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HomeMy WebLinkAbout05-01-12J 1505610105 REV-1500 ~rrl°'-""r"~ PA Department of Revenue Pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes "`"~"`" ` ""~"` County Cotle Year File Number PD Box 28o6ot INHERITANCE TAX RETURN n ~ ~ 1 r Q~ Harrisburg, PA i9L28-06ot RESIDENT DECEDENT o~ l I ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYVYY Date of Birth MMDDYYYY ' 08119/2011 ' 07/27/1927 _..__ . _ _ Decedent's Last Name Suffix Decedent's First Name MI Frank _ _ _ _ _ _ _ Ruth _ ._._ A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI _ _.__-_ Spouse's Socia! Security Number - _.... .. .... _ THIS RETURN MUST 8E FILED IN DUPLICATE WITH THE _ REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW pA 1. Original Return O 2. Supplemental Return O 3. Remainder Return (Date of Death Pdor to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate lax Return Required death after 12-12-82) m 6. Decedent Dietl Testate O 7. Decedent Maintained a Living Trust 0 S. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10. Spouse! Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113{A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE ANDC0NFIDENTIAL TAX MIFORMATN)N SHOULD BE DIRECTED T0: Name Daytime Telephone Number Nathan C. Wolf, Esquire (7171 241436 First Line of Address ,_. 10 West High Street Second Line of Address City or POSt OfDce Slate ZIP Code Carlisle PA '.17013 Correspondent's a-mail address: nathanCWOIfQ}~.efiTt)arORTaII.CORT '. __._. ___.~..._.. _c'.'__ REGISTER OF ~. USE ONLY ~~~ ~ c~"~~ G'> 1 <_ } `J <-~ f-> )Q r, V C s+. ~' ~7 --1 DATE FILED ~[+ :x3 ^' rr !'"; ~;< t~ c _; _., lTl _ -r~ -~ ~-x) .~ T! ~1J r~ T Under penalties of penury, I declare that 1 nave examined this return, including accompanying schedules and statements, and to the best of my knowledge end belief, it is [rue, correct and complete. Declaration of preperer other Men the personal representative ro based on all in/ormation of whi°h preparer has any knowledge. I$ GygTUj3E~O~~RSOfy R~SPON$IBLE FOB ~ NG RETlU2N ~ p~T ~ /r n 134 Partridgefs~le, Carlisle, PA 17013-8701 iIGNATUR ER OTHER THAN REPRESENTATIVE ADDRESS 10 West HI Street, Carlisle, Pennsylvania 17013-2922 Side 1 1505610105 1505610105 J 1 ~{ N~ 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decedent's Name: Ruth A. Frank RECAPRULATION 1. Real Estate (Schedule A)... _ ....................................... . L ! 85,000.00 ~~ 2. Stocks and Bonds (Schedule B) ...................................... . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3. 4. Mortgages and Notes Receivable (Schedule D) .......................... . 4. '. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)...... . 5. i 17,000.08 .-....._ _w..._.._._. .. _.__. ..~... ._.._,.,-a 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ...... . 6. '~ 2,577.15 7. Inter-Vvos Transfers & Miscellaneous Nan-Probate Property Bil R S G O 7 24 252 11 ' ( chedule ) Separate ling equested....... . . , . .. 8. Total Gross Assets (total Lines 1 through 7) ............................ . 8. ' 128,829.34 ~. 9. Funeral Expenses and Administrative Costs (Schetlule H) .................. . 9. ~ 19,729.25 j 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............. .. 10... 13,001.85 I, 11. Total Deductions (total Lines 9 and 10) ............................... .. it. '. 32,731.10 !~ 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. ' 96,09$.24 13. Charitable and Governmental Bequests/Sec 9113 Tmsts for which -- ~-~_.. ._ _..... ......._.. __..I an election to tax has not been made (Schetlule J) ...................... .. 13. 14. Net Value SubJect to Tax (Line 12 minus Line 13) ...................... .. 14. , 98,098.24 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 16. Amount of Line 14 taxable - -__._...._ _____. ~. _..._ .._._. _.._...__ at lineal rate X .0 45 4,324.42 ' 1g, 4,324.42 17. Amount of Line 14 taxable "~' ". at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ....................................................... .. 19.E 4,324.42 '',,. __ _.___ 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 1505610205 7„505610205 J REV-1500 EX (FI) Page 3 Decedent's Complete Address: Flle Number DECEDENTS NAME Ruth A. Frank STREET ADDRESS 56 F Street CITY - Carlisle STATE --~--_~~--~--- PA ZIP 17013 Tax Payments and Credits: 1. Tax Due {Page 2, Line 19) 2. CreditslPayments A. Prior Payments 4,700.00 9. Discount 235.00 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If tine 1 + Line 3 is greater Than Line 2, enter the difference. This is the TAX DUE. (5) 610.58 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferted .................................................................................... ...... ^ b. retain the right to designate who shall use the property transferted or its income ...................................... ...... ^ c. retain a reversionary interest ....................................................................................................................... ...... ^ d. receive the promise fa life of either payments, benefits or care?......_ ........................................................ ...... ^ 2. If death occurretl after Dec. i2, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ 3. Did decedent own an "intrust for" orpayable-upon-0eath bank account or security at his or her death? ........ ...... ~ ^ 4. Did decedent own an individual retirement account, annuity or other non•probate progeny, which contains a benefciary designation? .................................................................................................................. ...... ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)j. Far dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for tfle use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)j. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefrciaries is 4.5 percent, except as rested in [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (t) 4,324.42 Total Credits (A+ U) (2) 4,935.00 (3) (4) REV-1502 EX+ (1i-08) ~ pennsylvania DEPAflTMENT OF REVENUE INHERITANCE TAX RETURN ItES[DENT OECEDENi SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Ruth A. Frank 21-11-1001 Ail real property owned solely or as a tenant in common must be reported st tair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that Is jointly-owned with right of survivorship moat be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold, ITEM Include a copy of the deed showing decedent's interest !f owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DEBCRIPTIDN 1. L56 F. Street, Cadisle, Pennsylvania (property is subject of agreement of sale 85,000.00 ':see attached - settlement to occur on or before May 30, 2012) .. ~~ __. _ : ,Y,tJ,.... ,.. ,~.,-,,. ~, _. ,. ,,., ..,.,, ~~~e r. w ._ _.. _ __, .. :~N ., r... ~,,~. ~:t w ., Y,. „ ~,n cam, ...,. ...... ...,...... .. ........ .. ...:.:. ....... .:... ~,. ~,t.rt ~ r i _.. ......... ...... ., ._. ... ......._ ... .. .,.... ,...... tY_, .:...~._. :r ,. .,,:: .,. ~, ,. :, ::,ti, _._. _.._ ..._: ..:., .ae. ..:. ~.._ .~... .v. u, ,._...~ .. .... ....... ..... ..,.... ....... ;e ..,. ii Ut: i h.i:Y Yniia: ,..,r TOTAL (Also enter on Line 1, Rerapitulation.) ~, ~..,.m .. ~ .., : ~. ue j' 85,000.00 If more space is needed, Insert additional sheets of the same size REV-i5o8 E%+ (u-.o) Pennsylvania DEPARTMENT OF REVENUE SCHEDULE E CASH, BANK DEPOSITS & MISC. PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Ruth A. Frank 21-11-1001 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Refund of tax escrow acceunt from Bank of America 544.56 2 Refund of car insurance from Erie Insurance 269.00 3 2001 Ford Focus SE Sedan 4D -Poor Condition certified per KBB -damaged and not roadworthy 3,000.00 'See attached 4 Payment of insurance proceeds for damage claim on house from 512612011 1,582.79 5 Refund of newspaper sulucdption 28.20 6 US Savings Bonds (including accrued interest) 7,430.84 7 Misc Personal Property 3,000.00 g Refund of life insurance premium 13.21 g Refund of life insurance premium 28.02 1 p Refund of 2011 Federal Income Tax 1,103.46 TOTAL (Also enter on Line 5, Recapitulation) $ 17,000.08 If more space is needed, use additional sheets of paper of the same si:ee. REV-ISOg EX+ (oano) Pennsylvania Y.T DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDEM DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY _.. ESTATE OF: FILE NUMBER: Ruth A. Frank 21-11-1001 If an asset became Jointly owned within one year of the decedent's date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A• Karen L. Chestnut 134 Partridge Circle Daughter Carlisle, PA 17013 B' Brian W. Chestnut 912 Knepper Drive Grandson Mechanicsburg, PA 17055 C. Kevin L. Chestnut 235 Clearview Drive Grandson Lori Chestnut Carlisle, PA 17013 Granddaughter-in-law JOINTLY OWNED PROPERTY: TIEM NUMBER IETIER FOR IOWT TENANT DATE MADE JOIM DESCRIPTION OF PROPERTY INCLUDE NAME OF nNANOAL INSTTTUTION AND BANK PCCOUNr NUMBER Oli SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. DATE (!F DEATH VALUE OF ASSET %OF DECEDafrS INTEREST DATE OF DEATH VALUE OF DECEDENT5INILRESI 1. A. 02/05/08 Soveregn Bank Checking Acct No 41098714 2,939.22 50 1,469.61 2 A. 02101/90 Sovereign Bank Club Accl. No. 1694001338 120.00 50 60.00 3 A. 09/02/99 Sovereign Bank Statement Savings No. 1694003383 1,970.28 50 985.14 4 B. 02101/90 Soveregn Bank Club Acct. No. 1694001353 72.00 50 36.00 5 C. 02101190 Sovereign Bank Club Acct. No. 1694001346 80.00 33 26.40 TOTAL (Also enter on Line 6, Recapitulation) ; 2,577.15 If more space is needed, use additional sheets of paper of the same s:e. REV-1510 EX+ (OB-09) ~pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND ~NNERRANCE TAx RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth A. Frenk 21-11-1001 This schedule must be completed and filed if the answer [o any of Questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY iNauoE THE RM1E OF 111E TaAwsreiEE, rnDR REUncwsR~P TO OEC»Ewr ariD iME OaTE ar rRUaPa aTrAa ACOPr oFn~oEED mR PEU ESrATE. DATE Of DEATH VALUE OF ASSET °k OF DECD'S INTEREST EXCLUSION ~F CaPUOae TAXABLE VALUE 1. Pacific L'rfe Insurance Company -Annuity Purchased 2011 20,485.63 100 3,000.00 17,485.63 2 Paul Revere IRA account payable on death to Karen L. Chestnut 6,766.48 100 6,766.48 TOTAL (Also enter on Line 7, RecapiY.ulation) ;; 24,252.11 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) Pennsylvania SCHEDULE H DEFFRTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAx RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth A. Frank 21-11-1001 Decedent's debts must he reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t' Ewing Brothers Funeral Home 8,145.95 z Cadisle Memorial Service -Gravestone lettering 185.00 a Pa n Mathna 100.00 a Funeral Luncheon B. 1. ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City __._-. ..................__ Year(s) Commission Paid: State ...._.....__..ZlP 2. Attorney Fees: 6,900.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address State ZIP- _ Ci[Y _ _-- ......... ..............__ Relationship of Claimant to Decedent 4. Probate Fees: 173.50 5. Attountant Fees: 6. Tax Return Preparer Fees: ~• Cumberland Law Journal -Legal Advertising 75.00 a The Sentinel -Legal Advertising 168.30 s Expenses for maintenance cleaning, and repairs from Real Estate -see attached Statement 2,605.55 to S.W. Barrett Appraisals (Appraisal of Real Estate) 350.00 n Check fee for estate checking account 25.95' tz Reserve for outstanding expenses -including costs of real property sale 1,000.00 TOTAL (Also enter on Line 9, Recapitulation) ; 19,729.25 [f more space is needed, use additional sheets of paper of the same size REV-1512 E%+ (12-09) Pennsylvania DEPgRTMENT OF REVENUE INHERITANCE TqX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Ruth A. Frank 21-11-1001 0.eport debts incurred by the decedent prior to death that remained unpaid at the date or death, including unreimbursed medical expenses. 1 2011 Taxes due on interest on savings bonds 2 Bank of America Credit Card Account 4888 9303 84721426 3 Bank of America Mortgage secured against 56 F Street 4 Sovereign Bank Home Equity Line of Credit secured against 56 F Street 5 PP&L Electric Service - account no. 86160-67002 (Payment for statement dated 812312011) TOTAL (Also enter on Line S0, Recapitulation) ; If more space is needed, insert additional sheets of the same size. 217.54 3,503.30 7, 365.61 9 ,699.40 216.00 13,001.85 REV-1513 E%+ (O1-10) pennsylvania ~iT DEFARTMENTOFREVENUE INNERITAN(F TA% RETURN 0.E5[DEM OECEDEM SCHEDULE J BENEFICIARIES :STATE OF: FILE NUMBER: Ruth A. Frank 21-11-1001 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERtt Do Not Ltst Trustee(s) OF ESTATE I TAXABLE DISTR[BUT10N5 [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Karen L. Chestnut, 134 Partridge Circle, Carlisle, PA 17013 Daughter 48049.12 2 Kevin L. Chestnut, 235 Clearview Drive, Carlisle, PA 17013 Grandson 24024.56 3 Brian W. Chestnut, 912 Knepper Drive, Mechanicsburg, PA 17055 Grandson 24024.56 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES IS THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ If more space is needed, use additional sheets of paper of the same size. Estate of Ruth A. Frank Estate Number 21-11-1001 Schedule H Statement of Expenses Related to Maintenance, repair and sale of Real Estate Electricity Bills - 56 F St $ 787.12 Water/Sewer - 56 F St $ 145.80 Mowing/Cleaning - 56 F St $ 250.00 Cleaning/Repair Supplies - 56 F St $ 119.88 Trash Hauling from 56 F St $ 344.16 2012 Property Tax bill at Discount $ 500.59 Gilbert's Pest Inspection & Treatmen t $ 297.00 Erie Insurance - 56 F. Street $ 161.00 Total G,bUb.Sb These expenses axe not included in debts of decedent set forth on Schedule: I LAST WILL AND TESTAMENT OF RUTH A, FRANK I, RUTH A. FRANK, of the Box•ough of Carli:ale, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke all Wills and Codicils previously made by me. ITEM I: T. direct that all my ;just debts and funeral expenses, including my grave markex• and a71 expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part o£ the expense of the administration of my estate. ITEM II: I devise and bequeath all of my estate of. every nature and wherever situate to my husband, Howard L. Frank, providin€; he shall survive me. ITEM III: Should my said husband, Howard L. Frank, predecease me, I bequeath my Camper and my Trailer, together with any rights to the possession of the real estate upon which it is situate, to my daughter, Karen Louise Chestnut. It is my intention that my said daughter, insofar as is practicable, retain ownership of my said trailer and possession of the real estate upon which it is situate until her children shall be of sufficient age that she may transfer her ownership and possessory rights unto them for their use and enjoyment. ITEM IV: Should my said husband, Howard L. Frank, predecease me, I devise and bequeath all of the rest, residue and remainder of my estate, of every nature and wherever situate, as follows: A. One-Half of my estate unto my daughter, Karen Louise Chestnut; B. One-Half of my estate unto my grandchildren living at the time oY my death, in equal shares, to be held, IN TRUST, by my-said daughter, Karen Louise Chestnut, t'or the uses and purposes and subject to the terms and cpnd itions hereinafter set forth, At the present time my said grandchildren are Kevin Leslie Chestnut and Brian William Chestnut. ITEM Z': I devise and bequeath the share of any grandchildren who shall be under the age of twenty-one (21) years to my daughter, Karen Louise Chestnut, in separate trust, to hold, manage, invest and reinvest the share or shares so received, and the accumulation of income thereon, and to use azid apply the principa] or income, or so much thereof as, in the Trustee's discretion, may be necessary or appropriate for such grandchild's support, health care; and education (including college education) or to make payment for these purposes, without further responsibility, takinginto consideration all other sources of income, suppoxt and estate available to my said grandchildren for such purposes and from all source:3 known to the Trustee. Any principal or income not so applied shall be distributed to such grandchild absolutely when he or she attains the age of twenty-one (21) years. The share of any grandchild who dies before attaining the age of twenty-one (21) years shall be distributed to his or her issue per stirpes, and in default of any such then living issue, such share shall be added to the share or shares for my other grandchildren. ITEM VI: I appoint my husband, Howard L. Frank, Executor of this my Last Will and Testament, Should my said husband,Howard L. Frank, fail to qualify or cease to act as Executor, I appoint my daughter, Karen Louise Frank, Executrix of this xny Last Will and Testament. ITEM VII: I direct that m,y personal representatives and Trustee, as well as their successors, shall not be required to give bond for t]xe faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my-hand and seal this ~ i~ ~' day of 1978. r ~~%`.''!..- ~ r~`~~ ~~~6..%'_' -(SEAL) The preceding instrument, consisting of this and one other typewritten page, each identified by the signature of the Testatrix, was on the day and date thereof signed, published and declared by Ruth A. Frank, ~~the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto, ;-~ - , _~e, r", 2 1 O A. Settlement Statement °'8'0ipi""'""°`"°"""° h0a unh" o~xoPm."1 u96.x9 C. N°au w~~n""Wi~`~ :•rrrY•r.urn.~.r.uurrr.urw..,w..ir~uvw..~.r~urwr+,+e+s..r..r.r 13pm°fRmhA P1m6.Mam®L. ABChWOe P„m Cmmt ACA Chmmut, flraamix 309 Pvm Cmtli[Ihiw Ch,m2°26~vh, PA 1]202 Cv3ula PA 1]OU 56'Y' Sham, CmBYq PA 19013 Nmhm C. CuN,m°mmyh, Llmbxlm6Cmmq, PA lO Wm[N Tm P,md 8061?1641-3n ~ CvWb,P Ihl. Cmhmidmpim 8!.000.00 401. 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T°m1PW °YIRa,BOnaw6r 69,000AO 40. i6W Be0uaW0 Amam6°w B,IW 1,901.86 3BQ C6AAt8amebm6 P,vMbBan°wm 600. Cu,h At BmO,m,ht7'aBnm BYW 301. Qab Amoom Am OUmbmmws(Ilm lm) Yp83.]4 WI. Carte Ammml6mbmNm(Ime110 L9,ai3.h6 ]02 34a mdmb byMu6ofmarm(Nm 210) 69,000.00 602 lebmmm0omlo medue m°v (IIm 3107 1.901.86 383. Cuh %^ Pnm ^'Ib Oenewr 819A83.]{ 6~ Cu,b ®io ^ Pivm Stller f 83,631.02 Ci MMA4'CT2 m'31AGlldh YhM,lmpmfa Wmtlbh„NSasWtlmW „6 GrU6,'4, a 6...r,m. ®.~u.~w~~r. m ~ ~ a .Pi _ ~ __~ _ ~:'~°r4~2~...~~. b.~~=-''fir'-~--- L 9mtlvmwv Pye2 ]00. Tom! Slef'niver'v CommWM sued wt %~. 0. ' Dhidm of Camoimiw(tm]OOjmlblbwe: Babvv e Pmmm Sv0¢v PmL• ]Ol. 3 m 8atl4uml 8ulamml ]03. S to ]m. Commiaom pWmSet0e0Ot 0.00 ra. eoa Same ha m cme.mme wlu 1.we 801. I.u0nv1WOV00e Pm % m: ABChoim FNm Cmdit AG 680.00 802 t<m Difc¢mt % 803. Pm m 806. Cwt m 805. ImtlMe aepatOU P¢ m 808. Mo~ee lvsm0¢Appl4tiwPu m 80]. Fb00mEtrmmbe m: 'm Perm CmOb,AG 18.00 808. Appt¢tlm Pm m: Agflhpim Pmm Cm6tl,AG 3!0.00 809. 810. B11. 900. Sams Hea9lrea ny l.e6.r r9 Hersw aA6.+pw got. Ldhmvfi9m 062]/12 m O6/ia12 ®f /dry 35.1) 902 15mWBC lmmmm Pmmu®Por mmaum 903. Aemtl]evmmme Pmmiimar Smfm 9w. 90f. f0a0. f.m,.n mHa whs f..aa - 1001. xmu0lmvvmce vm . per 1002 Imwmm IW3. Clgpgmrryhw per law. Cbwp'pmpvyavm per loos. Amu! m>mmmu . pb foa. tam rm~ . wr lam. w loos '9emm1 /IOA 1we 1101. tatlladn[¢WEegbe m Netlbe C. WVI(BgWm x110.00 1302 Abuvm¢tltle vouch m AaAAbu¢dBmtlmem9iw,LLC 129.00 Ilm. 'I1de CmmioWm m 1106. 'Dqe mvm¢m ha6¢ m 1103. Il¢uvmt m livdmG Wal( dadpep-3tll¢-PoC) 1104 NOlm3'vB s m llm. Am¢my'v 8be m . (wrxudm Wweium mmvhm: ) II08. r0bhbme9¢ m Nmha C. Wq(Bq., Ap¢OVtlAMar9e3'Ovr CIIC n13.]5 (bolo!®Wroulmlmmflas ) lim. tmOm's covmv80 S 680m.00 1110. Owum'v S 8l,Om.00 1111. IOwe6Cbvb8lTUrowleB¢ tf.00 1112 Patl¢v®ma t0ai00~91p 1!0.00 1113. Nvt P¢ 3f.00 1xa0. CBCabmstnvmr6atW 1}vb6er Chutm Inll. BmuMVtaec Aed~ 6200:1Amdv8e ]100: Rekevnt 13400 0.00 I31Y2 tlty/mmy¢[/ehomv:l3¢ES BfO.m :hbp}pS Bf0.00 0.m 1x03. SamaBdemtls:Omd3 850.00 ;SSavbyvS Qm 810.00 12w. II03. 1]00. A66Mpulemammt 1. 130. PMI Wmmte~aCbiW SOa%S6 31A! ~. 1)DG IMS. 1306. 1]m. uw. 1109. 1N0. TeW BWlemrtCN aar981am Babe lved O'xlbv 1969.N 901.86 AeewfBbbmslPgehY b]8mg0e to (q P)umbg3wr8emubl P,vee6w AR A) Hd¢Aa4 ~ Ibetr®a(3v¢ bo n9~de3m m Yw ~eaxveNb tll¢elEala mma aWp6me Nbml blb mtM6 PeMb. ri b bm. hm~mv p®Imm6 mh¢gbp mPIG I1emW Wvd0e6abww0 bmaebq ebyMd ymmmftm.laa3pl N bust fmweW, Omle{nb 6i¢ V me0v Nr 1m eomiu Y vpmvl m pq tlaa mUdpae upmrm: 1vOwA~u 4doWf fah Vnrebnw emeerpgeulwm of per Pba lupue Mtltlyb60.o GY 6tlbem6 Aems1 HUD-1191 {t®PA 1®6%gl PARCEL NO.: 06-19-1641.175 AGREEMENT OF SALE THIS AGREEMENT is entered into this Q day of ~ 2012, by and between, ESTATE OF RUTH A. FRAN%, deceased, by and tluough hex eaecutda, Karen L. Chestnut, of Carlisle Cumberland County, Pennsylvania 17013, hereinaher celled the SELLER; AND DENNIS L. CALAMAN and DONNA M. C:AI.AMAN, husband and wife, of 315 Richland Road, Dickinson Township, Cumberland County, Pennsylvania 17015, hereinafter - called the PURCHASERS. WHEREAS, the said Ruth A. Fxanlc, died testate on August 19, 2011, and letters Testamentary have been issued to ICazm L. Chestnut at Estate Number 21-11-1001, issued by the Register of Wills in and fox Cumberland County, Pennsylvania oa September 21, 2011 and is therefore authorized to act on behalf of the estate and contract fox its sale. IT IS MUTUALLYAGREED AS FOLLOWS: 1. The SELLER agrees m sell, great and convey to the PURCHASERS and the PURCHASERS agrees to purchase and accept the conveyance of the real property located is 56 F Street, Borough of Carlisle, Cumberland County, Pennsylvania, 17013 and more particularly described in the deed January 5, 1967, wherein SELLER acquired fee aimpk title and recorded in Deed Book 22F, Page 156 of the Office of the Recorder of Deeds of and fox Cumberland County, Pennsylvania and which is also identified by the tas: parcel number listed herein. 2. The PURCHASERS agree m pay the sum of Eighty Five Thousand and ao/100 (:85,000.00) Dollars to SELLER, payable on the delivery of the deed to said pmpexty to said ,~ 3. The settlement shall be made on ox before May 31, 2012, at which tune of settlement the SELLER shall tender to PURCHASERS a properly drawn and executed deed of special waaanty, conveying to the PURCHASERS a good and marketable title in fee simple, clear of all encumbrances, except easements of building and use restrictions, visible or of record, and shall deliver possession to the PURCHASERS and the PURCHASERS shall pay the balance of the purchase price is cash. 4. All real estate taxes fox the cuaent yeaz shall be prorated as of the day of settlement The patties will shoe equally all real estate transfer taxes. 5. The parties acknowledge that SELLER has paid foz a wood destroying ins«t and pest inspection of the property which revealed that ao infestation was present in the residence itself. The parties likewise acknowledge that some possible activity was found in a shed located on the pxmvses but that SELLER has already coaaacmd for and obtained professional treatment of such condition. PURCHASERS acknowledge receipt of a copy of said inspection report and are satisfied with the results thereof. 6. The PURCHASERS hereby waives the formal tender of the deed if the purchase price is not paid as agreed upon above. 7. PURCHASERS shall pay m SELLER the sum of X1,000.00 as a deposit to be applied to the puxebase price of the property, which amount shall be tendered upon the execution of this agreement. Ia the event of the breach of tbis agreement by either party, the non-breaching party shall have the right m seek monetary damages fox such breach. Where such damages are not ascertainable, the ptuchasexs may seek specific performance of the terms of this agreement. All costs, expenses and reasonable attorney fees incurred by the successful party in any litigation to obtain monetary damages and/or specific performance of this agreement shall be recoverable as part of the judgment entered by the coon. 8. The parties agree to that this agreement is contingent upon the PURCHASERS obtaining approval for financing is the amount of;68,000.00 (80 percent of the total purchase price) at no greater than 6% interest and prevailing temu within thirty days from the date hereof and PURCHASERS shall provide a copy of the commitment letter from their leader to SELLER upon receipt of the same. If such approval is not obtained within thirty days from the date hereof, SELLER, at SELLER'S sole option, shall have the right to rescind this agreement by written notice to PURCHASERS. 9. Risk of loss prior to final settlement shall be borne by the SELLER. 10. Fox the performance of this agreement the patties bind themselves, their heirs, eaecutoxs, adminismtors and assigns, as witness their hands and seals, the day and year first above written. SELLER ESTATE OP RUTH A. PRAN%, Decd BX: t- (SEAL) N L. CHESTNUT PURCHASERS ~'~GI ~ `~Q~J~4'~u'it/ (SEAL) DENNIS L. CALAMAN DONNA M. N oorsee oezuoir RUTH A FRANK KAREN L CHESTNUT 56FST CARLISLE PA 17013-1406 Santander Strong-- Sovereign is pen of Santander, "Global Bank of thr: Year."` Statement Perlotl 07126/11 TO 08/24H 1' SOVEREIGN PREPERR~D CHECKING For ynurcronvanience our Customer Conterr Confer is available Irom 7 em - 8 pm EST, 7 days a week. Cell user /-677-SOV-BANK (1-877-758-2265). Hearing impaired may cell /-fi00I269121 (TTY/TOD). www. sa vere Ignbenk. com loon 70740 Online Banking is getting even better! W ith a new look and features designed to help save you time and letyou bank on yourterms; the new and improved Online Banking service will provide even more convenience and control. You can look forward ,,; to improved navigation, electronic statements, and other great self-service features that.tvill make banking online easier and r,, more convenient. Stay tuned to sovereignbank.com for Banking enhancements coming sdonl ®~.. 7,,' ~~:~ 4!et, Great Rewards with Sovereign Student Banking! Open a Free Student Checking par:kage, add great features andget a cash Lwnusl Students can get a cash bonus by opening a Sovereign Free Student Checking account and a Sovereign Free Savings account with a valid email address, enrolling in Online Banking, and requesting a Sovereign Debh MasterCard'. Plus, students can get an additional bonus when they use their new Debit MasterCard to make at least 5 purthazes. To learn more or to open a Student account, please stop by a Sovereign Branch, visit soverelgnbankwm/50, or wll 1.877.fiOV.BANK (1.877.768.2265). ewvyn Mnx~ • A„mew.pc.b,.roNwm,a,ue,u:,nal,nma.~e~.e~.l ao~.M.~e~:eW MlwMx~eh lm8e 1 pf6 = mw.+mF:~,ruw~ws.ieo,.,,4.um~..eeww.,.,.,o.w.n.>.~...mw. d.w.xnn..nx. ua.ea,r..e am., 4/!1987/4 Funds Availability Policy Previously we told you the good news that effective luly 21, 2011, the current $1001imit in our funds availability policy is increasing to $200. This is to clarity that this increase does not apply to the $100 same-day availability for ATM deposits, which remains unchanged. If you have any questions, please stop by a Sovereign Branch, visit sovereignbank.com, or call 1.877.SOVBANK (1.877.768.2265). RUTH A FRANK KARENL CHESTNUT ~`~ ~~~ RUTHA FRANK ACCOUnt IF 4'I09B'/'I4 KAREN L CHESTNUT Balances ;Be9innhip Btlladce ~~62.917 T7,.''';"Duriehl9elinoe _,1~ if2'T75:'~'.~: Depoaita/Cretlite +$1,744.47 AvereBe Daly Balance 63379,11 Wlthtlr6wals/f3eD118 -~61 @85 BO ~ "- Interest 'rhe inlereet earned and the Inlereat pekl may d6fer dependlnB on Checks Postetl Chstka Dete Pald Amount Reference @814 0725- 57500 9709B33T0 ' 8845 0726 610.00 971281250 E@9848 0728 ~ 5300 W - flACardSe g¢i@' 08/02 (10.00 992851935 when inlereet Chseks Date Paltl Amount ReNience X8849 - 08/05 630 DO 893558475 BB50 OB/iB 53000 87810Bj80 8851' - OBMB 530000 B98784255 7 Check(s) Posted • 6695.00 An eaterimk (') intlicalea a skip In eequentlel check numbere An (E) intlketes check was convertetl to an electronic Sem. Pagel q16 Jln9B7/J DBposR Accounts AccountNUmber Average Dally Balance Current Balance Sovereign , Account Activity Date Descrlptlon Atlditlons SuMracdone Bplanca 07-25 Beginning Balance 52 917.17 -07-25 CHECK 884d '. --~~515.00 52.902.17 07-25 CHK CARD PUR 813899 BURGERKI BURGERKINGR 512.06 52,890.it CSF PA Interest page3 q(6 4/1)987/4 873907259 ' r 08-15 LINE OF CREDIT PAYMENT 520.00 53,2B9.22* KARENLCHESTNUT ACCOUOf# 1894001338 RUTH A FRANK Balaneea Account Activity Data Description Atltlltlons Subtractions Balance D7-25 Beplnning Balance $1De.DD 08-05 AUTO DRAFT FROM 00041098714 572.00 5120.00 OB-26 Ending Balance 5120.00 e 1 1: KEV/Ni CHESTNUT ACCOUOt#'1694001346 RUTH A FRANK LORI CHESTNUT Balan0e6 Interest BR/ANWCHESiNUT RUTH A FRANK Balances Account# 1694001353 interest Pa 0 MY Period • . . 8'If.00 Amlual PeiceMega Yield Eemetl 0,00% Earned Nis Period S 0.00 Paid Last Year 50.01 PeM Yeer-To-Dets -'~~7-ED.OQ ~: _ 'The interest eemetl antl the intereal paitl may differ tlepentling on when Interest ie credaed to your account. Account Activity Dab Deacriptlon Atltlttlona SubtneBOne Balance 07-25 Beginning Balance 304.00 09-05 AUTO DRAFT FROM 00041099714" - ~ 83.00 $72.00 pnpr J nf'R -0/09217N Account Activity Date Daecription AtltlRlone Subtractlom Balance 07-25 Beginnln9 Balance $72.00 ~r~vereign RUTH A FRANK KAREN L CHESTNUT B2(2IIC66 IDtfirest ea m~ nn. r.~..ea e.i._:.e on Account # 1694003,383 IN CASE OF ERRORS OR QUESTfONS AEOUT YOUR ELECTRONIC TRANSFERS CALL YOUR CUSTOMER SERVICE CENTER AT THE NUMBER SHOWN ON THE TOP OP YOUR STATEMENT OR WRITE TO THE BANK FOR DEBIT CARD ISSUES: FOR ALL OTHER ISSUES: Sovereign sank Savd¢i~Bunk AM: Card Diayyules Tam AM: Clkm Relrtby MAI MB70206 IOd21LR1 P O. Boz 831002 P,O. BOX @646. Boston MA 02283-100? READMQ PA 19612-2646 P4ye concocts ifyou think your ahtemat ormceiptu wrong or if YYOaU need additional bformatiae abauta transkrw th¢aN[emrnt or rewipt: We cost hey from you no lazer Iby 60 days afly vro aent you the PIR6T staroment an which the error eppeerad. • Tall ua your rums and account number. 'a Describe the error or tha transfer tlut you sA uyurt about and a@~plaipy cleyly y ynu. a Tdl ytbe dolly amount of the suapacxd enor. an why yon hlieve Here is en erroror why you needNMei rafonnebM. If you hll us oMy, we may require you b sad your wmpleint or ques0an ili writing witltin 10 buiinesa days. We will prompNy investrgaro the metkr erM all err wrim m you with an amwefwlthM 10 bminesa dsya (10 ealandv days in MasewJ+uaetts). Ifw¢ nod mare Hme, we mry take uP to 45 days ro invafiggeek Your canphim or question. Ifwe do we will eradR]rour ewount within Nn IOdey period far Ne amount you think is in error, ao you will have Bw use of Ih¢ money dunngthe Hme it tetra us ro wmpkte our invadgation. If we yk you ro putyour amplein[ or question in writing snd we do no[ rtceive it within l0 buarness days, we nvy choose not [o chit your aawwt. For ermn involving new ycounb, point ofaale purchasy or foreign trunenatlone, we may coke up b 90 daya_N im[¢figate sow wmpl¢int or question. For new ewounh, we may take up ro 0 buainm tleya ro credit your acwunt for Me amaunl you Nmk is in error. We will tell you Me resalb of oy investigation wihin 3 bminesa dose after completing oy investigetlan. If we dmide dye wy rro enor, rv¢ wrB send you a written ezplyetian. You may ask for copies of Me doeumeats we used in our invgtrgatmn. - Impurfsot 1¢farmatloo aboutyour Sovenlgtr Debit Card roar r1-, ~-irk, i y .,+ page 5 pj6 410987/4 Statement Perlpd 07/35111 TO OSi24/11 en i~rwxxl „~ 80<4 ~~ cw.......n .... P:~// ~SOCemign OBW! ^ ~a~ti.xuwuw ~.1 ~_.~Ui~C 4.~~. C E313f EL91C pOL 4p9014V0B Li /00000013ppf 41098714 #8844 07/25/11 $15.D0 Lum 4 nuxx 1(Me1 L L9,M11 6faf w~ =- 7/?~ I i~n_6tl~e _ .~,.... ®ac tb9eo1gn1LUY / ~.~ R _ E3431ii91. ppL .~._ ~ , W9091ilBBLf 41ose7D4 uaeae oe/ovlr $10.00 9YBILa~MMe .«. 8060 . ,~, ...~L3~IL ».^s ~ ~ ~ 1 7~r ..® ac ~Y .. w ~ .QGL(~-b4C1~T. 203139EL94R 00410909 0.18050 9miu~iiwomirt ~~~ BB<B - w..... ..w vnCL- ~y3~~-J„s /a oa Sra9arelgnB~ y~ tL21 a..~(~A Ti_fi ~E3139E694: 0041098 91LlBBLS uw"~""i ae~LlMUr emu BBeB .... p (~~ U'lllll I~DffC~ S 3D.oo 1 ~IC~O.f1A~ -..u..r 0 c- tlo9erolgnOfelf .,........, p ~' /}waE.3..sevL_. E E313f EL91R ppL 1p 9014L10049 ~. xLn~ o~n ~~ ff63 ~~1tleLaelgnllmK C E3139 E694C OpL lp9991MB031 4lUHtl/l4 RtltlOU Utl/ltl/11 bJU.UU pogeb a!6 JIOL87/~ Aoo006 PACIFIC LIFE KAREN L CHESTNUT 134 PARTRIDGE LIR CARLISLE PA 1)013-8701 M0. DAY VR. NAME OF OWNER(S) POLICY NUMBER 09 / 12 / 17 RUTH A FRANK FA10008506 PRODUCT NAME TRANS CODE PLAN TVPE CHECK TYPE CHECK NUMBER EXPLORER DEATH CLM NON ORIGINAL 62272221:; DEATH BENEFIT AMOUNT NET BENEFIT AMOUNT PLEASE SEE REVEPSE SIDE FOP IMPORTANT TP%INFORMNTION PACIFIC LIFE PAY TO THE ORDER OF KAREN L CHESTNUT 134 PARTRIDGE CIR CARLISLE PA 17013-8701 THE BANK OF NEW YORK (o6uwRRE) $**~*~*2Or485DOLLARS *63CENT5 ~'~~~1~~- NEWARK, DE 18]11 AUTHORIZATION $zo,485.63 $20,485.63 ~, DETACH THIS FOflTIpN BEFORE CA6HING CHECK RG00-0t5B0-01 S2 B,. Check Number 622722213 DATE AMOUNT 09 12 11 S*'**"20,485.63 n'6 2 27 2 2 213n• ~:03ii0D35U: II.030095524211' Ewing Brothers Funeral Home, Inc, 630 South Hanover Street Carlisle, PA 17013- (717)243-2421 August 24, 2011 Karen L. Chestnut 134 Partridge Circle Carlisle, PA 17013 The Funeral Service for Ruth A. Frank We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff , $1840.00 Embalming. $873.00 Dressing, Casketing, Cosmo etc. $290.00 2. FACILITIES AND SERVICES Viewing (Visitation/Wake), $495.00 Funeral Ceremony, $495.00 3. AUTOMOTIVE EQUIPMENT ' Vehicle to [mnsfer remains to Funeral Home, $273.00 Hears<(Casket Coach) $273.00 SaCery/Lend car/Clergy $123.00 Utility vehicle for DC retrieval/filing etc.. $125.00 FUNERAL HOME SERVICE CHARGES $4793.00 SELECTED MERCEANDISE: 20G Pewter NG Casket , $1023.00 #12 Guardian OBC $1293.00 Acknowledgement cards. $10.00 Register Book(s) $40.00 Memorial folders , $73.00 THE COST OF OUR SERVICES, EQUIPMENT,AND MERCHANDISE THATYOU NAVE SELECTED .. $7240.00 Cash Advances Opening Grave, $600.00 Cettiti<d Copies of the Death Certificate , ' , $36.00 Flowers (2 Pieces), $164.30 The Sentinel .v/photo, $163.65 Hairdresser, $40.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES. $1003.93 Totnl lbtal Cost , $8243.93 . . . . . . . . . . . . . . . . . . . . . . . . . lt/ekTPp9~ ,~~esx SUB-TOTAL MITIAL PAYMENT (DISCOUNT / CREDTfS TOTAL AMDUNT DUE The unpaid balenta ova 30 days is subjectetl to a L50 %service charge per month - 18.0000 %per ennum- ~,b~~ P~;~A. 100.00 > l~~MN~~T-.. W"1~f~-pi".J 58245.95 /1. ~ - rbliWn ~ i ~~ 58165.95 OF Vef -(o g~ ~ ~~,,r~d Rurrl a FRANK „-,,,, 88:63 KAREN. L CHESTNUT uc: oesa~fe ~) CARUBLE,FPA iltlt8 DATe.~@@@.__ PAY TOTXE ~.M. ~ C1 /J~~95 ,OfNO,E,P%OF - / Orr TT l.dUf f r~oouANSB E;^.`. 7 g(1F~Te~il~il~ U U PARTOFTMESAMAN06M16ROUP 1:23 i37269Y1: OD410987 L4+1'8853 CARLISLE MEMORIAL SERVICE, INC. 41 SOUTFI BEDFORD ST CARLISLE, PA 17013 INVOICE DATE INVOICE 10/27/11 31-102 -- ~_ _ __.- .TELEPHONE -- NET 15 DAYS 717.243.5480 FOR RUTH FRANK. SUPPLIED THE Y h'.A N MONUMENT LOCATED IN WENKSVILLE CEMETERY 6 BILL TO: KEVIN CHESTNUT 235 CLEARVIEW DR CARLISLE PA 17013 KRHRLCliE9 NUT ao-rca~s f1~~J$ '. . " uG: 36636e'Z3 fie csr CAPLIBL&, PA 11013 SATE /~ /a~// ~di drriu/a0; ~611cF '~$ /Q~OO ao viR,varce L:/~- taa.~ ~:23L3726'9Ld ~0+ THANK YOU FOR ALLOWING US TO SERVE YOU. RECEIPT FOR PAYMENT ___________________ ___________________ GLENDA FARNER STRASBAUGH Receipt Date: .9/21/2011 Cumberland County - Register Of Wills Receipt Time: 13:17:05 One Courthouse ScciTuuare Receipt No.: 1067060 Carlisle, PA 17Q13 FRANK RUTH A Estate File No.: 2011-01001 Paid By Remarks: WOLF & WOLF CS Receipt Distribution Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 90 .00 CUMBERLAND COUNTY GENERAL FUN WILL 15 .00 CUMBERLAND COUNTY GENERAL FUN ~7CS FEE 23. 50 BUREAU OF RECEIPTS & CNTR M D AUTOMATION FEE 5. 00 CUMBERLAND COUNTY GENERAL . FUN SHORT CERTIFICATE 40. 00 CUMBERLAND COUNTY GENERAL FUN Check# 3308 $173. 50 Total Received........, $173. 50 SERVICE SLIP / ~ Carlisle: (71'7) 249-6667 ILBERT'S INVOICE Carlisle Fax: (71'7) 249-8493 professional ~` 200 S. Spring Garden Street, Suite C est control, Inc. Carlisle, PA 17013 Mechanicsburg: (71'7) 697-8615 4638 • 72360 Brian Chestnut 56 F. Street Carlisle, PA 17013 Chestnut, Brien 56 F. Street Carlisle, PA 17013 226.4322 Previous Balanee: Charge(s): Spot Treatment-Sub Tax: Tafal Due: 0.00 200.00 12.00 212.00 / ® ~ D ~~ ~. f/A 0 V ~~~~ ~ D\~~\v L 't OENEPAI PESTCONfROL Mb.Cr11pe0M L81peCr, goetl,r, Sptlere SPECIfIC PEST CONTROL nw, TeNe, BranW Brtlr, SMM Praha Pre, BetlEUpe, Oliror ROOEM CON(ROL MIU. Reb WEED CONIgOL NQaMY Ben Or,M Wrr ORNPMENrAL TgEE888HgUBSAPPLICATION6 BeBxame,OW Warns, WeNIY Aakld <b'pY MOIN - 'IHGINBICTB '',j BuMer,rer Te,mMe.PrMerPM Beetlr. Weotl BOrx,b Grrnlx MY BEECONTPOL Ce,gnar Bar. BelpFwEHaMe. Yallav luNxe,Wrpe FALL INVADERS BmNrr 9qs, lad/ Bup, BINk BUp OTHEq: REFERTO THE 113T OF'MATERULS U8E0' FOR THE CONTENTa AND CONCENTMTION CF THE TREATMENT A8INDICATED IN THE TYPE OF SERVICE' Sala, oN s McMar ¢aa. r.IN.HO ¢ A/Nxb qq OaB,tlOIBR TwMO PLO,ruly BsY9ar R% In-TIrO TWIYOne^' Bem.m Msn z.r0 ~ renRRx owl CBdO Eatn^~ OnMUpM TemaID SCUM Cpnee~9r Pfrrlan TxnPRDUM WBP. -~- CaarPeks PrecaO qR ,....'re Mora B~-+ ~I~'~ .,_[~_ _ CyM,* P,xnlb8>b ~ , .~ "/.. •..__._TMeOaI O-Frm RNtl V OM&-Cul Popper f Dirmr16011 BNUM W WYPFroerD MPLICATION GATE .- ..1 .a ] TIME IN TIk£OUT +.~ ~ F„! TECHNILINI .I• ~ ~ POA LICENSE e~ G - RETAIN PINK COPY FOR YOUR FILES; REMIT YELLOW COPY WITH PAYMENT /N THE ENVELOPE PROVIDED SERVICE SLIP / Carlisle: pn) za9-x657 ILBERT'S profa66lonal INVOICE Carlisle Fax: (717) 249-8493 200 5. Spring Gartlen Street, Suite C rli PA 17013 Mech icsb C l 717 sst control, Inc. an urg: ( a s e, ) 697-8815 e 4838 72379 e Brlan Chestnut 56 F. Street Carlisle, PA 17013 . .~- Chestnut, Brlan 58 F. Street Carlisle, PA 17013 226.4322 J Provlous Balance: Charge(s): WDI•Inapectlon =Tax: Total Dus: 0.00 85.00 ~•~ OENERH PEST OONlPOL Ism, Cv11FMr, Mlllpetlr. RmNr. BNtlve 6PEDIFID PEST CONINOL Rrs, TkIM, DPU,E Beetles, BMratl PmdM Prb, EeUbpe, Otlvr RODENi4UMROL Mm,RW WEED CONTROL InMMN Bva ORMM Webs ~~N~~NCIN~bSPRIIBSPPWnPTIONB.~ ~. ~.. .. ~... ... .. BsWm~l[, Oek Wame, WaR'N r~eTiM.QWYMdIV WODp DEBTgOYMlG IN5EDT6 T 1 ~.)i{'Ff -,..._a u,4) ~ eutleneMV,TVmhr.Pwgv Reel6MIN, WaoC'Sevr.l CUpeiite~l(nb"... BEE WNIROL Ceryvner Bsss, B6M FrM Homsb.Ytllm BNIN. Wrp FPLLINVN]ERS BorelmrEUps, leQy 6Vpe, 8tlM aps OTIEA: f aEfE'N TO THE 118TOF'NATERLILB UEED'fOa THE CONIEMSAND CONCENTMIION OF 1HE 1AEATMENT A4INDICATED IN AWbn OM6M,rlam ~ EZ-0ae TeblrDE2 ANNI®IOR GamM®IOR TMeMtiD PLOm,Wr Bspmv2fe MTImG TNHVOne^~ Begem MMtl 26G Tampop DUv DB-0BEMn OnNeu9M TempoD BC Utln CmbeeB elv PF,snipn TaRgom Utln WBP Dmlt•CPW __ PrxUl®IDR Tgmk}®6C BMW, PmnMSA i6 Trenyrynf DFmm Rawl VCbv-0N Rgeer DonnvWLil SNaMW WryFieexO EwNpe &MPVML BC Otl,er OF 6ENVICE' M PLICRTION DNT~ -~ TIME IN TIME ClR ~ IECNNM.IMI PDR LICEN6E• (+"~~./ PAYYEM DUE UPON aECEIKOP D6B MWJILY RETAIN PINK COPY FOR YOUR FILES; REMIT YELLOW COPY WITH PAYMENT IN THE ENVELOPE PROVIDED WM,pp d •.,~ N YO pp~GpppS, •.U-1 rp W ~y r1 tl 8 POe sP•.-.I~ ~ O .d a ~ ,. ~ ~,~ •$ ) lno/11 Bank of America Attn: Payoff Dept. 4161 Piedmond Parkway Mail Code: NC4-105-O1-40 Greensboro, NC 27410 Account Name: Ruth A. Frank Loan No: 873407259 Property address: 56 F Sf, Carlisle, Pa 17013 Enclosed please find a certified check in The amount of 57365.61 To payoff the above mentioned loon. If you have any questions, please contact me. 1 am the executor of the estate. Sincerely, Karen Chestnut 134 Parhidge Cir. Carlisle, PA 17013 717.243-5074 V2PIFY~ TµE pU?HEIiTICI"IOFT-1£ML RU'OYE EECUFaY OOOUYIENT CHECK BACKGgOUN9 AFE4 CNAi`IGES COLOF GRAC-0AL!YPNOM TOF TO 5O12OM. ~.. _... ~ .. a __ .~ ~-~ v ,. y, ~, ' " '_ ~ ~ 1 ~ 5 ~_~~ ~ 4 'Sovere~g~xBank OFE'IGIALCHECK PART OF THESANTANDER GROUP Merno.:toan ,# ~~..$x*~:*°~~7., 365:61 ;Branch~i 0169 Vdid Yf SAY TO THE ~noegof: BANK OF AMERICA BANK ISSUED BY. ~~•L256774m 1:23~37269L1: 1200124553i~' TT?Pleeae Aar AlonAThe Perbnflon Ahow TO OeteM Check??? - _ -- ~- Sovereign Bank DETACH AND RETAIN FOR YOUfl RECORDS PART OF THE SANTANDER GROUP 1256774 Memo: Loan 1G 873407259 11/10/2011 $**********7,365.61 Account Holder: K. Chestnut Account Number: 8714 8 ranch Number: 0169 oolaolku F.H. anB File Number: 11-0298 Wolf & Wolf, Attorneys At Law 10 West High Street Carlisle, PA 17013 Invoice # : 11-0298 Order Date : 11114/2011 ReferencelCase # PO Number 58 F Street Carlisle, PA 17013.1408 Appraisal Services Invoice Tatal State Sales Tax Deposit Deposit Amount Due Terms: Payable Upon Receipt -Please, reference the file number Please Make Check Payable To: S. W. Barrett Real Estate $ Appraisal Services 505 South Hanover Street Carlisle, PA 17013 Fed. I.D. #: 238848.804 12/01/2011 $ 350.00 $ 350.00 $ 0.00 ~~ (S ) $ 350.00 YOUR SINGLE SOURCE...Professlonal, Efflclent Service 3 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3166 Fax: (717) 249-2663 October 14, 2011 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Nathan C. Wolf, Esquire RE: Ruth A. Frank Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on the following dates: September 30, October 7, and October 14, 2011 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 0 .00 Total Amount Due $ 75.00 Payment received by J w w W W fL w r W ~] ru .L1 r i• ~ r a r O ru r O The Sentinel ww w,cu mbe rlink.com ~~~ Csm~F ~iaveNUiuSG rESRV CtA1Niv WOLF & WOLF ATTORNEYS 10 WEST HIGH STREET CARLISLE, PA 17013 717.241-4436 AD NUMBER PAGE NO. 402754 1 of 1 BILL DATE SALESPERSON 10!17111 wolfc START DATE STOP DATE 10/03/11 10117/11 Publication Insertions Rate Nat Amount Gross Amount 3 THE SENTINEL -LEGAL 3 LGL $159.30 TOTAL AD CHARGE $159.30 3 PROOF OF PUBLICATION 01 PRF' $7.00 3 MOBILE SITE MOB2. $2.00 Purehase OMer Est. Ruth Frank PAY THIS AMOUNT $188.30 $201.98" 'AFTER 11111N1 Thank you for advertising with The Sentihell Deadline for in-column legal ads is 4:00 p.m. two business days prior to date of insertion. For questions, call (717) 240-7130. THE SENTINEL c/o LEE NEWSPAPERS PO BOX 540 WATERLOO IA 50704-0540 ~irx 00048E hLSi WOLF & WOLF ATTORNEYS 10 WEST HIGH STREET CARLISLE, PA 17013 Retum thla portion xdth yourpayment Check # ^ Credit Card ^^®^®^® Acct #: Exp. Date:m m Name on credit card _ Signature Please make checks payable to: THE SENTINEL elo LEE NEWSPAPER3 PO BOX 540 WATERLOO IA 50704-0540 Ad Number Billing Date 10/17/11 Amount Due $ 168.30 $ THE SENTINEL Go LEE NEWSPAPERS PO BOX 742548 CINCINNATI OH 45274.2548 Itlt~ltltl~~tlttl1111,1rtir~ltltl,lt~lr~llrtit~i~tll~~l~l~~~ll 21540200000004D27540~OOp0000D00D002D19600000168308 ~. o 0 0 W W w ~, r n, 4 y ~~ $~~~ ~~ •• !L w r w a r r Q'i r O ru r O R ~ o; a ~ ' Y ~ ~ Y' R. w 2 ~'. .. O U? iV 3 _ C y~J q. ~' ~ Rin Mram rd Mnln m ~1~{'M MrM1 ~ SovereigD Bagk Mid-Atlantic MDDaS lbbq CONSUMER LOAN LINE OF CREDIT CLOSE OUT COUPON CREDIT Please PRINT the following: p Loan Number: ~~ S ~ I~/~~ S~~_~ ~1/' Customer Name: t"~~ 1'~' ~ Y~Y~.~.~ First Name Las[ Name ,~ ^ n Address: S.c C ~ ~~..~~~.a .1L /-'C lease Close My Line of Credit Account d' _ B/ /,' , i9 ~7't /~ ~~ ~e'.,~~; PAYMENT AMOUNT: Q I / ~ ~ 0 '(Must be equal to payoff emounq ~wP ~l x:56 L 7~~~80 20~: il'9999999999i1' RUTH A..FRANK KAREN L. CHESTNUT Eo-7z~/zita $ $ $ ~ - LIC. 08596976. 56 F 8T. CARLISLE, PA 17013 OgTE ~a y - PAY TO THE .t, )~~ ~ [~ J ~ / / ~~ ~~ g ORDER OF~~ /( ~~e?'r~uf~L~./IyL/!//1~,~ ~] ~,,~ x'/7'7., , iF0 Sovereign Banff J//, PARTOFTHE SANTANDrERG ~. _ i/ ~~-~ ~ry/`/L~2~ MEMO/~~~~ _~ ILIi~{~2ylGL l ~: 23 i3? 269 i~: 004 10987 i4n'8857 Sovereign swuzsseeeaao Santander 5trong- Sovereia,n is part of one of the"World's Safest Banks"f STATEMENT OF ACCOUNT Account Number: 4539251856 Statement Period From: 07/23/2011 Statement Period Through: 08/22/2011 Days in Statement Period: 31 Current Balance: 1 , 672.85 CradR Line Amount: 25 , 000.00 Availahle Credit: 23,, 333.54 RUTH A FRANK 58 F ST CARLISLE, PA 17013-1408 sv Il~lrhhrv'Iglip•••i~dlr4lgdlrr,IluuidPrlrlh,rrm Mlnimum Payment: 20.00 Payment Due Date: 09/ 12/2011 MESSAGES Whether you're saving for vacation, a new car, or a down payment on a. home, Sovereign has. agreat way to help you reach your savings goal. Our Sovereign Goai Savlhgs account gives you the opportunity to earn an annual bonus based on how much you save each year) Ca11 1.877.768.2265, stop by a Sovereign Branch, or visit soveretgnbank.com to learn more. Member FDIC Principal Due $13.61 INTEREST CHARGE Due $8.38 Past Due Amount $0.00 Late Charces Due - $0.00 Total Mlnimum Payment Due $20.00 Beginning Balance $1,666. 46 Advances $0. 00 Payment Received $20. 00 INTEREST CHARGE $8. 38 Ending Balanee $1,672. 65 SUMMARY OF VARIABLE RATE REVOLVING ACCOUNT BALANCE Periodic Rate From 07/23/2011 Pertodle INTEREST CHARGE $6.39 Periodic Rate Through 08/22/2011 ANNUAL PERCENTAGE RATE 4.4900 Payment Amount $20.00 Daily Periodic Rate* .0001230136 Balance Subject to Interest Rate $1,675.35. Entling Balance $1,672.65 _. +~ iha -da'1 Ty periodic rata may _varY .. - _ __ ....... _ ___...__._.___.._-_ _ __ __..__. ____ . _.__. TRANSACTION ACTIVITY SINCE YOUR LAST STATEMENT Posting Date Eff actlvo Date Activity Description Amount Balance 07/23/2011 BEGINNING PRINCIPAL 1,680.23 06/12/2011 08/12/2011 REGULAR PAYMENT 20.00 1,666.46 TRANSFER FROM CHECKING TO PRINCIPAL 13,77 TO *INTEREST CHARGE* 6.23 08/22/2011 ENDING PRINCIPAL 1,666.46 #####s###*###################################*### FEES ##########################################'######### TOTAL FEES THIS PERIOD .00 xs###########x*xx#######xxxx#####x##xx##x## INTEREST CHARDED #xxx###########xxs#x###########xssxs#####xxx# TOTAL INTEREST THIS PERIOD 6.39 ############xx#xx#######xxx#####x##xxx##2011 TOTALS YEAR-TO-DATE###x#x###x#x#######xxxx#########x####x#### TOTAL FEES CHARGED .00 TOTAL INTEREST CHARGED 53.01 BankofAmerica .~~,~, ~.~,~, ',~.(.~ ~y,'.rU~~ ~ C,~v'lJ ~ ,Yr~} 0 Q~~ - l (,, Acc u t Number: 4888 9303 84721428 o L ~ ~ ~ / ~` ~ "' August 12 ~ September 12, 2011 Asoount Inkrmatlon: www.bankofemterica.com ' Mall blllin( Inqulrles to: New Balance Total .........................~...................,.......................$3,490.31 Previous Balance....,...................$3,754.86 Bank of America Current Payment Due ......................................................................$57.00 payments and Other Credlta..............-300.00 P.O. Bax 882235 Purchases and Adjustments ..................12.99 ..............................0.00 El Peac, TX 79888.2235 Total Minimum Payment Due ............................................................$67.00 Fps Char(sd...................... Mall Payment to:- Payment Due Data ...:....................................................................10/9/11 Interest Cher(ed............................................22.48 Bank oP America __._ _.__.. ..__.. ......_.. P.O. 0ox 15018 Lab payment wernin{: If we tlo not receive your Total Minimum Payment by New Balance Total ........ .........$3,490.31 Wilmington, DE 18880.5018 We date listed above, you may have to pay a late fee of up to $36.00 and Ouatomsr 9ervloe: your APRs. may be increased up tothe Penalty APR of 29.fi99i: Total Credit Line ..........................$16,600.00 L800,788.8701 Total Mlnlmuin Payment Wamin(: I/you make only Ne Total Minimum .Total Credit Available ..................:$12,109.68 Payment each period, you. will pay more in Interest and it will take you longer Cash Credit Line ...........................$4,700.00 (L800.348.3178 TTY) to pay off youf balance. for example: Portion of Credit Available . - .. ~ .tor Caeh ..... ........ ..... . $4,700.00 ~ ~ Statement Closing Date . .. ..9/12/11 " " Days in BIIIing Cycle ........ .... ............32 `\ ~~' ~. ,,~--YYYttt~~~rrr• Only the-Fatal ~18 yeare $5,339.38 1 ~ 2~ ,\~~' Mmlmum Payment ~, ~2 r7 't/ $108.20 36 monihe $3 895.20 jY,,~ (Savings = $1,436.13) ~ If you would like information about credit counseling services call. VVV 1.866300.6238. . . lrenaectbn PoerXry _ Rehnnee Aoceunl Oats Date Oasedptbn Numne/ 'Plumber Amount late/ Payments alld Other Oredlb 08/18 PAYMENT-THANK YOU -300.00 ~; -$aoo.oo Purohuu end AdJuelm 08/15 08/16 BAC PRIVACY ASSIST 5169561 OE V 0517 1426 12.99 64194051 I~`tl, $12.98 10 ~0349~31~00~5700000300~00004888930384721426 BANK OF AMERICA Account Number: 4888 9303 8472 1428 P.O. BOX [5019 WILMINGTON, DE 19888.5019 ew aance ob ..,.~.......~........ )I11)IIIjJj')II)ILJ IIj1I I11j Ill jllllll Jl'lij~Jllilljj J~j lJl lj (III Total Minimum Peymant Due....... .......$3,490.31 ...........................................57,00 Payment Due Date ........... _ ......................................10/09/11 69 0915 N 415 607 1 01375 Na01 AT 0.365 n RUTH A FRANK Enter payment amount S~ ~ ~ 'U ~I, 3-Q 58F5T CARLISLE PA 17013-1408 ~~` ~~/ ! j ~{ Check hen rbr a chergb a/meNlr~ eo'dress arpnorre numbers. `f~` v/eaee cmece eu nomonone a, mere Hrs. e/o.. u IIIiJjll Ailjjn ii lf(Ij iliij ilj ill it ilil)~~J jililiJii Jii lli llnl Mell tale ooupon eleng wllll your ahsek Peribb to:amkef Amerloe 1:5 240 2 2 2501: i28 70 384 7 2i426u' 5 ... ~° Eric Insurance Group I00 Erle Ins. PI. Erle, PA 16530 NOTICE OF PREMIUM REFUND DATI_ MO. DAV YR. ~ 10 18 11 REFUNDAMOUNT 5269.00 POLICY NUMBER Q54 0122183 H AGENT NO. AA716] AGENT'S NAME J P WOLFE INSUR INC REASON 1 REF. NO. A949727 CHECK NO. 01949]2] THE ESTATE OF RUTH FRANK C/0 KAREN L CHESNTUT '134 PARTRIDGE CIRCLE CARLISLE PA 17013 AA7167 NON-NEGOTIABLE . y~ DEPOSIT TICKET F= QE I Be °>~~ DAT / ID E e €€ DEPOSI / TS M g : 3 Ay NOT E A ILABLf F IMMEDIATE WITHDRAWAL v~y ~ ~y 'SSJJ BIGX NERE FOR CAEN RECEIVED IF ( REDUIREp) e ~~ Soverei n B ~' $~ g ares PART OF THES ANTANDFA GROUP as ~:561755205r i721809279a~ ®CASNI~ , 60-7c'Kg/2313 ---_r _ . SUB TOTgL R RECEIVEp .. _.. ~ .bn~,.~ikk„~•aY;h'rsm aiAUL'' 'e_ u~ , „'w , .y VbID 180 DRYS AF'j'EI~ DATE ' POSITIVE PAY PROTECTED DP18M3 1/01 e Bank W America Cue,omerConnectlo 84-1278 Eric Ir~urance ~ - ~ ~ ~a~~ ~ b ~ ~~• GeDrgie ~ 6" Group DATE' CHECK N0. 01949727 100 Erie Ins, PI. Erie, PA 16530 I .. _. .,. MIS. DAV YR. PAY THE ESTATE OF RUTH FRANK TO C/0 KAREN L'CHESNTUT ORDER 134 PARTRIDGE CIRCLE OF CARLISLE PA 17013 CODE REASON POLICY NUMBER AGENT REF. NO. cH~cK ' ~. Q54 O1Z2183 H AA7167 A949727 Premium Refuntl Duero Cotls,•PaBry CBnoelletl _ Catle 2 • Pdkkyy EzpplInEtl i Code 3 • PrerrYum Reduptlgn Crbe 0 • CNemeymem - - ib 18 11 `',$269.00 _ey4~euXM1 M1.Nnt. p1.1 I~I•i w O.Y. EXACTLY ****269 DOLLARS AND 00 CENTS I AUTHOR2ED SIGNATURE II.O 19497 27u• ~:OB L i L 278$x: 3 29 999 65148• Calculated Value of Your Paper Savings Bond(s) hup://www.heasi¢ydirectgov/BC/SBCPrice Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 08/2011 Total Price Total Value Total Interest YTD Interest $1,225.00 $7,430.84 $6,205.84 118.77 Bonds: i-33 of 33 Seriai # Issue Series Denom Next Final Issue Interest Interest Value Noti Date Accrual Maturity Price flats k26062894ee EE $75 ;_08/1982 .02/2012 08/2012 __$37.50_ $174.27: __4.00% _$211J7; k26062880ee EE $75 07 1982 % . 01/2012, 07/2012 _$37.50 $.17,4.27 4.00% _ $211.77,,_ k26062865ee ,EE $75 07/1982 _01/2012!07/2012_ _$37.50',_ ,_$174.271 . 4.00% _,$211.77,! _ _ k11806444ee EE $75 _06/1982 12/2011_06/2012 _$37.50_ $174.27 4:00°k _ .$211.77' k11806420ee EE .$75 ,05/1982 11/2011:05/2012 ._$37.50 _„ $174 27 4.00% _„$211.77 k11806400ee EE $75 .04/1982 _10/2011.04/2012, _$37.50, _ $174.27 .4.00%_ ~211J7 k11806385ee, .EE $75 03/_1982 .09%2011 03%2012 $37.50 $174.27 4.00 %_ __ _ $211.7T k11806367ee EE ,$75 x02/1982 _02/2012 02/2012. .__$3.7,50, _ $178.53, ,.4.00% _$216.03+ .. k11806347ee, _ EE $75 _01/1982 .01%2012;01/2012 _$37.90. $178.53r _4.00% _,_ . X216.03. , k10878609ee EE $75 .12%1981 12/2011 12/2011 $37.SOT _$178.53; _ 4.OD%_ _$216.03 k10878588ee , EE __$75 ,11/1981 ,11/201.1 11/2011 _$37.50_ ..,$_178.53 4.00% $216.03 k1087t3565ee EE $75 10/1981 ,.10/2011'_10/2011 _$37.50 $178.53, _4.00%0 , ._$216 03' .. ki_0878546ee; _ EE _$75 _09%1981 09/2011 09/2011 .,$37.90x ,.,, $178 53 4.0.0% __ ...$216 03 _ k10878519ee k10878 97 EE E X75, 7 08/1981 0 , 08/2.011 2 $37.80. 9 $182.85, , , _ _ $220.38 . MA _ 4 ee E $ 5 8/198,1 08/ 011 ._$37. 0 $182.85 __, ._$220 351 MA k10878465ee __ EE $75 06/1981 06/2011 , $37.,50 , ,$182.85 _ _¢22035 MA k10878441ee EE $75 05/1981 05/2011 $37.50 $182.85 __ ., $220.35 „ MA k10414588ee EE $75, 06/1981 05/2011 .$37.50 $182.85 ._$220.35 MA k10414558ee EE 75 $ 04 1981 f 04 2011 % ,$37,50 $192.66 $230.16• MA k10414531ee EE $75 03/1981 03/2011 $37._50 $192.66 . $230.16. MA k10414502ee EE $75. 02 1981 02 2012 $192'66 $230 16 ~~ MA k10414479ee EE $75 12/1980 12/2010 ,$37.50 $192.66 $ , 23016 MA k10414460ee EE $75 11/1980 it/2010 $37.50 $192.66., $230.16 MA k10414429ee EE $75 11/1980 11/2010 $37.50 $192.66 _ $230.16', MA'~ k2748697ee EE $75 10/1980 10/2010 $37.50 $213.60 $2¢1.10 MA k2748667ee EE $75 09/1980 09/2010 $37.50 $213.60 $251.10, MA k2748647ee EE $75 08/1980 _ 08/2010 $37.50 $213.60. $251.10 MA k2748625ee EE $75 07/1980 07/2010 $37.50 $213.60 $251.10 MA k2748600ee: EE $75 06/1980 06/2010 ,$37.50 $213.60. $251.10. MA k2748566ee EE $75 05/1980 05/2010 $37.50 $213.60: . $251.10 MA k1239089ee EE $75. 04/1980. . 04/2010 $37.50 $211.11 $248.61 MA k1239067ee EF, $75 03/1980 03/2010 $37.50 $211.11 $248.61 MA 11772205ee EE $50 02/1980 02/2010 $25.00 $140.74 $165.74 MA Totals for 33 Bonds $1,225.00 $6,205.84 ffi7.a3o_3a Notes NI Not issued NE Nct eligible for payment PS Includes 3 montfi interest penalty MA Matured and not earnin interest N .SV ~`' n~ y'M1f: /VIA' ~+!,. !~' !i!i1V w ww~i~~1 of y~~ .f~~~~!i !!oT!~ ,, ,'~ u~k~~~~' MV~1 ' ORC3SR •m xU;~:'4art+F+g~~+n usµ ^r~n~r x+nx my~r• vw~ '~ >~rs~ su .,, s• a !rv wx ~;av ~.~: ir~` ~u`~ ~ ~~ ~~ w ~ I r !!~Nti~l ! it a 4~ Wr4 r'Jy,'p'n'~~~ r ~ !~~ i 9Yp r hilq ~! .., u S'! r i !~ ~~ a ~,Y 9I 1i VV~ d! N a t!~iV!~j N! ~ ~V! ~ hj!u" i h~ 4V J~ G d ~ V! h 'hh,V Rio `,'tt J~,~y li Vil ~itl~^~., },!!!~ ~„~y~ ~!!ua ~iilry ,, iyU,i~rlV ~N~S.V! !!~~!!j: T~! 'iyk~'„ ~tl 4!,~' a^ ~ u~y~i~l .. '~.'a r ruin. v .' iff"... ,,an, ;!I@; n, C 'ud!'a ~, 0.a J,Yr . i I :..... '. .,.:''.i u',y... n'2730054u' ~:0759ii603~: i82380i84586ii' Bank of America Home Loans: PO Box 6012 Woodland Hills CA 91365-5012 ESTATE 9F RUTH A FRANK 134 Partridge Cir Carlisle PA 17013 Check no: Treasury id: Page: Date: 11/2 /2011 comp. No: $734 CFC@POA Check amount: 544.56 Agency No: 7259 •ESR Escrow type: 10 Escrow desc: A/C#873407259 ESCROW BAL REFUND check Payee: ESTATE OF RUTH A FRANK Loan no Amount .Mortgagor Reference 873407259 544.56 ESTATE OF RUTH A FRANK ESCROId BAL REFUND *TOTAL: 544.56 *NUMBER OF ACCOUNTS: 1 Better ways to bank. govereigxt Checking, Savings, Loans 7.877.SOV.BANK sovereignbank.<om NSTOMER pECEIP( Date 12/07/11 14:48 Teller 004 Deposit Segs 110 AN: #######9279 0167 Transaction Anounts f544.56 Prior Day Cloaing Bal: f2,302.01 Current Balances f2,846.57 Available Balances f2,302.01 eroaoa an+ '~ rn.ro. wz o zo++ s~eq~ e.,k Bank atAmarka CustamaiCwnectlcn 64-1279 Benk of Amarka NA. -gr~ i~ - Atlsnla, Dekalb Cwnty, Oaorpla __\\, ERIE INSURANCE EXCHANGE CLAIM No.: 09901 01 711 93580 CHECK NO.: 111419269 ,aRT\p- Home Office • 100 Erie Ins. PI. • Erie, PA 16530 DATE OF LOSS: 05-26-2011 DATE ISSUED: 10-12-2011 E• ~ CMS No.: KN19269 PAY ONE THOUSAND FIVE HUNDRED EIGHTY-TWO AND 79/100 TO THE ESTATE OF RUTH FRANK oPERAroR 1 ZLBENSON THE C/O KAREN L CHESNTUT TAX ID NO. ORDER 134 PARTRIDGE CIRCLE OF CARLISLE PA 17013-8701 fOR PAYMENT FOR DAMAGES DWELLING COVERAGE ERIE INSURANCE EXCHANGE AUTHORIZED SIGNATURE a..n mw... ENCL Y ei iti.ii~ e.a. I, u'Lii4i926911• ~:06Lii27881: 3 29999949 211' 4Ro1~relgn BenB 33 31 WOLF & WOLF ~..,,~.~.a~,M,a,.a.,~ ATTORNEYS AT LAW. - - -. ' 10 WEST HIGH STREET 60-7289/2313 ' CARLISLE,PA 17013 1025/2061 - -(717)241-443fi 9 ORDER OFE Karen L. Chestnut $ ""83.20 8 Eighty-Throe and 20/100"+~+x+w++x«ts+se++r"+"++rw*"""r"">rr""r+r"t"+".+rw+wt""txwt*"wa+"a."r"""".w++a+e»ww""+r"".+"+++x"r"wrs". ..DOLLARS 3 Karen L. Chesthub IOLTA ACCOUNT a 134 Partridge Circle Carlisle, PA.19013 ~ s~'"`~~f~`'. ~ Q` MEMO .._ _6>= ~t `. EstateaDDOUntdeposit..~. - Z""I aw~l~lnn . ~~ na000000 3 3 3L11' ~:23137269i1: L67L021088n^ ,.._. - - ~ hams ~ carvatues { carsfor'sate f tarreviews ( ktrtrtop picks ' ~ research taats-- ; I Popular at KBB.com ~ ~j '.. ~' 10 Coolest Cars Under $18,000 1~ '',. atlvemsement _.. . _. _. _. _... why adso,..'. _. ~J Home > Car Values > fob > FOCUS > 2001> Category > Style > Uptlons > 2001 Ford _~_ FOCUS _, go SE Sedan 4D Trade-In/Sell Values Show Used Car Prices ----, edr[ op0ons ~ change style i, 2001 Ford Focus SE Sedan 4D Mileage: ~,., 124000 '. change This or Trade-In Value Excellent $6,200 Good $5,850 Fair $5,250 Verify Condaion Private Party Value i Shop fOr yOUY next Car price a new car I, See 10 ti son how to sell see all tips P 41 Own it? Love it7 review thi:car Out of S .._._.~._._.__._. .___ .~.----.v.l How to Get the Most for Your Car Used Cars for Sate Get a CARFAX Report near Carlisle Enter VTN (opUOnal) '.. ga See Used Car Prices advertisement advertisement why oast why adsT New Cars You Might Like 2012 Fortl Focus '°" view 2012 Volkswagen ]etta "'"° view Share Print My Recently Viewed My Saved Cars save My KBD ZIP Code: 1701.3 Sign In Know Your Gar's Sell Llkea Pro: 10 Llst Your Gar See What Other Specs Expert Tlps Online Cars Arc Worth Ford.. Focus view this vehicle Sell It Yourself -FAST i I ! List it on Autotrader.com and reach over ~ 14 million shoppers. i i place your ad Check a car's history before you buy. atlvartlsemeM I BaMefAmetlea 1~r- Know your credit score Apply for an auto loan before you buy - startln9 at 2.64%- 2012 Chevrolet Crum ._.__ _.. _____ view Seller's Resources _m___, I want to list my car for sale . Place an ad on AutoTrader.cum ~ What if my credit's not pertect7 _..... ` ~,, Apply with a specialist rww __.__ ._ __ _~._..~___ _.__---_ _ _ J ', '~' Top lOs b News '. • 10 Cooles[ Cars under;18,000 - 2011 • Big Things From Small Cars: Faur new... ~i • Top lU Family Cars of 2011 • Five Gnaat Car Deals ___..__ ~!. Read More News ', See This Car's Awards ~'. • Top 10 Green Cars 2011: #10 ~',. • Top 10 Green Cars for 2011 '. More Awards why adsP Trade-up to Highest MPG Sedans 2012 Chevrolet Volt 2012 Toyota Prius Plug-in y C7 MPG: City 95 / Hwy 93 Engine: AC Electric Motor Consumer Rating: 5 Use our free Seller's Toolkit to upload your listing to social sites. get your toolkit 2011 Toyota Prius ~ ~ MPG: aty 87 / Hwy 49 Engine: 4-Cyl, Hybrid, 1.8 L Consumer Rating: N/A MPG: City 51 / Hwy 48 Engine: 4-Cyl, Hybrid, 1.8 L Consumer Rating: 4.6 Share Print My Recently Viewed My Saved Cars save ~ My KBB ZIP Cotle: 17013 Siyn In i I view this car Read Expert Review view this car Reatl Expert RevlP.w view this car Read Expert Review compare these vehicles or build your own rnmpare sdt PoWlar Topics Car Reviews&News Map Company Aunt Srpws latest News FAQ About Us Top 10 Family Cars for 2011 Featured Artkle Site Map Contact Us 5 Great Car Darts KBB Expert Renews Find a New Car Careers 2011 Best Resale Value Awards Car Videos What's My Car Worth New Cars KBB" Montle Follow RBB MoGte Apps ]ndus[ry Relatlons Advertislrg Media Center linkirKt polky Business Solutions Cc~ 1995-2011 Kelley Blue Boric Co.°, Inc. All ruts reserved. Copyright & Trademarks Terms of Servke I Pnvary Polky Ad Chokes Have comments about our Blue Book Values? Give us your feedback. ~b Z011 Kdky B/ue Boat Co., Inc. Ad r~yh6 reseved. 10/19/1011-10/20/3011 FGtbn. The specUk Abrmatlon repu/rtd to defermine Me va/ue ror this partlcu/ar vehk/e was supplied by Me person Peneretlng Misreport. VMlde valuefbns are oplntons and may vary hnm vM/tle ro vMMe. AQUe/ valuations vAll vary bared upon merkst cpnMtrons, spedRCaWng vMkle anq@lon or oMC partkular dr[umstan[es pM/rrent ro N/s part/cu/er vehkk or the trensacvon or the psMes ro Me trentacgon. Thh report N /nhnged br the lnd/v/dual use of Me peson generatlnp this report only enq sha//not be so/q or Vansmttted fo anoMar psrfy. Kal/ey B/ue Book snumm rro r~rponsgUUty by errors cv om/ssbnx (v.l]]0.2) Share Pant My Recently Viewed My Saved Cars save ~ My KBB 7-IP Cade; 17013 Sign in K81i+6Py 818 800~(v,~ttN~m 2001 Ford Focus SE Sedan 4D Mlleage:124,000 4.1 out of 5 wrRe a review Condition Check Result Condition Your vehicle's condition is: Poor* • We do not provide values for Cars in this condlUOn. Condition Check Summary Edl[ Candltlon Check Print Summary Exterior Condition Paint and body Damaged Paint or body work, More than $3000 Frame or unlbody Unaltered Glass, lights, lenses Windshield cracked Rust Minimal Interior Condition Upholstery and carpet Clean Odor (smoke/mold..:) None Lacks/radio/NAV... All Pully functional Mechanical Condition Engine/transmlulon No noises, no leaks Steering/suspension Trouble-free/stock AC/hea[er Fully functlonal &akes Less than half worn Tires Newer, all matching Miscellaneous Tide - "Pink Slip" Clean dtle Emissions test Passed Maintenance records None available ®1995-1011 Kelley Blue Book Co.°, [nc. All rights reserved. Copydght & Trademarks Terms of Service Privacy Policy ~ Ad Choices ®1011 Keley Blue Begk Co., Irrc. A// r/phts reserved. ]0/]//2011-]0/20/2031 EOJtion. the speclfl< lnMrrnaHOn required to d<rermine the value hr tnis partl<ular vehicle was supplied by Me person generating this report. Vehld6 valuations are oplplons and may vary from vehlcle to veNGB. Actual valuatlons will vary Dased upon market mndNOns, spedflcallont, vthlde condition or pfherpartlcular drcumstances pertinent M M!s particular vehlcle or Me [nnsacHOn or Me parties rp Me trensac0on. lhls report it intended br Mc Mdly/dual use of the person 9<neratfng Mls repbd poly sod sba/I not be sold or transmitted fp another parry. Kelley Blue Book assumes no rcsponslblllry /or errors or om/stlons. (ell ]02) Page 1 of 8 From: 'kwM dietlnuY''keVkaiNaaxd24®pma4COm> To: ~IdWaWaa®xnhrprnaiLoao> eam Tundry, Seµemaer 20, 2011 3:53 AM AthrJn IM11GOOq~jpp; IMRC+0048.1VB; MR00099.1pp: IMAC.009B.1PG euajaet Gram's nr 2001 Ford focus SE Power windows Power dom locks ('A player Ctsise Automatic 4 cyl Arormd 124.000 (betoery is dead so can nm tell eACdy) 9/29!2011 u'LOL3O52O11' ~:03LLO035L~: O3OO95OLO2u' -. aNY Ma N~,WARI ~~t~Y+~•}VB ~ k ~-~-- - ^ The Paul Revere Variable Annuity Insurance Company P.0. Box 286 CHECKN 10130520 Amarillo, TX 79105 INTERNAL REFERENCER 2200007087 TRANSACTION STATEMENT NAME: RUTH A FRANK September 23, 2011 POLICY: BF000060 TRANSACTION: DEATH CLAIM PROCEEDS OWNER: RUTH A FRANK FEDERAL WITHHOLDING TAX S 676.65 - AMOUNT OF CHECK S 6,089.83 TAXABLE INCOME S 6,766.48 ~~ E :' PLEASE DETACH RND KEEP THIS STUB FOR YOUR RECORDS Back of America ~ Online Banking ~ Home Loans ~ Monflily Statements Bank of America's Conventional-7259 56 F STREET https: //www7.bankofamerica. com/myloaas/accounts/accot~_details/mo... Monthly Statement -September 12, 2011 ,,, ,,.. , aetem eo Acmunt DeesY To view any attivlty since roar last statement please select "~r......._.i._= n ... , Ne# PsymeM Oua 10/01/2011 5538.1] Fav Mo-: View why your payment Is changing by seletYlnq Payment Changes xome Loan Summary Home Loan OVarvMw ss of 09/13/1011 ~ Amount OUa on lO/30/1013 as of 09/11/1011 Pnndpa! Balance 5],592.53 "HOTe Loan Payment'. 5538.17 Esccw Balance 5369.61 ARer 10/1]/2011 wIM Irate 5555.63 [nteiest palU-M-Date: 09/01/2011 Payment Late Qlair~e if Gavrnent recelvetl 51J,46 after 1C/1]!2611'. 'Payments wN be apptlea RRa m Me interest accruetl up [o [M [late o! paym ent anE Man b the principal baYnca. Homo Loan MtaY MpntMyPrymaM 9nektlown av of 09/13/3011 Lpsn Type antl Tarm PNntlpal antl Interest Payment: $349.1] Loap Type : 15 Yr Conventional E.cmrv Pswnen[ Nmcunr. 5176.05 Currep[ Interest Pate : ].250% Optional Pn#uQS: 512.95 fcnl2ctuai Remaining Te m~: 2Years, it Months Total MOntlUy Noma Loan 5539.1] Upepminp oaba Pay11M11L Optbnal PratluRa DataY Lodn INalunty : 08/2014 Ne# Payment DmR Date: 10/10/2011 Policy type : FINANCIAL INSIDER PayPlan tlmtts will nOt tale! NETWORK place)/your loan is tlellnpuent. Carrier Name : INTERSERIONS INSUMNCE SERVICES IN Telephone Number: 8669790179 We may charge you a he br sny payment retumetl or relec[etl by your fnancYl bztRUtbn, sNbfaR to appksbk Yw. HOOw AateuM lxpanan Pritdpal Payee Po9ry NO./Ta% P Next DUe re9uenoY Amount ID Dsta Dw Homeowners ERIE INSURANCE EXCHANGE Q510122183 Annual 06/OU2012 5494.00 Insu2nce School taxes GRLISLE BORO/URLIAE Ofi-19-1fi91-1]6 Annual 08/01/2012 51,0)6.68 AREA 5. CI[y taxes URLISLE B00.0UGH TA% 06-19-1641- 1]6 Annual 04/01/2012 5500.59 COLLECTOR We arc reeponslbk br Me payment of Me prevbus lStmw Yms wkh Me <xceptbn of Ma kems markeE wrch an as[ehk(•). The payment pf Me kems markM wkh an asterkk (•) art [he rtsponsibaty of Ma homeowner. Home loan ARNItY 9Mw Ypur Lsat 9taNment 1 of 2 9/23/2011 11:46 PM Bank of America ~ Online Banking ~ HoII~ Loans ~ Monthly Statements https://www7.bankofamerica.com/myloans/accowus/accotmt-details/mo... NuMYar Date Desrriptbn Printlpal a/Days I~re~ /lddkbnal Escrow Dptbnal Total Interest PNncpal Products Patl 09/12/2033 Mlsc posting §0.00 0 §0.00 §23.36 ;0.00 ;0.00 523.36 09/12/2011 SepterMer 5301.30 0 §47.87 50.00 5176.05 ;12.95 §538.17 payrtk:nt 08/18/2011 School tax §0.00 0 ;0.00 50.00 (; 1,07fi.68) §0.00 (;1,0]6.68) pmt End)n9 §1,592.53 ;368.51 BaliMe Credk Repartkq NP6m: We may report Infonretion about your acmunt Co credl[ bureaus. late payments, missetl payments, or other defaults on your aaoant Trey be re6eae0 In your aetll[ relwrc. Seone Area ACCUUn[i 8111 Pdy Tfvn]I¢f5 K.p`E~ICS CuiCORk`: $2i"K.5 Prn,ac'v a 52[u!!t'. A[d(pn5 AI¢rt~ Mill H¢Ip 51[E Map $9U OR Flank of Anteda, N.A. MuMV FDK. Equal Fbpsl~p laNaer A 2011 eank of ArtRrkx Cprpo2[bn. AY d9htz resarual. 2 of 2 9/23/2011 11:46 PM CARLISLE MEMORIAL SERVICE 41 S. BEDFORD ST. CARLISLE, PA I Death Date Name of Deceased: i • Date of Birth (full date please):_ Date of Death (full date.piease): (Please circle one) Other names on memorial for it or Cremation ,~ Style of Memorial: U i ht -Slant & Base - Sianf -Bevel -Flush -Bronze Color of Memorial: Gra se -Black -Brown -Red -Other (Please circle one): Year Only -Abbreviated Full Date -Full Date Spelled Out Funeral Services Provided by:_ ,~~ , f ,~ ~?~.~ Cemetery Information Nann3e a~f Cemetery: `9 Ctty: C Ip~~lo.~.iril,[%¢ lL'2,( ~iD.,,~~1 ~~i.~f~.-c,(/R State ~ Section• Lot• Grave No.• Map of Location in Cemetery: 1 -~ ~ ~ . ~. -- ~ _ _ Bill To: Customer Information Bill To: .Address: .2.,. ~" (° 0-~ ~~ r~-caC1Y ~h City: (D~„ 0 , ~ o o State: Zip Code:_ / °~~ !3 Phone Number: 7/7-~ ~-~.. --_s;Z S/o Fax• Signature• _ ~T/i /i Order taken by: Date: Cost:' payment: Cash• Check• Check No.• Master Cartt/Visa/Discover: # Exp. Date• Code• Note: Completion of work is approximately 60 to 90 days weather permitting... Order 13 -Office 717-243-5480 -Fax 717-243-56 }, e ,P.... ,.~:, a ~',i M O U g a "O cZ+ n x~ ?~ Qp, U i ~ ~ O r i~~JJ3 N s <'~ ~~v ~ 0 ~~ ~ :. . ~~m ~ o X ~ ~' Z 4 4 1i1 4 CuG " of rLUt?Z Q Iwt • D~ N m C ~ '~ U 6 N Borough of Carlisle 53 W South Street Carlisle, PA 17013 www.grlislepa.org RETURN TO ffiENDEgE~y 911E DO 98!10/1 FRANK'RUTH 134 PARTRIDUE CIR CARLISLE AA 17013-8701 RETURN TO SENDER 1,,,111 ~,~III,,,,,,II„11,,,11„I„I,I„1),,,11,1„1,1,,,,1,11 RUTH FRANf< 56 F St Carlisle, PA 17013-1408 Account Statement a a >OUNT: 005954.000 tVICE ADDRESS: 56 F St tVICE PERIOD: 5!1712011 to 8/24/2at1 (99 days) .ING DATE: 9/9/201') ii DATE: 10123/20T7~ •a Provloua Raadiny Cumnt Reading Sxlal No Date Reading Date Reading Cone 01938844 5)1712011 y 533 9/26/2011 536 3 PAY ONLINE AT www.carlislepa.org 5/8" Meter -Water 40.14 This bill becomes delinquent 45 days from the bill date. A 5/8" Sewer 32.76 late penalty. of 1.5°/a will be added after 45 days and addkional penalties of 1 °h will. be added every,30 days TOTAL CURRENT CHARGES 72.90 thereafter.. If payment has not been received within 72 days of the bill dater your water service wiltye disoohtiniled. ~ . ` DUE IMMEDIATELY 72:90 Thank you for your paymentt -72.90 ° ADJUSTMENTS 0.00 a CURRENT CHAROES 72.90 a ' TOTAL AMOUNT DUE rn ~ 72.90 ,- I xr nov °ec .w1 rea ww ~vp wnv .a,n .aa. w° ae+ ° ~~ ~ ~~Ir~~~~~ g~~ ~rJ C ~1/~ ~,~~, CenturyLink~• ~ ~ U '="- CenturyLink Store-5014 r ~~~~ 346 York Road Carlisle, PA 17013 Malistop: PACARG0105 29/2011 10;11:53 AM ED1~~~. 0 T ns.; 0963 Store: 05014 R~.; 007 T111:007~ QalEhier; UUE18fiA ;' ' Ctt~tomer; RUTM (RANK Account Type: ResidQntial Account number.; 313206554- ` 56 F ST I CARLISLE PA 17013-1408 ', E~il: tfggertogrl@hotmail,com ,~~. s„c, PAYMENT BILL z '~ . . ~ , II Iliilllllllllifllllill~lllllll "' llllllll~~~ 05~1~00709 63 ' - . ~. 7n~, BBL PAYMENT 17,94 N acct. No: '~\p r L'Ui rent Balance 17.94. x Amount Paid 17.94 New Balance .00 I ,~~. v,,., St~-Total 17.94 ~1 17,94 ) .,,- Master Card (S) 17,94 Account; 4564 Expires: **/** Auth: 872500 (A) u ~ ~~~G I I/\~~ I T~al Tender 17,94 C,~pnge Due 0.00 3„'- Payments made in the current business day may not be reflected on the balance due rat ~,~., ~~,~ CenturyLink~~ P.O, Box 1319 Charlotte, NC 28201-1319 Account Name: RUTH FRANK Page: 1 of 4' Account Number: 313206564 BiIF Date: Sep, 25, 2011 Contact Numbers Current Charges Summary aetaii peas pat` °n0ne Total Current Char es wtvw.centurylinkcom/myaxount 9 0 , 00 pay by Phone 1-866.712-1996 Customer Service 1-800-786-3500 Cwtomsr 9srvice Houro Mon•Fd 8 a.m.-7 p.m. Repdr Service 1-800-788-3600 Vleit us oNine vnvw.centurylklk.eom ~e.ee I ez.oz ce I 17.84 I o.oo I 17.9A I Oct. 24, 2011 i Jwt a hiendty reminder thatyour account h peer dw. Ff youhave already made your payment, thank you for bri npi np your account up to date, The Due Deta On Thia BiJI Applise to Current Chergee Only t 9 a REASSURE AMERICA LIFE INS COMPANY 1275 Sandusky Road Jacksonville, IL 62650 KAREN L CHESTNUT 134 PARTRIDGE CIR CARLISLE PA 17013 0001082603 4754179 10/O1/11 071 LIFE CONTRACT TERMINATION DEATH $2 000.00 Death Benefit $28.02 Premium Refund TOTAL DUE Policy: 4754179 $2 028.02 This check is your portion of this benefit due. BEP6 61 REASSURE AMERICA LIFE INS COMPANY 1275 Sandusky Road Jacksonville, IL 62650 2,028.02 5846544 CHECKNUAIDER 0001082603 JPMOrgan Chase Bank N. A. ~ •~ ~ Iidllti! '" oho 09 16-2011 $2,026 02 GRL TWO THOUSAND, TWENTY-EIGHT AND 02/100 ---------------------•---DOLLARS VOID AFTER 180 DAYS ToTxE KAREN L CHESTNUT °~R 134 PARTRIDGE OIR OF / CARLISLE PA 17013 AUTHORIZED SIGNATURE ~i'QOOi082603n' ~:044ii5443~: 656508272i~' REASSURE AMERICA LIFE INS COMPANY 1275 Sandusky Road Jacksonville, IL 62650 KAREN L CHESTNUT 134 PARTRIDGE CIR CARLISLE PA 17013 4865708 10/O1/11 071 LIFE CONTRACT TERMINATION DEATH $1 000.00 Death Benefit $13.21 Premium Refund TOTAL DUE Policy: 4865708 $1 013.21 This check is your portion of this benefit due. 0001082604 1,013.21 BEP6 61 REASSURE AMERICA LIFE INS COMPANY 68-1644 1275 Sandusky Road 461 CHECKNDARtER 0001082604 Jacksonville, IL 62650 JPMorgan Cheae Benk N.A. '~ ~ r '~ ~~'~~ 1Lp~- s..i; ono 09 16-2011 $1,013 21 GRL ONE THOUSAND, THIRTEEN AND 2.1/100 -----------------------------DOLLARS ' ' VOID AP1ER 1B0 DAV9 PAV roT~ KAREN L CHESTNUT oRDRR 134 PARTRIDGE CIR or CARLISLE PA17013 ADiHORIL6D BIGNA9'URR ~~"000 108 260 4~i' ~:044LL5443~: 6 56 508 2 7 2~i' 4 ~. O c z A n O N ~ ~ pTg x~ m~~ °> a w ~i __ ® Z ~o m w y D n m c~ ~ ~ ~' ~ ~ ~ O c ~ ~ m m v z w r ~ m n w O ~ w ~+ 3 Q Q ~i N 2 O AA ~ ~ N fp0 ((pp fp N ~ (( Ql ~_ N g N 2 g O ~ A ~ J N r ~ W ~ ro OA V N ~ C ~Y ~ ~ N ~i m N d p A °3 m ~~ Q 0 ~ ~8's>Om ~'~=~OAmO o~~+mm~~ x m ~ v g r v N o_ N W 7J V ~D x n 0 r r m n O R g ~Ni~c ~10D c m '^ A moo r ~ ~ N O W C ~ = J 2~ D 2 O m z () m Ql O c Z ~ O _ .. O m N W ~+