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HomeMy WebLinkAbout12-28-12 (2)1 1505610101 ~1 REV-1500 °`(°'-'°' PA Department of Revenue pen~nsylvarda OFFICIAL USE ONLY Bureau of Individual Taxes "`"` C~H Cade Year File Nurr~er POBOxa8o6ot INHERITANCE TAX RETURN rn l I~ ~~ Hamsburg, PA t7iz8-o6ot RESIDENT DECEDENT „( ENTER DECEDENT fNFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth NMDOYYYV 209-12-6631 09/29/2012 10/2811923 Decedents Last Name Suffix Decedent's First Name MI MORROW SUSAN M (N Applicable) Eller Surviving Spouse's Information Below Spouse's Last Name SuRhc Spouse's First Name MI NlA Spouse's Sodal Security Number THIS RETURN MUST BE PILED IN DUPLICATE WITH THE REGISTER OF WILLS __ __ _. FILL IN APPROPRIATE OVALS BELOW ()b 1. Original Relum O 2. Supplemenfal Retum O 3. Remainder Retum (date of tleaU pdor to 12-13-62) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 72-12-82) m 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Tofal Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Tmst) O 9. Liligafion Proceeds Received O 10. Spousal Poverty Creda (date of death O 17. Election to tax untler Sec. 9113(A) between 12-31-97 and t-1-95) (Attach Sch. O) CORRESPONDENT - TNIS 9ECTN)N MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX NFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Q ~~ '~ L7o ^ Andrew H. Shaw, Esquire (717) 243-T~ p ' m rn ... REGISTER'gF IEBjUSE~NLY ~ ~ D r D z rrl N r rJ ~ 00 rJ First line of address .c_ ~ 7C r> 200 S. Spring Garden St i ~ ~' ~ .-> -, ~ _-~ ~ -y Second hne of address , . ' r`.-, F' SuRe 11 ~'' a ^~ City or Post Office _..... ....... State ZIP Code DATE FILED I --+ `'T Carlisle PA i 17013 correspondent's e-man address: andrew~ashawiaw.com Under penaMea or perJnry, l deUere Mat I have examined the realm, indudirg aecanpenying eched,dea and stotamenls, end 4o Me beat of my krrowledge end belief, 8 a We, correct and canplete. Declerelion of paperer other Man the personal repnatentatlve ie based on all informafbn of which preperer has any kmwiedge. SNiNATilRE OF PERSAN RESPONSIBLE FOR FILING RETAIRN DATE t L/Zl 1 LOI L 2 8radi 200 S. Spring Garden Street, Suite 11, Cadisle, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101 J 1505610105 REV-1500 EX Decedent's Social Security Number Decedent's Name: Susan M. MOffOw 209-12-6631 RECAPITULATION 1. Real Estate (Schedule A) .......................................... ... 1. 66,000.00 2. Stocks and Bonds (Schedule B) .................................... ... 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3. 0.00 4. Mortgages and Notes Receivable (Schedule D) ........................ ... 4. 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. ' 324,162.87 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 0.00 7. Inter-wos Transfers & Miscellaneous Non-Probate Property ' (Schedule G) O Separate Billing Requested...... .. 7. 0.00 8. Total Gross Assets (total Lines 1 through 7) ........................... .. 8. 390,162.87 '' 9. Funeral Expenses and Administrative Costs (Schedule H) ................. .. 9. 4,955.39 10. Debts of Decedent, Mortgage Liabilities, and liens (Schedule I) ............ .. 10. 1,144.57 11. Total Deductions (total Lines 9 and 10) ............................... .. 11. 8,099.96 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 384,062.91 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. 384,082.91 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(t.2)X.o 0 0.00. 15. 0.00 16. Amount of Line 14 taxable at lineal rate X .0 45 0.00 16. 0.00 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17 0.00 18. Amount of Line 14 taxable at collaterel rate X .15 384,062.91 16 57,609.44 19. TAX DUE ....................................................... .. 19. 57,609.44 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610105 1505610105 J REV-1500 EX Page 3 Decedent's Complete Address: File Number DECEDENT'S NAME Susan M. Morrow STREET ADDRESS 823 Green Spring Road CITY Newville STATE PA ZIP 17241 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments 0.00 B. Discount 2,880.47 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) 57,609.44 Total Credits (A + B) (2) 2,880.47 (3) 0.00 (4) (5) 54,728.97 Make check payable to: REGISTER OF WILLS, AGENT. unx~r v A ~4x ~; ~ , s 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 :.................................................................................... ...... ^ ^X b. retain the right to designate who shall use the property transferred or its income :...................................... ...... ^ ^z c. retain a reversionary interest; or .................................................................................................................... ...... ^ ^K d. receive the promise for life of either payments, benefits or care? ................................................................ ...... ^ ^x 2. It death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ X^ 3. Did decedent own an "intrust for" orpayable-upon-death bank account or secudty at his or her death? ........ ...... ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a benefciary designation? .................................................................................................................. ...... ^ 0 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 Vansfers to or for the use of the surviving spouse is 3 percent p2 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 Vansfers 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 benefciaries 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 defned, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. r,;. ~-. N n -i ~D T L-~ ~ ~C S, lD I, SUSAN M. MORROW, of 823 Greenspring Road, Newville, Cumberland~County, Pennsylvania 17241, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills heretofore made by me. 1. I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this Will, shall be paid by my personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as l could do if living. My representative is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representative. 3. I give, devise and bequeath all of my estate of whatever nature and wherever situate to my nephew, Bradley A. Mentzer, or if he is deceased, then to his wife, Cynthia Mentzer, or if she is deceased, then as follows: A. 50% to Scotland Orphans' Home, Scotland, Pennsylvania, or to its successors or assigns, for general purposes; and TI i~l .J :~ [!- 'YJ f"i -*i 1 "~l rl R •r"-/J Q T B. 50% to Elizabethtown Hospital for Crippled Children, Elizabethtown, Pennsylvania, or to its successors or assigns, for general purposes. 4. I nominate and appoint my nephew, Bradley A. Mentzer, to be the personal representative of my estate, to serve without bond. If he cannot or does not serve, then I appoint his wife, Cynthia A. Mentzer, to be the substitute personal representative, also without bond. 5. I suggest that my personal representative retain the services of Harold S. Irwin, III, Carlisle, Pennsylvania in the settlement of my estate. a, r IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of February, 2005. -_-k.-jJ.2:i-~iL~~- ~T1 ~-~1~;~~'~Uti'-.`"'(SEAL) SUSAN M. MORROW Signed, sealed, published and declared by the above-named person as and for a last will and testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. `"~ _~ d ~ a , ~, PmAwrea]mwnwe Weoble A. Settiement Statement B. Tvpa of Loan lo,m X110.11199) rel Xenyxpkl3052 U.S. Department of Housing and Urban Development OMB Approval Np. 2502-0265 1. OFHA 2. ^FnIHA 3. pCanv. Unins. 4. VA 5. Conv. Ins. 8. File Number 7. Loan Number 12.144 B. MorMage Insurance Case Number C.Note: Iy9y 9Mrb9 •Nu.cl•xwPWaWW m. NMyeM e1w191Mw brYMmMbn{VPwee Ylm Ye ey Ywewywmmy. wngNlrw:uy. qm.m y,9Mleymryy.a`~n. wwmm. uNye smewen Nbar anuebuWbeM Pwrwww9n 9o,Nbwn anmmeenww P9raelaxYr:Txyreu.acme swmq~Nr wstlbq rata TltleFxpress Settlement System Pdntetl l2/19Y1012 at 11:49500 D. NAME OF BORROWER: Isaao 3. Martin and Mabel S. Martin ADDRESS: 10 F4h F4tehe Road Nawvilla PA 17241 E. NAME OF SELLER: Tha Fatale of Susan M. Monow ADDRESS: F. NAME OF LENDER: AODRE55: G. PROPERTY ADDRESS: 823 Green Spring Road, Newville, PA 171A1 North Newton Townahi H. SETTLEMENT AGENT: The Law OHlee of Andrew H. Shaw, PC, Telephone: 717.243.7135 PIACE OF SETTLEMENT: 200 S. rln Garden Str Suba 11 CartMle PA 17013 I. SETTLEMENT DATE: 1 2 J. SUMMARY OF BORROWER'S TRANSACT ON: K. SUMMARY SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 100. GROSS AMOUNT DUE TO SELLER 101. Contract sales 86000.00 401. Contrail sales dce 66000.00 102. Personal 402. Pemmal Pm 103. SeMwlenl cha ee to bomawer Ilne 1400 972.00 403. 104. 404. 105. 405. Atl ustmems for8ems aid seller i n advance Ad'stmemsfor items id aetler I n advance 106. Ci Aawn taxes 406, CI Aown lazes 107. Can taxes 1 0112to L 1H2 6.46 407, Coun lazes 1 2to12131112 BAB 108, Sctxz4 razes 12120112to0 0113 562.73 408. Scholl taxes 12120N2to0&30113 562.73 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 67 541.19 420. ROSS AMOUNT UE TO SELLER 88 569.19 200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. A a earnest more 5000.00 501. Excess h see bstructlats 202. Pried amount d new loans 502. Settlement ch m seller line 1400 668.00 203. Exi ban s taken s b 503. Exlstln ban s taken w 'ell b 204. 504. AdFlrstM Loan 205. 505. 206. 508. 207. 507. 208. 508. 209. 509, Ad uatmetda for Items un Id b seller Ad ushnenh for barns un ald b seller 210. CI Aoxn tares 510. C Aam taxes 211. Coon fazes 511. Can razes 212. Scholl taxes 512. Scholl fazes 213. 513. 211. 514. 115. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 5000.00 52Q TOTAL REDUCTION AMOUNT DUE SELLER 668.00 300. CASH AT SEfTL FROM OR TO BORR OWER 600. CASH AT SETTLEMENT TO OR FROM SELLE R 301. Gross amoum due frwn honparer Iine 120 87 511.19 601. Gross amount due b seler Fns 420 88 5 .19 302. Less emanta id Aar bonoaer line 220 5000.00 602. Less reductlon arrant due seller be 520 668.00 303. CASH FROM BORF03WER 62541.19 803. CASH TO SELLER 65901.19 6U66TINlE fUIW 10998ELLEq eT~TET9iNT: TM MymgNn wnyYlMlleleb y Imq„Wllya NNpmYbn vb h pNq Wml+yOm M Mls,ml flNenie 6wvW. NpY Y9 RpuYetlm aY e,eWm, B,,ep penNyng11Y9yMbn Wlpe YngeAl p,p,NHCNxnle lepi'tlb MlgvlaE nNNe IP89ebminw tlplYlw mtpeen np,l i. Tls CgNtl9WSPb Eecrlbp on yr eo Woro muWM NV (Ype PmmW almy hayeybrt Vau w NPwe99y ywb P9Y~ me Mtlelylll9pBM FeE. Tu Ml W:aa1544fia1 MM1 Wlrmind ygyyN 19YntlMJH'n mmmer.ll pV 99 nil PPN9e y9ure pmv MwYaaNm nwder. pu meY I.e NIIlleolbQA waYnlnYpsnelM`ngsaE b/yw.UMx pxwltlwdpvlury.I WytlW me nu,-0w YpxnmllXeeylymnlyrtrywnxl M~eMmanmm9NM iunW,. i1N: _ SFLLEfl13)NEW MMLINp 9ppgE33: SELLEg1S)PXONE NUMSEfl3: Pmlw Panorc v. dNdew ro.. Nuo-l taaal rdwmmaxwros.z U.S. DEPARTMENT OF HOUSING AND URBAN DEVFlOPMENT FlM Number: 12.144 PAGE 2 SETTLEMENT STATEMENT TtleFx sd6ements Pooled 1211912012 at 11:49 SDC L. SETTLEMENT CHARGES PAID FROM PAID FROM 700. TOTAL SALES/BROKEFl'S COMMISSION based on rke 86000.00= BORROWER'S SELLER'S Dlvkion of commission ina 700 as rdbws: FUNDS AT FUNDS AT 701. a SETTLEMENT SETTLEMENT 702.E to 703. Commissim al Settlement 800. fTEMS PAYABLE IN CONNECTION WRH LOAN 801. Loan On Inaeon Fee % 802. Loan Dlacount % 803. sisal Fee 804. CredaR 808. Lenders Ins Fee 806. Mo eA icaBa Fee BW. Aswm tlon Fce 808. 809. 810. 811. 900. ITEMS REQUIRED BY LENDER TO 8E PAID IN ADVANCE 901. InWest Fmm to Ida 902. M e Insurance Premium far to 903. Hazard Insurance Premium for to 904. 905. 1000. RESERVES DEPOSRED WITH LENDFJ4 FOR 1001. Hazard lnsumnce mo. Imo 1002. M e Inwmnce mo. Imo 1003. Tax mo. hno 1004. Count Pro Tez mo. E 16.43 Imo 1W5. Schad taxes mo. E 88.89 hno 1009. ale Anal sis 'ustrnent 0.00 0.00 1100. TRLE CHARGES 1101. Settlementadosin tee 1102. Abstrad ar tltle sexch 1103. Title examina8on 1104. Title hsuralce binder 1105. Document Pre oration 'POC' to Tha Law Offlu of Mdrew H. Shaw PC 1106. Note Fees to Sarah D. Dleelanan g,pp 1107. ABOrne sloes to hwin McNni ht 250.00 indudes above items No: 1108. Title Insurance includes above 8ems No: 1109. Lenders Pd' 1110. O.vners Pdk 66000.00 - 1111. Caner t0 Tha Law Offlea of Mdrew H. Shaw PC 1112. Tax Certificatia to Law OIBce of Andrew H. Shaw Tao A4;eount 1113. 1200. GOVERNMENF RECORDING AND TRANSFER CHARGES 1201. Recerdi Fees Deed 82.00 ~ M ~ Release 62.00 1202 Ci ICaun tav/atam Deed 680.00 ~ MM 660.00 1203. State Taxi Deed 660.00 ~ M 660.00 1204. 1205. 1300. ADDRIONAL SETTLEMENT CHARGES 1301. Surve 1302. Pest Ins Ion 1400. TOTAL S@TfLEMEM CHARGES enmr a lines 103 Sedbn J and 502 Secdon 972.00 668.00 Nuo cErtrlricwTrox aR auvER Axo sF.LLFR Inmur ~x~wvwe neMUo-i e.m.m.dawunadvwNMewamm//Mwwae.vv e.w..a. ow vwm wMVnev dr na .vw eewwviww esmmvewud vM N Nw.dbn.I FPtlsurly IAPU~rwaaaempdMHU61 SeMSnmle~. 1Re ENala d3uvn M. Mwww ~. ti x ~~. WARNYq;li 19. CR IMpVWpLYMNQ F.E EST.TEMENISTOI}IE TM HW~18atlMment8lMemM1 ~~iitlilnm M. Y N uM rau.M CanlgaW UNIIEC STATES IXITI nM'gM0./JIFdiM. PENKTIES UPIXICaVILTON bupedbn. IM1w.wsepw wtl6LnY es a EN.cmrpP.w WM MS Melmenl. CAN IMCLUOE AFlNE NIC IMPRR'ANMEIIf. Fqi OEr.Vt6 SEE TIRE r8: 1 V.S. CCOE 9ECIRxi I W1 PN08ECTICN 1010. I SETIlEMENT AVEHT: tiA~' WTE: ~ ~.~.y~_.IL REV-1508 EX+ (8-9a) SCHEDULE E CASHr BANK DEPOSITS & MISC. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Susan M. Morrow 21-12-1095 Include the proceeds of litigation and the date the prxeeds were received by the estate. All property JoIMty-owned with right of survivorship must be dlaeloaed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ACNB,Account#223581 34,749.37 2. Cash on hand 162.28 3. ACNB, Certificate of Deposit, Account #172592 90,011.71 4. Sovereign Bank, IRA Certificate of Deposit, Account #...342 6,033.90 5. Personal Property 831.75 6. 1992 Ford Taurus 1,972.00 7. Alliance Bernstein, Arxount #4765868512 57,004.58 8. American Funds, Account # 68370914 34,832.37 9. BlackRock, Money Market 19,901.86 10. DWS GNMA Fund 28,571.35 11. Franklin Templeton Investments, Account #04505732 39,619.55 12. The Hartford High Yield Fund-A 538.50 13. Invesco Investment Services, Inc. 9,933.65 TOTAL (Also enter on line 5, Recapitulation) $ I 324,162.87 (If more space is needed, insert additional sheets of the same size) s ACNB BANK "*"'**"***"'AUTO*'3-DIGIT 172 892 0.6700 AT 0.374 5 1 89 SUSAN M MORROW 2 BRADI DR CARLISLE PA 17015 Ir~'I~ Account# 223581 Statement Date 10/09/12 Page 1 of 2 YOU COULD BE THE NEXT WINNER! Four HDTV winners were announced for September. You have one more chance to win one of four 32" HDTVs being given away in October. Be sure to enter today at any ACNB Bank Office. No purchase or account necessary to win. Must be 1 S years of age or older. Some restrictions may apply. Checking + Account Summary # 223581 Beginning Balance on 09/10!12 $34,918.89 + Deposits & Other Credits $238.50 - ~~;ithdrawals « Cther Debits $363.41 - Service Charges $0.00 + Interest Paid $1.38 Ending Balance on 10/09/12 $34,795.36 Days in Statement Period 29 Account Activity Date Description Deposits/Credits CheckslDebits Balance 09/10/12 BEGINNING BALANCE $34,918.89 09/11/12 CHECK#1424 $69.92 $34,848.97 09/13/12 CHECK #1425 $10.00 $34,838.97 09/13/12 CHECK #1426 $49.00 $34,789.97 09/17/12 CenturyLink BILL PYMT $45.17 $34,744.80 SERIAL NUMBER: 1427 0000000000000313078805 09/19/12 316: HIGH YLD-A INVESTMENT $50.00 $34,794.80 LEROY J MORROW 09/20/12 CHECK #1428 $89.88 $34,704.92 09/24/12 CHECK #1429 $63.27 $34,641.65 09/25/12 2393: GNMA S INVESTMENT $107.72 $34,749.37 LEROY J MORROW 10/01!12 CARLISLE CORPORA PENS PMTS $36.17 $34,785.54 MORROW, SUSAN 10/01/12 MASS MUTUAL PENSION CK $44.61 $34,830.15 MORROW, SUSAN M 10!05/12 CARLISLE CORPORA REVERSAL $36.17 $34,793.98 acnb.com • acnbbusiness.com • P.O. Box 3129, Gettysburg, PA 17325 • Phone 717.334.3161 • Toll Free 1.888.334.ACN6 (2262) Account# 223581 Statement Date 10/09/12 Page 2 of 2 Date 10/09/12 10/09/12 10/09/12 Check # Date 1424 09/11 1425 09!13 Total Checks 5 Account Activity Description DepositslCredits Checks/Debits MORROW, SUSAN 2393: GNMA S INVESTMENT LEROY J MORROW 2393: GNMA S INVESTMENT LEROY J MORROW INTEREST PAYMENT $1.38 Checks Paid Amount Check # Date Amount 69.92 1426 09/13 49.00 10.00 1428 ' 09/20 89.88 Total Checks Amount $282.07 Interest Summary Interest Earned From 09/11/12 Through 10/09/12 Days in Period 29 Interest Earned $1.38 Annual Percentage Yield Earned 0.05 Interest Paid This Year $14.96 Interest Withheld This Year $0.00 Total Returned Item Fees $0.00 $0. Total Overdraft Fees $0.00 $0 ~ Total Fees Charged ~ $0.00 $-~ END OF STATEMENT ~~;~ C _ ~' Check # Date Amount 1429 09/24 63.27 `Check number out of sequence Interest Rate Summary - Date Rate Date Rate 09110 0.050 Overdraft Charges/Refunds Summary This Cvcle VTp , Balance $34,79398 $34,793.98 $34,795.36 00 00 00 °, c. °~~ ~~ J J O 0 i L I O N O r 0 ~ S L ^ O 3 y O - ~ ~ ~ ~ - 'o O ~ 91 O ~ m p~ C N c 2 C1 .~ S n C d GrI N n w w ti d < w W w< O C W •O O O O C " m n i ~ ~ ~< ~ ~ m ~ d• d~ m N a O N A W T j w ~ ~ d m 0 Q m W y d f 7 O m ~ 1 O d w m ~ W~ d O m C m m a m s= ue ~ m~~ m "~" ~ °i 3 d ~ Rl Q Q A ~ m ~ ~ ~7 O ~ ~ O C m cn ~ J m O z <N„ Z 7 ~ ~ N 1 N G ~ ~ O _ O ~ OI W N O W~ m O) r j °o' °A' o io io J J w w ~ ~ '• ~ 0 0 o m 0 0 ~ o> ao A N V O O J 0 0~ W W W d 9r1 d O d A ~ C O f<Tl N C n w w w N ,< ~ .~ ~ N 3 G W (n G7 D c 3 ~~N d d N, W y K ~ N ~ r .Zl Z m 3 m W A~ d 3~ oo v~ m Z~ ~ x ~ w to 3 d .'. d m ~ J~~ ~, 'm < ~ a W ~ ~ ~ ~ d A O a ~ z n ~ ~ 3 ~ m J ~ J ,~ m A a D ~ °° ~ xx = D X ~ ~- ~ o m w N N W ~ ~ ~ (P O f0 N O N J W n 3 m 7 c W d N n D ~ n n O ~_ v m d ~O r? ~' *~~~. r Ir N N Hranch Number: 0289 Ueer ID: n729886 SOVEREIGN / SANTANDER 1.877. SOV.HANK (1.H]7. 768.2265) Customer: s'u san Id Morrow www.sovezeigN~ank.com IRA Plan Number: 0317 0289 818 0000199 Traditional individual Date/Time: 10/12/2012 09:05:33AM Payment Method: Check Plan Transactions ID Description Concept Amount Currency 85 Transfer out to beneficiary Net result +6033.90 USD 65 Transfer out to beneficiary Gross amount +6033.90 USD Account Trarasacti ores Account Description Concept Amount Currency ...342 Ira cd withdrawal Discounted credit interests +0. 00 USD ...342 I[a ctl withdrawal Combined credit interests +0. 62 USD ...342 Ira cd withdrawal Net result +6033. 90 USD ...342 Ira cd withdrawal Gross amount +6033 .28 USD Amourat: +6033.90 Regarding contributions: I acknowledge that I am fully responsible for Bete rmininq whether these contribuCions are eligible for tleposit or roll-over and whether these contributions are deductible for income tax pucposes. Participant Sovereign Bank, N.A. is a Member FDIC and a wholly ownetl subsitliary of Hanco Santantleq S.A. b2012 Sovereign Bank, N.A. / Sovereign and Santantler and its logo are registeretl trademarks of Sovereign Bank, N. A. antl Banco Santantleq $.A. respectively, or their affiliates or subsitliaries in the Unitetl States and other countries. ~' ~ ~ .:: ~~ o~ _ .. r~. , m ~ . i ~, 2 r : ,, 6 ~' ~ O ~ ~ r a ,;6~ O` C7 ~`: • G W '~ ~- ~ N M s N ~ C'17 •-~ O m o ~ ,.., ~ - ~ . a.i .. . '.,.. \ jE ~' a Q. iE d ~ ~„~ dE m U r , ~, d\ . -i .. Lf1 w . *x, m LII . ¢ ..., ~, D 1 N U t{} .J W a ~ i O c N rtl o ] rJ .+ a C m ~ m o .., O ~ E - 4' [~ ~ ,._..,,, , ~ r >> U, .ti rn ° > m 6; ' ~ O y ~ - w `~,. w '~ ~ E ~ L N z `m L W~i: ,~ ~ ~~~ ~ z O O<,.:, .. . .._Q,~~, ~_. ~ _ W ¢ ~ fL O 0 `z gyp- ~ T 7 y a N RI F ~' Z ~ J ~ O * N -~ Z ~ y ~( y Z 'x' O] z a ~ ~ * ~ rs-~ .. 1~~' ~Q ~ lQ 3f s- S O W O r Q b ~ fA, F ~ z , ., O w w. GARY L MENTZER °"° Z L 7 5 AUCTIONEER ESCROW ACCOUNT _ PH. 717-776-7447 O _'~ 505 SHIPPENSBURG ROAD ~1;._G~=~ NEWVILLE, PA 17241 . ~ Pay CD the ~ '- ~-5 Ordar o sc/~r-- .~a~.- - --- -' ~ ~~ J . -~ _._- Aollars ~ -' ' .. s FARMERS NAT~ONAI BANKOF NEVINI +~:``, A DIVISION OF AOAMS COUNTY NATIONAL BANK '~' hur---- --- _ _ _. ,} _j _i_.,t_ _. i DYER ~ (( BUYER i ' _T ~.(~ y'H, ~ ~N ITEM ~n//l,~i~ tnc...C ~h~S EM LOT # LOT # fEM r~ ~ ~~ ~T~ LOT # ~14^ -$ LAYER fEM (Jt~s ~ ~ LOT # ` 1 ~~) _$ 10 ' IUVER w~~T~>~,v ~n,~,~>J~ TEM LOT # Z @ ~~O $ ~ ~ L)lt 13 3UYER rEM (,JrB,> ~.~ FS / LOT # - $ J l.' 16 3UYER \4, r'~Sy ~~ ~ TEM ~~ ~~~S ~ LOT # ~„ ~ ~! /~ G,, ~.. ~~~ / `1 C.- / t9 3UYER 5 TEM ~ ~~ F6' ~ ~ LOT # C~3 c i` = $ zz 3UYER TEM ~ 1 ~ /1 ~" ~ r/~!~( LOT # ~ h,~ -$ `L SHEET # 5 BUYER ITEM l~V ~ 17 /~, (~ P`7~J LOT s ~C L~~ 7 UL~ Z ^ / _ $ ~ 8~~~ ITEM ' r'' 3 L.~. ''" ~ N Prr~..S LOT # / ~~ 11 ITEM I~/L-nJi ~7~=~L-' LOT # C~? $ ~1 14 i c~ BUYER jj [ I ITEM 1 `~ / ~' -~ ~~ ~~ L~ LOT # /~ 4'~, °$ ~ _$ 6 BUYER ITEM LOT # _$ 9 BUYER ITEM LOT # _$ 12 BUYER ITEM _. _. --. @ -s 15 BUYER IreM LOT # - $ __ •.. 18 _.__ BUYER _.. ITEM LOT # - $ 20 BUYER ITEM ~ sc `/~... LOT # G~ ~' ~' _@ _$ 23 L~J SHEET TOTAL $ ~ ~ ~~~ 21 ITEM ~ _$ 2a Bu L. T # _. - $-- _ •_ RUNNING TOTAL $ ~ ~ ~ 1 5 '•UYER ~ ~ ~ BUYER ~-~ II I BUVER `EM ~ rt 2-i S [ ~A S D OX LOT # -$ •~~ IUYER ~ ~ //j7 //'~~ rEM ~ C1'L~l IJ ~.r /ns,~ L~ LOT # ~C ~ _$ SYER / JC/ TEM ~ ~ ~ V C , ~1 ~` LOT # ~±~ ~ _$ J 10 TEM D~sl< -To ~' LOT # 13 I 3UVER TEM_ Gib A, ~~ ~ DESK LOT # ~_~ -$ 3~,LaD Is / 3UVER / y' 1 TEM LCN~ N~1n4-rx+ TLrCLs LOT # ,7 ~ ~ ~, oCT $ ~ 5 OC 1s 3UVER ~[ TEM ~~ ~ ~ !T PJ~!1(~ 7UGL LOT # y i2 TEM L-~ r"y ('~ /^ p~AL-~ 14' LO . q v c~ _$ iHEET # ITEM /`Grft~~'`~'~`~-Y'G~l~` LOT # Q = $ CI C7 5 BUYER ITEM ~ f ~ t" LOT # C~ _$ ,~~' 8 _, ~ BUYER 1 ~ ~ C V ITEM _ $ ~ j c~u " ~1 BUYER ~TFM A~ ~ ~ rzilr" lti~~v tiles ~ . ~e ~ ---- $ _- 14 BUYER ^ /~ M ITEM ~/rVS~j rJ lJ i"'{>, 1.. ~+~lJ ® _$ n ~~ BUYER ITEM ~ 47 ~ A LOT # ~.~~, Q =8 20 REM ~l-~~L 6"L~ i'L~~~~.l~r LOT # $ ~ z s`' ITEM_ ~ ~ ~' ~ 4a r~ it. [ L_OT # t__ Q_ - $ I V , ~~ s ~ ~> BUYERy~ /~ ITEM ~~~~r~ f;~ LOT # ~ LS,co 00 9 ITEM ~L-l~ l~~-..5~\ LOT # ~ _$ SG 12 3UVER TEM i ~ !< < ~ 1~ L-I._-. Iii /G. LOT # 3 5 L>( 15 ~... _- BUYER~' / _. ITEM ~%y l: C' ~~ ~11'.I H1/~D ~y~_ LOT # C j> Q =$ --- 18 BUYER ITEM ~- ~~ rl ~r_~ l~~'~r:~rt LOT # Q =$ ~ ~)~ 21 "J BUYER _ qq __.. I ITEM L LI ~~1 ~ fl ~~~~~\ LOT # 4 ~,z ~ _$ 23 / 24 ~~ r BUVER BUVER _...~ -~_._ _ - - ITEM~~CL/ (I ~5i -.~ , Z ITEM ~ (~'.l`1~5/^{ ~-l~/1f ~j LOT # h OT # ~..~ SHEET TOTAL $ y ~ 1' ! 5 RUNNING TOTAL $ ~ ~' EM `(/ BL LOT x - ~- _ _ _ _ _ _ _. //jj //~~ ~ BUVER ,, II ~~ /^~ ~ ~n~ l~~ l~+° ITEM Vv I~C.~~~ RA L_ ~-.~ LOT x =$ j CyU ~~ _$ Sry IUYER '~ fEM ~ ~~~~ LOl x f,D° ~ ov ~~-- $ 4UVER LOT # _ ~-. oc~ Qa - $ 10 fUVER TEM R~~. i3oX La-~ LOT x ~Q -- ®- --_ $ 13 3UYER ~~ .. ~__ = TEM LOT t ® -$ 16 3UYER ~/~ ~~ (11 TEM /" ~C~A Zi N~ tZ n ~K lOT x - $ ~~ ,9 l ~ 3UYER r ~ +~ Q ~ TEM ~ ~/~- . ~.'~ ~~ Ey]=E~k LOT # - $~ 22 TEM ' V` G)] ~ Li ~ ~ ~Q LOT x - $~ iHEET # 11 5 ~ BUYER ITEM 1 ~ -$ B l~ l BUVER 11'' / ITEM ~ 1-1 (_~. V ~~ ~'. LOT x 11 ITEM iZOLI ~Of ~~I< LOT # - --- ~--_ -- s ~5, nn J 14 ITEM 7 ~ /.1 r.i LOT x / ©~ -$ 17 BUYER - $ ~d 20 BUYER .r/ ITEM ~ ~ ~_Ll LOT t P BUVER ~ V' ITEM __ Sr`no1~i IV ~ J ~~-n+~~ LOT x ~ _ $ .5 t:, 6 ~ / BUYER (~Q ~, S`~PNi~ ITEM ~ ~ LoT x ~ .moo ~ -$ __ __ 9 ITEM ~ ~ s ~-~1]~._. LOT # .Q6 Q °$ 12 I BUYER '~j A n -._. ITEM ' C ~ LL f ~~" /~'/~~!~ LOT x ~ c~._- --$ .St 1s ~^ ITEM ~ K~/~„ \ LOT # - ~ ~, C7 ~____. / ~U $ _.. _ -.. __ 18 ~ BUYER ITEM ~L' ~ (_l LOT t Q - $ ' Q~ 21 ' `~ BUYER d ITEM L. C N L-s ~~AC'~ O ~.-~ (C LoTx ~~ O~- `~ $ vfi 24 ~ `~ BUVER /~ ~/I ITEM ` ~~ ~~,i /JT'. 1 A !J' aUX /~~ __ LOT • I O RUNNING TOTAL $ BUYER ~~~ ~' BUYER ITEM J .~ ~ C ~~ ~. ViS~ ITEM LOT x ~ $ ~ oy LOT x ® _$ ~ ,ao 4 BUYER ` ]~ 5 70 (:> t_ REM LOT s ~ too BUYER /~, ` I ITEM V ~~ ~~5f'~: SP.~ ~ i LOT x o ® '' ~ _$ io BUYER /~' ITEM v A f' ~ ~~ LOT # ~ _$ ~ bC~ 13 I BUYER .T ~/J ITEM ~ ~ ` ~ ~ L LOT x ® _$ BUYER 5`fOU(.. 16 ~ ~ 1 na J ~ _$ 19 BUYER ,/ REM ~ L~/~ ~~ J ~/~ I LOTx ~ .Q~~ '. CW = $ 22 BUYER //,~ll / ~ ~ ITEM ~1< <-~ ~ ~/~-~ LOT # _ ~~ I I BUYER~~ _ _ i .ITEM ~' L~T~t.S ~~C~ LOT x ~ ~-_ $~.5 5. ,, ITEM ~ J ~ ~ ~ Can ~~ LOT x ~ _$ 60 B i0 BUYER __.. i3 ~~ L.v ~ ~p ~ _$ >> BUYER ITEM ~~~ Low LOT x ' ~bU Ga =$ 14 BUYER {{~~ ~r REM l>L~ 1`~ ~~ LOT x ~ an -~ _$ ,~ ITEM V C /T LV LOT x ~ _$ I o~ 20 BUYER~y~L ~~X ~.o ~ ITEM Q =$ ~ a[7 23 BUYER >_ y / I~ / ITEM ~/ C X `-"1 1 LO x o _$ B - _ BUYER ^~ c 7 ~.ILf ITEM ! f\~~L ~~L..-- C-Q'v _ LOT # ~' a ~ _$ _ 9 3~ BUYER ~y ITEM LU I ~J CJ UC-. IC F_~~ LOT x ~ _$ ~-•` _ __ ___ _ 12 BUYER ~ / _ _ M\X F,- ~2i,v ITEM ) __ LOT x ~~~ -$ ~ C is BUYER 1 ___ .ITEM LO7 x ~ _$ 18 _. BUYER r I'~ _. ITEM ~ ~ ~ ` ~ ~ S C-f~. („K LOT x ~ _$ l: 2, I BUYER +y~? ,/ ITEM /C 7L LOT x C~? _ $ 24 BUYER l 1 /~ ~ -. ITEM ~~ (7 7't/r ~L ~"+~ LOT x 1 - ~ l CHFFT Y I~ C41FCT Tl1TL1 2 '~ al -L~ of lnln~lnl/_ TnTnl G /T 1 ~S 11~ )-r LOT e ~ _$ '~~' IUYER ' fEM / ~ ~'~ ~ L G~ 1 lOT x ~ _$ 3 ~X~ 4UYER ~ rEM ~~ ~ ~-- (~ /'.1.~ L'L / LOT k _$ Sv IU SUYER t iEM C.. ~^~ J ~ ...~0 ~ C.L.) ! LOT 13 SUYER iEM l oo ~' Lo ~ LOT s ~ - $ 4 c~iu I6 SUYER ~~ ~"'7'~/ y TEM ~1/` 41 LOT +t ~ _$ Oo ,9 SUYER iEM ~ S LoT x _ $ .5v >2 SUYER ( a TEM '" f'r~ ~ ~ g~ L T9 ~ _$ ~ •AP SHEET a °` ITEM ~ /`~f/~/..~ /~.. /~ ~_~~ LOT x r ~p ~ _$ 5 ~ ~, BUYER ITEM `.°/`i~~ r 1 ~ ~ i ('/'~~5~~ LOT x ~ -$ ,5y 8 iy 1 BUYER ITEM P~+ "...__ I REM / ~J LOT • ~ 14 ' BUYER i3~ 5 Kam- ~ ~~ ~ ITEM LOT / ~ . ~ _$ ~~ ,~ ~~ l BUYER lTFA.1 .~W Ll.-G~~ .~YI-/L.S I,DL'~ ~ _$ 20 ITEM '~1y1 / ~r/ ~J (,~, h0 ~ _$ 23 ITEM Y"t~-~ln~J `OT. 50 _$ SHEET TOTAL $ BUYER ((~~~ L .~ k7 ~~D i~CJ L~J~ n ''~, ITEM -. LUT n / • ~L() -$ 6 BUYER / L ITEM 5 /~ ~ ~,/ ~/ Y f ~L~ LOT F ~ l ors _~ 9 BUYER ~~ / ITEM `J f ~1 ,1 "/1 J~ I G [.' ~ s ! "V~''`~ 7 LoT s ~ _$ ,2 BUVER//~~ /~ _ J /~ U _- ITEM l'J /'~/~/" 1 `~61~ bV~-~. ~ o0 RIr,IVFR C~/~,nili7~ TV LOT z pZ~ ® _$ - - ,8 ~ BUVER ~ ITEM ~Pa.~J~,JV k,1t.K '~A,^J_ LOT # ~ U~ _$ 21 i / BUYER I _.-- ITEM T~~ tJLn L ~ .ate LI (F L~l ~... LOT s ~. _$ _ 24 l ~' _..... BUYER t _,n - _ _ - ITEM r 1~"EL7 J~ T/~ N l~_. - L T# ) • 04 -$ / RUNNING TOTAL$ :~L=>.UO ITEM ~ ~ ~'~ ,V~` LOT # L' -®--= $ 4 BUYER~z 1 ~I ITEM IrLly~ I~I LOT # G7 _~ _ $ 13 BUYER qq~ ~{ ITEM ~> ~ /N,~ Uv./.fa `i ~`_ LOT # 5 .~~~~ -$ ,~ ~2t3 BUYER J~ ,,` /' /r -/ ITEM r /V ~-~L `7 k''R#-rlE~,ly~ LOT # r,~ -- -~ _~ 13 i BUYER ITEM ' V ~ ~ ~ ~~ ~ ~ / _$ --~ ITEM ~ I f\E~G~~.L' `~~ ~~~~ LOT # C~L~ ~ _~ 19 BUYER ~~~ i ~ ITEM ~~~ ~- l~, • ` ~.~ l i 1 rv' /tom ITEM - __ 4' ITEM ~.'~~. LV (~M(l 5 LOT # I ~ , ce ~ o cT _C~ ° $ s n ITEM ~ ~ ~ ~~ h~(` / ~~1 -~_ $ I B r~~ REM C ~t~n ~' ~~ c K LOT # So -~ _$ ;, ITEM ~7a~F LOT k ~ _~ 3 ao 14 //~ BUYER ' l.a~ REM ~ ~~~~K~ 77 L'C1K/ LOT # ~ UP ~ _$ BUYER // -/'~' y A ITEM C. /'t G i t L ( ~ i \!~ /"l .):iC rj LOT # ~ ; ,~~~ ~ ~ -~ _$ s (C, BUYER / I ./ --. ITEM `'~ ~~ /~ IY1 N~~ ~~ LOT x ~ QC. _~ -~ 9 BUYER ~ L ~~ I ITEM ~ ~ ~` - - LOT k ~ ~~ ® _ 12 __ ~O ITEM ~--~ ! ~ L ! ~ ~f~{ • /,'I ~I LOT k r ~[ 15 ITEM ~~liC ~~V ~ it ~~~ ,8 I ~ BUYER )) ITEM ~~ ~ ~ I/J ~ ~ ~' - Lor # 21 / BUYER/ / / " - ITEM r 1L L1YYY rL'ttrM A~_. LOT # C -® _$ ;~ 15 BUYER U©~ -~ =s 23 t BUYER `~ ~ ITEM ~ LL ~ LGT # ' • O 24 `~ BUYER L~ ITEM ~'~ I ~ r ~.' ~'ll~ n:/rt~~/\ LOST # G 1 J _~ -$ SHEET # SHEET TOTAL $ ~° ~ ~ ~ RUNNING TOTAL $ io~~~n _ (, ~'~ ~ vj~ V~~i LOT x I f .3 ~ ~' Q =$ RI IVFR ~ I ~ = S ~ ~/ 7 ~~ BUYER J1 // nn^ REM ~ ~Y G. IG l..F"7` ~~ ~. _$ 4.~ ,o ~" 1 BUYER ITEM ~ / K ~ /~ / (~ S _$ ~ G'L' 13 REM M ~i GIS ~~~~~~ _ $ 19 ~ / BUYER (!~ ITEM ~) ( ~I 1 C i~ ~I L~ LOT x ~ - $ ~v 22 BUYER {i ITEM ! ~ (.~ ~~j '~~ ~ ~( LOT x ~ _$ .~~ I tlL'VtH ITEM ~ 7 ~-1 !7 ~I~ ~-- ~ ~ LOT x ~ _ $ ~ ~`~? 5 ITEM `- 1' ~~ ~~~ N ~IG~ _$ r . a ITEM L~ ~ ~ ~V i ( S ~~-f f c~~ ITEM~y~~'k (3 C'L~L, L~ ~ _$ .~ ,a~ 14 ,~ I .OL') _$ / 20 ITEM ~.t ~...' L ~..;~ ~'~~(=-rt LOT x ¢ ~> ~ _$ 23 I / BUVER W ITEM ~ K_~~~~-~ S LOT # ~T -~ _$ ~ ' RUVF_R n/ ITEM ~C' L) l I~(' i.;i~ .~- J_ Lor # ~_ _~ __ ~- 5 )~ BUYER •// ITEM ~~--A ~~..S J~ C L' ~ L ® - $ ~ ~' s BUYER r ITEnn ~ C?L. ~'C~ ~ LTCI [. ~.~ ® _$ =''_~ 12 / / BUYER ~~99 ___ ITEM ~ ~ }PLC ~ ~h ~' i`J !7 %b,t LOT a ® -$ __ 15 ~~ BUVER/~ `^~ _... ITEM Y"~tJ "/` r\C'G~IIj^ ' ~y~ LOT x ~...~_.. j~ ~ _$ -- 18 t BUYER - _.. ITEM ~,_L-l~S~ .J G.J LOT x _ G ® - W J 21 BUYER nn ITEM r` L. V lam.' Ll~ I tOT # 4- . ` ® _$ 24 BUYER ITEMY~.L'hf ll~J G~ ~ I~/~J C.._~. LOT x c~ _ $ :7 SHEET # I ~ SHEET TOTAL $ ~% .?. 5U RUNNING TOTAL $ " ~. 50 I i 7 U ~. ti J yn 6 A 3 C 7 n Z Yl H 4 `~~Y~l ff~^ 1V'l1J V 3 ~Q1 (\~ Q ~ ~ ~~ U d Y m d M~ '~ W ~ ~ d ~~ Y 7 E w ~ ~ FD E° a ~8W U* N(q $'1~ ~ J a'# ~4 ~` a 4 ~l H ~ ~ v ~ 2 2 l~ > 4 o ~~ J h ~\ ~ ~ ~ ~ 3 ~ ~ ~ u 4 ~ z ~ ~ Q ~ f ~ a ~ 2 4 a ` Z pt3~l, Z o N ~ ~ ~ @~ ~ '~ ~ a J I` a _ Q ~ z ~ ~ 2 ~ W ~ ~ ~ b ~~j7a~ 7l= Y 3~Q ~ oc ~ @~ 8." ea '~ d r S D ~Lc_ F?. tea' o`LL N Y ~ in ] K S ~ s ~ c~ 2 I b c'~ ~ ~ ,~ r I I I ~ fi ~ ~ ~ z ~ C ~ \ !V1 •J 3 v ~ ~ h 2 o t ~ 2 N a ~~ ~ e. kl ¢ ~~ ~_ v J ~ c ~ W '~ . ¢ Q ~ St- "- L 3 G N ~ L ~n c m v -° = 3 LL ~_ ~ r 3 ra88'". E ° i K e c F B o N S~ V g ~ g 7 a n m M °a ~ ~ ~ a 3 LL o ~ a m\ `o .'Ov ~ o _ ~6 c m _ ~ ~ Q m E ~J Z 2 ~ ~ ~ ~ , Q ~ ~ n a ~ w ~ ~ C.. O. ~ 3 .-C= eEYB aere bE~~2 E~'R[ e3: e>~°e c ':~a _ac~>e a85d~ cP _~.°=s E a a ~ O LLq i K W I m m E o ~ 5 V V o r a `a a v c ~ U ~ ~ w ~ .: °e ap ° ~n 3 ~ ~ ~ v ~ ~ ¢ i. i a V 6 i g E u D S S V N V£ a AllianceBernstein va evr7asaoasera~mdv, rx/ez~asaaa ALLIANCEBERN STEIN Ale of 066367 a2ots a zoo a Illpu„rIIII~dIPhIlrrlrulrh~llPrrh411h14~lrlluh '""~`"'~"" SUSAN M MORROW 823 GREENSPRING RU NEWVILLE PA 17241-9676 Page 1 of 5 Aaount Statement Period Jaly Ot, 2012 - Septembm 30, 2012 THANSAMEAICA FINANCIAL ADVISORS, Deakr1924B INC. ~ Bnmh No.: E8716 928 GflEENBBIAR DA Adviwr No . E8716 MECHANICSBUflG PA 17050-1915 - - Advisor Name: MR. NIIES MAYNARO MILLER Let Friends end Family Gire Me Gift of Education--Our asw saline giftiag tool wakes k anin Mas scar for aaeust awnen to News invite friaads ani family to give Me gift of edaeation. Everything You seed is availaYle at www.cellegdonadhnd.coml0if6ng ' s for fnm setting op gifting owasieas and mailing lists, to sending oat iavihtiorm and tneking gifh received. WhsMar k a preschsal gnduatioa anMm miles[aees yea can seed a elaMnnie gifting iarihtioe ~t print badeepy a wasonal holiday , ieritatielm [e pnvide is psraoa or by mail. The iaritatisrm pnrids a liak to a quick end simple 3 step gifting process. Gifting esatrihutisns can be wade anytimr, hawevm, it is inpertnt to nmamhm Mat gifts inteedsd hr 2012 mast be reeaind by CollageBaundfaad by Decam6er 31, 2012. FandName FundlAFcountNan6er Shares NAV Ydne Account Beginning Portfolio Balance 166,618.07 Summary ALLIANCEBERNSTEINGLDBALBDNDA 55/4712 s,5s7.752 se.sao 557,004.58 Ending Portfolio Balance 157,004.68 IateresU Tax-Exempt Short-Tam Long-Term year Earnings fund Name Dividends Dividends Cap Gain Cap Gain To Date Summary ALLIANCEBEANSTEIN GLOBAL BONG A S370.09 50.00 50.00 50.00 S1,085.86 Total Earrings 1370.09 10.00 iO~.Ofi 10.00 11,085.86 Mutual Fund ALLIANCEBERNSTEINGLOBALBONDA FuadSym6o1: ANAGX FUND/ACCOUNT NUMBER 5514765868512 ACt~Vlty Dollar Awount Share Shane This Confirm Tnde Total Date Date TrensaMion of Tnssacfion' Price ~ Tnnsactisn Shares 07-20 07-20 Income Reinvest 5139.27 SB.fiO 16.194 6,570.866 08-20 08-20 Income Reinvest 5114.01 56.56 13.319 6,584.185 09-20 09-20 Income Reinvest 5116.81 S8.61 13.567 fi,597.752 09-30 09-30 50.00 58.64 0.000 6,591.752 Your Payment Option , Dividends Cep. Gains REINVEST REINVEST your Cost Buis Method - ACST -AVERAGE COST _ 6 08636~/OC ALLIANCEBERNSTEIN Investments SUSAN M MORROW 823 GAEENSPRING AO Page 2 of 5 Current Mutual fund fees and expenses are not new. All mutual funds have fees and expenses which are regected in a mutual fund's price Ithey are not charged to your Expense account directlyl. Summary Fund Neme FundlAccennt Number Annual Your Ouarterty Ending Value Expanse Ratio Fees 09130112 ALLIANCEBEANSTEIN GLOBAL BONO A 5514765668512 0.95% 5135.39 557,004.58 Mutual luwl lees erN axpemes may fluctuam over time eM actual axpames may he higher or lower then the estimates shown. °Annual Expense Ratio" represents [he Fund's annual operating expanses shown in its most currant financial report, nm of any applitahle fee waiver andlar expense reimbursement. "Your Ouartedy frees" reflects the approximate fees and oxpenses your fund investment incurred over the quarter, assuming that your Ending Value was held far the entire quarter. It does not take into accoum any in¢ial or camingent deferred sales charges on redemptions. Your actual fees and expenses may be higher or lower. "Ending Value" is the value of your account as of the date indicated. The fallowing illusvetes the hypothetical Fees and Expenses for the : Hypothetical AWANCHNRIIISTHN GLOBAL BOND A Annual Expense Ratio Expense Summary Year NYPatbMieal Investment Nypatbetied PertormanceEarnings Inrtm4ent Aft R H atbadcal ~ 0.96% NYPatbatioal ar etur na Expan ses Cwdiaglnrastment I 2 510,000.00 59,958.24 5478 5497 .75 91 518,853. 75 5520 .51 59,958.24 3 510,356.82 S511 . .84 510,456. S10,874. 15 66 599 5103 .33 31 510,356.82 4 5 510,771.35 5538 .57 511,309. 92 5107 . .44 510,771.35 511 202 47 6 511,202.47 511 650 85 S560 .12 S11,762. 60 5111 .74 , . 511,650.85 7 , . 512,117.18 5562 S605 .54 86 512,233. 39 S11fi .22 S12,117.18 8 512,602.17 . 5630. 11 512,123. 513 232 04 28 S120 .B7 512,602.17 9 10 S13,106.57 S655. 33 , . 513,161. 90 5125. 5130. 71 74 513,106.57 513 631 16 Total 513,631.16 5681. 56 514,312. 72 S135. 97 , . 514 17fi 75 S5, 148. 59 51,571. 84 , . The examplelsl above shows the estimated Fees and expenses that would be charged on a hypothetical investrnentof $10,(p0 in the indicated Funds, assuming a 5% return each year. The examplelsl also assumes thatflte Fund's currentannual expenses stay the same fltroughoutthe 10-year period lexceptfor class B shares that convertto class A shares in the sixth or eighflt year you own them, depending on the Fund) and thatall dividends and distributions are reinvested. If you have chosen Class A shares, the examplelsl reflects an initial sales charge of 425%. If you have chosen any other class of shares, no initial sales charge applies and therefore none is reflecmd in the examplelsl Futhermore, the examplelsl does nottake inm account any contingent deferred sales charge tltatmay be applicable m certain classes o(shares. Your actual fees and expenses may be higher or lower. "Annanl Expeese Ratio"represents the Fund"s annual operating expenses shown in its mostcument 6nancialreport, net ofsny applicable fee waiver andlor expense reimbursement 'Hypotba0cal lavesbnard" is the investment amount atthe beginning of each year, af[erthe 5% reWrn and minus any fees. °HYpotbagcal Pertotmanee Earnings' represent the amount earned during the year at5%. lnwsbtmntANer Rehrms° are earnings, plus the initial investment '1lypotlmgcal Expanes° are hypothetical annual expenses based on the investmentaher returns and expenses. 'HYpoUmieal Ending Invashrm° is the dollar amount of the investment after expenses. American Funds PO Box 2280 Norfolk VA 23501-2280 AV Ot 10486484192H391 A"5DGT ftl~lrlhl~drrll°IluihhhtlrlPrvlllhh~~i~rvP~pmd SUSAN M MORROW 823 GREENSPRING RD NEWVILLE PA 17241-9676 '. Since imbal investment on Year to-date since '. '' Olpl/2003' Olpl/2012 ~I, ', Beginning value $16,510.05 $31,569.84 '~.. ', + Additions $0.00 _-_ $0.00 !. ~', - Withdrawals and fees -. $0.00 $0.00 '~,. ', +/ Investment gain/decline $18,322.32 $3,262.53 '~: ~', Ending value as of 09/30/2012 $34,832.37 $34,832.37 ',, *FOr accounts opened prior to 2003, an initial investment date of January I, 2003 is used. More information is available at americanfunds.com/statement. Annualized since initial investment on oipl/2003 7.96% Year-todate since 01/01/2012 10.33% - Value of account --- Net investment* faa.eaz (.... 529,856 _. _..... __._.. 524.880 _............ a19.9o4 _... .._.... ___. -- - ---- Sia.9za _. _.._ --_.. 89.952 __ .... _ __-_- 54.916 So ' olrolroa rznrma tvalros rvalm] lvalro9 lzralnt o9ne~lz 816,510 520,682 824,150 530,144 826,]04 §31,5]0 534,fla2 ', *Net investment is the total amount you invested minus the total amount you withdrew. 1-AFI-006956521-115792 toaa64 tiz Quarterly Statement September 30, 2012 Page 1 of 3 Primary account number: 68370914 An investment in a fuWre Student loan debt continues to rise and challenge young adults seeking to gain their financial footing. Establishing and contributing to a 529 college savings plan has the potential to reduce the burden your loved ones will face. Talk to your adviser to learn more. Gain perspectives atwut your funds For a convenient and timely way to learn more about your funds, visit us on Facebook and YouTube. There, you'll find perspectives from our investment professionals on the latest financial news and commentary, as well as a glimpse into our culture and investment philosophy. How to contact us Through your financial adviser NILES MILLER (717)691-3454 TRAN3AM ERICA FINANCIAL ADVISO RS, INC. 928 GREEN BRIAR DR M ECHANICSBURG PA 17050-1915 americanfunds.com FundsLine® 24-hour automated service 800/325-3590 Shareholder Services Representative 800/421-4225 (M-F 8 a. m. to 8 p. m. Eastern time) Mail American Funds Service Company PO Box 2280 Norfolk VA 23501-2280 Overnight courier American Funds Service Company 5300 Robin Hood Road Norfolk VA 23513-2430 Questions about your statement a me rica nfu nds.co m/statement American Funds Quarterly Statement September 30, 2012 Page 2 of 3 Primary account number: 68370914 We believe investing should have along-term focus and that one year is not long-term. Therefore, results shouldbe measured over meaningful periods of time. Below, you will find the funds' average annual total returns for periods ended 09/30/12, reflecting the deduction of the maximum sales charge Fund inception date Fund lifetime 10 years 5 years 1 rear Exoense ratio the Income Fund ofAmerica-A 12/lp3 11.13% 7.86% 1.02% 12.82% 0.58% Fund results above are preliminary and may be subject to change. Figures shown are past results for the fund and are not predictive of results in future periods nor do they reflect your personal rate of return. Current and future results may be tower or higher than those shown. Share prices and returns will vary, so investors may lose money. Investing for short periods makes losses more likely. Fund results for Class A shares of the American Funds reflect deduction of the funds' maximum sales charge (5.75Y for equity funds and target date funds; 3.75%for most bond funds; 2.50% for intermediate and short-term bond funds). There is no sales charge for American Funds Money Market Fund Class A shares. Results for other share classes are at net asset value. If a sales charge had been deducted, results would have been lower. Investment results assume all distributions are reinvested and reflect applicable fees and expenses. For current information including month-end results, results that reflect the impact of sales charges and results for Class A shares at net asset value, please visit ameriwnfunds.com. Expense ratios are as of each fund's most recent prospectus. Expense ratios reflect any applicable fee waivers or expense reimbursements. Please see the fund's most recent shareholder report or prospectus for details. Investment results reflect the waivers and or reimbursements without which they would have been lower. short-term Long-hrm Account # _ Fund # _. Dividends capital gains capital gains The Income Fund of America-A 68370914 06 $941.30 $0.00 $0.00 Togls $941.30 $0.00 $0.00 Year-to-date transaction Trade date Deseription Dollar artwunt.. _ Share price _. Shares transacted Share balance 01/01/12 Beginning balance $31,569.84 $16.76 1,883.642 03/16/12 Income Dividend 0.165 $310.80 $17.49 17.770 1,901.412 06/15/12 Income Dividend 0.165 $313.73 $17.06 18.390 1,919.802 09/14/12 Income Dividend 0.165 $316.77 $18.12 17.482 1,937.284 09/30/12 Ending balance $34,832.37 $17.98 1,937.284 Information about your investments Your responsibilities. Please review this statement carefully to confirm that we have accurately acted on your instructions. If you identify any discrepancies please immediately notify your financial adviser or call us at 800/421-4225. If you delay in reporting an error, we may be unable to adjust your account. GST G00&]'o2aW BLACKROCK® SH- W 65 SB-BLK-BLKdPAO] SUSAN M MORROW 823 GREEN SPRING ROAD NEWVILLE PA 17241 QUARTERLY MUTUAL FUND STATEMENT July 01, 2012 - Septemher 30, 2012 Your Financial Professional Miller Niles Rep. #: E8716 Transamerica Financial Advisors Inc 570 Carillon Parkwa ST Petersburg FL 3316-1202 Rep. Telephone Number Not on File Lead Account Number: 0019851765 _ _ Portfolio Yalup as of 09%30/2012 __ $19,901.86 ' Portfolio Changes Current Quarter beginning 07rb1/2012 Year-to-Gate beginning Olrf)/Q012 Beginning Portfolio Value $19,901.86 $19,901.86 + Additions $0.00 $0.00 + Reinvested Dividends $0.00 $0.00 + Reinvested Capital Gains $0.00 $0.00 - Redemptions +/- Change in Value ~~ $0.00 $0.00 $0.00 $0.00 Portfolio Value as of 09/30/2012 $19,907.86 $79,907.86 Estimated Fund Operating Expenses You Paid This Quarter $44.28 Your R15rtfolio'Performance Current Quarter Year-to-Gate One-Year nnua rze mce lnce lion af07rb 1/2005 0.00% 0.00% 0.00% 1.84% It's a new world of investing -- yields are low, markets are volatile and confidence is scarce. Investors just like you are asking: When will I he able to retire? How can I pay for my child's education? Will I outlive my savings? It boils down to one key question on everyone's mind: "So what do I do with my money?" BlackRock is prepared to offer you some answers. Call us today at 1-855-BLK-8800 or visit blackrock.com/newwortd. Included with your statement this quarter is a copy of the "Shareholder Perspectives" newsletter. In this issue, Learn what to do with your portfolio in this new world of investing; and read about the benefits of muni bonds amid tax policy uncertainty. Visit the newsletter, and its sister publication "Shareholder" magazine, at www.blackrock.com/shareholdermagazine. Have an IRA with BLackRock? As a reminder, the annual IRA maintenance fee is scheduled to he deducted from accounts in late December. If you prefer to pay the fee yourself, please be sure to send your check for $151payable [o "BLackRock", and including your account number and the words "IRA fee'1 no Later than December 16th, 2012. Important -Review this statement carefully and retain it for your ppermanent records. Please notify BlackRock immediately if you notice any discrepancy. If you do not notify us of an error in writing within 90 days of receipt of this statement, all information will be deemed to be correct. Fund Operating Expenses ere deducted directly from a fund's assets, and are therefore paid indirectly by all fund shareholders. These expenses are estimatesand your actual costs may vary. Because we use your account value at quarter-end to calculate your estimated share of your fund's operating expenses, changes in account value during the quarter may cause your actual costs to be higher or lower than the estimate. For more information, see the Legal Notes section of this statement. Contacting Us m Investor Services A Go Peperless ~~ It's Fast, Convenient & Timely! www. blackrock. com/e delivery 24 Hour Voice Response Unit 800-441-7762 Mon-Fri: 8:00 AM-6:00 PM EST rfi' Internet ~7 www.blackro<k.comHunds Mail BlackRock Funds P.O. Baz 9019 Providence, RI 02940 Not FDIC Insured - Ma Lose Value - No Bank Guarantee Page 1 of 8 e,v o, v,o.,,, s~ ,o< moo,,. ,<,.,,o<.«„ 0019851765 BLACKROCK® QUARTERLY MUTUAL FUND STATEMENT July 01, 2012 -September 30, 2012 Money Market Value as o/09/.~/1012 $79,901.86 Porcenrol A[locafron 700.0% Money Market $19,901.86 For investors seeking a high level of current income; invests in a broad range of U.S: dollar-denominated instruments that are highly Oquid, short-term end high-quality --including government, bank, commercial and other obOgations. TixExempr 100.0% Your porHolio is 100% invested in one investment category. Contact your financial Profess~onel, who can help you divarslfy lrour mutual fund hddings to meet your investment needs. Tix~bb SAOrr-Term §The amounts and sources of distributions reported in this section sre not being provided for tax reporting purposes. The actual amounts and sources of the amounts for tax reporting purposes will depend upon the Fund's investment experience during the remainder of its fiscal year and maybe subject to change based on tax regulations. Shareholders will receive a Form 1099-DIV in February with their tax information. Your Financial ProfessioneliMiller Niles iRep. Phone #: Not on File Page 2 of B aaFioer~ ~moe, 0019851765 o,nckRO<'.a • Includes reinvested dividends and/or capital gains, if any. oReflects the impact ofshare-price appreciation or depreciation. Quarterly Account Statement July 1, 2012 through September 30, 2012 DWS INVESTMENTS Deutsche Bank Group AB 02 068015 44969 B 329 A 'I~'I'I~~I"~'il'I'I~I'I~II~~,II,.I~,h~li~i~ll"II'~I'IrL~IIIo SUSAN M MORROW 823 GREENSPRING RD NEWVILLE PA 17241-9676 Qo Shareholder Services: (800)728-3337 7 a.m. to 7p.m. (CT) Monday through Friday Automated Assistance 24 hours a day International: Call collect (816) 435-7177 7 a.m. to 7p.m. (CT) Monday through Friday Web Site: www.dvvs-investments.com t~Your Primary Account Number: 4295032878 Register for online account access for [he convenience and flexibility to access your accounts' transaction history and initiate certain transactions whenever you need. Tired of wailing to receive quarterly account statements, tax forms and other updates for your DWS fund accounts [hrou~ the mail? Sign up today on dws-investments.com. Contact the DWS Resource Center at (855)744-335 for more details. Your Portfolio Value o7ro1- ov~orzotz o7ro1- o9~orzotz Beginning Portfolio Value $28,461.25 $28,773.21 Purchases/Reinvested Distributions $0.00 $0.00 Redemptions $0.00 $0.00 Change in Value $110.10 -$201.86 Transfers $0.00 $0.00 Ending Portfolio Value on 09/30/2012 528,571.35 528,571.35 Your Portfolio by Asset Type ~ Percent of Auer Tyyye Value on Change Value on Talk with your Portfolio FurullJame 07/01 /2012 i Thir Pcriod = 09/30/2011 financial advisor or call shareholder 100,00% Taxable Fixed-Income Funds services to learn 100 00% DWS GNMA Fund-5 528,461.25 5110.10 (28,571.35 . about managing Total Taxable Fixed-Income Funds risk through f28p61.25 5110.10 528,577.35 diversification. Total Portfolio Value 128,461.25 5710.10 128,571.35 Your Portfolio Summary by Fund Name ~ Total Share Price Value on Con Barir Cort Baris Fund Name Sharer Owned x on 09/30/2072 = 09/30/2012 Nonrovered Sharer Coveted Sharer Non-Retirement DWS GNMA Fund-S 1,635.026 515.570 528,577.35 N/A N/A Total Portfolio (28,571.35 068015 1/3 1 Page 1 of 4 Quarterly Account Statement DWS July 1, 2012 through September 30, 2012 INVESTMENTS Deutsche Bank Group Account Activity __ __ - - ^ Account Number 4295032878 Fund Name DWS GNMA Fund-5 Registered to: SUSAN M MORROW Fund Number 23g3 NASDAQ SGINX Cost Basis Method AVERAGE COST Trade Tramaetion Dermiption/ Date Con Basis Method DallarAmount Share Price = Shares This T i TotaLSbares Beginning Balance on 07/01/2072 528,961.25 f 15 510 ramaat on Owned 07/24/2012 Income Div-ACH 0.0626 5714.87 . 000 $0 7,835.026 08/242012 Income Div-ACH 0.0587 $107.72 . $0 000 0.000 7,835.026 09212012 Income Div-ACH 0.0587 $107.72 . 50 000 0.000 1,835.026 Change in Value 5770.70 . _ 0.000 7,835.026 Ending Balance on 09/302072 $28,571.35 515 570 . 7,835.026 L Your Distributions Summary This Year ~ Fund Name DWS GNMA Fund-S Total Earnings Fund Aceaunt Number 2393-4295032878 Not FDIC Insured • No 13aok_GUaraMee • May Lose Value Income Dividendd Short-Term Gain $1,017.17 ~~ $1,017.17 Long-Term Gain $0.00 Total $1,077.17 $7,077.77 Page 2 of 4 o DST 00063245W FRANKLIN TEMPLETON INVESTMENTS AT 01 206980 834298760 A"3OGT SUSAN M MORROW 823 GREEN SPRING RD NEWVI LLE PA 17241-9676 I'Illldl'I'Ill"III'Illll"IIIIIIdLIII II Ir,II~IdIJI'Illll'il S T A T E M E N T Quarterly Asset Summary January 1, 2012 -September 30, 2012 _ Page 1 of 3 Asset Summary Number: 045D5732 Customer franklintempletan.com Service: Shareholder Services (800) 632-2301 Mailing 100 Fountain Parkway Address: PO Box 33030 St. Petersburg, FL 33733-8030 Asset Allocation 0% Value Funds 0 % Blend Funds ® 0% Growtb Funds 46% Sector Funds 0% Global Ftmds ® 0% Ivternadonal Ftmds 54% Hybrid Funds ~~ 0°/a Asset Allocation Funds The Asset Allocation chart is 0% Fixed Income Funds prepared as of the date of this statement. Due to rounding, the ® 0% Tax-Free Inwme Funds percentages may not equal 100%. ® 0% Money Fvnds Portfolio Composition (Year-to-Date) Value as of AdtlNimrc 01/01/12 + Reinvested Dividends + and Capihl Gairrc VAthdrasrals Change in Accourd - +~- Value Value as of = 0980112 Non-Retirement Plan Assets Sector Funds Franklin Utilities Fund -Class A 107-70166430115 $17,216.13 $0.00 $0.00 $0.00 $862.83 $18.080.96 Hybrid Funds Franklin Inwme Fund -Class A 109-90218696905 $20,282.98 $0.00 $0.00 $0.00 $1,255.61 $21,538.59 Portrolio Totals 537,501.11 50.00 50.00 $0.00 52,118.44 539,619.55 Shareholder Information • Managing your accounts Just got easier with our improved 24-hour Automated Telephone Service featuring speech recognition. Our new telephone service offers interactive speech recognition, sfl when you call any of our toll-free numbers, you can simply speak your request instead of using a telephone keypad. There are new menu options and step-by-step voice instructions--all designed to make it easier and faster for you to manage your accounts by phone. frank) irttempleton.com a FRANKLIN TEMPLETON INVESTMENTS SUSAN M MORROW 823 GREEN SPRING RD NEWVILLE PA 17241-9676 Quarterly Asset Summary January 1, 2012 -September 30, 2012 Page 2 of 3 Finandal MILLER, NILES Advisor: TRANSAMER ICA FINANCIAL ADVISORS INC (717) 691-3454 Customer frankllntempleton.ctKn Service: Shareholder Services (800) 632-2301 Mailing 100 Fountain Parkway Address: PO Box 33030 St. Petersburg, FL 33733-8030 Franklin Utilities Fund -Class A Fund-Account Number: 107-70186430115 Asset Summazy Number: 04505732 Transaction Details DATE TRANSACTION O1-O1-12 BALANCE FORWARD 03-01-12 DIV PAID OUT 0.1100 06-01-12 DIV PAID OUT 0.1100 09-04-12 DIV PAID OUT 0.1100 FKUTX Year-to-Date Summazy: Income Dividends: $424.98 Long-Term Capital Gains: $0.00 DOLLAR AMOUNT SHARE PRICE SHARES TOTAL SHARES $17,218.13 $13.37 1,287.818 $141.66 $13.12 0.000 1,287.818 $141.66 $13.40 0.000 1,287.818 $141.66 $13.88 O.ODO 1 ~R~A1R 09-30-12 TOTAL ACCOUNT VALUE: $18,080.96 AT $14.04 PER SHARE Shareholder Information For information on cost basis, please refer to the back of this statement or visit franklintempleton.com/costbasis. Purchases can also be made online at frarlkllntempleton.com Please make your check payable to Franklin Udlities Fund -Class A Fund-Account Number: 107-70186430115 Amount Enclosed: O SUSAN M MORROW 823 GREEN SPRING RD N EWVILLE PA 17241-9676 FRANKLIN TEMPLETON INVESTMENTS PO BOX 33030 ST PETERSBURG FL 33733-8030 ~ Check here and complete reverse side if changes are necessary for: Address ~ Distribution Options i"'iilldll"Illlil"il'lillhllllr,llrlillllll'il'Ililrlirrllll X01 OU0U7~186430115 1U7 1U^ ~;, THE ~`"' HARTFORD The Hartford Mutual Funds, Inc. PO Box 64387 St Paul, MN 55164-0367 July 1,2012 to September 30, 2012 Page 2of 3 EARNINGS SUMMARY FOR THE PERIOD Account Fund Short Tarm fund Name Type Number Account CapitslGains Long Term Number & Dividends Ca Non-Retirement pital Geins The Hartford High Yield Fund-A Individual 316 394060 $8.05 $0.00 Total Non-Retirement $8.05 SD.00 FUND TRANSACTION DETAIL Non-Retirement The Hartford High Yield Fund-A Account Type Individual Fund Number 316 Account Number 394060 Account Nama SUSAN M MORROW TOD Confirm Trede Oate Date 07/16/12 07/16/12 07/31/12 07/31/12 08/15/12 08/15/12 08/31/12 08/31/12 09/17/12 09/17/12 09/26/12 09/28/12 Beginning Balance WITHDRAWAL PAYMENT -ACH INCOME REINVEST WITHDRAWAL PAYMENT -ACH INCOME REINVEST WITHDRAWAL PAYMENT -ACH INCOME REINVEST Ending Balance Coat Bssis Election Method ACST-AVERAGECOS7IDEFAULTI Share Price X Shares = DollarAmouM Total Shares Owned $7.34 $664.59 90 544 $7.37 6.184 -$50.00 . 83.760 $7.42 0.418 $3.10 84.178 $1.43 6.129 -$50.00 17.449 $7.46 0.338 $2.52 77.787 $7.58 6.596 -$50.00 71.191 $7.53 0.323 $2.43 71.514 57.53 5536.50 71.514 DST V)]0-2 (8/OS) REV-1511 EX+ (10-09) ~ ; Pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETl1RN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Susan M. Morrow 21-12-1095 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES: AMOUNT I' Cumberland Valley Memorial Gardens 490.00 2 Shad Baker, Pastor presiding over funeral 50.00 8. 1. ADMiNISTRA7IVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City Year(s) Commission Paid: State _ ZIP Z~ 3~ Attorney Fees: Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant 1,500.00 Street Address City State ZIP _ Relationship of Claimant to Decedent 4. Probate Fees: 404.50 S• Accountant Fees: 6• Tax Return Preparer Fees: ~~ Fee from Deluxe for estate checks 26.50 B. Postage and delivery fees 29.39 s. Gary L. Menfzer Auctioneer -advertisin , g 1,055.00 tD. Gary L. Menher, Auctioneer -real estate commission 1,320.00 t ~ Norman Martin -auction assistant 80.00 TOTAL (Also enter on Line 9 Recapitulation) I ~ 4 955 39 If more space is needed, use additional sheets of paper of the same size. U ~T m E U U ~ J .^a ~¢ U Z.`~. G. a'auy ~- U~ ~ a"'~° ~ A ~ o m?m~ E „ ~ _ m U cU >o N N .~°'.. °' .~°3 u a y E~ E~ ~ ;~ o ~-~ y 3~,3 ice. ~ bA H ~~n ~ Y ~F.' '~ > d ~~ m ~ E °~ G G ^~:-~ C4 R a~z "u as u°¢' wee ~-a e ~ v bDq a ao ~-~v ^d~ a ova •' m ~ m'm O L. ~ `"O ° x ~ __> ~a r O T O~ N .w "' v"v En O~y ~> ~~c~ YI 4'a ~ ~~ ~c3a ~" o~ oor' U G U r r I-' Vi f a~ ~T^ m ~ dv _ E e, VU mn ~:JV o a U ~~ U a y 0. A ~~ _. T O V m E x c._ 3 vm~ LU > TLOO o N °'z- C=OC~ N~ E oa mw Z+~ y N 4 ~ E rn _°~_ ~N U N v m n b E z Q v N U w O ° c to, !~' N S~ I m ~_ E w 6 L C O V o 0 a~ E E O T d 0 a a ~:~ C ~ O s ^ U ~~ g Y p s v 3 v S ~ U ~ Q O u O ~ A l~ iJ 2 ~ V ~ o ~ m 'a m ~ y N v~ y ~ U z '~ Q0. L a o ~ ^ ^ U d °~ ~ ~ ~ o G ~ N O p VJ O e a E ^ ~ Q D O 0 o a ^ ~ ~ c { E & ~ T.~ a c a mx C ~ „ ~ d { d 3 ~ 0 3 °~ OU r ~ ~~ ° s r] C e0 ~ °= ~' ° F' N o ~ ~' ^ p y ~~ a°, a ~ ` a ~ c `° ~ vU ~ ~ j y d s-'-'u: ~ ^ oti o o. a s ep a a m m U U E o ~ = ~ ~ , c a .o l-, ."., m W fn z a i as ~ ~ ~ _~ T! R V m ~ o J i ~' ~' N3 Vi Vi E9 ff3 69 Vi 69 fA yi ~ • o U ° .7 a 69 ~ 69 69 t5 fn vi Y3 vi U fA A y3 69 V3 Vi Vi 6 ~ ° 9 69 t " eL U v w x C U z _ ~ ry} F z ^ _ .. v~ ` y~ d W y U aci C7 °' E C6 $ ~ gg~ N y U 5 :~ N~ d ~ a. S ~ O ^ + a~ ~ au x p, ~~ a a-° U c v C' E E W Q ~L Ca` ~+ ;c 0~ ^€ U s a. ~ W U c w ~ o ~°~ v o m C^~ "3 ~ o h W' W~ ~ C a o m N •`~ q~ v a° z .5 c~ .7 O .Y E °' c~i °' W a $ q b`p N T C'cepU C a 7~ `d o w C W .'4" Osa~ ~o~~ ~~ ie n P7 ._ m ~ v1 i-. [s7 ,~_v m y c y ° o .~ = ~ r'" ° qq F U Q U o ~° v `S ? cmi ',j ° ~^, E~ v a`~i n E A v 4~~ '.m--. 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Sign up at www.starbucks.coio Pumpkin Spice Latte and Salted Caramel Mocha are back. Enjoy the tastes of fall you've been waiting for. Available fora limited time. Starbucks.com/itsfallwhen __ RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 10/09/2012 Cumberland County - Register Of Wills Receipt Time: 09:37:32 One Courthouse Square Receipt No.: 1071649 Carlisle, PA 17613 MORROW SUSAN M Estate File No.: 2012-01095 Paid By Remarks: BRADLEY A MENTZER HEA --- -- ------- Receipt Distribution Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 310.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 16.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN Check# 11863 ---------------- $369.50 Total Received......... $369.50 RECEIPT FOR PAYMENT GLENDA FARMER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 MORROW SUSAN M Estate File No.: 2012-01095 Paid By Remarks: BRADLEY A MENTZER CJ ---------------- Receipt Distribution Receipt Date: 10/15/2012 Receipt Time: 11:11:20 Receipt No.: 1071723 --------------- Fee Tax Description Payment Amount Payee Name SHORT CERTIFICATE 20.00 CUMBERLAND COUNTY GENERAL FUN Cash ------ Total Received......... 20.00 20.00 20 South Mtin Street T~1 ~T• PO Box 6010 ~ f'~~~ ~ Chambersburg, PA 17201 Last statement: October 12, 2012 This statement: October 31, 2012 Total days in statement period: 20 """"""'AUTO"5-DIGIT 17015 00264 0.8500 AV 00.350 2 134 B6hPu~dl'I^IrIIIIIaplLrhdlBlr~u~rhmu"ppl SUSAN M MORROW ESTATE BRADLEYA MENTZER EXECUTOR 2 BRADI DR CARLISLE PA 170157421 Page 1 of 2 0001119044 (9) Direct inquiries to: 717 243-2215 F&M Trust 214A Westminster Drive Carlisle, PA 17013 Estate Account Account number Enclosures Low balance Average balance Avg collected balance CHECKS 000 1 1 1 9044 Beginning balance 9 Total additions 53,430.03 Total subtractions S6,801.25 Ending balance S 6, 801.00 S0.00 54, 229.77 50,799.74 53,430.03 Number Date Amount Number Date Amount 101 10-15 20 000 00 1004 '" - 10-31 - - 63 27 10-19 405.50 1005 10-29 102 __ 18.63 1002 10-19 10 28 200 00 1006 10-29 * 30 000 00 _ _ _ 57.91 Skip m check sequence DEBITS Date Description ___ __,._ _Subtractions 10-23 ' Preauthonzed Wd 26.50 nci r rvc ruerv n.,~ ...... .... . . . . .. CenturyLink BILL PYMT 121025 1001 CREDITS DAILY BALANCES Date Amount Date A 10-12 24 229 77 10-23 mount Date Amount 10-15 _ , . 4,229.77 10-26 _3,597.77 10-31 9,569.84 3,430.03 _ 100-19 _ 3,624.27 10-29 3,493.30 O _y r ' ~ Freedom FOREVER Iw~ ' ESQ. eK~~e°~ r o /Ly ~ r L .., II...II..I.,.I,II..,II,~I~~II,.II.„Il~f~~~ll,ll~~~~~ll,~ll~~l AllianceBernstein P.O. Box 786003 San Antonio, TX 78278-6003 ,, SUSAN M MORROW ESTATE ~'3-1307 BRADLEY A MENTZER, EXECUTOR ~- O O 5 2 BRADI DR. CARLISLE, PA 17015 oATT ~ ~ r(9 1,7` PAY TO THG ORDER OF_ ~r~n~ r ~ N Ni ~~ ~~..~ $ /~, ~=3 ---- ____ ti u _ ----- _ I R~fMJ; wrw.hmrv,bnYmwm rofEUO FOS-TaC~E '~ ~~E,Q ~,6NT e65 TJPS .'n*emet Shipping: Shipment Receipt Page 1 of 1 Shipment Receipt rTr~a~nsaction Date: 15 Oct 2012 Tracking Number: 1ZSY90131397744121 II 1 II Addrncc Infn.m~6.... 11-11 .__. ___ .....,..........,, Ship To: Ship From: American Funtls Bratl Menzer, FinanUal Adviser 5300 Robin Hood Roatl Bratlley A Menzer, CPA/PFS Ratum Address: Brad Mentzer, Financial Adviser Bretlley A. Mentzer CPA/PFS /1 //~'1`\a NORFOLK VA 235132430 325 South Hanover Street , 325 South H O Telephone:800-427-0180 Carlisle PA 17073 anoverStreet /~1 CARLISLE PA 77013 / U ) Telephone:777-249-6327 Telephone:717-249-6327 , ^ j V Package Information Weight Dimensions /Packaging Declared Value Reference Numbers 1. 0.5 Ibs UPS Letter (Letter billable) Reference#1..- R. Stin S. Morrow UPS Shipping Service and Shipping Options Service: UPS Next Day Air Saver i Guaranteetl ey: 3:00 PM Tuesday, Oct 16, 2012 Shipping Faes Subtotal: 27.79 USD Transportation 79.20 USD Fuel Surcharge 2.59 USD Additional Shipping Options Quantum Vfew Notify E-mall NoUncaUOns: No Charge t bredQbretlmentzer.com: Ship, Delivery ® Payment Information A discount has been applied to the Daily rates for this shipment Total Chargetl: 1`n r_`udt \ 27.79 USD 5 ~ 11 J L.hW +r~ 8.00 USD Note: Your Invoice may vary from the displayed reference rates. ' For delivery and guarantee informa8on, see the UPS Service Guitle. To speak to a customer service representative, call 1-800-PICK-UPS for domestic services and 7-800-782-7882 for intema8onal services. Responsibility for Loss or Damage Unless a greater value is recorded in the declared value field as appropriate for the UPS shipping system used, the shipper agrees that the releasetl value of each package covered by this receipt is no greater than $700, which is a reasonable value under the ciramstances surrounding the Irensponalion. if additional protection is desired, a shipper may increase UPS's limit of liability by declaring a higher value and paying an additional charge. UPS does not accept for transportation and shipper's reques5ng service through the Internet are prohibited from shipping packages with a value of more than $50,000. The maximum liability per package assumed by UPS shall not exceed $50,000, regardless of value in excess of }ha maximum. Claims not made within nine months after delivery of the package (sixty days for intemational shipments), or in Ne case of failure to make delivery, nine months after a reasonable time for delivery has elapsed (sixty days for intemational shipments), shall be deemed waived. The entry of a C.O.D, amount is not a dedaredon of value for cartiage purposes. All checks or other negotiable insW menu tendered in payment of C.O.D. will be accepted by UPS at shipper's risk. UPS shall not be liable for any special, incitlental, or consequential damages. All shipments are subject to the terms and cendi8ons contained in the UPS Tadft antl the UPS Terms and Conditions of Service, whi can be found al www.ups.com. `~ 4- . o a https://www.ups.com/uis/create?ActionOriginPair=default PrintWindowPage&key=t-e... 10/15/2012 ,.~ M C v l t F1 V .Q} TV VI ~ N _ ~ O ~ ~ ~ _ y ~ U p ~ C ~ma ~O o maa s. a~ ~ v ~~ .,.~ ~. U ~ C~ a r h v y ~ .~ ~' M N +-' UJ i.+ ~ O ~r O > ~ ~~i~ G¢ ~-+ 60 cd ~r ~x„ ~~~ ~y$.~ U N ~ M S fit ~ t `t>,), o LL v= vo {i ~ w rl L ~ ~ c '~ N y ^. N ^v Y M ~ Q ~ ti ~ Q R ~ ~ C O ~ o ,~ °~ ~ . .~ ° ~ ~ ~~.~~, c V a~i ~ ~ U 'd ~ (+1 t< j F m~~: 4~t4. N ~~ 1, 5~ P~~sTa~~ - T _ ~ Q O ~ U `O m rn U ~ N ~ ~ ~ ~ c~0 ~ ~ w N ~ x CJ C O O ~ CD ~ ? 0 C =oaY f s i -~`~ ::U ~_ ' -~ o .:a UPS Internet Shipping: Shipment Receipt Shipment Receipt Transaction Date: 18 Oct 2012 Trackin Nu b Page 1 of 1 Address Information m er. 1Z8Y9013139dstiul:iz Ship TO: Ship From: Franklin Templeton Investments Brad Mentzer, Financial Adviser Retum Atldress: Brad Mentzer Financial Adviser 100 Fountain Padnvay Bratlley A. Mentzer, CPA/PFS SAINT PETERSBURG FL 337761205 325 SouN Hanover Sbeel , Bradley A Menzer, CPA/PFS Telephone:800-524-4040 Canisle PA 17013 325 South Hanover Street CARLISLE PA 77013 Tele hone:717-249-6327 Tele hone:7f 7-249-6327 Package Information Weight Dimensions I Packaging Declared Value Reference Numbers 7. 0.5Ibs UPS Letter (Letter billable) Reference#1 - S. Morrow Estate UPS Shipping Service and Shipping Options Service: UPS Next Day Air Saver Guaranteed By: 3:00 PM Fntlay, Oct 19, 2012 Shipping Feea Subtotal: 28.83 USD Transportation 25.40 USD Fuel Surcharge 3.43 USD Additional Shipping Options Quantum Vtew Notify E-mail NoUBcadons: No Charge 1 brad(o]bradmenlzer.com: Ship, Delivery Payment Information eln A discount has been applied to the Daily rates for this shipment Total Charged: Negotialetl Total: Note: Your invoice may vary from the displayed referenu rates. • Far delivery and guarantee intorma8on, see the UPS Service Guitle. To speak to a customer service representative, call 1-800-PICK-UPS for domestic services and 1.800-782-7892 far intemational services. Responsibility for Loss or Damage Unless a greater value is recorded in the declared value field as appropriate for the UPS shipping system used, the shipper agrees that the released value of each package wvered by this receipt is no greater than $700, which is a reasonable value under the circumstances surrounding the iansportatlon. If atlditional protection is desired, a shipper may increase UPS's limit of liability by declaring a higher value and paying an adtlitional charge. UPS does not accept for transportation and shippers reques8ng service through the Internet are prohibited from shipping packages with a value of more than $50,000. The maximum liability per package assumed by UPS shall not exceed $50,000, regardless of value in excess of the maximum. Claims not made within nine months after delivery of the package (sooty days for international shipments), or in the case of failure to make delivery, nine months after a reasonable time for delivery has elapsed (sixty days for international shipments), shall be deemed waived. The entry of a C.O.D. amount is not a declaration of value for cemiage purposes. All checks or other negotiable instruments tendered in payment of C.O.D. will be acceptetl by UPS at shippers risk. UPS shall not t» liable for any special, incidental, or consequential tlamages. All shipments are subject to the terms and conditions contained in the UPS Tariff antl the UPS Terms and Conditions of Service, whiU ran be found at www.ups.cem. https://www.ups.com/uis/create?ActionOriginPair=default_PrintWindowPage&key~e. V 10/18/2012 T M„ +~ s ~A Q.. o (il 8 o -o > v o ~ 4 Gc, -~, ~ ,:, Q y y V ~I ®e~ L N y C d '~ ~ ~+ 'O ~ N N = ~ ~ M r.+ O Oho j R p D ~ C Q 'w `°x G4 5 ~' OSr' d '~ y ~ r ~ .~ ~ h ~ ~.~~U ., N .b tl M ~ U V M U _ C - 00 - U ~ i ~ N _ ~ c- _ .J '~t - C ~ N W ~ _ > ~ T CN ~' - x U oU0 ~ m ~' ~O ~ ~aY YS• VSn 5 Liberty ~~-Equality\vII FOpEVEq _ FOgEVEq FIRST CLASS MAIL I.I.I..-~I~~~~Il~ii~~~,~~ll~l~~l Hartford Mutual Funds P.O. Box 64387 :~t. Paull, MN 55164 13 ~~~~~ l__% The UPS Store - #2878 950 {~Jalnut Bottom kd Suite 15 Carlisle, Pq 17015 (717) 241-5554 10/01/12 03:U1 PM _.. Cwww. theupsstore local. tom/2878 We are the one stop for all your shipping; postal and business needs. We can print your next party invitation! Ask us how we can help. Also, check ouf our monthly coupons and'save! At the homepage, click on the "Coupons" link in the defi-hand navigation bar and download each coupon to save on a number of our services! ii IIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIiIIIHUIIIIIIIIIllll81111111III 001 001040 (001) TO $ 10.76 Ground Commercial Tracking# 1Z74{'J9130393009462 a • • _ ~ ~ Cash $ 21.01 ~- Change $ 10.25- 950 Walnut Bottom Rd ` ste 1s r Carlisle, PA 17015 Receipt ID 822G4G22475047688331 001 Items CSH: Chris - (717) 241-5554 Tran: 9475 Reg: 002 Visit our website! www.theupsstorelocal.cum/2878 Whatever your business and personal needs, we are here to serve you. ENTER FOR q CHANCE TG WIN $1000 1O /~F_TU2~j {'Je value your feedback l~ ~~2'1" o,u ~ g oX To enter please complete the customer satisfaction surve l t y oca ed at: vum~r.theupsstore.com/survey For official rules and Terms and Conditions go to i~n~iw.theupsstore.com and click on the Customer Exuerience Surrey link f r r` ~rp/Jz SUSAN M MORROW ESTATE ~~~1307 1~ 14 BRADLEY A MENTZER,EXECUTOR 2 BRADI DR. CARLISLE, PA 17015 ~ar~ ~ ~ «~ ~~` ~ ~ h` _.. _~__ 1 L_ ___.__'W -.~~ :_:_.?ems--"_"_ --~,._. CUSTOMER'S ORDER NQ pq}E +~0~~47 C 555555 ~~ 1 SOtDBV CAS' ..C.O.D. CHARGE ON ACCT. MDSE. RBD PAiD OUF ' OMAN: DESCRIPTION PRICE; AMOUNT: -: 1 i z -. ~ ..,. 3 ~ ~~. ;, '" ~ i y,,. 4 S F.. 6 ^F g 9 GI« i4-- ro if -. iz RECEIVED BV ~~ +~ KEEP THIS SUP~FORREFERENCE ~~ SUSAN M MORROW ESTATE 31-9 1307 1015 BRADLEY A MENTZER EXECUTOR 2 BRADI DR. ~ CARLISLE, PA 17015 ~f DAre I ~ ~ 4Q~ ~ Q 1 PAY TO TkiF ~ ^ p '/ / . AA c ~ T L_~ n I ,V ~r ~~0. OZ) ORDER OF R I'~ r C~ ,"l L 1 CJL ~~ ~~ p ©til~ T/JouSaA1D TFdR~~ lduND2ED, Tw'~ p(liLARS 8 N~~_MD _ Rlf~ F~ ~Z% eF lv6 K ~~ _ V (~ { ~ c~•; „. ~z REV-1512 EX+ (12-OB) ~ `` Pennsylvania SCHEDULE I DErnRrMENr of REVE"uE DEBTS OF DECEDENT ,NHER,rANCE Tax REruRN RESIDENT DECEDENT , MORTGAGE LIABILITIES & LIENS ESTATE OF Susan M. Morrow FILE NUMBER Report debts incurred by the decedent prior to death that remained unpaid at the date of death incl di D ITEM , u ng nrelmburs ed medical expenses. NUMBER DESCRIPTION VALUE AT DATE 1 OF DEATH Cleaning supplies 10.07 2. Josh Anderson, hauling trash 40.00 3. Harleysville Insurance 122.94 4. Maurice Schorr, lawncare 180.00 5. Norman Martin Painting 60.00 6. Lowe's-sump pump 130.70 7. PPL Electric Utilities 151.12 8. Century Link 27.93 9. PennDOT 36.00 10. All Mechanical Contractors 287.00 11. Net settlement costs on real estate 98.81 TOTAL (Also enter on Line 10 Recapitulation) I; 1 144 57 [f more space is needed, insert additional sheets or the same size. Saylors Market 37 Carlisle Road Newville, Pa 717-776-7551 Store:l Cashier: SUSAN 10/08/12 12:15:16 *WF SM HOUS GLVES 1.29 TD You Saved 3G ', BOUNTY PRINTS 2.23 TD *SF 30GL TRSH LNR 2.99 TO ~:.r You Saved .16 *SF 30GL TRSH LNR 2.99 TD You Saved 16 SUBTOTAL 9.50 TOTAL TAX .57 TOTAL 07 CASH TENDER 10. CASH CHANGE 00 NUMBER OF ITEMS 4 Price Savings 62 You saved a total of .62 That is a savings of 6X Trx:88 Term:6 Store:l 12:15:53 Thank you for shopping at /~ SaVlorsl IL~ravl8 !D i( /(Z 1L ti N N CO n H ~ n ""~ 1!1 ti N b N N \ N o ~ N t11 N M T M \ N n I ~ ~ ~ ~ c `O ^ N M N ~ N .a O N 2 "y +~ d y c > u y ~ •N ~ m o •• v m E +~ u a u ~ y m u -o d m > q a o ~ m q .. v m ~ U C T C C 7 N ~ q O .-i C E L •N E > .-1 N T L C W " C •r1 W fC 7 •N 7 C ~+ w a a v E q N E o ~ M m ~ ri V O O `m m a ~d~a> U ~ m u a m r v ~ ._ x n c T u~ p m m d U m m ; op m t 3 xo`o a3 .( T ~A\\ ~ C ~~ *5 ~ ~ A'~ ~ a° ~ = ` ~ rrOw V m ~ no n N O N n ~p M ul .N N N M M M M V ri eV ry 'i '•1 O \ rti \ . i H. i oooeo N \ \ \ ~ \ 7 NN NM~Y rle ~ ~ O .yo oe o ~u o ~o M ~p P \ `7 w M M N ~ O p ~ N O ~ nnnn.o Y • N N N LL " Y C N N N C 7 M M M M M ~.y o .N ~o .N .n .N L O • E (`lL V C N 3 .•~ N O N H y' W a r Z N H \ ~ O ,^ v! w »~ N Nl N N N.0noo P ~ .i e o e o e ,u ~nsswx p S w L w ~ a `s L "' s S ~ w ». ~, '. ~ a ~ a ~ ~ = a ~ ~ c • ~ c 7 ~ a . ~ M ~' E T Nw•w. ~ Y ~ ~~ O_ K w U ~ w N ~ •.CC01 aw CW N 0 .• i L N 4 9p a ' j ~ W ~ ~ ~ w B L S ~ 7 O D_' J Z L~ M N U N 'Z w :w 'u N ^' C L C w N a~ N> C O a S~ ( 3 N ~1 ~ C O N VIM3 N (7 •iQ '• L L T+ i rOr [ O+Ni ~ 1 NY > U 6r ~ L ~ 3 ~ O ~ 9 hODZ W e ® 9 O dN•n a N ' ~ NT w PyO r. 0 T a JN N( 0 2 N 0 LD L 1S L r C ,p ~ L Cp 7 VC T T ~ ~ a ~6 C Q O) t O O L w 1~ p• 3 N ~ T 44 u H i n L i s m ~L p 3 7 C ~ .w L yy .~ 2 n N ~~ Y y Fg Y L 4 C '~ < 0 0 0 w C O N M i 3 L •• ~ , C s n O 1 T C 0 ~ O L ri w [ w N w • w a L 0 ~ ( ••I N J r •I ~ • ~ M @ ~ ~ L O n W ^ M G 9 ~ •L 1~l J~ ~ E 7 ~ W V ~ LL Y W m N L w H . 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Box 1319 Charlotte, NC 28201-1 31 9 Accoum Name: SUSAN M MORROW Accoum Number: 313078805 Payments Payment Received -Oct. 25, 2012 -Thank You Adjustments Renrove 1 Pty Residence Line From OCT 23 To NOV 03 / 717-776-5498 Rerrrove Caller ID Number/Name-Res From OCT 23 To NOV 03 / 717-776-5498 Remove Inside Wire Maintenance Plan-R From OCT 23 To NOV 03 / 717-776-5498 Remove Non-Telecom Services Surcharge From OCT 23 To NOV 03 / 717-776-5498 Remove Subscriber Line Charge -Interstate From OCT 23 To NOV 03 / 717-776-5498 Total Payments and Adjustments Page: 3 of 4 Bill Date: Nov. 04, 2012 27.93 CR 7.42 CR 4.15 CR 2.95 CR 0.62 CR 2.18 CR 45.25 CR I~ ~~ r ~I'` CenturyLink~ P.O. 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No. Terms Project Dae on receipt QuaMitY Descripilon Rate Amount 4 Hours-Mecbartie Rate 5 45.00 180 00 I Parts 47.00 . 47.00 Work performed at: 823 Green Spring Road Newville, PA Checked and cleaned oil furnace. Replaced bad o+l filter camidge, 51~ and nozzle. pt_os A~~ . ~~~ n +_ ~~zt,~.~ ~ c pu onl tZ~~~z ; 1 ids+!e (~PC3c2 45c~ ~'/iT5 1S.ora MasterCard/Visa accepted for payment. 3% service fee will apply to credit card payments. Late fee applied I S days after invoice date. TOta~ aF17 v`' . _522-180' ~~ip ~z~f4//Z GK~ ~~/~ Z3 REV-1513 EX+ (OS-10) Pennsylvania SCHEDULE 7 BENEFICIARIES INHERITANCE TA% RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Susan M . Morrow 21-12-1095 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llst Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Bradley A. Mentzer, 2 Bradi Drive, Carlisle PA 17015 nephew 329,333.94 ENTER DOLLAR AMOUNTS FOR DISTRiBUTI0N5 SHOWN ABOVE ON LINES IS THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. 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 [he same size.