCRIPTION AMOUNT Paymelrts receired after statemelrt date are not reflected. DATE DESCRIPTION AMOUNT Previous Due $ 428.92 08117!2008 Payment Due $435.87 08(172008 late Charge Due $ 8.58 TOTAL AMOUNT DUE S 873.37 According to our records, your account ~ past due. N you are unable to remit the previats balance and late dlatges due immediately. please corriad us at ffie telephone number fisted above. a Customer Service Center °.Q. Box 542000 ~"' ~ Omaha, NE 68154-8000 ~BYYNKPYC Y00000042106355tl~ qA 101 034 i 39 5646$6121 A"3DGT p ilt[III[llllllllLL[IlAllldllAiLIrAIIIIItIIItItIIJt[[ll[IIIII SANDRA A RAILIiVG 927 f~l WEST ST ~ARLfSLE EA 1 701 3-1 437 Accourrt Number 42106855 Paymetlt Due Date 08/7 7/2408 TOTAL AMOUNT DUE g 873 IfFayrnerrtReceivedAFfFR 013/27/2408 Please Pap $ ~~ i 3~~., ~: i ~ r ~ € .J' fc7lffER TOTAL AMOUNT PAID ABOVE SEND PAYMENT TO: 421f16355 iI,III,IIIIIIIIIIAIiIiIIIIlII1111IIIILiII,IIi111 IIIIli111Aillii,lllllill Ford Credit Sox 220564 Pittsburgh, PA 15267-2564 III IIIi11A1511IAllllllllllllllllilllllfliillllllll it111111111 z~~®~3~o^^na^oaafl®A~~1a~~.~sQQO87~~~a~$ i ~ Customer Seevice Center P.o. sox s4zooo Omaha, NE 68954-8000 ~?St'~ft~tKPYC ~#00000042106355~J# {AT f01 116f2[[15 28762t(3l358 A"3dGT!! [e 11 ee 99 IBA41~~Itt~IAtRAt1i~~1ABItAtB~~t~R1'111't'iAtAtt~A~lili~tAltA~ SAIVdRA A RA!LI(VG °27 tV WEST ST CARLISLE PA 1 701 3-1 437 Accaurtt Number 42106355 PaYmeirt Due Date 07/17/2008 TOTAL AMOUNT DUE $428.92 kF Paymenrt Received AFTER 07/27/2005 Please Pay $937.50 ENTER TOTAL AMOUNT PAID ABOVE SEND PAYMENT TO. 42706355 ~~e~A~u~O~~~~euA~~~~~e~A~~e~AOa~~i~ee~~~l~n~A~~u~~e~~e~el~le~AU~~~~ Ford Credit Box 220564 Pittpspburgh, t'A 1 '5257-256F4 66 ~nAllele~uA~e~e'e~elueOAe~e~ete~ee~Inl~er~el0AeA0ultAl~e~ 14sa~~Q~o~~aaa^®Qao~2~Aa~~ssaaa~z8~2~ao ~~ k.+.~l Account Number 42106355 Vehide Description 2007 FORD EDGE VIN 2FMDK36C876A72261 Statement Date 06127/2008 Payoff Amt Good Th ru $ 22,211.69 07/1712008 Dtlstomer Service Cetlter 7-8p0-727-7000 Hours of Operation Mon -Sat lam to 8pm CST Website Address www.fordcreditcotn Refer id back of statement for additional coAr[act information. -- ~~x~-=-- - - ----•- - ,,-. OATS pESCtOPTION A1IAOUNT 06/i22008 Payment Received -Thank you! $400.00 Paymen is received after statemeAt date are not reflecited. ¢¢ ' Y .E. .. ... .... ...a...dF.... r Ei..~ .. - OATE pESCRIPTION AMOUNT 07/172008 Payment Due $ 428.92 TOTAL AMOUNT DUE 3 428.x2 w a Account Number 42106355 Customer Service Centel Payment Due Dote i 0/17/2008 ° ~ ~ ~" „ ~, P.o. aox Sazo~ TOTAL AMOUNT' DUE S 435.87 '_~ ~L/GI~~ Omaha, fVE 68150-8000 I ``' ff Payment Receored AFTER 10!27/2008 Please Pay $444.59 #BNINKPYG s ~ ~ ~ ~ ~~ #0000004210635513# AT 01 112127101498346 A"`3DGT ENTER TOTAL AMOUNT PAID ABOVE 1,-,Ili,,,lil,f,,,,l1-,11,,f,iLi„1,tilitl,ttlttltltutttlttli SEND PAYMENT TO: 421os355 SANDRA A RAILING I{,If1„I111llnu{{111!1,1,1,11,11,-11,11-I-Illullllu,ltlllnfilllul 927 N WEST ST CARLISLE PA 17013-1437 Ford Credit Box 220564 Pittsburgh, PA 15257-2564 I„-i1-1-1f,f1-LI,I-lf„If,I-IdJ--II,,,L-I,1L-,I!,1--ILI 148D63DDO11D^Df~O^DD^421D6355DDD43587^08 .. Acxou,rt Number 42106355 P.t „~ Customer Senrfce Center p.o. Box sazooG Payment Due Date 09/17/2008 "' .~N.a Omaha, NE 68tsa-sooo TOTALAMOUNT DUE ~ ej35.87 ~- {f Payment Received AFTER 09P27/2008 Please Pay ~ gg4_r~g #BWNKPYC , /~ L~ #0000004210o355U# ~ J AT 01 033016 831688142 pt"'3DGT ENTHi TOTAL AMOUNT PAID ABOVE Iu,III,„Illn„ullullu,fll,lul„Il,ln,lui,llu,l,l„II SEND PAYMENT TO: 42706355 SANDRAA RAILING Ilfl,I,-IIIIIL!f!Illllfl-LII!I-IL,III,LII,fI-IIt1Ll,1-1111„11,161 927 N WEST ST CARLISLE PA 17013-147 Ford Credit Box 220564 Pittsburgh, PA (15257-2564 Illlilll-llfllllllll-6-,1116111111111111111111111111-11-II11 148^63DD^^^^DDD^^DD421D6355ODD43587DD8 Acso~stst Nu,s,ber 42106355 Customer Se.sice Ce~N_r PayrxtentDue Date 1 1 11 7/2008 ?.o. Box saz;x,< Tt;TALAMOUNT DEJE ~ 435.$7 ~ "`>`fF?rd~a"'~+. Omaha. Nc X154-r?GGG v~ -__ ,~ If Payrr9er,t Received AF+ t'-R 11!2712098 Please Pay .~ 444.59 #000000421fl&3550# NTER T E3TAl_ AIS19O3,iNT FA'sD A=3G'VE E A"*3L'~ T 115 C: T 01 032410 ~;~ y4? E pp aa $$ 3 g 1588$1I,t„-11~'et8b 5t91t,ltf;E5$II~'sB~Ef'~~a$P,?'s1,tk S'S 17,381, p8SBi y~ ~,y~-. q~~~ '~, ~: 4~~IQ~~7~ S~ Si!L! PP}l ~iE9G7 ~8 SANDRAA RA; L?liG § $ q j `[ @{ q i p, p s1E1E661{I111-i5tI1194!1811E111,11E81111Y19311-1B,8Slllltf Al!1l1111,111 927 N WES T S- Ford Credit CARLiSLI~PA; "j0i3-i~37 Box 220564 4 glc, PA 15257-256 bur Pitt s FFiiq p ! 99 6 L k i t f 6}flltl-{tE-181-19135-&SiE3l Eltlll!!f6,81„61iSeflf-f}SASE! ~;8~'~63IIIIIIQs3IIDDIIDIID~t~4~3fII6355~1DII~358 %~iDB Gs5:orter ~enrice Cuter ~-.~. soh 542a~ "=~ ~~;.~~ . fJ^aha, N€ 68154-80J0 ~C~~43o0342? o6335Jt yE C1 06S1S25~??3B§2~~5 E4"'3E?Gi Y €a 88 iB AE ~~~285~~&8618f8~Bi E~+AlE9lk4~tE d?8R~8~89i~?fi~8~90.t @~t688~$ YA~L:SL~?A ~74E3-~~~~ ~~aeeet ~r~sca~~ ~a2'~ C6355 ~a~nent 13~ae Gate 2117/2{2t?8 3~ Pa~y~@sfaatt ~ecei~ed ~~€' ; J27i200& ?i0af5P E~ag= S 44.59 ~~`~ ;~ ~f'9'~t "'f"C?~"~~. ~tJ1C)l.lh4T i~~'i603 A$Q~ R~Edt~+/FF83'~{@ptyy~5 gQ~l6E.~pp8pp'Egg"@$L['E{l: Aeg4gg2749gD63g a6qq'.~ p4i gg 9g @g$ g$ 9 pp~+~+Bg q$g tetF?44t~Si€t5FH28€E6~@fA€46SR8~488~61€tt9i4~C4StE1~l4~94~tiiS15?F5S4ti~ ~or~' Creclii Box 22554 (?iYcsgp~@urgY~,§§PRg, gg?58257-2gF5fiQ gg Fgg gg p ggpp gg pp gg Bu9A~lf6Af FE?Ef~B!€tfE€88~ft!€~e l~lFf @FBBtlA88~11A868gS8~Ff3fR3 ~!°?'~~.7~i.34t it if d.94J 8.8 l.t 1..f0..A~811s `S~~1 F,f~~J~8.3~L±-A~~SJ ! 1.18.8 C7 fi 1 ~= r ~.: ~- '. v.1~ ~. ~~ "2 ~~a351 ~~T ~~ 3a^i~ f ter?? 2?_~' .- cc - v ~~f~ !d -. ~8 ~ K ."Y -'Y ~? 8"4a^=~ ~-s+'ESG ^v.Ye ~E"' ~,.'3'S3_'.E irr ~~- ':~~ u-z :->_-. w .`...-~:n:"8~ x'.:":iU3' S~i3;?t~r; auk,:. ~.° ;~^: ~'~~. T': .ti's _ ,~~t,~°'-~,° r ,dlotti%~ ~'o~a"`vwf w~~M~~ e ~~ > :ustarer Service Cer;er P.~. 2cx 542Gt?fl - `Fsft'm~ vral,a,~fc 66?5a-BGGG ~> - •_ ~a•~:KFrc #+vQClG~J082S ~63~S;s, AT v 3 03f?2¢fl 2$?~47~ 1 's 3~°~3uU' a pp ggpp fE E~ ~~~ E ~~ _ ~ €€7ig e $ ~ ~i4:~4~4?EBC~iiBE€8,3ii`E~FB4Ee.L€3i5i5.Ei68i E67alEB@So;8A4.i<F ~i S~SAf4~t"ES4 S- ~~~?~ES"t,E ~P. lr~'3-,~~ ~sx~caeiE~Et 94EsEmt~~r 42 ~ 66355 ~a~neiat 53ei~ €'7ate G21.7l2009 ~ C3. ~L E~84RKA~58-~'T ~3~1E $ 435,7 ~86fFTE®!Et RECB79fHf~ 4~i L'2l27l24Q9 ~' ~E~SR f ~4~ ~ ~~.~ G ~n~~ ~~~A~. ~~~o~~a~ ~se~p ~:~~~ ~E8@418k~i~iElEtI~IEIEB@C18E~~BI[:E@3iiSE4#Idade:6~E8$aS1~E8E~ r~OFCI Ca ec9iY fox 2"c~564 P6tts~s~~g~, F,~ 'i5257-25fi4 ~.Ee9~Af 88E€fi8@i~E~836.€e:i83 666E&8~E8E988E8:El9P~EE3~31[E89~E~ _ -r.:1a~'JTi@i {J°_NtC°i°ie°.2f - e f tn. 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IvUlVitStli / ! /-L~FU-ULL.I ~,j ® INVOfCE DA E E 09/05/08 °O f3ox 6006G7 fNV©fCE NUIVlBER 910046788 .Jacksonviife f=L 322~iG-0607 ~~,,~~ ,~~~~' ~~~ X38.49 Itli(~(itlillllriilil~li(IQlili!Illiililll~i8illilliiiifl~llflll ,~, ~ „zz SAN®RA K s~AiLffVG Q2 7 N iNES~ ST CAR[LIS{LE PA 17 1013-1437 iFBIIIIF 1AlIi IBIIfEIBi dEIdfI111A~PPII tlldlti/18L1di11-F1I411lII Spr~r~t f'© Box 600670 Jacgkso@nvliffe EL{ 3{2260-©{6{ 709 p[ [ IIPIIIIBIIltPltlPl1t41lIt111PPdtlltPllttlllt@dIA1711131dSiP111 ~ ~ 5 9 100 ~ ~ `~t~~0000 3~ ~, ~ t ~ k 9~6-.. `~' 9` y'.. ~ .~ Page: 1 of 1fl l3iIling CycDe Hate: 07103/iJ8 - 48/02/08 ~,ssount tiumb~r: 3183341-(DO]-40 flan- Tn Contact 1Js: • ;-400-331-D5~10 ar GZ (from your wireless phone = Fc; i~eaf ~' Harr of 2-learing Customers (i T ~'/ i l~l~) -8GG-241-656 i 'careless :~ ai~nl7er(s} iii-335-77?7 71 %-440-6222 %L7-X13-~a5s Previous Ealance 689,24 Pab'rilent5 P09ted = d.~i7 ~ P:1.~±'l` 13U~ f~rA.l.1Y'~'C~' 683.2; I'a~'able l;nnaedlatQl± monthly er~ice Charges `22.331 i $Q~ 15 v sage Charges , 3 CrQdltslAdjustrnentstOther Charges 195.? ~ Cowernrnent l;•ees and Taxes 12.2 7 ~-~l~I. C:L+'1;S~EI~~' ~:1TAl~~I/S 24~i,1 ~j due Atzg y5. 700$ , ~R.~t£ t'Pf~ BSSP~.4ef~ 8t-t~Pr~li~ ~5 ~ ;~ n1:~1 ,~rrlt~tliil ~€[+?•'`~~~~..~i~ If pa a ent has already been made, thank you, please disregard. If not, payment mint be made immediately. Please send your payment; includai~g current charges, in the enclosed envelope. ~'oa ,nay a'sso pay 24 hours a day, by majcr credat card or electronic check at i-800-331-v5i:?0, or at.t.corzz'myvtiireiess. If your service is suspended, a ieconnection fee will apply. If ycu have questions regarding your account, contact us at 1-800-9~%-5096. Retua-;a the 1SOxtioa l~elcrw wtth payment only tv_AT&'r Mob~tti. 1591 x. SKELL2'IJJZ - (P~L.9% r-- 7-r,%LS~. Of: 74116 A~c~ri€nt'~urn>ieC_ 3518'~3gi~1»~1t3 , Torai A~c~dnt I2u~ ' .^~Anat~nt Paid: 1i1 ~EWNFiHRD , I n35482341400013m ; ~ ~ / ; ,~ AV 01 000648 699?2 H 4 A**SQGi ~~----- SANI~t-iA K RAILING ' Pter~e do not se;ru' correspon~er+ce µith pa}~nent. 927 N WEST 5 a CARLISLE, RA 17013-1437 Xes, enroll mein AntoPay- g q y p@ g Si$natare required on reverse. ~f1911?~tl°@°llll~~l~l"l~°~la~~egllEllelalll~'[I°ElflF~~ll~~~alsl Tease 1~Iall Check Payable to; AT& s Mobility P.O. Sox 537} }3 Atlanta, GA 30353-7 } } 3 B~la~li~~ll~1~4~irEl~llRl~l~i!~~E~a~~ll~Sll~llll;r.lelllllll~~s~lll q~Q3.~3~~~~~~'~CICI1~Cl~1<IC38CIt31~?'~t~G~CiQD`-~~5~~~£)6 ~~ o~ ~~ z ~'~' 0 c o ~ U a~-- U Q I'~ Y Q~ ~ 1 -o ^,) ~3 '~ c2 Q ~ ~ ~ i ~ ~ ,y ~ "L7 ~ GW y~ Ru ~' a ~• '~" A ~,_ a, o m ~ U ~ (R,; .~ 41 ~ r Cn ~ fA.49 > ~' ~ GY ? ~ ~ ~ O a y 9Cl U r t~ a ,m W ~r r^ Q1 .~C L Cl cp S!7 Q~ ~ ~ L } ~ `v ca N O ~ .~: Q~ C'J G7 TM" :- E"' ,'3~\' U m C ~ O c c ~ c ~ cp ~ ~ m o ~ R U ~~ c w = .~ ~ ? U O ~ X ^~ ^b' Q N N cep S..? [©t? Z rn a~ ~' y 4 ~ Q~ E D -c W d U .r,_ O ...a ~ CC r ~ ~ U ~ ~ ~ a ~ T,auaG o ~~ ".,.." ~ '^ N ~ ~ ~ r.4 '~'Ll+i Q ~ t1, ~ ~ ~zz~cw ~~~~~ ~ u.. ; cc ~ ~~~~Q w Q~~~z ~~ ° ~ ~w~c°~r~~ _ ~ ~~ ~ ..~-: ~~ L wu..~~rv~ i^^ %.f3 i'I,1 psi ,.,€A S 9'3,6 :,r6 Q ice. C F~$ .~ 9'U - -.. ~ ~'Gge ;x _ c; pages i. • . ~~`~"I f/ =-` ~ "~ :,~`.,~ -cps"-- `" ~ ~ "`'' `-~~1. ~ ~"" (•"~ L ~ a n ~~t :,~ c~ 1 ~ f ~~ ~ _.%v f f ~~~~ ~= ~ `~- ~~ ~~t~, ~~~ .....-, r~ .~. ~ .~-- ~ ,~ fir. _ . F~F t1'~`~ ,~ ~v~~r ~- - ,.. Q ;-~ n ~ _ ` ' _...._~_.i! ~f E. ~l.C U~^ fi;._ {',~ri E ~ - t... lL-..d""-~L..-30....T' - ~ - ... f{f ~F `s...+'~ ~''S!'E`a~~; ~~ ~ ,~ .. ~ v~f1/ ~~ / ~~ ..... i f ,,.."; ~,: ., .rte a ~-„ JJ t¢q i ~ ~.. is `~ 8~..~ o-~{.. ~ ~..... .~ ti..r'~.~~~~' r'"`.. ^~~~ jl'~/ ~ ~~' '" t p ~ ~„'L ~`~~~~.. ~~ r ~•.~~~~' 3 r ,~ ~ % ; ~^"^^z,,,,~ ~s,, ~..i~i ~,,~" _ ~ t eft ~ -' F f~ 4rt:./~ ~ ~ ( ~~ , w „~ r j - ,. z .~ „~, ....!', hercbv o ~v;;,ish~materiaE a, ~d lah~r - compfe±u i;~ acc©rc~ance vrit!; pay:=rents to be maa2 as io(fo~<~;ts: ~; alier8?for, er dewatior~ frrm a~o~.%e specifications irvoiving extra costs wi{i be e~recui2d oni~r upon ~a~-~~s^ order, anu will oecGr"te ar. extre charge over an!~ ~do:~e tp2 estimate. ail a_rreenents cen±ingent upon strkes, acciden~ES, or iiel3ys beyond :,u con7roL Note -this prrposaf may be withdrawn Payments will be made as ouiiinedjjabove. r psi [ r+..^ S date of Acceptance _ [`~___ .~ ~ S~gnatu; e c3tI0(iS IOi t~}g SUm 4~: T?t~^~ it net accepted within Page # of pages ~~ `~ is ,i ~; 'i I ~ w ~ Proposal Submitted To!-- } ,. .,~. ~' t - ~'"'-f-~' t^ ~ ~. ~ { ~, , Job tiame Job f ~ ~~ " Address ,,~^•^~ °-~ - ~ Job Location ~ ' if ~ti ~ ~. ~ dt ~~_ -..` t ~j~ ;` "~ ~ crate gate of Plans 1 4 _ Y . f Phcne # Fax # Architect UJe hereby submit specifications and esti~meates for _ _ ~ __ -~ .. _ ___ _ f ! _,~ _ _ ... _. _ ~~ - .. .. S~' ~" T ~~:~ ~-~L,..~A, .... r1 ~'~ r' t-`.. f ~ 6~. r ~~.. t +-_.~./~ 1 ~~_..1..~..e._ _ .. .. _"'?. (E~'' ~ -_..._. 7+ . _ _~I ~..J/1,~..Slf ~ _ ._ ~ ~' ~ 1 f ~,,, -,,,i,,.~ .. s ~t t ' ~ n -- ._ .,,.... ,. - .,f e + 1 f >- ~ t ...... .. _ ~..-...r.~_. .. ~ I 1~ f~{_~~.~ ~ ... _ ...... ~ ~,! ~ __ g. 7 ~, ~ _ x ;~ r • r °, ~ ~€: __ __ _ At ~. ~•+~,~, ....~.~. frt....... ... .. ..._.__ .... _.........._... _~!~M+^ N!e propose hereby to furnish material and labor -complete in accordance with the above specifications for the sum of: +~v~ith payments to be made as follows: Dollars r~ Any alteration ar deviation from above si? citications involving extra costs wilt be ~espe~tfully j5~ e>:ecuted only upon written order. and •h II become ar, extra char e over and d' above the estimate. Ail agreements Conti 9eni upon strikes, accide gs, or delays Submitted ~ ~ ~4!~%~--" `~T beyond our contra. Note -this proposal may b~`withdrawn by us if not accepted within days. ____ ,~ - ~` -, The above prices, specifications and conditions are satisfactory and are Signature L--- r,'f-`~'~* --~ ~~ ~'~~ hereby accepted. You are authorized to do the work as specified. rayments will be made as outlined above. Date of Acceptance Signature e~..~. nt~na+n ...__.. 00631 237731 -06/13/2008 07/27/2008 108.55 927 N WEST ST SANDRA K RAILING 927 N WEST ST CARLISLE, PA 17013-1437 __._ __ - /n rr rj~mLn n~ /, ~ /2nno n~/2o /~nno n 11 . `-~, •, i. VJ~ ,L J~ vvv v...i ~, <.vv a n2 ~:~ i3 52 ~i~ ~/8" SEWER 55.90 07/27/2008 •_00 _ 108.55 _ 108.55 _. €.;uaeF~v - g~'~p yF Y w~ i..l i x `~.~~ ~ ~. ,~.4 ti ~ i ~ -. r ~1 a f ~ ~ F.!` ~ 7 ' V '~ - -- -~-^ -_. - - __ _._ ~ __ ~fi`F.~S]~~'_~.F~2~"y c'r-~? ~'~.7,``r 3;~? ~ ~~ T} ~~~ ~ ,°K 3"' _+J>~~ ~~ X0631 2 ~5~ 0 ~09/12J2~008~ ~10~26~2C08 ~~ ,~ _ `- ~,~.`'~~'~: ,. T 5 __ v:aT~~^;:: - -.~92 N haEST._ ST: _ _ 1 63 ~. ~~„ p yG7 N WES1 ST ~ -- 70.85 CAF<~~~ SSE, PA 17013 -1437 - - ----- ~h 72.48 _ - 7i °~'}' Yom.' E ~ . /~}I - - - - `" ~ -- --- .: 'vF2Y DATE ~ R ~ ~ ~' -~~~ =- ~ w r"2 6~O.rrIME ~ i"~ g:./~ ~ ~ s HEATING (3IL OIL BURNERS `-J ~ ~ f °' CATER HEATERS ~-..t1;`2+~iCE14~ ir;v~~~ - ~ $O~1S7 ~~I~HiI.I. 1~A.1701~ ° AIRCONDITIONING w :3iitr~i t~ai~9rt .- - - _.. `,. ~, I ~~9~iiiE 73 i-4188 HEArPUMPS :i}:oa 6 i 4~ ~ -• D ~St3 K E 'J J~ 'F BATE ~C. `; - ~l '~/ ~~ I ° 13?5b~ Pay~~ya ~~ 4ay; ?'i3f Fi11 ~ ac; 3 .~; dad itei+r Tv: 6€i±i ~~ =- ~: 6: :- =S~~FEC. INSTR~lCTI~NS~~~'f§; _::~:: ilN~ER NAT it Nf4i :~l4' ?.2l2? i~~ CAt. ~~~a ~' ~ ~ ._ ~~ ~ ~-, ~ . ~, v : J` `, _~ -~ ~ ~i:~l~EN~iE EiSFtE.rt ~~~ N~RTNiiEST s ~ ~~~~ ~,w.: u~Rt~~~E ~~ ~~~~~~ ~1 !7~ ~; ~ ~'hane: X49-3~9~ -~ d ~ ~ • HEA7'IPiC OIL ~/C{/~ • OIL BURNERS • WATER HEATERS • AIR CONDI'T'IONING 135)X. fl S7, CA.1V[P ~I..I., P~ 17011 ®ITEAT ~#rntps 3'H®P~ 7?-4188 ~~:~RFNC~ EISNER ~~~ NGRT4lREST STREET CARi.tSLE PA 1'IdIR ~~ f 1 r ~. I ~'PFtOBUGi G~iLLONS PR6CE AMOUNT.. ~~`IE~~ r}~~ _ ~~~ ~ .... ~~ ~ /~ f j1~( " ,,. ~ . ~ ~ -~e~ ~n~arked ~fea¢rig !} ,...--; r ;Note°~i~~ ~n . . fi~g~hwa~, r~r~r~- aa~ tocm®gtive ~r Il3rirsg elr~ net, , r ~ ` F~EtCle: ~~R-J~~~~ S~ROr3UCT I GAS-L.Q1~15 PR#CE AMOUNT HEATiN6 CIE. ~Ut~ ...~~~ "I ~, 4yed 3~z~arkea Heatil~a ~i :Not far use in highr~a}~, t~o€t oad, ~ iacceeti~e or Marine eug nes'. i~ DELI~R~ E ~d TRtJ(~4< MO. ~~~ DRi4~ER NO.lfIME ~ ~j'~ ycct~: X37564 ~ayani4 7elr€ day: fRI fII ~~~: ~ d :~elype: C~~ Tiely iya ~1iII `+art'F. +7~Z~i ~7.Si ,~ial~~E: ~ ~_~6l;tcl23l~fit#$ II~t, q Tef~So n r i2F~5: ~~?:~' O ij~rreni 9alanee. U.~ x ?Fat ~. 6; b {~'~~~tSPECu I~STRUCTi~i~S$~*~$ 3eiw-€~-b Gff f ~;REE3 y,g= t, L i i ~ f ~iI h, ~~' o. 'i ~~ , c z ~ ! r r 1... .... C C ~. r ; _...~. ® ~'/~~ /l/J~ ° HEATING OI (,/ ° OIL BURNER. ° iVATERHEATi` ~fJ~ i~5'~ C~Ir'IP E'~II.~., P~ $'~~~~ ° AIR CO'.VDTTIfi, ~~~ 73"7-41~c4 ° iiEATPUMPS f~..~~E~R4E f I3~E~ ~~? ~ ~E3T 3T~EE' CAfiLIS~.E F~ 1?~13 ~~E~ISe: C4~-~~~~ ~, s j (~( - ~ r~- ~ _. __ ~ ~ ~ ~~ ~ g ~-~ .~_ i S a~6ZvRiYC~" GALLOb[S ~FLiCE AM©UM7 NEB s IIf~ ~I{. F i04 ~ ~~~ ~~~ ~~e~ ~3~~~rxed ~ea~I6Y~ QI f aRiot far use I, f'it~~4iiays ssoY~ ead, I~cca~~.ve ~r easa~e EY~g res< i Holy Spirit Hospital 503 North 215` Street • Camn Hill, PA 17011 • (800) 596-9997 'tea ~I i 1 ~~ ~ ~i i Iii ©:~ I~ i i i a Ali ~ ro rv ``~ rte , H ~ CJ O ^~ ~, ~s y H H , w n> ~ t~ ~ "3 m C1 ~- ~ .. z w t~ .~ ,`~ w C7 (~~ W W W ~ Fa C? I ~ N to O N l9 61 Ol b ~ 7 ~ rJ C I j ~ W w v w ~o d ~-3 C ~ ~ 6 ~ O i ~ m. ' w w. O t~*J rn ''~ ~ to ~ ~ d ~ ~ .. `~, ~ ~ ;v om ,.~~ ~ ,.~ Z i y ~ ~ t" 'r' e~ ~ e~ t -] ~ j ~, ~~ m r-i r-t r-~ H ~ f ~ ~ ~ c~ v j H I b ~ m o~ ~ z ~ z ~ ~ ~ ,~ ~ ~; ~ x x ~ ~ i ~ ~C i H , y F-` O' rJ p ' ~ x9. Z V t-+ \ ~-. V w A ~.-, *~ . ~ x b ~ X ~. t0 LD CU CST ' ,~ ~ ' ~ .. 7, I C b b -. d ~ O ~ ' ~ 1 J CA :'6 v1J ~ y ~ /\ \ N V N \ N \ N ~ ~ ,,..,7 GI W ' W W .~, F I ~ \ \ ~.. \ ~' ~o cn vo cn En s ~o to ~ d c, C7 N. N N N x rU i ~. t-i _? ~ ~ a ~ ~ '~- ~ ` ;ry n ~. ~~ ~'^ ' ~ ~ ~, o w w m ~ ` ~ ~ ~ . . t7 ~, r ~ , ~ ~, ~ ~ w N r-' .n H .. ~ ~'~ ~ rn '~ o ~ o a a~ ~ ~ t" ~-. `- ~~ 5 ~ C1~ -~ ( I~. ~ °, O Y 0 a. _~ ~~ :~ I."^ ___ ~~, t 11~'ITC TTC ~~! ng ~C~11 ~ J~'-~~ Oaks. P,4 194i1~ 1411-11 VIII VIII VIII Illll ill! llil{I VIII Illil VIII III{I VIII VIII III{ fill I~~:•r l;Illins C,)u~sticros Ctlll_ 717-~ii2-h IUD l~~l~: 717-~»~-2 ir, OIl~ic~ I Inure: Mon - 1 ri 7ani - 7pm SANDRA K RAILING 927 N WEST ST CARLISLE PA ],7013-],4~7 aye '''eC'<bOn '~ aGO~/e aC;ii P,SS >S lCCi' Ci Oi InS:JfanCC 8 - _--zrcn has cha,~ged_ and iadica°.e cha^~e(s) on reverse sde. Patient: SANDRA K F2AILING Account: 9386661 I- s;a~~~r~~rrr ~~c~ ~ - ~aY-r>ats A~~~ a~c~ots~ ~,~: -~ ~ ~ U4/23/(ln t i ( $~.2() ( t13~C,(?f; i i Sti~Vll APht3i9N b ~,* ~ f ,F^ I P'~44Lt ;-IERE ~ . '~.~ ~.~' klfiAg:E CFiE~K~a PAYAIEtL~ (PEMt T a L3: 1:;856-735 )tiIIICUC 1nl~l~ltl~ -f~2t) Union Deposit Rc! Harrisbtarg, PA 171 i I-29It) i,..~~~,,,i~~,n,~,i~,,,~~„~,fi~~AlIIA~~~~~„~ PRASE DETACH AtiD RE' DR[V i QP PCR7i(1N V~l;?H. YOlJR PAYMEN+ It'd ti~i~~QS~C ENVELOPE Referring Physician: HOTCHNER MD, HARVEY J Services Rendered At: _CARLISE REG MED C7R 1NPAT Proc Payments Date r„.~o .Description Charge pdirlStmetits I: 1112X07 76942 US GUIDANCE FOR NEEDLE BX 171.00 03!21/08 PREMIERS BLUE PAYMENT -37.80 ~ C++3/21/08 BLUE SHfELD OF PA ADJ -129.OG 03/21/08 FR 11-27-07 TO 11-27-07 { '~ 03/21/08 CO-INS 4.20 j i I I v R i 1 I I I i I BALANCE DUE $4.20 ~ PAY BY May 08; 2008 ~ I I ih: 1,.1(. wC'L: OV ~~(1t +tt :1C'CQl !ti'ftS NO\~' lll T,. I~or Killing QuctitiOns Coll: 717-<j2-Ci I t)5 iI 1 (~t (Ll~~l•:.-~i~1' O[ ~IiSTK)NS. Pf.1~.:151? C_AI,L l ~S _t~l 7)7-C,5Z-6105. 'l~tl,\ut~ l (N I. I~~~: 717-1iJ?-21C>j (?tlic~ I lours: Mon - l~ri 7<un - 7~~m IF PAYING BY VISA, AlASTERCARD DISCOVER OR AMERICAN E7(PRESS, FILL OUT SELOYd ivo~ ^YISA I=ii ^b1AS?ERCARD ~ ~I I ~D15C.OYER 1:4P [~AME.4 EXP~ _. ----- -- -- ----- DARONUNOER __--_~ E7(P. DATE -.._-I~A1i0UV! SIGNp'ftJFlE--_ i,I11tiI IIJ1:1 III11 ::I A(.II ti11'a If'.ilY 1'1~tI 11;1114 v lip(:F: 111 ' ^.1:1' _._ .__~. ~~~ ~~ iifilllilEllllflfill!iliilllf~flltfilBlllil111fiiifllllffl sEE ~E~E~~E ~~I~F ~~~ Il~~~~~~i~~ ~~e ~ ~~t~ ~~~~~A~~~a~~l KUNKEL SURGICAL GROUP 890 POPLAR CHURCH RD #210. CAMP HILL, PA 17011 34495 °TE503NXGA0~5i86 c~o~ ~III~IIIit~~~i III II~III~~AIIAA l1~fi~ll~l l~t 111 AIII ~111IA'III~ SANDRA RAILING 927 N WEST ST CARLISLE, PA 17013-1437 avg. > ~- - - . ~. RAILSA-00 - _ i - -- 1 06!12108 ~V~ -- - 1, - - 355.00 ~.,~C.~ ~ ~', `~~` IF PAYING BY CREDIT CARD, PLEASE SEE RE!EVERSE SIDE '- ~III~I~111~I'llfill~~lftl~tl~l III~I~i~l~ll~i4t III I~~IIil~i~l~ KUNKEL SURGICAL GROUP 890 POPLAR CHURCH RD #210 CAMP HILL, PA 17011-2250 -- -- - _. _ ,.. 04/20/0822 Sandra P. 99253 Inpan ent Consult low 787.01 190.00 190.00 04/21/0822 Sandra R 99233 Subs.Hosp_Care, High 787.01 115.00 115.00 04/22/0822 Sandra R 99231 Subs_Hosp_Care,Low 787.01 50.00 50.00 _ _ _ KUNKEL SURGICAL GROUP KUNKEL SURGICAL GROUP j, " ~ ~~ ~ 717-761-7244 ~_~ 06/12/08 0.00 355.00 0.00 0.00 0.00 355.00 ... C-7yJ 4 "-~... .... - ---- -- Over 30 Days Over 60 Days ' Over 90 Days_ ' Over 120 Days ` APRIA I~ALTHCAR> 1.328 S. HIGHLAND AVE A~ ~. P ~ %~A Ir P ~~ A ~ ~ A ~~CKSON TN 38301. -7369 If address or other information has changed, check oif box and complete reverse side. 8 832 J SANDRA RAILING 927 ;~( WEST ST CARLISLE; PA 17013 ] i?,rx,ount ~untbcr 2 Patient r3attie 3 $atemcat F3ate Page' ~ 03701RYJ48 R.'t1LJivG Sh1~DRi~. , 06x172008 1 vfl a ~# Tlxts is the,current insdrattce infonnatrrni-fin file ~ ~rx~nl f3ue j FIICiIJ MAfCk.13S-kED1RA.I. $1().63 6 If payingby Credit Card, Please complete this section 7 CHECK~M.O. Cazd Type ^~ ^ v~srt p~ I authorize automated payment to ~~~ d di d AMOlilVT my note cre t car for alf patient ENCLOSED charges not covered>n'insu;ance. Card $ Exp. bate AMT. ALTII $ 'S '~ r f APRIA HEALTHCARE P.O. BOX 536841 ATLANTA GA 30353-6841 I~~11,I1...,~11~~1,I~„11~~11~~1~~1,.I„I„~Ill~~~il DDODDDDD0993D1799991DDDDDOODDODD^DOODba^DOODD1063? To ensure proper credit to your account; detach top section and return with your payment. Please keep this portion for your records. EO Acc0un4 1'+itirrrber 11 Patteitt N3rtte 1~` ;G~ternert# I~a#e ?I've :::.. _ )3 %OAR<~148 _ RAILING, SANDRA 06/17/2008 1 of 1 Transactio>7 Bate Date of Service it~v©ice J ~ 23~sct~~tiori ` Tran~tian:. ,~~ 05/19/2008 11/07/2007 OOYV408C POLE IV PITCH-IT SR 5 LEG ~ $101.87- PAYMENT I DUE UPON RECEIP OF THIS BII,L. The balances above are yow responsibility based on your insuran e coverage. *IIvIPORT T REMTNDER...Xou e responsible for notifying us of any change in yo Inswance coverage o discontinued use of the equipment f or services. F ilure to provide accur e insurance information may result in you eing billed directly for products or services provided. **If you have an annual deductible th yow insurance cazrier, it may i be applied to your invoices. Payment is due upon receipt. ~ ~ I ~ 33 Pi-e~-ions 1',alattce $ 112.50 ~ t.t Current Transactivtts 1 $101 87- 1~i $trtrzr "I`~sP r'nnra I? ~~;~ e, n ,~~ Y -~ 16 Riablcs lI^30 Bars 3+~-6€J Ida}s ~fl ~) D~~s >9€} Days 1 $10.63 ~ $10.63 ~ $0 00 ~ $0 00 .. .. .. ~ _ , ~0 00 l7 Far Insurance related 18 For service or questions about your 19 For questions about your uestions call: 1- 866 207-1453 a ui meat call: 1- 717 761-4630 statement call: 1- 866 505-6365 See reverse side for instruction and explanation of statement ~.. ~a ~.~~3:"3~3~~.~iCS Laboratory Invoice For services not included in youc phys+cian's brll - Page 1 Invoice Number Lab Code Bi(I Cade 5037194732 KOP 6A8808 Gx6JDZ 20503 27318 1-1 00 Customer Service 1704301 1 0063333 5037194732 1 LOG ON NOW at www.guestdiagnostics.com/bill to convenier SANDRA K RAILING pay your invoice online. 927 N WEST Si ®"~"' CARLISLE, PA 17013-1437 Phone Fax ~+~~ ` 1 ` e f 1-8D0-766-2604 1-800-601-6608 ^~ Irn~4lur~~lre,~rw{~ulltnr~Ir~u~rr0~r{nrlulrf~ut~rlull WeekdaysBAM-6PMSeHabfaEspanol9AM-6PMTiempode!Este Please have your invoice available for reference. Lat7otattiry Tests lNere Requhstcci By' N!osC~ft4ct~d't#~t~raFY~e=~iaerit~ile2l To: Referring Physician: C3289000NROY,JOHN D Insurance Name: HIGHMARK BLUE SHIELD Physician Address: 50 N 12TH ST Insurance ID: 850162741 LEMOYNE._PA 1?O~k?. Group Number. 105 , t_:1h Resut> s and t7iagnosis t~uestions rqust Be Attswered 8y Yarsr Ftipsician Patient Name: SANDRA K RAILING Responsible Pzrty: Sl;NDRP. K RA1LI!~IG Date of Service: February 19, 2008 Invoice Date: May 13, 2008 Amount uue: X5.91 Payment Due Date: 06!03!2008 THE BALANCE DUE REPRESENTS YOUR COPAY OR DEDUCTIBLE AS INDICATED BY HIGHMARK BLUE SHIELD. THE CHARGES RESULTED FROM LABORATORY TESTING ORDERED BY YOUR DOCTOR AND PERFORMED BY QUEST DIAGNOSTICS. THESE CHARGES WERE NOT INCLUDED iN YOUR DOCTOR'S BILL AND REPRESENT YOUR FINANCIAL RESPON5lBILITY. WE APPRECIATE YOUR PROMPT PAYMENT. THANK YOU FOR USING QUEST DIAGNOSTICS. Date ~ CPT I I Gode^ I Test Description _ ___ _ i _ ~. -----~-- ,Charge ~ Insurance ( Discount I --..-F Insurance Paid _.--_-__.. Medicare! Medicaid Paid -------'~ Patient Paid ----- Patent Owes -----'- ----- 02/19/08 .- '-'----__-------_-.- 82378 ~GEA 5119.30 02li9(OS 80053 COMPREHEN META8000 PANEL $42.85 02/19/08 86304 CA 725 $137.85 ~ I - 02/79/08 86300 iGA 27 29 $124.05 ~ f 03131 f08 PAID BY INSURANCE ($63.69) j 04101/08 I ~D1SAl~OWANCE ~ ~ I I I (5354AS}~ I I I ~ ~ 1 Tax 1D: 38-2084239 LCD-9 Codes: t99.t 789.39 235.5 V67.2 I Sa24.o5 {S35a.45) (Yr53.69) So.oo ~ So.oO 2s 9a Services Pertortned Gy. QUEST DIAGNOSTICS HORSHAM HDRSHAN, RA 'The CIoT codes provided are based on AMA guidelines and without regard to speck payor requirements. ,i. Ptezsa ,o,~ a~+d ;ear payment coupat slung perturatlcn end remrt with payment in the envelope provided eA As8 rr 608 ~,~ ~"~~% Lab Code: KOP t' :.. ~x~~z~.CT59~~ Payment Amount Due $5.91 Coupon LOG ON NOW. Pay your bill online securely anytime - day or night at vrvrw auestdiaanostics.corrUbitl or call 1-800-766-2604 Quest Diagnostics also accepts r+ J-rxess ~~~ ~~ Due Date: 06/03/2008 Invoice Number: 5037194732 Patient Name: SANDRA K RAILING Amount Enclosed: ,~ ~,,~ If you received an explanation of benefits showing your responsibily is less than the amount shown on this bill, please pay the lesser amount. To tuNy resolve your invoice, please provide a copy of your explanation of benefits. MAIL PAYMENTS ONLY TO: Please make your check payable to Quest Diagnostics- Se sure to include invoice number on your check. D Check here if address has changed. Please provide your new address information on the back. Quest Dlagnosfics reserves the right b assign Nis rece+vabte to any of its affiliates. QUEST DIAGNOSTICS INCORPORATED PO BOX 740698 CINCINNATI OI-I 45274-0698 IJfllfllllfflrllffflfltflllffffllfflflffl~flfLlrfiffiflfJJ Q1K©P480150377,94?32~~[1~~59]r505132170191~7r~St~gnnnnnn4 QUANTUM IMAGING & THERAPEUTIC ASSOCIATES PO BOX 1805 INDIANAPOLIS, IN 46206-1805 fr r'ATrnv KX LKtV~I ~AKV~ ~'tCADt ~-~LL VUI lSCLVW CHECK CARD USING FOR PAYMENT IN'masce~i-carq ^ y/fq" ^ `~ MASTERCARD ylgq CARD NUMBER AMWNT SIGNATURE EXP. DATE FORWARDING SERVICE REQUESTED ~ s~~a r E~~~T D~,Tti ~ PAY Ties A~soun?T ~ A~vT. ~ 08-06-08 ~ 132.63 X260905-QQITA RESPONSIBLE PARTY ~ I I SANDR2, K R?,ILING INVOICE: 840783 ~PA ~ ~~~ O~NT SANDRA K RAILING 927 NW ST CARLISLE, PA 17013-1437 I~~~UI,~~IIiI~~~1111~mII1~~~II111~I11111I11111111IL111111111 QUANTUM IMAGING & THERAPEUTIC ASSOCIATES PO BOX 1805 INDIANAPOLIS, IN 46206-1805 i~I1111111I1II111111i11111111III,IIIIIIIImI1111ilIIlllli111111 FOR ONLINE ACCESS TO YOUR ACCOUNT VISIT' US AT: hops://www.ezmedinfo.com//gita beck ~cx ~o adc c -~~Acr c rsi, a_c., .,..,.nai+o-' ?°- ~"~~ ,m ,, „ , ~ged a ~'ca .. ,' : ~~,~s; .. ~ eve , - side f . °LEASE DETACH ,4110 Rt=TUFN TOP POt~TipN VVi ~ H YOlli? PAY1Qi_P!- ,~ .~ ' DARE OP7-MOD RP SlRVICE LOC IN"gU{tANCE CdMPANY AMOUNT FAi1] BY .: Iles ADJEIsT YQU'- PAID YQdI OWE CHARG S FOR PATIE ANDRA RAILING (260905- QITA) 05/29/08 Blu Shield on Atlowe 29.00 06/05/08 GUARANT R RESPON IBILITY D TE (Char eID: 109 368) -20-07 77001-26 8 O FLUOROGUIDE FOR VEIN D HOLY SPT HIGHMARK 62.00 15.30 45.00 1.70 05/07/08 FILED P IMARY TO HIGHMARK LUE SHIE p-NON IN (HI001 05/29/08 Blu Shield ayment 15.30 05/29/08 61u Shield on Atlowe 45.00 06/05/08 GUARANT R RE5PON IBILITY D TE (Char eID: 110 014) CHARGES FROM PRIOR STAT MENT5 2-20-07 76937-26 8 O U5 GUIDE, VASCULAR ACC HOLY SPI HIGHMARK 50.00 13.95 34.50 1.55 05/07/08 FILED P IMARY TO HIGHMARK LUE SHIE D-NON IN (HI001 ~ 05/29/08 Blu Shield ayment 13.95 05/29/08 Btu Shield on A11owe 34.50 05/29/08 GUARANT R RESPON IBILITY D TE (Char eID: 109 364) ADDIT ONAL INFORMA IO CONCERNING YOUR ACCOUN PLEASE CO AC US IF YOU CANNOT PAY T IS BILL. THANK YO . REFERRING RO IDER 890 IS JOHN CONROY - UPIN: 32890 ADDIT ONAL STATEME T ESSAGE ,^ bill ng questions , c 11 toll free 1-866-254- 629. -'OTALS: 1193.87 1939.50 0.00 132.63 >TATENIENTDATE iAtESRONSiBL~EPARTY- ACCOUNT# PAY TI:"I~ $ !o-IW~UNT 08-06-2008 SANDRA K RAILING 260905-QQITA 132.63 pnn~rs~ECm~mn~tnnsstnlamrrnn~.we:L'a~~ROi+.YauRxExrsrRl~ar. aanu~xrDUeriraAa~c>rra'r rKn~-Krou. MAKE CHECK PAYABLE TO: DAYS 0 - 30 31 - 60 61 - 90 91 - 120 Over 120 ACCOUNT AGING 0.00 O.O 3.25 0.00 O.O QUANTUM IMAGING & THERAPEUTIC ASSOCIA FOR ONLINE ACCESS TO YOUR ACCOUNT VISIT US AT: https:llwww.ezmedjnio.comllgita VOICE #: 840783 FOR BILLING QUESTIONS CALL 1-866-822-8415. RAIAn(P fPilP! C CIIffPl11 nAiier>t reennncihilifi, nnhr ~nll .1.-a... ....4 7....L.J.. ..L .--_-- ----~--- "- ALb' QUANTUM IMAGING & THERAPEUTIC ASSOCIATES PO BOX 1805 INDIANAPOLIS, IN 46206- IF PAYING BY CREDIT CARD, PLEASE FILL OUT BELOW CHECK CARD USING FOR PAYMENT MasterCard ^ I/$A`° ^ ~1 p MASTERCARD VISA CORD NUMBER AMOUNT SIGNATURE E%P.OATE FORWARDING SERVICE REQUESTED STATEMENT DATE PAY THIS AMOUNT ACCT. # 12/17/2008 526.00 260905-QQITA SHOW AMOUNT PAID HERE ,~~. • SANDRA K. RAILING 927 NW ST CARLISLE. PA 17013-1437 ~~~r~~~rr~~~~,~ n re~~~~~~e~r~~~~~i,~~~~~r~ a ~~ a ~~~~~ n ~~~~r~{ QUANTUM IMAGING & THERAPEUTIC ASSOCIATES PO BOX 1805 INDIANAPOLIS, IN 46206- ~I~~~~I~~ u u (~~~{III{~Il~ a ~~~~~~l~~lll~~l~~~~~ll~~l~l1~~01~ PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT FINAL NOTICE OF DELINQUENCY PATIENT NAME: SANDRA K. RAILING ACCOUNT NUMBER: 260905-QQITA DELINQUENT BALANCE: 526.00 This is the current status of your account. if you have Medical Insurance please notify this office immediately and we will bill your insurance company. If you do not have Medical Insurance, please remit payment izT full by return mail or contact our office at 1-(866) 822-8415 to set up payment arrangements. Failure to respond to this letter will result in placing your account with a licensed collection agency. t~zSlt L'.5 at IlttpS: //tan;n~~ nvwmPdinfc.coze!!/~it2 for on-li;:e aCC?SS t0 yC`LT 2000'1.nt Si usted tiere seguro medico mande una copia de su tarjeta por fax. Si no usted es responsable por el saldo total. Gracias ,NSTATE Milton S. Hershey Medical Center PO Box 643291 Pittsbufgh, PA 15264-3291 SANDRA RAILING 1voolsa 927 N WEST ST CARLISLE PA 17013-1437 I~~~iil~~~lll~~~~~~ll~~ll~~i~ll~l~~l~~ll~l~~~l~~l~ll~~il~l~~ll Patient Name RAILING SANDRA Statement Date 02/28/08 Service Date(s) 11/16/07 Type of Service OUTPATIENT Account Number 9091683 New Charges/Adj $ 0.00 New Payments/Adj $ 0.00 Account Balance $ 300.18 Amount Pending Insurance $ 0.00 This new statement has been specially designed with you in mind. Let us know what other improvements we should make. Please a-mail your ideas to: Statementideas ux.hmc.psu.edu or write to us at: Penn State Milton S. Hershey Medical Center Statement Ideas, PO Box 854, MC A410 Hershey, PA 17033 DATE DESCRIPTION AMOUNT 01/31/08 "'BALANCE FORWARD" 300.18 TOTAL 300.18 For billing questions or insurance changes: Para preguntas acerca de su factura o cambios de seguro contamos con representantes disponibles pars asistir a la comunidad hispana. Phone: (717) 531-5069 or (800) 254-2619 Available Hours: Monday, Tuesday & Wednesday 8:00 am to 5:30 pm Thursday & Friday 8:00 am to 4:30 pm Written Correspondence: Penn State Milton S. Hershey Medical Center Patient Financial Services Department PO Box 854, MC A410 Hershey, PA 17033-0854 Please Note: Four physicians will bill separately for their professional services. HERSHEYST-01R ~~~~~ O~ CEIe~~RA~ ~ENNSI"LVA~lIA 335 DERRY STREET HARRISBURG PA 17111 '~ i~hone:717-233-1035 Date: 03f05/2008 Send remittances to the address shown above: RAILING, SANDRA 927 N. WEST STREET CARLISLE PA 17013 Services For: RAILING, SANDRA 927 N. WEST STREET CARLISLE PA 17013 FEP 3~~~E ~ DESCRIPTION Net Amount Billed to Insurance Company Amount Paid By Insurance Company .Amount Not Paid By Insurance Company Amount Due INVOICE FOR HOlVIE' HEALTH SERVICES 01101f2008 THROUGH 01/31/2008 TOTAL AMOUNT DuE ~ ae~ QQ CELTIC HEALTHCARE, INC. tNVt~fCE 150 SCHARBERRY LANE MARS PA 16046 Phone: 724625-4280 Date: 08h 8/2008 Send remittances to the address shown above: Services For: RAILING, SANDRA K 927 N WEST ST CARLISLE PA 17013 MAR HM SELF PAY INVOICE FOR HOME HEALTH SERVFCES 12/18!2007 THROUGH 12/1$/2E107 DESCRIPTION Total Amount Billed to Insurance Company $ 175.00 Less: Insurance Company. Contractual Allowance ' -79,00 Net Amount Approved ByJnsurance Company 96.00 Amount Paid By Insurance Company 28.80 Amount Not Paid By Insurance Company 67.20 Amount Due 67.20 TOTAL AM OUNT DUE $ 67.20 - -- __ -_ u__ ~> _~-^, ,. u, - - ~`.~ -~ F2 ~ ~ ~ ~~_ ~2, ~~ G%i ~„ ~ ~ -- -- --_ _ ~ , . 4 ~ -~ ~ s ~ ~ / .... ,~ f ` f f ,-1 /~ /t ~ ~~ r /, NOTICE OF GLAIM (Filed Pursuant to 20 Pa.C.S. §3532) COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF SANDRA K. RAILING, DECEASED NO. 21-08-07-48 To the Clerk of the Orphans' Court Division: Enter the claim of Pinnacle Health Hospitals in the amount of $3,283.60, against the above entitled Estate. The Decedent, who resided at 927 North West Street, Carlisle, Pennsylvania 17013, died on June 25, 2008. Written notice of said claim was given to Mark W. Allshouse, Esquire, counsel to the Personal Representative at 4833 Spring Road, Shermans Dale, PA 17090 on September 29, 2008. This is a priority claim pursuant to 20 Pa.C.S.A_ §3392(3). Claimant: Pinnacle Health Hospitals P.O. Box 2353 409 South Second Street Harrisburg, PA 17105-2353 Claimant's Counsel: .. - - --- ~~_._k~ ~i~;,~--~-------.-,._,_ Richard C. Seneca, Esquire (PA Supreme Ct. Id. No. 49807) 564 Old York Road Etters, PA 17319 (717) 932-0465 '" "'°,,.C~, ~"""WiUU,U,tiliUU,"IGt' STATEMENT O„~ ACCOUNT (1} 0 N rn N CAMP HILL EMERGENCY PHYSIC{A PO BOX 13693 PHILADELPHIA, PA 19101-3693 n~~~~u~~~~unu~~n~~nn~~~~u~u~~i~u~~n~r~~u~~~~u 082516-0000031967193-06 #BWNJFDB #OOOOOOHYP1515208# SANDRA K RAILING 927 N WEST ST CARLISLE PA 17013-1437 Account Detail Statement Date: July 11, 2008 ACCOUNT NUMBER: HYP31967193 Patient Name: SANDRA K RAILING Tax ID #: 20-4667340 Account Balance: $847.00 Amount Pending Insurance: $0.00 Amount Due From Patient (Current): $847.00 Amount Due From Patient (Past Due); $0.00 Pay This Amount: $847.00 PLEASE REMIT PAYMENT BY "PAYMENT DUE BY" DATE. THANK YOU. Please refer to coupon below for payment instructions. Date # Description Charge Paid By First Ins. Pafd By Other Ins. Paid ey Patient Amount Ad usted Due From Insurance PATIENT BALANCE 04/10/08 1 99285 EMERGENCY EVAL & MGMT $847.00 (LVL 5) DX:789.00 DR. PAUUHOLY SPIRIT HOSPITAL 07/03!08 BLUE SHIELD CLAIM PENDED -LACKS 5-0.00 5847.00 INFO NEEDED FOR ADJUDICATION I TDTALS: Ssa7 0o so 00 $o.oo so 0o So.oo sa oo sa47.oa Important Messages: This statement is for the direct treatment andJor supervision of care you recentty received from an Emergency Physician at Holy Spirit Hospital. The fees for this private physiaan are billed separatety from any hospital charges or other professional fees for which you may also be responsible. Therefore, should you receive a bdl from the hospital or other physicians for charges in connection with this visit, tt will not include the items listetl on this statement. "Payment Plans" Accepted Questions about this statement? / Llame de Lunes a Viernes? Call 1-800-355-2470 Monday through Friday 9:30AM - 4:OOPM. Your automated system access code is 801-31967193, or you can send email to billing_questionsi~emcare.com. Please detach and return bottom portion with yaur remittance. Statement Bronstein Jeffries, PA 4830 Londonderry Road Harrisburg, PA 17109 Account Statement Date Due Date Total Due 41480 Jul 4, 2008 Jul 28, 2008 56.00 Amount Enclosed $ Make Checks Payable To: I~~~III~~~I~~~llll~~~l~l~n~l~ll Bronstein Jeffries, PA I~~~IIL~~III~~~~~~II~~ILI~~I~I 4830 Londonderry Road - Sandra K. Railing Harrisburg, PA 17109 927 North West Street Carlisle, PA 17013 Please check box and indicate any change in address on reverse side. Detach at pertoration and return above portion with payment. J I ~ Service Date Service Provider Description Charges Ins Payments/ Adjustments Private Payments Balance !Patient Account: 41480 -Sandra K. Railin Previous Balance: 56.00 I Patient Balance: 56:00.. I i ~i i I i iiF YOU HAVE RECENTLY MADE A PAYMENT, PLEASE DISREGARD THIS STATEMENT. BALANCES UNPAID AFTER '; 30 DAYS MAY BE ASSESSED A $10 BILL CHARGE. QUESTIONS REGARDING YOUR BILL, PLEASE CALL 657-2599. ' Statement Date 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121-150 Days Over I50 Days Due Date Total Due Jul 4, 2008 0.00 0.00 0.00 0.00 0.00 56.00 Jul 28, 2008 56.00 Bronstein Jeffries, PA • 4830 Londonderry Road • Harrisburg, PA 17109 • (717) 657-2599 AOCOUnt Number: 41480 1.17.0.6 Nnn00-RFA77nnRmnd_nnnnn570_nnnnnsoa_n n..__ , _~, P.O. BOX 15270, DPT ~5 WILMINGTON, DE 19850 I I"~'~'ll'~'I~I"I'~I II~II ~I~II ~"'~ "~'~ "III ("I NCI b4-4787/8 11959-30 SANDRA K RAILING 927 N WEST ST CARLISLE PA 17013 NCO FINANCIAL SYSTEMS, INC. 26b~ ELIZABETH LAKE RD. WATERFORD, MI 48328-3277 June 11, 2008 OFFICE HOURS: MON: I I :OOAM. - 8:OOPM EST TUES - FRI: 8:OOAM - S:UOPM EST PHONE: 800-785-142b CARLISLE REGIONAL MEDICAL CENTER RE: SANDRA K RAILING RE: 7737803 BALANCE: $ 897.71 Yottr Credit Rating May be in Jeopardy This may be reported to all national credit bureaus, if you: a) do not notify this office within 30 days after receiving this notice that you dispute the account or any portion thereof, orb} die account is not paid in full or otherwise resolved after 30 days from receiving this notice. It is our intention to work with you to resolve this matter, However, if payment or an acceptable resolution has not occurred, your account will be subject to fi~riher collection. To assure proper credit., please put our internal account number 6=I47587 on your check or money order Calls to or from this company may be monitored or recorded for quality assurance You may also make payment I-y visiting us on-line at www.ncofinancial.com. Your unique registration code is f25.1=L8~46510.G447587985 This is an attempt to collect a debt. Any information obtained will be used for that purpose. This is a communication from a debt collector. ^line33^ ^line34^ Notice: See Reverse Side For Important Information. See Reverse Side for Federal Validation Notice. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT (MAKE SURE ADDRESS SHOWS THROUGH WINDO' Undeliverable Mail Only: P.O. Box 1954 Southgate, Mf I48195-0954 ~~~III ~~~~I ~~~~~ I~~II'~~I~ llll~ ~~II) II~~I ~II~~ ~~I~I ~~III ~~~~~ II~) ~~~I MM1l64300406/XCB 00820751577 0003824/0019 I,,,III~~~III~~~~„II,~II~~~~II~I~~I,~II~I~~~I„I~II~~~I~I~~II Sandra K Railing 927 N West St Carlisle, PA 17013-1437 Dear Sandra K Railing: ~A//red/nterstate 800 Interchange West 435 Ford Road Minneapolis, MN 55426-1096 Toll Free: 800-790-0278 March 28, 2008 DATE OF SERVICE: November 28, 2007 ACCOUNT #: 84300406 REFERENCE #: 9386661 CLIENT: CARLISLE REGIONAL MEDICAL CTR TOTAL DUE: $100.00 At this time, your account has become seriously delinquent and has been referred to this office for collection. In order to avoid further activity to recover the money o~!ved, please remit the balance in fuI! to the address provided on the remittance coupon below. For your security, please make your payment payable to Allied Interstate, Inc., or your provider. If you have questions regarding this matter, please contact our office at the number listed above and speak to a representative. Please be advised that if you fail to resolve this issue your account will be reported to a national credit bureau and your credit record may be negatively affected. Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debtor any portion thereof, this office will assume this debt is valid. If you notify this office in writing within 30 days from receiving this notice that you dispute the validity of this debt or any portion thereof, this office will obtain verification of the debt or obtain a copy of a iudgment and mail you a copy of such judgment or verification. If you request this office in writing within 30 days after receiving this notice, this office will provide you with the name and addrrrss of the original creditor, if different from the current creditor. We are a debt collector attempting to collect a debt and any information obtained will be used for that purpose. Please note that if your financial institution rejects and returns your payments for any reason, a service fee -the maximum permitted by applicable law -may be added to your balance. Sincerely, Allied Interstate, Inc. - r` o 1VIE~NL~E~S 15z FEDERAL CREDrf [INION REGULAR SAVINGS ACCOUNT; Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffx Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner LOAN ACCOUNTS: Account Number/Suffx Date Loan Established Principal Balance at Date of Death Name of Go-Borrower Loan Type Security Interest 215404-00 03/19/2002 $16,942.45 $12.50 $16,954.95 None 215404-11 03/19/2002 $1,303.24 $.00 $1,303.24 None 215404-03 11 /26/2005" $12,939.84 None Home Equity 927 North West Sfireefi Carlisle, PA 17013 Contractual Pledge Of Shares *Loan does not have life coverage. Paid in full on 7/16/2008. Estate of: SANDRA RAILING Date of Death: 06/25/2008 Social Security Number: 208-38-5854 ~'', MBERS 1ST FEDER - CRE T UNION ` +~~- ~.~ ~~-~~ ~ ~~ Danielle A. Kline Insurance Services Specialist Augusfi 12, 2008 F(1(1(1 T nii;cF Tl,-;.;P P(1 P,nv d(1 nnP~t,ar,;~~h,,,•~,- PPnncsrlvania 1%(155 • (R(1(11 ~g3_7~,~R • ~hnnnx~mFmhPrc1cr nrcr Page 1 of Return Mail Operations PO $ox 14411 Des Moines, IA 50306-3411 For Informational Purposes I~Ilful'~~nll'nII~"lul'll'r'II'~II~Ill~llul=~~~I~~~~~~r~ 038901 1 MB 0.369 6901/038901/013801 158 01 ACMYNP 708 SANDRA K RAILING 927 NORTH WEST STREET CARLISLE PA 17013-1437 nnnuuluunlllnllnnll~lnlnllrlnrlnlrllu~l~lu Summary Payment (Principal and/or Interest, Escrow) Optional Product(s) Current Monthly Payment Overdue Payments Unpaid Late Charge(s) Other Charges Month! Mort~a~e St ~ement Statement Date 06/13/08 J oan Number 0135009702 Customer Service Online wellsfargo.com '~' Telephone (866)234-8271 Fax (866) 278-1179 Payments PO Box 11701 Newark NJ 07101 TTY DeaflHard of Hearirn (800) 934-9998 Correspondence PO Box 10335 Des Moines IA 50306 Important Messages If you wish not to receive a statement, please Property Address contact us at the number above. $717.15 927 NORTH WEST STREET $0.00 CARLISLE PA 17013 $717.15 Unpaid Principal Balance $83,026.69 ~ (Contact Customer Service for your payo ce $0.00 $0.00 Interest Rate 5.250% $0 00 Interest Paid Year-to-Date $2,191.88 . Taxes Paid Year-to-Date $486.88 TOTAL PAYMENT 07/01/08 $717.15 Escrow Balance $1,345.06 Activity Since Your Last Statement Late Date Description Total Principal Interest Escrow Charge Other 06!13 PRINCIPAL PMT $32.85 $32.85 06/13 PAYMENT $717.15 $126.97 $363.94 $226.24 Ub/ty M I CV INS PMT $54.08- $54.08- PMI MORTGAGE INS CO This statement is for informational purposes only and is being provided as a courtesy should you voluntarily decide to make your loan payments. This statement should not be construed as an attempt to collect a debt or a demand for payment contrary to any protections you may have received pursuant to your bankruptcy case. If you have received a discharge, and the loan was not reaffirmed in the bankruptcy case, we will only exercise our rights as against the property and we are not attempting any act to collect the discharged debt from you personally. 0389011013601 ACMYNP 6901 ETM10005 1 ~ ~r~~a~ ~ ~ FEDERAL CREDST UNSOIV 2~ i5 Bumble Bee Hollow Road a P.O. Box 1429 Mechanicsburg. PA 17055 f --~~~- 1 ?hone (i ~ 7) 697-3474 - (800j 240-4364 'L__._.___ ' ~~ Notice: See reverse side for important information regarfliay your rigIlt to dispute errors on your statement. ACCOIIN'P NIIMBER: 36701 YTD DIV RECEIVED: .00 PAGE NIIMBER: 1 of 1 3385 SANDRA K RAILING "'" 927 N WEST ST CARLISLE PA 17013-1437 IT'S PAYBACK TIMEt RECEIVE AN 8% REBATE ON OIIR ROME EQIIITY LOAN AT 5.75%APR. CALL TODAY! WITH 200 MEMBER REWARD POINTS YOUR NEW LEVEL WILL BE: RED RIBBON MEMBERS GET MORE FREE FOREIGN ATM TRANSACTIONS. ASK US HOW! GTTMN(pRY Q~" g(1TTA A('(,`Q77~7!f'G j SIIFFIX O1 SENIOR SHARES ( SIIFFIX 30 00 FORD FOCIIS JOINT: ALLISON E. KROM ~ COMAKER: ALLISON E. KROM STATEMENT PERIOD 04/01/08 - 06/30/08 ~ STATEMENT PERIOD 04/01/08 - 06/30/08 BEGINNING BALANCE 5.34 ~ BEGINNING BALANCE 2,817.05 DEPOSITS 0 .00 ~ PAYMENTS 3 500.00 WITHDRAWALS 0 -00 ~ INTEREST FOR PERIOD 40.20 ENDING BALANCE 5.34 ~ LATE FEES .00 ADVANCES 0 -00 DIVIDEND YEAR-TO-DATE .00 I ENDING BALANCE 2,357.25 DIVIDEND THIS PERIOD .00 AVERAGE DAILY BALANCE 5.34 ~ INTEREST YEAP.-TO-DATE 90.94 DAYS DIVIDEND EARNED 91 ~ LATE FEES YEAR-TO-DATE .00 LOAN INTEREST RATE 6.250$ DAILY PERIODIC RATE .017123°s PAYMENT AMOUNT 155.93 PAYMEN'T' DUE DATE 0 8 / 14 / O S SIIFFIX O1 SENIOR SEiARE5= (NO ACTIVITY) SIIFFIX 30 00 FORD FOCIIS` HISTORY DATE DESCRIPTION TRANSACTION AMOUN'T' ACCOUNT BALANCE PRINCIPAL FINANCE CHARGE 4/24/08 LOAN PAYMENT 160.00 2,671.52 145.53 14.47 5/24/08 LOAN PAYMENT 180.00 2,505.24 166-28 13.72 6/21/08 LOAN PAYMENT 160.00 2,357.25 147.99 12.01 PAYMENTS DATE DESCRIPTION TRANSACTION AMOUNT PRINCIPAL FINANCE CHARGE 4/24/08 LOAN PAYMENT 160.00 145.53 14.47 5/24/08 LOAN PAYMENT 180.00 166.28 13.72 6/21/08 LOAN PAYT4ENT 160.00 147-99 12.01