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Home My WebLink About04-08-111505610143 REV-1500 Ex (o,_,o> OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes oEPnNTMENTOFREVENUE Po Box.28oso1 INHERITANCE TAX RETURN 21 10 0 6 91. Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 186 28 5461 06 04 2010 Decedent's Last Name Suffix BELL (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW Date of Birth 03 22 1937 Decedent's First Name MI ETHEL A Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa. Future Interest Compromise (date of death after 12-12-82) ~ 5. Federal Estate Tax Return Requireci g Decedent Died Testate (Attach Copy of Will) ^ ~ Decedent Mainta ned a Living Trust (Attach Copy of llrust) ~ 8. Total Number Of Safe De OSIt BOXeS p 9. Litigation Proceeds Received ^ 1 p. Spousal Povert Credit jdate of death b8tween 12-31 ~J1 and 1-1-95) ^ 11. Election to tax under Sec. 9113(A) (Attach SCh. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number REBECCA A HOBBS 570 322 2077 First line of address 413 WASHINGTON BLVD Second line of address City or Post Office State ZIP Code WILLIAMSPORT PA 17701 Corrgspo~dent's a-mail address: rhobbs@steinbacherlawpc.com REGISTER OF WIGS USE ONLY; ~ .~i - x ., ... r4 j :I:: ~) _ :::a .~,7t t ;~._ ~ - _t~,.--, _ r :,~~ _} _~ , ._ __ _-'7 DATE F~LE14 ~:. '~ ,,;~ r i _.ti •, - ., C ~ _.. r -, t ::., .. .~ .,a ~-` r-~ `I ~-~~ ~ ~ --,- ~ Un er penal es 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 i true, co ect and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SI TUR OF P~RSO ESPON LE FO (LING RETURN DATE ,`G[/// ,, David E. Bell 2. t ~ ~. C..; t-. ADDRESS , ~ P.~. Box 58, PicturrelRocks. PA 17762 SI ~TURE PREPARER OT E~2 THAN EPRESEN VE DATE r' ~ '' '';-'~~. '~~,~ Rebecca A. Hobbs ~ ~ ~, DR / 413 Washin ton Boulevard, Williamsport, PA 17701 L, 1505610143 Side 1 1505610143 J ~~ J REV-1500 EX D©cedent's Name: Beli, Ethel Ann Decedent's Social Security Number 186 28 5461 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 151 , 5 0 0 . 0 0 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages 8~ Notes Receivable (Schedule D) ........................................................ 4. 5• Cash, Bank Deposits 8~ Miscellaneous Personal Property (Schedule E) ............... 5. 16 0 , 10 6.12 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous -Probate Property arate Billin Re uested Se 7 5 4 7 60 5 6 ............ g q p (Schedule G) X . , . 8. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 3 6 6, 3 6 6. 6 8 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 34 , 816.82 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) .............................. 10. 2 95.97 11. Total Deductions (total Lines 9 8 10) ................................................................... 11. 35 , 112.7 9 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 3 31 , 2 5 3. 8 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. 331 , 253.8 9 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 15. 16. Amount of Line 14 taxable 0 0 0 16 at lineal rate X .045 • . 17. Amount of Line 14 taxable at sibling rate X .12 2 5 6 4 93.33 r 17. 18. Amount of Line 14 taxable at collateral rate X .15 '7 4 7 60.5 6 r 18. 19. Tax Due ................................................. ................................................................. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 1505610243 1505610243 Side 2 0.00 0.00 30,779.20 11,214.08 41,993.28 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-10-0691 DECEDENT'S NAME Bell, Ethel Ann STREET ADDRESS 107 Manchester Road CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 45,387.31 2,099.66 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box 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. (1) Total Credits (A + B) (2) (3) (4) (5) 41,993.28 47„486.97 5,493.69 Make Check Pa able to: REGISTER OF WILLS AGENT. ., 3 - - ,.. .... .. ,.. x..,.. ,~. ,.„y y...~. ....,.,. , 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 :............................................................................... ^ [x b. retain the right to designate who shall use the property transferred or its income :.................................. ^ [x c. retain a reversionary interest; or ............................................................................................................... ^ 0 d. receive the promise for life of either payments, benefits or care? ............................................................ ^ ~] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without [] ^ receiving adequate consideration? .................................................................................................................... x 3. Did decedent own an "in trust for" or payable 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? .................................................................................................................. ~ ^ 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 [72 P.S. §9116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)j. . 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)). A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1502 EX+ (11-08) SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Bell, Ethel Ann 21-10-0691 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 wilting seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08) ~~ (If more space is needed, additional pages of the same size) Rev-1b08 EX+ (8_88) ~f COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Bell, Ethel Ann 21-10-0691 InGude the proceeds of litigation and the date the proceeds were received by the estate. All property Jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Adjustments for items paid by seller in advance -County Taxes $197.54 1,218.31 School Taxes $1,005.86 Sewer/Trash $14.91 2 American Water -Refund 19.48 3 American Water -Refund 12.96 4 Comcast -Refund 98.60 5 Commonwealth of Pennsylvania State Treasury Department -Rebate 250.00 6 M8~T Bank Checking Account #50001973 9,293.60 Accrued interest on Item 6 through date of death 0.04 7 M&T Bank Savings Account #15004207043164 48,400.65 Accrued interest on Item 7 through date of death 0,88 8 Nationwide Mutual Fire Insurance Company -Refund 596.00 9 Nationwide Mutual Insurance Company -Refund 52.40 10 Pennsylvania American Water -Refund 12.89 11 Sovereign Bank Certificate of Deposit Account #2335252538 50„000.00 Accrued interest on Item 11 through date of death 8.15 12 Sovereign Bank Money Market Savings Account #0574179062 38„473.94 Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 160,106.12 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1508 EX+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. ~a; PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN continued RESIDENT DECEDENT ESTATE OF FILE NUMBER Bell, Ethel Ann 21-10-0691 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH Accrued interest on Item 12 through date of death 6.84 13 T.V. Guide -Refund 31.32 14 The Patriot News -Refund 14.40 15 United States Treasury - 2010 income tax refund 644.00 16 United States Treasury -Social Security payment 1,040.00 17 Verizon -Refund 17.66 18 2006 Buick LaCrosse CX Sedan 4D 9,350.00 19 Personal Property 564.00 TOTAL (Also enter on Line 5, Recapitulation) ~ 160,106.12 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1510 EX+ (8-98) SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPE N COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Bell, Ethel Ann 21-10-0691 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY THE DATE OF TROANSFERSATTACIiTA COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST Exct_usloN (IF APPLICABLE) TAXABLE VALUE 1 Commonwealth of Pennsylvania State Employees' 0.00 Retirement System -The retirement account death balance payable is $46,791.29. The beneficiaries are the Decedent's brother, David E. Bell, and the Decedent's niece, Jon Anne Bell. This retirement account is exempt from Pennsylvania inheritance tax because Decedent only had the right to designate a beneficiary and receive a regular monthly payment under the plan. Decedent did not possess any other rights under the plan. Please see the attached letter from the Commonwealth of Pennsylvania State Employees' Retirement System. 2 Sun Life Financial Annuity Contract #KA12831451-01 - 18,521.74 18,521.74 the Beneficiary of this annuity is Decedent's nephew, Andrew Shaner, and Decedent's friend, Mary Anne Morris 3 Sun Life Financial Annuity Contract #KA12834155-01 - 36,238.82 36,238.82 the Beneficiary of this annuity is Decedent's nephew, David A. Bell, and Decedent's friend, Mary C. Wakeman, formerly known as Mary C. Morris TOTAL (Also enter on Line 7, Recapitulation) 54,760.56 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) .~ REV-1151 EX+(10-06) gCHEDULE H NN ~~qq , . COMMNHE~ITAN~OT~RET~RNANIA FUNERAL EXPENSES & RE IDEN DE EDEN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Bell, Ethel Ann 21-10-0691 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A, FUNERAL EXPENSES: See continuation schedule(s) attached B. 1 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(sl Commission raid 2. Attorney's Fees Steinbacher ~ Stahl 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 2,625.00 16,486.50 Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland County Register of Wills 435.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 290.00 See continuation schedule(s) attached 7. Other Administrative Costs 14,979.82 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 34,816.82 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Bell, Ethel Ann 21-10-0691 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex e~nses 1 Neill Funeral Home, Inc. 2,625.00 H-A 2,625.00 Tax Return Preoarer Fees 2 Wienecke Sz Verrastro, PC CPAs -Tax preparation 290.00 H-B6 290.00 3 Other Administrative Costs Cumberland County Register of Wills -Fee to file inheritance tax return and inventory 30.00 4 Lower Allen Township - Sewer 8~ Refuse - 07/27/2010 97.95 5 Nationwide Mutual Fire Insurance Company - 07/05/2010 536.00 6 Nationwide Mutual Insurance Company -10/12/2010 96.95 7 Nationwide Mutual Insurance Company - 08/11/2010 96.95 8 Nationwide Mutual Insurance Company - 09/08/2010 96.95 9 Pennsylvania American Water - 07/24/2010 21.89 10 Pennsylvania American Water - 08/18/2010 21.09 11 Pennsylvania American Water - 09/23/2010 19.48 12 Pennsylvania American Water - 09/30/2010 34.49 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Bell, Ethel Ann 21-10-0691 ITEM NUMBER DESCRIPTION AMOUNT 13 PPL Electric Utilities - 07/28/2010 29.42 14 PPL Electric Utilities - 08/26/2010 38.67 15 PPL Electric Utilities - 09/23/2010 52.82 16 PPL Electric Utilities - 09/30/2010 3.14 17 Sovereign Bank -Processing fee for date of death valuation 20.00 18 Stanley Steamer -Carpet cleaning 200.54 19 Steinbacher Sti Stahl -Reimbursement for postage and photocopy expenses 41.85 20 Steinbacher 8~ Stahl -Reimbursement for travel expense 92.78 21 Terminix - 07/10/2010 79.50 22 The Patriot-News -Estate advertisement 331.83 23 The Sentinel -Estate advertisement 219.40 24 Todd Walter -Lawn Service - 06/23/2010 35.00 25 UGI Gas Service - 07/17/2010 89.00 26 UGI Gas Service - 08/11/2010 76.24 27 UGI Gas Service - 09/08/2010 13.58 28 UGI Gas Service - 09/30/2010 10.04 29 Wal-Mart -Painting supplies for preparing real estate for sale 68.20 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) ~~ SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Bell, Ethel Ann 21-10-0691 ITEM NUMBER DESCRIPTION AMOUNT 30 Weis Markets -Lunch supplies for volunteers cleaning house in preparation for sale of real 21.83 estate H-B7 2,475.59 Other Administrative Costs Real Estate Settlement Expenses 31 Bonnie K. Miller, Tax Collector - 2010/2011 School taxes 1,279.23 32 Broker Commission 9,340.00 33 General Repairs -Drain Doctors 350.00 34 Notary Fee 10.00 35 Realty Transfer Tax 1,515.00 36 Tax Certification 10.00 H-B7 12,504.23 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) ~~ Rev-1512 Fa(+ (12-08) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Bell, Ethel Ann 21-10-0691 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) I~ (If more space is needed, additional pages of the same size) REV-1513 EX+ (11-0Sj COM INHEgITD NT D CEDEN~RN ANIA SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Bell, Ethel Ann 21-10-0 691 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116 a 1.2 See attached schedule Total Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 150 0 cover sheet as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) i~ SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Ethel Ann Bell 06/04/2010 186-28-5461 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 1 David A. Bell Nephew $5,000.00 and 211A Mooredale Dr. beneficiary of 50% of Carlisle, PA 17015 annuity listed on Schedule G (item #2) 2 Mary C. Wakeman Friend 50% of annuity listed 5527 Edsel Street on Schedule G (item #2) Harrisburg, PA 17109 3 Andrew Shaner Grand Nephew Beneficiary of 50% of P.O. Box 150 annuity listed on Picture Rocks, PA 17762 Schedule G (item #1) 4 David E. Bell Brother 100% of the residue of P.O. Box 58 the estate Picture Rocks, PA 17762 5 John E. Bell Nephew $5,000.00 68 S. Main St. Apt. 9 Hughesville, PA 17737 6 Michael D. Bell Nephew $5,000.00 11209 Oak Creek Dr. Lakeside, CA 92040 7 Maryann Morris Friend $5,000.00 and 5527 Edsel St. beneficiary of 50% of Harrisburg, PA 17109 annuity listed on Schedule G (item #1) 1 `-'1 REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA No . 20 ~ 0- 0069 ~ Estate Of : ETHEL ANN BELL CERTIFICATE OF GRANT OF LETTERS PA No . 2 ~ - 7 ~0- 069 ~' (First, Middle, Lastl a/k/a : ETHEL A BELL Late Of : LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No : 786-28-546 ~ WI-LEREAS; on the _9th day of July 2010 an instrument dated August 8th 1996 was admitted to probate as the last will of ETHEL ANN BELL (First, Middle, Last) a/k/a ETHEL A BELL late of LOWER ALLEN TOWNSH/P, CUMBERLAND County, who died on the 4th day of June 2010 and, WHEREAS, a true copy of the wi 11 as probated i s annexed hereto . THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: DA V/D E BEL L who has duly qualified as EXECUTOR(R/X) and has agreed to administer the estate according to law, all of wi~ich fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 9th day of July 20~(~ * *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST') t ,. '~, ~ .. i , ~~~~ ~>~~ _g Pig i;?~ ~ 2 :;~ ~_ ... ,... C~ ~h~ r R~~; ~~~ ~~~; G~UG~T I, ETHEL ANN BELL, of the Township of Lower Allen, t },~y~of,~ ; ,, ~„~ Curnberland and Commonwealth of Pennsylvania, being of sound and disposing mind, ~r~emory and understanding, do make, publish and declare this cis and for i11y Last V~,~ill and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRS r . 1 order and direct that all my just debts and funeral expenses be Y; ~~ ~i ~~1 ~_,.~ paid by my Executor, hereinafter named, as soon as conveniently may be done aster my decease. SECQN~. I hereby make the following specific bequests: A. 1 give and bequeath my wing chair with Bittersv~~eet upholstery unto my friend, HENRY S. MORRIS, absolute)}~, if he survives me. B. I give and bequeath the sum of Five Thousand Dollars ($5,000.00) unto my friend, AVIARY ANNE fVIORRiS, absolutely, if she survives me; C. I give and bequeath the sum of Five Thousand Dollars ($5,000,00) unto my nephew, JOHN E. BELL, absolutely, if he survives me; -~_ I r-ivP ~n+-~ f ~Pr7; iPath the cl im of Fj~io Thni canrl i lnll~r•5 v _ ~_ ,_.__._.. _ _ ($5;000.00) unto my nephew, DA`JID A. BELL, absolutely, if he survivE:s me; E. I give and bequeath the sum of Five Thousand Dollars ($5,OOC.00) unto 11~y nephew, f~IICHAEL D. SELL, absolutely, if he survives me; F. If any of the foregoing beneficiaries shall fail to survive me, then the bequest provided herein for such beneficiary shall lapse and become pant of y,~ `~~ the residue of my estate. T I fIP~~. I give, devise and bequeath all the rest, residue and remainder of t~. my estate, real, personal and mixed, whatsoever and wl-~eresoever situate, unto my brother, DAVID E. BELL and MARINELLA BELL, his wife; or to the survivor of them if either shall predecease me, absolutely and in fee simple. Provided, ho~~n~ever, that if both of them shall predecease me leaving lawful ;:, - ., ~.~~ ~.::,. issue to survive me; then I order and direct that the said rest, residue and remainder of my estate shall be paid over and distributed unto to their said lawful issue per stirpes, said issue to take the ancestor's share by representation and not per capita. F~EJI~ ~ ~. If any of the persons above Warned to whom a share of my estate is given shall, in any court of law or equity or otherwise, controvert or contest this, my Last Will and Testai~nent, or dispute or call into question the validity thereof or any of the estates, limitations, powers, provisos or dispositions hereby given or made or herein contained, then and in such event the share of my estate herein provided for said person or persons controve~~fiing, contesting, disputing or questioning the validity of this, my Last Will and Testament, shall cease and determine and be absolutely void to all intents and purposes whatsoever, as if said person or persons had predeceased me, and in such event said sl-pare shall become part of the residue of my estate. LASTLY. I nominate, constitute and appoint my brother, DAVID E. BELL, -2- ~ ~~ i Executor of this, my Last Will and Testament, but if for any reason he shall fail to q~.~alify as such Executor or cease so to serve, then I nominate, constitute and appoint my niece, JON ANNE BELL, to serve in his place and stead, Each to serve without bond in this or any other jurisdiction. IN WITNESS WHEREOF, I, ETHEL ANN BELL, have hereunto set my Band and seal to this, my Last Will and Testament, 'which consists of three (3) 1, -1 typewritten pages to each of which I have affixed my signature this `~ yr_ ,- ~ day of _ ~-~~_.,~;~-.~~>>~ :'~ , A.D., One Thousand Nine Hu~~~dred Ninety- Six (~ 996). r- `1 r~ t . ~~~f'~ , ,,,;-~,.. ~ ~~~.~_`:-~ (SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date ther~:of signed, sealed, published and declared by ETHEL ANN BELL, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request; in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. - '^~~; i. : ;~ ~ •~ 7 _" _ J l~ i (~,, ,~ ( i i /' V .st. It. ! .$.a ,~ t. H105-143 REV 112006 TYPE !PRINT IN PERMANENT BLACK INK ~I -I[" T -~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) CT4TF FII F NI IAARFR 1. Name of Decedent (First, middle, last, suffix) ~ / ~~ ~~11 2. Sex r` 3. Social Security Number ~~~ -~~-~"~~~ 4. Dale of Death (Month, day, year) ~-~~-~o 5. Age (Last BirOtday) Under 1 ar Under 1 da 6. Date of BiM (Month, da , ar 7. Binh lace Ci and state or /Drat n count 8a. Place of Death Check on one 73 y~ MonNS Days Harrs Mirnaes 3 ~- ~ ~ - I ~ ~ ~ ~o r ~' ~ ~a" ~ Hospital: ^ Inpatient ^ ER !Outpatient ^ DOA Other ^ Nursing Home ~ Residence ^ Other - Spedty: _ 8D. Count' of Death • Bc. Ciry. Boro Tw of Death Bd. Facility Name (II not institution, give sVeet and number) tI- / - 1 ~ ~~ 9. Was Decedent of Hispanic Origin? ~No ^Yes (II yes, specify Cuban, 10. Race: Aralncan Indian, Black, While, etc. (Specify) L~ A ~(~ ~ ~"/µ-~ ,Comer' 1~11~-~ ~~/ l /)~ L /D ~ "' r ~~' " ~'~ " ~~ ' Mexican. Pueno Rican, etc.) T ~~J ~'t, L 1 11. Decedents Usual Oct atbn ~nd of work done d un most of workin life. Do not slate retir 12. Was Decadent ever in the 13. Decedent's Education (Spedly only highest grade completed) 14. Manta/ Status: Married, Never Married, 15. Surviving Spouse (II wife, give maiden name) Kind of Work C1 e r KindylBusiness/Industry Ate C~ver-Nw~e~~ U.S. Armed Forces? ^Yes No Elementary I Secondary (o-12) !02 College (1-4 or S+) Widowed, Divorced (SpealyJ .eV2~ U~Arr~CV1 ..-. 16. Decedent's Madi g Address (Street, city i own, state, rip ) ) p /~ j Decedent's Did Decedent / ^ + - ^ I) ~~~ G--- Live in a 17 ~-~ r l T ®Y d t li d i D R n C_J ~~/ J ., ~ ~o ~ Y Y I /7 ~ ~ C.~ ! ~I~ !~[/~ wp. es, en ve n c. ece Actual esiderxa t7a. State ~ ~ ~ , n Township? Decedent Lived within ~'V ` i 7d. ^ No I 1 I ^ r -Z 0// t~ I / , 17b. County Actual Limits of Cityl Boro 18. Fa rs Name ( rst, middle, last, suffix el~ 19. Mothers Name (First, middle, maiden surname) a ~ w~ ~ ~ «~S 2 a. Informants Name (Type / Pnnl) 20b. In ormant's Mailin Address (Street, city I town, s te. zip de) 7 e t~ -~ l~s _ 7 76 ' ~ ( v I n ~ - t3 ~ l l v r c~ a ._ i c t . D, 0 8 21 a. Method of Disposition r Cremation ^ Donation 1 21b. Date of Dispostion (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory a other place) 21d Location (City Itown, state, zip tale) ^ Burial ^ Rerwval from Stale I Was Cremation or Donation Authorized / _ L /~ ~ n ,, „^~ t, ~n~~ I (~ ~ / ,~ Lt' / `~ ^ Other - S I by Medical ExaminerlCoroneR ~ Yes^ No ~ b ~ ~~ L (~ G tr(/)r(., -~(l ` ! ! 22a. S' re of uneral Service Licensee (or person acting as s ch) 22b. License Number 22c. Name and Address of Facility ~ ~ ~' ~ ~ 7~ r I + S CA-vV ~ ~ CJ t -l~ 61 U/~Q - o ZZ 12- L- u e Q ~ 11 ~ ~,~ c~ t~/t 3{ ~ m ate' s 23a-c only when ce hying fan is not available at time of death to 23a. To the sot knowled e, each occurred al the time, a and place stated. (Signature and title) ~ / 23b. License Number day, year) 23c ateate Si n ~y ce cause oldeath. ~ ~/ ~ ~ ~ c/ /,~ ~ ~ ~ ~ ~f („) Items 2a-26 must be completed by person 24. Time of DeaN 25. Date Pronounce Oead (Month, day, year) ~ 26. Was Case R /erred o Medical Examiner !Coroner for a Reason Other than Crematon or Donaton? ~N wtw pronounces death. ~! ?J i ~ M. (~ ~ ~ a 6 / D ^Yes o CAUSE OF DEATH (See instructions and examples) , Approximate interval: Pan II: Enter other significant conditions contributing to death 2B. Did Tobacco Use Contribute to Death? Item 27. Pan I~ Enter the chain of events -diseases, injuries, or cnmplicetions -That directly caused the death. DO NOT enter terminal events such as cardiac arrest, r Onset Io Death but not resulting in the undenying cause given in Pan I. ~ Yes ^ Probably respiratory arrest, or ventricular fibrillation without showing the etiobgy. List Doty one cause on each line. r ^ No ^ Unkravm IMMEDIATE CAUSE Final disease or ~ ( ~ f / , I condition resulting in ~ath) ~ a ~~ V Lx--~n~~~ ~~ (~ (~-'~ ~-~t ~~r_ I ~ ~(U~ ~ ' ~/~~~j4' '~C;G~ G 29. II F male: I Due to as a co q ante of): I I Not pregnant within past year Pregnant at time of death Sequentiagyy list conditions, it any, D. ~ I ^ lead)ng to the cause listed on line a. I Enter Ne UNDERLYING CAUSE Due to (or as a consequence off: I Not pregnant, but pregnant within 42 days of death I (disease or injury That mniated the c. t t 43 d 1 ^ N b ~ events resulting in death) LAST. Due to (a as a consequence o~~. r ot pregnant. pregnan ays l0 year u before tleath d ~ ^ Unknown ti pre nant within the past year . g 30a. Was an Autopsy 30b. Were Autopsy Endings 3t. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home. Farm, Sireel, Factory, Penormed? Available Pna to Completion of Cause of Death? j~ !74t Natural ^ Homicide Office Building. etc. (SpecltyJ ^ Yes No ^ Yes ^ No ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 321. If Transportation Injury (Specify) er ^ Pedestrian ^ Passen i /O t ^ D 32g. Locebon of injury (Street, city I town, state/ ^ Suicide ^ Could Not be Determinetl M ^Yes ^ No g r ver pera or . ^ Other - Specity: 33a. Certifier (check Doty one) 33D. Signatu a Thle of Cenif //~ ~ • Certifying physician (Physician cenitying cause of death when another physician has pronounced death and completed Item 23) death occurred due to the cause(s) and manner as stated To the best of m knowled e `'l~_ ' `-i. - ~v ' / _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ y g , • Pronouncing and certifying physician (Physican both pronouncing death and ceniying to cause of death) To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • Medical Examiner/Coroner 33c. LicensALi bar ~~~ /// /`1 J- ~~ Z r~j ~~ ~ IIJJ 33d. Date Signed (Month. day, year) V 17 -~ / 1 ~ ~ (JI G C~ On the basis of examination and 1 or investigation, 'm my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stated_ ^ 34. Name and Address d Person Who Completed Cause of Death (Iterr• ). ~ 1 ~ / ~~~~~d~~ ~kr~iLY ~i~lt%~ C 35. Re ~ rs Signature and District Number ~) t ~ ~~ 36. Dale Fllatl (Month, day, year) /y~ /~ / ~'-'~r )~L~ ~ /` `'`v" "` / ~`~ •~~~ ' ` I t l - ~ ,. I r~ l JiJ>~~ ~ ~ ;v -. ~ t~J~- f~ ~.J i STRC~T, ~?~l! ~;~; ~ ~ U (l Q r~ ~ ~ ~ ~ 7 L~I4":1 i iV~, C'F: 1 i I)~'..+ Disposition Permit No. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 11 28-0601 RECEIVED FROM: MARY C WAKEMAN 6399 OLD CARLISLE RD DOVER, PA 17315-8865 -------- told PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: ~ s6-2s-5461 FILE NUMBER: 2110-0691 DECEDENT NAME: BELL ETHEL ANN DATE OF PAYMENT: 08/26/2010 POSTMARK DATE: 08/25/2010 COUNTY: CUMBERLAND DATE OF DEATH: 06/04/2010 101 ~ $2,E~27.26 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTORNEY CHECK # 2-627-: ~2~6 SEAL INITIALS: HW RECEIVED BY: TAXPAYER REV-1162 EX~11-96) NO. CD 01320 $Z,h27.26 GLENDA EARNER STRASBAUGH REGISTER OF WILLS ~, ~~ ~',. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 171 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-961 NO. CD ~ 1324 HOBBS REBECCA A 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 -------- fold ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: SsN: ~ 86-28-5461 FILE NUMBER: 2110-0691 DECEDENT NAME: BELL ETHEL ANN DATE OF PAYMENT: 08/26/2010 POSTMARK DATE: 08/25/2010 COUNTY: CUMBERLAND DATE OF DEATH: 06/04/2010 101 ~ 540,000.00 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTORNEY SEAL CHECI<# 1288 INITIALS: HW RECEIVED BY: REGISTER OF WILLS $ 40, 000.00 GLENDA EARNER STRASBAUGH TAXPAYER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER NO. CD 01323 MORRIS MARYANN 5527 EDSEL ST HARRISBURG, PA 17109-5659 -------- fold ESTATE INFORMATfON: SSN: 186-28-5461 FILE NUMBER: 2110-0691 DECEDENT NAME: BELL ETHEL ANN DATE OF PAYMENT: O8/ 26/ 201 0 POSTMARK DATE: 08/25/2010 COUNTY: CUMBERLAND DATE OF DEATH: 06/04/2010 REV-1162 EX(11-96) AMOUNT 101 ~ S 1,344.64 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTORNEY CHECK# 2530407 INITIALS: HW SEAL RECEIVED BY: TAXPAYER $1 ,344.64 GLENDA EARNER STRASBAUGH REGISTER OF WILLS ~~ ~' ~~ ~.~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: 1 it"ii t ~ ~~ PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-96) NO. CD 014069 BELL JON ANNE 201 LAUREL STREET PO BOX 150 PICTURE ROCKS, PA 17762 ACN ASSESSMENT CONTROL NUMBER ESTATE INFORMATION: SSN: 186-28-5461 FILE NUMBER: 21 10-0691 DECEDENT NAME: BELL ETHEL ANN DATE OF PAYMENT: 02/ 28/ 201 1 POSTMARK DATE: 02/28/201 1 couNTY: CUMBERLAND DATE OF DEATH: 06/04/2010 REMARKS: SEAL CHECf<# 2620 AMOUNT 101 ~ 51,415.41 TOTAL AMOUNT PAID: $1,415.41 INITIALS: DB RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER £~~. ,.e OMB Approval No. 2502-0265 ~iili~lii'~r A. Settlement Statement (HUD-1) 1. ^ FHA 2. ^ RHS 3. XD Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: 036-068 6100100383 4. ^ VA 5. ^Conv. Ins. C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agents are shown. Items marked "(p.o.c)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. Name & Address of Borrower: E. Name & Address of Seller: F. Name & Address of Lender: Jean M. Keeley Estate of Ethel Ann Bell Graystone Mortgage 5115 East Trindle Road, Suite B, Mechanicsburg, PA 17050 G. Property Location: H. Settlement Agent: I. Settlement Date: 09/17/2010 107 Manchester Road Community Settlement LLC PH:717-234-2666 Disbursement Date: 09/17/2010 Camp Hill, PA 17011 l l C b C T 2146 N. 2nd. St., Harrisburg, PA 17110 er and ounty, Lower Al um en ownship Place of Settlement: TitleExpress Prudential Thompson Wood, 3815 Market St., Camp Hill, PF Printed 09/16/2010 at 2:18 pm 17011 by KJB 100. Gross Amount Due from Borrower 101. Contract sales price 151,500.00 102. Personal ro ert 103. Settlement charges to borrower (line 1400) 4,762.62 104. 105. Ad'ustments for items aid b seller in advance 106. Cityltown taxes to 107. County taxes 09/17/2010 to 12!31/2010 197.54 108. Assessments to 109. School taxes 09/17/2010 to 06/30/2011 1,005.86 110. Sewer/Trash 09/17/2010 to 09!30/2010 14.91 111. 112. 120. Gross Amount Due from Borrower 157,480.93 200. Amounts Paid b or in Behalf of Borrower 201. Deposit or earnest money 1,000.00 202. Principal amount of new loan(s) 121,200.00 203. Existin loa s taken sub'ect to 204. 205. 206. 207, 208. 209. Ad'ustments for items un aid b seller 210. City/town taxes to 211. County taxes to 212. Assessments to 213. 214. 215. 216. 217. 218. 219. 220. Total Paid b Ifor Borrower 122,200.00 300. Cash at Settlement fromlto Borrower 301. Gross amount due from borrower (line 120) 157,480.93 302. Less amounts paid by/for borrower (line 220) 122,200.00 303. Cash ^X From ^ To Borrower 35,280.93 400. Gross Amount Due to Seller 401. Contract sales price 151,500.00 402. Personal ro ert 403. 404. 405. Ad'ustments for items aid b seller in advance 406. City/town taxes to 407. County taxes 09/17/2010 to 12/31/2010 197.54 408. Assessments to 409. School taxes 09/17/2010 to 06/30/2011 1,005.86 410. Sewer/Trash 09%17/2010 to 09/30/2010 14.91 411. 412, 420. Gross Amount Due to Seller 152,718.31 500. Reductions In Amount Due to Seller 501. Excess deposit (see instructions) 502. Settlement charges to seller (line 1400) 12,504.23 503. Existin loans taken sub'ect to 504, Payoff of first mortgage loan to NONE 505. Payoff of second mortgage loan to NONE 506. 507. 508. 509. Ad'ustments for items un aid b seller 510. Cityltown taxes to 511. County taxes to 512. Assessments to 513. 514. 515. 516. 517. 518. 519. 520. Total Reduction Amount Due Seller 12,504.23 600. Cash at Settlement tolfrom Seller 601. Gross amount due to seller (line 420) 152,718.31 602. Less reductions in amount due seller (line 520) 12,504.23 603. i repo mg Cash ^X To ^ From Seller e a a. is agency may no w ec is In orma ion, an you are no requue 140,214.08 o comp e e ..._. ___ _~_.....e__..._...__________._..._....___...___....._____. __... _.__~_..__,_.__. _. _. this form, unless it tlisplays a currently valid OMB control numoer. No confbentiality is assuretl; this disclosure is mandatory. This is designed to provitle the parries to a RESPA coveretl transaction with inlonnation dunnp the settlement process. Previous editions are obsolete Page 1 of 4 HUD-] ~~~ 700. Total Real Estate Broker Fees $ 9,340.00 Paid From Pald From Division of commission Tine 700 as follows: Borrower's Seller's I 701. $4,795.00 to REIMAX1stAdvantage,lnc. Funds at Funds at 702• $4,545.00 to Prudential Thompson-Wood Settlement Settlement 703. Commission paid at settlement 9,340.00 704, Buyer Settlement Fee to Prudential Thompson Wood 200.00 800. Items Pa able in Connection with Loan 801. Our origination charge (Includes Origination Point % or $0.00) $582,95 (from GFE #1) 802. Your credit or charge (points) for the specific interest rate chosen $ (from GFE #2) 803. Your adjusted origination charges (from GFE A) 582.95 804. Appraisal fee to A raisal Lo istics $450.00 P.O.C. B* (from GFE #3) 805. Credit report to First American Credco (from GFE #3) 17.37 806. Tax service to Gra stone Mort a e (from GFE #3} 79.00 807. Flood certification to from GFE #3 808. to 900. Items Required b Lender to be Paid in Advance 901. Daily interest charges from from 09/17/2010 to 10/01/2010 @ $14.1100/day (from GFE #10) 197.54 902. Mortgage Ins. Premium for months to (from GFE #3) 903. Homeowner's insurance for months to Allstate $480.73 P.O.C. B* (from GFE #11) 904. months to from GFE #11 1000. Reserves De osited with Lender 1001. Initial deposit for your escrow account (from GFE #9) 588.00 1002. Homeowner's insurance 3 months $ 40.06/month $120.18 1003. Mortgage Insurance months $ 0.00/month $0.00 1004. City Property Tax months $ 0.00/month $0.00 1005. County Property Tax 9 months $ 51.45/month $463.05 1006. Assessments months $ O.OOlmonth $0.00 1007. School taxes 4 months $ 104.47/month $417.88 1008. Aggregate Adjustment $-413.11 1100. Title Char es 1101. Title services and lender's title insurance (from GFE #4) 1,352.26 1102. Settlement or closing fee to $ 1103. Owner's title insurance (from GFE #5) 82.50 1104. Lender's title insurance $563.00 1105. Lender's title policy limit $121,200.00 Lender's Policy 1106. Owner's title policy limit $151,500.00 Owner's Policy 1107. Agent's portion of the total title insurance premium $474.35 1108. Underwriter's portion of the total title insurance premium $171.15 1109. Ln. 1104 incld. End. 100,300,900 to $ 1110. Insured Closing Letter to Commonwealth Land Title $75.00 1111. Reimb. Exp. Mail Ln Pkg to Communit Settlement LLC $20.76 1112. Notary Fee to Mark K. Eme $35.00 10.00 1113. Elec./Facsimile Trans. Ln Pkg to Communit Settlement LLC $35.00 1114. Attorney Review Fee to Mark K. Eme , Es uire $623.50 1115. Closing/Disb. Fee(100.OOPOC by Er~Cr~mmunit Settlement $ 1116. Information Search (150.OOPOC Emt~ommunit Setlement $ 1117. Lines 1103 & 1104 AA Rate to $ 1118. Reimb/Tax Cert. Fee to Communit Settlement LLC $ 10.00 1119. Deed Preparation to Steinbacher & Stahl POC b Selle $ 1200. Government Recordin and Transfer Char es 1201. Government recording charges (from GFE #7) 148.00 1202. Deed $64.00 Mort a e $84.00 Release $G.00 1203. Transfer taxes (from GFE #8) 1,515.00 1204. City/County tax/stamps Deed $1,515.00 Mort a e $0.00 1205. State Tax/stamps Deed $1,515.00 Mort a e $0.00 1,515.00 1206. Deed $0.00 Mort a e $0.00 1207. 1300. Additional Settlement Char es 1301. Required services that you can shop for (from GFE #6) 1302. Survey to $ 1303. to 1304. to 1305. 2010/11 School taxes to Bonnie I<. Miller,Treas.,Tax Collector 1,279.231 1306. General Repairs to Drain Doctors 350.00 *Paid outside of closing by (B)orrower, (S)eller, (L)ender, (I)nvestor, Bro(K)er. Previous editions are obsolete Page 2 of 4 HUD-] Com arison of Good Faith Estimate GFE and HUD-1 Char es Char es That Cannot Increase HUD-1 Line Number Our origination charge # 801 Your credit or charge (points) for the specific interest rate chosen # 802 Your adjusted origination charges # 803 Transfer taxes # 1203 Char es That in Total Cannot Increase More Than 10% Government recording charges # 1201 Appraisal fee # 804 Credit report # 805 Tax service # 806 # , ~. • ,• ~ .• Char es That Can Chan e Initial deposit for your escrow account # 1001 Daily interest charges from # 901 $14.1100Ida Homeowner's insurance # 903 Title services and lender's title insurance # 1101 Owner's title insurance # 1103 I nan Tarmc Good Faith Estimate HUD-1 582.95 582.95 0.00 0.00 582.95 582.95 1,515.00 1,515.00 Good Faith Estimate HUD-1 160.00 148.00 450.00 450.00 17.37 17.37 79.00 79.00 706.37 694.37 $ -12.00 or -1.6988% Good Faith Estimate HUD-1 2,100.00 588.00 214.62 197.54 540.00 480.73 1,285.75 1,352.26 150.00 82.50 Your initial loan amount is $121,200.00 Your loan term is 30, years Your initial interest rate is 4.2500% Your initial monthly amount owed for principal, interest, and any mortgage $596.24 includes insurance is ^X Principal Q Interest ^ Mortgage Insurance Can your interest rate rise? Q No. ^ Yes, it can rise to a maximum of %. The first change will be on 1 1 and can change again every years after I I .Every change date, your interest rate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be lower than % or higher than %. Even if you make payments on time, can your loan balance rise? ^X No. ^ Yes, it can rise to a maximum of $ Even if you make payments on time, can your monthly amount owed for. Q No. ^ Yes, the first increase can be on / / and the monthly principal, interest, and mortgage insurance rise? amount owed can rise to $ The maximum it can ever rise to is $ Does your loan have a prepayment penalty? ^X No. ^ Yes, your maximum prepayment penalty is $ Does your loan have a balloon payment? ^X No. ^ Yes, you have a balloon payment of $ due in years on I I Total monthly amount owed including escrow account payments ^ You do not have a monthly escrow payment for items, such as property taxes and homeowner's insurance. You must pay these items directly yourself. 0 You have an additional monthly escrow payment of $195.98 that results in a total initial monthly amount owed of $792.22. This includes principal, interest, any mortgage insurance and any items checked below: Q Property taxes 0 Homeowner's insurance ^ Flood insurance ^ Q School taxes ^ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. Previous editions are obsolete Page 3 of 4 HUD-7 .~~ HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. Je~~ .Keeley Estate of Ethel Ann Bell Agent: David E. Bell ,,. The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this statement. SETTLEMENT AGENT DATE WARNING: IT lS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD- ~} ... _ .. P1i2-DEED-WARRANTY ~ ,Q G R`V T IND. OR CORP. ,~1 t ,~ ^ ; ~ r ,.. , t ~i ~ ~ ~ 1l ~ nzade the t2 Nh day of COPYRIGHT 1976 0 by ALL-STATE LEGAL SUPPLI' CORP. 1316 Arch St. Philadelphia. Pa. 19107 July 19 84 ; ~PtwPPn EDWARD A. ZAHM and BETTY S. ZAHM, his wife, of the Township of Lower Allen, County of Cumberland, State of Pennsylvania, parties of the first= part, herein. designated c~,s the Grantors, Arta ETHEL ANN BELL, single woman, of the City of Harrisburg, Couni~y of Dauphin, State of Pennsylvania, party of the second part, lzerein, designated as the Grantees; ~i#riPSSPth, tlzat t,lze Grantors, for and in consideration of Seventy Thousand and 00/100 Dollars ($70,000.00) --------------------------------- lawful rn.oney of the United States of America, to the Grantors in 1zaa2d well arad truly paid by the Grantees, at or before the sealing and delivery of these presents, the receipt whereof ~is Izer•eby ac~:rt-owledyed a~~zd the Grantors being therewith fully satisfied, do by these presents grant, bargain, sell a~ad convey zcnfo tlce Grantees forever, ~,jj THAT CERTAIN tract or parcel of land and premises, situate, lyc:ng and being in the Township of Lower Allen i~t the Cotznty vt' Cumberland and Commonwealth of Pennsylvania, more particularly described as follows: BEGINNING at a point on the southerly line of Manchester Road, 185 feet west o.E the southwest corner of Manchester and Selwi.ck Roads at corner. of lands now or latE~ of Harris R. Hoover; thence southwardly at right angles to Manchester Road. and along said Hoover lands, 116.13 feet to a point; thence westwardly along the northerly lines of Lots Nos. 14, 15 .and 16 on the hereinafter mentioned Plan, 96.9 feet 'to a point; thence along line of Lot No. 6, Block "M" on said Plan, northwardly, 114.98 feet to a point on the southerly line of Manchester Road; thence eestwardly along Manchester Road by a curve to the left having a radius of 447.5 feet, ari arc distance of 59.73 feet t:o a point;. thence along the same, 22.22 feet to the P1ac:e of BEGINNING. BEING Lot No. 7 and the westerly 25 feet of Lot No. 8, Block "M", on the Plan of Lots of a portion of Highland Park, said Plan being recorded in the Cumberland County Recorder's Office in Plan Book 4, Page 98. HAVING THEREON ERECTED a ranch type dweJ-ling house which has the address; of 107 Manchester Road, Camp Hill, Pennsylvania. BEING THE SAME PP~EMISES which Donald P. Raffensperger and Mildred E. Ra=Efensperger, his wife, by their deed dated the 14th day of September., 1978, and recorded in the Office of the Ptiecorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book "C", Volume 28, Page 338, granted and conveyed unto Edward A. Zahm and Betty S. Zahm, his wife, the Grantors herein. ~.~~ ~hoo~ ~~st G~ m i~ . Ca.~ Pa. ~~ E.St~a t"r~ns#er 'tax ~ .~.... A1x4~....».r...--..M... ,,~ Comb. Co. mist Col. lam, r.~ ~~ ~~~ ~ ~.'~'d, ~c-~'~~ elf ~~~"~' -- - ~ngrtl~Pr with all and si~zgular the buildizzgs, improvements, ways, woods, waters, watercourses, nights, liberties, privileges, hereditanze?zts a7ad appurtenances to the wane belozzging or in azzyzvise czppez~~tai7zing; anal the reversion a~zd reversio~zs, remainder a,nd renzai~zders, rents, issues a-nd profits tlcereo f; a~zd of e~z~ery part a~zd parcel t`h,ereof,~ ~n~ ttlsa all the estate, right, title, interest, use, possession, p~r°vperty, claim. and demand u%hatsoever of the Gra~ztors both in law a~zd in equity, of; in arcd to the pz°e7nises herein. described azzd every part and parcel thereof with the appurtenances. Zen E~~uP ttna to l~nl~ all azzd s~i7zgzclar t.1ze ;»renzises herei7a described togetjcer with the Izereditame~zts and appurte~aances uzz.to the Gran-tees anal to Gra-rr.tees' proper use a~zd benefit forever. Ana the Grantors covenant that, except as may be herei~z set forth, they do a.zzd weal forpvrr auurrttnt and aef~nd the lazzds and pre~zzises, Izereditanzents and appurtena~zces hereby conveyed, against the G~ra~ztors and all other perso~zs lawfully claiming the sarrze or to claim the same. In. all refereeaces herein to any parties, persons, e~Ztities or corporations, the use of a~ay particular ge7ader yr floe plural or si~ag2.clar number is i~ztended to include the appropriate ge~ader or number as tlae text of'tlae with2:n irastru~r;;e~at r~cay require. Wherever in this instrument any party shall be designated or referred to by nanz-e or general retere~ace, suc7a designa- tion is intended to and shall have the same effect as if the words "heirs, executors, administrators, personal or legal representatives, successors and assig~zs" had been inserted after each and every such des~:g7aatio~a. ~ri ~itriPSS ~~PrPnf, the Grantors have hereunto set their ha~zds and seals, or if a, corporation, it 1aa~s caused these presents to be signed by its proper corporate officers and its corporate seal to be affixed hereto, the day a.~z.d year first above written. ~igriPa, ~PA~Pa Arid ~P~IUPrPa iri tj~P ~1rPSPtTCP Of __ ar ~ttPStPa tI}j } r 7 Edward A. Zahm ~ C° y ;. ~Bett ~La~ ,' (~nmmanuip~~~k~ n~ ~.enns~lv~ni~, (1~nun~~ of >~.«d~~-~~ ~,~,~.: ~~~ i# ±~Pmrmherea, that on ~ ~~-~~ %~ 19 84 ,before ~rzt.e t.Ice su.bscri,ber personally appeared EDG?ARD A. ZAHTT and BETTY S. ZAHM, his wife, known to= ~z~e-(or satin factorily proven) to be the persor~ whose ~zarrze s are subscribed ~o the wz:thirt~~c~eed and acknowledged that they executed the wane for the purposes tlcereizr cvzctczizced.. ,- `~, ~,~ ~ ~ ~ltnPSB ~~it ha-~zd and seal the day a~zd year aforesaid. ~_: .~ r., ' ~ ~ ~ `•. \ ~± lIAA~'DEN i1N- CtIM~R~UW ~itUNtY MY ~i 3~1. ~i, 1184 _ . ~ ~t !rotaries l~ ~; :J 11 J~ ~;, ~.., ~ i S L L t,,,,i ~; .,,~ r'~` ~- 1. n: ti ~ ~ ~ ~ ...~. •r r ~ T1 :~ .' . / ~; ~ i Y° ' ti ~-, ~;~ "•y.~~ ~ n ~ T ti :~ x! 3 J ~4 ~L _ N . ~: ~: O: T' ~~ y r=. (0 ~ ~ ~. ~ ~ ~ ~ `~ . ~ . ~ ~ ~ ~ ~p C~ ~-~. co co ~ ~ ~ ri- ~ ~ ~ cam' o o R c P ~ n+ N Cq ~. 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SPEC ID: LOT: L-0007 + -----~ Tb a c k -i ~ ( PROPERTY TYPE: R ( i ~ ~ f SAL$S -~ ( ( DRED BK/PG.....0030U-00332 ( ( ~ DATE OF 9ALE...07/17/1984 ( ( SELLING PRICE: 70000 ( ~ ( ._J ~ r-----CQREtBNT VALUES ---~ ~ Ass®9sed Fair Market FMV - 128090 L - 30000 CMG _ H - 98090 ~ ( approved? -> T - 128090 Screen 1 gnter Selection > record: 361?1 Number -Switch Screens, X -Exit, J -Jump Mode, F -Forms, Z -Ianage Do~nt Arrow -Next Entry, Up Arrow -Previous Entry, ? -Screens, B -Browse ~. fV k ~ ~ r9 z , . .. .. ~ 1 . I ; ~ a~ ~ N , I U ~Jl I ~ , ~ b i ca O N o I ~ v a c>y ~ I I ~ ~ `~ I a~ a ' 1 1 rn m a s b l l l l l [ a v ~ •~ u ~ i u a ~ w H~ I I -,~ ~ rR y y I , l a w as , I - - - I ~ i , 1 I ~ , ~ I I 1 ~l.,o ooo I ~ ,, v , ~ ~ o ~ m rn 1 ,~ 0 0 0 0 1 I a N o ' ao m co 1 ; E b Q+ (1S ~ 1 Z- 01 N N r--1 r"1 , N b¢ , 1 f~ C7 t~ • r•I I il' ~ 1 1 1 1 1 I 1 Ill ~ N w ~ ,~ ro b f1j Q~ I ~ ,~ m l ~ •~ v v a I CA 1 >~ ~ H ~ A ~ - - ~ , - - - - - .. 1 , 1 I I ~~ 1 1 ~ I ,... -u a ~ 1 I .. 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Amounts paid to and by the settlement agents are shown. Items marked "(p.o.c)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. Name & Address of Borrower: E. Name & Address of Seller: F. Name & Address of Lender: Jean M. Keeley Estate of Ethel Ann Bell Graystone Mortgage 5115 East Trindle Road, Suite B, Mechanicsburg, PA 17050 G. Property Location: H. Settlement Agent: I. Settlement Date: 09/17/2010 107 Manchester Road Community Settlement LLC PH: 717-234-2666 Disbursement Date: 09/17/2010 Camp Hill, PA 17011 2146 N. 2nd. Sl., Harrisburg, PA 17110 Cumberland County, Lower Allen Township Place of Settlement: TitleExpress Prudential Thompson Wood, 3815 Market St., Camp Hill, PF Printed 09/16/2010 at 2:18 pm 17011 by KJB 100. Gross Amount Due from Borrower 101. Contract sales price 151,500.00 102. Personal ro art 103. Settlement charges to borrower (line 1400) 4,762.62 104. 105. Ad'ustments for items aid b seller in advance 106. Cityltown taxes to 107. County taxes 09/1712010 to 12/3112010 197.54 108. Assessments to 109, School taxes 09/17!2010 to 06(3012011 1,005.86 110. Sewer/Trash 09/17/2010 to 09/3012010 14.91 111. 112. 120. Gross Amount Due from Borrower 157,480.93 200. Amounts Paid b or in Behalf of Borrower 201. Deposit or earnest money 1,000.00 202. Principal amount of new loan(s) 121,200.00 203. Existing loar>(s taken sub'ect to 204. 205. 206. 207. 208. 209. Ad'ustments for items un aid b seller 210. Cityltown taxes to 211, County taxes io 212. Assessments to 213. 214. 215. 216. 217. 218. 219. 220• Total Paid bylfor Borrower 122,200.00 300. Cash at Settlement fromlto Borrower 301. Gross amount due from borrower (line 120) 157,480.93 302. Less amounts paid by/for borrower (line 220) 122,200.00 303. Cash 0 From ^ To Borrower 35,280.93 400. Gross Amount Due to Seller 401. Contract sales price 151,500.00 402. Personal ropert 403. 404. 405. Ad'ustments for items aid b seller in advance 406. Cityltown taxes to 407. County taxes 09/1712010 to 12131/2010 197.54 408. Assessments to 409. School taxes 0911712010 to 06130/2011 1,005.86 410. SewedTrash 0911712010 to 0913012010 14.91 411. 412. 420. Gross Amount Due to Seller 152,718.31 500. Reductions In Amount Due to Seller 501. Excess deposit (see instructions) 502. Settlement charges to seller (line 1400) 12,504.23 503. Existin loans taken sub'ect to 504. Payoff of first mortgage loan to NONE 505. Payoff of second mortgage loan to NONE 506. 507. 508. 509. Ad'ustments for items un aid b seller 510. City/town taxes to 511. County taxes to 512. Assessments to 513. 514. 515. 516. 517. 518. 519. 520. Total Reduction Amount Due Seller 12,504.23 600. Cash at Settlement tolfrom Seller 601. Gross amount due to seller (line 420) 152,718.3 i 602. Less reductions in amount due seller (line 520) 12,504.23 603. Cash ^X To ^ From Seller ~~ ., 140,214.08 to comole e u u This form, unless it tlis plays a curtently valid OIJ,B control numoer~ Nc ronf~tlenlial ~ ~J ~"'~-~V"+~ .-~ -_..-_~~~~~~ ~_.._.....,. _.._ ._~_. _.._e _ __._ - ily is assuretl; Ihis disclosure Is mantlalory. This is designed to provitle Ina panics to a RESPA covered Iransaclion with in/ormation tlunnq the selllemenl process. Previous editions are obsolete Page 1 of 4 HUD-J X ~J ...~' P() E3C ~ `fi~)0 C'il~rr,~ f1i;: '; i l ~'1~4 1:~~'OiCI-: NO. 50571c78:i ljnn Bell Call Center Phone 1-800-65?-6987 CU~~IPA'~`1' NO.;'~.A~7E IZE!~IAKKS ~4 Penrs~,,vari~a AV;W CF:E'DIT RE~'~;11D _-, ~~.. ~~;te - 10,26, _. (~ ~~ab 1 of 1 Ir;VOICF A~~101`h`'I' ~.~~ 9 ,~ Camp Hill, PA _7011 _. ,:. _.~ ~ - ~ ~ ~~ ~ _~ ,. ~~: A r~~r~ e r i c a ~~€~ ~''~/ a~ c r PNC B~-1~T~:, NA ~5-277 IJr? . 7 ^ 01? 811 PQ BOX 5~C~0 ~7EW JERSE'Y' 31i Chem} ~~ill, ?~,J 08034 D~Tr~ iG i 26 % to I~~IIJETE~;N A?~TD 48j X00 xx~~******~-*x-t**~:**~:r*~*****w*~*x*****,~***x*~*~*t**~xt****~*~*** ~~x-*~:**~;*19.48 F~iY TO THE VOID AFTER 9 C DA ~5 ORDER OF ?inn Be11 PO Box 58 • 191 Laurel St P1CtUre kOC}CS PA 17 7 62 AVTHO ~:.,ED SI - " . JRE ~~' X40 ~ ~~3 1 ~~i° ~:0 3 ~ 20 2? ~C~I: 8Q 26 2 3 X49 L~~' t~ o ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ * * ~ ~ Q i ~ N O _ ~ ~ -k - ~ '~~ ~ I I 0 ~ ^ ~ ~ J 1~ f-l ~ ~ -x ~ N ~"~ ~ ~ H 0 rtS Z Q ~ -k W ~ ,.`~ X ~ i~ -)c F Q :J U -V ~` * q U U ~- Q * -~ H O ~ * ~ p y ^~ ~ ~ r ~ * ~ x' N~ ri ~ ~ ~ Qy ~ -k H ~I i~ • ~ ~~ .K -k T LJ ~R~+ ~ ~ ~ ~~ r --1 ~ jc ~ r ~ Q m ~ w ~~ ~ ~ b ,~ ~ ru U; ~ ~ o . ~ ~ ~ 3 ~ ~ ~ ~ ^^ ~ 3 ~ ~ * -x ~ ^ J -~ Rf a ~ ~ ~ r ~ ~ ~ ~ ~ ~ ~~ .~ U ^ O ~ m * co ~ O ~ ~ rL ~ i ~ ~, ~~ o r~ ~ ~ ~ ~ ~ o.~ Q~ o t; ~ ~-f U , - J N rn -r-I -~- lD ~ M O i i o .~ ~ ~ ra „~ ,y O r~i ,~ x ~' p o ~~ U~ ~ ~ ~~ =z . ,r-, ~~ ~ o c~ ~~, ~ w w H~ ~ 1 U x U ;r, ~r,~+ ~ ~ Q -_ ~ ~~ ~jm ~. U P~+ O ;;. Q ` . ~ o ~ ~ ~ ~ rn i m N i N a ~~"~ COMCAST 1555 SUZY STREET ATTN: LEBANON SUPPORT SERVICES LEBANON, PA 17046 ETHEL BELL 27390 0358-56-94-AADC PO BOX 58 PICTURE ROCKS, PA 17762-0058 PAYMENT S UM1I~ARY CHECK NO: ACCOUNT NO Dear ETHEL BELL, 0004829226 09547-22017901 CHECK DATE: 07 /20/10 The attached check represents a subscriber refund for account number 09547-22017901 i:n the amount of $98.60. If you have any questions or concerns regarding the refund check you can write us at the address above or call Comcast's toll free customer service number at 1-888-COMCAST. .__ ~ CQMCAST FINANCIALAGENCY CORPQR~TION AC'Ol~1CASTCABLE COMMUNICATIO~FS GROUPCOMFANY 60=160/433, "SUBSCRIBER ACCOUNT:.NUMBER CHECK DATE GHECK.NUMBER 09547-2201791 07/20/2010` 0004829226 ' I1 .1 .VALID FOR 180 DAYS To ETHEL BELL $********98.60 THE PO B:OX 58 ORDER PICTURE ROCKS, PA 177fi2-0058 OF: THE -BANK OF NEW -'YORK MELLON PITTSBURGH, PENNSYLVANIA II'000 48 ~ 9 2 2 Gil' ~:0 4 3 30 L 60 ~~: L ~ 3~~~ ?8 3 4ii' ~';. H®LD D©GUMEtJT TQ LIGHT T O VE.F~IF'Y W,~T~~iVi,~:`s`••~::. 017.389 00000 002 018 051510 02040006 435702 62-22 311 CDC FUND DEPT PREP DATE VOUCHER WARRANT ID _ " ~ _ - WACHOVIA BANK ~~ I/'~/ _ ~ ~ 1f110 iI f{ICU 1 E/l O/`~Pll/1 f(1 ~i C _ _ PHILADELPHIA, PA - - ~ ~~ ~0 - -' VERIFICATION AVAILABLE - "POS171VE PAY" PROTECTED ~ ~ ~ ~ ~ PAY ~ 0 0 ° = ONLY TWO fI ZER CTS CTS 57 15135565 - CHECK NUMBER 07/0'1 /201 C DATE ° -"" TO THE ORDER OF VOID ,AFTER 180 DAYS o =- ETHEL A BELL. ~ N = DLN 097000185310 REV REBATE ~' -_ 107 MANCHESTER RD ° CAMP HILL PA 1 701 1-61 1 9 o -- ~ o o _ __ _. _ . __ _...__ _~/~/~._ ~ ~ ..._. _ ___: ~ ~~~~~~~~u ~~~n ~~~~~~~~~~~~~~~ n ~~~~~~~~~~i~~~~~n ~~~~~~~~~~~~ TREASURER OF PENfJSYLVANIA il' ~ 5 ~ 3 5 5 6 511' ~:0 3 1 100 2 2 5~: 20 ? 9 9 50008 60 211' nti... .. ~ _. '°~3y59E' ,. s .. B O ® 0 ® P ® ® ~,t~~till u,s?;` _.1.-;~±~~~~sg' y~N'~',. ~~~~`7F c~".. ?ft • ti` ~ ~.~~ Bares ~v 1VIST 499 Mitchell Road, Millsboro, DE 19966 Adjustment Set~~ices Phone 888-502-4349 F ax (302) 934-2955 July 27, 2010 Rebecca E Lilly Steinbacher & Stahl Attorneys At Law 413 Washington Blvd Williamsport, PA 17701 Re: Estate of Ethel Ann Bell Social Security: 186-28-5461 Date of Death: June 4, 2010 Dear Sir or Madam: Per your inquiry on July 21, 2010, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Accoecrtt Accotcrtt Ntcmber 50001973 Ownership (Names of) Ethel Ann. Bell Opening Date 04/28/83 Balance on Date of Death $9,293.60 Accrued Interest $ .04 Total $9, 293.64 2. Type of Account Savings Account Account Number I SUU4207043164 Owrte~ship (Names oj~ Ethel Ann Bell Opening Date 11/30/98 Balance on Date of Death $48,400.65 Accrued Interest $ .88 Toral $48, 401.53 This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of ilniform Transfers, Representative Payee, or Trustee under a Written Agreement Si rely, • ..°. ~a ~ ,.~- Suza e M Kimble idH ~ IONVJIDE MUTUAL FIRE INSURANCE COtv1PANY I`~~~~OC1W~~I@` P,O. Box 8379,Canton OH Insurance Check No: 583g2~2010 74-1292 44711 -8379 000577 Date: ~ ~ 1 724 PAY EXACTLY Pay To The Order Of Policy Number: 5837Mf- 042 0 **FiVE HUNDRED NIidETY SIX AND 00/100 DOLLARS"**********~'''************""`****'`"`*******~'`*********'~***'`******* I II~I~II~I~I~ll~ll~~ill~l~~~llilll~~~~lll~~llll~l~IIII~„~IIII ETHEL ANt~I BELL 107 MANCI-TESTER ~T CAMP H i LL ~%<%596 .00 PA 17011-6119 JPMnrgan Chase Bank, N.A. ~eurb orn. MI III ~~ ~'~ 2 ~9~11~ ~.^ ~ ~~ ~ ~9 ~ ~~. 'Jg!d I` Not Gashed V`Jit!~in 90 Days ?his is *ull payment unlE~s=_ otherr~ise indicated on stub. ti.. fL~/ F,uthgrized Signature ~~ 2 ~II~ `-`"'1'L IiiiiiililiPlllll~lllll!TIII ~.,=e ETHEL A BELL 107 MANCHESTER RD CAMP HILL PA 17011-6119 x N O O O O Policy Number: 5837c 783934 ~, Refund Amount: $ -,%52.40 0 0 Check Number: 58393050 Check Issued: i 1-15-2010 This refund was issued for the following reason(s): CANCELLATION CREDIT REFUND. If you have any questions, please contact your Nationwide representative. Agent Name: RP ENGLE Agent Phone Number: 717-545-2639 I~ Agent Number: 0007990 Detach Stub Before Cashing And Keep For Your Record NATIDNN'IDE MUTUAL INSURANCE COMPANY Nationwide 58393050 P.O. Box 8379,Gar~to.t OH ~ CheCk NO: - - 74-1292 4471 ; -837 000428 Insurance pate: 1 1 15 2010 Pnlir~~ Ali Imhgr~ 5837C 783934- 724 PAY **FIFTY TWO AND 40/100 DOLLARS**********************************~***~**~~******~*************************** EXACTLY: ~I11~l~Il~1~1~111'iF~~IF~11l6I1PI~EFIiIIIIII~I~l11~1'1111l~EII ETHEL A [SELL 1 G7 MANCHESTER RD Pay CAMP HILL To The f-'A i 70 1 1 -6 i 1 9 Order Of JPPAnryan Chase Rank, fd.A Ctearti orr~. 1.11 ETHEL A BELL 107 MANCHESTER RD CAMP HILL PA 17011-6119 ~~-<52 . 40 Void It No: Casned U~~i'.hin 90 Days phi= a t_tll payment uruess others/.se rdica?=_d on stub. ~,Uir prized ~iQr ct UfB r. ~: ~ ~ ~ ~ z f ' F ~ ~ ~ rn ~ m F ~ ~ o ~ ~~ O N i N I * * i i ~ ~ ~ N Q i ~ N~ V [~ O ,~ is • i ~ ,--{ ~ ~ ~ rl r-~ * * ~ O ~ d' N l~ rl * ~ ° rn ~ ~ 0 ~ ~ Ca * * ,{~ * R: W ~ ''~ `~ .x ~ * * H Q U U ~ O ~ ~-~ Q * * * .k q H O i U v * -k -k * ~ ~ ~. i * -k a * * * )` ~ ~ x ~ N ltl ~ * H ~n * . ~ ~J * ~~ ~ N G3i ~ ~ a * .1 N ~+ ~^ * ~ ~ Q z ~ * * ~ ~ W O ~ x uWi * ~ ~ ~ U W ~ ~ ~ h * * rti.~ + e~ U~ z~ ~ ~ ~ ~ o * N ' .C [~ '-~ 3 * ~ ~ ~~ * * a ~ ^. E ~ ~z~ * ,, to ! ru U - * * cn ,x ; U O O ~ ~ * ~ p rv U1 ~„ * * r-! ~ ~ ~ * ~ o a ~; O ~ O Q~ o ~ ~ ~ a--1 ~-i U ~ N M O Ol ~ a M ~ ~ O 00 O ^ W • • '' ~.D ~ 00 0 `L' O N ca ~ z H w ~ • ,>~z o V o= w ~ O . O ~ C° =z ~~ ~ _ a ~ ~ t~ Q ~ 1 ~ ~ w V ~ '~' V ~ i .-» . co ~0.~ a~ ¢ ~~Uz~ ~ Q U O ~ ~ <=, . ~ .;ate . Sovereign Bank ESTATE OF Ethel A. Bell SOCIAL SECURITY #: 186-28-5461 DATE OF DEATH: Tllne 4, 2010 Account #: ~ 0574179062 Type: Money Market Savings Open date: 7/22/2009 In the name of: Ethel A. Bell Date of Death Balance: $38,473.94 Int.(YTD) from 1/1/2010 to 5/24/2010 Accrued interest to date of death: $6.84 Other Info: Closed 1 1/5/10 Account #: 2335252538 Type: CD Open date: 3/1.8/1997 In the name of: Ethel A. Bell Date of Death Balance: $50,000.00 Int.(YTD) from 1 /1 /2010 to x/31 /2010 Accrued interest to date of death: $8.15 Other Info: Closed 11/5/10 Account #: 2331048037 Type: Checking Open date: 2i'16/1983 In the name of: Ethel A. Bell Date of Death Balance: Closed prior Int.(YTD) from to Accrued interest to date of death: n/a Other Info: Closed 7/22/09 X39.477.64 Account #: 2335251233 Type: CD Open date: 3/~?2/1999 _ In the name of: Ethel A. Bell _ Date of Death Balance: Closed prior _ Int.(YTD) from to n/a _ Accrued interest to date of death: n/a _ Other Info: Closed 7/22/09 ~ 10.279.06 Page 1 of 1 ~~ ,, ~.% $85.80 $292.86 n/a PO Box 37360 Boone, IA 50099 Marne: Ethel Ann Bell Estate Account #: 388621229 Control#: MTVM/ 221 Customer Service I " ~~ ;~ r;` ~ ;~ , ~~, 1-800-866-1400 www.tvguide.com Date: 07/12110 Amount: $31.22 Check #: 030768 The attached check is a refund for the remaining issues on the subscription tc- TV G accept our condolences. U/DF. Please ® %~ RECrI- T ,' ~. ~ ~~' ~wi.. 4 i' 4 ~ 1 Thank ~~ou Yor banking vti~ith us! ~B' ~rri6e°~~TN rnb-online.com Cust~_~mer Service: 1-800-555-5455 THE PATRIOT-NEWS 2020 Technology Parke-ay, Ste. 300 Mechanicsburg. PA 1700 heck Date: U8/0~!2UlU Vendor Number: 9999999999 ChecN; No. 090004956 .oic~ Number Invoice Date Voucher ID Gross Amount Discount Taken Paid Amount ~ 10087979 .2U 1 U-U8-03 U81U3/2(i 10 00157848 14.40 U UO 14.40 '~'eu~spuper Si~hscr~be~~ lte%i~nd SUIjSC'Rll3ER IZEF•C'~'!~ Ouestrnns ~~ega~~dii~g t1~is check contctc•t the AP Dept 717/255-8260 Total Total Total Check Number Date Gross Amount Discounts Paid Amount 0900049556 08/O/2010 $14.40 $0.00 $14.40 THE PA`['RIOT-NEWS JPMORGAN CHASE I3ANK, N'.A: 50-937 0900049556 Attn : Coiiiroller Syracuse, NY -. 213 - 2020 're~hnoi~g>- Pa,-l:v'ra>~. ste. goo _ - A~echanicshurg, PA 1700 _ _ Da te 08/05!2010 Pa~~ Amount $***14.40*** ' * *'~ *hOU R"KEEN AND 40 / l 0U DOLLARS* PAY ESTATE OF ~.A. BELL TO THE .Atm: David Bell ~~ wti,v~.~ P.O. Box ~8 O~ZDER OF ,~~ rizcd signature Picture Rocks. PA 1.7762 ~~uthorized Signature `' t= . h.~ ~.:,~ ,. ~~°0 9000 ~, 9 5 5 6fi' ~:0 2 L 30 9 3 7 9~: ~0 ~8 ? 9 ~ 58 {i' '~ BELLETHEL 03/10/2011 2:40 PM E 1040 Department of the Treasury-Internal Revenue Service ~ 0 ~ 0 u_ u.s. Individual Income Tax Return (99) IRS Use Only-Do not write or staple in this space. p For the year Jan. 1-Dec. 31, 2010, or other tax year beginning , 2010, ending , 20 OMB No. 1545-0074 Name, R Your first name and initial Last name Deceased Your social security number Address, N Ethel A Bell 04 20 10 186-28-5461 and SSN T If ajoint return, spouse's first name and initial Last name Spouse's social security number C See separate ~ E Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Maka sure the SSN(s) above instructions. A PO Box 5 8 - anti on line 6c. are correct. R ~ City, town or post office, state, and ZIP code. If you have a foreign address, see instructions. Checkirng a box below will not Presidential Y Picture Rocks PA 177 62 change your tax or refund. Election Campaign - Check here if you, or your spouse if filing jointly, want $3 to go to this fund . . . . .. . .. . ... . . - You r ~ Spouse 1 X Single 4 Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this Filing Status 2 Married filing jointly (even if only one had income) child's name here. - Check only one 3 Married filing separately. Enter spouse's SSN above 5 ~ Qualifying widow(er) with dependent child box. and full name here. - 6a X Yourself. If someone can claim you as a dependent, do not check box 6a Boxes checked 1 Exemptions b S ouse ......................................... ........................... ~ ............................................... on 6a and 6b No. of children c Dependents: (4) ,~ if on 6c who; (2) Dependent's (3) Dependent's qual. child • lived with you for child social security number relationship to you tax cr. se ~ • did not live with e (1) First name Last name page 1 ) you due to divorce If more than four or separation (see instructions) dependents, see instructions and ~ check here - otentered above d ' Total number of exemptions claimed . . . ........................ ..... . . . . . ... . ............ ' ............ ~ Add numbers on ... lines above - 1 7 Wages, salaries, tips, etc. Attach Form(s) W-2 7 Income 8a ........................ Taxable interest. Attach Schedule B if required . . . . .... . ........ .......................... ........... . . . . . .......... ...... .... 8a 6 5 8 Attach Form(s) W-2 here. Also b 9a Tax-exempt interest. Do not include on line 8a ................. Ordinary dividends. Attach Schedule 6 if required . 8b .......... 9a attach Forms W-2G and 1099-R if tax b 10 ....... ....... Qualified dividends ........................................... Taxable refunds, credits, or offsets of state and local income taxes .. ....................... 9b ... . ~ '~ ~'`~ ::::<::::::: 10 was withheld. 11 Alimony received ............ . ......................... 11 If you did not 12 .. .............................. Business income or (loss). Attach Schedule C or C-EZ .......... .......................... ......................... .... 12 get a W-2, 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here - ~ 13 see page 20. 14 Other gains or (losses). Attach Form 4797 .................... . ............ . .. 14 15a IRA distributions 15a .. ... ...... b Taxable amount .... 15b 16a Pensions and annuities 16a b Taxable amount 16b 8 , 0 4 5 Enclose, but do 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17 not attach, any 18 Farm income or (loss). Attach Schedule F . 18 payment. Also, please use 19 . .................... Unemployment compensation .......................... .... 19 Form 1040-V. 20a Social security benefits 20a I 6 , 8191 b Taxable amount 20b 0 21 Other income. List type and amount ......... ... . . . . 21 22 . .. . . . ..... Combine the amounts in the far ri ht column for lines 7 throu h 21 .......................... . This is our total income .... - 22 8 , 7 0 3 23 Educator expenses 23 .......... Adjusted GrOSS 24 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ 24 Income 25 .... Health savings account deduction. Attach Form 8889 25 _... ,., '<' 26 Moving expenses. Attach Form 3903 26 27 One-half of self-employment tax. Attach Schedule SE 27 28 Self-employed SEP, SIMPLE, and qualified plans 28 29 Self-employed health insurance deduction 29 30 Penalty on early withdrawal of savings .... . 30 31a . ................... Alimony paid b Recipient's SSN - 31a 32 IRA deduction ............. .. . . 32 33 .... . ... ....................... Student loan interest deduction 33 34 Tuition and fees. Attach Form 8917 34 35 Domestic production activities deduction. Attach Form 8903 35 36 ..... Add lines 23 through 31 a and 32 through 35 .......................... .. ..... .... . 36 37 Subtract line 36 from line 22. This is our ad'usted ross income . . . . ............ ..... . . . . .... . .......... .... - 37 8 , 7 0 3 For Disclosure, Priva DAA cy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2010) ~ ~ ~~ BELLETHEL 03/10/2011 2:40 PM - - - --._ z+~.1V.,.~ r net ~ 1 At5-28-5461PanP2 d T 38 , • ...... . . . . .... . .......................... Amount from line 37 (adjusted gross income) ... 38 8 , 7 0 3 ax an Credits 39a b 40 , , , Check X You were born before January 2, 1946, Blind. ~ Total boxes if: { Spouse was born before January 2, 1946, Blind. checked - 39a If your spouse itemizes on a separate return or you were adual-status alien, check here - 39b Itemized deductions (from Schedule A) or your standard deduction (see instructions) 1 ~` 40 , 10 0 41 ................................... Subtract line 40 from line 38 ... 41 1,603 42 ,• ......................... Exemptions. Multiply $3,650 by the number on line 6d 42 3 , 6 5 0 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- 43 0 44 Tax (see instr.). Check if any tax is from: a ~ Form(s) 8814 b ~ Form 4972 44 0 45 Alternative minimum tax (see instructions). Attach Form 6251 45 46 .............. Add lines 44 and 45 ............................ ... . - 46 47 48 49 50 51 52 53 54 . . .................................. Forei n tax credit. Attach Form 1116 if re uired 47 9 q Credit for child and dependent care expenses. Attach Form 2441 48 Education credits from Form 8863, line 23 49 Retirement savings contributions credit. Attach Form 8880....... 50 Child tax credit (see instructions) 51 ................... Residential energy credits. Attach Form 5695 52 Other credits from Form: a ~ 3800 b ~ 8801 C ~ 53 Add lines 47 through 53. These are your total credits ,::...-.:: "`"°~" ""°'~~ .......... ""` 54 55 • • , • . • • • • • • . • • . • • . Subtract line 54 from line 46. If line 54 is more than line 46, enter -0- ... . .. . . . ...... . • • • 55 0 56 Self-employment tax. Attach Schedule SE 56 Other 57 Unreported social security and Medicare tax from Form: a ~ 4137 b ~ 8919 57 Taxes 58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required 58 59 • • . • • a ~ Form(s) W-2, box 9 b ~ Schedule H c ~ Form 5405, line 16 . • 59 60 Add lines 55 through 59. This is your total tax ,.•..•.. .....•,..... .,, ,,.•,,,,,,,,,,,,,,,,,,, - 60 ~ 0 61 Federal income tax withheld from Forms W-2 and 1099 61 6 4 4 ~; Payments g2 2010 estimated tax payments and amount applied from 2009 return 62 63 .. _ ... • Making work pay credit. Attach Schedule M 63 ~ ~~ If you have a 64a Earned income credit {EIC) N 64a .:. ..............:.: ~ - ~~ qualifying child, attach Schedule EIC. b 65 Nontaxable combat pay election 64b Additional child tax credit. Attach Form 8812 65 66 American opportunity credit from Form 8863, line 14 66 :::>::::::_»; 67 First-time homebuyer credit from Form 5405, line 10 67 68 • • .. • • • . , Amount paid with request for extension to file • ... • • . • • • • • • • . , .. • 68 ~ ~~~ 69 Excess social security and tier 1 RRTA tax withheld 69 .......... ~ ~~ 70 Credit. for federal tax on fuels. Attach Form 4136 70 71 Credits from F orm: a ~ 2439 b ~ 8839 c ~ 8801 d ~ 8885 71 .. .. 72 Add lines 61, 62, 63, 64a, and 65 through 71. These are your total payments . , • • . • .. .. .. _ . .. • • . _ . • . • . • • .... - 72 6 4 4 Refund 73 If line 72 is more than line 60, subtract line 60 from line 72. This is the amount you overpaid • . . • , . 73 644 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here , • - ~ 74a 644 Direct deposit? See instructions. - b - d 75 Routing number XXXXXXXXX - c T e: ~ Checking ~ Savings Account number XXXXXXXXXXXXXXXXX Amount of line 73 you want applied to our 2011 estimated tax - 75 Amount 76 Amount you owe. Subtract line 72 from line 60. For details on how to pay, see instructions • . , • • • • • • • • . - 76 You Owe 77 p y ( ) .. ;;>:«.:«::<:::.;::.;:.::.::;;:;:;>:.;:;;::..;::;:::::..::.:,::. Estimated tax enalt see instructions Thlyd Party Do you want to allow another person to discuss this return with the IRS (see instructions)? X Yes. Complete below. No Designee's Personal identification number (PIN) - C3 710 Designee name - Brenda K Cowles Phone no. - 57 0 - 3 2 6 -- 2 7 9 9 SI n Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge: and belief, g they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Here Your signature Date Your occupation Daytime phone number Joint return? Ret l red See page 12. Kee a co P PY ccu atio Date Ouse's o n S Ouse's si nature. If a oint return both must si n. S P 9 1 9 P P for your records. Print/Type preparer's name Preparer's signature Date Check if PTIN Paid Brenda x Cowles 03/10/11 self-employed P00443710 preparer Firm's name - Wi enecke & Verras t ro , PC CPAs Firm's EIN - 7 5 -• 3 2 0 6 8 9 3 Use Only Firm's address - 9 9 9 N Loyal sock AVe Ste D Phone no. Montoursville PA 17754 570-326-2799 Form 1040 (2010) ona I-~ ~PF~~~ ~~ c ,~-I ~~ _ ~- -~5 ;~r P 385 55~~ 2~,1 ~, ~~ ~.~ =-o:c ~~`~~~ 10 01 10 b PHILADELPHIA, PP ~'~~..x`~-'. 2049 9bb4449b 28045300 S2 2 -__.~-' x av to the order of DAVID E BELL 9b '~' FOR THE ESTATE OF U ETHEL BELL DECD ~. `- PO BOX 58 191 LAUREL ST _ PICTURES ROCKS PA 177b2 P ~:~ Check No. 2049 9bb4449b SOC SEC FOR INS ~***1040*00 4~OID AFTe_R ONE YEAR 1 ..lil I i ~ ~ '. t it I `, I i i -il i' ;i i ill, ~ t ~_! .~ I II i ~ I'~ I'll 'i I i_ ,_ i ~ I _ I ~,_I ~ - i I . 7 ~ III ' I~ It t ~__ ; ,,, t I tt.= I~ ~.t,ii i;Iiti I~~ Il~li II ~~c..~s~~~[a.''L~.-"- ~ ~lili i i ~ I~( ~~~ I'!1 i~ _~i ttlL _ ~ ~~ I I=~ t ~_~ L.!~'lll Till u' 2D ~. 9 311' x:000000 ~ LBO: 9 6 6 ~ ~. ~ 9 6 311' 0 9 LO ~D (~ .. _ ._ .. r, ..~_, Manage Your Account Phone Number Account Number Billing Date ~/~~'~ ~ My Account at verizon.com/billview 717-761-5226 717 761-5226455~15Y 6!21/2010 Verizon News Check Out Our New Bundles! Call 1-888-226-8139 to find out about new bundles and features for Verizon customers. Make sure you are getting the best value for your TV, Internet and Phone services. We can help you choose the combination of services that's right for your needs. MOVING? Call 1-866-UZMOVES Before you move, call Verizon so we can set up your TV, Internet and phone in your new home, hassle-free and often on the same day. Plus, ask about our great new money saving bundle offers. Don't wait. Call ahead! 1-866-VZMOVES. Service availability varies. Verizon Foundation Quick Bill Summary for ETHEL A BELL Previous Balance Payments Received Jun 21 Adjustments Balance Forward New Charges Voice Services Change in Service and Partial Month Taxes, Fees ~ Other Verizon Charges Total New Charges Refund Check to follow Total Amount (See pg 3) (See pg 3) $3~?.87 -$32.87 $1 i'.66 $.00 $..20 -$1?,.18 -$4.68 -$17.66 $17'.66 Looking for homework help? Help with school projects? Thousands of FREE educational resourLes are available for students, parents, and teachers at Thinkfinity.org Revised Final Bill Thank you for letting us serve you. $.00 • i v ® ~ ® D Y Ai ~~ Y B 19 A A • O eg a ~~..~ w-~e ij -_~ Eie4S ~ a ~ ~ 1 td_I:,Y H ~! ~~ ~Lm~' F~ 14!4 "I9A •9 11+.' 1 ~•:4~A nl'~11'/ F.~l~'/J ~,~'il a l ~®9 e~~'--- --------~---- ------------- ---------- -----~------- ------------------------r~r---- ';(;11'Ilii;ry ''ijti Ulr';ly ,,,,l~;rll'lll'~III'ilgl~rjl,, ~~!,' '` p,~' .I ~`;i'~.CONTAINS MULTIPLE FRAUD DETERRENT SECURITY FEA E - I !1111 ~,irlrll' ~ ,ubrll,l I ,Ill rl. I,I~h~ ~!~',~ ~ I TURFS ,- S E REVEI~5E I,,I;;I,rl~, I, I u~9:1 ~ lill~ll.ll l I,r,~ ... ,,rH'6,IIlu~ olrygy CHECK NO.` ., '6 illlllhi ~!r I, I "~d I I 11:1 r .,,, rl~~,, ~,~',.y~ I~~'~'IZ~IN cBO il;,,il, .,,1„q,l I,In;~ l~lrl, 00o54o2sso (..IN I 'i1 141~t1~ ,i ,VIM I;u,1l,uhl, ~Ilyllll~ll, VOID AFTER ~ 'h~l ,Ifl Hn ~>'i~14ir~1 lli~r~ ~r .' .. I II~/~I ~ ... irk rlr'I ..I III ' I'•. DATE ~ ~ 0 6 / ~ 2 / 10 , ~ so SAYS >_ ' 1 i I I l p if I' I llj 111 hll rlhl Ill~rl I I II ~ ~. ~- i~ rbn~~ Il,yllll +1(Il I ~~ Ili! iu,~ ;, III ,.Ir ,.. ,I r 1 !~ it ~u 1114 I ll, I I~I. i it rl rl 1 I Ihl II r Illy ; Irl I I i I ir11 II li , I ~ ; ,Ir !!1 r, I nl' _~ r Ilr II ~I I I I I I I III Ii I I r r'1 I-F di~llJ~jil, IIII'I II'ryll'll~rlli~II Ihoi~l ~Illllll II 1 r ,h r ' 66-156/531 m ~° III~I I~IIII'YIII1II~i1 fll1 ~ h~, ll; llll lli lfl~li l'~iri~, r yll l.~l~ll11~11. I~ ;I~lillr~rd t ~i ,l~', I - - - ' 'I'lllil~Ililijl'llil~ll IIIl1lll~li ~lll'i'~~'l'il,illlo~l ~~.:~I:Ill,l~l I ~ ~',~,,.Ilrn:. .. ~ ~ ~ PAY SEVENTEEN and 66/100 DOLLARS ,~~ ' ,,.,.. a -- - _ - a 'l~ ~E ~E ~E ~E ~E ~E ~E jE 1 7 . 6 ~ ~ ~, 1 ETHEL A BELL ~ ,,,,,;~,) ~ ' ORDER O F '" '''''~'''~` d 1, L ,;;?~~;~~~IIDnr~ri~nn 1l rrn~,rr~n ar~~r n T u ~u uc~vu u ua c~uvurr WACHOVIA BANK NATIONALASSOC. ~ 11111 Ilh IIIIII'hllil 11 ~ li'lllllllfrl:. III, I,,, Ill~llllllll~ll~lprl;llr 1 III ily ~h~911~11,'14 illl'I~II'r~ll Ilrirllll4P Ii~l'IpIlliNf I'll" III J'~lill,lllllli X11 I,I ~ r Illllrlll i,lrll~il 1 III III I I I.u~Iril i 7 I; I I II pI .Illlllillllll Ilf ~Il ulhl I i'I I IhI11 I I I'llil' ""i II ,III 1111I~~IrII; gprlylll,Il'id I,llll,~lll q;. 11 II^000 540 2~6~8~II':~ ~.:0 53 ~0 ~ 561: 20 ?990~~5 50 2~6 5n^ ~I;;III,Iy .~,~~1~1~1 ~~~,'~II,'r,rl~, 41,!!P 1 ,, , i ~ia~ Hrnuuirr: ,uu U b ~ y 1, LJ Yes. I want to be a Literacy Champion. Memo all! oo NoT Par D Sign me up fora $1 monthly donation to Verizon Reads. 00000458 01 AB 0.360 VPC 17211 0003 XX ETHEL A BELL P.0 BOX 58 PICTURE ROCKS PA 17762-0058 ~I"'I"il~~l~lll~l'~Illilllurrr~lrrl'I~"~'~I~IIIIiIill~l~lllll ~~_ ~~ 1, 1,771,707615226 4556028021,8299999],000ODOODOOOOOD0000000000000 -~. -- ~,~- , ~ 4„~ ,~~ ~~ ~ rt , 6i: anq ua±~~. ~tt~~:iYi r4 ~ i, r~ t : °~ . V'clilCLE ID~tiTIFICATlOf1 NUt.16ER - d.. ( ~' ~ EDDY T'r PE I DU~ ' SEAT CAP .Y `f ~ 1 _: ~ :i t-~ .~~~~~~~ DATE PA TITLED DATE OF ISSUE .~ ~ '' `~~ 4, ~.~ , ~..,- r, r i. __ _ ,_ CQCI~ ' BUT C~ ~75~`~®f~~€~C7~, ~E 'f EAR I P-LAKE OF VEHICLE ~ - -rjTi I_ n .;i.~2,=R ~'L I ~/Zt7IC~`~.~ Cie 258 ~ CJ PRIOR TITLE STF~TE ODOP~1. Pf3000. DATE ODOi•.A i~11LES ~ ~-<< )DuP.i- /.r 1, i ~ ~ I UIVLADEf•1'iYEIGHT ~ rVI~JR GCN,'R TfTI_E [RAidDS REr,ISTERED 04vNER(Sj ETHEL A~liV SELL ~ ~" ~ J,., ZC!? €~1~i~CHE~TER Rl? C,~~3R HILL P~ ~?'CI11 f=1RST LIEN FAVOR OF: i IRSi LIEN RELEASED DATE BY_ fJIAILING ADDRESS AUTHORIZED REPRESENTATIVE ~5b0~D ETHEL ~N~ BELL 1D7 t~~f~CHE~TER f~U CAF~P HILL PA 17t~11 SECOND LIEN FAVOR OF: i~DG?.AETE(~ c'I-A,T,7~ -! G =ACTUAL. A4ILEAGE . - IJiLEv.:f_ EXCEEDS THE h1E::I~iAIJiC.AL LIP/iITS 2 = rdG T- THE ACTUAL tv;;LEAGE 3 = tJUT T`le: ACTUAL IvI1LEAGE- DOhdCl-ER TAIt1PE RIidG \/ERIFIED 4 = EXEh:PT FROfvt ODOMETER DISCLOSIJAE: TITLE BRANDS A = ANTIQUE VEHII;LE C _ CLAE~>SIC 'JEHiCLE D =COLLECTIBLE VEHICLE F =OUT OF COUNTRY G =ORIGINALLY IJ~FGD. FOR rlOfJ-U.S. DISTRIBUTION H .AGRICULTURAL VEHICLE ', L =LOGGING VEHICLE P = ISlbNAS A POLICE VEHICLE R = RECC?NSTRUCTED 5 =STREET ROD T =RECOVERED THEFT VE:HIOLE V .VEHICLE CONTAINS REISSUED VIiJ V! =FLOOD VEHICL'c X . IS,'WP.S A TAXI If a second lienholdzr is listed upon satisfaction of the iirst lisn, tFe first lienholder must forward this Title to the Bureau of Motor Vehicles with the appropriate form and fee. SECOND LIEN RELEASED DATE BY_ AUTHORIZED REPRESENTATIVE • °~ rwr F R;' ' fi., `i. i _ ~E' I ce~ilf;^ as of thz date or issi e T • ' ,t. the otfrcia~ ~ecori, of th F rnsylv ~{ ~ ~ E~ ~ ~ ~ ~ 1..~ 1 T ~" t? anla De,~alt~ i. •I, f C f .. it a~ f~~., ~tsl ~ _ ranspcrtotlon s :e iI 'h_ = _.~~ ~` ~ o` thz said vehicle. e;son p (sj o ~c~~pan name, I- r in is ., '. . tiie aw'ui 'E ~,~ `~~~ ~ ' ~ P ~~~ Secr;tarw of Ti'anspxtatiotZ ~ t FIR ~: ~ t' °~1=. s t te ~~ ~ i . ~i i ~ i i{~ ~ ~ ~f ISSCRIBED Ah!D SWCiRN ' a .- i If a co-purchaser ether than your spouse is ii ted and ;rou want the title to ~ ~ ~ ~ ,1 r 2Er=oRE htE: be listed as 'Joint Tenants With Right of Swvi~orstu;." lOn deati~ of one ,~ I x,~; ~• h~ r w, ------- ~ ~ `"~' ~ - - ESP - ___ ovvne', title goo s to surviving ovrner.) CHECK IiE RE `_.'. Jttlenr:lse the rc'e z'f-°a.: ~;~ {{``~~ ' ~ „~: s^Jifl be issued as "Tenants ir, Comrpon' 'C~ • d~.at!. of or , owl~F i~~:erL~ o +fdf ~~ J;° , I~, ' ° ,~` j '~ deceased o /mer goes to his/~iFr hers -;t~1 > . t I -- --------- - ---- icl :Ail r=f, , ,.1/.I 1 EE ~ - ------- --- I'J(; ^citi _- - ---- _ F ' 4ii ~~ -.(. I. I -I~I.) iFP. ;'-1ECK .__ I:TF-+~ EtT: _~ r n-~=-L ~ ,4+ - Ul ':ST _I~i1HOLDE9 FIiJANCIijL ItJST'T„TIG'ty t_J`/IFs-R- ~ a, c /' -- _ ~_ _ _ ^------------ -- ----------------'----- t ' _~ :: CF ! , . ' ---- -------__---- V i ~,i _ -~. - ~ -..--_...___ ---~---- j :r {~ ~ __.___-______-___. _____.___ ___.--.__-_V_____-___-_.._. _ S ~L~ >.x.:.a~_,.rs.~us .z..-c. ~.a.~ .,.-..a:e.ca .<__..,..a~. ...__~. .,F _.-,, _.-...e.._ '' ~- H--~. ,.~ ~~. -~--- .-.._.----_-_---- ._ J °' ~ ._. `~ - ~ , http; //~nrww •kbb •com/used-cars/buick/lacrosse/2006/trade-in-value/pricing-report?cond File Edit View Favorites Tools Help _ ___-- __ _-----------Y_-_-- ________ _ ___ _ _. -_--__-_ _. _ ----__-.-- __-- ----____._ _ . __. _ ~-__- _ _ ._------____..~_.____. ~~' 2006 Buick LaCrosse -Trade In Val . • , Hume = Us=~ Cars 200b - Euicb: = La`ro_,sa - CX Sedan 4D 2~OG Buick LaCrosse CX Sedan 4D Trade-In Value Priw ate Rart'r :~ aloe Su~~~~ested F.etail '~`all_le rF~~~ +:`al~ie F~h~~,tG ~~~fiel-•r C~irS FGI' safe r,e~.~! Com{~~~~re ~:'ehicles CGr~sur~7er Ratingas Fit-ICi Yc~i_u~ PJeka ~~ar S~~eCIFICcItIGYlS BUY A US~~Q CAR On Blue Book Classifieds"' .................................................. Euic': - aCr~_== - I,tiles~ I'~car ~I~ ? ps Tu View r'1ds, Click BLUE BOC~K'~~ TRADE-IFd ~`ALUE 'Hx`;T'= ~ err ~~~ 7 Co~~ditioE~ ~ ~Ialue ~~C~II~t'it ...................~~. ~,~~.~`~ Good $~,35U Fair $~,:~ ~1 ~' ,c~-~'dE '.~Eillt 1 ~ rt t _~~.. } 5 Local Listings: ~` Search _,rtifi,d =re-ti:, reed ~'c,ic.ic ~aCra=~.. ~" _ear_h all C.ar, For _al, r,e,r -__[~1 ,,v;.'r hi ,~, A~,terage Consumer Rating {194 Reviet~rs} ~.Ead e~:-ie;',_ Shopping Tools : ~ ................................. r . _y 44 ~,`,,`~4~;?u ~u: of ~ - c__E '^:_E•~~ie;~ :he ~~~u6 =:uic'~:laC-~- Free ==•~F.-.}:: Record C+~eck „ ., ,, , -.utc can rrcm [ .c. ~.CR ! ,,~ _ r _ .. _ . ~Gn-,care Ins~~rnce Rotes ~,,ikii Frcgressi'.•e i 3011 Buick LaCrosse 3021 Toyota Camry ~a':n,e~,k ~.alc~.ilator ~ I i -r'ilCkC= ~'IGtG= Fine ~- C'esler j ~rici•~e -"~' r -ri~i~~q find The Right Car ~ i_ ' Compare Used vs. Nety i t~tore Results ; r1. _ -1. ~..a n.... ~ n w• . _a n . _ . - .. ...1_ J ~ _ J ... . ~ _i_: Done, but with errors on page, ~' Double Bed $ 15.00 Triple Dresser $ 50.00 Chest of Drawers $ 20.00 End Table $ 5.00 Table Lamp $ 2.00 Twin Bed $ 10.00 Double Dresser $ 20.00 Chest of Drawers $ 15.00 End Table $ 5.00 Table Lamp $ 2.00 Twin Bed $ 10.00 Double Dresser $ 20.00 End Table $ 5.00 Table Lamp $ 2.00 Dining set and four chairs $ 25.00 Refreigerator $ 30.00 Microwave Oven $ 5.00 Couch $ 50.00 Wing Chair $ 20.00 Reclining Chair $ 20.00 Two end tables $ 30.00 Table Lamp $ 3.00 Desk $ 10.00 Television $ 20.00 Washer $ 50.00 Dryer $ 50.00 Lawn Mower $ 50.00 Weed Wacker $ 20.00 r_ ""~ 1,r/' Commonwealth of Pennsylvania ~ . State Employees' Retirement System -- ~ 30 North Third Street, Suite 150 ~~~ Harrisburg, Pennsylvania 17101-1716 ~ ."''s'..~~g ' www.sers.state.pa.us ~, , ~'a"' ~ Telephone: 1-800-633-5461 FAX: 717-787-5866 March 4, 2011 Faxed REBECCA A HOBBS EQUIRE STEINBACHER & STAHL 413 WASHINGTON BLVD WILLIAMSPORT PA 17701 .LJ f`. RE: Ethel Ann Bell, Deceased SSN XXX-XX-5461 Dear Ms. Hobbs: This is in response to your correspondence dated January 14, 2011, addressed to our Harrisburg Regional Counseling System requesting information in the retirement account of Ethel Ann Bell, deceased, with the State Employees' Retirement System (SERB). This will also acknowledge receipt of the Authorization for Release of Financial Information signed by David E .Bell as Executor of Ethel Ann Bell's Estate along with the copy of the Short Certificate on her Estate. Per your request, we are providing the following requested information: 1, Date of death value of Ethel Ann Bell's retirement account is $46,791.29; she is not receiving benefits under any other account; 2. David Bell, brother, and Jon Anne Bell, niece, were named as principal beneficiaries of Ms. Bell's account; 3. David Bell was paid $23,395.65 (50%) and Jon Anne Bell was paid $23,395.65 (50%). The following additional requested information is also being provided on Ms. Bell's rights in regard to her retirement account with SERB: 1 Ms. Bell was able to withdraw benefits only at the time of her termination of employment; 2. She was not permitted to borrow monies from her retirement account; 3. She was not allowed to assign her benefits-they could only be disbursed upon her death to her named beneficiaries; 4 She could not pledge the plan and/or its benefits; 5. She could not anticipate the benefits of the retirement plan, other than in regular monthly installments; 6. She could not materially alter the provisions of the plan. Please be advised that SERB annuity and death benefit payment are not subject to Pennsylvania State or municipal taxes. 71 Pa. C.S. § 5953 (a)(1). If we can of further assistance, please contact our office at 1-800-633-5461, Ext. 7316. Sincerely, Marianne E. Sebastian Benefit Determination Division ~, ~- ~. ~..~-=~ From 08/05/2010 08:50 ;#726 P.001J001 °~"~e <1~ ~ , `,- Y". ~:. Sun ~~~~'~~ 9 I,l~e ~1n~I1C111® August 4, 2010 Steinbacher & Stahl Attention: Rebecca E. Lilly Via Fax: 570-322-2119 RE: Sun Life Financial Annuities Request for Contract information Dear Ms. Lilly: Thal~lc you for your recent request for information regarding the contracts for Ethel Ann Bell. We are pleased to assist you. As of June 4, 2010, contract number KA12834155-O1 had a Surrender Value of $36,238.82. The interest earned from December 31, 2009 to June 4, 2010 was $634.90. As of August 4, 2010, the beneficiary information in our files was as follows: Primary Beneficiaries: Mary C. Moms 50% David A. Bell 50% Contingent Beneficiary: None As of June 4, 2010, contract number KA,12831451-01 had a Surrender Value of $18,521.74. The interest earned from December 31, 2009 to June 4, 2010 was $350.37. As of August 4, 2010, the beneficiary information in our files was as follows: Primary Beneficiaries: Andrew Shaner 50% Mary Anne Morris 50% Contingent Beneficiary: None We hope this information has been helpful. If you have any questions, please contact our Customer Service Department at 800-367-3653. Sincerely, Yvonne Hill Correspondence Representative 18511802 ~~ '•~ RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 1.7613 BELL ETHEL, A Estate File No. 2010-00691 Paid By Remarks: DAVID BELL WZ Receipt Distribution Receipt Date: 7/09/2010 Receipt Time: 13:05:25 Receipt No. 1061806 Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 360.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 32.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 3241 $392.00 Total Received......... $392.00 ~~ > RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 BELL ETHEL A Estate File No. 2010-00691 Paid By Remarks: DAVID BELL wz Fee/Tax Description WILL JCS FEE AUTOMATION FEE Check# 3248 Total Received......... Receipt Distribution Payment Amount Pay 15.60 CUM 23.50 BUR 5.00 CUM 43.50 43.50 Receipt Date: 7/09/2010 Receipt Time: 13:08:40 Receipt No. 1061807 ee Name BERLAND COUNTY GENERAL FUN EAU OF RECEIPTS & CNTR. M.D BERLAND COUNTY GENERAL FUN .~%' '~.~ 08/09/2010 14:40 17175619918 NEILL FUNERAL HOME PAGE 01/01 Neill Funeral Home, Inc. 3401 Market Street Camp Hill, PA 170114428 (717) 737.8726 SUpeNlsor : Kovin J. Shlllabopr The following I& a dotalled bill for the professional services and/ar merchandise arranged for Ethel Ann Bell Date of Service :June 10, 2010 David E. Bell Statement bate August 09, 2010 PO Box 58 Contract Number 741100200176 Picture Rocks, PA 17762 Arranger Name Daniel C H~~f(Jr, Initial Selection Final Selection Difference Package Offerings Direct Cremation $2,055.00 $2,056.00 »- Basic Professional Service Fee Incl Incl Total Package Offerings $2,055.00 $2,OSS.00 -» Other Goods aid Services Crematory 5395.00 $395.00 - Total Other Gaads and Services $395.00 5395.00 -- Cash Advance Certiflvd Copies $150.00 X150.00 -» Permit 525.00 $25.00 - Total Cash Advance $175.00 $175.00 -~ total Sorvicos, Mvrchandlse and Cash Advance $2,625.00 $2,625.00 -» Total Charges (Total Services +!-Allowances + Taxes) $2,625.00 $2,625,00 ... Less Cash Received ($2,625.00) Unpaid Balance Duv $0,00 ~` Wienecke & Verrastro, PC CPAs 999 N Loyalsock Ave Ste D Montoursville, PA 17754 570-326-2799 March 1 1, 2011 CONFIDENTIAL Ethel A Bell PO Box 58 Picture Rocks, PA 17762 For professional services rendered in connection with the preparation of your 2010 individual tax return: Amount due $ 280.00 ~ ~ ~ ~ ~ r- h l/') ® c- ~ zoco~, ~'~ ~ ~ d ~ Q ~ 1- ~ a. z°0J-~ ~~~w -~ F-- = z `lwa.0 w~~~ M Q W ~Mu~ ® N IW. i - -- Lll L^, L/1 01 01 01 LiJ ~) (~~ m I ~ ~i ~ O ~ u~ u~ ~ ~z ~ \ I I ~ ; ~ O ~ ~ oru • ~ m ~ I~ I ~ I h V'1 ~ ~ w „~ 4~ - ~ O ~ , i 0 rY1 , ~ y z~ J~ ~~ = ~ ~ ~ ~ ~ ~ ~ ~ ~ z W ~a ~ ~ ~ u ,_ ~'~ z .~ ~ ' O J ~ W o W w m c o c ~ ~ N Y ~ \ O lJ ~. ~ ~" ~± r i -- try ~ O ~ ~_ ~ I ~ ~ ~ ~ G Ip O ~ i O ~ w S ¢ ~ ~ ~ I Y ~ ~ I ~ ~ ~ ~ ~ I ~ ~ ~ ~Qa¢ ~ ~_ v Q1 ~ ~ ~ 0 v ~ ~ r w •- v = ~ m ~ v T ~' y~ 4- c `^ v ~ a 00 o~ ~ ~r- ~~ 3 ~ v E ~~ C U o ~_ T . `^ v ~ ~ a o a Q .~ DAVID E BELL PH.570-584-3066 3277 ~ ' ~'' PO BOX 58 60-1809/433 ~' '~ PICTURE ROCKS, PA 17762-0058 y„a, 13RANCH 2043 P~ ~~ ~~) '~~, Date Pay to e ~~ ~ / ~ ~°^ ~/rte' ~', Orde of ~~~vvl 1~~ .~G~~ ~~~2~~.~~r~~~~' ~~ O ~!~' ~ Dollars 1 t I Fealures~n , - r Deiaiis /~ Back. - Lifestyle ~* First National ~anlc ~ - , Po r _._.........__.. _......_.,......._,...__... _......__......_.~'~....._ _.._..._....._..._.. _.__.._..._...._...._..__._._ ..._~..__.__........_M, ':0433~8092~: 40~~~~9~32~~~~11' 32?7 S~ 0 o~ 0 ~o 0 0 0 M 0 ,,r.; ~o ~~f ;. - ~~ w~ Nationwide ~y ,~: Qn Your Side Ethel Ann Bell 107 Manchester Rd Camp Hill PA 17011-6119 For Questions Contact: - - ARLEEN BMILLER, LUTCF 717.730,,~~: Hearing Impaired (TTY): 1.800.622 Access your account online at Nati ;:~ ~- ~~~ ea~x. Go Green, Sign up fo LifestyleTM Paperless Billir_- **~~ First National Bank Nationwide.c~"" 9 P p , . For ~ ~ ..... _ ........:...... _ ....... ~ _.. _ ~. L r. 4F `~ ~: 0 4 3 3 L 8 0 9 2 ~: 40 ~~~ L 9 1 3 2 00~ 2 Ir' 3 2 5 2 z R }~ 4 ~ .r-.t r. ~' W,4 .J_.- V.... ..w 'I ~- ~ _~~~~~ y1P::t}-.5ran?~.._,.T,xL ~~~~,9 ~ ~~u~ ~~~TS ~~ ~~~ "~ - T ~. Homeowner _ Insuring Company: Nationwide Mutual Fire Insurance Company Policy Number: 5837MP042701 Policy Period: July 11, 2010 -July 11, 2011 Insured Location: - LOWER ALLEN TWP CUMB CO PA - Previews ,account 3alat ,ce ___ $3n3.40 _ Last Payment Received 01 /06/10 -Thank You -303.00 06/10/10 - Policy Renewal -Effective 07/11/10 536.00 Full Remaining Balance $536.00 Prepared on June 17, 2010 Page 1 of 2 - YoucH®meownelrBill Full Twelve Month Payment $536.40 Six Month Installment $273.00 Minimum Monthly Installment $49.67 Should Be Received By July 11, 2010 ;' -~ DAVID E BELL 3252 P H. 570-584-3066 60-1809/43; PO BOX 58 _ PICTURE ROCKS, PA 17762-0058 C'J J- / BRANCH 2oa; j~ ..~/% r /F ,~ Nationwide ~- On Your Side Ethel Ann Bell 107 Manchester Rd Camp Hill PA 17011-6119 For Questions Contact: ARLEEN B MILLER, LUTCF 717.730.9366 Hearing Impaired (TTY): 1.800.622.2421 Claims: 1.800.421.3535 Access your account online at Nationwide.cotn Go Green. Sign up for Paperless Billing at Nationwide.com/ gopaperless. Prepared on June 17, 2010 Page 1 of 2 Your Homeowner Bill Full Twelve Month Payment $536..00 Six Month Installment $273.00 Minimum Monthly Installment $49.67 Should Be Received By July 11, 2010 Account Number 5801870834 Ways to Save: Increasing your deductibles could lower your insurance premium. o~ Homeowner Insuring Company: Nationwide Mutual Fire Insurance Company _ o ~ Policy Number: 5837MP042701 Policy Period: July 1 1, 2010 -July 11, 201 1 o ---- ~ Insured Location: 0 ~ LOWER ALLEN TWP 0 rn CUMB CO PA o - - - - -- ~~ Previous ^,ccount °u,al,ce $~n3,Q0 .o _ Last Payment Received 01 /06/10 -Thank You -303.00 06/10/10_ Policy Renewal -Effective 07/11/10 536.00 Full Remaining Balance $536.00 ,~ { > ~ a I ~.> Nationwide° On Your Side Ethel A Bell 107 Manchester Rd Camp Hill PA 17011-6119 For Questions Contact: RANDY P. ENGLE 717.545.2639 Hearing Impaired (TTY): 1.800.622.2421 Claims; 1.800.421.3535 Access your account online at Nationwide.com Sign up for convenient, automatic bill payment with Nationwide Easy Pay. To learn more, ask your agent or go to Nationwide.com/account Prep Ful- Remaining Balance Minimum Monthly Installment Should Be Received By Account Number ared on September 27, 2010 Page 1 of 2 YourAutoBill $96.95 $96.95 October 20, 2010 5801616494 Save! Pay account in full to avoid future installment fees. Go green. Sign up for paperless billing at Nationwide.com/gopaperless. - Auto Insuring Company: Nationwide Mutual Insurance Company ~ - - - ~ Policy Number: 5837C 783934 Policy Period: May 20, 2010 -November 20, 2010 ~ -- j 2006 BUIC LACROSSE ~ Previous Account Balance $188.90 ~ - - - -- - Last Payment Received 09/14/10 -Thank You -96.95 ~ -- - ~- 09/27/10 !nstal!ment Fee -For processing t is aYmQnt _ _ 5.00 - Full Remaining Balance $96.95 I ~; ~.~:,., Ethel A Bell ~'r 107 Manchester Rd Save! Pay in full to avoid ~~'.~ {~ayrv~ent Slip Camp Hill PA 17011-6119 future installment fees. ~~''3 Full Remaining Balance $96.95 Save! Mail your payment early to avoid a late fee. Minimum Monthly Installment $96.95 Make payable to: Should Be Received By October 20, 2010 Nationwide Insurance ~gmount Enclosed Address Change? Please call 717.545.2639 Account Number {Illrl~rl{Ilrlllllll{I{I'{"If{I{"II{{I"II{{"I{'.II{{Illrl{I{I 5801616494 Nationwide Mutual Insurance Coi~npany Your Nationwide Agent PO BoX 13958 Randy P. Engle Philadelphia, PA 19101-3958 717.545.2639 - ,r t 1,...~ 03 101,0200000 00 00 OD 0001,616494 8 0000009695 0000009695 58 ? 1 .~ Z5 4 T~INS~~CHER &STAHL ~~,ccouNT Oct 12 / 2 010 ~ 1,.. -iE # 1384 ~` COUNT $96.95 COUNT: TRUST - 5 SID T0: Nationwide Insurance ~c't # 5801616494 -- Estate of Ethel Bell LIENT: 1775 - David Bell OTTER: 10-3448 L 1~ 1384 1384 STEINBACHER ~ STAHL IOLTA ACCOUNT 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 NB `~I~ N1jiNCl' P~WKAIr'D~~ZUS1' ~OD1P~\'Y r~j EZShield'~ I~:k haud ~' i~lUi`Cl', P);\NSl'L\'t1NlA \e Pratec~ionlaBusiness 60-949-313 DATE AMOUNT Oct 12/2010 $96.95 **~*~~**~:****~**~****~:x*~~~*~~*~~~:~~~~:~**~~~*~~~~*~~~~~*~* g~~/100 inety Six - U PAY OTHE Nationwide Insurance ,p, IRDER 8 s OF ~/ ~ of ~ r E I '~ ~. ,~~ /~ ~ _ i t~ ~ ~ ~ ~' %i ! AUTHORIZED SIGNATURE icc't # 5801616494 - Estate of Ethel Bell ;'~ ~' tT~~: I _ `-:UF II'00 ~ 38411' ~:0 3 ~ 30949 5~: ~,64D L64 30611' ''~,..X•• .•rj Nati®nwicie° On Your Side Ethel A Bell 107 Manchester Rd Camp Hill PA 17011-6119 0 0 ti N N 0 0 0 0 ~o ~o L~ o earn mo yo r agent or go to Nationwide.com/account Prepared on July 27, 2010 Page 1 of 2 - Your Auto Bill Full Remaini~ - ng Balance $280.85 Minimum Monthly Installment $96.9` Should Be Received By August 20, 2010 Account Number 5801616494 Save! Pay account in full to avoid future installment fees. Sign up for convenient, ~ Local farm bureau members save money! Farm Bureau members may automatic bill payment receive special savings on several Nationwide policies and enjoy many with Nationwide Easy Pay. ~; other discounts and services. You don't have to be a farmer to join! If T I re ask u you're not already a member, ask your agent for details. For Questions Contact: RANDY P. ENGLE 717.545.2639 Hearing Impaired (TTY): 1.800.622.2421 Claims: 1.800.421.3535 Access your account online at Nationwide.com /~~D~O Insuring Company: Nationwide Mutual Insurance Company Policy Number: 5837C 783934 Policy Period: May 20, 2010 -November 20, 2010 2006 BUIC LACROSSE _ _ Previous Account Balance $556.70 Last Payment Received 05/12/10 -Thank You _ -280.85 07/27/10 Installment Fee -For processing this payment 5.00 Full Remaining Balance $280.85 Ethel A Bell 107 Manchester Rd Save! Pay in full to avoid _ Payment S~~„ Camp Hill PA 17011-6119 future installment fees. - I" Full Remaining Balance $280.85 Save! Mail your payment early to avoid a late fee. Minimum Monthly Installment $96.95 Make payable to: Should Be Received By August 2t), 2010 Nationwide Insurance Amount Enclosed Address Changel Please tali 717.545.2639 Account Number 5801616494 Your Nationwide Agent Randy P. Engle 717.545.2639 rlllll~l~llll~ll~~I~I~~~Ill~~lll~lll~~lrlll~~~ir~ll~~~~ll~lllllll Nationwide Mutual Insurance Corrlpany PO Box 13958 Philadelphia, PA 1 9101-3958 00 1,008200000 00 00 00 DD01,61,6494 5 0000028085 OOOOD09695 58 3 ~'- ~ S'i~!f~E.~CHER & ST/~HL 1~~4 B~f.~B~ccou~T Aug 7.1 // 2 0 =' 0 CHE # 1284 AMOUNT $96.95 ACCOUNT: TRUST - 5 PAID T0: Nationwide Mutual Insurance Company Acct # 580161.6494 Estate of Ethel Ann Bell CLIENT: 1775 - David Bell MATTER: 10-3448 1-284 1284 STEItVBACHER & STAHL IOLTA ACCOUNT 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 C ~~`IiE ~'1LiNCl' U':1NFi:1~1'D~l`f:IIS'I' CONIPA.II' ~. ~ , ~7~FZSnield1°Cneck Fraud ~/ i\II:NCI', I L:~N51'I.\~AYIA ``cProtect~on~asuvne~s 60-949-313 DATE AMOUNT Aug 11/2010 $96.95 Ninety Six ~~:~~~~~-~*~~~~~~~*~*~~*~~:**~*~*~~*~~:*~~*~***~*~*~~~~~**~~~~ c~5/100 PAY TO THE Nationwide Mutual Insurance Company ORDER Y a C O vl m 0 v; 8 OF ~,` ~-. // Y ;~ ~ AUTHORIZED SIGNA'T`URE y Acct # 5801616494 ,'a, ' u° 0 0~ 2~ ~, n° ~: 0 3 L 3 0 9 ~, 9 5 0: 4 6~ 0~ 6 ~, 3 0 6 n^ ~.~~=r~_._~.~~R_n .,rn_-~.=.r.n.rw~..,~~ _ -- ~- Na~~~-r~wi~e On Four Side Ethel A Bell 107 Manchester Rd Camp Hill PA 17011-6119 M r- 0 0 0 0 0 K1 O~ ~o ~:~, - PY with Nationwide Easy Pay. To learn more, ask your agent or go to Nationwide.com/account Prepared on August 27, 2010 Page 1 of 2 ~~z;. v. ' ~= _ ~®urAut®~i11 Full Remaining Balance $188.90 Minilr'um Monthly Installment $96.95 Should Be Received By September 20, 2010 Account Number 5801616494 Save! Pay account in full to avoid future installment fees. Sign up for convenient, '` Sign up for convenient autol~natic bill payment with Nlationwid~= Easy automatic bill a ment pay. To {earn more, ask your agent or go to Nationwide.com/account For Questions Contact: RANDY P. ENGLE 717.545.2639 Hearing Impaired (TTY): 1.800.622.2421 Claims; 1.800.421.3535 Access your account online at Nationwide.corn ~O.t~® _ Insuring Company: Nationwide Mutual Insurance Com_ parry Policy Number: 5837C 783934 Poficy Period: May 20, 2010 -November 20, 2010 2006 BUIC LACROSSE Previous Account Balance ___ $280.85 Last Payment Received 08/16/10 -Thank You -96.95 (lfi/27/i Q Incta!Imerlt Faa - Fnr nr~raccin~ this payment 5,00 Full Remaining Balance $188.90 Ethel ABell ~" 107 Manchester Rd Savel Pay in full to avoid '~`` E'9~~~~~1'~ ~'i~ Camp Hill PA 1701 1-61 ? 9 future installment fees. -` - Full Remaining Balance $188.90 Srwel Mail your payment early to avoid a late fee. Minimum Monthly Installment $96.95 Make payable to: Should Be Received By September 20, 2010 Nationwide Insurance Amount Enclosed Address Changer Please call 717.545.2639 Account Number ~l~I~IlI~~~II~~~II~~~~~~liil~f ~'~~~I~~I'~'ll-I~-Ili~l!'~~llllll'~~ 5801616494 NatiornNide Mutual Insurance Company Your Nationwide Agent PO Box 13958 Randy P. Engle Philadelphia, PA 19101-3958 717.545.2639 05 1,D09200000 OD 00 00 0001,6],6494 8 000001,8890 0000009695 58 4 ~~~ ~rEitvBpCHER & ST,R~iL ~T~pccoU~T Sep 8 / 2 010 HE # 1327 MOUNT $96.95 CCOUNT: TRUST - 5 AID T0: I~atioriwide Mutual Insurance Company cc't # 5801616494 Estate of Ethel Ann Bell 'LIENT: 1775 - David Bell [ATTER: 10-3448 ......~_..__.._ .____ - ._ _..- ---hri: 1327 1327 STEIt~B/~CF-9ER & STAHL IOLTA ACCOUNT 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 TIII: ~IIfNCY llANI1 ~llVDTRUSI' COAL Pr1IVY ~' i\IUNCI', PE\NS~'LVANIA 60-949-313 C~ FlShield" ClwCk Fraud ~'G Prutactio~i la Busness DATE AMOUNT Sep 8/2010 $9E>.95 ~linety Six ***~~~*~**~~~~**~~~***~~****~**~*~*~~~~~~~~~**~~~k~~~**~:*~~- 95/100 PAY TO THE Nationwide Mutual Insurance Company ORDER f , ~ L' ~~ ~ ~ rr /I AUTHORIZED ~~GNATUR~T.- ?~cc't # 5801616494 II°00 L3 271i' s:03 L309495~: 464D ~6~,306i1° s U n C O N N U 8 ~~ ~~ ~'1 G'ti ~ p r-i .~ ~ I Ch ~1 ~ 00 M ~ x m m ,1> ~ v, --~ >~ N ~ N *-~ r--I ~ N ~ ~ , ~ ~ ~ ..~:a,:v ~ ~, ~. e_ ~.b...~~~~ ._ _ ~. ~ ~ :., i; ' ~ ( ° } c~ r~ ~ ~ NMO ~ a ,. d : i ~'~ ~ OU ,~ ' ~ , ~'-- -'------ ----- ~ Z -- -- -----------~ ;! 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Q ~ tJ) ~ ~- ~ ~ ~~ ~~ ~~k ''"'00~'1)~-~~ c ~ ~ Q; ~ ~~ N cB ~' Q'3C U'-.- ;~~ ~ L V~j~QNJ~p~~C ~ cQO^•" ~'" ~-O v; ~N ~~ ~~~_O~~ ~ C ~~ ~~ ~`Z ~^~ 5U i ~ ,-... ~ N ~ RS O ~ Q~~ „ ~ ~ U c4 U `r [L o W.;,0. - ~~ 00024062182590000000000DI~2109011 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 1 5250-74 1 2 For Service To: 107 Manchester Rd 034497 1 AB 0.360 2497'34497.002497 143 1 PCLhnRN II 11 ~ii~~~~~ii~~~t~~i~~~~i~~i~~~~~i~~iii~~~~i~~~~i~~i~t~i~~~~iiti~ ANN BELL PO BOX 58 191 LAUREL ST PICTURE ROCKS PA 17762-0058 e'~'4 c'~ .~ g :ate - ' -_ -_-_-._ r ar~'~~`,'~~;, ~~'~~, 24- 0631825-~ ~Itt"t ~~ ~~ I~ ~~ i:~k `tvc ~ ~ $ 21 ~ 0 9 ', ErU~ D~~T-~ ----~---- - I ---------------~ Aug 30, 2010 ~ ~~ AMOUNT F'AID Pennsylvania Ameriican Water PO Box 371412 Pittsburgh, F'a. 1 5250-74 1 2 ~i~~~~eli~~~i~i~i~i~i~~i~ili~i~~~i~~s~rl~oc~~~ii~~~~ FYease check here to add H2U-Help tv Others coi~tiibution fc your monthly bil! or to_chaoge_y_nuf ~td~lress_9r t~lephpllQ c~4.ntber._ and~tint_intorinatio(~_o~t reverse sr~e._ _ _ _ _ Customer Account Information Billing Summary For Service To: Ann Bell ----------prior Balance---------------------~.-_ 107 Manchester Rd Prior Water Balance Account Number: 24-0631825-9 Prior Balance Other Premise Number: 24-0373379 Payments prior to Aug 10, 2010. Thanks! Total prior balance, Aug 10, 2010 Billing Period & Meter Information ----------Current Water Charges---------- Billing Date: Aug 10, 2010 Service Charge Wilting Period: Jul 06 to Aug 05 (30 days) Water Volume ($.007890 x 300) Next reading on/about: Sep 03, 2010 STAS PAWC Water 0.45% Rate Type: Residential DSI -PAWC Charge 0.96% Total water charges, Aug 10, 2010 Meter readings in current billing period: ----------Other Current Charges--------•~- P~leter Number N000178658 is a 5/8-inch meter. Customer Protection Water Line Present-actual 192400 Total other charges, Aug 10, 2010 Last-actual 192100 Gallons used 300 ----------AMOUNT DUE --------------------- $16.39 $5.50 -21.89 .oo 13.00 2.37 .07 . 15 15.59 5.50 5.50 ~,' C $21.09 ~ ~" ~TE~NRACHER & STA,~L ~.'~~A000UNrAug 18 / ~ 10 HE # 1286 MOUNT $21.09 CCOUNT: TRUST - 5 AID T0: Pennsylvan=i_a American Water cc't # 24-0631825-9 LIENT: 1775 - David Bell ATTER: 10-3948 .V..~~yw...V...~...~,~,.~..~~.... ~.~.a._....x.-~.~.....~..~..~.. _. _ ...~......a-----. - µ,h; 1286 1286 O I~IE biuNC~ li'AP1Ii ~~Vll'15zusr Cortrnivt~ ~ STEINBACHER & STAHL ~~ Dlucrcr.PrNCVSYLVnxcn ~~ ~`ti~'~a~~` IOLTA ACCOUNT - 60-949-313 ' 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 ~. 0 i0 m DATE AMOUNT ° a Aug 18/2010 $21.09 N wenty One **~**~*~~~***~~***~***********~*~**~*~*****~~**~*~*~**~~~~ 0'9/100 ~. PAY ~, 'O THE Pennsylvania American. Water ~' )RDER 8 OF cc't # 24-0631825-9 11'00 1 28611' ~:D 3 1 30949 5~: 460 X64 30611' TURF r 00024061,82590000000DOOOD1948CI~,3 '~ Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 107 Manchester Rd 029937 1 AB 0.360 1937/29937/001937 127 1 PCLSZW 111111111111111111'I1111111111111111111111111111111111111111111 ANN BELL PO BOX 58 191 LAUREL ST PICTURE ROCKS PA 17762-0058 ~,fV10UI~T I~UE ~ul~ ~aTE AMOUNT PAID a:' :~~,~ ~ ,, . ~" n .~ r'.... _.n. ~. 1 24-0631825-9 X19,48 Sep 29, 2010 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 I111111111111111111111111111111111111111111111111111 D Please check here to add 1-120-Help to Others conlribulion to your monthly bill or fo change your address or telephone number, and print in formation on reverse side. Customer Account Information Billing Summary For Service To: Ann Bell ----------Prior Balance------------------------ 107 Manchester Rd Prior Water Balance Account Number: 24-0631825-9 Prior Balance Other Premise Number: 24-0373379 Payments prior to Sep 09, 201 D. Thanks! Total prior balance, Sep 09, 2010 ~ Billing Period & Meter Information --------•-Current Water Charges---------- i, Billing Date: Sep 09, 2010 Service Charge ', Billing Period: Aug 05 to Sep 03 (Z9 days) Water Volume ($.007890 x 100) Next reading on/about: Oct 05, 2010 STAS PAWC Water 0.45% Rate Type: Residential DSI -PAWC Charge 0.96% Total water charges, Sep 09, 2010 Meter readings in current billing period: ----------Other Current Charges---------- Meter Number N000178658 is a 5/8-inch meter. Customer Protection Water Line Present-actual 192500 Total other charges, Sep 09, 2010 Last-actual 192400 Gallons used 100 ----------AMOUNT DUE --------------------- $15,.59 $5„50 -21..09 .00 13..00 .79 .06 .13 13.98 5..50 5.50 $19.48 ~~~Bo CN~~P ~T~~ 10 I~ l/ CHE # -1371 AMOUNT : $19.48 ACCOUNT : rCRUST - 5 PAID T0: Iennsylvania American Water Acct # 24-0631825-9 - Estate of Ethel Bell CLTENT: 1775 - David Bell MATTER: 10-3448 ~ tvB IY[r Mu[vc5~ ~n[vtcnrrn'I'P,tisr Ccirrnnnv STEINBACf-1ER & STAHL '~'~ D-ItNCY.PGNNSYLVANfA ~~~'~~'c~m~«mu~~~o IOLTA ACCOUNT 60-949-313 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 .. . 1371 "1371 1371 DATE AN10UNT Sep 23/2010 $19.48 Nineteen ~;~~~**~~~~*~*~**~~~**~~~~*~~*~~~*~*~*~**~~***~*~~~~*~**~***~-~ 48/100 Pr'~Y TOTHE Pennsylvania American Water ORDER OF AUTHORIZED SIG 'IJRE Acct # 24 0631825-9 _...___ ..-.M.~...~_.R...__..~.__.~~. ~I.O O L 3?~ n" ~ s 0 3 1 3 0 9 4 9 5 ~: ~ 6 4 ~ L 6 ~. 3 0 6 n• ~....~.~..~,.~..~.. ~a._..._._.~.._.-~.- ~~~ ~. Y U 0 ~_ N (U U ni j U 8 00024063182590000000D00003449010 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 1 5250-74 1 2 For Service To: 107 Manchester Rd 030182 I M6 0 382 2182 30t82/002182 126 t PCLVGL 11111111,11111,lrllrrrrlrlllrrrllrrrrlrlrllrlrrlflflrrlrrrrlll ANN BELL PO BOX 58 191 LAUREL ST PICTURE ROCKS PA 17762-0058 Closing Bill Please check hereto add H2O-Help to OUiers con!ribution to your rnonrhly bi71 or to change your address or telephone number. and prin! __ inlormafion on reverse side. _.._ Customer Account Information Billing Summary For Service To: Ann Bell ----------Prior Balance------------------------ 107 Manchester Rd Prior Water Balance Account Number: 24-063182.5-9 Prior Balance Other Premise Number: 24-0373379 Payments prior to Sep 23, 2010. Thanksl Total prior balance, Sep 23, 2010 Billing Period & Meter Information ----------Current Water Charges---------- Billing Date: Sep 23, 2010 Service Charge Billing Period: Sep 03 to Sep 21 (18 days) V/ater Volume ($.007890 x 200) Next reading on/about: Oct 05, 2010 STAS PAWC Water 0.45% Rate Type: Residential DS/ -PAWC Charge 0.96% Total water charges, Sep 23, 2010 Meter readings in current billing period: ----------Other Current Charges---------- Meter Number N000178658 is a 5/8-inch meter. Customer Protection Water Line Present-actual 192700 Total other charges, Sep 23, 2010 Last-actual 192500 Gallons used 200 ----------AMOUNT DUE --------------------- cei;~~i~~t..tl`l~ 24 _0631825 9_, ~.ivlt~t,~i~T Ca3.iE j X34 r 49 ----- ------- _,-------- ----- -I DUE ~;~.-~~ ~ Oct 13, 2010 AMOUNT PAID 'j?~' i-G° i p -pie a fia cl~'i t - t !d Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 1111111111111111111111111111111111111111111111111111 Water Usage Comparison Monthly usage in hundred gallons. 11' ~cc ;~~ t ;i:e , rC it1 iy ~G iri ii ii1Z 'rrr. •: iii• '~rC 1 _ f(1; 'ii ii' ,f~ ieir 'iir' iri i2~_ ••f ;n~ •1111 iH~ ,, ~: ~ ~ ti.; r~ir ri;r} iri iir iir iris rtr; rr. 1, r}ij re. #irt i~f ~r+i ;irY irr. ~tiC lA\ ~:K ~r~ ;t~C rir' ,iri ri ir. i r' rri• rer, a rrii 'i{o ••ry' ~Q: iel 'iir; ii;C {i r; {eeC ri: irs '¢r, krr irr; \ rrr; 'ir. iir; riir iir; err rrif e;( iri• 'e7,< 'eir. 7i;: 'rri• iriC ~,Rr, ii; ti• 'iir; r t ' i 41, rrr' 'r i'1 i 1 rll, iir Illr }'irl 'rit }};n ;r:(; ;iri: ,iir 'iir: 'iiC iir: rir% 'iii: ~ irr, i~r,r rrr, r,~r; irj; iii iir; 1eir ,tir, ii;i: iir; in 'riff ~ r,{ .io ~;1,f rrf rif 'iri. ~{< rrr. fit 'iir• `{f r{r• 'r•i •iir • •r;{i r;i r, ;; r: rrr. r ~ r; ~it `i ~; 2 S O N D J F M A M J J A S 2 p e c o e a e a p a u u u e 0 9 p l v c n b r r y n I y p ~ $13.98 $5.50 .00 19.48 7.80 ~ 1.58 j .04 . 09 I 9.51 '; I i 5.50 i 5.50 i' $34.49 Messages to you from Pennsylvania American Water This is your Fina! Bill for service. It has been a pleasure serving you and we hope we may again have the opportunity in the future. ' The due date pertains to current charges only. Any past due balance should be paid immediately. ' Approximately 3.90 percent or $.37, of State taxes are included in yow current bill. ' Effective January 1, 2010, the State Tax Adjustment Surcharge (STAS) increased from 0°io to 0.45%. "Effective July 1, 2010, the Distribution System Improvement Charge (DSIC) has increased from 0.40% to 0.96%. This charge funds the replacement o1 water distribution facilities. " Residential customers: Save time and manage your account when it is most-convenient for you. On My H2O Online, you can check your balance, pay }your bill or even sign up for automatic hilt payments. Sign up today at amwater. com,~myh20. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 {24 Hours) Visit us on the INTERNET: www.pennsylvaniaamwater.com RAW 100AM3101AM3991AM4001 002782'OD2182 PCLVGL TM608 1234 A t M 19082 ~~ 1~>75 {,~ -' ' i E c#couNT 13 7 5 FOUNT $34.49 'COUNT: TRUST - 5 ,ID T0: Pennsylvania American Water ;c't # 24-0631825-9 - Estate of Ethel Bell ~IENT: 1775 - David Bell OTTER: 10-3948 Ivg rf[I: ~TIfIr'CI U'ANIC~~`DZ`I'.UST COMPANY ~.~~ E].Shield" Chixk loud ~ 7~°• DIl;NCI', Pe\NS~'LVAT\IA Piolecdonta!9usness STEINBACHER ~ STAHL IOLTA ACCOUNT 60-949-313 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 13'75 1375 i DATE AMOUNT Sep 30/2010 $34.49 hirty Four ~*~~~**~~~*~***~*~~~~**~**~~****~**~*~**~*~**~~******~;~~* 40/100 PAY Pennsylvania American Water E Y m 0 N N U .~ O TH << )RDER ri j 1 ~ ~ ~, t.. ; ,4. r ,._ ~ AUTHORIZED SIGtJATUR'~ / ~_. ~ , 24-0631825-9 a-..~.~-. - c c ' t # ~~.~. .T.~ ~ 4. __. _~.~_ __ : ~.T ___ n.~.~~-n.-~ I I e 0 0 ~ 3? 5 n^ o: 0 3 L 3 0 9 ~, 9 5~: ~ 6 ~+ 0 ~ 6 ~+ 3 0 6 1 I' ~c ~_~ ~~I~ti~§ Electric e~rvic e Fc>r: I ~f HI;I-. BELL i ti7 ?v1ANCIIEST~Eft RD C.? r:7 i' HILL PA 17111 1 (lucstionr~ about this bill? Please cc~r~tac;t us by Aug a! 1-SQO-342-5715 ~4r e~~rriie to: C'usto®er ~e~-vice 827 tlausn~ara IZd. !~llentc~wn, I'A l 8l (;j4-9392 ~v~-w_ phl eI eetrie_ e~~n Electric ~~~ This graph shaves ye~ur electric use o%~er the last I3 4'~ pes of I~$eter lYeac4ings: Actual Adj~.~sted ~;stinated Ceist~~nier 1'agc 1 Y<<ut;I33II .~~.~,zx~csF I~ufnFt~r' ? ~?~(~-? X001 U~° 3~1CD C~i17kk~? f>C-t~!rflti#~ :: Su~~~rv Page Balanccy as ol~.Jul 15, 2010 ~[).0() Char yes: ~ ~'c~ta PPL pL~C'h~IC L1'TLLI TEES Charges X29.42 "1'c~ial Charges .----•. $29.42 .-~~-~" ` ,y Aicount ~3alanie "% $29. , ~2 ~~ . x / `~•~,~, ~~ ~ f r t a t ~:. ~ /' p T~~ `~ ~,~ , , ~ ~ ~,, KVi%HI4 - ~.v~rage I'c~r I)ay 2~ 20 !£ 12 S 4 ~i 1~~~;i~r ~tcaclin~; I~l€~ru~atic~n~ i_Viet~~r #944203 t5 _Tul ] ~ !~;tual 26648 dun 1 ~ Actual _26488 30 I~avs K~'I-I Billed. 160 average - .lul 2009 2i1~0 Tenn ~~raturc ? l F ?7F I~V~%l~ I'er ~av 8 =+ Year1~~ IJSe: T~Ddal Avery e L?~e 1Vlonth~v Aug 20(!8 - )ul 200'9 3?48 31 Aug 2009 -1ul 2010 3650 304 Qth~>r i>rnpo;r>Tan~ infct>!rma~i~>~ ~n bask ~ (~-all ~}~steirl. Be sate allcl- calf 8 l ~ hel<t~rc vc~tl; dig With l~aperless billing, vt~t~ can receive a.~d ~~a~ v~~ur l'I'I~ ~leeiric t~tilili€;s hills .~1~lme. The process Ls lree, wick, c~~nv~.~a~ICi~t ahid secure Ta barn n~z~re car sign ttl?, vzslt v~~~~.pplelectric.c~~~1~. C1~>se drapes, blinds and. shades on it~tc s~Ia~nv sire t>f •/~~~ur hz~ra7e during the hr~ttcst hart v1 the day. Ii cases the lt~ad ~n~ ~%~~ii~- ct~~~liilg svstern atld saves energy.` have p~~~stage and late charges -sign up l~~r 1~~ato~natc:€~ ~~i11 I'a.v1~eY~t. l.n1Em~-Iatic~n ab~~~~t appliance e~~erg~~ use ar~d ti .s oi~ saving el~;;;rg~-' arc a~~ailable ihro~Igl~ the ~nerg~ Library ~~r {}ur ~eh site, ~A~~vu~.pplclcctr>c.e«tr. y . ^ ' ..~' 7 A S (} ~ I) ! F M A 1VI t -i 2009 J~'h~nrhs Z01 {) ~~~. Electric utilities electric ~ ervice For: I:1II1_I. I3FL:L 1 i~7 1~~L~N~.I113S I f3R Rl) C.1111F IilI,L Ya 1701 1 ~,u~c~stions about this l~ill`j Please contact us by Sep 3 at 1-$00-342-5775 (1-SOU-DIAL:-PPLI or v~~rite to: (e~stomer Sen-i~ce 827 Hausman Rd. Allentown, P A l 8 l (}4-9392 ~-~-~~.ppl el ctri c_ com l~lectric Use This graph shows your electric use ewer the last 13 Ynonths_ ~'vpes of l~'~eter Readings: Acriial Adjusted F:stiniaied Customer Page 1 f l3f I311I ,',(_~ ENtLIf I~I1iFll~f.:: ~7~70U- / ~~(II [J~ ,~rf~n ca~li~c~~~r~~vrrir~l~ :: Su~nm~ry Page Balance as off I~ug 13, ZOIO ${LOS C'har~es: Total-PPL EL~C""~I~RI(' [_)TILI~1'Il_S C'17arges $38.f~7 'Total Charges X38.67 'a~' ~`l~s ~mi~ut~t loo ~~at~~~~th~n~c~ ~, ~(~~i~ -: ... 8~~ Accozuit Balance $38.67 K~'ld - A~~erage Per Dati- 24 20 16 12 8 4 ~~ 1~~Ieter >[2eading ~lorgnatioa~ 1dZeter #9440315 Aug 13 Actual 26884 Ju115 Actual 26648 29 Davs K~'1-I Billed 236 Average -Aug 2009 2010 Terilpperat~are 74F 79F K~~'H Per Day- 13 8 Yearly- Use: ~'otal Avera fe CTSe 1~'Ionthll' Sep 2t~08 -Aug 2C)t)9 3~ 1 Ci 29 i Sep 2009 -Aug 201i 0 3491 291 ()thc,- imp~-rta®t inforr>nati€>,n ~n hark ~ ,_;~ ~, ~4 s~ Iv ~ ~ r h~ A h2 T J 2009 ~~~~~rr s 20 r ~ sTEINBACHE~i &STAHL ~ ~ ,~,- ~4-T~ACCOIINTAUg 2 6 / 2 010 HE # 12 91 MOUNT $38.67 CCOUNT: TRUST - 5 AID T0: PPL Electric Utilities 2 North 9th Street RPC-GENNI Allentown PA 18101-1175 cc't # 75700-73001 Estate of Ethel Ann Bell LIENT: 1775 - David Bell ATTER: 10-3448 ;:. 12 91 12 ~ 1. r-~ Trr~ Mun~c~~ P,~rvx~rrv'Crusr Corrr~uv~r STEINBACHER &STAHL ~ rI~~N~:,~, PrNNSrLV,,rrin eZ'U~'"~n1d',;,o~,;~ IOLTA ACCOUNT 60-949-313 E. 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 a a o DATE AMOUNT ~: Aug 26/2010 $38.67 N hirty Eight **~~*~*~*~**~~*~****~~***~****~*~~**~~*~~~*~~~~*~~*~~*~~ 6{7/100 ~. PAY v OTHE ppL Electric Utilities ~' RDER 2 North 9th Street RPC-GENNI. ~ °~ Allentown, PA 1810.1-1175 ~-~ AUTHORIZED NATURE- ` .„C cc't # 7.5700-73001 l _ __ ~ _ II'00 ~ ~9 III' x:03 ~309~,95~: ~,6~,016430611' -~ ` ~- t~'~L ~i~~tlrie ~~~C~~~~ ~~~~~~;~ l~ c-r: 1;'I IiI~I~ 131 LL 1(17 IVIANC,H:t,S~l'EIZ ltla C~1~IvIP I~IILI_. PA 17017 Questit-tts shoal. this bill? Please. contact us b Oct 5 a1 1-H00-342-_5.775 (1-BOO-~urA r,-t~~~r.,} -- cyr write' io: Cttstua~er Servile 8271-1ausnian Rd. Allentown, PA 18104-9392 www_ppl el ectric. cons ~le~ctrY~ US'C "I hi s ~~-rapl7 shows your electric use over the last ] 3 montl"is" Types of Meter Rea clirtgs: Actual Adjusted. E;slintated Custotncr ` :Y ,; l' W i Y i' i r/. ~W-_ i ~ ~ ter' ~ ~r ~ . ~, ,~, l~ ~f1ii]Ci~i ~"~ P~~e PagC l ~<}t1f:33i31 ,~ic,~tmF Nu~~iErr 75700-73()()1 <: I.T~e. cv#rat~ :ill ~ i~ ~~ :u r sf ilc~ .. ;..: Balance as ui- Sep 14, ~OIO ~,(i,(1U C'llarkes: 1'c~lal-Pl'L Elt~cf;ric Utilities t;har~;es `~52.~2 `I'uial Charges $52.82 i~~~ ~hx~;~m~Arx~#~~ ~aier~'lr.h~cn'C.,>kcl .5, ~I~~l# - ~~~.. Account Balance X52.82 2~ 2U 16 12 8 4 U KWH -Average Per Day 10'Leter 12eatiing lalbrmatiun IVleter #94420315 Sep 14 Actual 27236 Aug 13 Actt-al ?6884 u 32 Da s KWI-I Billed 3ti? Average. -Sep 200~.i " 2f1110 1 etnperature 7l F "721; KWH Per I)ay 12 11 Yearly Use: T'utal ~:vera«c Use l~'lurtt$~~~, Oct 2008 -Sep 2009 3578 29~ Oct 2009 -Sep 20] 0 346.1 288 Other irnpurtant inf'oi->rna~tiun on l~a~:k - - - Rc~t-un this p~u-t to address below with a check payable to 1?PL l~lectric l.Jiiliiies C'arporati~~n '~- yaw .1.3~~t1 1cc,~itc~l :f`Icttnh~r _: :: 75700-7 3001 AV 01 008904 20380B 39 A°"`5DGT ~ ~ 1 ~11`L 13 L~ 1,I_ ll17 Iv1AN(;111~:S1I;k ItD CAMP MILL I'A 1?O f I-6119 I'fi.~St, I}~ :}~ :~~1 J~131S:1~Ut~?Ikt;C tact 5, 2010 X52.8? Amount Enclosed -~ ' -- - PPL LLEC-TIZl(; LJTII_ll'IES NOR"T11 9TlI ST1~=;1;'1' Rl'(:-(iI~NNI AI.LL-NTOWNPA 18101-1175 llinl~tl~tl~lilllll~illl~~Illl~~il~Itlll~~it~~illllai~i~~tti,~it 1 3900000528290000052826 7570073001, SONDJFMAM:TJAS 2009 Months 2010 STEIIVBACHER & ~TAHI~ I~~ ~ccourlr Sep 3 / 2 U 1.0 CHE # 1.370 AMOUNT $52.82 ACCOUNT : 'T'RUST - 5 PAID T0: PPL Electric Utilities 2 North 9t.h Street RPC-GENNI Allentown PA 1.8101-1.17 ~> Acct # 75700-73001. - Estate of Ethel Bell CLIENT: 1'775 - David Bell MATTER: 10-3448 l,i 1370 STEINBACHER & STAHL IOLTA ACCOUNT 413 WASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 J TIIR MIi1vCY DANK ANDTRiiST COb1PANY ~~~ - - - QShIM!f"' Cfack kaul ~' I~'IIINCI'. PENNSYLVANIA ~+/Lnrm~rtia~fa6~ivimsv GO-949-313 DATE AMOUNT Sep 23/2010 $52.82 nifty Two *~*~*~*~-~~*~*~~~**~~~*~~~*~*~~*~~~*~*~~*~~~~~~~~~~~~~~~~~~:~ ;2/100 P,E~;Y ToT~-,E PPL Electric Utilities O R ~?'= R C ~-- 2 North .nth Street RPC-GENNI 8 ~F Allentown, PA 18101-1175 AUTHORIZED SI~ 7URF ,, Ac~'t # 75700-73001 ---~-- II'00 L 3 X011' ~:0 3 L 30949 5~: 4640 ~6~ 3011' ~~~~~~ ~~`~'~~ ~ 1=ar: [ f)? 1,-I;;NC;1-IES~Ii:R ItD C.~ ~-P HILL 1'_~ 17.)I I 1~;+~~hl I~~lj ~EdC4edf16dS ~l~DfPf3f il~s btll? Please L'{7~~taC"t L!S hy' ~}Ct ~ ~ ~t ~-~tl~-~~l2-~77; ti l-~~'0~1-~'~ ~~t]!.-~~~~~~ f'fr ~~;~r;;t.E'tf): ~'B.~S~fl~df'd- S~~'df`e i?7 / llaYpsI17ad3 BEd. All er~to~~la, ~'_A, 1~1~~-9~y2 t%i- i%t'~~'. l~~I e 1 et'tI"1 £ . ~ t~?11 ~~~~ ~.,T~~ ~~o l~'age 1 ~'}ter X311: 'itcc~itt]r Nt~iiiE~i "?~7UU-73a)Ol l ~ Zt}3cii ca3ii~t~~>r ~~iirtar~ ~3~~~nce ~~ E~lr ~~~ 2(~, ?(11(l ~5?.bZ Charsy t's: Tata~PPL 1=lectric ~1til~ties ~'1tar;~es ~~. i4 ~ccoLl~lt i3~l~l~;e ~~~.~~~; L~ ~p 16 12 4 0 Kt~'1=i - ~ ~~era~e Per day 1~'~eff}r Ie~~d~ld~~ I~1"f):P"~~~YfdYl (1 hi s ~y~-aph sha~t,~ s va~r electric ~? se o~%er 11~e last 1 ~.~arlths. I~'~~t~r 12~ad;rrlbs: Act~z:Yl ."~~~tl5tcd ~sti~a~ated ~~ :~~. C'est>D~~'!er OND 7 FrdA)S~ T J A S C7 ?(Il}9 I'~'Iontl~s 2t~10 ~ 1~'1_~~er ~#9~~2~31" 5 Sep 1 S At:t'~al ??2~2 Seg 14 A.c~~al ~%"'~6 4 I3a~-s Ki~v'I~ b illed 16 ~i~-f;r~~e - yep ?0{~9~ ~~10 Te~~ ~eanaLU72'~e ' T ~ 61 F eD~P V ti . £ ~r if ~.~' ~ lJ ~Q' ~A~~ ~IA~~' Oct2 ~0 8 -Seg 2 0i)~ ~~"?6 29~ 7y ~~ 11 [ ` Retu~-~~ this gars to address bclt~~~~ ~,~ith a check gad-ad~le tt~ 1'1'L Laec~t~-ic Liilities ~~:;?r~t>ration ~' >irr ~?zl.l ,'~ct=~,t1{~t. Na~iti6c~r.: 7~?()J-? ~)Q 1 i~.~C2LSC I~e"l\'.131- i-C ~H{t: ~ _ f ~ ,-:~ 0 G08R~0 2%393B 'fig ~*-~/r,T I~f_ir_I IjEI.L ~ ~ -~ ,, ~---~ r- I ~ i ~ i ~ ~, ~~ - ~ `1 i E 1 r- ~` I U: Iti1:1'v l- I I L ti C I: ItD ~' ---- ~ L-' ~- - -J - ~'~SF' IiILt P,a I -~~ i I-;:•~ i i ct I'P1 I=LI=r'I IIt i_l" ILITII=.S ivC)iiiH'~1-I-` S~iF,;LI7 ]T'~~-G~=Nh1 .^ LL>/I4~"Tt_~4ti%r~ I=.~ ! SI ~)1-1 i -' ~ ~~GQGG!G5 ~~c ?GGQGG55G~l~ r L7GG fGGGl: g0 1:~ -i" 4 ~-CH~,R & ~bg~b 10 ,couNT yep ~ # : 1374 ,JUNT $3.14 :COUNT: TRUST - 5 ,ID TO: PPL Electric 2 North 9th Street RPC-GENNI Allentown PA 18101-1175 ;c't # 75700-73001 Estate of Ethel Ann Bell ~IENT: 1775 - David Bell OTTER: 10-3448 STEINBACHER & STAHL IOLTA ACCOUNT 413 WASHINGTON BOULEVARD WILLIA(v1SP ORT, PA 17701 ~~ Tits ritrrc~° P~Lrrx:~n~Y:t,sT Corrr~,~tY '£7' ='smem~° cr~k kwa r~i ^t1:NGl', PI:NNSYI,VANI~1 ~Ct'ionx7ionlaBusiness 60-949-313 1374 1374 m n 0 DATE ,MOUNT °. N Sep 30/2010 $3.:L4 *~~~**~~**~~*~+;~~*~*~*~~~**~~**~*~~~*~~~~~~*~*~~~~~~*~~~~;~*~~~-~~: 14/100 Y hree - U N PAY ppL Electric O THE ORDER 2 North 9th Street RPC-GENNI of Allentown, PA 18101-1175 ~ ~ ~ ' /~ p ~ s ,~ AUTHORIZED SIGNLf~1R= +~ ij icc't # 75700-73001 %`~ ~` ,' .. __ __ ..~~. . II'00 L3'~411' 6:03 ~309~,95~: X640 L6`~30611' {~ ~ W !~7 4 r,;~ ~~`~~ ~~~, , s••. -~. Q a ~ ~ ~ j ~ G i-_ • F~ ~ ~ Q ~> ~~ • o Q, ~ ~, H ~ U o CJ v >C ~'~ ~ ~ p ~ w X v ~ U U U '~N.. O H yea >, j, G ea 5c >, ti a~ ~~ 1.1 C y ~ _ ~ W ~ .rr b ~~ ~ i ~ ~' v y ~ ~ ~ ~ U Or ra '" 61 C ~ °~° o~ o a v ~ ~ ^C ~ ~v ~ ~ ~ ~ v -~ Q. ' ~ o ~. ~ o ° °' ° ~ o -~ -o ~~ w m ar 61 > d cn ~ .a a ~ u 'G y y ~ `•+ 'e ~ ~ ~ ~ G y, R ~ ~ ~ w V to v ~ O a,. OA +~ . v v ~ ~ v • • c ,y ~ . rtl ~ ~ W ~ ,~,, G~ .~ ', oA v o ~ v °' ~ ~ ~--~ ~ :'r V ~ ~ o r-• :g ~e v ~ ~ ~ C .k ewC `n ~ .G d eV4 '~ ~ ~ y GI ~ , v ~ ~'" u ,,., ~ ~ is ,a C ~ C ~ .C ~o~i ~ s O p o y~ v ~~ ~ J• , ~ v y v a 3 0~ o H .~, V a. c v~ ~, ~ v o * c~ .--~ ~ U ~~ .~ ~ ~ ~ ~ v ~ r-' ~" a--' . ~ O ~ O ~ / ( ~ ^ ^ ^ ^ z Q G-+ i O MCI U H z z SW P5'-1 1~ O „~ ~, ~ ~ ~ ~~° ~ ~ o _ ~~~ z v v "0 v m ~ uW ~. O ~ ^~ i'~ VI ¢ +~ u W a+ x ~~ ~.. 'G ,~ ~ 04 z° .t, H ~; ~ Y C; W 3D a °: s r. ~ a~ ~ ~ .~ C E ~ .a DA o t%~ c y~ .w v7 °'" E~ ~' z .. Q 9 ~ v o u ;. ~ `` W € •~ C V 4 ~i ~ ~i j , v '~ Z a `~ ~ ~ W ~ ,,; j y , V •~+ x O H ~ ~ ~ ~' . ~ ~ ~, ~ U ~ ~ ~ ~ ~ }~ ~ ^ ~ R "~ ~ ~ v V ~p 'G ~ ~^ ~ ~ +~ vZ ~ ~ ~ ^ O ~ _ o^ ~ ,Z r.. ~ o Z ~ v ~ y' "" ~ w v~ C~ ~ o ~^ .~.+ ~v ~ .i.1 y ~, ~ o ~ r ~ ^ Q ~ ~ Q ~ ~ ~ ~ ~ ~ • cc' ~ -'-' ~ ^ _ . rn p ~-' m v ~" ~ ~ V ~ CA ~ '~ ~ -~ '~ n. 4J y V ~ '~ ~ t~ p r ~ ~ ~ . ~ + + ry ~ y ~ ~ ~ ~ ~„ .r ~ ' N ~ ~ - x ~ C' ~ ~ c v (~ ^ ~1 ^ ^ ~ ~ ~ o ? ti r ~ _ ~.,., ., 'J CU i. . ~~ r `~ ~ ^ ~ v '~ o o 01 '~ cc y y S am ~,~ o a\-+ (1l n ~ , KI i ^ v ^ J ~ X ~ w L "., ~ ~ ~" y `~ cC ~ - ~~.. C1. p n; ~, ~ r ~, - ~.. ~ ~ ~_ V ~ V o O (( r v ~, ~, r ~ cG . ~ ~ ^ J-, V ~ O ~ ~ ~ tp. V ~~ r o J i G o ~' ~ ~ ~ ..' J ' r~ ~ r ~ G o v ~i. tom., ~ _ _ .. ~ _ o y v ~ ~ ~ ~ ~, ~. v c ~ ~,_ y~ w o~ ti _ ~ y r~ ~ ~ o :~ ~~~ CV ~ ~ ~ o ~~ 7 o Jl CL ~ ~ . ~ QJ ~ .. Uj • CU N % ti CJ ,.r ^ + +r y ~ ` p ~ ~ ~ , ~ ~ ~. ~L ~ ~-- _ ~ L ~r VJ Yr ~ Cn .? J r C v ~ ~ .L, ~ cl~^. ;f7 ~J v: +~. W C ~ Q C+_. cn ~ ^ ^ ^ ^ ^ ^ ^~ ^ ^ ^ ii` t ~..~° _. ~~®N® ;uau t.uuisl Dltl vr: h I ux htr.Ctinwcslsulic~ i'A i~u~s ].oz BRE MSQ TNW STATEMENT OF ACCOUN'C ** SAVE ID%! ** Lock i~( ~'cxn~ sert~lce r([le f~~r l ? nwnlh.~~ bt•~~(rt°rn~~ /ur one year iir ~nlt'rrxc•e•, uitc! r(~(~ trill ~•c(rlr<~r u cliscuunl a/~.~ i0. UU. Plc(rsc moil ~~an• /~u_t~mcirl a/~$'?~S'h.?0, tt~hicl( rc/Iccls this (liscnu~rl. ?534 ^L(]^ KS RP 12 ^7122uLW YY'~NNNNN OOSk~181 SL 1221 56:1x1 1 AB 0.35% ANN BELL C'ustumcr Nu: 259~I7h7 S~~les Agreement No: 2> 17923 Service Center: 2241-I~'IE('I IANI('SL3(iltU l' Loc~ll Oftice: (717)7~~~6-171(1 "Toll Free: I-800-"fE1ZMINlX L;-Mail: tmx2241(r(-~tcrminix.com 107 MANCHESTER RD IMPORTANT MESSAGES CAMP HILL PA 17011-6119 I, I, I I I „III , I I , ,III, III t t l I I I Please Note: Phis statement reflects Iriymcnt, ~ II I II I I (( II 11 111 1 1 111111 1 I I III II received by 07/12/10. I1~you have not hall your hrcvioils balance, hleasc mail your haymcnt today. :~ Important Message: This statement reflects laymenls received by O7/12;2U1(l. II•yuu have nrx laid your lrevious balance, llutse trail your layment iuday. Any Year in Advance payment received will he alllicd to any lrevi(xts balance on this a~reenuvtl SUMMARY OF ACCOUNT ACTIVITY - 07/12/2010 DATE DESCRIPTION OF SERVICE5 INVOICE # CHARGES PAYMENTS/ NET SERVICE ADDRESS CREDITS AMOUNT 06/ 18/2010 Genet al Pest Control 296245670 $79.50 Location: 107 MANCHESTER RD, CAMP I-TILL PA $79.50 17011 Total Due Current 30-60 Days 60-90 Days Over 90 Days $79.50 $79.50 Please detach and return boUom portion along with your haymcnt in the enclosed envelope. "Thank You! Statment Date Service Center Customer No. Statement Amount 1-Year in Advance Amount Pai dlCharged U7/12/2(lIU 22'11-IV11;C11/\NICSl3Ult(i P 25~)~t7H7 yi79.511 $2136.211 A~JN f3 til_L l~i~~•_t><~ui • prot(~elinu, l.tlc•crsc~ ((~> >rot .ti~eiu l ~~ael'r iu the ~~ruil. 107 n~lANCtrI_a-rrtz lu' 1-ADD-1E/~/{~///~//~ CAMP IIILL PA 17(11 I No [3ugs. No Ilassles. terminix.com Remit to: TERMINIX PROCESSING CENTER P.O. BOX 742592 CINCINPJATI OH 45274 I'I'I"I"I (I I' 1 1 1"I I I I"I 1 1 1 1 1 1 1 I' 1 1 1 1 1 1 l't l l I l l l t t l l l' l l l l l l l l Cr'cdit Card Fa~~-nent: .S'r~;~tulurc' Rc'duirczl flc~/~n-t~ Year in a,hance 1'a1'menl. Charge nq credit card $286.211 ('har};e nth credit c:u•d $79.5(1 Circle One: i)ISC'OVfiIZ VISA ~~tastrrCard Ameri~_an 1-:xpress SI;AILS (--------_-- - -- ------I _--'- ----- Credit Card Number l{x~,>. Date Name Iczaclly ;u rt appcar_, on cardl rntsr ~~ttt~tx [ t_ASr Authorized Signature `~ 2 00000000 1,L 000025947879 00000000000029179237 0000795000028620 6 ~•=~ DAVID E BELL PH. 570-584-3066 PO BOX 58 PICTURE ROCKS, PA 17762-0058 Pay to~i}e ~!~;~/°°'~/ ~~d ~ ~~_ ~~ ~~~1~~~~%~~G~~ " Lifest~ First National Banlc **CJ For ~~~~~~ .;~~~ - ~: U 4 3 3 ~ i3 U y~ ~: ti U n9 i `i L j~ u9 ~ II• 3~ 5 b led In/Out '.'I ~,~! ~ ~I~§aiin`~-lat'~"a~N~~i~ - ~ - ~ ;S. s ~mkP ~~'~NE~~~'C ~ J~ _T~rt ~,~ F"~:. I ~ !.~' ., _ ~ ~~ _xase w .sra tom. ~v . .'~ qtr .. ... saz>~ e s'iS 4 _ Y'~'~~.~`3i` +~'N-3~~Y>~,`^~~@~'s..~.A K ~ ~ i Service Property At ~ Service Center .. i .. _:. _ r . .. , _ . ~., .:, , . ~:. . : .. .. _ .' Opel•ator Name & Cet~tification Number Supervisor Name & Certification Number _, , I Taryet Pests: ]Carpenter Ants ^ Pavement Ants ^ German Cockroaches ^ Oriental Cockroaches p Fleas ^ Rats ^ Other ] Argentine Ants ;=.j.Other Ants ^ American Cockroaches ^ Other Cockroaches ^ Silverfish ^ Mice O Other ~~St HOPI#f OI IVI~teP'1aIS US~d EPA Reg. # T/O E/ Amount Materials #used ~ ~se~ 293 Advance Granular Ant Bait (Abamectin 61) 0.011 % 294 Advance Granular Carpenter Ant Bait (Abamectin B1) 0.011 % 295 Advance Dual Choice Ant bait Abamectin B1 310 Advance Roach Gel Bait (Dinotefuran 0.5% 499-370 499-370 499-496 499-507 450 Insiders 400 Insect Monitors 410 Pheromone Traps A I 630 Snap Traps 600 Glue Traps 640 Mouse Bait Stations 315 Ascend Fn'e Ant gait (Abamectin B1 0.011 % 309 Avert Roach Bait Stations (Abamectin) 0.05% 499-370 499-467 reas nspected and/or Treated Pest Control materials used indicated by codes from list at left. 210 DeltaGard G (Deltamethrin) 0.1 % 432-836 ^ Kitchen ___ 211 Demand G (Lambda-c halothrin 0.045% 100-1240 ^ Bathroom(s) __ 14 Demand CS (Lambda-c halothrin) ^ 0.015% 0 0.03% D 0.06% 0 0.007% 100-1066 ^ Living Area(s) __ 540 Generation Mini Blocks Bait Difethialone 0.0025% 7173-218 ^ Basement __ 541 Generation Blue Max Blocks (Difethialone) 0.0025% 7173-236 ^ Attic/Crawlspace __ 571 Maki tvlini Blocks Bait Bromadialone) 0.005% 7173-202 ^ Garage 351 Maxforce FC Ant Bait Stations Fi ronil) 0.01 % 432-1256 _ p Exterior Perimeter 542 First Strike Soft Bait Difethialone 0.0025% 7173-258 __ :[] Landscaped Areas 352 Maxforce FC Roach Bait Stations Fi ronil 0.05% 432-1257 __ ~^ Shed/Outbuilding(s) 355 Maxforce FG Insect Bait H drameth Inon 1.0% 432-1262 ___ ^ Other 312 PT Av~i1 Gel Roach Sait Abamectin B1 0.05% 499-410 151 PT C -Kick Aerosol (Cvfluthrin 0.1 % 499.470 Precautions 70 PT C -Kick CS (O fluthrin J 0.05% O 0.1 % O 0.0075% 499-304 Keep out of reach of children and pets. 356 Maxforce FC Maonum Roach Gel Fi ronil 0.05% 432-1460 May cause eye, nose, throat, or skin irritation. 67 PT Ultracide (Permethrin 0.4% P ri roxvfen 0.1 % 499=404 Avoid breathing vapors mists, or dusts. Harmful if swallowed. 68 PT Wasp Freeze Aerosol (d-trans Allethrin 0.129% Phenothrin 0.120% 499-362 Dampen granules to activate. 76 PT 565 Plus XLO Aerosol (P rethrins 0.5% 499_290 Do not tamper with rodenticide placements. 80 Tempo Ultra WP (Cvfluthrin ~ 0.025% U 0.05% 432-1304 Do not return to room until after ventilation. 83 Tem n Ultra 5C (C~ fluthrin ~ 0.025% O 0.05% 432-1363 Do not touch treated areas until dry. 100 Borid Dust Boric acid 99% 9444-129 For flea treatments, remain off treated area for a minimum of four hours or until dry. 120 DeltaDust Deltamethrin 0.05% 432_772 Treatment Code (T/C): C =Crack & Crevice V =Void G =General 122 Mother Earth D Diatomaceous Earth 100% 499-509 S =Spot BT =Bait DC = Dire<;ted Contact B = 3' Band SP =Space 39 InTice Granular Bait (Orthoboric add 5% 73079-2 IN =Inspection Only 365 PT Advance 3888 Ant Gel Bait Borax 5.4% 499-492 Equipment Code (E/C): CS =Com Air S ra er 7 =Tr s S d 158 TriDie Bulk Dust (Silica Gel 40% {P rethrins 1.0% 499-429 p. p y ap = prea er BS =Bait Station HD =Hand Duster A =Aerosol &29 .-Phantom SC Chla•fenap r) 0.5% 241-392 BG =Bait Gun PT =Power Treatment F = ULV ` 841 Termidor SC (Fi ronil 0 06% . 85 Tem rid SC Imidaclo rid. C iuthrin :10.0133% U 0.075% 7969-210 432-1483 - Supervisor's Comments: 36 Mother Earth Scatter Bait (Boric Acid 5% 499-515 - -~~••~•~•~~ ~ervwe iecnrocian's Signature _ •- Date x x .~:; _. . Special Service Instructions: ~ Treat for Infestation/Prevention or Inspect areas indicated UPON REQUEST TERMINIX WILL PROVIDE THE PURCH.gSER WITH - A COPY OF THE~MANUFACTURER'S SPECIMEN LABEL OF THE PESTICIDE(S) WHICH ARE USED TO TREAT THE PREMISES. ,. , .. _ f._;f~~•;~`aOL~~E1 f~RU4~LEa»~iS? - .. ~;~i~,l.. ~-~~~°7~P,wliI~11X ~~{°i3C3C-°t~.~i7~vG4-ti~1~/ _ Sl:rtf~! •.k~f.te9"91'1{rl1;C.GOlY6 The Patriot-News Co. 2020 Technology Pkwy Suite 3~~---~- ---- Mechanicsburg, PA 17050 Inquiries - 717-255-8213 KUNES 413 WASHINGTON BLVD WILLIAMSPORT PA 17701 c~he ~latriot News Now you know THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Holly Blain, being duly sworn according to law, deposes and says: That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respE~ctively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared on the date(s) indicated below. That neither she nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to vE3rify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adapted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for thE~ Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY ~~ NOTICE OF EXECUTOR Notice is hereby liven that letters testamentary in the Estate of ETHEL ANN BELL, a/k/a ETHELA. BELL ,21- 10-0691, of the Township of Lower Allen, County of Cumberland, and the Corw monwealth of Pennsylvania have been granted to David E. Bel I. All persons having claims against the estate are re- quested to make known the same to the Executor or attorney named below. All persons indebted to the decedent are re- quested to make payment without delay I to the Executor or attorney named be- low. -David E. Bell P.O. Box 58 Pictures Rock, PA 17762 I Adrienne J. Stahl, Esquire steinbacher & Stahl A13 Washington Boulevard Williamsport, PA 17701 This ad # 0002091878 ran on the dates shown below: September 03, 2010 September 10, 2010 September 17, 2010 i I J ~ ,w/ ~p~1 -~ ./ Sworn to and subscribed before me this 20 day of September, 2010 A.D. .e ' -- ' .._._ _..-~ Notary Public ? ~~'nLC3fiuf ~.~~i~... --~ i S~~•rri~ L. ~isnAr, E~c~t~r~ ~iai;ii•~ i i_ow~; ~°c:tan Y"~v~:, ~cu~lhi;~ 4o~ntz~ I I~ay Cr^Pi'll.~'iSlOri 4~ ri?r~5 ~•vv`. t~7t~.~i ~ .-. 1 -. ~i 3ii~d ,S~Jr:id~.-;lFi i r~Cly~.rl-;'= r... r' PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tames Kleinklaus, Director of Sales and Marketing, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newsy>aper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13~, 1881, since which date THE SENTINEL has been regulalrly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): Tuly 27, August 3 and August 10, 2010 COPY OF NOTICE OF PUBLICATION NOTICE OF EXECUTOR NOTICE is hereby given that Letters Testamentary in the Estate of ETHEL ANN BELL a/k/a ETHEL A. BELL, 21-10-0691, of the Township of Lower Allen, County of Cumberland, and Commonwealth of Pennsylvania, have been granted to David E. Bell. All persons having claims against the estate are requested to make known the same to the Executor or attorney named below. All persons indebted to the decedent are requested to make payment without delay to the Executor or attorney named below. David E. Bell P.O. Box 58 Pictures Rock, PA 17762 Adrianne J. Stahl, Esquire Steinbacher & Staht 413 Washington Boulevard Williamsport, PA 17701 Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, anal that all allegations in the foregoing statemE~nt as to time, place and character of publication are true. Sworn to and subscribed before me this :t ''~J• Notary Public My commission expires: NOTARIAL SEAL BAMBI ANN HECKENDORN Notary Public CARLISLE BOROUGH, CUMBERLAND CNTY My Commission Expires Jan 27, 2014 "~,> M~ z '~i O i~ l~ v v ~~ t~ O' O `~ ~~ 4 C1~ O ~ ~~ ~ i~~ ~ ~ ~ ~ ~ ~ v, Z n M ,~ ~ ~ ~ ~ ~ ~ mow' M ~ = N °Z w~inm a M ~m '~ ~~ ~ ~~ ro io ~ p ~ r\ ; `~,/ ~ ,~ VF -,~ `\~\' ~1 In Q \` ~ '` ~ \v J ~ a ~\ m~ U Wo~oao~ ~, ~o~¢ >~n~p~ O ~aaa ~~ a. O ~~~. :; ~. -~ ~. ~~; ~ ~. f=~ '~ r, r ~ , ~ i ,: ~ tt{ ! ~¢ `if ` ~ ~1'Q i ~. ~1,y'` f ~ ~- i j~.n3 1 1 1 4 ' ;, 1 ~ ,~ ~ * r„ ~~ * J N :s«y t r l r'f1 ~~ F=. O ^~ = e i'S~I .~ RI k' U ~ 81 W ~ _ ~ , a~ ~ G ~; •. I 1 ~ ~ ~. ~. ' i% ~ LL. p - c i,F :! ?!I vS'rl.~ O O ' O C7 '~ O7 C97 ~ CU Ca l7) ~ ~ ~ i~ y ~ ~ s- Ll. a) -} -~ ~ _ 0 ~. •~ r i~.~ ~ M v J ~ CS) CC O t) N `° i rv~ r z ~ ~ ~ 4) ~«+ G O O + 000 ~..P)G NOO~O ~~.~a `-' c~pm ~ ~ ~ ' V t) ~ 47CI7O CD ~7NOc1'Qi sI ~ ! ~"~ S~ G N O 0 ~s a' c6 Q~ ' s ~ `c. _ ~ w ~~ , I a . ~ ~ C7 O 41 4. 3 ~ ~' ~ ~" .ew c~ k- O : iii V __ ?-. p_' "' ! a ~ ,.~.~ 4:' ~ ~ Q N ~ ~ tt7 ~ ..C L1 ~~-wJ i `r ` O- rn _ ""'' l i ~ c p ~ C ~ ~ Cyyi ro 1 R.1 ],, 03 V ~ ~ ~ d ~ X7"..3 CIY (=.9 ~ o ~ C6y ~ ~ " J ,~ } ;; ~ ~ d c6 }, ~ ate. Cy7) l4 fC ~ .C Q L ~ ~ ~ ... ~ . c c "- ~ -- u ~"~, c cv ~ •~ ci ~ tf v,~ J * - G o ca ... "' c°~ y,- .., ~ 'o :w cu = cn v E a ~ ru + ', o ~s a r ~- I o `~ ~~ ~ ~ i s g ~- o v ~ ~ ~ a N ~ a.. ~ ~ ~ N = Iv D? } ^ ~~`~ r Q ~.C ~ r t3' ~ y N 'p ~ O ~ O ..J ~ , CA S~ ~ I ~, d c ..a ,~ ~ LL ~" s.. QO ~ i- O QI.O r, °; W O Y ~ [~' a , . ~ va ~ N o y m o ch +- ca M U - ~ ~' ~ ~ ca e) en 4, 1°!-~~•- ~ a~ -~,a'S cv~7~ ~.~ try.? pc)xw ~ a ~ ~ ~ f~' ~wWCn¢ a:.~ o ~ coo`- =.o r. >~~j ..o .._ ~y r ,:~ .~ ',s ~t'~ •~ ,J m ~ a. ii9 ~-• ~z.. ~ ~ {~. I~ O d G. ~ fA h- •"' O r4 . ...r ~] d ~6 ! i~ a --~ O U -~ 4n , ~ G5 O ~ (A N M n- 43 y ~~ 'CC = ~ () O -1: ~ ~ C7 s jj i (f to w . J LO ~-' O. o C ~ s- ~.. .... ~ o ~ ~ N GU ~~ :~~ ~~~~(i~l -~I~t~~ C'~ ~ `~ Z V N ICPJ ~ ~ ~ O X ~ ~ ~ 0 tl a <L ~ ~ ~ ~ 4 ~ ~ . s.. ~ i d ~~~f'~`>s C]. C4 O N ~ .. :' ~~ 9 CJ _ ~ ~ U _ _ __ _ _ ._ _. __. _ _. ,. ~ or ~ (; ?," , 1 `~. GAS SfRY/Cf Billingg Summary for Service to: ~THELBELL EST CIO DAVID BELL 107 MANCHESTER RD CAMP HILL PA 17011 Rate Classification: P,esidential Heating Billing Period: 06128,''2010 to 07/29x'2010 (31 days) Remote Device Read questions? ;;all 800-?_76-2722 or write to UGI at PO BOX 13009 Reading, PA 19612-3009 four current UGI charges include State taxes totaling about $ 0.44. Past Bill information - UGi Utility vL1S$GiTIBC NLII~'l~?P(" The account balance on your fast bill was ................ $ 85,G0 Thank you for your payment of ..................................... -B9.OQ 218 191 7310 11 Your balance as of 08/02/2010 ................................... O.C'^0 Current Bili Information -UGI Utility Customer Charge .............................................................. 8.55 Commodity Charge (4 CCF at $0.81500) ................. 3..26 Distribution Charges (First 4 CCF at $0.45250) ...... 1.81 PA State Tax Surcharge .................................................. -0.04 Total Current Charges -UGI Utility ............................... 13.58 Budget Billing Close Out Amount ................................. 76.24 UGI Utility charges owed this bill .................................................................................. $ 76.24 Total Amount Due, Please Pay by Due Date 108; 23/2010) ..................................... $ 76.24 7.00 6.30 5.60 4.90 4.20 3.50 2.80 2.10 1.40 0.70 0.00 Last This Average Year Year Meter Information -Next Read Date August 27, 2010 Meter Number Previous Reading Present Reading CCF' Used 1264278 878 {remote) 882 (remote) 4 Messages from UGl • Your current price tc compare is ~ 0.81380 /CCF. 'Your total annual usage is 800 CCF. Your average monihly usage is 66 CCF. `Your annual budget ;rear began with September 2009. To date you have been billed $ 1,11 B.24 To date you have used $ 1,118.24 ^ Nelp prevent pipeline damage, accidents and service disruptions. Cal( 81'1 before you dig. • Sign up to view and pay your future UGl bills online at www.ugi..com. CCF/day 0.21 0.13 If ou a at a a ment a ent lease take our entire bill. Mal::e check a able to UGI. Daily temperature 71 °F 78°F Y p y p y g p Y p y Keep tt;is part for your records. Imfrortant inforrr~atian is an the back Qf this bill. --_____ UGI Utilities, Inc. Customer Nurrrber Please pay by the due date - PO Sox 71203 to avoid the late charge. ~~- ~ ~ ~,' ' 218 191 7310 11 Please: return this portion Philadelphia, PA 19176 --=__- GAS SfRY,Cf with your payment. RH f,1B 01 014865 06435 B 58 A I11lIIII~~~i~~~Il1E{l~~ll~~l~llll~~olll~el~ll'161111~I~I~Q~~~1~~1 ETHEL BELL EST C/0 DAVID BELL PO BOX 58 PICTURE ROCKS PA 177b2-OQ58 r 280 2~81~],~'3ZD],Za$2~OZ~C10~7624Ga0a95QQGQ~DQuQQQC~~Q~OQQQflL 5 wf J AS QNDJ FMAMJ J 2009 Months 2010 # _1285 ~~IOUNT X76 . ~~: ACCOUNT : T:P.US i' -- 5 PA ID TO : UGI ~;`t_:_ _! -_ ~_ies, Inc . Cust # 21819"173:1011 Estate of Ethel Ann Bell CLIENT: 1775 - David Bell MATTER: 10-3448 ~~: 1.285 ~ X85 ~ pp //r~ ~+ " ~ TIE ~91JNC1 PiANFiA1~D~ZUST COMPANY ST~:~~~NIiH~~ ~ ST~HI. ~~~ 1•~IINCI'.hLb'NSl'LVANIA ~[ ~FLSOeduntaHuviie~s~c IOLTA ACCOUNT 60-949-313 413 V1/ASHINGTCN BOULEVARD WILLIAPJISPORT, PA 17701 ro C O N N DATE AMOUNT ° N Aug 11/2010 $76.24 Seventy Six ~*~~~~-~~~*~~~~~~~~~~~:~~~*~*****~~:~~~~~~**~~~~*~~*~~*~~*~X 24/100 T PAY TO THE UGI Utl.l.lt~ eS, InC. ~~ ORDER OF , ' ~ AUTHORIZED SIGt~fFS~TURE-~ ,~. C u s t # 2181917 31011 -` ~ '~"f n°00 ~ ZIP 5n° E:0 3 L 30949 5~: 4640 X64 306n' ~ m,~~ ~.. ~~ ~V -= GAS SfRV/Cf Billing Summary for Service to: ETHEL BELL EST CIO DAVID BELL 107 I~AfJCHESTER RD CAMP HILL PA 17011 Rate Classification: Residential Heating Billing Period: 07129; 2010 to 08/26/2010 {28 days) Remote Device Read questions? Call 800-276-2722 or write to UGI at PO 13QX 13009 Reading, PA 19612-3009 Your current UGi charges include State taxes totaling about $ 0.44. Past Bill Information -UGI Utility Customer P~urnber The account balance an, your last bill was ................ $ 76,24 Thank: you for your payment of ..................................... -76.24 218 191 7310 1 1 Your balance as of 08;31/2010 ................................... 0,00 Current Bill information - UGi Utility Customer Charge .............................................................. 13.55 Commodity Charge { 4 CCF at $0.81500) ................. 3.26 Distribution Charges (First 4 CCF at $0.45250) .,.... 1.81 PA State Tax Surcharge .................................................. -O.04 Total Current Charges -UGI Utility ............................... 'i 3.5g UGI Uti{ity charges owed this bill ...................................... $13.58 - -- otal Amount Due, Please Pay by Due Date (09/2112010) ..,....... $ 13.58 ............................. Meter information -Next Read Date September 28, 2010 7.00 _- 6.30 5.60 4.90 4.20 3.50 2.80 2,10 1.40 0.70 0.00 Meter 1~6umber Previous Reading Present Reading CCF Used 1264278 882 (remote) 886 (remotE:) 4 Messages from UGI °Your current price to compare is $ 0.81380 /CCF. °Your total annual usage is 798 CCF. 'r'oar average monthly usage is 66 CCF. ° We can make your energy costs easier on your budget with our 12 month Budget Billing plan. Your monthly payment would be approximately $ 106.00. For more information about this plan call UGI. ° Help prevent pipeline damage, accidents and service disruptions. Cal( 811 before you dig. ° Sign up to vie~r~f and pay your future UGI bills online at www.ugi.com, Last This Average Year Year CCF/day Daily temperature 0.19 0.14 75°F 75°F If You PaY at a payment agent Keep this part for your records please take your entire bill. Ma!Ice check payable to UGI. . Important information is on the back of this bill. -_ -_ =- _ ~ `~ ~t ~ UGIIJtilities,lnc. PO Box 71203 p Philadel hia, PA 19176 ~~~®~~~. CustGmerNumber Please pay by the duedai 218 191 7310 11 to avoid the late charge. Please return this portion =:== GAS sfav/Gf dvith your payment. RN Dl~e Date ~~+iB 01 0164:,.& 15944 B 62 A Se~)ternber 21, 201 I~lil:I'Is:Ali:~Ill~~::~~:~i,I:II~~~II~I:I(~,:Illllll(~ll::(IE:,~ , i ETHEL BELL EST $ 13.58 C!0 ~~ ~! I J B E L L i lr1/ith irate ~,harge PO BOX 58 PICTURE ROCKS PA ? 77b - ~ $ 1;3.75 2 Q058 280 , 3 2~~~9~~oyoti~o~a~o~ooooa~o~~ooool~aaoooooooaooaaoooooooo~ AS(}NDJ FI'JIAMJJA 2009 Months 2010 u a~~~r ~ E~ ~~. ~; i : ' ~. i ~J 1 '~ ~~ _J T $1 ~ . ~ ~~~ .AUNT : T.=~US 1 - iD T0: UGI ~;t:i:1~t-yes, Inc. ~cc't # 218 1~1 710 11 Estate of Ethel Ann Bell ;LIENT: 1775 - David Bell TATTER: 10-448 /'1t';S I'I[E~'1[TNCI'PANKr1IyTD~II:US'1'COi+'IPA~~Y ~fEiNB~4CHE9~ & STAHL ~~ ~IUNCI',PENNSS'L\'ANIA i01_TA ACCOUNT 60-949-313 413 1NASHINGTON BOULEVARD WILLIAMSPORT, PA 17701 EZ Fzsl~~ala~~ a~.k Fra~e ~1'rolc:~ion lu Botiness 1 326 1626 DATE AMOUNT Sep 8/2010 $13.58 thirteen ~***~~7k~:~~*~~:*~~~**~-~~~~~~*~**~**~~*~***~*~~*~~~~~**~~**~~*~* 58/100 PAY TO THE UGI L1t111tleS, InC . ORDER OF ~~ ~ HUTHORIZEp'SIGhJkTUF3E~ ?~cc't # 218 191 731.0 11 n°00 L 3 ~6i~' 0.0 3 L 30949 5eW 460 Z6~, 306~i' U C O N Ql ro _~ T U ~,~,, L+I ~~, . yz~ ~. -_. GAS SFRV/CF billing Summary for Service to ETHEL BELL EST Ci0 CA111D BELL 1G7 iviANCHESTEP,RD CAI~AP HILL PA 17011 Rate Classification: Residen!:ial Heating Billing Period: 08.26/2010 to 09/11,'2010 (22 days) Final Read Questions? Cal! 900-276-2722 or write to UGI at PO BOX 13009 Reading PA 19612-3009 `Your current UGI charges include State taxes totaling about ~ 0.32. 7.00 6.30 5.60 4 90 4.20 3.50 2, 80 2.10 1.40 0.70 0.00 Past Bilt Information -UGi Utility ~tlStOmer Number The account balance on your last bi{l was ................. ~ 13.58 Thank you for your payment of ...................................... -13.58 21819 i 731011 Your balance as of 09/23; 2010 ...........:........................ 0.00 Current Bill information -UGI Utility Customer Charge ............................................................... 6.27 Commodity Charge (3 CCF at $0.81667) .................. 2.45 Distribution Charges ......................................................... 1.35 PA State Tax Surcharge .................................................... -0.03 Total Current Charges -UGi Utility ................................ 10.04 UGI Utility charges owed this bill ..................................................................................... $10.04 Total ,mount Due, Please Pay by Due Date (10;14/2010) ....................................... $14.04 Meter Reading Information Meter Mumber Previous Reading Present Reading CCF Used 1264278 886 (remote) 889 (final) 3 Messages from UGI ®Yaur current price to compare is $ 0.82458 /CCF. ®Your total annual usage is 795 CCF. Your average monthly usage is 66 C;CF. ®Thank you for your business. You have maintained an excellent payment: history with UGl. This bill may be used as a credit reference for obtaining future utility service. Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. If you pay at a payment agent please take your entire bill. !Make check payable to UGf. Keep this part for your records. Important inforrrzativn i:s on the back of this bill. UGI Utilities, Inc. Customer Number Please pay by the due date PO Box 71203 218191 (310 ~ 1 to avoid the late charge. Philadelphia, PA 19176 Plea+se return this portion with your payment. AB 01 014973 23724 A ~2 A (~,~,~,lull,I~I~~I:~IIIIl~llll„II~II~o~lllllllllelllllll~l~~eil ETHEL BELL EST C/0 DAVID $ELL PO $On 5$ PICTt1RE ROCKS PA I77b2-005$ ?70 Last ThEs Average Year Year CCFlday 0.19 0.14 Daily temperature 65°F 7U°F _' .nva. L -~.. -.~=" GAS SF9ViCF 2~~1~I,~37~07~7,~0~~O~,DOOO~,OD~000OI~~G0000000000000€70000004 ~'~~; SQN®JFMAMJJAS 2009 Months 2010 1??:~ ACHER & ETA LL ~~ ~courlr Sep J 0 / 010 ~• # : 1373 )UNT $10.04 ;OUNT: TRUST - 5 .D T0: UGI Utilities, Inc. ~'t # 218 191 7310 11 Estate of Ethel Ann Bell. IENT: 1775 - David Bell I'TER: 10-3448 STEINBACFiER & STA~IL IOLTA ACCOUNT 413 WASHINGTON BOULEVARD WILLIAMSPiDRT, PA '17701 ~'n« Altri`c~° ~nrrx:~`nTet~s1~ Corrr~r~~Y r~. EZShield"'Ct~;kFraW ~~' ~IIINCY, ~Li\NSl'L1':\NIA ~~Proi~riionmr0~sness 60-949-313 13 7 3 1373 I DATE AMOUNT Sep 30/2010 $10.04 ,n ~*~~~~~~~~~-~~**~~~~~~~*~~*~~~~**~***~~~*~*~~*~~~~***~~***~~~~:~~~~ 04/100 PAY )THE UGI Utilities, Inc. ~ 3DER fi e r a AUTHORIZ S GNATI~RE~- c ' t # 218 191 7 310 11 ~,.r~,m. ~_. _..r_, - n~00 L3~311' x:03 ~309~95~: ~,6~,0 ~6 30611' ro 0 N N N N 7 ro ~. i MANAGER LANCE LAUBACH ( 570 ) 368 -- 5450 ST# 1887 OP# 00001020 TE# 08 TR# 00672 1 MIL DROP 007325700943 2.47 X TRAYSET 007004252676 5.00 X PAINT 060538818611 56.87 X SUBTOTAL 64.34 TAX 1 6.000 X 3.86 TUTAL 68.20 ECA CHECK TEND 68.20 CHANGE DUE 0.00 when you pay by check, you authorize us to use its information to process an Electronic Funds Transfer (EFT) or a draft drawn on your account, or to process the payment as a check. If payment is returned unpaid, you authorize collection of your payment and the Return Fee below by EFT(s} or draft(s) drawn on your account. Call 888-905-33$8 with any questions RETURN FEE AMOUNT 30.00 ~ I T EMS t~L~ TC# 2951 4965 2669 6672 7477 ~; III I II ~ I III I III II IIIII I II III III II I I I II III I III II I I IIII I we want you to pay the lowest price. Ask about our price match policy. 07/26/10 15:28:16 }!{ ,, " ~' ~~ ~ "' ° d_ N ~ _ N ~" ~Z a¢ M~a ~m ~,l R ~~ >' 'a ~, _~ ,1 ~~ I~ ~. ~_'{ ~ i, ~i i I ~, + i .^ i:~ 1I ~~ I I ~ ~ g, ~ i ~ ..s ~^-~ ~ ` i I _ I ':l _ I ~ ~ ~ {-~- ~ L s t~ L I 1~, SI~ '_ 2!_ _ ~ e~ .: ~ ~, ...1 ~ ri ~..; ._ I .i~ ;~. '~ .~ ~° ~; ~ {Y ~ ~('~ ~~ I 3 1 N CAD j +~~ l ..u ~ ` '~ ` ' I ~,~ ~ ~ .~ W v , t ` i o ~,x ~ ~'~ ti~7 ~ ~,,~ _ D~n~.n. dO ~! ~./ 1. ' r , ^-. '~', ', ` ~ ~:~ ~~~ ~ x ~'V' ~ :-. j . R.~ *~ 0 f ~ ~ • WI ' 4 ~ r L.J K ~ fL I ~ I~ U ~' ,'d { _ 'l i O `~ 1 - ~ I ~^~ ITu u ~ (~ m ~ O I~ C r-~ ~ ~ ~ ~ z ~~ ~ ~ s a~ L O i ^ • ~ ~ L ~ ~ ~k weis THRNKS FDh SHOPPING WETS MARkEiS iti25 1195 Luwtiier Road Camp Hill, PA. 1"10i1 TELEPHONE: 717-737-7U91 YOUR CASHIER TUURY WAS Nick W~~ SPRNi; WTR 2.99 f= E3NLS SPRE RB PC 7.09 F 1.92 lh@1.99 !1b=2.83 SC GNLS SPRE RB DTSL 9.26-F O h7 tb @ 1.99 /Ib I,JI 9~~90 ROMAINE LETTC 1.33 F GMATE MARINO l,i)9 F U hl lb ~? 3.99 %tb WT 9c,u9 ON THE VINE lI-'C ?.43 F ~ L. ;h '~ I 7~ i lb = 1 :.'1 _>L' 4;;b9 ON TIIE V DISC 1 22-f= 0 35 1h is '-99 /ib W1 a159 SWEET f_'iN10NS 0 70 F W~~ ?STY I fAL F'f~ 1 , 99 F SC Wt 2SIY ITAL DISC 0.74-F 9ti0 i;ANrFlLUUPES 2.99 F TAX 0.00 ~+~+~* BALANCE 14 , 39 OF PERSONRL CNECK 14.39 CHANGE 0.00 fOlRl_ NUMBER OF ITEMS SDLL' = 8 Weis Club Savings Total 6.22 Your Total Savings: 3Ur.. $6.22 U7i29!10 01:35Pm 125 109 68 53 1 i + + + +~+ + + , + i i-} i- 1+ 5 41 l +i } } } i -1-f + i WEJ5 MARKETS + }+~1 + i-+ ~~URLITY SINCE 1;17 POIIJIS WILL rJUT APPLY N(1R REDEEM FUR: POSTAGE SIRMPS, MONEY UP.DERS, MILK, l_UTTERY TICKETS, CIGRRFT(ES,GIFT CARDS HLCUHGLIC BEUERRGES, GAS PURCHASES, i;RERM, SALES THX,THIRD PARTY PHARMACY PRESCRIPTIONS RrJD PHONE HND UTILITY PAYMENTS, WESTERN UNION AND WHE.RF. PRUHIDITED BY LAW Weis Gas'n Go Fuel Rewards Use dour Weis Club Card and for ever~r t;50 Purchased rn a single ironsaction earn $,10;9allnn Earn Fuel Rewards thru 9/2Fi/10 Redeem Fuel Rewards thru 10!02!10 Your Wers Fuel Rewards Rre: 0 'JISIT US ONLINE AT: i~ ~i+'~~S I I IF1NK:;. F i_I(l ';1Ik,PPI P~.IG WE I ~ MRRKE k S # 125 1195 Lo,~itF.er Road Came Fli l': f=R. 1i'O11 lE!_ l_F;~{~ ~r.~~- ~ 1 ~; ~;;Y . 791 YOUR CA`;N.[ER 1 i)11H''r' hl~i Ka i t i~-in E ki)Nl I l ':;`; i~! ~ ~~'~ i hNP(; ~ . (jn F Mf._A' ~ ~~,~;;.1 I 1 .99 F >i,Ira ~ ~~ i k-GGS 1_ i~9 F SC fs[lNELE `~,`~ BRER DISC 3. ?2-F r~ax o . Oo **~* Bf~LANCE 7.44 VE PI~RS(]NAl_ CHECK ~ . 44 CHANGE 0.00 IOTf~i._ PdlIT1!s(R Cii L~ii•1'; `;;'~ D = 3 !~1e i s (: I uk~ ;-•av r~~-i5 Tot ,; i 3 . ?2 ?r,t,r' TOtd k JaVJ.I-19S : ~,~% $,3 ?) 0~~'; _~~_~' 10 I 1 : 47am 1 :?5 1 C?9 96 19~ ~~Irzs MaRK~ ~ S (~UAEITY SINk~E 191'r_' POIN I-C; ICI [LL NO ( AF'fL_Y NOR f?EDE=EM FOR : POSTAGE STAMPS, MONEY ORDERS, MILK, LOITEFtI' I(CKETS, C:zGARETTES,GIFT CARDS ALCC?NOL~[C BEVERAGE f:~A> PURCHASES, CP,EAhf, SALES TAX, THIRD PARTY P(IARMACY PI?E`;Cf?IP-(IONS ANk) ('DONE ANI1 U I Il ITY F'fiYMEfd (S, WE`>TERN UN.iON AND k,IHt_RE F'F<;C1H11~]Ti=1) I)Y i__AIAI k,~e i s Gas ' n Go F~.~e l I-,,~,,~arc~ Ust ~ao~.~r~ leis Club Car°;.~ and for E'VF~r~-i `E5U F~~r~~kiased 1n <9 t51ng]Q Iii ~.. -,~..: { 1 Oll Prji-'fl ~ . ~ 0% ~3<l A I ~)n Tarn I uel R~+,~ards thru `3/25; 10 P,edeem F~_~e] R~warris t hru ? Oi 02/10 1'o~_~r lJe l s F~_,e~ l R~-war ijs Are n ~ <{ 700. Total Real Estate Broker Fees $ 9,340.00 Paid From Paid From Division of commission (line 700) as follows: Borrower's Seller's 701. $4,795.00 to REIMAX 1st Advantage, Inc. Funds at Funds at 702• $4,545.00 to Prudential Thompson-Wood Settlement Settlement 703. Commission paid at settlement _ 9,340.00 704. Buyer Setllement Fee to Prudential Thompson Wood 200.00 800. Items Pa able in Connection with Loan 801. Our origination charge (Includes Origination Point % or $0.00) $582.95 {from GFE #1) 802. Your credit or charge (points) for the specific interest rate chosen $ (from GFE #2) 803. Your adjusted origination charges (from GFE A) 582.95 804. Appraisal fee to A raisal Logistics $450.00 P.O.C. B` (from GFE #3) 805. Credit report to First American Credco (from GFE #3) 17.37 806. Tax service to Gra stone Mortga e (from GFE #3} 79.00 807. Flood certification to from GFE #3 808. to 900. Items Required b Lender to be Paid in Advance 901. Daily interest charges from from 09/17/2010 to 10/01/2010 @ $14.1100/day (from GFE #10) 197.54 902. Mortgage Ins. Premium for months to (from GFE #3) 903. Homeowners insurance for months to Allstate $480.73 P.O.C. B' (from GFE #11} 904. months to (from GFE #11) 1000. Reserves De osited with Lender 1001. Initial deposit for your escrow account (from GFE #9} 588.00 1002. Homeowner's insurance 3 months $ 40,061month $120.18 1003. Mortgage Insurance months $ 0.00/month $0.00 1004. City Property Tax months $ 0,00lmonth $0.00 1005. County Property Tax y months $ 51.45/month $463.05 1006. Assessments months $ 0.00/month $0.00 1007. School taxes 4 months $ 104.47/month $417.88 1008. Aggregate Adjustment $-413.11 1100. Title Char es 1101. Title services and lender's title insurance (from GFE #4) 1,352.26 1102. Settlement or closing fee to $ 1103. Owner's title insurance (from GFE #5) 82.50 1104. Lender's title insurance $563.00 1105. Lender's title policy limit $121,200.00 Lender's Policy 1106. Owner's title policy limit $151,500.00 Owner's Policy 1107. Agent's portion of the total title insurance premium $474.35 1108. Underwriter's portion of the total title insurance premium $171.15 1109. Ln. 1104 incld. End. 100,300,900 to $ 1110. Insured Closing Letter to Commonwealth Land Tifle $75.00 1111. Reimb. Exp. Mail Ln Pkg to Communit Settlement LLC $20.76 1112. Notary Fee to Mark K. Eme $35.00 10.00 1113. EIec.lFacsimile Trans. Ln Pkg to Communit Settlement LLC $35.00 1114. Attorney Review Fee io Mark K. Eme , Es uire $623.50 1115. Closing/Disb. Fee(100.OOPOC by Er~~~mmunit Settlement $ 1116. Information Search (150.OOPOC Em~,Qommunit Setlement $ 1117. Lines 1103 & 1104 AA Rate to $ 1118. Reimbrax Cert. Fee to Communit Settlement LLC $ 10.00 1119. Deed Preparation to Steinbacher & Stahl POC b Selle $ 1200. Government Recordin and Transfer Char es 1201. Government recording charges (from GFE #7) 148.00 1202. Deed 364.00 Mortgage $84.00 Release 3G.00 1203. Transfer taxes (from GFE #8) 1,515.00 1204. CitylCounty taxlstamps Deed $1,515.00 Mortga e $0.00 1205. Stale Taxrstamps Deed 31,515.00 Mortgage $0.00 1,515.00 1206. Deed 30.00 Mortnage $0.00 1207. 1300. Additional Settlement Charges 1301. Required services that you can shop for (from GFE #6) 1302. Survey to $ 1303. to i 304. to 1305. 2010111 School taxes to Bonnie I<. Miller,Treas.,Tax Collector 1,279.231 1306. General Repairs to Drain Doctors 350.00' . r r .. . • r r 4,762.62 12,504.23 'Paid outside of closing by (B)orrower, (S)eller (L)ender, (I)nvestor, Bro(K)er. Previous editions are obsolete Page 2 of 4 HUD-1 Com arison of Good Faith Estimate GFE and HUD-1 Char es Char es That Cannot Increase HUD•1 Line Number Our origination charge # 801 Your credit or charge (points) for the specific interest rate chosen # 802 Your adjusted origination charges # 803 Transfer taxes # 1203 Char es That in Total Cannot Increase More Than 10% Government recording charges # 1201 Appraisal fee # 804 Credit report # 805 Tax service # 806 ~. • ~• ~ i ~• Char es That Can Chan e Initial deposit for your escrow account # 1001 Daily interest charges from # 901 $14.1100/day Homeowner's insurance # 903: Title services and lender's title insurance # 1101 Owner's title insurance # 1103 # # Loan Terms Good Faith Estimate HUD•1 582.95 582.95 0.00 0.00 582.95 582.95 1,515.00 1,515.00 Good Faith Estimate HUD•1 160.00 148.00 450.00 450.00 17.37 17.37 79.00 79.00 706.37 694.37 $ -12.00 or -1.6988% Good Faith Estimate HUD•1 2,100.00 588.00 214.62 197.54 540.00 480.73 1, 285.75 1,352.26 150.00 82.50 Your initial loan amount is $121,200.00 Your loan term is 30. years Your initial interest rate is 4.2500% Your initial monthly. amount owed for principal, interest, and any mortgage $596.24 includes insurance is 0 Principal 0 Interest ^ Mortgage Insurance Can your interest rate rise? Q No. ^ Yes, it can rise to a maximum of %. The first change will be on 1 I and can change again every years after I ! .Every change date, your interest rate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be lower than % or higher than %. Even if you make payments on time, can your loan balance rise? 0 No. ^ Yes, if can rise to a maximum of $ Even if you make payments on time, can your monthly amount owed for Q No. ^ Yes, the first increase can be on ! / and the monthly principal, interest, and mortgage insurance rise? amount owed can rise to $ The maximum it can ever rise to is $ Does your loan have a prepayment penalty? Q No. ^ Yes, your maximum prepayment penalty is $ Does your loan have a balloon payment? 0 No. ^ Yes, you have a balloon payment of $ due in years on I l Total monthly amount owed including escrow account payments ^ You do not have a monthly escrow payment for items, such as property taxes and homeowner's insurance. You must pay these items directly yourself. 0 You have an additional monthly escrow payment cf $195.98 that results in a total initial monthly amount owed of $792.22. This includes principal, interest, any mortgage insurance and any items checked below: Property taxes 0 Homeowner's insurance ^ Flood insurance ^ School taxes ^ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. Previous editions are obsolete Page 3 of 4 HUD-] ~c~c~ 1 I 1' HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed the HiUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made cn my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. i'~ Jea~r~(~i. Keeiey / ;, ~ J; ~ ~ Estate of Ethel Ann Bell Agent: David E. Bell ,,. The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this statement. SETTLEMENT AGENT DATE WARNING: IT lS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOP. DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete page 4 of 4 HUD-: Four AT'S~~Iy ~~atement March 20 - f ui~e 19, 201CM #BWNCJFM #09070056322[713# B ~~~~~~~~~~~~~~~~~~~~~~~~d~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ETHEL A BELL PO BOX 58 PICTURE ROCKS F'A 17762-0058 . .- Previous balance ......................................... ......................... ........42.24 Payment received Apr 5 - Thank you ............ ...... .................... ... ..-42.24 AT&T Value Rate Plan ................................. ..............p 2 ...... .........4.95 AT&T direct dialed calls ................................ ..............p 2....... .......16.17 Other charges and credits ............................. ..............p 2....... .......11.85 Taxes and surcharges .................................. ..............p 2 ...... .........3.83 Total amount due $36.80 Date due r ~fi ~.. .. ~~~ y., Customer ID: 717 761-5226 005Ei322 Page 1 of 3 Customer Service: 1 800 222-0300 Text Phone (TTY): 1 800 855-2880 Internet Address: www.att.corr~ ~~~ Extra! Extra! Need to pay your bill quickly? Dial 1.800.288.2747 and use AT&T's automated system to make your life easier! .~ Benefit news Sign up for AT&T Online Billing and you won't get another paper bill! To ~;ign up just visit www.att.com/online July 3, 2010 This statement includes charges from the last three months . ,~ ~~ nkY ~ ~ ~ - F: ~ M ch ~ ~ _ ~LLOm Never Mail Another Check to Pay Your ATBT Bill. For the ultimate c i ~` ~~ ~"~ ~m ~ ° ~ ~ ~~ onven ence enroll in AT&T Automatic Bill t ~ P - - Payment (ABP) and have your future payments automatically ~~'°~ `~ ~~ Deducted from your checking account. To enroll, check the box and sign on the line on the back of the remittance c d r ~~ ~ ~ ~ ~ o ° ° '~ oupon, an ` ~ "~ ~eturn with your payment. Or sign up for online billing to review ~ ~~ and pay your bill each month by logging onto your AT&T Online ~" ~ ~~ ~ ,,' 3illing account at www.att.com/remitdoc k ~~, ~: ~i ~~. / ~~ Extra! Extra! ~ ~ ~ `> ,,~ V RJ m y Need to pay your bill quickly? ' "~=`''~ r ~ -°' >, By using AT&T s free automated system, you can ~ ~ ~~ ~~ rt, r nake your bill paying easier! Just dial 1.800.288.2747 ~~;y'a ~~ =~~ J ~ and pay your bill today! . - ~~ ~ rf"I F Dial 1 800.CALL.ATT for Collect calls ;`: ~$' ~. ~ Q- 1.800.CALL.ATT for Collect calls is one flat rate, 24 ~ ~ hours a day„ every day. Dial down the center 1 800 C A L ~ ~ ~ O . . - - -L-A-T-T (1.800.225.5288 ). ~ 1' ~ 0 0 N ~ \ I , ~ ~ ~ : I1J ~' Q J a 1 ~v ~ ~ © ~ !] fs: J ~ aj W o Y m M' p ~ ~ _ r~ '~ ~ CQ ,• ' ~ v W~~~ C xQ ~o ' t \ ~ _ rf 1 ~ , _ O ~~m~ Q=OV o ~ ~, ~ ~ O ¢# L]a~a ~ ~ ~ a O ' ~, ~ ~ 4. :_ "' '~ . u_ c~ c.,' I~ IR~I II n AIII I lAli~ II ~II~ ~ !I ~ III I~ III 911 !I! l%E g98E90 9 l . rj r~ ~t e~ o u~ rn ~ r r r ~., r C7~ ~- r- ~ ~ _ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ C 1*- r (V d ,~.._ tV ~ ~ p ,r. .r ,~ r ~ ~ ~ ~ N u7~~~ ~ ~ C.~ tf') tom- ~ COEf3OCL ~ Cf) p O N ` a LL ~ ~ ~ C ~ CO O ~ cn ~ ~ ~ L .~+ CO p ~ ~ ~ ^ ~, L N ~ ~ C ~ V p tB ~ q] I- W ~ cCS m O N ~ t7 ~ ~ z o +~ ~ _ '~ X ~ ~ ~ ~ U ~ E - ~ c~a ~ O m ~ ~ Cl. ~ Z (~- d. { c~ ~ ~ _ ~ o ~ ~ ~ ~ u ~ ~ ~ ~ ~ - 'L' id c~3 -p ~ ~ ~ ~ ~ a c ~! v c a~ ~ ca V~ {T5 ~, o- O U ~ - ?, s ~ Qy ~ d ` C CCl _ ~ C O ~ ~~ {~ Q °~' ` U ,~ s o W~ ~ ~ ~ 0~ _ ,~ ~ ~ „~ T- O O if1 // NN ` m UU~ ~° o ° ~ ~ ~~ ~ ~, ;; 4 f- O o Q ~ .~ p ~ ~ ~ ~ ~ `~;~::~u~ U L1.1 LL t- U F- LL t0 ~ Z W .C M c~ C7 ~ 0 ~ N ~ _ ~Z N ~" Mom ~m a\ v m l~ ~~ d~ ~~ N ~ ~ o c~ ~~ -. aw ,~ ,, F o ~ 0 N (~, ~ ~\ 0 T 1 a J~ Y ~ ma ~ ~ W~aocc ~ `. ~ ~om~ I- Da~a ~ ~' ~e't [ ~~ ~~ ~' `~ .~ s ~~ .,;: ~` ~ ~~~~ ,~ ; , ~~ ~n ,~ rr s r ~~ I ^ * e J r" ra .~, ,~ ~ ~^ ; ! O ~ 1 ". °~ ~_• ~, ~ ~ MM~ ~ Wi ~ O Cf ~ ~ +;w :~~ ~~ m z ~ s Li ~ Q d~` ty, o ~° x~ 00024063182590000000 Pennsylvania American Water PO Box 371412 AMOUNT [ Pittsburgh, Pa. 15250-7412 DUE DATE For Service To: 107 Manchester Rd AMOUNT P 020957 i AV 0.335 0957/209571000957 084 7 PCL9B4 . . - - II~~IIlt~~111~~~~~~11~1~11~111~1~~111t1111~1~~111~111~11~111~1 ' . ~ - ANN BELL ' 107 MANCHESTER RD Pennsylvan CAMP HILL PA 17011-6119 PO Box 371 Pittsburgh, I i~~~ll~l~l~~~l~l~l~l~ll~~~i Please check here to add H2O-Help to Others contribution to your monthly bill or to change your address or telephone number, and print infonnatton on reverse side. ------------------ Customer Account Information Billin Summar g Y For Service To: Ann Bell ---------Prior Balance------------------- 107 Manchester Rd Prior Water Balance Account Number: 24-0631825-9 79 Prior Balance Other Payments prior to Jun 09, 2010. Thy Premise Number: 24-03733 Total prior balance, Jun 09, 2010 Billing Period & Mefer Information ----------current water charges----- Billing Date: Jun 09, 2010 Period: May 04 to Jun 04 (31 days) illi Service Charge Water Volume ($.007890 x 1,300) ng B Next reading onlabout: Jul 06, 2010 STAS PAWC Water 0.45% Rate Type: Residential DSI -PAWC Charge 0.40% Total Usage Billed Meter readings in current billing period: ----------Other Current Charges----- Meter Number N000178658 is a 5/8-inch meter. Customer Protection Wa[er Line Present-actual 191700 Total other charges, Jun 09, 2010 Last-actual 190400 00 ----------AMOUNT DUE ---------------- 13 Gallons used ~a~ Mai N'~~ Ch °m a J ~ Y m~ U W~,mQ Go~¢ >~m~ ~aaa m a m (~ ~ W o o ~ ffl V ~~ ~ p ,' v `^\~ vY Q' ri'1 rv r-f1 ru *~c " - * ru r11 a Q' ~ ~ ~ O rti.i tT ~ ~ O m .-~ Z~ 1 ~, ~ O ^_. a u 0 y n 0 ~nnsylvania American Wafer ~ as of 7/05/10 will be subject to a 1. ces are included in your current bill. tment Surcharge (STAS) increased frc its treatment process from chlorine to ~cts.co Improvement Charge (OSlC) increase :rtion facilities. ~ ~~~ ___- - x ~:~. I~PL El~ctroc '~' lJtoliti~~ z Electric Service For: L-TI-II'L BELL 107 MANCHESTER RD CAMP HILL PA .1701 I Questions about .~~ ~ ~ ~ ~ p1 Pa ~ce ~ ~, s ,._ p Y.:.. .. ~ N ~ _ ~z N ~~ ~~m I~ ~~ ~, I ~;; , ~I I i o N ~D ~. ~ T a J W~ Y U £,~- W~~O ~-- oox¢ ~``~ >~m~ a oa°a ,A . `~,~~ ~~ 1, v~~om ~L7 Page 1 Su~n~~ry ~a~e Balance as of Jura 15, 2010 Char es: Tota~PL ELECTRIC UTILITIES Charges ~i~ ~31II A~v~i~ I~TuF11E~rf 75700-73001 ~~~11 ~~ Y~3~D ~!SI~1Fk 4~Fk~!ITh~k ~. ::... :_ X0.00 ~45~.21 Todal Chargis $4y.21 Account Balance y;49.71 ~? ~•. '\ ~ ,~ J r1.~ '-r1 ^ rU rv r-11 te ~ _._ _ - LL' : - - . a kw Months 2010 ~. O _ s ^ ^ - ~F Meter I~eae~ing Irrtli,r~ation l~'Ieter #94420315 :Ibui 15 Actual 26~~~ Ma y 14 A tua c ~ l 2617 gg ~~ y g / ~ g ( ~2 La ~~ 11 V~~~L B~l~ed _ ?g f r~iverage - Jun 2009 ~f1F0 Tem~perature 6.5F KVJ r',~F' I-~ Per l~av 7 ~ ~f ~'eari~~ ilea. To> ~a~ ~ . ~~~~ r a g 7 ~.1 J~.: _ ~,, ~ pp ~`p+ }, mk 17~11.~Ra LL@b Y. o~ Ju12008 - Jun 200 3 ~9~ ~2=~ Jul 2009 -Jun 2010 3 '61 ~~ 1 ,~, ®ther i~portaal infor~atiot~ on bask °~ ~.: / ~'-'` 0 -- -------- ---- -------------------------------------~--~---------------------------- f ~ . ~ digging arotuld your home or propert~v, you should. always call the ,.. ne Call notification system to locate any underground. utility hoes. ~~ rn do this by simply dialin 811, which will connect yoti to the Inc ~ a ~ ein. Be safe and call 81 ~ before you dig. "J :r erless billin ou can receive aild a our PPL Electric Utilities o p g~y. P yy ~~ _ ~~irle. The process is free, quick, convenient alld secure. To learn ~° ~~~' sign up, visit www.pplelectnc.com. A ~~~~Tditioning is probably the bi gest part of your sununer energy needs. You can save money while ~eeping cool- Check air conditioner filters monthly. Clean or change filters as needed. You'll stay cool and your system will use less energy. Save postage and late charges -sign up for Automated. Bill Pa}anent. lnfonnation about ap Hance energy use and tips on saving energy are available through the~nergy Library on our Web site, www.pplelcctrlc.corn. ion c: ~ W c7 0 _- `t N N ~ _ n~ N '~ Z ~ ~ ~, M ~ m (1~~ i F ~ ~ ~ co ~ o ~,j "' ~ ,`,h, ~' ~ ~' ;~.' ;. ~i ~ , .• ' .~ ~ c,! U 4 ~,~ ~ ** v r° ~ J ~ .~ ~` ~~ ~~, ~ ~ •~ `` ~~ ~ ~ ~ ,~ o o -~ ~,~ ~' N r n ~ U .`, r a ~ m - m° v ~ S C Wwco~ ~~ o Dooms ~~ = o ~ .,.r a~ ;n ,- o_ O ~ 3`7 .': Y 2009 Months 2010 Last This Average Year Year CCF/day 0.57 0.86 Daily temperature 62°F 64°F =~ CAS SfBY/Cf I Information -UGI Utility CUSt~mer NUmber aunt balance on your last bill was $ 10,2.00 ' ................. ~u for your payment of ...................................... -102.00 218 191 7310 11 ante as of 06/02/2010 .................................... i).00 'f Bill Information -UGI Utility ;r Charge ........................ ................................. 8.55 r. Jity Charge (25 CCF at $0.85400) ..... 1.35 F' .'ion Charges (First 25 CCF at $0.44480} .... 11.12 Tax Surcharge ............................................. -0.12 ~ .... , :; rent Charges -UGI Utilit ........................... 40.90 ~ !. Tilling Amount Y ~~" ru ~ ..................................................... 89.00 ~~;- ~1 '.; ~- qty charges owed this bill ru ~ ~ count Due, ,~ Please Pay by Due Date (06123!2010} ................. ~.~. ..::.: $ 89.0®~ ._ ~ ~~ ,~ r1..) V ~ ~~~~ . ~ ~ :~ ~r _ ~ ~ ~ f~ ~, r ~. ~. ~ ~ - ~ _ ~ `-`formation -Next Read Date June 29, 2010 O ~ . umber Previous Reading Present Reading CCF Used ~ `l 848 (remote) 873 (remote} 25 ^ e ~ ru ~ a from UGI ~ ent price to compare is $ 0.81380 /CCF. O ~, I annual usage is 805 CCF. Your average monthly usage is 67 CCF. rf1 ~ ~ the amount of your usage to date and/or changes in energy costs, we have 1 ~ .your budget Billing amount to $ 89 . Please tail if you have any questions. ual budget year began with September 2009. ,° you have been billed $ 953.00 you have used $ 1,089.80 3+' ^ Help prevent pipeline damage, accidents and service disruptions. Calf 8'I 1 before you dig. • Sign up to view and pay your future UGI bills online at www.ugi.com. If you pay at a payment agent please take your entire bill. Make check payable to UGI. Keep this part for your records. Important information is on the back of this bill UGl Utilities, Inc. Customer Number Please pay by the due date PO Box 71203 218 191 7310 11 to avoid the late charge. Philadelphia, PA 19176 Please return this portion with your payment 218],91731,011062301000089000001110000000000'000000000000 ~ () h `~~,~~,. ~ °` Manage Your Ac.,ou ~t ;~ .. ~,,;; ~ t ; ~ 3i. my ~~ate ~~~® ~ My Account at verizon.con~/bitl~ii~~~~w . ~' i Fi- --~ ' ?C; ~~ ' 1 ~~ ~- , !!; ; 1 i~ti' SiC'.5/2010 .~~~ ,,~~ .. ~ ~: ~ ~ ~a -- (V ~~ N ° `~ M o« ~~ ~I ~~ ~I ~ i ~ Volce Sennces I : e: p!;I ;~) $23.25 0 0 N cfl ti ti r J " J ~ c~ m~ U W~~~ ~~~Q r~ "~ i ~' ~~~ ~LLOm ~' ~ ~ Quick;, Big I `~umrr~c r~i~ ~c~~ -~~ ETNEL A 13ELL 1, ~ rt .- Previous E3alanr;e ~~ Payments Received M<<y 1;? Balance f=orward ~; ~, IJ~[ ~' New Charges \`"~' `~ Taxes, Fees & Uthe VE rizon Cf~ :3rg~E ; ru ' ~'' " ^~ Totai New Charge:.. D(ie by June . ~!, ~'( 1 CI rl'1 t Total Amouff~lt D~fe bhp ,. um~ ;~~:,, ~, :~~~ I~ ~ r.. ~~ ~ r. ~ ~~ r. o `` s :~~~ .. m \ ~~; C v+ O ti f~ ~ r-n r'P'I z ~ .T ,V ~1~ , ~i I, ~ -~ C ~ t;,lf ~ G- ,~ ,,~ G ~' ~~ ,f~ r~ $33.73 -$33.73 $. oa $9.62 ~3~-:87-_-- ~_ m E- o ~ I Q ~aao. ~ ~ ~ e ~ ~ o ~ - ~ O u.. ,~z ,, , s Direct Pa ment Enrollment Online Billin & Pa ment ~ cauestions about I~ol y _ 9 y it bill ~' -- p Y ----- ------ - ---- _ ~ __ . _ ____ _ _ ---- _ ._ __ - _ _ _ __ ---_--- -- __ -_ _-_ _ _-- ren ~on.cam or 1 8~u , u I ll~~i? iJN (I.--131]0-837 4966) ven~on.com/bell a venzon.com/billview ~ __- __ _ - _ _ ___ - , - _ ___ ~.-~'~ Please return this remit slip with payment ~~''" 4 ~ ~leuti~~ Char Es D.)e Jtan 22 2010 ~~ Account I~~umbe r 71 T 761-522Ei 455 15Y T~~atau Amount DuiEr: $~~~~~2.~3~i' 0 5 2 51, 0 ~..~ Yes! l want to be a Literacy Champion. Make cneck Payzble tc, 'Jeriz,:~n Sign me up fora $1 monthly donation to Verizon Reads. 00016971 O1 AV 0.335 VPC14711 0069 XX ETHEL A BELL 107 MANCHESTER RD CAMP HILL PA 17011-6119 ~iii~i~i~iii~ii~ii~~il~lil~ilii~l~lilii~i~l~iiiiiill~ll~liiilii~i 11,, v~, . r~''h ~ J V'ERIZ~DN F"0 BC~X :8000 LEHIGhI V'ALJLE`P If'A '1800:-8000 I~~~III~~I ~Ilr~~r~~~ll;;~~~~~1~ Il~~i~ll~~oll~„II~„~~~III 1,0971,70761,522645560280215900D0[]600C100000f1O1i=1DIDC1'~DO[]0287000000 ~ ~ ~~