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HomeMy WebLinkAbout06-11-0915056041125 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes ty PO BOX 280601 INHERITANCE TAX RETURN 2 1 0 8 1 0 0 5 _ Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 0 9 2 6 2 0 0 8 0 6 1 1 1 9 3 5 Decedent's Last Name Suffix Decedent's First Name MI V~r e i g e l N a n c y C (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILIL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS a 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) QX 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) CORR ESPONDENT -THIS SECTION MUST BE COM PLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number R M a r k T h o m a s E s q u i r e 7 1 7 7 9 6 2 1 0 0 Firrn Name (If Annlirahlal First line of address 1 0 1 S o u t h M a r k e t S t r e e t Second line of address City or Post Office M e c h a n i c s b u r g State ZIP Code REGISTER ~~ ILLS USE Y ~~ w ~ ` ~y ._ ~ ~'. _ -.v ~3 ., d °` ~ 'C -~ __ ~ ~ D ED ~• ";} P A 1 7 0 5 5 Correspondent's a-mail address: rmarkthomasCa~gmail.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. SIG~iB.TU13E OF PERSON RESPONSIBLE FOR FILIN.B RETURN neTC_ ADDRESS / ' 1204 Goss Dr've Mechanicsbur PA 17050 SIGN PA O THAN REPRESENTATIVE ,DATE 10:1 South Market Street Mechanicsburg PA 17055 PLEASE USE ORIGINAL FORM ONLY ''7 _,~ ..~ ~' 3 -~ ~~ ~:~ C '3 F ~i 1`r`7 t.`_> -; z Side 1 15056041125 15056041125 J 15056042126 REV-1500 EX Decedent's Social Security Number Decedent's Name: Nancy C. Weigel RECAPITULATION 1 8 0 0 0 0, 0 0 1. Real estate (Schedule A) ........................................ 1. 2. Stocks and Bonds (Schedule B) .................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................ 4. 5. Cash, Bank De osits & Miscellaneous Personal Pro e , , , , , , , p p rty (Schedule E) 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ....... 7. 8. Total Gross Assets (total Lines 1-7) ........... . .. . . . . . ... . . . . . g, 3 1 5 5 4 4 0 0 8 , , 1 1 2 2 9. Funeral Ex enses & Administrative Costs Schedule H P ( ) .......... ..... g. . 1 4 ~ 2 7 , 8 4 10. Debts of Decedent, Mort a e Liabilities, & Liens Schedule I 9 9 ( ) ...... ..... 10. . ~ 8 2 6 8 3 1 11. Total Deductions (total Lines 9 ~ 10) ..................... ..... . 11. 9 2 9 9 6 , 1 5 12. Net Value of Estate (Line 8 minus Line 11) ................... ..... . 12. 1 2 2 4 1 1 , 9 7 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............ ..... . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ............ ..... . 14. 1 2 2 4 1 1 , 9 7 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x.o 0 0 0 15. 0 0 0 16. Amount of Line 14 taxable 045 1 2 2 4 1 1 9 7 5 5 0 8 5 4 . at lineal rate x . 16 . 17. Amount of Line 14 taxable 0 0 0 0 0 0 at sibling rate X .12 17. . 18. Amount of Line 14 taxable 0 0 0 0 0 0 . at collateral rate X .15 18 . 19. Tax Due .......................................... ..... .19. 5 5 0 8. 5 4 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Side 2 15056042126 15056042126 REV-1500 EX Page 3 Decedent's Complete Address: Flle Number 21 08 1005 DECEDENTS NAME Nanc C. Wei el STREET ADDRESS 1204 Gross Drive CITY Mechanicsburg STATE PA ZIP 17050 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/F'enalty if applicable D. Interest E. Penalty 0.00 5,000.00 250.00 4. If Line 2 i;s 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. 5. If Line 1 1-Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (5A) B. Enter tlhe total of Line 5 +5A. This is the BALANCE DUE. (5B) 258.54 Make Check Payable fo: 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 i ^ 0 . rece ve 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? ......... ^ ^ 0 ^X 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. ^ ^Q IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1,2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5} percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12} percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (1) 5 508.54 Total Credits (A + B + C) (2) 5 250.00 Total Interest/Penalty (D + E) (3) 0.00 (4) 0.00 (5) 258.54 REV-1502 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHIERITANCE TAX RETURN F;ESIDENT DECEDENT ESTATE OF SCHEDULE A REAL ESTATE FILE NUMBER Nancy C. Weigel 21 08 1005 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 204 Gross Drive, Mechanicsburg, PA 17050 bi-level residential home on 0.2 acres w/3 bedrooms and 1.5 bathrooms. Property was appraised on ebruary 24, 2008, just 7 months prior to decedent's date of death. A copy of the appraisal is attached. 180,000.00 TOTAL (Also enter on line 1, (If more space is needed, insert additional sheets of the same size) REV-1508 EX -F (6-98) SCHEDULE E COMMOIVWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. IN RESIDENT DECEDENTRN PERSONAL PROPERTY ESTATE OF FILE NUMBER Nancy C. We>igel 21 08 1005 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointty-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 7 • ash 33,000.00 2• NC Bank, Checking Account No. 5070006793 861.12 SX Tower, 600 Grant Street, 36th Floor ittsburgh, PA 15219 3. efund (A Plus Settlement Services) 27.00 4• efund (Pennsylvania Gastroenterology Consultants, P. C.) 20.00 5. ausehold furnishings 1,500.00 TOTAL (Also enter on line 5, Recapitulation) I $ 35 408 1 (If more space is needed, insert additional sheets of the same size) REV-1511 E}; + (12_gg) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Nancy C. VVeigel 21 08 1005 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. I FUNERAL EXPENSES: 1. Myers Funeral Home, 37 East Main Street, Mechanicsburg, PA 17055 B. ADMINISTRATIVE COSTS: ~, Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)IEIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: 3,707.50 Zip 2. Attorney Fees R. Mark Thomas, Esquire 6,400.00 3. Family Exemption: (If decedents address is not the same as claimant's, attach explanation) 3,500.00 Claimant Timothy Weigel Street Address 1204 Gross Drive City Mechanicsburg State PA Zip 17050 Relationship of Claimant to Decedent son 4. Probate Fees 325.00 5 Accountant's Fees 6. Tax Return Preparer's Fees 7. United Water (water bills for October, November, and December 2008) 52.90 8. AT&T (phone bills for October, November, and December 2008) 139.79 9. UGI Gas (bills for October, November, and December,2008) 134.00 10. PPL (electric bills for October, November, and December 2008) 125.81 11. Mechanicsburg Borough (sewer bills for late 2008 and early 2009) 135.84 12. Werz Coal Yard 134.00 13. Orphan's Court filing fee and certification fee 20.00 14. Recorder of Deeds (recording fee) 53.00 TOTAL (Also enter on line 9, Recapitulation) $ 14,727.84 (If more space is needed, insert additional sheets of the same size) REV-1512 E>C + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Nancy C. VVeigel 21 08 1005 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, financial Freedom, 192 Techology Parkway, Suite 100, Norcross, GA 30092 77,726.08 ayoff on Reverse Mortgage given by decedent per loan dated May 1, 2008 see attached settlement sheet) 2. T & T 66.44 3. ilmore Eye Associates 19.41 4. GI (gas bill) 46.41 5. ulmo Dose Pharmacy 157.42 6. oscov's 104.63 7. oly Spirit Hospital 66.00 8. PL 62.69 9. nited Water 19.23 TOTAL (Also enter on line 10, Recapitulation) I $ (tf more space is needed, insert additional sheets of the same size) REV-1513 EX + (g-00) COM"MOPJWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN F;ESIDENT DECEDENT SCHEDULE J BENEFICIARIES Nancy C. Weioel NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 • Sandra L. Graybill 59 Gun Shop Lane Elliotsburg, PA 17024 2. Timothy G. Weigel 1204 Gross Drive iMechanicsburg, PA FILE NUMBER 21 08 1005 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Daughter Son AMOUNT OR SHARE OF ESTATE 1/2 of personalty /3 real property 1/2 of personalty /3 real property ~ EIVTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ (If more space Is needed, insert addltlonal sheets of the same size) Shut Appraisals, Inc. aai-azlaol6 Uniform Residential Appraisal Report Fde# 461-8216016 The purpose of this smnmary appraisal report is to provide the lender/dierrt with an accurate, and adequately supported, opinion of the marlret value a tree su0 ea prop Pro Address 1206 Gross Drive ~ Meohaaicebur State PA Zi Dode 17050 BOnOWer xaa C. Wei el DWner Of PUdb Recad xan C. iAei 1 COU c,m,berland Le al Descrf tbn Deed Book 136; Pa a 792 Assessa's Parcel # 19z3os69ola Tax Year zoo? R.E. Taxes $ z aoo. oo Eat N hbOrh00d Name eoro h Of Mechanicsbur Ma Reference ADC's 18-7F CenSUS Tfad 25620-0116.0 Occu ant Owrrer Tenant Vacant S I Assessments $ x A PUD HOA $ x/A ~r RKKIth " Pro R' hts A raised Fee Sim Leasehdd Orier describe Ass anent T Purdtase Trar~sadbn Refinance Transaction Otlier describe Lender/Cllett Stockton Turner LLC Address 11612 Williams rt Pike Greencastle PA 17225 Is the sub'ed ro curve offered fa sale a has tt been offered mr sale in the twelve months a to the effedive date of this a aisal7 Yes No R rt data space s used, offerin ice S ,and dates . ln.s of the sub"sets area. I ^ did ^ did reel analyze the contrad fa sale fa the subject purdtase transaction. Explain the results of the anaysis d the centred fa sale or why the anatysis was not Onned. sub'ect ie not !or Bale. Cordract Price $ x/A Date of Cattract x A Is the seller the owner of ublic record? Yes No Data Source s Is there any financial assistance (ban charges, sale concessbrts, gift or downpayment assistance, etc.) to be paid by arty party on behalf of the grower? ^ Yes ^ No ~ ft Yes, re ort the total ddlar amourtt and describe the items to be aid. x/A Note: Race and the racial compoattlon o} the rrrlghbortaod are not appralaal factoro. dfoadCharaoletiatics ~e-UnRHorra Trends Location lkban S~iabart Rural Pro Values ~ inaeasi Stable Declini Butt-U Over 75% 25-75% tklder 25% Demand/Su Shorts e in Balance Ova Su ~ Growth Ra b Stable Slow Marlrefi Tune Under 3 mris 3-6 mris Over 6 mlhs Oiie-UnttHouain PRICE AGE $000 s iso Law zo ReaantLaMUaeX, One-lktit 70 % 2.4 Untt s % Muitl-Fermi s % % C i l N ~ hbahood BOIIIdarle5 sub ~ act ie bound xo eetown Road to the Beast w Main street to the South t Road to the west and Texacro Road to the xorth. 350 High 75 185 Pred• 55 Ommero a 15 Dther 5 % N hborhootl Desert tbn The sub act is located in a residential area amore r erties of similar et le and market a sal. Homes in the area are peen led and maintained. all conveniences are Basil accessible to the sub act. The sub'ect is located in the Boro h Of Mechanieebur Schools sh in sad to tare within minutes of the sub'ect. Market Conditons urdudin su rt fa the above conclusions pr ertiea of this et le sad area sell well without sellers concessions. Interest Bu ovine are not revalent at this time with conventional rates under 7a. Dlmerisbns See Lenders Packs a Nea .2 Acres Sha a Reetan err View Residential $ tllC Zonin ~IaSSIfICatlOn Residential Zonin DeSai tbn Residential Zoni Com lance L al Le al Noncarrfarmin Grandfathered Use No Zoni N al desatlre Is the h' hest and best use d sub' o as an ousel a as ro Seel er lens ands 'rfications the sent use? Yes No tl No, describe Udlitlea Pudie Otherjdeacdbe) Public Otherjdeseribe) ON-aitel rovenunts-T Public Private Electric' loo Water Street AB halt ' Gas San' Sewer AI zone FEMA S hl Food Hazard Area Yes No FEMA Rood Zone c FEMA Ma # azo362 FEMA Ma Date 3 3 9z Are tlx! utilifies and oft-site im ovements icel fa the market areal Yes No tl No, describe Are there any adverse site caidtliats a external (adore easements, encreachmenls, environnw.rddal condttbns, land uses, etc. ? Yes No tl Yes, tlesaibe At the time there were no a event easements or encroachments. There were no a eoizl asseaements or elide areas. Sub act in within the 1 al z r atione of the boron Gerymaigaaorip2Wn< 1 PoundaUort 6xterio~fb~r meteriahlcondttbrt Interior me0etiablrrondittore{ lktiiLS One One witlt Aceesso Uni[ # d StOrleS 1 Concrete Slab Crawl S ace FuN Basement Partial Basement Foundation Walls cc Black/A EXterar WatlS BrickcVin 1 Av Floors t va 1/Av WatlS D all Paint A T pe Det Att S-DeUEnd Unit Exist' Pro Seel Under Const. Des' n S le ei-Level Year Buit 1971 Eftecdve Age re is Attb None Drop Star Staas Roor Scuttle Fnished Heated Basement Nee 7so s .ff. Basemertt Fnish so % Outside En /Exit Sum Pum Evidence of Infestation xoae xote~ ^ Dampness ®Setdernent Heaii FWA HW88 Radiant Other Fuel Gas Cool' Central Aa Condtlionin Individual Other Roof SurtaCB c shin Gutters & Downs outs Yea Window T e Double Bun Storm SasfrMsdated Thesmoa Av Screens Yee/AV Amenities Woodstove s # 1 Flreplace s # Ferx:e Pafio/Dedr Wood Porch covered Pool Other TrinVFlnish wood painted/Av Bath Roor vin A Bath Wainscot Finer lase/Av Car Stara a None Drivew # d Cars z+ Drivewa Surface Ae alt Gara e # of Cars 1+ Car # of Cars Att Det Built-in A lances Reiri erata Ra e/Oven Dishwasher Dis osal Microwave Washer/ er Other describe Ran a Hood Finished area above reds contains: 6 Roams 3 Bedrooms 1. s Baths 1 092 ware Feel d Gross Livi Area Above Grade . Additional features s 'al ener efficient ItenS etc.. sub act hoe a Gee water xeater Siniehed lower level with wood coal stove Describe the condtlion of the otdudin needed re aPS deterforation renovations remotleli etc.. The sub act is in avers a condition on both the interior and exterior. The avb'ect hoe a standard Llooz tan and amenities.. xo evidence of functional or economic obsolescence was obeernd. Are tlxtre a ysical defbierrcies a adverse conditions that affect the livabiity, soundness, a structural integrity of the pro ? Yes No If Yes, desabe At the time of in action there were no h steal or adverse structural conditions affectin the sub'ect or it's marketabilit obsernd. goes the eneral conform to the ne' hbahood functional utl' s e condition, use, construdion, etc. 7 Yes No If No, describe At the time of in action the sub act ro rt is is confornit with the other ro rtiee in the net hnorhood Freddie Mac Form 70 March 2005 Page 1 of 6 Fannie Mae Form 1004 March 2005 Fam 1 W4-'TOTAL fa Windows" appraisal software by a la mode, inc. -1-800-ALAMODE 461-8216016 l Inifnrm Residential Aonraisal ReDalt ales aa1_aslaole There are z com arable affes ca offered fa sale in the sub~ect net hborhood ran n in ice Fran $ 16z o0o to $ 190 000 There are a cool able sales in the sub' rre hbahood within the ast twelve months ra b b sale ce from $ iso 00o to $ z2s o00 FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 1206 Gross Drive 6 E Xoodlaad Ave 11 Edgewood Drive 1605 Apple Drive Mechanicabur PA 17050 Meohaaicebur PA 17055 Hechaaicsbur PA 17055 Dfechanicebur PA 17055 PrOxlrll 10 Subject _ ~ t . S 6 ts_11e _ 1.06 role 2. st tU.lee Sala PriC9 $ N/A' ~$ 139 OOG _ ~ 202 OOG $ __ 189 900 Sale Price/Gross Liv. Area $ e i t, 37 fl 162.37 .ff. Data $01708 S t4.3/BYES Re rte VarfbatbnSources ~ Public Record VALUE ADJUSTMENTS CE~tiRiPTION I DESCRIPTION +- $Ad'tutmad $ 190.57 .n $ 152.16 S .ft HI.S STEM R rte HI.S STES Re orta Public Record Public Record DESCRIPT~N +- $Ad'ustmad DESCRIPTION +- $Ad'ustment Sales a Rnancing vA I;aICeSSbnS Sellers -S 500 vA Nom Noted Conventional Sellers -415 Date Of $alelfxne 3 21 07 20 rrr 9 26 07 3 nrr 8 28 07 5 MT Localbn Leasehold/Fee Stn le Suburban/AV Fee S' le Suburban/AV Fee S le Suburban A Fee S le Suburban/Av Fee S le SItB .2 Acres .23 Acres .16 Aezes .37 Acres Yield Desin $ IB Residential ei-Level Residential Hi-Level Reaideatial Bi-Level Residential Bi-Level Oval' of Construction Hrickc 1 Av Brickcai Av BrickGVh 1 Av Brick6A1 Av Actual A e 37 36 33 39 Condition Avera Avera Avera a Avera Above Grade Toth Bdrrns. Berths TotA Bdrms. Baa1s Total Bdm1s. Baths Total Bdms. Bahs Room C08nt 6 3 1.5 6 3 1.5 6 3 1.5 6 3 1.5 Goss LNin Area 1 092 S .ff. 1 166 S .ff. 1 060 S .ff. 1 268 S .fL -3 120 Basement&Finished RoomsBebw Grade 780 Sq. Ft. Famil Part Basement Samil Bath -1 500 Part Basement Famil Bath -1 500 Part Basement Samil Bth Bd -2 500 FUrxtional Utd' Avera Avera a Avera a Avera . Neatin Coolin Fcm/cA FWA/CA Fc~rA/cA ~` ~ Ener EffClerd IlanS Theaal ernes Thezmal anew Thermal ernes Thermal ernes tiara e/Ca 1+ Built-Ln 1+ Built-In 1+ Built-In 1+ Built-In Porch/PatiWDeCk Avera a Avera Avera a Avera e ~ Rre aCP/WOOdSt0V8 1 Coal Stove 1 Fir lace 1 Sire lace 1 Fir lace e NetAd'ustmatt 01aI + - $ 10 000 + - $ 1 500 + - $ 6 035 Adjusted Sale Price Net 5.3 % Net 0.7 % Net 3.2 % of com ambles ~~ Gross 5.3 % $ 179 00o Gross 0.7 % $ zoo soo Gross 3.2 % $ is3 ass I did did not research the sale or ttansfar nisto of the sub' pro and comparable sales. ff not, explan .research did did not reveal an ria sales or transfers of the subject ro fa the three ears 'a to the eifectNe date of this a sisal. Data $OUfOe S Tax Assessment officer research did did not reveal an a sales a transfers of the com arable sales for the ear rbr to the date of sale of the com arable sale. Data SOwCe S Tax Assaesmeat 0lLice R ort the results of the res~rch and anal sis of the w sale a transfer hist of the subject ro e and com arable sales re ort addfdonal rior sales on a e 3 . ITEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3 Date of Prier SaWTransfa Noae Noted None Noted None Noted Noae Noted Price of Prior Sale(fransfer N/A p/A N A N/A Data $OaCeS Public Record Public Record Public Record Public Record EftecliveDateofDataSourc s z 28/zoos z za/2ooa 2/za 2ooa z za/zoos A sis of rior sob or tracefer his of the sub'ed o and com arable sales Aaal is of tier reaorda and tq.s r orta 9hOwa the sub sot and cam arablea have not been listed for sale or transferred in the ast 36 months. $Omma of Sales Com arisonA roach All sales are closed transactions. All sales are considered avers indicators of value a c ter aerated wet tad avers was used as as aid is determinin value in the finial reconciliation. Due to the limited number of similar translera in the sub ~ect's area arable chosen are older sad or wider than ideal. Ind'xxted Value Sales Can inn A ach $ 1so 000 Indbated Yalue by: Salsa Com arlaon Approach S 1HO o0o CostA malt (K devebped) S iso aoi Income Approach (H devebped) S N A The market a roach is the beet a roach for this t e of ro art The coat a roach is not a licable. The income a roach. is not a licable to the evb act as t ical urchasere are more interested ia. amenities the sub act contains s rather than the income it ma roduce. This appraisal is made ®"as Ls", ^ subject to completion ~ plans and spec'rficetions on the basis of a hypothetical condition that the improvements have beat completed, ^ subject to the fdbwittg repairs a attaadats on the basis of a hy~thetical condition that lice repays w alterations have bean canpieted, a ^ subject to the e fotowin r vied ins lien based on the ectraordin assert lion that the conditial a defbiet does not r uke attention or re P: Pr art does master +~+^++^al FRA ro art standards is its ere-is condition with minor cosmetic r airs. Based on a complete vlaual Inapectlon of the Interior and exterior areas of the subject property, defkted aoope of vrork, atatemern of aasumptbne and 14nhlny candRbns, and appralaer'a certlHoatbn, my (our) apinlon tit the market value, as defined, of fhe teal property that b the subject of thin relwrt la S 180 00o aaot z/za/zoos whidl la the dots o} Ina ecNon and the ettecthre date of thin nisei. Freddie Mac Form 70 March 2005 Page 2 of 6 Fannie Mae Form TUU4 Marcn LWD Form 1004 -'TOTAL fa Wttdows"appraisal software by a la mode, bc. -1->~0-ALAMODE 661-8216016 l Inifnrm Residential ADDI'dlSal R@D01't Fiat! 661-au6o16 Re airs needed to the sub'eet consist o! onl a GAI outlet to the Ritchen. 50.00 Total 50.00 "The raiser's in action was limited to viewin those ortione of the home which are clearl visible from ound or floor level and basment. It did not include an in action of the aub'ect's attic or other areas that would not be visible to the t ical visitor to the hams. This a raieal has been co leted under the Extraordina As lion that there are no advazae conditions or defects which would be dieolosed onl b ins action of those areas which aze not visible to the t ical visitor. The sub ~ect'e mechanical s stems were not tested b the A raiser exce t for the Electric and the water stems both were found to be in correct work order. This a raieal has been c lated under the Extraordina Ase lion that all mechanical stems (i.e. electzical breaker aezvice furnace lamb etc. were in worki order as of the ettective date of the a raieal with nor sire needed unless otherwise noted. Althou h the raiser did not tom lets an testa of the mechanical a tame or ins act areas that were not routinel • accessible in close detail there were no readil a arent ei s of structural deficiencies or mechanical a tam failures noted darts the ins action e. dame Lrom lumbin leaks lack of electrical war lack of heat etc. unless otherwise noted is this re rt." COST APPROACH TO VALUE (not used h Fannie Mae Provide ad oats e~famation fa the lendeddient to re licate the bebw cost fi ores and calculations. Su ort for the o mion of stte value summa of tom arable land sales a other methods for estenat' site value Site value aze within idelines oL 306 of value + - ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW Source of cost data Marshall c swift coat Band Book OPINION OF SITE VALUE__________________________________..._._______--_-_-...__.___.- _$ 65 000 DWELLING 1 os2 $ .R. $ 102.00 _____._._ _$ 111 3Ba Qaal~ fat irOm COSt SeNN2,' Avara Effective date of cost data 2007 Basement Fin 790 S .R. $ 23.62 --____.__. _$ 18 624 - Canments on Cost A oath roes livin area c~ulations, de reClatlOn, etC. See Attached Sketch Huilt-ins Deck Pch Ect -------_. _$ 11 000 Gara e/Gar ort 312 $ .R. $ 11.52 _____________ _$ 3 596 • The Marshall G Swift Coet Hand Book was used as an aid in c alts the costa roach utilizin Total Estimate of Cast-New Less P SICaI FmC110na1 -_____-_.... _$ 166 602 External " avers e'• alit The estimated De reciadon 36 101 =$ 36 101 remaiain economical life ie 30-40 care. De n:ciated Cost of Vn ovements _...___________.____--___.._.___-__-___ _$ 108 301 "As-is" Value of Site Im emerrts ----------------------------------------------- _$ ~ soo Estimated Remaining Economic L'rfe (HUD and VA onN1 as Years INDICATED YALUE 8Y COSTAPPROACH. =5 1so sot INCOME APPROACH TO VALUE not iequtad by Fannie 5iae- • Estimated Mat< Marla Rent $ x A X Grass Rem PAutti lien x A = $ N A Indicted Value b Income A oath $ORlrn of IncaneA OaCh Indlldill!' SO 10r filarl(et rem a0d GRM) The incc~e a roach thou h considered was not used in this a raieal as the t ical =w:chaser ie more interested in home ownershi rather than investment. PROJECTINFOROAATiONFOR PUDst (H Ilaabb}` Is the deveb er/builder m catbal of the rianeowners' Association HOA ? Yes No Unft s Detached Attached Provide the followin information to PUDs ONLY tt the devdo er/bui1der is in control of dta HOA and ttie sub'ect ro is an attactx3d dwetlet untt. L al Name of Pro act N A Total number of sees N/A Total numbs of units N/A Total number of colts sold N/A • Total numbs of uni15 rentBd N A Total number of mils fa sale N A Data sources N A -Was 1118 d seated the wrnersien of existh builder s into a PUD? Yes No tt Yes, date of conversion. N A :Does the ro ed contain a multi-dwellin units? Yes No Data Source N A Are the coifs, common elemerds, and reaeatlon facdtties complete? Yes No If No, desaibe the status of can dion. N A Are dte common elements leased to a the Haneowners' Association? Yes No If Yes, desa~e the rerdal terms and o lions. N A Desaibe axnmm elements and reaeatiatal faceities. N A Freddie Mac Form 70 March 2005 Page 3 of 6 ranme nnae roan iuu4 marts c~ua Form 1004-'TOTAL fa Windows" appraisal software by a la mode, inc.-1-800-ALAMODE ee~_n~ren~e Unifarrn Residential Appraisal Report ~~ 4a~-a2~ao~6 This report form is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit; including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a manufactured home or a unit in a condominium or cooperative project. This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value,. statemenrt of assumptions and limiting conditions, and certifications. Modifications,. additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may expand the scope of work to include arty additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do not constltute material alterations to this appraisal report, such as those regwred by law or those related to the appraiser's continuing education or membership in an appraisal organization, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requirements of this appraisal report form, including the fo-lowing definition of market value, statement of assumptions and limning condltions, and certifications. The appraiser must, at a minimum: (1) pertorm a complete visual inspection of the interior and exterior areas of the subject properly, (2) inspect the neighbofiood, (3) inspect each of the comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal report. INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of this appraisal for a mortgage finance transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFlNITION OF MARKET VALUE: The most probable pdce which a property should bring in a competltive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of tale from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he or she considers his or her own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U. S. dollars or in terms of financial arrangements comparable thereto; and (5) the pnce represents the normal consideration for the properly sold unaffected by special or creative financing or sales concessions* granted by anyone associated with the sale. *Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradltion or law in a market area; these costs are readily identifiable since the seller pays these costs m virtually all sales Vansactions. Special or creative financing adjustments can be made to the comparable properly by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Arty adjustment should not 6e calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of arty adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgment. STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the following assumptions and limiting condltions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to lt, except for information that he or she became aware of during the research involved in performing this appraisal. The appraiser assumes that the title is good and marketable and will not render any opinions about the title. 2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements. The sketch is included only to assist the reader in visual¢ing the property and understanding the appraiser's determination of lts s¢e. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in this appraisal report whether arty portion of the subject site is located in an identified Special Rood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4. The appraiser will not give testimony or appear in court because. he or she made an appraisal of the property in question, unless spec'rfic arrangements to do so have been made beforehand, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed. repairs, depreciation, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the research irnolved in pertorming the appraisal. Unless otherwise stated in this appraisal report, the appraiser has no knowledge of any hidden or unapparerrt physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such conditions that do ebst or for any engineering or testing that might be required to discover whether such conditions east. Because the appraiser is not an expert in the field of environmental hazards, this appraisal report must not be considered as an environmental assessment of the property. 6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that the completion, repairs, or alteratons of the subject properly will be performed in a professional manner. Freddie Mac Form 70 March 2005 Page 4 OT b ra~i~w ~nw i v~~,, ,.,..~ ,...+ ..... ........ Form 1004 -'TOTAL fw Wkrdows" appraisal software fry a la nrode, inc. -1-800-ALAMOOE aa~_a~~anis Uniform Residential Appraisal Report Flle#~ aai-aziaois APPRAISER'S CERTIFlCATION: The Appraiser certifies and agrees that: 1. I have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in this appraisal report. 2. I performed a complete visual inspection of the interior and exterior areas of the subject property. I reported the condition of the improvements in factual, specific terms. I identified and reported the physical deficiencies that could affect the livability, soundness, or structural integrity of the properly. 3. I performed this appraisal in accordance with the requirements of the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 4. I developed my opinion of the market value of the real property that is the subject of this report based on the sales comparison approach to value. I have adequate comparable market data to develop a reliable sales comparison approach for this appraisal assignment. I further certify that I considered the cost and income approaches to value but did not develop them, unless otherwise indicated in this report. 5. I researched, verified, analyzed, and reported on any current agreement for sale for the subject properly, any offering for sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report. 6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable sale, unless otherwise indicated in this report. 7. I selected and used comparable sales that are locationally, physically, and functionaly the most similar to the subject property. 8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that has been built or will be built on the land. 9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject property and the comparable sales. 10. I verified, from a disirrterested source, all information in this report that was provided by parties who have a financial interest in the sale or financing of the subject property. 11. I have knowledge and experience in appraising this type of property in this market area. 12. I am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing services, tax assessment records, public land records and other such data sources far the area in which the property is located. 13. I obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that I believe to be true and correct. 14. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property or that I became aware of during the research involved in performing this appraisal. I have considered these adverse condftions in my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject property. 15. I have not knowingly withheld arty significant information from this appraisal report and, to the best of my knowledge, all statements and information in this appraisal report are true and correct. 16. I stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the assumptions and limiting conditions in this appraisal report. 17. I have no present or prospective interest in the property that is the subject of this report, and I have no present or prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or opinion of market value in this appraisal report on the race, color, religion, sex, age,. marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject properly or on arty other basis prohibited by law. 18. My employment and/or compensation for performing this appraisal or arty future or anticipated appraisals was not conditioned on any agreement or understanding, written or otherwise, that I would report (or preserrt anaysis supporting) a predetermined specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of any party, or the attainment of a specific resuR or occurrence of a specific subsequent event (such as approval of a pending mortgage loan application). 19. I personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If I relied on significant real property appraisal assistance from any individual or individuals in the pertormance of this appraisal or the preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks performed in this appraisal report. I certify that arty individual sa named is qualified to perform the tasks. I have not authorrzed arryone to make a change to arty Rem in this appraisal report; therefore, any change made to this appraisal is unauthor¢ed and I will take no responsibility for R. 20. l identified the. lender/client in this appraisal report who is the individual, organization, or agent for the organzation that ordered and will receive this appraisal report. Freddy Mac Form 70 March 2005 Page 5 of ti ramw maa ru,,,, ,...a ,..o.,.,. ~...... Forth 1004-'TOTAL fa Wndows~ appraisal software by a la mode, inc.. - t-800-ALAMODE Uniform Residential Appraisal Report F~a~ aal- 21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the borrower; the mortgagee or tts successors and assigns; mortgage insurers; government sponsored errterprises; other secondary market participants; data collection or reporting services; professional appraisal organ¢ations; any department, agency, or instrumentality of the United States; and arty state, the District of Columbia, or other jurisdictions; without having to obtain the appraiser's or supervisory appraiser's (if applieable) consent. Such consent must be obtained before this appraisal report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public relations, news, sales, or other media). 22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/clierrt may be subject to certain laws and regulations. Further, I am also subject to the provisions of the Un'rform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me. 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves any one or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or represeration of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any irdentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or criminal penalties including, but not limned to, fine or imprisonment or both under the provisions of Titie 18, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIflCATION: The Supervisory Appraiser certifies and agrees that: 1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certfication. 2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 3. The appraiser identified in this appraisal report is etther asub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under the applicable state law. 4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered' containing my original hand written signature. APPRAISER Signature Name sball Company Name Shv11 Appraisals Ina. Company Address loo River Road Duacannon PA 17020 Telephone Number 717-esa-oo2o Email Address bjehull@paaetwork.oom Date of Signature and Report Harsh oa, zoos _ Effective Date of Appraisal 2/za/zoos State Certification # Rl.ooslisr. or State License # or Other (describe) State # State PA Expiration Date of Certification or License s/so/zoos ADDRESS OF PROPERTY APPRAISED 120a Grose Drive M *~ icebura PA 17050 APPRAISED VALUE OF SUBJECT PROPERTY $ lso,ooo LENDER/CLIENT Name Comparry Name Stooktoa ltirner T... Company Address 11412 Williamsport Pike Greencastle, PA 17225 Email Address SUPERVISORY APPRAISER (ONLY IF REQUIRED) Signature Name Company Name Company Address Telephone Number Email Address Date of Signature State Certfication # or State License # State Expiration Date of Certthcation or License SUBJECT PROPERTY ^ Did not inspect subject property ^ Did inspect exterior of subject property from street Date of Inspection ^ Did inspect interior and exterior of subject property Date of Inspection COMPARABLE SALES ^ Did not inspect exterior of comparable sales from street ^ Did inspect exterior of comparable sales from street Date of Inspection Freddie Mac Form 70 March 2005 Page 6 of ti ramw maa rvnn ~uu+,•,u,o„ cu.,.. Fonn 1004 -'TOTAL for Wndows° appraisal software try a la mode, nc. -1-800-AU\MODE nr r o. ,. -, nx' A! 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I' y~ ~ ''11~~.(a Jrf; S ! 6~ s ~ . ti ~ 1 ~ ~ ~ :. ~ f ~ ` `1 ' ,' ~i' r . ~~! 11 ~'~ flf ~'f; 4>w'Yi>i{~ ~~~~ f I ~ ~ ~ ~ 1 `'1 ~1I'I `d! r I', ~1 V ; i~ 11 IA} / Ilt ~i } ,t~ 'mT',L ~ ~ .. al 'f' I t 'Al d I~ 4 s) pR C~c#~ r~1tV .',~~~~~1 rF r~~ i }1 .1F` I ;;liw ~ ', q1 ~~It PI f..lf, ~a~ \r ~•Ot"Y`~~~f~,~~~'~©©Ae q ne~1 ~ 1 .1 F (~ ~" ~~ r i~ OI - ~1f ~ I~ lat ~~~Y~yo~Fln i7ViaV' ~ ' ~~ a, ~~1 ~ I I E( pp p t CP(r'3~15 ! E r ~~ ! ~ ~ ~ k !I f ~ it fl ~ ^~,~ "' ~1' ~~I~1~tcrFg our funecraE hams to provi~l~ ~srWic~as fpx yourfarnily rfuric~~ your ~areav~rtR~r~~ ,i; ~1 ~ , ~i+:,r~d raur senrf~~ra',tc? be of the ~i~ilest st~~~~~~ ~r~d that they met,your ne+~t4 ~~d t~OS~3 a ` ~ e cti'ar ;s~.,as r~uiQUSV e~al~Rn,q~' ~4?p~, ,' ' tI' { ` ;;< !,. ~, o '~i~~. iFri~ndsl T'~e,'fia~1Q~uFnc~ is ~ ,~ummar~ ~~ the ~~-'w ~ `~ P .. ~ ' I I , 1 1 '1~ ', ,~ ' i~ i'~~~enl ft~n't aka tie ~err~~es for ~ ~ ` ' ` ~ ~ ' ' ' ~ , 1 r x ; r N~n~ ~ ' ' , ~ ,1 11191 1 i ' ~ ' ; ti f ~ .~ ~ 7Nf '~~. 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' F V a l ~f t ;; { 1 1 ,' ~. ,' I :t I '~,i'1 h IRI ~r II f' i ~ r '' 1 ~.' t '~! "'.~i I '.r. .. ~ ~ ! til i !b ~ ~ .,.f~ z Al F ~. .. .. 'jJ 1 Rt 1 +'I ~i -r P 6,, H, 1 -, r. ~ i V, , 1^' ',1 I ~ J 1= ;i~ ~ 1 t~ t - a 1, ' ! ' l~{ 1 ~ Iii 1 t~ t' ( {`; a ~~~ r ` ~ ~ ~ ~ ~ ~. ~,I. tl,d tiflft<~, Ipl i ~ I 's 1 ! ~1 x ,: ~ I , a Ir ~~ ~1 a ~' i ~ a, 0b ~ T T 80 ~ S0 I1f10N Tod 96S '9WOH~ ~d~I~Nfld S?~B.lW TZb~-99L-LTL 1r, , RECEIPT FOR PAYMENT GLENL)A FARNER STRASBAUGH Receipt Date: 10/07/2008 Cumberland County - Register Of Wills Receipt Time: 15:57:29 One Courthouse Square Receipt No.: 1054276 Carlisle, PA 17613 WEIGEL NANCY C Estat;e File No.: 2008-01005 Paid By Remarks: R MARK THOMAS MW ------------------------- Receipt Distrib ution ------ ------- -------- --- Fee/^.Cax Description Payment Amount Payee Name PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN JCP F?EE 10.00 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 20.00 --------------- CUMBERLAND COUNTY GENERAL FUN - Chec}c# 2077 $310.00 Total Received......... $310.00 ~j X0%3 p~ RECEIPT FOR PAYMENT GLENL)A FARMER STRASBAUGH Receipt Date: Cumberland County - Orphans Court Receipt Time: One Courthouse Square Receipt No.: Carlisle, PA 17613-3387 WEIGEL NANCY C File :Number: 2008-01005 Paid :By Remarks: R MARK THOMAS ATTORNEY AT LAW AJW ------------------------ Receipt Distribution Fee/T<~x Description Payment Amount Payee Name 12/23/2008 09:42:.07 1038169 PETITION 15.00 CUMBERLAND COUNTY GENERAL FUN Check## 2985 $15.00 Total Received......... $15.00 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Cumberland County - Orphans Court One Courthouse Square Carlisle, PA 17613-3387 WEIGEL NANCY C File Number: 2008-01005 Paid By Remarks: R MARK THOMAS ESQ MW Receipt Date: 12/31/2008 Receipt Time: 09:55:14 Receipt No.: 1038214 -------------- Receipt Distribution ----- ------------------- Fee/Tax Description Pa ent Amount ~ Payee Name CERTIFIED COPIES --5_00 CUMBERLAND COUNTY GENERAL FUN Cash ------'- $5.00 Total Received......... $5.00 ~~ united Water P'ennsylvarxia Customer Service Center ~ 8189 Adams f?rive, Hummefstown, PQ'I7036 , ;~~~ Un~te~ :c~~~~ Telepltone:717=564-3662 _' .. 'wwv~t;unitedwater cam > '.S`.lC~ USAGE HISTORY Monthly usage in thousand gallons a a a Billing Date: 10/02/08 Account Number: 002009 99517239 Previous Balance $29.76 Payments Through 10/02/08 Tna~/r rou $29.76C Balance Forward $0.00 Current Charges Due 10/22/2008 $19.23 TOTAL AMOUNT DUE $19'.23 *PAY BY 10/27/08 TO AVOID A 1.5% LATE PAYMENT CHARGE SERVICE T0: NANCY C WEIGEL SERVICE ADDRESS: 1204 GROSS DR MECHANICSBURG PA Meter Number` Servici=_ Days<nf Meter Reading '` Unit'ot > From To Servii;e .Previous .Present Usage Measure Reading Type 64207552 09/02/08 09/30/08 28 0173 0175 2 MGL ACTUAL EQUIVALENT TO 2, 000 GALLONS SERVICE CHARGES $8.50 WATER CHIARGES $10.27 W-DSIC SURCHARGE $0.50 W-STAB SURCHARGE 0.04 CR TOTAL CURRENT CHARGES $19.23 SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION 'IMPORTANT MESSAGES If you would Ilke to pay your bill online, please vlstt our website at www.unitedwater.com and click on the Western Union's Speedpay icon. Approximates state tax included on this bill $0.92. ' ~a / ~ ~~ onnggF PL FAST DETACH HFRF AND RFTIIRN THE RDTTOM PDRTIl7N WITH YnIIR PAVM FNT IN THE RPTIIHN FNVFI (1PP PR1lViDFD .+nn un ono no. ~omw pct ivov uec .lan Feb Mar Apr Apr Jun Jul Aug Sep Sep Next meter reading date: on or about 10/31/2008 'L{niterl '1Nater Permey;vania Customer Service Center ' ~ ;: 8189 Adams [love, HumrrrelstoKrn, PA 174136 ~'~ ~ I11~C C~ Ater ,: Telephone: 717=564-3662. ~v www, unitecievati~r,~t~m ' S~./~Z V H 0 Nov Dec Jan Feb Mar Apr Apr Jun Jul Aug Sep Sep Nov Next meter reading date: on or about 12/03/2008 *PAY BY 11/29/08 TO AVOID A 1.5% LATE PAYMENT CHARGE SERVICE T0: NANCY C WEIGEL SERVICE ADDRESS: 1204 GROSS DR MECHANICSBURG PA ~Je#er Number' Servrce Days;of Meter Reading Onit of Fr©rrE >To Service Previous Present Osage Measure Reading Type _- -__ __.__.__ __..,......, ..T ~~,,, viii c IVwL HGIUHL E4U/VALENT TO 2, 000 GALLONS SERVICE CHARGES $8.50 WATER CHARGES $10.27 W-DSIC SUiRCHARGE $0.67 W-STAB SURCHARGE $0.04 CR TOTS AL CURRENT CHARGES $19.40 SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION ~~ ''1MPOFtTANT NfESSAGES If you would like to pay your bill online, please visit our website at www.unitedwater.com and click on the Western Union's Speedpay icon. Approximates state tax included on this bill $0.93. ` Billing Date: 11/04/08 Account Number: 002009 99517239 Previous Balance Payments Through 11/04/08 Thank You Balance Forward Current Charges Due 11/24/2008 $19.23 19.23C $0.00 $19.40 TOTAL AMaUlVT DUE $19.40. USAGE HISTORY Monthly usage in thousand gallons United<Water Pennsylvania Customer Service Center ~ • $189 Adanss Drive, H~mme4stown, RA 17Q36 ~ ~( ~l 1~"~~ ~'~~l Teiephone:_717-564-366 _ -. '+An~t: unifedwater, cotti .~~/~~ USAGE HISTORY Monthly usage in thousand gallons B~~~Ing Dete: 12/0208 Account Number: 00200999517239 m a 0 SERVICE T0: NANCY C WEIGEL Previous Balance $19.40 Payments Through 12/02/08 rnd~k yo„ $19.40C Balance Forward $0.00 Current Charges Due 12/22/2008 $14.10 TOTAL AMOUNl'' DUE... ' $14.10 *PAY BY 12/27/08 TO AVOID A 1.5% LATE PAYMENT CHARGE SERVICE ADDRESS: 1204 GROSS DR MECHANICSBURG PA Meter'Numbef` ;Service pays of Meter Reading Unlt of frQ111 To Service Precious Present Usage ;:,. Measure Reading Type a~f17ri~i~ ~ 1 /n'2InA 1 ~rni rno no n, -,~ .., -,., - _-. _ - --~--._- -"~-,~~ ~~ viii vlio 1 IVIhL HI.IUHL EQUIVALENT TO 1, 000 GALLONS SERVICE CHARGES $8.50 WATER CHARGES $5.14 W-DSIC SURCHARGE $0.49 W-STAB SURCHARGE 0.03 CR TOTAL CURRENT CHARGES $14.10 SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION 'IAARORTANT MESSAGES If you would like to pay your bill online, please visit our website at www.unitedwater.com and click on the Western Union's Speedpay icon. . Approximate state tax included on this bill $0.68. f ° /~~ia/ e uec pan reb mar Apr Apr Jun Jul Aug Sep Sep Nov Dec Next meter reading date: on or about 12/31/2008 United Water Pennsylvania Customer Service Center • 8188 Adams [3rive, Hummetstown, PA 17036' u~~J ~11~~Ed ~~E3f" .Telephone: 71T-56+t-3562 v~ww.un'i#edwater.care ' «.5~./~Z USAGE HISTORY Monthly usage in thousand gallons m 0 SERVICE T0: NANCY C WEIGEL Billing Date: 01/05/09 Account Number: 00200999517239 Previous Balance Payments Through 01/05/09 Thank You Balance Forward Current Charges Due 01/25/2009 $14.10 $14.1OC $0.00 $19.40 TOTAL AMOUNT' DUE > `$ 19.40 *PAY BY 01/30/09 TO AVOID A 1.5% LATE PAYMENT CHARGE SERVICE ADDRESS: 1204 GROSS DR MECHANICSBURG PA Meter Number Service Days of Meter Reading Uni#'of From Ta Service `previous ..Present Usage Measure Reading Type _._. - •--• _-•- ~~-,~~,~-~- ~~,~~,~+~ .~~ vlio utov L MIiL HGIUHL EQU/VALENT TO 2, 000 GALLONS SERVICE CHARGES $8.50 WATER CHARGES $10.27 W-DSIC SURCHARGE $0.67 W-STAB SIRCHARGE .0.04 CR TOTAL CURRENT CHARGES $19 40 SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION IMPORTANT M1AESSAGES If you would. like to pay your bill online, please visit our website at www.unitedwater.com and click on the Western Union's Speedpay icon. Approximate state tax included on this bill $0.93. i' r ~~~~~~ t oooge tsosfla PLEASE DETACH HERE AND RETURN THE BOTTOM PORTION WITH YOUR PAYMENT IN THE RETURN ENVELOPE PROVIDED. taafltitngoflt23t2oofl Jan Feb Mar Apr Apr Jun Jul Aug Sep Sep Nov Dec Jan Next meter reading date: on or about 02/03/2009 Your .AT&T Statement August 15 -September 14, 2008 #BWNC;JFM #092i?0133993019# B ~n~~~~ni~~~n~~~~~~~~nin~~in~~~u~~~n~i~~~~u~~n~~~u~~ NANCY C WEIGEL 1204 GROSS DR MEC:HANICSBURG PA 17050-3112 ,. Previous balance .........................................................................119.42 Payment received Aug 29 - Thank you .........................................-119.42 AT&T Local Services ..................................................p 2..............42.85 ATBT Long Distance Services .....................................p 3..............23.59 Total amount due $66.44 Date due October 9, 2008 . . ,. . Never Mail Another Check to Pay Your AT&T Bill. For the ultimate convenience, enroll in AT&T Automatic Bill Payment (ABF') and have your future payments automatically deducted from your checking account. To enroll, check the box and sign on the line on the back of the remittance coupon, and return with your payment. Or sign up for online billing to review and pay your bill each month by logging onto your AT&T Online Billing account: at www.att.com/remitdoc ~' Extra! Extra! Dual Handset Phone with Digital Answering System The AT&T SL82218 telephone features an integrated digital answering system with remote access, handset speakerphones, 50 name/number caller ID history and the ability to intercom between handsets. DECT 6.0 technology provides superior sound quality and prevents interference from wireless networks. Add up to 10 handsets (AT&T SL80108) through a single phone jack. Order the SL82218 for $69.95 and enjoy free shipping on this product until October 31st, 2008 by using the promotional code: 62WKHU4C. Dial 1 800.CALL.ATT for Collect calls 1.800.CALL.ATT for Collect calls is one flat rate, 24 hours a day, every day. Dial down the center 1.800.C-A-L-L-A-T-T (1.800.225.5288) It's free for you. ~° at&t Customer ID: 717 766-4588 0133993 Page 1 of 4 Customer Service: 1 800 288-2747 Text Phone (TTY): 1 800 855-2880 Internet Address: www.att.com '~ Extra! Extra! ~` Check out the AT&T SL82218 Cordless DECT 6.0 Digital Dual Handset Telephone with Digital Answering System at www.telephones.att.com Benefit news Sign up for AT&T Online Billing and you won't get another paper bill! To sign up just visit www.att.com/online _~ l j0 .r ~ ~~ a a~ .. ~ - - - Your .AT&T Statement September. 15 -October 14, 2008 #BWN(;JFM ~09220133993019~ e I~~~III~~~III~~~~I~I~II~~~~~II~~~~II~~~II~~I~III~~~II~~~II~~~I NANCY C WEIGEL 1204 GROSS DR MEC;HANICSBURG PA 17050-3112 Previous balance ...........................................................................66.44 Payment received Oct 9 - Thank you .............................................-66.44 AT&T Local Services ..................................................p 2..............44.16 AT&T Long Distance Services .....................................p 3 ...............~ Total amount due ($47.47 Date due November 008 ~ ,. . Never Mail Another Check to Pay Your ATBT Bill. For the ultimate convenience, enroll in AT&T Automatic Bill - Payment (ABP) and have your future payments automatically deducted from your checking account. To enroll, check the box and sign on the line on the back of the remittance coupon, and return with your payment. Or sign up for online billing to review and pay your bill each month by logging onto your AT&T Online Billing accounll at www.att.com/remitdoc Extrra! Extra! One Touch Phone with FREE 411. Cordless telephone answering system with two handsets and one touch access to FREE Directory Assisl:ance by AT&T 1.800.YELLOWPAGES (1.800.935.5697). For pricing information and to place your order go to www.att.com/411FREEphone Dial 'I 800.CALL.ATT for Collect calls 1.800, CALL.ATT for Collect calls is one flat rate, 24 hours a day, every day. Dial down the center 1.800.C-A-L-L-A-T-T (1.800.225.5288) It's free for you. °; at&t Customer ID: 717 766588 0133993 Page 1 of 4 Customer Service: 1 800 288-2747 Text Phone (TTY): 1 800 855-2880 Internet Address: www.att.com Extra! Extra! Introducing The One Touch Phone with FREE 411 ~ ~ ~ ~1 ~~ o ~ /~~ Benefit news ~ ~'l j'~ ~, Sign up for AT&T Online Billing and you won't get another paper bill! To sign up just visit www.att.com/online Your AT&T Statement October 1!i -November 14, 2008 #BWNCJFM ~09220133993019~B ~n~~~~n~~~~nii(~~~~~nn~~~un~~ni~~u~i~~~n~~~ni~~u~~ NAPJCY C WEIGEL 1204 GROSS DR MECHANICSBURG PA 17050-3112 Previous balanc;e ...........................................................................47.47 Payment receiv~ad Nov 5 - Thank you .............................................-47.47 AT&T Local Services ..................................................p 2..............42.85 AT&T Long Distance Services .....................................p 3 ...............3.31 Total amount ctue $46.16 Date due December 9, 2008 • ~ ~- Never Mail Another Check to Pay Your ATBT Bill. For the ultimate convenience, enroll in AT&T Automatic Bill - Payment (ABIP) and have your future payments automatically deducted from your checking account. To enroll, check the box and sign on tt?e line on the flack of the remittance coupon, and return with your payment. Or sign up for online billing to review and pay your bill each month by logging onto your AT&T Onfine Billing account at www.att.com/remitdoc Extra! Extra! Tune in to the tradition. Once a year, honor and glory converge upon the gridiron in the annual Army-Navy football game. This year's game at Lincoln Financial Field in Philadelphia marks the 109th playing of this storied rivalry. AT&T once again is a proud sponsor of the game and supports the men, women and mission of the U.S. Service Academies. Remember, if you can't make it to the game, catch all the action and excitement on CBS, December 6th at 12 noon EST. One Touch Phone with FREE 411. Cordless telephone answering system with two handsets and one touch access to FREE Directory Assistance by AT&T 1.800.YELLOWPAGES (1.800.935.5697). For pricing information and to place your order go to www.att.com/411FREEphone at&t Customer ID: 717 766-4588 0133993 Page 1 of 4 Customer Service: 1 800 288-2747 Text Phone (TTY): 1 800 855-2880 Internet Address: www.att.com Extra! Extra! AT&T is a proud sponsor of the 109th annual Army-Navy football game. Catch all the action live on CBS-TV, Saturday, December 6th at 12pm EST. o Benefit news Sign up for AT&T Online Billing and you won't get another paper bill! To sign up just visit www.att.com/online ('..., ti.,iiac ,,., t,., ..L-.f1 .. Your ~T&T Statement November 15 -December 14, 2008 #BWNC,IFM #09220133993019~B (n~~~~nu~~~nn~~~i~~n~n~~un~~n~~~n~i~~~n~~~ui~~ni~ NANCY C WEIGEL 1204 GROSS DR MECHANICSBURG PA 17050-3112 Previous balance ...........................................................................46.16 Payment received Dec 9 - Thank you .............................................-46.16 ATBT Local Services ..................................................p 2..............42.85 AT&T Long Dist2lnce Services .....................................p 3 ...............3.31 Total amount due $46.16 Date due January 8, 2009 Never Mail Another Check to Pay Your ATBT Bill. For the ultimate convenience, enroll in AT&T Automatic Bill Payment (ABP') and have your future payments automatically deducted from your checking account. To enroll, check the box and sign on the line on the back of the remittance coupon, and return with youir payment. Or sign up for online billing to review and pay your gill each month by logging onto your AT&T Online Billing account at www.att.com/remitdoc Extra! Extra! One Touch Phone with FREE 411. Cordless telephone answering system with two handsets and one touch access to FREE Directory Assisi:ance by AT&T 1.800.YELLOWPAGES (1.800.935.5697). For pricing information and to place your order go to www.att.com/411 FREEphone Dial 'I 800.CALL.ATT for Collect calls 1.800.CALL.ATT for Collect calls is one flat rate, 24 hours a day, every day. Dial down the center 1.800.C-A-L-L-A-T-T (1.800.225.5288) It's free for you. ~° at&t Customer ID: 717 766-4588 0133993 Page 1 of 4 Customer Service: 1 800 288-2747 Text Phone (TTY): 1 800 855-2880 Internet Address: www.att.com Extra! Extra! Introducing The One Touch Phone with FREE 411 BeneFt news Sign up for AT&T Online Billing and you won't get another paper bill! To sign up just visit www.att.comlonline r(1nt1n17PR nn harlr rl ~, L ~_ 6AS SEEY/LE Billingg Summary for Service to: NANCYC WEIGEL 204 GROSS DR I~4ECHANICSBURG PA 17050 fate Classification: P,esidential Heating & A/C E'IIPng Period: 08/22/2008 to 09/23/2008 (32 days) Company Read Questions? Call 800-276-2722 or write to UGI at PO BOX 13009 Reading, PA 19612-3009 'Your current UGI charges include State taxes totaling $ 1.49. 0012408 _.... .,_ Past Bill Information -UGI Utility Cu~tameC Number The account balance on your last bell was .............. $ 56.74 -~~ -- _..., Thank you for your payment of ................................... -56.74 217 715 8220 24 Your balance as of 09/26/2008 ................................. 0.00 ...................... 8.55 Commodity Charge (2Z CCF at $1.24955) ............. 27.49 Distribution Charges (First 22 CCF at $0.47500) .. 10.45 PA State Tax Surcharge ................................................. -0.08 Total Current Charges -UGI Utilit)r ............................. 46.41 UGI Utility charges owed this b~ll ................................................................................. f 46.41 Total Amount Due, Please Pay by Due Date (10/20/2008) .................................... S 46.41 2.30 2.07 1.84 1.61 1.38 1.15 0.92 0.69 0.46 0.23 0.00 SONDJFMAMJJAS 2007 Months 2008 • =Estimated Usage Last This Average Year Year CCF/day 0.73 0.69 Daily temperature 72°F 69°F Meter Information -Next Read Date October 22, 2008 Meter Number Previous Reading Present Reading CCF Used 1217194 8053 (estimated) 8075 (company) 22 Messages from UGI •Your current price to compare is $ 1.24950 /CCF. ^Your total annual usage is 421 CCF. Your average monthly usage is 35 CCF. ^ We can make your energy costs easier on your budget with our 12 month Budget Billing plan. Your monthly payment would be approximately $ 87.00. For more information about this plan call UGI. • Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. ~~~~/i3 If you pay at a payment agent please take your entire hill. Make check payable to UGI. Keep this part for vour records. Important information is on the back of this bill. Current Bill Information - UGi Utility Customer Charge ...................................... 0012455 CAS SEAV/CE 9illingg Summary for Service to: NANCYC WEIGEL 1204 GROSS DR MECHANICSBURG PA 17050 Rate Classification: Residential Heating & A/C Billing Period: 09/23/2008 to 10/23/2008 (30 days) Company Read tauestions? +:al! E00-276-2722 or write to UGI at PO BOX 13009 Reading, PA 19612-3009 Your current UGI charges include State taxes totaling $ 1.38. Past Bill Information -UGI Utility ~ CuStUmE[ ~~~~~# The account balance on your last bill was ................ $ 46.41 Thank you for your payment of ..................................... -46.41 217 715 8220 24 Your balance as of 10/27/2008 ................................... 0.00 Current Bill Information -UGI Utility Customer Charge .............................................................. 8.55 Commodity Charge (20 CCF at $1.24950) .............. 24.99 Distribution Charges (First 20 CCF at $0.47500) ... 9.50 PA State Tax Surcharge .................................................. -0.08 Total Current Charges -UGI Utility ............................... 42.96 UGI Utility charges owed this bill .................................................................................. S 42.96 Total Amount Due, Please Pay y Due Date ( 1/18/2008) ..................................... S 42.96 ~l ~~ ~~ 2.30 2.07 1.84 1.61 1.38 1.15 0.92 s.ss 0.45 :7.23 x.00 Average CCF Per Day ONDJFMAMJJASO 2007 Months 2008 • =Estimated Usage Last This Average Year Year CCF/day 0.84 0.67 gaily temperature 66°F 56°F Meter Information -Next Read Date November 20, 2008 Meter Number Previous Reading Present Reading CCF Used 1217194 8075 (company) 8095 (company) 20 Messages from UGI •Your current price to compare is $ 1.24950 /CCF. •Your total annual usage is 412 CCF. Your average monthly usage is 34 CCF. • We can make your energy costs easier on your budget with our 12 month Budget Billing plan. Your monthly payment would be approximately $ 78.00. For more information about this plan call UGI. • Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. If you pay at a payment agent please take your entire bill. Make check payable to UGI. Keep this part for your records. Important information is on the back of this bill. ~~. 3 ~_ BAS SEp Y/CE Billingy Summary for Service to: NANCYC WEIGEL 1204 GROSS DR MECHANICSBURG PA 17050 Rate Classification: Residential Heating & A/C Billing Period: 10/23/2008 to 11/20/2008 (28 days) Company Read Questions? Call 800-276-2722 or write to UGI at PO BOX 13009 Reading, PA 19612-3009 'Your current UGI charges include State taxes totaling $ 1.38. OD01039 » , ~: '"~. ~ . . ; ;;any ,., Past Bill Information -UGI Utility The account balance on your last bill was ................ $ 42.96 Thank you for your payment of ..................................... -42.96 217 715 8220 24 Your balance as of 11/25/2008 ................................... 0.00 Current Bill Information -UGI Utility Customer Charge .............................................................. 8.55 Commodity Charge (20 CCF at $1.24950) .............. 24.99 Distribution Charges (First 20 CCF at $0.47500) ... 9.50 PA State Tax Surcharge .................................................. -0.10 Total Current Charges -UGI Utility ............................... 42.94 UGI Utility charges owed this bill .................................................................................. $ 42.94 Total Amount Due, Please Pay by Due Date (12/16/2008) ..................................... S 42.94 /~ ~ ~~ M t I f t' N 2.30 2.07 1.84 1.61 1.38 1.15 0.92 0.69 0.46 0.23 0.00 Average CCF Pcr Day NDJFMAMJJASON 2007 Months 2008 • =Estimated Usage Last This Average Year Year CCF/day 1.00 0.71 Daily temperature 55°F 46°F e er n orma ion - ext Read Date December 23, 2008 Meter Number Previous Reading Present Reading CCF Used 1217194 6095 (company) 8115 (company) 20 Messages from UGI •Your current price to compare is $ 1.24950 /CCF. •Your total annual usage is 402 CCF. Your average monthly usage is 33 CCF. • We can make your energy costs easier on your budget with our 12 month Budget Billing plan. Your monthly payment would be approximately $ 70.00. For more information about this plan call UGI. ^ Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. If you pay at a payment agent please take your entire bill. Make check payable to UGI. Keep this part for your records. Important information is on the back of this bill. PPL Electric U#ilities Electric Service For: NANCY C WEIGEL 1204 GROSS DR MECHANICSBURGPA 17050 Summary Page Balance as of Oct 2, 2008 $0.00 Char es: Total~PL ELECTRIC UTILITIES Charges $62.69 Total Charges $62.69 Account Balance $62.69 Questions about ~ ~~ / ~ ~ p this bill? Please /~ contact us by Oct 23 at 1-800-342-5775 (1-800-DIAL-PPL) or write to: ~~ Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric KWH -Average Per Day Meter Reading Information Use a8 This graph shows 40 your electnc use 32 over the last l3 months. 24 Types of Meter Readings: 16 Actual . g Estimated. 0 Meter #35035720 Oct 2 Actual 38333 Sep 3 Actual 37786 29 Da s KWH Billed j47 Average -Oct 2007 2008 Te erattue ~ 69F 67F KW Per Day 20 l9 Yearly Use: Total Avera e Monthly Nov 2006 -Oct 2007 6763 Nov 2007 -Oct 2008 7303 609 Customer ~ O N D J F M A M J JAS O 2007 Months -2008 n*her important information on back ~ PPL Electric Utilities Electric Service For: NANCY C WEIGEL 1204 GROSS DR MECHANICSBURG PA 17050 Questions about this bill? Please contact us by Nov 24 at 1-800-342-5775 (1-800-DIAL-PPL) or write to• ~~ Customer Service 827 Hausman Rd_ Allentown, PA 18104-9392 www.pplelectric_com .~~~~~ ', ; .~':~o~a:.: ; ,,. ... pp ~--- I •• .••, '~. Summary Page ::=>`Yini?Billti~criiini:~i~b~r:.:: ~:: 66445-21279 Electric Use This graph shows your electnc use over the last 13 months. Tvpes of 1Vfeter Readings: Actual - Estimated Customer 0 KWH -Average Per Day 48 -'- 40 32 24 16 8 0 Page 1 Meter Reading Information Meter #35035720 Nov 3 Actual 38674 Oct 2 Actual 38333 32 Davs KWH Billed 341 Average -Nov 2007 2008 Temperature 62F 52F KWH Per Day 17 11 Yearly Use: Total Avera e Use Month~v Dec 2006 -Nov 2007 6822 56~ Dec 2007 -Nov 2008 7155 596 NDJFMAMJJASON 2007 Months 2008 Other important information on back ~ PPL Electric Utilities Electric Service For: NANCY C WEIGEL 1204 GROSS DR MECHANICSBLIRG PA 17050 Questions about this bill? Please contact us by Dec 26 at 1-800-342-5775 (1-800-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual - Adjusted Estimated Customer Q ~' ; ~ ^ ~ e a ~ '~~~~...;~; - Page 1 ~,. pp ~--- s'••, •• • •. ., Summary Page KWH -Average Per Day 48 40 32 24 16 8 0 :=: ; ~ Yz£iiii~BillA~~iiirt £Tii~it?tr:- :: 66445-2.1279 Meter Reading Information Meter #35035720 Dec 3 Actual 38978 Nov 3 Actual 38674 30 Da s KWH Billed 304 Average -Dec 2007 2008 Temperature KWH P D 42F 15 42F 10 er ay Yearly Use: Total Avera e t Use Mon y Jan 2007 -Dec 2007 6770 564 Jan 2008 -Dec 2008 6988 582 DJFMAMJJASOND 2007 Months 2008 Other important information on back ~ ~~l~ PPL Electric Uti ities ~ ~ ~ I ~ p a ~ •--- ..., pp :. ~~ •. ., .TM Electric Summary_Pa~e Service Balance as of Jan 6, 2009 ' $0.00 For: Char es: __.._.. - NANCY C wEIGEL Tota1~PL ELECTRIC UTILITIES Charges $43.30 1204 GROSS DR MECHAMCSBURG PA 17050 Total Charges $43.30 a. This Aoiouni: No Later Eh.sn..~-tt 27 ,;2009 ~~E3.3' _.... Account Balance $43.30 Questions about this bill? Please contact us by Jan 27 at 1-800-342-5775 (1-800-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last 13 months. Types of Ivtye er Readings: Actual . Adjusted Estimated Customer 0 48 40 32 24 16 8 u KWH -Average Per Day 11~ieter Reading Information Page 1 `Youi liitl:t~ccorir.~:IiTuuiber 66445-21279 Uaewhcacaltru ,oe'wridrr 11~ieter #35035720 Jan 6 Actual 39321 Dec 3 Actual 38978 34 Da s KWH Billed 343 Average -Jan 2008 2009 Temperature 34F 34F KWH Per Day 15 ]0 Yearly Use: Total Averagge Use Aionihly Feb 2007 -Jan 2008 6724 56b Feb 2008 -Jan 2009 6851 571 J F M A M J J A S O N D J 2008 Months 2009 Other important information on back ~ ---------------------------------------------------------------------------------------------- FA/LURETO RECEIVE BILL DOES NOT ENTITLE CUSTOMER TO NET RATE n ~ m I pD m D r r I m V ~ r TI ~ ~ p ~ ~ m ~ D m ~ ~ ~ m ~ _ O Z m v 1 ~ ~ ~ ~ C~ m = N N y ~• D ~ zg N ~~ W~ A b ~ 0 ^ ~~ ~ m r ~ ~ ~ ~ ~ D O 1 C' ~ V ~ ~~y N O yy y ~. ~ A ~~ 2 O Z m v a7 ~ p ~ ~ ~ ~ ~ OD ~ N ~~ z° ~ H N cj ~ ~ ~ cz O b ~m ~ o y0 ~ ~ • o U1 ~ AccouNT Na BILLING DATE E LOCATION RIOD b ITS SEWER BASE #OF NITS SEWER USAGE C REFUSE CHA 43.32 ~ ~ ~ 127.52 IF PAID AFTER PENALTY AMOUNT DUE IIIf ~I~Iff ~S~f FAILURE TO RECEIVE BILL DOES NOT ENTITLE CUSTOMER TO NET RATE ACCOUNT N0. BILLING DATE SERVICE L OCATION BILLING PEflIOD BALANCE FORWARD # OF SEWER UNITS 0. 1.00 SEWER BASE # OF REFUSE UNffS 65.00 1.00 SEWER USAGECHARGE USAGE 0.00 REFUSE CHARGE 43.32 5000 ~ ~ 108.32 IF PAID AFTER PENALTY AMOUNT DUE ~~ i \V`\~ ttiitt fW\\ ~\~ ~ \ ~ffi3tiiif~~ CUMBERLAND COUNTY RECORDER OF DEEDS RECEIPT Inv Number: 34568 Invoice Date: 12/31/2008 10:03:15 AM RECEIPT Reg/Drw ID: 0101 Customer: Last Change: Receipt By: COUNTER MARK THOMAS By: MSW Chg # Charge /Payment /Fee Description Amount Inst # / Inst Date Municipali 1 COPIES $3.50 Fee Detail: COPY FEE $3.50 Comment: CERT COPY TOTAL CHARGES PAYMENTS CASH TOT~4L PAYMENTS $3.50 $5.00 $5.00 AMOUNT DUE $3.50 PAYMENT ON INVOICE ($3.50) BALANCE DUE $0.00 REFiJND DUE $1.50 CASH REFUND ($1.50) Date: Dec 31, 2008 10:03:31 AM Page CUMBERLAND COUNTY RECORDER OF DEEDS RECEIPT Inv Number., 345iS6 Invoice Date: 12/31/2008 9:58:22 AM RECEIPT Reg/Drw ID: 0101 Customer: Last Change: Receipt By: COUNTER By: MSW MARK THOMAS Chg # Charge /Payment /Fee Description Amount Inst # / Inst Date Municipality 1 DEED $49.50 200840877 MECHANICSBURG Grantor - WEIGEL, NANCY C 12/31/08 9:58:34 AM BOROUGH - 4TH Grantee - WEIGEL, TIMOTHY G Total Pages: 5 WARD Consideration - $1.00 Tax E3asis - $0.00 PARCEL IDENTIFICATION NUMBER 19-23-0569-014- Fee Detail: AFFORDABLE HOUSING FEE $11.50 COUNTY RECORDING FEE $11.50 IMPROVEMENT FEE -COUNTY $2.00 IMPROVEMENT FEE -RECORDER $3.00 JCSIACCESS TO JUSTICE FEE $10.00 PARCELS FEE $10.00 STATEMENT OF VALUE FEE $1.00 STATE WRIT FEE $0.50 MEC;HANICSBURG 4 MUNICIPAL REALTY TAX FEE $0.00 SCNIOOL DISTRICT REALTY TAX $0.00 TOTAL CHARGES $49.50 PAYMENTS CHECK: 2174 $49.50 TOTAL PAYMENTS $49.50 AMOUNT DUE $49.50 PAYMENT ON INVOICE ($49.50) BALANCE DUE $0.00 Date: Dec 31,. 2008 10:00:09 AM Page rv~~cu~o iu.c~ rnn Fin~n~ia~ Fr~ed~on~ THE REVERSE MORTGAGE SPECIALIST 11/6/2008 R Mark Thomas Attn: Joette 101 S. Market St. Mechanicsburg, PA ] 7055-3851 ~= 1Final.I.oan PayoftDemand o[1~1:CA Case #4418214016 investor T.oaa Ntember 6000408816; G/L Number 3000136492 Borrower Name: Nancy C Weigel Via Facsimile (7I7) 796-3600 Property Address: 1204 Gross Dr Mechanicsburg, PA 17050 l~9JUU i/UU4 The above referenced Home Equity Conversion Mortgage (HECM) is being serviced by Financial Freedom Senior Funding Corporation on behalf of the loan investor. The payoff itemization below reflects principal advances (including closing costs), mortgage insurance premiums (MIP), servicing fees and interest accrued through November 30, 2008. Principal Advances Accrued Interest Initial M1P Total Periodic MIPs Monthly Servicing pees Foreclosure Fees Servicing Advances Servicing Advances Interest Uncollected Taxes Uncollected Insurance Payoff Amount pn 11/30/2008 ]Daily Interest (a~ 3.45% ]Daily MIE' ~ 0.50°10 'Cotal baily Amount - bacember , 2008 $737 Sx.07 58.43 X77,176.88 it is essential that Financial Freedom Senior Funding Corporation be kept apprised of the current situation with regard to the sale or refinance of the property_ Please note that any tnterilpn borrower draws or unforeseen cash-out adjustments charged to the principal may invalidate this demand. It is strongly advised tbat you call this o$ice to confirm a final payoff demand amount. Payoffs should be issued by business or bank check (no personal checks) made payable and sent to Financial Freedom, 7'700 Parmer Lane,BuiIdiag D, Austin, TX 78729, Attrr: Payofl'Dept. Lock Box. We will automatically issue a refund for any overpayment in excess of $I.00_ For any questions or concerns, please call Michael Albers, Loan Servicing Administrator, at 1-800~41~428. $71,535.79 sl,sas.l l $3,600.OQ $ZI5.98 $280.00 $0.00 X0.00 $0.00 50.00 50.00 Financial Freedom Senior Funding Corporation - 7700 West ]?armer Lane, Building D - Austin, TX 78729 800-441 X428 - 866-9149798 Facsimile Our statements have been changed to better serve you. Please see the back for detar/s. Patient Statement Service Provider Statement Date Patient'Name: NANCY~~W E16EL- ~ PULMO DOSE PHARMACY 48/31/2008 Patienf-accounfnumber: PO BOX 533411 This~statement doe~not ~~ ORLANDO, FL 32853 reflectpaymentsrecetved 0090-0076795-Q474-7O-MC (800} 918-9839 after the statement•date - Page: 1 o f .. 1 :~_ Date of Service CITY Description of Service Current Activify Amount tnsuran~e Patient Patient due 04/21/2008 2 P-NEBULIZER KITS ADMINIST Summary -- Billed Actiuity Activi tY ~ foeService 6.00 4.37 1.09 04/21/2008 2 P-SMALL VOLUME NONFILTER ADJUSTMENTS _ _54_ ' . 4.00 2.q5 61 04/21/2008 300 P-LEVALBUTEROL 1 25 MG 3 ADJUSTMENTS _94- . 900.00 5520 13.80 08/05/2008 1 P-DISPENSING FEE MEDICATI ADJUSTMENTS "' 831.00- 33.00 26.40 6.60 08/05/2008 2' P-NEBUUZER KITS ADMINIST PAYMENTS. 6 00 x,40..-: ' ~ ADJUSTMENTS . .54 4 .37 1 Og PAYMENTS 08/05/2008 2 P-SMALL VOLUME NONFILTER ADJUSTMENTS PAYMENTS 08/C5/2CC8 ~>CC P-LE'JALU'v'TEROL 1.25 .,AG 3 ADJUSTMENTS PAYMENTS ~~ 19076795 as -- ~~,i7_ 4.00 2.45. .61 .94- 9vQ00 5.~i.2i? 13.80 831.00- -- 0- Totat ~ ~~~~88_64; e. BALANCE is SUBJECT to CHANGE ~_~13,$Q f '~~~-~h ur statements have been changed to better serve you. Please see the back for details. Patient Statement Service Provider Statement Date ~ 09/30/2008 Patlent'Name: PULMO DOSE PHARMACY NANCY WEIGEL PO BOX 533411 This statemen~d>n~ Patent~account'nuinber~' ORLANDO, FL 32853 m~~'Pa3~??~f~~~~. ,. tT09~=t1Q76795-047"4`1.:0-MC aft~rthe sfa~me :1 (800) 918-9839 Pager 2 of 2 Date of QTY Description of Service CurrentActivity-` Amount ~ Insurances Patient ~. Service Summary.: Billed _ Activity; Activity '~`y'"' 08/05/2008 300 P-LEVALBUTEROL 1.25 MG 3 900.00 ~, 520: 1.3.80 , ADJUSTMENTS' _ 831.00- - ~= PAYMENTS. - ,, 0- ~ ~ ~~- 09/09/2008 1 P-DISPENSING FEE MEDICATI 33.00 26.A-0 6.60 x~.~3,{°~ '' 'PAYMENTS s ~;,~`~ `` 09/09/2008 2 P-NEBULIZER KITS ADMINIST 6.00 4:37 1.09 ~ ~~~z~„~- ~Ji ADJUSTMENTS...'. .54- ~ %; r `~= PRY.MENTS• _ ~~~ ~ ~~ 09/09/2008 2 P-SMALL VOLUME NONFILTER 4.00 2.15 .61 w~ ~. . ADJUSTMENTS .94- ~ ; " ,~ '', PAYMENTS 45 ~^' ~~r, r»~ 09/09/2008 300 P-LEVALBUTEROL 1.25 MG 3 900.00 55:20- 13.80 ~ :: ADJUSTMENTS 831.00- ;~ : ; = PAYMENTS 5~ ?0_ ~, ~. ~~ ~~ ~~ t . ~: -. ~ ~. _ ;. , ~~~ ~- ~., ~.. ~= 9076795 Total 2,115:08 ` ' $T19~8~~~; 'Balance reflects the charges assigned to the patient as of this statement date. BALANCE is SUBJECT to CHANrF Customer Service (Servicio al Cllente): 1-800-755-7872 Payment Address; eoscovs, PO Box 17642, Baltimore MD 21297-1642 _, Mail Billing Inquiries to: Retail Services, PO Box 15521, Wilmington DE 19850-5521 Days in Billing Cycle: 30 Statement Date: 10/04/2008 NEW! Ed Hardy by Christian Audigier For women: 1.7-oz. Eau de I~arfum Spray.....$55 3.4-oz. Eau da I~arfum Spray ..... $75 Shimmering Body l.otlon............$25 For men: 1.7-oz. Eau de Toilette Spray ..... $55 3.4-oz. Eau de Toilette Spray ..... $75 Deodorant ................................... $15 Stop by the Fragrance Counter at Boscov's for your FREE sample. ' ` • ~ 1 1. 1 1 1' 1 ~~ PAYMENT TOTAL MINIMUM NEW PAST`DUE AVAILABLE:. DUE DATE PAYMENT DUE BALANCE AMOUNT CREDIT 10/27/2008 $3200 $104:63 $10.00 $4,195.37 FOR S75 YOU CAN TAKE ADVANTAGE OF OUR PAY BY PHONE PROGRAIIt. AVOID FURTHER COLLECTfON ACTIVITY. CALL 1-800-755-3177 Please sae reverse for important disclosures, including grace period information. 3nsaction Date Transaction Detail. Promo. Type/Credif `Plan Arr~urrt 09/05/2008 Previous Balance ........................ ... $84.01 10/04/2008 Bill$d Finance Charges ........ ....... $1:62 09/27/2008 Late Charge Assessment ........ ,. $19:00 10/04/2008 Idew Balance ....................... .. $104.63 IGdcoff the season with Bosoav's Holiday Money .._ Enjoy No interest and No Payments 'til January 2009! QR approved BoscoYs aedrt card>purchases. For accounts kept current Visit yout' local store for details. •• Promotion f~ F 1=d ~' Variable nll!i Type/ Promotion :Average Daily rories- AT;giUAl. , Deferred. Minimum. Credit Purchase Expiration Previous Daily Periodic ng PERCENT at Penodic FINANCE t+lew Payment. Plan Date Date Balance Balance Race J7iPR RATE (APF~ Rata CHARGES Balance Due Regular Purchase WA WA 584.01 $89.82 0.06000% 2t.90~ 2t 90% $1.62 IV/A $1D4.63 a32.OD aooor-or Page i of 2 t0040065i40 6 Please, return coupon below-with your paymerrt ' oL~ Holy Spirit Hospital ~~ 503 N 21ST STREET ALAN ~~ViEIGEL ~~" HOSPITAL CAMP HILL PA 17011 . - Serv~Fe fate ~ lOB~ The Spirit of Caring # ' ,~. s~~ ' 800-997-8573 ~Lasf;Sfafemetlf Date_ ° II7/ D3J08 . _ . ` ACCDUAt tllD: ~~58f$~4~,: ~~,: ._ . For Account Information, Please Call 80U~A97~5'T3 - ~ ~ :x_ ~ r - - .. ~. ~tuEtte~r~ a~ ~: ccar ~~(1~~+~8 Transatkion Date Description Amount PREVIOUS BALANCE .00 06/26/08 XOPENEX VL 1.25MG 15.00 05/26/08 DISC ELECT AD 4 5.00 06/26/08 IS BNP 206.00 06/26/08 I STAT SOURCE .00 . 06/26/08 METABOLIC PANEL,C 134.00 06/26/08 CPK CCREAT. PROS) 54.00 06/26/08 CKMB 53.00 06/25/08 CBC,AUTO DIFF 92.00 06/26/08 MANUAL DIFFERENTIAL 42.00 06!26/08 TROPONIN T 77.00 06/26/08 CHEST PORTABLE 387.00 06/26/08 OXYGEN PER HOUR 50.00 06/26/08 MEDICATED DEMO 115.00 06/26/08 IV PUSH 167.00 06/26/08 LEVEL IV FC 701.00 06/26/08 NON-EVA EAR/PUL OX FO R 02SATUR 51.00 06/26/08 TRACING ONLYW/0 INTER & REPORT 113.00 06/26/08 EKG 146.00 06/2.7/08 XOPENEX VL 1.25MG 15.00 06/2.7/08 BBGT 54.00 06/27/08 MEDICATED NEB 82.00 Estimated Insurance Due: 31.00 Total Patient Credits: Account Balance: 66.00 Q35 SENIOR HMO OU 31.00 M10 MEDICARE OP A .DO ~ l 1 PLEASE DISREGARD THIS STATEMENT IF YOU HAVE PAID. _ - . Account #: 43094 Please P Date Description NANCY C WEIGEL ID# 43094/STEPHANIE A ARLOTTI 08/14/2008 ESTABLISHED PATIENT, COMPREHENSIVE EXAM 08/14/2008 REFRACTION 08/14/2008 FILED CHARGES OF 129.00 TD .MEDICARE PART B 08/14/2008 PAYMENT FROM WEIGEL, NANCY C 09/03/2008 INSURANCE DISALLOWED ADJUSTMENT FRDM MEDICARE 09/03/2008 MEDICARE PAYMENT PAYMENT FROM MEDICARE PART B 09/03/2008 PATIENT RESPONSIBILITY ay: ,P19.41 D ART B y ~~ Due Date: 7 Q~Q~~~~ `Insurance- Ratient• Charg~g Balance Balance 109.00 109.00 ~ a~ zo.oo zo.oo o'.aa 0.00 0.00 0.00 0.00 -20.aa -11.93 a~QO -77.66 ¢_QO.. -39.41 ~ 39_4.in .>~.~ BALANCE TICKET #175046 - --- .00 L9.~r1 pG1 ~~/I3 IMPORTANT MESSAGE ABOUT YOUR. ACCOUNT ~~~~ ^~•~~~~. ~ uut is ~ nt t3AL,gNCE.NOT COVERED BY INSURANCE. THIS INCLUDES ANY Total Balance. N EDUCTIBLES, CO-PA,YS OR NON-COVERED CHARGE AMOUNTS. PAYMENT IS EXPECTED BY THE DUE -Insurance Pendin 19.41. ATE. HOWEVER, IF Y'OU HAVE GLASSES OR CONTACT LENSES ON ORDER, THE BALANCE IS DUE AT 9 .00 m -IE TIME OF DISPENSING. PLEASE CONTACT uS IF YOU NEED ASSISTANCE Patient Amount Due L9 Make Checks Payable To: Kilmore Eye Associates EGO5o1-32 >401014600+~ .4I For Billing Questions Call (71.7). 697=414 8:30 - 4:00 Mort = Eri PAGE 1 OF L . DEFT. 280601 _ HARRISBURG, PA 17128-0601 PENNSYLI/ANIA DECEIVED FROlVi: INHERITANCE AND ESTATE TAX OFFiClAL RECEIPT N0. CD 010676 THOMAS R MARK 101 S MARKET STREET MECHA~,IICSBURG, PA 17055-3851 ACN ASSESSMENT AMOUNT CONTROL NUMBER i ESTATE INFORMATION: ssN: Ts4-3o-25s6 FILE NUMBER: 2108-1005 DECEDENT NAME: WEIGEL NANCY C DATE OF PAYMENT: 12/23/2008 POSTMARK DATE: 12/23/2008 couNTY: CUMBERLAND DATE OF DEATH: 09/26/2008 TOTAL AMOUNT PAID: $5.,000.00 ~-~EMARKS: I~ECEIPT TO ATTORNEY CHECK#2986 INITIALS: AJW scar RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER