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Home My WebLink About08-16-121505611185 REV-1500 EX (02-11)(FI) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po sox zaoso~ INHERITANCE TAX RETURN 2 y 12 0 0 2 4 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 11272011 10031957 Decedent's Last Name Suffix Decedent's First Name M I WEAVER TERRI L (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE - - REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (Date of Death ^ 4 Limited Estate ^ 4 F t Prior to 12-13-82) ^ . a. u ure Interest Compromise (date of 5. Federal Estate Tax Return Required 6. Decedent Died Testate (Attach Copy of Will) ^ death after 12-12-82) 7. Decedent Maintained a Living Trust Att h C f ~ 8. Total Number of Safe Deposit Boxes ^ 9 Liti ation Pro d R i d ^ ( ac opy o Trust.) 10 ^ . g cee s ece ve . Spousal Poverty Credit (Date of Death 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 AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CLIFTON R• GUISE, ES Q• 717-731-9600 First Line of Address 1013 MUMMA RD, STE 100 Second Line of Address City or Post Office State ZIP Code LEMOYNE PA 17043 REGISTER (~~IILLS USE ORL'1r ~ r. rl -_L • -~ ~ 7 '_~ ~~ l ~~. _ ~ --- ~~ ~.7 ~' --~ -, L_l , - ~.tt --y t~x+rE FILED .___ (~'~ Correspondent'se-mail address: C • GUISEaGATESLAWFIRM • COM Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on alf information of which preparer has any knowledge. ANGELA M• PAYNE, FXE~IITRTx SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE CLIFTON R • GUISE, ESQUIRE ~ ~~~~~~ ~,~ rwvr~coo C 1013 MUMMA ROAD, SUITE 100 LEMOYNE, PA 17043 PLEASE USE ORIGINAL FORM ONLY 1505611185 Side 1 OM4647 3.000 1505611185 J ~~ ~ '-1 C7 t tr; 1 `~`I C ) i.~ _.~ n ~.~' 405 MOUNTAIN ROAD ENOLA, PA 17025 1505611285 REV-1500 EX (FI) Decedent's Social Security Number Decedent's Name: WEAVER T R R T L RECAPITULATION 1. Real Estate (Schedule A) 1 $ 7 3, 2 5 2 •7 7 2. Stocks and Bonds (Schedule B) . 2 $ 0 • 0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3 $ 0 • 0 0 4. Mortgages and Notes Receivable (Schedule D) 4 $ 0 • 0 0 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. $ 6 3 8 • 8 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6 $ 0 • 0 0 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. $ 0 , 0 0 8. Total Gross Assets (total Lines 1 through 7) _ t3 $ 7 3 , 8 91.5 7 9. Funeral Expenses and Administrative Costs (Schedule H). g, $ ], 0 , 6 2 8 •7 9 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10 $3 , 355.55 1 1. Total Deductions (total Lines 9 and 10) , 11 $ ], 3 , 9 8 4 •3 4 12. Net Value of Estate (Line 8 minus Line 11) 12 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which . $ 5 9 , 9 0 7 • 2 3 an election to tax has not been made (Schedule J) , 1 g $ 0 • 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) , 14. $ 5 9 , 9 0 7.2 3 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers un~er Sec. 9116 (a)(1.2) x .o _ $ 0 .0 0 15. $ 0.0 0 16. Amount of Line 14 xable 4~ at linealratex o . $59,907.24 1s. $2,695.83 17. Amount of Line 14 taxable at sibling rate X .12 $ 0 • 0 0 17 $ 0 • 0 0 18. Amount of Line 14 taxable at collateral rate X .15 $ 0 . 0 0 18. $ 0 . 0 0 19. TAX DUE 1s. $2, 695.83 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505611285 1505611285 OM4646 3.000 REV-1500 EX (FI) Page 3 Decedent's CAmnla+p Orlrlrocc• File Number Ly yL UUC'7 DECEDENTS NAME W AV R TERRI STREET ADDRESS AN CITY STATE ZIP ENOLA PA 7025- Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) $ 2 , 6 9 5.8 3 2. Credits/Payments A. Prior Payments $ Q , Q Q B. Discount $ Q , Q Q Total Credits (A + B) (2) $ Q . Q Q 3. Interest (3) $Q • QQ 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) $ Q • Q Q 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $ 2 , 6 9 5 • 8 3 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 transferred ^ b. retain the right to designate who shall use the property transferred or its income ^ c. retain a reversionary interest ^ d. receive the promise for life of either payments, benefits or care? ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . ^ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ^ 4. Did decedent own an individual retirement account, annuity, or other non-probate property, which contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G 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)]. 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. §91 16 (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)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)j. • 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)]. 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. onnae~~ z.ooo REV-1502 EX+ (01-10) pennsylvania SCHEDULE A DEPARTMENiOF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Terri L. Weaver 21 12 0024 All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant fads. Real property that Is jointly-owned with right of survlvorehlp must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sdd. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER DESCRIPTION OF DEATH Single-family dwelling located at 85 Arnold Road, Enola, East Pennsboro Township, Cumberland County, Pennsylvania; being Tax Parcel No. 09-13-1002-038; $73,252.77 transferred to Terri L. Weaver by the Housing Authority of the County of Cumberland, by its Deed dated November 12, 1996, and recorded in the Cumberland County Recorder of Deeds Office on November 20, 1996, at Deed Book 00149, Page 00386. Value is net sales price. TOTAL (Also enter on Line 1 Recapitulation) I $ $73 252 77 r swasss 2.000 If more space is needed, use additional sheets of paper of the same size. REV•1503 EX+ (CrgB) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT yr FILE NUMBER Terri L. Weaver 21 12 0024 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ovvaeao ,.uuu tir more space is needed, insert additional sheets of the same size) REV.1508 EX+ (11.10) pennsylvania DEPARTMEM'OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, 8 MISC. PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Terri L. Weaver 21 12 0024 owasAD 2.000 If more space is needed, use additional sheets aF paper of the same size. REV-1509 IX+(01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY OWNED PROPERTY """"` "' ' FILE NUMBER: Terri L. Weaver 21 12 0024 If an asset became jointly owned wkhin one year of the decedent's date of death, k must be reported on Schedule G. SURJNINGJO~lTTENANT(S)NAIvF~S) I ADDRESS I REIATIONSF#PTODECEDENi JOINTLY OWNED PROPERTY: ~~ NJtvEER LETTER FOR JOINT TENANT DATE Nl4DE JOINT DESCRIPTION OF PROPERTY INCLUDE NAAE OF FlNANCIAL INSTITUTION AND BANK AOCWNT NUM3ER Ofl SIMLAR IOENTIFVINGNl1M1ER. ATTAON DEED FOitJdNTLV NELD REAL ESTATE. ATE OF DEATH VALUE OF ASSET % OF DECEDENTS INTEREST DATE OF DEATH VALUE OF DEDEDENTS INVEST None TOTAL (Also enter on Line 6, Recapitulation) S SO - 00 swasAE z.ooD If more space is needed, use additional sheets of paper of the same size. REV-1510 EX + (OS-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Terri L. Weaver 21 12 0024 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBS DESCRIPTION OF PROPERTY INCLLOETFENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND TFE DATE OF TRAISFER ATTACHACOPV OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST EXCLUSION F APPLJCABLE TAXABLE VALUE ~ • None TOTAL (Also enter on line 7, Recapitulation) $ 0.00 If more space is needed, use additional sheets of paper of the same size. 9W48AF 2.000 REV-1511 EX+(10.09) ' Pennsylvania SCHEDULE H DEPARTMENTOF REVENUE FUNERAL EXPENSES AN D INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Terri L. Weaver 21 12 0024 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~. Sullivan Funeral Home funeral goods & services $3,515.00 Total from continuation schedules I $150.00 B. 1 ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address 2 3 City State ZIP Year(s) Commission Paid: Attorney Fees: Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address $3,500.00 City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: $210.50 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 PPL Electric Utilities utility service $89 72 2 UGI gas service $370.04 Total from continuation schedules $2,793.53 _ TOTAL (Also enter on Line 9 Recapitulation) ~ $ $10 , 628 79 swasnc 2.00o If more space Is needed, use additional sheets of paper of the same size. Estate of: Terri L. Weaver Schedule H Part 1 (Page 2) Item No. Description 2 Summerdale United Methodist Church funeral luncheon 21 12 0024 Amount $150.00 Total (Carry forward to main schedule) $150.00 Estate of: Terri L. Weaver 21 12 0024 Schedule H Part 7 (Page 2) 3 PA American Water water service $59 82 4 East Pennsboro Township sewer/trash service $269.80 5 Sgrignoli Heating & Cooling repair $92.35 6 Patriot-News publication fee $134.31 7 Cumberland Law Journal publication fee $75.00 8 US Postal Service postage $9.41 9 Nationstar Mortgage Account No. 0596914544 Mortgage on 85 Arnold Road, Enola, East Pennsboro Township, Cumberland County, Pennsylvania. Payments (principal 6 interest) made pending sale of real estate. Balance of mortgage satisfied at settlement is deducted from settlement proceeds reported on Schedule A. $2,132.84 Total (Carry forward to main schedule) $2,793.53 - - R E~= i 512 EX + ('i 2-08) Pennsylvania DEPARTMEt`fT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Terri L. Weaver 21 12 0024 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical e: nencec d W46AH 2.000 Ir more space is needed, insert addftional sheets of the same size. RE~l-1513 EX+(01.10) SCHEDULE J Pennsylvania DEPPRTMENTOF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Terri T. Wcnvcr L1 1 L VUL4 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECENING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [InGude outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Angela M. Payne 405 Mountain Street Enola, PA 17025 One-half of Residue: $29,953.62 Daughter $29,953.62 2 Amy Buckwalter 42 Johns Drive Enola, PA 17025 One-half of Residue: $29,953.62 Daughter $29,953.62 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1 B OF REV-1500 COVER SHEET, AS APP ROPRIATE. 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. $ $0.00 `J W4tiAl ZAW .. ..._•' '' "" •° ••"""" , w~~ a~~~~~~~~a~ a~iccw vi NaIJC~ ui uie same s¢e. J1 ~~U~ H1iV r1)~p~n _ _ _ _ _ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. 'e for this certificate, $6.00 This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. P ~~0~ ~~~~c.~,; tt a oil Certification Number Local Re istrar Date Issued .~ ,1gs143 REV tl/N08 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE I PfIBfT W B~iAC~K"IEFJK CERTIFICATE OF DEATH (See Instructions and axemDles en reversal 1. Nanas d Decetlenl IRrst midde, last sulfiz) Terri L W@ave~ 2. See 3: Social Sewary Number V • ` • „` • V,•, 4.•Dare o1 Death (MoM,.yy, year) . Female 182- 50- 6080 Novembec27, 2011 s. Ape (Last BMtzby) tinder 1 Unyr 1 6. Dab d lWm Month, y , 7. end elate or cou 8a Place d Dean Check ore ~ Mom1e Dare lleun Mines October .~, 1957 1,oepnar Olrier: . HeM8burg, Pe Yrs. _ , ~ Iripahem ^ ER / Ouipv~l. ^ DOA ^ N urskg Home ^ Residence ^ Onar - spedM ~. Couny d Death Bc. Ciy, Boro, Twp. d Dean Bd Faafiry Name (r rat Ylsfildini, give street arld number) 9 Was Demyd d Hispank Orgn7 ~ No ^ Ves 18. Rena: American 4iden, Black. Whtle, etc. (tl ye& spedty (aben; Meziuan, Puerto Rkeh, em.) white 11. DacedenYa Usual d wwk done maMd fib. Do retstMe re' 12 Wee Decedent ever b the 13. Demtlad'a Eduction (sPadfY ar1Y Nghesl grey canpebal 14. MadA Stelae: Married, Never Marred, 75. SurvNtrg Spouse (B wib, give maidm rema) KkM d d Be ' es/ l U.S. Armed Farces? Cuetomey~ervice ~one~rucn demenbry I ry (6121. Co9ege (1 d d 5+ Wed' ~~ (19 ) ^ Yea h9 Ne Divorced 18: DecedeeYe MeiNg A4dreas (Street dy I town, stela. rip crotle) Decedent's ...405 Mountain St ApWdReeiynce ,7a.Steb Did.Decedem PA Liveina ,7c Decedemliveain East PennBboro ®Yee Summerdale, PA 17093 17b. County . , Twp Cumberland T°"'"'"ip? na. ^ Na, l7ecedenrl.ived within 18. Fathers Name (Bret natlde, bet sdfiz) David Gingrich Actual Umb d City/Soro 19. Momers Nama(Firet mMrre, maben wmame) Patricia Gardner 20a InfamanYS Name (Type /Print) Angie Payne 20E. blamenl's Meiling Address (Sued, dY /town slab, bP code) 85 Arnold Rd. Enola, PA 17025 21a. Metlad d DLvpDalini i Cr~~ ^ ~~ ^ Beriel ^ R m ll St b 21E. Dale d Dispositlan (MmM, day, year) 21c. Place d OisposNm (Name dcemelery, crerretory or other pace) 21tl. LocaMn (Gy/town, sMb, zp code) wa e mm a r Was I]amatbn err Dautlon AulhorizM,d, O ,3dwr - ' M Medal EaamkMrlCoronen t!L Yes^ Na November 28, 2011 Hoffman Cremato ry Carlisle, PA 17013 Stprelure d Furerd Service Limreee la person aclkg es sufi) 22b. licensaNisnker 22c. Name ant AUAess d Fadfiy FD-13845-L Sullivan Funeral. Home 51 N. Enola Dc Enola, PA 17025 COripbb iOarrq 23et any wMnserfilyng physicMn o rat avdbble d time d deem ro 23a. TC tM besldmy knowledge. dealhacaaretldlM Dme, dale arN pace staled (Sgnbmantl tmel 23b. LicerweNumUer 23c. Dabs geed IMnin, day, year) arwy muse d dean. - 8enc 2428 must M oomDbbd by peson 24. Time of Dean 25, Date Prongezed Deed (MOmh, day, wM pronwrMes death year) 2a Was Case Rdertetl to Medical Ezamner /Cornier br a Reason DtMI non Cremation a Dondion? . I L I ~i~ l M. di~~Vv1 Q/ ~ I ^ Yes ^ No CAUSE OF DEATH (Sas inatnselbns and aaampbe) ~ AppreltbMte kaervd: teem 27. Pan I: Enbr rte DMkI d events - dbeases, iyuries, or mrnpfimtlarrs - rid drrMty mused the dean. W NOT enbr brmind evens such as carder anent i Onset ro Dean i Pad II: Enter ottwr ' ~' 28. Did ToMcm Use I:ontribub ro Dealh7 but not resddrg n rte unyrhjyig muse given b Pan I ^ Y ^ P b resp relory erred, ni veniriaser fibdbtion withan showirg the etidogy. List only one muse ni eazh line. i . es ro eary ^ N [~.t~ M BATE CAUBE (F~aI disea98 or lion rewihng in dean) c ~ Se ~ C (?1 ( ~ ~ G ' +t ~ ~ ~ o aIy 29 8 Fem -~ a 1 ,~ RMlI1 . ~ t,Tn LL I N~ (~ cL r ~ Nz D b 61(~d F~ r i . ~ / LLYNOI re ried winin est e r ue (or as a con op: rmalN liel mnd8ons, p any, b, b IM p g p y a ^ Pregnant d &ne d death mw 9sMd on line a. UNDERLYNIG CAUSE Due b (or ere a m~quence ~~ ^ Nd pregaent bd pregnant winm 42 days (dieNae a Yyzythat bifiabd tlw c of dean . events restrtlirg m assn) LAST. Due 10 or as a ( consequerre dl: ^ Nm pregrem, bm pregrem a3 says to 1 year a. i r before dwn ^ UnNnwn 9 pregreid winin the past year 30a Wes an Autopsy PadormrM? 30b. Were AulopsyFedngs Avdbhle Pray ro Complefian 31. Manrer of Dean 32a. Dale d Injury (Mpdh, yy, year) 32b. Describe kbw Injury Oaurred 32c. Place of trpuy: tlorre, Farm, Street, Fadary, d cause d Deem? i9 Nduml ^ Hortxdde + Olfice maldeg, dc. (SpedyJ ^ Yes ^ No ^ Yes ^ No ^ Accident ^ Pew g Imesdgetbn ~~ Tune d Injury 32e, Irryury at Work? 321. II Trareponadon Irryury (90acAY) 329. Localwn d irgwy (Street, cdy /town, slate) ^ Suidy ^ Cadtl Noly Ddenrwwd ^ Yes ^ No ^ Driver/Operator ^ Passenger ^ Peysaian M r 33a. Certifier (dreck omy ore) 1 1 /~ 33~1g ialure ant Title d Cenifwa /~~j ~ /' • Cartllying phyalehn (Physidan mrfihprg muse d yen when enotlbr phyddan has prawurimtl tlean and mmpwled Item 23) ~ ~ ~~ J l ,! . w L'/ 4' ~ To tM tl•dd my Mnowledge. yam oecunatl sue to thecwee(f)and manrerueteted_________________ _________ ^ _______ , ! . . VV,~O/"L~"r~ , • Prdloundnp and adKYkg physkbn (PAYsir n born praraurairg yen end mrtilyk~g tomuse d yen) 33c. Ucense Nmn6er 33d. Date Signed (Mmn, yY, Year) To the trntdmy knowbdpe, yeth aceumdal Matime,yb, and plaa,and duem the cause(s)antl manner as snl•d__________________ ® • Medial EZamMerlCaroner i ~~ ~/ On me MaM d aandnatbn and I or invedlgMlni, in my opblon, deem oaurred et iM Ilme, yb, erM pbro, antl due ro the ausa(a) and manrrxae atele~ ^ 34. Name end Aakess d Person WM Completed Cause d Oean (Item 27) Type /Print Reg~lrars Sigrensa and Numbs ~ 36 b Fa d omh, yY, 1 t°~. !~~ _ ~ ~~ /!/~ M.S. Hershey Medical Ctr. w J DisDOStlion Permit No. U ~ y U~ t7 LAST WILL AND TESTAMENT OF TERRI L. WEAVER LAST WILL AND TESTAMENT OF TERRI WEAVER I, Terri Weaver, of Enola, Pennsylvania, revoke my former Wills and Codicils and declare this to be my Last Wi11 and Testament. ARTICLE I PAYMENT OF DEBTS AND EXPENSES I direct that my just debts, funeral expenses and expenses of last illness be first paid fi•oin my estate. ARTICLE II DISPOSITION OF PROPERTY Residuary Estate. I direct that my residuary estate be distributed to the following beneficiaries in the percentages as shown: 50.00% to Angela Payne, Enola, Pennsylvania. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 50.00% to Amy Buckwalter, Enola, Pennsylvania. If this person does not survive meq this share shall be distributed proportionately to the other distributee(s) listed under this provision. 100.00 -Per°cent 7otul ARTICLE III NOMINATION OF EXECUTOR I nominate Angela Payne, of Enola, Pennsylvania, as the Executor, without bond or security. ARTICLE IV EXECUTOR POWERS My Executor. in addition to other powers and authority granted by law or necessary or appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or otherwise encumber any real or personal property that may be included in my estate. without ~~ t order of court and without notice to anyone. My Executor shall have the right to administer my estate using "informal", "unsupeavised". or "independent" probate or equivalent legislation designed to operate without unnecessary intervention by the probate court. ARTICLE !' MISCELLANEOUS PROVISIONS A. Paragraph Titles and Gender. The titles given to the paragraphs of this Will are inserted for reference purposes only and are not to be considered as forming a part of this Will in interpreting its provisions. All words used in this Will in any gender shall extend to and include all genders, and any singular words shall include the plural expression, and vice versa, when the context or facts so require, and any pronouns shall be taken to refer to the person or persons intended regardless of gender or number. B. Liability of Fiduciary. No fiduciary who is a natural person shall, in the absence of fraudulent conduct or bad faith, be liable individually to any beneficiary of my estate, and my estate shall indemnify such natural person from any and all claims or expenses in connection with or arising out of that fiduciary's good faith actions or nonactions as the fiduciary, except for such actions or nonactions which constitute fraudulent conduct or bad faith. C. No Spouse. I am not currently married to anyone. D. Beneficiary Disputes. If any bequest requires that the bequest be distributed between or among two or more beneficiaries, the specific items of property comprising the respective shares shall be determined by such beneficiaries if they can agree, and if not, by m_v Executor. IN WITNESS WHEREOF, I have subscribed my name below, this ~~ day of Testator Signature: ~ Perri. Weaver We, the undersigned, hereby certify that the above instrtunent, which consists of ~ pages, including the page(s) which contain the witness signatures, was signed in our sight and presence b_y Terri Weaver (the °'Testator"). who declared this instrument to be his/her Last Will and Testament and we, at the Testator°s request and in the Testator's sight and presence, and in the sight and presence of each other. do hereby subscribe our names as witnesses on the date shown above, ~7Vitness Signature: C~.'~~--~-~ Name: Cin~• f.~~ /~, ~ State: ~~} Witness Signature: ---~ ~"~ Name: ~G City: ~t~ 7C~1~it ~~'~ State: ~~ ~',Q ~ ~j~s-- \~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, /x~• and ~. the witnesses who names are signed to the attached or foregoing rostrum t, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as the Testator's Last Will; that the Testator signed willingly and executed it as the Testator's free and voluntary act for the purposes expressed in it; that each of us in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more years of age. of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by ~ ~iic..t' and ,witnesses, this~_;~'~day of `~ -- ~, Witness Signature: Name: ~^ IH 1' City : ~r1 a 1 State: ~~ T Witness Signature: ~. , Name: ~. ~~ City: ~;~- State: ~~~- s'~d-_~~~ Signature COMMONWEALTH OF PENNSYLVANIA n~ ~ ~ry Intarial Beal Seal "~as~"~ro~~n~~ My Commissbn Expires May 30, 2013 ~. Member, Pennsylvania Association of Notaries _2_ PENNSYLVANIA Self-Proving Clause COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, Terri Weaver, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualif ed according to law, do hereby acknowledge that I signed and executed the instrument as m}~ Last Will; that I signed it willingly and as my free and voluntary act for the purposes expressed in the instniment. Sworn to or affirmed and acknowledl;ed before me by Terri Weaver, the Testator, this _~day Testator Signature ` .~.~,~_~,~~~~«~ Terri Weaver Sign ture of icer v L _ Official capa ' y of officer COMMONWEALTH OF PENNSYLVANIA Notarial Seal Kristy L. Magaro, Notary Pu41ic Bealll n"~ r0 J ___ My Commission Expires May 30, 2013 ^ns' •~=1~ Association of Notaries ~1 vv COMMONWEALTH OF PENNSYLV~`""" COUNTY OF CUMBERLAND SHORT CERTIFICATE I, GLENDA EARNER STRASBAUGH Register for the Probate of Wi.ZIs and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on the 9th day of January, Two Thousand and Twelve Letters TESTAMENTARY in common form were granted :cy the Register of said County, on the estate o f TERR/ L WEA VER late o f EAST PENNSBORO TOWNSHIP /First, Middle, Lastl in said county, deceased, to ANGELA PA YNE (First, Middle, Lastl and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 9th day of January Two Thousand and Twelve. File No. PA File No. Date of Death S.S. # 2012- 00024 21- 12- 0024 1 1/27/2011 , ~_ .: ! , Register f Wills - V Deputy !~ NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL weave r. ded ~.~~i9- ~ Tex Psrcel No. Vii`- t'r +C~o..t-O 38 THIS DEED Made the !~ ~' day of JVoye m b ~ [' hundred and ninet in the year Nineteen y-six (1996). Between HOUSING AUTHORITY OF THE COUNTY OP CUMBERL~D, of 114 North Hanover Street, Carlisle, Cumberland County, Pennsylvania, Grantor and TERRI L. WEAVER, of 85 Arnold Road, Enola, Cumberland County, Pennsylvania, Grantee W(tnesseth, that in consideration of SIXTY-FOUR THOUSAND AND 00/100 DOLLARS ($64,000.00), in hnnd paid, the receipt whereof is hereby acknowledged, the said grantor does hereby grant and convey to the said Grantee, her heirs and assigns, ALL THAT certain lot or piece of ground situate in Saet Pennsboro Township, Cumberland County, Pennsylvania, more particularly bounded and described ae follows according to survey of Ernest J. Walker, P.S., dated January 8, 1969, es follows: BEGINNING at a point on the Southwest side of Arnold Road (fifty feet aide) at the distance of three hundred fifty and twenty-seven hundredths (350.27) feat measured along the same South 46 degrees wide)f thenceesouth 46 degrees East oby the Westerntlines of Arnold Road seventy (70) feet to a point; thence South 44 degrees West one hundred ten (110) feet to a point] thence North 46 degrees West seventy (70) feet to a point; thence North 44 degrees Bast one hundred ten (lI0) feet to a point, the place of BEGINNING. BEING Lot No. 85 on the Plan of Louie Park dated December 21, 1951, and recorded in the Cumberland County Recorder's Office in Plan Book 5, Page 50. y_ rt~o-. 1.49 rar.: ~~ fi 8AVI7fO thereon erected a one story frame dwelling known as No. 85 Arnold Road. BEING THE SAME premises which Kathleen M. Derr Hartwell, f/k/a Kathleen M. Derr, and Ronald G. Hartwell, her husband, by Deed dated March 9, 1992, sad recorded in the Office of the Recorder of Daeda in and for Cumberland County, Pennsylvania, in Deed Hook N, Volume 35, Paga 1043, granted and conneyad unto Housing Authority of the County of Cumberland, Gs~antor herein. T88 premises shall remain owner occupied for 25 years from the date of this conveyance. co cry :, c ~ ~„ -~ . c-~ c> 7~] ~: i rn _. i; a ~ r> o ~'~ 3 <~ '~i ,~ - ~~ ~ c r,i c~ O --~ r ~_ N "'; c, r^ m N ~~ W ~~ ~~~ B 8 ~ - 'a ~ ~ ~.~~~~~~ ~~fa~C`~~t~ ~ ~ ~ ~ ~~ ~° ~ a~ ... .t Tn u ~~'~'K .L~J PACF ~~~~ Mdthe Said Grantor hereby covenants sad agrees that it will warrant specially the property hereby conveyed. In Witness Wherecf, said Grantor ha^ hereunto set its hand end seal the day and year first above written. ATTRST NOOSING AUTHORITY OF THE / ~~- COUNTY OF CUMBERLAND ( ~%~~C/~ ~ By Secretary George py Chairman Commonwealth of Pennrytvaaia :u County of Cumberland On this, the ~a~ day of 1996, before me, the undersigned officer, perso e y appeared George C. Hoopy, who acknowledged himself to be the Chairman of the Noueing Authority of the County of Cumberland, and that he a^ each officer, being authorized to do ao, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself as Chairman. ZN WITNESS WHEREOF, I have hereunto set my hand end notarial~e~g, l~4 ~ •~ba'~ S Notary Pu is sN , Z ," ~tG} MorerlN 8p1 Address : ~ u' ~ ~. ~' ~" # flheroo L t'eeeer. Pbhry VuWb ~FY- .~~ ~ 1 ~: . Cerlide aoro, Qrmberlentl Cow ~$l~f!~,•_b..~r~rf.CO . . My ComrNeebn F.~Ne. lyy t7, ~~ My Commission Expires: '~,`'+g~',*7,~~O~Q`, Membn, Wneeyiwnie bwWedon a Noterb~ r,: •.... .. I hereby certify that the precise residence and complete poet office address of the Grantee herein ie SS A<-r~1~t f:.~,.± f.w~.~ r'+~- ~ ~U::~ y AtLerney for Grantees Ac~` i CUUri icy PAGE 3~;~ ~l ,~jl ~• ~~ A. Settlement Statement (HUD-1) OMB Approval No. 2502-0265 :y ~ir.i~ i~ne~ 100. Grata Amount Dw hom Borrower 400. Groat Amount Due to Seller t 1. ontract sales price 7,0 4 t. onfraq sales pnce 107 0 00 102. Personal n , . 402. Personal 103. Settlement charges to bomower(line 1400) 4,585,19 403. 104. ~ 105. 405. Ad uttmema for Mema aid alter In advance 106. Ciryltown taxes Ad ustmaMt for kema aki teller in advance to 107. County takes 07/2012012 to 12/31/2012 145.14 406. CityAown taxes to 407. County taxes 07120/2012 to 1213112012 108. School Taxes 071201201210 06/3012013 958.76 145.14 408. School Taxes 07120/2012 to 08I30l2013 956 76 1~' . 409. 110. 410, 111. 3rd qh SewerArash pr 0711012012 to 09/3012012 108.00 411. 3rd qtr Sewermash pr 07120/2012 to 0913 012 0 1 2 108 00 112. . 412 120. Gros Amount Due from Borrower 112,797.09 . 420. Groh Amount Due to Seller 200• Amourrb Paid or In Behalf of Bonrower 201 108,211.9D 500, Raducflon: In Amoum Due to Seller .. it or earnest money 1,000. 1. cess deposit see Instructions) 202. Principal amount of new loan(s) 101,600.00 502. Settlement charges to seller (line 1400 203. Existin loa s taken sub'ect to 8.171.14 503. Existi loa s taken su ' to ~ ~ Pa off of first mon y gage loan #596914544 to 24,102.83 205. Nationstar Mon e, LLC 505. Payoff of second mort gage loan #0005 to Belco 2,665.16 206. Communi Credit Union 207, ~ 208. Application fee POC 399.00 507. 508. 209. 509. Ad ustmeMa for kema un id b alley 10. CdyAown taxes Ad uttmenh fo- Rema un ald b teller to 211. County lazes to 510. Ciryltown taxes to 212. School Taxes to 511. County taxes to 512. School Taxes to 213. 513 214. . 215. 514. 515 216. . 217 516. 218. 517, 518. Inheritance Tax escrow 219. 3,200.00 220• Total Pald b Mor Borrower 102,999.00 519. 520. Total Reductlon Amount Due Seller 38 159 13 300, Cash at Settlement fro~o Borrower , . 301, Gross amount due from borrower (line 120) 800. Gah at Settlement toffrom Seller 112,797.09 302. Less amounts paid by/for borrower line 220 ( ~ 601 Gross amount due to seller line 420 ( ~ 108,211.90 102,999.00 3D3 Cash Q F 602. Less reductions in amount due seller (line 520J 3815913 . rom ~ To Borrower 9,796.09 603. Caah XQ To ~ From Seller 70 0 '~~ Mml uldaN A d~IWY1. amnlly v.Nd OM8 mnlnl,wmbr. No cadNwublM k .-und: M• eNaw.~. n ...rr... . iem•mrv ,...~.. .~ , 52.77 _. _ __.__.._.-.._.._...~.,...,.,..,.o,,.,,v.ap„.an miom,.iwn dump m• Previous editions are obsolete Page 1 0 4 HUD-1 •.,.,,...,cwuorarwrraee ao,ooaw Division ~ o0rttmissfon Tine 700 as follows: Paid From ' Paid From 701. $3,P10,0p to R ax Realty Associates Borrower s Seller's 702. $267500 Funds at Funds at to ~ H Tmup Realtor 703. Commission paid at settlement Settlement Settlement 704. Broker fee to RelMax Realty Assodates 25 5,885.00 800. Items P abN In Connection with Loan 1. ur origination charge (Indudes Odgination Point 0. 96 a 00 (from GFE #1) 802. Your aedrt a charge (points) fa the spedhc interest role chosen $ (ham GFE #2) 803. Your adjusted origination charges (om GFE A) 804, Appraisal fee to S.W. Barnett RE 8 A Serv (from GFE #3) ggg,pp 359 0 805. Credfl report to CBC Innovis (from GFE #3) 8 T . 17,gg ax service to First American (from F f13) 807. Flood certification 63.00 to LPS National Flood (from GFE #3) 5 75 808. to . 900. Items ulnd Lender to M Paid M Advance 1. ally interest charges m from 0 1210 112 1 9.87781day rom 1) 118 5 . 2. Mortgage insurance premium la months to (from E # } ' Homeawrrer s insurance fa ears to Erie Insurance $488.00 P.O.C. B ( E #11) ~• months to from GFE #11 1D00• sited tender 1001, Initial deposit fa you escrow account (from GFE #9) 1002. Homeowner's irsurance 3 months $ 40.67Imonth $122.01 308.92 1003. Mortgage insurance months $ 45.72/month $ 1004. Pr taxes months $ /month 1005. County taxes 6 months $ 27.54/monih $165.24 1006. School Taxes 2 months $ 86.25/month $172.50 1007. Aggregate Adiusbnent $-150 &3 1100. Title Ch s 11 1. Nle services and lender's title insurance from GFE #4 1 260 00 , . 1102. Settlement a dosing fee to $ 1103. Owners title insurance from GFE #5 25,00 1104. Lenders title insurance $1 135 00 1 i05. Lender's title pdicy limit $101,600.00 Lender's Poky 1106. Owner's title pdicy limit $107,000.00 Owner's Policy 1107, AgeM's portion of the total Gtle insurance premium $933.10 1108. Underwriter's portion of the total title insurance premium $p26,90 1109. 1200. Government RscoNl and Transfer Cha e 1201. Government recording charges $ (from GFE #7) 158 00 1202. peed $62.00 Mort a $96.00 Release $ . 1203. Transfer taxes $ (from GFE #8) 1 070 00 1204, CitylCounty tax/stamps Deed $1p70.00 Mort $ , . 1205. State Taz/stamps Deed $1,070.00 Mon e $ 1~, Deed $ Mon $ 1,070.00 1300• Additlonal Ssitkmsnt Cha s 1 spurred services that you can shop for (from F #6 1302• to 1303. to 1304. 2012 County Tax to Debbie Lu d' $323 91 P O C S' . . . . 1305. 2012 School Tax to Debbie Lu d' 1306, ax cert fee to Stone Lefev r & Sh kl ki 1,014.3 e e ets 1307. Wire fee fa payoNs to Stone Lafaver ~ Sh kl t ki 10 e e s 1308, rd qtr sewedhash + LC to EasfPennsbao Townshi 40. l777~sss~sr 151.80 raasasawn ~,~. ~ on ru rrr~~aKrFr,7` ~i77tT.iltli7T>IFiFI< ~~ 'Paid outside of closin D B rcower, Seller, L ender, I vests, Br +,aaa•ia 8,177.14 9 y ( }° () () ()n o(Iger. "Credit by lender shown on page 1. "'Credit by seller shown on page 1. Previous editions are obsolete Page 2 0 4 HUD-1 C n of Good Faith Estimate GF and HUt}1 Cha as That Cannot lntrsase HU0.1 Line Number r °nginati°" charge r t Your uafM or charge (pgnis} Ox dre spec inlensst rate Chosen a Your adri,steo ori~nMion charges a ~ rans ar tares 1 Ch es That b Tohi Cannot YKretee A1oee Thrr ttl% Gavermrenf recardug dsvges 4 1 1 Appraisal lee rt t re0on # ax servwe ~ bod ~ # d t Loan Terms Good Faitlt Eedmate HUD~1 949.00 94900 0•~ 0.00 s4s.o 949.00 1,070.00 1,07 .00 Good. Fskh Etrdmah 15 .00 359.00 17.99 63.00 HUD~t 158.00 359.00 17. 9 63.00 5.75 5.75 595.74 603.74 r 1.342 Good Fsitlr Estlrerste HU61 1.884.97 yL 167.92 , , a 53 48$ ? 1. 5.00 `~ You inflict ban arrouni is 5101,600.00 Your ban IWm is 30. years Your initial bttuest raters 3.5000°4 Y4U' iruf~ Y amwm oared for phna0~. interact, and any mor~age $501.95 includes insurance is ~X Principal QX Interest QX Mortgage Insurance Can your inlerast role riser QX No. ^ Yes, it can rise to a maximum of %. The first change will be on / I and can change again every years after / I .Every change dale, your interest rate can increase or decease by °k. Over the life of the ban, your interest rate is guaranteed to never be lower than % or higher than %. Even 4 ~' make paymenTC on bra. cat ban l~arrce+ae9 XO No. ^ Yes, it can rise to a maximum of $ E'er +! 1+a make I~Ymertt5 ~ tune. Can your monthly amid owed for QX No. ~ Yes the first inaease can be n ! t Dhnapal, iMet@g1, erW mortgage a~uuartco nse? , o and the monthly amount owed can dse to $ The maximum it can ever rise to is $ Does your ban have a prepayment penalty? ~]X No. ~ Yes, your maximum prepayment penalty is $ Does your ban nave a Moon payment? XD No. ~ Yes, you have a balloon payment of $ d ue in years on ! I Total rnonttuy amount owed irvdudng escrow amount payments ~ You do not have a monthly escrow payment for items, such as ro p pert taxes y and homeowners insurance. You must pay these Items directly yourself. QX You have an additional monthly escrow payment of $154,46 that results in a total Initial monthly amount owed of $656.41. This includes principal interest, any mortgage insurance and any items checked below: []X Property taxes ^ Homeowner's insurance Flood insurance O School tax ~ Vote: if you have anv ouestinns ~Muf n,e ever~~,.,.., ~~_____ __~ _ _ ... - - -------- -••-• a-~ ~••~ ~~a„ ~ cniw narcu vii uns roan, preese CAn18Ct your lender. Previous editions are obsolete Page 3 0 4 HUD-1 HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed the HUD~1 Settlement Statement and to the best of my knowledge end belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HU61 Settlement Statement. Sondra M. Fox ESTATE OF TERRI WEAVER Angela M. Payne, Executrix The HU61 Settlement Statement which I have prepared b a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this statement. SETTLEMENT AGENT DATE WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U. S. CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete age 4 0 4 HUD-1 r t ~ r. Name of Borrower: Name of Seller. File Number Sondra M. Fox Estate of Terri Weaver 31852FOX TdleExpress Prepared 07/18/2012 at 10:40 am Nota: This page is furnished to give you an itemization of the amounts shown on Paid Frorn Paid From 1 lines 1101, 1103 and 1104 of the Settlement Statement (HUD-1). This page 8orrowe-'s Selter'S accompanies but is not a part of the settlement statement. If a discrepancy Funds at Funds at exists, the information shown on the Settlement Statement (HUD-1) applies. Settl8m13nt Settlement t iU6. Tiq~ Ch~ryes #moun4 MuA+O~d -- _ _--- _:_ Id Line 1101 1101. Title services and lender's title insurance •- ---• --.-___.._ _ __ _._- a. ETF Fee 1~•~ $ 50 00 . b. Fed-exlwire fee ~ ~ , c. Nota fee 35.00 125.00 1102. Settlement w cbsing fee 1103. Owners title insurance (policy) $ 25.00 25.00 1104. Lender's title insurance (poky) 910.00 $ 1,135.00 a. Endorsement 900 EPL-Residential 50.00 b. Closin Service Letter 75.00 c. ALTA Short Form Loan 10000 (Total 1103 + 1104) 1105 lerxlers ti8e $itT1,808.p8 1106. Owner's tte Gmit f107,06p.60 110. - d the totm ctle ~urarlee s oai:>;a 1108. Ur+dervaiters of d1e total tine insurarce ern. X6.00 _~-.___~ R'atad 1107 + 1108) 11os. 1110. 1111. 1112. ~" ~ + r ; 11oa<Tirr. ,~, ToW Botrolrrer tiom,lur-_.- ~~ -- - 1101. Tdle services and lenders title insurance $ i~OCotcrrr9t ta+eteot ~„e - ---- -- a. ETF Fee to Stone Lauver & Shekletski ~ ~ b. Fed-ex/wire fee to Stone Lafaver 8 Shekletski ~ ~ c. Notary fee to Cash 40,00 ~ ~ 1104. Lenders title insurance to Cedar Clift Abstract A enc Inc 35.00 35.00 g y, . 1,135,00 1 135 00 ___.__~~_ $ 1,260.00 1.260.00 i _.~-.._.._._..,.._._-_..._ ESTATE OF TERRI WEAVER By Date 7/20/12 Date 7!20/12 Angela M. Payne, Executrix Sondra M. Fox PA REV-1500 SCHEDULE E CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY I www belco.org BELC O COMMUNITY CREDIT UNION Because /cfe is for l vih9. MAIN OFFICE: 449 Eisenhower Blvd. Harrisburg, PA 17111 STATEMENT OF ACCOUNT pe~~ ..F ilrilr~~~,~I~irui4li~iliwirlnlil~r~~lul~rlrluillrl~rlrlll 7803 1 AB 0.368 TERRI L. WEAVER 85 ARNOLD RD ENOLA, PA 17025-2148 N STATEMENT PERIOp Fom To 11/Ol/1 a 11/30/11 1101 PREVIOUS BALANCE Sl - SAVINGS ,~~ D .130 PAPER STATEMENT FEE STATEMENT -200 8 .130 DIVIDEND 03 12 81 THE ANNUAL PERCENTAGE RATE IS 0.25 12 84 THE ANNUAL PERCENTAGE YIELD IS 0.25 THE ANNUAL PERCENTAGE YIELD EARNED IS 0.30 .130 NEW BALANCE 121 84 OV RDRAFT AND RETURNED ITEM FEES SUMMAR - S1 - S ING S 1 ------ - ---- TOTAL FOR -- T -- AL - ------ -- THIS PERIOD YE ------- --- - -D T TOT OVER - ----------------- ---- - - - - RAFT FEES $ 0.00 $ -- -- 0 - ------ 0 -- TOT RETU NED ITEM FEES $ 0 00 $ . 0. 0 101 PREVIOUS BALANCE S4 - CHECKING 031 * ATM WITHDRAWAL *001 3624 -12 3 GIAIUT 6263 BNOLA PA 031 * ATM WITHDRAWAL *001 6967 -5 3 GIANT 6263 BNOLA PA 101 ACH DRAFT 0839 -13 0 KMART PURCRASS -13NOLPA 101 PAYMENT VIA OFFICE/MAIL 80 0 102 ATM WITHDRAWAL *442247559 -91 9 WSIS MARKETS X125 CAMP HILL PA 104 DRAFT PAID 0840 _3 5 104 ATM WITHDRAWAL *001 3502 -10 1! GIANT 6263 BNOLA PA 109 * DIRECT DEPOSIT 3031036030 123 01 US TREASURY 303 R%SOC SSC 107 DRAFT PAID 0844 -51 8; 107 ATM WITHDRAWAL *654036670 -11 3 APLUS 0509980900 BDiOLA PA 107 ATM WITHDRAWAL *077604378 -2 1e RMART 9123 I3NOLA PA 108 ATM WITHDRAWAL *241887649 -7 6g DOTAL DIVIDEND YEAq-TO-DATE or et savings eucospt YiA. Avidends shown, if S10 or over, will be sported to the Internal Revenue Service or this calendar year. INDICATES EFFECTIVE DATE * * CONT I NUED * * I T~~ RIWWCE (~iARGE YEAF;-Tp'pigTE for aN loans NOTICE: See reverse side for important infomration 95197 93 59 93424 92 20 172 20 162 21 159 63 148 44 271 44 220261 219 22 216210 208346 005948 - 007803 f www belco.org I` BEL co COMMUNITY CREDIT UNION Because /c' e is ar l'virr f f 9 MAIN OFFICE: 449 Eisenhower Blvd. Harrisburg, PA 17111 STATEMENT OF ACCOUNT JOINT OWNERS .,,,,,.... _ ......___ PAGE 2 of 3 S_ TERRI L. WEAVER XXXX70 8 STATEMENT PERI00 From To l/Ol/lu 11/30/11 WAL-MART #1886 I~CNANICSBUR PA 1109 DIRECT DEPOSIT 9050891328 25 34 METROPOLITAN ANN. PYMT . 2 3 3 7 8 0 L109 DRAFT PAID 0841 -3 10 L109 DRAFT PAID 0843 -13 0 230770 L110 .DRAFT PAID 0842 -5 00 216 70 X114 PREAUTHORIZED WITHDRAWAL 9110000001 _17 48 211 70 METLIFE PAYMENT 19 4 4 9 0 .115 * PREAUTHORIZED AUTO TRANSF TO L 5 -10 00 .117 ATM WITHDRAWAL *001 4511 _g 01 184490 GIANT 6263 ENOLA PA 17 5 7 8 9 .117 * ATM WITHDRAWAL *654037162 -1 00 APLUS 0509980900 ENOLA PA 1 7 4 $ 9 .118 ACH DRAFT 0845 -3 32 UGI UTILITIES UTIL PMT - 1 7 0 5 7 118 118 DRAFT PAID 0847 -5 00 121 DRAFT PAID 0848 -51 83 165 57 ATM WITHDRAWAL * 001 4040 -4 22 113 74 GIANT 6263 ENOLA PA 109452 122 ACA DRAFT 0846 -1 44 Gerber Life Ias CHECR PYMT- 1 0 7 0 $ 123 PREAUTHORIZED WITHDRAWAL 9200503038 -52 99 Nationstar Nationstar 5 5 0 9 123 ATM WITHDRAWAL *401865546 -1 0 GOOD DAY PHARMACY MBCNANICSBURG PA 5 4 0 9 125 * DEBIT/CHECK CARD TRANSACT *VBASE-379 -3 1 SUNOCO 0363902805 MECHANICSBURG PA 5 1 4 9 9 130 NEW BALANCE 51 99 ---- OV RDRAFT AND RETURNED ITEM FEES SUMMAR - S4 C CKI G U - ----- -------------------------- ---------- -- ---- S 4 TOTAL FOR - - --- ,I, AL ---- -- ------THIS --------------- PERIOD YEA -T -D T COT OVER RAFT FEES $ - --------- -- 0 00 _ -- - ------ -- -- - ----- -- COT RETU NED ITEM FEES $ . 0 00 $ 0. 0 . $ 0. 0 DTAL DIVIDEND YEAR-TO-DATE r a1 savings e>zoept IRA. ividends shown, if S10 or over; wig be Ported to the Irrtemal Revenue Service r this calendar year. VDICATES EFFECTIVE DATE **CONTINUED** I ~~A~E~-TO-QATE _J foraq bans, NOTICE: See reverse side for important information 005949 - 007803 PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS k " ~~J~LLIVAN FUNERAL HOME John C. Sullivan, Director 51 N. Enola Drive Enola, PA 17025 1~, .g_ h t a n g your way phone: (717) 732-5400 Fax: (717) 732-2162 STATEMENT OF FUNERAL C'~DS AND SERVICES SELECTED Charges are only for [bore Items that are aced. U we are required by law to ate anY Iteta, we wtll tntplaln In wridng below. U you tekstted a funeral which requited embalming, tuck u • funeral with viewing, You cosy have to pay for embalming. You do rot have to paq for embalming you did not ipprove U'.you [elated arrangetnenu tuck as a direr[ aemadon or Immediate burial. Uwe charged (a anbalming, we wiA «~Idn why belows For the Servke of _7EfILZ WeAt.c~ Date of Death tl /l'7 / // Qutge tot QNL4* OA-~//Y' ~ Ai2JNt.D ~ EP-o~..k IA /'~'~-r- Name Addrett ~_ - A CHARGE FOR SERVICES SELECTEDt 1. Pto[eswiona! services Services of Funeral Dltecta/Staff F~belming Other preparation of body Cosmetology, tireaslag and casketing Sadtsry care when embalming k cwt elected' Dressing aril placing in tzsket a altemetive coatatrter ally SUBTOTAL OF PROFESSIONAL SERVICES .. 2. Fsdlida and equipment Ute of factlldet fa viewing ate of fdlltin fat funeral aremonY .... S ~,L Ute of admirtistradve arw, teoeption trw and arrutgnnettt rooms ......... S ~" Ute of Preparation roam .............. S = Other use of fadlidn r~~~ ~ ~ JU't I V ~ ~ ~ ~{~~1 V ' r ~ ~. ~ 2~3 V "'w` s- SUBTOTAL OF FACfLITIESlEQUIPMENT ... S _ 3. AUTOMOTIVE EQUIPMENT Vehide w transfer retttairu m Funeral Home.~,,~/ Local .............................. S ~` Heave (Casket Coadt) Local .............................. S I~moaine I.onl .............................. S Fatntiy ur Local...... ............... S _. FknveC nr or flail dispaldon Loaf.. ............:.......... S- Lead ur/dergy car Lord. ...................... S_~ Car for pallbeuert Lout . ........................... S - Out of town matmpotudon ........... S S- s _ ., SUBTOTAL OF AUTOMOTIVE EQUIPMENT S _ TOTAL OF PROFESSIONAL 3ERVLCE3, PACIIIT'iE9 AND UTOM ~ EQUIPMENT ..4.~1+kr. 4.C3~. Y .. (~~!!f . ~ S ~S~ & CHARGE FOA MERCHANDISE SEI.ECI'EDt Cooker .. ...................... S _ (Descripdott) C~hr. Rx ; rda ............~........ S (Destxipdott) Outer burld wnwiner ......~......... E (Pncipdotd Adawwlalgemetu tsrds .............. S ~ Regltcer book([) ..................... S Memory foldm . . ................... S ~ __......... S_ .~.....,c a t degrartu .............. f Airfare ............................ S Clergy/MaatCdfering ................ S Its Pallbearer ..~ ................... .. S ~._ Cerdflad Copier of the Death Cert S .3~ Polio Esmr ........................ S _ Elowert ..... ~ ...................... S - VaultServi«Clurge ................ S- S _ S_ S _ S_ S S _ SUBTOTAL OF ADVANCES ........ . ........ S 1 O SUMMARY OF CHARGES A Profesdonal Servlon, Faclllda and Equipment, and Automodve Equipment ... S ~ ~' B. Merchandue .......................... S C. Special Chugea ........................ S D. Cash Advances ........................ ft_ nr TOTAL OP ALL SELECTIONS ................ S PAID AT TIME OF OR PRIOR TO ARRANGEMENTS ........................... S '-- BALANCE DUE .............................. f~ REASON FOA EMBALMING f,~tyi-(.r U any law, umettiry or uematory requiremetua have requieed the purchete of any oft lined the kur a r b «plaitted below. Prayer cards ........................ S Temporary grrve marker....: ~ . ~ ~ .... ~ S _~ Burial clothing ...................... S _ ,. _ 1 hereby agra that I have examined the above [aced ltetm and frond them to be torten and according [o the arrangemenu requared std I ltceby acknowledge nndpt of a. mpy of thin tnarorandum sad agreement I hereby reprnent that t h~ve ry~riertr aueu I~s°vallabte for payment of the cash gxlpa and hereby agra and mvenuu,Jpln[ly and tcvecally w make payment of 5 S t,l wjrhln des A late duuge of~~_per month amoundng to / !y per Yea la applied to the unpaid balan« begiruung. ~ ,days from daa of [ egrcement. Any add[aonal tervlca a merchandix ordered a requested after the daa of chit agreement will be mnsldaed part of th4 ^ the cat rd will b< reflected on tlu flttd uuetnent. 11r, ~ / I 1 (Suq ~~(,(~ T~ ) (Dace) (Sad)-;`y'"""_C~~1 (Port rater) (Liansed Funeral Directo~ <ry~ o r.eerrt.nu w,v.~ ta„r,a., nrm.,m Lnecx image '~.~„~'= AiVGEt:A IVL P1lY1tFE ~.~,, ~ ~ a-~ CHARLES W. PAYNE . . . I ~OSMOUNiA1N SIREEI' ENOLiPA IA?S ^/ Mre ~OY~/// [~ ~~/ @GG m~taa~rane ~j_1;71-~2'i~d ~ ~~irfN/r~ /TR/ I /~ n A1~~lLl ('~ I: ~. ~~: ~. I , i ~ ~-x~i'r r~i i tjL ~ L ~t y [l Q°~Y S ' T . a .. e, i. b ~~cx,.,,~s b ~• I~ ~sr ~~~ ~~ [[ ~~ iJ- - Y~Z`ZJ~ ~~'1~~~ f_ ~ ~~Iy~S~7~J'~J'i~' a ~~]~~ I ..I ~ _ .__ - +~. li r - ~ ~~; ~ i' R~ 1.J c ~ (" e , W ~ _ 2 ip V W, °~ ~ - , ~ ~~ ~3 rage i or i https:/Im 1 online.members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?accou... 2/15/2012 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills Cne Courthouse Sqquare Carlisle, PA 17Q13 WEAVER TERRI L Estate File No.: 2012-00024 Paid By Remarks: ANGELA PAYNE CJ ------------------------ Receipt Distribution Receipt Date: 1/09/2012 Receipt Time: 10:25:16 Receipt No.: 1068309 Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST WILL 135.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 15.00 CUMBERLAND COUNTY GENERAL FUN AUTOMATION FEE 23.50 5.00 BUREAU OF RECEIPTS & CNTR CUMBERLAND COUNTY GENERAL M.D FUN SHORT CERTIFICATE 32.00 CUMBERLAND COUNTY GENERAL FUN Check# 2534 $210 50 Total Received......... S . 210.50 l' I,-u r' IL ~ 2 ~ 3 -~ t:uSiOmer /i.ccvuni mrarmauorr For Service To: Terri L Weaver 85 Arnold Rd Account Number: 24-0663680-9 Premise Number: 24-0391762 Billing Period & Meter Information Billing Date: Dec 16, 2011 Billing Period: Nov 11 to Dec 13 (32 days) Next reading on/about: Jan 13, 2012 Rate Type: Residential Meter readings in current billing period: Mater Number N040168804 is a 5/8-inch meter Present-actual 758000 Last-actual 758000 Gallons used 0 Water Usage Comparison Monthly usage in hundred gallons. sl ~ - - 7~ i v £! - ~~ 1 3~ 1 'T am-r-y Jtrn----~r-y --- ---~--Prior Bal:~nce----------_.____ Prior Wafer Balance Prior Valance Other Payments prior to Dec 16, 2011. Thanks! Total prior balance, Dec 16, 2011 ------_--Current Water Charges------- Service Charge Total water charges, Dec 16, 2011 ------Other Current Charges-------- Customer Protection Water Line Total other charges, Dec 16, 2011 --------AMOUNT DUE --- $20.97 $5.50 -26.47 .00 13.75 13.75 2 D J F M A M J J A S O N D 2 0 e a e a p a u u u e c o e 0 0 c n b r t y n I g p t v c j 5.50 5.50 $19.25 Messages to you from Pennsylvania American Water Any portion of the water charges which is not paid as of 1/10/12 will be subject to a 1.50 % penalty. Approximately 4.57 percent or $.62, of State taxes are included in your current bill. 'Effffective November i 1, 2011, the Distribution System Improvement Charge {DSIC) decreased from 5.44% to 0.00%. This charge funds the replacement of water distribution facilities. Have you moved or changed your phone number? If you have recently changed your primary phone number, phase update your account information online using My H2O Online at www.amwater.corr/myh2o or call us at 1-800-565-7292 so that we can update our records. Effective November 11, 2011, the State Tax Adjustment Surcharge. (STAS) was decreased from 0.32% to 0.00%. .,_._. ~~ 000912/000812 NCDERK TAV04 i23 n.. - ^-- vu~iv~nc~ oc~vn,c a Cn~Elr~CrlGt@S 1-iSUU-bbb-/ZyL (G4 NOUfS) For Hearing Impaired Customers TDD 1-800-300-6202 {24 Hours) Visit us online at: www.pennsylvaniaamwater.com RAW 100AM6391AM6401 A1M 20362 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 15250-7412 For Service To: 85 Arnold Rd OD024066368D900000D0000002128018 ~I,I~II~IIIIIIIIIIIIil~llll~l~ll~.l..,t.t.ultll~ttlil~~i~i.l.,l, 028624 1 AV 0.337 0624/28624/OO06P4 126 1 NCDGRA. TERRI L WEAVER 85 ARNOLD RD ENOLA PA 1 7025-2 1 48 PENNSYLVANIA AMERICAN WATEF PO BOX 371412 PITTSBURGH, PA. 15250-7412 III~IIIII.I.II~IIIIi,,..11111..II~IIIIII~IIIIIIIIIIIIIIillllll~l~ Please check here to add N20-Help to Others contribution ro your monthly bill ---- or to d~ange your address ar telephone nurnbey, and print information on - ---- - -- - --------•- --- - -•------- -- reverse s~ale Customer Account /nformat/on - _--- °~'"~- 8ll/Ing Summary ---.~..a .--~:- .~ .,_ _ For Service To: Terri L Weaver 85 Arnold Rd --------Prior Balance----_r.-______ Account Number: 24-0663680-9 Prior Water Balance Premise Number: 24-0391762 Prior Balance Other $13.75 Payments prior to Jan 18, 2012. Thanks! $5.50 BI!/Ing Perfod & Meter Information Toil prior balance, Jan 18, 2012 ~ 19.25 Billing Date: Jari 18, 2012 --"----Current Water Charges---___ • 00 Billing Period: Dec 13 to Jan 13 (31 days) Next reading on/about: Feb 13 2012 Sernoe Charge water Volume ($ 009101 x 200) 13.75 , Rate Type: Residential Total water charges, Jan 18 2012 1 " 82 , -------Other Current Charges------~ 15.57 Meter readings in current billin ' Customer Protection Water Line 50 5 Meter Number N040168804 is a 5 8-in-inc h meter. Present-actual 7 Late Payment Charge Total other charges Jan 18 20 . ----'? 1 58200 Last-actual 758000 , , 12 5.71 Gallons used 200 "`---AMOUNT DUE ----________ ~-t~~ --~ I' I~G, dL i ~ ~ I i 2. C~~c.it ® Questions? Please ~ Visit us online at ?S Page 1 contact us by Jan 17. pplelectric.com 1-800-DIAL-PPL ~ r s ~~~.,1 ~„ (1-800-342-5775 ~+. ebcv+c ueawe• M-F: Sam to 5pm 44780-82007 Jan 17, 2012 $27.69. Your Electric Usage Profile Service to: TERRI WEAVER 85 ARNOLD RD ENOLA, PA 17025 Meter: 96386606 Your next meter reading is on or about Jan 25, 2012 This section helps you understand your year-to-year electric use by month. Meter readings are actual unless otherwise noted. 200 ~ 20~~ az 3 35 za ~ n is a ~ 0 Months . Dec 2011 34 169 • 5 41F Dec 2010 30 451 15 33 F .. Dec 27 Actual 47677. Nov 23 Actual 47508 34 Days kWh Billed 169 - . . Jan 2011- Dec 2011 3991 _ 333 Jan 2010 -Dec 2010 6698 558 Billing Summary (Billing details on back) Balance as of Dec 27, 2011 $0,00 Charges: Total PPL Electric Utilities Charges $27,69 Total Charges $27,68 yunt Due By !an 17, 2012 $27t6~' Account Balance $27 69 PPL Electric Utilities' price to compare for your rate is 7.769 cents per kWh effective 12/1/2011 to 2/29/2012. For a list of supplier offers, visit papowerswitch.com or www.oca.state.pa.us. Your Message Center • With paperless billing, you can receive and pay your PPL Electric Utilities bills online. The process is free, quick, convenient and secure. To learn more or sign up, visit pplelectric.com. • Information about appliance energy use and tips on saving energy are available through the Energy library = on our Web site, pplefectric.com. ~ • Before digging around your home or property, you ~ should always call the state's One Call notification system to locate any underground utility Tines. You can do this by simply dialing 811, which will connect you to the One Call system. Be safe and ca11811 before you dig. Methods Online at: ®By phone: i-800-342-5775 pplelectric.com or call BiIlMatrix (service fee applies) at 1-800-672-2413 to pay using Visa, MasterCard, Discover or debit card. ® By Mail: Correspondence should be sent to: 2 North 9th Street Customer Services CPC-GENN1 827 Hausman Road Allentown, PA 18101-1175 Allentown, PA 18104-9392 Other important information on the back of this bill ~ J F M A M 1 J A S 0 N D _ Questions? Please ~ Visit us online at Page 1 ©contact us by Feb 15. pplelectric.com 1-800-DIAL-PPL ' ~~ ~^ „ (1-800-342-5775) F~ c usuu~ M-F: Sam to 5pm 44780-827 Feb 15, 2012 $26.50 Your Electric Usage Profile Service to: TERRI WEAVER 85 ARNOLD RD ENOLA, PA 17025 Meter: 96386606 Your next meter reading is on or about Feb 24, 2012 This section helps you understand your year-to-year electric use by month. Meter readings are actual unless otherwise noted. 2011 ~ 2012 3 0 0 a moo a az 35 sa 21 14 7 0 _~~~ J F M A M J J A S O N D Months Jan 2012 29 160 6 33F Jan 2011 33 439 13 27F Jan 25 Actual 47837 Dec 27 Actual 47677 29 Days kWh Billed 160 . . -Feb 2011-tan 2012 3712 309 Feb 2010-Jan 2011 6667 556 Billing Summary Balance as of tan 25, 2012 Charges: Total PPL Electric Utilities Charges $26.50 Total Charges $26.50 vunt Due By Feb 15 2D12 $26.51) Account Balance $26.50 PPL Electric Utilities' price to compare for your rate is 7.769 cents per kWh effective 12/1/2011 to 2/29/2012. For a list of supplier offers, visit papowerswitch.com or www.oca.state.pa.us. Your Message Center • With paperless billing, you can receive and pay your PPL Electric Utilities bills online. The process is free, quick, convenient and secure. To learn more or sign up, visit pplelectric.com. • Information about appliance energy use and tips on saving energy are available through the Energy Library on our Web site, pplelectric.com. ~ • Before digging around your home or property, you 8 should always call the state's One Call notification system to locate any underground utility lines. You can do this by simply dialing 811, which will connect you to the One Call system. Be safe and call 811 before you dig. Payment Methods Online at: pplelectric.com details on By phone: i-800-342-5775 or call Bi1lMatrix {service fee applies) at 1-800-672-2413 to pay using Visa, MasterCard, Discover or debit card. ®By Mail: Correspondence should be sent to: 2 North 9th Street Customer Services CPC-GENN1 827 Hausman Road Allentown, PA 18101-1175 Allentown, PA 181049392 Other important information on the back of this bill ~ •.;:~. ®Retum this part in the envelope • s a M~~ o~ Provided with a check payable to PPL Electric Utilities. 44780-82007 Feb 15, 2012 $26.50 I~PL Eiecvlc tltllldee AV 01 007460 246248 28 A"SDGT 1111111"11111111'II'Iilll'illlllllll"I11111111'I'11I1111111'III TERRI WEAVER 85 ARNOLD RD ENOLA, PA 17025-2148 Amount Enclosed: oo^ooao^ PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET CPC-GENN1 ALLENTOWN, PA 18101-1175 "I11'lll'llllll"'111'111"III'I'I'lllllll""II'llllllll"'ll'1 ~~ oar rrsriee Bill[~g >;uetmary for Senrica to: TERRI I YYEAVER 85 ARI~LD RD ENOLA PA 17025 Rafe Clasaiflcation: Residential Hating Billing Psrlod: 10/28/201ito 12/Oi/2011(34 days) Comparry Read QuestionsY Call 8o0-27s-2722 or write to UGI at PO 80X 13009 Reading, PA 19612-3009 'Your current UGi charges include State taxes totaling about $ 2.21. Peat BIII Intornration -UGI Utility (:t1S~h1Er NUrrlbel'„ ,°.,. The account balance on your last bill was ....._...._... $ 36.32 Thank you for your payment of ......_...._........_ ............. -36.32 221628513162 Your balance as of 12/05/2011 .._ ................_...._..._.. ~8' Current Bill Iniormatlon -UGI Utility Customer Charge ._....____..__ ...................._......_........... 8.55 Commodity Charge (50 CCF at $0.75120} ...__...._. 37.56 Distribution Charges (First 50 CCF at $0.45700) ... 22.85 PA State Tax Surcharge ......._....____..____..___.._..__. ~- .2~3 Total CurrentCharges -UGI Utility ..__............__....__. ~$.~ UGI Utility charges owed this II _ ;68.78 Meter latorma8on -Next Rsad Dam January 8, 2012 4.80 age C(~ Per Day Meter Nuaber Previous Reading Present Reading CCF Used 4.32 1191527 5699 (company) 5749 (company) 50 3.84 3.36 Nesaagea trom UGI 2.88 ^ Your currant price to compare is $ 0.65040 /CCF. 2.40 1.92 1.44 0.96 0.48 0.00 Last This Average Yar Yar CCF/day 1.13 1.47 Daily temperatunt 44°F 46°F ^Your total annual usage is 526 CCF. Your average monthly usage is 43 CCF. ^ We can make your energy costs osier on your budget with our 12 month Budget Billing plan. Your monthly payment would be approximately $ 54.00. For more information about this plan call UGI. ^ Help pre~nt pipeline damage, accidents and service disruptions. Call 811 before you dig. ^ Like us on Facebook at www.facebook.rxxn/ugiutilities for ways to save energy, holiday entertaining tips and exclusive offers. ^ Rinnai tankless water heater offer ends December 31st, visit www.ugi.comlrinnai for details. If you pay at a payment agent please take your entire bill Make check payable to UGI. Keep this part for your records. Important information is on the back of this bill. 8 m NDJFNANJJASON 2010 Nontha 2011 =~ aws sESriee Btllirra Summary for Benrics to: TERRt L WEA1/ER ENOLgRMpAj 7025 Rate Claaaificatlon: Residential Heating Billing Period; Ot/03/20i2 to 02/01/2012 (29 days) Company Read QuestlonaP Call 800-278-2722 or mite to UGI at PO BOX 13009 Reading, PA 19612-3009 '" Your current UGI charges include State taxes totaling about 6 2,94. 3.84 3.36 2.88 2.40 1.92 1.44 0.96 Past Btll inforrnation -UGI Ufility The account balance on your last bill was ..".,.,,,,,, nk you for your fate Charge Pay-nent of $168.81 Customef Ntiti .....""....""......""_": -69.59 Your bale ""......""""_.._....". nce as of 02/03/2012 (due now""`""" " ) ,......._". --~~1,2~4, 2216285131 I Current 9111 iatormatten -UGI Utility Customer Charge _ Commodity Charge (B2 CCF at 50.63549] ~..._~~" ~~ ~~stributiw~i barges ((First 50 CCF at $0.40480}". pA ~~ T -'9es (Ne~ct 32 CCF at 60.34031} . UG~1 lltiirrent q~i~a~e."".. """..`. "~"....". ` " arges -UGI Utijittyy Itfr charges awed this bill ._ ' Total Anrount Due, Please Pay by Dus Date (OZ~, 8.55 52.11 20.24 10.89 "w._"....__"_..". =15 "._. 1/2012) "........".."".."_"_.."_. ; i9 Meter Ir+tarnrathm _ Rsad Date March 2, ZOi2 Msbr Number Previous Rsading p 1191527 5839 (company} resent Riding CCF Used 5921 (company} 82 Mayes from UGI • Your current price to compare is 6 0.65040 /CCF. • Your total annual usage is 531 CCF. Your average monthly usage is 44 CCF. • Help pB++errt pipeline damage accidents and service disro bons. Call 81 t P bef~e You dig. •Dut ~ ~er-ey make the switch b natural gas? Share your story with us at vvyvv-cfacebook.com/ugiutilities. • Save time. Save the planet Sign up to view and pay Your UGI bills online at wwyvugi,com. Avera a Last -This g Year Year CCF/day 2.311 Oaily temperature 26°F 35 F If Y~ pay at a -- Payment agent please take your entire biU. Make check -' ------ - Keep this part for ---- ,___ yarrrecords. Important irrMrmatlon is on the a k ofthlslblll, ~~ ~- •ws sssritE UGI utilities, Inc. Customer Number Please Po Box 15523 221628513162 PaY by the due dat wtmington, DE 19886-5523 to avad the late charge Please return this portion .__ with your Payment AV 01 003400 288436 41 A**SDGT ~ ~ ~ 4ate ~++1+1++1~1~1+~~~11~i1+1••y~,+II~1++1~+1+111~1~111+•+I~ill++~1~1 February 24, 2012 TERRI L WEAVER ~ a " 85 ARNOLD R1J - - $ 191.91 ENOLA PA 17025-2148 WiCh Late Cha+~e $194.29 - _ .. 280 22162B57.a1.L~n»~,,,~,~,.__ __ _ 'FMAMJJASONDJ 2011 Months 2012 ~}' ?~-- ?~; e~ _; 1 JIB ~Y ~? -T~ ~_ ^~ 4 '-' {~: t'Y. Y :~ 3 43 . Yj' ~••3 i :~ +,.i ~! f ~I °i ii ~4 p'.t _ ~.~i ~~ ~_~ =i -~-~~ ~~~o~ ~,~~ ~,~ ~_c L:`~J ~ ~ ` T -- h Jc - ; ,' ~ =;_; .~ ~-~ ;-- ,~, ~ c 2 ~-~D "'i e ~~ ~ ,> `; arnC ~ s- c _, n -- O~D ,~ {? '. r ~~ ~~ ~ ~ L ~~ ~(~~~ - . liJ~., ~~~ >~r ;~ ~~ T~ ,~ _ rr Lt? ,~ r; ~ 7 ~~ ~ r, Cr ~ _ -r r~~ _ =~ l~ l ~ ~i~ ..a . ~~ ~ C.) C. . 1 t i ! 1 Gam ' jJ ~ . ~ 7 ~.i ...-I r j _ f~ , 1 ._.. , ~7 .~ l~ i ~ ~ "; ~ I i„I EAST PENNSBORO TOWNSHIP - - -' -- - --- 96 S ENOIA DRIVE _ ENOLA, PA 17025-2796 '~ ~ ~ ~ ~r`L71~' .rte ~ }~ V ~ ~ ~ ~ ,, , ~ ___ _ _ PRESORTED F- , ~ ~ ~ _ r . r ~ SEVVER/SANITATION ~ ~- ~ "7 t ~ 7 Telephone 732-0711 Retum this Portion with Pa RST CLASS MAIL U.S. POSTAGE PAID yment. J I Office Hours 8:00 to 4:00 Mon tnru Fri SANITAT ON BIIIing Codea od -. Amount R ENOLA, pA PERMIT NO eading Det@ Present Reading BA - Prev Bal. A 1 ~>30QQ j ~ ~ j 2 ~ PY-PM7 . 9 Previous. Reatlin 9 consumption Amount PN - Penaltment C ~ ~. rJQ~~7 ~ C' ~, ~. ~~~d SW- Sewer ~ 4tS5tI2O~~ ~ G TR • Trash 57:~ S M -Interest Y - ~ 51 800c ~ ~ ~ ~ Y ~~ LC -Late Charge W 91 SC?4~3t? 1 c W MS- Miscellaneous ".~, .~'~ ~ ~`-~~ R a~bsoo~,~o~~ ~ ~~.:~o ~~~o • .. .. . - . ~~~. r ~ - - r- ~ ~~ No. nner Due Dale -> +7 ~ WEAVER, TERRY T>rRRY WEAVER 8S ARht©L.)~ RpAD ~j~Il!!Il1111IflII!!II(~~Il ~~~~A 'i„tilitttlli,,,,,ltititit,titit,tli I,tlh~f,l©i, i,itlt,lU ~~~~ ~ 3 3 ,_ ANGELA M. PAYNE _ - CHARLES W. PAYNE fio-6zza~xt,s 2 5 8 6 405 MOUNTAW STREET ENOLA, PA 17025 DATE r PAY TO •(;t, THE ORDER OF f .e ~ ~ S ~ L g I3,~ cry ~ ~ ~Q n • ~.-/ y 8c ~ .JCS-W'VT ~ ~~II~ --~OLLARS e a"°°'. ..d ~1~ _~ MEMO i ern Uvf aa, V e r ~ - ~:23i3822411r: 2i8i563913t~' 2586 - _ ~>~.,~ - a` , MORTGAGE P.O. BOX 650783 DALLAS. TX 75265 www. MyNati o nstarMtg. com Nano sn ar° ~~T HORIZON 57892-094050-019 TERRI L WEAVER 85 ARNOLD RD ENOLA PA 17025-2148 II I~n~ullll~~lu~~~llll~lur~~nr~lyllr~rif~l~~rlrhll~'I~Ilrl MORTGAGE LOAN STATEMENT DETACH COUPON BELOW AND RETURN YNT'H YOUR PAYMENT, RETAMN TOP PORTION FOR YOUR RECORDS. ~~ 1~88J80-2432 Statement Date: 12/ 16/201 1 Payment Due Date: O i /O i / 2012 Loan Number: 0596914544 Home Phone Number: 717-728-9850 Work Phone Number: 000-000-0000 Property Address: 85 ARNOLD ROAD ENOLA PA 17025 ~'~'~ _ __ __ _ - - AMOUNT DUE EXPLANATION Interest Rate 5.250% Principal and Interest Due $379.84 Principal Balance - As of 12/16/2011 $25,318.08 E~row Amount $143.33 E~row Balance - As of 12/16/2011 $215.20 Totat $523.17 Past Due Payments $523.17 Unpaid Late Charge(s) $ig.99 Amount Due• - By 01/01/2012 $1,065.33 "This amount does not include any payments made, or fees orcharges that may have been Incurred andlor added to your account aRer the date of this statement. The Principal Balance does not represent the payoff amount of your account and is not to be used for payoff purposes. Interest Paid Year-To-Date $456.91 Taxes Paid Year-To-~te $990.83 PLEASE NOTE: If the payment due On 01/01/2012 is not received by 01/16/2012, a late charge in the amount Of $18.99 may lie assessed to your account. PAYMENT ACTIVITY Last Payment Received ,11/22/2011__ ______ _ ----Principat --~checAiled --- __ ____~B7;~--- Interest $111.84 Escrow $122.16 Late Charge(s) $18.99 Total $$~. ~ IMPORTANT MESSAGES Additional Critical Notices -see reverse side Nationstar Mortgage will be mailing your 1098 form (mortgage interest statement) no later than January 31, 2012. You can obtain information on interest or property taxes paid through our automated customer service line or by logging onto www.MvNationstarMta.com anytime after January 3rd. (If your loan was acquired by Nattonstar Mortgage 1n 2011, you will receive a 1098 form from your prior servicer for the time they serviced-your loan, and a 1098 from Nationstar for the time We serviced your loan.) We appreciate your business. Please visit us on the web at www.MyNationstarAATG.com. Important Tax Information; Nationstar Mortgage will begin mailing 1098/1099 tax forms in January. Please take a moment to verify that we have your correct contact information on file to avoid any delays in receiving dour tax forms. Log on to My Account online at www.mynationstarmtg.com and update your contact -nformation today! '=-- -?a rasci~~a pa~apua~ samaras' o~ pa$iet ~ aq hear ieyF saa/ Be apnpur you vp saa, ,~a,,r~ an,ge aql sluatunoop an.~r ~.nrr rn ~ r ~w _. .., ,~. r~~ .t-. .... ............ ..~..,,. ._,.._... ,_... ,. _,- __. _ . _ ... UGI Utilities, Inc.. Customer Number PO Box 15523 Pl~se pay by the due date - ~Imington, DE f 9886-5523 ~~ 628513162 to avoid the late charge. - ees rr.r.eE Please return this potion with your oavmpn+ ,. ----- __: _ . ANGELA M. PAYNE _. _ _ _ ----- ----_. -- CHARLES W. PAYNE ~'~~13 2 5 8 4 405 MOUNTAIN STREET ENOLA,PA ]7n2s r b 0 DATE ~ ..j ~ ~ ~ 9~ ~ ~ 3 ~. C~,3 - i ,~ gt DOLLARS W ~ ~ ~~ la 1..~,~~ ~~ M~~i~>r ~ 3; ~a~ ~ ---_____ ~~ p ^:23i38224i~: 2i8i5639~3x^ -- "' 2584 ;~ ANGELA M. PAYNE CHARLES W. PAYNE 405 MOUNTAIN STREET ENOLA, PA 17025 8 5 PAY TO U THE ORDER OF ,/r~,3 2 5 71 DATE 3 f .~ ~/~_ ~, /~.~7 DOLLARS 8i "'"`~`~ i :~ St v ~_~ 1~1~E~~. MEMO 2 2l La2~fSl ~ l[p ~ %`~. ~a^,c... ~:23i382241~: 2i8i5639i31i' 2571 Please pay try the due date UGI Utilities, tnc. Customer Number. ~ avoid {~ late charge. PO Box 15523 221 fi28513162 Please return this portion ~~ wlmingtnn, DE 19886-5523 with your payment lH sus sEevieE Billing Summary for Service to: TERRI L WEAVER 85 ARNOLD RD ENOLA PA 17025 Rate Classification: Residential Heating Billing Period: 01/03/2012 to 02/01/2012 (29 days) Company Read Queations7 Call 800-276-2722 or write to UGI at PO BOX 13009 Reading, PA 19612-3009 '"Your current UGI charges include State taxes totaling about $ 2.94. 4, 4. 3. 3. 2. 2. 1. 1. 0. 0.~ 0.1 90 32 94 36 38 SO i2 JFMAMJJASONDJ 2011 Months 2012 Last This Average Year Year CCF/day 2.36 2.83 Daily temperature 26°F 35°F Past Bill Information -UGI Utility k~- z .. a The account balance on your last bill was ............. $ 168.81 ~ ~ ~, 111e ~ ` ~ , ,- Thank you for your payment of .................................. -69.59 ~ ' Late Charge ..................................................................... 1.24 221628513162 Your balance as of 02/03/2012 (due now) ............ ~'a:~ ~,~ Current Bill Information -UGI Utility Customer Charge ........................................................... 8.55 ~ ~ ~~ ~ ,k~r Commodity Charge { 82 CCF at $0.63549) Distribution Char es (First 50 CCF at $0.4048 ~. 52.11 20.24 ~~ r' ~ g ; Distribution Char es (Next 32 CCF at $0.34031 10.89 ~~~ PA State Tax Surcharge ................................................ -0.34 Total Current Charges -UGI Utility ............................ 91.4 UGI Utility charges owed this bUl ........................... ..................................................... 5191.91 Total Amount Due, Please Pay by Due Date (02/24/2012) ................................... 5191.91 me~er mrormauon -hex[ Keae uau march Z, Zo7Z Meter Number Previous Reading Present Reading CCF Used 1791527 5839 (company) 5921 (company) g2 Messages from UGI • Your current price to compare is $ 0.65040 /CCF. 'Your total annual usage is 531 CCF. Your average monthly usage is 44 CCF. 'Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. • Did you recently make the switch to natural gas? Share your story with us at www.facebook.com/ugi uti lities. ^ Save time. Save the planet Sign up to view and pay your UGI bills online at www.ugi.com. If you pay at a payment agent please take your entire bill. Make check payable to UGI. Keep this part for your records. Important iniormatlon is on the back of this bill. 8 8 ~H -= BAS fFAY/CE Billing Summary for Service to: TERRI L WEAVER 85 ARNOLD RD ENOLA PA 17025 Rate Classification: Residential Heating Billing Period: 10/28/2011 to 12/01/2011 (34 days} Company Read Questions? Call 800-276-2722 or write to UGI at PO BOX 13009 Reading, PA 19612-3009 Your current UGI charges include State taxes totaling about $ 2.21. Past Bill Information -UGI Utility The account balance on your last bill was ................ $ 36.32 Thank you for your payment of ..................................... `363-2a Your balance as of 12/05/2011 ................................... Current Bill Information -UGI Utility Customer Charge .............................................................. 8.55 Commodity Charge (50 CCF at $0.75120) .............. 37.56 Distribution Charges (First 50 CCF at $0.45700) ... 22.85 PA State Tax Surcharge .................................................. -0.23 Total Current Charges -UGI Utility ............................... ~~ UGI Utility charges owed this bill _ ................................_. ............................................. Total Amount Due, Please Pay by Due Date (12/2712011) ..................................... Meter Information -Next Read Date January 3, 2012 4.8t Meter Number Previous Reading Present Reading CCF Used 4.32 3.84 3.36 2.88 2.40 1.92 1.44 0.96 0.48 0.00 Last This Average Year Year CCF/day 1.13 1.47 Daily temperature 44°F 46°F >>yi5z~ 5699 (company} 5749 (company) 50 Messages from UGI 'Your current price to compare is $ 0.65040 /CCF. • Your total annual usage is 526 CCF. Your average monthly usage is 43 CCF. • We can make your energy costs easier on your budget with our 12 month Budget Billing plan. Your monthly payment would be approximately $ 54.00. For more information about this plan call UGI. `Help prevent pipeline damage, accidents and service disruptions. Call 811 before you dig. • Like us on Facebook at www.facebook.com/ugiutilities for ways to save energy, holiday entertaining tips and exclusive offers. • Rinnai tankless water heater offer ends December 31st, visit www.ugi.com/rinnai for details. If you pay at a payment agent please take your entire bill. Make check payable to UGI. Keep this part for your records. Important information is on the back of this bill. Z ~~ ~i~ ~. Z 5 3S- &~~- ~: 'Custom~erl(i'~iel` 221628513162 = 68.73 N N M S NDJFMAMJJASON 2010 Months 2011 D0024066368090000000000003869016 Pennsylvania American Water PO Box 371412 Pittsburgh, Pa. 1 5250-74 1 2 For Service To: 85 Arnold Rd Illlllhiillll,il.hullll"Il~lilllirl~glh~i,ilill~ill~ihiil 021889 1 AV 0.347 1889/21889/001889 085 1 NCDPUA TERRI L WEAVER 85 ARNOLD RD ENOLA PA 17025-2148 '• - 24-0663680-9 AMOUNT DUE (~.2~~~`~ DUE DATE Mey 08, 2012 AMOUNT PAID ~ 9~~`I PENNSYLVANIA AMERICAN WATEF PO BOX 371412 PITTSBURGH, PA. 1 5250-74 1 2 nI~IL.IIII.Iu,LUlll.ghhl.lu,lllllr4lr~lrlimll~~ll~ Please check here to add H2O-Help to Others contributron !o your monthly bi!! or-to-change your address~rJelephpne number, and prarf inlormation on reverse side. .... _. _ ANGELA M. PAYNE CHARLES W. PAYNE ea-e2e4~23'3 2 5 8 5 405 MOUNTAIN STREET J ENOLA, PA 17025 DATE ~ I ~ l I of PAY'PD QQ~~ q S THE QJtDER ~ ~ ~ ~D r ~~ ~g l (/D ~ DOLLARS o ~ 1.~~ " MEMO ~ LI -Q (E~e '~ lS~, V - -~ ~:23i382241~: 218L5639L3u' 2 85 . _ _. __ ~r..,E ~.uawrvrcr rtut,vurrt -rnvrnrauvrr For Service To: Terri L Weaver 85 Arnold Rd Account Number: 24-0663680-9 Premise Number: 24-0391762 Billing Period & Meter Information Billing Date: Jan 18, 2012 Billing Period: Dec 13 to Jan 13 (31 clays) Next reading on/about: Feb 13, 201.2 Rate Type: Residential Meter readings in current billing period: Meter Number N040168804 is a 5/8-inch meter Present-actual 758200 Last-actual 758000 Gallons used 200 Water Usage Comparison Monthly usage in hundred gallons. 13 ~ ._ b .~ ~.. =t vrru--y .~unrnrar y ----------Prior Balance------------------------ Prior Water Balance $13.75 Prior Balance Other $5.50 Payments prior to Jan 18, 2012. Thanksl -19.25 Total prior balance, Jan 18, 2012 .00 ----------Current Water Charges---------- Service Charge 13.75 Wafer Volume {$.009101 x 200) 1.82 Total water charges, Jan 18, 2012 15.57 ----------Other Current Charges--______ Customer Protection Water Line 5.50 Late Payment Charge , 21 Total other charges, Jan 18, 2012 5.71 ----------AMOUNT DUE ------------------- ~ ~ S 21.28 2 J F M A M J J A S O N D J 2 ~ b a p Y n ~~ 9 P t v c n ~ 2 ~~ l~~` ~~\ ~~ Messages to you from Pennsylvanfa American Water Any portion of the water charges which is not paid as of 2/i3/12 will be subject to a 1.50% penalty. "Approximately 4.57 percent, or $.71, of State taxes are included in your current bill. 'Effective November 11, 201 i, the Distribution System Improvement Charge (DSIC) decreased from 5.44 / to 0.00%. This charge funds the replacement of water distribution facilities. Have you recently changed your primary phone number? if you have, please update your account information online using My H2O Online at www.amwater.com/rnyh2o or call us at the number below so that we can update our records. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us online at: www.pennsylvaniaamwater.com RAW 100AM6591AM6601 000624/000624. NCDGRA TAV06 123 A1M 17601 vuatvn,c, MLf,.VU/!l //NV//F1Al/V// For Service To: Terri L Weaver 85 .Arnold Rd Account Number: 24-0663680-9 Premise Number: 24-0391762 Billing Period & Meter Information Billing Date: Dec 16, 2011 Billing Period: Nov 11 to Dec 13 (32 days) Next reading on/about: Jan 13, 2012 Rate Type: Residential Meter readings in current billing period: Meter Number N040168804 is a 5/8-inch meter Present-actual 758000 Last-actual 758000 Gallons used p Water Usage Comparison MOnthIV IISA(IA In f~nnrlro'! null...... fI J c; .5 1 vurmg Summary ----------Prior Balance------------------------ Prior Water Balance Prior Balance Other Payments prior to Dec 16, 20 i 1. Thanks! Total prior balance, Dec 16, 2011 ----------Current Water Charges---------- Service Charge Total water charges, Dec 16, 2011 ----------Other Current Charges---------- Customer Protection Water Line Total other charges, Dec 16, 2011 .....-----AMOUNT DUE --------------------- $20.97 $5.50 -26.47 .00 13.75 13.75 5.50 5.50 $19.25 Messages to you from Pennsylvan/a American Water Any portion of the water charges which is not paid as of 1/10/12 will be subject to a 1.50 % penalty. "Approximately 4.57 percent, or $.62, of State taxes are included in your current bill. 'E/fective November 11, 2011, the Distribution System Improvement Charge (DSIC) decreased from 5.44% to 0.00%. This charge funds the replacement of water distribution facilities. ' Have you moved or changed your phone number? If you have recently changed your primary phone number, please update your account information online using My H2O Online at www.amwater.corNmyh2o or call us at 1-800-565-7292 so that we can update our records. ' E//ective November 11, 2011, the State Tax Adjustment Surcharge (STAB) was decreased from 0.32% to 0.00%. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us online at: www.pennsylvaniaamwater.com RAW 1 OOA M6391AM6401 ~ 25 oooa 'o0oat2 NCDERK TAV04 123 A1M 20362 2 D J F M A M J J A S O N D 2 ~ c n b a P a ~ ~ u e c o e p ~ Y g p t v c ~ 1 °~ `_i` I i7 ~ ~ :i~ ~ ~" .. . i~~ n ~. r;-! ._ - _ .. _ .. r_ j _ < - , , _. ' r ~~ ~ ,-r, ' -' `~ D O .~ _ - ~-. '`. t .... _ .... '- G ~. :.l : ~ ~_ : i ~/ ~^ i - I !%. ~JI '.1 1 ~J. ~i1! ~ ~ ~~~~ ! sJ~~ _ )OB INVOICE ~~CR ~ ~ 7~15"r CUSTOMER APPROVAL SIGNATURE AUTHORIZED SIGNATURE A-2817-3817 / T-3866 iDATE ORDERED PHONE NO. JOB LOCATIt7N ORDER TAKEN BY CUSTOMER ORDER # -.._ .~....~~~~._____~~~__. ._.~~- _~-~._. _. _.__._... _. ...~..__r...._._. _..__~.~_.. ...._. ~..._._. ....__._..___.__ _~_ ACCOUNT NUMBER TOTAL AMOUNT DUE ~ a 3 ~ ~ -1 ~t~onstar" 0596914544 05/01 /2012 $3.,~84,3~+ MORTGAGE www.MyNatlonsu,rMiq.mm wR~ YOUR LOAN NUMBER ON YOUR CHECK PAYMENT DUE IF RECENED ON OR AFTER PLEASE I~IECK BOX IF MAILING ADDRESS ~ MONEY ORDER AND MAKE PAYABLE TO OR PHONE NUMBER HAS CHANGED. NATK)NSTAR MORTGAGE. ENTER CHANGES ON BACK OF COUPON O5 1 T 201 2 1 10`3 • `~ 1 ESTATE OF TERRI L. WEA TIONAL ESCROW NATIONSTAR MORTGAGE P.O. BOX 650783 DALLAS, TX 75265-0783 ~~~II~111~11~I~~1~111~111111~~1~~11~1111~1111~~11~~1111~1~~~111~1 05969145445 OOD108432 000110331 ADDI ~ ADDITIONAL PRINCIPAL TOTAL AMOUNT OF YOUR CHECK DO NOT SEND CASH $ ~31 " Au amount$ must be paid in full before additional prindpal reduction can be made. _ ----~ ANGELA M. PAYNE CHARLES W. PAYNE so-erra~z~fs 2 5 $ 7 405 MOUNTAIN STREET ENOLA, PA 17025 DATE S ~ ~ / ~ Y y~ y4 3 O II . .. ~ J V J ^ ^ X11- C ~Y Nationstar- M O R T G A G E www.NyNanoroicarNtq.com ^ PLEASE CHECK BOX IF MAILING ADDRESS OR PHONE NUMBER HAS CHANGED. ENTER CHANGES ON BACK OF COUPON ESTATE OF TERRI L. WEA ACCOUNT NUMBER TOTAL AMOUNT DUE 0596914544 03/01/2012 $565.51 WRITE YOUR LOAN NUMBER ON YOUR CHECK PAYMENT DUE IF RECENED ON OR AFTER OR MONEY ORDER AND MAKE PAYABLE TO NATIONSTAR MORTGAGE. 03 17 2012 584.5( NATIONSTAR MORTGAGE P.O. BOX 650783 DALLAS, TX 75265-0783 ~~I1~1~111~1111111i~IIII~i1~II1111111~~~~~1111~11~1~1~~1~~~1'I~~' 05969145445 000056551 000058450 ADDITIONAL ESCROW '" ADDITIONAL PRINCIPAL TOTAL AMOUNT OF YOUR CHECK DO NOT SEND CASH " All amount must Do pald M full Detore additlonal prindpal reduction can be made, 25C8 ~~q/p313 M. PAYNE ANGE ESW.pAYI~ CHAR ~ STREET ~.IOLA~A 170 DATE ^ ~ II ~ ~~r~~ pp,, ....- --. , sus LJ +°.a TO f/+~ P~ ORDER OF 5 ` NP ~. ~~ 56g -- ~___:_-- S~l ~L8~563gL3,P _ _____ ._. .. MsM° 4 L~~ _ _ - -_-- ~: z 3 L 38 2 2 __---_'-~ --- -- ~, ~'" Nationstar° MORTGAGE P.O. BOX 650783 DALLAS, TX 75265 www. MyNationstarMtg.com MORTGAGE LOAN STATEMENT FIRST DETACH COUPON BELOWAND RETURN WITH YOUR PAYMENT. C, HORIZON.. RETAIN TOP PORTION FOR YOUR RECORDS. \~ 1-888-480.2432 3-692-58732-0133614-027-1-000-001-000-000 ESTATE OF TERRI L. WEA 85 ARNOLD RD ENOLA PA 17025-2148 r~lll~ll~~l~ll~l'~'~I~I'~Ill~ll~~lrrll~~~~~lllll~'llrrl~rll~l~lll Statement Date: Payment Due Date: Loan Number: Home Phone Number: Work Phone Number: ~~ ~~~ ~~ V .~ ,- ~` ~ ~ i~ ~7~ ~~z~ -~ ~~ ~;a~~' ~~ 01/17/2012 02/01/2012 0596914544 717-728-9850 ooo-ooo-0000 Property Address: 85 ARNOLD ROAD ~~ ENOLA PA 17025 ,~~~~ lamuuly I uuE EXPLANATION Principal and Interest Due $379.84 Escrow Amount $143.33 Total 523.17 Past Due Payments $23.35 llripald Late Charge(s) $18.99 Amount DUe~ - By 02/01/2012 $565.51 'This amount does not Include any payments made, or fees or charges that may have been incurred andlor added to your account after the date of this statement. PLEASE NOTE: If the payment due on 02/01/2012 is not received by 02/16/2012, a late charge in the amount of $18.99 may be assessed to your account. PAYMENT ACTIVITY Last Payment Re.-eived 01/13/2012 Principal -Scheduled $539.32 Interest $220.36 Escrow $263.31 Total $1,022.99 Interest Rate 5.250% Principal Balance - As of 01/17/2012 $24,778.76 Escrow Balance - As of 01/17/2012 $478.51 The Principal Balance does not represent the payoff amount of your account and is not to be used for payoff purposes. Interest Paid Year-To-Date $109.59 ~~ ~~ \~ IMPORTANT MESSAGES Additional Critical Notices -see reverse side Important Tax Information: Did you know that you can download a copy of your 1098/1099 tax form online? Visit `N`Nw.mynationstarmtg.com to log in or register for My Account access. This is an attempt to collect a debt and any information obtained wil/ be used for that purpose. DETACH HERE AND RETURN WfTH YOUR PAYMENT. PLEASE ALLOW A MINIMUM OF 7 TO 10 DAYS FOR POSTAL DELIVERY. d ...v Q' t-+ r 0 0 0 0 1J7 ~' (J'1 lJ`i O O O O to r (J'I 0 __ ~o~ -a = ~O~ v~~ _ N ~j ~ _ o w m b ~ $; ~ ~ I ~~ ~ ~ a ~~ ~ ~ ~ ~ ~ ~ • bf! 8 m D m m r m~ D Z ^ R ~~ ~~~ ~~ -~ ~~ ~~ $~~ "'~ ~~~ 4 x ~ ~ .~ ~° a B' ~ m Z y~ ~$ pp~ ~~Z ~~~ $g ~~ O~ ~ ~ s N m ~a {~ O d m ~~ 3 a o~ o S ~~ B ~ ~~ ~~ ~~ ~~ <3 N r: ~ ~. ~~ j X y 0 ~o ~~ ~~ 0 ~o oa ~o .~ _~ 00 ~~ .~ rt m N~ O C ~~ D ~- 0 o~ c~ " o. ~~ N ~ a 0 c 0 0 X 0 0 ~~ •J 3 t C D z 3 m n m to a a_ g n 0 U1 a ~G a a~~ ~rn~~~ ~~~~: -~~~~ i~ ~~ _~~ ~. F c w ~~~~ t~wt~utu N Nationstar° MORTGAGE P.O. BOX 850783 DALLAS, TX 75265 www. MyNationstarMtg.com 57892-094050-019 TERRI L WEAVER 85 ARNOLD RD ENOLA PA 17025-2148 n~ MORTGAGE LOAN STATEMENT ~~1~71 DETACH COUPON BELOW AND RETURN WrrH YOUR PAYMENT. HORIZON_ RETAIN TOP PORTION FOR YOUR RECORDS. 7-888-480-2432 11vIU- SZV.~~~ ~ l~~ill~ C ~~ ~ dir. >~ ~ S 3 III~n~nIIII~~L'~~~Illl~lu~l~n~~l~lll~l'll~l~~~l~l~ll~'I~IIJ Statement Date: i 2/ 1 s/2011 Payment Due Date: 01 /01 /2012 Loan Number: 0596914544 Home Phone Number: 717-72s-sa5o Work Phone Number: 000-000-0000 Property Address: 85 ARNOLD ROAD ENOLA PA 17025 AMOUNT DUE EXPLANATION Interest Rate Principal and Interest Due $379.84 Principai Balance - As of 12/16/2011 5.250 Escrow Amount $143.33 Escrow Balance - As of 12/16/2011 $25,318.08 Total $523.17 $215.20 Past Due Payments $523.17 Unpaid Late Charge(s) $18 99 Amount Due* - By 01/01/2012 $1,065.33 'This amount does not include any payments made, or fees or charges that may have been Incurred and/or added to your account after the date of this statement. PLEASE NOTE: If the payment due on 01/01/2012 is not received by 01/16/2012, a late charge in the amount of $18.99 may be assessed to your account. PAYMENT ACTIVITY Last Payment Received 11/22/2011 Principal -Scheduled $267.90 Interest $111.94 Escrow $122 16 Late Charge(s) $18.99 Total $520.99 The Principal Balance does not represent the payoff amount of your account and is not to be used for payoff purposes. Interest Paid Year-To-Date $456.91 Taxes Paid Year-To-Date $990.83 IMPORTANT MESSAGES Additional Critical Notices -see reverse side Natlonstar Mortgage will be mailing your 1098 form (mortgage interest statement) no later than January 31, 2012. You can obtain information on interest or property taxes paid through our automated customer service line orb to www.MvNatlonstarMta com anytime after January 3rd. (If your loan was acquired by Nationstar Mortgage in 2011, your will receive a 1098 form from your prior servicer for the time they serviced your loan, and a 1098 from Nationstar for the time we serviced your loan.) We appreciate your business. Please visit us on the web at www.MyNationstarMTG.com. Important Tax Information: Nationstar Mortgage will begin mailing 1098/1099 tax forms in January. Please take a moment to verify that we have your correct contact information on file to avoid any delays in receiving your tax forms. Log on to My Account online at www.mynationstarmtg.com and update your contact information today! a ..,, , _.. .;.~~~~s~ uasoiaua ~ pa~apua~ sa~i~ias ~o~ pa6~ey~ 3q ~feui e afieRr,n,r, ,~ „~~, 1 q! saa qc-; apn~~u~;ou op saa~ po;s~~i enaG~e ay~_ ~s7ua~un~op Lneck Image _ gage ~ of i k' 3::e'd~Z'a ~e,nrh< Atuc~>i_~;Ii4::PAY11iE ~'~'1' CtIARLES W. PAYNE ~asr~unraursrxEer QJOI11, PA 170a D~iE 7~ `, ~ Y7L't i M~ 1- ' Q: ~. : FA ~ ~ ~Z. ~.: ~ q nreso tlL['((~ ~ O S 91a9/ ~l5 ~ !~ ~/f ~~,~' 'r. a i'1~T~7s~Yw'~Y; t'r4i'r~~b3'i'~3rt ~53~ ~ :~ r _,.. W _ 1 e i '.~ U- .- ~ -- - '.:'G L . j y o-. - _ _ '; R ~ : N _ = u c ~" s ltOZ7£Z!ZL'- - ~:. - ~10 ~ON3 dO "SBd 33Add 2p ~" 21d1SNOI1dN - ~ >86Z000 LZL~l d3O HNdB OO21'dj Sll3M O _ .. _ y i. Clue: YYandaw G~ ~~ ~~~ https://m 1 online.members 1st. org/OnlineBanking/AccountSummary/CheckImage.px?accou... 2/15/2012 PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS Check Image Yage 1 ot~ 1 Ai~iGII:hIti(. PAYI~IE CHARLES W. PAYNE aase~ouxrwu~rsreEer / INOSA,PA 170ZS Dire ///.3d/o~O!/ Pwrm PPL £lir~r_ __J ~ 0?9 /3 TMpy~p~, nI~ pit i~ '~ ~/-~z-.~ T '~~~Q[,___ 'tRH,a,acG ~, ~~ ~ ~ a !gin. _. - E7C '. m: 2: _- _ .._. -..a - Aft `o ~ i,e ~- a = .w: c - - ~~,`a { ~ .. ~ O . y.~ L Y ' . ~ { 1. ~ G, F p: n. mr. C_ S . Yr q~ b u. Y~ a N ~' "O n ~ S W U > h O K 2 $ Z~ G2 ~~ ---'-ix :.: a y2-~.~a. _ k a. m ^ N £ E W O U S L. JIB. j '~ j 5 a W. ~ ~~ F s ~ ~ d. i s'~~ to + y Y _ L Elaae Wlnd4w: ~~~ U ~~~ ~~ ~, https://m 1 online.membersl st.org/OnlineBanking/AccountSummary/Checklmage.px?accou... 2/15/2012 STATEMENT OF ACCOUNT PAGE 3 of 3 www belco.otg Il BELCO S Make.. the ;.season bright:-~rith COMMUNITY CREDIT UNION ~ Be1Ga x41~.day LQasi. ~ Appl,y'; Because lc fe cs far lc'vcn9. ~ I/ / ~, /~ ( naw and erij oy rateis starting MAIN OFFICE: (~,~ . / l l ~ ~ I v~-'/ I I3~ ~, 99~ ~,PR. ~adla~~ HD~ICTF1~/f~ tr,ws eY:~rVo~e at Se2co! 449 Eisenhower Blvd. Harrisburg, PA 17111 JOINT OWNERS ACCOUNT NUMBER XXXX70 TERRI L. WEAVER SOCIAL SECURITY N STATEMENT PERIOD From To 11/Ol/lull/30/11 ------------------------ CLEARED DRA T SUMMA Y ---- -- ___ _ ______ _ 0839 0840 0841 0842 0843 0844 0845 0 ------------------------------------ 46 0847 0848 ------- ------ -- --- - ------ -- 1101 PREVIOUS BALANCE L5 60 MO FIXED H/E 338 131 1115 * PREAUTHORIZED AUTO TRANSF FROM S 4 8136 1 64 329 95 1130 NEW BALANCE-PERIODIC RATE. .017780$ ~ ~ 7t 329 95 » ANNUAL PERCENTAGE RATE 6.490% « ** NEXT PAYMENT DUE 12/15/11 INIMUM AY ENT UN 100. 00 TOTAL DIVIDEND YEAR-TO-DATE for at savings except ~iA. Dividends shown, if S10 or over, witl be reported to the Intemsl Revenue Service for this calendar year. 'INDICATES EFFECTIVE DATE 1 . 3 6 I TOTAL RNAI\ICE CHARGE YEAR TO-0A7E for au loans, NOTICE: See reverse side for important information 225.16 005950 - 007803 (:hecK Image rage i or i AtF .toam+~ ~5?a CHARLES W. PAYNE °aotA Mims o~,~ l1 301 ~~il t~A; W~ nw Fm ~ ~ ~r N"y r ;4r:s 1!- 41-nvt/ .. n ~~:~3i38'2:~b~~ 2i&tSS34`L3r*' c~SdL ~ ~: :..~F.~n,F,;. .. i:-~ t 7l i--~ ~t x'~ yr g$+°3 ~'~ MMf1E3.Qi~i3'~F Zltrl - sT£3»a, o 3~,lbFdOla3i~; 31d• _ lS~c~s$ ~,~ ~1~~ ~ ~ r~d`r~Wn~ ~ va~o t i~1z~ sci ~ y.e - - •ti1 W F t - (((~~B~ ii" U ' _.. ~ - .... B h `J~ ttps://m 1 online. members 1st.org/OnlineBanking/AccountSummary/CheckImage.px?accou... 2/15/2012