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HomeMy WebLinkAbout01-24-11r 1505610101 Rev-iSOO ~~~;~, OFFICUIL tlSE OiNr.Y PA Oeparhnent of Revettue P~~ Bureau ~' Individual Taxes `°`""~""' """°` CcuntY Code Yes Fie Number INHERITANCE TAX RETURN ~ - PO BOX 2806D1 HaurtsburQ, PA ~~sz8-o6o~ RESIDENT' DECEDENT ~ ~ ~ 4 O I I .Z O Spotms's Socisd Setxuity Number __ . _ _ THIS RETURN MUST BE FlLEO IN tNJPIICATE YM .-. _ _.__ ____ _ _ _ __ _ REGISTER OF WILLS Diu iN Ar+~ROPRiA,r>= ovAts B~iaw r>• t. Original Retum O 2. Supplemental Retum O 3. Remaindi prior to 13 O 4. t.ind6ad Estate O Is. Future in6srest Compromise (date of O 5, Federal E death afte-12-12-82) N• 6. Decedent Died Testate O 7. Decedent Maintained a living Trutst 8. Total Nun (Attach Copy of Y11ilt) (Attacf- Copy of Tnaat) O 9. Litigatlon Proceeds Received O 10, Spousal Poverty Credit (date of death O 11. Election ! bMween 1231-g1 surd 1-1-95) (Attach S CQ~POIO@IT- TINS SECTION M1lST BE COMlL6T®. ALL CORRE>p+ONDENCE AND COMFiDENTIAL TAX NiFOIG1ATN)N SIN Noma Daytime Teleptu _. First Nne of address __ __ _ _ _ _ _ _ ___ _ Second Nne d addross Mt _ _ _. _, ~~ MI TH' THE ~) (lots of death eta Tax Retum Required eq of Sats Dapatit Boxes under Sea 9113(A) Nllb DE DNIlCfED T13: wte Number ,~.~ UliE QM6Y .~? _~ i `' rn r,.~ - ~~ ~_ t ~ ~ ~ ,.~ -. .s; ~ ~ ~ rn ~ CNy or Prost ONioe _ _ State ZtP Code DA RN.ED ~„' _ __ .,. , C ~ R L._I s ~c ~~ i ~ ©1.3 _ _ _ __ _ ............................... . CansporrRlsM's e-mail address: Under penalllee of perlu,~t 1 dsdare that 1 haw axarNnsd this rowm, arooomperryrln9 schedules and atatenrents, and to tha pf my ImaNsdye and beNaf, i< b true, and aomplets, than tlw paraor~sl raprsaentaNve Is based on eN informetlon of whkh has any Nn~ovdadpe. QF RETURN 'DATE ~a j o'er ~ AooRESS - nn L S L E" /"A- l? d 7 SIGNATURE TAN REP SENTATIVE DATE ~ d aO / ~ewsa usE aaoilw~ ~oiari ori~.Y '-""-?" ; slae 1 II L 1505610101 150561 1Q1 J J 1505610105 REV~1500 EX ' Decedent's Social Security Number a.o.a«,rst~aMn.: f~- LL '. /f!o O /lv ~d'~3 RECAPiNLATIQN ,. Real Fatale (schedule ~) ............................................. ,. ' ~._.. ,........~ ~ , d D O..__O D , ;.~ ., .a 2. sbcke end Bonds (sd,edule B) ....................................... 2. ~~'~"f'0 ~ / s~ 3. Ctoestr told Corporation, Parhbrat~p or sde-Proateto~ (sd~sdule c) ..... 3. ' p O O .. .~ _..,._.~ _._..~..._..~.~u.~__.. 4. Mortgagee and Notes Receivable (schedule D) ........................... 4. d (~ O 6. Cash, Benrk Deposes and MisceNarreous Persona{ Property (Schedule E)....... 5. ~ ~ O'7 ~ ,Z, /~ 8. Jointly Owned Property (Schedule F) O Separate Biting Requested ....... 6. ' 0 O ~ T. InteFVMos Trensfbrs it< htiscslksrreoua Non-ProbaEe Property _ _ . _ _ . (Sc~rsdule G) 0 Separate BNiinp Requested........ 7. O ~ ~ 8. TaW Ocoee Assets (tidal lines 1 thrargh 7) ............................. 8. r r s~.3 9. Fur-srai Exper>ses and Administrative Costa (Schedule M) ................... 9. ~, ~ 3 6 ~- 10. Deets of Decedent, Morfpage tfabfAtiss, ana !fans (schedule l) .............. 10. / ~' ~,3 3 1 . _ 11. (total ) .. .. ........................... Tohl Deductlorre Linea 9 and 10 w_ 11. ' ._ _s..__ .....~ _......,, ._.._ .. , _... . /~ ~p ~ / '~ ~'' 2. Nat Wlue d HsRate (Lkie 8 minus tine 11) ............................. , 2. ,~, ~ b ~l (D.,a .~ 9 13, Ctrsdtable and Ganrarrrrrrer~a[ BsqusslalSsc 9113 Trusts for whkh an election to tax has not been made (Schedule J) ........................ 13. .....,.. ~. __... _., ...... _.._.... ; 0 U 14. Net Vidw 8uger.~t to Tax (tkrs 12 minus line 13) ........................ 14, ,~ ~ ~ ~tpa ~~ TAX CALCULATION - 8EE INBTRUCTIQN8 FOR APPLICABLE RATfLB 15. Amount of line 14 taxable at the N tax rate, or transfers under sea 9118 _ __ (ax1.2) x .o_ 18. Amount of line 14 at lirreal rate X .a~ ~ fp ~O O ~ J~ J 17. Amount of line 14 taxabb _..__,._.. , ~ sitting rats X .12 } ..._._._.__._.___.._...__._a_.._.._.~~..___Tr_.~.__k...-- 18. Amount of Line 14 taxabb at collateral rate X .15 ___ _ _ __ 15. 19. 7AX DUE ......................................................... 19. /!~. C, U d( X7.1 20. FtLL N Tim OVAL ~ YOU ARE REQUEBTINO A REFUND OF AN OVERPAYMENT 1505610105 Side 2 150561 ]~05 Q REV-1503 EX+ (6-98) SCEIEpt1L E B COMMONWEALTH OF PENNSYLVANIA ^ ~~K~ & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ', ESTATE OF FILE NUMBER All properly jointly-owned witli right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. ('ieNE6~ ~vuC /~' EEecT~o6 2o~©7cFS~l~ -oc3o/ [~ QOg S8 2, l I~l6j (J(SA A-A.nuiri{ ~' ~t 1=E ~f.TS. C~v. CONT~cr~ 1 S Z`foB' 1 ~~ 702, ~D 3 . (~ N C t N tJ ES-r Jh ~N T ~ C('_ T' ~ ~ 4 a ~' ~S 13 0 GGV ~~I 8 /G.(o~~ XJO.SO~D~'n-~Ef~ (~4 i!~u.N t ct pA-L ..~1Ja A ~t-a2ES Es - ^ ~ ~4~ • 30 `'4 _ ~2 3 Sf+p b`~3o Xio•r1tFiD~7'6D ~~} t~(d N t Ct PA-t. (NC f l7 , S • `~~ P~~~ c.oo~GBq~so~ F=ID ~oab,a~ ~(P1~NCtRL Si<rLV t c E C~.ouP ~h .t~ ~ 54.0 6 S~ ~l ~T E-i~ L t i~& S'yb c jk ~u n G 1.~4- n,.,p PA, / ~3.Ca . 4~0 ~ Ptw~z~ s-ab4~`73 ~lrt~.~ 'T'el s1'44 TOTAL (Also enter on line 2, Recapitulatio ) 1S /~.r-4~ 7, ~,~-~ (Il more space is needed, awert adcidorrel sf of ~ same s¢e) ~ r REV•150e IX. (1.871 SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC. INHREEWT~~ TAB ~uRN PERSONAL PROPERTY ESTATE OF FILE NUMBER lf'T M S'ToLL ,2o1a -o~ zoo Include the proceeds of litlgation and the date the proceeds were received by the estate. All property joindy~oMmad with the ripM of surviv rshNp must be discbsed on Schedub F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~ . ~Pn/ G C +~ ~-~ K ~~ ~ R'cc* ~ .S ~ 4 0 ~ 4 a .t"4+,f" ~O 8'O t. -q~8 •~ PN c m o.~al wt~~r A.c~r "~ d"oo ~ ~~~64 I ~ 2to . L 4 ~,I TOTAL (Also enter on line 5, Recapitu atign) S 8~ ?~. ,Z„Z pf more space is needed, insert additional sheets of the same size) REV-1511 EX+ (10-06) SCI~IEpYLE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8c INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT __- ESTATE OF FILE NUMBER ~~2121 ~ T /~ S' To LC. ~o I o - o ~~ 2., o ~nMa of dnradnnf moat ha rnnnrfwrl nn Srhnrluln T ITEM NUMBER DESCRIPTION AMOUNT A. 1. FUNERAL EXPENSES: n l~'70C.C./J11CG12, ~NE~.A-L /~'Iw~G h1T i'~o/l~ JPIe~A(~P 1'A ., ~~ ~,• / / dq~(,'s NGd ~ ~~ ~F7>a ~- PR ~p~r-r-IC~/T R~jp U (sea A~rrRcH~ st-M,r) 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 L1 V N4AN/ ~{- /~''~fffW ~G S~f ' ~ 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 3Q I •'~~ 5. Accountant's Fees ~ ~ O O 6. Tax Return Preparer's Fees S.•OO. 00 ~. Ra-~-[.7~ 7'F~~- Thy I I ~I 7 e4'o. a-o TOTAL (Also enter on line 9, Recapitul tiom) $ ~,,~~~ ..91 (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (12-03) scuEOU~E ~ COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT] INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF ~~Rr2 t ~'7- ~ .S'7'O ~i'_. Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including ITEM DESCRIPTION NUMBER - 1•. S~et7G. ~GMtL fora j~1~tr7 y Fi~r~G t~A-mow.. ~.!'cw ~fi~ Ric. L TAB ~ ~hF-rt~'1'tsl~ N/ ~ ~l.~G~ .~'.~-TTari.~ - 7?~+0 ~ 3 to ri! t-T F~ ~~ Gcrc)'~iti rr e ~ c.c.} Ply ~ G o.v>< ~.`' Ti4 X Ot/u C ~ o1a 10 FILE NUMBER /•' w Q ~l Lo i medical expenses. VALUE AT DATE iit" ~ G o S"• o a ~.~T". c 0 132•'7 /RQ•1 Z 5--,~ c . o-0 TOTAL (Also enter on line 10, Recapitulatio) ~ ~ ~`.Q • 3 1 (If more space is needed, insert additional sheets of the same size) REV-4513 EX+ (9-00) scHeou~~ ~ COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN ESTATE OF FILE NUMBER /-~~-R 121 ~T' h'1 S To [, ~. ~ o t o -- iv ~ !L o RELATIONSHIP TO DECEDE T AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llst Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)J 1. ~ ~~ S 8 isr~,',~rc ~,I~•c~tn~. y3 G t ~ S~ w.c~-T- D a ~,~~- ~fraL is ~o ~~ ~ ?"~ ,3 1 L S'ta ~.t. So,y ~ ~3 G~ ~- ~ ~ jo 4 ~ ~~wvT ~' rnT 1~LC.y S'PRi ~Lr, O~ i9o6r' S. STi9~rr1 ~~ h+7~ ~3 ~,~t,3 Pi ~E ~A Gy,~L ~rlE ~ P~• ~~°~ II ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. - ' ~. ~- - TOTAL OF PART ll -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE I S (11 more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAbIENT OF HAR.ctIET bS. STOLL I, HARRIET' M. STOLL, of the Borough of Mount Holly! Springs, Cumberland County, Pennsylvania, declare this instrument',to be my Last Wi11 And Testament, in manner and foxra following: 1. I hereby expressly revoke all Wills and Codicils hereto-' fore made by me. i 2. I hereby direct my Executor to pay all my just debts, ~ i i (funeral and administrative expenses out of my estate, a soon as practicable after my dexth.I 1 3. Should my husband, Ralph A. Stoll, survive mefor a period of thirty days following my death, I devise and bequeath the remainder of my estate to Ralph A. Stoll. ~ 4. Should my husband, Ralph A. Sto11, predecease ne or die ~ on or before the thirtieth day following my death, I de ise and bEqueath the remainder of my estate to my issue living n the thirty-first day following my death, per stirpes« ~ 5. I nominate and appoint the Cumberland County ational €€J Bank And Trust Company, Diount Holly Springs, Pennsylvan a, trustee of the share of any benef iciary who may be a minor. T income and/or principal of said trust may be accumulated or ex ended for ~ the maintanance, education and support of such benefici r'3' as ~y i r trustee in its sole discretion may determine; and my t stee, i.n the expenditure of income and/or principal for such pur ses, may, ~~at its discretion, apply the same directly without the 'ntervent?_on of a guardian or pay the same to any person having the are or con- troi of said beneficiary or with whom the beneficiary r~sides, d iwithout duty on the part of the trustee to supervise or inquire into the application of the funds by any person to whom any pa yRl~Ilt~ } is so made. The balance of such income and/or p princi a shall be paid to such beneficiary upon reaching majority, or to such hene- f iciary's estate in the event of death prior thereto. i i 6. I nominate and appoint my husband, Ralph A. S~to11, as Executor of this my Last Wi1T-And Testament; and as substitute Executors I nominate and appoint my children, Gerald r4.'iStoll, "Lucy S. Bistline and Trudy S. Stamy. 7. I direct that my personal representative and i~rustee, as well as their successors, shall not be required to give band for the performance of their duties in any jurisdiction. ". IN WITNESS 4JHEREOF, I have hereunto set my hand ar~d seal this 2 y ~ day of September, 1969. ~ II~~, ~~'` C-~ CSEaL) et ri. Signed, sealed, published and declared by the abov~ named Testatrix, Harriet M. Sto11, as and for her Last Wi11 An Testa- ment, in our presence, who in her presence, at her. reque t, and in the presence of each other, have hereunto subscribed'~ur names as attesting witnesses. ~ ''~ ,+ lement Statement (HUD-1) -S~ ~ ~ ~ OMB Approwl No. 2502.0265 s~, h ~ J 'e~ .~ L QFHA 2. QRHS 3. QConv. Unins. 4. ^VA S. ^Conv.lro. 6. File Number: REIO-208 7. Matt Number: 8. Mortpglnsutmrce Casc Number: C. NOTE: This form u fiurtished to give you a staktrtmt of actwl settlement cesu. Arrtotmb paid to end by the setrkment apnt arc shown mvkad'(p.o.c.)• were paid outride the claing; they are shown bore for inforrrutional purposes and arc rwt included in the fora Items . D. Name & Addrca of Borrower(s): Jams L. Ncff Cathy J. Neff 519 Chestnut Drive, Mt. Holly Spring, PA 17063 E. Name & Addrop of Seller(s): Esuk of Harriet M S WII 61 Sunset Drive, Carlisle, PA 1701 F. Name & Address of Lender: N/A G. Property l.ocstian: 23 East Pine Street. ML Hilly Spring, PA 17065 Mt. Holly Spring Borough, Cumberland County ', 23-32.2336-260 ', Place of Seukment: I Irvine Row, Culisle, Pennsylvania 17013 H. Name of Setlkment Agent: Duncan & Hartman, P.C. (717) 249.7780 I. Cbting Date: 12-16-2010 Disbu 12-16.201 t Dpte: I. 1 , 7. I I 1 41 . 41 . i ~ i Zoe. sa. P.yorrornrat matpp lean 205. SO3. Payoff of second mortgage Ian 2 7. 3 00 . . i I ( 1. 2 e. 314. 217. 2 I . 1 88 . 2 1 1'ne 001 88 . 70 6 4. 7 00. T Paid from Paid From Bonowera Selkt's iv' i 'n Funds at Funds al Settlement Settlement 7 . CERTIFICATION : I have carefully reviewed the HUD-1 Setllemrnt Suterrent and to the beat of my knowledSe ud belief, it s a true ,/~~~~~,,,~ and stturate skkment of all roaipts and dubttraemenk made on my account or by me in this transsction. 1 further certify tha i"' ""'" I received a copy of the HUD-I Settkrnent Statematt. 7 v i i tore of Borrower i;naturc of ever Si a o Si atbrc of The HUD•I Settlement SkkmCnt which 1 have prepared is a true and accurak wcaunt of the fLnds disbursed or to be diaburs~d by the undersiprcd as part of the settlement of this transaction. Si to Qent k i 5~~• $ Bartwra Blstline Financial Advisor Saget~oint! F~ NANCIAt_ 5 g ~ ePOfnt Financial, Inc. 3 1 South Hanover Street ^ ]~~ J~ C~r d~ ~ 0 `~ v 7 lisl4, PA 17013 - 7.249.4441 7 7.249.6277 Fax B isdine@sagepointatlvisor.com 3~ ~v/ D . ~u ~~,cJ ~\ r ~,~,~ /y,,~p,, , ~ / - boo - a ~ -- ~ ~ ~' ~- ,,, U~_ ,a~~ 3, a-0/ v ~Si C d~`~ 137 (11,,~.v,.~,,oi , ~ ~ 5 0 3 v~ - /33'7 ~~; ~-~o~ -3d q -53v3 ~, ~-a- ~ 3~ a o/ U ~ ~~ -~ ~ s a ~~ 1.3, ~ S93 - ~~ ~ S~ S v -,._- Securities offered through SagePOint Financial, Inc., member FINRA/SIPC. ~G~ PNC >NVEST~NTs ~~~ November 17, 2010 Lucy S. Bistline, Trudy S. Stamy & Gerald M. Stoll 61 Sunset Drive Carlisle, PA 17013-2126 1tE: Estate of Harriet M Stoll Social Security #160-16-8853 Date of Death: November 3, 2010 The Date of Death Valuation for securities held by Harriet M. Stoll in her PNC Investment Account #6492-5513 are as follows: 8116.6750 shares Federated PA Municipal Inc A Shares @ S10.80 per share 5937.6430 shares Federated PA Municipal Inc B Shares @ 510.82 per share Please .feel free to contact me if I can be of further service. Sincerely, ~~ Charles E Little, CFP®, SVP Financial Advisor CEL/djp The i+t~one~lon contained kst do M~ ban obldasd jrora soumss tvs bdlsps to bs nflob/e bwt do not auorenl to bs accurele, eor-scR con~plde or Nmeir, and sAaU not bs raponsibk jo, his rrsults obtained jwm it's use. PNC tmrostmones uc Membor o} TM PNC Flnonclal Sorvias 0roup 2 East Main Street Mechanicsburg Pennsylvania 17055 www.pnc.com ;~ ~ YeparWeYtiM~rMer~~etu Securities and twokerage services an prmrided M PNC Investments LLC, me Annuitiq and other insurance products an oBend by PNC Insurance Services LLC, a licensed insurance ee it and SIPC. a..~r PNC ~ The PNC Fnancial Serviets Group 1~ IMPORTANT TAX RETURN DOCUMENT ENCLOSED I• 001503 ++ + ++ Il +I II+++ + 1111 lu N t 1 +1 + h 11 +II ~ I II I II I 1 1 III III Ir 111 III VIII I ~ Recipient ~ LUCY BISTLINE & TRUDY STAMY ~ & GERALD STOLL EX EST HARRIET STOLL ~ 61 SUNSET DR CARLISLE PA 17013 S~ L, ~ Computershare Trust Company, N.A. PO Box 43078 Providence, RI 02940-3078 Within USA, US territories Canada 800 982 7652 Outside USA, US territories Canada 312 360 5235 NWMr Rccounl N 00010895 FID SSNRIN Cetttfiad ~' Yes Symbol PNC Ctaip ~ 6!3475105 OO1CSlxq?.SAL.C.REG.D L,C!$.052565_30031OOi 507~O1503/i Corteeted (~) Copy 8 -For Recipient Acxount umber OOto695804 Form 1099-B - Proceeds from Broi~e and Barter Exchange Tran:actiot-s 2010 R Payers s ICS No. 27-s9ts4t t edl~ral to No. a3-t9t2Tao TNe fa k tax Yttonaaken;+r~ k Uei+4 ~n1MMee 1. the Mtleraal Ilaraaxte ttarvioe. M you an regtared a Iie a -e4rn, a ax+pkyenoe OMB N 1545-071 S peaky a okwr aagelMn may be Malaeed on you E 1r1Y Yrcorae N WaOM and the MIS delwrobna that k bae reel bMa npated. DeaWe~eM a the ire»ury • r+emet Revenue sauce LUCY BISTLINE Reece d, TRUDY STAMY 8 GERALD STOLL EX EST HARRIET STOLL 61 SUNSET DR CARLISLE PA 17013 +a ~Exchattge ,a CUSIP No. s Bonds, e~ (S) Rs~rtad I Payer's Details 02 Dec 2010 693475105 2,089.78 Yes COMPUTERSHARE ~ PO BOX 43010 ~ FEDERAL NCO1YlE ' ~~. - - Name of Issuer TrBr~tion 'i PROVIDENCE RV TAX WRHHELD (S1 ' 02940-3010 0.00 THE PNC FINANCIAL SERVICES GROUP Sob - COt NOTE: CotnptAw+hara wir rapoA the amourM in Box 2 m Yte IRS. Tee dllfererwo Dsi+veen the pas prooeada amaiM n Box 2 and the nN proceeds ~ You received repreteMe arty ~. , a witlllal~rp taxes You may have paid. Form 1099-B (Keep ter your rec~as) Summary This advice is a suit of the gale of Plan andlor Direct Registration shares. Trade Deduction Gross Amount Price Per SharesNnits Deduction Net Amount I DaterTme I Transaction Description I Sold I ShanlUnit (s) of Sales (;) I Amount (_) I Type of Sale (i) 12/02/201012:32 Sate .37.000000 58.480000 2,089.76 28.70 Transaction Fee 2,O6t.06 Camptxershere Trust Compsrry, N.A., as ayeM, upon vreigen request, wiN provide the name of Mw exeeutinp broiler dealer aseoaNad wkh Uto trensactbn(sl, and witllin a ~a+wwlble amount of time wdl discbse the source and amount d ampemation received tram tlNrd per0a n oomecron with the tren+actiorKa), N any. E tads lime w not included above, it may be availebb upon wriderl 71UTX PNC "'~"' OO1CD70009 OOMX2E{FT) iVSttw aro riot oepumw v~wuyu~a~iaae aw ~o~Kx xwweu ur u,o,ow.a._,..... ..-... _.. .. .............-'.-----••---....__._....._..._.. .. _.,. _.__... .. _.., _..--.--._....-. _...._ . 40UDR P N C ~ '~' PNese as Imporglnt PRNACY NOTICE on nveree eWe d eWetoleM (;ENCDMMTAPNC.WM_217WIXxp1 Ul)ll(w?Ili lK]F15AB account Transaction Detail Report ~C 10/06/2010 10/06/2010 ;2,000.00 $7,904.80 D N 520484208 CASHED CHECIQ 8054 520484208, _ _ _ ,_ _. Page 1 of 3 ~~, -~ t 10/08/2010 10/08/2010 ;100.00 ;7,802.05 D N 084957808 CHECK X052 0849578081 10/28/2010 10/28/2010 ;2,000.00 ;5,602.15 D N 526801792 CASHED CHEC 8056 5268017921 10/29/2010 10/29/2010 ;41.32 ;5,461.38 D N 717486361707 TELECOM C ENTURYLINK00 1030100448985 0 11/01/2010 11/01/2010 ;189.67 ;5,888.56 C N 11/03/2010 11/03/2010 ;1,007.00 ;6,828.42 C N 11/03/20 li/03/ZOld ;20.00 ~,8!?8.48 D N B 4 G https://www. cct.pncbank.com/eaimsg/sb/EaiMessaleServlet?S 160168853 'ACH CREDITP NC BANK0001029$00928393 9 ~ 160168853A ~SA' SOC SEC U S TREASURY 3 301001030200707100 8 '~ CALCULATED SERWICE CHA TYPE HD HANNEL~ UN... 12/29/2010 - _ ~. _~ _ _ _ __ _ ~ _ - _ __ Account Transaction Detail Report -(~'1'~ '~ Page 2 of 3 11/04/2010 12/04/2010 $276.74 $b,551.74 D N 523320605 CHECK 523320605 11/09/2010 11/09/2010 $361.50 $5,979.99 D N 521427112 CASHED CHECK 8059 521427112 11/16/2020 11/16/2010 $49.70 $6,050.83 C N 520547663 DEPOSIT 520547663 11/23/2020 11/23/2010 $130.50 $5,744.86 C N 526809712 DEPOSIT 526809712 ~ ^ 12/01/2030 12/02/2010 $1,226.64 ;6,936.97 C N 12/06/2010 12/06/2020 12/06/2010 12/06/2010 $0.05 $8,253.60 C N $20.00 $8,233.59 D N TRANSFER FROM YtCCOUNT 000000 5004385764ST0 ARRIET M INTEREST PAYMENT CALCULATED SEF~VI~E CHARGE https://www.cct.pncbank.com/eaims~/sb/EaiMessa~eServlet?SOURCE-CHANNEL=iIN... _12/29/2010 __ _ --- ~G~ L.P. WALKER 31 CHURCH RD CARLISLE , PA. 1701 ~ LUCY S BISTLINE J~N 14, 2011 61 SUNSET DRIVE CARLISLE, PA. 17013 '~ RE: ESTATE OF HARRIET STOLL THIS IS TO BILL YOU FOR PREPARATION OF THE PA. INHERITAN E TAX FORM REV-1500. $500.00 '~, ALSO INCLUDED IS MY FEE FOR PREPARATION OF FINAL FEDER~L AND PA TAX RETURNS FOR 2010 FOR HARRIET STOLL i $225.00 TOTAL $725.00 THANK YOU AND I AM SO SORRY FOR YOUR LOSS . ~I L. ,WALKER ,,i ~/~C~'~~ 717-776-4367 ~~~ ~ s~~, ~ -- -~ The Funeral Service for Harriet M. StoIL- - - - ., . _ _ . ,, - We sincerely appreciate the confidence you"have placed in'Us and will continue to assis way we can. Please feel.free to contact us if you have;any questions in regard to this sta „. , .1 THE FOLLOWING IS AN'ITEMIZED STATEMENT:OF THE=SERVICES,,FACILITIES, AUTOMOTI '' AND MERCHANDISE THATYOU'SELECTEDWHEN MAKING-'.THE FUNERAL~ARRANGEMEN' ~. _ .:. .. _ ..- =: Professional Service , Traditional'Package '';, _~. $ _ . , . - k Merchandise .4.. .. - Casket - Batesville 20 Gauge. Desert Sand ; Vault -Clark. l2 Gauge Memorial Package-Photo Register Book,• Memorial Folders, Acknowledgement Cards, Bookmarks li e: AT THE TIME FUNERAL`ARRANGEMENTSWiERE MADE; WE ADVANCED CERTAIN PAYMEI ,.. _ ._ . AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. ' Cash Advances . ' _ _ :`: Newspaper'Notices-~Sentine) `~ ~ ' L Newspaper Notices -Patriot News ' ~... p g , ry .. '~` Grave 0 eriin Mt. Zion:Cemete u.. Cemetery,Equipment ~~ . _,:. Certified Cppiesrof,Death Certificate (lOf~? $6) ..,.. ,:: ~ . . :Flowers--Casket"Spray '- .~ :; ` . ~ ..: ,. . ., . ~, .~ ~ ~ Cle Reverend Jan E.Custer rBY Clergy -Chaplain Timothy Wheeler - Stone Etching... , ~ . ._ ' ' Total Charges $~ _ Less -Covered by Homesteaders Life . Check #8060 Received November 18, 2010 - Current Balance:{Items riot included in OriginalPre-Arrangement of August 31, 2005. These'items were added to'Arrangements at time of death: Patriot-News'Chap-Tim-Wheeler,Stone;Etching) ,pg 501 -NORTH BALTIMORE AVENUE •. MOUNT HOLLY, SPRINGS; PENNSYLVANIA 17065 • (717) 486 ° - www.hollingerfuneralhome.com in every EQUIPMENT, 195.00 TO OTHERS 17.42 236.47 7'5.00 35.00 - 60.00 1$5.50 125.00 75.00 145.00 97,97.92 X36.97 • FAX (717) 486-3215