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Home My WebLink About10-16-13 (2) � 1505610140 REV-1500 �` �°,_,°, — PA Depsrtment of Revenue �Cw-U8E ONLY Bureau of Individual Tazes Co�ty Code Y�r F�e Number pp epX ZSpgp� INHERITANCE TAX RETURN 2 1 1 2 0 1 2 6 8 Harr�sbu�,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Soasl Security Number Date of Death MAADDYYW Date of Bkth AAMDDYYYY 1 b 1 5 2 0 1 2 0 9 2 0 1 9 2 1 Deoedent's Last Name Suffix DecedenYs First Name MI S L U S S E R W A L T E R D (H Applicable)En�er Surviving Spouse's Ir�formation Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPL{CATE WITH THE REGISTER OF WILLS FILL IN APPROPRWTE OVALS BELOW Q 1.O�inal Retum � 2.Supplemental Retum � 3.Remainder Retum(date of death priorto 12-13-82) � 4.Umited Estate � 4a.Future Interest Compromise(date of � 5.Federal Estate Tax Retum Required death after 12-12-82) � 6.Deoedent Died Testate � 7.Decedent Maintained a Living Trust 8.Total Number of Safe Deposit Boxes (Attach Copy of�il) (Attach Copy of Trust) � 9.Utigatlon Prooeeds Received � 10.Spousai Poverty Credit(date of death � 11.Elec�ion to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch.O) CORRESPONDENT-THIS SECTION�1ST BE COMPLETED.ALL CORRESPONDENCE AND CONF�ENTIAL TAX�If�ORMATpN SFi�LD BE DN�TED T0: Name Dayti'm�cTe�hone N�ivbe� �° t*t R OG E R B • IR W IN ? ]��?'' 24 �-� 2�� 53 � �.. ,�m, ---i �.n� . � REG . E�f,'�F U8�°� r,�.�. �,� , .. :�� .��. , �, �4� � � Pw.J Y^"'`' {.... L i r� w.��i First line of address ` - �`,� �? � �"'� tl�::..� �:::" ` :':.." C'� I R W I N � M c K N I G H T , P . � • � �� -� d=�= �-� r �""°" Second line of address � �.A� rn � Q 6 0 W E S T P O M F R E T S T R E E T City or Post OfFice State ZIP Code �� C A R L I S L E P A 17 0 1 3 Corr+sspondsnt"'s e-maii address: Under P��P��l�I dec�are that I have examined thia retum,Indudi�9 ac�oomParryiny schedules and stafiements,and b�the best of my kno�nrledge and b�ief, it is true,comect aru!c�omple�e.Dedaration of pneparer other tlian the personal rep�esentative ls based on all informatio�of which prepa�has any knoMAedge. SIG RE OF SIBLE FOR FILING RETURN � . ADDRE 909 ARMSTRONG ROAD CARLISLE PA 17013 SIGNATUR F PREPARER OTHER T REPRESENTi�tTIVE . r �� i3 ADDRE 60 WEST FRET STREET CARLISLE PA 17D13 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610140 150561�140 � � 1505610240 REV-1500 EX Decedent's Social Security Number �ecedent's Name: W A L T E R D � S L U S S E R RECAPITULATION 1 0 0 � � 0 . 0 0 1. Reai Estate(Schedule A) �' . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Stocks and Bonds(Schedule B) . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2� � 3. Closely Held Co�poration, Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. ' 4. Mo�tgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. ' 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 3 9 0 6 3 . 0 4 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested .. . . . . . 6. 1 2 4 1 . 2 4 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) � Separate Billing Requested . . . . . . . 7. • 8. Total Gross Assets(total Lines 1 through 7) .. . . . . . . . . . . . . . . . . . . .. . . . . . 8. 1 4 0 3 0 4 . 2 8 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . .. . . . . . 9• 2 8 7 8 7 . 1 8 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 7 � 1 6 . 3 5 11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 3 5 8 � 3 . 5 3 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . �2• 1 � 4 5 � � . 7 5 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . 13. • 14. Net Value Subject to Tax(Line 12 minus Line 13) .. . . . . . . . . . . . . . . . . . . . . 14. 1 � 4 5 � 0 . 7 5 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X•0 ❑ . 0 � 15. � • � 0 16. Amount of Line 14 taxable 4 7 D 2 . 5 3 at Iineal rate X.045 1 0 4 5 0 0 . ? 5 16. 17. Amount of Line 14 taxable 0 . 0 0 at sibling rate X.12 � . 0 0 17. 18. Amount of Line 14 taxable � . 0 0 at collateral rate X.15 0 • 0 0 18. 19. TAX DUE 4 7 � 2 • 5 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0 Side 2 � 1505610240 1505610240 J Continuation of REV-1500 inheritance Tax Return Resident Decedent WALTER D. SLUSSER 21 12 01268 Decedent's Name Page 1 File Number Correspondents Name Daytime Telephone Number R O G E R B . i R W I N 7 1 7 2 4 9 2 3 5 3 First line of address I R W I N & M c K N I G H T , P . C . Second line of address 6 0 W E S T P O M F R E T S T R E E T City or Post Office State ZIP Code C A R L I S L E P A 1 7 0 1 3 Correspondent's e-mail address: Under penalties of perjury,I deda�e that I have examined this retum,induding acoompanying schedules and statemenis,and to the best of my knowledge and belief, it is truue,correct and oomplete.Dedaration of pr�eparer other than the personal rep�eserrtafi+e�s based on all information of whid�prepa�er has any knowledge. SIGNATURE F PERSON RESPONSIB FOR FILING RETURN AT �� /4�`� � ADORESS 1347 GO DYEAR ROAD GARDNERS PA 17324 Name Daytime Telephone Number R O G E R B . I R W I N 7 1 7 2 4 9 2 3 5 3 Fi�st line of address I R W I N & M c K N I G H T , P . C . Second line of address 6 0 W E S T P O M F R E T S T R E E T City or Post Office State ZIP Code C A R L I S L E P A 1 7 0 1 3 Correspondent's e-mail address: Under penalbes of pery'ury,l deda�that I have examined this retum,induding aocompanying schedules and shatements,and to the be.st of my knowledge and belief, it is true,care�and complete.Dedaratlon of rer other than the personal�epresentative is based on all information of which preparer has any knowledge. SIGNATU ESPON R ING RETURN DATE _/S''-�Zc�/,� ADDR S 1479 GOODYEAR ROAD GARDNERS PA 17324 REW1500 EX Page 3 File Number Decedent's Complete Address: 2� �2 o�2ss DECEDENTS NAME WALTER D. SLUSSER STREET AODRESS � 1479 GOODYEAR ROAD �� STATE ZIP GARDNERS PA 17324 Tax Payments and Credits: 1• Tax Due(Page 2,Line 19) (1) 4,702.53 2. CreditslPayments A.Prior Payments 5,500.00 B.Discount 235.13 Total Credits(A+B) (2) 5,735.13 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) 1,032.60 5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred: ...................................................................... � 0 b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ 0 c. retain a reversionary interest;or X ................................................................................................ ❑ d. receive the promise for life of either payments,benefits or care? ....................................................... � � 2. If death occurred after December 12,1982,did decedent transfer property within one year of death � without reoeiving adequate consideration? ....................................................................................... � X 3. Did decedent own an'in trust for"or payable-upon-death bank acxount or security at his or her death? ......... ❑ � 4. Did decedent own an individual retirement aa;ount,annuity or other non-probate property,which oontains 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 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 sunriving 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 requiremen�for disclosure of assets and filing a tax retum are still applicable even if the suNiving 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 adopfive 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 decedent's lineal beneflciaries 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 decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)j.A sibling is defined,under Sec6on 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: WALTER D. SLUSSER 21 12 01268 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 wiiling seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Indude a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 1479 GOODYEAR ROAD,GARDNERS, PENNSYLVANIA 100,000.00 SOLD-SETTLEMENT SHEET ATTACHED _ TOTAI(Also enter on Line 1,Recapitulation.) � 100 000.00 — If more space is needed,use addi6onal sheets of paper of the same size. REV-1508 EX+(11-10) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS, � MISC. INHERITANCE TAX RETURN pERSONAL PROPERTY RESiDENT DECEDENT ESTATE OF: FILE NUMBER: WALTER D. SLUSSER 21 12 01268 Indude the proo�ds of I'figation and the date thep�ceeds were received by the estate. All property jointly owned wlth rlght of survivors ih p must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PERSONAL PROPERTY-APPRAISAL ATTACHED 4,972.00 2. PNC BANK-CERTIFICATE OF DEPOSIT#21001051701 8,000.53 3. PNC BANK-CERTIFICATE OF DEPOSIT#31500253868 9,111.35 4. PNC BANK-CHECKING ACCOUNT#5140191606 7,804•28 5. PNC BANK-SAVINGS ACCOUNT#5130331919 9,174.88 TOTAL(Also enter on Line 5,Recapitulation) S 39 063.04 If more space is needed,insert additional sheets of paper of the same size REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE �OINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: WALTER D. SLUSSER 21 12 01268 If an asset was made jointiy owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. LINDA K. SNYDER 1347 GOODYEAR ROAD DAUGHTER GARDNERS, PA 17324 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY 96 OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST �CEDENTS INTEREST 1. A. 03/1981 MEMBERS 1ST FEDERAL CREDIT UNION 2,482.48 50. 1,241.24 SAVINGS ACCOUNT#5265-00 TOTAL(Also enter on Line 6,Recapitulation) S 1 241.24 If more space�s needed,use additional st�ets of paper of the same size. REV 1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER WALTER D. SLUSSER 21 12 01268 DecedenCs debts must be reported on Schedule I. ITEM AMOUNT NUMBER DESCRIPTION A. FUNERAL EXPENSES: 8,996.90 1. DUGAN FUNERAL HOME, INC. 2. DUGAN FUNERAL HOME, INC. -STONE LETTERING 125.00 3. CODORI MEMORIALS-FINAL INSCRIPTION 185.00 B, ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Add�ess �� State _ZIP Yea�(s)Commission Paid: 2, AttomeyFee.s: IRWIN &McKNIGHT, P.C. 7,500.00 3, Famihr Exemption:(If deoedenYs address is not the same as daimanYs,attach explanadon.) 3,500.00 Claimant DALE E. SLUSSER StreetAddress 1479 GOODYEAR ROAD �;ty GARDNERS state P=z�P 17324 Relationship of Claimant to Decedent SON 4. probateFees: REGISTER OF WILLS 311.50 5 Accountant Fees: 6. Tax Retum Preparer Fees: PATRICIA A. ROSENDALE, CPA 375.00 INCOME AND FINAL FIDUCIARY TAX RETURN 7. REGISTER OF WILLS-FILING FEE 30.00 8. STEVEN W. BARRETT REAL ESTATE-APPRAISAL ON REAL ESTATE 375.00 9. CUMBERLAND LAW JOURNAL-ESTATE N4TICE 75.00 10. THE SENTINEL-ESTATE NOTICE 210.78 11. ROY D. GOTTSHALL-APPRAISAL ON PERSONAL PROPERTY 55.00 12. REGISTER OF WILLS-SHORT CERTIFICATES 20.00 13. CLOSING COSTS FROM SALE OF REAL ESTATE 7,018.00 14. PECK'S SEPTIC SERVICE-CERTIFICATION 10.00 TOTAL(Also enter on Line 9,Recapitulation) S 28 7g7 �g If more space is needed,use additional sheets of paper of the same size. 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 WALTER D. SLUSSER 21 12 01268 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. PECK'S SEPTIC SERVICE-SEPTIC � 240.00 2. LITTLE'S GAS SERVICE-UTILITY 29.96 3. CENTURYLINK-TELEPHONE 360.92 4. ADVANCED DISPOSAL SERVICES-TRASH 132.06 5. AERO ENERGY-FUEL OIL 500.00 6. MET-ED-ELECTRIC 245.51 7. COMCAST-UTILITY 385.80 8. DEPARTMENT OF THE TREASURY-REIMBURSEMENT OF PENSION 3,584.43 9. ALLSTATE INSURANCE-HOMEOWNERS AND AUTO INSURANCE 928.21 10. CAROLYN R. McQUILLEN, TAX COLLECTOR-REAL ESTATE TAXES 243.99 SPRING(2013)-PRORATED 11. CAROLYN R. McQUILLEN,TAX COLLECTOR-REAL ESTATE TAXES 365.47 SCHOOL TAXES-PRORATED TOTAL(Also enter on Line 10,Recapitulation) S 7 016.35 If mo�e space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN . RESIDENT DECEDENT ESTATE OF: FILE NUMBER: WALTER D. SLUSSER 21 12 01268 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 [Indude outrght spousal d'istributions and transfers under Sec.91'�6(a)(1.2).] 1. LARRY W. SLUSSER Lineai 34,833.59 909 ARMSTRONG ROAD 1/3 REMAINDER CARLISLE, PA 17013 2. LINDA K. SNYDER Lineal 34,833.58 1347 GOODYEAR ROAD 1/3 REMAINDER GARDNERS, PA 17324 3. DALE E. SLUSSER Lineal 34,833.58 1479 GOODYEAR ROAD 1/3 REMAINDER GARDNERS, PA 17324 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. 5 If more space is needed,use additional sheets of paper of the same size. - _ � �. ..� : � . . . � r . ,� . � ; . REC��D�� '�� ' T�� 0�' ��1�.�.� �� , c s �n 2 ^ �s c�Er�� or- ORPHANS' C�URT I , WALTER D. SLUSSER, of the Dickir��'S�}��i{�,� ��, Cumberland County, Pennsylyania, declare this to be my last will and revoke any will previous3.y made by me. I . I bequeath such items of tangible personal property to my children, LINDA K. SNYDER, LARRY W. SLIISSER and DALE E. SLIISSER, as they may individually select and amicably agree upon among themselves without requiring strict equality of distribution. � Ti . I direct my executor to sell at public or private sale aIl of my remaining� real and tangible personal property and to apply the proceeds therefrom to my residuary estate. III . I devise and bequeath the residue of my estate of every nature and wherever situate in eaual shares to such of my adult children, LINDA R. S�iYDER, LARRY v�. SLUSSER and DALE E. SLUSSER as survive me by thirty days. IV. Should any of my children, LINDA K. SNYDER, LARRY W. SLUSSER and DALE E. SLUSSER, predecease me or die on or before the thirtieth day following my death, I devise and bequeath the � share of my daughter, LINDA K. SNYDER, to her issue per stirpes living on the thirty-first day following my death; the share of my son, LARRY W. SLUSSER, to his issue per stirpes living on the = thirty-first day following my death; and the share of my son, � '+.: �. • ,� � • . • . e 1 r DALE E. SLUSSER, to his issue per stirpes Iiving on the thirty- first dav following my death, or . failing issue, to his wife, BEVERLY SLUSSER, providing she shall survive me by thirty days. V. I appoint CCT�1B BA1�K, N.A. , of iKount Holly Springs, Pennsylvania., or its successor, guardian of any property which passes either under this will or otherwise to a minor and with respect to whom I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit . Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate} without regard to his or her parent 's ability to provide for such support and education, or to make payment for these purposes, without further resvonsibility, to the minor or to the minor's parent or to any person taking care of the minor. VI . I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. VII . I appoint my children, LIPiDA R. SNYDER, LARRY W. SLUSSER and DALE �. SLIISSER, of the survivor(s) of them, co- — executors of this my last will . - VIII . I direct that my executors and guardian or their o � � v Y .� J • � R . � � 1 . � � successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN jr7ITNESS W�iERE4F, I have hereunto set my hand this �� 9 .— da y o f C�� , 19 9 2 . � r� _ 9b�S1_ -- WALTER D. SLUSSER The preceding instrument, consisting of this and two other typewritten pages identified by the signature of the testator, WALTER D. SLUSSER, was on the day and date thereof signed, published and declared by WALTER D. SLUSSER, the testator therein named, as and for nis Iast will , in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed ou mes as witnesses hereto. • ��(�� . �1J�0 i:��/'�'1��•�v � _ �. . � C�. ,�� ' 3� _ � i�� - . Y�Yfy ��• ' A. Settiement Statement (HUD-1) OMBApproval No.2502-0265 1.�FHA 2.Q RHS 3.Q Conv.Unins. 6�File Number: 7.Loan Number: 8.Mortgage Insurance Case Number. ROCKEYM9-13 4.Q VA 5.❑Conv.Ins. C.Nobe:This form�Tumished to give you a statemeM of adual setdement c�sts.AmouMs paid to and by the settbment ageMs are shown.Itema marked "(p.o.c)"were paid outaide the dosing they are shown here for iMortnational pu�poses and are not induded in the totals. D.Name 8 Address of Borrower: E.Name 8 Address of Seller: F.Name 8 Address of Lender: ]MICKEY D.ROCKEY,WENDY L ROCKEY WALTER SLUSSER ESTATE 392 PEACH GLEN ROAD,GARDNERS,PA 17324 1479 GOODYEAR ROAD,GARDNERS,PA 17324 G.Property Locatior� H.Settlemerrt Agent: i.SettlemeM Date:Oa117/2013 1479 GOODYEAR ROAD I&M REAL ESTATE SERVICES,LLC Disbursement Date:09V17/2013 Gardners.PA 17324 West Pomfret Professional Bidg,60 West Pomfret Street, Didcinson Township C�iisle,pA 17013 Telephone:717 249-2353 Fax:717-249-6354 Plaoe of Settlement: Titl�eExpress Wes1 Pamfret Proiessional Bldg,60 West Pomfret Street, Printed 0�17R013 at 10:32 am Ca�isle PA 17013 by JMR 100. Orow Aiuo�t'Dw firo�n 8omawr �00. l�noa.Aaiount�w"b 8N�r _ 1 . sales prioe 1 , .00 401. sales price 1 , . 102. Personal 402. P�sanal 103. Settlen►ent charges to borrower(ilne 1400) 1,890.00 4Q3. 104. 404. 105. 405. for iban� ssNer in adv�nce /W for Nui�s se�in advance 106. CityAown ta�s to 406. GtyRown ta� b tm. co�,ri taxes ro �o�. co�rrcy ca�es ro 108. Sd�od Taoces �0 408. School Taxes to 109. Co�tyRwp Paroe10: 09H 7R013 ro 1213112013 86.38 409. CouMylTwp P�cel a 09/17I2013 to 12/31/Z013 88.38 110. CountylTwp Parod( 0911712013 M 1213112013 11.48 410. Caxiry/Twp Paroel( 09/1712013 to 121311'2013 11.48 111. Sctad Paroel 023 09/1712013 ro 06/3012014 1,178.67 411. Schod ParGel 023 09V171'2013 to 06/30/2014 1,178.67 112. Schod Panel 02?A 09/17/2013 to O6I30I2014 166.11 412. School Paroel 022A 09/17/2013 to 06I30/Z014 166.11 120. Cx�as Amount Du�irom Barower 103�334.64 4Z0. Gross Amount Due b S�Ier 101�11�.64 �00�. Asou�P�ld or in B�hrf of Boerornr 500. f�wilons In Amount 0u�m Se1�r 1. Deposit or eamest ma�ey 5,000.00 501. Excess de�osit(see instnx�ions) 202. Principal amouM of new ban(s) 502. Settlement diar�ges to seper(line 1400) 7,018.00 203. s taken su� to 503. Exisu s taken su� ro 204. 504. of first loan Z05. 505. Pa of seoond loan 206. 506. 207. 507. 208. 508. 209. 509. for ibna un � for t6ena un se�er 21 . rtown ta�s ro s1o. citynarm taxes ro 211. Ca�mty ta�ces b 511. Cow�ty taoces to 212. Sd�ool Taoces to 512. Schod Taxes to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. �. Tdd P�id Bona� 5�000.00 520. ToW Reductlon Amount Due SWer 7,01a.00 300. Cah at S�Itl�aMnt irowlb 8orrow�r i00. Cs�h at'-S�tlNn�itio�iv�n S�Ir 301. C�rnes amount due ir�om bortower�ine 120) 103,334.64 601. Groas amouM due to seNer(line 420) 101,444.64 302. Less amoums paid bylfor bortower(line 220) 5,000.00 602. Less redudions in amour�due seNer(line 520) 7,018.00 303. Cah XQ From ❑To Bortower �� 603. Ca�h ❑X To ❑ From S� ��.� nr am w�w�a�q.�s.an.e�r wa are mnra arnea.No aaeenw.ry r.w.R w.ai.aow.r m.wmn.m r aaqnw ro povie.n.�.nrs eo.r��aaw.a u.raton � uu a.m.nwr v�. Previous editions are obsolete Page i o 4 HUD-i _ _.._._ __ __ _ _ _ _ _._ _ _ . __._ _ _ __._ . _ _. a 700. Todl Ral Ed��E�es 6.�•� Paid From Paid From Diviaion d�an Iine�00 as touo�ws: Borrower's Selier's 701. s3 ppp.pp � STEVE BARRETT REAL ESTATE Funds et Funds at 702. s3 Op0,0p � WOLFE&COMPANY REALTORS Settlement Settlement 703. Cornmission paid at se�tlement 6, .00 l00. N� , in Conn�dion wNh Lan 801. Our ariginadon charge (Inckides Ori�natlon PoiM 0.000%or 50.00) a (from GFE#1) . Your cxe�it or char'9e(Pdr�s)for the speafic iMe�st rate chosen (from GFE#2) 803. Yau adjus�ed origination charges (from GFE A) 804. ' fae to firom GFE#3 805. Credit to irom GFE#3 806. Tax servioe to irom GFE#3 807. Flood oerGficaRion to from GFE#3 808. to 900. N� LandKtio be P�id h Advanoe . 'ly i�nest charges from from 09I17/2013 to 10�01 13�a0.00lday (from GFE#10) 902. Mat insurance 'um months b from GFE#3 903. Homeowner's insufance months to from GFE#11 904. mon�s to irom GFE#11 1 wNh L�ndK 1001.Initial for r escrow accoum from GFE#9 1002.Homeowner's insurance moMhs i /month 1003. insurance mornhs a hnonth 1004. taxes momhs S lmonth ,00s. ma,u� a imo�u► ,00s.sd,00�Taoces months a o.oam«ith a ro 1007.Aggregate Adjushnent 3 to 1100.1'NN : 1101.Title services and lenders title insuranoe from GFE#4 807.00 1102.SetHement or dasing fee � 3 1103.Owr�s 1jYtle�suranoe fiom GFE#5 1104.I.enders tide insuranoe a 1105.l.snders title policy limit 50.00 1106.Ownei's tll�policy Amit 5100,000.00 1107.AgeM'a paGon of the�tal tide insurance prer►aum S 11�.Undenw�ter's portion af the total title insuranoe premium 3 1109.Attomey Fee to IRWIN&MCKNIGHT,P.0 i�•� 1110.notary � 37.00 18.00 1200.Qo�wr�nt :and T� ,�o,.co��c�ecad�a� a c�cFE#�� e�.00 �zol.o«d sa3.00 s r�s co��o�o� ,�.T,�� S (fromGFE#S) ,,000.00 �2oa.c,�y�c«,rny ta�s�s oeed S�000.00 s ro�oord�o�� 2os.sta�T�stam� oe�t�000.ao S ro Reoord�o�� ,000.00 �zos. oe�a a �o t�a Addltlon.�:s�annt 1 . ired services that you can shop for (from GFE�Y6) 130'1. to 1303. to 1304. �o 1305. b 1,N0.00 7�018.00 "Paid oulside of dosin9 bY(B�rt'awe�,(S�Ikx,(�)ender,(�)nvestor,Bro(K�."Cre�t by lender shown on page 1."'Cr�t by seller shorm on page 1. Previous editions are obsolete Page 2 of 4 HUD-1 _ _._ __ _. ___ _. _._ _._ _ __ _ . _ _ ___ d Good faNh F�lin�ale �nd FWG1: ; Good F�IMtiEqhnwe HUD.1 TMtC�nnot Nicnw M1D-1>I.�ne NunibK � ; �� 0.00 0.00 Yourcre�lt.oc iortlie inlerestta�s:choeen _ ` #,802 _ 0.00 0.00 �� # 0.00 0.00 � 1� 0.00 1,000.00 TMt:tiToWCannot:i�c�aa:YasTh�n10%. : ; ,Cood�Faph;Estlimbe ,l�Ia1.; ' .recondMig:c,�a!9es � 1201 0.00 83.00 ��:_ ��. . #k 11 1 0.00 807.00 Owners tltle insuraix,e � 11 0.00 0.00 �, : � � � .� 0.00 890.00 � 8.90. 999. �� Good FaNh'Eatlnpb , ,HUD�4 : Mi�al depoeit ydr-esaow a000uM � 1001 0.00 0.00 � . . � � � 0.00 0.00 Homeowr�'s insurar�oe �903 0.00 0.00 � # Losn Terms � Yourinibal`ban amouM� � Your loen term is years Your initlal in�erest rale is 96 Your ird�al monThly amouM owed for principal,inle�,and any mor�age a indudes ir�uranoe is ❑Prinapal ❑interest ❑Mortgage Insurance Can your in�erest ra�e rise? XQ No. ❑Yes,it can rise to a maximum d %. The first change will be on I I and can change again every years after / / . Every change date,your interest rate can incxease or decxease by 96. Ove�tl�e life d U�e loan,your interest rate is guaranteed M never be bwer than 96 or hipher than %. fven if y�ou make peyrtieMs an tlme,can your ban balanoe�e? X❑No. ❑Yes,it can rise to a maximum d S . Even if Ya make payrtients on 1�ne,c�n Your montMY amouM awed far XQ No. ❑Yes,the first inaease c�n be on 1 I and the monthly prhidpel,intereet,and mq�age.ins�xance rfse? amount owed c�rise to$ . The maximum it can ever rise to is$ . Does you�ben.have a prepayrtient penamR QX No. ❑Yes,your maximum prepayment penaity is$ . Does your loan'ha�re a balloon payrtienC? QX No. ❑Yes,you have a balbon payment of 3 due in . years on I I . Total mordhl�r anoud awed;induding esdaw a000urrt;payrtients QX You do not have a monthly es�xow payment for items�such as p�operty taxes and homeowners insurance. You must pay these items�recliy yauiself. � ❑You have an addidonal monthly escrow payme�tt of a that results in a tot�initi�monthly arnount owed of 3 . This indudes princ�pal,in�erest, �Y�9�insurance and ar�y items d�ecked below: ❑Property ta�ces ❑Homeowners insurance �Flood insurance ❑ ❑ ❑ Note: If you have any questions about the Settlement Charges and Loan Tem�s lisfiad on this form,please contact ycwr lender. Previous editions are obsolete Page 3 0 4 HUD-i � ' � HUD CERTIFICATION OF BUYER AND SELLER I have careiully reviewed the HUa1 SettlemeM Statement and to the best of my knowledge and belief,it is a true and accurate statemeM of all receipts and disbursemeMs mads on my axourrt or by me in this transadion I turtl�er oerMy that I have receivsd a copy of the HUD�1 Seltlsrne�StaMrneM. . p . ]MICKEY D.R EY WENDY L.ROCKEY ;/ cr..I�`%vL✓! . / . �° WALTE LUSSER ESTATE by LARRY W.SLUSSER D DALE W.S,Cc > �/ WALTER SLUSSER ESTATE by K.SNYDER,C0.EXECUTOR The HUD�1 Settbment StaEernent which I have prepared is a tnie and axurate axouM of this transadion.I have caused or will cauae the tunds to be disbu�sed in acxordanoe wRh this statement � .��-, �, Q17�3 SETTLEM NT AGENT DATE WARNIN�IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010. Previous editlons are obsolete Page 4 0 4 HUD-i __ _ _ _ _ _ ... _. _ . __. _ _. _ _ _ ___.._ .__. _ ._ • • 11 Name oF Borrower: Name of Seller: Fle Number: Pr�09117/2013 at 10:32 am Note:This page displays an itemization of the credits shovm in sectlon 200 of the HUD-1 Settlement Slatemerrt.This page ccompanies but is not a part of the HUD-1 Settlement Statiement If a discrepancy exists,the iMormation on the HUD-1 SettlemeM errt applies. Crodib Crodtt . . . • • . N�ne of Borrower: N�ne af Seller: Fle Number: ]MICKEY D.ROCKEY WALTER SLUSSER ESTATE ROCKEYM9-13 WENDY L.ROCKEY Prep�ed 09H7/2013 at 10:32�n Nobe:This page displays an ibemization of the adjusbed originatfon charg�shovm in sectlon 800 of the HUD-1 Settlemer�t 8labemen is page accompanies but is not a part of the HUD-1 Settlement Stateme�t.If a discrepancy exists,the fnformation on the HUD-1 er�t Stabement applies. Your L.om Oripinatlon Char� Borrower Ss1er 1. Our ariginallon charge (indudes Originabon PoiM 0.00096 or .00) ro a o.00 802. Your aedit or charge(PoiMts)for the spec�fic interest rate chosen m a o.00 803. Your adjus6ed cxigina6on charges 0.00 0.00 . . � ��: N�ne of Seller: Fle Numbe�: ]MICKEY D.ROCKEY WALTER SLUSSER ESTATE ROCKEYM9-13 WENDY L.ROCKEY �ed 0911712013 at 10:32 am No�e:This page displays an itemizatlon of tl�e cha�shown on line 1101 of the HUD-1 Settlement Stabement.This pa�e panies but is not a part of the HUD-1 SeWement StabemeM.If a discrepancy exists,fhe infomiation on the HUD-13ettlement ta�ement applies. 1100.TNN Ciqr� ToW Ch�r� Borrowr SM�r 1101. services and�enders tltle insurance � „02.se�n�rn a ca��ree ro a o.00 ��o�.�aers une�nsu� �o $ o.00 1109.Attortte�►Fee to IRWIN&MCKNIGHT,P.C. a �•� �•� 1110.notary to S 25.00 7.00 18. To�s: d2�.00 0.00 Q07.00 1a. SMKII.�nder�shown on 1 POC=Pafd 0ubfde CR-'La�d�r Crodit Previous ed�ions are obsolete Page 1 0 1 HUD-1 _ _ . __.. _. ___ _.. ._ _ - _ __ _ . __. _ __ _ .. 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':: ��: .. _ . • . �� t / � �,3�O��. . _ � � ��' � � u- �• �� 1 0•�Ic ! �� , 341•00+ �" • 781•00+ � 3�850•00+ 4�972°* � � __._ 0�* -YI�i.... ' � . � t ; �d��, �v, �u i� i ;4yriv� r�u� �ank No. 5334 P. 1 � �� . . :�� January 16,2013 , Roger B Ir�n�sq. �rvvin&McKnight P.C. � 'VVf�est 1'omfret Professional Bldg 60'aV'pomfret St Carlisle,pA 17013-3222 RE: watter D slusser � SSN: 192-X 4-5946 nOn: 11-15-2012 bear Mr.Yr�vvin: � � � In respomse to�our request for]�ate of nea.th(nOn}balan.ces for the customer noted above,aur records sho�►t�e fo�to�aring: Certificate of beposit Ac�o�n.t#2I001051701 Established: 04-03-1992 � `VVALTER D SLUSSER DOD b2aance: S 8,000.00+0_�3 accrued interest � � Yntcrest paid 01-01-201.2 thru 11-15-2012 �22.94 'Y"Tn Account#31500253868 Established: OI�2�-2005 wALTER D SLU5S�R AOD balance: � 9,096.64+ 14,71 accn�ed i.nterest Interest paud 01-0 l-2012 t�r�u 11�1�-2012$22.68 'Y''1� . Checl�ing Accou�nt � Account#�140191606 Established: 04-0 I-1963 � WALTER D SLUSSE�t DOU balance: �7,804.24+0.04 accrued interest . Interest paid O 1�O 1-2012 thru 11�1�-2012� 0.49 'Y"Y'n Sawings Accoant � . Acco�unt#�130331919 Established: 04-03-Y990 � � WALTER D SLUSSE� DOU balance: $9,1�4.68+0.20 accru,ed interest Interest pa�d Ol-0�-2012 thru 11-15�2012 S �.18 'Y'Tn Faee 1 0�2 �an. �o. [u �j � :4yrM NN(; �ank No. 5334 P. 2 � � � �, Please note tbat this o�ace pmvides date of death bala�ces�rnr deposit accounts (�tAs,Cns,Checking aad Savings). `�Ve do not prnces�a�y f�nsnc�al transactiona or pco�ai�le ststements. Jf you need assi�tance with � an�of these�ite�s,please call 1-888-pNC-BANK(1�888-762-2265)or stop by your local pNC lgank braach offiice. � Sincereiy, - Natiomal Financial Serv�ices Center � pNC Bank,NA. Manber FDIC This rnessage is intended for the use of the indiwidual or�entity to which it is addressed and may cor�tain information thart is privilege� confialential and'exempt,fr�orn disclosure under applicable law. If t�ie reader of th�s message is not the intendea�recipienr nr the employee or agerit responsible for delivering xhis message to the Yrstended recipierit,you are here�iy notified rhat any dissemYrzation, � dx's�i'�ution or copying of this communications is strictly prohibited �f you lzave received this communication in error,please notify me immediately by reply or by telephone cr��DO-76Z-177�and immed`t'ately destroy this faxed document. Pa�e2of2 St . MEMBERS 1� P�BRALCRR�IT UNlON �� 4� l 5 201� ��i��!�,��(N�t6M1 ��r�o�F�� REGULAR SAVINGS ACCOUNT: Account Number/Suffix 5265-00 Date Account Established 09/14/1960 Principal Balance at Date of Death $2,482.24 Accrued Interest to Date of Death $.24 Total Principal and Accrued Interest $2,482.48 Name of Joint Owner Linda Snyder Date Joint Ownership Established 03/02/1981 EI�IIBERS 1 ST FEDERAL C DIT UNION � . . � � l,�_ � t� C�� anielle A. Kline Lending Insurance Support Specialist � January 11, 2013 Estate of: WALTER D. SLUSSER Date of Death: 11/15/2012 Social Security Number: 192-14-5946 5000 Louise Drive • P.O.Bog 40 • Mechanicsburg,Pennsplv�ania 17055 • (800)283-2328 • wwwmemberslstorg Dugan Funeral Home, Inc. �� , 111 South Main St. �; . Bendersville,PA 17306 ' .' (717)677-8215 November 29,2012 Dale Slusser 1479 Goodyear Rd. Gardners,PA 17324 The Funeral Service for Walter D. Slusser We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITENIIZED STATEMENT OF THE SERVICES,FACILITIES,AUTOMOTIVE EQUIPP.�NT, AN�MERCHANDISE THAT YOU SELECTED WHEN MAKING TI-�FUNERAL ARRANGEMENTS. Professional Services Services of Funeral Director/Staff 1,800.00 Embalming 700.00 Other prepation of body 200.00 Total Professional Services �M� M �� 2,700.00 Equipment Viewing(Visita.tion/Wake) 400.00 Funeral Ceremony 450.00 Total Equipment MM��Nµ�~��w��w 850.00 Automotive Equipment Vehicle to transfer remains to Funeral Home 350.00 Hearse(Caslcet Coach) 300.00 Flower car or floral disposition � 100.00 Lead car/Clergy 100.00 Total Automotive Equipment -� �w MMw 850.00. Merchandise Casket 1,440.00 Outer Container 1,200.00 Register Book(s) 80.00 Memorial folders 95.00 Flowers 175.00 Total Merchandise l��wwMMM��~W 2,�•�. AT THE TIME FUNERAL ARRANGEMENTS WERE MADE,WE ADVANCED CERTAIN PAYMENTS TO OTI�RS AS AN ACCOMMODATION.'THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. Cash Advances Opening Grave 600.00 Clergy/Mass Offering 125.00 Certified Copies of the Death Certificate 90.00 Times Obit 105.00 Sentinel 276.68 Patriot 335.22 Organist 75.00 Total Cash Advances -��W��M~�� 1,606.90 � Total Sales Taz 0.00 � � Total Contract 8,996.90 � TOTAL AMOUNT DUE 8,996.90 Any unpaid balance over 30 days is subject to a finance charge of 18%per annum-1,5%per month. . Allen L.Dugan,Supervisor M. Lee Dugan, Supervisor Allen L. Dugan, Director Sl Asper Drive 111 S.Main Street,PO Boz 393 Shippensburg,PA 17257 Bendersville,PA 17306 717-532-4100 www.DuganFH.com 717-677—8215 Esta.te of Walter Slusser � c%Mr. Da1e Slusser 1479 Goodyear Rd. Gardners, PA. 17324 Stone Lettering for Walter Slusser $125.00 Total $125.00 If you have any questions, please ca11 me at 717-677-8215. Thanks Allen L. Dugan Funeral Director . ., :. .,.. .._ . __ __ �. _�. ..._. __. . _. _____----_. . �i�o . f ��.�3 �, . . � C O ' � .� m W � � :n�` = i n � � � � , � -� � .� � � � � �� : � d � � o � � � � i � � � � i '� �-..i � . � � y � � � , � � � . l � � � � � � � � � , � � � : , t� � � � � � , � � �, . 3 m � ri�` � � . � J � � � � , � � � � � � � o �� 'o� Vv�� J 1 � � � ,� �� wy�� D � . v `' � Z � � � w � � � � � � "' �• Ap O � � 3 � s 1 � o � � � �'V m m � � !'! � � . S 3 � � � = o �. �` � -•-�o v� � V � V V� � Z � � � ��m �A m .g Ds . - -. � -. . � ��.i� • � w� m . �� : , . ,' . • , : � . P� � tricia A: .Ro�s�endale ��CP�I� LLC : � : . , . � . � ,. ;. . � . . . , . � . . . . Certified Public Acco:untant _ � . .. � 255 Hickory Rd. • �arlisle PA 17015 . � Tetephone or fax:(717) 243-3184 : � . . . � e-mail:rosendale@comcast.net � March 10; 20:13� ,_ . . _ ` ,. Ir�vin&McKnight P. C. . � . _ � � , 60-W:Pom�r.et St._ . - . . , � � Carlisle PA 17013 _ . , , � Re: Wal#er D..�Slusser . � ; . , . . . � For professional servi�es rendered,as foliQws: � � - �� Preparation�of 2012 Federal and Pennsylvania tax retums. . . . . . . . $90. _ � , . RE�� o JAN 16 2013 ��Peck's 3eptic Service�� IRWIN�i�9�tiY �� 68 Piae School Road �� LAI�� ) Gardaers Pa. 17324 �� (717) -486-5548' (� � � II O CUSTOMER BILLING �� II �� II WALTER SLUSSER II 1479 GOODYEAR ROAD �� GARDNERS PA 17324 �� II II BILLING INFORMATION �� I I, n n il ��Previous Date Pumped: 7/31/2009�� (� �� i ��Date Pumped: 1/10/2 013�� i IlBilling Date: 1/11/2013�� Pumping Charge: $160 . 00�� Labor Charge: $0 . 0 0�� . � ��Material Charge: $0 . 0 0�� Service Charge: $10 . 0 0�� (` �� Total Due: 10� Added Af ter 3 0 Days�� $170 .00�� I� jl1TORK D�1�TF � ,_ , � II*************** (PUMPED SEPTIC TANK, LOCATED AT) ******* II*************** (1479 GOODYEAR ROAD,GARDNERS) *********** �O � . ��SERVICE CHARGE IS FOR DICKINSON TOWNSHIP INSPECTION FEE. I�THANK YOU. �� , II �� II***************** THANK YOU, PLEASE CALL AGAIN *************** II �� 'I ��Next Scheduled Pumpiag: I �) `�an�- `��. �� II , �� II II p$CK'S SEPTIC SERVICE, SERVING THE COI�lUNITY SINCE 1965 II II (I ��— THANK YOU FOR LETTING US SERVE YOU. �� I� u u �I ��Peck's Septic 3ervice�� 68 Pine School Road �� ) Gardaers Pa. 17324 �� ) (717) -486-5548 �� II II CUSTOMER BILLING II (I II '� '' II II WALTER SLUSSER I) 1479 GOODYEAR ROAD �� I GARDNERS PA 17324 �� (� �� II �I BILLING INP'ORMATION II II (� i� u il ��Previous Date Pumped: 1/10/2013�� i II Date Pumped: (� �� - -- �� i ��Billing Date: 7/16/2013�� Pumping Charge: $0 . 0 0�� ( � (�Labor Charge: $8 0 . 0 0�� IF 'I � ��Material Charge: � $0 . 0 0�� Service Charge: $0 . 0 0�� ' �� Total Due: 10� Added Af ter 3 0 Days�) $8 0 . 0 0�� ' WORK DONS " �I II********************** (LOCATED AT) ***************************** I� II*************** �1479 GOODYEAR ROAD,GARDNERS) *********** II II FI'p'GGED D I STANCE FROM WELL TO DR.AINF I ELD AND WELL TO TANK. (� �� ) �� II***************** THANK YOU, PLEASE CALL AGAIN *************** II �' 'I ��Next Scheduled Pumpiag: �) �� r---� r--, II �� P�CK'S SEPTIC SERVICT, S$RVING THE COl�lUNITY SINCT 1965 II II II �� T� YOU FOR LETTING US SERVFs YOU. II �i �� u �I ��' UNITED STATES � - OFFICE OF �' PERSONNEL MANAGEMENT w�shington, D.C. 20415 � In Reply Refer To: Your Roferance: �ESTATE OF � BILLING DATE: 03/O1/13 WALTER D SLUSSER CLAIM NUMBER: A27666900 1479 GOODYEAR RD GARDENS, PA. 17324 Dear ESTATE OF: This letter pertains to an overpayment of Civil Service Retirement and Disability Fund (CSRVF) monies. According to our records, $**3,584.43 was paid to WALTER D SLUSSER after his/her death on 11/15/12 . The regulations governing the CSRDF require that we collect all monies paid after the death of the intended payee. To date, $ *******.00 has been collected, leaving a balance due the CSRDF of $ **3,584.43. We have been notified by PNC BANK, NA ACH RECLAMATIONS that you may have withdrawn these funds from the applicable account. At this time, we are asking� that $**3,584.43 be returned for deposit to the CSRDF. Please remit this amount by check or money order made payable to the Office of Personnel Management. Write the claim number reported on the enclosed Payment Transmittal on your payment, detach the Payment Transmittal and return it along with your payment in the enclosed envelope. If you believe we are in error, please provide documentation (e.g., the front �and back of cancelled checks, bank debit memos, etc.) , supporting your belief that the amount is not owed, the amount is wrong, or the amount has already been repaid. Please forward copies of the supporting records, along with a copy of this letter, in the envelope provided. If you have any questions, please contact us at (202) 606-0�'17: �O� SHAMEKA M QUIGLEY ACCOUNTING TECHNICIAN RECEIVABLES MANAGEMENT SECTION SF 1184 UNIT-ROOM 3H30 WASHINGTON, DC 20415 202-606-0708 Enclosures: 2 �ooi oaro2�oa ._.__.�__..____.__________..._.__...__. _._�_____.._...-.--_�...�._._. �-�._ �---•'�t1f1T1it'1� Date Ref Transaction � Amount Balance 2/1/2013 Balance Forward 2/1/2013 6619978 Service Contract:REC_CHARGE -$277.14 2/20/2013 6651345 Payment: Budget �17�95 -$259.19 3/1/2013 66709 Service Contract:REC CHARGE ' -$125.00 -$384.19 � $17.95 - 366.24 $ Your Monthly Budget Payment is: �125.00 Total Budget Payments Due $125.00 Your Monthly Installment Payment is: $0.00 Total Instaliment Payments Due $0.00 Total Non-Budget Charges $0.00 Total Amount Due: $125.00 For•your Convenience Aero Energy offers auto pay for your monthly budget payment call today to sign up,toll free i-800-998-4311. Just a reminder tha�you can now access your account online and make payments using your Visa,MasterCard,Discover or checking account.at myaero.aeroene please keep this statement for your records. r9Y•�m• Auta pay customers Mid-ANantic Coop Solutions INC. 230 Uncoln Way East New Oxford,PA 17350 �-soasss-as�� www.AeroEnergy,com 1 _.....�_ __ _......_._ _.___.. _____. • a: � � � � � � �o -� � � N � � _ ' • �`� C O N N O O � 1° � f•, n� � O w. O O w w � � -:� �0 0 � w w � 3 > > o, ; o c�o ? � _ � ,::;: � � `C � O► G1 � O� o ' �� ; ? 01 U1 �l1.�J1 � � �D � � � � N N �p '"r� � � OD N W � � D�P'D �m � � Odpr � � ` A� ^'i• "�'► fZTt�p ' 7� N �� O�i � U) 7�p�i�r iR C G�� Vf �. 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' � >> � �QQ 'p 0�1 �!1 � �r '• .3 lp� � � �vy ` ii a,� �c r' �: ao � � �� : a t�i � � tA 70{A N i/�C +n p N � � � �r �? 7r fD �p 1CN07 �l6 fD C i! � � ��1' m O �; ~' n• p�—j O N O��N n' > > �,D,.�p 1�T1 ` �I �o�, � y � n �N tp n �'Z � fD �1 N O� i' Q o 7 ��y � �p'N � O C� �p li N p � (D N �Q N Q i � � � t ,�� ' N `�n o � a. �: �°�c 3 69 � �► �� : of°rc°� � N n �► rn ° � m !: �� O Cn n o D � N �n 0 0 = o � Q Nn Q o 0 o � N �� D � n D . � Z �3a 7� p N p I� '' �o �r ud►m rn 0 c 2 +n �' � �Ca y n,� r � �1 rn ( � 8 co o a ��°' � ° ; � � � � � �'� �a� � � �: � � a m�3 �°-" ° O !'. w ►.-�.� X� —� -� —I -� °D .., �n A ` w�r �<° � ° � � o r �' O �p� o�p�, �j � � � tp i-�r � I; 3 cod � o � d � � � �� D � � � ��g 3 � � � o � � � am� = m � � � � or p � �D j � �R rt � � 0 � � o 0 o t7 �-w C N? � „�,�, � � 3 0 �� 3�" � �p �O o �' � �, �o° y N ,�` w �� to� �D aA ;� a ,�� 3 o� '� �++► G 3a � � � � � �o c 3 N � c�n '� 0 o� � !i vm �� ; � � � �D � N (� � N n na � vS o p � O O O �R ' �-�+ � m � �-' �c O v �• � � � � o° o° o° '.��' � a�o o � � V N V � � i STATEMENT 11/30/12 sao-i�o-s 2s.ss 1435 OLD CARLISLE ROAD • ASPERS.PA 17304 26.96 _ . ��,/ To pay your bill on-line, visit - www.littlesgas.com - CONTACT US AT: - ��'��E� (717)677-8778 www.littlesgas.com 'A-01-OCJ-AM-03941-16 I��il,i,��i,i��l�l�llilii��lii�,ii�„ii�,i,�i�i�i��,,,il�l�ll.i �I�I�I�I��I�I�I��I'��IIII��I��I��I��i��ll��lll��ll'��I��' WALTER SLUSSER LITTLE'S GAS SERVICE 1479 GOODYEAR RD ' '� 1435 OLD CARLISLE RD GARDNERS PA 17324-8906 � ASPERS PA 17304-9734 Please check box if above address is incorrect and indicate change(s)on reverse. � Please detach and retum top portion with your payment � _ _ . _ _ __ ____ ____ _ __ . . � ---- _.. .._ �� ---I___ _..----._.... .. ..__-- - _ _ ., 10/27/12 BALANCE AS OF LAST STATEMENT 0.00 11/23/12 04429 FUEL SURCHARGE NT 1.0 6.00 0.00 6.00 6.00 11/23/12 04429 ADMIN FEE 1.0 5.99 0.00 5.99 11.99 11/23/12 04429 RES PROPANE LOW 3.0 14.97 0.00 14.97 26.96 THANK YOU FOR YOUR BUSINESS IMPORTANT MESSAGE: WE APPRECIATE YOUR BUSINESS. YOUR DELIVERY TICKET OR WORKORDER IS YOUR INVOICE. PLEASE PAY WITHIN 10 DAYS. WANT TO PAY YOUR BILL ON LINE? VISIT OUR WEBSITE-WWW.LITTLESGAS.COM. LITTLE'S GAS SERVICE CONTACT US AT: (717)677-8778 DELIVERED TO: WALTER SLUSSER 1435 OLD CARLISLE ROAD www.littlesgas.com 1479 GOODYEAR RD ASPERS.PA 17304 GARDNERS PA 17324 � •- . � . MONTHLY AMOUNT 680-13450-9 11/30/12 PRIOR BUDGET BAL. BUDGET DUE �` 26.96 NON BUDGET DUE Terms 10 Days from Date of Delivery.A Late Charge is assessed on balance.a over 30 days.This is oomputed by a perio�c rate 1.5%(whkh is en ANNUAL PERCENTAC3E RATE OF 1896)on that portion of the previous balar�ce over 30 days less paymeMs and credits appearing on this statement(�5.00 minimum).A Late Payment Fee of�35.00 may be applied if payment is not rec�ived by due date. This fonn also serv�as notiHcatlon that fuel service may be discorrtinued on past due amounts without further noHce. Note: Serv�e charge of�225.00 on all retumed d�edcs. Due in tull upon receipt. All payments r�cehred aRer statement date will be credited on your next statement. �.,�«, .. .._...... _........ .._ . _. ._.. _._ _.. ; IRWIN&McKNIGHT,P.C. ESTATE TRUST ACCOUNT :MET ED _ ELECJ3_�__ER,_WALTER:_D. __ 1/14/2013 ` � ___LUSS__ , __ _ _ _.. __ __ ______ _ _ _ . _ �..____ ! O�S � c�7SM � �• �p^� � �--'O�O� O �^�p CC � N €�� fV0 N p.-� 9 �COt'N7��'• `" O � �OI��Pf SH' ' � � �� :: � tn 4'f Nf71[� S '��.'.y�� ;�(::i CCe=CCCOOC�C�OCe-Qp _;' Q!� �� 0 � . �� p �.. �V . � h�°' U N'� '';�'. ��i M � ;�! i•:t;. r�:'A: � �.�•.�. . E: C� Yr°�` � Q ._�� .:;l2 4f "?i '��le?i.C '?i �...��t,l. h.�',�� 'r:�`E�i,7,� Eti;:! � lP�� y.; • .r.. � f'• M :�. ¢ `�;:i� '"ui� ��?�`• � .� �"I 0 !��' ��Jd � ��0 0 p p p ' �� 4." C e_i; ::;..}� �-r-(G C��Q� wr � y;;; rt_ � 5�Qr� � � i r �'s � � ;�.�� N °.� �, :�� `'�'� `c�',c��25�5�S 8 � � � �N w � � - �p �:�:. � �:i�: rF�y � 000000qqco -� v � .� O N �;:. � �:;''` `;:;;� � xxxxxxxxxx � � : ;::. � ::;: {�,,, y N ` : � `� r; ```�� $f � �... 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February 07, 2013 � Billing Period:Jan 04t�Feb 04�2013 for 32 days Account Number: 100 021 114 044 BIII For.. WALTER SLUSSER - 1479 GOOD R RD � GARDN PA 17324 Due Date: February 27,2013 .._ _ =. . __�_ . .__.�_..__... ,: __. .�.._ ��:z_._,:.�.�. ._.._._. _��:_ ._._.. - . . . __ �_.._.��. _._ �.-�.=:_.� : ..- - - ... . . ._� .. .. _. . _ .: . _. ._ :. � _ _ �.�.�=�: To report an emergency or an outage,call 24 hours a day 1-888�544-4877. For Customer Sen�ice,ca111-800�45-7741. for Payment Options,call � 1-800-962-4848. Pay your bill online at www.fi�stenergycorp.com � Biil issued by:Met-Ed,PO Box 16001,R�ng PA 19612-6001 I .__�..:. . � _ _ - ___ -_ - _ - .�=��s_. . _. ..: ��:_�_ . _ .. _...� : :. -_�: �_. �-�._. . . . .. .. .__ . ��.w .. ..� :._ -- -�� - To avoid a 1.5096 Late Payment Charge being added to your bill, Previous Balance 104.22 please pay the AmouM Due by the Due Date. Payments/Adjustments -104.72 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Feb 07�2013 p,pp ; from Met-Ed is listed below. For you to save,a supplier's price must �t-Ed -Consumption 27.74 , be lower. LIBERTY POWER HOLDINGS LLC 52.51 Standard Residential•0002133112-8.88 cents per KVYH Total Current Change.s gp.� Your neact meter r�ng is scheduled io occur on or about AmouM Dus Feb 27 20'13 � �p.� Mar 05,2013. Your bill includes $1.69 in PA ta�ces, of which $1.04 is PA gross Feb 04,2013 KWH Reading(Estimate) Y.41,750 r��. Jan 04,2013 KWH Rea�ng(Actual) 41,196 . Generation prices and charges are set by the electric generation KWH used 554 : s�plier you have chosen.The P�lic Utilities Commission regulates . - - � dst�ution and services. The Federal Ener R ulat v'' ..-i�� P� 9Y e9 aY When contacting an Electric Generatron Supplier,please provide the follawing. Commission regulates transmission prices and services. Customer Number:0801325886 0002133112 Avoid the seasonal highs and lows in your electric bills by signing up Rate:Standard Residen6al ME-RSD for the Equal Payment Plan(EPP). While in this plan,each month you Customer Charge g.�� are bill�one-iwelflh of your estimated annual usage.Your account is Distribution 554 KWH x 0.034188 18.94 r�riewed perioc�Cally and adjusted, if necessary, to ensure your Consumer Education Charge 554 KWN x 0.000210 0.12 payment amount�eflecis your actual usage. To particq�ate in EPP, �r Requirements Charge 554 KWH x 0.000160 0.09 call our tdl-free Customer Service Number, or go online to Default Service S�port Charge 554 KWH x-0.003290 -1.82 www.firstenergycorp.com. Non-Utility Generation Charge 554 KWH x 0.002580 1.43 Smart Meter Charge p.� State Tax Surcharge -0.09 CuRent Consumptlon Bill Charges 27.74 - _ ' _ 1901 West Cypr,ess Creelc Rd Suite 600,Fat Lauderdale FI 33309 t Customer Service:1-866-769-3799 ' : Account Number: 4��95506575 Rafe: BILL-READY , � LIBERTY POWER HOLDINGS LLC Basic Charges � Billing Period:Jan 04�Z013�Feb 04,2019 < Energy Charge-554kwh�0.094783 Per Kwh 52.51 � Total LIBERTY POYYER HOLDINGS LLC Cu�ent Cha S 52.51 : _ � 01/16/13 Pa ment -104.71 ,� .. __..._._ _ �, : _ ;. ...��..=. ..... ,. � Provbus Payment�l Current Amount Balance Adjustme�s Cha Due Met-Ed 42.42 -42.42 2�4 27.74 � LIBERTY POWER . �? HOLDINGS LLC 61.80 -61.80 52.51 52.51 V Total 104.22 -104.22 80.25 80.25 - Z; . Y; " Additlonal m �', essages�ff any,can be found on back. ,� -�:-�::_:�.-- � _._._: ....�_.. __ -- - - __-�=.�-.�W--=---�� Z �._:� -- - � oc: �� _: � 1400 j �� 1000 800 600 400 200 � 0 S O J � A-Actual E-Estimate GCustomer N-No Usage Compa�isons Last Year This Year Average Da11y Use(KWI� 18 17 Avenge Daily Temperature 34 32 DAys in Billing Period 31 32 Last 12 MoMhs Use�KWFn 7,574. Average MoMhly Use�KWI� 631 ___ _____ _.. . r:��:�;r. �! � � c`�i c�i g `cg.c°�$ � �`'`�� =`a��',`�,r`'�i.°8,8i,`�i,o� o ,� � .:r` �� ° �t�m �� ^� � 4 �pm � Nd� ' � •N� COC'700�000 � l•!a� �p ; p� `•4 3• i��E` -�p ;.. �sh ��: Q � �, �9�,'• i?I• <j is�, '�`� � _T E �r�; :I� � M t y�T O .�� h • ii;;,?Ly �'i; c it jy��' in.� C iiif:'` 3{I�; ?g �� il. � '� •� �F!eP .. jlf�i� V � ^ `i:F�j �;� !_ `� ��' �� :'� �d� �w t� , ��ii r .e�I.�� '� E.E.� � �0� ' � •,�°�;�; ..:: ._ 5��r r 'w�.� M : �i :` u�. � .-`-�-2Ci c'� � N �.:,� e� � E '`f;� ' � � � o ;�� o ��: a �� 8 � � �`. `° _�` ;'�` o 000qoo �v O ��`'�.. 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