HomeMy WebLinkAbout10-12-11c ees
Wallaee & Nurick i_Lc
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October 11, 2011
Cumberland County Register of Wills
1 Courthouse Square
Carlisle, PA 17013
RE: Estate of James L. Bariski
File No. 21-10-0222
Dear Sir or Madam:
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Enclosed for filing are the following:
Two (2) Inheritance Tax Return Resident Decedent (RE\/-1500)
Inventory
I have also enclosed a check in the am the envelope prov ded the filirng fee
our file copses and return them to me m
Thank you.
Ve truly ours,
avid E. Gruv r, a. C.P.
Paralegal
deg
Enclosures
c: Janice T. Bariski, Executrix
David E. Gruver, Pa. C.P.
Paralegal
Direct Dial: 717.237.5362
Direct Fax: 717.260.1658
dgruver@mwn.com
Please date-stamp
www.mwn.com
I'IARR{SBURG, PA • LANCASTER, PA ~ STATE COLLEGE, PA • HAZLETON, PA • COLUMBUS, OH • WASHINGTON, I)C
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21-2010-0222
Persona] Representative(s) of the Estate of James L. Bariski
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~~ ~ ~ ('~ ~,~",!~'~1~~
tory are true and correct. I understand that false state- ~--.r ~ T. sarsk~, xc x
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
anthnrities.
Attorney -- (Name) David M. Watts, Jr., Esquire
(Address)
100 Pine Street, P.O. Box 1166, Harrisburg, PA 17108-1166
(Supreme Court LD. No.) 42232
(Telephone) (717) 237-5344
DECEDENTS SOC. SEC. NO.
DATE OF DEATH LAST RESIDENCE
675 Laurel Drive, Boiling Springs, PA 17007 171-38-7521
12/20/2007
FIGURES MUST BE TOTALED
Commonwealth of Pennsylvania, unclaimed property
301.89
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(Attach additional sheets as needed)
TOTAL: 301.89
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of tl~e personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(6))
r~
Form RW-09 rev. 10.73.06 ~~,..'~j(,t'"~
~'
1505610148
-'-J REV-1500 EX (01-10) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN 21 10 0 2 2 2
PO BOX 280601
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date Of Blrth NIMDDYYYY
171-38-7521 1220200? D3111947
Suffix Decedent's First Namf; M I
Decedent's Last Name
JAMES L
BARISKI
(If Applicable) Enter Surviving Spouse's Information BeloSuffix Spouse's First Name MI
Spouse's Last Name
JANICE T
BARISKI
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
_ _ REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
^
Supplemental Return
2
^ 3. Remainder Return (date of death
1. Original Return . prior to 12-13-82)
^
d Estate
it
4
Li ^ 4a. Future Interest Compromise (date of ^ '~~ Federal Estate Tax Return Required
e
.
m
tate
d T
i death after 12-12-82)
7. Decedent Maintained a Living Trust
~ 8. Total Number of Safe Deposit Boxes
es
e
6. Decedent D
(Attach Copy of Will) Attach Co of Trust
( py )
^
9113(A)
Sec
d
^
eeds Received
P
i ^ 10. S ousal Povert Credit (date of death
9 .
er
11. Election to tax un
O)
Attach Sch
roc
on
9. Litigat 1 and 1-1-95)
between 12-31 .
(
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIALDay Xme Telephoone Number BE DIRECTED TO:
Name
ESQ
7:17-237-5344
DAVID M• WATTS, JR•, • ~,
REGISTER~3F ..612} LS USE OItltY --, -~ ,
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First line of address _..
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100 PINE STREET J~ 1
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Second line of address _
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p. 0. B 0 X 116 6 DATE FILED C" T1
City or Post Office State ZIP Code
HARRISBURG PA 17108 1166
Correspondent's a-mail address: D W A T T S a1 M W N• C O M
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer hDATE knowledge.
~ .c ir_~c-.% ~
AD SS
5 LONGWOOD DR•, MECHANICSBURG, P~,~~ 17050
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ~ \~ / n r N v
MCNEES WALLACE & NURICK LLC, BY~ J ,1 ~C~ ~ ~~
ADDRESS HARRISBURG, PA 17108-1166
10 0 PINE STREET , P • 0 • B O PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610148 1505610148
9M4647 4.000
~~V
REV-1500 EX
155610248
Decedent's Social Security Number
171-38-7521
Decedent's Name:
RECAPITULATION
Q•QQ
1. Real Estate (Schedule A) ~ •
1.
o•oQ
•
2. Stocks and Bonds (Schedule B) . ~ • 2
Q•QQ
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) • 3.
4 Q•QQ
4. Mortgages and Notes Receivable (Schedule D)
.
3 Q 1.8 9
Schedule E
5. Cash, Bank Deposits and Miscellaneous Personal Property ( ) 5.
Q.oa
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6.
7. Inter-Vivos Transfers & Miscellaneous Non-PProbate Property
Gl Separate Billing Requested
l 7 Q , Q Q
e
(Schedu 301.89
8. Total Gross Assets (total Lines 1 through 7)
s
571.50
g. Funeral Expenses and Administrative Costs (Schedule H), .9.
8,239.1,9
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10.
11 8,8],0 •69
•
11. Total Deductions (total Lines 9 and 10), .
.
12. Net Value of Estate (Line 8 minus Line 11) 12. (8 , 5 0 8 •8 0 )
Charitable and Governmental BequestslSec 9113 Trusts for which
13 Q • Q Q
.
an election to tax has not been made (Schedule J) , . 13
(8,508.80)
14. Net Value Subject to Tax (Line 12 minus Line 13)
1a
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers un~er Sec. 9116
Q • Q Q
16. Amount of Line 14 t xable
0 4 ~ Q • Q Q
t lineal rate X
16. Q . Q Q
.
a
17. Amount of Line 14 taxable
Q • Q Q
17 Q . Q Q
at sibling rate X .12 .
18. Amount of Line 14 taxable
Q • Q Q 18 Q • Q Q
at collateral rate X .15
Q•QQ
.
19. TAX DUE
19.
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505610248 1.505610248
9M4648 4.000
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENTS NAME
STREET ADDRESS
Flle Number
21 10 022
STATE I ZIP
CITY
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments Q . 0 O
A. Prior Payments a . O 0
B. Discount
(1) _ ~ • ~0
Total Credits (A + B) (2)
3. Interest
o.ao
(3) ~•~~
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4)
Fill in 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.
•0~
(5) (] • ~ ~
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BNOCKS
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 income;
c. retain a reversionary interest; or ^
d. receive the promise for life of either payments, benefits or care? •
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? k account or security at his or her death?
3. Did decedent own an "in trust for or payable-upon-death ban
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 I~ND 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 dates9o~ 16eaath(; ;) (ii)]ftThe statute does not exempt aetransfeedto a suhrviving spouse from taxrand the statutory requirehments for discosure of assets and
[7z Ps § ( )
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 benef!ciaries 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, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
9M4671 2.000
REV-1506 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
.Tamps L. Bariski
Include the proceeds of litigation and the date the proceeds were recervea oy u~o ~~._~~•
All property Jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1 Commonwealth of Pennsylvania, unclaimed property
VALUE AT DATE
OF DEATH
301.89
301.89
SCHEDULE E
CASH, BANK DEPOSITS, 8~ MISC.
PERSONAL PROPERTY
FILE NUMBER
21 10 0222
(If more space is needed, insert additional sheets of the same size)
3W46AD 1.000
REV-151'1 EX+(~0-09) SCHEDULE H
Pennsylvania FUNERAL EXPENSES AND
DEPPATMENiOF REVENUE
ADMINISTRATIVE COSTS
WHERITANCE TAX RETURN
RESIOENroECEOENr FILE NUMBER
ESTATE OF 21 10 0222
James L. Bariski
Decedent's debts must be reported on Schedule I.
AMOUNT
ITEM DESCRIPTION
NUMBER
q, FUNERAL EXPENSES:
~ None
g. ADMINISTRATIVE COSTS:
~ . Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
State ZIP
City
Year(s) Commission Paid:
2, Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
State ZIP
City _
Relationship of Claimant to Decedent
- 71.50
4, Probate Fees:
5. Accountant Fees:
450.00
g. Tax Return Preparer Fees:
7.
1 Cumberland County Register of Wills 30.00
Cost to file PA Inheritance Tax Return and Inventory
Total from continuation schedules
20.00
571.50
TOTAL (Also enter on Line 9, RecaFlitulation) $
If more space is needed, use additional sheets of paper of the same size.
9W46AG 2.000
21 10 0222
Estate of: James L. Bariski
Schedule H Part 7 (Page 2)
2 McNees Wallace & Nurick LLC
Miscellaneous costs to file return
Total (Carry forward to main schedule)
20.00
20.00
REV-1512 EX+ (12-06)
pennsylvania
DEPPHTMF1JiOF REVENUE
INHERITANCE TAX RETURN
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES 8~ LIENS
RESIOErrroECEOENT FILE NUMBER
ESTATE OF 21 10 0222
James L. Bariski
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including ~~nreimbursed medical expenses.
VALUE AT DATE
OF DEATH
ITEM DESCRIPTION
NUMBER
1• Advanta Bank Corporation 8,239.19
Balance due on Credit Card Account
TOTAL (Also enter on Line 10, Re<;a itulation S
If more space is needed, insert additional sheets of the same size.
239.19
8 W46AH 2.000
REV-1513 EX+ (01-10)
pennsylvania
DEPARTMENiOF REVENUE
INHERITANCE TAX RETURN
SCHEDULE J
BENEFICIARIES
_~-
----
~n ~ ~n uet1CR•
TE OF:
es L. Bariski
'MBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERLY
I TAXABLE DISTRIBUTIONS [InSeCe 91ti6h(a)P(1.2) ] istributions and transfers under
1. Janice T. Bariski
57 Longwood Drive
Mechanicsburg, PA 17050
RELATIONSHIP TO DI.CEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
Surviving Spouse
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER. SHEET, AS APPROPRIATE.
I I NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
0.00
~~ o.oo
TOTAL OF PART II -ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
If more space is needed, use additional sheets of paper of the same s!e.
9W46AI 2.000
LAST WILL AND TESTp.MENT OF
JAMES L. BARISKI
Cumberland County,
I, James L. Bariski, of Monroe Township,
Pennsylvania, declare this to be my Last Will and Testament and
revoke all Wills and Codicils previously made by me'.
le ally enforceeible debts and
ITEM I: I direct that all my g
.funeral expenses, including all expenses of my las1~ illness,
residuary estate as soon as ~?racticable .
shall be paid from my
after my decease as a part of the expense of the administration
of my estate.
ITEM II: I bequeath any automobiles or motor vehoodssif any
ersonal effects, such household g
own at my death, my p wife
ro ert and not the property of my
as may be my individual p p Y
ointly by me with her, and other tangible personal
or owned j
property of like nature (not including cash or sec;urities),
insurance thereon, to my wife,
together with any existing da s.
Janice T. Bariski, providing she survives me by thirty (30) Y
Should my said wife predecease me or die on or be:Eore the
m death, I bequeath such tangible
thirtieth day following Y
personal property and insurance thereon to such of my
on the thirty-first day after my
stepdaughters as are living
death, to be divided between them with due regard fractical. I
personal preferences in as nearly equal shares a.. p
direct that any of the foregoing articles not selected by such
stepdaughters shall be sold at public or private sale by my
personal representative(s), and I further direct that the net
roceeds thereof shall be administered and distr:Lbuted as a part
p
of the residue of my estate.
ITEM III; In the event my mother, Esther E. Bariski, shall
survive me and so long as she desires to use the hereinafter
as a home and pays all costs of maintenance
described property 'I authorize
ordinary repairs and utilities,
thereof, including s to retain and to hold my
and direct my personal representative( ) round
of two (2) certain lots of g
real property consisting
S rings,-South Middleton
the Village of Boiling P improved
situate in pennsylvania, and being
Township, Cumberland County,
dwelling house known and numbered as oo e.H1cLhdirecttthat
with a for such purp
Boiling Springs, Pennsylvania,
wired to give bond as .life tenant
my said mother shall not be req ro erty insured except to
wired to keep such p P
and shall not be req
otect her interests therein and the co~seand insurance to
Pr assessmen
further direct that all taxes, , shall be paid
estate in such propert}
protect .the interest of mY U on the death of my said mother or
out of my residuary estate. P ro.certy as a home,
rior time as she no longer uses such P shall be
at such p I direct that such property
whichever shall first occur, art of the residue of mY
administered and distributed as a p
estate. ueath the residue of my estate of
ITEM IV: I devise and beq said wifE:, providing she
every nature and wherever situate to my
thirty (30) days'
survives me by said wife predecease me cr die on or
ITEM V: .Should my I devise and
before the thirtieth day following my death,
estate of every nature and wherever
bequeath the residue of my stepdaughters, provided that the
situate in equal shares to my d9_es on or before
redeceases me or
share of either-of them who p
tieth day following my death shall be distributed to her
the thir f first play following mY
er stirpes, living on the thirty such share
issue, p such then living issue,
death, and in default of any other stepdaughter.
shall be added to the share for mTrust Company, of Hershey,
ITEM VI: I appoint Hershey either under
ro erty which passes,
pennsylvania, guardian of any P P
~• ~-
to a minor and with respect to which I am
this Will or otherwise,
authorized to appoint a guardian and have not otherwise
rovided that this appointment of a
specifically done so, p
ersede the right of any fiduc;iary in its
guardian shall not sup
ossible to the minor or
discretion to distribute a share where P uardian shall have the
to another for the minor's benefit. Such g
as well as income, from time to time for
power to use principals.
and education
the minor's support, health and medical care,
or to make payment for these
(including college education), onsibility to see to
purposes, without further obligation or resp
the roper expenditure thereof, directly to the minor or to the
P care of thE~ minor .
minor's parent or to any person taking
If upon the happening of some event during the
ITEM VII: resen'~ative(s) shall
administration of my estate, my personal rep
estate which is not effectively disposed
hold some portion of my then one-half of
of. under the foregoing dispositive provisions,
then living heirs, as
such portion shall be distributed to my
en ascertained under the Intestate laws of PenE;n~lofnia then in
th
effect as though I had died at suchandmthe remaining one-half of
ro ert
Pennsylvania owning such p P Y~
'such portion shall be distributed to the thtesta`,engawslof of my
said wife, as then ascertained under the In
as though my said wife had died at
Pennsylvania then in effect, such property.
such time a resident of Pra1syStateaandnother death taxes payable
ITEM VIII: All Fede r erty forming mY
because of my death, with respect to the prop
whether passing L.nder this Will or
gross estate for tax purposes,
an interest or penalty imp>osed in
otherwise, including Y art of the
connection with such taxes, shall be considered a p
estate and :hall be paid out
expense of the administration of mY ortionment or
of the principal of my residuary estate without app
right of reimbursement.
~~~
ITEM IX: I appoint my said wife Executrix of this my last
said wife fail to qualify or cease. to act as
Will. Should my Executrix
Executrix, I appoint my stepdaughter, Kristin Town~~end,
of this my last Will. Should my said stepdaughter fail to
I appoint my other
qualify or cease to act as Executrix,
stepdaughter, Megan Townsend, Executrix of this my last Will.
ualif or cease to act
Should my said other stepdaughter fail to q of 1-lershey,
as Executrix, I appoint Hershey Trust Company,
Pennsylvania, Executor of this my last Will.
ITEM X: I direct that all fiduciaiinotabelrequired to1give
whether or not named herein, shal
Will,
bond for the faithful performance of~their duties in .any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my he~nd and seal,
this ~3~ daY of September, 1996.
[SEAL]
The preceding instrument, consisting of this and three (3)
each identified by the signature of the
other typewritten pages,
Testator, was on the date thereof, signed, published and declared
by James L. Bariski, the Testator therein named, as and for his
at his rea:uest, in his
last Will, in the presence of us, who,
presence and in the presence of each other, have subscribed our
names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA ss.
COUNTY OF CUMBERLAND
John B. Fowler, III, anci Mary M.
We, James L. Bariski, ti whose names
Price, the Testator and the witnesses, respectivel,~,
are signed to the foregoing instrument, being firs~~ duly sworn,
do hereby declare to the .undersigned authority that the Testator
signed and executed the instrument as hisdla~taslhisafaeehandhe
has signed willingly, and that he execute
voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of the Testator,
signed the Will as witness and that to the best of his/her
knowledge the Testator was at that time eighteen ~-ears of age or
older, of sound mind and under no cons;raint~or /~%due influence.
Subscribed, sworn to and acknowledged before me by James L.
Bariski,. the Testator, and subscribed and sworn t:o before me
and Mar M. Price, the witnesses,
by John B. Fowler, III, y
this ~ 3~''~ day of September, 1996.
`\
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i~ ~~
[lotary Pubii.c
NOTARIAL SEAL
MICHAEL R. RUNDLE. N!DTARY PUBLIC
BORD Df CARLISLE?, CUMBERLAND COIiNTV
YY CDMMISSIDN EXPIRES DECEIdBER 20. 1898
es
servl~
41~ APOLISE M NNE50T H55422u481100
TELEPHONE 763-852-8620 I-IOUrS (CS i): 7:00 am - 9:00 pm M - TH
7:OOam-S:OOpmF.
FAx 877-326-8784 8:00 am - 12:00 pm S
TOLL-FREE 877-326-5681
March 16, 2010
RE: Estate of:
Our Client:
Account No:
Unpaid Balance:
Reference No:
]AMES BARISKI
ADVANTA BANK CORPORATIOht
************0018
$8239.19
5520305
Dear DAVID M WATTS: o. At this time we
nted a proof of claim in the amount of $8239.19 in the above referenced Estate some time a
nt is not immediately possible, plea~ie provide an estimate of the time at
W e prese
are requesting payment on this account. I .pay
which the Estate will make payment.
at our earliest convenience or see one of our easy pay options below.
Please reply Y
To resolve an account, please follow one of the easy steps below:
a ment over the phone, please call 1-877-326-5681.
1. To make a p Y ortion and return in envelope provided.
2. To make a payment via mail, detach lower p
Cordially,
DCM Services, LLC
tin to collect a debt and any information obtained will be used for that
This company is a debt collector. We are attemp 9 ur oses. _Side 1 of 2-
purpose. Calls may be monitored or recorded for quality assurance p p
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMAT:[ON
II~II~II IIII~I'~I~IIIIIIIII~~I~III~II~~I~III~~I I~II~I~'II~'I ."'Detach Lower Portion and Return with Payment""
;i i4li !DCM Services, LLC
4150 OLSON MEMORIAL HWY STE 200
~ MINNEAPOLIS MN 55422-4811
ADDRESS SERVICE REQUESTED
IIIIiiI IIIIIIIIIIIIIIIIIIIi IIIIIIIiIIIIIIIIIitIIIIIIIIillllllllllllllllllllllllllllilll IIIIIIIIiI IIIIIIIIIIIIIIIIII
March 16, 2010
Reference #: 5520305 Client ID: ADVA31
Unpaid Balance: $8239.19
Checks Payable to: ADVANTA BANK CORPORATION
Amount Enclosed: $
i ssn - ~ sa
ss2osos-7s,i - payment Processing
#BWNJGZF DCM Services
o r :t #1651707504543711# PQ Box 9317
o~ Minneapolis MN 55.440-9317
N The Estate of JAMES BARISKI
cio DAVID M WATTS I.I.L.I,I„1,~I~L~IIL~J~Lr„1L~~~III~~J~„Ill~~~l~l~,ll
1,DD PINE ST
HARRISBURG PA 171D1-120D
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pp U J
~ W ~
UOU