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HomeMy WebLinkAbout08-12-13 (2) f i T • � 1505611185 REV-1500 EX�°�."'�F" PA Depariment of Revenue OFFICIAL USE ON�Y ; eureau of Indiviaual7ases Caunty Cotle Vear File Number PO BOX 280601 INHERITANCE TAX RETURN 21 13 0156 Haffisburg, PA'17128-0601 RESIDENTDECEDENT � ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Dealh MMDOYVYV Dale of Birth rnMOOwvv 02012013 06111929 Decedenl's Last Name Suffix Decedent's First Name M I MYERS, SR PAUL E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Firs�Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE � - REGIS7ER OF WILLS FILL IN APPROPRIATE BOXES BELOW � 1. Original Return � 2. Supplemental Return � 3. Remaintler Return(Date of Death Priorto 12-13-82) ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise(date of ❑ 5. Fetleral Estate Tax Return Required death after 12-12-82) � 6. Decetlent Dietl Testate � 7. Decedent Maintainetl a Living Trust _ 8. Total Number of Safe Deposif Boxes (Attach Copy of Will) (Attach Copy of TrusL) ❑ 9. Liligation Proceetls Received ❑ 10. Spousal Poverry Credit(Date of Death ❑ 11. Eledion to Tax untler Sec.9113(A) Be�ween 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT• THIS SECTIONMUSTBECOMPI�ETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAl(INFORMATION SHOULD BE DIRECTED TO: � Name Daylime Telepbone Number GREGG HAMM 717-761-7210 REGISTER OF WILLS USE ONIV � First Line ofAtldress f P O BOX 8300 c �,' Second Line of Atldress W� � ,� � n7 b � 3Z h _- � c� � � G� � City or Post Office • State ZIP Code �p #��D ti � C� � � Z � � CAMP HILL PA 170018300 `o� o � ^�� correspondenPs e-mai�address: GHAMM p�CPABR.COM � `� �' n fh' U er penalties of perjury. 1 eclara t t I have examine0 this reWm,inclutling accompanying sc�edules and statements,antl m t�e best o(my k�wledge 3'n'tl b�N f, it is ue,corcect antl complet .�ecla ation oi pre arer other than the perwnal representative is basetl on all infwmation of which preparer has any koovAeCge.'1') - IG OF PERSON R S ON I F R IN RN O D DRESS 7 WEST MAIN STREET MECHANICSBURG, PA 17055 SIGNATURE OF PREPARER OTHER 11-IAN REPRESENTATIVE qn T�{ � ('.,re�o.� H a�� S f S J r 3 noo�s PO BOX 8300 CAMP HILL, PA 17001-8300 PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505611185 oMaea�3.aoo 1505611185 � �� � f Estate of PAUL E. MYERS, SR 162-22-5742 Executors (Page 1) Name DANNY T. MYERS Address 9115 WERTZVILLE ROAD ENOLA, PA 17025- Tax ID - - Name DOREEN W?NCHELL � Address 27 WEST MAIN STREET � MECHANICSBURG, PA 17055- . Tax ID - - r , � � 1 1505611285 �J REV-1500 EX(FI) Decedent's Social Security Number De dene Nam � MYERS SR PAUL E RECAPITULATION 1. Real Estate(SChetlule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . � Q.QQ 2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . . . . . . . . . . Z �6Z,320.00 3. Closely Heltl Corporation,Partnership or So12Proprietorship(SChedule C), , , , , 3. Q,Q� 4. Mortgages and Notes Receivable(Schetlule D) , , , , , , , , , , , , , , , , , q, 0.0� 5. Cash, Bank Deposits and Miscellaneous Personel Property(Schedule E) , , , , , 5. 4�,312.00 6. Jointly Owned Property(Schetlule F) � Separate Billing Requested , , , , g. 6,554.00 Z �nter-Vivos Transfers&Miscetlaneous Non-Probate Property (Schetlule G) � Separate Billing Requested . , . . 7. GZZ,960.00 8. Total Gross Asseu(total Lines 1 ihrough 7) . . . . . . . . . . . . . . . . . . g. $32,146.00 9. Funeral Expenses and Adminisfrative Cosis(Schetlule H). . . . . . . . . . . . . 9. �rJ,�43.0� 10. Debis oi Decedent, Mortgage Liabilities,antl Liens(Schedule I) , , , , , , , , , �p. 'rJ,214.00 11. Total Detluctions(total Lines 9 and 10), , , , , , , , , , , , , , , , , , , , , 11. ZO,257.�0 12. Net Value of Estate(Line 8 minus Line 17) , , , , , , , , , , , , , , , , , , , �Z. $��,889.00 13. Charitable and Govemmental Bequests15ec 9113 Trusts for which an election to tax has not been matle(Schedule J), , , , , , , , , , , , , , , , 73, Q.�Q 14. Net Value Subjeet to Tax(Line 12 minus Line 13) , . �4. $��,$$9.QQ TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 tauab7e at the spousal tax rate,or lransfers unper Sec.9N6 (a)(12)X.OU �,�� 15. 0.�0 76. Amount ot Line 14�xable at lineal rate X.0 4 811,889.00 �s. 36,535.00 77. Amount oi Line 14 taxaWe atsiblingrateX.12 �.Q� 17. Q.QQ 18. Amount of Line 14 tazable atcollateralraleX.15 �.�� 18. �.�� �s. rnxoue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . is. 36,535.00 20. FILL IN THE 80X IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ SIC�@ 2 � 1505611285 1505611285 J omnsae s.oao _ . REV-1500 EX(F1) Page 3 File Number DecedenYs Com lete Address: 21 13 0156 DECEDENTS NAME MYERS SR PAUL E SiREEfADDRESS 411 WERTZVILLE ROAD CUMBERLAND ���, STATE ZIP ENOLA PA 17025- Tax Payments and Credits: 1. Tax Due(Pa9e 2, Line 79) (�) 36 535.00 2, Gredits/Payments A. Prior Payments 34.500.00 B. Discount 1 816.00 36,316.00 Total Credits(A+B) (2) 3. Interest (3) �.�� 4. If Line 2 is greater than Line i +Line 3,enter t�e difference.This is the OVERPAYMENT. Fill in box on Page 2,Line 20 to request a refund. (4) O.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 219.00 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 Uansferred . . . . . . . . . . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferretl or its income . . . . . . . . . : � � c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ � d. receive fhe promise fo�life of either payments,benefits or care? . . . . . . . . . . . . . . . . . 2. If death ocwrred after Dec. 12, 1982, did decedent transfer property within one year of tleath � ❑ without receiving adequate consitleration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ � 3. Ditl decedent own an"in trus[for"or payable-upon-death bank account or securiry at his or her death? 4. Ditl decetlenl own an intlividual retirement account, annuity, or other non-probate property,which � ❑ contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 ot dealh on or after July 1, 1994, and before Jan. 1, 1995.[he tax rate imposed on the net value of transfers[o or for the use of lhe surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(ip. For tlales of death on or after Jan. 1, 7995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent p2 P.S.§9116 (a) (1.1) (ii)].The statute does not exempt a transfer to a surviving spouse from tax, and the staNtory requirements for disclosure of assels and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. Fw dates of death on or after July 1,2000: • The tax rate impose0 on [he net value of transfers from a deceased child 21 years of age or younger at tleath 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)(12)J. • T�e 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 notetl in[72 P.S.§9116(a)(tp. • The tax rate imposed on the net value of transfers to or for the use of the decedenPs 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 tlecedent,whe[her by blood or atloption. oMas�i z.000 REV-0503 E%t(&1D � � � pennsylvania SCHEDULE B DEPARTMEMOFREVENUE STOCKS & BONDS INHERffANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER PAUL E. MYERS SR 21 13 0156 All property jointly owned with right oi survivorship must be disclosed on ScheduM F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 7. 10,423.038 Shares AMERIPRISE ACCOUNT 01253720337 9 002 31,170 2 4,321.596 Shares AMERZPRISE ACCOUNT 02014807985 6 002 61,979 3 U.S. SAVINGS BONDS SEE ATTACHED LIST 14,273 4 U. S. SAVINGS BONDS SEE ATTACHED LIST 54,898 TO7AL (Also enter on Line 2,Recapitulation) $ 162,320 zwasss z.000 If more space is needed,inseA atltlitional sheets of ihe same size REV-1408 EX�(Cd12) pennsylvania SCHEDULE E oeanRnnner�oF aeveNUe CASH, BANK DEPOSITS & MISC. irvHeRiTnNCe rn�c aeTUaN PERSONAL PROPERTY RESIDEMDECEDENT ESTATE OF: FILE NUMBER: PAUL E. MYERS SR 21 13 0156 Inclutle t�e proceeds of li�igation end ihe date ihe proceads were receivetl by�he estete. All ro ert 'ointl ownetl with ri ht of survivorehi must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. RZVERSOURCE LONG TERM CARE REFUND 254 2 RIVERVIEW CHECKING ACCOUNT 300993 24,490 3 RIVERVIEW BANK SAVINGS ACCOUNT 18015832 2�8 4 RIVERVIEW BANK CD 3066035 15,290 TOTAL(Also enter on line 5,Recapitulation) $ 40,312 zWasno z.000 If more space is neeEeE,use atltltlional sheets ol paper of ihe same s¢e. REV-1509IX+(01-00) , pesnsylvania SCHEDULE F oevaa.mEN.ov aevEUUE iHHeairnNCe rnx ReruRU JOINTLY-OW NED PROPERTY FESIOENT DECEOEN� ESTATE OF: FILE NUMBER: PAUL E. MYERS SR 21 13 0156 If an asset became jointy owned wHhin oire year oTNe decedent's tlate of deaN,tt must be reported on Schetlule G SURJNING JOIM TB�W M(5)N4hE(5) AODRESS RBATIOtdSHIP TO DECEDB�f� A WINCHELL, DOREEN 27 WEST MAIN STREET, MECHANICSBURG, PA 17055 Daughter JOINTLY OWNED PROPERTY: � �„EA n^TE oFSCwPnaaoFPaoaaaiv roF an�oFO�+ni � raa�anr AMDE xcwoexn�arrwnxcwiixsrrt�na�xoer,xrcnccwxrxui.eexcasiuuv �TEOFOEATH p[�mpJl'S VALUEOF MRvHER rEw.n'* JOIM ioeurmixox�veeA.nrr�cxveeorw�axr�vxe�oweuesr>re VALI.�OFASSET IM62F5T OEC�B�fI'SIME7�E5T 1 A SUSQUEHANNA CHECKING ACCOVNT 46000030909 13,108 50.0000 6,554 TOTAL (Also enter on Line 6, Recapifulation) 5 6,554 9W4fiNE 2 000 If more space is needed,use additional sheels o(paper of the same size. , REV-1510E%+(OB-09) SCHEDULE G pennsylvania DEPARIMEMOFREVENUE INTER-VIVOS TRANSFERS AND INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY RESIDENTOECEDEM ESTATE OF FILE NUMBER PAUL E. MYERS SR 21 13 0156 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPER7Y c EXCLUSION TAXABLE I7EM irrx�*�ru.�aeoFr�mursFEaEE,1�iaREwrioraHClo�ceoen�rnro DATEOFDEATH /oOFDECD'S NUMBE ���OF1RN5'fA.TiT0.1^IACAMOFilEOEEDFORREPLESTPTE. VALUEOFASSET INTEREST IFRPPLICNBLE VALUE 1. 71MERZPRISE IRA 01123720337 4 002. 11,376 100.0000 0 11,376 2 RESIDENCE 4115 WERTZVILLE ROP,D ENOLA, PA 17025 VALUE BASED ON ASSESSED VALUE. ATTACHED ZS REAL ESTATE TAX BZLL SHOWING ASSESSED VALUE REAL ESTATE GIFTED ON 9/15/2012 TO DANNY T MYERS SON VALUE SUBJECT TO TAX IS $222,700. 222,700 100.0000 0 222,700 3 AMERIPRISE IRA 01133720337 3 002 3,600 100.0000 0 3,800 4 AMERIPRISE ANNS7ITY 93001775676 6 004 . 83,530 100.0000 0 63,530 5 AMERIPRISE ANNi72TY 93001795329 8 004 67,096 100.0000 0 47,094 6 AMERIPRISE ANNUITY 93002613486 2 004 43,091 100.0000 0 43,091 7 AMERIPRISE ANNUITY 93102823086 6 004 70,353 100.0000 0 70,353 8 AMERIPRISE ANNUITY 93102823089 0 004 66,564 100.0000 0 66,564 9 GIFT OF $77,452.40 TO DOREEN WINCHELL oe/2o/zoi2. S�a,aez.ao SUBJECT TO INHERITANCE T� 74,452 100.0000 � �4�452 TOTAL(Also enter on line 7.Recapitulation)$ 622 960 I(more space is needed,use atltlitional s�eets of paper of ihe sama size. 9 W46AF 2.000 REV-1511E%+no-os� SCHEDULE H � p�nnsylvania pEPP1iTMFNTOF REVENUE FUNERAL EXPENSES AND iNneRiTnNCernxaeluRrv ADMINISTRATIVE COSTS RESIDEMDECE�ENT ESTATE OF FILE NUMBER PAUL E MYERS SR 21 13 0156 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNER4LEXPENSES: � GINGRICH MEMORIAL 165 2 HOSS'S 395 Total from continuation schedules . . . . . . . . . 10,815 B. ADMINISTRATIVE COSTS: 1. Personal Represenlative Commissions: 552 Name(s)o(Personal Representative(s) Street Adtlress City S�a�e ZIP Year(s)Commission Paid: 2. Attorney Fees: 3. Family Exemption:Qf decedenYs address is not the same as claimanPs,attach e�ylanation.) Claimant Sireet Address Ciry State Z�F Relationship of Claimant lo Decedent q, Pmbate Fees: 198 5. AccountantFees: 6. TauReturn Preparer Fees: 1,000 7. 1 WAYNE LOGUE FINANCIAL PLANNER CLOSING OF ACCOUNTS 750 2 HAMPDEN TOWNSHIP SEWER & TRASH 155 Total from continuation schedules . . - . . . . . . 1,013 TOTAL(Also enter on Line 9,Recapitulation) $ 15 043 swasnc z.000 If more space is needetl, use adtlitional sheets of paper of the same size. Estate of: PAUL E. MYERS, SR . 21 13 0156 Schedule H Part 1 (Page 2) Item No. Description Amount 3 SULLIVAN FUNERAL HOME 10,815 Total (Carry £orward to main schedule) 10,815 Estate of: PAUL E. MYERS, SR 21 13 0156 Schedule H Part 7 (Paqe 2) . 3 PPL UTILITIES 41 4 PA AMERICAN WATER UTILITZES 24 5 SUPERIOR PLUS UTILITIES - 139 6 PPL UTILITZES 36 7 SUPERIOR PLUS UTILITIES 500 8 DELUXE CHECKBOOK FEE 14 9 PPL UTILITIES 95 10 PA F�MERICAN WATER UTILITIES 62 11 PPL UTILITIES �1 12 PA AMERICAN WATER UTILZTIES � 31 Total (Carry forward to main schedule) 1,013 RE�_,5,2�'"Z-;z, SCHEDULE I pennsylvania �Pr��rnerrroF ReveNUe DEBTS OF DECEDENT, iNHeairnr�ce.wcReTURN MORTGAGE LIABILITIES & LIENS RESIDEPRDECEDENi ESTATE OF FILE NUMBER PAUL E. MYERS SR 21 13 0156 Report tlebts incurretl by the decetlent prior to death that remained unpaid at the date of dea[h,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH �� U.S. TREASURY FINAL INCOME TAX RETURN LIABILTIY 5,000 2 PINNACLE HEALTH MEDICAL EXPENSE z4 3 QITA MEDICAI, EXPENSE 10 4 PINNACLE HEALTH MEDICAL EXPENSE 112 5 DEPARTMENT OF VETERAN AFFAIRS REPAYMENT 27 6 MEDICINE SHOP MEDICAI, EXPENSE � 23 7 HERSHEYCARE MEDICAL EXPENSE 18 TOTAL(Also enter on Line 10,Recapitulation) S 5 214 swasnH z.000 If more space is needed, insert additional sheets of the same size. REV-1513EX+-�01-10) SCHEDULE J pennsylvania DFPARTINENT OF REVENIIE BENEFI C IARI ES INHERITANCE TAX RETURN RESIDEMDECEOENT ESTATE OF: FILE NUMBER: PAUL E. MYERS SR 21 13 0156 RELATIONSHIPTO DECEDENT AMOUNT OR SHARE NUMBER NM'1E AND ADDRESS OF PERSON(S)RECEIVING PROPERN Do Not List Trustee(s) OF ESTATE I TAXABIE DISTRIBUTIONS�Include outngM spousal Cisinbutions and lrensfers untler Sec. 9116(a)(72).J i. JACLYN E. WINCHELL 27 WEST MAIN STREET MECHANICSBURG, PA 17055 10'k of Residue: 18,893 Granddaughter 16,893 2 KENNETH D. MYERS 4115 WERTZVILLE ROAD � ENOLA, PA 17025 10'k o£ Residue: 18,693 Grandson 18,693 EMER DOLLAR AMOUNiS FOR DISTRIBUilONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II N01�4TA%ABLE DIS7RIBUTIONS A.SPOUSAL DISTF2IBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBU110N5: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S 0 If more space is needed, use atltlitional sheets of paper o(the same size. swasni 2.000 Estate o£: PAUL E. MYERS, SR 21 13 0156 Schedule J Part 1 (Page 2) Item No. Description Relation Amount 3 DOREEN WINCHELL 27 WEST MAIN STREET MECHANICSBURG, PA 17055 AMERIPRISE ANN[JITY 93001775676 6 004 Inventory Value: 41,765 AMERIPRISE ANNUITY 93001795329 8 004 Inventory Value: 23,547 F�MERIPRZSE ANNUITY 93002813486 2 004 Inventory Value: 21,545 F�MERIPRZSE ANNUITY 93102823086 6 004 Inventory Value: 35,176 AMERIPRISE ANNUITY 93102823089 0 004 Inventory Value: 33,262 AMERIPRISE IRA 01123720337 4 002. Inventory Value: 5,688 AMERIPRISE IRA 01133720337 3 002 Znventory Value: 1,900 GIFT OF $77,452.40 TO DOREEN WINCHELL 06/20/2012. $74,452.40 SUBJECT TO INHERITANCE TAX Inventory Value: 74,452 908 of Residue: 75,571 Daughter 312,928 Estate of: PAUL E. MYERS, SR 21 13 0156 Schedule J Part 1 (Page 3) Ztem No. Description Relation Amount 4 DANNY T. MYERS 4115 WERTZVILLE ROAD ENOLA, PA 17025 AMERIPRISE ANNUITY 93001775676 6 004 Inventory Value: 41,765 AMERIPRISE ANNS7ITY 93001795329 8 004 Inventory Value: 23,547 AMERZPRISE ANN[JITY 93002813486 2 004 Inventory Value: 21,545 AMERIPRZSE ANNUITY 93102823086 6 004 Inventory Value: 35,1'76 S�MERIPRISE ANNi7ITY 93102823089 0 004 . Inventory Value: 33,262 71MERIPRISE IRA 01123720337 G 002. Znventory Value: 5,688 AMERIPRISE IRA 01133720337 3 002 Inventory Value: 1,900 RESIDENCE 4115 WERTZVILLE ROAD ENOLA, PA 17025 VALUE BASED ON ASSESSED VALUE. ATTACHED IS REAL ESTATE TAX BILL SHOWING ASSESSED VALUE REAL ESTATE GIFTED ON 9/15/2012 TO DANNY T MYERS SON VALUE SUBJECT TO TAX IS $222,700. Inventory Value: 222,700 40$ o£ Residue: 75,571 � Son 461,175 LAST WILL AND TESTAMENT OF PAUL E. MYERS, SR. BE IT KNOWN THIS DAY THAT, I, PAUL E. MYERS, SR., of Cumberland County, PENNSYLVANIA, being of legal age and of sound and disposing mind and memory, and not acting under duress, menace, fraud, or undue influence of any person, do make, declare and publish this to be my Will and hereby �: revoke any Will or Codicil I may have made. � ° � � c `'' m m 0 0 ARTICLE ONE p � p � z, Marriage and Children � p � r,., � L ^G � O] " `y � i am single and have two living children. �, (; ^ � -°P, -�`�'", o � _ n c> <� -; ^ ARTICLE TWO :`' a a� F� i'i Debts and Expenses ro �� c,; in o cc� I direct my Personal Representative to pay all costs.and expenses of my last iliness and funeral expenses. I further direct my Personal Representative to pay all of my just debts that � may be probated, registered and allowed against my estate. However, this provision shall not extend the statute of limitations for the payment of debts, or eniarge upon my legal obligation or any statutory duty of my Personal Representative to pay debts. ARTICLE THREE Tangible Personal Property I may leave a letter, memorandum, or other writing concerning some or all of my tangible personal property. If I do so, and the writing can be incorporated by reference as part of this Wiil or otherwise be legaily binding (i.e., if said writing is signed and dated at the end thereof after the date of this Will), I direct that it be incorporated and/or that it be followed and prevail over the disposition below to the extent consistent with it. If it is not legally binding, I request (but not direct) that my wishes as expressed in it be followed. This provision shall apply whether the writing is executed before or after the date of this Will. ARTICLE FOUR Residuary of Est�:e I will, devise, bequeath and give all the rest and remainder of my property and estate of every kind and character, including, but not limited to, real and personal property in which I may have an interest at the date of my death and which is not otherwise effectively disposed of, to: DOREEN WINCHELL (daughter) 40.00% DANNY T. MYERS (son) 40.00% JACLYN E. WINCHELL (grand-daughter) 10.00% KENNETH D. MYERS (grand-son) 10.00% Signed by Testator/Testatrix: - 1 If I name more than one person under this Article, such persons are to receive such property per stirpes. ARTICLE FIVE Appointment of Personal Representative, Executor or Executrix i hereby appoint DOREEN WINCHELL and DANNY MYERS, as Personal Representatives of my estate and this Will. The term "Personal Representative", as used in this Will, shall be deemed to mean and include "Personal Representative", "Executor' or"Executrix". ARTICLE SIX Waiver of Bond, Inventory, Accounting, Reporting and Approval My Personal Representative and successor Personal Representative shall serve without any bond, and I hereby waive the necessity of preparing or filing any inventory, accounting, appraisai, repoRing, approvals or final appraisement of my estate. ARTICLE SEVEN Powers of Personal Representative, Executor and Executrix I direct that my Personal Representative shall have broad discretion in the administration of my Estate, without the necessity of Court approval. I grant unto my Personal Representative, ali powers that are allowed to be exercised by Personal Representatives by the laws of the State of PENNSYLVANIA and to the extent not prohibited by the laws of PENNSYLVANIA, the following additional powers: 1. To exercise all of the powers, rights and discretions granted by virtue of any "Uniform Trustees' Powers Law," and/or "Probate Code" adopted by the State of PENNSYLVANIA. 2. To compromise claims and to abandon property which, in my Executor's opinion is of little or no value. 3. To purchase or otherwise acquire and to retain any and all stqcks, bonds, notes or other securities, or shares or interests in investment trusts and common trust funds, or in any other property, real, personal or mixed, as my Personal Representative may deem advisable, whether or not such investments or property be of the character permissible by fiduciaries, without being liabie to any person for such retention or investment. 4. To settle, adjust, dissolve, windup or continue any partnership or other entity in which I may own a partnership or equity interest at the time of my death, subject, however, to the terms of any partnership or other agreement to which I am a party at the time of my death. I authorize my Personal Representative to continue in any partnership or other entity for such periods and upon such terms as they shall determine. My Personal Representative shall not be Signed by TestatoNTestatrix: _Z- disqualified by reason of being a partner, equity owner or title holder in such firm from participating on behalf of my estate in any dealings herein authorized to be carried on between my Personal Representative and the partners or equity owners of any such partnership or other entity. 5. To lease, sale, or offer on a lease purchase, any real or personal property for such time and upon such terms and conditions in such manner as may be deemed advisable by my Personal Representative, all without court approval. 6. To sell, exchange, assign, transfer and convey any security or property, real or personal, held in my estate, or in any trust, at public or private sale, at such time and price and upon such terms and conditions (including credit) as my Personal Representative may deem advisable and for the best interest of my estate, or any trust. I hereby waive any requirement of issuing summons, giving notice of any hearing, conducting or holding any such hearing, filing bond or other security, or in any way obtaining court authority or approval for any such sale, exchange, assignment, transfer or conveyance of any real or personal property. 7. To pay all necessary expenses of administering the estate and any trust including taxes, trustees' fees, fees for the services of accountants, agents and attorneys, and to reimburse said parties for expenses incurred on behalf of the estate or any trust hereunder. 8. Unless otherwise specifically provided, to make distributions (including the satisfaction of any pecuniary bequest) in cash or in specific property, real or personal, or in an undivided interest therein, or partly in cash and partly in other property, and to do so with or without regard to the income tax basis of specific property allocated to any beneficiary and without making pro rata distributions of specific assets. 9. To determine what is principal and what is income with respect to all receipts and disbursements; to establish and maintain reserves for depreciation, depletion, obsolescence, taxes, insurance premiums, and any other purpose deemed necessary and proper by them and to partite and to distribute property of the estate or trust in kind or in undivided interests, and to determine the value of such property. 10. To participate in any plan of reorganization, consolidation, dissolution, redemption, or similar proceedings involving assets comprising my estate or any trust created hereunder, and to deposit or withdraw securities under any such proceedings. 11. To perform such acts, to participate in such proceedings and to exercise such other rights and privileges in respect to any property, as if she or he were the absolute owner thereof, and in connection therewith to enter into and execute any and all agreements binding my estate and any trust created hereunder. 12. To compromise, settle or adjust any claim or demand by or against my estate, or any trust, to litigate any such claims, including, without limitation, any claims relating to estate or income taxes, or agree to rescind or modify any contract or agreement. 13. To borrow money from such source or sources and upon such terms and conditions as my Personal Representative shall determine, and to give such security therefore as my Personal Representative may determine. All authorities and powers hereinabove granted unto my Personal Representative shall Signed by Testator/Testatrix: -3 - be exercised from time to time in her or his sole and absolute discretion and without prior authority or approval of any Court, and I intend that such powers be construed in the broadest possible extent. ARTICLE EIGHT Construction Intentions It is my intent that this Will be interpreted according to the following provisions: 1. The masculine gender shall be deemed to include the feminine as well as the neuter, and vice versa, as to each of them; the singular shall be deemed to include the plural, and vice versa. 2. The term "testator" as used herein is deemed to include me as Testator or Testatrix. 3. This Will is not a result of a contract between myself and any beneficiary, fiduciary or third party and I may revoke this Will at any time. 4. If any part of this Will shall be declared invalid, illegal, or inoperative for any reason, it is my expressed intent that the remaining parts shall be effective and fully operative and it is my intent that any Court so interpreting same construct this Wiil and any provision in favor of survivai. ARTICLE NINE Misc. Provisions I direct that this Will and the construction thereof shall be governed by the Laws of the State of PENNSYLVANIA. I, PAUL E. MYERS, SR., haXing signed this Wili in the presence of �f�1.P.lCIR �f�,f1.'S and fAU,�/-i i ' f who attested it at my request on this the „Z1� day of ' , 2008, declare this to be my Last Wiil and Testament. � �� � /� �� PAUL E. MYER , . Testator The above and foregoing Will of PAUL E. MYERS, SR. was declared by PAUL E. MYERS, SR. in our view and presence to be his/her Will and was signed and subscribed by the said PAUL E. MYERS, SR. in our view and presence and at her request and in the view and presence of PAUL E. MYERS, SR. and in the view and presence of each other, we, the undersigned, ' nessed and attested the due execution of the Will of PAUL E. MYERS, SR. on this the �� day , 2008. � � ����Uh —`� �_ .c -_-;� � '-(�' .< '� Witness Signature WitnessSignature �� Signed by Testator/Testatrix: -4- �1 , -_ _ Print Name: �� 1 . Q.��t�t Print Name: ,__��_, . �� ,`_-�,�- ��,�c�� �-- Address: I +Z�l; Address: � �� ""�-�=-, ,,,P�« -�� �-_:;f i ,< Y�� —�,��� ; t��-�� City, State, Zip: C{y'( 1� F 1 City, State, Zip: ��.rz �-r c���o '� Signed by TestatodTestatrix: 'S - - - PENNSYLVANIA SELF AUTHENTICATING AFFIDAVIT Commonwealth of Pennsylvania County of ('111n,P���A,(,�;� I, PAUL E. MYERS, SR. the testator/testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowfedge that I signed and executed the instrument as my Last Will; and that i signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by PAUL E. MYERS, SR. , the testator/testatrix, this�(,�day of i=�i3RU�Q y' , 2008. ✓ � Testator/Testatrix ,7G� ` PAUL E. N1YER , R. Signature Notary Public .�IG.Yt.P � �i'�.1,t G ,�k Seal and official capacity or�����'�����H OF PE�dii::__,_.,_..,__ i Notary Public PdOTAR1AL SEA1_ I East Pemsboro TwD., Curs�§_,'; : ?: ,�'; , ' ,..,:.' : , l�fiy Comrsrission ExPxes :"�' ' . _____-._,_ --__ Commonwealth of Pennsylvania County of CumbzrlG n G� we, �i�1 rPJGA ��',2l J' and �/fll,ti9 .�. 1/�CL'�1, , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his Last Will; that the testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the will as a witness; and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. Sw�o n to or affirmed and subscribed before me by �"/� L'.�A ,!� 1I�/���C;i'Ll and �Al,e1C0A .� c`,P�J.� , witn�ss€s,_this �[� day of Gr_�',i�_, 20�. Witne�>>�'��\��''� ��,'�:� � c .�, Witness � -� � �c�:.r� �-��,�,:J.�:� `'_l . .- . t-c, . / Signature Notary Pubiic % )i�..,,� ; � A�; ._ ��� d Seal and official capacity of COM�iUNVrtAiir? UF PEt1y"�` - _::_. Notary Public tdOTARIRL SE�U_ DIAME J. NAUGLE. Ns: . . . East Pennsboro 'hxp., Cu;ia. . ; I tAy Comr�sS;c�i �Y��a:.� : l I � . . _ 13066908 8 001 PAUL E MYERS DATE OF DEATH VALUES PLEASE DO NOT DE... Page 1 of 2 13066908 8 001 PAUL E MYERS DATE OF DEATH VALUES PLEASE DO NOT DELETE. Kesarkar, Dhananjay B on behalf of SDLifeEventsCommunicationCenter Sent:Thursday, February 07,2013 1:21 PM To: Logue,Wayne A RiverSource Life Insurance Company Ameriprise Financial Company 70100 Ameriprise Financial Center Minnaapolis,MN 55474 February 7,2013 WAYNE ALLEN LOGUE STE 200 342 N FRONT ST WORMLEYSBURG,PA 17043-1112 13066908 8 001 Dear WAYNE ALLEN LOGUE: Thank you for your recent inquiry regarding PAiTL E MYERS's accounu. These are the values of the accounts as of 02/Ol/2013. Account Information Mutual Funds Account Number Ownershiu 01123720337 4 002 IRA-beneficiaty designated 01133720337 3 002 IRA-beneficiary designated 01253720337 9 002 Individual 02014807985 6 002 Individual Annuities-Post 1985 Account Number Ownershin 93001775676 6 004 Individual 93001795329 8 004 Individual 93002813486 2 004 Individual 93102823086 6 004 IRA-beneficiary designated 93102823089 0 004 IRA-beneficiary designated Life Insurance Account Number Owne�shio 90901775847 7 004 Individual https://ampfinail.ameriprise.com/owa/?ae=Item&t=IPMNote&id=RgAAAACoEizMdKfH... 2/8/2013 13066908 8 001 PAUL E MYERS DATE OF DEATH VALUES PLEASE DO NOT DE... Page 2 of 2 Mutual Funds Account Number Total Value #of shazes Asset Value Per Share 01123720337 4 002 $11,37639 2,266.072 $5.02 011337203373002 $3,800.11 3,800.110 $1.00 01253720337 9 002 $31,169.76 10,423.038 $2.99 02014807985 6 002 $61,978.50 4321.596 $1434 Annuities - Post 1985 AccountNumber TotalValue 93001775676 6 004 $83,530.21 93001795329 8 004 $47,094.41 93002813486 2 004 $43,090.94 93102823086 6 004 $70,352.72 93102823089 0 004 $66,563.63 Life Insurance AccountNumber Total Value 90901775847 7 004 $24,895.66 The date of death values provided are for estate tax purposes and are not a value to be paid. Accounts may be subject to market fluctuation as govemed by each product. Please note that the values indicated for any Life Insurance product(s)with the insured deceased reflect the gross death benefit at date of death and not the cash value. Values indicated for Life Insurance Products with only the owner deceased reflect the cash value as of the date of death. Values for any proprietary mutual fu�ds include accrued dividends as applicable.Values provided for brokerage products aze manually calculated,and should be used as estimates only. The prices used to provide values are estimates obtained from outside sources believed to be reliable. Ameriprise Financial provides these values as a service to its clients. Actual values used in prepazation of tax returns or for planning pwposes should be verified by your legal and accounting advisors. We appreciate the opportunity to be of service to you. Please contact us if you have any questions. Sincerely, Rupesh G More Death Settlements Processing Team 70100 Ameriprise Financial Center Minneapolis,MN 55474 1-800-862-7919,Option 2,ask for Estate Settlements Please do not repiy to this email. This database does not support incoming mail. Please call the phone#within the letter if you require assistance. Thank you. 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BOND RECEIPT 4115 WERTZVILLE ROAD � ENOLA PA 17025 SR MON YR QTY FACE VALUE PURCHASE AMT INTEREST TOTAL EE O1 84 1 500 . 00 250 . 00 858 .40 1108 .40 EE 02 84 1 1000 . 00 500 . 00 1716 . 80 2216 . 80 EE 02 85 1 1000 . 00 500 . 00 1630 . 80 2130 . 80 EE 10 85 1 1000 . 00 500 . 00 1548 . 00 2048 . 00 EE 10 85 1 500 . 00 250 . 00 774 . 00 1024 . 00 EE 07 86 1 1000 . 00 500 . 00 1508 . 00 2008 . 00 EE 07 86 1 500 . 00 250 . 00 754 . 00 1004 . 00 EE O1 89 1 1000 . 00 500 . 00 1135 . 20 1635 . 20 EE 02 89 1 100 . 00 50 . 00 113 . 52 163 . 52 EE 02 89 1 50 . 00 25 . 00 56 . 76 81 . 76 EE 02 89 1 50 . 00 25 . 00 56 . 76 81 . 76 EE OS 90 1 500 . 00 250 . 00 520 . 40 770 . 40 --- --------- ---------- TOTAL 12 SSN# 162-22-5742 10672 . 64 14272 . 64 1 "^�der penalties of perjury,1 certify(1)that the number shown on�his form is my �ct tazcpayer idenlificat�on number, and (2) that [ am not subject to backup .holding erther because I have nol been nol�£ed that 1 am s �ecl to backup w�lhholding as a res of failure b report all inlerest or dividen � or the Intemal Revenue Service as otified me thal I am no lon er s �ect to backup $3�'ii{i i iirawer: iQ341 �?,Ij9�?,�, withholding." ;HE�l$3.�4 iranaq: 57 iS:�o:07 Customer Signamre Z�UFL;Cf1TE ACCOU7± H: � � F'sd2ec� $nr::i> (FfOj �`"f � �� 1427�_64 Cl OFFICIAL CHECK 110 6 4 7 8 6 6 BANK CREDIT COPY DATE: 2/oe/i3 - l3RANCFI: 1103 ORICINATOR: KJOR220297 TID1E: 12:14:18 MEMO: CHECK AMT: �5 4 � 8 9 8 . 2 0 OI7AWEF:SUSQUEHANNA BANK TO: ESTATE OF PAUL E. MYERS NOT NEGOTIABLE ii•OLi0647866ii' �:03 � 309 � 23�: OL4790320iii' 3i THIS'�OCCIIMEM HASAN ARTIFIGALWATERMAPK.PRINTE�ON T1E BAC. ,,ry•�� HL • ' ' ABSENCE OFTMSFE0.NflE WILLdNbICATE A COPY. � f l�in �T .. `.�r>�w„ drt-d.:i�e' "^s.-.s��?;t�+ �T� � 5usquehann� � 110647866 � „o - � Date: 2/oe/13 � Pay to the OYCI2YOf .ESTATE OF PAUL E. MYERS . � � - � . EXACTLY **54, 896 AND 20/100 .DOLLARS . � - $*****5�4, 898.20 � - � " ' � � OBRWEIi:SI1SR ABANK ��. M E M O: - - Authorized Signature ISSUED BY:MONEYGftAM P0.YIAEM1RS SYSTfMS,INC. P.0.80X B4J8 MINNEAPOIIS MN fib<BO - -^ DIIAWEE:THEBANNOFNEWYORKMEILON,EVEPEfT,MA —_ -- - ---_ ' i�'O l 10647866�i'. �:0 L i00709 2�:0 i600 i 2089 L90ii' Susquehann� �.f�f cial 110 6 4 7 8 6 6 MEMO: . -. .. ..� "'• BRANCH: 1103 ORIGINATOR: KSOR220297 TIME: 12 :14 : 18 . CKAn-IT: $*****54, 898 .20 DATE: 2/08/13 FEEAMT: $*********** .00 TOTAL; $**°**54, 898 .20 TO: ESTATE OF PAUL E. MYERS NON-NEGOTIABLE Sus uehanna BOND REDEMP�iTION z�os�zo�s 9 � ' PAUL E MYERS BOND RECEIPT 4115 WERTZVILLE ROAD ENOLA PA 17025 SR MON YR QTY FACE VALUE PURCHASE �AMT INTEREST TOTAL ' EE 10 85 1 500 . 00 250 . 00 774 . 00 1024 . 00 EE 11 85 1 500 . 00 250 . 00 774 . 00 1024 . 00 EE O1 86 1 500 . 00 250 . 00 774 . 00 1024 . 00 EE 04 86 1 500 . 00 250 . 00 754 . 00 1004 . 00 EE O1 87 1 500 . 00 250 . 00 635 . 00 885 . 00 EE O1 88 1 500 . 00 250 . 00 600 . 60 850 . 60 EE 02 88 1 500 . 00 250 . 00 600 . 60 850 . 60 EE OS 88 1 500 . 00 250 . 00 584 . 00 834 . 00 EE 12 88 1 1000 . 00 500 . 00 1135 . 20 1635 . 20 EE 12 88 1 1000 . 00 500 . 00 1135 . 20 1635 . 20 EE 03 92 1 1000 . 00 500 . 00 923 . 60 1423 . 60 EE 04 92 1 5000 . 00 2500 . 00 4618 . 00 7118 . 00 EE 04 92 1 5000 . 00 2500 . 00 4618 . 00 7118 . 00 EE 04 92 1 5000 . 00 2500 . 00 4618 . 00 7118 . 00 EE 04 92 1 5000 . 00 2500 . 00 4618 . 00 7118 . 00 EE 04 92 1 10000 . 00 SOOi . 00 9236 . 00 14236 . 00 iOTAL 16 SSN# 36398 . 20 54898 . 20 1 "��nder penallies of per]�ury,[ceAify(I)Utat lhe number shown on lhis Corm is my ect taxpayer identi£cat�on number; and (2)that I am not subject to backup nolding e�iher becauce 1 have ml been nolified that I am sub�ect lo backup wnhholding as a result o(failure[o report all interes[or dividends�or the Intemal ` o��p�i� Revenue Service has notified me that I am no longer sub�ecl lo backup t�di^.�!� j ��a!ieY° �. ��� withholding." F� '7R ?q� ��°J�.�S 3i Z__�4± Tr?ns#: 1� CuslomerSignaNre r�rrppy�t �e fied2em 9�rr.is �F10j 548FS . 20 ' Susquehanna'� Bank/� Date 2/26/13 Page 1 Primary Acct q 4600030909 >�08695 2346244 0001 092158 10Z Enclosures PAUL E MYERS DOREEN E WINCHELL 9115 WERTZVILLE ROAD ENOLA PA 17025 � »» S U M M A R Y 0 F A C C 0 U N T S «« ACCOUNT NUMBER ENDING BALANCE 9600030909 RELATIONSHIP CHECKING: SENIOR 1,322.91 10006469852 18 - 23 MONTH CD .00 1000B965138 29 - 35 MONTH CD .00 »»»»»»»»»» C H E C K I N G A C C O U N T 5 «««««««««« ACCOUNT TITLE: PAUL E MYERS DOREEN E WINCHELL RELATIONSHIP CHECKING: SENIOR Account Number 9600030909 Statement Dates 1/28/13 thru 2/26/13 Previous Balance 11,785.81 Days in Statement Period 30 2 Deposits/Credits 56,220.20 Average Ledger 5,967.19 2 Checks/Debits 66,684.01 Average Collected 2.62- Service Charge .00 Interest Earned .41 Interest Paid Annual Percentage Yield Earned 0.09� Ending Balance 1, 322.41 2013 Interest Paid 1.39 03 ��'f� DEPOSITS AND �EDITS Date Description Amoun[ Reference 2/O1 SSA TREAS 310 XXSOC SEC 1,322.00 005627777 PPD 9031736039 2/08 Counter Deposit 54,698.20✓ 000798640 2/26 In[erest Deposit � .91✓ WITHDRAWALS AND DEBITS Date Description Amount ` Reference 2/OB Checking or 6II�fDA Withdrawal 11,785.61- 000798860 2/OB Checking or P44DA Withdrawal 59,898.20- 000796620 SUtMfARY OF DAILY BALANCES Date Balance Date Balance 1/26 ; 11,785.81 2/08 I,322.00 2/O1 13, 107.8 2/26 1,322.91 � Susquehanna Bank Date 2/26/13 Page 2 Primary Acct # 4600030909 Enclosures PAUL E MYERS DOREEN E WINCHELL 9115 WERTZVILLE ROAD ENOLA PA 17025 � **************�****k****#k*#*****##i*********k#i**<**4*****##R*********#*###**k »»»»»»» C E R T I F I C A T E S O f D E P 0 S I T ««««««« ACCOUNT TITLE: PAOL E MYERS 18 - 23 MONTH CD Account Number Balance Interes[ Rate Maturity 2013 Interest 10006469852 .00 0.200000� 8/OS/14 27.45 **#**k********f#k*******k*k***###�*#****<*k*k******#f#********##*#M********#*** ACCOUNT TITLE: PAtlL E MYERS 29 - 35 MONTH CD Account Number Balance Interest Ra[e Maturity 2013 Interest 10008965138 .00 0.300000� 1/31/15 39.95 If you have questions regarding your account(s) , piease contact us at: SUSQUEHANNA BANK, 9 E. Main Street, P.O. Box 1000, Liti[z, PA 17593; (800)311-3182; OR visit our Web site at www.susquehanna.ne[. Member FDIC �. ° RIVERVIEW BANK AND ITS OPE0.ATING DNISIONS 200 Front Streeq PO Box 8,Marysville,PA 17053 _ www.riverviewbankpa.com Account Number 300993 Paul E Myers Sr � Doris J Myers 4115 Wertzville Road Enola PA 17025-1955 Statement Date 2/09/13 Page 1 TYPE OF ACCOUNT--NOW Account � Statemen�t Summary � � - - aeginning Balance 1/07/13 � 28,071.09 B Deposits/Credits . 0 Credits .00 Checks/Debits 10 Debits 3, 6 Interest Paid . 1.89 ,/ � Ending Balance �� 24;947.48 „ IY' Interest rate � . H��! � . I Annual Percentaqe Yield Earned 0.10� V � 411 / 20�2 interest , . . - . 17..42 D ��V�� OVERDRAFT / RETURN �ITEM FEES � � Total for � - � � � - TOtal I I I. � this Period �I ,� Year to Date I I I I I I I �.,�I � � � I � Total Overdraft Fees � I .00 I .00 � I I� I I . I� Total Returned Item Fees I � � � -00 � .00 I I I I I - Credits/Depoiits �Date _ . Amount Description � 2/09 �/1 .89 Interest Deposited � Other Debits Date. Amount Description - � 1/09 `��8 .00 Payment To Veterans Affairs Ck#-4599 Pboava130080059865 2/Ol ./27 .00 Payment To Veterans Affairs Ck#-4604 Pboava130300149649 __ Halitax Bank Marysville Bank 3rd&Market Streets = 200 Front StreM PO Box A PO Box,B � � Ma ville,PA 17053 HalifaxBank Halifax,PA 17032 �n www.haiifaxbankpa.mm ' � . www.marysvillebankpa.com RIVERVIEW BANK AND ITS OPERATING DIVISIONS �`� 200 Front Streeq PO Box B,Marysville,PA 77053 www.riverviewbankpa.mm Account Number 300993 - Pau1 E Myers Sr Doris J Myers 9115 Wertzville Road Enola PA 17025-1455 Statement Date 2/04/13 • Page 3 Daily Balance Information Date Balan Date Balance Date Balance Beginning Balance C277 .74 2/0 9 25�,a TYPE OF ACCOUNT--CD 24 Months Statement Summary for 3068035 Beginning salance 1/07/13 15,289.91 0 Deposits/Credits 0 Credits .00 ChPCks/Debits 0 Debits .00 I rest �Peid 14.16 . Enuing Balance 15,304.07 Current maturity date 3/09/13 Date last interest 1/04/13 Interest rate 1.090 Annual Percentage Yield Earned 1.10°s 2012 interest 166.22 Credits/Deposits Date Amount Description 1/09 19 .16 Interest Deposited Daily Balance Information Date Balance Date Balance Date Balance Beginning Balance 15,289.91 1/09 15,309 .07 _ Nalifax Bank Marysville Bank 3rd&Market5treets = 200 Front Street PO Box A PO Boz B HL[llf(/X BQ/t�L Halifax,PA 17032 . � e. Marysville,PA 17053 www.halifaxbankpa.com www.marysvillebankpa.com _.; ._ _. ._. - --- �. _ _ _-- - . v . ' � I ,�^�'.� lr�7y; �t ' . .. ' . ' . . LL . . .. Q . ' . � . .. � . � � . . � . , ' ` . . Q • I�� � ♦ "v � � y i � . i I l l:'M1a�.i�r� 1�.. •• � � . • . I-,',,,�.��.�,c:•F'�p') � ? ',IS�, q:C;•{�j!�t,� h.i;, ,,t"i ;a�' .�' i! •'It,li;tf� ij��t%L��I!` ��`li��I'f�ti�t[��:�1 'F;;tf���i�ft'i � �' �i.�. . �.J 4 ' Ij °I�� S� 1711i + j '�.i..lf t J7 ! t f1�{ C �e { u . I 6t i� 1 ' . � � i t ia � �} ��} i , ��� �. 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'O�j,,. <..ir. �...u,::d-t..... . _ . � D...k;_.. . F¢ . . . O' F¢. . IWN. '� y0 . .. � ' ' W!1 Q�' / '�' ' ._. . . . � � ¢ . a � . t ¢' � a - . , .. ' •�:��=:t5!i .ak: '. � :a0�t.�Eti't? � �.t:: . .,. _ . , , '• . . . . . � � , O[SSLB W . ' � 1GS:ZB W . " . • . - ' _ " . _ - _ _ __ " � � . . _ ' / . . _ w� ., • ' ' , • � , . NERE PAYABLE TO: BILL#: 07344 � � •• • RETURN THIS PORTION WITH A PAYMENT FOR SECOND INSTALLMEt�Y,•;• BILL#: 07344 Michael Langan,Treasurer/Tax Collector MYERS,PAUL E&DORIS J 230 S.Sporting Hill Road .'.'.' Mechanicsburg,PA 17050 BILL DATE: Property Location ;•;QF.F.ICE HOURS ����2��2 lO-'I4-O$$S-O21 � � •�JUnethroughOC[ober. 4115WERTZVILLEROAD Mon.,Tues.,BThurs.-samto4:3opm LAND APPROX 1 ACRE Fn.,6/29A2,Wetl.,e/15112,Fn.,e131112 enA Fri.,9/14/12-9 am m 6:30 pm Closetl Wednestlays,F�idays,antl holitlays, except as no�eE above. MYERS, PAUL E& DORIS J Phone:717-737-4822 4115 WERTZVILLE RD Please Indicate: ENOLA, PA 17025-1455 � SECOND INSTALLMENT O SECOND INSTALLMENT WITH PENALTY • � I� NO DISCOUNT If paid on or before 9/15/12 $63623 If paid after 9/15/12 $699.85 • •- •- �. PAYABLE TO: BILL#: 07344 . • .. . � � . RETURN THIS PORTION WITH A PAYMENT FOR FINAL INSTALLMENT BILL#: 07344 MYERS,PAUL E&DORIS J Michael Langan,Treasurerffax Collector 230 5.Sporting Hill Road Property Location OFFICE HOURS MeChaniCSburg, PA 17050 BILL DATE: 10-14-0838-021 June�h�oughOctober: 7/1/2012 4115WERTNILLEROAD Mon.,TUes.,&Thurs.-9amto4:30pm LAND APPROX 1 ACRE Fri.,6rz9H2,wetl.,8/15/�2,Fri.,a131n2 antlFn.,9H4H2-9amto430pm Closed Wetlnestlays,Fridays,antl holitlays, except as no�etl above. Phone:717-737-4822 Please Indicate: MYERS, PAUL E&DORIS J 0 FINAL INSTALLMENT 0 FINAL INSTALLMENT WITH PENALTY 4115 WERTZVILLE RD ENOLA, PA 17025-1455 q NO DISCOUNT �/'1�� O ! v��/� If paid on or before 10/15/12 $636.23 L/�. � '/r J� ��/�y If paid after 10/15l12 $699.85 '���� !Q•.J O /_�( • •: •• �. PAYABLETO: BILL#: 07344 � • •• • � � . Michael Langan,Treasurer/Tax Collector Hours:See Reverse MUNICIPALITY:Hampden Twp. BILL N0:07344 230 S.SpOfting Hill ROad PhonB:717-737-4822 PROPERN:4115 WERTNILLE ROAD BILL DATE:7/1/2012 Mechanicsburg,PA 17050 MAP CODE:10-14-0838-021 MYERS,PAUL E&DORIS J ' • '"• • NOTICE OF PROPERTY TAX RE�IEF q3SESSMENi $70,000 $155,700 $225,700 Vour enclosed taz bill includes a tax reduc[ion for your homestead and/or farmsteatl propelty. As an eligible homesieatl and/or farmstead property owner, you have HOMESTEAD EXCLUSION $6,689 received tax relief thmugh a homestead and/or fartnstead exclusion which is FARMSTEAD E%CLUSION $p providetl under the Pennsylvania Taxpayer Relief Act, a law passed by the W�7AX RA7E 8715 8.715 Pennsylvania General Assemhly designed to reduce your property taxes. FULL SCHOOI R/E T.vc $670.05 $1,356.93 $1,966.98 THIS TAX IS DUE AND PAYABLE.YOU ARE HEREBY REQUESTED LESS HOMESTEAO CREDIT $_Sg 2g TO MAKE PAYMENT THEREOF. LESS FnRnnsiEAD CREDir 0.00 TAX AMOUNT DUE , $1,870.5 St,soe.ss $z,oss.ss MYERS, PAUL E&DORIS J If Paid On or eefore er� nz ioiaviz 12/nnz 4115 WERTZVILLE RD NO CHECKS ACCEPTED AFTER DECEMBER 77, 2012 ENOLA, PA 17025-1455 , � , . -- �� -� � - $636.23 $636.23 $636.23 yaa�a� : � •: _ � -. •' .• : s.� : _ . o n r anv�z o cer snsnz o eer �visnz t : _ � �, � W o �� � ° C� � � N � ta.. � E y _ � OLLa m O m g, o �� � ? � ■ � ae�seH � � � Y � - } • 'w � „ a-wI sI �\) � � A o �� < '" °o = � .`•o v mn � � h � � -� W . , r- � O� �' h o0 3 m -`- �, c-� cn a � "" ..+ � s- r F.. "i c' . }� Vao o D � X ti � o � t� � � � r+ � ao S � ° c, -v �� y a � o �� `. � � � ■� /� LL N . '[ N r- � � �.. ^� � � �y � N � ,.� Vl Vri O , • � o U a G i r, v � U y^ � � o.O .. OQAc� � � � � m � o � � Q � � * 1 ' ' _ C� � � � .� a � . �' �", Oq � � �' � � � � . rc '"'� � � U � i . ;� � N w v --� c.� _ � � _ � o . — � :� — � _ � � _ ; ,. ___ ; � - � �� I _`; 0 - � y � ^ � �� , , _ � � �