HomeMy WebLinkAbout01-21-14 t
_! 1505610105
REV-1500 Ex(03-11)(FI)
OFFICIAL USE ONLY
` PA Department of Revenue Pennsylvania
Bureau of Individual Taxes 11'11 County Code Year. File Number
PO BOX 28o6o1 INHERITANCE TAX RETURN -
_ Harrisburg,PA 17128-o6o1 RESIDENT DECEDENT a-1 !3 61!045
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
04/17/2013 02/20/1930
Decedent's Last Name Suffix Decedent's First Name MI
Ent John W
(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
1. Original Return O 2.Supplemental Return C= 3. Remainder Return(Date of Death
Prior to 12-13-82)
Q 4. Limited Estate (=D 4a, Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
= 6. Decedent Died Testate C=D 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 O 10.Spousal Poverty Credit(Date of Death C=D 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 TO:
Name Daytime Telephone Number
Andrew C. Sheely, Esquire 717-697-7050 :50
v m
RFG JER OF V%6 S USVOI&
W 3 U) ::a mzc> -'- o
First Line of Address T'
r m ;:j c?
127 South Market Street
t"J C-)
Second Line of Address C'1 C>
P.O. Box 95 ° � ry = rn
� r-
City or Post Office State ZIP Code DATE FICIED q
Mechanicsburg PA 17055
Corre ondent's e-mail address:andrewc.Sheely @verizon.net
Unde poralties of perjury,I dec re that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is t ue'correct and co ete q claration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG A F SO SPO SIBLE FOR FILING U DATE
d tT RN r
bRESS
TNelanie Fisher(4AAM_DjVata 3 South York Street, Mechanicsburg, PA 17055
SIGNAT' OF PRE R E ENTATIVE yq��D,,AT 77��
Fr/ `Vl
AD S
Andrew C. Sheely, Esquire, 127 arket Street, P.O. Box 95, Mechanicsburg, PA 17055
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610105 1505610105 � �}�
J 1505610205
F
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: Ent, John W
RECAPITULATION
1. Real Estate(Schedule A). . . . .. . . . .. . ... . . .. . . ... . . .. . . . ... . . ... . . ... . 1. $170,000.00 i
2. Stocks and Bonds(Schedule B) .. . . ... ... . . .. . . . ... . . .. . .... . ... . . . . . . 2. 1,239.02
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) ... .. 3. I
4. Mortgages and Notes Receivable(Schedule D). . .. . . ... . . ... . . . . . .. ... . . . 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . .. . . 5. $19,271.33
6. Jointly wned Property y p rty(Schedule F) O Separate Billing Requested .. . .. 6
7. Inter-Vivos Transfers& Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested.... . .. . 7. 269.99
__..._......_._.,_............_.._,._...,,__..____---..._.._.
8, Total Gross Assets total Lines 1 through 7
( s ). . .. . . .. . . . . . . . . .. . .... . . . . .. s. $190,780.34 i
i
9. Funeral Expenses and Administrative Costs(Schedule H). . ... . . .... . _ . ... 9. 16,485.62
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1).. . .. . . . . .. . . . . 10. 191,460.75
11. Total Deductions(total Lines 9 and 10). .. .... . .. . . . . . .. 1t. 207,946.37
12. Net Value of Estate(Line 8 minus Line 11) . .. . . ... . .... .... .... . . .... . .. 12. 0.00
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) . . . ... . .... . ... . . ... . . .. 13.
14. Net Value Subject to Tax(Line 12 minus Line 13) .. . .. .. . ... . . . . . . .... . . . 14. 0.00 ;
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 ......... ..... ....._ ... .... . . _ ... _ .._
(a)(1.2)X.0- 15.
. - -_ ..._.......,_...... ..._.._. . ..,. �,....--.._ _ __. -..._.-....0__.... ..__-.-
16. Amount of Line 14 taxable -
at lineal rate X.0 45 0.00 16. 0.00
_..._._...... ... ., ..._._._...... ..... ._.._,._.._ . .,._..i -.._...m..... ,._....._..._.,,.. .._.,.___.._.._.�..._.__
17. Amount of Line 14 taxable
at sibling rate X.12 17,
18. Amount of Line 14 taxable
at collateral rate X.15 18,
19, TAX DUE . . . . . . . . . .. . .. .. . ... .... . ... . .... . . . . . . . . . . . ... . .. . .. .. . . 19. 0.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
`w
Side 2
1505610205 1505610205 J
REV,1 500 EX(51) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
John W Ent
603 South York Street
1 Mechanicsburg PA 17055
Tax Payments and Credits:
1, Tax Due IPage 2,Line 19) 0.00
2. Credits/Payments
A,Prior Payments
B,Discount
3. Interest
4. If Line 2 is greater than Line I +Line 3,enter the difference. This is the OVERPAYMENT.
Fill In oval on Page 2,Line 20 to request a refund. (4)
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 ,
��08UqAGE0T�
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING ANwX'XN THE APPROPRIATE BLOCKS
1, Did decedent make a transfer and: nm No
u. retain the use vr income of the property transferred ............................... ................— LJ
h retain the right b designate who shall use the property transferred or its income ....._ ................. ................
o. retain a reversionary interest ......_..................................... ...—,.. ..--,.'. .—'—'...--- .
d. receive the promise for life of either payments,benefits or oue? ...................... -- ............. ...................
LJ
2, If death occurred after Dec,12,1982,did decedent transfer property within one year u[death
without receiving adequate consideration?........_................................................................................................ [l N
1 Did decedent own oo"in trust for"m bank account msecurity at his m her death?............. Fl 0
4, Did decedent own m individual mtirom*ntaccount,annuity m other non-probate property,which
contains o beneficiary designation? .......................................................................... ................ ~ ' ..........
�� Fl
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE[T&S PART Df THE RETURN.
For dates of death onm after July 1994,and before Jan. 1. 1995.the tax rate imposed on the net value of transfers tomfor the use of the surviving spouse
is 3 percent[72PS89116bd(11)(i)l
For dates oi death owur after Jan. 1' 1995. the tax rate imposed on the net value of transfers to or for the use ofthe surviving spouse is0percent
172 PS,§9116(a)(1 A)(f)).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.
i
For dales of death onmafter 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 ora stepparent of the child io0 percent[T2P& §8116(u)(12)),
• The tax rate imposed on'he net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4-5 percent,except as noted in(72 P.S.§8118(u)(1)].
* The tax rate imposed on the net value Vf transfers toor for the use of the decedent's siblings isi2 percent [72PG. §9116(u)(1.3)i,A sibling iydefined,
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+(11-08)
[j ] pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
John W Ent 21-13-0645
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' Decedent's real estate located at 603 S.York Street,Mechanicsburg,Cumberland County, PA $170,000.00
Tax Parcel No.20-24-0785427,426. Appraised by Mark Heckman Real Estate Appraisers
TOTAL(Also enter on Line 1, Recapitulation.) $ 170,000.00
If more space is needed,Insert additional sheets of the same size.
Mark Heckman Real Estate Appraisers
1309 Bridge Street, New Cumberland, PA 17070
File No. 603SYork
APPRAISAL OF
-
Single Family Residential Property
LOCATED AT:
603 S. York Street
Mechanicsburg, PA 17055-6401
CLIENT:
Deb Hoffman/Not for a Lender
111 S. George Street
Mechanicsburg, PA 17055
(
AS OF:
May 31, 2013
BY:
Gina Distefano, State Certified Residential Appraiser
RL138991
PH (717) 774-7202 FAX (717) 774-0383 EMAIL heckmanappraisers®comcast.net
Summary
Residential Appraisal Report File NC. 603SYork
'seat this appraisal repo it is to provide to client with a credible opinion of the defined value of to subject property,given the intended use of the appraisal.
am ellniended User Deb H ottm an/Not fora Lender Email dhoffm an111® hotm ail.com
, Address 111 S. Gain a Street Ci Mechanicsbur state PA zip 17055
ition al mtcnded Users Deb Hoffman and her assi ns
Intended Use Fair Market Value for future planning purposes
Property Address 603 S. York Street city Mechanicsburg State PA zip 17055-6401
Owner of Public Record John W. Ent County Cumberland
Legal Description Deed Book 20110 Page No. 250
Assessor's Parcel# 20-24-0785-427 and 426 Tax Year 2013 R.E.Taxess 3,233.00
Neighborhood Name Borou h of Mechanicsbur Ma Reference 20-24-0785-427 426 Census Tract 0115.00
Pro er Ri htsA raisetl X Fee Simple Leasehold Other describe
My researth Wild I JIM not reveal an rior1 ar transfers of to sub'ecl re er for the three ears riorb to effective date of Lisa sisal.
Prior SalefTmnsfer. Date 03125/2011 Price $1 Sources Public Record
Analysis ofitnor sale or transfer history ofthe subject property(and comparable sales,ifripplicable) The prior transfer of the sub'ect property appears to be a title
transfer. Prior sale of Cam parable#3: 10/03/2012 for 1.00.
Offerings,options and contracts as ofthe effective date ofthe appraisal None Known
Neighborhood Characteristic. - fin it Housing Trend a One-UnitHOUStna-' '- -PresentLand Use%
Location Urban Suburban Rural Pro er values In cassia Stabl¢ I lDeclinina PRICE AGE One-Unit 70 %
Built-up IX lover 75% 25-75% Under25% DemflndlSU Shgr[a a mBalance Over Supply 5000 rs 2.6 Unit 5 %
Growth Re id Stable Slow Marketin Time Untler3 rots 38 rots Over rots 57 Low 20 Multi-Faintly 5 %
Neighborhood Boundaries See Attached Addendum 478 Hi h 150 Commercial 15 %
160 Pied. 80 10th.r Vacant 5 %
Neighborhood Description This suburban neighborhood has most public utilities available relatively easy access to employment and services
and is competitive with other nei hborhoods in the general area. Most have similar amenities.
Market Conditions(including suppunforte above conclusions) While housing rites on a national basis are said to be declining, the Central PA market
area in general has not seen this type of depreciation. However, the market In this area has slowed in that residential dwellings are
being marketed for longer periods of time typically less than 180 days. Appraisers have also encountered more sellers
concessions/assistance than in recent vears.
Dimensions See Plat Map Area .22 2 lots 1 deed Shape Rectangular view Average
5 ecific zon in classification RL Resid.LOw Densi[ zonin Description Allows for current use as a single family detached residential dwelling.
Zonin Com liance Le al
Lee.i NOnconformin Grandfathered use No Zoning Ille al descibe
Is the highestand best use ofthe subjectproperty as improved(or as proposed per plans and specifications)the presentuse? LJYeS No If No,describe.
utllielee Public Other(dastirtbel Pub lie otnrt describe ofM1aite lm r ents—T a !Fc Private
Electricity 200 AMPS water Street As halt
Gas Sanitary Sewer X Alley AS halt
Site comments Site has avera a site improvements, average landscaping, and typical maintenance. The site inn rovem ents and services
to the site are ade uate and acce table in this market. There are no apparent adverse easements encroachments or other adverse
conditions on this site.
GENERAL DESCRIPTION FOUNDATION - EXTERIOR DESCRIPTION -.,marshals - INTERIOR - materials
Units one I 10new/Acl I I concrete Slab I Crawis ace Foundation Walls Concrete Floors Lam inte/Wd/Ave
9 ofstories 2 L&IFull Basement Partial Basement Exteriorwalls Vinyl Walls Plaster/Ave
T e DeL All. S.DeL/End Unit Basement Are B 768 s .f. Raofsurface Shingle Trim/Finish Wood/Ave
X usdn Proposed Under COnst. Basement Finish 50% Gutters d Downspouts Aluminum Bat Floor VID I/Ave
Desi n s le Traditional Outside Ent /Exit LJSumP PUMP Will Type DoUldIeHunq Bath Wainscot Fiber lass/Ave
Year Built 1900 Storm Sashllnsulated Some/Some Dar Stone None
[AddidonalPeatures A a Yrs 25 Screens is Drivewa #of Cars
NGne He FWA X HW Ratllant Amenities Woodstdve s #0 Driveway surface Asphalt
Drop stair Stairs Oter Fue1011 X Fire laces # 1 Fence W OOd Garage #of Cara 2
r dII ionln Patio/Deck Rear Pa rch FrDn Car oit #of Cars 1
shed Heatetl P Intlividu 9l Other Pool None Other W rkSh Aft. X ost Bubl-in ces Refri eralor Ran elOVen DishwashwD er Othei descrbe
d area above lade contains: 6 Rooms 3 Bedrooms 1.5 sat s 1 430 S uare Feelof Gross Livin Area Above Grade
al Features See Attached Addendum
mson the Improvements The im rovements are of avera a ualit frame desi n antl reflect avera a maintenance. Utilit floor Ian is
l for a house of this a e and st le and should receive avera a acce lance in the market lace. No unusual functional
lescence was observed.
e. eop.n6.nn....ari.ee.w,. This 1—ropnel2002010 AC,opera onao Cull,ae,.ree.ISO.All s06b sleeved.
�������eM�e�� Pflee 1 of 4 fill^)General Purpose Appraia l Report 0512030
C1�' 4PARIpp11p 0536]%p
Summary
Residential Appraisal Report File No. 603SYork
ATURE SUBJECT COMPARABLE SALE NO.1 COMPARABLE SALE NO.3 COMPARABLE SALE NO.3
Z. York Street 209 E. Marble Street 328 S. Washington Street 210 . Marble Street
Mechanicsbura Mechanicsburg Mechanicsburg Mechanicsburg
.imi to SUb act 0.56 miles ENE 0.16 miles NW 0.12 miles N
I ale Price S - s 174 585 f 162,100 S 143,000
alePrke/GrossLN.Area S 0.00 a .ft S 102.88 s IL s 106.23 a .fL S 97.95 s .n.
ate Sources - - MLS/Tax Records MLS/Tax Records MLS/Tex Records
erification sources +' -' - Tex Records Tex Records Tax Records
ALUE ADJUSTMENTS DESCRIPTION ' DESCRIPTION • aAe mmam DESCRIPTION •�fAd norm DESCRIPTION •�f.e.nmem
ale or Financing °' pr Conventional Conventional Conventional
oncessions Closin Cc Is -1 838 Non Kn wn None Known
ale Of Salefrime +- - - 08/24/2012 12/14/2012 02/28/2013
ocation Suburban Suburban Suburban Suburban
easehold/Fee Sim le Fee Sim le Fee Sim le Fee Sim le Fee Sim le
ite .22 Acre .41 Acre -1 900 .48 Acre -2 600 .17 Acre
iew Avera a Avere a Avere a Avere e
eal n s le Traditional Traditional Traditional Traditional
uae ofconsuucdun Avere a Avere a Good -5 000 Avera e
cmalA a 113+/- Years 81+/- Years 57+/-Years 59+/- Years
ondition Avera a Good -8000 Avera a Avera e ove Grade Toul Bem. BANS toW Berm. Bath. ToW Bem. BnN I.u' Bnm. Bath.om Count 8 3 1. 6 1 5 8 3 2 -5 000 6 3 1 +5 0 ossLNln Area20.00 1 430 s .fl. 1 697 s .n. -5 300 1 526 s .n. -1 900 1 460 s .n. 0
sement&Finished Full Basement Full Basement Full Basement Full Basement
oms Below Grade Rao Room None +3 000 None +3 000 None +3 000
nctional Udll Avera a Avere a Avera a Avera e
arin /Conlin OIIHW/No C/Air OIIHW/No C/Air OIIHW/NO C/Air GasHW/NoC/Air
ner Enicient Items Tankless HW Htr None +3 000 None +3 000 None +3 000
en a/car oft 2CrDtG ar/1Cr rt 1CrDtG ar/1Cr ft +5 000 2C rDetG ar +2 000 1Cr0etGar +7 000
rehloado/Deck Patio Porches 2 Porches +2 000 Cov Patio +4 000 Porch/Patio
ther 1 F/P 1 F/P 1 F/P 1 F/P
ther Fence W rksh None +5 000 None +5 000 None +5 000
ther 2 Sheds None +2,000 None +2,000 one +2,000
NetAeusimenl Tote + - S
2,962 • - S 4,500 + - S 25,000
Adjusted Sale Price ' NeIAdj. 1.7% Net Adj. 2.8% Net Adz. 17.5%
of com arabl G s .2% S 177,547 Gross Adl. o. % 1, 1 As Ann GrossAch 17
Summary Of Sates Comparison A roach See Attached Addendum
e
}
COST APPROACH TO VALUE -
Slle value Comments
ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE........................................= S
' Source o1costdate O.elllrof 1,430 So.Ft i
Quality tanno from coslservice Effective date dfcostdate Bsmt: 768 S .Ft. S .Ft.a $ ............= S 0
comments On CostA roach ryas Who area calculations depreciation,etc.
In view of the age of these im provern ants the Cost Approach Gera e/Car orl Sq.FL S ............= s
' cannot be considered an accurate Indicator of value. Total Estimate of cost-New ............2 S 0
Less Physical Functional Eternal
a
Depreciation = S 0
Depreciated Cast Of Improvements................................ = S 0
'AS-is'Volue of Site Im tovemenLF................................
INDICATED VALVE BY COST APPROACH .. ..... ..... = S 0
INCONEAPPROACH TO VALUE - -
Est1m.ted Monthly Market ReILS xGross Rent Multiplier =a Indicated Value by income Approach
• Summary Oflneome Approach(including suppdnfor marketrentand GRM) The Income Approach Is Inappropriate because the typical buyer of a property
aim liar to the subject in style, condition and appeal would be an owner occupant.
rn Ele.t.4v.lu.a a.b.Cem .ruenA •ens COSTA roseh Ifdevelo .d s 0 McomeApplosch0fdovelopadill
See Attached Addendum
f
This appialsal Is made 'as is; LJSUble...o completion per,lens end specificatlons on me heals of a hypothetical condltldn Matthe Improvements have been completed,
Qsubject to the following repairs Or alterations on the basis Of a hypothetical condition that live repairs or alterations have been completed Qsubjectio the following:
Based on the scope of work,assumptions,limiting conditions and appralser's certification,my(our)opinlon of the defined value of the real property
1' eMeMryrytthefts the subject olthla report IS$ 170,000 as of 05/31/20 13 ,which is the effective data of this appraisal.
1 v r^nM1•wYrnryrt rmpwra ntll.U.OP.;2.e3AAlil.oagOa'+e rnY ro,e cron4uoxoW.xmoacmnb m..rdP ,..A .hoR., .n.ma.
P.pe]via (yP1p^l a=mNPVryvu ApCraaal R.pva y=aala
Mark Heckman Real Estate Appraisers
REV-1503 EX.(7-11)
apj pennsylvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
John W Ent 21-13-0645
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1. Cracker Barrel Old Country Store, Inc.common stock-15 shares @$79.92/share
$1,198.80
2 TE Connectivity Ltd.common stock-1 share @$40.22/share
$40.22
TOTAL(Also enter on Line 2, Recapitulation) $ 1,239.02
If more space is needed, insert additional sheets of the same size
REV-1508 EX+(11ao)
Pennsylvania SCHEDULE E
? DEPARTMENT OFR EVE NUE CASH, BANK DEPOSITS & MISC.
RESIDENT ED RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
John W Ent 21-13-0645
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 Members 1st Savings Account#133315-00,principal balance of$322.73,accrued interest of$.02 $322.75
2 Members 1st Savings Account#114183-00,principal balance of$5.00,accrued interest of$12 $5.12
3 Members 1st Checking Account#114183-11,principal balance of$1,325.85,accrued interest of$0.00 $1,325.85
4 Decedent's personal contents-per appraisal $1,960.00
5 Scott Trade Account#29246221 $29.73
6 Verizon Refund $1.53
7 Decedent's 1999 Dodge Truck,VIN 1B7kF232xxJ588717,fair condition $3,000.00
8 Decedent's 1994 Oldsmobile Sedan,VIN 16HDT13W1R0701037,fair condition $400.00
9. Decedent's 2009 Dodge Grand Caravan $12,000.00
10. Misc.uncashed check $1.35
11 Preparation of Decedent's estate planning documents $225.00 .
TOTAL (Also enter on Line 5, Recapitulation) $ $19,271.33
If more space is needed, use additional sheets of paper of the same size.
REV-1510 EX+ (06-09)
max'
Pennsylvania
SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF
John W. Ent FILE NUMBER
21-13-0645
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY
INCWDF THE NAME OF THE TRANSFEREE,THEIR NEl UONSHIP TO DECEDENT AND DATE OF DEATH % DECD'S EXCLUSION TAXABLE
NUMBER rneoaTEaFTRANSFER. arracHACOPV OrmE DEED FOR HEAT ESTATE, VALUE OF ASSET INTEREST OFAPPUCABtE) VALUE
Fidelity Select Capital Corporation 401(K) Plan-No.04969
$269.99 100 $269.99
TOTAL(Also enter on Line 7, Recapitulation) $ 269.99
If more space is needed, use additional sheets of paper of the same size.
Participant Distribution Notice
Plan Name:Select Capital Corporation 401(K)Plan
Plan Number:049&9
Date Generated: February 14,2013
The Select Capital Corporation 401(x)Plan(the"Plan")is required to provide you with information tbat explains your
distribution options and federal income tax implications prior to receiving assets from your account.As a participant in the
Plan yon must receive these notices at least thirty(30)days prior to your distribution,and you must receive a new notice if you
have received the notice more than one hundred eighty(180)days prior to taking a dismbution,You can waive the thirty-day
period and tape a distribution immediately after receiving the notices.You will be considered to have waived the "+rt+rig
unexpired period if you elect a form of payment before the end of the 30-day period.The value of your account balance will
continue to increase or decrease until fully distributed or forfeited,as appropriate,based on the investment performance.
You may elect to have your vested account balance paid directly to you or to the custodian.or trustee of another eligible
retirement plan. Please note that when you take a Plan distribution,the taxable portion of the distributed amount will be
included in your taxable income(unless you roil the distribution over)and will no longer be invested in the investment options
available under the Plan.The enclosed Special Tax.Notice Regarding Plan Payments explains the federal income tax
implications of distributions that are eligible for rollover and the types of retirement plans able to receive such distributions.
Information appearing in these notices may not be appropriate and/or applicable for individuals not residing in the United
States.
You should consult with your tax advisor to determine the financial impact of each form of distribution before you make an
election.
If you have terminated employment and are eligible to receive a distribution of your vested account balance,you can choose
to defer the distribution of that account balance to a later date.The Plan will pay out small account balances that do not
exceed$1,000. If your account will be paid to you without your consent,the Plan will notify you regarding the pending
distribution based upon your address of record under the Plan. If you do elect to defer the distribution of your vested
account,you may continue to direct the investment of your account in the Plan's investment options.Your account will be
subject to market fluctuation based upon your investments.If you elect to defer your distribution,you may request a
distribution at any time unless your employment status has changed under the Plan.For more information on the Plan's
investment options please refer to your Summary Plan Description,log onto Fidelity NetSenefits or contact your Plan
Administrator.
Distribution Ogg
:on(sl
The following distribution option is currently available under the Plan:
Lump Sum Distribution
This is the primary form of distribution under the Plan.
If you elect this option,your entire vested account balance will be paid to you in a single distribution.No other benefits will
be available to you,your designated beneficiary(ics),or any other person after this distribution.
Please refer to the Plan Document,Summary Plan Description and/or Summary of Material Modifications for additional
information regarding form and timing of payment
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' Pennsylvania
SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
John W Ent 21-13-0645
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Malpezzi Funeral Home $8,180.97
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: $0.00
Name(s)of Personal Representative(s) Deborah J. Hoffman/Melanie E. Fisher
Street Address 111 South George Street 1.603 South York Street
City-Mechanicsburg lMechanicsburg _ ____state_FA-zIP,17055_
Year(s)Commission Paid:
z. Attorney Fees: $3,450.00
3. Family Exemption: (if decedent's address is not the same as claimant's, attach explanation.)
$3,500.00
Claimant Melanie E. Fisher
Street Address_60_3 South York Street
city_Mechanicsburg ___state_ PA Zip 17055
Relationship of Claimant to Decedent_Daughter
4. Probate Fees: $343.00
5. Accountant Fees:
6. Tax Return Preparer Fees:
7. Cumberland County BarAssociation-legal advertising $75.00
8. The Sentinel-legal advertising $227.45
9. Misc. postage $9.20
10. Reserves to conclude Estate administration,final accouting,advertising for final accounting,certified mail $700.00
TOTAL(Also enter on Line 9, Recapitulation) $ 16,485.62
If more space is needed,use additional sheets of paper of the same size.
Malpezzi Funeral Home
_ � -
8 Market Plaza Way _ -- `— --
Mechanicsburg,PA 17055 (717)697-4696 www.mal ezzifuneralhome.com
Jeremy J.Shartzey FD Michael J.Malpezzi,Owner,FD Kyle C.Knipe,FD
Iuly 8.2013
Deborah J. Hoffman
I I I South George Street
Mechanicsburg, PA 17055
This is the final statement for the funeral services of John William Ent
We sincerele-appreciate the confidence You have placed in us and will continue to assist you in every way.
PROFESSIONAL SERVICES:
Services,Facilities and Cremation $5,720.00
FUNERAL HOME SERVICE CHARGES $5,720.00
SELECTED MERCHANDISE:
Rental Casket $975.00
Pecan Hardwood Um $495.00
On Freedom's Wing Register Package $23500
THE COST OF OUR SERVICES,EQUIPMENT,AND MERCHANDISE
THAT YOU HAVE SELECTED S7,425.00
CASH ADVANCES:
At the tune funeral arrangements were made, we aekancecl certain pavtnents to others as an accotnorlation.
The following is an accounting of those charges.
Certified Death Certificates,, _ $60.00
Newspaper Notices-Patriot $388.47
Clerp,/Mass Offering $100.00
Organist $75.00
Flowers $7 32.50
TOTAL CASH ADVANCES AND SPECIAL CHARGES $755,97
CONTRACT PRICE $8,180.97
HISTORY:
04,123/2013 Payment DaIcBeaston $25.00
04/2.3/2013 Payment Frances Flonhtan - $3(wc0
05/03/2013 Payment Florence& Rav Martin $50,00
05/03/2013 Payment Allen&Joanne Smith $200.00
05/05/2013 Payment Cumberland Countv VA $100.00
07/08/2013 Payment New YoAl,ifelnsurane $7.755.97
TOTAL AMOUNT DUE $0.00
If you have any questions-or concerns regarding this bill,please call our office at (717)697-4696.
I
I
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Date : 6/07/2013 .
Cumberland County - Register Of Wills Receipt Time : 10 : 39 : 37
One Courthouse Square Receipt No. : 1074451
Carlisle, PA 17613
ENT JOHN W
Estate File No . : 2013-00645
Paid By Remarks : DEBORAH J HOFFMAN
HMW
---- --- - ---------------- Receipt Distribution
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS ADM 260 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 25 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 : 00 CUMBERLAND COUNTY GENERAL FUN
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN
- - - - - - - - --------
Check# 4478 $343 . 50
Total Received. . . . . . . . . $343 . 50
LJ �
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tale: (717)249-3166 Fax:(717)249-2663
August 9, 2013
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Andrew C. Sheely, Esquire
RE: John W. Ent Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
July 26, August 2, and August 9, 2013
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 75.00
Total Amount Due $ 0.00
Becky H. Morgenthal, Executive Director
The sentinel 127 SOUTH MARKET ST AD 422905 ER PAGE;0.
w ww.cum be r{ink.com
MECHANICSBURG,PA 17055 BILL DATE SALESPERSON
717f97-7050 07126113 Wolfe
CAkSlE 5!�cNiBURG PEiT'CdIM'
START DATE STOP DATE
07/12113 07/26113
AD NUMBER AD DESCRIPTION CLASS LINES
422905 NOTICE OF ESTATE ADMINISTRATION LE 10 PUBLIC NOTICES 34 * 2 cols
Publication Insertions Rate Net Amount Gross Amount
3 THE SENTINEL-LEGAL 3 LGL $180.54
TOTAL AD CHARGE $180.54
3 PROOF OF PUBLICATION 01 PRF $7.00
3 MOBILE SITE MOB2 $2.00
Purchase Order Est.John Ent PAY THIS AMOUNT $189.54 $227.45*
*AFTER 08/20113
THE SENTINEL
Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS
in-column legal ads is 4:00 p.m.two business days prior to PO BOX 540
date of insertion. For questions, call(717)240-7130. WATERLOO IA 50704-0540
Return this pardon WMYOarpayment Legal
Check# ❑Credit Card Ad Number 422905
THE SENTINEL
c/o LEE NEWSPAPERS D a L1 rasr El 0 Billing Date 07126113
PO BOX 540
WATERLOO IA 50704-0540 Ac:t ik Amount Due $ 489.54
Exp.Date:m m '
Name on credit card $
Signature
Please make checks Payable to: .THE SENTINEL
oomss THE SENTINEL
ANDREW C.SHEELY c/o LEE NEWSPAPERS
127 SOUTH MARKET ST PO BOX 742548
MECHANICSBURG,PA 17055 CINCINNATI ON 45274.2548
�r�u�rlr)ur�r)Iur�r�u�n�ll l�r�u�u��u�u�u��n�r�nr��
21540200000004229050000000000000002274500000189540
REV-1512 EX+ (12-08)
pennsytvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
John W. Ent 21-13-0645
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. Chuck Bricker Auctioneer appraisal of personal contents $150.00
2. C&J Car Care-inspectionlrepairs for 2009 Dodge Grand Caravan $147.00
3. Mark Heckman Real Estate Appraisers-appraisal of real estate $400.00
4. Citizens Bank Home Equity Line of Credit-Acct.xxxxxxxxxxxxxxx0766 $116,234.63
5. Citizens Bank-2nd home equity line $9,266.90
6. Members 1st Loan Account#114183-25-auto loan for 2009 Dodge Grand Caravan,principal balance $13,514.98
7. Members 1st Loan Account#114183-27- principal balance $8,768.96
8. World Points Visa(Bank of America)credit card-4313 0720 9829 07610 $6,632.36
9. Mutual of Omaha-loan interest payment $209.11
10. Thornwald Home $56.00
11. US Department of the Treasury -2012 federal taxes due $4,305.65
12. CapitalOne-Acct.xxxxxxxxxxxxxx0092-credit card $1,625.03
13. Chase Bank-Military Star Benefits-Acct.#xxxxxxxxxxxxxl767 $4,900.99
14. CitiBank-Home Depot credit card-Acct.#6035 3203 4222 6659 $5,808.67
15. Chase Bank-Military Star Rewards-Acct.#6019 4406 0273 3093 $1,163.38
16. UGI-final bill $135.00
17. Cumberland Goodwill Fire Rescue-final bill $82.80
18. USAA-Acct.#xxxxxxxxxxxxxx07917 $13,773.64
19. CapitalOne Best Buy-Acct.#7001 1919 8960 3783 $288.02
20. Verizon-final bill $140.21
21. Mechanicsburg Borough sewer/refuse -final bill $144.10
22. Decedent's 2013 delinquent School real estate taxes for tax parcel no.20-24-0785426 and 427 $2,616.30
23. Decedent's 2013 delinquent County/Municipal Per Capita taxes $11.00
24. Decedent's 2013 delinquent County/Municipal real estate taxes for tax parcel no.20-24-0785-426-427 $1,086.02
TOTAL(Also enter on Line 10, Recapitulation) $ 191,460.75
If more space is needed,Insert additional sheets of the same size.
STATEMENT
L H UCk, ar Z j GKE,R, /1 v�T/rtrve�n
93 2-6-XAc o tit
MECKI35. PA. IUD s�
TO AW Y 6 HEE!-Y ArTY
1z� S, /YfPKLLr SF,
PA, lea S 5-
TERMS DATE (e�
SU N E AP Is L IS-0, aJ
3409 MADE IN USA
Mark Heckman Real Estate Appraisers
1309 Bridge Street, New Cumberland, PA 17070
File No. 603SYork
"******* INVOICE *****'***
File Number: 603SYork 06/10/2013
Deb Hoffman
111 S. George Street
Mechanicsburg, PA 17055
Invoice# : 603SYork
Order Date : 05/23/2013
Reference/Case# ;
PO Number:
603 S. York Street
Mechanicsburg, PA 17055-6401
Single Family Appraisal Report $ 400.00
Invoice Total $ 400.00
State Sales Tax @ $ 0.00
Deposit ($ 400.00 )
Deposit ($
Amount Due $ 0.00
Terms: Thank you for your payment
Please Make Check Payable To:
Mark Heckman Real Estate Appraisers
1309 Bridge Street
New Cumberland, PA 17070
Fed. I.D. #:
Thank you for using our services
PH (717) 774-7202 FAX (717) 774-0383 EMAIL heckmanappraisersO com cast.net
Citizens Bank EQUITY LINE OF
• RJW214 1-800-708-6680
PO Box 7000 �,,n� � ntti� CREDIT STATEMENT
Providence RI 02940 current raks aid ans myour questions,
Page 1
Closing Date
SUMMARY MARCH 17, 2013
Account Number XXXXXXXXXX0766
AB 01 013873 29030 B 63 A Credit Limit 116,900.00
"I'I��II'III"�Ilr�'11��•Ill�r�II�1��'��I'llllll��l�lIII+Ih' Available Credit 660.37
JOHN W Days in Billing Cycle 31
603 S YORK ST
MECHANICSBURG, PA 17055-6401 Average Daily Balance 116,246.32
Daily Periodic Rate .00887671%
ANNUAL PERCENTAGE RATE 3.24%
INTEREST CHARGE ' 319.88
New Principal Balance 116,239.63
Current Payment 319.88
Past Due Amount 0.00
- --- _ -. Total Late€ees-Due-- _ — ,_— 0.00
Minimum Payment 319.88
Payment Due Date 04/13/13
BALANCE SUMMARY'
Previous - Payments/ + Advances + Interest + Insurance + Fees = New Total
Total Balance Credits Charge Balance
116,539.63 300.00 0.00 319.88 0.00 0.00 116,559.51
TRANSACTION DETAIL
Date X10 ' ion Check No. Amount Principal Balance
03/07/13 / PAYMENT-THANK YOU 300.00 116,239.63
FEES
TOTAL FEES FOR THIS PERIOD 0.00
(Details continued on next page) _
IF YOU HAVE ANY QUESTIONS ABOUT YOUR STATEMENT OR HAVE BEEN RECENTLY CALLED FOR _-
ACTIVE MILITARY DUTY, PLEASE CALL OUR 24-HOUR CONTACT CENTER AT 1-800-708-6680.
THANK YOU FOR BANKING WITH CITIZENS WHERE GOOD BANKING IS GOOD CITIZENSHIP.
ON THE DUE DATE YOUR PAYMENT WILL BE DEDUCTED FROM ACCOUNT# 6232869005
�, Citizens Bank EQUITY LINE OF
RJW214 1-800-708-6680 CREDIT STATEMENT
PO Box 7000 Call anytime for account information,
Providence RI 02940 currant rates and ansroeis to your questions.
Page 1
closing Date
SUMMARY JANUARY 19, 2013
Account Number XXXXXXXXXX8925
AT 01 057226 03230B187 A"3DGT Credit Limit 10,000.00
III'��IIII" '�IIIP'll�llll�lll'�IIII��"�I'I�'llll�lllll�lllll� Available Credit 703.40
JOHN W Days in Billing Cycle 31
603 S YORK ST Average Daily Balance 9,296.60
MECHANICSBURG, PA 17055-6401
Daily Periodic Rate .01912943%
ANNUAL PERCENTAGE RATE 6.99%
INTEREST CHARGE 55.13
New Principal Balance 9,296.60
Current Payment 55.13
Past Due Amount 0.00
Total Late Fees Due 0.00
Minimum Payment 55.13
Payment Due Date 02/15/13
BALANCE SUMMARY
Previous - Payments/ + Advances + Interest + Insurance + Fees = New Total
Total Balance Credits Charge Balance
9,351.64 55.04 0.00 55.13 0.00 0.00 9,351.73
TRANSACTION DETAIL
Date Description Check No. Amount Principal Balance =
01/15/13 AUTOMATIC PAYMENT 55.04 9,296.60 IF
FEES -
TOTAL FEES FOR THIS PERIOD 0.00 =
(Details continued on next page) _
IF YOU HAVE ANY QUESTIONS ABOUT YOUR STATEMENT OR HAVE,BEEN RECENTLY CALLED FOR
ACTIVE MILITARY DUTY, PLEASE CALL OUR 24-HOUR CONTACT CENTER AT 1-800-708680.
� IZENS RE GOOD BANKING IS GOOD CITIZENSHIP.
ON THE DUE DATE YOUR PAYMENT WILL BE DEDUCTED FROM ACCOUNT# 6232869005
Please see reverse side for important information,then detach here and return the bottom portion with your check payble to Citizens Bank
EQUITY LINE OF CREDIT
JOHN W Account Number XXXXXXXXXX8925
603 S YORK ST payment Due Date 02/15113
MECHANICSBURG, PA 17055-6401
Minimum Payment 55.13
Amount Enclosed Is
has ch ngedafi connpl re eneforn,on the has changed and complete the form on the reverse side.
Illr�llrlmllllll�rIIIIIrIllll'rnln'rl rl 11llll111 rI111itrtl�lr
Citizens Bank Citizens Bank
P.O. Box 42008
Providence, RI 02940-2008
Member FDIC Equal Housing Lender 01 060 00006017548925 000000000005513
. St
MEMBERS 15'
FEDERAL CREDIT UNION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 114183-00
D-ate Account Established 04/17/1990
Principal Balance at Date of Death $5.00
Accrued Interest to Date of Death $0.12
Total Principal and Accrued Interest $5.12
Name of Joint Owner - -Mary-J Ent
Date Joint Ownership Established 04/19/1990
CHECKING ACCOUNT:
Account Number/Suffix 114183-11
D-ate Account Established 09/02/1993
Principal Balance at Date of Death $1,325.85
Accrued Interest to Date of Death $0.00
Total Principal and Accrued Interest $1,325.85
Name of Joint Owner Mary J Ent
Date Joint Ownership Established 09/02/1993
LOAN ACCOUNT:
Account Number/Suffix 114183-25*
Date Opened 04/30/2009
Principal Balance at Date of Death $13,514.98
Loan Type Auto Loan/Contractual Pledge of Shares
Collateral Secured 2009 Dodge Grand Caravan
Interest Rate 7.40%
Name of Co-Borrower None
*Loan Does Not Have Life Coverage
LOAN ACCOUNT:
Account Number/Suffix 114183-27*
Date Opened 06/2212012
Principal Balance at Date of Death $8,768.96
Loan Type Unsecured Loan/Contractual Pledge of Shares
Name of Co-Borrower None
*Loan Does Not Have Life Coverage
k E S 1sT FEDERAL CREDIT UNION
erson
Lending Insurance Support Specialist
July 9, 2013
Estate of: JOHN W ENT
Date of Death: 0 411 712 01 3
Social Security Number: 200-22-6096
5000 Louise Drive * P.O.Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • www.mernberslst.org
St
MEMBERS 1"
FEDERAL CREDIT UNION
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 1333-15-00
D-ate Account Established 06/15/1993
Principal Balance at Date of Death $322.73
Accrued Interest to Date of Death $0.02
Total Principal and Accrued Interest $322.75
Name of Joint Owner None
MEMBERS 1sT FEDERAL CREDIT UNION
9
nderson
Lending Insurance Support Specialist
July 9, 2013
Estate of: JOHN W ENT
Date of Death: 04117/2013
Social Security Number: 200-22-6096
5000 Louise Drive • P.O.Box 40 • Mechanicsburg,Pennsylvania'17055 • (800) 283-2328 • www.memberslst.org
STATE OF Pennsylvania
IN RE: ESTATE OF IN TI IE REGISTER OF"'ILLS
JOHN W ENT C1.1MI ILAND COIN]
STATEMENT OF CLAIM
A IS Recovery Solutions,LLC,servicer on behalf of Bank of America
1. hereby presents for filing against the above
estate this statement of claim in the amount of$ $6,632.36
2. The basis for the claim is account number 4313072999301982 which was open on
2/28/2007 .
3. The name and address of the claimant is AIS Recovery Solutions.LLC,servicer on behalf of Bank of America
P.O.Box 248852,Oklahoma City,OK 73124
4. This claim IS NOT contingent
5. This claim IS NOT secured
6. The last payment made on the account was $ $150.00 on 4/13/2013
7. Please send payments to AIS Recovery Solutions,LLC,servicer on behalf of Bank of America
P.O.Box 248852
Oklahoma City,OK 73124
1-888-2214299
Please write the above account number on your check.
Under penalties of perjury,I declare that I have read the foregoing,and the facts alleged are true,to the
best of my knowledge and belief.
Executed this 17 day of July 2013
AIS Recovery Solutions,LLC,servicer on behalf of Bank of America
Claimant Name: Craig Smith (�`•
Claimant Signature: \y
UNITED oO LIPS F2 INSURANCE COMPANY
Mutual of Omaha Plana
Omaha,NE 68175
MURM7l°/Omad 402 342 7600
mutualufomaha.com
July 4, 2013 `
r
MELANIE FISHER
603 S YORK ST
MECHANICSBURG PA 17055
Coverage ID: 9221978
Dear Ms. Hoffman:
As of today, we have not received a reply to our letter of May 31, 2013. Please let me explain.
A letter was sent to you on May 31, 2013 advising that the last loan interest payment did not
clear so a request for a refund of the loan interest payment in the amount of$209.11($104.55 is
your portion) was made.
Unfortunately, if we have not received a reply to our request within the next 21 days, we will
need to take the necessary steps to turn this over to the Collection Agency for further handling.
If you have any questions,please feel free to contact us at(888)193-6902:
Sincerely,
Sjp&� / W&"S&�/
Sandy K. Wichtner
Sr. Claim Analyst
Individual Life Claims
ECS 130706043017000001
020200000000000000
STATEMENT
Thornwald Home
442 Walnut Bottom Road Statement Date: 08/01/2013
Carlisle, PA 17013
Telephone: (717) 249-4118 Due Date: 08/25/2013
Amount Enclosed$
Amount Due: $ 56.00
Account #: 20061
John Ent RE: John Ent
603 S York St
Mechanicsburg, PA 17055
Date Days
Description Quant Rate Cha es Payments Balances
Balance B/F 56.00 56.00
Current 31-60 Days 61-90 Days Over 90 Days Amount Due
.00 .00 .00 56.00 56.00
Payments MUST be received BY the 25th of each month.
Attention: MA recipients Statement Date: 08/01/2013
Documentation MUST be received in order to receive credit on a monthly
basis. _ Due Date: 08/25/2013
John Ent- Account #: 20061
Thornwald Home
442 Walnut Bottom Road
Carlisle, PA 17013
Telephone: (717) 249-4118
gill WK-0.009111 11
WI
Department of the Treasury Notice CP521
Internal Revenue Service Tax Year 2012
I7� Andover, MA 01810-9041 Notice date July 31 2013
i S Social Security number 200-22-6096
To contact us Phone 1-800-829-0922
Your Caller In 567587
043794.351648.0149.004 1 AT 0.384 700 Page I of
II�IIII��I'I1I111���IupI�I�I"I �I'��I'��'�IJ�91.I�IIld.1.n
(III IIIIIIIIIIIIIIIII IIIIIIIIIII IIIII II
JOHN W ENT *200226096101*
603 S YORK ST
043794 MECHANICSBURG PA 17055-6401038 .
-_._- Your_instaftentagreement-
Monthly payment due: $400.00
Thank you for your last payment of$100.00, Billing Summary
received on April 9, 2012.
Your monthly payment of$400.00 is due on Tax you owe $4,260.63
August 14, 2013. If you can't pay your monthly Failure-to-pay penalty 15.52
bill by this date,call us at 1-800-829-0922 to Interest charges 29.50
discuss your situation. Remaining Balance $4,305.65
Monthly payment due by August 14, 2013 $400.00
If we don't hear from you If you don't pay$400.00 by August 14, 2013,you may default on your agreement,
interest will increase, and additional penalties may apply.
-------- Continued on back...
1035 YORK Notice CP521
603 5 MECHANAKSi Notice date July 31, 2013
IRS MECHMllCSA AG PA 1)0556401038
Social Security number 200-22-6096
,111 Irk t'T4 + 11+ IPR�11 111 Make your check or money order payable to the United States Treasury.
• Write your Social Security number(200-22-6096),the tax year(2012),and the form
Payment number(1040A)on your payment and any correspondence.
Monthly payment due by $400.00
August 14, 2013
INTERNAL REVENUE SERVICE
P.O. BOX 37004
HARTFORD, CT 06176-0004 -
„pt.tlldrgllu.,.11gwupr•q,q•,nlllrhrhhh•q•h
200226096 ZV ENT 90 0 201212 670 00000040000
7601
Capifa j- t ANNUMM
t a7mr
Account No. Remaining Balance Reference No. For the Estate of:
************0092 $1625.03 20128473 JOHN
ENT
September 13,2013
Dear ANDREW CHARLES SHEELY:
Toll-Free: 855-234-1142
Fax: 877-326-5689
We wish to talk to the person handling the estate of JOHN ENT. If you are not that
person,we'd appreciate it if you'd please call us with the contact information for that
individual.
You can reach us toll-free at 1-855-234-1142. Our office hours are indicated to the right.
If you have any questions,we're here to help.
Cordially,
Capital One Estates Care Team
7:00 am-7:00 pm CT(M-Th)
7:00 am-5:00 pm CT(F)
Please accept this letter as a notice of claim.
NOTICE: PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION a•
7601 Penn Ave South,
Suite A650
***Detach Lower Portion and Remm with Payment*** Minneapolis,MN 55423-5007
Capital One Reference #: 20128473 Client ID: ZCAP12
�. 7601 Penn Ave South Unpaid Balance: $1625.03
Suite A650 Checks Payable to: Capital One
Minneapolis,MN 55423-5007
Address Service Requested Amount Enclosed: $
IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIII I III
September 13,2013
rdhu'111111111'111.11111 l'1111111'1'11"^ll'rvPu9111' 12818-9
The Estate of JOHN ENT Capital One
8 ANDREW CHARLES SHEELY P.O. BOX 815
t�cxxuu Po Box 95 Minneapolis MN 55440- 815 0
MECHANICSBURG PA 17055-0095
i t u 1 11 11f III I lI III t t I mil I I I I III
0
a
20128473 0092 52834-399-9
7601 PENN AVE S, Sure A600
Mlnneavous, MINNESOTA 5542542
3-5004
sery ces
September 13, 2013
Re: the Estate of Dear Sir or Madam:
JOHN ENT
On behalf of our client Chase Bank USA N.A., we offer condolences for the loss of JOHN ENT,
Our Client: who was a valued customer.
Chase Bank USA N.A. We are attempting to collect a balance remaining on a credit account from the assets of the
estate of JOHN ENT. This company is a debt collector and any information obtained will be
Account #: used for that purpose. We are contacting you only in your capacity as Personal
************1767 Representative or attorney for the estate. We are not holding you personally responsible for
the balance. We are seeking payment from the assets of the decedent's estate. Please
Reference #: accept this letter as a Notice of Claim on behalf of our client.
9216395 You have the right to dispute the validity of this debt or any portion of it. We will assume this
debt to be valid unless you do so within 30 days after receipt of this letter. If you do so in
Unpaid Balance: writing within that time frame, we will obtain verification and mail it to you. If you send a
$4900.99 written request within the same time frame, we will provide you with the name and address
of the original creditor, if different from the current creditor.
Please contact us. On behalf of the estate, you may:
1. Complete the payment slip below and mail it and a check made payable to DCM
Services LLC in the envelope provided. DO NOT SEND CASH.
2. Call us toll-free at 1-855-234-1135. We have a number of payment options available.
3. Call us with a probate case number and/or trust information, if applicable.
If you are not the one handling decisions about the outstanding bills of the estate, fill in
the form at the bottom of the reverse side of this letter and return it to us in the
envelope provided.
Respectfully,
DCM Services, LLC
7 am- 7 pm CT M-TH
7 am- 5pm CT -
Telephone: 612-243-8620
Toll-Free: 855-234-1135
Fax: 877-326-8784
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION -Side 1 of 2-
"'Detach Lower Portion and Return with Payment-
DCM SERVICES, LLC
7601 PENN AVE S, SUITE A600 Reference #: 9216395 Client ID: IPMC11
• MINNEAPOLIS, MN 55423-5004 Unpaid Balance: $4900.99
ADDRESS SERVICE REQUESTED Checks Payable to: DCM Services LLC
IIIIIIIIIIIIDIIIMI 11111111111111111111111111111111111111111111111111111111111111 Amount Enclosed: $
September 13, 2013
_60
The Estate of JOHN ENT DCM Services/Chase
Attn:ANDREW CHARLES SHEELY PO BOX 1473
PO BOX 95 Minneapolis MN 55440-1473
MECHANICSBURG PA 17055-0095
1t�t�n�t�u�u�i�u���uuu��r�u
9216395 17 6 7 9685.7007-60
NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. § 3532)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF JOHN W ENT, DECEASED
No. 212013-00645
To the Clerk of the Orphans' Court Division:
Enter the claim of AscensionPoint Recovery Services.LLC on behalf of Citibank N A -THE HOME DEPOT
XXXXXXXXXXXX6659
(Claimant)
in the amount of$ $5.808.67 against the above entitled Estate.
The Decedent,who resided at 603_S YORK ST,MECHANICSBURG PA
(Street Address)
17055-6401.died on 04/17/2013. Written notice of said claim was given to
(Date of Death)
DEBORAH J.HOFFMAN
(Personal Representative or his/her counsel)
at 111 SOUTH GEORGE STREET.MECHANICSBURG PA 17055
(Address)
on 6/18/2013.
(Date) / Representative
(Claimant) r�
200 Coon Rapids Blvd. Suite 200 r\U
(StreetAddress) Ll
Coon Rapids MN 55433-5876
(City,State,Zip)
Robin Le Donne—IL Bar#6294763
(Claimant's Counsel)
200 Coon Rapids Blvd Suite 200
(Address)
Coon Rapids, MN 55433-5876
888-420-2510
(Telephone)
s
CLM F R M PA_v1.1-20121120
- MILITARY Page 1 of 6
Goring Date 12 April 2013
Account# 6019 4406 0273 3093
STAR® Name JOHN W ENT
1 Days in Cycle 31
REWARDS
Statement
Retail
of Account Credit Unlit $8,200.00
Available Credit $7,036.62
Account Summary
Previous Balance $1,253.11 Contact Information
Purchases $0.00
Interest Charges $10.27 Call Customer Service 24/7 Toll Free:1-877-M-7827
Adjustments $0.00 or Visit online:www.milexch.com.
Miscellaneous $0.00 Please send billing inquiries and correspondence to:
Payments -$100.00 Exchange Credit Program
P.O. Box 650410
New Balance $1,163,38 Dallas,TX 75265-0410
Payment Past Due $0.00 For Credit Counseling Services information,call 24/7
Current Minimum Due $0.00 Toll Free at 1-877-891-7827 or visit online at:
Total Minimum Payment Due $0,00 www.lustico.gov/usVeo A)apcpateede/tx_approved.mm
Payment Due Date 12 May 2013 0 MILITARY STAR®REWARDS points have been
transferred to your rewards bank. Please review your
Chase MasterCard®statement or contact Chase at
1-800-524-3883 for more information.
Minimum Payment Warning:If you make only the minimum payment each period,you
will pay more to interest and it will take you longer to pay off your balance.
For Exam
P you make no additional You"llPaYmAnewlance Anoyouvallencluppayingan
charges using this card and shown on this statement in estimated total of:
each nromh you about
*Calculated Minimum 4 Y-ear(s) $1,369.00
Pa eM Due
537.87 3Years $1,356.13
Savin s=$12.87
'Please refer to the Important Notices section of your statement for rrom
Information.
far
° rw.a�a kr�aar�•a�-Seaseaea�,ura,ra�metr�A°Ar'r�at�e' �W
Account# 6019 4406 0273 3093
Payments to your Chase MasterCard®account are not accepted at Exchange New Balance- $1,163.36
locations. Any payments made at an Exchange location will be applied to your Total Minimum Payment Due $0.00
Military Star®Card. To make payments to your Chase MasterCard41 account, Payment Due Date 12 May 2013
please call 1(800)621.58$3 of log onto WWW.Chasexam/MilitarvStar
111g011i MIN IIIR Din II DIIIII11111111 Payment amount
Please make payment to:
Exchange Credit Program
JOHN W ENT Payments in excess of the minimum amount will
603 S YORK ST be applied to interest-bearing plans first:
MECHANICSBURG PA 17055-6401
IIIIrhIIIlrrlrlrllllil9rllrlllrlllllllr111149rlIIllrlgr111
EXCHANGE CREDIT PROGRAM
P.O.BOX 740890
CINCINNATI, OH 45274-0890
006019440602733093600000000000
�H
UT/L JT/ES, JNC.
May 22, 2013
JOHN W ENT
603 S YORK ST
MECHANICSBURG PA 17055
Account: 217714121005
603 S YORK ST
iIECIIANTICSBURG PA 17055
Dear Customer:
Your payment in the amount of $135.00 was returned to UGI by your bank for the following
reason: BANK ACCOUNT IS FROZEN.
To avoid any further collection action, we must be reimbursed for the full amount of this check,
plus a $ Returned Payment Processing Charge immediately. Payment must be made by
certified check or money order payable to UGI. Be sure to include the bottom portion of this
letter when sending payment in the enclosed return envelope.
In addition, should another payment be returned,we will require that all future payments
be made by certified or cashier check or money order.
Please call 1-800-276-2722 if you have any questions.
Thank You,
Central Credit Department
JOHN W ENT May 22, 2013
603 S YORK ST
MECHANICSBURG PA 17055
Customer Number: 217714121005
Returned Payment Amount...................$ 135 .00
Returned Payment Processing Charge...$
Payment Due........................................$ 135 .00
Total Payment Enclosed........................$
RETN-DLH-ED Venom
LTR:0062
uP,e3�esRe�M
.'CUrr�� �Gao dwtii?Fire Rescue EMS �s°°x'
Billing Office 13-139244 5/21/2013 $82.80
PO Box 726
New Cumberland, PA 17070-0726
QUESTIONS ABOUT THIS BILL? Phone:877-214-6018 Espanol:866-724-4114 Fax: 717-214-6620 Email: inforllambuiancebiningoffice.com
Date of Service: 4/8/2013 15:00 Please visit our website to provide insurance or make payment, and
Patient Name: ENT,JOHN for additional payment options and frequently asked questions:
From Carlisle Regional Medical Center www.ambulancebillingoffice.com
To: THORNWALD HOME
IMPORTANT
e o na ecerve paymen wr to ays, your account may ere erne to co ectfon ontact our office
to make payment arrangements This service is not covered by most insurance carriers.
4/08/13. Stretcher Van One-Way Transpo A0130 1.0 80.00 80.00
4/08/13 Mileage S0209 1.6 1.75 2.80
Total 82.80 0.00 0.00
DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT.
r','theck deduc[iCn`v�Please"ini}icateyour`ayme�{c ote"beb Umi3E ar�d OdW{II FIFE
-a ndYl"rin'regilir'ed'fnfor"mah ''vif omer a ange I ESCUe EMS '
'-necessary' ase°call, s'at-87721
13-139244 $ 82.80
A
Y ® DISCOVER .
Credit Card; F-1 MASTERCARD F)VISA ❑AMERICAN EXPRESS [71 DISCOVER Amount Paid:
Please make any corrections to address below.
Electronic check Deduction _ JOHN ENT
Please send a voided check OR provide Information bebw: _—— THORNWALD HOME
442 WALNUT BOTTOM ROAD
CARLISLE. PA 17013-3742
+=nh"<o!a:nq nomt)er Cn�rmnb n.cou-t Ivum=er
IVJYK
*Returned checks—You will be responsible for all incurred bank Fees permissible under stall law.
Dept 11576
est Asset
PO Box 1259 .Management,Inc
Oaks, PA 1pp94pp5p6 npNN pp ��pp ��pp 7171 Mercy Rd
PO Box 6
Omaha, NE E
68106
RE: The Estate of: JOHN ENT
01-07-2014 Creditor: USAA
Creditor Account Number: **'****"'*'07917
II'I'��I�l�ll"II"I'l'I�111��'Il��ll�'III"I"IIII�'1�I��I'll'I' 9341-3 Account Number. 223579327
The Estate of: JOHN ENT Service Date:
Qq C/O: ANDREW SHEELY Last Payment Date:
127 S MARKET ST
MECHANICSBURG, PA 17055 Current Amount Due: $13,773.84
Case Number: 2013-00645
Dear Sir or Madam:
We represent USAA and are following up on the above account which is held by USAA. We have filed a claim against
the estate in CUMBERLAND County under case number 2013-00645.
Please provide us with the date the claim will be paid and if you have any questions, contact our office at 866-355-0119.
Our office hours are MONDAY-TUESDAY 7:OOAM -8:OOPM, WEDNESDAY-FRIDAY 7:OOAM - 5:OOPM, SATURDAY
7:OOAM- 11:OOAM CST/CDT.
In your capacity as the personal representative, executor or person with authority to pay from the assets of the decedent,
you are not personally responsible for the bill.
Please make payment to:
WEST ASSET MANAGEMENT, INC.
P.O. BOX 956842
ST. LOUIS, MO 83195
Sincerely,
WEST ASSET MANAGEMENT, INC.
866-355-0119
This is-an attempt to-collect a debt and any information obtained will be used for-that purpose. This communication is
from a debt collector. To ensure professional service and legal compliance, all incoming and outgoing telephone calls to
West Asset Management, Inc. are subject to recording and/or monitoring.
*Notice -See Reverse For Important Information
1011 3.9341-FUCLM
FORM 93-0. C. DIVISION
IN THE COURT OF COMMON PLEAS
f QF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE
OF Estate No. 2013-00645
JOHN ENT
(Deceased)
CLAIM
To the Clerk of Orphans' Court Division:
Index and make proper entry in your official records of the claim of WEST
ASSET MANAGEMENT, INC. for USAA, (Claimant) account#7917, in the
amount of$13,773.64, against the above named decedent.
This claim is filed under Section 732 (b) (2) of the Fiduciaries Act of 1949 as
amended.
The said decedent, who resided at 603 S YORK ST, MECHANICSBURG
PA 17055-6401, died on 04-17-2013.
Written notice of this claim was given to MELANIE FISHER. at 603 S YORK ST,
MECHANICSBURG, PA , if an , o 06-2b-2013.
ou -el). u Amv
(Personal representative, if any, or counsel).
(Claimant)
West Asset Management, Inc.
7171 Mercy Road, PO Box 6183
Omaha, Nebraska 68106-0183
1-800-878-3317
(Claimant's Address)
C ap�na
Best Buy Account Statement
Account Number 7001-191949603783
Page I of 2 From February 16 2013 to March 19,2013
Previous Balance $259.79 New Balance $288.02
Payments $0.00 Minimum Payment Due $56.00
Other Credits $0.00 Payment Due Date April 13,2013
PurchasestErebits + $0.00
Past Due Amount $25.00
Fees Charged + $26.00 Late Payment Warning:If we do not receive your minimum payment by the
Interest Charged + $3.23 date listed above,you may have to pay a late fee of up to$35.013 and your APRs
New Balance $288.02 may be increased to the Penalty APR of 29.99%.
Credit HMit $3.300.00 Minimum Payment Warning:It you make only the minimum payment each
Credit Available $3,011.98
Statement Closing Date Ma period,you will pay more in Interest and it will take you longer to pay off your
March 19,2DI 3 Days in Billing Cycle 32 balance.For example:
If you make no You Will pay off the And YOU will end up
additional charges using balance shown on this paying an estimated
this card and each statement it total Of..
Moto you pay...
Payment $348
2 Only the minimum 13 Months
o S
If YOU Would like Information about credit counseling services call in
14366-569-2227.
Questions? Payment Address:Capital One Retail Services,PO Box 71106,Charlotte,NC
Customer Service 1-800-365-0292 28272-1106
TDD/Headng Impaired 1400365-01861 . Billing Inquiries:Retail Services,PO Box 5893,Carol Stream,IL 60197-5893
Manage Your account online at wvnvArsaccount.comillbestbuy
ago
As a reminder,you may pay your credit card bill online or through our automated phone system for no fee.
How We Apply Your Payments:We apply the amount of your payment equal to the Minimum Payment Due at our discretion and generally to lower APR
balances before higher APR balances.If you pay more than the Minimum Payment Due,we will apply the excess amount to your highest APR balances
before lower APR balances.If you have any Same As Cash Credit Plans,during the final two complete billing cycles and up to the expiration date,we
will apply any payments received In excess of the Minimum Payment Due to these expiring Sam As Cash Credit Plans first,in order of expiration.This
will give you the opportunity to pay off your Same As Cash balance before the promotion expiration date.At other times,we will treat your Same As
Cash Credit Plans as having a 0%APR for purposes of detemnining payment application.
YOU CAN TAKE ADVANTAGE OF OUR PAY BY PHONE PROGRAM.AVOID FURTHER COLLECTION ACTIVITY.CALL 1-800-4205981
F-SO-ME
WW==9'M= MRAMMUMMUM
Promotion Expiration Date Promotional Payoff Amount Deferred Interest Promotion Type
04112(2013 $124,71
$18.56 Same As Cash
To avoid paying Deferred Interest Charges,pay your Promotional Payoff Amount of$120.71 by April 12,2013. In addition,minimum payments due must be paid by
the Payment Due Date. If you have Credit Insurance or Debt Protection on your account,the Promotional Payoff Amount to avoid Deferred Interest Charges may not
be the same as the New Balance of your promotional plan.See Credit Plan Information box for further details.
Trans Date Post Date Description of Fees Reference Number Amount
03113113 03113113 LATE CHARGE ASSESSMENT Reg-Purch 10000000010313999752100 $2500
Total Fees for This Period $25.00
Description of Interest Charge Amount
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16 7333 7795
BARRY L HECKARD SR PRESORTED
605 SOMERSET DRIVE 717-766-6205 FIRST CLASS NAIL —
MECHANICSBURG,PA 17055 D.S. POSTAGE PAID
PERMIT NO 303 ..._
Temp-Return Service Requested EBENSBi3RG PA 15931
SCHOOL REAL ESTATE TAX STATEMENT ENCLOSED
"""'AUTO-5-DIGIT 17055 73331 AV 0.360 0.
603§YOORK ST o_�
MECHANICSBURG PA 17055-6401
IdiltfIIIII, �ttt�illt�IJill hhrrr�lrP Hill,IIP111"Il N=
0�
^IIIIIIIIIIIIIIIII8IIIlII Ill 2013 Statement of RE°to Taxes
Control 0-0 04
Control No:020-000146
pABLE Assessed Land Improvement Nlneral Total
1' Valsses 34,,100 1,704 0 36,100
BARRY L HECKARD SR
605 SOMERSET DRIVE 717-766-6205 Di scount MECHANICSBURG AREA S.D. Discot Face Penatily
MECHANICSBURG,PA 17055 Rates .01228900 .01228900 2% 10%
SCHOOL R/E 1 434.76 4d 3.63 487.99
asm ASSESS.NO-20000546
MAP NO: 20-24-0785-426. TAX AMOUNT DUE----> $434.76 $443.63 $487.99
601 S YORK STREET
ACRES 110 DEED 20110/9250 if Paid on or After 7/01/2013 9/01/2013 11/01/2013
&MAPLEWOOD AVENUE If Paid on or Before 8/31/2013 10/31/2013 12/31/2013
LAND LESS THAN 1 ACRE $1.00 FEE FOR EXTRA TAX BILL
AUXiLLARY IMPROVEMENTS RETURN BILL WITH PAYMENT,ENCLOSE SELF ADDRESS STAMP ENV.
IF TAXES ARE IN ESCROW,FORWARD BILL TO MORT.CO.
x ENT JOHN W
rrBx 603 t YORK ST
MECHANICSBURG PA 17055-6401
VICE JULY-AUG TUES&THUR 10-4PM
was SEPT-DEC TUES 10-4PM
CLOSED ALL HOLIDAYS&
CLOSED ELECTION DAY
If paying in installments use the coupons below to submit payments.If paying in full use ONLY the 1ST coupon below to submit payment.
i
Ix YEAR 2013 DATE 7/01/2013 BILL# 823 TAx YEAR 2013 DATE 7/01/2013 BILL# 823 TAx YEAR 2013 DATE 7/01/2013 BILLS 823
IYABLETO PAYABLE TO PAYARLETO
ARRY L HECKARD SR BARRY L HECKARD SR BARRY L HECKARD SR
15 SOMERSET DRIVE 717-766-6205 605 SOMERSET DRIVE 717.766-6205 605 SOMERSET DRIVE 717-766-6205
ECHANICSBURG,PA 17055 MECHANICSBURG,PA 17055 MECHANICSBURG,PA 17055
000146 020 W 6 020 060146
AP# MAPS
1-24-0785-426. 20.24-0785-426. 20-24-0785-426.
•-I SCHOOL
ECHANICSBURG AREA S.D. MEECHANICSBURG AREA S.D. MECHANICSBURG AREA S.D.
PAYE TAXPAYER TAXPAYER
NT,JOHN W ENT,JOHN W ENT,JOHN W
PLEASE RETURN COUPON PLEASE RETURN COUPON PLEASE RETURN COUPON ?
ST WITH FIRST OR FULL PAYMENT 2ND WITH SECOND PAYMENT 3RD WITH THIRD PAYMENT
$147.86 ON OR BEFORE 8/31/2013 $147.86 ON OR BEFORE 9/30/2013 $147.91 ON OR BEFORE 10/31/2013
STALLMENTS CANNOT START AFTER 8131/2013 $162.65 AFTER 10/31/2013 $162.69 AFTER 10/31/2013
OR
ILL PAYMENT AMOUNT 1 AY BY
DISCOUNT _ 434.76 X31/2013
FACE $443.63 110431/2013
PENALTY $4$7.99 12/31/2013j
16 7333 7796
BARRY L HECKARD SR PRESORTED
605 SOMERSET DRIVE 717-766.6205 Pxxs2 CLASS MAxL
MECHANICSBURG,PA 17055 u.s. POSTAGE PAID y
PERMIT NO 303
Temp-Retum Service Requested EBENSBORG PA 15931
SCHOOL REAL ESTATE TAX STATEMENT ENCLOSED
"*"*"**'****AUTO` 5 DIGIT 17055 7333 t AV 0.360 n.
6 3T§JYOORK ST C2�
MECHANICSBURG PA 17055-6401
l.!!lEFFt���dpEltr�EHd(tlt�EtFIi�II'iE'�t(E!!!h'!�lt��"�I" m
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IIIIIIIIIIIIIIIiIIIIIiIIIlll 0,3 StatemntofA eaRI Estate Taxes Bill Date: 7/01/023
Control No:020-000147
YnEiE Assessed Land Improvemeat Mineral Total
BARRY L HECKARD SR values 37,600 124,700 0 167,300
605 SOMERSET DRIVE
MECHANICSBURG,PA 1 7055 77-766-6205 MECHANICSBURG AREA S.D. Discount Face Penalty
1
Rates .01228900 .01228900 2 6 10 4
sot ASSESS.NO-20000547 SCHOOL a E 2,014.83 2 055.95 2,261.55
MAP NO: 0.24-0785-427. _
603 S YORK STREET
ACRES .110 DEED 20110'9250 TAX AMOUNT DUE----> $1,896.13 $1,934.83 $2,128.31
LOT 6&7 PS 2 PG 31 If Paid On or After 7/01/2013 9/01/2013 Sl/02/2013
RESIDENTIAL 1 FAMILY if Paid On or Before 8131/2013 10131/2013 12/31/2013
$1.00 FEE FOR EXTRA TAX BILL
RETURN BILL WITH PAYMENT,ENCLOSE SELF ADDRESS STAMP ENV.
K ENT JOHN W IF TAXES ARE IN ESCROW,FORWARD BILL TO MORT.CO.
YER 603§YORK ST
MECHANICSBURG PA 17055-6401
NOTICE OF PROPERTY TAX RELIEF
F�E JULY-AUG TOES&THUR 10-413M Your enclosed tax bill includes a tax reduction for your homestead and/or farmstead
urs- SEPT-DEC TUES 10-4PM property. As an elf lots homestead and/or farmstead property owner,you have received
CLOSED ALL HOLIDAYS& tax relief through a homestead and/or farmstead exclusion which has been provided
CLOSED ELECTION DAY under the Pennsylvania Taxpayer Relief Act,a law passed by the Pennsylvania General
Assembly designed to reduce your property taxes.
If paying in installments use the coupons below to submit payments.It paying In full use ONLY the 1ST coupon below to submit payment.
XYEAR 2013 DATE 7/01/2013 BILL# 824 TAxYEAR 2013 DATE 7/01/2013 BILL# 824 TAXYEAR 2013 DATE 7/01/2013 aw 824
YAAl P'f0 PAYABLE PO PAYABLET0
ARY L HECKARD SR BARRY L HECKARD SR BARRY L HECKARD SR
5 SOMERSET DRIVE 717.766-6205 605 SOMERSET DRIVE 717-766-6205 605 SOMERSET DRIVE 717-766-6205
ECHANICSBURG,PA 17055 MECHANICSBURG,PA 17055 MECHANICSBURG,PA 17055
4TR9_L$ - CONTROL#
0 000147 020 000147 0200 0�6 47
MAP#
-24-0785-427. 20-24-0785-427. 2M0-24-0785-427.AIM
,HOOL SCHOOL ISCHO OL
CHANICSBURG AREA S.D. MECHANICSBURG AREA S.D. MECHANICSBURG AREA S.D.
PAY TAXPAYER ]AX PAY-E
IT,JOHN W ENT,JOHN W
ENT,JOHN W
PLEASE RETURN COUPON PLEASE RETURN COUPON PLEASE RETURN COUPON
5T WITH FIRST OR FULL PAYMENT 2ND WITH SECOND PAYMENT 3RD WITH THIRD PAYMENT
$644.88 ONION BEFORE 8/31/2013 $644.88 ON OR BEFORE 9/30/2013 $645.07 ON OR BEFORE 10/31/2013
TALLMENTS CANNOT START AFTER 8/31/2013 $709.37 AFTER 10/31/2013 $709.57 AFTER 10/31/2013
OR
LLPAYMENT AMOUNT PAY BY
DISCOUNT $1,896.13 1 843112013
AC
E $1,934.83 20 31 2413 "
PENALTY $2,128.31 12 31 2013
yBARRY L HECKARD SR TAX COLLECTOR TAXPAYER'S COPY
605 SOMERSET DRIVE
MECHANICSBURG,PA 17066 I KEEP THIS PORTION FOR YOUR RECORDS,
TEMP -RETURN SERVICE REQUESTED
rli�lill�l�rl°rillinhirhllllllR�rihllrlllldrllrl„I,I,
059626"`"*”"""*"'AUTO'*6-DIGIT 17055
ENT,JOHN W I�IINIIIIII � I��IIIIIA fitl
603 S YORK ST
MECHANICSBURG PA 17055 4441
To review the assessment data for this ppropert yy, go to:
www.cou rthouseonli ne.com>AssessmentOffice>Cumberrand>PropeltyRecords
Then enter control# 20000646 and Password CUDSJAYC
Payable To: BARRY L HECKARD SR TAX COLLECTOR Office Hours: MAR-APR TUES&THURS 10AM-4PM
605 SOMERSET DRIVE MAY-DEC TUES 10AM-4PM
MECHANICSBURG,PA 17055 CLOSED ALL HOLIDAYS,MAR 7.8;
JUNE 24-28;ELECTION DAY Bill No: 830
PHONE(717)766-6205 Bill Date: 3!1113
Control No: 20000546
MAP NO: 2044-0785.426.
Desc: 601 S YORK STREET Assessed Value: Land:34,400 Improvement:DiscDisc 1,700 Total:36,100
&MAPLEWOOD AVENUE Discount Face ena y
LAND LESS THAN 1 ACRE County RE 2.131 $75.39 $76.93 .6
Acres 0.11 Deed 261109266 County Lib 0.143 $5.06 $5.16 $5.68
Munic.R/E 2.58 $91.28 $93.14 $102.45
$1.00 FEE FOR ADDITIONAL RECEIPTS
Tax Payer:
ENT,JOHN W _ "'.--_..... ...... ._ _
603 S YORK ST TAX AMOUNT DUE $171.73 $175.23 $192.75
MECHANICSBURG PA 17055-0401 If Date Of Payment is on 311113 thm 4/30113 511113 thru 6130!13 71113 ater
rr^ r • s
Cumberland County Pennsylvania
TAX COLLECTOR COPY-RETURN WITH PAYMENT FOR PROPER CREDIT Bill No 630
ENT,JOHN W 601 S YORK STREET Bill Date: 3/1113
603 S YORK ST &MAPLEWOOD AVENUE Control No:20000546
MECHANICSBURG PA 17055-0401 LAND LESS THAN 1 ACRE MAP NO:20.24-0785-426,
Acres 0.11 Deed 201109250
Payabie To: Assessed Value; Land:34,400 Improvement:1.700 Total:36,100
BARRY L HECKARD SR TAX COLLECTOR Discount Face Penalty
605 SOMERSET DRIVE
MECHANICSBURG,PA 17055 County RE 2.131 $75.39 576.93 $$4.62_.
County Lib 0.143 $5.06
PHONE(717)766-0206 Munic-RIE 2.58 $91.n 1A S462.45
1111111111111111111111111111111111111111111 V
i TAX AMOUNT DUE $171.73 $175.23 $182.75
If Date of Pavment Is On 3/1113 thru 4130113 611113 thru 6130113 7/1113 or Later
• BARRY L HECKARD SR TAX COLLECTOR TAXPAYER'S COPY
605 SOMERSET DRIVE
MECHANICSBURG,PA 17065 KEEP THIS PORTION FOR YOUR RECORD
TEMP - RETURN SERVICE REQUESTED
rII�gIIrI�II,�rIllhdrhlulPlllhIII�IIriIIhlrlPl"I�I�
059629........—AUTO-6-DIGIT 17055
MECHANICSBURG PA 17055-6401 II"II�IIIII VIII VIII IIf I�IIIII VIII IIII III II"JOHN W
603 S YORK ST
To review the assessment data for this propert y, go to:
www.cou rthouseon line.com>AssessmentOffice>Cum berland>PropertyRecords.
Then enter control# 20000547 and password CUUQFRBL
Payable To: BARRY L HECKARD SR TAX COLLECTOR Office Hours: MAR-APR TUES&THURS 10AM-4PM
605 SOMERSET DRIVE MAY-DEC TUES 10AMAPM
MECHANICSBURG,PA 17055 CLOSED ALL HOLIDAYS,MAR 7-8;
JUNE 24-28;ELECTION DAY Bill No 831
PHONE(717)766-6205 Bill Date: 3/1/13
Control No: 20000547
MAP NO: 20-24-0785-427.
Desc: 603 S YORK STREET Assessed Value: Land:37,600 Improvement: 129,700 Total: 167,300
LOT 6&7 PB 2 PG 31 Discount Face ena y
Acres 0.11 Deed 201109250 County RE 2.131 $349.39 $366.62 $392.17
County Lib 0.143 $23.44 $23.92 $26.31
Munic.R/E 2.58 $423.00 $431.63 $474.79
$1.00 FEE FOR ADDITIONAL RECEIPTS
Tax Payer:
ENT,JOHN W TAX AMOUNT DUE
603 S YORK ST $795.83 $812.07 $893.27
MECHANICSBURG PA 17055-0401 If Date Of Pa ment is on 3/1113 thru 4130/13 5/1113 thru 6130/13 7/1/13 or Later
r•• r
Cumberland County Pennsylvania
TAX COLLECTOR COPY-RETURN WITH PAYMENT FOR PROPER CREDIT Bill No: $31
ENT,JOHN W 603 S YORK STREET - Bill Date: 3/1/13
603 S YORK ST LOT 6&7 PB 2 PG 31 Gontrol No 20000547
MECHANICSBURG PA 17055-0401 Acres 0.11 Deed 201109250 MAP NO: 20-24-0785-427.
Payable To: Assessed Value: Land:37,600 Improvement:129,700 Total: 167,300
BARRY L HECKARD SR TAX COLLECTOR Discount Face Penalty
605 SOMERSET DRIVE Count RE 2.131 $349.39 $356.52 $392.17
MECHANICSBURG,PA 17055
County Lib 0.143 $23.44 $23-92 S26.31
PHONE(717)766-6205 Munic.RIE 2-68 $423.00 SA-4163 S474 7A
I IIIIII VIII VIII VIII(IIII VIII VIII Ilili IIII IIII
TAX AMOUNT DUE $795.83 $812.07 $893.27
If Date of Payment Is On 3/1113 thru 4130 511/13 thru 6/30113 711/13 or Later
• BARRY L HECKARD SR TAX COLLECTOR TAXPAYER'S COPY
605 SOMERSET DRIVE KEEP THIS PORTION FOR YOUR RECORDS
MECHANICSBURG,PA 17055
TEMP - RETURN SERVICE REQUESTED
rl( IIII I IIr rlllhd IIIUIPI°I
111,111-11
097085"...........—AUTO"5-DIGIT 17055
JOHN W ENT
603 S YORK ST
MECHANICSBURG PA 17055-6401 1111111 IIIII ll11111111gill gilNIIII VIIIII�i llll 1111
Payable To: Office Hours: MAR-APR TUES&THURS 10AM4PM Bill No: 1672
BARRY L HECKARD SR TAX COLLECTOR MAY-DEC TUES 10AM.4PM Bill Date: 311/13
605 SOMERSET DRIVE CLOSED ALL HOLIDAYS,MAR 7-8: Control No:16-006316
MECHANICSBURG,PA 17055 JUNE 24-28;ELECTION DAY
PHONE(717)766-6205 OCC
i111I1i111111111111111111I1IIIII IIIIIIll1l111111111111I Discount Face Penalty
COUNTY PC $4.90 $5.00 $5.50
$1.00 FEE FOR ADDITIONAL RECEIPTS MUN PC $4.90 $5.00 $5.50
Tax Payer:
JOHN W ENT TAX AMOUNT DUE $9.80 $10.00 $11.00
603 S YORK ST If Date of Payment Is on 3/1/13 thru 4130/13 5/1113 thru 6130113 711/13 or Late
MECHANICSBURG PA 17055-6401
rr• r
Cumberland County Pennsylvania
1 • . • :. -.
TAX COLLECTOR COPY- RETURN WITH PAYMENT FOR PROPER CREDIT Bill No 1672
JOHN W ENT Bill Date: 311/13
603 S YORK ST Office Hours: MAR-APR TUES&THURS 10AM 4PM Control No: 16-006316
MECHANICSBURG PA 17055-6401 MAY-DEC TUES 10AM-4PM
CLOSED ALL HOLIDAYS,MAR 7-8;
JUNE 24-28;ELECTION DAY
Payable To: OCC
BARRY L HECKARD SR TAX COLLECTOR
605 SOMERSET DRIVE Discount Face Penalty MECHANICSBURG,PA 17055 COUNTY PC $4.90 $5.00 $5.50
PHONE(717)766-6206 MUN PC $4.90 $5.00 $5.50
1111ii1IIIIIIIII IIIIII IIIII Hill 1111111111111111111I11I
TAX
Date of MOmNTI DUE 311/13 thru 4/30113 5/1/13 thru 6301 3 7/1113 or Later
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF:
FILE NUMBER:
John W Ent 21-13-0645
T2. Melanie ME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY RELATIONSHIP oNot List TOrustee s) AMOUNTST SHARE
Trustee(s) OF ESTATE
IBUTIONS[Include outright spousal distributions and transfers under
Sec. 9116(a)(1.2).)
I. offman, 111 South George Street, Mechanicsburg,PA 17055 Daughter 50%
sher,603 South York Street, Mechanicsb urg, PA 17055 Daughter 50%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH IS OF REV-1500 COVER SHEET,AS APPROPRIATE.
11 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.