Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
08-27-12
1505610101 REV-1500 Ex `O1 .1°' PA Department of Revenue Pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes h~„~W+MtNr~~~a~~~N~c County Code Year File Number INHERITANCE TAX RETURN PO BOX z8o6oi ~ ~ Harrisburg, PA 1y128-0601 RESIDENT DECEDENT ~ ,, ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 210-12-6616 04/21 /2012 09/18/1918 Decedent's Last Name Suffix Decedent's First Name MI TASCHEK IRENE ~ (If Applicable) Enter Surviving Spouse's Infor mation Below Spouse's Last Name Suffix Spouse's First Name MI N/A Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate (~ 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 4 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Andrew H. Shaw (717) 243-7135 First line of address 200 S. Spring Garden St Second line of address Suite 11 City or Post Office Carlisle State ZIP Code PA 17013 REGISTER OF ~LS USE ONLY~°`°: _~? t-.,~ r.~..l T' ~ ~ ~7 ; ~=~ G"? ``-` , ~ ~~. Cf'' ~: . --.,J ,_., 1.. J © ~~•__ D FiLI`D "~' CII C~ :~'7 ., _~ f- Correspondent's a-mail address: andreW@ashaWlaW.COm ~- ` ?~i ~~ ~ '''+1 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 all information of which preparer has any knowledge. SIGN~IJRE OF PERSQ~J RE9P®NSIBLaE FOR FILIN ,RETI~RN DATE ADDRESS ;/ ~' ,/ 435 Vir inia .Road, N#~ ~ a icsburg, PA 17050 SIGN U E OF PR P~ ~R O H THAN REPRESENTATIVE `, ,,~ ATE, 200 S. Spring Garden Street, Suite 11, Carlisle, PA 17013 PLEASE USE ORIGINAL FORM ONLY L 150561101 Side 1 1505610101 ~~L J 1505610105 REV-1500 EX Decedent's Social Security Number Decedent's Name: Irene J. Taschek 210-12-6616 RECAPITULATION 1. Real Estate (Schedule A) ............................................. 1. 128,000.00 2. Stocks and Bonds (Schedule B) ....................................... 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00 4. Mort a es and Notes Receivable Schedule D 9 9 ( ) ........................... 4. 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 2,821.37 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 0.00 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 130,821.37 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 12,457.29 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. 58,329.98 11. Total Deductions (total Lines 9 and 10) ................................. 11. 70,787.27 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 60,034.10 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ 13. 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. 60,034.10 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0_ 0.00 15. 0.00 16. Amount of Line 14 taxable at lineal rate x .0 45 60,034.10 16. 2,701.53 17. Amount of Line 14 taxable 0 00 0 00 . at sibling rate X .12 17 . 18. Amount of Line 14 taxable 0 00 0 00 . at collateral rate X .15 18 . 19. TAX DUE ......................................................... 19. 2,701.53 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYM ENT O Side 2 1505610105 1505610105 J REV-1500 EX Page 3 Decedent's Complete Address: 0.00 DECEDENT'S NAME Irene J. Taschek STREET ADDRESS 211 Maple Avenue CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments _ B. Discount 3. Interest 0.00 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 Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. File Number Total Credits (A + B) (2) (3) (4) (5) Make check payable to: REGISTER OF WILLS, AGENT. 2,701.53 0.00 0.00 0.00 2,701.53 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 :.................................................................................... ...... ^ ^Q b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^ ^x c. retain a reversionary interest; or .................................................................................................................... ...... ^ d. receive the promise for life of either payments, benefits or care? ............................................................... ....... ^ 0 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................... ....... ^ 0 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ........ ...... ^ 0 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? .................................................................................................................. ...... ^ ^x 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. §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)]. 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(1.2) [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. LAST WILL OF IRENE J. TASCHEK I, IRENE J. TASCHEK, ~f the T ~wnship ~f Hampden, !~ C aunty >f Cumberland, State ~f Pennsylvania, being in g ~ ~d b ~dily health and ~f s Fund and disp 7sing mind and mem pry, and n ~t acting under duress, menace, fraud, ~r undue influence ~f any person ,,~ wh ems sever , merely ca 11 ing t ~ mind the frai 1 ty ~f human 1 if e , and '!. being desir pus ~f disp using ~f my w ~rldly g >>ds while I have the strength and capacity s ~ t ~ d ~, I d ~ make, publish and declare 7 this my LAST WILL AND TESTAMENT. I hereby revoke, cancel and annul all my firmer Wills and Testaments, including codicils thereto, by me at any time made, and declare this aline t~ be my LAST WILL AND TESTAMENT. AS TO SUCH ESTATE AS IT HAS PLEASED GOD TO ENTRUST ME WITH IN THIS LIFE, I DISPOSE OF THE SAME AS FOLLOWS, VIZ: ITEM l: I direct that my execut7rs hereinafter named i pay and discharge all ~f my just debts, funeral and testamentary expenses. ITEM 2: I order and direct that I be buried in a lit i which I awn situate in the Rolling Green Memorial Cemetery, Camp Hill, Pennsylvania. ITEM 3: I give, devise and bequeath t> GEORGE RAVERA, ' my c>ckat>> bird, named Austin. ITEM 4: I give, devise and bequeath t~ CHARENE Y. i MORRISON, my dig, a schnauser, called Hans. !;' ITEM 5: I give, devise and bequeath t~ KARI MORRISON, my wedding band with ten diamonds, and my c>rner china cabinet %~ with the blue dish set. i ITEM 6: I give, devise and bequeath the sum ~f Five '' Th ~usand ($5, 000.00) D ~llars free fr ~m tax, t 3 each ~f my grand- ; '. children, why are alive at my death. +P JAMES 111. BACH i ATTORNEY AND t ~` ~ .~ COUNSELOR AT LAW '~± I RENE J . TAESCHEK 352 5. SPORTING HILL RDLi ' M ECHANICSBURG, 'II PENNA. 17055 ~i TE L. (717) 737.2093 it i ITEM 7: I give, devise and bequeath t~ ASHLEY ZENTMEYER, my wedding band with twa diamond chips and my Orange B1 ass ~m wedding band. ITEM 8: I give, devise and bequeath t~ CARLA Y. WROBLEWSKI, my c7stume jewelry, my pineapple bed set, my antique ' kitchen set, and large brass bell, and my brass Tiffany lamp. ITEM 9: I give, devise and bequeath t~ CHARENE Y. MORRISON, my Grandfather click and it m kettle. ITEM 10: I give, devise and bequeath t~ MARLENE RAVERA,. my three marble tip tables, ouch and chairs and stereo. ITEM 11: I give, devise and bequeath my cabbage patch ', dills t~ my grandchildren, share and share alike. ITEM 12: All the rest, residue and remainder 3f my entire estate, wheresoever situate and whatsoever it may consist ~. ~f, I give, devise and bequeath, absolutely, and in fee, t~ my dearly bel wed children, share and share alike, per stirpes. ITEM 13: I nominate and appoint CARLA Y. WROBLEWSKI as Executrix ~f this my Last Will. Sh>uld the Executrix named ' fail t ~ qualify ~r cease t ~ act as Executrix, then I app pint CHARENE Y. MORRISON, as Executrix in her stead. ITEM 14: I direct that my pers>nal representatives, as well as their success >rs, shall n ~t be required t ~ give b end f ~r the faithful perf ~rmance ~f their duties in any jurisdicti gyn. ITEM 15: I grant t~ my pers coal representatives herein named, in additi ~n t ~, but n ~t in limitati m ~f th use p ewers vested by law, t ~ be exercised with gut pre ~r applicati m t > >r appr wal ~f any c curt, the p ewer and auth ~rity t ~ retain indef- finitely any property, t3 invest and reinvest any assets ~r the proceeds derived from the sale ~f assets, although said invest- ments may nit be ~f the character prescribed by law, t> sell, c covey, assign, transfer and encumber any property, t~ pay, 't settle ~r c ~mpr ~mise all claims, t ~ make distribute ~n ~r devise cost JAMES M. BACx ~; r ATTORNEY AND k COUNSELOR AT LAW ~~ I ~ i 952 5. SPORTING HILL RD E 1 MECHANICSBURG, ~ I ~ IRENE J. lASCHEK PENNA. 17055 1{ TG L. (717) 737-2033 ,i i 2 in cash ~r in kind, and in general t~ exercise all powers in the management ~f any property hereunder which any individual could exercise in the management ~f similar property awned in his awn ~' right, and t~ execute and deliver any and all instruments and t~ j d~ all acts which may be deemed necessary and proper. _. _. .1.. ~ '~ IRENE J. TA!SCHEK '. END JAMES M. BACH ATTORNEY AND COUNSELOR AT LAW 352 5. SPORTING HILL RC MECHANICSBURG, PENNA. 17055 TE L. (717)737-2039 3 COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND I, IRENE J. TASCHEK Testatr_i.x, whose name i_s signed to the attar..hed or_ for_Pgoi_ng instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will.; that I signed it w.i.l].ingly; and that I signed i_t as my free and voluntary act fo.r the pur_-pose therein expressed. Sworn or affirmed to and acknowledged before me, by IRENE J. TASCHEK _, Testatrix, this ~_'~~~- day of _ March 19 86. 1, r' '' ,!=----.~ 0 RY PUB.-+_~IC My Comm'i_ssion Expires: 9/11/89 The preceding instrument consisting of this typewritten pages identified by the signature of was on the date thereof signed, published and de J. TASCHEK Testatrix herein named Last will and Testament, i_n our_ presence of each unto subscribed our names as witness. and .three othex the TeStat:L"1X, dared by IRENE as and for her other, have here- ~~~.. ;. Res i_di_ng at 352 S ~. Sp ~rting Hi11 Rd. Mechanicsburg, PA 17055 COMMONWEALTH OF PENNSYLVANIA Mechanicsburg, PA 17055 A F F I D A V I T JAMES 115. ISACH ATTORNEY AND COUNSELOR A7 LAW 952 5. SPORTING HILL R MECHANICSBURG, PENNA. 17055 TEL 1717) 737-2039 COUNTY OF CUMBERLAND RPSi_di_ng a`~ 352 S ~. Sp ~rtiny Isil l Rd. ss WE, James M. Bach and R. Edward Kitchen the w.i_`tnpsses whose names ar_-P si_gnPd to the attached or foregoing instrument, being duly qua.lifi.ed according to law, do depose and say that we were present and saw TPStatri_x sign and execute the instrument as her Last wi_11; that she signed w.i.llingly and that she executed i.t as her free and voluntary act f.or the purpose therein expressed; that: eac..h of us i_n the hPar.i_ng and sight of the Testatr_.ix signed the wi_l.l as wi_tnPSSPS; and that to the best of ou knowledge the Testatrix was at. that time 18 o.r more years of age, of sound mind and undur_ no r.onstr_aint or_ undue influenr_e. Sworn or af~`i_r:mPd to and subscribed to before me by James M Bach _and R. Edward Kitchen witnesses, this ~.;,~f~, day of March _ ~ 1986. 7 ~~ ~ r / / ~10~ARY PUBLIC My Commi_ss.on Expi.r-es: 9/11/89 4 REV-1502 EX+ (11-08) Pennsylvania SCHEDULE A DEP'AR7MENT OF REVENUE INHERITANCE TAX RETURN REAL E STAT E RESIDENT DECEDENT ESTATE OF FILE NUMBER Irene J. Taschek 21-12-0518 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. If more space is needed, insert additional sheets of the same size, / I.I~ 1JIVID y1tllJluvtlt rvu. cuurucu.~ ~~~ ~iiiidli";= ~• Settlement Statement (HUD-1) FINAL Q Conv. Unins. ^ RHS 3 ^ FHA 2 1 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: . . . CL12563 201236208 4. ^ VA 5. ^Conv. Ins. C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agents are shown. Items marked "(p.o.c)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. Name & Address of Borrower: E. Name & Address of Seller: F. Name & Address of Lender: Pamela J. Locke Estate of Irene J. Taschek Howard Hanna Mortgage Services 1709 Louisa Lane, Mechanicsburg, PA 17050 211 Maple Avenue, Camp Hill, PA 17011 119 Gamma Drive, Pittsburgh, PA 15238 G. Property Location: H. Settlement Agent: I. Settlement Date: 07/13/2012 211 Maple Avenue Cornerstone Land Transfer, Inc. Disbursement Date: 07/13/2012 Camp Hill, PA 17011 4705 E. Trindle Road, Mechanicsburg, PA 17050 Hampden Township 717-730-9664 Place of Settlement: TitleExpress 4705 E. Trindle Road, Mechanicsburg, PA 17050 Printed 07/13/2012 at 12:16 pm by KL ,. _ a~f. uu• :. .:: 100. Gross Amount Due from Borrower 101. Contract sales price 128,000.00 102. Personal ro ert 103. Settlement charges to borrower (line 1400) 5,070.30 104. 105. Adjustments for items aid b seller in advance 106. Cityltown taxes to 107. County taxes 07/13/2012 to 12/31/2012 140.67 108. Assessments to 109. School Taxes 07/1312012 to 06/30/2013 1,068.10 110, Sewer 07/13/2012 to 09130/2012 134.83 111. 112. 120. Gross Amount Due from Borrower 134,413.90 200. Amounts Paid b or in Behalf of Borrower 201. Deposit or earnest money 1,000.00 202. Principal amount of new loan(s) 124,100.00 203. Existin loa s taken sub'ect to 204. 205. 206. 207. 208. Seller Assistance 3,300.00 209. Adjustments for items unpaid b seller 210. Cityltown taxes to 211. County taxes to 212. Assessments to 213. School Taxes to 214. 215. 216. Good Faith Deposit 350.00 217. 218. 219. 220• Total Paid b /for Borrower 128,750.00 300. Cash at Settlement fromlto Borrower 301. Gross amount due from borrower (line 120) 134,413,90 302. Less amounts paid bylfor borrower (line 220) 128,750,00 303. Cash 0 From ^ To Borrower 5,663.90 400. Gross Amount Due to Seller 401. Contract sales price 128,000.00 402. Personal ro ert 403. 404. 405. Adjustments for items aid b seller in advance 406. Cityltown taxes to 407, County taxes 07/13/2012 to 12/31/2012 140.67 408, Assessments to 409. 07!13/2012 to 06/30/2013 1,068.10 410. Sewer 07/13/2012 to 09/30/2012 134.83 411. 412. 420. Gross Amount Due to Seller 129,343.60 500. Reductions In Amount Due to Seller 501. Excess deposit (see instructions) 502. Settlement charges to seller (line 1400) 15,985.30 503. Existin loans taken sub'ect to 504. Payoff of first mortgage loan to M&T 36,836.72 505. Payoff of second mortgage loan 506. 507, 508. Seller Assistance 3,300.00 509. Adjustments for items unpaid b seller 510. Cityltown taxes to 511. County taxes to 512. Assessments to 513. to 514. 515. 516. 517. 518. 519. 520. Total Reduction Amount Due Seller 56,122.02 600. Cash at Settlement tolfrom Seller 601. Gross amount due to seller (line 420) 129,343.60 602. Less reductions in amount due seller (line 520) 56,122.02 603. Cash X^ To ^ From Seller n artna ion. an you ere na rcawre 73,221.58 u wmo e e Ttm Public Reporting eureen for tnis conecuon at mrormauun n eauma,cu a. a., .~~~~~...~, Y~~ ._,,...~•.... •..• ...•.-_...,,.._..-.....,. _.._ ._,_.....e ..._ __._. ..._ _-_.. _, _.._, . this lomt unless II displays a eurrenlly valid OMB wnlrol number. No wnfitlenlialily Is assured; this disGosure Is mantlalory. This Is designed to provlda the parties to a RESPA covered transaction vdlh fnformalien during the selllement process. See attached addendum for additional information Previous editions are obsolete Page 1 of 4 HUD-1 700. Total Real Estate Broker Fees $ 7,482.00 Paid From Paid From ' Division of commission line 700 as follows: Borrower's Seller s 701. $3,741.00 to Keller William of Central PA Funds at Funds at 702• $3,741.00 to Howard Hanna 703. Commission paid at settlement Settlement Settlement 7,482.00 704. Broker Fee to Keller William of Central PA 250.00 705. Broker Fee to Howard Hanna 225.00 800. Items Pa able in Connection with Loan 801. Our origination charge (Includes Origination Point 0.000% or $0.00) $550.00 (from GFE #1) 802. Your credit or charge (points) for the specific interest rate chosen $ (from GFE #2) 803. Your adjusted origination charges (from GFE A) 550.00 804. Appraisal fee to A raisals b E.J. Ko en (from GFE #3) 350.00 805. Credit report to CBC Innovis Inc. (from GFE #3) 27.45 806. Tax service to from GFE #3 807. Flood certification to FDSI (from GFE #3) 13.00 808. to 900. Items Required b Lender to be Paid in Advance 901. Daily interest charges from from 07/13/2012 to 08!0112012 @ $14.45001day (from GFE #10) 274.55 902. Mortgage Ins. Premium for months to (from GFE #3) 903. Homeowner's insurance for 12 months to State Farm Fire & Casualt (from GFE #11) 493.00 904. months to from GFE #11 1000. Reserves De osited with Lender 1001. Initial deposit for your escrow account (from GFE #9) 324.80 1002. Homeowner's insurance 4 months $ 41.08/month $164.32 to Howard Hanna Mort a e Servi 1003. Mortgage Insurance months $ O.OOlmonth $ to 1004. City Property Tax months $ 0.00/month $ to 1005. County Property Tax 7 months $ 27.44/month $192.08 to Howard Hanna Mort a e Servi 1006. School Property Tax 3 months $ 93.881month $281.64 to Howard Hanna Mort a e Servi 1007. Aggregate Adjustment $-313.24 to Howard Hanna Mort a e Servi 1100. Title Char es 1101. Title services and lenders title insurance from GFE #4 900.50 1102. Settlement or closing fee to $ 1103. Owner's title insurance -Fidelity National Title Insurance Company from GFE #5 429.50 1104. Lender's title insurance -Fidelity National Title Insurance Company $225.00 1105. Lender's title policy limit $124,100.00 Lender's Policy 1106. Owner's title policy limit $128,000.00 Owner's Policy 1107. Agent's portion of the total title insurance premium $492.57 1108. Underwriters portion of the total title insurance premium $161,93 1109. E-Doc Delivery Fee to Cornerstone Land Transfer $25.00 1110. CourierlWire Fee to Cornerstone Land Transfer $15.00 10.00 1111. Notary Fee to Kandi Lenker $25.00 20.00 1112. Reimburse for Tax Certification to Cornerstone Land Transfer $ 10.00 1113. Atty fee to Kath M. Shu hart, Es uire $485.50 1114. Title Search Fee to Cornerstone Land Transfer, $125.00 1200. Government Recordin and Transfer Char es 1201. Government recording charges $ (from GFE #7) 202.50 1202. Deed $62.00 Mort a e $90.00 Release $ to Cumberland Count Recorder 1203. Transfer taxes $ (from GFE #8) 1,280.00 1204. City/County taxlstamps Deed $1,280.00 Mort a e $ to Cumberland Count Recorder 1205. State Taxlstamps Deed $1,280.00 Mort a e $ to Cumberland Count Recorder 1,280.00 1206. Deed $ Mort a e $ to 1207. Record Assign of Mtg $50.50 to Recorder of Deeds 1300. Additional Settlement Char es 1301. Required services that you can shop for (from GFE #6) 1302. 2012 Cty/Twp Tax to Michael Lan an, Treasurer 299.34 1303. 2012-13 School Tax to Michael Lan an, Treasurer 1,104.41 1304. JIAlS Sewer Billing to Ham den Townshi Sewer Authorit 155.05 1305. Inheritance Tax Escrow to Cornerstone Land Transfer, Inc, 4,500.00 1306. Termite Cert to Penn Pest $55.00 P.O.C. S* 1307. Termite Treatment to Sudden Death Termite & Pest Control 874.50 ELY r , , • ~. i ~ ~ ~ r ~ ~' 5,070.30 15,985.30 *Paid outside of closing by (B)orrower, (S)eller, (L)ender, (I)nvestor, Bro(K)er. **Credit by lender shown on page 1. *"*Credit by seller shown on page 1. See attached addendum for additional information Previous editions are obsolete Page 2 of 4 HUD-1 Com orison of Good Faith Estimate GFE and HUD-1 Char es Char es That Cannot Increase HUD•1 Line Number Our origination charge # 801 Your credit or charge (points) for the specific interest rate chosen # 802 Your adjusted origination charges # 803 Transfer taxes # ' 1203 Char es That in Total CannoYlncrease More Than 10% Government recording charges # .1201 Appraisal fee # 804 Credit report # 805 Flood certification # 807 lt:3b. d~ ~ 7 ~ k ,-• ~ Charges That Can Change Initial deposit for your escrow account # 1001 Daily interest charges from # 901 $14.4500Iday Homeowner's insurance # 903 Title services and lender's title insurance # 1101 Owner's title insurance -Fidelity National Title Insurance Company # 1103 Termite Cert # 1306 I non Tarmc -Good Faith Estimate HUD-1 550.00 550.00 0.00 0.00 550.00 550.00 1,280.00 1,280.00 Good Faith Estimate HUD-1 210.00 202.50 375.00 350.00 50.00 27.45 13.00 13.00 648.00 592.95 $ -55.05 or -8.4954% Good Faith Estimate HUD-1 2,040.04 324.80 317.90 274.55 525.00 493.00 1,172.75 900.50 20.00 429.50 55.00 55,00 Your initial loan amount is $124,100.00 Your loan term is 30. years Your initial interest rate is 4.2500% Your initial monthly amount owed for principal, interest, and any mortgage $610.50 includes insurance is 0 Principal ^X Interest ^ Mortgage Insurance Can your interest rate rise? ^X No. ^ Yes, it can rise to a maximum of %. The first change will be on / / and can change again every years after / / .Every change date, your interest rate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be lower than % or higher than %. Even if you make payments on time, can your loan balance rise? X^ No. ^ Yes, it can rise to a maximum of $ Even if you make payments on time, can your monthly amount owed for X^ No. ^ Yes, the first increase can be on / 1 and the monthly principal, interest, and mortgage insurance rise? amount owed can rise to $ The maximum it can ever rise to is $ Does your loan have a prepayment penalty? X^ No. ^ Yes, your maximum prepayment penalty is $ Does your loan have a balloon payment? ^X No. ^ Yes, you have a balloon payment of $ due in years on ! / Total monthly amount owed including escrow account payments ^ You do not have a monthly escrow payment for items, such as property taxes and homeowners insurance. You must pay these items directly yourself. ^X You have an additional monthly escrow payment of $162.40 that results in a total initial monthly amount owed of $772.90. This includes principal, interest, any mortgage insurance and any items checked below: X^ Property taxes Q Homeowner's insurance ^ Flood insurance XO School Tax ^ ^ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. See attached addendum for additional information Previous editions are obsolete Page 3 of 4 HUD-1 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. See attached addendum for additional information Previous editions are obsolete Page 4 of 4 ~ HUD-1 Name of Borrower: Name of Seller: File Number: Pamela J. Locke Estate of Irene J. Taschek CL12563 Prepared 07/13/2012 at 12:16 pm Note: This page displays an itemization of the adjusted origination charges shown in section 800 of the HUD-1 Settlement Statemen This page accompanies but is not a part of the HUD-1 Settlement Statement. If a discrepancy exists, the information on the HUD-1 Settlement Statement applies. Your Loan Origination Charges Borrower Seller 801. Our origination charge (Includes Origination Point 0.000% or $0.00) Origination Fee to Howard Hanna Mort a e ServicE$ 550,00 802. Your credit or charge (points) for the specific interest rate chosen to $ 0.00 803. Your adjusted origination charges 550.00 0.00 Name of Borrower: Name of Seller: File Number: Pamela J. Locke Estate of Irene J. Taschek CL12563 Prepared 07/13/2012 at 12:16 pm Note: This page displays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement. This page accompanies but is not a part of the HUD-1 Settlement Statement. If a discrepancy exists, the information on the HUD-1 Settlement Statement applies. 1100. Title Charges Borrower Seller 1101. Title services and lender's title insurance to 900.50 0.00 Subtotal $ 0.00 1102. Settlement or closing fee to $ 0.00 Borrower 1104. Lender's title insurance -Fidelity National Tto Cornerstone Land Transfer A en$ 225.00 Borrower 1109. E-Doc Delivery Fee to Cornerstone Land Transfer A en$ 25.00 Borrower 1110. CourierlWire Fee to Cornerstone Land Transfer A en$ 15.00 Manual 10.00 1111. Notary Fee to Kandi Lenker $ 25.00 Manual 20.00 1112. Reimburse for Tax Certification to Cornerstone Land Transfer A en$ 0.00 Seller 10.00 1113. Atty fee to Kath M. Shu hart, Es uire $ 485.50 Borrower 1114. Title Search Fee to Cornerstone Land Transfer, Inc. $ 125.00 Borrower SellerlLender credits shown on page 1 POC =Paid Outside Closing See attached addendum for additional information Previous editions are obsolete Page 1 of 1 HUD-1 REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDt~LE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Irene J. Taschek 21-12-0518 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. (If more space is needed, insert additional sheets of the same size) 08/01/2012 WED 9:59 FAX Page: 1 Docum®nt N~rne: untitled r~oo3/010 STI'D 1 '1`HF TRANSACTION STM'Z` FORMAT 12 / 0 5 / 0 3 12.12.41 ' STMT CO 96 OP EBRN MS 50452 ACTION COMPLETE "CTION COID tOD CODE DDA ACCT 2673023319 SHORT NAME TASCHEK IRENE J CURB CODE PAGE 6 SEARCH FROM 112/02/15 THRU 112/05/03 ACTN POST EFFECTIVE CHECK NUMBER TRAN AMOUNT D/C BALANCE TRACE ID DESCRIPTION 05!03 124435099 310.35 D .00 MQWBKP99 CLOSEOUT PF: 1-HELP 3-PLVL 6-INQ 7-SB 8-SF 9-ASUM 11-CUTO -STSM . _.~ Date: 5/3/2Q12 Time: 12:14:35 PM ~, V~~I . 01 ^ ___ Verix©n Nlevus Moving'? Call Verizon Call 1-888-416-9691 before you move. We'll help set up your Internet, TV and Phone for your new address. You can be up and running in no time! DON'T WAIT! And be sure to ask if FiOS is available in your area. Service availability varies. Stay With Verizon You are a valued customer & we want to deliver the very best service & value to you. Call us at 1-888-303-7502 to find out about the new ways Verizon can save you money. We appreciate being your provider, and we would like to keep you with us longer by improving your Verizon experience. FiOS Just Got Faster Call 1-888-304-7527 or visit verizon.comisupreme to learn more about our network upgrade to deliver better services at the best value. From phone, Internet & TV bundles, to international plans and fun add-ons, together we'll find ways to save you more on Verizon's superior services. Want Automatic Payment? Enroll below or at Verizon.com to authorize your financial institution to deduct the amount of your monthly bill from the account associated with your enclosed check and send payment directly to Verizon. To discontinue Automatic Payment, call Verizon. Please keep a copy of this authorization. To enroll in Automatic Payment (Sign and date below) By signing above I verily that I have reviewed and accepted the terms and conditions at verizon.com/autopayterms for automatic bill payment 00024148 01 AV 0.350 VY070111 0130 XX IRENE TASCHEK 211 MAPLE AVE CAMP HILL PA 17011-4123 "I~I'~IIII'III"11i~I~IIIII~I'~I'~I~III11'll"~I~"~I'll~lll~"~ Account Number: 79 9000 8330011510 08 Charges Due: Amount Due: $.00 0 7 0112 Memo Bill DO NOT PAY 79 9000 8330011510 08N00000001],02 D0000000000 0? Account Number Due Date Amount Due 79 9000 ~ 8330011510 08 $.00 Account Information Statement Date: 7/1/12 IRENE TASCHEK Customer Account: 8330011510 Account Summary Previous Balance --$11.02 No Payment Received $.00 __ - Credit Balance -$11.02 New Charges _ __ _ Tota! New Charges $.00 Total Amount -$11.02 Revised Final Bill Credit may be transferred to another account if there is a balance outstanding or result in a refund if you have no outstanding balances with Verizon. Questions about your bill or service? View your bills in detail at verizon.corn or call 1-800-VERIZUN (1-800-837-4966). When asked for your account number, please enter 8330011510. Reach us by TTY at 1-800-974-6006. . ~~ .-~ ._ ~~` ~ v 08/01/2012 ATED 9:01 FAX MetLife Metropa!ltan Y.tfb Insurance Comper~jr Group Life Clalms PQ Booc 6100 Scranton, PA 18505 July 23, 2012 ESTATE OF IRENB TASCHEK C/O CARLA WROBLEWSKI 435 VIRGINIA ROAD MECHANICSBURG, PA 17050 ZtE; Insured: Charles F Taschek Group No: 1023000 Claim No. 21205013034 Policy Value $2,000.00 Dear Estate Of Irene Taschek C/o Carla Wroblewski: We are writing in regard to the above-referenced claim for Group Life insurance benefits. please accept our sincere condolences at this time. Ir- order for us to continue reviewing this claim, we request that you please forward the following documentation and/or cvequested information to this office. Please do not submit original documents unless expressly directed to -original documents will not be returned: - Complete the enclosed Claimant's Statement, sign and date the form. - Certified Estate Papers issued by the Probate Court appointing an Administrator/Executorfos the Estate of IRENE J TASCHEK. - Small Estate Affidavit from the state in which IRENE J TASCHEK resided. This document must contain 1VIetLife's name, the policy number, and the dollar amount of the policy. ®010/013 The required information is necessary to further review the claim. If it is not received, additional time may be required to finalise the claim. Upon receipt of the above-requested information, we will continue our review of your claim. A pre^ addressed envelope is enclosed for your convenience, (Continued on other side) REV-1511 EX t- (i~-D9) ~'`` pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Irene J. Taschek 21-12-0518 Decedent`s debts must be reported on Schedule i. ITEM NUMBER DESCRIPTION AMOUNT A, FUNERAL EXPENSES: 1' Neilf Funeral Home, Inc. 6, 377.79 2. Rolling Green Cemetery Company 1,445.00 3. Pastor David Reed 100.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 2,500.00 Name(s) of Personal Representative(s) Carla Wroblewski Street Address 435 Virginia Road ___ C;ty Mechanicsburg state PA ZIp 17055 Year(s) Commission Paid: 2012 2. Attorney Fees: 1,700.00 3. Family Exemption: (]f decedent's address is not the same as claimant's, attach explanation.} Claimant Street Address 4. 5. 6. 7. City State Relationship of Claimant to Decedent _ Probate Fees: Accountant Fees: Tax Return Preparer Fees: ZIP 334.50 TOTAL (Also enter on Line 9, Recapitulation) I $ 12,457.29 If more space is needed, use additional sheets of paper of the same size. Neill Funeral Home, Inc. ~ 3401 Market Street `~ Camp Hill, PA 170114428 1 (717) 737-8726 Supervisor :Kevin J. Shillabeer The following is a detailed bill for the professional services and/or merchandise arranged for IRENE J TASCHEK Date of Service :April 30, 2012 CARLA Y WROBLEWSKI Statement Date April 30, 2012 435 Virginia Rd Contract Number 741101000329 Mechanicsburg, PA 17050-3070 Arranger Name Kevin J Shillabeer Initial Selection Final Selection Difference Package Offerings Immediate Burial Basic Professional Service Fee Transfer of Remains to Funeral Home Funeral Vehicle/Hearse Service Vehicle Care and Preparation of Remains Dressing and Casketing of Deceased Embalming Total Package Offerings Total Care and Preparation of Remains Other Goods and Services Flowers Total Other Goods and Services Merchandise 148032 Revere Silver Metal Steel 20 Gauge Crepe Total Merchandise Cash Advance Certified Copies of the Death Certificate Newspaper Notice Total Cash Advance $2,795.00 $2,795.00 -- Incl Intl --- I ncl I nc- --- Incl Incl --- Incl Incl --- $2,795.00 $2,795.00 -- $395.00 $395.00 --- $795.00 $795.00 --- $1,190.00 $1,190.00 -- $318.00 $318.00 --- $318.00 $318.00 -- $1,695.00 $1,695.00 --- $1,695.00 $1,695.00 -- $60.00 $90.00 $30.00 $200.00 $289.79 $89.79 $260.00 $379.79 $119.79 Total Services, Merchandise and Cash Advance Total Charges (Total Services +/- Allowances + Taxes) Less Cash Received Unpaid Balance Due Initial Selection $6,258.00 $6,258.00 Final Selection $6,377.79 $6,377.79 $0.00 $6,377.79 Difference $119.79 $119.79 Page 2 of 2 Contract File Folder Name/Number CEMETERY INTERMENT RIGHTS, MERCHANDISE, AND SERVICES PURCHASE/SECURITY AGREEMENT TNIS ACRFF,MIF'NT PR(lVTiIF.C F[lR PRRPFT><Te T .iFlVnnw>uri~ >\rT r ~ u>e. I'he undersigned, referred to as `Purchaser', hereby agrees to purchase the Interment Rights, Merchandise and Services described herein, subject to acceptance and approval of the above named cemetery, hereafter referred to as `Seller'. Purchaser: Last Name: ~ k ~ ~ ~ .. ~ ~ ~ f' ~ ~ ~ ~ ~ ~ ~ ~ ~ First: ~~ ~ ~ ~' ~ ~ ~ ~ ~ ~ ~ ~ ~ Middle: ~ ~ ~ ~ ~ ~ ~ Telephone: ~ ~ _ SSN: _ DOB: / / Email: Adch•ess: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ t" ~ ~ ~) ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ City. ~ ~ ~ ~ ~( ~ ~ ~ ~ ~ ~ ~ State: ~ ~ ~ Zip' Co-Purchaser: Last Name: I I I I I I I I I ( ( I I I I I I I First: I I ~ I I I I I I I I I I I Middle: Telephone: ~ ~ _ SSN: DOB: / / Email: Address: I I I I I l l l l l l l l l l l l l l l l l l l l l C'ty' ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ State: ~ ~ ~ Zip: Deceased: Last Name: I ~. I ~ ~ ~ ~. ( ~ I I I I ( I I I ~ First: 1' ~ ,l ~ ~ ~ I I I ~ I I I ~ Middle: I I ~ I I I ~ DOB: / / DOD: / / Burial Date: / / Veteran: Description of Interment Rights to be used: Memorialization Rights: Issue Certificate of Interment Rights to: Address: City: State: Zip: INTERMENT MERCHANDISE & SERVICES • Interment Rights $ Urn (Includes Perpetual/Endowment Care of $ ) Supplier • Interment and Recording Fees +1-~_ ~~i Type/Color • Outer Burial Container Design/Size Supplier Admin/Processing Fee Model/Design Other Material/Color Other • Outer Burial Container Installation Other MEMORIALIZATION Other • Memorial Other Supplier Other Type/Color TOTALS, ALLOWANCES & TAXES Design/Size Interment Rights ............................................................... ( ) • Memorial Base Reason Suppliet• Merchandise/Service ........................................................ ( ) Type/Color Reason Design/Size Apply to • Memorial Perpetual/Endowment Care Merchandise/Service ........................................................ ( ) • Memorial Installation Fee Reason • Memorial Inspection Fee Apply to • Nameplate/Scroll Sub Total ~ ~,~'. • Lettering Total Taxable • Flower Vasc Sales Tax if a licable ( PP ) ................................................... Supplier TOTAL CASH PRICE $~ ~, Type/Color y Less: Down Payment ~ , ' Design/Size Other • Vase Base Total Down Payment ( ~, Size/Material Unpaid Balance of Total Cash Price $ - ~ - Notes & Payment Terms (where applicable): ~ TERMS The Total Cash Price is due and payable as of the date of this Agreem ent. A delinquency charge of ______ percent will be assessed monthly on any balance not paid within 30 days of the date of this Agreement. If less than full payment is received, Seller shall deduct the accrued delinquency charge from the amount received and .credit the REV-1512 EX+ (12-08) r pennsylvania SCHEDULE I DEPARTMENT or REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Irene J. Taschek 21-12-0518 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. If more space is needed, insert additional sheets of the same size. IN RE: ESTATE OF IRENE J TASCHEK STATE OF Pennsylvania IN THE REGISTER OF WILLS CUMBERLAND COUNTY CASE#: 12 -0 18 STATEMENT OF CLAIM American InfoSource, servicer on behalf of Bank of America 1 • hereby presents for filing against the above estate this statement of claim in the amount of $ $4,418.70 2. The basis for the claim is account number 11/11/2003 . which was open on 3. The name and address of the claimant is American tnfosource, servicer o~ benaiforBa~k of America P.O. Box 248852, Oklahoma City, OK 73124 4. This claim IS NOT contingent 5. This claim IS NOT secured 6. The last payment made on the account was $ $100.00 on 4/4/2012 7. Please Send payments t0 American InfoSource, servicer on behalf of Bank of America P.O. Box 248852 Oklahoma City, OK 73124 1-888-221-4299 Please write the above account number on your check. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Executed this 7 day of .Tune 2012 American InfoSource, servicer on behalf of Bank of America Claimant Name: Jon 1VIcCleske Claimant Signature: 4313072999392924 IRENE J TASCHEK - ~ 7 211 MAPLE AVE J --'' TOTAL AMOUNT ENCLOSED IS $_ 1 CAMP HILL PA 17011-4123 -- Please make checks payable to: M&T BANK Please return this stub with your P . 0 . BOX 62146 payment. Thank you. BALTIMORE, MD 21264-2146 ~~;~;:~,; ~:5 l 20~~~0000~: ~~444 2~, 28?3~,998u' LARRY L. MORRISON 3822 CHARENE Y. MORRISON 60-1273/313 1350 KUHN RD. ~~ ~ r ~ /, »s BOILING SPRINGS, PA 17007 d-- ~ ~ Date Pay to the '""~' ~ "7 ~ / ._.---- Order of / " /v ~ ~~~ ~~ O Fealu~a9 Dollars ~ o.~„~, o~ Back. B PNCBANK PNC Bank, N.A. 040 entral A Q r For. ~ ~ $ ~~O __._ ~ ._......_._.,.. __ -.-.--.~~~/~~~ ~~ ~^?' ~:0 3 L 3 L 2? 38~: 500 408 2 4 5 611' 8 2 2 Harland Clarke 1 • ~ 9 ~,. Brown's Lawn Care & Landscaping BroYlrn~ 381 N. Locust Point Road t~r,~t~o Mechanicsburg, PA 17050 Bill To Irene Taschek/morrison 1352 kuhn road boiling springs pa 17007 Invoice Date Invoice # 5/7/2012 18 Terms Due Date Due on receipt 5/7/2012 Quantity Item Code Description Price Each Amount 4 Lawn Mowing Lawn Care/Mowing Services April 9 nth,April 35.00 140.00 16th,apri125th,may7th next schedule mowing may21 st~june4th ~',, ~: ~,,.s,,~ ~ ~ .. e4'x ~,: ~ t ~ ^~ i $ ~1j ~ ~ ~~ ~, ... ~. d r a ~ + ~ , ~ . ~ e' tit ,/ 1+ .-~ i ,~ r ... ti ~` 'S.. -~" i Phone # E-ma il Web Site Thank ou foryour bu 71'1Y5 0 0 iness. i f l f k / l TOtaI $140.00 -63 8 3 n o@browns awncare.com www. aceboo .com browns awncare Brown's Lawn Care & Landscaping `l BrOWn S 3 81 N. Locust Point Road f,~r~~r Mechanicsburg, PA 17050 Bill To Irene Taschek/morrison 1352 kuhn road boiling springs pa 17007 Invoice Date Invoice # 6/4/2012 24 Terms Due Date Due on receipt 6/4/2012a~ Quantity Item Code Description Price Each Amount 2 $35 Lawn Mowing ... $35 Lawn Mowing Service Fee 35.00 70.00 Mowing Service on: May 21st, May 29th MORRISON RENTALS s°-'26923'3 615 1350 KUHN ROAD BOILING SPRINGS, PA 17007 ' W DATE ~ ~~f r ~ ~ ~ `~~ a ° ,,.,~ ~ PAY TO THE ./~ d'~,J, ~ ~UP~' ~ p~ ~t ~.-- ORDER OF 1 i~if1~ ~.-- }`7 ~t,~~ , ~!"~ ~+' I ~ ~ ~ ~ ~D u __.-- ~w.~~~ .DOLLARS LSJ s«~nF..w,., ~ ~~~. Mleile m 8uk i 3 . o .Sovereign Bank , . q PART OF THE SANTANQER G OUP ~-- /~ MEMO ~"`~D %'~ "'. ~ ~ Z (! W v'~ : ;! ~ ~~~1 ~~,.-~ ~I'~ NI' t, , -~: 2 3 3 269 ~~; 289.10 2 0 3 II'06 L 5 Phone # E-mail Web Site Total $70.00 717-580-6303 info@brownslawncare.com www.facebook.com/brownslawncare ~~;~:; Brown's Lawn Care & Landscaping BrOW ,~. ,- _,_ . _ 3 81 N. Locust Point Road a arr~c~ar Mechanicsburg, PA 17050 BiU To Irene Taschek/morrison 1352 kuhn road boiling springs pa 17007 Quantity Invoic Date Invoice #t 7/9/2()12 3 9 Terms Due Date Due on receipt 7/9/2012 Price Each Amount 35.00 70.0 b~~ ~i~al MORRISON RENTALS so-~zss/23ts 6 2 ~ 1350 KUHN ROAD BOILING SPRINGS, PA 17007 .~ .~ DATE w a a 1 v , .~'^~ ORDER OF E W S,.J Cyl-V/ 7~ ` C.-.r` ` 1Qc ~ ~I'/~~ G~i'°~ ir'1 ~ ~~ t ~' ~/' ~ ~` '~ ~ 1 ~ ~ ~mr- ~~'~ ,'q Sacur~ry Features o 't,! ~ c.f ~ ~~ ~~OLLARS 8 ~~° ~,~. Sovereign Bank 0 ~,,~ jlPART OF THE SANTANDER G OUP ~ ~: 2 3 L 3 ? 269 ~~: 289 ~0 260 3911'06 20 2 Item Code $35 Lawn Mowing ... Description $35 Lawn Mowing Service Fee mowing June 18th,July 1st $70.00 ('] N H i ~. (7 W U1 J X11 ~P ~' ~I ~ I-' ~ ~ v x~ x~ o N- ~ ~ -~ N- w cn ~ --~ CD H E v N X ~C A~ 1 (D fi ~ ~ ~ Cl -P ~ m ~' ~ cn ro ~~ m ~~~ w J ~ Y. ~ ;~ O (D O ~ ¢7 F-+ ~--~ F-j CA ~~ Ct' C7 (D W Ct ~~ -P E--' .~,. ~ ..~= ~*~, '`' '.°-.~ ~- ~~~ ~ y ~ o y 2 (~~ W /m~ lV.,. C ~ 6 ~ "' m ~_ m °' {-~ ((~~7 ii+ --yy ~. m Q / ~'~ - 2 D N ~ -i D ~ • Q ~ S ~ g~ ~ om mm `DVm Tz `C° v v3 ~ ~ (D nWi ~ w ~ o - o ~ m ~ 0 ^ 2~ ~O y ~ v' ~ Z fb y "~ O 7~ C m ~Z C!7 ~ ~ ° ° ~ ~ m ~ O c - om ~ ~~~ ~ - zo K ~ m m ~ -i O T 3 ~ O ~ ~ ~ Om H Z~ ~ \ ~_ z n ~ moo F-+ _ ~< z ~av mN H o z~ F-' N mcmi~ ~o w c m m Cm ~~ ~ s t ~ a i 1 -: u~~~~~~~ b/s~~~/~ # /gin Lowe' N~°I~VING - SALE - SALE:`a: 52223KG2 1676652 TRANSq: 11833895 06-27-12 377199 50PT FLAT PANEL ESTAR DEH 198.00 SUBTOTAL: 188,00 TAX: 11.88 INVOICE 11473 TOTAL: 209.88 CHECK: 209.88 STORE: 2223 TERMINAL: 11 Q6/27/12 17:55:27 # DF ITEMS PURGHASED~ EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEMS I ~~ ~~I ~~ ~ ~ ~ ,.{ ~~ I~ ,. ~~.~.:.I ~~.~ ~ jf~FF ~s . ..I. I,I~ ~II Important Messages LEFFLER ENERGY PO BOX 302 energy MOUNT JOY PA 17552 Address Service Requested Please send payment to the address displayed in the lower right corner. All other correspondence to the address shown above. 4136001353 PRESORT SGL P3 C1 <83> 58 1 SP 0.450 Itftllltttllltfttttll~ttlltlttlfttlltfltlttllftffllffflllttltl IRENE J TASCHEK OAKWOOD PARK 211 MAPLE AVE CAMP HILL PA 17011-4123 Your payment is overdue. We really want to continue servicing you, but our previous requests for payment of your overdue balance have gone unanswered. Your account is now seriously delinquent and you are in danger of losing your delivery service and access to our 24-hour customer service, benefits and more. If you have already made payment arrangements with us, thank you, and we ask you to kindly disregard this notice. Payment of your overdue balance must be remitted immediately. We accept checks and major credit cards (at no cost to you). Please call today to make your payment -Thank you! STATEMENT Account #: Date: Please Pa Please Pa B Location: 10-4298928 06-22-12 688.35 Due U on Recei t ./211 Ma le Ave/./Cam Hill PA Date Invoice # Transaction Char es Credits Balance 06-22-12 PREVIOUS BALANCE LATE FEE Account Balance $7.92 $680.4 $688.35 Please note: Services may be suspended for non-compliance with our credit terms. See other side for important information. For questions regarding your account, please call us at 800-984-1411. page 1 of 2 Please detach and return this portion with your payment. LEFFLER ENERGY PO BOX 302 energy MOUNT JOY PA 17552 In addition to payment by check, we accept electronic checks by phone. We also accept all major credit cards IRENE J TASCHEK OAKWOOD PARK 211 MAPLE AVE CAMP HILL PA 1 701 1-41 23 Account #: 10-4298928 Please Pay By: Due Upon Receipt Please Pay This Amount: $688.35 Amount Enclosed: Check here for change of billing address (see reverse for details). Please make check payable to: LEFFLER ENERGY PO BOX 28335 NEWARK, NJ 07101-3116 ~~IIIIIIIIIII~IIIII,I~~~~I~~I~~~~~III~~II~I I~~III~I~~~II~IIII~I~~ 001004298928000000D0000688350000000000000688359 07/30/2012 MOx 10:43 FAx fdJ003/005 m 0 0 ti r 0 m 0 0 ti m a 0 0 0 r 0 m 0 r°a a - ~ _ _ ~ .- z 1 ~ ~ ~ rr _ ~ V3 U ~ w ~~~ W o ~~a ~ ~_~ , V °' ~ d ,._. Wiz J~J = a~~ aNd = a~ ~~ . ~ ~. •C v . ~ l0 V t 'C ~ ~ • y ~ + w_ _ ` - ~V\ J > a :' _ ~ ~~ .r ~ O • ~ , M . = ~ ~ - - ® ~ " a ~~ _ ~ a . o ~ ~_. m o~ ~o ~ -.~ -.. ~. ~ ~ ~ ~'~ ~ ~ ~ ~ _ - ~gz~ ' V 4 ~~ ~ .' v ~ ~ W _ S W~~W ~ ~ (`~ ~"' 1 ESTATE OF IR~NE TASCHEK 435 VIRGINIA RD. MEGHAIVICSBURO~ PA 17055 PAY li0 THE ~~ O R OP~ 106 $sa~~.:. .DOLLARS ~ ~. Sh~eld~' ~ -~s1 M&T Ban1c ~na~Raao,~. ' ~ ~ ~ ~ MIilMfO _~' ~ ~~ - --- ~t;Q3L302g55~: 98.986?52911'Oi06 . ~~ 1390 31~ DA'I~ ~ . Questions? Please Visit us online at Page 1 contact us by Aug 2. `~ pplelectric.com 1-800-DIAL-PPL ~ r ~ - r . - ~ ~ (1-800-342-5775} 54480-72003 Aug 2, 2012 $137.Q0 I~f"i_ ~.icvetric CJRti#tia3S M-F: Sam to 5pm Your Electric Usage Profile Service to: IRENE JTASCHEK-ESTATE 211 MAPLE AVE CAMP HILL, PA 17011 Meter: 5fi837955 Your next meter reading is on or about Aug 9, 2012 This section helps you understand your year-to-year electric use by month. Meter readings are actual unless otherwise Hated. 2011 2012 s ~, a a 00 a 4 4z 35 z$ 21 14 ~' ~. 1 F M A M J J A S O N D Jul 11 Actual 78692 Jun 11 Actual 78071 30 Days kWh Billed 621 Billing Summary {Billing details on back) Balance as of 1ul 12, 2012 $54.15 Charges: Total PPL Electric Utilities Charges $30.19 Total Dominion Energy Solutions Charges $52.66 Total Charges $137.00 Amount Due By Aug 2, 2012 $137.00 Account Balance $137.00 PPL Electric Utilities' price to compare for your rate is 7.993 cents per kWh effective 6/1/2012 to 8/31/2012. For a list of su pplier offers, visit papowerswitch.com or www.oca.state.pa.us. Your Message Center • This bill includes a previous balance. If you have paid this amount, please accept our thanks and pay only the current charges. 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. Close drapes, blinds and shades on the sunny side of your home during the hottest part of the day. It eases the load on your cooling system and saves energy. Pavment Methods Online at: ~ By phone: 1-800-342-5775 pplelectric.com or call BiIlMatrix (service fee applies) at 1-800-672-2413 to pay using Visa, MasterCard, Discover or debit card. .. a . ~ ~ ®By Mail: Correspondence should be sent to: Aug 2011- Jul 2012 7423 ~ 619 2 North 9th Street Customer Services CPC-GENN1 827 Hausman Road Aug 2010 -Jul 2011 7420 618 Allentown, PA 18101-1175 Allentown, PA 18104-9392 other important information on the back of this bill -~ IRENE JTASCHEK-ESTATE PPL ELECTRIC UTILITIES C/O CARLA Y WROBLEWSKI 2 NORTH 9TH STREET CPC-GENN1 435 VIRGINIA RD ALLENTOWN, PA 18101-1175 MECHANICSBURG, PA 17050-3070 I~I~II~I~II~~l~l~lll~~l~~~l~l~l~ll'I~I'~~I'~"~~I~~1~~~1~~~~'~I~I 1 4700001,370070000137003 5448072003 ~8/~1/2012 ATED 9: 59 FAX ~~~6/~1~ .~;::,. ~ Questlons7 Please ~ Vlslt us online at Page 1 •• ~•'.: contact us by Jul 3. pplelectrlc.com ~~f ~t_=- 1-SQQ-DIAL-PPL ~ ~ ~ ~ - ~ ~ `' ' (2-8oa342-5775) ~'~. 5448t}72003 1ul 3, 2012 ' ~ :;$107`.6.:' ~ ~~:: +~ ua~roo. M-F. Sam t0 5pm Your electric Usage Profile _ _ _ Billing Summa Service to: IRENE J TASCHEK-ESTATE 211 MAPLE AVE CAMP Nli_L, PA 17011 Meter: 56837955 Your next meter reading i5 on or about Jul 11, Z01Z. This section helps you understand your year-to-year electric use by month. Meter readings are actual unless otherwise noted. Z details Balance as of Jun 12, 2012 552.86 Charges; Total PPL Electric Utilities Charges $22.26 Total Dominion Energy Solutions Charges $32.56 Total Gharge5 $207.68 Amount Due sy 1ul 3, 2032 $107.68 Account Balance $107.68 I had to call PP&Y. regarding her electric bill. ~'or 9ome reason, I did not recoive a bill for June and they told me that she owed 553.53. Shortly after I sent the check, she receMVed a bill. That's were you can see payment was received J ne 15~'` for $53.53. Check # 98 from the estate checking account. ~/V~~~~ = ' '' ~ Methods - -- ~er~t Jun 11 Actual 78071 ~ _ _ _ ~ pnline at: ~ _ _ ~ 8y phone: i-800-34Z-5775 May lp Actual 77687 pplelectrlc.com or call BillMatrix (service fee applies) at 1800-672-2413 to pay using Visa, 3Z Days kWh Billed 384 MasterCard, Discover or debit card. a Mall: ondence Should be sent to: Corres - ~ y p Jul 2011-Jun 2o1Z 7771 648 2 Narth 9ih Street Customer services CPC-GENN1 827 Hausman Road Jul 2010-Jun ZOll 7563 fi3U ~- ~ • ~ Allentown, PA 18101-1175 Allentown, PA 18104-9392 dther Important information on the back of this bill ~ _ :;: ~'-''''' := _. ~ Retum this part in th® env®lope ~ ~ _ e ~ ~ pp~ ::-- provided with a check payable '~' ~ to PPL Electric Utilities. 54480-72003 Jul 3, 2012 $107.68 ~ u~~~ Amount Enclosed: AV 01 008381 893599 30 A'•50GT ~I~~l~lll~i~~~~~~~~~l~llll~l~,~~~~I„l~lll~~i~~lll~lll~„I,IIII~~ IRENE J TASCHEK-ESTATE ppL ELECTRIC- UTILITICS CIO CARLAYWROBLEWSKI 2 NORTH 9TH STREET CPC-GENN1 435 VIRGINIA RD MECHANICSBURO, PA 17050-3070 ALLENTOWN, PA 18101-1175 Illl~llll~~~~~il~~llr~,I~Illl~~~~l~ll~l~lll~ll~ll~flllllll~llll~l 1 aaooa01076800000107b83 5448072003 08/01/2012 wED 9:59 FAX For questions regarding the generation and transmission portions of this bill, please contact your supplier at: ® Qaminion Energy phase: Solutions ~ 1-888.216-3721 Customer Senrlces D 0 BOX a98 PITTSBURGH, PA 15230 Mana s Your Account Vlslt pplelectrfc.cvrn for self-service options Including; -View your bill, payment, and usage history. -Make a payment, set up a payment agreement. -Start stop service. -Enroll in paperless billing, automatic bill pay, budget billing. -Report an outage, check outage status, and mere, View your rate schedule at pplelectric.com/rates or call 2,-800.342-5775 to request a copy. General Information Generation prices and charges are set by the electric generation supplier you have chosen. The Public Utility Commission regulates distribution rates and services. The Federal Energy Regulatory Commission regulates transmission prices and services. PPL Electric Utilities uses about $0.10 of this bill to pay state taxes and about $4.97 Is used to pay the PA Gross Receipts Tax. r~oo~/olo Previous Balance Payment Received Jun iS, a012 -Thank Youl -$53.53 Bolonce as oflvl 11, 2012 $Sa,i5 Charges for -Dominion Energy Solutions Generation & Transmission Charges DOMPpL for tun 11-Jul it Electric Chg: 6Z1 KWH ~ $0.08480 STATE SALES TAX 52.66 GROSS RECEIPTS TAX 53.19 0.00 Tota! Dominion Energy Solutions Charges $52.661' Chargges fvr - ppl Electric Utilities Residential Rate: RS for dun 12 -1ui 11, Distribution Charge: Customer Charge 6?1 kWh at 35900 000 kWh 3 8.75 , , pper 0 PA Tax Aldj Surcharge at -0.34S000OO~S 20.86 -0.10 Total PPI, Electric Utilities Charges 529.51 Other Charges for PPL Electric Utilities Late Payment Charge 0.68 Total of Other Charges $0.68 AmOUrit DLe ley AUR• ~2, 2012 :~~'~~~ ~ ~~`k~e;'~ . „~ . -?~'~'`~ ~ ~ ;" 13T. . `... S OO Account Balance ~ _ $137,00 Understandin Your B~II Custom@r ~harge -Monthly basic distribution charge to cover costs for billing, mete` reading, equipment, maintenance and advanced metering when In use. ~Istributlon Charge -Charge for the use of local wlr s, transformers, substations and other eq Ipntent u ec~to deliver electricity to end-use consumers from tie high vo~tage transmission lines. kWh (Kilowatt-hour) -The baslc unit oof electric enersy for which most customer$ are ch rged. Th amount of e-leetrlclty used py ten 100-wat~ lights le~ on for x~ou .Consumers are usually charged far a ectrlclty In cents per kf~owatt-hour. late Payment Charge -Charge added if you do not pay your bill on time. Rate RS -Rate for service to a private home. State Tax adjustment Surcharge -Charge or credit on Qlectric rates to ref eat changes In varlo s state taxes Included In your bell. The surcharge may vary by`~fll component. TyAc~ual ~ Rea{dlnRQadin~s: g y dis rlbutlon company, _ ~~ 08/01/2012 wED 9:59 FAX 000~40bS0881800000000000D49b1016 Pennsyfvanla American Water PO Box 371412 Pittsburgh Pa. 15250-7412 For Service To: 211 Mapl® Ave 1,l,,u...ililiiittlil,.ii~l„iii.ui,.l~l,l~ll~l~i~ll~'I~I~I~I~ 019160 1 AV 0~3~7 3150/ISISOJ00316D D60 1 NCC1087 _ IRi=P1E J TASCNEK 211 MAPLE AVE CAMP h11LL PA 17011-4123 " 24-0650681-8 AMOUNT DUE $49 , 61 ouE DATE May 14, 2012 __ ~ AMOUNT PAID PENNSYLVANIA AMERICAN WATEI PO BOX 371412 pITTS~3URGH, PA. 16250-7412 l~l'I~~~~Ilillii'I~I~III~~~,,li~~~,~~~~,~~...~,,,~~ill.l~~~~~~ill n please check here Io add H2P-Help to Others contribu~fon fo your monthly blp ~,_,^J of to af-anAe Vou~ address Or telap>torte number, and prMt fnlormalivn on rev®rsa side. Account #: 24-0650581-8 ®008/010 ThAnk you for using My HZO Online to pay your water services account, This email confirms our receipt of a pending authorized payment From you in the amount of $51.41, including any transaction fee. Your confirmation number is ~2A15$2I446. For payments by credit card or by e-check, this number was . provided by the PayMyBill service. You paid by credit card or a-check a.nd provided this payment clears, $49.61 (your payment less the transaction fee) will be credited to the American Water account number shown above. Your credit card or bank account statement will roport the transaction in the name of American Water and the transaction fee will appear separately as "Payment Fee". It may take 3 or more banking days From the date of this notification to fully process your payment. We have developed the self-service site to address the most-common reasons people contact American Water. Here are some of the things you can do through My PIzO Online from the comfort of youx home or office: • Check your account balance • Make a payment on your account • Update account information, such as the name or mailing address on the account • Turn service on to a new address • Turn service off when you are moving • Schedule a service appointment i 08/01/2012 PJED 9:59 FAX Carta Y. Wroblewski f~009/010 From: Sent: To: Subject: Good Morning Aunt Carla! Wolff, Ashley <awolff~harrisconnect.com> Monday, June 11, 2012 X0:50 AM Carla Y. Wroblewski FW: Payment Confirmation Hope you had a nice weekend :) Here is the receipt for Nena's June water payment. Happy Mondayl Love ya! Ash From: Info~transackionsQutlons.com mallto:inP i n Sent: Monday, dune 11, 2012 10:4 AM ~o: Wolff, Ashley Subjetti: Payment Confirmation This co~iirms that you have authorized pa.ynnent for the total amount of $41.89 on 6/11/2012 10:44:11 AM Eastern Time. t'rovided this payment clears, $40.00 will be forwarded to American Water account number 2406508818. Yo~ir credit card statement will report the transaction in the name of Amerienn Water. Your statement will report the PayMyBill~ service fee as a separate transaction under the name of Payment fee. It may take up to 3 banking days to fully process your payment. Your confirmation number for this payment autl1orization is X21316142400. ylvania American Water 8 'x 3714f 2 rgh, Pa. 15250-7412 For Servic® To: 211 Maple Ave Illl+l.+ll,.l~,.+1i11.11~111111111~111.,11;11111111111111111111 ~ _~ 0173A71 AV 0.347 13~7/17387/00T997 OA7 1 NCD3Q9 ~RENE J TASCHEK 435 VIRGINIA RD MECHANICSBURG PA 1700-3070 000406508$1$0000000000004009014 state Iaw, :ssees. [f ~yi n~, ~d by law, 1= ^ PENNSYLVANIA AMERICAN WATEI PO BOX 371412 PITTSBURGH, PA. 15250-7412 rll~~III,.~111~11~111111111.1+11111+ii,llll,ll~llltll+l,+.l.l+.. ! Please check here fo adOdH2O-W~fp io Orher~ con~rlb~l/on ro yow monthly b~ L ~ ..a~ fo ChAn~q w+~n sd~rwc~e nr fnne nurtr6eL and o<inf InMrmnllon m~ reverse alde_ 08/01/2012 WED 10:00 FAX pennsylva~la Amerlcan Waier PO Box 371412 Pittsburgh, Pa. 15250-7412 ~vr SerVlce To: 211 Maple AV® OOd2406S088be0000QQ000000839Z010 ~' IIIIII~~I~III•II'1111'1'1111111'II'llllll'I"I"IIIII''lllll.~ll~ ~` 020061 1 AV 0.3470061/2p061100006~ o7B t HCDV~B J TASCH~K AGINIA RD MECHANICSBURG PA 17050-3070 ~IIIIIIIIIIII.III..lllll'll....1111.-11~11~~111111111111~~1111i11 Please check here fo edd H2aHel to Others co~ilri6utio,i ro your monthly bRl -, or to ~errga y_uur address o~ tAle~loR& nimber ~n4,pWnl inlormafion on r®v~rBa side..............-- ------- ..... ............ Customer Account Informatlon ~ l; mp ill, YA;R~/U1~141~jHEK Account #: 24-0650881-8 Blllingr Summery -----Prim Qalancerrrrrrr------ ®010/010 Thank you for using My UFO Online to pay your water services account. This email confirms our receipt of a pending authorized payment from you in the amount of $85,72, including any transaction fee, Your confirnnation number is X2A.16433067, For payments by credit card or by e-check, this number was provided by the PayMyBill service. You paid by credit caxd or a-check and provided this payment clears, $83.92 (your payment less the transaction fee) will be credited to the American dater account number shown above. Your credit card or bank account statement wilt report the transaction in the name of American Water and the transaction fee will appear separately as "Payment Fee". It may take 3 or more banking days from the date of this notification to fully process your payment. We have developed the self-service site to address the rrtost-common reasons people contact American Water. l~ere are some of the things~you can do through My FI20 Online from the comfort of your home or office: • Check your account balance • Make a payment on your account • Update account information, such as the name or mailing address on the accoUni PENNSYLVANIA AMERICAN WAYI PQ BpX 371412 PITTSBURGH, PA. 15250-7412 07/30/2012 MON 10:43 FAX (~J002/005 108 DAB a ORDER OP I,/~/K• 4` ~~! " / V~ /~ 3 ~ ~" DOL(.ARS B --~:~ ~&T' ~~I11~ ~//1/~.~i,~ ~ Shield` o C ME.~o~~~a i- o ~:0 3 L ~0 2 9 5 5~: 98 4 y8 6 7 5 2 9u'0 i 08 00024065088181]OODOOg000014 x,1401 Q Pennsylvania American Water p0 Box 371412 Pittsburgh, Pa. 15250-7412 For SetVlce To: 211 Maple Ave ,II.III>tl~ll,il~l~,ll.,l~llllll.llll.ll. 029928 ~ AV 0.347 I$26~922e/U0132b 100 t NCDXd.S ~~ TRENE J YASCHEK "~ 435 VIRGINIA RD MECHANICSBURG PA 17050-3070 pt_NNSYLVANIA ~-MEAICIOIN WATEI PO gOX 371412 pITTSSURGW. PA. 15250.7412 ..i,ill.ulllll~.,ll,.ll~lli,iii,Il.,il,lll,lll.,lli~i~l~lll.llli Glosi~g BIII a please cfleok here to add H2O-Help ~o Oth®rs confribuNon to y+vur monlirly bill i or ro chQnpe your addrBSS or telephon®number. end prim rnfor-neNon on reverse aide. eo-~ ESTATE OF IRENE 7ASCHEK a'~ ~~ 435 VIRGINIA R0. MECHANICS9UgQ, PA 17065 REV-1513 EX+ (01-10) ~ Pennsylvania SCHEDULE ] DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Irene J. Taschek 21-12-0518 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1• Kari Hively, 1016 Grim Hollow Road, Red Lion, PA 17356 grandchild $5,000.00 2. Ashley Wolff, 118 Newbern Road, Janisburg, NC 27947 grandchild $5,000.00 3. Zara Wroblewski, 435 Virginia Road, Mechanicsburg, PA 17050 grandchild $5,000.00 4. Charene Y. Morrison, 1350 Kuhn Road, Boiling Springs, PA 17007 child $19,110.85 5. Marlena Uglow f/kla Marlena Ravera, 118 Newbern Road, Janisburg, NC child $19,110.85 6. Carla Wroblewski, 435 Virginia Road, Mechanicsburg, PA 17050 child $19,110.85 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 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. I $ If more space is needed, use additional sheets of paper of the same size.