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12-23-13 (2)
1505610140 . REV-1500 EX (01-10) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 3 0 ? 8 8 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYW 0 ? 0 5 2 0 1 3 1 1 1 9 1 9 3 1 Decedent's Last Name Suffix Decedent's First Name MI B E A M A L V I N R (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ❑X 1.Original Return 2.Supplemental Return 3.Remainder Return(date of death prior to 12-13-82) 4.Limited Estate 4a.Future Interest Compromise(date of 5.Federal Estate Tax Return Required death after 12-12-82) Q 6.Decedent Died Testate F] 7.Decedent Maintained a Living Trust 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9.Litigation Proceeds Received 10.Spousal Poverty Credit(date of death ❑ 11.Election to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number '_5 M A R C U S A M c K N I G H T I I I 7� ? 2 9 a3- 5 3 :3RE$MTER OF _ LS U3�6fiLY rTJ 70 t— fV rl First line of address r rn W Cy :�a C.3 I R W I N & M c K N I G H T P - C - `�= --n -11 Second line of address �� - --� C5 d CJ r 6 0 W E S T P 0 M F R E T S T R E E T � Un C) City or Post Office State ZIP Code DATED C A R L I S L E P A 1 ? 0 1 3 Correspondent's e-mail address: Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. 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(3 alnpa4oS)4adad leuosiad snoeuellaoslpy pue S;lsodao jueS '4seo 'g • .b " " " " " " " '. . . ' .. . .. . . (a aInP84oS)elgenlaoaa saloN pue s96e6yoyy 'b • .E . .. .. (O alnpa4oS)dl4srolaudad-aloS jo di4siau>Jed'uollejodioo PIaH Rlasolo '£ ,Z .. .. . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . (a alnpa4oS)spuog pue s�loolS 'Z 6 2 ' fi 6 E h h 2 a o ' ooOh22 ,L . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (V elnPe4oS)elels3 leaU 'L NomvinlldVO3M W V 3 8 ' N N I A I V :aWBN S,luapWaa jagwnN RlunosS lelooS s,luapeoao X3 009L-A338 Bh20T990ST r Continuation of REV-1500 Inheritance Tax Return Resident Decedent ALVIN R. BEAM 21 13 0788 Decedent's Name Page 1 File Number Correspondents Name Daytime Telephone Number M A R C U S A M c K N I G T I 1 1 7 1 7 2 4 9 2 3 5 3 First line of address I R WI N & M c K N I G H T P . C Second line of address 6 0 WE 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 declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPPNSIBL�FOR FIY�G RETURN � DATE ADDRESS 11 370 CHRISTINA RIVER DRIVE CLAYTON DE 19938 REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 13 0788 DECEDENT'S NAME ALVIN R. BEAM STREET ADDRESS 2990 CARLISLE PIKE CITY STATE ZIP NEW OXFORD PA 17350 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 14,663.77 2. Credits/Payments 15.000.00 A.Prior Payments B.Discount 733.19 Total Credits(A+B) (2) 15,733.19 3. Interest 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. (3) Fill in oval on Page 2,Line 20 to request a refund. (4) 1,069.42 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; ...................................................................... ❑ ❑X b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ Q c. retain a reversionary interest;or ................................................................................................ ❑ d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ ❑X 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ ❑X 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ IXI 4. Did decedent own an individual 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 of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in 72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(12-12) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: ALVIN R. BEAM 21 13 0788 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-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 Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 121 FROST ROAD, GARDNERS, PA 17324 214,000.00 TOTAL(Also enter on Line 1,Recapitulation.) $ 214 000.00 If more space is needed,use additional sheets of paper of the same size. REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER ALVIN R. BEAM 21 13 0788 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 77 SHARES OF PRUDENTIAL FINANCIAL STOCK 5,791.94 77 SHARES @$75.22 =$5,791.94 2. MORGAN STANLEY SMITH BARNEY, LLC 138,602.35 ACCOUNT#410-059472 TOTAL(Also enter on Line 2,Recapitulation) $ 144 394.29 If more space is needed,insert additional sheets of the same size REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RESIDENT DECED NTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: ALVIN R. BEAM 21 13 0788 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, PNC BANK-CHECKING ACCOUNT#5003810896 5,484.70 TOTAL(Also enter on Line 5,Recapitulation) $ 5,484.70 If more space is needed,use additional sheets 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 ALVIN R. BEAM 21 13 0788 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. MT. ZION EVANGELICAL LUTHERAN CHURCH 150.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: IRWIN & McKNIGHT, P.C. 10,500.00 3, Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: REGISTER OF WILLS 393.50 5 Accountant Fees: 6. Tax Return Preparer Fees: PATRICIA A. ROSENDALE, CPA 500.00 INCOME TAX AND FINAL FIDUCIARY TAX RETURNS 7. LES HELLER-LAWN CARE 658.00 8. CLOSING COSTS ON SALE OF REAL ESTATE 22,914.47 9. PECK'S SEPTIC SERVICE -SEPTIC PUMP 185.00 10. NOTARY FEES 35.00 11. HILTON'S LOCK&SECURITY-SERVICE AND LABOR 99.38 TOTAL(Also enter on Line 9,Recapitulation) $ 35 435.35 If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES&LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER ALVIN R. BEAM 21 13 0788 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. CHASE -CREDIT CARD 51.43 2. VERIZON WIRELESS-TELEPHONE 11.93 3. HERSHEYCARE-MEDICAL 105.61 4. ERIE INSURANCE- HOMEOWNERS INSURANCE 772.00 5. MET-ED-ELECTRIC 111.40 6. CROSS KEYS VILLAGE- NURSING 1,529.81 TOTAL(Also enter on Line 10,Recapitulation) $ 2,582.18 If more 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: ALVIN R. BEAM 21 13 0788 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include oufight spousal distributions and transfers under Sec.9116(a)(1.2).] 1. PATRICIA A. BEAM Lineal 108,620.49 1180 MYERSTOWN ROAD 1/3RD REMAINDER GARDNERS, PA 17324 2. WENDY M. AND RANDY GRAYBILL Lineal 108,620.49 175-TWO CHURCHES ROAD 1/3RD REMAINDER EAST BERLIN, PA 17316 3. WANDA J. AND JAY BEERS Lineal 108,620.48 370 CHRISTIANA RIVER DRIVE 1/3RD REMAINDER CLAYTON, DE 19938 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. H. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. LAST WILL AND TESTAMENT I,ALVIN R.BEAM,of South Middleton Township, Cumberland County,Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. ONE: I direct my Executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by the Executor or Executrix from my estate, and that none of the aforesaid taxes shall be prorated among those persons or entities named herein or otherwise beneficiaries hereunder. TWO: I give, devise, and bequeath all of my estate of every nature and wherever situate, to my wife, E. JANE BEAM, provided she has survived me by thirty (30) days or more. THREE: If my wife, E. JANE BEAM, has predeceased me or failed to survive me by thirty (30) days or more, then all the rest, residue and remainder of my estate of every nature and wherever situate, I give, devise and bequeath in equal shares to PATRICIA A. BEAM, WENDY M. (BEAM) GRAYBILL and her husband,RANDY GRAYBILL,and WANDA J. (BEAM)BEERS and her husband,JAY BEERS, per stirpes. If any of my aforementioned individuals should predecease me,.then their share shall be distributed equally to the issue of said predeceased individual who survives me. If one of the aforementioned individuals should predecease me without living issue, then said share shall be divided equally by those individuals who survive me and the issue of any predeceased individual who survives me, but in no event shall all the issue of a predeceased child equally divide any larger share than my predeceased child would have received if alive at my death. FOUR: I nominate and appoint my wife, E. JANE BEAM, to serve as Executrix of this my Last Will. If she has predeceased me, failed to qualify,or ceased to serve as Executrix,I appoint WENDY GRAYBILL and WANDA BEERS to be the Substitute-Executors of this my Last Will and Testament. FIVE: My Executrix may, at her discretion, compromise claims,borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments. SIX: No Executrix or Substitute-Executors acting hereunder shall be required to post bond or enter security in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 6th day of November 2012. (SEAL) ALVIN R. BEAM Signed, sealed, published and declared by ALVIN R. BEAM, the above named Testator, as and for his Last Will and Testament, in the presence of us, ho, at his request and in his presence and in the presence of each other have�subscri our am s as witnesses hereto. i 2 ACKNOWLEDGMENT AND AFFIDAVIT WE, ALVIN R. BEAM, KAREN L. NOEL, and TRACI D. SMITH, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ALVIN R.,BEAM L.NOEL TRACI D. SMITH COMMONWEALTH OF PENNSYLVANIA . . SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by ALVIN R. BEAM, the testator herein, and subscribed and sworn to before me by KAREN S. EL, and RACI D. SMITH, witnesses, this 18th day of October 2012. Notary Public co ENNSYLVANIA NotarlalSeal Public Marcus P.McKnight 111,Notary caniv.e B ro,cum sand,0°1W My camnisslon Expires gown m.Pennsvivanla Association of Hou" s OitilO MB Approval No.2502-0265 A. Settlement Statement (HUD-1) 1.❑FHA 2.❑RHS 3.©Conv.Unins. 6.File Number: 7.Loan Number. 8.Mortgage In Case Number: 13323 WH1311000002299 4.❑VA 5.❑Conv.Ins. C.Note:This form is fumished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agents are shown Items marked "(p.o.c)"were paid outside the dosing;they are shown here for informational purposes and are not included in the totals D.Name&Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender: Dennis T.Kassick,Brenda B.Kassick Estate of Alvin R.Beam Mortgage America,Inc. 47 Holly Estate Drive,Mount Holly Springs,PA 17065 121 Frost Road,Gardners,PA 17065 1425 Grape Street,Whitehall,PA 18052 G.Property Location: H.Settlement Agent: I.Settlement Date:11/27/2013 121 Frost Road Keystone Land Transfer,Ltd Disbursement Date:1 V27/2013 Gardners,PA 17324 3421 Market Street,Camp Hill,PA 17011 South Middleton Township 717-731-0200 Place of Settlement: TitleExpress 3421 Market Street,Camp Hill,PA 17011 Printed 1/127/2013 at 2:01 pm by KS J.Summary of Borrower's Transaction K.Surnmary-of Seller's Transaction 100. Gross Amount Due from Borrower. 400: Gtoss.Amount Due to Seller 101. Contract sales price 214,000.00 401. Contract sales price 214,000.00 102. Personal property 402. Personal property 103. Settlement charges to borrower(line 1400) 6,271.34 403. 104. 404. 105. 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106. City/town taxes to 406. City/town taxes to 107. County taxes 11127/2013 to 12/31/2013 56.80 407. County taxes 11/27/2013 to 1213112013 56.80 108. School Tax 1127/2013 to 06130/2014 1,247.83 408. School Tax 11/27/2013 to 06130/2014 1,247.83 log. 409. 110. 410. 111. 411. 112. 412. 120• Gross Amount Due from Borrower 221,575.97 420. Gross Amount Due to Seller 215,304.63 200. Amounts Paid by or in Behalf of Borrower 600. .Redu"ctions In Arnouht Due to Seiler 201. Deposit or earnest money 1,000.00 501. Excess deposit(see instructions) 202. Principal amount of new loan(s) 171,200.00 502. Settlement charges to seller(line 1400) 17,914.47 203. Existing loa s taken subject to 503. Existing loa s taken subject to 204. 504. Payoff of first mortgage loan 205. 505. Pa bff of second mortgage loan 206. Seller Assist 5,000.00 506.•Seller Assist 5,000.00 207. 507. 208. 508. 209. 509. Adjustments for Items unpaid by seller Adjustments for items unpaid by seller 210. City/town taxes to 510. City/town.taxes to 211. County taxes to 511. County taxes to 212. School Tax to 512. School Tax to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220• Total Paid by/for Borrower 177,200.00 520. Total Reduction Amount Due Seller 22,914.47 300. Cash at Settlement from/to Borrower 600. Cash at Settlement to/from Seller 301. Gross amount due from borrower(line 120) 221,575.97 801, Gross amount due to seller(line 420) 215,304.63 302. Less amounts paid by/for borrower(line 220) 177,200.00 602. Less reductions in amount due seller(line 520) 22,914.47 303. Cash Q From ❑ To Borrower 44,375.97 603. Cash FA] To ❑ From Seller 192,390.16 Illhfotm,tmteaxdlipbryapmm�tly vale OMBtxMmltwinMr.Ne mndaen0 bsaaured;I�"Ida tfisGOSUteb mmdal'�'� e e ,apenry Y youamn a e aedie 1Dto259. 07.711is bdeslpned to pevka 0e pldle9lo a RESPA coveted tramadlnnwM WO-11onnduft tM Previous editions are obsolete Page 1 of 4 HUD-1 SettleMent Charges 700. Total Real Estate Broker Fees $12,540.00 Paid From Paid From Division of commission line 700 as follows: Borrower's Seller's 701• $6,270.00 to Re/Max Realty Associates,Inc. Funds at Funds at 702.. $6,270.00 to Hooke,Hooke&Eckman Settlement Settlement 703. Commission paid at settlement 12,540.00 800. Items Payable in Connection with loan 801. Our origination charge (Includes Origination Point 0.000%or$0.00) $619.00 (from GFE 91) 802. Your credit or charge(points)for the specific interest rate chosen $ (from GFE#2) 803. Your adjusted origination charges (from GFE A) 619.00 804• Appraisal fee to Central Penn Appraisals,In- $400.00 P.O.C.B (from GFE#3) 805. Credit report to ACRAneBFinance Dimensic $50.00 P.O.C.B (from GFE#3) 3.50 806. Tax service to Mortgage America,Inc. (from GFE#3) 93.00 807. Flood certification to CoreLo is (from GFE#3) 18.00 808. to 900. Items Required by Lender to be Paid In Advance 901. Daily interest charges from from•112712013 to 12101/2013 @$21.4000/day (from GFE#10) 85.60 902. Mortgage insurance premium months to from GFE#3 903. Homeowner's insurance for 1 years to Fanners Insurance $588.51 P.O.C.B'(from GFE#11) 904. months to from GFE#11 1000.Reserves De oslted with Lender 1001. Initial deposit for your escrow account (from GFE#9) 1,056.24 1002.Homeowner's insurance 3 months @$ 49.04/month $147.12 1003.Mortgage insurance months 0$ /month 1004.Property taxes months @$ /month 1005.County taxes 10 months @$ 49.36/month $493.60 1006.School Tax 6 months @$ 175.721month $1,054.32 1007.Aggregate Adjustment $-638.80 1100.Titre Charges 1101. Title services and lender's title insurance from GFE#4 1,592.00 1102. Settlement or closing fee to $ 1103.Owner's title insurance-First American Title Insurance Company $ from GFE 95 210.00 1104. Lender's title insurance-First American Title Insurance Company $1,485.00 1105. Lender's title policy limit$171,200.00 Lender's Policy 1106.Owner's title policy limit$214,000.00 Owner's Policy 1107:Agent's portion of the total title insurance premium $1,377.00 to Keystone Land Transfer,Ltd 1108.Underwriter's portion of the total title insurance premium $318.00 to First American Title Insurance Company 1109. 1110. Notary Fee to Kristen D.Shiva 10.00 1111.Tax Certification Fee to Keystone Land Transfer,Lt( 5.00 1200.Govemment Recording and Transfer Charges 1201.Government recording charges $ (from GFE 97) 154.00 1202•Deed$67.00 Mortgage$87.00 Release$ 1203.Transfer taxes $ (from GFE 48) 2,140.00 1204.City/County tax/stamps Deed$2,140.00 Mortgage$ 1205.State Tax/stamps Deed$2,140.00 Mortgage$ 2,140.00 1206. Deed$ Mortgage$ 1300.Additional Settlement Charges 1301.Required services that you can shop for (from GFE#6) 1302. to 1303. to 1304. to 1305. to 1306.2013-14 School Taxes to Robert Cairns 2,319.47 1307.Electrical Repair to Mountain View Electric LLC 900.0 1308.Attorney Fee to Donna L.Godfrey,Esquire 1 300.00 r r • . r r 6,271.34 17,914.47 'Paid.outside of closing by(B)orrower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1.-Credit by seller shown on page 1. Previous editions are obsolete Page 2 of 4 HUD-1 eom adson ofGood.Fatih Estimate G E):and HUD 1::Cha `e'•s,-',;::` ;`. : .,. Good Faith Estimate HUD-1 Cha es Tftat'Canifot Increase .'HUD-1 Llne Number Our.odgination charge ,`•g:809 619.00 619.00 Yourcredit:orchargg(points),forthespec cinterestrateehosenr #;802 0.00 0.00 Your adjusted ori gination charges #:803. 619.00 619.00 Transfer taxes . 1203. 2,150.00 2,140.00 Charges That in Total Cannot Increase Mole 7hao 1096': :Good Faith Estimate HUD-1 Government recording charges. # 1201 225.00 154.00 Appraisal fee 804 460.00 400.00 Credit report: -0:805 58.00 53.50 Taz service_ 8p6 93.00 93.00 Flood certification #'807 18.00 18.00 854.001 718.50 Increase between GFE and Mimi rh-- $ -135.50 or -15.8665% thargesThat.CariChimge Good.Fafth.Fstimate HUD�l Initial deposit for your escrow account 7 11001,.1001.' "' 2,834.00 1,056.24 Dairy interest charges from #9.01: $21.A0091dpy 43.00 85.60 Homeowner's insurarioe 804.00 588.51 Title services and lenders title insurance >; 2,275.00 1,592.00 Owner's title insurance-First American:Title Insurance,Company ' #•1 103 20.00 210.00 Loan Terns Your initial loan amount is $171,200.00 Your loan term is < 30.years Your initial interest rate is 4.5000% Your initial monthly amount owed for principal,'interest,and any mortgage $867.45 includes insurance is. ❑X Principal ❑X Interest ❑Mortgage Insurance Can your interest rate rise? ❑X No. ❑Yes,it can rise to a maximum of %.The first change will be on I I and can change again every years after I I Every change date,your interest rate can increase or decrease by W°. Over the life of the loan,your interest rate is guaranteed to never be lower than %or higher than °h. Even if you make payments on fime,.can.your loan balance rise? ❑X No. ❑Yes,it can rise to a maximum of$ Even if you make payments on Or cap your monthly amount owed for ❑X No. ❑Yes,the first increase can be on / I and the monthly principal,interest,and mortgage insurance rise? amount owed can rise to$ The maximum it can ever rise to is$ Does your loan have a prepayment penalty? ❑X No. ❑Yes,your maximum prepayment penalty is$ Does your loan have a balloon payment? ❑X No. ❑Yes,you have a balloon payment of$ due in years on I I Total monthly amount owed including escrow account payments ❑You do not have a monthly escrow payment for items,such as property taxes and homeowner's insurance. You must pay these items directly yourself. M You have an additional monthly escrow payment of$274.12 that results in a total initial monthly amount owed of$1,141.57. This includes principal,interest,any mortgage insurance and any items checked below: ❑X Property taxes Homeowner's insurance Flood insurance ❑X School Taxes Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender. Previous editions are obsolete Page 3 of 4 HUD-1 �-S�gnature age HUD CERTIFICATION OF BUYER AND SELLER have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and iisbursements made on my account or by me In this transaction I further certify that I have received a copy of the HUD-1 Settlement Statement J ]ennis T.Kassick 3renda B.Kassick ESTATE OF ALVI N R BE/1MG�y�„ � Settlement Agent The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction.I have caused or will cause the funds to be disbursed in accordance with this statement. 114--211 SETTLEME ENT DATE WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1 Itemization of Section 11 Credits Name of Borrower: Name of Seller. File Number: Prepared 11/27/2013 at 2:01 pm Note:This page displays an itemization of the credits shown in section 200 of the HUD-1 Settlement Statement.This page accompanies but is not a part of the HUD-1 Settlement Statement.If a discrepancy exists,the information on the HUD-1 Settlement Statement applies. Credits Credit Itemization of Your Loan Origination Charges Name of Borrower: Name of Seller: File Number: Dennis T.Kassick Estate of Alvin R.Beam 13323 Brenda B.Kassick Prepared 11/2712013 at 2:01 pm Note:This page displays an itemization of the adjusted origination charges shown in section 800 of the HUD-1 Settlement Statemen This page accompanies but is not a part of the HUD-1 Settlement Statement.If a discrepancy exists,the information on the HUD-1 Settlement Statement applies. Your Loan Origination Charges Borrower Seller 801. Our origination charge (Includes Origination Point 0.000%or$0.00) Transcript Fee to Mortgage America,Inc. $ 24.00 Underwriting Fee to Mortgage America,Inc. $ 300.00 Processing Fee to Mortgage America,Inc. $ 295.00 802. Your credit or charge(points)for the specific interest rate chosen to $ 0.00 803. Your adjusted origination charges 619.00 0.00 Itemization of Line 1 Name of Borrower: Name of Seller: File Number: Dennis T.Kassick Estate of Alvin R.Beam 13323 Brenda B.Kassick Prepared 11/27/2013 at 2:01 pm Note:This page displays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement.This page accompanies but is not a part of the HUD-1 Settlement Statement.If a discrepancy exists,the information on the HUD4 Settlement Statement applies. 1100.Title Charges Total Charge Borrower Seller 1101.Title services and lender's title insurance to Wire In Fee to Keystone Land Transfer,Ltd $ 12.00 12.00 Overnight Delivery Fee-Package to Keystone Land Transfer,Ltd $ 25.00 25.00 EmaillDoc Copy Fee to Keystone Land Transfer,Ltd $ 35.00 35.00 Notary Fee to Kristen D.Shive $ 35.00 35.00 1102.Settlement or closing fee to $ 0.00 1104.Lender's title insurance-First American Titto First American Title Insurance Cc$ 1,485.00 1,485.00 .Totals: $ 1,592.00 0.00 1,592.001 0.00 Seller/Lender credits shown on page 1 POC=Paid Outside Closing CR=Lender Credit Previous editions are obsolete Page 1 of 1 HUD-1 dental &mputershare 1— Computershare PO Box 43033 Providence,RI 02940-3033 Within USA,US territories&Canada 800 305 9404 Outside USA,US territories&Canada 732 512 3782 _._""~At1TO"3-DIGIT 173 00129410347692 347692 www.computershare.comfinvestor 'II"I'I'IIII�IIrlilllllrlr�ull�rlu�liilulrrllill�l"1111144 ALVIN R BEAM 121 FROST RD .- GARDNERS PA 17324-8812 Holder Account Number C0019082733 I N D Record Date Aug 27 2013 Check Number 0021380444- SSNITIN Certified Yes _._..._.. 001CS0107.Dom PG2.PRU.111046_151/347692/695383 n. Prudential Financial, Inc:- Dividend Payment. Did you know you can sign up for Direct Deposit of Dividends? It's Quick! It's Easy!It's Secure! You may enroll using the form provided or see the enclosed letter for more enrollment options. Dividend Confirmation Payment Date I Class Description I Participating I Dividend I Gross I Deduction I Deduction I Net Shares/Units Rate Dividend($) Amount($) Type Dividend($) 21 Mar 2013 COMMON 77 $0.40000 30.80 0.00 NIA 30.80 20 Jun 2013 COMMON 77 $0.40000 30.80 0.00 NIA 30.80 19 Sep 2013 COMMON 77 $0.40000 30.80 0.00 N/A 30.80 Year-To-Date Paid 92.40 0.00 92.40 ® 1 UDC P R U + 301CD70003 OOHXDA-PP I/We hereby authorize Computershare as disbursing agent for the payer,to initiate credit entries to my(our)account;or if necessary debit entries or adjustments for any credit entries in error. This authority is to remain in effect until my(our)written authorization to terminate electronic funds transfer is received in time to afford Computershare reasonable opportunity to act on it or' until this service is terminated by the payer or Computershare.All registered holders as well as all individuals listed on the financial account must sign below. Signature 1-Please keep signature within the box. Signature 2-Please keep signature within the box. Date(mm/dd/yyyy) I E �:i,C.7l r,t• Daytime Telephone Number tivv e�- �;v J� .cry>3 lei_. j1' °. +)7� },.:,.tk �� r '• ;� f �'. Please return completed form to: Computershare PO Box 43038 Providence, RI 02940-5118 ® 8 U D D P R U 02CSPOO47 01KX2C PRU Historical Prices(Prudential Financial,Inc.Comm Stock-Yahoo... http://finance.yahoo.com/q/hp?s=PRU&a=06&b=5&c=2013&d=06&... Home Mail News Sports Finance Weather Games Groups Answers Screen Flickr I More ,t- Karen CD Mall HOME INVESTING NEWS PERSONAL FINANCE MY PORTFOLIOS EXCLUSIVES ® Tue,Oct 1,2013,3:46pm EDT-US Markets close in 14 mins Dow t0.15%Nasdaq t11.91% OP.Et�Gi4N:AC-C-9UNT Go, Prudential Financial,Inc.(PRU) -NYSE Add to Portfolio_ Like 98 77.81 40.17(0.22%) 3:46PM EDT-Nasdaq Real Time Price Historical Prices Get Historical Prices for: Set Date Range Ce,Daily Start Date: Jul r5 013 j Eg.Jan 1,2010 C,Weekly End Date: Jul F- ° _013 , t1 Monthly t Dividends Only et:Pnces.:, First I Previous I Next I Last Prices -- Date Open High Low Close Volume Adj Close` Jul 5,2013 74.71 75.68 74.53 75.60 2,221,100 75.22 Close price adjusted for dividends and splits. First I Previous I Next I Last t�IDownload to Spreadsheet Currency in USD. Ad Topics That Might Interest You... 1. Best CD Rates 5. Best Penny Stocks to Buy 2. Stocks to Buy Now 6. Dividend Income Funds 3. Best Stocks of 2013 7. 10 Best Mutual Funds 4. High Yield Stock Picks 8. List of Penny Stocks Feedback ads of 2 10/1/2013 3:46 PM Wealth Management 419 Village Drive Suite I Carlisle,PA 17015 tel 717 258 4363 Morgan Stanley fax 717 258 4492 toll free 800 348 1776 RECEIVED September 16,2013 SEP 1.7 2013 Law Offices of Irwin& McKnight, P.C. IIRWIN&WKNIGHT Marcus A. McKnight III LAW OFFICES 60 West Pomfret Street Carlisle, PA 17013-3222 RE: Estate of Alvin R. Beam Dear Mr. McKnight: Enclose is a copy of the date of death valuation for the Estate of Alvin R. Beam, per your request. Please feel free to contact Chuck McKain at 258-4363 with any questions. Sincerely, Debbra R.Yost Senior Registered Associate for The Bartoli,Seig, McKain&Metz Group. Morgan Stanley Morgan Stanley Smith Barney LLC.Member SIPC. Estate Valuation Date of Death: 01/05/2013 Estate of: Alvin Beam Valuation Date: 07/05/2013 Account: 410-059472 Processing Date: 07/12/2013 Report Type: Date of Death Number of Securities: 7 File ID: Alvin Beam 410-059472 Shares Security Mean and/or Div and Int Security or Par Description High/Ask Low/Bid Adjustments Accruals Value 1) 30375.51 Cash (CASH) 30,375.51 C6N'PORTON..BI(....�02586TLll9........................................................_................................_..........................._..........................___..................................._............................. ..........._... Interactive Data Corporation DTD: 04/08/2009 Mat: 04/08/2014 3.58 07/05/2013 1.02.15625 A/B 102:156250 20,431.25 Int: 04/08/2013 to 07/05/2013 168.77 Note: Put Option on DOD 3) 25000 BMW BK NORTH AMER UTAH (05568PC21) Interactive Data Corporation DTD: 12/29/2010 Mat: 12/29/2015 28 07/05/2013 103.06250 A/B 103.062500 25,765.63 Int: 06/29/2013 to 07/05/2013 8.22 Note: Put Option on DOD 4) 20000 FLUSHING SVGS SK N Y (344030CY5) Interactive Data Corporation DTD: 01/27/2010 Mat: 01127/2015 3% 07/05/2013 103.37500 A/B 103,375000 20,675.00 Int: 06115/2013 to 07/05/2013 33.33 Note: Put Option on DOD 5) 10000 GE CAP RETAIL BK DRAPER UTAH (36159CUKO) Interactive Data Corporation DTD: 10/01/2010 Mat: 10/01/2015 2% 07/05/2013 102,09375 A/B 102,093750 10,209.38 Int: 04/0112013 to 07/05/2013 52.05 Note: Put Option on DOD 6) 20000 GE CAP RETAIL BK DRAPER UTAH (36159CYM2) Interactive Data Corporation DTD: 01/21/2011 Mat: 01/21/2016 2.16 07105/2013 102.31250 A/B 102,312500 20,462.50 Int: 01/21/2013 to 07/05/2013 189.86 Note: Put Option on DOD 7) 10000 LEHMAN BROS FSB WILMINGTON DE (52521ERG7) Interactive Data Corporation DTD: 08/13/2008 Mat: 08/13/2013 5.058 07/05/2013 100.34375 A/B 100.343750 10,034.38 Int: 02/13/2013 to 07/05/2013 196.47 Note: Put Option on DOD Total Value: $137,953,65 Total Accrual: $648.70 Total: $138,602.35 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www,evpsys.com. (Revision 7,3.1) '...o. +• cv I j I I VJllln I IV U all N INO. I•�JU 1 Q. . •�Gi �.1'i�H675,T August 5, 2013 Marcus A McKnight III Esq. Yrwin&McKnight P.C. 60 W Pomfret St Carlisle,PA 17013-3222 RE: Alvin R Beam SSN: 163-24-9649 DOD: 07-05-2013 Dear Mr_McKnight: In response to your request for Date of Death(DOD)balances for the customer noted above,our records show the following: Cheeldag Account Account#5003810896 Established: 10-04-2001 ALV N R BEAM DOD balance: S 5,484.70 non interest bearing Please note that this office provides date of death balances for deposit accounts(IRAs,CDs,Checking and Savings). We do not process any financial transactions or provide statements. If you need assistance with any of these items,please call 1-888-PNC-BANK(1-888-762-2265)or stop by your local PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank,N.A. Member FDIC This message is intended for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exemprfrom disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering this message to the intended recipient, you are hereby noted that any dissemination, distribution or copying of this communications is strictly prohibited. If you-have received this communication in error,please notify me immediately by reply or by telephone at 800-762-1775 and immediately destroy this faxed document. PaLye 1 of 1 3cn m QO !C N 'o n m=. O a � �y O C 3 m� _ ? a to n a to � cp °' pr a w Q 3 % O m � a M CM C �' — N w w m CL v D_ C D D D z -n p o mo N N to 2 d � v a y V .Z{ W w D Z 0 m < z a n o C m 49 w w 0 0 N N N �+ N N N O O O N 9 N '� r a0 O ~ _Wt01tN —_ 0 C7 �p O < O• N CO) N Q C 7 (7 a c0 C � �' 3 a O (OA N N O g N Qo n r- a 0 CL �' Cl) r co m N N CC Cd � 3 � � 3 p N � O 2 2 �o D m y ; o CD 0 c m .1 z CA V �° D z 4 m N Z m cn o -i c m 5i D cr m o C cn w 0 0 CA CA _ c0 p 50 0 0 0 0 0 0 v n G .-,4' F o (� � a m dap CL C 3 3 CL O �n N N 0 not go (� r- 2 o a y v cn N m m a• 4°v r C w Q A w m CO CD w 'U D Z Q GND Q 0 D _a W Q Cl C .� -n Z cn o m Q c0 o z yo w 4 m 0 m z CO o c m ' Di 5i X a' C� m o C 3 CA C11 W O O O t� 40 90 90 w 0 o O O — � = a `c O �DO �g N 9 < � 0t�D'9. 0 �4 E S 0 ?CO CL 3 Q - N vim► f=—D cr co c V °�° 3 �' c c"n ' c N y co CL "a D c y ; D c o o� o zQ � M � z c CO d -v v D m N A z 0 m CA o a m N cr m 3 o C cn W 0 0 4 i in v, _ CO 50 CO 0 0 0 Peck's Septic service O 68 Pine School Road Gardners Pa. 17324 (717)-486-5548 BILLING FOR SALE OF PROPERTY REMAX Order Number #:6195 I PA RFMAX REALTOR Att: MAUREEN CLAY SITE ADDRESS 121 FROST ROAD GARDNERS PA 17324 f BILLING INFORMATION li Date Pumped: 8/9/2013 Billing Date: 8/12/2013 Service Charge Date: Pumping Charge: LP $165.00 Labor Charge: �Qy V Material Charge: $190.00 I Service Charge: $30.00 Total Due: 10% Added After 30 Days $385.00 Eval. Passing Status Yes or No: YES ((Pass or Fail)) You Are Resnoasible for Pavment of Bill WORK DONE ************** PERFORMED SEPTIC SYSTEM INSPECTION ******* *****"LOCATED AT, 121 FROST ROAD, GARDNERS"********************** DUG OPEN,PUMPED,INSPECTED AND CLOSED SEPTIC TANK,LOCATED AND PROBED ABSORPTION AREA,ALL WATERS GO INTO SEPTIC TANK.- PECK'S SEPTIC SERVICE, SERVING THE COMMUNITY SINCE 1965 THANK YOU FOR LETTING US SERVE YOU. slate". Manage your account online: Customer Service Additional contact from CHASE Cr www._chase.com/crediteards 1-800-945-2000 information on back I ACCOUNT SUMMARY PAYMENT INFORMATION Account Number: 5466 4740 00621113 New Balance $51.43 Previous Balance $77.74 Payment Due Date 08/08/13 Payment,Credits -$77.74 Minimum Payment Due $25.00 Purchases +$51.43 Late'Payment Warning: If we do not receive your minimum Cash Advances $0.00 payment by the date listed above,you may have to pay a late fee of up to.$35.00 and your APR's will be subject to increase to a Balance Transfers $0.00 maximum Penalty APR of 29.99%. i Fees Charged $0.00 Minimum Payment Warning: If you make only the minimum Interest Charged $0.00 payment each period,you will pay more in interest and it will take New Balance $51.43 you longer to pay off your balance. For example: 1 Opening/Closing Date 06/12113-07/11/13 If you make no You will pay off the And you will end up Total Credit Line $15,200 additional charges balance shown on paying an estimated using this card and this statement in total of... Available Credit $15,148 each month you about... Cash Access Line $3,040 pay"' Available for Cash $3.040 Only the minimum 3 months $52 payment If you would like information about credit counseling services,call 1-866-797-2885. d YOUR ACCOUNT MESSAGES Your next AutoPayment for$51.43 will be deducted from your account and credited on your due date(previous day if your due date falls on a Saturday or Holiday). If you make a payment prior to your due date,that amount will be deducted from the AutoPayment amount identified above. j ACCOUNT ACTIVITY Date of Transaction Merchant Name or Transaction Description $Amount ,:;�1''"1!!u,�!mI ,f! �Igfu1Rn s•:r°m^1!lyp,,�'9'aN1•Jp: ',, m„J.: �`•!fllyn�antilfl�r,xyn{,m .. :{! `-I:,.:+G�, _ :r�xd:!If�ll.:fl.,.K I,:l,!� 7,nn.N:.�1 {:.:, f��'`'�. ':1., �I 'L":rf xl ..1.,�` :1,!'��'fa..:1.I� , ?a:� � ,!r • '1I,n� 1 d II`:.1. 1 +J. I, �:1.!! -1•.'.` .,r'��. ,v`:u:,„"'r. . :, .n BI .. „:d 1. Ih�J,• �.d�Ie'^�d�:M:,.Ju l,L:�d; A3 ..In. ''1',1111 JIL�� Iu',,::�,;:°.�.I",Ip5MW1n .al,ra.,.,,.,:nIIJa1.,•nl.�nux'f�x;c.I1S,n'I�:,r,n�acJ!�r':a�Ii:�..,�"Ir�J�dS",nx�JU�,m,,,1, ���"':.,.r:Jl��. ,m.u,•�La l..1�kJ!.,:,hi".Cba..,:x nl l�l�rr!V.:ll i,l,�l:J,.la.�-1,.L h� nl,�. " 07/08 AUTOMATIC PAYMENT-THANK YOU -77.74 xut„ ., .,"m.: l�p.�d.: ,:55+r��1."; .ala,. .r.,1 . '!:�,P'�17:It, „u.:I:,:::..1.:nf,T"5:,:. .!: �I�r . .�'1..� '1=1�1�"��1, : ,1�: 1;'I 1;`I:::.:,! I,.,•-� d.�!I 'nI .,I' 1 tt„>r,u.V.:J d:..::... :J.,..i.4.. l:.Il� .t.: :a{;!.:,,.: ..6..: i ,Ir al.{ .6:•' ��.n�l, d:, I�. .:211 ': .1� ,�1, r 1 1 :11- '':�V, d.. ,•n ,:1. ,r.. :r 1. x'n l� N :4..,,n: .P '.1. II. 1 .J•. t�..,".1q u x,11 �II,111� � 1 �i i,1ry11s,�9 � N-_ nd:. �I� c;41lar.�, 1:1.1{4'n�ilul,•x,l IJ.,.t1R:°L:..Id,urJi,J::�441�r4W.,��11I.J t+d1:14'Il:n'.��ulLC a.:..:.dtn�Il<',f+'':JIn1dI�L.:1�,Jl:i ll,:`xlr'I ���;;la l:l.! ,I,uxl:4�.��Wl�i.,x.fl,�n,d41 :,��,4!IIi1p1I��"I,PDIiI!'”in!I:x!�,11` �la:!.1411:aM:,'`1� INbta�.1,: 06/11 GREAT CALL 858-720-7500 CA 18.49 07/02 GOLD'S GYM CARLISLE 07172180282 PA 14.99 07/03 AOL'SERVICE 0713 800-827-6364 NY 17.95 ................................................. ._......... .. .._ .. . �i'`1r rig%,:Ii11!,.`r�i jp!;d'Il':;,f;1 '11_ :f.e! I !,°'•. �a!�,na;!j1�'1'ail`r dl.P',d;'i;l{�` i�l i11116a, ,:i1��1��+��tJllrn�ll�n`�l�u!d;�1, : Total fees charged in 2013 $0.00 Total interest charged in 2013 $0.00 Year-to-date totals reflect all charges minus any refunds applied to your account. INTEREST CHARGES Your Annual Percentage Rate(APR)is the annual interest rate on your account. Annual Balance Balance Percentage Subject To Interest i Type Rate(APR) Interest Rate Charges ,�'� '!.n', !:en'1:11fP L !r'r .f J '!f In nr,'"r •r.C`, ,n. 41,,i ,1.3. e'li.l. ::,m: J•I`I`TA' NC!nry.n:1PP;. +n !� :.i°:. .! ^'fi. 1. .t`i!�'f'il' „! F, �, ::�,^��'`'�I:�t: r ,.a,:.:r., :.:t�^:f!:P•nJ ,al!°'a,; !h""�nl 1�'m�,',:1 ^,i�T:1� 4 i 1•;..:,�h11��:,e. I�.a: ��p�1 .4P.:,1 yT 1:°:'"�,: :11.. F �INI;4r;: �Iry 'I,.:,n�',y I'NPl"� .,!'.�la'1,a td..akftr l II�,J .,n�xtv.l l '��1g ��y,I'.i l .1 !!�f it.., n� "a:.,-1d Ir,1'.,`•::.!.1,�4 Itl d.. ''11�.r.:�:,I. :vJ:lA ifs`: .y'44.,.�, al Il. :fly.. :.4:.. '1!�'::. 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DESCRIPTION CD. EE AMOUNT SALES TAX ITEM TO N R L A# FOR 8 At T IT' F, 7.723212 45 �Qt A 9 042861 ' 01 . ' -:; - - , 42�. 00 '6' :.6 '�: .. .1. . . . 06, 42 , OT`RiM-AZOLE�RET. 06/05.. /13. 772321 14 SENNA:t 8..-6kG-. TA S:L 06/1_1 i 7703344 291 ESCIT ALO P R A M G 9 . 63 . 00 9 I 06/11/131 77136881 291 OMEPRAZOLE 20 MG 01 s 7 . 00 . 00 j 7 , 06/11 /13i 7723214( 58SENNA 8 . 6MG TABLE 01- * 2 . 99, i . 00 1 2 06/26/131 i Payment—Thank You i i 84 . 51 . 00 84 06/261131, 7724898! 451CLOTRIMAZOLE—BETA 01 42 . 00 . 00 42 r I . PAY 105 . 61�-*IF JPAID BY 00/00/0000 3 LEGEND NON—LEGEND FOR MONTH FOR MONTH • 84 . +105 . 61. 190 . 12 IF 84 . 51 PAY .105 : 61}" * .J F! PA I D. BY 00/00/00 00 0 E N D EN LE G r H MONTH FOR 14 dTTATM�� A11=1MITRUMM OEM= FIRM dim" 1.05-.-.6 ---': 1! 1!3!05 ,7og) 19 12 Insured Copy EdEF Insurance Exchange Mail Date: 07/25/2013 Member • Erie Insurance Group 100 Erie Ins.PI. • Erie,PA 16530 Premium Invoice Named Insured ALVIN R BEAM & E JANE BEAM Policyholder: ALVIN R BEAM & E JANE 121 FROST RD BEAM GARDNERS PA 17324-8812 Policy Number: Q561505003 Policy Type: Home Protector 40330280 Policy Period: 08/15/2013 - 08/15/2014 AA7644 Previous Minimum Due: $0.00 Payment: $0.00 Net Adjustments: $0.00 Past Due Amount: $0.00 Current Installment: $772.00 ERIE Agent Billing Fees Due: $0.00 Agent Number AA7644 DOUGLAS E GARRITY To pay m full $772.00 1786 NEWVILLE RD Mm�mum CARLISLE PA 17015-7401 CARLISLE, (717) 243-3467 ; _._. ..... .:, Thank you for choosing Erie Insurance for your insurance needs! Want to pay this bill online? Go to www.erieinsurance.com, Pay My Bill and make a convenient, secure online payment. " Ae on our Web site. Contact your Agent with questior rents and included on future it .1nm -vnn... ,...,,.payment PC0004 Page 3 of 3 Bill Based On: Estimated Meter Reading, Page I of 2 AFrs16�, Prorated Bill August 07, 2013 M64 Account Number: 100 021 032 824 Billin Period:J61 03 to Aug 02 2013 for 31 days Bill F ALVIN R BEAM I7(f31t,Ll�� ,:$'t6.:.. 1......_........_............._..._..._::.:__.:::::::::::::-............ 121 FROST RD ;::--::: =:::_:_::_ ; ;:- GARDNERS PA 17324 Due Date: August 27, 2013 . =:... To report an emergency or an outage,call 24 hours a day 1-888-544-4877. For Customer Service,call 1-800-545-7741. For Payment Options,call 1-800-962-4848. Pay your bill online at www.frrstenergycorp.com Bill issued by:Met-Ed,PO Box 16001,.Reading PA 19612-6001 611essa` ::_ ...........:.. .... ....:. Ac cunt Summa" .: Amouiik l3ue REMINDER NOTICE" Previous Balance 6.77 When this bill was prepared,your account had an unpaid balance. If Payments/Adjustments 0.0C you have already made this payment, thank you. If not, please Balance at Billing on Aug 07,2013 6.77 promptly pay the overdue amount. Call us if you have questions or for Met-Ed -Consumption 19.64 information on payment arrangements. Late Payment Charges O.1C i To avoid a 1.50% Late Payment Charge being added to your bill, Total Current Charges 19.74 please pay the Amount Due by the Due Date. Amount Due by Aug 27,2013 $26.51 Your current PRICE TO COMPARE for generation and transmission ::;_=_;;;__.= from Met-Ed is listed below. For you 4o save,a supplier's price must ,.: --_tfsa e!Infomta6ahfofMeter:Number:SiI5Q27738...; be lower. Aug 02 2013 KWH Reading(Estimate) 26,15C Standard Residential-0002132946.8.79 cents per KWH Jul 03,2013 KWH Reading(Actual) 26,06 i W sed K Hu 8 Customer reserves the right to shop for an electric supplier. ............................:_:......_......:................_........ .r. ..::..:Char es FA l!W6t lEd :: .:::.::::: :::.. Your next meter reading is scheduled to occur on or about Sep 03,2013. When contacting an Electric Generation Supplier,please provide the following. Customer Number:0801311803 0002132946 Your bill includes $1.19 in PA taxes, of which $0.74 is PA gross Rate:Standard Residential ME-RSD receipts tax. Price to Compare Default Service 85 KWH x 0.088170 7AS Generation prices and charges are set by the electric generation Customer Charge 8.11 supplier you have chosen. The Public Utilities Commission regulates Distribution 85 KWH x 0.033647 2.8E distribution prices and services. The Federal Energy Regulatory Solar Requirements Charge 85 KWH x 0.000220 0.02 Commission regulates transmission prices and services. Default Service Support Charge 85 KWH x 0.004010. 0.34 Rethink.Recycle.Reward.Chances are,the old refrigerator or freezer Non-Utility Generation Charge 85 KWH x-0.000890 0.08 in your basement or garage is running up your utility bill by an average Smart Meter Charge 0.9E of$150 a year.Recycle it,reduce your energy use and keep harmful State Tax Surcharge O.OE materials out of landfills. We'll pick it up and you'll pick up$50. To Current Consumption Bill Charges 19.64 learn more, visit www.energysavePA.com and click on Appliance . Late payment charge 0.10 Total Charges $19.74 Turn-In Program or call 877-270-3521. During extended heat waves,you might use more electricity to cool your home. If you're having trouble paying your electric bill,please call our toll-free customer service number immediately so one of our representatives can discuss payment plans that might be available to you. j i I i Additional messages,if any,can be found on-back. i Ika e:H1sta i 1200 1000 800 600 400 v 200 ` A S 0 N D J F M A M J J A A-Actual E-Estimate C-Customer N-No Usage Comparisons Last Year This Year Average Daily Use(KWH) 17 3 Average Daily Temperature 79 77 Days in Billing Period 32 31 Last 12 Months Use(KWH) 5,101 Average Monthly Use(KWH) 425 AFrb�Y \ OIII JGtJlG111UG1 VV, GV IJ Account Number 100 021 032 824 Billing Period:Aug 03 to Sep 04,2013 for 33 days - - Bill For: ALVIN R BEAM 117�>tYil# L1BCr H$ :r�$'Y _ x 1 121 FROST RD T..:... -- GARDNERS 17324 Due Date: September 26, 2013 I 7M _..M ,. To report an emergency or an outage,call 24 hours a day 1-8885444877. For Customer Service,call 1-800-545-7741. For Payment Options,call 1-800-962-4848. Pay your bill online at www.firsienergycorp.com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 s 5::.,w r Aouritiie To avoid a 1.50% Late Payment Charge being added to your bill, Previous Balance 26.51 please pay the Amount Due by the Due Date. Payments/Adjustments -26.51 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Sep 06,2013 0.00 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed -Consumption 13.23 be lower. Amount Due b Se 26,2013 $13.23 Standard Residential-0002132946-8.71 cents per KWH Customer reserves the right to shop for an electric supplier. Your next meter reading will be estimated.See the back of the bill Sep 04,2013 KWH Reading(Actual) 26,184 to provide a customer reading by Oct 03,2013. Aug 03,2013 KWH Reading(Estimate) 26,150 KWH used 34 Your bill includes $0.80 in PA taxes, of which $0.50 is PA rocs ---- - - -- ------ - _;- =__.:�...,:..z,,Cha es.Fmm;Me receipts tax. When contacting an Electric Generation Supplier,please provide the following. Generation prices and charges'are set by the electric generation Customet Number:0801311803 0002132946 supplier you have chosen.The Public Utilities Commission regulates Rate:Standard Residential ME-RSD distribution prices and services. The Federal Energy Regulatory Price to Compare Default Service 5 KWH x 0.081980 0.41 Commission regulates transmission prices and services. 29 KWH x 0.088170 2.56 Effective September 1,2013,the Non-Utility Generation Charge,which Customer Charge 8.11 recovers costs associated with purchase power contracts with Distribution 34 KWH x 0.032647 1.11 non-utility generation,has been adjusted. Solar Requirements Charge 34 KWH x 0.000220 0.01 Effective September 1, 2013, customers receiving Default Service Default Service Support Charge 34 KWH x 0.0041)10 0.14 have a new Price to Compare(PTC)which appears on page 1 of your Non-Utility Generation Charge 29 KWH x-0.000890 -0.03 bill. You can save money by switching to an electric generation Smart Meter Charge 0.96 State Tax Surcharge 0.04 supplier that offers a lower price than your PTC. Current Consumption Bill ChaEges 13.23 Keystone HELP-Pennsylvania's unsecured loan ro ram-provides == Y program P u.,: -j rzkall::Pa:m.r►t_an:4 _ us iih MCI special financing rates for homeowners to purchase ENERGYSTAR 08/14/13 Payment 26.51 and other qualifying energy-efficient products. For fast approval,or to find an approved contractor/dealer in your area, visit www.keystonehelp.com,or call toil-free 1-888-232-3477. i i i i j Additional messages,if any,can be found on back. 1200 1000 M, r 600 - G ,r;. 400 200 , R 0 z; `e A S O D J F M A M J J A S A-Actual E-Estimate C-Customer N-No Usage Comparisons Last Year This Year Average Daily Use(KWH) 33 1 Average Daily Temperature 74 72 Days in Billing Period 29 33 Last 12 Months Use(KWH) 4,181 Average Monthly Use(KWH) 348 'i 4''j I�I:�;j }i:^`o.lµ,.: t-;a!l�ti Y'', +:.4'i: w!Ik,: ':4 r.n� =':Y::t'!•y :E' _�Y.: .��5.�.�_ .,Y;.Y t t '�"! S 3 t4`S�. F -� ��}?t he J', d �^ j{L�{,v.Ft} ♦s PN of o In 7 M s r-O v�n i:r:�i p!tl!! �i ai ao o 0 0 o v rn 1 Ile N o 00 CU E « p ^I!! N o O o o O a Nl!; °- x x x x x ! ILL !; xg m I.H r. fu 2 2522 L . f/i! a_`. Y Y Y Y YA, d E ��.! +¢ 00 z ° o0o E 7 . o c: y E O C �'! w¢ I;!s (7� V d i! �.- 4 0 !!' :!; 2 d torn . N C !!i.! •� y d t to p; c m ?�o c o L z U e M !i'° d al 1: o- p n_ E ':!!!.! d d. ='!! o N ! !: E O N td 2' O) y to d to lC Ej!! o rii,l c = y c m t L ' E E n m o U m¢ E L d. 07 0 U :1!.. Z'O O V c•� Z N N O rsii3 d O {il;' m y 4, O N !!'+! C c O Q d L7 i2i• !flr c !sir!. = d e tji y:C,4 q d ! O X r E C W EO N EO 13 E:�i!is i!: u d r:r o w•C O N 52 U x .U y O N lA o O Yd.Z c o dE o c�i rn O ??;a d E m rn m m ¢ 12 o r m .c o CL d m Q7 am)W co e c J O p y d Ley! v y y 21 1 O _ 'e;l!ii m'a Gl �t �' d m y m c y OESa m E w 0 0 o m m o M N°Q � �_' m it3 � O t tUmaZi 5 tpp C9 OD t? d y cm > Ci! N ' to to d _ lL to M !iiC t0 yi�ii �� Qf O e_ m d O N S d d �'` L 7 w O N y L V co ''ji'j (p/� U O W o (p t d d a~ a al:p a7 .s d � T aT C U `m c CL c`p' s E �lL r Q d mL N.N i O W co O W I;;I Cf �i'�! 0 U O O•Cf .c •C U C C a> P d iii!{! a W CL) m cLi m m 'o "Ni `o 'ti d a.N aai d v u_ m � � c n y y E� oL c !i!i d w W O •E x con o Et d ! I�li!i N_ X _ N c o d o� a`� m E o m j cu°. ;:! > y oco > n d'den E Trfi �3!�! p d O O d 7 0 0 OQc� j vt O Page 1 of 2 Wt Ed Bill Based On: Actual Meter Reading November 05, 2013 M64 Account Number: 100 021 032 824 Billing Period:Oct 04 to Nov 01,2013 for 29 days Bill For: ALVIN R BEAM grnount Dt�e $3418 121 FROST RD Due Date: November 25, 2013 GARDNERS PA 17324 To report an emergency or an tage,call 24 hours a day 1-888-544-4877. For Customer Service,call 1-800-545-7741. For Payment Options,call 1-800-962-4848. Pay your bill online at www.firstenergycorp.com Bill issued by:Met-Ed,PO Box 16001,Reading PA 19612-6001 IHessa s..: AcccuntSumma: . ' AmaunkDue 14.15 To avoid a 1.50% Late Payment Charge being added to your bill, Previous -14.15 please pay the Amount Due by the Due Date. Payments/Adjustments 0.00 Your current PRICE TO COMPARE for generation and transmission Balance at Billing on Nov 05,2013 34.18 from Met-Ed is listed below. For you to save,a supplier's price must Met-Ed .Consumption be lower. Amount Due b Nov 25,2013 $3418 Standard Residential-0002132946-8.17 cents per KWH tJs e'I fo ton for e1e NumheriS4502:39 Customer reserves the right to shop for an electric supplier. Nov 01,2013 KWH Reading(Actual) 26.439 Your next meter reading will be estimated.See the back of the bill Oct 04,2013 KWH Reading(Estimate) 26,227 to provide a customer reading by Dec 04,2013. KWH used 212 Your bill includes $2.08 in PA taxes, of which $1.29 is PA grossChar es From Met Ed receipts tax. When contacting an Electric Generation Supplier,please provide the following. Generation prices and charges are set by the electric generation Customer Number:0801311803 0002132946 i supplier you have chosen. The Public Utilities Commission regulates Rate:Standard Residential ME.RSD distribution prices and services. The Federal Energy Regulatory Price to Compare Default Service 212 KWH x 0.081980 18.118 Commission regulates transmission prices and services. Customer Charge 212 KWH x 0.032500 6.89 Don't miss the enclosed brochure on Dollar Energy. Return the Distribution application form to sign up for the program and help your neighbors. Consumer Education Charge 212 KWH x 0.000050 0.01 Solar Requirements Charge 212 KWH x 0.000220 0.05 Request an Energy Conservation Kit to reduce energy use and save Default Service Support Charge 212 KWH x 0.004010 0.85 money on future home energy bills.The cost of these kits is paid for Non-Utility Generation Charge 212 KWH x 0.000150 0 96 through a charge included in all residential customers' bills in Smart Meter Charge 0.10 accordance with Pa.Act 129 of 2008.There is no additional charge to State Tax Surcharge 3418 enroll.Enrollment is easy:have your account number ready and visit Current Consum tion Bill Char es paenergykitcom or call 888-288-4648.One kit per account. petal/ m0..ntand ustroeritloformatlon 10/17/13 Payment -14.15 a ° 0 0 u� N M M C O N O Q O v v .o Additional messages,if any,can be found on back. ° .. '_ :�: N Dsa a Histo_- .. - :: r iu v `o 1000 rr 800 600 400 ` 200 i} N D J F M A M J J A S O N A-Actual E-Estimate C-Customer N-No Usage Comparisons Last Year This Year Average Daily Use(KWH) 30 7 Average Daily Temperature 55 56 Days in Billing Period 31 29 Last 12 Months Use(KWH) 2,945 Average Monthly Use(KWH) 245 tat -. Form PB-01 eat OROSS KEYS VILLAGE The Brethren Home Community SEP 1 1RWIN&M-000? 1AWOFFICE$ 2990 CARLISLE PIKE,NEW OXFORD,PA 17350-9582 RESIDENT UNIT STMT'DATE 104286 3561A 08/31/2013 RESIDENTS Wendy Graybill Mr.Alvin R. Beam 175 Two Churches Road East Berlin,PA 17316 TOTAL.AMOUNT DUE $1529.81 DATE DUE.; Upon Receipt DETACH AND RETURN THIS PORTION WITH YOUR REMITTANCE $ ..._AMOUNT RE�VIITTED,• ;,.Days/ r. DESCRIPTION " RATE ;.Units CHARGES, CREDITS BALANCE DATE Balance Forward 1;.529.81 Payment is due upon receipt. Please makes checks payable to "The Brethren TOTAL AMOUNT DUE Home Community". Payments received or processed after the last business day $1,529.81 of the month will be shown on the next statement. RESIDENT NAME Mr.Alvin R. Beam FormPB-01 THE BRETHREN HOME COMMUNITY,2990 CARLISLE PIKE,NEW OXFORD,PA 17350-9582 For questions about your statement,please call(717)624-5355. For all other inquiries,please call(717)624-2161.