Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
10-07-10
1505610140 --J REV-1500 ~ (01-10) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN 2 1 1 0 0 1 3 3 PO BOX 280601 RESIDENT DECEDENT Harrisbur , PA 17128-0601 ENTER DECEDENT INFORMATION BELO Date of Death MMDDYYYY Date of Birth MMDDYYYY Social Security Number 1 g 9 1 4 1 5 1 4 0 1 1 5 2 0 1 0 0 3 3 1 1 9 2 4 MI Suffix Decedent's First Name Decedent's Last Name J e a n n e C T h o m p s o n (If Applicable) Enter Surviving Spouse's Information Below MI Suffix Spouse's First Name Spouse's Last Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW t ~ emainder Return (date of death 3. Q 1. Original Return ^ urn 2 Supplemental Re p nor to 12-13-82) ired R te of d ~ equ 5. Federal Estate Tax Return t a a 4a. Future Interest Compromise ( e 4. Limited Esta death after 12-12-82) Total Number of Safe Deposit Boxes 8 t 7. Decedent Maintained a Living Trust . e 6. Decedent Died Testa (Attach Copy of Will) (Attach Copy of Trust) Credit (date of death l Poverty ~ 11. Election to tax under Sec. 9113(A) 9. Litigation Proceeds Received ~ 10. Spousa between 12-31-91 and 1-1-95) (Attach Sch. O) ALL CORRESPONDENCE AND CONFID D ENTIA BE DIRECTED T0: Ne ~ D YX I O l CORRESPONDENT -THIS SECTION MUST . BE COMPLETE ~ e eph mbe one Nu Name t l e 7 1 7 3 3 4 6 7 6 1 Bar b a r a J o Ent w i s ,,,,, R R OF Wll~ USE ONLY~1 -- , -~. ~ - C ~7 = j C'7 - ~ First line of address _~., r- i._ m I ~, ` -C~ J ' ~~ ~~; - ENTWI STLE & ROBERTS ~~-, ~, =, Second line of address t ;,_ _ ~ !~ `_ ;'r, -~ ~ 6 W e s t M i d d l e S t r e e =~ ~`' PATE FISEU `' 6 State ZIP Code City or Post Office P A 1 7 3 2 5 Get t y s b u r g Correspondent's a-mail address: hroberts entwistleroberts.net schedules and statements, and to the best of my knowledge and belief, Under penalties of perjury, I declare that I have examined this return, including accompanying it is t~ccxrect and complete. Declara'o of pr r other than the personJal representative is based on all information of which preparer hAa~s any knowle ge. ~/ TE 1 jl 2989 Old Carlisle Roa A DRESS 66 West Mi dle Street 1505610140 TORE OF PRERARER~E~TH9t REPRESENTATIVE Gardners PLEASE USE ORIGINAL FORM ONLY Side 1 PA 17324 v// 6 /i PA 17325 1505610140 J 1505610240 REV-1500 EX Decedent's Social Security Number 1 g 9 1 4 1 5 1 4 Decedent's Name: Jeanne C. Thom SOn RECAPITULATION 1 0 5 0 0 0, 0 O 1. 1. Real Estate (Schedule A) ..•••••••••••••••~"""""•~~•~~~~ 2. ... 2. Stocks and Bonds (Schedule B) ..••••••~•••••••••"""~""~~~•~ 3. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . • • • .......... 4. 4. Mortgages and Notes Receivable (Schedule D) . • ~ • • • • • • • • • • • • • 1 0 1 1 0 . 1 7 5. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) .. Se crate Billing Requested .. • • • • • 6• 6. Jointly Owned Property (Schedule F) ^ P 7. Inter-Vivos Transfers & Miscellaneous Non^-PrSeparate Bilfng Requested .. • • • • • 7• (Schedule G) 1 1 5 1 1 0, 1 7 ............ s. g. Total Gross Assets (total Lines 1 through 7) . • • ~ • • • ~ • • • • • • ~ 1 g 0 2 2 . 4 .• 9. 9. Funeral Expenses and Administrative Costs (Schedule H) . • • • • • • • • • • • • • • • rj 3 . 2 4 10. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .. • 11. 1 9 0 7 5. 7 2 11. Total Deductions (total Lines 9 and 10) . • • • • • • • • • • • • • ~ • " " ' ~ • ' " ~ ~ ~ ~ g 6 0 3 4. 4 5 12. ................. 13. 12. Net Value of Estate (Line 8 minus Line 11) . 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which S h dule J) an election to tax has not been made (c e g 6 0 3 4. 4 5 • 14. Net Value Subject to Tax (Line 12 minus Line 13) .... • . • ..... 14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0 0 0 15. 0 , 0 0 (a)(1.2) x .o _ 16. Amount of Line 14 taxable 8 6 0 3 4 4 5 16. 4 3 2 1. 5 5 at lineal rate X .045 0 . 0 0 17. Amount of Line 14 taxable 0 0 0 17. at sibling rate X .12 0 . 0 0 18. Amount of Line 14 taxable 0 0 0 18. at collateral rate X .15 4 3 2 1 5 5 19. 19. TAX DUE ..................................................... Side 2 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505610240 1505610240 Ktv-~ouu tx Page 3 Decedent's Complete Address: DECEDENT'S NAME Jeanne C. Tho STREET ADDRESS 2 Abbey Court CITY Carlisle Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments B. Discount File Number 21 10 0133 STATE ZIP PA 17015 (1) 4 321.55 Total Credits (A + B) (2) 0.00 3, Interest (3) (4) 0.00 4, If Line 2 is greatFill in ovial on Page 2, L ner20 to request a relfundhe OVERPAYMEN . (5) 4.321.55 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE B oOCKS 1. Did decedent make a transfer and: ^ Q .................................. ^ 0 a. retain the use or income of the property transferred; .•.•••••••••••~•••••••••••••••••' •' b. retain the right to designate who shall use the property transferred or its income; ..•••••••••~••••••••••••••••~ ^ a c. retain a reversionary interest; or .................................................................................................. ^ 0 ..................................... d. receive the promise for life of either payments, benefits or care . ................ 2. If death occurred after December 12,1982, did decedent transfer property within one year of death ^ Q . ........................................................... 0 . .. • without receiving adequate consideration? .................... 3. Did decedent own an "intrust for" orpayable-upon-death bank account or security at his or her death? ...•.•••• 4. Did decedent own an individual retirement account, annuity or other non-probate property. which ^ O .. ..... contains a beneficiary designation ....................... . E ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. IF TH For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spous 3percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan.1,1995, the tax rate imposed o ~ toea survav ng spouse from taxf and the statut ry requirements foridi~cplosure of assets ai [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfe filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a decease91 fi a21 ~)]ars of age or younger at death to or for the use of a natural paren , an adoptive parent or a stepparent of the child is 0 percent [72 P.S § ()( • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use ofnhwi h the decedenltnwhether byrblood7or adoption16(a)(1.3)]. Asibling is define , u Section 9102, as an individual who has at least one parent in commo nw - i ovc cnT ~~ ~' ~ ~ ~ Pennsylvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER: ESTATE OF: 21 10 0133 Jeanne C. Thom son All real property owned solely or as a tenant i e ca d a willing selblerr ne thetlbe ng compelled to buy or sell rboth havingdrealsoaable knowledge ofithepelevant facts. that is ointl owned with ri ht of survivorship must be disclosed on Schedule . would be exchanged betty Real prlolpertyy 1 Y' 9 Attach a copy of the settlement sheet if the property has been sold. VALUE AT DATE Include a copy of the deed showing decedent's interest if owned as tenant in common. OF DEATH ITEM NUMBER DESCRIPTION 105,000.00 1. Real Property located at 12 Abbey Court, Carlisle, Pennsylvania 17015 sold to 3rd party (see attached HUD) TOTAL (Also enter on Line 1 Recapitulation.) I $ 105 If more space is needed, use additional sheets of paper of the same size. OMB Approval No. 2502-0265 o TQ'cMewiOF o`R nt Statement (HUD-1) R "` ~ A" Settleme a ~ L 9eex oe~e~n Type of Loan g 7. Loan Number: 8. Mortgage Insurance Case Number: . 6. Flle Number: 1. Q FHA 2. ^ RHS 3. X^Conv. Unins. 13883.1 BROWN 4. Q VA 5. ^ Conv. Ins. ou a statement of actual settlement costs. Amounts paid ro and by [he setdemen[ agent are shown. totals. S informational purp ive ro f ~ F y g or C. Note: This form is furnished Lender Items marked "(p.o.c.)"were paid outside the Dosing; they are shown here Name and Address o E. Name and Address of Seiler: D. Name and Address of Borrower: Sovereign Bank Estate of Jeanne C. Thompson 1130 Berkshire Boulevard Ralph W. Brown and 2989 Old Carlisle Road Wyomissing, PA 19610 Vera D. Brown Gardners, PA 17324 1804 W illow Road Cadisle, PA 17013 I. Settlement Date: G. Property Location: H. Settlement A9en1: Manson Deardorff W illiams Otto Gilroy 8 Faller June 25, 2010 12 Abbey Court 10 East High SUeet Ph. (717)243-3341 Carlisle, PA 17015 Carlisle, PA 17013 Place of Settlement: 10 East High Street Cadisle, PA 17013 K. Summary of Seller's transaction f summary of Borrowers transaction 400. Gross Amount Due to Seller: 105 1 108 245.56 I 1420. Gross Amount Due to Seller 1 1.11 120. Gross Amount Due from Borrower First 4. 519. 1 to 05,211.11 9,168.32'. 96,042.79 302. Less amount aid b Ifor Borcower line 22u From Seller To Borrower 45,745.56 603 Cash X Ta 303. Cash O From r rue for cdleclirg, reviewin0. erd repoAirg the data This eBencY may not collect tHS iAUmetbn, and you ere not requuetl to This is designed to provide the games to a RE9PA covered transaction with irfamalion The PrMk RepaAinp Burden far this colleclan d irformatbn is eslirreled si ffi rtinutes Per espo HUD-1 wmpete thisform Wens d 6sptaYS a arrendY valitl OM0 contrd number. No mnfidentialilY is assured: this d'udowre is mandatary. during the settlement Rocess. Page 1 of 3 1200. Government Recording and Transfer charges from GFE #7 154.00 120E Govemment recordin char es to Recorder's Office Other $ Releases $ Deed $ 62.00 Mortgage $ 92.00 050.00 1202 GFE #8 1 f , . ( rom to Recorder's Office 1203. Transfer taxes 1204. CitylCountytaxlstamps $ 1,050.00 $ 1 050 00 1205. State taxlstam s $ 1,050.00 $ , . 1206. 1207. I ~suu. naamonar sememen[ t=narges 1301. R wired services that u can sho for from GFE #6 1302. Homeowner Assn. - Ma & June to The ~Ilas Homeowner Association 2 113.00 226.00 1303. Tax Certification to Robert C. Caims 5.00 1304. 2010 Local Real Estate Taxes to Robert C. Caims 40-24-0759-011-UDS 345.08 1305. See addit'I disb. exhibit to 92 24 1400. Total Settlement Cha es enter on lines 103, Section J and 502, Section K 3,034.45 8 168.32 ay slgnirg page 1 of this statement, the sigretaies acknowledge receipt of a completed copy of papa 2 & 3 d thisttvee pope statement. Martson Deardorff Williams Otto Gilroy & Faller, Settlement Agent Page 2 of 3 HUD-1 Good Faith Estimate HUD-1 Comparison of Good Faith Estimate (GFE) and HUD-1 Charges HUD-1 Line Number Char es That Cannotlncrease # 801 Our origination char e Your credit or char a (points) for the specific interest rate chosen # 802 Your adjusted origination charges # 803 1,050.00 #1203 Transfertaxas Good Faith Estimate HUD-1 Char es That in Total Cannot Increase More than 10% 154.00 Government recording charges #1201 986.75 Title services and lender's title insurance #1101 259.00 Owner's title insurance to Old Republic National Title Insurance C #1103 Total 1,399.75 Increase between GFE and HUD-1 Charges 1,399.75 or $ 0.00° Good Faith Estimate HUD-1 Charges That Can Change #1001 Initial deposit for your escrow account 116440/day 1 $ 9 54'70 Daily interest charges . # 90 335.00 # 903 Homeowner's insurance Loan Terms $ 60,500.00 Your initial loan amount is 30 years Your loan term is 5.5000 Your initial interest rate is Your initial monthly amount owed for principal, interest and $ 343.51 includes any mortgage insurance is 0 Principal O Interest ^ Mortgagelnsurance 0 No ^ Yes, it can rise to a maximum of °~ ~ m Can your interest rate rise? onths after change will be on and can change again every.- . Every change date,yourinterestrate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be lower than % or higher than %• can your loan balance rise? ts on time X No Yes, it can rise to a maximum of $ ^ ^ , Even if you make paymen l X No ^ Yes, the first increase can be on and the monthly ^ y Even'd you make payments on time, can your month and mortgage insurance rise? interest l i ' it he , , pa amount owed for princ se to is $ can ever n maximum T X No ^ Yes, your maximum prepayment penalty is $ ^ Does your loan have a prepayment penalty? ^ Yes, you have a balloon payment of $ ^ Does your loan have a balloon payment? ue in o years on d amount owed including escrow account payments thl l Q You do not have a monthly escrow payment for items, such as property You must pay these items directly ance i ' y mon Tota . nsur s taxes and homeowner yourself. ^ You have an additional monthly escrow payment of $ that results in a total initial monthly amount owed of $ .This includes principal, interest, any mortgage insurance and any items checked below: ^ Property taxes ^ Homeowner's insurance ^ Flood insurance ^ D ^ s about the Settlement Charges and Loan Terms listed on this form, please contact your lender. ti on Note: If you have any ques HUD-1 Page3of3 HUD-1 Attachment Borrower(s): Ralph W. Brown and Vera D. Brown 1804 Willow Road Carlisle, PA 17013 Lender: Sovereign Bank Settlement Agent: Martson Deardorff Williams Otto Gilroy & Faller (717)243-3341 Place of Settlement:10 East High Street Carlisle, PA 17013 Settlement Date: June 25, 2010 Property Location: 12 Abbey Court Carlisle, PA 17015 Seller(s): Estate of Jeanne C. Thompson 2989 Old Carlisle Road Gardners, PA 17324 Additional Adjustments For Items Paid By Seller In Advance (Borrower Debit) Amount From11'hrou h Prorated Amount Descri tion 113.00 06/25/10 through 06/30/10 18.83 Homeowner Association Dues Total Line 1101410 18.83 Additional Disbursements Borrower Seller PayeelDescription NotelRef No. 92.24 SMTMA Acct. #012101 Final Sewer & Water 0.00 $ 92.24 Total Additional Disbursements shown on Line 1305 $ BORROWER SELLER Title Services and Lender's Title Insurance Details 75.00 Closing Service Letter to Old Republic National Title Insurance Company 17.00 Incoming Wire Fee to Martson Deardorff Williams Otto Gilroy & Faller 20.00 return package Overnight Courier to Martson Deardorff Williams Otto Gilroy & Faller 50.00 Electronic Document Production to Martson Deardorff Williams Otto Gilroy & Faller Basic 824.75 Lender's title insurance to Old Republic National Title Insurance Company 986.75 $ 0.00 Total $ BORROWER SELLER Owner's Title Insurance 259.00 Owner's Policy Premium to Old Republic National Title Insurance Company 259.00 $ 0.00 Total $ WARNING: It is a crime to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. (13883.1 BROWN/13883.1 BROWN/29) HUD-1 Attachment- Continued BORROWER SELLER Lender's Title Insurance •fees also shown above in Trtle Services and Lender's Title Insurance Details 624.75 Lenders Policy Premium to Old Republic National Title Insurance Company 200.00 Lenders Endorsement Charges Endorsement Charge Endorsement Endorsement PA 100 (No Apparent Violation of Restrictions) 50 00 Endorsement PA 300 (Survey Exception) 50.00 Endorsement PA 810 (Condominium) 50.00 Endorsement PA 900 (Environmental Protection Lien) $ 824 75 $ 0.00 Total nc udeNa fine and imprsonment'nFor detailsaseeSYTitle 18 U.S. Code Seect"on 1001 and Section 101~0!ar form. Penalties upon conviction can (13883.1 BROWN/13883.1 BROWN/29) REV-1508 EX + (6-98) COMMONWEALTH OF P RETURNANIA SCHEDULE E CASH, BANK DEPOSITS, & MISC. INH ESIIDA NT D EDENT I PERSONAL PROPERTY FILE NUMBER ESTATE OF 21 10 01 Jeanne C. Thom son Include the ointl eowned wadh r ght of survivorship must berth closed ontSchedule F. All property j Y' ITEM DESCRIPTION NUMBER 1 Miscellaneous personal property- Harr's Auction (355.20 + 27.00 2. 3. 4. 5. 6. 7 Orrstown Bank checking account #146000334 Adams County National Bank account #0611905 1991 Dodge Caravan (see Kelley Blue Book estimate) AARP refunds (67.50 + 90.00) Erie Insurance Refunds ($210.00 + 35.00) 3,335.81 4,606.58 375.00 157.50 245.00 1,008.08 PA State Employee Benefit VALUE AT DATE OF DEATH 382.20 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 10.11 ORRS 0 QRRST~WI'+TBANK A T~d~ion of Excellence p.0. Box 250 S~ppensburg, FA 17257 Temp-Return Service Requested ~. ~. Page 1 Date 3/15/10 146000334 Primary Account Enclosures ~n~~~~nr~~~,r,u,~~,~,~,r~n~„~~,~r,~„~„~„r~~~iTiR~o00~02 000285 0.5113 AV 0.335 Jeanne C Thompson 12 .Abbey Court Carlisle PA 17015-4384 0 N 0 0 M O O 0 0 0 0 N O ON o~ ,~ °o~ ,~ N .-'~ ~o o r+ ~ Buying? Remodeling?"~ Building- We can help! 1,gg8.ORRSTOWN - orrstown.com C H E C K I N G A C C O U N T S Account Title 50+ Interest Checking Account Nu~er previous Balance Deposits/Credits 1 Checks/Debits Service Fee Interest Paid Current Balance Jeanne C Thompson 146000334 3,335.81 .00 3,335.81 .00 .00 .00 Electronic Debits and Withdrawals Description Date 2/18 Close Account Daily Balance Information Balance Date Date 3,335.81 2/18 2/16 Interest Rate Summary 2/15 2/18 Check Safekeeping Statement Dates 2/16/10 thru 3/15/10 Days In The Statement Period 238 27 Average Ledger 238 27 Average Collected 2010 Interest Paid Amount 3,335.81- Balance .00 0.010000°s 0.000000 06 THANK YOU FOR BANKING WITH ORRSTOWN BANK ~J~~~~111.7 COi:~`J1Y NATIONAL BANK May 11, 201.0 Entwistle & Roberts Attn: Barbara Jo Entwistle 66 W Middle St Gettysburg PA 17325 RE: Estate of Jeanne C Thompson Dear Ms. Entwistle: The following information is being provided as per your request: Acct. Type Account No. Account Accrued Ownership Date Principal on Interest to Opened D.O.D. D.O.D. Super NOW 0611905 $4,606.58 $0.08 Individual 04/01/87 Account Inquiries concerning ACNB Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information, please contact me at (717)339-5122. S~ cerel , ;' Barbara J Wa Adams Cou ty~ IJeposit ~etvt e ational Bank ~epteseritaive ii PO Boy 3129, GETTYSBURG, PA 17325 I exoNe 717.334.3161 ~ rocL FeEE 888.334.2262 ~ wwwacnb.com ~. ::`:f!•.t:, E'°r^it;:i?~.._., C,:t]1YI f:aj::€f": F-t'...~f_.. ~ ..._.~r` .._ •:ea ~•:' ~: +:: 7. ~;~ r,11' ~; :: •_~ € i-'i !~':....,::~ j:::. i`~.1 1.::~ i ~:1s s...: ..; •4., ....; .1 ..,.; ....,;.. .. ;.. ... r...~v .... ......... •1•.... j...i y i"i i:. ;..- ~: (... { } tF+ •:: i.. .f ,,.i .~.S ... r.1 .._ t~.~'. :% f..., s-5 i,f'i" t,, f: r. :.: , ....... 1 .i.....- ... ..... f 1; ~~...j. j. ... ... .j. ~..{r f,;iii f ?.: ..: .., ... .... .. .. 1. ,._ r ~ ... _....j... ~ - '~ ... tt :.. ..., . ,..i :,. ..... _.. -..f ~.. .. .... .... a .; t ., i,1',1 ..... (..~ f•S ?4 .(. l.3 j.: t: 1'(i ::{ tt :',;:j.-~4.~ C.:Y :::~.i" Y?.~.., .... .. .. 'i ~j ~ ir; i `t ... .. s:C. :, .. _.' ..., i ! ~; ~~° :i. 't'f !':~ ~::; !:3 :ii+.1,.., f:3 ?' i-'f C? i,; r°' .' ~ L.? ti:? 5i~ ~{ iii'€:; i.. ._ .~. _ ..:. _.. , `? .. j; t e w i. f_+ j:: 1Y..=~t'~; (::~ i"' :1.:%± .~.: ~ %:' ^3.3 1 z :1. :•'r`.° ~: i;~' ~::,'.{Zfi .~. f:! j:; ix t.::1...fa:,:l, 'ii'~'; iYi;;).ii 3. i°:. :: :.^;:;:! .... ..... 1 ' ~ 1 ." .. f:t sa !1 .':: ta'€"• .' .::f {.;t Vii. .€. ~a -E" ...:... j ~ .. .. 1~....t ~ ; ... .. ~..,. ,l, ~ :, `=''~ ... ... .. ., ., .... ~, ~ . _ _ 1•.i~ C~ i; ~ ry .j., j:: €:, trx El* .S, i '?{ f,;: ..... 1-{ [t ){ ,!_ f,'"t 'i;,: I«.1 f::: 4x ~_f t:; !. •L: ~~ i._. •....~Ir'.6 ,tj .... .. ... „ ,_.._:. .. _.. . ... ~~:.: ~: '.:. '3. .. ,..., .j ` ,,...,:, .... ,. .., ._..... ! u, , .. _._ ..... - . ... ... R ..~ .... (..:~ ~^~ is ~. °..: ..!... j.: ! S S ~ ... iif _1 f :'~' '~:` i ; Lr ~...1`..~~{'~;: I~ ~ 1:~1s.(,...,.i~'y':_~...~~iij_I t !t?;i ..t -ar i...i~: i:;' [;,'e ~;;• ;:::t1 ii...:.,..1. i;.ll`;i .,.; , ...., tla l::J L.,t ~ ...f :... _... "' ;-• .. r::' C! Pf! . } J i .. .... .. _..... ! ... .. 6- a`t.._....... " i°i •.... ' !• lC::. .._ ,.. '::i;•~ i ~.; .i. r. rf! ~~7°~•i: {.:i...f~•~!i•=?i_..1~=i::i`~~ lm,;i~~!":?i...iC~: t...; ...., ... „ .$ C. t"! lY+. !3! ~, is _::!. i:} t"t :=1'1" i:::'i{.S, irh.lty:l ~;6 1 •:~' ,;::: i~l ~ ',:.J ~' j:.:F itl Ci s, j, .fs ..' ° -1. :i.1' :: .. .. € ,., ...:.. ... s ~ ~. ....,. ., .. c... cr :::::r a':°. E..i , '+ 1.4 '.:; !; ;'it f:P s r ~; ::: 1; . ''.'4 i:;:~ _.. -.. tt;t I,at i:.,t ., i.,~ .: i...j i:::i;:"1 i~: n ;:: (..:;, ;_ ! i_.. ! i, i 4 {i.( r' .. ' =4• •.:.`s t:;: "- }'. t n:..1. :::~ 5:.14 ~~ 1:•;4 :, i'"1 ~ r.:t T"' *< <: r:.: CF I'!! . ' ') 'C. t ..., ._.. ...., ~., .... e ...., ... ,. , r .. r , .... ..._ ......_. ....~ ~~~ _~ :I `. .I .... 9 { is ~... f .L ~.~ ~::~ {.!. .: ?.•~ ~~ j~ ..; i i<Eir ... i:~~~r~itit: ~:_i:~~i~ii~~f~~"i°f~:~ ~ E~'lir t.:l~tfdi~l:t ~,: o-~i_.. .s. k :I.':3f°i .».. t_,f~i..l•-~i`~i f-~l~.i~ ;:st~t~Ft-!i'~ i...L_I? ~. =.{n ~~":7P?t7. ._ t~i.._h-'::~,:ainlt::li~~f:: i....#:.~°i :z E~+a. i:;:'.ir;~°Pfi .~. [~`i .1. i_..i'4 Ht!1_..f j._L- f ~. ~.:.a~,. iflel .i. ~ E? 117 e.:; ! i~-! ft1 t;} P_a,'1`1 ~: :, i::: r' .. :;:;iit ~:: ~:y rn ?n :i.:a ?:, :i t? rl ~1 ~~ r.:.. ii! ,1«r~;, €~7 ~,~ ~. ;. t:: 1 1 °:: Ir ~. 5'1 is , ~ .:::',1:?:~ i°:~ E; •~; r•{ '_{ i'~ 'i:: P:.3 .^ Eii' .E .I. k} 1"' .. _....._ . °;'S its .. ~~:Ps ~!~a„ i-1 ~:P~r~ :~ :..._ c:~ n7 t...il~.t...i's. := E••~._st_':.% t..li •. .... ,~1...,,;.: ,_..;.;,: ~-1.t..... ~,~ 117~AARPCK01.01584.001.03816 UNITED' HEALTH CARE PO BOX 740819 ,ATLANTA, GA 30374-0$19 t' .~ CHARLEEN GROUP, ADMINSTRATOR* -2989 OLD CARLTSE RD GARDENERS PA 17324 APRIL 27, 2010 ~UIVINLARY t~F ~~NEFIT MEMBERSHIP # 028594455 Paid tCJ P81d t® Pr®vider(s) You ~'ctals ~O . o© ~9ra . Oo r ~ ~~,~~~.~~~ If you suspect fraud, call the Fraud Hotline at 1-800-242-0483 If y®u have questi®ns please contact us at: UNITED HEALTH CARE P® BOX 740819 ATLANTA, GA 30374-0819 TOLL FREE: 1-800-523-5880 TTY#~;, 1 -800-232-7773 ESPANOL: 1-800-822-0246 PAGE 1 OF 2 Please remember to submit your claims on a timely basis. The cerCificate Of insurance includes a time limit f~ab° submitting proof of loss. Health Cara o Uluted Healthcare Insurance Colnpany (arid United Healthcare Insura.nee .~~LY11[' Qpti4ns9 Company of New York for New York residents) are proud providers to s Please detach check below and cash promptly LI \IL 11 tl~JVI -/"U VAL. L/~t.+~ r~r d~~ ~~~ ~`Erl:~ Insurance P.O. BOX 1699 ERIE, PA 16530 NAMED INSURED COPY v ~ Exchange CANCELLATI®N NOTICE Member Erie Insurance Group 100 Erie Ins. PI. Erie, PA 16530 MAIL DATE 05 /~10/ 10 CANCELLATION EFFECTIVE BAL: $35.00 CR POLICY NUMBER Q03 0206953 H 05/07/10 12.01 AM POLICY EFFECTIVE DATE 03/02/10 STANDARD TIME PIONEER FAMILY AUTO POLICY NAMED INSURED ESTAT OF JEANNE C THOMPSON C/0 CHARLEEN GROUP AA7229 2989 OLD CARLISLE RD GARDNERS PA 17324 WE ARE NOTIFYING YOU THAT THE ABOVE POLICY IS CANCELLED AS OF THE CANCELLATION EFFECTIVE HOUR AND DATE SHOWN ABOVE. IF WE HAVE BEEN ASKED TO PROTECT OTHER INTERESTS, WE ARE REQUIRED TO ADVISE THEM OF THIS CANCELLATION. THE REASON FOR THIS ACTION REQUEST OF NAMED INSURED - SOLD PREVIOUS BALANCE UNUSED PREMIUM PRESENT BALANCE 00030 CRS AA7229 C R S INSURANCE, INC. $370.00 $405.00 CR $35.00 CR REFUND CHECK ENCLOSED 932EXC 6/00 ~~ Eris Insurance Group 100 Erie Ins. PI. Erie, PA 16530 ESTAT OF .TEANNE C THOMPSON AA7229 C/0 CHARLEEN GROUP --- 2989 OLD CARLISLE RD GARDNERS PA 17324 DATE MO. DAY YR. 05 07 10 REFUND AMOUNT $35.00 POLICY NUMBER Q03 0206953 H AGENT NO. AA7229 AGENT'S NAME C R S INSURANCE, INC . REASON 1 REF. No. 2822335 CHECK No. 26822335 NON-NEGOTIABLE CI'i1C II ~JVnr1l ~~.c L~~i ~r-u v~L ~~ ~1 r''le®Ins~rrance P.O. BOX 1699 ERIE, PA 16530 NAMED INSURED COPY ~' ~ Exchange CANCELLATION NOTICE _ Member Erie Insurance Group 100 Erie Ins. PI Erie, PA 16530 MAIL DATE 04/9/10 CANCELLATION EFFECTIVE BAL: $210.00 CR POLICY NUMBER Q60 2905866 H 04/16/10 12.01 AM POLICY EFFECTIVE DATE 12/29/09 STANDARD TIME HOMEPROTECTOR POLICY NAMED INSURED ESTATE OF.IEANNE C THOMPSON C/0 CHARLEEN GROUP AA7229 2989 OLD CARLISLE RD GARDNERS PA 17324 WE ARE NOTIFYING YOU THAT THE ABOVE POLICY IS CANCELLED AS OF THE CANCELLATION EFFECTIVE HOUR AND DATE SHOWN ABOVE. IF WE HAVE BEEN ASKED TO PROTECT OTHER INTERESTS, WE ARE REQUIRED TO ADVISE THEM OF THIS CANCELLATION. THE REASON FOR THIS ACTION REQUEST OF NAMED INSURED - COVERAGE REWRITTEN PREVIOUS BALANCE UNUSED PP.EMIUM PRESENT BALANCE 00111 CRS AA7229 C R S INSURANCE, INC. $.00 $210.00 CR $210.00 CR REFUND CHECI< PREVIOUSLY MAILED TO POLICYHOLDER 932EXC 6/00 ~. ~~ ~rie° Insurance Group 100 Erie Ins. PI. Erie, PA 16530 .4 ESTATE OF .TEANNE C THOMPSON C/0-CHARLEEN GROUP 2989 OLD CARLISLE RD GARDNERS PA 17324 UY 1040 I /U DATE MO. DAY YR. OS 04 10 REFUND AMOUNT $210.00 POLICY NUMBER Q60 2905866 H AGENT NO. AA7229 AGENT'S NAME C R S INSURANCE, INC. REASON 1 REF. No. 2813591 CHECK No. 26813591 AA7229 NON-NEGOTIA~L-E - -.. -- __.. . __ . ~. _ ~.. ~_ _.. .-.II I _ A Il Q-ACT G. - T ~.. ~..'.:~. --. _. _._. ._.' VENDOR N40: T~n'npnn~ n a ~r NAME: r-~,-,- ~ ,-, REFERENCE h~`JMBER INVOICE DATE GROSS AMOUNT DISCOUNT TAKEN 41910 4/19/2010 $1,008.08 $0.00 TOTAL $1,00$.08 $0.00 ~J I SJ CHECK I~ATF• REV-1511 EX+ (10-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ADMINISTRATIVE COSTS: ESTATE OF FILE NUMBER Jeanne C. Thompson 21 10 0133 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Monahan Funeral Home, Inc. 125 Carlisle Street, Gettysburg, PA 17325 ($7814.00 paid by burial trust) 0.00 2. Robert Thompson- expense to open grave 975.00 3. Pike Restaurant- funeral reception 565.44 B. Personal Representative Commissions: Name(s) of Personal Representative(s) Charleen L. Group (electing not to take commission) Street Address 2989 Old Carlisle Road ~ city Gardners state PA ZIP 17324 Year(s) Commission Paid: 2. 3. AttomeyFees: Barbara Jo Entwistle, ENTWISTLE & ROBERTS (5%) Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS Claimant Street Address City Relationship of Claimant to Decedent 4 State ZIP Probate Fees: Cumberland County Register of Wills (210.00 + 50.00) 5 I Accountant Fees: 6. 7. 8. 9. 10 11 12 13 14 15 16 17 18 Tax Return PreparerFees: Celtic Healthcare Inc.- medical expenses (90.00 + 65.00) Loss of value for 1991 Dodge Caravan (sold for $100.00) Settlement expense to sell real property (expenses- 9168.32-211.11 see HUD) Estate Notices- Cumberland Co. Law Journal (75.00) + Sentinel (201.78) Met Ed- estate preservation for real property (199.84+152.23+28.20+94.06-29.36 credit) Villa Assoc. -estate preservation for real property (113.00 x3 for Feb, Mar, April) +113.00 snow removal Moving Expenses- moving personal property truck rental 142.14 + lunch 75.46- Charleen Group) South Middleton Township- estate preservation- water bill First Energy OPCO- debited from ACNB account #611905 after decedent's death Erie Insurance- estate preservation for real property- insurance (119.00+ 175.00- 103.00 refund) Erie Insurance- car title and registration document duplicates (10.00 + 22.50) Cumb. County Register of Wills (68.50 + 15.00 inheritance tax return + 15.00 inventory + 12.00 add. scert) TOTAL (Also enter on Line 9, Recapitulation) I$ If more space is needed, use additional sheets of paper of the same size. ADAMS COL1N'lY ~f, July 7, 1997 NATIONAL. BANK Mrs.,.Jeanne C. Thompson 19~ 1``'~Carlisle Road Aspe_rs, Pa. 17304 Re; Certificate of Deposit 13'7847 ~. Dear Mrs.Thompson, Shelb~~ L. Stone -~ssisLtnt Vice President Adams County National Bank has received and accepted the Individual Irrevocable Burial Trust for you. This Certificate of Deposit, in the amount of $5,125.00, is payable to The Robert J. Monahan Funeral Home, Inc. If you have any additional questions, please consult with your funeral director. Sincerely, ' h 1 Stone S ebyL Assistant,.Vi,ce, President cc,;,Robert J.. .Monahan,, Sr. (Funeral Director) Bigler~-ille Office ~ P.O. Boy ?U?, Bigleri~ille, PA 1.?~4~' ~ (~'1~1 6?~`-61?2 M®NAT-TA.N ~LJNEIZAI, I-TOME, TNT. 12S CARLISLE STREET ~ GETTYSBURG, PENNSYLVANIA 17325 ~~ 717-334-2414 ~ y 2~ EAST MAIN STREET ®FAIRFIELD, PENNSYLVANIA 17320 717-642-8266 Robert J. Monahan ~-® Charleen Group 2989 Old Carlisle Rd. Gardners, PA 17324 F®R THE FUIVE~A~. EXP~NSE~ ®F Jeanne C. Thompson January 15 2® 10 ~ECEIVE® PAYIVIEtV°f .T_._a_n_tlar>> 19 20 ~.~_ ACNB Burial Account A) 7200.00 A®)-614.00 ~, _ 7814 00 ~'®TAL 0.00 ITEMIZE®AC~oUNT ON INSI®E PAGE cc; ,Robert J.. .Monahan,.Sr. (Funeral Director) [.. Stone .e President Bigler~~ille Office • P.O. Bol ?0?, Bi~len-ille, P<~1 1?30? • (~(~) 6~--61'? ~ fa~(-v ~~~v~~ ~ ~ ~ ~.~~ ~ ~~~ v ADAMS C~IJl~11~' NdA~'I®I"~AL BAI~1I~ c.~ FAILNIEIt~NATIt71~i~'~I.~~1I~®Fl~1E~~JILLF, ~,~~'~~ a~~I~,~,I~II~iG ~'~1~'T~l'~El~~'I, A ~)IVIt%011 nfAdrtrns Cnnn(p Nrrtinnit( rnuh. J Statement Date: 04/08/10 Account #: 2419351 ~""~**'*"""~"'`"AUTO"~3-DIGIT 173 1258 0.7950 AT 0.357 6 1 164 ~ Page 1 I~~~IIh~~I~~II~~~I~IJ~~ll~l~~~l~l~~l~~ll~l~~l~~l~l~l~~l~l~~l 604 JEANNE C THOMPSON ESTATE 2989 OLD CARLISLE RD GARDNERS PA 17324-9549 ESTATE CHECKING Account # 2419351 Account Summary Beginning Balance Activity Ending Balance Previous Statement Balance 03/04/10 57, 566.93 + Deposits and Other Credits .00 -Checks Paid or Other Debits 7 2, 524.41- - Service Charges .00- +Interest Paid .00 Ending Balance 55,042.52 Days in Statement Period 35 Account Detail Date Activity Description Deposits/Credits Checks/Debits Balance BEGINNING BALANCE 7, 566.93 03-19 CHECK # 1 ~~ ; e„ ,~'. ~~, - •- - ~ -119.00 7 , 447.93 03-23 CHECK # 1 ~~~_ Cc~~%'qw.~~ ° `-°956;. 94 6,490.99 03-23 CHECK # 5 ~,~~,is,;~ - --- ~ - - ~' °33.24' 6,437.75 03-24 CHECK # 1 ~perc~ ~~ -- ~- _ -- - .W 975.00 5,462.75 04-O1 CHECK#4 ~~, ~ a~\~©~~.,~.---- -113.00 5,349.75 04-08 CHECK # 7 ~,~~ G~ ._ - - •- - - -'x.52. Z3 5 ,197.52 04-08 CHECK # 8 ~~~~~ ~, \.~~<1L~9.c~.~. - - -155.00 5 , 042.52 04-08 ENDING BALANCE 5 , 042.52 Checks Paid - ~ Indicates ski in check number Check # Date Amount Check # Date Amount 1 03-24 975.00 5* 03-23 53.24 1 03-23 956.94 7 04-OS 152.23 1* 03-19 119.00 8 04-08 155.00 4 04-01 113.00 Total Number of Checks: 7 Total Amount of Checks: 52, 5 24.41 END OF STATEMENT /~ ~` ~~ .. .,._._-__----___------~,.t n t., ~ ~ ~~~~~~~ n a.,~, ~i1n ~-r-r~,~,,. ,,:.~ ~_ 7'2 ~7K oilnr.ir. /i / i ~ i=~. ~<~~(-e ~rtll, cpr__ ~~c~<:~ .~ ~ ~}(,7~ THE P~KE RESTAURANT FIND LOUNGE Check Tab CoU Server Time De 496121 14621 27 1~34~45 PM 1119: GUEST # 1 48 DELI BUFFET 456.G~ Food Sub-Total 456.OG G ratu i tv 82"08 SUB TOTAL 538.08 SALES TR?( 27.36 ---------------------------------------- ~t-1ECK TOTAL 565_44 THANK YGU Che ry 1 PLEASE HELP i)`_. SERVE 1'OU BETTER CIRCLE 'ICUR R.ESPO'riSE FOOD QUHLI•fY SUPERB RUERRGE POOR SERVICE SUPERB AVERAGE POOR ATMOSPHERE SUPERB RUERRGE POOR B reaK-Past Bu-f-Fe-t ;, Every Sunday Sam - 12 noon Prima Rib & Seafood Buffet Every F r i day 5 - 9 pm ~ ~ /] ~., _ ~` ~~ p~ RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 THOMPASON JEANNE C Estate File No.: 2010-00133 Receipt Date: 2/12/2010 Receipt Time: 11:35:56 Receipt No.: 1059983 Paid By Remarks: CHARLEEN L GROUP DM ------------------------ Receipt Distrib ution ----- -------- -------- --- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 210.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN RENUNCIATION 5.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 20.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN Check# 3058 ---------------- $278.50 Total Received......... $278.50 ~~ ~HC~~~, ~~~ INVOICE Y LANE 280 Gate: 03/23/2010 to the address shown above: Servbces For: THOMPSON, JEANNE THOMPSON, JEANNE 12 ABBEY CT 12 ABBEY CT CARLISLE PA 17015 CARLISLE PA 17015 OAR HM AETNA ir~vo~cE boa HonnE t~E~-Lr~ s~~vicE~ o~.io3~z~~~ ~~R~~a~b ®~~os~~aio DESCRIPTION Total Amount.Bil.led to Insurance Company. $ 175.00 less liisurance Compariy Contractual Allowarice -85.00 Net Amount Approved By. Insurance Company 90.00 Less: Amount Paid By Insurance Company 0.00 Amount Not Paid By Insurance Company 90.00 Amount Due 90,00 ~C~~~~ ~~~~~'~ ~~~ ~ ~QnC-~ C HEALTHCARE, INS ,,CHARBERRY LANE S pA 16046 Phone: 724-625-4280 ,f date: 03/23/2010 Send remittances to the address shown above: THOMPSON, JEANNE 12 ABBEY CT CARLISLE PA 17015 Services Por: THOMPSON, JEANNE 12 ABBEY CT CARLISLE PA 17015 CAR FIM AETNA fIMV~I iNVO~~E ~~~ H~~nE HEA~~rt~ ~~RVe~~~ ~~~~a/~oi~ ~H~~~~rt~ Q~~~~~~~~~ -- DESCRIPTION Total Amount Billed to Insurance Company $ 350.00 Less: Insurance Company Contractual Allowarice -165.00 Net Amount Approved By Insurance Company 185.00 Less: Amount Paid By Insurance Company -120.00 Amount Not Paid By Insurance Company 65.00 Amount Due 65.00 n L,, ~~~ R~ ~~ o ,. '~\ ~ cw. ~~~`°--~~~... . Cam: `Ta ~, a 4 ~... _ _ .. ~~~AL AM~~NT ~~a~ ~ ~~.~~~ 1 O f ~: ~a ~o~ 0 7 ~~ w ~~ W 0 .o r ti r ... ~~ ~~ ~ ;r. ~~~ ~. ~ ~~ ~~ ,. ~~~ i~~~ -~ ~~ 0 a m ~~ 6 o ~ ~ f ~~` ~..~ ~ Q ~1~;.as~:~.~\~~~ _. _ ._: _ . ,. , ...1 ~.I ~- - - - ~, 1,t ,. ~, t tC C 4t _ r.~`. 4i ~~`~`+. ~~- ~: '.1 f:, 1..1 1111 fi~i tY~.~ily '.rl~i(. iJ ~~.. L ~//' Kelley Blue Book Used-Car Values ~~ /~_ ~. ~~~ Nf?xA' Steps I_isT. this Car I'or 5a!e. Search Local L.istinas Get a CARE=AX Retort Donate aGar -Get a T<~x Deduction :~] f-Mail Paae k~ui {''tint DaQ(' 1991 Dodge Caravan Passenger Minivan Suppty hash, infarmaiion to see vakres for ihis vehicle Apprazimate MFleagr..: Chanae Vehicle 165,000 „ - •' . ~;,~:'~ engine: ' . ~.-, 4-Cyl, 2.5 Liter ~ ~~ , vdl;} -e!t!t jV Transmission: ~f~lley_filue C~bnk Automatic Delve Type: FWD Equipment that may affect values (standard equipment is pre- seEected} ^~` 5-Passenger Sealing _ _ CD (Multi Disc) ;Grille Guard _ ;Air Conditioning ' Pren,iurn S"aund _ J Winch ,......! _,; Air Conditioning, Rear i..... AB5 {4-Wlreely I_ _~ OF,lional Fuel T'ar,k _'; F'oh'er Steering _i Leat:ner j 7o~.^Jing Pkg .......; j.....J Fo~ser Windows '.....~ uad Seating 4 _.._ Q t ....._~ y ; ; A,to tJheels ~ ,..._ Fowler Door L,ecka Bu<:kets) _ ___ j Premium L~;heeis ..... Tilt Wheel .._... Sun Root (Slidii;gi ,..,...i WiQe Tires _ __.. Cruise Cenb'ol Moon Roof - CR-ersize Off-Read ....' Ah;./FM Stereo ._.... Roof Rar..k ~i'l.•F?S .._.i ~.aSSf,tte €,_,. . PI"IVaCy (,ilaSS ~ ~ (1VerS17(id F~rF.J3311f!'Yl f C~' l,i> t, €rl(;iF? DISCI '; {21,n nin(~ vi(}_ll ~ ~: v".'her?I> )J°.i.. ......ai5i:on3susnF;ex _...Hydraiai(:liflgatF7 Blue Bank) Values for a 1991 Dadge Caravan Passenger Minivan with 166,000 miles in Z{P Cnde 17'324 on 0813(712010 vehicle Canditian: f-air Good Excellent Retail yalue• N/A N/A $1,635 Private Partv Value: $375 $660 $835 View Te'ade'in Value he+ey al(!e I'}ppk C10P,5 nOt L?YOVIGB r8C2}!I Vr}IUES ~Of VBMCi~$ I11 o, c! ;;r fair cordiCion. ..; 2ni~ } K.;€ty Elue r+eok i:e., ins. is?e soeri'ic ;nfcnraEOr: rem ui!~ed Co deteemine iLe val:;z tn' this pa!'nc~ rJppiizd iiV [he ;:nr;en ererairc,: this re,rc!'t. Ve:":irle vaitiaticn, zre ooir.i rr;. z d may `JaI'V iY0 ~3 \'Fi`Cll. tp 4ef:iCi:2. ,'~i iU aiuali~~ns r+i i vary oared upon rr?arkei c~~nC!t€en>, spe:ciflcafiuas::~ei3icie conditi::n u!' ethar eartcular c4 cum ~tance< pea!rn~nC to ,F:iz pa ri:i•.',!a}r' vchide cr Pt:e irr:nsac:ien or i:he FJa rti^s fn'ile i'rarsa::ien. ~~?:is !~r.ort i< ir;t2nrr.il tin' ! i;ivi<J;ic? uisi u. i:f:e i :; . r,~_. ~.~:` i~F`il (.`a el`Cj L(!,, . ,.~... !:I`` Si !1~ . I:E? $O':f1 :1Y t!'i}f153'!lltti:. ':.C` a!t(:~ t, ill"'. .. _.:. ... ,i ":.'.:. /ail:) I.xi; ,I lilt;?,. i)iliiy. IC2!:e)r t,;i12 iJ t:!ik'f}~itiLi:'. e?~ I'!v^ a>sy~ursil?i':(y• for ern>rs Cr an-:r:> inns. ;v.IC^6:i1 9 .'~ ~ .. ~ ~ t.....~-. (~j__._._-~ Hoir~e i i:ontact Us I Site Index ;About (:ars.com i Emnlovm(;nt C)ooortunities ~ C~eco€ne a (`ars.crm Dealer Cars con) P4obile i 6usaueda de Carros Usados en Esuar~ol ! '['Becorne a a=an http://www.cars.com/go/kbb/kbbMain.jsp?year=1991 &mlcid=l2&mdid=127&kbbmdid=l... 8/30/2010 Q~?ptryM1gpN,~(ENrOA OG O 4} ~ ~ W * O A. Settlement Statement (HUD-1) 9eRH o2JE~ F~ B. Type of Loan OMB Approval No. 2502-0265 1. Q FHA 2. Q RHS 3. XQConv. Unins. 6. File Number: 13883.1 BROWN 7. Loan Number: 8. Mortgage Insuran bar: 4. ~ VA 5. Q Conv. Ins. C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by [he settlement agent are shown I " " . tems marked (p.o. c.) were paid outside the Dosing; they are shown here for informa8onal purposes and are not included in the totals D. Name and Address of Borrower: E. Name and Address of Seller: . F. Name and Address of Lender: Ralph W. Brown and Estate of Jeanne C. Thompson Sovereign Bank Vera D. Brown 1804 Willow Road 2989 Oid Carlisle Road 1130 Berkshire Boulevard Carlisle, PA 17013 Gardners, PA 17324 Wyomissing, PA 19610 G. Property Location: H. Settlement Agent: 12 Abbey Court Martson Deardorff Williams Otto Gilroy & Faller I~ Settlement Date: Carlisle, PA 17015 10 East High Street Carlisle, PA 17013 Ph. (717)243-3341 June 25, 2010 Place of Settlement: 10 East High Street Carlisle, PA 17013 J. Summary of Borrower's transaction K. Summary of Sellers transaction 100. Gross Amount Due from Borrower: 400. Gross Amount Due to Seller: 101. Contract sales rice 105,000.00 102. Personal roe 401. Contract sales rice 105 000.00 402 Personal ro e 103. Settlement Char es to Borrower Line 1400 3,034.45 . 403 104. . 404 105. . 405 Ad ustments for items aid b Seller in advance Ad ustments for items aid b Seller in advance ~ 106. Coun /Tw .Taxes 06/26/10 to 01/01/11 107. School Taxes 06/26/10 to 07/01/10 175.11 17 17 406. Coun !fw .Taxes 06/26/10 to 01/01/11 175.11 108. Assessments to . 407. School Taxes 06/26!10 to 07/01/10 17.17 109. 408. Assessments to 409 110. Homeowner Association Dues 06/26/10 to 07/01/10 18.83 . 410. Homeowner Associa8on Dues 06/26/10 to 07/01/10 111. 411 18.83 112. . 412. 120. Gross Amount Due from Borrower 108,245.56 420. Gross Amount Due to Seller 200. Amounts Paid b or in Behalf of Borrower 500. Reductions in Amount Due Seller: 105,211.11 201. De osit or earnest mone 1000.00 501. F~ccess de osit see instructions 202. Princi al amount of new loans 60 500.00 502. Settlement char es to Seller Line 1400 203. ExisOn Loans taken sub'ect to 503. Existin loans taken sub'ect t 8,168.32 204. o 205 504. Pa ff First Mortgage . 206. 505. Pa ff Second Mort a e 506 207' . 208. 507. De osit dish. as roceeds 508 209. . 509 Ad'ustments for items un aid b Seller Ad ustments for items un aid b Seller 210. Count/Tw .Taxes to 510. Coun /Tw .Taxes to 211. School Taxes to 511. School Taxes t 212. Assessments to o 213 S ll 512. Assessments to . e er Assistance 1 000 00 513 Se1lerASSistance 214. , . . 514 1,000.00 215. . 515 216' . 516 217. . 517 218. . 518 219. . 519. 220. Total Paid b /for Borrower 62,500.00 520. Total Reduction Amount Due Seller 9 168 32 300. Cash at Settlement from/to Borrower 600. Cash at settlement to/from Seller , . 301. Gross amount due from Borrower line 120 108,245.56 601. Gross amount due to Seller li 420 302. Less amount paid b/for Borrower line 220 ( ne 105,211.11 62,500.00) 602. Less reductions due Seller line 520) ( 9 168 32) 303. Cash XO From ~ To Borrower 45,745.56 603. Cash a To ~ From Seller , . 96 042 79 , . I' ~ l l ~a~~ The Publk Reporting Burden far this collection of irformatbn is estirretad at ~ minutes per response fa cdlectirg, reviewing, aM reportlrg the tlata. This agerwy may not mllect IHs ir€ametion, and you are rol requ'ved to complete this fang unless it 6splays a wrrengy valid OMB control number. No confidentiality is assured; this disdosure is margatory. This is designed to provide tM parties [o a RESPA coveretl uansaction vnth information during tte ~ttlement pocess. Page 1 of 3 HUD-1 f ~~~ ~~~r t ~~~,p~f :• o O ~ II~ r ~! W ~ -~(' c~ ~ ~ r ~ 9 i^ ~~0 f ~~ Rl r r ~ ~ W LJ"I r n a ~ ~ i,~ m O~ ~ ~~ n ~ o C I~ mZI ~~ G ~ . ` %J3 d ~ d~ ~ K rn ~ ~ "'"' w o .. > io Z ? ~ W ~ : W r a ~ 5 DATE CHECK NO CHECK ISSUED TO IN PAYMENT OF AMOUNT OF CHECK ~ DATE OF DEPOSIT AMOUNT BALANCE OF D E P OSIT ~ ~ s ~ U ~ ,{+ \ ~ , ~Cs..~~S1`f~~ " C~.~.. ~ [ ' a.. ~:.hJ ~ ~ ~" ~ ~'/ ~ 1 Account Number: 100037053053 t _ ~ r $152.23 ~i~nilli~lilini;~i~l~lii~l~~lli~lii~l~ililliiili~i ******~*AUTO**3-DIGIT 173 _ 08755 O1 AT 0.354 TATS OF JEANNE THOMPSON MET-ED ~~0 CNARLEEN L GROUP PO BOX 3b87 2989 OLD CARLISLE RD AKRON OH 44309-3687 GARDNERS PA I~li~l~~~~li~ll~l~~~~~~~~~~~ll~~lli~l~il~l~~~llul~ln~~~~~~ll 17324-9549 0210003705305300000000000000000020000152230000152234 ~~~u ~~~~~~~ ~~~~ ~~~ ~c1~~~~~ ~~ tl ~• DATE ~~`-~'C' "" 2 4 L ~~~ 9 3 5 ~~~ ~ u^ 60-9y9~4/313 ~~I~ PAY TO THE ORD~ 1~,L1lfL~LJ ~VLV 11 NATIONAL BANK CETTYSBURG, PENNSYLVANIA x:03 L309945~: May 14, 2010 - ~ . , A ~rstEnergy Canpany Billing Period: Apr 15 to May 13, 2010 for 29 days Next Reading Date: On or about Jun 10, 2010 Bill Based On: Actual Meted Reading Account Number 10 00 37 0530 5 3 Bill for: ESTATE OF JEANNE THOMPSON 12 ABBEY CT CARLISLE PA 17015 Residential Time Of Dav Page 1 of 4 M69 ccount._ :.urram, r`y ~rttdun ue Your previous bill was 94.06 Total payments/adjustments -109.06 Balance at billing on May 14, 2010 -15.00 -15.00' Current Basic Charges Met-Ed -Consumption 38.21 Met-Ed -Misc. Charges 4.99 Total Current Charges ~ 43.20 o ' u2` un '- ease a s''amoun To avoid a 1.50% Late Payment Charge being added to your bill, please pay by the due date. enera, n orma ion Bill issued by: Customer Service 1-800-545-7741 Met-Ed I~f ~ ® Automated Outage Reporting 1-888-544-4877 PO Box 16001 A~.~~ Collettions 1-800-962-4848 Reading PA 19612-6001 visit us on-line at www.firstenergycorp.com Your current PRICE TO COMPARE for generation and transmission from Met-Ed is listed below. For you to save, a supplier's price must be lower. Residential Time Of Day - 0002263626 7.36 cents per kWh Customer reserves the right to shop for an electric supplier. ~~~ eau uet~tfl ~aymerit and;°Adjustrrtent Information Date Reference Amount Payments: 04/26/10 -94.06 Total Payments -94.06 Adjustments: 04!16/10 Reverse Returned Check Chg -15.00 Total Adjustments -15.00 Total Payments and Adjustments -$109.06 Meter Reading Information; -~ Residential Time Of Day Meter Number 695214859 Meter Number 695214859 Present OnPeak Reading (Actual) 80,985 Present KWH Reading (Actual) 14,146 Previous OnPeak Reading (Actual) 80,928 Previous KWH Reading (Actual) 13,861 OnPeak KWH Used (20.0%) 57 Kilowatt Hours Used 285 OffPeak KWH Used (80.0%) 228 ~C~/ April 15,1010 Billing Period: Mar 16 to Apr 14, 2010 for 30 days Next Reading Date: On or about May 12, 2010 Bill Based On: Actual Metee Reading Prorated Bill iAccount Number: 1U UU 3/ Ub~U 5 ~ I Bill for: ESTATE OF JEANNE THOMPSON 12 ABBEY CT CARLISLE PA 17015 Residential Time Of Dav r ayc ~ v~ ~ M69 ~caunt _umtnary moon ue . Your previous bill was 152.23 Total payments/adjustments -152.23 '' Balance at billing on April 15, 2010 0.00 , 0.00 Current Basic Charges Met-Ed -Consumption 74.07 Met-Ed -Misc. Charges 19.99 Total Current Charges ~:bh >> >94.06 o ue a - ease 'ay rs amoun r o avora a ~.au"/o gate rayment unarge perng added to your bm, please pay dy the due date. ~n~i~a n ~ ran Bill issued by: Customer Service 1-800-545-7741 Met-Ed ~t-~ ® Autorfiated Outa a Re ortin PO Box 16001 AF=- ~ ~~ Collections g p g 1-888-544-4877 1-800-962-4848 Reading PA 19612-6001 visit us on-line at www.firstenergycorp.com Vince to,com ar e~sa e Your current PRICE TO COMPARE for generation and transmission from Met-Ed is listed below. For you to save, a supplier's price must be lower. Residential Time Of Day - 0002263626 7.36 cents per kWh Customer reserves the right to shop for an electric supplier. ice, ~'Y ee o er pages, ar a ... bona rn vrfn~trvtt an a ep one nom, ers _.. _. _..._._ ..._.-J - ... . Total Charges $ 94.06 Detail Payment and Adjustment Information Date Reference 'Amount Payments: 04/07/10 -152.23 04/05/10 -152.23 Total Payments -304.46 Adjustments: 04/08/10 Returned payment 152.23 Total Adjustments 152.23 Total Payments and Adjustments -$152.23 er Fte din ' nfor a ian Residential Time Of Day Meter Number 695214859 Meter Number 695214859 N ~ 0 0 ~ o ~ z d ~ ~ °o b ~ uoi W ~ ~ ~ ~ H 7. {t W ~ ~ ~ m 7d r H O z ~ °o w ~ o o a°o O ~ W N ft+ (4'~ Vtli \ b W N !t+ O Z t~~ O O y d ~ O O ~ N H J 00 ~ e o z ~ o t~ ~ r ~ ~ w n w ~ o w rn N W rn O O O N W 0 7H~ O U] ron 'C b tad H z H d H N n H z H O z 0 0 0 O O O O O F' b O N 0 0 0 N O N W aC111~feC®rfi ****"**********AUTO**3-DIGIT 173 1220 0.8240 AT 0.357 6 1 114 I~~~III~~~I~~II~~~I~I~I~~II~I~~~IJ~~L~II~I~J~~IJJ~~I~I~~I JEANNE C THOMPSON ESTATE 2989 OLD CARLISLE RD GARDNERS PA 17324-9549 ~I~~I+° ~ 604 IMPORTANT NOTICE Due to a final rule to implement applicable provisions of the 2006 unlawful Internet Gambling Enforcement Act (31 U5C 5361-5367), we are required to notify a1,sl commercial customers that restricted transactions related to unlawful Internet gambling activities are prohibited from being process~~.through any account or relationship Page 1 ESTATE CHECKING Account # 2419351 Account Summary Beginning Balance Activity Ending Balance Previous Statement Balance 04/08/10 $5,042.52 + Deposits and Other Credits 1 455.20 -Checks Paid or Other Debits 8 641.34- - Service Charges .00- +Interest Paid .00 Ending Balance $4,856.38 Days in Statement Period 28 Account Detail Date Activity Description BEGINNING BALANCE 04-19 CHECK # 12 04-22 CHECK # 1 04-27 CHECK # 13 04-27 CHECK # 14 04-30 CUSTOMER DEPOSIT 05-03 CHECK # 1 05-03 CHECK # 9 05-03 CHECK # 19 05-03 CHECK # 20 05-06 ENDING BALANCE Deposits/Credits Checks/Debits Balance 1~ r®~ ,. ~~ ~~~..> C°,,c~ :~'~'~~kl~~ . ~ ._ 5 , 042.52 . ~~1~~`~ . ~ _ ~j~;'~~~c..~-~C.vw --. _. _~ , - ^-:10.00 '~ 5,032.52 ~V9,e~C ~ ~ - _ .-_ - ~22.50 . °' 5,010.02 tw'~~A~~~~~ ~"~~~ ' ~'' 94.06 ~' " 4 , 915.96 '~ 12.00 4 , 903.96 455.20~~' 5,359.16 ~s®~`''ti~ ~e-~~"'113.00 5,246.16 SYi1,~~+_ i~45`~n"~..~~. °°---113.00 5,133.16 ~~k~~~~~ ~ 0 75.00 5 , 058.16 ;~~~~~~~ ~ s 201.78 _4,856.38 (R4,856T3$"`. ~h~~{~ing St~tee~~nt Statement Date: 05/06/10 Account #: 2419351 F!0.13c~c 31:29, ~aettysburg, PA 17'26 -Phone 717,334.3161 Toll FreQ 1.888.334<A~:i~98 (.226?) THE VILLAS HOMEOWNERS ASSOCIATION SPECIAL ASSESSMENT. TO: HOMEOWNERS FROM: The Board of Directors DATE: March 29,2010 PER BY -LAWS A final calculation of the cost of snow removal for this winter amounts to $7207.06. This exceeds our budgeted amount {$2800.00) by $4407.06. In order to meet this unexpected overrun, each homeowner will be required to a pay a one-time charge of $113.00. ., This amount can be paid to Treasurer,Wfilliam Boldosser, in one lump sum, or in two (2) installments due as follows. Date ApriUr~ 2010 Amount $56.50 Date.Ma~pp, 2010 Amount $56.50 Total $113.00 THIS MUST BE A SEPARATE CHECK. MARKED SNOW ASSESSMENT ON YOUR CHECK. The Board of Directors request that you review the 2009/2010-budget. The budget is established using the income from the present Association fees. There are no excess fund in any of the accounts,.and only $832.90 is allotted for Capital Improvements this year. It is the Board's responsibility to maintain adequate funds for Capital Improvements. Therefore, the account CANNOT be depleted by using funds from it for general maintenance purposes. ,.. /J ~ '~ -~ President a ~ ~ Treasurer ;f Uivirinu of it rlnvu Cn u:ri~' /Yotinn,rl ]i.nrk .f #~~************AUTO**3-DIGIT 173 1258 0.7950 AT 0.357 6 1 164 1~~~111~~~1~~16~J~I~I~~II~I~~~LI~~L~tI~I~J~~I~I~I~~I~L~I JEANNE C THOMPSON ESTATE 2989 OLD CARLISLE RD GARDNERS PA 17324-9549 ESTATE CHECKING Account# 2419351 Account Summa Beginning Balance Activity Ending Balance Previous Statement Balance 03/04/10 $7, 566.93 + Deposits and Other Credits .00 -Checks Paid or Other Debits 7 2 , 524.41- - Service Charges .00- +Interest Paid .00 Ending Balance X5,042.52 Days in Statement Period 35 Account Detail Date Activity Description DepositslCredits Checks/Debits Balance BEGINNING BALANCE 7, 566.93 03-19 CHECK# 1 ~•'<'•e ~... ..~~5. -• -` - ~ -119.00 7,447.93 03-23 CHECK# 1 ~ Nom,-~.~~-- °-956.94 ~'~'~~}~ ~~ 6,490.99 03-23 CHECK # 5 ' ° 53.24 ~°°s-i,c9.c~ sue} - ._ .~ '_ ° _ . 6,437.75 03-24 CHECK # 1 ~.,~~~~ ,,,~, s -- - -~ ° .._975.00 00 ' ° _ w 113 0' 5,462.75 349.75 5 04-01 CHECK # 4 . ~~^~° Yv4~s, ~ ~\l~_ , 04-08 CHECK # 7 ~~~~ [~, - - - ~- -- ~ '--'152.23 5 ,197.52 04-08 CHECK # 8 CC.e,\~r~ ~, ~.ir~<+~~~yrr~~-~'~. - W -155.00 5 , 042.52 04-08 ENDING BALANCE 5 , 042.52 Checks Paid -"Indicates ski in check number Check # Date Amount Check # Date Amount 1 03-24 975.00 / 5* 03-23 53.24 '"~ 1 03-23 956.94 7 04-08 152.23' 1* 03-19 119.00 `~ 8 04-08 155.00 4 04-01 113.00 '-' Total Number of Checks: 7 Total Amount of Checks: $2 , 524.41 END OF STATEMENT ' nr-~ ~..~. ~1'i ~~n r r""~~-, ~,,.,.>~ ~V'-~7?~~ I o„nnir 71 / ;~~, ~..1 iz ~ ~ ~ f ~°_ . _ ~~. _i 1~ ;` ~.-,x~,,IC. _C5_i1t-r ±,i[: -J rri,.~~~1 ~.iFf',I~IT'~ ~-)~ ~~~~ ~:,~~~~~~~ ~~~~~:~~~1 ~` _~, ~.~. ~- Statement Date: 04/08/10 ~~ Account #: 2419351 f /(~ "~ Page 1 604 ~;-,~ 1 1 LOCAL HOUSEHOLD g INVOICE# 23167732 '~ ~'~ i i:~~ i' I -?- SIGNS BY NICK (4517-42) t AyreC~rn~rtt. 23167732 ~>. n~~. € ~,~.~1 ;-~ 2145 BIGLERVILLE ROAD C~tt~r~k--ctut 04/05110 04:13 PM i ~ ~~~ ~~,,~ ~4. GETTYSBURG, PA 17325 USA t~tac~-#n 04/06/10 04:13 PM ~ Voice (717) 334-0631 Fax (717) 334-9998 C:t7c~C;k-Irt 04/06/10 12:10 PM 24 Hr Emer enc Service. 800 526-0798 ~ •°. ~ ~ CHARLEEN GROUP s ~ 2989 OLD CARLISLE RD k G)ay (717) 677-6476. GARDNERS, PA 17324 USA t~tlit F2ented u~ithl Dar~~~~~e NO f Unit ~;i-tecitc~d in ~~r•itii Add'itir~nai C~~n tac~~ NO E M iv~~,~ TROY HORNER NO HAZARDOUS MATERIAL BEING TRANSPORTED ~~ a ~ ~ ~ s C?esC.riljtir~rt .__~...______~__ ~.,_._ ~~ ~ CJtlant t-,#~sit ~~f nt~as i~at~; , Subtofaf ___ _~_____.._-. .~. -____Y__....__.._.__,w_w__.~ 2024 - 24FT SAD MEDIUM VAN Ft.lei r'),~t FULL i=~.zr:~i in _.. _ ~_...~.___.._.__~____.-_.__.. ____._-._ .__._ FULL Unit #568956 f~lat~ # YXV4411 ut PA r^x~ 09/30/10 c+.;t'n~r 0445- 10 ~iGri~x. i='~yl~~d 15,8421bs. t:;VVt{ 25,9991bs. i-ir~i%jlt 13 ft. 0 in. ~Uiii~a~F ~~ut 19043 In 19114 i~tii~s 1..is~:cf 71 71 MILE 0.59 41:39 I_)~y~: t~s~;~i 0 ~ 1 DAY 39.95 3:9.95 i"Ial.ir~ Use=~~l 20 0 HOUR 9.99 LIMITED DAMAGE WAIVER / LDW (Household) *ACCEPTED* 1 DAY 22.00 22.00 Fates $616.00 /month $154.00 /week $22.00 /day $0.00 /overdue ~.. hour ~.. SUPPLEMENTAL LIABILITY *DECLINED* .._.-.._.~,.. _~w.~..-...,.w~...__..~...._..._..~.__..._wn~.-._ _ _......_.. . PERSONAL ACCIDENT INSURANCE *DECLINED* CARGO INSURANCE *DECLINED* ._._. ,..~...._ n_.. . ~ _ - .. _.~._ _. .._.~~. ,~~.....-.m..._. environmental fee ~...~ -.a._ _ ,.~.._,._..~.~._ 1 0 DY 1.50 ~ ..._ 1 5Q Please verify the above fuel level is correct. Customers who return vehicles with less fuel than when rented will be charged $6.00/gallon to refuel the vehicle. You may be subject to a charge for certain breakdowns resulting from driver error or cus tomer negligence. X Initials • A : ff, ' .. .. ~y,'~~_~ran [gat{ l~t~t~ti5 .__~. __..,.-.~..,.~...~.w-~_~_,v___.~..._.~.._..~._~..-.. _w._. .___ ~ _~..~.....___.._d.v.._.__-___._._._..___~.~._._..e _.~.._~~ Amount VI PYMT 04/06/10 tv~rd~ :~XXXXXXXXXXX8246 ,~.~;;ar i i 086926 on 04/05/10 for $118.31 -'115.7 4 SIGNS FY NICK (4517-42) ~c at4;c4 l;~r N.PAPPAS ! i f ' ~`~ 1115.34 2145 BIGLERVILLE ROAD w ttr.;;~t~~r:i i.~~ N.PAPPAS ( }., a: ~'!E~?',`r d'i»~!',+iP~4_ ~ A;e 2.t~~ GETTYSBURG, PA 17325 USA ~ ins:tcr~ti ;~~f 4517-42 i ' ~~~; e:°~. i-~i-j f:~i',jTA.~. l"f;?' 2.11 Voice (717} 334-0631 Fax (717) 334-9998 `~,:~:±tl.~t COMPLETED ;-=~~ i~ti'l~ ;~A! E°`~ 1°A'Y 5,32 ~~..i,~t `>!c,, -~tilrF';_ ' i rc7i:~i. 115.77 - `moo ~ ~ ;~; .~ s r ~ p C~~',Yil~9t:.f~i~i., X115.77 ~ PENSKE TRUCK LEASING CO.,L.P. ( ~~~~ ~~[ ~Ft_il:~ 0.00: P.O.BOX 827380 PHILADELPHIA, PA 19182-7380 USA ~ ~ ~~,~•~, ~. (4~ ~~~~ ° I 1 , # i ~ ;' „~ .. hr ~ :~ . ;, ~~~~~. , ~..1~i~~~i n Ji~9U _ ~.-,; ;. ~i~ • i ~~ 7 ~ y .~ me-- i ~~-~~y ~~y l ~. ~y ~~~~ ;\ iCe ~s . ~~~ -- i «I~S~~ ~P~~f~~~~ ~'~i~l~l~~'~.°~l~f~~,~ ~ ~~~7 ~~ a ~,(.J~.u?~v ~i~VU :~ ~-> ~~ a ~ ~~a~' ~ ,.-< e~t~~my ~~~ ~I~A~~Ira ~f ~~~~~~ gh history records pizza as having been originated in Sunny f~lapies, many believe, as we do, that it had its origin on the slopes of ~esuvlus, a scant 15 miles away. ne archaeologists beli.~~i~'that the heat generated by 5,000 families making pizzas was responsible for Vis-a-vis blowing its toy in the dace. Nevertheless, this,~~isp, Neapolitan pie, topped with ~USCIOUs omatoes, imported cheeses, and all sorts of mouthvvatering meats ancf Seafoods, came into being quite by accident. Antonio Piz_zarello, . a baker's assistant in the mountain side town of Pompeii, retr.ln-~ec! from the tomato fields that abounded on the volcano's slopes ~niith a basl:et(ul of tomatoes one day. As he entered the bakery where he vvorked, his eyes were attracted by a Dung girl buying a loaf of bread for supper. She eyed him roguishly, at which point Antonio tripped and his load of tomatoes landed on a. large piece of dough that was being readied for baking, ~Nhen the owner of the bakery rounded a corner a moment: later, ,~ntonio frantically loaded the dough and tomatoes into the oven to get it out of si¢~'' With the owner of the bakery, Antonio, and the girl cr~~--'~ ~, exchanging pleasantries, the blending of ~~~•~ Fj~:j the oven emitted heavenly orl~r~ ~' ~,,~` So the first Pizzarello was I~ ~~~ ;;~'~` '_~ . to pizza, and cheese was a. ~,., {;:' ~ ~} ~} Mozarella. t,.~ ~,N1~, ~=""' '`,~,~ . Gettin back to the volcano, ~..~~~ '' u, earlyy hgtory. Many pompe ~~~'',t~,,~.._= t ~~ frolic in the field, often stol: ~ ~~3~ ~-~'.t~ lava. This is where the exp ' ' In future years all manner ~,~~~'~~ ~~~'~='`y`~. ~~~~`~} . ,r^ and "We" have that ongl -`~-~: ~~ .,~.-`%' ~~~j~~. ~I a F= why so many people a l ,,,. y ° '~ ~ ~ (~ r' L s, s 9 ~ ~y. ~~~~ , ~~~ ,fir _~ ~~~°' ~,.• ~ (;? = ' M1 Zvi°~Y .,.W"'V'.~w~ Ja~µ~.. ~~ - r - 7l 7-25i#- i~)7(a SEEP TFIIS P®RTIQN ~~ THE BIl~,L ros YOUR SEC®RDs south Middletare Township Municipal Authority 345 Criswell Drive, P.®. Sox 8, Boiling Springs, PA 17007 (717) 258-6476 ~i=RVicE ADDRESS 12 ABBEY COURT, CARLISLE ,~ccT. rva. 012101 METER ID # 002091 METER REtaDINGS METER # t CURRENT 734 A ~REVlous 730 A - -- - TOTAL GALLONS USED 4,000 METER # 2 METER # 3 METER # 4 METER READING KEY O ----- 0 _ -Q A =ACTUAL E = ESTIM/C1-ED 0 0 0 SERVICE _ UNITS GALLONS CURRENT pAS~ DUE CREDIT TOTAL, TYPE_ BILLED BILLED;: CHARGES D U;E WATER 4,00 0 28.00 _ , 28.00 sEVVER 73.00 73.00 ., ~~ ~:: _. . ~ 04/01 /2010 111.10 pAY NET BY ' ~ ~' DUE DATE' ALL PAST DUE AMOUNTS DUE IMMEDIATELY UPON RECEIPT 101.0 BILLING PERIOCD COVEREb .FROM 01/01/2010 To 03/31 /2010 PLEASE SEE ADDITIONAL. IMPORTANT INPORMAI'IOC~9 ONTIiE BACI( OPTFIIS I~II..Ir NOTICE OF RATE INCREASE: A 10% Sewer Rate increase will take effect on April 1, 2010 which will be reflected on your next quarterly bill. This and future increases are necessary to fund the State and Federally mandated improvements to our sewage treatment facilities. The rates are available from our office and will also be published in the Township newsletter and on our website, www.smstma.org. We anticipate that additional rate increases will be forthcoming over the next few years to fully fund the necessary construction projects and operating costs. PUBLIC NOTIFICATION: In an effort to provide timely notification to you in the event of any potential problems with your water service in the future, we request that you provide a telephone number where we can reach you by automated telephone service. This telephone notification can be sent to any land line or cell phone. Please provide your preferred phone number beside your address on the return stub of this bill. If you are using our auto debit service please contact our office at your convenience. Thank you for your cooperation. ~, ~ ~ C-~ ~w "~ 1,Q lO C7 G7 ~a ~9 4 ~ C7 ~ ~. ~. V~ ~~f ~ ~~ ~ o fD 47 C~ U C? L~ ~9 ® ~ ~i C) ~ ~ !„y ~? ~, n °" C'i ~y ~1! ~' rU _ G] ',~ C~ ~-~ ~~ FV C.) ~~ ~ t1 ~ ~; N [~ 'ai. d ~~; k-~ C;7 /'~ ,,.~` Statement Date: 03/02/10 Account!!: 611905 rrwww«r+rrrrswwMAUTOrr3..DIGIT 170 1495 1.1480 AS 0.485 I3 1 21 613 Page 1 JEANNE C THOMP50N 12 ABBEY CT CARLISLE PA 17015-4384 CitFDI7 CARD BILLS DOGGING YOU? consolidate 'em with a lower interest loam. Turn the stack o'F high interest credit card bills and other debts into one simple and lower monthly payment. To find out more or apply, visit acnb.com or call 1..88$.334.22G2. Equal Housing Lender. 1=qual Opportunity Lender. Member FDIC. Account # 611905 SUPERNOW ACCOUNT Account Summanr-~~-- Beginning Balance Activity Ending Balance $4,606.77 Previous Statement Balance OZ/0'2/10 .00 ~ Deposits artd Other Credits 2 a,606.e4- - Checks Paid or Other Debits .00- - Service Charges .07 + Interest Paid S . 00 Ending Balance 28 Days In Statement Period ccount De aii ~ DepositslCredits CheckslDebits Balance Date Activity Description 4,606.77 BEGINNING BALANCE 243.38 4,363.39 Ox-04 FIRSTENERGY OPCO ACH THOMPSON. ROBERT E. 0~ 4,363.46 02-16 INTEREST PAYMENT 4,363.46 .00 CLOSING TRANSACTION .00 02_16 03-oz ENDING BALANCE nt®res Su m From 0 03110 Thr u 0 lfl 110 2$ pays In Statement Period $.07 Interest Earned •05% Annual Percentage Yield Earned g , 5A Interest Paid This Year $.oo Interest Withheld Thts Year ~d WdZS:Bti 0T0~ bT '~aS S9T0 b~~ ZTZ: 'ON Xd.~ ~~Jd~JOlS INIW S~OQNdS: W02i~._ ~D~T ERIE Insurance Group ERIE P.O. Box 1689 Erie, PA 16530 RECEIPT OF PAYMENT 03/18/2010 12:12:38 Pik Received by: on 03/18/2010 12:12:32 PM (CNTR4 ) Check Tendered: $119.00 Cash Tendered: $0.00 Total Amount Received: $119.00 Check Number: 006 Policv Information Account ~^ Policv Number Billing Number Q03-0206953 Policyholder Name Amount JEANNE C THOMPSON $119.00 \~ ,~.~~ ~: _~~ ~ C~~ Thank you C R S INSURANCE, INC. (AA7229) CRS INSURANCE, INC. 360 YORK STREET GETTYSBURG PA 17325 Received by: ,. C ~ ~ Er~~ .. Insurance® 10D Erie Ins. Place • Erie, PA 16530 NOTICE OF PAYMENT DUE DWELLING PROP/LIAB POLICY NUMBER- AGENT NUMBER Q161601269 AA7229 ESTATE OF .TEANNE C THOMPSON C/0 CHARLEEN GROUP 2989 OLD CARLISLE RD GARDNERS PA 17324-9549 Pt7LtCY TRAIVS;ACT101VS 04-16-10 PREMIUM $ 04-16-10 SERVICE CHG $ CURRENT BALANCE $ BILLING DATE 05-24-10 C R S INSURANCE, INC. 717-334-4611 OUR LIBERAL PAYMENT PLANS- DO NOT ALLOW FORA RACE FERiOD 340.00 10.00 Flt7•URE C.IISTALLME1ti1TS 350.00 DUE 10-16-10 $ 175.00 e ~^ f TRANSACTIONS OCCURRING IN THE LAST 10 DAYS MAY NOT APPEAR ON THIS STATEMENT. IF THERE IS AN ERROR, PLEASE CONTACT VQUR AGENT OR THE HOME OFFICE. 13021 RETURNED PAYMENT FEES WILL BE ADDED TO YOUR ACCOUNT. KEEP THIS PORTION FOR YOUR RECORDS t ~ c~.tis-~ ~rs~x~,v~o.~u; NAI9UNAI_ IdgNli ~~r1iJ1,a(;~ylEl „~~'.(: B'4 ~.a u;th~.4 tii K 4 F c.:'i ~'iii~n'he'4~~" Ia ~ii ~~~~r~.~d~1 ,~~ .,,.~ ~"'"+""°""""'"""AUTO`y3-DIGIT 173 1186 0.7220• AT 0.357 61 130 hnlliml.nlll~~hlJulhhnl~h~L~IN,lulu6Ll~lll6~i JEANNE C TMOMPSON ESTATE 2989 OLD CARLISLE RD GARDNERS pA 17324-9548 604 IMPUI2TAMT NOTICE Due t:o a final rule to implement applicable provisions of t:he~2006 unlawful Internet Gambling Enforcement Act (33. USC 5161-5367), we are required to'notify all commercial customers that restricted transactions related to unlawful Internet gambling activities are prohibited from being processed through any account or' rela~l'ioriship Page 1 ESTATE CMIrC4CINC Account # 2A19351 Account Summary„~ Beginning Balance Activity Ending Balance Pr6vious Statement Balance 08/05/'i0 $103,270.75 + Deposits And Other Credits z -Checks Paid or Other beblts 132.36 -Service Charges .00- +Interest Paid .00- Ending Bs~lance .00 begs in Statement Period g 5 A103 , 403 „ 1,;t, AccQUnt Detail Date Activity Description ~'.- ,^ ~'~ ...._~,...-__ •~~~~- Deposits/Credits Checks/pebits Balance BEGINNING BALANCE ,. 08-16 CUSTOMER DEPOSIT ~~ ~ ~ . -; '" `' 103,270.75 T:..,~Cl`.:,, ~~ \~~:. t.a,r `'103.0 i 08-31 CUSTOMER DEPOSIT -9 103, 373.75 09-09 ENDING eALANCf= ty~l~t-~ ~ '.~~~"-~~~"~.~~~~3C' 103,403.1:(, 103,403.1J. END OP STATEMENT .. ` .. ~~\ /'yy .. . ..... .............. . ~. yK..,~ Y~~. t~t'-~~Dcrr1~ 'at.~lr~rrt~rit: Statement Qato: 09/pg/lU Account #: 2419851 1',Cl, bOH ,~ 1 Z~3, ~.'IPYI''~5t'Dp.1i'tl, P~. "d 7;3;~",~ ~~ 1''n~ttltt~? /'1'l.:o'T~~6.'t'4 ~'i 9 ~ 'd'a91 p'e'g*a, 'u s~~etie •'t~n. ~.~~..nIB~ (•~'}~: r,~ bd ~Jd~~:TO BT~Z ~~ 'daS i9T0 b~~ ZZL: 'ON Xd~ ~Sd~IOlS INIW S~OQNdS: WO'tl~ c~CI1~IeC®11n "***""`*'"'*"""`AUTO""'3-DIGIT 173 1220 0.8240 AT 0.357 6 1 114 I~~~III~~~I~~II~~~LI~L~II~I~~~I~I~~LJI~I~~I~J~I~I~~I~I~~1 JEANNE C THOMPSON ESTATE 2989 OLD CARLISLE RD GARDNERS PA 17324-9549 ~I-~~~o ~' 604 IMPORTANT NOTICE Due to a final rule to implement applicable provisions of the 2006 unlawful Internet Gambling Enforcement Act (31 Usc 5361-5367), we are required to notify a~,l commercial customers that restricted transactions related to unlawful internet gambling activities are prohibited from being process~~l.through any account or relationship Page 1 ESTATE CHECKING Account # 2419351 Account Summary Beginning Balance Activity Ending Balance Previous Statement Balance 04/08/10 $5 , 042.52 + Deposits and Other Credits 1 455.20 -Checks Paid or Other Debits 8 641.34- - Service Charges .00- +Interest Paid .00 Ending Balance $4,856.38 Days in Statement Period 28 Account Detail Date Activity Description BEGINNING BALANCE 04-19 CHECK # 12 04-22 CHECK # 1 04-27 CHECK # 13 04-27 CHECK # 14 04-30 CUSTOMER DEPOSIT 05-03 CHECK # 1 05-03 CHECK # 9 05-03 CHECK # 19 05-03 CHECK # 20 05-06 ENDING BALANCE Deposits/Credits Checks/Debits ~t2. _ ~.... C~~ ~`~~~~.~v :~~~~~s~ . ~ ~~` ~~.,~~i ~.~.> .-, _ ...a ,_ "-.10.00 ~~ X22.50 ~~~~ ~~ ,_ -- .~ _,.,94.06 `~* 12.00 455.20 ~ ~}, \\,~ ~as~ ~;e.; ~ '113.00 +;pi \`cv.. ~'~`~`~A'~;.:0~~~:.-.. ~ --`113.00 ,' 75.00 ,~ «rvy~~~ ~ e 201.78 ~h~~{~ir~g St~t~rnes~t Statement Date: 05/06/10 Account #: 2419351 Balance 5,042.52 5,032.52 5,010.02 4,915.96 4,903.96 5,359.16 5,246.16 5,133.16 5,058.16 4,856.38 ~Y4~, 856_38 ``i I.O. @;~+~ 31;?',-A, ~:etuy~&~ureJ, P~4 17~?2;~ I?B~oste 7~7,334.3"~61 . T~al9 is°r'e~7 1,8~i~i.~3~~.A~:l'~98 422621 ~x-'~u~~~------1--1~.5~].~1iVIile~ge ---------- I 0 ~ ~°1 ~.~, ~ 1V~ 16 9 6 7 8 ; ~ ~ ~<t ~ Ada : ~ S~=r~~~~-~ ~ 6 9 6 7 8 ~ ~ - .. . -- . -- ~ y~ - i ~y~. CRS Insurance, Inc. 334-8118 - , ~ ~ ~s~urchase Price ~ t° Zi P O ~~ 1 ~ ~L -------------------- _ p _ . - . ~- -1- - ~ .~ F # ~~~ i~ s orm ___ ------------ Trade Price ----------------------- ~ Seller ---------------------~------- DX. ~ .,,1 te D ~=- ~~ I ~-' ~ a _ -- --- Enc. Yes--_-- N°___-- Amount ----------•------____-- Net Price ------------------------- I _ (` i /~' K~ ~ ~ ~ ~ ~ ~ Mail To ------------------- __ Sales Tax ________________________ __~_L__ _ Enc. Holder ___i~1~ 1_~-~,.% ~.,..~_.......... r' ~ Add.: --------------------------------------------- is..Clc.-D~pt. Fee '_~~_~~'_~~ .. Make:~~rt~i~r.# ~~~_L~.y~~~~ ~ _ ~_ s.._.-•- -' ~ - ~~ ~ ur Fee /~~!_~~~~ ~ ~ ~ :- ~ Sales Tax r ~~ ~ ~ ~~~~~ ' ~ ~ ~ , -~,..,, ,... Total - ~ Total Fee _____l_.__ ---- _ -- -_ __-- ~ ! - Yr. -t -_--_-- Title# -- S.S. No. ~ - w..-.~... Voucher or Ck.# Transmittal Call: ~ ~ 1 ~ ~ _" ` ~ ' ` p,~ } ~ - Return Date ~ ~ P-up Date ____ ------------ D to fJ 1 ® ~ -- __ I Called By: I Mailed By: Cked. Off By -- j -- Rec. By~__________. i i Sticker Expiration: 10/2010 Reason Sticker was issued: Operated Less 5000 Miles Exemption Previous Sticker Number (if appropriate) Waiver Approval Number (if appropriate) STATION #: BC65 STATION NAME: C & D Auto Repair ADDRESS: 700 Forge Rd. Carlisle, PA 17013 PHONE: 717- 249-5684 INSPECTOR NAME: CHARLES L. LOUDER SR EQUIPMENT #: EZ014734 SOFTWARE VERSION: 0810 Signed: RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Receipt Date Cumberland Co~a.nty - Register Of Wills Receipt Time One Courthouste S uare Receipt No.: Carlisle, PA 1713 THOMPASON JEANNE C Estate File No.: 2010-00133 Paid By Remarks: CHARLEEN L GROUP DM Receipt Distribution 2/12/2010 11:35:56 1059983 Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 210.0 CUMBERLAND COUNTY GENERAL FUN WILL 15.0 CUMBERLAND COUNTY GENERAL FUN RENUNCIATION 5.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 20.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN Check# 3058 ---------------- 278.50 Total Received......... 278.50 /' ~`, ~\°~~~~ ~oo~- ~~ RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA EARNER; STRASBAUGI~ Cumberland County - Register Of Wills One Courthouse Sc{uare Carlisle, PA 17613 THOMPSON JEANNE C Estate File No.: 2010-00133 Paid By Remarks: JEANNE C THOMPSON WZ Receipt Distribution Receipt Date: 4/23/2010 Receipt Time: 10:19:28 Receipt No.: 1060852 Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE -1,~. 12.00 CUMBERLAND COUNTY GENERAL F'UN Check# 14 $12.00 Total Received......... $12.00 REV-1512 EX+ (12-08) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Jeanne C. Thompson 21 10 0133 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. - __ ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Comcast-final bill 53. TOTAL (Also enter on Line 10, Recapitulation) I $ 53.~ __ __ _ - If more space is needed, insert additional sheets of the same size. Detach and enclose this coupon with your payment. Please write your account number on your check or money ofdef. Do not SeOd Cash. Account Number 09547 378072-02-3 ®m~.~StT Pa meat due b 03 2 y y / 5/10 1555 SUZY STREET LEBANON PA 17046-5317 (.. •t. AV 01 009901 52207E 33 A**5DGT t~~nll~inil~~ll~nii~~ifil~lil~n~~~~ilil~~in~i~ili~~~li~~i~is JEANNE THONPSON 12 ABBEY CT CARLISLE PA 17015-4384 Totai Ammount Due $53.24 Amount Enclosed $ ~~, ~. X~ Make checks payable to Comcast lily,~snilini~~niillsitll~in~~nrnl~~l~r~~~~rrisa~~llli COMCAST CABLE P 0 BOX 3005 SOUTHEASTERN PA 19398-3005 09547 37872 ^2 3 9 Q~5324 PAY ( (~~~ ~] ,, TO THE. ~~ ORDER ~ ~~. A~ .. 60-994/313 s DATE ~ ~ /`~' ~~ ~~ ~ ~. ~~,~ DOLLARS ~ oe1ag,~eo~ Beck, `ADAMS COL1N"IY NATIONAL BANK -,, ~~1~E't"IYSBUAG, PBNNS~7.VANIA '' ~.~1/tCJ~X.~ FOR ~:b3 L309945~: 2 ~ ~ eu 9 3 5 Lei ~ II• REV-1513 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: FILE NUMBER: Jeanne C. Thom son 21 10 0133 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Charleen L. Group 2989 Old Carlisle Road Gardners, PA 17324 2. Robert C. Thompson 3110 Fair Oak Road Selinsgrove, PA 17870 Lineal Lineal 48,017.22 48,017.23 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. ___ __ _ _. ___ _ II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size. PU~ REtAIN TNIS COPY BEFORE AFFIXING TO THE PACKAGE. NO POUCN NEEDED. ..D 0"' V7 m r' AYE }~~ i_ Q Q _~€' E m a~a a ~CL ~ y~ 9SP2 ~ ~~~ s m ~~C W H • 2 ~~r mar gp~ gg..s~ NCo u7.=o' ~~E ~ E LLz~° ~~~ ~ ^ ^ H ~, F $ e~ e,~ °c e. ~ E' V O g~.z € £.z sc a o a=~~ ~~~~ LL2 ~~i *yO q `m 9 a ~~ vp V O lL~ lLm z ° ~ ~~ ~ Yye m ~o €° a$a w s ~Z ~~ ~.z~ ~ ~~ • ~~ ~o LL=s N ~m ~ ^ ~ mgm ~~~ ~ S LL ey G~'~~ p.°s~ 07 m .~~.a ~~.~a' Y o ~( u~mmn'~r u~°C V ti5 m {H LLZSo li~rd ~~W IC!CLLC}JYVI, ffi ~~ ~ ~ ~Cc;~ ~ ~~ac C ~ ~''Q x C~ ~ ~ ~ a g mo~EE a ==~~z ~ ~, 2 ^ U = p C p o ~ tl Oo D n ~ '~ p g 9 p$ ^ m w ~C ~ g ~G~v ~. ~~ .E C ~ (n ~R ~° s ` D C Epp 6 d y~ c a m $ ~ . c m m~ v r ~ &m ~m m .'S.~ ~ E ~° V 7 ~ .Z~ G~ d~~ Sa ao m?~ pY~rrTi }' o e ^ ~'^ ~ =~ • ~ 6 a (A &g fM °d~ `- 5 s ~ z ~~ (Q ^ ~ ~ o c .~y Wffi ~° > ~ E 1 m 3~~~ h~~ ^ ^ o ~gE C ~C G r i 9 m fq V ?. C $~ C N 6 ~ m .¢ 7 m c 9 Q 3 v m U m ^ ~~ a U .C m ~ya ti ~ 9 i d :n s N~~ 8i n ~i O •• 7 m H~ b w ~, d r A~ /1 Fn it O ai n X~ b ffi d mLL m 3 ... ~, ... ~ o ~ o ~+ ~' Ae ~, i Qf m LL ~~ a O O !~ G M I"' .+ w Q °' ° (~ V7 C~IlH r• ` _M OO~N Z P ~ ~ o w c~ ~~ _M ~- O n ~~ ---~~ W U d ~ ~ O ~ N O ~ C 2p 'i •~ 3 w O 1-i N ~ ~ n +~ ~ F m to ~ M n+ ~' a • r-I 41 N W w ~ ~ M ~ a ~ Z U~CM O J N > ~,,, N M r w } ~v U1 ,~ to ° Z ~ ~ O > ° z ~ O ~ W W ~ w a ~ .~ r-I ..a ¢ r O +~ H ° w c~ U ~a ~C r 3 ~ ~ W 3 a ~ ~ °° Z} O m ~ U F rr- ~ N ~-. r r-I .~ r-I [7a ~ S-i +~ U] N ~ •~ ,S~ O r-I ~ ~ ~ ~ ~ U rI U O O w ~' Entwistle & Roberts H. Thomas Pyle (1954-1996) Barbara Jo Entwistle Heather Entwistle Roberts Cumberland County Register of Wills 1 South Courthouse Avenue Carlisle, PA 17013-3323 Attorneys at Law 66 West Middle Street Gettysburg, Pennsylvania 17325 lawoffice@entwistleroberts.net September 21, 2010 RE: Estate of Jeanne C. Thompson, 2010-00133 Dear Clerk: Admitted to Practice In Pennsylvania and Maryland N Q ..-1 ,~~x ~ (~„) ; ri ' ~ ..~~~ ) w Please accept for filing the enclosed Inventory and Inheritance Tax Return for the above referenced estate. I have also enclosed a check in the amount of $80.00 ($50.00 for remaining probate costs, $15.00 for filing of Inventory, $15.00 for filing of inheritance tax return) and a check in the amount of $4321.55 for payment of the inheritance tax. Please time-stamp the original and the copies for both documents and return the copies to me in the self-addressed postage paid FEDEX envelope provided. Please contact me immediately if you have questions or need any additional information. Thank you in advance for your assistance. Best regards, ENTWISTLE & ROBERTS ~'~-~ i~~ Heather Entwistle Roberts, Esquire HER: enclosures Telephone: 717-334-6761 Facsimile: 717-334-7447 www.entwistleroberts.com