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HomeMy WebLinkAbout03-17-11_ ___ _ ~ _ _ - - J 150561,0140 REV-1500 EX (01-10) Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po Box 2sosol INHERITANCE TAX RETURN Harrisbur , PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 0 1 1, 5 1, ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 2 D 2 2 0 4 2 6 9 1 1 0 5 2 0 1 0 1 1 0 2 1 9 2 4 Decedent's Last Name Suffix Decedent's First Name T R I M M E R MI B E T T Y A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE FILL IN APPROPRIATE OVALS BELOW REGISTER OF W~LLS 1. Original Return ~ 2. Supplemental Return 3. Remainder Return (date of death 4. Limited Estate ~ prior to 12-13-82) 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required © death after 12-12-82) 6. Decedent Died Testate ~ 7. Decedent Maintained a Livin Trust (Attach Copy of Will) g 8. Total Number of Safe Deposit Boxes (Attach Copy of Trust) 9. Litigation Proceeds Received ® 10. Spousal Poverty Credit (date of death ® 11. Election to tax under Sec. 9113 A) between 12-31-91 and 1-1-95) A ( . ttach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number M A R C U S A M c K N I G H T I I I 7 1 7 2 4 9 2 3 5 3 REGISTEF~B~F WILLS USE ONLY First line of address 6 0~ W E S T Second line of address City or Post Office C A R L I S L E P O M F R E T S T R E E.T ZIP Code L 1 7 0 1 3 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'6~preparer other than the personal representative is based on all information of which preparer has any knowledge. SI~_A F PERSON ~E$~~ SIp~E~p~F'~~ RETURN ~~ _ ~~' A DATE ADDRESS 114 OA~C HILL ROAD SIGNAT 06~i2FPG OTHE 60 WEST POMI~Q,1 CARLISLE R Tl,rrrv ntrKt~tN IATIVE . ~i STREET State P A CARLISLE PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 ~' /a.e~•~ /s" Tom/ 1 PA 1,701,5 ATE Q/ PA 17015 150561,0140 J 1505610240 REV-1500 EX Decedent's Social Security Number Decedent's Name: BETTY A• TRIMMER 2 0 2 2 0 4 2 6 9 RECAPITI~LATION ` 1 1 2 5 0 0 0. 0 0 1. Real Estate (Schedule A) ........................................... 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. • 2 1 4 2 5 9 . 9 7 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. • 7. Inter-Vivos Transfers 8~ Miscellaneous N n-Probate Property Re uested Billin t ~ S 7 • ....... g q epara e (Schedule G) . 8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 3 3 9 2 5 9 . 9 7 9. Funeral Expenses and Administrative Costs (Schedule H) ......... . ........ 9. 3 B 2 8 ? . 3 3 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .... ..... .... 10. 5 8 6 . 6 5 11. Total Deductions (total Lines 9 and 10) ...................... ..... .... 11. B 8 8 7 3.. 9 8 12. Net Value of Estate (Line 8 minus Line 11) ................... ..... .... 12• ~ 0 0 3 8 5 . 9 9 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. 3 0 Q 3 8 5 . 9 9 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0 0 0 15 0 0 0 (a)(1.2) x .0 . . 16. Amount of Line 14 taxable 0 0 0 0 0 0 at lineal rate x .0 16. . 17. Amount of Line 14 taxable 0 0 0 17 0• 0 0 at sibling rate X .12 . 18. Amount of Line 14 taxable 3 0 0 3 8 5. 9 9 18 4 5 0 5 7. 9 0 at collateral rate X .15 . 19. TAX DUE ............................................ ...... .... 19. 4 5 0 5 7• ~ 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610240 1~i05610240 ~ . ti REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 10 01151 DECEDENT'S NAME BETTY A. TRIMMER __ STREET ADDRESS 921 WEST SOUTH STREET CITY i STATE CARLISLE PA Tax Payments and Credits: ~ ~ Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments 42 750.00 B. Discount _2,249.93 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (3) (4) 0.00 (5) 57.97 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE .BLOCK S 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred : .................................... .. ^ a 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? ...................... ^ a ................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ^ a ....................................................................................... 3.. Did decedent own an "in trust for" orpayable-upon-death bank account or security at his or her death? .......... ^ X^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ....................................................... ........................................- ~ n IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent (72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)J. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. . • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, undE Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. I ZIP --- . ---- 17013 (1) 45 057.90 Total Credits (A + B) (2) 44 999.93 REV-1502 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE SCHEDULE A INHERITANCE TAX RETURN REAL EST~#TE RESIDENT DECEDENT ESTATE OF: BETTY A. TRIMMER FILE NUMBER: 21 10 01151 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. Attarh a r_.npy of the cettlemant chant if tha property hac been cold, ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 • 921 WEST SOUTH STREET, CARLISLE, PENNSYLVANIA SOLD -SETTLEMENT SHEET ATTACHED 125,000.00 TOTAL (Also enter on Line 1, Recapitulation) I $ 125 000 00 If more space is needed, use additional sheets of paper of the same size. REV-1508 EX + (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF BETTY A. TRIMMER FILE NUMBER 21 10 01151 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 NUMBER DESCRIPTION '/ALUE A'+ DATE 1. PERSONAL PROPERTY -APPRAISAL ATTACHED OF DEATH 676.00 2 (SOVEREIGN BANK-CHECKING ACCOUNT#1671022572 I 5,415.96 3• CITIZENS BANK -CHECKING ACCOUNT #6100732053 24,492.15 4. (CITIZENS BANK -CERTIFICATE OF DEPOSIT #6140693098 1,835.11 5• CITIZENS BANK -CERTIFICATE OF DEPOSIT #6140716012 1,454.45 6• WACHOVIA BANK -CHECKING ACCOUNT 8, 464.76 7~ WESTERN NATIONAL LIFE INSURANCE COMPANY ANNUITY #XV214898 ~ 41,805.96 BENEFICIARY: THE ESTATE OF BETTY A. TRIMMER 8. SUNAMERICA ANNUITY #A634050399D 37,561.82 BENEFICIARY: THE ESTATE OF BETTY A. TRIMMER 9. PRINCIPAL FINANCIAL GROUP ANNUITY #8830080 92,553.76 BENEFICIARY: THE ESTATE OF BETTY A: TRIMMER TOTAL (Also enter on line 5, Recapitulation) ($ 214,259 97 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (10-09) ' pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER BETTY A. TRIMMER 21 10 01151 Decedent's debts must be reported on Schedule i. ITEM Ivl I(1/i~ER r1ECtrRIPTI(1~I A. FUNERAL EXPENSES: 1. HOLLINGER FUNERAL HOME B 1 ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) ALICE I. GUTSHALL Street Address 114 OAK HILL ROAD 4,021.54 13, 000.00 ~: City.CARLISLE State P=_ Zlp 17015- Year(s) Commission Paid: 2. Attomeyl=ees: IRWIN & McKNIGHT, P.C. 14,500.00 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: REGISTER OF WILLS 311.50 5. I Accountant Fees 6. Tax Return PreparerFees: PATRICIA A. ROSENDALE CPA , 350.00 7. CLOSING COSTS ON SALE OF REAL ESTATE 8. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 3,395.78 9. THE SENTINEL -ESTATE NOTICE 75.00 10. ROY D. GOTTSHALL -APPRAISAL ON PERSONAL PROPERTY 187.54 11. REGISTER OF WILLS -SHORT CERTIFICATES 55.00 12. NOTARY FEES 12.00 13. ALICE I. GUTSHALL -REIMBURSEMENT OF REPAIRS TO REAL ESTATE 20.00 14. KOUGH'S OIL SERVICE -FUEL OIL 962.47 15. WASTE MANAGEMENT -TRASH REMOVAL 412.50 984.00 TOTAL (Also enter on Line 9, Recapitulation) I $ 38,287 33 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) • pennsylvania SCHEDULE DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ~ ESTATE OF FILE NUMBER BETTY A. TRIMMER 21 10 01151 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM NUMBER ~~~,.,,,~T,,,,, VALUE AT DATE uc~~,nir i lulu Ur uEA T H 1 • PP&L -ELECTRIC 134.85 2~ BOROUGH OF CARLISLE -TAXES (PRORATED) 168.99 3• (HORIZON EYE CARE -MEDICAL 129.12 4 (BOROUGH OF CARLISLE -WATER/SEWER 65.94 5. (THE BANK OF NEW YORK - REIMBURSEMENT OF FOOT LOCKER PENSION 87.75 TOTAL (Also enter on Line 10, Recapitulation) I $ If more space is needed, insert additional sheets of the same size. 586 65 REV-1513 EX+ (01-10) ' pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ~J ~ A i t ur: BETTY A. TRIMMER NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. ALICE I. GUTSHALL 114 OAK HILL ROAD CARLISLE, PA 17015 FILE NUMBER: 21 10 01151 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Collateral AMOUNT OR SHARE OF ESTATE 300, 385.99 REMAINDER _ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV 1500 COVER SHEET, AS APPROPRIATE II NON TAXABLE DISTRIBUTIONS. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ ff more space Is needed, use additional sheets of paper of the same size. ~t ~~lC~d ~~r.~h~t I, BETTY A. TRIMMER, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last .Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. ONE: I direct my Executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of _ my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this will, shall be paid by the Executrix of my estate. TWO. My Executrix may, at her discretion, compromise claims, borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. I authorize and empower my Executrix to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My Executrix is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said Executrix. ~~a5 THREE: I give, devise, and bequeath all of my estate of every nature and wherever situate, to ALICE I. GUTSHALL. FOUR: I nominate and appoint ALICE I. GUTSHALL to serve as Executrix of this my Last Will. FIVE: My Executrix may, at her discretion, compromise claims, borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments. ~: SIX: No Executrix acting hereunder shall be required to post :bond or enter security in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 7th day of May 2010. . BETTY A. MMER Signed, sealed, published and declared by BETTY A. TRIMMER, the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other have subscribed our names as witnesses hereto. 2 ACKNOWLEDGMENT AND AFFIDAVIT WE, BETTY A. TRIMMER, JEAN M. RICE and I~;AREN S. NOEL, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. . ~-~ --~ BETTY A. ~''RIMMER JE M.~ICE _~ , v ~ S. NO L COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by BETTY A. TRIMMER the testatrix herein, and subscribed and sworn this 7th day of May 2010. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Martha 1. Noel, Notary Public Cariisla aoro, Cumberland County My Commission Expires Sept. 18, 2011 ~R~bpf~ eRfl@y ylflli~ ~~Altifl~n of Notaries Pr.Nw:.aeons are oesaeoe form HUD-1 (1/B6) re/ Handbook 4105.2 • Predous aditlons arc otrolete U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT fo-m HUD-1 (3/88) ref Handbook 4305.2 File Numt~er: LINER2-11 PAGc 2 TitleFxnrasc SaMlamanl Quetum Drir+~ n~ineion„ ..~ no.~. ~~~~ L. 5ET TLEMENT CHARGES PAID FROM PAID FR 700. TOTAL SALES/BROKER'S COMMISSION based on rice $125 000.00 = BORROWER'S OM SELLER'S Divisit3n of commission line 700 as follows: FUNDS AT FUNDS 701. to SETTLEMENT AT SETTLEM 702. to ENT 703. Commission 'd at Settlement 800. REMS PAYABLE IN CONNECTION WITH LOAN 801. Loan ' ination Fee % 802. Loan Discount % 803. " al Fee 804. Credit R rt 805. 806. 807. _--_-__ 808. 809. 810. 811. 900. REMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From to $ /da 902. M Insurance Premium for 0 mont to 903. Hazard Insurance Premium for 0 moat to 904. 905. 1000 RESERVES DEPOSRED . WRH LENDER FOR 1001. Hazard Insurance mo. /mo 1002. M Insurance mo. $ Imo 1003. C' Tax mo. $ Imo 1~• ~ ~ Tax mo. 85.63 Imo 1005. Sd~aot Tax mo. $ 145.94 /mo 1009. A ate Anal is Ad'ustment 0.00 0.00 1100. TITLE CHARGES 1101. Settlement a Closin Fee 1102. Abstractor Title Search 1103. Title Examination 1104. Title Insurance Binder. 1105. Docxnrrent P ation . 1106. No Fees ~ ' 5.00 5 00 1107. AUome s fees to IRWIN 8 MCKNIGHT P.C. 200.00 . includes above items No: 1108. Title Insurance includes above items No: 1109. Lender's Cover e $ NONE 1110. Owner's Cov a NONE 1111. 1112. 1113. _ 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Reoon~ Fees Deed $ 62.00 • Mort • Release 82.00 1202. C' /Coon tax/stam Deed $1250.00 • Mort a 1250.00 1203. State & Coun Tax/stam Deed 1 250.00 • Mort 1250.00 1204. Deed • Mort e 1~• Deed • Mort a • Release 1300 ADDITIONAL SETTLEME . NT CHARGES 1301. Su 1302. 1303. 2011 Co/Boro taxes not aid 1304. 1305. final vrtdswr #013063 to CARLISLE BOROUGH 1306. 67.42 1307. 1308. 1400. TOTAL SETTLEMENT CHARGES enter on lines 103 Section J and 502 Section K 1517.00 1,322.42 •~~ .-.............vn Vr' OY i CR MI\u JCLLGK Iksh~ tarAuNy the HUD-0.1- J /SettNmant Statement and to the best of my knowledge and belief, it is a tru and xeurate statement of all ipes and disbursements made on m account orb n 1 eartl 1 have received a copy o/ the HU0.1 Settlement Statement. Y Y i ~ ,. BEl'11f A. TRIMMER ESTATE ~~, ~~~ UNITED 8TAT~ ON TFNBE pR ANy BgAq.ARY FORM, PEI~W.TIEg UppN CONVIC710N have taut ~ nt b a lrus and accurate ateount of this transactlon. CAM tNCWDE A FlNE AND IMtalilBpNMENT. FOR DETAILS 8EE TITLE 18: to be in aeeordena with this statement U.S. CODE SECTION 1007 AND SECTION 1010. , Bx ~~ ~~Y ~~~ ~~~~ ~~ ~~/ ~ ~ y~ * ~ 1~~~~~ _~ - _ C~ r 5~ ~ 7~ ~ ~ `~ .\ .~i ~ ~ __ ' , yam,. ~.. • ~ ~ ~ ~r . ;~ ,, ~ r is l f / G~ ~ '` ~~°~~ r i ~~~ ~ ~~/~') .. ~~ ~'~~---'c'_i: ~ CG~.~~~~'"~.~~:.i~"%'~~t~C~-~ ~ ;CAL/ u .. t _ ~-~C.~ `~'~/~!~ Y i~ `mow-."~- ~0~-- / r ~/'~~~~~~ ~~ e n ~ f ~ /~ i~~~ ~ pC ~~ r i' i 11 f~ i ~~ ~ viii ~~ ~ _ i ~ __ _ _.._ . - _ ~ _ _ _ /~ 1 ~ _ __ _ _i ~`'~~ A i j _. ~ ~~~~~/ _ r ..._......... r __ , .t ~~~ _____ L~l~ _ - - _. _ .. _...__ ____. _ _ .. .._' i ,~' _ _._ _.. ~! t 9 ~ ~ ~ ~ _ _/ ~ r ~ /' / -~~ ,; f ~ ~ ~~ i i !~ , ~ ~ _ ~~ . ~~~~ ~d ~~~ ~ C~ ~~~'. ~ ~- { ~~ ~ ~^' i ~ ~ ~ Q ~/'~~~- ........... ~~ s __... t r -_ _ _ i _- ~. ~~, _* _ __ ~~ ' ~ .~- ~ __ ; L~ti° ,~o_ ~~ .. ., -~ ~~ J, __ , ~~ ~l 1 ~~ i !f ;f i i i ~~ i t 7 Y i j~ ij 'i ~~`~ ,,, _ 5~ p~ _ ~ ,~. ~ ~~ _ a ~~., ~ ~~ ~~\~\ sovereign 156593 16025 BETTYATRIMMER 921 W SOUTH ST CARLISLE FA 17u13-2717 yq ~n~~n 0 EC ~ ~ ~ ~'+' ~ . ~~,~ryf, 3,~ iRVlBfi~~~ijt&r~1i~,~KriVi~l+;~~ i. 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Defend yourself against identity tf~eft with Sovereign IdentityProtector..~t~" This powerful suite of services and benefits helps yoia detect, prevent, intercept and resolve identity theft issues and gives you the peace of mind of knowing you have the protection you need. To find out more, visit sovereignbank.com/identityprotector . :~ ,~. ~ u;: tlntt+ ti r ^. Sovereign Bank is a Member FDIC and a wholly owned subsidiary of Banco Santander. S.A. ~ Sovereign and its logo and Santander and its page I ~~, ~ logo are registered trademarks of Sovereign Bank and Santander. respectively, or their affiliates or subsidiaries in the United States and. other I G 71 ~IZ ~ ~ 7 ~ ,.,,... countries. 'According to ThP Banker, December. 2009 Santander Strong--- Sovereign is part of Santander, "Global Bank of the Year."* Statement Period 10/27/0 TO 11/28/10 THE SOVEREIGN ONE ACCOUNT For your convenience our Customer Contact Center is available from 7 am - 8 pm EST, 7 days a week. Call us at 1-877-SOV-BANK (1-877-768-2265). Hearing impaired may call 1-800-428-9121 (TTY/TDD). ww~v. sovereignbank. com ~~~~. nr~or BETTY A TRIMMER Account # 7 6 7? 022572 Balances Beginning Balance $5,440.96 Current Balance $5,416.45 ~~. Deposits/Credos + $0.49 Average Daiiy Baiance $5,415.96 Withdrawals/Debits - $25.00 Interest Paid this Period ' $ 0.49 Annual Percentage Yield Earned 0.10% Earned this Period $ 0.49 Paid Last Year $24 72 __ - - a e 5.09. t ne interest earned and the interest paid may differ depending on when interest is credited to your account. Checks Posted Check # Date Paid Amount Reference Check # Date Paid Amount Reference 654 10/27 $25.00 677478060 1 Check(sj Posted = $25.00 An asterisk (') indicates a skip in sequential check numbers. An (E) indicates check was converted to an electronic item. Account Activity Date Description Additions Subtractions Balance 10-27 Beginning Balance ' $5,440.96 `'• +~ 1 4-27 '' CASH CHK 654' ___ ~_ , $25.00 5.,415.9 ~ 11-26 INTEREST CREDIT ~ $0.49 ., _ $F 41F.45 11-28 Ending Balance , $5,416.45 IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELL:CTRONIC TRANSFERS CALL YOUR CUS"fOMER SFRVICL_ CINTIR A"f "f[1[: Nl1M[3ER SI IOWN ON "l~l IE TOP OF' 1'OUIZ S ['A"I tIVtEN'f OR WRI1~E '1'O "f[I[i BANK ' I~OR DE[31"f CAItU ISSUES: I~OR i\LL UI'I I[•:R ISSU[:S: _ • Sovereign (3ank Sovereign [3ank Attn: Card Disputes 'Team Attn: Client Relations C\1A I N1 [33 02 0> 10--12 I -CR I 1'.C). f3ox 83IU02 P.O. f30X I2(i~16 [3oston N1A 02283-1002 READING. I',~\ 1 96 1 2-2646 Please contact us ifyou think your statement or receippt is wrong or ifyou need additional intiirmation shout a transfer on the statement or receipt. Vac must hear from you no later than 60 days after we sent you the; hIRS'T statement on wfiich the error appeared. • Tell us your name and account number. • Describe the error or the transfer that you are unsure about and explain as clearly as you can ~ahv • Tell us the dollar amount of the suspected error. you believe there is an error or why you need further inlirrnurtion. [f you tell us orally, we Wray require you to send your complaint ur question in writing within 10 business days. We will promptly investigate the matter and call or write to you with an answer within IQ business clays (10 calendar days in (/lassachusetts). If we need more lime, we may take up to 45 days to investigate your complaint or question. If we do. we will credit youur account ~~ithin this IU-day period liar the amount you think is in error, so you will have the use ol• the money during the time it takes us to complete our investigation. I I' we ask you to put your complaint or question in writing and we do not receive it within 10 business days, we may choose not to credit your account. For errors im•olvina new accounts, point of sate purchases or f~~reign transactions, ~~e may take up to 9U days to investigate your complaint or question. I~or new accounts, we may take up to ~0 business days to credit your account tier the amount you think is in error. We will tell you the results of our investigation within 3 business days after completing our investigation. If we decide them was no error, we Hill send you a ~~ riften explanation. y"ou may ask tier copies of the documents we used in our investigation. lrnportant information about your Sovcrcif;n Debit Card The networks through which some ol•yuur Sovereign Debit Card purchases are processed have begun allowing merchants to process your purchases without either a signature or a PIN. If you arc not required to cuter your PIN s~hen you make a purchase. your purchase mad he processed either through rho Visa network or throuoh the S"l AR or NY'C1: netv.orks. Il~~our purchase is processed through S"I'AR or NYCE, dil~ferenl terms apph and you will not be eligible for the rights and~proteclions available through Visa. Please see your Personal Deposit Account Agreement fc~r nu>rc inti~rmahon. page 1 0>~3 1~7/O?257? Citizens Bank' December 13, 2010 Irwin & McKnight, P.C. West Pomfret Professional Bldg. 60 West Pomfret St. Carlisle, PA 17013-3222 Estate of Betty A Trimmer Date of Death: Nov O5, 2010 SSN: 202-20-4269 Dear Sir/Madam: One Citizens .Drive ROP 112 Riverside, RI 02915 ~~~~. ~V11iN ~ (~7t~~'~Ji$N In accordance with your request, the attached information sheets have~been provided in the above decedent's name as of his/her date of death. For Installment Loans or Line of Credit accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please call 1-877-579-2667. Sincerely, 1 ~ - 'EC Heather Medeiros Decedent Account Processing REF#: 471244 s ~~ Citizens Bank Account Number 6100732053 Account Title Bett A. Trimmer Date O ened 6/6/ 1966 Account Type Checking Principal Balance as of DOD $24,492.02 Interest from Last Postin to DOD $ .13 Account Balance as of.DOD $24,492.15 YTD Interest to DOD $10.65 s a~ Citizens Bank Account Number 6140693098 Account Title Bett A. Trimmer Date O ened 12/6/ 1994 Account Type Time Deposits Principal Balance as of DOD $1,834.77 Interest from Last Postin to DOD $ .34 Account Balance as of DOD $1,835.11 YTD Interest to DOD $57.11 a~ Citizens Bank' Account Number 6140716012 Account Title Betty A. Trimmer Date O ened 7/1/1997 Account Type Time Deposits Principal Balance as of DOD $1,454.14 Interest from Last Posting to DOD $ .31 Account Balance as of DOD $1,454.45 YTD Interest to DOD $13.71 ' Fax Transmission 12/3/2010 5:02;25 PM PAGE 1/001 Fax Server a ~~~ Aeierence ID: 3224833 Wachoria Sank Balance Confirrnution Services P O Box 40028 Roanoke, VA 24022 Ii'~C13, 20.0 DtWIly' &, MCICNIGI3'T PC ** SUBJECT: Verification / Confirmation of Account and Balance Information provided for: Custmncr: BETTY A TRIlVID'tER (SSN# IIIiII~-XX~269) Date of Death; November S, 2010 Deposit Accou>trt information Acooutrt Aooouttt Date of Death Average Balance Date Maturity Intere~ Actatred YTD Date Type Number Balance Opened Date Rate It~erest Irtere~ Paid Closed CHECKING XX7G~~XX0996 $8,464.715 IO/Z9/Z002 $0.30 $11.57 IFGAL TITLE: BETTY A TRIlbiMER CAP, BROKERAGE and SELF-DIRECTED TRA ACCOUNTS RAVE BEEN CONVERTED TO WACAOV[A SECURITIES. YOUR REQUEST HAS BEEN FORWARDED FOR PROCESSING and WILL BE MAILED UNDER SEPARATE COVER FOR QUESTIONS REGARDING CAP, BROKERAGE, or SELF-DIRECTED IRA ACCOUNTS PLEASE CALL WACHOVIA SECURITIES at i-866-87~-Z717. * Date of death balance does not irulude accruzd interest. * Lf date of death ooaars on a aaekend or a holiday, date of death balance does not include any 7anautions that were made during that time period ~~~ Audre}' 'I'routt Servicenter Asstxiate Phone: (540)563-7323 8~; at By accepting this in~rmation, the recipient thereof rzprzser2s and warran!_g to VfieIls Fargo Bank, N.A ("1~iiells Fargo', that the recipient is authorized by the customer to receive ]awfully this informalio2 The recipient sprees chat it will not disclose this inliamarion to eery third party, unless compelled m do so by legal process, and that it will lawRtlly use this information The recipient acknowledges that Wells Fargo dnea net repreaentand vuanant that the information is complete and ataurate. The recipient further acknowledges that the infermatinn may net di.9clnsa the entire relatimship hatwEen cu4tnmer and Wills Fargo. The inforrnstion is subject to change without notice to the recipient The recipient agrees to indttrmify, d,eSend, and hold Walls Fargo harmless 5om and against any claim resulting 6rnn the diso]osurc and ua: oftha infarmetion hY the recipient of from the hrcBCh by the redpicnt of any agreement, rcprncntstron, or warranty wntain.:d herein. Waci~ovia Rank and VCaehnvia Rank n(1~elaware are division:c of Wells Farm; Rank, N. A. Page 1 of 1 J WESTERN ~ NATIONAL Life I n s u r a n c e C o m p a n y A.rnaril!c~, Ter.a; 7~> 1,~', :i' ' 1 December 27, 2010 ,._ . ~n_ ~~ I MARCUS A McKNIGHT ~ ~~~€ 'I ~ '= ~ ~_ 60 W POMFRET ST Ft!'~Vti'~' .~: ~~{~f~n~Vi;1u 1. CARLISLE PA 17013 t,;vj;,,~T~r,{{,._~, ll~l RE: Policy Number: XV214898 Deceased: BETTY A. TRIlVIMER Dear Mr. McKNIGHT~: Thank you for your recent inquiry regardirig the referenced annuity contract. It is our pleasure to be of service to you. We would like to take this opportunity to respond to your letter dated 12/22/10. Date of Issue: 10/04/2007 Cash Value as of Date of Death on NOVEMBER 5, 2010: $$41,80596 ~) _ If you have any questions please contact our customer service representatives, at 1-800-424-4990. We _ appreciate this opportunity to serve you. Sinc rely '~- ~~C~G ila Mitchell Claims Examiner J t SunAmerica the retirement specialist January 7, 2011 MARCUS MCKNIGHT III 60 W POMFRET ST CARLISLE PA 17013 RF,: AT(I Annuity Insurance C,~mnany Betty Trimmmer, Deceased Contract/Policy #A634050399D Dear Mr. McKnight III: F~ixcd Annuity f~dministrati~~n f'.O. i3ox 9006 .amarilfo. TX 7~)10~-901)6 4' ~~', sk ~ ~; w ~~ s.... ~:~ ~. ~~ The Internal Revenue Service requires reporting of all death benefits for federal estate tax purposes. Form 712 is prepared for regular life insurance contracts only. Since this contract was an annuity, the Form 712 is not applicable. ~: Listed.below is the death benefit information for the above-referenced annuity contact. Type of Annuity Contract: Non-Qualified Tax Deferred Annuity (Single Premium) Date of Issue: 08/10/95 Contract Owner's Name(s): Betty Trimmer Cash Value as of Date of Death on 11/OS/10: $37,561.82 Interest as of 01/07/1 l: ~ - $17,753.95 If you have any questions or require further assistance, please contact our Customer Care Representatives, available Monday through Friday, 8:00 AM to 6:00 PM Central Tirne, at (800) 424-4990 ext. 3111. We appreciate this opportunity to serve you. Sincerely, `~~ ~ Melody Whitt Annuity Claims Examiner SunAmerica Annuity and Life Assurance Company First SunAmerica Life Insurance Compairy SunAmerica Life Insurance Company Administrator fur "fhe Central National Life Insurance Company of Omaha A~Iminish~ator tur Juhn Alen t.ifc Insurance Com~~any J ~ WE'LL E YOU AN EDGEs"^ . /. ~. financia/ _ Your fixed Annuity Annual Statement Group ~ ~~ , ~ 08/15/2009 throu h 08/14 ~, ~,,~ ,,, ~ g /2010 1 ~ _1~ ~ ~ • . Principal Life Insurance Company Des Moines, IA 50392-0001 financia! Group __.__ ESTATE OF BETTY TRIMMER ALICE GUTSHALL 60 W POMFRET ST CARLISLE, PA 17013 ~_ - G ~_ ----, Death Claim: BETTY A TRIMMER Date of Death Value: $92,553.76 Taxable Short Term Interest: $935.68 . Net Benefit Payable: $93,489.44 Taxable .Gain: ~ $22,553.76 Tax Year: 2011 RECEIVED MAR 1 1 2011 IRWIN & McKNIGHT LAW OFFICES F111AC-1 K 16330521 03/07/201 1 (Detach and Retain for Your Records) $93,489.44 WVALU If you have questions, please contact your Financial Representative: LPL FINANCIAL CORPORATION at (800) 877-7210 ATTN COMMISSIONS ~',' 9785 TOWNE CENTRE DR ~' SAN DIEGO CA 92121-1968 _,...__ Page 1 of 3 ,. ..: ., ~ ~ a.` .W ,y ~~~ .- .3r., ~ t Hollinger Funeral Home & Cremator, Inc. Eric L. Hollinger, Supervisor November 10, 2010 Alice I. Gutshall 114 Oak Hill Road Y, Carlisle, PA 17015 The Funeral Service for Betty A. Trimmer: ,,:. .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. Professional Service Services of Funeral Director and Staff ~ $2395.00 Preparation of Body ~ ~ 125.00 Facilities and Equipment Use of Equipment and Services for Graveside Service 395.00 Transfer of Deceased to Funeral Home 275.00 Use of Hearse for Graveside Service _ ~ 320.00 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 Newspaper Notices -Sentinel $77.98 Newspaper Notices -Patriot-News 143.46 Certified Copies of Death Certificate (12@ $6) 72.00 Clergy -Reverend Richard L. Reese 75.00 Flowers -Casket Spray 143.10 Current Balance: 4021.54 501 NORTH BALTIMORE A'~ENLIE • MOUNT IIOLLY SPRINGS. PENNSYL\7ANIA 17065 • (717) 486-3433 • FAX (717) 486-3215 w~w.holIingerfuneralhome.com t~ x to ~ m ~"'I m o a m m mo ~_ rn s ~ c z -~ ~ m o m ~ m ° o • • x a cn m ~ ~ m ° o a i~ t --i ~ o m g a c ~ ~ • .~ v ~ ~ to 0 ° ~ ~ 8 x 0 TI GN ~ m m o = C 7 V 9 ~ C ~ H C '~ ~ S O T 9 S C'1 y (fm S ~ ~O li 9 H T O C = a T f~T1 G ~" I m = S ~ 9 T a m n m s H m a m ~ a ~ ~ ~ ~ m g a r -, ~ a o r ITI Q I m o o - o~.E o i ~ a o m ~~ rr ~ - -+ rn ^~ ~, yea ~ ~ °D a ~ o s v, m c`tia 1 \- ~ x ~ ~ a' H - rT'f ~ -i x a-a. r- r r m x c m e i~: c "~ -1 --+ z ~- ~ i D ° m e -y •V a n t-. v~ ~ rmn ~ ° - mac co ° t ~ CTS a . ti O I, S a m a n m r'n ~ _ cn c -~ a y ~ ~ ~ ? rep "C O ~ h'1 3 C a m ~ ' a~ ~ ~ { ~ ~ e ~ x 0 ? i~ V ~ per„ ~ T Z7 s ~ a 0 "'~ x ~ y H O~ ~ O ~~-1 y~~ t y m f y ! ~ cn rn au w ~ °m :~ ~ v w N ~ n I t/~ H ti A Cal CT T ~ H "' ..i "' m o z ~-. ~ ~ -~ ~ ~ ~ ~ -°v ~° ~ cn as r t~n r r o N ~ rn ^~ ~ x cn .L m ac m_ ~~ !~ ~ rn CT 9 a '~ I '9 O Vf 9 H3.. o ~n -. a, a _. 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H W y x ~ ~ g ~ o ~ W T ~' y i°o °~ ~ o' v w ~9 H ~"• r+~ ~ '"'' c ~ ~ p ~+ .sa W ti co ~O +~ o to c+a cn g :~ m o H ax "' 'v .~ c" o r n ~y3~ m ^ ~ ~ more "' !~ ~~ a a 3 H o o H ~ ~ H~ it -~ ~ c n z ~0 v ?~ O° ~, a ~ ~ r~ ~ m m r~rr ~~ a "' ~m a c _~ cn en ?~ r e a --~ -~ o o ca ~ -r m n~ o ~-, r*i r -a, rv p y •-+ ao o `~ ' is X1'1 o r~'i a ~ ~ t v ~ m io n~ ~ a ,~ rn .A x ~ r i ~ Q "` -` C c-~ H N m r I ~~ H ~ ~~ r ~ O N m H ti °° Cif o~ rn c,u w ~ ~ m --+ ~ is .o c N ~ v ago ti cn W ~ w a m y~ _. o ~ ~ r t R LOWE'S HOME CENTERS, INC. 850 EAST HIGH STREET CARLISLE, PA 11013 (717) 258-7700 - SALE - SALES l1: S1110GS1 999464 01-15-11 205024 BED SQUARE W PULL CHAIN 4 6.88 246863 IOPK 15A 125U LA RESI OUT 3.80 158833 10PK 1G LALMOND MIDSIZE 0 3.62 158762 3G LALMOND MIDSZE SWITCH 3.52 '2 ~ 1.76 314777 10PK 1G MIDSIZE TOGGLE WP 3.57 40233 GL UALSPAR INt SATIN WHT 25,87 R LOWE'S HOME CENTERS, INC. 850 EAST HIGH STREET CARLISLE, PA 17013 (717) 258-7100 - SALE - SALES #; S1710ND1 1514615 01-16-11 87052 4001 GREASED LIGHTNING 3.48 317372 1202 G00 GONE HOUSEHOLD S 5.20 SUBTOTAL: 8.68 TAX: 0.52 INVOICE 09710 TOTAL: 9.20 LCC: 9.20 LCC:XXXXXXXXXXXX9205 AMOUNT':9.20 AUTHCD:000945 . SUBTOTAL: 47.36- REFID:B03996125 01/16/11 13:20:10 . TAX: 2.84 ~- INUOICE 04271 TOTAL: .., ~~ '~ ~~ ~~ 50.20 ,~ ~ CHECK: 50.20 ~~-~~" -~ U'' f '~ STORE: 1710 TERMI ~ "" . NAL. 09 01/16/11 13:20:41 STIRtE: 1710 TERMINAL: 04 01/15/11 14:06:38 ~ O F I T E M S P U R C H A S E D: 2 ~ ~ F ITEMS PURCHASED : EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS ~ I ~ ~ ~ ~ ' ~ ' ~~ Ihi~~ ~i ~ ~ ii i ~ = THANK .YOU FOR~SHOPPING LOWE'S. . THANK YOU FOR SHOPPING LOWE'S. SEE REVERSE SIDE FOR RETURN POLICY. SEE REVERSE SIDE FOR RETURN POLICY. STORE MANAGER: RICH TROSS STORE MANAGER: RICH TROSS HAVE A COMMENT OR FEEDBACK? LEl• US KNOW AT: WWW.LOWES.COM/FEEDBACK STORE CODE: 17100-11511-04271 WE HAVE tHE LOWEST PRICES, GUARANTEED! IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10~. SEE STORE FOR DETAILS. HRVE A COMMENT OR FEEDBACK? LET US KNOW AT: WWW.LOWES.COM/FEEDBACK STORE CODE: 17100-11611-09710 WE HAVE THE LOWEST PRICES, GUARANTEED! IF YOU FIND A LOUIER PRICE, lVE WILL BEAT It BY 10$. SEE STORE FOR DETAILS. a x --+ m H G7 H rn L7 a cn ~ h m cia a S ~ ~ i c x m cn '-~ ~ a m c x ~ ~ r m - c ~ o a ,' a av a a ~ ~ ~ s ' 3 rn o a ~ v m _, ~ ~ a ~ z ~ 0 o m a y 3 _. ~' m ' ~.,~ m --+ s, x z y o ~ s -- a w ' o 0 ~ a C r o r '-C y ~, ~ ~ m T { M N o c = a m O m _ ~ ~ ~ T m --+ -I - c -.~._ c ~ ~ v c p m ~ n m v ~~` m m a m ~ a° ~o o m x -n H -' m ,•~ m m r,i ~ r z m x~ __.~ _ m s r ---~ TI C7 m p ~ ~ O ~ E o rn ~ ~ C/~ C cn ' ^ ~ a VJ ~ o T m -~" 11 ^~ m m ~ ~~ 7I7 ~ O p 0 -~ p y N C r- m ~ O~ ~ ~~ z~ v e -~ ~ ~ cmii --+ 'T '~ ~ rii ~ _, v n ° a .--~ r-. r ~. m N m n -y ~ x c ~ cn ='~ ~ _ r r- v, m ~ IT ~ p -+ ~ _ ~ ~ o ""~ 1'i m N _ o "~ m ~~ m - -c v O] a ~ a N '--1 m rn a°v • --` C3 ~! W H T ~ z C (n C I n .., a v a ~ m ~ o a m ~ 3 ~ cn r -~ ° p z s m m . . 0. r-- -+ o r m cn ~ ~ ~ m m ~ -' ~ m r v i r m m ~ ~ C'7 v ue O O s ~ .s -, C ~ n v m n I \ ~ m m r T ••~ --~ ~ ~ ~ m ~~~ ~°-' • ~ O c m ~ t 3~ cn n ~ O r-r m -r m J~ C o p s . m ._ ° ~ a ---~ a co ~ ~ w o rn ~ T CO v Cn ~ Cn O ~ S o n ~' ~ o io r. ° ~ N au ~ m o N r a ~ r ~ ~ z m s c3 n ~ -ti ~ - co~+ m c o Q ~ r o c o y 3 rZ-~ ~ I ~ -v o cn a m x ~ o S n ~D' ---i m ~ (/~ m a c 3 ~ a a a o rn -ti ---t ~ -~ T ° m ~. _ -~ m ~ - x r .. ~+ .. .. ~= ~m c z~ a g W ^ ~ to S m . . I s cn _. m N _ C "~ 2 Ln n O OD ._. .V n o A O 01 p Cn ~ .~ _, o ti O o ~ O CJ ~, j7 m pf y O ti O w 7OJP' m - x en r ~ O v ~ m N =~~ m .. m "i cn f.,l -+ m a m ~ ~ N -i c ~ _ I m o o m ~ ~ ~ m o C m (/} ~ a N H Z. ~--~ T 9 O O H ~ n ~ ~' c~ !*~ ao ~ m a cn m s ~ C ~ _ .~ o ~ - o ~ o ~ m ~ °+ ter- cn = s ~ ~ ~ ~ o o ~ ~. o v s 0 o m r m o~ cn r - o ~ m o s o H ~ -~ _.. m iti in t~+ N av `mom r-. o c -+~ m ~ y rc r*~i v = ~ a ~ m 7D ~ o c 7 ~ c-~ R m i° ~ o~ m or z C ~ r3 cn t z s ~ ~ y ~ m D 1""' -_-~ ~ ~ m c b i ~ ~-- G ~ g m o ~ ~ n -c ~ C N i z m n N ~ p m a m o « -. ~ ~ o z _ .y _T rn . ~ m ° x m O ~ v i x ~ p O w n ?° ~+ cn o ~ c m m ~ T a - + z -- -+ n ~ O N ~ m` ~ . ~ m 7C O z ~ vi c w o C.7'f ~ ~ -c - _ ° dP ~ a ~ ' m X H n ~ ti '- o ~, rv '77 m c ~ m H ~ o m ~ ~ gym a ay~-+ 3 ~ ~ r., c x' a ,~ a H _ ~ ~ ~ a ~ '~-' ~ ('~ o ~_ n ~ a ~-. ~ ~ a -.~ r m w ~_ 0o Q "'` m '~ ~ .~ ~"~ A ---1 ~O m 3 N Cn ' ^ ~ V1 N O O n C ~ a ~ J a_ a c ~ v+ m ~ ~ r 0 ,_., 0 0 ~ r ae - ~ r o c-~ ~° m ~ o a ~ m - ~ m o r- v ~ I n o cn c~+ ° a a o m x a cn c -~ x n~ --~ ~ (~ -- a o N m O m --~ --~ Cn F-~ c z ~ -~ ~ s o o m --i -~ --~ --i --~ ~ ~` r w s n c~i z ~ Dr x r• s s --- m m a z -ti .. .. ~ s m t-. ti cn ~ cn z '', m o v o cn I m m --. c m o ~ -1 cz-i ~ m - ~ w w w ~ of ' -.~ o ao co ti o co _ . ao w m cn w w rn ~ iv o ~+ o .a ~ a .rte a °' rn ~ ~ H ~ 01 pOj Cwi.) W Cn c c w ~ w a n .°. m ~ a _' 'r ~ o o r m cn ~ r ~ ~ a 'r a ~~ _ o ~ r r -- ° r a v+ rT ~a rn a .~_. m ~ m ti ~ z r. a x y m a ~ I o v o a cn s ~-~ °~° o z s c a o r''~ cn 3 ~ v a° N 3 n ~ y a -" vii a ^'~ ° _,., ~ _° _..y "' ., r x r .. a ~„~ x~ a .Ia o r w z H -~ _~~_~ Nm _~ '~ `-' m N r ~ ~ cn ~ cn cn o~ m m c `~' - I v x m ' a o m ,_., ~^'„ -+ z c -~ __ ~ "'' .A w --• _'~ o ~ IV n.7 pp p, ~ w ~! ~ O ~ 0 . ~ C'V is w ~ O 0 ° m N O _. O O O O Cy O ° y ~ AI~ w r _~ R LOWE'S HOME CENTERS, INC. ' 850 EAST NIr,H STREET CARLISLE, pA 17013 (711) 258-7700 - SALE - . SALES q: S1710UM1 1487224 01-08-11 R 40352 1.1" META;. PAINT TRAY WOOS 2 98 239360 6 ROLL BOUNTY BASIC PAPER 5.98 LOWE'S HOME CENTERS, INC. 902 GL.PREMIUM INT. FL WH/BSE2 850 EAST WIGH STREET ~_ 53. d CARLISLE, PA 17013 ~1 (717) 258-7700 25511 42 OZ DRANO MAX CLOG REMO 219921 70 01 ALEX PAINTERS WHITE ~ 5.48 - SALE - 2 R 2.16 SHIES ~; S1710EA1 1265938 40372 ae" EXT POLE SHUR-LINE 8 01-08-11 133110 9-3/4" ROLLER WOOSTER 2.99 84405 JH 3" GEN PURP WTRPROOFIN 5.69 4.79 55250 2'' TEFLON BRUSH ANG 6.54 SUBTOTAL: 7P.89 SUBTOTAL: TAX: 4.14 . 12.23 INVOICE ..10114 TOTAL: TAX: 83.63 INVOICE 09454 TOTAL; 0.73 ~ CASH : ~ 100.0-0 12.96 ~ CHANGE: 16.31 CASH : 15.00 CHANGE: 2 04 STDRE: 1710 TERMINAL; 10 # ~ F 01/08/11 12:11:U9 . STORE: ,1710 tERMINAI: Og I T E M S PURCHASED : 01/08/11 12;15:37 EXCLUDES FEES, SERUICES AND SPECIAL ORDER ITEMS C # ~F rTEMS PURCHASED: EXCLUDES FEES, SERVICES AND SPECIAL ORDER I 2 I~I I I I I ~ ~ TEMS lu I I I ~ _ I . I I ~ THANK YOU FOR SHOPPING LOWE' I S ~ SEE REVERSE SIDE FOR RETURN POLICY. THANK YOU FOR SHOPPING LOWE'S. STORE MANAGER; SEE REVERSE SIDE FOR RETURN POLICY. RICH TROSS STORE MANAGER: RICH TROSS HAVE A COMMENT OR FEEDBACK? WWW • BOWES . COM/FEEDBACK ~W A r: HAVE A COMMENT OR FEEDBACK? LET US KNOW qT; STORE CODE: 17100-10811-10114 I.LOWES.COM/FEEDBACK STORE CQDE: 17100-1811_09454 WE NAVE THE COWEST PRICES, GUARANTEE ~ IF YOU FIND A LOWER PRICE, D' WE NAVE THE LOWEST PRICES, GUARANTEED! WE WILL BEAT IT BY 10~. IF YOU FIND A LOWER PRICE, WE WILL BEAT IT BY 10,g, SEE STORE FOR DETAILS. SEE STORE FOR DETAILS. Mori saving. ~ h~l~r~ ding;" lUl~i S. HAivOVER ST, C°RLISLE ~n lirii•? WE NOW INSTALL HOME SOLAR POWER UNITS 4149 00007 08651 01/08/11 01:27 PM CASHIER SAMANTHA - SML4388 070798180215 CONCRETESEAL <A> 3®3.97 11.91 082474875018 WATERPROOFER <A> 325.96 77.88 SUBTOTAL 89.79 SALES TAX 5.39 TOTAL $95.18 XXXXkXXXXXXX5734 HOME DEPOT 95.18 AUTH CODE 008440/7074730 TA 4149 07 08651 01/08/2011 5688 RETURN POLICY DEFINITIONS ,~ POLICY ID DAYS POLICY EXPIRES ON A 1 90~ 04/08/2011 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / flENY RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR DETAILS. GUARANTEED LOW PRICES LOOK FOR HUNDREDS OF LOWER PRICES STOREWIDE ENTER FOR A CHANCE T O 1rlI N A $5 , 000 HOME DEPOT GIFT CARL? ! Share Your Opinion With Us! Complete the brief survey about your store visit and enter for a chance to win at: www.homedepot.com/opinion iPART2CIPE EN UNA M~ OPORTUNIDAp DE GANAR UNA TARJETA [~E REGALO DE THD [7E $5 , 000 i 1Comparta Su Opinibnl Complete la breve encuesta sobre su vlslta a la tienda y tenga la oportunidad de ganar en: www.hornedepat.com/opinion 2 740 X598 xP058W17591 - Entries must be entered by 02/07!2011- :~ ,~...__~_ En ee compUSt be 18 00 0l eder=,to'ien. ar ete. rules new LOWESS HOME CENTERS, INC. 850 EAST HIGH STREET CARLISLE, PA 17013 (117) 258-7700 - SALE - SALES #: S1710BW1 1506955 01-07-11 40233 GL UALSPAR INT SATIN WHT 25,97 70562 5GL UALSPAR INT SATIN ULT 121.00 40352 11" METAL PAINT TRAY WOOS 2.98 55250 2" TEFLON BRUSH ANG 13.08 2 ~ 6.54 40383 9" NERVY DUTY ROLLER FRAM 2,67 77899 3PK 3/8" TEFLON ROLLERS S 8,97 292731 5502 AHLIQUID LAUNDRY CO 5,98 ~ SUBTOTAL: ~ 180.65 TRX: 10.84 INVOICE 09339 TOTAL: 191.49 CHECK: 191.49 STORE: 1710 TERMINAL: 09 01/07/11 18:31:41 ~. # OF ITEh1S PURCHASED : g EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS I i I I ` THANK YOU FOR SHOPPING LOWESS. SEE REVERSE SIDE FOR RETURN POLICY, STORE MANAGER: RICH TROSS HAVE A COMMENT OR FEEDBACK? LET US KNOW AT: WWW.LOWES.COM/FEEDBACK STORE CODE: 17100-10711-09339 WE HAVE THE LOWEST PRICES, GUARANTEED! IF YOU FIND A LOI~JER PRICE, WE WILL BEAT IT BY 10~. SEE STORE FOR DETAILS. ~ ,~ "''', ~ t~ ~r~~d .~~ YOUR OPINIONS COUNT! ~~ _~~ x~ I;a. ~ D ~ _ ~ ~ MPL-EfiING A GUEST DURING THE NEXT 3 DAYS: ~ ~~,, .._ http.l/webuiew4.isacorp.com/loupes ~~~ ~~ OR ~ , 1 866 362 3877 .Q, , ;~ AT: r KOUGH'S OIL SER1/ICE ~~ P. O. BOX ' 16 NEWVILLE, PA 17241 PHONE: 776-3533 or 776-.685 if ; •.~ . , ~~ ~ _ ._ SOLD TO ' ,~~ _. - _ , _, ... - _ ~ •- ~... ~; . ! _ _ ; T~ ADDRESS ~ ~ ~~ TERMS: NET 15 DAYS. INTEREST OF 1 i/a% PER MONTH ADDED TO ALL ACCOUNTS OVER 3O DAYS, OR 15% ANNUALLY. PAYMENT ^ CHECK ^ CASH ^ THIS DELIVERY ^ C.O.D. ^ CHARGE RECEIVED ^ . A/C OLD BALANCE. ^ FULL ^ NOT FULL THIS INVOICE HAS BEEN ACCURATELY COMPUTED AND AUTOMATICALLY PRINTED ^ C~EAQ LOW SULFUR DIESEL • 500 ppm sulfur LSD. Ncl `or use ~n 2Du7 and newer veh~c'es and engines. r ~" DYED LOW SULFUR DIESEL • 500 ppm sulfur dyed LSD. von-road or lax exempt use only. Not `or use in 2007 and newer vehicles and engines. ^ DYED LOW SULFUR KEROSENE • 500 ppm sulfur dyed LSK Non road or ?ax exempt use only, Not for use In 2007 and newer vehicles and angines. REMARKS ; - ~, ;~ .. ._ CUSTOMER SIGN HERE ._ ~ i . 7 Gals. Reading-Start ,r.~~ Gals. Reading-Finish r .Sales Sequence Number -; Price per Gallon-Cents Product Cost ;:~a, Tax . Total Price ~ _- ~-----Waste Management Dumpster Rental ~ Dumpster.com i • Page 1 of 3 4 • Dim stem ~om~ ~:. Dnm :ter Sern`res b Waste Mara ement ~ y ~ .ur. ~..: ~;>~ Order Confirmation: Thank You! Hello Betty Trimmer Thank you for using Waste Management dumpster.com to book your durnpster services from the nation's leading waste services company. For your convenience, we have included your order, delivery and billing details and terms and conditions below. For frequently asked questions, click the link below. F User Information 8 Delivery Information Billing Information _, Name: Betty Trimmer Billing Name: Betty Trimmer Service Address: 921 West South Street Billing Address: 921 West South Street Carlisle, PA 17013 Carlisle, PA 17013 _ Day Phone: 717-249-5703 Billing Phone: 717-249-5703 Email: rgutshall@embargmail.com Card Number: 0478 Expiration Date: 1213 Order Information z Order #: ~ 8578590505 Service Area: 17013 Service Address: 921 West South Street Cross-streets: Towards Carlisle Cont ~ er ordered: 30-Yard Open-Top C twiner from 641 traveling Delivery date: 12/02/2010 east. Go under the Pickup date: 12/10/2010 subway bridge and Materials Used: h~ouseho d ar straight through at ,carpet, the light. Continue ,window blinds, rugs to your first stop This quote includes a 3 tons limit ($60.00 per ton over the limit) and includes 14 days of container usage (55.00 a day if sign and turn left. longer).Price includes aone-time delivery. pickup and disposal 2nd house from of container. the corner on the left. Additional trip charges or extra hauls will incur supplementary costs from the initial quote. Container Placement: driveway on top of planks Subtotal: $492.00 Special Notes: $0.00 Tax: Waste Management does not guarantee specific delivery or removal times. Deliveries may be late in the day and removals Total: $492.00 may be early in the day. tf you require an early morning delivery , or late afternoon removal, be sure to schedule your delivery for the day prior and the removal for the day after completion of your project. Otherwise, you will incur a $150 trip charge for turning away the driver. Click here for Frequently Asked Questions httnc•//www dmm~ctPr ~nm/Pmail nhn~nrrlPr iri=R57R59n5(15Rr.nrint=l > > /~tn/~n~ n '~ Waste Management Dumpster Rental ~ Dumpster.com Page 1 of 3 ~~ ~ ~ ;burn star. tom ..-...........M Duna: star Se~rv3ces b . . _ _ w~~.:.~+. a~_r .,... ,~.:. ,1 w...~ .. ~ _, Order Confirmation: Thank You! Hello Betty Trimmer Thank you for using Waste Management dumpster.com to book your dumpster services from the nation's leading waste services company. For your convenience, we have included your order, delivery and billing details and terms and conditions below. For frequently asked questions, click the link below. User Information 8 Delivery Information Name: Betty Trimmer . . Service Address: 921 West South Street Carlisle, PA 17013 Day Phone: 717-249-5703 Email: rgutshall@embargmail.com Billing Information __ Billing Name: Betty Trimmer Billing Address: 921 West South Street Carlisle, PA 17013 Billing Phone: 717-249-5703 Card Number: 0478 Expiration Date: 1213 Order fnforrrration . Order #: • Service Area: Service Address Cross-streets: Container Placement: 0850509807 17013 921 West South Street Towards Carlisel from 641 traveling east. Go under the subway bridge and straight throught at the light. Continue to your first stop sign and turn left. 2nd house from corner on the left. driveway on top of planks Special Notes: Waste Management does not guarantee specific delivery or removal times. Deliveries may be late in the day and removals may be early in the day. If you require an early morning delivery or late afternoon removal, be sure to schedule your delivery for the day prior and the removal for the day after completion of your project. Otherwise, you will incur a $150 trip charge for turning away the driver. Click here for Frequently Asked Questions httnc•//ww~~v ~llmnctPr rnm/Pmail »hn7nrr~Pr ;~=(1R5(15(14R(17R,nrint=l Container ordered: =and Open-Top Qontainer Delive ate: 11/24/2010 Pi up date: 12/07/2010 Mate Is househo rbage, carpet, • urns ure, window blinds, rugs This quote includes a ons emit ($60.00 per ton over the limit) and includes 14 days of container usage ($5.00 a day if '" longer).Price includes cone-time delivery, pickup and disposal 3 of container. Additional trip charges or extra hauls will incur supplementary costs from the initial quote. Subtotal: $492.00 Tax: $0.00 z Total: $492.00