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• � 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.
Life Events Team
https://ampfinail.ameriprise.com/owa/?ae=Item&t=IPM.Note&id=RgAAAACoEizMdKfH... 2/8/2013
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889BZLE W I t8osm �
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A J
Susguehann� BOND REDEMPTION 2/19/2013
PAUL E MYERS
. 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
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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
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