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Home My WebLink About04-1013 r-- CITATION Orphans' Court Division Court of Common Pleas Cumberland County, Pennsylvania IN RE: Estate of Duran Alan Parson, Deceased No. 21-04-1013 COMMONWEAL TH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND TO: Mark E. Halbruner, Esquire counsel for Donna L. Boltash Harry M. Baturin, Esquire counsel for Crystal Brinsky GREETINGS: THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA COMMANDS that you, laying aside all business and excuses whatsoever, to be and appear before her in the 5th Floor Hearing Room ofth~ New Courthouse at One Courthouse Square, Carlisle, Pennsylvania, on the 22nd day of November, 2004, at'3:00 P.M., for a hearing on the matter of the Estate of Duran Alan Parson, now deceased, to show cause why Letter of Administration for the Estate of Duran Alan Parson should not be granted to Donna L. Boltash. 'J\ (.") (,'"l L_ o ~~ .~ (:J DA TE:November=lO, 2004, .''1 r ., -' .~~.. Glenda Farner Strasbaugh Register of Wills Cumberland County -<:::;I" P ~ Estate of Register of Wills Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Duran Alan Parson No, ~ l-O'{ - laG also known as . Deceased Social Security No, 166-62-3714 Donna L Boltash ~"III."""'1a'-18W"'''ol'''.0I_,...plya.l'...: (COMPLETE" A" OR "B" BELOW:! ~ A. Probate and Grant of letters and aver that Petitioner(s) is/are the execut_ named in the Last Will of the Decedent. dated and codicillsl dated _, ~. ::-~ ::J g SWte ,......., ol""",*-. ..g,,~. dQlh 01 ex_Of, etc, c-=J -< Except as follows. Decedent did not marry. wes not divorced, and did not have 8 child born or adopted after execution cruhe documents offered for probate; was not the victim of 8 killing and was never adjudioated incompetent: 0 - Ii 8. Grant of letters of Administration t, k>.t.e,. d.bJl.IO..... _d"".~t.; "'..,te _tl.: <Ill;.... ......otI...j 0'\ Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following Spouse (if any I and heirs: Name Relationship Residence' Moth r Daughter Paternal Grandmother Lilyanna Isabel Millar Donna L Boltash Usc ltlana II eets I necessary. Decedent was domiciled at death in Cumberland residence at 406 16th Street. New Cumberland. PA 17070 _ County, Pennsylvania, with his/her last family or principal lbt..,_...""""".od......lIll>ip...tyl Decedent. then ~ years of age, died Auaust 27, 2004 . 20 _. at Manor Two.. Lancaster Co.. Pennsvlvania Itoeotlonj Decedent at death owned property with estimated values a8 follows: (If domiciled in PAl All personal property .....,................,....... $ {If not domiciled in PAl Personal property in Pennsylvania. . . . . . . . . . . . . . . . , . . . , . $ (If not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . , . . . . . . , . . . $ Value of real estate in Pennsytvsnia .....,.....".......,.......,................,. $ Total, . . . . . . . . . . . . . . . . , . . . . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . $ Real Estate situated as follows: 50,000,00 N/A I\I/A 50 OO%-~ Wherefore, Petitioner(s) respectfullv request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undorsignod: Typed or printed name and residence Donna L Boltash 106 Birch Court Cam Hill PA 17011 RW-7 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(sl above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of.the knowledge and belief of Petitioner(s) and that. as personal representative(sl of the Decedent. Petitioner(s) will well and truly administer the estate according to law, Sworn to and affirmed and subscribed before me this 2.0 day of . Ii '-.j:J k. ,2"f ._ / OCT 20 04 ~d, ~ ~~ DECREE OF REGISTER Estate of Duran Alan Parson Deceased :1 /- ()(j~/Oll No. also known as Date of Death: August 27, 2004 Social Security No: 166-62-3714 AND NOW, _~D\I ';!'3 20~ in consideration of the Petition on the reverse side hereon. satisfactory proof having been presented before me. IT IS DECREED that Letters 0 Testamentary IiiI of Administration are hereby granted to' Donna L Boltash 11:.1...: d,b....".l,: """'.....Ik.;.......'..MIMrllia; du,..,.mino>ri...., in the above estate and that the instrument(s), if any, dated N/A. described in the Petition be admitted to probate and filed of record as the last Will of Decedent, FEES Letters,..."",......,...,...,., , Short Certificate(s).......... Renunciation", ',.......,..... Affidavit ( )................. Extra Pages ( )............ Codicil.....,.,.,...,..........,. JCP Fee........................ Inventory & Tax Forms... Other..",...,.."..,.,..,..,..,. TOTAL...........:.., RW-7. $Po,0.) $ IS ,ex---, $ .5 .CY'\ $ $ $ $ \D.ao $ $ $\\'5,00 ~.<yj"'4.cn.^ '~I1"~~ ...'"., of w"'.~ CZ5' Attorney: 1.0. No: Address: Mark E, Halbruner 66737 1013 Mumma Road. Suite 100 Lemoyne pA 17043 Telephone: DATE FILED: 717-731-9600 \\-.:\3 - ;:;;)C">,,~ RENUNCIATION 02-1- OLl -/013 InReEstateof~(^ ^ (fA", AluM \)a~",,,, , deceased, To the Register of Wills of (' (,,,,, 't>..,\r,^.~ County. Pennsylvania. Ie, (\,~,,^ "> Ie... J the above decedent. hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters The undersigned (I ."", oACt ~ 1 of be issued to lVo 1'\ ," 11 L ISn \-\;0..5 t, , WITNESS hand this 'L '-- day of .(bUeJ.A.jA~ao.95:f-, ~, ~ ~:, '^"j (Si;nature) I?:,q') (L,~~ U (he'^"', ,,\l~ PA. l/o~ ) (Address) :Ji t;; \_~t:~' C .p~ (Signature) 1/ "'~~ r...'..... N N (Address) ,-,. f=' (Signature) (Address) H105.905 RE\'.{Ol/041 This is to certifY that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P,L. 304, approved by the General Assembly, June 29, 1953, WARNING: It is illegal to duplicate this copy by photostat or photograph, ~ ~ I/~ 32,~1 0 4 8 <:":No, . Charles Hardester State Registrar Calvin B, Johnson, M,D" M,P,H, Sectetary of Health OCT 042004 Date 0- o N ,..... u CJ ,j ~ I -04 -( () I.?> r-:COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS " CERTIFICATE OF DEATH -if'~ '- "- (Coroner) Hl05.144Rev.1191 p TYPElPRIffT ~ PEAIrtlAN!:NT 8L,t,CKINK Harrisburg,p ,. FACILlTYNAMElllnot,nSl<l\JIion,glye""eetandnumbe'j '" ,. SWEFILENU~BEA SOCIA1:SECUAITYNUMBEFI " 080005 1. Duran Alan Parson AGE(LasIBirth<laYJ UNOEFtlYEAFt ....... ~. UNDEFt 1 DAY 110u," Mln"'.. BIFHI1PlACE(C,lyaM Slateo,Fp'eignCountry) Pl.ACEOFDEiU"l-I(Che<:kpnlyone _illSl'ucl>OI>!lonotl>e,;ide) I10SPfTAL IJ'Ij>O.tiontD ~~ityjD Lancaster Ie. Manor Tw _ N. Susquehanna River KINDOFSUSINESS/INOUSTFtY FtACE-Al\'Iet1ca"lndiln.B"Ok,Wh~o,lOIe ISpe<:<fy) DECEDENT'S USUALOCCUPJl;rION ~':ok~~I~~d,~dtu~';~,~"f 11. Self-Employed 1 endin DECEOENT'S MAILING ADDRESS(StrlMl.City/Town,State,ZipCode) 406 16th street New Cumberland, PA 1707 ,. White SUFtVIVINGSPOUSE III ","e,gi""m.ioennarnel ,", FATHER'SNAME(F;m, Middio,l"IJ 1L Robert William Jones IN~~ySS't~rl{": Brinsky Machine 1. DECEDENT'S ACTUA~ RESIDENCE 5oelnsl'u~. notl>",~de) 11.. St.lO " _m I,.,.ln. Cumberland townl"'p? 11d.~ :~N=:r~~~Of New MOTI1EII'SNAME(F",..I,Mldd!a,Ma;oan5umalnel '" 11..D.....,d_ntN.tdl~ "" 111>.Coun Cumberland <'/IylborQ o ~ , ~ . 1, 2004 '". INFOR 'SMAILINGADDRE (&r"",CilyfTown,Stale IpCodel 1393 Rid e Rd' Grantville PA 17028 PLACEOFOISPOSITlON. N.....oIComet.ry, c......t<<y LOCIO'ION_CJtyIThwn. ete,Zi;>CocIo O'D1fMrPl_ E _ Hanover TWP; te.Shells Cemeter 21 0 hin Co NAMEANDADDRESSOFFAQLlTY PA 17028 use FH" 9066 Jonestown Rd- n liCENSE NUMBEFt DRESjGNEO (Monlt>. Day. Yea'J '11 LIC€NSENUMBE'I'I _.012206L b41stofrnY~""w1tdll",d"'lh<<cumtdall"""IM,dateaMplace'lIn'd (SiQMlu'eaf1dTI!le1 " DUE1O(0Fl;.sACONSEOUENCEOF) 2.. Z3C. WASCASEREFEI'IREDTO~~MINEFIICORONEI'I? ,.0 D. !~~I=O" 1'IIdlT11: ~t;"~:~~~~::Z:'~:=~I=~~ j0<lU10nd..llh "< I> >0. 21.PART.: Em.'lfla~...._,lnjtm...o'compl"'lllonS""iCIlCl.uNdthtlOlaln,Oo Llelonlyono-.onNCIIline ~ .. DUE1O(OFlA5ACONSEQUENCEOFj' DUE 10 (OF! AS A CONSEOUENCE OF)' <t . WEAEAUTOPS'r'FlNDINGS -'LA8LEI'FtIOR1O COMPLETIONOFCAUSE OFDEArI1? MANNER OF DEATH "IIIIONOUNClNGANDCElITll"YINGPH'fllICl,l,N(Phy"",ianbothpronoune,nO"",,lhandoonilyingtocau..,oldaalhJ TOlMbfttol'm~.~,,*,,,,accU""'Olv.._,..,_plaee,'ncIdU-lOlhee~.).ncI""'n...r..._.. o DESCRIBEHOWINJURYOCCUARED , 4~ tv~S--4. S'"~-It4"'1 """ ~"....... Natural o 6A o Hornlelda F'endlngln_lgltion CoUldnotbedelermlntd DAfEOFINJUA'r' (Month,Day,Yea'i o AI<<;.;;lC;-" o o PlACEOFINJURY.Alhcma,ft\tm,IIfeel,IllcIoI'JI.offl"" ~~~ng,Oh;(spe<:<Iy!ni.s'tU"'HHVI'" K. .,- 0311>. UCENSE Tllo1E OF INJURY o ~$. ,.0 .~- "j"I'" \; ~ ~ ~ I D'. Cl!RT1l'lER(CI\ecl<.onlyone) "CEATlFYINGPHmClAN(Ph\'SiOianoer!llyingCaUeeOldaalhwt1""enothetPhys<:ianhalP<onounceddaalhandcomplaledllem23) TO"MetDlmy~,dIolh_duetotMOlIUM(tl).ncIm.nn....atIIlH. . $uiQda n "MEDICAl. EXAMINMfCOAOHI!R On........of-...mlnatlonanclJorlnVNIlgallon, In""'O!llnlon,d..th OC:CU~ tlttlMtlml,dtltl, and pl_,lnd du-toff" lllI....(.) and __Itahod.................................................................................................. ".. REGISTRAR'SSlGNRlJREANDNUIol8eR \2f'~ 1,\,f'a.s-,71 , n. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Duran Alan Parson Date of Death: August 27, 2004 FileNo,: 2004-01013 To the Register: I certil'y that notice of estate administration required by Rule 5,6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on December 20, 2004, Name Venita Millar, parent and natural guardian of the minor child, Lilyanna Millar c/o Harry M, Baturin, Esquire Address Baturin & Baturin 2604 North Second Street Harrisburg, P A 17110 Notice has now been given to all persons entitled thereto under Rule 5,6(a). Dated: December 21, 2004 ~ ~~4[.-:;; e ark E. Halbruner, Esquire Counselfor Personal Representative GATES, HALBRUNER & HATCH, P,C, 1013 Mumma Road, Suite 100 Lemoyne, P A 17043 (717) 731-9600 (") <:::0 Co~ '.!Jl ~ (") .~ r- ,--- m H: cjj ~ :=:;00 (-) 0 11 ()c : :u :n-f ~r::.. ....., = = .c- o ", " N N = -.-.,-n FT4 c> 00 ---= :.!Jt.::J rTf r,'", :=--0 CJ ,:)C) ~;;~~ ~=rn C/) C") " ". ::J: en .j;"' ...' -,\ () ... ul 4' ul ul o .... I III III n () o hI 0~~~ ;.,,::n~ r'"' ,....., 0 C" (A \-' (';l {1;1 0' 0 Q ;:l- - ~...,,, ~ s. s;- '" )>0"<>- ....."'~('J -1 ffl (lJ 0 0" '" ..... r,/lo,s.a IJ-J,D; >:,e.,< €.~O rot 0 0 " ~~ .--5' ~~ " G) ~\ -;r. ~ ~ t'" ';Ii ~ Co 0 't. '" ~~ m ~\S;\ -;r. ~\ \~\ 'm- ~~ Q~ ZC !"~ -u~ tn)> Z." ;LO Ul)> ?9 "Ul ~S -.... ':tn ~- 00 ,.0 "' LS:2 \" LAW OFFICES OF GATES, HALBRUNER &- HATCH, P.C. 1013 MUMMA ROAD. SUITE 100. LEMOYNE, PENNSYLVANIA 17043 (717) 731-9600. FAX: (717) 731-9627 LOWELL R. GATES, Ll. M. LL M.inTaxation Also Admitted 10 Massachusetts Bar MARK E. HALBRUNER Also Admitted to New Jersey Bar CRAIG A. HATCH, CELA Certified as an Elder law Attorney by the National Elder Law Foundation ALBERT N. PETERLIN Also Aanitted 10 Maryland Bar CLIFTON R. GUISE Also Admitted to practice before the U.S. Patent & Tradsmark Office BYRON L. McMASTERS, LL..Y. LL M. in Taxation May 26, 2005 BRANCH OfFICE: 3 WEST MONUMENT SOUARE, SUITE 304 lEWlSlCJW!'oI..l PA. 17044 (717) 2'W:1-6909 WEB SITE: WYffl.GatesLawFirm.com CORREsPONDENCE ADDRESS: Lemoyne Office STACEY L NACE ParalegaVOffIce Manager TRACI L SEPKOYIC Paralegal VALERIE LONG Paralegal Cumberland County Courthouse Office of the Register of Wills One Courthouse Square Carlisle, PA 17013 ~....; RE: Estate of Duran Alan Parson File No. 2004-01013 .'",''' Dear Sir or Madam: (,,,,) ~J Today my office requested the Department of Revenue for a six month extension of time to file the inheritance tax return for Duran A Parson, Enclosed is a check in the amount of $1,403,21 as payment of the inheritance tax which we estimate to be due with the filing of the return, Please contact my office if you have any questions regarding the enclosed, Sincerely, l /{~vv It r ~/6? Mark E, Halbruner MEH/tls Enclosure cc: Donna L. Boltash, Administratrix COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BU!=lEAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV.1162 EX(11.96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HAlBRUNER MARK E 1013 MUMMA ROAD SUITE 100 lEMOYNE, PA 17043.1144 ------- fold ESTATE INFORMATION: SSN: 166.62-3714 FILE NUMBER: 2104-1013 DECEDENT NAME: PARSON DURAN ALAN DATE OF PAYMENT: OS/27/2005 POSTMARK DATE: OS/26/2005 COUNTY: CUMBERLAND DATE OF DEATH: 08/27/2004 NO, CD 005374 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1 A03,21 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1019 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $lA03,21 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG, PA 17128-0601 June 3, 2005 Telephone (717) 787-3930 FAX (717) 772-0412 LAW OFFICES IF GATES, HALBRUNER & HATCH, PC 1013 MUMMA ROAD SUITE 100 LEMOYNE, PA 17043 Re: Estate of DURAN A. PARSON File Number 2104-1013 Dear SIR/MADAM: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate, In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months, This extension will avoid the imposition of a penalty for failure to make a timely return, However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date, The return must be filed with the Register of Wills on or before 11/27/05 , Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted, c"') ~~--;r;;~~ Claudia Maffei, superv"Zr Document Processing Unit Inheritance Tax Division co ~ ~"-- INRE: : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION ESTATE OF DURAN ALAN PARSON, Deceased. : DOCKET NO. 2004-01013 .~, '(;-;1 t> ".-, {.-'"'\ ,'\ '-u PETITION FOR RULE TO SHOW CAUSE i---,) , \<) AND NOW, comes Donna L. Boltash (hereinafter "Petitioner"), Administrator of the EsJ:~te of Duran Alan Parson (hereinafter "Decedent"), by and through her counsel, Gates, HalbruneF& , Cl ~ Hatch, P.C., and petitions as follows: 1. Decedent died on August 27,2004, at the age of24. 2. Decedent was not married. 3. Decedent was survived by one child, Lilyanna Isabel Millar Parson, as well as his mother, Crystal Brinsky, and his paternal grandmother, Donna L. Boltash (Petitioner). 4. Before granting letters of administration to Petitioner, the Cumberland County Register of Wills held a hearing at which Decedent's mother, Crystal Brinsky, was present and given the opportunity to be heard. 5. Crystal Brinsky did not ask the Register of Wills to grant letters of administration to her, and she did not object to the letters of administration being granted to Petitioner. 6. Petitioner has purchased a custom memorial stone to be placed on Decedent's grave. 7. Patricia Mott, a collateral relative of Decedent, owns the cemetery lot in which Decedent is buried, and she has refused to allow Petitioner to place the memorial stone on Decedent's grave. \'J \Cl '-:\ (; ., --".., . J c---r' , ',:"1 ;-::> -":>;i .f] ~') _ '~:Tl 8. Petitioner believes and therefore avers that Patricia Mott is acting at the direction of Crystal Brinsky, who for unknown reasons, does not want Petitioner to place the memorial stone on Decedent's grave. 9. No memorial stone or other permanent marker has been placed on Decedent's grave, and Petitioner believes that no other arrangements have been made to do so. 10. As Decedent's grandmother and the administrator of his estate, Petitioner desires to place the memorial stone without further delay. WHEREFORE, Petitioner respectfully requests that the Court issue a rule upon Crystal Brinsky and Patricia Mott to show cause why Petitioner should not be permitted to place the memorial stone on Decedent's grave. Respectfully submitted, Gates, Ha1bruner & Hatch, P.C. By: 7L{;~,(l C!~? - Mark E. Halbruner, Esquire, Counsel for Petitioner Attorney LD. #66737 1013 Mumma Road, Suite 100 Lemoyne, P A 17043 (717) 731-9600 Date: C\ h., (O~ VERIFICATION The undersigned hereby verifies, subjectto the penalties of18 Pa.C.S. Section 4904 (relating to unsworn falsification to authorities), that the facts set forth in the foregoing petition which are within her knowledge are true, and as to the facts based on information received, after diligent inquiry, that she believes them to be true. Jar .' &' --- . i ~ ',- A ',( Date~" JL:}Ui1T--' v} /, ,~ C C J ( I (i.7'Z-lLCC. --.,Y;2~~>~ Donna L. Boltash,' Administrator of the Estate of Duran Alan Parson, Deceased LAW OFFICES OF GATES, HALBRUNER &-HATCH, P.C. 1013 MUMMA ROAD. SUITE 100. LEMOYNE. PENNSYLVANIA 17043 (717) 731-9600. FAX: (717) 731-9627 LOWELL R. GATES. LL M, LL M. in Taxation Also Admitted 10 Massachusetts Bar MARK E, HALBRUNER Also Admitted to New Jersey Bar CRAIG A, HATCH. CELA Certified as an Elder Law Attorney by the National Elder Law Foundation ALBERT N, PETERLIN Also Admitted to Maryland Bar CLIFTON R, GUISE Also Admitted to practice before the U.S. Patent & Trademark Office BYRON L McMASTERS. LL,M, LL. M. in Taxation September 21, 2005 BRANCH OFFICE: 3 WEST MONUMENT SQUARE, SUITE 304 LEWISTOWN, PA 17044 (717) 248-6909 WEB SITE: www.GatesLawFirm.com CORRESPONDENCE ADDRESS: Lemoyne Office STACEY L NACE ParalegaVotfice Manager TRACI L SEPKOVIC Paralegal VALERIE LONG Paralegal Cumberland County Courthouse Office of the Register of Wills One Courthouse Square Carlisle, P A 17013 RE: Estate of Duran A. Parson File No. 2004-01013 Dear Register of Wills: Enclosed for filing is a Petition for Rule to Show Cause. Please time-stamp a photocopy of the Petition and return it to my office along with a certified copy ofthe Rule to Show Cause. I have enclosed two additional copies of the Rule to Show Cause to be certified and served upon Crystal Brinsky and Patricia Mott along with a copy of the Petition. Envelopes addressed to Crystal Brinsky and Patricia Mott are also enclosed. A check in the amount of$25.00 is enclosed as the $15.00 filing fee for the Petition and $10.00 to certify the two (2) additional copies of the Rule to Show Cause. Please contact me if you have any questions. Thank you for your service in this matter. Sincerely, ~!'.Y~ Mark E. Halbruner MEH/tls Enclosures cc: Donna L. Boltash, Administratrix PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE FORM 6.12 YEARLY UNTIL COMPLETION. ......, = <::;;> t:J'1 C- c: r- STATUS REPORT UNDER RULE 6.12 8 ~g l.....:O. ~ .', ....... ." ... , .~ r- , m ,s,.,.;::Q ,',.'-N;A Doo (')0.,., f.::JC :::0 ,o-l -'r'~.. :.:1::, r '"1'"1 ~ - -~l (~5 --,.--, n r-h C:J ~~,;;:~ C7~ 'Tl CO-) iTl (:~~ Name of Decedent: Duran Alan Parson U1 -0 :J;: ~ (J"l -..l Date of Death: Will No.: August 27, 2004 2004-01013 Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration ofthe above-captioned estate: 1, State whether administration of the estate is complete: No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete; May 2006 3, If the answer to No. I is yes, state the following: A. Did the personal representative file a final account with the court? N/A B. The separate Orphans' Court No. (if any) for the personal representative's account is: N/A C. Did the personal representative state an account informally to the parties in interest? NI A D, Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report, Date: July~, 2005 F&4A./ c!" ~ ~ _ Mark E. Halbruner, Esquire PA I.D, # 66737 GATES, HALBRUNER & HATCH, P.e. 1013 Mumma Road, Suite 100 Lemoyne, P A 17043 (717) 731-9600 Capacity: Counsel for Personal Representative ~ 'I jRECEIVED S,P 23 Z1lO5 I : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL V IA : ORPHANS' COURT DIVISION IN RE: ESTATE OF DURAN ALAN PARSON, Deceased. : DOCKET NO. 2004-01013 RULE TO SHOW CAUSE AND NOW, this \. S-t day of o j 0 L(r consideration of the foregoing petition, a rule is issued upon Crystal Brinsky and Patricia M tt to show cause why Donna L. Boltash, administrator of the above..:captioned estate, should n t be permitted to place a memorial stone on the grave of Duran Alan Parson. This rule shall be retu twenty (20) days after service hereof. . " c~ ~ Mark E. Halbruner, Esq. I.i~)-' 1013 Mumma Road, Suite 100 c."(')\)"'~5 . Lemoyne P A 17?~3 0:'1;,.\'" . (Couns~l for PetItIOner, Donna L. Boltash) \ . 'Y'C\.~3.-,-cL C0p~ \9 --3,-1..'"'5 !C': '. C~)'LA..~ ~('_~ ~~r~~~'-J'~ K~ c......nc\ PcC\A--". C 1...::....- fYk.\\:\ , ~ ~ ~v-5\ \/ BY THE COURT: I"~...., , j ~.(') ) ~ '\. . C) ..., 1 . -,'1 ," ) I'll ,~.') , I I ~ INRE: jRECEIVED SEP 232005 .~ t : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION ESTATE OF DURAN ALAN PARSON, Deceased. : DOCKET NO. 2004-01013 RULE TO SHOW CAUSE AND NOW, this \s~ day of o j 0 Lrr , 2005, upon consideration of the foregoing petition, a rule is issued upon Crystal Brinsky and Patricia Mott to show cause why Donna L. Boltash, administrator of the above-captioned estate, should not be permitted to place a memorial stone on the grave of Duran Alan Parson. This rule shall be returnable twenty (20) days after service hereof. BY THE COURT: , ~ ~~ ~ Mark E. Halbruner, Esq. {,\~Y . 1013 Mumma Road, Suite 100 Cr)V---~; Lemoyne P A 17?~3 _." ,?,.L . (Counsel for PetItIOner, Donna L. Boltash) \\.; '"",,, . ~ L C' , ~ IC',.......,\(,).. C .u p~ \ 9 -- 3> -","" 5 C~ " "'-.2 I c': J~ t ('~~~ ~...)-. ~v..~\.~':> K~ C,,-.ne\ Pc ~ c \.:'...- fY\<..\~ , ~ ~ ~,-"'5\ \\\~c\.~ ~tu(\. \\ \Q..0 l C- S - c S -h:, C ,,~-Jto....',- ~'-A'-~ K.;... " C,-",,-cI ~ 4 -.J . J\l-~TJ-h-:/"\A( t:,,- f' krt \/ 94 D i! fc ""(-\~ ~ D;t:;,.. ~ ...., r.l r-,~r, .; /\ 0'1 "'! " P'q. IIi ,: 1"') () nit' ('/ ~ ~. r; '1 ~I- ~ Q r, 0 .,I, 'iJj '., ,..~"t, . .;fJ ":'"1 ,..,;; C 7, , c' (, - r~ C' ;, ('\ (Am ~S ~ r,. '+ >I '~ r F SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits, 1. Article Addressed to: "rC\ ,- ,-,.C \(!... \ \ IC:t\ cJll 1;2 ~'-, I'. "l\~" ~(\ '2), " ....;' ) L; I)t-/( '- '-...:::li ,C ((l~~ ) I ~ /5:;)111 Ct-/-/O 2. Article Number (Transfer from service labeQ PS Form 3811, February 2004 . . . . . x B, Received by ( Printed Name) C. Date of Delivery /L/- 7'0 5- D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: Ii!l' No 3, Service Type I!f' Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C,Q,D, 4, Restricted Delivery? (Extra Fee) 0 Yes 7004 2510 0003 1245 9832 Domestic Return Receipt 102595-Q2-M-1540 ru rn I:Q [J""' U.S. Postal ServiceTM CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) LI1 ~ ru ....=I rn o o o o ....=I LI1 ru Postage $ Certified Fee Postmark Return Receipt Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ ~ o Sent To o I"- C\~: October 12, 2005 ?~~~ :~ ",.... 1. ,. ".i" ,,', I j f':' "': ':: Lt , . t i __. .,.} ,-. ,- Glenda Farner Strasbaugh Register of Wills Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, P A 17013 c RE: Estate of Duran Alan Parson Docket No. 2004-01013 Dear Court, Enclosed is the response of Patricia Mott and Crystal Brinsky to the petition as well as a case we were provided stating that the decedent's mother, Crystal Brinsky, should contro the decision on the grave marker for Duran Alan Parson. The name of the case is Pulaski v. Kyzer, (Cumberland County) 1980. Please refer to the enclosed copy of this case. If we need to appear or obtain counsel before a decision is made, please advise. Sincerely, /~/~ /qac Patricia Mott . Decedent's step grandmother 2672 Sunnyfield Drive Upper St. Clair, PA 15241 c~~~ ~ Decedent's Mother & Next of Kin 111 Rhi~~1:me - I 39.3 P-. ~d <j Rei. Grantville, P A 17028 cc w/enclosures: Mark E. Halbruner, Esq. 1013 Mumma Rd, Ste 100 Lemoyne, P A 17043 (Counsel for Petitioner, Donna L. Boltash) IN RE: ESTATE OF DURAN ALAN PARSON, Deceased. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, P A ORPHANS' COURT DIVISION DOCKET NO. 2004-01013 REPLY OF RESPONDENTS CRYSTAL BRINSKY & PATRICIA MOTT TO PETITION FOR RULE TO SHOW CAUSE As follows: 1-3. Admitted 4. Admitted. By way of further answer, Crystal Brinsky did not seek letter of administration because of constant threats and harassment to her family. She withdrew her attempt to become administrator. 5. Admitted. See additional information on above #4. 6. Unknown to respondents. 7. Patricia Mort. step-grandmother or decedent, did purchase the cemetery lot and has been advised by the cemetery and funeral director that she has the right along with Crystal Brinsky to purchase and design a headstone to be placed at gravesite. 8. Denied. Both respondents are acting under their own direction. Crystal Brinsky is acting as next of kin and Patricia Mott is acting as step-grandmother. 9. Admitted in partlDenied in part. No stone has been placed; however, a stone has been ordered by respondent and is under contract to be placed on the gravesite by October 14,2005. 10. Denied. Petitioner has no legal right relating to the gravesite or placement of stone WHEREFORE. Respondents respectfully request that this Court deny the petition. Respectfully submitted, Ic:?#~ () //p) ~ Patricia Mott, Step-Grandmother of Duran Alan Parson, deceased ~Jl, ~~ Crys Brinsky, Mother ext of Kin of Duran Alan Parson, deceased. VERIFICATION The undersigned hereby verifies, subject to the penalties of 18 Pa.C.S. Section 4904 (relating to unsworn falsification to authorities), that the facts set forth in the foregoing reply which are within her knowledge are true, and as to the facts based on information received, after diligent inquiry, that she believes them to be true. Date: 10- /3-cJS / ~ a ///lflC-- Patricia Mott, Step-Gmndmother to and Owner of cemetery lot for Duran Alan Parson, deceased. I VERlFICA TION The undersigned hereby verifies, subject to the penalties of 18 Pa.C.S. Section 4904 (relating to unsworn falsification to authorities), that the facts set forth in the foregoing reply which are within her knowledge are true, and as to the facts based on information received, after diligent inquiry, that she believes them to be true. Date: 10- 1'7 -0 S' " ~K-, ~ Crys Brinsky, Mother & nekt of kin to Duran Alan Parson, deceased. . Fl:CM : MMI< F~X NO. ~41~2815634 Jet. 12 .20'35 22: 14FM ". 'Page:' oD 18 Pa, n & C.3d 223 :8 Pa. D. & C.3d 223, 1980 WL. 520 CPa.Com.PI.), .~ Flduc.Rep.2d l6l Court of Common Fleas of Pennsylvdni3, Cumberlllnd CCllnt','. PUI<1lski \t, Kyzer 1\0.6 of 1978. NOVf!mber 5, 1980 U'l .Z2.J Adjuc'catlCln In equIty. West Headnote.; Ke'y'Cit~ "~9.\e$. ~ . 116 Dead Bodies l),Qk~ eurial , ' .ll.Pjt.~ k. In Ge'~eral M..9.KCtted C?\ses rhl! surviving spou:.e of a decedent has the primary rIght of burial Including the rl~ht to in\ital ;e grave marker ovei'" the objections of the oecedent's da~(l!1ter/execl.:tri)( who claIms ownership of t , Grlve'Slte by tler duty under tne wli\ to pay f'Al."1I1 expenses, John 6. Mancke, for plaintiff. Richard C. Snelbaker, 'or defendil11t, HOFfllE~, J. t'iISTORY Or- May 28, 1976 l-Iazel A, P,-,Iaskl dlec testate !ea\lln; the deferdant.. her dClu9~!ter from a prL:Jr mar-rlllge. as e'lCe{.utr x Of her estate, Also surv\vin9 Mr'!:. PUlaskI was hEr husba"ld, plaintiff. Defend' nt and he~ two undes made the funeral arranGements, As reouired by decedent's will, dere!1dant p<ljd the funeral home for its services In her ro!~ IlS executrix. o~: June 17,1977 plaintiff putc.;has&d a monumt:nt for Mni. ::luI8Skl'~ grave which w!'!s oi!!rgre...ed "Hue! A. PulbSki" ~:"Id placed It upon ttle greve !lite, 5hortiy .?tft~rwards, defe"\dant ~emo...ec the stone m.rker and replac:e(.: it with l!l mO:iumertt that wtiS engrllved With the rame "Hazel A, Klinge." On FebrlJa~y 17, 1976 plaintIff sued deend.mt I:' equity and reQuested tr:s ccurt to (I'l) enter an inju~ctlon pro:vent;ng defMdant from tre$passl"\g upon ':I"e cemeteryot of deefc:ent; Hazel A. ~ulasr.l: (b) order that th~ grave monument ~laceo *224 by defendant on r.he cemetery lot be remove::!; (c) prevent and _njoln defendant 0" cefend!r'1t's agents from trespnsi"9 on the grave si e; !1M (d) order such other remedy as tre court o~@~s ~t ana proper, Ff'Or-r the !estit'iony prese~ted at th~ heerfng on July 11, 1980, we make the following FINDINGS OF FACi 1. Plaintiff, Robert J. Pulaski, i~ an adult tnaiv.du&1 whO '"eslded at 12 East Kelier Street Mechanicsbllrg, CUfT1berland Co,mty, Pll., at the t!l"'\e o~ filing of his eOlY'!plalnt. 2. Oefendant, Debra K. Klinger Kyzer, Is 11"1 !dult individual WhO currently resides a: &..\2.1, YOrk Springs, Pa.. and Is tne executrix o!' t'le es~~e of Hnei A. Pulaski. 3. Robert J. P'.) ask' end Ha!el A, Pulaski were m~rrled on November 11/ 1967. 4. Hazel A. Pu-"..k. 1iecS on May 28, 1976, llt wnlch time she and plalrtlff were re~lc"'9 together ~n '1'1a!ntllllning rhl!!ir hOme at 15 East Keller Street, MeCf~a"lcsbur9, CUlT10erllllnd County, !='i't. 5, lolaz$1 A Pulaski died testllte, having name(j derend!lnt 8S exe~utrlxi on or about JLne 15, 191e he executrix was gn"ted letters testamentary In tf>l1J l!!:t1.lte of Hazel A Pulaski upon oefendart's pet!t on :0 the ~.aglste- (";I WI IS of Cun-berland County. 6. Deeedent's wHl Spf!r.Jta.lIy ~eQUlres the elC(lcut:i)( to pay all her j:.J$t. de:;ts and tu,',oeril: ex:.:enses. 7, Defe'1dant anc her uncles made arrangements for r.iecedent's bwr~ai i!!t C!"Iestnut Hill Ceme~erv j C~lmber\ilrr1 County, Fa., where decedent Wii!lS b;Jrled after plaintiff's ao!)roval o~ the cemetery site '42258. Oefet'\dant, oilS exec...:trl)(, plIld $1633AOto Martin L. Myers Funeral HQmO;;'! 0;\ l\Iovember~, 1978 for funeral serVICl:'!S orov:ded, **29 Pialntlff pi.IlirJ S150 on Septemr.:er 11. 1976 for one c::em~tery lot (ana fQul" COr/le~ marker.; d: h\tp:/!wcb2. westl~w.l..om!re:>llltldocumenrtext aspx7cfid-1 &l'lldb=CLlD__DB 1:\ 1 3:21 Ok, 10/ 12/(j05 m;< t..o. : 4122815>:,:'4 Jet. 12 2005 C2:15PM 3 Page 2 ( f3 . FROn : Ml"IY: 18 Pa, n. & C.3d 223 Chestnut Hili Cemetery. 10. On November 17, 1977 plaintiff purchased l'I grave monument which he placeo at the grave si of Hazel A. Pulaski. 11. Shortly afterwards, defendant removed the monument placed on the lot by plaintiff and placed another monument on tne grave site. 12. The monument placed on the cemetery lot by defelidant was placed without plaintiff's knowledg or permission. rnSCUSSION It has long been held that the "primary and paramount right to possessiof1 and custody of a body 21 d to control the burial or disposition thereof Is In the surviving spouse and not in the chlldren or next f kin. . . . II .L.~(;heY V. l.es.chey.i-..314_Pa...;'3S0, 35~91..A...2d7a4, 786 C1.2.ill. In a seminal case dlscuSSI"'Ig the rights Involved as to place and manner of burial, P~l9.r"''yv.v,Pettlgrew..20L.f.Q,.,:U:3 3l9'dSUtL.ezs, 880 (190..51, the court stated: "(I]r. mi'lY ba laid down first, that the paramount right Is in the surviving ~usband or widow i ano If t e parties were living In the normal relations of marriage It wl!1 require !I very strong case to justify a court In interfering with the wish of the survivor. Secondly, if there is no surviving husb!nd or wife, the right i~ In the next of kin In the order of their relation to the decedent. . . ." The preference given i'I surviving spouse stems *226 from the view that tl1e relaf;\ors!-tip between t e husband Md wife is tile closest family tie: Lesch~y v. Leschey, supra. :n this case, plaintiff, as decedent's surviving husband, has the ;:lrimary right of bunal. From tt-Ils r! ht of burial, and the facts of this case, we find hp. also has: the right to erect a tombstone upon hiS wif 's grave. "The right to bury Includes the rigr,t to erect a headstone at the grave. It Simon 'v. Urb~ .MpJ1.U(T!enreI WQ.[k~.....1.Q.7..E.i.tts. I...J. 62, 64.UQ.:5.'J}. During the ilearlng, both parties claimed they had ownership of the cemetery lot where Mrs. Pul~sk is buried, thus giving each the right to select and install the gr/lVe ma:"ker. Here, this is not the pivota Isslle. 10 cases involving burial rights, the relationships between the parties <:lnd decedent play the dominant role and less attention is given to the principles of property ownership. As the court in .f-i.;tr.ic:;k v. Koehler, .,2;?..P-<L..R, & C ..2.d...4.7Q...(:!-..2.9_~:n, stated at 472.3, quoti 119 Block v"t1..i\LN~9 Cem etery Corn paJ'W. 14.Pa.~ D. & C. ~, :2 37. 8 (l2JQ): "The respective rights of parties relating to the custody and disposal of the ref"lalns of the dead re$ upon principles of law distinct and pec..:llar unto themselves. As was stated in FOl< v. Gordon [Sic], 6 Phi!a. lSS: '''Questions which relate to the custody and disposal of the remains of the dead do not {lepend upon the principles wflich regulate the possession and ownership of property, but upon co:;side~atlon.5 ar:sii19 partly out of the domestic relations, the duties and obligations which spring from family relatlonsnlp and ties of blood. . . . The tendency of the courts to break avvay from a common Ii!lw distinction between property and personal rights, espeCially reg;:Jrding the question involved in this case, is; recognil~d In Pettlgr~.Y,.E.~ttiQrew.207Pa.3..U_."I1' **3 This is not to say that ownership or the lot is nm: important, b~t, with respect to the p<'Jrtlcular facts of this case, we find ownership Is not the controillng element. Here, the lot was not pi,.;rchase until after Mrs. flull;lski's death and thL:s was intended for her speCific burial. Whether plaintff or d@fend15nt actually DurC'1ased tr,e loti decedent's wil' specifically required the executrix to reimburs , the purchaser from funds of the estate (Petitioner'S Exhibit No. S). From this prol(slon of the will, Cefendant claims that she is the sole legal rep:-esMtattve of the grave !iAe and thus has the or11y legal right to clloose and Install a grave marker. Nctw'thst21ndlng such an argument, defendant did not gain any of plaintiff's bUrial rights w"'en flllfillin9 her duties as executrix and paying for the funeral expenses. "Tne burial of the dead In t.hiS state is not one of the statutory rights and duties of the executors aid a'dm1nistrators. The duty of he executor Is primarily one of payment, that is. of auditing and payIng the expe!lses of such burial.. .H..QQg.e y. cameron,.U..~.eg,'u..syperlor Ct, 1,UJ_2.QO..AtL2.;}_~, 243(19~. In that ease, tr\e executo 'lad .!Ilso been expressly deiegated the duty to pay all funeral expenses. The executor' argued that 1; is obligation gave hip": the 5up~rlor right to select the undertaker over the rights Of the next of kin. In holding that the duty and right of burial were quite different, the court held that the wishes of the survlvi'ig spouse or next of Kin as to the place and manner of buria: could not be disregarded by th court In favor of tile admirlstrator's w:shes. Thus, since t~le cost of a tombstone or monument .s a *228 proper tLlneral expense chargeab;e to the estate, KrC!~Qel-'s EsJ:.i!lt.e, 277.f?..a..... 326, 121 At!. 10.. U.91~), oefendant Ilas the duty to pay for such an expense but plaintiff has the ri9ht to se!~ct the tombstone in tr:ls case. A second issue raised at ti)e hearing was whether plaintiff :lad waived the rl~ht to select and instal! http://web2.westlaw.C0111/resultidocumenttext.uspx?ctid=1&rltdb=.CT.1D _.DB 13131210&... 10/12/ 005 . .FRO~~ : t1f'1K 18 Pu. D. & CJd 223 FAX NO. :4122815634 [let. 12 2805 [Q: lEFt'l F'4 Puge 31)[3 the tombstone by hi! flJlllure to be involved in the making of the funeral i!!rrangeme<lts. W@ have found that defendant and her two uncles hlld made all the funeral arrangements and that pllm'ltiff lad not assisted In these decisions except for approving defendant's selectlol1 of the cemetery. Defend nt claims such behavior constitutes I!lbMdonment of all pllllntlff's rights of burial with reSDect to decedMt. However, plaintiff's I.!lCk of participation was the result of defendMt's exclusion of plaint ff from such decisions and not a waiver of his rights. Defendant never deSired plaintiff'.s opinion nor asked him to participate. Even without such exclusion, it would be difficult to find that. plc:intiff's q iet acquiescence to defeMant's arrangements constituted a waiver of any of his remaining rights. In MlUer.y'"..N.~.tt.Q.]1ancLl;~J:I.lm~~latmn,l4..P.a,_.o.......&c.2.d7..35_..c125~lJl the court held that the failure to obJect at the t:me of the burial could not; waIve the rIghts of the survi'Jing spouse since s ch rights are of a paramount natUl"e. Instead, the waiver woulo have to be much more explicit. 'Thus, we flnd plaintiff's right to select and Install a grave marker not to have been waived. CONCLUSIONS OF LAW **4 1.. TI1e court has jurisdiction over the parties and the subject matter of thIs case. *229 2. Plaintiff, as the surViving spouse, has the pr!mar'y right to select and install a grave mar er upon the decedent's grave. 3. Plaintiff did not waive his rights of burial with respect to decedent. DECREE NISI And now, November 5, 1980, In accordance with the adjudication filed this date, It is I:ereby order d, adJudicated, and decreed that defendant: 1. Remove the grave monument she placed on the cemetery lot of Hazel A. Pulaski. 2. Return the grave monument erected upon the saId site by plairtlff to its original placement. 3. Refrain from further disturbing plaintiff's monument In the future. The pi^othorotar'Y shall enter this decree nisI and give notice to the parties or their counsel. If no exceptions are flIed within ten days, the decree, upon praeCipe, shClll be entered by the prothonot' ry as a fi na I decree. Pa.Com.PI. 1980. Pulaski v. Kyzer END OF DOCUMENT @ 2005 Thorr.500!We"t. Nt' Calm tt' Orl\!, U.S, GrNt. W rks. h1:tpJ/web2.westlaw.COIll/result!dm:umenttext.l:1.spx?c5d:"'1&rltdb=CLlD_DB 1313121 0&". 10/J2/ 005 I INRE: ESTATE OF DURAN ALAN PARSON: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA ORPHANS' COURT DIVISION NO. 21-04-1013 ORPHANS' COURT ORDER OF COURT AND NOW, this 18th day of October, 2005, upon consideration of Petitioner's Petition for Rule To Show Cause and of the Reply of Respondents Crystal Brinsky and Patricia Mott to Petition for Rule To Show Cause, a hearing is scheduled for Monday, December 12,2005, at 2:00 p.m., in Courtroom No.1, Cumberland County Courthouse, Carlisle, Pennsylvania. BY THE COURT, y <~ c.- -t Mark E. Halbruner, Esq. ",", :>- 10 13 Mumma Road ~ q .v Suite 100 ~ v J Lemoyne, P A 17043 '/ .". , Patricia Mott '5 2672 Sunnyfie1d Drive /;fl / -. 0-- ,7 Upper St. Clair, P A 15241 v? ." 7 .Y ~ :;", Crystal Brinsky /' OJ 1393 Ridge Road /;, ;.. ~ Grantville, P A 17028 ~ ~ ~. , w - 0 TC '. T ('~ s; ,'. ~ -.J ",,---~ '. I - Certified Mail Provides: . A mailing receipt (eSJ8^8tj) GOOG auor '001lE WJO=I Sd . A unique identifier for YDur mailpiece . A record Df delivery kept by the PDstal Service fDr twD years Important Reminders: . Certified Mail may ONLY be CDmbined with First-Class Maikil> Dr Priority Mail@. . Certified Mail is not available fDr any class of internatiDnal mail. . NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. FDr valuables, please consider Insured or Registered Mail. . FDr an additiDnalfee. a Return Receipt may be requested to provide prDof Df delivery. TD Dbtain Return Receipt service. please cDmplete and attach a Return Receipt (PS Form 3811) tD the article and add applicable pDstage tD CDver the fee. EndDrse mailpiece "Return Receipt Requested". To receive a fee waiver fDr a duplicate return receipt, a USPS@ postmark Dn YDur Certified Mail receipt is required. . FDr an additional tee. delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "RestrictedDeJivery". . If a postmark on the Certified Mail receipt is desired. please present the arti- cfe at the pDst office tor postmarking. "a postmark on the Certified Mail receipt is not needed. detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed fo APOs and FPOs. IN RE: ESTATE OF DURAN ALAN PARSON, Deceased. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA : ORPHANS' COURT DIVISION : DOCKET NO. 2004-01013 PRAECIPE TO THE ORPHANS' COURT CLERK: Please withdraw the Petition for Rule to Show Cause filed by Donna L. Boltash, Administrator of the Estate of Duran Alan Parson, and cancel the hearing scheduled for December 12,2005. Respectfully submitted, Gates, Halbruner & Hatch, P.c. By: YZ~€-ttJ r' ;(~~' Mark E. Halbruner, Esquire ~ Counsel for Petitioner Attorney J.D. #66737 1013 Mumma Road, Suite 100 Lemoyne, P A 17043 (717) 731-9600 Date: 1)_( c:; 10') (""") a LL_ c:: UI c.) . c:= LL. i c..~) ( C'J ,~ LL. ",0 I C'! U.l ' r.~.~: I CL c-, f~~~i L, CL L"'.l c.~, <--::.J '.....1 Co", r>t -- - CERTIFICATE OF SERVICE I, Mark E. Halbruner, of the law firm of Gates, Halbruner & Hatch, P.C., hereby certify that I served a true and correct copy of the foregoing document on this date by First Class mail to the following: Crystal Brinsky 1393 Ridge Road Grantville PAl 7028-9156 Patricia Mott 2672 Sunnyfield Drive Upper S1. Clair P A 15241 GATES, HALBRUNER & HATCH, P.C. '//11 _ ~l {"' ') / ~ I (/ LCvc Ct C r )~V =.~'---- Mark E. Halbruner, Esquire lOB Mumma Road, Suite 100 Lemoyne, P A 17043 Telephone: (717) 731-9600 Date: ~ c- ~ -~<.- S- _,2005 LAW OFFICES OF GATES, HALBRUNER &-HATCH, P.C. LOWELL R. GATES, LL. M. LL M. in Taxation Also Admitted to Massachusetts Bar MARK E. HALBRUNER Also Admitted to New Jersey Bar CRAIG A. HATCH, CELA Cert~ied as an Elder Law Attorney by the National Elder Law Foundation ALBERT N. PETERLIN Also Admitted to Maryland Bar CLIFTON R. GUISE Also AdmiMd to practice before the U.S. Patent & Trademark Office BYRON L. McMASTERS, LL.M. LL M. in Taxation 1013 MUMMA ROAD. SUITE 100' LEMOYNE, PENNSYLVANIA 17043 (717) 731-9600' FAX: (717) 731-9627 BRANCH OFFICE: 3 WEST MONUMENT SQUARE, SUITE 304 LEWISTOWN, PA 17044 (717) 248-6909 WEB SITE: www.GatesLawFirm.com CORRESPONDENCE ADDRESS: Lemoyne Office STACEY L. NACE ParalegaVOffioe Manager TRACI L SEPKOVIC Paralegal VALERIE LONG Paralegal December 5, 2005 Orphans' Court Clerk Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 RE: Estate of Duran A. Parson File No. 2004-01013 Dear Sirs: Enclosed are the original and one photocopy of a Praecipe concerning the above-referenced estate. Please file the original, then time-stamp the photocopy and return it to me in the enclosed envelope. Copies of the Praecipe and this letter are being sent to Judge J. Wesler Oler and the respondents to notify them that the hearing on my client's petition is being cancelled. Thank you. Sincerely, ~ ~7 __~ "j? "/") ..' ./,-- ./ I'C~eMj v;. c-? ~~.'~~....'.'.'-"''''~-::;> . .:> Mark E. Halbruner'- Enclosures cc: Hon. J. Wesley Oler (wi encl.) Donna L. Boltash, Administrator (wi encl.) Crystal Brinsky (wi encl.) Patricia Mott (wi encl.) REV-1500 EX (6-00) . . OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ~L COUN1Y CODE ~L 01013___ YEAR NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ Parson Duran ~ DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) ~ 8/27/2004 2/21/1980 W (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) C A SOCIAL SECURITY NUMBER 166-62-3714 TIllS RETlJRII MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER W I- ~~(/) oa:~ wa.o J:~ Oa.1Il a. oCl: [i] 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 3. Remainder Return (date of death prior to 12-13-82) D 4a. Future Interest Compromise (date of death after 12-12-82) D 5. Federal Estate Tax Return Required D 7. Decedent Maintained a Living Trust (Attach copy of Trust) L 8_ Total Number of Safe Deposit Boxes D 10. Spousal Poverty Credit (date of death between 12-31-91 am 1-1-95) D 11. Election to tax under Sec. 9113(A) (Allaeh Seh 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS I- Z W o z o l1. rJ) W a: a: o (,) Mark E. Halbruner, Esquire FIRM NAME (If Applicable) Gates, Halbruner & Hatch, P.C. TELEPHONE NUMBER 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 717-731-9600 1. Real Estate (Schedule A) (1) $0.00 $0.00 $15,825.83 $0.00 $57,239.08 $0.00 OFFICIAL USE ONLY ~ ~-::.j J 1..-:.,-1 ,- ') -n 2. Stocks and Bonds (Schedule B) (2) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) .-i C::J 1 CJ I f'0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) /.,..... z o j:: ~ :::::l I- 0: <( o W a: 6. J~ Owned Property (Schedule F) U Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) (6) 1:.1.) $0.00 Ul 8. Total Gross Assets (total Lines 1-7) (8) $29,313.15 $16,606.89 $73,064.91 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (11) $45,920.04 $27,144.87 $0.00 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (12) (13) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) $27,144.87 15. Amount of Line 14 taxable at the spousal tax $0.00 ~(15) z rate, or transfers under Sec. 9116 (a)(1.2) x .0 0 i= 16. Amount of Line 14 taxable at lineal rate $27,144.87 x .0 ~(16) oCl: I- ::J $0.00 a. 17. Amount of Line 14 taxable at sibling rate x .12 (17) :!! 0 $0.00 0 18. Amount of Line 14 taxable at collateral rate x .15 (18) >< oCl: 19. Tax Due (19) I- $0.00 $1,221.52 $0.00 $0.00 $1,221.52 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 3W4645 1.000 Decedent's Com lete Address: STREET ADDRESS 406 16th Street Cumberland CI1Y New CUmberland STATE PA ZIP 17070- Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) $1,221.52 $0.00 $1.403.21 $0.00 Total Credits (A + B + C) (2) $1,403.21 3. Interest/Penalty if applicable D. Interest E. Penalty $0.00 $0.00 Total Interest/Penalty (0 + E) (3) $0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) $181.69 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $0.00 A. Enter the interest on the tax due. (5A) $0.00 $0.00 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. D 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D [iI IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this retum, 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. SIGJ5'TURE OF PERSON ~E~,ON~~R LING RETURN ~ ~, {;)t W-1G ADDRESS Yes No D D D D og og [j Ul ug []l DATE;: ~ I( d-d- (J s;- f 106 Birch Court SIGNATURE OF PRYARER OTHER n:At;lBfp,RESENTATIVE '}1Lo- ~ J. ""'~>---- ADDRESS 1013 Mumma Road, Suite 100 Camp Hill, PA 17011 DATE \ \ /~:2 lacs- For dates of death on or after July 1, 1994 and before January 1, 1995. the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99916 (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% [72 P.S. 99116 (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 twenty-one 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% [72 P.S. 99116(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%, except as noted in 72 P.S. 9 9116(1.2) [72 P.S. 99116(a)(1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P.S. 9 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. 3W4646 1.000 REV-150B EX + (6-9B) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Duran A. Parson FILE NUMBER 21 04 01013 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 NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 1986 Volkswagen Golf VIN 1VWFA0171GV077988 value is sales price $560.00 2 1992 Volkswagen Corrado SLC VIN WVWEE4508NK004381 value is sales price $3,400.00 3 1994 Chevrolet Suburban 1500 VIN 1GNFK16K8RJ422633 value is sales price $1,450.00 4 1996 Isuzu Trooper VIN 4S2CM58V9T4311183 value is sales price $1,000.00 5 1997 Ford Expedition, Eddie Bauer Edition VIN 1FMEU18W6VLA82598 book value $7,425.00 6 Capital Self Storage refund of storage fees $95.40 7 Capital Self Storage refund of storage fees $25.00 8 Cash found in safe deposit box (See attached Safe Deposit Box Inventory) $13,500.00 9 Central Penn AAA membership refund $42.00 10 Erie Insurance Exchange payment on auto collision claim (1997 Ford Expedition) $3,919.38 11 Miscellaneous personal property - value is sale price $10,058.00 12 PNC Bank Interest accrued to 8/27/2004 CheCking Acct. #5003717704 $2,942.16 $0.14 Total from continuation schedules $12,822.00 3W46AD 1.000 TOTAL {Also enter on line 5 Recaoitulation\ $ (If more space is needed, insert additional sheets of the same size) $57,239.08 . . Estate of: Duran A. Parson 166-62-3714 Schedule E (Page 2) Item No. Description Value at Date of Death 13 PNC Bank Interest accrued to 8/27/2004 Savings Acct. #5000836222 $12,518.17 $5.83 14 Progressive Insurance Refund on Policy #562353977 (Chevrolet Suburban) $182.00 15 Progressive Insurance Refund of Policy #56235397-6 (Volkswagon Corrado) $38.00 16 Progressive Insurance Refund on Policy #562353977 (Volkswagon Golf) $78.00 Total (Carry forward to main schedule) $12,822.00 REV-1511 EX + (12-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Duran A. Parson ITEM NUMBER A. B. 3W46AG 1.000 Debts of decedent must be reported on Schedule I. DESCRIPTION FUNERAL EXPENSES: 1. Buse Funeral Home funeral goods and services need copy of funeral bill Total from continuation schedules 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Donna L. Bol tash Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 106 Birch Court City Camp Hill State PA Zip 17011 Year(s) Commission Paid: 2005 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 A. Kovens Vending Corp. repair to vending machine Total from continuation schedules . . . . . . . . . FILE NUMBER 21 04 01013 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) AMOUNT $0.00 $5,500.00 $3,000.00 $13,000.00 $110.00 $279.05 $7,424.10 $29,313.15 Estate of: Duran A. Parson Item No. 2 3 4 Description . Schedule H Part 1 (Page 2) Buse Funeral Home funeral goods and services Gingrich Memorials gravesite marker Memorial Total (Carry forward to main schedule) . 166-62-3714 Amount $2,500.00 $2,945.00 $55.00 $5,500.00 . Estate of: Duran A. Parson Schedule H Part 7 (Page 2) 2 Becker's Towing tow Ford Expedition to location for sale 3 Calling All Cars Fee for selling 1997 Ford Expedition. 4 Capital Storage storage rent March - May 2005 5 Capital Storage storage fee for Haulmark trailer 6 Car Quest of Mechanicsburg battery for Ford Expedition 7 Creative Car Tunes custom alternator in Ford Expedition 8 Greenberg & Company, P.C. income tax preparation fees for decedent and DP Vending 9 J P Enterprises repair vending machine 10 Keys and fees for Haulmark trailer 11 Locksmith keys for Haulmark trailer 12 Miscellaneous administrative expenses 13 Patriot-News publication of estate notice 14 Patriot-News publication fees for sale of personal property 15 Progressive Insurance auto insurance premiums paid 16 Register of wills Short Certificates Total (Carry forward to main schedule) . 166-62-3714 $120.00 $139.00 $111.00 $119.29 $85.40 $267.92 $3,625.47 $110.00 $144.29 $25.00 $369.96 $240.37 $542.70 $839.00 $24.00 $6,763.40 . Estate of: Duran A. Parson Schedule H Part 7 (Page 3) 17 Register of Wills 7/13/05 18 Steve Sworen Automotive repair to Volkswagon Golf 19 UPS delivery charge for transport of vending machine for repair 20 Vital Records death certificates 21 Wal Computer Management, Inc. battery for laptop computer Total (Carry forward to main schedule) . 166-62-3714 $24.00 $358.38 $71.72 $90.00 $116.60 $660.70 REV-1512 EX + (12-03) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Duran A. Parson FILE NUMBER 21 04 01013 Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Internal Revenue Service 2003 federal income tax liability $994.78 2 Internal Revenue Service 2004 federal income tax liability $350.87 3 LB Smith Ford invoice for damage repairs on 1997 Ford Expedition (see also Schedule E, payment from Erie Exchange) $3,917.79 4 PA Department of Revenue 2003 state income tax liability $189.09 5 PA Department of Revenue 2004 state income tax liability $119.59 6 Smith Amusements repair to dollar changer machine (for DP Vending) $212.69 7 Speed of Sound stereo equipment installed in 1997 Ford Expedition prior to decedent's death and paid after death $10,732.86 8 West Shore Tax Bureau 2003 local income tax liability West Shore Tax Bureau 2004 local income tax liability $38.22 $51. 00 9 3W 46AH 2_000 S16,606.89 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) . SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Duran A. Parson NUMBER I 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Lilyanna I. Millar c/o Venita Millar R.R. #2 Box 207 Mt. Pleasant Mills, PA 17852 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) FILE NUMBER 21 04 01013 AMOUNT OR SHARE OF ESTATE Daughter $27,144.87 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 3W 46AI 1.000 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space is needed, insert additional sheets of the same size) $ so.oo . . DEATH CERTIFICATE with Act 66, P.L. 304, approved by the.eral Assembly, June 29, 1953. . WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ ~/I~ No. Charles Hardester State Registrar Calvin B. Johnson, M.D., M.P.H. Secretary of Health MAR 1 8 2005 Date Hl05, 144 Rev. 1/91 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (Coroner) 080005 TYPE/PRINT IN PERMANENl BLACK INK 'Z w o w u w o :;; w :1 z LOuran Alan Parson UNDER 1 YEAR UNDER 1 QAY Months Days Hours 2. BIRTHPLACE (Cn)' and Slate or Foreign Countrv) White SURVIVING SPOUSE QI wile. give maiden name) ..... Cumberland eltylboto o "' "' => ~ :; <( "<. o 23b. 23c. WAS CASE REFERRED TO M~l EXAMINERlCORONER? ~ NoD ... I Approximllt8 PART II: Other slgniftcant condllions contributing to death. but : int8Mll between I)Ot resuMing in the uncI&rtyIng Cause ~n In PART I. ! 01'IS8t and dealh ~ DUE 10(00 AS A CONSEQUENCE OFF DUE 10 {OR AS /J... CONSEQUENCE OFT- .... d. WERE AU1'OPSY FINDINGS .*M'llABLE PAfQR 10 COMPLETlON OF CAUse Ofoe.<.ni' MANNER OF OEJcrH Yos~ NoD Accident Homicide Pending In....stlgatlon Could no! be determined TIME OF INJURV INJURY AT WORK? "t Narullll o cJLJ" D ('!3'1J'rk. v.. 0 No i&. DESCRIBE HOW INJURY OCCURRED. , d~ Wl+~ S-"'.-..... "1 :J:>'\..b"'.~ >0<1. set, Cityfbwn, Stale) 2 2811. CERTlAER iCheck otWy one) -CERTIFYING PHYSICIAN (Physician certifyil"lg cause 01 death whOI"l anolher ptlysician has pronClUllCed death and canpleted Item 23) To th! bastot myknowtedge, death occurred due tc) the cauM(s) and m.nner...taled. .............................,.... Suicide 2t. -PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both prCll'lOUnCing dea#l and certifying to cause cA CleaIh) To Ute bast 0' my knowktdQe, de... ouuf't'edath tInw, daW, and place, and dUe 10 the c:aUN{.) .Adman..-r.. mted...... ........... ......... -MEDICAL EXAMINER/CORONER On the baals of examination and/or Investigation, In my oplrdon, death occurred al the time, date, and place, and due 10 Ihe cause(s) and mlll\nef''' staled.. . . .. . . .. . . ..... .. . . . .. . .. . . . . . . . . . .. . . . . . . . . ... . . . . . . . .. . . . . . '" . . . . ... . . . . . .. . . . . .. . . . . . . . . . .. . 31.. REGIST~AR'S SIGNATURE AND NUMBER \2f~ tif'as-0 . . CERTIFICATE OF GRANT OF LETTERS . . REGISTER OF WILLS CUMBERLAND County, Pennsylvania CERTIFICATE OF GRANT OF LETTERS )> \ '. No. 2004- 01013 PA No. 21- 04- 1013 Estate Of: PARSON DURAN ALAN ILast, First, Middlel Late Of: NEW CUMBERLAND BOROUGH Deceased Social Security No: 166-62-3714 WHEREAS, PARSON DURAN ALAN ILast, First, Middlel late of NEW CUMBERLAND BOROUGH CUMBERLAND COUNTY died on the 27th day of August 2004 and, WHEREAS, the grant of Letters of Administration ~s required for the administration of the estate. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills ~n and for CUMBERLAND County, in the Commonwealth of Pennsylvania, have this day granted Letters of Administration to: BOL TASH DONNA L who has duly qualified as ADMINISTRATOR (RIX) of the estate of the above named decedent and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 23rd day of November 2004. . >'4 hnri" ~ Ii" ~(b'tl'L>~ ( RegIS~s~.~ . Li:-J **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) . . PA REV-1500 SCHEDULE C CLOSELY HELD CORPORATION, PARTNERSHIP or SOLE-PROPRIETORSHIP I'.) W <..D C) -J en w <J1 "~:i:%:~2i:, ~ / j . . o PNCBAN< 040 32ND STREET BRANCH (106) 1400 CAMP HILL SHOPPING MALL CAMP HILL PA 17011 Cashbox 01 * Depos 1t Cash 12:42 Account Number Tran Amount Cash Amount MAY 9 2005 5001053887 $4,800.00 $4,800.00 W/S 10 WWSH1065 Sequence Number 00085 Batch 701 TillS demit or pm.nt Is Iccepted subject to verIficatIon and tD the rulu and rnulatlons of this bank. DSPDSlts mey not be avellable for IIDsdlate wlthdrewel. Receipt should bl held until verified with your statement. -/;- 1:' ." ..\ ...~, /,,, ......., [1 _ _ _ /2 c'LL- --c--___ I " , a--Vn...o~~ . . '.I / /ii1)./L L / ~' . / _ /:/ Wc'-L-L-(: /} J UL 1... K:/ ~ / /l/zL [Q r'f/ ./,--:t . . /&u-ull~$Yf?dO,61J ~ 7'~ 0Y1.> 1Jz~ 1 ~#-?J CJ 5 JJkJ ~~fV;::V~ ~ L ~C. ; ~ ~;I~~ , ~~J.jP~ ~ ~ >f-h- f0/1-L . . ~ 'IT 330 Page 1 of:2 I Htlu~mark.. I Work Order Hlulmark IMIl,tll.., Ino PA 0MIl0fI po loll . KIlnl "cI McAaf-' 111'1:\7 Vin. No 16HGB20254P041234 Cu.t P O. No STOCK Sal.. Order No. P1091Q07 Acknowledgement D.tlt 4/201200. SOLD W HOLE8Al.,E AUTO 10 1!i~ I ALLENTOWN BLVD H .(1- RRISBURG. PA 11112 CUllom.,. Slrvlel Conlaat: VARNER, JOHN Phone .: (670) 828-37111 Fill': (570) 8"""'.1 eUllome, N~,: 109311 F.O.B. . HMI. PA. Dele enterlel: 2/17/200<4 SII.eted Option Not.. MODEL: TH86X20WT2 (0) Thrifty Hauler (0) 8-112ft Wide (0) 20ft Long (2) 3,5001b AIel.. CO) Wid, Tr.ck CO) Rubber Ride 8ulpenlllon (0) 8t,ndlrd Mounting Bracket (0) 10 Oegree Down Angle (0) eZ-Lubl Hub. (0) f5 Bolt Pattern CO) 1/21n Stud I (0) Btand.rd Braking 8~.t8m (0) Electrlo Drum Br'k.~ (1) Br"Kaway Swltoh . (4) 161n 5 Hole Whit. Spoke Wh,els (4) ABS Chrome Center Cap' (4) ST206/75R16 C Rat.d Tlrll (1) 2-5/18In 10,OOOlb Cqupilr (1) 7,800lb Silver Safety Cnalne w/Gold Hook (1) 2.000Ib Zinc Pleted Top Wind Tongue Jack (1) Sind Pad (0) 2in l( 15ln Tub. M.in RIIII (0) Z Crollmembe,. (0) CrOllmembera 181n On Cent.r (0) Stl"dlfd Hllght . CO) 78.3/011n Hit "Olt. " (0) Vertlol' POlt. 2011n On Cent8f (0) DUlt R.,lat.nt Sidewalls (0) Tube Roof BOWl (0) Roof BoWl 161n On~ant.r (1) 481n allv.rtlll t1J Blick (20) .030 Aluminum Ext\lrlor f1) Blq CaDI. (20) ,080 Aluminum To~ Wrap (' ) 241n /II, T" 8to"lgu.r~ L k Sid '000 ....~ IHE CIS W1I~ ELU.HLOCK.... (1) 4&11" .1'. aa I r _ ___ _ _ ___1-1 ________ (1) !,OOOlb R.lr Ramp poor w/1"in Plywood Extension (20) 3141n Plywood Floor Covering (20) 3/81n Plywood Sid~all Liner . . I He~lmItrlc..1 Work Order Page 2 of 2 H.~lm.rk Indult"'l, lno PA OIvl.1on PO Boll It KIln. I'd McAdoo, PA '8237 Vin. No 16HGB20254P041234 CUlt P.O. No STOCK Sal., Ordtr No. P1091907 Acknowledgem.nt Cate 412012004 SOLO WHOLESALE AUTO TO 7651 ALLENTOWN BLVD HARRISBURG, PA 17112 CUllomer S.lVie. CClnt.cl: VARNER. JOHN Phon. .: (1570)"5-3711 Fill': (570) 12"2'''' CUllom.r Number: HKl38 FO.B. : HMI. PA. 0.1. Ent.rlel: 2/17/200<4 S.lect.d OptIon Note. (1) 12v C.rgo Light 11) Thrifty Pmkme (1) M.t.rtal. 8urchtuat (11 Chram. Rat, Carner, Ii ~ Qhram. "-V He.d.r I.) 8au.,. D-RJnq, ' (1) 1.1" X 1"'" Non-Powered Roof Ven- S la' 13Y Dome light Ii) 12Y Ylall8wttc~ . 11 ~ Chram. 'rant Car".r. (t) V,rtla,l Pam i'ln,iOn C.nt" " . . 1 Bobby Ervin agrees to purchase Df Vending for $11,000.00 from Donna L Boltash Exc of the Estate of Duran A Parson. lam giving a $2400.00 non-refundable deposit on Jan 9.2005. The balance will be paid in one and a half months which is Feb 23,2005. ~ l /JL_Z'- .hJA/C.I,2_-L. (~ M ;OU!..-~ct: (/)Vl- /J~JlAf/~/u '1LQ._,.A,-v -d. j rr: - J.. D LJ I frO ~~ oe~d7J-- j>J~2AA~ / () J f ~, m ) !J \..f.~) 1,1 / $ Signed ~L~,----- ex.. I ;r;u~~ t.>JL-C!:.. 1~~~~;J.,tJ~ Donna L Boltash Exc Estate of Duran A Parson Signed Bobby fvin /1) (;) 0 0 _ a--o (? ):'-.1--1--- I ( ').. 4 c c , t tJ .-A.cG.-- I / 1 ({; ./ ]) L~ A:A/<.., ------~---..-------- ~ 6 de ' dd -//U}UUrI In-h/~ --,f:~. ____~~~- (}-()__ \. \j) 0 1/ eJ-t /.'.0 j U ID (~(j 6 I (J 0 ~':D L .- -..---------- ~ CjiJFln<J(?rItntllvtv<;rf~ ~(~' ;f~2ilO.C ..J-- J A_ J-J-.h[)~",~-J- () ('.... Ir-!--. ~,,{. /Yl,J...NwltJ2 /'~~ ---------..- ~ #- / () 33 ___ fj/'J-8--6 S- ~ * ~~~(jl {~ .J) I ~ () / c ,:>c/' /i ! 5):;/.71' MP)LJft; ):<<~ /'<"L T~~ t7 6 0 (Je'. o-() ~~c~ ( APR-12-2005 22:13 P.NK o PNCBAN< April 13, 2005 Tmci L. Sepkoyic 1013 Mumma Road, Suite 100 Lemoyne, P A 17043 RE: Estate of Duran Alan Parson, deceased SSN: 166-62-3714 000: 8/27/2004 Dear Ms. Sepkovic: . 412 768 3458 In response to your request for Date of Death balances for the customer noted above, our records show the following; Checking Accounts Account #5003717704 DURAN A PARSON DOD balance: $2,942.16 + $.14 accrued interest Interest Paid 11112004 - 8/27/2004 - $5.92 Account#5004825J09 DURAN A PARSON DBA DP VENDING SERVICES DOD balance: $225.83 (non-interest bearing) Savings Account Account #5000836222 DURAN A PARSON DOD balance: $12,518.17 + $5.83 accrued interest Interest Paid 11112004- 8127/2004 - $31.88 Page I of2 Established 10/0312001 Established 07/26/2004 Established 11/1 011 997 P.01 ,j ~ -.l N ~ l'.J <..0 -J <..D ~ 00 f-~ o Ul N ~ 00 / --OJ -...... ......"vn 1 JlHHl- J allY nH':U1g Kcport - Volkswagen, Corrado .': . IlelleY Blue Book ... .~~-~ ~1111~11!113./' UelO CAU Page I of 2 l~ RE\lIEfJS & RATINGS AD'/ICE F'IiANCING & ,N:;URANCE o p,...Deea.r Prioe QuO(e t) Seardl U$e4 e.ti.Jllll~ t; BLUE BOOK PRIVATE PARTY REPOlT Pennsylvania · December 11, 2004 --~------- Af 1992 Volkswagen Corrado SLC Coupe 20 Search Listings for This Car Ust Your Car For Sale Online Buy a New Car Free B~CQglQheC!~ Auto Loans from 3.95% APR Insurance Quote erint "For Sal~" Sign payment .GalculatQr ... e,~,~,,!~V 5 Engine: V6 2.8 Liter Trani: 5 Speed Manual Drive: Front Wheel Drive Mileage: 140,000 Un FF hours - Equipment Air Conditioning Power Steering Power Windows Power Door Locks Tilt Wheel Cruise Control AM/FM Stereo Cassette ABS (4-Wheel) Alloy Wheels tlOW INn Ul.I[[) rt? I\, 1( Af ('(',i, Viru . P,-otf-'( Cion - -- - Consumer Rated Condition: Good "Good" condition means that the vehicle is free of any major defects. This veh ide has 'a::c1eantitle- hist~,the_pa~t.QQdxaJ.l:glQ~.eriS'[,have__only mipoa>-- ____--~--- (If any) blemishes, and there are no ma]or mechanical problems. 'Tner€' _. should be little orno rust on this vehicle. The tires match and have r substantial tre~d wear left. A "good" vehicle will need some reconditioning .... ';;7 n: ,1} s'-i' be sold at reta'l. Most consumer owned vehicles fall into this category. r ('fc"fT D(UJ 2 , 4 0 0 . 0 0 + c: ,(/.a~~ 2 0 0 . 0 0 + Private Party Value Search Local Ustin..ill?Jor This ~3.410 i . P . If-.-.J!.--+I-:/I.J- b 8 0 0 . 0 0 + rtV~tP Pi'lrty Vi'lIlJP ic:; whi'lt i'I hllYPr ci'ln PXflPct to fl"Y whpn h\J~,;ng i'I IJ"Prl Ci'lr from i f~f7 a private party. The Private Party Value assumes the vehicle is sold "As Is" and 3 , 400 . 00* carries no warranty (other than the continuing factory warranty). The final sale rrire mrlY v",ry opppnoing on thp vehiclp'" r1r:tui'l1 conc1itlon <'Ino lori'll markpt conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. o . * G~t;L~~Trade-In v~~ ~c:I-. / (J- (/-- 0 L( '" /~~u C- cP c.~O ..:;--0 I ;;j/ Ji t: cf Get Invoice 8< MSRP on New Cars . '\ I.n.UE MOM V"LU~ 1 ~ FE~CK t!;!::-r,r ;)..b-:JJ C~'~~0 L/~L~ (iA uv!f. 7j[e;J;!PJV .~ \ c) 'I: 6.:'---(..\ tfU ,h. /-, C~/ ' ~/ L:] /~...... .Uv -/::p / j J.. W (d~/t{....u ~j -t/ d l---I'D I 1.11. .,1 '(i ..J-~J.-+-~Q , 0-6 ~~t.!LPerson to Person Auto loan Copyright @ 2004 by Kelley Blue Book Co., All Rights Reserved. Nov.Dec 2004 Edition. The specific Information required to determine the value for thiS particular vehicle was supplied by the person generating this report. Vehicle valuations are opinions and may vary from vehicle to vehicle. Actual valuations will vary based upon market conditions, specifications, vehicle condition or other partIcular circumstances pertinent to this particular vehicle.or the transaction or the parties to the transactlon. ThiS report is intended for the individuall,ls~ of the person generating this report only and shall not be sold or ) ht1p://www.kbb.comlkb/ki.dUl):w.\..l;:~b.P A;013271;P A133& 17319;cpe+p&722;Vol... 12Rl/.2004 v . . . ,.~.,..." M. HIESTER 4' . i ' . '. RO. LOT # Z4 '. ' :. ' .....:.!, 1m!. P' t7l" . .' . . .... t.2/ / I . /lJ j " ii ~ay'I';.' A!kmCI cI 8$~' c · ~ ::M.ov I: J;~~~. . flei ~:/11H.):;i~'d1;t (j ./l ~If/J do'/:''' ~<<-:: ~ ~EMili~ 1ST FliDERALCIUOlr \.INION '~*-- ',I f.,~:~';;::~dff ..~'-JU Ik~~('_~ .. "",<1 , I .: 23. ~a 2 2~ 1.1: 2[;58 ~g$l~il~" ciI~~~!'i~;,c~T~ '&A ~ci. ,'. ."1 i 1[. ,~!~ fj I"~ O. Cl' /\.1',,/'<-k ! -"::'.:::;1 / ' ./ . . , I for Oc.:""K~AlP'I I 5 3 b 2 g 5 gOO II' ~ ~ C b . ,~~\};;,~Ii'!r~~~' . ---..... ~ "~'- /~ (~~'ud~ ./ . . -:-- .:.. ::: - ~' ",~...T_ =.'m"""""",,,"~7'1 ." . c-_ -----. ......-.----.. . ",. """ijr. , ..II~- .._ - ~.~", ;;..-...7'C.~.~"".-- ...'.L~4t~:~.. 1 f ;, 4909 ;1EMlnrR Connie Hol t/ liUl c. Gibbonev. J--. Jr. PAY TOTHE: ORDER 01' Donna Boltash. Executor ~P~T NATIONAL BANJ[ 11111211f~~~L DATE January 27. 200S 60-1226/313 1$ 1,450.00 DOLLARS VOID AFTER 90 DAY ~ }AUTC:'2EC SI"""TJR' b.,_ .. "'OO~'lO'l". " .. ---~. . . . . 2~._tao:~"'--,.it- _. . _.O:l. j *. 2 2 b 21: '0' ~ _..:Jw,~ ~..-_~~.." _ _ . Cla.o 50 ~II' (J - .- - ~----~ fl.- .,,!~.:..o...-..o ,~.- --, -', ~- -- t ~J\ .:< -}: ""'( . "\" , ..~. _. . ..-'~:" -" ... - ~..' ! ~~J ~~~~.: :.""; . '- ',. ,,'''", ...- ;-;y./ t,,.I ~.H.:: ~ (~i ) f .1.... ..... , . ~ " - 1 ~'" ~~ >~ L1 { M' -'" ~~ _2.~..:':"WI'/I<Il!m", /' <,// _lk-} Blue Book - Trade-In Pricing Report - Chevrolet. Suburban . . . ~~J$!~~ IiCt.lf NfW CA~S BLUE BOOK TRADE-IN VALUE Pennsylvania · January 27, 2005 1994 Chevrolet Suburban 1500 Sport Utility ., :J ,,~~(1iIi4:":,I:ltHf' ,,1fo ..:.. '"-,,..- See Lo~al Listings of This Car .ListYour Gac.For Sale Online 6lJY~ _New..Car Free Becord Check Auto Loans from 4.05% APR !..osu@n~e Quote p-ill"ment Calculator Engine: V8 5.7 Liter Trans: Automatic Drive: 2 Wheel Drive Mileage: 184,429 Equipment Air Conditioning Power Steering AM(FM Stereo Consumer Rated Condition: Good "Good" condition means that the vehicle is free of any major defects. This vehicle has a dean title history, the paint, body and interior have only minor (if any) blemishes, and there are no major mechanical problems. There should be little or no rust on this ;chicle. The tires match and have substantial tread wear left. A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into thiS category. Trade-In Value List Your Car FQT 5qt~QIJjjf1~ $1,450 Trade-in Value is what consumers can expect to receive from a dealer for a trade-in vehicle assuming an accurate appraisal of condition. This value will likely be less than rile Private Party Value because the reselling dealer incurs the cost of safety Inspections, reconditioning and other costs of doing business. Ge.L9-Erivate .Part~ '~~L!JJvoice _& MSRP on New Cars .1 "0\001 .I """~- , lib! '11011 C~i 11>1 &~I BLUE BOOK UASS1HfOS" li~1 Your Cu, for }(l!lj For one low price your ad WI; appear on both kbb.com and cars.com, Plus over 175 oth( pOPular websites. l~~;; ~ .iJp://www.kbb.comJkblki.dll/kw.kc.ur?kbb.PA;728490;PA041&17070;suv+t&278;ChevroIet;1994%20...1/27/2005 ~ en m .~ (.J1 -J 00 00 / f I. \ . . High1ine Motor Cars 5610 Allentown Blvd. Harrisburg, Pa. 17112 To Donna Boltash. This letter is in regards to a 96 Isuzu Rodeo Vin# 4S2CM58V9T4311183, that was purchased from you. The vehicle needed repairs, a new clutch, 4 wheel drive was not working and the computer module needed replaced. The fair market value of this vehicle with the needed repairs was $1000.00. Sincerely, -,) ( . .\ " -":). ". '. ..~1/ -. \ "-",, ..~.,- Date 11/1 fRlolf ~~ /} /) ~~~~--_ ~~---1..L:__ ----. .oZ77 ~_J $[)O/IOlaOs" - o~v 1/ r tn =-:.:~:~ -_.--- - --..--.--- ------------- -~~-_._- ~~ II'OOI;Sl;qll' I:OH~OII,I,?I: ~~~-==:--:;:;~ . . -- -_. --_.-,-~ ._--_.-~_. -.- .-., -_.-~-_._--..------ i.., COLONIAL AUTO CARE ~ PH. 717-671-9099 -I P.O. BOX 6252 HARRISBURG, PA 17112 ~ PENNSYLVANIA STATE BANK t.or _ -~~~ M~ t~ cb~r0 / U 6569 60-244-313 ----------~ f\.) (:) CJ1 <X> 0") OJ ..f,'::::a. (j) I Celley Blue Book - Private Party PriCiweport - Ford, Expedition . Page 1 of2 . ~J!!l!'!~~ HOME NEW CARS l},W& ;,:,~,:w "I~'; " Quick Dealer PIf<:e Ouofe advertisement BLUE BOOKft PRIVATE PARTY REPORT Pennsylvania · May 26, 2005 1997 Ford Expedition Sport Utility 40 . - ~a.. J .,; ,;::',- I(;! :~ -: , " , - . <I $E)ClLc<bl,~1ing~JQLTl}i~LCgf l...i$l'l'Q!.![ CCif EQLSglELQI1Jlne Quick New Car Price Quote Free CARFAX Record Check Al..!t9-'",_Qcm~Jrom4.4~'Y~APR !n~LqoJ;~ Quot? ErLni:for Sg~-"-Slgn PaymEJotQ?Jc:u1atQr Engine: VB 4.6 Liter Trans: Automatic Drive: 4WD Mileage: 75,000 Equipment Eddie Bauer Air Conditioning Power Steering Power Windows Power Door Locks Tilt Wheel AM/FM Stereo Cassette Dual Front Air Bags ABS (4-Wheel) Consumer Rated Condition: Good "Good" condition means that the vehicle is free of any major defects. This vehicle has a clean titLeJllsJ.QIY , the paint, body and interior have only minor (if any) blemishes, and there are no major mechanical problems. There should be little or no rust on this vehicle. The tires match and have substantial tread wear left. A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. Private Party Value Search Local Listings I List This Car for Sale $7,425 Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Get a IJ~edCaLI[ade-InVall,Je Get Invoice & MSRP on New Cars Get _a J)er~QD_t.Cl PeI~9n ,A.l,Jto_ LQa [\ ." Ll!ltYourCatmrSl!lle B1U E BOOK CLASSlfIEDS'" Sn\uch (Of Quickly browse through over 600,000 used vehicle listings to find exactly the car or truck you want. ,.--- advertisement '- Kelley Blue Book - Private Party Pri.Report - Ford, Expedition . Copyright @ 2005 by Kelley Blue Book Co., All Rights Reserved. May-Jun 2005 Edition. The specific information required to determine the value for this particular vehicle was supplied by the person generating this report. Vehicle valuations are opinions and may vary from vehicle to vehicle. Actual valuations will vary based upon market conditions, specifications, vehicle condition or other particular circumstances pertinent to this particular vehicle or the transaction or the parties to the transaction. This report is intended for the individual use of the person generating this report only and shall not be sold or transmitted to another party. Kelley Blue Book assumes no responsibility for errors or omissions.(v.05054) Page 2 of2 - ...,.."....-. . . o PNCBAN< 040 32NO STREET BRANCH (106) 1400 CAMP HILL SHOPPING MALL CAMP HILL PA 17011 Cashbox 05 * Depos1t Check 10:35 MAY 31 2005 Account Number Tran Amount 5001053887 $95.40 W/S IO WWSH1064 Sequence Number 00099 Batch 401 Thl. dlPoslt or paY.ent I. accepted subject to mlflcltfon and to thl rules and revulatlons of this bank, 0.11011 ts lIlY not be IVIIlab Ie for Illedlat. wlthdra~al. Recelpt should bi h.ld untl' verlflad with your statlmlnt. . .....:-- " - .-, " /: f '. ,/,~,{-,-,--z.~~ ,~ ,? h, - .J .k- f"..j , . ,{,'v1'l..~Lx:- ~,,J , 'j '-_/ L-X-t 1\/1'-(' v- tr / ' I . . Capital Self Storage Mech. 5160 E Trindle Rd Mechanicsburg, PA 17050 4/29/2005 Donna L. Boltash 106 Birch Ct. Camp Hill, PA 17011 Unit No.: OE097 Size: IOxl0 Dear Donna L. Boltash: We at Capital Self Storage Mech. sincerely appreciate your choosing our facility for your storage needs and we hope your stay with us was satisfactory. If you are ever in need of storage services in the future, we hope that you will contact us. Again, thank you. If you have any questions, please call 717-691-8800. Very }n7 yo. urs<t--- //1- ~ vi Karen Schorr Site Manager Ii r j' ~/~.c L ~ J~/i"i [VJl-~:'UL~ I \J /J i'-c/y-e-_ I t~! ,. ~_ .] :;;I[cll ~ '.1.. I ,I-1IMI :;:I~~":J.: 11 ~ii;;t" II] ~.~: I :tl'l 1[".,..: l;:f '1~ II ~'J =- :1,1:.1 ::1;:.[a'l1 II: _ kId h~ :;;(IJ:J;;II ~ i II :;:I.. :[.] :1']::1 :;:KS:i:::l =-:1 :t'J::::I;; l-.-i :a."1I .1::11 :i,) :.4111 II'JI :r. =i II ~ i :(tilJ:l i i~" ~ :J.'t ill:1 *_i ! CAPITAL SELF STORAGE 4946 ... MANAGEMENT, INC. CAPITAl 688 YORKTOWN ROAD, SUITE B J=I.lallll=L LEWIS BERRY, PA 17339 SELF STORAGE ~M@2!i~ NUMBER 004946 60.2::5/113 *NINETY FIVE DOLLARS AND 40 CENTS DATE ^MOUNT 05/19/05 ********95.40* PAY TO THE ORDER OF Donna L. Boltash 106 Birch Ct. Camp Hill PA 17011 a....... ,....~w~ l MEBOLTA i_ j: 11--.... II I t3.1 J.lJ I ~ ~.. e\ .] L'li t., IL'I.......: l:::f ......4:;:1 L'I....4. II ,'1 =-1.:'1 ~~ {Ill let:.']:;;.:.l:1 ~'1-"': I:;:I:J =-:II;oJ;;;i. .ll1lr.lc1 =- I] I-.....,.,:.I:J ;;t., ;o~""I'j ~ iI: _: I :;:f." ,--i ":; ~ ... t"""'\ r-t. ,......" ,......" ,......" ,......". r1 t "... ... r-t. ., , , f\ , n r- r-... n n ,. n , , n , rJ... . . , o PNCBAN< 040 32ND STREET BRANCH (106) 1400 CAMP HIll SHOPPING MAll CAMP HILL PA 17011 Cashbox 06 * Deposit Check 19:19P JUN 17 2005 Account Number Tran Amount 5001053887 $25.00 W/S IO WWSH1081 Sequence Number 00072 Batch 401 Thl. depOSit or masnt Is accepted subject to verlflcatlan and to the rules and regulatlQns Df tnls b.nk. DePllslts lay not be evelleble for II~edlat. wlthdrewal. RecB\pt Ihauld be h.ld until verified with yaur .teteaent. '~ /,~' J . ," , ,,' , . // .I ,j' l Ii /1 ' .' -,', / Zf " /,,? . ,. /' '. ' /), JL.u~~'/~ri J ~~~ci(AvJ~l~ -hL/~kL . . -'~ - .. _..""~~~i~~~~i:~;."""-''''.''''''.'''''''''.''.;~;''_.';.....".~;~;~: *TWENTY FIVE DOLLARS AND NO CENTS DATE AMOUNT ********25.00* 06/13/05 r'AY I,) lHE ;\[,'.H Donna L. Boltash 106 Birch Ct. Camp Hill PA 17011 . . ~ a-l..t-U ~~;rd1-- If- -t. MEBOLTA T_ nl~.I.:..'J l'j'.~I.I{'J~1 '.ll..........;I:r.'~'i::(lIh...,.ll'J.:a(~f:.-.Ul't~:..ll.:.I:I~"i......:I:l:~~:t:l..1.' r:.~eI_ljl-"'.1~:J:r-l. :n........r.ll..: .:1.." _t I:i a ~ I.. a * 2 0 2 'i' u' - 1110000005* C 1..111 1:0 ~ . ~o 21:i 5 5-: , ;1.' / . j.~ /:.-/ ~~. ,- f6"~~t~Jc' ~A~--d f;} ~' . /~) , v~'-rt/-- ,f: . ~-'<-/ I; I " & v REV....".... '* COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DMSION DEPT. 280601 HARRISBURG, PA 17128-0601 Please Print or Type . I MUST BE COMPLETED BY REPRESENTATIVE Of FINANCiAl INSTITUTION WHERE SAFE DEPOSIT BOX IS LOCATED AND RETURNED TO ABOVE ADDRESS COUNTY CODE F LE NUMBER SOCIAL SECURITY (Rea~\ OR DEATH CERlIfICATE NUMBER (OlIN if SSM is unknown) 10 lbb -62.- ) DATE OF DEATH ~ -2'7- :l.C>a STATE) ?4 . SAFE DEPOSIT BOX INVENTORY (STREET NAME) l I ex;. p:> \ ,/" ~ 4x_/+ b. (NAME) \ \ I (STREET NAME) (CITY) (STATE) (ZIP CODE) fA- 'tl:>-r (ZIP CODE) \ 7(?> \\ (STATE) (ZIP CODE) c. (NAME) (RELATIONSHIP) (STREET NAME) (CITY) (STATE) (ZIP CODE) . NAME AND ADDRESS OF FINANCIAL INSTI'1\tmON WHERE THE SAFE DEPOSIT BOX IS LOCATED (NAME) NAME AND ADDRESS OF PERSON(S) HAVI a. (NAME) (CITY) (ZIP CODE) 'to b. (NAME) (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) (CITY) (STATE) (ZIP CODE) . NAME AND TITLE OF EMPlOYEE TAKING T E INVENTORY -to "'\ '""'"' ~.k.--to -~eA If yes, a. Date of will: b. Name and address of pel'1lonal represe tative, if named in the will (NAME) (STREET NAME) (CITY) (STATE) (ZIP CODE) c. Name and address of attorney, if any (NAME) (STREET NAME) (CITY) (STATE) (ZIP CODE) I I . SAF'DEPOSIT BOX INVENTORY Page:L. of ~ INSTRUCTIONS \ The Department is authorized und ~r federal law , 42 U.S.C. ~ 405(c), to use the decedent's Social Security number in administering this state tax law. Th ~ Department uses Social Security numbers to establish a decedent's identity and ensure proper credit for tax payme nts. (1) Cash: Report total only. (2) Stocks: List in detail every co TImon or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of comp~ ny, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) ObligatlOll6 of U.s. G....1nt: Number of ....... date of ;ssue. face v~ue. names In whk:h """stored and type of ownership, i.e., jointly eld, payable on death, etc. (4) Bonds: Designate by name, mount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loa Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch, an balance. (6) Jewelry, Coins, Stamps, MatuSCrlpts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current nsurance Policies or other evidences of indebtedness: List and describe as fully as possible. \ (8) All other contents. rrEM ITEM DESCRIPTION NO. \ ~ \ ~ ~ /'"""')t'""'")~O 1 I CERTIFY UNDER PENALTY OF PERJURY 1l1AT tHE ABOVE RECORD IS PERSON RECEIVING COpy OF CORRECT AND COMPLETE TO 1l1E BEST OF MY KNOWLEDGE AND BeLIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATURE L 1'_ ':J / ~ Sld~~ A ';f 15~/1-i ~c.. ~ PRINT NAME PRINT NAME I'.ND CHECK APPROPRII'.TE BOX BELOW: t\" Ac.. a. U-n \ 10 (l H".u- l).... ... L-. ~ ~..l.r. ck PRINT TITLE DATE CHECK APPROPRIATE BOX: Ii l...L o Executor(trix) ~isttator(triX) \2-'2.6-0 l.( o Estate Representative o Joint owner of safe deposit box /'"'".<! , ../ r -'\ e v HOlE: Attach addltionaI8'h" x 11" shut s if necessary or use duplicates of this page of form. ( ) ,~,,~_______.-..;..w~--.-- .. - /Ill ~ .. ~ -...,., . _____ ~ -----... - _______ - - -*fIII_ -A7-~ - "\('.' _,-:OU_NT !'~ 'IU,.:td: I l::l6;.:!.iiJ DESCRIPTION C 1::.1"'11:<(11... F'ENI'l (jUT CJ CI...Ut< AMOUNT 10 /i::.IO /0':.. ;~ l1961:l i"ICl-1BL)<!:;;j"llf-' r~EF UNv... !:I 6 i?O ::n~:; 'l;l(.iOl.,OO ;.1) I U :: [~nfYrF OF DlHMN A p(~rWUN TUIAI... DIGI13" ~I; x -)(- ,)(.)( )\" -)(- )( I.,. ;.:.~ " 0 () ~ rift/tit /U ~Z- . C~ifCK NcI. ,..,...- r . ..". . AMOlJNlOf C WI< " :1. J ,.~.~ i,.~ ..:., :] 1-,I()(' 1(' ~(l(' )(' '!!:fl r~ " 9 VI( 'vOID PAY TQ THF or~DtiR OF E::iTATF OF IH,H,AN ~) 1,.td;:~iurJ lOh l-! :mCH CT CAMP HILI... '.' PA :1, '7 0 :L j,. 'I' () () r;!. I IJln'{"!I.&JU OOL.I...AfW NO eLN I~; , -,--,-- - m..~-'''~_~iUi-'~'---'-''~'' u' 2 2?S 2 ~II' .:01 ~00050 :it: 200Gb" * 2855111' .. _... ._........,,.,_W...lllr.1.I!InII'D--'WRlol~liif'lMJ\flIr,:L.. 'Ull>I.(:lA~,~,liIl'Il;].r;Wi'i'I!W.~Il/IMIIIBlIt~iiQi!/",o......"........t \. ":, 'li;,~..."., "., ~ . . I~ il! ! ,/ 5 ~ .. = II :_ I~U i ~; i :1 , !I 111111111111111111I11111111I1111 DURAN PARSONS 106 BIRCH COURT CAMP HILL PA 17011 ,j/ {t, . ."1 ly' _.__.-....(,.- .I" / 'I ....if "j \..,../ r. Ii oj/I}.'/ i C (f__ j/ "0 I_~I ; i.( !.. b..)_-;t~_t1-'c-({,}L/ nsurer: ERIE INSURANCE EXCHANGE ~olicy No.: Q10 0980123 Claim No.: 010170760955 Date of Loss: 07-23-2004 Check No.: 09688627 CMS No.: 1688627 Check Amt.: $3,919.38 "t For: FINAL PAYMENT CUSTOMER AUJ9 COLLISION RE: 1997 FORD 'EXPEDITION 4X4 EDDIE BAUER , ;:~J "':f , Erie Insurance otters home, auto, business and life insurance. Call your local ERIE Agent to learn what is available in your area. o!', ';,.Ji' '~::,/,<.:,:':,"'_ -: '. t.:'_,;...... ,/....."'. .:.:"'";..:....j;:_\;~......~._.Il......,...~;...,..._... ~-.-.--.-..'- .. ..-"' I ERIE INSURANCE EXCHANGE CLAiM NO,; 010170760955 ~ Home Office' 100 Erie Ins. PI' Erie, PA 16530 DATE OF LOSS: 07-23-2004 'RIF.. I eMS NO.: 1688627 PAY THREE THOUSAND NINE HUNDRED NINETEEN AND 38/100 8ank ot Amllf1c. CuatomerCoo~Uon e.-1278 Bank 01 Amellc. N.A. --wrr- AUanta. Ool<elb COl.IOIy, GeQrgla CHECK NO.: 09688627 DATE ISSUED: 08-12-2004 OPERATOR 253BORGESON TO THE ORDER OF DURAN PARSONS 106 BIRCH COURT CAMP HILL PA 17011 TAX \0 NO. ~ - FINAL PAYMENT FOR CUSTOMER AUTOCOL~ISION RE: 199HORD EXPEDITION 4X4 EDDIE BAUER . . INVENTORY OF ASSESTS SOLD ESTATE OF DURAN ALAN PARSON Big Screen TV CD Changer X Box and Games Plasma TV Large Camcorder Bissell Bagless Sweeper 1992 V oltswagpn Corrado Chess Board and Chess Pieces 1996 S W Isuzu Water Bed Three Packs CD Holders Small Camcorder Five Boxes Cassette Tapes Box Baseball Cards Four Large Bath Towels One Small Bath Towel Eight Dish Cloths Seven Juice Glasses Seven Water Glasses Water Fall Picture Six Pots and Pans One Vision Bowl Two Heat Resistance Spatulas Car Parts,Lantem,Black Lights,HalfBox Tools Walkie Taki Pair Sunglasses Raiders Clock Two And a Half Lb Hammer Seven Large Glasses Two Casseroles Piece Plexi Glass for Countertop Antique Cars And Trucks Microwave Electric Dart Board Set Sword Playstation 2 Chess Board And Chess Pieces And Picture Tool Set 101 Pieces Screwdriver Set Of Six Screwdrivers Tool Box Set/Bits/Electric Connectors New York Light Dart Board And Darts Five Disk ONKYO DVD/CD Player $ 500.00 $ 100.00 $ 100.00 $ 1500.00 $ 300.00 $ 68.00 $ 3400.00 $ 25.00 $ 1000.00 $ 100.00 $ 75.00 $ 105.00 $ 5.00 $ 75.00 $ 20.00 $ 2.00 $ 10.00 $ 35.00 $ 35.00 $ 10.00 $ 30.00 $ 5.00 $ 5.00 $ 40.00 $ 100.00 $ 10.00 $ 5.00 $ 10.00 $ 15.00 $ 5.00 $ 65.00 $ 10.00 $ 25.00 $ 5.00 $ 20.00 $ 25.00 $ 25.00 $ 10.00 $ 10.00 $ 10.00 $ 5.00 $ 100.00 . Hand Can Opener Plastic Measuring Cups Set Plastic Funnels Plastic Measuring Containers Potato Peeler Fax Copier/ScannerlPrinter Four Slice Toaster Two 115 Speakers Mini Refrigerator 140W Tripline Power Invertor Three Large Glasses Cutting Board Eight Steak Knives Pealing Knife Three Long Sharp Knives Holder For Knives Sixteen Piece Set Of Dishes Bean Bag #8 Baja Rosa Sign Three Plastic Containers 1994 Chevrolet Suburban 1986 VW Golf 2004 20FT Haulmark Car/Business Trailer Epiphany Bass Powered Sub Woofer Four 22Inch Expedition Tires Two Large E310 Cerwin-Vega Tall Speakers Two Small Cerwin-Vega E706 Speakers One Cerwin -Vega Long Speaker No Number Two G30LR Batam Towers Speakers Two I-PIF ANCES No # Speakers Chrome Tube Lava Lamp Lablotts Beer Sign Millers Genuine Draft And Clock Beer Sign Red Dog Beer Sign Ford Mustang Scale Model Craftsmen Cordless Drill Driver Justice For Higher Education Car Sign Four Pieces of Speaker Wires @3.00 each Neon Clock Seven Pieces of Speaker Wires Hat Rack Sony SLV-AVIOO Video Cassette Receiver(VCR) Two S/H253BK Pioneer Speakers Jin Beam Beer Mirror DVD N5325 Sony DVD One Disk MWD58 Marcy's Bench And Weights . $ 2.00 $ 2.00 $ 3.00 $ 2.00 $ 2.00 $ 40.00 $ 20.00 $ 100.00 $ 40.00 $ 5.00 $ 6.00 $ 4.00 $ 16.00 $ 2.00 $ 6.00 $ 2.00 $ 32.00 $ 5.00 $ 10.00 $ 6.00 $ 1450.00 $ 560.00 $ 4800.00 $ 87.50 $ 1500.00 $ 70.00 $ 40.00 $ 40.00 $ 87.50 $ 76.00 $ 25.00 $ 20.00 $ 20.00 $ 15.00 $ 40.00 $ 30.00 $ 20.00 $ 12.00 $ 20.00 $ 1 7.00 $ 5.00 $ 50.00 $ 90.00 $ 75.00 $ 50.00 $ 100.00 . Living Room Set $ Bedroom Set $ Three Spools Wire $ A V -030 AIW A Radio Receiver $ Neon Mood Lights $ 12 Volt -a10 AMP Regulated Power Supply $ Sentry 1110 Safe $ Escalade Ext Remote Control Car $ ACIDC Adapter $ Four Hess Trucks $ Video Cable (DVD- VCR) $ Ryobi Reciprocating Saw $ Plastic Bowl $ STRV200 Sony FM.AM Receiver $ TCWE635 Sony Double Cassette Deck $ Highland Tie Downs $ Titan Heater $ AudioNideo Hi Definition OFC Cable $ 13 Inch Admiral TV $ Mack 2Ton Jack Hydraulic Stands 4000lbCapacity $ MSD Ignition 6AL #6420 $ Cable Wire $ Cable Wire $ Deduct gas for 1997 Ford Expedition $ (2) Power Surge Protectors)Kitchen and Stereo) $ (4) Plug Adapters $ (2) AM Antennas $ (2) Car Speaker Boxes $ Lava Lamp Electra Sculptured $ Hydraulic Mack 6 Ton Bottle Jack 12000lbCapacity$ Microsoft Windows XP Home Lap Top Computer $ Highland Tie Downs $ Titan Heater $ AudioNideo Hi Definition OFC Cable $ 13 Inch Admiral TV $ Mack2TonJack HydraulicStands 4000LB Capacity $ MSD Ignition 6AL #6420 $ Cable Wire $ Cable Wire $ Expense For Gas in Expedition $ - Two Power Surge Protectors-Kitchen and Stereo $ Four Plug Adapters $ Two AM Antennas $ Two Car Speaker Boxes $ Dallas Cowboy Light $ Six pieces of wire $ . 600.00 600.00 15.00 100.00 25.00 15.00 15.00 10.00 2.00 30.00 5.00 40.00 1.00 50.00 50.00 5.00 25.00 20.00 20.00 20.00 20.00 3.00 2.00 -10.00 2.00 3.00 2.00 100.00 20.00 20.00 500.00 5.00 25.00 20.00 20.00 20.00 20.00 3.00 3.00 10.00 2.00 3.00 2.00 100.00 10.00 5.00 . Radio Shack MC 30 tape for Answering Tape $ Yamaha Tuner Stereo T60 $ Sony VideoCassette Recorder SL V -NSI $ Cypress Oak Tree (long) receiver speaker $ Dual RCA Y Cable $ Answering Machine 1309 Lucent Technologies $ Misc Outlets, Connectors & Wires (2Boxes) $ TF Electronics AC/DC Adapter $ Audio Vox Remote Controller(Car) $ Two RCA Remote Controllers(TV) $ Sony Walkman Radio Cassette Player $ Cordless Pump W /New Hose,Batteries&Clamp $ Flashlight(Large) with Batteries $ Kodak Series Camera 35MM S 100EF $ Mac Gregor Basketball $ Columbia Bowling Ball U-300-TC97619 $ Brita Water Filteation System $ Complete Set of Silverware Plus Spatules, Small Wisk, Small Egg Beaters Two plastic containers X 3 Two plastic strainer and bowl x 2 Tea kettle Black pad to set hot dishes on Osterizer Blender/food processor accessory Bush Model Entertainment Center AM/FM Stereo ClocklReceiver Cassette Recorder-ZENITH CD Turntable Laser Line 1997 Ford Expedition Eddie Bauer COMPLETE TOTAL . -5.00 80.00 80.00 80.00 10.00 15.00 70.00 5.00 5.00 5.00 7.00 15.00 7.00 10.00 10.00 10.00 15.00 $ $ $ $ $ $ $ 15.00 6.00 4.00 3.00 3.00 20.00 40.00 $ 20.00 $ 10.00 $27000.00 $47683.00 * *The value of the vehicles has been deducted from this list as they are reported separately on Schedule E. The few expenses that are deducted from this list have been added back in and are reported as miscellaneous administrative expenses on Schedule H. APR-12-2005 22:13 P.NK . 412 768 3458 P.01 .-- o PNCBAN< April 13, 2005 Traci L. Sepkoyic 1013 Mumma Road, Suite 100 Lemoyne, P A 17043. RE: Estate of Duran Alan Parson, deceased SSN: 166-62-3714 DaD: 8/27/2004 Dear Ms. Sepkovic: In response to your request for Date of Death balaflces for the customer noted above, our records show the following; Checking Accounts Account #5003717704 Established 10/03/2001 DURAN A PARSON DaD balance: $2,942.16 + $.14 accrued interest Interest Paid 111/2004 - 8/27/2004 - $5.92 Account #5004825109 Established 07/26/2004 DURAN A PARSON DBA DP VENDING SERVICES DOD balance: $225.83 (non-interest bearing) Savings Account Account #5000836222 Established 11/1011997 DURAN A PARSON DOD balance: $12,518.17 + $5.83 accrued interest Interest Paid 1/112004 - 8/27/2004 - $31.88 Page 1 of2 / ~~\b-04% . . PROtJREUNE~ NORTHEAST DIVISION PO BOX 1411111 CLEVELAND DH 44101-4825 PROGRESSIVE NORTHERN INS. CO. 501:o!OllO00443 ESTATE Of D PARSON 106 BIRCH COURT CAMP HILL PA 17011-4002 DRAFT NUMBER 541219145 DATE 02/01/2005 562353911 DRAFT AMOUNT 1$ *******179.00 I POLICY NO. AGENT CODe SX34722 DESCRIPTION TAX ID: DRAFT REFUND LOC CODE: ) ---A-. ) /J n J,J ; ~uJ'&-~ ~-L T" .Jfl.<~" oAl--t FOR INTERNAL USE ONLY CDS SOURCE CODE 12PBS DIVISION PBS BRANCH CODE 12 ,~.. ,[ .~, . ,'''' 1. V IT KEEP THIS TOP PORTION FOR YOUR RECORDS _~:;__ .tm~.A.. ~~. ..~.. 'M PRI/IIIIBJ'NE~ PROGRESSIVE'NORTHEAN INS. CO. POLICY NO, 562353977 AGENT CODE SX34722 VOID IF NQ'I PRESENTED WITHIN lIO DAYS AfTER DATE OF Issue DRAFT NUMB!R 561279165 56-389 412 II; ;11/ I, PAYABLI: THROUGH NMIONAL OITY BANI< ASHLAND, OH 817.4t1B.Q644 DATE d2/01/20'05 dDS SOURCE CODE 12P8S ~ " ONEHUND~ED SEVENTY-NINE AND 00/100 ; PAY TO: eSTATE: opt!> PARSON J,O. BI~(H COURT C~MP HILL PA L70~1-4002, " 'PAY EXACTLY I $ .,' *.**~**179.00 _~~_~~~~~~____~__.._______ ' A i. BY: . " . ~&{.1/' . .., / .... ~~""JEJJ SIGNAiURl' ~;. ~. ._i--__. l~ . :~,_.;';..~-Y""'~ _ 4,[fi't .. i'il ,..~~ _..... -~: 1."If*-' ~, . ~ :'.. \:". ,'. --'" . . PROGREJJIVE"" PROGRESSIVE PO BOX 94626 CLEVELAND OH 44101-4625 PROGRESSIVE NORTHERN INSURANCE CO. 501100001469 1'1111111.1111'11111111111.1..111,"111111.1.111"1111111"1.' ESTATE OF D PARSON 106 BIRCH COURT CAMP HILL DRAFT NUMBER PA 17011 541276239 DATE 02/01/2005 56235397-6 00034722 DRAFT AMOUNT 1$ *********3.00 I POLICY NO. AGENT CODE DESCRIPTION RETURN PRE'" I UM ~+J-f~ i/~tflJ!~~ FOR INTERNAL USE ONLY CDS SOURCE CODE 12C/8 DIVISION N E BRANCH CODE 1 2 J8V KEEP THIS TOP PORTION FOR YOUR RECORDS .-c-~.~- i. --:- r.T',-: il,~ '. ,', ,,,.1',7 - .J,_ ,r' - ;;,;:-'\~ ,_ ,,:~. _ /" \iCh6 IF NOT PRESENTEP WITHIN 90 DI\YS AfTER 'DATE OF ISSUE ;::'.. -.-):' " " r"" ~ .. PROGREDlItE@ ,,' : ,;'~'.....'_ :.-.- J:' _., ',,' '. .... <;' " . ;."... ..." :.:', " P~OG~E S~) V~*"NqRTHJi:Rtt . PAV~L~~R9.\;j~H :i; .' r>lCB A$Jolt.:ANO : . . . AS8LMID, t;lHIQ;' " AN'Al'FIt:fA~ OF: '. .'. NATIONAL CITY BANK CLEVELAND, OHIO .1.8T7~448.J;llf>44 ,'. ~ ~~:;.:- .. ~ .." DRAFT NUMBER 511276239 56.389 412 INSURANC~CO. 'POLlCY"NQ,~', 56~~5}97-:p ._-, '_ _ c._' ,'_ _ ~ -^,J,< ", ',,' t AGE~TQ:p~ QO~:~~7 2:? ''":;:.1 ,! ':;y~r .. gATE' 02/01/2005 CPSSOURCE CODE 12C/B . , P~YEXACTLY 1$ *********3.00 - - -;,;,..,...;..;;;.~ ....-...,...',;...., _....- -~-,-..... ~!"""",~-~.':""'":~~-- - - -- -..~~--- - -- ,v- , ':.~ '6- ~ PAY :TO:, .f:'~ Ai:~~ O"F D "'" "Y(:f', .;~'>A>.; . ], 0 6 ..S:I'R.~f1' (0 U R T ~:A M p>'H I .~~~ <,;.' , '1~ ~Q\...".."'.'., ......... AUTHQ . ED SIGNATURE " , :~~-=-"---~_. '"1...---- 10'; -:- "' c:; l. l ;J ? Co ;J =i q II' 1= n.. . 2 0 31 B E1 5 I: 7 7 0 . B 7 0 II' I! . . PROGRE.IIIVEl~ PROGRESSIVE FO SOX 84625 CLEVELAND OH 44101-4e25 PROGRESSIVE NORTHERN INSURANCE CO. 501100001769 1111111111111. 1111111'1111.11111111111'11111.11111,,11 i11,,111 ESTATE OF D PARSON 106 BIRCH COURT CAMP HILL DRAFT NUMBER PA 17011 541149767 DATE 01/04/2005 56235397-6 DRAFT AMOUNT 1$ ........38.00 I POLICY NO. AGENT CODE DESCRIPTION 00034722 RETURN PREMI UM l-u':/tiu2- (id./)~---cL(?.../ FOR INTERNAL USE ONLY CDS SOURCE CODE 12 c/e DIVISION N E BRANCH CODE 12 M5J KEEP THIS TOP PORTION FOR YOUR RECORDS - "CI --r - -'=J"-- ~- y:~" ~;'~- 'F 'i"j: VOID IF NOT PRESENTr:O WITHIN 90 DAYS AFTER DATE OF iSSUE ......."1 P' ~ w--~ - IT I:r 56.S89 ----;rn- PRQ(JRE.IIlIlE~ PROG~ESSIVE.NOR1'HER~ PAYABLE THROUGH NCB ASHLAND . ASHLAND, OHIO AN' AFFILIATE Of NATIONAL CITY BANK CLEVELAND. OHIO 11!177;448.11644 DRAFT NUMBER 541149767 INSURANCI CO. POLICY NO~ 56235397-6 AGENT CODE 00034]22 . ' - . TH I RTY-E.I. GHT AND 00./10.0... . . '. . " - . . -. DATE 01/04/2005 CDS SOURCE CODE 12(/8 .. PAY EXACTLY 1$ ********38>.'00 -------~-----~~~--~~~~-~------~-~----- .. .. PAYTO:E:STATE OF D PA~S9N 106 lURCH COURT CAMP HILL "'0. ~"T" __........_.... BY; ~(4 1~ ........A\jTtlP .~D SIGNATURE PA 1,,7011 :.... ?-.:::iol. ~.. -':-J. --.y-"lIii"""' II' 5 L. . . L. g ? b ? II' I: 0 L. . 2 0 ~ 8 ~ 51: ? 7 0 ~ 8 7 0 III ) : 6' 16.04Q5 . . PROGREJJIVE"" NORTHEAST DIVISION PO BOX 948215 CL~VELANO OH 44101-48215 PROGRESSIVE NORTHERN INS. CO. 501200000460 ESTATE OF D PARSON lOb BIRCH COURT CAMP HILL PA 17011-4002 On A CT ~IUlJlBr::R nl"\'- . ." ...is _. 541439039 DATE 03/04/2005 562353977 DRAFT AMOUNT 1$ ********78.00 I POLlCY NO. AGENT CODE "'u., I...,.... "') ;)^,)"t,LL DESCRIPTION TAX ID: DRAFT REFUND LOC CODE: FOR INTERNAL USE ONLY CDS SOURCE CODE 12PBS DIVISION PBS BRANCH CODE 1 2 'f ~. ~ j . j;l -~r ;,'; .~,~ HlPl ~ . illl . ,.f.! , ~.!-' ii PRODREU(l{f~; ............ / PROG.RE S $'1 VE:',NQl!'rH.J3N ,"'-r - , : 'i.::._(<; :>:,:' .<;,'1 . j;/-, .. ~...~." ,.'1.., ">..- . PAYABLE ~I:1AOUGH< .... NATIONAl. CITY I3ANK ASHLAND. Ot! ' 871<~448~[l(i4~ . - "4,:,,",' .;;,~ "':( KEEP THIS TOP PORTION FOR YOUR RECORDS . " ~r \cr,lll'T..lliW .,f':,: .. . r VplDIF NPi' PRes~T~D WITHIN lIO DAYS <, AF;TER DATE OF ISSLJE : V'T f~ "f DRAFT NUMBER 5.1.39039 66-389 412 " ~. INS ..CO.'> .... POt'qY.~9~' ~~2.35'~~ 77 AGEN-r:OdO~ "SX,3472~ DATE 03/04-/2005 CDS. SOURCE CODE J 2PBS 't li~ ,., Ijll ~. ~ I; '~ n 1, II! ~.,..," .' ....-> .-,' '. SEVm~TY-.FIP~T ':~NP.~O/lOO PAY TO.: ~S1:h/Te;()Fi/~>p Aft$() N . ~tj'~ ,S :t R C H CO U RT .' ......:. Cf.ffP HI L /..,., P A 17011"'4.Q D~ !:, PAY E:XACTL Y 1$ ** * *~~ * *78.00 - ,{'~ - -'(- - -.....- -;r":'!'" ':' -~.::r:.<":""__~~ - - - - - - -""" ~:~:'- - - - -- BY: ~ '. -- :. ~U{1~ ,., AVTl-lb EO SIGNATURE " .' .;......., ~, ',>l. ;';';;:k) _c; '"";t''\':' ..,.. - , ;( .... ~'J " I .-- --~..:.. .-~-_. III 5 t. I. t. ~ gO :i g III I: 0 It . 20 38 g 51: ? 70 I. 8 ? 0 III . . PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS W \4 (\ .... ,., .... -.. -....,- . . Fu~l~i1tOl.4E '4~ NOMh ar.na Strut IDII"'Vr.. ". 1707' 11.,.UI.70a4 J.f'1rty W 'IJII I'IJM/II 0IrwI0r ace. JOnMtc\W\ Road OrlnIYIII" ,.. 1702. 711....W~4' 1fIo111f/'f:J ~, lu.., 'up.'V/~Of er."gt, ~DCI~on a i... Mil" a,,...\ l'ium",.IItcl*", PA 1703ti 717.6H.~01 e ConN It. 0, 'IJI. ~nnI ~1Or CI,)'lItlll K. Rrim~>, 1 )~:t iUd" ROlla OrlmvillC, PA 1'7021 ~~jJ~mbcr 01. 2004 FUNERAL EXPI::NSIiS fOR DURAN ALAN PARSON. )'4(~ILI'1'I"li AND [Ql'II'M~N1' P'~11fjlllil\t,,1 Sf,,,,IIo),,. $ u~o !Ill S 11 f): ~ Ill) ,. (I.:' S 00 ,) S 6SU,OO MiR(~HANUIN~ ~ku:L,...tt;J) 1(1 O'LI~ 8111. Clai, CUftcrtlt 0"\1' Lille, C:AJlK 4UVANCiJJ 1.ot Ind D..d ()~"lln8 Oft \I " 1..11'I\;I_II( C~liml)' (':11I'()II.,' 1.:lSO.OO $ $ $ "fS.lJO .~(j() tll} I'H (u) TOT4a.. CHARGeli P*)'m.nu .!~ 600.00 ~ ~.SOO,OO \ 2.S00.00 ^~I&""llO, 2001& "AJ..4N(.'~ PUI. U\C)3 IY'lld.'i" M~lll) $ 2 .~()O.\)(I , ~ () , .\}-,,' /l. . J~ ) \.~. J tV) \~) /" \ cY (~\) ~ ) ( -... L~ . ORDER FORM . 9- - I - ::~C~nce 1921 5243 Simpson Ferry Road, Mechanicsburg, PA 17050 (717) 766-5622 · Fax (717) 766-8007 www.gingrichmemorials.com SOLO TO: .Ih" Es.t*r- {'\f 'D1A'{'<Nv\ NOM. ?()x'~O'h -Dn'j\'t'$l Bn ln~~ E )(~t-6x ~o~ \Si'('r~ Co~~t CD.-M.~ 'rt,-U I \J fl I ~ 0 \ I Phone (H)~ '31 - :),OL.{'2 (W) No. 2-20194 Foundation By o Carved o o Lettered Drawing Required Drafter Supplier Ack. # Date Rec'd Found. Ordered Position Verified o Sandblast By Manufacturer Cemetery Location Date of Order S - I (: - 05' S ~ J l ~ Ce~~-e;("y GrQ.Vv-t" ~\k \ Center Over Approx. Date of Completion Lettering $ U ~ f\ \J ALi4~ 'VA~soN As f~' CAD c{"OvvJ'\~ ~ -\r-Q0~~ BOR~ 'OlE\) FE.\3eu.f\~Y 2l) \q~6 f\\J.GlJ.ST ;.fl)ZooY 'B fLovfD L-lL YA~~A Isf\BE.L 'FIT TH-t R 0 F '? A~SO t-l b-lJ1Spelling and dates have been approved. Type of Memorial ShV\1 Mo..("t'f',' Size ~ X ~ X ~ Finish Size X X Finish Misc. Design Material -.lillA.~ '?~(}.C\ <jr'ClV':ct-e Location 9\ Vase 5" X q " NoAc'~ 9 ~aV\.~te 'Bllg. ?cof) 0 Corner Posts Let:t Si~~ l)f diQ. Agreement: A 50% deposit is required to commencement of work. Agree to pay stated balance upon erection regardless of labor troubles or shipments or any other good reasons. This order or contact cannot be cancelled by customer unless agreed by both parties. The article herein mentioned shall remain the property of James R. Gingrich Memorials until paid in full and they reserve the right to remove the same is not paid as stated. I agree to carefully proofread ail names and dates for accuracy and accept fuil responsibility for any errors or omissions. THERE WILL BE AN ADDITIONAL CHARGE FOR ANY LETTERING ADDED TO THIS MEMORIAL AFTER ERECTED ON THE CEMETERY. Price ~ .1~O. - , \ 15.- ~O~. - I further agree to pay the balance stated for the work performed under this contract within thirty (30) days of receipt of the final invoice and further agree that interest shall accrue at the rate of one and one-half percent (1 J-2%) per month on the unpaid balance owed to James R. Gingrich Memorials not paid within thirty (30) days of the invoice date. In addition thereto, I agree if it becomes necessary for James R. Gingrich to institute legal proceeding to collect any funds due from me for my account being past due thirty (30) days, to pay ail court costs and attorneys fees incurred by James R. Gingrich Memorials to coilect the same. TOTAL $ $ $ $ C~~~ $~- DEPOSIT 10lS- $ .:<\ SS S'. Balance Due \ 0' b ;1. <J 0 . J?J Foundation \Jll~-e Dealer ~ ~ Upon Completion $ customer@ dlrnffLct- / &-t2:t;;~ ~ . (I further agree that the above names, spelling, and dates are corr~f -_._-.,~~--...~ ~ . \ v::> 0' \ . \,)\ - --I- .-9.,. .,..k- ~ C ~\Q9 ~\Bf1l ~F Z~ ~\Bf1\ ~IQ! ~ ~~ @)~ ~~ ~~ ~~ ~{) ~~ {) Z ~ k--- ~ ~;~ \Q) ,,- ~ , ~ ~ 1\ \~ ~\g@ ~ \Q)O ~ ~ ~ ~':Z G 11\>\~ g tefl~~ iflJ~~~ ~N'~~ N~~' ;=1\ ~ ~ N~ ~ o egg c::::1?1\ 00 ~ ~ 0 ~ )\"-\ S' ~ ~-- ~~ \ ~ ~~. ~~ . . __ I Gingric/' OMEMORIALS Since 1921 5243 Simpson Ferry Road, Mechanicsburg, PA 17050 (717) 766 5622 · Fax (717) 766-8007 · \WIW.(1ingrichmemorials.com RECEIPT Date: __-LtL1h5__ Received From: l)~~Y\L-B~Lt~______________q_ lOa ~ Amount: $-L~.!--_______ Cash _L Check # _._1~_~1 Visa Account Na.me ~J.M:g.1t.-fa(~~n___._______ Balance Remaining: $__,,& .__________ Acct. # -_2_~~l1i-L F~ . ~. ~ Me . . ~j,:;,',~... ;~:':'':;i~{,,;X~,:;{~;?,; ,,~<,;,',,~:.~ , '"~:\~~~"';;":";r"f;*i ,ji 0"P..N. CBA.:N<. ' '.'. .... ..... ". ........ ">' 'Ni:)10~2.. "~':.i PNC Bank, NA. 040 ", , " , ,', " ":6)l~f213hi3 ' Celltf~II'A .', " , " " tj" " ',' <'.,106'" " .... '" . "." '..,... ',.". DATE _~jiO "l A .II 5'7 i P~~~~~~4s.L~-,'--_ '-~~~-;;J~;;;%I ~~~;~$~OVR;~~'~' ....' "~S;;;i";;:::/~~~OL~A;~ ~~~:.' '. tcSTATi::OF D,ONf4AL.~QL;~~'ti<eX~C:l!lR'X' ,', ..."...'.......'.,',,' ., ."C7f::~NP '. lOe61~9ti, ~QlIRL I .~." ',",.' "',","',,' ~~ ',~~~T~1~9~~lO}i , . .'. t//J,CMWLL,," 'l~,,~,' . ",' ". .. (..,;o.;, ." , r OR'~~. '. . . -:c~' .'. ., ,.' I . . . " .'''''''':''.' LtL4c. -- t('6'o~~:~-;2:na ':, SOD 10 S 368 ? II' . ". . . .. '-';"'.J ~~'f~~, ""', i~~:::~~':'_'~~:;;~~~'~~~r-,..~~-"~.....:,:.,,., ,J .vj/ I) . . t'age I ot I Donna Soltash From: To: Sent: Subject: "Memory-Of. com" <donotreply@memory-of.com> <DonnaBoltash@paonline.com> Sunday, June 19,20058:45 AM The Duran Parson memorial website site will endure forever Dear Donna L Boltash, We want to let you know that the hosting services payment transaction for Duran Parson memorial web site completed successfully on 06/19/2005. Thank you for your supporting Memory-Of-com. We are sorry for your loss and hope that the memorial website will be a source of comfort to you. Please don't hesitate to contact us at ~~p,:;mrt@m~morY-.Qt.CQm if you need further assistance. Amount paid: 55 USD By credit card: XXXXXXXXXXXX3927 Card holder name: Donna L Bo/tash Your order number is: 1969 Site sponsored: htJQ;ll~uran-:QMSofl.m~mQrY::-9f.com Memory-ot.com Staff http://www . memory.()L~QJT1 6/19/2005 Fl . .'S-B weSt Pennsylvanla Avenue PO. Box 8 I 9 Srewarisiown, P^ 1 73fi3.08 i 9 /\ Kovens \'encJirlg Corpuratlon Sales ............ .... 800 270.VEND Sales & 6ervlce ....7 I 7 993.993 1 PAX ................... 717993-9930 I Donna Boltash 106 Birch Ct. Camp Rill, ~A 17011-4002 (117)856-71S0-Cell (111)737-2103-FAX 5 H I P INVOICE r o N~ 7428 . --~ . QUANTITY LlRO. B.a. UPS DESCR1P-;-ION 1 9341-5 Coinco Coin Mechanism SR' (NEW) 255.00 ! I 1 . FACTORY FREIGH SHIPPING 8. HANDLING/DELIVER 8.25 W RETURNS ON GOODS WITHOUT R.A.IlI. \ i claims on re'urned goods MUST be accompanied by this bill. JO returns on special order Items. AUlhorl2ed returns are subject to a 25% re.stocking fee, 'ERMS: Net 10 days. Unpaid balances will be subject to 1 '1.'% service c:harge ;:>er month. 'urchaser hereby grants to SeHer a purchase money securit'l interest in the pfoperty I~reunder 10 secure the balance due hereunder. 'urchasers from othor states are usponsible for their own taxes. 263.25 TAX! 15.80 ~279.05 ------Aut'horlzed and/or-Recelved b-y Date . MIL!AG! FINISH START TOTAL "'--~ . ROAD SERVICE BECKlER'S TOWING 3150 Gettysburg Road CAMP HILL, PA 17011 Phone 761-5738 . 8 p~AVI~1; TIME FINISH START T01AL YEAFtf 7 STATE . :PfIqeL;!MfiI~PORTf;D o LOCK OUT o FLAT TIRE o OUT OF GAS o WRECK o RECOVERY o . St;;FlVICEl>Fl~NDERl;D o SLING/HOIST TOW o WHEEL LIFT .0:J:LAT BED/RAMP o START o o EXTRA PERSON fNISH START TOTAL DHIVER SPECIAL EOUIPMENT o SINGLE LINE WINCHING o DUAL LINE WINCHING o SNATCH BLOCKS o SCOTCH BLOCKS o DOLLY o VEHICLE TOW~ :g. f' /-( 7,; (/ e ('-4 ,e REMARKS RS-242-2 PRINTELJ IN U.S.A RE AUT~ORllED S~c.>,"JATURE / /.7 " / _ /1 . .,/ _r:- - .~-_.. 1/ . ./ ./ {'.( ( 'l_~' ~\</'l / . r-- ( - - i- -...:r _." r~=o~_ TOWING CHARGE LABOH CHARGE' STOHAGE CHARGE TOTAL (J. 9f{~9.lt>w . ROAD SERVICE . BECKlER'S TOWING 3150 Gettysburg Road CAMP HILL, PA 17011 Phone 761-5738 o A.M. REQUESTED By-... OPM I. . ( (:, f f-l) YP'" 51 PHONE: I .D)\(,.- -.....~) ,. -~ -f/"~O/'7 ADDRESS lOb 1'5., r''( ~ Sf. MII;;J:AQ~ SEAVlce TIME fiNISH fiNISH START START TOTAL TOTAL y~ STATE L1CNO. ZlI' '-~.::1:CJ EXTRA PER~ N FINISH START TOTAL PA<tlaLEM R~POFmfQ' .-\ .-- SIl!8YIOE REND'i~REO' ~ SPeCIAL EQUIPMENT o SLING/HOIST TOW \ 0 SINGLE LINE WINCHING o W}-IEEL LIFT 0 DUAL LINE WINCHING \9F'LAT BED/RAMP 0 SNATCH BLOCKS o START 0 SCOTCH BLOCKS o 0 DOLLY o 0 o LOCK OUT o FLAT TIRE o OUT OF GAS o WRECK o RECOVERY o VEHICLE TOWED TO; Hl:MARKS MIl. EAGle CI-jARGE TOWING CHARGE LAtiOH CHAHGE .;-:-~-~ ,~ STORAGE CHAflGE . TOTAL HS-?42.2 rnlNl ~D IN U.:;A. l~f:N'iii'''"'l t._ ~II<J.. . . .' 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'\," . >~\ I,)' \> ,:\<<\~ : :-':,,<~: /,'>~ )\\\~ ~. /, :;', ,~ ":p~(;a.II~'N..)\:..,..,'oM:i../., .' . ".,', ..,'",' /,..',',"\/" " . . .,,','/.',.,.:,',':"..ilj6':~Zt.:V~J3;:~1 :e,.mli~lR~ . ::' ":"~.'" '. ,: ' " ........."" " , \ i\.' '..' ::J'&'~)';;::"~oe..: 1 . "..','......~ ,',.,..,.....,.....'",...' ':, . ", < . .,' ,....O.Are..'" ','/',(;7).: ' (9,. "',1', ":,,--:<,>;":.; >:~,',.,,< ,,< '>~E"-:: '<' ,~..:. ' , '., : '".',. " ':->, '/', .,<~7'~:';r-~1C'7..~,~6;I<i.. .,." I PAYTG),TH~' " ".' ,., ". ',' ," ".' .",~ ',' '.' ,""'':','''':. ~ nf;lQE~:_?F~~: ,':;',:,,>.,.,".-.', ~':.':-,'~:.': .:7:',~.:.:.'-.~'.-~...~~:ir:;:. ... .._~~$ 13{l (Ut! .. J!lu' " >:':'J.~.,. '.4/~ 't!dU~__~~'" " '0' '~"t'." / 1,. ' ~,-~. ','., , '", j ':';I!~ I _ . ". '.' """;-""._,,::,'.'.-:""'-~-,, .,__~~_''''d__~''___'" -~7";" ..;..., .-~'..,,".:,>~{.~-J~c,>.~~~~.~.,,',.~.' TH~'~~:rATI;'Qfl:b.U~.At:lA;P .~Q~.. ~.Y;"'" '~. .~~_-:'~ ,:,:,"';~,:-::" .-.," . f~)TATE QF',DONNA,L,S()~~A$~~:~)q!9UTR1X , '. ". J/rk".>'Jf',,,., .... ...\',':;>1-<4 M'i>EXECHl 106ijlRCHCPYRT "./': '. .. ....{ .<.vL,Y/~.7"<,.//, 'i/:~><'~~" "'~ I'O':'\I~ll?fl~1PH Cp:~ll.L"Rl7011~1t.d1?'f::;L.j' ., ....., '. ',,/'."> ,"~'<"'~M1\l' ,I .... . . .~0.~-C"-"..F .... i/ ,... .. .... ...~J~=~:'j"., . ..' ,:'!l~qo,~o~<a:II..:'~:'(lS.~::~..a-?(lf3I,: .,'500 ~P:5}.88'?JI". ....'.' ..' .,<:::':';:::'. :1 ..~~;~~m~~~,:j~~~~~0~~~::~,~~~~~"::7~~'P'-1~.~~..~:'~'~'}7:~~1'~~~~~"""'"').'~~/;~':1"T~~~' . < '-- ~. /' ~ I! ~ ,/f... '''Jr/;-' L,..,? c;}..J!,';J c..-&,'. ZJ!L ,t.~." '.:' r~.,//-" '., .'.'-2.../... . "'~~.' / _ ,/1./ A !'-,-'i"7L...:2-i/7\.J , . ~ '7 J!./JV'~/V < (,.. / / t.- _.. .' j/eJ ///.6".GGLc:L.0: c CL'~ ..>: .(,'.' ,/1 ;) kL cc.-c......c- ~.7' /. / :' "I"';-",c-{; /-...,....----c~ ( ~/,.!f..A,./) L.z::"(. t, 1:;1' . .' t/.. . j /~! /~}u;L/L^--', ;L/ e- ' '~/L-{../..!._ L/' ( (.. V'V F . { . __ 1- !fl:,..~ f{ ~ 5 b J__~jo-,,!J . I {! , {/I,/' C-~/ ~ :::C[IPT Unit #OOOl,. :2 (l/:2 D() 5 \ 34944 ~ce\pt #80.429 :ljJltal Self Storage Mech. ~nt.. . $111.00 Total $111.00 l\lD BY: heck $11100 ank: PNCBANK heck 109 aid to Date: 6/1/2005 alance clue: $0.00 'onna L. Boltash 06 Birch Ct. amp HilL PA 17011 1 7 - 73 7 - 2 04 2 7 ] 7- ./e value your business' . WE ACCEPT VISA, MASTERCARD, AMERICAN EXPRESS AND DISCOVER FOR STORAGE; IF YOU WOULD LIKE TO MAKE ARRANGEMENTS FOR AUTOMATIC PAYMENT, PLEASE SEE THE MANAGER. PNCJBANK" PNC Bank, N.A. SouthcentraJ PA 040 ;/ PAY TO THE ,.. < / ~/ ORDER OF n '1~;., . ,-( '. . ( /'" ..... /' (I )/ I>_'/Y_(('./,u_/,I ( / /:./fJ'~i.. rAr~ /( I ;:/ / (~,' /1'-.. FOR 3 'w/ctki...,/r(,. L, {r. i I I/c'r,<i- . ( :1 )1:O~~~~27~BI: C:<<P" ) 0 1 60-1273/313 ~. rM/ll- ( I .-' .1 , ' -..... '~I . ._.k?..Ll f --("I ~.. ,') /.1 /OC> , . ('t $ . --;e; / ( c. DOLLARS [fJ .(1 -IlO ESTATE OF /l/.V.:'i..A '71 / /. /;i :~.).I),--.-' II I' / '') j -~. I' i / '; U ( /-- (! L~ L. / i) /) C- , '__.0 P . .J!.- ,".~ y~Q1."i!=L:i..../--/... ' VJ )~d=-:..__.;{.' <t;L.!~~_. 500 ~ 0 5 :l B B 711" . M' ! ,I ,/ '\..../...- . . ~T~~~llnil!Er-:-cr~~r...~-.:.o.'P"'~i~]-.~-:~~~=-!_~~r_(_'__ If l' II JJ ., II r ~ d _~_'!'.~ .:!_~_ni_2 ~---:b~~(:X~.J"-~-~7_-;1~T.T.5-,-m~ ~~PNCBAN< PNC Bank, N.A. 040 Central PA NO. 1 008 - ~ ~: ~! ~i "I PAY TO THE ORDER OF {x.../ DATd!J;J!;r:J.C(} _5" / I $ :< S-5/7r~ 50-1273/313 105 ,I /~ LJ- -160 DOLLARS (D ~::~::~. THE ESTATE OF DURAN A. ARSON EST"'.TE OF DONNA L. BOLTASH, EXECUTRIX 106 BIRCH COURT . A--P:i;;C~l/'.':. PH H';;-,ILLL" t' P,A 17011 FOR~ . J) . 1~~J2~{,~ L M'l - ( :~ PERSONAL REPRESENTATIVE EXECUTOR! ADMINISTRATOR TRUSTEE II-OO.OOBII- 1:0:\.:\. 271BI: SOO.O 5 1BB 711-, ~.!~~Il~~iI\1JIJllf~~Y.W~"""''''",.-'''''''U1'''-''''.'-'-'''''''-'' . _"""'........",.,.._..."."'_"=-r-r.",.,.,."".,_.-.mIIlW<<ft.-.._r.-'~~r.;:;,...~il,=,...-.....Tml".,...~~~..rl~\ ~/ci . /"1 /} _.P - ( , '~'1 / ~/ C 1/ ~111 () /) , aVE-IN RECEIPT Unit #OEOS. 10:27:48 . 19/2005 ~ceipt #84,835 :tpital Self Storage Mech. ent...................... '" ........... $216.00 eposit..................... ............ $25.00 se Tax................................ $12.96 ales Tax............................. $0.54 ,- Disc Lock............................ $8.96 ~-8140 Introductory Coupon........ ($10.00) Total $253.46 lAID BY: :heck: $253.46 3ank: pne =heek: 1008 laid to Date: 7/1/2005 3alance due: $0.00 )onna Boltash )A 717- 717- We value your business! WE ACCEPT VISA, MASTERCARD, AMERICAN EXPRESS AND DISCOVER FOR STORAGE; IF YOU WOULD LIKE TO MAKE ARRANGEMENTS FOR AUTOMATIC PAYMENT, PLEASE SEE THE MANAGER. ,/ CREA TIVE CAR- TUNES 1221 MARKET ST. . .ANK YOU 100 FINAL INVOICE Created On 10/18/2005 LEMOYNE PA 17043 (717) 975-2800 Fax: (717) 975-2892 WWW.CREATIVECAR-TUNES.COM Mechanicsburg PA PHONE (717) 737-2042 17043 WORK (717) 856-7150 Ex!: STK: PO: RO: Make I Year , VIN#: Odometer: Reg istration: Sales1: WEAV Sales2: Start Time: Day: Date: Stop Time: Bay#: 3 INSTALL INSTALL cust. supplied stinger alt. INSTALL $50.00 $150.00 SBTR28PPT STINGER BATTERY TERM PLAT. POS. SBTR28PPT $12.95 $12.95 SBTR28NPT STINGER NEG BATTER TERM PLAT SBTR28NPT $12.95 $12.95 L SOPRGPT STINGER Platinum OGA ring terminals SOPRGPT $9.95 $19.90 9 OGA STINGER 1/0 wire, redl black OGA $5.00 $45.00 3 4GA STINGER 4 guage wire 4GA $2.00 $6.00 SOPRG STINGER OAWG RING TERMINAL SOPRG $5.95 $5.95 All materials have manufacturer warranty and installation is guaranteed for the life of the vehicle All Sales are final. A full refund is allowed within 7 days of purchase: if item is in original condition with all packing,accessories : and RECEIT ,except tint. 20% restocking fee. Damaged items are non-refundable. I Store credit allowed within 8 - 30 days of purchase, if in original condition. : Special Order items are not returnable or refundable. 'All work has been performed to satisfaction. Not all prooducts are legal in PA. Customer Signature: X Signature below constitutes acceptance of equipment and acknowledges the satisfactory completion of the described work by Customer, Dealer, and Agent , thereof. Ix date I Materials: Labor: Sublet: Other: Mise: Sales Tax: Invoice Total: $252.75 i SUBLET: Paid Cash: Paid Charge: Card Info: Last 4: Auth. Code: Paid Check: Chk# 1062 Paid House: AIR Open: Due: Deposit: Type: Balance Due: $267.92 FILTERS BY WIX -c21 ~ AUTO PARTS STORES CHASSIS BY MOOG BELTS AND HOSES BY GATES · SHOCKS BY GABRIEL - Hljh '. , @ LH"UUe~1 U~ ~~~MHI~~'_~"U"U . , ~! tl 6 WEST ALLEN ST MECHANICSBURG PA 17055 PHONE - (717)766-0215 rlH~ ...,,' 81' 'II II E""(" C t '. ~,' i.J . ~. ,.:-. ..\-.. L. 6 liWI@lllll CU~:;TCl~~Fn l ~I.lt tJIH,.H.E!:.;~1l E 61 ~:lIlllt.iI/i 171 CUSTIJt<1EFl l 7'..--.-,-.-_ ~ !: ~NVOICE I CUSTOMER DATE NO. NO. CUST. P.O. NO. SALES CNTR. NO. NO. SHIP VIA TERMS :. Ij[! 1/11' ! .J141220 WG 09/08/05 Ii' 1 ~::; fit. C,... L; (:l~; H MFG. .. PART NUMBER ORDERED SHIPPED BKO LIST PRICE NET NET CORE =~. Ii) illiZI EXT. AMOUNT ,..-' 1 8'1"\" f;::;-l~~ C;C;! 8n rTEI~Y B r3 6~j..,. 70 2 ,'r) ['3.',f'.,",',T,.t-t"F..:Q.V -IJ':;IE L, :..,. _. \ .. J I ;I.J... i . .:. 1 121 1 I. :;::J, ~~~:%) 8111,. ~J'i'IJ B3, ~S7 T --:1. "'~';i. I, g;' '. . 4. 217,l0 , . .,\C1N~,! ,'~E:T 0. QI00 .'J. li.'00 '-3.00 3 4 . . :.:' ,;,", " I" .,. -.. .'. 5 Ht . . \\ /' \ ') I .,." ~ V:...'" '7'~'~; . '{f\ :W,":\ ,~.~. ~:u.. 1'.' ,I : \ f:I\: \ \ : j J \ \. \ /' \~ \.1/" \\ :1'\ , "".'. H~, )..." ",' ''':'.';''', , /':1 \ h :.-:.i . ( \~-_.._) ''" co, F}j'HH"'-J ' ,,'" ';;","'" ,. . " I ,.... , '~~." I ~. , . 6 t-:; L * ~ ~--: ~-7,.; 7 1- i. 8 9 10 . " 11 :) ~ ; 12 13 14 .'1,' .",' H 1"":1 ! ' I": "';' , 1 .i t:jC. Ill. tll ~~l LABOR 1;;. iZltZl SHOP 0. ~10 TOTAL CORE TAXABLE AM1. SALES TAX SUB TOTAL FREIGHT (~. 00 /30. ':n 4. .33 ~). ~%~) '..~ ::"" I~ 0. i: L-.. t 1 " J (0 AI"! I REC:~VED X I LIST TOTAL ~ J 1."). ",?~3 PAY THIS AMOUNT ~ 13 '5. ,~l~~ Hfl Meml~r of American Institute of Certified Public Accountants Pennsylvania Institute of Certified Public Accountants Association of Insolvency and Restructuring Advisors . . Greenberg & Company, LLC Certified Public Accountants 765 Poplar Church Road P. O. Box 1244 Camp Hill, PA 17001-1244 E-Mail Addressmzg@greenbergco.com www.l!reenberl!co.com Telephone (717) 975-3900 Fax (717) 975-0698 March 24, 2005 Receipt of Payment received from Donna Boltash, Administrator of the Estate of Duran Parson by Greenberg & Company, LLC. Check # 1002 Amount $2,500.00 Invoice submitted to: Estate of Duran Alan Parson Donna Boltash, Administrator 106 Birch Court Camp Hill PA 17011 August 12,2005. Invoice # 19781 Professional Services . . GREENBERG & COMPANY LLC Certified Public Accountants and Advisors 765 Poplar Church Road P.O. Box 1244 Camp Hill, PA 17001-1244 Federal 10 # 25-1740876 Telephone 717-975-3900 Facsimile 717-975-0698 6/6/2005 MZG Worked on Federal, State and Local personal income tax returns for the year 2003 and 2004. Preparation of 2003 federal, state & local income tax return. Preparation of 2004 federal, state & local income tax return. Work on Federal, State and Local personal income tax issues. Lack of records. For professional services rendered 6/7/2005 OM OM MZG Previous balance 7/6/2005 Payment - thank you. Check No. 1026 Total payments and adjustments Balance due Name Debbie Morgan Mark Z. Greenberg Accountant Summary Hours 3.00 1.90 Please make checks payable to Greenberg & Company, LLC. and remit to: P.O. Box 1244 Camp Hill, PA 17001-1244 Rate 75.00 200.00 Hours Amount 1.20 240.00 1.75 131.25 1.25 93.75 0.70 140.00 4.90 $605.00 $507.37 ($507.37) ($507.37) $605.00 Amount $225.00 $380.00 . . GREENBERG & COMPANY, LLC Certified Public Accountants and Advisors 765 Poplar Church Road P.O. Box 1244 Camp Hill, PA 17001-1244 FederallD # 25-1740876 Telephone 717-975-3900 Facsimile 717-975-0698 Invoice submitted to: Estate of Duran Alan Parson Donna Boltash, Administrator 106 Birch Court Camp Hill PA 17011 September 20, 2005 Invoice # 19876 Professional Services Hours Amount 7/5/2005 AS Review of personal income tax return. 7/25/2005 MZG Meeting with Mrs. Botash. For professional services rendered 0.70 108.50 0.50 NO CHARGE 1.20 $108.50 Additional Charges: 7/6/2005 Processing of tax returns for the years 2003 and 2004 for Duran Parson individual returns. Postage 2003 and 2004 federal, Pa and local tax returns Total costs 90.00 3.60 $93.60 Total amount of this bill Previous balance $202.10 $605.00 ($605.00) ($605.00) 8/19/2005 Payment - thank you. Check NO.1 050 Total payments and adjustments Balance due $202.10 Name Arleen Steiner Mark Z. Greenberg Accountant Summary Hours 0.70 0.50 Rate 155.00 0.00 Amount $108.50 $0.00 . Estate of Duran Alan Parson Please make checks payable to Greenberg & Company, LLC. and remit to: P.O. Box 1244 Camp Hill, PA 17001-1244 . Page 2 . . GREENBERG & COMPANY, LLC Certified Public Accountants and Advisors 765 Poplar Church Road P.O. Box 1244 Camp Hill, PA 17001-1244 FederallD # 25-1740876 Telephone 717-975-3900 Facsimile 717-975-0698 Invoice submitted to: Estate of Duran Alan Parson Donna Boltash, Administrator 106 Birch Court Camp Hill PA 17011 July 01, 2005 Invoice # 19665 Professional Services 5/10/2005 MB Separated receipts from Client, added deposits on checking account to get sales dollars and added expense receipts to get expenses for 2003 MZG Worked on Federal, State and Local personal income tax returns for the year 2003 Compiling 2004 income and expenses listing Income and expenses Worked on Federal, State and Local personal income tax returns for the year 2003 Worked on year end taxes. Worked on taxes. Worked on Federal, State and Local personal income tax returns for unfilled years. 5/19/2005 MZG Worked on Federal, State and Local personal income tax returns for the year for unfilled years. 5/23/2005 MZG Worked on Federal, State and Local personal income tax returns for the unfilled years. For professional services rendered 5/11/2005 MB 5/12/2005 MB MZG 5/13/2005 MZG 5/17/2005 MZG 5/18/2005 MZG Additional Charges: 4/14/2005 Postage tax extension Total costs Total amount of this bill 7/1/2005 Payment from account Total payments and adjustments Hours - Amount 3.00 120.00 2.80 560.00 050 20.00 0.70 28.00 2.50 500.00 1.50 300.00 1.90 380.00 2.60 520.00 1.20 240.00 0.75 150.00 17.45 $2,818.00 0.37 $0.37 $2,818.37 ($2,311.00) ($2,311.00) . Estate of Duran Alan Parson Balance due Name Mark Z. Greenberg Mike Bertoldi Accountant Summary Please make checks payable to Greenberg & Company, LLC. and remit to: P.O. Box 1244 Camp Hill, PA 17001-1244 Previous balance of Client Funds 2060 7/1/2005 Payment from account New balance of Client Funds 2060 . Hours 13,25 4.20 Rate 200.00 40.00 Page 2 Amount $507.37 Amount $2,650.00 $168.00 $2,311.00 ($2.311,00) $0.00 . . Invoice J.P. Entelp....es 545 West Allea Ave Suite 14 San Dllllas, Ca 'T' Date_... .( 7/6/2005.1 Invoice # I I I .! _.J 4282233 Bill To Ship To -- --~ I ! -. ~ - - -. .-..~_.~_.._- Donna Boltash 106 Birch Court I Camp Hili, PA 17011 I I I.. _n.._ _._ __..__ 1-"--' . ..--.. -.-- .... .....-1 1_._._..p,ayme~~.TYpe .. J I'" I , . ...-_... __ .._____._.1. P.O. No. Term. r'" Ship Via I I ""'1 I Oe.crlptlon I r---'-" ... . : Repair ofColn Mech i Shipping back to customer "'," Qtyl ...,.--:*':"-':--._,._.,.,-~.~- 1 Price per Unit Amount 100.00 to,oo 100.00 10.00 I -.--...... _ _ . --..-... -.... _.J ..... _"1 ! Sa'.. Tax (0.0%) :__ 1 TO!-I~- .. - I All Equipment is sold strictly as-is with no warranty expressed or implied, unless otherwise stated above. FOB point is San Dimas, Ca 91773. It is the user's responsibility to provide proper safety devices and equipment to safeguard the operator or others from harm. It's also the operator's responsibility to conform to aU Federal, State, and Local Government Safety Standards and all industry Safety standards. The user agrees upon purchase to indemnify and hold harmless Seller of and from any and all claims or liabilities from accidents involving the equipment, the use of the equipment or other related causes. \ ..... ._ ......._~n_.__.._..._._._____.__ ..____.... .._.___...... ..--.-....... __._______..__.u._......_. --....-.----. ....-.... .-.....--.--.. . $0.00 $1 10.00 . . Ir~'l" ",."",,,...,,-~'.~.j,,,;...,j",".L'~""'mrnji",'~;'"''.~',..;:~m. .;"';i~'=""r.,,,,.F"m'''''''='''''''-~::!:m!:i:::,,'!-:';. r~~V'!l:.",;";",,'.., ...,..". ".. -.-.='. "u'ffi ., ~:l !: 1;1 1!1 ~i' ,f ~~ 6~D1~6H:~~ Y. ~4L .. ~I $ /'-I-<f, #0 i!~ -A A 1). l}Lu~I,~Ul~~_!;;:j.~ ~~t~ - -~. ...rro DQ~.bAFiS m ~,::m~":::::~" I ~ ESTATE OF J.,"A4:lAV 1ft, t"..oJt4!I.l\< , Fo~;:::~:1~-- JJ;::::J!::j;;:l/~X ~ :;!II .... 1:0:1 ~ 3 ~ 2? :l81: 500 ~O 5 ~8a 711' J,.~-~~;-"",i~"~:1!--.......,,,.I...;,..,,. ;w:-~.~7l1l!I:r.~n~. ...,,~ '~':'r.!IT1T~~,~~~..~~...;~:~,~.......r -~Ull.<~.:.lti~:~l'ii!"i.i'~ PNCIBANK~ PNC Bank, N.A. Southeentra! P A 040 (:/t# / () 5 10-1273/313 k.l6.. ~ I)/f: M' ! . ,..,;. ~ ~ i; ^ 'Kt.., If! ~ .~-_...~----'_._.. "::'4 . t~~;P\P;;~t;~:j'~foO~~~;; ~~ ':It.i:$"::lt-~..,~.....~; ~,'l d', b -,.pt." .;' .~~t'lI~!,II~ " .' . I ~, . ~ f .; t; M \ .., ~ ~ ~ ~ \ ' :.."1 I~~t., ~:t-,L .~;~4 ,~::~:".; '~:: :'7~~::::'. ,~l~ ~_.....;I; I.'" ,\,' .. J Ii" .. "f ~ ';J , '" . :~~~;.l4~~:~~.~ ~"'.". fW.' .' "~~; NAME :q ,1 t i ~.\ \...~. 0 1$01111 I ,"':~'J ~"-... HI"..... . -::.. .~:~. U;~,;~~..~:;:::~~::: \' :' ':',Y952'M~t:Rtl;:::~:.~ "~::. . . HARRr~eUR~;Iffl:lr:. :M:a~:' ~::- ..:: ~aT SHORE ,. . . ' . .: . < " < OtSNURE (717) 4eSl-7772':',;. '\1:~~~r. 1:7.1101"1 '_::._. )lU" ,ut. ...u.h-\nhli~h~~~j",.,i..l:,' · """"::~, /~~ ""'''''''i1E~;1y- "-.1 ADDRESS PHONE I I I I 2JTw, I I I I I , I I I I I i I I I --,_."-- I I I : I , , tf .~L- I I I I -l~-- I I I _.,_L._ I I I I "~T-~' ---- I I I SOLD BY "7;1 TAX RECEIV~D BY TOTAL , .iI; '~. '" .' , ,~.,' }~,' ;;.,\ *" ~..n" ,;in- 6083" . ,...."::'l;\;:.;~::~-.';;.; THANK YOU .. " d.) .,U.t-t. ,fp..'dY\ p . ~ ,..;" . ud~ $~;,,"5;...d Ail dHlm. flSW relllm~Q'g~~\ MOerll!, 'mQ~~IlP by \hl~ bill J JOV FAN RECErPT A ft6'20u4 Unit #UTO. 17:26:47 . ~rll #78,789 ,li tal Se.l f Storage Mech. ,'II! , . . .. .. . , , . .. , . . . .., .. , , ... ...... . .. $94.29 kPt)sit....." ......................." $25.00 Total $119.29 AID BY: beck: $119.29 Ilank: , hc:'ck: 9006 i\tid to Date: 3/1/2005 Balance due: $0.00 Donna L. Boltash l'A .~ l7-1j,?~:).(j c;,J.. 717- 737-<;L6 V:2. '.\.Ie value your business! WE ACCEPT VISA, MASTERCARD, AMERICAN EXPRESS AND DISCOVER FOR STORAGE; IF YOU WOULD liKE TO MAKE ARRANGEMENTS FOIl AUTOMATIC PA YMENT, PLEASE SEE THE MANAGER. v . CARLISLE PIKE EXXON {fWO C.Jl'l.isle F'.!.k(~ ~ieU'ldntcsbuI9:, f'(i 1?05~j CA~lJHLE PIKE MECHANIC, f'A DEALER: 4':i{161 tf'+-I~~jF .Liese r" qty dlllount F'1.JJf.\ ell UO:; 4" 5~{!Fi ':'" J 0 I~ 1.'19'3/ IJ flub Totdl j"lx 9..10 0.00 9..10 10,,00 -O.YO .ro'rf~t. CAGH $ Chan9H $ Irh;:~lIt'llk YOU for ~""CH.~ r' Bt.~sI.R111EmfJ; F:E1j" 0001 CGHn OO? DR<< OJ mAI~~ 10782 (m;!()!O~! 14:49:0? finl R5F . . . 'V-..nh"='''~~-~;;''''~''=''''''"''tN-~-.~~''''''''r~ ";T"",'!<~.w:;:-~''''~;;;:g;:....-m;<<.n'''!lLii._lll'l'm~ . U ~~ff il:i C/ILK //7 ~ ~ ~,ml31' '.;, \..1' I I ML____A~S- il ; b~j,1~mE ~~-'ti!/_ ___ _ _ _______ ~~ $ /~, ~.... iili - _~/Y\. .../ .--=--- --_. - _'_ - _ _ -.-::-=--. _ _ _ _ _ _ _ _. _ _ _ _ _ _ -7dti _ _ DOLLARS m ~::~.~:~" .... ~ E~:~ft~ p:t:~r ~ l:~~itfrrf~~~~,~~"~~~~~~::::J PNCBANK8i PNC Bank, N.A. SOlltbcentral P A 040 J(' '-" " 17 ., - {' (" 0-'<:; . . --~." U P H NS 0 N BACH SHIREMANSTOWN. Pennsylvania 170119997 1113487009t-0096 03/10/2005 (600)275-8777 10:06:41 AM Sal.. h.e" pt ------ Produot Sale UnIt Final O..criptton Qty Price PrIce , LEMOVNE PA 17043 , Firat-Cia.. $0.37 ;;;:.:a..: !lI6ue PVI: LEMOVNE PA 17043 . Flrlt-Cl..8 $0.37 $0.60 :;aa:.;:a:a.::r Issue PVI: $0.60 : Total: $0.97 P.ld by: C..h 10 . 10 C.lh 1 ,02 Change DUi: - 0.15 Bl1'~: 1000Z01938825 Cl.rlc: 03' -- All sales fjnal on stamps and postage, -- Refund. for guaranteed eervlcis only. ":Thank you for your bUll neSi . J Customer Copy t i Ik~;t;7J-e_7~,--<d':h/ttc~ -::t5v wt )IU/JJC--~L{!h~~0?Q~0 0--== -= o~ ~~ o~ ~~ ~~ ~~ g;:: ~ ~-== 31 ~~ ';;~ -l>jji: - '6~ cP~~ ~ ~ ~ ~. --0 B z rn -- \ cP _I -..! I o "1"\ ~ ..... C) ~ ~ ----- -- . \ \" \ r \.J ~"" \' ~) \ ~~. ~->.~ ~ .. <:::~::."'-- '. C \. .-:::~ \~ . ,,~ ~ ~~,___s- " G'\ ~~ ~i 'c. ~ y:-s- ~- '0' ~" ~ ~, \ -4 " .::4~g~ -4r-+~9:- ~6'JK 'C5 ~- ~ .\> l"~ C 1'.;J~~ _.J.> (0 0"" ~ --$ <1,?g?, l.1' ....') .1> ~ ['~- l \"'- r- ~. ' .-l .-\ tf) o~a- ;; :-I r' 0:> 0 . r+ 0'" Q--" ~ . _. 0 ~;e c;g ... :j o -J rN -' pl U" _,0 tfl (Q ~ ".' " . (I) &> .- "'"' -- '" '. ~.Q"""" ! (I) OC>>', ~ _J ._ ..4 Cl C ..., ~ --' {l) , .J' l ....' o ~ C C- OO g~ SCP 0..... 0:)...... __ -l> ti> ~-JO:> ." t--=l -,---'> ~t:.~ N2~ C'tl_0:> -00 -:r;;-l> ---,---~--'------ ---------~ ------..'. \ \ \ \ \ \ \ \ \ \ \ et ..... ".. et et ----- ..,..otP t...) i:t> '>> w......C'tl ~ \ ~\ ~ $i~ .-"~ -- ---.::::, --<;- ~, ~~ .-\ (t) ~ ~..~ ! \.:q;:. ... ~ c:f) c ';:"~ \' ~ \\~~~ .... 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(,.0.). ~'*" :::.... - 0 o ~~ -.l -.\{O ~ ..,.,~. ~~ I OW 0......-<<:: a (,.o.)N \ \ CV'OlO -.1m 11 _~ OJ \ \ ~:J.(\'l ~ ';;~ -n .... ..-< 0 ~~t) ~ \~~~ :;~ ,--, ""cpO ~ ~ ~ r1' . ' (,1' \ :; C.;l -' ~ co (,oNCP (->J D' ~, S~~ $< coN..\> \ -," '...... \:3 to $ ffi ~ .-+~ ... --.$> ~ ~~Rj o? <.0 '-.l g --.CP -,,0 :;..\> -,-------------- ---------- --,~' .-,-,.. -^ ----..---- -".-.-....--- . . OfficeMax - Off1ceMax #39 97 GATEWAY DRIVE MECHANICSBRG,PA. 17055 (717) 691-3100 Tell us about your shopping experience . and enter to win 1 of 5 prizes at ... Will . off tr.eIM~Lnllll1stnrAl8ur)l8V D 78402593' - '..~-~-~~-,L $9,99 \ ~ ~~r=-;~H018 1~_ \ 937988809!55 .~ $23,99 ~ KX-FA93 Fax Fllm ----~_. ...------......--.---..... .- SubTotal Tax 6.000% TOTAL $69.86 $4.20 $74,16 Check $74.16 Check number 9121 Authorization 0542 7177372042 ~i 8m;. 38445526 0039 00005 44874 6 03/22/05 00007031 04:23:26 PM ORDER BY PHONE 1-877-0FFICEMAX ~J ~IJ II~I ~I ~IJII~~! I~ lljIJ~j1~ H t, II . . ~~4'L- Ps:b-~ie7 , $H1REM~NSTOWN, Plnniylvlnl. 170119997 4134870091-0098 03/21/200e (800)275-8777 08:32:11 AM ------ Sa'~Pt .----- Product 5.1, Unit Finll OI.crlpt1on Oty Prloi Prlci _._----_.__._~_..,..-,._,.- -- --.--....'" LEMOVNE PA 17043 $0.37 Flr.t-CI... ...a.... II,utI PV!: $0.37 Total: Paid by: C..h Chang. Ou.: '0,37 $0.4' -$o.oe 811,.: 1000201949871 Cltrk: 01 -- Al I 'II" final on 'timpi and pOltige. Refunds for gUlranteed &irvicii only. Thank you for your bu.lne,.. Cuttomtr COpy : ! . . -, " ...- ''''\ I A ..Ik) ~'1lJi,~ 1 (jJ~ i , I IH!AEMANI 0 ~nIYlv.nl' 17 n:r:~ 03/28/aooe ~lia!r~-i~" 1S;47i31 AM ~- ~_, iiii" "unlt: F1nol torlp11on Qt~ Prlc. Prlo, - : l.N<<:A8TEA PA 17602 '0, 37 "rlt-Cl.., NorlIICIh I rat-CII" '0.12 ........ %Itut PVl: .o,~. Totll: IIlla b~1 ~. Out: 10.. -18:8? 'Ill.: 100020181tOae Clri: 01 -- All Ill" fln.l en .t~ .nd pO.tl;t. -- R.funo. for ll'JlI"lntttd ....v 1011 cnl ~ ' Think ~QU for ~OII' bu.I,,",. CuttOllltl" CQP~ . . j2CTQ~~--, A S ANCH SHlREMANSTOWN. Pennsylvania 170119997 4134870091-0097 04/01/2005 (800)275-8777 01:14:52 PM Sales Receipt Product Sa I e Un 1 t F I na I De.crlption Oty Price Prlce $7.40 Gdn 1 $7.40 $7.40 Bouquet PSA SkIt Total: $7.40 PI1d by: Caeh $7.40 Ordef .tempi at USPS.com/shop or call 1-aOO-Stlmp24. Go to USPS.com/cllcknship to prInt shipping labels with postage. For other jn1or~at\on call 1-80Q-ASK-USPS. Blll~: 1000300655338 Cleric 02 -- All 6a196 final on stemps and postage. Refunds tor guaranteed services only. Think you for your busineis. Customer Copy . . i 1 r' I " C'." ~ i j".;- . ? f ., ',.- / t:j 7'uu.J::i!j( -r'/-c'Y-c-:-./Y Ct Y'~ecIfLr )U 7J;A-'1~/. ~ / '} 1 i ^ I .1 ,+",dL~e'L(j/ jA,c'-1-~ Jr~::-;;t:;-/ /)/~.d:<{y C SHIREMANSTOWN. Pennsylvan1a 170119997 4134870091-0097 04/18/2005 (800)275-8777 01:54:29 PM Sal88 Cipt Product Sale Unit Final Desoription Qty Prioe Prioe DILLSBURG PA 17019 $0.83 Flr.t-Cl.st ...a.... rllue PVI: $0.83 Total: Paid by: Ca.h Change Due: $0.83 $1.03 -$0.20 Bll1~: 1000300664306 Clerk: 08 -- All sale6 final on stamps and postage. -- Refunds for guaranteed service, only. Thank you for your buslne... Cu,tamer Copy . J~~I~_,:-.1:.L.::.~"Y~ ~"f'1'p~OJ:!f' tlrrfl (~'" 0 (15- . , ._ " ..' .'._.____.. ..__.H"."..... /6 ;0;1-<2-- /Ii}- (PA/ G) !jA/ LP~~ .1-1 /ITLL_~_<;)/U~-ltiftl'--c~ ;;to: [/0 ,J!,u-itfJ. L/)~/m-J1L ~-~ . / 6 ~. if.p-' (,.-; If ~ /-1 sf)n~/ =- <"J g- I ~ () 0/ 'I ~t! '1/ / //0;& 5' j; ),; c;k' 5/ I In p'-/ / /1' Ii' '1Y WO V;I/ ~ s' /.?< /15-/0 $/ _ ~~/:r -) /( 5/ 3/? /d .~. 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GBHij 002 DR" 01 TRANlt 138th O,VUV(f r!:(\~j:-5H B1" R5f Gutl T01:d1 Td>: """O'-W"Ai 1.8 M. ...~ ()?L/) ~~~V/..J2/J~ c,(( -~ / (/ /{-_rlcJ)t...- . . ~~~ THE HOME DEPOT 4120 6000 CARLISLE PIKE. MfCH. PA 170~~ STORE MANAGER MARK ULRICH (717)795-9602 4120 00001 05155 04/24/05 SALE 61 MRS158 04:31 PM 030699557466 BOLT 4 i 0.63 2.52 030699968282 3/8GR8HXNUTZ 2 i 0.33 0.66 030699020485 5/16 FLT WSH 0.40 SUBTOTAL 3.56 SALES TAX 0.22 TOTAL $3.80 CASH 4.00 CHANGE DUE 0.20 JJ!IIII!I~~~~II~~~III Do-It-Herself Workshop! May 2nd. 6:30pm Learn to Create An Outdoor Living Space R~gt.t~r at www.hom~depotclinic$.com .***.***.x*...w*.**~w******~.**~*w**~.~ . . OfficelVIax .. v - OfficeMax #39 97 GATEWAY DRIVE MECHANICSBRG,PA. 17055 (717) 691-3100 Tell us about your shopping experience and enter to win 1 of 5 prizes at ~ ~Qffj~ellq[. com/stQ.r!U~~.v!3.1 037988808455 $23.89 KX-FA93 Fax Film SubTotal $23.99 Tax 6.000% $1.44 TOTAL $25.43 .Check $25 .43 Check number 9160 Authorization 158947 7177372042 ----_..-----------.-_....._.~_...._-- 73441526 0039 00001 92385 7 05/01/05 00047390 03:42:33 PM ORDER BY PHONE 1-877-0FFICEMAX I~ JII] ~ll ~I~ ~ illl' !Il~ 1 ~~ ~J'~ IJ ~ I -t7t f/ f 1~v / P4fU " G I~I r\ ')'iJ ~\ " (Iv U / . . " RADIOSHACK 01-2010 3590 Capital City ~lall Camp Hill, PA 17011-0000 (717) 761-8323 Order: 515877 06!l712005 02:59P m Jf 2300331 9.6V IH lti RC BAT 1 @ 14.97 2300432 9.6V COt4ll 1600llAH I- I 14.97- 29.99 ,.:~,... , ................ Subtot41 Tax 6.00% Total 15.02 0.91 15.93 Check 15.93 Ch&nge Due 0 .00 Check# 9219 15 .93 Auth# 856514 PA 10# 08482422 Original Store# 01-2010 Original Ticket: 515808 Original Sales Date: 06/16/2005 Original Salesmaker: 545 Reason: Exchanged for New Product tk#q~/f{ ~~Il~I~~T~~~T dktrYd/9 CAMP HILL. PA 17011 (717) 737-2042 1.5-'S? .-1SJ3- ..3 /.' 8 () Vour nelme. address and t.he original sales rOlceipt al'e required for .1' refunds. S.les and returns are subj,ct to the terms and conditions identified on the back. THANl( YOU DONNA BOlTASH fOR SHOPPING AT RADIOSHACK NEED '''lOR E POWER? RadioShack carries d wide selection of alkaline & hard-to-f;nd batteries. Let our friendly asso~iates help you find the batteries you're look i n9. !'~A. _~. ,11_ jf-~ta:-Je-a14l. ~r7/ :j:J~~~ U-~v ,. , ,,;' 5" J/2ltX,<z@./// 'I, J *:'JI; . ,'10, / c', q-' .J-: / (,! ,:-;) ;) (). .,--u_ lllJd~~YL(}'..,. :~~~~~(: J'~~.:..~J-/LC!/A ,~~ ~ ' (1 t ,rl ~ Ii> h 'f.(1/):(i .:JOlc l1ttI~)i 12~v( \.~:"'~~t.;~"~)~:'----' --.-...-..----------- ~ 1\ ~,::: II X/;}uJ(J0 (f,) I Lf ~"1~rlL".L -- ;) l/t;J) "j/v- If) '!'/:/~~~~_0'\r;;< f/~(~:!.~~2;!~I~,.~<5./ (~/d~/~/ / <( /~ ~4.I<Yu :-;/'~/13Id-::-- r "~----'- ,- ,- "- '.." ,__ .,,____..._..__...,. _.__.~_..._~..._.._.'___'_h.___,._.__ _____.._. __,_ .__ ._.. ',. _._~ __ _ _ ____ ____..,., '. ~~"--j..l.Q,O.1j,0 ,::ilii- /~(".'J>k.K.c..f~';.1'(2g-!/;,,/) ( (,tt'JZ.lSF$--"CtJ<?.c..i4.~.. S I /~ / (J ,S- -') I#.-- 1 S- _ ".__ __________.__. _._J--;!._'2~:=--_. ,'7'c(lJj~:[,-,{;?~ ) ~(Jif.:f'.i:.j~I(v;{2....::. '~-.--.(L_.n.___.__._ /~lr'I' I~/l(" P iV'C 13t1 / ( /;_ cj-, ,.If{ ,.'/:_. , ' ' / ~/ LJ. - I. II' /1" Jr..'/) I.; ,. cj / -1'ik IJ.Ja, -= .:') 7 I A.-..;, ~ )('( :- WU~I..J<.~ '~;:'-II .J ///. v' U U /; / ) :.~ (1:-;-~/;1 I,) 'jl' .:). r,~/f/~;,:, r('() S-/~-/3/i, -:/J/',/ Ie! )/3--//6/(J,5,7 Yd- 3~r~' 5/). r.: ! (> 5;/ Ie / I ~I {) ~C2j16 /I g I (J .~-;01 d-cf / () ~/'{i()31 c:J ~ {>t~ ,~W '~tLr? /~Ir1e;) 9--,j;.-ttj!/k7/I.~,'c_.,it I(~--t ( /}(Qe,/ / ! /q,.. 'ct ^ if 'i:-. JSJ., t/11-df2~fJ /q '5"/,,')1,../'(4- / '1-/ C; () , . .----~ 1ft I! 1/0 5,,; 1i1:{i;!ro57 rrut ~I IfjJo7! 0 s-lit !;)f? Icf~! S" /; / rf<j/ ~ 5/0 7( "o1'l( (( (6r f /Lt:IJ/i Ib,!. / A- I.. i" y /, /'.~' . ..' 'J ..... ".' ...--:{ , / ( r:\-lJ~{jl.Vl.Lr~Q:",..L..' C C .,., / x ~-::;. /' ,Ild j,! i ..........- ~ fJ. /rtLuJ!Ql._,,/ $/ '4/15. /lIN (JiJ2:;--- c:7-,;Js d.5/f'7/() :;- A ' /' /J /1 , //: '-1..1~/ ';%, I ';7.'" CU/:; ,'.' -)A1 ~/1.;>2\l'l'~J'\/i ".. '.' (7 ! 'd, ,;, ' /1 t <--"'" ~ " '~q X, t ~ 1'7 d--~,~/~" "fjl,9/;f1ln~- S '2 ~ I c;-() S;/Sl,dll.t / 5/ 116( 0 S / 5/111 () ~/5)/r'%/ () t;/j;J1 1/ t 5/ {) Ii IlJ )( ~>j J,J/ 0 ~/7/6>~?1 1/ / I 'j) {) ~ '.. . '.' , I --,,'/",' '--I. / C;.. (1(' I, 'I- /!t<J' (t F/J) ".J. 1') (:~, /I1.iJJftJ.,) >t'i./ jt} L tLA (t./. 'J L.t. C /1 . 'J' , 3ft. 10 ~,,1.1.. /}/I ,LIe ,0 '/- ~ LI C; Yj/hLJ1.:;: d< Ie:) ]./ I 3-../0 c;-( (.0 /8(J /6 ,- /7/6/':~ S~' ~ il.P h0ZA:'~,e-"1A:')trZ}tkl'----11 ilJ.L..c..~ . /'( /i''I (n - "'. .~.. 'I" I ,,/1 A ,'-'" f f f Jl <v---""'-/ (? J' { ,-.-,. ~,-;r.; . <<-J f.>" A. . t {fi--;,J. u u -> - '.-;. - n . 't" .~J-" '--.-l~,,- """ .....-' --,,- . .t/!J_'})h;~i-;:J~!~~;~ (':~d'>./ ~_~,?-e-;J Ij. fl t!- L ,'J~'O' ff..d-~ / '';' . /~r'---( -1 r<is . if ~ -;r>IA....1~...:.v ~,!([./G r;t- /.d' C ~L . '-t)( (I,fa =- 3d ''10 n" (&<.L@ . f(.5'1lfrJa.~::::' I 3,[. Y 6/}J~ '>Iv. '1)/ P / () 5-/ ~I U (t) 5//7/ /3/ d 5~/ / ....' ---- ........-.. -.........- ........-..-....-...... -.....---.--..- .........---------..----.... ...--------------.------. ~;1/-I#~~~ /:US'% . . OfficelVlalt Off iceMax #39 97 GATEWAY DRIVE MECHANICSBRG,PA. 17055 (717) 691-3100 , " Tel'l"'us"about your shopping experience and enter to w1n 1 of 5 pr1zes at ~w .ofHc~~. cOIlh.tor~l~ur_W' 764025112468 $7.69 HP Laserjet 11" Ream 037988809455 $24.59 KX~FA93 Fax Fllm SubTotal $32.28 Tax 6.000% $1.94 TOTAL $34.22 Check $34.22 Check number 9236 Authorization 127024 1117372042 \ ,olo' . --1--------.---- . .._--- 54444526 0039 00001 67775 6 07/15/05 00001031 12:33:58 PH . ~ ..r ORDER BY PHONE 1-877~OFFICEMAX ~IJ ~~ ~mlj ~~I~l~~ 111~1 ~'I!IJ~ I~JI ~ . . OfficelVlax' Off iceMax #39 97 GATEWAY DRIVE MECHANICSBRG,PA. 17055 (717) 691-3100 , Tell us about your shopping experience and enter to win 1 of 5 prizes at ~","I'L.off 1 ~~m~x. ~~f)m/~lQrE!L~!rvf,!y' . 0- _.,.,.. _._,~ _____.._ _, ~ ...-..-. '_. ......-.....-,.,-..- --~,~-.-" ..,'~ 031988809455 KX..FA93 Fax Fi 1m $24.59 SubTotal Tax 6.000% ' TOTAL $24.59 $1.48 $26.07 $26.07 Check Check number 9263 Authorization 14860"1 7177372042 _...... "--"'~"-""'----"-""""-~'-' '..-..-. --_..-.- 83449526 0039 0000101196408/19/05 00007031 02:57:59 PM ORDER BY PHUNE 1-877-0F~ICEMAX 111111111111111111111" Il/l/lll/lllllIlll 111111 III , 1I1I11I 111111 003900101180001 OB 1905008 'r/~~ . . , U SH EMANS N BRA C SHIREMANSTOWN. Pennsylvanlel 170119997 4134B70091~0098 07/14/2005 (800)275-8777 11:53:48 AM ----- S~les ReceJpt ---"..-----....--- Product Sale Unit FInal Descrlpt10n Qty Price Price .--------.---.-------..........--.- 1 $7.40 $7.40 $7.40 Spg Flow.,' PSA Bk v- -. Total: $7.40 Paid by: Cash $7.40 Order stamps at USPS.com/shop or call 1-eOO-Stamp24. Go to USPS.l.lom/cl fcknel1ip to prlnt shippjng labels wlth postage. For other informatton call 1-800-ASK-USPS. 8111N: 1000202073044 Clerk: 03 - All selesflnal on ilt&mps and pOlitelg8. Refunds for guaranteed servIces only. Thank you for your pustnss6. Cuetnmflr COPy Mf~~ . . ;- CARLISLE PIKE EXXON 4600 Carllsle Pike MechanlctaJnh PA 17('f1j CMLUlE PIKE IECHAtUC.. PA iO.ER: 4546149-R5F Descr. qty arnnt - --.; ; fl.f{ CA 1107 4.067G 10.00 . 2..45W G ------- 8lJ) Total 10.00 Tax 0.00 TOTAL 1.0.00 rI8f. 10.00 Th~nk YOU for your Bus.tness REGU 0001 (311 002 DRII 01 TRANU 16160 m/25/rfJ 11:46:38 an fI . . R~OIO$HACK 01-2010 3~90 C!pital City Mal' Camp Hill, PA 17011-0000 (717) 761-8323 Order: 52"1434 09/13/2005 12:17P . I .'. I\.'j). \. , --.--'.... ,<......~..,-,_.._~~._.._-_.'-- ,. 111 JOE 4300412 IK30 lAD IHCROCAS 1 4.79 Subtotcll 4.79 fAX 6.00% 0.29 Total 5.06 Ca.sh 5.08 Cha.n99 Due 0 . 00 VClur naflle, address dnd the original sal\i~ rtoceipt are required for all refunds. Sales dnd returns art' subject to the hrms and conditions 1denti fied on tile bad. THANK VOU fOR SHOPPING liT RADIOSHACK RadioShaCK Corporat JOn http://www.RadioSh!cK.coM Pic~ura yourself making extra holiday cash! Now hiring seasonal sales associates. Apply online at www.radioshackcareers.com o r ask a manage 1" for dei:ails. EOE/AA . OfficelVIax1 OfficeMax #39 97 GATEWAY DRIVE MECHANICSBRG,PA. 17055 (717) 691..3100 Te11 us about your shopping experien(;e and enter to win 1 of 5 prizes at ~WIrV)tf i c:;~m~li,t:;qlJ/~t9r~1s.Llrv~y 037988809455 KX-FA93 Fax Fi1m 764025931007 HP Laserjet 11" Ream $24.59 $7.99 SubTotal Tax 6.000% TOTAL $32.58 $1.95 $34.53 $34.53 Check Check number 9315 Authorization 164257 "117- 737 - 2042 . , t~>- f .. ~ . . -.------ ,. CARLISLE PIKE EXXON 4f..OO C?JI''l1SlEl I:'lke MfJOi':'lniuJ!:H.lPJ, f'A 1'70~)I:j CARl.I.i:;I.I PIKE MECHmIC~ PA DE' '/ !:r', (110: I' 9",H7f: ,JLLI\' L,!.! 4, IU !leser. qty dfliOurrl: PLUS eA <<07 :i" Olor; 15" O? [~ 2.5991 G 81.11:1 T ot,:ll L3 . O~:! T,jx 0,,00 rOT'l~L J..:5.. 02 CABH $ 15" o:? Chame $ --2.00 lh.:tJn k '\loufo r YCUJ r-Bt..l8t.rUf~SE;; I;:EGU 0001 CHH~ (l(P DRU 01 nwm 1628'1 l()/:?5JO~i 09;1\1::i:':if, STII R5F , , ~be patriot-News Now you know Order Confirmation Customer GATES, HALBRUNER & HATCH, P.C Orderer Account Number 11885 Ad Order 0001238151 Order Source kkline kkline Phone Payer Payer Account Number 11885 Sales Order Taker GATES, HALBRUNER & HATCH, P.C ATTN: CLIFTON R. GUISE, 1013 MUMMA ROAD, SUITE 100 LEMOYNE PA 17043 USA Special PricinCl None PO Number Ordered By Customer Fax Clifton Customer EMail Customer Phone 717-731-9600 Payer Phone 717 -731-9600 Tear Sheets o Proofs o Affidavits 1 Blind Box Promo Type <NONE> Invoice Text Ad Order Notes Materials Total Ad Cost $240.37 Payment Amount $0.00 Payment Method Amount Due $240.37 Ad Number Ad Type 0001238151-0' Legal Liners Ad Size :1.0X18Li Color <NONE> Production Method Production Notes Ad Booker Product Information Classification # Inserts Run Dates PNCO: :Full Run 806-Estate Notices 3 12/25/2004,1/1/2005,1/8/2005 Run Schedule Invoice Text LETTERS OF ADMINISTRATION for the Estate of Duran Alan Parson, d J 1/10/2005 1 :28:51 PM . . CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, P A 17013 JANUARY 14,2005 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Mark E. Halbruner, ESQUIRE RE: Duran Alan Parson, ESTATE Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. --------------------------------------------------------------------- --------------------------------------------------------------------- Advertisement inserted on following dates: December 31,2004 & January 7,14,2005 Advertising Cost Second Proof Request $ 75.00 $ 0.00 $ 0.00 $ 75.00 ------------- Proof of Publication Payment Received Total Amount Due $ 0.00 --------- --------- Payment received DECEMBER 28, 2004 by Becky H. Morgenthal/Executive Director ,r""".,..,,;r," "'",.(. '""",, "?""":""'''>'~''''~''""''''''''r~''';"'' ..,.< ,."~';,:,.,' "':, , ": ;':, .,. ;;: c',) . , , r,_, i~'<'~'" .. E ~ r' ~. f\ C"!:,. ,....".;, """.'r''''7":,'~~~'''~':''-if,i.~~~:.~~,,~,~\\.,,M"'!\l'.+~,;~J,.:;,.N""~"':~~"'0"~;~: ([be patriot-News 1If) FC:>I?- 6 C5L (- CAMP HILL CLASSIFIED ADV. RECEIPT 812 MARKET ST PO BOX 2265 HARRISBURG. PA 17105 PHONE 255.8286 YEAR (3al-t"-5h AD# I ;}.J J' ~ 5 3 AfT PHONE # CLASS 7 :J 7 - :< 0,-/ J... LINES TIMES AMOUNT .. /12 $'/8.0/.) JAN. FEB. MAR. APR. MAY JUN. JUL. AUG. SEPT. OCT. NOV. DEC. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TF Mon, I Tues. I Wed. I Tht;.rs. Fri. I Sat. I Sun. O dr- '[ ~ KEYWORD White - Office Copy Pink - Counter Copy Yellow - Customer Copy SP14298S ':~' , ~,:_"\J,,,_, ':f":r:'?rr"-;;;.''''',_~'::,,; ".r.;7";~ ,:~,~,':;~; '"~~!;:.~'l ~ ":. ~./ ;7~ ([be patriot-News /,.. 4,.8- as""' CLASSIFIED ADV. RECEIPT 812 MARKET ST P.O. BOX 2265 HARRISBURG. PA 17105 PHONE 255-8286 CUSTOMER NAME c::L. S c /ro.. :1';( YEAR 7..) C) It 17.. C ""L- ~ A 7'37- LO~:L. /.R, s- 9"/ "3 7 CHECK # AD# AIT PHONE # CLASS LINES TIMES 75""'0 /0 &-<<J --' AMOUNT .. # /9 JUL. AUG. SEPT. OCT. NOV. DEC. 17 18 8 9 10 11 12 13 14 15 16 TF Mon. KEYWORD ,/ . . _. -'.. - ..- PE~'~--~--~~~~~U_~;;;;-' " ~ ~,~.~ PpNC~~N~ANlK~ ~. Co ...... 40 80-12131313 " ~'l Soulhcenll'aJ P A 0 c.; ~ --~A._J - ~ :JL~~_--AJJ..22P. ~ ~'R"oY!j"/~j3j;i~d:2~______umuu___~ $ .?], ~ ( ~_'",/"'~_~_~~__ _JlQ!J,~~_II!~i'''::::' ~ ~ ESTATE 0' (6 Ii ~ FORdM--4~YJLu-_u- -1Id-)L~_l.L ~4- ~ j ~~~~~_r~~_m._~~~~~~~!~~,~2<~~:~~~~~~,=~~~~~~~j . . -., i\Piilf.wJlii'i,"~~i.;:;;;;a-..,.."qf\/tItS1'lUi:ijT< l "li'Jibr":!L>. .. ~v ,I " . >1'Ll,.'tlti'l"'"'''u"1!lIi!",.,,,...~ltJ!llJ'''''''J~'t.............. ~ .,. , ~:I; I' - ....,. il'1CC" ,,,. -.<~_.,,,,,,,,,,.- "....:....,..,.-~.'Ol:"""-'~7 I .,1 PNC BAN K" eh#/~ LJ. II ~ I rNC Banll, N.A, I' I" : Suulllcent,id PA 040 ' ~ i ..., "'''" rj II' ' I I ' I ,l.rl ~YD1~11_ 0_ _J1gu}.,v 'I/I.,t~~.msl I' v.../ AI J /.Y -.-.. ..- -~ $ d-I ~_/i::' i~1 ~ #&a~--'-~ '__ -Ji!.f- ," ) ~ ,I ~I j~~~~ ~~i~otrll);;~~:~~~Lt~~i!:f!i~:::' ':! 'I,ORJltLtt/i!4 i _--.---- 'Jlnj,(Jlh-X'~/-i'~~-... ) I'I: . ~_"'-.ft1,"';1>~.~~.~:~~~~~,;~~~~~:"~n~_~--'~~--'~~~~"'~ ~,.j,l~ \I.UU~~~~_r............----' --e j 3- ;.(~_. as" . . {[be patriot-News CL.ASSIFIED ADV. RECEIPT 81:< MARU:T Sf f-l,O. 80~X: 22L~) H,c.HRi'jDl!flll. PA 1 i I U~J P~IClf'.W 2~S b~)P,(:) CUS10MFR NAME 80 It.q... S' ,{ YEAR CI-!CCI( # /~ '3 7) 0 f\ rl "'-' ... /:2, ~ AD h 1:<. ~o C; ~_o + /~flCJ 9?..1 WI l'rIONF # TIMES White - Office Copy CLP,SS LINES ;l. /Jd~ 1/ il ::{ (II S" <) :;:/1 ~5" , AMOUNT - ICl ..# ~7/"7 S- MAY JUN AUll SI:PT OCI NOV. WEe; ,JUl 6 7 8 9 10 11 12 13 14 15 16 TF 17 18 Mon. 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' , ~"" ~STAT~ OF DOtfNA". aOLTAI:H., ~XICU"'lX, { ~~1~.~.f, ~~~ ,M' ~rMS~I,TOI1 IDe '~CH.OOUflT' ': ". \ , , /1'. .' CAMP MIl. t.,p~ t.70H,,'.'~,'i!-_._, __" "" "'," .'" "" ...~...._.........", .. _...., ~,l~~~~r""v" {L..i.~<(t4: "':< fJfI: ~ -- --~ ( . . . ._" . .. H' .. J '"0.... --",'00 ~~~' ~ ~. ~:~~~~~ {13M ?OO ~O Slas ? II' Np. 1003 t. ' , , . '- - , ' ,'0 A(- 7- at> . . ~bt patriot-News CLASSIFIED ADV. RECEIPT 812 MARIEr ST 10.0. BUX 2265 HARRISBURG. PA 1710':, PHONE 255-82b6 cu~>rOMER NAME YI'AR AiT Cl ASS CHECI, /I PHONf, # 7J ~,1 rl a.... /00 3 LlNi:S AMOUNT - S <.t I t:-I"A S AD it 1;t.?OQs-1 /.:<.."ao S'S- / :2.100 >1 "" 1"2..'00{,>" TIMES ~~c:::...,( /<.::J $' 9:<. ~ White - Office Copy Pink - Counter Copy Vellow - Customer Copy tiP,4216' . . \. .' .".." ,"~L' _LL,~~ ~ .~~...~~@i} r, " , i i.~~?tr~'I':;-/{ '!~;T,~~.t"I=:s1:rInCli]:'1,-,!i', /';' I\i~,";"':'. ,~.,~..~cv.1_.. ,~:,~. ..,," 11 ~PNCBAN<' .. ....... . NO 1010 I I PN(.~. Hnnk,N,^, 040 . " , ' .' 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AMOUNT PAID . I 7, 7.s- ............... ................... .................. ......,................,..... PAYMENT FOR I.J ~~~~'~re~~.. ..~, i~.y.~, ~~~~.i.~.~:~.~.ws U Cash p(Check FORM OF PAYMENT o Visa U Discover U Master Card 1,.1 American Express I '-;t,}? ~ .v~',:~,A~".R~h,,:"",'~:.,~~:~==,:~(~::~="J F AO online payment receip. . Page 1 of 1 Print Close Window SPLlTTER-200501 03-142504-8977 -0012-0012 Insured: Estate Of D Parson Policy Number: 56235397-7 Policy Status: Active, billing is paid in full Product: Auto Il',:r ")'4'i-WOL~.~i:J"f.i',.'[ Today's Date: 1/3/2005 Progressive Casualty Insurance Companies Receipt Insured's Name: Estate Of D Parson This acknowledges receipt of $839.00 to Progressive Casualty Insurance Companies either by direct payment to Progressive or by payment to the independent agent accepting on behalf of Progressive Casualty Insurance Companies. This payment is made with EXPRESS MONEY TRANSFER, Check# 107 on policy #56235397-7. Agency Name: D J M INS AGENCY Agency Address: 6483 CARLISLE PIKE MECHANICSBURG,PA 17050 I Signature of Agent: _cz:~ ~~ / h ttps:/ /www4.foragentsonly.com/interact-cgi/fao pymt receipt. asp ?pm= EM&3184 7104 I r0 1/3/2005 . . RECEIPT FOR PAYMENT ------------------- ------------------- Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Rece~pt Date: Rece~pt Time: Recelpt No.: 11/23/2004 09:52:05 1038561 PARSON DURAN ALAN Estate File No. : Paid By Remarks: 2004-01013 DONNA L BOLTASH JA ------------------------ Receipt Distribution ------------------------ Fee/Tax Description LETTERS ADM ISSUED RENUNCIATION HEIRS SHORT CERTIFICATE JCP FEE Check# 8916 Check# 8966 Total Received......... Payment Amount 80.00 5.00 15.00 10.00 Payee Name CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D $105.00 $5.00 $110.00 . . RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17G13 Rece~pt Date: Rece~pt Time: Recelpt No.: 3/09/2005 13:48:03 1039870 PARSON DURAN ALAN Estate File No. : Paid By Remarks: 2004-01013 GATES HALBRUNER HATCH CCP ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 24.00 ---------------- Check# 5924 $24.00 Total Received......... $24.00 CUMBERLAND COUNTY GENERAL FUN r:-J . . dlllll .....::_~:.:;:::~~;;;~~::iZ;.i~~;..;;"''?~.,,~''''''''7t'~-~...'''''''''~w...,.O%t"'4!fci'<~~i"''ii ~WI/1~- icAillll:~- :i ~:I! :'ii: ,~. PNClBANK~ I'NC Bank, N.A. 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". 0:> ~ ~ ". .- 0 o r= ~ 0 ~ n ~ ~ So 0 r= ~ ." ~ ~ ~ n ~ ~ '" :-' o 0 l ~ J: .... o 'l1 C '; o ~ ~ ~ z ~ (J 0 \, '1l 0 ~ ~ ~~m 0- N~ c\?, ~~. ~~l/l ~~ l~I~~ ~~J~~~~S ~~I' .~~ ~~. ~~ ~~ ~ " ~ 4 \~~~r~ o <:; l..:l~ ~ ~~ n ~~ ~ ~~ n~~ ~ lW gr: ,~ (J) r:-.. ~n ~~ =! ~l\ @....-;:: r--.~ l ~ ~~ h~~ o ~~\\~: m 1,~.;' ~ ~ ~ ~ j:. o~~a> zl> ~::r -<. "C 9 '-' ,.-.. ~ g ::s" ~ -.I -' ;7': (1) L i ....~(f)::J ~. -.I O"::r ~... '" --- C (l) v' -.I ..... (l) ill!!. ~. <olp - a ~ <f '"1J "'" ,"- <0):> (1) iO.... ::J 0-.1 en o (1) ~ 2 5' (1) ~ ::J c;) "'" i-- ~ r-. ~ ~ ..... "'" '- \ -<~ r m~ )>0 C1> ~ ~ OiR :P 5 ~ 0-< ~ ~ S ~ l . . PNCBANK~ PNC lank, N.A. !lm,&II&:entral PA 048 10.117*131 a ~tlJ~.9_____ * ~ () oS Ii :;:J;!tf;r::::~~~::~:~~- __:-~I~~~:~ 'm~;:' ____.______. . _ .___ __ ESTATE OF Du.. k.1;;".L1L-LtII:ft~S (J & 11/ u~. ~ 1l!Lwrf-.t:A)r?v , ~ . /l tl.JLU If J...--i - fi:5"l2/ -:: X.~. -_ - n_._~ 500 ~O 5 laB 711' I I fOR f1i)(.~ l(lttj<~'~ ,.,,C&==_=_~' -: 0 l ~ ~ ~ ~ ? ~B': . 'A.........a'l'.','lu'1l:: ~:a...:lj)-III.,;..'!t!!~.-1rII~V ~ .~.4t.r...I...~~IJ;i::fSJfrJ:.:i.:.1.lJi.r.l;.~jJ.tLi.:~'...')L:,.:'~...-'ii'h,,'Il..'..'~...,'t').......;"~.,~ "-4.":l"'\'m'f(,;n...'"".. .,~u'~.ulIL~l':,!!;:(~~~'S' .J . . ';;l~~;~;i~~~~~r!~~'1'~-:'~~:~"~;'~:" ,1~,r~{~-;~i:2h:}2:'~;}~/i,y5:;{.,,:~i;~f~~j~,L~;2i>)2f"M ", ,',\'/ \,',r.\,/,' ,'....:,.. ,"/,' ','.\' G,PNCBAN<' ," ,,' ",',",J.\ ......::, "', '.;::::.>>:':<<::<'::>::>:,:; I, , '1'l'!~r~,,~.l'l.'A '040 '. ,.' "NQ. "l,O?:4 ..' . ;' ".......' II ..' . ....... ~.~:atiJ1~:~~~,' ij~6~:?t~~4--2 ,,_ _. ____ . ,c_ . .... .,OATE - "~:':-; :ri::. )l;;~';;; :' ..&' '. " . "~ . '---"'-':'~-"-/7~$ '71,~ ..' ':AT~ OF~~C~~Il~~t~1.~-""--'~- >. - =Le~L_QOLLAR~ 6J ar~" .""~~'A"~lf~;~" .':'.' /.I~j." \1, l({dj;;(~',~i',~<",~, ,'Fl.., . ~~~ . .~ _,_ -F~ " ..," , ( ADMINI RAroFi ,/1.__._. ,'........... .... ~.-~,rG..:-~.Z~. :............_.:_~....,..,',. .._..~_~._:~._..,.~~ . f'. . .'" ". " ". ".. . ,.., .~'~~~~,~~~~ATIYf' . . ... . .' ..,~)i T~~i>f.~~" ". ".:~_'.': .' .... i!'.,99~p2,~.,il.' '_:03 ra ~2?oa,:,5.0oi(Js ~a8.711' .' , ~!~~~~...-.I)'.~t~";'r-t~~~~.~~\~~.~~~.~.~~ ," J ! '. / J/~ldL /J)~C~{~~U t~G-(~>/I/;?LI)o7c~a /';;f <</~0 Il( {l(D':J ~{f: 'L 7 UrZ';:;t ",",zU'L,/U2 :A!~ L'C 7 {C<\x:- , 0. i: /tA: 72 L(j }~Y-~,tL lcLL/!~<J.-c0/77La-~ ~~dL~I~~ ~ ~ r ,;;j-L (/j Ie" oJct~ --<'o/,fl"J c<L..0 /ZL--JG,r c~ ~Lc. 1 '. -. I (/'-( J v t L~l. "'-cJ-C/L-/ I ,) r I. IV :---'''--' 1J\l ~/ (\-~~ J . . ,,----...--..----- .....--- ~---- 8L1C:1701 ONE TIME PICKUP SCHEO. PICKUP DATE: 08/2412005 . 1 OF 1 CUSTOMER RECEIPT CLOSING TIME: 07:00 PM . JASON PAUL M SHIP J P ENTERPRISES ROOM APT STE 14 TO: !l05 WEST ALLEN AVENUE SAN DIMAS CA 91773-1445 SHIPPING $ MISCELLANEOUS $ DRIVER COLLECT:$71.72 BILL TO: CHECK TOTAL CHARGE: $ 71.72 - - --jW"E1GHT-iib:)--io D~w---- l' DECLARED VALUE COD AMOUNT --~.---- - 0007N2MZQ3.0~ SEO-006 PACKAGE CHARGE' 11.72 061241200505 14 4U03U'CCSCoa - --- - ~ - ~- - - - - -~-~--- - -- ~ - 65.50 622 UPS NEXT DAY AIR TRACKING #: 1Z 170 X61 01 3900 Q6.48 SEE REVERSE SIDE [!O~NUM~ERl~T:::s _.. ~.... ;~~Ec~~.1 J__~- .. -----1 --.- ..~.. -~~I000-AMOU'::~Oml 6.00% 6.60 I I I I I I . W AL Computer Management, Inc. 303 Berkshire Road Mechanicsburg P A J 7055 (717) 795-2767 I' --- -. .-. --.. .- ---'.. .-.-. -.... I BILL TO: 1.-. _... ... Donna Bohash 106 Birch Ct. Camp Hill, PA 17011-4002 I QUANTITY DESCRIPTION ! ----,.__....,.-- ._-_.,_.....~----~..,_._... ----. ---..-. battery liP F4809A Sates Tax 1< -rt: f"/)J h~ bm,k~v f::it1JA_L{:J- rr i -- L._.__ _... . Invoice T INVOICE # 5728 DATE 2/11/2005 _.h._'____.~. ,..----! TOTAL $116.60 . . PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS f:!1 Seell,.,;I.! enhauccd document. Sei ,bnc'k ((If d('//ll/$.m ,_ 'n - ~... ","'- G..PNCBAN< PNC Bank, N.A. 040 Central PA . . Q ) ~) ..-.,,A A- L~ DATE .1f.!:/Jj/0;.:7-6' C'~ ;/ /'/ / v .~ I $ ""LL/ ~ cJt;t. . -.:5 / '/(77 . ~. DOLLARS 6J 1E=::~ i NO, 1 030 60-1273/313 106 P~~6~RT~~ d~u LA).e~~~~ ~~wJ-~2j0~ ill I f S " ----- THE ESTATE OF DURAN A. PARSON ESTATE OF DONNA L.BOLTASH, EXECUTRIX 106 BIRCH COURT . ~ " FOR d-tJO f}t-MP 7ILV,:?-8~,,--, ~ , 8 !! ~ ,\ 5 ~ . => C!l :;, . ~( LA~~. ~-LL!- / j , dr E:. ,<.-, I' M' EXECUTOR/ ~. . U ~ .. .--". . . -.. . . . -. ~ ADMINISTRATOR t~~..~~'.::.'-:'--~~:.. ~~'. ~:: .:. . 0: .. - --. - - .: j ~;::~::hTATIVE 11100 ~D :!i01l1 1:'O:!i~:!i.. 2 7 ~81: 500 ..05 ~a a 7111 '- m 5 r e./lr il IJ t'_1l J. f1 II C cd .d () C II III en 1.5 c t'/'_ll c k r () r rI t I ai / $, m ... l'l 0..PNCBAN<~I' N.cO'1~.~2~/310136 -"~ PNC Bank, N.A. 040' H ~AA /..-.,Aj DATE (. ;L0J ~' ..:;> , P~~~~E~~ l!:t~rl"~'HL~df ffiffet~u_ / ~ $ / g 3,~_. i C7LC2.. I Y-(j/J-<:{.1{..l21'/ .'. ~A Vlk'O ,r:.J ~' ~~ / (Jt.) DOL L A R S l.!J ~:::::.~ !. ESTATE OF f~~,:~:~?u~~:~H~~~tc~::'~ON 1~L)U(~~11LCc.. "ll~~;o" I: FOR '9Joi/~:~::: . I 2? . 8': {i~~~~~3~~71~'~:: .......... .... .......: I ::::"""' i..,' C> mu-.,'" jJlU.;;(ll.':I::LllLIIIii1Ij"fi;~."l.::C,nmliJ"JiiI,.- """,. l'.l S l" e 1/ r -i I If .f! II -II n n C,(' -n de. ( II III C II t. 5 e c bll,' k r 1I /' d ,. I II i I .~. fiJ (L ~ ~ ~ iJ " ~PNCBAN< NO. 1032 PNC Bank, N.A. 040 60-1273/3\3 c.....,PA . '. DATE0t.f?~C?/JdS--'"" p~~..~~~~~~~ - ~$DO::~.! E~,~~~?u~~~~UH~~tc~::'~ON (~:;;(d4i?4~~~.~) 16",~~W" . CAM'/J.!ILLI~~1~:i . ., ~ FOR X()6/"..{2:.rcI~ "_~"7'- j- ,--.. . .M' (m~~~~~TATIVE ;' ~,..__.__ ___.... oM') TRUSTEE I~I 11100 .0 3 211' I: 0 :l ~ :l .2 7 3 a I: 500 ~ 0 5 3 a a 7111 " ",,' _ '''''''=m'''-'''=J=r.''''''=--.romrn''~~ . . J., '_ . ,"- .' ~ 7 ~-7~ ""'-'""\". '" .....~---: """"~f'_ ''''. " "'" r' -"'Ii .... V/ \. """I' '\ - ,/' ";P/:t~ '11':""/- .~ ,-. :1\, '1~,,\ /r-\~ ..,'6(' ~lr /'"" "i l r " ",ol!'"... "\// '- \'/' ~ OS ./ f. ',/, \ "'\,'/'''. "'/;( ~.'~' /' \-" /~ ',"\,./ \''- .,,/ ,,\<.._~..., '{ Ol.' ~ i." '..~ ( ~\ ( \., '.( > '/" ~//,..' ( .., ~I . t'i \,.."..Ct \. "'( ',-. I r'__'~ {, '-"'f.J.:" .~,." I' "'L~..~~-...L':"""'J.';E''"'\'''''''r-~''''~'.'''~'7'''''' r-'" I;'~' .,' . _ " .' i'. ' " ( , ,,(, '. ( .: \ ~ '.' ','l, ,,', ,,' I ~"'s'/;~"I i t'ti\ ~'(~)/'~i'rl'Q\11~'f'i~ j's,'il~~./r,;~(,)\:[p:'! /~i, . I ""1/" / \ / J I I') ") /, i, .', .' ". . /"/. ,',' "o' " "" '," .' '/', ',/ .'. 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"":~,;)""::;'::::<,:-;:':<~:;<;;;(~),~~.?" :,', , " ""'" '"",.":,:',,.' qAT .: ,: ,~..t:71'~:;-,,', .. ,< PAY'TO>rH~~".""''''''''/\ "\'>'~" "" '~'" ':,.:/',"',- ',',." ", "r ','Mot> h,..'" " .' " '.' <t.J;';'.;,';',-' ' . ~' " ',", 1$ ., ~ 10 a, ~:R~~~" ,', "\'~' ",',:.' ", -'~'~(\:.~Tt:~/)/1j' ,""'',''-:~-'~-~'-'':''~''W' O(,?;JI~ ~II:' ,l-f/:J/':';:~'~'." fJg' ,.', W~~. ..,1I?;"v.~~~,~' , ; , ',<,,: ";...,..~ ,'" <. \2J ~~,;~,., ~ I ~:)., ':'" " , ':' .. ," " "~~~,.'" I" - ,,.',-~--r,J' '-, , , ," " -- .. ... - ~-",,;,~r ",' '. ,'" , _ ~DQ:,L~,~/~:~'" ;. ':'~"':"'" .~' '" ":ra .'T,Af'OF:P"AA A.'pAR'ON ..,' /j" ", ",' "', ',' ':', "" ,"'/ :~~TATe OF <r.=~~~~~~' WC~~~Il\ . . ~~~bZ~~~;~'iI!~il!"~ t&~~~_~.;..~? .. L:. ........ '....... .;t::~'^"" ~ ',' . ':::~~:.,t;;rJ.:Q~,~~d:~,q:lI~' '::0 f~i::~..:e:'7:~Bj::, SOd ~d,'5 ~&tl:? II- . '. :-", .",.::>.:" '/'.. : ,/ \. :~/ " ..,/. ~~ ',/ ,"-." ,,' .-...... '. ," . :,: ,.>,".,.,',...,.~.~,'~,-,";- ._~. ..''-.'./,,'.':.\..>'~ .~' .",.'.~~':..~'.~' '<'~' '. ~~\ ',~~--"1;<.~~:r.-"'~~~~'~~~".~ . .....'. YJ,~,."~.,"":"""::)""":';"~<"":~';':.."'~?~'"'_,,;' .'~' '. '.,'" ," ~ ~ ~' .....~.. .... ~ j I\J l'hlladdphlll S~..vil:~' C~'lIk.. . l(i{i. 62- n 14 !;,x P':linl\: . D~I:':lllh':l] 1,2003 Fililli: illllll'll~'llll: LlIlt' l'h~ lulk,wing labk' shuws lh~ p~nally ~hill'g,.s fp Y"lll' ;":'l'UIiI. T" ~\'llIpUIc' y"llr tiling I,dl' f1l'IU11v WC' 11IUliipli,'d fhl' numbl'r "I' I\llllllhs limc's Ihl' Im'nthly rail.' tillll'S thc' principal. Da t.e 09/1.5/2004 No. IllJon r.hs Ra t.e /Mcm th Pl i ne: ipal 05 4.50% 7~1.00 'rDtal Penal ty: PenalLy 162.22 1fi2.22 ~~ ~~: ...,.....: J'u~illJ: 1.111.' . ~ 1 ,; The 1'"II,)wing fllblL' shllws thl' pl.'nllhy c1li1l'ges tn Yl)llI' ,,,:Cl'UI11. Tl) Cl)rnpull' your I",~ llilying p,'nalIY we: Inlilliplied thl' IIUml1l'I'"f 1Il,)nths rillks rill' 1l1l1111hly rall'lilm's the principal (Ill" In \'Xcl'l'd :h'~';)'J. Date 07/15/2005 No. Months Rate/Month principal 15 0.50% 721.~O Total Penalty: Penalty 54.07 54- 07 llllt'n'd The: k,lhw.'ing 'abk Slh)WS Ihe: inkl'l':il chilrgl':!l,' YUill' II\:r,'llnt. Tn Cl'lnpute yuur intNl'sf WI' multiplie:\l thl' 1"1\:101' rj"1<'S tlh' fll'iIlClp,d. From Date To Date Day., Rate Factor Principal IIlr.f;rest 04/15/2004 06/30/2004 76 5.0% 0.0104:J5882 8A3.22 9.22 06/30/2004 09/30/2004 92 4.0% 0.010104808 892.44 9.02 09/30/:2004 12/31/2004 92 5.0% 0.012646750 901.46 11.40 12/31/2004 OJ/31/2005 90 5.0% 0.012404225 912.86 11.32 03/31/2005 07/0B/2005 99 6.0% 0.01640575(, 924.1H 15.16 07/08/2005 08/15/2005 38 6.0% 0.006265609 218.34 1. 37 Total Interest: 57.49 J, ('Vl' HERE K.:tlllJlthis pUlt to us with your chc:<:k or ilHtuilY. Ylllll T.:kphon.: Numh.:.-: Dest Tim.,: 10 Cntl: ( ) AM PM ,\111011111 \'1111 Owe. . . .. . . . . .. . $273.7H I 4,~06 () 721 l.o:ss PaYl\l~lIls NlIllndudo:d $ Pay !\(\lllSkd :\IlIUlIlll $_______ sri 2110:':11 l') ,(11),07 ] K 2] 1 - ) ') 7 .44111-:i l4 Inkrnal K..:vo:nll<: S"'lviI.'O: Phillld.:lphia, 1':\ l'nS5-0010 DURAN A PAkSUN )}()NN.\ L IHJLlHS!lIXH' 106 BIRCH CI' CAMP /JILL Pi\ 17011-4002061\ 111.11'1111..1.1.1111111'1,1...11,1111111111..1,,111 166623714 XH PARS 30 0 200312 670 00000027378 Page: " f!~ ,'.' "4' ...\;4 ~~ JH"6 1 7(11 I n..-purtlT1l'nl of thl' TfL'''SlIry . Illt.'nlllll(t'\'ClIllC S,'r\'ic., I'hil:hklphin, lj,\ 192:\:\-Uulli O~4116.193527.0316.008 1 AT O.2~2 868 11111I1111111111111111111111111111111111111111111111111II1I111 DURAN A PARSON DONNA L BOLDASH EXEC 106 BIRCH CT CAMP HILL PA 17011-4002068 IK:-i liS)' ONLY Sll II " II C IStOI . -!.:OO-g2l)-83 74 YUill' Call4'I' ID: 4:F){i75 If'YUlI c.:UllllS reti:r III this illlllflllallull: NUlllh~1 oflhis N()lic~: Cl'I4 rhll..: ofrhis Notic~: August 15.2005 Ti1xp.IY~lld':lltilICil(il)1l Numb.:r: IM-{,::!-3714 Tux FI.lIm: 1040 Tax f'~liot1: r>~c...mh.:r 31. ::WlI ~ Rl.'lllll'st Itlf Puynll'lIt Amouut yuu 0\\'4': $273.78 Dui.' nutl': Sl'ptl.'IIIIH'1' S, 211U5 Al.:con.hng to our n:cords. yon ha\'..: an atlllllmt JlI..: un YOllr IllCUIlW taX. Ph:as..: compar.: your lax rdlll1l against Ihe Cigur":!i below. I ryou'w alr~ady paid yuur tax in rull or Llrnmged jill' all Illstallllll.:nl agreement, pleas\.' disregard Ihis nntle" VIIUI' 2011] TlI\ nt.'cunl J)t'scl'llltiull Tntal Tax UII R.:ILlIll L~ss: T<ix Wllhhdd Eslllll;Hud PaYllli:lll s Olhl.lr Cr..:dils nlh':l PnYlll0nts Tolul Paym~nls & Cr.:thlS OWlplliti Tux P011111ly Int':10st Tollll "JUHllnt You (hn 011 YOllr Rt'llIl'n $nIOO ._- $ ()O $.00 $.00 $721.(10. 'Ii? 2100 -- SOo $2}/lj~ $5741) _...,'- $273.7H ---1 HWl' n'cl'iw YIIUI' paymt'nt hy Sl.'lllt'mlwr S, 211115, we will not dlU"~l' llddiliullal (1l.'lIully ulld illtl'l'l'sL If yuu lI~I't'l' plt'lllOl.': Mak..: Ilw chu.:k puyuhlc h) "} lnih'd Stul<:S l..~asllry ." Write your Taxp"yer Identification Nmnber on YOllr (;h~l.:k. lJs~ the cndoscd ellvelope. Includ01he cUI-offpnniOIl btllow ilnd uwke su....: the IRS adJl'l'SS shows through the wimlow. II' YIILl disll~I'l'4' plt.'llst.': Calltll\! CII~ltHllc" s,'rVICl! Illllnh\}r-l~bov,~. Huve your Taxpayer Idelllllicatiull Number availubk. [t'you wish to disclIss a payment lhat you made by ch~'ck, Illlw Ihe 1Il1lll'lllUlioll h'Olll the li'lllll and buck UfYOllf eUI1l:clkd dwck available, Pilg~ I . . . ;I;'><f(,'<~ ":;~:;:;:~~~/::'/ ';/';{i'}~~~~~f:~~~,;~g5:0'~;~~:~~;i:::'~f:~!!:n~~f:~~~$:[~f':;j ~ ~$J?NC;:,q~ ,'. ,; . .\ . <, , , " '1/ < .... ::",>>J;<'I, . "i . .' . . "Nt;. 'a. ~nJr.tI.^ '.040. , . '. '~... ",\ ..... ";;;e'" .... '.' '.,'. .....".. '...\106 ! , .. 'I ".Goi><"'PA," '... ., '" ", '. . '.. "."'/ ", ' :&1":';" """, , I " """','. ..' ".1 .' '., ..' ".. .' DATE;'" ./,,"'" . .cr-t..JC."~../ .. . i il~A~~;~~.';;;~<<;~ It< ....;::~~/:/<:;J ::';;:,%1: .,.:./ 'I ()RP~R<9"",~ ~ ' '. ';' ,;':c .. ,< c' '7,~,~'::). '1'. o-,J IIT{~~~~<,(";",,~,::~'i<~<,, ,; ~,~,. OOLLAOS ti\ "-".?,:: ,;1 i:<,i;:(t.~rI'4'ii: Q~ QWlAII....i!4liriC)N; < l . .' <',P iR ~ J, if' ./ I ", ESTATEOF",~~~;~~~.,,~ql,r~~~ie)c&c'u,~~"l( ..t. tffjJt?J1.4J~....~./~~.':"'" ,....:,~~<10~:~...M'.....).......~,~f;ft~.r~"f....Rf1.~T..Oh. I 'I", ,'/. ,'lQ8.el~CH"QWR:t i,'. '\ '" '. . .' " , ~. , ;~ F~~~fti~.0i0r~; ..lslaB~~ '. ....:f;W;!.,~ ~ ; '~: ' .' . '. , 'Ii- (JO~O .,....Il~ '.03. .31 2? ~e !'~":.,, pO 0 · p.. ' .' '.'. '..' " ._.. ~~~. ...., '''".''~ni,....''Z,,,,r: '~:"~'~'~~~~'~~~~,"'~?<s~:~~~r~':::~~~~'~~(:"'''~!:-:''"~~-~~':~,. "" ~, . ., "\'~' . , / v Philaddphia Service Cenlt.:1' . 166-62-3714 . Tax PCliod: Dec\.lmh~1' 31, 2004 J'U)'h1l& Lal" The fL'llowing table showl the penalty characlI to your aCCL\Unt. To Cl'l11pute YLJUr lale raying penalty we multiplied the number Llf month:> limes Ihe monthly rate time>> the principal (not to exceed 25%). Date 07/15/2005 No. Months Rate/Month Principal 03 0.50~ 341.00 Total Penalty: Penalty 5.11 5.11 ~ Illt~re.1 ~'i ii'lS5 The tllllllwing table. lIhowllhe int.:r.:.t chargell to your account. To compute YOUI' intcl'cal we m~ltiplied the factor tllnea the principal. From Date To Date 04/l;jJOOS 07/08/2005 07/08/2005 08/08/2005 Days 84 31 Rate 6.0l\s 6.0~ Factor 0.013902842 0.005108476 To tal Principal 341 -; 0-0- 4.74 Interest 4.14 0.02 4.76 In teres t.1 ~ CUT IIERE -.. R~turn t1.i.. pltrl-to-'tts-withyonrcheclcodnq(lhy:- Your Telephone Num~r: Best Time to Call: ( t._ AM ...h .PM 2,275 0 34J I Amounf You Owe. . . . . . . . . . . . $9.87 LI.lss Pllymentll Not Included $..__ POl)' Adjusted Amount $._______$_.? ? SR 200530 09,rJ7 28221-197-23907-5 14 Inll;lmal R~venue Setvice Philadelphill, PA 19255-0010 DURAN A PARSON DEeD DONNA L BOLDASH EXEC 106 BIRCH CT CAMP IIILL PA 17011-4002068 1111111.1"111.1.1.1111.1.11...11'1111.1111'11111.11 166623714 XH PARS 30 0 200412 670 00000000987 Page 3 L It} I I u,~ U.)t..:.. \..II'UJ I ~t.J 1.1 ~ nt'par(lm~nt of the Treasury . lllh:rual Revellue Servh:e Philadelphia. l'A 19255-0010 t 00-829-8374 our Culler 10: 439675 Ifyoll call us refer to this information: Number ofthi5 Notice: CPl4 Date ofthill Notice: August 8,2005 Taxpayer Identification Number: 166.62-3714 Tax Fonn: 1040 Tax Period: December 31, 2004 0767S5.1i1865.0290.007 1 AT 0.292 &68 11111111111111111111111111111111111111 111111111111111111111111 .d~ DURAN A PARSON DECD DONNA L BOLDASH EXEC 106 BIRCH CT CAMP HILL PA 17011-4002068 Requeiit for Payment Amount you owe: $9.87 Due Dille: Auguat 29, 200S 'HI78S According to our records, you have an amount due on your income tax. Pleab\e compare your tax retUnl against the figures below. [fyou've already paid your tax in full or ananged for an installment agreement, please disregard this notico. . -" - Your 2004 Tn Record Description On You.' Return Total Tax On Return $341.00 Leu: Tax Withheld $.00 Estimated Pllyment~ $.00 Other Credits $.00 Other Payments $341.00. Total Payments &. Credits $341.00 Overpaid Tax $.00 Penalty $~U 1 I nten~lit $4.76 Total Amount You $9.87 Owe Hwe 1't.'4:ei'Ve your payment by August 29, 200S, w... will not c1u,rge "dditionll penlllty and interelllt. If you lIgl'ee pleue: If you dlugree please: .---f\'l'axe-rtRf'ctteck 'l)ayatmrrO''Uili{c,rSUifi5r-' -- . Treasury. " Write YOW' Taxpayer Identification Number on your check. Use the enclob\ed envelope. Include the cut-offportioll below aud make tlure the IRS address shows through the window. Calf the cl~'il)lllei' ser,;ice number abo~ Have your Taxpayer Identification Number availahle. If you wish to discuss a payment that you made by check, have the illfomlation from the front and back of your cancelled check avai lable. Page 1 !E !JJd!,~ I, ~-, L'hO E; ,f' f I $ ~. /.3-/ r-710 60-1273/313 106 I~ IP: ~ !fi 1" ,~ Ili ~ , 1.110~ E~5~~!:K Central PA . . NO. 1027 lrl , t€4. f : i : THE ESTATE OF DURAN A.PAR ON u ESTATE OF DONNA L B()LT ASH, EXECUTRIX 106 BIRCH COURT ~., FOR. dli 63MP;8~2~~2LL-lL~'v 00 .. .. " ~ ~ . 111001. 0 2 7 III 1:0 ~ I. ~ I. 2 7 ~ 8 I: ~ -'I " 11 ~~~"t PoW~~m' i BI {~~~:,,~~~-~:'::.~'~"_::~:::.:.~:~:::::._. ....::..'''.:-:'': ~ ~:::~::hTATIVE 'I ~, D. SUWfIl,lunl..o, ~I DOLLARS L!J ~'=_'I ji 500 1.0 5 ~88 7111 " (f]5cclIril,1/ cu'hnllcerl daCllmcllt. See /IncA' f(tr dl'ln;I~.m ... - """='-'~--"~'.. !:i NO. 1028 i 0..PNC13AN< PNCBa~N.A,040 60-1273/313 ""'..IPA . .. _. .. ... . DAT.pt+4,76(}5' ,. , P~~~~RT~~,~44i~~ffl~/b/)4'/J0 /C? ~~I $ )Jf5~ J fh" '/I-uddJ,-&~'uP. ~ DOLLARS 6l =: !. ESTATE OF~~gf:~~~~S::'~ON I A=~~~" t ~"~~m' ~'.'. FOR {leI.. t5 3. '. ~r::r<Z-. "~/1{"/{...._..._..__._......"....:..._.__.... ....M'.. ~ PERSONAL ~ ~... . .' , REPA ESENTATIVE e. ~_..__..;.._._:._.,______ _,_______.~.~._~.._. _..__.._..._...._,__..~. TRUSTEE ~.. . ~ . G' 111001.0281,1 1:0 ~ I. ~1. 2 '7 ~81: 5001.0 5 ~88 7111 0.. PNCBAN< PNC Dank,.N.A. 040 Central P A' dot" nl e II f.' 5 r,t Il(l (k (/1 r (/-1' 111 i 1$. [~-)ll!l>.l"'.....wU\'=-"-"'I..::>I="'" ...,,17 NO. 1029 &l , i ~ ' ~. u 60-1273/313 /j ~/J 106 DATEp:J-7f f;,;;2t d 5 , $ ~//~ DOLLARS ~ ~='::' 'I I :1 :1 ;1 I -".'1\.1X.'i!I,;-::c:.r:;r;I1!\':;Ei.:1:=m"d\WJlii~C'1..~..L;""..~.rm;:~"'~,,~_ul,~\ql HE ESTATE OF DURAN A. PARSON ESTATEOF DONNAL. BOLTASH, EXECUTRIX 106 BIRCH COURT ~' FORjL103C~~~ lP~ . ~ . I ~?~~#-"t ~:';~;~m" M' ( PERSONAL (~'-'_~":'''d-''''~''__::' -" M')~:::~::NTATIVE \11001. 0 2 !1111 I: 0 ~ I. ~1. 2 7 ~ 8 I: 5001.0 5 ~88 7111 . . r~n::0~~~~~:;:: :'c,: ~ {;~';;;:;'i :I;~,;";:: ::r:;,; ',,'.' ;:,', ""~ ~S: >:'~~ :0:' p~lcn'Jl''l;;.v:..'.,,... .. ": .' ~.... "'. .'. '. '. ../../..,\>.\>..'.'i.....";<'.'::.~.IO/'..,~n..A.<,f,)../'...... >i. ;1 1'1 >DMI~" ' l?' /. \.~./,.'.') ..l-V '..\r~c, "II :., .' p~ca~n/(.N.I\.' 040 . . . . . '. " . \ >,' ~.. . " ',' " ," ".," : 8p.;i7~~313 . ly: :i:' .Cl~,tr,~Jr^'..' . ....i .... '. .;. '. , . ~ .. , " .\06 ~I '*1' . f ,.... . " '." " " . DAT " ;it,::>-.!Idd& ~""':"" . i; 1*; r~~YT~+HE.'.:{j1-d:.l.j6~,h4-,~>~. '. .' , ~:', '. :'-'7$ -I' ~"~"511: I . ORi)~<>F ~"; ~~. ..~~1i,,;, --7':"""~-' . -" ~ '~S"'4 t, ,/ q.a ; I.~; .--_'"~i;~:,L_;'___,._.' ,.':2#E- OOL~AA s III ;;;'c,-; I~: . .,' -THE ~"T~TEQ~QU~"N4 ~AR$QN ~.., . "~"" ..' ':' . '. .'. ,',' '. ::1: ESTAT~OFI)>~~~~.L:;..:'.. ,'.9.....L:t'.~...,.,~~c;U!~,,~ . , .'. .'. ............. '. ........ ~. .... ......... '. ........ ........ . ......... ' '. ..' 10~QIFlC.HoQURT\ " "",' . . ( .... '.. ','/ ...' .",' '. . ..~"!.1 <.:Xf,(~UTOH' :~i... ,".,' '~.' ...C.AM.'P. HI.LJ.L.... PA..170. 1.' ..".. ...... . .......... '.. ..... ' ..'. . . .'. . '. ""~". f>,q.M..IN..I'...f;.'TR...~.T.O..13. J'~~~~~ (,.. ..... ....................:f~:%.''';, .:~., ." ~o'o~d:l.;iu..:,:O~j3~c?3a':SO() .05'388 ';Iu. '..', \' >':'."': ",\ .i~~~~~~.~~~~:~~.~~.~~.~?'~i.~~~~~\;~~~.q~jI~,~~~;..~' ....'l::-'~~.\~~i~-:~~~~~~MJ,'~ I I I J DEPARTMENT OF REVENUE I\UREAU 0" INDIVIDUAL TAXES ~iRR~~858g~3~A 17128-0431 . . PREASSESSMENT NOTICE n:Y~h"C f)l IFP (01-16) DATE OF NOTICE: SOCIAL SEC. NUM: TAX VEAR: ASSESSMENT: BALANCE(S) DUE FOR YOUR ACCOUNT AS Of !JURAN A PARSON 106 BIRCH COURT CAMP HILL PA 17011 JUL 22 2005 166-62-3714 2004 AUG 01 2005 OWED PAID BALANCE LTE PNLTY 15.45 .00 15.45 EST PNLTY .00 .00 .00 LEGAL .GO .00 .00 INTEREST 1.14 .08 1.14 TAX/RFD 103.00 103.00 .00 PLUS OTHER TAX YEAR(S) LIABILITIES .00 TOTAL DUE NOW 1&.59 PLEASE PAY THIS A"OUNT USING THE DETACHABLE COUPON BELOW YOUR 2D04 TAX RETURN WAS PROCESSED AS fOLLOHS. 14 . GROSS CO"PENSA TION . . . . . . . . . . . . . . . . . . . . . . . . . . 18. SCHEDULE UE EXPENSES........................ ..- - - ---lG-.- ---COH'iNSMtoN~...... .-r_ ..~.. . . . . . . . . . . . . . . . . . . . . . . 2. INTEREST (SCHEDULE A)......... .. . .. .. . .. . . .. 3. DIVIDENDS (SCHEDULE 8)...................... 4. NET INCOME OR LOSS.. . . . . . . . . . . . . . . . . . . . . . . . . 5. TAXABLE SALE - OAIN OR LOSS............ ..... SA. CAPITAL GAIN EXCLUSION...................... 6. RENTSL ROYALTIESt PATENTS, COPyRIGHTS....... 7. ESTAT~S AND THUS S (SCHEDULE J}............. 8. GAMBLING AND LOTTERY WINNINGS... ............ 9. GROSS TAXABLE INC~E (ADD LINES 1C,2-5,6-8). 10. CONTRIBUTIONS TO "EDICAL SAVINGS........ .... 11. NET PA TAXABLE INC~E(LIHE 9 MINUS LINE 101. 12. TAX LIABILITY (MULTIPLY LINE 11 BY .030701.. 13. TAX WITHHELD (FRO" \112'5).................... 14. CREDIT FRDH PREVIOUS TAX yEAR............... 15&16 ESTIMATED TAX & EXTENSION PAyMENTS.......... 17. TAX WITHHELD AS REPORTED ON NRK-1........... 18. TOTAL CREDITS (ADD LINES 14-17l.............. 198. NUMBER OF DEPENDENTS............... ..... .... 21. TAX FORGIVENESS CREDIT...................... 22. RESIDENT CREDIT (SCHEDULE G)................ 23. CREDITS (SCHEDULE DC)....................... 24. TOTAL CREDITS (ADD LINES 13,18,21-23)...... 25. TAX DUE (LINE 12 "INUS 24).. ..... ........... 26. PENAL TIES AND INTEREST................... . . . 28. OVERPAY"ENT (LINE 24 MINUS 121.. ............ 29. REFUNDED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3D. CREDITED TO NEXT YEARS ESTIHATED TAX........ 31-3i.TOTAL DONATIONS (LINES 31-351............ YOUR FIGURI!S .00 .DO .. ...l.D 34.00 .00 3, 324 . 10 .00 .110 .00 ..0 .10 3,358.00 .00 3,358.00 103.00 .08 .00 .00 .80 .00 . .00 .00 .00 .oe la3.00 .00 .80 .n .08 .00 OUR FIGURES .00 .00 ---34~n-.-- -. . .00 3,3Z4.00 .00 .00 .00 .00 .00 3,358.00 .00 3,358.00 103.00 .00 .00 .00 .00 .00 o .00 .00 .00 .00 103.00 .00 .00 .00 SEE REVERSE SIDE FOR MORE INFORMATION DETACH AT PERFORATION 'PIT --- "-.- ----..--- .---.---.------REY-~~~ BUREAU OF INDIVIDUAL TAXES PERSONAL INCOME TAX ~ 2 TAXPAVER NAME I NOTICE DATE I SOCIAL SEC. NUMI TAX VEAR: DURAN A PARSON JUl 22 2005 166-62-3714 2004 ~ PAY"ENT AMOUNT: ~ ! 100 ... i $ / b .-S-r /tAKE CtH::CK OR HONEY ORPEIl PAYABLE TO: "PA DEPT. OF REVENUE". DO NOT HRITE IN THI~ SPACE 300183166623714000712aO~1231000000000D01b590 --.J . . '.. ,. ~,(~ ...... ~ -/ ':\ ., ~'-""1'-""""''''-!+,'''')'"\. l"\."-~"\"":f ....;...~..~~..,1.,~.-'".I'.,..,.. ~ ~. ,:., (''.'/'~;:; 'i\\j\.,,:~::;,~\\.../,{\.,.y~,,/f>I.."~~/;:)!..l"~(\'"",.~_ '\.,/ ", l~/~,'l/~(.,'\/' ~:- \/~" ~/~~.'.\..<, 'I' ,to '/ '... -/.l.\' I ;\) /~\"", /./.....- /.,-' (', '. ,,:to)':4g;:J~;'~>: B~!,~~;;:q:;;J;;~di,i;J~}'I'~.. :;,.... .' i) ~;~: :~'};: ~~~{~~:;, ',:;" . , , ,', <', /'.... .I,' ,", ....'.' ,\ ~q"12.7ql~",, "., , , 4~~~' ,/,'" '/ "~~'~;65\/:'<'tO&, " DATE~~</.,~~~ ,'" .",.J \, '~i (" '1,\ .~. ;~! ,i~,.'.'..~... ~0'~-< "':':":>"":;>$' ':'i;~'~~' .~ ~ ~J, ~~ ' ,,' ~7:~;':"':'~'O""'.:'/"i:'l~"~';'~~~~::' ~ ,,~~~_~-,-H>_' -,-c~" _.m_"\',~__'" ."..,~~, ',' . '''/';'''''' r,-'" ",' ,'" ','" ;~. ,'. ""S~e:S~AT.~,~QP:QUR~"A.I'Aft8,O,~: " ,~../:", ~'~"" -'d"" >., '-' , SSTATE; O~ ~~t,f~":~F~O;H~:BH,"I(EC,UT~I. ,',/ , l ' " , , &fj'A'~2 ' , x' UlO I 'l " ~~~~:~~~." J.. ~. ..' ';"c' ~~l~ ::::::~l'OR 'I ~, ro.Po ;~J,id_X:ti . . ".'; ~ ,J.!'L1Lr~ j , , ,~ -'.. .' ~: -, ':' '-'., :,E;p~~~eN?~IY~': ~,t1~~"-~~-~"h_'~_+-\ L.""... r' ,', "",./, Jo!',-:T,~~~\~J!/: '" ~' ". " ," ,- III 0'0 \~H~~~fl~' ":":0 ~ i':i~' 2'7 3a .~, ,:500,.0;5 ~aa' 'lll' :', '.': >~ ,; :,' ' ... '.. ",' >::~~~:':>' ,':<' ).i~~~t:t:",t,.~~~,,:;~~:fj~:~~,~!~)o~~~.~~,~~'~~,*,~,"":~~'<V!r';",,::~,~,:~~~y,~~~~~~~~., f:~':::~,~:~~ \.' BUREAU OF INDIVIDUAL TAXES ~2RB~~BBI8~3~A 17128-0431 . DEPARTMENT OF REVENUE . '* PREASSESSMENT NOTICE A!V-I,"C EM AF, 'Ol-Q6I DATE OF NOTICE: SOCIAL SEC. NUH: TAX YEAR: ASSESSMENT: BALANCE{S) DUE DURAN A PARSON 106 BIRCH CT CAMP HILL AUG 05 2005 166-62-3714 2003 FOR YOUR ACCOUNT AS OF AUG 15 2005 OWED PAID BALANCE LTE PNLTY 36.25 .00 36.25 EST PNLTY .00 .00 .00 LEGAL .00 .00 .00 INTEREST 7.84 .00 7.84 TAX/RFD 145.10 145.00 .00 PLUS OTHER TAX YEARIS) LIABILITIES .00 TOTAL DUE NOW 44.09 PLEASE PAY THIS A"OUNT USING THE DETACHABLE COUPON BELOW PA 17011 YOUR 2003 TAX RETURN WAS PROCESSED AS FOLLOWS. 1A. GROSS COMPENSATION.......................... lB. SCHEDULE UE EXPENSES........................ lC . COMPENSATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - -2"-;- INTEREST"lSCIfrDUL'"E--A). -; ;-.-. . . . . . ;;". . .-. .;-; ; .-;".- 3. DIVIDENDS (SCHEDULE II...................... 4. NET INCOME OR LOSS.......................... S. TAXABLE SALE - GAIN OR LOSS................. SA. CAPITAL GAIN EXCLUSION...................... 6. RENTSl ROYALTIESt PATENTS, COPyRIGHTS....... 7. ESTATtS AND TRUS S (SCHEDULE J)............. 8. GAMBLING AND LOTTERY WINNINGS... ............ 9. GROSS TAXABLE INCOME (ADD LINES lC,2-5,6-8). 10. CONTRIBUTIONS TO MEDICAL SAVINGS............ 11. NET PA TAXABLE INCOMEILINE 9 MINUS LINE 101. 12. TAX LIABILITY {MULTIPLY LINE 11 BY .028001.. 13. TAl< WITHHELD IFROH W2'Sl.................... 14. CREDIT fRO" PREVIOUS TAX yEAR........... .... 1S116 ESTIMATED TAX I EXTENSION PAyMENTS.......... 17. TAX WITHHELD AS REPORTED ON NRK-1....... .... 18. TOTAL CREDITS (ADD LINES 14-17). ............ 19B. NUMBER OF DEPENDENTS........................ 21. TAX FORGIVENESS CREDIT....... .. . . .. . . . .. . . . . 22. RESIDENT CREDIT (SCHEDULE G)................ 23. CREDITS (SCHEDULE OC)....................... 24. TOTAL CREDITS (ADD LINES 13,18,21-23)...... 25. TAX DUE (LINE 12 MINUS 24).................. 26. PENALTIES AND INTEREST...................... 28. OVERPAYMENT (LINE 24 HINUS 12).............. 29. REFUNDED.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. CREDITED TO NEXT YEARS ESTIMATED TAX........ 51-35.TOTAL DONATIONS (LINES 31-35)............ YOUR FIGURES .00 .00 .00 62 . 01) .00 S/105.00 .00 .00 .00 .00 .00 5,167.00 .00 5,167.00 145.00 .00 .00 .00 .00 .00 o .00 .00 .00 .00 145.00 .00 .00 .00 .00 .00 OUR FIGURES .00 .00 .00 62;00 " .00 5,105.00 .00 .00 .00 .00 .00 5,167.00 .00 5,167.00 145.00 .00 .00 .00 .00 .00 o .00 .00 .00 .00 14S.00 .00 .00 .00 SEE REVERSE SIDE FOR MORE INFORMATION DETACH AT PERFORATION IplT BUREAU OF INDIVIDUAL TAXES PERSONAL INCO"E TAX '"""Rf1r-~nn:-~VS-f- ~ ~ TAXPAYER NAME: NOTICE .DATf": SOCIAL SEC. NUH: TAX YEAR: DURAN A PARSON AUG 05 2005 166-62-3714 2003 ~ i 100 ;::l i PAYMENT AMOUNT: $ r-~ () y HAKE CHECK OR HONEY ORDER PAYABLE TO: "PA DEPT. OF REVENUE". DO NOT WRITE IN THIS SPACE 3001831bbb2371400071200312310000D000000440~~ ..J . 1IIIBDli II SMITH" /-, / f / l;:'; ,-. < / (/,..J', I I i { (~-'7"- () /' ~ "j ~ ,'" ,/ 12TH & MARKET STREETS, LEMOYNE, PA 17043 (717) 761-6700 HOURS: MONDAY-FRIDAY 7:30 AM - 6:00 PM '...., ILL PARTS ARE NEW UNLESS NOTED OTHERWISE. I ACKNOWLEDGE RECEIPT OF THE PARTS AND LABOR LISTED BELOW X -.-------..---.--------- iNVOICE TO -...------..-.--....---.....-----..--.- ':g;: ]N~illlif.tNl;c elMpi"Y NAD: 22004Qi -...........-------.----- Fu}~ QfF1Sr:: USE ....---~----....~..-.....-~~-'.._---.~------- ...-.---,--.-..~----. DHI\)EH/D~NEn INFDRrI1qr:J:GN -- H~~O))~t:~ Nt':31.J5 ~~-l!(~:tlNS, J;t!~,N -------------.......----.... U;::1 T. eLl: U\!f~){f.1j4'- ~ L.N --.-------..-...--.-- 17 EXPED.1iIIJN BLUE lltl:.Ntt:. ~~MHt:r{~ P}l FJEQ~~-6 3Ll3"f An :l/.:i: 31j17.fWV: 2~.c C',.;l~'! Jft lWlOICED: llt./2'/2@fJ4 Hh4B:13 ,;;: ~. ...-.--------..--....---.---..---.-------------.."....-.-...-----...--.-.---------....------..----------..--.-.-----.----.---...------..-----.....---.....--.--....--...- 00 @ '" .... '" JNSOOJ ~.~- LAg-MECHANiCAL l~i:l.jiO .3[; INX HEAL CHH~1Gt FOR CiJNLtHN 4~;&, 'i":' ---.::.:.;""7".:---------------------:----.-----.------.---- GiiHND Tcn ALS ---------.----------------...--....-...---...--------....-----~. 'lMf;RY.OF CKARGES FOR INVOICE N&~135 9AY~lENT DlSlfiIElJTiUN F!}R IiNUICE nt..~l~;5 -(I S . 23i:el. jj TU1Al CHAflGl: i!i3.L ~4 ':IS DISU.JUNT 22&.56- .PlIES 55.. '+€1 ,YSHOP ~lHT ! 2:5.40 .-r4tC.H.ANH;;l. 2113. '}5 ,'~BDJ)Y simp 1553. fNil U:LL~Nl:fJUS 515.!li0 -ruTAL 4::i61. 0~ :~TAT!: SAL~S/IjSE-. TAX ~L GRARGE h~L Ff.~2 hIe KFL FAt XV. 2 [.J B.~~\W~j Ql QL Cft}RV Tr:CH: .162 - YOHN, .Jtfr~E:.'{ t~ .)23p.~/i~:,' 46l7<. ~ii )( RHi;:.~ A-it ~ij tiP /eu Hf~:)~ qNV WJf:.::{; IUt\(S -- DL84S,t. Stt: JfJdN r; C!~JtLY ,JR SNT.TH ~-flRD~ 'ifjUR ilUAL!TY CARE Df:ALfR ....., / 1/ j< f ,/1' r! (.I A / .I,~ p 1\ ;1 J~ ,I ~ ,,,~,,,'" \. /(_{,' {I ,/ , A; r I' /-... ,,"-;:;. '/ (? ,}~,/l ,~ _ j , v I. [ \'\ if... (: \ J ~ 'I~f ~I.I_'.-.. f,l(. ij\.j ir-G't ..J *SH~T ASY - ~R1 AXL~ HOSt: f~SSY ;:UEL. rUBE iC 3i~, ~,-/ ,~':r~ s-: .:., i-,'.';: 2.,2-3 LUBh'ILt~Nl.~.HYPfJ10 THE ::1 .;~ f"! l._., ---'It: -; ~ i:t~ --....--------....-. SUI\T;:t~~}.iL ---.-".'--'..---~~-.---- PARTS 34~y55 GiAI~l1t ~[1:1 Nflli 2:~[WJ4iiJ ERIE iNSUHANCi: CiJMPANY PQLICY# '0i0t7@7&01~5$~j i:lrri}.&~ ':'7 /1-"/ CliSH JUt SH 7 ;jij tJ ~ ,\ l pJ / 1/ I 2. e-Jl~2- X~ <7 f CKW 6<jte~.t2- I I 0 /7 Z ~ ii' . /~ I- // -/ It/25ft";!" , -r iO i'l ""2. u'''> r. i J (~\ ,:r -,I ..J"-"'> Dt~:,>:~~. .,/ /:., L~~S'~" ~~i f ~i; i~ '-'.. :(~)A' I ',ll 1 .{c._t" ) c.,t"-.., .---., V\ !.' :'"_, /.....f ..J (-, I i\ j... j ....-... t--) f C.-i. " f--\ C.-::. .J~f 7-. I I ' 1/ , ..... , ~.,. J ,:;'... / , r.',.I I'" (:;..- ;/ I l:::::> WHITE = ACCOUNTING CANARY = CUSTOMER d :0.' )"-11(; ,..~ rr"',i;',i!IJ 0:' ~J :D o m :D " o :D s: (Jl o :D (Jl C 'lJ 'lJ ..... ffi (Jl ~ ..... ..... Q, 8 ~ f~.,..,.!.(X ...."'....1'..,. , ."'I':_,a~ ~ Rl :;: 1._ ..........m._ 'I!I fj ,,: i' Iii, II~ 11 . . ~...u........~.;...~O;..........:~~-'.,...m~.;..;.......::; PNCBANK@ PNC Bank, N.A. Southcentral P A 040 u-?7) oiL 60-1273/313 ~6 , ~~ $ ; ~ r , ;;;L I .). ;; (J-B ~ 69' f;f;f DOLLARS ill ;:';~~;~:"""'" ESTATE OF l2t, /1 A /l-'l./. #, &~ 0....', '" "''' I. .,J)(),A).A~~i{ JJo P-~0 111' ~C ~~f'C'L~ )8/~d'J o/~- 500 .05 :l88 7". PAYTOTHE ~ -iI:?L {~ ~ ORDER OF ?J1..{. rM. O')'-L.//.:V ~ \{t H; ~:J? -t ~ ~ ~ ---;t..~(J d U~-/'~tyL_ FOR jJJHfJllC e~j~J2/L)/}f1 A /GLe..,'7{ Q....... 1:03 . :l . 27 :l81: M' . '...n ...... ..u.... ....... "=':'.hn 0" .. u.. ... ._ ~ I ~ ~ I,' C.::: \ I f',.. \ {'{J I ;J ~ w I~ (;2 ~ ~ ~~ ~ ~a: I ow ~ -1 ::: I'" .~~ ~g ~ I , - 0 I i ~~~.~ I I -'~~~., ~~ ~ ~ ~~, I )).,:j'-a:t-= I: '-J r:::-. .. w (f) --1- ". , ~) -""~ (f) ~ r~ I ~ ~ 0 .~ I ~\~"~ -. -J--:> e ~ ,,~~. '->. '. '-~.":,l ." 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'JL'b-L 7-tuC'<,{'4/1/H ~k}'4 d4~J.gJ - If) _.- - ~-"9LLA~.2Jil;:i,ii'\:':::' :" ! ESTATE OF ~ tL>1 p~ )~ I 1 ~ ~~f~~~ -~! LFOR~h .Y/'1 ~~~~ :J6.: 500 ~O 5 :J66 7". . J':!.~p3.;U.~ -.-;,j-.~~-'-',~~;~'GI::'~~.";(........;~. ~ iK~~f;~f~'~~i'~"-~"\i'i..;:;tt -"'-:UTI:;'-n.u::,.::::~~.y-'~U..U:fi.l':'~":":'i' "::~;~~:fm'L:i&--:F..i:ti'-;l~-!':n""1:~~.-s~!~:;':'..; _ PNC BAN K\ii' PNC Bw, N.A. SoulhccnlraJ PA 040 tk/zf/d r 80-12731313 ,I - i V , 'EED OF SOUND cONIAL PA~j( MALL . TH~K YOU O..TE v.. . 1710. HA :RISIiURG itA (71 ') aa,..101 Fall' (1' S21.1103 EEDOFaOUNO.COIA I' ran "" r;US10M~1i \;. I' r"lburg r' ':lNE: (711) vD PA '... "" Allie ~'~ .....', 'fL. !), : \ Iv i (' l:lel.r: Fl, ~,lrltion, r ',Ill .I, , r . f' . (or 'I(lc"..6.dtaS2S, \ r, .. I 'V 0.' 1\11 A 1(, ;to:'"""" :'\ OVNAMA 1 butt kit 9ahtl, 18lC:l2 nf$CRIPTION :;1:o~IAI. NLl I'I<JI L ',111\ I: 1 AI ." ": .. , ' i:.~; . ",..,d~ 'ill~ halll mllMufa<:1u1Er wo",nry and instalJetiM Is guaranteed for the 'vehicle, All Sales 5,' II repair work Is by appointment ,,% otMer cnarge III a,; ';c', \0 CQver lTIise hara-re, Wire, ete se may axi&l after; , audio components, IS foo I for IrcublnhoOlir,; Installation kits, filters, wiring s are additional c: All work hat been pv!fonYIed to "OIl. STORE CRECllr ".r r Signatufe: X_ ,y TERMS: Layaw3i ""-' ;8, Installations V\iU nr is c;i1n~lIed ill merct' 10406 , MKb50 ." rAtleOO VA700 SAVTe ""LTI7 'J20 ~5CS "r~ r: 1/ STIW11~' S'TIN...._. Cl.A~ION STINGER STINCl"n STINor' STlW'1 . T ~:Im, A 106114 LAYAWAV 1210112004 J Vi '\1 I H I~j'" lr...Mr...' :)"1 MA liON IOf' I I \ nUl I , I ,__ _~~_ _~ ,_ J VIN', I I I I I I ,'."\llK ellt' I I ITK: , I. 1 Salet1: JK I Salel2: I i Start Time: i 1 I I j I po: RO: _._~._- ~ .n1I~ll~lll"I~I.I~lielll'.ralllli. Da~: Bayif: o.w: StoP Tm.: , 'R/PTlON r.,,,,cil!ll: Color: . JOB D[~,crm> "UN ~np _ _.__.._ ~_ J "~.01 fQrd multi ".97 fOld ."plr video d,trtltn ampl!r eucllolvidec rea 6' 17' rOI bUllII "ideo loa ao' . Il)g IIYI nex PWI WI 50 It rll 10466 12011,911 $20ll Q9 BKFMK660 S 14.ll9 'lUS BHA5800 'IHlll lUll VAlOO $2U9 $29,911 SAVie $20 eo 120" SBLT17 nUll S77JI8 SHV20 $2H9 $45,98 SXOSOS SUO $170,00 ,,":;S/HtT:l,~~.):t~~~~_ I I : I ! i I' II i i i I I t to! INK.IAN 5 I AI, I :,1(,[ Material&: Labor: Sublet Other: Mise; Sales Tax: Involc. Total: $11,825,81 $4.950.00 ,~ C'ONDI flONS $247,50 $709,55 $17,73:l.88 ' -' HOW PAlO PaId e.." : Paid Charge : C.", 'I'Ifo ; Autn. Code : i i PIIId C".~k : Paid HoLlStt : AiR. Open: Depoait; Ba.anee cu.: Due: Type: CASH 57,55000 _, ~~,28eJ i I Chilng.: ,y"l Pe palo In full Within 30 CI~S of \he date of "led lint;1 that tiMe, If Layaway : ,:nly will be given THANK YOUl Ch~ I i I' I ._.j I t-dJ €/k/ -t,L J () :? I-/d--d S' -0 OF SOUND AL PARK MALL. IrQ (717) PA on lJ-- .--. ;I ,r vrx7"!I,dcl . ~ . TeNKYOU DU~LICATI! 001 ,.,., 17109 '03 ..,., 'TIO~ Ub\I.E.r< 11\1I OIllYlA f10N VIP,: ~: Ellt. __I . i 1 I ! ~ Y"QN ITK: __.0'-.. I ! sa..~: JK- I I 51..2: I S~rt 11ml: JL po: RO: :~~:;l.;Im(~I~.~~.]rli'lr.:.1Il'.IJ1 Day: Blyf: Catu: ito!) Tim.: "', .J(JB (JESC~IPTtON iJ ". DlSf;RtPTION SERIAL NO PRICE SUBTOTAL lIni toggle w/20' wired SW18 S' 'r..) '-d' cl trbl!lOO II SWT16BLU6 J1C S .,RAO CAP SC201C POZANLPT STlt-olGE 20 dilt blcj( fllnl SFP02ANL.PT 'Jl040 SAW 1 OINCH L.CO LTV1Q<10 ~O23 A8..^ 175wi360p..k inllert Ic2dc VEC023 5N6 51' :1'" . 5-neo-blue nUlln -'N15NB r S: /. batt trmnl IXP" SX8, ilJr ].t"'_'~: .~'r1*1411:t..]'*"f.,..I~.l.l< $6.90 $13.Q8 SO.30 121.00 1161.~ 1161.99 S4589 '''!I.88 1618.00 168800 $6000 I~O.OO $3Ulil $67.98 'SUll nUl) T: '!$ have man\llacture' ,ehicle. All Sale~ a., J othel chalge < ., 51;l may exi!>t a" for troublest1c ' are addi:iona " STORE eRe-; Signature' X_ ; TERMS: LSY""~l ;. Instllllet,em; \'11:;. ., cancelled a", Tt::CHNICIAN START '>IOP 'y and Installation 1& gUllranteed for the rap..il wo'k ie by appoinlmtnt ,I to COVVI misc hardware, wire. alc. .1 audkl components, I foe :;e Instal:,lion klta, Illters. Wiring led. All work has be." performed to I I I Ii i~~_ ; ,Materials: $11.825.81l : i labor: $4,950.00 ._.-J Sublet I Otner: Mise: Sales Tax: I : Involee Total: $ If, CONOITIONS I I I I' ChkiJ ,t be paid in full within 30 da~s oune date cf 'Juled until that tlm. If Layaway oit only will be given. THANK YOU! Nr4 Open: Due; oepo.lt: Type: CASt' Balance Du.: 57,650.DO 1 0082. !HI ED OF SOU, NIAl PARK M"Ll SilURQ ZO.I"Ot F, DOFSOUND.CO '. I~ ll;il' ".' burg PA IE> (717) '91J J r Fe ,~Ier 'alion. ._..- t;r,l'iTlT'-,; .~...;. ~ 14l3CMT FAr.' '2K-4,O 2K.4KW SR5000 CI SIRHM CI ~!RPNP c' IRCR (, CZ625 r J '~~ r:T: ~. "'" '! .Jv~ '""rials have man' 'e \I.hiel. All S 5% athor chars' "oil' may e~ISI .:t tor troUbl~~1 ;5 are add',Qfj. . !Ion, STORE cr ( Signature: X. ;W TERMS' L< ,ceo Inatallat 01 ," IS cao(;elJeu , h I ,{; E, 01'- ,ha ~a C I.} 1" ~ . THAN" TUU ATE PA ;.6103 \1108 M~TJ()~ tiLt'il~" Itd I I<M,\ lit .f... Vlpt' 10': \ I I I .J --- .- "!~~;:II~(.nL ElIt PO; RO: I 5,.1: JK S.1M2: , Start TIme I L . " ' Joe DESCRIPTION ~;;i ~ 51rpnp .'" OESCRIPTlON SI:FtIAL NO I'lill I :-.,ltll, II AI 14, '" fl'pOQwn w/lv tuner n423Cf.AT $\100.00 SgoO.oo competition ..riM 4Ieh C2K-4.0 t1,"99,00 $1,.1l9,00 competition aerie, ...c:h C21<.4KW $3.aOO,QO $:UlOO.OO remoteStartlslcurltylwlrlmate SR~OOO 5248.i8 $:z.4Q.ii home kit S/RHM $0300 se3.00 p1ug&play rCVI .lrul &tRPNP 182.00 $9200 airuI pnil Cit kit SIRCR $63.00 $12&,00 15 cxJ chllgr DCZ82S S159Gii $1&9.99 ORiS' ET Dfi~CRIP l\()~ ,.. tiN't..IAII/ !;lMll :~tl}1 1f}'':\1 I AI-<CIR HflllRS i' I: I MS & CONPlTION,. Materi..: Labor: Sublet: Other: Mise Sales Tax: I Invoice Total: $247.50 $709,6~ $17,732.86 $11,825,61 $4,950,00 of)' and install4t1on is gUBrln\eeo for tn. '\11 repair work IS byapllolntm.nl ~or to cover misc hardwane, wiro, ele. 1 of audio component&, a fee Din Inltal;"lion kits, filters, WIrIng ,:led. All work hll Osen performed to -- HOW PAlO PM1 Can ; ...Id Ch.rgt ; CUCllnfo: AuttI. Cede : 'elel CMek : ".,d Heu.. : AIR Open : Depaslt : : ~."Ge 0...: l.____..... $7,660.00 1008288 Chan~: 1St be Pllld in full within 30 dllVa of the date of ,..duled unti' th,t lrme // Layaway ,~dlt on:y",;11 be givEtn, THAr-JK YOU! Chktl Cu.: TlIpe; CASH - ~ EED OF SO CONIAL PARK MA H ~RI'BUH(; (7 ') 511-1101 1~ EEnOFIiOUND.Cl IT ~ic I 'arl rfllburg 'ONE: (717) .ve ~~. !M ~. : y, V ./ ; C."elllf R ;&tratlon: " ',~"" .0 :. Iv, vrx74S.. t:. _:~ t'- ~ VR.X745VD SlBTP4 SLD,r..16 SLRCF 01 L MAlERIAL r.' i J'p.,~. 'OLET. IL.. '.~---'~ d< f'.' .~tefla'll have m(lI /.I ' t~e vehiCle. Aile cr' A 5% other char', . F, f'" "' fl0...;.e may exis: !.r:v t1r troublpc c'; .'e IldOiIIG' Jchon STORE l 'mer 'Oignature: :< ,NAY i t:RMS: L Joice Initallati' .:"1:': I'. canc:elte.": c .- . T.NK YOU LICA TE 001 p,.. ~6.e10~ 171011 ^ 10e&4 LAYAWAY 12I0Il2* I MA.T~~" I " VIP.: I II K, I I STK: ,..J I Ext: PO: AO: -. -.- -.~- "'-i,~1,!4(.t~ . At'Pl lIN I Ml- NT II\IF:JRMA liON .1.:1: lor: 118'1111. JK I Salla2: i ! Start Tim.: .J ~- Ca)': Bayf: Dew: StOP Tm.: '" ,JOB Ot:~(;RIP liON ,1!,1.~:-'" ,~ pnF I I I ._J ,t . l:-5Gfll ION SERIAL NO PRICE SUClTClT AI. indash (\vd/cd/mp3 VRX74SVD SLBTP4 SLOIN,1 S SLRCFOl MATERIAL $1.349.99 $139.00 $42.00 $18.00 $2,000,00 $1,349.99 $139.00 $126,00 $3600 $2.00000 SO,OO ~vrnl;I.,. -l:h trnllmltr ," ~J nbdnk din cbl I' din to female aelUlIlorl , ' DESCRlrnON It'LrlNICIAN St^~l SlOP ,~i....., f"TAI I ABOR HOURS $11,825.81 $4,950.00 ~'c:TJr ~i:.. Materials. Lebor: Sublet: Other: , Mise i I ! Sales Tax: i l Invoice Total: I -- $247.50 $709.55 $17,732.88 ,...J omoNS -'Iy and installallon is guaranteed for the \I rep9 r work is by appointment , cr', (r).,er ml5e h.rdwa,e. wir.. ete, .,r .'uJ:: c<:lm~onenls. 8 ~e ''''',illlalion kits, filter., wiring .or~ ru been perlormed to IIOW PA.IO Ching.; ~ I PUt CUh : Paid C~rge : Card Info : Auth. Cod. : P_ Check' Peld lieu.. : AlRO~: o.posit, Balanc:e DLI8: $7.650.00 10082.86 _~ f- "J In full within 30 days of Ins datll of 'JJ:~,c nlllthat timo, It LeyawlIY I " '."1 be given THANK YOUI Chk. Oue: Type: CASH i .__J . . : :;' :-< ,~; /'..: ':'.>: ,':: <~i' \ >' .' :,';'~' >< ': .' .~:: ,,~~:'<'it',; <~~: :> ~~;,: >; ,'1 ',:',>;;:;.;'(:: ..;::>~ :;':;:;~ ",;>.',,;; ,>>;;~~',;:.;; '~~/i "t' "1 ,; /j 'i'~~'~/i ''( (i .: /;;;,<<.; (- "':N -.: . "or PNCHallk..'N.A. ,o~o..' , "'. .' '.. ,>. //\.i, '/ <:~O~I~1~(3j3 CllnlraIP.A." , ". ,. ~;gi2#;"l;,,';M"":':'/ lVB , p<~ig'J~f:> ',.~", ~;.--Xr.-.--~ _OA<~rz~:~ f \:~~,':~r~~"'>,., '.:' . >'. '. '. ,~~~ ,,-,,:,~~,' .' 'tt':'::-..t;::,. 1~~7~i';t~e~D~~AN ig~:~---_c-'IZ-_H_Y it_~~~>;~~'A!<~": ,.,-,. 1~1~fI' ~~'1;f~;\~wIi\m" , ' " ' "', " ....... PERS6~Al , . .1". . ;.' '. "'fPF\E$ENTAllvr , /"1,~" t:" <". "', ' _"d~) Tf1~~i'EE . . ,.,"-,., "'.,' .; "'.", -,' -~-.,". ,',"-.' '.-'~'"". ',,"',.:',"'" ...\" ',-: ,''''' ,,"-,," ':', , -"':.' ," .' ~ I: ...,/" '1I~'::6'~'8:,ti;71'III:oJ:~!\>.,a,?j,ti..;.sqD.p~~,ija ? III , . ".,., .~. . ' ,',' "~'....hililiite. -~ilPi!iiIiiM_~"V~~" 1~>_:.-~'..~:.~~~.._~.~.~.r-,.:,-'~._.-~.'~-.~r,t~~-~~~~~:~ '/~"~..{:.t2/~."~,.",,..,~,:.:.,,\:<I.....,',,-....:-.<.:.:-..:-..::.';,...:.. .. ....... .' ( I ,J I HARRISBURG, PA 17109 I (Across tre=xxon on At. 22) l_ --"~~~~72!)7~::'~-16~30~ J QUALITY PRODUCT AND INSTALLATION EXPERT SERVICES ON: MILDTO WILD INSTALLS ON EXOTIC AND DOMESTIC VEHICLES STEREOS · SPEAKERS · ENCLOSURES. CUSTOM FABRICATION · FIBERGLASS · SECURITY REMOTE START. KEYLESS ENTRY. MOBILE VIDEO · SIRUS SATELLITE RADIO DISTRIBUTORS OF: CLARION. ECLIPSE. MB QUART · SAVV . ZAPCO . PLANET AUDIO . SIRUS SATELLITE RADIO SOLD TO _ 7oAlA/A_ &1-I~ffV'~E~~~~~E _ DATEf/?r!E__ ADDRESS.-------IJ-A} +~--___-'---d--'m-._ - PHONE __ __, _" ._________.____ _.___,__.___________,__ __ __ __..N9_'---- __m.. __, ____ _ sOLDB1caShLh~~h8rgl-MDsOET'D[~~~NA~&li~~~~~L:!l r-I- r== -- - --... - --- --,- ---- -- . -,.- - ...t - -. - - + -j~ - -=-~ -_-~ - - ~ -:1 F _=1 ) p~~~:G~6~~~~~T \ 1 00 LOUD EXCESSIVE '> ' "; VOLUME CAN DAMAOE \ ' TAX t !1-~HEAAINCl"-J"J"~ - HCR~ST~L~:~~E~~t~~I'vE:;- -;- _. . - . ~ 0 0 0 5 5 9<'" ARE ALWAYS STRIVING l REC D . t-l.--. FOR EXC.LLENCE N" !3~ _ _ . ~'J lALL CLAIMS AND RErURNED GOODS MUST BE ACCOMPANIED BY THIS INVOICE WE WILL REPAIR OR REPLACE DEFECTIVE ~A~ERIAL AT OUR OPTION. NO REFl!.N_I?,ti. (STORE CREDI~ ONLY) . . *** END OF ATTACHMENTS *** Dv-JL \ \5.00 ~ 80. c:rO ~rb 3'5.00 ~~ . .... .. Register of Wills Cumberland County, Pennsylvania INVENTORY Estate of Duran A. Parson No. 21-04-1013 also known as Date of Death 08/27/2004 ,Deceased Social Security No. 166-62-3714 Donna L. Boltash, Personal Representativelsl of the above Estate. deceased. verify that the items appearing in the following inventory include ail of tho porsonal assets wherever situate and all of the real estate in the Commonwealth of Pannsylvania of said Decedent, that the valuation placed opposite aach itam of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwaalth of Pennsylvania axcapt that which appears in amemorendum at the end of this inventory. I/Wa verify that the statemenls madc in Ihis Inventory are true and corract. I/We understand that falsa stataments harein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: Mark E. Halbruner, Esquire Pers\linal Representative: , /f#~ .X ffd-U~ , 1.0. No.: 66737 Gates, Halbruner & Hatch, P.C. 1013 Mumma Rd., 8te. 100, Lemoyne, PA 17043 717-731-9600 Dated /I / :).J/O ~ I / Address: Telephone: Description 2004 Haulmark Trailer; VIN 16HG820254P041234 DP Vending business PNC Bank Checking Acct. #5004825109 1986 Volkswagen Golf 1992 Volkswagen Corrado SLC 1994 Chevrolet Suburban 1500 1996 Isuzu Trooper 1997 Ford Expedition, Eddie Bauer Edition Capital Self Storage refunds Cash in safe deposit box Central Penn AAA refund Erie Insurance Exchange - payment of auto claim SEE ATTACHED ADD'L ITEMS Total: (Attach Additional Sheets if necessary) Value :-:] $4,.8QP.00 ~.:~ ,-' I $1-0.8QO.00rv $225.83:<:; $560.od:~) U1 $3,400.00:0 $1,450.00 $1,000.00 $7,425.00 $120.40 $13,500.00 $42.00 $3,919.38 $73,064.91 NOTE~ The Memorandum of real estnte outside the Commonwealth 01 Pennsylvania mav. at th6 election of the personal representative. include the value of each item, but such figures should not be extfJllded into the total of the Inventory. RW-B 0'. "-3 <:::) C-:.;J CJl :'0 -T) .T1 Ie) ~. (~ :::'J C-:J ,-~ i'. \ n1 ) C'J -. (:-:~ -'q " (~~ I-n . ... . .. Estate of Duran A. Parson Estate No. 21-04-1013 Date of Death: 08/27/2004 Social Security No. 166-62-3714 INVENTORY - PAGE 2 Description Value Miscellaneous personal property - value is sales price $10,058.00 PNC Bank Checking Acct. #5003717704 PNC Bank Savings Acct. #5000836222 2,942.30 12,524.00 182.00 Progressive Insurance - refund on Policy #562353977 Progressive Insurance - refund on Policy #56235397-6 38.00 Progressive Insurance - refund on Policy #562353977 78.00 Total (carried forward to Page 1) $73,064.91 PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE FORM 6.12 YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Duran Alan Parson Date of Death: August 27, 2004 2004-01013 Will No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: No 2. Ifthe answer is No, state when the personal representative reasonably believes that the administration will be complete: May 2006 3. If the answer to No.1 is yes, state the following: A. Did the personal representative file a final account with the court? N/ A B. The separate Orphans' Court No. (if any) for the personal representative's account is: N/ A C. Did the personal representative state an account informally to the parties in interest? N/ A D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report. _~ \~/ i 17A~:~~L4 ~ ~/ r Mark E. Halbruner, EsqUlre PA I.D. # 66737 GATES, HALBRUNER & HATCH, P.c. 1013 Mumma Road, Suite 100 Lemoyne, PAl 7043 (717) 731-9600 Date: November 28, 2005 \.. \ \ : \ \\d 6(, !\c:\ SuDI Capacity: Counsel for Personal Representative ~. ' ~._i, ,~, ,,- ._, ~,...., {...... .....i, I -", ' J\ ((.:: 1::/ IJ::;:: j'\)\j]\) \J.J"~' v' ~1s 02-20-2006 PARSON 08-21-2004 21 04-1013 CUMBERLAND 101 APPEAL DATE: 04-21-2006 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 11013 ~~!_~k9~~_!~~~_~~~~______~___~~!~!~_~g~!~_~g!!!g~_~g~_!g~~-~!~g~~~--~-------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DURAN A FILE NO. 21 04-1013 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ~PPRAISEMENT, AllOWANCE OR DISAllOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX MARK E HAL BRUNER ESQ'- GATES ETAL 1013 MUMMA RD STE 100 LEMOVNE PA 11043 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN ESTATE OF PARSON REV-1547 EX AFP (06-05) DURAN A l'AX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 02-20-2006 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Par.tnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 .00 15,825.83 .00 57,239.08 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage liabili"ties/liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 29,313.15 16.606.89 (11) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 73,064.91 45.920 04 27,144.87 .00 27,144.87 14, IS and/or 16, 17, 18 and 19 will returns assessed to date. NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total D~ ALL ASSESSMENT OF TAX: 15. Amount of line 14 at Spousal rate (15) 16. Amount of line 14 taxable at lineal/Class A rate (16) 17. Amount of line 14 at Sibling rate (17) 18. Amount of line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = 27,144.81 X 045 = .00 X 12 = .00 X 15 = (19)= DATE 05-26-2005 NUMBER CD005374 + INTEREST/PEN PAID (-) .00 AMOUNT PAID 1,403.21 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 1,221.52 .00 .00 1,221.52 1,403.21 181.69CR .00 181.69CR . If PAID AfTER DATE INDICATED, SEE REVERSE FOR CALCULATION Of ADDITIONAL INTEREST. ( If TOTAL DUE IS lESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REfUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ",....; ::L,~ . c= t...'__ ' C) PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE FORM 6.12 YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Duran Alan Parson Date of Death: Will No.: August 27, 2004 2004-01013 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: o M ~e: 1. State whether administration of the estate is complete: No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: March 2007 3. If the answer to No.1 is yes, state the following: A. Did the personal representative file a final account with the court? Nt A B. The separate Orphans' Court No. (if any) for the personal representative's account is: Nt A C. Did the personal representative state an account informally to the parties in interest? Nt A D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report. \.0 I 0- W V? '-'=' c::::.> = ...... <( 1-0-: 0:0......--.. :::> - ' ~~ber~,2006 &~~;.; w ~ --,' -l I P-, (,) 0.... ~';' a:; G.. OL (3 /) " /' r"" , ....---~; ;> ;/1-;;:;: C( Cl .. ..,'1.' /~~ .. .c. -f ...........~ .......- ,. Mark E. Halbruner, Esquire PA I.D. # 66737 GATES, HALBRUNER & HATCH, P.C. 1013 Mumma Road, Suite 100 Lemoyne, P A 17043 (717) 731-9600 Capacity: Counsel for Personal Representative LAW OFFICES OF GATES, HALBRUNER &-HATCH, P.C. 1013 MUMMA ROAD, SUITE 100. LEMOYNE, PENNSYLVANIA 17043 (717) 731-9600 . FAX: (717) 731-9627 LOWELL R. GATES, LL. M. LL. M. in Taxation Also Admitted to Massachusetts Bar MARK E. HALBRUNER CRAIG A. HATCH, CELA Certitied as an Elder Law Attorney by the National Elder Law Foundation MATTHEW J. ESHELMAN Board Certified in Creditors' Rights Representation by the American Board of Certification CLIFTON R. GUISE Also Admitted to practice before the U.S. Patent & Trademark Office September 5, 2006 BRANCH OFFICE: 3 WEST MONUMENT SQUARE. SUITE 304 LEWISTOWN. PA 17044 (717) 248-6909 WEB SITE: www.GatesLawFirm.com CORRESPONDENCE ADDRESS: Lemoyne Office STACEY L. NACE ParalegallOffice Manager TRACI L SEPKOVIC Paralegal VALERIE LONG Paralegal Cumberland County Courthouse Office of the Register of Wills One Courthouse Square Carlisle, P A 17013 RE: Estate of Duran A. Parson File No. 2004-01013 Dear Register of Wills: Enclosed is the annual Status Report for the Estate of Duran A. Parson. Please time- stamp the photocopy and return it to our office in the enclosed envelope. Thank you for your assistance in this matter. Sincerely, a ii U . i A1; ({:CUi (~ Traci L. Sepkovic Paralegal Enclosures \fd '0" . v J Ci/Y..r itEPli'vno lHn08 SNl11-k1tJO ::10 ){tJ31J Oe: : 1 Uc/ 9- cl3S 900l BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA d.p~~~:rMENT OF REVENUE r,-r" I" , '::' 'J::NHERITANCE TAX STATEMENT OF ACCOUNT *' 1\: 38 REV-1607 EX AFP (03-05) r' DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-03-2006 PARSON 08-27-2004 21 04-1013 CUMBERLAND 101 DURAN A (....,: MARK E HAL BRUNER ESQ> GATES ETAL 1013 MUMMA RD STE 100 LEMOYNE PA 17043 Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-1607 EX AFP (03-05) --------------------------------------------------------------------------- ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ..~ ESTATE OF PARSON DURAN A FILE NO.21 04-1013 ACN 101 DATE 07-03-2006 THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NA"ED ESTATE. SHOWN BELOW IS A SU""ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PRO~ECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-13-2006 PRINCIPAL TAX DUE: 1,221.52 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-26-2005 CD005374 .00 1,403.21 06-16-2006 REFUND .00 181. 69- TOTAL TAX CREDIT 1,221.52 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IE IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. ) ~ Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Duran A. Parson Date of Death: August 27,2004 File Number: 2004-01013 Pursuant to Pa. O.c. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . .. IZI Yes 0 No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: N/A 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a [mal account with the Court? . . . . . .. DYes IZI No b. The separate Orphans' Court No. (if any) for the personal representative's account is: N/A c. Did the personal representative state an account informally to the parties in interest? ............................... III Yes 0 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date March 6, 2007 ~(-~ Signature of Person Filing this Form Capacity: DPersonal Representative IZICounsel Mark E. Halbruner, Esquire Name of Person Filing this Form Gates, Halbruner & Hatch, P.C. Address 1013 Mumma Rd., Ste. 100, Lemoyne, P A 17043 CI 1 ~n 1 v II ~0 / _ f:l;. '- Ci (717) 731-9600 Telephone Form RW-1O rev. /0:/J06 \ q.r-