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12-04-09 (2)
15056051058 REV-1500 E>< (os-o5) ~,,,~ t,~ ~„ PA Deper6rterlt of Revenue Code Year File Number 2~ Taxes INHERITANCE TAX RETURN Co21 09 0870 Harrisburg, PA 17128-osot RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Soda) Security Number Date of Death Date of Birth 201-18-0521 09/15/2009 12/12/1923 Dacederrt's Last Name Suffix Decedent's First Name MI Fahnestock Evelyn g (If Appllcable) EiMer Siurvhrirrp Sspotrss's tnformatlon BNow Spouse's Last Name Suffer Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE YVRH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW t>~ 1. Original Retum ~~~ 2. Supplemental Retum C~~ 3. Remainder Retum (date of d~th prior to 12-13-82) _ 4. Limited Estate C_ ~`3 4a. Future Interest Compromise (date of ,~'~ 5. Federei Estate Tax Retum Required death after 12-12-82) :l3 6. Decedent Died Testate ~~~, 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of wilq (Attach Copy df iast) <.w "a? 9. Litigation Proceeds Received ~"7 10. Spousal Poverty CrediYi'date of death ~~ 11. Election to tax under Sec. 9113(A) between 121-91 and 1-1 ~ (Attach Sch. O) CORRESPOND'EMT - THIS SECTION MUST BE COMPLETED. ALL CORRE8PONDENCE AND CAfiDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number o Donald A. Fahnestock (717) 649-263 ~, ._,, Firm Name (tf Applicable) - - .a ~ r REGISTER USE ON ~~~ C~ i'T'1 ~ n Cr ~ .~7 1 i"` I !`"r~"# First line of address ~ C!'~ ~ .t =~' ~--~ t"~~ * :fir 100 Westview Drive ~~~i z ~,. ; ~=,~: Second line of address fJ.~ ~ .... r(T'~s " '~ Clly or Post Office State ZIP Code __ DATE FILED Mechanicsburg PA 17055 Correspondent's e-mail address: UrMer penaltles d perjury, I declare that I Have ex~nined this return, including ecoornparryfng sdredules and staternerrts, and to the beat d mry knowledge and belief, it is true, correct and complete. DedaraUon d preparer dher than the peraonai representative is based on all inforrrretion d which preperer tree arty knowledge. ADDRESS FLEA3E 1181E ORJWNAL FORM ONLY Side 1 15056051058 15056051058 ADDRESS 100 Westview Drive Mechanicsburg PA 17055 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE 15056052059 REV-1500 EX Decedent's Social Security Number __ It's Name: Evelyn B Fahnestock _ .._..___. ___ _ _ 201-18-0521 ~ _ __ _____.__.~_.__._.___,.,_..... ____n__~..~__.~_ RECAPITULATION 1. Real estate (schedule A) ............................................. 1. 135,910.81 2. Stocks and Bonds (Schedule B) ....................................... 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00 4. Mortgages 8 Notes Receivable (Schedule D) ............................. 4. 0.00 5. Cash, Bank Deposits 8 Miscellaneous Personal Properly (Schedule E) ........ 5. 8,795.00 6. Jointly Owned Property (Schedule F) o Separate BiNing Requested ....... s. 1,448.49 7. Inter-Viva Transfers 8 Miscellaneau Non-Probate Property (Schedule G) ~~ Separate Billing Requested........ 7. 0.00 8. Total Gross Assets (total Lines 1-7) .................................... 8. 146,154.30 9. Funeral Expenses 8 Administrative Costs (Schedule H) ..................... 9. 21,623.73 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) ................ 10. 4,276.42 11. Total Deductions (total Lines 9 8 10) ................................... 11. 25,900.15 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 120,254.15 13. Charitable and GovemmeMal Bequests/Sec 9113 Tnuts for which an election to tax has not been made (Schedule J) ........................ 13. 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. 120,254.15 TAX COMPUTATION -SEE INSTRUCT1ON3 FOR APPLICABLE RATES ~~.._...__..~ ..^~~_._...K_-,.....__~.._ .__....~~~~~.___.___.__.____ ~.,_.__., 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (ax1.2) x .0_ 0.00 15. 0.00 16. Amount of Line 14 taxable at lineal rate x .045 120,254.15 16, 5,411.44 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17, 0.00 18. Amount of Line 14 taxable at collateral rate X .15 0.00 1 E 0.00 19. TAX DUE ......................................................... 19. 5,411.44 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT c, 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Decedent's Complete Address: FNe Number 21 09 -0870 ~.. __ __. DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER Evelyn B Fahnestock 201-18-0521 STREET ADDRESS 909 West Trindle Road CfTP Mechanicsburg STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 5,411.44 2. CreditslPayments 0 00 . a spousal Poverty Credit B. Prior Payments 4,800.00 C. Discount 270.57 Total Credits (A+ g + C) (2) 5,070.57 3. InterestlPenalty if applipble 0 00 . D. Interest E. Penalty 0.00 Total InterestlPenalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. FlII In oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 340.87 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 340.87 Make Check Payable Ib: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a Uansfer and: Yes No a. retain the use or incase of the property trarrsferred :.......................................................................................... ^ b. retain the right to designate who shall use the property transferred or its income : ............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ................................................................. ..... 2. If d~th occurred after December 12,1982, did decedent transfer property witirin one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "in mist for" or payable upon death bank account or security at his or her death? .............. ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which cartains a beneficiary desi9nation? ........................................................................................................................ ^ 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 Juty 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disdosure of assets and filing a tax return are still applicable even if the surviving spouse is the only benefidary. 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 decedents lineal benefidaries is four and one-half (4,5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedents siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common wffh the decedent, whether by blood or adoption. W M W m s C7 2 0 J V C F- "~ Fa- ~ W o QJ o ~ tL i ~ ~ a' , ~ M °- z ~ ~ v~ a ~~wZ a~~ N Ww a o w d =.IQ~~ U W W ~ _~ ~mZ~ Q do ~zQW ~a QQ WQ "~ 0. ] ~ Z N N ~ ~ ~ n g W p~ o o ~ W~ ~~ VWf~ (,~LL~F-~„~M ~ V~ ui°a~ ~ ~o~zo N Q ~ WZ(n mpW ~' E Eg~_~~ paE- W ~ y ~ ~~-~:.~ V, =W V) ~- op W ~W I ~ LO~ZZlR~?LL y ~4J ~ ~ V ~ ~ m ~~ ~ w C ~ ~ ~ ~~ t ~ ~ ~ ~ ~ 0 ~ J ~ '-' E Qa m a ~ E~ v >. ~ ~ a> m ~~U -~: N:. '~P~q uo ~IPWp ~ 'WMPUI •~m1ro3 ~NSig W ~ O~ H- Z ~ r' LLJ p ao a ~ a i ~ ~a.~ 2 f-: J W ' V., U Z F¢- ~ ' W 2 Z ~d f M i 0 0 0 0 • O O N M N O Z J'~Z36 y\ L ~J SF ~' ~~~~ ~~~~ V j ~ ~ ` ~- F- aq V,F~ J~~ m am J W = ~ J ~~~~~ ~ ~ ~ 0. ~ ~ ~ W _ ~ _ C7 7 O , LL r = ~ d~O OO Q' . ~ . ~ a- :• ~o O L!1 a rf1 a rY1 O REV-1502 EX+ (6-98) tibMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCI~IEDULE A REAL ESTATE ESTATE OF FILE NUMBER truce t_yry ~. ~~HN~sz~uL all-C~ ~ _ G~-JU All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. 5, ~ ~t ~.m,L~ ~wr11~ nS lc~ cs.~-c~ a} g ~GQI UL)cs~ Ti2-na~ ~vac~ MQ ~n ~. ~ sb;,~,~ n A 1~ o ~ ~ M~~.-~~- vc~\ue ~~It ~~~ 1~ 2 t ~ ~~t\~vu.....-~ ~~ P rte rt,~-nc~J 1 3 5, G c~v . c~ v 3G• ~~ ~"cj 9;~ +" C~~ . 3 TOTAL (Also enter on line 1, Recapitulation) I $ 13 ~ ~ ~~ , $ j (If more space is needed, insert additional sheets of the same size) • ~ OMB N0.2502-0265 --1 B. TYPE OF LOAN: A. 1.QFHA 2.QFmHA 3.QX CONY. UNINS. 4.QVA 5. CONV. INS. U.S. DEPARTMENT OF HOUSING 8 URBAN DEVELOPMEN 6. FILE NUMBER: 7. LOAN NUMBER: SETTLEMENT STATEMENT cLAP321-os 0000732560 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(POC)" were paid outside the closing; they are shown here for lnfom-atlonal purpos snendccu~z t-0®PIF~dced~~ 'h~t~otats. D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: JASON E. CLAPPER and ESTATE OF EVELYN B. FAHNESTOCK FIRST NATIONAL BANK OF CHESTER LISA D. PETERS 909 WEST TRINDLE ROAD COUNTY THRU AM HOME BANK 31 EAST SIDDONSBURG ROAD MECHANICSBURG, PA 17055 DIVISION DILLSBURG, PA 17019 G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1619811 I. SETTLEMENT DATE: 909 WEST TRINDLE ROAD TRI-COUNTY ABSTRACT SERVICE MECHANICSBURG, PA 17055 November 30, 2009 CUMBERLAND County, Pennsylvania PLACE OF SETTLEMENT 48 CENTRAL BLVD. CAMP HILL, PA 17011 100 GROSS AMOUNT DUE FROM BORROWER: ~ 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Price 135,000.00 401. Contract Sales Price 1 Ad'ustments For Items Paid 8 Seller in advance Ad'ustments For Items Paid B 5eeer ~n awance 106. C' /Town Taxes 11/30/09 to 01/01/10 36.80 406. C' !town Taxes 11/30/09 to 01/01110 36.80 107. Coun Taxes to SCHOOL TAX 11/30/09 to 07/01110 108 806.71 407. Coun Taxes to 408. SCHOOL TAX 11/30/09 to 07!01/10 806.71 . 109. SEWER OCT-DEC 11/30/09 to 01/01/10 67.30 409. SEWER OCT-DEC 11/30!09 to 01/01/10 67.30 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 144,447.04 420. GROSS AMOUNT DUE TO SELLf=R 135,910.81 or earnest mono --- ~~ ~-° --- - - 1 I Amount of New Loans 137,755.00 502. Settlement Char es to Seller Line 1400 loan a taken sub ed to 503. Existin loans taken sub'ect to 504. Payoff of first Mortgage 505. Pa off of second Mort a e 506. 507. 508. 509. .. _.__ _ _._ ~__ ..___ , ,___:~ e.. ~.,~~,.. Adiustments For !tams Unpaid ey Seller 210. C' /Town Taxes to 510. Ci /Town Taxes to 211. Count Taxes to 511. Coun Taxes to 212. SCHOOL TAX to 512. SCHOOL TAX to 213. 513. 214. 514. 215. 515. ... ~ 516. 218. 220. TOTAL PAID BY/FOR l30RROWER 137,755.00 I 1520. TOTAL REDUCTION AMOUNT DUE SELLER I 14,622.501 3UU. GA•111 A 1 .7C 1 ~ LCNlc1~ ~ rnvmr ~ v .w........~... ---- - - 135,910.81 301. Gross Amount Due From Borrower Line 120 144 447.04 601. Gross Amount Due To Seller Line 420 302. Less Amount Paid B /For Borrower (Line 220) ( 137,755.00) 602. Less Reductions Due Seller (Line 520 ( 14,622.50 303. CASH (X FROM) ( TO) BORROWER 6,692.04 603. CASH (X TO) ( FROM) SELLER 121,288.31 The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement 8 any attai°tffVi~'nts rlbT8f1'ed to herein. I HAVE CAREFULLY REVIEWED THE HUD-1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS A TRUE AND ACCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON MY ACCOUNT OR BY ME IN T $ TRANSACTION. I FURTHER CERTIF THAT I HAVE ETV THE HUD-1 SETTLEMENT STATEMENT. Borrowe Seller ~X~.u 7ZJ~'(, J PE ATE OF EVELYN B. NESTOCK L A .PETE S TO THE BEST OF MY KNOWLEDGE, THE HUD-1 SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF TH FUNDS WHICH ECEIVED AND,HAVE BEEN WILL BE DISBURSED BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS TRANSACTION. ~ ~~ ~~.~~~~~~ ~~ ~ \ ~ETTLE EjJT OFF~C R ettlement gent WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPO CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 & SECTION 1010. 10 5. SCHOOL TAX '6.000 months ~ $ 115.20 per month 691.20 1006. months $ er month 1007. months er month 1008. AGGREGATE ESCROW ADJUSTMEI months $ er month -478.27 1100. TITLE CHARGES 1101. Settlement or Closin Fee to 1102. CLOSING PROTECTION LETTER to FIRST AMERICAN TITLE INSURANCE COMPANY 75.00 1103. Title Examination to 1104. Title Insurance Binder to 1105. Document Pre aration to 1106. Nota Fees to CASH 15.00 8.0 0 1107. Attorney's Fees to includes above item numbers: 1108. Title Insurance to TRI-COUNTY ABSTRACT SERVICElAGENT FOR 1 ST AMERICA 943.88 includes above item numbersRE-ISSUE 1109. Lender's Covera e $ 137,755.00 943.88 107081053 AL 1110. Owner's Coverage $ 135,000.00 107115514PA0' 1111. ENDORSEMENTS 100 300 8.1 to TRI-COUNTY ABSTRACT SERVICE 150.00 1112. 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 48.50; Mortgage $ 70.50; Releases $ 1202. C' /Coun Tax/Stam :Deed 1,350.00• Mort a e 1203. State Tax/Stam s: Revenue Stam s 1 350.00; Mort a e 1204. ELECTRONIC DOCUMENT RETRIEVAL to TRI-COUNTY ABSTRACT SERVICE 1205. OVERNIGHT/COURIER FEES to TRI-COUNTY ABSTRACT SERVICE 119.00 1,350.00 25.00 14.50 1,350.00 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Surve to 1302. Pestlns coon to 1303. TAX CERTIFICATION FEE to TRI-COUNTY ABSTRACT SERVICE RE-1fVldt?}!Sf 1304. SEWER OCTOBER-DECEMBER to MONROE TOWNSHIP ~ 6.00 193.50 1305. INHERITANCE TAX PAYMENT to REGISTER OF WILLS FILE # 1-09-0870 4,800.00 1400. TOTAL SETTLEMENT CHARGES Enter on Lines 103, Section J and 502, Section K 8,536.23 14,622.50 t7y sigrunq Page i rn uus suan~un W uro «y. ro..w.w .,,.,,,,,......,,o .o..-.,...., • --•••r•-°_ --.~ _. ~-+' - _. _ _ ._C~ _- __ SETTLEMENT OFFICER Settlement Agent Certified to be a true copy. ( CIAP321-09/ CLAP327.09 / 9 ) s Pace 2 aev-+soe oc. r-~n SCHEDULE E CpMMpNWEALTNOFPENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC. '"HERITANCE TAx RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER ~VE~-y ~ t3 ~~-+~~s~ ~ -~ ~ a~ -o . a ~~O indude the proceeds of 6Ugation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorsMp must be discbsed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH L /~ r, ~ P ~ns~,., ~ Pn.v P ~n.r-~I t~Yt-5 Don` ,4-~-~p pn t a 2 'rv ~ ~-rt-f ~ CUJ R ~n--~. ~--s ~-r~ W ~-s ~ 5 ?~~ ~--s O F 13 ~u ~.. y 2~ 0 9 /rr~9 /}tw.t_ HvuS~ rM ~~ G4rils 1.t.1~,t 2t»'IGVt~D ~ I~c,~s cut~2.E 'AoN~~J T~ 'Vlte!{,~~csga,2y ~~ -3 L.~ ~ U B~z.9~7 . e C W ~ r N C,~ (,u~ ~GN ~"fl ~ ~clt)~,d 1 t.c.• . e [ ~ u. S'e ~L-!~ ~OD S Gel ~~. bON ~fL~1 -Tv ~~~,~ ~- ~P2iNG ~ n~~e~/ C t+tit~~>+ -rU a£ use ~(L f}~6tlN ~ R•'~ `~A-~-O s~-C ~rtNDlCfj-tSt~2 • ~u 2nl i -I'i;.c 2E W/fi5 Dungy ~~~ To N >/ ~ y ~~- ~l Es o2 P~~ ~T eu/l/~ Fri i n./~-s I-~- P 2~_ p ~. I ~ -~,v~r~. A-~-. -- ~v~rw-~ ~~ r~c~ r P T ~~~ 9r So ° v ~-~c rF-~ ~ ~ n~ Sew >_ou~.t t-4 00 TOTAL (Also enter on line 5, Recapitulation) ~ ffi~~ (It more space is needed, inserf additional sheets of the same size) f REV~1509IX+lueoj SCHEDULE F -~TM~vr„~u, JOINTLY-OWNED PROPERTY M~TANCE TAX RETURN ESTATE OF FiI.E NICER r an a~ser w.s rrad. joint wi~ir on. year ornrs deaanrCs rile o~ darn, u mua es repo,esa on s ~. $URVMlC,iOlrf T$iI1Nf(S7 NA1YE ~ A ~ RELATIONSFiPTO DECEOENr c. JOINTLY-0WNED PROPERTY: M~~1n a,n ~ c_sb~ ~ ~ ~- t zv 5~ ~ Z (3 rvm a c~ v~ o a/t" p 2 r v ~ ~, H tL .D V`~ec~nc,~~LSb+~..~ ~~ «a SS rtar NUItBBt iErree PoR~or~r TENMR OATS atiDE JONi oESCnprrONaFPROPerrr r~duasne~nea~~.anabea~aoca.rau~teraa~r~~uAeer.A~ea~ deadiarjoiiT-Addisaleet~e~. aaEaFOeATH YN.UEOFASSET xaF oECrrs MEREST DATE OF DEATH vuuE~ DE(~iT'SMEREST 1. A uNK rvlrrnr3 c_ 2 s ~ s r i=t='U~2*n- ~ ~ylZy `1 33~~ ~ 13 ~'~ .? v '989? c2E~t ~ ~.~~or`J . c~-+~e~~,~c, A-cco~-~~T ts~ls`t-1 ~3 U"''~ 5 E~ tF rrrre j~ ~ D ~~ P~ I ,u ItE2 ~ ;~c~ -r)t-X INF'Gll,nn4i2a~ Na"1GC~ °~' ~ uN-~u ~ M~-I~~tns ,Sr ~~~~~.~ ~aa 1m3~ 33~a ~ X13 ~ 1 ~a~5 C2~n1T- un- ioi.1 Q . Sr`I~/ ~ NG S ~~~ ~ r 1 S~-1S`~I TOTAiL_(Also erg an 6ne 6, Regp~lion) I i 1 I.l l.~ 0 0 `~ (~ more space is needed. insert addSorral sheets d the PENNSYLVANIA INHERITANCE T INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AN D PO BOX 280601 TAXPAYER RESPONSE HARRISBURG PA 17128-0601 my-:sss oc wFr toe-ae~ FILE N0. 21 ACN 09161430 DATE 09-25-2009 EST. OF EVELYN FAHNESTOCK SSN 201-18-0521 DATE OF DEATH 09-15-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: DONALD FAHNESTOCK REGISTER OF WILLS 100 WESTVIEW DRIVE CUMBERLAND CO COURT HOUSE MECHANICSBURG PA 17055 CARLISLE, PA 17013 TYPE OF ACCOUNT ^ snvlNGs ® CHECKING ^ TRUST ^ CERTIF. MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 15454-11 Date 12-31-1979 To ensure proper credit to the account, two Established copies of this notice must accompary ACCOUnt Balance 4 124 04 payment to the Register of Wills. Make check " , . payable to Register of Wills, Agent". Percent Taxable X 16.667 Amount Subject to Tax ~ 687 35 NOTE: If tax payments are ^ade within three . months of the decedent's data of death, Tax Rate X .045 deduct a 5 portent discount on the tax due. Potential Tax Due ~ 3 0 . 9 3 Any Inheritance Tax duo will become delinquent nine ^anths after the data of death. P T TAXPAYER RESPONSE a 1 A. ^ The above information and tax duo is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C HECK a discount or avoid interest, or check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. C ONE BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ^ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3^ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 ~ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 6. Amount Taxable 6 ~ 7. Tax Rate 7 X 8. Tax Due 8 ~ PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and omple a to of my knowledge and belief. HOME C 7~ ) (i%7- ~O WORK C rjl`7 ) 3c3-G 9 x! /U ~ O TAXPAYER SIGNATU TELEPHONE NUMBER DATE IYIAL iencar on Line 5 of Tax Computation) # PENNSYLVANIA INHERITANCE T INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AN D PO BOX 280601 TAXPAYER RESPONSE HARRISBURG PA 17128-0601 eEV-1543 IX AFP COe-00) FILE N0. 21 ACN 09161431 DATE 09-25-2009 LARRY FAHNESTOCK 12 BROADMOOR DRIVE MECHANICSBURG PA 17055 EST. OF EVELYN FAHNESTOCK SSN 201-18-0521 DATE OF DEATH 09-15-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call C71I) 787-8327 with questions. COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 15454-11 Date 12-31-1979 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance 4, 124 .04 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 16 .667 Amount Subject to Tax 6 8 7 . 3 5 NOTE: If tax payments are ^ade within three months of the decedent's date of death, TaX Rate X .045 deduct a 5 Dercent discount on the tax due. Potential Tax Dua ~ 3 0 . 9 3 Any Inheritance Tax due will become delinquent nine months after the data of death. P~T 1 TAXPAYER RESPONSE A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK B. Tha above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return O N L Y o be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions ware paid. Complete PART ~2 and/or PART 3~ below. PART If indicating a different tax rate, please state a relationship to decedent: TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 ~ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 6. Amount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 $ PART 3^ DEBTS AND DEDUCTIONS CLAIMED Under penalties of perjury, I declare that the facts I have reported above are tru/e, c/9~ract nd cgmQlete to the bas f 6 owledge and belief. HOME C ~1 ~) ~ J~~V~ !~ ~ WORK C 1 "~) $Z ~- 0 ~~ AYER SIGN RE TELEPHONE NUMBER DATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID REV-1511 EX+ (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCI~IEDULE M FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER ~~ ~L.V try ~ , ~ Hr-~3 TU C-~ 02 1 - 4 9 -d $~1 f~ Debts of decedent must be reported on Schedule L ITEM A. B. 1 FUNERAL EXPENSES: t p~ ~- ~lYl E25 1-2EP~+~ ~ ~unerto.-~ ~( 63c.~ at ,~~ c..r..~ n+t N c, ~,-E-c~~STVN~ IrJSC.21 PiZcnJ -(..,ie(~t4~ICN (iV ~-K1e: ~- T^2t~.1tJ LC S pfLi i..i4 ~..u TttEQ.,9~.1 ~Nu ~. u+ ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Street Address City Year(s) Commission Paid: 2. ~ Attorney Fees State Zip g_l~ J'r, c c~ ao~•"° ~~~_ ~~ L35~: °~ .y~~ c> C~ ~NtL~/~-IC~12 ~ ~fIENNEM/~,rJ ~~C. I ~3~'d~~ 3• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4• I Probate Fees 5. ~ Accountant's Fees 6. ~ Tax Return Preparer's Fees ~E~~srtt/t~rz ~;- w~ ~ 1S ~. r3-7 .a Cc.v ~c,ultc.,nJS - Il~~o o~rLt-~ Si,t~,~~`~ ~ N o (t_d~¢ rt_ ~hd p n2 p rt~~ c~.~~ dl ~ ~Z, b• St T~~~rvt~r 2~~-r>:-t~ c-~cPE^'sr=~ jj 2t.~1 L~ T'Y}~T'r L`cyvt M r S S~ ~+J I S~IQ,Q, ~" 13 20 l~ r2 A-4 ~ G~..GNfI M ~ s s 1 t~ tJarn-«~ C•"-« ~~7. C rn, scctla~«,~s - M ~(~aSe , pest-use, ~P(^'"~-~ c.~. ~~~~.d F~ uw[r'. Few 3~,~c~ ~2ao 4a~ BIoG." a ttaS ma l3'~,•cs cv ~~OrC~ aZSb.eC~ l5 ~~ TOTAL (Also enter on line 9, Recapitulation) I $ ~ ~ (o•L3~ 7 3 (If more space is needed, insert additional sheets of the same size) Four 1;:, , rnt~nri,,~. CrL~lo-ulirrrv 1. rlr, lrlnrr~~n,n, Lvdirirun ~V~~~RS ftOYD 1,. MYh,RS„1 R., Supervisor 37 I:. MAIN STRL'Gr M I3CIIANICS[311RG, ['ENNSYLNANIA 17055 `funeral CJec~me, C~7nc '""'~~-3421 STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any item;, we will explain in writing below. If you selected a funeral that may require embalming, such as a funeral with viewing, you may have to pay for embalming. You do not have to pa for embalming coo did not approve if 7 elected arran~gf^me~ts such as trect ere or immediate burial If w charged for embalming, we wilj,yx ain by belo For the Service of ~V ~ l-- 7' v ~ 1"~NE ~TU~ ~~ Date ' ` i~ 2-Uo Charge to: Name A. CHARGE FOR SERVICES SELECTED: I PROFESSIONAL SERVICES Srnices of Funeral Director/Staff ... f~ Embalming f TNCL thhcr prcparatiun u( body c f T ', SUBTOTAL OF PROFESSIONAL SERVICES.. ... .. AI i~=~ ?. FACILITIES AND SERVICES l'se of facilities and services fo/r ~/ t viewing (Visitation/Wake). J'1W 1vlOf L •~ l'se of facilities and services v for funeral ceremom .... ... ... f l se of facilities and services for Memorial Service f ('se of equipment and services for graveside service _ f Other use of facilities f SUBTOTAL OF FACILITIES/EQUIPMENT .... .. ... A2 3~)-~ i. AUTOMOTIVE EQUIPMENT s'ehicle to transfer remains to Funeral Ham. f ~~ Local ......................... ,.. Hearse (Casket Coach) I ~ Local ... .. r?- E `~ Local 9-~- Family car Local f Flower car or floral disposition ~ Local .......... ........ ...... . it r Leadf~dclergy car ~t Local-,.f~l,.~. 1,~!!f~.. ^~-~ _~ f+~+Iw Car for pallbearers 1 Local ..... f Out of town transpottation ... ..... f - f - s City Other clothing State Cremation urn . (Description) OTHER f a f ~Q,~~ TOTAL MERCHANDISE SELECTED .................. B f twv C. SPECIAL CHARGES: Forwarding of remains to f (Funeral Home) Receiving of remains from E (Funeral Home) Immediate Burial . .. .. ......... f Direct Cremation . f f SUB-TOTAL OF SPECIAL CHARGES .. C f ..__ D. CASH ADVANCED O i C ~/~ Q`~ f rave ... .. pen ng Cemetery Equipment .. .. .. .... . f i S.t °=r Lot and Deed ................... . f Newspaper Notices-Local ... .... . Ez~'a" Newspaper Notices-Out-of-town ... . 3 Telephone & Telegrams .. .. ... f Airfare ....... ..... f _ Clergy/Mass Offering ...... f ! 2 ~ Pallhearrrs .... f Certified Copies of the Death ~ 2 G u-p ~~' -' Certificate ~~. .. .'..... . f Police Escort .............. f Flowers .. .. ............ ... . f / E5 tav Vault Service Charge ..... ... ... . f f__ E __ f f f CI N S ~~ SUB-TOTAL OF ADVANCES......... . ........... D f / `' 1 SUB-TOTAL OF AUTOMOTIVE EQUIPMENT........ A3 E~ We charge you for our services in obtaining: TOTAL OF PROFESSIONAL SERVICES, (specify cash advances that are marked-up) FACILITIES AND AUTOMOTIVE 2 EQUIPMENT ........... .. A Ss~ - B. CHARGE FOR MERCHANDISE SELECTED: f /C~~ Casket......... f~ (Description) 1 Other Receptacle .. .. ..... ...... f I Description) Outer burial container ..... f (`'~ / ~ ~L (Description) ~~"~V / ~ ' Acknowledgement cards .. .. . . . Register book(s) f G•~ !Nemorv folders ........... ..... Pravercards ............... ...... 3 Temporary grave marker . f Burial clothing ........... ...... f SUMMARY OF CHARGES A . Professional Services, Facilities and Equipment, and Automotive ~~Sit~ Equipment ........... ~ B. Merchandise ..................... fi~~` C. Special Charges .................. f ~ f87~ D. Cash Advances ........... .......E /r S(S G~t1//_~ TOTAL OF ALL SECTIO ~,{„ - ~ 7 PAID AT TIME OF R it TO ARRANGEMENTS ............ .................. BALANCE DUE .............. ................... A ON FQIt EMBALh~NG ~~ ~~ _r! - U; £w ~1~~ If any law, cemeter ~, or crematory requirements have required the purchase 0 of Ihr item. listed above the la or requirement is explained belaW v 1 ,L,/r_G;S /~~ ~~ I agree that I have examined the items of goods and services selected above and found them to be correct and according to the arrangements I have requested. l acknowledge receipt of a copy of this Stuement of Funenl Goods and SeryieeS Selfcied. I represent thu have sufficient funds available for payment of the cash price for the goods and srn ices selected. 1 also agree to yment oftd-/ ~+ ll.• within days. I agree to be jointly and severally liable with an ~ else who signs below. A late charge of ~• ~ ~/ per month amounting to per year will be applied to Ihr unpaid balance beginning ~_ days from the date of this agreement. I will also pay to the Funeral Director all reasonable costs paid by the Funenl Director m collect amounts 1 owe under this agreement. Those costs may include attorneys' fees, court costs and other costs. Any additional services or merchandise ordered ur revues d afte he date of this xgrrrment will be considered part of this agreement and the cost thereof will be reflected on the final bill or statement. ISea11 ~ d Z~Ie7 r~ (P c, aser) (D - ISral,jX~~~ V Q (Purchaser) teen d Funeral Direct W«tTE-Funeral Director YELLOW-Cuaomer Page 1 • ~ ,_ .. .~ .~ ...• ~,,, s z " EVEL" ~fN B. FAHNEST~CK „ _ ~ ~ ~ stizµ ~ ~ iii 9 909 W TRINDLE AD. ~ ,,,,. `.... :....• . MECFWPtt1~S$UP~, EiA ,4 73 .. - ~ _• • ~• . I C ,r r~~ -:~ /+7 /~/~L )~~ lliyLl ~~ ~ • ~„~iw+#l~R~ B o`w~i.w•.' .• ~ MEMBERS 1" ,+ ' rm~ru.a~®rr ~ _ _ w :.~ - -----7 - - - - -- r- -- _ _~ ~: 2 3 L 38 2 24 LE: 004 L 154 54 3i~' 6 248 Tracer: 2510108 -Amt: $200.00 - 09/21/2009 +~ ,_ _ _ ~~s.~t, ~~~ . ~~ ( ~ .•y'1~....~~. .C1 t...la_l ~:tti-C4t~' 4~~ df.I~~_~.i~l f r i U. ~ a ~__ Tracer: 2510108 -Amt: $200.00 - 09/21/2009 Myers Funeral Home, Inc. Boyd L. Myers Jr., Supervisor 37 East Main Street Mechanicsburg, Pennsylvania 17055 (717) 766-3421 Fax (717) 795-7291 A standard of excellence in Central Pennsylvania since 1910 Monday, September 21, 2009 Larry A. Fahnestock 12 Broadmoor Drive Mechanicsburg, PA 17055 Dear Larry, Thank you for selecting our funeral home to provide services for your family during your bereavement. I hope that you found our services to be of the highest standards and that they met your needs and those of your family and friends. The following is a summary of the service charges as previously explained and provided in written form and herein indicated as PAID-IN-FULL. Evelvn B. Fahnestock SUMMARY OF EXPENSES TOTAL OF SERVICE RENDERED $10,090.00 LESS: Credits granted 1,295.00 LESS: Total Payments 8,995.00 PLUS: Items ordered later 200.00 CURRENT BALANCE $0.00 Credits Granted: $1,295.00 Package Price Discount PLUS: Items ordered later Saturday Grave opening 200.00 If there are any questions or concerns that remain unanswered, please call me. Sincerely, ~,~~ ~`~_ l Page 1 1~.7~J - : ° --.. ;~~ EVEL'YN B. FAHNESTOCK 909 W TRINDLE RD. MECHANICSBURG, PA 17055-4073 i . so~eri~x~,3 ~~, 6 2 4~:9 ~... ooa„sasa3 ,_ ~ . . -f-~-~-~f--f- :.~ st . MEMBERS i" ' FfDEAALCJImff Uh70N Ale~iuiolq,rw voss w.aeaMalaar~ `i/Ip-yi -- -, 6p ~:23i382~4i~: 004i15~,S4311' 6249 Tracer: 1471528 -Amt: $101.48 - 09/17/2009 ~ c n~NtilL y ~~~~~lU~i 17~s~ goNTU,~ °~ ~ 1310 5~"?.9 ~ SEA-n-S ~113j~~ l(,.~c~ ~tvl.~-4g N M :: C~- - =.: - •t,. p ~, i ~ IVLCW .~, -) ~- 1~ , ~ , CJ ti Cs C7 ~ rJ N~~w C~~1~L~ ~I~~ A ,' Tracer: 1471528 -Amt: $101.48 - 09/17/2009 __ _ - _- CPenne ~ CI'~enn~ Every Dar Maltel-~' jcp.com Every Dar Matter' JCPENNEY 2712 ! jcp.com CAPITAL CITY MALL JCPENNEY 2712 3501 CAPITAL MALL DR CAPITAL CITY MALL CAMP HILL PA 17011 3501 CAPITAL MALL DR 717-730-6064 CAMP HILL PA 17011 717-730-6064 ~- 832/6301/010603 W FR CUFF ESSENT OTY 1 30.00 Sale Disc -10.01 Total Discounts -10.01 Discounted Price 19.99 Net Sales/Return Value 19.99E Subtotal 19.99 Local Tax 0.0000% 17011 Total 19.99 Save 15% by telling us about your shopping experience at www_JCPSurvey_corn Type directly into the address line. Do not use web search to access. Access code valid for 7 days Access Code:2712 401 0573 091509 1906 8 Total Items Sold: 1 Total Items Returned: 0 Your Total Savings Today: 10.01 VISA 19.99 XXXXXXXXXXXX9379/XXXX/663861005 M Cardholder acknowledges receipt of goods/services in the amount shown and agrees to pay for them according to credit contract with card issuer. __-- ~23/8725/010805 NPL TACTEL CAMI C No. 789375282159 -_ o~ 123/8923/020706 LACE TOP NYLON BRF o,\'`~~\ UPC No. 083621619110 OTY 1 7.50E Subtotal 31.50 Local Tax 0.0000% 17011 0.00 Total 31.50 X1C Y(YfY(lt7CYCYl Yf 7t Y(Yl7K It Y(1C It IC Y(I~)r1C%7C lC YC ]t Yf ]C*IC X:CY(Y(1t 1}K~C Yi ]t;CY(7CYlN'It It 1t IC 1K Yl It 7C YlYlY[Y(1KYI 1t Ir Y(IC It It IC*Yf Yt Y(k ~l'Y(Y(YC Y[Y[iC Y[IC Save 15% by telling us about your shopping experience at www.JCPSurv~y.corn Type directly into the address line. Do not use web search to access. Access code valid for 7 days Access Code:2712 040 5924 091309 1444 1 Total Items Sold: 2 Total Items Returned: 0 VISA 31.50 XXXXXXXXXXXX9379/XXXX/643472005 M Cardholder acknowledges receipt of goods/services in the amount shown and agrees to pay for them according to credit contract with card issuer. Store: 2712 Term: 401 Tran: 0573 Date: 09/15/09 Time: 07:06 PM Assoc: 0573 Earn $10 Month after Month Sign up today at jcprewards.com JCPenney gladly accepts returns/exchanges within 90 days of original purchase. Return privileges for this receipt expire on: 12/14/2009 Returns without a receipt will be refunded at the lowest on sale price within the last 30 days, and be given in the form of a JCPenney Merchandise Return Voucher. No refunds 90 days after original purchase date. Visit our website at jcp.com II Iillt!{Iilllllilllllllillllllllllli~llNli111111ililli111111111 II111 Store: 2712 Term: 040 Tran: 5924 Date: 09/13/09 Time: 02:44 PM Assoc: 0511 Earn $10 Month after Month Sign up today at jcprewards.com JCPenney gladly accepts returns/exchanges within 90 days of original purchase. Return privileges for this receipt expire on: 12/12/2009 Returns without a receipt will be refunded at the lowest on sale price within the last 30 days, and be given in the form of a JCPenney Merchandise Return Voucher. No refunds 90 days after original purchase date. Visit our website at jcp.com .. ......,.....~...,r..~.ruura~nnnnn~}1\1~!11~I1t11111~11~! r li! SEARS CAPIIAL CITY MALL 02629 3595 CRPITAL CITY MRLL CAMP HILL, PA 17011-7011 uu ~7t7-760-8000 ~ IIIII~~IIIIIII~I~~IIIIIIIII) ~ RETAIN FOR COMPARISON WITH MONTHLY STATEMENT OR FUR RETURN OR EXCHANGE SALESCHECK # 02624521 4088 TRAN7t PG/STORE REGtt ASSOCp 9088 10 02629 521 1397 ~ SALE ~ 18 12350039 CAMI,SAT G MDS 16.OUS UPC: 083621255080 SUBTnTAI. 16.00 TAY 06 OOOi 00 CARD TYPE: VISA ACCT >t: W9379i0 AUTH CODE: 609603/E 09/13/09 VISA TOTAL 16.00 2C: 2567-8435-6347-3137 CARDHOLDER ACKNOWLEDGES RECEIPT OF GOODS AND/OR SERVICES IN lHE ~ AMOUNT OF ~ 516.00 ~ WITH AMOUNTS AS SHOWN CHRRGED TO ~ EACH CREDIT CARD IDENTIFIED HERLUN, ~ AND AGREES TO BE BOUND BY THE TERMS (?j SET FORTH IN THE CARDHOLDER'S AGREEMENT(S) WITH THE ISSUER(S) OF THOSE CREDIT CARDS. ~ - ~3 SATISFACTION GUARANTEED OR YOUR MONEY BACK A RECEIPT DATED WITHIN 90 DAYS IS REQUIRED FOR R RETURN OR EXCHANGE WHICH WOULD BE 12/12/09. OTHER RULES APPLY. SEE BACK OF RECEIPT FOR DETAILS . RETURNED MERCHANDISE MUS1 INCLUDE RLL ~ COMPONENT PARTS. REFUND WILL BE ISSUED ~ IN THE ORIGINAL TENDER. t~` ~ . ~~~~~~~ Camp Hill # 31 Camp Hill, PA 17011 (717) 7617500 www.bonton.com 31 3 6138 09/13/2009 SALE ENTERING 848851 02:28 PM v.2.2.4.98 "'~~CUSTOMER COPY~~ 008883055179 414 / 270 PETItE SUItS $49.99 Ticketed: $119.99 Item Markdown $gg,gg 012036200866 106 / 690 HANES HOSIERY $8.00 TOTAL_ $57 _ 99 ************9379 VISA $57.99 CARDHOLDER: JULIENNE FAHNESTOCK &n lm CI~L Balaces DO GOOD. BE COUNTED. Visit MILLIONACTSOFGOODWILL.COM FOR YOUR CHANCE TO WIN INSTANTLY! Questions or comments? Please visit us at www. bonton. corn' ;5 cz .Check Image I I _. _ __ Page 1 of 1 HOME ABOUT US CONTACT US NEWS 8 EVENTS PUBLICATIONS RESOURCES _Check Image_ Close ' Front of Check: -_- - rU33000031~ ii/33/290'1 0 ' ~1200~2iW.~713a O~ 11'Y y~1~11LO0PYt7rr a~M~rr[Irw o w~ •srOrna~rl .m+ ` F .~ ' ~ J ~ ~ N 1~1 T o0 ~issa`z wi~so+3as °o N KIIMTPa3 o m ,n 3]/33/01 0 u Back of Check: I~ ~_ Account Suninary Transfers eSta~nta Bil Payer Services Visa Loan Applicaborls nth Profile i+tessages - -- I ' 2~t~QddOl21M12A1m2 6 111 11 ~ 11rli leR C. .. ~~~at ~Aii~~a r ~ 1 t Qle fia.. ~. • IMlif.. C.ui rj~ r ~ p~ p`~ .~~ _ -~i~ r~8 .. ~~ ~ K2333~~i63648845r 0313 4K2333822tii1:2i83648845r03ii ~OOOOOi35001 ~~• ~;:! ~~~ > ,A.~C g LC~~ I ~~~~~~.~ ~ I i~~~~ IF~_ `. "= . Close window j ®2009 MEMBERS 1ST FEDERAL CREDIT UNION M ECHANIC SBURG, PENNSYLVANIA INTERNET TERMS OF USAGE PRIVACY STATEMENT FRAUD & SECURITY CENTEF' https://m 1 online.members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?accountid=50011 &trans... 11 / 18/2009 • Games R. MEMOKIALS "A Zribute to Life" 5243 Simpson Ferry Road, Mechanicsburg, PA 17055 ~ (717) 766-5622 RECEIPT Date: t { t Z. ~ Oq Received From: ~ ott ~c3..Yl y~.cS~o 6 Amount: ~ ~3 S. = Cash _„~_ Check # l ~ l Account Dame EVc~vn ~a~~esf o~,t Balance Remaining: i$ Notes: ~4t(d - iK - ~~~ visa Acct. # ~~- ~'~ ~ Mc t~ingrich Memorials Representative: Ci .o.wr.......» "~ ~ r.r ww~ os [murnce r.a. VlJliiJ -r Check Image Page 1 of 2 FiC3MF AF30UT US CONTAC Account Summary =Transfers eStatements `Bill Payer :Services :Visa Loan AF Check Image Close Front of Check: ESTATE OF EVELYN B FAHNESTOCK .._I~~a_~ _. l_1... ~~~~~~ I_u ~~ ~'~ aate ~a/sl~_- RhY ~ Nf1 L:~. sl~!~1"~(~ kt t Si~ffrtllAJ >~4 ~f/t C ~"~ J ~ •- - T07HEORpEfioF 300. Od -.,~. I /~/_ /~-~-~~t~LZL/ r 1~ f~ri/~1 ~ ~ p~ py.~ 1 ~-T ~ /arp ottuts 2GbEL~L CiED1T 4N10lI P O fyn p wP• ~'A 17fY.f " ur.ar. S!/~ f.1Eb4D r ~~i1~r ~:. ~:23~3B2c'4it: 01836788.7-5~}' 0iD4 .'00000 30D0`O~' Back of Check: - - ~~ f • ~~.~.. nom.. ~ 1 ~ l : :. ~ - '" ,~~, ~ ~ •v ; -- ' O E =3i;d S[9>/=7t{L S S9E=yM _ ; ~ .. - c, a `~ . - EI'1 L Hd-33d.~- c7t~3000 T£O 1 ,- 6002VTO:T ~ ~- S02LS8 L T b i 'i t • lL' _ _ _ -_ Close Window https://m 1 online.members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?acco... 10/ 16/2009 e~.~~. Snelbaker & $rennentan, P.C. 44 W. Main .Street PO Box 318 Mechanicsburg PA 17055 717-697-8528.' FACSIlVIII,E: 71'f-697-7681 Estate of Evelyn Fahnestock Re: Estate of Evelyn Fahnestock Professional fee: $185.00 per hour Fees: 09/11/09 Review and plot deeds; letter to client 10/07/09 Prepare deed for sale of properly _ 10/12/09 Review: and revise deed; email to clients 10/15/09 Telephone conference with D. Fahnestock 11/11/09 Review estate asset/debt spreadsheet; email to D. Fahnestock; prepare revised deed; email to D. Fahnestock Hours: Total fees: November 30, 2009 Hours 1.00 1.00 0.25 O.i0 1.10 3.45 $638.25 Billing Summary Previous balance Payments & adjustments New fees New expenses Total now due $0.00 0.00 638.25 0.00 5638.25 .~.~ _ _ Nfl. ~~~ ~ ~ R RAVED FRDI~JI ,~ do c~' 02 CELLARS' ~~rzl Account Trna- $ p. Amount Paid $ ~p.~a .~T Qafance Due $ Vii, L Page 1 EVEL'YN B. FAHNESTOCK 909 W TRINQLE RD. MECHANiCSBURG, PA i 7055-4073 "_ 6¢8224/233 6 2 5.0 `" aoa»a~3 ~~. 4 18 0 ~ $ 3~0 , ~ ~ .! .... 8 ~.,~ ~ D MBMBERS 1" Pm:~nc.c•waorr Meade ~,'PA1706S f~~~~j]]~~~~ ~LOe~ if~e+rKiC ~ ~;23i38224L~: 004LL5454311" 6050 Tracer: 1347374 -Amt: $360.00 - 09/22/2009 w O f a ~ ~ w ~., p~Q o ~- ~n v ~ ~~N~ i 4~~ ~ ~ ~u.x ~ ' ~C ~ ~ s~-+-+ ~~ o ~ '~ ~ V a ~'. x>~ ,~,,.~ ST~Z~~OZ 6002/TZ/60 Z8Z0/8000 ~atTa,Z/~{ouaag 6002/TZ/60 :a~sa sng ~TZ9-Z£S-LTL :auoud LSZLT ~'d `bangsuaddiug xusg urio~s~ap >9£OSZ£T£0< Tracer: 1347374 -Amt: $360.00 - 09/22/2009 RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 Receipt Date: Receipt Time: Receipt No.: 9/18/2009 11:28:36 1058288 FAHNESTOCK EVELYN B Estate File No.: 2009- 00870 Paid By Remarks: DONALD FAHNESTOCK CJ ------------------------ Receipt Distribution ----- -------- ------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 310.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 20.00 CUMBERLAND COUNTY GENERAL FUN JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN Check# 6250 ---------------- $360.00 Total Received......... $360.00 • • ,Check Image Page 1 of 2 ~~~~n,~F t~FSf3UT us c:~~~rac Account Summary 'Transfers eStatements '' Bill Payer 'Services ;Visa Loan AF Check Image class Front of Check: en.ir3z. ESTATE OF EVE(YAI B FAHlVESTOCK t5iy ~ 06 PAr _ Cr . [:.t~~ f:.~~\i~c1_~/ i /t S_ C7 C ! (~ t~s+ . ~'_'~ 5.,. .~_ _ .. ~ ~ /~~J' 0 ``TO7M~'OfiOER Qi J.~ - CJ~1 E . 1 ~`.,s SrLl. --- - - I'~"~L? ! L''SN J;.~[;~ '~~.. _ .- --- -. ~ .t9G -~O~I.AN6 .tVlembers~~ ' ~ ~ •_ .~ ItD6tAL C<EUfTUMtON •. ~ O wr ~0 y,p~,N..F /A 17055 ""°" `b~8~~50• Q AAEMO S ,f J~ ~l~!'% ~r.vr/I ~fi~ ~~ ~ ~ ..~_...._ !N' I ~ c 3 13 2 24 1~: 2 L8 36 ?88? Su* 0 lQ6 ,~'pOCIQ 1 >?00(1.O~F' Back of Check: H ~ : . ~t ~~ -- W L~ W s Y .~ ~ i t'i w ~~~~ ~~~~~ ~ '~ 0054 ~ ~ 4,~ ~ ` ° n~ 1lil ~ ~ ~ g~ ~ .r, o= ~~ ti o~ pp ~ ~ 1'i ~ i cc~~~ ~ f O VI C7' '.1C ~ '" ¢r E E $ •y m ~ wr y~.~ b' d r J a Q C 44 4 ~ ~j'' Y t~C ~s~~~;; .. ... ~ Close Window y>20t~9 M~~~s~~z~ -~sT ~.=_cM~a~,~. C:~tit,ir urvicN f~9E::NAt~IC53U~?G, PEN~~SYLVAhJIA ~_ 4Z7 _ r ~ [ ~ -•~ 1v1-- : CC ~V~ J` ^ :c i t'1 ~: L'~ ^~ O ~•7. ~~ R~ ~ https://ml online.members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?acco... 11/10/2009 C. W. Junkies Associates, Inc. Member: Lice~ed in Surveyors • Cartographers • GISConsulr<mts American Congress an Peensylvaais Coveahy Center Siuveying g~ Mapping 550 Coventry Drive Anuxicae Society of Mechaeicsburg, PA. 17055-3122 Highway Begu-ears Charles W. Junkies, P.LS. Telephone (717) 697,8489' Fax (717) 697-2434 - November 9, 2009 Donald Fahnestock 100 Westview Drive Mechanicsburg, PA. 17055 Far Pmfeasiaoal Services: I nvo i c e N o. 8 8 818 S 0 - RE: 90,9 Test Trindle Road, Monroe Township, Cumberland County, PA. Field survey, recovered & flagged 2 existing property corners, set & flagged 2 steel pins as property corners and prepared Boundary Survey Plat for Estate of Evelyn B. Fahnestock. LUMP SUM FEE: $1,200.00 REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCNED~ILE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER _ LJ~~y~ ~3 ~ FBI{N~s,z ~« a ~-o~i -o~-~v Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Q. S FtrnR ~+ Tv uD N~ rc-7v~U n. ~ ~ 1-1w~e.- 2gG2, . ~ /~s s ~ s~ c~ ~t.ec.c.~tt l N .~ n..s ~ n Nrr~e. ~e r,Q I cc n.e S 2~r ~ S 5 c~ ~ LET t Lt Tt ~ s I ~~r~~5~5 ~2 dl• ~~n1~n~ Tc~~vSt+t P Sc~~2 ,~,~1 ~ z, s t ~,-1~,,,~,1a.,z acs o ~ t ei 3 ~ 5'?~ a~fi tv ~~ aLC~~ CA~t ~ r~T ~ 9,3 ~sn S~T'T~I1't N T ~u NE 13G`~-1 da ~N ~~ w~-~2 -~.$~ ~-{ . Z g 8',~~ c1~ 3 P P ~. ~a~ , ~ 8" ~ s ~.~ ~u~ ~l~lo~, ~~ ~2>.I~°~ 3~~ , o0 TOTAL (Also enter on line 10, Recapitulation) $ I y a "'7 G . (If more space is needed, insert additional sheets of the same size) Page 1 x031000011x 09/21/2009 992005457913960 This K a LEGAL COPY of your ~ check You can use it the same ~ way you nvuld use the anginal check ~ ~ t; . `i -= Docuaent Seq s • 09200522286808536162 .- xkDnra01 -,~ 09/20/09 ~ o ~ ' EYELYN 8. FAHNESTOCK v' :• ~ s ~°~u • ~,-• ~ 624.7 '~ ~ • ~ ~ ~ ' 90O W iRIrJpLF RD. • •... .: ' , ~( ^ ODIn616y _ -' . . . ~ p ~ LtECFiANICS~Rti. P~1 t706SWJ9 . : _ : "..' L i ~'; ` . . ~f~G 7~fiiu.4f,~/ 1WC r o A.~~ ! ~ ~ ' r m 7 ? J ~ft ~7C. /!7~ ,. L'i r N ~ 0 o st ~~ MEIISHERS 1• naiucomnuaoM ., . ru o ~~u.. ,a o /G~ ~G ~ ~ o _ ~~:23i3B2243t: 004ti54543n• 624? ~• ,~ 4~:23i38224i~:004LLS4543ii•62~.? ~~'g000 290 2 59~~' Tracer: 2562318 -Amt: $2,902.59 - 09/21/2009 ~.: -- T~oq I i ----1L- ~=a :nTSS o z < o ~A L = 5[d ? V31S='1iY;L . g Y9'E=~}.!~ O V N O i , ~ i' au i :• 2 ~ E9 p n O y ~< C' ~Sfi j3S! b i ms . - - a.c,~xo .._ _ . r~ aO~A _ ~ ~ ~p Qi, ~ O - ~" Q x tr ar 1-~ °~csid i- = rV ~ . ., i m°o ~_ - - ~ = `y o _ •• ~ _ ~ i ° ` . ~ o ¢ %r M Tracer: 2562318 -Amt: $2,902.59 - 09/21/2009 Statement United Church of Christ Homes Sarah A. Todd Memorial Home 1000 West South Street Carlisle, PA 17013 Statement Date: 09/14/2009 Don Fahnestock 100 Westview Dr Mechanicsburg, PA 17055 Due Date: 09/25/2009 Re: Evelyn B Fahnestock Account Nr: 102087 -------------------------------------------------------------------------------- Date Description Days Rate Charges Payments Balance Quant -------------------------------------------------------------------------------- BALANCE FORWARD 7,586.20 7,586.20 08/14/09 PAYMENT 7,586.20 .00 06/30/09 CREDIT OVERCHARGE 0 -1.00 126.40 -126.40 -126.40 08/31/09 Personal Supplies 1.00 9.12 9.12 -117.28 08/31/09 Personal Laundry Se 1.00 30.00 30.00 -87,28 08/31/09 Incontinence Suppli 1.00 98.43 98.43 11.15 08/31/09 Medical Supplies 1.00 357.01 357.01 368.16 09/01/09 RESIDENT INCOME 2,782.89 3,151.05 09/01/09 MEDICARE -1.00 96.40 -96.40 3,054.65 09/01/09 Insurance Premium C -1.00 152.06 -152.06 2,902.59 -~ 1 ~ J ~ ~ 7 / ~ ~ ~~ ~~ NOTE: ***** PAYMENT IS DUE UPON RECEIPT ***** BUT NO LATER THAN THE 25TH OF THE MONTH ***** Please remit the LAST AMOUNT printed on your statement. Include the ACCT# from the statement on the MEMO LINE of your check. Payments after /10/09 do not reflect on statement. NOTE: ** LATE PAYMENTS ARE SUBJECT TO A 1.25$ LATE CHARGE PER MONTH ** A $10.00 FEE WILL BE CHARGED for RETURNED CHECKS ** Cheek Image Page 1 of 1 HOME ABOUT US CONTACT US NEWS 8 EVENTS PUBLICATIONS RESOURCES AccourM Su~m~ary Transfers eStalart~s 881 Payer Services Visa Loth AppBcatlons My Pmfib M•s••G•• Check Image nose ~ Front of Check: r0210DaN11r ~ r • 2SK72570 aWaa1 m reasvelsa•anlrsr•ac 107 111Y Ya18sI1LO0Pr lrpr ~ WR7wr~rlr~rw O S oy to il~i.,a w id~r~Mr~r1 N N ears ~ ~ ~ /~_~~ _ rK~C. Qr l.A>L~ - ! S 3-i a.~°' SYS N O T ~ r ors ~~ I T N 1~1 N F . 2 W a71 t3M~7M)5 °o r°u ' 13 ^ CN/1MP•7 ^~ 33/24/e~ ~ ~ a m r~~.IkabLN!iLtl M1 ~°+. K~ii3BZ24iC 2LBiG48849M OiD4 C+r'+e..~Y. _,._.___. __ _____ _M:2ii38i24iC2~8i67BB95r0~04 I000003B834I Back of Check: i f -- ;_ '~ ~ r.. ~ odor-ta boei-aa,. eoer~ irc; ~ ~ .: ~ ~r+br~ r>ao i ~.~ : ryp .~~ ~, i '~ ~i I:. .. ~@~~p 2i~L6S69i38 '. ._.. __.. _ i8Woi5 ~ _--8228 B22 E58888li-d862i( - - -- - ... -Olal Ckrse window ®2009 MEMBERS 1ST FEDERAL CREDIT UNION M ECHANICSBURG, PENNSYLVANIA INTERNET TERMS OF USAGE I PRIVACY STATEMENT FRAUD & SEC.URITV CENTER https://m 1 online.members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?accountid=50011 &trans... 11 /27/2009 31 October 2009 Department of Public Welfare Division of Third Party Liability Estate Recovery Program P.O. Box 8486 Harrisburg, PA 17105-8486 Re: Estate of Evelyn B. Fahnestock CIS: 810245681 Social Security Number 201-18-0521 Date of Birth 12 December 1923 Date of Death 15 September 2009 Dear Ivlr. Rinkevich: I have enclosed a check in the amount of 5388.37 as resfittrtion for the medical assistance provided on her behalf. As I am reimbursing the Department of Public Welfare for the entire amount of the claim, I assumed that it was unnecessary to provide copies of the real estate that she owned I thank you for your attention to this request. If you have any questions, please feel free to contact me. Yours truly, Donald A. Fahnestock Executor 100 Westview Drive Mechanicsburg, PA 17055 Residence - 717-697-4356 Work - 717-303-0399 x10 Cell - 717-649-2639 Email: fahndonna.aol ESTATE OF EVELYN B FAHNESTOCK 107 Date ~ ~, o~ ~ ~,'r_ PAY ~C~ " c ~i 1~ n C- C ~ ~'~ f W ' ~ / ~ ~ . 3 TO THE ORDER OF r ' ~.~'t (; ~ I v e 1100 DOLLARS ~ ~ ~ Membersla _ ' `~ PP. O PA 17056 BkypoM1 AP ~o p_iCf~ ~stOLVI'~(o~l ~: 2 3 L 38 2 24 L~: 2 18 36 788 7 5~~' 0 LO ? ~-~~~~ O LSlERTY .f COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCWL OPERATIONS DMSION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105$486 October 27, 2009 DONALD A FAHNESTOCK 100 WESTVIEW DR MECHANICSBURG PA 17055 Re: EVELYN FAHNESTOCK CIS #: 810245681 SSN: 201-18-0521 Date of Death: 09/15/2009 Dear Mr Fahnestock: Please be advised that the Department of Public Welfare is attempting to recover the monetary value of any and all eligible assets in the subject estate. Although the amount is the estate may be considerably less thaw that which is owed to the Departaneat, our claim is against the estate, no one else. Your responsibilities, as the primary next of kin/administrator/executor, is to advise the Department of any assets in the estate and to insure that the remaining money, after all funeral and administrative costs are deducted, is sent to the Department. The Department of Public Welfare maintains a claim in the amount of $388.37 against the above-mentioned estate. This claim is for restitution of medical assistance granted on behalf of the decedent for which the Probate Estate is now responsible to reimburse the Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's itemized statement of claim. A portion of this medical expense, namely $388.37, was incurred during the last six months of the decedent's life; therefore, it is a Class 3 claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $.00, is to be entered as a priority Class 5.1 claim against the estate. Please acknowledge receipt of this letter and advise when payment may be expected. If the estate accounting is complete, please provide a copy. If the estate contains real estate, please provide copies of the deed, the latest tax assessment and a current appraisal, if available. Sincerely, ~. ~• ~~-. Carl G. Rinkevich TPL Program. Investigator 717-772-6258 717-772-6553 FAX Enclosure Check Image Page i of 1 HOME ABOUT US CONTACT US NEWS S EVENTS PUBL~AT70NS RESWRCES Check FTna9e pc Frort# of Check: ~aanaanu u~swaae+ arau~laooxtsl~ adcwra~.rtr~ • V•~ y w s ~ e o ''~ a lae~t SM • o ~~ °o P ~ m r D Back of Check: --~- AooeuM Sunnsy T~srefers N Payer SeMoes Vba Loan Appicalions My P~of#e aaaaarais~raaarawnc 110 er uhtfes .`~.s~n~sa.er.r A.....~ S~yJ j 2sSt ~~~3~9~Ir7OaN_~4L~aI4 ~ a.. lP~ar ~.L~ISSrYttcP "" f1r~ yQ ~C' Kt~L3YL'+1L4C t3i3it8B49+~ 0130 4ti23ii8Z243CZi83648845rO3i0 /OOOD00.?g;ir_ - ~,~ i72~09 MEF.I3ERS 1ST FEDERAL CREDIT Utdl Otd MEGHANICSBURG, PENNSYL\~ANIA INTERNET TERMS OF USAGE 1 PRIVACY STATE!AENT I FRAUD S SECURITY CENTEii httpsJ/mlonline.membersis~t.org/OnlineBanking/AccountSummary/CheckImage.px?accountid=S0011&trans... il118t2009 Millennium Pharmacy Systems East 1500 Industry Road, Suite A Hatfield PA, 19440 INVOICE 10/28/2009 IDue Gy 1127/2009 Bing oflioe titfUrs: Mon-Fri gam - ~'--> ToU Free: 1-866-468-7779- I Account Number: sTMH1s58 EVELYN FAHNESTOCK 102087 cJo DONALD FAHNESTOCK 100 WESTi/IEW DRNE PVT MECHANICSBURG PA, 17055 Amount Due: ~„~, ~ A~QUnt Paid: Please Detach Here and Return Top Portion With Your Payment - --------------------------------- Invoice Date:10/282009, Accl~k:STMH1658, FAHNESTOCK, EVEL.YN, Sarah Todd NC, A, BRANSCUM, GEORGE __ ~_ .~ .:. ~ _ ,; ~. >, $ 14.1 $ 0.00 $ 0. $ 0. $ 0. $ 14, $ 0. S 0.00 $ 0.00 28.51 Check Image Page 1 of 2 Account Summary Transfers eStatements Bill Payer Services Visa Loan AF Check Image r' r3<; Front of Check: '~ ~ ESTATE OF EVELYN S FANNESTOGK 142 T ~I Date Q cj T~oATHEOfl • GII/~JtS h' ~ /_ ~ $~T I~j~~ ~.`= J GnP {t d -t~-c~ TK~t~~ ~ d ".'~ 13aw~s ®~,~~ ~. ~ ~ ~~ Y~drnsW~, PA 170f[ Rm~~l'n~ MEMO ~: 2 3 l 38 2 2 4 L~: ??? 3 6 ?88 ?011' 0 ~O 2 Back of Check: } c,~a ~ J z CC Q f3.. ~!- ,.. f1 W ~ ~ D 4 O ~ I i i r~ e ueenty Close Window __ . __ https://ml online.members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?accou... 10/2/2009 MONROE TOWNSHIP 1220 Boiling Springs Road Mechanicsburg, PA 17055-9794 (717) 258-6642 Ext 223 (717) 697-4613 Ext 223 www.monroetwp.net Statement of Account for Sewer Services Account Number: Due Date Before Due Date 792 9/30/2009 $193.50 Service Address: After Due Date 909 W TRINDLE RD $212 85 Billing Period ~, From 07/01/2009 L To: 09/30/2009 ~ Total Consumption: ~~ Previous Balance: 0.00 Current Charge: $193.50 Other Charges: Outstanding Balance: Pay this amount on or before due date: ~ , ;193.50 j r Pay this amount after due date: _ 5212.85 Hours: The Township office is open 8:30 AM - 4:30 PM daily. The Township offers an outside maildrop, if you should visit when we are closed. Emergency: For 24/7 Emergency Service after business hours: Northern District 691-3320 Southern District 487-2809 Failure of any owner to receive a bill for charges due and payable shall not be considered ;9n excuse for non payment, nor shall such failure resu/t in an extension of the period of time during Wvhich the net bill shall be payable. 2001-5, Section 2.09 For account problems -extension 223. Tear Here Tear Here Tear Here Tear Here Acceunt Number. 792 Service Address: 909 W TRINDLE RD Billing Period l From 10!0112009 it To: 12/31/2009 i -~ - - Total Consumption: MONROE TOWNSHIP 1220 Boiling Springs Road Mechanicsbung, PA 17055-9794 c~ (717) 258-6642 Ext 223 I L ~ 3 U ~ (717) ~7-4613 Ext 223 C ~ ~, www.monroetwp.net ~~~'"^""' and CowrL Statement of Account for Sewer Services W , l ~ n vh Due Date Before Due Date 12/31/2009 $193.50 After Due Date $212.85 Previous Balance: 0.00 Cun*ent Charge: $193.50 Other Charges: Outstanding Balance: Pay this amount on or before due date: ~ $193.50 Pay this amount aRer due date: ~ $212.85 Hours: The Township office is open 8:30 AM - 4:30 PM daily. The Township offers an outside maildrop, if you should visit when we are dosed. ---5"~ri~n~ ~~ Emergency: For 24/7 Emergency Service after business hou ~Rt Q ~T s ~ ~~~ Northam District 691-3320 Southern District 487-2809 Failure of any owner to receive a bil! for charges due and payable shall not be consideu~eai an excuse for non payme-~ nor shall such failure result in an extension of the period of time during which the net b/li shall be payable. 2001-5, Section 2.09 For account problems -extension 223. Tear Here Monroe Township 1220 Boiling Springs Road Mechanicslwrg, PA 17055-9794 Tear Here Tear Here EVELYN FAHNESTOCK C/O DONALD A. FAHNESTOCK 100 WESTVIEW DRIVE MECHANICSBURG, PA 17055 Tear Here Make check payable to: Monroe Township (Remit to: 1220 Bolling Springs Road Mechanicsburg, PA 19'055-9794 North Account #: 792 Invoice #: 76927 Due Date: 12/31/2009 Amount By Due.Date: $193.50 Amount After Due Date: $212,85 1096 penalty on /ate payments ARer 45 days interest ac~xues da/ty at the rate of 1/2% per month Check Image Page 1 of 2 __ ,,.,_ Account Summary Transfers eStatements 'Bill Payer Services .Visa Loan AF Check Image c(c}s€~ Front of Check: iii .:f~` ' TS~'A!!1~ ~..u. ESTATE OF EVEIYN B FAHNESTOCiC bn •~ 00 ', Date ~~a~ ~ ~-- - TO TrK.ONDER CF . 1Vlembe~rsl~ G . _ ._. iCD6lAL EDIT UNJQN -O Y~y MS/4 tM6{ FPM MEMO _ _ __. _ ___ ~! ~: 2 3 ~>38 2 24 L+ ? ? ? 36 ?$8 70~~' 0 i00 ~~'OD00000888~~' .~~, Back of Check: ~~ 7. J _• H v W N 0 0 = x w ........ _._.... __....... iis I~ oc Qi s ~~_ z° 6 e - . o. ,, o~ t ; .~ ~_ ~. -- ZlbB 1'nl l ~ ~~ ~I• ~!- i~ Q ~ J ( «.. ..r,~ ~ ~ . r -~ - r ~ ..l (v .+ + c S I ~ tU , J v - . [~ e ~ `-,e rt. ~~ ~r ~ ~ r ''.'~ c Y vs Close Window' __ ..... _ https://m 1 online.members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?accou... 10/2/2009 ~ United Ws . J~''Z y,+ .L '`'p t'yCUStOnlel;$~W s,~~,~~ UNITED WATER: ; ~~~ , ~~~~87$9„~, ~~ a: ~' USAGE HISTORY Monthly usage in thousand gallons +' ~ > fi' ilvania er r x - ~ s e ~ rlvnelstown, PA 17036 '~' ~ r 762 ,} ~ r~}X z;,i>'k~- re ~~ '~' V~ Billing Date: 09/03/09 Account Number: 002009 99556410 Previous Balance $g,gg Payments Through 09/03/09 rheDkvoD $8.88CR Balance Forward $0.00 Current Charges Due 09/23/2009 $8.88 TOTAI~AM0UN7'bUE' I ~`` f- ~'$$ ,; , Uo not sLabmit payrTTent. You are enrallL:d in E-PAY. SERVICE TO: H A FAHNESTOCK SERVICE ADDRESS: 909 W TRINDLE RD MECHANICSBURG PA 60733586 08/03/09 09/02/09 30 0123 0123 0 MGL ACTUAL EQUIVALENT TO 0 GALLONS SERVICE CHARGES $8.50 W-DSIC SURCHARGE $0.40 W-STAB SURCHARGE $0.02 CR TOTAL CURRENT CHARGES $8.88 SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATION ' ~`~'f~' ~ `~ .{ _t~`- ~~ y.,:~ '~ ~ . . ~.~T NIESSAG~~' k ~'` :y .._~.-` If you would like to pay your bill online, please visit our website at www.unitedwater.com and click on the Western Union'sfSpe icon. UWPA will conduct asemi-annual flushing of the distribution system in your area from September 8th through the end of October. This may cause temporary discoloration of water and temporary decreased water pressure. For hydrant flushing updates, please call 1-888-299-8972. Save a stamp and go paperless today! Log on to www.unitedwater.com or call Customer Service to find out more information and to enroll in eBilling. Approximate state tax included on this bill $0.43. Please do not remit payment for this bill. An electronic debit will be applied to your bank account on 09/23/2009 in the amount of $8.88. 0 0 0 0 154874 PLEASE DETACH HERE AND RETURN THE BOTTOM PORTION WITH YOUR PAYMENT IN THE RETURN ENVELOPE PROVIDED. s,;:'~` UNITED WATER 8189 Adams Drive Hummelstown, PA 17036 SERVICE ADDRESS: 909 W TRINDLE RD MECHANICSBURG PA ^ Please check this box if you have made any changes to the information on the reverse side. EBPP 3 H A FAHNESTOCK C/O DONALD FAHNESTOCK 100 WESTVIEW DR MECHANICSBURG PA 17055-5754 102 1308 MAROB 08272009 Account Number: 00200999556410 Balance Forward $0.00 Current Charges Due 09/23/2009 $8.88 TOTAL AMOUNT DUE ~ `.1$8,88 'Please make~poyable ro: UNITED WATER FNNS'lLVANIA Payment Amount Enclosed $ UNITED WATER PENNSYLVANIA PAYMENT CENTER PO BOX 371804 PITTSBURGH PA 15250-7804 1 r Next meter reading date: on or about 10/02/2009 ..._. ,_ ,._. _______ ~.K.,,..,~- - - Check Image Page 1 of 2 HOPAE AF30UT U5 CpNTAC Check Image Front of Check: ESTATE Q1= ~1IEL1fN B FAFtNESTOCK date.. ; y S?~_ ~5 PAY j~C~`~- C_.~_, ~ • ~-~,~ ,...~Q`-__..__ _..._~~_ ,_._.;-._J` ~ ~~'~"~` L. 4. TOTf~~EI~OF r T-`'~ , iO. n 71:..e ~ 1 i..J1 Y a ~. hnn nro Asa ^' ~ -~ r~oaa ~:~3~~a~~~~~ ~i~~~~~~sa~5~~ oia5 Back of Check: -~ r `i~ ~~'"~~ 4. C_I_ose_WinslQw. .2009 F,AE~netERS 1ST FtD' RAL ~RcDIT UNION tv1ECHANiCSE,URC;, P~NNSYI.liANfA INTERNET TERrv1S OF USAGE ~ PRIVACY STATEFAENT :-BAUD & SECURIT" ~ https://m 1 online.members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?acco... 10/16/2009 Account Summary ~ Transfers eStatements Bill Payer '! Services 'Visa Loan AF Close ,~o0oow~~ ~ ~, ~~8~ .,.~., USAGE HISTORY Monthly usage in thousand gallons x a 0 Billing Date: 10/05/09 Account Number: 00200999556410 Previous Balance $8.88 Payments Through 10/05/09 Tncnkyoo $8.88CR Balance Forward $0.00 Current Charges Due 10/25/2009 $14.28 *PAY BY 10/30/09 TO AVOID A 1.596 LATE PAYMENT CHARGE SERVICE TO: H A FAHNESTOCK SERVICE ADDRESS: 909 W TRINDLE RD MECHANICSBURG PA 60733586 09/02/09 10/02/09 30 0123 0124 1 MGI. ACTUAL EQUIVALENT TO 7,000 GALLONS If you would like to pay your bill online, please visit our website at www.unitedwater.com and clock on the Western Union's Speedpay icon. UWPA will conduct asemi-annual flushing of the distribution system in your area from September 8th through the end of October. This may cause temporary discoloration of water and temporary decreased water pressure. For hydrant flushing updates, please call 1-888-299-8972. Save a stamp and go paperless today! Log on to www.unitedwater.com or call Customer Service to find out more information and to enroll in eBilling. Approximate state tax included on this bill $0.69. 1 0 00 RE 158317 PLEASE DETACH HERE AND RETURN THE BOTTOM PORTION WITH YOUR PAYMENT IN THE RETURN ENVELOPE PROVIDED. toe ~ 308 MARa6OY2120o9 L =~' .._ :, .-:~- .. ,. - -~ - ... _ n` .. ... Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Next meter reading date: on or about 11/03/2009 Check Image T Page 1 of 2 HC1ME ABOUT US CflNTAC Check Acx~unt Summary ;Transfers eStatemer~ts BSI Payer 'Services ~ Visa :loan AF ESTATE OF`EllELYN B FAHNES70EK ~d9 Qa~a 1 ~ l.~ ~Q 'RAY IJ Z T~.D ~~ ~ ~ ~ Q. 10tilE _ ~ .~ _. _ _ - -_ _ [j ~~ l ~ ~ ~tiw r.rnraw~lA ttoet J ~.JL t ~:.` ?~ ' ' ~ ~ :t f~ ~~ 11Bq _ ~ ~: 23 i38 ~ c4 k}. ~ 18.36?88't ~~' Q L:0:9 ~'OOQO(1~0089'~~~~ .,. Back of Check: I ! 1 ' t ~ .. .... . . ' ?7xNJ til Ttf~SJ~ lI~-T<~-. AA j t I f j ~ F ~-- ~.- . .. Close Window' J20(39 fll}EMBERS 1ST 1=cOERAI CRiD1T UN10[d MECNA1vICSBURG, Pi~T4PiSYL°JAIViA https://m 1 online.members 1 storg/OnlineBanking/AccountSummary/CheckImage.px?acco... 11/ 13/2009 << <:_Cal~ilTEIEC~Li:':tF~l" ..:;:.::r:::::::<::::>::::;~>::::>::<:::a;>:`__<^::`:::.:::.;:::.:>;::::: .:: . .:.;...::•.;.::.~;;.,:;:<;s»::>: ` . >. :: •~ ::: ..:' ; ::. $"~89#~diftt3S::~ElitB~`~t#i~IEi~#&1Y~?FI~~~~~~~.> :..:.:... >:::::<`;> _ .. ....... .:.. ...............................__-.............-..............-.. -...--.........-.....:. _ a .~'~.~=.t-::-~~3~;;r:= .;^:.>'>:»s:;<:::.:.:.:.:~..:;.::-.:.:::::::;:. ;.::::::r.:::::::;:s:;::.:.: ' USAGE HISTORY Monthly usage in thousand gallons ro 0 (Billing Date: 11/03/09 Account Number: 00200999556410 Previous Balance $1.4.28 Payments Through 11/03/09 nlwr:roe $14.Z8CR Balance Forward $0.00. Current Charges Due 11/23/2009 $8.91 "PAY BY 11 /28/09 TO AVOID A 1.5% LATE PAYMENT CHARGE SERVICE TO: H A fAHNESTOCK 60733586 10/02/09 11/02/09 31 01.24 SERVICE CHARGES $8.50 W-DSIC SURCHARGE $0.43 W-STAB SURCHARGE 0.02 CR TOTAL CURRENT CHARGES $8.91 SERVICE ADDRESS: 909 W TRINDLE RD MECHANICSBURG PA 0124 0 MGL ACTUAL EpuNacF.>vr7o o Gauonls SEE REVERSE SIDE FOR IMPORTANT ACCOUNT INFORMATKNd A ., ..»..\•:f•:°;. •}Y x :... 1 ....-. .. •,}. }•r,; .. A?•: Yi: Y•:':-.`: i. •.:{ i?^..A{r.: -.;'i...::,-.:ti:ii+:... .: f.. ^'•:}:v •K•. +':. ?\?.:-:+Yi.O ::fr +~;?.}:. .,~}....n 3} :,+i?•ri .,.r {r~.:.w: :.. .. . 2R: kv. :.:£2.. : Sf. : fi +' ....t :/,,...... w :. •.+F? - . ~c. •, :: +.~, -: f:,-Z}:}.•.::::?f-..,:...-f.. ,.:•::} :•v~~i:{}ki~:i•?iv? ..'/ +~ ..T ~:. ~~'=?'s .Y }:•..:.!.rev.4i:~ ~:i: ' .: ~ :YV: J... }.-:,?,.}?~:::., :a%•.+::+~i?+:,•.,: ?: ,:.f:•`.•'.?+.•••a. ~ ,. C:2.} t}'*;:.,+:•::r•- ~. •4:.: t-s.:.:..Y.-:::?};?:;:+•?.Lwwr.,'?•d}x•`.x`.-x-??•}: ..+.. :::.::. 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UWPA will conduct asemi-annual flushingg of the distribution system in your area from Septembier 8th through the end of October. This may cause tempom discolorotion of water and temporary decreased water pressure. for hydrant flushing updates, please caD 1-888-299-892. Save a stamp and ggo paperless today! Log on to www.unitedwater.com or toll Customer Service to find out more information and to enroD in eB~Thng. Approximate state tax included on this bill $0.43. 0000 ~ 181775 PLEASE DETACH HERE AND REIURH THE BOTTOM PORTION WflFt YOUR PAYh1ENT W THE RETURN ENVELOPE PROVIDED, 102 t30! ~IAnO! OYY1200i Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nw Next meter readingdate: on or abort 12/02/2009 T PPL Electric Utilities 827 Hausman Road Allentown, PA 18104-9392 Tel. 800.342.5775 Fax 484.634.3484 www.ppleleciric.com EVELYN B FAHNESTOCK 100 WESTVIEW DR MECHANICSBURG PA 17055 September 18, 2009 BiII Account #: 03050-81001 For: 909 W TRINDLE RD MECHANICSBURG PA 17055 Dear Donald Fahnestock: ABP Plan Remove Date: x9/18/09 Due Date: 10/03/09 Balance Due: $107.88 ~ ~ 1 1. ice' pp ..__ :.._ .; . ,~ TM As you requested, we removed your account from our Automatic Bill Payment Plan on the date shown above. Your current bill WILL NOT be automatically withdrawn from your bank account. You can pay your bill either on-line by signing up at www.pplelectric.com or mail your payment to: PPL Electric Utilities RPC - GENN 1 2 N. 9`h Street Allentown; PA 18101 If you cannot pay the account balance by the due date, please call us at 1-800-342-5775 to make other arrangements. Sincerely, PPL Electric Utilities abpreml.doc 002359 1194835 N O d ,.,F ~ O aA a n~ :J ~ i d y '~ i1: Q :n r O u ca~~. ~~ r°n~ o ~ r°s c ~n T O ~ -3 -' ~ U '. ~ C .S ~ r.. N m - O N M ~ 00 :. ~ ~ ~ _ 4 O ~ O ~. r V C")i r :r, tb ~ ~ .i ~ +^ N ~ ~.. ~ _ U ["1 ~ r ~ o a~ 4. c}`a, i m V > Lli C a- N -' ~ 4 ca ~ u~ ~ Q _ ~ _ m ~- ~ Q .-. _.._ C i >, ;- a in N v C O N ~ ~ ~.. 7 ~ ^~ O '- _ ~ ~ C :: - ~ O V: ~ _I Q O N O O ~ '=. - O O ~ ~ ti '~ --~ ?' L'' ~' O_ ~ U SJ ~ .- __ ~ o ON ~ ~:,, ._._ ~ ~ N 0~0 ... ~ G ..J 6> Q ~.g ~- ~ il ~ ~ ~ ~ ~ ~~ "v 4= ~ ~ ~ ~ ro .,~ ~ s. ? CJ di v J w O .v ~ U j ~ ~ ~" Q O L `'~ _v ~~ 'tea ~ ~ O O O ~ ~ U ~, ~I C}, K."t,~-, ~ ~ ~. ^.S o.%v >~ ~ u ~ ~ C 1~j~ /--~ a~ O O N M N o~ K t]. RS a~ Cd a N i.a U _W 0 U U .~ U N CL Q. W N ~~.I Y Cheek Image T Page 1 of 2 HOME ABOUT US CONTAC Account Summary Transfers eStabemenis &II Payer Servu~s Visa Loan AF Check Zma9e Close front a# Che+~k: ESTATE OF EUB.YN B FAI~ESTaCK Del! ~ ~ ~~~ sii ~G ~a. Daws 0.~:~aP - O~~RMfA ~~ .pro Qcrs~r~t-~4G$~!U .. ~:23L38224~1: 2i836788~5M O1Q8 .~. hack raf Check. ~~ iI '.I . 1 ` i • ' ... i i ~', fir. 4 y _ e ~~ ~' t L' r Clone Window ©2DD9 MEMBERS 1ST FEDEi~AC CREDIT UNION https://mlantine.memberslst.~g/OnlineBanking/AccountSummary/CheckImage.px! acco... 11/13/2009 Fwd: INVOICE NUMBER 220923 Page 1 of 1 _ Fran: Lany A. Fahnestodc <LFAHNESTOCK~comcast.net> To: Fahnestock, Donald <fahndon(c~aol.com> Subjset: Fwd: INVOICE NUMBER 220923 Date: Wed, Sep 30, 2009 9:02 pm Larry ----- Forwarded Message ----- From: "SHIPLEY ENERGY COMPANY" <INFOSERVICE@SHIPLEYENERGYI.COM> To: EBF909@COMCAST.NET Sent: Wednesday, September 30, 2009 2:00:31 PM GMT -05:00 US/Canada Eastern Subject: INVOICE NUMBER 220923 ~or~=~_ " ustomer umber: 206590 Invoice 220923 umber 10/O1/0 Invoice Date: MRS HARRY FAHENSTOCK JR EhECTRI-CBECR TRANSFER 10/16/09 100 WESTVIEW DRIVE MECHANICSBURG, PA 17055 MEMBERS FIRST FEDERAL C/U Amount: $ 60.00 Payment Mill be transfered from your bank account on the date noted above. SERVICE AT: 909 W TRINDLE RD Service Contract: OCT O1 2009to SEP 30 2010: OIL TANK PROTECTION $ 60.00 Equipment Covered: OIL TANK TOTAI~ A1~JOUNT DIIE email us Shipley Energy Co. 550 East ing (717) 848-4100 ~P.O.Box 946 (800) 839-1849 York, PA 17405- www, shipleyenergy. com 0946 http://webmail.aol.com/28200/aoUen-us/maiUPrintMessage.aspx $ 60.00 ustomer# 206590 10/1/2009 ~ ~~ °v 7- 7/7/09 $20.00 ~D 7/10/09 $30.~ --~ _ j ~ ~~ ~_~ ~ ~}, ~ 7/25/09 $10.00 ~.. a c~ 7/31/09 $10.00 6 (7 ~ 8/1/09 $10.00 ~ -- ~ `~' ~ -~~ ~~ 8/13/09 $30.00 ~c~} sI21/09 $30.00 ~.- ~ j f ~~ q ~ j j /©, °rv 8/25/09 $iooo ~ l' (~ - , 9/3/09 $10.00 ~ ~ 0 O O 9/5/09 $10.00 ~-- ` 3 3 ~, /~/ ,~ ~ / ~ © d a 9/10/09 $10.00 0(7 "'( d`( ~ 9/13/03 $10.00 Qj ~ a.. / 'J' ~, ~ ~a / (,~ ~ 9/17/09 $10.00 U / ,l a ~ ~ 9/21/09 $10.00 ~~ ~" ~ 1 ~`'~' O' ~ ~' 9/24/09 $10.00 Q / 4 a ~ 9/26/09 $iooo 0 `•-- o~~ r o• = '°~ ` ~, 9/28/09 $10.00 d~ 10/1/09 $10.00 ~ Q `- ~ ~~~ ~ 10/12/09 $10.00 d 10/19/09 $20.00 ~~ (°~ 1 ~. 10/26/09 $20.00 ~~ ` r ~ ~ ~~ 11/7/09 $30.00 !~ (/ ~ 11/14/09 $10.00 /V -~~/ ~o~ v 11/21/09 $iooo !~ °~ 370.00 ~ ~ ~ ~ ~ u* D ~~ ~ ~ -- I ~` 1~/~-~ ~ Tz, ~o~N~ s coT-7~ ~,~ tC~~cs/~uQS~ ~'~ 1-7v~S REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER a t-~q-o~~o NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not Llst Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS [inGude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. n 1~ N ~A-~-~ ~ . ~- l~ 1.4-~r.1 L S ~~-]L ~~) LL~ ~/3 2 , Dora t~-t..~ !'~ . ~-~-E-~-~-s tz~~tc C, t~ I ~. ~~ '13 3. L~~ ~ ~ ~~~+sJ~s i~G~~ ~t+ (~~, I~~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET R NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (if more space is needed, insert additional sheets of the same size) .~ . ~. _• , ,~ ;~';~:,. !#EGIST bF WILLS " ~ ~ , . ~:: CERTfFI~CA-T~ OF '~ PAN NSXLV~ANI/~-' .: ,, ~ Ito . 1 Q ~Q8Z0 ' PA ~1TQ . ' ~ 1- 09- 087'' Esta'~ i ~ ~ , r ~ ~' ' 8 F,~t'HNES~OCK~ ~ . -~ --i, . - ~,~ - m .. . _ La c if r ~ TOWI~ ~~((J~~P ~ NTY ND (~ ~ DV ~` S . ~ '~~'~~'~ +'~~ ~ Q~-i8-Q52 . ~k i ~ .. ' ~ f tl ' ,. t j i ~ A i• i r ,, L WHIs'RY~15,-'won ~ 009 arr'' ihs~x-urn~,rit dated April 22et 2~Q4 was ae~ttt~t e'~~i the last w ]~3 of ~ EVEL YN B f.4HNE~ OCK ,~, , , ~ Xa~' tx# l~fR' TOWNSHIP, ~t .; ~~ , . r ~ , who died on 15th day .j I , ~' ~ WHEREAS, true copy' ; :, , ` ~ ~ ~j~~l ba~~~T `_.is a end hereto. TH,E1t2~Ff,~R~~ . I, GLF q _~~ Y~egi , of C~i~flls in and for CUM~i Coux~tY, in t~ . '-a of #~er~nsyl z ~~- ',l~et'eby ce.~tafy ~~hat. ~h~we this i ~~~ ~. ~ ' , s TES7~AIr9EN ,A~I~;Y".tr~' ; D.L~VA~,D HIV~`~7`t~C~C , > , '~ ~ I ~ ~ :~ ,. .. , ovho has ~u2y, :' ,alified. as ~~, , .::_ and has ~ ~, to =;~dmin s ~ ordir~g to haw, X11 of which fully aRpe~r.~ f ,r~cord.• =.i i 3 I ',,; ~ BERLANt~. COUNTY ~~?tJRT K4USE, CARLISLE; PEN ~.."V>~~llA. ~ ' ~. ~ .. ~ IN TESTS fA~l7FEREOF, ~ ~ ,. et :may Viand end a.~fixed the s~~:W of my office th'~ `1~th d ` 'I i 1 i ~ ~ I ~; ~~ , j . egr gr o r/ ji _~ I~ ~' ~~ ~_. I ;I ~' i.` II' ~, ~~ 1 ~ i i. ~. *NOTE* * ~.I~L t~AN.'""~ `'!i ~' E- i _ IRST, AirDL1.X,~E„ ~~'I"1 i LAST WILL AND TESTAMENT ~o ^~ ~=° ~ ~ ~.. tJ ~~ .~ a~ ~ _~ :.~ r,~j ~ OF T co ~ ~~n0 ?~. ~..r- ,. ~- EVELYN B FAHNESTOCK .i7 ~-~ ..... ~ ~ -- ~=r-~ t~"' ~'"~- . ; I, EVELYN B. FAHNESTOCK, of Monore Township, Cumberland County, Pennsylvania being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any at1 1 wi~~ by me at any time heretofore made. ' :-,. ~~ 1."~ i ect ~~~~ all my debts and funeral expenses be paid as soon as practical after my death by my Executor hereinafter named. I direct that all taxes that may be assessed as a consequence of my death shall be paid from my residuary estate as part of the expenses of the administration of my estate. 2. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoeve~'the same may be situate, I give, devise and bequeath in equal shazes to my three soris, RONALD A. FAHNESTOCK, DONALD A. FAHNESTOCK and LARRY A. FAHNESTOCK. In the event any of my aforementioned sons should predecease me, I direct that the shaze such deceased son would have received hereunder be given to his issue surviving me per stirpes. 3. I hereby nominate, constitute and appoint my son, DONALD A. FAHNESTOCK as LAW OFFICES ~NELBAKER. 3RENNEMAN & SPARE Executor under this my Last Will and Testament, but in the event he should predecease me or fail to qualify, I nominate, constitute and appoint my son, LARRY A. FAHNESTOCK, as Executor under this my Last Will and Testament. I hereby direct that no person serving as Executor hereunder shall be required to post bond to secure the faithful performance of his duties in the Commonwealth of Pennsylvania or in any other jurisdiction. __ IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on Two (2) pages this 21 ~ day of April, 2004. ~':4~ ~:.Z i~~C~,~~x-2~~~ (SEAL) Ev le~yn B. Fahnestock Sigrid, sealed, published and declazed by EVELYN B. FAHNESTOCK, the Testatrix above named, as and. for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. LAW OFFICES ~NELBAKER. 3RENNEMAN & SPARE ~%~%G/ (SEAL) ,~ . -~ ~ {SEAL) -2- COMMONWEALTH OF PENNSYLVANIA) . SS. COUNTY OF CUMBERLAND ) We, EVELYN B. FAHNESTOCK, KEITH O. BRENNEMAN, ESQUIRE and JANE J. GOONEY, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last WiII and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Testatrix Witness Witness Subscribed, sworn to and acknowledged before me by EVELYN B. FAHNESTOCK, Testatrix, and subscribed and sworn to before me by KEITH O. BRENNEMAN, ESQUIRE and JANE J. GOONEY, witnesses, this 21st day of April, 2004. _~ Notary ublic LAW OFFICES ~NELBAKER. 3RENNEMAN & SPARE COMMONWEALTH OF PENNSYLVANIA NolarMal Seal Susan L Matrazi, No~ry PubMc eoro, Ctxnbedand Catmty My Comrt~isslon E Nov. 24, 2067 Member, Pennsylvania Asaoofation Of Notaries