HomeMy WebLinkAbout06-21-13 (2) -- —— __._ _ _ ___ __ �If'�
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� 1505610105
REV-1500�`�02��=,�FI, .:
OFFICIAL USE ONLY
PA Department of Revenue pennsyLvaMa County Code Year File Number
xwnrnex,or�[vcnut
Bureau o�IndividualTaxes INHERITANCE TAX RETURN � � �2 /y� �j�
Po BOx:8o6oi RESIDENT DECEDENT {f) J IJT� '
Harrisbur� PA i�i28-o6oi
EN7ER DECEDEN7 fNFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
04/01/2013 ' 05/07/1929
_ _
DecedenYs Last Name Suffix DecedenYs First Name MI
Spenard Lionel J '',
_
__
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Su�x 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 O'JALS BELOW
� 1.Original Retum � O 2.Supplemental Return O 3. Remainder Retum(Date of Death
Priorto 12-13-82)
p 4.Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
O 6.Decedent Died Testate O 7.Decedent Maintained a Living Trust ^ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.}
O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Oate of Death O 11. Election to Tax under Sec.9113(A)
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 T0:
Name Daytime Telephone Number
Kathleen Misturak-Gingrich (717) 591-1755 -._�
_ _ �� _ �,
_ ,.-..
REGI�I�F WILLS ONlifky
� � � �
� Z t1?
�'t s n �
First Line of Address � D �-- N ��
: .
'S006 E. Trindle Road 2 � � ~ a
Second Line of Address � C'7 �, —� T �
�-j C7 -�;, � .e.�
Suite 203 �a � ' � �== ..
City or Post Office State ZIP Code �
TE FILEDC� �
"O �.,., (f1 O
Mechanicsburg PA ; 17050 � ' � �
_
CorrespondenYs e-maii address:�ingrich@pjrlaw.com
Under penalties of perjury,I dedare that I have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct a�d complete.Declaration of preparer other than the personal representative is based on all infoRnation of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FlLING RETURN DATE
�--,�.,_ (3 . 9�J c.l�a_— co -�� -�3
ADDRESS
�.5� Sa.r��cz [32toG� c.�� .csc� �. paf � u U
SIGNAT F�O�PRE_ PARER OTHER T AN REPRES T �DATE� �
[4c(-ti.(.�,�- /°7 _ 10 f
ADDRESS
�00(o E . (r��c.t.� ���. l�-c1�-�-�s�a,.<-•, • �� 0,.�
PLEASE USE ORIGINAL FO ONLY
Side 1
� 1505610105 15D5610105 � �(�
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J 1505610205
REV-1500 EX(FI)
DecedenYs Social Securiry Number
DecedenYs Name: Lionel J. Spenard '
RECAPITULATION
1. Real Estate(Schedule A). ............................................ 1. 185,000.00 I
2. Stocks and Bonds(Schedule B) ....................................... 2. 1,430.32
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. '
4. Mortgages and Notes Receivable(Schedule D)........................... 4.
5. Cash,Bank Deposits and Misceilaneous Personal Property(Schedule E)....... 5. 307,008.35 ',
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6.
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property '
(Schedule G) O Separate Billing Requested........ 7. '
8. Total Gross Assets(total Lines 1 through 7)............................. 8. 493,438.67 '
9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. 37,857.88 ;
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............... 10. 6,634.39 '
11. Total Deductions(total Lines 9 and 10)....................... .......... 1L 44,492.27 '
12. Net Value of Estate(Line 8 minus Line 11) .............................. 12. 448,946.40 '
13. Charitable and Govemmental 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. 448,946.40 '
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
�a)(1.2)X A- 15. ', _
16. Amount of Line 14 taxable __ _ , _ '
at lineal rate X.0_ �6 '
17. Amount of Line 14 taxabie __ __
at sibling rate X.12 �� ',
18. Amount of Line 14 taxable _ _ _
at co��atera�rate X.15 448,946.40 ' 18. ' 67,341.96 '
19. TAX DUE ......................................................... 19. ' 87,341.96 i
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0
Side 2
� 15�5610205 1505610205 J
__ _ _ '�,�
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENTS NAME
Lionel J. Spenard
- - -- - . - —
STREETADDRESS -- — —
9 South Locust Lane
_____- ---- ----
CITY STATE l Z�p
Mechanicsburg PA ' 17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 67,341.96�
2. CreditslPayments
A.Prior Payments
B.Discount __ 3,367.10
Total Credits(A+B) (2) 3,367.1�,
3. Interest
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENt (3)
Fill in oval on Page 2,Line 20 to request a refund. �q�
5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 63,974.86! '
Make check payable to: REGISTER OF WILLS,AGENT.
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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.......................................................................................... ❑ �
b. retain the right to designate who shall use the property transferred or its income ............................................ � �
c. retain a reversionary interest.............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?.......................................................
............... o ■
2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death
without receiving adequate consideration?...........................................................
................................................... ❑ �
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ �
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation? ................................................................................................
........................ � ❑
IF TNE 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 sunriving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percenf
[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 retum 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 npt 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 decedenYs 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 decedenYs 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-1507 EX+(12-12)
� pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE REAL ESTATE
[NHERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Lionel J. Spenard
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
would be exchanged 6etween a willing buyer and a willing seller,neither being compelied to buy or sell,both having reasonable knowledge of the relevant facts.
Reaf property that is jointfy-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been soid.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCR[PTION
1• 9 South Locust Lane 185,000.00
TOTAL(Also enter on Line 1, Recapitulation.) $ 185,000.00
If more space is needed,use additional sheets of paper of the same size.
�i..,
___ __ __ . �1��
' Mark Heckman Real Estale Appraisers
1309&idge Stceet, New Cumberland,PA 17070
Pae No.9SLocust
APPRAISAL OF
'Ht���'��j�2 Sy,. :.S., y e'+=� �
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, r:
Single Family Residential Properiy
LOCATED AT:
9 S.Locust Lane
Mechanicsburg,PA 17050
CUENT:
Kathryn Gates
259 Sampie Bridge Road
Mechanicsburg,PA 17050
AS OF:
May 9,2013
BY:
Gina Distefano,State Certified Residential Appraiser
RL13899t
PH(717)774-7202 FAX(717)774-0383 EMAIL heckmanappraisers@comcast.net
�i�_-----
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Summary
Residential Appraisai Report F�7eNo.9SLOCUSI
, Thep�aposedthisappaisatrcpxtisropovidetheciedvrithacred�ieopG�ondlhedefinedvaWeoithewbjalproperty,givenlheintendeduseotlheapprotsal.
C�emNamdinenaeaUsa Kalh n Gates E-maticscbu verizon.net
� c�aaaress 259 Sam e Brid e Road c' Mechanicsbur s�a�e PA z 17050
• Aa�iana�i�uenaea s Estate of Lionet naM and his ass ns
� m�enaed use Fair market value for olential sale
Pr Addras 9 S.Locust Lane Mechanicsbur swce PA z 17050
ownaotwatcRaaaLionel J.S nard Cumberland
� Deed Book: Pa e Number
Assessor s Parcd/ 38-14-0847-054 Tax Year 2012 RE.Taxes S 2 029.00
N Nam� Ma Retererxe 38-14-0847-054 Cenws Traa 0118.01
ai�tl X Fee Lesuhdd OUier dew�be
research �d �1 na reveal br sales or vansfas of Ihe sub far Ihe Ihree to the eNecuve date M Ws a raisal.
PrhrSeldCram[v: Oate Price Sarcc s
MalysisofpdorsabaUan9ahtstaryoftliewbJeclproperty(anACOmparaGesates,ifappticade) A raisers anai sts shows no transfers for lhe su ect ro e
in the ast three ears.
.
ottatngs.oqiananacarracuasw�nedrectivedatear�neappraisat NoneKnown
.,�,._ .Y.�� :.. , _ , _- ;:,. ,r .1 ...;,. ..r.s
�,�'..:t,r.�r�1�lk.Ighborlworl,ChrraeterhGes_ � � t�,.=J,,�..:. ��.�...:`One:UnftH6ifsing7rands�r-,.i:v....3,..ttF....v.0??�UNtFlousieg,��._�.:',K.Q�asentl:and,UseW�:�.;',
• Locatlon r�lbban SWurban Rittal Pro Values k�aasi X Stede ' PRICE AGE One�Unfl 81% '
BWt X Ovu 75X 25•75% UMer 2596 e tn Belance Over Su 000 2•4 Wdt 2%
GrowM Ra Steble Sbw Market Time Under3mNS X 3•6mths Over6mUn 40 Low 0 MulB•F 2%
� Netg�aornoodEou�aries See Attached Addendum 615 100 Commerdal 5�
310 Pma. 50 �u�Vacant 10 96
; Neg�ahooa Dewiqton This suburban nei hborhood has relativel eas access to em lo ment and services and Is com titive wilh other
" nei hborhoods in the neral area. Most have similar amenities.
Mancei Cana�aions pncwang wppan ia me aoove conuusto� While housin rices on a nationat basis are said to be declinin the CenVai PA market
area in eneral has not seen th(s e of de reaation. Howeve�,the market in lhis area has slowed in lhat residenUai dwellin s are
6ei marketed(or ton er eriods ot time cal less lhan 180 da s. A raisers have also encountered more sellers
concesslons/assisfance than in recent ears.
oimaswns See Piat Ma area 1.19 sne e irre ular wexr Above Avera e
5 z c�rxsmn R-1 Residential Zone 1 z De � Aliows for current use as a sin te(amil detached resldential dwellin .
nce l Nanconf Grandfathered Use No 2ad I 1 descn'be
Is thc htghat aM bat use of tAe wbjeu prapenyas improved(a as proposed per plans and spedficatio�u)Ihe present use? Yes No If No,descr�be.
Ulilhles Pu01k Other describe) Publle Other douNbe) Off•sitelm rovements--T e Publle Prlvate
E � X 200 AMPS wa�er Well sveet As halt X
cas None seni sewer Se tic au None '
St�e CanmeMS Site has avera e slte im rovemenls avera e landsca in and ical malntenance.The site im rovemenls and services
to the site are ad uate and acce lable in this market.There are no a arent adverse easemeMs encroachments or other adverse
conditions on this site.
� �,,.�..............__.. .._ � .. ._ . ,.____...._. . ,,
. ......., .,GENERAI!DESCRIP.DON+�. ., ,�_ :...,..;,: ...FOUNDATION.., .. .;_;: EXTERIORDESCRIRTION.. .;m`atenals,..,::_.; INiER1UR�:s, _` .:mat'enals :s:.
unRs X one Onew/accair Caae�es�an aawl ce vwnaauanwaas ConcretelGd flaors �n UCerTil/Gd
I M Staies 1 X Fuu 8asemem Pania�easement Ex�aior Wans BricklGd Waus D aIl/Gd
T X Det nd. 5•DeUErMUna BasememArea 1232.0000 .h Raorsurrace ArchitShin lelGd TrimlFanish Wood/Gd
UnderCons�. easeme�Fa�sn Ox Gunersaoown sAluminum/Good eamFwor CerTile/Gd
►Ranch X anstaeE a wnavaT DoublelnsuUGd BamWainsca CefiilelGd
YearBWt 1999 StamSashA�ula�ed Y6s/Gd Car5lwa e None
ENecuve e rs 10 Sueens Yes/Gd X Drivexia f of Caa 2
AWc None Hea' X FWA HW RadaM Amendies X WoodSwve s►1 DiNewa Sw(ace ConClete
Stair staes Om� Fue�GeoHP Fte ace s r 0 Fence None X Gar e �orcars 1
Fba X Sanne C X Cenual Atr Cond'qton X PaudDeck Side Pacn None Ca l o�Cars 0
Firished Heated Intl'rvidual ONer Poa None Olhc NOrte Aa. X Oel. Bud�-in
P Rel' ma Ra Dishwasher Oi Miaowave P Washer r Other descri6e
� F4lshed area a6ove adx coniaina: 5 Rooms 3 8edrooms 1 B s 1 232 re Feet ol Gross LM Area Above Grade
' ad�aona�Feames Geothermal electric heat um . Custom kitchen cabinets with custom inseAs. Solid su�face counters Master bedroom
with tar e walk in Goset and se arate cbset with custom closet inseAs.Air cieaner on HP. Electric u raded in 2011. Oversize
detached ara e with workshu a�d level two stora e heat air and water.3rd bedroom is currenU bein used as laund room.
Cammen�sonitee u�prwemems These im rovements are of ood uali frame desi n and re(lect ood maintenance. There are some items
. that have et lo be done to the ro � includin some trim�both baseboards and 800r no interior doors are hun no downs outs or
utters li ht fixtures need to be installed and some d all. A tunctional uGii ad'ustment is Dei made on the sa{es rid.
y__��M nmtmwnno�edmmd,:,nw,.aoa�nm� rmlmnwppqie2aosamo�vll�c��,aa�aupas�spaa'ea�l�f oy�totio .
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ad��o��rwvz-«c�+�.��.�c� wnrt��oste�a�o
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Summary
� Residential Appraisal Report FtleNo.9SLoCUSt
FEATURE SUBJECT COMPARABLE SAI.E N0.1 • CUMPARABIE SAIE N0.2 COMPARABLE SAIE K0.3
' 9 S.Locust Lane 227 Hempt Road 6342 Concord Road 1311 Scenery Drive
adaess Mechanicsbur Mechanicsbur Mechanicsbu Mechanicsbur
ro5 .t.s ': �%`% 3.61 miles SSW 1.79 miles ESE 1.66 miles SE
SalePrice 5 ..�a..t.x ".j�_< S 199 000 s ;. ' .;� S Z�B OOO :%:�R�g:,:.,1.�....,�; S 182 000
SakPAadC',rassuv.Area S 0.00 h S 89.80 h.r�"..:.`:...cr .`::`��5 142.57. n.�"�...>}?..�_';_.5::r S 153.07 h.'... . � ,
oara s ��:�:�:`„;>�"'it" �"'� MlS/Tax Records MLS/Tax Recwds MLS/fax Records
ven�ceuonsare s �Y���`�;:��F��'::�:�'�;:r; TaxRecords TaxRecords TaxRecords
VALUE ADIUSTMENTS DESCRIPTION UESCRIPTlON �•s DESCRIPiION . s DESCRIPiION .(•)s i
Sa�eorFinanang a��,��;,?,r,_::i:{ Conventional FHA Conventional
cancessbns r....?.,.��`5,.:,:.,.�_,:;::'i Ctosin Costs -3 385 Cbsin Costs -2 000 Closin Costs -2 730
Dt1eMSa�dfime .,.,,'.?�::: __., ;;`; 08/31/2012 �4l18/2013 09/28/2912
I.oauon Suburban Suburban Suburban Suburban
�easeiawiFee Fee Sim le Fee Sim le Fee 5im le Fee Sim le
5iu 1,2 Acre .71 Ac�e 3 920 .42 Acre 6 240 .61 Acre 4 720
wew Above Avera e Abwe Avera e Above Avera e Above Avera e
Rartch Ranch . Ranch Ranch
� qu dComwaton Above Avera e Above Avera e Above Avera e Above Avera e
Aca� 14+/-Years 55+/- +�0 000 21+/-Years 0 40+/_Years +10 000
� conmbn Good Avera e +�0 000 Good Good
, � flhOVBCifed2 Tmi 86ms Bshs Tqal BMms Batle TaW 8„AS TWI Bdms Bsl�s
RoanCoia�� 5 3 1 8 4 2 -6 000 5 3 2 •6 000 6 3 1.1 -3 000
Gtos I4ei20.00 1 232 .f� 2 216 .h. -19 700 1 515 .tt. -5,700 1 189 .h. O
� BasemenlEFinished Full Basement Full Basement Full Basement Full Basemenl
� RoansBeawcxaae Unfinished Unfinished RecJ.5 Bath -8 000 Rec Room -5 000
Funaionai Less than Ave Avera e -5 000 Avera e -5 OUO Avera e -5 000
Hea GeoHP/C/Air Oi1HWlC/Air EIecHP/C/Air EIecHP/C/Air
. . E�edea kems T Icai ArealA e T ca{Area/A e T icai Area/A e T ipl ArealA e
Ga 1 Car Det Gara e 1 Car Att Gar -2 000 2 Car Aft Gar -7 000 1 Car Att Gar -2 0�0 �
ParcNPaiwoeck Patio Deck Deck Deck
Other 1 W/S 2 F!P -2,000 1 F!P None +2 000
Other None None None None
Other None None None None
Net t aa h:d�����r?,�.:=:=�=�ii_�::±„":{, , X- S 14165 . X- 5 27 460 . X- 5 1 010
A�uStedSalePrice ' ':>r. r; NetAdj. -7.196 NetAg. -12.7% MMAdJ. -0.69G
ut ua4ks '._ :�:_::........�..:;.' Gross 31.296 5 184 835 Gmss 18.596 S 188 540 Gross 18.9% S 180 990
Sim�me asa�es Com risan cn See Attached Addendum
. �,....b,.-<...,,,,,....... � ,- ; � , ,
.COSLAPPROACHTOVALVE -.. '! ��. � .. . - " ' .
' - .� s' S r ,i
_..... ....... .. .. .. ...�. _
. ., �.,_,.,:.... ...,_... .>, 4.
Site Value Commenls , �, . . . ..,.,-_. ,� ,.-.: ., ... :_:,
ESTIMATED REPR�OUCTlON OR REPIACEMENT COSi NEW OPIt�ION OF SRE VALUE........................................•5
�e��#� Dwel6n 1232 .F��+S
.............S 0
� Ou trom cost service Ef(edive date af wst data Bsml:1232 S .FL 5.F��s ............-S 0
� Comments on Cost h ss ' atea wkWatiaM. ' .�c
� In view of the a e of these im rovements the Cost A roach cara dca Fc e s ............a s
• can�ot be considered an accurate indiptor oi value. 7aai E�ima�e aCosaNew ............=5 0
less al Funcponal Exlemai
De edatton =5 0
eciatedCostoflm meMS.................................S 0
'As•is'Valueot5ite ................................=S
INOICATEO VALUE BY COST APPROACH...................... =S 0
r........:.:... ...-.. . .
�INCOMEAP.P.ROACHJO.VALUE:��i�; ... .;�:�: . ..�:.:�... ..:,�:5.. . ���.�..�i .. :�,;:-��,. �, .- . .• .,.• .., .
�x
EsUnwud Maiket Re�u S X Gross Rent 6k1' ier •5 Indicaied Vatue lacome , , h
' summaryonnco�eappraacn@nca,angwpponrurma,iceire�xandGRNn The Income A roach is ina ro riate because the ical bu er of a ro e
similar to the sub'ect in s le,condition,and a eal would be an owner occu ant.
Indiea[edValueb. SalosCam arisonA roach5185��� Cost oach i[devel d)S 0 IncomeA oaeh(Ifdcrelo ed S
See Attached Addendum
• . This appiaisal is made 'as is: • wbjttt to compMtion per plain and spealtalians on the basis ot a hypothetkal tondition that�he fmptovements have been complMed,
❑wOjecl lo Ihe fdlawing repairs or alteraGans on the basis d a hypqhelical cond6on that Ihe tepa'as or aqeraUons have been canpleted ❑wbject lo the(oltawing: .
Based on thC scope of work,assumpNons,limiting conditlons and appraiser's certllleatlon,my(our)opinton of the defined value of the real property .
thatlslhesubJectolthlsreportls5 185,000 asof OS/09/2013 ,whtchlstheeffectivedateofthtsappraisaL � �.
�par� �,����:N.,r,�.�� ,M��.e�.�ro������.K.��
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a^=•N�w�^^Frm�+��Rv� Mark Heckman Real Estate Appraisers
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Summary
� Residentiaf Appraisal Report ��eo.ss�ocust
Scope of Work,Assumptions and Limiting Conditions
• ScopeotworktsdeRnedlntheUniformStandardsMProTessionalApproisalPracticeas"thetypeandextentotresearchandanalysesinan
assignmant"In sltort,scape of work ts simply what lhe approlser did and did not do during the course of the assignment.I[inaludes,but Is�ot
Itmitedto:theaxeeMtowhiehiheproperty{sMentitiedandlnspecled,Ihetypeandextentofdataresearched,therypeandextentofanalysesapplied
�� wsrfveatopiniomsorcanclusions.
The scope of this sppralssl and ensu�ng dlscussion in ehis report are specilic to lhe needs of the c0en4 aher ldenUfied intended use�s and to the
intended use ofthe repoR This repwtwas prepared fw the sole and exclusive use of the clientand other WenGlied Intended users tor the ldentified
intended use and Its use by arry other parties is prohtDited.The appraiser is noc responsible for unauthwized use of the report.
The a�ralsers eerU(icatfon appeuing in tl�is appralsal report is subJect to the following condfUons and to sueh other speeifb eondiUons as are
selforth by the appralser in tlu report.All exVaordtnary assumpUons and hypotheGcal condltions are stated in the report and mtght have atfected the �
assignmeM rasutts.
t.The appratur aswmes no�espons�ifly(or maaers d a kgal�aaure alleai�g the propeny appatsed a ti1le lherelo,iwr doa 1he appraiser render a�ryopSnron as to ihe 1'�tle,wldch is
assumed to be good md marketade.The propeny is appraised as tl�agh under responside ownershfp.
2.My skelch in Uds repon�wy slaw approMimaro Qunemims and ts inGWed only to assist Ihe reader in vis�wflzing the poperty.The appraher has made ra swey ol the prapeny.
3.The appaisec ts rot�equ�ed a give tesUmonyar appeaz h coun because d hav6g madethe appraisatwilh rdererxe to q�e propaty in quesilon,uNess arcargements have been
Peutaisty rwde U�ereto.
4.Neqher ap,nor arry pan W the coMent d Urs repon,capy a olher media thered(uKkM'ug conclusbns as to the propenyvalue.Ne qenUryd Ihe appraiser,profasbnal tlesignalions.
a we rrm wan wnrcn me a�ra�ser is�nneaeo►.sl�atl be used fa a�ry purposes by a�ryone but lhe cNent and alha�ta�ded usas as ideMifred in tlis repat,iwr sliall d Ee corneyed by
airya�e ro the pubYc lMaugh sdvemsing,public rela6ons.news,saks.a olher media.wiU�out lhe vxitten conseM of the appraiser.
� S.The appraiser wit�at dndose the cadtnts otll�s appraisal repart uriess required Oy appGwde Ww or as spedfied�the Unifam StamWrds of Professional Approfsal Pracdce. �
6.InfamaUan,es�imates,and optntons fwnished to ihe appro�.and wrttatned in 1he cepat were o0tained kan s�tc¢s considered reGabte and be6eved 10 6e we and carec�
However.�a resporoiWi�y for aaurary W wch ilems hrcnhhed ro the appraiser is aswmed by�he appraiser.
7.The appraiser aswmes Uwt Nere are m hidden or unapparerx cor�ntons W Ihe propeny,wbsa7,a swchres,which wauld rerMer k mae a less vatuaMe.The appraiser assumes
no respo�ily far wch condMions,a for engineerin�j a 1e56ng,whicb mfgM Ue reeWired b diuover wch fauas.This appraisal is na an emriranmental assessment nl the propeny and
shaJd na be considaed as wch
8.The appwtsec speaaizes h the va�a�n o[rea!propeny and is irot a hane 6specror.building wNrecta.suucwral enginea.a simiar expen,uNess oU�e�wise noted.The appraiser
4dnotcontluuiheinmsNetypeolfieldobservatlonsolqiek(ndkrtendedaseekand6scoverpropaydefeqs.Theviewingofihepropenyandanyimpravernemsislar�xxpoxsol
de�elopinganopiniono(ttied�nedval�eotNepopary.gire�ftheintwdedusedthisassignmen.S�atemenKrega[dngcondAtonareGasedanwrtazeobservalionsady.The
appaisa claims m 5pedal expenise regarding fssres Gidud'ug.but not 6maed ta foundatton settlement:basemem motsdre prodems.wood destroyirg(a aher)1Mecls.pest infes�aUon. ,
�adat gaz,kad hased pain6 moW a envi�onnuntat issues.Wdess ofiawiseirWkated,mecirorucal syslems were na acGvated or Iested.
Tids appraisal report sMWd nM be used b d'isrJose the condtlon at lhe pmpeny as it relales m Ihe pcesencelab�eaue d detects.The cl'i¢nt is Invited a�mcaxaged w empby qua6fied
aperts ro inspect and address areas dconcem.If negMive cond�lions arediscovered,lhe opnion of vaNe may be alfeded.
UMess otherwhe noted,tfie appraiser assumes the eomponenes lhat constttute Ihe subJect properly�mprovement(s)are fundamenW Ily sound and in �
working order.
Myvie�xiigMtheprapatybytheappreiserwasGmYedtoreatlilyoMervableareas.Unlessathr�wisenoted,atticsanduavASpaceareaswerenotaccessed.Theapprofserd'idndmowe
Umltu&floor coverings ar oMa items that may tesUitllheviewi�g d Ihe pmpetty.
_ 9.Appraisak irvdving�ypoNetical condRiom rdaled W rnmpleUon ol new cansuuctlon,repairs a allera6on are based on Ihe aswmption Ihat such completion,akerazion or repairs vnll
he competenUy ppt«mCd. �
10.Untess the incended use N this appraisal speciNcally inrludes Iswes dpropeny k�surance covaage,ihh appraisal shwid not be used Iar wch purposes.Reproducfion w
Repacemerx cost fgures used In Ihe cost approaN are fa vahudan purposes o�tly,given the hNended use of the assigronent The Oefmition al Value used in tha assignment is unGkety
to he conststentwYh the deA�d Inswable VaWe(or propeny i�urancecmrerageluse.
11.The ACI General Purpose Appraisal Report(GPAR'"")fs not Intended for use in transaeGons that requtre a Faante Mae 7004IFreddie Mac 70 form, �
also known as the Untform Resldentlol Apprelsal Report(URAR). �
Add(tional Comments Related To Scope Of Work,ASSUmptfons and Llmiting Conditions
gparw vroa�ewqnu�eeoan�.un.�...,o.�m,� lnsbmCqyq[°AOS�Af0A0Umsmd150pi�nSwuaYrc.NW�NeoKLL
�ia� �rut-lccnea�v�oseAVac'vn°�roRO`�.4"a�m
pmeMP�wxrof��rcpor.
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���!
, Summary
Residential Appraisal Report FIeNa ss�ocust
' Appraiser'sCertification
The appraiser(s)cenitles that,to the 6est of the appraiser's knowtedge and betlef:
1.The statemenis W lact coMained In this report are we and corteu.
2.The reponed analyses,opiniais,and caxAisions are�mited oNy 6y Ibe reported assumpNor�s and IimUing condqionsand are thc appraisers persanal.impanial,and unDiased
' protessional analyses,opLdons,aM canclusions.
3.Ucdess dhe�wi�stated,the ap{uaiser has ro pteseM a prospec9ve iMerest k�the propary that is the su6Jat of tfik repon and has no personal interest wdh respeU to Ihe panies
involved.
4.The approiser bas rw bias w�lh respecl ta 1he aopaty ihat is the subjat of Ihis report a to lhe pantes invaNM with Ihis assignment.
5.TheappmiseisengagmnpNintlusassignmemvrasnolwnUngemupandevetopingarepoNigpredele�minedrew0.5.
6.Theappraiserscampensatlonfacanpktinglhisa5siguneMismtcandngenluportthedevelopmertarepaWgdapcedetemdnedveWead'rectbnhvakreNalfavasihecauseW
Ihe clien4 Ne amount d Ihe vaWe opirion,lhe attainm¢nt ota sdpulated rewll a the occurtence of a wbsequenl event drectlyrelated to Ihe MMeMed use d this appraisaL
1.The appraiser s analyses.apinions,and conclusions vrere devebped,and Ihis repon has been prepared in conlamfrywilh Ne Unifam Swndards of Prdessbnal Appreisal Pranke.
8.Udess olhdwise rpled.�e appraiser has made a pcaona�htspeclion d tl�e Prape�lY tl�at h the w6Jed af ih4srepM.
9.Udess naed below,no one provided sign'dicant�eal property appreisai assistance ro the appraisvl signmg this ceitificaUon.Sigrifrcant real popeiry appraisa�asstuance provided by:
AdMtlonal Certifteatlons: �
DeMitionofValue: �MarketVal�e ❑O[herVatue:
SarccorDermitlac USPAP2010
The most probable price which a property should bring tn a competitive and open market under ali condiUons requfsite to a fair sale,
lhe buyer and seiler each acting prudently ar►d icnowledgeab{y,and assuming the price is not affected by undue stimulus.
ADORESS OF THE PROPERTY APPRJIISED:
9 S.Locust Lane
Mechanicsbura.PA 17050
EFFECTIVE DATE OF THE APPRAISAL:OS/09/2013
APPRAISEO VAIUE OF THE SUBIECT PROPERTY 5 185�000
APPRAISER SUPERVISORY APPRAISER
Signalure: C'���}/�T, � Sfgnature:
aame: Gina ist'6 efano,Slate Certified sidential Appraiser wame:
Slate Cenificauon I RL138991 Stare CerifxaUOn t
a LiceMe f or Lkeree J
a Oiher(desuibeC ' State t: ' Sute: '
State:PA � � Expira6on Date of CenificaGon w Lkense: � �
Expiatlai Oate oI Cer61ita6on w Lkense: 06/30/2013 Date ol5ignalure:
Date ol5tgnature arM Repon: OS/21/2013 Oate a1 Propeny Vfewing:
Date d Proprny Yiewirg: 05/09l2013 Oegree d propenyviewing:
���p���Y'^��9� ❑Interiora�dExlerior QEx�eria0nly ❑Didnotpersonallyview
Olnterior an0 Ex�erim ❑Ex�aior Onty ❑Did not p�sonally view
noa�oawy�a�eeoo.:.uem.M.+sv.mm,� insa.�q.emos�nionaa�duoa�ss�K.Nay..weawe
rage�ai laP�"lcaas�wpamnp���wio
aM�w�=x�P�•���hr�: Mark Heckman Real Estate Appraisers
�i,„ —__ _
_ ___ _ ���
ADDENDUM
' CIIenC Ka1MVn Gaks FNe No.:9SLausl
Pronertv Address:8 S.Locusl Lane Case No.:
• CIty: Mechanicsburg Slale: PA Zip: 17050
Neighborhood Boundaries
The subject properly is located in Silver Spring Township. Silver Spring Township is bounded by Rye Township to the noAh;
Hampden Township to the east;Route 641 to Ihe south and Middlesex Township to the west. �
Comments on Sales Comparison
A thorough search for comparable sales has been made to find sales which b�acket the final value¢stimate.AI{three
comparabfe sales are located in the same market area as the subject would be constdered by the same prospective
purchaser if aU were on the market at the same time as the subject.After a thorough search of a11 avaiiable maricet data,the
three sales used are considered to be the best indicators ot value.Appropriate adjustments have been made for all
differences.Comparable sales used are dosed sales.I�suf(cient sales in cbse proximity to the subject propeAy required
the appraiser to extend search parameters.It is appropriate for appratsers to adJust a portion of seller's wncessions. Actual
seilers concessions are:Comparable#1:$6770,Comparable#2:54000 and Comparable#3:$5460.It is noted that the
gross adjusfinent for Comparable Sale No.1 exceeds 25%. This adjustmenl is large�tha�normal,but sates chosen are
considered the best available.Other comparables analyzed would have required less desirable adjustments and were not
used for that reason.
There are some iEems that have yet to be done to the properly including some trim(both baseboards and floor),no interio�
doors are hung,no downspouts or gutters,light fixlures need to be instalied,and some drywall repaired. A functional utility
adjustmenl is being made on the sales grid.
Flnal Reconciliation
APPRAISER HEREBY CERTIFIES THAT THIS REPORT HAS BEEN PREPARED IN COMPLIANCE WiTHIN THE
UNIFORM STANDARDS OF PROFESSIONAL APPRAISAL PRACTICE(USPAP),THAT THE APPRAISER IS A
DISINTERESTEO PARN AN4 THAT THE VALUE STATED IN THIS REPORl'IS ACCURATE TO 7HE BEST OF THE
APPRAISER'S ABILITY,AND THIS VALUE HAS NOT BEEN PREDETERMINED.
� The subject property was vacant at the time of the i�spection;however,utilities were on and mechanicals were functioaing. �
ln ihe view of the age of these improvements,the Cost Approach cannot be considered an accurate indicator of value.The
appraiser has wnsidered the income approach in this assignment. The subjed is a single-family dwelting,and there is
insufficient�ental data for similar homes in this maiicet area to produce a reliable estimate of market rent for ihe subject,and
a GRM.Because it could rtot be reliably deveioped,She income approach has been omitted in this appraisal.
See attached appraiser's certification and Slatemenl ot Limiting CondiGons.The appraiser considered only those items that
were permanently attached to the properly as really. Any items not so aHixed such as refrigerators,washers,dryers,a6ove
ground swimming pools,etc.,were not included in the estimate of market value.
The opinlon of value stated in this appraisal is based upon market conditions present as of lhe effective date.This appraisal
assumes a reasonabie marketing period for the suhject propeAy of 180 days and a reasonable exposure time oF 180 days.
This appralsal is based o�readily observable conditfons and is not to be considered as a thorough home inspection to
anaiyze a�warta�t the subject ptoperly and/or fts mechanicai systems.This appraisal report has been prepared with the
property in"as is"condition.
ndde�a.n P�o i a�
' i i, :—__
___ r�aA _
SUBJECT PROPERTY PH070 ADDENDUM
Client: KalhNn Gates File No.: 9SLocust
'Pr�erty Address:9 S.Locust Lane Case No.:
Gt.Mechanicsbu State:PA Zi :17050
`i.
s ``�� y'' FRONT VIEW OF
w'='�'s'"` SUBJECT PROPERTY
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Appraised Date:May 9,2013
Appraised Value:S 1 ss,000
REAR VIEW OF
SUBJECTPROPERTY
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Glient: Kathrvn Gates File No.: 9SLocust
Propertv Address:9 S.Locust Lane Case No.:
, Cil:Mechanicsbu Slate:PA Zi :17050
Dining Area
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Client: Kathrvn Gates File No• 9SLocust
Properly AddteSS:9 S.Locust Lane Case No�
Ca:Mechanicsbur State:PA Zi :17050
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Clienl: Kathrvn Gates File No.: 9SLocust
� . , PropertY Add�ess:9 S.Locust Lane Case No:
Cil:Mechanicsbur Slate:PA Zi :17050
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ClienL KathrYn Gates File No.: 9SLocust
, ProDerty Addtess:9 S.Locust Lane Case No.:
Cit.Mechanicsbu Sta[e:PA Zi :17050
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DIMENSION LISTADDENDUM
Clienl: Kathnm Gates File No.: 9SLocust
Propertv Address:s S.Locust Lane Case No.:
• Cil:Mechanicsbur State:PA Zi :17050
GROSS BUILDIIVG AREA(GBA) 2.464
GROSS LIVING AREA(GLA) 1.232
11rea(s) Area 96 of GLA %at GBA
Living 1.232 50.00
Levelt 1,232 100.00 50.00
Leve12 0 0.00 0.00
Level3 0 0.00 0.00
Other 0 0.00 0.00
GBA
Basement ❑ 1.232
Garage ❑
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Area Measurements Area Type
Measureme�ts Factor Total Levell Level2 level3 Other Bsmt. Garage
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' Client: Kathrvn Gates file No• 9SLocust
' ProDerlv Address 9 S Locust Lane Case No
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. FloodMap Legentl Flood Information
• CommunHy:42U370-SILVER SPRING,TONlN3HIP OF
F�OOd Zo�es Property,Is not In a FEMA special iload hazard aroa.
AreaiinOndafedDy504yeerllooding �vlapNumber;.420d,iC0093E MapUale 0311�72009
' . PaneL•,U093E' FiPS:A2041
MeapaA:lCeorlhrloa,pnd�S00:year,ltoodpW4is• Zone:�X�� �
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Oond repnn sAell he4e eriy IlaWllry to aey thlyd perty for:any uee 6r misdae o}
Mees nof mappea on ary Pu05thod FIW� . this Bood reporf.
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Clienl: Kalhrvn Gates File No: 9SLocust
" Propertv Address:9 S.Lacust Lane Case No•
CN.Mechanxsbur Slaie:PA Zi :17050
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REV-15o3�+(8-�z)
� pennsylvania SCNEDI�LE B
' DEPARTMENTOFREVENUE STOCKS & BONDS
INHERITANCE TAX RERJRN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
�ionet J.Spenard 2013-00410
All property jaintly owned with right of survivorship must be disctosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1' MetLife Account C0051747887 38 shares at$37.64 1,430.32
TOTAL(Also enter on Line 2,Recapitulation) $ 1,430.32
If more space is needed,insert additional sheets of the same size
_ _ _ "�"�
B9d you knov��?Most shareholders can manage their hoidings online with free �omputershare
access to Computershare's Investor CentreT"'website. Use this simple tool to
quickly and easily update account information, sign up for electronic delivery of
documents and more. Enroll FREE today at www.computershare.com/investor. Computershare tnvestor Services
250 Royall Street
Canton Massachusetts 02'021
www.co mputershare.com
LAW OFFICES OF PETER J RUSSO PC
ATfN KATHLEEN MISTURAK-GINGRICH
5006 EAST TRINDLE RD STE 203
MECHANICSBURG PA 17050
May 21, 2013
Company: MEfLIFE INC .
Registration: LIONEL J SPENARD
Holder Account Number: C0051747887
. Document I.D.: 13136WF00598583
Our Reference: METL/0021402970/6/
Dear Sir/Madam:
Thank you for contacting Computershare regarding the above referenced MetLife account.
Below is the account balance information you requested as of 01 April 2013 for the above account.
Shares Held by Agent: 38
� Shares tield in Certificate Form by Holder: 0
Total Shares: 38
Closing Price Per Share: $37.64
If you have any additional questions or concerns, please call our Customer Service Center at 1-800-649- '
. 3593 or 1-201-680-6578. You may also access your MetLife stock account on the Internet at
www.computershare.com/investor. Our mailing address is Computershare, P.O. Box 43078, Providence, RI
02940-3078. .
Sincerely,
.. •
Service Representative . _ .
Enclosure: None
_ _ _ _ _ _ _ . ,�,,._
_ ���
REV-15o8 EX+(o&�)
� pennsylvania SCNEDIILE E
DEPARTMENT OF NEVENUE CASH, BANK DEPOSITS & MISC.
INMEItITANCE TAX RENRN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FIIE NUMBER:
Lionel J. Spenard 2�13-00410
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolntly owned wtth right of survivorship must be disclosed an Schedule F.
• ITEM VALUE AT DATE '
NUMBER DESCRIPTI�N OF DEATN
1. Members 1st Fedaral Credit Union Acct 107197-00 1,853.25
2 Members 1st Federal Credit Union Acct 107197-05 39,397.83 '
3 Members 1st Federal Credit Union Acct 107197-11 743.41 '
4 Members 1st Federal Credit Union Acct 107197-42 114,340.64 '
5 Members 1st Federal Credit Union Acct 107197-45 31,334.94 '
g Members 1st Federal Credit Union Acct 107197-06 91,368.38 '
7 West Shore A.L.S. 1,008.90
g MetLife Dividend C0051747887 5.06 '
g 7996 Ford F150 2,500.OU
10 1999 Lincoln Continental
5,850.00
11 Household Items,television
300.00
�2 Miscellaneous tools
366.00
13 Two Chairs,small cabinet,footstoll 250.00
14 Coins 922.00
15 Miscellaneous Tools
350.00
16 Verizon Refund
12.97
�7 Nationwide Insurance Refund
157.70
18 AARP Refund
13.03
�g Refund-Readers Digest
24.51
2p The Washington Spectator Refund from Subscription 38.50
2� Cash/Coins
160.00
22 Cash 1,021.89
23 Interest
0.13
24 Neill Funeral Home(Prepaid Funeral Costs) 13,742.85
25. Auto Club Membership Refund 79.00
TOTAL(Also enter on Line 5, Recapitulation) $ 305,840.99
If more space is needed,use additional sheets of paper of the same size.
;i,_: —
__ _ _ __
_ ____
__ _r��
REV-15o8 EX+(o8-u) �
� pennsylvania SCNEDULE E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERRANCE TAX RENRN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Lionel J. Spenard 2013-00410
Include the praeeds of litigation and the date the proceeds were received by the estate.
AIi property jointly owned with right of survlvorship must be dtsclosed on Schedule F.
1TEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH '
1. Northwestern Mutual Policy 19827300 256.24
2 Northwestern Mu�ual Policy 19827299 877.63
3 Northwestern Mutual Policy 19827298 33.58 '
t
TOTAL(Also enter on Line 5, Recapitulation) $ 1,167.36 '
If more space is needed,use additional sheets of paper of the same size.
----- —– ,1 .;..
���
� ��
4
7'
�
MEMBERS 1'�
F&DBRALCREDIf t]NION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 107197-00
� Date Account Estabiished 03/14/1989 -
Principal Balance at Date of Death $1,853.25
Accrued Interest to Date of Death $0.00
Totai Principal and Accrued Interest $1,853.25
Name of Joint Owner None
INVESTMENT SAVINGS ACCOUNT:
Account Number/Suffix � 107197-05
Date Account Estabiished 03/14/1989
Principal Balance at Date of Death $39,397.83
� Accrued Interest to Date of Death $0.00
Totai Principal and Accrued Interest $39,397.83
Name of Joint Owner None
CHECKING ACCOUNT:
Account Number/Su�x 107197-91
Date Account Established 02/20/2007
Principal Balance at Date of Death $743.41
Accrued interest to Date of Death $0.00
. Total Principal and Accrued Interest $743.41
Name of Joint Owner None
CERTIFICATE OF DEPOSIT:
Account Number/Suffix 107197-42* 107197-45**
Date Account Established 02/08/2012 � 09/27/2012
Principal Balance at Date of Death $114,340.64 $31,334.94
Accrued Interest to Date of Death $0.00 $0.00
Total Principal and Accrued Interest $114,340.64 $31,334.94
Name of Joint Owner None None
• '"Rollover from CD 107197-49 opened 11/04/2010
**Roliover from CD 107197-43 opened 02/28/2012
CERTIFICATE OF DEPOSIT:
Account NumbeNSu�x 107197-46*
Date Account Established 03/05/2013
Principal Balance at Date of Death $91,368.38
Accrued Interest to Date of Death $0.00
Total Principal and Accrued Interest $91,368.38
Name of Joint Owner None
� *Rollover from CD 107197-41 opened 03/06/2009
MEMBERS 1Sr FEDERAL CREDIT UNION
. ����
Tessa L Klugh
Lending Insurance Support Specialist
May 10,2013
. Estate of: LIONEL J SPENARD
Date of Death: 04/01/2013
Social Security Number: 056-20-6Q12
5000 Louise Drive � P.O.Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • wwav.membetslstosg
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Wesf Shore A.L.S. 999048063 LIONEL J SPENARD. .. 29325 05/24/13
503 North 21st Street
Camp Hill, Pa. 1701'1-2204 Page 01 of 01
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REFUND OS/20/13 1008.90 0.00 1008.90
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tOTAL $1,008.90 '
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PNC BANK ����GK�NtJMBEF}� '
West Shore A.L.S. 'PNGBANKN.A.040 60-7�73 .X"�r`s''c'��..�`<�.�Cfi:'�°cx,E.:'
503 North 21st Street 29325
` Camp Hill„Pa. 1701'1-2204
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OS/24/13 .��►a'$1,008:90
. VOID AFTER:90'DAYS.�
PAY . . One thousand eight and:90/IOO Dollars �
':TOTHE .
,ORDER .
OF.:': .
LIONEC J SPENARD
`9.S LOCUST Li4ND '.
'. : MEGHANICSBURG PA 17050 °. � :
I _ �
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8 SECURITY FEATURES INCLUDED.�ETAILS ON BACK �t
i�'029325ii' �:03L3L2738�: 5000 7494 5 2ii'
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= Providence,RI 02940-3006
= . Within USA,US teRitories&Canada 800 649 3593
= Oufside USA,US�teRitories 8 Canada 201 680 6578
- 2 6 8 4 6 0 Hearing Impaired RDD� 201 680 6611
� � � � 1 I �i I� �I I � � �� I I I � I ��I I I�� � � �•computershare.com�nvestor
— I i� li I i i II i ilil� i u hll li i � ! I nli ili
= LIONEL J SPENARD
- 9 S LOCUST LN
— MECHANICSBURG PA 17050-1620 Holder Account Number
=
- C005�1747887 I N D
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Your account is not tax cedified.Please contact us via Record Date 06 Feb 2013
� web ar phone as shown above to avoid tax withhold(ng Check Number 0003008146
on sales proceeds andlor�vidend payments. •
. .. . .. .. .... . _ .. ... -
001(SOOOSDomME7L�(31.ME]L.135327 51602/26846012684�1� . ._
raia� . . . .. . . . . . . _ .. , . • .. .. . .. . �,T�« ....
Metlife P.olicyholder Trust ;Dividend Distribution.
Enroll Now for Direct Deposit! .
Effective in 2013,Metlife will now pay common stock dividends quarterly rather than annually.In addition,you can now receive your fund$i
immediately and convenient(y by having your dividends directly deposited into your bank account.Just complete the enrollmenf form on�e
6ack of this statement and retum it in the envelope enclosed,You can also enroll by logging into www.comnutershare.com or by calling t +�ree
at 800•649-3593. �
Holder Account Number C00517�d1887
Dividend Summary
Record Payable Security Total Trust Dividend Current Tax Net Total Stock Price i s of
Deduction
Date I Date I Description interesis Rate I Distribution I AmouM($) I Dividend(�)I Market Value Record�, ate
O6 Feb 2013 13 Mar 2013 TRUST INTERESTS 38 $0.18500 7.03 1.97 5.06 1,427.66 37.$�000
Year-To•Date Paid 7.03 1.9T •
� 1 UDC M E T L "�` .
003SSP0010/R OOHXDA-PP '
� WARMNG:IEUL7IPLE SRFETY FEATURES.iHE FACE OF THIS CXECK HAS A B:UE BACKGROUND AND RUORESCEHf INK(NOLD U�DEtt B'.ACKUGHT TO VIEYI�.REFER TO 5°_CURRY EKDO(iSEAtEAT BACKER FOR iRUE WA7ERMARKAND RGDIiIONAL FERTUR�S. �
�
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Atlanta,Dekaib County,Georgia 61 A
, .. .•._- _ . . . .. ... _ . .._ . _. . . _ .._ .
;` :- ` PLEASE DEPOSIT TtiIS CHECK,PROMPTLY:VOID SIX MONTHS FROM CHECK DATE. .
Pay : $'*"FNE DOLLARS AND SIX CENTS"***�' ' Check Number..`0003008146 � �
, ,. . :., :
.�Pay to the"� LIONEL J SPENARD ,� .`: `: -
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a 2013
order of 9 S LOCUST LK : . . . .-.---.. ___.._....._.......-- --.--.�.___�.
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4801Nashington Blvd,Jersey City;NJ 07310` ` . - " ' -
u�000 3008 146u■ �:06 L 1 L 2 788�: 3 3 5 98 7 09 3 Lii�
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May 3, 2013
I purchased a 1996 Ford F 1 S 0 �rom the estate of
Lionel Spenard for $2500.
S ignature
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May 4, 2013
I purchased a 1999 Lincoln Continental from the
estate of Lionel Spenard for $S 8 5 0.
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May 8, 2013
Miscellaneous household items were sold to Melissa Jamison for
$150.00. She also purchased a television for $150.00 (as priced
by the appraiser). The total is $300.00, as is, where is, for all
items.
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May 9, 2013
Miscellaneous tools were sold to Tom Gates, as is, where is, for
the $366.00.
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May 13, 2013
. Two chairs, a small cabinet and a footstool were sold to Kathy
and Jim Gates for the $250.00, as is, where is. They were priced
by the appraiser.
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May 24, 2013
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Coins from the estate of Lionel Spenard were purchased by
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Chris 1�I��e�: The purchase price was $ 92�
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May 28, 2013
Miscellaneous tools from the estate of Lionel Spenard were
purchased by Jim Gates, as is, where is, for $3 5 0.00.
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Accounl Number. 717 766-0966 535 85Y -
Charges Due:
Amount Due: $.00 0 41913
Memo Bill OD NOT PAY
00021646 01 AV 0.360 VPC11211 0073 XX
UONEL J SPENARD
259 SAMPLE BRIOGE RD
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THE WASHINGTON SPECTATOR ��������. ;
PO BOX 241
OREGON, IL 61061
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RENEWAL NOTICE
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Mr.Lionel Spenard �'`��� Do n't M i ss a n I ss u e :
9 S Locust Ln
Mechanicsburg,PA 17050-1620
I��I���II�I����n�n�'��Il��lll��nl����l'I��I'��'I'I�I�'I��II��� d���isG �i!�G�/�i� '
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Dear Mr. Spenard, �
One of your fellow subscribers to The Washin�ton Spectator wrote me: �
. _� _ "Every member of Congress,the Administration and the bureaucracy should be
required to read your newsletter;study it, and have if available for reference at all -
times."
And that brought to mind Marilyn Monroe.
Why?Because Ms. Monroe was so annoyed at the arrogance and ignorance of the
Congress of her day that she bought every member a subscription to I.F. Ston�e's Weeklv, i
the now-legendary newsletter that specialized in raking the Washington establishment over
the coals.
Unfortunately,Marilyn,Izzy Stone and his newsletter have all passed on. But The :
Washin on Spectator contmues to be inspired by the same determination that they had to
tell the truth to the people.
Every member of the current Congress gets The Washin on S ectator,and I want to
make sure you continue to as well.
That's why I've sent this note--to encourage you to renew your subscription now,
using the attached form,so you don't miss an issue.
. Cordially,
�—='c���...
Lou Dubose
Editor
IR
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���Northwestern Mutual'
M�°�kee�Wl 532o2Venue LIFE BENEFITS DIVISION ��r�
STATEMENT BY 1NSURER - DEATH OF PAYEE I
Treasury Department Form T92 Not Applicable I
fNSURED(ANNUITAN7') DECEASED PAYEE �
� LIONEL J SPENARD LIONEL J SPENARD 'I
POUCY(CONTRAC�NO. PAYEE'S DATE OF DEATH(MM/DD/YWY)
19827300 04/�1/2013 '
. I
POLICY(CONTRACT) INFORMATION I
� death of Insured on '
DATE(MM/OD/YYY`� ��
1. Policy originaily payable`by reason of — maturity on ',
DATE(MM/DD/YYY1� ',
� surrender on 06/04/1993 '
DATE(MMIDD/YYY1� '
2. Setflement Option (Description): . ',
SINGLE LIFE '�
�
Elected by LIONEL SPENARD Date 06/04/1993 '
�MNwomnr� '
3. Value of any remaining t�enefits$ 256.24 I
4. Successor payee designated by Date '
(MNUDO/YYY1�
5. The deceased payee did have the right fo change or revoke the successor payee. '
IMMEDIATE ANNUITY tNFORMATiON '
1. Annuity applied for by Date '
(MM/DD/YYYI� ,
2. Type of annuity(Description): ',
. ,�
3. Value of any remaining benefits$ ',
4. Successor payee desigriated by DaQe
� (MNUDD/YYYI�
5. The deceased payee did have the right to change or revoke the successor payee. ',
. REMARKS: �
The undersigned officer of The Northwestem Mutual Life Insurance Company hereby certifies that this statement sets '
forth correct and true information. '
Date of (� �I
Certification May 16,2013 Signature �.c��'�t'Q .�S.G�^ �
� (MMIDD/YYY1� DIRECTOR OF—UFE BENEFffS,LOAN&SURRENDER,BENEFICIARY&T(TTLE '
15-0163(1203) ' �
WORD e-LS
_ __ __
_ . ���
��Northwestern Mutual'
720EastWisconsinAvenue LIFE BENEFITS DIVISION
Milwaukee,WI 53202
STATEMENT BY INSURER-DEATH OF PAYEE
Treasury Department Form T92 Not Applicable �
INSURED(ANNUITAN'� DECEASED PAYEE
� LIONEL.J SPENARD LIONEL J SPENARD
POUCY(CONTRAC�NO. PAYEE'S DATE OF DEATH(MMlDD/YYYI�
19827299 04/0112013
POLICY(CONTRACT)INFORMATION
death of Insured on
� DATE(MMIDD/YWI�
'� 1. Policy originally payable�by reason of — maturity on
' DATE(MM/DD/YYYY)
surrender on 06/04/1993
. DATE(MM/DDlYYYI�
2. Settlement Option(Description):
SINGLE LIFE
Elected by LIONEL SPENARD Date 06104l1983
(MAA/D�/YYYY)
. 3. Value of any remaining benefits$ 877.63
4. Successor payee designated by Date
(MAA/DDlYYY1�
5. The deceased payee did have the right to change or revoke the successor payee.
IMMEDIATE ANNUITY INFORMATION
1. Annuity applied for by Date
(MM/OD/YYY1�
: 2. Type of annuity(Description):
3. Value of any remaining benefits$
�4. Successor payee designated by Date
(MMIOD/YYl^!)
5. The deceased payee did have the right to change or revoke the successor payee.
� REMARKS: �
The undersigned o�cer of The Northwestern Mutual Life insurance Company hereby certifies that this statement sets
forth correct and true information.
Date of Q
: Certification May 16,2013 Signature ����a -�4G�
(MM/DD/YYYI� DIRECTOR OF—LIFE BENEFITS,LOAN 8 SURRENOER,BENEFICIARY&TI'fTLE
15-0163(1203) � WORD 8-LS
- _ _ __ _ _i I..,.
_ _ _ _ _"�"1i
�Northwestern Mutual'
720EastWlsconslnAvenue LIFE BENEFiTS DIVISION
Milwaukee,WI 53202
STATEMENT BY fNSURER- DEATH OF PAYEE
Treasury Department Form 792 Not Applicable
. INSURED(ANNUITANn DECEASED PAYEE
LIONEL J SPENARD LIONEL J SPENARD
POLICY(CONTRACT)NO. PAYEE'S DATE OF DEATH(MM/DD/YYYI�
99827298 04/01/2013
� POLICY(CONTRACTj INFORMATION
death of Insured on
DATE(MMIDD/YYY1�
1. Policy originaily payable�by reason of — maturity on
DATE(MMfDDlYYY1�
surrender on 06/04/1993
DATE(MM/DD/YYY1�
2. Settiement Option (Description): '
SINGLE LIFE �
Elected by LIONEL SPENARD Date 06/04/1993
(MMIDO/YYYI�
� 3. Value of any remaining benefits$ 33.58
� 4. Successor payee designated by Date
(MNVDD/YYY1�
5. The deceased payee did have the right to change or revoke the successor payee.
. iMMEDIATE ANNUITY INFORMATION
1. . Annuity appiied for by Date
�� (MMlDD/YYY�
2. Type of annuity(Description):
3. Value of any remaining benefits$ '
4. Successor payee designated by Date
�muonrmrv�
5. The deceased payee did have the right to change or revoke the successor payee.
REMARKS:
The undersigned officer of The Northwestern Mutual Life Insurance Company hereby certifies that this statement sets
� forth correct and true informafion.
' Date of Y �.c��Q �C�_'
Certification Ma 16,.2013 Signature
(MM/DDlYYY`n DIRECTOR OF—LIFE BENEFITS,LOAN&SURRENDER,BENEFiCIARY&TITTLE
15-0163(1203) •
WORD&LS
- —
_
.
_ _ _ ��. --
_ _ ���
��Northwestern Mutual'
^ 720 East Wisconsin Avenue POLICY�WNER$ERVICES �EPARTMENT
Mi�waukee,wi 53202 �.IFE BENEFITS �tVISION
� � KATHLEEN MISTURAK-GINGRICH �
LAW OFFICES OF PETER J RUSSO
5006 EAST T�INDLE RD
SUITE 203
� MECHANICSBURG�PA 17050 � '
DATE(MMIDD/YYWj INSURED(ANNUITANn
' May 16,2013 UONEL J SPENARD
POUCY(CONTRAC'n NOS. COPY TO
19827298,19827299,19827300 ABOVE � �
,
❑ 1. Completed Treasury Department Form 712 is enclosed.
� 2. Statement by Insurer-Death of payee is enclosed. (Treasury Department Form 712 is
� not applicable.)
NOTE: You may wish to give consideration to factors or arrangements which may exclude the
proceeds from the estate of the deceased for federal estate tax purposes. Your tax advisor or
atforney can provide additional information.
15-0162(0412)
WORD 8-LS
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_ _ _- — . .�,� _
REV-1511 EX+(Ip-09)
� � � SCHEDULE H
� ���� pennsylvania
OEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERRANCE TAX RETURN ADMINISTRATIVE COSTS
RES[DENT DECEDENT
ESTATE OF FILE NUMBER
Lionel J. Spenard 2013-00410
Decedent's de6ts must be reporked on Schedule I.
- ITEM
NUMBER DESCRIPTION AMOUNT
A. fUNERAI EXPENSES:
1. Neill Funeral H�me
13,742.85 ''
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: 17,475.15 '
Name(s)of Personal Representative(s)
Street Adc�ress
City State ZIP
Year(s)Ccmmission Paid:
Z. Attomey Fees: 5,850.60
3. Family Exemption:(If decedenYs address is not the same as claimant's,attach explanation.) �
Claimant
Street Address
���Y— State ZIP
Relationship of Claimant to Decedent
4• Probate Fees: 789 28
5• Accountant Fees:
6• Tax Retum PreparerFees:
7.
TOTAL(Also enter on Line 9, Recapitulation) $ 37,857.88
If more space is needed,use additional sheets of paper of the same size.
_ _
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. � � __
.. ., ._ �.
Neill Funerai Home,Inc.
� 3401 Market Street
Camp Hill,PA 170114428
(717)737-8726
Supervisor:Kevin J.Shillabeer
1
�
The following is a detailed b(II tor the professionai servioes and/or merchandise arranged for '
Llonel J.Spenard
Date of Servioe:April 08,2013
Kathryn Gates Statement Date May 29,2013
259 Sample Bridge Rd Contract Number 741101000401
Mechanicsburg,PA 17050-1630 Arraneer Name Kevin J Shillabeer
� Initlal Selection Flnal Seledion Dtfference
I
. Padcage Of6erings I
Forwarding Remalns to Another Funeral Home $3,495.00 $3,495.00 —
Transfer of Remains to Funeral Home Incl incl , ,
Transfer to or From Airport Incl Incl � i
Basic Professionat Service Fee Incl incl —
Embalming Incl Incl —
Total Padcage Offedngs $3,495.00 $3,495.00 —
Use of Fadlwes and Related Services
Chapei Funeral Ceremony $395.00 $395.00 —
Use of Facilities and Staff for Viewing $395.00 $395.00 —
Total Use of Faalities and Related Services $790.00 $790.00 — I
I
Other Goods and Services
Flowers $250.00 $250.00 �
Totat Other Goods and Servlces $250.00 $250.00 —
I
Merchandtse
148247 Imperial Mahogany Wood Veivet $5,695.00 $5,695.00 — ,
Std Graveliner Concrete $995.00 $995.00 __
Total Mer�chandise $6,690.00 $6,690.00 _
Cash Advanoe
Certified Copies of the Death Certificate $90.00 $90.00 � �
Newspaper Notice $38.00 $38.00 �
Public Transp�rtation $550.00 $402.85 ($147.15)
i�
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IniUal Selec�ion Final Selectlon Difference '
Priest in New York $50.00 $50.00 —
Engrave stone $175.00 $175.00 — '
Outside Funeral Director Expense $1,125.00 $1,262.00 $137.00
� Cemetery $500.00 $500.00 —
Total Cash Advance $2,528.00 $2,517.85 ($10.i� '
Total Services,Merchandise and Cash Advance $13,753.00 $13,742.85 ($10.15)
� Total Charges(Total Services+/-Allowances+Taxes) $13,753.00 $13,742.85 ($10.15) ,
Less Cash Received ($13,742.8�
Unpaid Balance Due $Q.00
f
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P
Page 2 qf 2
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� � • �
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• ��' 11579222
148247
QA27303
•
This LimiEed Warranty("Warranty")gives you
specific legal rights,and you may aIso have other rights
which vary from sEate to state. '
BATFSVII.,LE CASKET COMPANY,INC.,Batesville, which are hereb� exp�•essl� disclaimed. Some states do
I�diana('Batesville")hereby warrants,to the Authorized not allow the exclusion or limitations of incidental or
and Licensed Funeral Director (defined as a licensed consequential damages, or exclnsions or limitations
funeral home and licensed funeral director who on implied warranties or how long they last, so the
purchases caskets from Batesville),and to any purchaser above limitations may not apply to you.In such cases,
who initially purchases this Batesville Hazdwood Casket any implied warranty of inerchantability or fiiness for
("CaskeY') from the Authorized and Licensed Funeral a particular purpose will be limited to the duration of
Director for interment: • this limited Warranty. The purchase�s remedy will be �
That tIus Casket is free from defects in material strictly limited to replacement of this Casket as stated
and workmanship. That Batesville will, witiva ten (10) above.
days of receipt of this notice to it, ieplace this Casket This Warranty will be void if this Casket is
with one of equal or greater value if, at any time prior purchased from other than an Authorized and Licensed
to�the placement of this Casket in an initial place of Funeral Director, if it is purchased for purposes other
interment, it is found to be defective in materials or than interment or entombment or if the integrity of
workmanship;provided that this Casket was purchased this Caskers structure is damaged or compromised
&om and interred or entombed under the supervision through improper handling, transportation, accident,
of an Authorized and Licensed Funeral Director, and neglect,or force majeure or other Acts of God,including,
fiuther provided that an opporh�nity is afforded for without limitation, IIood or earthquake. No person,
examination of this Casket by Batesville representatives including Batesville employees or representatives, is
and/or impartial experts designated by it Notice must authorized to change this Warranty in any way or
be made in writing during the warranty period to the grant any other wananty,and any statements made by
address listed below. any persons or such representatives or in any sales or
Disclaimer: BatesviIle makes no clnim thnt this CaskeE advertising materials are superseded in their entirety by
or�an� of its caskets wiIl prese�ve remains. No brcriai tivs Warranty, which constitutes the entire agreement
prod:rct prevents the decomposition of remsins.BaEesoille between the parties as to tivs subject matter.
will not be responsi'ble for nny consequentinl, emoEional,�
i�icicle�ttal, special and/or indirect dnmages rrrising out of �� �I��`
zny breach of thrs express Warranty or for anJ warrattties
implied b� l�w, induding without limitntio�t mi� implieci �gerly K Dennis,President
warranfij of ine�rhmitabilihj or fzhTess for a pnrticular purpose, Batesville Casket Company,Inc
l�l�hl �CrY� �P ���C���
Ff JNERAL HONI����� ��/ I NAME OF DE �
� � � � �0 J�
`�'�`''��� DATE OF PURCHASE
For warranty daims,please contact:
$atesville Casket Company,Inc
i579-W(REV.6-11) 1 Batesville Blvd.,Batesville,IN 47006
�2008 Batesville Casket Company,Ina 1-800-622-8373
_ _ _ _ _ _ .�v� _
RECEIPT FOR PAYMENT '
-------------------
GLENDA FARNER STRASBAUGH Receipt Date : 5/03/2013
Cumberland County - Register Of Wills Receipt Time: 15 -22 :50
One Courthouse Square Receipt No. : 1074074
. Carlisle, PA 17613
SPENARD LIONEL J
Estate File No. : 2013-00410
Paid By Remarks : KATHRYN GATES
CJ
------------------------ Receipt Distribution ----------------- ------_
Fee/Tax Description Payment Amount Payee Name
SHORT CERTIFICATE 10 . 00 CUMBERLAND COUNTY GENER.AL FUN'
----------------
Check# 104 $10 . 00
Total Received. . . . . . . . . $10 . 00
_ _ _ _ ;1�..
. �
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Date: 4/11/2013
Cumberland County - Register Of Wills Receipt Time: 1 1 :21 :56
One Courthouse Square Receipt No. : 1073773
Carlisle, PA 17�13
SPENARD LIONEL J
Estate File No. : 2013-00410
Paid By Remarks : MBHRYN B GATES
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 410 . 00 CUMBERLAND COUNTY GENERAL F
WILL 15 . 00 CUMBERT_;AND COUNTY GENER.AI� F
SHORT CERTIFICATE 10 . 00 CUMBERLAND COUNTY GENERAI� F
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL F
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENER.AL F
JCS FEE 23 .50 BUREAU OF RECEIPTS & CNTR M.p'
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FLT�''
----------------
Check# 1234 � $493 . 50
Total Received. . . . . . . . . $493 .50
- _ _ - - --- ----- - --__ __ -- _ ,,u _
�R�
H'l�l� �'C��eI PETER J.RUSSO,ESQUIRE AD NUMBER PAGE NO.
w w w.c u m 6 e r 1 i n k.c o m 5406 EAST TRINDLE ROAD 420563 1 Of 1
�� SUITE 203
� MECHANICSBURG,PA 17050-4327 B1LL DATE SALESPERSON
G.Qi]StE src�er,s�.� ��zrca,�am 717-591-1755 05i17i13 Wolfc
START DATE STOP DATE
05l03h 3 05/17/13
AD NUMBER AD DESCRIPTION CLASS LINES
A20563 EXECUTRIX'S NOTICE LETTERS OF TEST 16 PUBUC NOTICES 38 * 2 cols ''
Publication Insertions Rate Net Amount Gross Amount I!'
3 THE SENTINEL-LEGAL 3 LGL $201.78
TOTAI AD CHARGE $201 78
3 PROOF OF PUBL{CATiON 01PRF $7.00
3 MOBILE SITE MOB2 $2.00
Purchaseorder Est.L.J.Spenard PAY THIS AMOUNT $210.78 $252.94* '',
"AFTER 06/11l13 ',
THE SENTINEL
Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS
in-column legal ads is 4:00 p.m.two business days prior to PO BOX 540
date of insertion. For questions,call(717)240-7130. WATERLOO IA 50704-0540
Retum thls porNon wlth yourpayment �@g81
THE 5ENTINEL ❑ Check# �Credtt Card Ad Number 420563 ;
c/o LEE NEWSPAPERS ❑ � ❑ v�sR' ❑ � ❑ Bifling Date Ob/17113
PO BOX 540 '
WATERLOO IA 50704-0540 Acct#: Amount Due $ 210.78
Exp.Date:m m ' �; �'�� T`
= lAtllOUllt
Name on credit card �.� '; $
„ �.
Epclo,�$e'�d�
Signature ��j`""* '�'h��
?':�.'.u�:r''<3�.
� Please make checks payable to: THE SENTINEL
' °°°�6o THE SENTINEL
• PETER J.RUSSO,ESQUIRE c/o LEE NEWSPAPERS
5008 EASl'TRINDL�ROAD PO BOX 742548
SUITE 203 CINCINNATI OH 45274-2548
. MECHANICSBURG,PA 17050-4327 '�{��1�'�I���I�'I111'�'��'"I�'''�I„'11"",,,'1,�,,,''I11r"
2154020DOOOOD42�563000Q00000000�0025294000�027,0788
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CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARUSLE, PA 17013
Tele: (717)249-3166 Fax:(717)249-2663
May 31, 2013
� Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Caurt of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Kathleen Mistuark-Gingrich, Esquire
RE: Lionel J. Spenard 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:
May 17, May 24, and May 31, 2013
� Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 0 .00
Total Amount Due $ 75.00
Payment received by
_ _ �a.
__ _ �R�
REV-1512 EX+(12-12)
� pennsylvania SCHEDULE I
DEPARTMENTOFREVCNUE DEBTS OF DECEDENT,
INHERITANCETAXRETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FI4E NUMBER
Lionel J.Spenard 2013-00410
Report debts incurred by the decedent prior to death that remained unpaid at the date af death,i�cluding unreimbursed medtcal expenses.
ITEM VALUE AT DATE
� NUMBER DESCRIPTION OF DEATH
1• PPL Electric Utilities 209.86
2 Consumer Ceilular 19.67
3 West Shore EMS 1,008.90
4 Spirit Physcians 38.86
5 Northwestern Mut�aal 488.20
6 Kathy Gates(Executor Reimbursement, Post Office,Target,Walma�t) 225.33
7 Emie Mader(C1e�:n out house,basement,garage and garage attic) 300.00
8 Tom Gates(Clean out house,basement,garage and garage attic) 48�.00
9 Mark Heckman Real Estate Appraise�s 400.00
10 Gates Building and Remodeling 270.52
11 US Post O�ce 18.87
12 PPL Electric Utitlies 79.53
13 US Post Office 10.20
14 Gates Building and Remodeling 985.00
15 Kathy Gates(Reimbursment of initial Trash Bill;dumpster) 495.00 !
16 Tiger Trash 495.00
17 Jim Gates(Clean out house,basement,garage and garage attic) 600.00
18 Kathy Gates(Reimbursement of Post Office and Walmart) 57.81
19 Kathy Gates(Reirabursement of Mileage per IRS Reimbursement) 211.64
20 John Potteiger(lauvn mowing) 240.00 '
TOTAL(Also enter on Line 10,Recapitulation) $ 6,634.39
If more space is needed,insert additional sheets of the same size.
i i.
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,',�.`�%• Q Questions?Please � Vsft us online at . Page 1
;O40�i y,V, . . . ., • . .
� o�;_ contact us by May 1. pplelectric.com '
�� `:�: 1-800-DIAL-PPL ' ` '
='�• (1-800-342-5775)
8 5 2 6 0-7 2 0 0 4 M a y 1,2 0 2 3 ;:;'�s.:.$�0 9"$,,,.'�,��_:.
pa��eew�uuuuae � M-F:8am to 5pm
Your Etectric Usage Profile Biiling Summary (eiuing details oni back)
Service to: Balance as of Apr 10,2013 � $0.00 �
LIONEL SPENARD Charges:
9 LOCUST LN Totai PPL Electric Utilities Charges $73.64
MECHANICSBURG, PA 17050 Total PPL EnergyPlus, LLC PA Charges $136.22 '
Meter:10065702
Your next meter reading is on or about May 8,2013. Total Charges $209.86
This section hei s ou understand our ear-to- ear moui��'�Dii ;B�ICAay�1,;�UZ����+'�`�����°�'���'`��``�� a�}� ��r�'��-'�` �`�
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electric use by month. Meter readings are actual unless Account Balance $ 9,86
otherwise noted.
�20�2 �2013 PPL Electric Utilities'price to compare for your rate is$0.07237 per k
This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.�m
90 or www.oca.state.pa.us for supplier offers.
L '75
3 60 Your Message Center
� 45 � • rNith paperless billing,you can receive and pay your '
„ PPL Electric Utilities bills oniine.The process is free,
m 3o quick,convenient and secure.To learn more or sign up,
a visit pplelectric.com.
ss
o • Information about appliance energy use and tips on �
saving energy are avatlable through the Energy Library �
J F M A M � � a s o N u on our Web site,pplelectric.com. �� ��;,%� o
Months . Before dlgging around your home or property,you ���i�
should always call the state's One Call notification
' system to locate any underground utility lines. You can �
� � do this by simply dialing 811,which will connect you to �a!�
Apr 2013 32 1892 59 40F the One Call system. Be safe and cal!811 before you �� ', / �
dig. 2�p1 /�
Apr2012 32 1009 32 52F
' ' Payment Methods . °
Apr 8 Actual 30094 � Online at: Q By phone•1-800-342-5775 �� =
Mar 7 Actual 2g2p2 ppielectric.com or call BiIlMatrix(service fee ap ��es) _
at 1-800-672-24i3 to pay using sa, =
3Z Days kWh Biiled 1892 MasterCard,Discover or debit c ktl. =
•. . . . � By Mail: Correspondence should be sent tb: -
May 2012-Apr 2013 13073 . 1089 2 North 9th Street Customer Services ' =
CPGGENNI 827 Hausman Road =
May 2011-Apr 2012 10353 863 Allentown,PA 18101-1175 Allentown, PA 18104-9392 -
Other important information on the back of this biyil�
_ _ _ _ - - - _ _ - - ,_;,.
_ _ _ _. ■ �
. BlueCross m
► � � BlueShield m Ex lanation of Benefits
Federal Employee Program � � 351
www.fepbtue.org THIS IS NOT A BILL
Camp Hill,Pennsylvania 17089
FEDERAL EMPLOYEE PROGRAM f
� PO HOX 890035 CAMP HILL PA 17089-0035 �
i
MEDICAL QUESTIONS CALL 1-800-779-6945, I
DENTAL QUESTIONS CALL 1-800-746-5687,
.y.�.� TTY QUESTIONS CALL 1-800-345-3848
a" LIONEL J SPENARD
9 S LOCUST LN ',
MECHANICSBURG PA 17050-1620
�
� EXPLANATION OF BENEEITS AT A GLANCE �
I � '
� � ID Number: R03079498
I � Claim Number: 20401492575
�Patient Name: LIONEL �
� � Claim Received On: 04/03/2013
�Dates of Service• 03/19/2013 - 03/19/2013 � Claim Processed On: 04/12/2013 ',
Provider: WESTSHOREALS Dates of Service: 03/19/2013 - 03/19/2013 '
Type: NON-PARTICIPATING PROVIDER
Type of Service � Submitted � Plan �Remark� DeducC�Coinsurance� Medicare/ ( What �You Owe the '
� I Charaes I Allowance � Codes� I Or Copav �Other Ins J We Paid � Prov��e� ' ',
AMBULANCE SERVICES I 1 008 901 I 165 „
TOTALS: I 1 .008.901 I I � � � � 1 008 90 �
EXPLANATION OF REMARK CODES '
165--BENEEITS ARE NOT PROVIDED FOR SERVICES/SUPPLIES LISTED IN THE GENERAL '
- EXCLUSIONS SECTION OF THE BLUE CROSS BLUE SHIELD SERVICE BENEFIT PLAN '
BROCHURE. YOU ARE RESPONSIBLE FOR THESE CHARGES EVEN IF TNE '
SERVICES/SUPPLIES WERE ORDERED BY A PROVIDER, EXCEPT WHEN ANOTHER CARRIER HAS '
PAID FOR THE SERVICE(S) IN FULL. ' '
" � Health Tips �
� Complete your Blue Health Assessment and receive a $35 health debit card to use for qualified medical �
� expenses. Limit of two $35 cards When two adult members complete the BHA. Visit www.fepblue.orq � '
� today.
� If you had used a Preferred Provider for this care, your out-of-pocket expenses would have been less. I '
��o locate a Preferred ProvidQ+- ;� vour area check out the online provider directorv on www fp+�blue ora �
If you have questions, please call a customer service representative at your local Blue Cross and Blue '
Shield Plan. You may also request the diagnosis codes, the treatment codes, and the corresponding meaninqs
of the codes for your claim. If you disagree with the decision on your claims or request for services, and
wish to have the decision reconsidered, you must noti£y your Plan in wriLing within 6 months from the date
of this decision, i.e. 10/12/2013. You may request copies, free of charge, of any relevant materials and '
Plan documents relating to your claim. Your Plan will not accept unauthorized reconsiderations from
providers. See the Disputed Claims section of your Service 8enefit Plan Brochure.
wnni4�y
._ ... _.. .. _. _.. ... . _. __. .... ... . ... ... .. _ �JI,,..
_ __ __ .��
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WEST SHORE EMS - ALS
. 205 GRANDVIEW AVE
SUITE 211
CAMP HILL, PA 17011
LIONEL J. SPENARD Date of Service: 03/19/2013
. 9 S LOCUST LN Origin: HOME/RESIDENCE
MECHANICSBURG, PA 17050 Destination: HOLY SPIRIT HOSPITAL
Invoice Number: 1304783AA1 Billing Total: $ 4008.90
As a member of our subscription program,we have submitted this claim for the above services to your
insurance carrier. Payment may be made directly to you because we are not a participating provider.
Upon receipt, please remit payment or rejection to WEST SHORE EMS-ALS along with a copy of your
expianation of benefits.
Please verify all insurance information below. If you find any errors, please contact our billing office
immediately.You can reach our billing staff at(800)367-0512.
Insurance Carrier: FEP(NO CONTRACT)
Identification Number: R03079498 �� . u� j 3
Group Number:
� � y
Insured: LIONEL J.SPENARD � 1 � 3
,
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_ - - - _ _ _ -- -- _ _ - -- ,�r _ _
_ _ _ _ �
�
%�� � B1ueCross�
BlueShieldm Explanation of Bene�ts
Federal Employee Program THIS IS NOT A BILL 520�
www.fepblue.org
Camp Hill,Pennsylvania 17089
FEDERAL EMPLOYEE PROGRAM
PO BOX 890035 CAMP HILL PA 17089-0035
MEDICAL QUESTIONS CALL 1-800-779-6945,
DENTAL QllESTIONS CALL 1-800-746-5687,
TTY QUESTIONS CALL 1-800-345-3848
� LIONEL L SPENARD
9 S LOCUST LN
MECHANICSBURG PA 17050-1620
� �
� EXPLANATION OF HENEEITS AT A GLANCE �.
� I
� �
. �We Sent Check To: WEST SHORE ALS � ID Number: R03079498
I � C1aim Number: 20401492575Z
��atient Name: LIONEL SPENARD � Claim Paid On: 05/15/2013
I � Claim Received On: 04/08/2013
(Q�tes of Service: 03/19/2013 - 03/19/2013 � Claim Processed On: OS/OS/2013
I � Patient Acct No: 1304783AA
�You Owe the Provider: 50.00 � '
Provider: WESTSHOREALS Dates of Service: 03/19/2013 - 03/19/2013
Type: NON-PARTICIPATING PROVIDER
. Type of Service ( Submitted � Plan (Remark� Deduct�Coinsurance� Medicare/ � What �You Owe the
I Charaes I Allowance � Codes� J Or Copav �Other Ins � We Paid � Provider
AMBULANCE SERVICES I 1 .008.901 1.008.901 I � � � 1 008 90�
�ALS: I 1,008.901 1 .008.901 � 0 00� 0 00� 0 001 1 008 90� 0 00
I Health Tips � '
� Complete your Blue Health Assessment and receive a $35 health debit card to use for qualified medical �
� expenses. Limit of two 535 cards when two adult members complete the BHA. Visit www.fepblue.org �
itoday. � '
� If you had used a Preferred Provider for this care, your out-of-pocket expenses would have been less. �
� To locate a Preferred Provider �n �our area check out the online nrovider directorv on www fPgblu ora �
�_ Summarv of Out-of-Pocket Exuenses for 2013 � � Your Out-of-Pocket Expenses �
� � � Catastrophic Protection � � On This Claim
I �Calendar Year� Preferred � Non-Preferred/ � �Calendar Year Deductible $0.00�
� � Deductible � � Preferred Total� �Per Admission Copay $0.00�
�What You Have Paid � I I � �Coinsurance $0.00�
� Individual � 50.00� 5162� $162� �Copayment 50.00� '
� Family � $0.00� 50� S0� �Non-covered Charges $0.00�
�Annual Maximum � � I � �Precertification Penalty $0.00�
� � Individual � $0.00� S5,000� S7,000� �
� Familv I SO 00� S01 S0� �TOTAL: SO 00�
If you have questions, please call a customer service representative at your local Blue Cross and Blue
Shield Plan. You may also request the diaqnosis codes, the treatment codes, and the corresponding meanings
of the codes for your claim. If you disaqree with the decision on your claims or request for services, and
wish to have the decision reconsidered, you must notify your Plan in writinq within 6 months from the date
of this decision, i.e. 11/15/2013. You may request copies, free of charqe, of any relevant materials and
Plan documents relating to your claim. Your Plan will not accept unauthorized reconsiderations from
providers. See the Disputed Claims section of your Service Benefit Plan Brochure. '
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��North.w�stern Mutual�
_. _____ .__ _ . _ JAMIE LEVERENCE
. ............_ ....._........ .._. .
._._ . ._.._...... . ......_... ..
_. .._. ..... .
.. � . .Cife�Benefits�Sr:Analysf _ _..._
Ufe Benefds Divlsfon
April ]5,2013 Policyowner Senrices oepartment
, 800-635-8855
• Fax:(414)825-9000 '
Kathryn. Gates ''
259 Sample Bridge Road '
Mechanicsburg, �A 17050 '
Re: Lionel J. Spenard ',
19327298; 19827299, 19E?7300 ',
Dear Ms. Gates: '
We were sorry to !earn of the death of Lionel J.Spenard;please extend Northwestern MutuaCs '
sympathy�o the far.=.ily. All of us at Northwestern Mutual will do our part to assist in any way we
can.
Uur records indicate that Ms. Cynthia Glinski is the contingent beneficiary. ,
The beneficiary must survive each payment date in order to receive the benefit of the payment. '
Proceeds from payment dated Apri(4,2013 totaling$488.20 were sent after the death of Lionel J. '
Spenard�r�accounts 19827298, 19827299, 19827300. Since the funds were not due,we have
contacted the bank for reimbursemen� If we cannot recover the funds,personal reimbursement will '
be required. � '
To understand the settlement choices,please review the enclosed Settlement and Tax Information
sfieet. � ',
In order to process the claim,we need the following: '
➢ Death Certificate—A copy of a certified death certificate,which provides the cause and '
manner c•�death. lfthere u:e multiple beneficiaries or policies, only one death certificate is '
required. '
➢ Bene��iary C:�:�ns Statement-It is very important that the beneficiary's Social Security '
Number is provided on this form. '
�Income Ptan Direct Deposit Form-Please complete this portion of the form if you '
' would like your payment directly deposited into your checking or savings account. '
Attach a voided check to deposit future payments into a checking account. '
. �;�� ��Y�
_ ��� �
S��`
Natice Letler-Page I of Z '
- - - _ _ -- - - u�_.
_ _ _ .
.��
Kathryn Gates
April 15,2013
" Page 2
You may send th�is information in the following manner:
• mail to Liie�Benefits Division,Northwestern Mutual,PO Box 2972,Milwaukee,WI 53201
• fax to 414=525-9000
• email to LIFE$ENEFITS@northwesternmutual.com
- After all reyuirements have been received,we will promptly process the claim. Please do not return
the original policy. It can be destroyed after settlement. .
__. Once again,we offer our coridolences to the family. If I can help in any way,please let me know.
Our toll-free number is $00-635-8855. �
Sincerely, �
� �a�sie .L�ea�ieaue '
Jamie Leverence . � �
Notice Letter-Page 2 of 2
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a • d Z ��� x9723 VISA CHARGE $�Ip.30
PS Form , Receipt for Registered Mail' copy r-c�smme�
May 2007 (7530-02-000-9051) (see Inlormatton on Reverse) .� INDICATES SAVINGS
_ For domestic delivery information,visit our website at www.usps.com� '
TOTAL SAVINGS THIS TRIP '
$10.53 '
-------------------------------��--
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� � �' 1'ELL US ABOUT YOUR RECENT '
Bill#: 100010085�230 }, POSTAL ExPERIENCE I
Clerk: 06
' �j YOUR OPINION COUMTS
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1'ELL US ABOUT YOUR RECENT II
POSTAL EXPERIENCE '
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_ _ _ __ _ _
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Ernie Mader was hired to help clean out Lionel Spenard's
house, basement, garage and garage attic. He worked for
15 hours at a rate of @$20.00 per hour, for a total of
$300.00.
Mr. Mader's SSN is 208-38-6887
He was paid with check #105.
- _ - - ___ �,�
_ �
��
Tom Gates was hired to help clean out Lionel Spenaxd's
house, basement, garage and garage attic. He worked for
24 hours at a rate of @$20.00 per hour, for a total of
$480.00.
Tom's S SN is 121-50-522
He was paid with check #106.
-- _ _ ���
_ _ _ _ �"��
� Mark Heckman Real Estate Appraisers ,
1309 Bridge Street, New Cumbedand,PA 17070 '
fae No.9SLoCUSt
'•`•"••`INVOICE"•'•••'•
File Pfumber:9SLocust o5/20/2013
Kathryn Gates,Exe
258 Samp►e Bridge Road
Mechanicsburg,PA 17050
Irnoice#: 9SLocust
. Order Date: 05/07/2013 . ,
ReferencelCase#:
PO Number:
9 S.Locust Lane
Mechanicsburg,PA 17050
Single Family Appraisal Report S 400.00
S
Invoice Total S . 400.00 -
State Sales Tax @ 5 0.00
Deposit (S 400.00 )
Deposit (5 ) '
Amount Due 5 0.00
Terms: Thank you for your payment •
Please Make Check Payable Ta
Mark Heckman Real Estate Appraisers
1309 Bridge Street
� New Cumberland,PA 17070 '
Fed.I.D.#:
PH(717)774-7202 FAX(717}774-0383 EMAIL heckmanappraisers@comcast.net
_
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_ . _
_
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Gates Building and Remodeling �
259 Sample Bridge Road �
Mechanicsburg, PA 17050 �
� 717-697-6425 ,
.
I
Statement ' �
,
. Submitted to: The Estate of Lionel Spenazd , I!,
,
Installation of new locks sets at 9 South Locust St Mechanicsburg PA 17050 '
I
� Install four new keyed lock sets at the above property
�
• Redrill the garage entry door to except the lock
. �
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, �
Materials cost: $95.52 '',
. i
Labor cost: $175.00 �I
�
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.
Balance Due: $270.52
'
Check Payable to: James Gates I,
Thank you for your business II�,
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LOYE'S HOME CEN1'EAS, INC.
5500 CARLISI.E PII;E
MECHANICSBUR6, PA 1705(I (►17) 610-92pb
- SALL` -�
SALESN: S2223IW1 1580098 TRANSt; 2080351 OqH04-13
� 287039 K4IIKSET PB ENTRY L'ANERAN 87.2� �
22.91 DISCOUNT EACH -1.1$'
� 4 � 21.82
SUBiOTAI.: 87.�26
TAY: 5.Q4
` INUOICE 02469 TOTAL: 92.5�
� LCG: 92.�2
TOTAL DISCOUNT: 4-160
LCC:XXXXXX%X%XXX5512 ANOUNT:92.!'i2 AUTHCD:0p�737
SNIPED REFID:080357222302 04/04/13 08:59E�'7
LBA/P0: N
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SiORE: 2223 TERMINAL: 0�! 0�!/04/13 08:5�1:25
# OF ITEMS PURCHA�SED: ..' '' 4
EXCLUDES fEES, SERVICES AND SPEI:IAL ORDER I EMS
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' SEE REVERSE SIDE FOR RETUHN POLICY.
STOAE MANAGER: JI11 DUNISELBERQEfl ' '
4�E HAUE THE LOaEST PRICES, QUARANTEEDRI,
IF YOU FIND A LO�ER PRICE, kIE klII.L BEAi IT 91� 10$.
SEE STORE FOR DETA:ILS. '
• **�****�*�***�*�*******��*******�**t��****��*��#���*��**�
* YOUR OPINIONS COUfii! *
* RE6ISTEH TO YIN A i5.000 LOYG'S 6IFT CA��! *
* iRE6ISTRESE PARA GANAA UNA TARJETA DE REBALOIt�DWE'S! *
* �
* REGISTER BY COMPLETING A 6UF.ST SOTISFACiION',�URVEY *
* aITHIN ONE bEEK AT: wu�i.lnai.s.com/suru�r� �
* � Y 0 U R I D # 0.!469 ;223 094 *
* *
* NO PURCHASE NECESSARY TO ENiER OR 61INa ', *
* UOID kIHERE PROHIBITED. MUSi pE 18 OR OLDER TQ�iE�ITER. *
� OFFICI1iL RULES E �INNERS AT: wwa.loHes.co�/��ruey *
*��**************�***��***�**��**����***���*�**�I�k��*****
STORE: 2223 TERMINAL: 02 0�{/04/13 08:��;25
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1-800-DIAL-PPL ' � • ' '
�� °:�-; (1-800-342-5775) 85260-72004 Ma 31 2013 '-``` �
rp��e��uuouo6 M-F:8amto5pm y ' -' ?$�g'5',:�' ':�;n'°
Your Electric Usage Profile Billing Summary (Bining details on qack)
Seroice to: Balance as of May 10,2013 $0.00
LIONEL SPENARD Charges: �
9.LOCUST LN Total PPL Electric Utilities Charges $34.03
MECHANICSBURG,PA 17050 Total PPL EnergyPlus, LLC PA Charges $45.50
Meter:10065702
Your next meter reading is on or aboutJun 7,2013. Total Charges $79.53
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otherwise noted.
�20�2 �2013 PPL Electric Utitities'price to compare for your rate is$0.07237 per kU�.
This changesthe 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.d¢�n
90 or www.oca.state.pa.us for supplier offe�s.
r� 75
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� as • With�aperless b'illing,you can receive and pay your � �
a PPL E ectric Utilitles bflls online.The process is free,
m ao quick,convenient and secure.To leam more or sign up, ��' '_
¢ 15 � r visit pplelectric.com. ^
o � � � � � • Information about appliance energy use and tips on ��/�,e,��� �
saving energy are available through the Energy Library �
� F M A nn � � a s o N D on our Web site,pplelectric.com. � �d � o
Months • Before digging around your home or property,you
� should always call the state's One Call notification �)�'�',�13
system to locate any underground utility lines. You can t
� �- _ � • do this by simply dialing 811,which will connect you to
May 2013 30 632 21 56F the One Call 5ystem. Be safe and call 811 before you
dig.
May 2012 29 769� 27 55F
' ' � • • Payment Methods °_
May 8 Actual 30726 '"� -
� Online at: Q By phone:l-800-342-5775 =
Apr 8 Actual 30094 PP�electric.com or call BiIlMatrix{service fee ap' �ies) _
at 1-800-672-2413 to pay using �a, =
� 30 Days � kWh Billed 632 MasterCard, Discover or debit c� ' . _
. . . . � By Mail: Co�respondence should be sent�tp: _
Jun.2012-May 2013 12936 1078 2 North 9th Street Customer Services =
CPGGENNi 827 Hausman Road _
Jun 2011-May 2012 10206 851. Allentown, PA 18101-1175 Allentown,PA 18104-9392 =
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Gates Building and Remodeling
259 Sample Bridge Road '
Mechanicsburg, PA 17050
717-697-6425
� Statement '
Submitted to: The Esta.te of Lionel Spenard May 28,2013 '
� Completion of the installation to the rear patio door and the kitchen window located at
9 South Locust Lane Mechanicsburg,PA 17050 �
• Saw cut the brick course at the patio door to make room for the brick door sill. ,
• Install one course of wall brick and one course of sill brick. Saw cut the sill bricks
to accommodate the installation.
� Frame the exterior of the door opening with wood trim. Cover the same with '
white aluminum to match the existing house.
• Install the kitchen window sill. Saw cut the sill brick to accommodate the
installation.
• Provide all materials and labor to complete the above items. '
• Clean up all debris and provide a final job clean up.
Tota1 Job Cost: $985.00 I
Check Payable to: James Gates �13
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Thank you for your business / � ',
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Tiger Tr.ash
P.O-Box 2444
�::• r`"' York,'PA 17405-2444
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259 Sample Bridge Rd '
Mechanicsburg, PA 17050 ,
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P.O.Box 2444'�York�PA 17405-2444. .... .. _.. _ _ .. _. __ ...... � - -•--..�_._. . - .,_ .__.
(717)699-1111 •FAX(717)699-0309 35395 S/15/13 144721 1�,
www.Uge�trash.com
1.00 PC Pull Charge 260.00 26'� .00
3.00 TCC Disposal Fee per Ton 70.00 21' .00
1.00 DEL Delivery Charge 25.00 2' .00
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Tiqer also offers Portalile Toilets! Please call our office�for pricina 717-699-1111 ,
Senrice Address• '
9 S. Locust Lane Subtotal 4�S.00
30U4-E6 ;
Mechancsburg Sales Tax
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(7J 7)699-1111•FAX(717)699-0309 3 5 3 9 5 5/15/13 14 4 721
www.tfgertrash.com 1
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1.00 PC Pull Charge 260.00 26'p.00
3.00 TCC Disposal Fee per Ton 70.00 210.00
1.00 DEL Delivery Charge 25.00 �'5.00
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Tiqer also offers Portable Toilets!�Please call�our office for pricinq 717-699-1111
Service Address: �
9 S. Locust Lane Subtotal 4I95.00
3004-E6
Mechancsburg Sales Tax
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P.O. Box 2444
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Gates Building & Remo[deling
259 S�mpie Bridge Rd
Mechanicsbur�, PA 17050
� otal Invo�ce S 4 95.o0
T1GER 1'RASN _ - ice----• - .. _ _ _._.Pa e�-7'-- --
P.O.Box 2444•Yotk.PA 17405-2444 ' '
(71?)699�t111•FAXpt�699•0309 35395 517/13 1A4492 1'
www.t(gertrash.com
1.40 PC pull Charge 260.00 26q�OD
3.00 TCC Disposal Fee per �on 70.00 21qa00
1.00 DEL Delivery Charge 25.00 2�;OQ
PREPAY�lENT 995.04
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Tlcter atso offers Portabte Tofletsl Ptease catt our office for Pricinq 717-699-1111
Service Address:
9 S. Locast Lane Subtotal 4��.01
3004-E6 Sales Tax
Mechancsburg
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Jim Gates was hired to help clean out Lionel Spenard's
house, basement, garage and gaxage attic. He worked for
3 0 hours at a rate of @$20.00 per hour, for a total of
$600.00.
Jim's SSN is 178-20-9208.
He was paid with check #115.
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Date Amount �
4/1/2013 $ 10.48 5/1/2013 $ 2.53 I
4/2/2013 $ 5.11 $ 1.27 `
4/3/2013 $ 6.24 $ 6.45 � (� ��1
4/5/2013 $ 8.69 $ 6.27
. 4/8/2013 $ 2.54 $ 5.55 L I 4 �� (
4/11/2013 $ 14.55 S/2/2013 $ 1.27 � �) ` ��
$ 5.55 5/3/2013 $ 2.53 �
$ 1.27 $ 19.10
$ 5.55 $ 1.27
4/12/2013 $ 1.27 5/4/2013 $ 2.53
4/19/2013 $ 10.48 $ 9.18
4/20/2013 $ 1.27 5/5/2013 $ 1.27
$ 1.27 S/6/2013 $ 1.27
$ 1.27 5/7/2013 $ 1.27
$ 5.55 5/8/2013 $ 1.27
4/21/2013 $ 1.27 $ 1.27 f '�
$ 10.64 5/9/2013 $ 1.27 � Q ,
$ 1.27 $ 1.27 �
4/26/2013 $ 1.27 5/11/2013 $ 1.27
� $ 5.55 5/13/2013 $ 1.27 � � '
4/28/2013 $ 1.27 5/14/2013 $ 6.26 ,l � l
4/29/2013 $ 1Z7 5/15/2013 $ 6.24 � �Cy
$ 5.55 5/21/2013 $ 1.27 �l
$ 6.23 5/23/2013 $ 4.64
4/30/2013 $ 6.23 $ 3.76 •
$ 2.53 5/24/2013 $ 4.65
. 5/28/2013 $ 1.27 '
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andard Mileage Kates to.r"l"S'3 http://www.�rs.gov/uac/"LU13-5tandard-Mileage-lZates-Up-1-Ce t-per-...
��IIR�
News Essentials Standard Mileage Rates for 2013 -
• WhaYs Hot R-2012-95,Nou 21,2012
• News Releases
• IRS-The Basics 1N/�SHINGTON—The Intemal Revenue Service today issued the 2013 optionat standard mileage
• IRS Guidance rates used to calculate the deductibie costs of operating an automobile for business,charitable,
• Media Contacts medical or moving purposes.
• Facts&Fqures
• Problem Alerts Beginning on Jan.1,2013,the standard miteage rates for the use of a car(aiso vans,pickups or
• Around the Nation panel trucks)will be:
• e-News Subscriotions . 56.5 cents per mile for busfness miies driven.
The Newsroom Topics • 24 cents per mile driven for medicai or moving purposes.
• 14 cents per mile driven in service af charitable organizations.
• Muttimedia Center
• Noticias en Es�anol The rate for business miles driven during 2013 increases 1 cent from the 2012 rate.The medical and
• Radio PSAs moving rate is aiso up 1 cent per mile from the 20i2 rate.
• Tax Scams
� The Tax Ga� The standard mileage rate for business is based on an annual study of the fixed and variable costs
• 2013 Fact Sheets of operating an automobile.The rate for medical and moving purposes is based an the variabie
• 2013 Tax Ti�s �S�•
• Armed Forces Taxpayers always have the option of calculating the actual costs of usin their vehicle rather than
• Latest News Home 9
using the standard mileage rates.
A taxpayer may not use the business standard mileage rate for a vehiGe after using any depreciation
method under the Modified Accelerated Cost Recovery System(MACRS)or after claiming a Sectian
179 deduction for that vehicle.In addition,the business standard mileage rate cannot be used for
more than four vehicles used simuitaneously.
� These and other requirements for a taxpayer to use a standard mileage rate to calculate the amount
of a deducGble business,moving,medical,or charitable expense are in Rev.Proc.2010-51.Notice
2012-72 contains the standard mileage rates,lhe amount a taxpayer must use in calculating
reductions to basis far depreciation taken under the business slanda�d mileage rate,and the
maximum standard automobile cost that a taxpayer may use in computing the allowance under a
fixed and variable rate plan.
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Page Last Reviewed or Updated:13-Dec-2012
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� JOHN POTfEtGER �
76 Silver Crovim Drive
Me�chanicsburg,Pa.17050
(717�571 7640
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RETURN THIS UPPER PORTION WITH YOUR REMITTANCE �j` I
STATEMENT '�RMS oa� .�= 3d`� I
DATE DESCRIPTION AMOUNT I
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PAEVIOUS BALANCE
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PREVIOUS BAL. CHARGES PAYMEMS NEW BALANCE �
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JOHN POTTEIGER �
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REV-1513 EX+(O1-10) '
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a� � �� pennsylvania SCHEDULE ] '
'�, ; DEPARTMENT OF REVENUE
� BENEFICIARTES
INHEAITANCE TAX AETt7RN
RESIOENT DECEDENT
ESTATE OF: FILE NUMBER:
� Lionel J. Spenard U56-20-601
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBfR NAME NIdD ADDRESS OF PERSON(S)RECEMNG PROPERTY Do Not List Trustee(5) OF ESTATE
1 TAXABIE DISTRIBUT[ONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1• Johanne Spenard cousin 100°!0 '
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ENTER DOLLAR AMOIINTS FOR DISTR[BUTIONS SHOWN ABOVE ON LINES 15 TNROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SEGTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II—ENTER T07A1 NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.
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