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HomeMy WebLinkAbout10-16-091505607121 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue - Bureau of Individual Taxes County Code Yerir File Number PO BOX 280601 INHERITANCE TAX RETURN ~ Q 9 0 1 2 6 Hartisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 7 1 4 6 1 7 1 5 0 1 1 8 2 0 0 9 1 1 1 7 1 9 5 5' Decedent's Last Name Suffix Decedent's First Name ' MI S A P O C H A K J 0 S~E P H C (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW ^X 1. Original Return 4. Limited Estate QX 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICAIIE WITH THE REGISTER OF WILLS 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust 1 (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) MI 3. Remainder Return (date of death prior to 2-13-82) i. Federal state Tax Return Required l3. Total Nu{nber of Safe Deposit Boxes 11. Election o tax under Sec. 9113(A) (Attach ~ch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFO Name Daytime Te M E L A N I E W A L Z S C A R I N G I 7 1 7 Firm Name (If Applicable) _ ~ REGI S C A R I N G I 8 S C A R I N G I P C First line of address 2 0 0 0 L I N G L E S T O W N Second line of address S U I T E 1 0 6 City or Post Office H A R R I S B U R G R 0 A D State ZIP Code ~._ P A 1 7 1 1 0 Correspondent's a-mail address: MELANIE@SCARINGILAW.COM B1~ ION SHOULD BE DIRECTED T0: p one Numbed ~ -a ' S 7 5' 7 o ,~ ' ' . ~, ~{-~ ~+~ ~~LS USgONLIk., f . -~~ r , =~ cn ~. i ~'7'S r7 .., r ~ ~. ~. _. + - ~ ra . _. {{ ~~ 4_i~ ~ ~ ~. . ~ Y' r r (DATE FILED Under penalties of perjury, l declare that I have examined this return, including accompanying schedules and statements, and to the best o 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 ATURE OF PER ON RESPONSIBLE FOR FILING RETURN ATE ~f~ S• PROGRESS AVENUE HARRISBURG PA 17111 R~OF PREPARER OT~-IFI~T~IAN ~~PRESENTATNE ~ diATF ~. 200[1 LINGLESTO AD, STE 106 HARRISBUR PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505607121 17110 150560'121 J i 1505607221 REV-1500 EX Decedent's Social Security Number Decedent's Name: JOSEPH C• SAPOCHAK 1 7 1 4 6 1 7 1 5 RECAPITULATION 1. Real estate (Schedule A) ...... ................................ .. 1. 9 13 4 5 4 , 2 0 2. Stocks and Bonds (Schedule B) ................................ 2. .. 2' 0 3 1 3 . 3 8 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 4. Mortgages & Notes Receivable (Schedule D) ...................... .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... .. 5. 5 ', 9 9 9 4 . 4 1 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6. 6 6 6 . 8 9 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested ..... .. 7. ], 9 ' 7 2 2 6 . 5 5 8. Total Gross Assets (total Lines 1-7) ......................... .. 8. 3 7 ' 1 6 5 5. 4 3 9. Funeral Expenses & Administrative Costs (Schedule H) .............. .. 9. 2 6 7 0 1 . 1 4 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .......... .. 10. 7 5 9 7 9 . 2 0 11. Total Deductions (total Lines 9 & 10) ......................... .. 11. 1 0 2 6 8 0. 3 4 12. Net Value of Estate (Line 8 minus Line 11) ....................... .. 12. 2 6 ' 8 9 7 5 . 0 9 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. 2 6 18 9 7 5 • 0 9 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 D 16. Amount of Line 14 taxable at lineal rate x .045 2 6 8 3 0 8. 2 0 16. 1 2 0 7 3. 8 7 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17. 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 6 6 6. 8 9 18. 1 D 0. 0 3 19. Tax Due .............................................. ..19. 1 2 1 7 3. 9 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505607221 150560721 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 09 09 01:26 DECEDENTS NAME J__OSEPH C__SAPOCHAK _ _ __ ___ _ __ - - - _ _ -__ STREETADDRESS 115 CHARLOTTE WAY, UNIT 203 CITY ~ STATE ZIP ENOLA ~ PA 17025 Tax Payments and Credits: ~ ~ Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 12,700.00 C. Discount 608.69 3. InterestlPenalty if applicable D. Interest E. Penalty (1) 12,173.90 Total Credits (A + B + (;) (2) 13, 308.69 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) 1.134.79 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) ~ 0.00 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPFkOPRIATE BLOCKS 1. Did decedent make a transfer and: !Yes No a. retain the use or income of the property transferred : ...................................................................... ! ^ X^ b. retain the right to designate who shall use the property transferred or its income; ............................... ^ X^ c. retain a reversionary interest; or ................................................................................................ ',^ 0 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? ^ X 3. Did decedent own an "intrust for" or payable upon death bank account or security at his or her deaths I^ ^X 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. ~0 ^ 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 exemot a transfer to a surviving spouse from tax, and the statutory requirements for di$closure 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 1;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.~)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption, REV-1502 EX + (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER JOSEPH C. SAPOCHAK 09 09 012;6 All real property owned solety or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at whhich 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 propertv which is jointly-owned with right of surv'rvorshio must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. CONDOMINIUM UNIT - 115 CHARLOTTE WAY, UNIT 203, ENOLA, PA 17025 93,454.20 TAX ASSESSMENT VALUE TOTAL (Also enter on line 1 (If more space is needed, insert additional sheets of the same size) REV-1503 EX + (8-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER JOSEPH C. SAPOCHAK 09 09 01?6 All properly jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. AMERIPRISE FINANCIAL MUTUAL FUNDS ACCOUNT NO. 01012393093 4 002 2,873.82 1052.682 SHARES AT $2.730 ASSET VALUE PER SHARE 2. AMERIPRISE FINANCIAL MUTUAL FUNDS ACCOUNT NO. 01132422350 9 002 1,057.60 1057.300 SHARES AT $1.00 ASSET VALUE PER SHARE 3. AMERIPRISE FINANCIAL MUTUAL FUNDS ACCOUNT NO. 01232422350 7 002 1,867.46 354.356 SHARES AT $5.270 ASSET VALUE PER SHARE 4. AMERIPRISE FINANCIAL MUTUAL FUNDS ACCOUNT NO. 01392422350 9 002 1,547.26 519.216 SHARES AT $2.980 ASSET VALUE PER SHARE 5. AMERIPRISE FINANCIAL MUTUAL FUNDS ACCOUNT NO. 01432422350 3 002 2,944.91 442.178 SHARES AT $6.660 ASSET VALUE PER SHARE 6. FRANKLIN TEMPLETON INVESTMENTS - DYNATECH FUND - CLASS C •• 2,125.32 ACCOUNT NO. 208-267930; 135.890 SHARES AT $15.64 PER SHARE 7. AMERICAN FUNDS -ACCOUNT NO. 6491-2555 35/235 -SMALL CAP WORLD FUNNDS 821.13 A&B 8. EATON VANCE WORLDWIDE HEALTH SCIENCES FD CL C -ACCOUNT NO. 1,143.98 1501605479 - 135.704 SHARES AT THE NET ASSET VALUE PRICE OF 8.43/SHARE 9. DWS INVESTMENTS -ACCOUNT NO. 1487659 -DWS RREEF REAL ESTATE 1,201.53 SECURITES FUND 120.757 SHARES AT $9.95/SHARE 10. DWS INVESTMENTS -ACCOUNT NO 1305213 -DWS COMMUNICATIONS FUND 448.03 53.337 SHARES AT $8.40/SHARE 11. SUN AMERICA MUTUAL FUNDS ACCOUNT NO. 9417655 812.98 12. INVESCO AIM INVESTMENT SERVICES, INC.- ACCOUNT NO. 3911930570 3,469.35 AIM CHARTER FUND - CLASS C - 315.109 SHARES AT $11.01 PER SHARE TOTAL (Also enter on line 2, Recapitulation) I S (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) SCHEDULE E CASH, BANK DEPOSITS & MISC. COMMONWEALTH OF PENNSYLVANIA , INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER JOSEPH C. SAPOCHAK 09 09 0126 Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PSECU SAVINGS ACCOUNT NO. 0171461715 785.87 PRINCIPAL $785.56 + ACCRUED DIVIDEND $.31 2. - PSECU CHECKING ACCOUNT NO. 0171461715 290.03 PRINCIPAL $290.01 + ACCRUED DIVIDEND $.02 3. PSECU MONEY MARKET ACCOUNT NO. 0171461715 4,205.41 PRINCIPAL $4200.47 + ACCRUED DIVIDEND $4.94 4. SOVEREIGN BANK CHECKING ACCOUNT NO. 0231116950 3,426.60 PRINCIPAL $3,426.52 + ACCRUED INTEREST $.08 5. SOVEREIGN BANK MONEY MARKET ACCOUNT NO. 0354068938 3,265.66 PRINCIPAL $3,261.47 + ACCRUED INTEREST $4.19 6. SOVEREIGN BANK SAVINGS ACCOUNT NO. 2334302490 351.04 PRINCIPAL $350.58 + ACCRUED INTEREST $.46 7. SOVEREIGN BANK CERTIFICATE OF DEPOSIT ACCOUNT NO. 2335542615 913.32 PRINCIPAL $911.77 + ACCRUED INTEREST $1.55 8. MEMBERS 1ST SAVINGS ACCOUNT NO. 285410-00 1,009.36 PRINCIPAL $1,008.89 + ACCRUED INTEREST $.47 9. MEMBERS 1ST CHECKING ACCOUNT NO. 285410-11 510.13 10. MEMBERS 1ST INVESTMENT SAVINGS ACCOUNT NO. 285410-05 18,761.20 PRINCIPAL $18,759.66 + ACCRUED INTEREST $1.54 11. 2008 PA STATE INCOME TAX REFUND (RECEIVED AFTER DOD) 9.00 12, DECEDENT'S FINAL PAYCHECK (PAID THROUGH 1/16/09 (RECEIVED AFTER DOD) 9,694.92 13, 2008 FEDERAL INCOME TAX REFUND (RECEIVED AFTER DOD) 2,596.00 14. 2005 CHEVY COBALT -KELLEY BLUE BOOK VALUE 3,925.00 15. THREE CAPITAL BLUE CROSS (HEALTH INSURANCE) REFUNDS $61.9'1; $935.818; 1,671.79 AND $674.00 16. ING DIRECT ORANGE SAVINGS ACCOUNT NO. 62881403 3,757.93 PRINCIPAL $3,753.61 + ACCRUED INTEREST $4.32 TOTAL (Also enter on line ~'~, Recapitulation) E 59.994.41 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent JOSEPH C. SAPOCHAK 09 09 0126 Decedent's Name Page 1 File Number Schedule E -Cash, Bank Deposits, ~ Misc. Personal Property ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 17. SAFE DEPOSIT BOX LOCATED AT MEMBERS 1ST- CONTAINED ONLY PERSONAL 0.00 PAPERS WITH NO VALUE 18. PERSONAL PROPERTY LOCATED AT DECEDENT'S RESIDENCE (VALIJED BY 4,765.00 EXECUTOR) 19. REFUND FROM COMCAST g,gg 20. CHECK FROM ALLIANCE CAPITAL MANAGEMENT DISTRIBUTION FUND 40.68 21. DS WATER OF AMERICA, INC. REFUND 8.58 SUBTOTAL SCHEDULE E 4,821.15 GRAND TOTAL SCHEDULE E $ 59,994.41 REV-1509 EX + (6-99) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN ESTATE OF FILE NUMBER JOSEPH C. SAPOCHAK 09 09 01 ~6 Man asset was made joint within one year of the decedents date of death, it must be reported on Schedple G. SURVNING JOINT TENANT(S) NAME ,4. SANDRA L. SAPOCHAK 45 WESTPOINTE DRIVE EPHRATA, PA 17522 ADDRESS (RELATIONSHIP TO DECEDENT EX-WIFE C JOINTLY•OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE. OF ASSET °k OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTERESI 1. A. 15+ yrs 46 SHARES OF TIM HORTONS STOCK -BOOK ENTRY 1,146.7 50. 573.39 COMPUTERSHARE INVESTOR SERVICES ACCT NO. 00000039110 ($24.93/share) 2. A 12/2/91 34 SHARES OF WENDY'S INTERNATIONAL, INC. 187.Ob 50. 93.50 STOCK- AMERICAN STOCK TRANSFER & TRUST CO. LLC CERT. NO. NX0336325 ($5.50/SHARE) TOTAL (Also enter on line 6, Recapitulation) ~, I S 666 89 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY FILE NUMBER JOSEPH C. SAPOCHAK 09 09 0126 This schedule must be completed and filedrf the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OFTHETRANSFEREE,THEIRRELATIDNSHIPTODECEDENTAND THE DATE OF TRANSFER. ATTACHACDPYOFTHEDEEDFDRREALESTATE. DATE OF DEATH VALUE OF ASSET °/o OFDECD'~ INTEREST EXCLUSION pFaPPLICaSLE) TAXABLE VALUE 1. AMERICAN FUNDS IRA-ACCOUNT NO. 6495-2002-16/216 2,196.20 100. 2,196.20 EUROPACIFIC GROWTH FUNDS A & B -JONATHAN A. SAPOCHAK (SON OF DECEDENT) 100% BENEFICIARY 2. ALLIANCE BERNSTEIN INVESTMENTS, INC. 1,218.73 100. 1,218.73 IRA ACCT. NO. 4725946120; JONATHAN A. SAPOCHAK (SON OF DECEDENT) 100% BENEFICIARY FUND 82 HELD 5.588 SHARES AT 40.84 OR 228.21 FUND 282 HELD 27.622 SHARES AT 35.86 OR 990.52 3. GREAT-WEST RETIREMENT SERVICES - COMM OF PA 5,160.73 100. 5,160.73 DEFERRED COMP PROGRAM; ID NO. 3359925 JONATHAN A. SAPOCHAK (SON OF DECEDENT) 100% BENEFICIARY (LETTER FROM COMPANY INCORRECTLY LISTS BENEFICIARIES- BUT JON IS 100% IN ALL COMPUTER RECORDS -AND HAS RECEIVED 100% OF ACCOUNT) 4. STATE EMPLOYEES' RETIREMENT SYSTEM -DEFINED 135,833.80 100. 3,000.00 132,833.80 BENEFIT. JONATHAN A. SAPOCHAK (SON OF DECEDENT) 100% BENEFICIARY EXCLUSION PER 72 PA C.S. 9107(C)(3). 5. FIDELITY INVESTMENTS ROLLOVER IRA ACCOUNT NO. 6,090.88 100. 6,090.88 2AQ-901180; 583.418 SHARES AT $10.44 PER SHARE JONATHAN A. SAPOCHAK (SON OF DECEDENT) 100% BENEFICIARY 6. MORGAN STANLEY ROLLOVER IRA NO. 613-040409-039 49,726.21 100. 49,726.21 JONATHAN A. SAPOCHAK (SON OF DECEDENT) 100% BENEFICIARY TOTAL (Also enter on line 7 Recapitulation) I ~ 197 226 55 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (10-06) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER JOSEPH C. SAPOCHAK 09 09 0126 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION _ AMOUNT A. FUNERAL EXPENSES: 1. FUNERAL WAS PRE-PAID 2. ZION LUTHERAN CHURCH 110.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) 0.00 Street Address City State Zip _ Year(s) Commission Paid: 2. AttomeyFees SCARINGI &SCARINGI, P.C. 18,500.00 3. Family Exemption: (If decedent's address is not the same as daimanYs, attach explanation) 0.00 Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. pro~,teFees TO CUMBERLAND COUNTY REGISTER OF WILLS (ADVANCED BY 400.00 SCARINGI &SCARINGI PC 5 AcoountanYs Fees 6. Tax Retum Preparer's Fees 7. COMB. CO REG WILLS- ADDL SHORT CERTS -ADV BY S&SPC (2 CKS) 36.00 8. PA DEPT HEALTH -VITAL RECORDS -ADDL DEATH CERTS -ADV BY S&S PC 36.00 9. CUMB. CO LAW JOURNAL -LEGAL NOTICE -ADV BY S&S PC 75.00 10. THE SENTINEL -LEGAL NOTICE -ADV BY S&S PC 176.92 11. COPY, POSTAGE, FAX & MISC ADMIN EXPENSES ADV BY S&SPC TO 9/20/2009 83.52 12. EAST PENNSBORO TWP -SEWER & TRASH 356.50 13. WESTWOOD VILLAGE CONDO ASSOC. -WATER 69.69 14. WESTWOOD VILLAGE CONDO ASSOC. DUES & FEES 1,075.00 15. SOVEREIGN BANK MORTGAGE PAYMENTS 4,758.73 16. PPL ELECTRIC UTILITIES CORP 606.77 17. VERIZON -FINAL BILLS 137.47 18. COMCAST CABLE 63.02 TOTAL (Also enter on line 9, Recapitulatiion) S 26.701.14 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent JOSEPH C. SAPOCHAK 09 09 0126 Decedent's Name Page 2 File Number Schedule H -Funeral Expenses ~ Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 19. I TRAVELERS INDEMNITY & AFFILIATES (HOMEOWNERS INSURANCE) ~ 216.52 SUBTOTAL SCHEDULE H-B7 ~ 216.52 REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS t~ I wl t ur FILE NUMBER JOSEPH C. SAPOCHAK 09 09 0126 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. SOVEREIGN BANK MORTGAGE (DOD BALANCE $71,057.08 MINUS PAYMENTS 70,230.10 TO PRINCIPAL SINCE DATE OF DATE TOTALING $826.98 FOR AN OUTSTANDING BALANCE OF $70,230.10) 2. PSECU VISA LOAN NO. 171461715 66.21 3. PERSONAL TAX FOR HAVING BEEN ALIVE FOR EVEN ONE DAY IN 2009 TO DEBBIE 9.80 LUPOLD, TREASURER -ADVANCED BY SCARINGI &SCARINGI, PC 4. HOSPICE OF CENTRAL PA -FINAL HEALTH CARE SERVICES IN JANUARY 2009 2,000.00 5. EAST PENNSBORO AMBULANCE SERVICE, INC. -SERVICES RENDERED TO 674.00 DECEDENT ON 11/7/08 6. WEST SHORE EMS - ALS -SERVICES RENDERED TO DECEDENT 11/7/08 935.88 7. CRYSTAL SPRINGS -HOT AND COLD COOLER RENTAL - 2 UNPAID INVOICES, THE 14.84 SECOND OF WHICH WAS DATED 1/14/09 (BEFORE DOD) 8. WEST SHORE EMS 200.58 9. BANK OF AMERICA -CREDIT CARD -OUTSTANDING BALANCE 28.50 10. GE CREDIT (PAYING FOR APPLIANCES ON CREDIT) - PD CH. #314 1,691.03 11. MSHMC PHYSICIANS GROUP (CHECK CLEARED AFTER DOD) 25.00 12. HARRISBURG PHARMACY (CHECK CLEARED AFTER DOD) 93.98 13. COMCAST CABLE (CHECK CLEARED AFTER DOD) g 28 TOTAL (Also enter on line 10, Recapitulation) I $ ~~ „~„ ,,,, (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-p0) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER JOSEPH C. SAPOCHAK na na n~~~ RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustees) OF ESTATE I TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. JONATHAN A. SAPOCHAK Lineal 268,308.20 815 S. PROGRSS AVENUE HARRISBURG, PA 17111 2. SANDRA UPHOLD Collateral 666.89 45 WESTPOINTE DRIVE EPHRATA, PA 17522 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 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 $ tir more space is needed, insert additional sheets of the same size) r REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedent's date of death: -_ __ 12,7©0.00 Discount: 608.69 Interest Table ~~ Year Days Delinquent this time period Balance Due this year Interest this period Before 1981 _ -- -___ 1982 _ - , - .- ~ --- - - 983 - 1984 1985 - 1986 - - - --- , - --- - ~ - -- - -- -- -- - _ - - --- - -- - _ - _._ -- _1987 - r 1988 through 1991 ~-- - - - - - ~ _ -- -. 1992 1993 through 1994 - - -- 1995 through 1998 -- 999 - - - ~ _- - ---- - 1 __-- - _ 2000 ~_ 2001 - __ - - -- - _ - -- -- . - 2002 - -- 2003 2004 - - ~- - - -- ----------- - - ~_ 2005 - ~_2006 ---- - - - -- _ - , - -_ - -- I2007 - 2008 ~ _-~ - ---- _ - -- -- - - - - - --- 2009 - -- --- -- _ - - -- - -_ - _ __ _ _ - TOTALS - ~ ~ 7 Penalty Calculation If the decedent's date of death was on or before March 31, 1993, insert the applicable amount: Total Balance Due on January 17, 1996: __ __ Penalty: K:\Sapochak.J.Will. d'oc November 1, 2007 LAST WILL AND TESTAMENT OF JOSEPH C. SAPOCHAK I, JOSEPH C. SAPOCHAK, of Enola, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking any and all prior Wills and Codicils thereto by me at anytime heretofore made. __-- 1. IDENTIFICATION OF FAMILY. I declare that I have one (1) child whose name is JONATHAN A. SAPOCHAK. As used in this Will, the term "issue"'' refers to all lineal descendants of the indicated person of all generations, with the relationship df parent and child at each generation determined by the definition of "child/children" set forth in this paragraph. 2. PAYMENT OF BURIAL EXPENSES AND DEBTS. I authorizf; my Exeecutor to pay all the expenses of (1) a funeral or memorial service; (2) the interment o:f my remains, including the costs of a gravesite, if necessary; and (3) the installation and inscription of ~ suitable marker at, and perpetual care of, the gravesite. I further direct my Executor to pay all pf my debts that my Executor in his or her sole discretion may allow as claims against my estate. 3. DISPOSITION OF TANGIBLE PERSONAL PROPERTY. I give gall of my tangible personal property of every kind and description, including, but not limited to, books, pictures, clothing, articles of household or personal use or adornment, household furnishings and effects, and automotive vehicles and their accessories, but excluding any money, evidences of indebtedness, documents of title, and securities and property used in connection with the operation of any trade or business, to my son, JONATHAN A. SAPOCHAK. 4. DISPOSITION OF RESIDUARY ESTATE. All of the rest, residue and remainder of the property that I own at the time of my death, both real and personal, and of every kind and description, wherever situated, to which I may be legally or equitably entitled at the time of my death (my "residuary estate"), I give outright and absolutely to my son; JONATHAN A. SAPOCHAK. PROVIDED THAT, if JONATHAN A. SAPOC:HAK s1~all predecease me leaving issue who survive me, then I leave his share to his issue, per stirpe~; and PROVIDED FURTHER THAT, if my son, JONATHAN A. SAPOCHAK, shall predeceaGse me and does not leave issue who survive me, then I leave his share to be divided equally between my brothers -~~ ~- , 1VIA~HEW J. SAPOCHAK and HAMS E. SAPOCHAK, per stirpes. l ~ 1 .~ ~ ~ ` Q ` /~ J r'~ ~3 W J V ~ C ". l'i' ~_ i ~' L ~ C' N J _ J ph C. Sapochak -- K:~Sapochak:J. Will.d'oc November 1, 2007 5. POWERS OF ADMINISTRATION. 5.1. Grant of Powers. My Executor, in the administration of my estatee, (my "fiduciaries") shall have the powers and authorities set forth in this Article 5. These powers and authorities may be exercised by my Executor in his sole and absolute discretion, without the permission or order of any court. These powers shall be supplementary to those conferred by law, including, but not limited to, those set forth in Title 20, Chapter 33, of the. Pennsylvania Consolidated Statutes. 5.2. Retention of Assets. My fiduciaries shall have the power to retain ainy or all property of my estate, however received and acquired, for so long as they deem appropriate. This power may be exercised even though the property may not be of the type authorized bye law for investment, and even though the retention may leave a disproportionately large amount of the value of my estate invested in one type of property. 5.3. Transfer of Assets. My fiduciaries shall have the power to sell, transfer, and convey any property, of whatever nature, including real property, and wherever situated, that I may own at the .time of my death, or that may come into my estate or after my death. 'the sale, transfer, or conveyance may be by public or private sale, at such time, on such ter~rns and conditions, including selling price and credit, in such manner, and for any reason that my fiduciaries deem appropriate, including, but not limited to, the purpose of obtaining net proceeds to be distributed to my residuary beneficiaries. 5.4. Investment. My fiduciaries shall have the power to invest and rein±~est any property in my estate in preferred and common stocks, bonds, notes, common trust funds (including any managed by any corporate fiduciary), interests in investments, trusts, m~ztual funds, leases, mortgages on property wherever located, and, generally, in any.property ar#d in .proportions of property as my fiduciaries deem advisable, even though the investments are 'not of the character or proportions authorized by applicable law for the investment of the funds. 5.5. Power to Borrow. My fiduciaries shall have the power to borroow money for any purpose, for any periods of time, and on any terms .and conditions as they deem advisable (including the power to borrow from any corporate fiduciary), and to pledge, mortgage, or otherwise encumber any property in my estate to secure repayment of any loan, as well as the power to renew existing loans either as maker or endorser. 5.6. Power to Hold Property in Nominee Form. My fiduciaries shall' have the power to hold any property in the name of a nominee or in bearer form. 5.7. Distribution in Cash or in Kind. My fiduciaries shall have the power to make distributions in cash or in kind, or partly in cash, in divided or undi~7ded intierests, as amended, or other applicable law, and to determine which assets shall be sold at~d which shall be distributed in kind, without notice to or consent by any beneficiary. 2 ~~,..~ 1 .~ C.Sapochak K:1Sapochak.J. W ill. dbc November 1, 2007 5.8. Distribution to Minors and Persons Under Disability. My fiduciaries shall have the power to make distributions or payments to or for the benefit of any beneficiary who is a minor, an incompetent, or who in the fiduciaries' judgment is incapacil:ated. 't'he distributions or payments shall be made in any one or more of the following ways: (:L) directly to the beneficiary; (2) directly to the creditor in payment of the debts or expenses o:f the beneficiary; (3) to the guardian of the person or estate of the beneficiary; (4) to any custodial parent of a minor beneficiary; (5) to a custodian for the beneficiary under any law related' to gifts to minors, including to my fiduciaries in that capacity; or (6) to any other person wha shall have the care and custody of the person of the beneficiary. There shall be no dut}r to see to the application of funds so paid, provided due care was exercised in the selection of the person to whom the funds were paid, and the receipt of the person shall be full acquittance of the fiduciaries. 5.9. Continuation or Liquidation of Business. My fiduciaries shall 'have the power to continue or to permit the continuation of any business, incorporated o~r unincc}rporated, in which I may have any interest at the time of my death for any period of time, or to liquidate the business on any terms as they deem appropriate. This power includes, but is not limited to (1) the power to invest additional sums in any business, even to the extent thaf my estatte may be invested largely or entirely in the business, without liability for any loss resuXting from lack of diversification; (2) the power to act as or to select other persons to act as directors, officers, or employees of any business, to be compensated without regard to being a Fiduciary under this Will; and (3) the power to make any other arrangements in reg~~rd to any business as my fiduciaries shall deem proper. 5.10. Employment of Agents. My fiduciaries shall have the power to eanploy and pay the compensation of any and all attorneys, agents, custodians, attorneys-in-fact, experts, investment counsel, accountants, bookkeepers, or other agents or providers of serviced as my fiduciaries deem advisable in the administration of my estate. 5.11. Commissions. My fiduciaries shall have the power to take reasonable commissions on account at any time during the administration of my estate wil:hout the approval of any beneficiary or of the court, but subject to allowance or disallowance on the se~~tlement of the final accounts of my fiduciaries. 5.12. Third Party Reliance. No person or corporation dealing with my Executor shall be required to see to the application of any property paid or delivered to my Executor, or to inquire into either the authority of my Executor to enter into any transaction or 'the expediency or propriety of any transaction entered into by my Executor. 5.13. Charitable Donations. In the event that any of my tangible personal property is donated to a charitable organization(s) then my fiduciary is instructed to use the value of said donation(s) as an inheritance tax deduction for any inheritance tax return which may be required to be filed as a consequence of my death. 3 ~ ~-, ~- C. Sapocha.k -~ K:\Sapochak.J. Will.doc November 1, 2007 6. PAYMENT OF DEATH TAXES. 6.1. Payment of Estate Taxes. I direct that all federal and Pennsylvania estate taxes payable as a result of taxes assessed on property passing under this Will shawl be paid from my residuary estate as a part of the expenses of the administration of the estate. 6.2. Inheritance Tax. I direct that the Pennsylvania inheritance taxes p~.yable as a result of my death, limited to taxes assessed on property passing under this Will, sha!lI be paid out of my residuary estate .and shall not be deducted or collected from any beneficiary under this Will or other transferee. 7. EXECUTOR. 7.1. Appointment. I name, constitute, and appoint my son, JONATHAN A. SAPOCHAK, as Executor of my estate. If my son, JONATHAN A. SAPOCHAIS:, shall riot survive me, shall not serve as Executor for any reason, or shall cease to serve as Executor for any reason after appointment, I appoint my brothers, MATTHEW J. SAPOCHAI~ and HANS E. SAPOCHAK, as successor Co-Executors. 7.2. Bond Not Required. None of the individuals named in Section 7.1 shall be required to furnish a bond for the faithful performance of his duties as Executor. 8. PRESUMPTION IN CASE OF SIMULTANEOUS DEATH. For the purposes of this Will, in determining whether a person has survived me or another person, a person shall not be deemed to have survived me or another person if he or she dies within sixty (60) days o'f my death or of the death of the other person. 9. LIABILITY OF EXECUTOR. My Executor shall not at any time be liable for mistake of law or of fact, or both law and fact, or errors of judgment, nor for any loss comirug to any beneficiary under this Will, or to any other persons, except through actual fraud or willfujl misconduct on the part of the Executor. My Executor may, from time to time, consult with counsel with respect to the meaning, construction, and operation of this Will, particularly with respect to the appointments, allocations, and disbursements, and may act on the advice of counsel in all matters without incurring liability on account of his or her actions. 10. INTERPRETATION. 10.1. Successors of Fiduciaries. All pronouns refemng to an Executor and the term "Executor" shall be construed to mean any person acting as my Executor, ca-Executor, personal representative, or administrator, as the case maybe. 10.2. Number and Gender. If required by the context of this Will, singular language shall be construed as plural, plural language shall be construed as singular, and the gender of personal pronouns shall be construed as either masculine, feminine, or neuter. 4 ("~` y 1. \~ e C. Sapochak K:\Sapochak.J. Will. doc November 1, 2007 COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND ) I, JOSEPH C. SAPOCHA.K, THE TESTATOR, WHOSE NAME IS 'SIGNED TO THE FOREGOING INSTRUMENT, HAVING BEEN DULY QUALIFIED ACCORDIl~IG TO'LAW, DO HEREBY ACKNOWLEDGE THAT I SIGNED AND EXECUTED THE INSTRUMENT' AS MY' LAST WILL AND TESTAMENT; THAT I SIGNED IT WILLINGLY; AND THAT I SIGNED IT ASS MY FREE AND VOLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED. SWORN OR AFFIRMED TO AND ACKNOWLEDGED BEFORE ME BY JOSEPH C. SAPOCHAK, THE TESTATOR, THIS ,?A~b DAY OF /t,~i~J~i'~,~Bu'~(° 2007. CCMpiC1NVVEALTH (7F PENIVSYLVAsVIA PJa~;ialSeal ----- De~xah L 8;a~r+., ~fotary Public Camp Nii! Sara, Curn~aiarsci gCpot,cryniy (VlyrCiOfrtm~:aW3 E;t~v2FS J`urle lil, L4~0 Member, F'ennsylvanla Asseciatlon ~f Alotar?es COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND 1 WE, ~ ri(J~ S' ~` ~~.ylC ~. ~% .AND ~e!'i ~ ~~. /~i/7~~Ch THE WITNESSES WHOSE NAMES ARE SIGNED TO THE FOREGOING INSTRUMENT, BEING DULY QUALIFIED ACCORDING TO LAW, DEPOSE AND SAY THAT WE WERE PRESEI±IT AND SAW THE AFORESAID TESTATOR SIGN AND EXECUTE THE INSTRUMENT 'AS HIS ;LAST WILL AND TESTAMENT; THAT HE SIGNED WILLINGLY AND THAT HE EXECUTED IT ~S HIS FREE AND VOLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED; THAT EAC~i OF US IN THE HEARING AND SIGHT OF THE TESTATOR SIGNED THE WILL AS WITNESSES; A'ND THAT TO THE BEST OF OUR KNOWLEDGE THE TESTATOR WAS AT THE TIME EIGHTEEN (18)~ OR MORE YEARS OF AGE, OF SOUND MIND AND UNDER NO CONSTR.A.INT OR UNDUE INFI.UENCl~. SWORN OR AFFIRMED TO AND SUBSCRIBED TO BEFORE MI., THIS ~d DAY OF /U/7/l~/y~Y/iQ , 2007. CCM1+iCM.+VEALTti CF PEN~SYLVArJIA ~la~r~! Spa! D.~dh L. s3;~nern~, tdctary Pubic Camp Hill i3oty, Cumbsr>ancl Gourty iVly Cerru~: s~xx; ~r~ .hm° 98, 209 ~ Member, Penn~ylvi~nlb Aasuclatlon of t~dota~ies COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105-6486 February 27, 2009 MELANIE WALZ SCARINGI ESQUIRE SCARINGI & SCARINGI PC 2000 LINGLESTOWN ROAD SUITE 106 HARRISBURG PA 17110 Re: JOSEPH C SAPOCHA]{ SSN: 171-46-1715 Dear Attorney Scaringi Pursuant to your letter dated February 26, 2009, the De~partme~t of Public Welfare (DPW), Estate Recovery Program, has reviewed the information you provided regarding the above-referenced individual. It has been determined that DPW will only pursue the re:covery,of PROBATE ESTATE claims when the individual was fifty-five years of aqe or odder at the time that assistance was received, Therefore, according to the information you provided, t:he Department's Estate Recovery Program will not seek any recovery from this estate. If you have any questions, please feel-free to contact me. Sincerely, ,~ ~t~C.~ Carole A.~Procope Recovery Section Manager (717)772-6604 l~~o ayo ~ ` ~ ~`; J~S7 g, x(E,GLERC Tax ID#09•-12-2992-001A-02203-2 1,'r:' ~,;•.:.1~ l!F ~EE~S DEED ~..,. ~. . . .,,. u~ DST 26 °~1 3 3? THIS INDENT~TRE, made this 25th day of October , 2005, among )OHN M. GREEK, single man, (hereinafter referred to as "Grantor") AND JOSEPH C. SAPOCHAK, single man, (hereinafter refen+ed to as "Grantee"). WiTNESSETH, that Grantor, in consideration of Seventy Four Nine Hwrdrod Dollars (574,900.00) lawful money of the United States of America, the receipt aTiul su ciency of which hereby are acknowledged, do hereby Brant, release and convey unto Grantee and the (heirs, executors, administrators, legal represcetatives, successors and assigns of Grantee forever, ALL THAT CERTAIN unit in the property known, named and ideati5ed in the T~eclaration Plsn, referred to below as Westwood Village Condominium located in East ~'eansboro Township, Cumberland County, and Commonwealth of Pennsylvania, which has (heretofore been submitted to the provisions of the Unit Property Act Pennsylvania, .Act of July 3, 1963, P.L. 1%, by the recording in the Office of the Recorder of Deeds in and for C~rmberhurd County, Pennsylvania, of a Declaration Creating and Establishing Westwoa~d Village Condominium dated January 29, 1975, and recorded on January 29, 1975, in Miskxllaneous Book 213, Page 283, and amended by a certain First Amendment to Declaratiau~ Creating and Establishing Westwood Village Condominium dated May 28, 1976, and rdcorded on June 22, 1976, in Miscellaneous Book 222, Page 729, snd a certain Second Ame~rdment to Declaration of Creating and Establishing Westwood Village Condominium datedd July 21, 1976, and -rxorded on July 26, 1976, in Miscellaneous Book 223, Page 343, and', a Code of Regulations of Westwood Village Condominium dated May 28, 197b, and recorded oa ]une 22, 1976, in Miscellaneous Book 222, Page 727, and Declaration of Plan of ~iVesiwood Condominium dated January 29, 1975, and recorded on January 29, 1975, in Plan Book 26, Page 15, and amended by a certain First Amendment to Declaration of Plan of WWestwood Village Condominium dated July 21, 1976, and recorded on July 26, 1976, in Plmt Book 28, Page 72, being designated oa said Declaration Plea of Westwood Village Condominium as Unit No. 115, Suite 203, L20-GA in Block #2, Baiidmg #2, known as 115 Char~otbo Way, Suite 203, Enola, Cumberland County, Pem~sylvania, as more fully described in such Declaration Plan and Declaration Creating and Establishing Westwood Village Condominium as the same appears of record ss set forth above, including nay an~ondments thereto, TOGETHER with a proportionate, undivided interest in the Common Elements (as defined in such Declaration} of one ~ one hundred thirteen thousands percent (1.'113'/0). BEING THE SAME PREMISES which Patricia A. Fait, by deed dated October 29, 2004 and recorded November 1, 2004. in Deed Book 266, Page 90, in the Recorder's Ol~icx in and for Cumberland County, Pennsylvania, granted and conveyed unto John M. ~'ireer, the granter herein. . UN>QER AND SUBJECT, nevertheless, to easements, restrictions, reservations, conditions ar~i rights~f--way of record. e~o~ ; ."71 ~acE3~~0 And the said grantor(s), do(es) hereby warrant specially the property hereby conveyed IN WITI~TESS WHEREOF Grantors have duly executed this deed on the first above written. Signed, Sealed and Delivered in the Presence of Jo .Greer State of PENNSYLVAi~TIA ss. County of Cumberland tJn this, the 25th day of October , 2005, before me, the undersigned officer, personally appeared John M. Greer known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribo~d to the within instrunnent, and acknowledged that he/she/@-ey executed same for the purposes therein cxntained. SEAL COMMONWEALTH OF PENNSYLVANIA NOWisISNI Title of IUfficer Bod~Jo DsM~t~ Notary P~lic ~rni~i~a~ ~ 25a~ IiMmbK, P~mNyN~N~ Anool~i of Notarla o ~ ~ S :' r~i ~ ~ r~i chi '~' ~ ,.... ~ ~ , n ns ~. C• Q ~Q. ~ E~/Y .-d W ~ u ~ ~ R ~ ~ ~~ ~ o ~. ~ ~ ~~ h+ r• 1 d "~!t ~ eooK 271 PACE3~~, O~ppd~ppWNO~""+. C 1pOry~~F+ N ~ O4~4iS~4~~OC-~ IV g N 1 as ~x~ ~~ ~~ Q ~ F» ~ A ~' Z Ci x x o w -~ ~ ~ O A 0 N ',~ N a~ L ~ ~ r0 ~ ~"~ ~i .~ ~ a U~ ~o ,,, ~ w w 1 Certify this to be recorded in Cumberland County!PA :"; .,.. ~,. Re~~:~r~er of Deeds eooK 271 PaGE3~~ TaxDB Result Details Page 1 of 1 Detailed Results for Parce109-12-2992-OOlA-U2203-2 in the 2004 Tax Assessment Database DistrictNo 09 Parcel ID 09-12-2992-OOlA-U2203-2 MapSufftx HouseNo 115 Direction Street CHARLOTTE WAY Ownerl SAPOCHAK, JOSEPH C C/O PropType R PropDesc LivArea 1166 CurLandVal 0 CurImpVal 74170 CurTotVal 74170 CurPrefVal Acreage .00 CIGrnStat TaxEx 1 SaleAmt 74900 SaleMo 10 SaleDa 26 SaleCe 20 SaleYr OS DeedBlcPage 00271-03040 YearBlt 1974 HF File Date 01/24/2006 HF Approval_Status A ~~~ ~~ . ,N\\a~ ~ ~~~~ ~~~~ ~~~ http://taxdb.ccpa.net/details.asp?id=09-12-2992-OOlA-U2203-2&dbselect=l 2/4/2009 Ameriprise Financial RiverSource Life Insurance Company RiverSource Funds Ameriprise Certificate Company Ameriprise Brokerage 70100 Ameriprise Financial Center Minneapolis, MN 55474 MELAIVIE WALZ SCARINGI 2000 LINGLESTOWN ROAD SUITE 10 6 HARRISBURG, PA 17110 RE: ID 10166568 5 001 Enclose form 3248 and F119 Dear MELANIE WALZ SCARINGI: We have received notification of JOSEPH C SAPOCHAK's death. Please accept our condolences on your loss. The deceased's name is associated with the following accounts. Account values as of 01/18/2009 aze listed below. At the end of this letter, you will find a list of beneficiaries shown in our initial review of the accounts. Account Information Mutual Funds Account Number Ownershiy 01012393093 4 002 Individual 01 132422350 9 002 Individual 01232422350 7 002 Individual 01392422350 9 002 Individual 01432422350 3 002 Individual Mutual Funds Account Number Total Value # of shares Asset Value Per Sh e 01012393093 4 002 $2873.82 1052.682 2.7 0 01 132422350 9 002 $1057.6 1057.300 1.40 01232422350 7 002 $1867.46 354.356 5.270 01392422350 9 002 $1547.26 519.216 2.9$0 01432422350 3 002 $2944.91 442.178 6.660 The date of death values provided aze for estate tax purposes and aze not a value to be paid. Accounts may be subject to market fluctuation as governed by each product. Please note that the values indicated for any Life Insurance products with the insured deceased reflect the gross. death benefit at date of death and not the cash value. Values indicated for Life Insurance products with only the owner deceased reflect the cash value as of the date of death. 'Values fop any proprietary mutual funds include accrued dividends as applicable. Values provided for brokerage products aze manually calculated, and should be used as estimates only. The prices used to provide values are estimates obtained from outside sources believed to be reliable. Ameriprise Financial provides these values as a service to its clients. Actual values used in preparation of tax returns or for planning purposes should be verified by your legal anal accounting advisors. Insurance and annuities are issued byRiverSouroe Life Insurance Company, an Ameriprise Fnancial company. Ameriprise Brokerage is provided by Ameriprise Fnancial Services, Inc. Ameriprise Fnancial Services, Inc. Member FlNRA and SIPC. Ameriprise Financial Account Disposition Account disposition is based on how an account is owned (the ownership type). The followung information will help you understand the process that will be used to settle the accounts. Disposition for Individual ownership Upon the death of the owner, all annuity accounts issued before January 19, 1985, mutual fund, certificate, brokerage and life insurance accounts registered in individual ownership become part of the estate for distribution. If there is a contingent owner named on a life insurance or annuity account, ownership passes duectly to the contingent owner. Required Documents In order to take appropriate steps to settle the accounts we will need these documenis: Certified Death Certificate (For accounts: 01012393093 4 002, 01 132422350 9 002, 01232422350 7 002, 01392422350 9 002, 01432422350 3 002) The death certificate must be an original document that bears certification from the ]iealth department or local registraz and includes the cause of death. Please note that as of .August 14, 2007 original documents (i.e. Certified Death Certificates, Letters of Administration/Testamentary, court orders, etc.) will no longer be returned to the client or advisor. Power of Attorney documents, however, will continue to be returned. Estate Settlement Form (3248) (For accounts: 01432422350 3 002, 01392422350 9 002, 01232422350 '7 002, 01132422350 ~ 002, 01012393093 4 002) To process a settlement on a Mutual Fund, Certificate or Brokerage account, each claimant mast complete an Estate Settlement Form (Form 3248). This form includes separate sections for qualified and non-qualified accounts as well as sections at the end of the form to be signed and dated by.all new account holders for all accounts. The account level suitability information requested on the form is required if you intend to retain the investments you receive through this process. If suitability information is incomplete will not delay settlement, however, .activity allowed on any accounts created through settlement will be limited to liquidation only. We will not contact you to complete the suitability information. Instructions for completion of the Estalte Settlement Form are available as Form 3248-INST. Both forms aze available through an Ameriprise Financial Advisor or online at http://www.ameriprise.com/amp/globaUcustomer- service/account-service.asp under the list heading "Estate Settlement". Certified Letters of Testamentary/Letters of Administration (For accounts: 01012393093 4 002, 01 132422350 9 002, 01232422350 7 002, 01392422350 9' 002, 01432422350 3 002) This document confirms who is appointed as the legal representative of the estate. Tlie document must be court certified and dated within 60 days of the date the corporate office receives it. In Iowa, Montana, and New York, letters must be dated within 180 days. Please note that as of August 14, 2007 original documents (i:e. Certified Death Certificates, :Letters of Administration/Testamentary, court orders, etc.} will no longer be returned to the client or advisor. Power of Attomey documents, however, will continue to be returned. Insurance and annuities are issued by RiverSource life Insurance Company, an Ameriprise Fnancial company. Ameriprise Brokerage is provided by Ameriprise Fnancial Services, Inc. Ameriprise Fnancial Services, Inc. Member FlNRA and SIPC. Ameriprise Financial Please Note: Due to State and Federal Laws, the requirements listed above are subject to change. Common situations that may require additional documentation are: minor beneficiaries, nonresident aliens, deceased beneficiaries, the claimant's marital status differs from the originial designation (spousal beneficiaries only) an incorrect spelling or name change of the beneficialry. If any. of the above situations apply, please contact our office to deternrine whether there maybe any additional requirements necessary to settle the deceased's account(s). Please contact CHAD PRICE at (717) 737-5455 for forms and assistance. More information regarding the Estate Settlement process is available on the Ameriprise.com website. ~ To view the "Estate Settlement Frequently Asked Questions" page on the website, t}ppe "Estate Settlement FAQs" in the search field on the website homepage, press the "E:nter" key and select the first item on the search result list. Please contact us if you have any questions as you work through these difficult times, and onae again, you have our sincerest sympathy. Thank you. Sincerely, William Stuber Death Settlements Processing Team 70100 Ameriprise Financial Center ~~Minneapolis, MN 55474 1-800-862-7919, Option 2, ask for Estate Settlements CC: CHAD DAVID PRICE DSO 643 Rep 0000061862 Insurance and annuities are issued by RiverSouroe Life Insurance Company, an Ameriprise Fnancial company. Ameriprise Brokerage is provided by Ameriprise Fnancial Services, Inc. Ameriprise Fnancial Services, Inc. Member FlNiZ4 and SIPC. Franklin Templeton Investor Services, LLC P.O. Box 997152 (Regular Mail) s' ~~ Sacramento, CA 95899-7152 - 3344 Quality Drive (Overnight Maio ' Rancho Cordgva,CA 95471-7313 FRANKLIN TEMPLETON tel (800) fi32-2350 INVESTMENTS franklintempleton.com Apri18, 2009 Melanie Walz Scaringi Scaringi & Scaringi Attorneys At Law 2000 Linglestown Road, Suite 106 Han-isburg, PA 17110-9347 SUBJECT: Franklin Dynatech Fund -Class C A/C #208-267930 Joseph C Sapochak Dear Ms. Scaringi: Thank you for your recent correspondence concerning the transfer of shares held'by the late shareholder, Joseph C. Sapochak. For the protection of the shares, we will place a hold on any liquidation or transfer request that we may'receive until we obtain the necessarydocumentation and authorization frpm the executor for: the estate, of Joseph C. Sapochak. . ... _ ; According to our records, the sole ownership account held 135.890 shares on Januuary 16, 2009, as January 18, 2009, was anon-business day..:The.net asset value of the Franklin Dynatech Fund -Class C, at the close: of market on that date; was $.15.64 per share, for a tokal value of $2,125.32.. In addition, to transfer shares held in the account to an estate registration, we require the following additional documents: ^ The attached Shareholder Request Form, signed by the executor for the estate, Jonathan A. Sapochak, indicating the estate registration, with his signature guraranteed by an "eligible guarantor institution," as specified on the form. ^ The enclosed Account Application, completed and signed by Jonathan A. Sapmchak as the executor for the estate. Please indicate the estate registration and Taxpayer Identification Number as well as the executor's name, street address of residence, date of birth, and Social Security Number. Additionally,. the Signature and. Tax Certification section mlust be signed by the executor to .agree to important terms ,and conditions of the investment end certify the estate's Taxpayer.Identification Number. We.will.be pleased to process the requested transaction upon receipt of the listed documents. A postage paid envelope is enclosed for your convenience. Page 2 Melanie Walz Scaringi Apri18, 2009 We welcome any questions that you may have regarding this matter. You may contact a Customer Service Associate, Monday through Friday, 5:30 a.m. to 5:00 p.m. Pacific Time, toll free at (866) 821-7519 and refer to identification number: 0315-06APR09. Sincerely, Franklin Templeton Investor Services, LLC ~ ~J Roberta Whitson Associate Customer Operations cc: Robert Kalin Cadaret Grant & Company, Incorporated Kahn Investment Services 1110 Market Street, Suite 1 Lewisburg, PA 17837-2301 American Funds American Funds Service Company Post f~fice Box 2280 Norfolk, Virginia 23501-2280 ameriranfunds.com MELANIE WALZ SCARINGI SCARINGI & SCARINGI 2000 LINGLESTOWN RD STE 16 HARRISBURG PA 17110-9367 April 13, 2009 Re: Europacific Growth Fund - A Europacific Growth Fund - B Account #6495-2002-16/216 CB&T CUST IRA JOSEPH C SAPOCH.4K Small Cap World Fund - A Small Cap World Fund - B Account #6491-2555-35/235 JOSEPH C SAPOCHAK Dear Ms. Scaringi: As you requested, we are confirming the following information on account #6495;2002, and #6491-2555, as of Janua.*y 18, 2009, and current: Account balance on date of death and current account balances. Account 6491-2555-35/235 January 18, 2009 $821.13 Apri108, 2009 $840.78 Account 6495-2002-16/216 January 18, 2009 $2,196.20 Apri18, 2009 $2,241.87 The Beneficiary listed on Account 6495-2002, is Jonathan A. Sapochak, his son -1.00%. N'o beneficiary is listed on account 6491-2555. The requirements for liquidation/redemption aze being sent under separate. cover in two packages. If you have any questions, please call us at 800/421-0180. You can reach one of our service representatives Monday through Friday between 8 a.m. and 8 p.m: Eastern time. You may also obtiiin account information by visiting our website at www.americanfunds.com. Cordially, American Funds Service Company The Capital Group Companies American Funds Capital Research and Management Capital International Capital Guardian Capital Bank and Trust Eaton Vance Managed Investments P.O. Box 9653 Providence, RI 02940-9653 (800)262-1122 SCARINGI & SCARINGI ATTORNEYS AND COUNSELORS AT LAW A PROFESSIONAL CORPORATION AT"TN MELANIE WALZ SCARINGI 2000 LINGLESTOWN ROAD SUITE 106 HARRISBURG PA 17110 April 14, 2009 RE: EATON VANCE WORLDWIDE HEALTH SCIENCES FD CL C ACCOUNT #: 0194-~~5479 REGISTRATION: JOSEPH C SAPOCHAK REFERENCE #: 9568661160 Deaz Attorney Scaringi: We are writing in regazd to the enclosed copy of your recent correspondence:. Our records indicate that Account Number 1501605479, referenced above, is the only account listed under the Social Security Number (SSN) of Joseph C. Sapochak. This. account is anon-retirement individual account for Joseph C. Sapochak. Eaton Vance Group of Funds does not list beneficiaries on non-retirement accounts. Therefore, there are no beneficiaries listed on the account. As of the close of business on January 16, 2009, the account was valued at $1,143.98, This value is based on a balance of 135.704 shares at the Net Asset Value (NAV) price, of $8.43 per share. January 18, 2009, was not a valid business day. The price we gave was for the previous close of . business, January 16, 2009. As of the close of business on Apri113, 2009, the account was valued at $1,091.06. This value is based on a balance of 135.704,shares at the Net Asset Value (NAV) price of $8.04 per shaze. Changing market conditions may cause the NAV price to fluctuate on a dail}~ basis. Therefore, the account value is subject to change. To re-register the account due to the death of Joseph C. Sapochak, we require the following: The enclosed Non-Retirement Account Re-Registration Authorization Form be completed, dated, and signed by Jonathan A. Sapochak, the Executor of the Estate of Joseph C. Sapochak. The form must be completed in its entirety. In addition, the signature of Jonathan A. Sapochak %n Section 3 and the signature(s) in Section 9. must be in original form, because photocopies are not accepted. ' The signature of Jonathan A. Sapochak in Section 3 must be Medallion Signature Guazanteed. The purpose of the Medallion Signature Guazantee is to protect the shareholder against the possibilities of fraud. Please see the enclosure for information regarding the Medallion Signature Guazantee. An original Affidavit of Domicile be completed and signed in ink by Jonathan A. Sapochak. The form must indicate the state of domicile or permanent residence for Joseph C. Sapochak, the capacity of Jonathan A. Sapochak as the Executor of the Estate of Joseph C. Sapochak, the name of Joseph C. Sapochak as it appeazs in his account registration, and identification of the fund and account. The form must be notarized with an original signature of a notary public, and beaz the notary stamp or seal: An original Inheritance Tax Waiver for Joseph C. Sapochak, if required by the'~state of residence. The Inheritance Tax Waiver must be prepared by the county clerk o~ appropriate state office and display the official state letterhead. Also, the waiver must refeir to the specific number of shares in the account as of the date of death. To redeem the account, we require the following: • The enclosed Non-Retirement Redemption Authorization Form be completed, dated, and signed by Jonathan A. Sapochak, the Executor of the Estate of Joseph C. Sapo~hak. The form must be completed in its entirety. In addition, the signature of Jonathan t~. Sapochak must be in original form, because photocopies are not accepted. • The signature of Jonathan A. Sapochak must be Medallion Signature Guazante~d. To redeem the account using a Social Security Number (SSN) or Tax Identification Number - • (TII~ other than the SSN for Joseph C. Sapochak, we ask that the enclosed Fo~`tn W-9 be completed with the SSN or TIN, dated, signed by the appropriate individual, ar~d returned to our office. In addition, the signature must be in original form, because photocopies are not accepted. • An original Affidavit of Domicile be completed and signed in ink by .Jonathan A. Sapochak. _ The form must indicate the state of domicile or permanent residence for Joseph C. Sapochak, _ _ the. capacity of Jonathan A. Sapochak as :the Executor of the Estate of Joseph C, Sapochak, . _ . the name of Joseph C. Sapochak as it appeazs in his account registration, and identification . of the fund and account. The form must be notarized with an original signatur$ of a notary public, and bear the notary stamp or seal. An original Inheritance Tax Waiver for Joseph C. Sapochak, if required by the state of residence. The Inheritance Tax Waiver must be prepazed by the county clerk ox appropriate state office and display the official state letterhead. Also, the waiver must refer! to the specific number of shares in the account as of the date of death. Enclosed is a copy of the 1st quarter statement for 2009. A current statement from April 1, 2009, through April 13, 2009, has been ordered and will be mailed to you under sep;gate cover. The statements will provide you with any accrued interest and dividends as of January 16, Zb09. Also enclosed is a reply envelope for your convenience. Upon receipt of the required items in good order, we will promptly comply with the re~~uest. To expedite this request, please indicate Reference Number 9568661160 in future related correspondence. ' We hope this information is helpful. If you have any questions. or require assistance, please contact one of our Investor Services Associates toll-free at 1-800-262-1122. Our associates afire available Monday through Friday 8 a.m. to 7 pm., Eastern Time. S' cerely, i Welton Investor Services Specialist II Enc. P.O. Box 219151 Kansas City MO 64121-9151 April 9, 2009 Scaringi & Scaringi Attorneys and Counselors at Law A Professional Corporation Attu Melanie Walt Sacringi 2000 Linglestown Road Suite 106 Harrisburg PA 17110 Fund: Multiple Funds Class-C Account: Multiple Accounts Registration: Joseph C Sapochak Dear Ms. Scaringi: ®~~ INVESTMENTS Deutsche Bank~Group I am writing in response to your letter regazding the below-referenced DWS fund accounts. Please extend our condolences to the family of Joseph C. Sapochak. Accounts 1487659 and 1305213 Registration of Accounts These mutual fund accounts are registered solely in the name of Joseph C. Sapochak with rio beneficiary designation. These are the only accounts registered to Joseph C. Sapochak with DWS Investments. Balance of Accounts Since January 18; 2009 was not a valid business day, below I have provided the number o$ shares, share prices, and dollaz values in accounts 1487659 and 1305213 as of January 16, 2009, January 20, 2409, and Apri18, 2009. Please note that.Tanuary 19, 2009 was a holiday. January 16, 2009 1487659 Fund Name Class-C Number of Shares Share Price Dollar Val e DWS RREEF Real Estate 120.757 $9.95 $1 201.53' Securities Fund , 1305213 Fund Name Class-C Number of Shares Share Price Dollar Val e DWS Communications Fund 53.337 $8.40 $448.03 January 20, 2009 1487659 Fund Name Class-C Number of Shares Share Price Dollar Value DWS RREEF Real Estate Securities Fund 120.757. $8.84 $1,067.49 1305213 Fund Name Class-C Number of Shares Share Price Dollar VaT~ue DWS Communications Fund 53.337 $7.92 $422.43 April 9, 2009 1487659 Fund Name Class-C Number of Shares Share Price Dollar Value DWS RREEF Real Estate Securities Fund 128.255 $8.16 $1,046.56 1305213 Fund Name Class-C Number of Shares Share Price Dollar Value DWS Communications Fund 53.337 $9.39 $500.83 The above listed funds do not accrue dividends daily. Required Documents To reregister these accounts into an Estate account and then redeem, please submit: the following documentation: • A signature guaranteed Change of Account Ownership form signed in capacity by Jonathan A. Sapochak as the named Executor. • A certified copy of the Short Certificate for the Estate of Joseph C. Sapochak. To be properly certified, the copy must bear an original seal or stamp by the court of the appropriate jurisdiction and be dated within 60 days of your request. The document we received is valid until May 30, 2009 and' we will retain it on file. • A written request for a redemption from the new Estate account (if applicable), signed in capacity by Jonathan A. Sapochak as the named Executor. What is a Signature Guarantee? A signature guarantee is designed to protect an account from unauthorized activity and can be obtained at a bank or brokerage firm. Please note that a notary public is not an acceptable guarantor. Mailing Instructions Please submit the above documentation, along with the bar coded Return Form, in the enclosed postage-paid envelope. ... ,. Sup 'erica Mutual Funds Apri16, 2009 Attn: Melanie Walz Scaringi Scaringi & Scaringi 2000 Linglestown Rd Ste 106 Harrisburg PA 17110-9347 SunAmerica Fund Services, Inc. Harborside Financial Center 3200 Plaza 5 Jersey City NJ 073 1 1-4992 201.324.6300 800.858.8850 wwwsunamericafunds.com Reference: 00202403 SunAmerica Focused Value Cl A Account Number: 941765 Dear Ms. Walz Scaringi: Thank you -for your recent communication concerning the above referenced account with SunAmerica Mutual Funds. My name is Foluso Omisore and I am with the Client Resolution unit of SunAmerica. We have received your request for specified information and information on how to liquidate the account and we would be happy to provide he Information, Please see the following information: 1. 941765.5,: 2. Individual Mutual Fund Account 3. Joseph Sapochak , 4. $812.99 1/18/2009 5. n/a 6. $812.99 7. $963.83 8. n/a 9. No To liquidate the account, the following is required: • A letter of instruction signed by the executor/executrix of the estate. The letter must be affixed with a Medallion Guarantee Stamp. • A completed Mutual Fund Application (enclosed) signed by the executor. The Medallion Guarantee stamp is an original stamp; it has a "special green ink" that needs to be clearly visible. This assurance helps us to protect your money by preventing unauthorized access to your account. Please take into account that a Notary. Seal is not acceptable. If.you are sealrching for a guarantor of a Medallion Guarantee Stamp, the following institutions should be able to assist }!ou: A; U.S .commercial bank;, which is a~member of the FDIC; a mist company; or a brokerage firm, which is a member- of one of the National Security Exchanges and/or a member of one of the Medallion programs. You can send the updated information to the following addresses: (Reeular Maip (Certified/Express Mail) SunAmerica Mutual Funds SunAmerica Mutual Funiis C/O BEDS C/O BFDS PO Box 219186 Kansas City, MO 64121-9186 330 West 9th Street Kansas City, MO 64105-1514 Once again, I apologize for any difficulties this may have caused. If you have any questions, or need additional information, please call me toll-free at 800.858.8850 option 1, ext. 6623. I am available, to assist you Monday through Friday from 8:30 a.m. to 5:00 p.m. EST. Sincerely, Fol so m>. ore Mutual Fund Specialist Invesco Aim April 22, 2.009 MELANIE WALZ SCARINGI SCARINGI &SCARINGI ATTORNEYS AND COUNSELORS AT LAW 2000 LINGLESTOWN RD STE 106 HARRISBURG PA 17110 Correspondence ID: 0052558 Dear Melanie Walz Scaringi: ~~:•. , , Invesco Aim Investment Services, Inc. PO 13ox 4739 Houston, TX 77210-4739 11 Greenway PI'aza, Suite100 Houston, TX 77046-1173 713 6261919 www.invescoa(m.com Thank you for doing business with Invesco Aims"'. We recently receiived the', enclosed request regarding Joseph C. Sapochak's individual account number 3911930570. According to our records, as of April 21, 2009, the AIM Charter Fund - Class C (35110) in .this account had a balance of 315.109 shares with a market value of $3,538.67 at $11.23 per Share at net asset value. Additionally, the AIM Charter Fund - Class C (3510) in this account had the following balances as of January 16, 2009 and January 20, 2009: Please note that our funds are priced daily and the value of the account is subject to change. Additionally, becatse this account ~ registered as an individual non-retirern~~nt rnutual.fu~id account, there is no beneficiary designation listed on the account, and this type of accountt does not accrue interest. For further information regarding this account, please contact the executor of Joseph C. Sapochak's estate directly. Because January 18, 2009 was not a regular business day, and January 19, 2009 vas a stock market holiday, we have supplied the balance as of January 16, 2009 and January .20, 200, the business day prior to the date of death and the next available business day, respectively. Invesco Aim Invesco Aim linvestment Services, Inc. PO Box 4739 Houston, TX 77210-4739 11 Greenway Plaza, Suite 100 Houston, TX 77046-1173 713 6261919 www.invescoaiim.com Furthermore, in order to redeem or reregister this account, please have Jonathan A. Sapochak submit a signature guaranteed letter of instruction requesting the redemption or reregi~tration: The letter must also include the specific fund name(s) and/or number(s), account number(s), and the specific dollar or share amount that is to be redeemed or reregistered. The requirements for an acceptable signature guarantee are explained in detail on the enclosed page. Please note that a notary public is not an acceptable guarantor and we will be unable to accept a stamp indicating "endorsement guarantee." Additionally, because the redemption or reregistration involves establishing a, new account and transferring the shares into that account, please have the new account owner(s) complete and sign the enclosed Invesco Aim Account Application. The completed application will ,provide a certified Social Security number for the new account, as required by the Internal Revenue Service (IRS). By signing the application the registered owner(s) accepts the terms and conditions set forth in the prospectus. Please reference the Correspondence ID listed above on any future inquiriE~s regarding this request. If you have~any questions regarding the above information, please call one of our Client Services Representatives toll free at 1-800-959-4246 from 7:00 A.M. to 6:00 P.M. CE~ntral Time: We will be glad to answer any questions you may have. Sincerely, Nikki Yeakel Correspondence Representative CC: Robert Kalin Enclosure(s): Copy of Request Signature/Medallion Guarantee Page Account Application PSE(~k March 6, 2009 Account # 0171 XXXXXX MELANIE SCARINGI 2000 LINGLESTOWN RD SUITE 106 HARRISBURG, PA 17110 .Deaz_MS.,SCARINGI: The following is the status of JOSEPH C. SAPOCHAK's account with PSECU as of the date of death. Joint Owner's Name NONE Date of Death 01.18.2009 Date of Birth 11.17.1955 Share Description Open date Balance Accrued Dividend S O1 Regular Shazes 04.20.1999 $ 785.56 $0.31 S 04 Checking 04.20.1999 290.01 0.02 S 07 Money Market Shazes 05.19.1999 4,200.47 4.94 Loan Description Open Date Balance Accrued' Interest L 09 VISA 05.11.1999 $ 43.90 $0.00 The dividend earned from January 1, 2009 through the date of death was $. We do not have safe deposit boxes for our members. If you have any questions, please call 234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. Sincerely, Meaci Fairfax Member Service Representative Finance Support Unit Pennsylvania State Employees Credit Union Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990 ~ 717.234.8484 • 800.237.7328 Mailing Address: P.O. Box 67013, Harrisburg, PA 1 71 06-701 3 • 717.777.2100 (fDD) • 800.472.1967 (TDD) psecu.com This credit union is federally insured by the Notional Credit Unidn Administration. Equal Opportunity Lender Sovereign Bank MAl MB3 02-10 Court Ordered Processing P.O. Box 841005 Boston, MA 02284 March 11, 2009 Scaringi & Scaringi Attorneys and Counselors at Law 2000 Linglestown Rd., Ste. 106 Harrisburg, PA 17110 Estate of Joseph C. Sapochak Date of Death: January 18, 2009 Dear Ms. Scaringi: Per your request, enclosed please find the account information as of date of depth for the above-named decedent. Please note the balances do not include accrued intere$t. There is no safe deposit box on file. If you should have any further questions, please do not hesitate to call Very truly yours, i Linda Spavento Team Leader Court Order Processing Phone (617) 533-1789 Fax (617) 533-1931 Sovereign Bank ESTATE OF Joseph Sapochak SOCIAL SECURITY #: 171-46-1715 DATE OF DEATH: January 18, 2009 Account #: 0231116950 Type: Checking Open datlz: 4/12/2008 In the name of: Joseph Sapochak Date of Death Balance: $3,426.52 Int.(YTD) from 1/1/2009 to 1/18/2009 _ $0.00 Accrued interest to date of death: $0.08 Other Info: Account #: 0354068938 Type: Money Market Open date: 10/8/2008 In the name of: Joseph Sapochak Date of Death Balance: $3,261.47 Int.(YTD) from 1/1/2009 to 1/18/2009 _ $0.00 Accrued interest to date of death: $4.19 Other Info: Account #: 2334302490 Type: Savings Open date: 3/24/2008 In the name of: Joseph Sapochak Date of Death Balance: $350.58 Int.(YTD) from 1/1/2008 to 1/18/2009 _ $0.00 Accrued interest to date of death: $0.46 Other Info: Account #: 2335542615 Type: CD Open date: 7/31/2008 In the name of: Joseph Sapochak Date of Death Balance: $911.77 Int.(YTD) from 1/1/2009 to 1/18/2009 _ '.$0.00 Accrued interest to date of death: $1.55 Other Info: Account #: 0096200045 Type: Mortgage Open date: 10/25/2005 In the name of: Joseph Sapochak Date of Death Balance: Int.(YTD) from to _ Accrued interest to date of death: Other Info: information will follow from our Mortgage Department 8;[a0 -a.3a- SaUy Page 1 of 1 S~ MEMBERS 1St FEDERALCREDIT UNION SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffix Date Account. Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner SAFE DEPOSIT BOX: Estate of: JOSEPH SAPOCHAK Date of Death: 01/18/2009 Social Security Number: 171-46-1715 285410-00 05/13/2006 $1,008.89 $.47 $1,009.36 None 285410-11 03/02/2007 $510.13 $.00 $510.13 None 285410-05 03/02/2007 $18,759.66 $1.54 $18,761.20 None Yes ME BERS 1ST FEDE L Cf~E IT UNION Danielle Aline Insurance Services Specialist March 5, 2009 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800). 283-2328 wwwmemberslst.org O O M~ •"I W ~ ~~ ~ Z lfl W T Q \ h Q~ w o ~ (=j O W N V ~ m T (0 (7 . C C ~ ~~ O ^ /~~ / ~ O L T ~ y T ~ Q Z * W * ~~ \\\} Q '~ : Z .~ Z W Q ! 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Q -,. ..,. , w , ~ ~ Qom - D : , ~ ~~ ~~Q ~ , : ~~i L p . _ .: 2Z 4. :.. .::. ,. _ L ru ;'r~; ~:iu.:;..;. ' ~ cn ..,. ?. J;:` ;. is ~ O . ,~ J ~ ~ y-y ~ ~..,:.::;~.;:~.:... ,.,0. ~ ~_ ;~.. ~P IIIII Ilf II II II II IIIII IIIII VIII IIIII II III " 0 0 0 0 0 0 0 9 I~11 III1111111111111111 6 9 4 9 2 11111 ~I __ __ _,. ~oeo~ A ;61 6',. 3 9'6 , 2 3 0 r~X'~F ~.5. r ~.: +' .. ~,. ~ - ~~ 07 10 09 60 AUSTIN, TEXAS ~~- Z.3Q~"`~507.0091 - ,: ~;~ ... ~'' ~ - ~ 2309 95070091 20090900 ~~~30 O.SAPO KANS ~YTAX: REFUND k1 Z ' : :. -. '.... r ~ - -. .. .. ~ ~: :Pay. td . {ui{,{{tn{{{niu{r{~{~{uu{{r{~{ins{{~{{Yir-{.i~~w~{~~t~u{~ - the.orderof. `JONATHAN A SAPOCHAK PER REP ~2E08 -. JOSEPH C SAPOCHAK DECD 91.. 115 CHARLOTTE WAY APT: 203. ~***2596*00 \ ENOLA PA 17025-1516 '~ ~ V014~AFTEf~QNE1(EAR aqo nN ~u. orsevamra once : r n " i ~ ~ L11~11ff C jii ~ ~.<. !(.I~i~~~~~~'` ~I~D~i{r~~Ii ~'ILrli Iir~ ~I i~~il i I 4 0 11-1 ~ J.i i ti ~4~1 ~~ ~ ri hl r ~-(I~II ~ r . a ~~~~I~~yi~ ~~~ 1~~ fllislk~ilh~fi~ Y :~~ A I: ~ -Ti-r ar ~k .~-r~l=~lru~~l.- ~-~ I i ~11 :: ;, ,,,,_ ,,, ~~ I!~ ~3~~9~~~~,11', ~ . ~~OODD00 5 LBO: 9 50 700 9 i 6u' 0 ~0 709~~` ~~ MO W -~ u~u 1~ ,ur, ~•°.v ... ,.~ ~:.- .:::a+,,...,....,...... ...... ._ .TITLE BRANDS ~p ~-' DATE OF ISSUE'_ - UNLADEN WEIGHT GVWR GCWR S .' A - M S u M ! = FJCEM OM ODOMETER DISCLOSURE'.. G"• f 4 - ~..F. iT SIC ~.~~ §•tr F~ .O .. .. L VEHI a .: 5, - -- P ISIWA3 A POLICE VF.IiICIE 2 5''~ I ICL S VI W D ,,,j` X EC UE r z ..a Ilste _ ~ ~ e m ~7NI rea Mo hl Ith ,.. SECOND UEN RELEASED AUTHORIZED REPRESENTATIVE - DATE ;. - SS - -BY ~. ,. ~. AUTHORIZED REPRESENTATIVE »EPH C SAPOCHAK ;5',CHARLOTTE fdAY APT I3 JOLA, PA 1,?CI25 u,B IN NUMB ~=1~1.. iria_,. ; 1p r ,,, ';.. .; ~ ,.. DIAL $;, ,H _ s... .. _ ' --- - __._..___... .......e..m n~.2e ~ GTY ~ _ STATE. .-_ ZIP _ 2005 Chevrolet Cobalt -Trade In Value, blue book value -Official Kelley Blue Book Site Page 1 of 2 ~~~.~ THE1LUiTED RESOURCE advertisement LIJU, l.flli3Yr'OfiL'I I.ODa1L ,('Qan 4U B!!tE Bp~l(8 TtADF-IN ValUE ' "~ ~"} ` ~ Condition Value ~ ~ Excellent . $4,325 ' fi w ~` mfr-``w _... ~ ~' Good $3,925 (Selected) Fair $3,275 ao,ooo 4-Cyl. 2.2 Liter 5 Speed Manual ected Equipment ndard conditioning Tilt Wheel Single Compac[ Disc ter Steering AM/FM S[ereo Dual Front Air Bags Blue Book Trade-In Value Trade-In value Is what consumers can expect to receive from a dealer for atrade-in vehicle assuming an accurate appraisal of condition. This value will likely be less than the Private Party Yalue because the reselling dealer Incurs the cost of safety ins.~ections, reconditioning. and other costs of doing.business_ _ Yefticle Condition Ratings Excellent $4,325 • Looks new, is in excellent mechanlol condition and needs no reconditioning. - • Never had any paint or lady work and Is free of rust. • Clean title history and will pass a smog and safety Inspection. • Engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. • Complete and verifiable service records. Less than S% of all used vehicles fall Into [his category. ~ Good (seleded> $3,925 • Free of any maJor defects. • Clean title history, the paints, body, and Interior have only minor (If any) blemishes, and there are no maJor mechanical problems. • Llttie or no rust on this vehlde. • Tires match and have substantlal tread wear left. • A'good' vehide will need some reconditioning to be sold at retail. Most consumer owned vehtdes fall into this category. Fair -+ $3,275 • Some mechanical or cosmetic defecLS and needs servicing but Is stlll In reasonable running condition.. • Clean tlde history, the pain[, body and/or Interior need work performed by a professional. • Tires may need to be replaced. • There may be some repairable rust damage. Poor • Severe mechanical and/or rbsmetlc defects and Is in poor running mndttion. • May have problems that cannot be readily fixed such as a damaged frame Se~.nd to Printer Close Window httn://www.kbb.tom/KBB/UsedCars/Pricins?Renort.asnx?Yearld=2005&Milea~e=400p0&... 4/3/2009 - advertisement -- 2005 Chevrolet Cobalt -Trade In Value, blue book value -Official Kelley Blue Book Site Page 2 of 2 or a rusted-through body. • Branded title (salvage, flood, etc.) or unsubstantiated mileage. Kelley Blue B_ok does not attempt to report a value on a 'poor' vehicle because the value of these vehicles varies greatly. A vehicle in poor condition may require an Independent appraisal to determine I[s value. '-Pennsylvania x/3/2009 httn://www.kbb.com/KBB/UsedCars/PricineRenort.asnx?Yearld=2005&Milea~e=40080&... 4/3/2009 ...... u,ue uuw,.. .......w,....u... w.~..,,u, n,..n.una ~aoueu uy i,ap, .u u,u....~uea m nn wHa.a,y as ,.u, un naumor u~ pug~ams m~u Nruvww rnmuuns ,or aU wmpame.:. ~ ~ - . NF-49 (5/2005) •r ~ ~ r+~ • ~ ~ CHECK NI~MBER: ~ s2-a 20989902. 311 ;~; Capital B1ueCross . ® Capital Advantage Insurance Company" serves as claims paying agent 02127~lJ9 on behall of itself, Capita181ueCross; and Keystone. Health Plan' Central Independent Licensees of the Blue Cross and Blue Shield Association PAY TO THE ORDER OF: VOIb AFTER 180 ,DAYS JOSEPH C. SAPOCHAK 249_02 115 CHARLOTTE WAY APT 203 ENOLA, PA 17025 i~~~lll~~~lll~~~~~l~lfl~l~~~~ll~l~l~~~>Ill~liu~~l~l~~~ll~~l~~ll The Bankof New York Mellon, Philadelphia, PA u' 20 98 98 90 2n' ~:0 3 i L000.4 7~: CHECK AMOUNT: ***;`*****;$61.91 D 2~~t966 4 i4~i' Health care benefit programs issued or admmislered oy capuat uwe~ioss enu~ur us suvsw,aues, ~.np,m, ~.wun,aye ,,,,~,a,,.,~ ~,,,,y,~,., ,,,,,, ,,,,,,,,,,,,,, , ,_,.,,,, ..,,, __ _.~,. ,,.-_ ,..,__. an B ue ie d Association. Communications issued by Capital BlueCross in its capacity as administrator of programs and provider relations for all companies. NF-49 (512005) ~ ~^ ^ • ~ • ~ CHECK NUMBER: - s2-a %: Capital BlueCross 2o972s$os 311 ® Capital Advantage Insurance Company serves as claims paying agent on behall of itself, Capital BlueCross, and Keystone Health Plan^ Central O 1I29IO9 Independent Licensees of the Blue Cross and Blue Shield Association PAY TO THE ORDER OF: VOID AFTER 180 DAYS JOSEPH C. SAPOCHAK see-oz CHECK 115 CHARLOTTE WAY APT 203 AMOUNT: ~ENOLA, PA 17025 """"'*$935.88 I~~~III~~~IIII~~~~I~I~I~I~~~~II~I~I~~~~II~II~~~1~1~~~11~~1~~11 The Bank of New York Mellon, Philadelphia, PA )(' 209 7 26808u' ~:0 3 L 110004 7~: 2 ~~r 9 6 6 4 1 4)(^ and Blue Shteld Association. Communications issued by Capital BlueCross in its capacity as administrator of programs and provider relations for all companies. ~~~ ~~~ , NF-09 (5/2005) :,i Capital BlueCross ® Capital Advantage Insurance Company° serves as claims paying agent on behall of itsell, Capital BlueCross, and Keystone Health Plan^ Central Independent Ucensees of the Blue Cross and Blue Shteld Association PAY TO THE ORDER OF: JOSEPH C. SAPOCHAK 115 CHARLOTTE WAY APT 203 579-oz ENOLA, PA 17025 In~llln~lllnn~l~lililu~ull~lll~null~llnil~linllulnll The Bankof New York Mellon, Philadelphia, PA CHECK NUMBEt~: s2-a 209727062 311. 01I30I09 VOID AFTER 180 DAYS CHECK AMOUNT. *Y#Y~****-$674.00 /~ D - ()• 209 7 2 706 Zn^ ~:0 3 i L0004 7~: 21119 6 6 4 14 u^ ING DIRECT April ?3, 2009 Scaringi and Scaringi Attorneys and Counselors at Law Attn: Melanie Walz Scaringi 2000 Linglestown Road Suite 106 Harrisburg, PA 17110 Dear Melanie Walz Scaringi, We received your recent inquiry regarding the account(s) of Joseph Sapochak: In response to your request, our records reflect the following accounts with ING DIRECT: Account Type: Account Ownership: Open Date: Balance as of 1-18-09: Accrued Interest as of 1-18-09: Accrued Interest plus balance as of 1-18-09: Account Owner(s): Beneficiaries: Orange Savings Account 6288140'3 Individual 2-22-2007- $3,753.61 $4.32 $3,757.93 Joseph C Sapochak None ~~ In order to complete the settlement of the ING DIRECT Account(s), we will also need the following documentation at your earliest convenience: • A Letter of Direction indicating the address to where a check should be mailed. The letter must be signed by the executor. If you have any questions, give us a call at 1-888-464-0727. For your convenience, we're available from 8 AM to 8 PM, 7 days a week. Thanks, Jim Kelly Chief Operating Officer ING DIRECT Member FDIC ~owi.raus~~c LENQER 30 7TM AVE SOUTH TEL: 888.464.0727 ING BANK., FSB ST CLOUD MN 56301 FAX: 888.464.3220 REV-485 EX (1-07) SAFE DEPOSIT BOX INVENTORY PA Department of Revenue PLEASE USE ORIGINAL FORM ONLY 48500041046 SoGal Secunty or Death Certificate Number Date of Death County Code year File Number I ~~ (I~'L~~ ~!' ~ I E71` ` 15 ~ t U ~'f ~ I~'I} 4 C~A'2. D ~ a C ~ ~ I ~ I I~33 ~ Q'~~`/"~'~ ~Z ~ / f~~~r' ]r ~ ~'~ ~ 1 v1_ fZ.. , 1 , 1 [ X ~ ~ . ~ , .-. ~ --s' C.. ia~~_.:r.~ U / • k F.`y ..a+..ri. °_v'J.F_ cvi..JY .~4 Decedents Last Name Suffix ., - First Name Ml f ~.~_:,, 3.._~ n ,,rF 4 -Y~~ ~ r" s/~ ~'~ i r< ~a , ~ ~ t i °A~ 7 (C` , 4l'~ ~ f S t ~ ~" l I - t ~ O ~ -~ Heat:: ~a--n,~ 5vt,zs-~ r..siK t ~~ JAI ~ ~! Ef p~(~~ ~ Fy 1~ ~ ~ I ~ ~ S ~ r /C ' r F ^ ' , _ . :~a ~ ~ ~ ~.,..::.:~:~ _v~_ x __-`$}k: .~, ~ 1 1 '~ .~ns."-u.,.,`_ ~ ~j r l_r~,` __ _ _ ADDRESS OF DECEDENT STREET: _ ~ ~ - " `/ ~ " _ ___ CITY: STATE:. ZIP CODE: I ' A( 115 G LD ( ~~ WA , /~P r 203 E1~3o(.-~~. ~o'Z~ PA 1 NAME AND ADDRESS OF PERS O N R E QUESTING THE O P ENING O F THE SAFE DEPOSI BOX ~ i ~ , ,/ ~ p , /~ A p NAME: ~/{ E Ir~N I ~ V V f'~L~ ~~ F~ I N C%l ~ t ~S Q . ~ ICJ I ~~'1 ~ I ' ^ I ~ y ~~ ~ v(~~1 4 ~ p /r a • (i STREET ADDRESS:. ~ TY SaTQ^ . ZI~ f) ZQOO ~ING~I~siov~ItJ ~--oA~~ SUI~r>/ (ot~ ~Q~ts~'~u,P~ 9/H NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING a. NAME: M ~ ~A~l s G ~N/aL2- t P-1 NG-I I , ESQ , RELATIONSHIP: . Co unK~a.~ (~~ P~si~N~N- ~P~sErJ~p STREET ADDRESS: fsGl~~l N(al ~ 2oob Lt~lE~i~STnWr~ ~A~iN(~ I. Q.(~. ~V, SUfTI% IDfo CITY: STATE: ZIP CODE: NAk-'~fSgl~-t P~1 1~7~tD b. NAME: '~ or~A'(aA(~ l~ . S/1P0~ -i-1 /kl~- RELATION HIP: S(~ t~l ~ PEk'-soNF~r_. ~CP~~ N I~-!l ~ STREETADDRESS: ~ 15 S • ~(LDG~ ~~ ~f ~ I~(UE CITY: STATE: ZIP CODE: h14 f? X15 ~~~~- PA, I~ t I I c. NAME: RELATIONSHIP: STREET ADDRESS: CITY: STATE: ZIP CODE: NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED NAME: IN~rM~~~ ~~- FE~~~/kt_ c~D ~Y 1N(DN S3~2- D~s-f ~~ ~ ~~ ~ G ~No L/a PAE~ I X025 NAME OF PERSON,MAKING LAST ENTRY r neTF eun nnrc nc i eleT cu-rov _ RENT BOX NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX a. NAME: ~~ STREET ADDRESS: CITY: OF EMPLOYEE TAKING THE STATE: ZIP CODE: WAS A WILL IN THE BOX? ^ YES~NO If yes, a. Date of will: b. Name and address of personal representative, if named in the will NAME: b. NAME: STREET ADDRESS: STATE: ZIP CODE: I CITY: cITY: '.STATE: ZIP CODE: , E j STREET ADDRESS: '! c. Name and address of attorney, if any j NAME: I } STREETADDRESS: 48500041046 CITY:- ~ STATE: ZIP CODE: 4850004046 J ~r/ I/ RFV-4A5FX ~~1"E ®C~®~7~T ~®6i I~VE~ 1 Of~-~ Page of , INSTRUCTIONS (1) Cash: Report total only. (2) Stocks: List in detail every common o'r preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) Obligations of U.S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e., jointly held, payable on death, etc. (4) Bonds: Designate byname, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing, in book, name of bank and branch, and balance. ' (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible. (8) Ail other contents. (9) Return completed form to: DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG, PA 17128-0601 ITEM NO. ~ ITEM DESCRIPTION % p(~ ~Q(~., F` l..J~-FJJ ~ ~ - ~-Glf L l~ (~ 1~1 ' ~ `' A - - ~~ ~~ Hsu ~, ~? ~ cs~c~(-~ ~~ ` ~ , ~ r~~,~t ~ ~ ~ ~ ~ ~ i ~ vo(. t s~ s e a . ,r E-~ ~ ~- ~c~~ ~- ; m ~c~ ~- fie. ~x , - - ~tt ~~ c~ei ~ e~1u-e(~ ~ a~~ t~'~ i c~~ ' ~Ca f I ~ ~" t ~ ~.. ~a ~ . ~ ~~n t . ~~-~+~ : .. I CERTIFY UNDER PENALTY OF PERJURY THAT THE BOVE ORD IS CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. PERSON RECEIVING COPY OF' SAFE DEPOSIT BOX INVENTORY: SIGN SIG R PRINT ~ - LAf\- ~ ~ vV q SGA~) Ca ~ I NAM AND CHECK APPROPRIATE BOX BELOW. ot`1A'rN A. '>/~ Pi) c'i l-t A I~- PRINT A-r~O~~-Ey-AT- yaw l DATE ECK APPROPRIATE BOX: ~ z C~, } A ~7~~ ~ ~ ~ ~ ~~ O ~ /~ ~ ~~' V I ~ /a( li ecutor(trix) ^ Administrator(tdx;l [ E ~ Estate Representative ~ Joint owner of safe deposk txu NOTE: Attach additional 8'/=p x 11° sheet(s) if necessary or use duplicates of this page of form. The Departrnent is authorized by law, 42 U.S.C. §405 (c)(2}(C)(i), to require disclosure of Soclal Security numbers in connection with administering state tax laws. The Department uses the Soclal Security number to identify the decedent and personal representatives of the estate. The Commonwealth may also use the information in exdjange of tax information agreements with Federal and local taxing authorzes. The state law prohib'Its the Commonwealth's personnel from disclosing confidential tax infommation except for fficlal purposes. ~. u w ~ ~ r~ ~ ' F V Z ~ ~ - O ~ U V W Z \J a0 ~ ~ c ~. ~ Z~ ~ O m U ~ ~ ~ W ~ J Wm Q Z Q F. w U J ~ W 11 tq h 0 7. ~ 0 0 yZ O H ZQ >W }~ ~ ZW ~ Z N O ~ a~o~ 00`"a J ~ m ~ ~O~ m ~~a~ Zaa ~ ~o a ~ _ 0 U 0 t~i m W LL 0 N lq W Za mz Z ~o oW y y (9 W G' W N N LL W Q W m 7 2 Z 0 m a U 1% R' W U W a Z ~- Z a O V W W t`l 2 MO ~ ~ Q Z N ~ .O OZ Z 0 T Sapochak Estate -Personal Property TOTAL: ` $ 4,765.00 '` Bedroom Furniture $ 500.00 1 Bed (Twin) 2 Dressers 2 night tables 1 old chair Bedroom Closet $ 300.00 Clothing Shoes Master Bathroom $ 15.00 Towels Office Desk (old, metal) Chair (matches desk- old, metal) Bookcase (cheap) Computer Printer Digital Camera Books $ 500.00 Main Bathroom/Laundry $ 1,600.00 Towels Washer/Dryer (more owed on W/D than probably worth; I forget GE Money bill but around $1800 owed at DOD) Coat Closet $ 150.00 Coats Some tools Living Room $ 700.00 Stereo/TV stand (nice furniture) Couch Recliner Sofa table Side Table 2 lamps Stereo (circa 1973) N (19" from 2000 - my college N) Kitchen $ ip0,00 Appliances (poor quality) Cookware (poor quality) Si Iverwa re/Cutlery/Dinnerware (all low quality) Dining Room $ 400.00 Table and six chairs Hutch Other/Miscellaneous $ 500.00 2 sets of golf clubs COMCAST 1555. SUZY STREET ATTN: LEBANON SUPPORT SERVICES LEBANON, PA 17046 ~comcast, J05EPH SAPOCHAK 14588 0470-39-64-3DG 115 CHARLOTTE WAY APT 203 ENOLA, PA 17025-1516 ~~n~~~n~~~~nn~~~~i~~~ini~~~~~~nn~~~~~ui~~~n~~~n~n~~ PAYMENT S ~Y CHECK No: 0002711483 AccouNrNO: 09547-19130704 CHECK DATE: 0$~21/OI9 Dear JOSEPH SAPOCHAK, The attached check represents a subscriber refund for account number 09547.-19130704 in the amount of $6.89. If you have any questions or concerns regarding the refund check you can write us at the address above or call Comcast's toll free customer service number at 1-888-COMCAST. DETACH AND RETAIN THIS STATEMENT THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE IF NOT CORRECT, PLEASE NOTIFY US PROMPTLY. NO REC~PT DESIRED. . ...-. ~ r 'l ~ sl ~~~; c~~; COll~.~C, A~~' ~~{~;NCIALAGENCY COR~OI~t3.TION. ~ t4 ~ . ~Al~`~~.~:~~lBEE GOMMT7FF~~O~F~~C~tOUP COMPANY 60 1'~af 433 tiff ~.` ;^.. ~'.x f,m, .3_f& '.: 3. f ~ .F 2 WY.. ~.'- '< ._ _. ~. ~ r4- ~. > ` \~"'6;, .. '?" ~"~~ > ~ zs r ., SUBSCRIBERACCDUI~tM(JNI~EF'i CHECK DATE' CHE~1C~[1Jp!fBER ,~ ~ °: 09547 19130.}~4 ~ OS/,21/2009`<; 0002711483r~ wF '°'~,`~ ~ ~ VALID FO$ 180 DAYS , a~ ~~aC~ ~S~~* ~APOCHAK ~ ~: , ~ ~ , ~ ~ e _ ***:*,r~a~** ~ E 'THE ' ~'~'~ ~l~iCtLQTT~~ WA~i o-i ~~ 203 ~ ~ ~ _ 6 8~ ~ _ s~ ~, _, -r,. bRDER ~E i3~:A PA -37025 ~`~1~ ` ~ ' _ , 'OF . ~ . "ti _ _ " a y ~ ~+ s ~ `f0fa'~•b.^~ . THE $~iATfC OR 7EW YORK'~MELLON '~ '` (yi ~,rw.ts :i ~ <<„ ~ ~ PITTS~rt7RG~t, ''P£NI~iSYLVANIA.' _ _ - - ..:: .. - c , .. - +i'000 2 7 L L 48 3i~' ~:0 4 3 30 i 60 1(: L 1 3~~178 3 4~i' ~t4~~~ ~sr~~rFbntion Fund x ~D~U'~scfie Bank Trust Company Detavuare ~ s2- a :~~ B °.r r ~ ~ --~- ':000' 552590 ~ . l bE t ,, ,~ ' Wi ming on, ,. - s~ 5~02'I='182 ? ' N . DATE CONTR(~C t1MB.E4t.. _ ~ `AMOUNT _ ~ _ `e - - 5/1'5f2009 , 4725946120 .,; ~:; ; $40.68. ~~~~~"~ `' _ ` = TO B~ CASHEq WITHIN ~O DAYS ` ~ } - ` NOT:VALID FOR:AMOIINT OTHE~t THRN $40 68 ~ _ _ . :Payee's signature required on back in-order for;this instrument to be valid. ~~lats-ati~ S2xt~ Bight Cents ** ~yat3fe to .~~ FF~~I~fT'IER TRGS~.COMPANY '`r ~~_` ORrS~UCCESSOR TRUSTEE OR CUSTODIAN '~' ~ ~ "GUST FB~JOSEPH CSAROCHAK IRA - 11~ CHARLOTTE WAY APT 203 `, E[~fOLA Ply X7025-170.2 ~~ Q - f= II^000 L 5 5 2 59011^ ~:0 3 L L00 380: 00 5 564 7 Lil' SHADED AREA MUST GRADUALLY CHANGE FROM BLUE AT TOP TO GREEN AT BOTTOM rw~.:~,.,.._:.~:,,.,.~..~..w. .:........__. .... .5 0 ~ NA ~ ~ .7. e!-r .tR ~GC~}-c.~.x..i :7-n~C,7 .~ ~,~ a y .e+zs°ca ',x'4 y r'* ~" +!• A'; RTFi3~D$,T -' Y;* 's> u ~. ;~, ~ a„ ~ q ~ #- a~ s'.Ty ~ ~'az.. rs"~«~ra ,~ ~~ S~U~~FE- ~QQ t „~~ s.R ;F ~„'~ 1 "~ ~,. - -~ Y x~. r ~„ &,i x L t `~ .f^ ~ ~ .1~4~~ ,_ -';ATZ~A2ZTA,,'G'~k :'§~73Z8 _ ` _: •~: ,. ,. ,. ,,, : a ou ~' CV t `cirri `nt `V ., ..~; • ~~:~ ~ 3 ,;~ ~ ~~. Pay Exactl . ... Date USD y " `~ ~ ` . ~ ~ 04/08/2009 TorHE CUSTOMER REFUNDS 2009 P1 ~**..*'`*8.58 ORDER JOSEPH SAPOCHAK of 115 CHARLOTTE WAY APT 203 ENOLA PA 17025 .. -_ ., _. .nlnl.i~C.7KR:~:"..~A~I~TIe-,x ffi': ;'.t .. .. .. vw ....atYi ... > ~, ..wv .. .._.. ,._... .... ~~'00 200 5 7 56 7u^ r:053i0i56ir:2079900090796u^ ~omputershare Computershare Investor Services 250 Royall Street Canton Massachusetts 02021 www.computersha re.com MELANIE WALZ SCARINGI SCARINGI & SCARINGI 2000 LINGLESTOWN RD SUITE 106 HARRISBURG PA 17110 April 8, 2009 Company: Registration: Holder Account Number: Our Reference: Dear Sir/Madam: TIM HORTONS JOSEPH C SAPOCHAK & SANDRA L SAPOCHAK JT TEN 00000039110 THI/0002899127/28/66140/If Thank you for contacting Computershare, the transfer agent for Tim Hortons. We appreciate the opportunity to be of service to you. On January 18, 2009, account number 00000039110 held 46 shares in book entry. On that date, the closing price was $24.93 per share. On January 18, 2009, account number 00000039110 held 46 shares in book entry. On that date, the closing price was $26.16 per share. Should you have other account related questions, please call us at (800) 697-80;~8 during regular business hours. Sincerely, .. Service Representative Enclosure: US Holder-Deceased Transfer Package.pdf :American-Stock Transfer Trust Go~~any ~~e Apri1,01, 2009 SCARINGI & SCARINGI ATTORNEYS AT LAW. 2000 LINGLESTOWN ROAD, SUITE 106 HARRISBURG, PA 17110 ATTN: MELANIE WALZ SCARINGI Re: JOSEPH C SAPOCHAK & SANDRA L SAPOCHAK JT TEN Company: WENDY'S INTERNATIONAL INC Account: 0000027766 Dear Ms. Scaringi: We have received your request regarding the above-referenced account. Operations Center 6201 15th Avenue Brooklyn, NY 11219 www.amstock.com (877)681-8121 Please be advised our records indicate as of'the date of death the account held a balance of 34 outstanding shares. These holdings are represented by the following certificates which should be in the shareholder's possession: Certificate # NX0336325 Issue Date # o Shares 12/02/1991 34 In the event an original certificate is lost, please inform our Lost Securities Dep;utment in writing to the above address. Please be sure to provide all pertinent information and the certificate number which is lost, so we may properly initiate replacement procedures. According to our records Wendy's International merged with and into Wendy's Arby's Group on record date 9/28/08 at a rate of 4.25 per share. Therefore, we are unable to confirm a current value of the shares. Enclosed please find a Letter of Transmittal and tra:~~fer instruction package providing necessary requirements needed to affect the transfer. When submitting your shares, please be sure td submit the Letter of Transmittal, the original stock certificate(s) listed above.and transfer forms. We trust the above information is helpful. Sincerely, is varez Sh older Services i„nommmmm~ts Historical Quotes: Charting Tools for Looking Up a Security's Exact Closing Price •• BigCharts Page 1 of 1 More Center Keyword(s) ' SEARC ' AtKVice~ 52.95 ships your entire order! Lucca Queen-size Storage Platform Bed Today's Prtce: $$29.99 Shop Now -tea ~ 6ko6~/~y+nDoltMtu Haus , t]rotss (Nrrws ] indtrrtHr Mulcts ~.HlstorlcalQuatss BiBR+p°rts'~ ~AdvrnsedToals;~ Prarrttumproducts `- This Histodpl Duotes tool allows you to look up a security's exact Losing price. Simply type in the symbol and a historical date to view a quote and mini chart for that security. e ~ .rr>. , ;, Enter Symbol WEN .Enter Date: 01/16/2009 F• '~ Wendys/Arbys Group Inc. Friday. January 18, 2°09 Closing Pnce: 5.50 Open. 5.41 High: 5.66 Low: 5.26 vmume: 11,$09,600 Go To Charting ~~ No Splits L-Month Daily Chars of WendyslArbysvroup Inc. Sponsored Links Forex Trading 99°~ success rate with no drawdowns. Average 300 to 500 pips a month. www.live-Forex-Vading.cam Forex Club Trade with Zero Spreads and Commission Refunds. + $100 bonus. www.fxaub.wm Get A Fixed Mortgage Now $200,000 for Only $1,074/Month, Fixed Rate for Life at LendingTree vnvw.LendingTree.com Practice Forex Trading Start Trading With A Free $50 000 Demo Account. Play Before Pay! www ~xcm.com 6e.,~..rnmore_trboutthe.next.step beygnd m..otual_fpndS Scottrade: E7 Trades, Fast Executrons Free 30-Day Trial. Click Here. Visit WSJ. comismallbusiness Nome ~ Abou I ob pities ~ Contact Us I Feedba I yelp Ucense and integrate news, custom financtal tools and data from Dpw_,jope~ Client,$olugo}ts,. Copyright ©2009 MarketWatch, Inc. All rights reserved. BY using this site, you agree to the Terms of..l)se and Priyeay~oli~y (updated 4/3103). Intreday data provided by jp 1ac}jv_QQe(@ Real ime Services, a division of Interactive Data Corp. and subject to t@rms of use. Historical and current end-of-day data provded by tMerective,D~tA..~ttPOg_and....RefeJe. rtce_Data. More iMonnation on dA.SDLQ traded-sympols and their axrent financtal status. Intraday data delayed 15 minutes for Nasdaq, and 20 minutes for other exchanges. Dow Jones IndexesSM from Dow Jones & Company, Inc. SEHK intraday data is provided by Comstock end is at least 60-minutes delayed. All quotes ere in local exchange time. Free 30-Day Trial. Click Here. http://bigcharts.marketwatch.com/historicaUdefault.asp?detect=l&symbol=WEN&cl.ose date=01%2F16... 9/23/2009 American Funds° American Funds Service Company Post Office Box 2280 . Norfol4:, Virginia 23501-2280 americanfunds,com MELANIE WALZ SCARINGI SCARINGI & SCARINGI 2000 LINGLESTOWN RD STE 16 HARRISBURG PA 17110-9367 April 13, 2009 Re: Europacific Growth Fund - A Europacific Growth Fund - B Account #6495-2002-16/216 CB&T CUST IRA 30SEPH C SAPOCH.4K Small Cap World Fund - A Small Cap World Fund - B Account #6491-2555-35/235 JOSEPH C SAPOCHAK Dear Ms. Scaringi: As you requested, we are confirming the following information on account #6495-2:002, and #6491-2555, as of Janua*y 18, 2009, and current: Account balance on date of death and current account - balances. Account 6491-2555-35/235 January 18, 2009 $821.13 Apri108, 2009 $840.78 Account 6495-2002-16/216 January 18, 2009 $2,196.20 Apri18,.2009 $2,241.87 The Beneficiary listed on Account 6495-2002, is Jonathan A. Sapochak, his son -100%. No beneficiary is listed on account 6491-2555. The requirements for liquidation/redemption are being sent under separate cover in '.two packages. If you have any questions, please call us at 800/421-0180. You can reach one of our service representatives Monday through Friday between 8 a.m, and 8 p.m: Eastern time. You may also obtain account information by visiting our website at www.americanfunds.com. Cordially, American Funds Service Company Tf~e Capita! Group Companies American Funds Capital Research and Management Capital International Capital Guardian Capital Bank and Trust ALLIANCEBERNSTEIN Investments MELANIE WALZ SCARINGI SCARINGI & SCARINGI ATTORNEYS & COUNSELORS AT LAW 2000 LINGLESTOWN RD STE 106 HARRISBURG PA 17110 AllianceBernstein Investments, Inc. P.O. Box 786003 San Antonio, TX 78278 Toll Free 800.221.5672 April 21, 2009 Reference: 00703118 Account Number: 4725946120 Fund(s): 82 & 282 Frontier Trust Company CUST FBO Joseph C. Sapochak IRA Deaz Ms. Scaringi: Thank you for your recent inquiry regarding the account listed above. To complete the redemption request, please provide the following: • An lRA Distribution Form signed by Jonathan A. Sapochak, the primary beneficiary. The signature must, have a Medallion Signature Guarantee stamp affixed: Enclosed is an explanation of the Medallion Signature Guarantee program. • A copy of Joseph Sapochak's Death Certificate. In response to your inquiry regarding the date of death valuation for the account, the date, of death was not a business day; therefore, we are providing the requested information for the business days preceding and following the date of death. The 27.622 shares. held in Fund 282 on January 16, 2009, had a total cash value of $990.;62, or a net asset value of $35.86 per share. The 5.588 shares held in Fund 82 on January 16, 20(19, had total cash value of $228.21 or a net asset value of $40.84 per share. The 27.622 shares held in Fund 282 on January 20, 2009, had a total cash value of $917.160, or a net asset value of $33.22 per shaze. The 5.588 shazes held in Fund 82 on January 20, 20(19, had total cash value of $211.45 .or a net asset value of $37.84 per share. On the date of this letter, the 27.6220 shazes held in Fund 282 as of April 17, 2009, had a total cash value of $1,128.63, or a net asset value of $40.86 per share. The 5.588 shares held in Fund 82 on April 17, 2009, had total cash value of $260.62 or a net asset value of $46.64 per share. There have not been any paid dividends or capital gains into the account for 2009. In addition, contributions since inception have totaled $2,675.00. ALLIANCEBERNSTEIN Investments The following individuals are listed as the designated beneficiaries: Primary: Jonathan A. Sapochak 100% Contingent: Mathew J. Sapochak 50% Harts E. Sapochak 50% Please submit the completed documents to: AllianceBernstein Investor Services Attn: Transaction Processing P.O. Box 786003 San Antonio, TX 78278-6003 AllianceBernstein Investments, Inc. P.O. Box 786003 San Antonio, TX 78278 Toll Free 800.221.5672 If you have further questions, please contact a Client Services Representative at 1-800-2~1-5672. We are available Monday through Friday, from 8:30 a.m. to 7:00 p.m. Eastern Time. Thank you for choosing AllianceBernstein Investments. Sincerel , .~-, Allianc ernstein Investo Services - cc: Robert P Kalin Enclosure(s): Medallion Signature Guarantee AllianceBernstein Funds Prospectus IRA Distribution Form c .sr!'+E3 3'~ -'V1~~ ~'~ RETIREMENT SERVICES March 9, 2009 MELANIE WALZ SCARINGI ESQ 2000 LINGLESTOWN ROAD SUITE 106 HARRISBURG PA 17110 RE: Participant Name: Joseph C. Sapochak (Deceased) Plan #: 98978-01 8515 East Orchard Road Greenwood Village, CO 80111 (303) 737-3000 Address mail to: P.O. 173764 Denver, CO 80217-3764 Thank you for contacting us regarding Joseph C. Sapochak's account under the; Commonwealth of Pennsylvania Deferred Compensation Program. Please accept our condolences regarding your loss. The answers to your questions are as follows: 1. 3359925 is the Participant's ID number. 2. The Commonwealth of Pennsylvania Deferred Compensation Prograrr~ is a non qualified retirement plan governed under Internal Revenue Code §457. 3. Joseph C. Sapochak 4-6. I have enclosed a Statement on Demand for Mr. Sapochak's account indicatie~g the account balance and investment information on the date of death, January 18; 2009. 7. I have enclosed a Statement on Demand for Ms. Sapochak's account indicating the current account balance and investment information for March 9, 2009. Please; note that the account balance may increase or decrease in accordance with market fluctuations. 8. Not Applicable 9. Our records indicate that Jonathan A. Sapochak and Matthew J. Sapochak are listed as the primary beneficiaries on the above mentioned account. If you have any additional questions, please contact us in writing at the address listed above. ambr Enclosure Statement On Demand for Plan 98978-Oi Commontvealtlt of Penusyhrania lleferred Compensation Program457 Plait For the period: 18-Jan-2009 to 18-Jan-2009 JOSEPH SAPOCHAK 115 CHARLOTTE WAY APT #203 ENOLA,PA 17025 Your Account At A Glance Beginning Balance Total Total Total as of Total Change. In Endin 18-Jan-2009 Depostts Withdrawals/ Dividends g Balance Expenses Value as of $5,160.73 18-Jan-2009 $0.00 $0.00 $0.00 $0•~ $5,160.73 Activity By Contribution Source Contribution Source Beginning Deposits Withdrawal / ~~ Balance s Ex eases/ p Dividends Change In Ending as of 18-Jan-2009 Transfers Value Balance as of EMPLOYEE BEFORE $5 160 73 18-Jan-2009 TAX , . $0.00 $0.00 $0.00 $O.Om $5,160.73 Total $5,160.73 $0.00 $0 00 . $0.00 $0.0(D $5, 160.73 Activity By Investment Option Investment Option Beginning Balance Deposits Transfers Withdrawals/ Dividends Chan e E di ' as of Expenses g In Value n ng , Balance Unit/Shares 18-Jan-2009 as of I as of 18-Jan-2009 Extended $5,160.73 $0.00 $0 00 18-Jan-2009 Market Fund . $0•~ $0.00 $0.00 $5,160.73 325.80 Total $5,160.73 $0.00 $0.00 $0 00 . $0.00 $0.00 $5,160.73 Page 1 of 1 9$978-01-3359925 JOSEPH C SAPOCHAK 115 CHARLOTTE WAY APT #203 ENOLA PA 17025 Statement Period: 10/O1i2008 - 12/31/2008 Participant ID: 33599'25 Plan: 98978-01 GREEN IS TWICE AS 1\iICE! See back page.of your statement for more information. Total Balance as of September 30, 2008 $7,061.11 Payroll Contributions 175.00 Change in Value ~ -1,871.00 Expenses -4.76 Balance as of December 31, 2008 $5,360.35 Your Individual Rate of Return for this quarter is -26.15% Personalized performance information is provided to participants as a general approximation of the overall recent performance of their account. It is calculated based on a formula which estimates the equivalent quarterly rate of return during the statement period, based on the opening balance, transaction activity and closing balance. Past performance is not a guarantee or prediction of future results. All future contributions will be directed as follows: 100% Extended Market Fund _~ COMMONWEALTH OF PENNSYLVANIA DEFERRED COMPENSATION PROGRAM. JOSEPH C SAPOCHAK 3359925 ::> ~::>::i::::::::i::::>i::i::i:::~i:~;:;::::i::::isi ::::::::::::::::::::::::>::':=:~':%::::i:•`::i::::::::i::i::f:::::':2::c:::::::::i:::::::::::~i::::i:%~i::i'"'~:::::`:::::::t>::::::::::i:i::i::::::'`:i ::~:;:>;:::::<::::::::::':i::: ~::::ii~:::' :=:~:~:~:~~:~:~i:~:~:~iii:~::::'r::::iifi::::i :::::::::::::::::::::::::::::~:ir:::: i::::::i::i:.'•":~~:~':~:' ::{...Y~y~.y.`:~ ~. ~.~.. ': '. .::: .._.: ..:'.;..:..~.:.~.:.:._,::: ;.. ~::.::: ::...:.::: ..: .., ;.,..:..:..: .: .: ;:. :.: .......: .... •.::i:;:~>::::::.5:::.::: ::::.:>:>:.;:.::.;:.>::.>:.::.>:::.::ai>::.::. ::.::: ~::::.: ~:.>:.::.>:.>:.:>:.>:~ Ending Beginning Change Withdrawals Ending Units/ Balance Deposits in Value Transfers /Expenses Balance Shares Mid Cap Extended Market Fund 7,061.11 175.00 -1,871.00 -4.76 5,360.35 324.280 Totals 7,061.11 175.00 -1,871.00 -4.76 5,360.35 Investment Code Investment Option 281 Aggressive Portfolio Fund 280 Moderate Portfolio Fund 279 Conservative Portfolio Fund 1308 EAFE Equity Index Fund 3226 Extended Market Fund 4462 Stock Index Fund 337 60/40 Balanced Fund 6307 Aggregate Bond Index Fund 7325 Stable Value Fund 8064 Short Term Money Market Fund Type Name Relationship Percent Address Primary Jonathan A Sapochak Son _ 100.00% Contingent Matthew J Sapochak Brother 100.00% - '~~.31~~• << ~A ::::i.R:~...~'..?~'~.~ ~......'... :;j:~i:;:;:?:;:y;: C~ ~i: ;:;i'~j:iy':,>.ji}`i::::Y~iii'~iiii'ri: • i{>.F~'Tii}y1 iii'i'>~iiii::i' i'ri~~'~~~:viii'•'.~i'~'ri''~?i}i}j?iiFCii`: ~'~i~~~ Total Year-To-Date Payroll Contributions :.... ........... 650.00 2007 Year-End Balance : ............. ........... 7,931.15 Inception-To-Date Payroll Contributions :. ........... 5,875.00 ~~ Great-West Retirement Serdces P.O. Boz 173764 ,Denver, CO 60217-3764 ADDR-N 171517836650005012009 Pa8e2ot4 Commonwealth of Pennsylvania State Employees' Retirement System 30 North Third Street, Suite 150 Harrisburg, Pennsylvania 17101-1716 s wwwsersstate.pa.us Telephone: 1-800-633-5461 FAX: 717-787-5866 March 27 2009 MELANIE WALZ SCARINGI SCARINGI & SCARINGI ATTORNEYS AND COUNSELORS AT LAW 2000 LINGLESTOWN ROAD SUITE 106 HARRISBURG PA 17110 „_.~ ~~ ~.~ J y ~~ x„~ RE: Joseph C. Sapochak, Deceased SSN XXX-XX-1715 Dear Ms. Scaringi: This is in response to your correspondence dated Febz-uary 27, 2009, addressed to Debra Murphy of office, regarding the death benefits payable in the retirement account of Joseph C. Sapochak, deceased. We are providing the following requested information: 1) Account Number. Joseph C. Sapochak's Social Security number. (Our System uses the member's Social Security number as their account number.) 2) Type of Account. The State Employees' Retirement System (SERS).is the administrator of a cost sharing multiple employer defined benefit retirement system established by the Commonwealth of Pennsylvania to provide pension benefits for the employees of the State government and certain independent agencies. The IRS has acknowledged the status of SERS as a governmental plan and treats SERS as qualified under Internal Revenue Code, Section 401(a). 3) Exact name on the account as of the date of death. The retirement account was in Joseph C. Sapochak's name only. 4) Balaace of the account as of the date of death. $135,833.80. This amount represents the Present Value of the account. and the Death Benefit payable to the named beneficiary. 5) Accrued interest as of the date of death. No interest accrued past the date of death. 6) Beneficiary(ies) designation. Mr. Sapochak designated Jonathan A. Sapochak as his sole principal beneficiary on the most recent "Acknowledged and Approved" beneficiary form on file with our System, dated August 14, 2006. Melanie Walz Scaringi, Esq. Scaringi & Scaringi Page 2 March 27, 2009 We have been in contact with Jonathan A. Sapochak regarding the death benefits payable to him in this. account. There are no benefits due from our System to the Estate of Joseph C. Sapochak. Please be advised that there are no Pennsylvania State or local taxes on any monies payable from this System. However, the death benefits may be includable for Federal Tax purposes. If we can be of further assistance, please contact our offijce at the above address, or by calling 1-800-633-5461, Ext. 7316. Sincerely, Marianne E. Sebastian Benefit Determination Division ~~~~ r x vas rwrs~rar March 6, 2009 Melanie Walz Scaringi C/O Scaringi & Scaringi PC 2000 Linglestown Rd Ste 106 Harrisburg, PA 17110 Dear Melanie Walz Scaringi: We are responding to your request for information about Joseph C Sa's account with Fidelity. The table below lists the account holdings and values as of Sunday, January 18, 2009. The account was established October 08, 2001. Fidelity account 2AQ-901180: JOSEPH C SAPOCHAK -ROLLOVER 1RA Security Description CUSIP Quantity Unit Value 01/16/2009 'Market Value Fidelit Asset Mana er 70% 316069301 583.418 $10.44 $6,090.88 Total Value $6,090.88 The beneficiary of the IRA account is Jonathan A. Sapochak -100%. We hope this information is helpful. For questions concerning account holdings or instructions on how to transfer the ownership of the accounts, please call our Inheritor Services Group at 800-544-0003 between 8:00 A.M. and 6:30 P.M. Eastern time Monday through Friday or visit our website at www.fidelity.com and search under "cl~!ange account registration" for additional information. Sincerely, Fidelity Investments Our file: W016161-O1MAR09 Brokerage Services provided by Fidelity Brokerage Services LLC Member NYSE; SIPC Cieanng, custody, and settlement services by National Financial Services LLC Member NYSE, 51PC P.O. Bax 770001, Cincinnati, OH 45277-0034 4G East King Street Lant:aster, PA 17602 toll free 800 776 7567 tel 717 293 4800 fax 717 293 4835 Morgan Stanley March 10, 2009 Scaringi & Scaringi Attn: Melanie Walz Scaringi 2000 Linglestown Road Ste 106 Harrisburg, PA 17110 RE: Estate of Joseph C. Sapochak Dear Melanie, In response to your letter regarding the above client (Joseph C.. Sapocl~ak) there was only one account, which was an IRA 613-040409-039, held here .at Morgan Stanley. The name on the account read Joseph C. Sapochak and the beneficiary on the account was Jonathan A Sapochak. Jonathan was the only listed beneficiary for 100% of the account. Enclosed, also find the date of death values as requested along with all'the paperwork necessary to open up an Inherited IRA account for Jonathan. If you should have any questions after reviewing the enclosed information please feel free t~ give me a call. Sincerely ~' M i L. Eck Cli nt Service Associate Investments and Services are offered through Morgan Stanley & Co. 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O 'fl b b r. b ~ cd ~. p G cd w. ~' C~ y ~ ~_ ~I CI~~ • •~ ~ ~ ~ V .~ ~ ~ ~ ~ •~'~ V ~ ° Iv C7 ~ ~ . ~ o o o ~ ,p. ~ ~ c :b ni w o ~ ~ cad +n. ~ ~' o..' ...i- '~ •c' ~ ~ o t7 ~ ~ ~ o ~ ~ L4 ~ c ~ a ~ o o ~ 3 ~ o F.. ."~- P, W a ~ ~ o O a~ ~ .~ ~ ,T ~ ~ • 0 N e o ~' ~ ~ Y c d on i~ ¢, o 3 C7 >, o a F a. o a~ w ~ ~ w y •~ a. v~ x RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 2/05/2009 Cumberland County - Register Of Wills Recei~p_t Time: 10:22:28 One Courthouse S uare Receipt No.: 1055627 Carlisle, PA 1713 SAPOCHAK JOSEPH C Estate File No.: 2009-00126 Paid By Remarks: SCARINGI AND SCARINGI PC JN ------------------------ Receipt Distribution Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 310.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00, CUMBERLAND CO TY GENERAL FUN AUTOMATION FEE 5.00 CUMBERLAND Y CO GENERAL FUN SHORT CERTIFICATE .60.00 CUMBERLAND N CO TY GENERAL FUN JCP FEE 10.00 BUREAU OF RECE PTS & CNTR M.D Check# 4227 $400.00 Total Received......... $400.00 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date Cumberland County - Register Of Wills Receipt Time One Courthouse Square Receipt No.: Carlisle, PA 17613 SAPOCHAK JOSEPH C Estate File No.: 2009-00126 Paid By Remarks: SCARINGI AND SCARINGI JN ------------------------ Receipt Distribution 3/30/2009 14:53:12 1056283 Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 32.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 4444 $32.00 Total Received......... $32.00 -_ __. _. _ _ - r _ _.. _. __ SCARINGI & SCARINGI, P.C. (~ Q L!, /~, /.~, [.}, SATE Mar 27/2009 ~HE # 4444 ~NlOLTNT .: $ 3'2 . 0 0 3000UNT: GENERAL - 1 ?AID TO: Cumberland County Register of Wills 3 short certificates ~LIENT: 1705 - Sapochak, Estate of Joseph .C. !MATTER : 0 9 -1 4 11'00444411' 1:0 360 76 1 501: 6 20 L586 Z57-i' SCARINGI &SCARINGI, P.C. DATE Mar 2 7/ 2 0 0 9 ** GENERAL BALP.NCE S** X 0 4 4 4 4 CHE # 4444 UNBILLED DISBS: 176.92 AMOUNT $32.00 A/R BALANCE 2984.69 ACCOUNT: GENERAL - 1 PAID TO: Cumberland County Register of Wills 8 short certificates 1705 - Sapochak, Estate of Joseph C. MATTER :09-14 ** TRUST BALANCES ** LAWYER :Melanie Walz Scaringi 115 Charlotte Way #203 Enola PA 17025 TRUST BALANCE 0.00 Estate. Administration - Sapochak, Estate of Joseph C. REORDER FORM #~ 990-L61 (1 PNRTi USL- VL'1?'I-t'' f;L`-$/~:~i•lC3ti ~.:^s'1Ff_^'~ `z`wv;":'-ii SCARINGI & SCARINGI, P.C. DATE Jun 12/2009 CHE # 4783 AMOUNT $4.00 ACCOTTNT : GENERAL - 1 PAID TO: Cumberland County Register of Wills pne Courthouse Square Carlisle PA 17013 ff Filing.Fee CLIENT: 1705 MATTER: 09-14 - Sapochak, Estate of Joseph C. 004.7~~ li'00478311° ~:036076~50~: 620i586Z5711' SCARINGI &SCARINGI, P.C. DATE Jun 1 2/ 2 0 0 9 ** GENERAL BALANCES ** 0 0 4?$ 3 CHE # 4783 UNBILLED DISBS: 0.00 AMOUNT $4.00 A/R $ALANCE 8272.34 ACCOUNT: GENERAL - 1 PAID TO: Cumberland County Register of Wills Filing Fee 1705 - Sapochak, Estate of Joseph C'. MATTER :09-14 ** TRUST BALANCE$ ** LAWYER :Melanie Walt Scaringi 115 Charlotte Way #203 Enola PA ~ . 17025 ~ TRUST BALANCE 0.00 Estate Administration - Sapochak, Estate of Joseph C. ~ ~~ REORflER FOr'iM ?{ 990-L37 (1 P,4RTi , HDI107F REV 08//07 Application for Certified Copy of Death Record ~rEATH Pennsylvania Department of Health ~ Division of Vital Records DEATH PART l: By my signature below, I state I am the person whom I represent myself to be herein, and I affirm the information within this form is complete and accurate and made subject to the penalties of 18 Pa.C.S. §4904 relating to unsworril falsification to authorities. In addition, I acknowledge that misstating my identity or assuming the identity of another person may subject me to misdemeanor or felony criminal penalties for identity theft pursuant to 18 Pa.C.S. §4120 or other sections of the Pennsylvania Crimes Code. (Note: Signature must agree with name ' ~ted in Parts 2 and 5 of this form) Signature of person making request (Do not print): Signature required on ALL requests. Nlust be 18 years a or o d apply. If under 18, imm.:diate firmly member must request record. PART 2: PRINT or TYPE name of individual requ ti record arkhis/her current mailing address. ~ ~" y~ Relationship to Person (~ Name: ..1 Q ~~1, - V `Gl. ~ ~-1 . ~,n Q (J~(j(,~ Named on Record: J 0 Address: 5 S. ~1r0 r~5 City: °W l S ~~ State• ~ Zip: ~~ ~ I ~ Daytime phone number: ('Z I 'y) ~'~90 - 'LZ z E-mail Address: ' -('~l 4 , CAY4 S I ~ , C.o Wl Inte~ed Use of Certified Copy: ^ Social Security/Benefits ^ Insurance ^ Financial Institution ^ Genealogy C3'Estate Settlement ^ Other (List reason: ) PART 3: PRINT or TYPE information below regarding person who died: Number of copies: Name at Death: ~052P~1 C • SUI,Qb(~ilQ,~ Sex: i1I'1Clale ^ Female Date of Death: ~ ( lI P> ~ZDOq Place of Death: ~ (i1~(n , ~~~G~W ism" (Month/Day/Year -Records available from 1906 to the present) ( (CityBota/Twp. in Pennsylvani Social Security #: ~ ~ ~ - l.V ' ~ (I ~j' I o Age at Time of Death: ~J 3 Date of Birth: (I (' 4~ eJ~ Full Maiden Namt; of Mother: (`, ~ta~ l D~ ~ . ~(~,I/IS l? Full Name of Father: Funeral Director: _ _ ~ ~.~ C ' ~(/1.~'l ~ ~/ PART 4: DEATH: $9.00 each. lffee is requited, make checl/monev orclerpcryable to: VITAL RECORDS. Fees will be waived for individuals who served or are currently serving in the Armed Forces and their dependents (complete the followinp~: Armed Forces Member's Name: Service Number: Relationship to Armed Forces Member: Rank and Branch of Service: PART 5: VALID GOVERNMENT ISSUED PHOTO ID REQUIRED • Individual requesting record must include a legible copy of his/her valid government issued photo ID that verifies name and mailing address as listed in Part 2 above. • Examples: State issued driver's license ornon-driver photo ID (if address has been changed, include copy of upda(e card). • If possible,. enlarge photo ID on copier by at least 150% (copies of ID will be shredded upon review). • If acceptable ID not available, visit our website at www.health.state.paus/vitalrecords for further information. !Bail H~lth self-addressed, sranrped enrelope to: DIVISION OF VITAL RECORDS (ATTN: DEATH UNIT) 101 SOUTH MERCER STREET PO BOX 1528 NEW CASTLE, PA 16103 Print or type name and address in the space provided below (must agree with name and arrrent address In Part 2 and ID documentatlon): Name ~ Q (/1~~. ~ ~ . ~ (/V lQ.•~ ~~ 5 S• •p~ Bess ~4v~>,~ Cky, State, Zip Code N(~j,(/V (S IrV` Q/~ ~ ~ (` l ~ - 1 r~ Hm~e you? `~ Signed your name in Part 1 (do not print) / Listed your name and current mailing address in Parts 2 and 5 / Completed all items in Part 3 (enter unknown if information unavailable) / Enclosed payment (or completed Part 4 for waiver of fee) / Enclosed legible~copy;of ID (must agree with your name and address in Parts 2 and S) For Ea"PEDITED ON-LINE ORDERING or additional information, visit our website: mvrv.healthstate.na.u~/ritalrecords SCARINGI &SCARINGI, P.C. SATE Mar 27/2009 ~HE # 4445 t1MOUNT $ 3 6 . 0 0 ~CCGUNT: GENERAL - 1 PAID TO: Vital Records 4 Death certificates ~LIENT: 1705 - Sapochak, Estate of Joseph C. KATTER: 09-14 004445 11'00444511" ~:036076~501: 620L58625711' SCARINGI &SCARINGI, P.C. DATE Mar 27/2009 CHE # 4445 . AMOUNT $36.00 ACCOUNT: GENERAL - 1 PAID TO: Vital Records 4 Death certificates 1705 - Sapochak, Estate of Joseph C. MATTER :09-14 LAWYER :Melanie Walz Scaringi 115 Charlotte Way #203 ** GENERAL. BALP~I~TCES ** UNBILLED DISBS: A/R BALANCE ** TRUST BALANCES ** Enola PA 17025 TRU5T BALANCE Estate Administration - Sapochak, Estate of Joseph C. 004445 208.92 2984.69 0.00 P,EUP,DER FORM # 93~-LB1 (1 PHRT1 tiSE il4il!-!'C,C+~ki~~hl+~Et}€~! Et~:.'~~.~:!'^ i:'-:° t""! CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249168 Fax: (717) 249-2683 March 20, 2009 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the gfficial legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Melanie Walz Scaringi, Esquire Joseph C. Sapochak Estate RE: Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law .lournal. Advertisement inserted on following dates: March 6, March 13, and March 20, 2009 Advertising Cost $ 75J00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 ------ -L---- Total Amount Due $ p.00 Becky H. Morgenthal, Executive Director RETAIN THIS PORTION FOR YOUR RECORDS THE~~SENTIN'EL - LEGAL ~~~~ ~v SCARINGI & S(_ARINGI P.O. BOX 130, CARLISLE, PA 17013 AD NUMBER CLASS SALESPERSON BILLING DATE LINES _ 365253 10 PUBLIC NOTICES wolfC 03/1'7/09. 32 * 2 AD DESCRIPTION START DATE STOP DATE ESTATE NOTICE LETTERS TESTAMENTARY 03/03/09 03/17/09 PUBLICATION INSERTIONS RATE NET AMOUNT GROSS AMOUNT 3 THE SENTINEL - LEGAL 3 LGL 169.92 TOTAL AD CHARGE 169.92 3 PROOF OF PUBLICATION OlPRF 7.00 DAYS RUN PURCHASE ORDE ESt . J. Sapochak PAY THIS AMOUNT MESSAGE: Thank you for advertising with The Sentinel. 176.92 /i 212.30* Deadlines for in-column legal advertisements: Monday i.s Thursday at 5 p.m; Tuesday is Friday.at 5 p.m.; Wednesday is Monday at 5 p.m; Thursday is Tuesday at 5 p.m; Friday is Wednesday at 5• p.m Saturday is Wednesday at 12 Noon; Sunday is Wednesday at 5 p.m. If you have any questions regarding your Legal bill please call Classified Manager at 717-240-7176 Fax your legals to 717-243-3754 attention Classified Manager You can also EMAIL your legal to Classified ads: classified@cumberlink.com Please send a cover letter including your name and address as an attachment 09-/~ SCARINGI &SCARINGI, P.C. 'SATE Mar 19/2009 INVOICE CHE # 4403 365253 AMOUNT $176.92 ACCOUNT: 1 PAID TO: The Sentinel PO Box 130 Carlisle PA 17013 estate notices - Est. of J. Sapochak VENDOR NAME: The Sentinel VENDOR ACCT: ~ Y y ;; ~ Y .: u1vyS..: ~' ..5.. . ~' a `_ ~. •F y,.,:'. .1'i- ~?'P~ c: PAYMENT 176.92 1t'00440311' 1:036076L501: 620158625711' SCARINGI &SCARINGI, P.C. DATE Mar 19/2009 CHE # 4403 AMOUNT $176.92 ACCOUNT: 1 VENDOR ACCT: PAID TO: The Sentinel estate notices - Est. of J. Sapochak VENDOR NAME: The Sentinel INVOICE 365253 ALLOCATIONS: Matter or <G/L Account> 09-14 176.92 REv9DER FORM # 990-L87 i1 Rf~,RT; PAYMENT 1 76.92 004403 004403 _~ __ ESTATE OF JOSEPH C. SAPOCHAK DISBURSEMENTS TO SCARINGI &SCARINGI, P.C. Date Photocopies Facsimile Postage Administrative 1/20/2009 $ 50.00 2/9/2009 $ 1.20 2/10/2009 $ 0.50 $ 0.17 2/12/2009 $ 0.40 $ 0.42 2/26/2009 $ 1.50 2/27/2009 $ 4.80 $ 4.20 3/27/2009 $ 0.80 $ 0.84 4/2/2009 $ 1.50 $ 2.10 4/3/2009 $ 1.20 4/6/2009 $ 2.00 4/7/2009 $ 0.84 4/13/2009 $ 0.20 $ 0.42 4/15/2009 $ 0.30 $ 0.42 4/17/2009 $ 0.30 $ 0.42 5/7/2009 $ 0.59 6/12/2009 $ 0.20 $ 0.44 6/15/2009 $ 0.10 $ 0.88 6/16/2009 $ 0.20 6/22/2009 $ 2.40 6/29/2009 $ 2.50 7/7/2009 $ 0.30 $ 0.44 7/16/2009 $ 0.50 $ 0.44 TOTALS $ 14.90 $ 6.00 $ 12.62 $ 50.00 $ 83.52 . ~. ^ : ~- ,' m! .~ y~ ~ . R~ i ' Q~. T~ 'C ~'~ ~ ~ rl k ' -~~; .S-' ~'} .~ ~ O ~ ; r~ u, ' ` ~' ~.. '.e~~ o `+ '~' ~) ~ ;~ ~~ i ~ , r~r .~. :~ ~ m ` ~ .F ... Z `4 ! ....... _. ~ . Sm" 1~~ ~ ~ gym °c m d N~ Or~ ~ fA D (A F-~ N .~a [t+ ...,. l.,. Ci` t~ t!1 [J1 ~u,oa o O O O no. ~o~ ~C7 0 V' ~. }a µ W W ~"~ o 0 0 ~ ~ 0000 .n _n _n .n 1. ... .... _ .... .. .... w '~µ y.~L i. ~ ~µ~~ ""I:71171-~ [(j b PJ x1of~ rw• .~ Q ~ ~ ~ .,,~ I ~ ~ ~ ' M ~ ~ 0 , *~ ~ ~~ '° A ~ ' ~- .::1 ~~ >: s ~ .. V I i-• F+ -AU~µf-• N ~ Q q ~pmp. m - Z ~ ~ N a ~ O ~ < ~Z~m: 3 ~~ p ~ ~v Cti ~N M 0 0 '~ ~V a t O „~ ~ a A --i - g m~ ,° ~L ~ ~~ ,~ µU 1 r r( rJ G C3 rt ~ ~ D ~ 'a ?m --i ~m z~ c~ 30~n~ as>~E o~mN~ oDya~ o~ EAST PENNSBOROTOWNSHIP t t'tYUt•'t t RtV t i"i.t~i.s-~Rtd~~ PRESORTED 98 S ENOLA DRIVE I I3UE D14TE AUGUST 7, 2009 FIRST CLASS MAIL ENOLA, PA 170252796 ' U.S. POSTAGE PAID SEWER/SANITATION i Telephone 732-0711 SEWER/ ENOLA, PA Retum this Portion with Payment. I Office Hours 8:00 to 4:00 Mon thru Fri SANITATION PERMIT N0.9 ~'~;`~~ _ -~tHeQding Pcevious:FieAd(ag'. Consumption ArKaynty.::i ~~ t3A - Prey. eal. A 115000401 Q9 A 1 i 500 PY-PMT r., 6~'SQ50609 C 65~, AD -Adjustment PN - Penalty O 465050609 C 46~ sw-sevrer TR -Trash Y -12650050609 Y -12650 IN -Interest ~,.~ 6850093009 W 6$50 LC -Late Charge MS- Miscellaneous (~ 4650C?93009 ~ 465Q I ~ •~ y 1 • tl - 115{3©; 12650 ~'PAft rDueDetet~ Q$~~c'~J 0g tl - 11 LSO ~~ ; . ~~° `?Q4# .:service Q ~,1 , t~Q~ ~SAF'DC.} ; ~~ ! f5 HAftL QTT~ :WAY ~ , . r : . , ~. ,_ : ,Address _ . , _, v~aa~ ; ,JOSEPH C. SAPDCI~~~K Oldlli~~®T-€6r~!(-,-a~~9~ : 5U I TE 203 _'i1~i1'~'SIttCHtARLO1T1°~( iE t~ltAfCY t •y}t f~-{~ 1 1 1t -je~r/t~-r(flrrtrrtrltttltrrti~rlr~rlr~rll~rl~r~~ilrtrrrifrrl ~~l i ~ i ,f~~,01 9 h CAGY DCUUCennn rro...,... ,... .a-?R ~ . . ._. . - -=.1(~S~E~ ,y`' ',ACC~u~ i :~ 815'SPF .. MARRLGR --___.._ ._...._.... __.._.. .... „-.. .... ,....._ ...~ .. a. A i-VO-l.i7 98 S ENOLA DRIVE ! HALLO~+IEEI~I P t~IRAIJE C7C T 2$ ~~ ~ ENOLA, PA 17025-2796 SEwEwSANITATION i ~~~~~ ;~ ~' R EAT ^C T 2g b- rnC,V1i:EGt FIRST CLASS MAIL U.S.•POSTAGE PAID EN j -0~ ~ Retu thi P i OLA, PA m s ort on with Payment. Office Hours 8:00 to 4:00 Man thru Fri SAt~I1TATION PERMIT N0.9 wE' ;; s Billing Qodes *r'".~ ~ aei' ~`-~- ~',-s~,+ •... .-,~; _ .. „Y ,,.y, xY ,. ,. .. .. i ,~. .. 'S,, .:._. K, a .. [7e ~~ t•3pae..t '4i.y~ ~• ril_~= ° .. :..:. ~..• :~~Rea •,5,"' :.~ . ,,~ r_ t ous~ied•~, nSHmp •~i~ ~~ ~•F~,h4k•]~M < . ` BA - Prey. Bal. •A i i 500uT0'1 Ctrl' • PY -PMT u ~ _:: _. - ~ 11 SGT Ao - AdJustmern X - i i 5007$1009 -11500 PN-Penalty ~ 6$501123009 W sw - sewer rR - rra5r, R ~b 50;123009 R b$50 IN -Interest I Q.b~j~. LC -Late Charge. ~ , MS -Miscellaneous i I I i . ~ ~ e+ . • i y I ! . • ~ - ,~,_~ ~~~~~~-~'~'~'~f I ri y s Amount 11500 165 Anero~eDate.~ ~~~~~ 'fit"' ; .,, "` - ,~.t. - . ~ 009 1106' ,~, r Y - ~ ~..,.~~.,:... , . 1 1500 ~{y~„ .. - - X151241 . -~C ~K, JI7SFP :JC1SEPi-1 C. S~+,PflflKAl~t ~ ~ -~, ~ ~ ,~ ~ SI,~IT~ ?03 -~ 1 i 5 C1-~ARLCITTE WAS' ~~ ii oo ~is~11~~1111~1111.1~~~~ ~ ~`,9~~ ~~~~;,~,.,~,.~,~,~,,,,~~,~i,~:a,~~,'~~,~,~„,~f,,, ~• .1 9'F001 9 ~ . ti) r t.~.: ~r 'Y7:`r ~s ~~* ~'I ~1r f!~r~n~"~~~~~~ 7 ~. ~ -.. .r~~f~ ' AJOSEP~i C SAPC~CfiAK E~TA'~Es~' ~ ~ ~- ,isis ~~ ~~ ~~° P AC7UNT "'4). ma'r' -~~-. t~.-r ""~`+~.~~.'k4; r ~, ~ u f ~ F-t ' ..36232459 + ~ t,~L 1 - 815 S' PFIOGRESS A~ ~ 7 t ~ r .r v: "f~ ~ `.~ ,, .~ ~i ~~: I ~ ~'f :, =4iA~?RI~EdJF~G; PA 17~ r '~ ~ 1 . '~ - ~ =t ~ ~ .. .. r } ~ ~ `i ~ Vtl ws ~~ : ~ 1 ~, r a ~~.F~..< sT j, a x 9 a r o.~".. r a g x- .,. ':~. i. ci ..p t• L J' ) y o y~ - _ -. .,w°' CfSTENING IS JUST THE 9~GIN~.4N~'~"'a ~ ~ „' ~kGGL+~~( tiP +~ ,. .. '~ -: - ,~;. _ +x:03 L30 i4 2,2~: 36 23 L 2.. 5u~"~ 0306 ~ ;.-~~«~. Y ..r...... _ . r.,.... a i. r _ ~ r ~' J ~ + S ~ k,s :~ ~ ,,S J ~S "~! '',`, ,C4N~ ~Z`Eps 42 ~ ~~ nl ~r +~~u~~~~,,, . ~~ ,~ < 1AT~~ Sr.,Zt r~~ ~~ 313 rl' ~: ~ FI m, }~4. ~.~ ~.L~ ~J 1 i k ~~ ~EPH C SApb(#HAK Q OUNT . +•~a t~rr~ r«,~ •>, ,~ ~:r 7 ,;9g2~)2t4 a +_ ~ ~-a $•'~'R0~1.1ESS AYE ''~~ I, ~ 'y~,h ~~~ ~ ~~~ u'~' "i ~ t ~`74~ a.. ~ k p138URG. PA~ X71 "~r : ~ s i fy t 7~< t,~~ R ~ t' r: >, ~ g ~ c~:. ,ak~~.ar ,,.,,..fir f t q`'Y CBI Y r '~/f f `$ 1 ... ~I~~/' • ~QCA.~~~ ~~~ `-~ { ~I~O S r3~ ~- ~~ J -. 3~ L'J. .a+ V~+~..t; ti . ~w..++..~ .,~ 'f 2 ~ . Y Y ~ ~ - 1 } ~ ~Y ~tBa~ ~~ Y ~.. a z= ~~: ~LI$TENING IgJl~S'fi THE 81:GINlj~IN~i~~' i ~ ~ "` : ;`~L30L422~: 3623 L2~. 5u` ^~325' ,~~;<; =;."f Westwood Ylllage Westwood Village Water Bilt -July .lung Water Bill 650 Westwood Drive Enola, PA 17025 ~•#~ 115 CW203 . Est bf Jos. Sa~ochak 115 CW203 Name: J.Sa ochak ReadmQ Date: 7f1512009 ' Gallons Used: p Due pate: 8/10/2009 Due- Date: ~ 8/10/2009 Amt. Due: $13.08 P~mount Due: $4 02 Am#. Paid: ~~ . Past Due: $9 06 Date Paid: 8 I ot. . Total Due: $13 Og Check #: ~. ~ Water and corfrdo fees must be paid Please detach and re4um separately. A $3OA rhama wifl !,o ~.~.~a Westwood Vittage August Water Bitt Acct.#: 115 C1N203 Name: J.Sa ochalc Due Date: 9/10/2009 Amt. Due: $8.11 Amt. Paid: ~. ~~ Date Paid: a + oq _~___ . Check #: 339 Please detadt and return this section with payment. Westwood Vitllage Water Bil# -August 650 W~sfi+v0od Drive Enola, PA 17025 Est. of Jos. Sepochak 115 CW203 Meadirag Date: 8/15/2009 Gallons Used' 600 Due" Date: 811©/2009 At~iaunt Due: $8.11 Pest Due: $0.00 Total Due: ~ $8.11 water and ctondo fees must be paid separately. A $13.OQ charge will be added t4 payments n~beived ever due date. Any questions regarfding this bill, call 525-7575. i; .~ `g~ ~~~$ :. ::. i. , ~: Sept. 1Nater Biil Acct.#: ~ 115 CW203 Name: J.Sa ochak [due Date: 10/10/2009 Amt. Due: ~ $6.74 Amt. Paid: 7 Date Paid: ~ 1 ~ c o Check #: Please detach and return this section with payment, 650 Westwood Drivd Enola, PA 17025 Esta#e of Jos.Sapochak 115 CW20~ ~.. ; ; ~::;: "E' °:;~; Reading Date: 9/15/2009 Gallons Used: ~ 400 Due Date: 10/10/009 Amount Due: ~ ~ $6.74 Past Due: $0.00 .Total Due: $6.74 Water and condo f~eS must be paid separately. A $3.00 charge will be added to payments received'after due date. Any Questions reQardinQ this bill. call 525-7575. i~ ~,`. ~' ~> .,. C Westwood ~Ilage April water Blll Acct.#: 115 GW203 Name: ^, J.Sapochak pue per: 5110/2009 'Amt. Due: $24.87 Amt. Paid: .Date Paid: Cfietrk #: Please detach and return this section with payment. VYastvvciOd ~~~a9e Wat~et Batt - April 850 Westwood drive .Enola, PA 17025 Est, of Jos. 5apochak 115Cv112fl3 Readies Dat®: _ ~ _ 415/2009 Qaltons Used: ~ 140 -- , _ Due Date: 5/10/2009 ,~. ~ Amount Due: $4.70 _ ,~ past Die: $20:17 -Total Due: $24.87 _ Water and condo fees rnjust be paid separately. A $3.A0 charg$ witf be added to payments received after,due date. Any questions regarding this bilM, salt 525-7575. . No payment has been received for _the .February maintenance fees on your property in Westwood ~. Village. The amount d~ue~:is $125.0!0, which includes a $10.00 late ~fe~. Please make your payment promptly in order to avoid additional collection costs.'' Council of Westwood ~Ilage Westwood Village ~ . Feb. Water Bil{ Acct.#: 115 CVN203 Name: J.Sa ochak Due Date: 3/10/2009 Amt. Due: $4.02 Amt. Paid: , 02 Date Paid: ~ , Check #: Please detach and return this Section with payment. ~~i~a-:r decets*~(. ~Q(tziL -~ J ~ Westwood Village Water Bill -Feb. 650 Westwood I Drive Enota, PA 17025. Est. of Joa. Sa~ochak 115 CW203 Reading Date: ~ ~ 2/15/2009 Gallons Used; 0 Due Date: Amount Due: '~ ~~/10/2009 ; $4:02. ~: Past Due: $0.00 - Total Due: ' $4.02 Water and co~do fees must be paid separately. A $3.p0 charge will be added to payments rece~ed after due date. Any questions regardi g this bill, call 525-7575 ~~ks ~1~ ~,r~t'~. i . . No payment has been received for.the February maintenance fees on your property in Westwood Village. ~ The amount due as $125.00, Which includes a $10.00 late fee. Please make your payment promptly in order to avoid additional collection costs. Council of Westwood ~Ila~e Westwood Village April Water Biil Acct.#: 115 GW203 Name: J.Sa ak Due Date: 5/10/2009 Amt. Due: $24.87 Amt. f~aid: Date Paid: Cfieck #: Please detach and rum this section~with payment. Westrnrood Village Feb. Water Bill Acct.#: 115 C1N/203 Name: J.Sapochak Due Date: 3/10/2009 Amt. Due: $4.02 Amt. Paid: , c2 Date Paid 3 ~ oo Check #: Please detach and return this section with pa~Crnent arlQibr:s c~e(`et sr~(. T ~ziL '--~ Westwood Viillage 1Nater Bill -Feb. 650 Westwood Rrive Enota, PA 17025 Est. of Jos. Saplodhak 115 CW203 Reading Date: ~"' '" 2/15/2009 Gallons Used: ' 0 Due Date: -x/10/2009 . ; Amount Due: ~ $4:02. ~ ~ Past Due: _ $0.00 Total Due: $,4,.Q2 Water and conldo fees must be paid separately. A $3.t~0 charge will be added to payments recei~red after due date. Any questions regarclirig this bill, pll 525-7575 C~oc~S ~e~. ~r~t, ;. . , _._ Westwood Village Water Bilfl -April gyp Westwood Qrive .Fools, PA 17025 Est. of Jos. Sapochak '115CW203 Reading Date: 4115/2009 Qaltons Used: 1 ~ Due Date: 5/10/2009 urrt D~,e: qmo X4.70 ___ paw per; $20:17 Total Due: _. $24.87 Water and condo fees must be paid separately. A X3.00 charge will be added to payments received after due date. Any questions regarding this bill, call 525-7575. *,~,. ~, JOSEPH~:.C SAPOCHAK trSTATE - ~t.218 ~ . 3 f~ AGCOUNT~'; .. ~. ti 815 SSPROGRESS ASE 'x 1 t .;. 3t31. .,:.. . 3.623}2455. ~ ~ Y ~ARRISB(JRG PA 17t'Ci~ ~ ,x ' 1 ~ ll L / ' ~ ~ ~~~: ..~ ~ ~. sQ~. ~ I $ 12S.o0 'lOp .. ... ~'. ~ ra~..a"""'.. ..: :.. ~t(~~ -i ~iV~Jii . y j s _i. ~iiii LIS~.E II,N~G IS:JUSGT~TfH~BEGINflING:"._ ~~~Y . pp'.~/ x" ~ _ +x:03 ~3:QL4,2 2~:.~` 36 2~3 . _ 1 24 ~5u' 0307! 1~ ~az3oooo.a~ O~itM/2:001 r 131o777~L3 c 0 T-~a +. a lEanl tArT.r pvr .oast. T.u •a,+ w. 1 lA..aana or •r L.vl~ vu tA•.ri l~at u•a- t m RI O \ ~ a . . S 1+1 O v1 r ,tea 1 T .al J O P m N tY u ~ ~ ~ ~~o~tt c. s.~roc>wc isresc ; ~ ,a #. 3~3 aocattfr .n-r•o•ecs,trc ~~, ~ ,. •a~ ~~i Vi Y V _ ' 1~]iL• -t ~ Z~•~ ~ is #f`'..(''t r ^r'14`^ "'fir- r°'° ._rn„~ ., ~ a T ~' SsNIN h T M[ rtnwNC~ O~ r.0313Qir.2tr:' 3,23 i~~S y; • r,ro3taoia22t: ~62~12455rQ3L3 ~aoooo~sooar I ~ PAYMENT NO. ACCOUNT NUMBER • - ~ • • • - _ • - w p g 5 115CW203 $115.00! MAY-01-09 J ll.l o ~ COUNCIL OF WESTWOOD VILLAGE "' " ` • ' - ' U ~ ~, 0 o n $125.00, MAY-10-09 p ~ PAYMENT AMOUNT INCLUDES $19.00 RECREATION FEE. ~ rn Wi g h k ~ w p a Joseph Sapoc z p ~ Z 115 Charlotte Way #203 ° ~ w ENOLA PA 17025 CK # ~ ~ ~ ~ z ~~ ~o U fig. ry , ~a ~ - ~ '°` . ;. G TE I S Y ; i ~ ~~ '' ~o-, ;~ a b~ ~31~9 '`'- A CHAK ~S ~C SAPC JOS~PH 343 ;xt ACCOUNT ~ ~ r ~ ~ ~ 36234 ;45~a r Bi`~°~PPCJGR~S9 ,4~'4E ` . ~ +' C: ~ ~l~f?1~ i~~ ~ ' ~ k~AHfttSBURG PA a fi ,~' ~ ', d~ l ^; ~ , 1USTTHE BEGItI~11N~'+ -: CI$TENING I$ .t ". ,_ ~ ~ ~ .J . . 1.LSS.~w 2~2 - - ..; -~-~:~p "3 L 3;0 14.2 2~:.: 3 6'2 3 .. L 2 4': II^ 0 3 L q ` ~~, "~ ~ ~, ate+~~ PH G SAPC3GHAK E~~,TATI~; ,~. r ~~ ~~ 6o~,~a ki$t '~-~ 3rf~' r. ~ROC`,HESS A''1~, *~ , ~,~, dcr~ ,~'C.dU Y~Ci ~ CJT ~'P., ra(~~4~1~1~2~.~D. n - ~ .' ~t ~(S ~ ., r ~a~ TT t >-F_ • -k .. .~ r .017. ' :. • ~, :.. ~ . .°rr, j ' . ~ •4 ~~ T ~ ~ ~vsl . ~ 1 F t MiF S'1~ . kI~TENIN~ IS JUST.~THE ~ EGINt~IN .~ !; ~ ' t n.. ~r ~ X30 L4~22~' 36 23 .L'2~;. II^~: ., ~03~24 _.:a.,.. ..'i. ~.. PAYMENT NO. ACCOUNT NUMBER • ~ • • - - • - ~ 8 115CW203 ~ $115.00 AUG-01-09 COUNCIL OF WESTWOOD VILLAGE ~ $125.00 AUG-10-09 0 PAYMENT AMOUNT INCLUDES $19.00 RECREATION FEE, a Joseph Sapochak Z 115 Charlotte Way #203 ENOLA PA 17025 ~ ~CK # 333 ~ C7 ~g J L1J ~ ~ N oo° o ~- W ~ ~ Q ~ Z J p l1J Z co ;O PAYMENT NO. ACCOUNT NUMBER 9 115CW203 $115.40 SEP-01-09 COUNCIL OF WESTWOOD VILLAGE - ~ • - $125.x0 SEP-10-09 PAYMENT AMOUNT INCLUDES $19.00 RECREATION FETE. Joseph Sapochak 115 Charlotte Way #203 ENOLA PA 17025 CK # 33 $ F- w r a U r a 0 a a O PAYMENT NO. ACCOUNT NUMBER • ~ • • ' - • ' ~. w ! p 10 115CW203 $115:00 OCT-01-09 ig > > ~ _ COUNCIL OF WESTWOOD VILLAGE ~ _ ' ` N p o "' $125.00 OCT-10-09 d ;000 p ~ PAYMENT AMOUNT INCLUDES $19.00 RECREATION FEE, ~ O a w~ ~ g • ~ ~ p Joseph Sapochak ~ Z p ~ Z 115 Charlotte Way #203 ~ o w o ENOLA PA 17025 CK # 3 yY ~ z .~ ~o ip i SOVEREIGN BANK -617 PAGE 1 10-6438-CS5 ~ DATE 07/20/09 601 PENN STREET REAPING PA 19601 HISTORY FOR ACCOUNT 96200045 --------- MAIL -------------------- --------- PROPERTS.' ---------------- JOSEPH C SAPOCHRFC ESTATE 115 CHARLOTTE WAY 203 ENOLA PA 17025 115 CHARLOTTE WAY 203 ENOLA PA 17025 ----- - DATES ------ ---- CURRENT BALANCES ----- ------- UNCOLLECfiED ------- PAID TO .07/01/09 PRINCIPAL 70210.55 LATE CHARGES 0.00 NEXT DUE 08/01/09 ESCROW 885.35 OPTIONAL ]:NS 0,00 LAST PMT 07/16/09 UNAPPLIED FUND 0.00 INTEREST 0.00 AUDIT DT 10/26/05 UNAPPLIED CODES FEES 0.00 BUYDOWN FUND 0.00 ------ YEAR TO DATE ------- LAST ACTIVITY BUYDOWN CODE INTEREST 2071.92 • 07/17/09. TAXES 273.94 POST TRN DUE TRANSACTION PRINCIPAL INTEREST ESCROW DATE CDE DATE AMOUNT PAID PAID PAID 060407 _AP 060107 529.32 ,82.27 3S4.8E1 92.17 070307 AP 070107 529.32 82.67 354:48 92.17 080207 AP 080107 529.32 83.08 354.Oi' 92.17 081707 E92 080107 -890.41 PAYEE = 0021_06005 .00 -890.41 090407 AP 090107 529.32 83.49 353.6E 92.17 100307 AP 100107 529.32 83,89 353.26 92.17 102307 SR 100107 88.45 _00 .00 88.45 110507 AP 110107 529.32 84.31 352.89: 92.17 120407 AP 120107 532.88 84.72 352.43 95.73 123107 PA 010108 532.88 85.13 352.02; 95.73 020408 AP 020108 532.88 $5.85 351.60 95.73 030308 RP 030108 532.88 85.97 351.18 95.73 032508 E96 030108 -258.40 PAYEE ~ 0021.00005 .OG -258.40 040308 AP 040108 532.88. 86.39 350:7E~ 95.73 050508 AP 050108 532.88 86..81 350,34 95.73 060508 PA 060108 532.88 87.24 349.91. 95.73 070308 PA 070108. 532.88 87.66 349.49 95.73 080408 AP 080108 532.88 88.09 349.06 95,73 082508 E92 080108 -811.72 PAYEE = 0021.06005 ,00 -811.72 090308 AP . 050108 •532.88 88.53 348.62 95,73 092908 E01 090108 -111.41 .00 .00 -111.41 100308 AP 100108 532.88 88.96 348.19 95.73 110308 AP 110108 532.88 89.39 347.76 95.73 120308 AP 120108 526.32' 89.83 347.32 89.17 ~1y23008 AP 010109 526.32 90.27 ~ 346,88 89.17 030309 UI 020109 _00 :00 .00 .00 OPT PREMIUMS .00 LATE CHARGE PYMT -21.85* INQ 112 07/20/2009 SON 16 ; 42 FAX HISTORY FOR ACCOUNT 96200045 ~ PAGE 2 DATE 07/20/09 " ---- ----- MAIL --------------- ----- ----- ---- PROPERT'Y --- -----------~- JOSEPH C SAPOCHAK ESTATE 11S CHARLOTTE WAY 203 115 CHARLOTTE WAY 203 ENOLA PA 17025 ENOLA PAS 17025 POST TRN DUE TRANSACTION PRINCIPAL INTEREST $SCROW DATE CDE DATE AMOUNT PAID PAID PAID 030309 PA 020109 526.32. 90.71 •346.44 89.17 030309 PA 030109 _526.32 91.16 345.99 89.7.7. 041509 6 AA 040109 •526.32 91.60 345.5!i 89.17 04 2 09 E96 0407.09 -273.94 PAYEE 0021.00008 _00 -273.94 050509 AP 050109 526.32 92.05 ,345.10 89.17 061009 AP 060109 526.32 92.50 344.6!i 89.17 071709 UY 070109 .00 .00 .01) .00 OPT PREMIUMS ,00 LATE CHARGE PXMT 21.85* 071709 AP 070109 548.17 92.96 344.19 89.17 OPT PREMIUMS .00 LATE CHARGE PYMT 21.85 1004/"004 END OF HISTORY INQ 112 LISTENING IS JUST THE BEGINNING'" EST OF JOSEPH C SAPOCHAK JONATHAN A SAPOCHAK EXEC 815 S PROGRESS.AVE HARRISBURG PA 17111 1057 0018 78563 Y STATE=MENT OF ACCOUNTS 3623-12455 STATEMENT PERIOD f=ROM THROUGH 4--01-0 9 4-.30-0 9 PAGE ~. OF 1 2 EINCLOSURES X 9 8 SIMPLY FREE BUSINESS CHECKING ~ - ~ACCOUNT:~ 362'3=12455 PREVIOUS DEPOSITS/ CHECKS/ SERVICE ENDING STATEMENT BALANCE CREDITS 1 DEBITS 4 FEES BALANCE 29,732.58 9,694.92 15,167.35 .00 24,260.15 DATE ACTIVITY DESCRIPTION REFERENCE 04-01 BEGINNING BALANCE 04-03 DEPOSIT 00213501060 04-14 CHECK 311 00204306033 ~ snvFR,~yn 00077900000 04-24 CHECPY 00103904010 04-28 GEMB RSF CHECKPAYMT 00077900000 090427 0314 04-30 ENDING BALANCE DEPOSITS/ CHECKS/ CREDITS DEBITS BALANCE 29,732.58 9,694.92 39,427.50 12,700.00 26,727.50 526.32 26,201.18 250.00 25,951.18 1,691.03 24;260.15 24,260.15 CHECK SUMMARY ~` INDICATES SKIP IN CHECK NUMBERS CHECK NO AMOUNT CHECK NO AMOUNT 311 12,700.00 313 .250.00 312 526.32 314 1,:..691.03 TOTAL NUMBER OF CHECKS 4 TOTAL AMOUNT OF CHECKS 15,167.35 SERVICE FEE BALANCE INFORMATION FROM 4-01-09 THROUGH 4-30-09 AVERAGE LEDGER BALANCE 31,093.91 AVERAGE COLLECTED BALANCE 31,093.91 MINIMUM LEDGER BALANCE 24,260.15 MINIMUM COLLECTED BALANCE 24,260.15 DIRECT FULTON BANK DIRECT BANKING CENTER INQUIRIES T0: PO BOX 504 EAST PETERSBURG, PA 17520-0504 TELEPHONE: 717-581-3000 OR 1-800-FULTON4 Mcmbcr F.D.LC. fulLonbunk. wm Page 1 • - ~ MAY ii6 09 $548.17 ~- ADDITIONAL AMOUNTS ONLY Prindpal Curtailment SOVEREIGN BANK Escrgw (If Applicable) ~_ P.O: BOX 12649 Late Charges READING, PA 196122649 ~u~~~~i~ui~~nni~~it~i~n~r~~~~ni~n~~i~n~~n~~~~i~~~~~~~ Fees' Total', Paid 57.x•32 x:56 L 7~~~ ~000~: 11'0096 20004511.0548 17 ~l'00000 5 26 3 2~1' 5ov+ereign Band JpSEPH.C SAPOCHAK -0096200045 SOVEREIGN BANK P.O. BOX 12649 REAPING, PA 19612-2649 ~ni~~~i~ui~~un~~~n~r~n~i~r~~n~~n~~i~n~~n~~r~u~u~~~ JUN 01 09 $526:32 JUN 16 09 $545.17 ADDITIONALAMOUNTS O Y Prlndpal Curtailment Escrow (H Applicable) Late Charges Fees Total Paid SZt°`32 1:56 ~?~~~ L0001: 11'0096 20004511'0548 i7 ~I'000005 26 3 2~1' ~--- SZOLL `dd \f101 LZcL #)l~ £OZ# ~gM a}~°I~>3y0 S o ~yood>3g yde c o _- .. z z 0 .9 a a s A'1 J = ~ ~ o ~ • .gWr~i ~ X m ~ = ~ ~ m - DNZ ~ ~ _ ~ .._ ~j T D v N - j " Q C7 D tD ~ O m ~_ N O O L C L C m m N 1 r r m m w n 7 n ~ ~ ~ m y ... °' O ° N ~ ~ ~ O (O O (U ~ ~ 3 z s r .. O c 1 N ~ N ~ ~ O Z A ~ N ~ j + J ~ fJ N JOSEPH C SAPOCHAK AUG 16 09 $548.17 ADDITIONAL AMOUNTS O LY Principal Curtailment SOVEREIGN BANK Escrow (~ta,PPncame) P.O. BOX 12649 Late Charges READING, PA 19612-2649 I~~~III~I~~~II~~~~~II~~I~I~~I~I~II~~~I~~II~I~~~I~~II~I~~I~~~II Fees Total Paid ~-~Q~?lZ x:56 L 7~~~ i000~: 11'0096 20004 511'0 548 i 7 ~~'00000 5 26 3 2~~' DVVCiY,l~J4 ~S~$ 0096200045 JOSEPH C SAPOCHAK SOVEREIGN BANK P.O. BOX 12649 READING, PA 19612-2649 ~n~~~~i~nr~~un~~~n~r~u~i~r~~u~~u~~r~ni~n~~r~n~ni~~ SEP 01 09 $526.32 SEP 16 09 $548.17 ADDITIONAL AMOUNTS ONLY Principal Curtailment Escrow ('rfApplicable) Late Charges jj} Fees ~ Total Pald SZ(p,3Z ~: 5 6 L 7~~~ L000~: n'009 6 2000 4 511'0 5 48 '~ 7 ~~'00000 5 26 3 2~~' .. ;. ~.. ; _, a 1521$ <. * P C. SAPOCHAK ESTATE~ ~ ~° ~ . ij fi0 3 3 7 ~ `JOSE H 362312455q .;;:. ACCOUNT ~ e qL~ ' ~ . . 815 S PROGRE6S AVE. HARRISBG,' PA' 17111' ` , ~` r ' '- _ . _ - - ., _ ,. ~ ~.S7_(e.37 <: JOSEPH C SAPOCHAK ESTATE _ l3 " ACC=OUNT ;' `` 3 ~ 3 6 2 3 1 2455 X ' ,~ 815 S PfidGRESS AVE _ _ `= _ HARRIS~G;;PA 17111 __ ~ ;' 10 ~r_r?~~. ,~-~~~ ~~t#~9 r . y? 4 - ~ r - _ tF ~ - ~ „a ~d' of ~r~x--c.~ k~ ` ,,~ - - f $'S'2C~ ~,Z ~ ~ ~'"€ .t ~~ ~ ,L_ t' ~~ ~ r _ ~~ ~lV'~': [{yw~• W21i~~_ S1X '•'a _ ~. - , 3?r~/oo • 8 ~,,`°°.,,~°~'. I' , ~ _ c y` . LISTENING IS JUST TH,E BEGINNING ~", ~ -_;,_ " ' _ Q 3 L 3 0 ~~4 2 2 ~: - 3 6 2 3 L 2 4 5 u~ " 0 4'~ . ~ .. . . . ~~~~0~~1~ B~ 009 6 20004 5 OCT D1 09 $526.32 JOSEPH C SAPOCHAK OCT 16 09 $548.17 ADDITIONAL AMOUNTS ONLY Principal, Curtailment SOVEREIGN BANK Escrow (irAAPpncabie) P.O. BOX 12649 Late Charges READING, PA 19612-2649 Fees ' ~n~~~~i~n~~~nni~~n~i~n~~~i~~n~~n~~i~ni~u~~i~ii~~i~~ ~ Total Paid SZ~ •~Z x:56 L 7"' ~000~: --'0096 20004511'C)548 ~7 ~I'000005 26 3 2~~' T Questions about thisbill? 'Please`:; 'contact us by Mar 12 at 1=800-342-5'I75 - (1=800-DIAL-PPL) or vvrite to Customer. Service 827 Haustrian Rd. Allentown;. PA ` 18104-9392- -~ www.pplelectric.com Electric ~ - Use This graph shows your electnc use over the last I3 . months- Tyyppes of 11~ieter Readings: Actual . Adjusted Estimated Customer Q •a~y~T[usr;~-mraun~:~io~:La`ker:tbau 1~~r,,, . 'Account Balance $222.10 KWH -Average Per Day iVleter Reading Information A•Leter #66104912 Feb 19 Victual 50736 Jan 2l dual ~ 50]94 29 L-a s WH Billed 542 Average -Feb 2008 2009 Temmpperature 32F 29 D 31F 19 ay KWH: Per Yearly Use: TUae to nthly ) Mar 2007 -Feb 2008 6523 544 Mar 2008 -Feb 2009 6637 553 Other important: information on back '~ Mar 12, 2009 $222.10 Amount Enclo ed Z ~~.~~ ~i^ ,a Return this part to address below with a check payable to PPL Electric Ufilifies Corporation 10750-72035 AV 01 001962 91091 B 9 A"5DGT JOSEPH5APOCHAK 115 CHARLOTTE WAY A203 ENOLA PA 17025-1550 II~~II~~II~II~I~~~II~~I~~IIII~~I'III'IIII~III~I~~II~I'~III~I~I~~I P:PL ELECTRIC LJCILITIES 2 NORTH 9!TH STREET RPC-GENNI ALLENTOWN PA 18101-1175 S~ 40 30 20 10 0 T / / ~.jy~. ~ F " ~. ~ 3428 T O E ~ ~ ~,~: 3;~~Jr a~OSEPH C. SAP CHAK E STA ~,$ ~ ~ f ~ ~ ACeC?UNT ,. s ~ r ~ ~ ~ ~ ~ ~t2a~ ~ ~' ~ ~ Bi59rPROtaRESSAaE,: ~ ~ 'L< ~ -~~.~ ~, s ~ '- k' 'w ~ ~ • ~ ' ~ ~ 4 ~ -~',-~ ' a +~ '~ 17t~~ ' ~F1158URG' PPS t 5"~*~~ 1 ~ , ~ ` { t` ~L ~ X ~ ~, ~, ~ ~~'b~fn - sF R~~s~t ~c~lC. _Vi~~l~ltS COP ' ~: ~~222.1~ ~ o - o.. ~• i .~. ~ ,Y 1 T~ ~'~~' ,~ ~~ .. ` ~. .. _, ;~" LIS.TENING IS-JIJSTTHE~.BEGlK~11NG s,.r' - . ~" _ - ~~ ~ F. 1o75D -'72b3~ ~ ~ ,-~:0~ i30 L4 2~~~: ~ 36-2.3 L 24 ....II~f =~ 305 ~ ~, FMAMJJA50NDJF 2008 Months 2009 !? xeturn Inl$ part to aaaress below vv~th a check payable to PPL Eleatic Utilities Corporation • ~~Ti1 i'i ~Y>tYt, •• *`tT t YM(Y~Yyi~C x>Y•i >YtiYY>Y>ttt M1i'>•iY'iiiY;+ ~^ i'it;T Y iY ~ `Yt ittYYYY~Yi ' i _ ~ , ; ~:.~ .. t Sh T~.. iYYiiiiYi••it ~'i~ti;ll~ti~ i i' • ~l1mi>•i•{Yti f iY'1~;..~~.. ~ ? i i1'~>lY i I • 10750-72035 May 12, X009 $77.17 Amount Enc osed AV 01 001982 15122 B 9 A"SDGT C~ ~ a ~ ~. JOSEPH SAPOCHAIC L 0 0 1 I S CJiARLOTTE WAY A203 , ENOLA PA 17025.1550 PPL ELEC~'1tIC U17LITIES 2 NORTI~9TA STREET RPC~rENNl ALZENT WN PA 18101-1175 11(I'IIII(,1,(~„IIJI„1((Ihll„(I~11„IhIJ(,((1(~II"1111(11 1 4400000771740000077177.1075072035 ro ~; m :mss. .. J~~•Qyy,S,(~1=~P~tf ~ SApE~~1iA~ ~'~~E. F-P ~~7~ ~ ~~3r~gJ9Ftr~4' L ~ ~ ~~.~; Al".tc'eQ11t~1:z,y~', d ~ 'S:'y~jY y,_a;r rt`Ky ~ ~ i~` t u t~ ~,~, a,1, p31'~ ~y~ 'V ,xti p~"ti tom`; $159a~'ROGRE5S A'?`~.3• s"~ ~i'~'~4~%`,,.~~ -a ~r z`' ~i ~' ~ ~ ~ :;1~~~ u ~/', x - `7C \ ,y~ ~ ^4 i ~, ~ .A ( ~ # b ~ ~ t4 W - T K~ 1 .j ' ~L15TENING IS JUST 7F+E.9~G11`II~I.l~1~Yw ~~` - - ~ . ~;~.,r . ~.'.+~`0~i30L42~2~: 3623 .::3.•2 ~it^~~[]3.2i ~. ~t~ . .~ .. ~ :~' ~. SE02LOSL0'[ LS'[26000DOB5'[2600000~2 '[ ~III~I~~II111~1'i~~'~1~~1~~111~~111'I~~~~I~~~~I~I~~~J~II~~~IIIII SLTT-TOTST ddNMO.Li~T~'I'Id 1IQl~'J-Od2I ,LflH2I.LS H.L6 H.l2IONI Z S~I.LI II.Il1 ~I8.L~3'I3'Idd OSSIiZOLf Vd'd'ION~ £OZ'd .I'dM 3.L.L0'I2INH~ S I [ ^ ~ ~ ~ ~ a ^ 1905„b L£ 80801}£ 990 00 H03n~f pasolour3 ;unotcry SI'Z6$ 6002 `OI I~lt S~OZL-OSLOI ~?'rii-oi~%?:til:i,,.ll:i;:~:t~ ,.,:t~. ,.,Idl: .~.... „'~??;~'.,...,.~.,.,.,.,.,ti~,ti?; Return this part to address below with a check payable to PPL Electric Utilities Corporation j .._.~.~_. ....._ _.........~...<.,,:: r: .'x.o~.8~~i~counc.~l~urstwt .....:. .....:...Pae.P~F ! ~~ `: ... ;:_~af'1~isA~QSU3t:i...: 10750-72035 Aug 11, 2009 $86.66 Amount Enclosed JOSEPH SAPOCHAI{ L 115 CHARLOTTE WAY A203 6 A"SDGT C~ a ~' ~ ®a. ENOLA PA 17025-1550 PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET RPC-GENNI ALLENTO WN PA 18101-1175 ~nl~llrl~~ll~illll~llilil~ilil~l~ll~~l~~ulr~~li~l~l~llllll~il 1 08D000086668DDD0086667 1075072035 ~;, _ .~ ~ ~ ` --- r ~~~ ° - :; 60=,42 t 8 3 ~ 1.. ;-JOSEPH C. Sr4P~CHAK ESTATE -` I` ACCQUNT., 362312455 - ~: 815 S PROGRESS AVE: - :.~ HARRISBURG. PA 17111 ' ~ ^rof P L ~(ec(Y ~~.c~~li~iiGS Co - ~ ~r• tofo ~' ,, l - 66(1 -~. = - `. _ 8 ....,~ ..n:... . . ~'~-~ ~- LIST.ENIN:G IS JUST-THE BEGINNING.:M - r_ rt. ~~. Fey ~p - ~-2oa ~ ;. _ :. '~~~ " ~~,~~- ~± 0:3 13014.2 2~~: 36 23 1 2 Su' , Q3 3 1 _ . ~- ~ JOSEPH C. SAPOCHAK ESTATE ? ~ 13218 3 4 ~- ACCOUNT 362312455 815 S PpOGRESS AVE. ~ .~ ° `' HARRISB~IRG, PA "17111 ' ~ 2~.~2m9 _ r ~C,:F.It~-fr~c.C~k~t~~i~s ~a~~t-~~~~ ~ i $ ~(o,zo Ll o... a.a ~~7^^ //''~~~1R' . LISTENING.IS JUST ;THE BEGII~}NING.~" '._.~~03L3~L~22~:`. _3623. L24 a^.0 .4L ~ - _ ..- ~; _ _. Return this part to address below with a check payable to PPL. Electric ~J6tlities Corporation . ~t d?UC.~E~.t~,CCbI2t~ j~Itlttlll~E ..:....:: 10750-72035 AV 01 009163 597158 37 A"SDGT JOSEPH SAPOCHAti 115 CHARLOTTE WAY A203 ENOLA PA 17025-1550 ._?F?~&~1'. •"$~ = .P;! ~'1'#ti5-,A3~iiotl~i€f>='>? Sep 10, 2009 $76.20 Azmunt Emclosed aao,oao.o~ PPL ELI3CTRIC UTILITIES 2 NOR'~H 9TH STREET RPC-GENNI ALLENTO WN PA 18101-1 l 75 I~I~~i~illli~uli~nr~~~~nl~luilll~lilli~~ilu~~i~i~li~nill~l 1 2500000762050000076207 1075072035 ~; RPL Electric Utilities Electric Service Fors JOSEPH SAPOCHAK 1 IS CIiARLOTTE WAY A203 ENOLA PA 17025 I i S ~~ ~ a . ' LISTENING IS iUST THE BEGINNlN6.~. -ge Actu i~ b? - 2Q3 ~. hy i19 ~~ tc~tl~'br/... '`~ X58 Ad~u_ .,,~~~j30i422t. 3623 YL2A Sn~'~ 4~2 . EStimatru ` ... LUVO ..~--- Customer 0 1 1, , ~ • ~. ..._ pp =.-= .;., ., Summary Page Balance as of Sep 21, 2009 so.oo Chaz es: Tota~PL ELECTRIC UTILITIES C;hazges $52.49 Total Charges $52.49 ..... r=r: r«r: .... ....:r -.:.::.:. ...,,..r ~ ~.,.. ~ ~'.~.., Accnnnt Ralance ~52d9 Queatiolna about this bill? Pl+~se contact us by' (hrt 12 at 1-$00-342x5775 (1-840-DIAL-PFL) Customer Service 827 Hausman Rd. Anent --~Y ~~ 18104 f~ www.l ~-,~ . - ~, JOS'f=PH C. SQPQCHAK ESTATE ~ ~ *~~' i' ACCOUwr. .,~ ~s 218; ~, 3 4 2 ' Ele, 815 S OGRESS AVE. - 3~ti2~55 HARRIS81~iG,' PA 1711 t= ~ :y Use a ., ~- td t - - ~ ,.. This ~ ~ uTUer of~t'i ~ ,~'~.+ryC~. U~l t' ~'tc ~'e.r} ,r, .,~. ,~~ ~ s your 1 . ~ ~ ~~ ~ ~ ---~. _J ~ ~ S Z . `f over 4 ~ t ~ - ~ ;; ~i ~; ., ,.. toa nwnti ~~ or write to: Other important infolrmation on back ~ Return this part to address below with a check payable to PPL Electric Utilities Corporation ]0750-72035 AV 01 008540 703048 34 A"5DGT JOSEPH SAPOCHAK I 1 S CHARLOTTE WAY A203 ENOLA PA 17025- I SSO ,,,,. Oct 12, X009 $52.49 Amount Enclosed ^^a^oa.o~ PPL ELECTRIC UTILITIES 2 NORTI~I 9TH STREET RPC-GENNI ALLENTOWNPA 18101-1175 'I~11~1~1~~~~1~1~~1~~1~11~~111~1~1~1~111~11~1111~1~1~~i1'I~'11111 Page l 10750-72035 :.:.:...:...:...................... '1 680D00052498000D052497 1D75072035 .__ Billing Cate: 02/01/09 Page 1 of 6 Telephone Number : 717 728-8821 r ~~~ Account Number: 717 728-8821 050 59Y ' JOSEPH SAPOCHAK Account Summary Previous Charges ~ $ 50.03 ~ No Payment Received .00 Past Due Charges (please pay now) $ 50.03 New Charges Verizon (page 3) $ 43.87 Verizon Long Distance (page 3) 5.98 Total New Charges Due Mar 2, 2009 $ 49.85 Total Due $ 99.88 ,~, :°JOSI;pH C SAPOCHAK ESTATE, ~- ' .s `At;eouryr E , e S S'rPROGRESS~'A~kE , ~` ~ { ;' K° ~~~I$BURG PA: 77~f} ~ ~ ~; ~ .., ; ~, o~:. _ , .. ~ ~ Gk r ~ o er of l~l ~ ~~ 3 400' ", .. ~.~ .. t,: 4 s hb ~ • ~ - LISTENING I§ JljST THE'BEGINt~JIN 1t7-7 ¢ ~zt ns~ ,GU ---~ ~. ~.i;p'~~ 13~ 14.2 2~: 36 2~3 r~ --,-- 7 .~~ .''_ Y .._... Deed Intemet ' ~! for $27.99/mo. teed for as o HSI w/VZ 291 now. arconhacf aPPly ;Hons. ~O~ Might Want to Reserve Some Time on the Phone...and the Laptop Sign up for Verizon trouble Freedom and get Verizon High Speed Intemet (up to 1M) & unlimited calling to the U.S. & Canada for only $4$1.99/mo for 1 year, Start saving now, ce111-888-780-8111. Taxes, fees & ofher terms apply. . Subj. to avallabilily & restrictions. n ^ ti the Budget ,'~, s.1 .'; T~__,,.r. _ ~ ~ R _•..M:....:1 Visit verizon.com or call 1-80U-vtrc~cviv ~ ~-~~,-~ .... .......... Change of billing address? Go to verizon.com/billirigaddress or call us. .~... X11 to Verizon fo set up your „i~r, i:..., phone & digital N in your new home in no time. Service availability varies. ~ Detach & return payment slip with your check, payable to Verizon. ~' Account• 717 728-8821 050 59Y all•xsRDAI \/ 00011105 1T0000074b11 ~l~nsssal aooslose V@/YjQ,~„1 New Charges Due: Mar 02, 2009 33-PA Poaz Total Due: ~ 99.88 020109 ^ Yesi 1 want to be a Literacy Champion. Sign me up fora $1 monthly donation Amount Paid : , to Verizon Reads. ~ ^ ~, ^ ^ 00061274 O1 AV 0.324 ECP03511 0222 JOSEPH SAPOCHAK Verizon 115 CHARLOTTE WAY APT 203 PO BOX 28000 ENOLA PA 17025-1516 LEHIGH VALLEY PA 18002-8000 I~hl~~dl'~~I~Iillll~ll'~I~I~1111~'llll'I'I'~'~~II1~I111~~111~1~ t~~~t1t~~I~u~~~u~r~~~IdI~~I~11~~d1~~dh~~~~~ 10971707288821050002802126000006000000500390b00009988700D00 VEY'/jQ„ 00000046 Ol AT 0.346 ECP09611 000] F JOSEPH SAPOCHAK 115 CHARLOTTE WAY APT 203 ENOLA PA 17025-1516 I~11~11~1~"I'1'III'1~11111~11~~'IIIIIIII~~~~I~1~~~~1111'1'~i'I~I Account: 717 728-8821 050 59Y slo•xaxnAl 00000046 170000000311 33-PA P082 New Charges Due: Pay upon receipt 717'7788831 Total Due: $37.59 040609 Amount Paid $ 00.0 Verizon PO BOX 28040 LE.HIGH VAL`~EY PA 18002-8000 ~n1~~~n~1~~~n~~nm~~~~n~~~~ni~~m~~uun~~~ com~ast® ACCOUNT DATE TOTAL ~®O NUMBER DUE AMOUNT DIJE [mil ^ ^ V13/f US Or? t11e Web 8t ~ 09547191307-04-5 03/25/09 $18.58 WINW.COf1'fCA3f.C0/ri ~ ervices you subscribe to JOSEPH SAPOCHAK I How to reach us... For service at: 115 CHARLOTTE WAY APT 203 ENOLA PA 17025-15 i 6 News from Comcast On or about March 15, 2009, the monthly price for the Comcast HD Triple Play bundles will be reduced as follows: ~Lioh Definition (HD) Trifle Plax Currant Monthiv New MonthlX acka Price ice HD Starter $134.99 HD Preferred $149.95 HD Plus $169.99 HD Premier $209.99 The above monthly prices do no{ state or local sales taxes or the f; appear on separate lines on youi Value Plus Triple Play $129.99 $144.95 $159, 99 How to reach us: 48$0 Garllsle Pike, Sulte D-14 Mechanicsburg, Pa 17055 (717)540-8900 Telephone Cu stonier Service 24 hours a day, seven days a week Summary. of Charges Statement Prepared 02!28/09 Billed froth 03/09/09 to 04/08!09 Previous Balance 9.29 Comcast Cable Television 8.70 Taxes, Surcharges & Fess 0.59 Totat Dtrle $18.58 'De#ail of Charges on back Starting 03/23/09, Comcast will S The new Value Plus Triple Play k Digital Starter video service (80+' Demand, one digital set-top box, High-Speed Internet Performancq Comcast Digital Voice with the Le includes unlimited local calling an~ cents per minute for calls within ttl certain other U.S. territories and e standard price for this bundle is $~ and taxes. _.. L -.:1' ~-Ll ~ - LfSTENING 13 JUST THE'B~GINI'~Il~(G :~ ~ j ,-H:03i30L422~: ~ 3623 L'245 n'.~0308• ~ : :.-~,;~,; .x~ ~+ ~* COMCAST CABLE Co~c~~7lm LEBANON PA 87046-8317 ADDRESS SERVICE REQUESTED #BWNMZNH #PIEDGAIACPGPD1# AV 01 001404 5741 t B 5 A"5DGT Irlill><I~Illllnllilr~l~l~ll~ll~llll~~lu~illl~ll~~~l~~lllllll~il JOSEPH SAPOCHAK 115 CHARLOTTE WAY APT 203 ENOLA PA 17025-1516 Please detach and enclose this goupon with your payment. Do not send cash. Make checks payable to: Cc~MCAST !CABLE Date Due Total Amoutnt Due AMOUNT ENCLOSED as/2sros ~1s.~s $1$,~g 000-0309-B-C : `:Account Number 09547191307-04-5 111111'Itllll'Illll'II'1ll'IIIi11'1111"III'1I1111'Illl~l,lr.III GOMCAST CABLE • P 0 BOX 3005 SOUTHEASTERN PA 19398-3005 X9547 191307 04 5 2 001858" #BWNMZNH #PIEDGAIACPGPD1# AV 01 009515550058 28 A'"5DGT III~~~IIII~III~~11~11LIIIII'JII~I111~~~1'Illlllllllll'1'III'111 JOSEPH SAPOCHAK 115 CHARLOTTE WAY APT 203 ENOLA PA 17025-1516 _ _r Date Due Total Amqurrt Due AMOUNT ENCLOSED PAST DUE $44x44 $ (,~~~~~ 060-07-09-B-C Accouq~t Number 09547191307-045 "111111"11111'11'IIIIIN~I~III~~11~llll'11I1111111111"'Illll111 COMCAST CABLE P 0 BOX 3006 SOUTHEASTERN PA~19398-3006 TRAVELER Previous balance Cancellation(06/21/09) Homeowners 983627567 636 1 $211.52 -63.00 Total The minimum amount due includes the balance owed on the following policies: 983627557 101 1 for coverage from 10/01%08 to 04/01/09, 983627567 636 1 for coverage from 10/01/08 to 06/21/09. We will adjust this balance if you purchased other insurance or disposed of the property or vehicle during the period we provided coverage. $148.52 If this is the case, please send a copy of your declarations page, insurance card or prooF of sale bearing your signature to your insurance representative. Your insurance representative's address and telephone number are listed on the front of this bill. The balance due from your cancelled policy(ies) will be referred to a collection agency if it is not paid or resolved within 30 days. Insurer for policy 983627557 101 1: TRAVCO INSURANCE COMPANY Insurer for policy 983627567 636 1: TRAVCO INSURANCE COMPANY ~~~ ~~ . ~ ~ ~ _. __,, ~. 38 - - ,, ~37`f1 i Account Bill .Account No, 983fi27557 Please refer to this billing account number when calling or making payments. ~ ~~`a v~st~ ~~~~~ Make checks payable to: Travelers Indemnity and affiliates ""' " 001321/01304 IF3116C03 6877 06/11/09- oM2a2s TRAVELERS JOSEPH SAPOCHAK Billing Account No. 983627557 Please do not staple your check to-this stub. TRAVELERS REMITTANCE CENTER ONE TOWER SQUARE HARTFORD, CT 06183-1001 III~~~~II~~~~~Ili~~l~~~ll..„IIII~~~II~~~~~~IIII~~~I 0039383336323735353740393939391400000643700000643742 PL-9837 __ ' _ -~.- _ ;_ - 1321.8. 3.40. ~( JOSEPH C. SAPOCHAK ESTATE ' ACCOUNT -' 362312455 .: '; B15 S PROGRESS AVE. .~ q ~ l f 20CF~' HARRISBilflG; PA- 17111 ' v ~ ~ o'~de of ~ C~c.G~'2rS .. ~t~ani~ 2~t~ ~~i3~ f ' ~A < 5-I .~ ~I .: .} ~• ~ ~ ." LISTENING IS JUST THE BEGINNING." ~ 9 ~36Z~t Sz7 - ~stcu~ :Q3L3QL422~: ~ 3623 L24" u" 034'0 ..+~ . .t ieieci i ai iu inmt a i ~ , , _ ~,.~ . TRAVELERS, ONE TL ~~ ~:.. Make checks payable to: Travelers Indemnity and affiliates o,o A - 001316/01304 F3116C03 6920 08/12/09 oM2s2s TRAVELERS JOSEPH SAPOCHAK Billing Account No. 983627557 Please do not staple your check to this stub. TRAVELERS REMITTANCE CENTER ONE TOWER SQUARE HARTFORD, CT 06183-1001 Iii~~~~ll~~~~~lll~~i~„II~~~~IIII~~~II~~~~~~IIII~~~i 0[]3938333632373535374393'393914(10000547?O~OOds47742 PL-9837 <: ~iv/ u~/ wvy r•xl l a: o r r•Ha olvYaaLOrv avvordign naux 1~ .. ~ I f i /~~ Sovere ign Bank Attn: 10-421-CN2 450 Penn Street Reading, PA 19601 ~yc~ff Statement***** Date: October•2, 2009 Loan Number: Primary Borrower's N~ Property Address: Quote sent to: "'"'Payoff Calculatiot Principal Balance Interest calculated to Accumulated Late Cr Life/AH Insurance Ca Escrowlltnpound Adr u0962000~45 Estate of Joseph Sapochak 115 Charlotte Way 203 Enola, PA 17025 Scaringi and Scaringi Fax: 7176577797 $ 70851.80 ,~ ~1 slo9 $ 205.28 J ~ ~ - U~ ~ - C~ ge Balance $ 0 lated to $ 0 ce Balance $ 535.10 L. __~r_=_~ nr nn .w ~ ~ .. ....~+.-w~o..~ . v~..~ Prepayment Penalty Fe ~ JI.VV $ 0 Grant Payoff (if apptica le) $ 0 Less Unapplied Funds $ 0 TOTAL, REQUIRED TQ AYOFF LOAN 71119.08 PMI/FMA to be deducte from escrow balance $0 Payoff quote prepared y: Met Weinman for questions related tQ this payoff quote please call us at 1-800-232-200 vv+i vvo Page 1 of 2 07/ZO/Z009 MON 16; 4Z FAX SOVEREIGN BANK 10-6438-CS5 601 PENN STREET READING PA 19601 -617 PAGE 1 DATES 07/20/09 HISTORY FOR ACCOUNT' 96200045 --------- MAIL -------------------- --------- PROPERTY ---------------- JOSEPH C SAPOCHRK ESTATE 115 CHARLOTTE WAY 203 ENOLA PA 17025 115 CHARLOTTE WAY :203 ENOLA PA 17025 ----- - DATES ------ ---- CURRENT BALANCES ----- ------- UNCOLLECTED ------- PAID TO ,07/01/09 PRINCIPAL 70210.55 LATE CHARGES 0.00 NEXT DUE 08/01/09 ESCROW 885.35 OPTIONAL INS 0.00 LAST PMT 07/16/09 UNAPPLTED FUND 0.00 INTEREST 0.00 AUDIT DT 10/26/05 UNAPPLIED CODES FEES 0.00 • BUYDOWN FUND 0.00 ------ YEAR TO DATE ------- LAST ACTIVITY BUYDOWN CODE INTEREST 2071.92 07/17/09. TAXES 273.94 POST TRN DUE TRANSACTION PRINCIPAL INTEREST ESCROW DATE CDE DATE AMOUNT PAID PAID PAID ------ 060407 --- AP ------ -- 060107 ------------- ----- 529.32 -------- -- 82.27 ----------- --- 354.88 ---------- 92.17 070307 AP 070107 529.32 82.67 354.48 92.17 080207 AP 080107 529.32 83.08 354.07 92.17 081707 E92 080107 -890:41 PAYEE - 0021_06005 .00 -890.41 090407 AP 090107 529.32 83.49 353.66 92.17 100307 AP 100107 529.32 83,89 353.26 92.17. 102307 SR 100107 88.45 _00 .00 88.45 1.10507 AP 110107 529.32 84.31 352.84 92.17 120407 AP 120107 532.88' 64.72 352.43 95.?3 123107 PA 010108 532.88 85.13 352.02 95.73 020408 AP 020108 532.88 85.85 351.60 95.73 030308 RP 030108 532.88 85.97 351.18 95.73 032508 E96 030108 -258.40 PAYEE ~ 0021.00005 .00 -258.40 040308 AP 040108 532.88 86.39 350.76 95.73 050508 AP 050108 532.88 86.81 350.34 95.73 060508 PA 060108 532.88 87.24 349.91 95.73 070308 PA 070108 532.88 87.66' 349.49 95.73 080408 AP 080108 532.88 88.09 349.06 95.73 082508 E92 080108 -811.72 PAYEE 0021.06005 .00 -811.72• 090306 AP 090108 •532.88 88.53 348.62 95.73 092908 E01 090108 -.111.41 .00 .00 -111.41 100308 AP 100108 532.88 88.96 348.19 95.73 110308 AP 110108 532.88 ~ .89.39 347.76 95.73- 120308 AP 120108 526.32 89.83 347.32 89.17 23008 AP 010109 526.32 90.27 346.88 89.17 030309 UI 020109 .00 .00 .00 .00 • 'OPT PREMIUMS .00 LATE CHARGE PYMT -21.85* I~oo3/004 INQ 112 07/20/2009 SON 16;42 F~ I3ISTORY FOR ACCOUNT 96200045 ~ ~ PAGE 2 DATE 07/20/09 - --------- MAIL --------------- ----- ------- -- PROPERTY" --- ------------- JOSEPH C SAPOCHAK ESTATE 115 CHARLOTTE WAY 203 115 CHARLOTTE WAY 203 ENOLA PA 17025 ENOLA QA 17025 POST TRN DUE TRANSACTION PRINCIPAL ~ 7:NTEREST Ea~CROW DATE CDE DATE AMOIINT ~ PAID PAID $AID 030309 PA 020109 526.32 90.71 •346.44 89..17 ' 030309 PA 030109 526.32 .91.16 345.99 89.7.7 041509 AP 040109 526.32 91.60 345.55 89.17 042009 E96 0407.09 -273.94 PAYEE 0021.00005 _00 -2?3.94 050509 AP 050109 526.32 92.05 ,395.10 89.17 061009 AP 060109 ~ 526.32 92.50 344.65 89.17 071709 UY 070109 _00 _ .00 .00 .00 OPT PREMIUMS .00 -LATE CHARGE 7?XMT 21.85* 071709 AP 070109 548.17 92.96 344.19 89.17 OPT PREMIUMS ~ .00 LATE CHARGE PYMT 21.85 ~uc~us~~~tcx~~ -•rr511nn~d ~-'~-1e~pc~i~ ~ ~~.Op ~ . r a,U~G -E~im~d fide ~ ~ ~ OC:~b~ ~~~a• ~ . ~f ~nc~ ~ p'ai ~~~ d ~ ~~'~~~• ?~ . SinCQ ~Jb~ END OF HISTORY INQ 112 ~] 004/004 PSEC r~~~uu~~~~~~~~~~~ P.O. Boz 67013 (717) 234-8484 (Harrisburg) Harrisburg, PA 11106-1013. (800) 237-1328 (Nationwide) vlrebsite ~ http://www.psecu.c®~re ~• 1 1 1 1 1 •• •1 1 1 ~'~~~ PAGE TOTAL pAEMBER NUMBER. I PAYMENT DUE DATE ~ NEW BALANCE AMOUNT PAST DUE f CURRENT AMOUNI' DUE . _ MINIMUM PAYMENT- ::: __ I 0171XXXXXX~ 03/25/09 i 0.00 0.00 ~ 0.00 i 0.00 _-. .. ~_ 00003277 1 AV 0.324 Illllllllll~llllllll~tlllllll~'1'I~IIIIII'Itlllllllll'llll~ll JOSEPH C SAPOCHAK APT 203 115 CHARLOTTE WAY ENOLA PA 17025-1550 1 AMOUNT OF PAYMENT PSECU ENCLOSED PO BOX 67010 1000901714002061715 rn REPORT A Lnsr OR STOLEN CARD• CALL OUR BUSINESS NUMBERS LISTED AT THE TOP OF EACH STATEMENT PAGE. FROM 7 AM - 5 PM MONDAY TO FRIDAY AND B~AM TO 12 PM SATURDAY. OTHERWISE CALL 800-556-5678 MEMBER NUMBER ~ STATEMENT DATE ~ PAYMENT DUE DATE ~ ._:'_ . ,0171XXXXXX; 02/28/09 03/25/09 CREASE BEFORE A DETACHING HERE CREDIT LIMIT TOTAL VISA NEW _ IOTA PSL NEW:- _ UNU$ED CREDIT Bl1LAIJCE _ BALANCE _ _ ,_ t _.. _. O.~pO i __ . 0.00 -- - ID 09 SUSPENDED VISA LOAN POST TRAN REFERENCE DESCRIPTION 0201 LATE FEE 0203 0202 246921611007FHS1J 4816 UOL~NETZERO 866-841-1442 GA 0201 0205 ADJUSTMENT REMOVED LATE FEE DCF -CORRECT LATE CHARGE 0201 0205 PAYMENT TRANSFER FROM SHARE 04 ID 09 SUSPENDED VISA LOAN CLOSED ON 02/06/09 YTD FINANCE CHARGE: YEAR TO DATE 0.36 AMOUNT 20.00 21.95 20.00- 66.21- - ~ PREVIOUS BALANCE - PAYMENTS - ..:CREDITS .~. : PURACHASES~ASH ~. ~,+ DEER ADJUSTMENTS + TOTAL flNANCE CHARGE t .-. --- - . ~' MEW,BALANCF~ _, ~: - PURCHASES ' r+4.21i' b~.2~ ~ `~~.00 !. X1.95 i ~b.0 6 0.00 :.; ~.~ 0 i ADVANCES I 0.00 0.00 ': 0.00 0.00 1 0.00 0.00 ' 0.00 _ ~ .~ ( DAYS IN ;ANNUALPERCENTAGE~ MONTHLY PERIODIC i i ~.~ AVERAGE DAILY BAI,ANC~~ ~. FIN E pERIODIC TRANSACTION ~ ~ - TOTAL BIJJNG cYCLEt. ~ PURCHASES 28 9.900% 0.82500%; 0.00 ` 0.00 ~ 0.00 0.00; 'ADVANCES -: 28 I - 9.900%~ 0.82500%; 0.00 0.00 __.. __,_ 0.00 . ----- -. _-._. 0.00; ...- _._. I -- _ __ 0201 000 065 4 51 _ :_ __ __. _.... _ ___ _ _. .. __. .. . .. _ . _ ._ _ .__._.- o 03277 _. _ 2009829 ~' ~ ;: TAX COLLECTOR COPY Bill No:. -11341 UNPAID TAXp$ SUl3MITTED TO pELlNgIIENT COLLt12/15/09 ~, ~' ConVol No: 009 - 028196 2009 Statemern of Personal Taxes Bill Date: 3/01/2009 Pw!~a~e ~ Aalaesse~ - - - ~; •; V 1ue • • 500 ~BBIE LUPOLD, TREASURER 8 S OLA DRIVE; ROOM 10~ OLA A 17025 ~ . `4'' n ~e_~ ~~ I V .:r .~ - , w~ ~ n ".wnnA • NiY OF CUMBERLAND Discount Facs Pena t:e 5.00000 • 2 ~ 10 ~ Y P/C 4.90 5.00 5.50 HIP OF EAST PENNSBORO . t:e 5.00000 2 ~ - ~ ~ 10 ~ r P/c .90. s.oo s.so TAX AMOUNT DUE --> S9so tlo.oo •= sli.eo _ I! Paid Oa Or ilt:~r 3 O1 5 O1 2009 7 O1 2009 I! ?aid Oa or Bslors 4i 30 2009 6 30 2009 . ~ Hospice of Central Pennsylvania 1320 Linglestown Road Harrisburg, PA 17110 ' Voice: 717-732-1000 FaX: 717-234-0375 Resident: Joseph C. Sapochak c/o Jonathan Sapochak 815 S. Progress Ave Harrisburg, PA 17111 Resident ID: SapochakJC Invoice Invoice Number: 2882 Invoice Date: 1/31/09 Page: 1 Payment Terms ~ Due Date Net 15 Days 2/23/09 Description Amount Residential care - January 14-18, 2009 -minimum deposit 2,000.00 •.•~ u u .^ 7:U ~ Y.C:C~ ,L .~ }. ~ 2,000.00 Check/Credit Memo No: Payment/Credit Applied TOTAL Thank you for choosing Hospice of Central Pennsylvania. 2,000.00. Harrisburg PA 17110 ~~ ~~~~~~;~q~- Totak Invoice Arriount ew cumaenana, rH -I iuru QUESTIONS ABOUT THIS BILL? Phone: 877-214-6018 Espanol: 866-724-4114 Fax: 717-214-6020 Email: info@ambulancebillingoffice.com Date of Service: Patient Name: From: To: 11/7/2008 11:35 SAPOCHAK,JOSEPH RESIDENCE <Landing Zone> Please visit our website to provide insurance or make payment, and for additional payment options and frequently asked questions: www.ambulancebillingoffice.com 1/07/08 Basic fife Support/Emergency A0429 1 600.00 600.00 1/07/08 Mileage A0425 1 9.00 9.00 1/07/08 Oxygen A0422 1 40.00 40.00 1/07/08 ~~BLS~,~Rautine Disposable Supp A0382 1 25.00 25;00;.: e Ta~al ~ ; - 574.0-0' 0, 00 ~::•:~ -~ JOSEPH C' SAPQCHAK ESTATE , ~ ~ ~ ~ 31a 18 ~~ v~- " ~ 3,Q~'« ;y ' ACCOJJNT ~ ~ ~ , ~~~ { '~+ 815 S'~FROGRESS A1~'c r ,,, ~ ~ ~' ~ ~ ~ ~ ,~ ` }~s231245~ ,: i 3Y i k~ARRISBURG;':PA. 17 y~~'1"~" 5~ ~ ,~" ~ ; ": d~ } ~'~ ~ ~ ,S {a ~z1 '~.r c .'i'.. 4'~p ~, ~~~ ~ ~i -F 3. . }. n.r. ra; ~;: a ~, ~ :'LISTENING IS 7l~S~T E"gEGINI~IN6 sN w ' ~~ f `.. - 4 ~tictc,V~~" ,~ -~i:03 ~30~L4 2 2i: ' 36 23 `L 24 . li^ 030'2 ~. ... .. .. .:. ....... ,. r~,. , :,:., ~ ~ -r?,i fi err + ~, ~` :~ ~ :." ~ ~" y~.~ .~. ATS~ g~.r ~: '' DISCL9VEIr a ,°~°~' .E ~ - Credit Card: ^ MASTERCARD ^ VISA ^ AMERICAN EXPRESS ^ DISCOVER card Number ~~ x' ~t 08-68644 Amount Paid; v.vv 2„ :t".r::;rv" +~ n ..~ ~, } A. $ 674.00 Please make any corrections to address below. Name on Card Expiration Electronic Check Deduction Please send a voided check OR provide lnrormatlon below: Bank Routing Number Checking Account Number JOSEPH SAPOCHAK 115 CHARLOTTE WAY APT 203 ENOLA, PA 117025 Signature ' WEST SHORE EMS -ALS 205 GRANDVIEW AVE ~~ SUITE 211 ~~ CAMP HILL, PA 17011 ~~ Phone #: (800) 367-0512 Federal Tax ID: 23-2463002 ~~~' EMERGENCY MEDICAL SERVICES PATIENT NAME: JOSEPH SAPOCHAK ~ PATIENT NUMBER: 76955 PRIV CALL NUMBER: 3116163A g INSURANCE: DATE OF CALL: 11/071'2008 TIME OF CALL: 11:29 AM CALLER: 3116163A ~ FROM: 115 CHARLOTTE WAY APT 2i3 TO: LIFE LION JOSEPH SAPOCHAK ' 115 CHARLOTTE WAY APT 213 REASON(S) Hemmorhage -Trauma Related ENOLA, PA 17025 FOR TRANSPORT INVOICE DESCRIPTION OF CHARGE QUANTITY UNIT PRICE I AMOUNT F PARAMEDIC INTERCEPT A0999 1.0 837.76 837.76 ANGIOCATH (14-24) A0394 1.0 6.07 6.07 EKG ELECTRODES (4PK) A0396 1.0 5.19 5.19 INF CONTROL GLOVES (PR) A0382 2.0 3.83 7.66 KLING A0382 1.0 2.02 2.02 PERIPHERAL IV A0394 2.0 38.59 -77.18 t ~~ ~~ti~, ;; .; ::: w >ru ~. '~ r: ~ ~ ~, I'~: 0 3.13.0. ~i PLEASE PAY THIS E-rv,vv... .. _ _ RETURNED CHECK'FEE - $31.00 $935.88 DETACH ALONG PERFORMATION AND RETURN STUB WITH PAYMENT AMOUNT QUE 935.88 PATIENT NAME: SAPOCHAK, JOSEPH C CALL NUMBER 3116163A AMOUNT ~ PATIENT NUMBER: 76955 BILLING DATE: 01/02/2009 ENCLOSED --- THIS ACCOUNT IS NOW 40 DAYS PAST DUE!! Please send your VISA payment now. PROTECT YOUR CREDIT! ~~ AND M~-STER CARD 'ACCEPTED WEST SHORE EMS -ALS 205 GRANDVIEW AVE CAMP HILL, PA' 17011 Total ¢ha 935.88 AMOUNT I Total . _ ~ ~ Crystal Springs II a brand of ® DS Waters of America, Inc. ~p~ f~~s, PO Box 660579 Dallas, TX 75266-0579 For Customer Service and Account Inquiries, Call 1-800-444-PURE (7873) or visit wuvw.crystal-spri ngs. com Customer Account#: 13647884055122 JOSEPH SAPOCHAK Your Next Deliveries: Invoice Date: 01-14-09 115 CHARLOTTE WAY APT 203 02-09-09 Invoice #: 0109 1364788 4055122 ENOLA, PA 17025 ~ 03-09-09 Purchase Order #: Date Details Qty. Each Amount Previous Balance 7'42 00 0 Payment . 42 7 Remaining Balance - ' TRANSACTION # 090402117640 1 0 7 00 7 00 HOT AND COLD COOLER RENTAL . . . 42 0 Sales Tax . Total New Charges Dear Customer For ~rour benefit we have changed your .. , k lbs. .~ r ~' i ~' 60 ~~ ' < ~Y6il~'~r .(J~ ~O ` I SEPH C. SAPOCHAK-ESTA'f E IO 18 `~, ;~~ - ; 31a F ~ ~//iiiii~~ Z , , ,, ACCOUNT : ~' t ` ;+.''` ~ ~ .. ~ , .36'2312455 ' ~ , - # b S'PROGRESS A~€; ~" ~A 81 w 7 •" D r L K ~ 3 ~~~2 r ~~1 -` ,'~ u • ~ ~, k(ARRISBURG` PA 171F~ e,. a . , ` x ' fi. ' ~ : r; . ,+.. y-ar ,SPY x~~+ '~. er' rti '~ ~;.r ~~ .., r e ~ y o der of ~ ~ 4 .~ ~ ~ `!~ r 8y ~` P ~+ * r `~ ~Fy - { S ~ ~~;~~ f a J -f ~ erg, '~ A ;~4~ ~. ,T o ~ ., .. _ ~" b iF '~ e~ ... r ; A~ ~ A ~~LISTENING IS:~U57 THE BEGIN~ING r~t~ ' ° 'F.,k~c,~~c~ t ~:i -h03L~:0L422i; `~ 36~~23 24 IL :'0304 ~, f~~ - 7.42 30356-P-0023 _ .. .'G. ~~.moae..... r. - Previous Balance Payment Total New Charges Pay This Amount $7.42 $0.00 $7.42 $14.84 Write the complete account number on your check. Detach remittance and mall with payment in the enclosed envelope.'fo pay online go to www.crystal-springs.com ........... .........._........ _ _ ... q _. ... b1090114_BC1 0.535 9-000007 397 Customer Accolunt #: 13647884055122 I~ ~~I~AI~~I ~u Dotal Amount Due: Upon $14!84 SP,PIJt~GS® *13647884055122* 6750 DISCOVERY BLVD. MABLETON, GA 3b126 Check here and see reverse for Check here and see ~ ~ $ _ ~ ;' address and phone corrections. ~ reverse if paying by credit card. ® ~ oo26so 000007347 ~ Mail Remittance. Vtlith Payment To:i ~rn~~~ui)~~nnr~r~r~r)nn~)r~r~nrr~~r~(~rr~r~nr~~n~n~~ JOSEPH SAPOCHAK 115 CHARLOTTE WAY APT 203 ~~ni)r)r(nr~rfi)~nr~(n~~u~r~r~r~rnE~r~n~nr~~r~n~ur~~ ENOLA PA 17025-1516 CRYSTAL SPRINGS PO BOX 660579 DALLAS TX 752Ei6-0579 D2031,D 021814 13647884D551228 D001484 1 DDOD742 9 0 r~~r+s~ .... .......-........ RETURNED CHECK FEE - $31.00 L „_~....,.. ~ DETACH ALONG PERFORMATION AND RETURN STUB WITH PAYMAInUI~UNT DUIE SAPOCHAK, JOSEPH C CALL NUMBER 'I S45'I $W AMOUNT $ aTIENT NAME: 76955 03130/2009 ENCLOSED BILLING DATE: 4TIENT NUMBER: 200.58 2©U •51S This account is now PAST DUEIt Payment must be received ~ VISA WITHIN 10 DAYS. Collection process will begin. AND MINSTER CARD ACCEPTED WEST SHORE EMS -BLS 205 GRANDVIEW AVE CAMP HILL, PA 17011 .~. ~.. ~r ~ nL~s~ y ~``1~Y~4z1g , 3"1~3 .J N ; ~, ;''x313. _; ~. _ i JQSEPh C ,SAPOCHAK ESTi4TE_ ,. , ,~s~izgs~` T ~k ~1 8i5 gpROGRESS AV`s.: ;; .,~ ~- yam. HrARRISBURG;'PA 171~'~ - ti+. _§= --p ' ~ ,; dank _ 1Lj.~/ _ I ' : LISTENING I'S~1UST THE' ~EGINI~ING SM ~'~ -- . , ~. 3 6.2 3 . L:2 ~f1~ ~ 0 3 L 8 ~ ~ ~. . -I~+. p~ L 3 D L 4 2 2. .,,, ._ . ... , _ _ _ .-- - _ - _ Clemsa~ UnYVersit _ _. ._ ..- w ..-....~_ n -w ~. - _ -. `i• .. .. w0-T1~Oll1tS ~ = ~. ?r~sared for ~OSEFECC SAPOGFfAK w ,_ :° _, ~ ~, _ _ FeiSruary 2oQ9 statement- ... /~ redrt Gne y_ ••_- $13,7 accouirt Nuir~fier, .5490 3519 3296 8004.. `~ :` "' C f A I _ OD:DO• -~. - ~. .--- _, ~ :.. - = - - Casiror Cn~di vai able -$13,674:50 _ •- _. `-~- ' :' _.-"-• - ~ _ - Forlnformetiom `Your A'c'count Visit: ` . ._ _ ='www.bankofartienca cote _ - Surri'mary of Transactions " -- = ~ Brlhng Cycle and .PaymenY•fnformation - Call toll-free-1 8p0 783 6685 TDD hearln d 1 80046-3178 Previous Balance -_ -- - -$27fl0 .: Daysm Bll~iag Eyele-- -- 2g _ g~!m~ave ._ .. Payments ~Fid Cfedits•. - _ : ;. $0 00_: Closing Date ~0~ . = a~P O A Etcl .. PurcFiaseS-anc~AdjtJStments -~~ f~ -; $OOQ." Y „,•-, - ~ --•~-~-_, ~ ,.... _~ 02/07~~ ~Or60~.'1S 2~'~y ISAitiimuFn FinariCa;Ch~fges r: }= .._;~: $•t 50.." -~ayfxtent _DrJe~7a4e w ~ .,,• Og _Y.; -W/I~MINQIO~~DE 1 X886-5Z2~ - _ - - ~_-._ ... --~ Eur<ent Pa inent Due _ - 0=$~50~- _,:,. _ ,~•. --. _ - -., r Transact~on:Fee Final~ce Ch~eS-+~ --• "' ~o;d0.-~ -- -- ~a~~nrr+~~~, . _ _ ,- _ -.. - 0 ,,.,, --Pasf~ A onnt ±.=$150 _ l~e~(v_°_Baltance-ZoYaF .: ~"' _28$0 Tata~Mtntmum ::_ - _ RC OX-I5b2f ......_.__. -- __ ~-.._._.. __ ---• ---._.. _n., :.:..e....n.~e _ ..._ .. } .`... W[LM[~1©li?N, : ~Y9.tf5(1 "5o2H --... _, -: .._ ,. a~ _ :,~ ~ ~RN. C SAFtOCHAK ESI.TATE• . ISt.BI.tRG - RPM, ~~~.~, ., a L ~, f t ,•- t.. ~''~ a i. '~'~~ a ~ - rte: n ~ K~ 1 ~ ~ r f ~ ..__ r+ ub ect.fo - ~ _,. ._. ... yPQ-:•.._.:,F~natice.:Charge-~;:::"::n;.w ~.:.;::_- ._. _ • ~s9?sb~ ~ y .• ~. ., --. ,_ _ .. - ... u ,. ~ _ -. _~ T~ .. ... . u ~...•_..•. _.... .._ - .. . _. ~ ... _ _ r .. .. - _ .~ "' .. _. ~. y . ..~ . ... ......... .- _ ,.v .., ~- ~ ,. DB 000~2850000028500~0027~0~005490351932968004 IIII'~I~jiiiii~llllj~jiiriijil~rli~iill~iiljjriiliiii~irlliliiiii ~ Check hereforachangeofmaNngeddYessorphonenumber(s} Please provkle eA corrections on the re{~ersa aide. BANK OF AMERICA P.O. BOX 15726 WILMINGTON, DE 19886-57,26 ACCOUNT NUMBER: 5490351932968004. NEW BALANCE TOTAL: $28.50 • PAYMENT DUE DATE: 03/04/09 88 0211 N 020 848 26 22458 3'~Ol AT 0.346 ~n.rr~rm.ernmow~recrns.a JOSEPH C SAPOCHAK i ~ ~~j'.~ 115 CHARLOTTE WAY APT # 2 0 3 Marl this payment coupon elmng with e ENOLA PA 17025-1516-534 check or money order payable to: BANKOFAMERICA ~i~i~ilunllriijijriniiillili~nlil~niiljii~jliaiiiiiil~ljjiii ~• ~ af.n a a a ~n~~ L BAR 14 ~ agF~Aflfl4n^ a a c s GECAF/GEMB ..e NV • GE Money For Customer Service visit us online at: www.geonlineservice.COm or call:1-877-317-5544 to report your card lost or stolen. Account Number 6034 5902 5277 5900 Previous Balance $2,003.86 Statement Date 04/02/2009 + ~ New Purchases /Balance Transfers $0.00 Payment Due Date 04/25/2009 - Payments $0.00. Minimum Payment This Period $60.00 +/- Credits, Fees & Adjustments (net) $39.00- Amount Past Due $179.00 +/- FINANCE CHARGE / $273.83- Total Minimum Payment Due $239.00 Transartion Fees ¢tet) OverlimitAmount $1,691.03 = New Balance $1,691.03 Suggested Payment $1,691.03 Days This Period 31 PAYMENT DUE BY 5 P.M. ON THE DUE DATE Credit t.imit $0.00 We may convert your payment Into an electronic debit. Available Credit 00 $0 See reverse side. . ~}~.~+w.: .3.., { .J{.. f+' ~•ri:~t~^,'y', ~'S"; :N~~'•:y'--Y.•~ ~ ..•5'~.+~. •: fi'.{,'frV.~.'l~:ii:ff~' rfrfy"..:•~;~.iJ.• '•'•fi~'£C t{ i_ r},'~{:~-: {`riji~i: ~J.~ifs'sGf, .v~r.../.•~i' r/ •'• Y J~'f~~.fir f If' G~>ii`{r~;•-}$; +r ~:ff r~ Fi '~ ' rrY i +F~1~ '• !~'~ ~ry}''ii A}f,~ ~.~'': JC ... ~'f'i y : ~ j f ;~ : ~ ~ k ~ ~ f 5: ~ ' ` j , • : .; y •~ . . ~.,; ...:.:~:.: .,:.,.• :: ~-:.., :•.t . ~ , . _R; ,• f {,.;h,•y ! ,. ,. ~:~:r`?"•;.....: •:>.? ,5;> .•• ?? ..zr: ~: ~.:?. f• x..• f •.l rt #/.• •. :i:.:. :;3f:-. Trait Date Post Date Reference Number Description Amount 03/31/2009 03/31/2009 F9120002UOOOFC090 'FINANCE CHARGE' PUR(:HASES REFUND $44.86 CR 03/31/2009 03/31/2009 F9120002UOOC1=C090 'FINANCE CHARGE' PURCHASES REFUND $228.97 CR 03/31/2009 03/31/2009 F9120002UOOOLF090 REFUND OF LATE FEES $39.00 GR 03/31/2009 03/31/2009 F9120002UOOOLF090 REFUND OF LATE FEES $39,00 CR 03/25/2009 03/25/2009 LATE FEE $39.OD If you pay the "Suggested Payment" amount you will bring your account below yowr credit limit and avoid additional Overlimit Fees. YOUR PERIODIC RATE AND ANNUAL PERCENTAGE RATE MAY VARY. . YOUR ACCOUNT IS 90 DAYS PAST DUE. IT IS CRITICAL THAT YOU CONTACT US TO PROTECT YOUR CREDIT. 1-800-399-5166 Make free payments online at www.geonlineservice.com. Payments via telephone carry a' fee of $10 - $15. Our on-line and automated telephone servipes ale available 2417: Trust these sources for the quickest answers to your questions. The best days to speak with a customer service representative are Wednesday -Friday, • S®~ere~g~. ~ ~~ r, l'~~ STATEMENT OF ACCOUNTS ;.• , ` 1-877-SOV-BANK (1-877-768-2265) ' wvvwsovereignbank.com SOVEREIGN INTEREST CHECKING JOSEPH SAPOCHAK Balances 'Account # 231916950 .. ~, tfi>-., ~ ry f - _ Ait ~:s4'; tz., K .ley iu n - Deposrts/Credds y, + $1 110,n8y3~ Average Daily Balance $3 216 60 `~ ~. ~ ~~ Y ~ ~~~N nA~ 44 JI .. _ ~ ~~4.49~*~~" ! ; f2~ ism.=. q~ , i ~d~ ~~n~j,~y5~~~~•y~i„~:~`~`~r -. rs~~a~ ~~ ~r< k3~i~~~z1- ., " vr~"i`c ~~ ~~ ~,,r 't _~~. ~~ ~~. r~i :7?~*~r~ ~ r~rc r, > A. X ,? Interest= , ;y i i t t x ~' ~~~'14 -*~ r ,,~~ ~'~ 3 ~r~~,t~,~ h '~s~~~t'D~QS%~'='n ;ryy I - f11~~n r~ C~ ~ ~ti ~ `~`~'~~ ~~°'~ 8 • to e<~'~amPfQY"~`z:.~Y ~s :~.z ~ '' -:~ „,~~ ~~,~~,~~'.~~ai~se.hr~ s ~r ~s'~f;.~l"~?~~ +z_ x . s~`* ..-~ '~ n,~,~srd.i~z.~t~,*-~ x,~ _ ,a .,. sa=a,.~,~~4i~ ..t"_~ ~.~ ~ ~Frh. ~. _ .~,R.=~,~ Earned this Period $ 0.14 Paid Last Year ~t+, $0:46 ~?,~'~~ yy,[~ ~ ur ,~x,~•M':-`,Q~6`~^tlt'("' ~ .^.la t'•;t ~i i~'.+~t r' ~ ~ ~~d~ ~~-~~. ~'L"°C~'y`,~~` x~r~`" +e"~~4 ~f-~ 7°+~"i' -'~:t-e~~,N~.Y~~.'`~f~~t', ".'4?i~ k'J31eaG~o~i~aLe~frra ~'Y. tt~a""h".~,~?'t.~~ ~~~ pt-r+; k`s3$~ ~'~t ra its ~ ~`~~~,i`~T 1;}''q~+~[ `~ta'~ ~ +~a~'` ~'l~.;i ~5[''- Y.., t,y~ K ~S~i4'-SFi ~, A~~?_,i.. a~ '~~F2Y ..... _.: rt'_,."~ S.~ ., hYl~.va. 'L: ,fi,.33,~...~ ~¢uwl.?, =.,u4. ~ xs'i.. ~c. _r§r _ a_ s _ ~, +~ ti., 'The interest earned and the interest paid may differ depending on when interest is'credited to your account. SeNICe Fees Date- '#Transactions Fee Total ~ iI N'1~~~'INA'NC( FE~~'~``~"`~"~~~ ~0~~ ~~~~ s~ ~~ ~K., 4'~~~l~b`~~~~•~'~a:~~ ~~.~ $x.00:: -FEES WAIVED 01/30/09 1 -5.00 - $5.00 Total 50.00 1 Checks Posted Check # Date Paid Amount Reference # Check # Date Paid Amount :Reference # 'iR,N,~`. *1 ~-.~`+,~;,~'~„~ ~ 5~ln €'`a~~~~~~~5 O~f'~*" ~v~4~v99~230~ 546 01/14 $4.70. 618250910 551 /20 $93.98 998535745 ~~e ~~~~=~'' f >J~/09 x ~=~~ `~~ 563 35 '`~~'~~16~'1~3 r ,~~ ~J15~ ~aM r. ~~'(5~'U ~~~9~'76~~d 549'. 01/15 $15.00. 997872035= 553 01/21 $9.28 645311730 ' 8 Check(s) Posted = 5441.31 _ ~_ An asterisk (`) indicates a skip in sequential check numbers which may be caused by one of the following: • A check not yet received ~ A check that was converted to an electronic transaction, which wi ll be listed iri the "Electronic Checks Posted" section below. If no checks were electronically converted, this section will not appear. Account Activity Date Description Additions Subtractions Balance 01-01 Beginning Balance $2,628.88 Y b ~ , t"~ - ~. `c~ ' R ' ~i~EA~St~ ~~,)`~-;~~ .. f $d{~~337 , Ll~b~~~ k ~~ v ~~,~, , ~ k ,h t 1r~ ~~` ~ ~ ~e _:?S~' & Ns.'~n~~ ~{,~'s~;~.~ 4. ~ ~ ' i"~'t F ~4° :~t.r,~u ~~-i ~~t, r.-s:,rrT~ ~ ~3 .``~ ~ ~~ CHECK 547 01-09 $3,676.22 ! $63.35 ,:. < ~ 1- ~ ~~~ ~ ~. „ _ ~~ ~1~ 51~Q ~ ,,.. ~ $3~56t~ .r ~ 01-14 CHECK 546 $4:70 ~ $3,556.52 0'I-15 CHECK 549 _ $15.00 ` $3,426.52 Pa%e o ~~,~/~ • • STATEMENT OF ACCOUNTS _ JOSEPH S4POCHAK mnYea 545 . 11s auQOrrE wAV, Arr. xm Ex%A.PA1roxslme. n 1~5~~. ~~Av1~~ $115.0 0 ~~'=--- - ~6 =•.- Sovereign Banff 1m 1 cW r_ca3 ~~C~a"1"'=~ ~p ~:23137269U: 02311L6950r0545 JOSEPH SAPOCHAK ~rrealno $ 4 6 115 QIAIRDRE WAY. APT. Ml ®i Ii® ~~ - . ENOI.\ PA nozslsle ~R-`~r ~~n-~. ~~ ~~~,3 -to ~ Alit e -~- .~So F~ignBanff ~ ,,~ (~ 1:23 L 37 269 U: 0 231 L L6546 31116950 # 546 01/14/09 $4.70 JOSEPH snPOCHAK ~ a~4 54 9 116 C1VALQfIE Y1AT.AR. RSA: ~. ®111!0 plOIA, PA IWSI611 41.~ wry ~9overeign Banff ` m„ ~C~~~"P~*"- C 1:23L37269 LI: 0231LL6950r0549 ,rpp0000L5001 231116950 #547 01/09/09 $63.35 231116950 # 549 01/15/09 $15.00 .wserN s~aocHAic ~,>~0 551 JOSEPH SAPOCHAI( rn.roil 5 50 - ns olAr¢orrE WAr, APr. m muwso - IIS PYROf1E RAY APr, a5 m11,+1n I B10.A PA 110>Sist -il~nlz~_ T WeIA 1mi1tslt - van 1 101- - .. Y O ,. •••"d~5k~~_~~S_ S.2~s.ca 1 „°~:. 1~arrs4z~r~ ~~arr,~; ~ $ 93.88 . o ~ ~[si10-'1 ~~' ~ f~ __ _oouAllt 8 ~-:' I ~'~-~tL h,~ /160 oouAnt e ~, ~ ~n~ BanK \ - - C C = ~ ~overelgnt Banff - - - ~ I; 293372691 02311169 0'0550 ~ C 23 L372b911: 023L1169 r055L 231116950 # 550 01 /21 /09 $25.00 231116950 # 551 01 /20/09 $93.98 Z37l7fiybU iF b4b Ul/ 14/Uy ~ I l O.UU JosEPH sAPOCHnK rwnn 547 - IIS RWIOfIE WAY. APr. At ~ Ta ErexA, rn lrlraule =~-Sovcrciga T~at,.li n 1:23137269 U:. 023LL169 s'05471r0000006 }5,r.... .1osEPnsaroaWC ®~~ 663 sm aw¢orlc slwr. AR. fD] eerov, rA Imxslas N un_~ I.tv~~ J1 m I • yt o ~ ~ lOf~~~__L I)~ oouAnt ~ ~' m - m ~S~VQTBI BADg r,231372691C 02311i6950r0553 r'0000000928d