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HomeMy WebLinkAbout09-16-1115D5610140 --~ REV-1500 ~ (01 10) OFFICIAL USE ONLY ' '' PA Department of Revenue Couniy Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN 2 1 1 1 0 0 9 9 Po Box 2sosol RESIDENT DECEDENT Harrisbur , PA 17128-0601 ENTER DECEDENT INFORMATION BELODW to of Death MMDDYYYY Date of E3irth MMDDYWY Social Security Number 1 6 8 5 4 3 1 3 7 0 1 0 1 2 0 1 1 0 2 2 7 1 9 6 1 MI Suffix Deced~snt's First Name Decedent's Last Name E E S L I N G E R S R J E: F F R E Y (If Applicable) Enter Surviving Spouse's Information Below Suffix Spouse's First Name Spouse's Last Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS MI FILL IN APPROPRIATE OVALS BELOW ^ rn t l R 3. Remainder Return (date of death O 1. Original Return ^ u e 2. Supplementa prior to 12-13-82) d ^ Future Interest Compromise (datE; of ^ 4a 5. Federal Estate Tax Return Require ^ 4. Limited Estate . death after 12-12-82) Total Number of Safe Deposit Boxes 8 te t T ^ 7. Decedent Maintained a Living Trust . a es ^ 6. Decedent Died (Attach Copy of Will) (Attach Copy of Trust) al Poverty Credit (date of death ^ S 11. Election to tax under Sec. 9113(A) ^ 9. Litigation Proceeds Received ^ pous 10. between 12-31-91 and 1-1-95) Attach Sch. O) ( BE DIRECTED T0: ALL CORRESPONDENCE AND (:ONFIDENTIA E COMPLETED U L Y~ l 0 CORRESPONDENT -THIS SECTION MUST B D . ber e Num e Telepho Name T H O E S Q U I R E M A S 7 1 7 7 9 6 2 1 0 - ~- R M A R K _ __ ,~ j REGISTEir27F HULLS USE-ONLY -, . ~ , C7 -, First line of address _ -~ ~; , 1 0 1 S O U T H M A R K E T S T R E E T r~ i ,,_, ~_ - -, , Second line of address , _-~ , -, r ~ I -{ ~.; ~ ~" ~'E FILED " State ZIP Code _ D$ ~------ - --- - City or Post Office M E C H A N I C S B U R G P A 1 7 0 5 5 Correspondent's a-mail address: rmarkthomas email com Undtrueecorrlect and complete.cDeclarafion of preparer other thanuthelpersolnal aep esentative scb~ased on alt reform ton of wh chhpreparerfhas any klnowledge,belief, it is - - .. /DA~ MECHANI PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J c~ 1505610240 ' ` REV-1500 EX Decedent's Social Security Number 1 6 8 5 4 3 1 3 7 DecedenYsName: JEFFREY E • ESLINGER ~ SR RECAPITULATION • 1. .............. 1. Real Estate (Schedule A) ..~••~••••••••••••~•~""~•' 9 0 8. 8 8 2. ..... 2. Stocks and Bonds (Schedule B) ....•••••••~••••••••••~•""'•'•' 3. • 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. 4. Mortgages and Notes Receivable (Schedule D) ......................... 4. . 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)...... . 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ...... . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property ^ Separate Billing Requested ...... . 7. (Schedule G) 8. Total Gross Assets (total Lines 1 through 7) .......................... s. . ................ 9. Funeral Expenses and Administrative Costs (Schedule H) .. s. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... .. 10. ............................. 11. Total Deductions (total Lines 9 and 10) ..11. ................. Net Value of Estate (Line 8 minus Line 11 ........ . 12 12. . Charitable and Governmental Bequests/Sec 9113 Trusts for which 13 13. . ........ an election to tax has not been made (Schedule J . ~ .. 14. Net Value Subject to Tax (Line 12 minus Line 13) .................... .. 14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 D D D 15. (a)(1.2) X.0 16. Amount of Line 14 taxable D D D 16. at lineal rate X .15 17. Amount of Line 14 taxable 17, at sibling rate X .12 18. Amount of Line 14 taxable ~ 18• at collateral rate X .15 ..... 19. ... 19. TAX DUE .............................................. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505610240 Side 2 3 1 2 6 6. 6 0 1 D ~ a. 0 6 0. D 0 3 3 2 5 3. 5 4 2 4 6 8 8. 9 3 3 0 6 9 3. 2 3 5 5 3 8 2. 1 6 - 2 2 1 2 8. 6 2 0. D 0 - 2 2 1 2 8. 6 2 D. D 0 0. D 0 D. 0 D D. D 0 0• D 0 0 1505610240 REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME EFFREY E. ES_LINGER, SR_ STREET ADDRES i i02 East Keller Street CITY Tax Payments and Credits: t. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments - B. Discount - 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. t=ile Number 21 11 0099 STATE ZIP PA j 17055 o.oo To1:al Credits (A + B) (2) 0.00 (3) (q) 0.00 (5) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Make check payable to: REGISTER OE WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Yes No 1. Did decedent make a transfer and: a. retain the use or income of the property transferred : ...................................................................... ^ b. retain the right to designate who shall use the property transferred or its incom~a; ..••.•••••••••••••••••••••••••• X c. retain a reversionary interest; or ................................................................................................ ^ 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? ....................................................................................... ^ ^ 3. Did decedent own an "intrust for" orpayable-upon-death bank account or security at his or her death? ......... ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? .................................................................................................. O ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 3 percent [72 P.S. §9116 (a) (1.1) (i)J. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, undl Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1503 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESI ENT DECEDENT SCHEDULE B STOCKS & BONDS R '~ FILE NUMBER ESTATE OF 21 11 0099 JEFFREY E. ESLINGER SR All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. O. Box 31759, 12800 Corporate Hill Drive Louis, MO 63131-0759 DESCRIPTION VALUE AT DATE OF DEATH 908.88 TOTAL (Also enter on line 2, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIbENT DECEDENT FILE NUMBER ESTATE OF 21 11 0099 JEFFREY E. ESLINGER SR Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned vnth right of survivorship must be disclosed on Schedule F. VALUE AT DATE ITEM DESCRIPTION OF DEATH NUMBER 1,488.99 ~, anguard, IRA No. 0030-88007997196 . O. Box 2600 alley Forge, PA 19482-2600 5.07 2. embers 1st FCU, Savings Account No. 146544-00 . O. Box 40, 5000 Louise Drive echanicsburg, PA 17055 330.26 3, embers 1st FCU, Checking Account No. 146544-11 . O. Box 40, 5000 Louise Drive echanicsburg, PA 17055 1,517.05 4, SECU, Account No. 8705XXXXXX . O. Box 67013 arrisburg, PA 17106-7013 1,735.0( 5. arious Firearms (see attached appraisal) 10,305.01 g. 003 Dodge Ram 1500 Quad Cab pickup 5,000.0 7, 002 Ford Ranger 1, 500.0 g, 001 Chevrolet Malibu (Extensive body damage after having been struck by a deer prior to date of death. ar was never repaired.) 36.C g. heck from health insurance company 2,277.: 10. heck from health insurance company 24.E 11. nsurance refund 5,165. 12. epartment of Defense (unpaid leave) 1,882, 13, epartment of Defense (final paycheck) TOTAL (Also enter on line 5 Recapitulation) I $ 31,266.60 (If more space is needed, insert additional sheets of the same size) REV-1509 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIIyENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER: ESTATE OF: 21 11 0099 JEFFREY E. ESLINGER SR If an asset was made jointly owned within one year of the decedent's date of death, it must be reported on Schedule G. ADDRESS ELATIONSHIP TO DECEDENT SURVIVING JOINT TENANT(S) NAME(S) 111 White Dawn Road on A. Warren Eslinger echanicsburg, PA 17055 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE ITEM FOR JOINT MADE NUMBER TENANT JOINT 1!26/04 DESCRIPTION OF PROPERTY % OF DATE OF DEATH INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIIdILAR DATE OF DEATH DECEDENT'S VALUE OF IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST SECU, Account No. 8290XXXXXX 2,156.12 0.5 1,078.06 . O. Box 67013 arrisburg, PA 17106-7013 TOTAL (Also enter on Line 6, Recapitulation) I $ If more space is needed, use additional sheets of paper of the same size. 1 REV-1511 EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS FILE NUMBER 21 11 0099 JEFFREY E. ESLINGER SR Decedent's debts must be reported on Schedule I. ITEM AMOUNT NUMBER DESCRIPTION A, FUNERAL EXPENSES: 8,577.00 1. Sullivan Funeral Home 4,548.00 2. Gingrich Memorials g, ADMINISTRATIVE COSTS: ~, Personal Representative Commissions: 1,500.00 Name(s) of Personal Representative(s) Linda L. Ryan Executrix Street Address 102 Lon lane Road City Newville State PA ZIP 17241 Year(s) Commission Paid: 2011 4, 390.00 2 Attorney Fees: R. Mark Thomas, Esquire 3. Family Exemption: (If decedents address is not the same as claimant's, attach explanation.) 3,500.00 Claimant Warren Eslinger and Jeffrey E. Edinger Jr. Street Address 602 East Keller Street City Mechanicsburg -State PA ZIP 17055 Relationship of Claimant to Decedent sons 191.50 4. Probate Fees: 5 Accountant Fees: 6, Tax Return Preparer Fees: 263.28 7, The Patriot News (publication fee) 75.00 g. Cumberland County Law Journal (publication fee) 1,050.00 g, Curtis Fulfer (February rent) 9.00 10. Department of Treasury (taxes owed on 2010 Federal Tax Return) 26.50 11. Firearms appraisal 281 29 12. UGI (gas bill) 33.36 13, United Water (water bill) 39.00 14, Erie Insurance 45.00 15. Accounting Associates (prepared 2010 income tax returns) 130.00 16. Petition for Adjudication (filing fee and publication) 30.00 17. Postage (certified mail) TOTAL (Also enter on Line 9, Recapitulation) $ 24,688.9: If more space is needed, use additional sheets of paper of the same size REV-1512 EX+ (12-OS) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, 8c LIENS RESIDENT DECEDENT FILE NUMBER ESTATE OF 21 11 0099 JEFFREY E. ESLINGER SR Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. VALUE AT DATE ITEM DESCRIPTION OF DEATH NUMBER 3,206.57 1, embers 1st FCU, Loan No. 160415-06 . O. Box 40, 5000 Louise Drive echanicsburg, PA 17055 10,006.33 2. embers 1st FCU, Visa Account No. 4672090000186601 . O. Box 40, 5000 Louise Drive echanicsburg, PA 17055 1,038.31 3. CM Services (Discover Account Ending in 6466) 150 Olson Memorial Highway, Suite 200 inneapolis, MN 55422-4811 152.58 3 4. scension Point (Citi Advantage World Mastercard Account Ending in 5451) , 00 Coon Rapids Blvd., Suite 210 oon Rapids, MN 55433-5876 091.46 5 5. state Recoveries, Inc. (American Express Account Ending in 2-21008) , . O. Box 15380 altimore, MD 21220 884.63 4 6. . C. Christensen & Associates, Inc. (Cabelas's Visa Account Ending in 4054) , . O. Box 519 auk Rapids, MN 56379 36.00 7. arren & Reese, DDS 24 East Main Street echanicsburg, PA 17055 2,377.35 g, est Shore EMS 05 Grandview Avenue amp Hill, PA 900.00 g. ersonal loan from Warren Eslinger 11 White Dawn Road echanicsburg, PA 17055 TOTAL (Also enter on Line 10, Recapitulation) I $ If more space is needed, insert additional sheets of thE; same size. REV-1513 EX+(01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: JEFFREY E. ESLINGER SR NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Warren P. Eslinger 111 White Dawn Road Mechanicsburg, PA 17055 2. Jeffrey E. Eslinger, Jr. 17 Elmwood Building Middletown, PA 17057 FILE NUMBER: 21 11 0099 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Lineal Lineal 0.50 0.50 _ I ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. 6. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size. SCHEDULE J BENEFICIARIES AMOUNT OR SHARE OF ESTATE rade MEMBER FINRA/SIPC Sco 12800 Corporate Hill Drive P.O. Box 31759 ` St. Louis MO 63131-0759 March 11, 2011 Linda L. Ryan 102 Longland Road Newville, Pennsylvania 17241 VERIFICATION OF FUNDS ON DEPOSIT RE: Estate of Jeffery Eslinger, Sr. SCOTTRADE ACCOUNT NO.: 30085599, Individual account The undersigned, a representative of SCOTTRADE, INC. hereby certifies that on January 1, 2010 Jeffery Eslinger, Sr. had on deposit with this institution $32.54. The total value of the account was $908.88. SIGNED on March 11, 2011 Authorized Representative Special Handling Specialist Title S atyen V ashi Special Handling Specialist ~ Scottrade, Inc. X00 Maryville Centre Drive ~ St. Louis, MO 63141-5814 Phone 314.965.1555 X 2565 svashiC scottrade.com Enciosures Page > 1 of 1 Jeffrey Edward Eslinger 602 E Keller St Mechanicsburg, PA 17055-3425 f ~~ / ;: ~ Report for 01!0112011 Client Services: 800-662-2739 $1,488.99 Total report value: __.--- (Total report value includes any accrued dividends.) ------- Jeffrey`;Edward Eslinger Sr. -'.Rollover IRA Account value summary Name ~.;.,,o nnnnav Mkt Fund .. __ _. Price Per Accrued Fund & Account Date Value' Dividends Number Opened Shares Share"` I' 0030-88007997196 ~; 07/05120051, 1,488.99___ 0 ~ $1.00 $1,488.99 i $0.00 ' $1,488.99 $0.00 ---- ----- I Totals ` Doesn't include accrued dividends. - " As of the prior business date, 12.3112010, since the report date is a nonbusiness day. 0496586823 03/03/2011 16:02:18 ~. REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner LOAN ACCOUNT: Account Number/Suffix Date Opened Principal Balance at Date of Death Loan Type Interest Rate Name of Co-Borrower VISA ACCOUNT: Account NumberlSuffix Date Account Established Principal Balance at Date of Death Total Principal and Accrued Interest Name of Joint Cardholder MEMBERS 1St FEDERALCRED[T U'N'ION 146544-00 09!26/1994 $5.07 $.00 $5.07 None 146544-11 10/14/1994 $330.26 $.00 $330.26 None 160415-06 02/28/2007 $3,206.57 Unsecured Loan 9.94% None 4672090000186601 04/22/2002 $10,006.33 $330.26 None BERS~1S~~T~F~E~DERAL }C/R~E~DIT UNION Danielle A. Kline Lending Insurance Support Specialist February 2, 2011 Estate of: JEFFREY E. ESLINGER Date of Death: 01101/2011 Social Security Number: 168-54-3137 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800 j 283-2328 wwwmembersl st.org PSEC~ R MARK THOMAS 101 SOUTH MARKET ST MECHANICSBURG, PA 17055-3851 August 17, 2011 Account # 8705XXXXXX, 8290XXXXXX Dear MR. THOMAS: The following is the status of JEFFREY E ESLINGER SR's 8705XX,'KXXX account with PSECU as of the date of death. Joint Owner's Name NONE Date of Death 01.01.2011 Date of Birth 02.27.1961 O en date 13alance Accrued Dividend Share Description p e; 5 Og $0.00 S O1 Regular Shares 02.15.1984 02.1 x.1984 0.00 0.00 5 04 Moneyhandler ~ ~ 1,511.97 0.00 S 07 Money Market 03.13._00 No dividend earned since Mr. Edinger died on January 1, 2011. The decedent had no loans with us. We do not have safe deposit boxes for our members. The following is the status of WARREN P ESLINGER's 8290XXXXXX account with PSECU as of the date of death of JEFFREY E ESLINGER SR on January 1, 2011. Joint Owner's Name JEFFREY E ESLINGER SR ADDED JOIN"C OWNER W!ROS 01.262004 O en date Balance Accrued Dividend Share Description p S O1 Regular Shares 01.29.2004 $ 721.01 $0.00 0.11.2010 1,435.11 0.00 S 07 Money Market If you have amp questions, please ca11234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. Sincerely, ~ ~ ~~t~~ i Meacie Fairf~x Member Sernce Representative Finance Support Unit Pennsylvania State Employees Credit Union Main Address: i Credit Union Pace, Harrisb~..~rg, °A 1 71 1 0-2990 • 717.234.8484 • 800.237.7328 N1ail~na r"-.ddress: PO. Bcx 67013, Harrisburg, PP. 17106-7013 711.777.2100 (TDD) 800.472•pset (tom This credit cnion is federdily insured by the National Credit Lnlon Administration. Equal Opoortunlty'ender -- I ~ '' I~ ~ I~' ~ ~ I ~' l Vr~l i O ~ ~ ~ I f r ~ Z ~ O 7 rn I' j i II I ~ ~' ~ II 'i Ir, I I ~ I N e~ ~ , ~~ 'i ~z ~ I l ~ I '~ ~ j l ~ ~~ li ail ~ ~~; ~ S f ~ ~, ~ = I ~ ~ ~ ~ I ~ U ; ~ ~~ c,~ i ~~ !. '~ ~ I. i, ' ~ ~-' I ~~ i ~ ~ i i II ~' i I ^, . U I --- I ~ ~ ~~ 1 k ~~ ~, I ~ j 'i I- ~- ~ ! s: ~ ~, ~ ~II '~` I~ ~ ~~ 1 ~ I ~' ~; i -.~ I C I, h ,i G ~ ~o -~ D S m ~ a m ~ ~ (~' ~ ' in IZ ~ r ~ I -------~ r ~~ r~ :.~ !'7 .n .. ~~ ~ ~o ~ ~, m c~ 1 rn m ~ n _ ~" ~ ;~ D ~~ n~ z ~ ~=~'nm ~' ~ n -s cn ~ m ~~ C ~ ~~C~ -~ 'D ~ G)_ v_ a z -~ D O `; ~ Q~ ~m T -- ~~ °m -t cn -1 ~ N W O v J J C X N ~J { ~ 1 Ci I , ~ `'n = '~~ ~~ j I ~I ~ m z i .~ ~ ~, N m ~ I ~ c- , ~ _ ~j O i I ~ C ~ ~z ~_ ~ -~`.;~ z i -~ m ~T I ~ V -~ ~ m ~ - ~ ~, I -fir ~~` ~ V ~ 1\ I d ~ = N > '~'fl ~ . ~ x C' nI I C~ 07~ r ~ ~~ ~~ •~ ~ ~ ~~ I-~ I.~ O~~ I ~ "~ c ~ z I~ IN I ~ ~ ~ ~~ -~ z T J ' ~ m I ~~ ~ ~ co ~ ~ ~~ '~ ~' ` I ~ '~ ~ ~ ~ ~ II ~ ~ i ! ' "~ v I. i i ~~ ~i ~ '~.I ~ ~I ~ i I ~~ !, i I O ~ m m N I U.S. I)eFartntent of Justice I~nrc;nt t~fiAIcuhul,'ft~baccu, I~itcarms:uul I~~hlusi~cs hC(ICI'2ll Ji1CP.SlI'II1S L.ICCIISC (1 b' U S. C: Clu~ptcr 4~) In ^ccenilanr~ w~the provisions ul"Title I, Gun C:unUUl Act of 19GR, and the ,egulations issued thereunder (27 CFR fart 478), You arc licensed to engage in the luainess shecilicd in this license, within the liu,itatiuns nl Chapter 44,'hi[Ic I8, Unilcd Slates Code, ^nd the regulatit~t~~itd>~t~ndull~ebrhe expiration daft ~h„wn_ ~cc '~~:~\RNIKGS" anti "NU-I~ICIa" on rcvctsc. _. Dirrct rAI I' r~hf - C hici; I~l LC' ~~~ ~~'' License ~' i ~ ~ ~ ~ ~ i 260(1 Ccnhlrp Parkway, NL Suuc L70 '-n ~7tiltaber ° ~ ~ Cin respuntlc;uc lb ~-~ l t1' rAtlanta, (Ict,rgct 10345-310`1 _ ''~ ,t ~ ~:1:~ 't,ti~;t,',.,.~, ~l, --'~• - ~~;ticl. I~~i ~trcarms _ ~ s ng Ccntcr (! I~Lt')~ ~ Fxpirattpn .t~'~ u...~, ~ Date ,.,;;, la; 1+~~,,~~~~~~1 '~a:... __ _ - ~ ti" riry r rf:71~rTERS i iDWE CO - , ,, '~ r ,.: ,_ nt jP~ q1~s ( 1taligas? Notify the I'PI.C at,luast 30`cL1} s beft~re the movC:l Z~ VV IVI ~~ IV J~ ~ - MECHANICSBURG, PA 17055 00.00 .: ,~, ° ° (~~P~(~~_~'~L~tFFIN FIREARfv1S OTHERTf-1AN'DES-rf~UCl'IVE DEVICES ~-~-~ ~ I'ur~ha,i;,g L~.LIIiCpt10R SKatemut[ , ~ - angeS% Notify-the I'PL.C of any changes.) Mailing /lciilrc,5s (~Ii ,:,,. , I~he IICeI15eC named abo~~c shall use a cup}' of Ihls lu.eps~ ht asst6t 4 tt;tuslerur of RITTE:I~S HDW~,C~, (iteauns to ~uif~; the idcnut} and ~hc liutsals ttus,'oGthc Itcense~ as,pi'ovidcd by (\!1AIN ST ~5 W ~ I is fart 1~;. ll:c ;t~n,tu,l~ n, ~n~u ~~7y' I1Ltst~~lLiSL~igitial~lgD~1[StS~., r\. . (a~.~u ~ranncd or c-n•.tiicd n,p~ tit I:c liu~nsc ~~ull a;aiggaturc inlcn~lcdto hcau ,MCCI--IANICS[3UF~G, PA 17055-0000 ~u,purtl signaa„c is acceptabic ~i he signature must bc~,tha[r6f lh,c Federal Fireat,ms f.e.~ sec (FFL) or a responsible person al the I~FI:. T~-cettify.~~that,lhis is a true cupy ~~ ,,:., ~iccnsc issued lu the licensee na,ucd ubu~r locngngc irithC 6t Cin~ss~~speciticd ~ - .ttni~c u~trlu l`; pc of I,iccnse." ~ . f. tJ C. :;.15' IZ ti~ OnSl~~e Person 51gn:llU'0 i~USItIOIL•il ~ ~ ~ Y-'ALL ~. ." i~-1\T, t~{~. _.. _ !I -1~- ~ _. _ __ I'; Illletl V[1t71C Date miens ~%mnc cosw,rn~.ti t, na±,fi nm~ a,-~,, aanexo,.~~n.~i..cn ei-ot~unin nneu,ms mien n A'fP Form S f571(1 I I I ~ex o, siaucnvr c[vic,s Rcv,scJ Uccc n,hrr )n,i-1 ~~~~~•. inuc ! di, i,•n ~~~ <~Lsolcte SIGNED COPY ~JF FFL #0273 HANDGUN TRANSFER #0274 LONG GUN TRANSFER #0274 SHIpPI~JG 01= FIREARNI #0283 PLUS ANY PACs<ING LABOR, PACKING MATERIALS, INSURANCE, UPS CHARGE=S AND COPY OF FFL 5. o0 35.0 #25.00 'I~r,ul~tCcrs 111;1( <1rc (lc~~liuc(I must l,}c E)ai(1 in [~ull! ~~, RITTERS TRUE VALUE HARDWARE 25 W. MAIN ST. MECHANICSBURG, PA 17055 717-766-7631 Transaction#: A4641G Associate: TRICIA D te• 08/22/2011 Time: 09:47:34 AM a . _ *** SALE *** ^~ ~ n~ c~ '' ~ LABOR ,~ ~ y c ?' 7 ~ 1.00 EACH @ $25.00 T $25.00 ,i '= ~ APPRAISE GUN =. _ Y r ~ = Subtotal: $25.00 -~ ~ 6% - State Tax: $1.50 > ~ = GA TOTAL: $26.50 '' s a VISA: $26.50 00 0 GE :, ~ = . CHAN : $ v Y TOTAL AMOUNT A60VE BUYER. AGREES TO PA c ~ ~ ACCORDING TG OARDHOLDER'S AGREEMENT '0 R1 WITH ISSUER ~~~~ ~ ~ ~ Aopprova1:022768 .! ti CNUM:VISA-~******~****3916 n: c ~ NAME:WARREN P ESLINGER ci ti "' AMT:25.50 x =_ ~ : ci ; ~ ~ k,~ ~~~ ~r ~"~: (Xj Aut orizetl ignature THANK YOU FOR SHOPPING RITTERS All returns must be accompanied by a valid sales receipt. 1 iiilIlIiIIIIIIII~II~illli~ I A 4 6 4 1 U SA-2C: (1 U-' Il " 1~ 1 2 1 1 3 4 2 9 0 0 0 1 1 2 0 0 1 " Title Number: 63083492403 Title Rel: 08/01/2011 WID: 11''11 3429 000112- 001 Computerized Vehicle Registration Penns Ivania De artment of Trans ortation A I[cant Summa Statement VOGT Transaction: REASN TTL TFR EXCHG, RENEW Processor: FLORA M. VOGT1832402 FLORA Processed By: Temp Tag Date: 07111 Purchase Date: Jul 30, 2011 Process Date,: Jul 30, 2011 State of Origin: NY Prev Title No: 63083492 Prev Dup Title Count 00 _ _ __ _ -------- Stock Number: -- Unladen Weight: 0 VIN: JT2BG22K810574791 YrlMake: 2001/TOYO Condition: FAIR Body: SDN GVWR: 0 GCWR: 0 No of Axles: 00 Body Make: Odoln Reading: 117221 Odom Qual: ACTUAL MILEAGE/0 Fuel: GASGLINE/G Purchase Price: $6,000.00 Seat Cap: 000 _ Chassis Mftr: _ Brands: ----- ---- -_ --- --" --- Lessee information Insurance Information Owner Information ERIE INSURANCE EXCHANGE/26271 ESLINGER WARREN PIERCES None 0031110795H 911 CHARLES ST MECHANICSBURG PA 17055 Mail [ ]Tenant in Survivorship? (]Tenant in Common [ ] ODTF f 1 Retired VIN: IFTYR14V72TA75803 None YR: 2002 Make: FORD Condition: GOOD Allowance: 55,000.00 Trade In #2: None Mar 11, 2011 -Sep 11, 2011 rm~ anon Fees & Sales Tax Information i PennDOT Fees Tax exempt Reason: Sales/Use Tax: 60.00 Tax Exempt No: Motor Veh Fees: 28.50 Taxable Sale Price: 51,000.00 ~~ Other Fees: 0.00 Sale Tax Credit $0.00 Override Code: Total: 588.50 Allowance: Lien Holder #2: None [ ]ELT Assigned Tag Type: PASSENGER/01 Class: 00 Assigned Tag No: HVW9144 Reg. GVW: 0 Assigned Exp Date: 5/31/2012 Reg. GCW 0 Signature of Person from whom Tag is being Transferred Assigned Exp Sticker No 513112012 - 00153064 Class Sticker No: Transferred Title No: 65714298ES8 Transferred Tag No: YWY4711 [ ] wlRenewal Relation To Applicant: ll w/Tag Replacement No of Dup Reg Cards: 0 f X] wrrag Exchange - Request for Optional Registration At A Weight Exceeding the GVWR (MV-1005) Warning: The operation of a Wck loaded beyond the manufacturers Gross Vehicle Weight Rating (GVVVR) may create unsale conditions and also void the manutacturers wananty d damage should result from such overloading. Check wdh your dealer or factory representative. You should also consult your insurer wnceming possible adverse effects to your insurance coverage with respect to such overloading. 1lwe request that the above described vehicle be registered at the gross vehicle weight (RRGW or RRCGW) listed above under the provisions of Section 1916(b) of the Vehicle Code as amended by Act No. 8 (1980). approved 2-15-80. Uwe acknowledge that I have been warned by the Department of Transportation that loading my !ruck beyond the manufacturers gross weight rating may damage the truck and endanger its occupants, as well as other vehicles and their occupants and pedestrians: and IAve assume all risks connected with any such overloading of the truck. I/we acknowledge that Ilwe may lose mylour operating privilege(s) or vehicle registraGcns(s)fnr failure to maintain financial responsibility on the currently registered vehicle for the period of registration. Ilwe further acknowledge that Ihve may be subject to a fine not exceeding $5000 and imprisonment of not more Than two (2) years for any false statement that I/we may make on this Conn, and Ilwe certify that Ilwe have examined and signed this form after its completion: and, that, it an exemption from payment of sales tax is claimed. I amlwe are authorized to claim this exemption. Ilwe further certify that ail statements herein are true and coned and make application for cert~cate of title for the vehicle described above. _ __ Date Subscribed and Sworn to: Si nature f Ap licant or Authorized Signer: ,~ (n~ i g Signature of Notary ~. .,vwemy,d..~.," - - - S ~ t Notarial Seal ', E ~=1ora Pd. Vont, Notary ublic A ' i worth P,,;adieion. Twp., Cumberland County ~ '~ My C ~mmsslon Expires May 21, 2013 r _>mp4~r, Pennsylvania Assnuatien of Notari -- - ~ Signature of Co-OwnerlTitle of Authorized Sig VIN/GVWR Certification or Tracing is Required ......................................................................... Place Signature of Person Verifying VINIGVWR or the Tracing Here: t hereby certify that 1 have verified the VINlGVWR of this vehicle and the VINIGVWR listed above is correct. SIGN: DIN: to m 1500 uad Cab SLT Pickup 4D 6 1/4 ft Used Czar Prices, Review:; - T{° •• Page 1 of 3 2003 Dodge Ra Q - . Kelley Blue Book 711E TRUSTkp Rti5(x1RCi' - - ,,.I ' i{,t~l ~; k~L~ to mks ~ Ic~earcn tools home ~ car values ~ cars for sale ~ car reviews ~ p pl.,, --.~~..-= -- :,. ~~yy- - - _ - 1 P _p lar at KBB ccm i~ ~ .~~ `"~i~lSCt~+~ ~I~1 o u :... bars ..r~dc. w..- y. s x -~ L ' Ali i 7~~ t ~lyt t/~ yiYl lti~ r-~ .. 1 _ ~~ .~ r ,._. rf.K~l jt~•',11 l71.1n ___~~__--~~~~ -. • - f 1 i ..tea _ .. --_ _ a:~ver i erne _ ;n > 200:3... Dodge Ram 1500 Quad G vo r,oms > Car ValuE > Uadge > Ram i5Q0 Quad C > 200' > Styil > 0: - - SLT Pickup 4D b 1(~. 2003 Dodge Ram 1500 Quad Cab ~°°'" SLT Pickup 4D 6 114 ft m _ _ ~~" photos Mileage100,000change edit options change st,'le L,'~a :his ca ~, see Tonal deals '~ Select: r;rcwse a Car Choose Style r Cet3ans 3 See Used (mar Pnce .....__...... _. ___ __ _ ___ __ ___ _-__._ prang pnotos specs kbb expert review consumer reviews ratings compare ~~ ~i 0 ~4r~r:J Se.:- a c n;S-~Il Lal~es Suggest2a Re*.all _ Private Party Fair Excellent Good 510,580 510,305 ~j~ C,iange c~ndstln=~ Find Leafs Near'~'ou SvL v_,I ~c~l ?~VEhfC1e5 POr Sale E91atCtlin C~7 COdge Ra199 iE~OD 4Ua _:; i3 neCf hl ar.hant( SJ~J:~. Get a CARFAX Record Check rr r'/IP ~C,'ona! gc X ~~ Vt^J? tdp Pr00lem'. Know Your Credit Score? gel yours now Prav~ded by f`'~-'^'x'''~~ Compare This Car 2003 Dodge Ram 1500 Quad Cab Engine: :.?. ..% -~.~~ Transmission: s~c.r:et! Mire Specs 1'/ Recently Pl~lJGf7EII/YE , , ~. i j I "~ VIJe make it easy to compare `~ rates and sage. '13tYt tl u' ~~(1... _. _.._ i ~~ _ __ ._ ....__._ _...._ v: h4 za S? adve:~ci_eme.^._ Buyer's Resources __ _ _ _ __ . What can I afford? ;, C:jlrulate your monthly paytrent I want extended vehicle protection >• met a tree extCe„rd warranty quote Top 10s & Nevus 10 C;.;.lest far.<, ,..~ ' 2 8Ml'~' ~SCi C,rver*.i61e:.°, Gra.v'i9i: Prime 2C -" iUp .-_ , ~.;r;iy ~ar_ ~. 7.01_ ive Great Ca` Leas My Saveil .ars save ML'V ZFP c ccie: Sl~~n http://www.kbb.com/dodge/ram-1500-quad-cab/2003-dodge-ram-1 X00-quad-cab/slt-picku... 8/22/2011 Pale 1 of 2 2001 Chevrolet Malibu Sedan 4D Trade In Values, Reviews -Kelley Blue Book n>C~ ,~r~'.rr~.~ ;f ~ '!._;t~'t dd ~~~~ ~00~'1 "1'f~l~ TrtUS'T~Cy ltE5E3U1tC~® ~__, .~ . . ;.- 4 r~. t Values ~'' ~ f ~'' ` Used Car Private Party _.-r~ ~~ a~°r:~ t ~ ~ . - 2001 ~hevr0let Malibu ~., , ~a~ ~~~ti .~ ~ ~ 4D ~..-_~~__~ r Sedan Mileage:10O,O00 ~~ Private Party $3,695 Good $3,320 r Fair $2,745 Vehicle Highlights °"~ Max Seatin MPG: City 18/Hwy 26 Engine: V6 Doors: 4 Transmissi~ Drivetrain: FWD Body Style, EPA Class: Midsize Cars Country of Country of Origin: United States Your Configured Options ,~~ ~l ~- ......._..._..._.. . _............._ ............._............ Our pre-selected options, based on typical equipment for this car. ^Options that you added while configuring this car. Braking and Traction Entertai Engine ABS (4-Wheel) AM V6, 3.1 Liter Comfort and Convenience Safety z Transmission Air Conditioning Du, Automatic ~ power Windows Wheels Drivetrain Power Door Locks Ste FWD Steering Power Steering Tilt Wheel com/chevrolet/malibu/2 001-chevrolet-malibu/sedan-4d/?vehicleid=3 872&... 8/22/2011 http://www.kbb. 71'7-765-80[17 p • 1 -. .. " Gingrich Memorials Rug 12 11 02:33p _.. t j ~ -~tv+ra~t2e C,~~SI~ I~+~QQ ~0 lN`f3~ U~ . ~ ~ ~nl•/ ~~~ ~ APProved v Drawing ~ Drawing Sent to Cust. ____-- MEMpAIp,L,S Since 1921 Found. Ordered--- Found. By Ack. # n Ferry Road, Mechanicsburg, PA 17050 5243 SimPSO Vendor _ Cremation {717) 766-5622 + Fax (7171 76b-8047 Grave Po:>Ition Verified ~ O1 i ~~, gingrichmemorials. com Date of Order SOLD TO: ~ 1 ~ ~ ~ ~'~' ~ t ~ ~. ~ '' 1r{ U ~ Cemetery ~~ C . :, ~"~ ~ ~ ' R Location ~° G Cemetery ~_ Graves Sec.l Lot~# t- Cell 5~q • R~~ ~ _ Center Over N Y1n1!~ I~.il>~=~.5~------ Phone D J - - gpprox. Date of Completion tmau Lettering \ r ~~i? ~- `~ ~"- t=+z ' S S-. ~ f ~~ ;,~, ~a~l 1~ N. ~. ~~ i t (~ \Nltl ~n~ltt"c i ~ , r„ ! -______ Material ~~ ` Type Q~tQtt ~ S, Size 3' U X ~~-- x ~- Finish ` ~ n• 1 ~ ~o ' 2.. ~b X ~_ x ~~ Finish ~ '~ ' Size pescription ~ r iiDll~c Location on Cemetery ^ Other ______----------"~~--"~'- ^Vase ^ Photo ggreerrtent A 5p% deposit is required to commencement of work. other ood reasons. This order or Agri tp pay stated balance upon erection regardless of laboh p~iessThe a'Aicls herein mentioned shall remain the property of ~~ cannot be cancelled by customer unless agreed by Jatnesii. Gingrich Memorials until paid In Lull and they reserve the right to remove the same is not paid as state . t agree ~ carehilly Pr OtNAL CHARGE FORaANY LETTERING ADOED TO rTHISnMEMOIRtAL AFTERoERE'CTED ON THE yy1t,L BE AN ADDITI ~M~ ~ ~ ~y the balance stated for the work periormad under this contract within thirty (30) days of receipt of the final further agree that interest shall accrue al th© rata of one and one-half percent (1'h %) per month on the unpaid ba ance I further as invoice and 30 da s of the invoice date. In addilicn thereto, 1 agree if it becomes owed to ,)ames R. Gingrich Memorials not paid wlthin thirty ( ) Y necessary for James R. Gingrich to institute I~gal proceeding to coaenes R.fGi ngrc h Memorlalsotc collect he same past due thirty (30) days, to pay err court cast and attome s fees incurrod by ~~ ~,~ _Dealer ------- j ~tomer eu;n end dates are correct) ~` (I further agree that the above names, sp 9. \~ \. Additional Lettering: ^ Back ^ Base COSTS: o Ulernariaf ~ ~ ~ ~~ S Foundation Cemetery Fees ~ ----=- ~- TOTAL o 4- ~' S t S~~ $ ~ ~- DEPOSIT Balance Due $--=`-' ~` '- Upon Compieti~o~n5.IS 2, ?,~ ~' 6_g_u ~~ ~ F iy ~~id ~~~~;~i~~sArySel~e~i;-.~ . ~~~a~emeri~`ot runeral~ C~®®~ . _ . ._ ~ _.; ~ ~ r sel~~c"d or that arA - Charges are ,~n y for !hose items .haf you required..1' ive are required .~y law or by a cemetery er crematory to use any items, we wilt ex~;Iain the reasons ;n writing below. - If you selected a funeral that may reou°for embalmringl You do not funeral w.~th viewing, you may have tc p~-iY have to pay ror embalming you did not approve if you selected _ ~_ arras ed for emba m ng, w l rwi11 explaintiwhy belowediate burial. It we • - ~ charg _ :, ,_ ----- Statement _ -- - Date of Death Date of _ _ _ _ -_ , _ _ - No. - ,~ Funeral Services for ~__~.. .. ~ , . - Y^- µ C. SPECIAL CHARGES _ ~~ ,~ ? , ~ . _ ~ti:" _ < ^ Receiving remains from: a„~~.~ •-~r'~ ~'-~ ` ^ Forwarding remains to: A:fCHARG~E_F<~,R,~ERVtCES~E~CTED - .: w -~ ~; ----- • 1. Professional Services: - ti, r• r; Basic Services of Funeral Director 8 Staff ..... =-~-~-L-' Embalmin ~ ~ ` s • - - • ~ ~ ~ ~ ~ ~ ' ' '~~- ~ Immediate Bural .................. ~--- ~ Other preparation of body ... ..... ~-- ~ Direct Cremation ........................................ . fi ............. -' ~, -, ~~..::;. r`• ; `'~~ Other ....................... ........... ------ y ................. ~ 3 ....-• ~ 3 v TOTAL OF SPECIAL CHARGES ............. 2. Facilities, Equipment & Staff: A + B + C) g l-_ TOTAL FUNERAL HOME CHARGES Use of Facilities 8 Staff for Viewing/Visitation ...--;-----' (This total does not Include Cash Advances) _ ~ Use of Facilities & Staff for Funeral Ceremony . ~ --=-~ T . +~•--- _ ~~ Use of Facilities 8 Staff for Memonal Service . -- -~- D. CASH :, ~ __ , -,„,.„:: ~-~ °~ - - ~ t F Certified Copses of Death Certificate each $ ~ ---- Use of Equipment & Staff for Graveside Service ---=---' ~ $ r~ ~ `t ~'- Y * a Use of Equipment & Staff for Church Service ... -=---£- ~ !~, __ ~_ ~ ............. -=------- ~ ClergY ~.- 3. Transportation: - =--- • , .~----- Musician _____~ a Transfer of Remains to Funeral Home ... ,J i ,_ ~ R Hearse .......... ~ Paid Newspaper-- Notlo___ • ~_ ---- Limousine .......... • • _-1___ __ ~- Sedan .............. ~ ., _ ~- "' " ` ' Cemetery------ - Service 1 Utility Vehicle.. _ _ _ __~_ ., i , - ~_ - ~ Other ,-_-=.--__„ - , .-_----- - - 4. Other Services /Facilities /Equipment: _____ TOTAL CASH ADVANCES $=-=-='- ....................................... s i cash advance items). ................. We charge you for our services In obtaining: (per '; ................. ~--- ~ u i _ •< ... .. ............... _ a TOTAL OF SERVICES SELECTED.... • • • • • --J` B -CHARGE FOR MERCHA D E SELECTED t"F ,- .. .. - - - ~• ....... SUMMARY _ . ;............ L h... i Casket (or other receptacle) ~, $~_ Name/No. _ `' ~ Total Funeral Home Charges . ~ • • • • • ~ ~ $--____ `'~ Material ~ ~ Local Sales Tax (if applicable) ........ . if a licable) $--~- t ,~ Color ` ~ ~ ` ~ State Sales Tax ( PP • ' ~ ' ' ' ~ ~ ~ ~ ~ ' ' Outer Burial Container .. ~ a Total ('ash Advances • • GRAND TOTAL ~------='-- Name/No.~-- "<' '` Less Credits, Payments, and Assignments from Maferial ~ ` ~ ~• $__----- t AcknowledgementCards .................................... -- V $---- Register Book ............. . , _ $________ Memory Folders /Prayer Cards . - ~ ~ " " " ' • ~ ~ ~ ~ ~ ~ ~ • • ~ ~- s - Clothing .......... ---- • • • ~ ~ - ~ -~- _ TOTAL CREDITS $---------- ..................... ------ a ` , ....... . pqg /~~! @ Cremation U•n .... ..... _---- ®HLI'"'-rm~~ DU~ ~ ,.p s~,~ ~ : V ..... ................. ... ........... ~ mm ___..: .. M . ~a TOTAL OF MERCHANDISE SELECTED • • • _ _~ ~ ~ ,...~. ~ , , . _" -•=~` • ^~ $ GISCLOSURES d bPlo ~; or crematory regwrements have required the purchase of any items listed, the faw or requirement is explN .} , ff any law, cemetery - for embalming you did not apprc You do not av o pay re uire embalming, such as a funeral with viewing, you may have to pay for embalming. ed for embalming, we will explain why below. If you selected a funeral that may q if you selected arrangements such as a direct cremation or immediate burial. If we c arg _ ------------ The Patriot-News Co. 2020 Technology Pkwy Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-$~13 R. MARK THOMAS ATTN: JOETTE L. MCGOWEN 101 SOUTH MARKET STREET MECHANICSBURG the ~arriot-:~cws Now You know PA 17055 THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication6 1929 Under Act No. 587, Approved Mai Commonwealth of Pennsylvania, County of Dauphin} ss Holly 81ain, being duly sworn according to law, deposes and says: Pkwy, Suite 300, in the Staff Accountant of The Patriot News Co., a corbus Hess ag2020 Technology g under t'e laws of~e Sunday That she Is a lace of ublisher of The Patriot-Nc,ws and Commonwealth of Pennsylvani of CumberlandpStatel of Pennsylvania, owner and p Township of Hampden, County rinted and published at 1900 Patriot Drive, iri the amity, Cou ity and State ers of general circulation, p t-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1 e ular Patriot-News newspap aforesaid; that The Patno ublished ever since; rinted and published In their g respectively, and all have been continuously p Indicated below. That neither she nor said That the printed notice or publication which is secur earedaon the date(s) exactly as p daily and/or Sunday/ Community Weekly editions which app the sub ect matter of said printed notice or advertising, and that all of the allegations of this statement on Company is interested in I ublication are true; and owered to verify this state to the time, place and character of p ~ assE:d and adopted severally by the That she has personal knowledge of the facts afo~suandt to a resolut on u~ranimousty I~ p of Deeds behalf of The Patriot-News Co. aforesaid by virtue and p and board of directors of the said Company and Volumeu14t1F'age 317 rded in i:he o~fice for the Recor Ing stockholders in. and for said County of Dalaphin in Miscellaneous Book " , This ad # 0002122793 ran on the dates shown bed bruary 04, 2011 PUBLICATION COPY February 11, 2011 February 18, 2011 _------- ESTATE NOTICE Letters of Administration on The Es tote of Jeffrey E. Eslinger, Sr., late of The Borough of Mechanicsburg, Cumber- land County, PennsYlvanla,deceased, have been granted To the undersigned. delbted To said estate wlllnmake PaYmeent willnareisent themtforssettleme i toms , Linda L. Ryan 702 Longlane Road N ewville, PA 17241 R. Mark Thomas Attorney at Law l01 South Market Street Mechanicsburg, PA 1705 ' / t: ~ Sworn to and sut7 cribed before r---, ~, Notary I'uollc 1~~,day of February, 2011 A.D. / ;! ' ...~' ~ - _ catit~c~,,v~.as..Y~~ ,r~= a~h~sYa_y~~vua Nctari~l gal Silarrie L ;tlsne!r, Notary Pubiic~ I~ !_ower Paxton TwU., Dauphin County i>~y Commission Expires Nov. 26, 2U11 '~P7.."•'.r. ?crnS/Il.'~r!iz ~,450Cidtt4n 0` hlCtarl°5 The Patriot-News Co. 2020 Technology Pkwy Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-8213 R. MARK THOMAS ATTN: JOETTE L. MCGOWEN 101 SOUTH MARKET STREET MECHANICSBURG ACCT # NAME 35242 R. MARK THOMAS 35242 35242 35242 R. MARK THOMAS R. MARK THOMAS R. MARK THOMAS ~Q~l~~iot News PA 17055 INVOICE AD O_ RDER # DATE EDITION 0002122793 02!04/11 REGULAR 0002122793 02/04/11 REGULAR 0002122793 02/11111 REGULAR 0002122793 02/18/11 REGULAR ADDT~. INFO. ALL CHARGES AFtE NET TYPE OF CHARGE t\MOUNT ---- BOLD TEXT CHARGE 84.00 $84.76 BASIC AD CHARGE 884.7 6 BASIC AD CHARGE 884.76 BASIC AD CHARGE AFFIDAVIT CHARGE 55.00 $263.28 TOTAL: REMITTANCE ADDRESS The Patriot-News Co. 23794 Network PL. Chicago, IL 60673-1237 Account # or Ad Order # (above) with your remittance--Thank Yc~u Please include the Invoice replaces the Order Confirmation which we previously sent with Proofs of Publication NOTE: This PROOF O B RL,AND LAW OLTRNAL E IN CUM p. L.178-1 (Under Act No. 587, approved May 16, 1929), COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND ' isa Marie Coyne, Esquire, Editor of the Cumberl and sa s that the Cumbe land Law L State aforesaid, being duly sworn, according to law, deposes Y Leval eriodical published in the Borough of Carlisle urts as the officnal legal aforesaid, Journal, a s P was established January 2, 1952, and desib ated by the loco co 2 1952, been regularly periodical. for the publication o~ aland that the printed notice or publication attached hereto is issued weekly in the said Coun y, ~actly the same as was printed in the regular editions and issues of the said Cumberland av~' e. Journal on the following dates, viz: February 18 Februar 25 and March 4 201 ant further deposes that he is authorized to verify this statement by the Cumberland A w Journal, a legal periodical of general circulation, and that he is not in~he forde~oinge subject La matter of the aforesaid notice or advertisement, and that all allegations m statements as to time. place and character of publication are true. T.,sa Marie Coyne, E itor SWU~y Tp AND SUBSCRIBED before me this 4 0_ f March. 2011 f Notary Esliager, Jeffrey E., Sr., deed. Late of the Borough of Mechanics- burg. Administlane Road, NewvillRe, PA 102 Long 1721. Attorney: R. Mark Thomas, Es- quire, Attorney at Law, 101 South Market Street, Mechanicsburg, PA 17055. ,..,~.~.=a w _.,._,.~~,_~ _...,,,. ,...,b,~,,~.~ f~JGir~Jn~ Si:;,t GEBCRAH A CvLLiNS No.ar~ Public CAR'~ISLE BOROUGH, CUMBER~A`JG CO~;JT'f My Commission Expires Apr 28, 2014 CUMBERLAB pFORO STREET 32 SOUTH CARLISLE, PA 17013 Tele: (717) 249-3166 Fax: (717) 249-2663 March 4, 2011 Cumberland Law Journal is published every Friday by the Cumberland County r Association and is designated by the Court of Commoe Ploea ublication ofaegalal Ba publication for Cumberland County and the legal newspap notices. TO: R. Mark Thomas, Esquire Jeffrey E. Eslinger, Sr. Estate RE: Legal advertisements must be received by F toa Cumberlalnd Law Journaing must be paid in advance. Make all checks payable Advertisement inserted on following dates: February 18, February 24, and March 4, 2011 Advertising Ccst $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Nlorgenthal, Executive Director RECEIP' FCR PAYMENT GLENDA FARMER STRASBAUGH Cumberland County - Register Of Wi11s One Courthouse S uare Carlisle, PA 17613 ESLINGER JEFFREY E SR Receipt Date: 1/21/2011 Receipt Time: 11:41:29 Receipt No.: 1064129 Estate File No.: 2011-00099 Paid By Remarks: R MARK THOMAS WZ - _ ______ ___--- Receipt Distrib - ution ----- ------- -------- -- Fee/Tax Descriptio n Payment Amount Payee Name FUN PETITION LTRS P.DM 90.00 00 16 CUMBERLAND CUMBERLAND COUNTY COUNTY GENERAL GENERAL L FUN FUN RENUNCIATION SHORT CERTIFICATE . 28.00 CUMBERLAND COUTTTY U OF RECEIPTS BUREP GENERA & CNTR M.D ACS FEE 23.50 00 5 _ CUMBERLAND CO'IJNT'_' GENERAL FUN AUTOMATION FEE -- _ _--------- Chec'._~# 3086 Si56.50 $156.50 Tota! Rece1ve~.... ..... ~L~ ~~' RECEIPT FOR PAYMENT Receipt Date: 1/25/2011 GLENDA FAR.NER STRASBReGHster Of Wills Receipt Time: 0906x166 Cumberland County g Receipt No.: One Courthouse Square Carl isle, PA 17613 ESLINGER JEFFREY E SR --- 2011-00099 Estate File No.: paid By Remarks: HM~K THOMAS -- ----- ----- __________ _____ Receipt Distribution ----~----- Pa meat Amount Payee Name Fee/Tax Description ~' C''.JbIBERLAND COUNTY GENERAL FIJN 20.00 SHORT CERTIFICATE ________________ ~20.00 Check# 3095 20.00 Total Rece~ved... services 4150 OLSON MEMORIAL HIGHWAYS SUITE 200 MINNEAPOLIS MINNESOTA 55422-4811 7:00 am - 9:00 pm M - TH 7:OOam-S:OOpmF TELEPHONE 763-852-8640 Hours (CT): Fax 877-326-8784 8:00 am - 12:00 pm S TOLL-FREE 877-326-1534 JANUARY 31, 2011 I~V~pN6tl~~~~~ Esta_ to of: JEFFREY E ESLINGER JR Probate Case No Date of Death Total Unsaid Balance PF Reference No 2011-00099 1/1/2011 $1,038.31 CL347816 Dear Sir or Madam: Enclosed herewith is a copy of the Creditor's Claim for the above referenced estate. If you have any questions or if this is a duplicate claim, please call our company toll free at 1_877)326-1536. Cordially, DCM Services, LLC Enclosures This company is a debt collector. We are atte omptored or~lecordedefor quality assuranace purposes.d will be used for that purpose. Calls may be m NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION NOTICE: SEE ATTACHED PAGE(S) FOR CLAIM DETAIL • NOTICE OF CLAIM (Filed Pursuant to 20 Pa.C.S. ~ 3532) COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF JEFFREY E ESLINGER SR ,DECEASED No. 2011-00099 To the Clerk of the Orphans' Court Division: Enter the claim of ~scensionPoint Recovery Services LLC on behalf of Citibank South Dakota. NA in the /Claimant) amount of $ 53.152.58 ,against the above entitled Estate. The Deceden±; who resided at 602 E KLLLER ST. iVIECHANICSBURG. PA (Street Address) 170553425.died on O1/O1/2011. Written notice of said claim was given to (Date of Deat{:) (Personal Representative or his/her• counsel) at 102 LONGLANE ROAD NEWVILLE 17241, (Address) on 3/15/2011. (Date) Robin LeDonne - IL Bar # 6294763 (Claimant's Counsel) 200 Coon Rapids Blvd. Suite 200 (Address) Coon Rapids MN 55433-5876 j V~,,~~~-APRs Representative (Claimant] 200 Coon Ra ids Blvd. Suite 200 (Stree t Ad d ress) Coon Rapids MN 55433-5876 (City, State, ZipJ (763)235-4250 (Telephone) DO NOT SEND PAY'v~~rTS OR CORP ~;SpONDENCE TO THIS .ADDRESS ri~~~ Department # 6129 ".•--."".. P.O. Box 1'59 t Oaks. PA 19156 I YING INFOR(VIATION II~III IIII'I~I ill II II IIIIIIIIIIIIIIIII~I~IIIIIIIIII~II'I I~I I~I II I'~I~I'III~II Estate Recoveries Inc. Filc: No.: ARMS00000165568 Office Hours (Eastern Time) CreditorAccoun 1~1 -~ T'r: 9OOam - 9:OOpm -- Fri: 9:00 am _ 5:00 pm 377213032221008 1-856_.79.; -1 ~ ~ 1 Creditor: American Express Fax: =1-13--151-2701 Estate of: JEFFREY ESLINGER tl„tnl~ntl~~llllntltlttlll~ttlt~tttl~tl~tl~~t~~i~ll~~illlt~tt 54,8-„ - Estate Of Jeffrey Edinger ACCOUNT BALANCE: $5091 -16 602 E Keller St --- Mec:hbg, PA 17055-3125 Februan~ 2'i, 2011 Dear Sin~1;_idam: On behalf of the creditor, use wish to extend our condolences for }'our loss. Estate Recoveries, Inc. specializes in wbrkin w' customer's Iamilies and estates during difficult times such as this. g rth The balance owed on this account is $5091.6. If there is an estate. please fonvard the Notice of Administration form to our office for processing. lone may obtain this fo from the Probate Court or your attorney). rm If the account has credit life insm~rnce, please contact our office. We would be happy to assist you ~yith this process. Otherwise. please send all payments to ERI wtth the renuttance slip found at the bottom of this letter usin the enclo em elope. Tu ensure proper posting, please write the ERI File Number on your check or money order. g sed If you have an} ir~fonnation regarding an estate, including if there is no estate. or if you have questions or require assistan ~yith this rnat~'er. please contact us at 1-866-79~-1321. Our representatives will be glad to assist you. ce Sincerely, Estate Recoveries, Inc. -___,_________________ ___- NOTICE: SEE_REVERSE SIDE FOR IMPORTANT INFORMATION ---------------------- ------ Estate Of Jeffr•eti Edinger ~ ----~---~""-~-------------------------___ -------- 602 EKeller St IDENTIFYING INFORMATION Meclrbg. PA 17055-;-125 Estate Recoveries Inc. File No.: ARMS00000165568 Creditor Account Number: 377213032221008 Creditor: American Express ACCOUNT BALANCE: $5091 ~~~ Amount Enclosed:. _ ~1 Make Check Parable To Estate Recoveries, Inc. P.O. Box 15380 Baltimore, MD 21220 LJ~L„II~J,I~~I,IIi,~,l Z ~~18-41 s (Fziec~ PurSuan~ to 20 Pa.C.S. ~ 5~3~, C LET OF COIvl?~10N ALFAS OF ~ ~' ~ c:r e rf ~~ OOH COUNTY, PF;N~rSYZ~rANZ^, 'z-'VS' COURT DNISION EST_aTF OF ~~~~~~ _' ~S ~~ ~; ~ No. O l ~ 7 To ~, ,., ~le ~lerK of ~~~ O .i1`" ~ha_~s` Court D-vision: Er~:er ~i~e c~ai- ~ ~ ~ , ~. ,~_ ~~,~_l: o`S / ~`~ G ~i C~'1c~E~lS~ gel ~S (~ 4j41I'iSt t~ ~--lain2maiJ ~~ e above e;ltitied t Th~ De^ ,,_ Es,a°~ ~ede,_l. who resided ai '~ ~1S-i?il was `:~-,= .,. ;~~ .I: ~~ ~ Cr aPR ~ ~ zoif ~:~r.Yel 2- .~. ,.7 ;~, .. ~ e ~.- h ~~. dZ ~.C! oy~ f I ~.1 ee(f.1 CIC~1-~ ;i 1 ! ti:~ ~ ~ ~ (Dare of,'~ecti; ~11 11^ ,(Pe,~soJ:ai F,e I e C,J ~ G r oresen.[atii~e a- h .--~~~_ ~% ' L~ r s,4ze,-~ m } ~ '~~I; Co2uaE~; w2~Prenre CouJ-; i, ~,. ~~, DECEASED ~i= the ~.~~_ ~r ryl7 t? r ~.: ~e~l rotice of ~C1aU72a17Y~ ~5n-eel,q~ai-~ (C2t~-, Slale, Zips ~--~-