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HomeMy WebLinkAbout03-0593 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of MERLE C. KRAMER No. ~\ - D3-5'\3 also known as To: Register of Wills for the Deceased. County of Cumberland in the Social Security No. 194-26-6758 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl ies for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in Cumber land County, Pennsylvania, with his last family or principal residence at 23 Chestnut street, Newville, PA (list street, number and municipality) Decendent, then 73 years of age, died July 2 ,2t9 2003 , at Carlisle Reqional Medical Center. Carlisle. PA 17013 Decendent at death owned property with estimated vallles as folllows: 1,000.00 (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ 100,00U.Ou situated as follows: 23 Chestnut Sfip-p-t, Np-wvillp: PA 17?41 Petitioner_ after a proper search hL..S....- ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship ~~~ . Merle C. Kramer, Jr. son 300 Red S d, Newvllle, PA 17241 son a , Newville'17~41 . -,-ormg PA 17241 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. ~ ~~,L '" 'tr u <=: 0) ~~ Deborah J. Yormg "'~ 0)..... iX~ 211 Lefever Road -00 Newville, PA 17241 =";;:: eu "';: 3&:: 0),- :;0 (;j <=: OJ) ii5 \\-\5?r ~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) wil well and truly administer the estate according to law. Swom to 0' affinned and snbscribed J --- before me this 23rd day of '" '-' (I) ~ ~ 2003 .... =' Cd . - .:~...~~'^~(\.... I = bIl Rister L Cii No. 021- 03-5q~ Estate of MERLE c. KRAMER , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW , in consideration of the petition on the reverse side he f, sa . factory proof having been presented before me, ;) r. c::5 ,...!...! IT IS DECREED that Deborah J. Yormg ; ~. :7] (t l......1 . is/are entitled to Letters of Administration, and in accord with such finding, ~ters of AdministfiuiOn : c...... '. are hereby granted to Deborah J. Younq F I"'-J V-l in the estate of Merle C. Kramer. :;.:::a --' n .:.... 0i \ D\\.n(L)~~\~ KJj)r,~~-L Register of Wllls ~ FEES Steven J. Fishman, Esquire Letters of Administration ..... $t:?l35.c::o Short Certificates( ).......... $ 15..00 ATTORNEY (Sup. Ct. I.D. No.) #16269 Renunciation ................ $ SC'n g S Alp-xanc1pr Spd ng Road, sll;i tP- 3 ~cr..P $ i D. 00 TOTAL _ ~(tf:). CD ADDRESS Carlisle, PA 17013 Filed .~. .R~ r .~~':".~.. A.D. 40.,---- (717) 249-6333 PHONE RENUNCIATION ;2/- ~3-~ 'SA:, In Re Estate of ~ en.--~ C ~ lfC.cVYI el deceased. To the Register of Wills of L"U...-VV"\ ~ e..v\Ct n c\ County, Pennsylvania. The undersigned elL I Id re.n of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters o+- A-6Y\lV\I.~~--h,y, be issued to --=Ue.. bor~ J. 'f u u. V1j ,r-- ~ WITNESS ()LUL hand this k day of - ,"'19 ~~ /J;J;1 (/4- f- /7~ ~ "300 R.eJ!;j.eJ JQ.J AJe....,vI, //>:., p;q. 172--01 (Address) / j(~/C ~ (S(gnature) "" l/-:l " 2/eJ H<-ITOtJ-lA/ 1<0 CA~"'su=, frt l'70 I~ Kll (Address) 5 / .-=-) I . ~, ,:,j fY'""'l - ,"- f:' ;-J =:: . 'Jc I ~3 &,c.kChu.vc:h ~ tJe.uJJ~t\e P.4 l'd-4/ (Address) \ '1-11 (l"\)H)" ~F\' OI,Q,(... This is to certify that the information here given is correctly copied fro~ an original ce':.tificate of death dul~ filed with me as Local Registrar. The original certificate will be forwarded to the State VItal Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 lL ~~~;.~,~~ P 9449070 JUl 8 2003 No. Date H105.143 Rtv. 2/87 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH tiNT STATE F.U; NUMBER ENT NAME OF DECEDENT (First Middle. l_1 SEX SOCIAL SECURITY NUMBER DATE OF DEATH iMorntl. Day, .<'saI1 I ,NK I, Merle C. Kramer .. male ..194 - 26 ',Jul 2, 2003 AGE(LastBirtho.y) UNCEA 1 YEAA BIRTHPLACE (City and PlACE OF DEAT'~ (Ct>eck ~ one iM Instruc~ onOlt1el' SlOeI M~ 1 Do,. StliteorFcre.gnCountl'y) HOSPITAL: 73y... . Inpatient ex ="",0 . , 5, , ... . COUNTY OF OERH (It nol.nSf!tUllOll. Qlve Sf1'H1 and number:1 RACE. Ametic:an Indian. Bleck. Wh<<.. etc -, osl . Cumb ,yhi te CECEDEHT'S USUAL OCCUPATION SURvIVING SPOusE ((~t:o,WHf~~~uC::~r:f (It WIle. 9Mt m.11tWl"""1 . 178. Stale Oid ....,. 23 Chestnut St. -.. ~ine Newville, Pa 17241 Cumb -' Newville '". 17b. city....... FATHER'S NAI>.4E lFirlt. Middle. Last) fl. Ira C. Kramer INFORMANT'S NAME (Type.lPrinl') - Deborah J. Yo un METHOD OF ClSPOSITK)N . ......xx C'.....l"'" 0 Ro......_St".o Othor <Soec<yt . AVe b. . , TIME OF DEATH DATE PFlONOUNCED DEAD (Month. D8Y. 'lMr) WAS CASE FlEFERREO TO MEDICAL EXAMINERlCORONEFI? ...QJ' ...0 ... zo. 27. PART I: EM.r the diM..... inturies or complicetiOns which caused lhe I Appro.-im.t. PART II: Olher stgni&ent ~ contl"itMlng to de.rh, bul: lieC only CIl'W eaUM on each line. !==~ not J'ftUlling in the ~ ceUN given in FWn I. I ~ : I r I I I C. I i DATE OF INJURY TIME OF INJURY INJURY I(f WORK? DESCRIBE HOW INJURY OCCURRED. (MOI'1lh.Oay. 'fUr) HomiCide 0 ....0 NoD P.nding In~slig:.lllon 0 ....0 o ~CE OF INJURY. A.I ~e. l.rm.':;H1, fac:tOrf. otftc. M. .... No Coulc:l not be det.,-mined .... 2... buildlnQ. etc. ISpecllyl ZO, _. CEJll'TJF'ER (Chectc only one) .CERTIFY'NG PHYSICIAN (Ph'fSlC..n Cflf\Ifying cause Of de8lh wtl... anort\er physician has pronounced dealh ana compleled"em 231 To ItM besl of my Ilnowtedge, de.th oet:urred due to the c....e(.I.nd manner.. at.ted, ............. .......... .................... 'PRONOUNCING AND CERTIFYING PHYSICIAN (PhysIC"" both OI'onouncln9 08am and cenitvlf'lQ 10 cause 01 c1f!alhl To 1he bea ot my knowl~., de.th occurrH at ttM 11m.. da'e,.nd plfte, and due to the cause(s'.nd mann.r.. stated.... ...... ...,.. "MEDICAL EXAMiNER/CORONER On the basle of e..minetlon and/or Investigation, In my opinion, death OCcurred at the time. dat.. and place, and due to the eaUH(S) end 0 mann..,..stated.......,..........,.................. ............................,.,........ .... .................. 3te. REGISTRAR'S SIGNATuRe AN R ~.~~~~ b.tl I~\ IDI ... ,2/ - 03- 5'CJ3 a(": d ~' ~, {,:t' ~ ~. \...U C,"' (~ C- c:: , N VJ ;2~ --' (' - " (j, ... ;.::. ~ In the Estate of: Estate No.: 2.\ - c ~ . $ <\~ cY\~ \ "-- C. ",,<-, o...~ Date: ~\"l-"l..''1..CQ3> CLAIM AGAINST DECEDENT'S ESTATE The claimant certifies that there is due and owing by the decedent in accordance with the attached statement of account or other basis for the claim the sum of $ \, \ \DC\~ .0 -1 I solemnly affirm under the penalties of perjury that the contents of the foregoing claim are true to the best of my knowledge, information, and belief. C- \~~, <'I~c..."~ \ "X~c... Name of Claimant Signatu f claimant or person authorized to make verifications on behalf of claimant. Q"QJ'\ \.J..2)"'~Mo.." - ""'~o..~ , "o-.\\~,,\ ~\~ \- Su.A~ \OS Name and Title of Person Signing m Address c....o.r\"...\~ ~..... \1(:)\3 , ( \n) "2.,\" - <=\<;\0\0 \\"'C)\ Telephone Number FILED: '1.. "'2......6 \ 1... 0 0..3 RECORDED: Claims Docket Liber Folio 1209 CERTIFICATION OF NOTICE UNDER RULE 5.6~ Name of Decedent: Merle C. Kramer Date of Death: July 2, 2003 Estate No.: 21 - 03 - 0593 To the Register: I certify that notice of the beneficial interest estate administration required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on November 18, 2003. Name Address Merle C. Kramer, Jr. 300 Red Shed Road, Newville, PA 17241 Brett C. Kramer 210 Frytown Road, Carlisle, PA 17013 Lucinda J. Rook 143 Brick Church Road, Newville, PA 17241 Deborah J. Young 211 Lefever Road, Newville, PA 17241 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: November 18, 2003 ~\u~~ SALZMANN, HUGHES & FISHMAN, P.C. : Name: Steven J. Fishman Address: 95 Alexander Spring Road, Suite 3 Carlisle, PA 17013 -..- -- Telephone: (717) 249-6333 Capacity: _ Personal Representative ~ Counsel for Personal Representative . . . C-- REV-1500 EX (6-00) OFFICIAl USE ONLY COMMONWEALTH OF REV-1500 ' PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE NUMBER DEPT. 280601 HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 2 1 - o 3 o 593 ----- COUN1Y CODE YEAR NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER I- Kramer Merle C 194-26-6758 z w DATE OF DEATH (MM-DD- YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE C W 7/2/2003 11/02/1929 REGISTER OF WILLS 0 w (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER C - - w 00 1. Original Return D 2. Supplemental Return D 3. Remainder Return (date of death pnorto 2,13,82) I- :.::~U) D 4. Limited Estate D 4a. Future Interest Compromise (date of death after 12.12-82) D 5. Federal Estate Tax Return Required ua:::.:: wa.U :J: 00 D 6. Decedent Died Testate (Attach copy of 'Mil) D 7. Decedent Maintained a Living Trust (.~ttach copy of Trust) _ 8. Total Number of Safe Deposit Boxes ua::-1 a.CD D 9, Litigation Proceeds Received D 10. Spousal Poverty Credit (date of death .etweeo 12-31,91 a"" 1,',95) D 11. Election to tax under Sec. 9113(A)(Allach SchOI a. <( THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: I- NAME COMPLETE MAILING ADDRESS z w 0 Steven J. Fishman, Esquire 95 Alexander Spring Road, Suite 3 z 0 FIRM NAME (If Applicable) a. en w SALZMANN , HUGHES & FISHMAN PC Carlisle, PA 17013 II:: II:: 0 TELEPHONE NUMBER (.) 717-249-6333 1. Real Estate (Schedule A) (1) 78,041 OFFICIAL USE ONLY IJ.I ,.... 2. Stocks and Bonds (Schedule B) (2) \. - c::5 ~ , ~- .c::... 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) C VJ 4. Mortgages & Notes Receivable (Schedule D) (4) 0: rrl -0 5, Cash, Bank Deposits & Miscellaneous Personal Property (5) 0 I (Schedule E) \...-J Z 6. Jointly O'Mled Property (Schedule F) (6) d :::g 0 D Separate Billing Requested i= 1'J :3 7, Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) :J (Schedule G or L) l- n: 8. Total Gross Assets (total Lines 1.7) (8) 78,041 < 0 16,569 w 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 0::: 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 95,211 11. Total Deductions (total Lines 9 & 10) (11) 111,780 12. Net Value of Estate (Line 8 minus Line 11) (12) (33,739) 13. Charitable and Governmental Bequests/See 9113 Trusts for ....nich an election to tax has not been (13) 0 made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) (33,739) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax 0 X.O ~(15) 0 Z rate, or transfers under Sec. 9116 (a)(12) 0 j:: 16. Amount of Line 14 taxable at lineal rate 0 x .0 45 (16) 0 <( I- ::;) 0 0 a. 17. Amount of Line 14 taxable at sibling rate x 12 (17) :!! 0 0 0 U 18. Amount of Line 14 taxable at collateral rate x ,15 (18) )( <( 19. Tax Due (19) 0 I- 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < sK 3W46451.000 Decedent's'Complete Address: . . . STREET ADDRESS 23 Chestnut Street Cumberland CITY I STAlE I ZIP Newville PA 17013- Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1 ) 0 2. Credits/Payments A. Spousal Poverty Credit 0 8, Prior Payments 0 C, Discount 0 Total Credits (A + 8 + C) (2) 0 3, Interest/Penalty if applicable D, Interest 0 E. Penalty 0 Total Interest/Penalty (D + E) (3) 0 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0 5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0 A. Enter the interest on the tax due. (SA) 0 8. Enter the total of Line 5 + 5A. This is DUE. (58) 0 Make to: REGISTER AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1, Did decedent make a transfer and: Yes No a, retain the use or income of the property transferred;. . . . . . . . . . . . . . . . D ~ b. retain the right to designate who shall use the property transferred or its income; . D ~ c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D ~ d, receive the promise for life of either payments, benefits or care? . . . . . . . . . D og 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 og 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 0 ~ 4, Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . 0 . . . . 0 . . . . . . . . . . . . . . . . . 0 og IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, induding 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 has any knowledge f ADDR Newville, PA 17241 DATE 3/0 f For dates of death on or after July 1, 1994 and before January 1. 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72P.S.g9916 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9 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 twenty-one 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% [72 P.S. 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%, except as noted in 72 P.S. S 9116(1.2) [72 P,S, S9116(a}(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P,S. S 9116(a}(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption 3W4646 1.000 . . . REV-1502 EX + (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Merle C. Kramer 21-03-0593 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivOfShip must be disclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1. 23 Chestnut Street, Newville Borough, Cumberland County (settlement sheet attached) 72,041 2 Liberty Alley & Rear of 23 Chestnut Street, Newville, Cumberland County (settlement sheet attached) 6,000 TOTAL (Also enter on line 1. Recapitulation) $ 78,041 3W4695 1.000 (If more space is needed. insert additional sheets of the same size) . , REV.1S11 EX + (12.99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Merle C. Kramer 21-03-0593 Debts of decedent must be reported on Schedule J. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1- Cumberland Valley Memorial Gardens 100 2 Egger Funeral Home 6,418 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) - - Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees Sa1zmarm Hughes & Fishman 1,000 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 265 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Settlement charges, outstanding mortgages/liens 8,786 TOTAL (Also enter on line 9, Recapitulation) $ 16,569 3W46AG 1.000 (If more space is needed, insert additional sheets of the same size) . . REV.1512 EX + (6-98) SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Merle C. Kramer 21-03-0593 Include unreimbursed medical expenses. ITEM VALUF:AT DATE NUMBER DESCRIPTION OF DEATH 1. Allied Interstate - direct tv 221 2 Capital One, credi t card 1,034 3 Citifinancial, credit card 16,926 4 Fairbanks Capital 500 5 GE Recovery Center Exxon Mobil 573 6 Gulf Credit 84 7 Kough's Oil Service 1,133 8 Lowe's Monogram Credit Card 553 9 MBNA Mastercard 11,816 10 Newville Water & Sewer Authority 438 11 Orrstown Bank, checking account overdraft 407 12 PP&L 545 13 Sears Mastercard 1,370 14 Settlement charges, outstanding mortgages/liens 59,017 15 Sprint telephone 110 16 Timmons Oil Inc. 427 17 Verizon Wireless 57 - TOTAL (Also enter on line 10. Recapitulation) $ 95,211 3W46AH 1.000 (If more space is needed. insert additional sheets of the same size) , . REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF 21-03!O'5~MBER Merle C. Kramer RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1,2)] 1 Merle C. Kramer Jr. 300 Red Shed Road Newville, PA 17241 Son 1/4 remainder 2 Brett C. Kramer 210 Fry town Road Carlisle, PA 17013 Son 1/4 remainder 3 Lucinda J. Rook 143 Brick Church Road Newville, PA 17241 Daughter 1/4 remainder 4 Deborah J. Young 211 Lefever Road Newville, PA 17241 Daughter 1/4 remainder ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART /I . ENTER TOTAL NON- TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0 3W46AI 1.000 (If more space is needed, insert additional sheets of the same size) OMS NO. 2502-0265 ~ A. B. TYPE OF LOAN: U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.0FHA 2.DFmHA 3. ~CONV. UN INS. 4. OVA 5.Dcm-lV. INS. 6. FIL~~~~~FR: 7. ~~~~Q~g~BER: SETTLEMENT STATEMENT 1101 -. IIr.HART 8. MORTGAGE INS CASE NUMBER: C, NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "[POC]" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. 1.0 3/98 (11018.6.SHUGHARTPFO/11018.6.SHUGHART/21 ) D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Dawn M. Shughart Merle C. Kramer Estate Washington Saving Bank 605 Roxbury Road CIO Salzman, Hughes & Fishman Newville, PA 17241 95 Alexander Spring Rd, Suite 3 Carlisle, PA 17013 G. PROPERTY LOCATION: H. SETTLEMENT AGENT: I. SETTLEMENT DATE: 23 Chestnut Street Martson Deardorff Williams & Otto Newville, PA 17241 June 4,2004 Cumberland County, Pennsylvania PLACE OF SETTLEMENT 10 East High Street Carlisle, PA 17013 J. SUMMARY OF BORROWER'S TRANSACTION K, SUMMARY OF SELLER'S TRANSACTION 1 nn ('::J~n~~ .~~nM 'Ann r:gr rr, <:::1:" eg. 101. Contract Sales Price 72,041.00 401. Contract Sales Price 72,041.00 102, Personal Property 402. Personal Prooertv 103. Settlement Charaes to BorrowerlLine 1400) 4,989.63 403. 104. 404. 105. 405. I 'n Itco....." I in <>rlv"'n~'" 106. CountvlTwp. Taxes 06/05/04 to 01/01/05 194.31 406. CountvlTwp. Taxes 06/05/04 to 01/01/05 194.31 107. School Taxes 06/05/04 to 07/01/04 67.66 407. School Taxes. 06/05/04 to 07/01/04 67.66 108. Assessments to 408. Assessments to 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM 'BORROWER 77,292.60 420. GROSS AMOUNT DUE TO SELLER 72,302.97 WOo AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: W 1. Deposit or earnest money 500.00 501. Excess Deposit (See Instructions) W2. Princioal Amount of New Loan(sl [ 94,500.00] 502. Settlement Charaes to Seller (Line 1400) 8,785.53 ~03. Existing loan(s) taken subiect to 503. Existino loan(s) taken subiect to ~04. 504. Payoff of first Mortgage to Fairbanks Capital Cor 59,017.44 ~05. 505. Payoff of second Mortoaoe to Citifinancial/# 09070 500.00 !06. 506. !07, Construction Draw 73,200.00 507. (Deposit disb. as proceeds !08. Seller's Assistance 4,000.00 508. Seller's Assistance 4,000.00 !09. 509. Adiustments For tems Unnaid Bv Seller Adiustments For Items UilDaid BvSerrer ~10. CountvlTwp. Taxes to 510. CountYlTwD. Taxes to ~11. School Taxes to 511. School Taxes to ~12. Assessments to 512. Assessments to :13. 513. :14. 514. :15, 515. :16. 516. :17, 517. :18. 518. 19. 519. '20. TOTAL PAID BY/FOR BORROWER 77,700.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 72,302.97 00. CASH AT SETTLEMENT FROMITO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER: 01, Gross Amount Due From Borrower (Line 120) 77,292.60 601. Gross Amount Due To Seller (Line 420 72,302.97 02. Less Amount Paid By/For Borrower (Line 220) ( 77,700.00) 602. Less Reductions Due Seller (Line 520) ( 72,302.97 03. CASH ( FROM) ( X TO) BORROWER 407.40 603. CASH ( TO)( FROM) SELLER 0.00 The u""e~'gned h~~.",e 'e""pt of a "'mpleled "'PY of ..ge, 1 &2 of !hI, ""lemem · H lfaohments ~feT :?o herelh ~ 8<>rr~e' "" :z. / Se"e' " -E' _" &,. h er . er , 9 es IS man Dawn M. Shug~ . ttf /Iii r v, " U J , HUD.l (3'86) RESPA, HB43052 Pane 2 L. SETTLEMENT CHARGES 700. TOTAL COMMISSION Based on Price $ 72,041.00 (Q) % 'l4nn nn PAID FROM PAID FROM Division of Commission (line 700) as Follows: BORROWER'S SELLER'S 701,$1,725.00 to B-HAgencyRealtors FUNDS AT FUNDS AT 702, $ 1,675.00 to Hooke, Hooke and Eckman LLC SETTLEMENT SETTLEMENT 703. Commission Paid at Settlement 3,400.00 ~. ~ 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Oriqination Fee 2.0000 % to Washington Saving Bank 1,890.00 802. Loan Discount % to 803. Document Prep. Fee to Washington Saving Bank 295.00 804. Underwriting Fee to Washington Saving Bank 75.00 805. Lender's Inspection Fee to Washington Saving Bank 2 @ $80,00 160.00 806. Flood Certification Fee to Washington Savinq Bank 22.00 807, Fed - Ex Fee to Washington Saving Bank 30.00 808. 809. Application Fee to Washington Saving Bank 350.00 810. Rehab Fee to Washington Saving Bank 250.00 811. MI Premium to Washington Saving Bank 70.88 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901, Interest From 06/04/04 to 07/01/04 @ $ Iday ( 27 days %) 902. Mortgage Insurance Premium for months to 903, Hazard Insurance Premium for 1.0 years to 904. 905. 1000. RESERVES DEPOSITED WITH lENDER 1001, Hazard Insurance months $ per month 1002. Mortqaqe Insurance months $ per month 1003. CounlvlTwp. Taxes months ) $ per month 1004. School Taxes months G) $ per month 1005. Assessments months @ $ per month 1006. months @ $ per month 1007. months @ $ per month 1008. months (ii) $ per month 1100. TITLE CHARGES 1101. Settlement or Closing Fee to 1102. Abstract or Title Search to 1103. Title Examination to 1104. Title Insurance Binder to 1105. Document Preparation to 1106, Notary Fees to 1107, Attorney's Fees to Salzmann, Hughes & Fishman 191.84 (includes above item numbers: ) 1108. Title Insurance to Lawvers Title Insurance Companv 828.75 (includes above item numbers: ) 1109. Lender's Coverage $ 94,500.00 1110. Owner's Coverage $ 1111. Endorsements 100/300/900 to Lawyers Title Insurance Company 150.00 1112. 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 38.50; Mortgage $ 66.50: Releases $ 105.00 1202. City/County Tax/Stamps: Deed 721.00' Mortgaqe 721.00 1203. State Tax/Stamps: Revenue Stamps 721.00: Mortgage 721.00 1204. Lease with Purchase Option to Cumberland County Recorder of Deeds 17.00 1205. Overnight Mail Fees to Martson Deardorff Williams & Otto 25.00 25.00 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to 1302. Pest Inspection to Homecheck (?) 736.70 1303. Tax Claim to Cumberland County Tax Claim Bureau 2,924.46 1304. CountylTownship Tax to Betty L. Hockensmith 338.65 1305. Water/Sewer Payment to Newville Borough 447.88 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Sectlon.J(} ,..... ~ 4,989.63 8,785.53 By ,ignlng p.g. 1 of \hi, ""tem~', \h. ,Ign.lorie, admowledg. ",oolpl at . oompl.ted oo~ ~ p'l ~ 1~1)""ge "alem.nt Certified to be a true copy, Martson De1iitforff VVil.ams & Otto Settlement Agent ( 11018.6.SHUGHART /1101B,6.SHUGHART /21 ) OMS NOo 2502-0265 ~ A. B, TYPE OF LOAN: U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.DFHA 2.OFmHA 3. DCONv. UNINS. 4. OVA 5,OcONV.INS. 6. FILE NUMBER: 7. LOAN NUMBER: SETTLEMENT STATEMENT 110111_11 <:!~IIr-~ ART 8, MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "[POC]" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. 1.0 3/98 (1101 B-8.SHUGHARTPFO/ll01B-8,SHUGHART/12) D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Dawn M. Shughart Merle C. Kramer Estate C/O 605 Roxbury Road Salzmann, Hughes & Fishman Newville, PA 17241 95 Alexander Spring Road Carlisle, PA 17013 G. PROPERTY LOCATION: H. SETTLEMENT AGENT: I. SETTLEMENT DATE: Liberty Alley and Rear of 23 Chestnut Street Martson Deardorff Williams & Otto Newville. PA 17241 June 4,2004 Cumberland County, Pennsylvania PLACE OF SETTLEMENT 10 East High Street Carlisle, PA 17013 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION inn GRn~~ Ann ngnc::c:: ,!:g. 101. Contract Sales Price 6,000.00 401, Contract Sales Price 6,000.00 102. Personal Property 402. Personal Property 103. Settlement Charaes to Borrower (Line 14001 848.50 403, 104. 404. 105. 405. Ifl>m.. P"lrI A' in 106. County/Twp. Taxes 06/05/04 to 01/01/05 99.00 406. Countv/Twp. Taxes 06/05/04 to 01/01/05 99.00 107. School Taxes 06/05/04 to 07101/04 4.36 407. School Taxes 06/05/04 to 07/01/04 4.36 108. Assessments to 408. Assessments to 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 6,951.86 420. GROSS AMOUNT DUE TO SELLER 6,103.36 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or earnest money 501. Excess Deposit (See Instructions) 202, Princioal Amount of New Loan(s) 502. Settlement Charaes to Seller (Line 1400) 1,589.17 203. ExistinQ loan(s) taken subiect to 503. Existing loan(s) taken subiect to 204. 504. Payoff of first Mortgage 205. 505. Pavoff of second MortQ8Qe 206. 506. 207. 507. 208. 508. 209. 509. Adiustments For tems UnDaid Bv Seller Ad;ustments For Items UnDaid t:iv :seller 210. County/Twp. Taxes to 510. County/TWD. Taxes to 211. SchoolTaxes to 511. School Taxes to 212. Assessments to 512. Assessments to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER 520. TOTAL REDUCTION AMOUNT DUE SELLER 1,589.17 300. CASH AT SETTLEMENT FROMITO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER: 301. Gross Amount Due From Borrower (Line 1201 6,951.86 601. Gross Amount Due To Seller (Line 420) 6.103.36 302, Less Amount Paid BylFor Borrower (Line 220) ( ) 602. Less Reductions Due Seller (Line 520) ( 1.589.17 103. CASH ( X FROM) ( TO) BORROWER 6,951.86 603. CASH ( X TO) ( FROM ) SELLE~ 4,514.19 The ""d""'90ed heK""OW11:, -) of a """pleted oop, of P'ge, 1 &2 of !ht, ""emeo' & · a""'~ms referre\ to hereto. i Borrower . M Seller M rle C. Kra tar h /t. /0 Salzr ann Hu hes & Dewo MSh'9hart ~ . FI' - b"Y IMIa A 1'1 7 11-... :/ :J Y J .... HUD.' (3-86) RESPA, HB4305.2 Pane 2 L. SETTLEMENT CHARGES 700. TOTAL COMMISSION Based on Price CI: (cj) Of., PAID FROM PAID FROM Division of Commission (line 700f as Follows: BORROWER'S SELLER'S 701. $ to FUNDS AT FUNDS AT 702. $ to SETTLEMENT SETTLEMENT 703. Commission Paid at Settlement ~. ~ 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Origination Fee % to 802. Loan Discount % to 803. Appraisal Fee to 804. Credit Report to 805. Lender's Inspection Fee to 806. Mortgage Ins, AOD. Fee to 807. Assumption Fee to 808. 809. 810. 811. goO. ITEMS REal/IRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From to @ $ /day (days %) 902. Mortoaoe Insurance Premium for months to 903. Hazard Insurance Premium for 1.0 years to 904. 905. 1000. RESERVE~ DEpnSITED WITH LENDER 1001. Hazard Insurance $ oer 1002. Mortgage Insurance $ per 1003, Countvrrwp, Taxes $ per 1004. School Taxes $ oer 1005. Assessments @ $ per 1006. (cj) $ oer 1007. @ $ per 1008. (cj) $ oer 1100. TITLE CHARGES 1101. Settlement or Closina Fee to 1102. Abstract or Title Search to 1103. Title Examination to 1104. Title Insurance Binder to 1105. Document Preoaration to 1106. Notary Fees to 1107, Attorney's Fees to Martson Deardorff Williams & Otto 250.00 (includes above item numbers: ) 1108. Title Insurance to (includes above item numbers: J 1109. Lender's Coverage $ 1110. Owner's Coverage $ 1111. 1112. 1113. 1200. r.OVERNMENT RECORDING AND TRANSFER CHARr.ES 1201. Recording Fees: Deed $ 38.50; Mortgage $ Releases $ 38.50 1202. Citv/Countv Tax/Stamos: Deed 60.00' Mortgage 60.00 1203. State Tax/Stamps: Revenue Stamos 60.00: Mortoaoe 60.00 1204. 1205. 1300. ADDITIONAl ~ETTLEMENT r.HARr.ES 1301. Survey to 1302. Pest Insoection to 1303, Tax Claim to Cumberland CountvTax Claim Bureau 967.82 1304. Countvrrownshio Taxes to Bettv L. Hockensmith 61.35 1305. Payoff to Citifinancial 500000 500.00 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) --.. 848.50 1,589.17 By ';go'og p'ge 1 of thl, ""emeo', 'he slg",to'e, ''''''owledge '.""pt of a """'pl.ted "''\ r 2 ~J page statemeot Certified to be a true copy. Martson D~rff Williams & Otto Settlement Agent (11018.8.SHUGHART/l101B-8.SHUGHART /12) . . ~ Jt:-: '\ ~~0 . ORRSTOWN BANKate 7/25/03 Page 1 PRIMARY ACCOUNT 106002501 ENCLOSURES 1...11I11.1111.1.111111I11.1.1.1 MERLE C KRAMER 23 CHESTNUT STREET NEWVILLE PA 17241 WE PUT THE LOW IN LOANS! ASK ABOUT OUR SPECIAL LOW RATE HOME EQUITY LINE TODAY! CALL 1-888-0RRSTOWN ABOUT THIS LIMITED TIME OFFER! C H E C KIN G ACCOUNTS ACCOUNT TITLE MERLE C KRAMER CARRIAGE CLUB OPP W/SAFE CHECK SAFEKEEPING ACCOUNT NUMBER 106002501 Statement Dates 6/26/03 thru 7/27/03 PREVIOUS BALANCE 407.01 -DAYS IN THE STATEMENT PERIOD 32 DEPOSITS/CREDITS .00 AVERAGE LEDGER 407.01- CHECKS/DEBITS .00 AVERAGE COLLECTED 407.01- SERVICE FEE .00 INTEREST PAID .00 CURRENT BALANCE 407.01 -2003 Interest Paid .09 DATE ACCOUNT NO. FILE # p.d; BOX 272 107/08/03/ /5121071713644049 // X2700~ CREDITOR SPRINGFIELD, IL 62705 ISEARS I ADDRESS SERVICE REQUESTED _........................................................................i · . .. .i){$~ri'~~if$ X27009-SR-1 11'/, 1111.'1111" 11,1.111,"111, 1'1'/1"/1.11"111'11'1"'11" CCB CREDIT SERVICES, INC. MERLE C KRAMER P.O. BOX 272 23 CHESTNUT ST SPRINGFIELD, IL 62705 NEWVILLE, PA 17241-1303 "11'" 11"111.' 1/11'111" III" II' '.1111111111111,'1.11,,1" " PLEASE RETURN THIS PORTION WITH YOUR PAYMENT (MAKE SURE ADDRESS SHOWS THROUGH WINDOW) THIS ACCOUNT HAS BEEN PLACED WITH THIS OFFICE FOR COLLECTION. KINDLY SUBMIT YOUR PAYMENT FOR THE ABOVE BALANCE IN ORDER THAT WE CAN ADVISE YOUR CREDITOR THAT THIS ACCOUNT HAS BEEN PAID IN FULL. UNLESS YOU NOTIFY THIS OFFICE WITHIN 30 DAYS AFTER RECEIVING THIS NOTICE THAT YOU DISPUTE THE VALIDITY OF THIS DEBT OR ANY PORTION THEREOF, THIS OFFICE WILL ASSUME THIS DEBT IS VALID. IF YOU NOTIFY THIS OFFICE IN WRITING WITHIN 30 DAYS FROM RECEIVING THIS NOTICE, THIS OFFICE WILL: OBTAIN VERIFICATION OF THE DEBT OR OBTAIN A COpy OF A JUDGMENT AND MAIL YOU A COpy OF SUCH JUDGMENT OR VERIFICATION. IF YOU REQUEST THIS OFFICE IN WRITING WITHIN 30 DAYS AFTER RECEIVING THIS NOTICE, THIS OFFICE WILL PROVIDE YOU WITH THE NAME AND ADDRESS OF THE ORIGINAL CREDITOR, IF DIFFERENT FROM THE CURRENT CREDITOR. THIS COMMUNICATION IS FROM A DEBT COLLECTION AGENCY. THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. DATE ACCOUNT NO. FILE # /07/08/031 /5121071713644049 II X2700~ CREDITOR ISEARS I AMOUNT 1 369.85 VARIOUS OTHER ACCOUNTS OTHER CHARGES TOTAL AMOUNT DUE .........................................). ...369{85 MERLE C KRAMER CCB CREDIT SERVICES, INC. 23 CHESTNUT ST 1045 OUTER PARK DRIVE NEWVILLE, PA 17241-1303 SPRINGFIELD, IL 62704 (217) 787-0963 (800) 755-5249 A7'A nllrn A,.,n.co"" .. t"t.,n~ I Account Number: 335 614 697 1 I EJf(ON I . . Payment Due Date: 08-19-03 i Mobil Minimum Payment: 167.00 -I New Balance: 601. 82 - Indicate Amount Enclosed: I I - Pay your bill online at exxonmobilcard.com or make your check payable to ExxonMobiUMCCBG PLEASE INDICATE ADDRESS CHANGE BELOW I I Address City State Zip Home Phone Work Phone 2t020025485 - MERLE C KRAMER 23 CHESTNUT ST PO BOX 4555 NEWVILLE PA 17241-1303 CRLSTRM IL 60197-4555 - I 1...111...1..1.1.1..111.11...11..11.11.....11...1.1..11...11.1 1.11..11......111.1..1...1.1..1.1.1..1.1..1.1..1.1..1.1.1..1.1 I 0006100000600001000167000006018209200335600001469710902 - Detach and mail this portion with your check to the address above. I :LATE CHARGE ON PAYMENT DUE I :AS OF THE DATE OF THIS STATEMENT, YOUR ACCOUNT iIS PAST DUE. YOUR CHARGING PRIVILEGES ARE :SUSPENDED UNTIL THE ABOVE MINIMUM PAYMENT lIS RECEIVED. I I :THE PERIODIC RATE SHOWN ON THIS STATEMENT MAY VAR I I 1 I I I I I I I I I I I I I I I I I PrevIous Balance ; + FINANCE .., " . MInimum Payment ., ". CHARGE REG 573.18 .00 9.64 .00 19.00 601.82 167.00 TOTAL 573.18 .00 9.64 .00 19.00 601.82 167.00 Plan The rlnance charge I wnich is an To t!1at part of the balance Which is an To thai part of this If plan imposes a finance Such balance was ANNUAl. ~b~ to finance charge And a ANNUAL balance in excess of ~~:~~~ ~~;ef~~~:=hm. delermined(as is determjn'!tcl by PERCENTAGE p@riodic PERCENTAGE explained on applying a Rm!ot RATEot Ingl5 reverse SIde) by ft..,....,. rate of rate of Melhodlt REG .05754% DAILY 21. 00. ENTIRE BAlAN(E 577.82 20 PAYMENT DUE BY 5 P.M. ON THE DUE DATE. Purchases, retums, and payments made lust pnOl to billing date may not appear until next month's statement. Unless promotions call for speaai lerms, additional finance charges can be avoMred II we rece""lhe new balance by 5 p.m. on II1e due date. II you send us a check or other item as payment lor all or any portion 01 this billing statement, and that check or Item ~ returned to us as Uflpaid for insuffioient Il or uncollected lunds, you agree that we may obtain payment lor the check or item by inRiating an ACH (electronic) deM to your account in the amount of the check or item. \\lur check or item will not be returned to you by us or your bank. PAYMENT: INQUIRIES: CUSTOMER SERVICE: Send Payment 10: Send inquiries (not payment) and your account number to: For account info,mation call toll free: PO BOX 4555 PO BOX 103031 800-344-4355 CRLSTRM IL 60197-4555 ROSWELL, GA 30076 NOTICE: See reverse side for important Billing Rights Telephoning about billin~ errors will not preserve your and other information. ,il/hts under fede,allaw. 0 preserve your rights, please . . > ta- ~ Let Gulf fuel the journey as you travel America's roads this summer. You can count on Gulf's 2,000 stations for quality gasoline, cold beverages and snacks for your trip. -. ----- ---- ----------- -- -- -- - ----- - ----,- -- ---- ---- - - -------- ------- - - - --- --- ------- - -- - -------- - - ----- -- - - -- - - ----- ---- - --- - --- : Daa I Refentnce/lnvoa I Location f DescriptIon I Amount 06/13/03 0100007042 500 EKING SJ;: .. ""'" 91425529 28.50 06/18/03 0100017043 500 E K~NG :'ST" u: ':>-il '~'" 91425529 6.50 '- >i{)( '," :, ~;"j<'-i/~;/;>;~,\',':;j~:_;I,'X-:j i%:- '-~;}':s>~r:<~:):,- :'"h!_~~5"~ 30BE;,fAR.:~'O~4J:"~)$Ut';0TOfl\l $35.00 ":;~~~:~: ,~;;>,;;,~~*~~~~:;.; . YOUR PAYMENT IS.OV'ERDUE. PLEASE DISREGARD THr'S NOTICE IF PAYMENT HAS BEEN ~PE';;:;f< "" ".' , " f ":1~~:;!;~:""b',,, ~;'~i;'" fj;;:';~<"; Your Gulf credi ttcJta';isj1th.~, safef;a1 t.aiFnai~JetJ;';;~~h q~hen yoU travel. To request additi.on'l~;~ulf"j~~~red~t;A,ca~4j, ~.~; 1..:.,0.':'445-8211. ";~ ,!1f!f!:J;'1iI.~~rJ::;""~:f;~~~~f!!J!l~ .~~cj:;~:~!; J>')' . PAGE 1 OF 1 Account NUtl1ber: Previous Balaitce: $47.50 Statement CloSing Date; ,-Payments and Credits; $.00 +FINANCE CHARGE: $1.02 +Charges; $35.00 =New Balance; $83.52 Minirrum Payment Due; $83.52 32 - -- - - - - - - - - ----- --- -- h_ --- - - - - - - - - - - -- - - - - - --- --- - - (Aeas.. Tear Along-Perforation) - - - - - - - - - -- - - ---- - - - - - - -- - - --- - - - - - - - __ - - - - - - ,_ _ _, P.O. BOX 29212 SHAWNEE MISSION, KS 66201-9633 e BILLING DATE ACCOUNT NUMBER MINIMUM PAYMENT DUE NEW BALANCE - 07114/03 0931520209 $83.52 $83.52 Gulf, 89 002639 - - PLEASE WRITE ANOUNT PAID Please make checks payable to: GULF PLEASE. 0.. ..0............ SHOW YOUR ACCOUNT NUMBER ON ALL LETTERS I, ..111" .1, .1.1.1" I, ..11.., II, .11.11."., 11..,1.1, .11...11, I AND CHECKS SHOW ALL CHANGES MERLE C KRAMER TO NAME OR ADDRESS 23 CHESTNUT ST I N SPACE ON THE NEWVILLE PA 17241-1303 BACK OF THIS SLIP P.O. BOX 9001001 LOUISVILLE, KV 40290-1001 0931520209000835200083524 . . ~/iedlnterstate Inc. 15 Hazel Wood Drive, Suite 102 Amherst, NY 14228 Toll Free: 800-701-2363 MWa - y-! 2.. -2003 r:cpo rktL c/e ~ ~ -e rL Account Number: 80919263603 - Balance Due: $221.27 Settlement Offer: $110.63 08-01-2003 Dear Merle Kramer, We had assumed that you would handle your financial obligation to DIRECT TV without the need to initiate further activity to collect it from you. That apparently is not the case. We have authorization to continue to extend our client's most generous offer of settlement. However, unless one of the options suggested below is accepted, we will proceed with an appropriate collection program to recover the outstanding delinquent debt. We believe that you have an important decision to make at this time. The wrong choice could be more costly to you in the future since you ultimately will be responsible for the full amount due to your creditor. Kindly check below and return: ( ) I wish to take advantage of this offer and I enclose my check for the settlement amount of $ ( ) Please charge my Visa/Mastercard for the settlement amount of $ . Account# Exp Date _/_' - ~ ) I cannot take advantage of your settlement offer but enclose a first installment of $ . If acceptable, I will pay each month on the _ day of each month until the balance is paid in full. Please be advised that your failure to respond to this letter will leave us with no alternative but to use the resources of this agency to - explore all means of recovering the outstanding amount due to our client. - We sincerely hope tha\1cou do the right thing and handle this matter responsibly. Should you have any questions regarding this matter please call 800- 01-2363. Sincerely, Allied Interstate, Inc, 800-701-2363 We are a debt collector attempting to collec~ a debt and any information obtained will be used for that purpose. .------------------------------------------------------------------------------...------------------------------------------------------. ----------,.-- -- --... ...--..----__ __... _ __c.....____.________ (Detach and return with Payment) Account #: 80919263603 Creditor: DIRECT TV P.O, Box 1954 Client #: 19263603 Southgate, MI 48195-0954 Balance Due: $221.27 Settlement Offer: $110.63 1...111...'..' .1.1.. "1111...11..11.' ,....., "111.1..11 '111'.1 Allied Interstate, Inc. SS 1/80919263603/SS 1 SS2 0062513/0191 P.O. Box 361373 Merle Kramer Columbus, OH 43236 23 Chestnut St Newville, PA 17241-1303 . ~'''-eriZlllJwireJess ' 700 CRANBERRY WOODS DR. CRANBERRYTWP,. PA 16066' Page: 1 of 5 ~~~:~~~b~~~.::::::::::::::::::::: ~:~~~~~;<>OOOlA(:idUbtSUrrtn18. Billing Date .............................. June 28, 2003 i 10007936 1 AV 0.278 AUTO T7 84228A 17241-1303 1 34 ll630CNPA Previous Balance 77.52 ,__,_: i '11I11I11I'"',','"1,111111I111111,1111I"1111I1,11111",11,1 Pa ments - Thank au 38.71 Credit f MERLE C KRAMER 23 CHESTNUT ST Balance Forward 38.81 NEWVILLE PA 17241-1303 Current Char s 38.76 Total Amount sn.57 "'_. ., , .-.,-.',,' -. "-'".... - '---..- --.' '" -'. -". . '''--, ..'. ........'.......-....'....-.........,................-......'............-.......-....--...-.,..--,...-........ ..-............................--....... ......---..,-..... .-. ......---......-. -'.'-- ". '," .-. i\ienzOiWfrfltes...;.<<'" .. Simplify your account management. Dial #BAL + SEND to obtain Just a reminder... Our records indicate your account is your account balance or to make a payment. Dial #MIN + SEND now past due. If payment has been mailed, please to hear the estimated number of minutes used. Both calls are disregard this notice. airtime free. /J1arK-:. Volc;jf? 2043 WI II se/?ci fOrm -ft, . CtV1ce// .5erlJlce-- I.n View and pay your bill online. Visit us on our web site at verlzonwlreless.com Call Customer Service toll free at 1-800-922-0204 (or *611 from your wireless phone). Please see reverse side for a description of our charges and the correspondence address. ___ ----------------------------------------------------------------------------------------------------------------------------------------------------------------- Please detach here and return this portion with your payment CUSTOMER ACCOUNT NO: 403599585-00001 VE \ ~' . INVOICE NO: 0444112673 ~ ver'ZSl",.lJwireless BILLING DATE: June 28, 2003 BALANCE FORWARD 38.81 CURRENT CHARGES 38.76 ] MERLE C KRAMER 23 CHESTNUT ST PAYMENT DUE IMMEDIATELY I $77.57 I NEWVILLE PA 17241-1303 MAKE CHECK PAYABLE TO VERIZON WIRELESS ~~~UNT $ DO.DD PO BOX 17464 BALTIMORE, MD 21297-1464 I" ',I... II" 1,11,'.,1." 1...1'.1111,11,"1..',1" II o Account or user address change? If yes, please check box and see reverse side. 0444112673010403599585000010000038760000077576 - Account Number: 822 2239 043225 4 LDiiiE.S Payment Due Date: 08-05-03 /1 i Minimum Payment: 16.00 - Home Improvement Warehouse Payoff Amount If Payment Received By Due Date: 553.04 11111111111111111 11M 11//1 1m 1/111 ~/IIIIIIIIII~ III~ III/III/ Indicate Amount Enclosed: [ I - Make your check payable to Lowe's/MCCBG. PLEASE INDICATE ADDRESS CHANGE BELOW At Lowe.s you.U find over 250 na..e braf'ld appU_es to choose frOll, in- tock & ,...d~ to to. Arid.nowtill New Street 1/31/04 ask fo Zer 'Pay..." f'Id le"o!f'l~ere.$tfo,. 6 IIIOnthson a j lance. oV.".S2"~a,.ged New City New State Zip to your Lowe d. associate forqtails. ( ) - New Home Telephone C09 S300 0005 0020820 001-001 MERLE C KRAMER 23 CHESTNUT ST. NEWVILLE PA 17241-1303 PO BOX 105980 DEPT.79 ATLANTA GA 30353-5980 ,...",...,..,.,.1..1...11...'1..1,.'1,11..1,...1.1.."...".1 1..11.'1.....11..,.1.1111..1.1.1.1111111.1,...1..,.11..111'..1 /1 I 0001600000250001000016000005530407900223900000432254602 Detach and mall this portion with your check to the address above. - CREDIT LINE U100 06-13 58604 STORE 0405 MECHANICSBURG, PA,LIVE NURSERY-PERENNIALS, 14.94 LIVE NURSERY-ANNUALS,LIVE NURSERY-ANNUALS. 06-13 63220 STORE 0405 MECHANICSBURG, PA, 53.57 LAWN & GARDEN - STRINS~l~lMMER ACCE, LAWN & GARDEN -GAiQMlI~~~CCESS' LAWN &GA~~j\\'~a:~'~"rq~'!)iml;;.:~ G- GRASS SEED, RANGE ACCI,,: 'I,it,'/' . <Ii. ,.l<'Pi:ifp*1iL.8.;z!f01Jl'ii RANGEI~~Sqe~..illiJ~_.~~j.W:~~'41K~f'~~: LAWN r<irlU~I)E"!:* SciR~G!t1 TII.~ 'INi" YiJ.~i:l 06-16 23898 R ETUR!'ft'.ltOR E~I:4:0$0,MEt:"N!C.UR':"A;'\1':14",*" 6.32CR ,...,~ "'f "1 A ' . . a.. '.. "f%\. RANGE lirORES'V- ~E"P R1S.x,j&l"l' 'i'.j)0)g,;l:.' 06-16 23899 ., '>ij""~' ..... ". "" a;X'I'0:,J 8.02 STOR E. .~.J;.~~t\~~.,~~~j:.A"r~7~',;~~~1(i)6Y.0. 07-09 RANGEeifMae:~e,d~._'R;;>'1i1'i,"JJI. 29.00 LATE .,. ,,,. .... ,........ lfiiii.j;0Jiif..,......!$..d0Jiif.... 07/05. REG = REGULAR PURCHASE PLAN Lowe.s Illakll$pa~Jngyourbilland.acc..ssing your account easier than eve..! .~etlnforllation..onyour. account. 2417 &"~c.ive & pay your Lowe.$bill online. Visit www.10wesc,.editcente,..colltoday! Plan I PrevIous Balance 1- Payments & .. ArtANeE . + Purchases I + Insurance & Debits I = New Balance I Minimum Payment Credits .ttIARGE 445.20 6.32 8.63 76.53 553.04 16.00 445.20 6.32 8.63 76.53 553.04 16 .00 Which' i$:an- To tl'lalpart of-the balance And 8 11 plan' imposes a finance S\lchbfllance.was AHMIAL subjecllo linance cnarge ~~';%~~~r~~W:~?~ delemlined(a$: PEIlCElftAG! up 10 periodic explaiiwfl.Of\ rate of fflgtS raversesJdA,I'by IlATEot Method-# REG .05754% DAILY 21.00% ENTIRE BALA CE 516.'4 20 PAYMENT DUE BY 5 P.M, ON THE DUE DATE. I-foo- 2'11" ~32--3 I Purchases, returns. and payments made Just pnor to billing date may not appear until next month's statement H Unless promotions calf for speci.:illerms, additional finance charges can be avoided It we receIve the new balance by 5 p,m. on the due date II you send us a check or other Item as payment lor all or any portKJn 01 thIS blllIC,g slalement and Ihat check or Ilem IS returned to us " unpaid tor IOsufflCient or uncollected lunds. you agree Ihat we may obtarn payment lor Ihe check or Item by Imllatlng an ACH (electromc} debit 10 your account 10 Ihe amollnt 01 the check or Ilem. Your check or Item Will nol be returned to you by us or your bank INQUIRIES: CUSTOMER SERVICE: PA YMENTS: Send inquiries (not payment) and your account number to: For account information call loll free: Send payments to: PO BOX 103080 (800)444-1408 PO BOX 105980 DEPT.79 ROSWELL, GA 30076 ATLANTA GA 30353-5980 NOTICE: See reverse side for important Billing Rights ~~~f'.~?:;!.~~ '~~~~!r ~~!!.nq. _e'!.o.:..s.~i!'. n~lpre~~rve ,Your and other intormation, I j,.'- I '" ,. ' il ~ "" Q ...... <<: <<:;z '-' Q r.J :i!': ~ii j "' - i' · ~ - I' <<:... ;z , S~ " "- G: 1:) ~ ,'. <<:;z ;z ,~ i ~~ :;z I > r- ~ I i;j;z i:: I U 0 - , "" 0:: Q , 0:: <<: !: I "'~ '" . ~ l:I.. ~ t- ...... I !:::;:i:!!-'l <r ~ ;;::;5 :::::c!J i :.~; ;::"- I ~ co'~ ~ - .," " o :0 u I " ~, z ,L.... 0 ,"9' < r- ~~~ ~ I 1:.t- $ Z r- ,,' ) - I "m'" w* ; . ",'c " '" ! III l.l1 I;::; t Ow... 0 , .JU" ~O ... : ~ a: 0; <'" ... , W'.) " ";. .., ! 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Monthly statement: July 4, 2003 10f 6 Customer service Internet address Customer number 1-800-829-8009 sprint.com/local 717-776-4990-033 Fast Facts Date current charges due: Ju129,2003 Total charges due: $109.51 Includes past due balance of $57.48 Please c,ay past due balance immediately to avoid possib e mterruption of service. Get a great deal on Customer summary Sprint FastConnect@ Previous charges 57.48 OSLo Call 1-866-421-7911 Payment .00 today and find out how you can get Sprint Past due balance 57.48 FastConntlct DSL for Current month charges 52.03 $39.99 a month for one year. Hurry, this offer won't last long. Current month charges Sprint local services: page 3 52.03 * Please recycle NNNYNNNY 6 ---------------------.-------------.-------------------------------.-.---- Please return this portion with payment. ..... Sprint@ Customer service Internet address Customer number ....... 1-800-829-8009 sprint.com/local 717-776-4990-033 Date due: July 29, 2003 Total amount due: $109.51 '110.33 if received after August 4. Amount enclosed: I I WfIle YOLlr 13-digll customer number on check. '11111'111'11'1'11111111111111111'111'11111'111111111'1111111' Make checks payable to: AUTOCR**C-001 --- 002859 Sprint - MERLE C KRAMER = 23 CHESTNUT ST PO Box 740463 - NEWVILLE PA 17241-1303 Cincinnati OH 45274-0463 !!!!!!!!! !!!!!!!!! 11111'1"'11111'11111.11.'111111111111111111111'1111 == 12 71777649900335 00000000005203 000109518 0321502 I 111111 1II11 111I1111I1 1111I 111111111111111111 "\ . :; EXECUTIVE CAMPUS, SUITE 400 CHERRY HILL NJ 08002 ...------~ Office Hours: Mon - Thurs 8am - 9pm EST Fri - 8am - 5pm EST Sat - 8am - 12pm EST Sun - 9am - 12pm EST October 4. 2003 M.R.S.ASSOCIATES, INC. 3 EXECUTIVE CAMPUS, SUITE 400 CHERRY HILL NJ 08002 3569460-589 28719 MERLE C KRAMER 23 CHESTNUT ST CLT ACCT#: MRS ACCT # : AMOUNT DUE: NEWVILLE PA 17241-1303 4388642115913983 3569460 Ji!;;;;"$tf~03~f$f':! .";"C:"""');,';'icUi:t" ">\>2i co}', IRE: CAPITAL ONE I (Interest may accrue on unpaid balances) -- X IMPORTANT: TO RECEIVE PROPER CREDIT BE SURE TO ENCLOSE THrS PORTION WITH YOUR PAYMENT IN FULL' X SEE REVERSE SIDE FOR CREDIT CARD AND WESTERN UNION PAYMENT INFORMATION RE: CAPITAL ONE M.R.S.ASSOCIATES, INC. CL T ACCT#: 4388642115913983 3 EXECUTIVE CAMPUS, SUITE 400 MRS ACCT#: 3569460 CHERRY HILL NJ 08002 AMOUNT DUE: $ 1,033.84 (Interest may accrue on unpaid balances) Dear MERLE C KRAMER, This letter is to inform you of a special offer to resolve your overdue account with our client. We recognize that a possible hardship or pitfall may have prevented you from satisfying your obligation. It is with this in mind that we would like to offer you a unique opportunity to satisfy your outstanding debt. We are presenting four options that will enable you to avoid further collection activity being taken against you. OPTION 1: A settlement of 50 % OFF of your current balance, SO YOU ONLY PAY $ 516.92 in ONE PAYMENT that must be received in this office on or before Oct 15th. OPTION 2: A settlement of 40 % OFF of your current balance, SO YOU ONLY PAY $ 620.30 in ONE PAYMENT that must be received in this office on or before Oct 29th. OPTION 3: A settlement of 30 % OFF of your current balance, SO YOU ONLY PAY $ 723.69 in TWO PAYMENTS. The first payment must be received in this office on or before Oct 29th and the second by Nav 27th. OPTION 4: Monthly payment plan on full balance (Interest may accrue on unpaid balances). If you are interested in taking advantage of one of these terrific opportunities or if you have any questions, you MUST contact our office as soon as possible at (8n) n4 - 7992 (toll free). When you call, please let our representative know that you have received the (CAPITAL ONE) Option Letter and tell us whether you would like to take advantage of the SETTLEMENT OPTION or the PAYMENT OPTION. If we do not hear from you, we are forced to assume that you do not intend to resolve your obligation on a voluntary basis and we will recommend that our client proceed with further collection activity. If you pay your balance in full, your credit will be amended by our client. Sincerely, B. Simone Director Of Operations (8n) n4 -7992 This is an attempt to collect a debt and any information obtained will be used for that purpose. This communication is from a debt collection agency. PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. 03J5628310/04/03MRSA1589 695 Rancocas Road Phillips and Cohen Associates, Ltd. . . . Westampton, NJ 08060 Ph (302) 355-3500 Return Service Requested Fx (302) 368-0970 Office Hours: 09/09103 M - Th: 8am - 9pm Fri: 8am - 6pm Sat: 8am-12pm MERLE C KRAMER Phillips and Cohen Associates, Ltd, 23 CHESTNUT ST 695 Rancocas Road NEWVILLE P A 17241-1303 Westampton, NJ 08060 111.11I11.1111.1.1..1.11 /1'11 /11111.1/.11..1111.1.111 1/11I11.1 11/'111111.1/ '11./1 111/11.1.111.1.1'111. 1/ Account#: 4800137203193200 Balance: $1181601 -------------------------------------------------------- U. PLEASE DETACH AJ....D RETCR", Ii.;- THE E",CLOSED E,\J VELOPE W JTH YOUR PAYMENT *** Re: Client: ECAST SETTLEMENT CORP Original Creditor: MBNA Original Acct#: 4800137203193200 Our File #: Balance: $11816$)1 1 Dear The Estate of MERLE C KRAMER: Our client ECAST SETTLEMENT CORP, now O\\11S the debt previously owed to MBNA ECAST SETTLEMENT CORP recently received notification that MBNA passed away, Initially, on behalf of our client, please accept our condolences, At the time of the passing of MBNA an outstanding debt in the amount of $118160 1 was owed to . To resolve this matter and prevent any further collection activity, either full payment must be sent to this office at the above address or information regarding the Estate of MBNA must be received, by mail or telephone, by our office, IF YOU HAVE ANY QUESTION, IMMEDIA TEL Y CONTACT OUR OFFICE AT THE ABOVE TELEPHONE NUMBER. Sincerely, Howard A. Enders Executive Vice President ** IMPORTANT CONSUMER INFORMATION ** Unless you notifY this office within thirty (30) days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office will assume this debt is valid. If you notifY this office in writing within thirty (30) days from receiving this notice, this office will: obtain verification of the debt or obtain a copy of a judgment and mail you copy of such verification or judgment. If you request this office in writing within thirty (30) days of receiving this notice, this office will provide you with the name and address of the original creditor, if different from the current creditor. This communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose. (QESP)40:T020:00 1350:001.1 000:03252:PCO 1 :PCAL080:0 1: PCAL080 - , , . 0 "- I I NEWVILLE WATER & SEWER AUTHORITY FIRST CLASS MAIL 4 West Street, Newville, PA 17241 U.S. POSTAGE PAID Phone: 776-7633 NEWVILLE, PA RETURN SERVICE REQUESTED Permit #2 4 WA 6 Young, Deb SO 0 I 211 Lefever Road I Newville, PA I 17241 I I AMOUNT REMITTED: C";"_lllllr"'~":01i"'tlli"Il1i:__'''''~I~''''~'-r''''''''l!ll.''''''W '.' . 3;5. ;i,""'" 11 ~lHm;:"I;;tfll;il~~~1:'*;~;I;rf;;;it~Mft~~i*~I';'7A6~!~ ;0'~~7~~' 437.88 I -.c__ I , I i I , I I 1") I f"l I I I SCOs501'- f"l:.... M:"l iUJ 50' I I oJ) 1 I~ ~I ! ,~IJ M (.J -:t' oJ) I'- oJ) oJ) oJ) ~ i ILU .g ~ :9 ....: r.-i .Ji .,j ~ ;): I~ . I Z I ')J I :0 ,I ~I f"l "'- f"l 7' oJ) "J;J co 'J") f-") f-") w 13 Ii ~ .~ .~ ~ .~ ~ ~ '~ - - ~I ;:1 -c.............t...........'I"""4.................. If- - :E 105 .............,..,........,..,..,..,. ,2 ......: ~l 'is I w I I cr:1 I~ r- ! I ~ 1< I <( Ig 501 I il ~ I I- 0 I I~ ~ I ~ ~ < I I 0 w (,) ..' I I (,) .. 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I!.I C') en if J: q>W . .... C,,) ...J Q'~...J Q QQ ::!E l- . rJ) ......Ll .... '.JJ ...l UJ ..1.0 a:: .:.n LU '::'::>...J.::l::>-::>::> w (.!) a.. $ Z 'J:: a: . 0 .. ........... ..... 0 ..... ...... f- '.JJ I- ,;). I- lU...J;.JJ'::l...l~ '.JJ .JJ I :E=:J :r'! (J UJ .:.J ;.JJW...JU.:.J :J W~ a:z . t::;:).u...J=:J:"':.u~...Lo 'J:: I- 'J.! I- III '.,L. .:z:: UJ i.L. a:: =:J 'J:: .:t: , :x:.:n...J :::l - :::l U. I o Za.. .J.j...J z t[j ')J I- '.,L. .:-0.. I- 1-.- S I.LJ:J:.... I- IXl:#Z :# z.:;.. z z I oS ~ ....!.:.J::> 'J) .JJ(lJ :.LJ:#:JJ.,L; I . W 'J:: :3 '.JJ :> oJ) :E :# f"') E EE ISl 'J.! r-) 'J.! :J: lU .:> . >- .;"tJ >- >- ..,. f' ::::'0'::. E '~IJ Z Ll s.. .... a: CO .~ a: ,~'J a: a: >cc: CL -:t' .:l. oJ) CO ,;). - ';). .:l. a:~ r"l ~ffi ('IJ Woe ~ a: (!j~ .. C ....i- '-- 0 ..... ..... .... .-t ....... .)J .).l ~ -I'- '- -OSoSSoSI'SI 'SIoSI Ie r;~ ,~ ...... ...... ...... ...... ...... .~... ...... ...... I <--/1, a. ...... oJ) oJ) - I'- I'- ,~ CO .S) I ,^, (r:i~' .... UJ - .)J .~\J ('IJ - - ...... ..... ro, I IZ .J::I~ f"') ...... ...... ...... ...... ...... r- ...... ...... i ~ if. oQ (f.llo ...... oSI oSI .... .)J .)J ...... - ,)J I I CO.........................-t:......~..... I e: ~ ~5: i I ':i~ :;:: <({; I I ~ --- . . r .. '../1 ~~~:;'~"f~:,:~~;:~~"~~:,,~nc. June la, 2004 Deborah Young 211 Le Fever Road Newville, PA 17241 RE: Estate of Merle C Kramer, deceased. Our File#: KCI-12426 Dea:::- Ms. Young: This letter is to serve as a receipt for the recent payment. The specifics regarding your payment are listed below. Previous Balance $16925.78 Payment Amount $1500.00 Date of Payment 06/10/04 Remaining Balance $15425.78 Account Number 09070151100 If you have any questions or require additional information, please do not hesitate to contact this office. Sincerely, Financial Dept. Ext 294 SYS:rcpt NOTICE: SEE REVERSE SIDE FOR IMPORT ANT INFORMATION This communication is from a debt collector and is an attempt to collect a debt. Any information obtained will be used for that purpose. P.O. Box 24566, Baltimore, Maryland 21214 . Telephone: 410-444-8022 . 800-229-8472 . Fax: 410-426-4051 Monday - Thursday 8;00 am - 9;00 pm - Friday 8:00 am - 6;00 pm Eastern Time ~~~ - \~.s'" COMMONWEALTH OF PENNSYLVANIA *' BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1m EX AFP 1Ol-D5) DATE 11-01-2004 ESTATE OF KRAMER MERLE C DATE OF DEATH 07-02-2003 FILE NUMBER 21 03-0593 'l')4' ;A'\1 -1 f) /' 0' t.:) COUNTY CUMBERLAND STEVEN J FISHMAN ESQ . "U. , ~. .1 -' ACN 101 SALZMANN ETAL. I '.o~t _mod I 95 ALEXANDER SPRING R \ CARLISLE PA 17q~3. MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV :i5'4-j-E3f-AFP--foY:03Y-NoYicE-oF-YNHEifiTAtfcE-TAx-A-PPRA-isEiriNT-:--ALi-OwAtfcE-oR'----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KRAMER MERLE C FILE NO. 21 03-0593 ACN 101 DATE 11-01-2004 TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 78,041.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2).00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 tax payment. 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Total Assets (8) 78,041.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 16,569.00 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule n (10) 95.211.00 11. Total Deductions (11) 111.780 no 12. Net Value of Tax Return (12) 33,739.00- 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 33,739.00- NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate US) . 00 X 00 = . 00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 X 045 = .00 17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00 19. Principal Tax Due (19)= .00 TAX CREDITS: . 'O'A TE" ~~"ME:B~;R' INTEREST /PE~ P~+~D (_) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 " -(\ t TOTAL DUE .00 ), · IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates Df decedents dying Dn Dr befDre December 12, 1982 -- if any future interest in the estate is transferred in pDssessiDn Dr enjDyment tD Class B (cDllateral) beneficiaries Df the decedent after the expiratiDn Df any estate fDr life Dr fDr years, the CDmmDnwealth hereby expressly reserves the right tD appraise and assess transfer Inheritance Taxes at the lawful Class B (cDllateral) rate Dn any such future interest. PURPOSE OF NOTICE: TD fulfill the requirements Df SectiDn 2140 Df the Inheritance and Estate Tax Act, Act 23 Df 2000. (72 P.S. SectiDn 9140). PAVMENT: Detach the tDP pDrtiDn Df this NDtice and submit with YDur payment tD the Register Df Wills printed Dn the reverse side. --Make check Dr mDney Drder payable tD: REGISTER OF KILLS, AGENT REFUND (CR): A refund Df a tax credit, which was nDt requested Dn the Tax Return, may be requested by cDmpleting an "ApplicatiDn fDr Refund Df Pennsylvania Inheritance and Estate Tax" (REV-1313). ApplicatiDns are available at the Office Df the Register Df WillS, any Df the 23 Revenue District Offices, Dr by calling the special 24-hDur answering service fDr fDrms Drdering: 1-800-362-2050; services fDr taxpayers with special hearing and I Dr speaking needs: 1-800-447-3020 (TT Dnly). OBJECTIONS: Any party in interest nDt satisfied with the appraisement, allDwance, Dr disallDwance Df deductiDns, Dr assessment Df tax (including discDunt Dr interest) as shDwn Dn this NDtice must Dbject within sixty (60) days Df receipt Df this NDtice by: --written prDtest tD the PA Department Df Revenue, BDard Df Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --electiDn tD have the matter determined at audit Df the accDunt Df the persDnal representative, OR --appeal tD the Orphans' CDurt. ADMIN- ISTRATIVE CORRECTIONS: Factual errDrs discDvered Dn this assessment shDuld be addressed in writing tD: PA Department Df Revenue, Bureau Df Individual Taxes, ATTN: PDSt Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 PhDne (717) 787-6505. See page 5 Df the bDDklet "InstructiDns fDr Inheritance Tax Return fDr a Resident Decedent" (REV-1501) fDr an explanatiDn Df administrativelY cDrrectable errDrs. DISCOUNT: If any tax due is paid within three (3) calendar mDnths after the decedent's death, a five percent (5%) discDunt Df the tax paid is allDwed. PENAL TV: The 15% tax amnesty nDn-participatiDn penalty is cDmputed Dn the tDtal Df the tax and interest assessed, and nDt paid befDre January 18, 1996, the first day after the end Df the tax amnesty periDd. This nDn-participatiDn penalty is appealable in the same manner and in the the same time periDd as YDU wDuld appeal the tax and interest that has been assessed as indicated Dn this nDtice. INTEREST: Interest is charged beginning with first day Df delinquency, Dr nine (9) mDnths and Dne (1) day frDm the date Df death, tD the date Df payment. Taxes which became delinquent befDre January 1, 1982 bear interest at the rate Df six (6%) percent per annum calculated at a daily rate Df .000164. All taxes which became delinquent Dn and after January 1, 1982 will bear interest at a rate which will vary frDm calendar year tD calendar year with that rate annDunced by the PA Department Df Revenue. The applicable interest rates fDr 1982 thrDugh 2004 are: Interest Daily Interest Daily Interest Daily Vear Rate FactDr Vear Rate FactDr Vear Rate Factor ~ zor- ~ Im-1991 --nr- :oimiif" ml ~ omm"" 1983 16% 0000438 1992 9% .000247 2002 6% .000164 1984 11% .000301 1993-1994 77. 0000192 2003 5% .000137 1985 13% .000356 1995-1998 9% .000247 2004 4% .000110 1986 10% .000274 1999 77. .000192 1987 10% .000274 2000 77. .000192 --Interest is calculated as fDIIDws: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any NDtice issued after the tax becDmes delinquent will reflect an interest calculatiDn tD fifteen (15) days beYDnd the date Df the assessment. If payment is made after the interest cDmputatiDn date shDwn Dn the NDtice, additiDnal interest must be calculated. COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION NOTICE OF CLAIM In Re: The Estate of: Court File No: 2103593 MERLE C KRAMER Deceased TO: THE CLERK OF THE ORPHANS' COURT DIVISION Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PAC.SA S3532(b)(2). 1) Claimant's name: ECAST SETTLEMENT CORP clo NCO Financial Systems, Inc 2) Claimant's address: Probate Department,#450 1804 Washington Boulevard Baltimore, MD 21230 (443)263-3300, ext 3304 3) Creditor listed below is the owner and holder of a claim in the amount of . $5,260.71 Acct# 4800137203193200 4) The facts upon which this claim is based is a credit agreement between Creditor and Decedent, identified as account number which is evidenced by the attached affidavit of account stated. 5) Decedent's address: 23 CHESTNUT STREET, NEWVILLE PA 17241 6) Date of Death: UNKNOWN 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by Do b,h,' of Ih, d"m,"l, , do "',mo'y d'd ,"d, "m 'If '~""" 01 per~ury that they Information and representati ns ma her re tr nd correct to t e best of my knowledge, information a i 'f . b3i<< Dated: May t2, 2005 ,,~GENT Claimant ' , Q961&9 Written notice of claim was given to Personal Representative and/or his/heiicounset' as stated below: '. . STEVEN FISHMAN Name -, 95 ALEXANDER SPRING RD -.." Address - _...~ CARLISLE PA 17013 City/StatelZip en MAY 12, 2005 ,","> Date notice mailed \...Ullwer .Lana county ~eglster Ot Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 6/06/2005 FISHMAN STEVEN J 95 ALEXANDER SPRING RD SUITE 3 CARLISLE, PA 17013 RE: Estate of KRAMER MERLE C File Number: 2003-00593 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 7/02/2005 Your prompt attention to this matter will be appreciated. Thank You. ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge vvf -- STATUS REPORT UNDER RULE 6.12 Name of Decedent: MERLE C, KRAMER Date of Death: Julv 2. 2003 No. 21-03-0593 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: L State whether administration of the estate is complete: -.X.... Yes _ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No, 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? - Yes X No b. The separate Orphans' Court No, (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? X Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk 0 rphan's Court and may be attached to this report. Date: 6/21105 "'- Capacity: Personal Representative X Counsel for Personal Representative u-f ~ STATUS REPORT UNDER RULE 6012 Name of Decedent: MERLE C. KRAMER Date of Death: Julv 2. 2003 No. 21-03-0593 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: I. State whether administration of the estate is complete: -.X.. Yes _ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. I is Yes, state the following: a, Did the personal representative file a final account with the Court? . - Yes X No b, The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? X Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk 0 rphan's Court and may be attached to this report. Date: 6/21/05 l Capacity: Personal Representative X Counsel for Personal Representative u{