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Home My WebLink About04-03-13 1505610143 REV-1500 EX(02-11) Department of Revenue OFFICIAL USE ONLY p Pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 60X.280601 INHERITANCE TAX RETURN 21 12 00869 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 06 27 2012 04 11 1944 Decedent's Last Name Suffix Decedent's First Name MI EVANS JUDY M (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW X1 1 Original Return 2. Supplemental Return 3, Remainder Return(Date of Death Prior to 12-13-82) 4, Limited Estate A 4a. Future Interest Compromise 1 5. Federal Estate Tax Return Required (date of death after 12-12-82) li 6. Decedent Died Testate Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ------ P 9. Litigation Proceeds Received 10. Spousal Poverty Credit(Date of Death 11.Election to tax under Sec.9113A between 12-31-91 and 1-1-95) ( ) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number BRUCE J WARSHAWSKY 717238 65f3_10 u� ;a RECATPR OF WILZj USIl f'r'1 First Line of Address �" r— ro rn 4A � M. C.F. f"7 t'7T 2320 NORTH SECOND STREE c� c� e ; e,, -,r) Second Line of Address ;-� c,:> ._3 rt M 7' DATE Fit (,� Q City or Post Office State ZIP Code HARRISBURG PA Correspondent's e-mail address: bjW @cclaWpc.com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE Ii _ _- Michele Kennedy A DRESS 240 W. Dauphin St. Enola PA 17025 SIGNATURl ARER OTkiETHAN REPRESENTATIVE DATE Bruce J. Warshawsky ADD S ' 2320 North Secon treet, Harrisburg, PA Side 1 1505610143 1505610143 J 1505610243 REV-1500 EX Decedent's Social Security Number Decedent's Name Evans, Judy M. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)...........................................................................- 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C)......... 1 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 45 . 00 6. Jointly Owned Property(Schedule F) ❑ Separate Billinq Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous -Probate Property (Schedule G) � Separate Billinq Requested............ 7. 0 . 00 8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 45 . 00 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 10 , 274 . 50 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1).......... ................. 10. 31 , 483 . 07 11. Total Deductions{total Lines 9 and 1 0)................................................................ 11. 41 , 757 . 57 12. Net Value of Estate(Line 8 minus tine 11).. .... - .. .. - - - - ... .... ...... 12. -41 , 712 57 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J)............................................... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. -41 , 712 . 57 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec. 9116 (a)(1.2)X_.00 15. 0 . 00 16. Amount of Line 14 taxable at lineal rate X .045 0 . 00 16. 0 . 00 17. Amount of Line 14 taxable at sibling rate X .12 0 . 00 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X 15 0 . 00 18. 0 . 00 19. TAX DUE.... ........ ............................................................_..........................._..... 19. 0 . 00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. El Side 2 1505610243 150561 0243 J REV-1500 EX Page 3 File Number 21-12-00869 Decedent's Complete Address: DECEDENT'S NAME Evans, Judy M. STREET ADDRESS 221 Lee Ct. CITY STATE ZIP Enola PA 17025 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +B) (2) 0.00 3. Interest (3) 4, If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2, Line 20 to request a refund - 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) Q� Make Check Payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;......................................... ........................ .-... x b. retain the right to designate who shall use the property transferred or its income,........................ .... _ ;_ -' x j c. retain a reversionary interest;or........................................... ......................................__........... .. .... . .. x d. receive the promise for life of either payments,benefits or care?.................................................. x 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?..............................................................._............. ............................ _ _._ x 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?..... x, 4. Did decedent own an individual retirement account, annuity,or other non-probate property which contains a beneficiary designation?............................................................................................................-- . L _ L_x' IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 percent[72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S. §9116(a)(1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent,whether by blood or adoption. Rev-1508 EX+(11-10) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Evans, Judy M. 21-12-00869 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Jewelry Chest 45.00 TOTAL(Also enter on Line 5, Recapitulation) 45.00 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10) Rev-1510 EX+(08-09) SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Evans, Judy M. 21-12-00869 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 Is yes ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE NUMBER THE DA E OF^ROANSFERSATTACH THEIR A COPY OF THHE DEIED FFOR REAL ESTATE VALUE OF ASSET INTEREST F APPLICABLE_) VALUE 1 2001 Kia Sportage gifted to grandchild (value$1997) 1.997.00 1,997.041 0.00 within 1 year of death TOTAL(Also enter on Line 7, Recapitulation) 0.00 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev. 08-09) REV-1157 EX+(10-09) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES AND INHERIIDENT DECEDENT TAX RETURN RES ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Evans, Judy M. 21-12-00869 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 7,930.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s)Commission Paid 2. Attornev's Fees Cunningham & Chernicoff, P.C. 2,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) 0.00 Claimant Haydn T Evans Street Address 221 Lee Ct. City Enola State PA Zio 17025 Relationship of Claimant to Decedent Spouse 4. Probate Fees 119.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7 Other Administrative Costs 225.00 See continuation schedule(s) attached TOTAL(Also enter on line 9, Recapitulation) 10,274.50 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Evans, Judy M. 21-12-00869 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Sullivan Funeral Home 7,930.00 H-A 7,930.00 Other Administrative Costs 2 Legal Advertising 225.00 H-67 225.00 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev.6-98) Rev-1512 EX+(12-08) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS COMMONWEALTH OF PENNSVL✓ANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Evans, Judy M. 21-12-00869 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Capital One(balance unknown) 2 Chase 0547 4,455.05 3 Chase 1525 3,313.67 4 Citibank 3938 20,603.42 5 Citibank Sunoco 1,585.89 6 GE Bank-QCARD 676.14 7 HSBC Bonton 318.80 8 Target 530.10 TOTAL(Also enter on Line 10, Recapitulation) 31,483.07 (If more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX-(01-10) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA INHERITANCE CEDENTRN BENEFICIARIES RESIDENT ESTATE OF FILE NUMBER Evans, Judy M. 21-12-00869 NAME AND ADDRESS OF RELATIONSHIP TO DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY (Words) ($$$) Do Not List Tru tee(s) i. TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116(a)(1.2)] Haydn T Evans Spouse Half 221 Lee Ct. Enola, PA 17025 Jordan Kennedy Grandson 240 W. Dauphin St. Enola, PA 17025 Shawn Kennedy Son 1/6 PO Box 99074 Seattle, WA 98139 Michele Kennedy Daughter 116 240 W. Dauphin St. Enola, PA 17025 Brian Kerrigan Son 116 48 Trudy Circle Mechanicsburg, PA 17050 Total Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appr o riate. NON-TAXABLE DISTRIBUTIONS: I I. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev. 01-10) Page 1 of 1 Bruce J. Warshawsky From: Erica Taylor(appraisals @classicedgeaucton.com} _- - Sent^ SOnday, November 25, 2012 10:40 PM To: BJW®cclawpc.com Subject: Jewelry Chest Appraisal Bruce, Based on the information and photographs you e-mailed to me: Contemporary Jewelry Chest (Fair Market Value $45.00) Hinged lid with mirror, two hinged doors open to reveal storage drawers. Line carved detail on doors. French Provincial-style hardware. c abriole legs. g veers. B Oak finish, contemporary. Rests on Erica S. Taylor, C.A.G.A. Certified Appraiser & Auctioneer Kerry Pae Auctioneers PO Box 416 Hershey, PA 17033 Cell: 717.587.8000 !DSPAM:50b2d9ec 1711417054184851 1/10/2013 s' Kelley Blue Book The Trusted Resource' P/4oOAE1l/!/E $9900 The Name Your PriceeTbal.only from Progressive aawuaw,ea �� Your Blue Book'Value 2001 Kia Sportage Style Sport UtnKy 40 MKepr.200000 Trade-in Value Vehicle Highlights l Excellent MPG:City 16/Hwy 20 Max Seating:5 $2,322 Doors:4 Engine:4-Cyt 2.0 Liter ` Very Good $2,197 Driwtrain:4WD Transmission:Automatic i Good EPA Class:Sport Utility Vehicles Body Style:Sport Utility $1,997 j Country of Origin:Korea Country of Assembly:Korea Fair -- ---- — - - $1,447 Your Configured Options Our pre-selected aptlons,based on typkei mApirm for ttes ar. Optlors Lost you added wMle confqukp Oft car. [neMe conwwt ad eawadeew So"and Sac wity +cyi,2.0 Uter paw yyeldowa Dual Air Ba0a Traaawdadow Pawn Door Locks Wheals and Tires r; ALADMUc Alloy Wheds Drtvela Poway Slate!" 4WD Tut WAd Enewadon sat ad Inatrunwttstbw MyFM Stereo Casette New Cars You Might Like 2013 Kia';C, qa NOW 2013 Mykrdal Tuaan .!4+ 2013 Jeep Compass http://www.kbb.com/kia/sportage/2001-kia-sportage/sport-utility-4d/?vehicleid=4564&inte... 8/16/2012 v4SULLIVAN FUNERAL HOME John C.Sullivan,Director 51 N.Enola Drive o4,;, ht i n g y o u r w a y Enola,PA 17025 •• Phone: (717)732-5400 Fax: (717)732-2162 9TATEll4 M OF FUNERAL GOODS AND SERVICES SELF(TED Clow m a*toe shoo bam that an uad U we am required by law a um any leaay we vds a gidn in w"ft bdoer. Y tar aadaemd a(mud whbi tequbed mobabdg,much a a tutored with I I OF Tom may have a pre fQ� You do era have m tFtion ad.mad *era.dbert amn.don a immodaeo kwiaL if re dmrpd for ��t��re��Oti ��►►.if asdn.tr �lt•t/�L ch...a �v.r�.r IleNf�a 0� �.o •.�. Da•./►'sti+ IT- ��..x,. f-� 02 r- Nmae Ache. Chy star A.CHARGE FOR MZVICBS SSLHC'L M Oder 1.Po mfoa.iaed ttawleaa s rwe"d remmd ntaebw3taH s 3 s s ote.t d Crmdmutn...................... s d� sift-tod- Drommoft ad s � s 411116 ve aaatdeae dy $ SMTO'TALOPPROli IONALSERVICES $ L Pdlletmmidagtdpaens TOTALb1ZKCHAND==.86=.......... s Use of idwm for vbadtq C WBCIAL CHARGE& (Vldomionmaia).................. $ Forwerdlq of neatal01e to Uar d adminbmadve napdm ' (Banmd Homd $ aroma and ertmtpmernt roan......... s Baedvbr d rer01dn fmm Un afFr persolmteats.............. s s Other was of idida Wunad Hare) lmm.dlae Burial.................... $ Dina Ceetnedon ................... s ........................ 3 $ 9UB.'IWALOFF ... s '� sUBTOTALOISPBCIALC'iIAROES ......... s 3. ALTIIONOrTM BQUMONT D.CASH ADVANCED Vehicle a am ternaYr to Funeral Fiona. Opting Oreva L and.............................. SSLx �1EVdwn m s ................ Hanm(GalasCody) Lot and Dad....................... S 7 Lod.............................. s C Neeellow Nadaed od.6 6 6 6........ li Llmouwm Ngerprpm NodorOuaaLToen 6 6 6 6... s Loral.............................. s TAwho &Tdgrerm.............. $ Family car Ahfine............................ s l onl.............................. s der/MamOHeriq................ I ic%2 Fbm er ar a floral dimpoddor Fdlbmeta...............•//tt��yy��v.. $��. Loral. .... sQ.J� CerdAdCaplerddrDearirCanldua. ......................... Lad ew/dmV oer Polio Emew........................ s Lod.............................. s Flmms............................ sZ Car for pow arms Vauh Service Chap ................ s F.aul.............................. s s Out dor os aerrpertn. ........... $ s s s s = sLMWrAL OF AVrOMO`nVX EQUU%W rT s-- s 'DOTAL OF PROPSSSIONAL SBRVIM HQtJIi'1�i r r K�! f ACUXr AN 9JBTTAL ADVANCES................ .PJ . !!. = S (0{1( 9I MWAAY Of C13AMM K C*LM($roil MERE iANDW✓lMaClED, A.PretmiwW It a Fadudm and Cabot ...r�.). Eq�4 erd Am madve E*dpmm ji�a0 . ......... s is£ Meehandim........................ s�1 LC hpa.................... D Cash A danoae........................ Oda ReaPds.................... s s TOTALO!ALL Sm.BC'17ONS................ s2 3`3 PAID AT TDO OF OIL PRIOR TO Graeae bueld Ate........................... $ -.�. �.. s ... s� BALANCa DUB .......................... � Q'b............. 4A �i Plscat � - '` R�Metar boob(Q................... B aaqoy bar regtld doe �►faldme..................... s ptrclteee bar hemod regtdremerr Y ........................ $ eq�1 �ii Ot4Rs�rr Toomp a ror!Its" .............. s - Buoldd 6101/...................... s 1 ha hl that:de=mWnW the above amad Imor and ford than m be a nm red haerbl A iPt cf oopl d d6 mernmmdtmr and arommr,a hereby repwer ns m t(r errer�roera raquermdlatAa for P did r ;and=of aBea and aormmp�p�and wreralhr m maloa paymas d S *� a Per yaer b applhd m dm unpdd bdmta byerdq 7 dm fic m dm doe d .�.�t�l erj�didmd amw or mmd.sn im ordered a nquamrd afar she dw d clan ehY aml�tlm am d�f NOR be rderaa'm dw Ad eeaaarmr 'err"S be o°'rdda'ed Pat of tSad) r (Purchawr) (1Larrtd Fwneral EX am •rr.t..�t.ra..�or..A■rr. RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 8/09/2012 Cumberland County - Register Of Wills Receipt Time: 12 :02 :39--,- One Courthouse Square Receipt No. : 1070938 Carlisle, PA 17613 EVANS JUDY M Estate File No. : 2012-00869 Paid By Remarks : MICHELE L KENNEDY HEA - -- ------------ --------- Receipt Distribution ------------------------- Fee/Tax Description Payment Amount Payee Name PETITION LTRS ADM 60 . 00 CUMBERLAND COUNTY GENERAL FUN RENUNCIATION 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 16 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 166 $119 . 50 Total Received. . . . . . . . , $119. 50 i 11\ V V ! "kap 1... 1500 Paxton Street JOURNAL Harrisburg,PA 17104 9121/2012 T.717-236-4300 MULTIMEDIA F.717-236-6803 ORDER 85336 www.lournalmultimedia.com TERMS: Net 30 Days INVOICE TO ADVERTISER---- Cunningham&Chemicotf, P.C. Cunningham&Chemicoff, P.C. Accounts Payable P. 0. Box 60457 Harrisburg, PA 17106 INVOICING:Adv*Mser DESCRIPTION OF CHARGES COST CREDIT BALANCE PUBLICATION: CLASSIFIEDICENTRAL PENN BUS.JRNL COVER DATE: g!7/2012 THEME: CLASSIFIED AD/CENTRAL PENN BUSINESS JOUR RATE CARD: DESCRIPTION OF AD: Legal listing: Estete of Judy M.Evens REP(S): MARK SUNDAY SIZE: LEGAL LISTING, PAGE: 150.00 COLOR: S&W 0.00 SPACE SUB-TOTAL: 150.00 BALANCE DUE: 150.00 11� 1 _ 1 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Td= (717)249-3166 F=(717)249-2663 August 31, 2012 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. T0: Bruce J. Warshawsky, Esquire. RE: Judy M. Evans 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 the following dates: August 17, August 24, and August 31, 2012 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 0 .00 Total Amount Due S 75.00 Payment received by a. Wr4NNGHAM E CHERNICOFF,P.C. 014051 DATE September 04, 2012 Ck# 14051 AMOUNT: $75.00 Matter: 612612 Matter Description: Estate Administration Client: Estate of Judy M. Evans Paid To: Cumberland Law Journal EXPLANATION : Cumberland Law Journal - Proof of Publication - Evans CUNNINGHAM & CHERNICOFF, P.C. CMZBM BANK 3-7615x" CHECK NO. 014051 CUENTS TRUST ACCOUNT Penw Avenia 2320 N.2nd STREET HARRISBURG,PA 17110 14:051 **'Seventy Five 00/100Dollars PAY To TMe ow op DATE walNr Sep 04,2012 $75.00 Cumberland Law Journal 32 South Bedford Street CUNNMIOHAM A CHERNK OPP,P.C. Carlisle,FA 17013 CuENTS TRUST ACCOUNT —CumberlaAd Iawy 11'01405111' 1:0360761S0I: 6 2 1 4 00 6 9011' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF JUDY M EVANS , Deceased No.21-12-869 of 20J2,_ To the Clerk of the Orphans'Court: Enter the claim of Citibank NA Acct. xxxxxxxxxxx9518 In the amount of $1,585.89 , against the above entitled estate. The decedent, who resided at 221 LEE CT ENOLA PA 17025 died on 06-27-2012 Written notice of said claim was given to MICHELE KENNEDY ESO if known to claimant, at (Personal Representative or counsel) 2320 N 2ND ST„ HARRISBURG, PA 17110 on 2ft (Dat (C ai ant) Address: P.O. Box 1370 Reynoldsburg Ohio 43068 Claimant's Counsel Address n 0 3 ZZ m v m m vi D m D m O D n `c Q) Q x - cr 0 CA) of C! O Z to c v co .� D 3 Z D 0 C! � N3 cr D a n N � m rn m = m rn � cc Asset Acceptance LLC 110 Boa 2036 Wuren All 48090.2036 Toll Free:877-327-7384 Fax:586-983-7443 BRUCE J WARSHAWSKY 2320 NORTH 2ND STREET HARNSBURG PA 17110 PB_0049 Account No.:26742288 Asset Acceptance LLC PO Box 2036 Witten Ail 48090-2036 Toll Fm 877-327-7384 Fax:586-983-7143 August 30, 2012 BRUCE J WARSHAWSKY 2320 NORTH 2ND STREET HARNSBURG PA 17110 RE: Estate of JUDY M EVANS Our File No.: 26742288 Court File No.: 21120869 Dear BRUCE J WARSHAWSKY, This letter is to formally request an inventory list or your states equivalent, for the above referenced estate. Thank you in advance for your time and consideration. If you have any further questions do not hesitate to call. This is an attempt to collect a debt and any information obtained wil or that purpose. Asset Acceptance LLC Claimant P.O. Box 2036 Authorized Representative for Claimant Warren,MI 48090 Phone: 877-327-7384 Ext. 8789 Fax: (586) 983-7443 Claimant PB 0013 Account No.:26742288 • Y IN THE COURT FOR CUMBERLAND COUNTY,PENNSYLVANIA PROBATE DIVISION ,; ��•,r, IN RE: ESTATE OF CASE NUMBER: 211208+69 JUDY M EVANS DECEASED STATEMENT OF CLAIM The undersigned herby presents for filing against the above estate this statement of claim and alleges: 1) The basis for this claim is:CITIBANK 2) The amount of the claim is$20.603.42 3) The claim(is){is noI}contingent. If contingent,the nature of the contingency is: r 4) The claim(is)(is not)secured. If secured,the security consists of: Under the penalties of perjury,I declare that I have read the foregoing,and the facts alleged are true,to the best of my knowledge and belief. Executed this 30th day of August,2012 f Asset Acceptance LLC Authorized Representative for Claimant P.O. Box 2036 Warren,MI 48090 Phone: 877-327-7384 Ext.8789 Fax: (586)983-7443 Claimant PB_0010 Account No.:26742288 r ' IN THE COURT FOR CUMBERLAND COUNTY,PENNSYLVANIA PROBATE DIVISION 0. ; t-k� �• �j ATQi /4 �, •1y,�. .'ly ► j11 ��Zi1�VOV7�r y�7v ,e- a �' � �.,.� r`—�" , 3t t� 1 � •r�� lti ��'t ;�.t u� 7 �i�. ti'Zt - . # r � 1� :1 ,.. :�,�dbi e s'�:r!�'+ 1�.. •75 f)" -L ! Jt1• y .•`1 �•'' � 1�,�: }ter r5't 1 �1 �) r ; x• N �S.:r ��` � �t �•w � ;�,fy1�3�1 13 fr+��n�"`f?v"�,'R+A�,q";!�''�.��1�„�'�'�Cl+'!�4"bs�f�l�•'lfy'�t ",�,�11'"tt 't+ ..�' ' �` � �,r r- � '�� - r4l�l '� JUDYM EVENS PROOF OF SERVICE In thb spatter of JXJDY M EVANS�I served by Q&nary mail the papers above. Titles of '_ _ r._ .b„ti. ter: • M. i.t+.; -.�'•. - l' ) '. *'-- } the papers served or mailed to: MICHELE KENNEDY BRUCE J WARSHAWSKY,2320 NORTH 2ND STREET HARNSBURG PA 17110 I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to the best of my information,knowledge, and belief. y "�''�• AsseAceptance LC August 30,'2612--�7 � P.O.Hox'2036, Warren,M148MO f Phone: (877) 327-7384 Ext. 8789 Fax: (586) 983-7443 Claimant Signature PB 0011 Account No.:26742288 Account Summary for: JUDY M EVANS Current Address:221 LEE CT ENOLA PA 17025-1500 Account Information: ACCOUNT NUMBER REFERENCE NO DATE OF LAST ORIGINAL JUDGMENT TRANSACTION CREDITOR NAME DATE 4271382071013938 26742288 1 May 31,2002 1 CITIBANK Claim Balance Information: BALANCE DUE as of PRINCIPAL AMOUNT INTEREST RATE INTEREST DUE as of June 27 2012 6/27/2012 12:00:00 AM $20,603.42 $11,089.84 24.00% 9513.58 Notice and Payment Information: CREDITOR NAME ADDRESS PHONE FAX ASSET ACCEPTANCE LLC Po Box 2036 Warren MI Phone-877-327-7384 Fax-586-983-7443 48090 The information above is a redacted summary of the electronic records of the account. 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In order to prevent fisher late fees and a possible negative report to the consumer reporting agencies,we request that you send your payment in the amount of 560.00 immediately. In order to prevent further late fees and a possible negative report to the credit bureaus,ive request that you send your payment in the amount of$60.00 immediately. You can take advantage of our Payment by Phone program. Call our toll-free number at 1-800-365-2026.Our hours of operation are 8:00 a.m. to midnight ET,Monday through Thursday; 8:00 a.m. to 10:00 p.m ET,Friday;and 8:00 a.m. to 9:00 p.m.ET, Saturday and Sunday. • Sincerely, v ' Capital One Services,LLC ACSCMSIRS805 2 N i Capital One Senices, LLC services your account on behalf of affiliated creditor Capital One, N.A. Your account is no longer serviced by HSBC Card Services Inc. HSBC 4D PO BOX 5226 CAROL STREAM, IL 60197-5226 Please include this portion of the letter with your payment or correspondence to ensure prompt attention. JUDY M EVANS Account ending in: 3294 Payment amount: S Send to: Capital One Services,LLC PO Box 4144 Carol Stream,IL 60197-4144 Questions about credit scores, credit reports,or how lenders make credit decisions?Visit yourmoneycounts.com for answers to these questions and more. You'll also find useful tools, tips and ax-tides-younnoneycounts.com is your online guide to financial and credit education. N 1 w� f 4 • A N • • J� • Capital One Services, LLC services your account on behalf of affiliated creditor Capital One, N.A. Your account is no longer serviced by HSBC Card Services Inc. Capital Judy Evans 11436 August 3, 2012 do Michelle Kennedy 240 West Dauphin St Enola, PA 17025 s Case#: 10001842464908 Dear Michelle Kennedy, s Thank you for your recent inquiry regarding the loss of your loved one.We offer our sincerest 3 condolences and appreciate the opportunity to help you resolve the account. a Unfortunately,we are unable to process ely p your request with the information you provided. Please contact us at 1-877-357-5659, Monday-Friday from 8AM-10PM ET or Saturday from 8AM-7PM 6T so that we may promptly resolve this matter. if you would prefer to correspond in writing, please complete the entire form at the bottom of this letter, including any information you may have revious p ly provided.You may fax it to 1-877-210-9464 or mail it to the address below: Capital One P.O. Box 30285 Salt Lake City, UT 84130-0285 We apologize for any inconvenience this may cause and hope to provide the assistance you need during this difficult time. Sincerely, = Capital One Services, LLC a S I PI • N A O PAGE 01 OF 03 )06739 / 9A• 6681/OOM 6953-002 CO 2012 Capital One.Capital One is a registered trademark.All rights reserved. Cap�tal�� Case Number: 10001842464908 Decedent's Name: Decedent's Address: Account Number(P/easegivr the fu// Id-digit acrount number). Mill Social Security Number(or last four digits): Decedent's Date of Death: 9 3 Additional Information: v g v N s s 4 N A a s a PAGE 02 OF 03 )06740 i Q►• 5481/ 6953-002 9 2012 Capital One.Capitsl One is a registered trademark.All rights reserved. i � r w � °s A X I 3 � n G a x � 3 s a a a ^N JM N P PAGE 03 OF 03 JD6741 i QA- 6481/DCM 7601 Penh Ave S,Surre A600 MlmmmPous, MtnnesmA 55423-5004 4lces October 12, 2012 Re: the Estate of Dear Sir or Madam: JUDY EVANS On behalf of our client Chase Bank USA N.A., we offer condolences for the loss of JUDY Our Client: EVANS, who was a valued customer. Chase Bank USA N.A. We are attempting to tolled a balance remaining on a credit account from the assets of the estate of JUDY EVANS. This company Is a debt collector and any Information obtained will De Account #: used for that purpose. We are contacting you only in your capacity as Personal ************1525 Representative or attorney for the estate. We are not holding you personally responsible for the balance. We are seeking payyment from the assets of the decedent's estate. Please Reference : accept this letter as a Notice of Elm on behalf of our client. 8428178 You have the right to dispute the validity of this debt or any portion of It. We will assume this debt to be valid unless you do so within 30 days after receipt of this letter. If you do so in Unpaid Balance: writing within that time frame, we will obtain verification and mall It to you. If you send a $3313.67 written request within the same time frame, we will provide you with the name and address of the original creditor, if different from the current creditor. Please contact us. You may: 1. Complete the payment slip below and mail it and a check made payable to DCM Services LLC In the envelope provided. DO NOT SEND CASH. 2. Call us toll-free at 1-855-234-1135. We have a number of payment options available. 3. If you are not the one handling decisions about the outstanding bills of the estate, fill in the form at the bottom of the reverse side of this letter and retum.it to us in the envelope provided. 4. Call us with a probate case number and/or trust Information, if applicable. Respectfully, DCM Services, LLC 7 am-9pmC'rM-TH lam- SpmC-TF S am- 12 pm Cr Sa Telephone: 612-243-8620 Toll-Free: 855-234-1135 Fax: 877-326-8784 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION -Side 1 of 2- —0almh Lower ft No wW Roam wiM PefflwM"' DCM SERVICES, LLC 7601 PENN AVE S, SUITE A600 Reference #: 8428178 Client ID: IPMC11 • MINNEAPOLIS, MN 55423-5004 Unpaid Balance: $3313.67 ADDRESS SERVICE REQUESTED Checks Payable to: DCM Services LLC Amount Enclosed: $ October 12, 2012 gem-no #BWNJGZF #18517285289058114 DCM Services/Chase The Estate of JUDY EVANS PO Box 1473 BRUCE J YARSHAYSKY Minneapolis MN 55440-1473 PO BOX 60457 HARRISBURG PA 17306-0457 I'igloo 1 11111 11181111 11 I 1#�I 1�II IlM II 8428178 15 2 5 geeesaooI-r16 *IMPORTANT INFORMATION* Und4arthe law we are required to notify you of the foilowing information. This list does not include a complete list of rights consumers have under State and Federal Laws. NOTICE ABOUT ELECTRONIC CHECK CONVERSION yyhes in you provide a check as payment, you authorize us either to use the information from your check to make a one-tune eleC*:nnic fund transfer from your account or to process the payment as a check transaction. When we use Information fro[ yous— check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we racm Ave your payment, and you will not receive your check back from your financial Institution. FOR CALIFORNIA RESIDENTS The State Rosenthal Fair Debt Collection Practices Act and the federal Fair Debt Collection Practices Act require that, except und$runusual circumstances, collectors may not contact you before 8:00 a.m. or after 9:00 p.m. They may not harass yot by u Sing threats of violence or arrest or by using obscene language. Collectors may not use false or misleading statements or call you at work if they know or have reason to know that you may not receive personal calls at work. For the most part, colliesctors may not tell another person, other than your attorney or your spouse, about your debt. Collectors may contact anot her person to confirm your location or enforce a judgement. For more Information about debt collection activities, you may contact the Federal Trade Commission at 1-877-FTC-HELP or www.ftc.aov. Nonprofit credit counseling services may b avall Iable In the area. FOR COLORADO RESIDENTS FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION PRACTICES ACT, SEE W W M.COLORADOATTORNEYGENERAL.GOV/CA. A consumer has the right to request In writing that a debt collector or colleactlon agency cease further communication with the consumer. A written request to cease communication will not profs Ibit the debt collector or collection agency from taking any other action authorized by law to collect the debt. Coloradc OA"Iree Information: Colorado Manager, Inc. 80 Garden Center, Suite 3, Broomfield, CO 80020, (303)920-4763. FOR MASSACHUSETTS RESIDENTS NOTICE OF IMPORTANT RIGHTS YOU HAVE THE RIGHT TO MAKE A WRITTEN OR ORAL REQUEST THAT TELEPHONE CALLS REGARDING YOUR DEBT NOT BE MACO E TO YOU AT YOUR PLACE OF EMPLOYMENT. ANY SUCH ORAL REQUEST WILL BE VALID FOR ONLY TEN DAYS UNLESS YOU PROVIDE WRITTEN CONFIRMATION OF THE REQUEST POSTMARKED OR DELIVERED WITHIN SEVEN DAYS OF SUCH REQUEST. YOU MAY TERMINATE THIS REQUEST BY WRITING TO THE DEBT COLLECTOR. FOR MINNESOTA RESIDENTS This Collection Agency Is licensed by the Minnesota Department of Commerce. FOR NEW YORK CITY RESIDENTS New York City Department.of Consumer Affairs License Number: 1239504 To d tscuss this account, please call our toil free number to speak with . A representative will be able to assist you during o normal business hours. FOR NORTH CAROLINA RESIDENTS North Carolina Permit Number: 4440 FOR TENNESSEE RESIDENTS This Collection Agency is licensed by the Collection Service Board of the Department of Commerce and Insurance. '"'fNl eul end nMum the trMow In[ormMlon le tlw�olound«riNoPo.N you w net tM comet noiplMM a[fhb Idlu"` Correct Personal Representative's Contact Information: First Name: Last Name: Mailing Address: City: State: Zip: Phone Number: Relation: Thank you very much for your assistance! c� 7601 PENN Ave S,Sum A600 MINNEAP us, MiNNEsom 55423-5004 s ery Fn� a t October 12, 2012 Re: the Estate of Dear Sir or Madam: JUDY EVANS On behalf of our client Chase Bank USA N.A., we offer condolences for the loss of]UDY Our Client: EVANS, who was a valued customer. Chase Bank USA N.A. We are attempting to collect a balance remaining on a credit account from the assets of the estate of JUDY EVANS. This company is a debt collector and any Information obtained will be Account #: used for that purpose. We are contacting you only in your capacity as Personal 4w-***********0547 Representative or attorney for the estate. We are not holding you personally responsible for the balance. We are seeking payyment from the assets of the decedent's estate. Please Reference #: accept this letter as a Notice of Claim on behalf of our client. 8428169 You have the right to dispute the validity of this debt or any portion of It. We will assume this debt to be valid unless you do so within 30 days after receipt of this letter. If you do so in Unpaid Balance: writing within that time frame, we will obtain verification and mail It to you. If you send a ;4455.05 written request within the same time frame, we will provide you with the name and address of the original creditor, if different from the current creditor. Please contact us. You may: 1. Complete the payment slip below and mail It and a check made payable to DCM Services LLC In the envelope provided. DO NOT SEND CASH. 2. Call us toll-free at 1-855-234-1135. We have a number of payment options available. 3. If you are not the one handling decisions about the outstanding bills of the estate, fill in the form at the bottom of the reverse side of this letter and return it to us In the envelope provided. 4. Call us with a probate case number and/or trust information, if applicable. Respectfully, DCM Services, LLC 7 am- 9pmCTM-TH lam- 5pmCrF Sam- 12 pmCTSa Telephdne: 612-243-8620 Toll-Free: 855-234-1135 Fax: 877-326-8784 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION -Side 1 of 2- -Mahwh Lavwr Ponlon wW Retum with Porn ot-" DCM SERVICES, LLC 7601 PENN AVE S, SUITE A600 Reference *: 8428169 Client ID: JPMC11 • MINNEAPOLIS, MN 55423-5004 Unpaid Balance: ;4455.05 ADDRESS SERVICE REQUESTED Checks Payable to: DCM Services LLC Amount Enclosed: ; October 12, 2012 gem.Ms #BWNJGZF LP* #1851728528905803* DCM Services/Chase The Estate of JUDY EVANS PO Box 1473 BRUCE J YARSHAYSKY Minneapolis MN 55440-1473 Po Box 60457 III i l l l l III III II I II I I II I II HARRISBURG PA 17106-0457 8428169 0547 �o�- *IMPORTANT INFORMATION* Und er the law we are required to notify you of the following Information. ThlS list does not Include a complete list of rights consumers have under State and Federal Laws. NOTICE ABOUT ELECTRONIC CHECK CONVERSION Wn4m n you provide a check as payment, you authorize us either to use the Information from your check to make a one-tiro' electronic fund transfer from your account or to process the payment as a check transaction. When we use infbrMation fro your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day we rece live your payment, and you will not receive your check back from your financial institution. FOR CALIFORNIA RESIDENTS The state Rosenthal Fair Debt Collection Practices Act and the federal Fair Debt Collection Practices Act require that, excel: under unusual circumstances, collectors may not contact you before 8:00 a.m. or after 9:00 p.m. They may not harass yo by using threats of violence or arrest or by using obscene language. Collectors may not use false or misleading statement! or call you at work if they know or have reason to know that you may not receive personal calls at work. For the most part collectors may not tell another person, other than your attorney or your spouse, about your debt. Collectors may contact another person to confirm your location or enforce a judgement. For more Information about debt collection activities, you may contact the Federal Trade Commission at 1-877-FTC-HELP or www.ftc.gov. Nonprofit credit counseling services may t available in the area. FOR COLORADO RESIDENTS FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION PRACTICES ACT, SEE WW W.COLORADOATTORNEYGENERAL.GOV/CA. A consumer has the right to request in writing that a debt collector or collection agency cease further communication with the consumer. A written request to cease communication will not profs ibt the debt collector or collection agency from taking any other action authorized by law to collect the debt. Colorad( Of ce Information: Colorado Manager, Inc. 80 Garden Center, Suite 3, Broomfield, CO 80020, (303) 920-4763. FOR MASSACHUSETTS RESIDENTS NOTICE OF IMPORTANT RIGHTS YOU HAVE THE RIGHT TO MAKE A WRITTEN OR ORAL REQUEST THAT TELEPHONE CALLS REGARDING YOUR DEBT NOT BE MAID E TO YOU AT YOUR PLACE OF EMPLOYMENT. ANY SUCH ORAL REQUEST WILL BE VALID FOR ONLY TEN DAYS UNLESS YOU PROVIDE WRITTEN CONFIRMATION OF THE REQUEST POSTMARKED OR DELIVERED WITHIN SEVEN DAYS OF SUCH REQUEST. YOU MAY TERMINATE THIS REQUEST BY WRITING TO THE DEBT COLLECTOR. FOR MINNESOTA RESIDENTS This Collection Agency Is licensed by the Minnesota Department of Commerce. FOR NEW YORK CITY RESIDENTS New York City Department of Consumer Affairs License Number: 1239504 To discuss this account, please call our toll free number to speak with A representative will be able to assist you during c normal business hours. FOR NORTH CAROLINA RESIDENTS Nort11 Carolina Permit Number: 4440 FOR TENNESSEE RESIDENTS This Collection Agency is licensed by the Collection Service Board of the Department of Commerce and Insurance. —FIN out end rduro Ow twtow h ft..mft In Ow wx&a d MNdop M you w nd ttw aomd n o 1plMM d thN hlhr"' Correct Personal Representative's Contact Information: First Name: Last Name: Mailing Address: City: State: Zip: Phone Number: Relation: Thank you very much for your assistancel AscensionPoint Recovery Services, LLC 200 Coon Rapids Blvd. Suite 200 Coon Rap*ds,MN 55433-5876 A scension t"O i s�t- (888)420-2510 Phone-(763) 235-4055 Fax RECOVERY SERVICES,LLC Hours: Monday-Friday 8:OOAM to 5:OOPM CST Creditor. GE Capital�Retail Bank- QCARD Acccw uat No.: XXXX KXXXXXXX9912 Reference No.: 1101851 Balaince: $676.14 January 4,2013 Dear estate of JUDY EVANS, We would like to offer our deepest condolences during this time of loss for you and your family. Thank you for promptly attending to this important matter in the life of JUDY EVANS. The GE Capital Retail Bank-QCARD account in the amount of$676.14 for JUDY EVANS has been placed with our office for collection. Please contact our office toll-free at(888)420-2510 to discuss your options for the estate. Payments and/or the estate information coupon on the reverse side can be mailed to the address listed above. All payments should be made payable to the creditor listed above. Please remember that only the estate of the deceased is liable for the debt owed and family members are not personally responsible for payment of this debt. Agaiaz,please accept our condolences during this difficult time. Very truly yours, Christina Mallen,AscensionPoint Recovery Services,LLC Federal law requires that we give the following disclosure: Unles s you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof,this office will assume this debt is valid. If you notify this office in writing within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof,this office will obtain verification of the debt or obtain a copy of a judgment and mail you a copy of such judgment or verification. If you request of this office in writing within 30 days after receiving this notice this office will provide you with the name and address of the original creditor, if different from the current creditor. This communication is from a debt collector. This is an attempt to collect a debt and any information obtained wW be used for that purpose. This is an attempt to collect a debt from the estate and not from the assets owned by you personally. You personally are not required to pay any of the .debts from the estate. * * * PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION ABOUT YOUR RIGHTS AND THE PROBATE COUPON. * * * 9 ACA INTERNATIONAL The Amaawn of C=dis PLEASE DETACH AND RETURN BOTTOM PORTION WITH THE ESTATE'S PAYMENT and Collecnoa Pro6aionab Sin�Mr DEPT 303 3748977113012 Phone Number. (888)420-2510 PO BOX 4115 Amount Enclosed: CONCORD CA 94524 Creditor. GE Capital Retail Bank-OCARD Account No.: XXXXXXXXXXXX9912 (1010110®01 M E N E 1®211 Reforence No.: 1101851 Balance: $876.14 ADDRESS SERVICE REQUESTED #BWNFTZF NTAM3748977113012N All payment should be made payable to the creditor listed above. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII'� PLEASE SEND PAYMENTS a CORRESPONDENCE TO: 1101851 BRUCE J.WARSHAWSKY 2320 N 2ND ST ASCENSIONPOINT RECOVERY SERVICES,LLC HARRISBURG PA 17110.1008 200 COON RAPIDS BLVD.SURE 200 COON RAPIDS, MN 55433-5878 T A MNL"103.31881842003e7.3e7 VV.-- are required under state law to notify consumers of the following rights. This list does not contain a complete list of the rights consumers have under state and federal law. Cs&Vornia The state Rosenthal Fair Debt Collection Practices Act and the federal Fair Debt Collection Practices Act require that,except under unusual circumstances, collectors may not contact you before 8 a.m. or after 9 p.m, J- hey may not harass you by using threats of violence or arrest or by using obscene language.Collectors may not use3 false or misleading statements or call you at work if they know or have reason to know that you may not rec:;ewe personal calls at work.For the most part,collectors may not tell another person,other than your attorney or spouse,about your debt.Collectors may contact another person to confirm your location or enforce a jucignent. For more information about debt collection activities,you may contact the Federal Trade Cc> —fission at 1-877-FTC-HELP or www.ftc.gov. Colorado FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION PRACTICES ACT, SEE W�VW.COLORADOATTORNEYGENE GOVICA. A consumer has the right to request in writing that a delbt collector or collection agency cease er communication with the consumer. A written request to cease communication will not prohibit the debt collector or collection agency from taking any other action authorized by law to collect the debt. Colorado Office: 3025 South Parker Road, Suite 705, Aurora,Colorado 80013, (720) 343-1993 Minnesota This collection agency is licensed by the Minnesota Department of Commerce. Nevv York New York City Department of Consumer Affairs License number: 1280393 North Carolina North Carolina Permit Number: 102865 Tennessee AscensionP'oint Recovery Services,LLC is a collection agency licensed by the collection service board of the TN Department of Commerce and Insurance. PLEASE DETACH AND RETURN BOTTOM PORTION WITH THE ESTATE'S PAYMENT Answer the following if a probate has or will be filed: Attorney Name&Phone: Executor&Phone: i TAMNL"103.918619420 OW-307 (rc services 7601 PENN AveNU!SOUTH,Sum A600 MINNEAPotz%MINNESOTA 55423-500* TELEPHONE 612-243-8640 Hours(CT): 7:00 am-9:00 pm H-TH FAX 877-326-8784 8:00 am-5200 Pr f pm 8200 am-12:00 S TOLL-FREE(877) 326-5681 OCTOBER 12, 2012 CL469127 BRUCE] WARSHAWSKY P.O. BOX 60457 HARRISBURG PA 17106 Estate of: JUDY N EVANS Total Unpaid Balance PF Reference No probate Case No Date of Death $530.10 CL469127 2012-00869 6/27/2012 Dear Sir or Madarn: Enclosed herewith is a copy of the Creditor's Claim by DCM Services on behalf of RETAILERS NATIONAL BANK/TARGET for the above referenced estate. Responses are requested to be returned to the address of DCM Services. If you have any questions or if this is a duplicate claim, please call our company toll free at 1-(877) 326-5681. Cordially, DCM Services, LLC Enclosures This company is a debt collector. We are attempting to collect a debt and any information obtained will be used for that purpose. Calls may be monitored or recorded for quality assurance purposes. NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION NOTICE: SEE ATTACHED PAGE(S) FOR CLAIM DETAIL AMOMOY-CoverjAt er_DCM-820120629 NOTICE OF CLAIM (Filed Pursuant to 20 Pa.C.S. § 3532) COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA ORPHANS' COURT DMSION ESTATE OF JUDY M EVANS .DECEASED No. 2012-00869 To the Clerk of the Orphans' Court Division: Enter the claim of Creditor(s) listed on attached claim detail in the (Claim-0 amount of$ 530.10 , against the above entitled Estate. The Decedent, who resided at (Street Address) died on 6/27/2012 Written notice of (Date of Death said claim was given to BRUCE J WARSHAWSKY (Personal Representative or his/her counsel) at P.O. BOX 60457 HARRISBURG,PA 17106 OCT 181011 (A""") J n. on A � (Dote) � (Claimant) C/O DCM SERVICES 7601 PENN AVE S SUITE A600 (street Addrus) N/A N/A MINNEAPOLIS.MN 55423-5004 (Claimant's Counsel) (Suprense CouY 1.D.No) (City,Stag Zip) N/A (Address) N/A N/A (Telephone) Form OC-07 rev.10.13.06 I�EY: Case Number: Line 1—Account No 2012-00869 Line 2—Creditor/Claimant Line 3—Balance PF Reference No: E CL469127 � II��II��II� II�� II�� s • r v i�c a s CL469127 CLAIM DETAIL IN RE ESTATE OF: JUDY M EVANS Claim detail is as follows: **********0390 RETAILERS NATIONAL BANK/TARGET $530.10 UNSECURED. THE DECEDENT PURCHASED GOODS AND/OR SERVICES IN THE AMOUNT OF $530.10, EVIDENCED BY ACCOUNT NUMBER**********0390. Claim Balance: $ 530.10 RECORDED OFFICE OF � ?'t'13 F11 p R 3 i`i t l i 59 CLERK F 0RF-P.A III S' te l CUM BERL,<`i'J0, 1 ., PA CUNNINGHAM & CHERNICOFF, P.C. Attorneys at Law 2320 North Second Street Harrisburg, Pennsylvania 17110 Register of Wiiis County of Cumberland one Courthouse Square Carlisle, PA 17013 "l��u � tj i I � r E �IMI ¢ 9 t i y � a p spy x tf .� ' k x,