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Home My WebLink About12-10-09' 1505607121 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 0 9 0 3 4 7 Harrisburg, PA 17128-061)1 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW - Social Security Number Date of Death Date of Birth 1 8 6 2 8 6 9 6 4 0 5 2 7 2 0 0 8 1 0 2 4 1 9 3 6 Decedent's Last Name Suffix Decedent's First Name MI D I L L E R S R E L V I N B (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW Q 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) [~ 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate ~ ?. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Wili) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO Name Daytime Telephone Number V I R G I N I A H H E N N I N G 7 1 7 6 5 7 ? 7~0 Firm Name (If Applicable) -~ '~' REGISTER OFC1~Il~ USE LONUSE LON ~ ~ S C A R I N G T & S C A R I N G I P C ~ ° First line of address ~ ~ .v . ~; ~~.~, x-- ~ rn 2 0 0 0 L I N G L E S T O W N R 0 A D r^,.~ ,.%'\ ~~. Second line of address ~ ` "` ~ ~ ~"" ,_ _., C ~ --~-r S U I T E 1 0 6 ~~_ ~~ : . City or Post Office H A R R I S B U R G State ZIP Code P A 1 7 1 1 0 DA Correspondent's a-mail address:VIRGINIACa~SCARINGILAW.CQM Under pen Iles of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, ecl and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG - ~~ F~ON~ ;SIB ,'OIjIF~ILING RETURN I ~/ /f~Q //~ ~A ~~ Q 32~ NORTH MOUNTAIN ROAD NEWVIL'LE i.~a~~. .OF PREPAflI~R 0~'HER THAN REPRESENTATIVE DA 2000 LINGLETOWN RD, Sl1"ITE 106 HARRISBURG PA 1711,0 PLEASE USE ORIGINAL FORM ONLY -, , , r ~:;, '~.3 f ',5 C~ °~~ _W., ~~ ~--'1 • ,--T-, ~~ `.~ ~~ ..~.....J ,:_~ ~~ ~- ~^ ~~ ? -r~s Side 1 1505607121, 1505607121 J Lsas6o~e21 ' REV-1500 EX Decedent's Name: E L V I N B- D I L L E R, S R Decedent's Social Security Number 1 8 6 2 8 6 9 6 4 RECAPITULATION 1. Real estate (Schedule A) ................... . ..... . ... . .......... 1. $ D D D D . D 0 2. Stocks and Bonds (Schedule B) .................................. 2, • 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , .... 3. • 4. Mortgages & Notes Receivable (Schedule D) ........................ 4. • 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . , ..... 5. 5 4 9 D 1. 8 8 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6• • 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate B(Iling Requested ....... 7. 8. Total Gross Assets (total Lines 1-7) . . . . . . . . .......... . ... . .... 8. 1 3 4 9 0 ], . 8 8 9, Funeral Ex enses & Administrative Costs Schedule H p ( ) ................ 9. 2 8 9 5 4 . 2 6 10. Debts of Decedent, Mort a e Liabilities, & Liens Schedule I 9 9 ( ) ............ 10. B B 2 6 8• 2 1 11. Total Ded~•ctions (total Lines 9 & 10) ........ . ...... . ... . ....... 11. 6 2 2 2 2 . 4 7 12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 7 2 6 7 9 . 4 1 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. 7 2 6 7 9 . 4 1 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 •0 D . D D 15. 16. Amount of Line 14 taxable at lineal rate X .045 7 2 6 7 9. 4 ti 16. 17. Amount of Line 14 taxable at sibling rate X .12 D D D 17. 18. Amount of Line 14 taxable at collateral rate X ,15 D D D 18. 19. Tax Due .............. ........................... ....... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0. 0 0 3 2 7 D. 5 7 o. D D 0. D 0 3 2 7 D. 5 ? Side 2 , 1,5D56D7221 15D5607221, REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 09 0347 DECEDENT'S NAME ELVIN B. DILLER,_ SR _ __ _ ____ STREET ADDRESS 6859 WERTZVILLE ROAD CITY - !_-- - - - - - STATE ZIP -- --- ENOLA PA 17025 Tax Payments and Credits: 1• Tax Due (Page 2 Line 19} (1} 3,270.57 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 0.00 C. Discount Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest 130.39 E. Penalty 817.64 Total Inlerest/Penalty (D + E ) 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 2t) to request a refund. 5, If Line 1 + Llne 31s greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the Interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 0.00 (3) 948.03 (4) 0.00 (5) 4,218.60 {5A) (5B) 4,218.60 . Make Check Payable fo: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Dld decedent make a transfer and: Yes No a. retain the use or Income of the property transferred : ...................................................................... ^ Q b. retain the right to designate who shall use the property transferred or Its Income; ............................... ^ 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? .......................................................:............................... ^ Q 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... ^ Q 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designatlon? .................................................................................................. ^ 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) (il)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000; The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adaptive 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 beneflciarles is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12} percent (72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX + (6-96) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECADENT ESTATE OF FILE NUMBER ELVIN B. DILLER, SR 21 09 0347 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 io buy or sell, bosh having reasonable knowledge of the relevant facts. (if more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER ELVIN B. DILLER, SR 21 09 0347 Include the proceeds of litigation and the date the proceeds were received by the estate. __ _ All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. CHECKING ACCOUNT WITH M&T BANK. ACCOUNT NUMBER 9844899055, 27,550.42 DOD PRINCIPAL $27549.69; DOD ACCRUED INTEREST $ 0.73. 2. REIMBURSEMENT ON HUD SETTLEMENT SHEET FOR COUNTY TAXES 108.77 (10/30/09-12/31 /09) 3. REIMBURSEMENT ON HUD SETTLEMENT SHEET FOR SCHOOL TAXES 581.71 (10/30/09-6/30/10) 4. REIMBURSEMENT ON HUD SETTLEMENT SHEET FOR HOMEOWNERS' O,gg ASSOCIATION DUES (10/30/09-10/31/09) 5. DISBURSEMENT FROM ESTATE OF BOYD E. DILLER -CUMBERLAND VALLEY 26,660.00 LAND CLEARING OWED MONEY TO THE ESTATE OF BOYD E. DILLER. CVLC REPAID THE LOAN. THE BENEFICIARIES OF THE BOYD E. DILLER ESTATE EACH RECEIVED A DISBURSEMENT OF THE PRINCIPAL PAYMENT FROM THE OBLIGATION OF CVLC. ELVIN B. DILLER IS A BENEFICIARY OF THE ESTATE OF BOYD E. DILLER TOTAL (Also enter on line 5, Recapitulation} ~ $ (If more space is needed, insert addiiional sheets of the same size) 54,901:88 REV-1511 EX + (10-08) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF ~ FILE NUMBER ELVIN B. DILLER SR 21 09 0347 Debts of decedent must be reported on Schedule I, ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES; 1, MYERS FUNERAL HOME, 37 E. MAIN STREET, MECHANICSBURG, PA 17055 FOR 4,742.00 FUNERAL SERVICES ($3300 +$1442) 2. RIVERVIEW CEMETERY, 7TH AND ORANGE STREETS, NORTHUMBERLAND, PA 17857 FOR CEMETERY PLOT, CASKET, BURIAL HEADSTONE 5,556.72 B. State Zip 2, AttomeyFees SCARINGI &SCARINGI, PC 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 4. ADMINISTRATIVE COSTS; Personal Representative's Commissions Name of Personal Representative (s) Street Address City Year(s) Commission Pald: Street Address City State Zip Relationship of Claimant to Decedent Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 5 Accountant's Fees 6. Tax Return Preparer's Fees 6,745.09 291.00 7. PUBLICATION FEE -CUMBERLAND COUNTY LAW JOURNAL 75 00 8. PUBLICATION FEE -THE SENTINAL . 187 54 9. FILING FEE -CUMBERLAND CO. REGISTER OF WILLS FOR 3 RENUNCIATIONS . 15 00 10. PAST DUE PPL BILL OCTOBER 2008-MARCH 2009 -REIMB KIM STROHECKER . 441 43 11. PPL (APRIL 2009 THROUGH SEPTEMBER 2009) . 270 18 12. MILLERSBURG AREA AUTHORITY (H20/SEWER - 08) REIMB KIM STROHECKER . 115 00 13. OAK STREET HOMEOWNERS ASSOCIATION (MAY 2008 TO OCT. 2009) . 260 00 14. 2008 DAUPHIN COUNTY PROPERTY TAXES . 1 007 93 15. REIMB KIM STROHECKER (FOR ADVANCE TO PURCHASE PAINT, CARPET , . , AND ROOFING SUPPLIES FOR HOUSE PRIOR TO SALE) 579 32 16. MIKE DILLER (FOR ADVANCE TO PURCHASE PAINT FOR HOUSE PRIOR TO . SALE) 161.83 TOTAL (Also enter on line 9, Recapitulation) $ 28 954.26 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent ELVIN B. DILLER, SR 21 09 0347 Decedent's Name Page 1 File Number Schedule H -Funeral Expenses & Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 17. STEVE DILLER (EQUIP & LABOR TO INSTALL SHINGLES, REPLACE GUTTER) 150.00 18. DEVOE NEWMAN (INSTALLATION OF NEW CARPET IN HOUSE PRIOR TO SALE) 150.00 19. CUMBERLAND COUNTY REGISTER OF WILLS (ADD'L SHORT CERTIFICATES) 4.00 20. MILLERSBURG AREA AUTHORITY (WATER/SEWER PAID IN JULY 2009) 40.14 21. REALTOR'S COMMISSION TO PRUDENTIAL (ON HUD SETTLEMENT SHEET) 5,600.00 22. NOTARY FEES (ON HUD SETTLEMENT SHEET) ~ ~ 10.00 23. REALTY TRANSFER TAX (ON HUD SETTLEMENT SHEET) 800.00 24. 2009. COUNTY AND TOWNSHIP TAXES (ON HUD SETTLEMENT SHEET) 693.24 25. 2009 SCHOOL TAX (ON HUD SETTLEMENT SHEET) 957.21 26. TAX CERTIFICATE (ON HUD SETTLEMENT SHEET) 10.00 27. FINAL WATER/SEWER (ON HUD SETTLEMENT SHEET) 91.63 SUBTOTAL SCHEDULS H-B7 ~ 8,506.22 REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCI~IEDULE DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER ELVIN B. DILLER SR 21 09 0347 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. CAPITAL ONE BANK (USA) N.A ACCOUNT NUMBER 5178052297905743; 8,48 15000 CAPITAL ONE DRIVE, RICHMOND, VA 23238 2. DCM SERVICES FOR SPRINT/UNITED MANAGEMENT COMPANY REFERENCE 238.25 NUMBER 4663984;4150 OLSON MEMORIAL HIGHWAY, SUITE 200, MINNEAPOLIS, MN 55422-4811 , 3. UNITED STATES TREASURY (2006 FEDERAL PERSONAL INCOME TAX 1,545.48 REASSESSMENT) 4. UNITED STATES TREASURY (2008 FEDERAL PERSONAL INCOME TAX) -PAID 26,103.00 LATE. PENALTIES AND INTEREST UNKNOWN AT TIME OF FILING THIS RETURN 5. PA DEPARTMENT OF REVENUE (2008 PENNSYLVANIA PERSONAL INCOME TAX) - 5,373.00 PAID LATE. PENALTIES AND INTEREST UNKNOWN AT TIME OF FILING THIS RETURN TOTAL (Also enter on line 10, Recapitulation) I $ 33,268 21 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE 0 ELVIN B NUMBER I . 1. 2. 3. 4. 5. F DILLER SR NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include ouiri ht spousal distributions, and transfers under Sec. 9116 (a~ (12)] ELVIN B. DILLER, JR. 6859 WERTZVILLE ROAD ENOLA, PA 17025 KIM M. STROHECKER 328 N. MOUNTAIN ROAD NEWVILLE, PA 17241 MICHAEL D. DILLER 6875 WERTZVILLE ROAD ENOLA, PA 17025 STEPHEN B. DILLER 7 W. LOCUST STREET ENOLA, PA 17025 BRIAN K. DILLER 6690 WERTZVILLE ROAD ENOLA, PA 17025 FILE NUMBER 21 09 0347 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Lineal Lineal Lineal Lineal Lineal AMOUNT OR SHARE OF ESTATE I 14, 535.88 j 14,535.88 i 14,535.88 14,535.88 14,535.89 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS; A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ (If more space fs needed, insert additional sheets of the same size) REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedent's date of death: 0.00 Discount: __ __ . _ 0.00 Interest Table Year Days Delinquent Balance Due this time period this year Before 1981 --_ -. _ _ 1982 .1983 -- __ _.. __ 1984 _ _ _ 1985 - --~ 1986 ' 1987 ~ __ __ ~ 1988 through 1991, 1992 ~ _ ._ .. _. _1993 through.-1994 _ __ ~_1995_throu_gh 1998 _ _ __ -~- 1999 2000 - - - - _.- 2001 - -- ~- -~ -- - 2002 __ -- -- - -- _ ... _. - ... __ 2003 ~- ~ _ _ _ 2004 2005 _ -- ... _. 2006--- - ..-. -- _ _... _.... . - . _. . 2007 .. - ..- - . - --. .._ _Z008 Interest this period _.. __ ._ 2009 _ _ 29.1 __,..3,270.57 ,__ _,_ 130.39. i I - I TOTALS __ 2g1____^_ 130_39 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: _ _ __ _ F COMMONWEALTH .OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105.8486 April 24, 2009 SCARINGT & SCARINGI MELANIE WALZ SCARINGI ESQUIRE SUITE 106 2000 LINGLESTOWN RD HARRISBURG PA 17110 Re: ELVIN B DILLER SSN: 186-28-6964 Dear Attorney Melanie Scaringi Pursuant to your letter dated April 22, 2009, the Department of Public Welfare (DPW), Estate Recovery Program, has reviewed the information you provided regarding the above-referenced individual. It has been determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department's Estate Recovery Program will not seek any recovery from this estate. If your client applied for Medical Assistance and had an application .and/or hearing pending at the time of death, please advise us and provide any additional information that may affect a recovery by our Department. If you have any questions, please feel free to contact me. Sincerely, .~+~.1U(..~ Carole A. Procope Recovery Section Manager (717)772-6604 avlous adllions aro obsolete corm nuu-r (arswr rn nanaooo,{ rava.c ~, S ettement Statement U.S. Department of Housing and Urban Development o -n.-.,...rr ...,.. ~ f1LAR Annrnv~l 1Jn 9Fn9_n9RF fovniroa tvsn»nnai 1, pFHA 2, OFmHA 3. OConv, Unlns. 4, VA 5, Conv, Ins, 6, Flle Number 09-695 7, Loan Number 7700323488 ' e, Mortgage Insurance Case Number u tut s mo . pna a s ^ amen o . ua +..mop ms s, oun pa o a o so amen a0an ua s own C, Nole: Ilsm+ marked -Ip.o.crwars paid auUldo lha dos4w: lh.y ars .Iw.vn h.r. Tor Intonn.Aon puryo+w and era not Indud.d h Iha totals. WARNING: it 1+ a alma to knowlrgly make hlsa sla amanl+ to Uw Unlled Slates on Ws or any other s mAar (arm. PanaAlas upon convldlon rn hduds ^ lira and kn rlsaananl. Fw dalaAs +aa: Title to U. S. Code Sedlon 1001 and s.dlan tot o. TIIIaF,Cpra55 SCttlament SYStem Pdnled 10/2912009 al 11:31 KR D, NAME OF 90RROWER; RACHEL A, KNORR ADDRESS; 2237 Old State Rd. Domslfe PA 17623 • E, NAME OF SELLER: ESTATE OF ELVIN B. DILLER A/IUA ELVIN BRUCE DILLER, SR. AKA ELVIN B. DILLER, 5R. ADDRESS; 909 Church Sf, Mlllersbur PA 17061 F. NAME OF LENDER: MNET MORTGAGE CORPORATION ADDRESS; 805 ESTELLE DRIVE SUITE 201 LANCASTER PA 17601 G, PROPERTY ADDRESS: 909 CHURCH STREET, BOROUGH OF MILLERSBURG, MlLLERSBURG, PA 17061 Mlllersbur boron h H, SETTLEMENT AGENT; Homesale Settlement Services, Inc, PLACE OF SkTfLEME 4309 Lin lastown Road• 717-671.9876 Fax 717.671-9676 Harrisbur PA 17112 I,S[TfLEMENTDATE: 10/3012009 . S MM R 0 BO 0 ER S T S C . S O S S SACT 0; 100, GROSS AMOUNT DUE FROM BORROWER 400, GROSS AMOUNT DUE TO SELLER 101, Contract sales dce 80 D00.00 401, Contract sales rice 80 OOD,DO 102, Personal Pro rt ~ 402, Personal Pro e 103, Selllement char es to borrower Ilne 1400 6442,37 403 i 04, 404, 105, 405, Ad uslments for Items aid b seller In advance Ad ustments for Items aid b seller In advance 107, Count saxes 101301091012131109 108,77 407, Coun taxes 101301091012131109 108,77 108, School Taxes 101301091o0613D110 581.71 408, School Taxes 101301091o0613D110 591.71 109, Assoc, dues 101301091010131109 .98 409. Assoc, dues 10130109 fo10l31109 • ,98 110, 410, i 11, 411, ~ 12. 412, 120, GR055 AMOUNT DUE FROM BORROWER 87133.83 420, GROSS AMOUNT DUE 70 SELLER BO 691,46 '00, AMOUNTS PAID eY OR ON BEHALF OF BOR ROWER 500, REDUCTIONS IN AMOUNT DUE TO SELLER :01, De sit or earnest mono 500.00 601, Excess De It see Insirudlons :02. Prind al amount of new loans 81 632,00 502, SeUlemenl cha es to seller Ilne 1400 8162,08 !03, ExisOn oan s taken sub act to 603, Exlslln loans taken sub ecl to '04. 504. Pa off of Flrst Mort a e Loan _ :05, _ _ ~ 605 '06, Dau hln Coun 2nd 5 000.00 b06. '07, ~ 507, OB, 508, 09,. b09 Ad ustmenfs for Items un a1d b seller Ad ustments for Items un aid b seller 13. ~ 613, 14, 5 , 15, 515. 16. 516, '7, 617, 18, 518, 19, 519. 20, TOTAL PAID BYIFOR BOR OWER 87132.00 520, TOTAL REDUCTION AMOUNT DUE SELLER B 162.08 00. CASH AT SETTLEMENT FROM oR TO soRROWER s0o, CASH AT SETTLEMENT TO oR FROM SELLE R 1 Gross amount due from borrower Ilne 120 87133.83 601, Gross amoun~ due to s ter Ina 420 80 691.46 J2. Less amounts aid for born e I e 220 87132,00 602, Less reduction amount due seller Ilne 620 8162,06 03, CASH FROM BORROWER 1.83 603: CASH TO SELLER 72 529.38 199Trri1T'E FDFIJA tCBA l'sELLt]t aTATEMEM; The kiomeUon oonlalnad hereto Is knpoAanl lax InlomwUon and u balnp Nrrdahed b lha Internal Rsvsrnrs earvlce. I/you aro nqulred b AN a rolum, ne Ipsnce papalry a other nruilon rll ba Ynposed on you A lhls Item Is roqukad to ba repaAed end Ihs IRS dalerminas Ihsl It has not been reported. The Cantrod gales Pdoa desafbed on e o1 chow mnaYWtas Nn Grose Prouada or Ihls 4erwdbn. :LLER INBTRUDTyDNe; Ir Ihls real aaUla wa: your q~rri al roklenee, Ale Form 211a, Sala er F~rdranpa of PMdpal Rasldenu, for any paln,>A11h your Income lax velum; (a other bansacUona, rrplala the appikabla parts or Form 4787, Form 8252 enN« Srhadula D (Porto 1 W o). ru rra requlrad by law b provlda Iha utllemanl aQQand (Fad, lax ID Ne7 _ t N11h ~rwrtsd taxpayer IdeMlArsllon numha~ If you do not pmNda your oortad laxwyer 1denAAoUon ,tuber, you may ba subJad to UN or utrtdnal pwlUas lrryuad by law, IIn~r erpenoN-es oTp-erJury, rally Thal Iha number alawn on Ws slatnmenl Is my mrrsd laq~ayvldentleaUon numbv. ~~ / SEI.LER(5) 91GNATURE(a} / :LLER(e) NEW MAILING ADDRESS: nvauf ^anronr ^r^ oo~uir~r Igml HU0.1 (3rG6J rd H^ndboak /705.2 U.S, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number: 09.695 PAGE 2 cFT71 EMFNT STATEMENT TIIIeF~cDress SeHlemenlSvstem Pdnted 102912009 al 11:31 KR L SETTLEMENT CHARGES PAID FROM PAID FROM 00. TOTAL SALESIBROKER'S COMMISSION based on rice 380 000.00 7.000 c 5 600.00 7 BORROWER'S SELLER'S . _ Division of commisslo Ilne 700 as fdbws: FUNDS AT FUNDS AT 7p1, 3 200,00 to Prudential Homesale Services Grou SETTLEMENT SET'T'LEMENT 702, 2 400.00 to Prudentlal.Homesale Services Grou 703. Commission aid al5ettlement 5 600,00 704. Broker tea to Prudential Homesale Services Grou 200.00 800, ITEMS PAYABLE IN CONNECTION V111TH LOAN • 801. Loan Ori Inalbn Fee ~^ 802. Loan Dlscounl % 803, A raise! Fee to Ko enhaver A ralsals l_R 350.00 804. Credll RD rt to Kroll Factual Data LR 26,44 805, Underwtitin Fee to MNET MORTGAGE CORPORATION LR 425,00 606, Processln Fee to MNET MORTGAGE CORPORATION LR 150.00 807, Guara lee Fee to Rural Housln LR 1 632,34 808, Tax Service Fee to MNET MORTGAGE CORPORATION LR 79.00 Bog. Flood CerUilcalion to• First Amercian Flood LR 21.00 810. 8 1, 900, ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 10!3012009 to 1110112009 11.1800 da 2 Da s LR 22,36 90 on a Insurance Premium for to 903, Hazard Insurance Premium fa 1 ear to Done al Insurance 283,00 904. 905. 1000. RESERVES DEP051TED WITH LENDER FOR 1001. Hazard Insurance 3 mo, 23,59 Imo LR 70.77 t00Z, Mort a e Insurance mo, Imo 1003, CI Pro a Taxes mo. Imo • 1004. County Property Taxes 9 mo. 55,15 Imo LR 496.35 1005 School Taxes 5 mo, 72,52 Imo ~ LR 362,60 1009. A re ate Anal sis Ad uslment to MNET MORTGAGE CORPORATION LR -456,62 0.00 1100. TITLE CHARGES 1101, Settlement or closin fee 1102. batract or IIDe search 1103. Title examination 1104, Title Insurance binder f 105. Document Pre aratbn 1108, Nota Fees to Nola Public 35,00 10,00 1107. Attome s fees Indudas above Items No; 1108. Title Insurance' 824,63 Indudes above Items No; • 1101 110211031104 Rate 11oe, Lendel's olic 81 632.00 •12.00 1110. Owners Pol 80 000.00 •812,63 1111. End 100 300 620 900 200.00 1112. 113. Ciosln SvcLlr 75,00 1200; GOVERNMENT RECORDING AND TRANSFER CHARGES 1201 Recordlng Fees Deed S 51 50 ' Mori4a4e S 73 50 • Release S 125.00 1202,_ CI /Coup lax/slam s Deed 800.00 • Mo a e 800,00 1203 Sla a Taxlatam s Dead 800.00 ' Mort a e 600.00 1204, Record 2nd Mort a e to Recorder of Deeds ~ 59.50 1205, 1300, ADDITIONAL SETTLEMENT CHARGES 1301. Surve 302, Pesl Ins tactlon to Homes ec P,O,C. 75,00 B er 303, WI a Fee to Homesale Settlement Services Inc. 11.00 '304; Internet Doc Pre to Homesale Settlement Services Inc. 50,00 305. Fx ressWandlin Fea to Homesale,Seftlement Services Inc, 25.00 308, 2009 Co, & Tw . ax to U ar Dau hln Tax Office 693.24 30.2009 $c ool lax to U er Dau hln Tax Office 957.21 308. Other Dlsburaements 1520 575.00 101.63 400, TOTAL SETTLEMENT CHARGES lentaron lines 103, Section J and 602, Secllon }(1'_ _ 6 442,37 8162,08 HUD CERTIFICATION OF BUYER AND SELLER , ~h^ve ar~(~Iy reN^wed Ih^ HUD•1 Se10^manl Slatamenl and l0 !h^ best or pry knaMedp^ and bepd, IlR a Wa and accuroh slalement o! all nxelpls and dlsbursamenls made on myaccounl a by ma Ihls Irani^cUon. l fuM^r n91y that I have raahtidya mp~y d Ihs HUD.I SdUimml Slalemenl, ~/ 1 / ~ ~ . ~-t/ y O ~ • ~iLLFR, SR /ARNINO: rTl9 A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS 70 THE Th^ HUD•1 S^IOernent 51^I^rrcnl vMklr I h^w Pr^pued h ^ bu^ ^nd ^orwal^ ^c~unl d Ihl^,4ansacllon, NrrED STATEB ON THI3 OR ANY SIMILAR FORM, PENALTIES UPON CONVICTION I have oured awtil aura the Nnds lobs dl:burred In axordanea xllh INs sblemanL AN INCLUDE A FINE AND IMPRISONMENT. FOR DE7NLS SEE TITLE 1e; .S. LADE 9ECTIDN 1001 AND SECTION 1010, SY, ~jci.. l ^ ~xTE~_ •i..~.n...uuu,~. w. uuswnv form HUD-1 (SI06j rel Handbook ~J05,2 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Flle Number, 09.695 PAGE 3 SFT71 FMFNT STATEMENT r~ide,,,,.e..r e~eie.~e.,i a„.~eM o.~.,isa ~nnanmo ~~ ~~•z~ uv . t ITEMIZAT 0 OF D L E 1308 1500, SCHEDULE OF DISBURSEMENTS BUYER SELLER 1501, Inlllatlon fee to Oak Sfraet Homeowners Assoc, 100,00 1502, Nove dues ~ to Oak Street Homeowners Assoc, 15,00 1503, Tax Ceri. to Homesala Settlement Services inc. 10.00 1504, Admin ice to Dau hin Coun AHTF 100,00 1505, Flnal WalerlSewer, to Mlllersbur Area Author) 91,63. 1506, Radon Tesl(ng to Home S ec Ins action Protection P,O,C, 125.00 B er 1507. Doc 08-Dec 2011 HOA Dues to Oak Street Homeowners Assoc, 360,00 1608. Home Inspection to Home Spec Inspection Protection P.Q.C. 300,00 Bu er 1609. 1510. 1511. 1512. 1513, 1514. ~ • 1515, 1516, • 517. 51 B, 518. 520, T07AL HUD LINE 1308 EXPENSE: 575,00 101.63 /~1 IVY&T Bank 423 North Enola Road, Enola, PA 17025 717 732 0765 Fnx 717 732 6484 June 1, 2009 Scaringi &Scaringi 2000 Linglestown Rd Suite 106 Harrisburg, Pa 17110 Re; Estate of Elvin B Diller (aka Elvin Bruce Diller Sr.) To Whom It May Concern: Attached .you will find Date of Death Balance infoimatio~ as 1'~~~~s~~~. 1.Account # 9844899055/Checking/Elvin B. Diller/DOD Balance ~;~7,5,49.G9 + accrued interest of $.073= $27,550.42. 2.Account # 15004214673102/Savings/Elvin B Diller/DOS ~~~~~G~~ ~~ + ~~ ~~ci•ued interest= $0.00. S i}~ee ',.~ y~ Re~~cc~~ A~.. ~ot•yYart Branch Meager (7 ~ 7~~'~ S-~~~ ~ wvbua ^dilbnt ^n obsolel^ roan nuu-r 1xoo1 ran n^nooooti.ovo.~ A, S ettlemerit Statement U.S. Department of Housing and Urban Development nn,1R Annrnval Nn. 2502-0265 rexolres 11/30/2009) o. I v ~i wai, 1, ^FHA 2. OFmHA 3. ^Conv. Unins, 6, File Number 7, Loan Number ' 8. Mortgage Insurance Casa Number 4. VA 5, Conv.lns. ~ 09.695 7700323488 , ,,,,, . e u e s .m o . ee ema:r w:. o s . o y • sa men span ... ovrtt TIl18EXpreSS Settlement System C, Note: Ibms marked `(p.o.a)' wen paid oublde the doelm: ll»y ue.hown hen fw IriorrmUon purpoaas and ^n not Induded In Iho tolala. WARNING: II Is ^ acme to krwwlrgy make hiss ale emenls to Ws Unll^d Sblee on Ws of^rry other s Aer form, PeneMlea upon wnvk:Uon un Include ^ Ma.rd acnmsnl FddebAs aee: TNIe 18 U. S. Code 8^dlon 1001 .nd season Coto, Pr(nled 10/29/2009 at 11:31 KR D, NAME OF BORROWER: RACHEL A, KNORR ADDRESS: 2237 Old Slate Rd. Domslfo PA 17823 E, NAME OF SELLER: E57ATE OF ELVIM B. DILLER AIK1A ELVIN BRUCE DILLER, SR, AKA ELVIN B. DILLER, 5R. ADDRESS: 909 Church St. Mlllersbur PA 17061 F. NAME OF LENDER: MNET MORTGAGE CORPORATION ADDRESS• 605 ESTELLE DRIVE SUITE 201 LANCASTER PA 17601 G. PROPERTY ADDRESS: 909 CHURCH STREET, BOROUGH OF MILLERSBURG, MILLERSBURG, PA 17061 Millersbur boron h H. SETTLEMENTAGENT: Homesale 5ettiement Services, Inc. PLACE 0 SETTLEMENT: 4309 Lln lestown Road 717.671.9876 Fax 717.871-9676 Harrlsbur PA 17112 ' I, SETTLEMENT DATE: 10!3012009 M R BO S SACTION: , S MMAR OF SE LER'S RA SACT 0 ; __ 100, GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101, ConUact sales rice 80 000.00 401. Contrad sales rice 80 000.00 102. Personal Pro art 402, Personal Pr e 103. Settlement char es to borrower Ilne 1400 6442,37 403, 104, 404 105. 405, Ad ustments for Items aid b seller In advance Ad ustments for Items std b seller in advance 107. Count taxes 10!30109 012131109 108.77 407, Coun taxes 10130109to12131109 108,77 108, School Taxes 10130109 l0 06!30110 581.71 408, Schod Taxes 10130109 to 08130!10 581.71 109. Assoc, dues 10!30!09 l0 1 013110 9 .98 409, Assoc, dues 10130109 to 10131!09 .96 110. 410. 111 411. , 112. 412. 120, GROSS AMOUNT DUE FROM BORROWER 87133,83 420, GROSS AMOUNT DUE TO SELLER 80 691,46 200, AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE 70 SELLER ?01. De sit or sorriest moos 500.00 601. Excess De sit see Inslnicllons ?02. Princl al amount of new loans 81 632,00 502, Settlement cha es io selle line 1400 8162.08 ?03, Fxislin loans taken sub act l0 503, Exlstln loans taken sub act to 1pq, 504, Pa off of Flrst Mort a Loan 105. 505, ?06. Dauahln County 2nd 5 000.00 508. 107. ~ 607, 108. 508. 109, , b09, Ad ustments for Items un aid b seller Ad ustments For Items un aid b seller '13, 613, 11q, 514. '15. b15. 18, 516, :17, 517, '18. 518, :1 g, 619, 20, TOTAL PAID BYIFOR BOR OWER 87132,00 520, TOTAL REDUCTION AMOUNT DUE SELLER 8162.08 X00. CASH AT SETTLEMENT FROM OR TO BORROWER 600, CASH AT SETTLEMENT TO OR FROM SELLE R 0 Gross amount due from borrower line 120 87133.83 601. Gross amount due to seller Ilne 420 80 891,46 02, Lass amounts aid b Ifor borrower line 220 87132.00 1102, Less reduction amount due seller Ilne 520 8182,08 X03. CASH FROM BORROWER 1.83 603. CASH TO SELLER 72 529,38 USSTfTVTE FORM 1oa9 SELLER STATEMENT: the Inramupon wnbined herein N knporbnl tau InromvUon and b belnp Nmbhed la Iha Inlemal Revenue SeMe^, gyou an nqulnd to Me a Mum, neyl me penalty or other earxilan wYl be knposed on you Ir this Item la regWrsd to be nporlsd end Ihs IRS delanNnes Thal It has not been reported, The Contrad Sties Price daulbed on ~e +01 sbow wnaUWlea the Grose Proceeds or Ihla banwcpon. ELLER INSTRUCTIONS: If Ihb nut able was your pond 1 rsaldena, fle Form 211 p, Bela or Fxchanps d Prlndpal Rasldence, rot any pain, wlpt your Income lax regxfC ror other bansecUoru, rmpbl^ lh• appUnbla parts or form 47W, Font e2b2 anNOr Schedule D (Form 1 WO). ou ere requked by law b pmvide Ute aelUemenl appanl F( ed. Tax ID No: vAlh your coned lazpayer WenpOalion number, if you do not proNds your oohed laxpaywldenllllapon ember, you maybe subject to duty or afminel psnalpas ed bybw. er pens u o prJury, I krUy Ural the number shown on Ihls sbremmt Is myeensd lat~oyer IdmWlntlon number. M; I SELLER(S) SIGNATURE(S): ELLER(S) NEW MAILING ADDRESS: Corm MUD•t (3/86) ref Handbook 405.2 l1 VgUf tlp111Mf tlltl ppf pl Yltl U.S. DEPARTMENT OF HOUSING ANO URBAN DEVELOPMENT F(le Number: 09695 PAGE 2 e. r~r7'1 raRrur eY A 7eeNCAfT 7111nFvnrocc CaHlomanl Svelam Pdnfad 1029/9009 a111'31 KR 4 L 1 I LLlrl~l\ 1 V! 1111 ~.rflr.lf ! •~^--- •--- --- L. SETTLEMENT CHARGES PAID FROM PAID FROM ' 700. TOTAL SALESBROKER'S COMMISSION based on rice 580 000.00 7.000 = 5 600.00 BORROWER'S SELLER S Dt Isbn of com Issl Ilne 700 as follows: FUNDS AT FUNDS AT 701, 3 200,00 to Prudential Homesale Servlces Grou SETTLEMENT SETTLEMENT 702. 2 400,00 to Prudentlal.HomesaleSBrvlces Grou 703. Commission aid al Settlement 5 600.00 704. Broker fee to prudential Homesale Services Grou 200,00 800, ITEMS PAYABLE IN CONNECTION 1NITH LOAN 801 Loan Orlalnallon Fee 802, Loan Dlscounl 803, A raise! Fee to Ko enhaver A ralsals LR 350.00 _ 804, Credll Re on to Kroll Factual Data LR 26.44 805. Underwrilln Feo to MNET MORTGAGE CORPORATION LR 425.00 806, Processln Fee to MNET MORTGAGE CORPORATION LR 150.00 807. Guarantee Fee to Rural Housln LR 1 832,34 808, ax 5ervke Fee to MNET MORTGAGE CORPORATION LR 79.00 809. Flood Certlncatlon to• First Amercian Flood LR 21,00 810. 811. 900. ITEMS RE UIRED BY LENDER TO BE PAID IN ADVANCE • 901. Inleresl From 1013012009 to 11101!2009 11.1800 !da 2 Da s LR 22,36 902. Mori a e Insurance Premium for to 903. Hazard Insurance Premium for 1 ear to Done al Insurance 283.00 904, 905. 1000, RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance 3 mo. 23.59 Imo LR 70,77 1002, Mortaa a Insurance mo, !mo 11)03, GI Pro art Taxes mo. mo . 1004, Coun Pro Taxes 9 mo, 55.15 /mo LR 498,35 1005, School Taxes 5 mo, 72.52 !mo LR 362.60 1009. A re ale al slsAduslmen o MNET MORTGAGE CORPORATION LR -456,62 0.00 1100. TITLE CHARGES 1101. Settlement or closln fee 1102. Abstract or Ulle search 1 03 71t1e examinalbn 1104, TIUe Insurance binder 1105. Document Pre aratlon 1108. Note Fees to Nota Public 35.00 10,00 1107, Attome s teas Includes above Items No: 1108. Title Insurance• 824.63 Includes above Items No: • 1101 110211031104 Rafe 1109, Lenders Pollc 61 632,00 •12.00 1110. Owner's Pollc 80 000,00 •812.63 1111. End 100 300 820 900 200.00 1112, 1113, Closln SvcLfr 75.00 1200.OOVERNMENT RECORDING AND TRANSFER CHARGES 120 , Recordln Fees Deed 51.50 ~ ort e e 73,50 ' Re ease 125.00 1202. CI ICoun tax/stam s Deed 800.00 - Mort a e 800,00 1203. Slate Tax/stam s Deed 800,00 • Mort a e 800,00 1204, Record 2nd Mort a e o Recorder of Deeds 59,50 1205. 1300, ADDITIONAL SETTLEMENT CHARGES 1301 Survey - 1302, Pest Ins ecUon to Homes ec P.O.C. 75,00 Bu er 1303. Wire Fee to Homesale Settlement Servlces Inc, 11.00 1304: Internet Doc Pre to Homesale Settlement Services Inc. 50,00 1305, Fx esslHandlln Fee to Homesale Settlement Servlces Inc. 25.00 13013. 2009 Co. & Tw .tax to U er Dau hln Tax Office 693.24 1307. 2009 School lax to U er Dau hln Tax Office 957.21 1308. Other Dlalwrsements 1520 575,00 101.63 t dOn_ TnTAI SETTLEMENT CHARGES fenler on lines 103. Secllon J and 602, Sectbn Ki - 6 442.31 8162,06 HUD CERTIFICATION OF BUYER AND 9F1LER , hew ranlultyIy rsNewed 8ta HU0.1 SslBsmenl Stalertwn{ and to Ihs bat orrry krlowlsdpe and betlar, ll la • We and ^ccurale stalemenl pr all recelpla end disbursements Oude an my account a by ms Ihla Iranactlon. lurlhu er01y Ihel l have ncelwdys copy of the HU0.1 SelUemenl Sblerrwll. L./ ~' ~ ~CI P~a ~~ , ~ IOAELVnVBRDCE[1~f~dl~TfFCRIRELVI . )ILLFR, SR. , NARNINO: R IS A CRIME TO KNOWIN4LY MAKE FALSE STATF1dENT8 TO THE Tlta HUD•1 SelUsmeM Slahmenl wfilch I haw prepared la a We and scarals sceounl or Ihls,lr+naadlon. JNITED STATES ON THIS OR ANY SIMIWt FORM. PENALTIES UPON COPtVICTION I have posed orvAll cause Ihs hinds to be dlsbtased In eaordenes MA01 this slalemsnL :AN INCLUDEA FINE AND IMPRISONMENT. FOR DETAILS SEE TfTI.E iSt 1.5, CODE SC-0TION 1001 AND 8ECTION 1010. ar°~~ ,m--- forth NUD•1 (3/OB) ref H~nabook X305.2 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Flle Number: 09.695 PAGE 3 CGTT'I FMFAI7 RTATFMFAIT 71tlnFvnruec QoHfomonl Rvclom Pr{nfad 10M)917M9 al 11131 KR ITEMIZATION OF N D LINE 1308 1500. SCHEDULE OF DISBURSEMENTS BUYER SELLER 1501. Inlllallon fee to OakStreet Homeowners Assoc, 100,00 1502. Nova dues to Oak Street Homeowners Assoc. 15.D0 1503, Tax Cert. fo Homesale Settlement 9ervlces inc. 10.00 1604. Admin tee to Dau hin Coun AH7F 100.00 1505. Flnal WalerlSewe to Mlllersbur Area Authorl 91,63 1506, Radon Teslin to Nome 5 ec Ins action Protection P,O.C. 125,00 Bu er 1507. Dec 09-Dec 2011 HOA Dues to Oak Street Homeowners Assoc. 360.OD 1508. Home Ins action to Home S ec Ins action Protection P,O.C, .300.00 8u er 1609. 151 D, 1511. 1512. 1613. 1614. 1516, 1516. 1517. 1518. 1519, 1520, TOTAL HUD LINE 1308 EXPENSE; 575,00 101.63 ® 11/17/2009 04:48 7177619476 CH•DISPATCH~ PAGE 01/01 ~( 10 I~ ~ r r ~ Ili ~...r.-----~ . t ,~-»~~C~N•~R, • • C~=R71~'!EL? PZ!!~1_IG nr;ChUNTANT~ ~ ~,nly~!r,yvfdcol~.r,un~ ~r)n~ ~~ST Tf~II~It1l.E i~oAL'~, SUI'rF aoo, MEGI•tdiNIC~F31.1RCa, f A '171:15n-3~a7 r (71 ~~ 50r;.•I~, ~ FAX (717) SQP,-123 ~ T~I\i01NY C, V'/'~CoC'r:Mli}i.Gi~A pp,'dl;? A. f'HI~.I,IF~•, CFA 3F11h~1 Q ;;TPN.IE, C °,t ' fI aYMIC.~Dl4 ! % L1~CI+NDI, GPr . . nggFPT f« Naha, !; Fly , ~onaae C„ nr:FtT..rn . I.I;;a. b1.5T•~TL C~'l, I; PA iLfzhNN~t PI, NYr, CC'h JFNN'F~R ry Ll'T•tiM&fJ. C•N~ November ~, 2(')0~ The estate o~}'~lvi,n B- D:'t1,1er, Sx. },dim Sttohecl~er 32g N, Mountain Read 7~iewviile, Pa i7~~1. ' check rc rese>.~fis the bctlef ciary's share of the pr~nc~pa] to n ~ t1 ~e ~stafre o ~BoYct T. 7'11~s P ,n the a.a~~oul~t of ~ 133,311 .U( C evnnbcrland. Vallcy Land C~leac~n~ . Dxl lcr. Si7lccrc;ly, ,~ , , Da~~id A, P11i11i~s Executor . .+..a... .._..... ^r-~.r"_'~"V...w•,,......r.~-._..1,,..._...• ~...~T-.r,r »' _. y...., ,,..._ .,..~. ..... ,...._.. ....~.. .... «. •.r.. ..r r....... ...»., r~.» ~,r.., 1,IA 1~ n .. ~ _.... _L l.J 11 ea ~.~krl.....,'~r~ DATA. ~' ~' ~'~ ORDER Or._. "r ..,,' ` •-- • •f, ..... •~ r ~ ,; ~ ,,G .., ~ -%' ~; fi L. ..r1::r ~ ~1S,,,Lf1 R S .,r. ,il ..._. •• ~/~ ~ " .... .._... ..r. r :'• c .'F rte,/''I"f~.} ~ r~~r~rFlf I //;../~~,,.~/' // _tP •T,!'~1a~ d'~',e ]'~'~I r ~J CII,.'~'71.,~'~"'~~~~~•` ;. ...• ,.«. j1 ..11\ ~ 1 ' / 1 J /r~ r i .~~ ,.~ ~' ~ 11 .~ rf f ~'/«~ `'*'~{ fI ...r ,..r., .._.. ' '__ ..._. - ~ ~ I _~+ ~~J~;•.~. •..... !.C_,<•..•_.• .....~.~,_ ,_., »~.; 0 5 ~ X811" ..,_...~ .~ IIR o o ~~ o ~ z II~ ~ ~ a 3 ~ ~ o ~ 9 5 ~ ~: 9 ~ o ~ _... ,.»__ , __...___ ._ T~il~ers ~'~~e~al ~I®m.e, ~~.c. ' Boyd L. Myers Jr., Supervisor 37 East Main Sheet Mechanicsburg, Pennsylvania 17055 (717) 766-3421 Fax (717) 795-7291 A standard of excellence in Central Pennsylvania since 1910 Wednesda Ma 20 2009 (~~ y' y V -1 Mr. Elvin B. Diller Jr. ~ `\ ~: 6859 Wentzville Road .~ Enola, PA 17025 FINAL NOTICE BEFORE LEGAL ACTION We have tried to settle this account in a meaningful and respectable way however, our patience and your time has run out. If this account is not paid in full within 14 days of the above date, we will take this to a local magistrate and have charges of theft by deception filed against you. You have only fourteen days to avoid this action and any ensuing newspaper or other embarrassment your failure to act will cause. You will not receive any further correspondence from us prior to the filing of charges against you. Elvin Bruce Diller, Sr. SUMMARY OF EXPENSES TOTAL OF SERVICE RENDERED $6,337.00 LESS: Credits granted 1,595.00 LESS: Total Payments 3,300.00 ~-~ Return check charge CURRENT BALANCE $1,442.00 Credits Granted: $1,595.00 Package price Discount _ _ ~.+-^^1 YOUR PAYMENT MUST REACH US BY 6/3/2009 Interest at the rate of 1.5 % per month (18 % per annum) will be added to balance after 30 days. You will receive no further correspondence from us prior to action being taken) Sincerely, Lo;,~Ilhl flh+M L`Ni 4unpw~ P~o~~I..,n•~n.d Ofi/17/09 15:31 FAX 215 826 2855 STONEDiOR CREDIT StoneMor Controller Receipt ~.iy,=~:r•~~ie~~f ~=)5 51172 'l'~rai~saction t~esult::~ Merch D~: 081952956729 Status: - accepted Transaction ID: 024-0062034125 ~~~T'il1C1SflG~AD~Ts ~'1f.'~F.i.1~5 Date: 06-17-200915:36 EDT .Action: .sale ' Amount: ~ X5,556.'12.. Media; ~ ACH Account Number: xxxxxx~cx--2940 Name: Biller Jr, Elvin B Address: 6859•Wertxviile R:cl • City, State, Zip: Enola, PA 17025 ~ Contract: ' 495-2800050rm : • Customer Signature ~ ____ Cool Page 1 of 1 ~~ ~,r' ~~o ~ ~~~ ~ e~ ~i V ~ Y' V ? e ~,J r r' `e u~o r ~ d, ( ~9Gt fLCQ ens CC, YN ~T- l_IJ ~T ~S ~~~~2 u ~~~~ G~ https://vault.trustconvnerce.com/trans-result.php?printable=yBeach=y&retumURL=vt•php••• 6/17/2009 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 4/14/2009 Cumberland County - Register Of Wills Receipt Time: 10:25:42 One Courthouse S uare Receipt No.: 1056445 Carlisle, PA 1713 DILLER ELVIN B Estate File No.: 2009-00347 Paid By Remarks: KIM M STROHECKER . CJ ________________________ Receipt Distrib ution -----------------~ --- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS ADM 260.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 16.00 CUMBERLAND COUNTY GENERAL FUN JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN Check# 2187 $291.00 Total Received......... $291.00 SCARINGI & SCARINGI, P.C. DATE Apr 20/2009 CHE # 4521 AMOUNT : $75.00 ACCOUNT: GENERAL - 1 PAID TO: Cumberland County Law Journal publication fee - estate of Elvin B. Diller CLIENT: 1773 - Diller, Estate of Elvin B. Sr. MATTER: 09-90 I 00452, i SCARINGI & SCARINGI; .~? C. ~• .•. .• • . • ` ~ CITIZENS BANF: • 3-7615/,380 •.~ CHECK N_ 0, 2000 LINGLESTOWN. ROAD, SUITE 106.• •: ~ • . • . ' .• .•• ~: ?ennsylyania • . O O 4 GJ 2 ~. HARRISBURG, PA ~ 17110 ~` ... .. ~ ' . 717-657-7770 .. ~' .' . •: • • • ' ~ .. . . Seventy Five *********~•**.*~~~~~:~•~.*;~,*'~*.****~*****~*******~***~********* 00/100 ... .. • . -. ~ : .. • .. '. ~ ~. ~ bAT~ •• AMOUNT PAY TO 7HE ORDlR OF • . • ; ' • • ' ~ ~ .~ ~ Anr •20/2009 X75.00 II'0045~111' 1:0360?6i~501. 60158625?u' SCARINGI & SCARINGI, P.C. DATE Apr 20/2009 ** GENERAL BALANCES ** 0 0 4 5 21. CHE # 4521 UNBILLED DISBS: 15.00 AMOUNT $75.00 A/R BALANCE 946.62 ACCOUNT: GENERAL - 1 PAID TO: Cumberland County Law Journal publication fee - estate of Elvin B. Diller 1773 - Diller, Estate of Elvin B. Sr. MATTER :09-90 ** TRUST BALANCES ** LAWYER :Melanie Walz Scaringi c/o Kim M. Str.ohecker 328 North Mountain Road 'Vewville PA 17241 TRUST BALANCE 0.00. estate Administration- Diller, Estate of Elvin B. Sr. RF•URU~R ~ORM1 t 93~J-Lc31 (1 PART; U5~ trli'T{•~ GGP~lP~i~~l3t~ts 4N'~'F:~ri~;~::r•~.t.;{, RETAIN THIS PORTION FOR YOUR RECORDS ' ~~tEMITTANCE ADDRESS BILL TO THE SENTINEL - LEGAL SCARING I & SCARINGI P.O. BOX 130, CARLISLE, PA 17013 SALESPERSON BILLING DATE LINES AD NUMBER CLASS 368035 10 PUBLIC NOTICES carts 05/13/09 34 * 2 START DATE STOP DATE AD DESCRIPTION 04/29/09 05/13/09 TATE NOTICE LETTERS OF ADMINISTR ES INSERTIONS RATE NET AMOUNT GROSS AMOUNT PUBLICATION 3 THE SENTINEL - LEGAL, 3 LGL 180.54 TOTAL AD CHARGE 180.54 3 PROOF OF PUBLICATION 01PRF 7.00 DAYS RUN PURCHASE ORDER pAY THIS AMOUNT I 1s7.54 ~ 225 • 05* Est E . Diller * AFTER 112/09 MESSAGE: Thank you for advertising with The Sentinel. . Deadlines for in-column legal advertisements: Monday is 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; Fra.day 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 o%~° DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT THE SENTINEL- LEGAL ._ Est E. Diller t'.V. [3VIl IJV V1IICLIJLC AD NUMBER rn iiv is CLAS START DATF STOP DATE S 368035 PUBLIC NOTICES 04/29/09 05/13/09 AD DESCRIPTION BILLING DATE TELEPHONE NUMBER ESTATE NOTICE LETTERS OF ADMINISTR 05/13/09 717-657-7770 SCARINGI & SCARINGI _ 2000 LINGLESTOWN RD. . SUITE 106 HARRISBURG, PA 17110 I~~~ill~~~l~~~ll~~~llil~~~ll~~~l 20200000003680350000000000000002250500000187542 GROSS AMOUNT OF 226.05 DUE AFTER 06/12/09 TOTAL AMOUNT DUE 187.54 ENTER AMOUNT ENCLO ED Y ~~y .~ ,. 7 i Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square • Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 I INVOICE _I Bill To: ~ ~ InvoiceNo: Invoice Date: SCARINGI & SCARINGI Estate of: 2000 LINGLESTOWN ROAD Estate No: SUITE 106 HARRISBURG, PA 17110- Qty Fee Description Fee Total _..... 3 Renunciation 5.00 $15.00 Total: $15.00 2420 3/14/2009 ELVIN B DILLER 21-09-0347 Checks should be made payable to the Registex of Wills. Terms: Net 30. Please return one copy of this invoice with your payment Thank ou. ~, ~ t ~.r,.~: .~.~Yti P;tS,ilF it r...t~ .i. ~. .:.~....l f.: i.i~:..,::1 .. .. ,v. :. ~'::.~ Payment History Page 1 of 1 r Home [ myPPL [ Contact Us [ Outage Center ~ Log Out ~ ~ ' ~ %. ' Residential ~ Commercial and Industrial ~ Business Partners ~ Community Services ~,;, ~ ~:~•~; Quick Links , ... _ . .. ~ 7 elJ:~l. .~ 3r`}t~~I .• ~>~~~ Welrome, Elvin Diller kirnbokms c~aol.com (iJadate Xautly~ Pro I [Mxl~ank_lnisrmaltan) Account #: • 76320.81010 [yig~~+J Address: 909 CHURCH ST UNIT 4 MILLERSBURG, PA 17061 Rate Type: P,SO [Sglecl/Add a different 6gc~ntJ > rnyPPL Energy Analyzer > View My BIII > Make a Payment > Phase•In Option > Enroll In Automatic BIII Payment > Enroli in Paperless Billing > Enroll in Budget Billing > Stop 5ervlce > Start Service > View Service Order(s) > Vievr Payment History Make Payment Arrangement ' > Update Contact Info > Rer{uest Dupllrate Bill > Raport an Outage > My Outage Status > Tako a Survey ~efi~eh.¢iaG C~t,tiF6h-•er1 View Your Payment History Account: 78320.81010 Current BIII Dua Date: 05/07/2009 Total Balance: $96.24 Bill Amount as of 0411612009: $98.24 Vlew Your Curre t Payment Date Payment Amount Payment Type Payment Stales 05!08/2009 596.24 Electronic payment Customer issued Scheduled s~sDS~I ~~~~~~ k"~~~~~ ~•~~ ty~ie'i~c ~i '1 5'ue ~ •S ~" as , f:~:` p ~ t1.~,~, 08 s , •~2~2.t}8 c ' . _ .. se. ~,C _ ~ . .. , ~•. ....., e_,..,. ,.Succes5~ . 06/28/20p8 5147.64 Check Success 05/01/2D08 $68.34 Check Success 04/0912008 570.D0 Check Failed 04/U4/2008 5250.00 Credit Card Success 12/31/2007 $8.89 Check Success 12/12/2007 $167.07 Check Success 12 P~~~ Terms and Conddions I Privacy Statement I t9 2008 PFL Corporation https://selfserv.pplelectric.cam/EUSelfSeiv/Secured/PaymentHistory.aspx• 5/8/2009 r-. Electric Service For: ELVIIJ DILLER 909 CHURCH ST UNIT 4 MILLERSBURGPA 17061 Summary Page Balance as ofApr 16, 2009 $60.52 Char es: Tota~PL ELECTRIC LTTILTTIES Charges $35.72 Total Charges $96.24 Pa This Amount No Later thanMa 7 2009 ~ $96.2 Account Balance $96.24 Page 1 Your Bill Account Number 76320-81010 se when callin or writin ppuestions about this bill? Please contact us by May 7 at 1-800-342-5775 (1-800-DIAT.rPPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplelectric.com Electric ~Jse Meter Reading Information This graph, shows your electric use over the last 13 months. es of eter Readings: Actual Adjusted ~~,~~~ Estimated ~] Customer (~ 36 30 24 18 12 6 0 KWH -Average Per Day AMJJASONDJFMA 2008 Months 2009 Meter #83565324 Apr 16 Actual S Mar 17 Actual 5 30 Da s KWH Billed Average -Apr 2008 20 pperature Te m 46F 4 ~~~ ~~ KWH Per Day 7 8 Yearly Use: Total Average Use Monthly May 2007 -Apr 2008 5314 443 May 2008 -Apr 2009 4100 342 Other important information on back ~ Return this part to address below with a check payable to PPL Electric Utilities Corporation Your Bill Account Number Please Pay B Pa This Amount 76320-81010 May 7, 2009 $96.24 Amount Enclosed ELVIN DILLER 909 CHURCH ST UNIT 4 ~ MILLERSBURGPA 17061 PPL EL$CTR1C UTILITIES 2 NORTH 9TH STREETRI'C-GENNI ALLENTOWN PA 18101-1175 ~p~ `8\pq ro~e~ O~ef B 2078 ~ 1826 252 (-, a9 6F 1 1 8900000962490000096247, 7632081010 c PPL Electric Utilities ~EIeC~~'~.C S erviCe For: ELVIN DILLER-ESTATE 909 CHURCH ST UNTT 4 MTLLERSBURG PA 17061 Questions about this bill? Please contact us by Jun 5 at 1-800-342-5775 (1-800-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA ] 8l 04-9392 www.pplelectric.com E~~Ctr~C ~.J ~ e This graph,shows your electnc use over the last 13 months. Types of Meter Readings: Actual Adjusted Estimated Customer (~ ,~~ ,~,~, ~ •.• . - Page ] '~:'~ 763F20-81010 ` N Summery Page Balance as of N1ay 15, 2009 $0.00 Charges; Total YPL ELECTRIC UTILITIES Charges $17:61 Total Charges $17.61 .~'.~.~"~~~'•'~~~ , ~ , ~ , , ,•i• r/• •• •' ~ ; ~ }~• i•'• spy !~~v}• r :;'; ::r.,i : r~•~ r~': 'S~'•C'::'{•~:?!G'ii' .±i~~ w +„J ~ rr T ~~~~•JI?~i~(H•~•.~~~]UN:~M~~'•1^'7':~~.•~:::il:(~ : 't"^ Accolmt Balance $17.61 ~\ KWH -Average Per Day 36 30 24 18 12 6 0 MJJASONDJFMAM 2008 Months 2009 Meter Reading Information Meter #83565324 May 15 Actual 52164 Apr 16 Actual 52078 29 Da s KWH Billed 86 Average -May 2008 2009 Temperature S7F 59F I{WH Per Day 7 3 Yearly Use: Total Average Use .Monthly Jun 2007 -May 2008 5233 436 Jun 2008 ~ May 2009 3979 332 Othel• important information on baclc ~ ,, ,~~ ~ ~ ~ ~ ~`.~.~~~0,:~,- Page 1 V ~ ~ r i i•ii•+•~ti•i•+i$•+• ' ~i•~lt~•: ~ ~ ,, ~i ~1t 5•: i~M ~ ~•~• : •1'='+:1:~ ~ i. • •r: t r rI• r . PPL Electric p~ .;~;; 76320-81010 Utilities ~' " ~~Ft•: ~,•r. r,~ ' .S'Y ~ OA,-0Q)~l ~.l;~~i~ 1 ~'a:r+•rr. r.. i• Electric Suimmary Page Service Balance as of Jun lb, 2009 $0.00 For; Char es; ELVIN DILLER-ESTATE Tota1~PL ELECTRIC UTILITIES Charges $10.47 909 CHURCH ST UNIT ~ b1ILLERSBURG PA 17061 Total Charges $10.47 ,•, ~•+.. . .,... y:.i:Ki;,;~ ,,iq.t ~.,.i r.;, , ~ , i ~;, .~. ; :,;rj , r+.{: •i r :;.p1 r,~:~; , ~.;• ~•~ r~ ,•rr,,•, rr, r,;, ,....,.,,i .., ~: , •~ ; r :~; . ; ~:~• ; •,:rrrrrrrr,; ~~11 , i.~ i r,ti•r •i:}~ 1 r• r 1 + ~~~~~,•~~i~~i,~#~~i•~7~~~~:~~i:I:~:c:i:,.~;:~i:;.r rri:~:i:~:l:r~l:•:~•~:,1::1~~~~• Account Balance $10.47 ~uestiona about this bill? Please contact us b Jul 7 at 1-800-342-5775 (1-800=DIAL-PPL) o: "` or write t Customer Service l n I 827 Hausman Rd. '~ 1 Allentown, PA 18104-9392 www.ppl el ectric. com Electric Use This graph shows your elecfic use over the last l3 months. Tyyppes of A•[eter Readingtt: Actual Adjusted Estimated ',:;~~;: CU5t011]eI KWH -Average Per Day 36 30 2a 18 12 6 0 A•Ieter Reading Infornxation A~teter #83565324 Jun l6 Actual 52184 May 1 S Actual 52164 32 Da s KWH Billed 20 Average -Jun 2008 . 2009 Temperature 66F 66F KWH Per Day 13 l Yearly Uae: Total Averagge Use Monthl•v Jul 2007 -Jun 2008 5382 44~ Ju12008 -Jun 2009 3612 30l JJASONDJFMAMJ 2008 Months 2009 Othe~• Important infor•matlon on baclt ~ P~iectric Utilities Electric Service For; ELV[N DILLER-ESTATE 909 GHURGH ST UNIT 4 MILLERSBURG PA 17061 ,1, ~~, , ~'~~ ~ ~ Page3 • ••~. •. ~t•1 :'lo: ~ 1 .. i . 1 .. 11 , . • .... 1.1.1 rl•, i•i i•i'i'i'i ::•~• ~ 111 • ,•,•,•,1 o. _ ....5(~~iE:;ail.1•t1G:c.:4:~Ig4~:I~4iiaU4X:.:~:1:~ 76320-81010 p •'~~; ~, '. 1;1;; ; 1' :1'111 1.111'1' ':}; 111 { 1'1':11• 1.1;1' ~i:~:;aa: ,'~t~': ;w ~tt:~ttkf~i • .~r-~ialli ; i:.-aa!~i~ ;: Total fro~rt Last Bi!! $20.4.7 Billing Details Amount You Still Owe as of Aug 17, 2009 $20.41 Current Charges Charges for -PPL ELECTRIC UTILITIES PPL Electric Utilities Residential Rate: RS for J'ul 16 -Aug 17 Customer Service Distribution Charge; 827 Hausman Rd. Customer C.liarge 8.32 Allentown, PA 200 KWH at 2.89200000¢ per KWH 5,78 l 8104-9392 368 KWH at 2.63000000¢ per KWH o 9168 1-800-342-5775 PA Tax A 'Surcharge at -0,06400000 /o -0.02 1-800-DIAL-PPL TransYnission~llar e: ,~ ~ 568 KWH at •01200000¢ per KWH 4,~7 www.pplelec;tric.com• • Tran5ltion Char e; • • 200 KWH at~ .21000000¢ per ~~ 3.95 • 368 KWH at 1.07300000¢ p • Generation Charg e; Cappacit~yy and Energy Z00 TCWH at 5.94900000¢ perKWH 11,90 368 KWH at 5.23100000¢ per KWH 19.25 Total PPL ELECTRIC UTILITIES Charges $65,55 tl~er Char es for PPL Electric Utilities LOate Pa en~ Charge 0.26 ~~ ~~ ~ Total of Other Charges $0,26 0 • rr • : r, rr{, :•: •: rr.. r: r: i;i;:: r. r~l .. ,;-: 1 . : r. rrl .•r ..: 11 . r : {t.:: rl•r: n•~:;: rr r•,rrr g, . r; '~'rii :•'r,'• i:• : r. .•r, T~ y tp y~r:: ;: ~+t~ '~r: • '•i•' L: {: ~:: ~ :':L .:;:. , r .r ;i:•: ~.{~, 0 ~:~• ::J:+la~~.l•:~':r[1~•+,'I:An}1'~~+• ~i:YQ. .., i r ri•. ~{r' r'.•A':,rr~•„r,•; •:a'~;:~~t~?:~- .~Q~~~~.' : •f:•. .O'~~~~~::;rrrl;f;f(FFfI:•r~r• rr.r'F:r rr''• Account Balance 86.221 General Your account is overdue. If you do not payy in full or call our office to an:ange pa gent in 10 days, your electricity may be shut off. Call us Information weekdays Sam to Spm at 1-800-358-6623. • Next meter Generation prices and chargges are set by the electric generation supplier reading you have chosen. The Pubric Utility Commission re elates distribution on or about rites and services) The Federal Energy Regulatory~omrnissyon regulates Sep l6 transmission pricks and services. PPL Electric Utilities uses about $0.63 of this bill to_pay state taxes. In addition, about $5.08 ofthis bill pays the PA Gross receipts Tax, For our convenience, you can now pay your bill using your Visa MasterCard, Discover, or ATM Card. Call BillMatrlx at 1-800-~72-2413. I3illMatrix will charge your credit and ATM card a service fee for making this payment. Before digging~ around your home or property, you should always call the state's One CaII notification system to locate any underground utility tines. You can do this by simply dialing 811, which will connect you to the Otie Call system. Be safe and call 81I before you dig. • With paperless billing, you can receive and pay your PPL Electric Utilities bills online. The process is free, quick, convenient and secure. To learn more or sign up, visit www.pplelectnc.com. 1 PPL E ' IC V~'I~It1E:5 Electric Service For: ELVIN DILLER-ESTATE 909 CHURCH ST UNIT ~ ltiiILLERSBURC3 PA 17oG 1 Questions about this bill? Please contact us by Oct 7 at 1-800-342-5775 (1-800-DIAL-PPL) or write to: Customer Service 827 Hausman Rd. Allentown, PA ] 8 ] 04-93 92 www.pplelectric.com Electric Use This graph shows your electric use over the last ] 3 months. T}}apes of 11•ieter Readings: Actual Adjusted Estimated }~~: ...•. Customer 1 1 ~ , ~ ~ I A , ~ / ~'~'~~'0•,.~' Page l pp ..._ •~- ^ "r•• •.`~. ~ ry 1 r., ;rl •r.; r • •.;r~y. • .• . • . ~ ~ ~ rev: r: r.. r.rl w i i 1 r ~ r~ •rv• •: t•,•i;;r• ,.!•;~,• ; k;• !t' got +. ti.- ~:ri:;;•rl~ •~ r 76320-51010 i~i~„~i~i~;~i!~„~~~.~i~ aa~~alliii :ti •i~ri 1 :•;•,•; ... ..„~i~~~r•:~rr•r• Summary Page Balance as of Sep 1b,~2009 Char es; Tota~PL ELECTRIC UTILITIES Charges Total Charges Account Balance 36 3u 24 18 12 6 0 $0.00 $59.64 $59,64 $59,64 ~bl ~laa~o~ CEO ~ ioa~ KWH -Average Per Day A~feter Reading Information A~Ceter #83565324 Sep l6 Actual 53371 Aug ] 7 Actual 52864 30 Da s KWH Billed 507 Average -Sep 2008 2009 Temperature 72F 70F KWH Per Day 8 17 Year1}~ Uae: Total Average Oct 2007 -Sep 2008 SZSl ~'Lon~ Ig Oct 2008 -Sep 2009 3681 3Q7 Othe~• irnpo~-tant information on back ~- ---------tserore'a~g~iit: -aiu~uiu y:,~~; ~~u~::;; ~: Y:::r~--~; ; ..------------___----- -------- I state's One Ca~ notification system to locate any underground utility litnes.' You can do this by simply dialing. 811, which will connect yott to the One Call system. Be safe and call 81T before yott dig. ' With paperless billing, yott can receive and pay your PPL Electric Utilities bills online. The process is free, quick, convenient and secure. To Team more or sign ttp, visit www.pplelectric.com. Dish washers ttse about 13 allons of hot water per load. That's less than washing dishes by hand. Algways ttse full loads on the shortest cycle. When washing dishes by hand, don't let the hot water run continuously. Save postage and late charges -sign up for Automated Bill Payrrtent. Information about appliance energy rise and t~i_ps on saving energy are available through the Energy Library on our Web site, www.pplelectnc.com. 0 SONDJFMAMJJAS 2008 Months 2009 c:necx image . r td~C 1 Ul i r HDI~E ABOUT US CONTACT US NEW9 L EVENTS PUBLICATIONS RESGURCES Account Summary Transfers eStalements Bill Payer Services • Visa Loan Appllcatlons My Profile Messages .. ~ Check Image Ciose -. ..-_~ - -----_._... _.__ -•-t Front of Check; _,-_- . _______• ~ I I CLIN7ON L gFRGHECK6R 02.88 2143 ' awr•»o j I, K1M M. $TpOIIECKER 1 ~a N NdJNTNN flP ~11'N~ NEWV-U.L', M 1T2N ~ m-nF+ave ~~ I ! . Pay,o,he ~ ~IS,eb Order of I 1 .--~'~Ddlars ~ ~"Z I, Idom6a,.,at ~1 X11 Union i I ao sax ~o u.cnnanr.a.v. P11.,7oss , ( For ~~~ ,~~ '~'~"' _ . . - ... /.]11„~ •.'~{ ~'U`iC.C.~'(~C/^'~~r -... I j ,: 2 j L38 2 ~4 L~:004 L48655~1-' 2 ~4~3 ,I'DpDDO 115D0,~' ; - -- V" I ; ~ Back of Check: ~ ~ ~ ' %, p r r.3r...Fw_i.li i'si{ / l ..t. I ~ ~ ZLtt,3 ~S4sY,d i~:u{~I4 I ~ ~ ES~bQ0tE4 r i i Q I ~ ~ I ~ ~~ '~'" b:1LHd^8~Y:.f Qi'01300IE0 1 ~ I _ 13hr~>rl.nc~cls :-~;, nsr's a17~:r t , a r in ~ --••------ ~ L''1:1_ -C1?1=1 l . Lt l $19L•' i LiS•.-.._.-_ -----..-.. __~ -.--------T-_ ___ ..~ . ' ~Ic1s~ Y_!-.l~W ~J20J9 iAElABERS 15' FHi:C•RnL CiiEGIT U;Il:yr; MB~HANICSdUP,G, FtIdI•;SYLVAFIIA INTEM•IET TER;d.S OF USAGE ! PkNACY $TATE~AENT ! FRAUD d 5cCUR1T'! C'cMTER Oak Street Home Owners Association P.O. Box 27.9 Dauphin, PA. 17018 ~o~ yoG ~' o ~\ r1~~~ Bill To Elvin Diller 6875 Wertzville Road Enola PA 17025-1035 :J` ~@~~ ~~ li" Invoice Date Invoice # 3/1/2009 83 Description Amount March UNPAYD: May, OS-$5.00, June-Dec, 08-$105.00, Jan & Feb, 09-$ 0. 0=$140.00 .. 15.00 Total ~ $ls.oo Phone # 717-921-8973 Oak Street Home Owners Association P.O. Box 279 Dauphin, PA. 17018 Bill To j Elvin Diller Estate 6875 Wertzville Road Enala PA 17025-1035 Invoice Date Invoice # 5/1!2009 125 C~ \~~ ~~ ~~ Description Amount May UNPAID: May, 2008-$5.00, June-Dec, OS-$105.00, Jan, Feb, Ma Ap $60.00 15.00 TOTAL DUE: $170.00 Please remit to above address. Total 5. Phone 717-921-8973 ~- ~ h-L~ Oak Street Home Owners Association. P.O. Box 279 Dauphin, PA. 17018 Bill To ' Elvin Diller Estate Kim M Strohecker Exec Elvin Diller Jr Exec 328 North Mountain Road Newville PA 17241 pnvoice Date Invoice # 6/1/2009 144 Description Amount June 15.00 `~ V Total $ls.oo Phone # 717-921-8973 Oak Street Home Owners Association P.O. Box 279 Dauphin, PA. 17018 Bill To Elvin Diller Estate Kim M Strohecker Exec Elvin Diller Jr Exec 328 North Mountain Road Nevwille PA 17241 Invoice Date Invoice # 8/3/2009 18s Description Amount August 15.00 Total C,_ .,. ...._.... Phone # 717-921-8973 $ls.oo !n x~ O~ /` - ~' V Oak Street Home Owners Association ~~ P.O. Box 279 Dauphin, PA. 17018 Bill To Elvin Diller Estate Kim M Strohecker Exec Elvin Diller Jr Exec 328 North Mountain Road Newville PA 17241 9 ~f'1VOIC4 Date Invoice # 9/2/2009 206 Description Amount September 15.00 NOTE: August Unpaid - $15.00 0, 3 .~ Total $ls.oo Phone # 717-921-8973 :•:~~ :•~~1., ~ ~ OFFICIAL-~CnE.CK '~ ~ . ~ , ;,• :I3an1c ~ ..,. •f f . ~~. ~, , ,- ~:~ ~~f 1 ~ i20~Q.073Q03f- 3 1,, : ~I~~1 ~~1VI&T . . '~~ ~ Manufacturers end Traders Thist•Compariy '' ~' ~ '• 'BUFFALO, N,Y.142a0 ., , ` • ~ `' ' • ~ ''` ~• '• •f ' ' • .10-4(220 , ~ t ' 1=1..~~' Y h~ `5 G- X I.::~.'~E1~ ~ ~ ~ ` g, ~ DATE ' ~~+,+~~C~,~ r~~~~~ ~ ; ~~ .,' ~ .~ ' G~i.if?Htt~ ~yn~ tF~T1~`,'r T.~+~ ~(.~tIt~1 ~ .. ~ • ' . r .~ ..~. i „OCl'~' ~~~- t .,c OF RDER O •.TFiE Q PAY l . ~~~~~»~h~E ° THOU .~h~NC~ ` ~>z~~~hl ~ ~; n ~ ~'?~ r' 1 ~ i~ ~~e~I.JSG~a.11 a r°~. r ,. ... .. . ,. .. ,' i ' ~ .:~~ .. .f ,:. . • FOR YOU( RECORDS'. ~ .,~ CUSTOMER RECEIPT RETAW .. ... .. 1 ~"~ I?~~~ ~ ~ • f . r. ~f j ~.r' ~. ,~ ~ . :. :. •: < ~: COPY~~.- NOT.-NEGOTIABLE ~, ,~~.,,~ •~~vi r~ -',~,~~1e,r. Cj~i~ L~c.tr'C~1 S.~ ~t'1.-{~•~Y'{b,~t,t~ _ , :0 2:~'20Q~0046~. ~?OOf20.1.9.9 260~4•~~!I' . .. ~ ~i . JANIS CREASON DAUPHIN COUNTY TREASURER KARLA R. MILLER DEPUTY TREASURER ELVIN DILLER 6875 WEIZTZVILLE RD ENOLA, PA 17025 Dear Property Owner: COUNTY COURTHOUSE Front & Market Streets Harrisburg, PA 17101 ICENT I-i. PATTERSON SOLICITOR ~,~'~''' o+~ May 15, 2009 (~~""-~ r~l~ ~ 0 f.Ja s' (I~ I t~"'' The last day to pay your county and borough real estate taxes during the flat rate period is Monday, June 2, 2009. By paying your taxes on or before June 2, you will save the 5% penalty assessed on unpaid taxes. On August 1, 2009, the penalty increases to 10% of the amount due. Taxes that are not paid by December 31, 2009, are considered delinquent. if you mail your payment and wish to receive a receipt by return mail, please enclose aself-addressed, stamped envelope. Please allow S - 7 business days to receive your receipt. Payments must be postmarked no later than June 2, 2009. Payments postmarked or received after that date cannot be accepted at the flat amount. You may also make your payment at the Millersburg Borough Building on Friday, May 29 between the hours of 2:00 p.m. and 6:00 p.m. and Monday through Friday at the Dauphin County Treasurer's office. if you have any questions regarding your real estate tax bill, if you need a copy of your bill, or if Y can. be of assistance to you in any other way, please call my office at 780-6550 during the hours of 8:00 a.m. and 4:3 0 p.m. Monday through Friday. It is a pleasure to serve you. / _ r\ ~/ r ~~~ ~~ ~ ~ ~. TREAS~CJRER' S OFFICE County of Dauphin 0 ~ 1~1 \~~ ~~. ~ U~ ~~~ 0~ ~j '~° ~ ~~~ ~~ ~. Sincerely yours, a.~~-4 Janis Creason Treasurer and Taxing Agent for Millersburg Borough ~ ~ e oo~° A~ ~~~~,oa/ ~~ c r `/ V_ ~J ~~ 7 ~~ 4~6' \~ z ~~ o O~ N U H O ~ es `~ ~7 (~ 'Q• N W tD uFa.rwn F -- 0. r-+ In C 1 L[') N N rT ~ ';7" ,.®...n.n ~ ~ ~ S W IOL t-h CTS Q O N lU ~. C~ W 2 ..~+..~... M ~ U N 0. 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N O ~ "-~ ~ 1 ~ AI N ~ ~ ~ ~~~ p O ~D W .a Gil \O \O ,.71 W -+ tYt ~ ~"'~~ Q ~ ~ I ~ ~ Q ^J -•J d -.! ab ~ W N Cil tp cQ ~ c7T tit ti7 O ~1 i L- Co -- 1- 1 • J ~ p . ~ .. . . •. jQ . .~ ~~: ., .:, 5 ..~~~ ~ ~~ ~'~ Y CARLISLE Store ;949 823 E HTGH'ST CARLISLE PA 17013 2610 (717)2432400 Fax (717) 243-4355 www , sherv~j n-tai 11 i ams ,rom SALT .• Tran # 6362-3 ~ • . E01 / 10501 `~ • ~' ~ ;~, .; :.Ordtr.;;~~-DE0049~08Q594' 1;02pm 06/26/09 10 • ~e S!+r~~r.yn:•i•. '. 5 -w ... ~r .. ...... •. - .-~.- it L:{'i '\~~ ~H25981 ~`'iQUARr~!~~d41fiZlg. ~`; ` ~4 • ~~ ?~ - k~i: ~"\~••i./ _:•tii . ULTRADP. LL ~ . ASE,>LTX ' ~~ .,~' • 1, 00 ~ . 12 4:32 12.32 • Calor:` S~7734 OLYUE.GROUE ~~; aAC Blend-aTCo a '' ~ OZ 92~•.6~•_i~ B1 Black t' •• -~ .16 ,l I rl1 Ilhlte ' . ` • ..• -'. 2tl 1 '` 1 G2 New •Green ~ '•` ~ 3 1 - Y3 Deev Gold - 46 1 •?.`.~ - Sher-color Faraula SUI3TOTF~L ~ ____ ~ 12.32 -391.701300 6.000 SALES TAX:1 0.74 VISA ~ -13.06 C/C# XXXXXXXXXXXX5Q51 Auth # 030020 :~. TOTAL ~ ~ ,• $13.06 Customer Signature•~ ~ ;:•T Date -- - -_~ ~ jsThi3nfc Yau ~ ~ .~------ y ___ . •r; receipt~ req~li red for reftand 1-11~ ~~I nl~~r~~ 1!1~~Il~ll~i~l ~ll~~~ !~11~1 ~~1~ i~~l~l ~''~~?~l il~l! ~~l ~105U1/63623,-06-25-2009 •: ;. . Gl15ta82r • ~OF9 -• ~• ~ - -- ,fir `. KLrt•IGER Uh1BER CO TF~C ELI2ABE~T RT L,~ PA 17Q •~~ ! IERhIIIIRI I0, ~ 01218515 t • PIERCHRIIi H. 84483041 ' EI)9 . ~##~##~~~~~#5051 DEBIT BA1 CH: D08284 I f•a U : ~ 5 517 4 DR1E; SeP 19, 04 iIfIE; 13;11 20L SEG-~ 8026 AUTH:73E34Z6 WS ; I roTAL ~~o,~~ SIGfIRiURE fIU1 REgUIREO So' To CUSiOf~R COPP ITEM NUMBER QTY PRICE EXTENSION TEWW 1.00 24.74 EA 24.74 TAMKO ELITE WEATHERED WOOD 25Y • FIBERGLASS SHINGLES x644098 1,00 15.87 EA 15.87 INSTANT CHANGE UTILITY RETRACT KNIFE •11939 1.00 4.35 EA 4.35 STNLY ROOFING ASB BLADE 0142828 1.00 4.68 EA 4.68 EXT CONSTRUCTION ADHESIVE 300ML 6190011 1.00 7.37 EA 7,37 1/10 DRIPLES5 CAULK GUN • ~ SUBTOTAL $57.01 Tlcket # 200824 SALES TAX 3.42 pos0075 T $60,43 V (5051 / 60.43 \ / Tendered; 60,43 KLINGER LUMBER IS NOW A UPS SHIPPING CENTER! 1 WE CAN SHIP YOUR PACKAGES VIA UPS TO ANYWHERE IN THE USA !! ASK FDR DETAILS!! ~ ~ o (717) 960-9090 Store# 3431 650 E Hlgh St. Car16s11e PA 17013 ===- = ---===---- ---=::~ - r _-=a ..___~___ _---- _ QTY TOTAL PRICE pESCRIPTION _ ______ ___.._________...,-- -__~_ _.. ----- __-_-- 1 1,00 LOOT i 00T COKE i . .00 BULB LIGHT LIGHT BULB 1 1 'i'0 LOOT ROOM/R11G pEOQERIZR ~ 1 T CELL4 CARD BABY GIRL QECOR 1 1 1,001 1,00 1,0OT 1,00 BABY GIRL QECOR BABY GIRL DECOR i 1.OGT 1.00 1,OOT OQ i CHILDRENS HANGERS 1 . Sub Total $9.00 $0.54 SALES TAX $9.54 Total $10.00 Cash $-0.46 CHANGE -~ ~~> y.r_~ =G__~_=~~~~__~f or---^pping at Deal$ Thank You Sho Where You' 1 ~ FLi neMatBDeal s~stores^coms ---~. Now Shop-n---~--_°__---=____~~_ - - 475 343104 00041 20448 9/19/09 9.;1?. associato: Marti DOLLAR GENERAL STORE #08919 3869 PETERS MOUNTAIN RD HALIFAX, PA 17032-9045 (717) 896-8410 . AWESOME CLEANER 1.00 S 722929200167-1 1 00 S DUS7PRN PLASTIC IN P , 812751006251-2 1 00 S QDOR ELIMINATOR CITR , 075363039061-1 2 00 S 60W DECOR BULB LG 2P . 043168814645-2 2 00 S 60W DECOR BULB SM 2P , 043168814416-2 2 50 S AMAZING COOP 1 OZ 12 , 076818140214-3 1 50 S SMALL ANGLE BROOM , 741993236285-2 *~.~*~**~~~~*4763 EXPIRY: *~/~* SWIPED $11.00 SUBTOTAL 50.66 Tak1 "(°QTAL bit D X11 ,66 ~~ e Visa/ •~~r~~~~*~~r~~~5051 RUTH# 587983 REFERENCE# 53587983 ITEMS 7 ~ 2009-09-19 10:55:51 08919 02 0526 1111111 1111111111111 burn uun^rn.......,p. ~ •~.. -...__.-- 89982343515783981882192091941442911512113 Go to www.dollaraeneral.coM to explore i~he roans career` oPPOrtunitles at Dollar General. SAVE TIME. SAVE MONEY. EVERY DAY! THE HOME DEPOT 4120 6000 CARLISLE PIKE, MECH PA 17055 STORE MANAGER CHET KEELEY (717)795-9602 I 4120 00009 54180 03/23/09 SALE 11 CDM9TM 05:05 PM ~~•_o ` $~ +~1~,~ ~ ~ 022367509170 PAINT SGWGL <A> 051652200058 PRIMER <A> SUBTOTAL . SALES TAX TOTAL XXXXXXXXXXXX5051 DEBIT AUTH CODE 962201 '7.0, q7 23.68 44.15 2.65 $46.$0 46.80 . 4120 09 4180 0 /23 2009 3320 RETURN POLICY DEFINITIONS POLICY ID OAYS POLICY EXPIRES ON A 1 90 06/21/2009 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / DENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORES~FOR DETAILS. GUARANTEED LOW PRICES LOOK FOR THOUSANDS OF . LOWER PRICES STOREWIDE XX7t7r*)t~CKYc~IfX7C~Yf~CX9tYCXyCIr~X)CyCX7ryC*X7kiCJc~CkY[YC7c1K ENTER F'OR A CHANCE TO WIN A $5,000 HOME DEPOT GIFT ' CARDt Share Your Opinion With Usi Complete the brief survey about your store visit . and enter for a chance to win at: www.hornedepot,com/opinion ~PARTIC=PE EN UNA OPORTUNIDAD DE GANAR UNA TARJETA DE RE~GAL_O DE THD DE $5,0001 iComparta Su Opinlbni Complete la breve encuesta sobre su vlsita a la~'tlenda y tenga 1a oportunldad de ganar Eri: www.homedepot.com/opinl~on • User ID: • 7.127G0 108658 ' Password: 9173 108649 Entries must be entered by 04/22/2009. Entrants must be 18 or older to enter. See complete rules on website. No ~ purchase necessary. rrt-_~,.::. ! ~,.}: . • ~ ~~~ ~~~ ® ®,- • Save money. Live better. r'~ T~'r~ •C7 ~ O.. ~k.,~ o (~ u' Olllea Bar9aln Outlet 717766-6364 ITEM ^DescriPtion QTY IteMrTotal 404787 RESIAENTIAL-R X118.757 23 33YD `~ ,<<f ~eason DISTRESSED;.; :.~;. ~ :'~~ ~••.. :P;}-~~~f~~.,~-1"'z.Suti~'Tgtel•-':.;.;::;'_ ~.;z5)~.uy rK Tax Total 3266.16 Visa $266:16 Acct# *~~*~~~*'~~*:~5051 Au~th# 023130 Sales Associate: Media Sarah Ollles Rrny A :01989779 ...-.... ~"..C ~.~....3 C mow.. ~'G7: ~ ~~.. S.3C X~. ~~~ ~~~.~~ . Thank you for ,hoPPinB Ollles Barsain Outlet Miss a day.....Miss a deal!! Trn 5140 Str 3 Re902-12 6/26/09 12:32 pIIIIIVIIpYIIINII~W~61~Id~I~IIIVIIIIItlIINNII SUPERCENTER WE SELL FpR LESS MANAGER ANGELA SIERER ( 717) 258 - 1250 CARLISLE, PENNSYLVANIA WEE:>) FROOF 001606900160 18 , 00 X ' WEEP PROOF _ ~Q1606900160 18_._00 ?{ • W~RR 0033 1 .88 N BANANA EC 400000009011KF 2.19 lb 8 1 lb /0,67 '1.25 N PEAR BOSC c100000009913KF 2.93 lb @ 1 lb /1.37 9.01 N PEDIGREE 002310031979 20,60 X APPLESAUCE 003732311q~1 F 1.6b~N APPLESAUCE: 0037$2311991 F 1,66 N GREEN TEA 007669600193 F 0,50 D 5. BREW TEA 007669500739 F 0.50 0 BLKCHRY YGRT 00779235399 F 0,49 O STW/BAN YGRT 00787923b920•F 0,.99 O ~.. BLBERY YGRT 007879236392. F 0.99 .0 ~;.:,:,: S1'RW/BAN YOG p03663200~21 E= 0:50 , O:•:~:~:~• CRM5 YOGURT. 004667612072 F U~.:60,'0~~ 1, BC .YQGURT 009667612699'~F rr fi, ,~0~;60:. ~,~~ STf~W/BAN' YOG.003663200.62.1;. ~"'`-~ ~ '0•; 5p ~~ , -.LF-STRW~~~YGRT~{0036b32gq0~¢~2G~1'i ~ ~ :: ada~.:YE~I:Ar ~ ~~.'s.bo7~1 ooi;i~.ba • • , ` _ _~pOG~~~EAT;~~t007g100.14~;66.0~~ _1 ~ . ~• r:, r11 n2.~J12,c ~,r •,MCARA TEND~~~ ~~,'°•17. '' • 't`ai"~~:~ ACCOUNT #1999 APPROVAL #R2062Z TRANS TD - VALIOATION - pAYMENT SERVICE CHANGE DUE 0.00 # YT~~~ ~C~LIJ ~~ TC# 6890 8835 9635 0795 9099 1 IIIIIIIIillllllllll IIIIIIIIIIIII I illlllllllllll IIIIIIIilllllll IIIIIIIIII I IIIIIIIIIIIII I n 11// ~V~' Find s1MPle tips and enrth-frlendl~ prad06/21 /09wa1tne10:28~lgrsen #~*CUSTOMER COPY**~ ~ `~ ' c ~~t~ ~ lOUE' S ~ HUQIE CENt~RS ~ , 5500 CARl.IS1.E~'P1KE~!~t;..;~ MFCHRNICSBURG, Pa 17050~~•.;~~~~,?~y'+:~,n•,.: (717) $10-9230 -SALE- • SALES q: S2223MC3 1381759 05-17-09 227858 JOHN DEERE POLY DUMP CART 197,10 219,00 DISCOUNT EACH -21.90 279370 CUT TO FIT TROUGH COCO LI 6,18 8,87 DISCOUNT ERCH -0,69 220373 1 GAL MIX HUSGV XP 2-CYCL 2.86 3.18 DISCOUNT ERCH 34147 GAL BAYER BRUSN KILLER RT 12.57 13,97 DISCOUNT EACH -1.40 SUBTOTRL: 218,71 ' TAX; 19.13 INVOICE 19271 TOTRL; 231,84 BALRNCE DUE: 231.84 ~~ `'c~ .~ ~. .~ DEBIT; 231.84 f - L04lE'S NOME CENTERS, INC. 5500 CARL1SlE PIKE• MECHA}}ICSBURG, PR 17050 (717)610-9230 -SALE- SRLES a: S2223LG1 1253894 07-24-C° 235048 DEEP 41CLL PLi,aTIC TRA" LI ? 97 3 8.: 0.99 • 178827 BRUSH 3X14 CRBN 4lIRF -iIili x.96 2 0 1.93 213232 BLACK MINI ROLLEP. i~,AY SH 1 di 234556 9-1/2" 3PK R3LI~.H~ 4lOOSTE °.47 260420 KOBALT UTILITY ACID BRUS4 5:?7 40320 9" RULLER FRAME dOGSTE:. '_ 305803 6r"T 3LUr'. ;:HOP Tt'9ELS ROl 1.98 35976 DECK SCRUB 5.9. 255229 5 GALLON DRYLOK EXTF.~ME 41 118.00 SUBTOTAL: 152.67 TAX: 9.16 INVOICE 12E37 TOTAL: 161.83 BALANCE DUE: 161.83 _ DEBIT: 1v1.83 ~~ ~ ~~ $~~Z~ . DEBIT:XXXXXXX~XX 104J b~1THCODE 978736 PURCHASE CAS}~ BACK (OTAL DEBIT 161.83 0.00 161.83 2223 TERMlHAL: 12 07/24/09 01:51:41 # uF ITEMS f~URCHASED = 1 1 EXf,LUDES FEES, SERVICES AND SPECIAL ORDER ITEMS I l ~~~ ~ ~ I~~ ~ i I I THANK YOU FOR SHOPPING LOWE'S RECEIPT REQUIRED FOR CASH REFUND. CHECK PURCHASE REFUNDS REQUIRE 15 DAY 41AIT PERIOD FOR CASH BACK. STORE MGR: •IIM DUNKfLBERGER HAVE A COMMENT OR FEEDBACI(^ LET US KNU4i AT; WWW.LOW-..COM%~EEDBACK SYORF CODE: 22230-72409-12637 ~~m~~~ ACCOUNT'N0; ,''A000UNT•TYpF 98x4832940 M&T SELECT 00 0 Od350t4 NM 017 --- ESTATE OF,ELVIN H DILLER KIM M STROHECKER, EXEC ELVIN DILLER JR, EXEC 328 NORTH MOUNTAIN Rb NEpIVILI~E PA 17241 .14910 .:...:..gxA-rgM~N.~"PERz6D•';' •;; ~•..;:...' ' .. ~PAO~" ' JUN .30-JUL,29,2009 1 OF 1 TRINDLE ROAD OFFICE ACCOUNT SUMMARY .. .. , BNGINNZN(3..., ~ ..~ .. RFP.08XT,S : &; :..:... ' ; .; .. : •,~, '.' U . '. 'BXL?iNCL• ""' ~ :' :'CiTHER ADDZ't'i0N3" .. ... ', CHOCKS"~PAYD ' '' N0, AMOUNT No• AMOVrtT No. 8,847.85 0 0.00 7 2,538.11 0 piCC ............... ..... Dl [~t)STING' TRAIVBA t TiON••L16.SCRiPTIO &' .DATEi• . 06-30-09 BECixNNING BALANCE 06-30-09 CHECK NUMBER 1018 07-02-09 CHECK NUMBER 1016 07-03-09 CHECK NUMBER 1017 t~~uma"n -~~CVCe 07-06-09 CHECK NUMBER 1019 - p1-22-09 CHECK NUh16EK 107.2 0'>-22-09 crtECK NUtdaER 1020 07-29-09 CHECK NUMBER 102), ENDING BALTUacE 1016 07-02-D9 10.97 1017 07-03-09 00 1020 07-27-09 150 1019 07-OS-09 , 1022 07-22.09 1,166,88 .~%VKfC~IV•~". .r~~rw3~ifa,.. .. is • ' ' Y TEStEST' ' eD .. '9A •'AN ~ • • '"• ~. , p.oo 0.00 6,309,74 TY ..,.. ... ?;zNT RE8'F" ':'CFIEG~KSi'&'?O'~HER"': ; :' ';I71iILY':•; .ADDITIdNS• . ..~ , ,. 9:UBTF~CSION~.::. ~ ............; B}pL'7xNCE.:. ..i.i,.<. 58,847.x5 315.22 x,532,63 10,47 8,522.16 825,40 7,695.76 150.00 7,596.76 1,166.88 40.14 6,339.74 30.00 s,309,7d • $6,309.79 025,x0 1018 06-30-09 315.22 X0,14 1021 07-29-09 30,00 ~ 'd Z~ l S '°N ~Nd81'8W Wd6S ~ ~ 600 '~ 'n oN i Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 ~~~ iNVaicE Bill To: InvoiceNo: 2703 ' Invoice Date: 10 /20 /2009 SCARINGI & SCARINGI Estate of: ELVIN B. DILLER 2000 LINGLESI"OWN ROAD Estate No: 21-09-0347 SUITE 106 cJ IiARRISBURG, PA 17110- Qty Fee Description Fee Total 1 Short Certificates 4.00 $4.00 Total: ~ - $4.00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. f ' ~ PRESORTED --..-, - -~ FIRST CLASS MAIL I MILLERSHURG AREA AUTHORITY ACCOUNT k ~'J~;;,E:;,III~;, PAID .I MARKET SQUARE PERMIT N0.23 ~I 101 WEST STREET I MILLERSBURG, PA 17061 WATER/SEWER BILL ' ' ' Ill r f ._'~ ~. ~ lZl ; MILLERSBURG, PA I SERVICE ADDRESS . , , . . •• AFTERJ,D/U' E DATE I` . ~+ ~f I . .L 4 "'7""i' n ~. w~ `~ i7~ ~ C H U k C, H ~ "r CODE DATE READ CURRENT READING PREVIOUS READING 1000 GAL. USED CHARGE l~lfl ~G/~I~./Ills 4111 ;~ i.~. Gill ~;I,~J ~ ~~ l Ili 1 ! ~ r~ i ~ I~_I - IYI a. I/., c : L:: r ~ cl i. •l ~11:~ ~ 1. i. ~~ ~I I I 'l ~ ~ X02 CURRENT CHARGES ~I•,:'i. ~i,5 • SEE REVERSE SIDE FOR CODE EXPLANATION t_lt~~ll.:~f`-. I'" Cai' IYI- PREVIOUS BALANCE °~~, ~•rJ w i. ~ a. ~ -- ICJ ~~~ b~l . t~l 9. 7, 7. e r•, ~; ~ 1.~. r" rl ~.~ +%1 t; ~ r, . c' O m ,,, ~~ rnvbue edillone an oosokle loon nuu-I taco; rrn narwooo,c ~aw.~ A, Settlement Statement U.S. Department of Housing and Urban Development nnAR Annroval No. 2502-0265 fexoites 11!3012009) d. I e or t-oan 1. ^FHA 2, ^FmHA 3. ^Conv, Unins. 6. File Number 7. loan Number 8, Mortgage Insurance Case Number 4. VA 5. Conv.lns 09.895 7700323488 9 • ^ n °' ' ° TIIIeFxpress Settlement System C. Note: Itama marked "(p.o.aJ" wsn paid oulalde Yu dminnpp• U,ry en alwvm here for IrlonneUon purpoess and en rot Mauded h the ldets. WARNING: Il Ir a vYne b knowlrply m.ks rata. slelimenle to we Unlled btelu an aria or any outer almAer farm. FeneAlea upon printed 10/2912009 at 11:31 KR cortvlaton can 4tdude a Me end anmenL For dWas ae:71Ue 1b U, S. cod. Ssdbn 100t end Seabn 1010. D. NAME OF BORROWER: RACHEL A, KNORR ' ADDRESS: 2237 Old State Rd, Dornsife PA 17823 E, NAME OF SELLER: ESTATE OF ELVIN B, DILLER A1KIA ELVIN BRUCE DILLER, SR. AKA ELVIN B. DILLER, SR. ADDRESS: 909 Church St. Millersbur PA 17061 F. NAME OF LENDER: MWET MORTGAGE CORPORATION ADDRESS: 805 ESTELLE DRIVE SUITE 201 LANCASTER PA 17601 G, PROPERTYADDRESS: 808 CHURCH STREET, BOROUGH OF MILLERSBURG, MILLERSBURG, PA 17061 Millersbur borou h H. SETTLEMENT AGENT: Homesale Settlement Services, Inc. PLACE OF SETTLEMENT 4309 Lin lestown Road 717.871.9876 Fax 717.871.9676 Harrlsbur PA 17112 I, SETTLEMENT DATE: 1013012009 R 0 R S S CTIO : ,SUM O S ER'S RANSACT 0 100. GROSS AMOUNT DUE FROM BORROWER 101. Contract sales rice 80 000.00 400. GROSS AMOUNT DUE TO SELLER 401, Contract sales rice 80 000.00 102. Personal Pro H 402, Pe sonal Pro rt 103, SetOement cha es to borrower Ilne 1400 6442.37 403, 104, 404. 105. 405, Ad ustments for Items aid b seller I n advance Ad ustrnents for Items aid b sellerl n advance 107, Count lazes 101301091012131109 108. School Taxes 10130109 l0 06130110 109, Assoc. dues 10130109 l010131109 108.77 581.71 .98 407. Coun taxes 10l30f091o12131108 408, School Taxes 10130109 io06130110 409. Assoc, dues 10130109 010131109 108.77 581,71 ,98 110. ~ 410, 111. 411, 112. 120, GROSS AMOUNT DUE FROM BORROWER 87133,83 412, 420. GROSS AMOUNT DUE TO SELLER 80 891.411 200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. De sit or eamesl mono 500.00 501. Excess Da sit see Instruclfons 202. Prind al amount of new bans 81 632,00 502, Settlement cha es to seller one 1400 8162.08 203, Exlslln bans taken sub act to 503. Exlstin loans taken sub act to 204, 504, Pa off of First Mori a Loan 205. 605. 206. Dau In Coun 2nd 5 000.00 606. 207. 507, 208. 508, 208. 509, Ad ustments for Items un aid b seller Ad ustments for items un aid b seller 213. 513, 214, 514 215, 515. 216, 518. 217, 517. 218. 518, 219. 519. 220. TOTAL PAID BYIFOR BORROWER 87132,00 520, TOTAL REDUCTION AMOUNT DUE SELLER 8182,08 300. CASH AT SETTLEMENT FROM OR TO BORROWER 600, CASH AT SETTLEMENT TO OR FROM SELLER 301. Gr ss amount due from borrower line 120 67133,83 801, Gross a ount due to seller Ilne 420 80 691,46 302. Less amounts aid b !for borrower Ilne 220 87132.00 602, Less reducllon amoun due seNer Tine 520 8162.08 303. CASH FROM BORROWER _ 1.83 603, CASH 70 SELLER 72 529,36 sUBST1TUTE FORM 1099 SELLER 9TATEMENi: The inromrAon eonUlned harem u Imporlanl lax Inlomu0an and M beln0luntlahed b the Inlemal Revenue Banta. Ir You are nequked b Ala a rslum, ^ n A nu penaly or other sanctlon wIN be Imposed on you If ws Item u requlntd b be opened end We IRS delemllnes Ural It has not been nporled. The Conlncl belea Prke dasalbed on tme d01 above coneAWlaa U+a Gnaw Finasde of Ihb Inneadlon. SELLER INBTRlxSTlONbi If thM feel g1Ne was rp~nd wldena, Ale Fenn 2119, bale a Fxchartpe of Prindpsl Rssldarla,/°r arty pain, vAOt your bkome lax nktml fa other UanwcUona, complete We eppllobls peAS of Form 4797, Form 6264 endlor bchedule D (Form x010). You ere roqulnd by law b provide •le eelWrnanl e0ant (Fed. Tax ID No: wlrh your coned taxpayx IdenUAaUon number. N you do not provide your coned Isxoeysr IdenUflaUon number, you nay ha subJsd to dvA a akrdnet penaalea lmpaed bylaw, n er u o perjury, l wNry lhol UN number ehwm on Ihb s4temenl b my cared taxpayer IdenUAuOOon number. 71N: SELt.ER(8) 81GNATURE(8): SELLER(S) NEW MAILING ADDRFB6: rnvioua avnwna r~r ovw~rw loon HUU•1 (flee) rN Handbook X305.2 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Flle Number; 09.695 PAGE 2 QGTTI FMFNT STATFMI=N7 TNIaFYnrass SRtllRment Svstem Pdnled 1012912009 at 11:31 KR L. SETTLEMENT CHARGES PAID FROM PAID FROM 700. TOTAL SALESBROKER'S COMMISSION based on rice S80 000.00 7.000 = 5 800.00 BORROWER'S SELLER'S Division of oommisslon line 700 as follows: FUNDS AT FUNDS AT 701. 3 200,00 t Prudential Homesale Services Grou SETTLEMENT SETTLEMENT 702, 2 400.00 to Prudential Homesale Services Grou 703. Commission aid al Setllemenl 5 600,00 704. Brokerfee o Prudential Homesale Services Grou 200.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Orl Inatlon Fee °h 802. Loan Discount 803, A ralsal Fee to Ko enhaver A ralsals LR 350.00 804, Credll Re r1 to Kroll Factual Data LR 26,44 805. Underv~ritln Fee to MNET MORTGAGE CORPORATION LR 425.00 806. Processin Fee to MNET MORTGAGE CORPORATION LR 150.00 807. Guarantee Fee to Rural Housin LR 1 632.34 • 808. Tax Service Fee to MNET MORTGAGE CORPORATION LR 79.00 809. Flood CertiOca Ion to• First Amerclan Flood LR 21.00 ' 810. et 900, ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 1013012009 to 11!0112009 11.1800 Ida 2 Da s LR Z2,36 902. Mort a e Insurance Premium for to 903. Hazard Insurance Premium for 1 ear to Dona al Insurance 283.00 904. 905. 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance 3 mo. 23.59 Imo LR 70.77 _ 1002. Mori a e Insurance mo. !mo 1003. Clt Pro er1 Taxes mo. Imo 1004. Count Pro Taxes 9 mo, 65.15 Imo LR 496,35 1~5, School Taxes 5 mo. 72,52 Imo LR 362,60 1009. A re ate Anal sla Ad ustment to MNET MORTGAGE CORPORATION LR •456,62 0.00 1100.71TLE CHARGES 1101. SeUlement or closin fee 1102. Abstract or tills search 1103. Tills examination t 104. TIUe Insurance binder 1105. Document Pre aralion 1106. Nola Fees to Nota Public 35.00 10,00 1107. Attome s fees Inckrdes above items No: 1108. Title Insurance 824.63 nchrdes above Items No: ~ 1101110211031104 Rate 1109. Lender's Pd~ 81632.00 •12.00 t 110. Owner's Poll 80 000.00 •812,63 1111. End 100 300 820 900 200.00 1112. 1113. Closln SvcLU 75,00 _ 1200. GOVERNMENT RECORDING AND TRANSFER CHARGE3 1201. Record) Fees Deed 51.50 • M a e 73.50 • Reloase 125.00 1202. Cit !Goan lax/stam s Deed 800.00 • Mort a 800,00 12 3 Sla e T s am s Deed 800,00 • Mort a e 800.00 1204 Rewrd 2nd Mort a e to Recorder of Deeds 59,50 1205. 1300. ADDITIONAL SETTLEMENT CHARGES _ 1301. Surve 1302 Pes Ina ctbn to Homes ec P.O,C, 75,00 B er 1303. wre Fee o Homesale Settlement Services Inc, 11.00 1304. Interne Doc Pre to Homesale Settlement Services Inc. 50.00 1305. Fx ressWandlin Fee to Homesale Settlement Services Inc, 25.00 1308. 2009 Co & T .lax to U er Dau hln Tax Office 693.24 1307. 2009 S (tax to U er Dau hln Tax Offlce 957.21 1308. Other Dlsbursamenla 1520 575.00 101.83 1400. TOTAL SETTLEMENT CHARGES (enter on Ilnes 103Secllon J and 502 Section 8 442.37 8162.08 HUD CERTIFICATgN OF BUYER AND SELLER have areNlIyy nHevrod the HU0.1 Saltlsmenl 8lalemenl and W Ihs bat of my knaNedOe and beAef, It la ^ Wa and eccwels statement or dl nealpq end dlaburssments made on my oaounl or by me Ihls Iransacflon, hiller erOty Out 1 haw nalwd a copy d the HUD•1 SalUernenl Sblamanl. ' ~ 1 LJ ~+n ~'! • EST DILLER, 9R. WARNING: rT 19 A CRIMETO KNOWINGLY MAKE FAL8E 9TATEJdENr9 TO THE The HUD•1 SaWamanl Slalement which I hsw gepared la a Wa and aoourale account or Ihls,Inntsc0on. UNITEO STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION 1 hew eased orw111 cause the runda to be dbburaed In aczordenco wdlh Gds sletsmenl. CAN INCLUDEA FINE ANO IMPRI80NMEN7. FOR DETAllB SEETITLE 1e: U.S. CODE SECTION 1001 AND SECTION 1010. ay: 'rte" DATE~- lortn HUD•1 (3/BB) del Handbook X305.2 • I ~~MJ~ •V11M 11 1.111 YY~YIYIY U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Flle Number. 09-695 PAGE 3 SETTLEMENT STATEMENT TItleExaress Settlement system Printed 1012912009 at 11:31 KR TEMIZATION OF UD LI E 1308 i 1500, SCHEDULE OF DISBURSEMENTS BUYER SELLER 1501. Inillalion tee to Oak Street Homeowners Assoc. 100.00 1502. ove dues to Oak Street Homeowners Assoc. 15.00 i ' 1503. Tax Cert. to Homesale Settlement Services Inc. 10.00 604. Admin fee to Dau hin Coun AHTF 100.00 15051 Flnal WaterlSewer to Miilerabur Area Authorl 91.63 1508. Radon Testfn io Nome S ec Ins action Protection P.O.C. 125.00 B er 607. Dec 09-Dec 2011 HOA Dues to Oak Street Homeowners Assoc. 360.00 1508. Hoare Ins ctlon to Home S ec ins action Protection P.O.C. 300.00 B er 1609. 1510. 1511. 1512. 1513. 1514. 1515. 1516. 1517. 1618. 1518 1520. TOTAL HUD LINE 1308 EXPENSE: ___ _ 575.00 101.83 ~..a. ~~~~a~~~~2e". Capital One Services, inc. 16000 Capital One Drive Richmond, VA 23238 Elvin B Di L ler sii 6875 blerfizvi l Le' Rd tEn1o((la,tt11 P1~ 11170Z11511t-103115 t t tt I1111~tr~t~lir(~1r~r~tl~~r n i1~11~~11~~1~r~~~r{~ n ~r~tE~~l n 1~ August 13, 2008 Creditor; Capital One Bank (USA), N.A. Account: 5178052297905743 Balance; $8.48 Amount Due; $8,48 Dear Customer, ~~-~ ~ ---- B'ec°aU~ tilers ha~ts~n rro-actlvitq-on-yuurCapital One~cardfor~som~~time;~yoa m~y-rrotfiave -~~ ~-°' -'~ noticed a past due amount resulting from your Annual Membership Fee, . To avoid additional fate Fees, please contact us by your paymentodede date to make arran~er~ents to pay yaur overdue balance. Otherwise, your account may be cl Our helpful representatives are available at 9-800-955-t;6g0. fVl-F $AIIR - i 1 P~~l Ea ease have yo u Sat-Sun 8AlM - 8P'M Eastern 'time. They will be happy to assist you. To save time, p account number ready when you call. If you have already paid the amount due, there is no reason to respond to this letter. We a reciate your prompt attention to this matter and look Forward to our continued financial PP partnership, Sincerely, Capital One Services, Inc. P.S. Pease call toll free 1-800-955-6600 today. For additional payment information you should reference your periodic statement. The purpose of this (after is to collect a debt. Any information obtained will be used for that purpose. ~• t~ services 4150 OLSON MEMORIAL HIGHWAY, SUITE 2UO MINNEAPOLIS, MINNESOTA 55422~481. TELEPHONE 763-852-8620 Fax 877-326-8784 TOLL-FREE 877-210~9144 July l i, 2008 account No Unpaid Balance *****4289 $238.25 Dear Sir or Madam: Hours (CST): 7:00 am - 9:00 pm M - TN 7:00 am-5:00pmF B:OOam-12:OOpmS _Reference No 4663984 .,,:.:-,,,p Our company represents Sprint,,. We have learned that ELVIN DILLER, who was a valued customer, has passed away. Please accept cond~~lences from our client and our company. As indicated above, there is an unpaid balance on' this account. Please accept this letter as a Notice of Claim on behalf of our client. This letter is sent to you solely in your capacity as personal representative of the Estate of ELVIN DILLER. Please call our office toll free at 1-877-210-9144 to discuss resolution of this matter and payment on this account. If you are not the personal representative, please contact us with the name and address of the personal representative or attorney who is handling the estate. Cordially, • DCM Services, LLC *INiPORTAIVT 11TOTICE* Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office will assume this debt is valid. If you notify this office in writing within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office will obtain verification of the debt or a copy of a judgment and mail you a copy of such judgment or verification. If you request of this office in writing within 30 days after receiving this notice this office will provide you with the name and address of the original creditor, if different from the current creditor. This company is a debt collector. We are attempting to collect a debt and any information obtained will be used for that purpose. Calls may be fnonitored or recorded for quality assurance purposes. NOTICE: SEE REVERSE SIDE FOR IMPORTANT INpORM~LTION -Side 1 of 2- IONBAL0017001 ***Detach Lower Portion and Return with Payment*** IIIiNllllllilllillllllllllllllilllllllllllllillllgllllll~lllllllllllil[IIIlilllllllllllllllllillllllllllllillll Reference #:4663984 Client ID; SPNX31 DCM • Serv(Ces, LLC Unpaid Balance: $238.25 Checks Payable to: Sprint 4150 Olson Memorial Highway, Suite 200 p Minneapolis, MN 55422-4811 Amount Enclosed: $ ADDRE55 SERVICE REQUESTED 7uly ~ 1, 2008 IllIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIiIIIIIIINIIIIIIl1111iIIIIIIIIIIIIIIINIIIIIIIIIiIIIlIIIIIIIIIIIIIII . DCM Services -Payment Processing . • s PO Box 9317 4663984-7001 0589748 ,038604361 Minneapolis MN 55440-9317 I~~~III~~~III~~~~~I~I~I~I~~~~Illl~~~~~ll~~irl~l~~~l~l~l~~l~~ll I~I~I~~I~I~~I~~I~I~~ili~~~l~I~~~~II~~~~III~~~I~~~lll~~~l~l~~li The Estate of ELVIN DILLER ELVIN DILLER 6875 WERTZVILLE Rb ENOLA. PA 17025-1035. BO1S117 I Department of the Treasury ]eternal Revenue Service Andover, A1A 05501-0010 ~y I 4,:-Fc X302 0725=t-ASS-G~61G-9 ?00910 Cl': 22A ~ 17025 IRS USG ONLY 1~~1 U 0 07 For assistance, call: ' I -800-829-0922 four Caller Ill: 408518 Notice Number: CP22A Uate: March 23, 2009 Taxpayer identification Number; 529302.543877.1630.040 1 SP 0.420 766 186-28-6964 Tex Norm: 1040A Tax Year: Ueeember 31, 2006 ELVIN B DILLER Amount You Qwe 6859 WERTZVILLE RD as ofApri113,2009 ENOLA PA 17025-1035592 ~ $1,545.48 Account U~ll~~nce before this change None Increase in tax because of this change $1,625,00 ~~ Credit added tax withheld $491.00 CR interest charged ~ $184.48 Amount you now orve $],545.48 We Changed 'S'our Account . T've ~•vill e.~~~l.~xir~ rti~hy,yo~u ~}eceiv~<.l this ~7otice, 1rv-~~.i~i~e chrli~,;e!~ yn. ~r.~r rtc•cn~trr~t, hn. t.i~ this chccn~e affects you, a~7cl ac~ioras yocr. rir.uy w~is1~ to talce. Why You Received This Notice We contacted you twice but have uo record of receiving your response, Your 2006 tax return does not report the same income or deductions repotted to us by your payer or trustees, so ~~~e changed your tax return to correct your • unemployment compensation • interest and/or dividend income • total fedet•al income tax withheld How We Changed Your Account We changed yout• account as follows; Page 1 Department of the Treasury ~ , ~®®p F'~~~ "~ ®~®~~ ~~rrm~~} ~®I~Che'r Internal Revenue. Service 99 ~/ - Use this voucher when making a payment wllh Form 1040. Do not staple this voucher or your payment to Form 1040. - Make your check or money order payable to the 'United States Treasury,' Enter the amount > Write your social security number (SSN) on your check or money order. ' of your a meet , , . , ... , ~ 2 6 ~ ~ [] ~ . ' FDIA8601 06109/08 1030 ELVIN B DILLER, SR• DEPARTMENT OF THE TREASURY 6859 WERTZVILLE ROAD INTERNAL REVENUE SERVICE CENTER ENOLA PA 1,7025 KANSAS CITY f~0 64999-Q1,02 ' 1,86286964 KS DILL 3Q 0 2QQ81,2 61,Q ~ • ESTATE OF ELVIN B. DILLER 63~385A350 10 3 4 ' KIM M. STROHECKER, EXEC. ~ , ELVIN .DILLER JR., EXEC. I~0 30 D 328 NORTH MOUNTAIN RD. N E VILLE , P ~ 17241 ~ W A DATE . } ~ , t Ji ,Y~ ''- ~ . ~ ,, PAY TOTI-ffi ~VIw~~ ~-,a,l.W ~ ORDER OP• .IL.~-Ai~,.l.l/~t -~ I~'..t~. .i n ~%O(b ~ ~'' i : ..a .. ., .. .... .. C~ ~ 0 GI ~L t ~ f ~ ©~ ~ 22~ G~ ( ~ ! (.~. /~- .~, ~ I /1.4 OLLARS L! I ~:,... i~l~&T ~ax~ l~ ~ . . rd~,ai.rw,eom~. ~~QS ~('/Y1 I~~O TWO SIG T ES REQUIRED 8 ~ 6gby ~ 18 ~ - . 6 MEMO i ~, IL e-- ~r ~ .. . ~~d03 X30 2~955~: 9B4483 294011° X034 r r 1,86-28-6964 DI • 08~D91,?08[l PAYMENT AMOUNT DILLER~ SR ELVIN ~ B $ 5373.0 • .6859 WERTZVILLE ROAD . E N 0 L A Make check or money order P A ~ DEPARTMENT USE 0 N L Y payable to the Pennsylvania • ]~? ~ ~ 5 ,• • Department of Revenue . ~ ~ ~ .. • ~ PAIZ3401 11/06/08 • LER e~a3~ • ~ •l 0 3 6 • • ~ ESTATE O>r ELVIN B. DIL 913 }CIM M. STROHECKER, EXEC. • ~ ~ ELVIN DILLER JR., EXEC• nAT>? ~ 0' ••, ... ~ • 328 NORTH MOUNTAIN RD. ~ • 6 NEVWILLE, PA :1724 ~}j.~3~~.,~ _...,.._~ PAY TO THE •..,.• n.n•.~z.itive:~~r.K..:•~ .nk.:.~, :; ORDER OP ~ ~ ~ ~ ~ ~ :. ~ ~ 11C~ 1 -~ C~~ ~~or.LARS . el ~~~ ~ ~ ~ ~ ~ ~~r Jn ~ TWO SIGNATURES EQUIRED u Trlndl~ Road 01ffn ~.,~ VI` ~ ' ~ . ,~' 30 2955~a •98483 294011° X036 i •~..03~ . l r