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HomeMy WebLinkAbout06-17-09 (2) 1505607121 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number Poaox28oso1 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 0 8 1 D 9 5 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 0 1 4 2 0 0 8 0 7 0 7 1 9 2 3 Decedent's Last Name Suffix Decedent's First Name MI E N O S D O R O T H Y E (If Applicable) Enter Surviving Spouse's Information Bel ow Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW 1. Original Return 4. Limited Estate ® 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Retum 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 3. Remainder Retum (date of death prior to 12-13-82) 5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTWL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number R O G E R B I R W I N E S Q U I R E 7 1 7 2 4 9 2 3 5 3 Firm Name (If Aoolicable) I R W I N 8 M c K N I G H T First line of address Second line of address 6 0 W E S T P O M F R E T Clty Or POSt Office C A R L I S L E Correspondent's a-mail address: S T R E E T State ZIP Code P A 1 7 0 1 3 REGIST~OF WILLS U~NLY •-, ` r--- `-- ~7 .. -, ..r,i fir' , ~ ~ n0~ ~ C~~ ~ - - ~ ~::~ _ ;: n ---I ATE FILED ~ '` - ~_~ ,~ , 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 plate. Declaretan of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF SON RESPON FOR FIL~INC~RETURN DATE 620 RAHAMS WOODS ROAD NEWVILLE PA 17241 SIGNA URE OFD EP ER OTHER Ty9,N REPR NTATIVE DATA (' ~S / // ~ ~~'y PLEASE USE ORIGINAL FORM ONLY 1505607121 Side 1 1505607121 J r '[22Z09SOS't 'C22Z09SOS'[ Z aP!S 0 h Z 'E B S 6 2 1N3WAtld213A0 Ntl d0 ONfld321 tl JNI1S3fID321321tl f1OA dl ltlAO 3Hl NI l'11d 'OZ 66 ................................................ anp xel'66 0 0. 0 '86 0 0. 0 56' X ales le~alelioo le • 86 algexel b6 aul~;o;unowy 0 0. 0 'L6 p p p ZL' X a;e~ 6ullgls le - • I;o;unowy L6 algexe;b6aul h Z' E Q S 6 'C s6 S 2 h 6 'C S E h 5b0' X ales leaull;e • - 1;o lunowy g6 algexel b6 aul g ~ 66 •oag ~epun spa;sueal ~o 'a;e~ xel lesnods ay; le algexel b6 aul-I;o lunowy •g6 S31tl21 3l8tlOl~ddtl 2104 SNOIlOf3211SN133S - NOI1tl1fIdWOO Xtll 5 2 • h 6 'C S E h 'b6 .................. 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(L-6 saul-I lelol) slassyr ssaO lelol '8 •L • • • • • • • palsanba2:{ 6u!II!8 a;e~edag f-1 (O alnPa4oS) • i(l~adad a;ego~d- N snoauellaoslw +8 spa;sue.il sonlA-~alul L • •g • • • • • • • pa;sanbaa 6u11118 ale~edaS ~ (~ alnPa4oS) ~adad paunnO ~(llulo[• 'g 8 ~ ~ • • ~ • ' (3 alnpayog) itl~adoad leuos~ad snoauellaoslW ~ sllsodad ~luee 'yse~ •g S S • 2 E Z 9 h 2 . .b '''''''''''''''''''''''' (0 alnPayoS)algenlaoa21sa;oN+gsa6e6>JOw 'b • .£ ..... (O alnPeyoS) d!U~olaudad-slog ~o dlysJeul~ed 'uolle~od~o0 PIaFI ~(Iasol0 'E ,Z .................................. (e alnPay~S) spuog pue s~loo3S 'Z • 6 ........................................ (y alnpayog) ale;sa leas ~ 6 NOlltllfilldtl~321 0 6 5 2 9 2 2 Z 5 SON 3' 3 ~ H y 0 210 Q :aweN s,luapa~aa ~agwnN ~(lunoag leloog s,luapaoaa X3 0056-/321 'C22Z0950S'L REV-15(10 EX Page 3 Decedent's Complete Address: File Number 21 08 1095 DECEDENTS NAME DOROTHY E. ENDS STREET ADDRESS 2133 DOUGLAS DRIVE CITY STATE ZIP CARLISLE PA 17013 Tax Payments and Credits: 1 • Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit _ (1) 19,583.74 B. Prior Payments 18.000.00 C. Discount 947.34 Total Credits (A +B +C) (2) 18,947.34 3. Interest/Penalty if applicable D. Interest E. Penalty Total InteresUPenalty (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. A. Enter the interest on the tax due. (5) 636.40 (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 636.40 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred : .................................................................. .... ^ b. retain the right to designate who shall use the property transferred or its income; ........................... .... ^ c. retain a reversionary interest; or ............................................................................................ .... ^ d. receive the promise for life of either payments, benefits or care? ................................................... .... ^ ^X 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 "intrust for" or payable upon death bank account or security at his or her death? ......... ^ Q 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. ^ 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 p2 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 exemot 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 childtwenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent p2 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent (72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-15Q2 EX + (6-98) SCHEDULE A • COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER DOROTHY E. ENDS 21 08 1095 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, neitl~er being compelled to buy or sell, both having reasonable knowledge of the relevant facts. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 2133 DOUGLAS DRIVE, CARLISLE, PENNSYLVANIA 250,000.00 TOTAL (Also enter on line 1 (If more space is needed, insert additional sheets of the same size) REV-15Q8 EX + (6-98) SCHEDULE E • COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF FILE NUMBER DOROTHY E. ENDS 21 08 1095 Include the proceeds of litigation and the date the proceeds were receNed by the estate. Ail property iointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ING DIRECT -SAVINGS ACCOUNT #81668333 103.09 2. ORRSTOWN BANK -CHECKING ACCOUNT #143001101 50.00 3. ORRSTOWN BANK -CERTIFICATE OF DEPOSIT #4000028621 28,390.88 4. ORRSTOWN BANK -CERTIFICATE OF DEPOSIT #4000028618 66,302.62 5. M&T BANK -CHECKING ACCOUNT #543020 26,416.34 6. M&T BANK -CHECKING ACCOUNT #2679035622 17,823.55 7. M8~T BANK -SAVINGS ACCOUNT #15004200933057 97,531.07 8. PERSONAL PROPERTY -APPRAISAL ATTACHED 10,115.00 TOTAL (Also enter on line 5, Recapitulation) ~ $ {If more space is needed, insert additional sheets of the same size) REV-15J 1 EX + (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER DOROTHY E. ENDS 21 08 1095 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. HOFFMAN-ROTH FUNERAL HOME 3,693.66 2. SUNNYSIDE RESTAURANT -FUNERAL LUNCHEON 826.80 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees IRWIN 8~ McKNIGHT 18,650.00 3. Family Exemption: (If decedents address is not the same as claimants, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees REGISTER OF WILLS 453.00 5 Accountants Fees 6. Tax Return Preparers Fees PATRICIA A. ROSENDALE, CPA 350.00 7. REGISTER OF WILLS -FILING FEE 30.00 8. STEVEN W. BARRETT -APPRAISAL ON REAL ESTATE 325.00 9. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 75.00 10. THE SENTINEL -ESTATE NOTICE 158.62 11. JAMES ENOS -REIMBURSEMENT OF FUNERAL EXPENSES/U-HAUL 1,494.36 12. MATTHEW ENDS -REIMBURSEMENT 95.87 13. CHRISTOPHER ENOS -REIMBURSEMENT -TAYLOR RENTAULOCK SERVICE 722.33 14. LINDEN HALL ANTIQUES -APPRAISAL ON PERSONAL PROPERTY 95.00 15. G. SCOTT RAMSEY -REPAIRS 296.00 16. REGISTER OF WILLS -SHORT CERTIFICATE 4.00 17. ORKIN PEST CONTROL -PEST CONTROL 139.47 18. FREE FLOW -DRAIN CLEANING 175.00 TOTAL (Also enter on line 9, Recapitulation) S 52.963.35 (If more space is needed, Insert additional sheets of the same size) REV-1512 EX + (12-03) SCHEDULE COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER DOROTHY E. ENOS 21 08 1095 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. FIA CARD SERVICES -CREDIT CARD 152.01 2. VISITING ANGELS 326.00 3. MESSIAH VILLAGE -NURSING 52.60 4. PP&L -ELECTRIC 5. NORTH MIDDLETON AUTHORITY - WATER/SEWER 6. M&T BANK -CREDIT CARD 7. AERO ENERGY -FUEL 8. USAA -INSURANCE 9. EMBARQ -TELEPHONE 10. M8~T BANK -RECLAMATION -DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE 11. M&T BANK -RECLAMATION -DEFENSE FINANCE 12. LITITZ MUTUAL INSURANCE -INSURANCE TOTAL (Also enter on line 10, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) REV-1513EX + (g-00) SCHEDULE J • COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER DOROTH Y E. ENDS 21 08 1095 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 sppousal distributions, and transfers under Sec. 9116 (a) (1.2)) 1. CHRISTOPHER CARTER ENDS Lineal 423 ALPINE DRIVE 1/4TH REMAINDER CLINTON, TN 37716 2. MATTHEW BARNES ENOS Lineal 1720 MARSHALL ROAD #7 1/4TH REMAINDER BOULDER CO 80305 3. JAMES JONATHON ENDS Lineal 620 GRAHAMS WOODS ROAD 1/4TH REMAINDER NEWVILLE, PA 17241 4. MARC MARTIN ENOS Lineal 71 WENTZELS DAMM ROAD 1/4TH REMAINDER LANDISBURG, PA 17040 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) ~' LAST WILL AND TESTAMENT OF DOROTHY ELIZABETH ENO3 I, DOROTHY ELIZABETH ENDS, Social Security Number 571-26-1590, of the State of Pennsylvania, declare that this is my LAST WILL AND TESTAMENT and I revoke all other wills and codicils previously made by me. FIRST: I appoint my Husband, JAMES WALTER ENOS, as my Personal Representative concerning this Will. If he is unable or fails to serve, I then appoint my Son, CHRISTOPHER CARTER ENOS to serve as my Personal Representative. If my Son, CHRISTOPHER CARTER ENOS is unable or fails to serve, I then appoint my Son, JAMES JONATHON ENOS to serve as my Personal Representative. a. I request that my Personal Representative be permitted to serve without bond~or surety thereon and without the intervention of any coDrt, except as required by law. I direct that my Personal Representative act in unsupervised administration so as to administer my estate with a minimum of court supervision. If it becomes necessary to have ancillary administration of my estate in any jurisdiction where my Personal Representative is unable or does not desire to qualify as ancillary legal representative, I appoint as such ancillary legal representative such individual or corporation as my Personal Representative shall designate, in writing. b. I direct my Personal Representative to pay the expenses of my last illness, the expenses of a funeral appropriate to my station in life and custom of living (including a suitable monument or marker for my grave), and written charitable pledges which I have made. I grant my Personal Representative the power to extend or renew any debt for such time as my Personal Representative shall deem appropriate. c. All estate, inheritance, succession and other death taxes with respect to all property passing under this my Will shall be paid from and borne by the principal of my residuary estate, without regard to reimbursement, as if such taxes were administration expenses. My Personal Representative may pay such taxes at any time deemed advisable, whether or not then due and payable. d. My Personal Representative is requested to settle my estate as soon after my death as may be practicable, and to pay or deliver every legacy or bequest to my beneficiaries without waiting any time that may be believed to be customary in probate matters. <~ PAGE 1 ~ . ~~ - ~~ ~= -~~~ft. OF 5 PAGES ~_ e. I may leave a letter of intent with the executed copy of this Will for the purpose of giving guidance to my Personal Representative concerning the distribution or sale of certain items of my property. I request, but do not require, that my Personal Representative honor my wishes therein expressed. SECOND: I give, devise and bequeath, absolutely and forever, all of my estate and property of which I may be seized or possessed, or to which I may be entitled, at the time of my death, wherever situated or of whatever nature, be it real, personal, or mixed, to my Husband, JAMES WALTER ENDS, as his sole and absolute property if he shall survive me. THIRD: In the event that my Husband, JAMES WALTER ENDS shall not survive me, I give, devise and bequeath, absolutely and forever, all of my estate and property of which I may be seized or possessed, or to which I may be entitled, at the time of my death, wherever situated or of whatever nature, be it real, personal, or mixed, to my Children, CHRISTOPHER CARTER ENOS, MATTHEW BARNES ENOS, JAMES JONATHON ENOS, and MARL MARTIN ENOS and to any child or children that have been or may be born to or adopted by me, in shares of substantially equal value to be divided as they may agree. a. If any of my children shall not survive me, then the share of that deceased child shall go to the descendants of that child, who are to take per stirpes and not per capita. If any of my children shall not survive me and shall not be survived by any descendants, then the share of that deceased child shall be distributed to my surviving children and the descendants of any of my other children who fail to survive me, in the manner set forth above. b. If they are unable to agree, the division among my children and the descendants of any of my children who fail to survive me shall be made by my Personal Representative, in that person's sole and absolute discretion. I empower my Personal Representative to sell any or all of such property, if such property is not distributed in kind hereunder, and to distribute the proceeds among my said children in substantially equal shares. Any determination of my Personal Representative as to what should pass or be sold under this paragraph and to whom it should pass or be delivered or at what price it should be sold shall be conclusive. PAGE 2 i~%r-~a . c-~ S_.~-~ ~: t~~~,~- ~-;_,..,.~ , , OF 5 PAGES .~~ FOURTH: If any beneficiary to any share of my estate which is not subject to the provisions of any trust which may be created by this will is at the time of distribution of his or her share, a minor under the laws of his or her domicile, I direct that the minor's share be converted into qualifying property and delivered to my Son, JAMES JONATHON ENOS as Custodian for the minor under the Uniform Gifts to Minors Act or the Uniform Transfers to Minors Act as may then be in effect in either the state in which the beneficiary or the Custodian resides, or any other state of competent jurisdiction. a. The Uniform Gifts to Minors Act or The Uniform Transfers to Minors Act, as may then be in effect in the state concerned, is hereby incorporated by reference. The property affected by the Act shall be managed, held, and distributed in accordance with the provisions of the Act. b. The financial custodian will serve without bond or surety and without intervention of any court, except as required by law. c. The receipt by the Custodian, for the minor, of any principal or income transferred pursuant to this paragraph shall be a full acquittance and discharge of my Personal Representative or Trustee, as applicable, from liability with respect to such transfer and from further accountability for the principal or income so transferred. FIFTH: Except as otherwise provided in this Will, I have intentionally failed to provide for any other relatives or other persons, whether claiming to be an heir of mine~or not. Insofar as I have failed to provide in this Will for any of my issue now living or later born or adopted, such failure is intentional and not occasioned by accident or mistake. SIXTH: Any beneficiary who fails to survive until one hundred twenty (120) hours after my death shall be deemed to have predeceased me, and the gift to that beneficiary shall be disposed of accordingly. SEVENTH: Definitions: a. The term "children" as used in this Will includes adopted and afterborn persons. The term "children" as used in this Will shall not include step-children, the natural born or adopted children of a person's spouse who are not the natural born or adopted children of the person. A relationship by or through legal adoption shall be treated the same as a relationship by or through blood for purpose of succession to property under this Will. PAGE 3 ~-•~ ~ ~ c~ ~~~~~ ~-~~.~. OF 5 PAGES ~?'~. ~-~ b. The term "descendants" as used in this Will means the immediate and remote lawful, lineal descendants by blood or adoption of the person referred to who are in being at the time they must be ascertained in order to give effect to the reference to them. c. The term "Personal Representative" as used in this Will means Executor, Executrix, Independent Executor, or any other title of like import which is used to describe such a fiduciary. d. The term "per stirpes" as used in this Will means that whenever a distribution is to be made to the descendants of any person, the property to be distributed shall be divided into as many shares as there are (1) living children of the person, and (2) deceased children, who left descendants who are then living, of the person. Each living child (if anyj shall take one share and the share of each deceased child shall be divided among his then living descendants in the same manner. EIGHTH: In addition to any powers granted by the laws of the state in which this Will is probated, I hereby authorize and empower the fiduciaries named in this Will, to the extent of the discretion herein granted, to sell, exchange, convey, transfer, assign, mortgage, pledge, lease or rent the whole or any part of my real or personal estate, to invest, reinvest, or retain investments of my estate, to perform all acts and to execute all documents which my fiduciaries may deem necessary or proper in regard to my property. If any of my fiduciaries elect to receive compensation for services, such compensation will be that allowed by law. NINTH: If any part of this Will shall be invalid, illegal, or inoperative for any reason, it is my intention that the remaining parts, so far as possible and reasonable, shall be effective and fully operative. My Personal Representative may seek and obtain court instructions for the purpose of carrying out as nearly as may be possible the intention of this Will as shown by the terms hereof, including any terms held invalid, illegal, or inoperative. PAGE 4 ~ .dl~ -l~~C-'.~; <r-~.cc/7~ ~ ~..~ _ OF 5 PAGES ~ !'~% Z-~'J IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania, ~~ this /5- day of ~~~~(ftr~ , 19~, set my hand and seal to this my LAST WILL AND TESTAME , consisting of 5 typewritten pages, each page bearing my handwritten signature. This document was prepared under the authority of 10 U.S.C, section 1044, and implementing military regulations and instructions, by Robert P. Formichelli, who is licensed to practice law in the State of New York. ~`~--u--Z~v~, ~~ tilu~~I" ~ ~ .~ ~-,4_ ( SEAL ) DOROTHY E IZAB ENDS The foregoing instrument was, at Carlisle Barracks, Pennsylvania, ~~ this ~~~ day' of ~~:~-it'd/x , 19~, signed, sealed, published and declared by DOROTHY ELIZ TH ENOS, the testatrix, to be her LAST WILL AND TESTAMENT in the presence of all of us at one time, and at the same time we, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses, and we do so verily believe that the said testatrix is of sound and disposing mind and memory at the date hereof.. Soc.Sec.No. Soc.Sec.No. OF ~~•Z~LL~~'/~~ Soc.Sec.No. ~~ OF ~ ' ~i •S ..~z. i~~~~ 1703 / ~ _ _ ' ~ ~~ ~ PAGE 5 _J`~~ ~ t' ~ Q~`~L`7 ~-~~~~~1<- ~~~ OF 5 PAGES ~J COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ACKNOWLEDGMENT I, DOROTHY ELIZABETH ENOS, testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. u, ~~i~~1/-~ ~L~.~~, ( SEAL ) DOROTHY E ZAB ENOS AFFIDAVIT We, ~~~ ~f~i"/,+~il-~t~~ , ~'tl ~ C~ ~ ff V S , and C=.~S'~~ ~~ c~~~c , the witnesses, sign our names to this instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her Last Will; that the testatrix signed willingly and executed it~as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the will as a witness; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound and der no cons~t,~r, aint~/ or undue influence. ~-+ Witness Witness Witness Subscribed, sworn to and acknowledged before me by DOROTHY ELIZABETH ENOS, the testatrix, and subscribed and sworn to before me by ~!~~~ii~' ~~r~`..~~ , J~C~11~V~st ~! 1 I l~ ~: , and G-Sfi"E~ C-~'-t v;c ~c , the witnesses, this ~~ ~~ day of ' C ~`~Ci NOT PUBLIC My C ssion Expires: Notarial Seal Klm C. Quyer, Notary PubUC Cerllele Boro, Cumberland County My Comm~sion Expires Nov. 10,1997 i '~c,:)or, ania of oti Dorothy E. Enos 2133 Douglas Dr. Carlisle, PA 17013-1024 ia/aa~o 8 Dear Dorothy, Your Cust r umber is 76256910 ol~ur Orange Savin s Ac oun~um_ber is 81668333 ~D 30~ q our nnua Percentage Yield is~4.30%~~-"~ ~ ~ -~~~~~"' Your I nterest Rate is 4.21 Thanks for becoming an ING DIRECT Customer. With the Orange Savings AccountT'", saving your money has never been easier. Get the ball rolling: • Keep an eye out for your Personal Identification Number (PIN) -you will need to activate it in order to access your account. For your security, the PIN will arrive in a non-descript envelope in 2 to 3 business days. As soon as you receive it, call us at 1-866-327-4596 from the phone number you provided as your home telephone number on your application. • Locate your Customer Number in the upper right-hand corner of this letter - it's a unique number that will identify you as our Customer. In addition to your PIN, you'll need to know your Customer Number in order to access your account. Access your account online or by phone: • Login to your account 24/7 at ingdirect.com. • Call our Interactive Phone Service with 24/7 access at 1-888-464-7868. • Speak to an Associate at 1-888-464-0727 from 8 AM to 8 PM, 7 days a week. Here are a few additional tips to save even more: • Pay yourself first with an Automatic Savings Plan - have a fixed amount of money regularly transferred from your external, linked checking account to your Orange Savings Account. • Direct Deposit all or part of your paycheck into your Orange Savings Account and watch how fast your funds will grow. • Sign up for e1 st and get all your communications electronically -this will allow you to receive important account information and updates even sooner. Thank you, ~ ~J~1~- ~Q,IIJ~~ ~ ~ ~ ~v ING DIRECT Jim Kelly Chief Operating Officer .- 2000000001-110&OSAOCSI.290-0009770 - MEMBER Q ~ ~ Questions or New Products: 1-888-464-0727 ~~1""'~"~~ ingdirect.com ~ ~ P.O. Box 60 iDlf rx:.~ Interactive Phone Service: 1-888-464-7R6R c~ ri.,..a -~ni ccen~ RRSTO~VN six A Tradition of Excellence OCTOBER 24, 2008 TO: ROGER B IRWIN FROM: ANDREW OTT BRANCH EXECUTIVE OFFICER P.O. BOX 250 SHIPPENSBURG PA 17257-0250 RE: ESTATE OF DOROTHY E ENOS DATE OF DEATH: OCTOBER 14, 2008 77 East King Street P.O. Box 250 Shippensburg, PA 17257 RECEIVED OCT 2 8 2008 (RWIN & RRcHNIGH'f LAW OFFICES IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: CHECKING ACCOUNTS ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST 143001101 DORTHY E ENOS 9/15/08 50.00 SAVINGS ACCOUNTS ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL & ACCRUED INTEREST CERTIFICATES OF DEPOSIT ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPAL 8~ ACCRUED INTEREST 4000028621 DOROTHY E ENDS 09/15/08 28.324.27 + 66.61 = 28.390.88 4000028618 DOROTHY E ENOS 09/15/08 66 089.95 + 212.67 = 66 302.62 MARC M ENDS POA M&T Bank 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302) 934-2955 October 22, 2008 Law Offices RECEIVED Irwin & McKnight West Pomfret Professional Building OCT 2 4 2008 60 West Pomfret Street Carlisle, Pennsylvania 17013-3222 IRWIN & McKNIGHI' IAW OFFICES Re: Estate of Dorothv E Enos Social Security: 571-26-1590 Date of Death: October 14, 2008 Dear Sir or Madam: Per your inquiry dated October 20, 2008, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Accozrnt Number 543020 Ownership (Names of} Dorothy E Enos* Opening Date 6/1/77 Balance on Date of Death $ 26, 416.16 Accrued Interest $ 0.18 Total $ 26, 416.34 2. Type of Account Checking Account Account Number 2679035622 Ownership (Names o~ Dorothy E Enos Opening Date 5/24/89 Balance on Date of Death $ 17, 823.43 Accrued Interest $ 0.12 Total $17, 823. SS J 3. Type of Account Savings Account Account Number IS004200933057 Ownership (Names o~ Dorothy E Enos Opening Date 6/1/77 Balance on Date of Death $ 97, 511.83 Accrued Interest $ 19.24 Total $ 97, 531.07 4. Type of Account Savings Account Account Number 15004200939526 Ownership (Names o,~ Dorothy E Enos* Opening Date 9/17/87 Closed 9/15/08** Please be advised, there was no safe deposit box found for the above decedent ** Please contact the High Street Carlisle Branch for all additional information on accounts closed prior to the date of death. * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, etc., please contact our High Street Carlisle Office # 717-240-4536. Sincerely, ~~ Tracie Hare Records Management LINDEN HALL ANTIQUES 211 N. OLD STONE HOUSE ROAD CARLISLE, PA 17015 717-249-1978 To: Roger B. Irwin, Attorney Irwin & McKnight 60 West Pomfret Street Carlisle, PA 17013 From: William G. Rowe, Appriaser 211 N. Old Stone'House Road Carlisle, PA 17015 Re: Personal Property Appraisal Enos Estate 2133 Douglas Street Carlisle, PA 17013 Date: November 11, 2008 KITCHEN Table /chairs $200.00 TV cabinet / TV /tapes $125.00 Cookbooks $20.00 Glassware $30.00 Knick knacks $10.00 Miscellaneous kitchen items $20.00 Toy plane $45.00 Blue glassware $15.00 Collection of tiles $30.00 Washstand, marble top, English $125.00 Silver tumblers /wine $125.00 Miscellaneous silver plate $25.00 DINING ROOM Hutch $100.00 Figurines $20.00 Pins -butterflies $25.00 Flatware $135.1)0 Dining room table / 6 chairs $250,40 Ice cream chair $10.00 World globe in stand $165.00 Wall hangings $50.00 Collection of blue dishes -throughout house $135.00 Pair elephants $75.00 Knick knacks $10.00 Child's tea set $20.00 Silver $25.00 Dishes /glassware $35.00 Brass candlestick, large $20.00 Side-by-side desk, oak $350.00 Spoon collection -souvenir spoons $50.00 Server $50.00 Saber $100.00 Enos Appraisal 1 11/11/2008 HALLWAY Picture Jardiniere Buddha LIVING ROOM Victorian parlor set - 3 pc. Rosewood melodeon Sofa, loveseat, 2 wing chairs Lamp stands -pair Folding screen, Chinese Rectangular stands -set of 4 Coal shuttle Piano stool Bed warmer, brass Wall clock, German Occasional chair, French Lamps Doll cradle Piano lamp Wall hangings Large dresser /mirror High chest Bed End stands (2) Brass lamps (2) Wash bowl /pitcher Rack with knick knacks Costume jewelry Silver dresser set Towels /linens Hallway - 2 knives @ $30 each OFFICE Collection of books Lamp, stained glass Desk, office supplies, etc. Computer -older model Upholstered chair - no value OUTSIDE Gas grill Iron patio set Snow blower Riding mower -older model Aerator Thatcher Crocks (4) STUDIO Books Tea cart Glassware 4-Stack bookcase 4-Stack bookcase, no base $20.00 $35.00 $30.00 $375.00 $250.00 $300.00 $30.00 $200.00 $100.00 $35.00 $100.00 $80.00 $75.00 $75.00 $10.00 $35.00 $50.00 $35.00 $100.00 $100.00 $100.00 $100.00 $30.00 $50.00 $85.00 $135.00 $125.00 $20.00 $60.00 $10.0.00 $20.00 $25.00 $30.00 $0.00 $30.00 $100.00 $115.00 $120.00 $20.00 $20.00 $60.00 $20.00 $35.00 $20.00 $250.00 $185.00 Enos Appraisal 2 11/11/2008 Brass um $20.00 Stand $5.00 Wall hangings $110.00 Collection of glassware (boxes also in garage) $145.00 BEDROOM #1 Lyre-base stand $110.00 Oval gold mirror $35.00 Side-by-side desk, oak $200.00 Figurines $20.00 Wall hangings $25.00 Bed $150.00 Oval table $75.00 Lamps (2) $15.00 Brass candlestick, large $20.00 Oriental vase $15.00 BEDROOM #2 Oval mirror $30.00 Vacuum $30.00 Trundle bed $10.00 Knick knacks, Japanese $30.00 Throw rug $5.00 Marble-top stand (cut down) $35.00 Wall hangings $20.00 Crewel supplies $15.00 DARK ROOM -STORAGE Cameras, supplies, etc. $150.00 Poster bed $100.00 HALL Washstand, marble-top, English $85.00 Wash bowl /pitcher $5.00 LAUNDRY ROOM Furs - 3 @ $50 each $150.00 Football items $35.00 Kitchen items $10.00 Records /books $30.00 Knick knacks $10.00 Fans $10.00 Candle stand $15.00 Washer /dryer $100.00 DOWNSTAIRS Oak roll-top desk $275.00 Round table (stand) $50.00 Brass candlestick, large $20.00 Knick knacks $20.00 Coffee table $10.00 Stands (2) $10.00 Display cabinet $75.00 Cast iron toy soldiers $50.00 Enos Appraisal 3 11/11/2008 PORCH Redwood set Urns (5) (jardinieres) Statuary GARAGE Freezer -old Refrigerator -old Miscellaneous hand tools Chair lift Garage items Miscellaneous hardware Miscellaneous furniture Chess sets AUTOMOBILE 2001 Chevrolet Lumina, fair condition $75.00 $100.00 $10.00 $25.00 $25.00 $90.00 $35.00 $20.00 $30.00 $10.00 $85.00 $995.00 Total $10,115.00 William G. Rowe Enos Appraisal 4 11/11/2008 ' Hoffman-Roth Funeral Home & Crematory, Inc. ~ 219 North Hanover Street Carlisle, PA 17013 (717)243-4511 October 24, 2008 James Enos Jr. 620 Grahams Woods Rd Newville, PA 17241 The Funeral Service for Dorothy Elizabeth Enos 15447-227 We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. (A) OUR SERVICE: CREMATION PACKAGE #5 , $1690.00 FUNERAL HOME SERVICE CHARGES $1690.00 SELECTED MERCHANDISE: Midnight Ornate Bell Jar, $295.00 Acknowledgement Cards, $20.00 Visitor Register $25.00 Memorial Folders, $25.00 Small Heart Necklace, $416.00 Air Force Pendent, $50.00 Cross Necklace $294.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $2815.00 Cash Advances Newpaper Obituary Notice- Sentinel $296.39 Newspaper Obituary Notice -Patriot $567.27 Certified Copies of Death Certificates , $90.00 Coroner Authorisation Cremation Fee_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $25.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES . $978.66 Total Total Cost , $3793.66 TOTAL AMOUNT DUE $3793.66 D~° Q' This statement is net and payable in full within 30 days of receipt. ~ 3 ~Of ~ ~ ~ ` :.~-- v ------------------------------------------------------------------ Please return this portion with your Remittance $ Amount Enclosed Service ID # 15447-227 Dorothy Elizabeth Enos ~u nn ~tc~e Seafood, Prime Rib, Crabmeat and Steaks Chef Creations Grecian & Mediterranean Cuisine Off Site Catering Seminars Business Dinner Meetings Private Parties RESTAURANT 85o North Hanover Street • CariisIe, Pennsylvania 17013 • (717) 243-5712 • ,fax (717) 243-8399 • wunu•sunnysiderestaurnnt.com LS'TATE OF DOROTHY E. ENOS S,-~TIiRDA1'OCTOBER !b'. ?008 ?133 DOUGLAS DR. C4RLI,SLE, P.4 170/3 C~ L.%cS 7:~ d fl ATT'ORNE)' ROGER IRWIN 60 WEST POMFRET .ST. C`ARLLSI,E, PA. 1 ?Q13 J,4MIE Ai1TCHELL HO.'~IE -2d3-9437 CELL - ,i=18-0860 1'~fE:'YLI: IT.9LL1N 5.41 %.SAGE C'HICKE.~' BRE:AS"/'ALI-~RF_DO GOLDF,l~' AIF_ATBAI_LS CHICKEN CORDON BL,F_ U SEAFOOD PUf"FS POT S'T!C'Kf,'RS P:~ISTA KOMANU COLE SLAW POTATO S4LAD lRU1T MlN/ DF.SSEfZT.S O,~' 3 T/ER A9lRROR /CED TE; i, /CE, L EN/ONS DISHES - DINP•'ER PLATES, BOWLS. PLASTlCWi1 RE, Ntl PKINS' COST: =~0 GUESTS @ ~1>.~0 PER PERSON $780.00 6 % SALES 7AX 46.80 GRAND TOTAL $826.80 THANK YOU r'OR ALLOWING US TO CATER YOUR SPECIAL EVENT. LAwoFFlces TT]]~~ '~,~ T~~ ~ ~/j ~(~~r u i' C1~1 ~1l G11T ll\ YVllY ~ A. Settlement Statement U.S. Department of Housing and Urban Development OMB No. 2502-0265 ices 11/30/2009 1t . 1 B. TYPE OF LOAN WEST POMFRET PROFESSIONAL BUILDING 1. ^FHA 2. ^FmHA 3. ^Conv. Unins. 4. VA 5. Conv. Ins. 60 WEST POMFRET STREET CARLISLE, PENNSYLVANiA 17013-3222 717 249 2353 6. FILE NUMBER HUGHES85.09 7, LOAN NUMBER 630400 ( ) - 8. MORTGAGE INSURANCE CASE NUMBER C. Note: n«n nurhM ypa.e.r win ~u owa.llr elos6q; r..now. n:r. ra xeamrwn p.pwn.ea w.oc t'°.ewae ie n,. mrw. wwm~rietl~wi nn inw fl~ and b owls fiY. F~... ~°i u. ate`. cod a~`.eu°`on~i~oi ~ e~`.euonr io o~"~ °°On TitleExpress Settlement System Printed 05115/2D09 at 11:00 JMR D. NAME OF BORROWER: BRUCE E. HUGHES and BECKY A. HUGHES ADDRESS: 2133 DOUGLAS DRNE CARLISLE PA 17013 E. NAME OF SELLER: DOROTHY E. ENDS ESTATE ADDRESS: 2133 DOUGLAS DRNE CARLISLE PA 17013 F. NAME OF LENDER: FIRST NATIONAL BANK OF CHESTER COUNTY THRU AMERICAN HOME BANK DMSION ADDRESS: AMERICAN WAY CORPORATE CENTER 3840 HEMPLAND ROAD MOUNTVILLE PA 17554 G. PROPERTY ADDRESS: 2133 DOUGLAS DRIVE, Carlisle, PA 17013 North Middleton Townahi H. SETTLEMENT AGENT: 18M REAL ESTATE SERVICES, LLC, Telephone: 717.249.2353 Fax: 717.249.6354 PLACE OF SETTLEMENT: West Pomfret Professional Bid 130 Wast Pomfret Str Carlisle PA 17013 I. SETTLEMENT DATE: 05H512009 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101. Contrail sales 'ce 250 000.00 401: Contract sales 250 000.00 102. Personal Pro 402., Personal 103. Settlement ch s to borrower line 1400 7 033.00. 403. 104. 404. 105. 405. Ad'ustments for items afd seller in advance Ad'ustments for Items id b seller in advance 107. Count taxes 05115109 to 12131109 405.45 407. ~ Cdun taxes 05115109 12!31109 405.45 106. School Tax 05115109to06130109 267.20 408. 5ilaol Tax 05115109to06130109 267.20 109. 409.' 110. 410. 111. 411. 112. 412. 120. GR03S AMOUNT DUE FROM BORROWER 257 705.65 420. GROSS AMOUNT DUE TO SELLER 250 672.65 200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. @ or earnest more 2000.00 501. Excess De it sea instructions 202. Prind amount of new loans 200 000.00 502. Settlement ch to seller line 1400 18 522.44 203. Existin bans taken su 'eil to 503. Existin loan s taken su to 204. 504. P off of Flrst M loan 205. 505. 206. seller assist r mt 10634.00 506. seller assist r mt 10 634.00 207. 507. 208. 508. 209. 509. Ad ustments for items un id seller Ad'ustmertts for items un aid b seller 213. 513.' 214. 514. 215. 515. 216. 516. 217. 517. ' 218. 518.. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 21 634.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 29156.44 300. CASH AT SETTLEMENT FROM OR TO BORR OWER 600. CASH AT SETTLEMENT TO OR FROM SELLER 301. Gnus amount due from borrower line 120 257 705.65 601. Gross amount due to seller line 420 250 672.65 302. Less amounts aid b !for borrower line 220 212634.00 602. Less reduction amount due seller line 520 29156.44 i 303. CASH FROM BORROWER 45 071.65 603. CASH TO SELLER 221 516.21 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number: HUGHESBS-09 PAGE PAID FROM PAID FROM BORROWER'S SELLER'S FUNDS AT FUNDS AT SETTLEMENT SETTLEMENT 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. loan ' inatton Fee 0.250 %FNBCC THRU AHB DMSION 500.00 802. Loan Discount % 803. A al Fee to DIVERSIFIED APPRAISAL SERVICES 350.00 804. Credit to FIRST AMERICAN CREDCO 24.79 805. Tax Service Fee to FlRST AMERICAN TAX SERVICE 98.00 806. ica0on Fee to FNBCC THRU AHB DMSION 345.00 807. Assum Fee 806. Flood CertlBcalion b FIRST AMERICAN 12.50 809. lender Admin Fee to FNBCC THRU AHB DMSION 466,00 810. AUS Fee to FHLMC to FHLMC 1g,2p 811. Wire Fee to FNBCC THRU AHB DMSION 25,00 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE ' 901. Interest From 05M512009 to 08/0112009 27.7800 t 17 D 472.26 902. M Insurarx:e Premium for to 903. Hazard Insurance Premium for to 904. 905. NUO CERTIFICATION OF eUYER AND SELLER (n Mk trams bn. lyrtlr NUD~1. 1 balwir~d aM b tM best d mmyy IonwMdp~ uW bNM. It b a trw and amraM ant d all wpy d UIa NIAI-1 SaUMard SfalNnant rau41a and dkburaanrnu mWa on ny aeoowa or h t?~~ • 9ECR1 a DOROTHY E. ENDS ESTATE J, ~~ WARMND: R nI A TO KNOWIIgLY YAI~ FALSE STATEMENTS TO 7IIE Tir NUD•1 SapNmrd ShIENIIaM adlkn I haw k a true aetl aeoumla axoud d Mk bamaetN UNI1E0 STATES ON TNIi OR ANY N01LAR FORM. PENAI.TES IRON COIIVICTION . 1 tNYa 0M100d Of 1a1a LINO dM r011d0 0i M dNM11Nd 61 SCCpdS1110a YI$II Nd8 SWISMM, CAN ON:LWE A FlNE ANO SlRIQ010YEIIT. FOR DETA83 SEE TITLE 78: ~~ _ '/ I ~/~~ UA. COOE BECTiON 7001 AND SECTION 1018. ~L// SY~'C7^7>- ~^.T i. ~ ; ~ , ~ , ~, 1 ' a 'o, f 2 3 ; i ;~ C~ `~ J ~~ Z Re 3 n Z n s -~ T T ~"~ A C 1 n 0 G Z -i ,i _ ~. - - - c/~PfTOL 9usr+ESS popMS. BJG IEMOYNfi. PA l'ml namz ACCOUNT STATEMENT PERSONAL DATA-PRIVACY ACT OF 1974 P.L. 93-579 Send Inquiries to:~ DFAS-IN/DEBT AND CLAIMS DEPT 3300 8899 EAST 56TH STREET INDIANAPOLIS IN 46249-3300 DOROTHY E ENDS 60 W POMFRET ST CARLISLE Pa 17013-3243 3~'~-~~a Visit www.dfas.mil/militarypay/debt for important information regarding electronic check rocessin . PREVIOUS BALANCE 3.791.35 LESS: PMTS RECD 0.00 CURRENT MO INT CHG 34.04 CURRENT MO ADMIN/PEN 0.00 ADJUST (+ OR -) 0.00 NEW ACCOUNT BALANCE 3.825.39 DEBT REASON (S) OR REMARK (S) BILLING DATE: 04/06/2009 PAYMENT IS DUE HERE BY: 05/06/2009 ACCOUNT N0: 571_26_1590 1 ~ MAKE CHECK PAYABLE T0: / DFAS PHONE 1-866-912-6488 FAX 317-275-0281 INTEREST RATE 8.000 MONTHLY PMT 122.65 PAST DUE AMT 122.65 PAYMENT DUE 245.30 PAST DUE ACCOUNT - YOUR ACCOUNT IS NOW DELINQUENT. PLEASE REMIT PAYMENT IMMEDIATELY OR YOU WILL BE IN DEFAULT OF YOUR INSTALLMENT AGREEMENT. Return bottom part with payment, payable to DFAS, or return for credit authorization. Mail to: DFAS P.O. BOX 979038 ST LOUIS. MO 61197-9000 ADDRESS CORRECTION PHONE: ( ) DFAS P.O. BOX 979038 ST Louls, Mo 63197-9000 DOROTHY E ENDS 571-26-1590 AMT DUE 122.65 Payment enclosed or authorized $ CREDIT CARD AUTHORIZATION V I S A `-' MC `-' EXPIRATION DATE _ _ _/_ CARD NUMBER SIGNATURE CLDFAS022009571261590D3914006YDXX022009571261590D000391400 31~'~ Gldlrns Painting = 103 Claridon Place Carlisle, PA 17013 71 .86-1094 TO: ~ ` OS i DATE. YOUR WORK ORDER P -~ , ®~~~~~T®~~ ~NV~~C~ OUR BID NO. This is a ^ Partial ^ Full invoice due and payable by: Month in accordance with our NC3822 ^ Agreement ^ Proposal Day No. Dated Month CONTRACTORS INVOICE Year Day Year All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications provided for the above work and was completed in a substantial workmanlike manner for the agreed sum of ` Dollars ($ ~~9~ ~ ). WORK PERFORMED AT: Baum's Flooring & Installation Services 3948 Enola Road Newville, PA 17241 226.4463 wbinstallations@yahoo.com Sold To: James Enos Quote: 110408 2133 Douglas Drive Carlisle, Pa 17013 Date: 02/06/09 Project/Location: House Renovation Area Description QTY SF COST TOTAL Kitchen Vinyl Congoleum- Pacesetter $2250.00 (Better Quality) Install vinyl flooring, install loan plywood subfloor, install new shoe molding Small Bath Same as described above (downstairs) (toilet to be lifted by homeowner or plumber) Bedroom Carpet Performer 100% nylon (photography Rm) (Better Quality) cushion 7/16" Goldbond installation including removal of existing materials Living Rm. Carpet/Cushion same as described above Dining Rm. Up/Down stairs Hallways Stairs $335.00 $785.00 $3195.00 Grand Total: $6565.00 Payment Schedule: Fifty percent deposit required for ordering materials. Balance due in full on job completion. ~a ~~~~I~.~ ~. ,1 ~---I - ~ - ~ ~~~r~