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HomeMy WebLinkAbout09-21-11R ],505b],07,05 EX (o2-i.) (Fl) ~ . _~~~ ~ ~-1500 OFFICIAL USE ONLY `r>F, D~-partment of Revenue Pennsylvania __ ~ __ >~ e:~~~ of Individual Taxes ~~ ~ "~" ~~~ County Code Year Fiie " . ~ - ~~: Box z8o6oi INHERITANCE TAX RETURN /~ ___ __ _ r 3 ntiburg, PA i~i28-o6oi RESIDENT DECEL7ENT P~/ ~ ~ (~l''~ ~~~ ..i:: t R DECEDENT INFORMATION BELOW --"--+- unity ~ ~r:mosr Date of Death MMDDYYYY Date of Birth MllDDYYYY 1 i i-2v-3388 03/22/2011 07/03/1936 - ; I_,~st 'Name Suffix Decedent's First Name WALTERS HAZEL - .,;~~;~Jic.:l;la) Enter Surviving Spouse's Information Below ~~ ~~ ~~~ I ''~~ Suffix Spouse's First Name ,~ t vial ,•zur!ty Number TNIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER C3F WILLS ii ~ ..: hPFBO('RiATE OVALS BELOW q ,'r',ai t:~:urn Q 2. Supplemental Return O 3. Remainder Return (Ca~~ c r :k_e:C~ Prior to 12-13-II2j ~- r'~:.'d F;, :_ to O 4a. Future Interest Compromise (date of O 5. 1=ederal Esta;a Tax RF i i~ ~~u t,i death after 12-12-t32) =~ ,, edEr ,ed Testate O 7. Decedent Maintained a Living Trust 8. -total Number or Sale fir ,,;; ; fir. ~;e ~.~~a~h ~.„icy of Will) (Attach Copy of Trust.} _~. ,;.ticn P ~c::eds Received O 10. Spousal Poverty Credit (Date of DealYr Q 11. Election to Tr~~ under t~ ; ___ __~ Between 12-31-91 and 1-1-95j (Aitactt Sche~rule Oj _, ~~:~GENT -- THIS SECTION MUST BE C OMPLE TED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIREC rt rJ 7t~~ '~" ~" Daytime Telephone Numbe; DEBORA COWDEN (717) 497-5450 r, - , C"') F:EGIS7ER OF V~IR~ USE O~J vy~ 4 .~ r 7 J V r ~ ~ ~ _, f Add ~~._„ ~ r - 51-; LUTHER ROAD ~ ~ "~ . _ e of Agdress :~ - - , ~ r'1 _t7 =`j ~--~ .~ t Offi~;e State ZIP Code DAT FItEE7 ~-- ~_ _._ I;~>RISBURC' PA 17111 .-.;,orac!c;nt'se-mail address: f r~ y ~ decla•e that I have examined this return, including accompanying ,chedules and statements, and to tn~ t,st c r , Inc a , ~~ _ , a~~d r, np~ete_ DeOclyagr~ation ofi preparer other than the personal rapresentative is based on all information of w7 c7 -E:ca ~ ~as ,rny ~, c71>;>0~ p IBLE FOR ING RET RN "'- "``' [[l/'~~ 7 , t 1 E 51~~ LU HER ROAD HARRISBURG PA 17111 --'~ J- r' .P RER OT N REPRE ATNE DAiE ACCOUNTING ASSOCIATES 1849 W. LISBURN ROAD "-7`~`~_ _ ~_. ___,_____,__ CARLISLE PA 17015 `~~ -, T:. ~.• J __~.~ PLEASE USE ORIGINAL FORM OWLY ~`~ ~ -~`"® Side 1 __~- _.. '`3056101,05 1,50561,C??~G5 -.,_..__._ ~~~~(~ ~~~u~~~~ (;EV- 1500 EX (FI) -.:eeen!:tN~,mc: ...`=iTULATIGN 1 :' Socks and ESOnds (Schedule B) .. .................. . 2. - Cl~ seiy I-el~ Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3, ~" ~'~~;~hgag~:~s and Notes Receivable (Schedule D) .... .......... . 4. - i~~~sii, Bank ~Jeposits and Miscellaneous Personal Property (Schedule E)..... .. 5. c ~n.la O~ „nc d Properly (Schedule F) O Separate Billing Requested ..... i-Viw~.; Transfers & Miscellaneous Non-Probate Property _ . 6. `'"I'``~"" ~) O Separate Billing Requested...... .. 7. t~ Total Gross Assets (total Lines 1 through 7) .. . _____. 8. ~+ runcral;=r;pe~nses and Administrative Costs (schedule H) ....... , .. _ , ~. ~;' _,.ba of C'~~ceuent, Mortgage Liabilities and Liens (Schedule I) ..... _ . _ , _... . 70. 'o;al Deductions (total Lines 9 and 10)........ _ 11. !:'_ Diet `Jalue of Estate (Line 8 minus Line 11) ..... ...... , a itabla ,:;d Governmental Bequests/Sec 9113 Trusts for v,hich 12. ~ r:ction t~ t:ix has not been made (Schedule J) .. .... . 13 y ' ,:_ t Value ;;abject to Tax (Line 12 minus Line 13) _ _ 14. 1 ~: ~'~=.LCULA'i,ON -SEE INSTRUCTIONS FOR APPLICABLE RATES punt of Lane 14 taxable ra s,,ous.~l lax rate, or .~ ,;o~::er Sec. 9116 )X- __ nt of Lane 14 (axable 15. i ~~;i~eal rate a o 45 64 379 29 , . -- c~.nt of L~ne~ 14 taxable 16. nc r:L~ a .12 ~c ~t of LnE 14 taxable ", 7. ~I ~~~1 at: X .15 18. rf,x ~u ~ 19. - ' F LL IN THE GVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's So:ial Sscurity PJ~::r ~~ 1 ~~1-28-3388 Side 2 ~5r561o~05 a .._ e._~: 1,50561005 75,514 39 75,544.39 5,231.4 9 5,9:,.3 61 11,1E;5.10 64,379.29 64,379.23 64,379 29 2,897.07 C _, . ~'a~;e 3 ~~ ~1i'- Co~T~p(ete Address: H,~ZEL 1'VALTERS ,. _ ... , =~5 WINCHESTER'. GARDENS ~.~ARLISLE _: ~ ~ytr,~r~t~ ~Inti Credits: ~_ ~ :2 Line t<~~) ,nt ~,n'~ _: t' r Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. r i, - - ~ Page 7, Line 20 to request a refund. is g E:a;.;r :nan Line 2, enter the difference. This is the TAX DUE. File Number STATE PA 17013 (~) 2,~9?.07 _.._ _ _ - Total Credits (A + B) (2) (3) (4) X51.- 2,89;'.Oi Make check payable to: REGISTER OF WILLS, AGEI'VT. ~~~-==.~°a5E ANSG~/ER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN TH E APPROPRIATE B LC~~~N~ ~~> Did <i,_ ~ -dent make a transfer and: ~:. rs t~~e use or income of the property transferred .. ~ - J t ~~ ........... ......... .... _ b. ~ ~ t ^ right to designate who shall use the property transferred or its income .... I ra a reversionary interest ............. .. ~ c r rza .~e tre promise for life of either payments benefits or cares I ........ p p y i_ dea h ~c~urred after Dec. 12, 1982, did decedent transfer ro erf within one year of death .~iurout ec~ivin ade uate consideration.... 9 q ~ . .. ...... G d dot ~ d ~nt own an "in trust for" or payable-upon-death bank account or security at his or her death?... ' ~ D d d d _ i ec~ ~nt own an individual retirement account, annuity or other non-probate property, which contains: a beneficiary designation? ................ ........................................................................................................ ~ _ . ~,- ` ~ ~ ~ :~~ TO RNY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AN[? FILE IT AS PART C~ ~ " ~ ilE F e ~ 1.~~, ~ ~r af!ci Jaiy 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of t f rans er.; to or for th:~ use ~f ti x196 (a) ,1.1} (ij). e ~.r~ ~:. s ou~. ~ or a''~er Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the u;;e of the survi ~ ~) (i)} i h i t t t . v : s ng s; a u e does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for c 5r;1; .. , e stri apr~ic b~,e even if the surviving spouse is the onl b fi i ~.~_, s i p.rct,t ~ ; ~ f ~ - ~~ i y ene c ary. ., ` .! of Or after July 1, 2000: ~se;1 or the net value of transfers from a deceased child 21 years of age or younger at death to or for the use ~{ r: ~~ z ste,~,oarent of the child is 0 percent [72 P S X91?6 ~ , ~ ; ~ .~ ,~ . . (a)(1.2)]. ~ ~~- ~ ,posed on the r,et value of transfers to or for the use of the decedent's lineal beneficiaries is 4 5 percent exc t ~ . . ep as notea in t7~ ~~ ~~rosed on the net value of transfers to or for the use of the decedent's siblin s i 12 ' ~ ~, ~ ~ ;, ;~;~~ g s ~ 9 percent [72 ?.S. ~9116(a)11 ,i)l ;r, .02, as an individual who has at least one parent in common with the decedent, whether by blooc or adoption. ; ,~ ~ ~~~ it ~e_~ ,.. , ~.. (i:-~ ~i ~; °~, ~enns.ylv~nia -E,~~.X ~,_~r~~~RN DE . ~E:ItT ES 1 ATE UF: HAZEL E.WALTERS FILE NUME3EF;: Include the proceeds of litigation and the date the proceeds ~tiere received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. 1 _._ 1_________ ____ DESCRIPTION 1. j ORRSTOWN BANK CHECKING ACCT # 143000331 2, ORRSTCWN BANK MONEY MKT. ACCT.# 146001192 3. ' ORRSTOWN BANK CERTIFICATE ACCT # 4000040233 4. 2004 HGNDA CIVIC TOTAL (Also enter on Line 5. Rer'anitidarlnnl ~ If more space is needed, use additional sheets of paper of the same SCHEDULE E CASH, BANK DEPOSITS & MISC, PERSONAL PROPERTY 111 UL ;;T ~;i~E of ;,::,,,-I, 202E.0'4 2 517.5 i D.CCO.GO 1 OG0.00 -a 5.,.~9 ~~ o~~~~ B~ A Tradition of Ezcellen~e August I7, 2011 RE: Hazel E Walters To Whom It May Concern; This is to advise you of the "date of death" balances as of 3/22,/11 on the followin accounts for Hazel E Walters: g decking account 143000331 $ 2,026.84 Money Market 146001192 2,517.55 Certificate 4000040233 70,000.00 If you have any questions, please feel free to call meat 717-258-1129. Sincerely, ~~~~-~, Judith N. Cornman Branch Executive Officer 1 Giant Lane Carlisle, Pa. 17013 NMLS# 807723 1.888.ORRSTOWN i a Pennsylvania ,•~:' hi NT of RF VEH UE ...._ i~:~~,`i; F1Cc ',AX f2ETURN > cf i,`C'Di-Ni t;;ll;IE Or HAZEL E.WALTERS ~: i FUhJERAI [XPENSES: HOLLINGER FUNERAL HOME S~F~~~-l~L~ ~ FUNERAL EXPENSES AND ADMINISTRATIVE COSTS Decedent's debts must be reported on Schedule I. DESCRIPTION FILE NUMBER +;DfsINiSTRATIVE COSTS; I °erscw;l Representative Commissions: i f~iar-~es) of Personal Representative(s) -__ __ __ _ --- --- ~ ~~raet Address (ir, __ State ZIP Year(s) Commission Paid: ~_ ~ Attorney =ezs: ":+mily =zer-pticn: (If decedent's address is not the same as claimant's, attach explanation.) Clim ;nt i __ St~~r~e~; Address - ___ Gt State ZIP ! Re~at,rship of Claimant to Decedent ---------- probate ryes: ,__~i;ntant "ees: I Tax R~t;,m ~reparer Fees: CUMBERLAND LAW JOURNAL a. ~ THE SENTINEL ~ I REGISTER OF WILLS ~ o. DEBORA C;OWDEN STAMPS AND THANK YOU CARDS TOTAL (Also enter on Line 9, Recapitulation) I $ if more space is needed, use additional sheets of paper of the same siz LL ...-- ,~ ~ ~_ <,270.19 +,,0 JO 75 70 i 15.20 i81_~0 38 i6 .......-_. _. . 3 4= ,. ,~ s,~ . Hollinger Funeral Home & Crematory, Inc. Eric L. Hollinger, Supervisor March 22, 2011 Debora A. Cowden 514 Luther Rd. Harrisburg, PA 17111 The Funeral Service for Hazel A. Walters: ~~ ~~~~~ ~ ~ ~~ We sincerely appreciate the confidence you have placed in us and will continue to assist you in eve way we can. Please feel free to contact us if you have any questions in regard t:o this statement. rY THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, ALITOMOTIVE EQUIPMENT AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Service Cremation Package -Direct Cremation Package D $ 3315.00 Merchandise Urn: Black Marble Lords Gift from Eric & Annan AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN (PAYMENTS TO OTH AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. ERS Cash Advances Newspaper Notices -Sentinel Newspaper Notices -Patriot Certified Copies of Death Certificate (10 @ $6 Cumberland County Coroner's Authorization ) Grave Opening/Closing Sunday Rate Minister and organist Flowers No Charge for engraving Total Charges Current Balance: 147.72 216.47 60.00 25.00 300.00 200.00 106.00 1 50 ~ NORTH BALTIMORE ,4C7ENUE • MOUNT HOLLY SPRINGS, PENNSYL\7ANIA t 7065 • Jbww.hol(ingerfuneralhome.com (71 ~~ 486-3433 • FAX (71 7) 486-3215 \ - \ l~ V-~ J ~ ' i ,,,/~ ~~ \, ~ V ~~ ,~ ~ 1 ~L~ CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3166 Fax: (717) 249-2663 July 22, 2011 Cumberland Law Journal is published every Friday by the Cumberland Bar Association and is designated by the Court of Commor: d'~eas as th publication for Cumberland County and the legal news a er County e official legal notices. p p for publication of legal TO: James L. Cowden, Esquire RE: Hazel E. Walters Estate Legal advertisements must be received by Friday Noon. AI~I le al a must be paid in advance. Make all checks payable to: Cumberland Law dvertising ___________________________________________ Journal. Advertisement inserted on the following dates: July 8, July 15, and July 22, 2011 Payment received by Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request ;$ 0.00 Payment received 9~ 0 .00 Total Amount Due $ 75.00 1e Se ~~ ~ `~ '~ nf~nel c ~\ \~TROKOFF & COWDEN, P.C, ~'w.cumberlink.com /~\~ 132 STATE STREET ~~ / I P.O. BOX 11903 HARRISBURG, PA 17108-1903 ~~ :,sue; r~;tr cour,~v 717-2335353 399113 Publication 3 THE SENTINEL -LEGAL TOTAL AD CHARGE 3 MOBILE SITE 3 PROOF OF PUBLICATION P"` Omer Est.HazelWalters AD NUMBER PAGE NO. 399113 1 of 1 BILL DATE SALESPERSON 07h2H1 wol c START DATE STOP DATE 00/28! 11 07/12H 1 ""'' I 10 PUBLIC NOTICES 20 * 2 cols Insertions hate Net Amount Gross amount 3 LGL $106.20 $10820 A~062 O1PRF $2.00 $7.00 PAY THIBr,,AYlp Thank you for advertising with The Sentinel! Deadline for in-column legal ads is 4:00 p.m, two business days prior to date of insertion. For questions, call (717) 240-7130. THE SENTINEL c/o LEE NEWSPAPERS PO BOX 540 WATERLOO IA 50704„0 STROKOFF & C0INDEN, pP.C~. 132 STATE STREET P.O. BOX 11903 HARRISBURG, PA 17108-1803 Z?15.2'? $138.24* 'AFTER 08/06H 1 THE SENTINEL c/o LEE NEWSPAPERS PO BOX 540 WATERLOO IA 507p4-p540 -- - --- - - -- - -- __ thls porflon ~ yip,,, py~t ^ Check # ^ Credit Card -- o®o®~®o® Acct #: Imo. Date: m m Name on credit card ~9aeture _ e ~"~ ~~ PeYeble to: THE 3F~ru~r --~ Ad Number 389113 Billing Date 07112h 1 Amount Due $ 115.20 ~:Arnount; : $ Encl~ssct THE SENTINEL clo LEE NEWSPAPERS PO BOX 742548 CINCINNATI OH 45274-2g4g I~I~~I~I~I~~~I~II~~~I~I~~I„I~I~I~I„I~~II~~I~~l~~li~.I~I~,~II 215402000000039911300000000000000013i32400000115200 Y• RECEIPT_FOR_pAy GLENDA FARNER STRASBAUGH One~ourthouse Sgqyuuaree9'ister Of Wills Carlisle, PA 17Q13 WALTERS HAZEL E ~~OC 1`~~r't, Resceipt Receipt Recei Date: Time: 4/13/2011 13: 2:20 pt No . 1065203 Estate File No.: 2011-00473 Paid By Remarks: DJBORA COWDEN --- ---- Fee/Tax Description ----- Receipt Distribution --"'_ _______ _ PETITION LTRS TEST WILL Payment Amount payee N"ame _______ ____ SHORT CERTIFICATE JCS FEE 90.00 15.00 CUMBERLAND CUMBERL~D COUNTY G ~ ~ AU'T'OMATION FEE 4 8.0 0 23.50 5 0 B~EUR iI'j~R COUNTY ECE~JIpT , ~ & ~ Ft TN Check# 154 Total Receiv d . 0- 1 ----- CUMBERLi~ND S COUNTY ~ G ~~ ~ D FUN e .... 81.50 - .. .. 181.50 r~~ . K_ _,_----_-._- G ~=~ - a~~ WELLS FARGq c Date: rime: 05/Z8/11 Location; 07:15 pM AT'M: UNION/DEPOSIT customer card; 0457] Transaction i~: ~aoooc0010 Transaction; 8703 Amount; stamp Purchase Front"Account ,~; 519, pg " ~oooc5169 ~~ ~ -~ ~J Date: Time: '04/15/11 Location: 07:39 AM A.~.M ; UNION,/DEPOSIT 0457] customer Card: Transaction ~; ~~000010 Transaction T Ype: 9110 Amount: stamp Purchase From Account ,~: 519.08 ~000C5169 -~ P~' SCHE~IUL~ I _____ __ MORTGAGE LIABILITIES & LIENS E:~TATE OF DEBTS OF DECEDENT, HAZEL E WALTERS _-~ - -`-== = _______-__-_-- FILE NUMBER Report debts incurred by the decedent prior to death that remained unpaid at the date of de_________ath~ R~~u~iing unreimbursed medical expenses, ~, ~ ____ ~E=~ ~ _ -~ - DESCRIPTION VALUE A7 Dq-E RENT TO WINCHESTER GARDENS ~~ SEAT" - -- 2. j PPL ELECTRIC BILL 540.00 3 ~ ERIE INSURANCE CAR INSURANCE I 4. ,' DISCOVER CARD 124.03 25'x3.00 5 ~5 37 ~1 r, ~0 C nnsylvania M fJT GF 'E 'EtdU:~ T < fAX 2E BURN Jl JECDENT __..,~~....., ,n UIC ~tllll _..._......._.__..._..._ e. s- ~___-~~ ~' ~~~ s s9o. a~ a-s'rt~s r ®.~ 40313 i503 W: i4G 90026 pr fr'`.~~i'`~ ~T ,$S`~D.C7fi /l`r I~ee 0 N M ti O O c'7 .--/ N N O O ti O O N N .-i O N O O N sg ~ .T- ~ w- ~~. s QRRST4WNBAIVK A Tradition ojExcellence 2-ccount 146900267 date 4/25/2011 P'ae~a .. s ~la~i PPt'Electric Utilities Electric Service For: xnza.E wAI.iERs 45 WIIdCHESTER GARDENS CARLISLE PA 17013 Questions about this bill? Please contact us at 1-800-34~5~758 (1'80Q-DIAI.-PPL) or write to- Customer Service All~ent~usm Pn Rd 18104-9392 www.pplelectric.com Electric Use This 8~ shows your elechic use over the last 13 ~myonths. Mew Readings: Actual - Adjusted . Estimated Customer Summary Page Balance as of Mar 18, 2011 Charges: Total-ppL Electric Utilities Charges Total Charges Account Balance KWH -Average Per Dav 48 40 32 24 16 8 0 ;~,;; ....:: , ::-- ~~ '~ I~ page 1 pp ..__ '~. 'ry ~~ ~ ~ ~ 69130-71 I 24 .;:: .~~ ,~,, $124.93 Meter Reading Information Meter #18060362 Feb 6 Actual 66541 30 Da s Ate---- 65616 KWH Billed 25 Average -Mar 2010 Tem erature 41 F KWH Per Day 28 2011 39F 31 Pearly Use: Total Apr 2010 -Mar 2011 Use 6512 Average MontWy 543 $0.00 $124.93 >3 Other important information on back ~ MAMJJASONDJFM 2010 1`'ronths 2011 ~ sii sroi - Erie .Insurance 700 Erie Ins. Place • Erie, Pq 76530 ~ ~~~ rA NOTICE OF PAYMENT DUE FAMILY AUTO POLICY NUMBER Q043000261 HAZEL E WAITERS 45 WINCHESTER GARDENS CARLISLE PA 17013-1088 /~.,„L[pNfLCl, ~C~ '~ ~~~~ 11 BILLING DATE AGENT NUPiBER AA7644 07-05-11 ;P~4~IEY `TRgN ~,a ~` ,~ ~,.- - ~~~~ ---- - -- ._ OUR LIBERAL PAYME 04-30-11 PREMIUM -- -- - NT PLANS DO 04-30-11 SERVICE CHG 3 1 .033.Op ~ --~~-A~~-O~- FOR _.~~A~C R~F21II~ 05-02-1 i PAYMENT t 15.00 ~------ s 258.000Q: CURRENT BALANCE : 790.00 P~2. ~1~81~~ ~~ # ~ DUE 10-30-1 DUE 01-30-12 263.p0 i 264.Op r TRANSACTIONS OCCURRING IN THE LAST 10 DAYS MAY NOT -~-- - -_~ _ IF THERE IS AN ERROR, PLEASE CONTACT YOUR AGENT OR THE HOME OFFICE. APPEAR ON THIS STATEMENT. -FffS-t~-~- ° _ • 8E--y~BDEB-~T`0-~--A.CC$C1NT--_ __ - ---`~----"~----------•- -----------____ _____ ____ __ _ KEEP THIS PORTION FOR YOUR RECORDS `' - - ----PLEASE .R-~--- HAZEL E WALTERS -~_~--•~~ ETURN THIS PORTION~yy- - 45 WINCHESTER GARDENS ~ YOUR PqY~~ CARLISLE PA 1 701 3-1088 ~-~---•-~ M7844 ~. ~ H HERE ~~~ E GARRITY Q04 ~B1 FAMILY AUTO POLICY ADDRESS CHANGE PERMANENT ^ TEMPORARY PLEASE SHpW ABOVE POLIf:Y NUMBER MAKE CHECK PAYABLE TO: ON YOUR CHECK ERIE INSURANCE C,RpUP AMOUNT YOU ARE PAYING _:________ PHONE ~^~ Erie nsurance i00 Erie Ins. Place Erie, PA ; 6530 073p I~UGLAS E GARRITY 717-243-3467 "r°~~~r~9 vote: hebruary 24, 201 1 -Closing Date: March 23, 201 1 Discover More Card Account Summary .,armed tuber since 2008 ~„~ Account number ending in 4975 ~~ Previous Balance ~ ~~ Payments And Credits $95.52 -- Purchases - 40.00 Balance Transfers + 0.00 _~~ Cash Advances + 0.00 _-= Fees Charged + 0.00 .~~~~.. Interest Charged + 0.00 _~ New Balance - + 0.99 ~~ See Interest Charge Calculati 56.51 on section follow transactions For detailed APR information ing ~~ Credit Line Credit line Available $3'~'~ ~~ Cash Advance Credit Li $2,943.00 ne "C Cash Advance Credit Line Available =-- $8~ ~ $aoo.oo You may be able to avoid Interest Charges, see Additional Important Information for details. Anniversary Month Opening Cashback Bonus Balance Moy New Cashback Bonus This Period $ 4.86 + 0.00 Cashb«k Bonus Balance To learn more, I in at $ 4'~ 09 www.Discover.com ° 3 Easy Ways to Contact Us 1 • Access your account securely at ~+'w,Discowr.com m° 2. Call 1-800-DISCOVER (1-800.347-2683) o Please have your Discover®card available. 3. Write to us at Discover PO Box 30943, Salt Lake City, UT 841 ~0 (Not a payment address) For payments, please send to address on remittance or Discover, PO Box 6103, Carol Stream, IL 60 1 97-6 1 03 For TDD (telecommunications Device For the Deaf) assistance, please call 1.800-347.7449. T-- Payment Information New Balance Minimum Payment Due Payment Due Date _ page I of 3 ~~~)~-~~ _!~~ $56.51 ~V ~~~~ "~~ $15.00 April 18, 201 1 Late Payment Warning; IF we do not receive your minimum payment by the date listed above, you may hove to pay a late fee of up to $35.00 and your purchase and balance transfer APRs for new transactions may be increased up to the Penalty APR of 21.999e variable. MW"r'~um payment Warning; If you make only the minimum payment each period you will pay more in interest and it will take you longer to pay off your balance. For example: f you m4ke no Yov wtll pay aft the And you wllf end. dditionai charges boldnce shown on up pgytng an ~hg this card qnd this statement in ch mgrtth ou ~sttmated total of_. Y paY about... Only the minimum payment 4 months $59 If you would like information about credit counseling services, call 1-800-347-1 121. Manage Your Account Online at www.Discover.com • Access free online tools like Paydown Planner to create a plan -o pay down your balance, securely access statements, pay bills online and easily track all transactions ' Make your money worth moreSM-find ewsy ways to earn and redeem cash rewards NEWT Access your account securely through your mobile phone r s u~wc~GTI011S Pcynsents and Credits foes kllensf ("{... .J Trans. peS} Dafs Dote Mar 10 Mar 10 PAYMENT -THANK YOU TOTAL FEES FOR THIS REP IOD ° ~ INTEREST CHARGE ON PURCHASES INTEREST CHARGE ON CASH ADVANCES INTEREST CHARGE ON BALANCE TRANSFERS "'~` ~~~c rvK IMrURTANT INFORMATION 3 -40.00 $ 0.00 $ 0.99 0.00 0.00 UISCOVef, rv tlOX 3VY4J, Jalr LAKe l.lry, UI C4 I JV-VY4J ~'S~• ~I While we investigate, the same rules apply to the disputed amount as discussed above. Aker we finish our investigation, we will tell you our decision. At that point, if we think you owe an amount and you do nol pay we may report you as delinquent. paymsnh. Send only your payment and the top portion of this statement in the envelo rovided. sending your check as described above, you authorize us to use information on your check to make an electronic fiord transfer from your account at the financial institution indicated on your check or to prate s the paym~nt asta ch CO'sh. By transaction. IF payment is processed as an electronic fund transfer, the transfer will be for the amount of the check. use information from your check fo make an electronic fund transfer, funds may be withdrawn From your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. When we The processing of your payment mdy be delayed if you send cash, correspondence or other items with your payment, if ou send the payment to any other address or if you use an envelope other than fhs one provided. Pa men} form at our processing Facility by SPM local time on any dayy will be credited to your Account as of that day. Payments y Y s received in proper received at our processing facility after SPM local time will be credited to our Account as of the next day. If you have misplaced your envelope, send your payment to Discover, PO Box 6103 Carol Stream, IL 60 1 97-6 1 03, please allow 7-10 days for delivery, If your payment is returned unpaid, we reserve the rig(,t to resubmit it as an electronic debit. ~C01Y1CC~St, ~~' - ~r~a~ ~ ~ t r GE,..~Pc~ (~ Contact uS: C~ wwM,,comcast.com ~ 717-243-4918 MARLIN WALTERS For service at: 45 WINCHESTER GDNS CARLISLE PA 17013-1088 News from Comcast We regret bsing you as one of our subscribers. Our records indicate that the final balance shown above is now due. Your prompt payment is appreciated. Any outstanding equipment must be returned to our office within 7 days. Please call us at 1-800-COMCAST any time should you wish to reconnect your service. Hearing/Speech Impaired Call 711 This hilt reflects a change in the monthly FCC Regulatory Fee from $0.07 to $0.08. .:....:....:.... ;- Account IVumber Billing Date ~ unpaid Balance New Charges Total Amount Due ~~- 09547 372187-06-8 '_ 04/21/11 567.25 -Due Now -$51.60 -Due 05/15/11 $15.65 Page 1 of 2 i~revtbus Balance Paymenis -received by 04/21/11 Unpaid Bal>3ince -Due Now New Charges -Due C~y05/15/11 ~ below for mod Info r Y - 67.25 O.Op- 67.23 -51.60 R rar on ~~r " a,..~ ~, ,, PartiaC Month Ch;~irges & Credi~g' Effective ,24/0T111 ~ ypu made changes to out .~ g~~ accounf Sae the ~ollpwingP89'es`formot~~det~11~: ~ ;` N Taxes, Surcharges ~ Fees r ~ _2 n~~tir~~ s -~~ ' 91 ~~ i',:k~'k;a., ;.v.)~Ct , A yT,!, + P ~fl ~ m cd~ m ?,~Y r11 ~ '~ ~~,. ~ , s . ~. + w i '~ 2 .- ~~~~ PPL Electric Utilities Electric Service For: x~+z[,E wnrr~ 4CA~NCHESTERO,GAItDENS Qaestians aboat this bill? Plyea~s~e y atnl-800-34Z-5775 9 (1-800-DIAL-PPL) or writs to: 8~~mer Service Alleat ~' 18104-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last l3 months. Tj'pes of Meter Readings Actual - Adjusted Estimated Customer ~, 1 1~ i /J/Jjo N ~{~ 1 • ~ ~•.i'- Page 1 ., Summary page Balance as of Apr 18y 2011 Charges: To g PL Electric Utilities Charges Total Charges Account Balance 48 KWH -Average Per na., 40 32 24 16 8 0 69130-71124 ~~~~ $0.00 $53.;7 ------__ $53.87 $53.87 Meter Reading Information Meter #18060362 Apr 18 Marl 8 qc ~ 66888 31 Da s -"----- 66541 KWH Billed - 347 T verage~epr 2010 emp KPH Per Day 5 i ~ Yearly Use: Total May 202 0 -Apr 2011 61 l 6 2011 45F I1 Average Montlu6 Other important info ~ Duuflsy la nn. ~uu.. `- ---------- rmahon on back this payment. s~ ~~u..,.,,.u. ~..4 :"- ~ ~---- _ --- --- _- --'--- _~ Before di ~ ~ w ggin around your home or property, you should alwarys call the state's One Call notification system to locate any underground utility lines. You can do this by simply dialing 811, which will connect you to the One Call system. Be safe and call 81 I before you dig. With pa rless billing, you can receive and a bills on!-ine. The process is free, quick, convenient and securecT'o learnitles more or sign up, visit www.pplelectric.com. Clean the lint filter on our ~ flow and wastes every dryer between loads. A clogged filter cuts air money. gy. A clean filter shortens drying tme and saves Save postage and late charges -sign up for Automated Bill Payment. 'yM>>ASONDJFMA 2010 Months 2011 _~~. %~ hm C~u'ryLink~ ~~~~ ~~~-51 ~ . ~~~ Monthly Statement M Page 1 of 5 Account N ay 4, 2(111 umber Payment Options & Contact Info Curr 717-240-0594-624 -----_ Retail Store in Your Are ent Charges At-A-Glance a See C:enturylink Website CenturyLink Services Pay Online CENTURYLINK.com/myaccount ~ local and Optional Services -Page 3 Pay by Phone 1-877-813-7604 Taxes and Surcharges -page 4 Customer Service 1-800-829-8009 T ~~~ ~ _; 4 Repair Service - ... ~ ., 1-800-788-3600 Internet Address CENTURYLINK.com/residential Previous BalancE: Payments & Adjustments Past Due, Please Pay Now 140.00 I .00 I 140.00 I 6 Total -23.43 -2.06 -~----- ~.+f9 Total Current: Charges .~~_ Total Amount Due -25.49 ~ * ~ 14.51 ---_ Current Charges Due By: 05/29/11 If received after June 4: 3115.91 ® Please Recycle "P'Pt Electric Utilities Electric Service For: xnz>_,E wALTExs 45 WIIdCHE3TER GARDENS CARLLSLE PA 17013 Final B~71 Questions about this bill? Please contact us Iotay 18 at 1-800-34 5775 (1-800-DIAL-PPL) or write to• Customer Service 827 Hausman Rd Allentown, PA 18704-9392 www.pplelectric.com Electric Use This graph shows your electric use over the last l 3 months. Types of eter Readings; Actual . Adjusted Estimated Customer ,` ,~,~„~ / , • .~••:: '. ;: _ age 1 '~ ~ C~-~ 69130-71124 Summary Page Balance as of Apr 27, 2011 $53.87 Chargges: Total-PPL Electric Utilities Charges $6.27 Total Charges $60.14 Account Balance 48 40 32 24 16 8 0 KWH -Average Per Day $60.14 Meter Reading Information Meter #180603 _ Apr 27 Actual Apr ] 8 Actual 66917 9 Da s KWH Billedl 66888 29 Average -Apr 2010 Temperature 58:F KWH Per DaY l 2011 57F 1 3 Yearly Use: 'Total Average May 2010 -Apr 2011 6020 Monthly 502 Other important information on back ~ i vu .,~ui uv iui~ uy Siitlyi -wa-iii oii, wiii~ii wiu wiuiCC;i yvuiu iiie vue Call system. Be safe andycall 81 ~ before you dig. With pa~perless billing, you can receive and a bills onrme. The process is free, quick, convenient and securec.Toclearnties more or sign up, visit www.pplelectric.com. We appredate the opportunity to have served you. Because you have paid your bells within 30 days over the past year, yyou have established an excellent payment record with Pennsylvania"Power & Light Company. New refrigerators use about half the every as models made before 1979. If you buy a new refrigerator, get rid of the old one. It's costly to keep two units running. Information about appliance energy use and tips on saving energy are available through the-Energy Library on our Web site, www. pplelectnc. coin. MJJASQNDJFMAM 2010 Months 2011 Money Estate owes Deb $ $ 1,590.00 US Treasury Taxes she (Dad) owed 4/4/2008 $ 700.00 Mike Bowers Finsh hardwood floors before selli 820.00 Mike Bowers Finsh hardwood floors before Belli $ 1,000.00 Mom for oil 10/26/2008 $ 300.00 Mom for oil 12/24/2008 $ 300.00 Erie Insurance 10/26/2009 S 4,710.00 $ _ 19.80 Stamps for bills and thank you card 4/1 $ $ 19.80 s 5/2011 Stamps for bills and thank ou cards 5/28/2011 181.50 Cumberland County Register of Wills 4/13/2011 S _ -- _ 221.10 ----- - E ------- 4,710.00 -- - ~ 221.10 _ $ 4,931.10 Total house 9/10/2008 house 10/ 0021 /4 8 e Date: Apri120, 2011 Wells Fargo Photocopy Request Page 1 of I Reference: 1000141182676:1000141182676.•1000141170b74 ..;.. ~~ ~ cown~ ,.~,„o oEeo~- aHN cown~N 5113 s~{ urr}+~ ~. PPfWiF~ISBURG, PA 17th ~~ Q at3Q d Ovee U b-~.~'i~._ _ _ D ~ - . !_ 't_ ~ _ a ~ ! j Sao"~ --- - ~ - -o. i• p _ T =~ U ,~ :~: ~A1CH0~'IA 1Ni~d~ovia B~annk.`NA ~:0 3 LOOO SO 3~: 1000 3 ~ 3 2 3 7 ~ 3 2n• 5 i 13 ~'OOCIO 15 qOO • ~' -_____ ~ ~ ~ ~ k cs ~; ~ - o r ~ z _ _ - ~, R _ S. ~~ m m z9~~~~~~?:'~' ~.r~~zT ~3 ~~s +~ c u ~ 1V, - it1L GiV:`',7~ ~ ~~~r..D"'V~~ ~tiL, i~v~ ~~~„~iL L't1V ~~ I It~~3c~ O'ct~b5~~~k ~ , °' ,=^ r , C n ' ~+ 2 m • i R/T Number 03100050 Sequence Number 5854273990 Processing Date 20080414 Account Number 01000323237232 Amount 1590.00 Check Number 51113 • PAXTONIA CARPET HU1' SPECIALISTS i'N K~nWppD FLOORS 5~9 Park Avenue Hershey, PA.' -17033 Phone-652-5145 Sold to: ~~ ~Ul,~J 5/ ,qr Job Location ~ LL ~~/~' ~~'~' HARDWOOD EXISTING HARDWOOD ~~ STST D ~---'-- -- EXTRAS FLOOR PREP. RAD/BS HEAT POLYURETHANE TYPE Satin Gloss SemrG ossl APPLIANCES F`[J][tNITURE TRANSITIONS MISC. DATE: l /U Uhf Phone Jam- ~ ~ f 6 g 1~~~ `-` / Job Type~~J~//~I,I'~ Lavin Room Dinin Room Hall Kitchen Bed rooms Fami Room Entry Stair Treads Stair Risers --- Stair Returns Landin~_ Other ____ $ _. S ____ S S ____ S -- $ TOTAL CONTRACT PRICE - Terms: 50 % Deposit of~~~°~-and total balance of ~ i upon completion of job. Starting date Respectively Submitted ~~~~ //~~ Gti/ Acceptance of Estimate~~~~~ REwrsuir~ De osit recei t information: Amount: D Date r` Check # Signature of receipt of deposit ~~. 1 y ~-- - Date: ~pri120, 2011 Wells Fargo Photocopy Request Page 1 of 1 Reference: 1000141271133:1000141271133:1000141160131 q~_ ~ ~^ ~ ~ J COWDEN ~-~o ANN cowQ~v 514 6 5f4 LU17iER RD. ~~,~. P~ f7ff, , lB ~~ °~ ~ ~ ~_ Wachwia Banfc, Nom. ~ 7~~~ ~~ 8 :;:~- r wschorka.oom For ~:0 3 1000 50 3~:i0003~323?23 w ~~~, ~ 2 5146 .~ KTL 03;.,4 J s;g70 ~ ' _ . _ _ - 8055 RJc^ Py ~C}3ii^-C?Jc~bO~ "~~~------ _ .- _ _ 09/ J J /2008 CaNMET~'L:E ~ E;,t{!; ?{n Cl-{ER~'Y K 1 L,L , hJ ~ 1 - _ - _ _ ~~. ^ . _ _ - - - ~- c - _ '1 - ~c R/1' Number 03100050 Processing Date 20080912 Amount 700.00 Account Numb er r 01000323237232 Check Number 5146 Date: ,Apri120, 2011 Wells Fargo Photocopy Request Page 1 of 1 Reference: /000141202984:1000141202984:1000141i'90983 ~.:.- iwAM J cowD~N '~,~ 515 0 EBORA ANN COWDEN 514 lU7HEA RD. ~~ , ~ , f' ~ r`~~ HARRISBURG, PA t71ti 7 (/ Pay to the / V - i"'~ llate Orrdder Of T~/! ~ `~~~~ Q R ,~ /~ .... - Dollars ~ ~.~. ~..... wacxovrA WaCttOVia Bank, NA, wacteovra.com ~.0 3 1000 50 3~: 1000 3 2 3 2 3 7 2 3 err' S L 50 --_ -- ~ - - _ _ _ _ -- MTL Qd S 330 6 7 6t? 50312013 3 `~ > ~ `. _' _ 8036 cf 1 P9 10/ ~ 5/2006 f 0~ Ct]M~tERCE Bf~I`tK t~{A '~' - _ - : - _ ~" CHERRY H 3 LZ, , NJ o r, c. _ - _ ~ _ ` C _ _ _ _ C- _ if.' 1 ~ r C . . ~'L. ' c I 41 .'J , ~ - '~ ~ lf' ' 1 1 ~) 1 _ _ ~ c R ~ '. . - _ ~ ~ . ,.,, ~..i __ - - r ~ , R/T Number 03100050 Processing Date 2iD081016 Sequence Number 1457180580 Account Number 01000323237232 Amount 820.00 Check Number 5150 Date: Apri120, 2011 Wells Fargo Photocopy Request Page 1 of 1 Reference: 1000141338700.•1000141338700:1000141326700 w~waM ~. coWDEN ,~,o nEBOC~- aNN cowDEN 5 2 4 5 514 LUTHER RD. HARRISBURG, PA iT111 L~ ^ r ~~ pp~~,.bthe ~ (' p((,P Daiee ~~~~ ..~.~ . ,~ "~ ~:D3 3ODDSD3~: iDDD3 ~3 ~3 q ~3 2r .- 5 ~~.5 Date: April 20, 2011 Wells Fargo Photocopy Request Page 1 0. f 1 - Reference:1000141238602:1000141238602:100014122660.7 !_"_-~ WILLI~tM J COWDEN yo --T~~^~ DEBORA ANN CpyyDEN ~) ~5ey1e~7 2 514 LUTHER RD. ~~ r/'~'v pH~yARRISBURG, PA 1711 i order ~ ~ ~ ~~._~, w~ovrA, nowl~ a ~:~ 1Nacltovta BaNc, NA. wad-ovla.com For ~ ~:0 3 1000 50 3~:1000 3 2 3 2 3 7 2 3 ~i~ 5~,7~ ~.t:,t s Date: A'pri120, 2011 Wells Fargo Photocopy Request Reference: 1000141236619:1000141236619:1000141224618 ~~ WILLIAM J COWDEN ~EeoRA aNty cowaFt~1 '~"0 5 i 5 4 su uJrHER aD. -1AFiRISBUR(i, PA 17111 l0 ~ --/-~j ors3cr of. r. h ..~.,~ _ 1 ~ $! IdOp. ltd WAC.HOVIA w ~, ~ waoNovla.ooa~ r-or y-~ r ~:0 3 1000 50 3~: i000 3 2 3 2 3? 2 3 2n• 154 y -- J i r • f ; Q ' ~~ E~ ice--%~~~~ ~~~i~~ ~OIQ'- f ~ ~~ ( _ ? R `' ~ ~ i G. _{ ' r ~ c,`S~ '~J .~. S ~D n T ti ,, o$r W .~ ~ ~ r '~ r z` m Ft/T Number 03100050 Sequence Number 1352655900 Processing Date 20081029 Account Number 01000323237232 Amount 1000.00 Check Number 5154 1 O ~a T T m I h Page 1 of i `~ Pennsylvania ~.: ?l;RTMENT OF ~7FV'EFrUE INHERITANCE TAX RETURN RESIDENT DECEDENT F CTATC nC. SCHEDULE J BENEFICIARIES HAZEL E WALTERS fJUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec, 9116 (a) (1.2).~ 1 DEBORA A. COWDEN 514 LUTHER RD. HARRISBURG PA 17111 2. NORMAN E. WALTERS 1736 W. TRINDLE RD. CARLISLE PA 17015 RELATIONSHIP TD DECEDENT Do Not List Trustee(cl DAUGHTER SON ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXAE3LE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. FILE NUMBER; AMOUNT OR SHARE OF ESTATE 50'0 50°,!0 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER !iHEET. If more space is needed, use additional sheets of paper of the same size. ~