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HomeMy WebLinkAbout11-21-11r ~: COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DMSION IN RE: APPOINTMENT OF PLENARY GUARDIAN OF THE ESTATE AND NO. 21-11- ~~7 PERSON OF BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, AN ALLEGED INCAPACITATED PERSON PETITION FOR THE APPOINTMENT OF PERMANENT PLENARY GUARDIAN OF THE ESTATE AND THE PERSON IN ACCORDANCE WITH 20 PA CSA SECT. 5511; c ;=; JVAIVER OF BOND: FOR APPOINTMENT OF COUNSi~i,~ ~- ~ N NOTICE REQUIREMENTS: AND FOR AUTHORIZAE~` 4 _ `= TO DO ASSORTED ACTS IN CONNECTION WITH ~~~] o ~ ESTATE OF THE ALLEGED INCAPACITATED PERS~ISii ` a t.: TO THE HONORABLE JUDGES OF THE SAID COURT: And now comes, SONDRA K. BOLLINGER a.k.a. SONDRA KAY BOLLINGER, the daughter of the aforesaid BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, by and through her attorney, CHARLES E. SHIELDS III, who files this PETITION FOR THE APPOINTMENT OF PERMANENT PLENARY GUARDIAN and respectfully represents as follows: RE: JURISDICTION 1. Jurisdiction lies in the Orphans' Court Division under 20 Pa. C. S. Sect. 711 (10) which states that the administration and distribution of the real and personal property of the estates of incapacitated persons is,to be exercised through the Orphans' Court division. x_, ~, ~..~ y ,r :, -~ :, ._:~., ,-, a -,-, ~~- RE: NO PREVIOUS ADJUDICATIONS 2. There have been no previous adjudications involving the alleged incapacitated person nor has any judge acted on any petitions or motions involving her. RE: PETITIONER 3. Petitioner, SONDRA K. BOLLINGER a.k.a. SONDRA KAY BOLLINGER, married woman, currently of 700 Cedar Ridge Lane, Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania 17055, and is the natural born child and the only child of BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, an alleged Incapacitated Person. Said Petitioner is a United States citizen and is able to speak, read, and write in the English language. RE: ALLEGED INCAPACITATED PERSON 4. BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, an unremarried widow, currently of 315 West Lisburn Road, Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania 17055 is herein stated to be an incapacitated person in need of a guardianship. 5. BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, net Stauffer, was born May 11, 1929 in Mechanicsburg, Cumberland County, Pennsylvania. She is currently eighty-two (82) yeazs of age and will become eighty-three (83) yeazs of age this coming May 11 s'. 6. BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, nee Stauffer, joined in the bonds of Holy Matrimony with LLOYD E. BOLLINGER, on January 15, 1955. 2 7. LLOYD E. BOLLINGER, departed this earthly life on June 20, 2003. 8. Their union produced only one (1) child, the Petitioner herein. 9. MS. BOLLINGER, has remained an unremarried widow from the time of her husband's death through and to the present. 10. MS. BOLLINGER, was a graduate of Mechanicsburg High School. After graduation she obtained employment with The Insurance Company of North America, subsequently with Bell Telephone Company, and later with Sinclair Oil Company (now BP or British Petroleum). She left Sinclair Oil to give birth to Petitioner, Petitioner being born October 5, 1957. She subsequently worked for her said husband in his printing business, at first known as Lloyd Bollinger Offset (Printing). The business was later called Bollinger's Incorporated. MS. BOLLINGER's duties and responsibilities were essentially bookkeeping and clerical. The business was closed in 2000 and her employment ceased. Upon the death of her said husband, Lloyd Bollinger in 2003, the business premises were sold. 11. Until recent medical problems, MS. BOLLINGER, continued to live by herself and unassisted at her residence property at 315 West Lisburn Road, Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania. 12. On February 1, 2011, BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, suffered a stroke and was hospitalized at the Holy Spirit Hospital, Camp Hill, Cumberland County, Pennsylvania. 13. MS. BOLLINGER, was subsequently discharged to the "rehab" facility operated by HealthSouth at 175 Lancaster Boulevazd, Mechanicsburg, Lower Allen Township, Cumberland County, Pennsylvania. 3 14. On Mazch 1, 2011, MS. BOLLINGER, was transferred to "The Oaks," a Skilled Nursing facility at Bethany Village, Mechanicsburg, Lower Allen Township, Cumberland County, Pennsylvania. As of the date of the prepazation of this Petition, BARBARA ANN BOLLINGER, a.k.a. BARBARA A. BOLLINGER, remains at this facility for treatment. RE: MEDICAL DIAGNOSIS AND PROGNOSIS 15. MS. BOLLINGER has been under the treatment of several doctors from time to time. She is currently under the treatment of Dr. Namrata Haldipur, M.D. A detailed Affidavit from Dr. Haldipur is attached hereto. (Almost daily recordations and notations have been reviewed by counsel and Petitioner and can readily be made available to your Honorable Court should you be inclined to study them). 16. Dr. Haldipur has diagnosed MS. BOLLINGER to have and suffer from vascular demential (See Affidavit Pazagraph 7). The daily recordations and notations indicate that the stroke has also caused aphasiaz. It has also left Ms. Bollinger with hemiparesis3. 1 "dementia [L. dementaae, to make insane]. Irrecoverable deteriorative mental state with absence or reduction of intellectual faculties, due to organic brain disease." Taber's Cvclopedic Medical Dictionary (15"' ed., 1985), at p. 435.• Vascular dementia is the second most common form of dementia after Alzheimer's disease. It is believed to be an irreversible form of dementia. It typically develops after a stroke blocks an artery in the brain. It results in impairment or even cessation of blood flow to part of the brain, causing damage to the brain itself. This most typically leads to severe problems with reasoning, planning, judgment, memory and other thought processes. For additional background information as to this malady and to associated problems and likely irreversibility, see U.S. National Library of Medicine: Dementia at http://ncbi.nlm.ningov/pubmedhealth/PMH0001748/; Mayo Clinic: Vascular Dementia at http://www.mavocliniacom/health/vascular-dementia/DS00934/METHOD=vrint; Medscape Reference: Vasculaz Dementia at httn://emedicine.medscane.com/articlel2921A5-overview; Alzheimer's Association: Vascular Dementia at http://www.alz.or~Jalzheimers disease vascular dementia.asp; and Wikipedia: Multi-infarct dementia at http://en.wikipedia.org/wiki/Multi-infarct dementia. 2 "aphasia [Gr. a-, not, + phases, speaking]. Absence or impairment of the ability to communicate through speech, writing, or signs, due to dysfunction of brain centers. It is considered to be complete or total when both sensory and motor areas are involved." Taber's Cyclopedic Medical Dictionary (15`s ed., 1985), at p. 116. 4 t } 17. In laymen's terms MS. BOLLINGER is unable to perform the simplest of tasks. By way of example, she is unable to dress herself or brush her teeth. If she is handed a toothbrush and spoken to about it, she exhibits all the signs of being totally bewildered. She is unable to get in and out of bed by herself. Additionally, she is not always fully cognizant that she should swallow liquids once she has ingested them into her oral cavity via a straw. 18. Other than some initial positives responses to physical therapy, MS. BOLLINGER has shown little to no progress and most recently has exhibited a continual and gradual decline. 19. As a result of the stroke, MS. BOLLINGER suffers from greatly impaired decision- making skills and judgment and has very limited reasoning abilities (See Affidavit Paragraph 8). 20. In the opinion of her treating physician, MS. BOLLINGER is clearly incapable of making any effective evaluations of information whether provided in writing or verbally in order to make any decisions regazding her own medical and personal care and regarding the management her financial affairs (See Affidavit Pazagraph 9). 21. MS. BOLLINGER's current capabilities are very unlikely to improve in the future. Rather they are likely to continue to worsen (See Affidavit Paragraph 12). 22. In summary, MS. BOLLINGER, as a result of her stroke, is not fully in touch with reality nor is she able to fully comprehend the content and gist of everyday conversations. On occasion she appeazs to be able to recognize her own daughter, the Petitioner herein. However, this ability to recognize her own daughter is neither certain nor is it consistent. Regardless, she definitely has lacked and continues to lack the mental capacity to comprehend the need for a Last Will and Testament or a Power of Attorney and definitely lacks the capacity to consent to and execute the same. (See Affidavit generally.) s "hemiparesis [hemi- Gr. Prefix meaning half + paresis, paralysis]. Paralysis affecting only one side of 5 23. MS. BOLLINGER, is now and in the future will be unable to handle her own affairs. 24. MS. BOLLINGER, until now has handled her own affairs. RE: NEXT OF KIN AND PROPOSED PLENARY GUARDIAN 25. MS. BOLLINGER's next of kin aze as follows, to wit: Only one, the Petitioner herein, SONDRA K. BOLLINGER a.k.a. SONDRA KAY BOLLINGER, qualifies as a right and lawful heir for all legal purposes and Notice requirements as they relate to this Petition and any heazing thereon. 26. Petitioner herein is the only family member who is fully awaze of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER's medical condition and is in favor of this Plenary Guardianship. 27. No one other than the current Petitioner is realistically available or capable in Petitioner's mother's or father's family. BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, had one brother and one sister who are both deceased. 28. T'he Petitioner has no interest adverse to that of her mother, BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER. Petitioner is not an officer or an employee of a corporate fiduciary'of an estate in which she has an interest. Additionally, Petitioner is not a surety or officer or employee of a corporate surety of such a fiduciary. Petitioner's acceptance to serve as such Guardian is attached hereto. the body." Taber's Cyclopedic Medical Dictionary (15th ed., 1985), at p. 743. 6 29. Petitioner, through her attorney, CHARLES E. SHIELDS III, and upon his advice, has determined to petition your Honorable Court for her appointment as permanent Plenary Guardian not only of the person but of the Estate of her mother based upon her background and capability and upon the practical fact that she is the sole heir of her mother. RE: ESTATE AND PROPERTY OF BARBARA ANN BOLLLINGER, a.k.a. BARBARA A. BOLLINGER 30. The gross value of any single name property in the name and ownership of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, is estimated at $1,044,521.80. This is composed of the following items: (A.) Monumental Life Insurance Company, Traditional IRA, No. ADV 300398, The Advisors Edge Variable Annuity. Total Value as of August 29, 2011: $27,834.53 (See Exhibit A attached.) (Beneficiary is proposed Guardian, Sondra Bollinger.) (B.) Citizen's (Bank) Investment Services, Securities Portfolio Account No.: L7C- 191973. Total Value as of August 31, 2011: $19,394.38 (See Exhibit B attached.) (This account is designated as "Transfer on Death" to proposed Guardian, Sondra Bollinger.) (C.) ISI Financial Group, Inc., Securities Portfolio Account No.: 908-613970. Total Value as of August 31, 201 l: $568,954.38 (See Exhibit C attached.) (This account is designated as "Transfer on Death" to proposed Guardian, Sondra Bollinger.) (D.) ISI Financial Group, Inc., TD Ameritrade Clearing Custodian IRA Account No.: 905-978100. 7 Total Value as of August 31, 201 l: $247,716.03 (See Exhibit D attached.) (Beneficiary is proposed Guazdian, Sondra Bollinger.) (E.) 1997 Ford Explorer, Sport Utility, Four Door: Kelly Blue Book Valuation: $3,680.00 Edmunds Valuation Service: $1,565.00 Average Valuation: $2,622.50 (F.) Household furnishings and appliances are estimated to be worth approximately $2,000.00. (G.) Real Estate: There aze two (2) contiguous tracts of land which aze treated as if they were one (1) unified tract for most practical purposes. These aze improved by a residential dwelling house having an address of 315 West Lisburn Road, Mechanicsburg, Upper Allen Township, Cumberland County, Pennsylvania. Cumberland County assesses the value of the ground at $61,200.00 and the improvements at $114,800.00 for a total assessment of $176,000.00. (See copies of the two (2) deeds attached as Exhibits E and F, respectively. See copy of recent school tax billing showing the county assessments attached as Exhibit G.) 31. BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLiNGER, has no long term care insurance. RE: ESTIMATED CURRENT AND PROJECTED EXPENSES 32. MS. BOLLINGER'S current and projected expenses on an estimated and annualized basis are as follows: (A.) PERSONAL CARE: MS. BOLLINGER is currently residing and being treated at the Bethany Village facility. Her monthly residency and maintenance fees, including her usual 8 medications total approximately $11,000.00 per month or $132,000.00 per year. Her incidental expenses average approximately $100.00 per month or $1,200.00 per year. Petitioner is currently unable to project estimated dental treatment charges. (B.) PROPERTY RELATED: Real Estate property taxes are currently approximately $2,600.00 per yeaz and aze likely to increase over time. Homeowner's and Automobile Insurance were approximately $1,200.00 last year. Routine maintenance and upkeep such as air conditioner, water line insurance, termite treatments and lawn treatments were approximately $1,500.00 last year. Billings for fuel, electricity, water and sewer chazges were approximately $5,600.00 last yeaz. (C.) BLUE CROSS INSURANCE: Blue Cross insurance is currently approximately $2,400.00 per year. RE: POWER OF ATTORNEY 33. BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, has no known executed Power of Attorney. She consulted with counsel, Chazles E. Shields, III, as to the prepazation of a Will and Power of Attorney and informed him she wanted to name her daughter as Executrix of her Last Will and Testament and as her Agent in her Power of Attorney. However, BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, desired to reflect further on alternate dispositions in the event her said daughter predeceased her. As sometimes happens, the reflection period resulted in non-fmalization and execution of her documents. Counsel's usual Power of Attorney document includes the following Item III: "III. PROCEEDINGS FOR APPOINTMENT OF A GUARDIAN - In the event that legal proceedings concerning my incapacity, within the meaning of P.E.F. Code Chapter 54, or for the appointment of a guardian of my estate are commenced, I nominate 9 my agent appointed by this Power of Attorney for consideration by the court having jurisdiction of those proceedings for appointment as the guardian of my estate, and I request the court to make its appointment in accordance with this nomination, except for good cause or disqualification." Counsel has never had a client object to this Item. Rather, they have all embraced it as a good idea and accurate statement of their wishes. Counsel has absolutely no reason or cause to believe that MS. BOLLINGER would not also have embraced it upon the final review and signing of her Power of Attorney. RE: NO FORMER ASSUMPTION OF JURISDICTION. GUARDIANSHIP OR THE LIKE 34. No other court has ever assumed jurisdiction in any proceeding to determine the capacity, or the lack thereof, of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, an alleged Incapacitated Person. 35. MS. BOLLINGER, has no Guardian heretofore appointed and has no Agent under a Power of Attorney. 36. The prompt appointment of an official Guardian will help prevent any possibly irreparable harm to BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER'S person and her estate. RE: PROPOSED POWERS OF GUARDIAN 37. It is proposed that the said prospective Guardian of the person and estate of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, be permitted, authorized, and empowered to act in such capacity as permanent Plenary Guardian. 10 RE: PROPOSED WAIVER OF BOND REQUIREMENT 38. Petitioner, SONDRA K. BOLLINGER a.k.a. SONDRA KAY BOLLINGER, is fifty- three (53) years old . She graduated from Mechanicsburg Area High School in 1975. Subsequently she went to Harrisburg Area Community College where she studied for one (1) yeaz and completed some accounting courses. She also went to Elizabethtown College for one (1) semester and completed an additional accounting course. Her eazly work experience includes working at Manpower, Inc. and Byerly Insurance, where she handled payroll, accounts receivable, commission checks, and the like. She later got married and moved to Virginia During her time in Virginia she was not employed. In 1983 she moved back to the Mechanicsburg area. From 1983 to 2000 she worked in billing and pre-press printing in her pazents' business. She does not have any military service. 39. Petitioner believes and avers that Paragraphs 25 through 37 contain sufficient facts that justify the waiver of a bond by Petitioner and that would enable your Honorable Court to decree that no bond need be entered provided formal and annual accountings aze submitted to the Orphans' Court for approval and confirmation. RE: NOTICE REQUIREMENTS 40. It is inherent in the powers of your Honorable Orphans' Court to permit abbreviated Notices in cases where circumstances dictate that such is reasonable and sensible. 41. BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, is realistically incapable of comprehending any Notice which might be served upon her. Her ability to comprehend any explanations from an attorney appointed for her or to understand any notices served upon her would be so extremely limited as to render such efforts futile. Also, her ability to communicate any rational desires would be extremely impaired. (See Affidavit Paragraph 10.) 11 42. It is respectfully believed and averred that circumstances as presented herein and as to be presented at the hearing make it reasonable to wholly waive any formal Notice. In the alternative, it is respectfully represented that circumstances dictate that it would be reasonable and sensible to merely have the Notice and Petition read to BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, by any responsible adult who can read and speak English after having it hand delivered by any independent adult. RE: APPOINTMENT OF COUNSEL 43. MS. BOLLINGER, is incapable of understanding or responding to any potential conversations with any personal or court-appointed counsel. She can be of no help or assistance in preparing any representation of herself. It is highly unlikely that responsible counsel would do anything to oppose the gist of this Petition. (See Affidavit Paragraph 10.) 44. By the terms of the instant Petition, it should be prima facie obvious that BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, is in need of help and that she is not the victim of designing persons who desire to have her declared incapacitated for their own personal gain. 45. In view of the above-stated facts Petitioner avers that appointment of counsel would serve no useful purpose and would merely work to deplete MS. BOLLINGER'S resources which could be put to much better use in otherwise providing for MS. BOLLINGER' S needs. 46. Petitioner avers and believes that sufficient facts exist and have been set forth herein to fully justify your Honorable Court to decree that no counsel need be appointed. RE: HOLDING OF ONE HEARING ONLY 47. In view of all of the above facts and averments, Petitioner respectfully requests that only one hearing be held on the instant Petition. Petitioner believes no necessity exists to require the 12 holding of both a sepazate emergency hearing and an additional final hearing. Such sepazate hearings would only needlessly burden the court's time and would work to unnessarily deplete the funds of MS. BOLLINGER RE: RELIANCE ON PHYSICIAN'S AFFIDAVIT AND STATEMENTS 48. In view of the nature of MS. BOLLINGER' S incapacity and great probability that it can only continue to worsen, it is respectfully suggested to your Honorable Court that the Affidavit of Dr. Haldipur should be liberally construed to meet the requirements and to fulfill the purposes of 20 Pa. Sect. 5518 regarding proof of incapacity a To require payment of costs of a stenographer, typing and other associated costs of a formal deposition would merely work to deplete the resources MS. BOLLINGER, and would provide no real additional protection and it has been suggested to your Honorable Court that the appointment of any counsel would be a waste of fmancial resources. Therefore, we respectfully aver that there is no practical need for, or benefit from, a deposition or cross-examination. Additionally, Dr. Haldipur's Affidavit was made partly in response to a series of questions posed by counsel. These aze the same questions counsel would pose in a formal deposition and there is no doubt Dr. Haldipur's answers would be the same. Additionally, Petitioner, MS. BOLLINGER'S daughter, who has actively and routinely been involved in her mother's caze and therapy will be available at any hearing to provide direct testimony as needed and to answer any questions your Honorable Court may wish to pose on its own. a 20 Pa. CSA Sect. 5518 Evidence of incapacity. To establish incapacity, the petitioner must present testimony, in person or by deposition from individuals qualified by training and experience in evaluating individuals with incapacities of the type alleged by the petitioner, which establishes the nature and extent of the alleged incapacities and disabilities and the person's mental, emotional and physical condition, adaptive behavior and social skills. The petition must also present evidence regarding the services being utilized to meet essential requirements for the alleged incapacitated person's physical health and safety, to manage the person's financial resources or to develop or regain the person's abilities; evidence regarding the types of assistance required by the person and as to why no less restrictive alternatives would be appropriate; and evidence regading the probability that the extent of the person's incapacities may significantly lessen or change. 13 RE: THE OVERLY BURDENSOME AND HARMFUL NATURE OF TRYING TO HAVE MS. BOLLINGER ATTEND ANY HEARING BEFORE YOUR HONORABLE COURT 49. To transport MS. BOLLINGER to Carlisle for any hearing would, at a minimum, require the use of a specially equipped wheelchair van and the use of auxiliary medical personnel to attend to her and her potential needs. Additionally, the removal of MS. BOLLINGER from her current surroundings for her presence at any hearing on her alleged incapacity would provide no benefit for her in that it would remove her from her now familiar surroundings for no good or practical purpose, Rather, it would actually be harmful to her and disorient her (See Affidavit Paragraph 13). RE: AUTHORIZATION TO DO ASSORTED ACTS IN CONNECTION WITH THE ESTATE OF THE ALLEGED INCAPACITATED PERSON 50. Petitioner, in an abundance of caution, and in an effort to try to eliminate any necessity for additional petitions from time to time applies for comprehensive powers such as are typically granted to Plenary Guardians of Incapacitated Persons and their estates. 51. Petitioner is a private individual and not a professional fiduciary. 52. Petitioner may be required from time to time by certain insurance companies, banks or agencies to show proof of her appointment and authorizations to do certain acts requisite to the proper handling of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER'S estate. 53. Petitioner may need to do the following which are listed by way of example only and not as a specific set of limitations: 14 A. Complete and submit claim applications for insurance, welfaze, medical assistance, subsidies, special programs and other similar benefits. B. Disclaim an interest in property or an inheritance. C. Establish a Special Needs Trusts or similaz Trusts. D. Close out and open bank accounts or similar accounts. E. Sell any property real or personal and convert ft to cash to make such funds available to creditors or other service providers, or to make deposits into or to make additions to Trusts. F. Immediate and unlimited ability and power to use and invade principal and corpus of property of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER, held by her in her own right. G. Pay bills immediately as they come due. H. Open separate accounts if such are required by any government agencies for direct deposit or otherwise. I. File an Inventory. J. Hire tax accountants to aid with preparation of tax returns and the like which might now, previously or in the future be due. K. Hire consultants to help with making applications to medical institutions, similar facilities, or any other matters for which Petitioner is or might reasonably be in need of consultants. L. Establish a sepazate funeral fund. M. Make all other decisions and do any and all other acts of whatsoever nature as may reasonably .be necessary in the management of the estate of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER. N. To have full and unfettered access to medical, hospital, and similar records, including any and all records defined and described in the Health Insurance Portability and Accountability Act of 1996 (Public Law 104191, 110 Stat. 1936) more commonly referred to as HIPAA, and/or any similar Acts or regulations as may be passed or amended from time to time. This power shall be full and absolute and shall include the power to grant Releases for the dissemination of such information to others. This power 15 shall be exercisable despite anything to the contrary in any current privacy acts or similar acts or regulations or such as may be passed or adopted from time to time in the future. O. In addition, in general, to make all healthcare and medical treatment decisions which shall include but not be limited to the following: 1. To authorize BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER' S admission to or discharge from a medical, nursing, residential or similaz facility and to make agreements for her care and for health insurance for her care, including hospice and/or palliative care. This power shall include the power to enter into agreements for her care at the expense of her Estate; to execute any consent or admission forms required by such facility which aze consistent with this pazagraph, and enter into agreements for her caze by such facility or elsewhere during her lifetime or for such lesser period of time as her Guazdiaxts may designate. This power shall also include the power to retain nurses for her. 2. To hire and fire medical, social service and other support personnel responsible for her Gaze. 3. To take any legal action necessary to do what is hereinabove authorized and empowered. P. To do all such acts individually. WHEREFORE, your Petitioner prays your Honorable Court as follows: A. To determine that only one hearing on the issues raised by this Petition is necessary and to appoint SONDRA K. BOLLLINGER a.k.a. SONDRA KAY BOLLINGER, as Plenary Guardian. B. To decree that no bond shall be required by said Petitioner to administer the estate of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER. But that in lieu thereof annual formal accountings be submitted to the Orphans' Court for approval and confirmation. 16 C. To decree that no counsel need be appointed at this time for BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER under the circumstances of this case. D. To decree that no additional and sepazate medical testimony need be taken under the circumstances of this case. E. To decree that it is unnecessary to have service of Notice of this Petition upon BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER beyond that of the delivery to and the reading of it to BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER by an independent adult, the same to be verified by Affidavit to the Court. F. To decree that Petitioner is authorized and empowered to take all such actions as aze outlined hereinabove and to do any other acts which may be reasonably necessary to the management of the estate and to the caze of the person of BARBARA ANN BOLLLINGER a.k.a. BARBARA A. BOLLINGER. Respectfully submitted by, Chazles E. Shields, III, Esquire 6 Clouser Road Mechanicsburg, PA 17055 (717)766-0209 PA S. Ct. ID No. 38513 17 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: APPOINTMENT OF PLENARY GUARDIAN OF THE ESTATE AND N0.21-11- PERSON OF BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, AN ALLEGED INCAPACITATED PERSON VERIFICATION I, 50NDRA K. BOLLINGER a.k.a. SONDRA KAY BOLLINGER, Petitioner in the attached Petition concerning PETITION FOR THE APPOINTMENT OF PERMANENT PLENARY GUARDIAN OF THE ESTATE AND THE PERSON IN ACCORDANCE WITH 20 PA CSA SECT. 5511; FOR WAIVER OF BOND; FOR APPOINTMENT OF COUNSEL; CERTAIN NOTICE REQUIREMENTS; AND FOR AUTHORIZATION TO DO ASSORTED ACTS IN CONNECTION WITH THE ESTATE OF THE ALLEGED INCAPACITATED PERSON, hereby verify that the facts recited are true and correct to the best of my knowledge, information and belief. I make this verification subject to penalty for unsworn falsification to authorities (18 Pa. C.S.A. Section 4904). ~ I U/ Witness SONDRA K. BOLLINGE ~ndn~Kn~ px, u~:~. a.k.a. SONDRA I AY BOL GER COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: APPOINTMENT OF PLENARY GUARDIAN OF THE ESTATE AND N0.21-11- PERSON OF BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, AN ALLEGED INCAPACITATED PERSON ACCEPTANCE OF APPOINTMENT SONDRA K. BOLLINGER a.k.a. SONDRA KAY BOLLINGER, the proposed Permanent Plenary Guardian of the Person and Estate of BARBARRA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER, an alleged incapacitated person, agrees to accept said appointment and avers that: SONDRA K. BOLLINGER a.k.a. SONDRA KAY BOLLINGER is not a fiduciary of an estate in"which BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER has any interest, nor the surety of such a fiduciary, nor does she have any interest adverse to BARBARA ANN BOLLINGER a.k.a. BARBARA A. BOLLINGER. 2. The residence of the said SONDRA K. BOLLINGER a.k.a. SONDRA KAY BOLLINGER, is 700 Cedaz Ridge Lane, Mechanicsburg, PA 17055. ~d.2~. K. ~o u.~'A ~ SONDRA K. BOLLINGE ~Sov~c~ ~ ~ol~: a.k.a. SONDRA BOLL ER MONUMFNTAI. LIFE• INSURANCE COMlANY BARBARA BOLLINGER 315 LISBURN RD 1v1EC1iANICSBURG PA 17055 Product Name: The Advisors Edge Variable Annuity Cpnfirmation Date: August 29, 2011 Certificate Number: ADV300398 Annuitant: BARBARA BOLLINGER Owner. BARBARA BOLLINGER Iasae Date: January 31, 2005 Type: IRA -Traditional Transaction Activity Transaction T~ Rebalance Transfer Transaction Date: August 28, 2011 Transaction Amain: 5706.64 Number Unit Vah~eJ From Sabaccount(al of Unita Interest Rate oust VA Global Bond Portfolio -530.3942 1.332292 5-706.64 Number Unit Value/ To Subaccount(s) of Units Interest Rate Amgmt Vanguard - Equity index Portfolio 60.8722 1.201533 S73.14 Vanguard - RETf Index Portfolio 18.6454 1.763971 532.89 VA U.S. Targeted Value Portfolio 127.0062 1.190021 S1S1.14 VA U.S. Large Value Portfolio 147.6740 1.243211 5183.59 DFA - VA International Value Portfolio 108.0367 1.477091 S 159.58 DFA - VA International Small Portfolio 61.5173 1.727969 5106.30 Account Summary Number Sabaccount ~ Unita Unit Value Amouet Vanguard -Equity Index Portfolio 1,621.6101 1.201533 S1,948.42 Vanguard - RETI' Index Portfolio 473.3876 1.763971 5835.04 VA Global Bond Portfolio 12,535.3240 1.332292 516,700.?l VA U.S. Targeted Value Portfolio 1,871.1949 . , 1.190021 SZ,226.76 VA U:S. Large Value Portfolio 2,238.9202 1.243211 S2,783.45 Page 1 of 2 C-XFfi,Bit f~ MONUMENTAL LIFE' Product Name: The Advisors Edge Variable Annuity INSURANCE COMPANY Confirmation Date: August 29, 2011 Certificate Number. ADV300398 Account Summary (Continued) Number Subaccount ~ Units Unit Value Amount DFA - VA International Value Portfolio 1,130.6538 1.477091 $1,670.08 DFA - VA International Small Portfolio 966.4936 1.727969 $1,670.07 Total: $27,834.53 Agent/RepresentativelAdviwr Infer®atien TIM DECKER ISI FINANCIAL GROUP 26 A EAST ROSVtI.i.R RD LANCASTER PA 17601 Importa~ Cnsto~er Service Information Website www.monlife.wm/fmd E-mail Address 24-hour Interactive Voice Response System Cnstomer Service Hours Customer Service Phone Number customercare@aegonusa.com (800) 525-6205 Monday -Thursday 7:00 am - 5:30 pm CT Friday 7:00 am - 4:30 pm CT (800)525-6205 Address Annuity Products and Services ATTN: Custor~r Care Group 4333 Edgewood Road NE Cedar Rapids, IA 52499 Underwritten and distributed by Transamerica Capital Inc., member FINRA. Not all broker/dealer; are members of the Securities Investor Protection Corporation (SIPC). For more information ask your broker/dealer if they are a member of SIPC. Information concerning compensation arrangements for selling firms, including your selling fnm, appears in your policy prospectus. Additional information maybe available from your selling 5rm. If the transaction date reflects anon-business day, the Unit Value reflected is the next calculated Unit Value, as of the close of the next business day. Please review this confirmation carefully and report any discrepancies to us in writing within 30 days from receipt of the confirmation on which the error occurred. During your n:view, make certain that all transactions you believe have occurred are reflected on the cenfirmation. 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Q~ ~o m N ~1 Z r -C M rtt WAaEANTY DSQD ~S X15`7 A7eNdmE1.okwYpa11r0~11.-;.ewdE'.px ' T ~ RECORDED•OFFlCE OF THE CEERR OF COURTS; . RECORDER OF OEEDS 1 c~.~ CUMBERIAn~ UNn,"1 PENNSYIYAHIA ~8dt the ,~ ~7~~ dey of August in flu year niruteen hundred and fifty-eight (1958). C-Xwr~tt E ~C~11CCIl CBRIILD B. BJ936 and BEVERLY J. HIISSE, hie Trite, of the Borough of Ma ohsnioaburg, County of Cumberland and State of Pennsylvania, parties of the first part, ch'antors, AND LLCYD E. BOLLINQER and BARBARA A. BOLLIN(iE&~ his wife, of the Borough oP Mochanica=. burg, County of Cumberland and State of Pennsylvania, parties of the second Part, Brantees. ~itneglttr). ?'hat i» co»;ideration of the sum of Eight Hundred Fifty 0850.00) Dollars, i» hand paid, the receipt whereof ie hereby aoknoTOledgad, the said grantor a do hereby ~. gra»t a»d oonoey to the said yrantee6 , ~rY THAT CEFd'AIN lot of gmTmd situate in Upper Allen Tosnahip, Cumberland County, Pennsylvania, on the south Bide of the Llabum Road, designated se Lots Noe. 11 P sad 12 in the dsvelopmeat kaorm as "North %dge Farms", an aEaenddd plan of which is r•oorded in 6h"1 office oP the'Reoordsr of Deeds in and for Cumberland County f in Plan Book No.lO, page ,bounded and clesarlbsd as folloT-s, to TTits BEGINNING at ap iron pia in the caster Iiae ai said Lisburn Raid, at corner of loti; tonmsrly of John L. Ritter and rite, nox of Virginia R. Harper and Doaald A. Bar- ', per, her husband thesEae slang said lot south 1!i degrees lt9 minutes east oz» hand- . red forty-six (1~6) toot to an iron pia at the twenty (20) lost right-of-ways thenee along said right-of-wmy south 75 dsgxvee ll sdautee Twat one hundred (100) . toot to an iron pin at comer of Lot No. 10 in the aforssaid amended plan! thsnw !; ~! alaeEg saki Lot No. 10 north 71i degrees lt9 minutes rent ens hundred forty-six..(1lE6)b test to an iron pin in•ths Deafer lies of the L1s6urn 8oad aforesaidy theaos along the seater line et said Road north 75 dsgraes ll aiuutes east ona hundred (100) ~ teat to the plaee,oiHE4INNINti. 9 ~ H&ING the same prmaeias TdTioh Jlobrt D. Landls and Marjorie L. Lsadis, his arts; by flair Deed dated September 29, 1951<, and recorded in the O~ttioe.ot the Reaoxler of Deeds in-and for Caeber]aud County, Pennsylvanis.~'in Deed Hook "A", Volums 16, 'J u at Page 229, granted and aanveyed mEto Gerald B. Busse and Bsvsr~y J. Buses, his Trite, Grantors he'reiES. C k SUBJECT, NEVERTH8LES8'~.te the lolloTriag Reatriotlens and Conditions: 1. No banding sh471 be sraoted within Forty-five (1~5) feet oL the Deafer line of ; said Public Road. 2. No temporary banding, garage, trailer or atpthiag other than a substantial dwelling houes'shall bs used for dTOlling purposes. 3. No cattle or livgs.shall ever be kept on tha Lot herein ocnveysd. ~~ ~; Lt. All sewage disposal shall be by sxtana of an adequately built and maintained septic tank, until sash time ae a anEnicipal or quasi-municipal type of proper disposal shall be avaiLbL. 5. Neither this land nor ad~aaent area vaned by said Jacob 6. Ruhne and-Mary W. &aiEns, his wife, shall ever bs used as: Scrap Sard, Filling Station, Trailer Camp, Amusement Park, Tavern, or other lone of liosased place for the + BOON G~ 18 PAGE15p manutaeturs, sale or disposing of a~ manner of malt, brewed, distilled or apirltuous liquors. 6. No industrial or other baaiaeesss of any ]dnd which xould affect ir~,irionaly the appearance of the neighborhood or health thereof (ot the residents) in the,' nr!}epighbos~hood shall be canductsd thereon. ~. ~f lal ilk-~ 7 ~ „~ ' R~l,L E .. ~ : ~ ' . J~ litr.. `.'. II~:l~ '.. Amount 3_~'.•... _,, ..p~. !' -_.,_„ -~,. AGENT .,. e t. i ~ L ;. . ' ~ r t .N C~tHI(~IT E' -_-~_._d-~.,._ - - - - _~ ___ _ ____ __,__ _ .iw-- _ ~ ` Acid the said grantor a wilt G~~FRA//y t~azcant efts 9ocebec ~ctertL the property hereby conveyed. ~tt fatitneg~ ini~ercof, said grantors have hereunto set their hands and seals, the day and year jtrat above-+oritton. felts ano 0~1~16~ccc~O trt tqc pctgcncc of .. ....~~~~~,.Z"'i...T""'"~ . ..... ~G~r~ ~: .......................~.la.....l..L`~.........~.. ae ~i ..~.. lir:~.../.~lJ...UL~~.r.~G~~ ................... /DAL ....................................o............/.................................................................. aZ~ ..................................................................................................................... ae~. ~~ ._ ............................_._..._..............._....................................................... es~L ~Ccrtiftcatc of ~c~i0rnu I hereby ~fY, that the precise address of gr tee ~ ~ herein is as follo+oa: Atlorxey ytnt for Granttt ~mnmataaealtll of ~ean~laatittt ass 'ti tBaaaify ui ..._.Cumbarlamd.._.~........_._._......... .. ,; - a On thin, the ~p~ day of Avguet 1958, before me the underngned o~'icer, personalty appeared CS;BAID B. BII33& and BE4EitLT J. BU33S, his xits, k»o+on to me (or aatiajaotoriiy proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that flay emeouted the same for the purpoa4r ~'" , contained. IN WITNEB$ WHEREOF, I have hereunto set my ha and c~de~Y~::;,~~~'~'"* • -a // ~ a- ~ '~ i n i YR4 C~in/rerl~nd~~'~1r KCAL"3 •-~ Yy ConM,ittia~ Btyirst yJ7it~fA.G ~i ~ a ~ ,,W'. Giaaaaataaeattp oY ~titaag~aiitWt l refs ~A1itItJJ Df __..._.__.........__......_...___ ..................._.......,. )) On this, the day of ?9 il ,before me the undersigned officer, personalty appeared ii o '~ ktwwn to me (or aatiafaotoriiy proven) to be the person ._ .+o)wee name subscribed to the .! ~ within instrument, and acknowledged that eamauted the same for the purpose therein i• oantained. '. TN WITNEB$ 1VHEREOF, I have hereunto set my hand and seat. C?~i-~ l i3(T F sty c sslrrtt f3tair at l } ~. Qlmmtg of J On this, the day of 19 ,before me the undereipned officer, penanal/y eppsared known to me (or aalisfactorily proven) to be the person whose name subscribed to the within irrotrument, and aeknowledped that exewted the same for the purpose theroin contained, IN WITNESS WHEREOF, 1 have herounto set my hand end seal, ';; MY Commtxdon Sxplree ~lt .S.S: QID~ tlf )1 On thin, the day of 19 ,before me the undereipned officer, personally appeared known to me (or aatietectori/y pmvan) to be the person wlroee name subscribed to the within instrument; and ackrww/edped that ezeouted the same for the purpose therein contained. IN WITNESS WHEREOF, I have herounto set my hand and eeel. I. it . My CoamJalon S:plree '~ 0 ~~N18rf E ~ ___~ a; ~ A r e ii 3 ~ ~' ~ ~ ~ ~ ~ i p lj -~ ~ ~~ ~ ~~ h ~ , ~ •ti ~ ~ i ~ pq • ~ ~ I ~ ~ ~ ~ i ! ' a~~ i 3 tz :~ ~ pq ~ ~ Q h~ 1 ~ j ~~~ f~~. , I „' 1 M ~, \ 1 ~~ ., ~ ,;,; ~., ~. `'{~n~ . ~ ~ ~, o ~ I ~ I ~ ~ I ~ I ~ • ° I ~ ~ N~ 3 i t 7 fl ~AplUlgipptitlt~ Of ~emuglnlutpl ii of ._.--_____......_...._ } aa: itccorbeb in the Office for Reoordtnp of Deada, eta, in and for said County, in Deed Book No. Q Vol. ~~ ,paps ~s~' ~lt[[Cg8 nW Hand and Offidal Ssal thigjt~~day of ~s.t~ , 19.~ 4 ~~ ~~ r'x,ws~ ... ,, ~~ uT.cr_w....+a n.d-~eemc re,m--wec wECORDEB•OFFICf 'v'f ~~ ~' In,., Iadlw~ P~. CIERN OF COURTS 8 RECORDER Of 'iDEEDS Q.r.~ 30, ~/~~ t ~. 2 ~ 37 M CUMBER PENNSYLVANIA ,OFd1wW. ~..~ soak /Ij 19 Na~~~~~3 e~~ 3fADE'TSE /~-ca.- day oJ, October in the year sf our Lord one thousand Wins hundred f i f ty-n i,ne , BipTWEEN JACOB G.'KUHNS and MARY W. KUHNS, his wife, of the Township of Upper Allen, County of Cumberland and State of Penn- sylvania, Grantors , and LLOYD E. BOLLINGER and BARBARA A. BOLLINGER, his wife, of the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, Grantees E~Hjg~t F WITNESS&'TH, that in consideration of the sum of Two Hundred Fifty and 00100 0250.00 ) DoUare, tin hand paid, the receipt whtrsoj it hertby ae>gwwkdped, the said prancers do hereby pram and oonoey to the said promtsss , ALL that certain lot of ground situate in the Township of Upper Allen, County of Cumberland and State of Pennsylvania, on the south side of the Lisburn Road, being the eastern portion of Lot No. 10 in the development known as "North Ridge Farms", an amended plan of which is recorded in the office of the Recorder of Deeds in and for Cumberland County in Plan Book 3p,page 6 , bounded and described as follows, to wit: BEGINNING at a point in the center line of said Lisburn Road, at the corner of Lot No. 11 in the aforesaid plan of lots, former- ly owned by Robert D. Landis and MarJorie L. Landis, his wife, now owned by Lloyd E. Bollinger and Barbara A. Bollinger, his wife; thence along said lot south 14 degrees 49 minutes east one hundred forty-six (146) feet to an iron pin at a twenty (20) foot right- of-way; thence along said right-of-way south 75 degrees 11 minutes west twenty-five (25) feet to a point; thence along other land of Jacob G. Kuhns and Mary W. Kuhns, his wife, north 14 degrees 49 minutes west one hundred forty-six (146) feet to a point in the center line of the Lisburn Road aforesaid; thence along the center line of said road north 75 degrees 11 minutes east twenty-five {25) feet to a point, the place of BEGINNING. BEING a part of the same premises which John H. Hess, Executor, devisee and sole heir-at-law of Enos H. Hess, deceased, Joined by his wi.f¢, Helen B. Hess, by deed dated April 11, 1944 and recorded in the Aecorder~s Office in and for Cumberland County in Deed Book "T", Volume 12, Page 560, granted and conveyed unto Jacob G. Kuhns and Mary W. Kuhns, his wife, the grantors herein. This conveyance is made subJect, however, to the following reservations and restrictions: 1. No building shall be er~c~,ed within forty-five {45) feet of the center line of said publii;'`i~i+ad. 2. No temporary building, garage, trailer or any thing other than a substantial dwelling house shall be used for dwelling purpos>:s 3. No cattle or hogs shall ever be kept upon these lots. 4. All sewage disposal shall be by means of adequately built and maintained septic tanks, until such time as a municipal or quasi municipal type of proper disposal shall'be available. 5. Neither~tliis land nor adjacent land now owned by the grantors their heirs or assigns, shall ever be used as: scrap yard, filling station, trailer camp, amusement park, tavern or other forms of licensed place for the manufacture, sale, or dispensing in any manner of malt, brewed, distilled spirituous liquors. 6. No industrial or other business of any kind which would injuriously hurt the appearance of the neighborhood or health of the residents of the neighborhood is to be conducted thereon. AND the said prantoys , do the Property hereby eanveyed. CPF~R lil~?i Ts"=.~!ii',' $~l1 ~iS~F.+CT ~eA~ ~s„s, ~ : r, : ~;ra~rfv rax 0 pmotant$..~._5 _.__.....Calo../~3.e.~.9 .W......--des ~,r.. IGGGNT BOON nJ to rFUt~.,uz hereby covenant that they will WARRANT GENERALLY ! IN WITNESS WHEREOF, eaial grantors have hereunto act the 1 r hands and teals ~ ~ the day and year first above written. ! li~itq, ltakl tttt ~tttbttrn to tyt ~arrna tt p ._ -.-. tsu. '~ __...t ~i.t.or ...7.2a.......?.~„adR...__ ...•~,_...~~a+a/ _.__._._...... sa.r. ! ..............................._.................__...._..._..___..._. tam. T ,/ ;~~ I CERTIFICATE OF RESIDENCE I ' I do hereby certify that the precise residence of the within named grantees is 513 W. Main Str t, chanicsb rg, Pennsylvania. i A brne for G ees i i i I 1 i 1 State of Pennsylvania 1 sa. I Cou»btrof Cumberland ~ I On this, the /~'{~, dsy of ~ October , I959 , before me, i I the underaiyned o,~iear, persoxally appeared Jacob G. Kuhns' and Mary"W. Kuhns; his wife, ' known to me (or eatiafaotoryly proven) to be the persons whore names are aubeoriLed to the with- ; in instrument, and aeknowkdyad that they executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and ofltoiai seal. r .... • ro LXta.~.z~K~c..~?1..~.l~sSLL.tiY...._. ......... dsv. y, ,° ~~~..~. ....__.. .... i ~ ' ~ a _f ,r ~. Q~~ ~ ~ ~ Y !. ~ !, Ay ~ I.J i '' ~' ~ Y p '~+ e '' State of County of On Chia, the .:..•Nil'CARY..P.iiS1.LSD[ ...........::......._.....:.._...----.:......._._.. My Commission Expiros February 16,1961 q'{tle Of O,oker. MceieniaburQ, Pa. CumperUnd County da. day o1 , 18 , belore me, the u+sderstipned offccer, peraanally appeared known to me (or eatiafactoriLy proven) to be the person whose name subscribed to the with- I in instrument, and aoknowkdped that axaeuted same for the purposes therein oontained. IN WITNESS WHEREOF, I hereunto ass my hand and o8toial seal. ! __. _.._ ..................._............_.....-----.....--- ts~er. i Tick of O~eer. C-XHi/3-rF [. t do hereby osrtify that. the preoiae r~aidenoe and oomptete goat o$ke address o/ the ~o{th{n named prantsa is 18 Attorney for ._._._. .._.... A G, f'. W me w ~{1:NWiG1~' ~ti. h. yy ~'~ ~ 1.1 ~~ T f((,[~,[~" N~' _j CO ' .iT.i A. D. 18.~,in the Raoordernna o8tas of the raid County, in Deed Book /1~ ~ VoL -°----_..t!.~.__., Pape ..-w4-~L~~... G{ven under my hand and the real 01 the aa{d ofltos, the data above written. ~' ~~x~+~ v;~r ~ ~~ .9+ ~~ ~I ~'" -G z .~.y 3+ a `"`=~- ~S~ ? •O COMatONWEALTH OF PENNSYLVA A County of . ... .... ......_.-.--.....~aa. g~ ~~ ~3 ti ~ x x a yM~ W ~ to F ,a O o~ .~ ~~ ~~ ~~ ~~ ~~ ~~ RECORDED on thia......s3 ~~~.._...._... day of 4 ~ Exl+iQiT F TREASURER JD PARKWAY ~ orscgrnca SSFiO- 4EODf281 I~AAP NO: ,zao•2t12~z6 316 W USBURN ROAD ACRES. .620 DEED OO10fN 0015 LOT 11 PART OF f0 FvrideMial(Urtderl0 Acres) RESIDENTIAL T~~PAYF~~d BO1JJlR3ER, U.QYD E 516 WFSr:USBURN AOAD MEOHIWICSBURO PA 17065.6528, TAX PAYER COPY BIII No: 563 Control No' 047.Or16261 evrr aue wnerrcm noN GSrera IaXaa. .. t3NIUate:: 7 12011 A36easW Laffi Improvaeent. ' 17intral Totb.l Val s 61 200 114.00 0 176.600 stead &col ioar 4,964- MEC1µNfC884JRA AgEA &0. IlteeoeM _ Hates- 12..1,6500 12.16800 12.16800 ~ y0 - ecHOOS a a 41.57 ~ ~ t ...121..24- TAX AMOUNT DUE -- 51,e7a:oz Ssa~xoa5 s~,m;9o If Paid On or After 7/01/2011 - /01/2011 1.1 01/2011 It P id o Before B 31 20 -0 31 20 1 1231 2411 0Ef1,CE WILL ~ CL088Dt-01{ PART OF fE6, 2012 6JUNE ZO'12. CONSULT UPPERIkLLENiWP.OAG fDR tliETA1LS OfRiCE AT ta013E7TYSHURG PUCE PHONE 717 766.4238 o.arx~s JSa-~ 41 r coN°vEDS~°RU P RA111.nuE~w~oRGoR g~'~-5 a,~q,aa- CALL 717-76Cr423e FOR EVENING ~ I HOURS OfFlCE:100 GETTKSBt1pG PIKE NQTICE Of PROPERTY TAX REt)EF Your enclosed tax bill tndudee a tax reduction for your homestead and/or farmstead property.. Aean elipib~ homestead arxi/or farmstead property owner, you have received tax [elief through a i eatead and/or famistaad excluabn whbh fins been. provided under the Pennsylvania Taxpayer Relief Act, a law Passed by the Pennsylvania General Assembly designed to reduce your property taxes. ....•.. ,.. .. - ... a a • .. v,.ENN18 2ER9E, TAX COLLECTOR OfBa Htxxa: WED, THUR3 9fi#i411/UiA 312-Z Sgt No: 65Z 279 CUMBERLAND PARIMVAY4CM9 EVENING HOURS CONSULT BItl Date: 911/11 MECHANIGSBURG; PA 17056 UPPERALLEN:ORG 1o111r01 Ne;g20(µ2g~ ~: (717) 7613.4298 OFfryCE AT 100 GET7YSBURO PIKE :AP NO: 42x0-2112.826 PHONE pf7J78t3.1238 Dew: 315 N/ USBURN ROAD flora ,620' Dead: 00"18Q-00157 LOT 11 PART OF 10 ~~~~ Un ~10ACres) _31.00 FEE,FO'R ADDITIONAL'RECEIPTS Tar Pfyer: SOLLINGER, LLOYD E 315 W U38URN RD MECHANICSBURO, PA 17058.6828 Assessed Vak,e: Lend: M;200 hAproi~rtlant:114,800 Toth 176;001) Dtecolstt face. petgRy OUfV7Y RIE 4. :OS 5394.79 Z8B8.2`3 COUNTY LIB .14900, 524.87 .17 527... MUNIC'. fL .. 1.2ta180 5227:98 5250.10 MUN HRE HYDRT .08525 p 511.25 511.48 512.83 TAX:AMQUNTDUE If Date Gt Payment k On 5lS88i78 3H/11 4!30!11 56it.7s 511117 EIHU 0/d6/11 5689.86 7M 111 or Liter DENNIS ZERBE,. TAX COLLECTOR 275 CUMBERLAND PARKWAY 11325 MECHANICS$URG, PA 7~T055 TEMP -RETURN SERVICE REQUESTED OFFICIAL ~OUiJTY ~.'U~IICIPAL TAX BILL. Illrl'r~lllrl~~r'rirlll'~IrP"~Ld1lRllhr~llllrl~y.rld.'llr e711o.3758t g 80LLINGER, LLOYD E f 315 W LI`SBURN RD MECHANICSBURG, PA 17D55-5826 a 4 9~ S [')(N I (~ r T G a7tto4:•s7sat