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HomeMy WebLinkAbout01-08-14 � 15�56101�5 REV-1500 Ex�02_��>�F�, �..z enns lvania OFFICIAL USE ONLY PA Department of Revenue PE>4L ,Y County Code Year File Number �x_,��� Bureau of Individuat Taxes INHERITANCE TAX RETURN PO BOX z8o6oi Harrisburq,PA i'7i28-o601 RESIDENT DECEDENT ' ` ' � Z- � ( �7 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 206-16-2484 09/20/2012 ' 08/09/1925 DecedenYs Last Name Suffix DecedenYs First Name MI ' RITTER JR RUSSELL A (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 p 1.Original Return t� 2.Suppiemental Return O 3. Remainder Return(Date of Death Prior to 12-13-82) p 4.Limited Estate O 4a.Future Interest Compromise(date of p 5. Federal Estate Tax Return Required death after 12-12-82) � 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust _ 8. Totai Number of Safe Deposit Boxes (Attach Copy of Wiil) (Attach Copy of Trust.) O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT— THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INfORMATiON SHOULD BE DIRECTED T0: Name Daytime Telephone Number 'ROGER R RITTER ' (703)737-0320 __ _ ,�, --�' REGI�ER OF WILLS 113�ONLY� O f7!7 � C-- �1 „b � y'�� First Line of Address _ � � C� 7' ft� 18670 HARMONY CHURCH RD ' � � � � � � Second Line of Address p ` � � � � `►t O d � � � -zr« City or Post Office . State ZIP Code � �AATE FlL&B-+ W.: �v _ ,.._ rn LEESBURG VA ' 20175 �' cr� cn c� _ co -,� CorrespondenYs e-mail address: fTfltt2f@201.COfT1 Under penalti o p rjury,I de at I h amined this return,including accompanying schedules and statements,and to the best of my knowledge and beliei, it is true,c ect an comple .Decl rati n of pr arer other than the personal representative is based on all infonnation of which preparer has any knowledge. SIGNATU OF P RSON ESP SI LE FO LI URN DATE , 12/17/2013 ADDRESS 18670 HARMO Y CHURCH RD., LEESBURG, VA 20175 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056101�5 1505610105 J � REV-15f2 EX+(12-:2j ��i pennsylvania SCHEDULE I DEPARTMENTOFREVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER RUSSELL A RITTER JR 21-12-1197 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medicai expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH _ 1. COMCAST , 14.10 2. PP&L ELECTRIC 54J5 3. VERIZON 101.77 4. HAMPDEN TOWNSHIP(SEWER,TRASH) 155.05 5. ALL MEDICAL(UNREIMBURSED) 2,037.87 6. KOHLS CREDIT CARD 23.52 7. 'CAPITAL ONE CREDIT CARD 186.35 TOTAL{Aiso enter on Line 10, Recapitulation) $ , 2,573.41 If more space is needed,insert additional sheets of the same size. REV-i513 EX+(01-10) � pennsylvania SCHEDULE � DEPARTMENT OF REVENUE INHERIfANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: RUSSELL A RITTER JR 21-12-1197 NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVlNG PROPERTY RE o�otSList Trustee(5)NT AMOOF ESTATE ARE I TAXABLE DISTRIBUTIONS[Indude outright spousal distributions and transfers under Sec.9116(a)(1.2).] _ ,,.,., ,_ :: , 1• ROGANN R MATTHEWS;1701 Taxville Rd,Apt 10A,York,PA 17408 'DAUGHTER 1/3share _ ,._ _ 2. RAWN R RITTER;7156 County Rd 422,Grandvisw,TX 76050 SON 1/3share , , _ 3. ROGER R RITTER;18670 Harmony Church Rd,Leesburg,VA 20175 SON 1l3share _ ,..,. , : ,..,:. , ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEEf,AS APPROPRIATE II NON TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECftON 9313 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN; _ _ __. __ , .. 1. _ _.. ,. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. ;... _ ,:: ;:: ;,, TOTAL OF PART II—ENTER TOTAL NON-TAXABL•E DISTRIBUI'IONS ON LINE 13 OF REV-1500 COVER SHEET. � ; . .. If more space is needed,use addidonal sheets of paper of the same size. � N � � N , O Ul C tR:. f/1 f/f tf� �� W 0o D = � �.' D = tn u� 3 2 2 �". � m :: �t: Z r^ � � v� r" .� r^ 'a � � � �, o `° z Zo m � m � � � � c� v v o � cn co cc> c� co co co co co 0o Z m �. � c co cn cr, �, t�1 � � � � �� � � � � � � � � � _ :� � � � � O N s O O I7� D N � � A �:N N N N N N N N N D � �;� � —� W W O � O � � � � Z 0 � � � N C�Ji:QO W W.W N N;. 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Z � � � � z —� � � � � Z 0 ooZC� c� c� < � = c� c� Zmoo � � � �v � -� � � o � � DO � � � � Z D � � � � mv z C� � � '� � 00 c� N � c� =1 � 2vD °° -� cn �". m zz DO � D DZ -<' DC) iv cWi D mmm -�iZ z -�i n � � m nU'�, � � � `z � � � m � � � �� z � � � m m � v � Z D v � � m � � v_ _v Z � pnm i y � D � � D D o � Z < � � r O Z � � C D �' � rv � � � � D D o O D � W Z � � "� ' � . m � � c fn :z C O � � m D � D D ,� 3 � r 'Z o � r 'c7 � p� m N � � � r �� .:"� D � 0 � c mco .� '� � � � � t0 � N Qf. A A'O OND 00 N C11 CT O tT Ut V W � � W I A N A 00 W Ol OD CT O CO � W i73'.0) � A Ch O N CJ� OD A' V N V 0 V CQ. W .A O O W r �'i? '�! �l O CT� � O ? �I:�l N -� CO N C;''A W O -► Ch N �s.,� V CT� fJ� -� Q� -y O (fl W A t0 N �fi"":: N G4'; V � N fQ fD � COMMONWEALTH OF PENNSYLVANIA REV-1162 EX111-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARflISBURG,PA 7 7 7 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 017768 RITTER ROGER R 18670 HARMONY CHURCH RD LEESBURG, VA 20175 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------_ -------< ,,� __ _ _ __ ___ _____ . 101 ( 510,621 .33 ESTATE INFORMATION: ssrv: 2o6-is-24s4 � FILE NUMBER: 21 12-1 197 � DECEDENT NAME: RITTER RUSSELL A � DATE OF PAYMENT: 06/1 9/2013 I POSTMARK DATE: 06/17/2013 � COUtvTY: CUMBERLAND � DATE OF DEATH: 09/20/2012 � � TOTAL AMOUNT PAID: $10,621 .33 _ __ _ _- ._ _ ___. __ _ __. REMARKS: RCPT TO ROGER RITTER CHECK# 122 INITIALS: DB1 SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS TAXPAYER COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) � DEPARTMENT OF FiEVENUE BUREAU OF INDIVIDUALTAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANlA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 018113 RITTER ROGER R 18670 HARMONY CHURCH RD LEESBURG, VA 20175 ACN ASSESSMENT AMOUNT CONTROL NUMBER '__'_'__ foitl � . . . _""'_"' . .. .. . . . . 101 � S 135.91 ESTATE INFORMATION: SSN: 206-16-2484 I FILE NUMBER: 2112-1 197 � DECEDENT NAME: RITTER RUSSELL A � DATE OF PAYMENT: 09/05/2013 I POSTMARK DATE: 09/03/2013 I COUNTY: CUMBERLAND � DATE OF DEATH: 09/20/2012 I � TOTAL AMOUNT PAID: 5135.91 REMARKS: CHECK# 125 INITIALS: DB1 SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS TAXPAYER ��� � IIIaII�e� - OMB Approval No.2502-0265 ;,:villi� A• Settlement Statement(HUD-1) �.�FHA 2,�RHS 3.❑Conv.Unins. H47 1I93NUmber: 3 8086 Numher: 8.Mortgage Insurance Case Number. 4.❑VA S.�Conv.lns. C.Note:This fortn is fumisned to give you a stalement of acNal seNemeni costs.Amounts paitl ta anC by the seWement agenLS are shown.Items marketl "(p.o.c)"were paid outside the closing;Ney are shown here for infortnational purposes anC are not inGUtled in Ne totals. D.Name&Atldress of Borrower: E.Name 8 Atldress of Seller: F.Name&Adtlress of Lender. Kw E�artisan,Christlna S.Gartison Estate of Russell A.Ritter,ah/a Russell A.Ritter,Jr. Susquehanna Bank 106 S.Enola DfNe,Enola,PA 77025 18670 Harmony Church Road,Lees6urg,VA 20775 3507 ConcorE Rwtl,York,PA 17402A607 G.Property Loralion: H.SettlementAgent: I.Settlement Date:10/30/2013 1001 Copper Creek Drive Communiry SettlementLLC Disbursement Date:70/30/2013 Mechanicshurg,PA 17050 112 Markel SVee451h flaor,Hartisburg,PA 17701•2015 Cumberiand County,Hampden Township 717234.2666 Piace of Settlement: TitleExpress ColdwW Banker,4W5 MaAcetSUeeL Camp Hi�,PA 770N Printed 10/25f2073 at 4:34 pm byANS 100. GroscAmount0uefrom0ortower 400. GrossAmount0ueto5eller 101. Contractsalespnce 210,000.00 401. ContraclsalespAce 270,000.00 102. Rersona : 402. Persanzl omoe 703. Setliement r,Aarges to 6orrower(Ane 7400) 7,495.9C 403. 104. 4a4. 105. 405. Ad'ustmentsforitems idh sellerinadvance Ad'ustmentsforilems aid6 sellerinadvance 106. Ciryltown t�ces to 406. Ciryltovm taxe5 ta 107. Caunry laxes 1013 0120 7 3 to 71/37I2013 82.25 407. Counry laxes 7 013 02 0 7 3 W 17/3712013 8225 108. SchoolTaxes 101301201310061302014 1,142.45 408. SchoolTaxes 1013N2013W0613012014 7,142.45 109. SewvandTrash 7 013 0/2 0 7 3W11/31YL013 706.18 409. SewerandTrash 1013012073to7?/3712013 106.18 710. 470. iti. 471. N2 412 �ZO. GrossAmountDuefromBortawer 218,826.78 420. GrossAmountDuetoSeller 211,330.88 200. Amounts Pafd orin Behalf of Bortower 500. Reducllons InAmount Due b Seller 201. Depwitoreamestmoney 2,500.00 501. FxcessCepasit(teeinsWCGOns) 202. Prir,apalamountofnewloan(s) 199,SOO.QO 502. Setliementchargestoseller(fine1400) 15,250.00 203. Existin loan s taken suE'eU to 503. Existin loan s takPn sub'ect to 204. 504. PayoN of fust mwigage loan to NONE � 205. 505. PayaH of second morlgage loan 206. 506. 207. SeilerAssist 5,000.00 507. Se�erASSis[ 5,000.0� 208. 508. 209. 509. Ad'ustmenis for items un aitl h seller AE'ustments for items un aitl b seller 270. Ciry/tovmtaxes l0 570. Ciryftrnmlaxes to 217. Camry taces to 511. County taxes to 212. SchoolTaxes la 572. SchoolTaxes to 273. 513. 214. 574. 215. 515. 276. 516. 217. 517. 218. 518. 213. 519. ��• Tohl Paid b ltor Borrower 207,000.00 520. Total Reductian Amount Oue Seller 20,250.00 300. CastiatSeplementfmMtoBOrrower 600. CashatSeWementtolfrom5eller 301. Gross amount tlue fran Cortower(Gne 720) 278,826.78 507. Gross amount Eue to seiler(line 420) 271,330.BB 302 Less amounls paid bylfor 6ortower Qine 220) 207,000.00 602 Less reduc6ons in amount due setler(Iine 520) 20,250.00 303. Cash �X From �To Borrower 11,826.78 603. Cash �X To ❑From Seller 791,080.88 .w.nw�aew�o.w.w.a.,orw.�...��.w.a w.�c.�..i..+a..p,.w+aP.de.�. �rwn.o.Mn.uoo..sm..a.�.w.....m.d.w:�.;�"w.w"`ws..+,...s..�...r..w.>�waee�.....::m.m:nuw:�"e�"y"��we:::s"w:,:�.:�.�:,o ....� Previous etlicions a2 ohsolete Vaqe 1 0!a HUD-i 700. TofalRealEstateBrokerFees 57Z300.00 Paid From Paid From Divisionofcommission Rne700 asfaqows: Borrower's Sellers �p�. $s��oQ �p PruEenGalHomesaleServices Fundsat Fundsat 702 g6,t50.00 �a Coldwdl8ankuHomesteadGmupSelectPro Settlement Settlement 703. Commission paid at settlement 12,300.00 704. Broker Fee a CWdwell Banker Homsstead Group Select Profrssionais 395.00 7Q5. Brokerfee �o PNtlenGalHOmesaleServicesGroup 225.00 800. �tems Pa ble in Connection with Loan BOt. OuroAginaAOncharge(IncluOesOriginaAOnPOintOJ75%orS748.73) $7,643.13 (fromGFErii) 802 Yourcreditorcharge(painls)forihespecificinterestralechosen S (6anGFE#2) 803. YoutaSusledoriginationchargrs (6omGFEA) 7,643.73 804. ADO��� to A roisal L is6c Solutions,L 54fi0.00 P.O.C.B (<<om GfE N3) 805. Credit report to CareL ic Credco 828.00 P.O.C.B'(�am GFE#3) 806. Tax Related Service Fee � lo CoreL ic (Gom GFE#3) 70.00 � 807. FlooE ceNfira6on W Cwe ic Flootl Services (hom GFE X3) 12.50 808. � 900. Items R uired b Lenderto be Pald InALVance 9D1. Daily interest charges Ban 1mm 1013N2013 to 1710V2013 Q 524.94001tlay (Gom GFE il70) 49.88 902 Matiqage insuronce premium for monUU N (hom GFE#3) 903. Hameavmets insurance for 7 ears to Erie Insurance (hom GFE R11) 670.00 904. for monlhs ta 1000. ReservesDe ositedwithlendu 7007. Initlal deposit for your esaow accaunt (hom GFE#9) 773.89 1002 Homeownefs insurance 3 monNs 5 55.831monN 5167.49 1003.Mortgage insurance manihs S 117.39/month � 1004.PropeM1yfaxes 9 mpnihs 5 39.71/month 5357.39 1005.� -- � monNS S � 0.60imonN S � � � '� 7006.School laxes 5 monNs $ 14247Imonih 5?1205 1007.AggregateACjusMenl 5523.04 1700.TitleCh es 1101.TiUeservicesandlendels6tieinwance homGFEp4 1,635.50 1102. SeBlementorclosingfee � S 1103. Ownefs 6Ue insurance fiom GFE 50.00 1104. LendersGlleinsurance $1,550.00 1105. LendefSGllepo0rylimit$799,500.00 LentletsPaliq 1706. O�vnets Eile pofiq furv18210,000.00 Ownefs Poliq 7107. AgenCS poNon of Ne totai 4�e inwronce premium E1,408.00 1108. Undeiwrilels porGOn of ihe total fitle insu2nce Dremium 5192.00 1109. tine 7104Ind.EnC 90015hort Form �o S 1110. Sale Rate to $ 1711. Imured Gwing Letter to Old Re u61ic National Title Ins 575.00 1112. Reimb Express Ma0 Loan Pkg to Communi SeWement LLC 51050 1773. ReimbTaxCeNfiw6onFee toCommuni SeNementLLC S 70.OU 1714. Deetl Preparation Fee(POC by se0er) to James M.Bach,Es. 1115. NMary Fce lu Carol Knman 15.00 1200. GovemmentRecortlin antlTnnsferthar es 7201. Gmemmenfrecordingcharyes 5 (fromGFEN7) 156.00 7202 Oeetl Y67.00 Moh a e 589.00 Release S 72�3.Transfertaxes S (fiomGfE#8) 2,700.00 7204. CirylCOUnryt�/sfamps �eed32.700.00 Mon a eb 12Q5. State Tarlsfamps Deed 52.100.00 Mort a e 5 2.100.00 1206. �eeA S Mort a e S 7207. s 7300.�AddWonBISeClementChar ee � 1307.Required services ihat you can shop for (hom GFE#6) � 7302 to 7303. to 1304. ro 1305. 2073 CaunryRwplLibrary Taxes � to!Aichael Lan an,Tax Collectar 5476.52 P.O.C.S 130& 2073-201d SUOOI Tazes tu Michael Lan an.Tax Colleclor $1 J08.99 P.O.C.S 1307. Hame Wartanry to AHS 600.0 ,i� � , i 7,495.90 15,250.00 'PaiE wtsiEe of Uosing ty(B)ortower,(5)euer,(L)entler,(I)nvestor,Bm(f�ec"Cr�t 6y lender shown m page 1.'^Cr�t by sNlershown on page 1. Previous e0ltions are obsolete Paqe 2 of a HUD-1 ��Com uison:o(Good Faith�ESdmale:GF and HUD•bCha�es�� � � . Good Palth Estlmate .�.�HUD•7 Chares:ThatCannotlncrease�-� � HUD-0LlneNum6er�-�� � --Ouroriginationcliarge.�.�� �g.BOi�� 1.643.13 1,643.13 ��YOUr�torcharge�(points)fw0especificinterest2techosen � �-802 � 0.00 0.00 . �Your adusted origina6on charges�:� � � g 803 1,643.13 7,643.13 ���T2nsfw�tixes'�� � � � p�1203 2,650.00 2,700.00 �Char�esThatinTOfalCannotln�reaseMOreThant�°/.' �. � �ootlFallhEstlmate HUO-0 � �GovemmentrecoNing:charges � � � �1201 ��� � 1fi0.00 156.00 Appraisal,fee g 804.�-� �� 460.00 460.00 �Cred�T�repoR � � #805 � 28.00 28.00 TaxRela_tedServiceFee���:� � � p806 � 70.00 70.00 :Flood certificafion��' � � g 807 � � 72.50 72.50 Ttleserviiesandlentlets611einsurance � g 7101 � 1,906.00 1,635.50 Oimefs:titletusurdnce� � g 7703 50.00 50.OD # 2.686.50 2,412.00 $.274.50 ar -10.2778% Char esThafdan:Chan e :-�: � � �GoadFaithEslimate HUD-0 ���Irtfial-Cepositkryowesaav.account ' � � � p 1007 2,365.34 � 713.89 ��Dailyintere5tcharges�from- � � � p901 � $24.9400lday 374.06 49.88 -HOmeovmefsinsurance� �g 903 � 800.04 6]0.00 x z _ n _- Loan Terms Yaur initial loan amount is'' S?9_9,500.00 Yautloaniertnis � � . -� 30.years Yarin�tizl�interest2teis-�.� . . . ..� � 4.5000% Ywr initlal moothty amountdwed for prindpal;interest,antl any mor(qage ����-57,722.23 inGUdes i���� �.�❑X PMcipal � � :❑X �nterest �� X❑Mo�tgage Insurance Canyourinlerestralense7 � ,� �X No. �Yes,itcannsetoamaximumof %Thefirstchange -. � � � will be on / / and can change again every years aRer I I .Every i change dafe,your mterest rate can inuease or Eecrease by %.Over Ihe life of . � ���Ihe loan,your inlerest rzte is guaranteed to never be lower Nan Y or higher Uan Y> Even if yuu rtuke paymentsbn time,can your Iwn balance nse7 X❑No. �Yes,it can nse to a maximum of b Even if yau make paymen�;on 6me,can your monNly amount awed for ���No. �Yes,ihe first inuease wn Oe on ! / anE Ne monNly prinupal;�inlerest,and mor(qage insurance rise7 �amount owetl wn nse to S . � � Themaxirtwmitcanevernserois5 Does 7rour�loan have a prepayment penallyl.� � ���❑X No. �Yes,your maximum prepaymen[penalry is S Does ynw,ioan have a tiailoon paymenfl� . � X❑No. �Yes,you have a halloon paymenl ot S tlue in � � � years on I I Tohl monlhly amount avetl in�luding esuow acwunt payments � �You tlo not have a monNry escrow payment for items,such as property taxes .. � anC homeownefs Nsuance.You must pay Ihese items tlirec�y yourselt. � �X You have an adEiGwal monNiy uaaw paymentof$237.95 Nal resulls in a taW ini6al monUly aznowt aweE of 51,360.78.This indudes pnndpal,interes6 any � � �..�mohgageinsuranceandanyilemschecketl6elaw � X❑Propertytaxes ❑X Homeownefsinsurance � � � �FIooG insurance � . � ��school i�ps � Note:If you have any questions about the Settlement Charges and Loan Terms listed an this form,please contact yaur lendec � Previous editions are obsolete Page 3 0�4 HUD-1 HUD CERTIFICATION OF BUYER AND SELLER I have careNlty reviawed be HU�•1 SeplemeniStatementand to Ne hest otmy knowledge antl beliM,it is a Vue antl aau2te slatement of ail receipts and dis6ursemenLS matle on my aceount or by me in Nis fransaction.I turther certify ihat I�ave receiveC a wpy uf Ihe HUD-7 SeWement Statement _�!1��� � , Wyc.Ga son Chns6na S.Gartison I I � i ESTAT F RUSSELL A.RITTEA,A/i(/q RUSSELL A.RITTER.JR. � f � �1 F4ISIDQ- RogerR. ,Exe:utor � I The HU0.t Settlement Stetement which I�hare preparetl is a We and acwnk account oFthu transaction.I have puse0 arwiA puse Ne funtls to be disbune0 in aaordance wilh this statement � � 10�3 0��3 Se"TTL ENTAG DATE I � I� I I i I i i WARNING:IT ISA CRIME TO KNOWINGLY MAKE FALSE STATEMEN i 5 TO THE UNITEO STATES ON THIS OR ANY SIMIL4R FORM.PENALTIES UPON CONVICTION CAN INCLUDEA FINEAND IMPRISONMENT.FOR DETAILS SEE TITLE 78:U.S.CODE SECTIO�10Q1 ANO SECTION 7070. �revious eEitlons are o6solece ' aage a of a HUD-i . � I �� c-�� �I MARJORIE A.WEVODAU GLENDA FARNER STRASBAUGH �' • FIRST DEPUTY .� REGISTER OF WILLS �'_ . �; AND - �''' � ! r KIRK S.SOHONAGE,ESQ . : CLERK OF ORPHANS' COURT t - � � � s�� SOLICITOR �. � REGIS'YER OF WILLS AND CLERK OF THE ORPHANS' COURT COUNTY OF CUMBERLAND � ONE COURTHOUSE SQUARE CARLISLE, PA i 7013 (717)240-6345 FAX(717)240-7797 INVOICE Bill To: InvoiceNo: 4361 Invoice Date: 6/19/2013 ROGER R RITTER Estate of: RUSSELL A RITTER 18670 HARMONY CHURCH RD Estate No: 21-12-1197 DBt LEESBURG,VA 20175 Qty Fee Description Fee Total 1 Additional Probate 50.00 $50.00 Total: $50.00 � n '� �� � � �ti� Checks should be made payable to the Register of Wills.Tertns:Net 30. Please retuxn one copy of this invoice with youx payment. T'hank you. .�-�' • • ��it�rT,C . 2-o2o3s ���A� Since 1921 Drawing �� Drawing Sent to Cust. Approved 5243 Simpson Ferry Road, Mechanicsburg, PA 17050 Found. By�?u.rV �kei'� Found. Ordered (71�766-5622•Fax(71'n 766-8007 Vendor Ack.# www.gingrichmemorials.com Grave Pasition Verified Cremation SOLD TO: � � `� �g6 � OW'M!i Date of Order . 6 ���� (,.�eS�p1R�C �[�, a► 4ZS Cemetery $'�. � ` Cemetery Location��t�C�CwlO�S 6'wh Phone 763—�37 "030�� Cell CeMer Over�_ Graves Sec./Lot # Email Approx. Date of Completion /� �eC• - aTl K Leite.sing _ _ �s�a�l, $�. v�e� b�ze. rn�ew�v�+�.~�r �uss��� � t,`��.c' . OVL�6 � rq�n.��� �c�,5e, � l��c�� c� � ��rQVe. 5���c.. � � Type IT�C'�fn���. �Se- Material�OOw1,�VI/l, 17�C`�J A1f'oV1,1� Additional Lettering: tr �• u Siz�s��X._ I 6 X_ Ts�p Finish �. Back ❑ Base Size X X Finish Description Location on Cemetery 0 Vase oto ❑ Other � Agreemer�A 5096 deposft is required to commencemeM of work. COSTS: � Agree to pay stated bala�e upon eredion regardless of labor troubles or shipmeMs or arry other good reasons.This order or Memorial� $ � �� . oonuact cannot be cancelled by customer uNess agreed by both parties.The artide herein me�oned shall remain the property of ���' � James R.�ir�ricn Ma�wriats u�ro7 paid in tun a�d mey resenre me�9rn m remo�e$,e same�not pa�as s�aeed. Foundation $ _��_ I agree to carefully proofread all names and dates for aocuracy and accept fuU responsibliry for arry errors or omissions.THERE �metery Fees �$ � WI��ADDI'iIONAL CHARGE FOR ANY LETTERING ADDED TO THIS MEMORIAL AFTER ERECTED ON THE � �} �� tb�tilt � $ I futCier agree to pay the balarxe sMated for the work perfotmed under this contract withi�thirty(30)days of receipt of the final irnroice and further agree tl�at interest shall accrue at the rate of one arxl onefialf percerrt(1�Z%)per moMh on the unpafd bala�e $ owed to James R.Gingrich Memorials not paid within thirty(30)days of the invoice date.In addiGon thereto,I agree'rf it becomes $ necessary for James R.Gingrich to insGtute legal proceeding�o collect any funds due from me for my accourrt being past due thirty - (30)days,to paY all couR and attome fees in�urred by James R.Gingrich MemorP�ls to collect the same. TOTAL�$ ��_ Memorialist DEPOSIT �3� $ .�... ustomer Balance Due $ (I furTher agree that the above names,spelling,and dates are oortect) Upo11 Completion Check Date: November I1,2013 American Modem Select Ins Co. Check No. 0004037621 THE ATTACHED CHECK IS PAYABLE IN FULL OF ITEMS ENUMERATED BELOW DATE EXPLANATION AMOUNT 11/11/2013 COMPANY: 085 AGENT: 051887 $25356 RECENTLY,WE RECEIVED A REQUEST TO CANCEL YOUR DWELLING POLICY NUMBER 004 749 02 07 EFFECTIVE 10/30/2013. SINCE OUR RECORDS INDICATE YOU ARE DUE A PREMIUM REFUND OF $253.56, PLEASE FIND A CHECK ATTACHED REPRESENTING THIS AMOUNT. INSURED'S LAST NAME: RITTER TNSURED'S FIRST NAME: ROGER REF2 GL Account: 11300 Page 1 of 1 s-i„'" Subj: Your biil from Hampden Township is ready. Date: 6/30/2013 9:23:52 A.M. Eastem Daylight Time From: no�e�lyCa�merchanttransact.com To: rrritterCcr�aol.com Hampden Township 230 S Sporting Hill Rd Mechanicsburg, PA 17050 717-909-7145 8:OOam-4:30pm - Monday - Friday Account Information Account: 012071-000 Service Address: 1001 COPPER CREEK DR Service Period: 7/1/2013 to 9/30/2013 (92 days) Billing Date: 7/1/2013 Due Date: 7/31/2013 Meter Reading Previous Reading Current Reading Serial Date Reading Date Reading Cons Current Charges SEWER: Residential Sewer $114.25 TRASH SERVICE: Trash Service $40.80 Total Current Charges: $155.05 Bill Summary Previous Balance: $155.05 Payments Received: $0.00 Adjustments: $0.00 Current Charges: $155.05 * Total Amount Due by: 7/31/2013 $155.05 * This was the amount due at the time of billing. To view your amount due at the current time and make a payment click here. � , �// a" . { ('� � I S� . Monday, July O1, 2013 AOL: Guest Page 1 of 1 ._----- Subj: Your bill from Hampden Township is ready. Date: 10/1/2013 9:54:47 A.M. Eastem Daylight Time From: noreplyCa�merchanttransact.com To: rrritterfc�aol.com Hampden Township 230 S Sporting Hill Rd Mechanicsburg, PA 17050 717-909-7145 8:OOam-4:30pm - Monday - Friday Account Information Account: 012071-000 Service Address: 1001 COPPER CREEK DR Service Period: 10/1/2013 to 12/31/2013 (92 days) Billing Date: 10/1/2013 Due Date: 10/31/2013 Meter Reading Previous Reading Current Reading Serial Date Reading Date Reading Cons Current Charges SEWER: Residential Sewer $114.25 TRASH SERVICE: Trash Service $40.80 Total Current Charges: $155.05 Bill Summary Previous Balance: $155.05 Payments Received: $0.00 Adjustments: $0.00 Current Charges: $155.05 " Total Amount Due by: 10/31/2013 $155.05 * This was the amount due at the time of billing. To view your amount due at the current time and make a payment click here. , Tuesday, October O1, 2013 AOL: Guest -� o°'� � o� . = d�'� D cn �_�— .-� o v r W a°� r r � � y c�� m �t m rn � �n f°�� -i cn o m v �3-� Q m %0 D � �D �o°�c � � C �Z c°�Q� � � 30 0 Dz � �D d m m.� x on � �D o � = D D� — o� � p m� ° N2 � �c Z D V v D mm � �_ m �'m � .�o _ � ar � m �N W �3 � � o� � " �m r r �' � � � �I.Zl � � � � v� �< o0 b� ':�' i� n�im � . �� N � m m C � D = uDi v O Z �n m r m � � u� � v � � � � � 3 m m O �' D � y � `� `� `� � � D n � � � � � � � D m o � � m _ °- C � � �r m m m � o = m ° z � � � � X °' � d C� o � � o m � � $ � � � � � � � D v�i � � v m� o y mm oo " Zo �°w, � � � D m � � Z m � o � n x � cn m ° �. � � �; . IV � m o� rn m �, co G a � o � N CT O � O � � ao G� � m � � � � R ,'0 � `� `� m v z � '' o rn w � � � o � p w m w � � � m m �' rn m A o = � � � (� �o cn ci, o y � `'' i � iv 3 � o : " CO o d, y� D w � � � W w -�A' � z ° � � oo °�° o o °o Z a � ~ v m U�i p r� � ° \ i�p � � i w N � W i� ` . � � aervtce.�oo uua i 3aa / �ury��u�s ,.dye , �, JOB SITE 2!}15090706 V A/R#:BL0267 TDI EICHELBERGERS, IfVC. RITTER. RUSSE�.L— ESTATE OF Main phone (703)403-1283 907 TEXACO ROAD 10d1 COPPERCR�EK ORlVE PO#: MECHANICSBURG,PA 1705Q C!0 ROGER RlTTER PA 17050 S5Q-PA MECHANICSSURG TODD MEE.EDIN El`A 10/92013 1 a16 HIS EMAIL RRRITfER@�10L.COM JRG,on 09/25P2013 AT 13:33:INSTALL NEW SSQ-FA UV LIGH'T AFTER EXLSTTNG EQUIPMENT. CALL ROGER BEFORE GOING AT 703-403-1283.625.00-5%DISCOLJNT=$593.75 Work Pertormed taday �/1/�i�Jt C �'�[V J�'/�J1 �JiV�%��'f` A t�fJ� ��'�IJ�i� ��nwf. .1e?"�Yi+cr �..G! C�.,r-� �s l��: C�1�=�-e r�c�';c�v�1 yt. �11 . �;�c�,d/� ����{d C It4..� �'c°,�K' T°I ftk✓ ..lJ �c i.�e%�e. f�s,.plt. 4.X jb���.' �,�,c G�+L JtJ'�'�y'�'. J QTY MATERIAL 8�OTHER PRICE AMT rv ce Call-lndudes travel and 3J2 Hr,stbe t€rr� 1 S,�"�{�/� NAME DATE 1l4HRs AMT I ����- �,�� 1, g .� 11 � ��'a�— i��o� vu`� � ��u ���� S ���� ��a'bi?� �3�� a�- 6�-1 . �o' -�►s- �y�-- ou� �' 7 L �`1�- �, � °7�1- ����- n,�-� C Q�,c�� Total Labor Total�ther su�tota� 5(�� . Tax �' ' < To�� 2Q.� g Signatu � P�0 - C�k � f�t ,9NIC8 JOp UUy13f�tf iUIY/LU13 rby� i �� JOB SlTE 2013080706 A/R#:BL0267 PDR EICHELBERGERS, lNC. Rf7TER. RUSSELL--ESTATE OF Main Phone (703)403-1283 107 TEXACO ROAD 1001 COPPERCREEK DRIVE PO#: C/O ROGER RITTER PA 17050 MECHA(VICSBURG, PA 97050 WX203&TNKPKG TOQD MELEDIN MECHANICSBURG ETA 10/9l2013 1016 HIS EMAIL RRRITfER(�10LCOM JRG,on 09/ZS/2013 AT 13:34:CALL ROGER BEFORE GOING A'T 703-4(}3-1283. Work Pertormed today J�r�,�� �zX�S����J ��t,�. �,,,� �,rd-<Ilc� r►t.�., i•.x�- ,t�� ��� .��„K �qal�J.� ��� s�� - .S�'s�J z, . � A1� x 1�r� �-l-� i� ►�c ���, w � �►-i�k� 3/�° C�. �� ���,�. �s � s�� y, c� QTY MATERlAL&OTHER PRICE AMT ' Cat�-�nciudes travel and 1!2 tfr.s`te time � /„r� � NAME DATE '!/4HRs AMT � �an1 %o�� i�/�/� 1 �e�x� 1 �;,,p � 7{,y yga-o�� � ���J—o�i6�ol� � � '��'a+ln° ou[ - � r 7�y-����� 1 ��s-,�-4�� � Total Labor Total Other Subtotal � , � Tax Tatal � Signatu � (��k�l, — GI�GtL� �7� .....<.:3�;;�'.: Mike Sheely Home Inspections _ �� 1000 Wolfe Road �.: Enola, PA 17025 (717) 732 - 6538 ------------------------------------------------------------------------ PROPOSAL October 2, 2013 To Whom It May Concern: Property: 1001 Copper Creek Drive Mechanicsburg, PA 17050 Job Descrintion: Electrical • Direct replacement of defective Sylvania/Zinsco electrical panel due to these panels being a safety hazard. • A new Square D Homeline 40 space electrical panel will be installed. � All existing circuits/wires will be routed back into the new panel and installed onto the proper rated breakers. • Proper grounding will be insta.11ed. • All work will be performed to the NEC (National Electrical Code) standards. Tota1 Paid......$895.00 Ck. #: 126 • Price is effective for thirty days. • Payment terms: Due in full upon completion. • If you wish to accept this proposal,please sign and date below and return. If you have any questions please give me a call. T Thank you, o Z !3 Mike Sheely Signature D te NAHI#10-14277 HIC#: PA063092 INVOlCE N0. ` ���! ��� d�. �� � `�' �-�oL Co�,3� ' SOLO TO SHIPPED TO �� ADDRESS ADDRESS �O 1 �. �rL. . ClTY STATE ZIP ' CfTY STATE ZIP G.wt 5 r ' ` `� CUSTONI�RARD�R N� SO � TEftMS �� .Ffl$ �' 4ATE � ` ; ; = �'" ' �. �:.,. �r 'S��'.,.�. ,�,�.. t. ''�� T , . � A � ��` � V 11� � � 2!3 t n �h G4 � G7.�+'� , � � �� ;ao ����� a� �0895 Customer a�. i-r-` �'� �,'" '� nde 0�'S .J Address ,, ,. , ,�.,� � : �- g- �..:f 8���o���x:�.� ...�., P. State �-,�: Z,p , ,.; C�himney c�w eps, i nc. Phone �:������ - ���.��° ;� ° � 426 Hillside Road•New Cumberland, PA 17070 Date +<�1=��_-::3 ; Time ;c,. °�r (717)975-3526 • (800)793-3755 • (717)397-7633 •Type of Firepiace: ❑ Pre-fab � Masonry ❑Modular Commerrts .- , •Woodstove: ❑ insert ❑ Free Standing ❑ Pellet ��`� �. �-;; ,. . :'�� :�`' ; 1_: ` _ • Furnace: ❑ Co�l ❑ Gas � Oil ❑ Gas Log � ; . : c ��. . .� �� �� -- -• '° � � � • Last Cleaned: �:,..;iA; Year(s) Ago ❑Never .. � , � • No. of Flues: 'c.. No. Cieaned: � : ,� , , .;:,�� -� y,�., ��.� ; a��, � �-� - • No.of Stories: ..t_ Map#: r. , : ,, .. =,,s • Flue Size: � 4 ; .,�, ;%,t��, ��'L: ,�.. ,� t._ _ � � � " Caps: �: •Outside Chimney Dimensions: " x " • Fireplace Opening Size: N x " NOTE 1: rn�s���,���n,a reg�n a e��a�i�S�ai �5���.���S o�y intended as a record d this inspeclion,erM le not a statement ot tire worthiness or satety certiti- • How did you hear about us? r°°- ��«,.No��,ri m�,�a��a���e�+�ro��a.since cmditions ol deterioratan and use are beyond our control. NOTE 2: we tunner aamow�ige and connm+ viet we neve been imormea by TY P I C A L FI R E P LAC E ������a�����Sweeps that they are not Engineera or E�erts in shudural a construclion matlers.Ihet the Anderson's Chimnay Sweeps does not guerentee our chimney from fire,Viet no repreeentations a promis�a have been made to us thet would lead us to beNeve the resuKa of thb chkn�ey cbenk�y opentbns are guarsMeed a werranted,and that me representatrves ot me nndsroon's Cn:nnsy swaeps neMe imormed us met mey wm r,a be Condition Report 1ST FLUE 2ND FIUE �65PO�SIb1910f 8tfy}i19 RI OU�dllrtlfl9y G h0UlB tBSUft111Q fNRI Of OCCURtIIg elf9�thB CId911ing d tha chimney. CHECKUST � $ � $ g � CUSTOMER VERIFICATION 1. Chimney Cap/Cover f z. c�o�vrio�s�� •` 1 have read this fonn and now understand which areas of 3. Flue Tile woodbumi�g system appear to be satisfactory and a. F'��'ay be""ee"°'es which ar8as are not satlsfactory.I have also made a visu- 5. B"°'`"'°�w�°�"Bartn " al inspectlon of the area and 1 acknowledge the satisfac- s. Mortar�oints crown tory completion'�O�'�;tF�e work described. 7. Flashing f /� 9. Waterproofing j ��ed ri w �,� Date r.. -. ;�� �, 9. Flue Hei hU3'x 10'Rufe C��y ` "�� r. -�` 9 Flue t0. Smoke Chamber .� � NEXT SERVICING RECOMMENDED 1`t. Solids in Throat 12. Smoke Shetf o �n -�--°-- of ----- 13. Damper � � 14. Throat to Face S61SOf1 y88� 15. Firebridc/Firebox ' S"1O� Fireplaces and/or chimneys should be inspected yearly for 16. Ash Dump/Grate �° � ���� any structural fauJts, and all wood burning stove flues should ». c�ea�o�t � be swept at least once a year. 18. Tools � / SSheM ��,.- WITH MSERTMEAATSTOVE Marrtel '�`j c..` . -'s�( ,�'-,!k i'� 19. Woodbumer DBni�` Sweep or.Mas 's Signature 20. Floor Protection Th�� 2�. nnarnei / RECEIPT PRICE 22. Side/Top Trim � F� 23. Combusdbles ; �`.a� k � .. ��i j�_,.� 24. Direct Connect System � ' �`�� 4 , ' ' ,. 25. Total Reline " 26. Stove Pip/Liner �� � >' �;._,•� ;��-.�. f` _-,.- ._.�._.� SAFETY APPLIANCES 27. Flue Monitor 'Y � � �,t ' r 1'a t � 9 � 28. Fire Extinguisher �� ' �.•' 29. Smoke Detector(s) �� �_� 30. Chim}ex �� `; ; . 31. Spark ScreeNDoors SUBTQTAL 32. Do You Have A Fire Escape Plan? Foundatbr►I { � '�, <�� . Yes No �DATE COMPLETED TOTAL f`�' ¢ THANK YOU! :E.��2�15 ���� ����'��� �GJ �Type of Fireplace: ❑ Prefab �Masonry P.O. BOX 61 i23 � No.of5tories:/1 12 3 4 e No:of Fireplacer. 1 z 3 4 NARRISBURG,PA 17106-1123 +. Woadstove- �se�t pHp�E; 717:gq�:21Ai_ • ❑ ❑�reestending ❑PelletYCorn �Type of 1Nood Used; ❑$oft [] Hard 0 Wet �Dry e Last Cfeaned: `Year(s)Ago ❑Never Customer /' : � — � Number oficords 6urned per season: Addres CitY � St e. Zip_ 1� S'6 8 Flue 5ize: ❑g°x s�� �x`�3^ ❑7�°x is�� ❑a"x r�=� Pho�e ❑ 13"X 17" ,,[�;,§"Round ❑8"Round ❑ E-mail • Outside�himney Dimensions: " x '� Date Time � Fireplace Opening Size: " x " Directions to Ho e o Now did you hear abouE us? CI TV ❑ Radio ❑Websita ❑Newspaper �Yellow Pages ❑Oirect Mail � .� Q Referral ❑'Repeat Customer ❑Qther COIVD[7'I(J� o ° �' . �����,�;, � N � CQMMENTS; � � ¢ Y � Y � C 0 � � Z CHIMNEY — 7.Height 2.Chimney:�ap/'Spark Arrestor F��� : p� 3.Crow�/Wash ���� gj 4:Brickwork/.Morcar 5:Fiashing 6.Flue�iner CUSTt7MER VER�FICAT14111 '""" I have'read this form and now understand wtiicti ereas of my 7;Moisture Resistance chimney,system ap�ear to be satisfactory and which areas are FIREPL.ACE oo sMO� not satisfactory, � SHELf Signed Date 8:Smoke Chamber ��PfR 1 ,._. 9:Dairiper b � I�tEXT S�Rt/ICING.SCHEE�UL�D _ o0 10.Firebox/Grate o _ • :at 11.Ash Containet �� �_ o. �n month day year tirne - FieFSeliK—� :: The Nationa)Fire t�rofechornAsSociation Standard states tMe fire- 1 Z.Spark Screen,/DooCS place and chimney should be inspeeted yearl for any stru ral asx ouxir faulrs. _ 13.Toals/..Gloves> b 14::Hearth Protection Chimney Prafessional.'s 5ignature� ts:Misc:: RECEtPT:/iNVC3ICE WOOD5TOVE OR F1REPI:ACE INSER'� oES[�ipTioN� PRiCE 1b:5toveptpe'-:Condition(woodstove} - ; 17.NFPA A � 1 pproved"Flue.Connection 78:InstaOation-%i'himlile/Ciearantes , _ _ 07HER SAF�TY CONStDERATlQNS _ 1:9:Fire Ext./Smoke Detec�ors:/CO Alarms - ZO.:Gas t Oi!'Fumace:Flue Liner - - _. , SUBTOTAL, . 21�.Fire Escape:Plan _ NOte Thissheet fi the result.:of'a vlsual inspecnon.ilone at Uie sim4 of'cleaning.it,fs DATE;COMPIETED � TOTAL. lntended as e mnv¢nience to our'ciisfome;not as certlrlcation o(fte woahfness or safe- iy.5ince co,n'ditions df use and lildden,co`nstriutton defects;are beyond aur controf,we make ao watiahry af the;safety or.functiomof any appllance and none isto he implied, ttem fs9a�o ,,,��::; � � ������ � � ���������m. 1:)ate +� _�___.._. CHlMMEY FtEIlNING SYSTEMS Uealer t�a "Z i�' ��'. �� �C.��"� �'�'��+a�� s�����t- . . C7ty,Sia�e, F1ARR15$lJRG,PA 'i1fOfi-fi2.3 � � -5�5-2i41 I?hone � -- Sl18M}TTELf T0: N�zme I C� j ,. L-mai.l S[reet �v /' Jab Lf�caEic�n � l�P c�rY,s<<�t�,r3E7 A ' � a ._._ T'hc�ne JQB DESCRIPTION: _�S�_�,�S�'�P��� � ���.�:,rJ�� x:J` l3 7" �i?'7f(t�+���f+s�!I�P..�_—. C.2 d`L�l __._.._ �/, o�C}.t�t,l � C?✓�rut� a�..�� ,�'/(��, v 3 T �'�dLf��t�..._.__ _.��Q.o� y, utof f � ' � _j �/�� �� +�,�� t � �d-- I I �_I se7i.l QT Q ►�,��-c2-t� S�t'�i�./ �"�tLi v~._.— nJ �'l./� � ,,.� ;�/. C,��.I G�r+.l _,_�.� . F / _ G-M � ���� . . , F�' V«�(;� { TERMS OF PROPOSAL: �f� � ��, ��` �y V tlmt3unt� •of ` F'ra�nsal go�Jd fur """"'t�ays. n��m cerial i gGiaranceed ca t�as specified.n�i work tU ae camp�eted�n a suhstantiai workmantike mat�nee accordfng ta sPecifications sul�mii Terans af�ayment t ' ced,per standard practices Any atteration or deviation fram above spec±- �cations invaivfng extra tosts wiA be exetuted on�y upon vrritten orders, and wili became an extra charge over and above the estimate.All�gree- '�}'ti ntents contingent upon strikes,a[t+dents or defays beyond our controi_ ,/ Properky owner co tarry f+re,iornado and athet necessary insu�ance.0ur �llt�l01'iZ�d St�tt�1"Ut'K ✓ GC�� ' ��--- warkers art fuily covered by Workmen's Campensation Insurance. � .�.� A�CEPTA�[CE tJF PRQPC?5ALc The:�ht»e grices,speci#ications anc�conciitions are satisfactc�r;�and are herYby acee�ted. Y�u�re:aut3iorize�i to dc�[hc work <;s specified.P�yn�ent will t�e m��c�1c as s�utliised�it�o�e. 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