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Home My WebLink About06-26-13 (2) � 1505610140 REV-1500 �` �°,_,°> OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number Po aox 2aoso� INHERITANCE TAX RETURN 2 1 1 1 0 9 7 2 Harrisburg PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMD�YYYY Date of Bi�th MMDOYYYY 0 8 2 4 2 0 1 1 0 4 1 6 1 9 4 8 Decedent's Last Name Suffix Decedent's First Name M� K E L L J 0 H N G (If Applicable)Enbr Surviving Spouse's Information Below Spouse's Last Name Suffix � Spouse's First Name MI Spouse's Social Security Number THIS RETU�I�N�u ST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1.Original Return � 2.Supplemental Return � 3.Remainder Retum(date of death prior to 12-13-82) � 4.Limited Estate � 4a.Future Interest Compromise(date of � 5.Federal Estate Tax Return Required death after 12-12-82) � 6.Decedent Died Testate � 7.Decedent Maintained a Living Trust 1 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) � 9.Litigation Proceeds Received � 10.Spousal Poverty Credit(date of death � 11.Election to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch.O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number M A T T H E W A • M c K N I G H T 7 1 7 2 4 9 2 3 5 3 �: GiEGiSTER OF�S USF�Y .." � � ? � First line of address c�rt � � � G'> =� ..� �:..s I R W I N & M c K N I G H T , P • C • � � �' n �;,'_': '��'� � '., Second line of address 'a G� " � `°' � �-, �, —C: -:� -:t 6 0 W E S T P 0 M F R E T S T R E E T `-�' `�� "�� -�-` _::: �=- °= c�> City or Post Office State ZIP Code � _' DArE�.ED'- -, .. � � �y C A R L I S L E P A 1 7 0 1 3 s" � '' CorrespondenYs e-mail address: Under penalties of peryury,I declare that i have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief, it.i correct and complete.Declaration of preparer other than the personal representative is based on all infortnation of which preparer has any knowledge. SIGNAT E OF PER SPONSIBLE FOR EJIING RETURN QTE � y �l/ �� ADD S ' 29 5 MT. ORRIS ROAD WAYNESBURG PA 15370 SIGNATURE OF PREP ER THAN REPRESENTATIVE DATE ADDRESS ' 6� WEST POMF T STREET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 L 150561014� 150561014� � � � 1505610240 REV-1500 EX Decedent's Social Security Number �ecede�t's Narne: J 0 H N G • K E L L RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 0 5 D 0 0 . 0 D 2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z• • 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. • 4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. • 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 1 2 7 0 2 . 6 4 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. • 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) � Separate Billing Requested . . . . . . . 7. . 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 1 1 7 7 � 2 . 6 4 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9. 5 4 � 8 9 . 4 5 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 1 4 1 4 1 4 . 1 9 11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 1 9 5 5 0 3 . 6 4 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12• - 7 7 8 0 1 . 0 0 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. - 7 7 8 � 1 . 0 0 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0 _ � . 0 � 15. 0 . � � 16. Amount of Line 14 taxable at lineal rate X.0_ � • � � 16. � . 0 � 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 � 17. � . ❑ � 18. Amount of Line 14 taxable at collateral rate X.15 0 • 0 � 18. � . � 0 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. O • O O 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Side 2 � 1505610240 1505610240 � REV-1500 EX Page 3 File Number Decedent's Complete Address: 2� 11 Os�2 DECEDENT'S NAME JOHN G. KELL STREET ADDRESS 315 McALLISTER CHURCH ROAD CITY STATE ZIP CARLISLE PA 17015 Tax Payments and Credits: �� Tax Due(Page 2,Line 19) (1) 0.00 2. Credits/Payments A.Prior Payments B.Discount Total Credits(A+g) �2� 0.00 3. Interest 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. �3� Fiil in oval on Page 2,Line 20 to request a refund. (4) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred: ...................................................................... � Q b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ QX c. retain a reversionary interest;or ................................................................................................ ❑ � d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ XD 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ Q 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?................................. ................................................................. o a IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1,1)(i)]. For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)j.The statute does not exempt a transfer to a suNiving 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 decedenPs lineal beneficiaries is 4.5 percent,except as noted in 72 P.S.§9116(1.2)[72 P,S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the 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-1502 EX+(01-10) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JOHN G. KELL 21 11 0972 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compeiled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointlyowned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedenYs interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 315 McALiSTER CHURCH ROAD, CARLISLE, PA 17015 105,000.00 APPRAISAL ATTACHED TOTAL(Also enter on Line 1,Recapitulation.) $ 105 000.00 If more space is needed,use addi�onal sheets of paper of the same size. REV-1508 EX+(11_10) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: JOHN G. KELL 21 11 0972 Include the proceeds of IibgaBon and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PERSONAL PROPERTY SOLD- RICK FOREMAN AUCTIONEER 2,788.00 2. PERSONAL PROPERTY SOLD- 1977 DODGE AI�D 1992 FORD TAURUS- SOLD 600.00 3. PERSONAL PROPERTY SOLD-TRACTOR 3,500.00 4. PERSONAL PROPERTY SOLD- KEVIN M. WICKARD, AUCTIONEER 750.00 5. MISCELLANEOUS ITEMS SOLD 3,557.62 6. M&T BANK-CHECKING ACCOUNT#2679016325 1,507.02 TOTAL(Also enter on Line 5,Recapitulation) $ 12 702.64 If more space is needed,insert additional sheets of paper of the same size REV-1511 EX+(10-09) pennsylvania SGHEDULE H OEPARTMENT Of REVENUE FUNERAL EXPENSES AND 1NHERI?ANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER JOHN G. KELL 21 11 0972 DecedenYs debts must be reported on Schedule l. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. EWING BROTHERS FUWERAL HOME 7,882.54 2. WESTMINSTER CEMETERY-OPENING/CLOSING GRAVE 1,720.00 3. WESTMINSTER CEMETERY-GRAVE MARKER (ESTIMATE) 3,290.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)oFPersonal Representativets) JOYCE K. SIMPSON 5,700.00 StreetAddress 2915 MT. MORRiS ROAD ��y WAYNESBURG State PA Z�P 15370 Year(s)Commission Paid: 2. ,4ttomeyFees: IRWIN & McKNIGHT, P.C. 6,500.00 3, Family Exemption:{If decedent's address is not the same as claimanYs,attach exp{anation.) Claimant 5treet Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: REGISTER OF WiLLS 252.50 5 Accountant Fees: 6. Tax Retum Preparer Fees: PATRICIA A. ROSENDALE, CPA 925.00 INCOME TAX RETURNS & FINAL FIDUCIARY TAX RETURN 7, REGISTER OF WILLS-FILING FEE 30.00 8. CUMBERLAND LAW JOURNAL-ESTATE NOTICE 75.00 9. THE SENTINEL-ESTATE NOTICE 189.54 10. S.W. BARRETT REAL ESTATE-APPRAISAL ON REAL ESTATE 350.00 11. R&W EQUIPMENT CO. - REPAIR TO BALER 19.85 12. CUMBERLAND COUNTY LANDFILL 141.56 13. THE SENTINEL -ADVERTISING -YARD SALES 141.34 14. SAFE DEPOSfl' BOX - DRILL 125.00 15. ROSERT C. SIMPSON -CLEAN UP 600.00 16. WILLIAM LINE-CLEAN UP 600.00 17. TYLER LINE-CLEAN UP 600.00 18. ART LINE-CLEAN UP(2011) 600.00 TOTAL(Also enter on Line 9,Recapitulation) $ 54 089.45 If more space is needed,use additional sheets of paper of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent JOHN G. KELL 21 11 0972 DecedenYs Name Page 1 File Number Schedufe H -Funeral Expenses 8�Administrative Costs-B7. ITEM NUMBER DESCRIPTION AMOUNT 19. J. ROBERT SIMPSON -CLEAN UP 600.00 20. CLOSING COSTS FROM SALE OF REAL ESTATE 20,692.65 INCLUDES DELINQUENT TAXES AND JUDGMENTS -SEE SETTLEMENT STMT 21. RICK FOREMAN, AUCTIONEER- PUBLIC SALE 1,187.00 22. FARM EQUIPMENT REPAIR- REPAIRS 1,251.47 23. REGISTER OF WILLS-SHORT CERTIFICATES 16.00 24. ART LINE-CLEAN UP (2012) 600.00 SUBTOTAL SCHEDULE H-B7 24,347.12 REV-1512 EX+(12-08) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT� INHERITANCE TAX RETURN MORTGAGE LIABILITIES,8�LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER JOHN G. KELL 21 11 0972 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. REAL ESTATE TAXES -2Q09 3,114.00 2. CUMBERLAND GOODWILL FIRE RESCUE-AMBULANCE 1,399.25 3. 2009&2010 SCHOOL PER CAPITAL TAX 79.60 4. AT&T-TELEPHONE 237.41 5. CONTINUING CARE RX - MEDICAL 31,697.16 6. PP&L-ELECTRIC 1,107.75 7. PENN CREDIT-CREDITOR - DIAKON LUTHERAN/CUMBERLAND CROSSINGS- 7,422.31 NURSING 8. AFNI, INC. -CREDITOR- EMBARQ 117.24 9. DR. HARDESTY-MEDICAL 7,547.00 10. CUMBERLAND VALLEY ENDO CENTER - MEDICAL 220.00 11. MT. ROCK INPATIENT SERVICES -MEDICAL 1,336.00 12. PINKER &ASSOGlATES - MEDICAL 4,373.00 13. DISCOVER CARD-CREDIT CARD 4,869.98 14. MARYLAND NATIONAL BANK, N.A. -CREDIT CARD 1,998.50 15. SPRING ROAD FAMILY PRACTICE-MEDICAL 140.00 TOTAL(Also enter on Line 10,Recapitulation) $ 141 414.19 If more sQace is needed,insed addiUonal sheets of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent JOHN G. KELL 21 11 0972 DecedenYs Name Page 2 File Number Schedule I -Debts of Decedent, Mortgage Liabilities, 8 Liens �ITEM NUMBER DESCRIPTION AMOUNT 16. KINETIC IMAGING -MEDICAL � 40.00 17. BLUE MOUNTAIN ANESTHESIA GROUP -MEDlCAL 810.00 18. HOUSEHOLD BANK-CREDIT CARD/UNSECURED 17,783.45 SETTLEMENT OFFER$4,445.86 -EXPIRED 19. MBNA-CREDIT CARD 11,094.23 20. GE CAPITAL-CREDIT CARD 1,802.87 21. CHASE -CREDIT CARD 5,301.50 22. CARLISLE REGIONAL MEDiCAL CENTER -MEDICAL 26,677.61 , 23. GE CAPITAL/LOWE'S -CREDIT CARD 3,231.02 24. HOME DEPOT-CREDIT CARD 877.01 25. NATIONWIDE INSURANCE-INSURANCE 138.81 26. CARLISLE HMA PHYStCIAN MANAGEMENT -MEDICAL 21.00 27. DARRYL K. GUISTWITE, D.O. -MEDICAL 1,709.08 28. PA DEPARTMENT OF REVENUE- INCOME TAXES (2008) 27.00 29. INTERNAL REVENUE SERVICE- INCOME TAXES (2008) 3,025.00 30. TAX CLAIM SUREAU OF CUMBERLAND COUNTY-REAL ESTATE TAXES (2010) 3,216.41 SUBTOTAL SCHEDULE I 75,754.99 GRAND TOTAL SCHEDULE 1 $ 141,414.19 REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFiCIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JOHN G. KELL 21 11 0972 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include oufight spousal distributions and transfers under Sec.9116(a)(1.2).] 1. JOYCE K. SIMPSON Sibling 2915 MT. MORRIS ROAD WAYNESBURG, PA 15370 2. JOANNE N. KELL Sibling 2915 MT. MORRIS ROAD WAYNESBURG, PA 15370 3. JULIE R. SWEAT Sibling 861 HEADS FERRY ROAD CORNELIA, GA 30531 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. � , ,.:� - � �. �� ------- _— _ _ REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA ADMINISTRATION � No. 2011- 00972 PA No. 21- 11- 0972 Es ta te Of: JOHN G KELL , fFirst,Middle,Last! La te Of: WEST PENNSBORD TOWNSHIP CUMBERLAND COUNTY Deceased Social Securi ty No: WHEREAS, JOHN G KELL fFirst,Midd/e,Lastl late of WEST PENNSBORO TOWNSHIP CUMBERLAND COUNTY died on the 24th day of August 2011 and, WHEREAS, the grant of Letters of Administration is required for the administration of the estate. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, have this day granted Letters of Administration to: JO YCE K SIMPSON who has duly qualified as ADMINISTRATOR (RIX) of the estate of the above named decedent and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 14th day of September 2011. � � Regisier of��i/s � � �l.. _. Deputy **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) '��" OMB Approval No.2502-0265 �-��;: A. Settlement Statement (HUD-1) 1.Q FHA 2.Q RHS 3.❑Conv.Unins. 6�File Number: 7.Loan Number: 8.Mortgage insurance Case Number: HALTEMANW5-13 4.Q VA 5.Q Conv.Ins. C.Note:This form is fumished to give you a statement of adual settlement eosts.Amounts paid to and by the settlement agents are shown.Items marked "(p.o.c)"were paid outside the closing;they are shown here for infortnational purposes and are not included in the totals. D.Name 8 Address of Bortower: E.Name 8 Address of Seller: F.Name&Address of Lender: WAYNE R.HALTEMAN,EUNICE E.HALTEMAN JOHN G KELL 46 HICKORY DRIVE,NEWVILLE,PA 17241 315 MCALLISTER CHURCH ROAD,CARLISLE,PA 17015 G.Property Location: H.Settlement Agent: I.Settlement Date:05/10/2013 315 MCALLISTER CHURCH ROAD I�M REAL ESTATE SERVICES,LLC Disbursement Date:05/10/2013 Carlisle,PA 17013 West Pomfret Professional Bldg,60 West Pomfret Street, West Pennsboro Township Carlisle,PA 17013 Telephone:717-249-2353 Fax:717-249-6354 Place of Settlement: TitleExpress West Portrfret Professional Bldg,60 West Pomfret Street, Printed 05/10/2013 at 1:42 pm Carlisle,PA 17013 by JMR . :. . . . . ';t00�;G[os"s�Aiiwu��luercomdBh%ioWer . + � K 4 ".°. r .; ,�OO.,.,:Gidss�An�uiitDueta':Selkr 101. Contract sales price �105,000.00 401. ConUact sales pnce 105,000.00 102. Personal 402. Personal 103. Settlement charges to bortower(line 1400) 1,919.00 403. 104. 404. 105. 405. Ad'ustments tor items id b sNler in advance Ad'ustrnents for items id b seller in advance 106. City/town taxes to 406. Ciry/town taxes to 107. Counrytaxes 05I10/2013to 12/31/2013 395.67 407. Countytaxes 0511012013to 12/31/2013 395.67 108. Schaoi Taxes 05/10/2013 to O6I30/2013 3B7.52 408. School Taxes 05/10/2013 to O6/30I2013 387.52 109. 409. 110. 410. 111. 411. 112. 412. �ZD• Gross AmouM Due from 8ortower 10T,702.19 420. Gross Amount Due to Seller 105,783.19 3ti0 `AmouMs'P.ald: 3o�fn�Belial�ofBort�i , . :i ,`;: 500.;,'Redw�Wns.:lesMwiiot'DiietoSeller: �' 201. Deposit w eamest money 9,600.00 501. Excess deposit(see instructions) 9,600.00 202. Principal amount of new loan(s) 502. Settlement charges to seller(line 1400) 20,692.65 203. Existin loa s taken sub'ect to 503. Existin lo s taken sub'ect to Z�• 504. Pa off of first mort a e loan 205. 505. Pa off of secand mort e loan 2�• 506. 207. 5p7. 208. 508. �9• 509. Ad ustments for items un id b seller Ad usfineMs for items un aid b seller 210. Cityftoxm taues to 510. Cityftowntaxes to 211. Countytaxes to 511. Countytaues to 212. SchoolTaxes to 512. SchoolTaxes to 2�3• 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. ' 219. 519. ��• Tofal Paid ifor Borrower 9,600.� 520. Total Reductlon Amount Due Seller 30,292.65 900. C�h'at:SeltlementfroMtoiBo`riower. : � ;: ;:600 Cieh?afSeltleilienttolfromSaller 3p�, �ross amount due from bortower(line 120) 107,702.19 gp�. Gross artrount due to seller(line 420) 105,783.19 3pp, Less amounts paid byffor borrower(line 220) 9,600.00 602. Less reductions in amount due seller(line 520) 30,292.65 303. Cash QX From � To Borrower 98,10t19 603. Cash XQ To � From Selkr 75,490.54 Nk loml unleat H tl6 a ume va��or �p m emnp,e mp . is w my m is�n wma o a yau an m repm o e se111smeM proxss �0� �'�aIW OMB cenlmi numOel.No CanRMMialily B essureq'IMS Eistlasure k maMalory.Tlih Is Ce5lpnaE lo povMe Ne paNn lo a RE6PA mvertU InnsaGion wll�inlqmatbn Curiiq I�e Previous editions are obsolete Page 1 of 4 HUD-1 . .- 700. To61;l�FEsbEe�;Fees . ,. =' . . ,:;. ,. ,� ;: Pa�d Fr.,om ' Paid From Uivision�oFcortiinissfari line700 asfolbws: ; Borrow,er's `Seller�s 701. gp.00 to Funds:at. Fundsat 702• $o.00 ►o Settlement Seitlement 703. Commission paid at setllement :;800. :;IEeme; _,.�Conneatlorisw�i.�oinr , - �. :•: �,.. ,� ,.. , 801. Our aigination charge (Indudes Origination Paint 0.000%or$0.00) $ (from GFE#1) 802. Your aedR w charge(points)for the specific interest rate chosen $ (from GFE#2) 803. Your adjusted originafion charges (from GFE A) 804. A raisai fee to from GFE#3 805. Credit R to from GFE#3 806. Tax service to from GFE#3 807. Fiood cefifica6on to from 6FE#3 808• to 900. 'IEe�i uired: Len�to`.be Paitl tn:AdVance _ 901. Daily interest charges from from 05/10/2013 to O6/01I2013 aQ$0.00/day (from GFE#10) 902. Morl a e insurance remium monlhs to from GFE#3 903. Homeowner's insurance months to from GFE#11 904. months to from GFE#11 1000:ReeeiVa. °'._ ..wMh,l'ander _ 1001. Initial deposit for your escrow account (from GFE#9) 1002. Haneowner's insurance months $ /month 1003. Mo a einsurance months $ /month 1004. Pro taxes months $ /month 1005.County taxes months $ 51.00/maith $ to 1006.School Taxes months $ 226.67Imonth $ to 1007.AggregateAdjustment $ to r��ua.,rtna�:c: -.; , ,.: :. . : 1101.Title services and lenders Utle insurance from GfE q4 807.00 1102.Settlement a dosing fee to $ 1103.Owner's btle insurance from GFE#5 1104. Lenders title insurance $ 1105. Lenders fitle policy limit$0.00 1106. Owners Gtle policy limit$105,000.00 1107.AgenPs por�on of the tolal tide insurance premium $ 1108. Undenxritets portion of the total title insurance premium $ 1109. 1200.•Govemment:RecoMie andrrTransfei'Ch., es 1201.Govemment recording charges $ (from GFE#7) 62.00 ��Z•Deed$62.00 MoR e$. Release$ to Recorder of Deeds 12(13.Transfer taxes $ (from GFE q8) 1,050.00 1204.City/County tax/stamps Deed$1,050.00 Mort a e$ to Recorder of Deeds 12p5. State Tan/stamps Deed$1,050.00 Morf a e$ to Recorder of Deeds 1,050.00 �Z�• Deed$ Mart $ to t300.AddWonaFSettlenieirtC es . . _ _ 1301.Required services that you can shop for (from GFE#6) 1302. to 1303.Audion Commission to KEVIN WICKARD AUCTIONEER $ 1,410.00 1304.2013 CO/TWP TAXES to DEBORAH W.PIPER,TAX COLL S 611.95 1305. 2011 8 2012 DELINQUENT TAXES to CUMBERLAND COUNTY TAX C $ 7,676.25 1306.JUDGMENT 07�487 to LVNV FUNDING,LLC $ 6,782.6 1307.JU M NT 9-2744 to COMMONWEALTH FINANCIAL 3,161.81 ' � • • ' • �� ' • ' � • � � • • 1,919.00 20,692.65 'Paid outside of closing by(B)orrower,(S)eller,(L)e�der,(I)nvestor,Bro(K)er."Credit by lender shown on page 1."'Credit by seller shown on page 1. � �k,e�. V�a.� � Previous editions are obsolete Page 2 of 4 HUD-1 > »,-��,K.�-��: ,�,�,..��.�... . . .r�-.��.�.�,m,��;:.�..,� .�-�� .��. � ..,��... r . � _ , . _ _. . ., , . ,. ,ti- �coo`i��a�F�i�e� 3�` :'.��.�,��iaa`� ry vr; ,h.. �.W 0.�0 0.��/� �.QO ��' '. �y�.. �.VV �.�Q YaiL ';�.�� _ sr.i 0.� �,��.�0 .. . . � , .. �_.., . {:.p �<!' ��,- �y�pt �� y. t r�'.yh=,�-�,�� ..: - ... � ... — &+�'sY v�lFs�m.��:A�,."�"�F3'�)D;,ne�,I.717f/.'n'�::K'.'[r�'��^"^ti. Q.O� 62.W 0.00 8��.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 . . 0.00 869.00 . ,. . � . .• $ 869.00 0� 999.9999% ._ ., . . � .. ,W a�r- �__�'. �' vq �..� �e� .... ... . _ - '�i`�,. Q-"��.K�s .�,, �;c'�iCsOQf�i�. �.4.._a.,' -�t�..a ..,n': �.�� 0.0� � 0.00 �.� � �.� �.�� .� �.0� '� a:�""'� : ' - }� . _. ; . .. . _'� .:YK,. .rp. Y' +.h M1. `,:I �� ,'�i !1¢' �.x��,..c»x�.�s� `�3.`�� ` � �"� :`ivu'r Tu�rt.;,' C: + 'h +a'.' :s%..�k.�:zt,�"l.'6�.a,.a� �•�`.�,. :.�it�. a:Ir. ri_.h�. ."a�.�..'�.�n.N'�.r. �.��...:�:k Loan Terms '�rt�^:{��a°�'ej�a`. ... ,...,�., .,.,.. ,.. .�� ...,...... � 'E[.'.i4 T, °..a,' Q V � � a. ��;�� Years r��,^.••;�,•....,. u - - .w�Y.�.. % $ includes `' �• `. ❑Principal �' . Q Interest <;{31� , ❑Mortgage Insurance . �. . � .._,,. .. . . ❑X No. ❑Yes,it can rise to a maximum of %. The first change � `' will be on I I and can change again every years after I I Every �' ta�, � ; � change date,your interest rate can increase or decrease by �a. Over the I'rfe of �� g -�E } �g ��""' the loan,your interest rate is guaranteed to never be lower than �o or higher c � a �}`�yi than °k. �+.1i�r� h � 55,t-.��F n.��i��,al�t@_ � � �° �"'�� `Q No. ❑Yes,it can rise to a mauimum of$ ��`�y. ._ �'.. '� � QX No. ❑Yes,the first increase can be on I I and the monthly �tl�(� ` ,�,� amount owed can rise to$ ,��;� ��s�,;.�'�� '�. �a, The maximum it can ever rise to is$ . ;. � I� � ' QX No. ❑Yes,your maximum prepayment penalty is$ �'= "�' �, - � '`��a�w r�,�'� D'oes'yo� k� ; �, ,�� Yi: QX No. ❑Yes,you have a balloon payment of$ due in 5"J�Y ''` � �� earson I I ��3 . ��r�`^� y ��: ❑X You do not have a manthiy escrow payment for items,such as property ta�ces +a°- and homeowners insurance. You must pay these items directly yourseif. c•�,,;' ❑You have an addiGonal monthly escrow payment of$ � { ��_ z ' that results in a total initial monthly amount owed of$ . This includes principa�interest, ,x }'� ��„f� � any mortgage insurance and any items checked below: �;< �� ' ❑Property taxes ❑Homeowner's insurance k� �Ploodinsurance ❑ x �y'xna i� r J x �-�n(:t.t +.�,cs��u'�:Sf,�;{,s.. . a 4n.Q.a .��1I � � Note: If yau have any questlons about the SetGement Charges and Loan Terms listed on this form,please contact your lender. Previous editions are obsolete Page 3 of 4 HUD-1 HUD CERTIFICATION OF BUYER AND SELIER I have carefulty reviewed the HUa1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction I further certiy that I have received a copy of the HUQ7 Settlement Statement ��,�wr�-� � 7�.�z�irraw. Z`kQ,4'l,l�,P �� ' nM�lA,I/�l WAYNE R.HALTEMAN EUNICE E.HALTEMAN JOHN G KELL 7/i� ��` ��yc�5��, s� JOYCE :SIM ON,ADMINISTRA IX � The HUD-1 Seltiement Statement which I have prepared is a true and accurete account of this transaction.1 have pused ar will cause the funds to be disbursed in accordance with this statement. i� �=��-�� SETTLEMENT NT DATE WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1 . �� •. Name of Borrower: Name of Seller: File Number: PrePared 05/10/2013 at 1:42 pm Note:This page displays an itemizatlon of the credits shown in section 200 of the HUD-1 SetNement Shatement This page accompanies but is�ot a part of the HUD-1 Settlement Statement If a discrepancy exists,�e information on the HU0.1 Settlement Statement applles. CrediGa Credk . . . .. • . . .- Name of Borrower: Name of Seller: File Number: WAYNE R.HALTEMAN JOHN G KELL HALTEMANW5-13 EUNICE E.HALTEMAN Prepared 0 511 0/201 3 at 1:42 pm Note:This page dispiays an itemization of the adjusted origination charges shown in section 800 of the HUD-1 Settlement Statemen This page accompanies but is not a part of the HUD-1 Settlement Statement If a discrepancy exists,the information on the HU0.1 Settlement Sta�ment applies. Your Loan Originafion Charges Borrower Seller 801. Our origination charge (Includes OriginaGon Point 0.000%or$0.00) to $ 0.00 802. Your credit or charge(points)for the specific interest rate chosen to $ 0.00 803. Your adjusted origination charges 0.00 0.00 . . � Name of Borrower: Name of Seller: File Number: WAYNE R.HALTEMAN JOHN G KELL HALTEMANW5-13 EUNICE E.HALTEMAN Prepared 05/10I2013 at 1:42 pm Note:This page displays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement.This page accompanies but is not a part of the HUD-7 Settlement Statement If a discrepancy exists,the information on the HUD-1 Settlement Stabement applies. 1:100:Title CNaiges Tbtal=C6Sige , Bomower' Selkr ��p�,Title services and lenders title insurance to Attomey Fee to IRWIN&MCKNIGHT,P.C. $ 800.00 800.00 notary to $ 7.00 7.00 1102.Settlement or closing fee �o $ 0.00 1104.Lenders tiUe insurance ta $ 0.00 Tofals: S 807.00 0.00 807.00 0.00 SederlLendec creditsisfiown•on e 1 POC=Pald:Oiilsfde Closi.%CR=Lender G►edit Previous editions are obsolete Page 1 of 1 HUD-1 -.� : - � � _� �r. Rick Foreman Auctioneer Au1163L 386 Springfield Rd. Shippensburg Pa 17257 (71'�776-4602 � � . � , F � � �� .��P'��,� y � � �Rr-eo� � �� C�� , � /l � �a �:.}-�, � �� - �� v J e/l�,G�G•� C��1�P Cy'� �``�'�'-/t,�� :�� `= .�C' 11,�I��l �:� � • cT' � � �"f�'� � �S � � � �� .is� /1��• =G l�� .t � '� . . .. . , . - . . �. - ..-�t . ,- . -.. .. . . .,.. .. ^ .A�� . F. �= West Pennsboro Auto Wreckers k 452 Crossroad School Road �: f � Carlisie, PA 17015 ' �: �. (717) 776-5200 ' Fax: 717-776-5201 ; i E:" CUSTOMER'S ORDER NO. SOLD BY -. pATE�O a // . ti i�. �'-' SOLD TO �... C�i N-' :.��'✓'s ! °� ADDRESS ' • 3�s'- l3 �g`' QTY. PART NO. ARTICLES PRICE AMOUNT i �, ', f- � e: E: ' �j.?.l� � I �-- �? �S ��3� / � �, k" I �i ' ; C' I i:� . i r.�� ` l�� Z�l�n�(,- �� Z.� 3a � ="- ' _ t . F=: ' � �� : F` �T?��,'"� �/ �� : �!� � Q-l�1�k� �� f� � �-,�l✓ l�� /��s� ;. �:-.. � ie/ �r �� KY�� - �/ v � �r�.�i �l� �' . ��: . f,:_,:..,, �;= .,��r F r` 1�� ov G�-11�" � T,�►x `;' RECEIJGED B � -. �: j TOTAL ��; �: All c i s and retu ed goods MUST be accompanied by this bill. �: �dio.��e. �Z�i ' NON—RETURNABLE IF CUSTOMER RETURNS PARTS ' FOR CHANGED MIND OR DID NOT FIX THE PROBLEM. f i: � ��1aCi �� 499 Mitchell Road,Millsboro,DE 19966 Adjustrnent Services Phone 888-502-4349 F ax (302)934-2955 September 27,2011 Irwin and McKnight PC ��°`�� 60 West Pomfret Street Carlisle,PA 17013-3222 �� Q�'; xRVIiIIV&VIcKMi�H�� Nl QfFiCzS Re: Estate of John G Kell Social Security: Date of Death: Au�ust 24, 2011 Dear Sir or Madam: Per your inquiry on September 23,201 l,please be advised that at the dme of death,the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 2679016325 Ownership(Names ofl John G Kell C Ross Kell(POA) Opening Date 04/ZS/�4 Balance on Date of Death $1,507.02 Accrued Interest $ .00 ------------------------------------- Total $1,507.02 For any additional information on the above accounts,including ownership and any changes,closures and/or reimbursement of funds, please call the High Street Carlisle Office at#717-240-4536. We were unable to locate any safe deposit box for the above-mentioned decedenL This letter dces not include any aarounts in which the deceased may have been listed as Power of Attorney,Custodian of Uniform Transfers, Representafive Payee,or Trustee under a Written Agreement Sincerely, Tammy Spencer Adjustment Services , �' e oe.wa wuur a wuc�n avennva i � �� a� .■ O �+o w =_ r� s ��,�`T' �� . O � �' : .� � i � � �, - D,o.:? mr"� °zm < � • ' ,'�i�r=,Z�Z' ■� � 'nj9.=� -�'zN' r' - aN��.�� n o � n,�: n.i �'� �� o� v o.�v � ' � 0 0 w - r� � R, u, r : w � ��. °' � � r `� . m i o '�,' � - r �J � ;;�o � �°�, a, m ;Q': �. � �� _.__ /U �� . / , � C�S ,�I` �.�� p�. l i��P'' �. G�,� f� , � � � � � � � �� -� .�� , � �,�,� � u.�C,��,��, � � ��--� :�. � � � , � �� -- �� , � � � ,� � � Q �: , c�.,�� ; � � � _. _. ,. � ..�e _�...� ,� . »��.- ��-:_ __ _ Ewing Brothers Funeral Home, Inc. -' 630 South Hanover Street Carlisle, PA 17013- � (717)243-2421 September 6,2011 Joyce K. Simpson 2915 Mt. Morris Rd. Waynesburg, PA 15370 The Funeral Service for John G. Kell . We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES,FACILITIES,AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEP1 MAKING THE FUNERAL ARRANGEMENTS. 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff, , , , , , , , , , , , , , , , , , , $1865.00 Embalming. . . . . . . . . . . . . . . . . . . . . . . . . . $895.00 Dressing,Casketing,.Cosmo etc, , , , , , , , , , , , , , , , , , , , $295.00 2. FACILITIES AND SERVICES One Day event viewing/funeral, , , , , , , , , , , , , , , , , , , , $895.00 3. AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Home, , , , , , , , , , , , , , , , $275.00 Hearse(Casket Coach) , , , , , , , , , , , , , , , , , , , , , , $275.00 Safety/Lead car/Clergy , , , , , , , , , , , , , , , , , , , , , , $125.00 Utility Vehicle for DC retrieval/filing, , , , , , , , , , , , , , , , , , $125.00 FUNERAL HOME SERVICE CHARGES . . . . . . . . . . . . $4750.00 SELECTED MERCHANDISE: LT Copper 18G NG Xsize Casket , , , , , , , , , , , , , , , , , , , $1275.00 #12 Guardian OBC in Copper paint , , , , , , , , , , , , , , , , , , $1295.00 Acknowledgement cards, , , , , , , , , , , , , , , , , , , , , , $10.00 Register Book(s) , , , , , , , , , , , , , , , , , , , , , , , , $40.00 Memorial folders , , , , , , , , , , , , , , , , , , , , , , , , $85.00 THE COST OF OUR SERVICES,EQUIPMENT,AND MERCHANDISE � THAT YOU HAVE SELECTED , , , . , , . , . , , , , , $7455.00 Cash Advances Clergy/Mass Offe�ing, , , , , , , , , , , , , , , , , , , , , , , $1Q0.00 Certified Copies of the Death Certificate , , , , , , , , , , , , , , , , , $72.00 Flowers(Family Spray fall colors), , , , , , , , , , , , , , , , , , , $132.50 The Sentinel Obit no photo , , , , , , , , , , , , , , , , , , , , , $123.04 i Additional Death Certificate , , , , , , , , , , , , , , , , , , , , $6.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES . . . . . . . . $433.54 Total Total Cost . . . . . . . . . . . . . . . . . . . . . . . . . . $7888.54 ��e r (,�e0--� ��a.� J � SUB-TOTAL $7888.54 . INITIAL PAYMENT/DISCOUNT/CREDITS 6.00 � P�^��V�C� , TOTAL AMOLTNT DUE $7882.54 �f lNl�vi�/ The unpaid balance over 30 days is subjected to a 1.50%service charge per month-18.0000%per annum. � . l � � � I < ,� �� "�-� � �� `� � � r p� � � �/ � n� \ o � l� d A �� l� � w �—� a S � r N �-- n oo q v, �� r tz� � � ��`� m � (� � !. �� a. �N��y. l" . �,. pv', ie c�i O �J � n�� O O Vl N � (p O ^ N Q �j 5� , J l/! �7 � ,��, W�7 a�Z �[;r R V- I� p C' '(` N C�7 0• � � 0 {�j[�-� l� �� 7 �. 7 l�D Vj y V] N � � i � � � S � � A�'�'.N� M � (7 :; G R ffD-n `..1 �� (� � r"j C �•� <�'C) y� `� �� 3 p�' U � `b � F �c,� �a ? �' .°._ r I � ff � ^ � B °'e �� r...� � $ �s ' J/f d a� �� <- '�y 0 v "'.1�..� �� a �� t�J , 'N,� � w P�y 6 y � � � g�� \ w � _'�m w� ;�� x x X � � X ! y 3�5� � J" � � � c�o •d rn��..C] 7� ►� `:;, p �'� l�Z, rA\ g °. v y r-^ � �' z �" — �' Z �� V�.1 � ° �'�anr c"o .. 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R � : �i � '�v � C] �-� a. � ^ 5'a`�i �°-n° iv � A Z�•, �' + .• "o n� � . � r°, � b ° ' f��—� aa o. �"' � �,E :; �� : �� 9 ' � �rJ y os � � � :, g � co fD c�o � \o<,i��' i� � � + ❑ : O `,�,� o. 5' w` _ � � ❑ � t�� a `N°io �� 9 c``o • � n ; � n pq .��, � c 'n .- o � � ° �- ��o w �o ro ' � co �,.j Cl7 �-iy � l J � v� � c °w�c °•2 � : tv . � ' co � v� 9 � 5' cc a • c� . n . x' : 'sJ � fD � " r• z tn � � 'ti cas �dO � C��=�'rr-' � . . . Q . � � ry ! I V ' N � ^ p, b O•� p a •��7 n�Q•-�• � . . . ""' ..i O l3 tn ri� � : : : a� n �" � a o° � � � � Q. ci fvv`��2 n c�o : : : . ^ . Cl7 'vd � d � �o -, . -'a..: �` m � d c,s� � bs s i v� vj v� �s � � � � o 'n a ' � �.. ,ti : ;. : : a : �u �n -, � a o c� � : : : : : : � � c�o � �°' a. W o � : : : : : : ��"� � i O. C. ❑ �.0 3 �' cs� �s,.ss s�s c�s v� Ess � t,Wn� C" o � d py � � a c' '\.� (1'� Q(7 fr'� �' cfDi c�o `� w 5. ,�: � Q.J F)� �J, V � � 5 � � S w c - '� '� �1 / c °� � °�' ^ � � '� � � �r) ..,�� '� cs� ct, se c� es, Fs, �, c� ss s�s o• ❑ �g� ; . ( J � C ��j � � ° � � i C� =+ � n o � � � o � i � ^ o �1 � � ' �> >' -' I B y $--v � � �. ti..J ' � , f ! �, � � � � � ` `` i '� '1 ~ I�� ' ' ° � ' .��--�� ..n,� „�u�: �,.��.�:�,_�,.n�.,��,.�� Patricia A. Rosendale CPA, LLC Certified Public Accountant 255 Hickory Rd. • Carlisle PA 17015 Telephone orfax:p17)243-3184` e-mail: rosendale@comcast.net Apri127, 2012 Irwin&McKnight, P.C. 60 W. Pomfret St. Carlisle PA 17013 Re: John G. Kell Tax Years—2008-2010 For professional services rendered, as follows: Preparation of 2008-2010 Federal, State, and Local tax returns . . . . . . $550. Terms: Invoices are due upon presentation. A finance charge of 1% per month will be assessed on any amount not paid by the 15�'day of the month following the billing date,unless prior arrangement have been made. Checks retumed for non-su�cient funds or any other reason will be charged a$30 NSF.and rebilling fee. S.W. BARRETT REAL ESTATE AND APPRAISAL SERVICES File No. 11-0290 , *****''`***INVOICE********* File Number: 11-0290 11/14/2011 Irwin 8 McKnight 60 West Pomfret Street Carlisle, PA 17013 Invoice#: 11-0290 Order Date: 11/07/2011 Reference/Case#: PO Number: 315 McAllister Church Road Carlisle, PA 17015-9577 Appraisal Services $ 350.00 $ -------------- InV01Ce TOtal $ 350.00 State Sales Tax @ $ 0.00 Deposit ($ ) Deposit ($ ) -------------- Amount Due $ 350.00 Terms: Payable Upon Receipt-Please, reference the file number �-.— ` � � r�K� �6 ti; - — �:sf` �; , �, i .� t �3 �. . � � ;.�'"�°�' �� . on�ycn :� ,��"� �• �o�yn > ,,a.�, �:' :� a' ;, oZCO� - � "f r .�x+ ' '_ ,�^ o-' � fl1 v� `t..,� ofJpOT t. �"'��' � �1a �'"�_ �m°p 5-Zi 4 � � d'r��'y �] - � �n C m y � a{�; �.�?��er��,� � � " ,� '`_ n7<<nc�O , i ' �' �� x D m �� :�:t�� ::�� i� �_' N n°�n _,.� ,_; ��.� ��; � y � �"'`r`_ � y '��y O -�:�i r !��. �`� .-�?�. �'�'�� ►�' ij�y - � ,.��:.- m��`C D =^f� •'E ri. : � � i Q�1?.C� :'��..t .'�. 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'4°"C, '.� � � y a,a.. �. . ." :�. . ;7�. t �,'`3.w"�a'i_ °�L°`:�..�^�',�� ', �"!' a,,�,• ' . ,_. .: .. . < _,.vi_ � 4��. ._ �.�--- Cumberland County Landfill Ticket: 243-90127168 Inter; t�e`Waste Services Date: 9/2/2011 PADEP Facility ID 100945 Time: 14:10:30- 14:11:19 620 Newville Road Scale Newburgh,PA 17240- PH:(717)423-9953 FAX:(717)423-9954 Gross: 00 Ib In Scale Taze: OOIb Out Scale Truck: BAGS Net: OOIb Customer: 2439999999 CASH 135 VAUGHN ROAD SHIPPENSBURG,PA 17257- Manifest: 4314 Comment: Origin Materials&Services Quantity Unit Rate/Unit Amount ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Cumberland County NON RESI BAGS 10.00 each $2.00/Each $20.00 Total Amount: $20.00 Check#4314: $20.00 Change: $0.00 The undersigned hereby certifies that the origin of the waste set forth in this weight ticket is true and accurate,and is non-hazardous materials. Driver: Deputy Weighmaster: AVIS BLACK Lic 061934 Cumberland County Landfill Ticket: 243-90128057 InterQtate WasCe Services Date: 9/12/2011 PADEP Fa�cility ID 100945 Time: 12:07:23-12:07:48 620 Newville Road Scale N�wburgh,PA 17240- PH:(717)423-9953 FAX:(717)423-9954 Gross: 00 lb In Scale Tare: OOIb Out Scale Truck: RED Net: OO lb Customer: 2439999999 CASH 135 VAUGHN ROAD SHIPPENSBURG,PA 17257- Manifest: CASH Comment: Origin Materials&Services Quantity Unit Rate/Unit Amount ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Cumberland County NON RESI BAGS 9.00 each $2.00/Each $18.00 Total Amount: $18.00 Cash: $18.00 Change: $0.00 The undersigned hereby certifies that the origin of the waste set foRh in this weight ticket is true and accurate,and is non-hazardous materiais. Driver: Deputy Weighmaster: AVIS BLACK Lic 061934 Cumberland County Landfill Ticket: 243-90130953 Interstate Waste Services Date: 10/3/2011 PADEP Facility ID 100945 Time: 14:0625- 14:06:40 620 Nevwille Road Scale N�wburgh,PA 17240- PH:(717)423-9953 FAX:(717)423-9954 Gross: 00 lb In Scale Tare: OOIb Out Scale Truck: BAGS Net: OO lb Customer: 2439999999 CASH 135 VAUGHN ROAD SHIPPENSBURG,PA 17257- Manifest: CASH Comment: Origin Materials&Services Quantity Unit Rate/Unit Amount •----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Cumberland County NON RESI BAGS 8.00 each $2.00/Each $16.00 Total Amount: $16.00 Cash: $16.00 Change: $0.00 The undersigned hereby certifies that the origin of the waste set forth in this weight ticket is true and accurate,and is non-hazardous materials. Driver: Mo o.,,o,..�y, . Deputy Weighmaster: KATHY JOHNSON Lic 069289 Cumberland County Landfill Ticket: 243-90132432 Interstate Waste Services Date: 10/12/2011 PADEP Facility ID 100945 Time: 13:07:06- 13:38:03 620 Newville Road Scale N�wburgh,PA 17240- PH:(717)423-9953 FAX:(717)423-9954 Gross: 8760 lb In Scale 1 Tare: 7760 lb Out Scale 2 Truck: SILVER Net: IOOOIb Customer: 2439999999 CASH 135 VAUGHN ROAD SHIPPENSBURG,PA 17257- Manifest: CASH Comment: Origin Materials&Services Quantity Unit Rate/Unit Amount �----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Cumberland County 100%of MSW 0.50 ton $52.89/Ton $26.45 Total Taxes/Fees: $5.11 Total Amount: $31.56 Cash: $31.56 Change: $0.00 The undersigned hereby ceRifies that the origin of the waste set forth in this weight ticket is true and accurate,and is non-hazardous materials. Driver: Deputy Weighmaster: AVIS BLACK Lic 061934 Cumberland County Landfill Ticket: 243-90134388 Interstate Waste Services Date: 10/26/2011 PADEP Facili'ty ID 100945 Time: 12:00:02- 12:00:19 620 New�flle Road Scale Ngyvburgh,PA 17240- PH:(717)423-9953 FAX:(717)423-9954 Gross: 00 Ib In Scale Tare: OOIb Out Scale Truck: BAGS Net: 00 ib Customer: 2439999999 CASH 135 VAUGHN ROAD SHIPPENSBURG,PA 17257- Manifest: CASH Comment: Origin Materials&Services Quantity Unit Rate/Unit Amount ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Cumberland County NON RESI BAGS 10.00 each $2.00/Each $20.00 Total Amount: $20.00 Cash: $20.00 Change: $0.00 The undersigned hereby ceRifies that the origin of the waste set forth in this weight ticket is true and accurate,and is non-hazazdous materials. Driver: o Deputy Weighmaster: AVIS BLACK Lic 061934 Cumberland County Landfill Ticket: 243-90133415 Interstate Waste Services Date: 10/19/2011 PADEP Facility ID 100945 Time: 13:33:02- 13:33:54 620 Newville Road Scale I��.,°wburgh,PA 17240- PH:(717)423-9953 FAX:(717)423-9954 Gross: 00 Ib In Scale Tare: OOIb Out Scale Truck: RED Net: OO lb Customer. 2439999999 CASH 135 VAUGHN ROAD SHIPPENSBURG,PA 17257- Manifest: CASH Comment: Origin Materials&Services Quantity Unit Rate/Unit Amount ---------------------=-------------------------------------------------------------------------------------------------------------------------------------------------------------------- Cumberland County NON RESI BAGS 9.00 each $2.00/Each $18.00 Total Amount: $18.00 Cash: $18.00 Change: $0.00 The undersigned hereby certifies that the origin of the waste set forth in this weight ticket is true and accurate,and is non-hazardous materials. Driver: o Deputy Weighmaster: AVIS BLACK Lic 061934 Cumberland County Landfill Ticket: 243-90135575 Inter.stzte Waste Services Date: 11/3/2011 PADEP Facility ID 100945 Time: 13:31:49- 13:32:11 620 New3ille Road Scale N,e,,,wburgh,PA 17240- PH:(717)423-9953 FAX:(717)423-9954 Gross: 00 Ib In Scale Tare: OOIb Out Scale Truck: BAGS Net: OO lb Customer: 2439999999 CASH 135 VAUGHN ROAD SHIPPENSBURG,PA 17257- Manifest: CASH Comment: Origin Materials&Services Quantity Unit RateNnit Amount •----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Cumberland County NON RESI BAGS 9.00 each $2.00/Each $18.00 Total Amount: $18.00 Cash: $18.00 Change: $0.00 The undersigned hereby certifies that the origin of the waste set forth in this weight ticket is true and accurate,and is non-hazardous materials. 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Farm Equipment Repair 110 Clay Road Carlisle PA 17015 Phone# (71'n 249-2317 BIII TO John Kell 315 McAllister Church Road Carlisle PA 17015 Statement Date Amount Due Amount Enc. 2/10/2012 $1,251.47 Date Description Amount Balance 07/01/2011 IiW#11250.Due OS/10/201 l.Orig.Amount$6,251.47.IH 1,251.47 1,251.47 574 Current 1-30 Days Past Due 31-60 Days Past 61-90 Days Past Over 90 Days Past Amount Due Due Due Due o.00 o.00 o.00 o.00 i,2si.4� $1,251.47 If you have already paid this bill or have any questions please call. � Fa�rn Eqasips�cseist Repai: 110 Clay Road I nvo i ce Carlisle PA 17015 (717)249-2317 ..BiI1 To :�'�,4' ' ..;,................._.................................................................................................... :� John Kell - : 315 McAllister Church Road � Carlisle PA 17015 Specializing in John Deer�e Tractors Date Invoice# Terms Job Model 7/1/2011 11250 IH 574 QuaMity Itcm D�ription priu£ach RmouM Discount Discount -300.00 -300.00 We Make Custom Hydraulic Hoses! Sales Tax (6.0%� $353.86 Thank you for your business. A 1.5%Finance Charge may be added after 30 days! Total �6,251 .47 Page 3 � LAW OFFICES IRWIN £� McKNIGHT, P.C. WEST POMFRET PROFESSIONAL BU/LD/NG 60 WEST POMFRET STREET HAROLD S.IRWJN (1915-1977) ROGER B.IRWIN CARLISLE,PENNSYLVANIA 17013-3222 HAROLD S/RWIN,JR (/95d-/986) MARCUSA.McKNIGH7;III IRWIN,/RWIN&IRWIN (/956-/986) DOUGLAS G.iL11LLER (717)249-23�3 /RWIN,IRWIN&McKNIGXT(/986-1994J STEPHENL.BLOOM FAX(717)249-6354 IRWIN,McKNIGHT&HUGHES (199d-1003J MATfHEWA.McKNIGHT WWW.lRW/NMCKN/GHT.COM IRWlN&McKNIGHT (Z003-1008J May 13, 2013 Kevin Wickard Auctioneering 140 Pleasant Hall Road Carlisle,PA 17013 RE: John G. Kell Estate ACCT#: Auction-Apri113,2013 315 McAllister Church Road . Deaz Mr. Wickard: Enclosed herewith please find our check in the amount of One Thousand Four Hundred Ten and 00/100($1,410.00)Dollars for auctioneering commission for the John G. Kell Estate. � Thank you for your assistance in this matter. If you have any questions, please do not hesitate to call me. Very huly yours, IRWIN&McKNIGHT '_:.�.:�� ,c�.e.� _ �L�q.S �� Jean M. Rice, CLAS Certified Lega1 Assistant Real Estate Specialist .1�' Enclosure v.,,:m . . _ . �� Page 1 of 1 Search Results for the Cnmberland Coun Delin uent Tax Database ]ky� pnrcelSutiix Ownert Owner2/CnreOf$Qy�,j�[Q $puaeNcSnffi: SitnsDireetion .ir' tl � Tn:Yenr TnzDesc BnlDue Face BplDue PennlN @�p q�p�_ KELL� MCALLISTER � JOHN 315 CHURCFI 2009 ��ST 309.11 30.91 46A( IkiiILT ��5'�Z G PENNSBORO ROAD � 4607- �'L, MCALLISTER JOFAI 315 CHURCH 2O09 �-�ST 23.19 2.32 3.40 Details 0475-042 G ROAD PENNSBORO � 46-07- �'L� MCALLI51'ER ��-�ST Detaiis 0475-042 IOHN 315 CHURCH 2O09 PENNSBORO 27.51 2.75 410 G ROAD 46-07- KELL, MCALLISTIIt � JOFIN 315 CH[1RCFI 2009 SCH-BIG �yy�37 199.14 298.f Deteiis 0475-042 G ROAD SPRING � 46-07- �'L, MCALLISTIIt CTY-WEST Detnits 0475-042 JOFIN 315 CH[JRCFI 2010 p�NSBORO 309.11 30.91 18.Sf G ROAD � 46-07- �'L� MCALLIST&R CLB-WEST Details 0475-042 JOHN 315 CHURCFI 2010 PENNSBORO �19 2.32 1.36 G ROAD � KELL. MCALL[STIIt petails 40475�2 JOHN 315 CH[1RCH 2O10 p�SBORO 45.10 4.51 2.72 G ROAD � 46-07- �LL, MCALLISTFR SCH-BIG Details 0475-042 JOHN 315 CfiURCH 2O10 SPRING 2070.88 207 09 124.2 G ROAD � 46-07- K&LL, MCALLISTER CLAIIvi Details 0475-042 JOHN 315 CHURCH 2O10 TOTAI.S 4799.46 479.95 499.E G ROAD O� O � e� , � ((( � � �:, � � V � � �� t � httn•//tax�lh r.cr�a net/rielinrniPnt/recnitc acn 9/1 F/7(1? 1 P.O.Box 3268 � � Shiremanstown,PA 17011 � Commercial Acceptance Company May 26, 2011 Debt Recovery Consultants Phone: (717) 901-4557 (800)690-3857 00000�0245 Extension: 221-- ��i��li�ll�ll�llillllll�ll��l�l��i�iil�l��ii�i��lll�l :IOHN KELL 315 MCALLISTER CHURCH RD CARLISLE, PA 17015-9577 CLIENT-NAME AGENCY CLIENT-# TOTAL-PAID BALANCE Cumberland Goodwill Fire 691668 10161077 $ . 00 $1, 346. 50 TOTAL: $ . 00 $1, 346 . 50 The crectitor lis�ed above has assigned your account to our agency for collection. Your entire balance is to be paid directly to our office at the above address. If your account balance is not satisfied, further collection activity wilf result. You are hereby notified that your credit rating may be negatively affected if you fail to resol�e your obligation. This communication is from a debt collectoc This is an attempt to collect a debt and any information obtained wili be used for that purpose. There will be a $20.00 (twenty dollar) fee for any check returned by your bank. The representative assigned to your file is: RAY MEACHUM at Extension: 221-- Unless you notify this office within 30 days of receiving this notice that you dispute the validity of the debt or any portion thereof, this office will assume the debt valid. If you notify this office in writing within 30 days of receiving this notice that you dispute the validity of this debt, this office will obtain verification of this debt or a copy flf the judgment against you and mail you a copy of such judgment or verification. If you request 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. You may now pay your bill online at our secure site, www.paycac.com. You will need to enter your agency number, 691668. For security reasons, credit card payments will not be processed without the security code from the back of the card. r- �. . ..... I��±� : a„�, , , i,f;��A �; Remit payment to: �lC_.'` fvin;.trt::�rt� ��.....•Ai.9tX ' . .._. ,,�A CARDNUMBER CW2 CODE AMOUNT SIGNATURE � EXP.DATE P.O.Box 3268 PAV THIS AMOUNT ACCOUNT NUMBER 81LL DATE � Shiremanstown, PA 17011 $1.346.50 691668 5/26/11 REGARDING � JOHN KELL A01 � ��S ��.��!IY_1�h�0��,�-c"�'4rWrt.,�,x, ro � i t:y �r«.,y'"•x s z � � � 'S;�rrs��' ,.�� li:: - .�;t �Curriberland Goodwill �Fire'Rescue EMS Bill'ing Offi , 10-171057 9/5/2011 $53.25 P O. 8 !2 New Cum rland, PA 17070 QUESTIONS ABOUT TNIS BILL? Phone: 877-214-6018 Espanol: 866-724-4114 Fax: 717-214-6020 Email: info�ambulancebiilingoffice.com Date of Service: 12/20/2010 16:55 Please visit our website to provide insurance or make payment, and Patient Name: KELL,JOHN G. for additional payment options and frequentiy asked questions: From: Cariisle Regional Medical Center �y�y�y,ambulancebillingoffice.COm To: CUMBERLAND CROSSINGS • � . . --n�, '�,.� �'�S.'i a . $ .- �,', ��_� , P+ „MMa'�,y�FJ,�?.t�I �i 1`�'^z'�x�'� ��ar. #' � �. "'.�, . ' �.. .� '' -"`a`'''` ��'�G#�"''.,�,�3"i��a� �r"��'"� i ;y�-T`�riy a �3 �� - 3� \��.3 ,La '� {�4�,�M��Y k. �'��'��.,i_,��"r'�'�,f`a�lt tS i �,. E„C�. r � c .�s a i" � ♦�C _ � .� .2 ,l�' %�'t,�`4�4��A�,�*�'—�x'+y„ t� �;� �k�. 3�� :.�� i. ��R..`�.�..��i�`;::r��i..�`'�?•.a .3�...;�i,. • � • '/20/10 Wheelchair Van One-Way Tra A0130 1.Q 48.00 48.00 120/10 Mileage S0209 3.0 1.75 5.25 Total 53.25 0.00 0.00 DETACH AND RETURN BOT70M PORTION WITH YOUR PAYMENT. _ - - - - --------- You can avoic��rur�rreracnon;,�►...�-n-��..�.,�------, - . sending payment to: Ambulance Biiling Office P O Box 726 New Cumberfand, PA 17070-0726 Questions regacding this accou�t can be directed to: Telephone: Local 717-214-6018 or Toll-free 1-877-214-6018 Fax: 717-21a-6020-Attn: Collection &Credit Dept. 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'�' �D Z� � N 8 � � � �v, 3 v�i �� m �$ ,��o � oo ,t}'� � � �C � • � � mm �; � � �� oN v o °o a °o � fn 4�' �- � � � ~ D � o � ' 3 �m �v �y -I (n C -��•�,C; 3�Q, m° c Z � o � � (n c�'`� "' m �° �c z� �. � � '° 'p 7tl 00 ° � � �mo� t� W o � a � � � � g y mw ° S {� "� � � �2 � � N m � m � m �� m-i m►n � � O o y o � y c�D Q � C 90 mC ''y � O r A O Ir ^° �„ -„ � T �� t" � � /�� C 3 � �N D �D � '� l 1 -.� Ol �v�� .. � .� n � Z � O � m m � � � Hy O n Q 4 �� m a �$ a �C � � o i < .�.. x � � � � N 0� � O �p C � p .��i i l at� Past Due Amount: $231.83 Total Amqunt Due: $237.4i '� � Account Number. 464007305992 Date: November 13,2011 Wiretess Number(s):717-422-4547 JOHIV KELL: Regretfully,we have canceled your wireless service because your account remains unpaid. Our recards reflect an unpaid balance of'$237.41. Ifyou do not pay the balance owed,AT&T may refe�your account(s)to a third party collector and, per tFie VVireless Service Agreement,charge a collection fee at a legal rate up to 1 S�o to cover AT&T's pre-referral collection costs.This may result in a negative reference on your credit report. If you have already macie your payment,please disregard this reminder. If no4,please remit payment immediately using the remittance slip and envel�pe. For your convenience,you may also pay by major credit card,debit card or electronic check by calling 1-800-947-5096. If you have any questions about your acc�unt,please c211 us at 1-800-947-5096 and an AT&T Representative will be glad to assist you. Thank you for your prompt attention to this matter. Return the p�rtion below with payment " unly to AT&T Mqbilitv. • •-•-•-•-•-•-•-•- ._._. ._. ._...._._ 1801 V�l1ev Vie��•Lruie n��u«,.rX�s<34-890h Account Number: 464007305992 Totai Amount Due:- $23]'.41 Amount Paid: $ 9519.7.323.9831 I i AB 0368 3y JOtIN Kfsl.L •Plvaeednnotsrnafcrirrv.�/xmde��cew•ithpurmrat. 2915 MOUNT MORRIS RD WAYNGS[iIJRG PA 15370-2205 r ��Ii��Lllllil��l��lil�nl'�I��II�IU�I��I�I'��I�I�JII��il�i Please maii check payable to: � , . AT&T Mobility PO Box 537104 Atlanta,GA 30353-7104 �ii�i�lli�i<<I�lill�iiillnii��llii��i�ins��ii�ini�l�uhl�il� 9900046400730599200Oa�0000�3183000000237410�9 � �� ,_-�,,�,_ .�,�.�..� ,��a� �w.. ... . -�.z s�,� � �,�h . ,� �.a��-��,�e. ,-�.�.�� „ � �.� ,��... � : � � % COIVTINUIhi� CAF�F RX �8 5 �E��i;it� �i h1tWF'OR i P�i i 7t�7� # � S i' �, T � M E N T # � �tatement Date: f/�1li,i Paye: 1 T'7CCOUTI4 �. o�V0�G7C3�G �.�oH�v �. 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T� x,�,��.�.. �� ,�� n . ��.�,..�. .�.-�.�,�. ,�,. . _ �v:_. ��`-`` ,I�� j ` `:--'; NOTICE OF COLLECTION 08/30/11 , Ho cs: Mon-Thur 8am-10pm EST - � - �� Fri 8am-5pm EST CUENT: Diakon Lutheran ��,��•.��",��<«.�„ Sat 8am-12pm EST ID NUMBER: C2129695 '"`""��`"��n��`��",�. 1/mrM� Phone: 800-900-1381 TOTAL BALANCE DUE: $7,422.31 Our client has referred your delinquent account(s) referenced below for collection. Our client is serious about collecting all monies owed them and 1 am sure your intentions are to honor your debt. Send payment using the enctosed envelope or you may go online to http://account.penncredit.com to make payment or contact our office to pay over the phone. Contact our office if you are unable to pay the amount due. Unless 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 from 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 veri�cation. If you request this o�ce 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 cu�r�nt creditor. This is an attempt to collect a debt by a debt collector and any information obtained witl be used for that purpose. The important rights included above apply to each account individually and you have the right to dispute any or all of the accounts included in this notice. In the event you choose to exercise your important rights included above please indicate which account(s) you are disputing. SERVICE RENDERED SERVICE DATE ACCOUNT NUMBER BALANCE CUMBERLAND CROSSING KELL,JOHN G 2010/07/01 46813 $7,422.31 IIII ��i�0� l��i'��iilNli�:u��E��Ofi�O�� ` III�fIII��il 1 __ DETACH AND RETURN WITH PAYMENT TO EXPEDITE CREDIT TO_YOUR.ACCOUNT _ _ _ _ __ _ _ P.0 B o x 12 5 9, D e p a r t m e n t 910 4 7 ��P�yu+o Br visa rusrra�cenu on o�scovEn.�our eEww 0 a k s, P A 19 4 5 6 pvis�L:s'� ❑w�srencu+o� ❑ascoveA� CHANGE SERVICE REQUESTED �""°"'"'�' °P�°"'� ��II�I��II��II��I��I�� ,�,� �M Visit http://account.penncredit.com to pay your bill online. Payments received by check will be electronically deposited,unless you pay by non-consumer type check.You may opt out of this program by paying with a money order or a travelers check. In the unlikely event your check(payment)is returned unpaid,we may el�t to electronically(or by paper draft)re-present your check (payment)up to two more times.You also understand and agree that we may collect a return processing charge by the same means,in an amount not to exceed that as permitted by state law. ID NUMBER: C2129695 I'1I11��II�I�lI1�lI�'III�II'll��ll'II'll"1'I�II�III'IIII��III' s�zos-ss�s PENN CREDIT $ � #BWNJHBY 916 S 14th ST ._------""�� " #9042724249292984# PO BOX 988 �c � JOHN KELL HARRISBURG PA 17108-0988 � '� 315 MCALLISTER CHURCH RD _ �� CARLISLE PA 17015-9577 ��I��I�U��I�1��I��I��I�I��I�I��I��LII` a . : .�, k� � �_��.�,� �,,K�� -�,..�.,_�, s� ,�: ..,�t-..�.,,� ��,.�> .�-.�r�..�.�X� ��,_ �.._ . Afni, Inc. � 1310 MLK Drive �`� PO Box 3427 �f�;. Bloomington, IL 61702-3427 www.afnicollections.com � Pay only HALF YOUR BALANCE to settle your aca�unt We are making another attempt to contact you regarding your overdue account. In an effort to resolve this matter we will accept $58.62, half the current balance. Once paid, our records will reflect the status of your account with Afni, Inc. as closed as settled. This offer is valid until 10/11/2011.Afni is not obligated to renew this offer. If you have any questions, please contact our office toll free at(8$8)804-2409 Monday through Friday 7am-9pm CT. For proper credit on your account please write this number 024898871-02 on your payment. To manage your account online,visit us at www.afnicollections.com. You can login with your account number and last 4 digits of your Social Security number. You can pay securely online using your debit card,�sa�,Mastercard�, or checking account and have your receipt available online once your payment posts. Credit card payments by mail are also accepted. Credit card payment options are located on the back of the payment stub located at the bottom of this letter and can be mailed back in�ide the enclosed envelope. This is an attempt to collect a debt. Any information obtained will be used for that purpose. This letter is from a debt collector. Please retain this information for your records 0248988 1-02 $117.24 EM RQ 7172494297924 08/27/2011 Detach along perforation and urn bottom portion along with payment in the enclosed envelope.Credit card payment options are on the back of notice. � For proper credit,please include your Afni account#listed below on your check � AFN50 Afni, Inc.Account#: 024898871-02 Toll Free: (888)804-2409 Original Creditor: EMBARQ � Creditor Account#: 7172494297924 PO BOX 223721 � Balance: $117.24 DALLAS,TX 75222 1239094979 Discounted Amount Due: $58.62 Electronic Service Requested 9 �2024898871 992200 00000011724 i�ini��l�lhi�lll��hd��llhul��i�i��i��n��lhrdlili PO Box 3427 '"`*"*'"`*"*AUTO**3-DIGIT 170 Bloomington, IL 61702-3427 31�5 MCALLISTER CHURCH RD osas�s � � �� I I III I II IIIII IIIIIIIIII 1 I I III I T61 P1 n 11� I 1 � � II I� �il � �� ullll�l �I � CARLISLE, PA 17015-9577 ; ' Duncan & Hartman, P.C. � Attorneys at Law One Irvine Row Carlisle, Pennsylvania 17013 William A. Duncan (717) 249-7780 Susan J. Hartman September 30, 2011 FAX (717) 249-7800 dhlaw@pa.net Matthew A. McKnight, Esq. Irwin & McKnight �;.��:��r�� 60 West Pomfret Street { �� Carlisle, PA 17013 � •a�';� ; �C� 0 � �.,�� RE: John G. Kell Estate/Dr. Hardesty � �Rw�iv&�v�cKiuis�r ' �.AVV�}rFICES :� Dear Matthew; This is to confirm our recent communication in which an outstanding billing from Dr. Hardesty in regard to John G. Kell was discussed. Apparently Mr. Kell and his Estate did not have ready cash available to make payment of this particular billing which is enclosed or to pay some other creditors. We did some research at the Cumberland County Court House to determine that Mr. Kell owns real estate located at 315 McAllister Church Road, Carlisle. Aside from some back taxes, it appears to be unencumbered. We would expect that the real estate would be sold to raise funds to pay Mr. Kell's outstanding obligations. Please take this letter as a formal demand by Dr. Hardesty to the Estate for medical services to Mr. Kell. Ths amount is Seven Thousand Four Hundred Fifty-Two Dollars ($7,452.00) and we ask that you reply to this letter with an acknowledgment that the $7,452.00 will be paid as the funds become available from the sale of the real estate. If you require that we take any further action or require us to file a formal claim with the Register of VViils, please so advise. Please do not hesitate to call me at any time. Yours truly, DUNCAN & HARTMAN, P.C. � William A. Duncan WAD/jda Enclosures � � � c�, � � r�� JAMES HARDESTY � �' w k��,�,,-�.�� x� r -k u�� :"<E°? :��,.�ss.�``"� .9r... � � ,r r�, ' s R '. � s _ `�eiittce�.Re�e�ed Dn � 05106111 � ASSET MANAGEMENT��c � � -� 1891 Santa Barbara Drive,#204 ��E�Qt1e = �' '`' $95.00 �y , �.3 „+.k T .� S lancaster,PA U601 `�p�pp�j�,�` � �'` ' �� 18964425 717-519•1770 or 888•592-2144 �' ��- �' September 23, 2011 Dear JOHN G KELL: Your accountls)with JAMES HARDESTY has 6een placed for collection. List of Accounts : idanie Hccdun�Pdumber Service �aie �alance i3ue JAMES HARDESTY 784599 05106111 595.00 You are asked to pay or dispute this account directly with this office only. Please provide the above referenced number and balance when writing or calling about your account. Telephone: 717-519-1770 or 888-592-2144 You should act to avoid the possibility of this account becoming a part of your credit history. Any account not paid in full before 10123111 may be reported on your credit file for seven years from the date of service. This is an attempt to collect a debt. Any information obtained will he used for that purpose. Unless 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, this office will o6tain verification of the debt and mail you a copy of such verification. If you request from this office in writing within 30 days after receiving this notice, we will provide you with the name and address of the original creditor if different from current creditor. This communication is from a debt collector. Please tear off and return lower portion with payment. PO Box 7044 If ou wish[o a b credit card, lease enter the information in the s aces rovided. Lancaster PA 17604•7044 ❑ � ❑ ;y ❑ II�I�I�I�N�I��I�IIIII��I��I�II��II�III�IIIIIIII �2522 BlingAddress SecurityCode ExpirationDa[e Signature Amount $ Authorized APEX Asset Management,LLC � � i � � � � � I � �� ii� � � � � � �� POBox7044 I � �I �� I I �II �� I �� I�� I � I �� II � Lancaster PA 17604•7044 784599 18964425 1241 LAN H1 �u��u��nu�u��nil��u�n��u�i�ul��n� JOHN G KELL 31916-22 io 315 MCALLISTER CHURCH RD CARLISLE PA 17015•9577 ��ui��t��K; 18964425 � �� .:: �.� � ��thi��i��ttt!1�� 595.00 �� , µ September 23,2011 ff PAYW�i BY VISA.NRSTERCAHD OR DISCOVEH.fpl OUT BELOW CUMBERLAND VALLEY ENDO CENTER 49 Brookwood Avenue �� Carlisle. PA 17015 BIONA71/E MUST INI:LUUE 9 DHi1T StCURIiV�'ODE FHl1M BACK OF CnRD RETURN S VICE REQUESTED STATEMENTDATE': PAYTWIS`AMOUNT . ACGOUNYNO:,_i , - For alt billing questions, call: 717-258-1462 10/17/2011 $220.OU 006536 CHARCaES AND CREDITS MADE AFTER STATEMENT SHOW AMOUNT � DATE WILL APPEAR ON NEXT STATEMENT. P/��D HERE �MAKE CHECKS PAYABLE/REMIT TO:� I'1��1�1�"�'�1'I�"III'I�'��'I��'1��"��""I'I'i"�I��I�� 4"5ss_2'Z Cumberland Valley Endo Center J 0 H N K E L L 49 Brook��ood Avenue � � 2915 MOUNT MORRIS RD Carlisle, PA 17015 � WAYNESBURG PA 15370-2205 I,,,III��III��II�I�I�I�I��II��I�I�II��I��II�i��l�l�l ] Please check box if above address is incorrect or insurance i PLEASE DETACH AND RETURN TOP PORTION WITH mformation has changed,and indicate change(s)on reverse side. YOUR PAYMENT IN ENCLOSED ENVELOPE Date Description DX Code Proc Code Charges Pmts/Adjs PREVIOUS BALANCE 220.00 Patient A ed Receivables Current 30 Days 60 Days 90 Days 120 Days Insurance Pending $0.00 $220.00 $0.00 $0.00 $0.00 $220.00 Account Balance $220.00 For ail billing questions,call:71T-258-1462 STATEMENT IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII�IIIIIIIIIIIIIIIIIINIIIIII SEE REVERSE SIDE FOR IMPORTANT BILLING INFORMATION 44588-272 �.�� __�e�..�e ,h..��:. +� STATEMENT OF ACCOUNT (3) MOUNT ROCK INPATIEPiT SERVICES Statem�t Date: September U2,Zo11 PO BOX 37807 ACCOUNT NUMBER: Cl.E94833910 PHILADELP , A 19101-7807 Patient Narr�e:JOHN O KELL Tax ID#: 27-2992136 AccoLnt Balance: $1,336.00 AmouM PerMing Insurence: $0.00 ��t1�H1+��I1��+I�I1111��.��11�1,�U'�Il.III�IJ��II��L(IJ Amount Dne From Patient(Gurrent): $O.UO 031205-�Q�00948339Z0-Db AmouMDueFrom ° � #BWNJFDB PatieM(Past Due): $1.,336.00 m #�OOOOOOCLE107728# Pay This Amount: 51,33B.00 JOHN G KELL 1 LONGSDORF WAY � YouR aCCOUn�r�s Now sEwous�Y CARLfSLE PA 17015-7623 PAST DUE,AMD A DELINQUENCY REVIEW tS BEiRt(3 CONDUCTED. Please refcr to coupon below�or pa�rnent instructions. Pay your bill sec.urely onNne anytime at www.AAyMedicalPayments.com Date # Oescription Charge Paid By Paid By Peid By Amount Oue From PATIENT First Ins. Other Ins. Patierd Adjusted Insurance BALANCE 1?!'17/10 1 �Z23 INI'f1AL HOSPITAL CARE LVl 3 5638.00 DX584.9 DR.SiPESlCARLISLE REGlONAL MEDICAL ENTER 08@2H 1 INSURANCE CLAIM DENIED-COVERAGE TERMINATE -50.00 5638.00 1?l18f10 2 99232 3U8-f1 HOS?rTAL CARE!V!2 5236.00 DX:584:9 DR.QABASAN JR/CARLISLE REGIONAL ME ICAL CE R 0812?J11 IIVSURANCE CLAIM DENlED-COVERAGE TERMINATE -50.00 5236.00 12M9M0 3 98252 SU8�4 HOSPfTAL CARE LVL 2 5236.00 DX:564.9 DR.GABASAN JRICARLISLE REGIONAL ME ICAL CE 0617JJ11 INSURANCE CLAIM DENIED-COYERAGE TERMINATE -50.�0 5236.00 1?120N0 4 �298 NOSP DISC DAY NKiNR;LT 30AA1NS 5228.0 DX�584.9 DR.OABASAN JRlCARLISIE REGIONAL M ICAL C R 06122H 1 IIVSURANCE ClAIM DENIED-COYERAGE TERMINATE -S0.00 5228.00 TOTALS: $�,336.00 $0.00 50.00 50.00 $0.00 $O.OD $1,336.00 Imporfant Nfessages: This sta�ement is for ftre direct treatme»t andlor supervision of care you recently received as a result ofyour InpatieM Hospital Visit at Cadisle Reg�onel Medieal Centec The fees for this privata physician are biUed separatety from any hospilal charges or ofher professional feas for whrch you max also be respcnsible.Therefore,should you receive a bill hom the hosplfal u other physicians for charges in connecNon with this visit,tt will not inctude the ttems Bsted on dus statement "Payment Plans"Accepted Questions about this statement?/Llame de Lunes a Viernes? � Ca111-800-522-3998 Monday through Friday 9:OOAM-3:OOPM. Your automated system access code is 1072-84833910,ar you can send email to statement questions�mcare.com. 95213R1-8'194 �� Please detach and return bottom portion with yoar remittance. �� _� __ _ �oHN�� __.._____._____-- - - - STATEMENT OF ACCOUNT 1 LONGSDORF WAY StatemeM Date: Septembe�OZ,2011 CARLISLE PA 17015-7623 ACCOUNT NUMBER: CLE94833910 YOU MAY PAY THIS BILL WI"fH YOUR CREDIT CARD PaueM Name:JOHN G KELL PLEASE SEE REVERSE SIDE. Rayment Due 8y: PAST DUE Make Check/Money Order payable to: AmouM Due: 51,336.00 Amount Encfosed: Go Green-pay oniine at MOUNT ROCK INPATIENT SERVICES �•MyMedicalPaymeMs.com The insurance infomtation in ow fileappears below.Please make any corrections P�B�X 37�Q7 andlor addidons on the teverse sida of Uiis tortn and retum it to us.Thank you. PHILADELPHIpc, PA 15101-7807 � ATBMA AETNA BETTER HEALTH �n��u��uu��i��u��u��u��u�t�n�� 8402491354 23228 ATTN:ClAIMS DEPT PHOENIX AZ 85082-21 98 ' . '� � if your address has changed, check this box. and complete the reverse side of this farm �-- -•��nnnnauA�a9l.nnn13360�D000000000�01 PINKER&ASSOCIATES 47 BROOKWOOD AVENUE PODIATRIC MEDICINE AND FOOT SURGERY CARLISLE,PENNSYLVANIA 17015 MARK E.PINKER,D.P.M.,FACFAS TELEPHONE 717-243-2236 DII'LOMATE,AMERICAN BOARD OF PODIATRIC SURGEONS FAX 717-243-6536 MARK S.GOLEC,D.P1VI. DIPLOMATE,AMERICAN BOARD OF PODIATRIC SURGEONS August 8, 2011 John Kell Cumberland Crossings 1 Longsdorf Way Carlisle,Pa 17013 Dear NIr. Kell, As you know,we have carrie�i an outstanaing balance of $�4,37'3:00 on your account for quite some time now. Please contact our office within five business days from the date of this letter to arrange payment. Failure to contact us within this time frame will result in one of the following actions: Cancellation of Debt: This is a taxable foim of income that will be reported to the Internal Revenue Service on an IRS Form 1099-C. If we exercise this option we recommend that you consult with�tax professional. Cancellation of debt is a unique form of taxable income that the IRS requires you to report. Collection Agency: Our office is currently contracted with CAPITAL ACCOUNTS. This agency has been instructed to exhaust its options to collect all balances turned over to them. This option frequently results in damage to people's credit reports. A$25.00 collection fee will be added to your account. We value your patronage and understand that it may be difficult to pay this balance at the current time. We would be happy to arrange a payment plan that would a11ow you to resolve this balance t'r�°uugh scheduled montnly payments. Ho�e��:, withoui a pronzpt efFor'�on yoiu•part.0 e�so�ve this balance,we will need to take the action described above. Once your account is turned over to the collection agency we will no longer be able to provide services to you until arrangements�re made for payment in full. We can provide you with a name of another provider is so desired. Sincerely, �`�t�iv`'�./ Debbie Keller Office Manager ' Estate Information Services LLC ��0■ � estate informa[ion services,Ilc. 2323 L�b Drive Suite 300 COIU111bUS� OH 43232 Hours:Mon-Thu 8am-9pm and Fri 8am-Spm EST Deceased Account Copection Agency Toll Free:(800)604-5435 Phone:(614)322-2758 Fax:(614)322-2761 www.probate-care.com 11/02/2011 0 MATTHEW A MCKNIGHT,ESQUIRE 60 W Pomfret St Carlisle,PA 17013-3243 RE Estate Of: JOHN KELL Creditor Name:DB SERVICII�TG CORPORATION Account Type:DISCOVER CARD Amount of Debt:$4,869.98 Account Number:************5815 Reference#:3062808 Dear Attomey MATTHEW A MCKNIGHT,ESQUIRE: We understand that you are the attomey for the above-referenced estate. We would appreciate someone from your office filling out the information below so that we may present an estate claim on behalf of DB SERVICING CORPORATION. No Notice to Creditors was received and the estate information is not readily ascertainable. Please fax this information to Estates Deparhnent(614)322-2761.There is no personal liability to your client associated with any balance owed on this account from lus/her personal assets or jointly held assets. Thank you for the information,and if you have any questions,please call our office at the toll free number listed above. Estate Information Services,LLC is a debt collection company. This is an attempt to collect a debt from the assets o}'the estate of JOHN KELL and any information obtained widl be used for that purpose. Catls may be monitored or recorded for quality assurance purposes. Sincerely, ESTATE INFORMATION SERVICES,LLC State and County of Estate: Case Number: Date Estate Open: Date Estate Closed: Executor Name: Executor Address: Executor Phone: Type of Administration: Date Letters Granted: Value of Estate: ' LLC ��• E nformation Services, X 137� estate uiformanoa services,llc. eynoldsburg, OH 43068-6370 Hours:M-T 8am-9pm,w-�rn s�,-�Pm,F 8am-Spm EST Deceased Account Collection Agency Toll Free:(877)714-3739 Phone:(614)729-1740 Fax:(614)322-2761 www.probate-care.com OS/30/2013 4 ��Ili��h�IlnP�udi��i�i�i��h��n��ylhlhl�nllu��l�il MATTHEW A MCICNIGHT,ESQUIRE 60 W Pomfret St Carlisle,PA 17013-3243 RE Estate Of:JOHN KELL Creditor Name:SECURITY CREDIT SERVICES,LLC Account Type:MARYLAND NATIONAL BANK,N.A. Amount of Debt:$1,998.50 Account Number:************9406 Reference#:3062416 Dear Attomey MAT"THEW A MCI�IVIGHT,ESQUIltE: Our office previously presented a claim against the Estate of JOHN KELL on behalf of SECURITY CREDIT SERVICES,LLC in the above-referenced amount. Please mail the estate's payment,along with the attached coupon to our office,or you may visit our website at http;//www._proUate-care.con�/payment if you wish to process the payment electronically. Upon receipt of said amount,a release of the claim will be prepared and sent to you. If you have any questions please feel free to contact the undersigned at our toll free number listed above. Estate Information Services,LLC is a debt collection company. This is an attempt to collect a debt from the assets of the estate of JOHNKELL and any information obtained will be used for that purpose. Calls may be monitored or recorded for guality assurance purposes. Very Truly Yours, `�� Tonya Smith Legal Assistant ______________�____�_�________Cut along this line--------_____�____�___________�� Please Make Check Payable To: ��. SECURITY CREDIT SERVICES,LLC csm[c information senices,Ila Mail Payment To: Estate Information Services,LLC. Debtor Name:JOHN KELL PO Box 1370 Reference#:3062416 Reynoldsburg,OH 43068-6370 Amount Due:$1,998.50 � __1 . � � � • • � • • � ' SPRING ROAD FAMILY PRACTICE, rG. 03/29/13 15413 � � i 1921 SPRING ROAD � _ � . � � � : CARLISLE, PA 17013 � 140.00* Address Service Requested MC VISA Security Card�� Code i S i gn Exp _/_ � i 41512 � i JOHN G RELL SPRING ROAD FAMILY PRACTICE, INC. � 2915 MOUNT MORRIS RD 1921 SPRING ROAD � WAYNESBURG PA 15370-2205 CARLISLE, PA 17013 I � . .� . � . s � -------------------------�.�___-------------------------_—__-----------------------------__.-------_.---------------------------------------•--------------------------------•--------------------- �AGES EXPLAINED � BELOW � . . � � - • • ' � �- ' � • : . *** Pay Account Balance Immediately to Avoid Collection A�encq! ! : : ! ! '�** � � *** PLEASE PAY UPON RECEIPT.IF YOU HAVE ANY QUESTIONS REGARDING YOUR '`'�* � ��'� STATEMENT PLEASE DO NOT HESITATE TO CONTACT ME AT (717)-243-5444 AND ASR �** � E *** FOR RUTH IN BILLING. '�*� i ��t�t�***��t��*��*�**��:��t��**�t�*��*��t*��r*��r�r�r��*��t**t.*��r�:��:*��*�� )1/10 1 103 L HYPERBARIC OXYGEN THERAPY 99183 896.1 140.OQ � )8/11 AETNA BETTER Payment 0.00 140.00* ! I ie 'PLEASE PAY' includes unpaid co-pay or co-ins. Please make payment. �ST PAID AMOUNT • - � � - .� • - •� � - � - . . . - . . )0/00 0.00 0.00 0.00 0.00 0.00 140.00 0.00 0.00 140.00 I ? SPRING ROAD FAMILY PRACTICE, INC. . , ,� , / 1921 SPRING ROAD ro: CARLISLE, PA 17013 Payment Due Upon Rec 140.00'ti Ph: (717)-243-5444 PAT�� 1-JOHN G RELL PRV��103-RAUFFMAN, TATE M. , M.D. Acct��: 15413 Date: 03/29/13 Page 1 of 1 „ r . �� .. � �,, ..�,��..,�.��, � NATIONAL RECOVERY AGENCY 2491 Paxton Street,Harrisburg PA ]71]1 Toil Free:(800)360-4319 John G Kell PIN#: 83170719 l Longsdorf Way NRA TD:QXT871 Carlisle,PA 1?015-7623 - TOTAL DUE: $850.00 Dear John G Kell, Your account has been forwarded to this office for collections. THIS COMMUNICATION IS FROM A DEBT COLLECTOR.THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. Below is a listing of accounts included in the total amount due listed above: ORIGINAL CREDITOR ACCOUNT# DATE AMO INTEREST COSTS AMT O WED TCIIV�TIC IMAGING 3b443 i 9/i7/ia .CC .Q� �-'-�.eC BLUE MOUNTAIN ANESTHESIA GROUP 16137 OS/02/1 I 810.00 .00 .00 810.00 Unless you dispute this debt,your payment should be made directly to this office.Please choose one of the following methods of payment. Please note that a service charge of twenty dollars will be added to all checks returned to us by your bank as pennitted by law. NOTICE: SEE REVERSE SIDE FOR IMPORTANT NOTICES AND CONSUMER RIGHTS PAYMENT OPTIONS Telephone Hours: Send Mail To: Via lnternet: �n Monday—Friday: 8:00 A.M.to 11:30 P.M. � NATIONAL RECOVERY AGENCY � pay online by credit card Saturday: 8:00 A.M.to 5:00 P.M. PO BOX 67015 or check at Eastern Standard Time HARR[SBURG,PA 17106-7015 www.nationalrecover�±.cvan (800)360-4319 �'�I�s�c+nr rro!??TJQTTQNAT.RF�(��JF_.RY A�F.NCv�nay he rwc�rr�e�c�.r mo�?itnre�.. �To ensure proper credit to your account please detach bottomportion and return it with pa�nent in the enclosed envelope_� _ _. . --- - ---------__._ . . --�-------�---- -- --�----- - --...._. ------�------------------------------- -- -- --- ---.._ . -------------------------------------------------- -------- IF PAYING BY CREDIT CARD FILL OUT BELOW. .. ... PO Box 67015 �+�� O ”"`¢'` NiasterCard �� D�ver Harrisburg,PA 17106-7015 �� I�IQIIII9�9IqINtl�I�III�IIIaI�N�IIIINI�IIII�III C�DNUMBER SE�RIn1�,2�DE SIGNATURE EXP.DATE TOTAL DUE $ PAYMENT AMOUNT NRA ID# $850.00 OXT871 Toll Free:(800)360-4319 For Online Pa}nnents visit www.nationalrecoverv.com Statement Date: August 26,2011 INRAG018 201109464325 1803/0000907J0005 MAKE PAYMENT AND REM1T TO: �Ili�i�nil�li�l��i�il�lll�li�il�ill�l�ll��ili�li��u�� „��,��„��s��,��,�,��,,,,��,��,�,u John G Kell NATIONAL RECOVERY AGENCY 1 Longsdorf Way PO Box 67015 Carlisle,PA 17015-7623 Harrisburg, PA 17106-7015 Self-Addressed stamped envelope is required for return receipts. �.=�- _ u u � � �� r � ��. , �,.._ . . ,�� _ w � .� � .�,� , . �� -- �� Department 835 PO BOX 4115 . � — CONCORD CA 94524 I h119111111�IB IIII IVII I�II I�II IN�lllll lllll lllll lhll Uill�lu lllll�ltl llll bll septeml�er�,20�t NATIONAL CREDIT ADJUSTERS � PO Box 3023-327 W 4th St. Hutchinson, KS 67504-3023 Address Service Requested Toll Free: 1-866-247-6999 Fax: 620-664-5947 www.ncaks.com #BWNFTZF#NCA6636421311084# lii.,ili�iii,�iiii,i�.,,�,i,,,iil„�,il�ll�illil,,,,,il��illli,,, JOHN G KELL NATIONAL CREDIT ADJUSTERS 315 MCALLISTER CHURCH RD PO Box 3023 CARLISLE PA 17015-9577 Hutchinson, KS 67504-3023 Current Balance: $17783.45 NCA Reference Number 2020945 Original Creditor: HOUSEHOLD BANK NCA Reference Number 2020945 Current Balance: $17783.45 --..._ - --__.. �_ �_._- ----`---- ��'-.. FALL TIME SPECIAL SETTLEMENT OFFER $4,445.86 Pay 25%of the balance with one payment of$4,445.86 and your account will be paid in full. After payment in full has been made, NCA will report your account paid. Upon your request, we can also send a receipt. You need to call NCA by September 30,2011,or this offer becomes null and void,and we are not obligated to renew this offer; however, if you need more time call, 1-866-247-6999. All future payments and correspondence should be addressed to this office. This letter is null and void if prior arrangements have been made, if we have already received your full balance or if we have already sold your account. This communication is from a debt collector trying to collect a debt.All information obtained will be used for that purpose. Sincerely, Settlement Department National Credit Adjusters NCAFLST2-0829-182188�2� �.�, ��..� ,� ,,...>� .��,� � -� � �,.� �. � _ e �_ . �_— ... _ __ __ .: ------___ :�""" . SIMM ASSOCIATES, INC. ctober 20 2011 800 PENCADER DRIVE NEWARK DE 19702 (866)572-9374 IENT: Resurgent Capital Services, LP B LANCE: $11,094.23 A COUNT#:4264298468398105 ORIGINAL CREDITOR: MBNA Estate of JOHN KELL, On behalf of Resurgent Capital Services, LP we extend our condolences on your recent loss. This account has been referred to SIMM Associates to resolve the outstanding balance. If an estate has been probated please provide our office with the estate information or a copy of the Notice to Creditor's so we may properly file a creditor's claim in the estate. You may not be personally liable for this debt; however, we ask that you advise as to what the intentions are of the estate with regard to the outstanding debt. Please contact SIMM Associates at 866-572-9374 to discuss this matter. We are here to work with you during a difficult time and to help find an amicable resolution to this matter. This is an attempt to collect a debt by a debt collector.Any information obtained will be used for that purpose. Untess 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 the debt is valid. If you notify this o�ce in writing within 30 days from receiving this notice, 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 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. Please review the Privacy Notice contained on the second page of this letter for an explanation of the Account Owners policies and procedures regarding the use of non-public personal information. All inquiries regarding this account should be addressed to our office and not to creditor as noted above. Sincerely, SIMM Associates (866)572-9374 PLEASE:To ensure proper credit remit payment directly to our office only. Remit to: SIMM Associates, Inc. P.O Box 7526 Newark, DE 19714-7526 Payments can be made via credit card or bankdraft at: W WIN.SI M MASSOCIATES.CO M/PAYM ENT.HTM "*Please See Reverse Side For Important Information** Department 4121 Detach Bottom Portion And Return With Payment PO Box 1259 Oaks PA 19456 III�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII�I�IIIIIIII Account#: Balance: 6177280 $11,094.23 Client: Resurgent Capital Services, LP _Opt-Out Notice(See back for details) li.liilnii,��i�,u�,i,ii,i,ilil�i�ll�rllil�i�i�i�,�i,�.,��„��. � � JOHN KELL 4603-4935 SIMM ASSOCIATES, INC. � 2915 MOUNT MORRIS RD P.O. BOX 7526 N WAYNESBURG PA 15370-2205 NEWARK DE 19714-7526 I��III�I��I��I��II�I��II��I�I�I��I�I�11��1�1�11��11��1 iiiiiiiiiiiimiiiiiiiiiiii��l(�iii�t��i�� 4��,,.�5 SIMM ASSOCIATES, INC. October 20 2011 800 PENCADER DRIVE NEWARK DE 19�02 (866)572-9374 CLIENT: Resurgent Capital Services, LP BALANCE: $1,802.87 ACCOUNT#: 6008890767544653 ORIGINAL CREDITOR: GE Capital Estate of JOHN KELL, On behalf of Resurgent Capital Services, LP we extend our condolences on your recent loss. This account has been referred to SIMM Associates to resolve the outstanding balance. If an estate has been probated please provide our o�ce with the estate information or a copy of the Notice to Creditor's so we may properly file a creditor's claim in the estate. You may not be personally liable for this debt; however, we ask that you advise as to what the intentions are of the estate with regard to the outstanding debt. Please contact SIMM Associates at 866-572-9374 to discuss this matter. We are here to work with you during a difficult time and to help find an amicable resolution to this matter. This is an attempt to co!lect a debt by a debt collector.Any information obtained will be used for that purpose. Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this o�ce will assume the debt is valid. If you notify this offlce in writing within 30 days from receiving this notice, 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 this office in writing within 30 days after receiving this notice, this o�ce will provide you with the name and address of the original creditor, if different from the current creditor. Please review the Privacy Notice contained on the second page of this letter for an explanation of the Account Owners policies and procedures regarding the use of non-public personal information. All inquiries regarding this account should be addressed to our office and not to creditor as noted above. Sincerely, SIMM Associates (866)572-9374 PLEASE: To ensure proper credit remit payment directly to our office only. Remit to : SIMM Associates, Inc. P.O Box 7526 Newark,DE 19714-7526 Payments can be made via credit card or bankdraft at: W W W.SI M MASSOCIATES.COM/PAYM ENT.HTM **Please See Reverse Side For Important Information** Department 4121 Detach Bottom Portion And Return With Payment PO Box 1259 Oaks PA 19456 IIIIIIIIIIII�IINI�I�Iu11I11IIII1IIIIIII�IIIINIIIIIIIIII Account#: Balance: 6173611 $1,802.87 Client: Resurgent Capital Services, LP _Opt-Out Notice(See back for details) ��I�I�ili�l��ll��lll��l��ll�ll�ll��l�l��l�l� � � JOHN KELL 4603-1382 SIMM ASSOCIATES, INC. � 2915 MOUNT MORRIS RD P.O. BOX 7526 A WAYNESBURG PA 15370-2205 NEWARK DE 19714-7526 I��III�I��I��I��II�I��II��I�I�I��I�I�II��I�I�II��II��I (IIIIII)IIIIIIII�IIIIII�fI I�III IIIIIIIIIIII�IIIIII IIIIIIII 4603-11-1382 SIMM ASSOCIATES, INC. October 20 2011 8�PENCADER DRIVE - NEWARK DE 19702 (866)572-9374 CLIENT: Resurgent Capital Services, LP BALANCE: $5,301.50 ACCOUNT#: 4417112219176247 ORIGINAL CREDITOR: Chase/Chemical Bank Estate of JOHN KELL, On behalf of Resurgent Capital Services, LP we extend our condolences on your recent loss. This account has been referred to SIMM Associates to resolve the outstanding balance. If an estate has been probated please provide our o�ce with the estate information or a copy of the Notice to Creditor's so we may properly file a creditor's claim in the estate. You may not be personally liable for this debt; however, we ask that you advise as to what the intentions are of the estate with regard to the outstanding debt. Please contact SIMM Associates at 866-572-9374 to discuss this matter. We are here to work with you during a difficult time and to help find an amicable resolution to this matter. This is an attempt to collect a debt by a debt collector. Any information obtained will be used for that purpose. Unless you notify this o�ce within 30 days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office will assume the debt is valid. If you notify this office in writing within 30 days from receiving this notice, 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 this offlce 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. Please review the Privacy Notice contained on the second page of this letter for an explanation of the Account Owners policies and procedures regarding the use of non-public personal information. All inquiries regarding this account should be addressed to our office and not to creditor as noted above. Sincerely, SIMM Associates � (866)572-9374 ; � PLEASE: To ensure proper credit remit payment directly to our office only. Remit to: SIMM Associates, Inc. P.O Box 7526 Newark, DE 19714-7526 Payments can be made via credit card or bankdraft at: W W W.SI M MASSOCIATES.CO M/PAYM ENT.HTM **Please See Reverse Side For Important Information"* Department 4121 Detach Bottom Portion And Return With Payment PO Box 1259 Oaks PA 19456 IINIIIIIIIIIIIN��IIIIIUIIIHIIIIIIIIIIIAIIII�IIIIIIIII Account#: Balance: 6189673 $5,301.50 Client: Resurgent Capital Seroices, LP _Opt-Out Notice(See back for details) n��niuir�i,��iil��llli�i��,�,��ll4�uillllii��hl�i��ulii) � � JOHN KELL 4603-18258 SIMM ASSOCIATES, INC. m 2915 MOUNT MORRIS RD P.O. BOX 7526 WAYNESBURG PA 15370-2205 NEWARK DE 19714-7526 I��III�I��I��I��II�I��II��I�I�1��1�1�11��1�1�11„II��I I IIIIIIII III IIIII II�IIIII I��I�II IIIII IIIII IIIII IIII IIII 4603-17-16258 f��y� �� ^eYl'��S� . . . � �,,.;� !: ' R� �rei IF PAYIN(i BY CREDIT CARD,FlLL OUT BELOW AND SEE REVERSE SIDE '=;�, 1�i.CIOi V! ��, 45 Sprint Drive CHECK CARD USING FOR PAYMENT �—_ `� MEDICAL CENTER Carlisle,PA17013 ADDRESS SERVICE REpUESTED � �� vrs� ❑ �Ep�� MASTERCARD DISCOVER VISA [_°�?�5 qMERICAN EXPqESS ACCOUNT NO. STATEMENT DATE BALANCE DUE • • � •• � '' � : UPON RECETP'T 112.8858 08/15/2011 59,936.64 MAKE CHECKS PAYABLE TO: "' John G Kell 1 Longsdorf Way CARLISLE REGIOiVAL MEDICAL CENTER o Cumberland Crossin�s p.0. BOX 281442 � Carlisle PA 17015 ATLANTA GA 30384-1442 I��III��lll��ll�l�i�l��l�il��l�i��ll�ll��lll��li I��II�II��„�II�I��I��I��I��II�I��I�I��I��I�I�I��I��I�I�I�I�I 00000112885800000993664JOHN G KELL 3 ❑ Please check if above address is incorrect and indicate change on reverse side. TO INSURE PROPER CREDIT,DETACH AND RETURN THIS PORTION IN THE ENCLOSED ENVELOPE. -- PATIENT NAME PATIENT ACCOUNT N0. DATE OF SERVICE TYPE OF SERVICE John G Kell 1I28858 07/O1/2011 Ot1TPATIENT DATE DESCRIPTION PAYMENT/ADJUSTMENTS WOUND CARE 08/05/11 UNINSURED DISCOUNT 6,160.72- 08/08/11 UNItJSUREII `D]:SCOUN7 b,160.72 PAYMENTS AND CHARGES RECEIVED AFTER THE STATEMENT DATE WILL BE REFLECTED ON THE NEXT STATEMENT. � 1 ; � � � 5 9,9 3 6.6 4 MESSAGES This statement refiects the amount you owe from your FOR BILLING �UESTIONS,PLEASE CALL: recent hospital visit. Our records indicate you have (717)960-1680 applied for State Assistance(Medicaid). I�lease cantact the Business Office and advise us what has occurred since you mad� application. Bills can be paid online at our haspital internet�veb site www.carlislermc.com '' 1 PON RECEIPT .�.,� � . � � ��,.�� ,�- �..��., _ .�_� . ,..��.�_.��.,��, . � , �;.. F� i'.'F R/ ��"" ""-1"�`��"A-°�-' IF PAYING BY CREDIT CARD,FILL OUT BELOW AND SEE REVEfiSE SIDE w� � � 1�i..GIOI Vlll. 45 Sprint Drive CHECK CARD USING FOR PAYMENT .,,* �:; -_-' MEDICAL CENTER CefIiS18,PA17013 � -❑ ❑ Efl1 ❑ ADDRESS SERVICE REQUESTED � MASTERCAHD DISCOVER VISA D6'R�S AMERICANEXPRESS ACCOUNT NO. STATEMEN7 DATE BALANCE DUE • . • •. � '� � : UPON RECEIPT iL36Q84 09/12/-2OI-1--�9-,-7-2�.12 MAKE CHECK3 PAYABLE TO: — John G Kell 1 Longsdorf Way CARLISLE REGIONAL MEDtCAL CEN7ER � Cumberland Crassings N.O. BOX 281442 Carlisie PA 170y5 qTL�NT�GA 30384-1442 ��u��nm��u�i��nu��n��nnn��in�� n��nn��u�n�n�n��u��n�u��u�n�� 000001136U84000009722Z2JOHN G KELL 5 ❑ Please check if above address is incorrect and indicate change on reverse side. TO INSURE PAOPER CREDIT,DETACH AND RETURN THIS PORTION IN THE ENCLOSED ENVELOPE. _ PATIENT NAME PATIENT ACCOUNT N0. DATE OF SERVICE TYPE OF SERVICE John G Kell 1136084 08/O1/2011 OUTPATIENT DATE DESCRIPTION PAYMENT/ADJUSTMENTS WOUND CARE PAYMENTS AND CMAROE8 RECEIVEO AFTER THE STATEMENT DATE WILL BE REfLECTED ON THE NEXT STATEMENT. � 1 : � i 1 $g,722,].2 MESSAGES This statement reflects the amount you owe from your FOR BILLING �UESTIONS,PLEASE CALL: recent hospital visit. �ur records indicate you have (717)960-1680 applied for State Assistanee (Medicaid). �lease contact the Business Office and advise us what has occurred since you made application. Bilis can be paid online at our hospital internet web site www.carlislermc.com _.------- ----- __. �' � PON RECEIPT r� ,.. . .� _,�� .� . �,�.., ti�.. �.� ��ri.� ��.��..�...,� ,.__ _ . ( � C.ARI.ISLE ----- - - \�RECIONAL P�O.BOX 4100 IF PAYING BY CREDIT CARD,FILL OUT BELOW AND SEE REVERSE SIDE M E D i C A L C E N T E R Cd(IISIB,PA 17013-4100 CHECK CARD USING FOR PAYMENT ADDRESS SERVICE REQUESTED ❑ � ❑ �❑ ❑ MASTERCARD DISCOVER � VISA AMERICAN EXPRESS ACCOUNT NO: STATEMENT DATE BALANCE DUE • • • •� � '' � : UPON RECEIPT 1111456 O7/11/2011 $5,715.00 MAKE CHECKS PAYABLE TO: John G Kell 1 Longsdorf Way CARLISLE REGIONAL MEUtCAL CEiV7ER Cumberland Crossings P.O. BOX 281442 r Carlisle PA 17015 � ATLAN'TA GA 30384-1�342 (m��m��n�u��i�n��un�i�n��i��u�n��m�� n��nn��u�i��n��n��i��n�n��n�u��i� 000001111456000005?15(IOJOH�� G KELL 1 � ❑ Please check if above address is incorrect and indicate change on reverse side. TO INSURE PFOPER CREDIT,DETACH AND RETURN THIS PORTION IN THE ENCLOSED ENVELOPE. PATIENT NAME PATIENT ACCOUNT N0. DATE OF SERVICE TYPE OF SERVICE John G Kell 1111456 05/02/2011 OUTPATIENT DATE DESCRIPTION PAYMENT/ADJUSTMENTS WOUMD CARE Ob/03/11 UNINSURED DTSCOUNT 9,324.48- PAYMENTS AND CHARfiES RECEIVED AFTER TH�STATEMEPIT DATE WILL BE flEFLECTED ON TNE NEXT STATEMENT. ' 9 : � � 6 $5,715.0 O MESSAGES Your hospital bili has not been paid in full as of FOR BILLING OUESTIONS, PLEASE CALL: this date. Uniess you remit the balance or contact the (717)960-1680 business office to establish an acceptabie payment plan, we will have no a(ternative other than to forward your account to a nationai collection agency. We are sure you do not wish this action. Your immediate payment would be greatly appreciated. Only you can protect your credit. Bills can be paid online at our hospital internet web site www.carlislermc.com �' s � PON RECEIPT . . v, ..�ry-w„��.�Y.�,� �z{� ��.��'`s, �� ' ��t�� `� CRNA - CARLISLE ..d��s°��` ,� ....� ..:�i�,c.w`�',x:�,�`i�.�k>a�.� � x�e.�t�a��,et�,�c1�r��i�� 05102111 ASSET MANAGEMENT«c � ,;� �� x � �� 1891 Santa Barbara Drive,N204 �� € � � �� 5383.50 �-� r.s �_.��:��`��: Lancaster,PA 17601 � '��- �� k �� 717-519-1770 or 888-592-2144 ��fi�:�� ' 19517222 �x�� .�. .��.. x �� ° . October 22, 2011 Dear JOHN G KELL: Your accountls)with CRNA - CARLfSLE has been placed for collection. List of Accounts : Name Account Number � Service Date Balance Due CRNA - CARLISLE 767810 05102I11 5383.50 You are asked to pay or dispute this account directly with this office only. Please provide the above referenced number and 6alance when writing or calling about qour account. Telephone: 717-519-1770 or 888-592-2144 You should act to avoid the possibility of this account becoming a part of your credit history. Any account not paid in full before 11121111 may be reported on your credit file for seven years from the date of seruice. This is an attempt to collect a debt. Any information obtained will 6e used for that purpose. Unless 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 vatid. If you notify this office in writing within 30 days after receiving this notice,this office will obtain verification of the debt and mail you a copy of such verification. If you request from this office in writing within 30 days after receiving this notice, we will provide you with the name and address of the original creditor if different from current creditor. This communication is from a debt collector. Please tear off and return lower portion with payment. PO Box 7044 If ou wish to a b credit card, lease enter the information in the s ces rovided. � lancaster PA 17604•7044 � � �y�s,q � � IIIIIIIIII�IIIU�IIIII�NIHIII�IIIIII�IIN�IIIINIII�I�IIIIIIIII 00696 Card# SecurityCode ExpiretionDate Billing Address Signature Amount Q Authorized `� APEX Asset Management,LLC i � � � �� n �� i �� n �� PO Box 7044 �� ( III �I� �� Lancaster PA 17604•7044 767810 195172221241 LAN H1 6��m��lnn�u�ln��llnn�u6�u��lu��lull��u� JOHN G KELL 32415-21 2915 MOUNT MORRIS RD 4 WAYNESBURG PA 15370•2205 ��t�� ; 19517222 {�F'a��"is��ntmt?a S383.50 —TDate� October 22,2011 P. O. BUX 1�618, DEPT 51 NCO FINANCIAL SYSTEMS, INC. � W1LIVi'ING'T'ON,DE 19850 140 Sprint Drive �I"�'�'I�'�I�'�I�"I)I��I�"�'�'�"�I�'��III'��I"��"� Blountville, TN 37617 7�79389Q/8 December 8,2011 OFFICE HOURS: MON&THUR: 8:OOAM-8:OOPM ET TUE, WED,FRI: 8:OOAM-S:OOPM ET SATURDAY: 8:OOAM-NOON ET PHONE: 1-800-877-�127 Ilil�llil��irr,�li��i�,r�i��ll�iill�llrlill�i��i�il��ill� 11957-137 � � JOHN G KELL � 0 2915 MOUNT MORRIS RD � WAYNESBURG PA 15370-2205 CARLIS GION DICAL CENTER RE: J� G RE: 1� 222 •, DATE O SERVICE: 06/�011 BALA CE: $84.05 Your Account 1VIay be Credit R orted! Our recards indicate that your balance of$84.05 is due in full. It is our intention to wor wrt you to resolve this collection account. However, subject to your dispute and validation rights provided on the reverse side of this letter, if you fail to resolve ttus collection account,we may report the account to all national credit bureaus. To assure proper credit,please put our reference number 75793890 on your check or money order. Calls to or from tliis company may be monitored or recorded for quality assurance. You ma�r also make payment by��isiting us on-line at www.nco�nancinl.com. Your unique registration code is f32.2=t116243.75793890.1032. To receive future notices far the account(s)by e-mail,visit www.ncofinancial.com for details. This is an attempt to collect a debt. Any information obtained will be used for tl�at purpose. This is a communication from a debt collector. Notice: See Reverse Side For Important Information. See Reverse Side for Federal Validation Notice. ______ __ __ PLEASE RETURN THIS PORTION WITH YOUR PAYMENT(MAKE SURE ADDRESS SHOWS THROUGH WINDOW) - ------ ---------------------------------------------------------------------------------------------------------- Creditor Reference#: 1122206, JOHN G KELL Our Reference# Total Balance NCO Financial Sys[ems, Inc. 75793890 $84.05 140 Sprint Drive Blounri�ille,TN 37617 Payment Amount ■ PHONE: 1-800-877-4127 � Credit Card Number � . (VISA and MasterCard only) Make Payment To: NCO FINANCIAL SYSTEMS, INC. - KGPORT P.O. BOX 15273 WILMINGTON, DE 19850 I��IIIJ�J��I��LLIL��I��JI NCO 8 P 025175793890300�0�00500000000000�84059 137 ... . . � --� ��... _ � -. `��r��`��•I��i� ��'��vVIO7G 070171'IN UU1/17JR v!1l�LdSl A ' ' IF PAYINd BY CREDIT CARD,FlLL OUT BELOW AND SEE REVERSE SIDE 1�L.GIOI V�1L 45 Sprint Drive CHECK CARD USING FOR PAYMENT M E D I C A L C E N T E R Carlisle,PA 17013 � � -� �Q ��R� � ADDRESS SERVICE REQUESTED MASTERCARD DISCOVER � VISA °��55 AMERICANEXPRESS ACCOUNT N0. STATEMENT DATE BALANCE DUE • � • � � �� UPON RECEIPT 1100659 05/09/2011 5836.30 MAKE CHECKS PAYABLE T0: — John G Kell 1 Longsdori Way CARLfSLE REGfONAL MEDICAL CENTER W Cumberland Crossings p.0. BOX 281442 � Carlisle PA 17015 ATLANTA GA 30384-1442 ��u��m��n�m��n��{�ui��n��i�{�nni{,{�� i��i��ni��u��i�i��n��i��n�� 000001100659000QQ083630JOHN G KELL 5 ❑ Please check if above address is incorrect and indicate change on reverse side. TO INSURE PROPEFi CREDIT,DETACH AND RETURN THIS POR710N IN THE ENCLOSED ENVELOPE. _ PATIENT NAME PATIENT ACCOUNT N0. DATE OF SERVICE TYPE OF SERVICE John � Kell 110Q659 04/O1/2011 OUTPATIENT DATE DESCRIPTION PAYMENT/ADJUSTMENTS WDUND CARE � 05l06/11 UNINSURED DISCOUNT 1,364.49- , � -r,, � - `... PAYMENTS AND CNARGES RECEiVED AFTER THE STATEMENT DATE WILL BE REFLECTED ON THE NEXT STATEMENT. � 1 : � � 1 5836.30 / MESSAGES FOR BILLING OUESTIONS, PLEASE C �L: � The amount shown on this statement is outstanding at �---� this time. Your prompt payment will be greatly (717)960-1680 appreciated. Bilis can be paid online at our hospita!internet web site www.carlislermc.com • � 1 PON RECEIPT set Acceptance, LLC Toll Free(877)327-7 PO Box 2036 Warren, MI 48090-2036 \ ; �_.� September 14, 2011 Estate of:John G Kell Res Ge CapitaU Ge Capital-Lowe's Consumer Original Acct#: 7982220390334314 Asset.Acceptance, LLC Acct#: 33333114 Current Balance: $3231.02 ' Expiration Date:October 14, 2011 To Whom It May Concern: We are requesting information regarding an estate, which may have already been filed in the probate court or information on any plans to file an estate in the near future. If you have already been in contact with our company regarding the account, we apologize for any inconvenience; however, we would appreciate confirmation from the family so that we may properly handle this matter. To assist you in settling this debt we would like to extend a 50%discount on the balance of the account. To discuss this settlement offer and provide the information requested above, please contact our office toll free at (877)327-7384, ext.8789. This offer will expire on October 14, 2011. It may be possible to extend the deadline under certain circumstances. The settlement offer outlined above is guaranteed through the above referenced date. After that time we reserve the right to modify the settlement offer, or revoke the offer entirely. We are not obligated to renew this offer. This offer is void if a previous settlement has been arranged. Thank you for your prompt attention to this matter. This is an attempt to collect a debt and any information obtained will be used for that purpose. Sincerely, Natalie Cooper Phone: (877)327-7384 Ext. 8789 Debt Collector Asset Acceptance, LLC CCGASSE01 OS_0451 ��-:: _ '"'Detach Lower Portion and Return with Payment"'" Asset Acceptance, LLC Acct#:33333114 '� PO Box 2039 Current Balance:$3231.02 � E Warren MI 48090-2039 Expiration Date: October 14,2011 ADDRESS SERVICE REQUESTED September 14,2011 Asset Acceptance,LLC PO Box 2036 33333114-OS_0451 623783443 �Narren MI 48090-2036 �I��II�n��'I'I�I��IIII�I��ItI�I�I1��I�I�I�II�Jlll�ll��11111�� I�I��II��I�U��LI��f1��I�III��IGiIIr�i�Ili�IL�l�l��l Estate of: John G Kell 315 Mcallister Church Rd Carlisle PA 17015-9577 ,� Asset Acceptance, LLC Toli Free(877)327-7 PO B x 2036 Warren, MI 48090-2036 February 8, 2012 ._.�.ky.'��rp'(.1 VS��G4Y��` �._� v7 p'�� Estate of:John G Kell , Re: Home DepoUCitibank �� - ��$� Original Acct#:6035320042400869 i�i�liV&ivicKidlGH"` Asset Acceptance, LLC Acct#: 32573208 ;��fFiCE: Balance at Death:$877.01 Expiration Date;'March 09, 2012 Dear Matthew Mcknight: - Accordmg.to ou�records, you are the attorney for the estate of John G Kell and we believe you are aware that Asset Acceptance, LLC presented a claim against the estate in the amount of$877.01. We would appreciate hearing from you�to discuss the claim: ' At this time we are proposing an early settlement offer of 25%off the balance. If you wish to discuss our settlement.offer, please feel free to call our P�obate Department toll free at(877)327-7384 ext. 8789 and one of our;staff will be-happy to assist you. This offer will expire on March 09, 2012. It may be possible to extend the deadline under certain circumstances. The settlement offer outlined above is guaranteed through the above referenced date. After that time we reserve the right to modify the settlement offer, or revoke the offer entirely. We are not obligated to renew this offer. This offer is void if a previous settlement has been arranged. Thank you for your prompt attentPon to this matter. This is an attempt to collect a debt and any information obtained will be used for that purpose. Sincerely, Christina Elliott Phone: (877)327-7384 Ext. 8789 Debt Collector Asset Acceptance, LLC CCGASSE01 OS_0455 `"`Detach Lower Portion and Return with Payment"' Asset Acceptance,LLC Acct#:32573208 PO Box 2039 Balance at Death:$877.01 � Warren M148o90-2039 Expiration Date: March 09,2012 ADDRESS SERVICE REQUESTED February 8,2012 Asset Acceptance, LLC PO Box 2036 32573208-OS_0455 723988965 Wa�ren MI 48090-2036 I�I��I'lll��llllll��l'I'II�IIII1��"IIIII'I�II�I�II��1�111�1 I�I��II��I�II��I,I��II��I�III��II��II��II��II��I�I��I Matthew Mcknight 60 W Pomfret St Carlisle PA 17013-3243 �_. _ ,f�.�..�,... CARLISLE FIIrIA PHYSICIAN MANAGII�I784599 ��'�°��n�� Ch�kN# OPTION3 �t $ �rv PO BOR 281629 ATLANTA, GA 303841631 V1202C 079 5392D Please Include Securi Code From Back Of Card M012 CHECK CARD USING FOR PAYMENT RL''TLJRN SERVICE REQDESTED M�ASTERCARD ��^ V�ISA � D�ISCOVER CARD NUMBER EXP.DATE CARDHOLDERNAME SECURITYCODE SIONATURE AMOUNT REMITTO: CARLISLE HMA PAYSICIAN MANAGEM JOHN G KELL PO BOX 281629 r� ATLANTA GA 30384-1629 �n��u��u��iu��u��n�i��i� PLEASE RETURN THIS PORTION WITH PAYMENT Office Phone Number Statement Date Your Account Number Page No. Patient Balance SHOW AMOUNT /� 717-519-0753 12/12/11 784599 2 CONTINUED PAID HERE �(�/� ------------------------------------------------------------------------------------------------------------------- CHARGES APPEARING ON THIS STATEMENT ARE NOT INCLUDED ON ANY HOSPITAL BILL OR STATEMENT �` ��, � • a � ' �. ' 016 B / Insurance Balance: 0.00 Patient Balance: 2.00 i1011 WIRJOSEMITO PROCEDURE INV#:9 KELL,JOHN 437.0`0 COPAY IS 4.00 100511 DPW PAY�HENT 0.00 101111 DPW ADJUSTP�ENT 0.00 110911 DPW PAYMENT _gg�47, 110911 DPW ADJITST�ENT -334.5�' Insurance Halance: 0.00 Patient Balance: 4.00 ►2611 WIRJOSE�ITO PROCEDIIRE INV#:12 KELL,JOHN 437.00 COPAY IS 4.00 100511 DPW PAY�ENT 0.00 110911 DPW PAYMENT _gg�47 110911 DPW ADJtTSTMENT -334.53 Insurance Balance: 0.00 Patient Balance: 4.00 i2911 WIRJOSED�ITO PROCEDURE INV#:15 KELL,JOHN 437.00 COPAY IS 4.00 100511 DPW PAYMENT 0.00 110 911 DPW PA7[�4ENT _g g�4� 130911 DpW ADJU3TMENT -334.53 Insurance Balance: 0.00 Patient Balance: 4.00 12611 WIRJOSEMITO PROCEDURE INV#:17 KELL,JOHN 79.00 COPAY IS 1.00 100511 DPW PAYMENT 0.00 tement PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE: :e: 12/12/11 784599 PATIENT BALANCE PAY THIS AMOUNT CONTINUED ND INQUIRIES/PAYMENTS TO: CARLI$LE HMA PHY3ICIAN NlANAGEM PO BOX 281629 Al1 unpaid balances will be ATLANTA, GA 303841631 sent to a collection agency and all collecbion/legal fees will be your responsibility. 1142 8710594 003426 003426 00002/00003 .,s,�� , _ �,:. _ �,�,.�,,,., - ��rt.,,..,,, n.�- ,�_ Darryl K. Guistwite, D.O., Inc. . . 56 Ashton Street Carlisle, PA 17015-6914 Darry� K. �uistwite, �.o., ir,�. 56 Ashton Street � (717) 609-2639 Carlisle, PA 17015-6914 � � 02/16/11 02/16/11 JOHN G. KELL ' • '' ' ' •' 1 LONGSDORF WAY CARLISLE PA 17015 1636 . 0 (1) 1636 . 0 Detach this stub and return with payment. ��Date� ��:'�` escr�pfion�'�` -Char�e � Creilit�� . Ba'larice Date�� JOHN G. KELL ( 1636 . 0) 1636 . 0) 11/O1/10 NURSING HOME EST. PATIENT 75 . 00 12/21/10 Adjustment 0 . 00 12/21/10 Adjustment 13 . 71 61 .29 11/O1/10 11/03j10 NURSING HOME EST. PATIENT 75 . 00 12/21J10 Adjustment 0 . 00 12/21/10 Adjustment 13 . 71 . 61 .29 11/03/10 11/05/10 NURSING HOME EST. PATIENT 75 .00 12/21/10 Adjustment J 0 . 00 12/21/10 Adjustment 13 . 71 61 .29 11/O5/10 11/08/10 NURSING HOME EST. PATIENT 75 . 00 12f21/10 Adjustment 0 . 00 12/21/10 Adjustment 13 . 71 61 .29 11/08/10 11/22/10 NURSING HOME NEW PATIENT L 170 . 00 12/21/10 Adjustment 0 . 00 , 12/21/10 Adjustment 23 .40 � 146 . 60 11/22/10 11/24/10 NURSING HOME EST. PATIENT 75 . 00 12/21/10 Adjustment 0 . 00 12f21/10 Adjustment 13 . 71 61 . 29 11/24/10 12/O1/10 NURSING HOME EST. PATIENT 75 . 00 12/21/10 Adjustment 0 . 00 12/21/10 Adjustment 13 . 71 61 . 29 12/01/10 12/03/10 NURSING HOME EST. PATIENT 105 . 00 12j21/10 Adjustment 0 . 00 12/21f10 Adjustment 21 . 31 83 . 69 12/03/10 12/06/10 NURSING HOME EST. PATIENT 75 . 00 r;;' Totai Due Current 31-60 Days 61-90 Days 91-120 Days Over 120 Days . . � - x � P/ease �: � pay fhis �.:._:: ,,.,f� � `x�-<.:. � ��, � .� � � �� ,. . - �. ; , .. . �, , _ , . �. �.-�,�,. � „� �,� . ,� .. .._. . �-,.t ,, ,.�.-_ � P'cia A. Ro:sendale CPA LL � , C � , , Certified Public Accountant �Apn127,:2U12 , 255 Hickory Rd. • Carlisle PA 17015 Telephone or fax:(717) 243-3184 , e-mail: rosendale@comcast.net Irwin&McKnight, P.C. - 60 W. Pomfret St. . Carlisle:PA 17013 Re: John`G. Kell Tax Year-2008� Gentlemen: Enclosed are 2008 Federal, State and Local tax returns for the referenced taxpayer. Please take a few minutes to review these returns and note the following filing instructions: Federal Return—The return must be signed and dated at the bottom. Enclose a check in the amoun�of$3,025 payable to United States Treasury. Mail the return to: Intemal Revenue Service Center P. O. Box 149338 Austin TX 78714-9338 Pennsylvania�Return —The return must be signed and dated at the bottom. Enclose a check in the amount of$27 payable to PA Department of Revenue. Mail the return to: PA Department of Revenue 1 Revenue Place Harrisburg PA 17129-0001 Local Return-The return must be signed and dated at the bottom. No tax is due with this return. Mail the return to: � Capital Tax Collection Bureau 19 S. Hanover St. Suite 102 �� ✓" Carlisle PA 17013 / � I have included an extra copy of the returns for your files. Please call me if you have any questions about these returns. J; / urs truly, C�-�t�l�\�t- nt - 11C_.�'�C�(y-�,�. � , _ Patricia A. 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