HomeMy WebLinkAbout07-10-13 J ysns61o�40
REV-15�0 �` �°,_,°'
PA Department of Revenue OFFICiAL USE ONlY
Bureau of Individuai Ta�oes 1NHERITANCE TAX RETURPI Couniy Code Year File Number
PO BOX 280801 2 1 1 2 0 7 Q 7
Harrisburg,PA 1772s.o801 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BE�OW
Soaal Security Number Date of[Ieath MMDDYYW Date of BIRh MMDDWYY
1 3 8 2 6 3 8 2 4� 0 6 1 6 2 0 1 2 1 ], 2 4 1 9 3 3
Oecedent's E.ast Name Suffix QecedenYs FiBt Name MI
M 0 C K K A T H L E E N A
(If AppUcabfe)EMer Survlving Spouse's Intormatfon Below
Spouse's Last Name Sufflx Spouse's First Name MI
Spouse's Social Security Number
THIS RE'1'URN Ml1ST BE FlI�ED!N DUP6.ICl�lTE V�lITH THE
REGlSTER OF WILLS
FiLL IN APPROPRIATE OVALS BELQW
� 1.Original Return � 2.Supplemental Retum � 3.Remainder Retum(date of death
prior to 12-13•62)
� 4.Limlted Estate � 4a.Future Interest Compromise(date of � 5.Federal Estate Tax Retum Requlred
death efter 12-12-82)
Q 6.Deoedent Died Testate � 7.Decedent MaintaIned a Living 7�ust _ 8.Total Number of Safe Deposit Boxes
(Attach Copy of Wfll) (Attad�Copy of Trust)
� 9.Litigation Proceeda Received � 10.Spousal Poverty Credk(date of death � 11.Election to tax under Sec.9113(A)
be#ween 12-31-91 and 1-1-95) (Attach Sch.�)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONOENCE AND CONFfDENTIAI.TAX tNFORMATIQN SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
R 0 G E R B • S R W I N � E S Q U I R E 7 1 7 2 4 9 2 3 5 3
REGIS7ER OF VYtt 1.9 USE ONLY
n � - _,,,F ::3
, .. �
C....= ...'- �.;'j
C � ��
First Hne oi address �, �: �_ ,; 1 =�,,
I R W T N & M c K N I G H T , P . C . �� '" ` ' �
-� .�::� r-•_ a_,
Second ifne of address '��� �?; C-' • -
�^�
. - , �-.
6 0 W E S T P 4 M f R E T S T R E E T . -
City or Post Office State ZtP Code ; ' �DATEf1LED„
. r�� -
° __. : ;
C A R L I S L E P A 1 7 0 1 3 -�:; ` � r_ � ; :�
.=�- �� -;r;
Correspondent's e-mail address:
Under penalties of perJury, edare that e e ined this ,Inclucfinp a ng ules and statements,and to lhe best of my knowledpe and beliai,
ft is tr�e,correct and com te.Declara of p other n t perso sed on all iMormatlon of which preparer has ariy knouWedge.
SIGNATURE OF PER LE FO f R UR pq Z��
ADORESS
1�3 CANNA AVENUE STARKVTLLE MS 39759
SIGNATURE OF PREPAR T R THAW REPfjxSENTAT�1l.�'�_ D �
�y Cx��,t.�� V
ADDRESS
60 WEST POMFRE ST EET CARLISLE PA 17D13
RLEASE USE ORIOINAI.FORM ONLY
Side 1
L 150561�3,40 150561�140 �
��
Continuation of REV-15Q0 Inheri#ance Tax Return Resident Decedent
KATHLEEN A.MOCK 21 12 0707
DecedenPs Name Page 2 File Number
Carr�s{�ondents
P��m� Qa)�time T=,lephon=i'!:!r,-;�si
R O G E R B . I R W I N , E S Q U I R E 7 1 7 2 4 9 2 3 5 3
First line of address
I R W I iV & M c K N I G H T , P . C .
Second line�f address
6 0 W E S T i' O M F R E T S T R E E 7
City or Post Office State ZIP Code
C A R L I � L E P A 1 7 0 1 3
Corr�spondenYs e-mail address:
Under penaltie �of perjury I deciare that I have exam�wwe' this reium,inciuding accom;.om�ing schedules and s9atemQnts,and to the bes`cf my k�c�vledge and�elief,��
it is true,ca ct and co ' ete.Declarati f pre rer ther than the personal represenfative is based on all information of tivhi�h preparer has any xnc:vledge.
SIGNAT OFP� SON RESP I 0 ILING,,, TURN ���y pATE �° �
'r �'��� �-- i_�, ��'' d`�
ADDRESS
� �� r'r�'�'i ��., �� � ���`;%Y� (.,�I'� I'��� n!?(I��
J �5�56y�24�
REV-1540 EX
DecedenYs Sociaf Security Number
��aent's�ame: K A T H L E E N A - �I{}C K 1� 3 8 2 6 3 8 2 4
RECAPITULATION
1. Real Estate(Schedule A} . . . .. . .. ... . . .. .. . . .. . . .. .. . . . . . .. . . . . . . .. . 1. �+ 9 9 � � C� . p p
z. s�ocks��,a�aonas tscn�du�e�� . . . .. . . . . . ... ........... .. . ... . . ...... 7. 4 9 3 2 7 3 . 7 7
3. Closely Held Corporation,Partne�ship 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. Z � � �+ � 9 . 4 S
6. Jointiy Owned Praperty(Schedule F} ❑ Separate Billing Reques#ed . . .... . 6. •
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
{scnea�ie�> � Separate Biiling Requested ..,... . ?. l� 5 2 6 8 D 2 . 5 4
$. Total Gross Assets(total�ines 1 through 7) . .. .... .. . .. . . .. . . .. .... . .. 8. � 3 ? 5 6 8 5 . 7 6
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9• 9 4 � 5 3 . � 4
1p. deb#s of Decedent,Mort a e Liabilities,and Liens Schedule I ip. �+ � � � � . 7 8
9 9 ( ) .. . ... . . . . . . .
91. Total Deductions(tatal Lines 9 and 10} .. . ..... ... ... ..... . . . . . ..... . . 11. �+ CI 6 5 5 4 . 5 2
12. Net Value of Estate{Line 8 tninus�ine 11} . . .. . .. . . . . . . . ..... . . . . ..... 12. � 2 6 9 ], 3 ], . 2 4
13. Charitable and Governmentai Bequests/Sec 9113 Trusts for which
an election ta tax has not been made(Schedule J) . . . . ... . . . ....... ..... 13. .
14. Net Value Subject to 7ax(Line 12 minus Line 13) .. . . . . . .. . . . . . . . . .. . . . 14. c� 2 � 9 �, 3 L . � 4
TAX CALCULATIC}N-SEE INSTRUCTIQNS FOR APPLICABL.E RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X•0 ...� 0 . � 0 15. � . � �I
16. Amoun#of L.ine 14 taxable
at lineai rate X.045 2 2 6 9 1 3 3� . 2 4 ��. Z 0 2 y z 0 . 9 1
17. Amount of Line 14 taxable
at siarn�rate x.�2 D . tl 0 ��. 0 . 0 C3
18. Amount of Line 14 taxable
at collateral rate X.95 � . � Q 1g, [j . Q �
19. TAX DUE . . . . . .... . . .. .... . . . . . . .. . . . .. .. . . . . . . . . ..... . .. . . . ... 19. 1 0 2 1 1 C1 • 9 1
20. FILL IN THE C1VAL IF YOU ARE REG2UESTING A RE�UND OF AN t}VERPAYMENT �
SPde 2
� �,5056�,024C1 �,50567,024C1 �
REV-1500 EX Page 3 File Number
Decedent's Complete Address: 2� �2 0707
DECEDENTS NAME
KATHLEEN A. MOCK
STREET ADDRESS
232 AVON DRIVE
CITY STATE ZIP
CARLISLE PA 17013
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 102,110.91
2. Credits/Payments
A.Prior Payments 95,000.00
B.Discount 5,105.55
Total Credits(A+B) (2) 100,105.55
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT.
Fill 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) 2,005.36
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: ...................................................................... ❑ 0
b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ 0
c. retain a reversionary interest;or ................................................................................................ ❑ �
d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ ❑X
2. If death occurred after December 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ❑ �
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ ❑X
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation?.................................................................................................. 0 ❑
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)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedenYs 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
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
KATHLEEN A. MOCK 21 12 0707
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-ovmed 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 decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1. 232 AVON DRIVE, CARLISLE, PENNSYLVANIA 199,000.00
SOLD-SETTLEMENT SHEET ATTACHED
TOTAL(Also enter on Line 1,Recapitulation.) $ 199 000.00
If more space is needed,use additional sheets of paper of the same size.
REV-1543 EX+(6-98}
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONQS
tNHERtTANCE TAX RETURN
RESIDENT DECEQENT
ESTA7E Q� FILE NUMBER
KATNLEEN A. Mf�CK 21 12 0707
All proF�Y��Y-aam�1 w�th rigM of survivorship must#�d9sc�sed an Sch�ule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PNC WEALTH MANAGEMENT 493,273.77
INVESTMENT MANAGEMENT STATEMENT
ACCOUNT#$889785-001-47-48
TOTAI.{Also enter on line 2,Recapitulatian) $ 4g3�'�3 77
(If more space is needed,insert additional sheets 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:
KATHLEEN A. MOCK 21 12 0707
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property joirnly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PERSONAL PROPERTY-APPRAISAL ATTACHED 15,937.00
2. CITIZENS BANK-CHECKING ACCOUNT#6100728560 60,423.10
3. CITIZENS BANK-CHECKING ACCOUNT#6200262148 76,572.67
4. CASH 754.68
5. CAPITAL REALTY INVESTORS, LTD. 2,922.00
22 UNITS X$136.00 PER UNIT= $2,992.00
TOTAL(Also enter on Line 5,R�apitulation) $ 156 609.45
If more space is needed,insert addi6onal sheets of paper of the same size
REV-1510 EX+{08-09)
pennsyivania SCHEDULE G
DEPARTMENT OF REVENUE ��F�R-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
ftESIDENT DEGEDENT
ESTATE OF FILE NUMBER
KRTHLEEN A. MOCK 21 12 07Q7
This schedule must be completed and filed if the answer ta any of questions 1 through 4 on page three of the REV-1500 is yes.
DESCRIPTION OF PROFER'i'Y
ITEM INCLUDE THE NAME OF TNE TRANSFEREE,THEIR RELATIONSNIP TO DECEbENT AND DATE OF DEATH %OF DECO�S EXCLUSIQN TAXABLE
NUMBER THE OATE QF TRANSFER.ATfACH A COPY OF THE OEED fQR REAL ES7ATE. VALUE OF ASSET lNTEREST pF MrucnBt.E} VALUE
1. PNC WEALTH MANAGEMENT 44,874.�1 100.00 44,874.71
IRA#47-48-005-8889793
2. PNC WEALTH MANAGEMENT 422,342.42 100.00 422,342.42
ALFRED J. MC3CK MARITA�IRREVOCAB�E TRUST
ACCOUNT#47-48-001-3928429
3. PNC WEALTH MANAGEMENT 1,001,283.22 100.40 1,00�,283.22
ALFRED J. M4CK RESI�UARY IRREVOCABLE TRUST
ACCOUNT#47-48-001-3928437
4. (iAASS MUTUA� FiNANCIA�GRCIUP 42,770.06 100.00 42,770.06
CONTRACT#: VA09715330
5. MERRILL EDGE (TRANSAMERICA) 15,532.13 100.00 15,532.13
ACCOUNT#50-42S64
BENEFICIARIE�:
FREDERiCK C. MOCK
ANDREW J. Mt�CK
70TAL Also enter on Line 7,Recapitulation) $ 1 526 802.54
if mo�e space is ne�ed,use add�iona!sheets af paper af the same size.
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
KATHLEEN A. MOCK 21 12 0707
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. HOFFMAN-ROTH FUNERAL HOME 8,273.16
2. FUNERAL LUNCHEON 222•64
3. GEORGE'S FLOWERS 454.74
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2. AttomeyFees: IRWIN & MCKNIGHT, P.C. 44,400.00
3, Family Exemption:(If decedenPs address is not the same as claimanYs,attach explanation.)
Ciaimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. ProbateFees: REGISTER OF WILLS 419.50
5 Accountant Fees:
6. Tax Retum Preparer Fees: PATRICIA A. ROSENDALE, CPA 375.00
FINAL FIDUCIARY TAX RETURN
7, REGISTER OF WILLS - FILING FEE 30.00
8. ROY D. GOTTSHALL-APPRAISAL ON PERSONAL PROPERTY 65.00
9. CUMBERLAND LAW JOURNAL- ESTATE NOTICE 75.00
10. THE SENTINEL- ESTATE NOTICE 200.16
11. CITIZENS BANK-SAFE DEPOSIT BOX KEY 25.00
12. RYNARD'S LAWN SERVICE- LAWN CARE 1,309.10
13. S.W. BARRETT REAL ESTATE-APPRAISAL ON REAL ESTATE 350.00
14. CLOSING COSTS FROM SALE OF REAL ESTATE 22,742.90
15. EHRLICH - PEST CONTROL 300.51
16. W.S. CAREY ELECTRIC- ELECTRICAL WORK 903.00
17. YOURWAY SOLUTIONS HANDYMAN SERVICE- REPAIRS 225.00
18. ENGLISH GARDEN -YARD MAINTENANCE 1,480.00
TOTAL(Also enter on Line 9,Recapitulation) $ 94 353.74
If more space is needed,use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
KATHLEEN A. MOCK 21 12 0707
DecedenYs Name Page 1 File Number
Schedule H -Funeral Expenses&Administrative Costs-B7.
ITEM
NUMBER DESCRIPTION AMOUNT
19. TUCKEY MECHANICAL SERVICE- REPAIRS 190.00
20. CROPF BROS., INC. - REPAIRS 874.09
21. DAFLURE- HEATING SYSTEM REPAIRS 4,600.00
22. WAYNE'S CLEAN OUTS- HOUSE CLEAN OUT 200.00
23. PARADISE PROFESSIONAL SERVICES - HOUSE CLEANING 350.00
24. FREDERICK MOCK- REIMBURSEMENT TO SHIP PERSONAL PROPERTY 5,257.02
25. FREDERICK MOCK- REIMBURSEMENT OF TRAVEL EXPENSES 1,031.92
SUBTOTAL SCHEDULE H-67 12,503.03
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
KATHLEEN A. MOCK 21 12 0707
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. NORDSTROM -CREDIT CARD 1,834.93
2. CENTURYLINK-TELEPHONE 426.94
3. IN YOUR HOME CARE- NURSING 2,419.26
4. COMCAST-CABLE 453.83
5. PP&L- ELECTRIC 2,380.28
6. BOROUGH OF CARLISLE-WATER/SEWER 291.14
7. ADT SECURITY SERVICES, INC. -SECURITY 430.36
8. ALLENBERRY RESORT-OUTSTANDING INVOICES 95.00
9. GEORGE THOMAS HICKS, JR. - REAL ESTATE TAXES 2,584.61
(PRORATED$3,927.83 PAID/$1,343.22 CREDIT ON SETTLEMENT SHEET)
10. AT&T-TELEPHONE 59.60
11. CTI NETWORKS- INTERNET SERVICE 203.52
12. ARMED FORCES INSURANCE - HOMEOWNERS INSURANCE 1,021.31
TOTAL(Also enter on Line 10,Recapitulation) S 12 200.78
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-70)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
KATHLEEN A. MOCK 21 12 0707
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 [InGude outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1. FREDERICK C. MOCK Lineal 1,134,565.62
103 CANNA AVENUE 1/2 REMAINDER
STARKVILLE, MS 39759
2. ANDREW J. MOCK Lineal 1,134,565.62
140 BAY ST. A2 1/2 REMAINDER
JERSEY CITY, NJ 07302
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.
3
LAST WILL AND TESTAMENT
I, KATHLEEN A. MOCK, of the Borough of Carlisle, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
1. I direct my executors to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my executors to sell any realty owned by me at my death,
and not specifically devised herein, at either public or private sale, and to give good and
sufficient deeds therefor, in fee simple, as I could do if living.
3. I give, devise and bequeath all of the my estate of every nature and wherever situate to
my two sons, Frederick C. Mock and Andrew J. Mock, share and share alike, the child or
children of any deceased child taking the share their paxent would have taken if living.
4. I nominate and appoint Frederick C. Mock and Andrew J. Mock to be the executors
of this my Last Will and Testament, they are to serve as such without bond.
,
�
r �
5. I hereby suggest that my personal representatives retain the services of Irwin, McKnight
&Hughes as attorneys in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 29TH day of
February, 2000.
.�/,� �.��
'1N� � SEAL
� )
KATHLEEN A.MOCK
Signed, sealed, published and declared by KATHLEEN A. MOCK, the testatrix above
named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her
presence and in the presence of each other have subscribed our names as witnesses hereto.
���a�,�-�-�-�°�Y,��
2
s
r
' .
ACKNOWLEDGMENT AND AFFIDAVIT
WE, KATHLEEN A. MOCK, CHERYL L. CLELAND and MARTHA L. NOEL,
the testatrix and witnesses respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed
and executed the instrument as her Last Will, and that she had signed willingly, and that she
executed it as her free and voluntary act for the purpose herein expressed, and that each of the
witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the
best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound
mind and under no constraint or undue influence.
,
, �2���
C�'
KATHLEEN A. MOCK
CHERY L. CLELAND
THA L.NOEL
COMMONWEALTH OF PENNSYLVANIA .
. SS:
COUNTY OF CUMBERLAND .
Subscribed, sworn to and acknowledged before me by, KATHLEEN A. MOCK, the
testatrix herein and subscribed and sworn to before me by CHERYL L. CLELAND and
MARTHA L. NOEL,witnesses,this Z9TH day of February, 2000.
;�
�' ,3. c�--_
N tary Public
Notarial Seal
Roger B. Irwin, Noiary Pub�ic
Carlisle Boro,Cumberland County
My Commission Expires Oct.3,2000
Member Pennsylvai��a Association of Notaries
„� OMB Appraval No.2502-Q265
i,ii��i�'=�! �A. Setttement 5tatement (HUD-1�
:,�
L Q FHA 2.Q RHS 3.Q Conv.Unins. ��File Nurrtber. 7,loan Number: 8.Martgage trrsurance Case Number.
13086 6800695404
4.[]VA 5. XQ Conv.Ins.
C.Note:This form is furnished to give you a statement of actuai settlement costs.Amounts paid to and by the settiement agents are shown,Items marked
"{p.o.c}"were paid outside the ciosing;ttrey are shown here far inEormationa!purposes and are not includetl in ihe totais.
D.Natne&Address af 8orrower. E.Name 8 Address of Se!(er. F.Name&Address af�ender.
Edward R Beleck,IIl,Paula E.Beleck Estate of Kathleen A.Mock Members 1 st FCU
1418 Northfield Drive,Carlisle,PA 17013 232 Avon�rive,Cariisie,PA 17013 P.0 Bax 40,5000 Louise Drive,
Mechanicsburg,Pa 17Q55
G.Property Lacation: H.SettlementAgent: I,Settlement Date:OM26/2013
232 Avon Drive Keystone Land Transfer,Ltd Disbursement Date:04/2612013
Cart+sie.PA'!?�13 3421 PAar4cet Street,Gamp Hiii,PA 17011
Carlisle Borough
Telephone:717•731-4200 Fax:717-731-1799
Piece of Settlement: TitleExpress
3421 Market Street,Camp Hill,PA 17411 Printed 04126t2013 at 10:45 am
by KS
:. . . . .
404. Gross Amount Dus from BoROwer 400. Gross Amount Oue to Seller
101. Con#ract sales price ' 199,OOd.00 401. Contract sales price 799,d00.dd
102. Personai ro ert 402. Personai ro
143. Settieme�t charges to borrower(fi�e 14QQ} 7,491.1 Q 403.
104. 404.
105. 405.
Ad'ustmettts for items aid b seller in advance Ad'ustments far items id b selier in advance
106. Cityttown t�es to 406. Gity/town taxes to
' 107. Countytaxes 04I2612013to 12I3112013 $60.03 407. Countytaxes 04I2612013to 12/3112013 860.03
108. Schooi Tax d412612013 to 06/30/2013 483.19 4d8. School Tax 04126/2013 ta O6l3012{}t3 d83.19
109. 449,
110. 410.
111. 417.
112. 412.
1�. Grass Amonnt Due ftom Barrower 207,834.32 424. �ross Amount Due to Seiler 20Q,343.22
2Q0. Amounts Paid b or in Behalf ot BoROwer 500. Reductions In Amount Due to Seller
201. Deposit or eamest money 1,000.00 501. Excess deposit(see instructionsj
242. Principai amount of new ioan{s) 189,�.{� 502. Settlement charges to seiler tiine 144Q) 18,772.90
203. Existi loe s take�sub'ect to 5Q3. E�cistin loa s take�sub'ect to
2U4. Credit for Appraisal{POC B) 425.00 504, Payoff of first mortgage loan
205. 505. Pa otf of seco�d rtmrt a e ioan
2(�. Seller Assist 5,974.00 506. Seller Assist 5,970.00
207. 507.
208. 508.
209. 5Q9.
Ad'ustments for items nn id b seiler Ad'usbnents for items un id b selVer
210. Cityltown taxes tp 510. Cityftown taxes to
21t Countytaxes to 511. Countytaxes to
212. SchoW Tax to 512. Schooi T� to
213. 513.
214. 514.
215. 515.
216. 516.
217. 51Z
218. 518.
279. 549.
�Q� Totai Paid ftor Borrower 798,395.QQ 520. Tatal Reduction Amount Due Seller 22,742.90
300. Cash at Settlement ftomRo Bonower 600. Cash at Settlement tolfrom Seller
307. Gross amount due from borrower(tine 72d} 2t37,83A.32 . gOt. Gross arrwunt due ta setier(tine 420) 2�,343.22
gp2. Less amounts paid bytfor twrraver{Eine 220} ��,3g�,� 6p2, Less reductions i�arrwunt due seiler{line 524) �p,7q2,94
303. Cash Q From � 7o Barrower 19,439.32 6Q3. Gash Q To ❑ from Selier 177,604.32
e e o e ion o�wma m respon ncy may n reqm e
fiitlomt�miesstltli5piaysewrtRtCiYVNMOMBCOrtirolnumEet.HomMMentiailtYisaSSURqNi60isGOeufeiSmarqYay.Ttu5i5tleSignedl9proviCelOeperlieSloeqESPArAVe/eC11an5ectbnmNinlormqionEUrinpf�esettlement
proGess.
See attached addendum for additional information
Previous editions are obsoiete Page 1 of 4 HUD-i
lOfl. 7oWi Reai Es#ate Broker Fees $14,180.� Paid Froi'» Paid FrOtn
Division of commission Iine 700 as follows: BOrrower's 5eller'S
701. $6,965.00 �o HowardHannaCampany FU�dS�t Funds 0t
742. $7,2�5,pQ tq RelhAaxlstAdvantage Settleme»t Settlem8nt
703. Commission paid at Settlement 14,180.00
704. Broker Fee tp Howard Hanna Company 225.00
840. ftems Pa able in Caanection xnth Laan
801. Our origination charge (Includes Origination Point 0.000%or$0.00) $455.00 (from GFE#t)
802 Your credit or charge(points}for the specfic interest rate chosen $ (from GFE#2)
803. Your adjusted arigination chatges (from GFE A) 455.00
804. Appraisal fee to Members 1st FCU (from GFE#3) 425.00
805. Credit report tQ {Crom GFE#3)
8�6. Tax service to from fiFE#3
807. Flood certification to from GFE#3
$Q8. to
900. ttems R uired b Lender to be Paid in Advance
901. Daily interest charges from from 04126I2013 ko 0510112013 @$22.0O681day (from GFE#10) 110.03
�2. PAort insurance remium rrro�ths fa fram GFE#3
903. Homeowner's insurance for ears to Penn Natianal Ins. $469.00 P.O.C.B`(from GFE#17)
904. months to from GFE#11
1000.Reserves De sited wifh Lender
1001. Initial deposit for your escrow account (from GFE#9) 2,30578
1402.Homeawner's insurance 3�ths $ 38.OBtrrtanth �117.zk
10�3. Mort a e insurance monihs $ lmonth
1004. Pro ert taxes months $ /month
1�5.Countyt�es 3mpnths $ 104.641rrronth $3t3.92
1006.Schooi Tax �4 months $ 222.68Imonth $2,4d3.d$
1007.Aggregate AdjustmeM $-574.86
11Q0.Title Cha es
1101.Title services and lender's title insurance from GFE#4 1,677.00
1102.Settiement or cbsing fee ko �
1103.Owner's title insurance-First American Title lnsurance Company from G�E#5 ���
1104. Lender's title insurance-First American Title insuranCe Company $1,570.OQ
1105.lende�'s titie paEicy limit$189,{MM1.04 lende�s Po4icy
i 106.Owner's titie poiicy limit$f99,000.Od Uwner's Policy
1107.Agenfs portion of the total title insurance premium $1,313.25
to Ke stone Land Transfer,I.td
1708. Underwriter's portion of the total title insu�ance premium $30675
to firsi American Title Insurance Com an
11Q9.
1110. Notary Fee to Krisien D.Shive 10.00
1244.Gavemment Recordin and Transfer Cha �
12Ei1.Govemment recording charges $ (from GFE#7} 158.�
�Z�2.Deed$62.00 Mort a e$96,q0 Release$
12d3.Transfer taa�es $ (from GFE#8} 1,994.�
120A.City/Counry tax/stamps Deed$1,990A0 Mort a e$
1205.State TaaJstamps Deed$1,990.IX1 Mort a e$ �.9��
1206. Deed$ Mort e$
1300.Addkional Settlement Char es
1301.Required services that you can shop for (from GFE#6j
7302. to
1303. to
1304. to
t305. to
130Fi. Chimney Repair to Chimne 8wee 95�
130T. Home WarrantY #o First American Home Bu ers Protectian Co 425.
1308. Repairs to 7ucke MeGhanicai Services,inC ��
1309. Sewer to Cartisle Borau h 72.9�
. R . . • . .- - . � . . � • . T,�s�.�a �s,rr2.so
'Paid outside of closing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er.'*Credit by lender shown on page 1."'Credit by seller shawn on page 1.
See attached addendum far additional information
Previous editions are obsalete Aage 2 0 4 ' HUd-1
� Com arison of Good Faith EsGmate GF and HUD-1 Cha es Good Faith Estimeke HUD-1
Gha That Cannat i�crease HUD-1 Une Nuih6er �
Our ongination charge # 801 455.00 �� �� 455.00
Your credit or charge(paints)for the specific interest rate ohosen g $02 0.00 �T 0.00
Your adjus#ed aigination charges # 803 d55.� 455.fl0
Transfer taxes # 1203 1,990.00 1,99d.00
Cha es That in Total Cannot Increase Mare Than 14% Good Faith Estimate HUD-1
Govemment recording charges # 1201 238.00 158.00
Appraisal fee # 804 425.00 425.00
#
#
#
#
#
#
. . 663.� 5$3.00
.- • � $ -B0.00 or -12.d664�o
Cha es That Cen Chan e Gaod Faith Es#imate HUD-t
Initial deposit far your escrow accounl # 1001 2,443.25 2,305.78
Daily i�terest charges from # 901 $22.0O681da 110.03 � � 110.03
,_,. .....
Hameawner's insurance #903 835.� 469.�
Title services and lender"s title insurance # 1101 1,853.75 1,677.00
Owner's title insurance-First American Title Insurance Company q 1103 50.00 50.00
#
#
Loan Terms
Your initial loan amount is $189,Q00.00
Yout loan term is 30.years
Your initial interest rate is 4.2500°k
Your iniGal monthiy amount a�ved for priocipal,inferesf,and any martgage $1,124.35 inciudes
insurance is X�principal
�X Interest
X[�Mortgage insurance
Cen your interesl rale rise? Q No. ❑Yes,it can rise to a maximum of °k. The first change
wiil be orr 1 1 and can change again every years after i ! Every change
date,your interest rate can increase or decrease by °�. Qver the Iffe of the loan,your
interest rate is guarantesd to never be lower than °k or higher than °10.
Even if you make payments on time,can your loan balance rise? QX No. ❑Yes,it can rise to a meximum of$
Even if you make payments on fime,can your rnonthly arrrount owed for QX No. ❑Yes,the first increase can 6e on 1 1 and the monthly
principal,interest,and mortgage insurance rise? amount owed can rise to S
The m�imum it can ever rise to is$ .
Does your foan have a prepayment penalty? �X No. ❑Yes,your maximum prepaymeni penalty is$
D�s your ioan ttave a bailoon payrrrent? QX No. ❑Yes,yau have a baitoon payment of$ due in
years on ! ! .
Totai monthly amount owed including escrow account payments ❑You da not have a monihly escrow paymeni for items,such as prppedy taxes
and homeowner's irrsurance,You must pay these items directiy yourseif.
QX You have an additional monthly escrow payment of$366.40
th2t resul2s in a totai initi8l monthky amounk owed of$1,486.75. This includes principa4��+teresi,ar
mortgage insurance and any items checked beiow:
�X Property taxes Q Homeowner's insurance
�Flood insurar�ce ❑
❑ ❑
hlote: tf you have any questions abaut the Settlement Gharges and Loan 7erms Iisted an this farm,piease contact your Iender.
See attached addendum for additiona! infarmation
Previous editions are absolete Page 3 of 4 �{�p-�
HUD GERTIFtCAT10N OF BUYER ANd SEL�ER
i have care{uliy reviewed the HUD-1 Setttem�nf Statement and to tfie best of my knowied9e and be3ief,it is a true and accurate statement of ait receipts and
disbursements made on my accoont or by me in this transactio�.I further certiry that I have received a copy of the HUD-1 Settlement Statement,
t �;. i
ir��.��4 � .��'.���'
Edwartl R.Beleck,III Paula E.Beleck .
-�-�,Ec.._
Estete of Kath en A. ock '
The HUD-1 Settlement Statement which I have prepared is a true and accurate accaunt af tfiis transaction.E have caused or wiN cause the funds to be
disbursed in accordance with this 5tatement.
] /�
SETTI.E AGENT DATE
WARNING:IT IS A CRIME TO KNQWINGLY MAKE FACSE STA7EMEN7S TO THE UNITEp STATES 4N 7HIS OR ANY SIMILAR FORM.PENALTIES UPON
CflNVtCTlON CAN iNCLUDE A FWE AND iMFRiSONMENT.EOR DETAt�S SEE TITLE 18:U.S.CODE SEC710N t00t AND SECTION 101Q.
See attached addendum for additional information
Previous editions are absoiete Page 4 of 4 HUD-1
�v . �,u. � . �,. ��
, �.��.�, . � . v�;.a„�.� .�
. . . .. • . . .-
Name of 8orrower. Na�af Seller: Fiie Number.
Edward R.Beleck,III Estate of Kathfeen A.Mock 13088
Paula E.Beleck
Prepared 04/1612p13 at 10:45 am
Note:This page displays an itemization of the adjusted origination aharges shown in section 800 of the HUD-1 Settlement Statemen
This page accompanies but is not a part of the HUD-1 Sett(ement Statement.if a discrepancy exists,the infarmation on the HUD-1
Settlement Statement applies.
Your Loan Origination Charges Borrower Seller
801. Our otig+�ation charge {indudes Origination Point 4.OQ0�or$0.40}
Origination Fee io Members tst FCU $ ¢�5�
802. Your credit or charge(points)for the specific interest rate chasen
to $ Q.40
803. Your adjusted ongination charges 4��� ��
. . �
Name of Borrower: Name of Seller. File Number.
Edward R.Beleck,ili Estata of Kathieen A.Mock 13086
Paula E.Beleck
Prepared 04126/2t713 ak 1 d:45 em
Nate:This page dispiays an itemization of the charges shown o�line 1101 of the HUp-1 Settleme�t Statement.This page
accompanies but is not a part of the Fit1D-1 Setttement S#atement.if a discrepancy exlsts,the infarrnation an the NUD-1 Settlement
Statement applies.
1100.Title Charges Totai Charge Borcowsr Seifer
1101.TiUe services and lender's title insurance to
4vemight deiivery Fee-Package ta Ke stone l.and Trans#er,�td $ 2�� 25.OQ
Email\poc Copy Fee to Ke stone Land 7ransfer,Lid $ 35.00 35.00
Wire!n Fee to Ke sto�e Land Transfer,ltd $ 1 Z.00 12.00
Notary Fee ta Kristen D.Shive $ �•� ���
11 q2.Settlement or closing fee to $ 0•�
1144.Lende�s titie insurance-First American Titta First American Tide 4nsurance Ci$ 1,570.Q� 7,570.00
Tatais: S 1,677.OQ Q.08 1,&�7.00 0.
Selledlender credits shown on a e 1 POC=Paid Outside Glosin CR=Lender Credit
See attached addendum for additional info�mation
Previous editions are obsolete Page i of 1 HUd-1
ESTATE TAX SECURITIES VALVATION PAOE NO. 1
ACCOVNT: 8889785-001-47-4B Name of Estate: KATHI.EEN A. MOCK II�,
DATE OF DBATH: 3aturday, Jkne 16 2012
ITEM CUSIP NO. SNARES/ DESCRIPTION PRICE HIOH/ASK LOW/BID MR.AN SECURSTY ACCRUED C@II�NT3
PAR VPS.UE DATE PRICE PRSCE PRICE VALUE DIV/INT
---- -°------ ---------------- -------------'_'___'---------- __'-- '----_"'_ -----��--- ---------- ------------- ------------ -�-'------
1) G747791101 902 INQERSOI.L-RAIID PLC O6/15 39.9100 38.6000 39.16500* N7CSE
SRS 06/18 40.9700 36.6700 39.73000*
39.44750 15,857.90
+DIV. EX 06/14/2012 REC 06/18/2012 PAY 06/29/2012 0.16000 tAdded to Mesa Price
2) 04314H501 284.2520 AATISAN PTRN3 FDS INC O6/15 14.9100 14.91000 4,238.20 MUT E'UND
SM CAP VALUE INV
3) 068278803 115.9670 BARON INVT FD9 TR 06/15 29.5500 24.55000 2,846.99 bLUT F[1ND
9MCAP E'D INST
4) 09253C876 15,516.0200 BLPCKAOCK I�1N BD FD INC O6/15 10.9100 10.91000 169,279.78 MUT !'UND
Nl►TL M[JN IN9T
5) 128119807 102.1290 raT.aunS INV TA NEW 06/15 �� 53.8300 53.B3000 5,497.60 MUT FUND
OROWTH FD INST
6) 191216100 204 COCA-COLA CO 06/15 76.2000 75.4200 75.81000 NYSL
COM 06/18 76.4200 75.7700 76.09500
75.95250 15,494.31
DIV $0.5100 EX 06/13/2012 REC 06/15/2012 PAY 07/O1/2012 104.04
7) 291011104 314 ELRRSON ELEC CO O6/15 46.8711 46.4100 46.64055 NYSE
COM 06/18 46.8700 46.2500 46.56000
46.60028 14,632.49
8) 302310102 650 ESIXON MOBIL COAP 06/15 83.4500 82.2200 82.83500 NY9E
COM O6/18 83.1800 62.3500 82.76500
82.80000 53,820.00
9) 369604103 1,H00 OENERAL ELECTAIC CO 06/15 20.0000 19.7500 19.87500 NSCSE
COM 06/16 19.9800 19.7500 19.86500
19.87000 35,766.00
10J 911511306 745.7740 HARBOR FD 06/15 54.4100 54.41000 40,577.56 MUT FUND
INTL FD INSTL
11J 464287239 92 ZSHARES TR 06/15 39.0000 38.3800 38.69000 PACIFIC EX
MSCI IIffiRO DIICT 06/18 39.1700 38.6400 38.90500
38.79750 3,569.37
12) 96625H100 1,095 JPMOAC�AN CHASE S CO 06/15 35.0700 34.4100 34.74000 NYSE
COM 06/16 35.3000 34.5000 34.90000
34.82000 38,127.90
13) 47103C241 429.1B50 JANUS INVT FD 06/15 20.5600 20.56000 8,824.04 MUT !'UND
PRIQi i+lC VL I SHS
19) 47B160104 655 JOHNSON S JO}Q7SON 06/15 66.1000 65.5100 65.80500 N7CSE
COM 06/18 66.3900 65.8200 66.10500
65.95500 43,200.53
15) 594916104 600 DIICA030E'T CORP O6/15 30.0800 29.4900 29.78500 NASDAq
CO11 06/iB 30.0300 29.7100 29.87000
29.B2750 17,896.50
16) 842587107 250 SOUT1{ERN CO 06/15 48.1900 47.6650 47.92750 NYeS
COm O6/18 48.4500 47.9800 48.21500
48.07125 12�017.81
17) 999527641 8,636.3900 S.LACKROCK LIQ FDS TE[�FqND ADM SHS i►H1 8,636.39 0.19 I+ANtTAL
PRIIiCIPAL CASH
18) 999527691 2,886.1200 BLACKROCIC LIQ FDS TII�FUND ADM SHS NHl 2,886.12 0.05 i9�t7IJAL
INCOME CA.4H
________________ ____________
Orand Totals 493,169.49 104.28
Total Priacipal plus Accrued intezest and dividends 493,273.77
� � 1 C��� ���� ���- �-
��a������
' � � �L�C.�G�� �'i% /��`�
� , ��� � ., � r ��: �3 s ,
� .� .. , �n
�.J-/ .
,
._._. ......... .. _.�L�7i--�, ��i�y/,Q:!.�l' �C�� ,,,� .,.�:�._ Yz �:_- —��%�'��`�`-li�-,w.��7,-!� ,i-�` ... - . . ,`'s_ .. . _ _ _....
._ . . �'��` l �,� � 7 a
r_;.
� , / . ... . . . _.. __ . _ . .. _.. .. . .
i
-- . .._../-- _-._.. . .. __._ . ....__. __ _. . _.. . __ _. _ t�,'
�---- - ..._. _-__ /' l' L��.. . � �.LI^"'
�/�/ / �., � 1�
C �;��/��i;��"-�'f'�f f..�. �rf= L�E.�.�� _� ___ `__ __,. _
� --'l"�r�"
' �G
— _ __ � , __
,�
/ "
, � �,
. ,.
�- _:._-�'= -�- -:'
f� �1�,/
�<���:%,�/.,� `._F: �'�.�_�/" __ ,r
__r_.< __ __ ___ - _ ._.
_ _ . _ / �� /
�'j . ...- � c ,-m
_�!�;�� ,� , �� l��, ,, r •� ���'-�� . ._ _ . ____ __ _ _- _- --
�� �
, f . _
. ^.
I , � �,�,"" � _ � �--�- ' ,°, i t".
_
I / ,� � ,fn� E . ., �, ��',� �;�: ,� C�l,,� ;;:� .
:�C.,f'P_¢s �"{--��� �-l�° ` ,. �-� _c- /`r�'- t:_._ - �.' _. ;_d �__ _
�. ,
__ _ !i- .^ � .._.� , r , ,�
� �
' -- �� , '/� ' -�-��� -r ��P %.''-�,�'�:'�" -' /�''�`��W� �`!'
� � ;��',�`� - �:�-�-� � � -�- -- -
, �
� . , _ .-'
�
�.. ��
,
�-`
���_- �-�;�. ��:
- --� -' ` ;-�-
. . . _I � J`/ ,.-.,✓ ..'.' / � ✓t ), ... .. ... . . .. ..... . .. ........._.... ..__ ....... . . .. . . .._._._ ._.._.._ _ .
4+����-.-.� ,��-� .4:":� � .--�� 't�,;F�._ _ � �
-- ( � �� / � � �
I � � ..' s'`� �`/ "� "r t'' y '� - �•.k'. �.
�
��- `�°,��- < <� � ._«�-_���� -
__ � ' , _ _ _
I � .
�� r �, ��- /� .is-�,
� I ./,.� ��.°��" :��L /✓ � / �_ _ _ _ _ - __
/ '
.�
,
, �
. . _ _.._. . �,,.z_�..,, _ ._ � �_c.�-
,
� ��r> ,
E_��Ly�L'�-:���-���-.� .:..,�_ _
�'����� : ,
r —� "
�°C�.,�15�--`^'` -� / .������ -?r �" � i � __ ..
,�:>..�;� �c/
��_ i G����-, _���.�-G� _ _ _ _ c� -- -
�ji-- - � � ; � � _� G
..
� � .�
� - � . , , �
' ��.- .�-�����._�_�-�.=`�-�--- �
.. .
,
;� � _ ._ ._ _
, _.
- _ _, � _.y.. �.,._._ . � _
, ;
� - � �- �- -�- �
�C� /� � _
, - � ;; „ �- __ _ _ _i� _
� ��%%'r1����.Y.�. �:.-_.��:�� _
_ ,4_ � �,�-._ �
I � / /� 1�;��`r '-'7� /�` ::J� Y?� ?- __
�. � f�'
• � .
6_-�G- . ����iZ�i ��. � .. .� . .. .__ . . . .. .
._.._. . . . ..�i-�'�� ._ a� .... ,r �. . _ ' _-�'��-'"� � '
, .� , . �- ��
� � �� _ _
,� � ' �1
� � . ; .
_�
° `
�
_._ ... _. . j :�/�°%''G�.,..- . , _•'c ';+;,.... r..c-�--�' C--=-�;u`?ic�. .:*�.��1�. .�. /�'.- .�"r ..-. ..... ._�_Y�G9=HC=. _- . . --- -- -----
� i,./� �`:
r, ..
� Y �r
� _ r.
__j ,
� i����, /� -
; � :��,���� _ _ _:.
, , _ _ `�-� _ - �'
_ ;I- -- � �' .�„
� ..
� " ' " �° �� /� � :: - �l"i
r�
I � i:q/�" .._�����-4'"''� .Sf �7 ; _.... .."�.a_��_w!�/"...''�~`sF-r''�.`� ._._ ........ . . _.... ____ _ �.._
v- � m-�''_ ._c .__. ,.
.
� _
.:
_ . ..._... . -.� jI/'J/' � , . � , �: �i ..,.....� / �, .�� ��J
� '�`!E9 , •!`���f �. ++" ',&;'?g _�t,:^. �� ���.���'�-�' �' _ ��G --'_ _ _
/
_ { ;= ,, _
i � � ; G,:
i r /
i i� � ; _ -
.-� i�.,�r",,. _..�r �7'-,+ ..r° _',_.!J 4 1 . . .._.. ... ........ . . . ._',�_"
, ��'.-.;. , ., , _ -.._ J '' r
y
�,�'1����`,' _- _ __ __ _ . _
_ .
�µ�, .__ �
r �. ---�--
' �
���.'�, ``� �� I /� `� " _ .l�
; . .
�, .;
_._ r 4 ,
'- " . ,._ G'f f _t!..:_ � _
` \ ,. .
,
/� , d � "!]/��',F'� ''' ` .. ... . . ..._.. . . ... ._... ..
_.-`.....� �..s i"�. _ ... .. .. . L�/"� . . .. �
.._ ..._ -. _
,. ,
� � � r- �
J '
. ,,, ,, , f �....r r - - ��i7,�—
, ,�„.�.
� �>: ,� ,,. . �_; .,�" ' __ __-_ ____ _ _
, _ ,..�_ . _ : . �..� � �_
��
_ ,. _ :_
�".� ,� �'�
_ . � _ r
, , , � .
_� � ��. �''
-�-.�r'.-�_ _ �— e_ . __ L
�° � .:� /
, �}
.. . . . ���'����`° �. "�--�' 1�J t'i' ���.;.,R' .=f . ... . . ._ . .... �!c' s° r_��C 1�_ <.
��
i .` .
. � .
r �. �.%...:� .._.. q� � f�-
{ :
r.,.�.
r
f�f� , i I
� ��,�� . �.� [
_ _ ���; .. �...��,_ � ���;
r � ��"%�:. °'� �� �„�1'
y;;� - � 1"-�
s � - -_
_ _ � ` + f/ • g``��
:
:
.
. , ..
�' _ �`�'j � � ° _ _ _ -
..� * / _ i. _. �f;_. _:.-.
. ii ( .._
. i:�- .....:
... . _.. . .. . .. �.� ._. ., ._.
,
� � f „��—�2�.���c��d��
� �
�
� � �
�'-' �=,�', ��',,2.��� __ __ _ , _. _ . _ _ __ _ ._ _ _ __ _ __
- __
� ,?'''."�'�'~f�-� C.�.,. f= (u'r;:K" �'' �`'� - ���`'�!;'�""�,� — '�-f. __... _ . _ ��
} �
i��`���� � �� j-
,�
__ 1 -� � } _ -
- — __ .�
.� ' �
_.
' ���r�-,-:-���.�<`�:.`, °" ..,.` ' �'`7� ?`* __.. _ . ._ �
r�; , - . ..--- — _ ..... . ... . . . .__ _.._ -- ' --_.
�``�`f,"�xj�'t-' ' _ ��'' _.:��a'IJ�Ff _ __ -___ . _ _ -- _ ___. _ __ . _..
wy-� � /���,t•/
' '` � � r
� / �.,�l^ �.tj/wl �±`Y+'"�...�"Y"" ��'�'l r 'r.l�.. f:f��/A �(��r"'"3+"„R._� G-T...J.
� ✓ L� (.'� �'.:�( C C�G.-. - t._ .. .. .... G.��.,�.�_ _. _.. __ . ..
...... .... _ , .�+ , ,
J
i �j � J /j ..� ) j
°�.c�,_./ -�"''r 5..f�:;.�`'1 C�=-rr"`��1'r'� �� `�� �."''." c����_G�: � ._. __. __.. . ___ _ �i
_ -' /�
� _ . � _ ._.
9 ( �. r
,
�� , r
. Fa , . : � .
i .:-9;'J . , ; � � '� �,,,�'` r,
. �. ._. �.. ,�;� . ,__ ,��,-c.. ��. :,. �.w,
_.. . , _. _ _ __. r-_ _... _ _. _ . __.....____. . _ __. ✓m'_ _.
, � fi¢
,
€ �
rC,��-' '''�.%�-%� _:. ,� '� _,� � � �'�°;
s 1 � ,+' '` ,, ,. �'
_.... . .... ... _i �, � _ a' :_2 . .�--� '�.' . .. ..... . __ . _...__ ., . ._. . . . _._...._ _.�:_�__ _....
1 � �_ :
� ,.' � j �:� ' � � f1_'"'� f� /'' � f j� '»/
._.... . .._.. ... .`_ --{✓'..�:��y��w. -'..��� �--".::�'� •��"��.r �..�-:o%,�-'`;F'�'"'fi .....a=::.?' ��i�__f ___.._..,... ._ . .. __ .__.._ _f .�!_ `
y ..
} � � . Y' (/ , , -
'. . .'J ..rn. � .r� Ar r j �;F
/
Y . a—,t/
: �
w
_.� 6�-'"'� ����- .�-:__. `� �_...' .. __.... .... ._. __.......-- _..._---__.,._.._.. ..... _..... . _..__.r . �..4. _...
.�__. ...._. ; � ,. f -
; �� f 4 d f,l �'„'-l`��� e/L=""�"ti � ._....�.�p` :c'�` . _._ . . .._._ _... . _ . --__.
, �
vk " � � �'
: _ f . .
_ _ � � _GrJ�li�'�.������_..-� _ __ _ _ .__ ___ __._ -- ��%___.._.
i ���°�'_
; ' �_ � _.�. .._� r
_ . . _._ _,_ � _'f"G-�rs'`�-s.R.'-'E���',�--.:��:.�'"!���;.�J . .�, ,'�. "__ __ . . _ _._.._ __ _. _ _,,,���-_._. _. _
� 4�..�� ..!
� !
5��.�✓J'�'f ' 2y � �
_ �ra..,.
_ _ _ -- __� F _ _ _ .._ ._ _.
-� �� f
/ / �r", � .,Fl j � �+" ��'`'� ��,„;Jr
_ � G�'-�"�--{,� / f;- - � ,,�.� - �' ' %', : -. � . `�� .
G j.,,�!���.- � �
...... . . . �I,6p } f f
��-
�� • f,t, ,r—..._.r . Y.�' .1 ... . . . _. ...._.._. . ._._...... . _.. . . .. ..�� �/'r
. . . ._..�_ —�"�� o.fi �. ...�..— _ �._ .. �... . . . . . . ... .. . .._ ... �:�/ __ __
�,��,�;�"� = a
�
a ' � � _ , , � �
,.�;; � �:. � � ..���>� _ _ _ _. _ ___ � _____ _ __ .
_._ _ . ____ -. �.
� ---�'�'..�.%%Z�i%��f .�--�"����% _��"�F' �cJ^ ..._�`m"
__._ _ } �-' �
� _
, ,
� �°'"�
,
I .��_�
- ,
.�
�- .
__ . __ _ - _--- . _ _ . ___ _.
, _ -- � - - _ _ .
`�
;
_
; �
_ k . __ _ _ _ _ _._ . .
.
; .��-.�� � ''�� _ �
_ . .
.� �" ��,��=_ __ _ - -- _ _ _.,�� _._
, � .
j �'.;�.�'..��,'�_''`.-.' �~'� " `� � __=_���.����_,�,�� _.
_ �
�� .�..�_ _ ___ _ __ . _ _ _ .
.
, � � .
, � .� .
��-�'�'.r.s--G'-"�'�',-,r , � }...:rt�
,�
__ .. .. ... _..1_ _ F R .,�._, .� .,.- _ . .. .. . .. . _. . .. .. .,. . . . ..
i
� j r� f' �C''`�
... ... . . � _,.�.-'"L� ? . d l .�."., .. . _. .. _ . _ . .._ _ ..... _ __..._.. _.._ . .
- ,.
.. ___..._._.. ...._ . __ ._ �.r'"�l.dr;+;:''� �.,,..,:� .r��..s.��._. .. .. .. ... . . . . . ... . �
i. r - _. _ " '' "—_ '_'
�� . : �
��.�,.>.`� ",��'.."�� ,,�� �
{ �.k. f�i`'�.,r�'.�� �,^;: l �'%�2..��` -
_ � � �- - _ _ . _.
, _ tr
;�--�' � � `r� ,
_ __.�.,,..:z��-,"- " ,
✓�!n }
_ , _ _ _
__y%�"j/' J' .f ,r"/ �: t.
/ '/ �'�=.!+,f f i
f f �„a
t '�t' ''.�'r �..�.r-...A �'6'�'l,.�/"�y. -�"' �t ff�y '�`„�pa �r,t• { l� ���� �'CsE'/c"". /
. �
_.,.p.._
. , �
��� _ . .. .. . . �
... .:..., � X"c- < 2 �.�k,,./✓
'C.....�-,.,-. .�- _. :.,.- . ,.
. . . . _. .. .. ... �., • . �.. ._ .. . . . _ ._ ._ . ._
ii
1
. . �.j . .. . ... . .. . . . . . . _ . . , .. .... . ._. . . . _ .
1�
. � ��,��'.�.-'�.�-�C�'�'� �,-��_ - a--
. ��
f +
,/� -1 -�:''r'/'. ,..
u
� .....�� . i? ��.�,"
��`� ...��'r'.'�t`'-�^''..�""��'.!x�`�'Ai� 1/����..�`'�.;.!'°�.��;{ ��
,
..r; ,� { �
.�
�
�,. - � ._ �- ?� -�a ,.-�� �.�
,�.,�-i.� ��"-'�:' ,�-�"=1��.�'_ r>- �c.,.v�,-
_ __.
,.~ ,�K,: �' �,,,'' �
�����,f� � ,.. �,; �
,�.6'::. . .
_. �y" ��r��`_` —v^' �''s'� �'%1 iy J�," /.,.,�, __ _ . __ /f� ���
f-�.�..{- r�' ----.^`� �^'� -" � j
_ _ .. .. _.
j .. ,.�.' "� ;.
. .: ..
' �J`.�!`` . �
�% ." _ � �
�^ . _ _
! ,�'� �
.,
� �
�r'2 � ���
. .. ✓:.'..,-�_ �-�!.ra-;' r�-� . .f�f`.��- ���'��� �"���_ . . . . . .. . .. . . _ . .., � ��
- � �� /� -- - _ _"___' _
�.w' d�J✓•.l� �}:'i f s^ � 1 1 �.�
'�'],.� ,,t� ,,� -^� , . ` Ci'
�`�°�-�Ga!t rt'" .. ,: .: .rl.�:C;7 -::; ,;�' 1 _ _
` '
_ «.w.�`:��"f�` ^.�` �fg� .�� �%�.�-/�il�"��`' 1� l . �r�l'r!
,
_ /. �_ - _.
�
t I
��_��,�1, -;��,� i� ,t ,;/� :� . �, ���� ��� -^`" � �� �t�
, . ,
._ - - � ,,
_ .
., ,
r
C � �
���� �,� L . �- - �- �'� f .,�
_ , �
�
I . . � '„� _._ � . _ _ -- __ �. � _
;, ;� ��� 1
. , �
.--. �2�"�L:>''r '•.., ��`',�.,,.,�'� :_ '�`.
_ ;,�, � _ - __.
� , � r s ,
,.- (r �
, , � "1
�a : -� : :, y „
.f°'� .� <�' � � r__. .
, _ r . � . . . _ . .. . . . .. ... .. .. .._ . . .
��,f f' -� ..` ,.,. Z ' ,,_:o�t� .a f:�,.s - �'rF i
_
, :..�.� .. . �.. . �- � -
, , r cT- --!.'�.-...�.. : ,� . �u ._._ r � .�..�.
j p..
. . .. ...... . . _. ._. , . . . . � .�.��-' � . . _ ....� .b .. . . . . ..... . ..... .. .. .r'.... ._.
�r F t t �°;i"�l
y"` �f✓ 4 �. '1 �'
_ _ _ r _ _ _ . _ _
; /.-
I / }. r 't ,/
� � �vr'�--;,,_� '� t'C< ` t - .`� � J."��(.-�'�,r�R.�".*./.!. r '� !'...�.
* ��
_.._ . .. . . _. _ ... �r.-.c:,-..,-�-•-' �„ r � -
O � J�,,, _ -�
,.. y ,�q-
. . . . ,..�J :�.y�1��� � �..`:.:' � ��Y`4..<'G�"�+,•`�' _ `Y► j�„`�� t�J f, '1 �L,,.�
. .. . . . . f� . , . .. . .. . . ..� _.�� .._
�
I ` �
' � f,/� y�
G/L/}(^��L �^y j <'°'.` �A C� ��.v�,� ' _��,� ���
� �
M :
.. . . . . . � J!..�_✓' '.' .,v. .f- .� _!"��f ._.� r''. . . , . . .. _ . ____.
. . �- .. ^'� . �,. . . . __... _
I �} �7'° "
�
�,v' ,�!/� *">�' ?. , ,�.:�..,. ����.,� ,'�^;
Y , �
� <�'. - ^ f�= j' - �- � Gi
. .. �. ..-*-- .
. . . . . . . . .� . :_ . . .. ... .. ._.. _. ._ .. __. . . . . .
/ i r
--
- .,, ( /r
` � g�9,�"''a6.�'"T �2' C.r'' . . ._ .. _ . . .. ... .._ .. . _...
L,.��. : - �,�� _ _ _ _
�., : � ,s
a �+7 ,ry�/ �J/ __ ,,.+ } ' � y �+�
� �f✓f/ t,.,-.-^".•.�+.^.�e'�z^'`tJ_;!'' �.r�I," f,i �.e,,/�. / f� ._�G,J',�•��,t�!.,!G' �f'` +l� !�. ��� '�'.M.
4� ee �_.. ' + ... .k . ,.- .4_ .
/ S:.- / C, ...r
,.�y �
`I �yq Jf,,. 1 J/, .' /
i 1 �' / 17 A � - y4 ��� i J� � _�l ..'i- . . . . _. �� �..f
�0�,� ' �f..+;/�,�r.�.�.{ ir ....��„ ��z "�.,�a� .��}`�.. �t.�` �.t.'� 1` ....
�er " ,(
� /
�j���� "� /�V { � /J
�G�'C�i-�"+C�i�J ✓�l�"� r �' ;,�5 ° 1 � fr+ � � ._.._,A_L i;i
c
...�^v `b �y
% L-i G^�-
� i f
..�
.
- , ,a--:�,-:r��iz��/ x�:=-�.�-.
� ��
..
_ �.
�.,�.�-� � , - .- . . _
.
� - � . �
, , �
,
,�, � " � �����.�.�'s�F,-:� � ;��}`.?r �� ,r�"
, '� f��� f�� `�.3 7_ �
- _ �����
o• �:
� 4s�s oo+ �r ��N� '��������
_ ���•oo+ � .
�14,960•Q0+ Q'� �' __�0��`��
� _ ,;.-�`` " ij
15s 937• * ��� s,,�,4C�'�N r,.:�'��,..��c�"-Jl�a�
0• � ��1r' � �
�
, . ;; , One Citizens Drive
- ' ROP112
Riverside, RI 02915
July 24, 2012 ��EIVE�
LAW OFFICES IRWIN & MCKNIGHT PC �JUL 3 � 2012
WEST POMFRET PROFFESIONAL BUILDING BRWIN&McKNiGHT
60 WEST POMFRET STREET LAW Off10ES
CARLISLE PA 17013-3222
Estate of KATHLEEN A MOCK
Date of Death: Jun 16, 2012
SSN: 138-26-3824
Dear Sir/Madam:
In accordance with your request,the attached information sheet has been provided in the above decedent's
name as of his/her date of death.
Per your request there was no change in ownership of either account within one year prior to date of
death.
For Installment Loans or Line of Credit accounts, contact our Loan Department at 1-800-708-6680. For
all other inquiries,please call 877-579-2667 option 2.
Sincerely,
?� �/ --�
isa Drainville
Decedent Account Processing
REF#: 554051
t
Account Number 61q0728S60
Account Tit1e KATHLEEN A MOCK
Date O ened 4/4/1977
Accaunt T e Checkin
I'rinci al Balance as of DOD $60422.61
Interest from Last Postin to DOD � •��
Accaunt Balance as of DOD $60423,10
YTD Interest to DUD ��d•�5
Account Number 6200262148
Account Title KATHLEEN A MOCK
Date O ened 10/1/2002
Account T e Checkin
Princi al Balance as of DOD $76568.90
Interest from Last Postin to DOD $3.77
Account Balance as of DOD $76572.67
YTD Interest to DOD $121.38
C.R.l., Inc.
11200 Rockville Pike, Ste 300
Rockville, MD 20852 Facsimile:(301)231-0251
301-468-9200
��� ���������
�JUI� 2�`� 2013
June 24, 2013
,�WIN�f�cKNiGH�t
�W 4FfICES
Frederick C. Mock
Andrew J. Mock
60 W. Pomfret Street
Carlisle, PA 17013
Re: Capitat Realty Investors, Ltd. ("CRI-1," #8422) - Kathleen A. Mock Estate
Dear Messrs:
I am responding to your recent request regarding information on the above-referenced account
hofding 22 units of partnership interest. The interest was originally purchased by Alfred J. Mock
on December 30, 1982 for a total investment of $22,000.00. The interest was transferred to
Kathleen A. Mock on July 1, 2003.
We are aware that upon the death of an owner in a limited partnership, the estimated value of a
limited partnership interest as of the date of death is includable in the estate of the owner for
federal estate tax purposes.
Unfortunately, we cannot provide a value as of the date of death or a current value for these
partnerships interests. Alternatively, we can provide you with a history of prior sales of
partnership interests that took place on the secondary market between a willing buyer and seller
which should satisfy your request for a value for the partnerships interests. Our records indicate
the following transfers occurred:
• One (1)transaction 1/1/12 for a sale price of$136 per unit;
• One (1)transaction 6/1/12 for a sale price of$125 per unit;
• One (1)transactions 7/1/12 for a sale price of$75 per unit;
Four(4)transactions 7/1/12 for a sale price of$100 per unit;
• One (1)transaction 7/1/12 for a sale price of$136 per unit; and
• One (1) transaction 8/1/12 for a sale price of$100 per unit
All of the above identified transactions do not take into consideration any fees or commissions
that may be charged by the secondary market firm or the partnership's $100 transfer fee to setl
or transfer this interest.
Thank you.
Very truly yours,
.�.��� � �.��,�C��..�-�� ���. � � � �„� x� a� U�`"�
,. � � i�
T. Monique Williamson
Investor Relations Associate
A Rea!Estate Financial Services Company
Serving Investors World Wide
N
o � �
! ` �
� �
o °�
e�
� = E
� o
� ,� u
�f �, � � � c
� � a � a c a � N
G. u► a � c y � �' c �
'r��., �, ar � j � v �u, d � ,� '
� � N C a�- N � N C � r �
a ° � � � o = 3 � � � a
y � �
� � iu c,,�y � � ar c� � �
4 o Z � � o a E � � � o � �
t„y �- � a <�•, � C3 ° � az. N � �? .�?, 8
a
n
o� �
�� �
c� �
N
� �' �c� �� —�
Z � � ���' \�
a�,
� W o��o u �- �- .o .,�
� � � �
C
V �„� �'""' r� "'.� -."'� � .'.� �
� o �� C � �� � o -�: ��
� �
d w �o �,�,, � �
WC7 c"y � � c.� � rn
Q �� � * — � �..�
Z ++ 0 � �...� N
v
_ � � � C � �- � -� � �
�
4 � T
�~ a V � � � Q ULLI � �
(� Q_'f � �"....� N = O�' �- ��
�N �....
��
� - QOa �
rn
N .� Z.�W
! p tiJ{� �1 �
� � J a''�[ H
N = J
� F-CV �
�;;� � a o �' �V U
s��t ao u�
M �
� �
v
��4;���j'
ii;itilij:
s;�j�;;'<,
"•`v=vi � � .� .R`�'. � � �„ �t
�;li��j ili a �Q C � +� � tl C ,Pw
''''����''' � K � O " � i � .0 Q '� � o o ,"c y y
",?s'; � � C3v, y " '� c�, 3 � °i � 3 .C � � 3 � 4
�;,,.='�i, q ° � o � � '� �°c `^ m ` ,e ro � +° �► c fi �c ,�
;��i!, �,,. oo w o, � �. � �•� y'^,, c � � � w .� � � `�, � o
���� ,� � �., .;: .� C � .Q 'b ..,��„ � +t�' � � � � sq: � C�i .�r
� fi 4 i�'; � N w �o O � � .0 �Mr .,.
;,;�;!(�if! ro � � O � C y O � y E ` � � � q � � Q� .0
'`t"i,,. O' +"1�.. � '.;`T � � � N � t�i ''�+. .�; t. � � C W p'",�
`;a;i
� � ;�. 0 "4 � 5v +.. �
'''�y;��' W � L U j .� o► ,.0 � W +r "� "4 O 0� �v�..,. �
ii!;ii4;1i� �1 o W •� Sa L �'C„ rq�. p � C Gr �b W V t � f� •�
� qi a;� �' Ca 3a � � � '� � � :� � ro � � � a � �•� y �
;tt c,s �► c � asc mic ,�,, uc �, �
� � ��� � �� q � �� .coc � � � � � ab � o � � ^�° c z
W 5. �� � � �' � a � � � a � .� � '° 4" �. '° � mwy .�cq '° �
Q ,Q �i,;:.,: Q a �.. 'p a +n b ,4 h . ,� '�r � � y 4 °' �, ts o�, � es a,,� �
,Z ..+ � ; a � � c0 acm" c � � � b � , 'y ;� � �C'a � +� '� ,CN
� � r�' ; � � 4 O ,�m c�', � m •� � o �' .� o�i o '� q � w' m �' °i L �
� 4 `�� � �ar � c � � � u�i � a �°. ° : o ''r i "� � ba � � C � v �
,,,# 'c o+ d C � ''.. fi 9r �i V 4 C � �, � C � J � V � '� '� z
�"'�Q Q" �� o � t�,.i3 � �.' ,� ��° � � °' �� � a° ° .,: H �°, ° •a � o '�" a�, y `� Z
�w �q '" u cU � � �c � � � �°c °; � a °' � c '° mub+ y '� : � �ay �
h'�2! O i:4"� o a C,� � � O t�i � C � � � � a,��i � � � j v "� � s�, +4: � '.�C. .W g t�
r
� �' `��;: F- t- �. = m 4. �o •fi ar +°� +'� o� m a �•'� C � °e 3 � ro� � a �°, `^
�
i
i �
C'ROPF BROS., INC. ; Invoice
P.O. ,
X 243 ' Invoice Number:
15708
C P HILL� PA �7001 ! Invoice Date:
Mar 28, 2013
VO1Ce: 717/761-2124
FaX: 717/591-1239 Page:
1
Sold To: Work At:
Re/Max lst Advantage 232 Avon Drive
6375 MerCUry Drive I Carlisle
Mechaaiasburg, PA 17050
Customer ID Reference Payment Terms
Re/Max - MECH 232 Avon, CARLISLE Net 15 Days
Sales Rep ID Work Done Job Date Due Date
jn Check leak ! 3/22/13 4/12/13
Quantity Description Unit Price Extension
ut-out ceilinq & Replace leaking shower drain
1 " shower drain ' 18.99 18. 99
1 ssorted 1-1/2" PVC fittings & pipe 15.85 15. 65
1 VC cement & primer ' 5.90 5. 90
1 1-1/2" fernco coupling 9.95 i 9.95
1 utty, wicking & teflon 4.75 ' 4.75
1 ervice call 35.00 35.00
1 abor 347.50 397.50
.i
i
�
TOTAL �.`' 437..:94�
I
DETACH AND RETURIYTHIS PORTION WITH PAYI9�NT
Customer ID lnvoice Number:
Re/Max - j i5�oe
nRr.�r+ri �
Re/Max 1st Advanta.ge Invoice Date:
6375 Mercury Drive Mar 28, 2013
Mechanicsburg, Pidi 17050 �
TOTAL AMOUNT DUE TFIIS INVOICE �`��'94i
i.
��5� Proposal
N�c�i�«�,a,;rn i�a�o
c��.������rrt�rra-9ss� Licensed, d&Bc�nded
�
ob s;� ,�
s+�ni#�raa Tc: �ha�e: t�e: �
Siee Address: sllHnq Address:
�ri,seate.rp: CiLV,state.�'ip:
. I
f
We Pmpose: To irfstaii and serviae under vrarrar�ty{as s�and beiow}aii spedfie equipment,acces�ortes,products�nd maociais for
your home In aaoardance wlth condttlo�s set farth in th Proposai,
New Eqaipmen�
�aet?yp� o an a rmnuret c,�s a ta a ee�re Thermastat _ �-�i L
sysem►'r�pC o sW�sy�eem ❑vaa�a�ed o ow� ❑��ning Control I
0 Air Condittoner O Neat Pump"Ptus i°Controt
�Heafi Pump�urSOtvoe aGtotlsemai� ❑ClutdoarThermos�t �Fan Cen�er '
❑Fumace o C!ooling Subbase ❑OutdaorlReset CoMrol
❑Bolle�ta t�at wam�a stsaml � ❑Mist. i
Mode1:��K�,r Desc: �
Tons• 6TUH• AFU 5 ER:_(�,__ �
Airiismdt orCnii: �HorizarttaE 'Vertica! E(��: �
� e S eed Btawer ' a Reoonnecr to E-7cistin9 TyPe
Model: a�sc:_.,. ❑Electric Service Upgrade From�pTo�mp
Tons. BTl3H• AFU SEE EFI;,�„�',_ �New Disconned Box:
�COi1 Make:,���j�����,� Model. ; O Copper�ectric�rcvit to:
�(AUX Heater.,,.�Q_KW � o Condensing Unit ❑Air Handler
❑Geothermai Pump Madute [o i-PUmp a Zaumpi 0 Misc:
�MFSC• •i
Accessories and Miscellaaexms: �J �
CandenseCe Dra1z�Hookup,�Fnmary o Secandary ❑Vibratia�Proof Isoiation Pads p�Tt' Weather I.�egs
sulated Gopper Refrigerant tines ���.$!_ ❑Reinforced Lintels ,�Poly Con-�r Pad
Aluminum L.ine Set Cover[a emwn a wnroe� pe�yn,�� O UV Ught I
0 Auxiliary Drain Pan D Emergency OverflaYv Switch �Carbon Mona�de deteCkor 0 Eined:�,_„
o PVC Flue cc,r�a�o��c� �i��.,,._ o Fiitration System I
❑Gas Wping��en�m��a Copper dtl Une peh�?_ ❑Humidifier I
❑Bai!Valves ts�)_..cacr}...._ �Condensate Pe�mP
0 Misc: ❑Misc:
A�ir Distubution ❑Ft4 a R6 job Si#e C1eanUp and SafM�: �
�N�v SupPEy�enum Professional7ourneyman Ctass Tethntdan
❑New Return Plenurn �Removai of old Equipment from P mises
J�(Retum A[r Plenum Bax Cleanup at�sd of day lnciuding v umEng,sweeping
Q Misc: and dusting.Drop ciathes&booti used as needed.
Duct System: 0 Ani3-microbial ❑Fncap lated Cpdes and pemnils; !
[I Engineesed Duct System far Tons Drops �Atl worlc perFarmed acc�rding to ekisting cades
0 Suppty A'sr Diffusers�o c�Eng a�ae wan a rioorl}ta�ri�.,. D Ail required permits
❑Retum Air Grillps �O c�inn, o s�ee wau o,�oor���ocy)___, �EPA Certifled refiigererrt recovery�&necycle
�Retum Air Fii'ber Gr411e tsme} �cny}_, o Customer responsibie 1`or having �Professianat
Q Motorized 2ane Dampers��} ��.�_,,,_ Ctrimney Inspectian
❑MisC: ❑
Metiwd a#Fapment Wazrantp:
fl CashJCheck Chedc# � i Year��Warranty
❑Credit Canf D Master CaM Q Vsa Ig �o Yearp,�Warram.y
Card# � {��.SS�� Year����,r Warran '
Security Code# . R(_.,.Ia YearCox�densingCoil Wa �Y �
Name on Credit Card: ' , �C �c� YearEvaporat�Coi2 Wa nty
❑ '— YearHeatfixrhanger Wa nty
�Fnancing: 0 — Year�y�ty pi,�d�Wa Mjr
D -, Ysit Far�;n,��e �
iWaaNMYIARkabp�n�na0kf�w�e'bCwnyyeaMNlaneaa7afMi'a(I +71YarmeYOeMWnraYailCey�aesdartatleESIry�ORqwhWlmo�ss Loben�ba�111CIFknMWOe �
m.r�acxmrr�n onn»ammea aua�r.we m noearnKam navam�v�in oAermrawe.e er r�enwm.�
Papment Te�ss: Net Inv�te� $ � '
�opo�d BY ... Deposit $� �
.Apgraval signatc� 1�Z�� Bala�ce I7txe: $ °-°
�
Spedal Con�ems
amaP.wa+au�evmwaar�waawNe.asa+a�e+ta,�aa�s.a�wmwe�nr�wee.mmmm.eao.caurno�eouww.aws�so�.�t a�a�y�K rw.�eamee
�O��Na�p+tYmtltlieNNtlwrposTaartm�ln6t�ewneaftlu� pqm�KNM�t�aWv�l.MiW�WK�7Nta11P��roariY�ntm�Ybs M1Aenmtdnon�oryeeeR
. IIav�NaMIwltlmondrOr.wtwW�a7+Ewa ipieemAYaMmesaronoroaMe�Leme�3hsMtlikpe0a�fkWaMlntlrmMCd.n�mwneyfarmNeqNn. �
ThE FEd�dt�airtlum Btergy Stsnriard E41S.0$EER.S}5lEmS mUSt be h�Sc�d'�to etRt raUm854
WHITE-RLE Y9iOW-CUSTO1MHt PINK^MARIfETING �
� I
�
. � � . . ��5�� � Pro osal
New GLmbaland{PA I7070 �
(71�7T4-9480- ex(7[�77A-9586 L,icens.ed
. �,.a,�;a�,�,�,m • ,Insur d&Bonded •
' ob 91ta � BBiin Addroc .
Submitted To: phone: • pa�• ;
Slte Addn>ss: ' . ptlitng Address: . �
dtYr State,ZtP: Qty,seate,zip: '
We Propose: To tnstaH and seMae under warranty(as ted below)all spedBe equlpme�,accessorlas,products nd ma0erials for
your home In aaardance with condf6lons set forth In th Proposal, ,
New Equipmeak ; ��; '
• ��C o on C Nahuai Gas o�r o eKoj� �Thermostat �D� � L •
Syshm7ppC O Split 5ys0em o packaged O Ductle+ss p ZoNng Control • I �
0 Air Condltioner . p Heat Pump"Plus 1°Control •
J�'Heat Pump Q�wso�a�eam�,nai� ❑putdoor Thermostat �Fan Cen er �
• 0 Fumace • 0 Cooli�g Subbase o Outdoor Reset Controi � �
� �Boller�n Hoc w�r a so�m1 � 0 Misc: ' •
ModeL•P_T-'An►r�K Desc: • •
Tons• BTUH: AFU S ; I�j �
Air Handl e ar Coil: [7 Hotizorrtal erticsl Slechical; •
o � S', eed elowe� � 0 Rernnnect to Existing Type_ • �
Madel: Desc: �` � ❑ElecMc Service Upgratle From mpTo�mp
Tons. BTUH• ���- AFU SEE "'EF#:_ 1?� ,4�New Dtscannect Box: '
�Coli Make:l�,�g��-�Mode. � ❑Capper Blectric Clrcutt to:
AUX Heater: �[� KW ' t1 Condensing Un[t 0 Air`Handler
o Geothermai Pump Madule [O1-PUmp 02-PUmp] 0 M►sc: :
o Mtsc:
Accessories and Miscellaneons:
Condensate Orain Hookup,�(Primary ❑S�condary o Vlbration Proof Isolatlon Pads p� Weather Le9s
nsulated Copper Refrfgerant Unes p���! 0 Reinforced lintels �Poly Con�r Pad .
❑Alumtnum Une Set Cover ro erovm n wn�� ��ej,gnq_ �UV Ught ,
[7 Auxlltary Drain Pan �Emergency Overflo�fv Switch o Cari�on Monoxfde Detector �D ciined:_�_ ;
, ❑PVC Flue [�IMake 00d�austJ �ie��, 0 Flltration System^ ' .
❑Gas Piping p���_o Copper O(I Line pehe�r,�^ o Humidtfier ,
�Ball Valves�sze���qcy�_ �Candensate Pump
0 Misc: �� 0 Misc:
Air Uistdbutiam; ❑Ft4 0 R6 job Site C1ean Up and Safety: �
m:
j�New SuPpiy Plenum Professionai Journeyman Class Te hntdan
� ❑New Return Plenum .� Removal of ofd Equipment from Pr�emises •
J!(Return AIr Plenum Box ' Cleanup at end of day tncluding v cuuming,sweeping
o Misc: !� and dusting.Drop ctothes&booti used as needed. ,
Duct Spstemi: n And-microbial O Encapst�fated Codes and Pemdte: �
o Engineered Duct System for Tons =•� Drops �(jAll work pertormed according to e Isttng codes • .
0 Supply Air Diffusers ro caa�g o s�ae wan.a Floo���qcy�_ ❑All required permits �
❑Retum Ai�Grilles �o ce�un9 a s�ee wan n aoor7�ycy�_ �EPA Cerdfied refrigerant recovery&recycle
�Retum Atr Fliter Grille �s�) �ycy)_ o Customer responsible for havfng Professional
❑Motor(zed Zone Dampers�au) �(qry)_ Chtmney Inspectton
. 0 Mtsc: � � p
Method af Paymett� i; . Waa�uity: • '
0 Cash/Check Check# �: � 1 Year�yo=Warcanty
• ❑Credit Card ❑Master Card ❑Visa ! �—�o Yearp�y Warranty
Cdrd# • � l�-.L� YedrCompzessor�larran �
secuHty Code# • �' ��L_ Year��;d��g��Wa nty ,• ,
�l.Si Yearg�poraMrCoil Wa nty
Name on Credit Card: ' ❑ — Year�¢�tgx��g�Wa nty
❑Financing: ' c7 " YearQaa]ityPledge Wa nty �
' ' o ^ Vistt ForMainten,,nce
VNW�IMYIAKbbpdN/netlfOfWCEewnW�MA�atlORbnYYdl mr«+am�ra.�wn.awweeycKao�aa.am�v.ar�,.ua�mw.m�ra aiam.a.�,wea.mdm,. � � .
e.rionout«m�rnndrureroome0eua�.wemnx�amexnc�mweeatr .mw�aa�aMwenwm.a
Rayment Teaas: Y ¢. Net Investment $ �� i
Pmposed By: Deposit $� � , .
=d
Agpmval Signatuie: te: B81811CC Lh18: $
Spedal Conc�s � .
au�a�ar,auweamaev+�w�neawtMeourrme�twwrt.dxhmaow�.+�wneiwt+mrwe.mnr�om.svp,nanreeremuwn..nrr�nq�aa.�1 w�au�Kbnnw
. [aNt�e3°"�i�nennrmuasmi�w�a�tw�wee°i�°�e nem�ale�r�wwrpauOMKm�iwVa�t�ue�va�ra�na'ewa qsm.�na�w�x�w�w�w��e� awrtaem�wymme .
w w d+m.
The Federel minimum Energy 5tandard ts 13.0 SEER Systems must be Matched according to aRl raUngs bndard
WHLfE-FlLE .YELLOIN-CUSTDMER %NK-MARKErlNG �
I
'� . . .
I �
�� ��? /�.
-�, t,J �-� �� ��,� --��� �.. ��
—���= �
�9�'�1 �1a�►�.,� �=,-�ed i��1 �zrz Q . ,.r,�. c�,�-��a Q.
`�Z�2� c�. �di�, ��
� .
G-(?(;,� �.� ��I��� ` `��0 -�0��� �-1.t1
� �
�
Q�
I�a�'H(e2n1 / �'1 d c l� �STct�.
a32 �o� �� ��.
��- ► , 5 ��� �✓� 1 �v� 3
�
. _ __ _ __ �
Also HauJing scrap nr 1 Reasonable Rates '
...:;; �.� ._::; '
� s, :��:. � �,,. i �
, , � _�
,, �>- �
...., ,,._ , .,� ` . I
r,.� !� liE' ' �s' E. I
�
Houses,Attics,Basement,Garages,S ds j
� I
��1�°d3Sl/ Wayne A. Weibley I
Home:717-�4A-i�39 Ce11:717,C99�@�.• �'
Dec 26 12 Q3:22p Bren# I�e##ich 1i7-245,91�7 p.1
1�ar�iss Pro ianal Services ���/��r:�
36?3 S ' �toad —..
Csrlisteti Pa. 11tJ�3 Data im►o�ce#
I71ZdJ24.E2 771
�►Ta
Esiat�of Kat6lee�n Mock
Ife�n Descr3ptian Raie Amount
Houise Cl�ening Complete hou9a cl+eaning of 232 Avan Drive Carlisk Pa I7013. 350.00 350.40
�
.PTe�se nnak,�clieelcs p�.yabie w 1'a�'�sc Prafess€a�at S+�rvices
Anv quas�ons pleas�ca�tt I.iss Lettich af 7 r7-44s�sm.
Thanicyau��rou�f�usl�a�s. �
���� �350 0(!
P'hone# Faac# E ma�
(71?j 44A-O600 (91?}x4S 9197 IetdogbiQcorncast.net
!
� 4
�! ESTlMATE �` �!{. { :��°�°,°F°,
"°����G��a{��.r��t,�� IIIIaiIIiIIIIIIINIIIIiI BiND DATE: �'17i2012 t�`. }� i Q�i�ly � I���� NUNCBER
;:�r•rmay0on�c�cum 800•24l•la3f
U.S.DOTNo.12666� r'r��� co�,a►�,r, � ;MQ0215-Q139
�CUS70MER: Fred Mock , GUSTOMER: Fred MoCk � `
�'STI2EET kdDRE53: 232 Avan Dr. APT,: ,�, STREET AODR833: 128D Highway 182E ��}� ' �/�'�APT,./: /
�� (..i.C� ��`�h., l'c"
�;'CtTY,STATE,ZIP:CARLIStE PA,17013 b � CITY,STATE,ZIP:STARKVILLE MS,39758 � A^�•G� +� �j
�`'ORiGiN PHONE:662-A1B-D139 + DES7INATI4�nPHONE:652-41,�8y.Qt39 k . ��
t�i..;CONTACT: PHONE: � CONTACT: (;G�LGtt�'' �!J ..-7 �H N =; �
��EMAIL AODRESS: El�AIL ADDRE53 r� �
� � rr• �s �� ;i++u�� :
p;COMPANY{Ass�iated With}: �"�, , � �� � cnsrrt �G �cK
� PACKING DR'fE: 11t12/2D12 '' CUST6�YI�F{�';��'Q'YJEST�'i"�„Q,VI,��,NU�t��oHiNf3.�[;Q '��g'?�`:1!1Q
i.;t ._
PICK UP DA7E: 11M3/2012 � ItELlVERY DATE RANtiEs 11t2Qt2012 T�i i l281�092
"��'ACtItitING, tf a motin�cc}m�any loses or tlan2a es your aads, Yl�ere arc lwo{2}di#�:ereut standarclt�Ior �c; ni!i:tt►Y's li��bilit},
�hascd nt�tf�c ty c'�c�f ratcs nc}u �ay BY FEI)E�LAW��HIS Ft)RM MLtST Ct)NTAIN A I�ILLED-� � TT1VIA�'k C1T
: 'I'!-ti;CUS'i't}�A MOVE�FL?�tiVHICH THE M(3VING COMPANY IS LIABLE FOR THE FCILL(I� A C�IVIENT)
: 1�AI.UE U�1 OltFt GC7C)DS in tl�e cvent of loss oF,ot•da�ua Je ta, thc gaocts. '1'lyis form niay a[sa cnntain hc �: um<�c�oi'tlir.cas�
M c,l�a�i,c>ec in wf�sch tl�e i��ovii� rac���aiz is liablc:For FAR LES�than tiic re I:tCCi11L'pl VitlliC OI'ycsur oods, ��c Tty,ii�lawcr ca;e
� ts�ti'r�u. Yc,i�r,irill selcct tlic lia�t�ility�evel later,an�the l�il)af ladins;{ca�7cr;►ct}t'or yaur mc�ve. Bef�r�sel4c4�y �11�a�bilit:y tevei,.
.� �ile i,c rc�ac! "Your Ri�ht�;aud Kesponsibilities W1ten You Movc,':j�rovided hy the t�loving company, anci,ec�k ia t.l�ej�ini`r�rmat�on at
p, tlyc�gc�vtrttancnt titi�cE�tiiYe °�vtivw.j�rcytecL'youriuovc.$pv.° � ; ,
�-
YOUR TOTAL PRICE'IWCLUDES THE FOLLGYYlNC:: ' `.
o; �,}� ye�
Q�'; . ... . � :.:.�. �'`�i �'J`�t��.{�.. ��� .15�{1i��ri'`�.��.�d�r.�:`t 1t���,.�.:• ,.?��".. ... ..aw�i��k c .'..._i:` ' ���
C .'R �,.�. :'r` ',
���" �,hF VOIP"P SiDUplp `1'O?'T,t,.� '.`SOUN6 W£TGH7' b,47G LF35. � � � 5 5'/.�02..
� i
� 3�V"r• ^•t) 1lt:UUC'I'tIiLE :i�7i1,OOO.OU i TNCLUdF:I.�
�' C1e?'1'i)h 9"i P:: CAR7'qNS ONLX [�'ACK UNPACt: �
j '
���:s:: k'Ac:K:, 2'L i i IhICLU[3FU
!!� ChRiC)i; _ 1!:'. Ctl. F"F'. 2 INCZ,UDEO
� C;i:ft':Y}t:�, .i !:0. 'e'I'. 11 � �` T_P�CLIIDGD
"�' � i It�CLUllk:ll
.�:�:, Cri£?'i`tZFi:i +3 !1� CU E"1'. 2J
�: i:Aft?'t�F7:; ti SU. F9'. 1 � tNCLUDED
�y; Wi:1?DRUDE C'1'N 3 � �� IP]CI.UnF.!)
COR.i=. t•11 Nlivi? CTN �1
j �j II�lGLUDED
1
- ���-'�� i �_ .
r'a: #
�'` � �
''N" �
Z �
�' Far thls binding estimato,Carrter musi dellver the � . , � , . �, , �
u�; shipment upon payment of 100%of the 4n Potnt Pslce � � � ; 5,�57.02
��: CeRa[nty Total. (Unless an Addendum or a Naw EsGmate la'E�tecuted) }
i
W' WF►L;HT Alj,,,O�RjC��RED17' 1f iha,sh'�prsteM`�sz�'c�!Y�t4!!gFIt��Cf'�' e�r�e,Boypf�nY�i�(�i�,a we��g+'��a�'�� �l�r,e Q9USt,�o.$ 23.D0 + :-,�� untl`�eaWefght(cwi)ir�u
�.; ... .,.. ., ,-, '. ��� y t� }� ��i r� . 1 ,� � .'�" '��i � I � _.. � .
�u •-�
� be paid to the Custamar based on the p�E�E , ,1beNreen�tha,Bo�[�d vY�ft(., ;��f�e►tt�e q�ipmpn�BtiAqu�,.,aJ��1��a��,fiQ�},PouR�s!tmini�nunl,i:,;$1 �j_t,hit}mver is.greatei.
�Tho Pricn Certainty Total on thls binding esttmate ts vaifd when accepted and slgnad by 10l17/2012. The Price Certainty Tota!on thl's ( (ng estitndte applles
� oniy ta the specific services and quanttttos Hsted above for ioading on 17/13/2a12. : ` ' AII qound servlces
�_�isted are tncludecf in the totai. 7#�e pdca for non•bountl services tisted wiil be based on th6 actuat services.pertormed. ( � ; ;
z`L1S"t'E13!$E 0���+A���s"T��+ � a- .r ,t�� f:�:�:��.,_,.��'w�_��'�.'
;�..,�t� .,.... v.'�:..�.:��;.;;..3 ,
G�, VALUATION OP710NS: This Estlmato Is basod on tho fallowing ValuaGon Qptlon ealeeteda FULL VAI.UE PRO7ECTIQN� 840,COCf.04
2
(� ,r� �.
;
5428.�0 S3Q0.00 5235.00 �171.04 S1 0 04' S.4Q
55.257.Q2 $5:128:p2 55,064.tl2 S5,OQOA2 SA,S��J 02;: 54,$29.82
, * . # ,
i ;;
i �FOR 4UESTtONS OR 70 80dK YOUR MOVE,P4EA3E CONTACT YGtUR AGENT McCanneli Bt'othaps Transl'er 8.Storage �
Martha Nordquist 2446 Highway 89 Squth
: 662-328-2Ta1 mno�dquist(�mcoonnellbrotbora.com Columpus MS,39704 c.
'y � _�
f �,Custamor's slgnaturc le equlred here,ackno dging recelpt qE the.taltowtng:l}EsUmate aod AddlUqnai$ervlses PrEce:4tst tkf app 1 abi );2)'Your Rights&
h Responsibiiitiss When Move a R6ady ove brochurea(wbie ('ag may he rovlded eleCYronlc !ly};and 3}! ventory of i ee�ns. aiu�tl tn Excess at
M ;5188 Per Pountl Por cI �Mt fu ve t ryj rtn.
� �� .; ���.��, f�.�.�... .- .��. �..(.�1.�`.
� tlys„ti3nikM,�3SJ�ma�, ,L. , r �p�;!`l�`�.�",�s`� ��;."�T:1.�B��A�,e?;=..
irnGe_ESrM_GPay MT_Rev_2o7: o�•va3,par 4 MAYFLOW�R DRIVE FENTON, MO. 5�028 800�241-7321 2�1�'0 1047
e
� � '
Karen Noel
Fram: Fred Mock <fmack@saffairs.msstate.edu}
Sent: Friday, December 14,2022 11:13 AM
To: Karen Noei
Cc: <Mock
Subject. Rf:auction of personal property
Karen:
6elaw are the airfare($652.60}and rental car($379.32} receipts fram my trip to Carlisle this past weekend (I cut and
pasted this time so maybe it comes through better. If not, i'll be glad to scan hardcopies and emaii to youj. I met with
the real estate agent,coordinated the upcoming sale of items with the auction hause and did a last check of the house
before it goes on sale in early lanuary.
7hanks and have a great weekend,
Fred
*�************************************************************
THE HERTZ CORPORATION
Phane: 80E}-654-4173
Fax: .
web: www.hertz.com �
Direct All Inquiries To:
THE HERTZ CORPORATION
PO Bt�X 261Z0
OKLAHOMA CITY,OK 73126-0120
FRED MOCK
103 CANNA AVE
STARKVILLE, M5 39759
REPRINT
Rental Agreement Na: 188219522
Invaice pate: 12/10/2012
Document: 982001981899
Renter: FRED MQCK
ACCOUnt NO.: ************2248 VI$
1
Nordstrom Bank Colarado Service Center ����'���i���('������������'������
P Q Box 6565
�����W� ,co aa��s-��6� � {) R D 5 T R O M �A�,K
August�?t,20i2
Current Balance:$1,834.93
i{���li�l�I���i1i11�hl�Iil1""�I�tt��lli�il�n�llr���l' �I��"�� Total Amount Due: $179.00
KATH�EEld A MOCK i-�,���,C� �Y s ���`�����
232 AVON pR ' 1..J N223
CARLI5LE PA 17C113-4209 ��� � $ ����
iRWIN&�icK�iGi#�
pear Kethleen A Mock, ��d�����
!Ne truly value your business as a Nardstram cardholder and custc►mer. �
Unfortunatety, at this time,our records indicate your Nordstrom account is currentiy past due.
r
= tf#his is an overs�ght ar error on our part�piease accept our sincerest apologies. However, if any
' c�rcumstances have prevented you from paying the 3otat�►maunt Due,we ask that yau call us at your
� earliest convenience sa we may ass�st you with b�inging your account current or making a payment
= arrangement.
:
= Please know we also offer the following easy payment optians-available 24 hours a day,7 days at week
= at na additional cost:
- * Pay-By-Phone by callinq our toil free num6er(isted below j
_ * Make an aniine payment at nordstrombank.cam, or
= * Have yaur bilt paid autamaticatly each manth with Nordstrom Au#oPay.
� This convenient service makes sute yaur bii!�s paid an tirr►e,even when yau're out of town-att wi#h no
' checks to write,s#amps to buy or phone cails#o make.
:
� If yaur payment has recently been mailed,please disreqard this letter and accep#our thanks for
continuing to shap Nordstram.
We look forward to serving you soon.
Sincerely,
.V �.da.�a� t9'�t.c �7
�1 �f}
j i
Christopher�wen �`��
Yice President Account 5ervices `( ���'
1-866-491-7864 {�i�
� � ��
���
pD ��,� ��/ � � � �
� _ � ��
�
�h�°.-� c��-- � �� � � ��.3 � - �
. � ��
�
�
Y `"^^�.....�
� SEE THE REVERSE SIDE FQR IMPORTANT lN�QRMATION.
COLR150C 5951 0104 tK14 b7 1208d1 PAGE q0UQ1 OF Qd002 T235 3208
In Your ome Care �
19 So '�Hanover St. I nvo i c e
Suite 108
Carlisle, PA 17013 Invoice#: C3026
Invoice Date: 6/18/2012
Bill To:
Mrs.Kathleen Mock C/O � "DON'T STA Y HOME
��A on D�e WITHOUT US!"
Carlisle,Pa 17013
Description Hours/Qty Rate Amount
Care Service:06/11/12-6:OOA-8:30A-Donna Trutt 2.5 17.50 43.75
Care Service:06/11/12-8:30A-3:OOP-Amy Anderson 6.5 18.50 120.25
Care Service:06/11/12-3:OOP-9:OOP-Melissa Lehman 6 17.50 105.00
Care Service:06/11/12-9:OOP-6:OOA-Denise Beecher 9 17.50 157.50
Care Service:06/12/12-6:OOA-8:30A-Donna Trutt 2.5 17.50 43.75
Care Service:06/1Z/12-8:30A-3:OOP-Amy Anderson 6.5 18.50 120.25
Care Service:06/12/12-3:OOP-9:OOP-Melissa Lehman 6 17.50 105.00
Care Service:06/12/12-9:OOP-6:OOA-Denise Beecher 9 17.50 157.50
Care Service:06/13/12-6:OOA-8:30A-Donna Trutt 2.5 17.50 43.75
Care Service:06/13/12-8:30A-3:OOP-AmyAnderson 6.5 18.50 120.25
Care Service:06/13/12-3:OOP-9:OOP-Melissa Lehman 6 17.50 105.00
Care Service:06/13/12-9:OOP-6:OOA-Denise Beecher 9 �7.50 157.50
Care Service:06/14/12-6:OOA-8:30A-Donna Trutt 2.5 7.50 43.75
Care Service:06/14/12-8:30A-3:OOP-AmyAnderson 6.5 18.50 120.25
Care Service:06/14/12-3:OOP-9:OOP-Melissa Lehman 6 17.50 105.00
Care Service:06/14/12-9 OOP Fs6:00A-Melissa Lehman t,�' 9. ;. 17.50 157.50
Care Service 06/15/12 6 OOA-8 30A,-Donna;Trutt � � .: - ;� 2:5 17.50 43.75
Care Service Q6/15/12-8 30A ;3 OOP�-AmyAndersori '6.5 1;8,.50 120.25
Care Service U6/15/12-3 OOP ,9 QOP;-;Melissa Lehman - -6.: � 17.50 105.00
` �.,
Care Service �06%15/12-9.00P-6:OOA-Denise Beecher 9� 17.50 , ` 157.50
Care Service:06/16/12-6:OOA-7:OOA-Denise Beecher 1 18.50 18.50
Care Service:06/16/12-7:OOA-12:45P-Lettie Baumgardner 5.75 18.50 106.38
Care Service:06/16/12- 12:45P- 1:30P-Stephen Taylor 0.75 18.50 13.88
Care Service:06/16/12-1:30P-9:OOP-Jennifer Houser 7.5 18.50 138.75
Care Service:06/16/12-9:OOP-9:30P-Denise Beecher 0.5 18.50 9.25
Thank you for choosing IN YOUR HOME CARE! Total $2,419.26
Phone# Fax# E-Mail Payments/Credits $0.00
717-243-5080 717-243-6950 info@inyourhomecares.com Balance Due $2419.26
DUE UPON RECEIPT
Allen6eny Resort �tatement
1554 Boiling Springs Rd.
Bviling Springs,PA US
717.258.321 I
�
Date
07-04-2012
Accaunt Number
MOCK KATHLEEN A.(M4CK KATHLEEN A.} 00001241
232 AVON DR �
CARLISL,PA 17Q13 Page: 1 of1
Date Invotce Comments Totai Payments Bslance
Q1-24•20I2 444 45.t�? U.00 45.UU
Current 31-60 davs 61-9Q davs Qver 9Q Totals
0.{i1} 0.00 0.00 45.00 45.�
4
_.. . _
E..,_:..:�'��:�:.::: ;:,',:,..
�� :� P
�Sb._... __ ., _ .. ..
�:��fG �- �.j� i_, ,..
..;�5�;-�!;7i-i��._...
Allenberry Resort Inn&Playhouse ����£,��n.�
1559 B iling Springs Rd.
Bo' ' g Springs,PA US
7 .258.3211
Date
OI-31-2013
Account Number
MOCK KATNLEEN A.(MQGK KATH�EEN A.} Mock
232 AVON DR �
Carlisle, PA 17Q13 US Page: 1 of I
Date Invaice Comments Total Payments Balance
01-24-2012 444 95.00 45.00 50.00
Current 32-60 davs 61-90 davs Over 90 Tatals
Q.04 0.00 4,40 SQ.OQ 50.00
i
�� _.
,�..y.
���
-t"�?F .���\ 1{j°:.
Y � M M
�
o; o� N �
J � � � r � ,
m � � � � o�°'co
o � rnaov�o O
X o�oai m
Q M O N N W
W �EA�fA =
~ � � H .
W N � Q �
` C C C C
r o � �o � o
Q d r r p Z EmEv it :
� U I� f� M c0 � y 3 N � Z ;
� co co o ° > N X N'o O .
� W � I� I� � N.-N tNn W y� � '
J N N � ooN a�a � O ;
Q � � p� �y�:_ U '
� 'rno� —2�
� V N O m a �
C) ��'� a :
� � a� a�o M a �� y �
N p CV � CV OD J F ;
QZ �
N � � � N W '
-� ° � � ►� o a � ;
O N � N � Q �
T U N :
_ � ~ � Z �
U W � ;
N � a� Z Z ,
a �, � � - o o Q :
w � � � °° � w � �
a � N O N 0
W —� _ �
J v
N �
« � �
J E' —
�
U �� V �
, T y� A � �
N o=.�" �
N � . �-:�Q �
N ~T � � :m �
X t �
U
f- (/) y � •.
a�i � }��
y � Li
�
d
N
N
Q
X
f
� Q �
� Z r
�N W W O
N� W � T
j J — Q
� �m 2pd
00
°'' m� Q W
�Y c��'r YzJ
� O
a= Y � J
Q
� 10 cONQ
�L°oa � D� NU
�vF-T� � �
�
3mmyM = � �
y d0�° �L ,
mt7o:Ur O�
CARLIBLE BOROUGH TAX COLLECTOR TAX PAYE R'S C O PY
C/O CARLISLE BOROUGH
53 WEST 50t17H BTREET KEEP TH1S PC}RTI�N FOR YQUFt RECOR[3S
CARLI ,PA 17013
TE -RETURN SERVICE R�QUESTED
� � r . . . �
i�iii��iN�����i����iii�����i�niltl�I��I�Ilrniii����i�i�iN�i��i -
01�5458"""••••,*••""AUTO'*5-DIGIT 17013 �,�� �.' .'. ����
MOCK,KATHLEEN A 1���1��Ili��������II����I�1�������a�����������1���
� 60 W POMFRET ST FRNT
CARLtS�E PA 17Q13-32A4 �9�'�!�1#1��i�4$G�i1�N�i���
��i}����ri
Ta review the assessment data for this praperty, go ta:
www.courthouseonline.com>AssessmentOffice>Curnberland>PrppertyRecords
Then enter control�! 04001857 and password GUDEYSHA
..............................................................__.................._...._._....,. ............. ..._................._.....,...._..._.................................:............_.........._.............................._........_.__..........._.............
� � ! • • • • ' � � • + i • ' :!'•
Payable Ta: CARCISLEBOROUGH TAX COLLECTOR Offiice Hours: MONDAY-FRlt}AY 7:38AM�:3QPM -
C/O CARLISLE BOROUGH CLOSED SAT,SUN 8 HOLIDAYS
SS WEST SOUTH STREET CASH ONLY AFTER 12l15113
CARLIS�E,PA 17013 Bill No: 387't
PHONE(717)249�t422 Bill Date: 3/1/13
Canirol No� 444Q1857
MAP Nfl:.Od-Z3-0B88-728.
Desa y32 AV17N DRIVE Assessed Value: Land:56,900 Im rovement: 174;000 Total:230,900
&lUTAPI.E STREET Discount - Face ena y
CHAPEL HiIL Count RE 2.131 $482.21 92. 54 6
LOT 1�8B County Lib 0.143 � $32.36 $33.02 $36.32
04065 Munic.RIE 3.058 $691.97 $786A8 $776.T0
Fire Protc 0.217 $49.11 $50.11 $55.12
$1.�FEE Ft7R At?t71TfQNA�REGEIP7S
Tax Payer:
MOCK,KATFILEEN A TAX AMQUNT DUE
64 W POMFF2ET ST FRNT . $1,255.65 $1,28'l.2T S'1,449.44
CAR�tSLE PA 178i3-32d4 If Date Of Pa r�ent is an 3/1/ 3 thr 38 3 5/1/13 thru 8/38M3 7/1! or L
� s� �� • . � � •�� • �� • r � �a� .!!' '� • !
.......... ...................... . ..._........, . ..,....,.................................__..,..........................._.._. __........ ... .........................,.._..._...... . ........ ............._..,.... ....,....... ... ...._...,.......
Cumberland Cnunty Pennsylvania
� . � . . . • - • � � � � � - :� • •
TAX COLLECTOR CC?PY-RETURN WITH PAYMENT Ft�R PRflPER CREDiT ��t��Q� 3s7�
Bill Oate: 3/1113
MOCK,KATHLEEN A 232 AVON DRIVE Control No:p4001857
60 W POMFRET ST FRNT 8�MAP�E STREET �Ap�p:��_������_�2$.
CARltS�E PA 1T013-324d GNAPEL HILL
LOT 138B
Acres 0.6 Deed 0�27DOq065
Payab}e Ta: Assessed Value: Land:56,800 Im rovement:174,OOQ Tatalc 23Q,9Q0
CAR�lS�.E BC}ROUGH TAX COL�ECTOR Discount Face Penalty
G/O CAFiLISLE BOROUGH
53 WEST SOUTH STR�ET Count RE 2.131 482.21
CARLlSLE,PA 17013 Count Lib 0.1d3 32.35
PHONE(717)249�422
������t���������i��l��������{��!t���!��It��������+ Fire Praic 0.217 $49.13 $5Q.11 $55.12
I � � � I� � � I
TAX AMt1UNT DUE $4,255.65 $1,28i.27 $4,409.40
<�.,�..E, �.,�..w v..,
,...��.�.-.�.- .,
.�,��....�.,�,�,.�,<� �_,_ e=��n��.��--
.�,,.��s�.���,� ..a,.;. e_,. � _
------------------------------------------------------------------------------
_�`_____________�^ C �I S T d M R S T A T E M E N T
�____-���--------------------------------------------
CTI Networks ( PA.net Statement Generated: 2Q12-09-2b
5170 E. Trindle Rd. Account Number. 1$0
Mechanicsburg, PA 1745Q Invaice Number: n/a
US
V4ICE: 2-877-726-3848 FAX: 717-697-8576
Kathleen Mock
232 Avon Dr
Carlisle, PA 17013
AcCOUnt 1$0 Activi.ty
�AfiE DESCRIPTION CHG TAX TdTAI,
?Q12-Q9-18 Balance Farward 0 -��
?012-09-18 CHARGE; Broadband 9.31 0 .00 9.31
9/7-9/17 256/128 DSL
Reference Number: 22383848
'.012-Q9-25 VOID: PAXMENT on 2012-07-28 24 . 95
Thank You! - sameone disputed payment
:012-09-25 VOID: FAYMENT on 2012-06-27 � 24 . 95
Thank Yau! someone disputed payment
:012-Q9-25 CHARGE: Adminis�ration 30 .00 0 . 00 30 •00
dispute fee - Jun 27 payment
Reference Number: 12398885
Q22-09-25 CHARGE: Administration 30 .00 0 .00 30•OQ
dispute fee - July 28 payment
Reference Number: 12398$86
012-09-25 CHARGE: Administra�.ion 75 .00 0 .00 75.QQ
research and paperwark preparatian due to
charge backs
Reference Number: 12398887
-_--___==���xxxx**�r�r�r�t***�***:�**�r**x****�r�r�*=i=�==== -
PAST DUE $49. 90 DUE IMMEDIATELY
NEW UNPATD CHARGES $144 .31
ACCbUNT BALANGE �~'T $194 .21 ?j� �„}�°�� �'
��� � }
Please make checks payable to 'CTI Networks, Inc. ' and inc 'account 1$0 ' _
in the memo field o£ your check -
_ _ .. , ;.. - �
__� ____************.**,***_***************'***== -_-__
� 95 . . .
� . , , _ :.; , . ,
DSL starting at 4 .
NO bunclle�s�•��eqti-zred.� --' NO' Corrtracts � -'�NO ��axe�s ! �70 liid`den fees � �
. . ..... ..
Check availa�iility, equipment options and current' pr'oinot'ioris at www.pa.�net.
Set yaur hame page to www.pa.net to check infarmation about your account,
review aur services section for additional services and rate plans,
and be aware af service upgrades or netwark changes affecting your area.
. .
r
s�, :r . ,o ,,� ��. �� .. F. . > .���a
.. n. `
Previous Account Totals $1,460.14
PaymentS Received Since Last Statement $1,460.14 CR
Refunds and Other Cash Activiry Since Last Statement $0.00
HO-0092794 XH-A.33 04/25/2013 HOMEOWNER 232 AVON DRIVE
Policy Renewal Effective 04/25/2013 $849.00
Current Policy Balance:$810.37
SP-0092794 XC-B.13 04/25/2012 SCHEDULED PROPERTY
Cancellation Effective 03/14/2013 �� ���� $48.69 CR
�����:,. �
Current Policy Balance :$0.00
SP-0092794 XC-B.14 04/25l2013 SCHEDULED PROPERTY ��� � � ����
Policy Renewal Effective 04/25/2013 $423.14
Cancellation Effective 04/25/2013 'NiNI���Idic�(!'�IGW� $423.14 CR
Current Policy Balance:$0.00 �_A!p,���rMiC��`
UM-0092794 U-A.14 04/25/2013 UMBRELLA � �-
Policy Renewal Effective 04/25/2013 $221.00 ,
Current Policy Balance:$210.94
; _� ,��„ �_.y�„ -xti�� , Fa �a.°� c -:` �' a�`A�,� .zm.:• �` �r a aa.an4 z :�
� 1� �.a e ,�3� � �a
.:..,�a ��-.: �.. ' , w.. '.:J, �,��'`s�w �"'�., _..�.�,.`>x� �� �� �����'�:
Payments received in the office after the due date,or for less than the Minimum Due may result in a late fee.
� W.,� � � �. ��
, � ��� ��� ,
9 �� �j '
.:
..
.• .�» .��..�...n.s s '. ,T & '
� u
. ... ,M�...�... �.- a...., u.:�.t •� .: . .. .
.. ....,. :.�_ �.........::.:� . . 5.�.�<� ....� ...,;, x ..«�a �� _s��.�.
04/25/2013 $1,021.31 $347.21
I
Member Service: 800.255.6792 Claims:800.255.0187
Web: www.afl.org Email: billing@afi.org
Please Detach and Return With Check-Send All Other Correspondence In Separate Envelope
Paying less than the minimum due or payments received in the office after the due date may result in a late fee on your next billing statement
MAKE CHECK PAYABLE TO: AFI MINIMUM DUE: $347.21
AFI can initiate a one-time electronic payment if you
MAIL TO: PO BOX 7300 LEAVENWORTH anticipate your payment may reach us late.
KS 66048-7300
ACCOUNT BALANCE: $1,021.37
MEMBER NUMBER: 314273-MOCK
PAYOR ACCOUNT: 10000314213001 Balance future seroice charges you may pay the Account
STATEMENT DATE: 04/04/2013 AMOUNT ENCLOSED: $
DUE DATE: 04/25/2013
042513110000314213001���3472101021313