HomeMy WebLinkAbout01-30-14 (2) � 15�5610143 }
REV-'1500 �`�°�-,,, �- .
OFFICIAL USE ONLY
PA Department of Revenue pennsylvania cou�cy code Year File Number
Bureau of Individual Taxes °EPA�"�TOF�
PO Box2soso� INHERITANCE TAX RETURN 21 13 0569
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Sociai Security Number Date of Death Date of Birth
05 14 2013 05 26 1916
Decedent's Last Name Suffix Decedent's First Name MI
MILLER DOROTHY S
(if Appiicable)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 Retum � 2. Supplementai Retum � 3. Remainder Return�(Date of Death
Prior to 12-13-82)
� 4. Limited Estate � 4a.Future Interest Compromise � 5. Federal Estate Tax Retum Required
(date of death after 12-12-82)
� g. Decedent Dfed Testate � 7• �qteia�e�o a�of T�ust a�iving Tn,st � 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) PY )
� 9. Litigation Proceeds Received � 10•b�NveenP2 3191 an�iTDa95�f Death � 1�.Election to tax under Sec.9113(A)
(Attach Schedule 0)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATi�I SHOULD BE DIRECTED TO:
Name D�ime Telephc�Number�
ROGER M MORGENTHAL �1�) 2� 2��
, '�v � .,,,,,, C�,
� E�'S�R O�IILL��NLY
� � � � �
�
First Line of Address � � -�y � �
4431 N FRONT STREET 3RD , � � � ;� �
i � � � �" �
Second Line of Address �.
� � � �
DATE FILED
City or Post Office State ZIP Code
HARRISBURG PA 17110 �
Correspondent's e-mail address:
Under penalties of perjury,i declare that I have examined this retum,inGuding accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete,DeGaration of preparer otF�er than the persqnal representative is based on all information of which preparer has any knowledge.
SIGNATU F PERSON RESPONSIBLE FOR FILING RETURN DATE
� Greta M. Guilda � ICQ I
ADDR �
125 NorthAate Drive, Camp Hill, PA 17011
SIGNA EPARER OTHER THAN REPRESENTATIVE DATE
Roger M. Morgenthal � f �
ADDRESS
4431 N. Front Street,3rd Floor, Harrisburg, PA 17110
Side 1
� 150561�143 1505610143 J
� �505610243
REV-1500 EX
Decedent's Social Security Number
�ecedent'sName: Millet�� DOPOthy S.
RECAPITULATION
1. Real Estate(Schedule A)................................................. . 1 317,0 0 0 . 0 0
..................................... .
2. Stocks and Bonds(Schedule B)............................................................................. 2. 4 0 8,510 . 31
3. Closely Held Corporation,Partnership or Sole-Proprieto�ship(Schedule C)......... 3. �
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4.
5. Cash,Bank Deposits 8�Miscellaneous Personal Property(Schedule E)............... 5. 37 ,4 95 . 53
6. Jointly Owned Prope�ty(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous��n;Probate Property
� (Schedule G) U Separate Biliing Requested............ 7. `
g. Totai Gross Assets(total Lines 1 through 7)........................................................ 8. 7 63,005 . 84
9. Funeral Expenses and Administrative Costs(Schedule H).....:.............................. s. 3 9,2 41 .2 4
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 3 5 4 . 8 8
11. Total Deductions(total Lines 9 and 10)................................................................ ��. 3 9,5 9 6. 12
12. Net Vatue of Estate(Line 8 minus Line 11).......................................................... 12. 7 2 3,4 0 9 . 7 2
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J)............................................... 13. 4,0 0 0 . 0 0
14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 719,4 0 9 . 7 2
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 �5 0 . 0 0
(a)(1.2)X.00
16. Amount of Line 14 taxable 717 ,4 0 9. 7 2 16. 3 2 ,2 8 3 . 4 4
at lineal ra#e X .045
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X.15 2 , 0 0 0 . 0 0 �s. 3 0 0 . 0 0
19. TAX DUE................................................................................................................ 19.
32,583 . 44
. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. �X
Side 2
� 1505610243 1505610243 J
REV-1500 EX Page 3 File Number 21-13-0569
Decedent's Complete Address:
DECEDENT'S NAME
Miller, Dorothy S.
STREET ADDRESS
6 Creekside Lane
C��( STATE ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19� (1) 32,583.44
2. Credits/Payments
A. Prior Payments 33,000.00
B. Discount 1,629.17
Totai Credits(A +B) (2) 34,629.17
3. Interest �3�
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) 2,045.73
Check box on Page Z,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5)
Make Check Pa able to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred:............................................................................... x
b. retain the right to designate who shall use the property transferred or its income:.................................. x
c. retain a reve�sionary interest;or............................................................................................................... x
d. receive the promise for life of either payments,benefits or care?............................................................ x
2. If death occurred after Dec. 12, 1982, did decedent transfer propefty within one year of death without
receivingadequate consideration?.................................................................................................................... ❑ �
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ �x
4. Did decedent own an individual�etirement account,annuity,or othe�non-probate property which �
containsa beneficiary designation?.................................................................................................................. ❑ 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994 and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.$.§9116(a)(1.1)(i)].
For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
�72 P.S.§9116(a)(1.1)(ii)�. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax retum are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)J.
. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)J. A sibling is defined,
under Section 9102,as an individuaf who has at least one parent in common with the decedent,whether by blood or adoption.
Rev-1502 EX+(01-10)
SCHEDULE A
pennsylvania REAL ESTATE
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Miiler, Doroth S. 21-13-0569
All real property owned solely or aa 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 seli,both having reasonable knowledge of the relevant facts.
Real property that is jointiy-owned with right of survivorship must be disciosed on schedule F.
Attach a copy of the settlement sheet if the property has been sold
include a copy of the deed showing decedenYs interest if owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Real Estate-ALL THAT CERTAIN piece or parcel of land with a one-story singie family frame 317,000.00
dwelling located at 6 Creekside Lane,Camp Hill, Pennsylvania,known as Tax Parcel No. 10
-20-1846-161,more accurately described in Deed 20-W-845.
TOTAL(Also enter on Line 1,Recapitulation) 317,000.00
(If more space is needed,additionai pages of the same size)
Copyright(c)2010 form software only The Lackner Group,inc. Form PA-1500 Schedule A(Rev.01-10)
SUMMARY OF IMPORTANT FACTS AND CUNCLUSIUNS �
. LOCATION: 6 Creekside Lane
Camp Hill,Pennsylvania
. TAX PARCEL Nf�JMBER: 10-20-1846-161
IMPROVEMENTS: . One-story detached singie-family dwelling.
PROPERTY RIGHTS: Fee simple interest.
OV�TNERSHIP HISTORY: The subject property is owned by Dorothy S. Miller. The
. � property Iast transferred on June.25, 1963 for a reported
� consideration of $37,940 and ownership conveyed on
. . deed reference 20-W-845.
SCOPE OF THE ASSIGTfMENT: The scope of the assignment included an analysis of the
� subject's area, an inspection of t�he subject property, an
� � estimation of the property's highest and best use,
consideration of all three approaches to value, and tlie
application of those relevant to the valuation of the
subject.
_ - CLIENT: The estate of Dorotliy S. Miller.
INTENDED USER: The estate of Dorothy S.Miller.
OBJECTIVE: To estimate the market value of the subject property as
unencumbered. � �
EFFECTIVE DATE: Ma� I4,2013. .
INSPECTION� DATE: Ju1y 25,2013.
HIGHEST AND BEST USE: Continued use as a single-family residence.
COST APPROACH: N.A. � �
�SALES APPROACH: $317,000 � �
INCOME APPROACH: N.A.
FINAL VALtIE CONCLUSION: $317,000
3
THE VALUATION PROCESS
� � The valuation process is defined in The Appraisal of Real Estate as published by the
Appra,isal Institute,as"a systematic set of procedures an appraiser follows to provide answers �
� to a client's questions about real property value." . . . .
It consists of a series of steps tliat are appropriate to a specific and particular appraisal �
assignment that begins witli a client engaging a real.estate appraiser to develop an opinion of
value for a specific property as of a given effective d.a.te and ends when the appraiser.
communicates and reports the fuial conclusions and opinions to the client.
Definition of the Appraisal Problem:
The first step in the appraisal process incl udes the presenta.tion of the following:
1. Identification of the client,the intended use, and the'intended users of the appraisal
� report. �
2. The purpose of the appraisal, including a definition of the value being repvrted.
3. Determination of the effective date of the appraisal report.
4. Extraord.inary assumpfiions that are applicable to the appraisal assigr�ment. .
5. Hypothetical conditions that are applicable to the appraisal assignment.
Scope of�Vork: . � �
. Scope of work is defined in the Uniform Standards of Professional Pra.ctice as being �
"the type and extent of research�and analyses in an assignment." This includes the degree and
extent of research and the data that is deemed as necessary to develop a eredible opinion of �
value for�he property being appraised. � �
� Data Collection and Analysis: .
The appraiser must gather and analy�e market area data, subject property data,and _
comparable property data that is relati�e and relevant to the appraisal assignment. . �
Development and Application of Traditional Approaches to Value:
� The appraiser must con.sider which of the three t�raditional approaches to value are
applicable,relevant,and necessary for developing a credib.le opinion of value for the subj ect �
property. These three traditional approaches to value include the Cost Approach, Sa1es
Comparison�pproach,and Income Capitaliza.tion Approach. When two or more of these
approaches to value a�e deveioped,the appraiser must determine the aanount of.emphasis and
consideration to be given to each of those approaches to value,since one or more may have
. greater significance in the appraisal of a�specific property. � .
Reconciliation of Value Indications and Final Opinion of Value: .
� The final step in the valuation process is the reconciliation of the value indications �
develo�ed by the appraiser. Reconciliation is the analysis of alternative conclusions to arrive at �
a final value estimate. Reconciliation is required because different value indications result
. from the use�of multiple approaches to value and within the application of a single approach.
The final value estimate is not derived simply by applying technical and quantita.tive �
. . � 4
, ,
procedures,rather, it involves the exer�ise of j udgment, and the value conclusion reached must
�be consistent with market thinking
5 . .
' S
APPRAISAL CERTIFICATION �
I hereby certify that upon application for valua.tion by:
� THE ESTATE OF DOROTHY S. MILLER
the undersigned personally inspected the following described property:
All that certain piece or parcel of land, with the improvements thereon erected, situate
� in Hampden Township,Cumberland County,Pennsylvania,bounded and described as follows:
� � Begirming at a point on the eastern line of Creekside Lane at the southern line of Lot
No.68 as shown on the Revised Plan of Section 3,Point Ridge Farms;thence.along the
southern line of Lot No. 68 north 65 degrees 26 minutes east 200 feet�to a point;thence along
the Conodoguinet C�eek south 24 degrees 34 minutes.east 170 feet to a point;thence along the
northern line of Lot No. 66 on said Plan south 65 degrees 26 minutes west 81.54 feet to a point;
.tlience continuing along tlie same north SS degrees 04 mi.nutes west 158.45 feet to Creekside
� Lane;�hence.along the eastern line of Creekside Lane on�a curve to the left having a radius of
150 feet,an arc distance of 77.23 feet to a point;thence continuing along the same north 24
degrees 34 mianutes west 18.11 feet to the place of beginning.
To the best of m}�knov�ledge and belief the statements contained in.this report are true
and correct, and that �either the employment to make this appraisal nor the compensation is
cantingent upon the value repo�ted,�and that in my opinion the Market Value as of May 14,.
2013 is:
. �THREE HUNDRED SEVENTEEN THOUSAND DOLLARS �
. $317,000_ :
The property was appraised as a whole,subj ect to the contingent and limiting conditions
outlined herein. � .
.
� . Larry E. Foote
� � � Pa. Certified General Appraiser
� � . GA 000014-L
� �
� 6 � �
INTENDED USE OF THE�APPRAiSAL
The intended use of this appraisal is to estimate the Market Value of the subject
property as of May 14,2013. � �
Market Value is defined as the most probable price which a property should bring in a
competitive and open market under a11 conditions requisite to a fa.ir sa1e, the buyer and seller,
each acting prudently, knowledgeably and assuming the price is not affected by undue�
stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the
passing of title from seller to buyer under conditions whereby:
, a. Buyer and seller are typically motivated.
. b. Both parties are well informed or well advised, and each acting in what
he considers liis own best interest. .
c. A reasonable time is allowed for exposure i�the open market. '
d. Payment is made in terms of cash in U.S. dollars or in terms of tinancial
arrangements comparable thereto.
e. The �price xepresents the normal consideration for the property sold
. unaffected by special or creative financing�or sales concessions granted
by anyone associated with the sale. .
Source: Office of the Comptroller of the Currency, 12 CFI §34.42(f).
� � HIGHEST AND BEST USE
Highest and Best Use is defined by the Appraisal Terminology and Handbook,
� published by the Appra,isal Institute, as "the most profitable iik.ely use to whi.ch a property can
. be put". The opinion of such use may be based an the highest and most profita.ble continuous
use to which the property is adapted and needed, or likely to be in demand, in the xeasonable
near�future. .
� However, .elements affecting. value that depend upo� events or a combination of
occurrences v�rhich, while within the realm of possibility, are not fairly shown to be reasonably
probable, should be excluded from consideration. Also, if the intended use is dependent on an
� uncertain act�of another person,the intention cannot be considered. �
Based on the above definition and after seeing tlie site,neighborhood; and area,it is my � �
opiniori that the.present use of the subject is its Highest and Best Use.
. 7
H A
OWNERSHIP-HISTORY .
The subject property is owned by Dorothy S. Miller. The property last transferred on
June 25, 1963 for a reported considera.tion of $37,940 and ownership conveyed on deed
reference 20-W-845.
� ESTIMATED MA►RKETING TIME
The reasonable marketing time is an estimate of the a.m.ount of time that it would take to
sell a property at the estima.ted market value during the period of time immediately after the
effective date of the appraisal assignment. It is estimated that if the subject property were
offered for sale at the indicated Market Va1ue, a reasonable marketing time would be six to
twelve months. This estima.te is based upon quarterly sales figures published by Central Penn
Multi List, Inc. � �
ECONOMIC TRENDS
.Histaxically, property values for similar properties have steadily uacreased, with
vacancy rates remaining stable. However, the recent Ia.g in the economy has resulted in a
teveling of appreciation rates and longer marketing times. Financing is readily available to
qualified purchasers at reasona.ble rates and terms. �
� EXPOSURE TIME
The length of time the property being appraised wo�uld have been offered.on the market
� .prior to the hypo�hetical consummation of a sa1e.at the mazket value on the effective date of the
appiaisal. Exposure time is presumed to precede the effective date of the appraisal. The
reasonable exposure period is a function of price,time and use.It is not.an isolated opinion of
time alone. Exposure time is different for various types of property and under various market
conditions.It is a retrospective opinion based on an analysis of past events, assuming a
competitive and open market. It assumes.not only adequate,sufficient and reasonable time but
� adequa.te, sufficient and a reasonable marketing effort.Exposure time and conclusion of value
are therefore interrelated. Based upon the information presented in this report,a reasonable
exposure time for the subject properry is estima.ted to be six to twelve months.
8
S1TE DATA
ADDRESS: 6 Creekside Lane
� TOWNSHIP: Hampden
COtJNTY: Cumberland .
STATE: Pennsylvania
LOT SIZE: .67 acre. .
SEWERS: Public utility.
WATER: Public utility.
ELECTRICITY: PP&L
LANDSCA.PING: Typical for the area,with a sodded lawn,trees and shrubs.
- DETRIMENTAL INFLUENCES
� None. Pride of ownerslup is evident throughout the neighborhood.
DESCRIPTION OF IMPROVEMENTS
GENERAL DESCRIPTION: One-story deta.ched single-family dwelling containing approxi-
ma.tely �,7'70 square feet of gross living area above grade with an attached two-car gara.ge.
CONDITION: Exterior:_Average
� � Interior: Average
ROOMS: First Floor: Living room,dining room,kitchen,three bedrooms and
two fiill bathrooms.
� � � Basement: Full,with a family room,two bedrooms,full bathroom
. and laundry room.
EXTERIOR: Foundation: Concrete block.
� Wa11s: Brick,with aluminum siding on the rear wali and garage.
Sash: Wood-framed., single-glazed,with storm windows.
. Gutters: Aluminuxn,painted.
Roof � Gable,with shingles.
9
, ,
INTERIOR, PRINCIPAL ROOMS: Flooring: Hardwood and carpet.
. Walls: Drywall '
� � � Ceilings: Drywail
� Trim: Wood,painted. �
KITCHEN: Cabinets: Wood, stained and varnished. �
Counters: � Laminate � �
� Walls: Drywall,pai.nted.
Floorin.g: Hardwood blocks.
� . Sink: Double-bowl,stain�ess steel.
BATHROOMS: Flooring: Vinyl �
Walls: Drywall,papered. . -
Bafihtub: B�.ilt-in,with shower or shower stall.. �
Lavatory: Vanity
. Water closet: Two-piece. � �
! . HEATING: Gas-fired hot water.
C�O�,ING: Central air conditiorung. .
HOT WATER: Gas-fired,4U-gallon.
ELECTRIC: Circuit breaker system,200-ampere.
OTHER: There is a gas-fired fireplace in the living r�om and a wood-burning
� � fireplace with a large brick wall in the basement family room. Attached to t he front o f t he
dwelling is a covered porch.
GENERAL CONDITION: All improvements are considered to be in average condition on the
interior and on the exterior,with mechanical systems appearing to be adequa.te and functioning
. . properly. However,there is a considerable amount of pealing paint on the exterior wood trim
� and on�tie wooden shutters. � .
10
THE APPRAISAL PROCESS �
Three approaches to value are generally included in an appraisal report. These
techn.iques include the cost approach, sales comparison approach, and income approach to
value.
� The cost approach to value is based on the assumption that the reproduction cost of a
building plus land value,tends to set the upper limit to value. A key assumption is that a newly
constructed building would have advantages over the existing bui l ding, t here fore an ev a lua tion
focuses upon disadvanta.ges or deficiencies (depreciation) of the existing bu i l d ing compare d to
a new facility. Due to the age of the subject improvements, the cost approach is considered to
be inappropriate and has, therefore, not been included in the development of this appraisal
report. �
. . The sales comparison approach to value assumes that under normal conditions, a given
number of parties acting intelligently and voluntarily, tend to set a pattern from which value
can be estimated. Applica.tion of this approach relies on a comparisori of the subject with a
sufficient number of recent tra.nsactions of comparable properties in the market, based on a
common unit,such as price per square foot of building area.
� The i.ncome approach concerns itself with present worth of the future potential benefits �
of a property. The initial estimate involves the net income, which a fully infonmed person is �
justified in assumixig the property will produce during its remaining useful life. This estimated
net i.ncome is then ca.pitalized into a value estimate, based upon the Ievel of risk as compared
with tha.t of a suxular type and class. Since homes simiiar to the subject are not typically
ut'�lized as.income-producing investment properties,the income approach to value is considered
to be irza.pp�opriate and has, therefore,.not been included in the development of this appraisal
report. . �
� 11
� � a
SALES COMPARISON APPROACH
In arriving at this conclusion of the value of the su�ject property, the appra.iser made a �
survey of properties that have sold in the area of the subject property.
Considerarion was given and adjustments were made on each comparable sale as to
time of sale, size, location, as well as all other factors th.at might affect value. A resume of
� some of the sales considered by the appraiser is as follows: �
� SALE NO. 1: �
. �Location: 4��reekside Lane, Camp Hill.
Date of Sale: August 10,2049. �
Sale Price: $330,000
Size: 1,782 square feet. �
Unit Price: $185.19 per square faot. �
SALE NO. 2:
Location: 2 Creekside Lane, Camp Hi1L .
Date of Sale: February.2,2010.
Sale Price: $310,000 -
Size: 1,650 square feet.
Unit Price: $187.$8 per square foot.
SALE NO. 3:
Location: 25 West Lauer Lane, Camp Hill.
Date of Sale: August 16,2012.
� Sa1e Price: $226,000 � : .
�Size: 1,62? square feet.
. Unit Price: $13 8.91 per squaxe foot. .
The�appraiser, in addition to the sales listed, also considered several additional sales in
arrivi�g at his final opinion of value. On.the Sales Comparison Analysis form that follows this
page are dollar�adjustments reflecting market reaction to those items of sigruficant variation
between the subject and comparable properties. If a significant item in the comparable
property is superior to, or more favorable than, the subject property, a minus (-) adjustment is
�nnade,thus r�educing the indicated value of the subject; if a significant item in the comparable is
inferior to,�or less favorable than, the subject property,,a plus (+) adjustment is made, thus
i.ncreasing the indi�ated value af the subject.
.After making all of the necessary adjustrnents, it.is the appraiser's considered opinion
� that the indica.ted value of the.subject property by the Sales Comparison Approach is$317,000.
. 12
SALES COMPARISON ANALYSIS ,
ITEM � SUBJECT COMPAR.ABLE #1 CC�MPARABLE #2 COMPARABLE #3
� 6 Crcekside Lane 4 Creekside Lane 2 Creekside Lane 25 W.Lauer Lane
Address Camp Nill Camp Hill Camp Hill Camp Hill
Proximity to Subject Next door Two doors away Thra blocks away
Sale Price N.�A. 5330,000 5310,OOU �.�
Price/Sq.FL GLA N.A. 5185.19 5187.$8 S 8.9I
p��r�e Inspection Caurthousc,IvO..S,exterior inspection Courthouse,exterior inspection Courd►ouse,MLS,extuiar insi�tion
ADJUSTMENTS ESCRIPTtON DESCRIPTION S Adjust. DESCRIPTION �Adjust. DESCRiPTION S AdjusG
Sales or Financing Se�ter pd.$1,000 of '
Concessions Nonc None buyer's closing costs -1,000
Date of$ale/Time As of 5-14-13 8-10-09 2=2-10 8-16-12
�� Good,crcek frontage Good,creeic frontage Good,creek frontage Avg.,no crcek front +56,500
Site/View .67 acre .66 acrc .84 acne .47 acre
Design and Appeal On�sWry detached One-story detached One-story detached On�story detached
Construction Brick Stone -5,�0 Brick Brick � .
�c gp y� 50 years • 4l ycars. 55 yeacs .
Condition � Average New roof and furnace -10,000 Similaz Similar
Above C�Cade Tot Bed. Bath Tot. Bed. Bath Tot. �Bed. Bath Tot Bed. Baih
Room Count 6 3 2 6 3 2 6 3 2 6 3 1%a +1,000
Gross(,iving Area 1,77U square feet 1,782 square fcet 1,650 square feet +12,000 i,627 square feet +�14,300
B�ement&Finished 'Full b�r►i.,w/fm.:rm., Full basemerit,70 : � �� Fuil basement,100 FuU bsm�w/�acnily
Rooms Below Gr�de .2'bdcros.,bad��lndr�+. percent finished. ±2,000 percent finished. room,bedroom. +3,000
Fuactiional Utiti Av e Simitar Simiiar � Similar
H ' !Coad' �as hot wtr. cen.AC Similar Similar Similar
/ Two-car ara e Two-car e Two-car Two-car e
����� 2 porches,balcony, Porch,�ncl.porch,
P�� �. p�h Porch enc. r 2 stor bd -3,000 wood deck -2 000
.���r '�ypicai for thc � Similar
Efficiart l�ans 'on. Similar Similar
F' I s wo fi laccs .. �Two laces - Two laces Two laces
Othe�(�.g kitchcn .. . . .... .. . . . .. . .. . . -
equip.,rcmodcling) Built ins. . Similar Similar Similar '
� Net Ad'. total -13 0� +9 000 ,±?t 800
Indicabed Vaiue 3I9 000 297 800
of Su 'cct ' 317 000
. � � FINAL INDICATED�ALUE OF SUBJECT PROPERTY: $317,U00 �
. 13 �
, � CQRRELATION
Correlation may be defined as "the bringing together of parts in a proper relationship."
The arts of this appraisal report are the following approaches to value your appraiser used:
P .
Va1ue Indicated by Cost Approach N.A.
Value Indicated by Sales Comparison Approach $317,000
Val.ue Indicated by Income Approach N.A.
These a roaches are representative of the market value of the subject property. I have
PP
carefully reexamined ea.ch step in each method, and I believe the conclusions accurately reflect
the attitude of typical purchasers of this type property in this neighborhood. It is my belief that
this reexamination has confirmed the original conclusions.
The Cost Approach will result in an excellent estimate if all elements are figured
� accurately, because no prudent.person will pay more for a property tllan the cost to produce a
substitute property with equal desirability and utility.. Purchasers of the type of dwel•ling .
typical of the subject property are more cor�cerned with amenities than w�th hypothetical
re lacement�of the property. Due to the age of the subject improvements,the Cost Approach is
p
considered to be inappropriate and has not been included in this appraisal report.
The�Sa1es Com axison-Approach�was based on several recent sales of properties similar
P
to tliat of the subject; all�of�which are �ocated in the same general area. The adjusted sales
rices are most consistent under comparison. This approach is the most r�liable becau.se it
P
reflects the reactions of typical buyers and sellers in the market. �
The Ineome.A r.oach is most applicable to income producing properties or properties
PP
that are primarily utilized for�income producing purposes. Purchasers of income produc�ng
properties are willing to pay no.more for a particular.property than the net operahng income
will support. �Since the majority of properties similar to,the subject are not utilized for income
producing p�rposes,this approach to value has not been included u1 this apprassal report.
Therefore as a result of th�s appraisal and analysis, it is this appraiser's considered
judgment and opinion that the Market Va1ue of the subject property,as of May 14,2013,1s:
THREE HUNDRED �SEVENTEEN THOUSAND DOLLARS
� $317,000 �
14
UNDERLYING ASSUMPTIONS AND LIMiTING
� CONDITIONS SUBJECT TO THIS APPRAISAL
l. I assume no responsibility for matters legal uz nature, ilor do I render any opinion as to
the title,which is assumed to be marketable. The property is appraised as though under
. responsible ownership.
2. The legal description used herein is correct.
3. I have made no survey of the property, and the boundaries are taken from records
believed to be reliable.
4. I assume that there are no hidden or unapparent conditions of the properry, subsoil or
structures which would render it more or less valua.ble. I assume no responsibility for
such conditions or for engineering which might be required to discover such factors.
5. The infarmation, estimates, and opinions furnished to me and contained in this report
were obtained from sources considered reliable and believed to be true and correct.
However,no responsibility�for accuracy can be assumed by me.
, . . . . . .
6. This report is to be used in its entirety� and only for the purpose for which it was �
rendered.
7. Neither all nor any part of the contents of this repoxt (especially any conclusions as to
value, the identity of the appraiser or the firm with which he is connected) shall be
reproduced, published, or disseminated to the public through advertising media, public
relations media, news media, sales media, or any other public means of communica.tion, �
without the prior written consent and approval of the appraiser.
8. This appr.aisal wa.s prepared under the extraordinary assumption that any easements or
rights of way of record have no adverse impact upon the highest and best use or value
herein reported. A title search was not requested r�or included in the scope of work for
this assignment. � �
9. ThYS appraisal was prepared for the exclusive use of the client idenrified in this appraisal
report. The information and opinions contained in this appraisal set forth the
� agpraiser'�s best-judgment in light of th.e information available at .the time of the
preparation of this.report. Any use of this appraisal by any other person or entity, or .
any reliance �or decisions based on this appiraisal are the sole responsibility and at the
Sole risk of the third party. The�appraiser accepts no responsibility �for damages
svffered by any third party as�a result of reliancE on or decisions made or actions taken
based on this report.
� . 15 �
CERTTFICATE OF A.PPRAISAL �
T certify that,to the best of my knowledge and belief:
�1. The sta.tements of fact contained in this report axe true and correct.
. 2. The reported analysis, opinions, and conclusions are limited only by the reported �
assumptions and limiting conditions and are my personal, impartial, and unbiased
professional analyses,opinions,and conclusions.
3. I have no present or prospective interest�in the property that is the subject of this report �
. and no personal interest with respect to t�ie parties involved.
4. I have no bias with respect to the property that is the subject of this report or to the
parties involved with this assignment.
5. J My engagement in this assignment was not contingent upon developing or reporting
predetermined results: � � .
6. My compensation for completing tlus assignment is not contingent upan the
development or reporting of a predetermined value or dizection in value that favors the
cause of the client,the airiount of the value opinion,the attainment of a stipulated result,
or the occurrence of a subsequent event directly related to the intended use of this
aPpraisal.
7. . My analyses, opinions, and conclusions.were developed, and this, report has been
prepared,in conforn�ity with�the Uniform�Standards of professional Appraisal Practice..
8. I have made a personal inspection of the property that is the subject of this report.
9. No one provided signi�cant real property appraisal assistance to the person sign-
ing this certification. ��
� �
. . .t.�
. ���� .
. .
. � Lany E. Foote � �
. Pa. Certified General Appraiser
� �GA-Q00014-L � � �
_ 16
� ,
PRIVACY NUTICE
Pursuant�to the Granlrn-Leach-Billey Act of 1999, effective July l,2001,apprai.sers,
along with a11 providers of personal financial services are now required by federal law to
inform their clients of the policies of the firm with regard to the privacy of client nonpublic
personal i.nformation. As professionals, we understand that your privacy is very important to
you and are pleased to provide you with this information.
In the course of performing appraisals,we may collect what is known as"nonpublic
personal information"about you. This information is used to facilita.te the services that we
provide to you and may include the information provided to us by you directly or received by
us from others with your authorization.
. We do not disclose any nonpublic personal information obtained in the course of our
engagement with our clients to nonaffiliated third parties,except as necessary or as requi.red by
law. .By.way of example,a necessary disclosure would be to our independent contractors,and
in certain situations,to unrelated tllird party consultants vvho need to know that information to
assist us in providing appraisal services to you. �All of our independent contra.ctors and any
:�� tliird par.ry consultants we engage arE informed that�any information they see as part of an
appraisal assignment is to be mai.ntained in strict confidence within the firm. A disclosure
required by law would be a disclosure by us that is ordered by a court of competent j urisdiction
with regard to a legal action to which you are a party.
�� We will retain records relati.ng to professional services that we have provided to you for
a reasonable time so that we are better able to assist you with your needs. In order to protect .
�iour nonpublic personal information from unauthorized access by third pa.rties, we maintain
physical,electronic and procedural safeguards that comply with our professional standards to
insure the security and integrity of your i�fonnation. -
. . . 17 .
,
� � LARRY E. FOOTE
REAL ESTATE APPRAISER
EXPERIENCE:
1979-Present: Chief Appraiser,Diversified Appraisal Services,Carlisle, Pa.
. � Principal Broker,LaRue Development Company,Carlisle, Pa.
197b-1979: Associate Broker,Colonial Realty,Carlisle,Pa.
1972-197b: Realtor Associate,Jack Gaughen Realtor,Carlisle, Pa.
Appra.isal experience included undeveloped land,farms,building lots,single-family dwellings,mobile
home parks,medical centers,nursing homes,motels,apartment buildings and complexes,office
buildings,service stations,veterinary clinics,rehabilitation centers,retail buildings,daycare centers,
warehouses,and manufacturing facilities.
EDUCATION:
Bachelor of Business Administration,Pennsylvania State University, 1976.
Associate Bacheldr of Business Administration,Harrisburg Area Comnnunity
College, 1974. . .
Diploma,Carlisle Senior High School, 1965.
Certificate,Pennsylvania Realtors Institute,GRI I,GRI Il,GRI II1.
. Certificate,Rea.ltors National Marketing lnstitute,CI 101,CI 102,CI 103,C1 104,
CI 145. . .
Standards of Professional Pra.ctice,American Institute of Real Estate Appraisers.
Real Estate Appraisal Principles,American Institute of Real Estate Appraisers.
Residential Valuation,American Institute of Real Estate Appraisers.
Appraisal Procedures,Appra.isal Institute. .
Principles of IncQme Property Appraising,Appraisal Institute.
�Case Studies in Rea1 Estate Valuation,Appraisal Instiiute:
Report Writing and Valuation Analysis,.Appr.aisal Institute.
PROFESSIONAL LI�NSES: � � .
, . General Appraiser#GA-000014-L,Gommonweaith o�Pennsylvan ia.
Real Estate Broker#RB-029729=A,Commonweaith of Pennsyivania.
PROFESSIONAL DESIGNATIONS EARNED: .
GRI: Graduate of the Pennsylvania Realtors Institute,awarded by the Pennsyl-
vania Association of Reaitors. .
CRS: Certified.Residential Sgecialist,awarded by the Realtors National Market-
iwg lnstitute of the National Association of Realtors.
CCIM: Certifed Commercial Investment Member,awarded by the Realtors
National Marketing Institute of the National Association of Realtors:
PROFESSIONAL ORGANIZATION AFFILIATIONS:
National Association of Realtors Appraisal Sec�ion.
Greater Harrisburg�ssociation of Realtors.
Pennsylvania Association of Realtors. � .
National Association of Realtors.
Realtors National Marketing Institute. �
� . 18 �
PAST CLiENTS:
Borough of Carlisle American Home Bank
Keystone Financial Mortgage Trans Union
Cornerstone Federat Cred.it Union M&T Mortgage Corporation
Pennsylvania State Bank Cody Financial Mortgage Services
Commerce Bank Waypoint Bank
Cumberland-Perry Association for Retarded Citizens Northwest S�vings Bank
Carlisle Suburban Authority Blue Ball National Bank
Members l�Federal Credit Union Adams County Nationa.l Bank
Pennsylvania National Bank Countrywide Home Loans
� Evans Financial�Corporation Aarrow Mortgage
Greenawalt&Company,CPA Various law firms and individua(s
Smith's Transfer Corporation
Carlisle Department of Parks and Recreation
Executive Relocation Services
Carlisle Area School District
Messiah Homes,Incorporated
ERA Eastern Regional Services
Pennsytvania Turapike Commission
Chase Home Mortgage Corpora�ion
Defense Activities Federal Credit Union
. . Penr�sylvania Sta.te Employees Credit Union
PNC Mortga�e Corporation
.F&M Trust Company
National City Mortgage Corporation
�Washington lytutual Home Loans,Inc.
Prudential Relocation Services
.Lender's Choice � . .
Market Intelligence,Incorporated
United Telephone Employees F�deral Credit Union
Cumberland County Commissioners
Allstate Enterpris�s Mortgage Corporation
Dickinson Colle�e . �
PPG Industries,�ncorporated �
. Gettysburg CQliege . . � �
Redevelopment�At►thority of Cumberland County
Record Data Appraisal Services,lncorporated
First United Federai Savings Association
Fulton Banic � . �
United States Marshali Seryice
GMAC Mortgage Corporat�on �
Orrstown Bank � � �
Letterkenny Federa!Credit Union
� BancPlus Mortgage Corporation
Coldwell Banker Relocation Services,lncorporated
Central Pennsylvania Savings Bank
Melton Bank .
Provident Home Mortgage Corporaxion
Drovers Bank
� 19
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� STREET SCENES AT THE SiT�J�ECT 1'ROPERTY
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CQMPARA.BLE SALE NO. 1
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SUBJECT PR4PERTY LOCATION MAP
23
Rev-1503 EX+(6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Miller, Doroth S. 21-13-0569
Ali property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 CUNA Brokerage Services,Inc. -Stock 405,425.47
Date of Death Value
2 Met Life Stock-Date of Death Value 3,084.84
3 Robertson-CECO Corporation-Stock 0.00
TOTAL(Also enter on Line 2, Recapitulation) 408,510.31
(If more space is needed,additional pages of the same size�
Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule B(Rev.6-98)
t;uNA.tsroxerage�ervices,i.nc.-ttola�ngs r��,c �t vi�
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My F+nancial Advisor Sftemap Logout
��CUNA Brokerage Services, Inc. 80-��s�°`��`c�"�n� �%�'"� "" �'z "3 —�.3
.. I Last Login:Apr 30,2013 11:56 AM(ET)
Home Accounts Trading Research Customer Service :"�f Ge��uote. '
Summary Balances Idin s Order Status History Projected Cash Asset Aliocation Statements and Reports BiIlSuite Profile
Holdings
Setect to View : 57C243565 MILLER DOROTHY S
� Todays Nddings Unrealized GaiNLcss Realized GainJLoss
Today's Summary . _ .,. . �. ... . �.. .. ..
..,..... ..., _......:._�_... ..........:..- :..,_::. . . .. _. . .. . . . . . .. . . >
... .. .. r.. . . ..........<._--... .,. .. � . . .
... ._. _.. �.... . ....... ...
�, .. . .. ,. .._ ............ _.
TOTAL PREVIOUS MARKET VALUE 70TAL CURREN7 MARKET UE CHANGE IN MARKET VALUE
�. $404,761.27 $405,425.47 +$664.20
Equities as of Q�19 5/2013 f °°°e a$e
• . � /� ���� ..::..::-: exch ..
,..... .:.;�_:.,�....:...:.........,..:,......,.....,{n.�.l.r'�ii►-- - . _ . .. .. . ..... ...... ........ . .
_,.:......_........ ..._..._ :.-,-.�'... :.?�.� �Q .. �. ��C..:_..
8 e,�
a�e��c�i
• Description Quantity �s=���e� Change S Market Vaiue Value Change Actions �
'� SymboU CUSIP • Change/o .
��CSL CARLISLE COMPANIES INC 1,820 �s�a,� No Chg t22,122.00 No Chg: �Sele�t Action �.
12:00:00 AM EDT
(NoChg) -_.__..._...._. ._._._ :
� 60.46 � No Ch
�'D DOMtNlON RES INC VACOM 1,598 os►t4not3� 9 96,615.08 No Chg: .SelectAction �'
. 12:00:00 AM EOT (�Chg) -..°
= 55.16. ��
OD DU PONT E I DE NEMOURS&CO COM • 1,200 05/14/2013 No Chg 66,192.00 No Chg SeleCt Action �^ :
12:00:00 AM EDT, (NO Ch9). ._._.._......_�.._...__. '
� .. '
� 23.05 NoChg � _._...,....._...__..__.....�_ '
HSC HARSCO CORP 2,640 osna2o�a. �No Chg) 60,852.00 No Chg' Select Action •
12:00:�0 AM EDT �
� 58.01. No Chg �-'
PENN 'PENN NATL GAMING INC 400 OSH4/2013 23,204.00 No Chg. .Select AcUOn •
12:00:00 AM EDT (No Chg) . .. .- .. . . ----•
� 21.98 No Ch . �--���-
�POM PEPCO NLDGS INC.COM 1 OSN4/2013 �No Chg) 2�•98 No Chg SelectACtion � �
12;00:0�AM EDT. . .
��VZ VERIZON COMMUNtCATiONS INC COM 666 0�5�013 No Chg 35,411:22 No Chg SeleCt NCtiOr1 � .
�' �6 12:00:00 AM EDT (NO Chg) .. ..._...._. .._...,— :'
�. . Ia�.se �.�15 � 'a .� . . _
:.Total ���yC�� • s404,418.28 No Chg' .
. �...3, n�r�y A�u.G �iov . .
Badc to Wp � �
Cash,Money Funds,and Bank Deposits as of 05/15/2013
' ' Description , Market Value �
-CASH 664.20 .
�FEDERATED CAPITAL RESERVES 342'99.
� ;�Total • ;i,007.18
. Back W top .
. �Todayb Chanpe(i)and Today's Chanpe('K)rctled tha efMd oi market Auduatfons on the Martcet VaWe of a holdirg,and are bssed soley on tAe S chan0e pef share,CAsnpe(�,and the curroM number of sharos
As10.For s Iwldinp with inMaday adNMy such as a purchasa or sale.theae values may not aecurotely rcllect the e((ed of market fludnaUons on the accouM in which�is held.
2 Piioes f�mutwt Nnds an not updated unW aA�merkel doae(uauaNy beiween 7pm ET and 1 Opn E'�.Untll tha pdces are updated.Chonpe(�and Chanpe('K)Po�Mulual Fund holdinps Is based on ihe differa�ce
pstwsen 1he prbr two business days'Closinp P�es.These values reAact the effed d markel fluduations on the Market Value of s mutual fund.ReceM muWai Nnd activily sucA as a purohase or sale wIN nol aAed
tl�ese vaiues,Dut may resuk in ihese values not aaurately retbdhp the effed of msrket tluduaUons on the account in which k is held.These values aro not incwded for ce�uiattrip the 1ota1'ChenDe in Market Value'.
. . - -- - �-A �•r�inn�n 1
,ulvti rsrvx�ra�e�ervic;CS, inc.-nuiuui�s ra�,c�, �l�
�.
,
3 The Bank DeposMs(n your account are FDIC insured bank deposits.FDIC insured bank deposNs are not securities and sre not covered by the Secu�ilies Investor Protectron Corpomtion(SIPC).These bsnk
deposRs are coveaed by tAe Federal UeposN Insurance Corpontion(FDIC),up to allowaDle kmits.
�The Bank Deposhs in your account arc uninsured bank deposMs.The Bank deposits in your accouM are not securities and are not covered by tAe Secutiies Investor ProtecUon Corporstlon(SIPC).TTese bank
.deposas are also not covered by the Federal 0epostt Insurance Corpo�atbn(FDIC)and therefore are exposed to the risk that the bank coukl fad to pay its depositors.
Rsa6time or Delayed prici�g of hoWinps is for domestic equftks and opCans only.Pricinp ot other posidons is as ot tt�e pmvious day's Gose,orthe rtast recently avaflable price.Pos�(ons are p�iced as oi the last
trade.The curreM bW or ask may be ditferent from the price displayed.
The value ot sny non-dollar denominated holdiny used Is first conveRed in to a U.S.Dollar EquivaleM(USDE)amount.The USDE amouM is p�ulated by muHipying the previous day's cbsinp�ice tnr the ho�dirq k�
�s naUve currency by the provious day's cbsing spot{conversion)rete from sources deemed to be reBabie.If the previous day's dosinp price is not available,fhen Ihe mosl recent closiny p�ice available fathe
holdirp will be used.
SecurlUes priGng may vary hom actual IquidaUon value.Pdees�own should only be used as a ganerol gukle to portfoib value.Your p�inted con8�matfons and statements aro the olflcial records ot you�axount.
Ir�traday HoMinqs do not account for ortiers that arc e�oecuted but have not yet been reported by the exchangeslmarket makers.Pkase check your ordea before placiny Uades.
ttlast Prkx rcproseMS the price at which the last trade oca,rred.
�uo�data ekkysd per exchange agreeme�l
Represontatives arc ngistend,sseurkies an sold,end investment adHsory serviees oftered through CUNA&okerage Services,Ma(CBSi�member FINRA/SIPC,s regisferetl broker/0ealer and invesbnent adWaot,2000 He��pe Way.
Waverly lowa 50877,toN-free(800)368-2882.Nondsposk inv�stmant and inswance produets are not federally insured,tnvolva fnvoatment risk,may loce value and arc not oblfg�tions of or guanntead by the Rnanefal
institution.CBSI k under�ntrect wiM the 6nenchl instlWtion,through the 1lnaneial services progrem,to meka securdies avaAsble to membsn.CUNA Brokerage Ssrvices,Ine.,is a regiaterod broker/deelsr in aA fifty stata ot tM United
. States of Amerka.The Representative may also be s credd union employee that accepls deposits on behalf of the financial inatftution.
CBSI Investor Conneclion Forms Ubrary Asset Protection FAQs Pershinp P�ivacy PoGcy Maryin Disclosure
, O 2012 Pershing LLC.All RIgMs Reserved.Ciick here for terms o1 use.
Trademartc(s)belong to their respective owne rs
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Attached is yt�r Th1rd 4uarter Dividen mary and check.You can.now elea#to have yaur�vidends deposited dir+ec#!y irrto your bank.
account To partidpate,ptease comptete the enrollment form on the back ort this statement and retum it in the enclosed pastage paid envelope.
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06 Feb 2013 13 Mar 20i3 TRUS'i INTERESTS � � 76 $0.18500 . 14.06 . 4.00 �14.06 2,855.32 � 3T.57Q00
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09Aug 2013 13 Sep 2013 ��RUST{NTERESTS 76 $0.275U0 20.9U 0.00 24.90 3,782.52 � 49.77000
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SCHEDULE E
pennsyivania CASH, BANK DEPOSITS, & MISC.
DEPARTMENTOFREVENUE pERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Miiler,Doroth S. 21-13-0569
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
tTEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Beico Community Credit Union-Account No.757610 21.296.14
2 Artwork-Appraised Value 8,755.00
3 Books(1,400)-Appraised Value 785.00
4 Hospital Bed-Cash Sale 100.00
5 Personal Property -Appraised Value as per Linden Hali Antiques Appraisal 5,855.00
6 Wheelchair-Cash Sale 100.00
7 Erie Insurance Group-Refund of Umbrella Policy when canceiled 51.00
8 Home Instead Senior Care-Refund 325.12
9 Patriot News-Refund 53.25
10 Pearl insurance -Refund ASCE Excess Major Medical Coverage 169.72
11 Verizon Wireless-Refund 5.30
TOTAL(Also enter on Line 5, Recapitulation) 37,495.53
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group,Inc. Fo�rn PA-1500 Schedule E(Rev. 11-10)
COMMUNITY CREDIT UNION
_��_�-�._°��.�'� v - "°'�'-"""x'"-
Decedent Account Information(On Date of Death)
Belco Community Credit Union
l. Name(s)in which the account was held: Dorothy S. Miller � �
2. Account Number: 757610
3. Total Accou.nt Balance as of Date of Death: $21�296.14
Balance Accrued Dividends Date Opened
Regular Savings $828.87 $0.44(1/1/13-OS/14/2013} OS/14/1999
Holiday Club �
Whatever Club �
Money Market $
Checking $20467.27 $11.29(1/1/13-OS/14/2013) OS/14/1999
IRA $
Certificates:
Certificate Number Balance Accrued Dividends Date Opened
$
$
$
$
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� $
4. Name(s)in which Safe Deposit Box was held:
5. Date the box was initially rented: �
� 6. Branch address at which the box is located:
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�• COMMUNITY CREDIT UNION
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7. Loan Information: �
galance � Interest Rate
Signature Loan $
Visa $354.88 9.99% �
Auto Loan $
Auto Loan $
Mortgage Loan $
Mortgage Loan $
Misc.Loan $
8. Miscellaneous:
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� � APPRAISAL � � ������
�
� It is in my opuaion, that as of September $, 2012 and reported on September S, 2012; the F�
Market Value of the Personal Property of Darathy Miller, 6 Creekside Lane Camp Hill, F�
� � 17011: .
(Eight Thousand Seven Hundred Fifty Fxve DoIlars and Zero Cents)
. � ($8,755.00) .
� I �s A �ais��
��
. ��
�. .
� � �r��ces
� . ,`�Cyssa� . rcey, IS.�:��Vl
.� ` 1�iYector
. The report mus�8e read in its entairetv. The Appraisal S'umrr�arv �,N,L�'is not the
� ax�prai�al repor� .
�b�5�PPraisal�'jervices Pa�e 1�o�Z t
��� -
� Samue!G. Marcus, Proprietor
��� � � Mai!to:
� � � 4335 Cresiview Road
#� Harrisburg, PA 17112
i � (717) 657-8v63
Over25 Years of Servfce
to me R�ny Publrc � � � emait:bookmarc�gte.net
vvww�.bebooks.com/home/bookmarc
December 16,2013 .
To: Esta#e of Dorothy S. Mi!!er
9 25 Northgate Drive �
Camp Hill, Pa. �70'11 .__.._,__.-- . . _ . . . . ...__...._.............:
From: Sarrm�l , arcus � �
� t�t��.�.--_
p�raiser �
The Boo#cwworm Bookstare .
4335 Crestview Road � �
Harrisburg, Pa. 17112 •
Re: DSM Estate-Sook Appraisal .
� An�appraisai of the existing collection of books be(onging to the esta#e of Dorothy S. Miller was
conducted for estate iax purposes. The collection was comprised of�14�0 volu�mes
�encompas�ing a iarge variety of subjects, but main[y concentrating on itterature(novels and
�classics);�h�istory, art,travei, refigion, philosophy, mi!'rtary, cookbooks and engineering(and related
�.textbooks),�as we(I as misce(lany,which numbered less than 1�0 volumes. � -
There wer�a number of sets of books(Tme-Life,The Dura�t Series on History of Civilization,
Encyclopedias, Horizon Books,and Heri#age Press Vofumes)which,for the mos#part,�held no . �
value. The volumes were hardcover, some with dusf jackets, most without dust jackets, atl dating �
. ftom the fate 1800's to the late 1900's. Many of the sets were incomplete or ou#dated{�.e.,several ,
. encyclopedia sets). The engineering book as welt as similar science books and textbooks related
to a�t and literature(i.e.,art appreciation; literary reviews}were aiso occtdated. � � '
A. !�appraising the cotiection,certain basic considerations were made. First,the condition of the .
. coliection itself and;second,the gene�al availabili�jr of the vQlumes within the collec�on as to their . � �
� rarity or scarcify. From these considerations,a monetary vatue of the�coltection was#hen .
defermined. The condi#ion of the voiumes throughout the colle�tion ranged from fair{cracked
spines, broken gutters, rubbed comers,worn edges,et�.)to very good. Most o�the sets were
missing volumes(Durant Series, Horizon, Time-Life sefs)or outdated(encyclopedia sets,
engineering books,text books,art appreciation volumes, liferary reviews,etc.). A fairly substan#ial �
cotlection of Heritage Press volumes, both w�th and without slipcovers,.were in good condifion and
numbered approximately 60 voiumes.
B.. It would�invo[ve a tremendous amount of time and effort#o catalogue every book within the
coliectio�. T1ie categories of the volumes iden��ied are meant to establish a general value to the
total collection. The co!lection in a�d o#�tset#tt tyQ�ca�o�mast psfvate coilections-a diversity of
� topics wfiich��were read often by a number of individuals and in time,their condi�on became"less
pristine"and�"more used". � �
a. Encyclopedia sets-2 sets numbering 50 votumes-no valt�e. �
. � VVe ars your pers�na�books�ore �
Book Searches*Bookbinding*Appraisats*Paperback Trad�ng*Local Postcards* Ephemera
b.Time-Life sets-2 sets numbering 50 volumes-no value.
c. Durant Series of the History of Civilization-numbering 10 volumes and incompfete-no value.
d. Heritage Press-60 volumes�,a?#1.00 apiece $ 60.00
e. Cookbooks-80 volumes @$0.50 apiece 40.00
f.Artbooks-60 volumes @$1.00 apiece 60.00 ,
g. Military volumes(Worid War[I/Civil V11ar)-40 volumes#$2.�0 apiece 80.00
h. literature/Poetry-3�0 voiumes @$0.50 apiece 175.UU �
i.Trave(-20 volumes @$9.00 apiece 20.00
� j. Novels-4�0 vof u mes @$0.54 apiece � � ��•2�0:00� -���� �
k. Philosophy-30 volumes @$0.50 apiece 15.00 .
I. EngieeringlRelated Fields-80 volumes @0.5�apiece 40.00
m.Religion-20�olumes @$1.00 apiece 20.00
n. Miscellaneous t�tles-150 volumes @$0.50 apiece 75.00
The total appraised vatue of the co[lection,as identifted above,is$785.00. The size, diversity and
condition of the coilectian is hanest and complete.
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� . LiNDEN HALL ANTiQUES
� 2'f't N.OI.D STC?NE HOUSE RaAd �
- cA�s�,Pa ��o��
- 7't7-�+49-1978 .
. To: Roger M.Morganthatl,Esquire
� 4431 North Front Sh�eet
Harrisbtuq,PA 17710
Fcom: Wiiliam G.Rowre,Appraiser
211 N.Old S'tone House Road
� � Cariiste,PA 97015
Re: Persanal Praperty Appraisal
Est�f�of D6r�fliy S.Mille�
6 Cr�e�cside Drt�
� Camp HiU,PA 97011 � � � �
Date: December 5,2093
BEDR�M#'! �
8edroortr se� _ $650.00
�hair : �25.04
l.amps - . :�20.00
Walt hangings � �50.00
Knick kna+cks ��' �0.0�
Ho�sehold � - �20.00
Widcer � �10.00 .
BEDRQ�M#�
Bedrocro set � ��t�,��
Red'mer-cw value $Q.O�
Chest �65.�D
Stand . $"Z5.0� � �. -
Je�netry c�bin� �50.00 �
lV�sr.eltaneot�s t�ostume jewetry � $115.�
. Records �.OD .
�
DeBK � $���
T.V.-no vaiue . � - �.00
Gertr�an c�ngs/m�ic box � - �S5.�1
. __... . . Cotiec�bles $12U.00
' V�5@ � - �Q-� .
Bookcese - ' �0.�
600kcases{Z) - $2D.O�U
Sterea $15.OQ �
Ch��r-nn va�ue � �o.00
�,�, � � �.00
�1�,/�,G_
H�tl t8ble $'150.�
Magazine stand $20.00
Candle sfands(2) $35.00
Sp�a � . �700.00
Re�liner - �85.00
Mifler Appraisal � '�21512013 .
fi
Chairs-patr . �.OD .
Plent table . ��t 15.00 �
End stands(2) �•0�
� Coffee table �2�.�
Nes#af sfattds $fi5•00 �
lamps �30.00
PlaM'stand $95.OD
Stereo-no vatue �•� .
Stand �•�
Vases(2) � $40.Oa � .
Sco�ces $?A-00
Knick knadcs $20.�
����
ptnfig room set �85D.00.
., �y� � - $25.00
S�pYabs!c�an�,etc. � �115.00
. Buffet set-gtass-3 pc $25.00 "
L'mens �•�
� Com�e/catyti��cs/gfasswar� $75.OQ-
fiea table �75.00
Mis�aeitaneous hov�ehoid S15.00
T�fe lot-1a�idc k�dcs $10.00 '
- g� �i.00
E�sei $3d.00
T�y $2U.00
Cups I saucers � � - �0.�
Chirt�t�oset lo# �950.00
k�..�� . .
fCEtr�en wares $2s.�a
Cofle�ibles $�.fl0
Sma{!appt�nces-rxy vatae $0.00
Pots!pans ���-� � �
tron�u'I�s(2) $20.00 .
Camput�t�ble-no�alue $0.00 . .
T.V.-na r� �.00
�n+e r�lc $15.0�
�� $�f0.0a . � .
goot�es�� � �20.00
Caokbooks - �-� �
. ,5�8�d $S.OQ
Cupbas►td items � . .. _...__....$65.00
��� �95.Q�
Cht�it-no v�ttue $O.tK} � �
Soi�/c�'-no�alue $O.flO
T.V.1 s�'td . $15.00
Shcxfi+�ve �i5.U0
Mage�zine stand �10.00 �
�� $85.00
ca�ea�w���,��,� . � �ss.00 .
M�a,dodc _ �65.00 -
Colfet�ibi�es-war . �ZO.UO
Ptarrt�d $20.t�U
Night stan�/aoifee�abte �20.00
Miltet Apptaisat 2 . 't2/512013
Lamps �20.00
Table I chair $6v.00
Knidc knacks-3lamps $20.00
Table/6 chairs �fi5.�
NVindsor chair �S�.OD
Chippendale chairs{6).as is �6D.00
� Reaxd ca�ll�ction $5D.00
Round#able $15.00
Lamp $50.00
Dresser �Z4.00
REC ROOM -
ChairS{2)-na value - � $U.00 ,
Bvokcases(6) $'120.�Q
Radc $10.00
Misc;ellaneous household � �$10.00 �
STOEiACiE .
Toots • $ZQ.00
� � Misceitaneaus household $28.00 �
Cotiec�ibles $25.�0
.Ced2�WaTdrObe �35.00
�� - .
Misc�ilaneous ger+den�ems �20.U0
i'UT'AL $5,85vAa
� .
William G.Rowe � � �
Miiter Appraisal 3 12/5/20'E3
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�'� a:56 PM Kay LLC dba Home Instead Senior Care
05/22/13 Balance Details for Miller(2), Dorothy
Accruai Basis January through May 2013
Type Num Date Due Date Aging Amount Open Balance
Jan-May 13
Invoice 898-0513-1 5/15/2013 5/15/2013 2,245.61
Payment 5358 5113I2013 -2,570.73 -325.12
Payment 5353 5/6/2013 -2,570.73
invoice 898-0413-2 4/30/2013 4/30/2013 2,570.73 ��-��'`-�
Payment 5348 4/22/2013 -2,510.81 ���
invoice 898-0413-1 4115/2013 4/15/2013 2,510.81 � � . �.�-
Payment 5336 4/1/2013 -10,157.16 �
Payment 5337 4/1/2013 -2,838.97 i`'t t�(,3j�-+�
invoice 898-0313-2 3/31/2013 3/31/2013 2,838.97
Invoice 898-0313-1 3/15/2013 3/15/2�13 2,607.39
Invoice 898-0213-2 2/28/2013 2/28/2013 2,228.56
Invoice 89&0213-1 2/15/2013 2/15/2013 2,615.90
Payment 5324 2/11/2013 � .-2,839.14 �
Payment 5313 2/5/2013 -2,687.23
Invoice 898-0113-2 1/31/2013 1/31/2013 2,705.33
Invoice 898-0113-1 '!!15/2093 1l15/2013 2,687.23
Payment 5289 1/7/2013 -1,035.38
Jan-May 13 -4,199.64 -325.12
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.• DETAILED INVOICE
Service For:Dorothy Miller(2)
Billed To : Ms. Dorothy Miller 5002 Lenker Street
Invoice#: 898-0513-1 Mechanicsburg,PA 17050
Invoice Date: 5/15/2013
(717)731-9984
Service Period:May O 1,2013-May 15,2013 www.HomeInstead.com Page#2
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Mites: 13.00 C+1 $0.59 a 57.61
Miscellaneous Charges: , - �0.00
Additional Charges/Credits: _ $0.00
Serviee Deposit Applied: - ($250.0�)
Current Invoice Total: _ $2,245.61 .
. ` _Total Amount Due: $2,245.61
� Due Date: Due upon Receipt
*AI!Overdue Invoices ara Subject to an 18%Annual Service Charge
Please Retain For Your Records
• Please Detach And Rc�rn This PortionWith Your Payment Payable to Home Instead Senior Care
Each Home Instead Senior Care Franchise Office is indepandently owned and operated. .
� Invoice#: 898-0513-1
. Service For: Dorothy Miller(2)
Ms.Doroth Miller service Period: May O1,2013-May 15,2013
Y Curren#Invoice Total: $2,245.61
6 Creekside Lane
Camp Hill,PA 17011 � � �
. Total Amount Due: $2,Z45.61
Due Date: Due upon Receipt
: bETAILED INVOICE
Service For:Dorothy Miller(2)
Billed To : Ms.Dorothy Miller
Invoice#: 898-0513-1 5002 Lenker Street
Invoice Date:5/15/2013 Mechanicsburg,PA 17050
(717)731-9984
Service Period:May O 1,2013-May 15,2013 www.HomeInstead.com Page#1
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�Date� '.F�'om' ,��o x- ..�'ype:� :CAREGiver ` , �Vtiles: Seivice ;= z '� }; 5. �Q�y;�'_ ��Rate�. �Su1�Tot�1..
5/1 8:15am 12:lSpm Normal Manning,Patrice Hourly Service,Level 2 4.00 $20.95 $83.80
4:OOpm 8:OOpm Brown,Shondell Hourly Service,Leve12 4.00 $20.95 $83.80
5/2 8:15am 12:15pm Normal Manning,Patrice Hourly Service,Level 2 4.00 $20.95 $83.80
4:OOpm 8:15pm Brown,Shondell Hourly Service,Level 2 4.25 $20.95 $89.04
5/3 8:15am 12:15pm Normal Manning,Patrice 7.00 Hourly Service,Leve12 4.00 $20.95 $83.80
3:45pm 8:OOpm Brown,Shondell � Hourly Service,Leve12 4.25 $20.95 $89.04
5/4 8:15am 12:15pm Weekend Aikins,Roxanne Hourly Service,Leve12 4.00 $23.Q5 $92.20
4:OOpm 8:OOpm Brown,Shondell Hourly Service,Leve12 4.00 $23.05 $92.2p
5/5 8:15am 12:15pm Weekend Brown,Shondell 6.00 Houxly Service,Leve12 4.00 $23.05 $92,2p
4:OOpm 8:OOpm Hourly Service,I.�ve12 4.00 $23.05 $92.20
5/� 8:15am 12:15pm Normal Bender,Sara Hourly Service,Level 2 4.00 $20.95 $83.80
4:OOpm S:OOpm Brown,Shondell Hourly Service,Level 2 4.00 $20.95 $83.80
5/7 8:15am 12:15pm Normal Bender,Saara Hourly Service,Leve12 4.00 $20.95 $83.80
4:OOpm 8:OOpm Brown,Shondell Hourly Service,Level 2 4.00 $20.95 $83.80
5/8 8:OOam 12:OOpm Normal Manning,Patrice Hourly Service,Leve12 4.00 $20.95 $83.80
4:OOpm 8:OOpm Brown,Shondell Hourly Service,Leve12 4.00 $20.95 $83.80
5/9 8:15am 12:15pm Normal Manning,Patrice Hourly Service,Leve12 4.00 $20.95 $83.80 �
4:OOpm 8:OOpm Brown,Shondell Hourly Service,Level 2 4.00 $20.95 $83.80
5/10 8:15am 12:15pm Normal Manning,Patrice Hourly Service,Level 2 4.00 $20.95 $83.80
4:OOpm 8:ISpm Brown,Shondell Hourly Service,Level 2 4.25 $20.95 $$9.04 .
� 5/11 8:15am 1:15pm Weekend Manning,Patrice Hourly Service,Level 2 5.00 $23.05 $115:25
2:OOpm 8:OOpm Brown,Shondell Hourly Service,Leve12 6.00 $23.05 $138.30
5/12 8:15am 1:30pm Weekend Brown,Shondell Hourly Service,Level 2 5.25 $23.05 $121.01
� 2:45pm 8:OOpm Hourly Service,Leve12 5.2S $23.05 $121.01
5/13 8:15am 12:30pm Normal Zellers,Jessica Hourly Service,Leve12 4.25 $20.95 $89.04
� 3:45pm 8:OOpm Brown,Shondell Hourly Service,Leve12 4.25 $20.95 $89.04
5/14 8:15am 12:30pm Normal Zellers,Jessica Hourly Service,Level 2 4.25 $20.95 $89.04 �
PA Media Group � �
PO BOX 1038 .
Wilmington DE 19899-1038 �
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000 0000152 00000000 001 001 00151 INS:U 0
DOROTHY MILLER
fi CREEKSIDE LN
CAMP HILL,PA 17011
� Page 1 of 1
invoice No. Invoice Date Voucher ID Gross Amount Discount Taken Paid Amount
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012199612,2013-05-01 � 05/01/2013 00005131 53.25 0.00 53.25
Newspaper Subscriber Refund SUBSCRIBER RE UND
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For information on how to receive you�payments faster or questions regarding this payment,please
calt(866}211-2620
CHECK NUMBER DATE VENDOR NO. NAME TOTAL AM�.1NT
6500001133 05/02/2013 9999999999 DOROTHY MILLER a53.25
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MEMBER, �-�.�
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11VSURANCf �
kSCE MEMBER INSURANCE PROGRAM ADMtNlST�2ATQR
1200.East Glen Avenue�Peoria�Heigi�ts,IL 6i 61 G
www.asceinsurance.com�•800.650:ASCE(27231
Uctober 22, 2013
Estate of Dorothy S.Miller
125 Northgate Drive
Camp Hill,PA I7011
RE: American Society of Civil Engineers-Excess Major Medicai Insurance
Group ID: AE465202 Subscriber ID: 540800875 .
Insured: Dorothy S.Miller
To Whom It May Concern: �
As administrator for the above captioned insurance plan we wish to express our deepest
�sympathy to you and your family.
This letter is in regards to the coverage for porothy S.Miller under the above captioned
olicy.
Please be advised that a xefund in the amount of$163.72 is enclosed. The amount represents
the Unearned Premium on this account due to the death of the insured.
If you should ha.ve any further questions,please contact our office at the toll free number
� �UU-b50-2723.
Sineerely, .
ASCE Member I�isurance Program. . .
Af�inity Group Administration .
Enclosure
rCHt[L 11v�ur[H�v�c u�nvur, ��.�. . .
�10/14/2013 PT101413WS AE465202 5408D0875 169.72 0.00 169.72
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�heck: 114448 10/22/20i 3 Es�ate of Dorothy S Mii�er 169.72
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' PEAR�MNSURANCE' 1200 E.Glen Avenae � � ��O��c c Go.��°^��� � 114 4 4 8
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REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
ESIDENT DEC D NTrURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Miller, Dorothy S. 21-13-0569
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
N R
q, FUNERAL EXPENSES:
See continuation schedule(s)attached 14,071.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
. Year(s)Commission Paid
2, Attorney's Fees 6,237.00
See continuation schedule(s)attached
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State Zi�
Relationshio of Ciaimant to Decedent
4. Probate Fees 763.50
See continuation schedule(sj attached
5. AccountanYs Fees
6. Tax Retum Preparer's Fees
7. OtherAdministrative Costs 18,169.74
See continuation schedule(s)attached
TOTAL(Also enter on line 9,Recapitulation) 39,241.24
Copyright(c)2009 form software only The Lackner Group,Inc. Forrn PA-1500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF � FILE NUMBER
Miller, Dorothy S. 21-13-0569
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Ex eR nses
1 Myers-Harner Funeral Home-Funeral Expenses 13,289.00
2 Radisson-Funeral Expense-Belfry 116.45
3 Radisson -Funeral balance due-Belfry 3.05
4 West Shore Country Club-Funeral Luncheon 662.50
H-A 14,071.00
Attorney,Fees
5 Smigel,Anderson�Sacks,LLP-Attorney Fees 6,237.00
H-B2 6,237.00
Probate Fees
6 Additional Probate Fees at filing of return 50.00
7 Cumberland County Register of Wilis-Probate Fees 633.50
8 Cumberiand County Register of Wilis-Short Certificates 50.00
9 Cumberland County Register of Wills-6 Short Certificates 30.00
H-B4 763.50
Other Administrative Costs
10 Belco Community Credit Union-Statement Copy Fees 30.00
Copyright(c)2002 form software oniy The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Miller, Dorothy S. 21-13-0569
ITEM
NUMBER DESCRIPTION AMOUNT
11 Bill Rowe -Appraisal of house contents and report on 6 Creekside Lane 80.00
12 Comcast-Cabie Bill 139.80
13 Comcast-Cabie Bill 185.86
14 Comcast-1st Auto pay on 9/7/13 4.92
15 Comcast-Cable Bill 90.28
16 Comcast-Cable Biil 90.28
17 Comcast-Cable Bill 142.87
18 Comcast-Cable Bill 90.28
19 Cumberland County Law Journal-Advertise Estate 75.00
20 D.A. Kenes-3 snow removals 90.00
21 D.A. Kenes Landscape Contractor•May lawn Care(5 times) 250.00
22 D.A. Kenes Landscape Contractor-Lawn-June 200.00
23 D.A. Kenes Landscape Contractor-Lawn-July(3 times) 150.00
24 D.A. Kenes Landscape Contractor -Lawn-August(5 times) 250.00
25 D.A. Kenes Landscape Contractor-Lawn(September 4 times) 200.00
26 D.A. Kenes Landscape Contractor-Lawn(bctober 4 times) 200.00
Copyright(c)2002 form software oniy The Lackne�Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Miller, Dorothy S. 21-13-0569
ITEM
NUMBER DESCRIPTION AMOUNT
27 D.A. Kenes Landscape Contractor-Mowing,Fiower Bed Clean-Up and Ice Removal from 210.00
Driveway and Walkway.
28 Diversified Appraisal Services-Appraisal of 6 Creekside Lane(House) 375.00
29 Doug Miller-Walmart Reimbursement of Electric Cords 35.56
30 Dougias Miller-Postage for Short Certificates 1.32
31 Douglas Miller-Mouse Traps and misceilaneous household expenses 50.00
32 Douglas Miller,Executor-Mileage and travel expenses 2.034.00
33 Duty's Lock and Safe -Change locks 162.12
34 Erie Insurance Group-Homeowners Insurance(6 months) 422.00
35 Erie lnsurance Group-Final Premium 34.00
36 Executor's Reserve-Additional Expenses after the filing of the Pa Inheritance Tax Return. 500.00
37 Greta Guiiday -Reimbursement-Wreaths for gravesite 90.00
38 Greta Guilday,Executrix-Mileage and travel expenses 4.600.00
39 Hampden Township-Third Quarter Sewer and Trash 155.05
40 Hampden Township-Sewer&Trash-4th Quarter 155.05
41 Hampden Township -1st Quarter Sewer&Trash(2014) 155.05
42 Hunter Spivey-Reimbursement for Weeding 45.00
Copyright(c)2002 form software oniy The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Miller, Dorothy S. 21-13-0569
ITEM
NUMBER DESCRIPTION AMOUNT
43 Hunter Spivey-Weeding-4 hours 60.00
44 Hunter Spivey-Weeding-5 hours 75.00
45 Michaei Langan,Tax Collector-Cumberland Valley SD-2013-14 School Taxes 2,019.71
46 Misceilaneous Expenses -Postage,paper,ink,etc. 100.00
47 Paui Marcus-Book Appraisai Fee 75.00
48 Pennsylvania America Water Company-Water Bill 23.23
49 Pennsylvania American Water Company -Water Bill 23.78
50 Pennsylvania American Water Company-Water Bill 20.94
51 Pennsylvania American Water Company-Water Bill 19.95
52 Pennsylvania American Water Company-Water Bili 59.63
53 Pennsylvania American Water Company-Water Bill 24.72
54 Pennsylvania American Water Company-Water Bill 22.26
55 Pennsylvania American Water-Water Bill 22.26
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56 Postage 320.00
57 PP 8�L E{ectric-Electric Biil _ 83.86
58 PP�L Electric Utilities-Electric Bill 100.52
59 PP&L Electric Utilities-Electric Bill 54.86
Copyright(c)2002 fonn software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Miller, Dorothy S. 21-13-0569
ITEM
NUMBER DESCRIPTION AMOUNT
60 PP�L Utilities-Electric Bill 58.80
61 PP&L Electric Utilities-Electric Bill 136.77
62 PPL Electric Utilities-Electric Biii 160.35
63 PPL Electric Utilities-Electric Bill 91.78
64 PPL Electric Utilities-Electric Bill 55.13
65 PPL Electric Utilities -Electric Bill 157.86
66 Sue Comp-Housekeeper assistance in sorting clothes for donation 55.00
67 Supplies-Printer Ink, paper,file folders,envelopes,etc. 250.00
68 The Patriot News-Advertise Estate 116.45
69 Tuscarora Wayne Insurance Company of Wyalusing, PA-Homeowners insurance(1/7/2014 1,536.00
-1R/2015j-Pending sale or transfer of house
70 UGI Gas Service-Furnace Cleaning 99.00
71 UGI Utilities-Gas Bill 172.39
72 UG!Utilities-Gas Services 16.61
73 UGI Utilities-Gas Bill 14.30
74 UGI Utilities-Gas Bill 15.50
75 UGI Utilities -Service Plan Renewal 62.00
Copyright(c)2002 forrn software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
. SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Miiler, Dorothy S. 21-13-0569
ITEM
NUMBER DESCRIPTION AMOUNT
7!6 UGI Utilities-Balance of Service Plan 57.00
77 UGI Utilities-Gas Bill 79.32
78 UGI Utilities-Gas Bill 26.33
79 UGI Utilities -Gas Bill 109.83
80 UGI Utilities,Inc. -Gas Bill 158.37
81 UGI Utilities -Gas Bill 311.78
82 Verizon Wireless-Final Bill 30.01
H-B7 18,169.74
Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
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Date Text Charges Credits
05-19-13 Room Accommodations 54.95 �
45-19-13 Occupancy Tax 6% 3.30
05-19-13 County Tax 3% 1.65
05-20-13 Room Accommodations 54.95
05-20-13 Occupancy Tax 6% 3.30
05-20-13 County Tax 3% 1.65
05-20-13 VISA 119.80
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N1zs. Greta �uild�y
. i�5 Northgate J.�ive �
Camp Hill PA 1�011
Services for porothy S. Miller
May 20, 2013 .
Charges for Services Selected $ 5,294.OU �
�'ro�essional Services �
Use o� �acili�ies . �
Automotiv� Equipment $ 5,290.00
Charges for Merchandise Selected
Casket � � 4,390.OU
C;ash A�3vanced �
Newspaper Notice/Local . . $ 763.�0
Newspaper Notices�0ut-of--Town 923.00
Clergy � 125.00
Organist 100.40
Soloist 75.00
Violinis t 75.00
�"�!.��?ers ,76�.Q�
Certified Copies 150.00 .
Hazr Dresser 45.0�
Ba.g Piper � � 375.0� .
Custom Panel 130.00 �
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Camp Hill,PA� 17011 �
Phone: 717-761-4530
. . � Fag:717-761-7234 �
. Client/Qrganization PO# Category Booking Contact .
Guilday,Greta 335232 Greta Guilday,G2395
Greta �uilday, G2395
Guilday, Greta -
� 125 Northgate Drive � �
Camp Hill, PA 17011 � �
� Banquet Invoice .
� . Miller Memoriacl Luncheo�
Monday,May 20,2013 � � �
1 Premium Brands Open Bar-Billed on Consumption @ 125.50. $125.50
40 1:OOpm-Lunch Reception @ 30.00 . $1,200.00 �
� � � Subtotal� . 1,325.50
� Gratuity 0.00
. � Service Charge - �. . . 265.10
0% T�es 72.00 � � �
� � Total � 1,662.60
� . Paid � 0.00
� Balance 1,662.60
Please.remit tlie "Total Balance Due"within 10 days of receiving this invoic�
Send.C'heck with full aynount to.West Shore Country Club,100 Brentwater Road,Camp Hil�PA,17011.
. For any questions concerning thts invo�ce,please reference the P4#. �
� Thank you for this opportunity to serve you.
We appreeiate your business.
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ID DUE DATE PRINCIPAL INTEREST FEES E�3LANCE TRAN Al�lDUNT SE�
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Account XX���X112 � � � �
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� Account Number 09547197380-01-1
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Po Box se� Total Amount Due $142.87 �
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Invoice
D.A. Kenes Landscape Contractor
11 West Keller Street
M�chanicsburg, Pa. 17055
Work: 717-790-9913
Celi: 717-580-8718
Name: Dorothy Miller Date: 06-03-2012
Address: 6 Creekside lane
City: Camp Hill
State, Zip: Pa. 17011-130�4
Date Description Amount
05-03-13 Lawn Mowing 50.00
OS-09-13 Lawn Mowing 50.00
05-16-13 Lawn Mowing 50.00 .
OS-23-13 lawn Mowing 50.00
OS-30-13 Lawn Mowing 50._ .
$ 250.00
Thank You,
Dana Kenes ��
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Invoice
D.A. Kenes landscape Contractor
11 West Kelier Street
Mechanicsburg, Pa. 17055
Work: 717-790-9913
Cell: 717-580-8718
Name: Dorothy Miller Date: 06-29-2012
Address: 6 Creekside lane
City: Camp Hill
State, Zip: Pa. 17011-13004
� Date Description Amount _
06-06-13 Lawn Mowing 50.00 .
06-13-13 Lawn Mowing 50.00
06-21-13 Lawn Mowing 50.00
�6-28-13 Lawn Mowing 50_4� .
$200.00
Thank You,
Dana Kenes
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Invoice
D.A. Kenes Landscape Contractor
� 11 West Keller Street
Mechanicsburg, Pa. 17055
Work: 717-790-9913
Cell: 717-580-8718
Name: Dorothy Miiler Date: 08-06-2013
Address: 6 Creekside lane
City: Camp Hill
State,Zip: Pa. 17011-13004
Date Description Amount
07-08-13 Lawn Mowing 50.00 �
07-18-13 Lawn Mowing 50.00
07-25-13 Lawn Mowing 50 00
$150.00 �
Thank You,
Dana Kenes ,�3
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invoice
D.A. Kenes Landscape Contractor
11 West Keller Street
Mechanicsburg, Pa. 17055
Work: 717-790-9913
Cell: 717-580-8718
Name: Dorothy Milier Date: 09-04-2013
Address: 6 Creekside lane
City: Camp Hii! � �
State, Zip: Pa. 17011-13004
Date Description Amount
47-08-13 Lawn Mowing 50.00
07-18-13 Lawn Mowing 50.00
07-25-13 lawn Mowing 50.00, �
. Previous Balance from 8-6-2013 $150.00
08-01-13 lawn Mowing 50.00
08-10-13 lawn Mowing 50.00
08-15-13 Lawn Mowing 50.00
OS-24-13 Lawn Mowing 50.00
08-31-13 Lawn Mowing 50.0
Z50.0
$ 15_0.00 �
� Total Due $400.00 ���''���-� z 3
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Thank You, �
Dana Kenes
invoice
�!.� ���s�
11 West Keller Street
MeGhanicsbur�� Pa, 17Q�5
Work: 717-790-9913
C�l��. �17-�$Q-�718
N�me: Dorothy Miller Date: 09-29-2013
Addres�: f Creeksid� La��
City: Camp Hiil
State, Zip: Pa. 17011-13004
Date Description Amount
09-06-13 Lawn Mowing 50.00
09-14-13 Lawn Mowing 50.00
09-20-13 Lawn Mowing 50.00
09- 26�13 Lawn Mowing 50.0„�0
. 200.Q0
Thank You,
�e!!1� �Pf'!pC
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invoice
D.A. Kenes
11 West Keller Street
Mechanicsburg, Pa. 17055
Work: 717-790-9913
Celi: 717-580-8718
Name: Dorothy Miiler Date: 10-30-2013
Address: 6 Creekside lane
. City: Camp Hill
State, Zip: Pa. 17011-13004
Date Description Amount
10-07-13 Lawn Mowing 50.00
10-17-13 lawn Mowing 50.00
10-25-13 Lawn Mowing . 50.00
10-31-13 lawn Mowing
. $240.00
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D.A. JKenes Landscape Contractor
1� West Keller Street �
Mechanicsburg, Fa. 1�055
� 717-790-9913 � .
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Name: �'
. .. . .. . Or`4 � �" . .. . ... I)ate: �2-- ��. ..f3
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(�uantity . Descrip�ion . Price . Amount�
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D.A. Kenes
1� West Kefter Street
Mechanicsburg, Pa. 17055
Work: 717-790-9913
Cei i: 717-580-8718
Name: Doro�hy Miller Date:01-06-2014 .
Address: f:Creekside I.ane
� City: Camp Hiil
State,Zip: Pa. 17011-13�04 .
Date Description Amount
12-15-13 Snow Clearing 30.00
._---�---�-�-----�----�--�.�-�6-1�-__._.-�---__.__..���--Gk*a�'�g-_._--------�-----------�-------------3L1.�----.—_-----_.____----�--------._.___
01-03-14 Snow Ctearing 3�.�
$9t1.00
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Dana Kenes � � Q y'� �
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Estate of Dorothy S. Milier
125 Northgate Dr�ve
Camp Hill, PA 170'11-1321
August 8, 20�3
Lacry E. Foote, Certified Generaf appraiser
� Diversifed Appraisal Services �
35 East High Street, Suit� '101
Car�isle, PA 17�13 �
� RE: Appraisa(
The Estate of Dorothy S. Miller
6 Creekside Lane, Camp Hill, PA �7011
Dear Larry:
Enclosed please find a check in the amount of$375.00 for your appraisal of the above Estate �
property. .
We appreciate your timely performance of this appraisai. .
Many thanks,
.
. � � .
Greta M. Guilday, Co-Executr�x Douglas M_ Mil�er, Co-Executor
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VALIDATION - 8BKq
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EIN#20-0046383 PA 13675 :
CONTACT
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A)I hereby acknowledge satisfactory performance and completion of all services specified herein and that I have received all keys and/or combinations.I further acknowledge that I understand the printed and/or
verbal instructions and wamings I have received from the technician.I certify that I have tested the safe(s),lock(s),keys and/or combinations and ihat they are functioning normally and satisfactorily.
B) I hereby agree to absolve,defend,indemnify and hold harmless:the owners,management,employees,subcontractors and agents of Duty's Lock&Safe from any and all ctaims arising from the authorized '
performance of the requested,specified and acknowledged services described herein. . . : .� ::� ; � �- ;
C) I further acknowledge and certify that I have read this entire agreement,a.�that I_understand and agree to all of the terms and conditions.I also certify that I am authorized to enter into this agreement on ':
behalf of and at the direction of my empioyer(S),and that by doing so I am obligating them to be responsible for and to pay;any and all charges according to the terms.In consideration of the grantang of credit
terms to us,Uwe also agree to pay an and all late fees,penalties,interest,as well as,any and aIl attomey fees,collection and.court costs incurred by Duty's Lock_&'Safe in�the event that.collection or lega!acrion !
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Insured Copy
,� E�i�lnsurance �
�ExCh�rlge �wai� Date: 07/05/2013
Member• Erie Insurance Group
100 Erie Ins.Pi.• Erie,PA 16530
Premium Invoice
Named lnsured
ESTATE OF DOROTHY Policyholder: ESTATE 4F D�ROTHY
. S MILLER CJO GRETA GUILDAY CO- Policy Number: Q542fi00745
125 NORTHGATE DR Policy Type: Home Protector
�AM P H 1 L�PA 17011-1321 rS,' �
Policy Period: 06/26i2C1'!� -��!?�!?�14
' 38566969
AA7685 Previous Minimum Due: $1,07$.00
. �aymen�: �'hank Ynu= $422.i�u �rc
� Net Adjustments: $O.QC�
..... �....._�.. ._... . ._. . .. _ . . � P�s# Dese-A�m�u�.t: . . .__�.... .._.�$422.00 . .
Current Inst�ll�e�t: ��.QG
ERIE Agent Billing Fees Due: � $0.00
Agent Number AA7685 To pay in full: . $422.00 .
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CAMPHf1.L, PA 17011-5137 � :�._ ..._�.. .. : .. . ...:... .:� . ......_. :�� �.
. (717)737-5405 Thank you for choosing Erie lnsurance for your
. �,��u�a;�ce needsi
See Summary Page for important policy messages.
�. -Want fo pay-thi�'��siti ontine'?Go..to-�vww:erieinsur�rrce.com, Pay--�y°Bili and make�a-coflve�ient,--sECU��-a�i��e�pa��r�ent:........ ..
Other biil paying options are also availabie on our.Web site. Contact your Agent with questions or coverage changes,
Fees will be added for any returned payments and included on future invoices.
Keep#op portion for your records/Return battom portion with your payment
----��-----------..._. ..------------------- . ..._..._ .., . ..
•---------�• -Detac�-hece---•RC0004.. ......_..___...--•--•------........ ...-•----•.._•---••----•._.._....---•---------•-•.__..__...-----•-- _.....Detaeh_.ere:-...._....
ESTATE OF DOR4THY Agent Number. AA7685 ��� � -�� ���-�� ���-
!1f�t�•�.• — �Aqil I'1.�a� ����r...�.•—
S MILLER C/Q GRETA Gl.li�..nAY Agency Narra: ST�:��,►.,.�:::.'.::�=:.__:._'.' � �� �
125 NORTHGATE�DR - . Agency Phone: {717}737'-54tt5 Uue Ua�e . 07i2rir�u i�
l.,HiYtP �"1�LL, F�► i r v91 -132 i °���cy Number. Q342600745
PolicyType: Home Protect�� MINIMUM DUE $422.0(�
•1VilJ��..��c���;+�Po11cy Number G:: _ _
_.. _.._...:-.,.,�:�e���yaQie�o: i v r-tit�i���L�.: �422.Gu
�i��� �NSURANCE GROUP Amount You Are Paying: $
Address Change: � �
n PERMANENT ❑TEMPORARY 100 Erie Insurance Place Payment Plan: A
iii�Q+, PA 15530 t _ a — —.....r...��,.
Chanyc Nay��a���� �
(See Reverse side for pay plan options)
PLEASE DO NOT WRITE BELOW THIS LINE
i �
PHONE(_) � (
. 010176855426�0745996�1000DD005t}D4220000042200
' �..--- �-4�
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Summary for policy Q542600745
� Messages .
Please pay the Minimum Due amount, by the stated Due Qa#e,�to avoid a non-pay canceiiation notice and
late fee assessment.
. Policy Overview
Policy Number: Q542600745 Past Due: $422.00
Policy Type: Home Protector � Current lnstal�ment: $0.00
Policy Period: 06/26/2013-06/26/2014 Bilfing Fees Due: $0.00
Pay Pfan: A To pay in fulf: $422.00
.... ...... Premium: $.84.4..0_0 . ... . .... -. ... � . Nlin�m.�.m.Dus: .___.._�.. _$422.00. ..
. Policy Bafance Summary Since Last invoice .
Previous Balance: � $1,078.00
Payments . Date Amaunt
Payment 06/29/2013 $422.40 CR
Net Payments: $422.00 CR
_,_. -
Adjustments. Date Amount �
Net Adjustments: � $0.04
__ .
Premium Changes Date �Amount � . � �
Endorsemer�t Effecctivve 06/2612013 06f1�f2013 $234.00 CR �
Net Premium Changes: � � . $234.00�CR �
Billing Fee(s) Date Amount
Biliing Fee(s�Charged: � $�.00
. Cunent Balance: � $422.0�
As of this time you have no future ins#aUments due#or policy Q542600745 during this policy period,
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insured Copy
,;� Eri�Insurance Mai1 Date: 1 211 2/201 3
�Exchange
Member•Erie lnsurance tiroup
100 Erie Ins.Pi.• Erie,PA 16530 .
Finai Statement of Poticy Ba�ance �
Named Insured
ESTATE�F DOROTHY � Policyholder Name: ESTATE OF D4ROTHY
S M1l�ER C/Q GRETA GUILDAY CO-
125 NORTHGATE DR Pa�tcy�+tus�b�s: Q542600745
: -�--
CAMP HILL.PA 17011-1321 '' "' Policy Type: Home Protector
s�n� Finai Balance: � $34.00
� a�►76s5 � Due Date: Imrnediately
Amounf�°Due=-�-_�:.. _..:,:;= _ _ _ -. -. �`:.;:-:._.:-.:` ._�::$34�,0�
'�i�� .�Y��i�i�''
You were previousiy no#ified that the above-referenced poiicy would terminate or terminated effective
01/O1/2014.
By this notice,we are confirming that your policy is canceNed. and any coverage provided therein wil!
terminate or terminated on 01/07/2014.
Additionai premium payments will not resul#in the reinstatement of this po{icy.
Contact your Agent if you need assistance in obtaining replacement coverage.
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Other bill paying options are also availabte on our Web site.Con#act your Agent with questions or coverage changes.
Fees will be added for any returned payments and inctuded on future invoices.
Detach Here PC0007
K�P�P Portion f�your records / Retum botta�n portion with your payment oe�aon t+ere
ESTATE OF DOROTHY Agent Numbe�" AA7685 Maii Date 12/12I2013
S MlLLER C/O GRETA GUILDAY ��Y N�B= STROCK 1NSURANCE AGENCY
925 NORTHGATE DR A9�Ypfi�Q- {717)737-5405 Due IMMEDIATELY
CAMP HILL,PA 17019 -1321 P��Y Narn�r= Q542S0�7'�.`' AMC?UNT DUE $34.44
Pdicy Type: Home Protectar
� Please Write Your Policy Number On
Yaur Check and Make Payable to:
ERIE tNSURANCE GROUP Amount You Are Paying $
Address Change:
��PERMANENT ❑TEMPORARY 100 Erie Insurance Pface
Erie; PA 16530
PLEASE DO NOT WRITE BELOW TH{S LlNE
PHONE {_)
01017685542600745996180��0000600D340000D03400
.:.:::;:::-= Account ,'`.w,_-�,;
_1i.SY��•�t�'•�• •• . 'M� ��"
..'..�:.:'� .�"+.t, R]�y
-�� '�, }.::1... _ ,�� HIAMP�ENTa►VVNSHIP S��� � ��
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`':. 23fl S SP4RTit3G H1ti R4A[3 ` ' '
��: 1 ..�. MECHANICSBURG,PA 1705U
�^���� {717)761-0119(Township Offive) ACGOUNT: Oi0715-000
SERVICE DRESS: 6 CREEKSIDE W �
���A: (717)�9-714�{Uti�'ity B�ing� RIOD: 1/1/2414 to 3/31/2014
�-�=����. ERVICE E
: Fo ..�-.::: .,�.:: S
.. .��..-
BILLING D�ITE: 1/112Q14
DUE DATE: 7t3112814
. . �
DOROTHY MILLER �
6 CREEKSIDE LN NO AGTIYE METER FOUND �
CAMP HiLL,PA 17�19-1304 �
. . .
Any po�tion of the sewer a�d/or trash charges which is not Residentia!Sswer . 114.25
�_.paisi b.y..D'l1�1.t20t4.is subject.#o a per�alt�.�f a.0%...At! _.. . ..._Trash.Serrce. ..... .. . . . .__ ---.--- .__ ... ._._. �. 4Q.80 _ _ ..
returned checks are subject to a fee of$30.00.
TO MAKE YOUR PAYMENT ONLINE PLEASE GO TQ TOTAL CURRENT GHARGFS � 155.05
�W W W.HAMPDENTflVYNSHIP.US
.
PREVtOUS BALANCE 155.05
NO USAGE HISTORY � PAYMENTS RECENED -155.05
ADJUSTMENTS 0.00
ADDITiONAL B1LLtNG O.UO
CURRENT CHARGES 155.05
TOTA���NiDUNT DUE 455.05
.� . � � �(..P � i �
_...--------�-�------�--��-------�--�-•-- �----�-------�-----------------------------._.
-� I 6�3
Payment ` ' .. . .. _ . . _..__..
. _ . .. ., _..._..____. __..---- .. ..._ ...... .........___.____._.____.. ._ _. ._. ..._._.--- _.
_ '�'�� On TOTALAMOUNT DUE BY 'l131%2014 � 155.0�
' �
PI,EASE RE'1"URN TI�S P4RTTONALONG Wl'I�iYOUR PAYMENT REMIT PAYMENT TO:
PLEASE MAKE CHECK PAYABLE TO:
HAMPDEN TOWNSHiP �
ACCOUNT: 010715-000 .
SERVICE ADDRESS: 6 CREEKSIDE LN �
SERVICE PERIOD: 1/9/2014 to 3/31/2014 HAMPDEN TOWNSHlP
BILLtNG DATE: 1/1/2094 230 S SPORTlNG HIIL ROAD
DUE DATE• 113112014 MECHANICSgURG,PA 17050
DOROTHY MlLLER . �
6 CREEKSIDE LN _ �� ��������������'����
CAMP HfLL,PA 17011 '1304 . .
rM t f++r�t.� t v. k3i�L#F: Fiy�'l2
� RETURN THIS PORTION WITH A PAYMENT�OR SECOND INSTALLMENT . B1LL#: 6972
Michaei Lan�an,Treasurerl'tax Col�ectof � MlLtER,EDWARD A 8�DOROTHY S �-
23�S.Sportmg Hiil Road Pro Locatian June through Octo��CE HOURS
Mechanicsburg,PA 17050 BI LL DATE: �� Mo�_,T„�.,8�Thurs.—9am to 4:30pm �,�q,��=
7/1/2013 10-20-1846-161
6 CREEKSIDE LANE June 28 8 August 30—9am to d:30pm
• POtNT RIDGE FARMS Novemberthavoh December .
Tues.8 Thurs.-9am to 4:30pm
� LOT 67 SEC 3 PB 13 PG 29
Closad Wed.,F�.,R holidays,except as
� noted above
MIL.LER,EDWARD A&DOROTHY S Phone:717 73T-4822
125 NORTHGATE DR Please(ndicate:
CAMP HiLL,PA 17011-'I3Z'I � 0 SECOND 1NSTALLMENT O SfCOND{NSTALLMENT WITN PENAI.TY
NO DISCOUNT
If paid on or before 9/30/13 $686.98
H .
if paid after J/30I13 $755.68
� PAYABLE TO: ~ . ell�#: 6912 ~�. .. �
� RETURN THIS PORTION WlTH A PAYMENT FOR FiNAI INSTALLMENT � BILL#: 6972
MlLLER,EDWARD A&DOROTHY S
Michael Langan,TreasureriT'ax Collector � OFFtCE H�URS
230 S.Sporting Hiii Road Property�Location June Uunugh October.
Mechanicsburg,PA 17d50 � � Mon.,Tu�.,a-rnuB.-9am W 4:30pm
BlLL DATE: 10-20-1846-161
7/1/2093 6 CREEKSIDE LANE . �une zs�August 30-9am to 4:30pm
� POlNT R(DGE FARMS November th�ugh December
� Tues.8 Thuts.-9am to 4:30pm
LOT 67 SEC 3 PB 13 PG 29
Closed Wed.,Fri.,& holidays,except as
• noted'above
-, Phone:717-737-4822 .
Piease Indicate:
MILLER,EDWARD A&DOROTHY S � F1NAl.INSTALLMENT � FlNAL INS7ALi.MENT 1MTH PENALTY
125 NORTHGATE DR
CAMP HILL, PA 97091-1321 �
. NO DISCOUNT
If paid on or before 10/31/13 $686.97
H �
tf paid after 10/31/13 $755.67
.. . �n.�"�{+vl'lSs:.5�K.1+3Ci+L.Vl�w�rt•�'3'rn.M.yn� •.S't�S.�L"�'ti.�t-f��..�..i.�..r...:�.�. .....w.�+1�..w N w.�. �
PAYABLE TC�: � � BIL�#: 6972
Michael Lan�att,TreasurerlTax CoAector MUNtCIPALlTY:Hantpden Twp. BILL N0:6972
230 S.Sportmg Hill Road � � Hours:See Reve�se
Mechanicsburg,PA 17050 Phone:797-737-4822 PROPER7Y:6 CREEKSIDE LANE BILL DATE:711I2013
MAP CODE:10-20-1846-'161 MILLER,EOWARD A 8 DQROTHY S
NOTICE OF PROPER7Y TAX RELIEF ASSESSME�v�' $79,soo S�ss,3oo Saa3��
Your enctosed tax bifl includes a tax reduction for your homestead andlo�farmstead HOMESTEAO EXCLUStON� $6,620
property. As an eligibte homestead and/or farmstead property owner, you have
received tax relief through a homestead andlor farmstead excfusian which is FARMSTEAD EXC�USION p
pmvrded under the Pennsylvania Taxpayer Relief Act, a law passed by the IvE 7AX RATE 8.715
Pennsylvania Genera)Assembly designed to reduce your property taxes. FULL SCHOOL RIE TAX
B9 4 1423.16 2 918.62
THIS TAX IS DUE AND PAYABLE.YOU ARE HEREBY REQUESTED LESS NOMESTEAD CREAIT 7.�g
TO MAKE PAYMENT THEREUF. ��SS FAfiMSTEAO CREDI7 , $p
. �� ����
� � � TAX AM4UNT DUE �2 019.�t 2 o6o.s3 267.02
MILLER,EDWARD A&DOROTHY S `�'� ff Paid�n or Before 8131/13 1Q/31/t3 12h7H3
125 NORTHGATE DR �� {�, �� NO CHECKS ACCEPTED AFTER ECEMBER 17,2013
. CAMP HtLL,PA 17011-1321
$886.98 $686.98 $686.9?
On or before 8J31/13 � On or before 9I30193 On or befare 10131/13
� .�
� � �{�� �� � a� �.. � � � � �-� �00102421�036750170DD�ODOODOOQ02323014
. ��,�����'�.�.�..;_�-��� �������3�. _.__�_._...._ -�
d ' � � � •: 1024-21003675�170 �
PO Box 371412,Pittsburgh,Pa.1525Q-7412 � „ A; : November 15,2013
; - -�.._:_..__._....._____..__
� .
For Service To:6 CREEKSIDE LN ' � �' : � : $23.23
_._._._..___.____.__r.___--...._,:....._. _:_.,_..___._..__
� Check this box for address changes and . � �� : � � e : - $23^58 after 11/15/13_�
note new address on back. - � �'
� Amount Enclosed $ Paid electronicaily.Thankyou.
.i�i�nl.�i.i�.��.l��rrlii��n.i.�.ii��.i.in,�.!#.�aill�ll"I� -
017942 1 AV 0.357 17943/0179421017956 63 01 ACQVRI 004
����Ill�l�����.���l�l���ll..�,�il�i����l�lll��ll��.����.������,��
DUROTHY S. MILLER PENNSYLVANIA AMERICAN WATER
C/a THE ESTATE OF DORTHY MILLER . PO BOX 371412
125 NQRTHGATE DR PITTSBURGH, PA. 15250-7412
CAMP H1LL, PA 17011-1321 ,
( � �� ���� ��
..Please tear along the..dotted_line.and..return.this..portion withyouur,payment.............�_._.,.,,..,. .,._,,.,....,,._.___..,....,_,...__..,....,�._....�,,...,�._.�......,�.....,....
BILLING PERIOD AND METER READINGS BILLiNG SUMMARY
• Billing date:October 24,2013 For Service To:6 CREEKSIDE LN
• Due Date:November�15,2013 For Account 1024210036750170 �
• Biiling period:Sep 21 to Oct 22(32 Days) Prior Batance �
• Next reading on or about:Nov 20,2013 • Balance from last biU 0.00
• Customer Type:Residentiai Balance Forward 0.00
• Meter Reading Measurement:
1 unit=100 gallons of water Current Wa#er Service
Billing Measurement:100 gallons(CGL) � • Water Service Charge 13.75
� • Water Usage Charge($0.91010000 x 9.00) 8.19
Meter No. N078613887 • Total Water Service Related Charges� 21.94
Size of ineter 5/8" Other Charges
Current Read 3,416(Actual) • State Tax Adjustment Surcharge -0.03
Previous Read 3,407(Actual) • Distribution System Improvement Charge(21.94 x 6.0196) 1.32
Total water used this 9 units • Total Other Charges �29
billing period � {90� gallons) TOTAL CURRENT CHARGES 23.23
Totat Water Use Compartson(in 100 g�llons) .
� Current billing period 2a13: s.��CGL TOTAL AMOUNT DUE $23.23
• Same billing period 2012: 26.00 CGL
� Pay your bill anline:www.water.paymybilLcom
Billed Use Graph(100 gatlons) � Pay by phone:24-hours a day,every day at 1-866-271-5522 �
55 . � Pay in person:Residential customers may obtain a listing of payment
aa locations by visiting www.amwater.com/myh2o
33 . � Pay by mail:Remit your payment to the address shown above
22 .
11
2 O N 0 ! F M A M J J A S 0 2
� c o e a e a p a u u u e c �
2 t v c n b r r y n I g p t 3
Important messages from Pennsyivania American Water
• EffectiJe October 1, 2013,the Distribution System Improvement Charge (DSIC) increased from 4.20�to 6.01%. This charge funds the
replacement of water distribution facilities.
• Approximately 4.57 percent,or$1.06,of state taxes are included in your current bill.
• Any portion of the water charges which is not paid as of 11/15/2013 will be subject to a 1.50�o penalty.
• We've improved the look of our bill to make it easier to understand and find the information you care about most.To learn more,see this..
month's bill insert or visit our website. NOTE:Your account number has changed too. If you pay your bill electronically through your bank's
eleetronic payment program,be sure to update your account number. 7his would not apply if you are enrolled in American Water automatic
electronic funds transfer(EFI�payment program.
� M'L. .. � ' . _ � . . .
� � . � . � . . . . . .
Questions about this bill?Call our 24-Hour Customer Service Center:l:800-565-7292 www.pennsylvaniaamwater.com
670000023751
017943/017956 ACQVRI ETMiC00312 (ACQVRI 0179430101300)
� OOD240651D111000�0000000�2378011
� Pennsyfvania American Water I � 24-0651011-1
PO Box 3714 i 2
Pittsburgh,Pa.15250-7412 AMOUNT DUE �23��g
For Service To: 6 Creekside�n
DUE DQTE Sep 16,2013 �
AMOUNT PAID ��oN�c ;
` ��Il�hul�d�y�t•�ru�n,��f�iril��lliu�����.�������,1������ PAYMENT ,
025494 7 AY 0.357 t494f25491J001494 089 1 NCET4L
DOROTHY S MILLER , :
THE ESTATE OF DORTHY MILLER PENNSYLVANIA�AMERICAN WATEF
125 N(�RTHGATE DRIVE PO BOX 371412
CAMP HILL PA 17011-1321
PITfSBURGH,PA. 15250-7412
�uinii.�ii�q.y�.i�i.�41�11��1u�l�ll��l�nii�i.u„�.�,...0
� Pfease checic hsre to add H20-H�p to Others oontr�lwtion to your monihly biU
or to change your address or telspfrone number,and prfn['urforrna6on on reverse side.
--•-------------------________.-------____________�_._._____---..______ _.____�__.-------------------,--------------°----------------------------___-----------------
Customer Accounf Informatlon �Billing Summary. . .
� For Service To: Dorothy S Miller ----------Prior Balance--�--�--�-�--»-
6 Creekside Ln Prior Water Ba/ance $20.94
Account Number:24-0651011-1 Payments prior to Aug 26,20i3.Thanks! -20.94
Premise Number:24-4384426 Total priar balance,Aug 26,2013 .00
---------Current Water Charges---------
Bliling Perfod&Meter Intormafion sen�ce charye 1 s.�s �
Biliing Date: Aug 26,2013 Water Volume($00910t x i,00�) � 9.10
Bilfing Period: Jul 22 to Aug 21(30 days) STA3 PAWC Wafer . -.03
Next reading oNabout: SeP 20,2013 DSI-PAWC Charge 4.20%. .96
Rate Type: Residential Total water charges,Aug 26,2013 23.78
Meter readings i�ourrertt biiling period: ---�--AMOUNT DUE---------------- $23.78
Meter Numtier NQ78&13887 is a 5/8-inch meter.
Present-actual 339600 Do not send payment.Total Amount Du will be deducted
Last-actua) 338600 from your bank account on Sep 16,2013
Ga(tons used 1000
Water Usage Comparison
5 5 Monthly usage in hundred.galions.
aa
33
22
11 �
20 2
2 g p O v c n b 8 � a n � g 3 ,
Y
Messages to you from Pennsylvania American Water
'A proximate/y 4.57�rcent,or$1.08,of State taxes are included in your current bill.
'�ffecdve July 1,2013,the Disiribution Sysi�em Improvement Charge(DSIC)increased from 3.99°�to 4.20�.
This charge funds fhe replacemen[of water disiribudan faafi0es.
� *Pennsy/vanfa American Water is now offerfng papeHess bilti»gr.!Ys a convenisnt,environmentalfy friend/y
and se�,rre way to receive your water and/or wastewater bi1l.Users must enrol/online.To get started,
visii www.amwater.com/myh2o.Go to Acxa�unt Detai!and c�idc on the green Paperless Biilirrg butron.
Follow Ghe steps,press submit and you're enro!!ed!
•Have you rec:ent!y changed your primary phone number?If you have,p/ease update your account information online
using My H2�OnTine at www.amwater.com/myh2o or ca//us at ihe number below so that we can updaie our records.
- - —___ --_��=�_�=r=�-��--_-�_���-=_-=_---=^rw�==.r=�w
*`lMPORTANT WATER QUALlTY INFORMATlON:
Your annual Water Qua�ty Report can be viewed elec�onically af www.amwater.r.om/ccr/mecltanicsburg.pdf
!f you prefer a paper copy to be sent to you,please coniact our Custnmer Service Center at 800-56�7292
, 001494J00/4W NCE 4L TAV07 2 . .
Custorrier Senrice&Emergencies 1-800-565-7292(24 Haurs) ,
For Hearing Impaired Customers TDD i-800-30Q-6202.(24.Hours) � � .
Visit us oniine at:www.pennsylvaniaamwater.cam �
qAA027� . A/M 35123 .
uuuC�ueSyuyLLUUUUUUUUUUUU�u74U14 .
� Pennsylvania American Water ; 24=0651011-1 :
PO Box 371412
Pittsburgh,Pa.15250-7412 AMOUNT DUE �2�.94
For Service To: 6 Creekside Ln
J DUE DATE Aug 14,2013 �
AMOUNT PAID �LECTRONIC
PAYMENT
i,��.�...inh��ihl..rqni�u.lil�ihrd�l�nril�.�i4l�ln�
07?288 1 AV 0.357 0288/12288lOOOQ86 043 1 NCEQXB �
DOROTHY S MILLER ,
THE ESTATE OF DORTHY MILLER
125 N�RTHGATE DRIVE PENNSYLVANIA AMERICAN WATEF�
CAMP HILL PA 17011-1321 PO BOX 371412
PITTSBURGH,PA. 15250-7412
. i�ih�I�IliilihP,.��i..�,.ri,����.i,.u,un�llll��.qi,,.,�n� .
� Please checlr here to�d H20-Help to Others c�ntribution to your monthly biU
or to chang�e your addrass or telephone number,and print information ort reverse side.
----._---- '--------_�.._------------ ---------------°-------------_ ______ ____------- ------------ -----------------------------------
Customer i4ccount:lnformation Billfng Summary. .
For Service To: Dorothy S Mil{er . ---------prior Balance=------�-------------
6 Creekside Ln Prior Water Balance $19.95
Account Number:24-0651 01 1-1 Paymenfs prior to JuL 25,2013.Thanks! -19.95
Premise Number:24-0384426 : Total prior balance,Jul 25,2013 .00
-------Current Water CF�arges---------
Bflling Perfod&Meier informafion senrice charge i3.�s
Billing Date: Jul 25,2013 Water VoJume($.009101 x 700) 6.37
Biliing Reriod: Jun 20 to Jui 22(32.days)� STAS PAWC Water -.03
Next reading oNabout: Aug 21,2013 DSI-PAWC Charge 4.20% .85
Rate Type: Residential Total water charges,Jui 25,2013 20.94
Meter readings in current biliing period: --------AMOUNT DUE--------------------- $20.94
Meter Number N078613887 is a 5/8-inch meter.
Preseht-actual 338600 'Do not send payment.Total Amount Du will be deduoted
Last-actual 337900 from your bank accounf on Aug 14,201
Gallons used 700 .
Water Usage Comparison .
5 5 � Monthly usage in hundr.ed gaibns. �
44
• 33
22 �
11
0 �
2 J A 5 O N D J F M A M J J
0 u u e c o e a e a p a u u
2 � 9 P t v a n b r- t y n I 3
Messages to ou from PennsyJvanla Amer�can Water
'Approx�mately 4.57percent,or�95,of State faxes are►ncluded in your current bill.
'�ffec�ve Ju1y 1,2013,the Disiri6ution System/mpiovement Charge(DSIC}increased from 3.99°�to 4,209b.
This charge furtds the replacaement of wafer distribuiion facil'ities.
"Pennsylvania American Water is now offering paper/ess billing.lYs a convenieni,environmentally friendly
and secure way to receive your water and/or wastewater bill Users must enrol!online.To get siarted,
visit www.amwat+sr.com/myh2o.Go ro Account Detail and click on the green Paperless Biliing button.
Fol/ow ihe steps,press submit and yow're enro!ledt
`Have you recently changed your primary phone number?If you have,p/ease update your account i»formadon online
using My H20 Onlfne at www,amwater.com/myh2o or ca/!us at the number be/ow so that we can update our records.
---����-------------------------------------------------
`"lMPORTANT WATER QUAL/TY/NFOAMATION: �
Your annual Wai+er Qua�ty Report can be viewed electronically at www.amwater.com/ccr/mechanicsburg.pdf
K you prefer a paper copy to ba senf ta you,please contact our Custome�Service Center at 800-565-7292.
� . 000298l000288 E XS AV042
Customer Service&Emergencies 1=800=565-7292(24 Hours) , �
For Hear+ng lmpaired Customers TDD 1-800-300-6202(24 Haurs) �
Visit us online at:www.pennsylvaniaamwater.com �
' AM0211 . AiM 21278
uuu�4ueSLU�y�uuu�uuuuuuuu�y�s�1�
�� Pennsyivania American Water . 24-0651011-1
P4 Box 371412
Pittsburgh,Pa.152�0-7412 /�lMOUNT QUE �19�95
For Service To: 6 Creekside Ln Dl1E DATE Juf 15,2013
AMt3UNT PAtD ELECTRONIC
r_ PAYMENT
i,.�q.ii,nnll��rul..r•.�l���llhliil,��,,,�.���l��uirll�i
Oi5859 1 AV 0.357 3859l15859/D03859 057 1 NCENPR
DOROTHY S MILLER �
� THE ESTATE OF DORTHY MILLER pENNSYLVAidiA AMERICAN WATER
' 125 NORTHGATE DRIVE
CAMP HiLL PA 17011-1321 PO BOX 371412
PITTSBURGH,PA. 15250-74i2
. Ii.�tlilhli.���irli�i.�,I�I���ul�hlli�u,�hlii�ilhll�N����
Ple�ase chedc here to add H20-Hel to Others con�ribution to your monthty bill
or to change your address or tetep�ione number,and print information on revarse sfde.
--------------------_._.._._----_---------------------------------------------------------g---------------�-------------------------------------•----------------------------
Customer Account lnformation Billfn Summa
For Seryice To: Dorothy S Miller ----------Prior Balance----------------�-=--
6 Creekside Ln Prior Water Balance $59.63
Account Number:24-0651 01 1-1 Payments prior to Jun 25,2013.Thanks! -5 9.63
Premise Number:24-0384426 Totai prior balance,Jun 25,2013 .0�
--------Current Water Charges--------_
Bllling Period&Meterintormation service charye �3.�5
Billing Date: Jun 25,2013 Water Volurne($009101 x 600) 5.46
Billittg Period: May 22 to Jun 20(29 days} STAS PAWC Water -.03
Next reading oNabout: Jul 22,2013 DSI-PAWC Charge 3.99/0 .77
Rate Type: Residentiai Total water charges,Jun 25,2013 19.95
Meter readings in current billing period: ---------AMOUNT DUE--------------------- $19.95
Meter Number N078613887 is a 5/8-inch meter.
Present-actual 337900 Do not send payment.Total Amount Du will be deducted
Last-actual 337300 from your bank account on Jul i5,2013
Gallons used 600
iNater Usage Comparison
5 5 Monthly us�qe in hundred galions.
' 44 �
, .z'z ... � . . _....._. .... . .. . .
ano�t o o ���q .
� /o5'L Paa�xa�ou ��inn�{ •pa}a�dwo�
�onn ay� uo paseq sy�uow aa�y� i(.�ana
a6uey� �I!M �fld a� �Q Panadde aB�ey� �s�teP 99��4�
siyl -��a 's�n�en `s�ue�p�ly a�� `s�a�aw a�ow ao s�(ep gg uey}ssa��o poi�ad e�o�
'suiew se y�ns 'sa�i���e� Bui6e a�e�da.a ��iq�a�enn y-i'li8 A"1H1NOW-19'i�di12l1yd
o� a6�e4� y -. (3J21ttH�-!Sa) ?�N�►N7
OOD2406510111U�DOOOODQO�U5963�17
Pennsylvania American Water 24-0651011-1
PO Box 371412
Pittsburgh,Pa.1525Q-7412 AMOUNT QUE �59�63
For Service To: 6 Creekside Ln
DUE oATE Jun 17,2013
AMOUNT PAID �LECTRONIC
PAYMENT
II„i,i.irilii,,ii�m��l�i�l.�.u�l�ir,i�iin�n��..�,�.ii,.�i,
0262701 AV 0.35�227Qf26270/002270 148 1 NCELBE
DOROTHY S MILLER ,
6 CREEKSIDE LN
CAMP HILL PA 17011-1304 PENNSYLVANIA AMERICAN WATER
PQ BOX 371412
PITTSBURGH,PA. 15250-7412
li�il�ii,u,�l�i��ll��.i�u��u.ii(inl��l.�i��,t.,,qi�ll�ll��r
� Please cher k here to�d N20-Help to Others confribufion to your monthly b�71
or to change your add�ss or re�epnone number,and print Jnlom►atfon on reverse sid�
-----------------.__--------___--------._.______..___----------------------- g � -------
---------------------------------.._______.-_--------.--___._--------------
Customer Account fnformatfon Billln Summa �
For Service To: Doroihy S Miller --------Priar Balance-------------=------.. `
6 Creekside Ln � Prior Water Balance $63.43
Account Number:24-0651 01 1-1 Payments prior to May28,20)3.Thanks! -63.43
Premise Number:24-0384426 � Tptal prior balance,May 28,2013 .00
---------Current Water Charges_-------- �
Billing Perlod&Mefer informafion Servic8 Charge 13.75
Silling Date: May 28,2013 WaterVolume($.009i01 x4,800) 43.b8
Bilting Period: Apr 22 to May 22(30 days) STAS PAWC Watei -.09
Next reading an/about: Jun 20,2013 DSI-PAWC Charge 3.99% � � 2.29
Rate Type: ResideMial Total water charges,May 28,2013 59.63
Meter readings in currerrt bilting period: ----------AMOUNT DUE�------------------- � $59.63
Meter Number N0786i3887 is a 5/8-inch meter. � .
Present-actua! 337300 Do not send payment.Tatal Amount Du wili be deducted
Last-actual 332500 from your bank account on Jun 17,2a73
Gallons used 4800
Water Usage Comparison
5 5 Monthly usage in hundred gaifans.
44 �
33 '
22 •
11 •
�
2 M J J A S O N 0 J F M A M 2
2 y n � g�p 1 v c n b a � y 1
8
Messages fo�ou f�om Pennsylvanla Amer/can Water
A�proximately 4.57 percent,or 2.72,of State taxes are inciuded in your currenf bi!!.
'Effective Apn/1,2013,the Distribution System/mprovement Charge(OSIC)increased from 3.4890 to 3.99%.
This charge funds the repl�cement of wafer distribuLion facilities.
'Haws you recently d�anged your primary phone number?If you have,please updaie your acxounf rnformabon onlfne
using My N20 Onbne at www.amwater.com/myh2o or ca1!us at the num�ber below so thai we can update our records.
-------------- --�����- ------------------------------------------------
••lMPORTANT WATER QUAUTY INFORMATION:
Your annua/Water Quality Report can be viewed electronically at www.amwater.com/ccr/mechanicsburg.pdf
If you prefer a paper copy to be seni to yov,please contad our Cusfomer Service Center at 800-565-7232.
, 00227Wa02270 NCELBE TA 07 3
Customer Service�Emergencies 1-800-565-7292(24 Hours) - �
For Hearing Impaired Customers TDD 1-800-304-6202(24 Hours) ,
V�sit us oMine at:www.pennsylvaniaamwater.com
AMOt81 ' • AiM 25353 •
uuu�4U6bLUb�LUUUUD0�U00002472012
� Pennsyivania American Water 24-0651011-1
Po Box 37i412
Pittsburgh,Pa.1 5250-74 1 2 AMOUNT DUE �24��2
For Service To: 6 Creekside Ln DllE DATE OC#15,2013
� AMOUNT PAID ELECTRONIC
PAYMENT
�...�..n���.�ih�li�il�linr�l.��..q�i�ulli�uuil�lil��liili
079497 1 AV 0.357 3497H9497/000497 079 1 NCEVES
DOROTHY S MILLER ,
� THE ESTATE OF DORTHY MILLER pENNSYLVANtA AMERICAN WATEF
125 NORTHGATE DRIVE PQ BOX 371412
CAMP HILL PA 170i 1-1321
PtTfSBURGH,PA. 15250-7412
n,�,.��.���ii���.y,�r,lldlin..iul,�.illl.'iu,�..�n�i.N.��
DPlesse checic here to add H20-Help to Others contrlbutfon to your monthty b111
or to change your�dr�s or telepl�one number,and prirtt intormatlort on reverse s�e.
------------------__________.._._..__�___.__.__..._._—_-------------------_-------r�-------------�------------°------°°--..._..-----°----._._----°---�--=---
CustomerAccount�lnformatfon � Billin Summa �
For Service To: Dorothy S Miller ---------Prior Balance�------------------- •
6 Creekside Ln Prior Water Ba/ance $23.78
Account Number:24-0651011-1 Payments priar to Sep 25,2013.Thanksl� -23.7 8
Premise Number:24-0384426 � Total prior balance,Sep 25,2013 . .00
----------Current Water Charges----------
BllJing Period&Mefer lntormafion service charqe 13.7 5
Billing Date: Sep 25,2013 Warer Volume($009101 x 1,100) 10.O 1
Billing Period: Aug 21 to Sep 20(30 days) STAS PAWC Water -.04
Next reading oNabout: Oct 22,2013 DSI-PAWC Charge 4.20% 1.00
Rate Type: Residential Total water charges,Sep 25,2013 24.72
Meter readings in current billing period: --------.-AMOUNT DUE--�-------------- $24.72
Meter Number N0786138$7 is a 5/8-inch meter.
Present-actua) 340700 Do not send paymenL Total Amount Du wilt be deduated
Last-actual � 339600 hom your bank account on Oct 15,2013
Galions used 1100 �
. � �
Water Usage Comparisan
5 5 Monthly usage in hundred galions.
. - 44
33
22
11
0 .
p e c� o e a F a �A M J J A S 2
2 p i v c n � r P y n I g p 3
� Messages fo ou from Pennsylvanfa American Water
A�pmxrmare�y 4.57 percent,or�.12,of Stafe taxes are induded in yovr current bill.
�'E`ffec6ve Ju/y 1,20i3,the Distribution System lmprovement Charge(DS1C�increased from 3.993�to 4.20%.
This charge fvnds ihe replacement of water�str�budon facilities.
"Ha,re you recaently cahanged your primary phone number?If you have,please ugdafe your account lnformation online
e�sing My H20 Onlne af www.amwater.corNmyh2o or cal!us at the number below so that we can update our reeaords. �
. _�__��--x�M-o�-_x��===_�_=-_�___-_=ar-=_�__��-__�_��=-�c----=�a��= .
'''IMPORTAM WATER QUALITY INFORMAT/ON:
Your annua!Water Qua�ity Report can be viewed electmnically at www.amwater.c�am/crx/mechanicsburg.pdf
!f you prefer a paper copy to be sent io you,p/ease coniact our Customer Service Center ai 800-565-7292.
. � 003497/003t�7 NCEVEb TAV06 2
Customer Senrice&Emergencies i-800-565-7292(24 Hours) �.�.
For Hearing i�npaired Customers TDD�1-800-304=6202{24 Hours} -
�sit usonline at:Www.pennsylvaniaamwater.cam � � � .
AMWUI ' AiM 1870
r
� � �� �� � �� �_��� � �� � � 000],024210�3675017DOOt70000000002226��9
��'�:���: ��'�.��..�.�'���'� ����.~�~�..���.. ---,
� � �- 1024-210036750170 �
PO Box 371412,Rittsburgh,Pa.15250-7412 � - �, • December 16,2��3 c �
For 5ervice To:6 CREEKSIDE LM e . � - �22.26
� Check this box for address changes and •. e � � - � $22.59 after 12/16/13�
note new address on back.
Amount Enclosed $ Paid electronically.Thank you.
.i.�i..�.����i�.,.�.��i..�.�..�i..11�ll�l�in��l��llfl�u°niiiil _ .
0188861 AV 0.357 18886/�18886/019037 68 OT ACQZ6G 003
.��i��i�.i����.i�iu�.,llili...ii�i1l.n.i�i�.�i��.�.��..�m��i.
D�RUTHY S. MILLER � _
PENNSYIVANlA AMERICAN WAT :
C/O THE ESTATE OF D(�RTHY MILLER PO BOX 371412
i25 NURTHGATE DR PITTSBURGH,PA. 15250- 412
CAMP HILL, PA i7Q11-1321
� � � � � �������������r���r�r�r����
�
,.....Please tear alon�the._dotted..line and..return thisportion,with..your.�pa,�ment,_..._...,..,....._.._......�......_...._......_.�__...__.....�.__......._�..........._..
BILLING PERtOD AND METER READINGS BILLING SUMMARY
• Biiling date:November 22,2013 For Service To.6 CREEKSIDE LN
• Due Date:December 16,2013 For Account 1024210036750170
• Billing period:Oct 23 to Nov 20(29 Days) Prior Balance
• - Ne�reading on or about:Dec 19,2013 • Balance from fast bill . 23.23
• Customer Type:Residential . • Payments as of Nov1�4.Thank you! -23.23
• Meter Reading.Measurement: � Balance Forward � 0.00 �
1 unit=100 gallons of water Current Water Service
• Billing Measurement:100 gatlons(CGL) . Water Service Charge � � 13.75
Meter No. N078613887 • Water Usage Charge($0.91010000 x S.OQ) 7.28
Stze of ineter 5/8" • Total Water 8ervice Related Charges 21.03
Current Read 3,424(Actual) Other Charges � � .
Previous Read 3,416(Actual) • State Tax Adjustment Surcharge � -0.03
Total water used this 8 units ' Distribution System Improvement Charge(21.03 x 6.0196) 1.26
bltling pertod (800 gallons) • Total Other Charges 1.23
TOTAL CURRENT CHARGES 22.26
Total Water Use Comparison(in 100 gallons)
• Current billing period 2013: 8.00 CGL
• Same billing period 2012: 2s.00 G�� TOTAL ANNOUNT �UE � $22.26
Billed Use Graph(100 galions) Pay your bifl onllne:www.water.paymybill.com �
55 Q Pay by phane:24-hours a day,.every day at 1-866-271-5522 _
44 f Pay in person:Residential customers may obtain a listing of
payment locations by visiting www.amwater.com/myh2o
33 � Pay by mail:Remit your payment to the address shown above
22
11 .
2 N D J F M A M J 1 A S 0 N 2
� o e a e a p a u u u e c o 0
2 v c n b r r y n I g p t v 3
Important messages from Pennsylvania American Water
• Effective October 1, 2013,the Distribution System Improvement Charge (DSIC) increased from 4.20�to 6.01�0.This charge funds the
replacement of water distribution facilities. -
• Approximately 4.57 percent,or$1.02,of state taxes are included in your current bill. .
• Any portion of the water charges which is not paid as of 12/16/2013 will be subject to a 1.50�penalfy. .
• We've improved the loak of our bill to make it easier to understand and find the information you care about most.To learn more,see this
month's bill insert or visit our website.NOTE:Your account number has changed too. If you pay yaur bill electronically through your banks`
electronic payment program,be sure to update your account number. This would not apply if yau are enrolled in American Water autamatic:
elecEronic funds transfer(EFT)payment program. .
�. .
r
Questions about this bill?Call our 24-Hour Customer Service Center:l-800-5f5-7292 www.pennsylvaniaamwater.com
612500193320
0188861019037 ACQZ6G ETM1C003 23 (ACQZ6G 0188860101600)
� ���1 � � � �. � � ��� � DOO�yD24210D3675�17L1C1DDDDCI�[7[1[10t72226019
� ���'��`����'����'. -.� •. � _- 1024210036750170 ��
. PO Box 371412.Pittsburgh,Fa.�2�a7a�2 � , - :. - .ianuary i4,2014 V��
� � For Service�To:6 CREEKStDE LN � � . . a • $22,26
� � Chedc this box fo�addr�ss changes and � � � . . • � - � - R. - � $22.59 after 1J14/14 ��
� �ote new address on back. . . � .
� - � �Amount Enctosed $:::::�:Paid.:�te�-onic:alty:;Tliank.:you::.:: . .
IIIIi{lE.ii��!!�lr�l�t�i�,�i..{uiiilr�.���i�i�n.i���.�.�.i.ij� . . . .. .. . . . . . . .. : :. . : . . . .
ooio»�av o.S57 . 01017/001017/O(J1323 fi 01 ACR1i1001 . � ] �i II IC 6�!.t 1 .� 1. . 1 ! ..
� � � . � � � . �I rt�lj! �I�..i..l 1 i�•i � �� i#�� I 1 �ili 1�� i �!i!
� at�ROTHY S. MILLER �� - � . � PENNSYi,YAN1A►AMERICAN WATER �
. C/U THE ESTATE 4F DORTHY MiLL�R � . � - . � . � . PQ�BQX 371A�12 � � �
. �25 NORTHGATE DR � � . � RITTSBURGH,PA:15250-7412. �� . � �
CAMP HiLL, PA 17U11-1321 � . � - . _ � � . � � .
. � � .I��,���'������'�������������������'�
......_._......._...._........,.._... . . � Please tea�afon�the tbtted tine ar�d reivrti this rt�on with ur nt. �_,�_____ � ..�...�.._w__..�....
� BtIi.ING PERlOD AND METER READfNGS � . �BiLL1NG SUMMARY � . . . �: � - � . � . �
. • B+�Iing date:�December 23,�0�3 � � � � For Sen►ice To:6-CREEKSIDE LN. � � � � � � � � . �
• � Due.Date•lanuary i4,2a1.4 � � For Account 10242100367541�0 � � . � � � . . � .
• � BiNing pertod:Nov 21 to Dec 19�29 Days) . priort Batance . �. � � � � � -
. � Next reading on or�abauk:Jan 21,20i4 � .Balance from last biii _ . . � � � � � 22•26 � �
� Customer Type:Residential . � � Payrnents as vt oec1.3:rnanlc you!� � �•26 . � �
!�� Meter Reading Measuremen� � . . . Balance Fon�rard � � � � � � 0•� �
� 1 unit=100 galions of water Current Water Service � � � � . .
� . Billing M�asuremert�140 galtons{CGt) ..� . � • Water Service Charge . � � � � �. � � . 13.75. .
� Me�er{Vo. �'. At078613887 � . • 1t�ater Usage Charge{$0.910i0000�x 8.00) . . � . . � �7.28 . .
Slze o�m+�#er � 5�g� . - • �Tatai Water Service Related Cl�arges. �. . . 2i.03
Curren#Reed � 3,432(Actual) � . . �er Charges � � . . - � � � � : . . . �
� Previous Rea� � 3,424(Actuaf) . . � • -State Tax Adjustment Surcharge . � _ -0.03 � �
Total Wat�T teSed this� � . $�n� . : • � Disvibutian System lmpravemerzt Charge(21..Q3 x 6.0196) 126 �
. . : .Totat Other t�a�ges . . �
bllling � .(8t� gallons)�� � . . . � .
� TOTAL CURRENT CHARGES � � � � � � ��s �
To#ai Water Use Compar�on.(in 100 gallons) � . _. . . . .
• Gurrent biiling perl�l 2013: . � � 8.00 CGL � � � � � � � �
• Same billing period 2412: . s9.00 c�� TOTAL AMQUNT DUE: . � ... .$22,26 �� .
Bilted Use Graph(�OQ.gaflonsy� - . . � . PaY Your bi[!oniine-www.water.paymybill.com . � � .
� ss . . . � . � �(�} PaY by phane:�4hours a day,every.day at 1-866-2715522 � . . . .
� ' � ' � Pay ln person:Residentiat customers may obtain a listing of
_ . - . payment iocations by visifing www.amwater.com/myh2o .
--� - -. _... . _ . ._ �_ .. _ _�. pay by mail:Remit your paymen�#o theactdressshown ah�ve.....-. . ... -
�� . � . . � , � . � � � - .
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� . .� �. � � �� . l�nportan#messages from Pennsytvania Americ�a�Water � � � . . .
� Effective October 1,2013,the Distribution System lmpravement Charge(DSIC) increased from 4.209�to 6:�196.This charge funds the
� repiacement of water distribution facilities. � � . . � � . � � � � . � .� � � .
• Approximately 4.5?percerit,or$�1.02,of state taxes are included�in your current aiil. � � � � . � ' � �
� � • Any portion of�the water charges which is.not paid as uf 01/14/2014 will b�subject to a 1.50�penalty. �� � � �
, � ,� � . . . � . . . . . . . . .
: . � . .
; . . . . . .
. . . . . - � . .
Que�Nons about this b�If�.Catt our 2�-Hour Custvmer Service Center.�.-8tftf-�6�-?�92 www.pennsylvaniaamwater.corn � .
� � . � � 653750267778
• . 01466�001323ACRipETM1C007 346 � �ACRtiI 41d6�90i01C1� . � . � ..
�.'q�a::•'� Questions?Please Visit us online at Page 1.
�'°`�Y�'����- � contact us by Sep 30. `� pplelectric.com � , ,
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a>'°� (1840-342 5775) 60890-74006 . � � �}::
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Your Electric Usage Pro�ile Biiling Summary (g�i�ing detai�s on back)
Service to: Balance as of Sep 12,2013 $�•00
DOROTHY S MILLER-ESTATE � Charges:
6 CREEKSIDE LA Tota) PPL Electric Utilities Charges � $30.61
CAMP HILL, PA 17011 �
Total Dominion Energy Solutio ar�es $53.25
Meter:5294�096 �
Your next meter reading is on or about Oct 11,2013. Totai.Charges $ • 6
� , �sY. � r,�� f.�
This section heips you understand your year-to-year �J � : .� � ��,..�: �n� ,.�r. .: , . :a„� �,��:��.:.. � �•..
electric use by month. Meter readings are actual unless Account Balance $83.86
otherwise noted.
, �2012 . �2413� PPL Electric Utilities' re for yo r ate is$0.0877 er kWh.
� This changes the 1st of Mar,Jun,Sept,and ec.Visit papowers ' ch.com
60 . . or www.oca.state.pa.us for supplier offer.,.
� 50 . � . . .
Y � Your Message Center�. � .
n 30 � � � � � � ; � • Go Paperiess,and receive a FREE LED at
� � pplelectr�c.com/gopapertess
m 20 � • information about appiiance energy use and tips on
a so . saving enecgy are available throu h the Energy Library � ;
0 on our Web site,pplelectric.com�e-power M
. � � F�� .nn A M � J A�� S � 0 N� D � Before diggir�g around your�home or property,you �
� � � � � .nnontns � should always call the�tate s One Call notiflcation
� • . �. system to locate any�underground utility lines. You can
do this by simply dialing 811,which wil{connect you to
' ' the One Call system. Be safe and caii 811 before you
dig.
Sep.2�13��: . :30� . . 533 :.: �. 18 ��� � .. 71F� .
. Sep�20�13 . .�:32 .• � 1307�. :.� 41:�. : .�72F.`. . , � � � . . .:
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._ ` . Rayment Methods �� � � ��� � �� � � =
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Se 11�. � �. Actual; �� � . : 3615: Online at. �By phone:i-800-342-5775. � � =
P;
. . � `� pplelectric.com or cali BiliMatrix�service fee applies) =
�Aug i2 �. Actual . � � 308Z at i-800-672-2413 to pay using�Visa, �=
=
30 ,Days ; . kWh B.illed � � . 53�3 � MasterCard,Discover or debit card. .:
�
. � ey Mail: Correspondence should be sent ta �
Oct 2�1�-�ep 2413 ` .g555 � 79fi � 2 North 9th Street Customer Services . =
CPGGENNI 827 Hausman Road =
Oct�2011-Sep 2012 � �10393 866 Allentown,PA 18101-1175 Allentown,PA 181G4^9392 =
� � � . Other important information on the back of this biN� �
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D�ROTHY S MtLLER-ESTATE PPL ELECTRIC UTILITIES
cro+�REra�ui�oAY 2 NORTH 9TH STREET CPC-GENN1
125 NORTHGAtE DR ALLENTOWN, PA 18101-1175
` CAMP HILL,PA 1 701 4-1 321
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60890-74006 R
r������n��� M-F:Sarn to 5pm . �� `^s.:''
Your Electric Usage Profiie Billin� Summary (gi���ng deta��s on back)
Service to: Balance as of Jul 15,2013 $0•00
D4R�THY S MILLER-ESTATE Charges: �
6 CREEKSIDE LA Tota!Dominion Energy Solutions Charges . $66.53
CAMP HILL,PA 17011 Total PPL Electric Utilities Charges $33.99
Meter:5294�J6 /
Your next meter reading is on or about Aug 12,2013. Total Charges ` $100.52 1/
r � � ,� � �
This section heips you understand your year-to-year r�.�Qt�.:��;�f�.'��' �:��f�'������ �
. .M.S v+Ct'.... . -.Kv n :� ..i. 1 %+�..�.:.),.A...to' ,l. !. � . �� . . �
electric use by month. Meter readings are actual unless Account Balance $100.52
otherwise noted. .
�2�12 �2013 PPL Electric Utilities'price to compare for your rate is$0.08227 per kWh.
� This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitth.com
� or www.oca.state.pa.us for supp(ier offers.
3 50
� � Your Message Center �
� 30 • With paperiess billin ,you can receive and pay your
a PPL Electric Utilities�iils online.The process is free,
°- zo quick,convenient and secure.To learn more or sign up,
� 10 visit ppielectric.com. �
o • Information about appliance energy use and tips on m
� F nn A nn � � a s o N � saving energy are availabie through the Energy Libr�ry �
. on our Web site,pplelectric.com.
nnoncns . B�fore digging around your home or property,you
� should always call the state's One Call notific�tion
' system to locate any underground utility lin�s. Yau c�n
do this by simpiy dialing 811,whfch wiil connect you to
Ju)201J 30 � 670 22 75F the One Cal)sysCem. Be safe and calt 811 b�fore you
dig. .
Ju!2412 34 1668 S6 76F -
_
_
. . �
. Payment Methods . . . . .. _
Jul 12 � Actual � 2144 .�/� Online at: �By phone:1-804-342-5775 =
Jun 12 Actuai 1474 v pP�electric.com or call BiIIMat�ix(service fe�applies) _
---
at 1-800-672-2413 to p�y using Vis�, ,_
,'30 Days kWh Billed 670 MasterCard,Discover.or d�bit c�rd. =
. ,. .: ,:. :
_
� By Mail: Correspondence should b�sent to: '�
� 2 North 9th Street Customer Services =
Au�2012-Jut 2��3 10869 . 9� CPC-GENN1 827 Hausman Road =
—
Aug 2011-Ju12012 10573 � 881 Allentown,PA 18101-1175 Allentown,PA 181�4-9392 =
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DOROTHY S MItlER-ESTATE PPL ELECTRIC UTILITIES
C/O GRETA GUILDAY 2 N�RTH 9TH STREET CPC-GENN1
125 NORTHGATE DR �ALLENTOWN, PA 98101-1175
CAMP HILL,PA 17011-1321
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� . Your E�ectric Usage Profiie Bitling Summary �� (Biiting de�aii�on back)
.�
Serv�Ce tv: � 8a��ce as o#Dee 12,2013 . � , � $0.00
DQRQTHY 5 MILLER-ESTA'i'E Charges: � �
6 CREEK5IDE LA . Tota#Dominivn Energy Solutions Charges � $30.97' . �
CAMP HIl1.,PA 17011 � �
- - Tota!PPL Etectric Utitities Char�es . $2�-89 .
iVleter,52940096 .
Your next meter readfng is on ar aboutJan 33,2U14. T��Charges � . $54•86
This section helps you understa�d your year-to-�rear
electt�ic use by morrth. �Meter re�dings are actua[uniess Accaunt Bafance � � � � $�•8s
otherwise noted. . . .
� � ��12 ���� PPL.Etectric Utilities'price to cvmpare for your rate is$O.OSi54 per kWh.
This changes the 3st of 1War,Jun,Sept,and Dec.11�sit papawers�titch.com
eo - or rMww.oca.state.paus#or supplier offers. . �
� � � � � �
� Yo.ur N�essage Center � � . . . �
.. 4 ao ..______..—, _
m 30� � � • Vl/ith� paperless biliin&you can rezeive�and pay�your � �� � .. � . ��
� ppL��iectric Utilit�es bilts onttne.The process is ftee,
a 70 qUjClc,conven�ent and secure.To(eam mor�or sign up,
� visit pplelectric.com. � r
� . �1� • informat�on a�out app[iance energy use and tips on � �
. J F M A 1N! .I ! A S O N D s�ving energy�re avait�b1e throu�h the Energy Ubrary � $
- on our Web site,pplelect�ric.corrye-porvcr
MO1� � � � • Before d�gging around yaur home or roper�y,yau
; .
should atv�rays catl the s�tate's One Ca! notifica�Clon
. � . sysCem to locate any underground utllity lines. You can
do this by s�mpiy dtaling 811,which will connect you-to �
.- �Z�� 30 31Q . � 10 37F� �e One Cal!systern. -Be safe and call Sii tietore you � �
. di�. .
Dec 2Ui2 � 32 638 20 44F . � . . . � � � . =
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� Dec 11 Actuai� � AS77� . Ontine at: � �BY Phone:i-8�0�-342 5775 . =
� `� RP�etect�r�c.com � �
. Nov�1 Actc�ai . . 4267 . or cail BiltMatrix�se�rv�ce fee applies) =
at 1-��0-b72-2413 t4 pay using Visa, =
3� I�ys , : kWh eilled � 31Q . MasterCard,Discover or debit card. �
, .�.,��., � � . _,
� By Mait: � � Correspondence shciuld�be serrt to: �
Jan�2013' T��'�i3 � � 8394 700 2 North 9th 5#reet Custom�r Services ,:
`� - CPGGENNi � 827 Hausman Road —
Altesrtown,PA 181011i7S Allerrtown,PA 181t�t-9392 =
3an 2012-Dec 2012 10633 886� � .
� �ther important i�fvrmation on the back of tMis bilt� rt
• r.._'..'.:.'�•"�'.°�}np:FiK:E40n':'.'.'�'��A4. . ��.__ -".-.�.. .. .w.��.._. .r...•�.._.
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DoROTHY S lwn1ER-ESTSTE �PPL ELECTRIC UTtLlTIES �
Cf0 GRETA GUILDAY 2 NORTH JTH STREET CPC GENN1 �
�zs�uaR�ic��oR � ��oyv�v, PA 181�1-1175
CAMP HILL,PA i?011-1329 .
iI[f�lt"•�1�111I1tIi'I�It1�lIlIl�i,�i�ltiill'i��il�ll�1���!!rll�
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'��i�aky�}�;,,.. � contact us by Oct 30. `� ppleiectric.com
� � �.,� 1-800-DIAL-PPL
A.� � �:�.. +� >,:
�;°;, (1800-342-57�5� 60890-74006 ��,, , �`�:
�.�ra�t�s M-F:8am to 5pm ., .:�:�� .... 1:�,,s.t
Your Electric Usage Profile Biiting Summary � {B;��iny deta��s an aack)
�
Service to: Balance as of �ct 14,Z013 $�•00
DOROTHY S MILLER-ESTATE Charges: �
6 CREEK5IDE LA Total PPL Electric Utilities Charges $24.83
CAMP HlLL,PA 17011 �
Meter•52940�96 Total Dominion Energy Solutions Chacges $33.97
Your next meter reading is on or abouC Nov 11,2013. Total Charges � �$58.84
�_ . � H..... . ?..p ' n:., � � ,�- '. . >�
This section helps you understand your year-tayear � :�.��. �j ' �":�, �P: .h��:.r .� • � ,<.,
electric use by month. Meter re�dings are actuai unless Account Balance � $58•84 .
otherwise noted � .
�20�2 �2013 PPL,Electric Utilities'price to compare for your rate is$0.08777 per kWh.
rt'his changes the 1st of Mar,Jun,5ept,and Dec.Visit papowerswitch.corn .
� � or www.oca.state,pa.us for supplier offers. � ...� � �� . .
.� so . . . . . . .
Y ;� Y�our Message Center � �� � : _ �
�
n • A new price for tfie quart�riy di�tribution system
� 30 � improvement charge is effective from Oct. 1,2013
°- Zo through Dec.31,2013
00
Q so • Co Paperiess,and r�ceive�FREE LED at �
o ppietettric.com/gopaperless . �
^
� J F nn A M .J J A s O N D + Informatlon about�ppliance energy use and tips on �
��� saving energy are avaii��le throu h the Energy Library �
� on our Web site,ppl�lectric.com�e-power
_ _ ._ .
• Keep light bulbs and fixtures clean.DusC and dirt absorb
light and can reduce light output by as much as half.
� Oct 2�13_ . . . .. � .
. 30. 340. ... 1I _ 63� . .� :
Oct 2012 �30 743 �5 � 61F � . . . . . . . .�. . .._.
: .. � . � � � � .�
. t'ayment Methods . �.: ..:..
Oct�11� Actual 3955 �� - . .� —
Online�t: �By phone•1-800-342-5775 w`
� ppleiectric.com or cail BillMatrix(service fee applies� '—'
� Sep.l]: :. � . . �Actuat 3615 .=
at 1-8�-672-2413 to pay using Visa, —
30 Days�� � k1Alh Billed 340 � . MasterCard,Dlscover or debit card. ...:.
� .-z� .�, n ...>> �
. —
... .
� By Mait: Correspondence should be sent to: =
2 North 9th Street Custamer Services „_
Nav��1�:-f�ct��:3' 9252 763 CPC-GENN1 827 Nausman Road '=
Nov 2011-Oct 2012 � 103�1 g64 Allentown,PA 18101-1175 Allentown,PA 181049392 '=
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DoROn��s a�iuFR EsTA� PPL ELECTRiC UTILITIES �
Go GRETA GUIIDAY 2 NORTH 9TH STREE7 CPGGENN9
125 NQRTHGATE DR ALLENTOWN, PA 18101-1175
CAMP HILL.,PA i7011-1321
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°;�--� (1-800-342-5775j ,�: ��.
�.+��ua�n�� � � M-F:8am to 5pm . 60890-74006 ;� �
Your El�ctriE Usage Profile � Biiling Summary � (�i���ng deta�rs on�back)
- , , , ,
Service to: Balance as af Aug 13,2013 � � $0.�
DOROTHY S MILLER-ESTATE Charges: .
6 CREEKSIDE lA Total PPL Electric Utiltties Charges $43,06 �
CAM P H I LL,PA 17011 �
Meter:52940096 . Total Dominion Energy Solutions Charges � $93:71
Your next rneter reading is on or about Sep 11,2013. Total Charges �� � $136.77 � ���
><<� , x..-�,' x .r,. , . .
This section helps you understand your year-to-year k -� ' ���:.+ �:� � '� ��` ���
electric use by month. Meter readings are actual unless Account Balance � � � � $136.77
otherwise�oted. .
�2012 �2013� � � . PP!Electric Utilities'price �i pare for your rate is$0.08227 per.kWh.
This changes the ist of Mar,Jun,5ept,and Dec.Visit papowerswitch.com
� � � � � -� or www.oca.state.pa.us for suppli�r offers, � .
3 50 . . � � � � � . � .
L � . . . Your�Aessage�enter � . �
., .. _ ,� : ,
o � • With paperiess biitin ,you ean re�eive and pay your r
;, �0 ,� � � PPL Electric Utilities�iils oniine.The process is free,
a 20 � quick,convenient and secure.To learn more or sign up,
> visit pplelectrie.com.
Q lo � - • information about appliance ener y use and tips on ;
o •
� � F� M� A. �nrt:� � � A � s o N. � . . .saving energy are availabte throug�the Energy Library �
� . on our Web site,pplelectric.com: � S
� � � � . MO"th' � . � .�� • Before dig�ing arountl your home or proper�,y,you
' ' shouid always call�he state's One Cali notl#i�ation
system to locate any underground utility fin�s. You can . .
do this by s�mpiy dialing 81�.,which.wiil connect you to .
Aug 7013 �. � th��ne Call system. Be safe and call 811 before you
��31. . : .� 938.�:. � _30 , 7�f: di�. . . � �.
.Aug�2Q���..� . :29 �.�. •:.1478 � :��::�� �: 51 ; . :.�...7�F .. � � . � .:
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.Aug 1�' •� � .. actual .. . 3082. Online at: �BY Phone:1T8�0-342-5775 . _
� Jui 12 � :� .�Actual ���� . �2144 . � PP�electric.com or call BiIlMatrix(service fee applies) �
� � �at 1-800�6T2-2413 to pay using Vtsa, �
.31:.Days �� .� kIIVM Billed:- �; �� � . 938 .: �� MasterCard,Discover or debit card. �
.. : . _ ..� ._ . .... . .._ _ , _.,._
, � ey Mail: �. Correspondence should be sentto: �
Sepi ZQ1�=`Aug�� ` .i4329:: � � .��861 2 North 9th Street Customer S�rvices �
.� ,. � CPC-GENN1 � 827 Hausman Road . .
S�p�2011 i Au�2012 : 10263 � � 85� . . � All�ntown,PA 18101-1175 . Ali�ntown,PA 18104-9392 =
�
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. � Other.important information on the�ack of this bili�
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DORpTHY S MILLER-ESTATE � PPL ELECTRIC UTILITIES
Ct0 GRETA GUlLDAY 2 NORTH 9TH STREET CP�-GENN1 �
125�tORTHGATE DR ALLENTOWN, PA 18101-1175
CAMP HILL,PA 17011-1321 .
il�i�il��li�u��ii�in�nii�i�ilini��i�i����iill�il��u�lll�ili�
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Service to: Balance as of May i4,2013 $O.QO
DOROTHY S MILLER Charges:
6 CREEKSiDE LA Total Dominion fnergy 5olutions Charges $106.17
CAMP HILL,PA 17011 Total PPL Electric Utilities Charges $54.18
Meter:5294�96 .
Your next meter reading is on or aboutJun 12,2013. Total Charges � . $160.35
,�
This section helps you unders�and your year-to-year ��; ~ � �� ��' ` ` '
.n. � . . e'M .�.t . � . . . .
etectric use by month. Meter readings are actual unless Account Balance � $160.35
otherwise noted. �
�20�2 �2013 PPL Electric Ufiilities'price to compare for your rate is$0.07237 per kWh.
This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
�
60 . . � � . or www.oca.state.pa.us for supplier offers.
r so . �
� � � Your Message Center � _
ao
� 30 • With paperless billing,you can receive and pay your
�, PPL Electric Utilities bills online.The process is frQe,
°� 2o quick,convenient and secure.To learn more or sign up,
Q lo visit ppielectric.com. � �
• Information about appliance energy use and tips on �
° saving energy are availab{e through the Energy Library �
� F nn a nn � � a s. o �N �� on our Web site,pplelectric.com. �
�'r'� �� . � Before digging around your home or property,you
� shouid always cail the state's One Call notification
` system to locate�ny underground utility lines. You can
do this by simply diaUng 811,which will connect you to
May 2013 the Qne Cali system. 6e safe and ca11811 before you
32 1273 40 �. .. 55F. dig. .
�May 201�. . 29. :�58Q . . .��20 . S6F. : . .:
� . � �
;. , . . . . . . . . . .. � —
. . +
. Payment Methods � .
�
May 13 � Actual . � 875 � Online at: �� �By phone:i-800-342-5775 � =
A r 11 � .Actua) � � 99602 � �P P t e t e c t r i c.c o m o r c a l l B i I l M a t r i x(s e r y i c e f e e a p p l i e s j _
p � at 1-800-b72-2413 to pay using Visa,
,32�D�ys . - �kWh�Billed � � 1273 : � � MasterCard,Discover or debit card. �
..�
� �, �, � By Mail: . Correspondence should be sent to: �
Jun 2 0 1 2-M�y Z�1 3 � 1 2 3 0 9 � r 1 0 2 6 � 2 North 9th Street Customer Services _
CPGG�NN1 827 Hausman Road � �
Jun 2011-.May 2012. � 10027 � . 836
Allentown,PA 18101-1175 Allentown,PA 18104-9392 �
. �
� � Other important information on the back of this bill-�
�..�e.�. !,��y//.� y`�I+'�h�IC.E..
� a � . �
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�� ''�= �S�a-'�.�- "�� � 60890-740�fi � � Auto Pa �
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AV 01 OQ5448 56167E 20 A**SDGT ���� `
r �� � 1�ix"�'�"Y.rt3f 1 ��
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DOROTHY S MILLER PPL ELECTRIC UTILITIES �����'��3SZ,
s CREEKSIDE tA. 2 NORTH 9TH STREET CPC-GENN1
CAMP HILL,PA 1 TQ11-1304 et � FtiTnwn� DA 1 R1(11_117�
Your t�ectric usage rror��e tsi���n aumma a — u�nb vn oacK)
Service to: Balance as of Jun 13,2013 � '3 $160.3 – ��
DOROTHYS MILLER Charges: jct� ��+�°�
6 CREEKSIDE LA Tota) Dominion Energy Solution�Charges �59.48 �Iry�i3
CAMP HILL,PA 17011 Total PPL Electric Utilities Charges $32.30
Me#er:52940096
Your next meter reading is on or aboutJul 12,2013. Total Charges . $252.13 . .
�� � . ,, ,y A.
This section helps you understand your year-to-year ' ��� �
electric use by month. Meter readings are actua)uniess Account Balance . . �j, 7g $252.13
otherwise noted.
�2012 �2013 � PPL Electric Utilities'price to com rate is 0.08 27 per kWh.
This changes the 1st of Mar,lun,Sep and Dec.Visit papowerswitch.com
�
p or www.oca.state.pa.us for supplier o rs. _� , oD� ,
� . Your Message Center. � . . �-'� 1 �l 2t�1�� .
0 0 • With paperiess billin�,you can receive and pay your
� PPL Electric Utilities bills oniine.The process is free,
a 20 quick,convenient and secure.To learn more or�ign up,
� lo � visit pplelectric.com. . `
� • Information about appliance energy use and tips on "
° saving energy are availabie through the Energy Library �
� F M A nn �� � A s o ni � on our Web site,pplelectric.com. $
' ^�� � � • Before digging around your home or property,you � �
� - � ' ` - ' � � �� � shouid always call the state's One Cail notification
system to locate any underground utliity lines. You can
do this by simply dialing 811,which will connect you to
1un 2013 "�' � � the 4ne Call system. Be safe and call 811 before you
- . 30�:� 599 . � 2Q � 66F dig,
� .Jun 2012 . 32 - 1041 : � 33. � 67F .� � � _.
. . . . ..;�
. Payment Methods � � � . � � . . �.,
. � �1un 12 .Actua! 1474 Online at: � �By phone:i-800-342-5775 =
� �875 `� pplelectric.cam or cal)Bi{IMatrix(service fee appiies) .-:
May 13 Actuai at 1-8�0-672-2413 to pay using Visa, _
30�Days . � � kWh:Bifled� �. �599 MasterCard,Discover or debit card. ._
. . . .. _ .
�
� � � By Mail: Correspondence shouid be sent to: ,_,
Ju12012-7un'�013'' 11867 ggg . 2 North 9th Street Customer Services =
� CPC-GENN1 827 Hausman Road =
Ju!2011-Jun 2012 � 10008 834 � Ailentown, PA 18101-1175 Alientown,PA 18104-9392 .:�,
—
Other important information on the back of th[s bill�
•,'M 7 R X'��J4- � Questions?Please � Visit us online at � ��g+��
°�'���a��°�. contact us by Nov 26. ppielectric.com
�� .� . �
;;;.; 1-8�-DIAL-PPL ` ' '
�*�- (1-800-342-5775) 60890-74006 �"
� � M-F:Sam to Spm . `.�:�:
�.c-����i� �
Your Electric Usage Profile Biiling Summary � (Bi��ing deta�is an back�
- .....
Service to: Balance as of Nov 12,2013 $�.� �
DpROTHY S MILLER-ESTATE Charges:
6 CREEKSiDE LA Total PPL Electric Utilities Charges �$23.96
CAMP HILL,PA 17011 �
Meter:5f94009fi Tota) Dominion Energy Solutions Charges $31.17
Your next meter reading is on or a6out Dec 1.1,2013. Totai Charges $55.13
This section helps you understand your year-to-year ::�:�'����'��,.:,��7 r y��� ���>u�.{2. �.: ;.
���;
elec�tric use by month. Meter readings are actual uniess Account Balance $55.13
otherwise noted.
�Zp�2 `2p�3 PPL Elertric Utilities'price to compare for your rate is$0.08777 per kWh.
This changes the ist of.Mar,lun,Sept,and Dec.Visit papowerswitch.com
s0 , or www.oca.state.pa.us for supplier offers. � � �
.� so .
Y � Your Message Center .
,. �... _
a • Go Paperless,and receive a FREE LED at: �
¢ . 30 pPlelectric.com/gopaperless
� 2° • Information about appliance energy use and tips on
a �.o saving energy are available throu h the Energy Library
0 on our Web site,pplelectric.com�e+power . �,
. 8
� F M a nn � : � a s o N � • Before digging around yowr home or property,you $
� �t� should aiways call the state's One Call notiflcation
_ . � system to locate any underground utiltty lines. You can� �
do this by simply dialing 811,which will connect you to
the ane Cali system. Be safe and cai!811 before,you
dig. � .
�Nov:2033 . 31 �. 312 � 10 �� � �. 51F
Nov 2012 29 742. � 26 � � 50F � . _,.,
� . � � ..�_:
Payment Methods � � � „
� --�--
' Nav 11 . Actual 4267 . Online at: . . �By phone:l-80Q-342-5775 —
Oct 11 ..� Actuaf � 3955 � PR�electric.com : or caii BiIlMatrix(s+�rvice fee applies� ;
at 1-800-672-2413 to pay using Visa, i
� 31 Days kWh Bilied � 312 MasterCard,Discover or debit card. „_
. � �
: . � By Mail: Correspondence shouid be sent to: =
2 North 9th Street Customer Services �
Dec 2012=Nt�v 2013 � 8722 .. 727 CPC-GENN1 � 827 Hausman Road =
Dec 2011-Nov 2012 � 10394 g�6 Ailentown, PA 18101-7.175 Ailentown, PA 18104-9392 . -
. =
� Other important information on the back of this biii�
, ,�, . .
, ��� ,
��'.•�'s+��'. ' ^
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�`�` 60890-74006 � Auta Pay �
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AV 01 401003 36522 E 4 A"`SUGT
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DOROTHY S MILLER-ESTATE PPL ELEGTRIC UTILlTIES
C/O GREfA GUfLDAY 2 N�RTH 9TH STREET CPGGENN1
125 NORTHGATE DR ALLENTOWN, PA 18101-117�
CAMP H1LL,PA 17011-1321
il�lii��ii�i��i���������i������ii�iii��in��i��l�li�il�i�i�,i�i��
1 9100000551310000055130 6089074006�
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Your Elect�c Usage Profite . Biiling Summary � (Bi��inq deta��s on bactc)
Service to: Balance as of Jun 13,2013 $0.00 �
GRETA GUILDAY � Charges: �
125 NORTHGATE DR Tota) Dominion Energy Solutior�s Charges $110.12
CAMP HILL,PA 17011
Meter:96206657 Total PPL Electric Utilities Charges $47.�4
Your next meter reading is on or about Ju) 12,2013. Totai Charges . � .� $157.86
This section helps you understand your year-tayear s �
electric use by month. Meter readings are actuai unless Account Balance �� $157.86
otherwise noted. � . � � �
�2012� �2013_ PPL Electric Utilities'price to compare for your rate is$0.08227 per kWh.
� This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com
s4 � . or www.oca.state.pa.us for suppiier offers.
c 45
Y 36 � : Your Message Center � : ,
r'�.�.
0 27 � . � With paperiess bliling,you can receive and pay your �
a PPL Electric Utilities biils online.`The process is free,
�° 18 v sit ppielectr'rc.co�rrid secure.To learn more or sign up,
d g T
o • Informatfon about appliance energy use and tips on �
saving energy are availabie through the Energy Library �
� � nn a M J J a s o N � on our Web site,�ppielectric.com. �
� �. MO"� . • Before digging around your home or property,you
should always call the state's One Cail notificatton
` system to locate any underground utility lines. You can
do this by simpiy dialing 811,which wtii connect you t f..� I���,
��20�� �-. 30 1109 the One Call system. Be safe and cali 811.before you �
. ..37 � 66F � . dig: i
� Jun.:2012. ��.� 931��� 29 - 67F_ �G�, ��- �� —
, -. � ;. � .,.<r�.. ,. . .....
� � Pa ment Methods � �'�-� r�3 �
_. . �.. . -
�: !un 12 Actual . 1Z91 . Qnline at: �By phone:�.1-800-342-5775 � �=
- � `� pplelectric.com�� . or call BiIlMatriz{servicefee applies} =
. May 13 . . � Actua) . 82 . .
�� � at�-800-672-24i3 to pay using Visa, =
� -:34 i���: � _�1Wh Bil;led � � 1109 � � MasterCard,Discover or debit card. ` .-
�
� . . , � By Maii: Correspondence should be sent to: =
2 North 9th Street Customer Services =
1t�201�-.1un 2#��3� 9991 � 833 CPC-GENN1 827 Hausman Road =
Ju12011-Jun 2012 8589 716 Atlentown, PA 18101-1175 Allentown,PA 18104-9392 �
�
. . . Other important information on the back of this bili� �
,
� l�L i
The Patr�ot-News Co� : . _ �
2020 Technology Pk�y X
Suite 300
Mechanicsburg, PA 17050 t�aw you know
Inquiries -7'l7-255-8213
GUILDAY
125 NORTHGATE DR{VE.
CAM P H 1 LL PA 170'f'f
. . . -.._...�.__ - __ _.. _ _ . . .�." .J"-- �ALL��CHARGES�ARE NET �
S TAT E!VI E�N T .
ACCT# � AD ORDER# DAT� ED �DDTLT fNFO. NPE C)f CHARGE �M,Q,�
242096 GUILDAY 0002262790 06fi8/13 METRO WEST BASIC AD CHARGE �37.1b
242096 GUfLDAY 0007262790 O6l25/93 METRO WEST BASiC AD CHARGE $37.15
242096 GUlLDAY OOD226Z790 Q7/02113 ME7R0 WEST BASIC AD CHARGE $37.15
� AFFIDAVIT CHARGE $5.40
TQTAL: � $116.45
This is not an invoice� Please do not remit payment from this Statement.
An invoice witi be generated at the end of the month. --Thank you.
NOTE:This Statemenfi repfaces the�rder Confirmation which we previously sen#with Proofs of Publication
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The account balance on ur last. �!l was �°���� E ' �
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o�s ra�r�cE Thank you for your payment of..................................... -109.83 � �
' ��' Ad ustments................................._..�............................... 109.83 21353913�002
Ili�yg Summa�y for Servica ta: La�Charge ..�... ].37
1R07NYS MILI..ER .................................... .........................,... . .
;.REEKSIDE LN Your balance as of O6l04i2013(due now)...............��'1�.20 . _. . _.. _ . _...__ . .._
�MP HILL PA 17011
ate Ciassiflcation: �
3sidential Heating � Curr�nt Bill information-UGI Utility
iliing Period• Customer Charge... ... . .. ;........._..................... 8.55
_... ......... ......
�/30/2013 to 05/31/2013{3i days) Commodity Charge�56 CCF at$0.61607� .............. 34.50
Remote Device Read Distribution Charges First 50 CCF at$0.. 3580} ... 16.79
uestio�a9 Distribution Charges�Next 6 CCF at$0.27167) ...... 1.63
�I 800-276-2722 or write to UGI at PA State Tax Surcharge.................�................................ -0.28
� � Tctal Current Charges-t�l Utility ............................��
UGI Utility charges owed tkia 6i11..............................„.....:....,.........b�........................... :172.39
:ading,PA 19612-3009 ,.,,_,_, ,.�,.� _
�ur current llGt charg�s include Total Arnount Due,Please PaX b�►Dua�te(�l25/2013)..................................... s 172.39
�te taxes totaling about�1.97. � .
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12.8 � . � . . . �
11.2 � . . Maaaages from UGI � �.
9.6 � � � •Your current price to compare is$0.68919/CCF.
�'� � . � �� ■Your total annuat usage is 1,9�3�CF. Your average mor�thly usage is 158 CCF.
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Keep this part for your records. Important information ia on the back ot this bill. .
UGI U#ilities,Inc. Customer Number P��Se Pay bY the due date
PO Box 15523 213539136002 to avoid the late cbar�e.
� Wilmington,DE 19886-5523 Please tetum this portion
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� Past Bill Information-UGI Utility . ,�
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The account b�lancs on your last biit was........._..... 1 0 �
. _ t�s s��r r,e� Thank you�far yo�r payment of.................................. -186.69 213539i 36002 _
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Bil�tng Summary�or Service to: Late Cha e :...w......�.....:.�a..............................
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Your balance�s of Q8/02/2013.:..:...:............ ........... .
�FiETA t�tILQSY fXEC �w�" (�,A C�CJ� - . ...... . _. _. _. .... . .
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AMP H�L.�L�PA 17017 5�
�ate Cisssiflcation: Current Bill inform�tion-UGI Utility
Zesidentiat Heating Cus�Omer Ch�rge.................;�.�.......�......:,..................... 8.�5
3illing Period: � Commodity Charge{7 CCF at�0.69000�:................ 4.83
]�1�8/2013 to 07/30/2013�32 days) ' ��s�'�bution Charges(First 7 CCF at$0.33714)...... 2.36
Remote Device Read PA 5'�ate Ta�c Surcharge.....j:.:.......:..:...:.........:................ -fl.07
?aea,tiona'. PA Saies Tax:................:........:........................................:.. 0.94
�l!800-276-2722 or write to UGI at Totai CurrenE Ch�rges-U�I Utility....:..........................—�1
' UGI Utility charqes owed thia bill � ;1$.61
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teading,PA 19612-3009 Total Amoun�Due b 08/23/2019 �....a:...............:...................................:�..,.......:._......
. Y( )•� � �16.61
iour current UGI d�arges include /
�tabe taxes#otalins about�f.44. �/
. . . Meter Information-Mext�tead�te.iluguat Z9,2015 : � .
1fi.0 ��g°����y � MeterNumb�r Previous tteading PreaQnt Reading � . CC�Used.
14.4 . � 1128840 �320(remote) � 6327�remote) 7
12:8 .
11.2 � Measag�as from UGI � � �
9.6 � � � � •Your current price to compare is S 0�68919/CCF. .
$'� : . : . � ■Your totat annu�l usage is 1,895 CCF. Your av�rage monthly�sage is f�7 CCF.
6.4
q,g � � � � ■We can mak�your energy costs e�asier on your budget with our 1�month�udget Bitting
�3.2 . � pian. Your monthly payment would be�pproximately�17�.00. �'or more inform�tion N
: . . about tt►is pt�n�afl U�L ;
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laily temper~aturra 79°F � �7°F �mportant information � on tl1'e back oi this bill.
UGI Utilities,If��. Cu$to mer N um ber The amount due will be
Po Box�5523 �13539136002 � deduct�d from your
� Wilmington.flE 19686-5523 checking��+count on
t�ts strritE . August 2�,�013.
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The account 6alance on your last biil was .................. $16.61 ' ` Y
... s�a sa�r►eE -16.61 213539136002
iiili Summary for Service to: Thank you for your payment of._.........................._....,.�
O��Y S MILLER EST Your baiance as of 09103/2013.....................................-�6
�RETA GUILDAY EXEC _ _.._:____. ...__- -_._._ . .
CREEKSIDE LN
AMP HtLL PA 170f 1
;ate GtassiflcaUotr Current Bili I�iormatia�-UGI Utility
:esidentia!Heating Customer Charge................................................................ 8.55
lilling Pertod: Commodity Cfiarge(6 CCF at SO.fi8667) ................... 4.12
�7/3Q/2013 to 08/28/2013{29 days) Distrib�tion Charges(First 6 CCF at�0.33500)......_ 2.01
R�note Device Read PA State Tax Surcharge..............._...,.........,..............,....... -0.06
�uestiona7 PA Sates Tax... .......w. .. .�. .............................._ 0 88
�I!800-276-2722 or write to[1Gl at Total Current Charges-UGI Utility ..„.........................`�0 '+
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0 BOX 13009 UGI Utility chargea owed thia bi11 . :15.80
.................................................................................».
eading,PA 19612-3009 Total llmount Due by(09/24/2019).................................. =15.50
.................................................
our current UGI charges include
tate taxes totaling about$1.35.
Meter Infonaation-Next Read Date 8epternber S0,2015 � �
16.0 �°���Per�y Meter Number Provious Readin � Preaent Read(o � � CCF Uaed
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14.4 1128840 6327�remote) .. 6333(remo�e) � .6
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11.2 � Mesaagea from�UGt � � �
9.6 � ■Your current price to com�re is�0.68919 ICCF.
$'� �. . •Your total annuat usage is 1,892 CCF. Your average monthiy usage is 157 CCF.
6.4
4.8 � � •We can maks your energy costs easier on your badget with our 12 month Budget Billing
3.2 .. plan. Your monthly payment would be approximately�177.00. For more information ;
about this plan calt UGL �
1.6 : . : �
0.0 : 'Help prevent pipeline damage,accidents and service disruptions.Call 81 i before you dig. g
A S 0 N D J F M A M J J A •5ave time.Save the planet 5ign up to view and pay your UGI bills online at www ugi.com.
2012 Montha 2018
Last This
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CF/day �0.3 0.2 � Keep this part for your records. �
���y�mPe��� ��� 71= Important intormation is on the back of this bilL
UGI Utilities.Inc. Customer Number �amountduewill be
PO Box 15523 21353913C002 deduated from your
�� �Imington,DE 19886-5523 checking accounton
_ a�s sErricE September 24,2013.
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DETACH HERE
NEW EFFECTIVE DATE AFTER PAYMENT: 8/30/2013
NEW EXPIRATION DATE AFTER PAYMENT: 8/29 2014 �� �D/�
/
YOUR CURRENT PLAN TYPE: HT/WH - pI,AN C 9�j�l�3 �.�/�-S SC✓
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ANNUAL QRTLY MONTH
PLAN A - HOME HEATER, WTR HTR & ELEC CENTRAL A/C. . . . . . . . .$199.00 $52.00 $18.75 � �b�
. 7
PLAN B - HOME HEATER, WTR HTR & ELEC CENTRAL A/C. . . . . . . . .$299.00 $76.00 $26.50 � 1ii1i�
WITH INSPECTION AND GAS FUEL LINE
PL�it�T BC--�H-OM� HEATER, WTR HTR � ELEC CENTTiAL A/�C. . . . .-.
. . .$385.O�J -$9A.0.0 . $34.00 .
WITH ANNUAL MAINTENANCE AND GAS FUEL LINE �
. . . �
�PLAN C HOME HEATER AND WATER HEATER. . . . . . . . . . . . . . . . . . . .$119.00 $31.00 $11.00
PLAN D - ELECTRIC CENTRAL AIR CONDITIONER. . . . . . . . . . . . . . . .$109.00 $29.00 $10.75
PLAN E - HOUSE HEATER. . . . . . . . . . . . . . . . .� . . . . . . . . . . . . . . . . . .$109.00 $29.00 $10.75
PLAN F - WATER HEATER (Annual pay only) . . . . . . . . . . . . . . . . . . .$29.95 n/a n/a �
PLAN G - GAS FUEL LINE (Annual pay onl j . . . . . . . . . . . . . .
Y . . . .$24.95 n/a n/a
PLAN H - HEAT PUMP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$192.00 $49.00 $17.50
PLAN I - OIL HEATER W/ANNUAL MAINTENANCE. . . . . . . . . . . . . . . . .$316.00 $80.00 $28.00
Send the form with your payment to UGI HVAC Enterprises bv the renewal date above. �
If you choose Plan B with the inspection, UGI wili conduct your inspection and safety check in spring or summer. �
if you choose to pay monthly or quarterly plan type,please fill out the enclosed autopay form,or you will be sent payment coupons in the mail.
This is a notice that your service agreement is automatically renewing for your convenience.Please contact UGI in writing no later than 3 days
prior to the renewal date of your coverage listed above if you.do not wish to renew Your 12-month UGI service agreement cannot be cancelled
ance the new contract year begins.See the terms and conditions on reverse side for complete details.
Thank you for your continued business.
Remit payment with top portion of this form to:
UGf HVAC Enterprises, P.O. Box 12407, Reading, PA 19612 �
Keep the bottom invoice portion for your records. ��•��B•n���
If you have any questions, please call 1-877-UGI-HVA�/1-877-844-4822. �
Co�tract coverage subjett to Terms and Conditions on reverse side. HIC#PA015042
. .. .. . _ .. _. .... ... . __ . www UGIHVAC.com
.. . � _ . _
Heating . Air conditioning • Plumbing • Equipment Tune-Ups • 24-hour service 7 days a week
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Past Bfll ir�farmation-UGI Utitity
, . . . r ,
Qas tE�rirE The account balance on your last biU was ............. $Z95.06
� � Thank you for your payment of.........................�,...... -295.�6 213539136002
Biiti�g Summary for Service to: Your balance as of 05/03/2013
DOROTHY S MILLER ................................ ,
8 CREEKStDE LN
_ __. .. _.. ____.. ._ _
f�tMP HILL PA 17011
Rate Clasaifleation: Current Bill Iniormation-UGI Utility
Resid�ntial Heating Customer Charge........................................................... 8.55
Billin�Pertod: . Commodity Cfiarge(111 CCF at$0.61649} . . 68.43
04/02/2013 to 04/3p/2013(28 days� 0«�bution Charges First 50 CCF at$0.33580). 16.79
. �R�note Device Read Distribution Charges�Next 61 CCF at 50.27131) . . 16.55
Queations? PA State Tax Surcharge... ...... -0:49
-2 writs to UGt at Total Current Char s-UGt t)tilit�....�................. .-9.�3
P�O��OX 13009 722 or UGI U�ility char9e�ow�ed thia b�tl...................y.... .:... ;109.83
....................................... ....................................
.,...�_�.._. ,_.,.r., ,.._.__--
aeading,pA 19612-3009 Totai Amount D�ie by(05/24/2013).............................................................................. :109.83
Your corrent UG!charges include
State taxes totating about�3.54. �
•�••--•:*:�••••• Meter Iniorm�tion-Next Read Date May S1,2013
i 6.0 ��°�F P°r�y M�ter Nurn6er �. Previoua tte�ding . Prasent Reading CCF Uud.
�'��4 1128840 6146(r�mote� 6257�(remote) . 111
12.8
112 � � Mesaagea fto�UGI : . � �.
9.6 . 'Yoor carrent price#o compare is$0.61642/CCF. � . . . :
s'� � ■Your total annual usage is 1,878 CCF. Your average monthly usage is 156 CCF.
6.4
4.8 � •We can make your energy cosfs easi�r on yo�r budget wi�our 12 month Budget Billing
3.2 � � plan. Your monthly payment would be apprmcimately$154.00. For more information � .
about this plan call UGI. y
1.6 �
0.0 ■Help prevent pipeline damage.accidents and senrice disruptions.Call 811 6efore yoa dig. �
A M J J A S 0�1 D J F M A 'Save time.Save the planet Sign up to view and pay�ar UGI biNs online at www ugi.com.
2012 Manths 2p'13 .
Last This
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aily#emperature 53'°F 54°F �mpor#ant iniormation is on the back oi this bill..�
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� PQ Baoc 15523 213�v39136002 deducted from�rour. �
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� Past Biil tnformation-UGI Utility • . .�:
: �.. �
The accaunt balance on your last bill was.....:.......:..: $26.33 � ,,
Thank u for ur ent of.......................:..:..........: -26.33 - " . ��'
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--- �►�s s��r,c� �° y° ��' 213539136002
Yoor balance as of 10/31/2013...w..........................�...�(�.�
illing Surnmaty for�rvic�to:
�RO'fFtY 5 MILLER EST - -._-----.---...__.._------_�.._________..
3E'fA GUILDAY EXEC
CREEKSIDE LN �
AMP HtLL PA 1701 i
Current Bilt Inforrnation-UGi Utiiity
ate Classi�catiNa�: Cus#omer Charge..._...........................................:...s......:..: 8.55
esidential Hsating Commodity Charge(66 CC�at�0.68594} :..«.....,:..: 45.47
i1Hng Periad: Qistribution Charges(First 50 CCF at$0.336a0) :..: 16.80
9127/20t3 to 10/28/2013(31 days) Oistribution Charges(Next 16 CCF at$0.27125j.:... 4.34
Remote flevice Read PA Shate Tax 5urcharge..............................:....:..N.....::..: -0.33
uestiona� PA 5ales T�........................................:..........:....:..:......::... 4.49
all 8U0-276-272Z or write t�UGt at Totat Current Charges-t1Gl Utility............:....:..:.....�.:.:�
�BOX 13009 UG�Utitity chargaa owad this bili ......_...._.._................................_.._..................,...... #T9.32
sading.PA f9612-3009 Total Amount Due by(11121/2013).........................:...................................................... �79.32
�ur current!�1 charge�inc{ude
tate taxes to#aiing a6a�t$6.90. .
•,� �..� M�r In�rmation-N�xt Read�te Nctvel�ber 21,2013
f 6•Q ����°��r M�tar Number Pr�vicus Readiag �rdsent Reading : �CF Used
i 4.4 11 Z8840 6349�remotey � �415(remote) 66
12.8 � . .
11.2 M+mssage�firom UGI
g,g � ■Your current price tn com�rare is�0.68919/CC�.
8.0 ■Your t4ta1 annuat usage is 1,867 CCF. Yout avsrag�monthiy usage is 155 CCF.
6.4 �
4,g � ■We can make your energy costs�asier on yc�dr butlget witb our 12 month B�dget Biliing
3.2 � � . ptan. Your montttly payment wauid be appraxim�tely�168.00. For more information _
abuut this plan call UGi. W
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p,p "HeIQ prevent pipeline damage,accidents�nd service disruptions.Cati 811 before you dig. °
0 N D J F�A A�J J A� t1 'Save time.Save th�planet Sign up tu vi�w�ttd pay your UGt bitis ontine at www ugi.com.
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UGt Utilities,tnc. Customer Number The amountdue wilt be
PO Box 15523 ��3t��c��$�(�D� deducted from ydur
� �tmingt,on,D�19886-5523 checking account on
s�s rExr,er Atovember 21,2013.
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1'ast Bill Iniurrnation-UGt Utility ������y�,
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The ac�nt balance on our last bill was $ t5.50 ��''`��` � ��� '�'
-� r.�s ser r�eE Y ...........°... 2135 39136002
Thank you far your payment flf..................................... -15.50
3iili�g Summa1y tor Service to: Your balance as of 10/4212013...................................���5
�RO'�HY S MILLER E5C
iRETA CiIII.DAY EXEC _.__..------.--.._.__---.-.--------------._._..__
i CREEKSIDE LN �
�AMP FiILL PA 17011 �
ta#e Ciassificat�on: Curr+ent Bill lniormatian-UGt Utility
3esicfentiat Hea�ing Custnmer Charge........................._................................... 8.55
�i11ing Parfod: Commodity Gharge{1 fi CCF at�0.68938) ............ 11.03
18/28/2013 to Q9/27/2013(34 days) ��stributinn Charges(�irst 16 CCF af 50.33563) ... 5.37
Remote t�eevice Read PA State Tax So�arge.............. ................................. -0.11
�uastians� PA 5ates Tax....._.......... .. ........................................... 1.49
.. ... ...
;al!800-276-2722 or write bo UGt at Tatal Current Charges-UGt litility........................... 26.33
....
'Q�X 13405 UGI Utility chatrges ov�d this bili .................................................................................. �Z6.33
teading.PA 196i2-3009 Totai Amount Due by(1Q123/2013j.....�................................_....................v.................. �26.33
fo�r current 11Gt d�►arges inctude � � �
it�te taxes totating about�2.29.
.__._...�..��_ t�eter{�ormation-Next Read Date October 29,2013 �
16A �°�°�p���y M�r Number Pt�+ious R�ading Present Reading - CG�Usa�d .
14.4 � 112884Q 6333(remote) 6345(remote) 16
12.8
Z 12 Massa,gas fram UGI
9.6 � •Your curc�nt price to compare is$0.689'tS lGCF.
$'� ■Your tatat annuat usage is 1,885 CCF. Your average monthly usage is 157 CCF.
6.4
4,g � •We caa make your energy costs easier on your badget with aur 12 month 8�dget Billing
�� ptan. Yoar monthly payment woutd be approximatety$176.00. Eor more information ;
about this�an call UGI. �
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p,p ■Help prevenE pipeline damage,accidents and service disruptions.Catt 811 before yoo dig. �
S 011 D J F M A M J J A S •Save t�me.Save tbe planet Sign up to view and pay your UGt bilts online at www ugi.com.
2012 Mon�s ?1113 �
last This �
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raily bemperatv� 67°F 66°� ��P ti►is part for your records.
. lmport�nt informatian [s on the back of this bi{I.
UGI Utilities,lnc. Customer Number `�B amount due wiu be
PO Bux 155�3 213539136002 dedac�ed fmm ynur
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Tt�accamt batanc�on ycwr last bitt was................ �79.3� . �
� Thattk fior tn' yment of�.._ � �l'9.32 '�'. . �. . ��`
s��s��rr�e� Youc�ancea�o�1�210312013_......o..w.........._.._... . 213539136QUZ
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6E�TA 6UN.ttAY IXEC . .
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CAM�'}NI.L PA 17011 .
CurreM Bit�iaiorriratiat-IfGi Utiii#y � . .
Rats�a�silicatfan: Customer Cl�arg�._..._......�.._..�._..w.,......._......_.....,... 8.�5 �
Resic�n#€at Heating . C.ommodity Char�e�144 CCF at$0.68924�............ 99.25 �
Billfna Perio�: � � � Disfribt�fiat Ct�argas(F'trst 50 C��at�F1.336QQj... � 1�6.80� .
�QI28/20t3 bo 11l2Gf2Q13(29 days) �isfrib�titm E�targ�s(i1�94 CCF at$0_27t49}.... . - � �Q.72 . .
Remo�Ds�rice R�d . PA Sta�Ta�t Sdn�a[ge...:.......:......._..�.....�.....__..__w . . .
AASa#es Tax....r....�...._....._........_......_.�.......�............ 8.97
�!!8�Oa276-2722�wEits ta UGt at Tv�at Curr�n#(�arges-t!G!tltiii .�....__.w..,....���f � �
� ifb'1 Ut�ii�y sbau�ges ow�d lhis�1� ....�........_..._........................�... .�158.31
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R�ading.PA 19612 3009 7�a!ltmout�t tlue bY�i?J24l2�1�}.........__...:_........._.............................___......�......�. #158.57
�Your curret�t IfG!chatges inctude . _ - � . . .
State#a�ces�ing ahcu#S 13.78.�� � � � � � � �� � � � � -
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9.6 ��. : f , � � ■Yow'curran#ptit�to cc�m�re is S�.62��#51CCf.
, $-� � �Ynur to#at annual�sag�is't.752 CCF Ytwr au�rage�mrmthty�sa�e is'[4&�. � .
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DOODOOOD08
Rev-1512 EX+(12-08)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCETAXRETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Miiler, Doroth S. 21-13-0569
Report debts incuned by the decedent prfor to death that remained unpaid at the date of death,including unreimbursed medical expensea.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Belco Community Credit Union-Visa Card 354.88
TOTAL(Also enter on Line 10, Recapitulation) 354.88
(If more space is needed,additional pages of the same size)
Copyright(c)2008 form software only The Lackner Group,inc. Form PA-1500 Schedule i(Rev. 12-08)
REV-1513 EX+(07-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Miiler,Doroth S. 21-13-0569
RELATIONSHIP TO
NAME AND ADDRESS OF SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT ords) ($$$)
t � t �
I TAXABLE DISTRIBUTIONS (include outright spousal
• distributions,and transfers
under Sec.9116 a 1.2
See attached schedule
Total
Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet as a ro riate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1 Cornell University 2,000.00
2 The William Van Axen Scholarship Fund 1,000.00
3 Trinity Lutheran Church 1,000.00
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE 4�000.00
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10)
SCHEDULE J
BENEFICIARIES
(Part I,Taxable Distributions)
ESTATE OF:
Dorothy S. Miiler 05/14/2013 069-03-6022
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
1 Susan Comp Friend $1,000.00
130 Hetrick Lane
Elliottsburg,PA 17024
2 Greta M.Guiiday Daughter 1/2 of residuary estate
125 Northgate Drive
Camp Hili,PA 17011
3 Joseph W.Guilday Son-in-Law $5,000.00
1842 Maryland Avenue
Cape May, NJ 08204-3600
4 Jacquelyn Lovejoy Granddaughter $5,000.00
343 G.Street
Carlisle, PA 17013
5 Douglas M.Miller Son 1/2 of residuary estate
50 Twin Lakes Drive
Getlysburg,PA 17325
6 Douglas M.Milier,II Grandson $20,000.�0
50 Twin Lakes Drive
Gettysburg,PA 17325
7 Stephanie F.Miller Daughter-in-Law $5,000.00
50 Twin Lakes Drive
Gettysburg,PA 17325
8 Penn's Woods Painters Chapter of the None $1,000.00
Society of Decorative Painters
11 Circle Drive
Camp Hill,PA 17011-2608
1
, w vLr� ot .���, LLL�
j Attorneys at Law
47 West High Street --""'"""
E � Gettysbnrg,Pennsylvania 17325
(717)337-3754
. � LAST WILL AND TESTAMENT r-�-�_�. �,h
� �• � �"- . .
OF �.. . `; .. .
� . � � DOROTHY S. MILi,ER �
� : I., DOR4THY S. MILLER, of Cumberland County, Pennsylvania,. being
of�soufld and disposing mind, memory and understanding, do hereby publish
and declare the following as and for my Last Will and Testament, hereby
revoking any and all Wills by me at any time heretofore made. �
� ITEM I . .
I direct that all of my just �nd legal debts, funeral expenses
and gra�e marker shall be paid from my residuary estate, as� soon as
practicable after my decease, as part of the expenses- of the �
admi.ni$tration of my estate. �.
� � ITEM II � �
I hereby make the following specific bequests: . .
_ A. I give, devise and bequeath the sum of $1, Q00.�00 �o Cornell
University, of Ithaca, New York, for the benefit of the library in the
memory of Edward A. Miller, ciass of 1937; . .
.
'1 � � � : B.� I give, devise and bequeath the sum of $1, 000.00 to Cornell
; .
University, of Ithaca, I�ew York, for the benefit of the library in the
memory of Edward A. Miller, Jr. , class of 1967; �
C.� . I give, devise and bequeath the sum of 51, 000. 00 to �he
scholarship fund that was established in memory of my son, WILL.IAM VAN
AXEN. MILLER, at Dickenson College, Carlisle, Pennsylvan.ia;
D. I give, devise and bequeath the sum of $1, 000�.00 to Trinity
Evangelical Lutheran Church, 2000 Chestnut Street, Camp Hill,
Penrisylvania; � � �
� E. I give, devise and bequeath the sum of 55, 000.00 to my
daught.er-in-law, STEPHANIE F. MILLER, if she is still married to my
son, DOUGLAS MILLER, at the time of my death. In the event she does
not survive me, or is not married to my son at the time of� my death,
I he�eby give, devise and bequeath $5, 000.00 in�total to the then living
children of my son, DOUGLAS MILLER, in equal shares; � �
F. I give, devise and bequeath the sum of $5, 000. 0-0 to my
son-in-law, JOSEPH W. GUILDAY, if he is married to my daughter,� GRETA
MILLER GU3LDAY, at the time of my death. In the event my sori-in-law
should predecease me, or is not married to my daughter at •the time of
my dea-�h, I hereby give, devise and bequeath $5, 000. 00 in.total to the
then living children of my daughter, GRETA MIZLER GUILDA�, in equal
shares•; � .
. . �. I give, devise and bequeath the sum of $1, 000.00 to Penn' s
Wnods Painte-rs, a local chapter of the Society of Decorative Painters.,
•currently at P.O. Box 1518, Mechanicsburg, Pennsylvania 17055;
f � -
� H. I give, devise and bequeath the sum of $1, 000.00 to my friend,
�� _
p,� $USAN COMP, of Elliottsburg, Pennsylvania, if she survives �me; �
�: .
_I.. � I give, devise and bequeath the sum of $20, 000.-DO to DOUGLAS
� MILZ R II if h survives me. Notwithstandin such ift in the' event
� , , e g g ,
I have made a gift of that same amount to DOUGLAS MILLER, II, subsequent
2 .
_ . . . _. .. .. .. ....:
. , .. ._ _ _.. .
�a t�E exe�:�-���-F �i �iy.�", }�i..:..� ����� �� j�f�; �eath, �r� such event this ..
beques� si�a�s la���;
J. I give, devise and bequeath the sum of $5, 000. 00� to JACQUEI,YN
LOVEJOY, my granddaughter. In the event JACQUELYN LOVEJOY. �has any
cnildren who survive her at the time of my death, in such event this
� $5, 000.00 gift shall lapse and otherwise then be payable to her then
living child or children, as the case may be, per stirpes. This gift
shal�. lapse, however, if I have made a gift of $5, 000. 00 to� JACQUELYN
LOVEJOY or to her child or children subsequent to the execution� of this
� Will �p�ior to my death. �
� � ITEM III � •
All of the rest, residue, and remainder of my estate, ��real.,
person�l or mixed, of whatsoever kind and nature and wheresoever
situa�e at the time of my decease, I hereby give, devise, and bequeath �
equa�lly fio my two children, GRETA MIZLER GUILDAY and DOUGLAS MILLER.
. ' . : In the event my daughter, GRETA MILLER GUII,DAY, should predecease .
me; in.such event I hereby give, devise and bequeath the one-half share
` of my estate that would otherwise have passed to my daughter, to her
. then .living children, per stirpes. . � � . �
. . In the event my son, DOUGLAS MILLER, should predecease me, �in such .
event I give, devise and bequeath the one-half share of m�r� estate that
would otherwise have passed to my son to his spouse, STEPHANIE F. MILLER,
if. she su.rvives me. In the event she does not survive me, in such� event
3
� ��re�Y ���e, d���se and bequeath that one-half share of my estate
that. would hav� otherwise gone to my son, to his then li.ving children,
per �stirpes. . .
� . � ITEM IV �
. I nominate, constitute and appoint GRETA MILLER - �� �
GUILDAY and DOUGLA.S MILLER to be the Co-Executors of this �my Last Will
and Testament; but if either GRETA MILLER GUILDAY or DOU�LAS MSLLER
should predecease me, resign, renounce or be incapable of acting, then
I nominate, constitute and appoint the other to be the sole Executor
of• this my Last Will and Te�tament. In the event that both GI�ETA MILLER
GUILDAY and DOUGLA,S MILLER should predecease me, resign, renounce or
�be ir�capable of acting, then I nominate, constitute and appoint STEPHANIE
S� .
�� F. MILLER and CHRISTINE E. I,INE GREENZEAF to be Co-Executrixes af this
�y Last Will and Testament, or either of them if the other should
� predecease me, resign, renounce or be incapable of actinc�.� . �
� ITEM V �
� I direct that no bond shall be required of any fiduCiary,
trustee,. executor or guardian, hereunder in any jurisdiction.
� 4 �
�1`i ��3�i�i1�� 1�'�i�-��•�;::1 ...� .....�='ev..i`L .,�``.. '���t..'�..�_•�ir _�,�:..:�.l�-=�x �amecl herei��
have hereunto set my har.d and sea� �� t�is my �ast Vaill and Testament,
consisting of five (5} t ewritten a es on this the � da oi
. Yp pg . � . Y
� , 2011. • .
�
. ' (S EAL)
� OROTHY S. MILLE �
Signed,. sealed, published, and declared by the above-named Testatrix
as and for her Last Will and Testament, and we, in her �resence and
in the presence of each other, and at her request, have subscribed our
nam s� s witne ses hereto. �
� Gettysburg, PA � .
�''� . .
� Gettysburg, PA �
: . 5 .
.
_. . . . _ .. , _
..... . ... . . ..... .. . v .� _
_ ..:-__ ,.,:.
.. , ...... .�._: ...�.
. . . ������������}�
C4N�MO�i���H p�' PENNSYZVANI� ) -
a SS. '. .
COUNTY OF ADAMS ) . � � .
.I, DOROTHY S. MILLER, the� Testatrix whose name is signed to the
�ttached or foregoing instrument, having been duly qualified according
to l.aw, do hereby acknowledge that I signed, and executed the� ins�rument
• as my Last Will and Testament; that I signed it willingl�; and that
� sign�ed it as my free and voluntary act for the purpo�ses therein
expressed.
�
' ., (S EAL)
� DOR4THY . MILLER
Sworn ax�d affirmed ta and acknowledged �
before•:me by DORQTHY S. MILLER, the Testatrix, -
this� �-h day of ��r,� , 2011.
. � ' c�c�n�.Tn o��r�s�r�vaNU�
� N t u lic �� �
. A�e�.r.sfeinour,Wotatr Pu�C
Getfysbtr�80%Adams County
' tiAyy corr�rnisston ExpNea Sept,9p,2a1z •
- • Merr�ber,Penc�syhrar�a Assoc�atbn of Pbtariea
� 6
F
. . . ... . .. ..w'�, �` �������w�'`,.
t'� , '���'.`6,'?}�s�f]+'Y.C'�Z�.
. . AFFI DAV�1' . r���-zw��._.
;,a :� .�,.��G�;
. t '�{a,,,��;:
. ;�����'a
; :..
��'���+
COMMONWEALTH OF PENNSYLVANIA � � �...:.::_�,�������
) SS. `��"�`��
u-�„�'�r r.�
CQUNTY OF ADAMS � . . :..,;;,;_;,;_,;����
� � . �;�����
>��x'��.�
�
• � s}"���j i
. � ..;'���>�� .
� We, John A. Wolfe and Kathleen D. Pentoney, the witnesses• w���� ��,��;,
names are signed to the attached or foregoing instrument being c��.�� ''��'���
, ��� w�'D'i�'i
qualified according to law, do depose and say that we were�present a��...::�;�`�',;�
`���,e ,�,.�r�
saw the �estatrix sign and execute the instrument as her I;�s� Wiil a�+�::�k, �.�``�
�.L��
�.��s�
Testament; that DOROTHY S. MILLER, signed it willingly and that. she ;;::~;`���'�;4�:::
�a..
executed it as her free and voluntary act for the purposes �therein -:;�����
expressed; that each of us in the hearing and sight of the Testatr�x�. ::,��x,��:.
signed t�he Will as witnesses; and that to the best of our� knowlec� e ����°�
� s ..;.;;.����:
the Testatrix was at that time 18 or more years of age, of sound mind.�.:<::;:�M;�'�:��;�'::
and under no constraint or undue influence. - _ :�� ¢��;,;w�
.;;r.;�;-;
• • ;.,.:.
�. (SEAL) :::;;:::��;
� ����
Sworn and affirmed to and acknowledged
before me by John ?1. �lolfe and I{ thleen D. Pentoney, - �
witnesses, this th� ,�h day of n� 2011.
,
�, � .
��"'�`---+ coMMOnnnr�v�.-rM oF�+,snvA�„�a � .
. - N a u ic
. Argela J S�einour N�odry pu�lt� ' � .
- • MY�Bo►+Q.r4�ems Cotmty -
Sept.30�2012
. ���'�r�yp"��on of No�ries
' '] .