Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
07-03-14 (3)
REV-1500 EX (a''g' PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes INHERITANCE TAX RETURN County code Year File Number PO BOX 280501 2 1 1 3 0 4 6 9 HanisbM PA 1712MWI RESIDENT DECEDENT Social Security Number Date of Death MADDYYYY Date of Birth MIDDYYYY 0 3 1 9 2 0 1 3 0 9 2 2 1 9 3 1 Decedent's Last Name Suffix Deoedert's First Name MI H 0 0 V E R A N N A M iIT Spouse's Last Name Suffix Spouse's Fast Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE W TH THE � F 100'4' , FILL IN APPROPRIATE OVALS BELOW © 1.Original Return 2.Supplemental Return 3.Remainder Return(date of death prior to 12-13.82) 4.Limited Estate 48.Future Interest Compromise(date of S.Federal Estate Tax Return Required death after 12-12-82) 5.Decedent Died Testate 0 7.Decedent Maintained a Living Trust &Total Number of Safe Deposit Boxes ~rams + 3 9.Litigation Proceeds Received 0 10.Spousal Poverty Credit(date of death 11.Election to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch.O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number N M A R C U S A M c K N I 6 H T I I I 7 1 7 2c->4 4 2 X 5 -3 =1 c_ s rri p REGISTER WILLS USE O M O f— c 7, r -I IZ7 First line of address ni -W V ln � I R W I N & M c K N I 6 H T P C r� O 6 0 W E S T P 0 M F R E T S T R E E T FM ur�1E FILED O - . City or Post Office State ZIP Code -n C A R L I S L E P A 1 7 0 1 3 'Comespanrfenft a-ma ed3feass: Under penal es perjury.I declare that I examined this return,including accompanying schedules and statements,and to the beet of my knowledge and belief, diet rue, a complete. or parer other then the personal representative Is based an an Information of which preparer has any knowledge. SIGNATURE E SON RESPrS F ,RFlUir RETURN ADDRESS 7 €t°E II f MT T41 TX 71 °x. SIGNATURE OFPR RESENTATNE DATE 11104 13 Aaq-- ADDRESS 60 WEST POMFRET T EET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 1505610240 REV-1500 EX Decedents Social Security Number DeCedentsNarne: ANNA M- HOOVER RECAPITULATION 1. Real Estate(Schedule A) . ... . ... .. . 1 Stocks and Bonds(Schedule B) ... . . .. .... .. . ... .. . . 2. 2 1 4 3 8 . 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) 3. 4. Mortgages and Notes Receivable(Schedule D) __ __.. ... ... .... ... . 4. 5, Cash.Bank Deposits and Miscellaneous Personal Property(Schedule E)...... . 5. 7 6 7 8 8 2 3 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested .. .... 6. 1 4 4 2 2 3 3 4 7. Inter-Vivos Transfers&Miscellaneous Non-probate Property (Schedule G) E] Separate Billing Requested .. .... 7. 5 1 8 2 1 . 6 9 8, Total Gross Assets(total Lines 1 through 7) _ _ _. .. .. ......___ 8. 2 9 4 2 7 1 . 8 1 9, Funeral Expenses and Administrative Costs(Schedule H) .. . ... ... . .. ... . .. 9 2 5 3 2 4 7 1 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) .. ... ... ... .. 10. 7 6 3 4 1 3 11. Total Deductions(total Lines 9 and 10) . . . .. ... . . ... .. . _. ... ... .... 11. 3 2 9 5 8 . 8 4 12. Net Value of Estate(Line 8 minus Line 11) . . . . .. . . ... ... ... . .. . ... . . . . 12. 2 6 1 3 1 2 • 9 7 11 Charitable and Governmental BequesWSec 9113 Trusts for which an election to tax has not been made(Schedule J) . . . . . . . . . .. .. . . . .. . . .. 13. 14. Net Value Subject to Tax(Line 12 minus Line 13) _ . . . . . . . . . . . . 14 2 6 1 3 1 2 9 7 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under See.9116 (s)(1.2)X,O 0 . 11 0 15. 0 . 0 0 16. Amount of Line 14 taxable at lineal rate X-0- 0 . 0 0 16. 0 . 0 0 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 6 2 3 1 2 . 9 7 18. 3 9 3 4 6 . 9 5 19. TAX DUE . . _. , . . .. .. ... . ... ... .. .. .. . . .. . . .. .... .. . 19. 3 9 3 4 6 • 9 5 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT nX Side 2 1505610240 1505610240 REV-1600 EX Page 3 File Number Decedent's Complete Address: 21 13 4469 DECEDENTS NAME ANNA M. HOOVER STREET ADDRESS 216 STONEHOUSE ROAD CITY STATE 21P CARLISLE PA 17013 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 39,346.95 2. Credits/Payments 55 000.00 A.Prior Payments S.Discount 1,967.35 Total credits(A+S) (2) 56.967.35 3. Interest (3} 4, If Line 2 is greater than Line 1+Line 3,enter the difference.This is the OVERPAYMENT. Fill In oval on Page 2,Line 20 to request a refund. (4) 17,620.40 5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ...................................................................... ❑ D. retain the right to designate who shall use the property transferred or its income; ❑ ❑X c. retain a reversionary interest,or ......................................................____................................. 171 X❑ d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ 2. If death occurred after December 12,1982.did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ R 3. Did decedent own an'in trust for or payabfe•upondeath bank account or security at his or her death? ,........ ❑ X❑ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. n ❑ 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 3 percent[72 P.S.§9116(a)(1.1)(1)]. For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)[.The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets an( filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)1. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in 72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)[. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)[.A sibling is defined,um Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER ANNA M. HOOVER 21 13 0469 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, 666.829 SHARES OF EXELON STOCK 21,438.55 666.829 X$32.15= $21,438.55 TOTAL(Also enter on Line 2,Recapitulation) $ 21,438.5 If more space is needed,insert additional sheets of the same size REV-1508 EX-(0842) pennsylvania c SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDEM DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: ANNA M. HOOVER 21 13 0469 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MEMBERS 1ST FEDERAL CREDIT UNION - SAVINGS ACCOUNT#272471-00 21,376.63 2. MEMBERS 1ST FEDERAL CREDIT UNION -CHECKING ACCOUNT#272471-11 19,526.41 3, MEMBERS 1 ST FEDERAL CREDIT UNION -INVESTMENT SAVINGS#272471-05 13,747.09 4. MEMBERS 1ST FEDERAL CREDIT UNION -CERTIFICATE OF DEPOSIT#272471-44 2,523.41 5, MEMBERS 1ST FEDERAL CREDIT UNION -CERTIFICATE OF DEPOSIT#272471-45 5,541.44 6. 1987 DODGE RAM 800.00 TITLE NUMBER 40174954302 7. PERSONAL PROPERTY- SETTLEMENT STATEMENT ATTACHED 13,273.25 TOTAL(Also enter on Line 5,Recapitulation) $ 76 7882 If more space is needed,use additional sheets of paper of the same size. REV-1500 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: ANNA M. HOOVER 21 13 0469 If an asset was made Jointly owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A.THOMAS W. TAYLOR 8837 PEDERNALES TRAIL FRIEND FT. WORTH, TX 76118 B, DENISE A. TAYLOR 8837 PEDERNALES TRAIL FRIEND FT. WORTH, TX 76118 C.ESTATE OF DOROTHY J. TAYLOR 60 WEST POMFRET STREET FRIEND CARLISLE, PA 17013 JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE, VALUE OFASSET INTEREST DECEDENTSINTEREST 1, A. 03/2008 ACNE BANK-ACCOUNT#2187736 2,607.91 313 868.43 2. C. 0611971 14.5 ACRES, OLD STONEHOUSE ROAD, CARLISLE 113,000.00 50. 56,500.00 SOLD - SETTLEMENT SHEET ATTACHED 3. C. 1011972 216 STONEHOUSE ROAD, CARLISLE 168,000.00 50. 84,000.00 SPECIFICIALLY DEVISED 4. D MEMBERS 1ST INVESTMENT SERVICES 5,709,81 50. 2,854.91 ACCOUNT NUMBER: 5N-400873 TOTAL(Also enteron Line 6,Recapitulation) $ 144,223.34 If more space is needed,use additional sheets of paper of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent ANNA M. HOOVER 21 13 4469 Decedents Name Page 1 File Number Schedule F-1 -Jointly Owned Property SURVIVING JOINT TENANT(S)NAMES) ADDRESS RELATIONSHIP TO DECEDENT D,VICTORIA L. SPESSARD FRIEND REV-1510 EX*(08-09) Pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER•VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER ANNA M. HOOVER 21 13 0469 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDETHE NAMEOFTHETRANSFEREE.THEIR RELATKKTSHPTOGIECEDENTAND DATE OF DEATH % DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST pf MtticA&E) VALUE 1. ALLSTATE LIFE INSURANCE COMPANY 40,692.39 100.00 40,692.39 ANNUITY#GA19259703 BENEFICIARY: THOMAS W. TAYLOR 2, MEMBERS 1ST INVESTMENT SERVICES 11,129.30 100.00 11,129.30 ACCOUNT#52V-405708 BENEFICIARY: THOMAS W. TAYLOR TOTAL (Also enter on Line 7,Recaptulaflorf$ 51 821.69 If more space is needed,use addifional sheets of paper of the same size. REV-1511 EX+(10-09) Pennsylvania SCHEDULE H DEPARTMENT of REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER ANNA M. HOOVER 21 13 0469 Decederd's debts must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representatives) THOMAS W. TAYLOR 4,900.00 Street Address 8837 PEDERNALES TRAIL city FT. WORTH State TX ZIP 76118 Years)Commission Paid: Z Attorney Fees'. IRWIN & MCKNIGHT, P,C. 12,000.00 1 Family Exemption:(If decedent's address is not the same as claimants,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: REGISTER OF WILLS 463.50 5 Accountant Fees: 6, Tax Retum Preparer Fees: PATRICIA A, ROSENDALE, CPA 500.00 FINAL FIDUCIARY TAX RETURN AND INCOME TAX RETURNS 7. CUMBERLAND LAW JOURNAL-ESTATE NOTICE 75.00 8, THE SENTINEL - ESTATE NOTICE 189.54 9. CLOSING COSTS FROM SALE OF 14.5 ACRES(1t2 INTEREST) 565.00 10. KEVIN M. WICKARD-PUBLIC SALE COMMISSION 5,319,67 11. BASSETT APPRAISAL SERVICES-APPRAISALS ON REAL ESTATE (2) 700.0[ 12. VITAL RECORDS DEATH CERTIFICATE 45.00 13. RT CAREY TRUCKING, LLC -TRASH CONTAINER 500,OC 14. RECORDER OF DEEDS-RECORD DEED 67.0( TOTAL(Also enter on Line 9,Recapitulation) $ 25 324.7 If more space is needed,use additronal sheets of paper of the same size. REV-1512 EX+{12-12} pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES He LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER ANNA M. HOOVER 21 13 0469 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ERIE INSURANCE - HOMEOWNERS INSURANCE 435.00 2. CENTURYLINK-TELEPHONE 16124 3. AT&T-TELEPHONE 42.27 4. PP&L- ELECTRIC 534.65 5. MSHMC - MEDICAL 70.07 6. QUANTUM IMAGING AND THERAPEUTIC-MEDICAL 916 7. CARLISLE REGIONAL MEDICAL CENTER-MEDICAL 648.61 8. CAROLYN R. McQUILLEN, TAX COLLECTOR -REAL ESTATE TAXES 4,667.12 9. CARLISLE HMA PHYSICIAN MANAGEMENT-MEDICAL 38.86 10. CARLISLE PHYSICIAN SERVICES-MEDICAL 42.91 11, CARLISLE PROPANE-UTILITY 463.66 12. ADVANCED DISPOSAL SERVICES-TRASH 94.34 13, AEGIS SECURITY INSURANCE- INSURANCE 126.50 14. CUMBERLAND GOODWILL FIRE RESCUE-AMBULANCE 187.52 15. HOSPITALISTS OF CENTRAL PENNSYLVANIA-MEDICAL 15.01 TOTAL(Also enter on Line 10,Recapitulation) $ 7,634.13 If more space is needed,insert additional sheets of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent ANNA M.HOOVER 21 13 0469 Decedent's Name Page 2 File Number Schedule I -Debts of Decedent, Mortgage Liabilities,& Liens ITEM NUMBER DESCRIPTION AMOUNT 16. GENOPTIX MEDICAL LABORATORY-MEDICAL 14.06 17. PA DEPARTMENT OF REVENUE-INCOME TAX 5100 18, PUBLIC SCHOOL EMPLOYEES' RETIREMENT SYSTEM -REIMBURSEMENT OF 29.55 PENSION SUBTOTAL SCHEDULE 96.61 GRAND TOTAL SCHEDULE 1 $ 7,634.1: REV-1513 EX+(0140) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: ANNA M. HOOVER 21 13 0469 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not list Trustee($) OF ESTATE 1 TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec.9118(a)(12).] 1. COURNEY WICKARD Collateral 500.00 2. BROOKE WICKARD Collateral 500.00 3. THOMAS W. TAYLOR Collateral 50% REMAINDER 4. ROBERT MARKLEY Collateral 20% REMAINDER 5, RICHARD W. TAYLOR Collateral 30% REMAINDER 6. ROBERT W. FAILOR, JR. AND KAYE N. FAILOR Collateral 210 STONEHOUSE ROAD 216 STONEHOUSE RD CARLISLE, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART 11 -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. �t I, ANNA M. HOOVER, of Dickinson Township, Cumberland CouW, Pernnsyfyania, being of sound mind, disposing memory and full legal age, do hereby make, ish andclaee' 6 Z n this to be my Last Will and Testament, hereby revoking all Wills and Codicils er&fore-made Qj fin ' C 7 by me. C? -,.� —1, Cn U) ONE. I direct my Executor to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this will, shall be paid by the Executor of my estate. TWO. My Executor may, at his discretion, compromise claims, borrow money, retain property for such length of time as he may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as he may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. I authorize and empower my Executor to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My Executor is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said Executor. THREE. I specifically give, devise and bequeath the following: A. To my great-niece, COURTNEY WICKARD.......$500.00 B. To my great-niece,BROOKE WICKARD...........$500.00 FOUR. All the rest, residue and remainder of my estate wherever situate I give, devise and bequeath as follows: A. To THOMAS W. TAYLOR.............................50% B. To ROBERT MARKLEY................................20% C. To RICHARD W. TAYLOR............................30% If any of the above-named persons have predeceased me with living issue who survive them, then the share of said person will be equally divided by the issue of the one who has predeceased me. If any of the above-named persons have predeceased me without living issue, said share shall be distributed to those who are still living in equal shares. It is expressly understood that the term"living issue"does not include any stepchildren. FIVE. I hereby nominate and appoint THOMAS W.TAYLOR, to be the Executor of this my Last Will and Testament. If he is unable to serve or fails to survive me, I hereby nominate and appoint RICHARD W. TAYLOR as Substitute Executor of this my Last Will and Testament. SIX. No person(s) shall benefit hereunder unless such beneficiary shall survive me by thirty(30)days. 2 SEVEN. No Executor or Substitute-Executor acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this i f_�Aday of February 2011. SEAL) ANNA M.HOOVER Signed, sealed, published and declared by the above-named person as and for a Last Will and Testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. 'u U.- 3_c 'E v6 t f � ? 3 ACKNOWLEDGMENT AND AFFIDAVIT WE, ANNA M. HOOVER, SHARON L. SCHWALM, and TRACI D. SMITH, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ANNA M. HOOVER ll S ON L. AWAL r CI D. S TH COMMONWEALTH OF PENNSYLVANIA . : SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by ANN . HOOVER,the testator herein, and subscribed and sworn to before me by SHARON . S 1 ; ALM and I RACI D. SMITH,witnesses,this 11th day of February 2011. a,?ia+.?raev ofFEvus�ri_vnvia Pletnrlal seal No �qr1 Publ c !ry el"a Aa-NV 01'A0'Ap/Public ;ac5oh^ma-a%umr,nr4:n!Caant;+ _..= " 'id:y CnnrMS5ien expires Sea_19,2P'i i ,r.nr-.:r;�-snn:.Avcnie As>CaiaF.on of;Jgiaries i. $_ t' " a/ Exelon Corporation ANUAW ANNOIr Exelon. Common Stock Account Information Current Dividend Summary 2012 Total Dividends Year-to-Date Account Number 3402769003 Gross Dividend $350.09 Gross Dividends $1,400.35 Record Date 11/15/12 Federal Tax Withheld $0.00 Federal Tax Withheld $0.00 Payable Date 12/10/12 NRA Tax Withheld $0.00 NRA Tax Withheld $0.00 Rate Per Share $0.5250000 State Tax Withhek $0.00 State Tax Withheld $0.00 Reoord-Date Shares 666.829 Net Dividend $350.09 Net Dividends $1,400.35 For online account information,please visit www.shareoWneronline.com If you have any questions,please call Shareowner Services: Toll-free:900-626-8729 Local:6614504064 - Retain for tax purposes, YEAR: 2012 DIVIDENDS AND DISTRIBUTIONS OMB No.1545-0110 FORM-1099-DIV View your tax documents,and more while signed into your account at - shareowneronline.com. Exelon Corporation Common Stock WELLS FARGO BANK,N.A. • New users:I do Authentication selecting Sign Up Nowi Select ID,and P.O.BOX 64854 23.2990190 EXCt ST.PAUL MN 551640854 then check do not have my Authentication ID. • Tax information is also available on our automated phone system at 800.626.8729 3402769003 203-24-8531 • Investment Plan Participants:Total dividends reported may include company paid brokerage commission and/or discounts on purchases. $1,400.35 $1,400.35 ANNA M HOOVER TOD THOMAS W i TAYLOR SUBJECT TO STA TOD - $0.00 $0.00 RULES 216 STONEHOUSE ROAD CARLISLE PA 17015-9429 $0.00 $0.00 N-w $0.00 $0.00 Copy B For Recipient:This is important tax information and is being furnished to the Internal -w - Revenue Service.If you are required to file a return,a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. $0.00 NIA Confidential 112872 I VIII 1111111 Ill lllllll II{III{111111111111 1111111111 VIII 1{II{IIIB{{II{{NI11111111{1{Ili `ZEXC1 U29119606I I IYIYIYI EXC Historical Prices I Exelon Corporation Common Stock Stock-Ya... http://finance.yahoo.com/q/hp?s=EXC&a=02&b=19&c=2013&d=02... Home Mail News Sports Finance Weather Games Groups Answers Screen Flickr Mobile I More Wil Finance Home My Portfolio Market Data Business 8 Finance Personal Finance Yahoo Originals CNBC ® Tue,Mar 18,2014,9 4MM EDT-US Merkels close in 6 hrs and 20 mins Dow?027%Nasdaq tD 41% Trade RdC'If-1j! I-OPEN AN-ACGOU„NT7 No_w_ EXelon Corporation(EXC) -NYSE * Follow Get the big picture on all your investments. 31 .01 a 0.01(0.03%) 9:39AM EDT-Nasdaq Real Time Price Sync your Yahoo portfolio now Historical Prices Get Historical Prices tor: Set Dale Range C3 Daily Stan Date: Marl F-97 2013 J Eg.Jan 1,2010 G Weekly End Dffie: Mar 19 013 (d Monthly G Dividends Only Get Pdces First I Previous I Nest I Last Prices Date Open High Low Close Malume All Close' Mar 19,2013 33.50 33.75 33.25 33.47 7,023,400 32.15 Close once adjusted for dividends and spirts. First I Previous I Nest I Last Download to Spreadsheet Currency in USE). Ad Topics That Might Interest You... t. Buy EXC Stock 5. Best Penny Stocks to Buy 2. Buy Healthcare Stocks 6. Stocks to Buy Now 3. Free Health Insurance 7. Penny Stocks to Own 4. Discount Dental Instruments 8. Top Stocks to Invest in Feedback ads Pd acy-norm Oa Ads-Teas-send Feedoack-Yahool-ABC News Network I of 2 3/18/2014 9:40 AN T64o: 16a I e -0 13, a Toe 7. FINAL SETTLEMENT SELLER NAME An R Q D6Jer F_S I Q �C DATE OF SALE uG 4 °RO ADDRESS 02 1 54Dn e h o u s E P di PHONE ZIP LOCATION OF SALE 5 0- �M e.. C) ') a 6 y e AUCTIONEER *U t r) + �/ ` , V V ►\'GkGQ (_d PHONE 217- RD_5341 SELLER'S EXPENSES RECEIPTS t PROFESSIONAL FEE CASH $ �� S 7 5 I AUCTIONEER $ 4317 f� L{ tCASHIER LERK �/ $ CHECKS $$ OTHER RECEIPTS OTHER EXPENSES $ 74 1, (og $ $ $ OrLa _ie) 6 $ $ $ $ 5a o �-F r�0�� $ $ I /oQfl (�3bbo. $ 11 rn $ `'� r $ $ Mow 1 n e d- $ .5-6,06 TOTAL RECEIPTS $ ' 3 I , $ LESS TOTAL EXPENSES $ ,/ 3 /967 ; E I TOTAL EXPENSES $ 3 T lD NET PROCEEDS PAYABLE TO SELLER Ls 5 /, /' I (or we), the seller, accept this settlement and acknowledge receipt of the above specified net proceeds from the auction of my goods and property sold on the abzi,e. I accept all nsibiliy for providing merchantable title to all goods,and property sold, and for of tid e to the urc aser.17 Date Auctioneer or Cashiers Signature (Seller's Signature SC'.T4- 13 Date Date (Sellers Signature) G7�,( ru �v 1( jc,,k YOU, SELLEWS OWY f*Vft MEMBERS 1'` FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 272471-00 Date Account Established 10/03/2005 Principal Balance at Date of Death $21,374.52 Accrued Interest to Date of Death $2.11 Total Principal and Accrued Interest $21,376.63 Total Interest 1/1/2013 to 3/19/2013 $9.02 Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 272471-11 Date Account Established 10/03/2005 Principal Balance at Date of Death $19,525.93 Accrued Interest to Date of Death $0.48 Total Principal and Accrued Interest $19,526.41 Total Interest 1/1/2013 to 3/19/2013 $1.96 Name of Joint Owner None INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix 272471-05 Date Account Established 10/03/2005 Principal Balance at Date of Death $13,745.73 Accrued Interest to Date of Death $1.36 Total Principal and Accrued Interest $13,747.09 Total Interest 1/1/2013 to 3/19/2013 $5.80 Name of Joint Owner None CERTIFICATE OF DEPOSIT: Account Number/Suffix 272471-44 27247145 Date Account Established 09/02/2008 09/02/2008 Principal Balance at Date of Death $2,522.91 $5,540.35 Accrued Interest to Date of Death $0.50 $1.09 Total Principal and Accrued Interest $2,523.41 $5,541.44 Total Interest 111/2013 to 3/19/2013 $213 $4.67 Name of Joint Owner None None VISA CREDIT CARD ACCOUNT Account Number 4672090000260489 Date Account Established 08/18/2005 Balance at Date of Death $0.00 Joint Cardholder None MEMBERS 1 I FEDERAL CREDIT UNION �/.Mo Tessa L Klugh Lending Insurance Support Specialist May 6, 2013 Estate of: ANNA M HOOVER Date of Death: 03/19/2013 Social Security Number: 203-24-8531 5000 Louise Drive • P.O. Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • www.mernberslst.org Q'� a A. Settlement Statement (HUD-1) OMB Approval No.2502-0265 B.Type of Loan 1.❑FHA 2.❑RHS 3.❑Conv.Unins. 6.File Number: 7.Loan Number: 8.Mortgage Insurance Case Number: HALTEMANWIO-13 4.❑VA 5.❑Conv.lns. C.Note:This forth is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agents are shown.items marked '(p.o.cy'were paid outside the closing;they are shown here for informational purposes and are not included in the totals. D.Name&Address of Borrower: E.Name 8 Address of Seller: F.Name 8 Address of Lender: WAYNE R.HALTEMAN,EUNICE E.HALTEMAN ANNA M.HOOVER,DOROTHY J.TAYLOR ANABAPTIST FINANCIAL 46 HICKORY DRIVE,NEWVILLE,PA 17241 1245 Old Route 15,New Columba,PA 17856 G.Property Location: H.Settlement Agent: I.Settlement Date:10/18/2013 14.5 ACRES,OLD STONE HOUSE ROAD I&M REAL ESTATE SERVICES,LLC Disbursement Date:10/182013 Cadisle,PA 17015 West Pomfret Professional Bldg,60 West Pomfret Street, Dickinson Township Cadisle,PA 17013 Telephone:717-249-2353 Fax:717-249-6354 Place of Settlement: TitleExpress West Pomfret Professional Bldg,60 West Pomfret Street, Printed 10/17/2013 at 2:58 pm Carlisle PA 17013 by JMR 100. Gross Amount On from Borrower 400. Gras Amount Due to Seller 101. Contract sales price 113,000.00 401. Contract sales pros 113,000.00 102. Personal pioperty 402. Personal property 103. Settlement charges to borrower(line 1400) 2,127.00 403. 104. 404. 105. 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106. City/town taxes to 406. Citydown taxes to 107. County taxes 1 Wit 812013 to 12131/2013 79.26 407. County taxes 10/18/2013 to 125112013 79.26 108. School Taxes 10118013 to 06/302014 1,446.29 408. School Taxes 10/182013 to 06/3012014 1,446.29 109. 409. 110. 410. 411. 2. 412. 120. Gross Amount Due from Borrower 116,652.55 420. Gras Amount Due to Sella 114,525.55 200. Amounts Pant by or in Behalf of Borrower 500. Reductions In Amount Due to Seller 201. Deposit of earnest money 12,000.00 501. Excess deposit(see instmdions) 12,000.00 202. Principal amount of new loan(s) 103,790.81 502. Settlement charges to seller(line 1400) 1,130.00 203. Existing loan(s) taken subject to 503. Existin loos taken su 'ect to 204. 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan 206. 506. 207. 507. 208. 508. 209. 509. Adjustments for Items unpaid by seller Adjustments for items unpaid by seller 210. Citymown taxes to 510. Citydown taxes to 211. County tares to 511. County taxes to 212. School Tares to 512. School Taxes to 213. 513, 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. Total Paid bytfor Borrower 115,790.81 520. Total Reduction Amount Due Seller 13,130.00 300. Cash at Settiementfromb Borrower 600. Cash at Settlement t Mmm Seller 301. Gross amount due from borrower(line 120) 116,652.55 601. Grass amount due to seller(line 420) 114,525.55 302. Less amounts paid by/for borrower(line 220) 115,790.81 602. Less reductions in amount due safer(line 520) 13,130.00 303. Cash 0 From ❑ To Borrower 861.74 603. Cash ❑X To ❑ From Seller 101,395.55 mPn allpyYys.w,enlhulq pfB mmml n mhn.M m,FgmlWnrnmuN.Pb WMwle meunery.T,St CeyrMbpmtlelM W�1u10.flE6Px mmMlnnu0.kn wpl,IUmmLb.pwlry PeaeNnrgT Previous editions are obsolete Page 1 of 4 HUD-1 700.E Total Real Estate Broker Fees Paid From Paid From Division of commission line 700 as follows: Borrower's Seller's 701. $000 to Funds at Funds at 702. $0.00 m Settlement Settlement 703. Commission paid at settlement 800. Rams Pa bier In Connection with Loan 801. Our aigina8on charge (Includes Odginaflon Polnl0.000°hot$0.00) (from GFE All) 802. Your crania a charge(points)for the specific inter rate chosarr $ (from GFE#2) 803. Your adjusted origination charges (from GFE A) 804. Appraisal fee to from GFE#3 805. Credilreporn to Ifmm GFE#3) M Taxsmite to ifrorn GFE#3) 807. Imodcediflcalion to from GFE 43) 808. to p Item9Required by Lender ta,be Pail in Advarve vaiiy,iinterest charges from flan 1 W8M13 to I 1AM2013 @ M001dary, (loon GFE#10) 902, Mortgage insurance premium months to from GFE#3 903. Homeowner's insurance months to from GFE#11 904. months to from GFE#11 1001.inaiaideposit foryouresctowamount (from GFE#9) 1002. Homeowners insurance months $ /month 1003. Mortgage insurmoe months $ Imonth 1004.Property taxes months @$ mKwh 1005.County taxes months 0$ 32.141month $ to 1006.School Taxes months @$ 171.84/month $ to 1007.Aggregate Adjustment $ to 1100.TilleChaufles 1101.Title services and lenders title insurance from GFE#41 839.00 1102. Settlement or dosing fee to $ 1101 Owners title insurance from GFE#5 1104.tamer's 6%iraiearxe $ 1105. Lenders title policy limit$103,790.81 1106. Owners title policy limit$113,000.00 1107. Agent's portion of the total title insurance premium $ 1108.Underwriters porter of the total 88e irsaance premium $ 1109.Attorney Fee to IRWIN 9 MCKNIGHT,PC $825.00 1110. Notary to $14.00 111. to $ 1200.Government ftmencling and TraffaterCluagn - 1201. Government recording charges $ (from GFE#7) 14300 1202. peed$70,00 Mortgage$73.00 Release$ to Recorder of Deeds 1203. Transfer taxes $ (from GFE#8) 1,130.00 1204.CitytCounty TazAM" Dead$1,130.00 M $ to Recorder of Deeds 1205, Slate Teachnamps Deed$1 13D.00 Mo $ to Recorder of Dandle 1,130.00 1206. Dead Mortgage S to i3O0.Additional SetilemelKCin es 1301.Required services that you can shop for (fMM GFE#6) 15.00 1302. to 1303. to 1304.Wire fee to SANTANDER $15.00 130.5. d err - r t 2,127.00 1,130.00 -Paid outside of dosing by(B)orc mer,(S)elier,(L)ender,(l)nvestor,Bro(K)er."Credit by lender sham on page 1,-Credit by sellor shown on page 1. Previous editions are obsolete Page 2 of 4 HUD-1 Corti arisen of Good Faith Estimate(GFE)and HUD-1 Charges - Good Faith Estimate HUD-1 Charges That Cannot Increase HU61 Line Number Our origination charge # 801 0.00 0.00 Your credit or charge(points)for the 5 oific interest rate chosen # 802 0.00 0.00 Your adjusted origination charges # 803 0.00 0.00 Transfer taxes - # 1203 0.00 1,130.00 ChargaThat in Total Cannot Increase More Than 10% Good Faith Estimate - HU&1 Government recording charges # 1201 0.00 143.00 The services and lenders title insurance # 1101 0.00 839.00 Owners title insurance # 1103 0.00 0.00 Wrefee # 1304 0.00 15.00 # # # 0.00 997.00 Increase between GFE and r $ 997.00 or 999.9999% Charges That Can Change Good Faith EsUmate HUD-1 eposit Initial d for your escrow amount # 1001 0.00 0.00 Daily interest charges from # 901 $ /day 0.00 0.00 Homeowners insurance # 903 0.00 0.00 If Loan Terms Your initial loan amount is $ Your can tens is years Your Initial interest rate Is % Your Initial monthly amount owed for principal,interest,and any mortgage $ includes insurance is ❑Principal ❑Interest ❑Mortgage Insurance Can your interest rate rise? [Z]NO. ❑Yes,h ran rise to a maximum of %. The first change will be on I I and can change again every years after / / . Every change date,your interest rate can increase or decrease by %. Over the life of the loan,your interest rate is guaranteed to never be lower than %a higher than %. Even If you make payments on time,can your loan balance rise? Q No. ❑Yes,it can rise to a maximum of$ Even 0 you make payments on lime,can your monthly amount cared for [g]NO, ❑Yes,the first increase can been I / and the monthly principal,interest,and mortgage insurance rise? amount owed can rise to$ The maximum it can ever rise to is$ Does your loan have a prepayment penally? ❑X No. ❑Yes,your maximum prepayment penalty is$ Does your loan have a balloon payment? ❑Q No. ❑Yes,you have a balloon payment of$ due in years on / / Total monthly amount and Including escrow account payments [K]You do not have a monthly escrow payment for items,such as property taxes and homeowners insurance. You must pay these items directly yourself. ❑You have an additional monthly escrow payment of$ that results in a total initial monthly amount owed of$ . This includes principal,interest, any mortgage insurance and any items checked below: ❑Property taxes ❑Homeowner's insurance ❑Flood insurance ❑ ❑ ❑ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender. Previous editions are obsolete Page 3 of 4 HUD-1 HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed the HU61 Settlement Statement and to the best of my knowledge and belief,it N a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction.I further certify that I have received a copy of the HUD-1 Settlement Statement. WAYNE R.HALT04AN EUNICE E.HALTEMAN ANNA M.HOOVER DOROTHY J.TAYLOR THOMAS W.TAYLOR,EXECUT f THOMAS W.TA A gel, 'RATOR The HUD-1 Settlement Statement which I have prepared is a titre and accurate account of this transaction.I have caused or will cause the funds to be disbursed in accordance with this statement SETTLEMENTA ENT DATE WARNING IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT FOR DETAILS SEE TITLE I&U.S.CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1 .Itemization of Section 200 Credits Name of Borrower: Name of Seller: File Number: Prepared 1011712013 at 2:58 pm Note:This page displays an itemization of the credits shown in section 200 of the HUD-1 Settlement Statement This page accompanies but is not a part of the HUD-1 Settlement Statement If a discrepancy exists,the information on the HUD-1 Settlement Statement applies. Credits Credit Itemization of Your Loan Origination Charges Name of Bormwec Name of Seller: File Number. WAYNE R.HALTEMAN ANNA M.HOOVER HALTEMANW10-13 EUNICE E.HALTEMAN DOROTHY J.TAYLOR Prepared 1011712013 at 2:58 pm Note:This page displays an itemization of the adjusted origination charges shown in section 800 of the HUD-1 Settlement Statemen This page accompanies but is not apart of the HUD•1 Settlement Statement.If a discrepancy exists,the information on the HUD-1 Settlement Statement applies. Your Loan Origination Charges Borrower Seller 801. OUT origination charge (Includes Origination Point 0.000%or$0.00) to $ 0.00 802. Your credit or charge(points)for the specific interest rate chosen to $ 0.00 803. Your adjusted origination charges 0.00 0.00 Itemization of Line 1101 Name of Borrower: Name of Seller: File Number: WAYNE R.HALTEMAN ANNA M.HOOVER HALTEMANWIO-13 EUNICE E.HALTEMAN DOROTHY J.TAYLOR Prepared 10117/2013 at 2:58 pm Note:This page displays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement This page accompanies but is not a part of the HUD-1 Settlement Statement If a discrepancy exists,the information on the HUD-1 Settlement Statement applies. 1100.Tdle Charges Total Charge Borrower Seller 1101.Title services and lenders title insurance to 1102.Settlement or dosingfee to $ 0.00 1104.Lenders title insurance to $ 0.00 1109.AOOmey Fee to IRWIN 8 MCKNIGHT,P.C. $ 825.00 825.00 1110.Notary to $ 100 14.00 1111. to $ 0.� Totals: $ 839.00 0.00 839.00 0.00 Seller/Lendercredits shown on page 1 POC=Paid Outside Closing CR=Lei der Cred0 Previous editions are obsolete Page 1 of 1 HUD-1 BASSIM APPRAISAL SERVICES Fk No.13-144 APPRAISAL OF to ,. --- Llmlted Appraisal Report LOCATED AT: 216 Stonehouse Road Carlisle,PA 170159429 I FOR: Karen Noel Cyr C 1 80 West Pomfret Street Carlisle,PA 17013 BORROWER: N/A AS OF: June 25,2013 BY: William A.Bassett PA General Certillied Appraiser/PA-GA001618L BASSETT APPRAISAL SERVICES File No.13-144 July 17,2013 Karen Noel 60 West Pomfret Street Carlisle,PA 17013 File Number: 13-144 Dear Mr.Dixon: In accordance with your request, I have appraised the real property at: 216 Stonehouse Road Carlisle,PA 17015-9429 The purpose of this appraisal is to develop an opinion of the market value of the subject property,as improved. The property rights appraised are the fee simple interest in the site and improvements. In my opinion, the market value of the property as of June 25,2013 is: $168,000 One Hundred Sixty-Eight Thousand Dollars The attached report contains the description, analysis and supportive data for the conclusions, final opinion of value, descriptive photographs, limiting conditions and appropriate certifications. Sincerely yours, (� ' W V.�Cl.Li3c7�.'t: William A.Bassett PA General Certified Appraiser1PA-GA001618L BASSETT APPRAISAL SERVICES Uniform Residential Appraisal Report File No 13-144 The purpose of this summary appraisal report is to provide the lender/c ient with an accurate,and adequately supported,opinion of the market value of the subject property, ProrixmIyAddress 216 Stonehouse Road city Carlisle Sure PA Zi Code 17015-9429 Barower N/A Owner of Public Record Estate/Anna Hoover county Cumberland Lel Description Dead Book 24W/Page 272 Assessor's Parcell Tax 46-08-0626-021 Tax Year 2013 R.E.Taxes S 3 598.00 Nei hbahoo0 Name Dickinson Townshi Ma Reference Ma 08-0626 Census That 0127.01 Document Owner Tenant X Vacant S bond ASSessmentsS N/A LJPUD HOAS r ar rmonth Pro perry Rights A raised X Fee Ss no. Leasehold J Other' tleuribe Assignment a Purchase Transaction Refinance Transaction X Other describe Valuation for an Estate Lendedcrem Karen Noel Address 60 West Pomfret Street Carlisle PA 17013 Is the sub'M property currently offered for sale a has it been offered for sale in the twelve months prior to the effective date oftbisappraisal? n Yes r7o Report data snarl used offering price(s),and catl. die LJ did not analyze the coat for sale fa the subject purchase barrio an.Explain the results of the analysis of the contract for sale or why the analysis was not performed. Contract price S N/A Data of Central N/A Is the proprourry seller me owner a public recoN? Yes No Data Source s IS there any financial assistance(loan charges,sale concessions,gift or reemployment assistance.etc.)to be paid by any party on behalf of the bonoweR UYes No If Yes,report the 1OMI dollar amount and resume the hems to be paid. Nate:Race wind the racial composittom of the roi hbrim od are mor a2eirmaral lactws. Neigh bMfaod CM1arMedstics epno-UnitHOUSingTrentls .,tq� fOro-dna H.bu RasenllnM'Ihe%''.i Location @Dan X Suburban Rural Pro Values Increasin X Stable Declinin PRICE AGE One-Unit 60%% BuilbU Over 76% X 2575% Untler 25% Demandlsu Shortage X In Balance Over Su 1000 24 Unit 0%% a Growth Ra id X Stable Slow Marked Time Untler 3 mobs X 3fi mlhs Over6mths 60 Low 20 MuW-Famil 0%% Neighborhood Boundaries Legislative Route 11 to the north Burnthouse Road to the east, 250 Hi h 90 Commercial 0%% Legislative Route 174 to the south Centerville road to the west. 150 Plied 40 rim-Vacant 40%% Neighborhood Description Subject Property is located in Dickinson Township approxinnatly 6 miles from the Borough of Carlisle. Carlisle is the ma or employment and population center for the western section of Cumberland County, The local neighborhood is primarily residential and a dculatural land. Market Conditions beclwing support far me above conclusions) Property values are currently stable to Slightly inoreasin . Interest rates range between 3.5 to 5 per cent for conventional FHA and VA financing within the local market area. The local market conditions appear to show a steady flow of sales within the past three months.. Dimensions Sea Legal Description Area 7.642 acres Shape Irregular View Average 5 cirlc Zoni Classifwrion A neultural Zoni Descri lion Low DE Residential and a riculatural. ionin Com liarlce X L al Le al Nmcenimmenu Grandlalberetl VSe No 20010 name describe Is the highest and best use of the subject property as imprwetl(a as proposed per plans and specifmadms)the present use? X Yes LJNo If No,describe. uuruea Public Omer(describe) Public other describe) ON-sue lm ro anes—T Pubnc Jeri Elecaict X Water On Site Well Seem Asphalt X Gas Sanita Sewer On Site Septic Alley None FEMASpecial Flood Hazard Area X Yes No FEMAFIeotl ZoneX FEMAMa f 42041CO220E FEMAMa Oate03/162009 Are me milines and off site im ovements kal fm me market area? X Yes No If No,descibe. No there any adverse site containers or external factors(easements,encroachments.envirromentell conditions,land uses,etc.)] OY.S XNO If Yes.describe. There is a 16 foot right of way that extends from Stonehouse road to the site. GENERALDESCRIPTION - FOUNDATION EXTERIORDESCRIPTION' mataialskoMOioti'INTERIOR':' "matedalslmntll{br Units WON LjobeeithAccesnal Concrete Slab Crawls ce Foundarmn Well Stn Floors Hdw/Cer/Fair fof Smries TWO Full Basement Partial Basement EAerer Walls Vinyl/Avg Vinyl/AV Walls Marolite/Pan/Fair T Dm. Ah. S-M.fEnd Unit Basement Area 592 .It. Roof Surface Metal/Fair TrirNFfnah Wood/Fair X Existin Pro sect LJ Under Consl. Basement Finish 0 % Gutters 6 Downspout Alum inium/Avq Ban Floor Vinyl/Fair Design(Style)Two Story Outside En (Exit [ jSumpftmp ithedowlyine Thermo DH/Avq Bam Wainscot MarolRe/Fair Year Built 1976 Evidence of Irdesomon Storm SasNlnsularetl No/Yes Car Storage U None Effeave Ne IS 25 vrs Dampness LJ Settlement Screens yes L Drool fof Care 0 Adic X None Heatinct MA X HIM Radiant Amenities Woadstoves If Owl Surface Gravel/St0 Drop Slain Stairs Omer I Fuel Pro Dane X Fire lace s i 1 Fence Gera e f of Cars 0 Floor 7scurtle Caching Central Air Condilemin Plan k Porch Front/Sitl• X Ca Ort fef Cars 3 Finished Healad Individual I JOIN, I Jptrol Other X Ad. JXJDet. I JBuill Appliances I lRefrinerato, X Ra APren i JDI,wri [ JDimposal I Ilific,awase Washerl0 er I Ituri Finished area above grarde contains: 7 R 4Become 1.5 Baths 2,157 Scuare Fen of Gross Living Area Abwre Grade Additional features(special energy efficient hems.etc). Sae Attached Addendum. Describe the condition of the property(including needed repairs.eemoratbn,renowlears,remodeling,etc). The subject property is in poor to fair condition. There is me or water leakage with plaster walls missing in the upDer level of the home.Water Stains located on the neiliners throughout the second level. I e there any physical reficiencies oradeerse conditions that affect the livability,soundness,a Structural imegrityof the property? Yes No If Yes.describe. as the property generallyconform to the neighborhood gunctional utility,style,condl use,construction,etc)? X Yes No If No,describe. Frodk Mx FumMMmN2015 RNa♦ywq.1P tlwa[W3N ERImnrGrolmn rare MMFom100 AWmM ey1 da t%I OSLyMaJ BASSET r APPRAISAL SERVICES Uniform Residential Appraisal Report File No. 13-144 Imamate N/A cwn amble ks cuneml GI62tltm salein ih¢La ettn' hpod mnoiou in prz¢tromi SoA TMeze N/A tour abt¢saies in the cob's¢ Rwodwtithin dre twelve monNS2 Nsak kami taS FEATURE SUBJECT COMPARABLE SALE NDI !Kimbedy MPARABLE SALE N0.2 COMPARABLE SALE N0.3 216 Storehouse Road 9 Carlisle Road dy Lane 107 Mcallister Church Road Address Carlisle PA 1706 5 Newville,PA 17241 ,PA 17015 Carlisle PA 17015 Proxim m'. en 5.42 miles WNW ies SE 3.38 miffs NNE Sale ft. S N/A 8 217000 S 225 000 S 154 000 Sale FncelGms Ov Nea E 0.00 R S 6075 s n. 12 .n. S 121.45 h. Data Sources Ins ion CPML/Ct.Hs.Rec t.Hs.Rdo CPML/Ct.H5.Rec Wincation Sources CI.Hl ec Ct.Hs.ReC VALUE ADJUSTMENTS DESCRIPTION DESCRIFTION ,r)S , RIPTION -01 DESCRIPTION .pr marr Saledr Financing N/A None None Concessions DOM 1 3 DOM 103 Date of Sale/Time 06/2SQ013 12013 07!2012 Location Suburban Suburban Suburban Suburban Stm Lersmoniffea a Fee Sim le Fee Simple Fee Sim Fee Sim le Site 7.642 acres 3.00 acres 13,926 6.06 acres -6 300 1 view Avera a Average Average 89 acre s 17,256 Del n s le Two Sto Two Story Average Two SIO Two Ste 01. a cmmaw Vin !!Fair/A Bdcl -7,500 BrckNnfAy -5 000 Frame/Wood Actti A 37+/.Years 92 ears 21 Bare -5 000 130 ears Condition Fair Avera a -20000 Avenel a -20000 Avers a -20000 Above Grade 7mi arrms cams 7pef amen anus rm amen. sew foal arms eaua Room Count 7 4 LS 86 54 25 -2000 8 3 3.0 -2000 6 3 i Goss Area 20 2,157 V.I:. 3 572 g.ft. -28 300 2,225 sq R -1 360 12 s.% 17 780 easement 6finished 592 Sq.R. Full Bsmt Full Bsmt Full Bsmt Rooms Below Grade I Unfinished Unfinished Part!Finished -5000 Unfinished Functional Lilly T ical T iral Typical T Teal "ran GHWBB/Norde Hi -5,000 EBBFCA -5000 HP/CA -5000 Cn ERKierauems T Teat T Teal T Picai _ M3.6% Cara elCar n 3 Car Carport None 2,000 3 Car Gara a -4,500 :-4500 Nichmah./Deck Fr Coverei Fr/Rr orch Sun Room -5 000 Other Shed/MobHOme None 3000 None 3,000 S 43874 + X E _ 56,160 Adjusted Sale Price Net Atlj. -20.266 Net Atlj. -25.0916 of Cisatermbirs, 173126 (;foss 27.6°186 S 168,840 GmAdd41,9i 159536 I X d:d did researcht4e sakmtrarrsfer h5torydffhe subjeq P°PenP arMtompmabie sales.Narrexplain M research Odid N did not reveal any poor miss or transfers IN the subject preasay,for the three Wism pwrormeefleriive date oflhis cipprouni. Data swrce(s M resea¢n tlid tlitl not reveaian for selesw bans(ers of lire mmpato ernes for Naware or to tha ate also!e INthecomU, eme. Data source s Repon the results of the research and analysis of the or for sale or transfer histor,of the Surtect mown and corroomble mie5team adtlNOnal now sales on mi 3, ITEM SUBJECT COMPARABLE SALE NO.t COMPARABLE SALE N0.2 COMPARABLE SALE NO.3 Oat¢a(PrKK Saletiransf¢r Price of Prior Salennerafer _ Dow Sources I Ct.Hse Records CLHse Records Ct.Hse Records I Ct.Hse Records FBeceve Date of Uata Sources 06252013 06/252013 0625/2013 06252013 Aulpssapder saoavatare hiumld( su cf Ppp amecmnpouraaam, The sublet property has foul spkj our been listed within the pasta Bare. The mm rabies sales have not sold or been tistetl the ear riot to the current sale. Summaryaf Sales Corownsw Arret ach. The subject property and comparabies are located within the Carlisle Market area. The subject p art is in Fair condition with with various cosmetic and interior im rovements neetled.All the com ambles have been remodeled within the ,past 10 years therefore they are superior as to wndtion.All the comparables are verified sales and are the best available. Incident value b Sows Con,wroorn Aworsch 168.000 tMicatedyanre 5ainewn artadn orch;168 000 Co.Apm ach faeevemp+is 0 brcoma Appraacn(1fdavaidewl; Market Anal sis wnsistentl su ods m estimatetl market value. GRM and Cost Analysis was found inappopriate for this anal &!9. Greatest coal ht is a lied to the Market Data Anal sis. Su orling file information substantlates mesa estimates Thin ismade -asm S su�eq to compkcmp6rpiern and sptttifxaUOrsmtbabass era F.ypothetiCalcatlNOnthat the improvemems haaaoeencomys[ed, Q suGjed tothe foilpvmgrepabsoralterationsan me basis dfa hypdhetkaicondRionthMtberepaimwaltmtlmsbawb encmnpleted,or ❑mbjecito the fditrmingrequited inspection based on the extraordinary assumption that the condition w deficiency does net require alteration our repair The SNbleCt props wasa raised in AS IS Contlition antl is valuetl for mortgage purposes only Barre on a campreus 0-1 mxpection or lne Vom,lrano—oau.,.—orm.VN.tpropen,fanned scope or work simemant nr..—Vot»n ..univng oneitfares.arW appraiser's cettl0cation,my(our)opinion of the ma(ketvalu4 efl OHFned otthe realpropbtyth»ti5xhe wOjact of this repo!!isT 166,WO ezpr Jur 2013 whim is ma date erns ectIV and the eaei damarmisa Immi. Fredh a v,Fam 70 MVrA SNd Ruyee,ergM.1.ui a It, p'nmmn F.Ale Farm IVA aM Vgp 2 d6 mai-ra. Bassett Appraisal Services BASSETT APPRAISAL SERVICES Uniform Residential Appraisal Report File No. 13-144 SCOPE OF APPRAISAL AND URAR SPECIAL LIMITING CONDITIONS: -This a slant is not a home insneedian and the appraiser is not acting as a home inspector when preparing the report.V+fien arformin the inspection of this progert4 the appraiser visually observed areas that were readily accessible.The appraiser is npi re uired to disturb or move anything that obstruct access or visibility.The inspection in not technically axhausfve.The inspection does not offer warranties or goarenties of any kind. Scope of A sisal and URAR:Su mental Oertifipations: I certify that " This COMPLETE APPRAISAL-SUMMARY APPRAISAL REPORT was praparetl b William A.Bassett for the exclusive use of Irwin and Mckriiaht.PC for use in estimating market value.Estimated market value is the most probable price in terms of cash or in terms a#financial arrarx, meMS equivalent to cash.Irwin and MCknight,PC.is considered to be my diem.The information and inigns contained in this appraisal sat forth the appraisers best judgement In tight of the indormation available a[the time of[he preparation of this re ort.An use of this a sisal by any other person or split ,or an reliance or daClaions based on this app tarsal are the sole responsibility and at the sole risk of the third party.I accept no responsibility for damages suffered by any third Ba as a result of reliance on or decisions made or actions taken based on this re ort. -tom o inion the reasonable ex ure time linked to the value opinion is up to 180 d s. I further cent that to the best of m knowled a and belief: -The statements of fact contained in this re ort era ime and correct. -The re orted anal sea opinions,and_conclusions are limited only by the reported assumptions antl liFalling contlNioas and are m rsona! kn rtlal and unbiased rofassional anal s o inigns and corudusions. -t have no resent or o6peptiye interest in the property that is the subject of this report or to the art as involved with this assignment, -M en a anent in this e8alpnmenf was not contingent on developing of reporting predetermined results. -M cent ensation far Coro letin this assi nment is not contingent upon the development pr reporting of a predetermined value or direction in value that favors the cause o1 the talent the amount of the value o inion,the attainment of a sir ulated result or the occu hence of a subsea event tlirecNV rata#ed to the intended use of this angraleai -M anal sea,opinions and conclusions were developed,and this report has been prepared.in conformi with the Uniform Sfantlard of Professional A sisal Practice. _ -1 have made a personal inspection of the property that Is the subject of th'S report -No one mvidetl s niflCam ofessionat assistance to the signer of this report, -William A.Bassett prepared this report. COSTAPPROACH TO VALUE(nptrequfnaiMFami¢Maa) Frovitleatl Wte ld«mation(ar me Nnder/tliem to replkate the belawcMthquresandcalcWalbnS. Sat tslM�bematsaevehre{summarpdmmpaabie(antl sates«she nredmds'oresdmaa:g sa¢vaW¢) ESTIMATED REPRODUCTIONOR REPIACEMENTCOST NEW OPNION OF SITE VALUE..............._.___._.__.._....=5 Sourcadcastdou, 21S75p.Fr�z ....... ..S 0 QWorry ratinu from cast savor ERegivadate OlcnAdald Bsmt:502 S .Ft.05 ..._.......=$ 0 Commentson GnlA roacM1 rosslivin area cakulatipn£tle reciation.etc.) F/PPOmh The Cost Approach will aenerallv result in an excellent estimate of Ganinecarpoo SqL Ft(a a ._......._=i value if the buiidi is new,or reabhorbsubhLnm and the Taw Estimate of Cost-Nero ......._....-S 0 im rovenrents reflect the hi hest and best use of the land. Less 56 sitar Functional E parrw� However when items of physical depreciation must be estimated De raciation = s f 0 an area of'ud ement is involved which is subject to error.The De Cast -$ 0 Cost Approach was not utilized due to the ape of the sublect -As-is value of Site Int rovemed9.........-_..._._...._._... t Esimated Remainin E<anomic Life HUD and VA On 25 Yrons INDICATED VALUE BY COST APPROACH.......,._....._.... =S 0 INCOMEAPpROACHTO VALUE(rrotreguir¢tl By Fminla Mae) Esumated Moothl Market Rent t X Gross Rem Multiplier N/A =S 0 Indicated Value bV Income Approach Summary d income App.acn(imvudingsuppmtwr mmket remandcRM1 DuetothesubieetbeinuasingilefamI i residence and the rack of rental data the Income ArNarchich was considered indeapproarnathe and not utilized. PROJECTINFO1VNIATIONF0R2UOs Na IraW¢ Is her tleveb erhuilder in control of the Homeowners Association(H0A)? Ves No Unit es Delachatl I jAnsichhol Pmvitle me l011awinq information for PUDs ONLY tithe develooedouilderOm combat of the HOAnnd the wb'ecl 0 ro is anatLachptl tlwelli unit. Lebutiournecd Tdainvie rdpeasss Trusnumber01mms, Ta[Aitwmberdunits sdtl Total number d units rented Total number of units for sets Data sW¢BIS) Was the eclereatedb the cmrversion.fan asistima buibl 5 into a PHO? Yes E IN. dYeOcate.Ic.narsiom _ Does me Poleg tomato any muludwellirq apps? Yes LJNo Detamurces A2ftamm OYes ONO BN.,de ethe 5tau5d[WHVmion, Are the common elements leased to or by the HOmemvners Association? Ljyes ONO If Yes,descdbe me rental terms and options. Demrdre cmrmmrtsiememsarrd rttremmdtaca eras. NIA rremre ua ram zo awmzar wmaew.sn:vv«.eeoozxen...rd.eat P ada vwnaux tarot towwacmays 201-Ar—w.. U 1M. 8enrr 8,11,Ix.Iml,y Y.. 2- (5 MADE THE day,of October in the year . of our Lord one thousand nine hundred seventy-two. BETWEEN CALVIN S. S. ZINN and LEONA R. ZINN, husband and wife, of Dickinson Township, (R. D. # 4, Carlisle), Cumberland County, Pennsylvania, parties of the first part, Grantors and ANNA M. HOOVER and DOROTHY J. TAYLOR, as equal tenants in common, of 4 Lilac Drive, Hatfield, Pennsylvania 19440, parties of the second part, Grantee s WITNESSETH, that in consideration of One Dollar ($1. 00)-----------------------------------------------------------Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said grantors do hereby grant and convey to the said grantees, their heirs and assigns, as equal tenants in common, ALL those two certain tracts of land situate in Dickinson Township, Cumberland County, Pennsylvania, bounded and described in accordance with surveys made by Thomas Alvin Neff, Registered Surveyor, on July 26, 1972 and September 6, 1972, drafts of said surveys being attached hereto and incorporated herein by reference, as follows: TRACT NO. 1: BEGINNING at an iron pin in the Southern line of land now or formerly of Clarence Collier at the Northwestern corner of other land of Anna M. Hoover, et al, which was conveyed to Anna M. Hoover, et al, by deed of . Calvin S. S. Zinn and wife dated June 24, 1971 and recorded in the hereinafter mentioned Recorder's Office in Deed Book "D", Vol. 24, page 821; thence from said iron pin at`'ttfe place of beginning along'the'Southern line of said land now or formerly of Clarence Collier and along the Southern line of lands now or formerly of Lee M. Goodman, South 87 degrees 30 minutes East, a distance of One Thousand Fifty-one and Seven Hundredths (1,051.07) feet to a point in line of land now or formerly of Oren Lay; thence along the Western line of said land now or formerly of Oren Lay, South 1 degree 42 minutes 50 seconds West, a distance of Three Hundred Fifty-two and Fifteen Hundredths (352. 15) feet to a stake in line of f-land retained by Calvin S. S. Zinn; thence along said line of land retained by Calvin S. S. Zinn, North 87 degrees 20 minutes 10 seconds West, a distance of One Thousand Forty-eight and Seventy-six Hundredths (1,048.76) feet to an iron pin at the Southeastern corner of said land of Anna M. Hoover, et al; thence along the Eastern line of said land of Anna M. Hoover, et al, North 1 degree 19 minutes 50 seconds East, a distance of Three Hundred Fifty (350) feet to an iron pin, the ' place of BEGINNING. - - CONTAINING 8.460 Acres. TRACT NO. 2: BEGINNING at a spike in the center line of Legislative Route 21064 at corner of land now or formerly of Harry Failor; thence along the center line of said Legislative Route 21064; South 4 degrees 40. minutes 40 seconds East, • distance of Two Hundred Forty-three and Fifty-six Hundredths (243. 56) feet to • spike; thence along the Northern line of land now or formerly of Marion S. Zinn, South 88 degrees 28 minutes 20 seconds West, a distance of Three Hundred Thirty- seven and Twenty-one Hundredths (337. 21) feet to a stake; thence along the Western line of said land now or formerly of Marion S. Zinn, South 3 degrees 11 minutes 40 seconds East, a distance of One Hundred Seventy-four and Thirty-five Hundredths (174.35) feet to a stake in line of land retained by Calvin S. S. Zinn; thence along 000nA/24FACE 02 ni-aT—W�rsmtr dw4 Shea bbrm.Aet of 190). Harr 8W,tna.,Maw.Yi io eye ' MADE THE `ira. day of June in the year of our Lord one thousand nine hundred seventy-one. BETWEEN CALVIN S. S. ZINN and LEONA R. ZINN, husband and wife, of Dickinson Township, (R. D. ii 4, Carlisle), Cumberland County,,Pennsylvania, parties of the first part, Grantors, and ANNA M. HOOVER and DOROTHY J. TAYLOR, as equal tenants in common, of 4 Lilac Drive, Hatfield, Pennsylvania 19440, parties of the second part, .. Grantees ; WITNESSETH, that in consideration of Two Thousand ($2,000.00)-------------------------------------------------------DoGars, in hand pa4 the reeeipt whereof is hereby acknowledged, the said grantors do hereby grant and convey to the said grantees, their heirs and assigns, as equal tenants in common, ALL that certain tract of land situate'in Dickinson Township, Cumberland County, Pennsylvania, bounded and described in accordance with survey made by Thomas Alvin Neff, Registered Surveyor, on March 9, 1971, a draft of said . survey being attached hereto and incorporated herein by reference, as follows: BEGINNING at a spike in the center line of Legislative Route No. 21064 locally known as Stone House Road, at corner of land now or formerly of Clarence Coller; thence from said spike at the place of beginning along the Southern line of said land now or formerly of Clarence Coller, South 87 degrees 30 minutes East, a distance of Seven Hundred Seventy-five and Eighty-eight Hundredths (775.88) feet to an ash tree at corner of land retained by Calvin S. S. Zinn; thence along said line of land retained by Calvin S. S. Zinn, South 01 degree 19 minutes 50 seconds West, a distance of Three Hundred Fifty (350) feet to a stake; thence still along line of land retained by Calvin S. S. Zinn, North 87 degrees 20 minutes 10 seconds West, a distance of Seven Hundred Forty-three and Eighty-nine Hundredths (743.89) feet to a spike in the center line of said Legislative Route No. 21064; thence along the center line of said Legislative Route No. 21064, North 03 degrees 55 minutes 10 seconds West, a distance of Three Hundred Fifty (350) feet to a spike, the place of BEGINNING. CONTAINING 6.085 Acres. ..- 44a lk>A-�,% r BEING a portion of the premises which Harvey M. Deck and wife, by deed dated August 8, 1944, and recorded in the Office of the Recorder of Deeds in and for Cumberland County at Carlisle, Pennsylvania, in Deed Book "V", Vol. 12, page 433, granted and conveyed to Calvin S. S. Zinn and Laura M. Zinn, husband and wife. The said Laura M. Zinn having died November 28, 1960, title to the above described premises remained vested by operation of law solely in her surviving spouse, Calvin S. S. Zinn, one of the Grantors herein. The said Calvin S. S. Zinn subsequently married Leona R. Zinn who joins with him in this conveyance asdthe Grantors herein. BB9i7)24esce 821 i' said line of land retained by Calvin S. S. Zinn, North 89 degrees 45 minutes West, a distance of Three Hundred Four and Thirty-five Hundredths (304.35) feet to a stake in line of land now or formerly of•Lewis Fink; thence along said line of land now or formerly of Lewis Fink, North 1 degree 44 minutes 40 seconds East, a distance of Nine Hundred One and Eight Hundredths (901.08) feet to a post in - line of land now or formerly of Clarence Collier; thence along said line of land now or formerly of Clarence Collier, South 85 degrees 46 minutes East,.w - distance of Two Hundred Forty-three and Thirty-five Hundredths (243. 35) feet to a stake at corner of land now or formerly of Harry Failor; thence-along the Western line of said land now or formerly of Harry Failor, South-4 degrees-.30 minutes 30 seconds East, a distance of Four Hundred Thirty-six and Eighty-seven Hundredths (436.87) feet to a stake; thence along the Southern line of said land now or formerly of Harry Failor, South 85 degrees 46 minutes 40 seconds East, a distance of Three Hundred Eight and Twenty-five Hundredths (308.25) feet to a spike in the center line of-Legislative (Route 21064, the place of BEGINNING. THE above*two tracts of land are portions of the premises which Harvey M'. Deck and wife, by deed dated August 8, 1944, and recorded in the Office of the Recorder of Deeds in and for Cumberland County at Carlisle, Pennsylvania, in Deed Book "V", Vol. 12, page 433, granted and conveyed to Calvin S. S. Zinn and Laura M. Zinn, husband and wife. The said Laura M. Zinn having died November 28, 1`960, title to the above described premises remained vested by operation of law solely in her surviving spouse, Calvin S.S. Zinn, one of the Grantors herein. The said Calvin S. S. Zinn subsequently married Leona R. Zinn who joins with him in this conveyance and is the Grantors herein. --------------- ------ ----------------------------- O z - y m Imo ru o G 9T'A9 mmov N�oo+ CJ �aao � � zoom S 'YOT �1 S 800K VU 24Aft 273 L.� ACNB SANK RECEIVED: May 10, 2013 MAY 16 2013 IRWIN&McKNIGHT Irwin& McKnight PC LAW OFFICES Attn: Marcus A McKnight III 60 W Pomfret St Carlisle PA 17013 RE: Estate of Anna M Hoover Dear Mr. McKnight: The following information is being provided as per your request: Acct.Type Account No. Balance at Accrued Ownership Date D.O.D. Interestto Opened/Joint D.O.D. Esteem 2187736 $2,607.91 $.08 Jt w/Thomas W Taylor or 3/25/08 Checking Denice A Taylor Account Inquiries concerning ACNB Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information, please contact me at(717)339-5122. Sincerely, �l iL,litiVw�` Barbara J Warne ACNB Bank Deposit Services Representative II a •acnbbusiness.com- P.O.Box 3129,Gettysburg,PA 17325 •Phone 717.334.3161 •Toll Free 1.888.334.ACNB(2262) P 1 Z c I y 91 z vv I � d2Y u.0 u'S d I 1 1 1 I O m r 1 N I W tGl1 I H I � Va ' I I 0 A m 22 .4 o o Colna IC _ Ci tl b I� o e I I I I 1 1 I I I I II 1 I 1 lilt e I 'F - �..�� t O C4 20 ]JIM IM z �2oa m 1 p c dzz U O ! V I I O g I I 1 ! I I C a ' I I � I i I I � 6je' �d , ! i Illi I III I ' al IIII 6� � 1 I � I I to ,o' �looee e , I ! �I ! Q. S I ;I rvlry gi� m a e� lel _r° iI! o i ! Ill I I � I IIII ! I I l ! il •2 I i, tl II ICI ! Ii1I 3 ; '11 ! II III I I1 ' I �I � Ilo � eI l ! Iilii IIII III i . Ili I 'I � I 1111 Illl ili i I II IIII ] I III llllll ji ! II � IIllll: t :il � :Il .I 67 lit <1 I � µ iiI I I pI IIII II llllll 111 llllll �.:L. III d m m � ry Rim, � � 4 � j � e eILII � IIIiII j II I �I ! III II I 1 IIIII ll I III , IIII t v ! I I, a � O' � l I I •� I I I m b � � �' i I Ivi h ui I I!'I I � � l I I 1 r l m pa ° Q ZI � d• i Z l i ' �i n c 13I^o °e'lzl m e Zp l F+ j I m I I I I n Im 2 o I I I bl �l 6 ; j ' jII 1 � � IIIIIII l : l I ' Ir° IIIIpll o; I � lll 1 III I ' � � � I 1 l 'Il � lll � ' � � ' � IIIEI� il'� �IIiII . ' , IlI11s y IIII I � sSI IN l IQ mj ,all ° Iu � o oij � i1•. I! Iil ! Ilo Po C C j I I J.IIIC ~ ¢ rn aoe u C NJ �III � Id I llllll °I ° I I li 'W WI v C Ytn �Nzd�Iz aiI�I....O e lJ A I!S Ce roa Pm i I! I !!I 1��0 y!CG Iltleo w I_ �_ O II l iI m j°Q D �V S-0 I oI e!lo. $e e e N D;- ?h- O o •y ° L E 11 cm, h C V!m bI ic C ~ eV "WI a Ic a . :o o� E O ,= I o E o y I I I I _ Polc ��+ s°I � I II : I I I II : : I : illl I � I : : ry S � � I r• � i �i � E � o+ o E � � � � � E J5 Ol m I y $ o F 1 1 I I is L m l `o S I I cgggll� m m l ` E {! `��fr�n'C,O'�a y 'I �S ry d N C y•E� 1 II 'r I�l i i$��s��gaO+i�•Ii Il�rR�E v�®®O'� i{�I N Ne��T g n r{ I I�I l I' I I I�I I I r1�U Lmm�m rn C U Q CS=Em�m'.•.Q a t 3_t o�Nm`a N S m�y 2°am^c m`.�—m d��t o m�o m$, 19 Ia ri.I O;m Lylm jo�=^O O cI. I$ �ff v oc s F�c U •c ms�de`E E�5' y o E °m T °m E - z 8 '.0 gig — 8 m Im 2 w m 1` -y S v 0 0 o m � .S R N I 9 ° _o _y_ ' .mrtP E, I I Im a S Ec( o o E E U m t m I .6c'a o Ci`O Ly�m O u c O .a z m O = m m � o m $ o y c c o o S L Y v m E Oi ` N m 9 > E w m E r M� qOq I ! I ! I 8 � '- `cd 0 1 m id` - '9 L S O am m N m mT o. a . I I ��" I'I mN I ' poi " to 2 � 2' cN 'yam` �'� @ o Imo' RJ m •_ I � c o = - E 1 UO L = C E � mCm •� t0 Oy mi = C �� COL 2 N mt�T m m m T I I I ! 'y 0 8 t 't Ln m g n S 'd i m m m m o � ° m O ig S c o °S i. .''oaTC A bj)C I I 1 � O an d rJ' N � N `r` m y�._. ITO .Y_ .O•.8 U (a G mC m C q� rI I Jam' ocn m � N GL mlc lc .c G � .� �b G � a`dr QSi0. >m` �@ no 2_ oN >S S lit N>O $ m m -g O E = igm N 1c b' L y C O= W N L J t -g 7 L p -6 C m ,Q - c ' N � C O T r ijas� � I IJ I 'SP-- � " � `m am orm� omlE o � 'S:- ogcgv O O ,rmi_ii B 28 ig I � ' I I IM' I ICv N C I ' 0�C pI�I( I i �m 2m �m e m fn o�m3�f '.m I j m r3c$o c '�� S�• It m S�+ m m Q 3�"J r=o. I'tQp C[il 6 €- .=K�`d I.��N m•L ¢ EI 8 m v 0 o m108 ^m c N p o m S g° " E° O T a o �Eo° ;l I I y 1 W o — . "m -2 e- ;a E'a E E m @ i , cL I$ � u >, m � `o $ ° omil JR m' �3 a_`m oc.I1 .�S 2 6N 'P tlN E� E m`o p E.= S � S2 m m ,2 9 m . I•m y= !L a m L d 'I l f 1 o C "u<zLL It I m { ( r :�y•O�•I I l I $ .mc.o �..Cm �o ,oc otqf� 0 c lFLm- m ��rT5 i 'ocC)rmNr•�o lipYo' L y iEEi'. , o 0 -6 20 I ! al I OI = . I. plr'; I I FI I .I yYi S. o 'v •I• • m M, O at-lv!t- � `� c3 Q � c '3O - . �. Allstate life Insurance Company q haj �� elophoiie: 1.000-755-5275 ' PO Box 660191 y } ., Fax: 1-966.628-1445 �� M& Dallas,TX 75266-0191 � � `) ,h "°� October 6,6J2 ANNA M HOOVER s ww x 216 STONEHOUSE RDA �ourJ pi @Sefl �f @� 3 � CARLISLE PA 17015.9429 CRAIG A NISSLEY INVEST FINANCIAL CORPORATION nSJ 1166 WALNUT BOTTOM RD CARLISLE PA 17015-9160 _ (717)249-0795 k Allstates Preferred Performance Annuity Statement #GA19259703 Beginning Account Balance 10/06/11 . . . . . . . . . . . . ... . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . $38,985.94 Interest Earned 10/06/11 thru 10106/12 . . . . . . . . . . . .:. . . . . ..: . . . ... . . . . . . . . . . . . . . $ 1,169.58 Ending Account Balance 10/06/12 . . . . c.. : . . . . '. . . ... . . ... . . . . . . . . . . . . . . . . . . . . . . . . . $40,155.52 Net Cash Surrender Value 10/06/12 . . . . . ... .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40,155.52 Net Cash Surrender Value 10/46111 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $37,582.45 Total Purchase Payments Paid Since Issue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 32,348.04 You cannot add additional funds to this contract if the total Purchase Payments made since this contract Was issued total $ 1,000,000 or greater. y 1 B141TA1KA01 {'�� 3NC6P9ilRAt1®YRAIMYAP ``{ oa6vz m � f0 6f b aN b I I P M 1 1 E &. cr N L to 1 � i o lilt J) 4 I O > I I = ¢ � c y N I W 1 oz O 1,. � ! l� H I •h I I � "! � ! L d m �� m a , IIII I :4 I I i I i �-a- !cm w�� u dl col : , II I m I ! lo! mY III ! m cmI MI6 � 0[I >'f IIII IIII- EIO o aw 21 �05 Ill N� ! _ 10- °I i I I I I I o li R o o O ' A El I ' l l I l i&[ I I l OE it m m l m �' N2 a to v III h Olml EmR� 1 'OC _TIC Ll U o II � � I III I � � >' Shm � =II lm cli I IiI Q � I mll o IT III II III i � I5 cl '� 'm o I � III IIII E im col o IZ EIi ( IIII III m � II I. °� I > mil i IIII I III IIII I I I c pmI �� ID O � Im ryI I IIII i ilm� l� I � I � ' ! IIIIII m Lc mime (� �. woe' l Z ° o , II d, L m n W �! 145 N O 1 { N J O a ° C m m m € I O C 1 O I Ito ImI ' IIII � III �IC, � n m� a c mo ill � I I II � I'I IiI li ( 41 26 2JJ, ' E m I - i I I , I I li l j 1 i , c m o R a. 1.2 CO 7 ! E_''rr la E ' III IIII IIIIII `s " I I I II I ; h E p m d a of l In >,j I I I I i Grn I I IIrn I m ° ,IM III ! I ! VIII III IIaei � v� u n'I � %lo! III oid rvl � Iry z ! o ! 1 a0 a � I ry l I I N ° III IM � � .. IIII ( I IE' cd lm 'cdI wm NO 10 o IIII IIII EII�,,oAI ca I� m IE TI`oIII= OE mI ' d0 v E I I ! $I mioo o o S. 'o IEIII I °o Z �1 Im EII F-: cd I '.cmo III IIIIII III ^ m'hasI� � 0Ia �'I°'I •J `l maI-myil IO `m l° ta mwlE fA tj ml l Z m c m15 rn s m` ° m w u E' m co m yl o ! o = aim ..I— -I J'.H X50, o m m CC� a O moo{ '2 yy G m 11//�� - I O] r U m ' is ! ! ^ 'm^ Q S C . d g c Q of c l rj ° I =�? I� �LIIOaI$ II IIIIII ' 7 ! � � tog a : _ o. , o u ` m o m l c �mN�c'I ml m �vc m l Ia m zj¢O'rn^¢j �rvm m rW lI, m EI Jim m I$mI E - o ? 11 o EIo m ` �a $ °mIE ?I I n 7ie rvo c y Im o ? "T II VN R N l` M , c m Ic it o 0 M 0 N t$E s d m 0 0 vdi E�m m I, f2<oE l I 1i 1Fse FE. a> O� `2 m FF I I ii��`A+�'- 18>Y i i yz f �4 Z u.. mZ d¢�i ws lli:f p W c t AEo�C lII I>v E EIiiN!c v o" 'r�A�, r w � 1 d o c C i m o W w s r 0 'o 'a o I. o g � oro� coocI m lzI I 7l> I y ¢Im E u t r�o>o v .o °q m m w N o S N N V d I C E i i N rc p es C O S O O O O u'1m N N a Et 1 flpi I • � iC y I m C I I Pl a O O. N O S S I C D � �w/ y •C p N p N O N N ^Y lyyyyy U w g O oO pO e� U {t i 41 S d I Vq cu- Z p Y3 y Q i L N I O M E%iyy N y'i ' I ie ! I j7 Ic . N yyy} y��. 0 �d Will 1 ! 0 W C A H LL S O V d d y�i o C ° u� O y�+ 5 ,Ecl �Gr = A {.7 C V'� a 1••• M O' v Go Z � 1 L C jG C A 4Y I� I• (C � q C C. . E y N'E Go eta a t'2 I°- ' II �� III ofll ICI , I IS° I 111 III Im III I I ze I N I 01- III I II ! 1 I , , ' 11 III ( lc c Iji IIII ' I of 1 I ` III 9t' � 11IN j °l I¢ �' 1D tL Fy � m mm L i III 0 =I c{ �_ IhII IiI Ij ( CJ u~i ITa II m LOLLI III IIIj . ' � ImI j $ 1 m I Im o 3 m t m I �o ImI 1 I e c ¢'c 'cl - > q , IIIIII IIIs ' I ' I IIII ( Iji "' II ,1 ti � I � III IE ��3 '�I III � � IL III m II I IIII II � I , II ) � i ) II � l mmlvli l III '', aI �I � I �I` 111 ! VIII II jI, I I v � u mU'S I � I IIII 1 ' m ��II m IIj Ijli ! I jliII ill Iljl III IIII Ij I I IU�I�ollll 11 'IIIj� II � I ' I hI 3 i FD za e I Ig II j e 6I � Iel mEo to i m , mlis >. II 'I�_ ® , III IIIIII ' � i _ ' jn! � rn �c IIII Fm- I ' IIIILIImI �x� II i I I I ro dl� i o I mf- I I Ili illll ' I II 1 II , ; IiI I , ,, `o '� ° loll I m � ' II � 1l Irma ll I I I I I I I I ! Im al3 I I IEI I '^ � 1 a IIo Ism ' I Ali Ij m � iII h j j u n ry I � m I M' U l m jo I I s ( al m ` L 1 1 i Iry r : ! 04! p l HI c m l m 1 Ij � m III � ! ljl '' IIi w wl 4 mL1 = aI i � I IIIIII Io ICI oI �-' it I I I � I m 1111111 (m ! I , � o. m Ij I II11 1 ' III , it 111 , IIIii � I Ilm ° yoa iiir I m mI w I I I � I Ijl c I° IIII m I ¢ cll it IIII 1 III a s v o II , o I Ills o , iIl IoI ij I Ij mm ImII I `-° _ IIII q ' m'I I o , . III VIII 1I III . i m � -� ' � >1 Iy I ( IIII i ' I jII IIIIIIII I i jip OC � �I III � `o rnj mIE W -� � li I III j l l I N a m c l cow vi m IIIIII IIII III , VIII XI IIIIII jlll II ' I, Imm � m III ' � d � ! V l m m N O V ot ia rml 4 mC II � IIIgII I� alil mla , l ' VIII u± lam' RoImQIILoEI . II vmLllm E : Cmll � d O [l O a m �N N c j I I II I i ICI I I ICI I I I dal o.ImI o i C C f Im m nl 1 o o o m o Im 'oi a i p I I m m S C I O tC I i V I I I4nl I I h ( I - 113 icda y) `W o' m t I ImL U I jl� ll I ill III ¢ II � 1I IIII � ' o0Q Z I Z I Z 1 1 IL NI m ImI III I ! IiI= 1111 !=' lll � ' � , i II ' � � IIIIII , I Ill I I1 . oI� ° � � � I � ��o �I ' I m =l r_ IIj IIII I '� -j ! I I' I ' jII VIII 1 ' � I as ¢ � m �' �� oaly III din ° 5 : III Cf11IIilij� ji III II Iuwill � l . 'I II III I III mlm oa � ' cl� �v ml - NmI �II � I , I II ji QI ,N h I L I II , I � o mlo lm i -a o � I Im _I Im a ' I IO ° , i6FO d omI aoII � mmm4,., h'j � acIy 1I � oII v 1 al o d o a NI °DE m o m 6iJ I I jy i i 1. I ' v I l i IV H IV b o-W W Irn4' j _� a W o �I ! m e �'• E 1 j E m `( IC s a r19 I 5 j I p- m N ''01; O c `m' m o. w m Ej 1 iv alvz ICI h IC v H = m 0 m cm m I o ? c _ ` m chi c! o' � c n O G W t ILL C ( ri IOII m ICI= LEI aEU C: I coO0sll IS II to l� IZ a V c WII IOI.j mVw .a � m c' 9 ' m m I 1- I5� to C I{W�i w W fY Iry LL a IN C� p'I d Cf L_. m c m 9 1 VJ c m m III I � O 43gWF`i•-m i I 4WL I iIo�j Qa�1119_H �°, �W I ° > 15 O�'1 �H l� II o° n. nO :20 01 m 7 ' . It� aUL? m ° � � ° I R �J 'o I ImI , NE � 8 ,to] ! IIjI I ' E S I ^' E nY` rn ;•\' `-- m �� '�y�p ', �M i � = y�� 'L I !e i � . 'o l� �: g 2�•�y.g �;�i ' �,$ e , e I �a °/� � � ' N ids I ° Tm G E m E �.g c m E : � I� N N 1 •� m:Em 1 E (� .� .6j Imlr=•la $I me Ia.M .2.c o a ,b j 2a j. La l 19 O �� Y� I •r"�' I I I � C ° m m' � m• � Ypmpm >.� 'O m I t0: N �� ( ' ; I Z' o,a I I I c b p mCq S m °c'' rc = o tom E I I I I i g. ITU@ = m � , l � lc = alcl pc � rnml I �a • I I I ( ipOp a ``' ' c ' vcc 1 E c;=3 '� e Clm cl $ � ob ' W�I IOc � OII I ! I ! I q I ayR V N.0 i G.L (��n//l I 'U) m 19 Vtm I CC .� y Mir I ' ' I j I I p E c m 1 � � D o E 1 i o I� W ' ! IIII Ep °m'` E oc �° ! 191y II ir,XX 1 E >" L iymd m t� c•m Z $. { to C Wf III I �g � cmgln �mt EptA(..� £. •L'-1md IIC IFOII .+ �•.' i ! °rte'B .TC °m' a `�' is E oo°$ o c I`° g `Q° om °i E I I I H I• I I D o E rnl c m � c. o •� E �• °i �. m l I I !' I 'c t •2E 0��rI, ^m° �ra cm o � I I Iv W cpp om,;c Im� 0m.�o vm l. IEOmmeI. m E•1! I I I I I Ip�'Td i' J i i :+ 5 l a c m o € �' >�E mR ' .� b iI'�i III r I± o m 1Iz � TC � mtEc N I I mo � Eon 1 '9 ° olp `o • ; , I l6 O = � V � �' I 9 0 .G� i54 S— �o .c g�lm > °, ml� oll l,, b o i It N 1N. ppc o f i I •�' �'d� iIm � Vc .0!� mO b m I i r I m' IO' 4J � 6 o t Z5 o �c 'Li � � o ' •c 8i, i E. �' IEy es�& q� I � � '� 'io' m rn°Im � � � t `m EaEi.a —° 2''`a0 ` F5 .y °J 1 o rL.O °'�' o 6 ��g I ,C •°� `� o. E; o m v °c = w gg = m m iB a i) tg E o L r m c I o ggcb'� Z• °ate s E.vT m .�i `v.9 d. ] EaI I 'E5 � m 1 E' c I I I I 7 Yl c E ° o E' m ° _T c: 51 I I p j I I h: E 0'. a: ' E I� ° 010 Eoz I ' o• 'u b c o ?I o a o o m o. o .Q .91`o l �• I I I r r -427 11 i i I :c:a a m m ! o L 'a '�I ; o � Ee 1 m � :m � � mi� T� ^o I�I � I :=I ,ml u d. 8' d o•€ ° .c > o �! e$ lm � m� E m ' .2i r 3 I j MI II I�In 't IJ �! E ,.L p o.o of K tU h o o: •,°� rnl> m:a j •� �' :vI I r I 6r N yy�� O' 9Q C r� C.m C m C [1y CI$ I I m E l I w C a E'I :4 € ° m l'3 d e II r:c in; mslot' .P ° m .o• m . . il. d . li � mial �I 2 �; c 3; O55aJ° II��! ,yufm la � ilr � �7 C' I�. 1 I F4J ' II I ! I I I �! I I I ! N I� � 1 � O I I C I I I g •'� Mated I N i I oa g I 1 I I I I LI i5 - � I n i Ey H I I I U ` rn b I I I I I I 1 I I co o LI,u� ¢ �< I Vl� 1 I LA IC 20 I� c m l U i I w i t Im a o o ci I I I 1 jm 5 ,m •' I I I W o ? o '^ I 1 ILL i2 , I T IZr'I I Ia I I 9 I I I I I to 18 IE. ED o 1 N f C I Ig�i Ii, o a c I C o n� LSYp 7u3 M Sco I gyp �q� I I I� o o ,?• C I g I I I q W w Iv I l b LU dI ICI j 'I ;1 c• O' d 0 V ri VI 1 1 Q d cr O Io I !. 11 0 I I Q dI y is I y4' 7 5 O �vy EI ( dl °I m la�i II/m� Ih ¢ Imo ' d Sci � I I E elm O� Yl �i v A I Q el w Yl Ic t aN c J9 G d Q 3• (g o Io ry C C I I V >I pl d d m I aL m � 111 1 I 11 II I I I � 11111 I t RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date : 4/24/2013 Cumberland County - Register Of Wills Receipt Time : 15 : 12 :49 One Courthouse Square Receipt No. : 1073942 Carlisle, PA 17613 HOOVER ANNA M Estate File No . : 2013-00469 Paid By Remarks : IRWIN & KCMNIGHT DMB ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 360 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN CODICIL 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 15 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 7977 $463 . 50 Total Received. . . . . . . . . $463 . 50 BASSETT APPRAISAL SERVICES File No.13-144 «• INVOICE««««««««« File Number: 13-144 July 17,2013 Karen Noel 60 West Pomfret Street Carlisle,PA 17013 Borrower: N/A Invoice#: Order Date Reference/Case#: PO Number: 216 Storehouse Road Carlisle,PA 17015-9429 Appraisal Report $ 400.00 Invoice Total $ 400.00 State Sales Tax @ $ 0.00 Deposit ($ ) Deposit ($ ) -------------- Amount Due $ 400.00 Terms: Upon Receipt Please Make Check Payable To: BASSETT APPRAISAL SERVICES 716 West North Street Carlisle,PA 17013 Fed.I.D.#: 45-4800385 Thank You For Your Business BASSETT APPRAISAL SERVICES File No.13-145 INVOICE File Number:13-145 July 17,2013 Karen Noel,Irwin and McKnight,PC 60 West Pomfret Street Carlisle,PA 17013 Borrower: N/A Invoice# Order Date Reference/Case# PO Number: 216 Stonehouse Road Carlisle,PA 17015-9429 Land Appraisal Report $ 300.00 Invoice Total $ 300.00 State Sales Tax @ $ 0.00 Deposit ($ ) Deposit ($ ) -------------- Amount Due $ 300.00 Terms: Upon Receipt Please Make Check Payable To: BASSETT APPRAISAL SERVICES 716 West North Street Carlisle,PA 17013 Fed.I.D.#: 45-4800385 Thank You For Your Business RT Carey Trucking, LLC DBA Care' Dumpster Service Invoice 61 isers Lane Carlisle, PA 17015 Invoice Date 7/22/2013 717-258-1400 Invoice# 6509 careysdumpsters@centurylink.net Billing Address Service Address Anna Hoover 216 Stone House C/O Marcus McKnight Carlisle 60 W. Pomfret St Carlisle Pa 17013 P.O. No. Terms Due Date Due on receipt 7/22/2013 Date Description Quantity Rate Amount 7/12/2013 30yd Container Delivery(Includes 3 tons of 500.00 500.00 disposal) Gti�ltia l{i �'fi Thanks for choosing Carey's-your local,family-owned Subtotal $500.00 trucking and dumpster service! u Sales Tax (6.0%) $0.00 It's been a pleasure working with you! Payments/Credits $0.00 Please call if you have any questions regarding this invoice,we can be reached at 717.258.1400. Balance Due $5500.00 Want to receive your invoices by email? Drop us a note at careysdumpsters @centurylink.net to go paperless! �R lss00 � CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717)249.3166 Fax:(717)249-2663 May 31, 2013 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Marcus A. McKnight, III, Esquire RE: Anna M. Hoover Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: May 17, May 24, and May 31, 2013 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director The S di el IRWIN&MCKNIGHT AD NUMBER PAGE NO.___ w w w.c um e r l in .c o m 60 WEST POMFRET STREET 420784 L__ 1 Of 1 CARLISLE,PA 17013 Pi BILL DATE SALESPERSO 717-249-2353 CARtW srrPEw URG KW Cc 05123/13 wolfs START DATE STOP DATE 05/09/13 05123113 AD NUMBER AD DESCRIPTION I CLASS _ __.) - LINES 420784 NOTICE LETTERS TESTAMENTARY HAVE 10 PUBLIC NOTICES TESTAMENTARY HAVE 10 PUBLIC NOTICES - 34 ` 2 c. Publication Insertions Rate Net Amount Gross Arno, + 3 THE SENTINEL-LEGAL 3 LGL $180.54 TOTAL AD CHARGE $180.54 3 PROOF OF PUBLICATION 01 PRF $7.00 j3 MOBILE SITE MOB2 $2.00 Purchase Order Est.Anna Hoover PAY THIS AMOUNT $189.54 $227. *AFTER 06/1, j { THE SENTINEL Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS in-column legal ads is 4:00 p.m.two business days prior to PO BOX 540 date of insertion. For questions,call (717)240-7130. WATERLOO IA 50704.05- 4 r i BASSETT APPRAISAL SERVICES File No. 13-212 PAST ®1� *********INVOICE****t ** November 21, 20 File Number: 13-212 October 3, 2013 Karen Noel 60 West Pomfret Street Carlisle, PA 17013 Borrower: N/A Invoice#: Order Date Reference/Case# PO Number: 216A Stonehouse Road Carlisle, PA 17015-9429 Appraisal Report $ 350.00 Invoice Total $ 350.00 State Sales Tax @ $ 0.00 Deposit ($ ) Deposit ($ ) Amount Due $ 350.00 Terms: Upon Receipt Please Make Check Payable To: BASSETT APPRAISAL SERVICES 716 West North Street Carlisle, PA 17013 Fed. I.D.#: 45-4800385 BASSETT APPRAISAL SERVICES File No. 13-211 (PAST ®U E *********INVOICE****a**** November 21, 2013 File Number: 13-211 October 3, 2013 Karen Noel 60 West Pomfret Street Carlisle, PA 17013 Borrower: N/A Invoice# Order Date: Reference/Case# PO Number: 216 Stonehouse Road Carlisle, PA 17015-9429 Appraisal Report $ 300.00 Invoice Total $ 300.00 State Sales Tax @ $ 0.00 Deposit ($ Deposit ($ -------------- Amount Due $ 300.00 Terms: Upon Receipt Please Make Check Payable To: BASSETT APPRAISAL SERVICES 716 West North Street Carlisle, PA 17013 Fed. I.D.#: 45-4800385 Thank You For Your Business RECEIPT FOR PAYMENT LISA M. GRAYSON, ESQ. Receipt Date : 5/02/2014 Cumberland County - Register Of Wills Receipt Time: 15 : 29 : 19 One Courthouse S uare Receipt No. : 1077887 Carlisle, PA 17013 HOOVER ANNA M Estate File No. : 2013-00469 Paid By Remarks : IRWIN & MCKNIGHT DB1 ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name SHORT CERTIFICATE 5 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 35623 $5 . 00 Total Received. . . . . . . . . $5 . 00 RECEIPT FOR PAYMENT 1 GLENDA FARNER STRASBAUGH Receipt Date : 9/27/2013 Cumberland County - Register Of Wills Receipt Time : 15 : 41 : 19 One Courthouse Square Receipt No. : 1075734 Carlisle, PA 17613 TAYLOR DOROTHY J Estate File No. : 2003-00838 Paid By Remarks : IRWIN & MCKNIGHT DMB ----------- ------------- Receipt Distribution -------- - ---------- ----- Fee/Tax Description Payment Amount Payee Name BOND 15 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 034664 $15 . 00 Total Received. . . . . . . . . $15 . 00 9 r. Insured Copy 1 EriEF Insurance Exchange Mail Date: 0512112013 Member • Ede Insurance Group 100 Erb Ins.PI. • Va,PA 16530 Premium Invoice Named Insured ANNA M HOOVER Policyholder: ANNA M HOOVER 216 STONE HOUSE ROAD Policy Number: 61541107414 CARLISLE PA 17015-9429 Policy Type: Home Protector Policy Period: 0611112013-0611112014 34819213 AA7371 Previous Minimum Due: $0.00 Payment: $0.00 Net Adjustments: $0.00 Past Due Amount: $0.00 Current Installment: $435.00 ERIE Agent Billing Fees Due: $0.00 Agent Number AA7371 To pay in full: M $435.00 FETROW INSURANCE ASSOCIATES LLC Minimum;Due. $435:00 5299 E TRINDLE RD Due Da4e 0611112013 MECHANICSBURG, PA 17050-3511 ' ` MEC 766-3200 Thank you for choosing Erie Insurance for your insurance needst Want to pay this bill online? Go to www.erieinsurance.com, Pay My Bill and make a convenient, secure online payment. Other bill paying options are also available 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 top portion for your records!Return bottom portion with your payment Datach here PC6li0d Dotatlt here PC000e Page 3 013 CenturyLink- Z P.O.Box 1319 Charlotte, NC 28201-1319 Accp�flt Name: ANNA M HOOVER Page: 1 of 5 Ace Number: 313226938 Bill Date:. Apr.25,2013 Contact Numbers Current Charges Summary Detail page Product,Services and Billing 1-800-201-4099 © CenturyUnk Local Services .3 34.80 Repair Service 1-800-788-3600 ® Centuryl-ink Long Distance Services 5 5.00 Payment or Account Balance 2417 1-800-201-4099 Late Fees 0.50 ' High Speed Internet Tech Support 2417 Total Current Charges 40.30 1-800-788600 Dial-up Internet 24/7 Tech Support 1-888.872.7313 Financial Services/Payment Arrangements 1-888-646-0004 Visit us online www.centurylink.com Previous Balance Payments&Adjs Past Due Current Charges Amount Due Date Due 40.30 I 0.00 I 40.30 I 40.30 I 80.60 I May 20,2013 Just a friendly reminder that your account is past due. If you have already made your payment, thank you for bringing your account up to date. s The Due Date On This Bill Applies to Current Charges Only . . .... ..-.................... .....................-......_..... . ........ .. .. Local Detail Local Service from APR 25 to MAY 24 Recurring Charges 1 Ply Residence Line 18.00 Caller ID Number Only 0.00 Federal Subscriber Une&Access Recovery Charge 4.00 Total Local Exchange Services 22.80 Inside Wire Maintenance 6.95 Non-Teleeom Services Surcharge 1.55 Total Optional Features/Services 8.50 Total Recurring Charges 31.30 Total Current Charges For 717-245-0408 31 .30 Taxes,Fees and Surcharges CUMBERLAND County 911 Surcharge 1.25 Federal Excise Tax 0,71 CenturyLink- P.O. Box 1319 Charlotte, NC 28201-1 31 9 Account Name: ANNA M HOOVER Page: 1 of 5 Account Number: 313226938 Bill Date: Jun.25,2013 Contact Numbers Current Charges Summary Detail Page Product,Services and Billing 1-800-201-4099 CenturyUnk Local Services 3 34.60 Repair Service 1-800-788-3600 CenturyLink Long Distance Services 5 5,00 Payment or Account Balance 24n Total Current Charges 39.80 1-800-201-4099 High Speed Internet Tech Support 24/7 1-800-7863600 Dial-up Internet 2417 Tech Support 1-888-872-7313 Financial Services/Payment Arrangements 1-888-646-0004 Visit us online www.centurylink.com Previous Balance Payments&Adjs Balance Forward Current Charges Amount Due Date Due 40.84 I 40.84 oR I 0.00 I 39.80 I 39.80. I Jul. 19,2013 8 The Due Date On This Bill Applies to Current Charges Only Caller ID Number Only - 0.00 Federal Subscriber Line&Access Recovery Charge 4.00 Total Local Exchange Services 22.80 Inside Wire Maintenance 6.95 *• Non-Telecom Services Surcharge 1 ,55 Total Optional Features/Services 8.50 Total Recurring Charges 31.30 Total Current Charges For 717-245-0408 31 .30 Taxes,Fees and Surcharges CUMBERLAND County 911 Surcharge 1 .25 Federal Excise Tax 0.71 PENNSYLVANIA Sales Tax 0.71 PENNSYLVANIA State Surcharge 0.08 CenturyL.ink- P.O.Box 1319 Chadotte,NC 28201-1319 Account Name ANNA M HOOVER Page; 1 of 5 Account Ntimber: 313226938 Bill Date: May 25,2013 Contact'Numbers Current Charges Summary.. , Detail P;;ge Product,Services and Billing 1-600-201-4099 CenturyUnk Local Sonrices 3 34.80 Repair Service CenturyUnk Long Distance Services 5 - 8.04 1.600-766-3600 - Payment or Account Balance 2417 Total Current Charges 40,84 1.600-201 4099 High Speed Internet Tech Support 2417 1-600.788-3600 ' Dial-up Internet 2417 Tech Support 1-868-872-7313 Financial Services/Payment Arrangements • 1.888-646-0004 Visit us online www.conturylink.com Previous Balance Payments 6 Ads Balance Forward Current Charges Amount Due Date Due _ 80.6D 80.60 CR ' 0.00 40.04 ) 4o.84 Jun.21,2013 The Due Date On This Bill Applies to Current Charges Only6 Local Service tram MAY 25 to JUN 24 Recurring Charges I Pty Residence Una te.DO Caller ID Number Only 0.00 Federal Subscriber Una 6 Access Recovery Charge 4.80 Total Local Exchange Services 22,80 *' Inside Wire Maintenance 6.95 Non-Telecom Services Surcharge 1.55 Total Optional Features/Services 8.50 Total Recurring Charges 31,30 Total Current Charges For 717-245-0408 31 ,30 Taxes,Fees and Surcharges CUMBERLAND County 911 Surcharge 1.25 Federal Excise Tax 0.71 PENNSYLVANIA Sales Tax 0.71 ` Other Charges and Credits Service Page Total One-Time Charges Date Description A Account Charges 1 $5.58 1. 04/14 Late Payment Charge Wireless '10� Z$0.00 Surcharges and Other Fees 71T 609-6395 $0.00 1 2. State Gross Receipts Surcharge Total New Charges $5.58 Government Fees and Taxes 3. PA State Sales Tax Total Other Charges & Credits Total Account Charges T17 609-6395 _ ANNA HOOVER Senior Nation 200 - Includes 200 Anytime Minutes, Nationwide Long Distance & Roaming, Unlimited Mobile to Mobile calling to/from other AT&T Mobiles, 500 Night How to Contact Us: (9pm-6am) & Weekend Minutes, Call Forward Feature, Cal For questions about your account: 1 800 331-0500 ID, Call Wait, Conference Call Feature, Mobile Purchases F or 611 from your cell phone Downloads Detail, Basic Voice Mail Feature, (Additional For Deaf/Hard of hearing TTY: 1 866 241-6567 Minutes $0.45 each). Visit us online at www.att.com For Important Information about your bill, please IIrr © see the News You Can Use section (Page 2). N u I'Return.bo.ttoill portion With your Check-In the enclosed envelope. wireless services provided by AT&T Mobility,I.I.C. ^tom°^ 1Bi P ayme may take 7 days to post. ESTATE TRUST HOOVER,ANTE 077088401 42.27 Reorder:TSS Software Corporation 443-321-5600 TS-04 --- ANNA HOOVER • Page: 1 of 2 ( 216 STONEHOUSE RD Bill Cycle Date: 02/15/13-03/14/13 at M CARLISLE, PA 17015-9429 Account: 464077088401 Visit us online at: www.att.com Wireless Statement Previous Balance $36.69 Stay Connected on-the-go Payment - 03/05 - Thank You! $36.69CR Adjustments SD.DD AT&T is the place to find your new tablet. Balance $0.00 New Charges $36.69 Add a tablet today! Cali 1-855-More4you(1-855-667-3496) Totat Amount Due $36.69 Click att.Com/tablet4u Visit an AT&T store Amount Due in Full by Apr 09, 2013 717 609-6395 - ANNA NOOVER l cle Summary Senior Nation 200- includes 200 Anytime Minutes, Service Page Total Nationwide Long Distance & Roaming„ Unlimited Mobile to Mobile calling to/from other AT&T Mobiles, 500 Night Wireless $36.69 (9pm-6am) &Weekend Minutes, Call Forward Feature, Caller 717 609-6395 $36.69 1 ID, Call Wait, Conference Call Feature, Mobile Purchases & Downtoads Detail, Basic Voice Mail Feature, (Additional Total New Charges $36.69 Minutes 50.45 each). International Roaming- Standard- Includes Enables international roaming outside the U.S., Including calls placed within the roamed country and back to U.S., at standard,pay-per-use International rates. See rates at www.att.com/global, 7357.14.704.184351 1 AT 0.384 6y AutoPay Enrollment If I enroll In AutoPay,1 authorize AT&T to pay my bill IIIt'IIIIIII(Iyiilllll'IIhl��rllr'III�iI(ht�h�Ildj IIIJI�lI monthly by electronically deducting money from my bank account.I can cancel authorization by notifying AT&T at ANNA HOOVER www.attcom or by calling the customer care number 216 STONEHOUSE RD listed on my bill. CARLISLE PA 17015-9429 Bank Account Holder Signature: Date: Questions?Please / , Visit us online at Page 1 '!;• contact us by May 16. U pplelectric.com 8$0-DIAL-PPL Bill Acct.No. Due Date Amount Due A(MIF:800-342-5775) vac 67180-80003 May 16,2013 m $22514 c 0*00c LMIM" 8am to Spm Your Electric Usage Profile billing Summary (Billing details on back) Service to: Balance is of Apr 25,2013 $122.io ANN HOOVER Charges: 216 STONE HOUSE RD Total PPL Electric Utilities Charges $40.10 CARLISLE,PA 17015 Total VERDE Energy USA Charges $62.94 Meter:84573360 Your next meter reading Is on or about May 24,2013. total Charges $225.14 This section helps you understand your year-to-year incuitt t)ire.By,May 26 2013" "�` s;,:�ry ?� .,.: 5225:14 electric use by month. Meter readings are actual unless Account Balance $225.14 otherwise noted. 02012 2613 PPL Electric Utilitles'price to compare for your rate Is$0.07237 per kWh. this changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com 42 or wuA v.oca.state.pa.us for supplier offers. 28 Your Message Center MAMA • This bill Includes a previous balance. If you have paid 21 this amount,please accept our thanks and pay only the 14 current charges. 7 • VERDE ENERGY USA RATE$0.0810/KWH 0 it z J F M A M J J A s D N D ' With raperiess billing,you can receive and pay your PPL Electric Utilities bills online.The process Is free, Months quick,convenient and secure.To learn more or sign up, I visit pplelectric.com. Monthly Days- kWh Average 'Avenge • Information about appliance energy use and tips on Comparison saving energy are available through the Energy Library Apr 2013 30 777 26 49F on our Web site,ppletectric.com. Apr 2012 30 709 24 52F Billing Petiod Type Reading 3 Anent Methods Apr 24 Actual 24939 Online at: By phone:1-800-342-5775 3 Mar 25 Actual 24162 pplelectric.com or call BIIIMatrix(service fee applies) at 1-800.672-2413 to pay using Visa, 30 Days kWh Billed 777 MasterCard,Discover or debit card. Yealtycomparison Total Use Avg. By Mail: Correspondence should be sent to: 3 May 2012-Apr 2013 8823 73� 2 North 9th Street Customer Services CPC-GENN1 827 Hausman Road May 2011-Apr 2012 8043 670 Allentown,PA 18101-1175 Allentown,PA 18104-9392 a Other important information on the back of this bill 4 Return this part in the envelope Bill provided with a check payable , mount Due at ewcatc umm� to PPL Electric Utilities, 671$0-30003 Apr 16, 2013 $122.10 AV 61 667447 33663E 26 C•-BOGY Amount Enclosed:❑❑[In n[110 1141IuIIII�llI161r9u�ll^hhur°t'IIPI'Ihl�ullhl ANN HOOVER 216 STONE HOUSE RD PPL ELECTRIC UTILITIES CARLISLE.PA 170159429 2 NORTH 9TH STREET CPC-GENNI ALLENTOWN, PA 18101-1175 h1tHllllt'1111"I'llllllltl'It'lltl'It'Iltllitllilnhtlttil. 1 5700001221070000122104 6718080003 1/1 SOCLOO Ililillllllllllllllilllllllillllllllilllllll cc - 0 MM I 8U M� O 'D rl T M, 0 tZ 13 --E 77, Gi 11 IM c C3 CL -�a 9-� .0 T 0 z�2m 0 -C g 0 P w a 3 t �,, OE c CLn Mr � �5:N-ff -0 0 1 0 VA to 0 c C 0 m c - 75 " E "LO y— CcOgI2 S,OE' m= �0� .2 0 go V E =:F. 'w 0 M-a 'M Z , —= a CL u A E w MW .0? >. q w mo 2 U0 "M Nw W co E �a 1.MW 5. -M 0 W wo M�Plw ca -:g �j (.0-W.g .0 Oa rw =` 0 w H a . ww fO :50 0. 0 < 0 CL c 0. a, E M w 0 :wp w C. 0 a0m 20 ;a�w , u w 0 E tD N V CL 0 IC N EJ u t; c EPM 'a �w E m E E a -c w-C 62 Oww :p w B u w u z Z w 0 w M. 9 E S4 M' RL E mw ro- E-E- cc z 0 w 2 u (u c -c:o w Lr) 7E a 6 Ot U) w -C: wo D. fm 41 " Ew ' z IM 4 > §K Er-5 SINS o U � 0 CL M"U< 0 M ?: ut �i W 5'vi 22 0 c CL O w C5 E u 5 CL u m:E (p u ca u < M M i lz al w U� E w rl =�^ CL M 0 TODD ID H�—CL� � 1 10 M w -0 49 N E Otam M M M 'f,�g 6 M '00 w , Ow LL 4) (3 Ou —A E Cc to M Of 0 IL CO VU 00 tM < M M Cc wo- <d fwd E a c ids T z,� 0 0 'EZ -5 of Z 0 tOM Qj :E.T= �O w 15 (4M31)Aea lad,2AV r M 06,E Illllllllllllllllllllllllglllllllllllllllll .. to LD tE via o T „ m" c d I r m M O n . d o uao cc m pyoo� ° A 9-nmo H4 m d vlm y m.0 �nr cm cow bo 'o u c u ° m W O= a m m O m C c a x moE � d L > p � nEmo ° >° > ° E o� two °° mox, m m tYnnm E C o mf =m ado m � o m m0Yn� uuw<° m2o yaE w a Qmv o mc � to .°va m, m E'^ a N � coi u -2 m 0 co M a+ N iO d m�0 W OG.o C j N mt'Q e9 0. i IS N > > dip. awq d - cu u GO N Om V Y :p mo m s L L J a ,y L c -�' mti ai d a�.0r viv > o Q m CEC Y� w ¢ = w" m� c °—�� aao+ a`w as cCC' CY G W w N, m C �MN H w Lt ma� 2E.. G mr .. Z ?i kE _ Cl m d u p 'D I j c—`u' 3 ° a w a 7 m uwu Nl p oWY.6 Emg L� ++ wd mtf�$ i NY N m a � O. m CO GI C _«JVVIw >e ° OOGI C Cd OVm 3 W -M�N V a f0 N L C• C NL > �i6 Q> 5''y� o U >aL+ E Qd mNu M mu F ,E ¢ alto >. a � ji m c O w w M C Do w � 5 9 E N Tm 2 tl n V1 N • m N I! O of + r N9JN o N bN O N N. b b If m m N I c amE 0�0 m Q >m j tAMgdm o .. 0 0 �m c o m I O d c �- m ! A m H c L E,. N • N N _E V wxQ n� L.00 py�A d >wa i(v}}lE cyc 1° > W F O R 00 k'' Oran • ,M1 • N N m rNy ti y 3 U x O J d C V O m rmi N .ai N N 5 O O O N { 1 0 N Q N U cL> )=w o WMA)Ae0 Aad'9AV I I�,� Milli ; 1 .. T n. rl N O ` a • t" a y 3u a> N o.m� a m C YZ O C!' h CL t, _ um`O V m O e to ^ rl N CI O. O �•- O.� O OI Y oo .°''^.� > N c l/1 N 41 N C j, MI,Tn vI 7 L 'O CL 70Z n mvo raw EOU i• d,mmm PC c ` oa o3 0 v � w x moE 51 cu cc°r >a o— w u°IEmo ;,, Op 3 Np„ 3L Ora L 0_I Ox C m Ta ` Y > mm >" ,cazL au.tic� nm E FN - m �o C N ch u L ° m N 0 o (n 0 c E y 3 o°o v aaa, o u� �+ a,L.• u o�. e abo z m oc°a W o,°„ uaI mad Paco. mi va c arMw Ecv O �. V m uI m Q O C�Qqi uteri ♦C r�L OjO � +r u �ayd Oww W O �' a W IT C .~'. YT/i �. W m qua 19 =w a �oaci � mL• ..O1W o m oI N a o > O` m Vic? d w `-ova ° CC o �Jm d ca oa/ dui rrryry m L .C'. wt > 3a v> 5rrRo 0..33 E Oa mrvu¢ f e am`a t+ u � W .• a+ C _ 33 ,f�l = 14mrr i3 ;°. 0 ate . O e0 � go u � r d � LL LL C Na o W— Z n n ry 6 m n l mNJ^ a N Tm N O i� to w i 47'� ry ry II cm C j¢Q E a CU WC0°0 iL d O OC g e m d In N ^ If •.aa Wrl y10 V ?° $ m ° Ev CL P w2Q Pt LaW�o • a Q' 1 Cf >y m I!fE c0Nc N N N ^ OOzw ^ ^ ry O O W "'x�= � � �I H oo m ry ID 0 2Z�K y � Nd a s d CI Q N g rn Q n U > F% (LIMN)Ae0 Iad'8ny I I� Questions?Please Visit us online at Page 1 �►/ contact us b , y Oct 16. pplelectric.com 1-8OD DIAL-PPL Po :;�. . (1-800-342-5775) PPL Eh"Mc UN1000 M-F:Barn to Siam 67180 80003 Oct 16,2013 $3147 Your Electric U age Profits Billing Summary (Billing details on back) Service to: Balance as of Sep 25,2013 $0.00 ANN HOOVER Charges: 216 STONE HOUSE RD Total PPL Electric Utilities Charges $18.53 CARLISLE, PA 17015 Meter:84573360 Total VERDE Energy USA Charges $12.94 Your next meter reading is on or about Oct 24,2013. Total Charges $31.47 This section helps you understand your year-to-year opnt Due'By Oct 16;2013 ' $31.47 electric use by month. Meter readings are actual unless Account Balance $31.47 otherwise noted. N 2012 02013 PPL Electric Utilities'price to compare for your rate is$0.08777 per kWh. This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com 4z or www.oca.state.pa.us for supplier offers. zs' Your Message Center 11 • VERDE ENERGY USA RATE$0.0924/KWH b 14 • Go Paperless,and receive a FREE LED at < 7 pplelectric.com/gopaperless o • Information about appliance energy use and tips on J F M A M 1 s A s 0 N D saving energy are available through the Energy Library on our Web site,ppielectric.com/e-power Months • Before digging around your home or property,you Days,Monthly Average should always call the state's One Call notification kWh system to locate any underground utility lines. You can Comparison c illed kWh/Day Temp. do this by simply dialing 811,which will connect you to Sep 2013 32 140 4 68F the One Call system. Be safe and call 811 before you dig. Sep 2012 ` 32 1 463 14 69F Billing Period Type Reading Payment,Methods Sep 24 Actual 25812 Online at: O By phone: 1-800-342-5775 Aug 23 Actual 25672 ppielectric.com or call BIRMatrix(service fee applies) at 1-800-672-2413 to pay using Visa, 32 Days kWh Billed 140 MasterCard, Discover or debit card. Total Yeafly Comparison ® By Mail: Correspondence should be sent to: Oct 2012-Sep 2013 7286 607 2 North 9th Street Customer Services -----Ilil CPC-GENN1 827 Hausman Road Oct 2011-Sep 2012 8098 675 Allentown,PA 18101-1175 Allentown,PA 18104-9392 Other important information on the back of this bill ' - Questions?Please Visit us online at Page „n contact us by Nov 18. �J pplelectric.com MM 1$00-DIAL-PPL r M-800-34 to 5pr) I 67180-80003 I Nov 18,2013 �E�+= v� •.,• M-F:Sam to Spm 1 S25.96 Your Electric Usage Profile Billing Summary (Billing details on bacE Service to: Balance as of Oct 28,2013 $0.00 ANN HOOVER Charges: 216 STONE HOUSE RD CARLISLE, PA 17015 Total'PPL Electric Utilities Charges $17.07 Meter:84573360 Total VERDE Energy USA Charges $8.89 Your next meter reading is on or about Nov 22, 2013. Total Charges $25.96 This section helps you understand your year-to-year ouM D'ue By Nov 18,2013 $25.k electric use by month. Meter readings are actual unless Account Balance otherwise noted. $25.9r E2012 2013 PPL Electric Utilities'price to compare for your rate is$0.08777 per kWh. 42 This changes the 1st of Mar,Jun,Sept,and Dec. Visit papowerswitch.com 35 or www.oca.state.pa.us for supplier offers. 28 Your Message Center ° 21 • A new price for the quarterly distribution system 14 th rov me nt char 2013s effective from Oct. 1,2013 a 7 • VERDE ENERGY USA RATE$0.0999/KWH 0 &a J F M A M 1 J A S 0 N D • Go Paperless,and receive a FREE LED at Months pplelectric.com/gopaperless • Information about appliance energy use and tips on • saving energy are available through the Energy Library Comparison Billed kWh kWh/Day TempE on our Web site,pplelectric.com/e- power Oct 2013 80 gg 3 60F lighKeep nd can reduce light output by as much as half. Oct2012 1 30 615 1 21 56F Billing Period Type Reading Payment Methods Od 24 Actual 25901 Online at. By phone: 180x•342-5775 lio Sep 24 Actual 25812 ppleledric.com ©or call BillMatrix(service fee applies) 30 Days kWh Billed gg at 1-80D-672-2413 to pay using Visa, MasterCard, Discover or debit card. ' _ ® By Mail: Correspondence should be sent to: Nov 2012-Oct 2013 6760 S63 2 North 9th Street Customer Services CPC-GENN3 827 Hausman Road Nov 2011-Oct 2012 8163 680 Allentown, PA 18101-1175 Allentown, PA 181049392 Other important information on the back of this bill 4 Questions?Please Visit us online at Page 1 contact us by Dec 16. U pplelectric.com Bill Acct. No. Due Date AMOUnt DLIC i 1-80D-DIAL-PPL pp1 (1-800-342-5775) 67180-80003 Dec 16,2013 I; $30.67 �c E nMO wine. M-F:8am to Spm Your Electric Usage Profile Billing Summary (Billing details on back) Service to: Balance as of Nov 25,2013 $0.00 ANN HOOVER Charges: 216 STONE HOUSE RD Total PPL Electric Utilities Charges $18.18 CARLISLE, PA 17015 Total VERDE Energy USA Charges $12.49 Meter:84573360 Your next meter reading is on or about Dec 26, 2013. Total Charges $30.67 This section helps you understand your year-to-year mount Due By Dec 16,2013 $30.67 electric use by month. Meter readings are actual unless Account Balance $30.67 otherwise noted. 2012 2013 PPL Electric Utilities' price to compare for your rate is$0.08777 per kWh. This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com 42 or www.oca.state.pa.us for supplier offers. 35 Your Message Center 28 • VERDE ENERGY USA RATE$0.0999/KWH 21 a 14 • Go Paperless,and receive a FREE LED at pplelectric.com/gopaperless 0 • Information about appliance energy use and tips on J F M A M 1 J A S 0 N D saving energy are available through the Energy Library on our Web site, pplelectric.com/e- power Months • Before digging around your home or property,you monthly -Days Average _ I should always call the state's One Call notification Comparison Billed kWh/Day Temp.—, system o this by simply dialing 811,which will utility lines. you to Nov 2013 29 125 4 45F the One Call system. Be safe and call 811 before you dig. Nov 2012 33 1011 31 44F Billing Period i •e Reading Payment Methods Nov 22 1 Actual 26026 ,/o Online at: ®By phone:1-SOD-342-5775 Oct 24 Actual 25901 lJ pplelectric.com or call BIIIMatrix(service fee applies) at 1-800-672-2413 to pay using Visa, 29 Days kWh Billed 125 1 MasterCard, Discover or debit card. Yearly Compat ison Total Use Avg. r Monthly ® By Mail: Correspondence should be sent to: 1 2 North 9th Street Customer Services Dec 2012-Nov 2013 5874 490 CPC-GENNl 827 Hausman Road Dec 2011-Nov 2012 8472 706 Allentown,PA 18101-1175 Allentown,PA 18104-9392 Other important information on the back of this bill 4 .•,;;;;•, Questions?Please Visit us online at _ _ Page 1 ""°•::', © contact us by Jan 20. V pplelectric.com 1-800-DIAL-PPL ' 67180-80003 Jan 20,2014 r $37 99 pp M-800-342oSlam -- — — �,��,�„ummeo M-F:Sam to Slam Your Electric Usage Profile Billing Summary (Billing details on back Service to: Balance as of Dec 30,2013 $0.00 ANN HOOVER Charges: 216 STONE HOUSE RD Total PPL Electric Utilities Charges $19.91 CARLISLE, PA 17015 Total VERDE Energy USA Charges $18.08 Meter:84573360 Your next meter reading Is on or about Jan 24,2014. Total Charges $37.99 This section helps you understand your year-to-year mount Due By jam 19 2014' [' 7:9+ electric use by month. Meter readings are actual unless Account Balance $37.9` otherwise noted. PPL Electric Utilities' price to compare for your rate is$0.08754 per kWh. ■2012 2013 This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.iom 42 or www.oca.state.pa.us for supplier offers. 35 Your Message Center T 28 • VERDE ENERGY USA RATE$0.0999/KWH 0 21 14 • With paperless billing,you can receive and pay your �D PPL Electric Utilities bills online.The process is free, a 7 visit pptelectric com and secure.To learn more or sign up, o 1 F M A M 1 I A s o N D . Information about appliance energy use and tips on Months saving energy are available through the Energy Library on our Web site,pplelectric.com/e-power Monthly r I • Brighten your,holidays safely. Check light strings before kWh COMI)Z16501`1 Billed l(Wh/Day Ternpw using to make sure cords and plugs are intact.Turn off Dec 2013 34 181 1 33 1 Inside holiday lights before you go to bed. Dec 2012 30 931 31 39F Billing Period Type Reading 0 Payment Methods Dec 26 Actual 26207 Online at; O By phone:1-900-342-5775 pplelectnc.com or call Bil[Matrix(service fee applies) Nov 22 Actual 26026 at 1-800-672-2413 to pay using Visa, 34 Days kWh Billed 181 MasterCard, Discover or debit card. Comparison Yearly Total Use _ Monthly ® By Mall: Correspondence should be sent to: Jan 2013-Dec 2013 5124 427 2 North 9th Street Customer Services CPC-GENN3 827 Hausman Road Jan 2012-Dec 2012 8406 701 Allentown, PA 18101-1175 Allentown, PA 18104.9392 Other important information on the back of this bill 4 ' lit Ilillllllllllllllllllllllllillllllliiillll I ^' N R -opp, o T O.. N L V a> u �+CL if/M1i a O yr: Y u ai uai H aN y N v � m a 0 w3: o Z' .. N N N r=? 00 C C C G LN9i d t. NM jt ,glKm t^° MH a� 9m !2 o � v vy cfl .+g(�d vn o > vmo cc � E +_s �o ,� c c c cuE mw3 tmm cm$� ° E ' o ° >° 3: jaC JaL+ a u)mv'Ci aga?� `1 O=Lfim Lc41o±+ a+ � E i�'� wm 0ulra y � d ' p molo� UUONOQ o c~ m0` O � © r m a ' ' aW°� o M°= v v � w mm c m m Eca .n = o �y c °—� yao Wi C 00 tD yuj U 'ei' O �' Q >0_ N D.._ d o m C .ti E W ¢ .+ ... O d = e3a o. ?+ E,� y a-i " � 'N, u�N C vai c �Y ' mma � °o3 N ° w N 1 m .� aj- R d y :a= CU 0d o-0 � C a!! :0 = A N m d Nti-i ai CL d ¢ °1� aci Yi ° PN u `-°�, « u `^ d O " E E C .�: Lam,, w W= oww WO MW d u �zc C u z w W Q N "N. N =� '� fyA w n� u a EC=O d-0u CN �o�c O �' N °' w m,'� N u mp dl aC Y_JY._ O- » C - U N 0*0° ZA m t '�• m v1O > �6 Q> = `u4o Qa- E On mNUQ Uj j wu > a - 1- r o d!^ 0 t6 mmu ��, 4 m o } d d ° LL LL C yOj L O N_ Z n O fOLLJn 6 N 6 ON rtf n an n b O ° LO .. m N N as Ct- E LL >m a m ° �°bm of6o N Wt pp z d O O C 0 o Cv 2 � V 0 a o 00 m d c c. e a E V w2Q ^ � LLO A d >wa ug� E cyc a m ry r b0a n m N W u O z0 v c t o a r « '� ° N CD 0 N �° ° m 3 'Zz�E? « � ti m m ai m C d L LL LL '� �' NQNU > oo (4W)Ae0 jad'9ny STATEMENT OF PHYSICIAN SERVICES 'ENNSTATE HERSHEY ANNA M HOOVER -PAGE 3 of 3 216 STONEHOUSE RD _ IV n S. Hershey CARLISLE PA 170159429 DATE 04/28/13 Medical Center DATE STAN ACCOUNT# 816030 GATE: IF ANY QUESTIONS,�PLEASE CONTACT. MSHMC PATIENT FINANCIAL SERVICES FED TAX ID # 251857035 JL P �YR� ���! )� Y/Y�T'Y' 3.9 y�.`�•jQ+%MY1'Rrt{xe��� j�� f-'{''r'�".iYr°nr->�w�'N'.�rywv'yv,'°`°"'i'y$i.' ^��.�°e �VVarF7 +er4 s7:.,wtriiie`i?.e....�':bvS.'.C:��,.k:..'rtid�u.Ga.LK d...+�SE:J✓.3'S' �v�rJ.�"rii.'+i%J4�E+n..w." 7.r rP ik` ✓.r�YAt1a.��/n.He fie.r'-� 5 GIfi.5.1�LA1�Q�.��� p°.wd+.,.:.�4b. w Fe$�fv� '.tiatiG:L..Jrraa�YniuSa.Ye.1Y.:i.� a.w<dfir,✓ts✓1k' BALANCE SUMMARY RESPONSIBLE PARTY POLICY 8 TOTAL MEP NOWAS SOLUTIONS TNC 203248531AN S 503.90 IAM MUMANA NWM133DIP1437602 S 2.21 MEI[ 9UARANMR RESPONSIBILITY 9 19.51 IMPORTANT:PLEASE PA7,01f�[I ANO RETURN BOTTOM PORWOM OF STATEMENL17jtUpWf,4yM;ff._____.. _ , _. ❑„ }`` "'P CHECK BOX AND ENTER ANY ADDRESS OR INSURANCE CORRECTIONS ON BACK E rv.�v94 a-. I6^aAFCIia�ii .r .M?"4 - STATEMENT OF PHYSICIAN SERVICES IENNSTATE HERSHEY ANNA M HOOVER PAGE_2 of 2 216 STONEHOUSE ROAD _ ton S. Hershey CARLISLE PA 17015.9429 _ DATE: 06/03/13 LAST STATEMENT e&aa / Glt ff ACCOUNT# 818030 DATE: 04129113 IF ANY QUESTIONS PLEASE CONTACT MSHMC PATIENT FINANCIAL SERVICES FED TAX ID # 251857035 i fs � , fi Gw PNAfl :{wa R N �TK TITS STATEMENT TS FOR PHYSICIAN SERVICES ONLY. IN ORDER TD KEEP YOUR ACCOI1W CURRENT, OUR POLICY IS TO APPLY YOUR PAYMENT TO THE OLDEST OUTSTANDING BALANCE. YOU MAY ALSO RECEIVE A STATEMENT FOR HOSPITAL FEES. THANK YOU FOR )SING MSHIIC PHYSICIANS GRJRJP FOR YOUR PHYSICIAN SERVICES, BALANCE StMMARY RESPONSIBLE PARTY POLICY 9 TOTAL HIM HIIIANA I14865ISSWI437602 9 1.61 im GUARANTOR RESPONSIBILITY S 50.56 IMPORTANT:PLEASE DETACH AND RETURN 207T0M PORTION OF STATEMENT WITH YOUR PAYMENT PERFORMED BY: GERALD V NACCARELLI MD ELECTROPHYSIOLOGY 03119/13 93010 427.89 ECG ELECTROCARD INTERP HIM 101.00 05/28/13 MEDICARE PAYMENT* 6.42- 05/28/13 MEDICARE CONTRACTUAL ADJm 92.97- BALANCE: ANNA N HOOVER $50.56 VIDICATES NEW FINANCIAL ACTIVITY SINCE LAST BILL. AS A CMUESY TO OUR PATIENTS, MSHMC PHYSICIANS GROUP NILL WKIT BILLABLE CHARGES TO INSURANCE COMPANIES. IF YOU HAVE WESTIONS ABOUT THE AM INT YOUR INSURANCE COMPANY PAID, PLEASE CONTACT THEM DIRECTLY. FINANCIAL ASSISTANCE IS AVAILABLE TO PATIENTS NHO CANNOT AFFORD TD PAY THEIR MEDICAL BILLS.IF YOU HAVE NNUESII@S REGARDING YOUR BILL PLEASE CALL 800-254-2619 OR 717-531-5069 OR VISIT IS AT THE ACADEMIC SUPPORT BLDG., (OFF HOPE DRIVE), ROOM 2106. HOURS ARE MOi 8AM-SPM, TUES & MED BAM-5:30PM, THJRS & FRI SAM-4:3081. ❑CHKK BOX AND ENTER ANY ADDRESS OR INSURANCE CORRECTIONS ON RACK Patient:ANNA M HOOVER Account:631014 Services Rendered At: CAR Date Code - Description Charge Adiustments Balar 3/18/2013 70450 T SCAN BRAIN W/O CONTRAST 198.00 4/15/2013 PMT MEDICARE-NbVITA5 SOLUTIONS 32.06 4/15/2013 CR Adjustment MEDICARE-NOVITAS SOLUTIONS 157.92 3/1812013 71010 CHEST SINGLE VIEW FRONTAL 36.00 4/17/2013 PMT MEDICARE-NOVITAS SOLUTIONS 6.94 4/17/2013 CR Adjustment MEDICARE-NOVITAS SOLUTIONS 2232 Current 31 -60 61 -90 91 -120 Over 120 BALANCE DUE 9.76 0.00 0.00 0.00 0.00 PAY BY Due Upon R< For billing questions call: (717)932-5955 or: (877)932-5955 Fax: (717)932-4856 Office Hours: 8.00 AM-4:30 PM >_. . . . ..._ - .. u To pay your bill online and register for eSt STATEMENT please visit us ww.gita.com SEE REVERSE SIDE FOR IMPORTANT BILLING tNFORMAT va iON 19610 a IIII_ ------------ /E,_GC,ONLE �- MEDICAL CENTER Patient Name Anna M Hoover a Online at www.carlislermc.com Account Number 1324735 (available 24/7) Date of Service March 04, 2013 Service Type Outpatient By phone-717-960-1680 Insurance Name Medicare Outpatient Name of Insured Anna M Hoover ® By credit card -complete section below and retu Policy Number 203248531A Amount Due From You $177.81 ® By check-return section below with check Amount due from you is $177.81 as of 07/31/2013 for The charges listed below do not reflect the discount Outpatient performed on March 04, 2013. you and your insurance company received. Other Procedure 2,32 Total Charges $20,001.96 Lab 2,72 Discounts/Adjustments Given -$17,589.17 Pathology 14,95 Insurance Payments Received -$2,234.98 TOTAL CHARGES $20,00 Amount You Paid $0.00 RECEIVED AUG 0 5 2013 Amount Due From You $177.81 WIN&McKPJIGH'I LAW OFFICES 5 ® IiRtYnJIM • • - MASTMT-1785399-1476848r46-P;7671785-1-106;33528515-1; 1 The amount shown on this statement is outstanding at this time.Your prompt 1 payment will be greatly appreciated. -•-.n2ur�er.no�envmmcelporarvn-nwve r�our ,ove—�- -.- _- _ - __. __ _ _._ _ -.�. -� _ _- � r -- MEDICALjCOE NTER 1 Patient Name Anna M Hoover a Online at www.carlislermc.com Account Number 1328738 (available 24/7) Date of Service March 15, 2013 Service Type Outpatient By phone-717-960-1680 Insurance Name Medicare Outpatient Name of Insured Anna M Hoover ® By credit cans -complete section below and returl Policy Number 203248531A Amount Due From You $149.82 ® By check-return section below with check W0111• • • • Amount due from you is $149.82 as of 07/31/2013 for The charges listed below do not reflect the discount t Outpatient performed on March 15, 2013. you and your insurance company received. Lab 915 Total Charges $5,053.92 Treatment Room 1,705 Discounts/Adjustments Given -$4,309.80 Pharmacy 58 Insurance Payments Received -$594.30 Supplies 697 Amount You Paid $0.00 Processing fee for blood 840 Pathology 835 TOTAL CHARGES RECEIVED $5,053 Amount Due From You C-'M $149.82 AUG 0 5 2013 IRWIN&MCRNIGHT LAW OFFICES Y I M -H MASTMT-1785399-1476648552-P;7671785-1-107;33528515.1; 1 Your Insurance carrier has denied payment of your bill.Therefore,the bill is now y responsibility. Contact your insurance carrier If you have any questions. ---lie�o-aer-rss'sanwxre cotpnranon anon=Dow--•ao, --..--.^---.--_--- ._.___.�_._. ._.�-_-_.�-:�..,_,----.—..- ------------- � Account Information Account# 9548316 CENTER Patient Name: ANNA M HOOVER ZFINA NOTICE Date of Service: 03/18/13 05/23/13 Balance: $320.98 We are writing to inform you that your balance is past due and a payment in full has not been received or a suitable payment arrangement established. This is a request for immediate payment in full on or before ten days from the date of this letter. Pay your account in full by check, money order or credit card payment using this form and enclosed envelope. If we receive no response from you this account will be referred to a national collection agency. If you have already sent your payment please disregard this letter. You may also pay your bill online at www,carlislermc.comm. Thank you. Carlisle Regional Medical Center Questions? Telephone: 855-843-0549. Servicio en Espanol, por favor(lame: 1-866-301-0426. 858 _ PLEASE DETACH AND RETURN BOTTOM PORTION WITH_YOUR_PAYMENT OR MAKE PAYMENT BY CREDIT CARD________ ______ 0 VISA Card Number Signature Total Paid i111Nlnlllllll fl�l �lnlllll�lilllhllnllllllll ❑ MC Code — Carlisle Regional Medical Center ❑ DISC . Signature Expiration DatE 366 Alexander Spring Road 0 AMEX Carlisle, PA 17015 Statement Date tray A'°r[tOtlM SHOW AMOUNT PAID HERE 05/03/13 E�' �r320 $�" $ Account#: 954831 JON8195483160 317046801435 334t0800N&W02 ® Mail all Correspondence to: i1�111'IIl�fiil�'IIIfi��Bfilliu�rb�IiouIII�II�i61r�,1'filhllil Carlisle Regional Medical Center Anna M Hoover PO Box 281442 216 Stonehouse Rd Atlanta, GA 30384-1442 Carlisle, PA 17015-9429 00000954831600000032098ANNA M HOOVER 8 o. m W w F J a W F. fA f9 f9 F9 f9 a III N O ik F O x C C C C a M Z E- Eo 0 W LL � � Om mw m¢ IL IL a �j ly O1 ONN aAapO V III c m y~ .09 N _V `D� m FI cc f C6 ., A 0 o of m J N. J o a' A o } F O N ' ON O w Y U J w N Z y. W s� Z'. w C7. aGs. Q' o Zi R v � en Lmu y (�N r Cam.",+ -4l�. •mid �� CY N ..fir ova ul ter. -.; ,. UA s Cc U E , y 0 .. 0 \1 vlf> w .- U °m QHUSr >� Zoo �z ZY :c Q= w J m ° w wOOJ o Cr F- m�oa 3�O� co < Dzww 02 ot5NU o J = N U C NOOO OIL E�PLANATION OF ACTIVITY NO M. O22713,SACHELARIEi HOSPITAL CARE INV#:5 HOOVER,ANNA 362:00 AMOUNT TO BE PAID BY CO INS $38.86 1052813 MEDICARE PAYMENT _ -155.42' 052813 MEDICARE ADJUSTMENT � � -167.72; 061313 ` 65 SPEC MEDGAP PAYMENT 1 0.00 ;062413 � BALANCE CORRECTION R I i 0.001 Insurance Balance: 0.00 Patient Balance: ' 38 * i I a i 1 I t , s i 1 F 1 � ! I Statement PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE: Date: 06/25/13 1027397 PATIENT E Current 31-60 Days 61-90 Days >90 Days Total Ina Pending PAY THIS 38.86 0.00 0.00 0.00 ; 38.86 0.00 38.86 SEND INQUIRIES/PAYMENTS TO: CARLISLE HMA PHYSICIAN MANAGEM PO BOX 281629 ATLANTA, GA 303841629 07 770 2489702 007771007771 00001/00001 920966912 . 1 NOTE:Charges and payments not appearing an this statement wi0 appear 0n next m0nth'9 statement. tlTl6BD00W ``` r` 1 � m Z < � Z m � 9m � a � CC o0ID O S 000 -0 0 3 v F c m �c -0 m 0 a 60) O N .Z1 � 0 7 0 Ol N C 1m f N O N - O y m N, �< d c d m o o 0 D c Q n ° 51 w o -0 n f 0 0 3 m m• 3 0 12 m m m to 3 n < n � I I (D 3 ° D O Z 7 CD 0 n O N d • mi O 3 O S N N 3 S ? N w rL 61 .�..• N O m _Iao c m o � v < � d m i <n SI3 N (D O N ? m °O N• N o o 0 • V o'VV c S ? m m a cr m ° N CD� ' N ° f - _ N .Zl N S -0 0 G� O" n 1 o cn N n ' m o F J s 1 4 m w m w 'm N CL g v m o =r». o O w m �. o m B S [- C m Z 3 w W 2 O I N .ZCI ° N � ^� � .., 4NQ F c 0 a� D ° d ° Z D rn m w d O N D c T m d m e 1 ° `° < % m r rrO m o x f m 3 T s C N C O ,O m m d O N we m QCo n m m (D U) V e m c7 z N N i 7 r N a it CD CL - fD < � w Z.j N N m� cn ob n O N A O co CL J 3 3 �CA f o O N S W N t° 3 y m CD rn N 7C OD f N - w -0 J CD 1 d. N f r S N (p tS m 0 E C 0 4 2`1 MAIN k,NicKNIGHT i AW 0 FiCl=e DELIVERY ADDRESS, ; - ACCOUNT P ,CI ZO 'TERMS PREVIOUS BALANC `s O 0 HOOVER ANNA fl , 56997, 45-6408 tdB COD $0.00 .�1C, ,_*,4Y1NFNf1FT4P� RF) 97�1A 7 GpLL� 5 2 a "9 y f:ARY,ISLS :'PA 17013 �J!145!'131:iS NUU ..0: DEOREE:DAYS JUIJUN i Press- : PROPANE BY THE GALL 02/051.13 125_ld 0 00/: 257, ® AM G ADDRESS ^— }~R� HOOVER, ANNA 12/03/12 . 113_90 0 only Lu c i o CD(.� 2 216 STOREHOUSE RD � wr o o CARLISLE,. PA 17013 PRINTED FC DATE - CARLISLE �r w CARLISLE- INSTRUCTIONS PROPA14 — PANY 11/26/13 N 11126113 °o No Dehvety"Notes P.O.Box 577 GAtiI oNS >PRIaE AMOUNT f_...r �"] . . CARLISLE,PA mil 2_S99 L (D (!' - 97093 z ///��� a� " �I (�i�>a4s 392 I �t r- .� .. i _11 --PA-SALJrSTAX _ - I 'I ¢` : m � �. ' - TIQIC<=T - 1071803: EVIOUSBALANCE- - L 2� . '4."'i ¢ NO , .. 1 >m o DEL O _ 2 SUBTOTAL w j PAYMENT . RECEIVED BY - PA,THIS AMOUNT �T- 1 DRIVER PAID: ❑YES ON ACCOUNT ❑ PAST DUE: ❑ yEe 1 �� CARLISLE PROPANE COMPANY m VISA (717) 249-3112 MMASTERCARD D PREVIOUS SALE NO. CODE GALLON READING.START 10ths q l V UR15ALENO. .� GALL�REA INGF ISHr & If yy 4::157 z �? qrR 3- fits }I� 4 11� m rz, fI •�' C+4 m •rt' V!Z M !I .n m' � 'C. cta Ito CS i.iZ; - ) x 11 ❑ x IL e ' I c r• c 4 s a z D` I� fl1 om w m x O y y ko N n co ❑ Z -h:: :l D- C3 d= O �.. N ri{ 3 v "r' Ir = cc I a_ y c n m m z US 3 < n M m fi .4 c m Z N f m m a n y � m m � f Pay By Phone: 1-877-720-1583 Phone PIN: 1220802890000 ADVANCED DISPOSAL SERVICES AdV711td HAR BURG-LC 1 qucHN RD. Advanced Disposal is a company bringing fresh ideas and �� l IPPENSBURG PA 17257 solutions to a clean environment. How can we further help your business or home become greener and cleaner? Visit us at www.AdvancedD!sposal.com. RETURN SERVICE REQUESTED 000zzs3 If.paymentis not received by due date you may be 005356 oo 0x102 III,II�111'llt�ll'�III'Ibllll"III�'�" assessed a service charge of at least$5.00 or 1.6%of ANNA M&DOROTHY J TAY HOOVER the unpaid balance. r 216 STONEHOUSE RD CARLISLE PA 17015-9429 23 Account Information Previous Balance $88.62 Account Number LCO80289 07110113 CASH -$44.31 Site Number 0000 Payments and Adjustments -$44.31 Invoice Date September 30, 2013 Invoice Number LC0003288041 ANNA M&DOROTHY J TAY HOOVER(0001) Account Summary 216 STONEHOUSE RD CARLISLE,PA Previous Balance $88.62 Payments/Adjustments -$44.31 Date Description Reference G�j(t Unit Price Amount Current Invoice Amount $44.31 r 1.00-0.50YD:RESID TRASH(002) 09/30/13 STANDARD TRASH:10/01/13-12/31/13 3.00 14.77 44.31 Amount Due $88.62 SITE TOTAL 4431 Due Date October 31, 2013 Invoice Breakdown Current Charges $44.31 Current $44.31 Amount Due $88.62 30 days-past due $0.00 60 days-past due $0.00 90 days-past due $44.31 O It's easy being Green-sign up for ebill and auto pay at http://www.AdvancedDisposal.com/billpay Contact Us (800)338-8971 sh ippensburg @advanceddisposaLcom i LC1309271001.bd-10711-000002253 SEAR VALUED CUSTOMER, At Advanced Disposal,em are committed to providing the but possible customer care experlonce.ft have implemented more thorough training programs to improve our customer relations and here updated ourteleptmno system to bring you the quality.sanice you deserve.Pad of our communication improvement efforts includes providingyau with more ways to reach your Advanced Disposal service team,Including the local office number,ourtdl-free service center and a customer care email,all created especially foryou.We know ymtp find these improvements as belphd as we do.ftuld you need any assistance or have questions about your service,were here to help and at your disposal. Sincerelg YourMvanced Disposal Team Toll-free Customer Care Center;( 18)338.887T I Local Office:(814)285.1875 Advanced Diaapoteal Customer Care Email;CPACustomerSerWce @AdvalmadDlspusal.com PO BOX 553916 Important Messages ® � 17,,MI 48255-3916 Effective August 1,2013 we are standardizing Adlranced our Administrative Fee that may impact your Return Service Requested next invoice charges. Diisposal 6334018570 PRESORT 185701 AV 0.360 P1064<B> Ilurlll^uhlrrhhrp,rlrpllulugl.glllrpl,lrrhl.lh ANNA M 8 DOROTHY J TAY HOOVER C!r?: 216 STONEHOUSE RD k1� CARLISLE PA 17015-9429 Invoice Date Invoice Number Customer Number Service or Billing Address 6/30/2013 . 0003272921. _ 080289. ANNA M R DOROTHY J TAY HOOVER - 216 STONEHOUSE RD For Inquiries,Call CARLISLE PA 17015-9429 Service: (717)423-5383 Statement Detail SERVICE DATE CODE DESCRIPTION REFERENCE QUANTITY AMOUNT Balance Forward 44.31 Payments 11 0.00 Adjustments Involves 0.00 (0001) ANNA M 6 DOROTHY J TAY HOOVER/+ f216.STONEHOUSE RD CARLISLE,PA 06130/13 11 f STANDARD TRASH /� ! 3,00 44.31 7/1/2013-9/30/2013 r 1; Site Total 44.31 TOTAL THIS INVOICE .! 44.31 PLEASE PAY THIS AMOUNT 88.62 Account Status CURRENT .31-60 DAYS . '61-90 DAYS OVER 90 DAYS 44.31 0.00 0.00 44.31 Thank you for your businessl If you have questions regarding your Invoice, ® Remember to follow us on facebook. please give us a call and we will be happy to assist you. (717)423-5383 www.facebook.wMadvanceddisposal page 1 of 2 Keep this portion for your records-Please return lower portion with yourpayment. C n ?I A O r z 'oo c D _0 'i -u cn n rn C] -� mmn3 2 Dom � ° m m � O O � � Z L�" O Zyy m c zm � O < DD ;c mro Ux w Q y wH O � � > m NpxmL� 3O ZC 2.v>c O � V m m m m 0U) O • n m o oo � � mm rotas x N 6 0 cn : Z jz =O c M O � Cx) W 9 WC 0 In cc: ��, arno � � 7po0 � 0 H � Z m oo Uo wow O m -i � mm O cn cn O H m Z U) cn z -jm mxZ -� w n m m m D 'o (� m m m m n p a r m 2 m '� 0 �I n � D DXDOC Z Aw N z -Or W O T m Z ' L) 7J Zr - m n0F) ° z y p Z m m C r o zO -ono o - o z D m D � O Q z 7 `—nG ov, rn � a rn C O � m p 0 m c c� c C < D O < N ON � mc� cr0— D cn y � z cn m 3:Z K co �� 3a mC7o � m: m 2 ° t: rp G) mn (nD mo Z C) N ° r m - Qp < � N O iz = n AAA W m m Hz mzHO O0 O jD .Z� -DiODNK � � aow00 r: m m m Ut m 200 ..o 0 0 CO ti D H N N v m m { cNii m � w < A V N79 . -I mD0 z 0 > -,j � -' m 2 D DC :`M,_ s ^v z cn w C: m n N ss csa ss ds va 3 co N n o m NNNw0 X m �: m A D C � � i'a D m :W m D n vv c� a � z m c � w w cn m y a rn p ° O N O > w D iT oN\ow � % � AD m �+ AAA -PA wm . . . . . F' - - , i % o « z; 7n � | o . c ( \ k } / } } / { \ ( } § \ \ � } | � 2 ƒ k27 # Z0 k Gm ® : � k � \ � § m ` }ƒ o ) g ° ) } \ . � CD B • > � f CL . n { � � o ) \ � } \ \ - { 2 ( ( � _k : \ \ 2E fQ } \ ! § \ \ \ k } > 44 ° ( & I Z 2 ( CD ? ; \ > > ° CD / / \\ , j m �K � \ : | \ ~ @ 0/ . . j $ > �0 w CA : E ; � \ o IN in W #\. . . \ k \ � ° . \ � \ ty � \ a kk _ E \ } [ . \ « ° — ' i ; ! � ?f m@ I I K \ k \ / co CO . {$ w , _ co i ƒ 0 D ) ° / \ -4 ) § ' LA s Please Remit Paylrient,To Date Account Balance Cumberland Goodwill Fire'Resete Billing Office 13-132424 7/2/2013 $99.19 PO Box 726 New Cumberland, PA 47070 0726 QUESTIONS ABOUT THIS BILL? Phone: 877-214-6018 Espalloi:866-724-4114 Fax: 717-214-6020 Email: info @ambuiarimblllingoffice.0 Date of Service: 3/18/2013 20:00 Please visit our website to provide insurance or make payment, and Patient Name: HOOVER,ANNA for additional payment options and frequently asked questions: From: Carlisle Regional Medical Center www.ambulancebillingoffice.com To: HERSHEY MEDICAL CENTER IMPORTANT MESSAGE: Medicare has paid their portion of these charges: 'The;balance due is yoiir•'responsibility If you have supplemental rnsurai which covers this co-pay'amoun; please complete the backof the invoice or'contact our bitting office Thankyou t. 3/18113 ALS Non-Emergency Transport A0426 1.0 1,555.94 1,555.94 3/18/13 Mileage A0425 34.9 13.40 467.66 3/18/13 Adjustment-Insurance - -1,414.27 5/08/13 Adjustment- Insurance -113.39 5/08/13 Payment -198.: 5/08113 Payment -197 Total 2,023.60 1,527.fifi -396.' DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT. Account #: 140321456— Please Pay: $15.01 Due Date: 09/13/13 Payments Date Description Amount Adjustments BALANCE RWARD LAST STATEMENT 0.00 03/18/13 99214 OFFICE VISIT ESTABLISH PT 125.00 04/25/13 OTHE DENIED BY INS CO 0.00 06/20/13 MCCK MEDICARE CHECK -60.04 06/20/13 MCWO MEDICARE WRITE OFF -49.95 08/22/13 INNV INS NO LONGER VALID 0.00 i 3 } A Word About Your Account Total Now Due 15.01 Make Checks HOSPITALISTS OF CENTRAL PENNSYLVANIA For Billing uestions Call Payable To: PO BOX 62722 (888) 610-6322 BALTIMORE, MD 212642722 PAGE 1 OF 1 ' ..arrwrfnamuvu-..a-ac+-auvnr—.ati. i This statement is for services rendered by Genoptix, Inc. You can find more information about o services by visiting our website at www.genoptix.com. If you have questions regarding this statement, please contact us at the phone number listed below or by email at: billing @genoptix.c Please disregard this statement if you have recently mailed in a payment. Para communicarce con un representante en espanol, porfavor de llamar al 1-800-755-0802. Tol%9,ice payments or view your account, please go to www.MyLabBill.com. ANNA HOOVER (717)245-0408 403628 07/02/13 PROCEDURE DESCRIPTION OF SERVICE w 03/14/13 88187 FLOW CYTOMETRY; INTERP 2-8 MARKERS#SRVS: 1.0 77.00 04/11/13 PAYMENT - MEDICARE-S CALIFORNIA PART B CK#:8 -56.22 04/11/13 MEDICARE ADJUSTMENT -6.72 05/03/13 SERVICES BILLED TO HUMANA 04/11/13 $14.06 APPLIED TO YOUR COPAY/COINSURANCE PER ME ICARE-S CALI 04/11/13 MEDICARE-S CALIFORNIA PART 8 FWDD TO HUMANA 07/02/13 ***Your insurance is requesting additional infoxmation from 07102/13 you to process your claim. Please contact our Office to 7 07/02/13 assist us in getting your claim processed at the In-Netwa k 07/02/13 rate. If we do not receive a response, this balance will 07/02/13 be your responsibility******* T# 403628 REFERRING PHYS :HARVEY J HOTCHNER 14 i CURRENT 31-60 1-90 DAYS 91-120 DAYS OVER 120 DAYS 14.06 0.00 0.00 0.00 0.00 , 1! FOR QUESTIONS CALL: WRITE ACCOUNT NO. ON YOUR TOLL FREE: 1-800-755-0802 CHECK AND MAKE PAYABLE TO:GENOPTIX MEDICAL LABORATORY HOURS: MON-FRI 7:00AM-5:00PM PACIF FAX: 760-516-6062 1 FOR ASSISTANCE VISIT www.MyLabBill.com using Access Code GK-403628 �....„r SEE REVERSE SIDE FOR IMPORTANT_BILLING-INFORMATION_ COMMONWEALTH OF PENNSYLVANIA PUBLIC SCHOOL EMPLOYEES' RETIREMENT SYSTEM PSERS Toll-free: 1.888.773.7748(1.888.PSERS4U) 5 N 5th Street Local: 717.787.8540 Harrisburg PA 17101-1905 www.psers.state.pa.us RECOVER June 28, 2013 IJUL 0 8 2913 KAREN s NOEL IRWIN&WKNiGHi IRWIN & MCKNIGHT LAW OFFICES W POMFRET PROFESSIONAL BLDG 60 W POMFRET ST CARLISLE, PA 17013-3222 RE: Anna Hoover SSN: Dear Ms. Noel: The Public School Employees' Retirement System (PSERS) is processing the benefit of Anna Hoover. { PSERS issued the following monthly retirement benefit(s)prior to processing the death benefit: I� Check Month Check Amount March 2013 $ 80.52 Anna Hoover was titled to a pror# unt from March 1, 2013 to March 19, 2013 in the amount of 97. Therefore, please reimburse PSERS $29.55, which rep sents the total of the monthly benefit payment and debts (if applicable) listed above, less the rorated amount. Please make your check or Oney order payable to Public School Employ es' Retirement System and send it to the above dress within 30 days. Please retain this information for preparation of the member's final tax return. If you have any questions, please contact the PSERS Member Service Center by calling toil-free 1-888-773-7748 (1-888-PSERS4U). Harrisburg local callers, please use 717-787-8540. To contact PSERS by e-mail, use the following address: contactPSERS@pa.gov. For your convenience, the Member Service Center is staffed each business day from 8:00 a.m. to 5:00 p.m. For more general information, you may visit PSERS online at: www.psers.state.pa.us. Sincerely, �ii�rfiG .�C`td0� � �� �f'XtJZ¢�tt¢�ct ,��dit¢cmt ia���f11�1111�Dlllll 111��1�if111�llllffll�ll l�IIIIIIIIIII�lllllll(Ill���l�llllllll l�flll�((I����I���I��I�I���I�I��(IIIII���I�IAlllll�l�ll���l��lll�l�l��I�IQII M MMf.CIJ]M]M�11 1300113665 PA-40-2013 Pennsylvania Income Tax Return ENTER ONE LETTER OR NUMBER IN EACH BOX N Extension. N Amended Return. R Residency Status. HOOVER PA Rcsidenl/Nonmxident/Pan-Year Resident from to ANNA M Occupation RETIRED D Single/Married,Filing Jointly/Married, Filing SepamtciylFinal Return Occupation Y Deceased Y Taxpayer Date of Death 031913 N Spouse Date of Death 60 W POMFRET ST N Farmers. CARLISLE PA 17013 SchmIDisuictNameEARLISLE AREA 21110 la Gross Compensation.Do not include exempt income,such as combat zone pay and la 0 ` qualifying retirement benefits,See the instructions. lb Unreimbursed Employee Business Expenses. 1 b 0 I Net Compensation,Subtract Line Ib from Line la. 1C 0 2 interest income.Complete PA Schedule A if required. 2 284 3 Dividend and Capital Gains Distributions Income.Complete PA Schedule B if required. 3 408 4 Net Income or Loss from the Operation of a Business,Profession or Farm. 4 0 5 Net Gain or Loss from the Sale,Exchange or Disposition of Property. 5 0 6 Net Income or Loss from Rents,Royalties,Patents or Copyrights. 6 1035 7 Estate or Trust Income.Complete and submit PA Schedule J. 7 0 8 Gambling and Lottery Winnings.Complete and submit PA Schedule T. 8 0 9 Total PA Taxable Income. Add only the positive income amounts from Lines Ic, 9 1727 2,3,4,5,6,7 and 8. DO NOT ADD any losses reported on Lines 4,5 or 6. 10 Other Deductions, Enter the appropriate code for the type of deduction. N 10 0 See the instructions for additional information. I I Adjusted PA Taxable Income.Subtract Line 10 from Line 9. 11 1727 1555 nev 01102114 PRO EC Page 11 o-f�2-- FC 1300113665 ® n��1 II ® 1300113665 �, � PA-40-2018 1300213671 Social Security Number Name(s) ANNA M HOOVER 12 PA Tax Liability.Multiply Line II by 3.07 percent(0.0307), 12 53 13 Total PA Tax Withheld.See the instructions. 13 0 14 Credit from your 2012 PA Income Tax return, 14 0 15 2013 Estimated Installment Payments. REV-459B included. N 15 0 16 2013 Extension Payment. 16 0 17 Nonresident Tax Withheld from your PA Schedule(s)NRK-I.(Nonresidents only) 17 18 Total Estimated Payments and Credits.Add Lines 14,15,16 and 17. 18 0 Tax Forgiveness Credit. Submit PA Schedule SP. 19a Filing Status: 01 Unmarried or Separated 02 Married 03 Deceased 19a 00 19b Dependents,Part B,Line 2,PA Schedule SP 19b 00 20 Total Eligibility Income from Part C.Line 11,PA Schedule SP. 20 0 21 Tax Forgiveness Credit from Part D,Line 16,PA Schedule SP. 21 0 22 Resident Credit.Submit your PA-Schedules)G-R with your PA Schedule(s)G-S,G-L and/or RK-1. 22 0 23 Taal Other Credits.Submit your PA Schedule OC. 23 0 24 TOTAL PAYMENTS and CREDITS.Add Lines 13, 18,21,22 and 23. 24 25 USE TAX.Add amount.See instructions. 25 0 26 TAX DUE.If the total of Line 12 and Line 25 is more than line 24,enter the difference here. 26 53 27 Penalties and Interest.See the instructions. Enter Code: 27 0 If including form REV-I6301REV-1630A,mark the box. N 28 TOTAL PAYMENT DUE.See the instructions. 28 53 29 OVERPAYMENT.If Line 24 is more than the total of Line 12,Line 25 and Line 27,enter 29 0 the difference here. The total of Lines 30 through 36 must equal Line 29. 30 Refund—Amount of Line 29 you want as a check mailed to you. Refund 30 0 31 Credit—Amount of Line 29 you want as a credit to your 2014 estimated account. 31 0 32 Amount of Line 29 you want to donate to the PA Breast Cancer Coalition's Breast 32 0 and Cervical Cancer Research Fund. 33 Amount of Line 29 you want to donate to the Wild Resource Conservation Fund. 33 0 34 Amount of Litre 29 you want to donate to the Military Family RdiefAssistaruePro ram. 34 (� p 35 Amount of Line 29 you want to donate to the Governor Robert P.Casey Memorial Organ 35 0 I and Tissue Donation Awareness Trust Fund. 36 Amount of Line 29 you want to donate to the Juvenile(Type 1)Diabetes Cure Research Fund. 36 0 Signature(s),Under penalties of perjury,I(we)declare that I(we)have examined this rerun,including all accompanying schedules and statements,and to the best of my(our)belief,they are true,comet,and complete. Your Signature Spouse's Signature,if filing jointly Preparer's Name and Telephone Number Date E-File Opt Out N PATRICIA A - ROSENDALE CPA. LLC 041314 7172433184 Firm FEIN 205334904 Preparer'sPTIN P00099907 ( Page 2 of 2 15555 REV 01/02/14 PRO 1300213671 1300213671