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HomeMy WebLinkAbout12-01-10 (2)1505610140 REV-1500 ~` ~°'-'°' PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number Po Box 2aosol 2 1 1 0 0 5 8 0 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 2 0 4 0 1 4 2 5 6 0 5 0 7 2 0 1 0 0 6 1 5 1 9 2 1 Decedent's Last Name Suffix Decedent's First Name MI S P O T T S M E L V I N L (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI N / A Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number R M A R K T H O M A S E S Q U I R E 7 1 7 ~ 9 6 _ ~1 0 0~ ~. rr-~ ~:7 REGIS S U NLY ~ ~--? ~ ~ First line of address ~ m cri ~ t '- ~; - r?' = . C-~ ~7 C7~-j© <~; C~ 1 0 1 S O U T H M A R K E T S T R E E T O -n n ~ 3 t j Second line of address ~ ~ t ~: + :~f" j City or POSt Office State ZIP Code ~ DATE FILED M E C H A N I C S BU R G P A 1 7 0 5 5 Correspondent's a-mail address: rmarkthomasCcD_gmail.com Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. S_ I~ OF P~w~E`RSON RE'~BLE FOR IL G RETUR~ / / ~ ~.T~ / / Q ADDRESS _" - • ="L. ~J L.J ' Side 1 1505610140 1505610140 J~ 101 SOUTH MARKET STREET MECHANICSBURG PA 17055 PLEASE USE ORIGINAL FORM ONLY 'REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 10 0580 DECEDENTS NAME MELVIN L. SPOTTS STREET ADDRESS 602 1/2 MAGARO ROAD CITY ENOLA STATE PA ZIP 17025 Tax Payments and Credits: 1• Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments - B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (1) 123.95 Total Credits (A + g) (2) 0.00 (3) (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference, This is the TAX DUE. (5) 123.95 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 income; ............................... ^ X^ c. retain a reversionary interest; or ................................................................................................ ^ d. receive the promise for life of either payments, benefits or care? ....................................................... ^ ^X 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ^ 0 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 contains a beneficiary designation? .................................................................................................. ^ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 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 [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 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 [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal 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 of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, undi Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 1505610240 REV-1500 EX Decedent's Social Security Number DecedenPs Name: M E L V I N L• S P O T T S 2 0 4 0 1 4 2 5 6 RECAPITULATION 1. Real Estate (Schedule A) ........................................... 1. • 2. Stocks and Bonds (Schedule B) ...................................... 2• 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) .......................... 4. • 5. Cash, Bank De osits and Miscellaneous Personal Pro e P p rty (Schedule E)....... 5. 4 8 3 4 . 8 7 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. • 7. Inter-vvos Transfers & Miscellaneous N n-Probate Property ~ (Schedule G) ~ S t Billi R epara e ng equested ....... 7. 8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 4 8 3 4 . 8 7 9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9. 1 2 4 1. 0 6 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ..... .... .... 10. 8 3 9. 4 6 11. Total Deductions (total Lines 9 and 10) ....................... .... .... 11. 2 0 8 0 . 5 2 12. Net Value of Estate (Line 8 minus Line 11) .................... .... .... 12. 2 7 5 4 . 3 5 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .............. .... .... 13. • 14. Net Value Subject to Tax (Line 12 minus Line 13) .............. .... .... 14. 2 7 $ 4 . 3 5 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x.o _ 0. 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate x .045 2 7 5 4. 3 5 1s. 1 2 3. 9 5 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17. 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0 0 0 18. 0. 0 0 19. TAX DUE .................................................. ....19. 1 2 3. 9 5 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Side 2 1505610240 1505610240 REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER MELVIN L. SPOTTS 21 10 0580 Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. id Penn Bank, checking account no. 870204 3,823.12 49 Union Street illersburg, PA 17061 2. ersonal Property 1,011.75 TOTAL (Also enter on line 5, Recapitulation) ~ S (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS - n~c ~~~mocrt MELVIN L. SPOTTS 21 10 0580 Decedents debts must be reported on Schedule I. ITEM _ _ - NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hoover-Boyer Funeral Homes -Millersburg 210.86 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: 2, Attorney Fees: R. Mark Thomas, Esquire 3. Family Exemption: (If decedents address is not the same as claimants, attach explanation.) Claimant Street Address ChY State ZIP Relationship of Claimant to Decedent 4• Probate Fees: 5 Accountant Fees: 6. Tax Return Preparer Fees: j 7. I Haar's Auction TOTAL (Also enter on Line 9, Recapitulation) I s If more space is needed, use additional sheets of paper of the same size. 500.00 115.50 414.70 .06 REV-1512 E:X+ (12-08) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8~ LIENS - - A E F FILE NUMBER MELVIN L. SPOTTS 21 10 0580 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 1. iscover, account number ending in 7766 . O. Box 30943 alt Lake City, UT 84130 2. PL Electric Utilities, account no. 97730-72020 27 Hausman Road Ilentown, PA 18104 3. erizon, account no. 7177322551322393Y . 0. Box 28000 ehigh Valley, PA 18002 4. omcast, account no. 09547-191345-02-9 TOTAL (Also enter on Line 10, Recapitulation) I S If more space is needed, insert additional sheets of the same size. 55.70 694.38 21.10 68.28 REV-1513 EX+ (01-10) Pennsylvania ~ SCHEDULE J DEPARTMENT OF REVENUE I BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: MELVIN L. SPOTTS ~~ ~n Haan 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 outtnn'ght spousal distributions and transfers under Sec. 91't6 (a) (1.2).] 1. Shawnee K. Magaro Lineal 0.33 576 Magaro Road Enola, PA 17025 2. Patty I. Reisch Lineal 0.33 20 Pine Street Millersburg, PA 17061 3. Kenneth L. Spotts Lineal 0.33 134 Main Street Stauchsburg, PA 19567 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ It more space is needed, use additional sheets of paper of the same size. ~ ~ November 8, 2010 R. Mark Thomas 101 S. Market St. Mechanicsburg, PA 17055-3851 Re: Estate of Melvin Leroy Spotts Date of Death: 5/7/2010 SSN: 204-01-4256 Dear Mr. Thomas: In response to your recent letter requesting information on the accounts of Melvin Leroy Spotts, I have accumulated the necessary data below: Account Name: Melvin Leroy Spotts Geraldine G. Spotts Account #: 870204 -Checking Account Date Opened: 10/21/1985 Balance DOD: $3823.09 Balance Accrued Interest DOD: $.03 Total DOD Balance: $3823.12 Date Joint Ownership Established: 10/21/1985 Account Name: Melvin Leroy Spotts Geraldine G. Spotts Account #: 900073 -Safe Deposit Box Date Opened: 10/3/2006 Date Joint Ownership Established: 10/3/2006 If you have any questions, please contact me at (717) 896-5381. Sincerely, Jessica Kerwin Deposit Processing Specialist 349 Union Street, Millersburg, PA 17061 1-866-6HAPPEN • 1-877-9HAPPEN • www.midpennbank.com Member FDIC fat e : k'+7-+c~S-L+~ 1 ~+ www haars. com HRRR' S RUCTION Settlement SHRWhIEE MRGA~+~ ~. ~ :,~-~ Seller: ~7G CN, F°RY EST ~iF MEL~'i~! SF~t~T-fS S76 MAGRRG 1~tD ENGL}=~ F`R 17+25 717-%+,:;c-824. Pace: Item liescription ---------------~----------- Pr~ice Get Y T o t a l - Pox IotS -------- - Pvx 1 Dt s 1 ~+• 25~+~ - TDwe 1 s 1 1 `. k"+w'~ - PDx I Dt 1 '~. ~~~~ - E1 o x I v t 1 1 S. +~+c+ 7. +c'++~~+ - TDOI IDt 1 1. 5~ - Pvx lot 1 '~''. ~~~"~'+ - R+_-gs and wagon Iot 1 ~'"=~~~ - T~_tb box lvt 1 ~.25~++~ - Pvx lat 1 2. ~~+ '-' PDiyl s 1 Ot 1 f ~+~ - Fabric lot 1 L7.'~'"~ - ~: o D I e r I o t 1 1 ~'+- '~'+~' - Pox 1 vt 1 ~'. ~~+ - P v x lots 1 ~+. L 1+~k-'+ - L~Ox 1Dt5 ~ ~~° ~=~~+k~l -' PDx 1 Dt 5 1 ~+• 2~k~~~ - Pax 1 vt s 1 ~•'~~+~+ - Eiox lat 1 ~"+. c=~~~~+ ~7ZSC lot 1 ~L.+c-1~+ - Gi I lamps lot 1 ~~° 2=``'~'~+ - Tr-~a i n I v t 1 '~ • ~'~'"~~"~~ - F` 1 a 5 t i C l O t ~ +~~ •'=,°-'IZt1G+ - Ei n x I D t 5 . e.: t=i ~' ~+ - r' .r_++L~'++L~ °- L~Dx ivt5, 1 +c+. t_S+L+i[i -- F` an s lot 1 ` . '~+'~' - Pax lvt 1 =-~+~+ - l;ia5 bDx lot 1 ~-+. ~~,,~~+~ - LDx 1Dt5 1 '_. ~~~ - Planket ivt 1 1. ~+'~' - F~ocker-stool 1 x+.25+Z+Q+ - Scare-crow-saw-vi 5e 1 7. +c'++Z+ - M11k Can 1 °`•'~+=+ - Stool 1 `~. ~~+ - t*1vt or i +~+. LJ+c~+k+ - F'vtt i e-Car-.1; 1 ~. 25k~~+ - Cane 1 1= ~~+ - Sweeper 1 l , +c~++[i - Fan i +~+.25~++~+ -'" UehUmadiTler' 1 =±, t~ilZa Labeler 1 `*a '~ '~' ' 1 II ! ~ u ~~ Y) U•at e : ~7-r~rg-~~'l~ www. haars. com HFiAR' S DUCT I Ohi Settlement SHr~WI~IEE fi1HtSr~RrS Seller: 576 CK F'NY EST OF i~IELVTI~i SRCiTTw 576 filt~Glyl~tt7 RD E~iCJLH F'A 17rc'+E5 ltem Uescrifltion - Table cloth - Table - End table - Wheel chair - Lamps - Stand - Stand - Lamp table= - Stool - Clamp light, planter - Lights - R+tg s - Glass top tables - Floor light - Floor light - Floor ligl-,t - Cedar~ Chest - Card table, L chairs - Stand - Snowman - Hamper - Hat rack - filaga~ine rack - H+_tmidil=ier - 1~1Cr~owave - Hedr~aOm 8+_ilt - Chair - Table and 4 c!-,air s - Walker - fit i r~r o r~ - Cabinet - Swivel r~acker - Recliner - fi~agaYine rack - t/hest of br~awer=_ - Rocker~ and stool - Chair - Chair - Chair - 'raids rocker~ - Fan - 3a~~y' wl"lee'lr'r"+alr Items: Commission at 4~. ~-~kr'/. 717-~+~~-$~~tb 4~1-54`5 Gage: F°r~ice --------- G~ty ------- Total ---- 1 ----- ~-. 65~+ 1 1. u~ 1 1. ~~ 1 1 ~. ~~ ~. ~5~~ 1 5. rc'rr~ 1 6. ~+~ i . r~rZr ~. ~~ 1 i . 5k 1 .3. rz+~- 1 r<'r. 75k ~ 1 1. 5u~ 6. ~1r<~ E 16. ~~ 1 +~.5~~~ i v+. ;~5~"~rvr 1 4r. ~~+ 1 1. u"r r7_+ 1 Wit. ~~'r 1 1. 5+t'r 1 c. ~~~ 1 ~~ , rt~r r~r ~. ~+. ~5rc'rrtr 1 ~ . LS+c'r+Zr v . ~r ~r i :~ ,_~ ~ . ~r rE~ _' L. _~~r 1 S5. r<'r~ 1 ~. +~k- +Zr. 5~rrrr~i 1. ~k"+ i 6. k'r~ 1 ~;. ~~r ~. 7 , k'~~ 1 5 ~. krrc"r ~. ~k 1 3`. +z+~ i `. +~~~ 1 C . Q+ri~ 1 6. +Z+~ J. rL+ , c ~ k"~ 65 i=tmo+_ini.: 1, ~+11.75 i{.iLi!}, 7 ~1 www. haars. com 5e}tiemen~t ~~el i er: 57G HAAR' 5 AUCT I C+{V SHAWhlEE 1*1i=+GA1~+~ CK FLAY E5T OF MEL~1Ii~1 5F~DTTS 575 1'~ACATQ FtD ENuLA F'A 1 7 +Z+~S FUEL SU~tCHARGE 4~1-54L5 717-43c-t~`4t F~age : ,~ i ~+. +~~+ Less ad.js-~stments: -414.7+c~+ i+.l e t d +_t a ~; o s e i i e r: 5'~ 7. +Z+S ~ww. haars. com !-IAAf~' S AUCTI+~I~I 717-435-~+E~+S SELLER: Hoover-Boyer Funeral Homes -Millersburg .rii$ S~Maricet St. Millersburg, PA 17061 Phone: 717-692-3298 Agreement No: 4256 STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED/PURCHASE AGREEMENT Date of Birth: 06/15/21 Date of Death: 05/07/10 Date of Service: 05/13/10 Name of Deceased: Melvin L. Spotty Deceased Last Address: 602 1/2 Magaro Road Enola, PA 17025 Charge to (Buyer) Name: Shawnee Magaro Buyer's Address: 602 1/2 Magaro Road Enoia, PA 1/UGH 55N: Phone: 350-1673 In this Agreement the words you and your refer to the Buyer and Co-Buyer, if arty, signing this Agreement. The words we, us and our refer to the Funeral Provider or Seller whose name and address appear above. For good and valuable consideration, which each party acknowledges receiving, you agree to buy the goods and services described below. You authorize us to prepare and care f~ the body of the decedent named in this Agreement and to conduct the funeral and services and incurred the charges I'~sted in said agreement. We have the right to coVect the total amounts due under this Agreement from arty person who signs this agre~nent as buyer ar Ca-buyer. Charges are ony for those items that you selected or that are required. ff vre are required by law or by a cemetery or cxerrratory to use any items, we will explain the reasons in wring bekrw. H you selected a funeral that may require embalming, such as funeral with viewing, you may have to pay for embalming. You do not have to pay for embarning you did not approve if you selected arrangements such as direct cremation or immediate burial. If we charged for embalming we wan explain why below. SECTION I SERVICES AND MERCHANDISE Funeral Director and Staff Services Other Taxable Items $0.00 Minimum Professional Service Fee $1400.00 Direct Cremation $0.00 Immediate Burial $0.00 Forwarding Remains $0.00 Receiving Remains $0.00 Care and Preparation of Remains Embalming _$500.00 Refrigeration $0.00 Other Preparation $200.00 Use of Facilities and Related Staff Charges Visitation $400.00 Funeral Ceremony $400.00 Memorial Service $0.00 Graveside Service $0.00 Other Use of Facilities and Staff $0.00 Transportation Transfer Remains to Funeral Home $250.00 Funeral Vehicle ~r-rCRI~iE) $_300._00 Family Vehicle $0.00 Flower Car $0•~ Service Vehicle $0.00 Additional Transportation $0.00 Lead Car $100.00 Other Non-Taxable Items Open/Close Grave 0t41 c0.~tt'C $350.00 Funeral luncheons 1<00~ ySa.b~ O~.t+rsc".i tao $558.62 _ Monument inscription ~{K p~p_ $130.00 Donations Ha~toa GvwF•o $50.00 Other Goods and Services Memorial Booklet $50.00 Service Folders/Cards $50.00 Acknowledgment Cards $0.00 Memorial Package $0.00 Flowers $0.00 Shipping Container $0.00 Cemetery $0.00 Crematory $0.00 Monuments, etc. $0.00 $0.00 $0.00 $0.00 Merchandise Casket:/Ceremonial. Casket $2200.00 Alternative Container $0.00 Outside Enclosure $0.00 Urns and Vases $0.00 Cioth(ng $0.00 Ceremonial Casket $0.00 Total Section Y $6938.62 SECTION II CHARGES TO BE INCURRED BY US ON YOUR BEHALF (Certain charges my be estimated - "e means estimated") Crematory $0.00 . Cemetery $0.00 Obituary Notices (1) Patriot News $312.31 Obituary Notices (2) $0.00 Obituary Notices (3) $0.00 Flowers $185.10 Escorts $0.00 Certified Copies $30.00 Public Transportation $0.00 Outside Funeral Director's Expense $0.00 Musicians or Singers $75.00 Vault Installation $0.00 Clergy/Religious Facility (i) ~ppM~ $100.00 Clergy/Religious Facility (2) -(Qd.~.t $100.00 Hairdressing $0.00 Permits $0.00 Other Custodian $80.00 Total Section ii $882.41 We may charge you for our services in obtaining these items. SECTION III TAX Local Tax $0.00 State Tax $0.00 Total Section iii $0.00 FUNERAL CHARGES $7 21.03 DISCOUNT AMOUNT Caw-'i~t VA $100.0 TOTAL FUNERAL CHARGES $7721.03 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 SPOTTS MELVIN LEROY Estate File No.: Paid By Remarks: 2010-00580 SHAWNEE MAGARO DM ------------------- Fee/Tax Description PETITION LTRS TEST WILL SHORT CERTIFICATE JCS FEE AUTOMATION FEE Check# 2913 Total Received......... Receipt Date: 6/07/2010 Receipt Time: 11:00:57 Receipt No.: 1061397 Receipt Distribution ------ ------- -------- --- Payment Amount Payee Name 45.00 CUMBERLAND COUNTY GENERAL FUN 15.00 CUMBERLAND COUNTY GENERAL FUN 12.00 CUMBERLAND COUNTY GENERAL FUN 23.50 BUREAU OF RECEIPTS & CNTR M.D 5.00 CUMBERLAND COUNTY GENERAL FUN ---------------- $100.50 $100.50 b''~ y ~~~ '1 - Upemng Uate: March 2U, 2U 1 U - ~losmg Uote: AprF1 19,1U I U t See transaction detail for a description of any fees page i or ~ Payment Information ~ '~ L{ New Balance /7~,, ~ WtA~.- $67.44 Minimum P eat Due C C Pa eat Due Date ay 14, 2010 Late Payment Warming: If we do not receive your minimum payment by the date listed above, you may have to pay a late fee of up to $39.00 and your purchase APRs for new transactions may be increased up to the Defauh APR of 16.249'° variable. Manage Your Account Online at www.Discover.com • Securely access statements and free online tools, pay bills online and track and view all transactions simply and easily • Make your money worth morel-find easy ways to earn and redeem cash rewards • NEW! Access your account securely through your mobile phone 3 Easy Ways to Contact Us 1. Access your account securely at voww.Discover.com 2. Call 1-800-DISCOVER (1-800.347-2683 Please have your Discover®card availab e. 3. Write to us at Discover, PO Box 30943, Salt Lake City, UT 84130 For TDD (telecommunications Device for the Deaf) assistance, please call 1-800-347-7449. GgShbaCK SOnUS` Anniversary Month October O ening Cashback Bonus Balance $ 1 1.58 0 0 P New Cashback Bonus This Period + Cashback Bonus Balance $ 11.74 To learn more, log in at www.Discover.com and select Re Transactions Trans. Post Date Date Payments and Credits Apr 7 Apr 7 PAYMENT -THANK YOU $ -58.02 Merchandise Mar 18 Mar 20 ESI*MAIL PHARMACY T2 86 6-DODTMOP AZ 5.00 66387652 Apr 5 Apr 5 ESI*MAII PHARMACY T2 86 6-DODTMOP AZ 62.44 67452688, Finance Charge Summary Nominal C>fher Average Daily ANNUAL ANNUAL Periodic Fee Daily Periodic PERCENTAGE PERCENTAGE FINANCE FINANCE current billing period: 31 days Balances Rates RATES RATES CHARGES CHARGES Purchases $0 0.03079% 11.24° V 11.249'0 $0 $0 Cash Advances $0 0.065739'0 23.9990 V 23.99q° $0 $0 V =Variable Ra#e See reverse side. DISClVER PPL Electric Utilities Electric Service ,~~~ .'.~.~: , •:. ._ ..._ pp • - .;•, ., ~, Page 3 ~:$ ~:~~ - 97730-72020 ::: 13~ Ott mar ttHi~_ - Total from Last Bill $2200 Payment Received Apr 27 -Thank You! $222.00 Big Details MELVIN SPOTTS 602-1/2 MAGARO RD ENOLAPA 17025 Balance as of Ma 19, 2010 y $0.00 Current Charges PPLElectric Utilities Charges for -PPL ELECTRIC UTILITIES Residenfial Rate: RS for Apr 20 -May 19 Customer Service 827 Hausman Rd Distribution Charge: Allentown, PA 18104-9392 Customer Charge Z00 KWH at 2.90600000 er KWH ¢ p 8,44. 5.81 1-500-342-5775 590 KWH at 2.64000000 er KWH ~ ¢ p 15.58 (1,800-DIAL-PPL) PA Tax Adj 5urchazge at O 10300000% Transmission Chazge: 0.03 www.pplelectric.com 790 KWH at 0.31600000¢ per KWH 2.50 Transition Charge: 200 KWH at -0.25200000¢ per KWH -0.50 590 KWH at -0.22300000¢ per KWI3 -1.32 Generation Chargge: C i d ty an apac Ener 200 KWH at 10~ I3300000¢ er KWH 20 27 p 590 KWH at 10.13300000¢ er KWH PA Tax Ad S h t 0.1400000% . 59.78 j urc - azge a -0.01 Total PPL ELECTRIC UTILITIES Chazges $110.58 Your Budget Pian Amount $222.00 Account /Balanc~ 1,~' ~C $222.00 /~' Z~. General Bu_dgget Summary: Information V1Te billed you $942.00 Including this bill, you used 1,382.83 Next meter After this payment, your budget is behind $440.83 reading b t on or a ou Jun 18 Generation prices and charges are set by the electric generation supplier you have chosen. The Public Utility Commission re~~((ates distribution ricer and services The Federal Ener Re t l ~Co i i l . gy gu a ory mm ss on regu ates transmission prices and services. PPL Electric Utilities uses about $1.04 of this bill to ppay state taxes. In addition, about $13.09 of this bill pays the PA GrosslZecelpts Tax For our convenience, you can now ppay your bill using your Visa, Mas~erCazd Discover or ATM C d Call BillM t i t 1 672 800 2413 , , az a r g a - - - . BiillMatria will charge your credit and ATM card a service fee for making this payment. Before diggin around your home or property, you should always call the state's One Call notification system to locate any underground utility lines. You can do this by simply dialing 811, which will connect you to the One Call system. Be safe and call 81I before you dig. With pa~perless billing, you can receive and pay your PPL Electric Utilifies bills onrine. The process is free, quick, convenient and secure. To learn more or sign up, visit www.pplelectric.com. ~' ; ~ ~` •,. ; .~__ PPL E ectric pp ~==: .;., Utilities '~ Electric Service For: MELVIN SPOTTS 602-1/2 MAGARO RD ENOLA PA 17025 Final Bill Questions about this bill? Please -" contact us by Jun 30 at 1-800-34Z-5775 (1,800-DIAL-PPL) .. or write to: Customer Service 827 Hausman Rd. Allentown, PA . 18104-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual . Adjusted Estimated Customer Q Page 1 97730 72020 ":~. Summary Page Balance as of Jun 9, 2010 $0.00 Charges: Total-PPL ELECTRIC UTILITIES Charges $472.38 Total Charges $472.38 Account Balance 120 100 80 60 40 ZO 0 KWH -Average Per Day $472.38 (P 1 `1 1 C~ ~S~ Meter Reading Information Meter #84571146 Jun 8 Actual May 19 Actual 20 Da s KWH Billed 25389 25190 199 Average -Jun 2009 2010 Temperasure 66F 71 F KWH Per Day 35 10 Yearly Use: Total Average Use Monthly Ju12008 -Jun 2009 18555 1546 Ju12009 -Jun 2010 18886 1574 JJASONDJFMAMJ 2009 Months 2010 .per Other im ortant information on hay-' .otition P .,pion regulates Manage Your Account Phone Number Account Number Billing Date ~h My Account at verizon.comfbillview 717-732-2551 717 732-2551 {323 93Y 6/3/2010 - __ _ _ ._. Verizon News ___---- Check Out Our New Bundles! Call 1-888-226-8139 to find out about new bundles and features for Verizon customers. ,Make sure you are getting the best value for your TV, Intemet and Phone services. We can help you choose the combination of services that's right for your needs. MOVING? Call 1-866-VZMOVES Before you move, call Verizon so we can set up your TV, Internet and phone in your new home, hassle-free and often on the same day. Plus, ask about our great new money saving bundle offers. Don't wait. Call ahead! 1-866-VZMOVES. Service availability varies. Verizon Foundation Looking for homework help? Help with school projects? Thousands of FREE educational resources are available for students, parents, and teachers at Thinkflnity.org Quick Bill Summary for MELVIN SPOTTS Previous Balance $25.16 No Payment Received $.00 Balance Forward 525.16 New Charges Voice Services (See pg 3) -$3.25 Taxes, Fees & Other Verizon Charges -$.81 Total New Charges _-54.06 Total Amount Due -Please Pay Now ~ $21.10 Revised Final Bill Pay your bill online at Verizon.com/payfinalbill To avoid referral to an outside collection agency, the full amount is due upon receipt ~~~(~o~~o ~~ ~- ~-5 i 4 Direct Payment Enrollment ;Online Billing & Payment Questions about your bill? _ _ _ venzon.com/blllpay ~' verizon.com/billview ~ verizon.com or 1-8110-VERIZON (1-800-837-4966 Comcast. Service Details Contact us: ~ www.comcast.com 717-540-8900 Account Number 09547191345-02-9 Billing Date 06/14/10 Unpaid Balance $143.21 New Charges 93 Total Amount Due .28 Payment Due by 07/07/10 Page 2 of 2 _ ,,,.,.. Because we had already billed you when you made the latest change(s) to your account, we have adjusted this bill. Listed in this section are credits and/or charges for the change(s) you requested. Effective 06/01/10, you removed Limited Basic at $8.70 per month and Expanded Basic at $47.25 per month. Adjustments for previously billed services removed 06/01/10 Limited Basic 06/01 - 07/09 -11.02 39 days @ $0.2826/day based on a monthly rate of $8.70 Expanded Basic 06101 - 07/09. -59.85 39 days @ $1.5346/day based on a monthly rate of $47.25 Total Partial Month Charges 8 Credits -$70.87 .,.',° TV FCC Regulatory Fee 06101 - 07/09 -0.16 Franchise Fee 06/01 - 07/09 -3.90 Total Taxes, Surcharges 8< Fees -$4.06 /a r~ `-~I ~ ~3