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HomeMy WebLinkAbout03-08-11 (3)15056101D1 REV-1500 °` f°'°°' ~ OFFICIAL USE ONLY PA Department of Revenue Courtly Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 28o6oi ~` 1 b `~ a•~ Harrisburg, PA i7i28-o6oi RESIDENT DECEDENT ENTER DECEDENT INFORMATNNI BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY --_~.__ ________m .__.. _ ., __~ 195-07-2379 , 09/27/2010 06/17/1919 Decedent's Last Name Suffix Decedent's First Name MI ~~ _._ _~ Corpman i Jr. .Martin W (N Applleabis) Enter Surviving Spouss's Intormatlon 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 ~. f3n 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) !~ 8. Decedent Died Testate O 7. Decedent Maintarred a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of wilq (Attach Copy of Trust) O 9. Litiga8on Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Michael Cherewka, Esq. , (717) 232-4701 REGISTER OE)IM~S USE ONLY ~~ First line of address ~ ~ rte- "ra - I -'? _ ~~,-n 624 Nortit Front Street '~ cn A ~ - ; ~' ,.. :~ T7 Second line of address _ C~ C J ~=n `y ~ __ ._.. _. m~.._. .__ .___. ~` ~ = ~ :; Clty or Post Office State ZIP Code DACE FILED {- ~ ~''~ C7 Wormleysburg ~ ~ PA ' 17043 corrsspondsnt s e-mNl adders: mcherewke(~cherewkalaw.com Urxier pane of , I re that I have mined this return, induding accomparrying adredules and statements, and to the best d my knowledge and belief, k Is t and er other n the personal repreaentativa is lxeied on ell Intorrnetion of which preparer hae any knowledge. O P IBLE O peTF ' ~~ !''J{ ADDRESS Michael .Gordon, 430 Pines Road, Etters, PA 17319 ADDRESS -- 624 North Front Street, Wormleysburg, PA 17043 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101 J v~~ J REV-1500 EX Decedents Name: Martin Wilbur Cor 1505610105 Decedent's Social Security Number 195-07-2379 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 Deposits and Miscellaneous Personal Property (Schedule E)....... 5. B. Jointly Owned Property (Schedule F) O Separete Billing Requested ....... 6. 7. Inter-Vvas Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 8. Total Gross Aasata (total Lines 1 through 71 .................... . a 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. 11. Total Dedactlotu (total Lines 9 and 10) ................................. 11. 12. Net Valus of Estats (Line 8 minus Line 11) .............................. 12. 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ 13. 14. Net Value t3ubJaot to Tax (Line 12 minus Line 13) ........................ 14. TAX CALCULATION - ~E IN8TRUCTIONS 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 _ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable 15. 16. 17. at collateral rate X .15 avv,vva.v ~ 18. 19. TAX DUE .........................................................19. 16,820.12 __ 2,613.49 18,433.61 0.00 0.00 230,089.61 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0.00 170,344.05 0.00 . 0.00 i 4,329.17 ', 74,830.00 0.00 249,503.22 0.00 0.00 0.00 '. 34,510.44 '', 34,510.44 '. _. _. O Side 2 L 1505610105 15056101D5 REV-1500 EX Page 3 Decedent's Complete Address: FlbNumb•ra'~1~~ ~1a, DECEDENTS NAME Martin Wtlbur Corpman, Jr. STREET ADDRESS 126 Woodside Road clrr Lemoyne srATEPA Z~P17043 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments 30,000.00 B. Diswunt 1,500.00 3. Interest 4. H Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. FIII In oval on Page 2, Une 20 to nquast a refund. (1} 34,510.44 Total Credits (A + g) (2) 31,500.00 (3) 0.00 (4) 0.00 5. M Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) Make check payable to: REGISTER OF WILLS, AGENT. 3,010.44 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 properly transferred or its income : ......................................... ... ^ ^>< c. retain a reversionary interest: or ........................................................................................................................ .. ^ ^rr d. receive the promise for life of either payments, benefits or care? .................................................................... .. ^ 2. H death occurred after Dec. 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 retlrement account, annuity or other non-probate property, which contains a beneficiary designation? ...................................................................................................................... .. ^ ^X 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 is 3 percent (7'2 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 ff 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 far 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 fw the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-ISO2 ex+ (11-os~ Pennsylvania SCHEDULE A DlFARTNENT OF REVENUE REAL ESTATE INMERRANCE TAX RETURN RESIDENT DECWENT ESTATE OF FILE NUMBER Martin Wilbur Corpman, Jr. 21_~ 0-1 ~ 21 All real property owned solely or ar a tenant in common must be reported at hir maMcet 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. Rol property that Is ~ointly~ownad with right of survivorship must be disclosed on Schsduk F. Attach a copy of the settlement sheet if the property has been sold. ITEM Indude a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION if more space is needed, insert additional sheets of the same size REV-1 W3 EX+ (fr9g) scHeou~e s COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT E8TATE OF FILE NUMBER Martin Wilbur Corpman, Jr. 21.10_1121 All property Jointly-0wn~d wkh rlpht of tuMvorship muM l~ dbelo~sd on 8ehsduk F. 17EM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. U. S. Savings Bonds, See attached list 39,985.22 3. Common Stock, 322 shares of PNC Account #00000164887 IND, Closing 9/27110, $51.47 16,573.34 4. ,Janney Montgomery Scott Atxount#2395-5782 80,416.58 5. Franklin custodian Funds, 4755.00 shares @$8.81 Closing Value on 9/27/10 32,381.55 6. F~ocon Corporation, l6 shares @ $81.71 Closing value on 9/27/10 987.36 : TOTAL (Nao enter on line 2, Recapitulation) s; 170,344.05 (y more space is needed, insert additional sheets of the same size) Estate of Martin Wilbur Corpman, Jr. Schedule B File No. 21-10-1121 Series Demonination Serial No. Issue Date Value EE 50 L301874243EE Dec-87 77.04 EE 50 L246900193EE Feb-86 92.74 EE 500 D11460640EE Jun-86 909.40 EE 500 D11460639EE Jun-86 909.40 EE 200 R029197862EE Jun-86 363.76 EE 200 R029197863EE Jun-86 363.76 EE 100 C1 1 1 607890EE Jun-86 181.88 EE 50 L261 1 1 01 50EE Dec-86 80.16 EE 100 C81238862EE A r-85 189.20 EE 50 L222690400EE Dec-85 92.74 EE 100 C53474963EE Jan-84 200.80 EE 100 C53474964EE Jan-84 200.80 EE 100 C61917427EE Feb-84 200.80 EE 100 C57772653EE Feb-84 200.80 EE 100 C57772654EE Feb-84 200.80 EE 100 C61917707EE Mar-84 200.80 EE 100 C61464014EE Mar-84 200.80 EE 100 C61934218EE r-84 196.84 EE 100 C61927790EE A r-84 196.84 EE 100 C61934863EE Ma -84 196.84 EE 100 C61944789EE Ma -84 196.84 EE 100 C68093408EE Ma -84 196.84 EE 100 C68093729EE Jun-84 196.84 EE 100 C68107066EE Jun-84 196.84 EE 100 C68109850EE Jul-84 196.84 EE 100 C68118354EE Au -84 196.84 EE 100 C68118008EE Au -84 196.84 EE 100 C68121378EE Au -84 196.84 EE 100 C75713294EE Se -84 196.84 EE 100 C75712816EE Se -84 196.84 EE 100 C75728677EE Oct-84 193.00 EE 100 C75736537EE Nov-84 193.00 EE 100 C77877599EE Nov-84 193.00 EE 50 L176027948EE DeC-84 96.50 EE 100 C45550126EE Jan-83 253.92 EE 100 C45550127EE Jan-83 253.92 EE 100 C45551323EE Feb-83 253.92 EE 100 C45550683EE Feb-83 253.92 EE 100 C45552450EE Mar-83 218.20 EE 100 C45552715EE Mar-83 218.20 EE 100 C45553915EE A r-83 215.80 EE 100 C45553292EE A r-83 215.80 EE 100 C50690114EE Ma -83 206.40 Estate of Martin Wilbur Corpman, Jr. Schedule B File No. 21-10-1121 EE 100 C50617480EE Ma -83 206.40 EE 100 C50691604EE Jun-83 206.40 EE 100 050691831 EE Jun-83 206.40 EE 100 C50692438EE Jul-83 206.40 EE 100 C48332045EE Jul-83 206.40 EE 100 C48333579EE Au -83 206.40 EE 100 048361861 EE Au -83 206.40 EE 100 C48363448EE Se -83 206.40 EE 100 C48362813EE Se -83 206.40 EE 100 C53437828EE Oct-83 204.72 EE 100 053437211 EE Oct-83 204.72 EE 100 C53455689EE Nov-83 200.80 EE 100 C53455690EE Nov-83 200.80 EE 100 C53594965EE Dec-83 200.80 EE 100 C53454985EE Dec-83 200.80 EE 100 C34098514EE Jan-82 276.84 EE 100 C34097238EE Jan-82 276.84 EE 100 C34106168EE Mar-82 276.84 EE 100 C34106169EE Mar-82 276.84 EE 100 034106651 EE Mar-82 276.84 EE 100 034106971 EE Mar-82 276.84 EE 100 C34108583EE A r-82 271.40 EE 100 C34109184EE Ma -82 271.40 EE 100 C34109433EE Ma -82 271.40 EE 100 C39830367EE Jun-82 271.40 EE 100 C39832429EE Jul-82 271.40 EE 100 C39833622EE Au -82 271.40 EE 100 C39833952EE Se -82 271.40 EE 100 042470731 EE Oct-82 266.08 EE 100 C42471018EE Oct-82 266.08 EE 100 C42470729EE Oct-82 266.08 EE 100 C42472178EE Nov-82 253.92 EE 100 C42471632EE Nov-82 253.92 EE 100 C42473319EE Dec-82 253.92 EE 100 C42473953EE Dec-82 253.92 EE 100 C42472749EE Dec-82 253.92 EE 100 07567901 EE Jan-81 300.84 EE 100 C8776570EE Jan-81 300.84 EE 100 C7567674EE Jan-81 300.84 EE 100 07568931 EE Feb-81 300.84 EE 100 C7569535EE Mar-81 300.84 EE 100 C17995148EE Mar-81 300.84 EE 100 C17996295EE A r-81 294.96 EE 100 C17995666EE A r-81 294.96 EE 100 C17996910EE Ma -81 282.36 2 Estate of Martin Wilbur Corpman, Jr. Schedule B File No. 21-10-1121 EE 100 C17998116EE Ma -81 282.36 EE 100 C17998115EE Ma -81 282.36 EE 100 C17998907EE Jun-81 282.36 EE 100 C17999386EE Jun-81 282.36 EE 100 C20405229EE Jul-81 282.36 EE 100 C20405228EE Jul-81 282.36 EE 100 C20408595EE Se -81 282.36 EE 100 C20409010EE Se -81 282.36 EE 100 C31104988EE Oct-81 276.84 EE 100 C31104149EE Oct-81 276.84 EE 100 C31110305EE Nov-81 276.84 EE 100 C7560201 EE Ma -80 334.80 EE 100 C7560447EE Ma -80 334.80 EE 100 C7560660EE Jun-80 334.80 EE 100 C7560789EE Jun-80 334.80 EE 100 C7563238EE Jul-80 334.80 EE 100 C7562631 EE Jul-80 334.80 EE 100 C7563862EE Au -80 334.80 EE 100 C7565121 EE Se -80 334.80 EE 100 C7565817EE Se -80 334.80 EE 100 C7566439EE Oct-80 328.24 EE 100 C12527040EE Oct-80 328.24 EE 100 C8773698EE Nov-80 300.84 EE 100 C8774363EE Nov-80 300.84 EE 100 C8776001 EE Dec-80 300.84 EE 100 C8775339EE Dec-80 300.84 E 25 Q5018840101 E Jun-72 126.54 E 25 Q5174578252E r-74 128.48 E 25 Q5197882298E Jul-74 130.02 E 25 Q5218353710E Nov-74 131.26 E 25 Q5237577238E Dec-74 131.59 E 25 Q5244191079E Jan-75 131.57 E 25 Q5244613204E Feb-75 131.57 E 25 Q5244611676E Feb-75 131.57 E 25 Q5249446309E Mar-75 131.57 E 25 Q5250554307E A r-75 131.57 E 25 Q6007060387E Ma -75 132.83 E 25 Q5250556306E Ma -75 132.83 E 25 Q6015162110E Jun-75 133.15 E 25 Q6016207176E Jul-75 133.15 E 25 Q6015164730E Jul-75 133.15 E 25 Q6024559210E Au -75 133.15 E 25 Q6039910233E Se -75 133.15 E 25 Q6024561035E Se -75 133.15 E 25 Q6039912953E Oct-75 133.15 Estate of Martin Wilbur Corpman, Jr. Schedule B File No. 21-10-1121 E 25 Q6043384423E Nov-75 134.46 E 25 Q6047823590E Nov-75 134.46 E 25 Q6055680797E DeC-75 134.75 E 25 Q6055682741 E Jan-76 134.76 E 25 Q6067600483E Feb-76 134.76 E 25 Q6067602678E Mar-76 134.76 E 25 Q6075710913E Mar-76 134.76 E 25 Q6082407700E A r-76 134.76 E 25 Q6091180400E Ma -76 136.04 E 25 Q6091178524E Ma -76 136.04 E 25 Q6092047601 E Jun-76 136.34 E 25 Q6106363412E Jul-76 136.32 E 25 Q6105207811 E Jul-76 136.32 E 25 Q6119766800E Oct-76 136.32 E 25 Q6142777607E Dec-76 138.04 E 25 Q6150079145E Jan-77 138.04 E 25 Q6151227377E Feb-77 138.04 E 25 Q6156016056E Mar-77 138.04 E 25 Q6161230739E Mar-77 138.04 E 25 Q6168793767E A r-77 138.04 E 25 Q6168795597E Ma -77 139.40 E 25 Q6177595501 E Ma -77 139.40 E 25 Q6182944565E Jun-77 139.70 E 25 Q6184827296E Jul-77 139.67 E 25 Q6191284728E Au -77 139.67 E 25 Q6191289058E Au -77 139.67 E 25 Q6203238697E Se -77 139.67 E 25 Q6209554411 E Oct-77 139.67 E 25 Q6210976382E Oct-77 139.67 E 25 Q6210978998E Nov-77 128.09 E 25 Q6223926594E Dec-77 128.45 E 25 Q6223930443E Dec-77 128.45 E 25 Q6223931861 E Jan-78 128.45 E 25 Q6232516180E Feb-78 128.45 E 25 Q6232515360E Mar-78 108.54 E 25 Q6246558262E Mar-78 108.54 E 25 Q6246560602E A r-78 108.54 E 25 Q6263808878E Jun-78 106.94 E 25 Q6277296895E Jul-78 106.97 E 25 Q6277299506E Au -78 106.97 E 25 Q6286422067E Au -78 106.97 E 25 Q6292495292E Se -78 106.97 E 25 Q6292310999E Oct-78 106.97 E 25 Q6292498031 E Oct-78 106.97 E 25 Q6292313907E Nov-78 107.98 Estate of Martin Wilbur Corpman, Jr. Schedule B File No. 21-10-1121 E 25 Q6311912286E Dec-78 108.27 E 25 Q6302562091 E DeC-78 108.27 E 25 Q6387661 1 1 4E Feb-80 110.62 E 25 Q6387663643E Mar-80 110.62 E 25 Q6402667762E A r-80 110.62 E 25 Q6311916036E Jan-79 108.28 E 25 Q6325927083E Feb-79 108.28 E 25 Q6311918736E Feb-79 108.28 E 25 616325929553E Mar-79 108.28 E 25 Q6340492735E A r-79 108.28 E 25 Q6348423484E Ma -79 109.33 E 25 Q6348420449E Ma -79 109.33 E 25 Q6348472375E Jun-79 109.59 E 25 Q6348474143E Jul-79 109.59 E 25 Q6362918517E Au -79 109.59 E 25 Q6362915816E Au -79 109.59 E 25 Q6369168789E Oct-79 109.59 E 25 Q6379900022E Nov-79 110.62 E 25 Q6388075016E Dec-79 110.62 EE 50 L75402158EE Jun-82 135.70 EE 50 L75402181 EE Oct-82 135.70 TOTAL $39,985.22 REV-1507 EX+ (698) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT scNEODU v MORTGAGES 8~ NOTES RECEIVABLE ESTATE OF FILE NUMBER Martin Wilbur Corpman, Jr. 21.10.1121 (K more space is needed, insert additional sheets of the same size) REV-1508 EX+ (g.ge) ~-c scN~ou~e e COMMONWEALTH OF PENNSYLVANIA CASH BANK DEPOSRS, & MISC. INHERITANCE TAX RETURN PERSONAL PRC-PERTY RESIDENT DECEDENT IsTArE of FILE NUMBER Martin Wilbur Corpman, Jr. 21 10 1121 Include the proceeds of IitiyaGon and the date the proceeds were received by the estate. All prapsrly ioiMlyownsd with ripld of aurvrvaahip mwt bs disclosed on &MduN F. ITEM NUMBER DESCRIPTION __ __ VALUEAT DATE OF DEATH 1. M&T Bank, Chedting Accotlnt;X55692095 3,212.39 2. Veterans Administration, Rttftind of Co-pay 8.81 3. .State Farm Insurance Refund of Car Insurance ...... 13.26 4. '..1989 Ford Station Wagon, poor condition 200.00 5. Highmark -Premium Refund 144.71 6. Mist~ellaneous Furniture and Personal Items 750.00 TOTAL (Also enter on line 5, RecapRulatan) i 4,329.17 (K more space ie needed, insert additional sheets of the same alze) .. ~.' .. raw ,.. ..P. .. , m ?. , 3/;-.h~~4icaJe!?k'.- a r me d"~. -. 'r,^...^^.^.m.T- ~{- .. _ M&T Bank - _ A ~ ,~ ~ . ., ~ . .. ,. _. .ACCOUNT N0. ACCOUNT !TYPE 55692095 RELATIONSHIP CHECKING WITH INTEREST STATEMENT PERIOD PAGE SEP.29-DCT.28,2010 1 OF 1 00 D 06123M NM 017 M WILBUR CORPMAN 126 WOODSIDE RD LEMOYNE PA 17043-1565 INTEREST EARNED FOR STATEMENT PERIOD 0.02 INTEREST PAID YEAR TO DATE 0.34 11903 errnllNT SIIMMeRV WEST SNORE PLAZA IINI ,BAL;ANC ; : D ...ITS 'f OTHER ADDIT ONS `~ `CHECKS PAID >!<'0 NER ?' SUBTRACTIONS S CURRENT INTEREST PD > :ENDINR BALANCE N0. AMOUNT N0. AMOUNT N0. AMOUNT 3,212.39 0 0.00 4 385.22 2 142.46 0.03 2,684.74 errnlluT erTrvT-rv !POSTING:: DATE TRANSACT20N DESCRIPTION DEPOSITS;: REST. i OTHER ADDITIONS !<:; HEGKS!i .OTHER:: SUBTRALTIONS:':. z::'DA YI:'. >BALANCE.: 09-29-10 BEGINNING BALANCE $3,212.39 10-01-10 PAWL PAYMENT 33.98 3,178.41 10-04-10 CHECK NUMBER 1733 208.19 10-04-10 CHECK NUMBER 1734 20.50 2,949.72 10-05-10 VETERANS AFFAIRS PAYMENT 000000000001736 108.48 2,841.24 10-06-10 CHECK NUMBER 1735 30.00 2,811.24 10-08-10 CHECK NUMBER 1737 126.53 2,684.71 10-28-10 INTEREST PAYMENT 0.03 2,684.74 ENDING BALANCE $2,684.74 `tHEpCS 'PAID SUMMARY 1733 10-04-10 208.19 1734 10-04-10 20.50 1735 10-06-10 30.00 1737^ 10-08-10 126.53 ANNUAL PERCENTAGE YIELD EARNED 0.00 EFFECTIVE JANUARY 7, 2011, THE FEE FOR EACH DAY THAT THERE IS A TRANSFER TO ANOTHER ACCOUNT TO COVER OME OR MORE OVERDRAFTS IN THAT ACCOUNT MILL BE $1D. THIS FEE DOES NOT APPLY TO TRANSFERS TO A POWER CHECKING ACCOUNT. ~ ~4i . Department of the Treasury c ~ Financial Management Service ~ ~ Philadelphia Financial Center rn o PO Box 51318 Philadelphia, PA 19115-631 S IDENTIFICATION NUMBER 10TM10061140100002275 M 100611401 94050766DAOIA0237090100002315 AMOUNT OF PAYMENT $8.81 MARTIN CORPMAN 126 WOODSIDE ROAD LEMOYNE PA 17043 PAYMENT IDENTIFICATION DATA ------------------------------------------------------- REFUND VETERAN COPAY RETURN ALL CORRESPONDENCE TO DEPT OF VETERANS AFFAIRS LEBANON PA ~~` 1700 S. LINCOLN AVENUE LEBANON PA 17042 '~ t (717) 228-5921 00383 State Farm® Providing Insurance and Fnancial Services One State Farm Dr CalcddvtRe PA 19339 00383 3944 5 56G CORPMAN, MARTIN W 126 WOODSIDE RD LEMOYNE PA 17043-1565 „a ACKNOWLEDGEMENT OF CANCELLATION REQUEST aa2aa-s-c AI-NONPI ~w~aa~wc5 DATE OCT 05 2010 POLICY NUMBER 513 0583-D18-38M AUTO MULTICAR POLICY EFFECTIVE DATE OF CANCELLATION PREMIUM REFUND SEP 28 2010 12:01 AM. STANDARD TIME ""'13.26 AGENT TYRONEISAAC As requested, this policy has been canceled as of the effective date shown. We thankyou for having given us an opportunity to provide this insurance. 00383 137-5125 e.1 03.28-2006 (ota011ch1 d y c a m a N N N O 0 G ~ PAY TO THE ~: oraoEaoF CDRPMAN MARTIN W o' 126 WOODSIDE RD 3944 5 56G II^L3L364066511' ~:0441i5443~: 777L4497311^ CL U C ~ ~~ ~ ~~ o ~w ~ ~~ ~~ .~ H 0 0 N 10 r-I rl ui rt A +~ E c6 O ~ rt ~~ N ~~ rtS W p., N O ~ ~ N ~z \/® i i V P----~ REV-gog EX+ (oi-so) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHlpYL! F JOINTLY-0WNED PROPERTY W IAIC VF: FILE NUMBER: Martin Wilbur Corpman, Jr. 21_10.1121 t< an asset became ~oiMty owned within one year of the dacedarCs date of death, It must LNe reported on Srhaduk G. - SURVMNG ]OINi TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A• Michael Gordon 430 Pines Road, Bax 95 Nephew Etters, PA 17319 30INTLY OWNED PROPERTY: Tf91 LEFIER FOR JOINT DATE MADE DESCRIPTION (~ PROPERTY INCLUDE NAME OF FNUUN]AL INSTI7UnON AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH % OF DECEDE 'S DATE Oi OPATIf NUMBER TENANF ]DIM ....IDENTIFYING NUMBER. ATTACH GEED FOR ]0[NRY ME1D REAL ESTATE. VALUE OF ASSEF NT INTEREST VALUE OF DE[EDENTS INTEREST 1. A. 05J08/95 126 Woodside Roed, Lenayne, Cumberland Cou Penn MX BYtienie 149,660.00 50% 74,830.00 TOTAL (Also enter on L]ne 6, Recapitulation) S 74,830.00 if more space is needed, use additional sheets of paprl of the same size. TaxDB Result Details Detailed Results for Parcel 12-21-0267-072. in the 2004 Tax Assessment Database DistrictNo 12 Parcel ID 12-21-0267-072. MapSuffix HouseNo 126 Direction Street WOODSIDE ROAD Ownerl CORPMAN, M WILBUR C/O & MICHAEL GORDON P~PTYPe R PropDesc LivArea 1560 CurlandVal 35000 CurImpVal 114660 Cutl'otVal 149660 CurPref Val Acreage ,2g CIGrnStat TaxEx 1 SaleAmt 55000 SaleMo OS SaleDa 09 SaleCe 19 SaleYr 95 DeedBltPage 00121-01064 YearBlt 1948 HF File Date 12/20/2004 HF Approval_Status A http://taxdb.ccpa.neUdetails.asp?id=12-21-0267-072.&dbselect= l Page 1 of 1 11/23/2010 REV-isii Fx+ (io-os} ~pennsylvania SCHEDULE H DEPARTNENTDF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN RESIDENT DKEDENT ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Martin Wilbur Corpman, Jr. 21 10-1121 Decedent's da6tE moat be reported on Schedule i. ITEM NUMBER A• DESCRIPTION FUNERAL EXPENSES: AMOUNT 1' ParUtemore Funeral Home & Cremation Services Inc. , 9,322.00 2. B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representatlve(s) Street Address City _ State ZIP _ Year(s) Commission Paid: 2• Attorney Fees: 6 215.00 3• Family Exemption: (If decedent's address is not the same as daimant's, attach explanatlon.) Gaimant Street Address City _ State ZIP ___ Relationship of Claimant to Decedent 4• Probate Fees: 335.50 S• Accountant Fees. 6• Tax Return Preparer Fees: 75.00 z .Legal Notices -Cumberland Law Journal 75.00 s. Legal Notices -The Sentinel _ 155.68 9. MGscellaneous: Postage and Mileage, copies 617.94 ~o. ' Register of Wills -Additional Short Certificates _. 24.00 TOTAL (Also enter on Line 9, Recapitulation) #, 16,820.12 [f more space is needed, use additional sheets of paper of the same size. i , ~~ ~~ ~ ~~ ~ A Family Tradition Of Caring® ~r -~ PARTHEMORE :Funeral Home. & Cremation Services, Inc. Mr. Michael S. Gordon _ 9/29/2010 P.O. Box 95 , Etters, PA 17319 ;For the Service of Martin W. Corpman; Jr. .1303 Bridge Street . We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way P.O. Box 431 we can. Please feel free to contact us if you have any questions in regard to this statement: The following. New Cumberland, PA 17070. is an itemized statement of the services, facilities, automotive equipment and merchandise that you selected (717) 774-7721 when making the funeral arrangements. (Fax)774-5546 www.parthemore.com Gilbert W. Parthemore, Founder - Gilbert J. Parthemore; S.upeivisor Stephen K. Parthemore, CFSP. Bruce R. Parthemore, Pre-Need Coordinator, CPC Professional Memberships: NFDA • PFDA DCFDA•CCFDA G,,~~~ The Rule You Knoll; The People You Trus[ Terms Due. Date Account # Net 30 10/29/2010 2010067.8 .Description Amount SERVICES & MERCHANDISE Graveside Service Grouping 3,964.00 VisitationNiewing " 420.00 Honor & Glory Stationery Set 13$.00 Solid Poplar Casket 1,999.00 12 Gauge Standard Steel Vault 1,345.00 Total Services and Merchandise 7.863:00 CASH ADVANCE ITEMS 12 Certified Copies of Death Certificate 72.00 Tent & Cemetery Equipment 200.00 Clergy Honorarium 150.00 .Flowers. Casket Spray 212.00.. Honor Guard 75.00- Grave Opening 750.00 Total Cash Advances 1,459.00 . `~h~k- ~ ~ ~o~c ~~~ ~ ~ ot~.e. , Q ~ t1s ono u) ~ ~ d'Ge,ct i S ~ ~h,~, ~c ~-1~ w-e. rt Vie. _ , ~ Q ~~ uh ~'` ~~t,,u,. _ TOtA~ $9.322.00 ~~~~~ ~ 00 1 309 $ ' ~ l i t ,. , . - @I ItS PA~/111@I1tS~C1 Ba~anV'e ~ue $8,013.00: ~~ i RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse S uare Carlisle, PA 1713 CORPMAN MARTIN WILBUR JR Estate File No.: 2010-01121 Paid By Remarks: MICHAEL S GORDON HMW Receipt Distribution Receipt Date: 11/09/2010 Receipt Time: 13:28:51 Receipt No.: 1063269 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 32.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN --- Check# 4327 ------------- $335.50 Total Received......... $335.50 The Sentinel www.c~mberlink.com ~" ~ cun=~ s~e~nrssuec r~en COUNtt ~~~ MICHAEL CHEREWKA 624 NORTH FRONT STREET WORMLEYSBURG, PA 17043 717 232.4701 AD NUMBER PAGE NO. 393146 1 of 1 BILL DATE SALESPERSON 01/24/11 wolfs START DATE STOP DATE 01/08/11 01/22/11 Publication Insertions Rate Net Amount Gross Amount 3 THE SENTINEL -LEGAL 3 LGL $148.68 TOTAL AD CHARGE $148.68 3 PROOF OF PUBLICATION 01 PRF $7.00 ~+-~~ Or~dsr Est. M.Corpman PAY THIS AMOUNT $155.68 $186.82• `AFTER 02!18!11 Thank you for advertising with The Sentinel! Deadline for in-column legal ads is 4:00 p.m. two business days prior to date of insertion. For questions, call (717) 240-7130. THE SENTINEL c/o LEE NEWSPAPERS PO BOX 540 WATERLOO IA 50704-0540 nwum ma pwvon wmYW/WYmMrt ^ Check # ^ Credit Card ^®^®^®^~ Acct #: E>~. Dade:m m Name on credit card Signature ~ make cMcka payada to: oootea MICHAEL CHEREWKA 624 NORTH FRONT STREET WORMLEYSBURG, PA 17043 THE SENTINEL c/o LEE NEWSPAPERS PO BOX 540 WATERLOO IA 50704-0540 Legal THE SENTINEL c/o LEE NEWSPAPERS PO BOX 742548 CINCINNATI OH 45274-2546 ~~~u~~~~~u~~~~~n~~~~n~u~~~~~~~u~u~~u~u~n~~u~~~n~~~ 2154020000D00393146000000000D000001868200000155688 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (71 ~ 249-8186 Fax: (71 T) 249-2888 January 28, 2011 Cumberland Law Joumal 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: Michael Cherewka, Esquire Martin W. Corpman, Jr. Estate RE: 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: January 14, January 21 and January 28, 2011 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 CORPMAN MARTIN WILBUR JR Estate File No.: 2010-01121 Paid By Remarks: IM~CHAEL GORDON Receipt Distribution Receipt Date: 2/01/2011 Receipt Time: 11:36:34 Receipt No.: 1064253 ree/Tax Description Payment Amount ..Payee Name SHORT CERTIFICATE 24.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 1058 $24.00 Total Received......... $24.00 REV-ISIZ ex+ t7z-oay ~'pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INt1ERITANCE TAX RETURN MORTGAGE LIABILITIES Et LIENS RESIDENT DE[EDENT ESTATE OF FILE NUMBER Martin Wilbur Corpman, Jr. 21 10 1121 Report debts Incurred by the decedent prior to death that remained unpaid at the date or death, inUudiny unrcimbursed medical expenses. ITEM NUMBER VALUE AT DATE . DESCRIPTION OF DEATH 1. Shipley Energy -Fuel Oil _ __ 385.00 2.' Sprint Telephone 45.11 3.', Departrnent of Veterens Affairs -Health Insurance _ 15.00 4. Pennsylvania American Water Company 32.67 5. PPL 108.06 6. Verizon Telephone _ 191.27 7. Pennsylvania American Water Con~any 25.41 e. Verizon Telephone 97.14 9. Fehl Awning Company, inc. _ 43.75 10. PPL 93.05 11. Cleaning Service for House 250.00 12. Vetrirrerian Elgler>ses and Pet Foad for DeoedenanYs Pets __ 215.00 13. PPL _ _ 33.98 14. Pennsylvania American Water Company _ 28.64 15. PPL _ 33.98 16. M&T Bank, Stopped check charge 15.00 17. Borough of Lemoyne, Trash & Sewer _ 126.53 18. PPL , .... 74.54 19. Shipley Energy -Fuel Oil _ _ 758.86 20. Borough of Lemoyne, Trash 40.50 TOTAL (Also enter on Line 10, Recapitulation) #'- 2,613.49 Ir more space is needed, insert additional sheets or the same size „h~P~~ ENERGY U. The energy to help U save. MARTIN W CORPMAN 126 WOODSIDE AVE. LEMOYNE, PA 17043 Customer N®mber: 356999 satemenc Date: 1or~sno Total Amount Enclosed: $ PNC BANK - (SOUTHCENTltAL) >..;: ~ Irv v r ~ e # ,. ~. Correct Heattna Saws cbar>eea "~aiaclatled bi badaet: ~{since last statement) Invoice Date 'Postin¢Date Transaction Descnntion`"' <.. " Amount 9/25/10 PreyousBalauce: $179.50 lA/Ol/10 9/30/!0 Service Contract "0.1"jsee ddat'1s next page) $420.00 10/12/10 ]0/12/10 Budgetl'ayment=ThankYoul'" ' $302.000R ] 0/25/10 10/25/10 Hudget Due~see details next page) $297.i0CR BALANCE CURRENT HEATING SEASON BUDGET: $,Op NOVEMBER BUDGET PAYMENT DUE 1U10/10 _ 5385.00 Cbsrees ~t bieladed in buffet: (since last statement) Invoice Date Posting Date Transaction Descrivdon Amount 9/25/10 Previous Balancer '$,00 10/25/10 10/25/10 Budget Due(see details next page) $297.50 BALANCE NON-BUDGETED CHARGES: $297.50 TOTAL NON-BUDGETED.BALANCE DUE: 5297.50 Sprint MARTIN W CROPMAN 126 WOODSIDE RD LEMOYNE, PA 17043-1565 Page: 1 Billing Period Ending: 10/21/10 Invoice Date: 10/25/10 Customer Number: 498011880 Summary of Charges 0 0 T i3 Taxes Amount Balance Account SPRINT , Surcharges Current' Due By Forward Adjustments Charges and Fees Total 11/14/10 5.00 5.00 $34.47 $10.64 345.11 545.11 Important Information from Sprint: Effective Dec. 1, 2010, Interstate and Intrastate Operator Service surcharges will increase.. The rates are posted at www.sprint.com/ratesandconditions under "Important Sprint Wireline Rate Changes" Now you can stay up to date on the newest calling plans and rates via a-mail! Sign up at www.sprint.com/member to receive special offers and announcements available only to Sprint members and tailored specifically to your interest. Ensure your great Sprint rates also move to your new home. Always advise Sprint of changes in address or telephone. ~ ~ ~- Please contact Customer Service at the number listed on the bottom of your invoice. ff you have any questions about your invoice, please cal! Customer Service at 1-800-877-4646, or vlslt us at http://www.sprlntcom. Fold, tlWm Detach and Return this Portion with Your Payment. Sprint ~ Customer Number 4 011880 Amount Duo By,11/14j~0 ' 5040 RIVERSIDE DR ~ ~' ~ ~ ~ ` ~" E;, IRVING, TX 75039-4307 ~ ~~...,,. ~~ ~"~ $4511 ~~' ~' h ~ ,Wi: t ~AMOUTVT,E,NGLOSED S .. ...,;.3 ' t...°: ,, -~-,~ HBWHBDWH A498011880 8A AB 01 025408 82098 H 702 A MARTIN W CROPMAN 126 WOODSLDE RD LEMOYNE, PA 17043-1565 SPRINT P 0 BOX 219100 KANSAS CITY NO 64121-9100 I111~1111~~1~111,111~1,1~,1~~1~111111"~~I~~~I II~I~III'~~II'1~111 I~111~111,~~1,~~I~,III~i,I,~~~„I~~~II'li~llllll~~ll~~l~~i,l~ll~~ Thank You For Using Sprint. Make Check or Money Order Payable to Sprint In U. S. Dollars. Do Not Send Cash. Complete Reverse for Address Changes. 081011021149181 1000004511498011880002 1700 S LINCOLN AVE LEBANON PA 17042-7597 CLUDE ANY CORRESPONDENCE WITH PAYMENT. ................................................................ ACCOUNT NUMBER STATEMENT DATE ~,,,~~~,,,~~~,,,,~„~„~~,,,,~~,~,~„~~,,,~,~,,,~,~,~(i„~~,,,~ For written inquiries concerning your account please send them to the MCCR or Revenue Office at the facility address above. *037383 - toulo or3e3 MARTIN MILBUR CORPMAN Payments received after 10/10/2010 will be on 128 i~ODSiDE RD your next s atement. LEMOYNE PA 17043-1555 Billing questions please call 1-888-408-2657 Patient Name: MARTIN WILBUR CORPMAN 10/01/2010 10/04/2010 10/04/2010 10/05/2010 Department of Veterans Affairs NAME OF FACILITY LEBANON VA MEDICAL CENTER (585) FOR QUESTIONS ABOUT YOUR ACCOUNT, PLEASE PHONE THE BELOW No. )-866-408-2657 STATEMENT OF MEDICAL CARE COST RECOVERY ACCOUNT ACTIVITY Account No: S8S-00000000-77344-CORFU Stmt Date: 10/14/2010 COPAY RX:23S4488E FD: 10/08/2010 DRUG:DIGOXIN (LANDXIN) 0.125MG TAB DAY5:80 QTY:9O PHY:YOUNO,KIMBERLEE P CHG:S27.00 OUTPATIENT CARE(NSC) VISIT DATE: 08/25/2010 RX CO-PAYMENT/NSC VET PAYMENT (10/04/2010) 27.00 595-K10060Q 15.00 588-K10078U 27.00- 595-K10050Q 108.48- 895-K00858T SUMMARY OF ~ Q@3 ~~tE A, ~~~ z ~ ~ ~1~~-IAxF1~,~ ~ : ~ ~ z ~~ ~ ~"~ , ~ .. r ~ = . ,-. ~ . . MONTHLY ACTIVITY 4 1 4 - 5 +rCRED1T GARD NUMBER aIVAME OF CREDIT CARD ^ E PREISS N ^ MA~SDTER ^ DISCOVER ^ VISA I I II 69b-00000000-77344-CORPM I 10!14/2010 595**5950000000077344CORPM***00000000015006 aaa= e'er i. ~_ ~_ s s C E_ #SIGNATURE Remit To: AMOUNT DUE DUE DATE *AMOUNT OF PAYMENT ~uII,~~,uuIL,I,Im~~,ILuuLLIIuI,Iu,iluLLuIuII DUE UPON DEPARTMENT OF VETERANS AFFAIRS $ 15.00 RECEIPT $ PO BOX 530269 ATLANTA GA 30353-0269 MARTIN MILBUR CORPMAN 128 it~DSIDE RD If paying by check or money order please make ayable to the "VA" and send LEMOYNE PA 17043-1585 p payment to "Remit To:" address above. Please include account number on check or ~A roaM money order. +~If paying by Credit Card complete fields marked with an asterisk(+~). N"r 2006 0246 CCPG 1 00024063058190000000000003267012 Penr~ylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 126 Woodside Rd 028060 1 AV 0.336 2p8pR6060AD02060 110 1 PCLYC9 VIII VIII III1111Ii1111111111111111111111111111111111111111111 M W CORPMAN 126 WOODSIDE RD LEMOYNE PA 17043-1565 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 I I I I I I I 11111111111 I I I I I I I I 11111111111111111111111111 please cheek here to add H2O-Help to Otl~ers conhmuNon to your monthly b~71 o- ro dlerpa your address or telephone camber, and print lnformedon on reverse side. c 4. .nn.4.LS .F a e" Cush©~#ie ~fccount Irriormatian . Btllfng Surrimary Fot' Sirv~ce'To M W t^,orpman Prior Bairn 6~fancah Rd Prior IAfat~ ' dsid B W `~ r ° 1 $33.98 , , e 2 oo ~~ ~~ -.. AccWinfi~t~m~lir'.24-b~3058t 9 <P$~m~i~ts~r l~~"GJct f 1, 24fQ: T,hanksF ' i -33.98 r, Te~-r' prfor~~a~i~es Oct 1 T, 20~f0 Prmf~e t~mbir" 2+k~i7~842 ~ , ~ .00 :• ~ ~ x e[t i~ter Ct~'ges----- uK ~~ ' ~ :~ C ~ ~~ , r <,. . ~ . _ ; '.. :; r . , , .,, , .. , . , .,n~xr,~ Ratf' :*; Tvl~ti Mete .Pie t_ai! `.C 13.00 z 2,4t7Q) 18.94 ~ .14 , '96 .59 [11,20!0 32.67 $32.67 t. Total'Amoullt. vviU be deducted "' ~ ~ Page 1 PPL Electric pp .;~.;~ ... 95670-80003 Utilities .,.,:..... ..:.... :.. :..:.:..._ >}-: Electric Summary Page Service - Balance aS oro~t s, 2010 $o.~ For= Char es: M w coxPMAx Tota~PL Electric Utilities Charges $108.06 lz6 woonsms xn $108.06 LEMOYNE PA 17043 Total Charges $ . _.:.. 'r .f .. ........ .~ r . :.~ .... t... ~. ~- ~~ ..}. ... ..:. Account Balance $108.06 Questions about this bill? Please contact us Oct 29 at 1-800-34~-5775 (1-800-DIAI.-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 ~] 84 70 56 42 28 14 0 ONDJFMAMJJASO 2009 Months 2010 KWH -Average Per Day Meter Reading Information Meter #98924210 Act ~ 9 8561 29 Da s KWH Billed 794 Average -Oct 2009. 2010 Temperature 62F 32 64F 27 KWFI Per Day Yearly Use: Total Avera e Use Mon Nov 2008 -Oct 2009 20395 17 Nov 2009 -Oct 2070 19285 1607 Other important information on back ~ E N a~ M f0 CJ A Q r a °~ M N ri 3~~ vi {p, 0 ~~ $ ~ M n <V i i i I i ; ~ j I r N j i ~ i I i ~ ' p i o N i i ~ q is ~ ' ~ I d s,'o ~N i ~ ~ ~• , ,'.t~ w C ~ Ni d I m p ~.. is V °~ ffi m ~E ~~ N ~ C N ~ ~~ ~N;d~ ~~ ~~~~~a "~ ~ og~ ~o °' ` vl m i ~ ~E~A ~ a~ C ~ ~ E _ 08_ ~~y ~~^°~SP ~v r ~ ~~~~ ~~ ~c`~E~ ~s~~€y U ~ O $g~~ iA~~~E oe . 8 ~ ~ o ~~ 3 ~~ ~~~~ _~~~.~_ ~~g~~~ EgpA. o V a E~Qm ~. ~P~.v -~n ~~~~~~o ~~8~~~ 00024063058190000000U00002541011 Pennsylvania Amer~an Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 126 Woodside Rd 021270 1 AV 0.396 1270!21270!001270 086 7 PCM37M 111111111111111111/111111111111111111111/11111111111111/11/111 M W CORPNAN 126 WOODSIDE RD LEMOYNE PA 17043-1565 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 11111111111//I/11111111///I//11/II11///1111111/11111 Please cheek hate to add H26Help to Others conh~ution to your monthly bAl or to change your address a one nunlf>~ and pmt ntormetlon on reverse side. Cusromer Account Ntormaflon Blffing Summary .For Service To: M W Cotpman ,, „ Prbr Betart `12fi Vlfoodside Rd Prior WateifBalance ' AccouFtt Num6sr 24-0630581-9 ;Pay-nerMfs prrar Gv Nov 08, 2010. Thanksf Prsmke Numbers"24-0372642 Total piior beiance;`Nov 08, 2010 ' Current Water Charges------ ~ ~8fq/ng Porfod ~ Meferlnformatfon ' Sernce Ei-erge ,~ Billing [)te: Nov A8, 201 Q ~ Water Volume ~~ 007890 x 1, 500) Billing P+otrfod: Oct 08 to Nov 03 (28 days) STAS PAWC tNater 0.45% . > Nsxt reeding oNabout: Dec 06, 201.0 F ~, : , DSI PAWL Charge`1.859b Rate Type: Residential Total water charges; Nov O8, 2010 (Aster readings in current billing Period: AMOUNT DUE --- Meter Number N045388311 is a 5/8=inch meter. Present-actual 5629U0 Do not Nnd payment. Toth Amount Dw Last-actual 561400 from your bank account on Nov 29, 201Q Galbns used 1500 X32.67 -32.67 .00 13.00 11.84 .11 .46 25.41 $25.41 will bs deducted N O ~ N CO r ~ w a ~' ~ ~ _ ~ ~ N w N Eo d H m o N a b o ~ m ~ = e a 9 m N C ~~ i ~ UP ~ H ~ n~ Y ~ ~ ~ 1Q C % .~ cry 1 T9 5 c to y € ~ ~ ',, ' ~~ ~ ' ' ~ _ ~ ~ ~ ~ Q a ~ m ~~ q 7 C 0 a Fehl Awning Company, Inc. 12 West Main St., PO Box 24 Walnut Bottom, PA 17266-0024 717-532-6332 or 717-776-3162 BILL TO Mr. M. Wilbur Corpman 126 Woodside Dr Lemoyne PA 17043 RETURN TOP PORTION WITH PAYMENT Invoice DATE INVOICE # 11/4/2010 11471 AMOUNT ENC. Fehl Awning Company, Inc. ~ P.O. NO. TERMS _ ' ~ °' ~ Due Upon ReaeipY _ _. __ DESCRIPTION QTY AMOUNT Awnings/Canopies down Fall 2010 41.27T Pa State Sales Tax 2.48 PPL Electric Utilities Electric Service For. M W CORPMAN 126 woonsID$ xD ~MOnva rn noa3 eatious about 's bill? Please contact us Nov 29 at 1-500-34 5775 (1-500-DIAIrPPL) or write to: Customer Service 827 Hausman Itd Allentown, PA 18104-9392 www.pplelectric.com Electric Use ,~, '~~~,::;;~,.~" Page 1 :-- •-._ +:-,. pP .._- ., ~, Summary Page Balance as of Nov 8, ZO10 C es: To PL Elec4ric Utilities Charges 9s67agooo3 ,r_~ . 'fifflYfrff 5108.06 $93.05 Total Charges $201.11 .~... rte. r r ?. ., ~~ s Account Balance $201.11 ~a 70 56 az 28 14 0 KWH -Average Per Day Meter Reading Infornstion This graph shows your electric use over the last l3 months. Types of Meter Readings: Actual . Adjusted Estimated Customer 0 NDJFMAMJ7ASON 2009 Months 2010 Meter ii98924210 Nov 8 Actual 10018 Oct 8 Actual 9355 31 Da s KWH Billed 663 Av er a g e -Nov 2009 2010 ~ p ~ a KWH Per Day 5 ~ 52F Yearly Use: Dec 2008 -Nov 2009 Dec 2009 -Nov 2010 Total Use 21244 17909 Avera e Mon l 7 1492 Other important information on back ~ ~ ~I . , __ - ., ~ _ , ~ , _.~ wz-M_~...A...._.w.~... ~ M&T Bank ACCOUNT NO. ACCOUNT TYPE 9853851658 FREE CHECKING 00 0 06123M NM 017 14358 ESTATE OF MARTIN WILBUR CORPMAN MICHAEL S GORDON, EXEC 430 PINES RD PO BOX 95 ETTERS PA 17319 STATEMENT PERI00 PAGE DEC.18-JAN.18,2011 1 OF 1 NEST SHORE PLAZA A f`f`fl11MT CIIMMARV .B " BALkMCE D : I :S i TMER ADOIT ON3 CHECKS RAID >!O NER :: 'SUBTRACTOT15 ~4lRRENT REST PD !' ::END NG BALANCE N0. AMOUNT N0. AMOUNT N0. AMOUNT 19 756.38 4 34, 24.3 3 30,1 8.79 19 .4 0.00 23,966.47 Af`f`f111NT ACTTVTTV ,POS. DATE TRANSACTION I~ESCpIPTION ITSINTER S 8 OTHER'ADOiTIONS C CK :::R OTHER' SUBTRACTIONS: '::DAILY >BALANC~' 12-18-10 BEGINNING BALANCE #19,756.38 12-23-10 DEPOSIT 32,048.70 12-23-10 DEPOSIT _ 2,000.00 53,805.08 12-28-10 DEPOSIT 310.18 12-28-10 CHECK NUMBER 1051 30,000.00 24,115.26 5 ED ITE ETURNED 16 .47 12-30-10 RETURNED DEPOSITED ITEM FEE .00 23,934.79 0 -03- CH 90.15 23,844.64 01-05-11 CHECK NUMBER 1052 28.64 01-05-11 VETERANS AFFAIRS PAYMENT 000000000001054 15.00 23,801.00 01-11-11 DEPOSIT 165.47 23,966.47 ENDING BALANCE #23,966.47 .:!CHECKS `,PAID SUMMARY 1051 12-28-10 30,000.00 1052 01-05-11 28.64 1053 01-03-11 90.15 EFFECTIVE DECEMBER 31,2010 THROUGH DECEMBER 31,2012, FDIC COVERAGE MILL BE UNLIMITED ON NON-INTEREST BEARING ACCOUNTS. ACCOUNTS THAT EARN OR ARE ELIGIBLE TO EARN INTEREST WILL BE COVERED UP TO #250,000 PER DEPOSITOR. Loom lsro~ _~ ..1 ~~mrC ~ yi iDrar I c o m m z~ ~ m.A, jm w Z~ Z -An ~ D ~ ly < m m ~ m m S i ~ i A% ~ A Z y Z p ~ m j j~ ~ n! O r~<~ n --rt ~ °i~a~c~ ~ m '" ~ ~n ~ N N ~ ~~,!,'~ m'~jm m = N N O O 30 O O' SD O ~+ '. J 0 o ~ m I° ~~; o I? a "'~ol~l I ~ m I ~y oo, D' v ~ v v ; w „~ ~ v 'A ~ Z O o m iwl~S'; a ci m I A_1' 31 ~~ C t ' S j o o ~, a i m ("~, N N N A 0~D ~ .~ '~ I~ ~ N ~ OI O O O O ~ ! '~, O wo °oo°o~m ~ ~~ r I y s ~ I ~ O LAST WILL AND TBSTAMEtiT OF K. WILBOR CORPMAN I, M. WILBUR CORPMAN of the .Borough of Lemoyne, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expen- ses out of my estate as soon as may be practical after my death. II - I devise my undivided interest in my house at 126 Woodside Road, Lemoyne, PA to my sister, Helen F. Gordon. Should my sister predecease me, then I devise said house to my nephew, Michael S. Gordon. III - I bequeath all of my; tangible personal property, not .4 including cash and securities, to my sister, Helen F. Gordon. Should my sister predecease me, then I bequeath all of my tangible personal prop- erty to my nephew, Michael S. Gordon. IV - I make the following bequests: A. The sum of $5,000 shall be paid to Christina Marie Tutto, daughter of Virginia S. Forney, now of Harrisburg, PA. B. The sum of $5,000 shall be paid to Nathaniel M. Gordon, my grandnephew. ARNOLD & KE, ATTORNEYS-AT-LAW, 4109 MAAICET STREET, CAMP HILL. PA 17011 Page 1 C. The sum of $5,000 shall be paid to Joshua M. Gordon, my grandnephew. D. The sum of $1,000 shall be paid to my niece, Patricia Gephardt. E. The sum of $1,000 shall be paid to my nephew, Douglas Corpman. F. The sum of $1,000 shall be paid to my nephew, Bradley Corpman. V - I have made no provision for my brother, Lynn C. Corpman, whom I remember with fondness, but realize that he does not need any funds at this stage of his life. VI - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate in the following manner: A. I bequeath one-third of said residue to my friend, Virginia S. Forney. Should she be deceased, her share shall lapse. B. I bequeath one-third of said residue to my nephew, Michael S. Gordon. Should he be deceased, I bequeath his one-third share to his mother, Helen F. Gordon. Page 2 ARNOLD & SLIKE, ATTOANEYfAT-LAW, 2109 MARKET STREET. CAMP H[LL, PA 17011 C. I bequeath one-third of said residue to my sister, Helen F. Gordon. Should she be deceased, her one-third share shall be paid to her son, Michael S. Gordon. VII.- I appoint my nephew, Michael S. Gordon, Executor of this, my Last Will and Testament. Should my said nephew fail to qualify or cease to act as such, then I appoint my sister, Helen F. Gordon, to act in this capacity. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. Ip ~~ ~ F, I have hereunto set my hand and seal on this the ~ ~ ~ day of 1990. ~ (SEAL) M. Wilbur Corp n Signed, sealed, published and declared by M. WILBUR CORPMAN, Testator therein named, on this and two (2) other sheets of paper as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. 1'" Name ~~~ ~ ,E ~~'= Name ~~ ~' ~t . ~ Addres C~Ai ~~ Addr ss ARNOLD & SLIKE, ATTOANEYSAT-LAW, 4109 MARKET STREET, CAMP HILL. PA !7011 COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) WE, the undersigned, the testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator. signed and 'executed the instrument as his Last will and Testament and that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free will and voluntary act for the purposes therein expressed, .and that each of the witnesses, in the presence and hearing of the testator signed the will as witnesses and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. Subscribed, sworn to and acknowledged before me by the testator, and subscri d and sworn to before me by both witnesses, this -Z ~' day of , 1990. Notary Public NOTAR IAL SEAL THELMA S. McCAUSLlN, Notary Public Camp Hill, PA Cumberland County My Commission Expires July 3, 1992 .\?N(11.n ~• `~,Il i{. ,VrOR`; f~'~..\'r., ~~•.~ nnn VnRKF"P CTRFFT, .-n "~i.,ll L. P4 '.nil U Witness