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HomeMy WebLinkAbout04-0192PETITION FOR PROBATE and GRANT OF LETTERS Estate of' ~ /,5 ~y. B Y E ,~.~ No. also known as To: Deceased. Social Security No. / Register of Wills for the County of Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut /~-~ in the last will of the above decedent, dated /L~o ~/ ,27 and codicil(s) dated in the named , 19.~' (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in t~ c~ ~ ~9 ~-2¢ /.-~4/c/T-~ h ~-~ last family or principal residence at ,y~qOq. ~ o_;~-/4 o,4/7' (list street, number and muncipality) 7 ~' years of age, died ?'~,~k? c9,~~- , ~ q , Decendent, then at '~.o t4a ~' Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: County, Pennsylvania, with /?o// Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: gqoy~ 4Jc,~s~m.o~r- ?~m? lO-ica '[/'~ 1'7o// WHEREFORE, petitioner(s) respectfully request(s) the probate presented herewith and the grant of letters theron. $ ~'/~ ooo $ of the last will and codicil(s) (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed arid subscribed bi:fore me th~s ~'-.~-~ davy of ~zo,'.~ ,/~F~ Reg~ter Estate Of , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW the reverse side hereof, satisfactory proof havin~ been presented before me, IT IS DECREED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of and Letters .~-,~/;:~Z./;Y-,<~ are hereby granted to ~ ~, J~.,~.O,O ,/_ ,~/ , in consideration of the pet. ition on FEES ~P, jobate, Letters, Etc .......... -/L~~ ' Short Certificates( ) .......... oenunciation ................ TOTAL Filed e~"~,. ~,-:. ~-~. A'I'FORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE ¢;: {',0 ~,5' his is to certify that the information here given is correctly copied from an original certificate of death ,duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 9962685 No. Local Regis FEB 0 7. 2004 Date .,S.~43Rev. 2/az COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH NAME O~ DECEDENT (Fatal. Middle. ~ ISEX }SOCIAL SECURIT~ NUMBER [DATE OF OEATH iMom~. Day. Yea~) ,. Lois 3. Byers I.~emale 1,.174 _ 20 _ 3897 I,. February 5,2~4 76 ,.. I : I : Io8-o8-~92~ luarris~rg,Pa. ~. I ' I ~ IL ~. I~- I ~N~ [ C~,~.~ ]~ ~ (I/~t ~, ~ve ~ a~ ~) I~ ~CE~H~ ~ml~ I~-~,~.~e. ~. ~.Cm~rland ~ower Allen ~. 04 Ros~ont Ave., ~p H~lll~I1 .~.~.~ ,~ ~te . u.s. ~o ~s~ ~ ~ ~ n~c~ [ ~us- u~ S~~ 12. J13. DECEDENT'5 USUAL OCCUPATION ] KiND OF BUSINESS~INOUSTRY I ,~Housewife ,lb. Self DECEDENT'S DECEDENT'S MAILING ADORE~ (Sueel, Ck'ldrow~. Sta*le, Zip Cede)I^cruAt 3904 Rosemont Ave. ~,.~ ,~.C.~amp Hill, Pa. 17011 1,. Jacob F. Sheaffer ~o..Wanda L. Robbins Penna. 1,,~[] ,,~.,,*:~,~,~,, Lower Allen '~'p. 171. Stale. Oi~ C~rland ~*' .~.0 ' ' ,,. Florence Flowerfield ~3 ~eida Road, ~ Hill, Penna. 17011 m~ . I ~oo. ~noonoerry Road Ol~b~bmary 9,2~4 I,~?~la~ Me~r~al Gardens I,~rr~s~rg' Pa. 17109 L~EN~NUM~R ~E~~ 1334 N. 2nd Street ,~. ~ 138182 ~mver Funeral H~e,Inc.~rrl ~h,,ro. Pa. 17102 I~. [ REGISTRAR'S SIGNATURE AND NUMBER : C~: LAST WILL AI~rD TESTA~',IENT OF LOIS J. BYERS I, LOIS J. BYERS, of the Township of Lower Allen, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this ~y Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore ~ade o me I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 5 I give and bequeath my dry sink; my old fashioned wood stand and old rocking chair which belonged to my father and mother, to ~uy daughter, WA~A L. BYE~S, and direct that the inheritance tax on this bequest be paid out of my residuary estate. ° I give and bequeath fifty (50%) per cent. of my estate, of whatsoever nature and wheresoever situate, to my daughter, WAI~A L. BYERS, absolutely and unconditionally. -1- I give and bequeath the remaining fifty (~0~) per cent. of my estate, of whatsoever nature and wheresoever situate, to my grandson, RUSSELL E. BYERS, JR., my greatgrandson, ZACHARY D. BYERS and to my greatgrandaughter, CAROLYN M. BYERS, share and share alike, per stirpes. (a) Should either or both of my above named greatgrandchildren not have attained the age of twenty-one (21) years at the time of my decease, I give and bequeath the share of each such great- grandchild to my daughter, WAIOA L. BYERS, in separate trusts, to hold, manage, invest and reinvest the share so received, and to use and apply the income and principal, or so much thereof as, in said Trustee's discretion, may be necessary or appropriate for each such beneficiary's education, including trade school and college education, both graduate and undergraduate, without further responsibility to such beneficiary or to such beneficiary's guardian or to any person taking care of such beneficiary. Any income not so used or applied shall be acc~mulated and added to and thereafter be treated as part of the principal of said trust fund. When each such greatgrandchild attains the age of twenty-one (21) years, his or her trust shall tez~uinate and the principal of said trust fund, together with any accumulated income thereon, shall be distributed and paid over to him or her, absolutely and unconditionally, free and clear of all further trust provisions. -2- I direct that my daughter, WANDA L. BYERS, be permitted to serve as Trustee of the estates of my greatgrandchildren, the aforementioned, ZACHARY D. BYERS and CAROLYN M. BYERS, without being required to post bond or other security for the faithful performance of her duties and that she be excused from filing an accounting of her Trusteeship in both instances. For the purpose of facilitating the settlement and distribution of my estate, I authorize and empower my personal representative hereinafter named, to sell any and all real estate which I may own at the time of my decease, at either public or private sale or sales. LASTLY, I nominate, constitute and appoint my daughter, WANDA L. BYERS, Executrix of this my Last Will and Testament, and in the event that my said daughter should predecease me, or should she be unable or unwilling to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my grandson, RUSSELL E. BYERS, JR., Executor of this my Last Will and Testament, in her place and stead, and in either instance, I direct that said personal representatives be excused from posting bond or other security for the faithful performance of their duties in any jurisdiction. -3- IN WITNESS ~EREOF, I have hereunto set my hand and seal this ..... 2[ day of November, A. D., 1994. ~ots J. ~yers (SF, Signed, sealed, published and declared by the above named, LOIS J. BYERS, as and For her Last Will and Testament, in the presence of us, who have subscribed ou~ names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS. I, LOIS J. BYERS , the testat rix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me by LOIS J. B~ERS , the testat_~, this ~/3f~ day of November, , A. D., 1994, COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, the undersigned, J. ROBERT STAUFFE~ and ERIt~A L. LEVENHAGEN , ttle witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testat Pix , LOIS J. BYERS , sign and exe- cute the instrument as ~her Last Will and Testament; that the said testat ~tX , LOIS J, BYeS , executed it as ~/her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testat~ , signed the Will as witnesses; and that to the best of our knowledge, the testat~ was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. S orn and s~bs~ribed to before ~ Name of Decedent: Date of Death: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Will No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on : Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Signature o Name Address /cc_ Telephone ('71 ~ Capacity:/~ Personal Representative ~Counsel for personal representative CERTIFICATION OF NOTICE UNDER RULE 5.6(A) Name of Decedent: Date of Death: Will No: 2004-00192 Lois J. Byers February 5, 2004 PA No.: 21-04-0192 To the Register: I certify that notice of benefice, al interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above captioned estate. NAME: Wanda L. Robbins Russell E. Byers, Jr. ADDRESS: 43 Oneida Road Camp Hill, PA 17011 715 California Street Columbus, IN 47201 C Zachary D. Boyer 5 Kohler Road Etters, PA 17319 Carolyn M. Boyer 5 Kohler Road Etters, PA 17319 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: June 11, 2004 LATSHA DAVIS YOHE & McKENNA, PC P.O. Box 825 Harrisburg, PA 17108-0825 (717) 761-1880 Counsel for Personal Representative 91265 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 004596 ROBBINS WANDA L ........ fold ESTATE iNFORMATION: SSN: 174-20-3897 FILE NUMBER: 2104-0192 DECEDENT NAME: BYERS LOIS J DATE OF PAYMENT: 1 1/05/2004 POSTMARK DATE: 11/05/2004 COUNTY: CUMBERLAND DATE OF DEATH: 02/05/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $7,668.48 TOTAL AMOUNT PAID' $7,668.48 REMARKS' SEAL CHECK//139 INITIALS: MW RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV~1162 EX(11-96) OO4596 ROBBINS WANDA L ........ fold ESTATE INFORMATION: SSN: 1 74-20-3897 FILE NUMBER: 2104-0192 DECEDENT NAME: BYERS LOIS J DATE OF PAYMENT: 11/05/2004 POSTMARK DATE: 11/05/2004 COUNTY: CUM BERLAN D DATE OF DEATH: 02/05/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $7,668.48 REMARKS: TOTAL AMOUNT PAID: $7,668.48 SEAL CHECK//139 INITIALS' MW RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS REGISTER OF WILLS CUMBERLAND COUNTY INVENTORY Estate of LOIS J. BYERS also known as , Deceased No. 21 04 0192 Date of Death 02/05/04 Social Security No 174-20-3897 Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory, laNe verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: I.D. No.: ROBERT L. FREY~ ESQ. 87299 Address: P.O. BOX 825 HARRISBURG PA 17108 Personal Representative: WANDA L. ROBBINS Dated Telephone: (717) 761-1880 Description SINGLE FAMILY FRAME RESIDENTIAL DWELLING KNOWN AS 3904 ROSEMONT AVENUE, CAMP HILL, PA 17011 SMITH BARNEY CITIGROUP ACCOUNT # 724-07514-17 410 M & T BANK ACCOUNT # 651614 1994 FORD ESCORT SOLD 06/03/2004 CASH & EQUIVALENT CITIBANK NA BANK DEPOSIT PROGRAM FROM CITIBANK GLOBAL MKTS, INC. ACCOUNT # 724-07514-17 410 (Attach Additional Sheets if necessary) Total Value 96,090.00 48,489.71 37,839.10 3,500.00 333.12 186,251.93 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 REV-1500 EX + (6-00) I-- Z LU IJJ LU LU WO ~o. I-- Z Z 0 n 0 Z Z COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL ByeFs, Lois J. DATE OF DEATH (MM-DP-Year) 02/05/2004 REV,-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DATE OF BIRTH (MM-DP-Year) 08/08/1927 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY FILE NUMBER 2 I -0 4 0 1 9 2 COUNTY COOE YEAR NUMBER-- SOCIAL SECURITY NUMBER 1 7 4- 2 0- 3 8 9 7 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER [~1. Original Return E~4, Limited Estate r~6. Decedent Died Testate (Attach copy of Will) pg. Litigation Proceeds R~ceived D2. Supplemental Return ['-1 4a. Future Interest Compromise (date of death alta' 12-12-82) D7. Decedent Maintained a Living Trust (Attach copy ~Trust) ] 10. Spousal Poverty Credit (dm of death between 12-31-91 and 1-1-95) 3. Remainder Retum (date of death prio~ to 12-13-82) [~]5. Federal Estate Tax Return Required __ 8. Total Number of Safe Deposit Boxes F--~i 1. Election to tax under Sec. 9113(A) (Attach Sch O) NAME Robed Louis Frey, Jr. FIRM NAME (If Applicable) Latsha Davis Yohe & McKenna, PC TELEPHONE NUMBER (717) 761-1880 COMPLETE MAILING ADDRESS P.O. Box 825 Harrisburg, PA 17108-0825 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) t3. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 96,090.00 48,489.71 41,672.22 OFFICIAL USE ONLY (8) (11) 15,841.36 0.00 186~251.93 15,841.36 170,410.57 (12) (13) (14) 170~410.57 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 170~410.57 x .045 X .12 X .15 20. (15) (16) (17) (18) (19) 7,668.48 7,668.48 g;~80-80 l,Z L Vd ql¥O 5Jnqs!JJeH 3AIIVIN3S3~Jcl3~I NVHI kt~8 II!H du.J¥9 peo~ ep!auo ,gff ss3uaav 3'181SNOdS3~I NOSB3d -lO ~]snlVNglS · a~p~l,~OUa ,~ue seq JaJedaJd qo!q~ jo uofleu~oju! lie uo peseq s! e^!ieluasaJda~ ~euo~ad atl] ue~ .leq~o ~d jo uo!leJelOa0 'aleldmO~ pus 13a~oo 'erul s! 1! 'Ia!l~t pue a6p~lm~OUa ,{m lo }saq aq~ o1 pue 'sluemelels pue salnpe~s ~u!,{~dLuosoe ~u!pnpu! 'uJr~aj s!~,~ p~u!uJ~xa e~q I leql eJel3ep I '/un,ad jo Sa~l~Ued ~pul'l 'N~In.L:I[I 3H.L -10 .I.aYd S¥/I 331:10N¥ 9 3'lnOgHgS :I.L-TldlNO3/Snl61 no), 's:::IA si SNOIJ. S3rlo 3A08¥ 3HJ. 40 ANY 01193~SN¥ 3HJ. ::11 SN90'18 3.L¥1~ldO~ldd¥ 3H.L NI .X. NV 9NIOV-ld Ali SNOI.LSanO 9NIMO-I'IO-I 3H.L ~I3MSN¥ :IS'C-J'Id 8t~'899'Z 8P'899'Z 00'0 ( 3 + 0 ) tlleUedflSeJelUl lelOl ( 9 + 8 + V ) SI![~J9 lelOl ,illeUad '3 lseJelUl 'O alqeO!ldde J! llleUed/lseJelUl 8ff'999'Z (~) ,g lunoosK] '9 sluetuled JOpd '8 I!PeJ9 ,{pa^Od lesnods 'V slueuJted/sl!pej9 (61, au!l ~ a§ed) eno Xel :sl!peJo pue sluetu,~ed xel LLOZL d~Z I II!H duJe9 anueA¥' lUOLUeSO~J ffO6g SS3~O(]V 133~J19 :sse~pp~f Ololdtuoo s.luopoooo REV-1502 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Byers, Lois J. 21 04 0192 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 propert7 which is jointly-owned with ri~lht of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION SINGLE FAMILY FRAME RESIDENTIAL DWELLING KNOWN AS 3904 ROSEMONT AVENUE, CAMP HILL, PA 17011. KEEWAYDIN PLANLOT 115 PB-4 PAGE 42, PARCEL 13-24-0799-054. TRANSFERRED TO DECEDENT AND DECEDENT'S LATE HUSBAND BY THOMAS W. STILL ON NOVEMBER 18, 1970 BY DEED RECORDED IN THE OFFICE OF THE RECORDER OF DEEDS OF DAUPHIN COUNTY AT DEED BOOK VOLUME 23, PAGE 571. VALUATION AS PER ATTACHED ASSESSMENT TOTAL (Also enter on line 1, Recapitulat on). VALUE AT DATE OF DEATH 96,090.00 96~090.00 (If more space is needed, insert additional sheets of the same size) (az!s awes au~ jo ~aaqs leUO!~,!ppe pasu! 'papeau s! aoeds aJOW J0 (uo!~elnl!deoaW '~ aU!l uo ia)ua osl¥) 'lYJ. O/ LZ'69ff'9~ $ 9Z't'90'~; g6'ff~ff'9~: =I~VH$ ~13cl ffl.';~ff$ 1¥ LOI~.I. IZ - 00/6 L/'¢0 O=I~IlNOOV O $$V-I0 ONN=I X3QNI 2,_LINO3 N=I=I~I~)~I3A=I 40 Sq~:IVH$ 009'~;~g 3~VHS ~13d ~;§'Zl.$ IV LOIS IJ01. Q3~11"100¥ :3 SS'C-lO QNR.-I O=IONV-'IV'8 N¥OIM31~¥ _.40 $3MVHS £ I.~'Z0~' I. :S/WO-I-IO-I SV SQNr'I_-I · 40 ONIISISNOO 01,~ Z I.-ffI.§Z0-P~Z# INr'lOOO¥ df')O~lE)l/IO A'qNMV'a I-III~S 'V H1¥30 JO NOIIdlWOS30 W38~N 31va 1¥ 3nqvA P1311 '.-I alnpaqos uo pasolos!p aq }sntu d!qs~oN~uns jo lq§.u ql.~ pau~o-,~l~U!O[ f~ado~d IIV ;~6LO tzO L~ 'r S!Ol 'sJe~i ~I3glNNN qll:l JO ~!1¥153 St]NOS $ 13015 I! ;-lnOaHOS IN~tO3O~la/N301S3~1 N~R/~]~I 'X¥1 ~]ONV.LI~t3HNI ¥1NYA-IASNN3d ,..40 HI-1V~MNOIAII/~OO (96-9) + X3 ~09 I,-A3~ 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 Byers, Lois J. 21 04 0192 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. M & T BANK ACCOUNT # 651614 37,839.10 1994 FORD ESCORT SOLD 06/03/2004 CASH & EQUIVALENT CITIBANK NA BANK DEPOSIT PROGRAM FROM CITIBANK GLOBAL MKTS, INC. ACCOUNT # 724-07514-17 410 3,500.00 333.12 TOTAL (Also enter on line 5, Recapitulation) $ 41,672.22 (If more space is needed, insert additional sheets of the same size) (az!s auras aql jo slaaqs leUO.~!ppe pasu! 'papaau s! aoeds aJouJ 9~:' [ 1z9'§ [ $ (uo!]eln]!de:)a~J '6 aU!l uo Ja]ua oslv) 9¥101 :: 91~'89 t 06'6Z t ~;9'0~:6 O0'OZJ~ gZ'§l, ~1~'0;~ 90't t~; Zt'Ztt OZ'9t~; O0'gZ~ 00'00§'5 00'000'9 O0'9~t 9g'OOt O0'gZ O0'§ZZ O0'gZZ 00'0§5 00'9~ 00'09~ 00'009 O0'~6~'t sae:j sju~uno33V ~: ~0Z ~ Vd 'q-I$1-1~VO '.1.:1:i~_1_$ HOIH C]NV bFI^ONVH '$-I-IlM .dO ~lq/SIO:l~ - ~,/NI'IO~ aNV'1blq~l~f'10 3uap~oeQ ol }ueuJ!qO ~o d!qsuo.qqa~l d!z alelS sseJpp¥ laeJlS J. t OZ J, d!z lUeW!elO (uo!leUeldXa qoc~e 'sjuew!ep se awes eql lou a. ss~Jppe s~uapeoep il) :uo~dwax:l Xi!weJ D'O0~ :p!ed ao!ss!m,,oo ¥cl a~lS IIIH dLUeO ~0 '9t 'gl, 'lzt '~;I, 'Or '6 '8 'Z '9 .g 't '8 'Or '6 '8 'Z '9 .g '~; 't 'V SISO0 :IAII'CB/SINIINa¥ ~ SaSN:IdX3 9'¢BaNIg-I H alnO;;HOS .JLNaC]:Bo3a .LN3QIS3~ N~II~J.3~I XV.L ~ON¥/I~]HNI ¥1NVAq,kSNN3d -I0 H.LI¥~iMNOJNI/~IO0 (66-~t) + X3 t REV-1512 EX + (6~98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Byers, Lois J. 21 04 0192 Include unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. NONE 0.00 TOTAL (Also enter on line 10, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) (az!s arums aq~ jo s~aaqs leUO!~!ppe pasu! 'papaau s! aoeds a]ow $ 133HS ~I3AO0 00§ L-A3~I dO g L 3NI-1 NO SNOIINSI~tlSIQ 3IBVXVI-NON 1VIOl ~3.~N3 - Il IBYd :lO 1¥/01 SNOIIIqSI~IISla I¥1N31~IN~I3A09 QNV 398¥11~JYHO '8 3(]V~ 9NI38 1ON SI X¥1 01 N0110393 NV HOIHM BOq E~6 NOIlO3S ~13ONfl SNOIIFISIBISla -I¥SrlOdS '¥ :SNOIIFISI~JlSIO 398VX¥1-NON 133HS ~t3AOO oog PA3~I NO '3/Vl~tdO~lcldV SV 'gL HgAO~IH1 g ~ S3NI-I NO 3AOBV NMOHS SNOIIASI~ISIO ~t0-1SINAO~¥ ~tVTIO0 ~FIIN3 ~lels3 aql jo %Z99'9 ~ re, els3 a41 jo %Z99'9~ elels3 eql jo %Z99'9 ~ ~lelsq a41 .,to %09 1¥3~1E) NOSQNV~:IO 1V3~tE) NOSQNV~I~) 61, gZI, 'da 'S~I3J._L3 O¥O~ ~39HO~1S ~3AOB '~ NA'IO~VO 61, gZI, Vd 'S~3 1 13 0¥0~ ~3-1HO>{ § ~13A08 '0 A~IVHOVZ ~OZ;ZIz NI 'SrlSIAIFI-100 133~11S VIN~IO::IIg¥O S ~Z '~![' 'S~FIA8 'q -I-FISSrl~l I. LOZ [ Vd 'TIlH d~VO C]VO~ ¥C]13NO SNI~3E]O~J '-1 YaNVM j~)pun m~,~su~ pu~ 'suo~nq.uls!p leSnods lq .~no ~pnpu~ SNOI.LI'iSI~JJ.$1a .g S31B¥1OIJ3N3B I' 3-1FIO3HD$ 1Naa303a ..LN3alS3~ N~J1913~ )(9/1 :::IONVII~I3HNI VINVAgASNN3d ::10 HJ.-1V':JMNOI41~IO'3 ll3HN3UH¥:t 009 lV O3lVSN3d~O0 Ii~0938 sqvIoI AW3AIq3Q I:INOA 721 0 Customer Account Information For Service To: Lois J Byers 3904 Rosemonl Ave Account Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: Feb 11,2004 Billing Period: Jan 13 to Feb 09 (27 days) Next reading on/about: Mar 09, 2004 Rate Type: Residential Meter readings in current billing period: Meter Number N044158164 is a 5/8-inch meter. Present-actual 9 3 60 0 Last-actual 91800 Gallons used Water Usage Comparison 2! Monthly usage in hundred gallons. 2 F aM A M J J A S O N D J F 2 a u u u ~ c o ~ a E, 0 3 4 Billing Summary ~ .......... Prior Balance ....... ~ .............. Balance from last bill Payments prior to Feb 11, 2004. Thanks! Total prior balance, Feb 11, 2004 ........ Current Water Charges .......... Service Charge Water Volume ($.005277x 1,800) Tolal water charges, Feb 11, 2004 ....... AMOUNT DUE .................. $17.82 -17.82 .00 10.50 9.50 20.00 Messages to .you from Pennsylvania American Any portion of this water bill which is not paid as of 3/08/04 will be subject to a 1 50% penalty * Customers may use their credit card, debit card or pay by electronic check onl~ by c'alling [0'11 free: 1-866-271-552; Customers may also pay on-line at www. water, paymybill, com. A service fee will apply. * Approximately 4. 72 percent or $.94, of State taxes are included in your current bill. * At Pennsylvania American, our customers are our top priority. Please let us know how we can serve you better. * Water Shed Tip of the Month: One of the few benefits of a harsh winter is that extreme cold temperatures and frozen ground can greatly increase the mortality of common insect pests. This can lead to fewer insect problems in the summer. So, if we experience a harsh winter this year, you may be able to keep the pesticide applicator in the garage over the summer! * Sign up for American Water's automatic payment plan. Through Electronic Transfer, you can take advantage of this convenient way to pay your bill automatically on the day it's due. No more checks, stamps, or late bills! Call the 24-hour Customer Service Center to request an application. You will need Your Account Number when you call. Just press I for the option to hear about Account and Billing Information, then choose the option to request an application for automatic payment. Fill out the form and mail it back to us. It's that easy! * Effective January 29, 2004, the State Tax Adjustment Surcharge (STAS) has changed from 0.07% to 0.00%. * Effective January 29, 2004, the Distribution System Improvement Charge (DSIC) has decreased from 2.62% to 0%. This charge funds the replacement of water distribution facilities. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com ~ A1M 28557 Customer Account Information For Service To: Lois J Byers 3904 Rosemonl Ave Account Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: Mar 11. 2004 Billing Period: Feb 09 to Mar 09 (29 days) Next reading on/about: Apr 12. 2004 Rate Type: Residential Meter readings in current billing period: Meter Number N044158164 is a 5/8-inch meter. Present-actual 9/+ 10 0 Last-acluai 9 3 6 0 0 Gallons used Water Usage Comparison 2 ~ Monthly usage in hundred gallons;. ,. Billing Summary ........ Prior Balance .................... Balance from last bill Payments prior to Mar 11, 2004. Thanks! Total prior balance~ Mall 1~ 2004 ..... ~-~-Adjustments ...... Deferred Billing Total adjustments, Mar 11, 2004 ..... Current Water Charges-~ - Service Charge Water Volume ($.005735 x 500) Total water charges, Mar 11, 2004 $20.00 -20.00 .00 .81 .81 11.50 2.87 14.37 d15.18 2 M A M J J A S 0 N ~'J,~l E'. :M 2 O. 'a p a u .u u e' c 'o ' ~.!.'a ~'.'='a 0 ~-'- ':~ · g, r r y n 1 g p t: v c .n b ,r. 0 ,,, .. Messages to you from Pennsylvania American Any, portion of this water bi//which is not paid as of 4/05/04 will be subject to a 1 50% penalty Customers may use their credit card, debit card or pay by electronic check only by c'alling ~oll free: Customers may also pay on-line at www water, paymybill corn A service fee will a I *AtPenn ' ' " " PP % sylvama Amencan, our customers are our top pnonly. Please let us know how we can serve you better. * Approximately 4.72 percent or $.71, of State taxes are included in your current bill. * The Pennsylvania Public Utility Commission approved a rate increase, effective January 29, 2004. * Effective January 29, 2004, the State Tax Adjustment Surcharge (STAS) has changed from 0.07% to 0.00%. * Effective January 29, 2004, the Distribution System Improvement Charge (DSIC) has decreased from 2. 62% to 0%. This charge funds the replacement of water distribution facilities. CUstomer SerVice & Emergencies 1,800,565-7292 (24 Hours): For Hearing Impaired Customers TDD 1-800-300-6202 (24 HourS) Visit us on the INTERNET: wwwpawc.cOm AiM 28352 Customer Account Information For Service To: Lois J Byers 3904 Rosemon! Ave Accounl Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: Apr 14, 2004 Billing Period: Mar 09 Io Apr 12 (34 days) Next reading on/about: May 11,2004 Rate Type: Residenlial Meter readings in current billing period: Meter Number N044158164 is a 5/8-inch meier. Presenl-actual 9/+ 100 Lasl-actual 94100 Gallons used Water Usage Comparison Monthly usage in hundred gallons. 2 A M J J A S 0 N D J F M A 2 0 p a u u u e c o e a e a p 0 0 r y n I g p t v c n b r r 0 3 4 Billing Summary ......... Prior Balance ................... Balance from last bill Payments prior to Apr 14, 2004. Thanks! Total prior balance, Apr 14, 2004 ......... Current Water Charges ....... Service Charge DSl ' PAWC Charge 0.25% Total water charges, APr 14, 2004 .......... AMOUNT DUE ................... $15.18 -15.18 .00 11.50 .03 11.53 $11.53 Messages to you from Pennsylvania American Any portion of this water bill which [snot paid as of 5/ld/04 will be subject to a 1.50% penally. * Customers may use their credit card, debit card or pay by electronic check only by calling toll free: 1-866-271-552; Customers may also pay on-line at www. water, paymybill, com. A service fee will apply. * Approximately 4. 72 percent or $.54, of State taxes are included in your current bill. * Effective April 1, 2004, the Distribution System Improvement Charge (DSIC) is now .25%. This charge funds the replacement of water distribution facilities. * Effective April 1, 2004, the State Tax Adjustment Surcharge (STAS)is now .04%. * Spring (and fall) are seasons during which customers need to keep clean and clear the area around their water meters--or house-mounted remote reading devices. Removal of debris, brush, and problematic growth, such as poison ivy, is the customer's responsibility. Doing so greatly enhances safely for meter readers. Your consideration is much appreciated. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com ,~. AIM 29930 Customer Account Information For Service To: Lois J Byers 3904 Rosemonl Ave Account Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: May 13. 2004 Billing Period: Apr 12 to May 11 (29 days) Nexl reading on/about: Jun 09, 2004 Rate Type: Residenlial Billing Summary .......... Prior Balance ........................ Balance from last bill Payments prior to May 13, 2004. Thanks! Total prior balance, May 13, 2004 .......... Current Water Charges .......... Service Charge DSI - PAWC Charge 0.25% Total water charges, May 13, 2004 ......... AMOUNT DUE ................... Meter readings in current billing period: Meter Number N044158164 is a 5/8-inch meter. Present-actual 94100 Last-actual 94100 Gal ons used Water Usage Comparison Monthly usage in hundred gallons. 2 M 2 0 a 0 0 y 0 3 4 M J J A S O N D J F M A a u u u e c o e a e a p y n I g p t v c n b r r $11.53 -11.53 .00 11.50 .03 11.53 Messages to you from Pennsylvania American Any portion of the water charges which is not paid as of 6/07/04 will be subject to a 1.50% penalty. ' Customers may use their credit card, debircard or pay by electronic check only by calling toll free: 1-866-271-552 Customers may also pay on-line at vV~vw, water, paymybill, com. A service fee will apply. * Approximately 4.72 percent or $. 54, of State taxes are included in your current bill. * Effective April 1, 2004, 'the Distribution System Improvement Charge (DSIC) is now.25%. This charge funds the replacement of water distribution facilities. ~ Effective April 1, 2004, the State Tax Adjustment Surcharge (STAS) is now .04%. * When paying your bill in person, be aware that American Payment Systems (APS) is Pennsylvania American's only authorized collection agency. APS ensures your payment is credited to your account. Call 1-800-565-7292 for a list of payment centers. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com ~ ~ A1M 33648 Customer Account Information For Service To: Lois J Byers 3904 Rosemonl Ave Account Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: Jun 11,2004 Billing Period: May 11 to Jun 09 (29 days) Next reading on/about: Jul 12, 2004 Rate Type: Residenlial Meter readings in current billing period: Meier Number N044158164 is a 5/8-inch meler. Present-actual 9/+100 Lasl-actual Gallons used Billing Summary ......... Prior Balance- ................... Balance from last bill Payments prior to Jun 11, 2004. Thanks! Total prior balance, Jun 11, 2004 ......... Current Water Charges ........ Service Charge DSI - PAWC Charge 0.25% Total water charges, Jun 11, 2004 .... AMOUNT DUE .............. Water Usage Comparison Monthly usage in hundred gallons. 2 J J A S O N D J F M A M J 2 0 u u u e c o e a e a ~ a u 0 0 n I g p t v c n b r y n 0 3 4 $11.53 -11.53 .00 11.50 .03 Messages to you from Pennsylvania American Any portion of the water charges which is not paid as of- 7/06/04 will be subject to a 1.50% penalty. * Customers may use their credit card, debit card or pay by electronic check only by calling toll free: 1-866-271-552: Customers may also pay on-line at www. water, paymybill, com. A service fee will apply. * Approximately 4.72 percent or $.54, of State taxes are included in your current bill. * Effective April 1, 2004., the Distribution System Improvement Charge (DSIC) is now.25%. This charge funds the replacement of water distribution facilities. * Effective April 1, 2004, the State Tax Adjustment Surcharge (STAS) is now.04%. * When paying your bill in person, be aware that American Payment Systems (APS) is Pennsylvania American's only authorized collection agency. APS ensures your payment is credited to your account. Call 1-800-565-7292 for a list of payment centers. * Arrangements to disconnect your service just got easier. Log on to pawc. com and follow the Turn-Off Program link Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com 27931 Customer Account Information For Service To: Lois J Byers 3904 Rosemont Ave Account Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: Jul 14, 2004 Billing Period: Jun 09 to Jul 12 (33 days) Next reading on/about: Aug 10, 2004 Rate Type: Residential Billing Summary . .......... Prior Balance ...................... Balance from last bill Payments prior to Jul 14. 2004. Thanks! Total prior balance, Jul 14, 2004 ...... Current Water Charges ........ Service Charge Water Volume ($.005735 x 100) DSI - PAWC Charge 0.37% Total water charges, Jul 14, 2004 ........ AMOUNT DUE ................ Meter readings in current billing period: Meter Number N044158164 is a 5/8-inch meter. Lasl-actual 94100 Gallons used~ ~ Water Usage Comparison Monthly usage in hundred gallons. 2 M J J 2 0 a u u 0 0 y n I 0 3 4 J A S 0 N D J F M A ~ u e c o e a e a D g p ! v c n b r ,$11.53 -11.53 ,O0 11.50 .57 .04 12.11 $12.11[ Messages to you from Pennsylvania American o Any portion of the water charges which is not paid as of 8/09/04 will be subject to a 1.50% penally. * Customers may use their credit card, debit card or pay by electronic check only by calling toll free: 1-866-271-552; Customers may also pay on-line at www. water, paymybill, com. A service fee will apply. * Approximately 4.72 percent or $.57, of State taxes are included in your current bill. * Effective April 1, 2004, the State Tax Adjustment Surcharge (STAS) is now.04%. * When paying your bill in person, be aware that American Payment Systems (APS) is Pennsylvania American's only authorized collection agency. APS ensures your payment is credited to your account. Call 1-800-565-7292 for a list of payment centers. * Arrangements to disconnect your service just got easier. Log on to pawc. com and follow the Turn-Off Program link * Effective July 1, 2004, the Distribution System Improvement Charge (DSIC) increases from .25% to .37%. This charge funds the replacement of water distribution facilities. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: wwwpawc.com ~ ~ A1M 35513 Customer Account Information For Service To: Lois J Byers 3904 Rosemonl Ave Account Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: Aug 12, 2004 Billing Period: Jul 12 Io Aug 10 (29 days) Next reading on/about: Sep 10, 2004 Rate Type: Residenlial Meter readings in current billing period: Meter Number N044158164 is a 5/8-inch meter. Present-actual 94200 L a st - a cl u a I Gallons used Water Usage Comparison Monthly usage in hundred gallons, 2 A M J J A 2 0 P a u u u 0 0 t y n I g 0 3 4 ASONDJFM U e c o e a e a g p t v c n b r Billing Summary .......... Prior Balance---~--~'~ ............. Balance from last bill Payments prior to Aug 12, 2004. Thanks! Total prior balance, Aug 12, 2004 .......... Current Water Charges .......... Service Charge DSI - PAWC Charge 0.37% Total water charges, Aug 12, 2004 .......... AMOUNT DUE .................... $12.11 -12.11 .00 11.50 .04 11.54 Messages to you from Pennsylvania American Any portion of the water charges which is not paid as of 9/07/04 will be subject to a 1.50% penalty. * Customers may use their credit card, debit card or pay by electronic check only by calling toll free: 1-866-271-552 Customers may also pay on*line at www. water, paymybill, com. A sendce fee will apply. * Approximately 4.72 percent or $.54, of State taxes are included in your current bill. * Effective April 1, 2004, the State Tax Adjustment Surcharge (STAS)is now .04%. * Arrangements to disconnect your service just got easier. Log on to pawc. com and follow the Turn-Off Program lin * Effective July 1, 2004, the Distribution System Improvement Charge (DSIC) increases from .25% to .37%. This charge funds the replacement of water distribution facilities. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com A1M Customer Account Information For Service To: loisJ Byers 3904 Rosemonl Ave Account Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: Oc114, 2004 Billing Period: Sep 10 to Oct 11 (31 days) Next reading on/about: Nov 08, 2004 Rate Type: Residential Billing Summary .......... Prior Balance ...... ;~ .............. Balance from last bill Payments prior to Oct 14, 2004. Thanks/. Total prior balance, Oct 14, 2004 ......... Current Water Charges .......... Service Charge DSI - PA WC Charge O. 82% Total water charges, Oct 14, 2004 .......... AMOUNT DUE .................. Meter readings in current billing period: Meier Number N044158164 is a 5/8-inch meier. Present-actual Lasl-aclual Gallons used 943oo 94300 -~, Water Usage Comparison Monthly usage in hundred gallons. 12 2 M J J A S O 2 0 a ti u u e c 0 0 y n I g p t 0 3 4 O N D J F M A C 0 e ~1 e a p ! V C n b r r $12.11 -12.11 .00 11.50 .09 11.59 Messages to you from Pennsylvania American Any porfion of the water charges which is not paM as of 11/08/04 will be subject to a 1 50% enal * u .... ' p ry. C stomers may use their credit card, deb~t card orpay by electromc check only by calling toll free: 1-866-271-552; Customers may also pay on-line at www. water, paymybill, com. A service fee will apply. * Approximately 4.72 percent or $.54, of State taxes are included in your current bill. * Effective April 1. 2004, the State Tax Adjustment Surcharge (STAS) is now .04%. "Arrangements to disconnect your service just got easier. Log on to pawc. com and follow the Turn-Off Program link * Effective October I, 2004, the Distribution System Improvement Charge (DSIC) increases from .37% to .82%. This charge funds the replacement of water distribution.facilities. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing ImPaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com 32784 Customer Account Information For Service To: Lois J Byers 3904 RosemonI Ave Account Number: 24-0639098-5 Premise Number: 24-0377785 Billing Period & Meter Information Billing Date: Sep 14, 2004 Billing Period: Aug 10 lo Sep 10 (31 days) Next reading on/about: Ocl 11,2004 Rate Type: Residential Meter readings in current billing period: Billing Summary ........ Prior Balance ........ -i ............. Balance from last bill Payments prior to Sep 14, 2004. Thanks/, Total prior balance, Sep 14, 2004 ........ Current Water Charges .......... Service Charge Water Volume ($.005735 x 100) DSI o PAWC Charge 0.37% Total water charges, Sep 14, 2004 .......... AMOUNT DUE ..................... Meter Number N044158164 is a 5/8-inch meier. Present-actual Lasl-aclual Gallons used Water Usage Comparison Monthly usage in hundred gallons. 2 s 0 N D J F M A M J J A S 2 0 e c o e a e a ~ a u u u e 0 0 p t v c n b r y n I g P 0 3 4 $11.54 -11.54 .00 11.50 .57 .04 12.11 Messages to you from Pennsylvania American Any portion of the water charges wl~ich is not paid as of 10/12/04 will be subiect to a 1.50% penalty. * Customers may use their credit card, debit card or pay by electronic checl~ only by calling toll free: 1-866-271-552; Customers may also pay on-line at www. water, paymybill, com. A service fee will apply. * Approximately 4.72 percent or $.57, of State taxes are included in your current bill. * Effective April 1, 2004, the State Tax Adjustment Surcharge (STAS) is now.04%. * Arrangements to disconnect your service just got easier. Log on to pawc. com and follow the Turn-Off Program link * Eiffel?ye July 1, 2004, the Distribution System Improvement Charge (DSIC) increases from .25% to .37%. This charge funds the replacement of water distribution facilities. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com ~ ~ A1M 40951 ¥- Z~ ~o> W ~E ( omcast Visit us on the web at www.comcasl.com ACCOUNT NUMBER · 09547 220700-01-1 DATE DUE PAST DUE TOTAL AMOUNT DUE $81.87 How to reach us... How to reach us: 3800 Trindle Rd, Suite B Camp Hill, PA 17011 (717)540-8900 Telephone Customer Service 24 hours a day, seven d~ys a wee!~, _ B'iile~l Services :Taxes & Fees received by 03/04/04) Total Due News from Comcast Our office has not received payment for your previous balance payment has been made, thank you. If you have not made immediately in order to avoid lale charges. If you would balance, please call the Cuslomer Service Phone number in tt of your bill. Deta ( omcast ,Service Char~les Detail Page 2 Date Description Amount Monthly Services 03/18 -04/17 Basic 11.26 03/18 -04/17 Standard Service 28.69 Total Monthly Services $39.95 Taxes & Fees 03/18 -04/17 Franchise Fee 2.23 03/18 -04/17 FCC Reg Fee 0.05 Total Taxes & Fees $2.28 omcast Visit us on the web at www,comcast.com ACCOUNT DATE TOTAL NUMBER DUE' AMOUNT DUE 09547220700-0t-1 ON RECPT $20.43 LOIS J; BYERS For service at: '3904 ROSEMON~ AVE CAMP HILL PA 17011-7813 S~mmary of Charges How to reach us... How to reach us: 3800 Trindle Rd, Suite B Camp Hill. PA 17011 (717)540-8900 Telephone Customer Service 24 hours a day, seven daYS'a week Billed from ~031~ Previous Balance Payments (includes paymenls received Mdnthly Services ~._.. ~,djuslments Taxes & Fees Total Due Detail News from Comcast We regrel losing you as one of our cable subscribers. Our records final balance shown above is now due. Your prompt, outstanding equipmenl must be relurned lo our office within 7 days, any time should you wish Io reconnect your service. ( omcast Service Charges Detail Dale Description Monthly Services 03/02 -O4/17 Basic 03/02 -04/17 Standard Service Page 2 Amount 16.71 cr 38.94 cr Adjustments 03/17 -04/17 Total Monthly Services Rale Change Adj $55.65 cr 2.45 cr Total Adjustments Taxes & Fees $2.45 cr 03/02 -04/17 Franchise Fee 03/02 -04/17 FCC Reg Fee 03/17 -04/17 Franchise Fee 3.10 cr 0.10 cr 0.14 Total Taxes & Fees $3.34 cr Make progress every day Billing Date 03/01104 Page 1 of 5 Telephone Number: 717 737 2320 Account 717 737 2320D02 41 Y How to Reach Us: See page 2 MRS LOPS J BYERS Account Summary i Previous Charges $15.75 Payments Received thru Mar 3 -15.7,5 Pasl Due Charges $.00 New Charges Verizon (page 3) $15.75 Total New Charges due Mar 29 Total Due (past Due + New) Manage Your 1/erizon Account Online r View & pay bills, request repairs, place orders. It's quick and easy: Go to verizon.com Click "Sign in" under "Manage My Account". First time user? Get started with ... User ID: 71773723205 Password: JPGK5D ... and customize your ID as you register. Then fo/Iow the step-by-step instructions. To enroll in the Verizon Direct Payment Option please read and sign the agreement on the reverse side of the payment form below. Mail payments to: Verizon, PO Box 28000, Lehigh Vly PA 18002-8000 Change of billing address? Go lo verizon.comYoillingaddress or see page 2. Detach & return pay__me_nt slip._wilh y_our_..ch_eck_, payable to Verizon. verizo_n Make progress every day How to Reach Us Billing Dale 03/01/04 Page 2 of 5 Telephone Number: 717 737 2320 Account 717737232000241Y How to Reach Us: See below . Bi_ Iling questions Pa~ent arrangements R_~Dair To order services Online billing ~ayment Centro His_pano de Verizon Pr_~_guntas de Pacjg_s P_.~_per Free Billing_ Direct Pa_y__ment Enrollment ~ Phone TDD/Ti-Y venzon.com/onlinehelp venzon.com/onlinehelp venzon.com/repair venzon.com/storefront venzon.com/movingcenter venzon.com/billview venzon.com/es@anol verlzon.com/ venzon.com/ap_~__erfreebilling__ venzon.com/bill_E.a~ verizon.com/ 1 800 660-2215 1 800 801-4008 800 275~2355 800 660-2215 800 660-2215 800 479-0305 800 801-4008 800 345-6563 800 345-6563 800 462-1610 8:00 am - 6:00 pm M-F 24 hour account information 24 hours a d__~ 8:00 am - 6:00 J~m M-F 8:00 am - 6:00 pm M-F 24 hours a day 8:00 am - 6:00 Dm M-F di_~_ponible las 24 horas 24 hours a da_y_ 24 hours a ~ 24 hours ~ - 8:00 am - 6:00 pm M~F This information is required by the Public Utility Commission. "Basic" service includes the line charge, local calling and TOUCH TONE service (if applicable). "Non-Basic" service includes optional services, other than Touch Tone, such as Maintenance agreement for inside wire and Guardian and does not include toll services. Non-payment of any past due basic charges could result in suspension of your local service after you receive a separate written statement. Past Due Current Totals BASIC Balances Charges TOLL $.00 $15.59 $15.59 $.00 ,$.16 $.16 NON-BASIC $. 00 $. 00 $. 00 TOTALS $. 00 $15.75 $15.75 The following pages provide additional details. * (Includes Verizon and other service provider(s) example, services such as inside wire maintenance charges.) A late paymenl charge of 1.25% may apply to any balance carried forward to next month's bill. vermz _n MRS LOIS J BYERS Make progress every day Account Summary Previous Charges $15.59 Payments Received thru Feb 4 -15.5,9 Past Due Charges $.00 New Charges Verizon (page 3) $15.75 Total New Charges due Mar I Tolal Due (Past Due + New) Billing Date 02/01/04 Page 1 of 4 Telephone Number: 717 737 2320 Account 717 737 2320 002 41 Y How to Reach Us: See page 2 Manage Your Verizon Account Online! View & pay bills, request repairs, place orders. It's quick and easy: Go to verizon.com Click "Sign in" under "Manage My Account". First time user? Get started with ... User ID: 71773723205 Password: GDJNS5 ... and customize your ID as you register. Then follow the step-by*step instructions. To enroll in the Verizon Direct Payment Option please read and sign the agreement on the reverse .side of the payment form below. Mail paymenls Io: Verizon, PO Box 28000, Lehigh Vly PA 18002-8000 Change of billing address? Go to verizon.com/billingaddress or see page 2. Detach & return payment slip with your check payable Io Verizon. verl7on Make progress every day Billing Date 02/01/04 Page 2 of 4 Telephone Number: 717 737 2320 Account 717 737 2320 002 41 Y How to Reach Us: See below How to Reach Us Billing questions Payment arrangements venzon.com/onlinehelp venzon.com/onlinehelp 800 660-2215 800 801-4008 Repair venzon.com/repair 1 800 275-2355 To order services venzon.com/storefront 1 800 660-2215 verizon.com/movingcenter 1 800 660-2215 verizon.com/billview venzon.com/espanol verizon.com/ 1 800 479-0305 1 800 801-4008 8:00 am - 6:00 pm M-F Are you moving? Online billing & payment Centro Hispano de Verizon Preguntas de Pagos Paper Free Billing Direct Payment Enrollment venzon.com/paperfreebilling venzon.com/billpay 24 hour account information 24 hours a day 8:00 am - 6:00 pm M-F 8:00 am - 6:00 pm M-F 24 hours a day 8:00 am - 6:00 pm M-F disponible las 24 horas 24 hours a day 1 800 345-6563 24 hours a day Pay by Phone 1 800 345-6563 24 hours a day TDDFFTY verizon.com/ 1 800 462-1610 8:00 am - 6:00 pm M-F This information is required by the Public Utility Commission. "Basic" service includes the line charge, local calling and TOUCH TONE service (if applicable). "Non-Basic" service includes optional services, other than Touch Tone, such as Maintenance agreement for inside wire and Guardian and does not include toll services. Non-payment of any past due basic charges could result in suspension of your local service after you receive a separate written statement. Past Due Current Totals Balances Charges BASIC $. 00 $15.59 $15.59 TOLL $. 00 $. 16 $. 16 NON-BASIC $. 00 $. 00 $.00 TOTALS $. 00 $15.75 $15.75 The following pages provide additional details. * (Includes Verizon and other service provider(s) example, services such as inside wire maintenance charges.) A late payment charge of 1.25% may apply to any balance carried forward to next month's bill. HOLY The Spir/t of Caring Holy Spirit Hospital 503 N 21ST STREET CAMP HILL PA 17011 717-763-2141 For Account Information, Please Call 717-763-2141 Statement of Account 03/04]04 Transaction D~e Descri~ion Amount PREVIOUS BALANCE 18,582.7q 01/28/0q MED C/A HOSP-IP M90 MEDICARE I/P 15,565.78- 01/30/0q OTHER PATIENT NON CO M90 MEDICARE I/P 21.60- 02/17/0q MEDI PYMT-HOSP IP M90 MEDICARE I/P 3,920.29- OZ/17/Oq MEDI C/A HOSP-IP M90 MEDICARE I/P 13,195.ql- OZ/17/Oq MED C/A HOSP-IP M90 MEDICARE I/P 13,565.78 02/20/04 MEDI PART B PYMT-IP M90 MEDICARE I/P 116.81- 02/20/04 MEDI PART B C/A-IP M90 MEDICARE I/P 197.99- OZ/25/Oq BC PYMT IP M90 MEDICARE I/P 29.20- 03/05/0q BC 65 SPEC PYHT B99 BLUE CROSS 56 876.00- Estimated Insurance Due: .00 Total Patient Credits: Account Balance: M90 MEDICARE lip .00 B99 BLUE CROSS 36 .00 PLEASE DISREGARD THIS STATEMENT IF YOU HAVE PAID. ............................... Please detach and return with your payment JOHN T MORITZ 219 E MAIN ST MECHANICSBURG PA 17055 EXPIRATION NOTICE Policy Number I Date Prepared 58,37 HO 306552 I APR 14~ 2004 Total Amount Due Installment Amount Due* Due Date $ 412.00-OR-$ 210.00 I APR08,2004 *(Includes a $ 4.00 installment service charge). We will bill a second installment of $ 206.00plus $ 4.00 service charge on or about AUGUST 29, 2004 For Payment Of: ANNUAL RENEWAL I,,,111,,,111,,,,,,11,,,111,,,11,,I,,,,11,,11,11,,,,I,,11,,,11 LOIS J BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011-7813 See back of this statement for important phone numbers and other information about this insurance. Note: We se.nd th!s. no.tice .w. hen your _p,.ayme.nt has not been re. ceived.. If you've .m. ad.e your payment, please accep[ .... our [nanKs. .....,you haven [ paio vour premium, please oo. so immed'ately to prevent the possibility of financial loss which would be protected by the pohcy. NOTICE: Your Homeowner Insurance Policy EXPIRED at 12:01 A.M. on APR 08, 2004 for NON-PAYMENT of the premium due. Your policy will be reinstated without interruption if a valid payment of the premium due ' recehied by APR 27, 2004. lotal Due lhis Statement .................................................................................................... '. $ 412. O0 I! You Would Pre[er Our Installment Plan, Pay ....................................................................... RETAIN THIS RORTION FOR YOUR RECORDS V-0500 JOHN T MORITZ 219 E MAIN ST MECHANICSBURG PA 17055 HOMEOWNER BILLING STATEMENT Policy Number 58 37 HO 306552 ! Date Prepared JUL 29, 2004 Total Amount Due $ 210.00 Due Date AUG 29, 2OO4 How to Contact Us Nationwide Representative: JOHN T MORITZ AGENT NUMBER: 0007892 717-697-9469 For Payment Of: SECOND INSTALLMENT I,,,111,,,111,,,,,,11,,,111,,,11,,I,,,,11,,11,11,,,,I,,11,,,11 LOIS J BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011-7813 See back of this statement for important phone numbers and other information about your insurance. Note: This Billing Statement is for the second installment for your Homeowner Insurance Policy. Please pay premium on or before the above due date. Thank you for insuring with Nationwide. Total Premium Due This Statement ........................................................................................ $ RETAIN THIS PORTION FOR YOUR RECORDS v-o500 BILL DATE 3/01/2004 ~2004 PERSONAL TAX NOT~CE I COUNTY OF CUNBERLAND RS: BILL NO 1263 BONNIE K. MILLER, TOWNSHIP OF LOWER ALLEN 1993 HUMMEL AVEN[ CAMP HILL, PA JOB TITLE HOMEMAKER CTL 13 1216 SSN 000-00-000~ MAR ~ 9 2004 BYERS, LOIS 3904 ROSEHONT AVEBONNIE K. MILLER CAMP HILL PA 17011LowerAllenTownshi MON,TUES & THURS 9AM-4PM OR BY APPT; 4/29 9AM-8PM; 4/30 9AM-4PM BONNIE MILLER@LOWER-ALLEN.PA-US CLSD HUDYS 717-975-7575 EXT 1701 UNPAID TAXES SUBMITTED TO DEEINQUENT COLL 12/31/04 VALUE 0 CNTY P/C s.ooooo 4.90 5.00 MUN P/C s.ooooo 4.90 5.00 5.50 5.50 Ci~P/C 2.0% ZO.0% FACE MU~ WC ~.0% 10.0% 5/01/2004 AFTER TO TO 4/30/2004 6/30/2004 6/30/2004 -:'~,.-~,~: ~,~r,~,~.~L DISTRICT ll*~ JULY 0.1I, 2004 LCNFR A '~:'~ ......... LL~.~'~ TOWNSHIP ..... ~= ~.>TA.~ TAX TAX NOTICE ~= ~' '"~ ' T~- ,ue~--O~ 0i~043 THESE T~ES ARE DUE AND PAYABLEj DISCOUNT NET PENALTY j ACCOUNT K. MILLER :390~ ROSENONT ~ CAMP ;WILL PA 170Ll AUG 0 9 2004 t7i7) 9'75=~75Tfi_. ::X"r~,_, 17Ci I 111 uMEKI~ RD.' NEW OUMBER~N~?A~0?0 t ~ E- Ic~/S~AT~/ ' _ · t -'-' fO A~L ¢2. PRODUC~S. ~lS PRO.CT IS D~ ~ JSE ONLY. PENAL~ FO~T~BLE USE ' :~ ~:(~R MOTOR VEHICLE%~,E?-'-'/.~' . , - · -' ~ 'TERMS: ? .... :? ..- --.. ~JI charges paid w ~ n 5 da Is of ~1 v~ .-will r~e. ve the CASH ~ ~. ' ~ ~e net chacge am~ is due within 15 days ~ the statement dale. A finance charge;of 1.5% ~r month will ~ add~ to a~ accounts over 30'days. ~nual p~cent~e of 18%. . ~ Unle~ sp~ifi~ othe~ise, each account shall have a cr~it li~ Of onb de]iv~w .' of oil. ~erefor~, ~ch previous deliv~ must ~ paid in fu~ ~fore the next ':" delivew or witdin 15 days of the statement date, ~ichev~ c~es -THIS IN.ICE HAS BEEN ACCU~TELY COMP~ED ~D AUTOMATICA~Y CRINTEDBY A MI~OM COMP~ING M~ER, VOLUME ~MPE~RE COMPEN~TED TO 60OF ~ ~ ., . -~ r-,~TF ~- ~...-'i C~./LT~H l ~'~>IF, .~ I 7 F', UC ~:; NUb!E; ': .... 7 ',~ E Fi NUP!B F F~ ,::: ,q F ';; i-.4!Jf-iB E ~%~i i ~ ~r--iz~ ...... F'R i C:~ .----r~l PPL Electric Utilities ppi Page I Electric Service For: LOIS BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011 Questions about this bill? Please conlacl usbv Sep 13 at 1-800-34'~-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplxveb.com Summary Page Balance as of Aug 23, 2004 $ 0.00 Charges: TotaFPPL ELECFRIC UqILITIES Charges $ 23.02 Total Charges $ 23.02 Account Balance 23.02 /30 Electric Use This graph shows your electric use over ihe lasl 13 monlhs. /epes of let Readings: Aclual 1 Estimated ~ Customer [~ KWH - Average Per Day Meter Reading Information 12 ~Vleter//87782787 I Aug23 Actual 3725 10 I Jul22 Actual 3536 8 [32 Days ~Billed 2004 Average - Aug 2003 72F6 6 Temperature 75F KWH Per Day 10 4 Yearly Use: Total Average Use Monthly 2 Sep 2002 - Aug 2003 3265 272 Sep 2003 - Aug 2004 2710 226 0 ASONi)J FMAMJ JA 2003 Months 2004 Other important information on back PPL Electric Utilities Page I Y°~ Bi!l Acc°Unf NUn~ber1 Electric Service For: LOIS BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011 Questions about this bill'? Please conlact us by Mar 15 at 1-800-34.-57755 or 484-634-4900 or wrile Io: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com Summary Page Balance a:s of Feb 23, 2004 $ 0.00 Charees: TotaYPPL ELECYRIC UTILITIES Charges $ 38.13 Tottd Charges $ 38.13 Pi ~i A ~6aii ~ N o ,~r thAfi ~ i S;' 2004 Account Balance Electric Use This graph shows your electric use over the last 13 nlonlhs. ePeS of ter Readings: Actual l Estimated ~ Customer ['~ KWH - Average Per Day Meter Reading Information 18 [Meter 087782787 [Feb 23 Actual 2775 15 [Jau 23 Actual .39- 12 131 Days KWH Billed Average - Feb 2003 2004 9 Temperature 26F 25F KWH Per Day 9 12 6 Yearly Use: Total Average Use Monthly 3 Mar 2002 - Feb 2003 3356 280 Mar 2003 - Feb 2004 3371 281 0 FMAMJ JASONI) J F 2003 Mouths 2004 Other ilnporlanl inlbrmation on back -'~ PPL Electric Utilities Page I Electric Service Fol': LOtS BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011 Questions about lhis bill? Please contact us b~ Apr 13 at 1-800-34~-5775 or 484-634-4900 or ,rile to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com Summary Page Balance as of Ma,- 23, 2004 * 0.00/~(¢ 3/~Z ~' Chames: TotaFPPL ELECTRIC UTILITIES Charges $ 21.10 F~ //0 Total Charges tr~21.10 Account Balance $ 21.10 Electric Use This graph shoxvs your electric use over the last 13 months. T/lVeP e s of let Readings: Actual l Estimated Customer KWH - Average Per Day Meter Reading Inlbrmation 18 ~Vleter 087782787 ! 15 I Mar 23 Actual 2942 ]Feb 23 Actual 2775 12 129 Days KWH Billed ~ Average - Mar 2003 2004 9 Temperature 36F 40F KWH Per Day 16 6 6 Yearly Use: Total Average 3 Use Mont2h916Y Apr 2002 - Mar 2003 3551 0 Apr 2003 - Mar 2004 3095 258 MAMJ JASONDJ FM 2003 Months 2004 Other important information on back I PPL EleCtric ppi ~ Utilities ~ Page I I Electric Service For: LOIS BYERS 3904 ROSEMONT AVE CAMP HILL PA 171)11 Questions about this bill? Please contac! us by May 13 at 1-800-342-5775 or 484-634-4900 or write Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com Summary Page Balance as of Apr 22, 2004 $ 0.00 Char~:es: TotaVPPL ELECTRIC UTILITIES Charges $ 18.39 Total Charges $18.39 Account Balance ~... Electric Use This graph shows your electric use over the last 13 monlhs. T pesof lhVl t e r Readings: Actual / Eslimated ~ Customer [---] KWH - Average Per Day Meter Readh~g Information 12 lMeter//87782787 [ 10 I Apr 22 Actual 3078 [ Mar 23 Aclual 2942 8 130 Days KWH Billed 136 Average - Apr 2003 2004 6 ~empemlure 49F 505F KWH Per Day 2 4 Yearly Use: Tolal Average 2 Use Mont~81 ly May 2002 - Apr 2003 3377 . 0 May 2003 - Apr 2004 3152 263 AMJ JASONDJ FMA 2003 Monlhs 2004 Olher imporlan! information on back F I i Fol'; LOtS BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011 QuestiOns about this, bill? Please contac! us by Jun 14 at 1,800-342-5775 or 484-634-4900 or write 1o: Customer Service 827 Hausman Rd. Allentown, PA 18104-9302 wwxv.pplweb.com Page 1 Y°itr Bill ACCoUni N~b~' 63570-77006 [Ise:vhencalllngO~iSt~g :: : ] Summary Page Balance as of May 21, 2004 $ 0.00 Chartzes: TotaFPPL ELECTRIC U'I1LI]IES Charges $ 19.63 Total Charges PaY: ~s A:m°unt N~: ~r ~an jhh Account Balance $19.63 Electric Use qlfis graph shows your electric use over the last 13 monlhs. l~VePeS of ter Readings: Actual l Estimated Customer KWH - Average Per Day Meter Reading Information 12 lhzleler #87782787 10 ] Ma), 21 Aclual 3228 [Apr 22 Actual 3078 8 ] 29Days KWtt Billed 150 6 Average - May 200:3 2004 Temperature 58F 63F 4 KWH Per Day 8 5 Yearly Use: Total AveraRe 2 Use MonthS[ Jun 2002 - May 2003 3333 0 Jun 2003 - May 2~ 3108 259 MJ JASONDJ FMAM 2003 Monlhs 2004 Olher important intbrmation on back ........... 55 ........ ~-? ............ :55 ..... 7-55 ...... ~-7 ................. y: ..... 255:---7 ..... :-55---52-7 .... : ......... : ........................ IPPL EleCtricpPI-ii i Utilities ~ Electric Summary Page Service For: LOIS BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011 Questions about this bill? Please contact us by Jul 13 at 1-800-342-5775 or 484-634-4900 or write to: Customcr Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com Page I Yom Bill A~omit Nun~l~ i: 63570-77006 Balance as of Jun 22, 2004 $ 0.00 Char.~es: TotaUPPL ELECTRIC U'HLI]IES Charges $ 19.89 'lotal Charges $19.89 Account Balance Electric Use This graph shows your eleclric use over the last 13 months. l~ePeS of ter Readings: Actual 1 Estimated ~ Customer ['--] KWH - Average Per Day Meter Reading Information 12 [Meter//87782 787 10 l Jun 22 Actual [ May21 Aclual 8 132 Days ~.WH Bil~d 6 Average -.Jun .003 Temperature 63F 4 KWH Per Day 9 Yearly Use: 2 Jul 2002 - Jun 2003 0 Jul 2003 - Jun 2004 J JASONDJ FMAMJ 2003 Moulhs 2004 3381 3228 153 2004 69F 5 Total Average Use Mon?~ 3362 _ 2977 248 Other importan! information on back PPL £1ectric ppi Utilities ~ Page I Electric Service For: LOIS BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011 Questions about this bill? Please contact us by Aug. 12 at 1-800-342-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Alleutown, PA 18104-9392 www.pplweb.com Summary Page BMance a~ of Jul 22, 2004 $ 0.00 Char~es: TotaUPPL ELECTRIC UTILrll ~ES Charges $ 20.05 Total Charges $ 20.05 Account Balance ?O~~ } ~ Electric Use 12 10 This graph shows your electric use over the last 13 8 months. 6 l~VePeS of ter Readings: 4 Actual I 2 Estimated ~ 0 Customer ~ KWH - Average Per Day , I - I I I I I I I I I I I I JASONDJ FMAMJ J 2003 Months 2004 Meter Reading Information Meter//87782 787 I Jul 22 Actual 3536 Jun 22 Actual 3381 30 Days KWH Billed 155 Average - Jul Temperature KWH Per Day Yearly Use: Aug 2002 - Jul 21X)3 Aug 2003 Jul 2004 2 003 2004 75F 72F 11 5 Total Average Usc Mont~ 3335 ~ 2813 234 Other important information on back I PPL Electric Utilities Electric Service For: LOIS BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011 Questions about this bill? Please conlact us by Oct 13 at 1-800-342-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com ppi Page I yom Bill A¢com~i NUnib 63570-77006 Use ~h~l~ Calilng Summary Page Balance as of Sep 22, 2004 $ 0.00 Charees: ToIaFPPL ELECTRIC U~IILITIES Charges $19.89 Total Charges $19.89 Account Balance Electric Use ~' 10 This graph shows your electric use over the last 13 8 months. 6 l~VeP e s of let Readings: 4 Actual I 2 Estimated ~ 0 Customer ['---i KWH - Average Per Day I I I I I I I I I I SONDJ FMAMJ JAS 2003 Months 2004 Meter Reading luformation F3SA0 Ct e r 087782787 ep 22 Actual ug23 ~ctual Days ~--~--fl -Billed 3878 3725 153 Average - Sop Temperature KWH Per Day Yearly Use: Oct 2002 - Sep 2003 Ocl 2003 Sop 2004 2003 70F 9 2004 70F 5 Total Average Use Monthly 3274 273 2584 215 Other important information on back PPL Electric Utilities Electric Service For: LOIS BYERS 3904 ROSEMONT AVE CAMP HILL PA 17011 t~uestions about is bill? Please contact us by Nov 15 at 1-800-342-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com ppi ...:::-- Page 1 Summary Page 63570-77006 I Balance as of Oct 22, 2004 $ 0.00 Char~es: TotaFPPL ELECTRIC UTILITIES Charges $ 8.38 Total Charges $ 8.38 Account Balance Electric Use This graph shows your electric use over the last 13 months. ePeS of ter Readings: Actual l Estimated ~ Customer [---} KWH - Average Per Day Meier Reading Information 12 [Meter #87782787 I 10 I Oct 22 Actual 3899 I Se~22 Actual ' 3878 8 I 30"Days K'W]~iI~d~ Average - Oct 2003 2004 6 Temperature 56F 58F 4 KWF/Per Day 9 1 Yearly Use: Total Average Use Mon~ 2 Nov 2002 - Oct 2003 3276 0 Nov 2003 - Oct 2004 2347 196 OND J FMAMJ JASO 2003 Months 2004 Other important information on back J/in,etee~, h~endred and seventy (1970) , i~ the year s .ingle man, THOMAS W. STILL,/by Russell S. Still, his Attorney-in-Fact, of Harrisburg, Dauphin County, Pennsylvania, GRANTOR, A N D ROBERT C. BYERS, SR. and LOIS J. BYERS, his wife, of the same place, GRANTEES. Sixteen Thousand Nine Hundred aud. -O0/lO0 ($16,900.00) Dollars, in, han,d paid, the receipt whereof is hereby ackn,owled~ed, the said ~ran,tor do es hereby ~ran,t arid con,vey to the salad ~rantees their heirs and assi~r~s, ALL that certain lot of ground situate in the Township of Lower Allen, County of Cumberland and State of Pennsylvania, more particularly bounded and described as follow~, to wit :- BEGINNING at a point on the northerly line of Rosemont Avenue, 'said point being at a distance of eighty-six and ninety-eight one-hundredths '(86.78) feet measured in a westerly direction from St. John's Church Road; thence along the line of Lot No. 112 on the hereinafter mentioned Plan, north sixty-one (61) degrees twenty (20)' minutes west, ninety-five 'an~ Seven tenths (95.7) feet to a point; thence by said Lot No. llh and Lot N'o. ll5 north thirty-five (55) degrees three (5) minutes west~ sixty and twenty-three one-hundredths (60.25) feet to a ~o~'nt; thence along Lot. No. llO, south fifty-eight (58) degrees forty (20) minutes west, fifty-sLx and two one-hundredths (56.02) feet to a.point; thence along Lot No. ll6, south.thirty- one (51) degrees twenty (20)minutes east, forty-four and eight tenths ([[.8) feet to a point; thence by the same, south forty-eight (28) degrees two (2) minutes east, one hundred thirty-five and eight tenths (155.8) feet to a point on the northerly line of Ros~raont Avenue; thence along Rosemont Avenue in an easterly direction along a curved line seventy-five and seventy-seven one-hundredths (75.77) feet to the Place of BEGINNING. BEING Lot No. 115 on the Plan of ' ~ Lots known as Keewaydin, said Plan being recorded in the Office' of the ReCorder of in Plan Book No. ~._~___, Page 22 Deeds in and for said County of Cumberland . . HAVING THEREON ERECTED a. dwelling house.known and numbered as 3902 Rosemont A~enue. ' BEING the same premises which'Abra~ M. Hess and Anna KaUff~an Hess, his wife, by their deed dated the 22th da~ Of March, 1927, and recorded 'in' 'the office of the Recorder of Deeds in and for Cumberland'County, PennSylvania, in Deed Book "N" Vol. l~__~_._~ Page~, granted and conveyed unto Thomas W. Still' an~d Clara M. Still, his wife.' The said Clara M. Still died the ?th ~day of November, 1969, whereupon the within premises v..ested in Thomas W. Still, the surviving tenant by the entireties' Grantor herein] who, by his attorney-in.fact Pursuant to the Power of Attorney filed herewith, executed and delivered the within deed. UNDER AND SUBJECT to certain CoVenants and restrictions as appear in the chain of title. the said grantor generally do es hereby the property hereby conveyed. and seal the day and year first above written. has hereunto set his hand Tho~ W. Still " till, his Att°rney-in-FaC~ in and for said Co~ty and State, t~e ~dersi~ned o~cer, personally appeared , before me a Notary Public single man, Attorney-in-Fact, THOMAS W. STILL,/by Russell S. Still, his know~ to me (or satisfactorily proven) to be the person whose name is .~bscribed to the within ~nstr~me~, a~d acknowledged that he executed the same for ~h~e p~rpose ~here~ I~ ~IT~ESS ~.HEREOF, I have hereunto set my hand and official s'~.'~.:" NOTARY PU=....~C .:~i On this, the day of the tendersi~ned officer, personally appeared before me known to me (or satisfactorily proven) to be the person whose name sgbscribed to the within gnstnement, and acknowledged that he executed the same for the p~erpose therein contained. I~' FFIT&'ESS VFHEREOF, I have heref~nto set my hand and seal. ~ha~ the precise address of ~he ¢=rar~tee o heregre is __--o..e....-t4. ~' ? ' ~ /" On this, the day of the undersigned ol~cer, personally appeared 19 , be/ore me to m,e (or satis~'actorily proven) to be the person whose name .~bscribed to the ~vithin in.¢trument, a~d acknowled,eed that he execu, ted the same for the p~rpose therein contained. I~ kFIT~'ESS WHEREOF, I have here~rcto set my hand and seal. Deed Book ~f~t/ Recorder Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters WHEREAS, on the 25th iated November 21st 1994 No. 2004-00192 PA No. 21-04-0192 ESTATE OF BYERS LOIS J (L~A~'I', ~'1~'1', Late of LOWER ALLEN TOWNSHIP ~UM~J_d-LND ~UN'I'Y, Deceased Social Security No. 174-20-3897 day of February 2004 an instrument cas admitted to probate as the last will of BYERS LOIS J (J_~.S'r, ?'~S'r, MI~U~) Late of LOWER ALLEN TOWNSHIP , CUMBERLAND County, who died on the 5th day of February 2004 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and for ~he County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify :hat I have this day granted Letters TESTAMENTARY :o BYERS WANDA L NKA and ROBBINS WANDA L ~ho have duly qualified as Executor(rix) Lnd have agreed to administer the estate according to law, all of which fully Lppears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, ~ARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal ~f my Office the 25th day of February 2004. ~ / ~ ~<eglsuer or Wills / / **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) LAST WILL AND TESTAMENT OF LOIS J. BYERS I, LOIS J. BYERS, of the Township of Lower Allen, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. I direct the payment of all my Just debts and funeral' expenses as soon after my decease as the same can be conveniently done. 5 I give and bequeath my dry sink; my old fashioned wood stand and old rocking chair which belonged to my father and mother, to my daughter, WANDA L. BYERS, and direct that the inheritance tax on this bequest be paid out of my residuary estate. I give and bequeath fifty (5~) per cent. of my estate, of whatsoever nature and wheresoever situate, to my daughter, WANDA L. BYERS, absolutely and unconditionally. -1- I give and bequeath the remaining fifty (50%) per cent. of my estate, of whatsoever nature and wheresoever situate, to my grandson, RUSSELL E. BYERS, JR., my greatgrandson, ZACHARY D. BYERS and to my greatgrandaughter, CAROLYN M. BYERS, share and share alike, per sti~pes. (a) Should either or both of my above named greatgrandchtldren not have attained the age of twenty-one (21) years at the time of my decease, I give and bequeath the share of each such great- grandchild to my daughter, WANDA L. BYERS, in separate t~usts, to hold, manage, invest and reinvest the share so received, and to use and apply the income and principal, or so much thereof as, in said Trustee's discretion, may be necessary or appropriate fo~ each such beneficiary's education, including t~ade school and college education, both graduate and undergraduate, without further responsibility to such beneficiary or to such beneftcia~y's guardian or to any person taking care of such beneficiary. Any income not so used or applied shall be accumulated and added to and thereafter be treated as part of the principal of said trust fund. When each such greatgrandchild attains the age of twenty-one (21) years, his or he~ t~ust shall teEninate and the principal of said trust fund, together with any accumulated income thereon, shall be distributed and paid over to him or her, absolutely and unconditionally, free and ele~ of all further trust provisions. ~ -2- I direct that my daughter, WAI~A L. BYERS, be permitted to serve as Trustee of the estates of my greatgrandchtldren, the aforementioned, ZACHARY D. BYERS and CAROLYN M. BYERS, without being required to post bond or other security for the faithful performance of her duties and that she be excused from filing an accounting of her Trusteeship in both instances. For the purpose of facilitating the settlement and distribution of my estate, I authorize and empower my personal representative hereinafter named, to sell any and all real estate which I may own at the time of my decease, at either public or private sale or sales. LASTLY, I nominate, constitute and appoint my daughter, WANDA L. BYERS, Executrix of this my Last Will and Testament, and in the event that my said daughter should predecease me, or should she be unable or unwilling to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my grandson, RUSSELL E. BYERS, JR., Executor of this my Last Will and Testament, in her place and stead, and in either instance, I direct that said personal representatives be excused from posting bond or other security for the faithful performance of their duties in any Jurisdiction. -3- IN WITNESS ~{EREOF, I have hereunto set my hand and seal this ~f. day of November, A. D., 1994. Signed, sealed, published and declared by the above named, LOIS J. BYERS, as and for her Last Will and Testament~ in the presence of us, who have subsortbed ou~ names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS. I, LOIS J. BYERS , the testat PiX _ whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me by LOI$ J, B"~8 , the tes~at_]z~, this day of November , A. D., 1994. COMMONWEALTH OF PENNSYLVANIA ) : COUNTY OF CUMBERLAND ) SS. We, the undersigned, J. ROBERT STAUFFER and ER/I{A L. LEWENHAGEN , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified accordingto law, depose and say that we were present and saw the testat rix , LOIS J',ByERS , sign and exe- cute the instrument as ~her Last Will and Testament; that the 6aid testat rix , LOIS J, BYERS , executed it as ~her free and voluntary Act for the purposes therein expressed; that each of us., in the.he,ring and sight of the testat~X , signed the Will'as witnesses; and that to the best of Our knowledge, the testat_p_ix__was, at the time· eighteen (18) or more years of age, of sound mind· and under no constraint, duress or undue influence. Sworn--and subscribed to before me this ' ~t~- day of ' November, THIS IS NOT A TAX BILL MAILING DATE: }{ay 10, 2004 · District: 13 - LOWER ALLEN TO~TNSHIP Sch'ool..: WEST SHORE SD Location: 3904 - ~OSEMONT AVENUE KEEWAYDIN LOT 115 PB 4 PG 42 TAXABLE UNIT/LOT ID..: L-0115 Land Size .... : .27 acres Property Type: R Residential Buil ding Parcel Identifier: 13-24-0799-054. Old Assessed Value 2004 New Assessed Value (2000 Market x 100%} Market Value (2004 Market x 100%) Land 20,580 29,850 29,850 Buildings 71 540 66,240 66,240 IOTAL ' 92,120 96,090 96,090 2004 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and apProval. All applications must be received by the Assessment Office by 4:30 p.m. on October 15, 2004. Those previously approved for Clean and Green d° not need to re-apply. Pennsylvania/aw requires that all real estate be valued as of the most recent county-wide reassessment The last reassessment, or tax base year, was 2000. Since the last reassessment in 2000, pmperh'e$ have been assessed at 100% of Year 2000 value (the "Pre-Detem3ined Ratio'). The new tax base year will be the Year 2004; with the new assessed values becoming effective for the 2005 tax year. The Pre-Deterrnined Ratio remains at 100%. Your new assessed value equals your Year 2004 market value. When the new 2004 tax base is determined after this reassessmenC all taxing districts are required by law to lower the . . - millage rate by the same proportion that the tax base went up, The law provides that in the first year after reassessment ... (2005), the county and all townships and boroughs may not increase overall revenue on their existing taxbase by more than five pement (5%) and school distdct_s may not increase overall revenue on their existing taxbase by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2004 COUNTY tax figures. THIS ESTIMATE DOES NOT INCLUDE ANY BOROUGH, TOWNSHIP, OR SCHOOL DISTRICT IMPACT. ESTIMATED COUNTY TAX IMPACT: Current 2004 County mills = Adjusted 200.4 County mills = $ 217 : 2004 County Tax BEFORE Reassessment. $ 205 : 2004 County Tax AFTER Reassessment. 2.352 " SMITH BARNEY ot groupJ June 1, 2004 Wanda Robbins 43 Oneida Drive Camp Hill, PA 17011-6738 Dear Wanda: Enclosed is the estate valuation for the account of Lois J. Byers, as of her date of death on February 5, 2004. If you have any questions, please call me at (717) 780-1726. Sin. e'eroly, //~ .... Wade Her~tnai'i'/ Registde i ~sociate to: Ronald R. Wetzel Senior Vice President - Investments Financial Consultant Wah enclosure CitigroupGk, balMaxketslnc_ II North3rdStrcet, 2ndFloor Harrisburg, PA 17101 Tel717780 1700 Fax7172332090 Toll-freeSO0237 1700 1334 N. 2nd Street * Harrisburg, PA 17102 (717)233-7814 * (717)233-6314 Kenneth D. Horst, Supervisor February 11,2004 Wanda L. Robbins 43 Oneida Road Camp Hill, PA 1701 The Funeral Service for Lois June Byers We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Services.of Funeral Director/Staff Embalming Other preparation of body Viewing (VisitatioWWake) Funeral Ceremony Vehicte to transfer remains to Funeral Home Hearse (Casket Coach) Acknowledgement Cards Praying Hands Register Book Praying Hands Folders THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN :' :' ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. Newspaper Notices - Local Certified Copies of the Death Certificate $100.36 Flowers $40.00 $106.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES SUB-TOTAL $246.36 $1495.00 $600.00 $250.00 $225.00 $350. OO $225.00 $275.00 $15.0~ $60.00 $60.00 $3555.00 TOTAL COST of ALL SERVICES MINUS ANY PAYMENTS / CREDITS TOTAL AMOUNT DUE $3801.36 $3801.36 RECEIPT FOR PAYMENT Cumberland_County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Receipt Date: Receipt Time: Receipt No.: 2/25/2004 14:52:15 1035723 BYERS LOIS J Estate File No.: Paid By Remarks: 2004-00192 WANDA L ROBBINS AC Fee/Tax Description PETITION FOR PROBA EXTRA PAGES SHORT CERTIFICATE JCP FEE Check# 721 Total Received ......... Receipt Distribution ........................ Payment Amount Payee Name 235.00 12.00 18.00 10.00 $275.00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L. 1784 STATE OF PENNSYLVANIA : : COUNTY OF CUMBERLAND : SS. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: JUNE25, JULY 2,9,2004 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Byers, Lois J., dec'd. Late of Lower Allen Township. Executrix: Wanda L. Robbins, 43 Oneida Road, Camp Hill, PA 17011. Attorneys: Robert L. Frey, Es- quire, Latsha Davis Yohe & McKenna, PC, P.O. Box 825, Harrisburg, PA 17108-0825. SWORN TO AND SUBSCRIBED before me this 9 day of JULY 2004 LOIS E, SNYDER, Nota~/Public Carlisle Bo~o, Cumbedand County My Commission Expires March 5, 2005 THE CENTRAL PENN BUSINESS JOURNAL Proof of Publication Under the Pennsylvania Newspaper Advertising Act 45 Pa.C.S. §101, et seq. Commonwealth of Pennsylvania } ss} County of Dauphin } Rebecca Cover, being duly sworn according to law, deposes and says: That she is the Controller of and duly authorized agent for JOURNAL PUBLICATIONS, INC., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 101 N. Second :.treet, in the city of Harrisburg, County of Dauphin, State of Pennsylvania; that the THE CENTRAL PENN BUSINESS JOURNAL,; newspaper of general circulation, is published by the said JOURNAL PUBLICATIONS, INC. at i01 N. Second Street, in the City, County and State aforesaid; and that THE CENTRAL PENN BUSlNESS JOURNAL was established September 9th, 1984 and has been continually published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in the weekly editions/issues of the CENTRAL PENN BUSINESS JOURNAL which appeared on the 2~. 9~.'&' 16th da~s~bf Jui~20O~. That neither she nor said Corporation is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and This is a statement published by JOURNAL PUBLICATIONS, INC. PUBLICATION ~ t/q~'~, _ ..... Rebecca Cover ESTATE NOTICE NOTICE IS HEREBY GIVEN that, on February 25, 2004, Letters Testamentary were grant to Wanda L Robbins in the estale of Lois J. Byers, Deceased, late of Lower Allen Township, Cumberland counb/, Pennsylvania. All persons indebted to said Estate shall make payment, and those having claims or demands shall present the same w~out delay to: Wanda L Robbins 43 Oneida Road Camp Hill, PA 17011 Or Robert L Frey, Esq. Latsha Davis Yohe& McKenna, PC P.O. Box 825 Harrisburg, PA 17108-0825 Sworn to and subscribed~/j~ '4 - NOTA~fI'P~I~L C COMMONWE~TH OF PE~SYLV~ Not,iai Se~ Donna Sch~kweiler. Not~ Public Ci~ of H~risburg. Dauph~ Coun~ My Commission Expires M~. lO. ~8 Statement of Advertising Costs To ~E CENT~ PE~ BUS,ESS JOURN~ For publishing the notice or publication a~ached hereto on the above stated dates $ 28.00 Probating same; Not~ Fee(s) $ 1.00 Total $ 29.00 Publisher's Receipt for Advertising Cost JOUNRAL PUBLICATIONS, INC., publisher of the CENTRAL PENN BUSINESS JOURNAL, newspaper of general circulation, hereby acknowledges receipt of the aforesaid notice and publication costs and certifies that the same have been duly paid. THE CENTRAL PENN BUSINESS JOURNAL Re: Wanda L. Robbins Latsha Davis Yobe & McKenna, P.C. P.O. Box 825 Harrisburg, PA 17108-0825 Attn. Douglas Yohe COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIVIDUI\l;;r,(cI!IjIl~: ')'X~C~ CJ: INHERITANCE TAX DIYISIOlirtIvUi"":,L,',:"j l~.. ! I l~ II NOTICE OF INHERITANCE TAX .0 BOX 280.01 r- ,," ., APPRAISEKENT, ALLOWANCE OR DISALLOWANCE HARRISBURG~ PA 171Z8-060lr~~I'd OF DEDUCTIONS AND ASSESSMENT OF TAX ROBERT LATSHA PO BOX HBG 2005 JMI I 0 f..\'1 9: 41 CLEHK OF ORPHAN'S COURT , L Dg\llW,f9tV'!JR'J . Pi' ETAL 825 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-03-2005 BYERS 02-05-2004 21 04-0192 CUMBERLAND 101 AlIO\H\t Rtmi tted *' RH-15~7 EX AFP (09-04) LOIS J PA 17108 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ... REV = m-;-iif-AFP--loFo:3Y-iio'fici--oi'-i-NHiRYTAiicE-i'A'x-jfPPRAisiii€iiT~--ALUjwANCE-cjR----------- -- - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BYERS LOIS J FILE NO. 21 04-0192 ACN 101 DATE 01-03-2005 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CKANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. stocks and Bonds (Schedule 8) 3. Closely Held stock/Partnership Interest (Schedule C) 4~ MOrtgages/Notes Recei~abl. (Schedule DJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) &. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ll) (2) (3) (4) (5) (6) (7) 96,090.00 48.489.71 .00 .00 41. 672.22 .00 ,00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Govern.ental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subj.ct to Tax (9) 1l0) 15,841.36 .00 (11) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 186,251.93 15.A41 36 170,410.57 .00 170,410,57 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rat. (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Coll.teral/Class B r.te (18) 19. Principal Tax Due ED S: ,OOXOO= 170,410.57 X 045 = .00X12= .00 X 15 = (19)= + INTEREST/PEN PAID (-) .00 DATE 11-05-2004 NUKIlER CD004596 AKOUNT PAID 7,668.48 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE JQ~ .00 7,668.48 .00 .00 7,668.48 7,668.48 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS THAN $1, NO PAYKENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A -'CREDIT'" (CR), YOU HAY BE DUE { A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS.) :;,\ JRD/June 30, 1992/17858 In Re: Estate of Betty J Adler ' ORPHANS' COURT DIVISION Late of Lower Alien Township ' COURT OF COMMON PLEAS OF · CUMBERLAND COUNTY EstateNo.- 21-01-0149 ' PENNSYLVANIA NO. 21-01-0149 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Robert A Adler and Paul J Killion Counsel for Personal Representative: William L Adler Date of Decedent's Death: 10/02/2000 Date of Delinquency Notice: 08/11/04 The undersigned, Glenda Famer-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative (s) Counsel for Personal Representative Estate File A hearing is scheduled for at in Cou~room No. 3. If the Status Repo~ is filed phor to the he~ing date, the he~ing will automatically be cancelled. ~-~ ~ ~ ~ George ~?~o~f8r, }P.J? ~' ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/05/2006 BYERS WANDA L NKA 43 ONEIDA ROAD CAMP HILL, PA 17011 RE: Estate of BYERS LOIS J File Number: 2004-00192 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/05/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~L~~ , ! GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge ~~ ~..U.l;.., /""Y'" \.12=.~'''''' ;;1" ~ f.4. 'gl \~\ ~~ VI ~ ~_~_.'L_,_, ~....'L"'~1\T21lii_ _et;"""'1....----ii---..-.ii---.2 .n__-.---...!.7.-- .a::~~t~.!L~I!..I::;~t {Ul.li >ijW .I!..1i..!:!..~ tL>>!!.. L-1LJ.LlLld..lIU)~li.." .Q.d..U..!!.U \~.....AlVU1Lllli.Y STATUS REPORT1.JNDERRULE 6.12 Estate No.: LOIS :r. l/i1:1!5 0:<105 Jot( ,200 'I... 001'7.z Name of Decedent: Date of Death: . Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 0 No ~ 2. lithe answer is No, state when the personal representative reasonably believes that the administration will be complete: As ~oo/fJ A-s ft-of IE f{/'1 I.J' ,SOL-D :::t )..lAvE 11' ).IS/'Ef) wdft ~CA-L,A/Ot:.. 3. lithe answer to No.1 is Yes, state the following: a. Did the personal representative file a final accoUnt with "the CoUrt? Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the pa."i:ies in interest? Yes 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: / / 7/0 h , ()) ~'- /.. t/&~ J2:Y:.ec Signature ~H WAII/ DA '- iUh.b ;.-(.1-5" Name L/3 O;Vf ; do... kL CAMP jJJL{/ ffi Address /70 f / '/ f 7 ,-- 7" I ~ 0;2 9 ;2 Telep110ne 1'To. Capacity": ~ ?ei"sGIlall<..epresEr::a1:iv"e o COllTlsel for persoTlal representative db Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/25/2007 .#. -.I. .-. BYERS WANDA L NKA 43 ONEIDA ROAD CAMP HILL, PA 17011 RE: Estate of BYERS LOIS J File Number: 2004-00192 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. ...e ,-~~ This filing is due by: 2/05/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel - ,~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Lois T. Byers Date of Death: 07/15/03 Estate No. : 21-04-0192 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No x b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. interest? Did the personal representative state an account informally to the parties in Yes x No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: February 1, 2007 <: , ~C-Zf!C Signature Douglas e. Y ohe, Esq. Name Latsha Davis Yohe & McKenna, P.e. 1700 Bent Creek Boulevard, Suite 140 Mechanicsburg, PA 17050 Address g? }I'ld ? (:, 1 10,17 : v::... I'. (,- ':J.~,.J LJ'k, ( 717) 620-2424 Telephone No. x Personal Representative Counsel for personal representative Capacity: 104394 ~