Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
01-16-13
1505610140 REV-1500 EX i01-10, OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 0 1 2 0 0 4 6 7 Harrisburg PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 4 1 7 2 0 1 2 1 1 0 7 1 9 6 8 Decedent's Last Name Suffix Decedent's First Name MI F O U T S C H R I ST I N E L (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 DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW O 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return (date of death prior to 12-13-82) ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise (date of ❑ 5. Federal Estate Tax Return Required death after 12-12-82) ❑X 6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ❑ 9. Litigation Proceeds Received ❑ 10. Spousal Poverty Credit (date of death ❑ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number W E N D Y POLI TO 717 329 3502 REGISTER 01 7_WILLSJ1g150NLY M C © tY G? p First line of address CY7 m<~ i 1 0 2 B E L LOWS C O U R T a m GTJ ~U. Second line of address City or Post Office State ZIP Code c": DATE ILED ' C~b L EWI S B E R R Y PA 1 73 39 t co G' Correspondent's e-mail address: WEN DYPOLITOOCOMCAST. NET Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATUR EROE, FO FILING RETURN DATA' -2 ADDRESS 102 B LLOW URT LEWISBERRY PA 17339 SIG PREP R ~TX THAN~RESENTATIVE TE ADDRESS 101 S. MARKET STREET MECHANICSBURG PA 1 055 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 1505610240 REV-1500 EX Decedent's Social Security Number DecedenrsNan,e: CHRISTINE L. FOUTS RECAPITULATION 2 2 4 0 0 0,0 0 1. Real Estate (Schedule A) 1 2. Stocks and Bonds (Schedule B) 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. 4. Mortgages and Notes Receivable (Schedule D) 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 1 4 8 4 3 , 5 2 6. Jointly Owned Property (Schedule F) ❑ Separate Billing Requested 6. 7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property (Schedule G) Separate Billing Requested 7. 8. Total Gross Assets (total Lines 1 through 7) 8. 2 3 8 8 4 3 , 5 2 9. Funeral Expenses and Administrative Costs (Schedule H) 9. 2 5 3 9 4 . 3 2 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) 10. 2 6 4 0 6 5 . 1 1 11. Total Deductions (total Lines 9 and 10) 11. 2 8 9 4 5 9. 4 3 12. Net Value of Estate (Line 8 minus Line 11) 12. - 5 0 6 1 5 . 9 1 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) 14. - 5 0 6 1 5 . 9 1 TAX CALCULATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X.0 _ 0.0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate X .0 _ 1 0 0-0 0 16. 0. 0 0 17. Amount of Line 14 taxable at sibling rate X .12 0.0 0 17. 0. 0 0 18. Amount of Line 14 taxable 0 0 0 at collateral rate X .15 0.0 0 18. 19. TAX DUE ......................................................19. 0. 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505610240 1505610240 REV-1500 EX Page 3 File Number Decedent's Complete Address: 20 12 00467 DECEDENT'S NAME CHRISTINE L. FOUTS STREETADDRESS 5201 Deerfield Avenue CITY STATE ZIP MECHANICSBURG PA 17050 Tax Payments and Credits: (1) o.oo 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount Total Credits ( A + B) (2) 0.00 3. Interest (3) 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. (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; ❑ ❑X b. retain the right to designate who shall use the property transferred or its income; ❑ n c. retain a reversionary interest; or El d. receive the promise for life of either payments, benefits or care? X❑ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ❑ 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ❑ X❑ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary 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 transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (01-10) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: CHRISTINE L. FOUTS 12 00467 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 RESIDENCE: 5201 Deerfield Avenue, Mechanicsburg, PA 17050 224,000.00 A single family home containing approximately 2,029 sq. feet. Built in 1966. Assessed at $215,200.00. Value was arrived at by comparison to similar homes that had recently been sold. (see attached estimate and comparables) Property has not been sold, is vacant, and is subject to foreclosure. TOTAL (Also enter on Line 1, Recapitulation.) $ 224 000.00 If more space is needed, use additional sheets of paper of the same size. REV-1508 EX+(6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF FILE NUMBER CHRISTINE L. FOUTS 20 12 00467 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MEMBERS 1ST F.C.U. -ACCOUNT# 376156-SAVINGS 28.66 5000 LOUISE DR., PO BOX 40, MECHANICSBURG, PA 17055 MEMBERS 1ST F.C.U. -ACCOUNT# 376156- CHECKING 44.80 MEMBERS 1ST F.C.U. -ACCOUNT# 376156- MONEY MANAGEMENT 3,157.06 2. HOUSEHOLD FURNISHINGS 8,731.50 3. SEVEN (7) BYERS CHOICE CHRISTMAS CAROLERS (ceramic) 398.45 4. LENOX CITATION GOLD 5-PIECE PLACE SETTINGS (7) 755.65 5. 14 ct. GOLD DIAMOND SOLITAIRE RING - 1459.00 1,727.40 14 K DIAMOND BAND - 219.80 14 K. WEDDING BAND -48.60 TOTAL (Also enter on line 5, Recapitulation) $ 14 843.52 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER CHRISTINE L. FOUTS 20 12 00467 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Parthemore Funeral Home, 1303 Bridge St. New Cumberland, PA 11,365.17 2. Cemetery Lot, St John's Cemetary, 44 W. Main St., Shiremanstown, PA 17011 1,650.00 3. Catered Dinner following funeral 1,591.10 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) WENDY POLITO 3,527.45 Street Address 102 BELLOWS COURT City LEWISBERRY State PA zIP 17339 Year(s) Commission Paid: 2012 2. Attorney Fees: R. MARK THOMAS, ESQUIRE 1,532.50 3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 2,881.50 Claimant Logan & Hannah Fouts Street Address 84 HILLSIDE ROAD city Mechanicsburg State PA zip 17050 Relationship of claimant to Decedent daughters- (primarily lived with the decedent) 4. Probate Fees: CUMBERLAND COUNTY COURT OF COMMON PLEAS 388.50 Probate 198.50 & 175.00 and filing fees- 15.00 5 Accountant Fees: 6. Tax Return Preparer Fees: 7. CHUCK BRICKER, AUCTIONEER 2,275.00 8. REGISTERED MAIL 8.10 9. APPRAISAL FOR RINGS- MOUNTZ JEWELERS 175.00 TOTAL (Also enter on Line 9, Recapitulation) $ 25 394.32 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER CHRISTINE L. FOUTS 12 00467 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. COMCAST, 1555 Suzy St, Lebanon, PA 17046 25.50 2. HAMPDEN TWP. 230 Sporting Hill Rd, Mechanicsburg, PA 17050 516.47 3. MORGAN LANDSCAPE Cont., Inc. 908 Bosler Ave. Lemoyne, PA 17043 220.48 4. PA AMERICAN WATER, PO Box 371412, Pittsburgh, PA 15250 157.53 5. VERIZON WIRELESS, PO Box 4003, Acworth, GA 30101 657.16 6. LEFFLER ENERGY, PO Box 302, Mount Joy, PA 17552 1,423.87 7. MEMBERS 1ST FCU, 5000Louise Dr, Mechanicsburg, PA 17055 4,449.03 VISA acct# xxxx xxxx 7229 8. PSECU, PO Box 67013, Harrisburg, PA 17106 4,951.78 9. WELLS FARGO, PO Box 14411, Des Moines, IA 50306 208,349.64 10. MEMBERS 1ST FCU 5000 Louise Dr. Mechanicsburg, PA 42,164.17 LOAN - ACCT#376156 HOME EQUITY 11. HONDA LEASE TRUST, PO Box 166469, Irving, TX 75016 1,149.48 TOTAL (Also enter on Line 10, Recapitulation) $ 264 065.11 If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: CHRISTINE L. FOUTS 12 00467 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. LOGAN L. FOUTS Lineal 50.00 84 HILLSIDE ROAD MECHANICSBURG, PA 17050 2 HANNAH M. FOUTS Lineal 50.00 84 HILLSIDE ROAD MECHANICSBURG, PA 17050 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, use additional sheets of paper of the same size. OF CI-IR]"STFNE POUTS 1. CIIRISI-INL FOUTS. of Hampden Tox\-iIship- Cumberland County Pennsylvania, do r_iake, publish and declare this to be my Last Will and Testament, hereby ret. okinu all « ills and Codicils by me heretofore made. ITEM is Family intonation. I have two (2) children: I.OGA\ L- F(') TS and 1;.-~N-NAII ~,'i. DOLTS. Ttiev arl_ deseribed in this "\~'ilI as --s12-,- children" or as a "child of mine," iTE\I II: Death Taxes. I direct that all inheritance and estate taxes becoming, due by reason of my death, whether payable by my estate or by- any recipient of any propel v_ shall be paid by the Executor out of the residue of my estate. as an expense and cost of administration of Inv estate. except that no taxes shall be charred against air < lift qualitt,inU for the marital or charitable deduction in in estate. The Executor shall have no duty or obli1Jation to obtain reimbnrsetnent far any such tax so paid. e~ en though on proceeds of insurance or other property not passing under this Will. ITE-Al III: Debts and Final Ex pe nses. I direct the Executor to pa} the expenses of niy last illness and funeral expenses from the residue of nay estate as an ex"pense and cost ofadinInistrati oil of nn- estate. U s1 - ~rA1 : t~I1gIL~iC 1'Zf ol7al PI'Op~rt~. z III S ':'zaV"~ d .STiil~ft list in m N- sate deposit box or e1scwher-2 disposing of certain itcins of m tanliblc personal property. -he I xecutor shall dispos.- of items of my personal property as specified in the Nvrirtc I East. ;T lio ,rlticll list is found 13 niv sat'(_' deposit box or clsC`d,,erc and properly Idc^_ntlf cd by thc, L-xecutor vNithin thlrt, (30) da yS after the probate of nil `VIII. it shall be presumed that there Is to other statetnei t or list. Airy subscgtti°!I,Ik- disco~'ered list shall, be iUllored. l give all Inv tangible personal property-, including but not limited to. all of n1 Household Furniture and furnishio!zs. boobs, pictures,;c«reli~, silverware, automobiles. wearing apparel and all other articles of houschold or personal use oi- adornment and all policies of insurance thereon (except as set lOrth in a ritten list) to my then living children. to be divided among them as they shall agree. The Executor shall represent any minors in the division of this property. Should there be no agreement. this property shall be divided atom- tn-y then living children by the Executor in as nearly equal portions as is deemed practical in the sole discretion of the ExeCLItor. having due regard to their personal preferences. if the Executor thinks any property to which a minor child would become entitled is unsuitable for the child's use, the properhr shall be sold and the proceeds shall be added to the share oftny residuar}, estate held fur the benefit of that chi Id. ITEM V: Rcsidue. I give the residue of my estate, not disposed of in the 'preceding portions of thds Will. to my children. in equal shares. If am of thenn is not living at my death, her share shall be paid to her then living issue, per stirpes. ITEM VI: Administrative Powers. In addition to the powers ',ranted at law, the Executor shall possess the followin- poN ers, each of which shall be constrir;:d broadIv and may be e:.ercised -,vithout court approval, but in a fiduciary capacity only: (a) Retain Investments. To retail, any investments I have at my death, including specifically those consisting of stock of any bank even if I have, namlled that bank c? the Executor. (bj Varv Investments- To vamy investments and to invest in bonds. stocks. notes, teal ,State [port gapos o other sccur'ties or FIt other prof tii-ty, real or personal. ,without beinL, restri(_ted to so-called "le,aal in: estments". and \Eithout ?ein, limited 'ON an- y- or rule of la?~ red-arding ii?ytstll"telltti by ftauclar, Z:7 10S. (c) Division of :assets. In order to divide the principal of in estate or make distributions, the Executor is authorized to distribute personal property and real property partly or wholly in hind, and to allocate specific assets arnona beneficiaries so lori2 as tie total .Market value of each share is not affected bv die division, distribution or allocation in hind. The Executor is authorized to make, join in and consuinmate pariitions of lands. voluntarily or involuntarily, includin_ giving of n?utual deeds, or other obligations, with as wide powers as an individual owner in free simple. (d) Scll Assets. To sell either at public or private sale any or all real or personal property severalty or in conjunction with other persons, and to consummate sale(s_) b deed(,:;) or other instrument(s) to the purchasers}, corwe in-, a fee simple title. No purchaser shall be obligated to see to the application of the purchase nioney or to make inquiry into the validity of anN sale. The Executor is authorized to matte, execute, acknowledge and deliver deeds, assi,gnrnc rats. options or other writings as necessar, or convenient to carr\, out the poNvers conferred upon the Executor. (e) Encumber Real Estate. To ;nortgagc real estate, and to make leases of real estate. (1=) Borron ;t-lone . To, borrow n?onev f_i-onl any person. inciudin`` the Executor, to pay indebtedness of inine or of my estate. expenses of administration or inileritanc:;, 1_e`tacv. estate and other taxes, and to assign and pled-e assess of n?v estate. (Q) Pa' Costs. To 1)a,,- all costs,. [aII-es. e,:pertses arci charges in connection ,,ith the administration of m\- estate. (h) Distributions \t. thOUt Court Order. To nice dI.s'tributIOnS O income end of principal to the proper beneficiaries, during the administration of my cstate.or witliout cotvt order, 11) such Inann.er and un sucIt amounts as mv Executor deems prudent and appropriate. (i) Rh-,hts as Stockholder. To exercise voting rights «,ith respect to securities -which form a part of my estate, and to exercise al{ the powers incident to the ownersliil3 of securities. (j} Reorganize. To unite with other owners of property similar to I)ropertN in ink- estate to canti- out anti plans for the reorUanization of an-\- conilmny whose securities form a part of my estate. (k) Disclaim. To disclaim any interest in property v~~hich would devolve to me or m;- estate by whatever means, including but not limited to the 1o1}o,i-ing means: as beneficMI-V tinder a will, as an appoi,Itee Under the exercise of a power of appointment- as a person entitled to tike by intestacy, as a donee o(- an inter i-ivos transfer, and as a donee under a third-part;- bcnefieiar-, contract. (1) Tax Returns. To prepare, execute and file tax returns of any ttipe required bk- applicable law. and to make all tax elections authorized bN law (In) :allocate Expenses. l o allocate adn;itiisirativ1- ex'oelises to income or io prMclpal. as the Exc-c !tow due is, approprt Ite. Hc)wex er. no allocation Yo income shall be made if the effect of the allocation is to cause a reduction in the MlIotEnt Of ilil~ esta e -ti !l}crttal -IedliC,ion Ur eta c t?x c11al'Iiabie deduction. (n} Employ Advisors. To employ custodians ~f pi:~perty iiivestnnent or business aidvisors. accountants and <<ttorneys as the Executor deems appropriate. and to compensate these I?ersons from assets of mi estate. Nvithottt affecting the; compensation to which the Executor i.s entitled. (o) Basis Adjustment. To snake an~I adjustment to basis authorized by law, including, but not limited to increasing the basis of any property included in niy estate, whether or not passing under this Will, by allocating. a.riv amount by Nvhicln the bases of assets may be increased. The Ixecutor shall be under no duty:- and shall not be required to allocate basis increase exclusively, primarily, or at all to assets which pass as part of my probate estate as opposed to other property for which a basis adjustment is all()\\ able. The Executor shall allocate basis increase equitably among those beneficiaries receiving property as a result of m_v death, but shall not be liable to any person. nor sun}jest to removal or surcharge, for any reasonable allocation of basis increase. (p) Compromise Claims. To compromise claims. (c) Other Acts. To do all other acts ua the Executor's judgment deemed necessan' or desirable for the proper and advantaueous management- investriient and distribution of the estate. 1TEM VII: Beneficiaries rider Age If la beneficiar-l' Under the age of twenty-five (25) years is entitled to receive assets under this Will. the person who served Lis Executor ofni estate shall retain those assets as Custodian for the beneficlary lender 'Hies in accordance ;~.ith the Penns-lvama 1;niforin Transfers to Minors Act ttt~til fire beueficiait~ reaches the ante of t«et?t<T-live t dears. The Custodian may receive and administer all assets authorized by law- _r-id shall have full autI~orm, as provided in the Penns~~Ivania Uniloirr? Transkrs to N'linors Act to use assets in the manner the Custodian deems advisable for the best interesis of the beneficial- IT \l VIII: Sur\ ival. Anv person who has died within thirty (0) days of my death. or under such circumstances that the order of our deaths cannot be established by proof. shall be deemed to have predeceased me. ITEM IX: Guardians. If I survive the father of mY children, Todd Fouts, I appoint my sister. WENDY .I. POLITO. to be the Guardian of the person of eaeil of my minor children. ITE I X: Executors. I make the folloxvin6 provisions -with respect to Executors: (a) Primate Executor. I appoint my sister, W ENDY J. POLITO, to be the Executrix. (b) Contingent Executor. In the event that Inv sister. WEN BY J. POLITO. is deceased or unable to serve as Executer. I appoint m\ brother. RICK W. KAUI FMAN, to serve as l-xccutor. (c) Compensation. The Executor shall have the right to receive reasonable compensation for services retl tered and reimbursement for reasonable expenses. (d) Standard of Care. Executor shall be liable or accouiitablc ror anv loss that may rcyult .iron the oood faith exercise of the authority Granted in this \Vxll. (e) Security. The Executor is specifically- retie; ecl ficun the dt!t<} filing- botid or entering security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament. consisting= of this and the preccdinc six (F) pages. at the end of each page of which I have also set my initials for greater security and better identification this day of - ?OI 1. (SEAL) CHRISTINE'}-OUTS NVe. the undersigned, hereby certify that the foregoing Will tiyas signed. scaled. published and declared by the above-named lestatrix as and for her Last Will and Testament_ in the presence of us, who. at her request and in leer presence and in the presence of each other, have hereunto set our hands and seals (lie clay and year first above written. and Nve certifi, that at the time of the cxecutiolt thereof, the said Testatrix Nyas of'sound and disposing mind and memory. ==v ( ` - (`SEAL) Residing at t r (SEAL) Res] cling at - ACKNQVVI,EDCTIVIENT C01-ITMONWEALTH OF PENN~7SYI-VANIA i SS: MUNT-Y OF I. CHRISTINE FO UTS. Testatrix. «vhose 1am-- is signed to the attached or foregoing instrument. ha;-imz been duly qualified according to lax-v. do hereby- ack-no\Nledge that I signed and executed the instrument as my Last Will and Testament; that 1 signed it willingly; and that I signed it as m free and voluntary act for the purposes therein expressed. ("SEMI CFIRISTNE, FOULS Sworn to and subscribed belore n;c this -'dad of . 2011. S ~ToA'aiy Public `t r 1-iy Con111liSsloll F'Xpires: (SEAL NOTAR UAL SEAL F I.171.~2ETH HALLE i € , Notar Pubiic C ty of Harrisburg, Dauphin County { ~riJ CC IR1ts~i0f1 EYpIres =(f" A[-`F[DA VI V CO' 'O A"EALTH OF" P1=;\---N'S YTV_ NL? SS COUNTTY O we. and the - -i - - - _ - :r NVitnesses \\-hose names ar-Isigned to the attached or loregoin<. instrument- being duly qUalifiled according to law, do depose and say that we were present and saw Testatrix, CFIRISTME FOITTS. sign and eXeCLIt.e the instrument as her Last «-'ill and Testament: that Testatrix sic'ned willingly and that she exectued said Will as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the A ill as ~ itnesses: and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of aac. of sound mind and under no constraint or undue influence. _ Cl Witness Witness Sworn to and subscribed before ` y= me this 'Ziav Of ?U' Not'an-v Public l~ Nl~ Commission Expires: (SEAL) COMM NOFAR(~L S ~ Y E117-AKTH HALLETT, niof.n Public fYl}'_~rJ:f7.~i(SS!G!n ~;<,lTl(v$ t`li$S J, 2 012 _T, Mechanicsburg, PA 5201 Deerfield Avenue, Mechanicsburg PA 17050 Home Facts _ • = Trufia Estimate $224,000 Are you the owner? A ,:;o to improve this estimate. Request a pr *=-:-,;cnai c st~ a'-'- from a local expert. Y; . Status Off Market Bedrooms Bathrooms. A Property type: Single-Family Home " - n ! Size., 2,029 sgft r _ Lot 'icy Year built. 1966 ' Zip: 17Vtif RE Contact an agent This is a Single-Family Home located at 5201 Deerfield Avenue, Mechanicsburg PA. 5201 Deerfield Ave has approximately 2,029 square feet. The property was built in 1966. The average list price for similar homes for sale is $176,127 and the average sales price for similar recently sold homes is $219,133. 5201 Deerfield Ave is in the 17050 ZIP code in Mechanicsburg, PA. The average list price for ZIP code 17050 is $298,061. Official property, sales, and tax information from county (public) records as of 01/2011: • Single Family Residential 2,029 sgft • Lot Size: 0.45 acres • Built In 1966 County: Cumberland • Tax Rate Code Area: CUMBERLAND VY SD He Year Value Land Improvements Total Tax 2011 Assessed $63,600 + $151,600 = $215,200 n/a Spreadsheet Page http://cpml.paragonrels.coin/ParagonLS/Reports/Report.mvc?listing. 1(J?y1.53~ ~.Q213434 1Q21~563. Sold Soid Sold 282 Saint Johns Drive 916 Knepper Drive 1620 Airport Drive Point Ridge Farms Country Estates Cumberland Valley Mechanicsburg Cumberland Valley Hampden Upper Allen Hampden Camp Hill Mechanicsburg Mechanicsburg 17011-1933 17055 17050 Origi- i $245,000 ! Original $244,900 _ _ $249,900 _ _ __Original List Price $249,900 List Price $245,000 List Prue $239,900 Sold Price $230,000 sold Price $235,000 Sold Price $239,900 Seller Help 0.00 Seller Help 900.00 Seller Help 1658.00 Close Date 1/6/2012 dose Date 12/22/2011 Close Date 5/1/2012 Yr Bunt 1961 DOM 50 Acres 0.29... ! Yr Built 1973 DOM 69 Acres 0.50... Yr Built 1984 DOM 11CAcres 0.45... Sq Ft 2270 $/SgFt $10132 Sq Ft 2426 $/SgFt $96.87 sq Ft 2116 $/SgFt $113.37 BR/FB/HB/Fp q/ 2 / 1 BR/FB/HB/FP 4/ 2 BR/FB/HB/FP 4/ 3 / 1 Type Detached Type Detached Type Detached Design Traditional Design Traditional Design Traditional style 2 Story Style 2 Story Style 2 Story vm/swr Public Sewer, Public Water wtr/swr Private Sewer, Public Watt wtr/Sm Public Sewer, Public Wate Ext Stone E.xt Vinyl. Ext Brick, Vinyl Parking 2 Car Garage Parking 2 Car Garage, Off Street Parking 2 Car Garage, Attached, aseboard, Electric, Heat F Off Street Parking Heat Baseboard, Hot Water, Oil Heat B Heat Heat Pump cool Central Air cool Central Air Cool Central Air Bsment Full, Partially Finished Bsment Concrete Floor, Full, Bsment Partially Finished, Sump i Const Stick Built Const Stick Built Const Frame Tax $ 2623 2011-12 Tax $ 4000 2011 Tax $ 2464 2011-12 DIBarfsle Pike West; R/St. Johns Drive to home on left. DIRMechantsburg W/on W i6ms Grove Road L/Frost, DIR* CampHt W/ Market St, R/ Orrs Bridge Rd, R/ R/Knepper, Mountanvew, L/ Aiport. Home on Left. Beautiful 2 story traditional in Point Ridge Great floorplan w/substantial room sizes, Great location. 4 BR, 3.5 Bath 2 Story in CV Farms was totally renovated in 2000. New especially the bedrms. Kitchen w/Conan Schools. Beautiful .45 acre comer lot on roof, siding, insulation, lighting, baths, counter tops,large island/breakfast bar & cul-de-sac w/ 2 tier stamped conc patio. First custom kitchen, air conditioning and much pantry. Family Rm. w/ fireplace, leads to floor MBR with full Bath. Enormous 1st flr more! The home features 4 spacious huge sunroom w/hot tub overlooking Family Rm with beautiful gas Fireplace. bedrooms, 2.5 baths, beautiful kitchen with beautifully landscaped backyard w/inground Remodeled Kitchen with solid surface dining area! Family Room with fireplace, pool & patio area. All baths, kitchen, dining counters & ceramic floor open to Family Rm lower level red: room, 2 car side entry garage room, have ceramic tile floors. They just and Dining Area. Very large 2 Car Garage and patio. A great home in Hampden don't build them like this anymore. with storage and 3 car wide driveway. Township with low taxes and great schools. Finished LL Rec Rm. Possible in Law Quarters 1st floor! G Z.E©~ Or:J~ -COL %A C. c3: QSO 00c> goy 1 of 1 5/1/2012 4:50 PM V7 r 30~__> A send inquires to: Statement of Accounts 5000 Louise Drive PO Box 40 Mechanicsburg, PA 17055 www.memberslst.org Apr 01, 2012 thru Apr 24, 2012 Main Switchboard: (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 Account Number: 376156 TDO: (717) 697-5312 or (800) 283-2328 ext. 5312 ® TeleBranch: (800) 237-7288 MEMBERS 1St Balances at a Glance: _ FEDERAL CREDIT UNION Checking: 44.80 5959 I AV 0.350 20788-5959 Savings: 28.66 Certificates: 0.00 ~ CHRISTINE L FOUTS Loans: 42,164.17 _ 5201 DEERFIELD AVE Money Management: 3,157.06 MECHANICSBURG PA 17050-6823 Swipe 5 YTD Reward : 6.95 0 t Page: 1 of 4 Your current Member Loyalty Rewards level is Platinum. Your aggregate balance as of April 1st is $50,693.31. An aggregate balance of $75,000 and having 3 products will move you to the Titanium level. We've made our website easier to use! See the enclosed insert for more details. CHECKING ACCOUNTS 0011 -CHECKING D Date Transaction Description Apr at 0> T ransae Forward Additions Subtractions Balance Apr 01 Withdrawal Debit Card CHECK CARD 1,410-89 03/31 535353520147919 ANGEL NAILS MECHANICSBURG 18.00- 1,392.89 Apr 01 Withdrawal Debit Card CHECK CARD 03/31 006181900036BAl KARNS QUALITY FOODS MECHAN 6 09- 1,386.80 Apr 01 Withdrawal Debit Card CHECK CARD 03/31 015022866998 DICK'S SPORTINGGOODS HAMPDEN fi991- 1,316.89 Apr 01 Withdrawal Debit Card CHECK CARD 03/31 236259300119901 DUNKIN #'306751 Q35 MECHANI 7 1,308.90 Apr 01 Withdrawal Debit Card CHECK CARD 03/31 4445077001639 CVS PHARMACY #1639 Q03 MECHA 15.74- 1'293' 16 Apr 02 Withdrawal Debit Card CHECK CARD TRANSACTION DATE - 04/01/2012 5 1,287.71 03/30 008788260184652 ITALIAN DELIGHT MECHANICSB Apr 02 Withdrawal Bill Payment VERIZON WIRELESS CO: VERIZON WIRELESS 1•~- 1,097.02 Apr 02 Deposit ACH PA-SCDU TYPE: CHLD SUPPT ID: 2236003113 CO: PA-SCDU 370.62 1467 64 Apr 03 Withdrawal Debit Card CHECK CARD 04/01 452007244992 VICTORIA'S SECRET 0281 CAMP H 110'50- 1,357.14 Apr 03 Withdrawal Debit Card CHECK CARD 04/02 172269000167955 GIANT 6269 CAMP HILL PA 31- 1,325.30 Apr 03 Withdrawal Debit Card CHECK CARD 04/02 260213100886 HOUSE OF CARDS CAMP HILL PA 9- 1,315.46 Apr 04 Withdrawal Debit Card CHECK CARD 04/02 456002237992 BURGER KING #2732 CAMP HILL P 6-02- 1,309.44 Apr 04 Withdrawal Debit Card CHECK CARD 04/03 178504281993 SALON ON SIMPSON INC MECHANIC 1,252.44 Apr 05 Withdrawal Debit Card CHECK CARD 04/03 178215490990 JUICE & JAVA CAFE MECHANICSBU 9 15- 1,243.29 Apr 05 Withdrawal Debit Card CHECK CARD 04/04 041800031101124 USPS 41524800531101124 MEC 9 45- 1,233.84 Apr 05 Withdrawal Debit Card CHECK CARD 6.00- 1,227.84 Continued on following page Chuck Bricker, Auctioneer. l3uy & Sell one Commission - Complete Sale Service 98 Texaco Rd., . Mechanicsburg, PA 17055 766-5785 Persoml Property of Address Sold At Public Sale 20 l ~2, Ou standni v Total saw g 3 T 5v Total cis 6 1 l 4 o, COD, Total Cash Cash After Payout . E~sses . Auctkwwer & Clerks /flair. Cost Sale SetW or Help Total Ezpe~sses ' Byers Choice Carolers Christmas Carol 1983 Bob Cratchit Tiny Tim / 2nd Edition See original listing Item condition: 1 Ended: Oct 02, 2012 16:45:29 PDT Winning bid: US $49.50 2 bids Shipping. Calculate Varies based on location and shipping method Item location: Cedar Mountain NC United States ~Z ~ J r t -~z.,- y f33 Seller. rwkw31 (8010 ) Seller's Lenox Citation Gold 5 Piece Place Setting 6037594 1 eBay Page 1 of 4 HO Sign In or register Daily Deals My e6ay Sell Community Customer Sur Browse by All Categories r "jf:ai t category 1411, Back to search results I Listed in category Pottery & Glass > Pottery & China > China & Dinnerware > Lenox Lenox CITATION GOLD 5 Piece Place Setting 6037594 Item I condition: Time left: 27d 06h (]an 31, 2013 11:07:07 PST) Seller information Quantity1 16 available replacementsltd (180614 , 99.8 % Positive feedback Price: US $107.95 guy It Now Save this seller 1 See other items Add to cart Visit store: Replacements 1 f Add t t41 list i I F 1' E NBi IftRe.LAterGet 6 months to pay .t Subject to credit approval. see terms Shipping: FREE Economy Shipping I see details Item location: McL-risville, North Carolina, United states Ships to. Worldwide See exclusions Delivery. Estimated between Thu. Jan. 10 and Thu. Jan. ty b Y 24 Payments. ParyPa/, Bill Me Later I See details Returns: 30 days money back, buyer pays return shipping I Read details Mail- at@r imaue Ia sonm Have one to sell? Sell it yourself Learn more t r' Ifl r ~ jr;~J~ ~ f~( I~ t j ] ys http://www.ebay.conVitm[Lenox-CITATION-GOLD-5-Piece-Place-Setting-6037594-/1907... 1/4/2013 MOUNTZ J E W E L E R S Trust Your Special Moments To Mountz. January 11, 2013 Keith Polito 102 Bellows Court Lewisberry, Pa. 17339 Dear Keith Polito, At your request I examined the jewelry you submitted for valuation and have provided an opinion of the Approximate Fair Market Value for the estate of Christine Fonts, date of death 4/17/2012. This report is valid only in its entirety and the final figure excludes any applicable taxes. You may wish to take this into consideration when using the report. The value conclusions are subject to limiting conditions that are set forth in the body of the report. To the best of my knowledge and experience, I estimate the jewelry has a total Approximate Fair Market Value of $1,727.40. Photographs are included with the original report for your reference. I suggest that you keep your copy of this report in a safe place. This report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice (USPAP). If I can be of any further assistance, please call. Sincerely, Cher Lynn r Certi ► emologist Appraiser, AGS Enclosures 3780 Trindle Road • Camp Hill, PA 17011 • 717.763.1199 • (F) 717.763.8953 • mountzjeweiers.com Page I of 8 Table of Contents • Letter of Transmittal • Table of Contents • Purpose • Intended Use • Definition of Fair Market Value • Approach to Value • Market • Limiting Conditions • Subscriptions Retained for Value Consulting • Metal Markets + Certification • List of Laboratory Instruments • Item Descriptions • Photograph(s) • Biographical Information This report is valid only in its entirety and for its stated purpose and intended use and was prepared in accordance with the Uniform Standards of Professional Appraisal Practice (USPAP). Statements and Limiting Conditions Purpose The purpose of this report is to describe and document the quality of the jewelry listed and to estimate its Fair Market Value. Intended Use The intended use of this report is for providing an estate appraisal listing the Fair Market Value for use in the resolution of the estate of Christine Fonts. Valuation Date: 4/17/2012 Definition of Fair Market Value The fair market value is the price at which the property would change hands between a willing buyer and willing seller, neither being under any compulsion to buy or sell and both having reasonable knowledge of relevant facts. The fair market value of a particular item of property... is not to be determined by a forced sale price. Nor is the fair market value of an item of property to be determined by the sale price of the item in a market other than that in which such item is most commonly sold to the public, taking into account location of the item wherever appropriate. Taken from Treasury Regulation 20.2031-1 (b) Approach to Value There are three traditional approaches to value that are as follows: Income approach: Applies to income producing properties and is used only if an income situation or rental property can be identified. Market Data approach: Compares the qualities of the subject item to an article with similar or identical qualities, and researches and records current verifiable sales of such merchandise. Cost approach: Establishes the total value of an item by considering the value of its component parts precious metal content, gemstone weights and qualities, labor, and any other fees) together with the appropriate retail markup according to the norms of the jewelers in the locale, supply and demand, and the current state of the marketplace. Page 2 of 8 Fair Market Value is estimated using the market data approach. Neither the income approach nor the cost approach applies in establishing Fair Market Value. However, the cost approach to value was used to check on the reasonableness or market values found. Market To value an item a market (and market level) must be recognized. The most appropriate market for jewelry can vary depending upon the article's age, condition, quality, intrinsic content, aesthetic appeal, provenance, current fashion trends, artistic interpretation, and period of manufacture among others. The type of retail outlet that most commonly carries the items being appraised is considered to be the most appropriate market. However, the auction market was also considered as another appropriate market in establishing Fair market Value for this type of jewelry. Limiting Conditions The jewelry described within has been analyzed and graded in accordance with prescribed grading standards using "state of the art" methods and precision laboratory equipment. Jewelry constructed solely of, or in combination with, precious metals (i.e. platinum, palladium, yellow or white gold and/or silver) is tested, analyzed and described for its type and content of such metal. Unless otherwise stated, all gemstone weights, grades and measurements are approximate and stones have not been removed from their mountings. Diamonds are graded with the prescribed grading nomenclature of the Gemologica) Institute of America (GIA) and the use of pre-graded permanent master diamond color comparison stones. Colored stones are color graded according to the GIA color grading system. Unless otherwise stated, all colored stones listed on this appraisal report have probably been subjected to various treatments to improve their appearance. Treatments are considered usual and customary practices when properly disclosed and when done without intent to defraud the consumer. The treatments are mostly stable and do not require special care. When a treatment is detected and considered unusual it will be so noted by this appraiser. Some treatments are reversible and re-treatable. It may be beyond the scope of an appraisal to determine exact treatment methods or the amount of treatment present. Some treatments require sophisticated equipment not found in a standard gemological laboratory. Prevailing market values are based on these universally practiced and accepted processes by the gems and jewelry trade. Sources are assumed to be reliable and the appraiser does not assume responsibility for their information. The appraiser assumes the ownership of the subject property is true as stated by the client. The fees paid for this appraisal do not include the services of the appraiser for any other matter. In particular, fees paid to date do not include any of the appraiser's time or services in connection with any statement, testimony or other matters before an insurance company, its agents, employees or any court or other body in connection with the property herein described. If the appraiser is required to testify or to make any statements to a third party concerning the described property and/or appraisal, the applicant shall pay the appraiser for all of such time and services so rendered. This document is limited to its stated intended use and is invalid if all items listed in the Table of Contents are not present. Unless expressly stated, the items appraised are in good condition. Any serious deficiencies and repairs are noted. Ordinary wear and tear is not noted. The information in this report is confidential. Page 3 of 8 This appraisal process does not discover liens, encumbrances, or fractional interests but, if known, they are noted. The limited owner of this appraisal is the party for whom the work was performed. Possession of this report does not provide title to the items appraised. Possession of this report, any portion of this report, or any copy thereof, does not include the right of publication without the appraiser's written consent. Use of the information contained in the appraisal is invalid if all items listed in the Table of Contents are not present. Each item described in this report has been photographed and file copies of the photograph(s) as well as a copy of the report are maintained in the appraiser's files for at least five years after the report date. Third parties may rely on the information in this report for the defined purpose and intended use only. Third parties requiring further information than what is in the report must obtain the written permission of the owner of the appraisal before the appraiser will discus the report. No changes may be made to this report by anyone other than the appraiser. The appraiser cannot be responsible for unauthorized alterations. The professional relationship between the appraiser and the client ends with the delivery of this report. Subscriptions Retained for Value Consulting Drucker, Richard - The Guide. Northbrook, 7L Rapaport, Martin - Rapaport Diamond ReQort, New York, NY Metal Market 41 1 712 0 1 2 Gold $1652.50 Silver $ 31.79 Platinum $1585.00 List of Laboratory Instruments Binocular microscope Leveridge gauge Electronic scale Thermal conductivity diamond tester Touchstone and acids Ultraviolet light unit Spectrascope Proportionscope Polariscope Dichroscope Refractometer Chelsea color filter Heavy liquids Diamond light and graded master comparison diamonds Page 4 of 8 Certification ♦ I hereby certify that, to the best of my knowledge and belief ♦ The statements of fact contained in this report are true and correct. ♦ The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, and is my unbiased professional analysis, opinions, and conclusions. ♦ I have no present or prospective interest in the property that is the subject of this report and 1 have no personal interest or bias with respect to the parties involved. ♦ My compensation is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of my client, the amount of the value estimate, the attainment of a stipulated result, or the occurrence of a subsequent event. ♦ I have made a personal inspection of the property that is the subject of this report. ♦ No one provided significant professional assistance to the person signing this report. ♦ My analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Uniform Standards of Professional Appraisal Practice. J Ch -Cvnn Grove CertifiedyGemologist Appraiser, AGS 1/11/2013 Page 5 of 8 Prepared For: Keith Polito Date: 1/11/2013 102 Bellows Court Lewisberry, Pa. 17339 Item I Ring One lady's 14K yellow gold diamond solitaire ring. There is one approximately .85ct round brilliant cut diamond set with four 14K white gold prongs in the center of the center. The ring measures 4.47mm wide around with an open hand braided pattern. The ring measures 6.17m wide at the top, 4.47mm wide at the base of the ring. The ring measures finger size 6.75, weighs 2.7dwt, and is not stamped; therefore, the metal content was determined through acid testing. Diamond Grading Report Shape and Cut: Round brilliant Measurements: 6.11 x 6.17 x 3.71 mm (approximate) Weight: 0.85 Cts. (estimated) Depth: 60.42% Table: 58.6% Girdle: Medium, satin Culet: Small Finish Polish: Poor Symmetry: Good Clarity: SI-1 Color: I Total Approximate Fair Market Value Excluding Tax $1,459.00 Item 2 Ring One lady's 14K yellow gold diamond band. The band has seven approximately .07-.]Oct round brilliant cut diamonds set with shared prongs across the top. From the side the prongs make a triangular pattern. The ring measures 3.32mm wide at the top, 2.90m wide at the high polish flat square shoulders, and 2.21 mm wide at the base of the ring. The ring measures finger size 7.5, weighs 2.3d-ml. and is stamped " 14K585 Cardon (in script)". Diamond Melee Attributes Shape and cut: Round full cut Measurements: 2.7-3.0 mm Weight: 0.07 to 0.10 cts. each Number of diamonds: 7 Total Weight: .58 cts. (estimated) Clarity: VS2-Sl 1 Color: G-H Proportions: Good Finish: Good Total Approximate Fair Market Value Excluding Tax $219.80 Page 6 of 8 Item 3 Ring One lady's 14K yellow gold diamond wedding band. There are 10 approximately .03ct round brilliant cut diamonds channel set across the top. The ring measures 3.62mm wide at the top, 2.52mm wide at the flat high plash square shoulders, and 2.17mm wide at the base of the ring. The ring measures finger size 625, weighs 1.6dwt, and is stamped "14KP Magic Glo". Diamond Melee Attributes Shape and cut: Round full cut Measurements: 2.0 mm Number of diamonds: 10 Total Weight: .30 cts. (estimated) Clarity: SI Color: H-1 Proportions: Good Finish: Good Total Approximate Fair Market Value Excluding Tax $48.60 Total Approximate Fair Market Value for All Items - Excluding Tax: $1,727.40 One thousand seven timadred twenty-seven dollars and forty cents Signature of Appraiser: Cherie Lynn Grove Certified Gemologist Appraiser, AGS Page 7 of 8 Biographical Background and Qualifications Appraiser's Name Cherie Lynn Grove, G.G., C.G.A. Education: Bachelor of Science, the Shippensburg University, 2000. Graduate Gemologist, Gemological Institute of America, 2006. Registered Jeweler, American Gem Society, 2007. Pearl Grading, Gemological Institute of America, 2006. Pearl Grading Laboratory, Gemological Institute of America, 2007. Identifying Synthetic Diamonds, Gemological Institute of America, 2007 Certified Gemologist, American Gem Society, 2008. Identifying Diamond Treatments, Gemological Institute of America, 2008. Identifying Ruby and Sapphire Laboratory, Gemological Institute of America, 2008. Identifying Emeralds, Gemological Institute of America, 2008. Certified Gemologist Appraiser, America Gem Society, 2008. Identifying Ruby and Sapphire Laboratory, Gemological Institute of America, 2010. Colored Stone Treatments, Gemological Institute of America, 2012 Understanding Clarity Characteristics and Clarity Grading, Gemological Institute of America, 2012. Business: In the jewelry trade since 2000. Member American Gem Society American Gem Society Conclave 2007-Denver, CO. American Gem Society Conclave 2008-Seattle, WA. American Gem Society Conclave 2010-Boston, MA. Page 8 of 8 t - v ca t ` Caring' Cremation t4_ iC ;t i 3htlfi P _ . f Sis Fur the ~n iv-& of rixEij)r-- L Fns ?s it stew* pt c i !he t*sr t-I haw ; ~~1t cat3ta. t i s 3 u+~ f kk g %NY P.~J, Doi 4! 1 t'55 e{r • 0.S .i3x :CC3{~t7 ~i3'4-.'SKe '':fa'te's iS lin "L- r- C+ its to tt~:l, €'r ! fi P Fdtt tF t t~E ar+ _ isac that x~;:s srmac_ 01 Dec E3t;:IL A:lh1 ! _AfS4r4►t~St %Vitd es SAAD"em Se 115A, ~:+5 ht'pi . `Irk ► , t3 tr~r's!S}P swi cza vt w ~ non§. Chi Z':~l_:f+sc. - ~R-`~xfU~(! ~1a314t'~itd~ +g+~ TFHItis - ~ t ~-'~~.JS!i Tow stn~ m lmmilan _ I CASH ADVANCE MAV-, ' ; I3 ~ e3`F ~e~i~acxr ~ ~tx tx3 F 'f fat? l 3= F t a y t `r 'r t?,'1 Y spy { 1„'- # # t + " - te r' (st ` ' - hi OL ~ i ; TOW ` ¢ = C = DUa qtr, t 1. JOHN'S CEMETERY West Main StreLt Shiremanstown PA 17011-6326 (717) 761-5121 A April 23, 2012 Rick Kauffman 54 Conoy Circle Elizabethtown PA 17022-9752 t Dear Rick Kauffman: This mailing is a receipt for check #711 in the amount of $ 2,350.00 for expenses incurred for teh burial of Christine Fouts on April 21, 2012. Thank you G T. Gardner Operations Manager St. John's Cemetery (717) 737-3621 6/13/12 0 (1275x1650) n ~Y ~ f /~^'w :'+J~f{ f ~!f'r.L~~ T'Yi.✓'S.~r'z'P,'~aa' cz, xf t 1 ' 1 /vim ,ve,V~ 700 14 https://mail-attachment.googleusercontent.com/attachment/u/0/?ui=2&ik=1045d5ccda&view=att&th=13... 1 /1 04/25/2012 1 Cheek #712 - 04/25/2012 - $1,501.10 RICK W. KAUFFMAN 712 PH, 717-361-60'46 Ht11~3t1 54 CONQY CIRCLE k_ Er ZARETHTQWN. PA 17 22-9732 / oars ~f/ j ORDER OF- lT ~ t PAY W THE v ~Lr v. PSEC* wARRr>ff JRG, PA 17110-299D ; xr H3€! Aw - 1:23138111GI: 0451233449112 0712 -031309123- 2012/04124 13:16:01 SUSQ 16703 N02&140 ~ ins t~ ~ 5 i ~-+e•F~ i~ 3 c-S-~r.:f 3-+H t~-~-~ f-4~~-- - ~-L -G ~ - C3 G Q ';a =4 o o d '.t2L`S'~/hG17~lL'hc`372 .j?S°.C I',is~17?~ 1'T.n t(r .stUT t.tl'1+a~ir_?_gr!-9-rTtT/S T.F -rt trs~7(~? ~(li!!?'71 Ttl!1n fo; StF.On ~»itl~(11 Event Cost Summary/Invoice # E20947 Draft # 21-X11912012 Item Price per Unit Total Cost Initials And Date Catering Service Cost: (50) MG Guests at $ 940.50 $18.81 Per Person )L -l Menu prices are based on a "Minimum Guarantee(MG) number of guests. CLIENT agrees to pay for the MG. A decrease in guest count below the Minimum Guarantee may result in a cost per person increase. i Professional ServerlLabor Charge: $ 435.00 I Event Planning/Coordination Fee: $125.54 Subtotal. $1,501.04 6% sales Tax. $ 9q.06 Total Cost including Sales Tax: $ 1,551.1(1 Deposit Count Schedule Initial Deposit Due upon signing of the contract to hold your date. Amount is based on the time frame between current date and the date of your event. If more than 3 months from the current date, a tot at of 50% of the total estimated cost is due if more than 7 days and less than 3 months from the current date, a total of 75% of the total estimated cost is due. If less than 7 days frorn the current date, final payment is due. Initial Deposit Amount: $ fj Final Guest Count (if different from the MG) is required seven [7) business days before the eygn# Once your final count is received this number cannot be reduced. If you are booking an event with in the 7 day time frame your MG will be considered your final count. Last minute increases may be taken up to 72 hours prior to your event but may be subject to menu restrictions. Final Count Due Date: ASAP Final Payment- Due 72 hours prior to your event $ Balance Due: $1.,551.10 The JDK Group -Standard Terms and Policies Please read the following terms and policies carefully before signing the agreement. Any proposed changes, including verbal agreements, to the below conditions must be modified as part of this page and signed by both parties to acknowledge acceptance. i. t-HIGHSPIRE MPO Sd moo HIGHSPIRE, Pennsylvania \ S„ 170349998 4134870034 -0098 07/10/2012 (717)939-4902 12:11:28 PM Sales Receipt - - ~_:Z Product Sale Unit Final \A9 Description Qty Price Price MECHANICSBURG PA 17050 $1.10 Zone-1 First-Class Large Env ' 1.80 oz. Expected Delivery: Wed 07%11/12 $2.95 Certified Label 70120470000050435172 Issue PVI: $4.05 MECHANICSBURG PA 17050 $1.10 Zone-1 First-Class Large Env 1.70 oz. Expected Delivery: Wed 07/11/12 $2.95 Certified Label 70120470000050435165 Issue PVI: $4.05 Total: $8.10 Paid by: $8.10 Cash Order stamps at usps.com/shop or, call 1-800-Stamp24. Go to usps.com/clicknship to print shipping labels with postage. For other information call 1-'800-ASK-USPS. Get your mail when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com/poboxes. Bill#: 1000203124192 Clerk: 01 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business HELP US SERVE YOU BETTER Go to: https://postalexper-ience.com/Pos 'TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS ********%*******X*****X****%%**%%*X***** Customer Copy comcast, Account Number 09547 196958-03-3 Billing Date 08/07/12 Unpaid Balance $25.50 - Due Now Total Amount [due $25.50 Page 1 of 2 Contact us: www.comeast.com 717-540-8900 CHRESTIN FOUTS Previous Balance 25.50 For service at: Payments - received by 08/07/12 0.00 5201 aEERFIELD AVE MECHANICSBURG PA 17050-6823 Unpaid Balance - Due Now 25.50 Total Amount Due $25.50 News from Gomcast We regret losing you as one of our subscribers. Our records 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. Hearing/Speech Impaired Call 711 Detach and enclose this coupon with your payment. Please write your account number on your check or money order. Do not send cash- Comcas Account number 09547 196958-03-3 Payment Due by Due Now 1555 LEBANON SUZY STREET LEBANON PA A 17046-8317 Total Amount Due $25.50 AV 01 011397 48616B 31 A'"SDGT Amount Enclosed I.,,,{1,{p'f'("'IIIIIIII'IIII'`I"IIIIIIIIIIIIII11.1.1Make checks payable to Comcast CHRISTIN FOUTS 5201 DEERFIELD AVE MECHANICSBURG PA 17050-6823'~~{{"El'{'°{n11{{II~Eu~I~'ll{`I'II{lEll'I{I~~~~~I~l({I{I{L COMCAST CABLE P 0 BOX 3006 SOUTHEASTERN PA 19398-3006 09547 196958 03 3 3 002550 PLEASE R1 M11' P,1YML•:N 1-M. :?AMPDI:N"IO\4'NSIiIP 7 )Y 1~ '30 S. Sporting 11i!1 Road rr~7J1p~ Mr::hamco-burg.PA 17050-:3097 Y ` /ui~uJ p "HONE 717-909-7145 han:i,den t_,-Ihanipclentowuship.us ww. h ampden townsh ip. us .IsstcrCard/Visu Acccpled II l~~ Ilion 'F i illi{t; j~P~4+' I {6 I I ry~l;,rlla~l PROPERTY AUDIttSN 5201 D1ii: J~f13l.1. AVE IiJ'HI.I6I~lci►I!,isf:i'II!~ CIIRM I N F I- i,;0 UTS C/O WENDY PCO1*0 DUE DATE 1f11;3172U12 102 BELLOWS C'1 CN: 00771 0-DOO 10:91602608 LEW'[SBERRY PA 17339 AMOUNTDUI: $499.25 RETURN 'POI' PORTION \VITH PAYMENT Bill includes serer and/or trash charges for October - :lecember. Paymcat is one by 10/31/''1012 in order to avoid late penaltf y. Thank`yon.Ct I DATE CONSUMPTION ANIOUN"l' II~~IIIIIIIIi~jI~~~1~I~I~II~IIIIIIIIE~II~I~~~~I~I~lllllll'I~IIi~Ilillll~lll~ll BALANCE FORWARD 117/01/2012 326.38 PAYMENT 0.00 SEWER 10/01/2012 114.25 TRASH i 0/01 /2012 40. eO ADJUSIAI NT 0.00 1' I:N A I.TY 68/07/2012 8/07/2012 15.51 INTER EST :3/07/2012 2.31 PI:OP3S'lY AM)R'-'SS -01 DE ERFIELD AVE CHRIS11Nk L FOUT5 CN. 10-000 CEO WENDY 1101.11'0 102 BELLOWS Cr. LC:; 10191602008 LE\YISBERRY PA 17339 DUIi i)!C;l! 30/39912 AMOUNT DUE 541) 9.25 AlTER DUE DATE $516.47 GROSS BALANCE PAYABLE? AFl'ER 30 DAYS DIRL'C[ WCIHDRAWALAVAILABLE 17ATzE- ' 11201 2 INVOICE 04F>> B I LL TO: CHRISTINE FOUTS 5201 DEERFIELD AVENUE MECHANICSHURG, PA 17050 P.O. # DUE DATE: TERMS: NET 15 5/16/2012 1 EM DESCRIPTION QTY PATF AMOUN I MOWING 4/5/ 1 2 MOWING PROPERTY 1 40.00 40.00T i~f0"KING 4/ 1 2/ 12 MOWING PROPERTY i 40.00 40.001 MOWING 4/ 1 9/ 1 2 MOWING PROPERTY 1 40.00 40.00-1- MOWING 4/2,-5/12 VOWING PROPERTY 1 40.00 40.00T LA: I E I f=.E. 10% LATE FEE AFTER THE 15-1-1 i Oi-.- 1 16.00 16.OOT EACH BILLING CYCLE(MAY,2.01 2; LATE FEE 10% LATE F=EE AFTER THE 15-m OF 1 "16.00 1 6.OOT EACH BILLING CYCLEWLINE, 2012) LATE FEE 1 0%> LATE FEE AFTER THE 1 5TH OF 1 16.00 16.00'F EACH E31LL-ING CYCLE(jui_Y, 20 i 2) Thank you! SUBTOTAL _ $208.00 SALES TAX. (6.0%) 4; 1 4.R t O T AL $ % 22 0.4£-3 717-418-9376 PAYMENTs/CREDITS $0.00 717-763-1647 BALANCE DUE $220.48 ti1, Pi'!V1; roi ill 1_'S('ii ;'(;OA. ll. U('.-1)17'1 1Y1, PA(l:'c.lc/e1.AI/VJl 00024216105320000000000015753015 Pennsylvania American Water 24- 2161053-2 PO Box 371412 Pittsburgh, Pa. 15250-7412 ` $157. 53 O)UE F - Dec 27' 2012 j For Service To: 5201 Deerfield Ave i AMOUNT PAID 1 III~IIIIIIIIIIIII'11111111111tIlll~~ll~llll,~~III~I~J~IIII'llll! _ _ 022926 1 AB 0.371 2926/22926/002926 102 1 NCE6WJ _ CHRISTINE FOUTS 102 BELLOWS CT PENNSYLVANIA AMERICAN WATEI LEWISBERRY PA 17339-9646 PO BOX 371412 PITTSBURGH, PA. 15250-7412 III~II~IIIIIII~„rlll~Illlllhrllllllull°~~I~~nrlullllrll~ Please check here to add H20-Help to Others contribution to your monthly bill or to change your address or telephone number, and print information on reverse side. Customer Account Information Billing Summary For Service To: CHRISTINE FOUTS ----------Prior Balance------------------------ 5201 Deerfield Ave Prior Water Balance I $157.53 1 Account Number: 24-2161053-2 Prior Balance Other $25.52 Premise Number: 24-0387527 Payments prior to Dec 07, 2012. Thanks! ! .00 Total prior balance, Dec 07, 2012 I 183.05 Billing Period & Meter Information ----------Adjustments---------- j Billing Date: Dec 07, 2012 CPP Adjustment - water -25.52 Total adjustments, Dec 07, 2012 -25.52 Rate Type: Residential ----------AMOUNT DUE $157.53 I i I i I i i I I i ve,P`l onwireiess Po BOX 4003 Manage Your Account & View Your Usage Details Account Number Date Due ACWORTH, GA 30101 Invoice Number 6769018977 1 0007341 01 AT 0.371 "AUTO T2 0 1806 17339-964602 1 E PHIL0604 I<<III~II~in~~~lrlf~ill~Ilnl~f~iullllnlllllll~flln~~IIIIII~ CHRISTINE FOUTS (see back for details) $657.16 102 BELLOWS CT No Payment Received $.00 LEWISBERRY, PA 17339-9646 Balance Forward Due Immediately $657.16 Taxes, Governmental Surcharges & Fees - $.00 Total Current Charges Due by September 01, 2012 $.00 Total Amount Due $657.16 See back of this bill for great back to school ideas. Our records indicate your account is past due. Please send payment now to avoid service disruption. Pay from Wireless Pay on the Web Questions: VE Ve'f onwiretess August 06, 2012 519894655-00001 6769018977 CHRISTINE FOUTS Total Amount Due 102 BELLOWS CT LEWISBERRY, PA 17339-9646 Make check payable to p with Wireless. $657.16 Please return this remit slip with payment. $ F] F-1 ❑ : Q❑ P.O. BOX 25505 LEHIGH VALLEY, PA 18002-5505 Check here and fill out the back of this slip if your billing address I~III~~~IIIII~iiif ~liir~~f lilllf li~Ilf~lff~l(Iff~Illlfflfflllllllf has changed or you are adding or changing your email address. 6769018977010519894655000010000000000000657166 Important Messages LEFFLER ENERGY PO BOX 302 energy MOUNT JOY PA 17552 We have discontinued oil delivery and services. You have a balance on your account that needs to be paid as soon as possible. Please contact us to make payment Address Service Requested today by either check or credit card. Please send payment to the address displayed in the lower right corner. All other correspondence to the address shown above. Please remit payment immediately. 4136001400 PRESORT SGL P3 C1 <B3> 105 1 SP 0.450 I11,1111fllllllllfll~lil..Llfnlllnlllllllllllfllf~lllllllll EST OF CHRISTINE FOUTS % WENDY POLITO ADMIN 102 BELLOWS COURT LEWISBERRY PA 17339-9646 STATEMENT Account Date: Please Pa Please Pa B : Location: 10-4259938 06-22-12 $1,444.19 Due Upon Recei t ./5201 Deerfield Ave/./Mechani Date Invoice # Transaction Charges Credits Balance PREVIOUS BALANCE $1,423.87 06-22-12 LATE FEE $20.32 Account Balance, 1 $1,444.19 P1- nMe. s-ir.. may hn zosf,nnrinrf for non a pliancn will, oo nrnriil Inrmc. snn olhnr shin for imrorlaot infnrmalinn. For questions regarding your account, please call us at 800-984-1411. page 1 of 2 Please detach and return this portion with your payment. E LEFFLER ENERGY PO BOX 302 Account 10-4259938 energy MOUNT JOY PA 17552 Please Pay By: Due Upon Receipt Please Pay This Amount: $1,444.19 Amount Enclosed: In addition to payment by check, we accept electronic checks by phone. We also accept all major credit cards ❑ Check here for change of billing address (see reverse for details). Please make check payable to: EST OF CHRISTINE FOUTS LEFFLER ENERGY % WENDY POLITO ADMIN 102 BELLOWS COURT PO BOX 28335 LEWISBERRY PA 17339-9646 NEWARK, NJ 07101-3116 Lllllnlnllllllllll.IIIIII.lllrnllllllll.lllllllll 00100425993800000000001444190000000000001444193 St , MEMBERS 1St o FEDERAL CREDIT UNION CHRISTINE L FOUTS Statement Closing Date: Account Number: l #F#i## 7229 December 18, 2012 Summary of Account Activity Payment Information Previous balance $ 4,424.03 New Balance $ 4,443.03 (Includes Past Due Amount of $439.00) Total Minimum Payment Due $ 528.00 Payments 0.00 (includes Past Due Amount of $439.00) Other Credits 0 00 Payment Due Date 01/12/13 Other Debits 000 Late Payment Warning: IF WE DO NOT RECEIVE YOUR Purchases + 0.00 MINIMUM PAYMENT BY THE DATE LISTED ABOVE, YOU MAY Cash Advances + 0.00 HAVE TO PAY A LATE FEE UP TO $25. Fees Charged 25.00 Interest Charged + 0.00 Minimum Payment Warning: If you make only the minimum payment NEW BALANCE $ 4,449.03 each period, you will pay more in interest and it will take you longer to pay off your balance. For example: Credit Limit $5,000.00 If you make no You will pay off the And you wi11 end up Available Credit 0 00 additional charges balance shown on this paying an estimated Available Cash 0.00 using this card and statement in about total of. . IL Amount Disputed 0.00 each month you pay- Statement Closing Date 12/18/12 Only the minimum 10 years $4,449.00 Days in Billing Cycle 30 payment Contact Information 124.00 3 years $ 4,449.00 (Savings= $ 0.00) Customer Service: (800) 283-2328 Ext: 6035 If you would like information about credit counseling services, Report Lost or Stolen Card: (866) 839-3485 call (866) 791-4360. Please send Billing Inquiries and Correspondence to: `r CUSTOMER SERVICE PO BOX 30495 TAMPA, FL 33630-3495 Visit us on the web at: www.members1st.org Please Mail Your Payments to: PO BOX 4517 CAROL STREAM IL 60197-4517 Important News TO REPORT A LOST OR STOLEN CARD PLEASE CALL MEMBERS 1ST FCU AT 800-283-2328 OR 866-260-0868 AFTER HOURS. TO OBTAIN ACCOUNT INFORMATION 24 HOURS A DAY CALL 800-299-9842, OR ACCESS ONLINE AT EZCARDINFO.COM. NOTICE: CONTINUED ON PAGE :3 Page 1 of 3 VD - - - - PLEASE DETACH COUPOW AND RETURN PAYMENT USING THE ENCLOSED ENVELOPE - ALLON 5 CAYS'rOR MAIL DELIVERY MEMBERS 1ST FEDERAL CU IN/ st Account Number _f 5000 LOUISE DRIVE ##klk# 7229 MECHANICSBURG PA 17055-4899 MEMBERS 151 FEDERAL CR mrr UN10N Check box to indicate r----~ name/address change I on back of this coupon l_ l l TotaE MlnimucTt 1 ! AMOUNT OF PAYMENT ENCLOSED LClosing Date + New Balance I Payment Due I ! Payment Due bate 12/18/12 1 $4,449.03 $528.00 01/12/13 MAKE CHECK PAYABLE TO: CHRISTINE L FOUTS o C/O WENDY POLI i'O-EXECUT RIX m Isllullrnerelllllrsln2 lelrrlrlalsrsrlllnrlnrlllslrlnlell 102 BELLOWS CT ` VISA LEWISBERRY PA 17339-9645 PO BOX 4517 CAROL. STREAM 1L 60197-4517 Lrrl1Lr11111Lrrllrlr11Kill rrllrrrlrrl.Ilrrllrrrrrlrlll1111 21 4672 0900 0042 7229 00052800 00444903 8 "J, pox a/u iS tSUU.LS/.l SL S Harrisburg, PA 17106-7013 psecu.com LL 0201 000 765 2 10 004475 2013427 PAGE 1 VISA MEMBER NUMBER PAYMENT DUE DATE TOTAL NEW BALANCE AMOUNT PAST DUE t CURRENT AMOUNT DUE - MINIMUM, PAYMENT 0162XXXXXX 06/25/12 4951.78 98.00 99.00 197.00 0 0 0 0 4 4 7 5 1 AT 0. 3 7 4 AMOUNT OF PAYMLN F ENCLOSED PSECU PO BOX 67010 CHRISTINE L FOUTS $ 5201 DEERFIELD AVE ' MECHANICSBURG PA 17050-6823 1000901626002045822 FQ REPQRT A_L_OST OR STULEN_CARD: _CALL OUR BUSINESS NUMBERS I ISTED AT THE TOP OF EACH STATEMENT PAGE CREASE-BEFORE A =ROM 8 AM - 9 PM MONDAY TO FRIDAY AND 9 AM TO 5 PM SATURDAY OTHERWISE CALL 600-556-5678 DETACHING HERE MEMBER NUMBER STATEMENT DATE PAYMENT DUE DArE CREDIT LIMIT TOTAL VISA NEW _ TOTAL PSL NEW _ UNUSED CREDIT BALANCE BALANCE - AVAILABLE 0162XXXXXX 05/31/12 06/25/12 5000.00 4951.78 0.00 48.22 -SUMMARY OF ACCOUNT ACTIVITY-- ----------------PAYMENT INFORMATION------------- { PREVIOUS BALANCE $4,911.59 11 NEW BALANCE $4,951.78 1 I PAYMENTS $0.00 11 MINIMUM PAYMENT DUE $197.00 1 { OTHER CREDITS $0.00 11 PAYMENT DUE DATE 06/25/12 I PURCHASE $0.00 11 1 I CASH ADVANCE $0.00 11 LATE PAYMENT WARNING: IF WE DO NOT RECEIVE I I PAST DUE AMOUNT $98.00 11 YOUR MINIMUM PAYMENT BY THE DATE LISTED ABOVE, I FEES CHARGED $0.00 11 YOU MAY HAVE TO PAY A LATE FEE OF UP TO I INTEREST CHARGED $40.19 it $20.00. 1 I------------------------------I! I NEW BALANCE $4,951.78 If MINIMUM PAYMENT WARNING: IF YOU MAKE ONLY THE 1 I II MINIMUM PAYMENT EACH PERIOD, YOU WILL PAY MORE 1 I CREDIT LIMIT $5,000.00 11 IN INTEREST AND IT WILL TAKE YOU LONGER TO PAY J { AVAILABLE CREDIT $48.22 11 OFF YOUR BALANCE. FOR EXAMPLE: I 1 STATEMENT CLOSING DATE I 05/31/12 1111F YOU MAKE NO IYOU WILL PAY JAND YOU WILL II 1 DAYS IN BILLING CYCLE 31 111ADDT'L CHARGES TOFF THE BALANCEIEND UP PAYING II IIUSING THIS CARDISHOWN ON THIS IAN ESTIMATED II JIAND EACH MONTH ISTATEMENT IN (TOTAL OF II LOST OR STOLEN CREDIT CARD IIYOU PAY... (ABOUT I II 800-237-7328 Il--------------- I--------------- I-------------- 11 ((ONLY THE I I II IIMINIMUM PAYMENT! 17 YEARS 1 $8,023.00 II II--------------- I I --------------II II $159.00 1 3 YEARS 1 $5,724.00 1I II I {(SAVINGS= II 1 1 $2,299.00) II { J IF YOU WOULD LIKE INFORMATION ABOUT CREDIT 1 I COUNSELING SERVICES, CALL 1-877-847-2155 1 ID 09 VISA LOAN POST TRAN REFERENCE DESCRIPTION AMOUNT FEES TOTAL FEES FOR THIS PERIOD 0.00 Return Mail Operations Statement date 09/19/12 PO Box 14411 Loan number 0280472366 Des Moines, IA 50306-3411 Property address 5201 DEERFIELD AVE. MECHANICSBURG PA 17050 Customer Service Online wellsfargo.com `L=Y Fax C 1-866-278-1179 Telephone 1-866-234-8271 Correspondence Box Hours of operation PO 10335 I II li II I III ii IIIII III II III 1 1 II I II Des Moines, IA 50306 Mon - Fri 6 a.n=" -10 p.u1. 1AT 03419/115419/003419 0376 1 ACPP7W 708 Sat 8 a.m. - 2 p.n1. CT '1- ©-1 Payments CHRISTINE L FOUTS DECEASED PO Box 11701 C/O W ENDY POLITO Newark NJ 07101 5201 DEERFIELD AVE MECHANICSBURG, PA 17050-6823 We accept telecommunications relay service calls. Important messages Our records indicate your monthly payment is Summary delinquent and a late charge has been assessed. In Payment (principal and/or interest, escrow) $1,430.68 Unpaid principal balance $208,349.64 the future, please make your payment on or before (C-,-t Cusr-erS-wo feryourpaynffb,vb ) the due date to avoid late charges and adverse Current monthly payment 10/01/12 $1,430.68 Interest rate 5"000% credit bureau reporting. If your payment has been Overdue payment(s) 05/01/12 -09/ OV12 $7,153.40 Interest paid year-to-date $3,483.48 sent, . please disregard this notice. Taxes paid year-to-date $2,245.00 Unpaid late charge(s) $283.45 Escrow balance $1,374.02- Other charges $30.00 Total payment due 10/01/12 $8,897.53 Activity since your last statement Date Description Total Principal Interest Escrow Other 09/17 Late fee assessed $56.69- 09/13 Hazard insurance prat $988.00- ERIE INS 08/17 School tax payment $1,780.83- CUMBERLAND/VALLEY SD Late charges are assessed after the close of business on the assessment date and only after all payments received have been applied. 115419/003419 ACPP7W S1-ET-MI-CO15 13 Pfeae-e dera ch nr:dremrn w"th yuurpap-ment Loan number 0280472366 Current monthly payment due $1,430.68 Total payment due 10/01/12 $8,897.53 After 10/16/12 add late charge $56.69 Total amount due after 10/16/12 $8,954.22 C/hcck here and see CHRISTINE L FOUTS DECEASED re verse for address correction. 03,19/115419/003419 0376 1 ACPP7W 703 lill'II1111111"'iliii`lillllillll`Ullili`Ifiiliiill°'1`i"I"`I WELLS FARGO HOME MORTGAGE PO BOX 11701 NEWARK NJ 07101-4701 708 0280472366 4 10000143068014873708897530858403 000000009494144961 5 A Send Inquires to: Statement of Accounts 5000 Louise Drive PO Box 40 Mechanicsburg, PA 17055 Apr 01, 2012 thru Apr 24, 2012 www.memberslst.or8 Main Switchboard: (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 Account Number: 376156 TOD: (717) 697-5312 or (800) 283-2328 ext. 5312 ~ TeteBranch: (800) 237-7288 st Balances at a Glance: MEMBERS 1 Checking: FEDERAL CREDIT UNION 28.8 5959 1 AV 0.350 20788-5959 Savings: 28.66 6 Certificates: 0.00 CHRISTINE L FOUTS .---~j Loans: 42,164. 5201 DEERFIELD AVE Money Management: 57.06 MECHANICSBURG PA 17050-6823 Swipe 5 YTD Reward: 6.95 ° Page : 1 of 4 Your current Member Loyalty Rewards level is Platinum. Your aggregate balance as of April 1 st is $50,693.31. An aggregate balance of $75,000 and having 3 products will move you to the Titanium level. We've made our website easier to use! See the enclosed insert for more details. CHECKING ACCOUNTS 0011 -CHECKING Date Transaction Description Additions Subtractions _Balance Apr 01 Balance Forward 1,410.89 Apr 01 Withdrawal Debit Card CHECK CARD 18.00- 1,392.89 03/31 535353520147919 ANGEL NAILS MECHANICSBURG Apr 01 Withdrawal Debit Card CHECK CARD 6.09- 1,386.80 03/31 006181900036BAl KARNS QUALITY FOODS MECHAN Apr 01 Withdrawal Debit Card CHECK CARD 69.91- 1,316.89 03/31 015022866998 DICK'S SPORTINGGOODS HAMPDEN Apr 01 Withdrawal Debit Card CHECK CARD 7.99- 1,308.90 03/31 236259300119901 DUNKIN #1306751 Q35 MECHANI Apr 01 Withdrawal Debit Card CHECK CARD 15.74- 1,293.16 03/31 4445077001639 CVS PHARMACY #1639 Q03 MECHA Apr 02 Withdrawal Debit Card CHECK CARD 5.45- 1,287.71 TRANSACTION DATE - 04101/2012 03/30 008788260184652 ITALIAN DELIGHT MECHANICSB Apr 02 Withdrawal Bill Payment VERIZON WIRELESS 190.69- 1,097.02 CO: VERIZON WIRELESS Apr 02 Deposit ACH PA-SCDU 370.62 1,467.64 TYPE: CHLD SUPPT ID: 2236003113 CO: PA-SCDU Apr 03 Withdrawal Debit Card CHECK CARD 110.50- 1,357.14 04/01 452007244992 VICTORIA'S SECRET 0281 CAMP H Apr 03 Withdrawal Debit Card CHECK CARD 31.84- 1,325.30 04/02 172269000167955 GIANT 6269 CAMP HILL PA Apr 03 Withdrawal Debit Card CHECK CARD 9.84- 1,315.46 04/02 260213100886 HOUSE OF CARDS CAMP HILL PA Apr 04 Withdrawal Debit Card CHECK CARD 6.02- 1,309.44 04/02 456002237992 BURGER KING #2732 CAMP HILL P Apr 04 Withdrawal Debit Card CHECK CARD 57.00- 1,252.44 04/03 178504281993 SALON ON SIMPSON INC MECHANIC Apr 05 Withdrawal Debit Card CHECK CARD' 9.15- 1,243.29 04/03 178215490990 JUICE & JAVA CAFE MECHANICSBU Apr 05 Withdrawal Debit Card CHECK CARD 945- 1,233.84 04/04 041800031101124 USPS 41524800531101124 MEC Apr 05 Withdrawal Debit Card CHECK CARD 6.00- 1,227.84 Continued on following page R HONDA Financial Services June 1, 2012 Estate of Christine Fouts 5201 Deerfield Ave Mechanicsburg, PA 17050 ACCOUNTING FOR SALE OF LEASED MOTOR VEHICLE Payment Required within Ten (10) Days of Receipt of this Notice Re: Lease Number: 144920636 2011 Honda Pilot VIN: 5FNYF4H57BB095900 Dear Estate of Christine Fouts: This letter serves as notification that Honda Financial ServicessM, the lessor under your Closed-End Vehicle Lease Agreement for the vehicle referenced above, sold the property on May 30, 2012. The proceeds of $29,400.00 received from the sale were applied to the total amount due as follows: Adjusted Lease Balance Remaining Due $29,754.13 Unpaid Lease Payments as of Termination + $429.80 Other Amounts Due under Lease Agreement (excluding excess + $0.00 wear and mileage) Disposition Fee + $0.00 Costs of Repossession, Storage and Reconditioning, + $175.00 Gross Earl Termination Amount = $30,358.93 GROSS AUCTION SALES PROCEEDS $29,400.00 Auction/Misc. Fees - $190.55 Attorney's Fees - $0.00 Other: - $0.00 SeCUrI Deposit + $0.00 Net Sales Proceeds = $29,209.45 LEASE BALANCE RF_MAINING DUE _ $1 149.48 A balance of $1,149.48 is currently due. Please submit this amount within ten (10) days of receipt of this notice to the address below. To make payment arrangements, our associates are available to assist you (800) 717-0238. Sincerely, Honda Financial Services, as Servicer for Honda Lease Trust Honda financial Smices is a DBA of American Honda Finance Corporation l7nncelpost Honda Financial Services, P.O. Box 166469, Irvin, TX 75016