HomeMy WebLinkAbout03-28-13 (2) _J
REV-1500 EX(02-11) 1505610143
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania County Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO BOX.280601 INHERITANCE TAX RETURN 21 12 0 910
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
08 12 2012 08 06 1922
Decedent's Last Name Suffix Decedent's First Name MI
DGU KLE EVELYN R
(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
❑ 1. Original Return ❑ 2. Supplemental Return 1:1 3. Remainder Return(Date of Death
Prior to 12-13-82)
❑ 4. Limited Estate ❑ 4a. Future Interest Compromise ❑ 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
6 Decedent Died Testate 7 Decedent Maintained a Living Trust 1
(Attach Copy of Will) ❑ (Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes
9. Litigation Proceeds Received lo Spousal Poverty Credit(Date of Death 11_Election to tax under Sec.9113(A)
❑ between 12-31-J1 and 1-1-95) ❑ (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
ROGER M MORGENTHAL (717) 23.4 2401
I_GC�TER OF-WILLS� SE-)DNLY
C� E
First Line of Address
4431 N FRONT STREET 3RD _J
Second Line of Address ,
City r Post Office DATE FILED `
ty State ZIP Code M:
-Y-1
HARRISBURG PA 17110
Correspondent's e-mail address: rmorgenthal@_saslip.com
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATU F PERSON RESPONSIBLE FOR FILING RETURN DATE�/
Linda K. Sheetz �la��a013
ADDRESS
25 Rife Road Mechanicsburg, PA 17050
SIG ED IPARER OITHER THAN REPRESENTATIVE DATE
Roger M. Morgenthal
ADDRE S
4431 N. Front St., 3rd Floor, Harrisburg, PA 17110
Side 1
1505610143 1505610143 J
REV-1500 EX Page 3 File Number 21-12-0910
Decedent's Complete Address:
DECEDENT'S NAME
Markle, Evelyn R.
STREET ADDRESS
223 Hempt Road
P
CITY Fzll
STATE —
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) 23,839.03
2. Credits/Payments
A. Prior Payments 20,000.00
B. Discount 1,052.63
Total Credits(A +B) (2) 21,052.63
3. Interest (3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5, If Line I +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 2,786.40
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;........... ........................____ ❑ 1
b. retain the right to designate who shall use the property transferred or its income;.......... ....................... ❑ FX
c. retain a reversionary interest;or.,.......___...... ............ ............_.......__.....-.............__.......-.............. F-1 lxl
d. receive the promise for life of either payments,benefits or care?............. .....-.............. .......... ....._ ❑ [:Xl
Z If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?......_......__---- ..._.............__--- ......._.......__...... ---_.....__.......... F, 0
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?.......
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?....__........._........_..........__...................-..................... ....-.................- 1 ❑
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 January 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)].
s
f
e
spouse 0
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disclosure
s
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s
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e
'o
s
0
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percent
v
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e'v
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0 in'
ent
a natural parent,an
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in
[72 P.S.§9116(a)(1)].
•The 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.
W -
COMMJNWEALTH OF PENNSYLVANIA REV-1 162 EX0 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-o601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 016728
BARRISTERS LAND ABSTRACT CO
3310 MARKET STREET
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
________ fold __________
101 $20,000.00
ESTATE INFORMATION: SSN:
FILE NUMBER: 2112-0910
DECEDENT NAME: MARKEE EVELYN R
DATE OF PAYMENT: 11 /02/2012
POSTMARK DATE: 10/31/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 08/12/2012
TOTAL AMOUNT PAID: $20,000.00
REMARKS: RECEIPT TO ATTY
CHECK# 358395
INITIALS: WZ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
J 1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Markle, Evelyn R.
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1. 150 , 000 . 00
2. Stocks and Bonds(Schedule B)............................................................................. 2. 196,218 - 46
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4.
5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 44, 176 . 62
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7 , 672 . 24
7. Inter-Vivos Transfers&Miscellaneous I�oq-Probate Property
(Schedule G) a Separate Billing Requested............ 7. 153 , 479. 52
8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 551,546. 84
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 17 , 878 . 46
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 3 , 912 . 07
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 21 , 790 . 53
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 529, 756 . 31
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. 529, 756. 31
TAX COMPUTATION-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.00 15. 0 . 00
16. Amount of Line 14 taxable
at lineal rate X .045 529, 756. 31 16. 23 , 839 . 03
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 00 17. 0 . 00
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18. 0 . 00
19. TAX DUE................................................................................................................ 19. 23 , 839 . 03
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. El
Side 2
1505610243 1505610243 J
Rev-1502 EX+(01.10)
SCHEDULE A
pennsylvania REAL ESTATE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Markle, Evelyn R. 21.12-0910
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
Include a copy of the deed showing decedent's interest If owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 223 Hempt Road,Mechanicsburg PA -Sales Price determined by public auction sale as 150,000.00
shown on attached HUD-1 Settlement Sheet.
TOTAL(Also enter on Line 1,Recapitulation) 150,000.00
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule A(Rev.01-10)
. "
OMB Approval No.2502-0265
V ilk A. Settlement Statement (HUD-1)
Type of Loah
1. FHA 2.F-1 RHS 3,D Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number:
C.Note:This form is furnished to give you a statement of actual settlement costs,Amounts paid to and by the settlement agents are shown.Items marked
"(p.a.c)"were paid outside the closing;they are shown here for informational purposes and are not included in the totals.
D.Name&Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender-
Charles J.Teller Estate of Evelyn R.Markle
976 Weikel Road,Lansdale,PA 19446 223 Hempt Road,Mechanicsburg,PA 17050
G.Property Location: H,Settlement Agent: 1.Settlement Date:10125/2012
223 Hempt Road Barristers Land Abstract Company Disbursement Date: 10/25/2012
Mechanicsburg,PA 17050 3310 Marke(Street,Camp Hill,PA 17011
Telephone:717-761-6190 Fax:717-761-4072
Place of Settlement: TitleExpress
3310 Market Street,Camp Hill,PA 17011 Printed 10/17/2012 at 530 pm
by LM
J.Summary of Borrowers Transaction 'K Summiry of Seller's Transaction
100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller
101, Contract sales price 150,000.00 401, Contract sales price 150,000,00
10Z Personal property 402, Personal property
101 Settlement charges to borrower(line 1400) 7,562.00 403.
104. 404,
105, 405.
Adjustments for items paid by seller in advance Adjustments for Items paid by seller in advance
106, City/town taxes to 406, City/town taxes to
107. County taxes 10/25/2012 to 12/31/2012 92.28 407. County taxes 100/2012 to 12/3112012 92.28
108. School Taxes 10/25/2012 to 06130/2013 996,50 408, SchoolTaxes 10125/2012 to 06/3012013 996,50
109, 409.
ill, 411.
112, 412,
120, Gross Amount Due from Borrower 158,650.78 420. Gross Amount Due to Seller 151,088.78
200. Amounts Paid by or in Behalf of Borrower 500, Reductions In Amount Due to Seller
201 Deposit or earnest money 15,000,00 501. Excess deposit(see instructions)
202. Principal amount of new loan(s) 502, Settlement charges to seller(line 1400) 30,31130
203, Existing loan(s)taken subject to 503. Existing loan(s)taken subject to
204, 504. Payoff of first mortgage loan
205. 505, Payoff of second mortgage loan
2K 506.
20T 507,
208. 508.
209 509.
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. City/town taxes to 510. City/town taxes to
211, County taxes to 511, County taxes to
212. Schoo(Taxes to 51Z SchoolTaxes to
213. 513.
214 514.
215, 515,
216, 516.
21T 517
219. 519.
2X Total Paid byifor Borrower 15,000.00 520. Total Reduction Amount Due Seller 30,313.30
300. Cash at Settlement fromtto Borrower 600, Cash at Settlement tolfrom Seller
301 Gross amount due from borrower(line 120) 158,650.78 601, Gross amount due to seller(line 420) 151,088.78
302, Less amounts paid by/for borrower(line 220) 115,000DO 602, Less reductions in amount due seller(line 520) 30,313.30,
03. Cash [j] From [] To Borrower 143,650.7 603. Casb nX To F] From Seller 120,775.48
y...-Vy�.Jld OMB-1.1 mumb., Martially Is ssaumd�this disol-Ta Is mandatory,This Is deVg,ad to smide th pardos J�Y IR P
Previous editions are obsolete Page 1 of 3 - H O-D-1
1:,L.Settlement Charges
700- Total Real Estate Broker Fees $4,725.00 Paid From Paid From
Division of commission line 700 as follows: Borrower's Seller's
701. $0.00 to Funds at Funds at
702. $4,725.00 to HOWARD HANNA REAL ESTATE Settlement Settlement
703, Commission paid at settlement 4,725.00
800. Items Payable in Connection with Loan
801. Our origination charge (includes Origination Point 0.000%or$0.00) $ (from GFE#1)
802. Your credit or charge(points)for the specific interest rate chosen $ (from GFE#2)
803. Your adjusted origination charges (from GFE A)
804. Appraisal fee to (from GFE#3)
805. Credit report to (from GFE#3)
806. Tax service to from GEE#3
807, Flood certification to from GFE#3
808. to
400, Items Required by Lender to be Paid in Advance
901. Daily interest charges from from 10/25/2012 to 11/01/2012 @$0.00/day (from GFE#10)
942. Mortgage Ins.Premium for months to (from GFE#3)
903. Homeowner's insurance for months to (from GFE#11)
904, months to from GFE#11
1000.Reserves Deposited with Lender
1001. Initial deposit for your escrow account (from GFE#9)
1002.Homeowner's insurance months @$ 0.001month $
1003.Mortgage insurance months @$ 0.00/month $
1004.City Property Tax months $ 0.00/month $
1005.County Property Tax months $ 41.39 1month $
1006.School Taxes months @$ 121.731month $
1007.Aggregate Adjustment $
1100. Title Charges
1101, Title services and lender's title insurance from GFE#4 10.00
1102. Settlement or closing fee to $
1103. Owner's title insurance-First American Title Insurance Co-Hbg from GFE#5 1,265.00
1104. Lender's title insurance-First American Title Insurance Co-Hbg $
1105. Lender's title policy limit$4.00 Lender's Policy
1106. Owner's title policy limit$150,000.00 Owner's Policy
1107. Agent's portion of the total title insurance premium $1,138.50
1108. Underwriter's portion of the total title insurance premium $126.50
1109.
1200. Government Recording and Transfer Charges
1201.Government recording charges $ (from GFE#7) 62.00
1202 Deed$62.00 Mortgage$ Release$
1203, Transfer taxes $ (from GFE#8) 1,500.00
1204, City/County tax/stamps Deed$1,500.00 Mortgage$
1205, State Tax/stamps Deed$1,500.00 Mortgage$ 1,500.40
1206. Deed$ Mortgage$
1207, $
1300.Additional Settlement Charges
1301.Required services that you can shop for (from GFE 06)
1302. Reimburse tax certification to Barristers land Abstract-HBG-Gen 10.00
1303. Pest[Home/Water Inspections to MidPenn Home Inspections $420.00 P.O.C,B"
1304, Notary Fee to Joyce Ehrich 10.00
1305. Payment of Inheritance Taxes to Register of Wills,Agent 20,000.00
1306. Attorney's fees to Smi le,Anderson&Sacks,LLP 3,500.00
1307, Auctioneer Services to Hard 's Auction 4,943.30
1308.Appraisal to Diversified Appraisal Services 350.00
i
t r t r 7,56100 30,313.30
'Paid outside of closing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1.***Credit by seller shown on page 1.
HUD-i
Previous editions are obsolete Page 2 of 3
HUD CERTIFICATION OF BUYER AND SELLER
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and
disbursements made on my account or by me in this transaction.I further certify that I have received a copy of the HUD-1 Settlement Statement,
Charles J.Teller
ESTATE OF EVELYN R.MARKLE
Linda K.Sheetz,Executrix,
Settlement Agent
Will
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction.I have caused or will cause the funds to be
disbursed in accordance with this statement.
SETTLEMENJ AG NT DATE
WARNING-IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010,
Previous editions are obsolete Page 4 of 4 HUD-1
. .
It6mlikion bf Llne�l 101,1103 and 1104
Name of Borrower Name of Seller: File Number
Charles J.Teller Estate of Evelyn R.Markle 12-01-6-25690
TitleExpress
Prepared 10117/2012 at
Note: This page is furnished to give you an itemization of the amounts shown on Paid From Paid From
Lines 1101, 1103 and 1104 of the Settlement Statement(HUD-1),This page Borrower's Seller's
accompanies but is not a part of the settlement statement. If a discrepancy Funds at Fundsat
exists,the information shown on the Settlement Statement(HUD-1)applies. Settlement Settlement
1100. Title Charges Amounts Included
1101, Tftle services and lender's title insurance in Line 1101 io.00
a. Notary Fees $ 5.00
b.Wire Fee 5.00
1103, Owner's title insurance (�o—Yicy) $ 1,265.00 11,2iUO-0
1104. ender'stitle'insurance
(Total 1103+1104)
1105. Lender's til-11—Wll-Y
1106, Owners title policy limit $150,000-00
1107, Agent's portion of the total title insurance premium $ 11,1138.50
1108, Underwriters portion of the total title insurance prem. 126.50
(Total 1107 1108)
Additlonal Information for Line I 101 Items
Total Borrower Seller
1100. Title Charges with Payee Charqe p0C or Credit Paid
1101, Title services and lender's title insurance $
a. Notary Fees to Linda McBeth 5.00 500
b.Wire Fee to Barristers Land Abstract Wire-Hbg 5.00 5.00
Date 10125/12
Charles J.Teller
..Ier...wNMIU"•...- e„�rsrni A,i {,p...i/m{W. ti►.n '
"d M 0% , gook ! r��l 388
"Ca-lion m sus
CUNNOWD T
�innsn� MADE TNB 1A Z. dory of June /n the,Mery
of our borennrthu,rrrtnrt,ninl he.nrrrrd fifty-nlnt,
&F7WJ5?,K SAWEI. L. SIMMONS and MARIAN E. SIIAMONS, h9s wire,
of the Townehip of Silver Spring, County of Cumberland and State
of Pennsylvania.
' I
f:rlr ntnry.,
Mile GLEN H. MARKLE and EVELYN Y. MARKLE. his �Ifcr of
the same place,
i
1
t
Grantee s
WJrtJ.SSiTH.the#ix ria4i4lemetim{ of the sum of One Thousand e�d 00/100
($1,000.0D) Dollars,
to Montt pair!,fir rreatot whevrof:a hwrnM1y Reknoie►edotA,tkr tart aMnln,' 40 hereby ore*( i
went rvmrrtt ro thr said orenerrs. ALL the t certain tract of lan4 situate In
I the Township of Silver Sprino, County of Cumberland and Sthta of
Pennsylvania, bounded and described os follows, to with i
BEGINNING at a point on the north side of a propcocd street to
be known a; Simmons Street, sold point being at the no'tthwest corner 1
of land of Rudolph Darner and also being referenced ac south 88
degrees 30 minutes west two hundred and seven one-hundre4ths (200.07)
feet from the cent4r line of the public road leading L'SOm the
Carlisle-Harrisburg Ptke to the Trindle Road, said pad'lic road be-
s ing known as Legislotive Route 22018, thence along the north Ain't
{ of the proposed street to be known as Simmons Strest, 'south 38
degrees 30 minutes west one hundred twenty (120) feat to a point;
thence along other land of Samuel L. 51mmons and Marian E. Simmons,
his wife, north 0 degrees 38 minutes west two hundred twenty-two and
fifty-flve hundredths (222.553 feet to a point; thence along land of .
Max C. Hempt north 74 degrees 3 minutes east one hund,'ied twenty (120);
feet to a point; thence along land of Rudolph Dorner �South 1.degree
30 minutes ail.— two hundred fifty (250) feet to a point, the place
4 of RMINNING.
I
! BEING part of the serve premises which William E, Lehman and
Vclve E. Lehman, his wife, by Lhttr deed dated Deeemtser 1. 1952 and
recorded in the Recorder's Office In and for Cumberland County in
Deed Book "D", Volume 15. Page 32do granted and eonvdyed unto
Samuel L. Simmons and Marian E. Simmons, h1s wife, the grantors
herein. i
This conveyance Is subject to the following con181tions,
reservation= and restrictions;
I. There shall be no manufacturing of any comma try at any
commercial undertaking or enterprtse on the premU�its,
2. There shall be no trallera used as permanent :itving
quarters an the premises.
3. No building shall be erected which shall cost les
$8,000.00 above foundation, s than
(L. There shalt -be no second 'hand materials used In the
5. li+ers shall
erection or construction of oily huliding "po"d -to the weather,
be no Imitation siding of say sort used in
construction or e rtctlon of any building upon tht the"semis e, i
b. There shall be no hogs
premises. or cattle masinteined Upon the '
7. There shall be no ,funk yards or automobile g4ve yards
i
Y14i,l,'M
tc
Jnaintalnnd uponee tAe pramlaes.B. No buL within teni(10) feet ofsany common crtt. linaMOalnsd
SrAG MOM?7411
f 'I LSfhlc T,:a. ii-EH TAX
�Uti 4I9o;
awAwrn�r.;;r
ANU !lu ou(d JlTnnlnrt . , r!r„I they nip II':lkfutf�'T GENERALLY
rl
tht Prnlr/rilr hr•Mlry r,ur rr!Ird.
11V 1VITNisBS u'NI31tF.'UF. pair) prnrlrrvt
JIINa
hr Truntr,,prLRelr Irh,nll qni�r nl S
lJtr dog old 7rnr IirM nlr,.rr tt`riltrn. l
Iitljntn,stake ana IDtiibtrre .r1 4 t: ._ ( �•v
ht ttfr kyrrontct of I.lv. .V1
'f I r 1LCr.rl t•
CERTIFICATE CF AE.SiDENCE
I do hereby certify that thg precise rest ence of°ths within
named grantees Ss / /�i«" )r, �•. .0-yt ,
Attorne for Grantees
J
I
Sole-1 Pennsylvania
D vft e/ Cumberland
t)n CM>•.rllr r r._ C +•r—" June
1 „ t. 50,Iw(iv, nr,,
r1. �rrArreipn�J n�ro r Ih'PrnnnR7 mo p.•rr— S*=W I S 1 I
cnons art Tlktan E.
Sir-1071's. his Nlfsr I�
�vltomi!(pr nali7lcrrerri/JrPRJrJ!�/.J4-IJy.7rU>re rl•rrGRl:rinr�
"O•WA + of.,rchl,aAd atknordar trj r�/-I tht '= are n lrlrnrn'Ard to file rl'i/�l•
E A4 rs+ tN w►TNESS IVBFRFOF.I M•ligwtw anoAnd tnme Jnl,fhr 1wepmIlt, !qr
. O,��•-.'. . .. '�MRd otr.l nlRr•rtlf W'7F
CIF
4,• Gy.• Q Jb: �/t1r[']f7,F1.rily:f;!I r la IKI
'r ri. cir;Ll,ial Cale Tin. „t t
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Rev-1603 EX+(6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Markle, Evelyn R. 21-12-0910
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 953,707 shares of Prudential Security PRNMX 15.57 14,849.22
2 932.749 shares of Prudential Security PRTNX 12.41 11,575.42
3 1,136.994 shares of Prudential Security PSRAX 11.09 12,609.26
4 1,033.825 shares of Prudential Security PTTAX 11.44 11,826.96
5 570,397 shares of Prudential Security TAHYX 10.08 5,749.60
6 Series EE Savings Bonds-15 total 139,608.00
TOTAL(Also enter on Line 2, Recapitulation)I 196,218.4J6
(If more space is needed,additional pages of the same size)
Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 SchLedu[eB(Rev.6-98)
M -
Rev-1508 EX+(11-10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Markle, Evelyn R. 21-12-0910
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Comcast-Refund 21.37
2 Prudential Money Market Account 21.27
3 Personal property-sold at Haar's auction 6,098.75
4 BC/BS payment-medical insurance reimbursement for Cumberland Fire Rescue bill 656.58
5 Allstate Life Insurance Company-Annuity-Allstate Performance Plus#GA274094 18,695.36
6 Allstate Life Insurance Company-Annuity-Allstate Performance Plus#GA274095 18,683.29
TOTAL(Also enter on Line 5, Recapitulation) 44,176.62
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10)
7� The Prudential InSUranCO Company of
Prudent P eco Securities,LLC
NOW COMMAND Service Center
PO Box 70198
Philadelphia,PA 19176
(500)235-7637
August 31, 2012
Thomas W. Rowan
The Prudential insurance Company of America
Greater Harrisburg Agency
150 Corporate Center Drive, Suite 104
Camp Hitt, PA 17011
Re: Account XXXX-3122
E V'ELYN R. MARKLE DEC'D
TOD ACCOUNT"
Dear Mr. Rowan:
Per your request,we are confirming the balance on the above-referenced Pruco Securities Account. Our
records indicate that as of August 12,2012,the value of this account was:
Investment Shares Price Value
PTTAX 1,033.825 $11.44 $11,826.96 '
PRTNX 932.749 $12.41 $11,575.42
TAHYX 570.397 $10.08 $5,749.60
PSRAX 1,136.994 $11.09 $12,609.26
PRNMX 951707 $15.57 $14,849.22
Money Market 21.270 $1.00 $21.27
Total Portfolio Value $56,631.73
The account was opened on March 12,2004 as a transfer on death(TOD)retail brokerage account.No
changes in ownership or registration have taken place since the account was opened,and all dividends were
reinvested,
If you have any questions or need additional information, please contact the COMMAND Service Center at
(800)235-7637. Customer Service Representatives are available to assist you between 8:30 a.m.and 7:00
p.m. ET, Monday through Friday.
Sincerely,
Jahn womey �
Registered Principal
Pruco Command Operations
Pruco Securities,LLC
(OE
Registered Principal of Pruco Securities,LLC(Pruco).
Securities products and services are offered through Pnieo.The Prudential Insurance Company of America,Newark,NJ and Pruco
are Prudential Financial companies.1.800-201-6690
1555 SUZY STREET
ATTW: LEBANON SUPPORT SERVICES
LEBANON, PA 17046
(comcast,
EVELYN MARKLE 32353 0668-69-11-3DG
223 HEMPT RD
MECHANICSBURG, PA 17050-2607
PAYMENT S UMMAR Y
CHECK NO: 0009539086
ACCOUNT NO: 09547-20444401 CHECK DATE: 09/21/12
Dear EVELYN MARKLE,
The attached check represents a refund for account number 09547-20444401 in the amount of
$21.37.
If you are a Comcast XFINITY customer and have questions regarding your refund check, you
can write us at the address above, call Concast's toll free customer service number at
1-888-CONCAST (1-888-266-2278), or chat witb: us at www.comcast.com/chat. Our
representatives are available to assist you 24 hours a day, 7 days a week.
if you are a Comcast Spotlight client or agency, please contact your local Spotlight
office.
'A
DETACH AND RETAIN THIS STATEMENT
THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE.
IF NOT CORRECT,PLEASE NOTIFY US PROMPTLY.NO RECEIPT DESIRED.
................................. ...................................... {Detach Hwe} ...... ....... ........... ................. ....... .............
Calculated Value of Your Paper Savings Bond(s) Page I of I
Calculated Value of Your Paper Savings Bond(s)
Calculator Results for Redemption Date 08/2012
Total Pric,. Total Value Total Interest YTD Initerest
1 $45,000.00 $139,608.00 $94,608.00 $3,600.00
Bonds: 1-15 of 15
Issue Next Final Interest
Date Accrual Maturity Issue Price Interest Rate' a I u e No,t
V5624749 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624750 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624751 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624752 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624753 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624754 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624755 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624756 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624757 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624758 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624759 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
V5624760 EE $5,000 03/1989 09/2012 03/2019 $2,500.00 $5,358.00 4.00% $7,858.00
X1888048 EE $10,000 07/1990 01/2013 07/2020 $5,000.00 $10,104.00 4.00% $15,104.00
X1888047 EE $10,000 07/1990 01/2013 07/2020 $5,000.00 $10,104.00 4.00% $15,104.00
X18880746 EE $10,000 07/1990 01/2013 07/2020 $5,000.00 $10,104.00 4.00% $15,104.00
Totals for 15 Bonds $4S,000.00 $94,608.00 $139,608.00
Notes
NI Not Issued
NE Not eligible for payment
PS Includes 3 month interest penalty
MA Matured and not earning interest
liff"-Ux"irw frAnQiir-.rt-11rP(,.t am,/RC/Q%RCPrivt-. 8/12/2012
Date: 09-07-•2012
www. haars. com HAAR' S AUCTION 717-432-6246
Settlement EVELYN R MARKLE ESTATE Rage: i
Seller: 223 MAIL TO LINDA SHEETZ
25 RIFE DRIVE
MBG RA 17050
Item Description Price Qty Total
--------------------------------------------------------------------------------
- Roller 1 1. 00
- Barrel, misc 1 15. 00
- Double tree 1 1. 00
- Hooks 1 1. 00
- Hooks 1 7. 00
- Radio flyer wagon 1 5. 00
- Air compressor 1 27. 00
- Lawn sweep 1 5. 00
- Rost 1 1. 00
- Grill/tank 1 7. 00
- Snow blower 1 25. 00
- Alum ladder 1 6. 00
- Wheel covers 1 1. 00
- Bucket, basket 1 4. 00
- Strong box 1 2. 50
- Lg metal box 1 3. 00
- Crate 1 0. 2500
- Table legs 1 0. 2500
- Chains, trash can 1 1. 00
- Chains, trash can 1 1. 00
- Dolly 1 3. 00
- Bird house 1 2. 00
- Oil heater 1 20. 00
- Swings 1 1. 00
- Gas can 1 0. 2500
- Black paper 1 0. 2500
- Plastic chairs 1 0. 2500
- Edger 1 0. 2500
- Tire pump-kids chairs 1 0. 2500
- Gas cans 1 2. 00
- Folding table 1 4. 00
- Heatrola 1 10. 00
- Dolly 1 32. 00
- Axes, pick 1 15. 00
- Wringer washer 1 30. 00
- Crowbar 1 6. 00
- Blue wood box 1 10. 00
- Tub lot, chains 1 1. 00
- Wood box 1 1. 00
- Motors 1 6. 00
- Tool box 1 5. 00
- Tool tub lot 1 9. 00
- Shovels, pick 1 6. 00
- Box with nails, screws 1 1. 00
- Heater 1 5. 00
- License plates 1 15. 00
Date : 09-07-2012
www. haar-s. com HAAR' S AUCTION 717-432-8246
Settlement EVELYN R MARKLE ESTATE page: 2
Seller: 223 MAIL TO LINDA SHEETZ
25 RIFE DRIVE
MBG PA 17050
Item Description price (Pty Total
---------------------------___------------__----------------------------------
- Tool box with tools 1 3. 00
- Axes 1 15. 00
- Fan 1 3. 00
- planter 1 30. 00
- Wire 1 2. 00
- Snow shovels 1 3. 00
- Tree trimmer, tools 1 4. 00
- Tap and dyes 1 4. 00
- Fork, shovel 1 12. 00
- Gas can metal 1 0. 5000
- Misc tools i 7. 00
- Long handle tools 1 9. 00
- Gas can 1 5. 00
- Shop vac 1 15. 00
- Wrenches 1 3. 00
- Plower, trimmer 1 22. 00
- Grease guns, misc 1 6. 00
- Gates 1 20. 00
- Treadmill 1 15. 00
- Swing 1 22. 00
- Hose 1 0. 5000
- Floor fan 1 1. 00
- Magazine rack, stool 1 3. 00
- Tools 1 1. 50
- Wagon wheel 1 90. 00
- Wagon wheel 1 55. 00
- Croquet set 1 22. 00
- Torch, gloves, tub 1 1. 00
- Coal bucket 1 5. 00
- Basket w/misc 1 9. 00
- Clamps 1 4. 00
- Bean bucket 1 20. 00
- Blind, doll bed 1 3. 00
- Electrical tools 1 6. 00
- Tool tray, light bulb 1 1. 00
- Bells, misc 1 3. 00
- Saw, misc 1 1. 00
- Trimmer, clippers 1 1. 00
- Coal bucket, lights 1 5. 00
- Box 1 10. 00
- Magazine rack 1 1. 50
- Watering can 1 12. 00
- Tool lot 1 1. 00
- Grinder 1 6. 00
- Drills, misc 1 2. 00
- Wood box with tools 1 12. 00
. ,
Date: 09-07-2012
www. haars. com HAAR' S AUCTION 717-432-8246
Settlement EVB-YN R MARKLE ESTATE Page: 3
Seller: 223 MAIL TO LINDA SHEETZ
25 RIFE DRIVE
MBG PA 17050
Item Description Price Qty Total
________________________________________________________________________________
- Cassette, grinder 1 15. 00
- Chair 1 0. 2500
- Picnic table w/ benches 1 22. 00
- Tricycle 1 12. 00
- Wheel chair 1 45. 00
- Wheel chair 1 7. 00
- Marble top stand 1 130. 00
- Pottie 1 1. 060
- Organ stool 1 10. 00
- Refrigerator 1 150. 00
- Stool 1 6. 00
- Stool 1 2. 00
- Sewing machine 1 7. 00
- Marble top washstand 1 70. 00
- Bench 1 40. 00
- Walkers 1 2. 00
- Kids table-chairs 1 25. 00
- Sled 1 12. 00
- Sled 1 11. 00
- Kids chairs 1 7. 00
- Step ladder 1 7. 00
- Step ladder 1 5. 009
- Spinning wheel planter 1 3. 00
- Folding table 1 15. 00
- Poster, bed 1 12. 00
- Box spring-mattress 32. 690 2 64. 00
- Desk-chair 1 15. 00
- Chair-floor light 1 0. 2500
- Cherry bedroom suit 1 550. 00
- Coffee-end tables 1 5. 00
- Rocker 1 10. 00
- Wagon seat 1 60. 00
- Trunk 1 3. 00
- Shaving mirror 1 35. 00
- Slant lid desk 1 150. 00
- Drop leaf table 1 25. 00
- Doll cradle t 7. 00
- Basketball 1 0. 2500
- Cradle 1 7. 00
- Red stool 1 30. 00
- Washer 1 65. 00
- Childs rocker 1 17. 00
- Lift chair 1 5. 00
- Recliner 1 0. 5000
- Porcelin top table 1 22. 00
- Bench 1 45. 00
^
e: 09-07-2012
www. haars. com HAAR' S AUCTION 717-432-8246
Settlement EVELYN R MARKLE ESTATE Page: 4
Seller: 223 MAIL TO LINDA SHEETZ
25 RIFE DRIVE
MBG PA 17050
Item Description Price Qty Total
________________________________________________________________________________
- Dresser-chest of drawers 1 25. 00
- Cabinet 1 10. 00
- Cabinet 1 1. 00
- White dresser 1 20. 00
- High chair 1 30. 00
- Cherry bedroom suit 1 325. 00
- Bookcase 1 27. 00
- Chair 1 6. 00
- Ladder back chair 1 16. 00
- Kettle fryer 1 70. 00
- Corner cabinet 1 225. 00
- Lawn chairs 1 1. 00
- 2 bar stools 1 8. 00
- Maple table-chairs 1 120. 00
- Maple table-chairs 1 40. 00
- Hutch 1 120. 00
- Dry sink 1 40. 00
- Stove 85. 00 3 255. 00
- Case 1 0. 2500
- Kids desk-chair 1 2. 00
- Dress form 1 65. 00
- Stool 1 12. 00
- Chairs 1 0. 5000
- Table 1 3. 00
- Headboard 1 0. 2500
- Generator 1 40. 00
- Canopy bed 1 5. 00
- Box spring-mattress 10. 00 2 20. 00
- Step ladder 1 3. 00
- Sewing machine 1 2. 00
- Windshield cleaner 1 2. 00
- Cooler 1 15. 00
- Bag cart 1 6. 00
- Rocking chair 1 12. 00
- Stove board 1 12. 00
- Rocking chair 1 8. 00
- Creeper 1 6. 00
- Mirrors-headboard 1 1. 00
Items: 176 Amount : 4, 066. 50
Commission at 40. 06969% 1, 626. 60
FUEL SURCHARGE 10. 00
Less adjustments : -1, 636. 60
___________
Net due to seller: 2, 429. 90
09-14-2012
www. haars. com HAAR' S AUCTION 717-432-8246
Settlement LINDA SHEETZ Page: 1
Seller: 223 CK 2 EVELYN R MARKLE EST
25 RIFE DRIVE
MECHANICSBURG PA 17050
Item Description Price Qty Total
- Anvil 1 95. 00
- Butcher kettle 1 35. 00
- 3-foot 1 20. 00
- Dehumidifier 1 5. 00
- Metal cabinet 1 3. 00
- Wardrobe 1 1. 50
- Folding table 1 5. 00
- Scooter 1 50. 00
- Box lot - material - 1 5. 00
hurricane light
- Box lot - towels -- throws 1 22. 00
- material
- Walkers-cane-crutches 1 3. 00
- Shipping box 1 5. 00
- Shipping box 2. 00 6 12. 00
- Heater 1 2. 00
- Old cabinet 1 17. 00
Items : 15 Amount : 280. 50
Commission at 40. 000% 112. 20
Less adjustments : -112. 20
Net due to seller: 168. 30
www. haars. com HAAR' S AUCTION 717-432-8246
��W W R MARKLE ESTATE-
22 ATTN : LINDA BWEFU'
25 RIFE
MBS On 17030
item p2sn" iPtion Price Uny 70tal
47. 00,
1032 PUN71NG L I ZEN Y-., 37.
1915 PA LICENSE 714'1 �n 130. 017�
�aggsgw, Fran - 0. 2500
Pon lot "5 Vale!-. 7.
Ban 1 tj 0001w- 07;
� LOV nwAvcf B leop ing hq�
0adeE
lhi[IC boxv miw-
Bed d
Bsc, i, 4- W
Dan 10R , lamp, bawke`- 0. vohzi
La'"n Pat, b0A 10 E. 0
Dlddl�j, 1 a k e
poni, kut :::
Bon 10 � : 1 oi2.1
BQZ Icts ,
ict 1 4. 0
4. 10
Box 100_
1swe
Nowter, P P P
qlas Paw , !all V, e
0. 250:1
Dim 1 -Y , WW:
Ban lu � n , 0111 , puzzle .--
Alum pyni�� 1 6. 0 0.
u1sheL.-
P an
717 2
GsttlemenL EVELYN R MPRKLE ESTATI:�
3e1 le4 , 22D ATTN; LINDA 0 =7-
25 q17E DR
NBC PA 17051D
item Upscr ipt isr! pcicl g; ! UL0
3.
Leon PC 1 5. 00
Dw wt5, ;Iatea, baskeb R. 0[0
Bux 10 t s, 1 aw p 1 4. 0
20" ! ; , wwn_ ure
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TRANSFURMERS 0",
pl%v BOVE"."' D T
LUGOATE LC '
LUDDATE BUY 1 1
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CUCK HUNTERE PIC &FE
LATTON ANGE111
CLASSES 1
MT?7 QTDTjRE LD','''
STEM WARE — 8
RECORDS - 7"T�7-3' PH. 00
7. 00
7- 717 =-3207",
EVELYN R MARKLE ESTAW-'.- Pages
U7 �17 = LINDA 3HEETZ
25 RIFE Q7
MDT 70 17010
item Description prics aty Tots.;
ROLWN7 VINT
0N 1-7 1 7. 0`7
77= ELOTHES 25. 01.Z.,
7
7127A 7RAV 5. 0 i I
DO 1 L I E l,"3' 22. &Z'l
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7TPAWBEARY SHW71AYT
7� 71E BATNETO 1
571nTIPTAPT 22.
WOKIE jW 5. W,
- PEWE7EA L57
- 77AL -72RA7F Lo']" 71!7:
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BED SPREA7., 0. 0:-
LAKE PLATE L 5 010,
00
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SKILLETS 1 7. 3:7
7A30 R W; T"
71 7 -...1 >.
COFFEE GFINDQ7 7. W':r
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ivL n , Total
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MrShield Explanation of Benetits
Employee Program THIS IS NOT A BILL 87
www.fepbluc!.org
Camp Hill:Pennsylvania 17099
FEDERAL EMPLOYEE PROGRAM
PO BOX 890035 CAMP HILL PA 17089-0035
MEDICAL QUESTIONS CALL 1-800-779-6945,
DENTAL QUESTIONS CALL 1-800-746-5687,
TTY QUESTIONS CALL 1-800-345-3848
ru EVELYN R MARKLE
223 HEMPT RD
1GWH14itICSBURG PA 17050-2607
-EXPLANATION OFF BENr]*I-TS-A-T A GLANCE
{Ben it Check Enclosed { ID Number: R00772397
1 Claim Number: 12221031558
#Patient Name: EVELYN M RIB KLE { Claim Paid On: 08/29/2012
( { Claim Received On: 08/08/2012
(Dates of Service: _ 7/17/2012 - 07/17/2012 ( Claim Processed On: 08/18/2012
lYou Owe the Pggyider: S656.58 Check Number: 52691075
Provider: CUMBERLANDGOODWILLFIRERESCUEEMS ; Dates of Service; 07/17/2012 - 07/17/201T
Type: NONPARTICIPATING PROVIDER
a a "
Type of Service ! Submitted 1 Plan {Remark[ DeductlCoinsurancel Medicare/ 1 What (You Owe the
I Charges I Allowance I Cgdes1 1 Or Coaav 10th er Ins. I We Paid I Provides,
AMBULANCE SERVICES 1 630.001 630.001 1 1 1 1 630.041 630.00
AMBULANCE SERVICES 1 26-581 26.581 1_ 1 1 1 26.58{ 2,615}
TOTALS: _j 656,581 656.581 1— 0.001 0 00J O.QQ1 656.581 656 58`? `
EXPLANATION OF REMARK CODES
YOUR RESPONSIBILITY TO THE PROVIDER(S) IS $656.58. WE PAID $656.58. � p ' '
THE PROVIDER CAN COLLECT $656.58 FROM YOU FOR THESE SERVICES. +
( Health Tips C
1 Complete your Blue Health Assessment in 2012, and receive a $35 health debit card to use for 1
{ qualified medical expenses. Limit of two $35 cards when two adult members complete the BHA. 1
( Visit www.fepblue.ora Codav 1
1 --Summary of Out-of-Pocket Expenses for 2012 1 { Your Out-of-Pocket Expenses 1
1 1 1 Catastrophic Protection { 1 On This Claim {
1 1Calendar Yearl Preferred 1 Mon-Preferred/ i (Calendar Year Deductible $0.001
1 1 Deductible 1 1 Preferred Totall 1Per Admission Copay $0.001
1What You Have Paid 1 1 1 1 1Coinsurance $0.001
1 Individual ) $0.001 $691 $691 1Copayment $0.001
I Family 1 $0.001 $01 $01 1Non-covered Charges $0.001
lAnnual Maximum 1 1 1 1 {Precertification Penalty $0.001
1 Individual 1 50.001 $5,0001 $7,0001 1 1
1 Family _ I SO 001 Sol Sol 1TOTAL_ SO.001
I£ you have questions, please call a customer service representative at your local Blue Cross and Blue
Shield Plan. You may also request the diagnosis codes, the treatment codes, and the corresponding meanings
of the codes for your claim. If you disagree with the decision on your claims or request for services, and
wish to have the decision reconsidered, you must notify your Plan in writing within 6 months from the date
of this decision, i.e. 02/28/2013. You may request copies, free of charge, of any relevant materials and
Plan documents relating to your claim. Your Plan will not accept unauthorized reconsiderations from
providers. See the Disputed Claims section of your Service Benefit Plan Brochure,
ON 000i Goal
��� ;fie Lfie MURNariCe P.F. x: , 86 6 28 100 6
PO Box 660191 F.
1- 6-68- 00
86216
Q 11 Dallas, TX 75266-0191
August 15, 2012
EVELYN R MARKLE Your•Repres�eotative
223 HEMPT RD
MECHANICSBURG PA 17050-2607
Please contact your local branch
PNC INSURANCE SERVICES, INC
Allstate, Performance Plus #GA274094
As you requested, your annuity has been surrendered. The transfer amount of $18,695.36 represents the net
proceeds of your policy as of 08/14/12. Your proceeds have been electronically transferred according to your
instructions.
Surrender Information:
Gross Annuity Value as of 08/14/12 $18,695.36
Gross Withdrawal Amount $18.695.36 $18,695.36
Electronic Transfer Amount $18,695.36
Remaining Annuity Value as of 08/14/12 $.00
As required, the taxable amount of this distribution will be reported to the Internal Revenue Service on Form 1099R. A
copy of this form will be mailed to you by January 31 of the next year. Please retain this information for your financial
and tax records.
If you have any questions; about this transaction, please contact your representative, or call 1-800-755-5275. We hope
__you consider us to.meet_your financial needs in the future.
1 X26IGIJE.N01
F
e.aaoozxzeIcuExasiGue000ao
01101
�~ Allstate Life Insurance Company Telephone: 1-800-755-5275
PO Box 660191 Fax: 1-866-628-1006
` _I[Sta'. Dallas, TX 75266-0191
August 14, 2012
EVELYN R MARKLE I Your Representative
223 HEMPT RD
MECHANICSBURG PA 17050-2607
Please contact your local branch
PNC INSURANCE SERVICES, INC
Allstate,, Performance Plus #GA274095
As you requested, your annuity has been surrendered. The transfer amount of$18,683.29 represents the net
proceeds of your policy as of 08/13/12. Your proceeds have been electronically transferred according to your
instructions.
Surrender Information:
Gross Annuity Value as of 08/06/12 $18,683.29
Gross Withdrawal Amount $18.683.29 $18.683.29
Electronic Transfer Amount $18,683.29
Remaining Annuity Value as of 08106/12 $.00
As required, the taxable amount of this distribution will be reported to the Internal Revenue Service on Form 10998. A
copy of this form will be mailed to you by January 31 of the next year. Please retain this information for your financial
and tax records.
If you have any questions about this transaction, please contact your representative, or call 1-800-755-5275. We hope
you consider us to meet your financial needs-in the-future..
1 X26IGBA8.N01
&"0002x2racenexZ6MBAeamoo
10694
Rev-1509 EX+(01-10)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
IL
Markle, Evelyn R. J�21-12-0910
If an asset was made joint within one year of the decedent's date of death,it must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Linda K. Sheetz 25 Rife Drive Daughter
Mechanicsburg, PA 17050
B. Carol G. Range 2709 Laurel Street Daughter
Grantham, PA 17027
C. Sherry L. Thornton 223 Hempt Road Daughter
Mechanicsburg, PA 17055
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY % DATE OF DEATH
ITEM INCLUDE NAME OF FINIDENTIFY ANCIAL INSTITUTION AND BANK ACCOUNT DECEDENT'S INTEREST
TENANT JOINT DATE OF DEATH DECD'S VALUE OF
NUMBER FOR JOINT MADE NUMBER OR SIMILAR ING NUMBER ATTACH DEED FOR VALUEOFASSET INTEREST JOINTLY-HELD REAL ESTATE.
I ABC 06/ft'2003 Members 1st Checking-#xxx384-0011 27,874.75 25.000% 6,968.69
2 ABC 061091'2003 Members 1st Savings -xxx384-0000 2,814.19 25.000% 703.55
TOTAL(Also enter on Line 6,Recapitulation) 7,672.24
(if more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule IF(Rev.01-10)
M —
3L
MEMBERS lst
FEDERAL CREDIT UNION
1Li�� I- 1 �
SAVINGS ACCOUNT:
Account Number/Suffix 20384-00
Date Account Established 04/10/1978
Principal Balance at Date of Death $27,874.75
Accrued Interest to 'Date of Death $1.84
Total Principal and Accrued Interest $27,872.91
Interest Earned 01/01/2012—07/31/2012 $41.74
Name of Joint Owner Carol G. Range
Linda K. Sheetz
Sherry Brockman
Date Joint Ownership Established 06/09/2003
CHECKING ACCOUNT:
Account Number/Suffix 20384-11
Date Account Established 09/14/1989
Principal Balance at Date of Death $2,814.05
Accrued Interest to Date of Death $.14
Total Principal and Accrued Interest $2,814.19
Interest Earned 01/01/2012 —07/31/2012 $7.20
Name of Joint Owner Carol G. Range
Linda K. Sheetz
Sherry Brockman
Date Joint Ownership Established 06/09/2003
ME1I' BERS 1ST FEDERAL CRC NION
D n�"ielle A. Kline
Lending Insurance Support Specialist
August 29, 2012
Estate of: EVELYN R. MARKLE
Date of Death: 08/12/2012
Social Security Number: 179-30-2972
5000 Louise Drive PC). Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 www.memberslst.org
Rev-1510 EX-(08-09)
SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Markle, Evelyn R. 21-12-0910
This schedu a must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
INCLUDE NUMBER THE DATE OF RANSFE RSATTACH A COPY OF THE DEIED OR REAL ESTATE VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 Prudential Annuity#E0224307 -Beneficiaries: Linda 153,479.52 100.000% 153,479.52
K. Sheetz, daughter; Carol Range, daughter; and
Sherry L. Thornton, daughter.
TOTAL(Also enter on Line 7, Recapitulation) 153,479.52
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09)
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
RESIDENT EDEN TURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Markle, Evelyn R. 21-12-0910
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
Auer Cremation Services of Pennsylvania, Inc.
1,948.68
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Linda K. Sheetz
Street Address 25 Rife Road
City Mechanicsburg State PA zip 17050
Year(s)Commission Paid Waived
2. Attornev's Fees Smigel, Anderson & Sacks, LLP 5,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State ZiD
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills 537.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 9,892.28
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 17,878.46
Copyright(c)2009 form software orly The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Markle, Evelyn R. 21-12-0910
ITEM
NUMBER DESCRIPTION AMOUNT
Other Administrative Costs
1 Barristers Land,Abstract -Tax Certification Fee reimbursement 10.00
2 Cumberland County Recorder of Deeds -Transfer Taxes 1,500.00
3 Cumberland County Reporter-legal advertisement 75.00
4 Diversified Appraisal Services-see attached appraisal of real estate 350.00
5 Haar's Auctions -Commission on Personal Property 2,439.50
6 Hardy's Auction -Auctioneer Services on Real Estate 4,943.30
7 John's Lawn and Tree Service-grass cutting services 210.00
8 Joyce Ehrich -Notary Fees for real estate settlement 10.00
9 PP8,L-electric bills 113.72
10 The Sentinel -legal advertisement 210.78
11 Verizon -telephone bill 29.98
H-67 9,892.28
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 6-98)
� ><oN SER` AUER CREMATION SERVICES OF PENNSYLVANIA, INC.
zlz
oAp�nNSYL�AN1�'',�G 4100 Jonestown Road • Harrisburg, PA 17109 • 1-800-720-8221 ® Fax 717-541-9943 • Shawn E. Carper, Supervisor
120855 MCR-5
Aug 12 , 2012
Ms . Linda Sheetz
25 Rife Drive
Mechanicsburg, PA 17050
Evelyn Rachel Markle - Deceased
SPECIAL CHARGES
X Direct Cremation $1 ,595 .00
Nationwide Guarantee Program
Worldwide Travel Protection Program
TOTAL SPECIAL CHARGES $1 , 595.00
PROFESSIONAL SERVICES
X Services of Funeral Director & Staff Included
Dressing/Cosmetizing
Facilities & Staff for Memorial Service
Staff & Equipment for Memorial Service
Private ID Family Viewing
Witnessing the Cremation
Packaging/Forwarding of Cremated Remains
Personal Delivery of Cremated Remains
Scattering of Cremated Remains
TOTAL PROFESSIONAL SERVICES $0.00
AUTOMOTIVE EQUIPMENT
X Removal Vehicle Included
Lead Car/Clergy Car
Family Car
Service Vehicle
TOTAL AUTOMOTIVE EQUIPMENT $0.00
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH Receipt Date : 8/17/2012
Cumberland County - Register Of Wills Receipt Time : 13 : 38 : 04
One Courthouse Square Receipt No. : 1071059
Carlisle, PA 1713
MARKLE EVE-= R
Estate File No . : 2012-00910
Paid By Remarks : LINDA SHEETZ
WZ
- - - -- --- - - - - -- - - --- - - - - - Receipt Distribution --- - - ------ - - ---- - -------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 460 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICA-E 24 . 00 CUMBERLAND COUNTY GENERAL FUN
RENUNCIATION 10 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
-- --- ----- --- - - -
Check# 6905 $537 . 50
Total Received. . . . . . . . . $537 . 50
.`�aN ? •r,•E,. ..�;�e{e1 .�` �� �'L -—�' rel N a J ,� .s � k8f X11 1'7'.� 'd ., "'Q. p(Z i �.7j
Barristers Land Abstract Company CitRens Bank Esavw#12-011&25690 35M3
119 Garrrr a Dnw,Pittsburgh,PA 15238 Phone:412-967-9000 PenrvWv2n1a
3310 klarket Street,Cane Fill,PA 17011 Phone:717-7616190 8-71&1
100 State Street,Sute 700,Erie,PA 16505 Phom:814-464-9175
10125/12
'k$350.00r*
PAY I`ll-;EE F& DRED FIFTY DOLLARS and 00/100'"'`
Void after 180 days
TO Diversified Appraisal Services
OF
Desuiption: Appraisal ALYTHCRM7151r4,ATURE
11000003Sa3930 1:036076 L501: 6 2 L6 1640 L9ll■
Barristers Land Abstract Company 358393
Date: 10125/12 Amount: '''$350.00'' Escxaw#12-01-6-25690
Pay To: Diversified Appraisal Services
Buyer: Charles J. Teller
Seller: Linda K Sheetz, Executrix of the Estate o
Property: 223 Herrpt Road, Mechanitsbur'g, PA 17050
350.00 Appraisal
We Appreciate Your Business!
Evelyn Y. Markle Estate y /
DESCRIPTION AMOUNT
223 Hempt Road 350.00
Mechanicsburg, PA 17055
(Markle Estate)
SUBTOTAL 350.00
Rate % ADJUSTMENT
SUBTOTAL 350.00
Rate % ADJUSTMENT
SUBTOTAL 350.00
TOTAL $ 350.00
FINAL
SETTLEMENT
SELLER NAME - DATE OF SALE
ADDRESS PHONE
ZIP
LOCATION OF SALE
AUCTIONEER k_ PHONE
�: 1��`5�?(Pirt�#SES RECEPTS
PROFESSIONAL FEES
AUCTIONEER $ CASH $
CLERK $ CHECKS $
CASHIER: $ OTHER RECEIPTS
OTHER EXPENSES $
$ $
$ TOTAL RECEIPTS $
$ LESS TOTAL EXPENSES $
IQTAL EXPENSE&
i
I (or we), the seller, accept this settlement and acknowledge receipt of the above specified net proceeds
from the auction of my goods and property sold on the above date. I accept all responsibility for providing
merchantable title to all goods, and property sold, and for delivery of title to the purchaser.
Date
Auctioneer or Cashier's Signature (Seller's Signature)
Date Date
(Seller's Signature)
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49w;one YY Questions?Please Visit us online at Page 1
® contact us by Sep 13. pplelectric.com
.1-800-DIAL-PPL Bill Acct. No. Due Date i
P Pf ' (1-800-342-5775)
PPL Blecuic lltNttfes
IVI-F:8am to Spm 30580-79005 Sep 13, 2012 ,
Your Electric Usage Profile Billing Summary (Billing details on back)
Service to: Balance as of Aug 23,2012 $0,00
GLEN H MARKLE Charges:
223 HEMPT RD Total PPL Electric Utilities Charges $113.72
MECHANICSBURG,PA 17050
Meter:30870273 Total Charges $113.72
Your next meter reading is on or about Sep 24,2012.
This section helps you understand your year-to-year Account Balance $113.72
electric use by month. Meter readings are actual unless
otherwise noted. PPL Electric Utilities'price to compare for your rate is 7.993 cents per kWh
®2011 02012 effective 6/1/2012 to 8/31/2012. For a list of supplier offers,visit
42 papowerswitch.com or www.oca.state.pa.us.
3 35 — Your Message Center
28 • With paperless billing,you can receive and pay your
_PPL Electric Utilities bills online.The process-is free,
CD
21 quick,convenient and secure.To learn more or sign up,
14 visit pplelectric.com.
a 7 • Information about appliance energy use and tips on
0 saving energy are available through the Energy Library
on our Web site,pplelectric.com. g
F M A M J J A s o N D • Before digging around your home or property,you g
Months should always call the state's One Call notification
Monthly system to locate any underground utility lines. You can
kWh i• _ do this by simply dialing 811,which will connect you to
kWh/Day—Comparison Billed the One Cali system. Be safe and call 811 before you
Aug 012 dig.
g 29 926 32 174F]Aug 2011 29 837 29
Billing Period Type Reading
Payment Methods
Aug 23 Actual 44167 Online at:
Jul 25 Actual 43241 pplelectri , ,, _ `�� �' _. "'- applies)
29 Days kWh Billed 926 ig Visa,
. . - By Mail: ;s: m • a
car . _
Yearly • . nt to:
Sep 2011-Aug 2012 7363 Al d ® 2 North 9t
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Sep 2010 Allentown
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223 HE! PPL ELECTRIC UTILITIES
MECHA 2 NORTH 9TH STREET CPC-GENN1
ALLENTOWN, PA 18101-1175
1 7900001137290000113720 3058079005
The-Sentinel ATTORNEYS SMIGEL,ANDERSON&SACKS AD NUMBER_ PAGE N0.
w w w.c u m b e r l i n k.c o m 4431 NORTH FRONT STREET 413690 1 of 1
HARRISBURG, PA 17110 BILL DATE SALESPERSON
____--- 717-234-2401 -----
CtiBi{$iF SWPEN5'Up(- FPVCCVrj'. _ 09112/12 Wolfe
START DATE STOP DATE
08/29/12 09/12/12
AD NUMBER _ AD DESCRIPTION CLASS LINES
413690 EXECUTOR'S NOTICE LETTERS TESTAMEN 10 PUBLIC NOTICES 38 2 cols
Publication Insertions Rate Net Amount Gross Amount
3 THE SENTINEL-LEGAL 3 LGL $20178
TOTAL AD CHARGE $201.78
3 MOBILE SITE MOB2 $2.00
3 PROOF OF PUBLICATION 01PRF $7.00
Purchase Order Est. E.R.Markle PAY THIS AMOUNT $210.78 $252.94*
*AFTER 10/07/12
THE SENTINEL
Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS
in-column legal ads is 4:00 p.m.two business days prior to PO BOX 540
date of insertion. For questions, call(717)240-7130. WATERLOO IA 50704-0540
Return this portion with your payment Legal
THE SENTINEL ❑ Check# ❑Credit Card Ad Number 413690
c/o LEE NEWSPAPERS ❑ ® ❑ = ❑ ® ❑
PO BOX 540 Billing Date 09112/12
=�❑�❑ _
WATERLOO IA 50704-0540 Acct#: Amount Due $ 210.78
Exp.Date:❑ ❑
�unoup $
Name on credit card �-
Signature
Please make checks payable to: THE SENTINEL
3ik 000247 THE SENTINEL
ATTORNEYS SMIGEL,ANDERSON&SACKS c/o LEE NEWSPAPERS
4431 NORTH FRONT STREET PO BOX 742548
HARRISBURG,PA 17110 CINCINNATI OH 45274-2548
111 oil I III n1111111111u III[oil 111n1n11n111 1if III IIIr,III
21540200000004136900000000000000002529400000210788
Account Number Due Date Amount Due
717 766-8319 1585 125Y Upon Receipt $29.98
ved"n
Account Information
- -- _ - Statement Date: 9/
- 24/12
;�:` — _ —
r,= :<AP EVELYN MARKLE
T riA!>4 ";`?; ';
=? ? _ _.., Phone. 717-766-8319
Account Summary
Previous Balance $39.02
:.,.........__..._....,.,.._.....,._...._.:r._.._.,_.,....:,.._,_._,_......._.. No Payment Received $.00
Verim"�141 1AfS-
Balance Forward $;19.02
Moving?Call Verizon New Charges
Call 1-888-416-9691 before you move.We'll help
set up your Internet,TV and Phone for your new Current Activity —S6.46- --
address.You can be up and running in no time!DON'T Taxes,Fees and Other Charges —$2.58
WAIT!And be sure to ask it FiOS is available in your —-- - —— -- - - - -- -- — -- _—
area.Service availability varies Total New Charges —".04
Stay With Verizon Amount Due—Please Pay Now $29.96
You are a valued customer&we want to deliver the Final Bill
very best service&value to you.Call us at Pay your bill online at Verizon.cointpayfinalbill
1-888-558-3844 to find out about the new ways
Verizon can save you money.We appreciate being To avoid referral to an outside codedion agency,the full amount is due upon
your provider,and we would like to keep you with us recut
longer by improving your Verizon experience.
Better Bundles That Save
Call 1-888-558-3855 or visit verizon.com/supreme ✓
to make sun;that you're getting the best Verizon `
services at the best value.From phone,Internet and \\\
TV bundles,to international plans and fun add—ons,
together we'll find ways to save you more on Verizon's
superior services. p _
Questions about your bill or service?
Want Automatic Payment? View your bills in detail at verizon corn or call 1-800—VERIZON(1-800-837-4966).
Enroll below or at Verizon.com to authorize your financial Enter your ten digit number 717-766-8319.Use 585 if asked for your customer
institution to deduct the amount of your monthly bill from identification code.Customers with disabilities call 1-800-974-6006 TTY.
the account associated with your enclosed check and
send payment directly to Verizon.To discontinue
Automatic Payment,call Verizon.Please keep a copy of
lis authorization.
Please return remit slip with payment.
Rev-1512 EX+(12-08)
SCHEDULE
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Markle, Evelyn R. 21-12-0910
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 Goodwill Ambulance-ambulance bill 656.58
2 Millenium Pharmacy-prescription medications 5.64
3 Sarah Todd Memorial Home-final bill 3,249.85
TOTAL(Also enter on Line 10, Recapitulation) 3,912.07
(If more space is needed,additional pages of the same size)
Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-08)
M -
Millennium Phcy.Systems Mechanicst
5020 Ritter Road,Suite 110
Mechanicsburg PA, 17055
INVOICE
08/28/2012 Account Number: STMH2O43
EVELYN MARKLE
c/o Linda Sheets 102397
25 rife road
mechanicstxirg PA, 17050 PVT
ommmmu
e
#t,
Please Detach Here and Return Top Portion With Your Payment
- -------------------------------------------------------------- _ ___
Invoice Date:08/28/2012,Acct#:STMH2O43,MARKLE,EVELYN,Sarah Todd NC,A,BRANSCUM,GEORGE _X
08/06/2012 6546988 118.00 Remedy Skin Reuair External Cream 1.5 /o $ 5.64 $ 0.00 $ 5.64 OTC
53329-0161-04
$ 0•lx $ 52.84 08/10/2012 $ 0.00 $ 0.00 $ 0.00 $ 0.001$ 5.641$ 0.001$ 0.00 5.64
STATEMENT
Sarah A Todd Memorial Home Statement Date: 09/13/2012
1000 West South Street
Carlisle, PA 17013-2798 Due Date: 09/25/2012
Telephone: (717)245-2187
Amount Enclosed $
Amount Due: $ 3,249.85
Account#: 102397
RE: Evelyn R Markle
Linda Sheetz
25 Rife Road
Mechanicsburg, PA 17050
Balance B/F 8,236.97 8,236.97
07/27/12 Pharmacy-Rx 1 115.00 115.00 8,351.97
08/01/12-08/31/12 Room&Board-Semi-Private 31 267.00 -8,277.00 74.97
08/01/12 Medical Supplies 21 6.83 39.97 114.94
08/01/12 Incontinence Supplies 3 10.78 32.34 147.28
08/01/12 Personal Supplies 1 .57 .57 147.85
08/09/12 Medical Equipment Rental 1 140.00 140.00 287.85
08/11/12 Personal laundry Services 1 25.00 25.00 312.85
08/01/12-08/11/12 Room&Board -Semi-Private 11 267.00 2,937.00 3,249.85
Current 31-60 Days 61-90 Days Over 90 Days Amount Due
3,289.88 -40.03 .00 .00
NOTE: *****PAYMENT IS DUE UPON RECEIPT*****BUT NO LATER
THE 25TH OF THE MONTH***** Please remit the LAST AMOUNT
your statement.Include the ACCT# from the statement on the MEMO Statement Date: 09/13/2012
of your check.Payments after 9/11112 do not reflect on statement. DUe Date: 09
NOTE: LATE PAYMENTS ARE SUBJECT ECT TO A 1.25%LATE CHARGE PER / 5/2012
MONTH **A$10.00 FEE WILL BE CHARGED for RETURNED CHECKS
Evelyn R Markle-Account#: 102397
Sarah A Todd Memorial Home
1000 West South Street
Carlisle, PA 17013-2798
Telephone: (717)245-2187
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Evelyn R. Markle 08/12/2012 179-30-2972
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
1 Carol G. Range Daughter 177,359.73
2709 Laurel St.
PO Box 183
Grantham, PA 17027
2 Linda K. Sheetz Daughter 177,359.73
25 Rife Drive
Mechanicsburg, PA 17050
3 Sherry L. Thornton Daughter 175,036.86
223 Hempt Rd.
Mechanicsburg, PA 17055
Total 529.756.32
1
LAST WILL AND TESTAMENT
OF
EVELYN R. MARKLE
I, EVELYN R. MARKLE, of 223 Hempt Road, Mechanicsburg, Cumberland
County, Pennsylvania 17055, being of sound and disposing mind, memory and understanding,
do hereby make, publish and declare this as and for my Last Will and Testament, hereby
revoking all other wills and codicils heretofore made by me.
FIRST
I
I direct the payment of my debts and the expenses of my last illness and funeral
from my estate as soon after my death as conveniently may be done.
Further, in this connection, I authorize my personal representative to expend funds
from my estate, in such amount as my personal representative shall consider necessary and
desirable for the purchase, erection and inscription of a suitable marker for my grave.
SECOND
I direct that my Executrix shall pay all taxes that are incurred by reason of my
death, including both federal and state, from the remainder of my Estate.
C)
G� �:7 c)
THIRD
All the rest, residue and remainder of my estate, of whatever nature or wherever situate, I
give, devise and bequeath unto three of my daughters, SHERRY L. DAVIS, LINDA K.
SHEETZ, and CAROL G. RANGE; and should any of my said three daughters predecease me
or not be living on the thirty-first (31st day) following my death, her share shall be distributed
to her issue per stirpes. I am intentionally making no provision in this Will for my daughter
PATSY A. MARKLE, but I request that my other daughters look after her needs as they may
be moved to do so by their own generosity.
FOURTH
I nominate, constitute and appoint my daughter, CAROL G. RANGE, as
Executrix of this my Last Will and Testament. Should my said daughter CAROL G. RANGE
fail to quality or cease to serve in that position, I appoint, in order of preference, my daughter
LINDA K. SHEETZ and my daughter SHERRY L. DAVIS as Substitute Executrices of this
my Last Will and Testament. I relieve my personal representative (as well as any substitute)
from the necessity of posting security in connection with her duties as such in any jurisdiction
in which he may be called upon to act insofar as I am able by law to do so.
FIFTH
In addition to the powers conferred by law, I authorize my Executrix (and her
successors) in tier absolute discretion:
A. To retain in the form received, and to sell either at. public or private sale any
real or personal property.
2
B. To manage real estate.
C. To invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principle of diversification.
D. To exercise any option or rights arising from ownership of investments.
E. ,o compromise claims without court approval, and'. without the consent of any
beneficiary.
F. Should any beneficiary, in the opinion of my personal representative, be
incapacitated, said beneficiary's share shall pass to the appointed guardian to be held and
administered in the same manner during the period of incapacitation.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last
Will and Testament consisting of five (5) typewritten pages, on this the day of`
January, 2009,
EVELYN R.M ARKLE
3
T •
Signed, sealed, published and declared by the above named Testatrix EVELYN R.
MARKLE, as and for her Last Will and Testament, in the presence of us, who, at her request,
in her sight and presence, and in the sight and presence of each other, have hereunto
subscribed our r,.ames as witnesses.
hi� `�./��` Residin at 2 fo el—� 1 g �l r�'
Residing at
PA
Residing at
f� 1"110.3
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF DAUPHIN
I, EVELYN R. MARKLE, the Testatrix whose name is signed to the attached or
foregoing instrument, having being been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last'vVill; that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by EVELYN R. MARKLE, the
Testatrix, this day of January, 2009.
COO ,
Evelyn R. Markle
COMMONWEALTH OF PeNNSYLVANIA _
Notarial Seal
Bonita L.Getz, Public
L_ Susquehanna Twp.,Dauphin County NOtary PUbhC
L My Commission Expires May 15,2012
Member,Pennsylvania Association of Notaries 4
e
I
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
1 We, ROGER MI. MORGENTHAL,AMY L. HAINES, and
0 Cj�M_ �LL 7�LCU the witnesses, respectively, whose names are signed to the
attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument of her Last Will. and that she
signed willingly and that she executed the Last Will as her free and voluntary act for the
purposes therein expressed, and that each of the witnesses, in the presence and hearing of the
Testatrix, signed the Will as witnesses, and that to the best of their knowledge, the Testatrix
was at the time eighteen (18) years of age or older, of sound mind and under no constraint or
undue influence. 'a,,
Sworn to and subscribed before me this Vh day of January, 2009.
�QMMONWE kLTH F PENNSYLVANIA Notary Public
---—�—Notarial Seal Public
iZOnita Getz, hin County
Iy Susquehanna v+P• as day 15,2012
1 p,1y�o�nmi ssior�Expire ation of Notaries
111���n}bor,Pennsylvan+a Ash
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