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HomeMy WebLinkAbout01-07-11 (2) 15056051058 REV-15 0 0 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes Po sox 2aosol Coun Code Year ~' _ ___._._._..._..___._, INHERITANCE TAX RETURN -~~~~-~ File Number ___.__._._.._..___._..._._.___._.___...._.__.. Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth /'~1~ j /~ f4 1 /~' / Q Decedent's Last Name Suffix Decedent's First Name MI ----- __ .~ _.... ,...._----._ .._....__ -----..__..1-__._ .-------._..._...---- s~c~~~t~~~ ----- ~ ~ ~ ~~ I r?~ N~1 ....,-, (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI i ~ .. -- Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW i 1. Original Return (~ 2. Supplemental Return ~ 3. Remainder Return (date of death C~ 4. Limited Estate C~ 6. Decedent Died Testate (Attach Copy of Will) Q 9. Litigation Proceeds Received C~ 4a. Future Interest Compromise (date of death after 12-12-82) © 7. Decedent Maintained a Living Trust (Attach Copy of Trust) © 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) prior to 12-13-82) C~ 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes C) 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Firm Name (If Applicable) _~~ , ~ t -- REGISTER OF WILLS~E_ONLY µ _'T i ,...1~ ~.l~ `tom' ~ -~~1 ~ L`: ~ ; . First line of address ,` ~: f :r Second line of address ; -. `.~.-~' C`~ City or Post Office State ZIP Code I uAit r~e~u •~ __...._.__.._._.__ --------- r ----......_ ~ __. e. _._....._..----- _------l----°--..__....._ Correspondent's a-mail address: 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. BLE FOR FILING RETURN DATE f.'rt ~, ~.... ~ ,::. ~.. 1_. ~~ 1 ~~)z A PAS ~2t ~~ ~~~:~6=~~11~~ i,~ ~~t2rr'; P~ ~~7~'~~~°' SIGNAT OF PREPARER OT THAy~PRESENTATIVE ~ DATE ~~.~"~ ~ i~~?>~t.s' L-~ ~- ~? 1.~. ~' dom. {21 i/ L ~ ~ 1~ L.._ i 5 i_. i..- ~i~ ~ ~ ~ ~ ~ PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 J 15056052059 REV-1500 EX Decedent's Social Security Number _.____~~ -- Decedent's Name: r j ~~~ "~~ ° ~~jC.j~ RECAPITULATION 1. Real estate (Schedule A). .........:. ................................. ~ ,. _____ ~~-; z~-a. ~~ 2. Stocks and Bonds (Schedule B} ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages 8< Notes Receivable (Schedule D) ............................. 4. 5. Cash, Bank Deposits 8 Misce-laneous Personal Property (Schedule E) ........ 5. G, 2 ~ ~ ~ '~-- ~ a~i 6. Jointly Owned Property (Schedule F) ©Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property -`~'"~r'-"`~~~ (Schedule G) t~ Separate Billing Requested........ 7. 8. Total Gross Assets (total Lines 1-7) .................................... 8. c~` l Z~4-. 9 3 9. Funeral Expenses 8 Administrative Costs (Schedule H) ..................... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................ 10. ~ 1 ~ ~ ~-~ ~ ~ 11. Total Deductions (total Lines 9 & 10} ................................... 11. w _ ~ ~ ~ ~p "] '7 ,~ 7~ 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. ~~„ ~ -? -~ ~, ~~ ""`~'"""'°"-""`°'~'r'° 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. .~ -- ~}- , ~ ~ ~ ~• % ~ TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 "`~~-`~`' (a)(1.2) X .0 _ 16. Amount of Line 14 taxable _ at lineal rate X .0~~ 7 ~ S 7 "7r ~~ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 16. ~ ~ r 17. r------------- 18. 19. TAX DUE .........................................................19.E ~ ~ a `~ ._~___~__1____~_.-..~__ 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 15056052059 REV-1500 EX Paae 3 Filc AI~~mF~nr Decedent's Complete Address: f... ....._.._.. _ _-. --- _. _.... ~ _._..~...~~.~ ~...ry.,v~..... ~~,..:,.. _~..._:._....,._.~_.~.__.......__._..s DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER STREET ADDRES~ ~ ~ ~ ~ ~ ~ ~ ~~~ CITY STATE ZIP Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 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. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) Make Check Payable 1~0: 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 : ............................................ ^ '~ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "in trust for" or payable 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? ........................................................................................................................ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)J. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent (72 P.S. §9116 (a) (1.1) (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 twenty-one 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 zero (0) percent [72 P.S. §9116(a}(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (11-OSj ~ ~, Pennsylvania SCHEDULE A DEPARTMENT OF REVENUE ' REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT __ ___ ESTATE OF FILE NUMBER All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. If more space is needed, insert additional sheets of the same size. REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH W ~ fV e %~~-r,I ~"~. ~ ~~ 14-C~ :Z ~}-- fit- ~ 2- cs~ g ; `7~ ~~~-" ij ~ ~ I DES i ~~ `~ lV ~+ 1'~- L ~.~ bZV~ I C:~ ~~ ill' 1~1 !~ ~ . I t~ F ~ t=`' ~~"" ` ~- ~ I~/v 5 ~ .~ N ~t,.>I 2 ~ tv C' .~- ~ ~ ~t,p 1'~1 ~ I i'ir~ c~ A ~3 C...C ~r~c~ '~f2 ~l~iv~¢ t~ /~-J~1 ~ ~~ ~ C.i N 1~. i . ©7 ~~ ~~ ~ . ~~ ~r TOTAL (Also enter on line 5, Recapitulation) $ I ~ L. ~ ~ "7 ~ dS~ (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (10-06) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t . ~1 f-~L~~~ Z Z 1 ~ N ~ ~A L ~ t~"1 t'= ~ : ~ ~ ~ ~' 77 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip _ _ Year(s) Commission Paid: 2. Attorney Fees L 1 T\~~.`j~~j ~ _ ~~~ .2~ ~ ~~~ , ~ ~ .. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address - ------------- ---- ------------_ -------- ----- City State Zip _ --- Relationship of Claimant to Decedent 4. Probate Fees ~ ~ ~ ' ~ ~ 5. Accountant's Fees .___. 6. Tax Return Preparer's Fees 7. Cwt ~ ~~Tt s F~c-T-i r ~~ c ~ a~~ i i., 'E~ {~ ~ ~iV Z.7 i i C ~ ~ St~hi ~ ! N ~ L ~„ i ~ . ~j--U 7~• ~ 9. -='N ~ ~~~ r ~,~- tv Cam- ~~x ~ t ~~~ h ~ ~ ~ .., i ~ , a~ TOTAL (Also enter on line 9, Recapitulation) $ ~ C ~ ~ ~ (~ 7 (If more space is needed, insert additional sheets of the same size) REV-151 EX+ {12-OS) .~~.~rf~~: SCHEDULE I .:. ~ ~ pennsylvania 1 DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER 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 ~', INAS~ ~iK1 ~~~ ~_ P~"i~~.1~1 ~ S~'~~~ ~~~' ~ •~+ 4 ~~' 7, c7o S J1n A s /wry /may 1\ TOTAL (Also enter on Line 10, Recapitulation) I $ ~ ~- ~ (~ ~ If more space is needed, insert additional sheets of the same size. REV-1513 EX+ ;11-03) ~~~ ~ pennsylvania SCHEDULE J DEPARTMENT OP REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] So °~ ~! ~ C ~-i r~1 r~l t C `~ ~t 12 ~ p~ 1 `7 ~ ~ ~~ ~~'? -'~I II ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, insert additional sheets of the same size. LAST TALL AND TESTAMENT OAF' RODNEY E. SL©T~~`R I, Rodney E. Slother, currently of 2614 Mill Road, Grantham, Pennsylvania, Cumberland County, P.O. Box 174, 17027 being of sound mind and memory write and declare this as my Last Will and Testament. Any former wills and or codicils are made null and void. First of all, I declare my oldest son., Ryan, as Executor of m_y estate. If he is unwilling or unable to serve in this capacity, then I appoint my younger son ,Luke, as Executor. He is to see that the expenses of my last illness and burial are paid as soon as practicable after my decease. These expenses are to be paid from the proceeds of my insurance policies. Funeral is to be at Beezer-Heath in Philipsburg, PA. It will be a private funeral, no large expense. I desire the pastor of Lanse Evangelical Free Chwrch, Lanse, PA to bring a salvation message. Burial will be in Philipsburg Cemetary where I have purchased a burial plot. I leave all my worldly possessions solely to my two sons, being Ryan Eric Slother, and Luke Jason Slather, to share and share alike. My desire is that the house would remain for my sons. However, if it should become a burden to them; they should sell the house and the money be divided equally. My ~- wife, former Lois J. Watts, is not to come on the property at any time. IN WITNESS ~F: This is my Last Will and Testament. signed on this ~ day of. ' ~ .~~ , ;w , 2003. o. . ~~ .~-' (seal) Witnessed by : ~~~~ j~l~:. .~ Notarial Seal Jay M. Zimmemran, Notary Public Upper Allen Twp., Cumberland County My Commission Expires Mar. ~ 6, 2006 Member, Pennsylvania Assoaation Ol Notaries ~o...v..~.:o....- REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA No . 2010- 00730 PA No . 21- ~ 0- 0730 Estate Of : RODNEY E SLOTHER (First, Middle, LasiJ Late Of : UPPER ALLEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No : 160-30-9606 WHEREAS, on the 19th day of July 2 010 an instrument dated December 9th 2003 was admitted to probate as the last wi11 of RODNEY E SL O THER (First, Middle, Last1 late of UPPER ALLEN TOWNSH/P, CUMBERLAND County, who died on the 8th day of June 2010 and, WHEREAS, a true copy of the will as probated i s annexed hereto . THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wi 11 s in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I .have this day granted Letters TESTAMENTARY to: R YAN E SL O THER who has duly qualified as EXECUTOR(R/XJ and has agreed to administer the estate according to law, all of which fully appears of record in my office a t CUMBERLAND COUNTY COURT HDUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 19th day of July 2010. r ,. ~ r ~ l ;~ ~ i Register of Wills } i 1 '~'{~~ '~ t ~ ~C~~ Deputy COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SHORT CERTIFICATE 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 19th day of July, Two Thousand and Ten, Letters TESTAMENTARY in common form were granted by the Register of said County, on the estate of RODNEY E SLOTHER late of UPPER ALLEN TOWNSH/P (First, Middle, Last) in said county, deceased, to RYAN E SLOTHER (First, Middle, Last) and that same has not since been revoked . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office a t CARLISLE, PENNSYLVANIA, this 19th day of Jul y Two Thousand and Ten. Fi 1 e No . 2010- 00730 PA Fi 1 e No . 21- 10- 0730 Date of Death 6/08/2010 S . S . # 160-30-9606 a ,~, ~- Register Of Ills ~ /~ /? /1 NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: August 20, August 27, and September 3, 2010 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. ,..----- isa arie Coyne, Ed~ or SWORN TO AND SUBSCRIBED before me this 3 of September, 2010 Notary 8lother, Rodney E., deed. Late of Upper Allen Township. Executor: Ryan E. Slother c/o Lindsay D. Baird, Esquire, 37 South Hanover Street, Carlisle, PA 17013. Attorneys: Lindsay Dare Baird, Esquire, 37 South Hanover Street, NpTARlAL SEAL Carlisle, PA 17013, (717) 243- 5732. DEBORAH A COLLINS Notary Pubiic CARLISLE BOROUGH, CUMBERLAND GOUNTY My Commission Expires Apr 28, 2414 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tames Kleinklaus, Director of Sales and Marketing, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13,1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): August, l3, August 20 and August 27, 2010 COPY OF NOTICE OF PUBLICATION .:::EXECUTOR'S NOTICE L~tterS Testarhentary on the Estate of R4DNEY E. SLOTMER, fate of Uppbr Allen Township, Cumberland County, Pennsylvania, deceased, have heart grantedto the undersi~ryed, All persons knowing hfemsehres to be irtsiebted to said Estate wiU make payment immediately, gnd thOSe having claims will present them for settlement to: Ryyan E, Sksttter, Executor c% t.Mdsay D Baird E a Lindsay Dare Baird, EsgW~e 37 South Hanover Street Carlisle, PA;17013' (717j 243-5732 37 South Hanover StreaQu e carNele, PA 1ro13 (7.17) 243-5732 Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication are true. ~' '~j~~''" ''- ,, ~ ~. ~•~ `-° ~`` Sworn o and subscribed before me this Notary Public My commission expires: NOTARIAL SEAL BAMBI ANN HEGKENOORN Notary Pubitc CARLISLE BOROUGH, CUMBERLAND CNTY My Commission Expires .Ian 27, 2014 u niuQ tin ~~n~_n~ac A. B. TYPE OF LOAN: U.S. DEPARTMENT OF HOUSING 8 URBAN DEVELOPMENT 1.~FHA 2. FmHA 3. QX CONV. UNINS. 4. QVA 5. QCONV. INS. SETTLEMENT STATEMENT 6. FILE NUMBER: Y - 14- I -R 7. LOAN NUMBER: 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are, shown. Items marked "(POCJ" were paid outside the closing; they are shown here for informational purposes and are not included -n the totals. 1.0 3/98 (LEMOYNE-2614-MILL-RD.PFD/LEMOYNE-2614-MILL-RD/14) D. NAME AND ADDRESS OF BORROWER: Lemoyne Land Corp., Inc. 319 South Third Street, P.O. Box 31 Lemoyne, PA 17043 E. NAME AND ADDRESS OF SELLER: Rodney E. Slother Estate by Ryan E. Slother, Executor 1002 Apple Drive Mechanicsburg, PA 17055 F. NAME AND ADDRESS OF LENDER: Centric Bank 4320 Linglestown Road Harrisburg, PA 17112 G. PROPERTY LOCATION: 2614 Mill Road Grantham, PA 17027 H. SETTLEMENT AGENT: 23-2083639 Kerwin & Kerwin I. SETTLEMENT DATE: December 28 2010 Cumberland County, Pennsylvania Tax Parcel No. 42-31-2151-089 PLACE OF SETTLEMENT Re/Max Realty - 3425 Market Street Camp Hill, PA 17011 , J. SUMMARY OF BORROWER'S TRAN ACTION K. SUMMARY OF ELLER'S TRA N ACTIO N 101. Contract Sales Price 71,500.00 401. Contract Sales Price 71 500.00 102. Personal Pro ert 402. Personal Pro ert , 103. Settlement Char es to Borrower Line 1400 1,901.75 403. 104. 404. 105. 405. 106. Sewer Bill 12/29/10 to 01/01/11 3.65 406. Sewer Bill 12/29/10 to 01/01/11 3 65 107. Count Taxes 12/29/10 to 01/01/11 4.38 407. Count Taxes 12/29/10 to 01/01/11 . 4.38 108. School Taxes 12/29/10 to 07/01/11 877.83 408. School Taxes 12/29/10 to 07/01/11 877.83 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 74,287.61 420. GROSS AMOUNT DUE TO SELLER 72,385.86 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. De osit or earnest move 5,000.00 501. Excess De osit See Instructions 202. Princi al Amount of New Loans 57,200.00 502. Settlement Char es to Seller Line 1400 144 8 99 203. Existin loan s) taken sub'ect to 503. Existin loan s taken sub'ect to , . 204. 504. Payoff of first Mortgage 205. 505. Pa off of second Mort a e 206. 506. 207. 507. 208. 508. 209. 509. 'ustments or terns n ai a er 'ustments or terns n ai a er 210. Sewer Bill to 510. Sewer Bill to 211. Count Taxes to 511. Count Taxes to 212. School Taxes to 512. School Taxes to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PA/D BY/FOR BORROWER 62,200.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 144 8 99 300. CASH AT SETTLEMENT FROMITO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER: , . 301. Gross Amount Due From Borrower Line 120 74,287.61 601. Gross Amount Due To Seller Line 420 72 385 86 302. Less Amount Paid By/For Borrower (Line 220) ( 62,200.00) 602. Less Reductions Due Seller (Line 520) , . ( 8 144 99 303. CASH (X FROM) ( TO) BORROWER TF,.~. ...d..- .......,~ t...-.t,.. ~-~------~--'-- ------' - - 12,087.61 - - - - 603. CASH (X TO) ( FROM) SELLER - - - . , 64,240.87 _ _--__._.~..__ .._.__, __...._...,,,.y„ ,,,,,,,,,,,,,, a ~ ~~~,y ~, Nayca ~«~ ~~ ~~~~~ siaiemern a any atracnments rererrea to nereln. Borrower Lemo Seller yan . S he Estate of Rodney E. ael L. Coons, President S her tate HUD-1 (3-86) RESPA, H64305.2 700. TOTAL COMMISSION Based on Price 7 ° PAID FROM PAID FROM Division of Commission Tine lOO aS FOI/OWS: BORROWER'S SELLER'S 701. $ 1,725.00 to RE/MAX Realty Associates, Inc. FUNDS AT FUNDS AT 702. $ 2,145.00 t0 Heritage Real Estate Group SETTLEMENT SETTLEMENT 703. Commission Paid at Settlement 3,870.00 704. to Note: Line 701 Includes Adjustment of 295.00 For Transaction Fee . tT ITH 801. Loan Ori ination Fee % to 802. Loan Discount % to 803. Appraisal Fee to 804. Flood Certification to Centric Bank 19.00 805. Wire Transfer Fee to Centric Bank 25.00 806. Mort a e Ins. App. Fee to 807. Assumption Fee to 808. Flood Certificate 809. 810. 811. .ITEM RE UIR D Y ENDER T BE PAID IN ADVAN E 901. Interest From 12/28/10 to 01/01/11 @ $ /day ( 4 days %) 902. Mort a e Insurance Premium for months to 903. Hazard Insurance Premium for 1.0 ears to 904. 905. P I R 1001. Hazard Insurance months $ er month 1002. Mort a e Insurance months $ per month 1003. Sewer Bill months $ er month 1004. Count Taxes months $ er month 1005. School Taxes months @ $ per month 1006. months $ er month 1007. months @ $ per month 1008. months $ er month .T 1101. Record Ri ht of Wa Amt to Recorder of Deeds 54.50 1102. Attorne 's Fees to Baird Law Office 425.00 1103. Surve to Charles Junkin's Surve or 1,150.00 1104. Attorne 's Fees to 1105. Document Pre aration Deed to 1106. Nota Fees to Kerwin & Kerwin 20.00 1107. Attorney's Fees to includes above item numbers: 1108. Title Insurance to Stewart Title Guarant Com an 690.75 includes above item numbers: 1109. Lender's Coverage $ 57,200.00 11.10. Owner's Coverage $ 71,500.00 690.75 1111. Endorsements 100, 300 and 8.1 to Stewart Titie Guaranty Company 150.00 1112. Incoming Wire Fee to Mid Penn Bank 10.00 1113. Closing Service Letter to Stewart Title Guaranty Company 75.00 1 M 1201. Recording Fees: Deed $ 62.00; Mortgage $ 80.00; Releases $ 142.00 1202. Ci /Count Tax/Stam s: Deed 715.00 Mort a e 715.00 1203. State Tax/Stam s: Deed 715.00; Mort a e 715.00 1204. Assi nment of Rents to Recorder of Deeds 35.00 1205. Sewer Bill pd. 10/1-12/31/10 to Recorder of Deeds POC:S112.00 1 N TT T H 1301. Surve to 1302. Pest Ins ection to 1303. Overni ht Fees/Posta a Fees to U.S. Postmaster 20.00 1304. Deed to Tri-Count 15.00 1305. 2010 School Taxes to Dennis Zerbe, Treasurer 1,915.49 1400. TOTAL SETTLEMENT CHARGES Enter on Lines 103, Section J and 502, Section K 1,901.75 8,144.99 By signing page ~ of mis statement, the slgnatones acKnowleage receipt or a cvmpletea copy or payC c v. uus ~wv Nayc aiatcniciu. Certified to be a true copy. Kerwin & Kerwin Settlement Agent ( LEMOYNE-2614-MILL-RD I LEMOYNE-2614-MILL-RD / 14 ) RM 100472-0900 ~''~ BA1~K Your account w as DEBITED for the following reason: ^ Check # __ posted on ® Closed account 5140244528 encoding error posted to incorrect account Branch adjustment (branch name) Service charge error Other: Account Number ---~ File ID 5140244528 THE ESTATE OF RODNEY E SLOTHER 2614 MILL RD PO SOX 174 GRANTHAM, PA 17027-0174 AMOUNT $ s, ass . ~5 040 PNC Bank, National Association FOR BANK USE ONLY Branch #/Dept. # Date 0000115 06/15/2010 Prepared By (PRINT Name) ,~thorized By •~ AMANDA L I ~ ~ ~'~ __ o C,U~TU " ER RECEIPT -RETAIN FOR YOUR RECORDS y ,... `~ C1 ~B s ~:0 2 20000 4 6~: ~ 700 20 L 9 9 2 60 4 711' W E Z W ~ O ~ N V ~ w = ~ ~ ~ W Z ~ ~ ~ a a ~ z ~ u.. W ~ W U > ~ o W o N ~ O W o o ~ U ~0 \ N W 0 o I` N O N N 00 ~ N ~ \ o (A 0 0 ~ o W A ~ ~ L[1 00 CG Z J J LL Q W U Q (~ 00 y - W '"~ W r O C.1 ~ H W ~ Z o Q ° I- ~ O W N Q o U C4 O O act o Z Q~ Z S Z 2 - c ~ Y ~-+ W W ~ T {-- O V W V F- F- Z N G W H W~ N V1 O 2 Q 2 O } } F- 07 W A v A v LL. N N Z O ~ W ~ U Ca O Z V F- ~ V Z LL. Q ~ w o ~ Z U O V F- ~ Q Z 1- ~ ~ D O H W E ~' J Q U J W Z Q '~ O O G ~ ~ O 4' ~ W O Y ~"~ U M Z U O W ~0 N ~ ~ = O~ ~ ~ W V O ~ O ~ J., .. " fi' ~~ ~ r' / ,~ 1J. ~ ~ ~, vr~. . r~ ~ . ; ~ . ~~ , ~ c " ~. <~. ~~~ t ": x ,,: ~ a~: ~~ ' ~~ ~ ~. .sue;- C7 j W ,~ -~ N n u~ cn ;~ n N 0 w ~ ~_ j N O ...- 0 N C3~ cA rn ~. 0 0 s~. rn ~_ tD ~.- t 'CI Q ~ ~ ~ ~ n ...- O ~ n ~ ~ ' J a 17 -~ O `a C~ can . d o z W c G~ Zj N ~ ~ ~ ~ ~' 9 Q ~ O ~ ~, 3 N; 4~, n" ~ G ~ ' V ~ _ n v 3 0 c ~. c9 N n O G ~- '3y O ~ O ?. Z m 3 0 j ~ C~ .~ W OH1 0592ARD SERVICES ~~~~ ~' r PO Box 182781 COLUMBUS, OH 43218-2781 June 29, 2010 EST OF RODNEY SLOTHER PO BOX 174 GRANTHAM, PA 17027-0174-74 DEAR: EST OF RODNEY SLOTHER Enclosed please find a credit balance refund check to reimburse you for the current credit balance on your account. Please understand that if the credit balance was due to an overpayment made for your full account balance and the refund was requested in the middle of your billing cycle, you may receive a statement for subsequent finance charges assessed from the date of your previous statement until the date your full payment was received. If you have any questions, please call us at the toll-tree number on the back of your card. V'Je are available 24 hours a day to assist you. SINCERELY, CHASE CARD SERVICES (800) 436-7937 CHASE CARD SERVICES DEPT. 0555 PO BOX 710555 COLUMBUS, OH 43271-0555 June 29, 2010 EST OF RODNEY SLOTHER PO BOX 174 GRANTHAM, PA 17027-0174-T4 DEAR: EST OF RODNEY SLOTHER Credit Card Services ~ CHASE ~1 We have enclosed a credit balance refund check to reimburse you for the current credit balance on your account. If the overpayment was made for your full balance and you requested the refund before the end of the next billing period, you may receive another statement for the remaining finance charges. If you have any questions, please call us at the toil-free number on the back of your card. We are available 24 hours a day to assist you. SINCERELY, CHASE CARD SERVICES (800) 436-7937 Malpezzi Funeral Home 8 Market Plaza Way Mechanicsburg, PA 17055 (717)697-4696 _ Michael J. Malpezzi, Owner, FD Jeremy J. Shartzer, FD K le C Knipe, FD August 11, 2010 Ryan Slother 1002 Apple Drive Mechanicsburg, PA 17055 The Funeral Service for Rodney Edward Slother We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. 1. PROFESSIONAL SERVICES: Services of Funeral Director/Staff $3,925.00 Viewing (Visitation/Wake) $500.00 Out of town transportation $218.00 FUNERAL HOME SERVICE CHARGES $4,643.00 SELECTED MERCHANDISE: Steel Non Gasketed Casket $1,295.00 Guardian Burial Vault $1,125.00 Memorial folders $40.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $7,103.00 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: Opening Grave $500.00 Cemetery Equipment $165.00 Certified Death Certificates $72.00 Newspaper Notices -Patriot $97.27 Clergy/Mass Offering $50.00 Flowers $79.50 TOTAL CASH ADVANCES AND SPECIAL CHARGES $963.77 CONTRACT PRICE $8,066.77 HISTORY: 06/11/2010 Compassionate Discount 06/13/2010 Brendan M. Hoover 06/17/2010 PA Landscape Group 06/22/2010 Richard A. Myers 06/23/2010 Pamela J. Hendricks 08/11/2010 Payment TOTAL AMOUNT DUE $1,178.00 $100.00 $200.00 $50.00 $30.00 $6,508.77 $0.00 LINDSAY DARE BAIRD, ESQUIRE 37 S. Hanover Street Carlisle, PA 17013 (717) 24.3-5732 Fax: (717) 243-8110 STATEMENT FOR LEGAL SERVICES RENDERED To: Ryan E. Slother RE: Estate of Rodney E. Slother DATE SERViCF. RF.NI~F.RF.n DATE: January 7, 2011 UNITS OR T-if1T TR C R A TR Tl1T A T 6/2010-12/2010 Legal services for Estate 1.00 700.00 700.00 1/2011 Inheritance tax Return 1.00 350.00 350.00 I - ---- -~ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TOTAL UNITS OR HOURS 2.00 SUBTOTAL 1,050.00 Less Retainer paid 7/2010 700.00 BALANCE DUE ~ $350.00 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 7/19/2010 Cumberland County - Register Of Wills Receipt Time: 16:03:31 One Courthouse Square Receipt No.: 1061940 Carlisle, PA 17613 SLOTHER RODNEY E Estate File No.: 2010-00730 Paid By Remarks: RYAN SLOTHER CJ ------------------------ Receipt Distribution ----- -------- ------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 40.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL . FUN Check# 1187 $343.50 Total Received......... $343.50 c m N lD a -. ~. m m 0 m po= m ~ "' z ~, Z ', g ~ z ~r ~o '~ m N 4 '/~ '~ ~ ,~~ m ~ !~`'i '' ~ ~ ~' ~~~~ ~~N~ i~ r ~ w ~~,. Gt N'~q'~ >pr oGZ w~~ ~~ m yo -' m 0 T ~~ tl I1 1 ~ ^~ 1 ~~~€ ~! F :., q CUMBERLAND LAW JOURNAL 32 SOUTH BEOFORO STREET CARLISLE, PA 17013 Tele: (717) 2483166 Fax: (717) 24&2663 September 3, 2010 Cumberland Law Journal 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: Lindsay D. Baird, Esquire RE: Rodney E. Slother Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. -- ---------------- ------ - -- --- - --- - Advertisement inserted on the following dates: August 20, August 27, and September 3, 2010_ 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 RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 Receipt Date: Receipt Time: Receipt No.: 11/16/2010 10:17:56 1063346 SLOTHER RODNEY E Estate File No.: 2010-00730 Paid By Remarks: LINDSAY D BAIRD SAP Receipt Distribution Fee/Tax Description Payment Amount Payee Name SATISFCTN OF CLAIM 10.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 199 $10.00 Total Received......... $10.00 4150 OL$ON MEMORIAL NIGHWAY~ SUITE 2~O MINNEAPOLIS MINNESOTA 55422-4$11 TELEPHONE 763-852-8620 Hours (CT}: 7:00 am - 9:00 pm M -- TH Fax 877-326-8784 7:00 am - 5:00 pm F TOLL-FREE 87?-326-5681 8:00 am - 12:00 pm S September 17, 2010 RE: Estate of: Our Client: Account No: Unpaid Balance: Reference No: Dear LINDSAY D BAIRD: RODNEY SLOTHER HSBC Bank Nevada N.A. ************3385 $1787.13 6318555 This letter confirms your receipt of a proof of claim for HSBC Bank Nevada N.A.. If, for any reason, you did not receive a copy of the claim, please contact our office at 1-877-326-5681. If we do not hear from you, we will assume that the claim was received. Please also contact our office should you have any questions, or to resolve this account. Cordially, DCM Services, LLC This company is a debt collector. We are attempting to collect a debt and any information obtained will be used for that purpose. Calls may be monitored or recorded for quality assurance purposes. NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION -Side 1 of 2- (~~~~II I~~+ ~~~,~ 11~~ ~~~~~ ~ ~ I ~l~ ~~l~) I~~1~ ~~~~ ~11 ~~~~ ***Detach Lower Portion and Return with Payment""" COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION NOTICE OF CLAIM In Re: The Estate of: RODNEY E SLOTHER Deceased Court File No: 21 2010-0730 TO: THE CLERK OF THE ORPHANS' COURT DIVISION: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. §3532(b)(2). 1) Claimant's name: creditor(s) listed on attached claim detail 2) Gaimant's address: C/O DCM SERVICES LLC 4150 OLSON MEM HWY STE 200 MINNEAPOLIS MN 55422 3) Creditor listed below is the owner and holder of a claim in the amount of $ 1,787.13 4) The facts upon which this claim is based is an account for credit evidenced by the attached Affidavit of Account Stated. See attached claim detail for claim basis and/or supporting Affidavit statement 5) Decedent's address: 6) Date of Death :6/8/2010 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by On behalf of the claimant, I do solemnly declare and affirm under the penalties of perjury that they Information and representations made herein are true and correct to the best of my knowledge, information and belief. ' ~ ,T T "r'i;~'~Ft Dated: ~.!-T_• 10 ~ _ ~'~i~'`~ ;;:`_ ...,~, „~t~~4~r•~a aimant Written notice of claim was given to Personal Representative and/or his/her counsel as stated below: LINDSAY D BAIRD Name 37 S HANOVER ST Address CARLISLE, PA 17013 City/State/Zip f . r Date notice mailed IN THE CIRCUIT COURT IN AND FOR CUMBERLAND COUNTY PROBATE DIVISION IN RE: Estate of RODNEY E SLOTHER Claimant: See attached claim detail Case No: 21 2010-0730 Account No: See attached claim detail SATISFACTION AND RELEASE OF CREDITOR'S CLAIM The Claimant(s) listed on the attached claim detail has/have received the sum of $ 1,787.13 as payment in satisfaction the Claim filed in the above-referenced matter and hereby releases the Estate and Personal Representative from any and all indebtedness relating to the Claim. 9~ ~~v~r~~ l° Dated: day of , 20 ~~ Signature: One of Claimant(s)' Authorized Representatives Printed Name: c~ ~~ ~ r~ -~ ac ~~ ~~~~: ~ ~_ J ~ ~ ~ ~T ~ l J `n~ f ' ~ ~ ~~-.~ ~~~ ~~ / ~~ ~~ Z Page 1 of 3 1`~RK ~~'.1S'1`~ ll1~POS~1L 'f` : REPt1BLlC ?J~ .ua~s 3730 SANDHURST DRIVE YORK, PA 17406 Tenant Name: RODNEY SLOTHER Site Address: 2614 MILL RD, GRANTHAM, PA 17027 invoice Date 3-0611-000335746 6/15110 3-0611-000396201 9/15/10 Total Amount Due Amount $44.82 $44.82 $89.64 DETACH AT PERFORATION AND RETURN BOTTOM PORTION 1MTH YOUR PAYMENT i83 STOWN, PA 17036 Page 1 of 3 2028-104274 RODNEY SLOTHER 09/19/2010 Upon Receipt 'REVIOUS ACCOUNT BALANCE $-121.64 Current Activity „_, .,.~~~..72 „~. " TOTAL ACCOUNT BALANCE: . ~'~~ $19.0 '~ Please disregard if already paid ~= .~. ~_ $-121.64 ~ __, ._. ~~_ . Qty Description -, _..~ Amount Due j --- . __ -- >THER/2614 MILL RD/PO BOX 174/"GRANTHAM " PA 1702 , ~ = 25.3 PROPANE __._.. $130.27 "-'- ._.__ PRICE PER GALLON 5.1490 .-.-- REGULATORY FEE $9.62 ----- TRANSPORTATION FUEL SU RCHARGE $0.55 LATE CHARGE $0.28 $140.72 ,~~. ~, ,,,. ,~ ~ ~~ tee, • ~ ~ ~;. ~~;; ~ ~, ~, ,~ ~ .,~~..~,;~~~~~, ~,,:~.~;,::~,,,^.~~~. ~~. ~1~. ~ •'~t~ `•~~`~\~~\'"^~`.\,•~'Ci~'~ ~t~ y Payment Charge On Unpaid Balance Monthly Rate Annual Rate 1.50% 18.00% p~ezS° ~et.'J~Ch ~ri~ r~tUrii ~JE'IOW porti^v^ V~:lii1 j/i7i.lf payment ~ '-,. "' .~ao ~~f ~~ ~~ r; -: c; ''~ ~ :~ ~ ~; ... T S.i ~+r v ~ ~v / V ~ ~ .a r.,. ~.,J '-ti.. O ... ,,~..r / ~.~ v' ~ ~ 1. 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Rnt Du~npster Rental ~ I3ump-~ter.com Confirmation: Thank You! ~~the~ Pale 1 of 2 wing 1llV~~t~/C~~y~~~/y~~~ar/r~~}+~~~t~da~r~~~~t~h'r.r~~/tt~q~apcR~~yk y~;~ird)q~/m}~psptq~~'{jg~~fr;~fr~sj~~ fp~~r~{t+~~y~ nit{yi~~gn'~a~(~y~adi®n~}~~s 5~~~~~! i~, ~Yt ~°~.I~~ ~.+'ka~T IY~! fli fi YY ~~ J Tf FLI~1+~~~~ ~~~.(F 417 ~5~e+1 ~ ~d fi~'~P M1i ~w'~ ~f E~ ~t~13i 1~ ~~M.~7+ 5~~ G;~t T~ ~4 ~! 1 t43 below, ~~ar f~~q~~~,~1~ ~~~ c~~esti~n; ~Ii~#c tale irk below. ~ti~~ ~?eldve~e lr~fc~r~rt,~~ot~ ~~~e ~~~~ tither ~ddres~ 2~'tA r~r~itt rd ~r~nth~, ~~ 1?~~ ~y ph~~ ~'~ ~~7~- ~r~a1: h8t-r72~tehac~.~~m ~ill'ir~~ I~f~-:~itttetir~rr ~illr~g ~~~~ ~~~~ atc~the~ ~llrtg Address: 14~~ ~-~~te ter` tVtechanic~br~r~~ ~~ '~?05 ~xllii"~~ l~l~~~~ ~1 T ~~'73x~'~~ ~~rd t~ur~ber: ~~2't ~xpir~tion ~~te: 71 °t ~~~ri~~~tt: 1 ~"~~~ Zf 't A mutt rd ~ba-ut 'tf mile d~~r~ the Mitt t~r~ the right drwevv~~r ~: T~3~C1~ d~~a not C,~t.~arant~ ~s~~ifi~: d~lltl~r'~ ~f ~9i1V~riaS tXl3y b~ lk3t~ in ~~~' ~~~ anc! rC'3"ilt;,lVr;~l~ the day, {f y~~ ra~uir~ an ~ar1y rr~orr~in~ c~r~ late vat, ~~ sure to ~ol~t~d~l~ youi c~afrv~ry f+~r the day rr~oval ft~r ti~~ day a»r ~;~~~;i~t~a+R of your pro~~~t will incur a ~~ t3 trip cl~~r~ fc~r tuts=rein away ~~, C~rn~sine~` ~ardere,`#r 3Q~Y~rd t~pen~'T~p ~c~nt~ine~° ~elv~r~r date: 49f23I~01~ Pickup date: 10f~7f2414 11~steri~ls t~~ed• ~te~ring uut the ~nrrhote hc~~se to Veit it Teti qi~~t~ rriClu~[~ ~ tc~r~ iif7lit ($~.p~ per tt~r! ~v~r the iimitj and ir~~[ud~s 1 ~ days t~f ~Qntainar wage (~~.OC? a any if loner}. F'ri~~ is~riud~;~ ~ r~n~4tir~~ d~iiv~ry, pickup and q~pC,~l of ~Gnt~itlGr /?~dditipf~c~l trip c;h,~rg~~ car ~tra hau-~ will in~~.rr ~~;pplrr<~r~tary oo~t~ fr~rrr~ tl~~ ir~itl ~'.a}uc~t~. Subtotal= $49~`.g4 Taxi 4fQQ Help ~ya~ ether 'hank y~~ fc~r using 1lllaste Management dur~pster,~rr~ t~s ~~~ ya~r dumpster services fram the nati4n'~ waste serui~es ~cam~any. I"~r yQUr ~~nvenien~e, we have included yQUr order, delivery and billing detail and conditions below, ~'cr frequently asked questians, click the link below. User Inf~-~r~~t~~at~ ,~ L~el~~rery l~f~~ma#~~r~ I~~llir~~r traf~rmati~n ._,_ ..._ name; Reran ~1~th~r filling lame; R~r~n ~i~ather service ~ddr~ss: Z~-'t4 Illl~i~l Rd ~illir~g Address; 1t}#~~ .~-pple ~3r Grantham, ~~4 ~ ~Q~7 Mechani~~b~r~ ~~y Phone; T1 ~-973~~~~Q ~3illinc~ phone: 7'f 7~~7~-224 ~rt~ail; h~tr7~'~,yahc~~.c~m Gard dumber: ~~~9 ~~piration date: ~'f 1 C?rdar ~nfc~rrr~a!`t+~r~ C)rder ~# ?~433~5-~~f~ ervice Area: 17AZ7 Container ardered ~~~Yard ~pan~T~sl aervice Address: 2fi'! 4 ~ttl t~elivery date; 't 011812p~ p ~'~ Grass~streets. ah~ut 1/v pickup date: 1'1J~'#/~Q14 mite ~~~n Materials Usedf cleaning +aut ~+~ ~ the hill pan it f~r~it~re, ~ar~e therlght g;~rt~aga G4ntair~er Placemen#: angled This qugte ins#ud~s ~ tc~n~ (unit ~~~t?,Q4 per tG° acr~aa the end in~lud~s~ 1~ d~y~ pf ~~ntainer ~~~~ ~~~~~A i~n~~r}.~'ri~ include ~ vne~tirn~ d~iiar~ry, pi~kt ~riveWa~l ~ cant~in~r, Prornc G(,~de ~ Ac~diticati~l trig ~tl~rg~ ~1r ~~tr~ ~1d~i1~ wi(1 incur s ~feGlal ~l4tes; c~a~t~ from ~h~ initial t~UQt~. t/V~st~ M~nag~r~ent des ns~t guarantee ~~scific delivery car rem9val tirt~e~. t~eliveri~~- t~~y k~ late in the ~~y end rer~nr~v~l~ ~ut-tot rrt~y be early in the day: if y~s~~ require an early rnarning cr l~t~s Te ~fternrt~n removal, ~ pure tc schedule your delivery for thg aay prig end the rerncval for tl"ie day .after ~arrtpieti~n cif your prc~jec~t. ~"Q Uthetw~s, ~~~ will In~~ar ~ 1 ~0 trig charge ft~r turning a~,ay tine driver. Waite ~anagem~nt dump~ter.c+~m ~4ddit~onal Charge Receipt f+~r order Number '143 Tuesday, October ~ror~~ "ordersc~dumpster,com" ~orders~dumpster.com> Toa h~tr729C~yahoo~com , Dear Rir~, Thank you far using Waste Management dungy c~vm #a b~x~k your dtmnp~s~r services from leading wade services axnpany_ As ~rto~ed in the ~~ and cvnd thane acne ~P t ~vur servit~e rem rxx~d ~ adc~icxrat cues an ycx~r vr~ier. P rxrte yoe~ credit card has been charged the ~livw~ng: Tr-ar~sa~vn ~'. SALE 4rdei Number: ?fi4~3333~58fi Payment ~Ile#hod:1/fSA Ga~f ~ucnbe~ 1 Tv~ Cost: 492rOt3 Comments: KOa132 WM of Penns~~tlvania VV~St ~rg~ -- Empty and ret~m s~chedu~ed for 1 B~~ng A~dctr~ess: Ryan Sk~ther 1aQ2lelppfe Dr , ~~~~, ~~ ~~ Email: h8tr729~yahoo.com WASTE !~lAI~iAGEwtENT Dt1~I1PSTER_C~C~! t111lAEPTABwLE ~ATEttt~1LS ill~hat ane the unaKweplabte Rrater~arhs hems far r~ o~ containers? What are the unaovephabte materials ~exx~s for instabi~? Na hearrry ma~~ hex. oorrcr. bri~cs~. cow.,. ~ . dew ~. ha~r~~s Mra~ ehernical prtaducts, v~ fr~s, herbicides ~ pesticides, r-a~iivacl~e maw, sohrs, p~ainf ~e-x dried la#ex pain# cans, no Liquids), c~her unable quids, aenosd cans, propane tanks, mots oil hi~sR, +oor'~~aied nits ~ wii~ ga5o4t~, ems. d s+odliead pei~ ci~ips~ its; batieries4 evmpu~~s, monk rr~ , #luor+esc~ent Pubes, goad ~, r~nedical waste, asbestos, 2~n~, barcaels, ail tic must be i~e~ at the #op cif the cxx~#ainerz nott~inng can be sticlc%r~g cx~ of the WASTE l~1tGENtENT DUI~IfPSTER_COI~ TERMS AND C~tVDfT10NS -.. __ _. _. .fie _ ___... __.i !1 -_ - f