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HomeMy WebLinkAbout04-03-12 (2)., r 1505610140 REV-1500 ~` ~°'-'°' PA Department of Revenue a~~icl~l. ~~~e~~r~~Y Bureau of Individual Taxes INHERITANCE TAX RETURN ~!~ Y 1 ~ ~~iu ~ ~ PO BOX 280601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 8 4 1 2 4 9 1 3 0 9 2 2 2 0 1 1 1 1 1 6 1 9 2 2 Decedents Last Name Suffix Decedent's First Name MI Mac GREGOR DENI SE B (If Appiigbie) Enter Surviving Spouse's Infgrmation Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS - FILL IN APPROPRUTE OVALS BELOW ® 1.Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death 4. Limited Estate ~ 4a. Future Interest Compromise (date of prior to 12-13-82) ~ , 5. Federal Estate Tax Return Required ® t3. Decedent Died Testate ~ death after 12-12-82) 7. Decedent Maintained a Living Trust _~ 8. Total Number of Safe Deposft Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch: O) CORRESPONDENT - TNIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX MIFORMAT[ON SHOULD BE DatECTED T0: Name Daytime Telephone Number R MARK T HOM AS E S Q U I R E 7 1 7 7 9 6 2 1 0 0 .~.,~ REGIS l.LS U NLY ° First line of address 3s. '~ ~ ~ , , .. 1 01 ~ " S MA RKE T STREET =- Second line of address ~.~ ~~ ~ - rt ~ ~ r'i " . ~ ~ C' Or Poat Office ~ State ZIP Code DATE FILED ~" "~ M E C H A N I C S B U R G P A 1 7 0 5 5 ComespondertCs e-mail address: rmarkthornasl'cDgmail.com Under perraklee of perjury, I dedare that I have eucunined this return, indudinp aa:ompanyinp schedubs and atatementa, and to the best of my knowNdye and belief, q la time, and oarnplebe. Dedaradon of preparer other than the personal representathre b based on all infomratlon of vvirich preperer has any krroNASdpe. N R NSIBLE FILING RETURN PA 17055 .,~~~ -- 101 S. MARKET STREET , MECHANICSBURG PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 ti i 1505610240 REV-1500 EX D«~a.nrsN~ne: DENISE B. MacGREGOR Decederrt's Social Securely Number 1 8 4 1 2 4 9 1 3 RECAPITULATION 1. Real Estate (Schedule A) ................... ........................ 1. 1 1 9 0 1 0. 7 5 2. Stocks and Bonds (Schedule B) ...................................... 2. • 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) .......................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 1 5 4 0 1 , $ 1 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 2 2' , 3 2 7. Inter: Vivos Transfers & MisceNaneous -Probate Property (Schedule G) ~ S 1 8 eparate Billing Requested ....... 7. 8 9 1 , 1 3 8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 1 5 3 3 2 6. 0 1 9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9. 7 3 5 $ . $ ~ 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............. 10. 5 7 9 . 4 1 11. Total Deductions (total Lines 9 and 10) ............................... 11. 7 9 3 8 . 2 2 12. Net Value of Estate (Line 8 minus Line 11) ............................ 12. 1 4 5 3 8 7 . 7 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an elec~fon to tax has not been made (Schedule J) ...................... 13. 0 . 0 Q 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... 14. 1 4 5 3 $ 7 . 7 9 TAX CALCULATION - 8EE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a>(1.2) x 0. 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate X .oa5 1 4 5 3 8 7. 7 9 1s. 6 5 4 2. 4 5 17. Amount of Line 14 taxable at s~lir~ rate X .12 0. 0 0 17. 0. Q Q 18. Amount of Line 14 taxable at collateral rate X .15 0. 0 0 18. 0. 0 0 19. TAX DUE ....... ............................................ 19. 20. FILL IN THE OVAL IF YOU ARE REQUEBTING A REFUND OF AN OVERPAYMENT Side 2 L 1505610240 654.2.45 O 1505610240 REV 1500 EX Pie 9 FIN NumbK decedent's Compiets Address: o 0 ciTY STATE Ztp Tax 'Payments and Credits: 1 • Tax Due-(Rage 2, Line 19) 2. Credita~ayrrlerl~ (1) 6.542,45 A. Prigr Rayrnents 6.000.00 B. Discount 31.5 78 3. Interest Total Credits (A + g) (2) 6,315.78 4. ff Une 2 is gr~er than Line 1 +Line 3, enter the difference. This is the OVERPAYMENT. (3) FNI M oval on Page 2, Line 20 b request a refund. (4) 0.00 5. ff Une 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 226.67 Make check payable to: REGISTER OF WILLS, AGENT ~,. ~,~ _ . r F~,; ,,,~ _~_. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did deoaderlt make a transfer and: Y~ ~ a. retain the use or income ~ the property transferred : .................. .................................................... b. main the right to designate who'shall use the property transferred or its income; ...................... c. ret~n a reversionary interest; or ..................................................................... d. receive the promise for Life of eittrer payments, benefits or qre? .................. 2. If dear ooarmad after December 12,.1982, did decedent transfer property within one year of death without reoetving adequate consideration? ................................... .................................................... 3.. Did decedent own an "in trust for" or able-u -death bank acx~unt or securi at his or her death? PaY pop ty ......... 4. Did decedent own an irr~vidual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ..................................................... ........................... ® ^ .................. IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R A5 PART OF THE RETURN. ' ~ - ~. ~k;F ~ ~~~i ..~hc 9 _- For dates ~ death on ~ after July 1,1.994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the survivin spouse is 3 percent (72 P.S. §9918 (aj (1.1 j (ij). For dates of death on or after Jan.1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9415 (a) (1.1) (iijj). The status does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disdosure of assets and filing a tax return are stiff applicable even if the surviving spouse is the only benefiaary. For dates of death on or after July 1, 2000: • The tax rate imposed vn the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a s~parent of the child is 0 percent [72 P.S. §9118(a)(1.2)1. • The tax rah imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent, except as poked in 72 P.S. §9146(1.21(72 P.S. §9116(a)(1)]. • The tax rake imposed on ~e net value of transfers to or for the use of the decedent's siblings is 12 percent (72 P.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. REV-1602 ~(+ (01-10) a Pennsylvania SCHEDULE A DEP/1RTMENT OF REVENUE ~~~,~ T,~ ~~ REAL ESTATE rs:swENr oECFOErrr ur: DENISE B. MacGREGOR 0 0 AN rest Properly owned solely or as a tenant in common must be reported at hair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wining sell, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jol~wned with rlgM of survivorship must be dlsclosad on Sctfedule F. Attach a Dopy of the settlement sheet 'rf the property has been sold. ITEM Indude a copy of the deed showing decsrdent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 RESIDENTIAL DWELLING, 790 Green Acre St. Mechanicsburg, PA 17055 119,010.75 (Provide an explanation for FMV) This property appraised at $130,000.00, but was sold to one of the named heirs for $120,000.00. The estate was able to accomplish this transaction without the need of a realtor, and more importantly, a realtor's commission, which typically would have been a deduction. The property also required substantial upgrades due to the age of the house. the heirs purchased ttte materials at their owrr expense and performed greater than 100 hours of labor which also resulted in savings to the estate which othenivise would have been a deduction if the propertyhad been sold to a third party. The estate paid $989.25 in closing costs. Therefore, net gain to the estate was $119,010.75. TOTAL (Also enter on Line 1, Rec~itulation.) ~ ; If more space is needed, use additia~al shits of paper of the same size. REV-1508 EX + (6-95) M / SCHEDULE E COMMONWEALTH OF PENNSYLVANW CASH, BANK DEPOSITS, ~ MISC. ~' e~ ro~~ oE~RN PERSONAL PROPERTY ' FcTe~rc ru FILE NUMBER DENISE B. MacGREGOR 0 0 Inriude Ure proceeds of I~patlon and the date the proceeds were received by the estate. at t~ lointly~ovNrsd wMlr ht of survivorship must be dbclosed on Schedule F. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1. MEMBERS 1ST FEDERAL CREDIT UNION Checking ACCT 82091-11 7349.39 2 MEMBERS 1ST FEDERAL CREDIT UNION Money Market ACCT 82091-05 5 310.57 3 MEMBERS 1ST FEDERAL CREDIT UNION Reg Savings ACCT 82091-00 1 081.92 4 CASH 5 DIRECT TV REFUND 6, PNC SAFE DEPOSIT BOX REFUND 7 PERSONAL PROPERTY APPRAISAL 8 Refund from Donegal Insurance (Homeowners) 9 Keystone Oil Refund 10 IRS Refund TOTAL (Also enter on line 5, Recapitulation) i 15 401.81 (If mae space is needed, insert adddronal sheets of the same size) REV-1509 EX+ (01-10) Pennsylvania SCHEDULE F oePARTr~NTOFRr~NUe JOINTLY-OWNED PROPERTY nrHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE ~: FILE NUMBER: DENISE B. MacGREGOR 0 0 Han asset was mule Jotrltly owned within one year of the decedent's date of death, tt must be reported on Schedule G. SIIRVMNG .K)INT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. s. c. 13 E. KELLER STREET MECHANICSBURG, PA 17055 JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY IIJCIUDE NAME OF FINAMCIAI. INSTITUTION AND BM1K ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET 76 OF DECEDENTS INTEREST DATE OF DEATH VALUE OF DECEDENTS INTERESI 1. A. 11/18/8 MEMBERS 1ST FEDERAL CREDIT UNION 44.63 50. 22 32 ACCT 82090-00 $ O BALANCE -INTEREST . TOTAL (Also enter on Une 6, Recapitulation) I S 22 32 H more space b needed, use addfional sheets of paper ~ the same size. REV-1510 EX+ (08.06) . Pennsylvania DEPARTMENT ~ REVENUE iNFtERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON•PR~BATE PROPERTY ESTATE 17F FILE NUMBER DENISE B. MacGREGOR 0 0 This schedule must be completed and fileed if Uie answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY wauoETNENMEOF7FIETRAI,T-+ES:RELATIONSHPTOOH~iTAND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE NUMBER na:DAiEOFr ATTACHACOPYOFTHEO~FORt~AL~UTE VALUE OFASSET INTEREST ~rwtic~etq VALUE 1. MORGAN STANLEYJSMITHBARWEY IRA ROLLOVER 18,891.13 100.00 18,891.13 ACCT 724-65484-11-409 TOTAL (Also ertler on Line 7, Rec~itlllation) j 18 891 13 H more apace is needed, use additio ~o(pap~ ~ nIe sine size. REV-1511 EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS `°~~" "`~ FILE NUMBER DENISE B. MacGREGOR 0 0 Decedent's debts must be reported on schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1: AVER CREMATION SERVICES OF PENNSYLVANIA, INC. 433.24 B. ADMINISTRATIVE COSTS: 1 • Personal Representative Commissions: Name(s) of Personal Representatlve(s) Street Address Cdy State ZtP Year(s) Commission Paid: 2. Atmrrley Fees: R. MARK THOMAS, ESQUIRE 3. Family FxempUon: (If decedenCs address is not the same as daimanYs, attach explanatbn.) Claimant Sheet Address Oily State ZIP Relatanship of Claimant to Decederrt 4• Probate Fees: 5. Acxour~M Fees: 6. Tax Return Preparer Fees: 7. CHUCK BRICKER, AUCTIONEER 8 CENTRAL PENN APPRAISALS 9 MISC ADMIN EXPENSES 10 UTILITIES PPL, WATER,SEWER 11 KEYSTONE OIL-HOUSE 12 DONEGAL HOME INSURANCE 10/15-3/8/12 13 United Water of PA 14 PPBL 15 Sewer/Trash Boro of Mechanicsburg 4,600.00 338.50 100.00 375.00 13.95 89.76 666.00 473.00 55.00 81.36 133.00 -- TOTAL (Also enter on Line 9, Recapitulation) S ~ z~a s:, If more space is needed, use additlwlal sheets of paper of the same size. yREV-1512,EX+ (12-OS) Pennsylvania SCHEDULE orrv~Rn~rrroFReveNUe DEBTS OF DECEDENT, "'~'~"''~ rnx ~T~" MORTGAGE LIABILITIES ~ LIENS ras~Nr oecEOeNr ~ , DENISE B. MacGREGOR 0 0 Report debts Incurred by the decedent prbr to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALOUFEDAETADHTE 1. PP&L ELECTRIC 8/4-9/2 70.91 2 PPBL 9/2-10/5 31.67 3 UNITED WATER 9/1-10/3 16.27 4 HOME MAINTENANCE -WATER 9 99 5 PATRIOT NEWSPAPER 1.05 6 MEMBERS 1ST CREDIT CARD PAYMENT - 4672090000129916 CLOSING 9/26 333.60 7 Capital Cardiovascular Associates 115.92 TOTAL (Also enter on Line 10, Recapitulation) I S 579 41 If more space b nestled, insert additlonal sheets of the same size. -~ .. REV-1513 EX+ (01-10) r Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES esTArE oF: FILE NUMBER: DENISE S. MacGREGOR 0 0 ' NUMBER .NAME AND ADDRESS OF PERSON $ RECEIVING PROPERTY l) RELATIONSHIP TO DECEDENT Do Not LIst~Tru steels) AMOUNT OR SHARE OF ESTATE I. TAXABLE DISTRIBUTIONS pnc~de 0~pht I distributlons and transhxs under Sec. 91f6 (a (1.2).j 1. CATHY J. LAMASON Lineal 33 34 700 Genevieve Drive . Mechanicsburg, PA 17055 2. ROBERT B. MecGREGOR Lineal 516 Park Hills Drive 33.33 Mechanicsburg, PA 17055 3. THOMAS R. MacGREGOR Lineal 13 E. Keller Street 33.33 Mechanicsburg, PA 17055 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. IJOFI-TAX~IBLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION.TO TAXIS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1 TOTAL aF PART II =ENTER TOTAL`NON=TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. s ff mae space is needed, use additions sheets of paper of the sane size. ,. - - - - „ .~ -: BUREAU OF INDIVIDUAL TAXES DEPT. 280801 - HARRISBURG, PA 17128-0801 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015373 MACGREGOR ROBERT B -~ 516 PARK HILLS DR MECHANICSBURG, PA 17055 .. ACN ASSESSMENT AMOUNT > CONTROL NUMBER .______ fold ESTATE INFORMATION: SSN: 184-12-4913 FILE NUMBER: 2111-1025 DECEDENT NAME: IVIACGREGOR DENISE B DATE OF PAYMENT: 12/21 /2011 POSTMARK DATE: 12/21 /201 1 COUNTY: CUMBERLAND DATE OF DEATH: 09/22/201 1 101 ~ $ 6, 000.00 TOTAL AMOUNT PAID: 56,000.00 REMARKS: RECEIPT TO ATTY CHECK# 1 15 ~ _ .INITIALS: HEA sEA~ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER y SUMMARY OF SALIENT FEATURES ~~'~E.." ~..' _ _ Subject Adtlrese 709 Green Ayes St tepaf DBSCrlptlal Deed Book Clty AAecFOrg County Cunberlend Sm18 PA 21p Code 17055 Ceneea Tract 0115.00 trtep Reierdice METFRO 2846 f-9 sales like S Dele er Sab Bortewer WA LerdegCperlt PRNATE Sbe(SquueFeeg 1,232 Poce Per Sgvan; FOOL = LDCatlon average Ape 61 years Condldon average Tataf Rooms 5 Bedrooms 3 B~hs 1 Apptalser Robed K. Bar¢twfl D~ of Apptalsad VeNie 10/29!2011 Opinbn of Vak~e 2 t30,OO0 . ., - .. APPiAISAL ~° Personal Property of b ~u ~s E ~r~~~ r.-a~ ti ~ ~, 7oq GCE ~N ACRES S~ MF~Nl39, ~A, Ap~aised by Chuck E. Bricker. AU094-L Date 4 =~,. _ - ~ ITEM VALUE ITEM ~ AWE cr c M ~ E ~ ~ s~T oo ~ , : ~~ ~ . - ~~ LE eo E t~0 Fof2t~t tc ~ a ~ - ~ ~ ~~ . • W L(h ~D.o~ , GUi{~LL UIU[ ~ /D,Otl C RN~~ S Nds D G-- Pte- ,eo ~- R.E~d ~ d s I n c~-,~C- .~a,a~ J`~t c c(~a w vE ~ .ov NI P(.~ ~~ S t ~ s ~-~ Pr- oa - pINE Si Nd O,ao LE ~ ~-L Cd L.L~ , ~ ~ Wa~~~ c: t~s 8 00 ~ c a E ctt ~ s - ~ ,x- , ~ G PLC ,c3E~P R.M. ~ ~ OAa JISS ~ L- M 5 ~~ C E RouLER a, , ~TIJ 2-x,00 3 Rw{Z G3 URE ~ ~ , SST D i SN FS - -LA Ss h~ s . Q c SsT Pal's- t' s i3T~us~t,s $~,~o ~3~ ~ ~- ~ P is L ~- Gu. ~~ ~ ~ -L q-3~ - 214 Senate Ave 7th Floor Camp Hill, PA 17011. direct 717 730 1800 fax 717 730 1894 toll &ee 800 237 1700 October 20, 2011 R. Mark Thomas Attorney At Law 101 South Market Street Mechanicsburg, PA 17055-3851 Re: Estate of Denise B. MacGregor Dear Attorney Thomas: S~~l ~. ~- MorganStanley SmithBarney At the time of her death on September 22, 2011, Denise B. MacGregor maintained one IltA account at the Camp Hill Office of Morgan Stanley Smith Barney. The following is pertinent information regarding that account: Account number/type: 724-65484-11-409 -IRA Rollover Account name: Denise B. MacGregor.. Date opened: January 23, 1993 Value of account as of September 22, 2011: $18,891.13 (based on closing price) Beneficiaries: Primary -Cathy Lamason - No relationship listed - 34% "Primary - Robert B. MacGregor- No relationship listed - 33% Primary -Thomas R. MacGregor - No relationship listed - 33% The account contained one security. The following is information on that security: Security - Symbol Price 09-22-11 # of shares Legg Mason CBA Equity SOPAX $11.86 1,595.795 Income Builder Fund Class A On the date of death, there was also a debit cash balance of -$35.00 which was cleared after death through the receipt of a dividend on the mutual fund. We have the social security numbers and dates of birth for all three beneficiaries but we will need addresses and employment information to open conduit accounts for them Please call me at 717-780-1735 with any questions. Sincerely, ~2~~ Bill Barton Client Service Associate for Robert A. Wilson Second VicePresident -Wealth Management Financial Advisor Financial Planning Specialist Till: i~JFCy1tMl+Tl'C1N ~i'fRflr~F HAS BEEN 08TAtt~D FROM 5C-ItRCES WE BfLfEVE TO BE RELIABLE, 8UT DCr NO'T GUAI~ANTEI: ITS `ACCURACY CNi COMpLfTENE55. Morgan Stanlry Smith Bamry I.LC. Member SIPC. AVER CREMATION SBRVICES 4100 Jonestown (toad ~ Harrisburg, PA 17109 • 1-800-720-8221 • Fax 717-541-9943 • Shawn E. Carper, Supervisor ~~,~Iu.Q.Q.. ~ f ~- Sep 22, 2011 Mr. Robert MacGregor 516 Park Hill. Drive Mechanicsburg, PA Denise Barley MacGregor - Deceased SPECIAL CHARGES X Direct Cremation $1,595.00 Nationwide Guarantee Program Worldwide Travel Protection TOTAL SPECIAL CHARGES PROFESSIONAL SERVICES X Services of Funeral Director & Staff Included Other Preparation of the Body Facilities & Staff for Memorial Service Staff & Equipment for Memorial Service Witnessing the Cremation Private Family Viewing Packaging/Forwarding of Cremated Remains Personal Delivery of Cremated Remains Scattering of Cremated Remains TOTAL PROFESSIONAL SERVICES AUTOMOTIVE EQUIPMENT X Removal Vehicle Included Lead Car/Clergy Car Family Car Service Vehicle TOTAL AUTOMOTIVE EQUIPMENT 111033 LL5 $1,595.00 $0.00 $0..00 d ,~- -• MERCHANDISE Register Book Memorial Cards Thank You .Cards X Remembrance Package $120.00 Alternative Container X Ivory Plastic Urn Burial Vault Veterans Flag Case Grave/Memorial Marker TOTAL MERCHANDISE CASH ADVANCED ITEMS .:~: Grave Opening Cemetery Equipment X Harrisburg Patriot X Carlisle 5entinal Vault Service Charge Clergy Church/Organist/Soloist Flowers X Crematory .Charge X Cumberland County Coroner Approval Fee X 10 Certified Copies of Death Certificate TOTAL CASH ADVANCED ITEMS SUMMARY OF CHARGES Special Charges $1,595.00 Professional Services $0.00 Automotive Equipment $0..00 Merchandise $1b5.00 Cash Advanced Items $374.24 SUB TOTAL ~ $2,124.24 CREDITS -$356.00 _ AMOUNT PREPAID Date Jan 15, 2007 -$1,335.00 TOTAL $433.24 AMOUNT PAID Date Sep 27, 2011 -$433.24 BALANCE DUE $0.00 $120.00 $35.00 $210.11 $79.13 Included $25.00 $60.00 $155.00 $374.24 `~. ~` THIS STATEMENT MAY NOT REFLECT ALL NEWSPAPER CHARGES .~ - ... RECEIPT FOR PAYMENT - ~ - GLENDA FARNER STRASBAUGH Receipt Date: 9/29/2011 Cumberland County - Register Of Wills Receipt Time: 09:11:43 One Courthouse Sqquuare Receipt No.: 1067150 .Carlisle, PA 17Q13 MACGREGOR DENISE B Estate. File No.: 2011-01025 --- Paid By Remarks: R MARK THOMAS DB ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENPsRAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 20.00 CUMBERLAND COUNTY G~RAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE ----------5_00 CUMBERLAND COUNTY GENERAL FUN -- Check## 3215 Total Received.. .,,,,, 323 .50 1~''~ .5 .~ ~o ~. n ~ ~®2x11 4~" rJE s ~ ~ ~t~EsoM2 . ~, a dl ~ / ~~ ~_ ~, • 3409 MADE IN U.S.A. __ _ _ v. .._. ... _ - ---. :.~.4.w,,. - INVOICE .~ Central Pam Appr~ls, e1C ' rR`''d:~ '~~ 1 ?p's:, 24 West I~in Street GREEtJACRES709. Shiremanstown, PA 17011 - Iersles Wle: 11107/2011 1Negtonttlmabx:717-737600 Fs=pumber; 717-737-9123 DssDsIK 'd. , '~.~ T0: MersdOrdrf: Laslertw f: Robert tulecGregor gMdFMf: RiA/YA Cps t. tileh~fontor~: GREENACRES709 E-11eR OmrNFMfantorae TMphopsMenbr: r~tereeer FwNnlTaxa 25-1733269 AlenteY IMrrrber ~~ ~ RESIDENTUII. APPRAISAL SUIYONARY REPORT .. ~ ,_ Lender. PRNATE gknC PRNATE PltlCllgU/BOAOtISG WA PrspMty Addtaee: 709 Green Aries St l1Aedbrrg ~~~ ~~nd State: PA IIp: 17055 LapalDaaaiptlotl: Deed t9aok RR Y ~ ' ~ ~ ~ _x 1~: ~Itl `~'i~a _ 1~ 709 Green Acxas St, tNechardcsbra~g 375.00 SUBTOTAL. :. .375.00 njt ' r ~ Chedtf: pate: per; Chadtf: pate: ; Chedrf: pate: t); SUBTOTAL TOTi4L DUE $ s75.oo forth NNSD -'WNTOTAL• appra(sal software by a la mode, lnc. - t-80o-AtAMODE ~- S~ ~/0 9 _ - - - -,_ _ ~. _ -..T ~~~~~ NEWT Order Branch C.oMlrenYtloaa r 7 1 3 7 8 3 7 2 4 0 __- - - -- R~qr. 23738?24 +k 2184341388 - [etlmwdOrMsTOW: 113.96.. , OreuDelrC - 09~t9M1 aaa U Product Oeeerlptkn SPxialty Gray' Skg1UVVellel Yp ESTATE OF DENISE 8 MACGREGOR PO BOX 388 MECNANISBURCi, PA 17055 SMpgna MNhod: Standard Delivery -14 pays - ..- ~,,. ^ ahiPPtnp Addrar. ESTATE OF DENISE B MACGREGOR "-~ --~~~~~__.~__.._~_..._ ~ e___~ PO BOX 388 MECHANiSBURG, PA 77055 GF~ OfCerFr!f'~ Ms a:tndx n, 1 ~ 201 t Celuas ErtsrGrlse Ope2eicrs, ine Hr rigt:'s rc~ervsa. eiaM! derven:7.2-15 Saardi forAndhsrAeegmt Rscad Print This Screen Search Crmsnt Axoura Record https://orderpro.deluxe.com/webapp/blueiceberg/deluxeport/DLXportServlet ___-__ _ _ __ ~. w,. ~,~ ~.~ , ~, a o r. ;_,._ .- ... ,._ -. . F - ' ;~, - , ;~ ~ ~.~# ~ ~~ r. _ .:71 -564-3662 <- USAGE.HISTORY Monthly usage in Thousands of Gallons a 3 z 0 as w. ae ~ w . M.r M ws ~. x. so oa pw Next meter reading date: on or about 12/01 /2011 SERVICE TO: H 8 MRS MACGREGOR Billing Date: 11 /02/11 Account Number: OOZ07887720000 _ .~:.. _ Previous Balance ~ $16.27 Payments Through 11/02/1.1 $0.00 Balance Forward - PAST DUE $16.27 Current Charges Due 11/22/2011. 510.38 Past Due Balanre may be subject to late charges, coAectfon and/or terminotlon. •PAY BY 11 /28/2011 TO AVOID A 1.5% lAT'E PAYMENT CHARGE SERVICE ADDRESS: T09 GREENACRES ST MECHANICSBURG PA 70084038 10/03/1T 11/01/11 29 0039 0039 0 MGL ACTUAL W07 c~uivacEn-r ro o Ga~tows SERVICE CHARGES $10.38 TOTAL CURRENT CHARGES $10.38 SEE REVERS RTANT ACCOUNT INFORMATION __ z ~ .... Yourconsum on 9s based on an actual reading of~ yyour water meter. YOUR ACCOUNT NUMBER HAS CHANGED.- THANK YOU FOR YOUR PATIENCE WHILE WE UPGRADE OUR COMPUTER SYSTEM TO SERVE YOU BETTER. PLEASE READ TFiE ENCLOSED INSERT FOR MORE INFORMATION. Save a stamp and go paperless today! log onto www.unitedwater.com or call Customer Service to find out more information and to enroll in eBlTling. _ The Pennsylvania Public Ufility Commission (PUC) has approved a rate increase for United Water Pennsylvania customers thous related primarily to water system improvements. The typical residential customer using an overage of 4,000 gaDons of uuater per month will see an average TI increase of $1.14 per month or less than 4 cents per day. The newly approved rates can be viewed at unitedwater.com. ErKer your zip code to access local Pennsylvania pages and view the currently effective tanff. Rate information can also be obtained by calling Customer _ Service at the numberHsted above. Approximate state tax included on this bill $0.41. ~ ~ ~ .. ,...., OI CI1GC (1CI'API.i 4CDF nun DRI IDIJ'RdC Cnrr/1W ~~ononnu wrru VM ID nnvMCUr IN t1AC orn tOU Cu\sl ADC DOMnNM r©3 ~,~, ~~ j _ #~/d $" a~ Supplier Contact itrtfo. Billing For questions regarding the generation and transmission portions of this bill, please contact your supplier at: ® PP1. i~dric-iJtilkks Phone: Customer Services ®1-800.342-5775 827 Hausman Rd (1-800-DIAL-PPLj Allentown, PA 18104-9392 PP~lectrk.com _Manage Your Account Vtsit pplefectrk.com for self-service options including: - . -View your bill, paymerrt, and usage history. -Make a payment, set up a payment agreement. Star~/xtop service. -F.nra(1 in ppaperiess biNing, automatic bill pay, budget biilirgi. -Report an outage,'check outage status, and more. View your rate schedule at ppielectrkcom/rates or cats i-~p-34Z-5775 to request a copy. Geuerai 1~@t~a" ._ Generation prices and charges are set by the electric generation +er you have chosen. The Public Utiitty Commission regulates distribution rates and services. The t-edera) Energy Regulatory Commission regulates transmission prices and services. PPL Electric Utilities-uses about $0.01. of this bill to pay state taxes and about $0.66 is used to pay the PA Gross Receipts Tax. Understanding Your BiU $4.38 Customer ~ - Morrthiy basic distribution charge to cover transmission Charge - Charg for moving high voltage costs for bi ling. meter reading, equipment, maintenance and electricity from generation ~ility to the distribution 11nes of advanced metering when in use. an electtc dtstri~utton company. Distribution Cha -Charge for the use of local wires, Type(s). ~f Meter R adin8s: transformers, substagons and other equ~ ipment used to deliver ua - Reading ~iy distribution :company. electricity to +~r-d-use consumers from the high voltage transmission lines. Generative CEearge ~ Charge for the production of electricity. kWh (Ifilowatt hour}:-The basic unit of electric everBy for whichmost usiDme are charged The amount of electricity used by ten ~~~ratt Tights lefRt on #or 1 hour. Consumers are usually arg for electricity in cents per kilowatt hour. • Bate RS -Rate for service to a private home. State Tax AdJ nt Surcharge - Charge or credit on electric • es reflect~ges in various state taxes included in your ~iil . The surcharge may vary by bill component. . Paee 2 Previous. Balance $31,67 Payment Received Oct 24, 2011- Thank Youi -$3L67 Balance as of Oct 31, 2011 $p,00 Charrl~es for -PPL E{ectric Utilities Residerrtial Rate: RS for Oct 5 -Oct 30 Distribution Charge:. Customer Chargge 34 kWh. at 3.32300000E per k1Nh ' ' • ~ PA Tax Adj.Surcharge at -0.27600000% Transmission Chargge: 34 kWh at 0.752000000 per kWh Generation Char e. Capacity and~r~~yy~__~ 34 kWh at7.CE33000000 PA Tax Adj Surcharge at -0 2860000096 ,29 1.13 -0.02 0.26 0 01 . otal PPL Electric Utilities Charges $11.26 Other Charges for PPL iaectrk Utilities Phase-In Option Credit -6.88 Total of Other Charges $.5,88 ..; r1 ... ;. Account Balance ~!~~~ `~~~5~~~~ ~~- ~ r FAILURE TO RECEIVE BILL DOES NOT ~ ' ` ENT/TLE CUSTOMER TO NET RATE AxouNrNO. en.uNaoaTE' 5836-0 10/15/11 SEFIYICE LOCATION 709 GREEN ACRES ST BILLUN3 PERIOD 10/O1/11 12/31/11 sALANCeFOawaRD roFSEwER uNns 0.00 1.00 t OF REFUSE UNRS 75.00 . ~~+ usACE 0.00 5000 REFUSECNAROE ~. ~ ~i-t-ti 75.00 GC-+'~ IoS' - T~ IF PAID AFTER PENALTY NT DUE 11 15 11 82.50- ~ 1~.~ _ ___ _ ~. . ~~ 4} ~ ~ ACCT. No. -, K2125 ~ ST 'N E BU7JVC1 IICIVI) Phone: {TtT) T37-3451 FOR PAYMENT DUE AMOUNT DUE Payt. No. ACCT. No. ,,p RK2125 g~ tjUU(~A~t~ KEYSTd1~TE QTL Phone: (?1T) T37-3451 FOR PAYMENT DUE AMOUNT DUE Payf. No. 3 ~ ll-I`~/Zo11 ~1l ~~G~ II _ _ __ _ ,; `~, -. .._._ _:._ _.n.-- - . .. _, ._. Do ~ 1195 River Road P,Q Eiwc 302 Marietta,. PA 17547-0902 IlVSURANCE GROUP t71714zs-1x31.. www donegaIgroup.com . ATLANTIC STATES INSURANCE COMPANY -DONEGAL MUTUAL INSURANCE COMPANY --LE MARS WSURANCE COMPANY -PENINSULA INDEMNITY COMPANY THE PENINSULA INSURANCE COMPANY -SOUTHERN INSURANCE COMPANY OF VIRGINIA Account Name and Address Autpmatic °R~ yment Plan == . . Payment Schedule MACGREGOR DENISE s ~ . PO BOX 388 AS Of 10/1I/11 MECHANICSBIIRG, FA 17055 POLICIES INCLUDED IN ACCOUNT: 'denotes cancelled policy (A) G 0950490 26 05 $337.00 06/23/11-06/23/1: Acxount Number -~ --- ---~_-00133'6-0"OOT'OO~OOI-'_ ___ -- --- - -- _ _ _ ---------- Your iirsru~-c~ premiums w~l be paid from your bank accatmt on tF-e dates shown bekwv or the next bus~ess day if the date. falls on a weekend or holiday. Please nofify us ~ least six business days in aalvarxe' of changes y+ou wish to make to your banking information or four business days iD d~ear~vate a wlYhcJrarvai: Paymerrt Payment >~=cY Date. AmOUrrt A *sC 10/15/11 50.00 48 2 11/15/11 44.00 42 2 12/15/11 44.00 42 2 D~ as (D 01/15/12 44.00 42 2 02/15/12 44.00 42 03/15/12 -~ 44•.0 42 2 04/15/I2 44.00 42 2 05/15/12 39.00 37 2 .TOTALS 353.00 33T 16 * Each payment includes a $2.00 service charge. Please. note: New business, renewal, or a premium bearing change to a policy within this account wilt produce anew payment. schedule. Each subsequent payment schedule will replace the`prior one. If you have any questions concerning your account, please contact our Call Center at 1-80077-0600 and press 8, or contact your agent at the address/phone number shown below: WELLS FARGO INS SVCS USA INC 4300 RITTER RD SUITE 250 MECHANICSBURG, PA 17055 .._. (717) 506-3049 -- - - u~~.... - 'i- _ . ~~ Electric Service For. HB MACGREGOR JR 709 GREEN ACRES ST MECHANICSBURG PA 17055 PPL Electric Utilities BZ~Hausman ltd. Allentown, PA 18104-9392 www.pplelec total, from Last Biu s12as9 Paysrent Receivdl Aag 25-Thank Yon! aI2aS9 B' g Details . ' : -- - Bal~nce as of Sep 2, 2011 $0.00 Current Charges Chafes for -PPL Electric Utilities Residential Rate: RS for Aug 4 -Sep 2 Distribution Charee: DO¢ per KWH at -0.2.7600000% DO¢ r KWH at ~ 8600000% 8.75 18.08 -o.oz 4.09 .. -0.Ol v ~441~WH at 8.t~189400¢ per KWH 43.64 PA Tax Adj Surcharge at -0.286000% -0.12 Total PPL Electric Utilities Charges Other Cha es for PPL Electric Utilities Phase In O r lon Credit -3.45 $74.36 Total of Other Charges $-3.45 Account Balance $70.91 General Generation prices and charges aze set by the electric generation supplier you have chosen.- The Pub is Utility Commission re ates distriiiufiion InfOrmatiOn paces and services. The Federal Energy Regulatory~ommission regulates transmission prices and services. or a ut PPL Electric Utilities uses about. $0.08 of this bill to ppaay state taxes. in addition, about $4.38 of this bill pays the PA Gross lZeceipts Talc. on Oct 5 Before di around your home or property, you should always call the. ' i l d d h li ~ utl ty state notificat on system to ocate any un ergroun nes. s On _ You can do this by simpl dialing 811, which wlll ccmnect you to the One - B f dy 11 1 b f di ll system. e sa e an ca 8 1 e ore you g. Ca With pa~erless billing, you can receive and pay Your PPL Electric Utilities bills Darns. The process is free, quick, convenient and secure. To learn more or sign up, visit www.ppielechic.coln. Dish washers use about 13 allons of hot water per load. That's less than washing dishes by hand Algway s use full loads on the :shortest cycle. When ' l t let the hot water nm continuous y. washing dishes by hand, don Information about appliance energy use and tips on saving energy are available through the Energy Library on our web site, www.pplelecinc.com. . `~`-~••' ~. ~ contact U5 by Od 26.;. `~ ~`pplelectrk.com `~-- i-800-DIAL-PPL ~~,1~~ (i-800-342-5775) ~ ,-_, 86240-77003 Oct 26, 2011 _ ~;: Pw. er.eaie uuiw.. M-F: Sam t0 5pm ,~~ Your Electric Usage Profile Billing Summary {Billing det~is bn back) Servke tos Balance as of .Oct 5,-2011. $OAO H B MACGREGOR 1R Charges: 709 GREEN ACRES ST Total PPL Electric Utilities Charges ~ $31.67 MECHANICSBURG; PA 17055 . Meter: 8A826328 Total Charges . ' ~ .. • . _ $31.67 Your next. meter reading 1s on or about Nov 3, 2011. ~]~M ~y This section helps you understand youryear, to-year Account Balance ~ $31.67 electric use by month. Meter readings are actual unless ppL Electric Utilities` price to compare for your rate is8.411 cents per otherwise noted. effective 9/1/2011 to 11/30/2011. For a list of supplier offers, visit ~ 2o1a ~ 20~i papovrerswltch.com orcall i-Ii~10-684-b560. ~~ Q Your Messas~e Center • Your bill has a brand new took. To learn more about how we Changed the biH to better serve you, checit out the enclosed brochure or ppietectriccom~aamptebU4 • With ~aperlessbilhng, you can receive and pay your PPL E ectric Utilities bbills online. The process is ee, quick, convenient and secure. To learn more or sign up, visit pplekctric.com. ~ • Information about appliance energy use and tips on o saving energy are available through the Energy Library an our Web site, pplelecMc.com. • Keep light bulbs and fixtures dean. Dust and dirt absorb Itght and can reduce light output by as much as half. 42 ~s -,za zl 14 7 0 s Pavement Methods Online at: ~ By phone: i-800-34Z: 5775 pplelectrk.com or call BillMatrix (~rvice fee appilesj at 1-SQ0=672 241 to pay using Pisa, MasterCard, Discover or debit card. ® By Mail: Correspondence should be sentto: 2 North 9th Street Customer Services CPC-GENNi 827 Hausman Road Allentown, PA 18101-1175 Allentown, PA 183049392. o ~_ Other important information on the back of this biU m i ; : - - N ~'~'°'0-' = ~ Retum this part in the ernelope ,Y- p~ -:~'; provided with a check payable ~- to PPL Electric Utilities. 86240-77003 OCt 26,' 2011 ` $31.67 mot. u AY 01 013503 740698 56 A" 50G7 l~~i!„l11.,1!!'{i!I!lil~~lyll~l~u~y"IIlIlll'iNl!llllltllll~ H B MACGREGOR JR 709 GREEN ACRES ST MECHANICSBURG, PA17055-4142 ~~, ~i~~( ~ log Amount Endosed: oaaaaQOo PPL ELECTRIC UTILITIES P.O. BOX 25247 LEHIGH VALLEY, PA 18002-5247 IlNI!lhul~ll!l~Il~iil,lu~ull~~h~li1lrlytl~Iigll~l~lru~l _1 540000031b740000031b78 8624077003 1 F M A M 7 J A S O N D Months e 3 z 0 sv on w ae ~ -er w ~. noy ~ 7W Next meter reading date: on or about 11/01/2011 s.n oa Billing Date: ?0/03/11 Account Number: 00207887720000 Previous Balance _ _ $22.03. Payments Thi`ough 10%03%11 rwwrcrou $22.03CR Balance forward $0.00 CurrentChar9es Due 10/24/2017 - 5'1F;» "PAY BY 10/31 /2011 TO AVOID A 1.595 LATE PAYMENT CHARGE ~:= SERVICEADDRESS:~A4GREENACRES SLMECdANtCSBURG.-p~A SERVICET~-H B MRS MAC&REGOR - _- _ _ ~ _ 70084038 09/01/11 10/03/11 32 0038 0039 1 MGl ACTUAL W07 EQUIVALENT 7D 1,000GALLONS SERVICE CHARGES $10.25 WATER CHARGES $5.62 DISTRIBUTION SYSTEM IMPROVEMEN .40 TOTAL CURRENT CHARGES 16.27 SEE REVE E FOR IMPORTANT ACCOUNT INFORMATION - ~. .+Yir _sY, _ .. - t ~ ,~ "~ .. ~ ~ 'ter ~ . .Ff.€&.,a .r t*'sk "1 ~ ' ~ Please do~riat; remit payrnisnt i~Or'tt1~~pilL:An eiectrEJnic d~ebrt wilF-be applied ~o your bat~Crlicoourci orr-X10/24/2011 in the amount of $7 6.27. Your consump~on is based on an actual reading of your water meter. YOUR ACCOUNT NUMBER HAS CHANGED. THANK YOU FOR YOUR PATIENCE WHILE WE UPGRADE OUR COMPUTER SYSTEM TO SERVE YOU BETTER. PLEASE READ THE ENCLOSED INSERT FOR MORE INFORMATION. Sage a stamp and go paperiess today! log on to www.unitedwater.com orcall Customer Service to find out more information and to enroA in eB~1Nng. Approximate state tax included on this b~11$0.63. __.. ----_-- ' . ? . ? . p_ !~ .. _ , .~?q ........... PLEASE DETACH HERE AND RETURN THE,BOTTOM PORTION WITH YQUR PAYMENT IN THE RETURN ENVELOPE PROVIDED. 44~ om ~ UNITED WATER Account Number. 00207887720000 8189 AdamSs 0ii~ve enter Hummelstown, PA 17036 Balance forward $0.00 Temp.-Return Service Requested Current Charges Due 10/24/2011 $i 6.27-- . . %xa r `~h .~..~ SERVICE ADDRESS: 709GREENACRESST TOTAL' ~ ry '~ QUE ~'~'+~. MECHANICSBURta PA ~PI.Ieusa make Payrtst~lNITER_kVr~ _.. Payment Amount Enclosed $ Please check this box if you have made any changes to the information on the reverse side. , 000661 illll,t~ill~l„1llii1f11t111~I111i1i1I11111'Idllll'l1IlI'll'~~II ****AUTO*'5-DIGIT 17055 661 T4:4 661 1 AV 0.340 ~. , ~~ H B M1t5 MACGREGOR _; PO BOX 388 MECHANIC58URG PA 17055-0388 - D02Q7887720DDODODOOD01627000000001 'liliiill~~"~~1'~'~ll~~ll~~~th~~l~lll~,~hl~Jlll~li~llp~~ii1~ UNITED WATER PENNSYLVANIA - ~ j PAYMENT CENTER ~ j~ r PO BOX 371804 ~r/~©~ PITTSBURGH PA 15250-7804 USAGE HISTORY " Monthly usage in Thousands of Gallons .. ...o- "- ... _ "" 5 v _. _ _ __ __ ,.. .::. .a Service Agreement Number; 14632519 Service Agreement Term: 10/26/2010 to 10/25/2011 Emergency Service Calls may be made from 11/25/2010 Service Agreement Holder: Mrs H.b. Macgregor 709 Green Acres St Mechanicsburg PA 17055 a~~o-~I ~~.~~~^' elp Home. Service to help ou: lease provide your service agreement umber when:calling. ~... .. 4-hour Emergency _ erVIC@ HOt~ltte -888-666-8076 Interior Plumbing and Drainage Emergencies ustomer Service inquiries -888-666-8075 Sam-8pm Monday-Friday & ~~~~ 10am-4pm Saturday (ESl) If any of the details below are incorrect, please call a customer service representative as soon as possible at 1-888-666-8075. Your Direct Debit details are described below On 10/27/10: $9.99 On 11/29/10: $4.99 On 01/27/11: $9.99 On 02/28/11: $9.99 On 04/27/11: $9.99 On 05/27/11: $9.99 On 07/27/11: $9.94 On 08/29/11: $9.99 • Interior: Plumbing and Drainage coverage limit - $2,500 per service call for internal plumbing and drainage. emergencies and up to 2 calls per year • No overlap guarantee - If you find you have coverage similar to Home Service (e.g. your homeowners insurance) your service agreement fee will be refunded. • Permanent repairs guaranteed -For one year. ` ~~ On 12/27/10: $9.99 (~: ~~1 ~/! ~~ On 03/28/11: $9.99 "t ~:~"~' On 06/27/11: $9.99 Ort 09/27/11: $9.99 ~j ~~~w • Emergency Service Hotline - 24 hours a day, 365 days a year, including weekends and holidays. • Peace of mind - A fast, .reliable service offered by local plumbing and drainage experts. • No bill to pay -Home Service will settle the bill directly within the generous service agreement limits. 2020 Tecltrtology Pkwy, Suite 300 Aledtutlpburg, PA 17050 2 j/ ~ ~~a~~ 8.9.592 t ~v o.aao ~soesof t.ps 000592 'IIIi1'~II"11'~IpJlll~'III'~Iflll~~.r11111111o~rd~~llP~~11~ .HAROLD B MACGREGOR JR 709 GREEN ACRES ST MECHANICSBURG PA 17055-4142 Don't Qo Awav Madl We understand many relationships end, but please don't go away without .____ teibng us whv. _Wlietherr we have an issue with billin ,our content, or our service, we waM b know. Because we value your recent subscription and care about what you think, Ike take a to answer ~ few 4~~s by visiting our survey ~at www.~triot'^r>•wswtont/th-~+t~rer,v: Your responses will be kept confiderrttal, and will not be used for promotional purposes. If you prefer a rsonal approach, please either call us at 255-8100 and press-save ( o speak to a Reader Services representative, or send us an email at patriot-news.com. We're waiting to hear m you. Account NUmbec 1572875 Notice Date: RENEWAL Dpp'E: 09~121Yt1 , t>elivery Address: BEEN ACRES ST MECWANICSBURG PA 17055-4142 ' Last Payment Date: 08123/11 ~- Last PaymentAmount: $3250 Your renewal tlale ii autansticelly exlentletl for>~arY gfppR arlq Orfler CreUYa. Please pay this a ~ `~~;~ 1~-~-w~( ~ ID,Z. , etiun9 questions? Mrsesd delivery? ~M9 on varation4 To speak to a Custorrrer Care Representetlve ' call 7t7-255-8150 or t300-692-7207 Monday -Friday 6:00 am to t:00 pm ,Saturday & Hdidays, 6:00 tarn to :10:00 am Sunday 6:00 8rn tot 1:00 am OR visit our v+ebsite 24 hotus a.dey titC trttosJ/dre.tutco.coM _~ks •ACH payments not accepted at this time. Subject to participation of your independent canier, newspaper delivery may continue unless you notify us. To ensure uninterrupted service, please pay by your renewal date. ~, Y. :~ ~ ~r MFs11~BEItS 1~ •i'8DE>EtBI,CRBDti' uNtoty DENISE B MACGREGOR Account Numlxr: 4672 0900 0012 9916 Previous Bai~ce Payments OU~er Credls Other Debits - Purdiases Cash Advatxses Fees Ct~ged, InterestCharged NEW BALANCE CredfLimit Ava~eble Credt Ava~eWe Cash Amamt Disputed Statement Gbsing Date 1'1....s.:.. G.Y......A..de. : YS.BQ 150.00 - 0.00 0.00 0.00 0.00 ' ' 0.00 . 0.00 59.500.0.0 0.00 0.00 ta.oo 09126/1M1 29 - ~ ~ ~ r @ CustonM~ Service: (800) 283-23~ E~ 6035 V Repwrt Lost or StoNn Card: (866) 8393485 Pfleue send Billing Mquiries and Correspondence to: CUSTOMER SERVICE PO BOX 30495 TAMPA, FL 33630-3495 Visa u> on the Web at: wrwW:memberslst.org Please Mail Yow Payments to PO BOX 4517. CAROL STREAM IL 60197-4517 ~~: , ~' ~, Statement Closing Date: ~a: ~' I ot~t [~ys - _ TO REPORT A-LOST OR STOLEN CARD PLEASE CALL MEMBERS 1ST FCU A7 E00-~83 2323 OR R68.2ti0-Ot66 AFTER H©tIRS. TO~ OBTAIN ACCOUNT ii~ORMATiON 24 HOURS A DAY CALL 300 288-8842, OR ACCESS ONLWE AT EZCARD3YFO.COM. INCREASE YOUR SCORE tAtlTfFl BACK TO SCHOOL SHOPPIN(31 USE YOUR SCORECARD. I~OTICE: rONTINUED ON PAGE 3. _ _ _. Page 1 of 3 _. w-' PLEASE DETACH COUPON AND RETURN PAYMENT USING THE ENCLOSED ENVELOPE -ALLOW 5 DAYS FOR BAIL DELIVERY MEMBERS 1ST FEDERAL CLL ~ ~,~ 5000 LOUISE DRNE 4672 0900 0012 9916 MECHANICSBl1RG PA 170554899 $~ 1# •FPDERALGRFDIT UP1IaN Check bar to indicate ^ nama/addrees droops on back of tlds coupon . Tot51 INinirruam ';, AMOUNT OF 1 MENT ENCLOSED Ctosing~ate Ntw ~atance ~ Due Payment Due Date 09/26/11 $333.60 $20.00 10/21/11 ~ `~ ~ c! ~s ^.. 11~ MAKE CHECK PAYABLE T . DENISE B MACGREGOR ~ r- 709GREENACRESST ~ LII~~ILtt~~tliLlt~It~~I~L-LG6~~~IIL~~I~t~III~~tL~L11 MECHANICSBURG PA 170564142 ~ VISA . PO BOX 4517 CAROL STREAM IL 60197-4517 r Itrtlll~~~lllut~i~ltthlul~~lutlltlt~tltl~lliu~l~l~utt~11 ~ ~~9' / ~ ~ ~~'~~~' 2b 4672 09DD 0012 9916 OOOD2000 00033360 9