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Home My WebLink About10-02-12_. J 1505610105 REV-1500 ax(°'-, ,,tF° PA Department of Revenue OFFICIAL USE ONLY Pennsylvania Bureau of Individual Taxes Coun .ode Year File Number """~"`" b INHERITANCE TAX RETURN PO BOx z8o6ot. Harrisbum, PA t92z8-o6ot ~ ~^~, „- 1 } - 1e 1 RESIDENT DECEDENT c1 ENTER DECEDENT INFORMATION BELOW `L L ~ T f t Social Security Number Date of Death MMDDVVYY Date of Birth MMDDYYYY 200-36-7351 06/11/2012 12/06/1952 Decedent's Last Name Su~x Decedent's First Name MI Miller Jimmie (If Applicable) Enter Surviving Spouse's Information Below Spouse's last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLIOATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW m 1. Original Return O 2. Supplemental Return O 3. liemainder Retum (Date of Death I>rior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. f=ederal Estate Tax Retum Required death after 12-12-82) O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. 'total Number of Safe Deposit Bozes (AUach Copy of Will) (Attach Copy of Trusl.) O 9. Litigation Proceeds Received O 70. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113(A) Between 72-31-91 and 1-1-95) (Attach Schad le O) rv CORRESPONDENT- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOO RECTED 118: Name Daylima Telephon er O Jac ueline M. Verne , Es 4 Y q ~- "i , n (717)243-919m~ ~'~G` v, x - :? ~ ~:. REGISTER OE-~IL~~USE ONLY -, .- 3 r .t First Line of Address ~ -~~ OO i'= D ~ 44 S. Hanover St. ~n `~ Second Line of Address City or Post Offce State ZIP Cotle L- DATE FILED Carlisle PA 17013 correspondent's a-man address: jmverney@aol.com Under penaMles of perjury I declare that I have examined mis return, including accompanying schedules and statements, and to the best a1 my knowledge and belle(, h is true, coned and complete. Declaration of preDarer other than the personal representative Is based on all Information of whkh preparer has any knowledge. SIGNATURE OF PERSON RESPO ISL@ FQR FIL~NG RET).1RN ~ /pATE ADDRESS I NATURE OF PREP RER OTHER Tl~AN R SENTATIVE DATE ~1/~ 9 -a 7-i 2 RESS v4 5. Ll-~,~a/~~t 5; C,4n`CfsCf ~~ 17013 Side 1 L 1505610105 15[15610105 J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decedents Name: Jimmie Miller 200-36-7351 RECAPRULATION 1. Real Estate (Schedule A) ............................................. 1. 0.00 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00 0.00 4. Mortgages and Notes Receivable (Schedule D) ........................ ... 4. 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Properly (Schedule E).... ... 5. 6,312.16 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. 6,312.16 9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. 3,621.96 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............ ... 10. 4,167.44 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. 7,7$9.42 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. -1,477.26 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. 0.00 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_ 15. i6. Amount of Line 14 taxable at lineal rate X .0 _ i6. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610205 15105610205 0.00 0.00 0.00 0.00 0.00 O REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Jimmie Miller _____ STREET ADDRESS _.. 88 Mooredale Road CITY STATE - -ZIP Carlisle PA 17015 Tax Payments and Credits: 1. Tax Due (Page 2, line 19) (1) 0.00 2. CreditslPayments A. Pdor Payments _. _ B. Disceunt _ _ Total Credits (A+ B) (2) 0.00 3. Interest (3) 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, Llne 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 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, benefts or care? ...................................................................... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death wittrout receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "intrust 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 dales 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 [l2 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 oT the surviving spouse is 0 percent ]72 P.S. §9116 (a) (1.1) (ii)J. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a lax 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)(t.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)]. • The taz 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. REV-gab EX+ (o8-u) pennsylvania SCNEDIILE E ~iT DEPARTMENT OF REVENUE CASFIr BANK DEPOSITS & MISC. INHERRANCE TA%RETURN PERSONAL PROPERTY RESIDEM DECEDENT ESTATE OF: FILE NUMBER: JIMMIE MILLER 21-12-0722 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTfON OF DEATH 1. Fidelity Brokerage Services, LLC (check in wallet) 2,000.00 2. Cash in wallet 26.00 3, Cash from unemployment compensation card 540.00 q. F&M Trust checking acct 392.96 5, Pa State Retirement check 70.44 6, Fidelity Brokerage Services, LLC 1,643.09 7, Proceeds from sale of 1997 ford Expedition 1,500.00 g, State Farm car insurence refund 124.17 g, United Healthcare health insurance refund 15.50 TOTAL (Also enter on Line 5, Recapitulation) ; I 6,312.16 If more space is needed, use additional sheets of paper of the same size. PAY Two Thousand Do FIDE anoto:n~oE 'ars and OO Cents _ TO THE JIMMIE MILLER ORDER OF ti8 MOOREDALE RD APT 2 CARLISLE PA 17015-9322 jrp.9g7~b299;:, ; cES u.c`~- June 04,, 2012 ; ~~ DfA6TLY 000 Na vana Arter 90 Days' National FMancial 9rWViwsnLLC ~i ~ ~. JAS AUTHORIZED SIGNATURE n•9i29D029gn^ t:03ii0035it: p•030D97420iu• TNIS WCUMENTNpS qN ggIIfIC44L WpiEgM1{gflK GPINiEp ON THE gptlC THE FgpM OP ME pOC4MEkf Hp9 p INF a ~ 20 South Mt Cbambersburg ~REMIl7ER L:1nse cheeky ny PAY 70 THE oROERO~E'st:+.te of JymmyA~ I F1x11er•:~K rN~ee ~ruraa~~~r~ rarr,t~r~~ r~oo DI~LLA~; , arar. NlydErl' STr, cerars 201 355681 DATE _ .7u j S~ 10 E ',?OI <' s~o5 710 OFFICIAL CH -~---DOLLARS ISSUED BY: MONEYORAM pgyMENT SYgTE~C~ p.0. BOX 84]6, MINNEAPOLIS, MN 56450 '"'~~ OR~WER: F8M TRUST DRAWEE; THE BANK OF NEW EVERETi, Mq YORK MELLON ~r•355681n• ~:Oi1007092~:0i600i0446900 UnitedHealthcare Insurance Company PO Box 105133 Atlanta, GA 30304 2(gARPiR7A0070501 ESTATE OF JIMMIE I MILLER 68 MOOREDALE RD APT 2 CARLISLE PA 17015-9322 DATE: 07/18/2012 MEMBERSHIP #: 327340426-1 CHECF; NUMBER: 163764 cl~cx: AMOUNT: also AS YOU REQUESTED, YOUR COVERAGE HAS BEEN CANCELLED. THIS REFUND IS FOR MONTHLY PREMIUM PAYMENTS AFTER YOUR COVERAGE ENDED. IF YOU HAVE ANY QUESTIONS, PLEASE CALL TOLL FREE I-800-523-5800. ~P° I Supplemental and Personal Health Plana wu~by~~edHealCom~ PAY i e __ ' nve.vv~aeev ea~anorv vvnee^ vvnrcnem nna -~ -_ ~_ ONLY®crscrs TO THE ORDER OF PATTIE PARSONS EXECUTRIX JIMMIE I MILLER ESTATE 1054 S PITT ST CARLISLE PA 17013 00000 061 070 080312 27010054 988162 •«*.r 00016860~2Y4 `~~ ~493'~JY 4 7627 CDC FUND ~ DCi ~ PREP DATE VOUCHE~ INAhRANT , _ ID "; C~ECt~t~tU.1B~q"" . ,'. r - TON BANK ~ ~ ~ ~ ~ ~ ~ ~I/ o <> LANCASTER,PA - - '. C~er~40`°~ ~ 7.,~~ s~'~b ~~ ,: .,08f1O12012~. VERIFICATION AVAILABLE - "PQSITIVE PAY" PRpTECTER . ' ~ DATE PAY:... 44 - VOID AFTER'I60 DAYS ***~********70.44 ~~ Robert M McCord ., ~TREASttRER OF~PENNSVLVANIA II.66493i54N' ~:031302748~: 1219 5384711' .., a co .~ 0 ~o ~o N fD n ~D N r r A z o, w 0 V Oo W O dug 2', 2032 l~liCli Travis 1~OL Bradley C~rv~ ~arEisle, rA ?7~::aaE °urchased ~~9:~ Fe rd E:x~;edi:ie~n $15R~O.E}0 dash ~s fs in Fair Corcxitor State farm® Providing Insurance and Fnancial Services One Sfa/e Farm Dr Concrordvllle PA 19339 oos3o 6277 5 52W MILLER, I JIMMIE, ESTATE OF 2191 NEWVILLE RD CARLISLE PA 17015-7748 ,, ,,,,,, AC~~irUWLED(;EMENTOF O CANCELLATION REQUEST INIY YMfb DATE AUG 2s 2012 POLICY NUMBER 687 4695-E08-38K AUTO MULTICAR POLICY EFFECTIVE DATE OF CANCELLATION AUG 28 2012 12:01 AM. STANOAflO TIME AGENT GREG LUNDE As requested, this policy has been canceled as of the effective elate shown. We thankyou for having given us an opportunityto provide this insurance. 005: 39716-5-W ql-NONPI PREMIUM REBIND ""124.17 00530 124131 11-142010 I o t e 017 c d 1 REV-1511 E%+ (30-09) ~ = pennsytvania DEPARTMENT OF gEVENUE INHERITANCE TA% RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS earatt of FILE NUMBER JIMMI~. l~l-II~~ al-is-~~z~ Decedent's debts moat be reported on Schedule I. A FUNERAL EXPENSES: 1' Hoffman-Roth Funeral Home N. Hanover St. Carlisle, PA 17013 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) __ __ __.. Street Address City .State _. _.. 2IP _. Year(s) Commission Paid: Z• Attorney Fees: I• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address City _. State ..ZIP... Relationship of Claimant to Decedent 4• Probate Fees: S• Accountant Fees: 6. Taz Return Preparer Fees: ~ Advertise Letters: Cumberland Bar Jeumal-$75.00; Sentinel-$200.16 TOTAL (Also enter on Line 9, Recapitulation) # If more space is needed, use additional sheets of paper of the same size. 2,646.82 500.00 200.00 275.16 3,621.98 . ,r-, ' ;' FUNERAL HOME 6z CREMATORY, INC 219 North Hanover Street Carlisle, Pennsylvania 17013 717.243.4511 Toll hee 1.866.451.4511 fax 717.243.3723 www.hotfmanrofh.com info@hoffmarxoth.com Jim Parsons July 18, 2012 1054 South Pitt Street Carlisle, PA 17013 Statement of Funeral Expenses for: Jimmie Ivan Miller Date of Death: June 11, 2012 Account Id: 16577-140 PACKAGE: Immediate Cremation OPTION 5 -Cremation $ 1,890.00 FACILITIES AND PROFESSIONAL SERVICES: Sub Total: $ 1,990.00 Use of Facilities for Viewing $ :?50.00 MERCHANDISE: Sub Total: $ 250.00 Register Book $ 25.00 Memorial Folders $ 25.00 Sub Total: $ 50.00 TOTAL FUNERAL HOME CHARGES: $ 2 290 00 CASH ADVANCES: 5 Certified Death Certificates at $ 6.00 each $ 30 Newspaper Notice -Sentinel .00 Newspaper Notice -Valley Times Star $ 119.32 Flowers $ 50.00 Coroner's Fee $ 132.50 $ 25.00 Sub Total: $ 358:82 Total Funeral Expense: $ 2,546.82 Payments Made: Total Payments Made: $ 2,645.82 Estate Of Jimmie Miller Check 102 Jul 18, 2012 Balance: ----------------------------------------- Please return this portion with your Remittance. $ Amount Enclosed Jimmie Ivan Miller Service ID#: 15577-140 2,646.82 $ O.oo SERVING OUR COMMUNITY SINCE 1 907 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3188 Fax: (717) 249-2883 July 27, 2012 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Jacqueline M. Verney, Esquire RE: Jimmie Miller Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. ------- Advertisementinserted on following dates: July13, July 20, and July 27, 2012 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 ------------- Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Cazlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regulazly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regulaz editions and issues of the said Cumberland Law Journal on the following dates, Julv 13 Julv 20. and Julv 27 2012 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations irl the foregoing statements as to time, place and chazacter of publication aze true. C~' L' 'a Marie Coyne, E for SWORN TO AND SUBSCRIBED before me this 27 of Julv 2012 CAL a Notazy Miller, Jlmmle, decd. Late of Dickinson Township, Adailnistratrix: Pattie Parsons c/o Jacqueline M. Vetey, Esquire, 44 South Hanover Street, Carlisle, PA 17013. NOTARIAL SEAL Attorney: Jacqueline M. Verney, DEBORAH A COLLINS Esquire, 44 South Hanover Street, Notary Pu61iC Carlisle, PA 17013. CARLISLE BOROIJOH, CUMBERLAND COUNTY My Commission Expires Apr 2B, 2014 The Sentinel www.com be rlink.com ~GtO~Pi Ud^KF 3tPiFr45Fl;AG FE4kv C(.AIN?v JACQUELINE M. VERNEY 44 SOUTH HANOVER STREET CARLISLE, PA 17013 717-243-9190 AD NUMBER PAGE NO. 411591 1 of 1 BILL DATE SALESPERSON 07H7/12 wolfc START DATE STOP DATE 07/03/12 07/17/12 Publlcatlon Insertions Rate Net Amount Gross Amount 3 THE SENTINEL -LEGAL 3 TOTAL AD CHARGE I.GL $191.16 $19118 3 MOBILE SITE 3 PROOF OF PUBLICATION MOB2 $2.00 01 PRF $7.00 ~~~ ~~ Est. J. Miller PAY THIS AMOUNT $200.16 $240.19• 'AFTER OS/11H2 THE SENTINEL Thank you for advertising with The Sentinel) Deadline for c/o LEE NEWSPAPERS in-column legal ads is 4:00 p.m. lwo business days prior to PO BOX 540 date of insertion. For questions, call (717) 240-7130. WATERLOO IA 50704-0540 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland iackie Cox, Sales Director of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13u,1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same a;s was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): ]uly 3,10 & 17 2012 COPY OF NOTICE OF PUBLICATION I R tlOTICE Letter of Admiolefretbn on the Estste ofJIMMIE MILLER, late of the ~ ~~~~~~~ ~~ "~'"-'r~'~^'PaMe~Pgr9bn4yA~CmitlistralrP. -: a/oJ®cqueOne M. Verhgy; Eaquin 44 South Henouer Stree Carlisle, PA7701; . Jeoqueline M. Verney, Attorney ,1t,9oulh,Hanovar Street CRMeIe,'PA 59018 Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication l~ Sworn to and subscribed before me this ~~+~ ~a~ ~ .l,L.: aoi2 ~~'~~.~ . ~~~y Notary Public My commission expires: COMMONWEALTH OF NotatlN 4eN Y M, FldtrYr Ntlhry Ptd71k ~arNBk Boro, C.umbxlMM CuurMy My GOnwnbelOn E>~Iro Sept 26, 2015 MEMBER, PENNSYLVARU ASSOOAr[d/ OF NOTAR36 REV-1512 EX+ (12-Q6j TOTAL (Also enter on Line 10, Recapitulation) # 4,167.44 If more space is needed, insert additional sheets of the same size. ra~ Pennsylvania SCHEDULE I DErnRrnENr of nEVENUE INHERRANCE TAX RETURN RESIDENT DECEDENT DEBTS OF DECEDENT, MORTGAGE LIABILITIES Sc LIENS ESTATE OF FILE NUMBER JIMMIE MILLER 21.12.0722 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed mediol expenses. REM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1' Don McKeehan 132 Mooredale Road Carlisle, PA 17015 back rent 1,600.00 2. PP&L 35.09 3. Comcast 206.82 4. Barbara Minnich 1915 Spring Road Cadisle, PA 17013 detail 1997 Ford Expetition 200.00 5. M7T Bank balance due on loan #120-444-2566224-6001 85.33 6. 1-800-got-junk P. 0. Box 4705 Lancaster, PA 17604 1,287.00 7. Highlands Tire battery for 1997 Ford Expedition 148.35 6. Jim Parsons personal Ican 600.00 9. Postage 4.85 Jim Parsons 1054 S. Pitt St. Carlisle, PA 17013 August .31, 2012 The Estate of Jimmie I. Miller c/o Pattie Parsons 1054 S. Pitt St. Carlisle, PA 17013 Dear Pattie, On Apri124, 2011, I loaned Jim Miller the sum of $800.00 on a handshake agreement. The money was to be paid back whenever Jim was able to make pa}~nents. In December of 2011 Jim made a cash payment of $200.00 to me leaving a balance due of $600.00. At the time of Jim's passing that balance was still outstanding and I requesting payment in the amount of $600.00 from the estate of Jimmie I. Miller. Thank you for all of your assistance in this matter. Sinc relyuy`ours, ~k:/ J' Pazsons CARLISLE HPO CARLISLE, Pennsylvania 170139998 4134870013 -0098 07/11/2012 (800)275-8777 03:'.5:10 PM Sales Receipt - Product Sele Untt Ftnel Description Oty Price Price $1.05 1 Lancaster County PSA (Forever) 1 Pioneers of Industrial Design HARRISONBURG VA 22801 Zone-3 First-Class Large Env 1.80 oz. Issue PVI: HARRISBURG PA 17101 Zone-1 First-Class Letter 0.90 oz. Issue PYI: (Forever) 4 Pioneers of Industrial Design Total: ~a•,.. .... ». . $1.05 $1.05 $0.45 $0.45 $1.10 •x$1.10 $0.45 5045 $0.45 $1.80 P d(~ $4.B ic. . ?` ~... .:. 1 s..~.- HIGHLRNDS' Tire 1257 MT. HGLLY PIKE CARLISLE, PA. 17013 (717)243-1382 *~*st* Cust. No. CRSH01 Cust. Name JIM PRRSDN5 Address 1054 S PITT 5T CRRLISLE, PR 17013 717/512--6918 Hisxuxnstt: INVOICE ~*r~x MICHELIN BFGOODRICH UNIROYAL KELLY BRIDGESTONE SIGMA AND MANY OTHER BRANDS AVAILABLE Make FORD Model EXPEDITION Year @ Miles 247474.0 Lic. No. IMTP-65 VISR INTERSTRTE BATTERY-MEGATRDN+ 65 Rwr:wivwri 1.00 139.95 0.00 0.00 139.95 -- --- ~--- -••-•6~ ~...~.,~ pc. ,,,~,,,,, .o io nrrc wm oe aaaea [o au overdue accounts. Also liable for all legal and collection fees. 1. 0 v 148.35 D~J~ f ~,~~~,v 139.95 Sub Total 0.40 Tax Total -_,` ..h. LCT ~11~6 ,ti Jab ID. _ ~~? ~~~, 1-800-60T- ~ K? THE WORLD+S LARGEST IUNK MOVAL SERVICE GS Madison LLC `~ ~' / PO Box 4105 f~~y/} jw~~ ~r / ~//~ / Date: ~~ ' Lancaster, PA 11604 `u~" T °i >~7 <k,~t ~~ /C,kjf¢{,I ree 6TT-53e-Sass '~ Team: ~dr Q r l Route#: Name:. ~~~ CSI ~.~i. 1~ Q Start Time: Company Name: nd Time: r Pickup Address: `_ pre Moving: ^ DM: '. f f n 'MMFW%OfPR 1HL%V[0%CIIfM ~ City: ~Gry J C State/Prov: Zip/Postal:/'~~~ii~_ Hama#: Cell#i /-'/ '~ ~ - G( C Fax#,:~,+,~,~ ~^ Office rPls7+i-~ f ('-'~J EmaiY."~"raJ~ rG+~iss~'rn "7i ~. Fi - /,F;GI,< Bill Tye LoadSi a eGt'iDescription a/}.. 7i ~ i~ t v j_ p Y ~ ~~ ~ .~- BiliTypa:V-VOlume,6 ~aedloed, S-Surcharge, SP-$tan dhem Price Other ~1WPI~YOULEARNABOUTIIS? Subtotal __ ~ Tax (_ Total Job Sign ^/Cash ^Dis ^Check# ~ 1&M/C ^ VISA ^AMEX Approval Code: -~~' CC#: ~r~~~-o~o~~~~~~ Signature: ~_ G~i'Te'a"j Name• Cr/'~C~~ Mailing Ad ss`.~ City: State/Prov: _~ Job Completion ~ Pb~ •f~ A Signature:_ r+ r U TEgMS: All eccpums ere due upon ncaipt unless credit has been eareblieh e s e maximum allowable interert rats es determined bylaw Ae owner, agent nr renem aeaafacrerily completed and understand Na[I ne longer own the items Nat have been Quad. pay a f35 reNrned check fee. Price - Date: ~~~ j u esubject to imerert net higher Nan Na location, 1 hereby agree Ne work has bean If a check is reNrnad for any reason, I agree m ~ MST Banlc erstanding what's importanP August 8, 2012 Estate oflimmie Miller 2191 Newville Road Carlisle, PA 17013 Re: LoanIf120-444-2566224-6001 Dear Sir or Madam Our records reflect insurance death claim funds were received from the credit I!ife insurance company and applied to this loan. The funds were insufficient to close the account. To Fray the loan in full on August 15,2012 you would need $85.33. If you have any questions, please feel free to contact me directly at 716-848-3621 or 1-800-724-2224, extension 3621. Sincerely, `~ eo~Freine~a ers Insurance Servicing P.O. Box 1288, Buffalo, NY 14240, 716 626 7010 800 724 2224 Mortgage account information, justa c/ickaway www.mib.com Barl3aral Mir:nid< 7/3Q/12 1915 Spring Road C'a I';i SfP, PA 17~=~ Bi;ling or Detailing cf 1997 Expedition ~ $2~J0.00 ~l ~/3' ~/`O(~ r Comcast. Contact us: www,comcast.com 717-243-4918 JIMMIE MILLER For service at: 88 MOOREDALE RD APT 2 CARLISLE PA 17015-9322 .News from Comcast We regret bsing you as one of our subscribers. Our recorcis Indicate that the final balance shown above is now due. Your prompt payment is appreciated. Any outstanding equipment must be returned to our office within 7 days. Please call us at 1-800-COMCAST any time should you wish to reconnect your service. HearinglSpeech Impaired Call 711 ~ccount Number Billing Date ~ Total Amount pue Payment Due by 09547 384365-01-6 07/07/12 $206.82 08/01/12 Page 1 of 2 Previous Balance Payments -received by 07/07!12 Mew Charges -sea below A ~a•~ ~ ~'~'a,~ _ ,~ '~~r a ~ m- ~ i _ , ..+~q~~~ ~ ~~ ~.11 ~I~/ I ~ ID~, ., Questions? Please Visit us online at Final Bill Page 1 ' ~'.:: ~ • • ~ contact us by Aug 13. pplelectric.com ~~qq 1-800-DIAL-PPL r, ~M •: ,. (1-800-342-5775) 07540.74023 Aug 13, 2012 ~'t"y'~, ~ ~ ~ ,;~ ~. ~, ~.~.,~ u,,,~.. ~ M-F: Sam to Spm . Your Electric Usage Profile Service to: JIMMIE I MILLER 88 MOOREDALE RD, APT 2 CARLISLE, PA 17015 Meter: 85747124 This section helps you understand your year-to-year electric use by month. Meter readings are actual unless otherwise noted. sa 2a2 as S` 36 r o Z7 6 18 a o ~ sort ~ zots 1 r M A M J l A 5 0 N D MoMM Jun 2012 2 4 2 77F Jun 2011 30 112 4 76F ~~ . Jun 21 Actual 38747 Jun 19 Actual 38743 2 Days kWh Billed 4 ~ I' 2 2212 .. - 184 Jul 2010 -Jun 2011 _ 4544 379 details on Balance as of Jul 23, 2012 50.00 Charges: Total PPL Electric Utilities Charges $0.72 Total Great American Power Charges $0.26 Total Charges 50.98 Account Balance $D.9 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 supplier offers, visit papowerswitch.com or www.oca.state.pa.us. Your Message Center • With paperless billing, ou 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 pplelearic.com. ~~~~L • Information about appliarn:e energy use and tips on saving energy are available through the Energy Library = on our Web site, pplelectric.com. 88° • Before digging around your home or property, you ~~ ~ E should always call the state's One Call notification system to locate any underground utility lines. You can do this by simply dialing 87.1, which will connect you to the One Call system. Be safe and call 811 before you dig. Online at: pplelectric.com ®By Mail 2 North 9th Street CPC-GENNl Allentown, PA 18101-1175 or call BiIlMatrix {service fee applies) at 1-800-672-2413 to pay using V(sa, MasterCard. Discover or debit card. Correspondence should be sent to: Customer Services 827 Hausman Road Allentown, PA 181049392 Other important information on the back of this bill -~ ' , ® ontact us?by 1ul 12. ~ pplelectric~comt Page 1 i-800•DIAL-PPL ~ ~ , PPS •1'•- (1-800-342-5775) 0754()-74023 Jul 12, 2012 nr~ ei.emo ua•n.. ~. - M-F: Sam to Spm ~_ ~```-.~° ~. ~'.~~~ Your Electric Usaae Profile Service to: JIMMIE i MILLER 88 MOOREDALE RD, APT 2 CARLISLE, PA 17015 Meter: 85747124 Your neM meter reading is on or about Jul 19, 2012 This section helps you understand your year-to-year electric use by month. Meter readings are actual unless otherwise noted. ^2otr ~~t2 r 3 a a sa as 36 z7 18 J F M A M J l A 5 0 N D Months Tun 2012 32 75 ( 2 68F Jun 2011 32 94 3 71F Jun 19 Actual 38743 May 18 Actual 38668 32 Days kWh Billed 75 Jul 2011- Jun 2012 2320 193 Ju12030-Jun 2011 4724 394 Balance as of Jun 21, 2012 Charges: Total PPL Electric Utilities Charges Total Superior Plus Energy Services Charges TotalCharaes Account Balance tg details on back) $16.77 Su.aa ~ 0~~ , ~ $5.90 ~ ~ ~ ~ ~ $34.11 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 supplier offers, visit papowerswitch.com or www.oca.state.pa.us. Your Metsa(ae Center • With paperless billingg, 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 pplelettric.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 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 sate and call 811 before you dig. Online ® By Mail: 2 North 9th Street CPC-GENNl AlleMOwn, PA 18101-1175 By phone: 1-800.342-5775 or call BIIIMatrlx (service fee applies) at i-800-672-2413 to pay using Visa, MasterCard, Discover or debit card. Correspondence should be sent to: Customer Services 827 Hausman Road Allentown, PA 18104-9392 Other important information on the back of this bill ~ Jor McKeehan 132 Mooredale Read Carlisle, a~.:~~ L~8-3%? 8 Months Sack Sent Due from Jim Miller @ $200/month = ? 600.00 (~ov -June? REV-1513 E%+ (O1-10) Pennsylvania INHERRANCE TA% RETURN RESIDENT DECEDENL SCHEDULE 7 BENEFICIARIES ESTATE OF: FILE NUMBER: JIMMIE MILLER 21.12 0722 RELATIONSHIP 1-0 DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Liat Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Lois V. Miller 2191 Newville Road Carlisle, PA 17015 mother 100% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES IS THROUGH 18 OF REV•1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECRON 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. If more space is needed, use additional sheets of paper of the same size.