HomeMy WebLinkAbout04-28-14 • � �5U5610143
REV-1�Ofl °`��,_,�, ��#
O�FICIA!_USE U�NLY
PA Departrnent of Revenae pena�sytvania co�y co� Y� ��
��au of Indevidual Taxes ��*�°�"`°`
po Box2soso� INHERITANCE TAX RETUFtN 21 11 072 9
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT ENFORIYIATEO#S�LOW
Social Security Number Date of Q�h Date of Birth
09 04 2010 04 19 1959
C)scedent's last Name Suffa DecedenYs First Name IhA
MILLER JOffi3 B
�
�If AppE'rca�fe)F�rter Surviving Spouse's Informa9ion Befow
Spouse's last Name Suffoc Spo�se's Fust Name MI
Spouse's Socia!Securily Number
THIS RETURN AI�UST BE FILED['N DUPL[CATE WIfH THE
REGISTEi2 OF 1MLLS
FtL!lN APP'ROPRIATE OVAlS BELQW
� 1-Original Retran � 2 S�pp[err�enfal Ket�im I� 3. Re�naet�ReUum(daEe of d�th
priorto 12-13-82)
� 4_tirtitad Esta� � 4a(����� �I 5. Feder�Esfate T�c Re6um Req[ued
'^'' s_ (��� il—II 7- ��f�a L'mviogTrs�sffi � 8. Ta�l Numt�er of Safe Depos�Bmces
LJ'
� 9. Litigation P�ooeeds Received � �0_6�i23�4-t�of deafl, �'�, 11_Efection to�c ia�er SeG 9113(A)
��-0)
CORR�f-7HIS SEC'ilOPl l/UST BE COI�LETED.ALL CORRESPONDB�ICE AND CONF�ENiZAL TAX INFORYATION SHOULD BE�RECTED TO:
Name Day6me Telep6orte N�anber
RICHARD L WEBBER JR ESQIII 717 �2 738� �
C -� � M
REGIST�R�Wt!!S�E OI�(
� n
� � r- N �.-.�
Frst lirte of address e � u !� dp `� ��
126 EAST RING S9.'REET � ` '''' �`=� �
Second Gne uf address � � � 3 '""t �
C7 C �.� C�
: �7 �. r.- �
--t
..'"��DATE FILEDv^1 Cn O
Cily or Post Office SYate aP Code
SHIPPENSBIIRG PA 17257
corre�onae�s e-maa adaress- �ebber@weigteassociates.com
a�e,�caer�t adP�`dy��on ��tt�a�n tt�ie accom�ng schedofes ana�.ard to Uie best af rty knowledg�and be6ef
pe� �Ina rePre�e�.s based on�I mfomration of which prepaer has arry Iu�ow�dge.
SICY�IATimE RE F]nlE
k Shannon N.Mil[er k '' " '��
r•��-��
ss �
490 Shed Road,Newvi[le,PA 17241
SIGYJATURE OF PREPARER 07tER THAN[t�RESEN7ATNE �TE
;/��/� ` �� Richard!.We66er,Jr.Esquire � ���C�
noor�ESs
126 East iGng Street,Shippensburg,PA 17257
Side 1
� b505610143 - 150563�U143 �
• � 15�5610243
�v isoo oc
Decederifs soaa�sea►�,Ty Numt�r
�'S� Mil��er,John Beacher
RECAP[TULA'iION
1. Real Esta�'�e(Scf�eduteA)---------------•••••••••••-•-•-•-•-•-•-.-•-._...._..--------.._....................._.. 1_ 67,500_00
2. Stocks and Bonds(Sched�B)._...---•---•-•-------------°•-----•--------.............._....---•••••••... 2
3. C(osely He{d Corporabon,Fartnershi�or Sole-Propri�ocsE�ip(Sched�C).-•-•---- 3-
4_ Morfgagas�TEotes ReceivabGe(Sd�dule D)-•-°................•-•-•---°--•-•--•..............--- 4-
5. Cash,Ban�c Depasits&M'�soeilaneaus Personal Property(Sched�e'�-°•-°•------- 5- 2,35 0_�0
6. JoiMy Owned Praperty(Schedule F7 � Separat�B�Requestea__.....___ s. 13,60 O_0 0
7. lnter-Uivos Transfers�M"�ceilaneous�-Probate Propzrty
(Sche�l�le G) S�ar�e Bdifn9 ReU�ested-•-•-•--•--- 7-
8. Total G�ss Assets(tota�li��s 1-�--------------------------------------------------------------------- 8_ 83,45 0_0 0
9. Funeral E�rtses�Ad�estrative Costs(Schedule H}•-•-•-•-._..._...-•---...-°•---------- 9- 14,171. 75
10. Det�s of Decedent.M�ortgage liab�,�Lier�s(Sehedule I)---•-•-•-•------------------- tU- lO,787_ 95
11_ Tota!Deductio�s(tatal Lines 9&10)-°•-•••••-•-•-•-•...............•------------------•-•-•......•••• 11_ Z4,959_70
12. titetv��ee of Estate(I_ine s rronus[.ine 11)--•------------------------------------------------------- 12 58,490_30
13_ ��Govemmenfal Bequests/Sec 3i 13 Trusts forwhich
an efedion to tax has not beea made(Schedufe,�...........................................•••• 13-
14. Net Value Sub��ito Tax(lirts 12 muttts line 13)...............••-•-•-•-••••••••........_...... 14_ 5S,490_30
TAX CONPLITATlON-SEE INSTRtlCTIONS FdR APPLICABlE i2ATES
15. Amoimt of!me i4 ta�cable
at tl�e spoasal t�c rate,or
transfers�r sec.9116 0_0 0 15_ 0_0 0
(ax1.2)X.00
16_ Amo�t of une 14 taxable 2 9,2 4 5_15 t s_ l,316_0 3
�t r�r�r�x .aa5
17_ Amoar�t of line 14 taxable
�ts�r�y�x.�z 29,245_ 15 n_ 3,509_42
18. Amount�!�e 14 taxable
at coUateral rate X.15 0. 0 0 18_ 0_0 0
19. Ya�c Due•-•-•••••••---------------•••-•-•-•-•-•-•-------._._...-•-•----------------••------------------------------------ 19' 4,825_45
20. FIL![N THE OVAL[F YOiI ARE REQUESTING A RF�UND OF AN OYERPAWENT_ �
Side 2
� b50563U243 b505610243 �
REV-1500 IX Fage 3 FI�e N�nber 21-1 Z-0729
DecedenYs Comple�Address:
DECEDEM'S NAME
lM[i�lier,John Beache�
STREETADDRESS
490 Shed Road
CITY STATE Z!P
Newvit(e PA '17241
Tau Payme�nts and Credits:
1_ Tax Due(Pag�2,l.ine 19) (1) 4,825_45
2 CreditslPayments
A Prior Paymerrts 0_00
B_ t�ard 0.00
Total Credits(A +B) i2) 0_00
3_ [nterest (3)
4. If l�ree 2 is grsater ffian!i�1 t L�e 3,enter the d�ference. This is the OVERPAYIAQ�'P• (4)
Chedc box on Page 2 line ZO to request a r�efi��d
5_ ff line 1+line 3 is greater than Line 2,er�ter fhe d'�ce_ This is the TAX DUE- (5) Q� $Z�J_�J
s
Make Chedc Pa abte to: REGlSTER OF WiLLS,AGENT.
PlEASE ANSVYER THE FOLlOWING QUESTIONS BY PLACING AN"X"lN THE APPROPRIATE BLOCKS
1_ D�d decedent rr�a[ce a transfer aod: Yes No
a retain the use or income of the property transferred;•-•-•-•-•-•-•-•-•---•---•-•-•-•-•-•-•------------------------------------------ I j �
c. reEain a rev�ersiortary arteres�or--•---•-•-----•-•-•-•-P•-•�y-°•---••--•-•-•-•-°--•••••••••-••-•---•.........................•--....... 'Q ��r�1
b. re#ain the ' ht to de,s' nate who sha9 use the ro transferred or its income,--•-•-•-•-•-•••---•••--••.........
�� Pa��. - '�JI �
d. receive the for life of eN»er benefits or care?•-•-°--°•-•-•-•--------°-°•---°•---------------------- g�p
2. tf d�fi occurred aRer December 12,1982,drd deoedent trartsfer property witlein one year of deat�w�thout
- -
r�vui9 adequate consideration?•-•-•••-°°°°--•-°°--°°---°-•••-°°°•°--------°---........-•---------------------------•-•••••••••••••-• � I x
3_ Did decede�rt own an 5n tr�st for or payable upon death bank accourt or securiLy at his or her death?_._.__. � !x
4_ Dd decedent�I�n�al Retirement Aocamt,anrnrity,or other non-prabate property which--•------------
conta�s a benefi " Rabon?•-•-•-•-•-•-•-• Q I�
IF THE ANSWER TO ANY OF THE ASOVE QUESTIONS IS YES,YOU WUST COMPlETE SCHEDlIl.E G AND F[LE t'f AS PART OP TFlE RETURN.
Far dates of death on or aRer July 1,1994 and before Jan_1,1995,the tax rate inposed on the net value of transEers to or for t6e use of ffie surveving
spouse"s 3 peroer�t[72 P.S.§9116(a)(1.1)O]•
For dates of death on or after Janaary 1,1995,the tax rate enposed on ffie n�value of transfers fo or for t6e ase of the surviving spouse is 0 percent
[72 P.S.§9i 16(a)(1.1) n� The stahite does not exempt a transfer to a surviv�g spouse finm t�c,and the stabutory requ"uemer�ts for disdos�se of
assets and fifing a tax riehim are sh'�appficable even if t6e swviwg spouse is the onty benefiaary_
Far dates of death on or after July 1,2000:
•The ta�c rate enposed on the net value af trar�sfers from a deceased d�7d 21 years of age or younger at deatfi to or for the ase of a nabural parent,an
adoptive p�ent,or a stepparent of U�e chad is 0 percent�72 P.S_§9116(a)(1.2)]_
.The tax r�inposed on the net value of transfers to or for tl�e[�e o#the decederrt's lineal benefiaaries is 4_5 percent,except as noted�
72 P.S.§9116 12)[T2 P.S.§9116(a)(1)]_
.The tax rate inposed on the net value of transfers to or for the use of the deoedenYs sbfmgs is 12 perce�t[72 P.S_§9116(a)(1-3)l• A
si�ting is de5ned under Section 9102,as ari individual who has at least one parent in common wiFh the decedent,�er by blood or adoption.
Rer-1502 DC+('[i-08) .
� SCHEDULE A
- REAL ESTATE
��,��v�
.�,��T,��
���
ESTA�'€OF (FILE NUMBER
Milter,John Beacher 21-'i7-0729
AO rea[praperty ar�r�sol�y or as a tenant�e ca�aa�must be repoRed�taQ�ricet wa6ua Fair rta�ra9ue is d�vw�as tl�price at�pro�tye�d Frs
�fsang�d 6�s�a w�ng bray�er aad aa�ig se�er,taattfer 6�cg mm�lled in buy ar�.�tc tmv�ecJ rea�e Imordedc3_af f�te�vari[fa�s
Real property v�is jouqly-o���i�t oT sev�nvas[ip c�t be 6sdosed an schechde F_
ASfach a copy of tlr�nt s��tl�e pmperty has bem sdd
6xEc+de a copy of tBe dced sl�g deceda�s�t i[owned as ts�ar�t m conunae.
�M VALUE AT�TE
NUMBER DESCRtPT[ON OF DEATH
1 A!1 ti�at certain firact of Iand situate in Lower Mifftin Township,Ctunberiand County, 67,500.00
Pennsytvartia,coritairting 2.25 acres and Imown as 490 S[ted Road,Newviife,PA 17241
(Assessmer�t va[ue as per assessment records for Cumber[and Cour�y,Pennsylvania).
TOTAl.(Also errter on Line i,Recapitulation) 67,500.00
(If rt�ore space is needed,add6onai pages of the sart�e s¢e)
Copyright(c)2009 fortn software only The Lackner Group,lna Fortn PA-1500 Schedule A(Rev_11-OS)
Rer-1508 IX+(6-98)
SCHE�DULE E
- CASH, BANK DEPOSIaS, � MISC.
�'ERSONAL PRO'�ERTI(
�nio r�a�sv�vaNV.
�reru�raz�
�arro�err
ESTATE OF FILE MUMBER
Miller,John Beacher 21-11-0729
tr,�e et��arrm��s,�c�tt��swaer�a t�y,��
�ProP�]f l�Yoweed aitb tl�e rigF�t of s�avivorstvp rt�ust be S�Sdosed aa schechie F.
�M VAlUE AT DATE
NUi4lBER DESCRlPT10N pF pEqTH
1 i g80's Truck �fl-�
Z 1986 Chevrotet�[otor Vehic[e-scrap ZQ0.00
3 1988 Chevral�Suburban Mof,or Vehicle 250.00
4 199D Mercury dliotor Vehicle 250.00
5 9993 Fo:d Ranger Motar Vehic[e 90Q.00
6 Lafie i980's big car 20a.00
7 Panel Truck 25Q.00
TOTAL(Also enter on Line 5,Recap"rtulationl 2,350.�0
(if mare space is needed.addi6anal pag�;of the sart�e s'v_e)
CopyrigM(c)2002 form saftware only The ladv�er Group,Ina Fam PA 1500 SchedWe E(Rev.6-98)
Rev-0509 DCf(BA8j
� SCHEDULE F
�,„��,�,� JOf[�TLY-flWNED PROPERTY
!l83Tl:NCE FAX[�T[YEB�tf
�YTOEC�H�If
ESTATE OF `FILE NUMBER
Mil�er,Jof�n Beacher � 21-11-0729
�a�asse[was aoade joe�wiiii�o�y�of ffie decedaQ's date of deai4e,it�6e repa�tr�an sche�dEde G.
SURVMNG JOINT TEN�WT(S)NE1ME ADDRESS RElAT10NStitP TO DECEDENT
A. Rawn E.S�unk 621 Mill Race Court None
Carliste,PA 170'�3
B.
C.
JQINTl..Y OWNED PROP'�t7Y:
DESCRlPT10N OF PROPERTY %OF �►TE oF o��
�� lETTER [lATE NCU�E kAl�OF FlNANCtAL INSTRUTION MQF BANKACCOUYT DATE OF DEATH DECD'S ���S,�sr
NUiN[BER FOR JO[ MAD� NU�ER�2 S�AR DENT�1I9dG M1�ER.ATCACH DEm FOS2 AlUE OF ASS tNSEREST
TENAK� JO�NT JOWTLY-HELDREALESTATE
1 A 01/01t2006 1985 Ho[tyiPark Mobite Ho�e-VlN01 HP12954 27,200.00 50.004% f3,600.00
-(Valued at assessed valu�e of records of
Curnbe�riand County,PA)
TOTAL(Also enter on Line 6,Re�p"rtutation) 13,600.00
(�more space is needed,additiorel pages of the same s¢e)
Co,pyri9(rt(c)20Q2 fortn software anly l�he!ac[cner Group,lna Form PA-1500 Schedufe F(Rev.6-98)
REY-S15i DC+(10-86j
' SCHEDI�LE H
����n�,,,�,A FUNERAL EXPENSES �
���DECm� ADW�INISTRATIVE COSTS
ESTATE OF F[!�NUMBER
Milter,Jo�n Beacher 2#-t7-0729
Debts of decedent must be reported on Sct��edule I.
�M DESCRIPTION ��1�
NUMBER
a, FUNERA�DCPENSES:
See con�inuation schedule(s)a#tached 2,700.00
B. ane�nNisrRanvE cos-ES:
1. Persor�af Repr�entative's Commissiorts
t�iame of Persortal Representative(s)
S6annon N.A�il[er
streetpdddress 490 S[�ed Raad
�y Newvilse State PA Zio 17241
Year[sl Commission oaid 5,000.00
2. auor�s Fees iiNeigie�Associa#es,P.C. 6,000.00
3. Famiy Exemptiai_ (If decedenYs address es not ffie same as daananYs,�tach eacptartation)
Cia"snant
Street Addtess
�y State �
Relationsh�of Claimant to Dec,�dsrtt
4. Probate Fces 283_50
5. AccountanYs Fees
6. Tax Redtm Preparers Fees
7. OtherAdministrative Costs 188-25
See contin�ation schedule(s)attached
TOTAL(Also�on line 9,Recapibulation) t4,171.75
CopyrigM(c)2009 form soflware onty The Ladcner Graup,tna Fo�rn PA-1500 Sctiedule H(Rev_1Q-O6)
� SCHED'�Jl� 1i
FUl'+1'ERAL EXPENSES AN�ADMINISTRATiVE COSTS
confianu�d
ESTATE OF FILE NUMBER
Nli[1ef,Jo6n Beach�� 21-11-0729
�
�� DESCRIPTION �U�
Funera�F�cp�
1 Eogelsanger Bricker Fun�al Home 2,700.Ofl
H-A 2,70�.00
Ot6er Administrative Costs
2 Cu�t�rtand CouMy Register of�IEs-Filing fee for ir►f��nce tax retum i5_00
3 Cumberland Courtiy Register of VYi(Is-Short Certi�cates 40.00
4 Cumberland lavsr Joumal-lega!ad 75•00
5 Valley Times�tar-legai ad 88.25
H-B7 188.25
Copyrig[rt(c)2002 form soflware orey The Ladmer Group,Inc. Form PA t500 Sd�edule H(Rev.6-98)
Rew1512 IX+S12-0B)
' � SCHEDULE 1
- DEBTS OF DECEDEIIiT,
�IAORTGAGE LIABILiTtES, F,� LIENS
c�oroe�ni oF as�asv[.vursa
�FADlEE TiSX REilA31
��
ESTA�OF IF[LE NUMBER
Milter,John Beacher 21-it-0729
RepoR�incrmed by the decedsR prior to d�tlwt remaeeed�at fhe date d death,ea:Indvg mu�Swrsed mee5cal e�
�� VAl.UE AT DATE
��g� �ESCRIPTION OF�ATH
1 Ameri Mark Premier cred"�t card Acct�'t 10�100448697-0�4 66.01
2 Ber�eficial Cons��er Loan[3iscount Co.(one-half of total balance) 8,750.27
3 8[aiHWortd Finaapat Capital Bank 414.50
4 Capital One Bank-Acct##281709� 446.93
5 Coun#ry Door credi�card-Acct 839 364 587 4530 128.80
6 Fngefiut-Acct�i699 428.50
7 First Premier Bank-Accourrt#5178 Q�701897 8072 79.89
8 lowes-cr+edit card account#1759fi258 314.95
9 We![s Fargo Loan-Account#71902959 1$$•�
TOTAL(AEso enter on line 10,Recapitulation) 10,787.95
(u m«e space is r�ded.aaa�ianal pages ar u,e sar�,e sae)
Copyright(c)2009 fam soflware anly The Ladmer Groap,Ina Fortn PA-1500 Sched�e 1(Reu 12-08)
,
REV-1513 DC+(17-08)
SCHEDULE J
COA1�''�,�"`�"-,E�EO��"""'" BENEFICIARIES
ESTATE OF FILE NUMBER
Miller,John Beacher 21-11-0729
NAME ANO ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE OUNT OF ESTATE
NUMBER PERSON(Sl RECEMNG PROPERTY DECEDENT (yyords) (3$S)
Do Not Llst T a
I� TAXABLE DISTRIBUTIONS [indude outrigM spousal
distributions,and transfers
under Sec.9116 a 1.2
Shannon N.Miller Daughter See attached wll 29,245.15
490 Shed Road
Newville,PA 17241
Rawn E.Shunk None See attached�II 29,245.15
627 Mill Race Court
Carlisle,PA 17073
Total 58,490.30
Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE
Copyright(c)2009 form soRware only The Ladcner Group,Inc. Form PA-1500 Schedule J(Rev.11-08)
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Cumberland County Tax Reassessment Value T,00kup:Deta.ils page 1 of 1
Detailed Results for Parcel 15-05-0413-093. in the 2010
Reassessment Database
�����������: 15 - LOWER MIFFLIN TWP ��'Q���"�� '����: RT
SC��3�� �1S'�1'9C'�: 1 - BIG SPRING SD �'W�Q�': MILLER,JOHN BEACHER
�,a�'��� ��; 15-05-0413-093. �� S'���i,�S:
��$�Se 490 �a�Ca��� S'�c'��4lS: P �'tY
Taxable Pro e
�9�a r����:
�'��'���; SHED ROAD
��� �SSc''S5�'.I'� � L.��3�: 38200 �'�'�► ASS�SS�C'� - �.c'��'9[�: 67500
�Id Ass�ss�d - B�ildirags: 14760 I��w Assess�d - Buil�iir�gs: Z�zoo
�OS� QSS�SSe� - To�a�: 52960 ��BN ASSeSS�C,� - ���c'30: 94700
�''s�t� C� A�S��S�£� - �L3�S�: . NOT ��900'J C� A,5''s��^��L� - Lw:3w: NOT
vIC� CC�7 ASSESS�S'� - qpp�CABLE ��� CG ASSeSS�C� � APPLICABLE
Buildi�gs: ��i�dir�gs:
09d CG Assesset� - i'a���: (�ew CG Assessed - Total:
,i
http://ccweb.ccpa.net/t�_lookup/Details.aspx?pid=15-OS-0413-093. 11/29/2010
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T�32S CORRSC7'.IV�{ �$�� fl�l 10 '�`�
G j
MADE THIS a��day of �,�( 7 in the year of our Lord two thousand and three(2004).
BETWEEN CHARLES L BF.�4It, of 484 Shesi Road (incorrectiy stated as 490 Shed Road in
prior Deed, Newville, Cumberland Caunty., Pennsylvania, hereinafter referred to
� as Gtantor
AND JOI�NBEACHER MILLER, single man,of 490 Shed Road(incorrectly stated as
484 Shed Road in prior Deed), Newville, Cumberland County, Pennsylvaaia,
hereinafter referred to as Crraatee
WITNESSETH, that for and in consideration of the sum of One Dollaz($1.00), in hand
paid, the receipt whereof is hereby acknawledged, the said Grantor does hereby grant and
convay,in fee simple to the sa.id Grantee,his heirs and assigns,
ALL that certain tract of land, tagether with improvements thereon, situate in Lower
Mifflin Township, Cumberland County, Pennsylvaaia, more fully bounded and described as
follows:
BEGINNING at an iron pin located near the northern edge of Township Route T-412,
known as Shed Road,a#the comer of lands now or formerly of Lazry E. Straub, Sr., et ux; thence
along Sbed Road and lands now ar formerly of Phyllis H. Randolph, et al, South 82 degrees 08
rninutes 17 seconds West 202.01 feet to an iron pin located at the corner of other lands now or
formerly of Chazles L. Beaz, the Crrantor herein; thence by lands now or formerly of Charles L.
Beaz,North I6 degrees 8 minutes 19 seconds West 476.41 feet to an iron pin; thence continuing
along lands of now or formerly of Charles L. Bear,North 73 degrees 51 minutes 41 seconds East
200 feet to an iron pin; thence along lands now or formerly of Patrici� L. Manney, South 16
degrees 6 nunutes 19 seconds East 1 b0 feet to an iron pipe located at the comer of lands now or
formeriy of Ronnie L. Salinger;th�nce along lands now of Satinger, South 16 degrees 8 rninutes
19 seconds East 160.83 feet to an iron pipe at the comer of lands now or formerly of Larry E.
Straub, Sr., et ux; thence along lands af Straub, South 16 degrees S minutes I9 seconds East
184.66 feet to an iron pin located near the norkhern edge of T-412, also known as Shed Road, the
place of BEGINNING. CONTAINING a total area of 2.2532 acres.
BEING Lot No. 20 as set forth on a Subdivision Plan for Charles L. Beaz, prepared by
Eric L. Diffenbaugh, R.S., dated January 30, 1996 and recorded in the Office of the Recorder of
Deeds,Cumberland County,Pennsylvania,in Plan Book 72 at Page 44.
ALSO BEING a portion of that same tract af land which Phebe W.Nailor by deed dated
April 29, 19b0, granted and conveyed to Chazles L. Bear and Helen R. Beaz, husband and wife.
The said Helen R. Beaz died on October 6, 1998, therefore vesting full title in Chazles L.Bear.
�QO,K �� PALE����
WEICzLE & ASSOGIATES, P.C. - A7'fORNEYS A7 LAW - 726 EAST K[NG STREET - SHIPPENSBURG, PA t7257-Y397
i
COMMONWEALTH OF PENNSYLVANIA :
. SS.
COUNTY OF CUMBERLAND •
t�
Qn this, the ab day of u ,2004, before me, a Notary Public in
and for said County and State, the undersi ed officer,personally appeared Charles L. Bear and
Vesta P. Bear, known to me (ar satisfactorily proven) to be, the persons whose names aze
subscribed to the wit�in instrument, and aclrnowledged that they executed the same far the
purposes herein contained.
IN WITNESS WHEREOF,I hereunto set my hand and official seal.
s�.
�t� ��
��,��-����y Notary Public
eF�`���c.�qES J�t.Y ts,zCC�
I do hereby certify that the complete post office address of the within named Grantee is:
490 She,�l Road,Nevwille,Pa 17241
Date: 7�a�� /Li�) `J —
Attorney for Grantee
COMMON'PVEALT�I OF PENNSYLVANIA :
. SS.
COUNTY OF CUMBERLAND •
RECORDED on this day of , A.D. 2003, in the
Recorder's Office of said County,in Deed Book , at Page
Recorder
�ox �f� ��c���41
WEIGLE & ASSOCIATES. P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHtPPElJ58URG, PA 17257-7 3 97 .
.
►
AND ALSO BEING THE SAME tract of land which Chazles L. Bear, by deed dated
Agril 9, 2003 and recorded in the office of the Recorder of Deeds of Cumberland County
granted and conveyed to John Beecher Miller, single man. The said Chazles L. Bear married
Vesta P. Miller, now by marriage, Vesta P. Bear, who executes this Deed to release any interest
that she may have in said tract of land and improvements.
SUBJECT TO a 30 foot private right-of-way as shown on said Subdivision Plan
referenced above to provide access to and from otlier land retaineri by Grantor, knawn as Lot 1
on the Plan, said right of way to be used by Grantor, his heirs, successors and assigns for that
purpose.
SUBJECT to restrictions and conditions as shown on the Subdivision Plan referenced
above.
And the said Grantor hereby covenants and agrees that he will warrant specially the
property hereby conveyed.
THIS IS A CORRECTIVE DEED. IT DOES NOT ALTER EXISTING TITLE. IT IS
THEREFORE EXEMPT FROM PENNSYLVAIVIA REALTY T1tANSFER TAX.
Il�T WTTNESS WH�REOF, Grantor has hereunto set his hand and seal the day and yeaz
first above written.
Signed, Sealed and Delivered
in the Presence of
� � � �
�`��,,,.,..�_., _.
Charles L.Bear
Vesta P. Bear executes this Deed to release any and interest that she may have in the tract of land
canveyed herein.
r l��{._/t � �l��l�\l��____�/�—�/o.iafiv�
Witness Vesta P. Bear �
��:,�; c,� �e re�,orded
�j i:� Co unty PA
. . �� � ,
.. . _y =`-���`?'� �v`�`'-.
��_cc�r�er of Deeds
00� �� �����44�
WEIGLE & ASSOCIATES. P.C. — ATTORNEYS AT LAW — 7Z6 EAST KING STREET — SHIPPENSBURG, PA Y7257-1397
RECORDER'S USE ONtY
- AEY�IB7 E7f{b-96� Srau Tax Pai
� . �
REALTY`TR�MiSFER TAX $„ Nam K
COMMONWEALTH OF PENNSYLYANIA STATEMENT Of VALUf p��Nvm er
DEPARTMENT OF REYENUE
8URlAI!Of 1NDIVIDUAL TAXES paq R�cor
DEPT.2806CI '
NAARISBURG,PA t7S2B-0603 , .S6a Reverss for (nsfiruct+oess
Campiste each section and fi{e in duplicaSe with Rxo�der of Deeds whsn (1)the fvil value/rnnsideration is not s�t forth in the dssd,(2)when the deed
is without cnnsideiot+on,or by gi$,or 3� a tax axsmption is daimed.A Stat�m�nt of Value is not rsguirad if th�haesfer is wholly exempt kom tax
bcsed on: 1 famit reiation:hi or 2 ublic utili easement. IF mon s cc�is nseded, attacfi additional shsee s.
A CORRESPON�ENZ • Atl in viries ma be dirscted to the folPO�Numbererso�:
Nam. 717 532-7388
Bichard L. iTebber, Jr., Esqu3re Areo Code( }
City Slafs Zip Ca
ss��s n r�s� �i ensbur PA 17257
126 East KinB Street PP S
DaM Aee�Ptanea s Doeuro�nf •
g TRANS�ER DATA �,��..{>>�.�...t�
CaraMor��}Il�stor(s
Charles L. Bear John Beecher 2iiller
rrosl A ns:
Str�et A rsa
484 Shed Road 490 Shed Boad
Stat� Zip Co • Ci1y Stat� Zip C s
Gb Aeaville P� 172�1
Newille PA I72�+1
C PROPER7Y Lt9CAT1�N Gy,T,,,,,n, ;P,goroug
Sbeet A rsss
4 0 Shed Road oo Uistrid Tox Pares Num �r
c°°� 15-05-0413-093
Camberland Bi S rin
D VALUA710N DATA 2 0 ���� ���o� 3.Tata co�.� ..a��o�
1.Actval Coa Co •rmiee O.�O � I.�
1•� ♦ 6.Fair Ma t a u�
4. unty A�seaH n ue .Common L�v� RaBo, odor
X
E EXEIYI�+'iION �ATA � ,psrcanrog� InfsnN Conv�ys
la.Amount o Ex�mpflon C ai
2. G�Kk Appropdoh Box B�low for Ex�mption Ciaim.d
❑ Will or intestate succession ��a��p� „�� �Eua�.F� Nu�b•.) �
❑ Transfer to Industria{ Rsvelopment Agenry.
❑ Transfer to a trust. {Attocfi complete copy of truat agreamsnl idenrifying all beneficiarias.)
❑ Trnnsfer betweea principat and ngent. (Attaci�complats copy ef agsnrylatraw party a9reement.)
❑ TransFers to the Ccmmonwsafth,the United States and fnstromsnfalities 6y gift,dedication, condemnation or in t'+eu of condamnation.
{If condemeation or in fieu of condemnation,ariach copy of resolufian.}
❑ Tranafer hom mortgagor to o holde�oF a moAgage in default. Mo�tgage Book Number .
Page Number •
�Corrective or confirmatory deed. (Attach complaie copy of the prio�deed being correded ar conRrmed.�
❑ Statutory wrporate consolidatian,merger ar division. (Attach copy of articles.)
❑ Other(Pleasa explain exemQtion claimed,if other than listed above.J
1}nd�r pfno{ti�s of low�I d�claro tl�ai I hav��xamin�d this Stot�n+snt,includfng occompanylnp+nformatbn,end to th�be�t of my knowl�d9�
aad beliaf, if is tru�, corr�d and complat�. �»
Sip�otur� ef Co►nspond�nt er R�spen�ibl�Pa Y a� APA �l�����A�
� i��`t �.� . .�ja s
FAILURE TO CCMPLEtE iH1S FORM PROPERLY OR ATiACt{APPLICABLE DOCUMENTATION MAY RESULT IiV THE RECORDER'S REFUSAL
TO RECORD THE DEEb.
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REGISTERED OWNER S ��� �E "`'q'� `w�j,. TffLE BRAND$
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a° r - � H=AGRICU4TURAL VEHICLE �
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p z IS/WAS A POLICE VEHICLE
lVEW V I LLE PA 17241 ,����� p�� �, ��, A=RE�oN���o
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p � .. . II'IIIIiIjII��I I���I� �I'y��' ��I I� !�ijI�II�I�'II� ��T-RECOVEREDTHEFTVEHICLE��,
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I'��ijr�IlllNl��IIII�� I!q�I�Ipf � � i�ryl'IIIIi�hI� W=FLOOD VEHICLE
. I II�II�u�II''�I���w�l 'I� �� I ��.��. ���PI I��I�I - 'X=ISlWAS A TAXI
� FIRST,WEN FAVOR OP: � :;� 14 ii���l������� 6� II�,. EC� IE I��' �p;��P�F. .... :.., , :.: .; , ._.
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� � �f a secand Itanhotder is listed upon satisf�ctien i�afi the�Ti� q��'�I C�e t��Y i �ry�N I� „
' - ienholder�must�forwarU ihis Titler��o tha Bureau b1�MOtor�.�lYtntc�gNIa w�m� �I�NFtiiF„il'
PIR8T LIEN RELEASED .�.DATE,'�� .�8pprop 6Xe fomf and fee - Vli�ub�b ih�i ii i�I h'��N��PNr�M�i��i ��li"i���� ������h�tl�����������
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gy SECONO LIEN RELEP.SED
AUTHORIZED REPRESENTATIVE �ATE ,
� MAILING ADDRESS . By � �
'� ❑�Q�.�� , _ AUTHOfiIZED REPRESENTATIVE - ,
1
RAWN E 5liUNK � �HANIV4N
NIfOLE MILLER ��
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49f] SHED RD �
� :`. ; NEId�IILLE PA 17�'41 p��61S,/LVai11a
DEPARTMENT OFTRANSPORTATION
•
' I cedify es of the date of Issue,the official recorcls of the Pennsylvania oepamnem� � � BARRY , • ..�i�Ht}��"�� P����•�-������
� of Traneporlallon refleet Met the pereon(s)or company named herein is fhe lawful owner .
of the said vehicle. Secretary of TraasporFadon
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- SussCRiseo a�lo SwOaN ^ If a co-purchaser other than your spouse is listed and you want the title to
}N TCaBEFORE�ME r I+ pi I� be Iisted as"Joint Tenants With Right of Sunrivorship (On death of one
,.a ,w�, �u �i �I u + �r�� Mo nav vene - owner btle goes°to surviving owner)GHECK HERE E].Otherwise the 4Ue
; � i i INr�1 ti I ;! i i ,i,l ,I, i I Ii�i�i � wiit be issued as:'Tenants irt Common'(Qn death of one oyvper mterest of
; deceased owner'goes to his7her heirs or estate} °i ,
r� �i ni d� i � '� .ai i i i��,,� . .- �. .: �, ;,, . .
'�y I� I � ���gIGNA'fURE!OF P R ON ADMINISTERINGOATH � �
i,,i; IF NOt1EN CHECK❑ -�IS THIS AN ELl'9(IF YES FIN R�QUIRFD),YES� NO�I�
J i;! � I .,. . ` :`- ,.:�
. =! W �" � � �� � 1ST LIENHOIDER FINANCIAL INSTITUTION NUMBER: � '
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� T � IF N0.2ND LIEN,CHECK❑IS THIS AN ELT?pF YES,FIN RE�UIflED)YES❑NO❑
�� The untlersiBned.hereby mekes appYwDOn lor CetlJicata af Ttle to Ihe vehiGe tlescribetl '
/{1 a0ove.��ject io NB Bnrumbnnces entl oNer 1e9��ime eet foNt irere. . . .. . . '
v� � 2N6LIENHOI�ER FlNANCIA�INSTITUTION NUMBER:
� - �� � 2ND LIENHOLDER NAME �
$IGNAiUflE OF APPLICAM Ofl AUTHORIZEO SIGNEA �
/n � � STREET .. . ... . .
V 1
W � CITY STATE ZIP
SIGNATURE OF CO-APPLICANTRITLE OF AUTHORIZEO SIGNER �
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���� • ���no�raa���a. CUSTOMER STAT�ItiA�NT
A�ne� ark ��,.n.R�„h�„� .
c���c���nt, Account Number �, I100I0Q448697-04
_ � Fs;encsats . :
A •Q /�j� Fc":"`�`�°`� Netv Baiance 't� S66.O1
l � G��G/ Heatthrl"n9nR .
'Gmr(or�Ie �
1����7 G°p��p���� ��L�a���n«�,,.� Payment Due Date
10/i5/2010
PO BOX 2845 F✓anroe.WI 53566-8a45 Check box iE address,
�e�Qn�eP���a� Minimum Payment Due 540.00
on back. � � �
�
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�E'!'1�'f���r�lE���°if'��I�I�lIl�I(�'I'�I�itIf�IE{iII�`�I�I`iEfE� �rvr�Ra.�aourrrer�czos�
Company naaa�a W+UST yypy�ry��o�h window ot paymer,t enve:ope
J�HN MILLER ptnsriMerk P�emier
49Q SNED RD . �
hEE�tVILLE PA 17241-8759 PQ BOX 2845
hios�roe WI 53566-8045
411Q�10044869700Q40011Q0066D1�Q04Q�00
Pweas�dFdach and reh�rr�top portion with r�mi[4an�e
�J)I E i'i;'��ark �t you make no�tiorcal dsarges asing You will pay oti the 6alance shown And you will end up paying
�his card each monih you pay... on Ihis siafemeni in aboul.._ an eslimaled lotal ot._.
Prcmier -
OnPj fhe rninimum p��men[ 4 montris �6P.14
�r��}�s'�7��t7"
Paymerrt Irrtormation
New Balance $&6.41 Paymern Due Qate 10:'15;`2010 Minimum Paymettt �4G.00
�nimum Paymenl Waming:Makino ordp 1#se re�vrsivrnan payment u�increase tlw amount of�tzrest yau pay and fhe time it takes to r�pay yavr balance.
liyou vaould I�C2 information a�eirt credit counseling services,call 1-g00-631-5fi73.
FOR QUSSTIONS ASOUT YOUR ACCOUNT OR TO MAKE CHECK-BY-PHONE PAYMENTS, PLEASE CA�L 1-800-801-6287, MON-FR7
8 A.M.-MZDNIGHT CT. FOR CUSTOMER SERVICE, PLEASE CALL 1-800-800-6200, MON-FRI„B,p.M.-9 P.M. EST.
Transactions I � :
II o�io7- ' oAY".aE:�TSf
Gi+ic I ^nErr€n�iv".EidO I ^vEu�^.R�PTIOC� ��.I`OnSES:
*:" CP.EDITS
INTEREST CHARGED ., _ , :
, . _ :
09/20/2010 Q465703233 FINAMCE CNARGE _`' 1.19
JdHN MILtER -- - - <.., .: _ :
` We value_yau_as,a ausfemer.: , -- ,`. r . :
Your- fienelY Paysnen�! is appreciafed.,:- :. ;
� .. , � . .;,,. .
_
_
Please make your check paya52e �o - AmeriPlerk Premier.
PAYMENTS AND CREDITS RECEZVEU QFTER 04/20/2010 4lILL APPEAR aN YOUR NEX'f STATEMEI�'P.
20i0 Totals Year-To-Dats
Total fees charged in 2010: �0.�0
Total intQrest char4e�ire 2Q70: ��3.59
To place a cataloa ord=r.pleas�call 1-800-869-8901 -24 hours a d�y,7 d�ys a v�te�k.
Summary of Qccour[t Actfvky
Youraccountnumberis ].1QQ100448647-04
'FFiElt101JS FsktANC� �� �.1 HAS -' hJEb1�BRL4�tCE
PAY?AEN'f5 OTHEFt.CREDfTS 1NTERES7 CHARGED FEES CHARGEQ BAtA➢�7CET�iRNSFEFS
64.82 O.dO 0.00 p.19 d.00 O.dO 566.01
NO..OE DQYS IN kL'ER1tGE DAILY CLOSING : ., PASY DI�E D. J .:•� A1T.1
BILlMG PERibD- BALANCE DATE , AF.10U�NT QUE -
32 63.�1 04/20/2a10 2U.00 $4d.00
IMerest Charge Calculations
YourAnnua9 Pprcentao=Rate(APR)�the annual interRSt rat2 on Your accouni.
Balanre Su6ject to Balance Subjed lo
Annual Percentage Rate(APFh Inferest Rate Inleres![�arged Annual Percen�a4Q R��e(APfl) tnleresl Hate I�Ieresf Charaed
22.560% 563.k1 52.19
P�lont�nFs tiiransmc FINANCE CFIAHGE is �.50 ��
TO ENSURE TIiJfELY RECEIPT OF YOUR PAYF�t�P3T N/E SUGGEST YOU fu4AIL NO LATE�?THAM1I I U/1 U/ZO I O
NOTICE: SEE REVERSE SlDE FOR iMPORTANT iNFORI�,AATION
201�-02-24 15:32 Springleaf149$CARLIS 7172435546 » 717 532 5284 P 2/2
* Springtea€Fnanciat Setvices
�- ��� ��� ���� fi 8.Hanouec S�.
� � � � Cariisle,PA i?Oi3
;.�:i�f-�`t��'i�;�������� F 797-24�-605s F 7172�3-5548
W Sgrin�leafFinanciai.cam
February 24,2Q 14
��e�gle c�i Ass�cia#es,P_C.
12b East Kigg Street
S�ii.ppensb�g P,E� 17�57-�397
R.E; 3obn Beac�er Nfil�er
�ear Attorney R�ebber:
I ha���Frepared this letter�n r�sptrnse to your previous I�tter aud a�r conversation today. I hc�pe I was
able t�gather all fihe iuforma�ion�QU n�edecL
(?g�fi/20f05,�ohn B N.��er and Ra�n E Sh�€�pened.a 2�?viQr�;agz�th Sp�e��inanci�l
Services. I#�,�as a Revn�t�ng Line a€Cr�dit an�th�ac�unt m�mber�jas �35€�38�'?. Upo�►�h�death
of John B NIili�r,�ae accovnt was paiti aff by e�dit Life Insurance. �'inal Pay�ff am€�u-u��.s€�f date�f
dea�h(9/�11�) v�as�;17,S�f},53.
I hape I have answered yvur questions, If��au need�ty fur�her infor�na�ic�n,please�n�t�te at
7lL l�L�J��JV�.,I•
�1?1C�L�Zy,
�
f`���"���•s����`�
�
Brenc�a.K Bishop
Sr. �u�omer Acc�unt Speciali�
�t�`�
��w
�it$tHE5S
- Asse� A�cepfi�nce LLC
PO Boz 2036�F'+azren�ff 4809Q2036
TollFree:8Ti-32�-7�84 Fag:S$6-9&3-74"3
. ��G � = 2fl11
A�� 1�,ZO�� -
RICHARD L WEBBER JR
126 EAST KING STR�ET
SHIl'PENSBURG PA 17257--!!!
RE: Estate of JOHN B MILLER
Our File No.: 39543602
Court File No.: 21-11-0729
Dear RICHARD L WEBB�R JR, _
This letter is to formally request an inven#ory list or your states equivalent,for the above
referenced estate. Thank you in advance for }�our time and consideration. If you have any
further questions do not hesitate to call.
This is an attempt to collect a debt and any information obtained will be used for that purpose. �
; �
��
Asset Acceptance LLC Tara o
P.O.Box 203b Authori.zed Representative for Claiman#
tii7arren,MI 48090
Phone: 877-327-7384 Ext. 8789
Fax: (58� 983-7443
Claimant
PB 0013 AccouniNo.:39��36�J2
- STATEMENT FOR
s��" JOHN B MIL,LER
.,s4, ,<=er��_� ::� ACCOITIti�T'I�TI3MBER � GLzRR�NT BALANCE -
�s sET�ec�p�r�c� �,�.c
P.O. Box 2036 � Q05780981Q2�796059 ��14.50
�arre�,��1I 48490 � .
NDGMEl�T`DATE(IF'APPLICABLE) DATE OP LAST TRANSACTIOl� '
DA'I� REFEREI�dCE NO ACCOUNrT INFORMAI�ON BALANCE DUE
8/17/2011 005780981025796 BALANCEDUE �14.50
�$9 ASSET ACCEPTANCE LLC,A LIMITED
LIABILITY COMPANY ORGAI���IZED AND
EXISTIIIG IJl`,�DER TTHE LAWS OF TI�..
STATE OF DELAR�ARE,ASSIGNEE OF
BLAIR/WORLD FINANCIAL CAPITAL
BANK
P.O.Box 2036,Warren,MI�8090
�.�TE 4�DELINQL'�sCY PL�'tCH.�SED-O?�t
- + %/6/20�% 5/12/2009
PR�FC�PAL A�E3U�1T INTEREST R�TE L�TEREST DL;�AS O�
9/4/20I0
$37230 I0.00% �42.20
� SER�CE AIUDRESS(IF"APPLICABLE)
$���*��:**�**
SE�v'D ALI,IN�LT3RIES TQ:
ASSET ACCEPTAI�CE LLC
Attn: Probate Dept
P.O.Box 2036, Warren,ll��fI 48090
Phone 877-327-7384
__ � Fax��6-983-7�3
Tf�S COl���ICATTON IS FROM A DEBT CQLL�CTO� ;
PB OOSS Accoxmt No.: 395"3602 �
� ��' � 7�, ��, �
I �; zs .
Estate Informa�ion Services, LLC �� �.���:�� .:
2323 Lake Club Drive Suite 300 -_=�.�=�`�"r='G�°=���F'-'��_.��
Columbus, �H�JZJZ Hours:Mon-7�hu 8am-9pm,Fri 8am-5pm ES'f
Toll Free:(800)60�-543� Phone:(614)322-2758 Fax:(614)322-2761 �n��r_probate-care.com
• 10/04/2010
15
To the Fstate of 30HN 1��IIL.LER �
490 Shed Rd
Newville,PA 17241-8759
��i�6������n�����ee�en���e�����u������E��i����E���ui�e����
RE Creditor Name:CAPTI"AL OIl�TE BANK(USA)NA
Account Type: MASTI3KCARD�
Debtor.JOHN �vIII.,LER
Amount of Debt:$416.93
Reference#:281709� �:--�
Dear Family:
We unders�tand this ffiay be a difficult time for the fanuly. Estate Information Seroices has been hired by
our client to assist the Estate in brinQing to a resolution the outsltandi.eg balance owed by the decedent on the above
account Theref�re,we�eed to recei���from you pertinent estate information so that�ve can file an estate claim for
our client Please call this office at the number above witli this information.
Hovwever,t�e iiui�^���8�.�'ie 17`ii�}•�'^..1�_'?tY F2fi�^_'.1L�a�he�3�ln.v�7.yTLPIIt COLT�iIII, �OI1Q C�'1��a�I11C17t O�
the amount referenced abo��e,$416.93 and no estate elaim will be filed.
Again v��e extend our dezpest s}�mpattiies to the family during this difficult ti�e.You ha�e our commitrnent
that we will do our best to make the resolution of the payment process as quick and as easy as possible.
Unless,within thirty(30)days after receipt of this notice you dispute the validity of the debt,or any portion
thereof,we will assume the debt is��alid_ If you notify us in vvrritin�within said 30 days that the debt or any portion
thereof is disputed,we will obtain verification of the debt and�vill mail such�Terification to you. In add.ition,upon
your written request within said 30 days,�ve�,�ill provide the name and address of the ori�nal creditor if different
from the current creditor.
This is an attempt�o eoilect a debt fra�a Ehe Estate and any iztforrnation obtained��i�l be used€ar that
purpr�e. ,
This communeeatian is fram a deht colYecgor.
�w_�___��__��_Y____Cat alo�tg tl�is line-------------_----------------
/ � }�4��:
P[ease Ma�e Check Pa3 ab3e To: � �"'�
a�:���a
CAPITAL O��TE BANK(USA)�A�',/ �,�.F .�..���..�._<.�-.<r ��.
117ait PaStment T"a:
Estate Information Ser��ices,LLC. Debtor Name: JOH&��' MII.LER /� �
2323 L.ake Club Drive,Suite 300 �eference�: 281709� � Z (
Columbus,OH 43232 Amount Due: � J `
See Rei�eise Side for Speczal State Disclosures
_.. �:�,�., �.:�,<.. . . .�� -.�45,,� �.�._�. . ,v .��:�, � .�� . �- T.. , £_.
� Through the O LUJIUMttiJlH{CMtN!
Account Nur�ber 834 364 587 4530
� � � � �O� Netiv B�lance $128.80
11127THAVENUE Payment Due Date 1Q/10/20I0
MONROE,WI535fi6-1364
Che�k bcix i€ a�d�ess,
telephane ar Ema61 has Minimum Paymerrt Due $�}0.Q�
changed. Pria�7 changes
an back
� � .
�ct�l�i��t�t�tti�e���t�l�e����l����ll��ll�(6Fi�Eli��etlEss�l�����
ENTER AN.OUA9T E'�9C'LOSED
Cmmpany name MUST show ihrough wrindoaa of paymersi e�cve3ap
.�OHN MILLER C�Ut�iTR� D013R BB
�40 SHED RD =
I�EWVILLE PA I7241-�759
83936�i58753E�04700L288Q�lDU40QQ0
Please detach and reWm top portion wilh remittance
!i ygu make no addlw�a4 cl�arges asi*i9 Youvdi!-pay oit Bre 6aianca slhown Jtnd.You m'!{endLP PaY��9
� Through Ihe .9ns card ead3 monttryot�Fsy .on q�es s�alemanl.En aboqt �eslmeaTedio�7 0�
CQ�n�Cy�Oa� .. : .... -:. .:: : :..... .... . . . . :. . . . . ...... ...
Ordy t�mirim�nn paymeM 7 mcnitis 5139.32
Paymetn lnlormaUon
Newr Balanee $128.80 Paymeni Dae Date 101f 012010 t4Sinimum Payrte�tst 540.00
Nirmnuot Payme�tt LYazning:hlafdng or8y�ha madmtar+paym¢nt x�7 f�aeaso 9ia amwnt of's:tares4you pa�add tl�a ime�takes to repay yma baRaa�co.
H you would I�Ce infortnation aboui aedrt counseling services,call 1-8Q0-631-5613.
Fer C.c�stomer Serwice calY 608-324-6E40 Man. - Fr3. 8 a.m. - Midnight GT. Please have your aacaunt nueher ready.
er ariYe x1I2 7th Avsewe� lWnroe HI 53566-1354. To �sla� an order� call 800-659-6473.
e ransactic,tss
' VIi1 a_ � 6'fCrC[1CIYliE FII� I UCJ4+fl1`I IVfY � P�iil�vl u��i���i � PAV�tFAtTC1
�. CRED(TS
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09/I3/2QB0 FC78448466 FxNA1�CE CHARSE 2.47
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PA1R�9ENTS AND CREDITS RECEIVED /i�TER Q9/13/20i� itILL A
2010 Tatals Year-To-�ata
Total fees charged in 2010: S0.00
?ctat interest charged in 2�tQ: 511.64
"'Don't forget`*'You can now make paymsnts onfine at wvvw.CountryDoor.com us�ng any major creditldabit card or yotu checldng accourd
Summary of Aeeoutst Ltctivlay
Youraccountnumbaris �39 3Cs4 587 453�
, . .- ' h ll'r�'r z 4`��d'[�w.;n'�fF 4'w.- �,i'k�Ok�,SWf�tPN` 3�.a. � . ,.�� t,
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fREV1ot�S BAl.AP1G� . � .PAYNl6'ka S.. :i''::.�07'F:ESi��REtfiS . ,�;�„�'ERE��RGEb',�„��,F�EE�,.C�RdED; _,BAtANCE�RANSFE�fS ' � td
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126.33 0.00 O.Q� Z.47 O.QQ 0.00 �128.8
�3�tO;OF DAYS�{V:: R�EERAGE DAN:Y .. . ....;.;::<;;i Sri.:.':."..'::'i�`:: ���>;i:i�-i�'��'i:=:�;;:.:..:..'i�::.i�i�. :i':�:i....GLQSIIV.C`i_:i�i::=:::'�. PASTUUE::
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�2 123.62 U9/F3/2QlE! 20.OQ 540.0
trrierest Charge GaleuFatlons
Your Annual Percentage Rate(APR}is the annua!irtterest rate on yaUr account
Balance Su6jec!!o Balance Sutgact to
Annual Percentage Hate(APR) tn4erest Rate Interesf Ctearged Mnuat Percentaga RaFe(ARH) tnteres!Ra[e ltetetest Charged
23.940% 5123.62 S2.47
AP.nrCdy Minrtnem Fll�lAtVCE CHARGE is 5.50
TO Et�SURE TIMELY RECEtPTOF YOUR PAYMENT WE SUGGEST YOU MAIL NO LATERTHAht 1 O/03/2Q}�O
[ f�IOTICE: SEE REVERSE SIdE FOR I[vlPOFtTA[VT!hlFORtu�ATlON
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Page 1 of y
� Your account is past dr�e.To keep your acxount in good s#anding,
5 please rr�ail$115.96 tocfay.
� 11
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Account Summary Payment Information
Previous Balance 428.50 New Bafance 428.50
Payments&Credsds 0.00 Minimum Paymerrt Due 'E15.96
Purchases&Debiis 0.00 Mail Payrr�nt By 12/06/10
Fees Chargecf 0.00 Payment Due Date Zy7��a
fnterest Charged 0.00 ��e PaymeM{Iffarning:if et�do not receive yaur minimum paymecrt by
New Balance 428.50 �e date listed abo�,you may have to pay a late fee of up to.�i0.00.
Credit Lirr�tt 429.OU Minimurn Payment\lllarreing:If yau make onty the minimum paym��t
Available Credit O.sO each pzriod,i+nu will pay more in i�erest and it�sill take you langer to pay atf
Biliing Da4e 11/17/10 your 6aiance.Far example:
Days in Gyde 31 ff you make no�diticmal You will Ray off the Md yau will end up
P���u� �97 charges using fhis card balance shovv,�on this pa�eng an eslimated
and each mamh you p�ay: statemert in about tota{oF.
TataE AmouM Due yt5•� 6nly the minimum
Interest Charge Calculation RaY�eM 4� �73
Type of Annua!Percentage Balance Subject Interest
ialance Rate(APF� to Irtitsrest Rate Charge
Nondeferred 24.°.�`Yo 428.50 0.00 �you wou�d fike infom�ation a6aut credd counsefing services call 1-888-364-7168
To avoid addi@ona!interest charges,pay 1he Nevs Bat�nce by the Payme�Due Date.
Date Order Plumber Descripfion Amourrt
TOTAL FEES FOR TFlES PERIOD 0.00
TOTAL INTEREST THIS PERIOD 0.00
TOTi4L FEES YTD 2010 20d
TOTAL INTEREST YTD 2Ui Q 75.44
The biliing�aEemerrt you 2ceive¢9 in Odober�advertantly dfsp9ayed i9oe�4PR%with the incortr�t nurvebes of dec5mrd��aces The iraterest biGl�d to your accnurat was cortxct
' �sr AiPS:°,£ ,��rr��y t.�,..-.�'.°..:.'c^µ;;s�s_r_�.;;�
4nqe�;'ries a�^ardir,c Yovs Fir.�erh:YC Csedit Account issued by PvSeaBank: �:�i�ti�::`-_--—`-..__ -'�:��a�`�o���:�=;;irS�3�e='-8
- -�------�---------
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��` ,����' `�� Or tsar off and retum with yo•payment by mail.RAake yaur check payable to Fngerhut
Accoun4 Nvmber N4Af�PAYMENT BY MINIMElM DUE New Ba�anc� A�oun't Enclosed
X)00C-XXUC-)OC�.'Y-369A
customer t�umtrzr 12/06/10 $115.96 :�428.50
(3�25626ii0
,n���e���ilEi��,ni,���,���Ei����nfl(I��I���,Ee�e��,�o��,f`���i
25�r Make yczur checic paya9�le ta�Sng�rhiat and ma�'9 to:
#�1M1lNHJFS
�'�702502�01�
JaNNMILLR E���n�e���u��{ftnin�����i�eui����Etu��en��n���n���u�
490 SHED RD
r��v+��w�,i�2ai-si� PO Box 16�
1����II���IE�I�I�f,�I���iIL�l�l���l�l�l�I�L�I�I��II���I„�II Newark, NJ 07101-016s
. . II�1�1��liE��fI6�li���lElll�l�LLIL,fI(le{�I«II�I[(��il����lll��i�[!
S�flZ56z67��62764560�42Q369�7,1�,71��Q1�,5�6QQ�35007
__ �'—� ■/ / JOHN B MILLER =� ;
����(�t���l�f���Ba�A Account Number. 5178 0070 1897 8072 �"�{?;-
M,�n.rwac August 22,2010 to September 21,2010 ;;��y�;�
Page 1 of 3
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Days in Billing Cycle 30 Statement Cfosing Date Septem6er 21,201t}
Previous Balance $79.99 Credit limit S4U0.00
Payments $0. AvaiEable Credit as of 09121/10 None
Credits -$0.00 New Balance $101.33
Purchases&Other Charges $0.40 Payrnent Due Elafe f6118N0
Cash Advances ' $0.00 Amount Dus This Period �$20.00
Fees Charged $20.00 Past Due Amount +$20.00
Interest Charged 51-34 Amount Over Limit due +$�.��
New Balance $i01_33 TotaE Minimum Payrnent Due =$40.00
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Late Payment Vhlaming:If we do not receiva your minimum payment by the date listed above, you may have to pay a late fee of up to$35.
M'tnimum Payment Warning:If you make only the minimum payment each period,you will pay more interest and it witt taks longer to pay off your balance.
Fnr gY.3�!'t�13:
�° If you make no addifionaf charges using this card and You will pay oTf the balance shovrn on this And you vuil(end up paying an
"" each month you pay... statement in about.. es5mated totat of...
Only the minimum payment 5 Months $105.00
If you would like information about credit counsefing services,call 1-800-50i-8235.
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Online Money6ra�Express�Payments DonY miss your payment due dafe Coretac!flls:
www.mypremieror�litcard.com Locator:1-80a926-9400 Custorr�er Service!
De6it Card Receive Code:6267 October
� Lost Stolen
Call 1-800-987-5521 Mai�in Payrments S tu! T W T F S �_$Q���_5521
Check bV Phone PO 8�X 5529 � 2 � no��{�I€o n��;R�
Call 1-800-987-5521 Sioux Falls,SD 57117-5529 3 � 4 5 6 7 8 9 �_mypremiercreditcard.com
Western Union�Quick payrnents not sent in Propas Form � 12 13 14 i 5 16 Wrife
CO��� may delay crediting your account 17 18 19 20 21 22 , 23 � PO BOX 5524
Locator:1-800-325-6000 ;up to 5 days. Siouu Falls,SD 57117-5524
Code Clty_PREMIER 24 25 26 27 28 29 30
_
Code S'lata=SD 31
NOTICE SEE REVEFSE SlDE FOR IMPORTAN'f INFORMATt�N
56t5 8004 YNi; 061 7 14 20U921 6 GUPAGt 1 ui 3 ��3 iS� 76'vo a9� 3i:�3
_Retain upper portion f
`+rtfoi�i�tio-
'` First PREMIEROO Ban}:
� �//S� P.O.Box 5524
� �,' PREI�ffER
�` 3820 I��_I,onise Ave.
�<., �
B�nk Sioux Falls,SD 57117-5�24
€,;:'' Membe�FDIG
.�:,
�:;''
,',`,
October l, 2010 '
����F �
ATE OF JOHN B MILLER ���
TO THE EST % �
440 StiED RD
NEWVILLE PA 17241 -8759 - ,
` ����
�
To tt�e Estate of 30HN MII..LER: " -
First PREMIER Bank recently received notification re�ardina the death of JOHN MII..LER.Please accept our
sincere conciciences.
To protect your family from unauthorized use of this accovnt and to assist you durina this time,we have outlined
below the steps that need to be taken on your behalf.
Account ment—The First PRENIIER Bank credit card account endinb in 8�as been closed.The current
balance i $79_99 If yoa have not done so already,please cut in half and discard�11 cr �t cards associated with this
account.
Auta:n��ic B11ing—Please notify any merchants who automatically bill charges to this 2ccouni,of the account,'
closare.This should prevent charges rzceived after the da�e of closure to:delay�any refund that may be due on this
` ; account Such char�es may include msara�ce grem►a�a�,inagaziqe subscnpUons or online s�rv�ces'
� � ��� "� � t s ', � A��,x fi � �
t ' ,: `�. ;a �, �>. '��a�� -�� � �' �� 4� F h� :. �s` \� `�`J��s� � ,+ .
. � . . 1 ' i ..i . J� t Y : � i
E �� � ° �
" Cred�t Protccf�on`. T�credn]rfe insuranae wns�purehasecl�n ca�t,n�ect�,on:��th th,�S��eourYt a c��irrl�w�1�neec�to be
submttted by caliing Central StateS Insurance of Qmaha at,i $00=445 65(� If the aceounE was'enrolled m � � `
�_ � ��� . ,. �� , :: ,
PREMtER CreditProtecribn,contact the�enefit Admini�trator at 1=866-332-8226 rebarding benefit achvarion: .
Estate Processang—The person(s)responsible for handling the estate of JOHN MILLER is required by law to
contact creditors in writing of the financial status of the estate and�vhether or not there will be any estate,trust or
other proceedin�filed.This should include instructions on where a claim is to be submitted or notification that no
proceedinas will occur.Please notify us at the following address:
First PREI�+IIER Bank „
Deceased Claims Processing �
P.O.E�,'���2� �
Sioux Falls,SD 57117-5524
Fax: l-605-357-3438
If we do not receive notice that such a proceedinD has been cofr.�enced,we reserve our rights as a creditor of the
decedent to commence an estate administration.
Questions can be directed to the Customer Service Department at 1-800-987-5521.Business hours are Monday-
Friday from 7:00 a.m.to 9:00 p.m.and Saturday 8:00 a.m.to 430 p.m.Central Timz.
Sincerely,
M.V�'ilson 2'�
Customer Service Department C0073
First PREMIER Bank 0019082730-5250
The federal Eq6al Credit Opportunity Act prohibits creditors from discriminating aQainst credit applicants on the basis of race,
color,reliQion,national ori�in,sex,marital status,aQe(provided the applicant has the capacity to enCer in[o a binding con[ract);
because ail or part of the applicant's income deri��es from any public assistance pro�am-or because[he applicant has in good
faith exercised any riaht under the Consumer Credi[Protecdon Sct.The federal agency that administers compliance with this law
"�`---- - concerninQ this creditor is the Fed�ral Reserve Bank of A!Iinneapolis.You mav contact them at_Federal Reserve Consumer Help,
� P.O.Box]200,Minneapolis,l�1N 5�80.Toll-free:(888)851-1920,Fax:(877}858-2520,TDD:(877)766-8533
� I I�I�IIi l[IIl llll�111111[Il1111lI I��I�11![1[!ill llll!I[I[l lllii lil#I�fll0[����������e(��II II��
1 l.�11111�111111�1111 — ,
�
Phi(tips & Cohe� Associates, Lfc�.
I�III��I�IEI��'��������l���I��I!il�{����!'I��i1��f��I�II I��1 Ph 866-504-6774 • Fx 302-36&4970
Office Hours:M-Th: 8am-9pm, Fri: 8am-6pm
PO Box 5790 Sat: 8am-12pm
Hauppauge,NY 11788-0164
RETURN SERVICE REQUESTED
November 30,2010 Phillips 8�Cohen Associates,Ltd.
Mail Stop:722
1002 Justison Street
175962�8-1Q5 440330997 Wilmington,DE 19801-5148
�'��I��u�'f�'�����1[E��i(������E�1�u��iF�ftt��i��Ie�'��`iEt���' Ieet����t�����������ei�t�������et��le[n��«����neo��e������)
The Estate of: -
John Miller
490 Shed Rd
Newville PA 17241-8759 Reference#: 17596258
Balance:$314.95
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"`PLEASE DETACF3 APlD R�TURN IN TiiE ENCLOS�D ENVELOPE V�IITi-I YOiJFt�AYMENT"'
Re: Client: GE RAoney Bank
Product: LOWES
CEient Acct#: 2273
Reference#: 17596258
Balance: $314.J5
io the Estate of John IUliller.
Our client GE Money Bank recently received notification that John Niiller passed away. Initially,on behaff of our client and our
office,please accept our condolences.
rhes account w?s referrec_i to our office because we are speciaEisis in the area of dsceased accoun't care,and because John
IVOiller was a valued account holder. As it is our goal to assist family mernbers/ioved ones through ti�is process,enclosed is an
informational leaflet providing help#u!6ps,guidance and support during this difficult tirne of rnanagir�g the final af�airs of John
(V�ilEer.
At this 6me,we are sesking information regarding the Estate of John Milter,including information about who is administraSng
the final affai�s,if there is not an estate. White famify members and/or loved ones are not personally Ieable for this account,we
are trying to contact the party handling�he f�nal affairs to ensure the proper resolufion of the account.
Please contact oe�r of�ce at 886-5046774 to provide informatian about the estate,and to speak with our speciatly trained
deceased care agents_
Sincerely,
Phillips&Cohen Associates,Ltd.
Though our goat is to assist family members/loved ones during this difficuft time,we are required by law to provide you with the
informafion below.
**EAAPORTAIVi'COPlSUNfER tA1�ORMATION**
Unless you notify this office within thirty(30)days after receiving this notice that you dispute the valic#ity of tfiis debt or any
portion thereof,this office witl assume this debt is valid. If you notiiy this off'ice in writing within thirty(30)days from receiving
` this notice,this office will:obtain verification of the debt or obtain a copy of a judgmsnt and mail you a copy of such verification
or judgment. If you request this office in writing within thirty(30)days of receiving this notice,this office will provide you with
the name.and address of the original creditor,if different from the cuRent creditor. This communication is from a debt collector_
This is an attempt to collect a debt and any in�onnation obtained will be used for that purpose.
Phillips&Cohen Associates,Ltd_• 10Q2 Justison Strest.Wilmington,DE 19801 .866-504-6774 ���PCa,�as,�s
,�. �.,.,��.� �- -�-�.�.�.�� .�.�rv�- ,��-� ,r�,� :��.tY �� .,�
STATEN[EtIfT OFACG'OEIIIIT P�°sereiumthisporEionwith
you�parn�nr
� 800 WAW UT ST F4030-011 (��
DES MOINES,IA 50309-360� 37 ' a ��' �
Send PcymenE Fo: ,
(uni�s y�wr paymenf isautomatica0ymade by
SfatementDate jQ�Q]��Q Preautf�rizedpaymentorprewtho�zedcfreck.j
R1 3800
htextPaymenfDueDate 10/28/10 ��1�l��Ei�[�uu!'���E"IIIlt�e���l�`I�It��e�el�i'�!!'�'�E'IIi�I�
orafPaymentDue 75.00 G� WELLS FARGO FIIVAPECIAL
ArcountNumber 719Q2959 PO BOX 6b0449
DALLAS.'fX 75266-0449
006268
Iff����i�t����l�'f�f��l!`�6tt�E��i��ll,t��l�f Ele�l«t�i��f��yt��
JOHN B MILLER
490 SHED RD QO1 '
NEWVILLE,PA 17241-8759
77,9Q�9590000�04UQE�Q��80�OQOOQ0750�'?1��2`�595
WELLS FARGO FINANUAL
800WALNUTST F4Q30-011 611 StatementDare ld/07/10
DES MOtNES,IA 50309-3605 ReoufarFavrnentAmount 38.00
Previous Balante 188.OQ
PaymesureceivedafrerdateofthisstaremenPwif(6zsF.ovrnonnexistntPman[ RccouniNum6er 71902959
TmrxCnde' Date Amount C7:argesorint�t Principn/ UnpardBalance
`See o�erside farlisiofTransac�n Codes.
Unpaid p��r Defzrmenr ToratAmdr,ni
Amountoi and/or
Ama�nt Due on Atext
N�2�ayment Regu(ar Due Delirtquency pa, entIIueDz:�
DueDatz Poyment ChargeDs+e �
10(2810 38.00 36.00 1.00 75.CI�
'Lrsifus oniine at w�m�.vreffsfargnP.nanciaLcom' !n add]aon to the daral pl:orrr numbersf:oum abcv�,aurnatrnnat talFfree
8811F�0? �`obre:Seerev�esideforimportantinforma�on mstom�servicenumberis81J0-34630Vi4.
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