Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
10-22-10 (2)
1505610101 REV-1500 °`~°'~'°' OFFICUIL USE ONLY PA Department of Revenue P~yt~a Bureau of Individual Taxes "~""""~°~"~`"~` County Code Year FNe Number PO BOx28p6ot. INHERITANCE TAX RETURN ~ f /~-•~ Flarrisburg, PA i7iz8-o6oi RESIDENT DECEDENT ~-I V ~ _ ~ ~ ~ I Social Security Number 105-24-4950 Decedent's Last Name ROSARIO BELOW Date of Death MMODYYYY Date of Birth MMDDYYYY 10/04/2009 01 /06/1932 Suffix (K Applicable) Enter Sunrlvinq Spouse's Information Below Spouse's Last Name Suffix Decedent's First Name MI BENJAMIN p Spouse's First Name MI Spouse's Socal Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW m 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) O B. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Eloxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Lftigalion Proceeds Received O 10. Spousal PoveAy Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - TIfIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFlDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number KATHLEEN K. SHAULIS (717) 243-6655 REr318TER OF tNILl.8 USE ONLY n~ c~ First Tine of address ~ ~ ~, ~ SHAULIS LAW OFFICE ~ ~ ``' ::-~ Second line of address ~ m iv _ P. O. BOX 1229 . -:; City or Post Office State ZIP Code , -~ t_ DATti ~1LSED ~ i ~' ,~ CARLISLE PA 17013 - _TJ ~ - t, -~ T' ~- ~ ~ ~ _ ca Corrospondent's e-msll addroes:1rs037Ca~1isle~sprintmail.COm Under penalties of perjury. I declare that I have examlrred this return. Mduding eooornpanyfng sdredulss end statemertta, and to the best of my knowledge and befiet, it Is true. oorroct and complete. Declaration of preparer other then the personal representetfve fa based on ell intomretion of which preperer has any krro~wledge. SIGNA PERSON RE lE FOR FILING RETURN DATE ADDRESS 4 HILLTOP DRIVE, MO NT HOLLY SPRINT, PA 17 5 SIG ER O R ENTATI DATE 09/28/10 ADDRE SHAUL LAW OFFICE, P. O. BOX 1229, CARLISLE, PA 17013 rLEASE UsE ORIGINAL FORM ONLY Side 1 L 1505610101 1505610101 J S J 1505610105 REV-1500 EX Decedent's Social Security Number oecedenrs Marne: BENJAMIN D. ROSARIO 105-24-4950 RECAPITUUnoN 1. Real Estate (Schedule A) ............................................. 1 2. Stocks and Balls (Schedule B) ....................................... 2. 3. Cbsely Held Corporation, Partrrerahip or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 110,151.89 8. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 50,978.94 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 161,130.83 9. Funeral Expenses and AdminisUaWe Costs (Schedule H) ................... 9. 11,693.07 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) .............. 10. 96,175.44 11. Total Deductions (total Lines 9 and 10) ................................. 11. 107,868.51 12. Net Valw of Estab (Line 8 minus Line 11) .............................. 12. 53,262.32 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an eledbn to tax has not been made (Schedule J) ........................ 13. 0.00 14. Net Valw 8ut>lect to Tax (Line 12 minus Line 13) ..................... ... 14. 83,262.32 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable et the spousal tax rate, or transfers under Sec. 9116 (ax1.2) X .0_ 15. 16. Amount of Line 14 taxable at Nneal rate x .o ~' 53,262.32 16, 2,396.80 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Una 14 taxable at odleteral rate X .15 18. 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610105 1505610105 2,396.80 O REV-1500 FJC Pegs 3 Flle Number rlve~erienN~ Cc>,melete Address: ..~~~..~. ~----r---- - -- - - C BENJAMIN D. ROSARIO sTRF~TA~rtess 16 ORCHARD AVENUE STATE TZIP C CARLISLE PA ~ 17015 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditalPayments A. Prior Payments B. Discount 3. Interest (3) 30, 00 4. ff Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Ffil to oval on Pape 2, Una 20 to request a refund. (4) 5. tf Line 1 + Line 3 is greater than Line 2, enter the difference. TMs is the TAX DUE. (5) .Z~ ~ Z b . CJ~ Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.......................................................................................... ^ b. retain the right to designate who shall use the property transferred or its fnoome : ............................................ c. retain a reversanary interest; or ............................................................ ^ d. receive the promise for life ~ either payments, benefits or care? ...................................................................... ^ 0 2. ff death occurred after Dec. 12, 1982, did decedent transfer property vdthin one year of death witlaut receiving adequate considaration? .............................................................................................................. ^ ~ 3. Did decedent awn en'in trust fol' or payable-upon-death bank acxount or security at his or her death? .............. ^ 4. Did decedent own an individual retirement accalnt, annuity or other ran-probate property, whidl contains a beneficiary designation? ........................................................................................................................ 0 ^ IF THE ANSWER TO ANY OF THE ABOVE 4UESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RETURN. 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 spouse is 3 percent (72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent (12 P.S. §9116 (a) (1.1) (ii)). The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even 'If the surviving spouse is the only benefiaary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [l2 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of trensfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) (J2 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent (72 P.S. §9116(a)(1.3)). Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (1) 2,396.80 Total Credits (A + B) (2) REV-7509 EX+ (8-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCMEpt1LE E CASH, BANK DEPOSRS, 8 MISC. PERSCMIAL PROPERTY FILE NUII~ER BENJAMIN D. ROSARIO 21-09-1001 k-c~de the proceeds of Nupetion end the date the proceeds wens moeived by the estate. All property JoMtlp~owned r~ rlpht of survtvonhip must be diedosed on ScheduN F. 1 ~ 2005 PINE GROVE MOBILE HOME VIN # GP47869AB 2 ~ 200 7 SUBURU LEGACY SEDAN 3 M & T SELECT WITH INTEREST (9845713545) 4 M 8 T MARKET ADVANTAGE (15004216207545) 5 M 8~ T DIRECT DEPOSIT CHECKING (950224040) 6 11999 NISSAN SENTRA SEDAN TOTAL (Also enter on line 5, Recapitulation) _ (M more specs hti needed, Insert additlonal sheets of the same size) 80,000.00 13,305.00 535.92 13,455.30 320.67 2,535.00 110,151.89 REV-1510 EX+ (OB-09) Pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIOENr oECEOENr enure yr FILE NUMBER BENJAMIN D. ROSARIO 21_eq_~nm i ms scneome must De completed and 81ed if the answer to any of questions i through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY NUMBER INCwoE THE NANE of THE nunsFa~, 7nElR ReAnoRSnIP to oec®eHr ARO DATE OF DEATH % OF DECDS EXCLUSION TAXABLE THE DATE aF TRANSFf0. ATTACH ~ COPY OF THE DElD FOR REAL ESTATE. VALUE OF ASSET INTEREST IF APPlIGBLE VALUE i• TRADITIONAL iRA - AZR234131 M & T SECURITIES 100 S. SPRING GARDEN ST CARLISLE, PA 17013 50,978.94 100 50,978,9e TOTAL (Also enter on Line 7, Recapitulation) ; I 50,978.94 If more space Is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) pennsytvania SCHEDULE H OEPARTMENTOF REVENUE FUNERAL EXPENSES AND INHEarrANCE TAX RETURN RESIDENT DKEDEM ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER BENJAMIN D. ROSARiO 21-09-1001 Decedent's debts must be nportad on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT. A• FUNERAL EXPENSES: 1' HOLLINGER FUNERAL HOME, MT. HOLLY SPRINGS PA 17065 , 8,213.77 2 THE WHIMSICAL POPPY, MT. HOLLY SPRINGS PA 17065 , 329.50 3 RUSTIC TAVERN, CARLISLE-NEWVILLE RD CARLISLE PA 17013 , , 600.00 a B. ADMINISTRATNE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) PATRICIA ROSARIO Street Address 4 HILLTOP DRIVE ~y MT HOLLY SPRINGS ___-_ State PA ZIP 17065 Year(s) Commission Paid: ~• Attorney Fees: 3• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) gaimant Street Address City - ------ ---- State ---ZIP .--- -- - Relationship of gaimant to Decedent 4• Probate Fees: 98.00 S• Accountant Fees: 6• Tax Return Preparer Fees: ~• LEGAL ADVERTISING -THE CARLISLE SENTINEL 186.82 s LEGAL ADVERTISING -CUMBERLAND COUNTY LAW JOURNAL 75.00 s NORTHSIDE VET CLINIC, CARLISLE, PA (CARE OF DECEDENT'S DOG) 48.10 ~o HOME DEPOT, CARLISLE, PA (CLEANING SUPPLIES) 95.36 TOTAL FROM SUPPLEMENTAL PAGE 2,046.52 TOTAL (Also enter on Line 9, Recapitulation) ~ 11,693.07 If more space is needed, use additional sheets of paper of the same size ESTATE OF BENJAMIN D. ROSARIO FILE NO; 21-08-1001 SCHEDULE H ADMINISTRATIVE EXPENSES (PAGE 2) 11. SOLLENBERGERS MESSENGER SERVICE CARLISLE, PA (MOTOR VEHICLE TRANSFERS) 95.00 12. MUTUAL BENEFIT GROUP HOMEOWNER'S INS 256.00 13. TRAVELLER'S INS. (AUTOMOBILE INSURANCE) 1001.66 14. ADAM'S ELECTRIC 693.86 TOTAL 2048.52 REV-1512 EX+ (12-08) Pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN RESIDENT DECEDENT MORTGAGE LIABILITIES 8e LIENS ESTATE OF FILE NUMBER BENJAMIN D. ROSARIO 21-09-1001 Report debt incurred by the daadeM prior to death that remained unpaid at the date of death, inNudiny unreimburaed medical expenaes. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH i' CONESTOGA BANK MORTGAGE FINANCING FOR MOBILE HOME 89,765.26 2. TRU GREEN LAWN SERVICE 148.40 3 KOHL'S (031-8505-757) 79.63 4. AMERICAN EXPRESS (xlax->vooot9-51004) 34.41 5 AMERICAN EXPRESS (root-x~ooot7-21004) 60.60 6 M 8 T BANK PERSONAL LOAN NOTE/SECURITY AGREEMENT) 5964.09 7 LOVYE'S (4026 21105668 9669) 117 18 8 EMBARQ 5.87 TOTAL (Also enter on Line 10, Recapitulation) I ~ 96,175.44 If more space is needed, Insert additional sheets of the same size. REV-1513 EX+ (O1-10) Pennsylvania DEPARTMENT OF REVENUE INHERrrANCE TAX RETURN RESIDENT DECEDENT SCHEDULE ~ BENEFICIARIES ESTATE OF: _ FILE NUMBER: Ben min D. Rosario 21-09-11 NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY RED O~NSH~IP T DECEDENT ~(_) AMOUNT OR SHARE OF E57ATE I TAXABLE DISTRIBUTIONS (Include outright spousal distritwtkxts and transfers under Sec. 9116 (a) (1.2).J 1 • Pahida A. Rosario, 4 Hilltop Drive, AM. HoNy Springs, PA 17085 Daughter 1 /4 2 James B. Rasario,139 N. Orange Street, Carlisle, PA 17013 Son 1/q 3 Richard A. Rosario, 6 Iubuntain View Drnre, Mt Hogg Springs, PA 17065 Son 1 /4 4 Robert C. Rosario, 409 E. York Road, Carlisle, PA 17015 Son ~ /q ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. NON TAXABLE D15TRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNOER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARRABLE AND GOVERNMENTAL DISTRIBUTIONS; 1. TOTAL OF PART II -ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. If more space Is needed, use addRtonal sheets of paper of the same size. SCHEDULE E ~• ~~ ~ • ~. ~ Withdrawn MLS # 1018 74 pass Residential/Farm Type Detached List Price #79,900 HTBS: No Address 16 Orchard Avenue qty Carlisle Mun Upper Frankford zip 17015 Area 7 Dev Creek View COmmunif5chl Dist Big Spring County Cumberland Associated Document 1 t2uid[ Links: Design Ranch, MObife/No ... # Storks 1 Story Handicap # Bdrms 2 Baths F 2 H 0 # FP 0 Posseaion Flood Zone: No Liv Rm Dim 11.6x16.6 Level 1 Wait To Wall Carpet D n Rm D m 8x11.6 Level 1 Vinyl i9oorirtg KltGlen Dkn 10x11.6 Level 1 Vinyl Flooring Bath Hsif Full Fam Rm Dfm B:r11t 0 0 Den Dim Main 0 2 M BR Dim 11.6x14 Level 1 Watk-In Closet, Wail To Wall Carpet 2nd 0 0 BDi Dim 3rd 0 0 BD2 Dim 9x10.5 Level 1 Wall To Wall Carpet BD3 Dim BD4 Dim 8t3 5 Dim Office 9x11.5 Level 1 Wall To Wall Carpet Tax 1500 Tax Year 2009 Square Ft Source Public Records Condo NO Foe 350 Acres 0.0000 Lot Past Acres Till Acres Square Feet Above Grade 1056 Finished Square Feet Bebw Grade Fee Frequenry Monthly Adult Community Yes Warranty Year Built /- /- 2006 Conet Double Wide Wtr/Swr Public Sewer, Publk: Water Ext Vinyl Lot Ss No Land Roof Asphalt/Fibergla55 Lot Desc Appl Microwave, Dishwasher, Refrigerator Aye 1-5 Years Ext Fea Deck, Out Buildings, Patio Rd Frntg Private Road Equip Smoke Detectors, Garage Door Opener, Ceiling Fan Use Dining Dining Area Out Bldg Parking 2 Car Garage Barn Type Cool Central Air Barn Intl Amen Fm Equip Heat Heat Pump Fence Misc. Rms Electric 220 Volts Assoc Amen Occ Aux Heat Zoning Residential Basement Crawl Space Avail Finc Conventional, VA, FHA, Cash ublic view Great peal!! Easy living at Creek View 55+ Community. Like new home built in 2006 offers livir-g room, large kitchen, 2 bedrooms, marks ofFice, 2-car, aver size garage (22'x24'), 10k12' shed, cona+ete patio with private bads yard kxricing into the woods and an 8'x24' covered front porch. There are walking trails and a pond with a gazebo and a Grand Pavilbn to enjry the out doors. ent Call Mike Neidlinger for questions at 226-2869. emarks it Route 641-West toward Newville; right on Bk~serville Road; right on Frytown. Usting Typo Exdusive Right under Cosec No Est Comp Date Update Date 4/26/2010 Pascibk Short Sak Yes Bank Owned/REO7 SAC 3% TLC Show Call List Office, Lodcbox Lock sox Combo BAC 3% LO PRUDENTIAL HOMESALE SERVICES GROUP-F Office: (717) 245-2100 8 BROOKWOOD AVENUE/5 CARLISLE PA 17013 LA Heather Neidlinger Team PHONE: (717) 385-5676 IistwithheatherCalvahoo.com u2 LA3 Selling Oflfioe Selling Agent CDOM 110 Help Ck Cost Contract Date gsing Date Finc DOM 110 Sold Pries Sailer Help RepaNs inrorme~n P ~ a~eemev ~~~ dvt rat9uarantDe~d. 10/19/201010:25 AM CST Withdrawn MIS # 10183441 Class Residential/Farm T1-pe Detached Vst Pries ;79,900. MTBB: NO Address 15 Orchard Avenue City Carlisle Mun Upper Frankford Zip 17015 Area 7 Dev Creek View SMI Dist Big Spring County Cumberland Associated Document 7 Quids Links: Design Mobile/No Land # Sbarles 1 Story Handicap ~ Q a ~ ~ # Bdrms 2 Baths F 2 H 0 # FP 0 Pos~aion Settlement Flood Zone: No Rm Bsmt 0 0 Matn 0 2 2nd 0 0 3rd 0 0 1 1 Tax 1452 Tax Year 2009 Acros 0.0000 Lot Past Acros Till Acres Squaro Ft Source Public Records Squaro Feet Above Grade 1232 Finished Squaro Feet Below Grade /- Condo No Fee 350 Fee Frequency Monthly Adult Community Warranty Year Bulk /- 2005 Const Double Wide Wtr/Swr Community Sewer, Community Water Ext Vinyl Lot Sz No land Roof CompOSition Lot Dent Appl Microwave, Dishwasher, Refrigerator, Washer, Dryer, Rang... Aga 1-5 Years Ext Fea Patio, Porch Rd Frntg Municipal Road Equip Smoke Detectors, Garage Door Opener, Ceiling Fan, Cable ReiJse Dining Breakfast Bar, Formal Dining Room Out Bldg Parking 1 Car Garage, RV/Boat Pad Barn Type Cool Central Air Barn Intl Amen park Fm Equip Heat Forted Air, Propane Fence Misc. Rms Laundry Room, Panay Electric Circuit Breakers, 200 + Amps Assoc Amen Ott Owner Aux Heat Zonfng Residential Basement Concrete FtoOr, Crawl Space, Exterior Access Avail Finc Conventional, Cash blic view BEST BUY IN CREEKVIEW! Base pre for same model now #138,170. Open flr plan boasts spadous kit w/brlcfst bar, pantry, xtra emarks cabinets and onunt;er space. Covered 8x28 front porch w/oiling fan, sbmped cona~ete walk, storage shed w/elec and patio w/gas line for grill are just a few of the extras this home provides. MO FEE COVERS WATER, SEWER, TRASH. CALL AGENT FOR UNDER 55 OCCUPANCY ent MOTTVATED SELLERS ARE RELOCATING. PARK WILL CONSIDER OWNER OCCUPANTS UNDER 55 marks it 81S to Exit 44, R / Rt 465, L/641, R/Grahams Wood Road, R/Creek Rd, L/Grahams Wood Road,1/Frytown Rd, UOrchard Ave. Home on left. Listing Type Exdusive Right Under Const NO Est Comp Date Update pate 5/12/2010 Possible Short Sale No Bank Owned/REO? SAC 0 TLC Show Call List Office, Call Owner, lodcbox Lock Box tTML sAC 3.0 LO RE/MAX 1ST ADVANTAGE Office: (717) 591-5555 6375 MERCURY DRIVE MECHANICSBURG PA 17050 LI- lAN VEROW Phone: (717) 385-3060 ianverowC~remax.net Lwz LAg Selling ORke Selling Agent CDOM 375 Help Cost Contrail Date Clsing Date Finc DOM 275 Sold Price Seller Hey Repairs unw...o..w. fro vriucai q uccriicv ioevuC fR/l /R/L S/fIOrOlIC@E9 lU/ly/N1U lU:Z4 AM CST Sold MLS # 10185302 Class Residential/Farm Type Mobile Home/No Land " ~ List Pttoe ;119,900 HTBB: No `r`~ A Address 35 Adele Avenue vh~ Carlisle Mun Upper Frankford Zip 17015 Area 7 Dev Creek View 55+ CAmtSehl Dist gig Spring ~utny Cumberland Assodated Dowment ~ ~ Unks: Design Mobile/NO Land # Storks i Story Handicap No Q Q ~ ~ ~ ~ # Bdrms 2 Baths F 2 H 0 Virtual Tour # FP 0 Possession Settlwnent Flood Zone: No LW Rm Dim 13' x 177 Level 1 Ce iling Fans, Wi Treatrrlent, WaA To Wall Carpet Din Rm Dim 12'2"x13' Level 1 Wi ndow Treatrnerrt, Wall To WaU Carpet IObd~etr Dhn 10'9"x20'4 Level l Vinyl Flooring, Dining Area, Pantry Bath HsM Full Fam Rm Dim Dell Dkn Blililt 0 0 M BR Dim 13'x14'8" Level 1 Ceding Fans, WaNc-In ao~t, Window Tit, Wall To Wall Carpet Main 0 2 ? nd 0 BDi Dim . 0 BD2 Dim 10'5"x117 Level 1 Window Treatrnent, Wall To Wall Carpet Std 0 0 BD3 Dim BD4 Dim BD 5 Dhn Sunroom Level i Ceiling Fans, Window Treatment, Wali To Wall Carpet ~r Level 1 Wood Fkxx Tax 2324 Tax Year 2009 Acres 0,0000 Lot Past Acres Till Acres Square Ft Source Public Reoa+ds Square Feet Above Grade 1722 Finished Square Feet Below Grade /_ Condo No Fee 350 Fee Frequency Monthly Adult Community Yes Warranty No Yesr Built /- 2006 Ext Aluminum Lot Sz Root AsPhaitJFiberglass Lot Desc APPI Microwave, Dishwasher, Refrigerator, Range-t]ec Ape Ext Fee Patio, Porch Rd Frntg Equip Smoke Detectors, Garage Door Opener, Ceiling Fan, Cable Refuse Dining Fit-In IGtd~en, Formal Dining Room Out Bidg Parking 1 Car Garage Barn Type Cool Ceiling Fan, Central Afr Barn Inel Amen Fm Equip Hest propane Fenee Misc. Rms Four Season Room, Laundry Room Electric Assoc Amen ether ~c Aux Cleat Baseme t Zoning n No land near 1-5 Years Private Road 200 + Amps Owner Residential None Avail Finc Converriional, Cash ublic View Creek View 55+; Easy living in this beautiful 2 bedroom, 2 bath ranch. Large dining room, living room and eat-in kibd~en. Enjoy tt emarks sunroom, front porch or gazebo on the stamped concrete patio. Shed with electric, attractive landscaping and prkie of ownership. sewer & trash. 55+ on 641 W. on on Listing Type I:xdusive Right Under Const No Est Comp Date ll pacts Date 4/12/2010 Possible Short Sale No Bank Owned/REO? SAC 2.Snv TLC 2.Srrv Show Call List Office, Lodcbox Lode Box Combo BAC 2.5nv LO HELP-U-SELL DEI'WILER REALTY Office: (717) 241-6060 655 FORGE RD G4RLISLI: PA 17015 LA THERESA BOWERMASIER PHONE: (717) 422-4190 TBOWERMASrER~HELPUSELL COM Lw2 Lwa Selling O(Fioe PRUDEN7TAL HOMESALE $EFSelling Agent HEATHER NEIDLINGER CDOM 641 N Cast 0.00 Contract Date 2/13/2010CIslnp DaM 4/1/2010 Fine Of}~er DOM 144 Sold Prize $g0,00p SNIer HNp RpNR 0.00 IMbrnwbl0np-ov~ahd'B°~'~~lN/tnnt9uarants~d. 10/19/201010:22AM Csr meet ~, _ , ~ ~~~ ACCOUNT N0. ACCOUNT TYPE 9845713545 NiT SELECT KITH INTEREST STATEMENT rER200 PACE OCT.15-NOV.13,2009 1 OF 1 00 0 04344N NN Ol7 44236 BENJAMIN D ROSARIO ---- 16 ORCHARD AVE -'--- CARLISLE PA 17013 INTEREST PAID YEAR TO DATE 0.78 SPRING GARDEN 42 ACCOUNT SUMMAR ~t:HEC1cS Pern 0.01 I 0.00 --._TRANs 10-15-09 BEGINNING BALANCE 10-29-0 INTEREST PAYMENT 10-29-09 CLOSEOUT T AC 0535.92 0.01 535.93 0.00 ANNUAL PERCENTAGE YIELD EARNED ^ 0.04 y SAVE BIG THIS HOLIDAY SEASON MITN YOUR MiT CHECK CARD. ENJOY EXCLUSIVE SAVINGS FROM OVER 50 NATIONAL RETAILERS MHEN YOU USE YOUR CARP IN STORES, ON THE MEB AND OVER THE PHONE. JUST BE SURE TO SELECT tOR ASK TO USE YOUR CARD AS) ^CREDIT". PICK UP A COUPON BOOK AT YOUR LOCAL MiT BRANCH BEGINNING MID-NOVEMBER. TO START SAVING NOM, VISIT ~,MTB,COM/SNOPPINC. 10.00 L008A (8/07) ACCOUNT N0. ACCOUNT TYPE 15004216207545 MiT MARKET ADVANTAGE 00 0 04344M NM 017 -_.__ BENJAMIN D ROSARIO ---- 16 ORCHARD AVE CARLISLE PA 17013 INTEREST PAID YEAk Td DATE 23.11 14169 COUNT 09-15-0 BEGINNING BALANCE 10-14-0 INTEREST PAYMENT 10-29-09 INTEREST PAYMENT 10-29-09 CLOSEOUT :COUNT ACTIVITY ;3F - - ! nTUra 0.55 0.26 ANNUAL PERCENTAGE YIELD EARNED = p,04 13,455.56 0 013,454.75 13,455.30 0.00 EFFECTIVE MARCH 1, 2010, THERE MILL 8E A 025 FEE IF YOU REQUEST EXPEDITED DELIVERY OF A NEN OR REPLACEMENT MiT CHECK CARD OR MiT ATM CARD. EXPEDITED DELIVERY MAY TAKE 1-2 BUSINESS DAYS. IF YOU REQUEST EXPEDITED DELIVERY OUTSIDE THE CONTIGJOUS UNITED STATES OR THE DISTRICT OF COLUf03IA, SUCH FEE HILL OE 050, AND DELIVERY MAY TAKE LONGER THAN 2 BUSINESS DAYS. THERE MILL BE NO FEE FOR EXPEDITED DELIVERY IF THE PRIMARY ACCOUNT LIIRCED TO YOUR CARD IS A PONER CHECKING ACCOUNT, OR THE REQUESTED CARD IS A PORTFOLIO MANAGEMENT ACCOUNT CARD. _, STATEMENT PERIOD PAGE SEP.15-DEC.14,2009 1 OF 1 SPRING GARDEN ~ooan (sro~i --- -•-s ACCOUNT NO. ACCOUNT TYPE 950224040 DIRECT DEPOSIT CHECKING 00 0 06128M NM 017 ~_ 15157 BENJAMIN D ROSARIO MARGIE A ROSARIO 16 ORCHARD AVE CARLISLE PA 17013 ACCOUNT SUMMARY rc ....~...,- -•-- ACCOUNT ACTIVITY ff'~'3F : ntues ..... 09-15-0 BEGINNING BALANCE 10-01-0 PRU ANNTY PYMT 10-14-0 SERVICE CHARGE 10-14-09 DIRECT DEPOSIT REBATE i STATEMENT PERI00 SEP.15-OCT.14,2009 CARLISLE HEST 287.86 10.00 10.00 THEUMORE YOU US~T,PTHEEMORESCHANCES YOU HAVE TOTNINECK~RD~H ''CREDIT'' AT STORES OR SHDP ONLINE. FANTASTIC, HUH? THE MiT FAN-TASTIC PLASTIC SNEEPSTAKES VISIT MNH.MTB.COM/FANTASTICPLASTIC TO LEARN MORE AND FOR OFFICIAL RULES. PACE` 1 OF 1 032.a1 320.67 320.67 320.67 LOOBA (6/07) ~uu ~ ~uharu Legacy - Ynvate Party Pricing Report -Kelley Blue Book Page 1 of 1 BLUE BOOK® PRIVATE PARTY VALUE ;'~;s''' Condition < .,.. - ~ - Value Excellent ;14,205 Good ;13,305 Fa it• ;11,905 More Photos NEXT STEP • SEARCH LOCAL LISTINGS Free CARFAX Record Cheek P by VIN: No VIN? No Problem! Averspe Consumer RaNnp (110 Reviews) Read Reviews b.`Y{JQ{}{ 4.S out of S Review the 2007 Subaru Legacy Similar New Vehicles 2011 Subaru Lapaq PhOtS15 Prtcinq 2011 Toyota Camry ~~~ Photos PritiD9 http://www.kbb.com/used-cars/subaru/legacy/2007/private-party-value/pricing-report?con... 7/28/2010 >.~ Nissan ~entra - Ynvate Party Pricing Report -Kelley Blue Book Page 1 of 1 BLUE BOOK® PRIVATE PARTY VALUE t`;;;s'~0 '~ ~ ~ ~ Condition • :- Value '~ Excellent ;3,485 Good ;3,110 _, - Falr 42,535 More Photos NEXT STEP • SEARCH LOCAL LISTINGS free CARPAX Record Check powered Dy ~~ VIN: No VIN? No Problem! Average Consumer Rating (170 Reviews) Read Reviews ~31rT~~S 4.3 out Of S Review the 1999 Nissan Sentra Similar New Vehicles 2010 Nissan SenMa ~ PhptpS _ J RgYiew Pricing 2010 Masda MAZDA3 Pbptps Review PrlCing http://www.kbb.com/used-cars/nissan/sentra/1999/private-party-value/pricing-report?condi... 7/28/2010 SCHEDULE G .AZ12d'~{l3~ November 9, 2009 M & T Securities, Inc 100 S. Spring Garden St. Carlisle, PA l 7013 RE: Benjamin D. Rosario AZR234131 To Whom It May Concern: R~cel~ed NOV Il ~ 200 Atl$7 Segirtt~ ~ '1~his letter is in reference to my father who passed away on October 4, 2009. He held a Traditional IRA with your firm. I have beernnamed as Administrator of his estate. In working with my attorney, Kathleen Shaulis, she has requested for a value~as of the date of Mr. Rosario's death. Once.this request has been complete, please send this valuation letter to her attention at: Shaulis Law Office Kathleen Shaulis, Esquire P O Box 1229 Carlisle, PA 17013 If you should have any questions concerning my request, please feel free to contact me at (717) 486-3582, or you may also contact my financial representative, Kimberly Heavner, at (717) 218-5426. Thank you. so much for your prompt attention to. this matter. Sincerely, ~~ Patricia Rosario 16 Hill Top Dr. Mt. Holly Springs, PA 17065 ~° )f 4" it v "1 3'--.. ---'-' ~ I~1 M&T Investment Group M&T Securities, Inc. 285 Delaware Avenue, Suite 2000, Buffalo, NY 14202-1885 November 20, 2009 Date of Death Valuation Benjamin Rosario Date of Death 10/4/2009 AZR234131 Description of Security Quantity in Valuation Price per share Shares Date 10/2/09 MTB Money Market 9744.58 $1.00 American Balanced Fund A 605.224 $15.30 The Bond Fund of America A 942.894 $11.80 Capital Income Buildcr Fund A 192.158 $45.99 Capital World Bond Fund A 592.255 $20.28 We have received the information presented above from sources, which we believe to be accurate. However, we do not guarantee their accuracy. The price per share on valuation date is the closing price on that date. ptpA~ ~~n t-client Solutions with any further questions, or if we may be of further assistance to you at 1-800-724-7788, Option #1. Thank you. Sinc y, ' ~-- Robin Brown Brokerage Operations Specialist M&T Securities, Inc. Investment and Insurance Products: • Are NOT Deposits • Are NOT FDIC-Insured • Are NOT Insured By Any Federal Government Agency • Nave NO Bank Guarantee • May Go Down In Value M8T Investment Group"' is a service mark of M8T Bank Corporation and consists of M8T Securities, Inc., the investment-related areas of M8T Bank and investment advisory firms MTB Investment Advisors, Inc., and Zirkin-Culler Investments, Inc. brokerage services and insurance products are offered by M8T Securities, Inc. (member FINRA!SIPC), not by M8T Bank. M8T Securities, Inc. Is licensed as an insurance agent and acts as agent for insurers. Insurance policies are obligations of the insurers that issue the policies. Insurance prcxlucts may not be available In all stales. SCHEDULE H fOj Mt •Y ~' October 21, 2009 J Patricia A. Rosario 4 Hilltop Drive Mt. Holly Springs. PA Hollinger Funeral Home & Crematory, Inc. Eric L. Hollinger, Supervisor 17065 The Funeral Service for Benjamin D. Rosario: 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. * 7HE fOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, fACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THATYOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Service Traditional Package $'4480'00 Merchandise Casket -18 Gauge Steel Gray 2495.00 Vault- Silver Guardian Gift from Eric and Annan Memorial Package -Angel Register Book, Holy Cards, Acknowledgement Cards, Bookmarks Included AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. Cash Advances t $280.17 Newspaper Notices -Patriot-News Newspaper Notices -Sentinel 143.60 Cemetery Equipment ~ 3~'~ Reverend Father William E. Forrey 2~•~ Organist 1~'~ 75'00 Cantor Altar Servers ~ I ~ 30.00 ~ ~ Certified Copies of Death Certificate (10~ $6) ~ • h don Bronze Plate Date Etc e No Charge +,II~ I ~ $8213.77 Current Balance: 501 NORTH BALTIMORE AVENUE • MOllNT HOLLY SPRINGS, PENNSYLVANIA 17065 • (717) 486-3433 • FAX (717) 486-3215 www.hollingerfuneraihome,com .uw, u..uolS.~u~sW ~wwutad.wlW+w.4a.i+Q A MNV~ pl.d;unaw Pwd oWP y O~ v c`D, ~ d ~ .~. ~ .~. prtj ~ Q > ~ n rt m n~i ~ a_ D ~ n ~ r g ~ ~ a o r r ^' e~p ~• r* ~ -., 0 3 u* 0 ~~~« N N Cl• O ~ cn cr c~ o 0 o u, o 0 0 00 0 a o c ~ ~ ~ ~ $ ^ r., R ~ ~ ~ ~ ~, c +dY6. 3 ~' ., a ~~ ~ ~ m ~.: ~ ~ n g c ~, V ~~ ..~.."E~ _ &. ~ pp pp ~ o ~ ~aa SOD N n -. ~ , o S "` '_. n ~' c ~ L7: O to .~ H O ~ S k;.~ A N 5' N A 9 ~. 5~ D ~ ~ --, ,,~ X41 ; m n ~ o ~ o ~ '~~, g ., g o ~ ,~ .~ ~`'' o ~ z ~ !. ~ n a ~ c ~~: ~ `~, nw - S' n 3 O ~ ~'. 0 0 .~~ o w $ ~m p 3 O'~ ~ c~ ~ nx y 1 ~ ~ ~ ~ ~ f. 8 ~ ~. t ~ ~ ~ os; p ~ ~ ' ~ w "$ ~ ~ ~ « $ a C A w A n -, a w N 7 n ~ o .~ m J A ~, -~ °' V ~ ; ~ 3 t+W ~ Qf c D ,. v c A ... d ~ K ~ v N v 0 rt $~ ~~ ~'F ~~ i • ~`'~ ~~ V. t. F'.. ~ ~ ~ ~ ~ N ~~ ~ f! ~ ~~ sg dK Q ~g ~ ~ m ~ ~'Ji ~~ o N ~s pig ~a ~ $ ~ ~' ~ ~ g3 ~~ o ~~ o r $ ':L ~ N o ~ c ~ f1 ~" 0 v a a n w r :~ ~ ~, § s ~ ~ ~ ~o ~± • t ~ ~a ~~ to o Qc ~' ~, A n N r O ~+ ~o < n c 3 O a '~ A -w A a Ot a !'~ QI o. z z z z N A ~g a~ O °p'' 3 N o. 41 ~ ~~ ~ n O ~. a '* ;~ a~ a y ~ ~n o' ~3 UiN ~c mn x~ = ~~ ~ x o Qe ~ ~ ~ ~ r to q ~ ~ :~ ~ 1 ~ ~ N v < ~ ~ C w n !"~"~ RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Sqquare Carlisle, PA 17Q13 ROSARIO BENJAMIN D Receipt Date: 5/03/2010 Receipt Time: 14:54:31 Receipt No.: 1060963 Estate File No.: 2009-01001 Paid By Remarks: SAAPRICIA A ROSARIO ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 12.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 128, $12.00 Total Recea.ved......... $12.00 RECEIPT FOR PAYMENT GLENDA FARMER STRASBAUGH Cumberland County - Register Of Wills One Courthouse S uare Carlisle, PA 1713 ROSARIO BENJAMIN D Estate File No.: 2009-01001 Receipt Date: 10/23/2009 Receipt Time: 15:13:15 Receipt No.: 1058686 Paid By Remarks: CHARLENE B MATEER CJ ------------------- ----- Receipt Distribution ----- ------- -------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS ADM 20.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 16.00 CUMBERLAND COUNTY GENERAL FUN JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN RENUNCIATION 15.00 CUMBERLAND COUNTY GENERAL FUN Check# 3762 ---------------- $66.00 Total Received..... .... $66.00 -- RETAIN THIS PORTION FOR YOUR RECORDS THB 83NTI]~!L - Lli~il-L _ ~~ - I,pyp~ OFFICES SHA.ULIS , KATHLEEN P.O. BOX 130 CARLISLE PA 17013 377161 10 PUBLIC NOTICES shiek 11/25/09 28 * 2 BXSCUTOR'8 NOTICE LETTERS OF ADMI 11/11/09 11/25/09 NET AMOUNT GROSS AMOUNT 3 TH$ Sffi~TTINBL - LEGAL 3 LGL 148.68 TOTAL AD CHARGE 148.68 PROOF OF PUBLICATION 1PRF ~ 7.00 ' PAY THIS AMOUNT 155.68 ~ 186.82* Est Benjamin Rosario ._. - --_-__ _- _ t ~ ~ MESSAGE: _ ~ ~ ,:~'" Thank you for advertising with The Sentinel. C Deadlines for in-column legal advertisements: Monday is Th rsday at ~'~ 5 p.m; Tuesday is Friday at 5 p.m.; Wednesday is Monday at 5 p.m; ~`~'~~ Thursday is Tuesday at 5 p.m; Friday is Wednesday at 5 p.m Saturday is Wednesday at 12 Noon; Sunday is Wednesday at 5 p.m. If you have any questions regarding your Legal bill please call Classified Manager at 717-240-7176 Fax your legals to 717-243-3754 attention Classified Manager You can also EMAIL your legal to Classified ads: classified®cuml4erlink.com Please send a cover letter including your name and address as anyattachment .~ CUMBERLAND LAW JOURNAL 82 SOUTH BEDFORD STREET CARLISLE, PA 1701 S TMa: (71 ~ 24~id6 Fay CF171249.20d3 December 4, 2008 Cumberland Law Joumai is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Kathleen K. Shauils, Esquire Benjamin D. Rosario Estate RE: Legal advertisements must be reoeived by Friday Noon. All legal advertising must be paid in advance. Make ail checks payable to: Cumberland Law Joumai. Advertisement inserted on the following dates: t _. November 20, November 27, and December 4, 2009 ' Advertising Cost ~ ~ 75.00 Proof of Publication $ 0.00 ~~;,~ ~~`~ ' ~' Second Proof Request $ 0.00 Payment received $ 0.00 Total Amount Due ~ 75.00 Payment received by Northside Veterinary Clinic, P.C. 31 E Street Carlisle, PA 17013 (717) 249-3313 TRISH ROSARIO (# 67274) 4 HILLTOP DR Home Phone: 486-3582 (717) MT HOLLY SPRGS, PA 17065 Work Phone: - { ) ext: _~ ..-.,. Oct 27, 2009 Invoice Number: 59374 %EISHA (# G) Bordetella: Species: Canine Sex: Female Spayed DHLP/PV 3 YEAR: Age: 9 years and 3 months old. DHLPP: 01/17/2004 Breed: COCKER SPANIEL Coat Color: BLK/rAN HW Test: Weight: 33.216s. Lyme: Rabies Tag Number: g 173 Rabies: 10/26/2012 Date Code Descrlptlon pty Fee 10!27/2009 t REGULAR EXAM 1 $ ~ g7 70 209 RABIES CANINE 3 YR 1 $ ~ ~ Total for KEISHA: $ _ 48.10 DR. EUGENE HOEFERT TOtal InVOiC@: $ 48.10 Previous Balance: $ 0.00 Total Amount Due: $ 48.10 MASTERCARD $ 48.10 . Total Payments =Thank you: $ 48.10 New Balance Due: $ 0.00 Northside is now on the web - www.northsidevetcarlisle.com. Check it out -lots of useful information. And, apply for a FREE Pet Portal -ask for details. Invoice Number: 59374 Page 1 of 1 Cashier:DR. H. jUfIpWB NJMM1 YO •uoli~~i~~l i~~ /b11W yY~ 4~HC ~ p 8~4~ ~- P~ 0 0 ~`~~pp ~ y 3 ~ a~~~ ~ C a ~ 3<c>Qr ~ o»nW ~ n ~ c~ ~~ af°~ ~~ ~~~~~~ m 3 -, o 1 J~~--rte "" ~.- '~i A App n~o33 " G m o '" r a ~ ~o m ~,~, ~ ~ y r W W .r.. y-NMM ~ N- M~ r y N y ~r r r W to V-WNM AMOK A r N N O~ O v O O O O W O O ~'' N ~ lT N~ W O W O O O O A 0 0~ p ~D O O N O OD 0 0 0 0 V` 0 0 ~0 CL 3 O '^ 0 O O C ~ n O ~ ~ ~ r0+- X ~` ~ ~ N O ~_ N ~ ~ ~ c e ~ ~ ~ to !'D ~Q lD ~ -1 D o a ~ ~ a m ~+ c ~ ~ w ~ N N c y r 3 W W W r y ~ A _ ~ ~ p y iiL~~ v+ o ~ .o o ~ A~ y ~ W O W tlA+ O d` S D9 N ~ O O O O O O M o O o r ~` ~i Z W W N O N = W ~ W O W ~ n o Q~,~ o g g ~ o. C A G ' d w A o ~~ ~ Q ~ S '~!. O ~ ~ o O 0 M N O -~ A W ~ r •* ~ ~ a n d '~ c 0 0 ~ ~ ~ ~ `~ A N S m n ~ _ s ~ ; ~°j7i~ m vpp '~m-1 O ~ z ~ _i In ' z J- = D < M ~ p" ~ n l'1 n O ~ D ~ -~,I ~ N . ~ ~ N r m ~r~' ~ -o vaD~ ~o ` ~ r ~' w w a r ''' z ~ ~ i v p ~ ~ W O W m O m pO ~q ~~sT, b ~ P 9 ~ A o3 Q Q M 003 m~3~ c ~ ~i 3. d a ~o ~~~ ~`~,~ i O ~~ w ONO n ~ ~o a ~ ~ m ~ ~ o a, 3nio ~ g 'm m~ ~ o A c .t N ~ C a = y < O A D z' -~ -~ x Z 7C -C C •~ g 0 ypu rNV n N ~ tR = N '~ ~ ro ~ v ~ ' ~ 3 b Oi ~ c i ~ o 3 N~ w3 ° a O ~ ~ A G '~ `/ ~ 1 !D A A ~ fP a ~ + wd a ~ :~ d %~ ~ N ~ ~ ~ A o C ~ w ~ < " u- ~~ f V ~ n . N 41 o G ~ Q w D'` ci V G _ Q$ ~ $~ "~-° ~~ r ~ ~ r+ ~~ m .+ O w ~~ r N ~ ~ ~~ ~ +~ ~" N Nw > ~ ~ ~ ty. > a mo 3 CQ a~ p~ 30 ! N 33 ~ ~ OI q N Q.~ 7 w O r ~ A W n 7C `A w < W c -, ~ °.: 0 w Q OI ,~ 7 n m ~. ~ 3 A tnA ~>'. .p n > ~ A C ~ C ~^ ~ ~ n » i~ O Z D ~ ~~ N ~ O 3 iN c c ~ '' ~ ~ ,!3 $` O Z . Z z z z X z { z~ ~ _ ~~ ~ ~ ~QO ~ ~ ~ ~Xx,. ~. ° ~ ~ ~ ~ v, cn w ~ ~a w~ ~~ v A N mm~ ~~ 0 Messenger Service Receipt SOLLENBERGERS MESSENGER SERV 29 WESTMINSTER DRIVE CARLISLE, PA 17013 717-249-8149 Invoice #: 60154 Date: 05/03/ Time: 04:02 For: ROBERT CHARLES ROSARIO 409 E OLD YORK RD CARLISLE, PA 17015 717-609-9229 Clerks Initials: DAN File Name: CARL10 Title # or Date of Birth: 56644926106 VIN or Driver's Number Tag Number or Eye Color EWM2834 -Year-Make or Soc. Sec.# Transaction Transfer Deal Odometer ~ 0 Comments: MAIL (2DEALS ON 1 B.C.) This item will be Mailed to you. WARNING: Bureau regulation require that any item left in our office for 60 days be returned~.to the Bureau of Motor Vehicles as unclaimed. I/We swear that I/we have applied for the above i t em (s) . Sworn & subscribed to before me on 05/03/10. Notary Seal State Fees Title Fee.. ........ 22.5 Encumbrance Fee....... 0.0 Transfer.......... Tag 6.0 . ....... istration Re 36.0 ... g Dup. Fee .. ........... 0.0 Increase Fee. ........ 0.0 Replacement Fee....... 0.0 Tax-On $0.00.... 0.0 .. 0.0 .. 0.0 Total State Fee....... 64.50 Check #••••••• •••••• 129 Commonwealth of Pennsylvania Service Fees Messenger Fee......... 0.00 Temp Tag Fee.......... 0.00 Notary Fee............ 5.00 Copy/Fax Fee.......... O.OC Document Fee. ...... 25.OC Check or M.O. Fee..... O.OC MAIL .. 0.5C .. O.OC Total Service Fee..... 30.50' Service Fee Check #... 130 SOLLENBERGERS MESSENGER SERV Grand Total........... 95.00 Total Due. .......... 30.50 Amount Paid........... 30.50 Paid in Full No Refunds on Service or Notary fees. We are not responsible for work the State fails to process. Messenger Service Receipt SOLLENBERGERS MESSENGER SERV 29 WESTMINSTER DRIVE CARLISLE, PA 17013 717-249-8149 Invoice #: 60152 Date: 05/03/: Time: 03:57 1 For: PATRICIA ANN ROSARIO 4 HILL TOP DRIVE MT. HOLLY SPRINGS, PA 17065 717-486-3582 Clerks Initials: DAN File Name: CARL10 Title # or Date of Birth: VIN or Driver's Number Tag Number or Eye Color -Year-Make or Soc. Sec.# Transaction . Odometer • Comments: MAIL (2DEALS ON 1 B.C.) 64380491501 BDRMAR Transfer Deal ~, 0 This item will be Mailed to you. WARNING: Bureau regulation require that any item left in our office for 60 days,be returned to the Bureau of Motor Vehicles as unclaimed. I/We swear that I/we have applied for the above item(s). Sworn & subscribed to before me on 05/03/10. Notary Seal State Fees Title Fee.. ...... ~ 22.5C Fee....... Encumbrance O.OC Transfer.......... Tag 6.OC . Registration..,....... 36.OC Fee .. ........... Dup O.OC . Increase Fee ......... O.OC Replacement Fee... ... 0.0C Tax-On $0.00.... 0.0C O.OC 0.0( Total State Fee....... 64.5 Check #. .. ... 12 Commonwealth of Pennsylvania Service Fees Messenger Fee......... 0.0 Temp Tag Fee.......... 0.0 Notary Fee............ 5.0 Copy/Fax Fee.......... 0.0 Document Fee. ....... 25.0 Check or M.O. Fee..... 0.0 MAIL .. 0.50 .. 0.00 Total Service Fee..... 30.50 Service Fee Check #•.• 130 SOLLENBERGERS MESSENGER SERV Grand Total........... 95.OC Total Due. .......... 30.5C Amount Paid........... 30.5C Paid in Full No Refunds on Service or Notary fees. We are not responsible for work the State fails to process. MUTUAL BENEFIT GROUP Mutual Benefit Insurance Company Select Riak Insurance Company 409 Penn Street, PO Box 577 Huntingdon, Pennsylvania 16652-0577 ADDRESS SERVICE REQUESTED BEND ROSARIO ~ 16 ORCHARD AVE CARLISLE PA 17015 8144 B#h.h~ai.~sTAT~NT Account number: xo01038391 PP08 L Explratfon date: 2 / 17 / 2 010 Du@ det@: 11/17/2009 Agent: CARLISLE INSURANCE SERVICES Agent phone: 717-243-3915 M4762 Thank ou for our business. ~~'~~. Changes oomp/eted after f 0/2&/2009 will appear on the next statement. =ULL PAYMENT* ll/17/09 #125.25 ~~ o~ CS ~o-<z-mo C r F,, r ~ o D ~ C ~ ~~ ~ O' C ~ O -1 A~ O H ~ ~ ~ ~ ~ O -, O c ..., ° ~ C ~ ~ ? G ~' w ~ ~ ~~^~ `" a. ~ ~ ~~; $ ~ ~ ~ ~ .~ N ~ i~ O 1-+ 1~ Z o o ~' C ~. ~ N ' v v f ? - N~ ~ ~ C O ? a ~ ~ ~ O O O O ~ . N O O 1-+000(, ~~ •-- I-+ OD V1 N C 66 .-. ^` ~ ~ JaJa~ \\ p ~ \\ ~ a O 0000 ~ ~ ~ iN~6!-0!N sy N N N N W W W W O O O O (D J ~] J ~l n ~ ~~~~ g rroooooooo'TI --~O~000~1o~U'~iPWNr' \\\~.\~,\\\\ m ~ JaJaJ.~aaa.~.~ \\\\\\\\\\a NNFrNNI-~NF-'NN 0 0 0 0 0 0 0 0 0 0 O T ~ ~sist~-t~-a~~sa-~s~+s 'U to to to to to to to to to to ~ cn to to to to to to ~n ~n to , ~ io ~o io ~o ~a ~o is ~o ~o ~a 0 0 0 0 0 0 0 0 0 0 ~~~ H°~a ~~~ J O l!1 25 m o ~ ~ v ~~. C- ='~--- ~s~ ~~ QJ S C ^ V; C ..p e'D ~ ~~ o ~,v~w °- r ? a ~~~ ~~~~ ~ ~ ~ o ., ~ '. < ~ icy ~ . O cre ~ H ~ c f ° ~"~ x ~ ~~~.~ O `~' = O V~ ,t ~ ~ .. G'7 .. J J ~ N a N a ',L' ~ ~: N W H ~O+ \ O \ O O Co ' W ~ O N ~ a O L*J ',b C 1 -1 n N O ~ r~ J w N _H '~ d a ~ ~ ~~ ~ ~. N~~ 0 c Z m o d ~C m 3 p ~ 3 ~~ ~ ~~~ o ~ ~' ~~ v n~ g~o ~~ g _ g~ o = 0 0 ~ ° o _' ~ ~ d ~ a i O O ~ 0 ~ A ~C v+ Z ~ ~ C - ~ 0 ~ •, o~ ~ ~ ,~ ~~ ~ o m '.1 ~ O ~ ~ ~ N ~. ~~.a N O O ~ ~~ M h ~ ~ C •.- w ~~ 03 a ~~ ~ s N ~ C 7 j N . ~ ~ .~ ~. g o va ,~ ~' -f ~ -' C ~ ,-« N m o -° m ~ ~ ~ ~' N ~ O ^' y m ~.~~o ~p ~p O ~ ~ /w ~• ~ ~ C a~ o ~ ~' ~ 'a N c~ ~ ~ o ~ ~ c ~. ~~ C ~ ~~ N ~ ~. ~ ~ N A ~ fD T N N o 3 ~ ~. ~ Cl .~.~, ~ N ~ N ~~_ ~~~ g 0 °c 0 ~ O 7 ~ R ~ ~ w N o~ y J ~~v m~~ ~v DSO ~ 1'rl 0 a p c m ~ Q z N •J ~ n D r ~ N ~i J j w °' ~D~ rr r +~ ~rn~ ~ rn-<m C n~'+N n't ~c~' ~ w~<_ ~ on ~ J ~ ~~ 3 Q '0 ~~~ ~ 0 A:o . . ~.~ ~~ Oo .0 ~~a ~" 3 D ~ ~1 ~~Ai d K a~o m o`~ ~~ o m ~ p ~ ~ D ~ t~ m~ ~ ~~~ a v~ g~ g~ t i i i 1 i O c ~ ~ t! v ' Z ~ ~ ~ 0 0 ~ - n ~ 00 ~ ~ V' Z r C O N ~ ~ ` 0 7 ` ~ ~ A !D O ~ o ~ ~ CL _I , p, ? ~ N O O __ ~~ ^* ao a ~ 3 w N ~^~ O N v ~ ~~ ~+ oo c ~ ~ m~ ~ ~~ °'m ~ "' O O oo ® d ~ n ' -i ~ O C ~ ~ ~ Darn DcD y n ~ 7r' -. ,~ tD O ~ ~ O Z ~7p ~ D ~1 rrr TJ ~ ~ ~ ~. ' ~ ~ c • ton r_~1 mD _ ~ r rm~ m-~rn , ~ ~ ~ ~ ~ DDS D~~ .... O ~ ~m0 r c m ~ . o 0 o TT J~N ~ ~• v o o n ~ ,_T O .~ ~, ~ ~ a ? ? • ~ ~ ~ .. ~, tp • ~ G A O ~ ~ ~ ~ 01 O ~ ~ C (~ C ~ p 0 _N ~ C ~ ~ • • ~ co C ~ ~ ~ ~ ~ 0 ~ n D ~j C w J `jV~ ~ T ~ • .a ~ p 3 m ~ ,~ ~ ~ ~ ~ _ ~ ~ _ O Z 1 ~ mod ~ ~ Q, ~ d 'J ~ ~ ~ ~ ~ , t0 r« .r ~ V1 '~ ~ ~ D ,~ n C~ n ~ <' ~ a ~ ~ ~ ~ ~ ~' 0 O , m~~n ~ ~ ~ ~o~; o ~~ 0 ~ ~~~~ ° g` 3 ~ a~ ~ ~ ~~~~ ~~~ o ~ i ...- ~ h ~ ~ ~ ,gyp m ~ ~ ~ ~ _ ~p ~O ~ ~ y O cal w ~ I 1 '~ iy~ A ~~ ~~~ m~ ~ ~ .~- m~ ~ ~~ Q S d ~~ O ~~ 3 Q~ ~ mT~ - ~~ eo ~ f _N O~~ v ~~ ~°i 3' g~ ~~ ~~ g~ s W c,,,N. .1 `_ F ~°- N rc~ 0 O O °' Z cn p~ o ~ A~ ~~ ~Z `" c ~~ o V/ ...- _Z N ~ ~' o ~ m ° '~ ~ w ~. m -I _~ ..- fA O O H d! V CJ1 ~- O cD ~n ~w ~~ o a~ ~~ ~, c 0 C ~ ~ ~a 'U O ~' ~c v a, `G c~D -~ 0 O C ~ 7~r N N ~ 3 3~~. ~' O _N y ?. o ~ O ~' N ?a n~ <, ~. ~ o cfl ~ ~AA`` W ~ _. Q° _N ~. ~~ ca ca C „fir.' ~_ ~N ~ ~ 3 y ~~ ~~ N q y_^z. (V ~ ~. ~. N cn '~ ~' 0 ~OZ YID ~~ ~ ~ ~ ~ a ~n~ Cm~ rn~~ ~~rn 'C DDS ~"'~~ ~~~ Vcm om °=I~ ~, wmC //~~~ V11 ~V/ ~_1 D O N eT o '~ n D p ~ J w ~ ~ m ,~ rJ cn o =i ~ W o z ~ cn ~ ~ o~ •~ " ~ ~ D ~ ~ ~ ~~ a a $ ~ A~ ~ N ~ ~ fD n ~~ O V ~ ~ ~ ~~.~A S ~ °~ A ~ o .~ ~ ~ ~° W ~ ~, '0 -o a s ~~ ~ ~ ~~ m~0 Q~~~ m~ p z~~ m~~ ~~~ ~~ T .~ v ~~ 8~ g~ -'~ ~- ~~ C~'~ T__ ,, O ~ O_ ~. ~Z co ~ 0 7p -' O ~ n 00 "~ ~ '~ u' C 0 O 0 O W ..a r O Z ~ n.. ... R $ ~ ~ ~ ~ ~ o O ~. ~~ ~ I h ~ V o° ~~ v d M C M ~ ~ ii~ O O ~ ~' O O ~ a V ~ N N N ~ ~ yam non ~ ~ ~ ~ ~~~ ~n rDr tnrn 3 ~ ~, ' ~, rn~~ v' ~n~m =1 . O ~ -p y D D !!) - ~ ^ ^ 1 N N D~ ~ j. O co ~ ~ Ri ~ o'~ ~ wrn< ~ ~ • , _ ~~ ~ c~ S3 ~~ ~~ r ~ ~ O C <, ? ~ ~ • ~ ~ C . Q • ~ 3 ~ ~ ' o ' ~ N to ~~ ' C ~~ ~. C~ 3 cp • c ~ ~ ~ a D m ~ m ~ • ~ ~ p ~ g m O ~~ ~ ~' O ti ~ __~ ~ ~ < ~ A ,~ ~ ~ ~ VJ rt m ~ N ^i '0 D n n ~ ~~ ~ ~ Q, C ~~ 0 n O V _ ~ ~ ~ Z ~. ~ N n 0 ~ ~ ( D ~ p ~ ~ ( G ~ ~ ~ ~ ~ ~ ~ ~- ~ ~ ~ r ~ 0 ~ ~ V ~ ~ ~ ~ o~ V1 '0 y~ 1b ro~ a ~ '~ m `~ ~~~ z~a m ,~~ -~ ~~ ~ ~ p'~ C m~ ro 1r ~~ H ~^ A v~ ~~ ~3. ~~ 8~ g~ O o '~ ~~ ~~~~ CSC ~ ~ lV ~ z. n w w o O ~ _~ ~ o ~ c r~ \" CO o co ~„~ o w °o h h ~ cr co 00 00 ~~ J J O ~~ ~. C C ~ ~C _ ~ ~~ ~a a -p o N ~ O ~~ N ~ ~ ~ 'O . nip ~ Z (~-+n ~D~ `~ ~ o ~p O rip rrr .~ n: ~ _ ~ rn~0~ m~~ ~ ~~ j ~ DOS y-i~ ~ p1 to ~ ~ ~ ~ ~ c~ -- V1 ~ ~"~ ocm 177 p . t0 T; 5 w ~, ~ . ~^ .r o m ~ ~ ~ ~ _ K ~ ~ C • o ~ 3 ~ ~ v ~ ~ ~ ~ N O Q to ~• R o p~ g a ' • d ~ a tO ~ ~ c ~ ~ ~ a p ~, ~ O N ~ • ~ ,~ m ~ ( V1 ~ ~ • ~ O 0 3 - ~ ~ z ^~ • ,-: ~ D r C~ ~ Z~ • ,~ $ ~ ~ ..~~CC $ ~ ~ ~ ~ ~ N ;~ 0 a ~ co . • ~., 3 .r ..~ ~ ~ ~ ~ ,_ _ ~ ~ ~ g '~ . ~~ N ~ o '° ~ ~ ~ ~ ~ ~; cn s .. ~ ~. ~o ~~~ z~o' m~ ~~ ~ ~ p ~ ~~~ m~ ~ 1~ O` ~~ v A~ -, ~ 8~ g~ O D ~ '0 ~ ~ m o K " ~ `"~ 3 ~ ~oz mod 3 ~ ~ ~ rn u,x ~ o ~ ~ ~~y ~~~ C O N II1 ~ • o C~ c D m {;w -~ j O? u' ~ ~ ~ m ~, m V1 00 ~ p ~ ^! ~ ~...._ ~c ~ 3g o~ ~~~ ~ C ~ 3 ? r3 ~ j .' ~~m~ ~~~ ~ mow road. ~ ~ ~ ~ w ,~ r'~~~ ~~~ fix= • N p V! N -t • O '0 -~ ~ ~~~ ~ ~ ~ m ~ ~ ~ ... ,v = ~ -~ O o~~ ~ ~ v, •v :, ~ y , ~ ~~ O o°c°~ ;O~-p • ~ ~ ~g~ C 4 ~ ~ ~ .~a rt ~~a y ~ y ~ ~ ~ 0 w h~~~ to ~ ~ ~ 3 ~ .~' C V ~ v V O O Vic` 3 ~ ono - ~ p * * a = sa °° z z a ~, ~, r- ~ b b = ~"2 '~ ~ ~ b ,., b mao b 70 z m y b DG N ba N ~ m C C m0 C ~ a o. m ~ ~ z '" ~ C b r n m C m = ~ N ~ --i .~ - t' a ~ ° o a ° z ;~' `Q m z ~ ,o v o ~ ny, a~ 3~x b ,"^~ ~ o m ~ m z -zi '~ m „ ,~ z ~„~ N n OD C m ~ ° ~ w -y .~, ~ .~ ~o z N N `O ~ ~~+ a N O m '~ 'o'' ~ ~ w ~ a -.. l'1 t11 ~ ` ~ W ~ O y * ~p o ~ * ~ O ~ N ~" O F + ~ 7K 1K 1'r' V ^y J s ~~ y O~ ~~~ w~ w 1 0 erw e ~+, e L~ 0 V aea detach the above portion and return wtth your payment. Datactt hare cCOUnt Af: 2052421601 star Typ. Pnvioua Pr•s•M MuR)pliar KWH aadin ems: MAR011E A R08AR10 di R dl •• T 9 BENJAMIN D ROSARIO i(WH 2ti424 28781 1 kaeding Datae: os/3o/2oog TO 10/30/2009 327 Actual (eta: RE802 RESIDEN77AL ELECTRIC HEAT 'arvica Loc: 16 ORCHARD AVE BILLING DETAILS BASIC CHARGES ergy supplx prices and charges are set NON-BASIC CHARGES your electric generation supplier. -dams Electric Cooperative Inc. 888/232-6732 338 Biglerville Road iettysburg, PA 17325-1055 / _ EROY SUPPLY: ~ ~(~"j') n•rggy chars 327 kwh @ .061 19.95 TAL ENE~GY SUPPLY 19.95 TRIBUTION: bass charge 25.75 ~ SAL DISTRIBUTION 927 kwh @ ,019 6.21 ~ ( "~ 31.96 'AL BA81C CHARGES 51.91 Read t e enclosed Project H ing Hand brochure to learn how Ad ms Electric me rs have helped another fellow co-op nei bor ha Nghter tomorrow. ACCOUNT SUMMARY ~~ av Month CT 2009 Previous Balance: 43.59 Payments Received: 0.00 ~ otal ywarty ~'/ iCYVH for 1092a Late Penalty: 0.65 v peat t2 Balanca Forward; 44.24 ~~ ~ months Total Basic: AwraSl• 51.91 monthly Total Non-Basic: 0.00 KWH got Sales Tax: or past t2 ACCOUNT BALANCE 96.15 months --_______ PAYMENT DUE 11/23/2009 96.15 tlease detach the above portion and return with your payment. Account +~: 20824211301 M°br Typ° pr~W~ Name: BED ICE IN D R08AR10 ~H R 28751~R~ Reading Dates: 10/30/2000 TO 11/30/2009 Rab: RE802 RE8IDENTIAL ELECTRIC HEAT Sarv~a Loc: 18 ORCHARD AVE BASIC CHARGES =nergy suppler prices and charges are set ~y your electnc generation supplier. Adams Electric Cooperative Inc. 888/232-6732 1338 Biglerville Road Gettysburg, PA 17325-1055 :NERCpGY SUggPPLY: OTALyENERGY SUPPLY 853 kwh Q .061 39.83 39.83 ISTRIBUTION: Acc°ss charge 25.75 Distribution char a 653 kwh @ 019 12 41 OTAL DISTRIBUTION 38.16 ~TAL BASIC CHARGES 77.99 C~ ~1 ~ 1 ,~I `~s 1 i 653 NON-BASIC CHARGES Happy holidays from Adams Electric Cooperative! This holiday season, consider the gift of electricity for another member. For more information on how to purchase a gift certificate, please cal! 888?232-6732. ACCOUNT SUMMARY R°v Month NOV 2009 Previous Balance: total yearly Payments Received: dat P KWH for e enalty: 1 past 12 07 Balance Forward: months Total Basic: Av°ra9° monthly Total Non-Basic: KVUH 883 Sales Tax: or past 12 ACCOUNT BALANCE months wtacn Wars 96.15 -45.00 0.77 77.99 0.00 129.91 PAYMENT DUE 12/23/2009 129.91 aae detach the above portion and return with your payment. ccount #t: 2052421x01 Meter Type Previow Preaern Multiplier ttWH ead ng Rea in R di rrte: MARaIE A ROSARIO BENJAMIN D ROSARIO ~l"I ea Used Typa 29404 30747 1 1343 eading Dates: 11/30/2009 To 12/3o/zoo9 Actual ate: RE802 RESIDENTWL ELECTRIC HEAT ervlce Loc: 18 ORCHARD AVE BILLING DETAILS BASIC CHARGES nergy supplx prices and charges are set NON-BASIC CHARGES your electric generation supplier. Adams Electric Cooperative Inc. 888/232-6732 1338 Biglelville Road Gettysburg, PA 17325-1055 NERGY SUPPLY: Enar99Y charge 1343 kwh ® .061 DTAL ENERGY SUPPLY 61.82 _ 81.52 ISTRIBUTION: (~;;~~~ Access charge Distribution char a 1343 kwh (~ .019 DTAL D B 25 7S 25.52 ~ (~°~ ) '-' ~}~. ~'~ i ~' ' ISTRI UTION 51.27 / ^ ` ,I DTAL BASIC CHARGES 133.19 ~ V I I Your participation in Project Helping Hand may be tax deductible. 11 you contributed in 2009, the amount of your donation will show in the 2009 Rou d U n - p Donation total in the Account Summary section below. Thanks for your help! ACCOUNT SUMMARY Rev Month DEC 2009 Previous Balance: 129.91 P ayments Received: -175 00 otal yearly KWH for . Late Penal ty 0 45 peat 12 10149 . Bslance Forward: months Total Basic: 133 19 Avers s . Total Non-Basic: t"K°yMyH~ 845 Sales Tax: 0.00 for past 12 ACCOUNT BALANCE 88.55 months PAYMENT DUE 01/21/2010 88.55 detach the above portion and return with your payment ant At: Z08ZaZ1ao1 Meter Type Previous Present MuRiplier KWH Readies BENJAM N D OSA~RK) KWH 30747 32329 1 1582 Actual ng Dates: 12/30R009 To ot/3oRoto RE802 RESIDENTIAL ELECTRIC HEAT .e Loc: to ORCHARD AVE BILLING DETAILS BASIC CHARGES ergy supply prices and charges are set NON-BASIC CHARGES your electric generation suppler. -dams Electric Cooperative Inc. 888/232-6732 338 Biglerville Road iettysburg, PA 17325-1055 ERGY SUPPLY: nerggy char a 1582 kwh @ .061 TA` ENE~GY SUPPLY 96.50 96.50 ~TRIBUTION: :cess charge 25.75 stribution charge 1582 kwh @ .019 I'AL DISTRIBUTION 30.06 55.81 SAL BASIC CHARGES 152.31 Mach hero '~~ Your participation in Project helping Hand may be tax deductible. If you contributed in 2009 the amount of our J t L; + ( , y donation will show in the 2009 Round-Up Donation total in Account Summary section below. Thanks for your help! the ~ .~ ,~ 1C,', ACCOUNT SUMMARY .~ ~/ Rev Month JAN 2010 Previous Balance: 88.55 Payments Received: 0 00 otat yearly Late Penalt KWH for Y~ . 1 33 9768 past t2 Balance Forward: . 8 months Total Basic: 152 31 Awrap• Total Non•Basic: : monthly KWH 814 Sales Tax: 0.00 ths 2 ACCOUNT BALANCE tomo 242.19 rt PAYMENT DUE 02/22/2010 242.19 2osuttwt Adams Electric Cooperative. Inc. ~' 1338 Biglerville Road P.O. Box 3605 Gettysburg. PA 17325-0605 a A88!232-6732 A 7utx3tcux~r F~rtgy?t'C:cxrx•rntivi ~,,E~ www.adamsec.coap 18 ORCHARD AVE Cycle 1 412 1 AV 0.335 4 412 MARCIE A ROSARIO C-2 P-2 BENJAMIN D R06AItI0 16 ORCMiIARD AVE CARLISLE PA 17015-8144 rl Ilrlllll hll ul rrr Ibr ~rhlllnl I I III I I III 11 II II I I Ill I II I l l II 11 PI®ase detach the above portion and return with your payment Account N: 20b2421801 Meter Type P Name: MARGIE A ROSARIO ~ BEl~JAM!!! D R08ARlO KWH Reading Datas: 01/JOR010 TO 02R8R010 Rate: RE802 RES~ENTIAL ELECTRK: HEAT Service Loc: 1s ORCHARD AVE BASIC CHARGES Energy supply prices and charges are set by your electnc generation supplier. Adams Electric Cooperative Inc. 888/232-6732 1338 Biglerville Road Gettysburg, PA 17325-1055 ENERGY SUPPLY: Energy char a 1530 kwh @ .061 ~ 93.33 TOTAL ENE GY SUPPLY 93.33 DISTRIBUTION: Access charge 25.75 Distribution char a 1530 kwh @ .019 29.07 TOTAL DISTRIBUTION 54.82 TOTAL BASIC CHARGES 148,15 DATE BILLED METER NUMBER ACCOUNT NUMBER 03/02/2010 93106516 2052421801 PAYMENT 03/22/2010 148.15 DUE Penalty on outstanding balances will be applied after the due daft SIGN UP FOR ELECTRIPAYI Sign and return with a check to pay this bill. Future payments will be taken automatically from the account Listed on the check. iyn for ElactriPay Bank Draft Authorization Show your new Co-op Connections Card and receive 10%-60%, discounts on new prescriptions at participating pharmacies. See the enclosed insert for more information. '~' - - - - - - - - - - - - - - - - waalt ~wious Pnssnt Multiplier KWH eadMs sadinc Readlna Used Type 32329 33859 1 1530 Actual 'AILS NON-BASIC CHARGES Proud partner of the 2010 U.S. Census. Visit www.2010.census.gov for more details. ACCOUNT SUMMARY Rev Month FEB 2010 Previous Balance: 242.19 Pa me t R i d y n s ece ve : -242.19 oal yearly KWH f Balance Forward: 0. or past 12 9833 Total Basic: 48.15 in~~ Tota1 Non-Basic: Averse ~ Sales Tax: 0.00 month y KWH 819 ACCOUNT BALANCE 148.15 for past 12 months PAYMENT DUE 03/22/2010 148,5 2062421!01 Adams Electric Cooperative, Inc. _ J 1338 Biglerville Road !~`_/ P.O. Box 3605 Gettysburg, PA 17325-0605 (fi' 888/232-6737 A Tttix3~.vttxre Fijergy~'Ccr.7perAtivc ~.yit www.adamsec.coop 16 ORCHARD AVE Cycle 1 462 1 AV 0.335 q~ MARGIE A ROSARIO C-2 P-2 2 BENJAMIN D R06ARID 16 ORCHARD AVE CARLISLE PA 17015-8144 I ut 1 It h t till I II t uu t o ,III II t VIII I II I III II I I I Inlnl III l l l l n Please_detach the above portion and return with your payment. Please detsch the abov@ portion and return with your payment. DATE$ILLED METER NUMBER ACCOUNT NUMBER ' 05/012010 93106516 2052421601 PAYMENT IMMEDIATELY 0.00 DUE FINAL BILL Your cooperative and its generation and transmission (G8T) supplier have allocated their margins for 2009. These allocations are subject to future retirements as financial conditions permit. Your portions of the allocations are as follows: Co-op: 545.60 GBT: 529.14 ------------------------ o.tat:l, h.r. - - - - - - - - - r - - - - Detach h.n Account #~: 2052421601 Motor Typo Previotu Present Mu@iplbr KWH RT ding Nam@: MARCiIE A ROSARIO ICWH 33859 34613 1 754 Actual BENJAMIN D ROSARIO Readlnq Dates: 02/28/2010 TO 03/30/2010 Rate: RE802 RESIDENTIAL ELECTRIC HEAT Servlc@ Loc: 16 ORCHARD AVE BILLING DETAILS BASIC CHARGES Energy supply prices and charges are set by your electric generation supplier. Adams Electric Cooperative Inc. 888/232-6732 1338 Biglerville Road Gettysburg, PA 17325-1055 ENERGY SUPPLY: Energy char a 754 kwh @ .061 ~ 45.99 TOTAL ENE GY SUPPLY 45.99 DISTRIBUTION: Access charge 25.75 Distribution char a 754 kwh @ .019 14,33 TOTAL DISTRIE~UTION 40,Og TOTAL BASIC CHARGES 86.07 Proyd partner o1 the 2010 U.S. Census. Visit lvc w.2010.census.gov for more details. i ~9 Q ~ ACCOUNT SUMMARY i~ ~~' ~ Rev Mortth MAR 2010 Previous Balance: • (, ~' ,~ y Payments Received: ~( ~ ~ 1 oKWH torly Late Penalty: ` ~ saa9 ~% pant 12 Bal a Fo ,~ 4, ~ ,~ months otal Basic: ~,1" Aversg• tai Non- sic: monthly 787 Sales Tax: KWH or past t2 ACCOUNT BALANCE months DAVtACI-ITr111C AA/~fi/~fA~A NON-BASIC CHARGES ~`~ia~,{ air 148.15 o.oo 2.22 37 86.07 0 0.00 236.44 ~f9C AA SCHEDULE I Conesto ~~ _~ ~'~ Bs~k Nir. L3enjanun Rosario N(rs. Margic Rosario 16 Orchard ,4vc Carlisle. P/1 i i013 165 POTTSTOWN PIKE•CHESTER SPRINGS, Pq 18425 610-321-6900.610-321.6901 FAx WWW.CONESTOGABANK.COM RL=': 2000 Pine Grog e VIN f~ r:,P47$Gt~n/li llear Nlr. and Nlrs. Rosario: Please be advised that the ?(106 Pine Grove VIN it GP~17869A/l3 ~~~hiclt was vacated h~• vo I be secured by Modern Financial liar ~::unestoga [3ank. Ibrme-'ly Pu'st Penn 13an1:. 7'he home located at 1 G Orchard Av , t • ~~'ill e Carlisle, Pn 17013. Is 1'itu have the. I•ight to redeem phis mobile home and terminate the accc-unt by payine the b ofyour loan in lull, plus 711 lot rents clue and other costs. glance L• Ifcctive March ~9, 2010 th.e payoff amount due the 13an1< is: Note balan°;: 87,776. f interest 1899.E I Late lee _ 89 ~~,, Total dur !6$),765.26 Should you ~~-rtttt to pa}, !Ills loan OII an(I I'CClfllnt the home, plc;ase call us ut that ~~,c. nrt ~ ,• „ you the correct amount due alter this date of March 29, ?010, Payment must be sent by certic` , or [3ank Check to: heel Conestoga liar-k 165 PotlsictWn Pilcc Ch~ste~-' Sprin~s• I':1 I9=1?5 Attlt: Val Jones Phis hunte Will be lawfully ;;old alic,• the cxpiraticm c~l'tifleen (I S) days Ir<mt the date ul'ihis letter, unless reclaimed by you. Proceeds from the sale will reduce the; amount you owe. It will , jour responsibility to pay any clef ici~~ncy balance. b~ Member FDIC e-eoo2o Co~esto 1 65 POTTSTOWN PIKE • CHESTER SPRINGS, P ~r ~~~~ 610-321-6900.610-321-6901 FAX A 19425 ` WWW.CONESTOGABANK.COM Il'you do not reclaim the mobile horrc. you must r•cmove your personal items Prom t he property. Any personal items renrrining al=ter fort)' live (45) days from the date al•this notice wil prE'SUmtCI to he abandoned by you. 1 be Should you have any questions. please contact our oPtice at (215) 52C-9232. Sincerely, Collections Ollicer Asset I<c;covery Uepartntent Member FDIC !!~±~~u~~ B•~~ ~O[R ~~~ .n ~~a .~ ~~ ~ ~~ s ~~ ~r ~~ ~~ ~~ ~. m . ~ ~ ~~ A~ ~ ~- ~' ~ ~ ~ .. ~ ~ k ~ ~~ ~ Q ,l~ m ~ m g~. ~~ Ig '~ a ~~I~ ~~I~ g ~. 0 ~ ~ ~ y ~~ ° ~~_~ ,~ 2 2 < '~ < ~ ~• $~ d ~I$ .. ~ ~ ~o ~3 ~~ ~~ ~~ ~r ~~ ~-- ~~ w ~' g g ~ ~ ~ ~ $ ~ ~ ~i ~ a a `` ~ ~ ~' ~~ a J- O m z 0 8 ~ m g 8 -.~ O ~~ m m m m y xLy1~ M a' i p a N N D ~ ~~ .~' N P .. y .. W Q n ~a~c7 G m ~ ~ A~~~N ~ ~~3 1 ~ ~Q • ~' o ~ ~ O C ~: O o~ v J ~~ N ~ pp VV O~ O N '- 9 ~ ~v ~'~' ~ ~~. e ` ~ ~ ~>~ . 1- ~ ^ ~ 3 ~ \/ ~ ~~ ~ ~ y l~' ~^~ o~ g o ~:~, ..~g : y ,r~}, fA ~ R1 ~C" g ~ ~ ''~~ 03 N ~~~' 0 W 3~- a ~~, .Q gD~~~ m "•c c c ~ _'• G D S ~ u ~ ~ m N ~} ~_ y ~l m ~ y + ~ ~ + ~' to c ~ ~~ 0 ti. m ~ , ~• ~ mm `V V ~ p v O ~ a _, ~a n O ... ~„ :O N n ~_ `~'C ~ ~~ ~ . G -,.. '~-- $ ~~: W O O I i~ ~~ O I~ ~ZE:~ O ;~ ~~ i 2 ~z~ . m m '• :3 ~~~~'~ ~~~~ m<a~ m z Z =rn ~ ~ c. :~ ~ <~ ~ o Z m v ;: >?:y:% ~ :~. O m ~i m ~c ~_ 3 ~~' ~~ ~, ~~ g ~. II~ <D g~ ~. ~ ~~ sz ~~ ~~ ~~ ~v I `~ v o~ su -~ 0 3g n~ ~~ ~~ ~' ~' w ~ ~' a~ O ~3 a~ er.~ mg ~n ~a ~~ m~ ~~ ~. 0 fD o m ~~ ~~ ~~ .~ N fD ~. a~ s$ ~~ 3 $~ 3 G~ r ~~ ~I ~~~ 8.~,~, ~. «I $~~ N~ a g ~~I R« ~« ~. ~~~ .~ m~ ~~ 2 v 0 ~~ ~~ ~'~ c m ~~ ~~~~.. o~ •N s A ~~ ~ A m~ -, g ~~ ~~ m~ ~3 t NNEgICAN E?~HESS p®rs011a1 Card Statement of•Account Prepar~tl Far - BENJAMIN D ROSARIO nacauni Ni.rrUer XXXX-XXXXX7-21004 Frsvpus Balzrnce s PefmxM Adivil j Ina. Adjwfine u ~1~e s 1 •- 0 ~ TO menadA VAr rr /~wrd ~a~~$48 ~ Points /~' R~wards® at o9/zM09, when +aiNsM~ fuH and all aoopurltg due are Paid i cla.~ o~ '__------ pool standing, OS/2M09 Page 1 of 5 Ploase Pay ey 10/09/09 Please refer to pie 1 for i-r-portant in rfomat repardinp your account For additional contact information +Iplease see the re elrlse sede o this pagewww.amerlcansxprssa.oom. M • ACtIV~ ~ ~` Questions About Your Card? ----------- For questions about your Card or account, please refer to page 2 for the appropriate contact information. " -' -- _ ^ T ^"~ry I ritC+'t:IVED • THANK YUIJ ~` ~_.__~ Duo in Full Activl ~„~-x~oocx~.2,o04 ty'/or BENJAMIN D-ROSAfilO - 9 i30SE PYMNT na nr , ~ ~., ......,-. . -- -- • • •.~...r.r.a7nMIN 800-8182673 -~ ~^' ""' ~ rtnt7la 800-XMRADIO XM SATELLITE Noti~o Afnow~t = ...___,. _t76 s wax s 45.67 14.93 80.60 Information on Floxiblo Paymont Foaturos You ma have more Flexible Pa o f lease refer to Peroentaye Rates~(q~ptt~~~ DPI ~ Ymerit Features as pmt your Card for further im ~ 2 Y odic Rates (DPRs) for the Flexile Payment Fe~uurest' arse as folly nnual y~~~&i un~~!rt For Sign & Travefa, the APR is 15.24%, the DPR is 0.0418:'6 ~ Sipn & Travel, the APR is 15.24%, the DPR is 0.0418% P~W~ faki on fl» WrAwafgn bNOw, dMaoA ArK! rMWn wAh your Peym~rN ~/r Q ~c ~ _ ~,,,~~~ PF.ItSONAL LOAN NOTfi AiYD gECURITY AGREEMENT IrcnYr«M~e.c rarw 7nsrCawNRr t'.R.^ Date !?~9 Name anti Address 13ompwer t's: I Borrower 2'a: ~ A 1701 Guarantor's: Other owners: of some words, M this note, ta) you^ end y8 Ibis note. whether ae a borrower. pueranlor or cU~re oymime~r, "a'" "err" and "ours" mean taunufacturtr and Traders ~+y, One MaT Plaru, 6uthlo, New York 1A2W, end (cl'vour ens am motor yrard,~n w,.~, _ _ _- - t • - -!a Or sTlred~m Y "n, mas stet ere W txr»me pat! of I~ b 7.8ummary of pfedn Iranlransaotipt, a. ANNtJ/y„ PERCENTAGE RATE ............... ~_ .A b. Amotrrtt tkraratad ................................. ~ a FlNAfICE CHARGE . , ~~ d. Total of Peymentc ................................ ~.~-------- Fn this hots, (e) °annual f»rcentapt rate" means tM post. expreatc as a yaarty rats, of the credo bplnR ProNdsd to or on In the credit Nansaction In which ~ yd pt~oro~ ~ ampuM tinanped" mNns dye you sn , (d~ charDt" man. th. goy, in doMs~ra,oW I» pndit~antf ~dj 'tau • undsrgtts note ~~sr, jdy01Jj~ ~' by Psy~'6 ~ inKaknshte ~~ymsn~scl~pAe. You an to pay +noMhl Mstalmtntt nee.!~ hxrtnp on 1pr Inetymena wNl bsotll~~ Eaoh of the ;etsd, saph f tw' of the I q banks s-e , and 1M est t ~~ y~ 9roetar. (b1 K ariy q~k~' °' "" imam or t~0.tip, whictMwrli dishortore bsoarals of ~ ~w apa~ on your account it tht account tyM tletn etosed rtrreolanNChd Wnds or bacausr ~ ~.~. ,you moat pay a retut'ned check oharpr ysrttl not tp M you Prosy all amounts papa under the note, you fhs tinenq phar~ a f~nnpp~' and mrgrbs ert8tlad to a rihmd of par3 ~ ~a M o whly~i,~boat,~monWle ~~ tin the fohowtn~ woperty: scribed as follows: a>hsr ~fPOf. property L] 01har' properly described as foiFawa (deecribs. N apptiaaba, bwt acMCOUMi><j y ~ ~tsr end Include acpouM numM- for deppsit p"~'i°m. ~t ~ Ya on ~Posls with w end Mha propaAy securl ~ entwmts ur~rrr to us easy espun ttre Payarent~of al with w M woeesds of tM cndk trenseptton M eomreptlor ~ tplta ~to be rant to tinanta a d ~t•may und.r~csrldn c{rp thh note In aetordtxtce with fhs provistfoonsM~tA1sMMe, Path under a. Exact p/ rfeposH eacoratt. It a depoel! eotrount h described on arty IIM in ttectrort 0. the annual petcenttipt rata rise not reRtpt fhe atact of lht deposit apaount. 0. Addfbnel MitormatFOn, Yea should ratty b iM het o/ fhb nott for ~ahinountf ortrtatlon atwut nonpayrntnt, dNartlt our right to dedere and pttPalentet2 nhrert~i. r thh nob but not yiat Paid Imrnadpttiy rite Panne ro9ro21 10. Kemlrartron. 71te amount tir-artrsd to tltanized as toryows: a. Anwurrt ylwn to you dktctly......... ................... 6. Amount paid on your account wi~flt•ua ...............: _._._,_____~ c. Charge torproup uedlt ryfa irrsuronse ,,,,,,,,,,,,,,,,,,,St1.Aa d. Charge for Qroup txedit disat>iNly ittifvance"........... fa.m e. Charge for InvotuMary unsmPloyn-ent kysurance'.. ism ' t. Amount paid eo Insurance COm~nyt~x~~er gym---------- p. Finny festal (ernount Ps1d to pantie otAciaits))....lQ.m 'We ma~a ratalnlnp ^ ppryon atihla amount. 1!. AI~~reamsn4 You spree to be bound byy ant ovisions Inctua<np tirosa on the reverse aloe amt any edditionei~papt, of iNs note, 1Z. Obtatntrtp Insurance. You can obtain any fntwaript ~ ~c ~a~ ~ y~oura^Y ProP~lr rlasorNrad In tisptbn 4 horn us ecetpttbtt to ui. Wse~ inA k must 6s provided by • pap~ny unepceptetMe b ua. +auaasa-ebly determint any oomptny to be ~3. tesqussl end II uN for Gro reap Creak Ohabiy 1 up Dacrwatria Cndtt Uts tno~ sf (nsuwetcs. neurance end Mvo ntary ~ Mrsr~°uaodQs°-saa~+~eat L~ile °yn's"t~''ndu that se~lsat~a"r dyer ul~ ~ p ~oHds~Nta ~1 r~r urMersland become insured. I Ywt krayaancs wIN be provided ih rccondartce yule the osrtillpatt of poop p~isunuros that wD b+ piyen a me. t 'k° teetrve the right b Ieemtnate my ooverape sf ~n~TM OOq of Maurartpt tOt tIN erNiq NRn Or Ma b 3 1 WANT optional Groff Oecreaaktp Credit Ufa Inswantx. ~~ YME WART optional Group I~eaeasirtg Credit Joke Insurance Late Ina~anoa. ~- ' tteor~i er ~ ~+P ~sabiMty -natrance. ~ I WANT optional Invohmtary Unemployment ~"" lnaurance. (BorrowerOMy) INYE DO HOT WANT optional Group t)ecreasinp Credit L~_. tneunutce. I DO NOT WANT optionet Group Credit oiaabrylty Insurance. 1 DO NOT WANT optkalat Involuntary tMemP-oyment Msuranoe, remount Flnancad V.~ Effective date of Iratrrancs Q~(Q7L08 T a!ubtiltY BsnaAt nth6 e of eorrowe- Oate of Birth ~paPyroUrNSse tto~~p~ In return for tits titan twee ~~, you Rrweon at dye yq~'-C--T-~, th~~ ,~Inci~at3 pros j mouthy Psyatentl< in y m e o make ~y4maaa~m~P y~~~t MS under Nie 'rbt air Cyon~9. specNy from tint to ttrnt.OD~On book. or at suph other edtMs as vre rrtsy 16. 3eeurity feytarey. To severe the Payment of aN alnounk ppylebN under this note and the payment of ~ oNrtr indebadnsas horn you to us e °~ oyNrp kMO e~dalengr n tits.tikae, You oivs us a security yKtra M tt. Prepay-nep ~~ red. You maY prepay INs loan in fury pr to part at any . ryme wlthrwt Copy ro Uank • CoAY b Borrower 1 • Capy to tWrrowcr ] r-orY to Gwnwer CAB STATE OF PENNSYLVANIA County of Cumberl nd In The Matter Of: Benjamin D Rosario (Deceased) TO: Register of Wills Cumberland County : PROOF OF CLAIM FILE Number # 2l -09.1001 1. I, the undersigned, am a Collections Mans (heroinafter the "BANK"}, a New York bankin cow of Manufacturers and Traders Trust Company, doing business as M&T BA New York 14203. I am duly authorized to submit this c aim for the B wh~ch~ ~~ ~ n m ated at One MBcT plaza, Buff records kept in the ordinary course of the Bank's business, po y 1~ersonal knowledge and/or u 2. The decedent is indebted to the Bank in the amount set forth in paragraph 3 below. The amount claimed is correct as of date of death after all appropriate 1~ymentc or other credits. There are no set-offs or counterclaims. This claim is free from charge forbidden by applicable law and excludes all unmatured interest 3. The sum awing to the Bank as of the date indicated below ~ 5,964.09 (adjusted) 4. The nature of the debt is the following: (Check item(s) applicable,) ( x ) (1) Note or agreement payable to Bank, signed by decedent. ( ) (2) Note or agreement payable to third party now owned by Bank. ( ) (3) Revolving loan or line of credit (for example, Visa Agreement, commercial line of credit, Heq Line of Credit}. ( ) (4) Amount owing under Equipment Lease Obligation. ( ) (S) Guaranty by decedent of debt of another. ( ) (6) Judgment. ( ) (7) Other (specify on reverse side). S. Supplementary information: (1) Date of note/agreement/guaranty/Judgment .May 7, 2009 (2) Bank account or file number: 10030757300001 (3) The per diem per day is $1.56 6. The bank requests all notices and/or dividends to be sent to the following address: Manufacturers and Traders Trust Company Attention: Douglas Buchner 1100 Wehrle Drive Special Services, Ground Floor Williamsville, NY 14221 Manufacturers and Tr t Company "~ ~~ Dated June 22, 2010 By: ~ ~ glas uchner A i tant Vice President 1100 Wehrle Drive Subscribe and sworn to before me Spectal Services Supervisor, Ground Floor This ~,~,~(day of June, 2010 Williamsville, NY 14221 %~ NORMA J. PAOLINI Notary Public, State of New York No. 01 PA4fi78275 Notary bliC ua(ified in Erie Co~u~ry Commission Expires Jan. L0, 20 !( H ~ BENJAMMI D ROBARIO ~ e~ Payment Dw Dah : --~ Anwunt Past Due Minimum PayrneM This Period ToGI MMimum Payment atah-nant Orb Days M BNNnB PeHod VisN w at ~w.bweavlswredN.oom AooouM Number: 4028 2110 SApB •. Customer 8endoe: 1-flop-80e-25208 12/p1lt008 11b 00 Prwieus Balance . ;32 00 Paymenb; p . j47.00 + Purohasss/Balanos Tranebn/Feeup~ Cash Advano 11/D!i/2p08 31 n +~ Net FINANCE CHAR©E/frenaaoti on Fees New Balance Credit l,tmN AvaNable C~ Cash Adv~noe UmN AveNaeie Cuh IEN7 DUE 8Y a-OO~PAA pN THE ~U~`DJ~~ V ~"'~'`' ~ :E: 8w -ewne ekh for BNNnB Riphte dpi ether W' "may convert o~ eee5 M38 knpnrtaM iMormation. 1 ~ 8 X91780 O PeBe 1 0/ 3 f __l _LawE's -J -•-- -.... ~W 4~3 1!!0 lie2 O1tK7Ny ~Defroh and mall this portion witif your ohesk b LO iNE'8. Phase we biw or bMok Ink. - Naw add-sss or emailT Cheats Me box at hR and print a+.ne« on book. 11gNNNN1 BENJAMIN p R03ARI0 16 ORCHARp qVE CARLISLE PA 17016-8144 Flil in amount oontpletNy ----.___ ~a^ ^~ . ^^ Mrnhnwrt p'ment atr~ !no/uarea Plesas Pay Minim ~15. oo pwat due. A~-Yment+unount Pf#pMPTLY. t73~ D130 111"~Irirrrl~u~y~lr" ~IIIIII" ~ynbrl~1111~Ir~1~Ullurl~lr 00032000002500 00047000001],718 Illhlr~lih~l~~lllnr~r~l~hul~illlllulur~ll~ri~~lli~hll~lrl Melee Payment To: LOWE'8 OR ~ ~'OF0132896-0010 5103.48 ~f6.00 12v.oo b.oo - X0.31 =117.18 N,oop t3,ee2 122a j224 1734 ^_`I 8 000402621 1056649 6903 I __ E/l OOOtL ~~ ~° ~ ~ ~ E ~ ~ ~ r,2~ N ~~ N O O ~O m ~W t~ T Q a c~ 0 a 1 co ', M 4 a m 3 ,__ ~ ~ W m a ~ a O •~ ~ ~ ~ ~ ~ ~ s ~ ~, C ~ J ~v ~(~ ~~ ~ ~ ~C~ ei ~ d° w '- .- .- ~ w II illl II I INI I NII I~ I ~N II I Iii ~ II II NII o C ~~ m ~ ~ ' m i 0 r ~ ~' - Q1 0 ~; r ~, ^ N N V, ~ ~.~~ ~ r ~ s ri ~ c '~'- ~ V ~ U !t i*.~ d A x ~ _ ~ 8 .~ a~ ~ - ~Cq~ N m SCHEDULE J COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SHORT CERTIFICATI I , GLENDA EARNER STRASBAUGH Register for the Probate of Wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on the 23rd day of October, Two Thousand and Nine, Letters of ADM/NISTRA T/ON in common form were granted by the Register of said County, on the estate of BENJAM/N D ROSAR/O late of UPPER FRANKFORD TOWNSH/P /firat, MkM/B Gaatl ~ in said county, deceased, to PATRIC/A A ROSAR/O Ifia~ MMaYa, [aaq and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 3rd day of May Two Thousand and Ten. File No. 2009-01001 PA Fi 1 e No . 21- 09- 1001 Date of Death 10/04/2009 S . S . # 105-24-4950 NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL