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Home My WebLink About07-24-14 (2) � 1505610140 REV-1500 EX �°,.,°, PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes �NHERITANCE TAX RETURN County Code Year File Number PO BOX 280601 2 1 1 3 0 1 2 5 3 Harrisbum PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDOYYYY 1 1 1 0 7 2 0 1 3 0 7 2 8 1 9 2 5 DecedenYs Last Name Suffix DecedenYs First Name M� B L A C K J 0 Y C E K (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FIL�IN AP�ROP�IATE OVA�S B�LOIrY � 1.Original Return � 2.Supplemental Return � 3.Remainder Return(date of death priarto 12-13-82) � 4.Limited Estate � 4a.Future Interest Compromise(date of � 5.Federal Estate Tax Retum Required death after 12-12-82) QX 6.Decedent Died Testate � 7.Decedent Maintained a Living Trust 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) G 9.LitigaYion�roceeds Received G 10.�pous�l Poverty Credit(iiaie of deaih � 11.ElFc?iQn t�tax unaer Sec.91 i 3(A) ` between 12-31-91 and 1-1-95) (Attach Sch.0) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number M A R C U S A . M c K N I G H T , I I I 7 1 7 2 ��, 2 3 X� 3 �.-� :�r.;�-, T: t._. �-r,C'j REGISTER 0��5;USE ON �-':' �-�� x -� � � �-� ��,r ' n' � r � ,; First line of address .�- C� , - C, , � t; I R W I N & M c K N I G H T , P . C . ��J --^a ,,._ c..,� Second line of address �•--� �? `��r-?=: 6 0 W E S T P 0 M F R E T S T R E E T � C' City Or POSt Office State ZIP Code DATE FILED C A R L I S L E P A 1 7 0 1 3 Correspondent's e-mail address: Under penalties of perjury,I declare that I have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief, it is Vue,correct and compiete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG UR F PERSO/�NS R FILING RETURN DATE 11r� z' /L. RESS 60 E T CATHERINE STREET CHAMBERSBURG PA 17201 SIGNA R THAN REPRESENTATIVE DATE ADDRES � �l ZO r 60 WEST PO F T STREET CARLISLE PA 17�13 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610140 1505610140 J �� Continuation of REV-1500 Inheritance Tax Return Resident Decedent JOYCE K. BLACK 21 13 01253 DecedenYs Name Page 1 File Number Correspondents Name Daytime Telephone Number M A R C U S A . M c K N I G H T , I I I 7 1 7 2 4 9 2 3 5 3 First line of address I R W I N & M c K N I G H T , P . � , Second line of address 6 0 W E S T P O M F R E T S T R E E T City or Post O�ce State ZIP Code C A R L I S L E P A 1 7 0 1 3 CorrespondenYs e-maii address: � ,.��k, k � c Under penalties of perjury,I declare that I have examined this retum,including accompanying schedules an ments,and to the best of my knowledge an elief, � it is true,co r r e c t a n d c o m p l e t e.D e c l a r a ti o n o f p r e p a r e r o t h e r t h a n t h e p e rs o n a l r e p r e s e n f a t i v e i s b a s e d on a l l in forma tion o f w hic h preparer has any knowledge. SIGNATUR_ E OF PERS�N RE PONSIBL� R FILING RETURN DATE �W. Q` - 7 'a� �� ADDRESS 1050 McCLURES GAP ROAD CARLISLE PA 17013 Name Daytime Telephone Number M n R � J S A . P�I c K, N [ C H T , 4 I I 7 1 7 2 4 9 2 3 5 3 First line of address I R W I N & M c K N I G H T , P . C . Second line of address 6 0 W E S T P O M F R E T S T R E E T City or Post Office State ZIP Code C A R L I S L E P A 1 7 0 1 3 CorrespondenYs e-mail address: Under penalties of perjury,I deciare that i have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.D laration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATUR N PO FILING RETURN DATE ADDRESS o / 60 WEST POMFR T S REET CARLISLE PA 17013 J 1505610240 REV-1500 EX DecedenYs Social Security Number DecedenYs Name: �O Y C E K- B L A C K RECAPITULATION 1. Real Estate(Schedule A) . . .. . . . . . . .. .. . . . . . . . . . . . . . . .. . . .. . . . . . .. .. 1. 1 1 0 0 0 0 , 0 0 2. Stocks and Bonds(Schedule B) .. . .... . . . . . .. .. . .. . . . . .. . . .. . . . . . . .. . 2. 7 4 . 0 4 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. 2 7 7 9 . � � 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested .. .. . . . 6. 1 2 5 5 8 . 2 1 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) � Separate Billing Requested .. . . .. . 7. 4 6 4 6 9 , 0 7 8. Total Gross Assets(total Lines 1 through 7) .. . . . .. . . . . .. . . . .. . . . . . . . . . 8. 7+ 7 1 8 8 � . 3 2 9. Funeral Expenses and Administrative Costs(Schedule H) .. . .. . . . . . . . . . . . . . 9. 2 7 0 9 9 . 7 6 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) .. . . . . . . . ... . 10. 3 3 5 8 . 0 1, 11. Totai Deductions(total Lines 9 and 10) .. . . . . . . . .. . . .. .. . . . . . .. . . . . . . . 11. � G �i � 7 . 7 7 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . .. . . . . . . . . . . .. . . . . . . . . 12. 1 4 ], 4 2 2 . 5 5 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) .. .. . . . . . .. . . . . . . . . .. . 13. � 14. Net Value Subject to Tax(Line 12 minus Line 13) .. . . ... . . . . ... . . . . . . . . 14. 1 4 1 4 2 2 . 5 5 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0 _ � . 0 O 15. � . 0 0 16. Amount of Line 14 taxable at lineal rate X.045 1 4 1 4 2 2 . 5 5 �s. 6 3 6 4 . 0 1 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. ❑ . � � 18. Amount of Line 14 taxable at collateral rate X.15 0 . 0 0 �g, p � p p 19. TAX DUE .. . . ... .. . ... . . . . . . . .. . . . . . . . ... . . . . . . .. . . . . . . . . .. .. . . 19. 6 3 6 4 . 0 1 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT a Side 2 � 1505610240 1505610240 J REV-1500 EX Page 3 File Number Decedent's Complete Address: 2� 13 01253 DECEDENTS NAME JOYCE K. BLACK STREETADDRESS 269"E"STREET cin CARLISLE SrarE ZiP PA 17013 Tax Payments and Credits: 1• Tax Due(Page 2,Line 19) 2. Credits/Payments �� 6,364.01 A.PriorPayments 7,000.00 B.Discount 318 20 Total Credits(A+B) �2� 3. Interest 7,318.20 4. If Line 2 is greater than Line 1 +Line 3,enter the difference,This is the OVERPAYMENT. �3� Fill in oval on Page 2,Line 20 to request a refund. (4) 954.19 5. If Line 1+Line 3 is greater than Line 2,ent2r the dii�erence.This is the TAX DUe. (5j t�.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 transfeRed: ...................................................................... � 0 b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ Q c. retain a reversionary interest;or ................................................................................................ ❑ 0 d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ Q 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receivin ade uate consideration. 9 q � ....................................................................................... ❑ � 3, Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ QX 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. 0 ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)). 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)J.The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)). • The tax rate imposed on the net value of transfers to or for the use of the 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 decedenYs siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(12-12) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JOYCE K. BLACK 21 13 01253 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compeiled to buy or sell,both having reasonabie knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCR�PTION 1. 269"E"STREET, CARLISLE, PENNSYLVANIA 110,000.00 TOTAL(Also enter on Line 1,Recapitulation.) $ 110 000.00 �f more space is needed,use additional sheets of paper of the same size. REV-1503 EX+(8-12) pennsylvania SCFIEDULE B DEPARTMENT OF REVENUE INHERITANCETAXRETURN STOCKS & BONDS RESIDEM DECEDENT ESTATE OF FILE NUMBER JOYCE K. BLACK 21 13 01253 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1. SERIES EE SAVINGS BOND 74.04 INVENTORY ATTACHED TOTAL(Also enter on Line 2,Recapitulation) $ 74.04 If more space is needed,insert additional sheets of the same size REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDENTDECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: JOYCE K. BLACK 21 13 01253 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. PERSONAL PROPERTY-SETTLEMENT STATEMENT ATTACHED 2,779.00 TOTAL(Also enter on Line 5,Recapitulation) $ 2 779.00 If more space is needed,use additional sheets of paper of the same size. REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JOYCE K. BLACK 21 13 01253 �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. DIANE L. DETRICK 1050 McCLURES GAP ROAD DAUGHTER CARLISLE, PA 17013 s.JOHN L. BLACK, JR. 760 EAST CATHERINE STREET SON CHAMBERSBURG, PA 17201 c. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY 96 OF DATE OF DEATH ITEM F�.^n JOINT ivIA�E INCLJDE PIAME OF FIPiANGIP.L INSTITUTiON AND BANK ACCGUNT Nl�rviBER OR SiUIIiAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER.ATfACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1, A. 10/1986 MEMBERS 1ST FEDERAL CREDIT UNION 44.18 33.3 14.71 SAVINGS ACCOUNT#67644-00 2. A.B. 03/2008 MEMBERS 1ST FEDERAL CREDIT UNION 1,581.70 33.3 526.71 CHECKING ACCOUNT#67644-11 3. A.B. 11/1992 MEMBERS 1ST FEDERAL CREDIT UNION 11,311.67 33.3 3,766.79 INVESTMENT SAVINGS ACCOUNT#67644-05 4. A 32 ALBRIGHT AVENUE, WEST MILTON, PA 16,500.00 50. 8,250.00 TOTAL(Also enter on Line 6,Recapitulation) $ 12 558.21 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsyivania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY RESIOEM DECEDENT ESTATE OF FILE NUMBER JOYCE K. BLACK 21 13 01253 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY INCLUDETHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND DATEOFDEATH °/aOFDECD�S EXCLUSION TAXABLE NUMBER THE DATE OFTRANSFER.ATfACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST QFAPPLICABL� VALUE 1. NATIONAL LIFE GROUP 34,301.49 100.00 34,301.49 ANNUITY#545400X 2. NATIONAL LIFE GROUP 12,167.58 100.00 12,167.58 ANNUITY#NL9012469 BENEFICIARIES: JOHN L. BLACK, JR. DIANE L. DETRICK JEFFERY HAYS BLACK FRANK,LIN DAV1D L�GK TOTAL (Also enter on Line 7,Recapitulation) $ 46 469.07 If more space is needed,use additionai sheeis of paper of the same size. REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENTOFREVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER JOYCE K. BLACK 21 13 01253 Deceder�t's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. HOFFMAN-ROTH FUNERAL HOME 1,712.72 2. BAUGHMAN MEMORIAL WORKS, INC. - INSCRIPT�ON 195.00 B• ADMINISTRATI�lE COSTS: 1• Personal Representative Commissions: Name(s)ofPersonalRepresentative(s) JOHN L. BLACK, JR. 1,500.00 StreetAddress 760 EAST CATHERINE STREET � Ciry CHAMBERSBURG State PA Z►p 17201 Year(s)Commission Paid: 2, AttomeyFees: IRWIN & McKNIGHT, P.C. 7,000.00 3. Famity Exemption:(If decedenYs address is not the same as claimanPs,attach explanation.) Claimant Sheet Address ��Y State ZIP Relationship of Claimant to Decedent 4• ProbateFees: REGISTER OF WILLS 293.50 5 Accountant Fees: 6. Tax Retum PreparerFees: PATRICIA A. ROSENDALE, CPA 375.00 FINAL FIDUCIARY TAX RETURN 7. CUMBERLAND LAW JOURNAL-ESTATE NOTICE 75.00 8. THE SENTINEL- ESTATE NOTICE 200.16 9. CLOSING COSTS FROM SALE OF REAL ESTATE 7,025.78 10. S. BRIAN MAGARO- PUBLIC SALE COMMISSION & EXPENSES 5,522.60 11. GILBERT'S PROFESSIONAL PEST CONTROL, INC. - INSPECTION 100.00 12. BASS AlR QUALITY SYSTEMS-RADON TEST 100.00 TOTAL(Also enter on Line 9,Recapitulation) $ 25 599.76 If more space is needed,use additional sheets of paper of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent JOYCE K. BLACK 21 13 01253 DecedenYs Name Page 1 File Number Schedule H-Funeral Expenses�Administrative Costs-B1 ITEM NUMBER DESCRIPTION AMOUNT B. ADMINISTRATIVE COSTS: Personal Representative Commissions: 2� Name(s)ofPersonalRepresentative(s) DIANE L. DETRICK 1,500.00 StreetAddress 1050 McCLURES GAP ROAD City CARLISLE State PA zIP 17013 Year(s)Commission Paid: 3• Name(s)ofPersonalRepresentative(s) MARCUSA. McKNIGHT, III 1,500.00 StreetAddrresss 60 WEST POMFRET STREET City CARLISLE State Pp ZIP 17013 Year(s)Commission Paid: SUBTOTAL SCHEDULE H-B1 3,000.00 REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT� INHERITANCETAXRETURN MORTGAGE LIABILITIES 8�LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER JOYCE K. BLACK 21 13 01253 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. MEMBERS 1ST FEDERAL CREDIT UNION 62.87 VISA#4672090000267179 2. DIRECTV-CABLE 14.08 3. CUMBERLAND VALLEY PAIN MANAGEMENT-MEDICAL 35.71 4. CHASE-CREDIT CARD 241.77 5. CENTURYLINK-TELEPHONE 63.82 6. B�ROi1GFi OF CARLI�L�-11VATEFZ/SEINER 237.00 7. STATE AUTO INSURANCE COMPANY-INSURANCE 209.00 8. UGI -UTlLITY 868.42 9. PP&L-ELECTRIC 390.19 10. MAHLON THRUSH - LAWN CARE 120.00 11. VERIZON WIRELESS-TELEPHONE 39.11 12. FOREMOST INSURANCE GROUP, INSURANCE 532.96 13. DEPARTMENT OF THE TREASURY-INCOME TAXES 200.00 14. CHARLES HOLTRY, TAX COLLECTOR-REAL ESTATE TAXES-PRORATED 343.08 TOTAL(Also enter on Line 10,Recapitulation) $ 3 358.01 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JOYCE K. BLACK 21 13 01253 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER ' NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributlons and transfers under Sec.9116(a)(1.2).] 1. JEFFERY HAYS BLACK Lineal 445 1ST ST. 12.5% REMAINDER CARLISLE, PA 17013-1882 2. FRANKLIN DAVID BLACK Lineal 4919 OLD OAKLEAF DRIVE 25% REMAINDER SARASOTA, FL 34233 3. SARAH BLACK MENTZER Lineal 350 WEST"I"STREET 6.25% REMAINDER CARLISLE, PA 17013 4. RYAN BLAGK Lineal 19 EFrST ST. 625% REMAINDER MT. HOLLY SPRINGS, PA 1706� 5. JOHN L. BLACK, JR. Lineal 760 EAST CATHERINE ST. 25% REMAINDER CHAMBERSBURG, PA 17201 6. DIANE L. DETRICK Lineal 1050�dlCC�lJRES GAP RD. 25% REMAINDER 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 II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If mo�e space is needed,use additional sheets of paper of the same size. , , , . , � � , � . • LAS'T WILL AND TESTAMENT I, JOYCE K. BLACK, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking a11 Wills and Codicils heretofore made by me. ONE: I direct my Co-Executors to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. TWO: I direct that the real estate and cottage situate in West Milton, Union County, Pennsylvania be offered by my Co-Executors for sale to DIANE L. DETRICK at mazket value to be determined by the average of two qualified real estate appraisals of said properiy. If said DIANE L. DETRICK does not desire to purchase the real estate at said price, them my Co- Executors shall offer said property for sale to JOHN L. BLACK,JR.,JEFFREY H. BLACK, and FRAI�TKL.IN D. BLACK at the same value. If none of them are interested in the purchase of said real estate, them my Co-Executors are directed to sell the property and equally divide the proceeds among those named below as set forth in paragraph TffitEE of this my Last Will. THREE: I give, devise and bequeath all of the rest and remainder of my estate of every nature and wherever situate in equal shares to the following: A. JOHN L.BLACK,JR..........................................25% B. DIANE L.DETRICK..........................................25% C. FRANKLIN D.BLACK......................................25% D. JEFFREY H.BLACK.........................................12.5% E. SARAH C.BLACK...............................................6.25% F. RYAN J.SLACK...................................................6.25% . . , � . . , . If one of those named above has pred.eceased me, then the share of the one who has predeceased me will be distributed equally to the issue of said person. If one of those named has predeceased me without living issue, then said shaze will be disiributed equally to those named above who survive me. FOUR: I appoint JOHN L. BLACK, JR., DIANE L. DETRICK, and MARCUS A. McKNIGHT,III,ESQUIItE, as Co-Executors of this my Last Will. FIVE: My Executors may, at their discretion, compromise claims,borrow money, retain property for such length of time as they may deem proper;lease and sell property for such prices, on such terms, at public or private sales,as they may deem proper; and invest estate property and income without restriction to legal investments. SIX: No Executor acting hereunder shall be required to post bond or enter security in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 3rd da.y of June 1999. C� (SEAL) OYCE K.BLACK 2 Signed, sealed, published and declared by JOYCE K. BLACK, the above nazned Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other have subscribed our names as witnesses hereto. -�,�� -�.� 3 " ACKNOWLEDGMENT AND AFFIDAVIT WE, JOYCE K. BLACI� CHERYL L. CLELAND, and SHARON L. SCHWALM, the testa.trix 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 execut� it as his 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. K.BLACK CHE L.CLELAND HARON L.SCHW M COMMONWEALTH OF PENNSYLVANIA . : SS: COUNTY OF CUMBERLAND . Subscribed, sworn to and acknowledged before me by JOYCE K.BLACK,the testatrix herein, and subscribed and sworn to before me by CHERYL L.CLELAND and SHARON L. SCHVVALM,witnesses,this 3rd day of June 1999. o ary Pnblic Notadei Seaf Martha L.Noel,Notary public Cariisle Boro,Cumbedand Coun� My Commission Expires Sept.18,1 99 `��Fr � �• •• ,�suciatlonof otares �f' M � O � � � NN Z * � � OO � �+' d � rn .` N � � � cC � � Ra�+ o � d � Q � !Q N � N 'O � C C � 7 O +�' �U1L y � C C 'C t0 ..�, a �' n o °c' T�-o N d .n� �v �- � °,.3 0 ''' � a�'��° o, C � � �.a � c ii � N d Z�-�pU Z � � � O � t'L' C1 O o '6""' y'O '� � _ . .. C C � y d � p � ' ON t[j � 'C � �.'p,�p � ��fO � U o � 'G? ��.�C w � v �� 2 a �$ , �, � d' a 7l,%,n4��%�' :� 2 y � � �� //��3i, t�' O �C dG' O � �/9��`�%� � �p'T E r.�+ � � <s,��j " �a� x� � ti c,00 � m '� > � �.,,,., U �� c 0 0 �+ � �. �' �rn�=� a�i d � � � ; ��vEa � � a+ � .0�� ',N''��o, f . ��? � >.� C� � � Oj �/ � �l�'i��, �fa Cj.. .9�Y• xi ,�' '6�.+ U'G C � / / �x�� n/ �'/ C O.E C�N �+ c � � /l~ �d �f Nfxy��w'�',4'�;b, �r � � ; '� ,y �Z v �� O a��+ � �� H�yi'/!%�� . y � �" N C� M � C s��xri� A �{�i��i` z ,f,. � m� i . �W._ �.d ' ��%i��ry�r�o,��,,(" i ��C/�`j% ," (� �� " K'O f�� W U � ..1 .i�� ''��s�7��,a ��' /� r�:�. .� ;� -� . W�� '� � Q � �� F�i. �� H,r' %•r-- � �7 C �j,y � s (L c0 = d � 1 �t;ro:'%� �/.�3,� � C Z� N.G 5 V � I �H/ n�� /� � • � �2 d �� : h�- �i/ /�r�,. �' . L �-'� �� 7;� k,��, � � 2��.� � f0 (p � � ''� � ?%'� �� C) t`q0 `p � � ', � yi r � . �:� � /�.�3f..� ,; � �C C� d � �� i.,, i i % �y+''C'C N y la � � i� �t, � �:: �� t �C 33C � � �� .. C �y H N � � '� � w � C N y� � �' i��/�/� �•c. /s� ' � y �W �. 4H:/��,��%!� � Z�/ �� r U w � �j ` � W .. ' ��.. ��i�' r �� .�� , y�y, C W W C ' � '/,/� �, ,: � � � � /i��ffii /, �� f //t�'`. � O `O� Z � � .. ��; ,��. ,s:� � i" �. r�.% L Op � ;h4f��j �,.sr'a;0� r ) hr� '' o � W tA UJ � � n 2 .��iU/�N . N/ � b ' � /� ?,� �U �� i ! /, 'd � _ 5 ��r�� .ji��.f'�� J ry�/»��,� � / Q�(n N N � �l�� y d � �•�,,1�' � �o co 3 �J ' � y . �,�/igY -� ��.� N� M tll tA.� . 0 � � � ,� ��3r� 4y� 'O'p-d C� O Ef? ,,�, �°s'LJ-' - � O C O .� C �� d ' ' � p � Qa� . � H � ', � • d W O �� : �` W F— � ,��'�a�� " � �.,�. ��V m O N O ;�� cJ �,� � � � 'C `^' C�`,. -� � C Z r- � m � 5 �k�-� C m _ � `fR _ �� A. Settlement Statement (HUD-1) OMB Approval No.2502-0285 . 1•Q F�'W 2.Q RHS 3.Q Co�v.Unins. g'��e Number: 7.Loan Number. 8.MoRgage Insurance Case Number: JOHNSH6-14 4.Q VA 5.Q Conv.Ins. C•Note:Thia form is fumished to give you a statement of actual seBlemeM cosffi.Amourds paid to and by the se@lemerd agents are shown.ttems marked "(p.o.c)"were paid outside the dosing they are shown here fcr iMortnational purposes am!are nM induded in Me totals, D.Name 8 Address of Borrower: E.Name&Address of Seller: F.Name 8 Address of Lender: HAROLD E.JOHNS JOYCE K.BLACK 1036 IONE STREET,HARRISBURG,PA 17104 G.Property Location: H.SettlemeM Agent: I.Settlement Date:06/24/2014 268 E STREET I&M REAL ESTATE SERVICES,LLC Disbursement Date:06/24/2014 Cadisie,PA 17013 West Panfret Professional Bldg,60 West Pomfret Street, Ca�lisle Borough CarUsle,PA 17013 Telephane:717-249-2353 Fax:717-249-6354 Place of Settlement: T�leExpress West Pom6et Profession�Bldg,60 West Pomfret Street P�irrted OB/24/2014 at 8:50 am Carlisle,PA 17(N3 by JMR 100. C,ross MiouM Dix irom Bonower 100. Oross Amoimt Due Eo Sefler 101. Contract sales ptiCe 110,000.00 401. CoMraCt sal�price 110,000.00 102. Personal 402. Perso!ia! :o 103. Settlem�t charges to borrower Qine 1400) 2,467.00 403. 104. 404. 105. 405. ushnents for fEems id seller in advance Ad uslmeMs for ita� d sNkr in advance 106. City/toum ta�s ro 406. ClryRown taxes to 107. Counry ta�ces O6/24/2014 to 12/31/2014 411.05 407. Cowdy t�ces 06/24/2014 to 12/31I2014 411.05 108. Shcool T�ces 06124I2014 to 06/30I2014 31.38 408. SChool Taxes 06/24/2014 to 06130I2p14 31.38 109. ,�y. 110. 410. 111. 411. 112. 412. 120. G►oss AmouM Due(rom Borrower N2,908.45 420. Gro��Amoullt Du�tD Se9sr 110,44ZI3 Y00. AmouMt.P�id orinBNnlFofBorrower J00. Re�OIalnAmol�lDuetoSNler 201. or earnest money 7,000.00 501. Fxcess deposit(see insUucUons) 7,ppp.pp Z02. Principal amount of new lo�(s) 502. SetUement charges to xller(line 1400) �5,7g 103. Exisdn s Naken su' M 503. E�ti loan s taken su ed to �4. • 504. Pa of first loan �5. 505. Pa ofsecond m loan 206. r�. 207. 507. 206. r�. 209. r�y. . Ad uehnerts tor ltems u -id sellet i�ellts for IfeRis ua eid sdie►' � ' �'�� 510. City/trnm taxes to 211. Counry taxes to 511. County t�ces t0 212. Sdiool Taxes ro 512. Schooi T�ces � 213. 513. 2�4' 514. 215. 515. 216' 516. �7. 517. 218. 518. 219. 519. � T�I Paid Borrower 7,000.00 520. Tofal Reducdon AmouM Dus SeNer 7,025.78 300. Cah at 8q�tiromMo BortmMer 800. Cail at SamemeiNloRrom&Aer 3p1. Gross amamt due from bortower(line 120) 112,909.43 801. G�amouM due b seiler(line 420) 110,442.43 302. Less airaunts paid byRor bortower(Iine 220) 7,000.00 602. Less reductlais in amount due seiler(Iine 520) �p�.�g 30.1. Cash [�X From �To Borrower 105,909.43 spg, Cash QX To ❑ From Seller 109,416.65 ��wma im.aenMywmaaeanuanwroe..wmNpmllsW�IS.wmamhasrusmelsm.Mnory.nus4.sqnmlopoWA.m.wNUm.qEevAmvarteuaa.elon Mromutlanewnpu.pplxnem Previous editions are obsolete Page 1 of 4 HUD-1 . .�_. � ..�� ,��,� � .� �„� ��r ,..,� . .. ,. , �� T��B�F� Paid From Paid From ��0f�""��0"��: Borrower's Seller's �1� �'� �0 Funds at Funds at 702 �'� �0 Settlement Settlement 703. Commission paid at settlertrent 800. IEdns in Connecdon wNh Loen 801. Ow ariginatbn charge (Indudes Originatlon PoiM 0.00096 ar;0.00) $ (from GFE#1) 802. Your credit or charge(polMs)for 1he spedfic inlerest rate chose� $ (6om GFE#2) 803. Your adjusted orlginaHon charges (from GFE A) 804• A al fee to trom GFE#3 805. Credit to fiom GFE�3 806. Tax service to from GFE#3 807. Flood certlBcaBon to from GFE�3 �• to saa. �. wr.a �a�m ne w�a.m�� 90�• Da ty nterest d��ges from from 06/24/2014 ro 07/01I2014�a0.00 day ( GFE#10) 902. Mort e insurance �emium monihs to irom GFE#3 903. Homeowner's insurance months to from GFE#11 904. months to from GFE#11 1 Re�ervp �� 1001.Initlal deposit for your escrow account (irom GFE#9) 1002.Homeowner's insur�ce rtronths $ /monih 1003.M e insurance months S /manth ,aoa. � �,a�s a �o�m 1005.County taxes monihs $ 65.46/month $ to 1Q06.ScheolT�s r,wn,hs $ 136.,�;/monih $ to 1007.Aggregate Adjustrt�nt � $ to NOO.litle. 1101.Title services and lender's 6de insurance �� 1102.Settle.mem or dosing fee � $ 1103.Owner's Utle insur�ce irom GFE�R5 1104.Lenders title insurance g 1105.Lenders Utle poNcy Hmit$0.00 1106.Owners tltle policy I'imit$110,000.00 1107.AgenYs pofion of the total tltle insurance pranium $ � 1108.U�enxriters poNon af the lotai tltle inswance premium $ ro 1109.Document Preparation to IRWIN&MCKfdIGHT,P.0 20p.00 1Y00.Govemment I�eo�di �nd Transfer 12Q1.Garemment rec�dfng chargss $ (from GFE#?) 87.00 1202.peed$67.00 $ Release 8 to Recader oF Deeds 1203.Transfer taxes $ (from�FE q8) 2�200.00 1204.CKylCounly taxlstamps pe¢d$1100.00 M $ to Recader of peeds 1205.State T�/stamps peed$1,100.OD M $ to Recaiderof Deeds 1206. Deed$ M $ to 1900.AddNioll�t$e�t 1 1,Re�ired s�vices that you can shop for ( m GFE ) 1302. � 1303. ro 1304.Fnai WtrlSwr�1005913 to S �,�g 1305. m • 2,467.00 25.78 •Paid outside of dasing by(B�rtower,(S�Iler,(L)ender,(I)nvestor,Bro(K)ec"CredR by I�der shown on page 1,"'Credit by sdler shown on page 1. Previous editions are obsolete Page 2 of 4 HUD-1 ' �' HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowiedge and belief,k is a true and axurate 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 HUP1 Settlement Statement HAROLD .JOHNS JOYCE K.BLACK ��.� J L.BLACK,JR.,EXECUTOR by MARC . IGHT,I EXEC OR � � � CJ�- DIANE L.DIETRICK,EXECUTOR The HUD-1 Settiement Statement which I have prepa�ed is a true and accurate account of this transactiort I have caused or will cause the funds to be disbursed in accordance with this statement �� y SETTLEMENTAGENT DATE WARNIN�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 16:U.S.CODE SECTION 1007 AND SECTION 1010. See attached addendum for additional information Previous eddions are obsolete Page 4 of 4 HUD-1 S. Brian Magaro Auctioneer 608 Magaro Road Eaola, Peansplvaaia 17025-1912 717-732-7940 email: magaroauctioa@aol.com AUCTION SETTLEMENT SHEET Settlement for: Estate of Joyce K.Black Sale Date: May 18,2014 Total proceeds from the sale of Real Estate 110,000.00 Deposit received $7,000.00 Total Proceeds from personal property $2.779.00 Total proceeds received $9,779.00 Ezpenses: Commission of 3% on Real Estate $"s,300.60 Commission of 15% on personal property $ 416.85 Advertising: Auctionzip.com 10,226 hits $ NC Fast Signs $ 71.55 Carlisle Sentinel $ 512.00 Fry Communications (Guide) $ 672.00 Pagton Herald $ 250.20 Total Advertising $1,505.75 (Contract amount$1,000.00) $1,505.75 House clean-out& personal property set-up 59.0 man hrs. & $15.00 hr$885.00 (contract amount$300.00) $ 300.00 Auction Personnel day of auction($740.00) $ NC Total Egpenses $ 5,522.60 <$5.522.60 Total To: Estate of Joyce K. Black $4,256.40 Date of Settlement: Escrow Check#: /�a y�-/G1�s` Thank ou for the opportunity to serve you and your auction needs. � S. Brian Magar Auctioneer St � MEMBERS 1s� FBDBRAI.CR�1T ODIION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 676�4-00 Date Account Established 10/16/1986 Principal Balance at Date of Death $44.18 Accrued Interest to Date of Death $.00 Total Principal and Accrued Interest $44.18 Name of Joint Owner Diane Detrick&John L Biack Jr Date Joint Ownership Established 10/16/1986 CHECKING ACCOUNT: Account NumbedSuffix 67644-11 Date Account Esiablished 03/i 0l2�708 Principal Balance at Date of Death $1,581.70 Accrued Intersst to Date of Death $,pp Total Principal and Accrued Interest $1,581.70 Name of Joint Owner Diane Detrick&John L Black Jr Date Joint Ownership Established 03/102008 INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix 67544-05 Date Account Established ��/�7/�992 Principal Balance at Date of Death $11,311.40 Accrued Interest to Date of Death $,27 Total Principal and Accrued Interest $11,311.67 Name of Joint Owner Diane Detrick&John L Black Jr Date Joint Ownership Established 11/17l1992 VISA ACCOUNT: Account Number/Suffix 4672090000267179 Date Opened 07/15/1996 Principal Balance at Date of Death $gZ.g7 Name of Joint Cardholder None LOAN ACCOUNT: Account Number/Suffix 67644-01 Date Opened 10/01/2011 Principal Balance at Date of Death $.00 Loan Type Home Equity Line of Credit/Contractual Pledge of Shares CollzteFal Secured 269 E Street,Carlisle, PA 17013 Interest Rate 3.99% Name of Co-Borrower None E BERS 1 ST FEDERAL CREDI ION n�eU�.�o Y.��n,�.i Danielle A. Kline Lending Insurance SuppoR Specialist December 11,2013 Estate of: JOYCE K BLACK Date of Death: 11/07/2013 Social Security Number: 196-14-2533 5000 Louise Drive • P.O.Box 40 • Mechanicsburg,Pennsylvania 17055 • (800)283-2328 • wwwmemberslst.org Unton Counfy ReatEstate _ _ -- -- - - , Kel Toyvnshl linda Moyer,TAX COLLECTOR .: Tcx�s are d�us and paYable from .P�operty DescMption 55 S 3rd sveet `_ 3LACK JOYCE K Controi#: 006-0;16063 P•0.Box 124 Received By Map#:006-046-Ot8-32L0� `W�t Milton,Pa.17886-0124 � 32 ALBRIGHT AVE - Phone(570}568-4255 269 E ST � �ARLISLE AmountReceived PA 17013- 006-046-U18.32L00 Assessed: 16500 - � . : _ � � Tax`D�scri _on Discount Face Penalty.. Totai COUNTY 69.70 7.1.12 78:23 � PieBSe R6tutn- Total DEBT FUND 13.58 13.86 15.25 Receipt Nurr►ber With Pay�l�fent Total LIBRARY 2.59 2.64 2.90 Total MUNIC 16.17 16.5U - ` 17.33 Total Taxes Due: 102.04 104.13 173.71 ""I' I'I "'�"' '�� @ Discount �Face @ Penaity 02/01/2014 04/01/2014 06/01/2014 03/31/2014 05/31/2014 12/31/2014 .___.____... �axes are due and payable from 2014Reat Estate Tax Btll 02/01/2014 B+��#:0656900 3LACK JOYCE K Union County Real Estate Kelly Townahip !6?E ST PropartyDescription �ARIISLE PA 17013- Ctrl#:006-016063 � - Map#:006-046-018-32L00 i 32 ALBRIGHT AVE ValuesC Land Improve Minerai Total i � 16500 16500 006-046-018.32L00 • 1'ax DescMptiQn` Assessed�Value Rate Discount Face Penaity ' �01 GENERAL FUND 16500 .OG431000G 69.70 79.12 7g.23 � iUB TOTAL 69J0 71.12 78_23 � 02 DEBT FUND 16500 .000840000 13.58 13.86 15.25 � >UB TOTAL 13.58 13.86 15.25I 20 LIBRARY 16500 .000160000 2.59 2.64 2.90 I iUB TOTAL 2.59 2.64 2.90 � !01 TOWNSHIP/BOROUGH 16500 .001000000 16.17 16.50 97.33 �( iU6 TOTAL 16.17 16.50 17.33 I I -- - -- - - --�- - -- f � � I ■ . . - ' " � - Total Ta�ces 102.04 104.12 713.71 � k setf aaaressea sta�nped Due• Keep For Your Reaords 'envetope miist be enciosed; @ Discount @ Face @ Penalty when a<receipt js reyues#ed: 02/01/2014 04/01/2014 06/01/2014 � 03/31/2014 OS/31/2014 12l31/2014 �axes are payabfe to - .inda Moyer,TAX COLLECTOR � February-March 5 S 3rd Street Mon,Tue 2:00-S:OOPM Date Received By '.0.Box 124 � April-May,Mandays,2:00-5:OOPM Uest Milton,Pa.17886-0124 SaL May 31,9:OOam-12:OOPM 'hone(570)568-4255 Other times by Appointrneot ' Closed Holidays&Sur�days �"��' I'I ""I'� '�' r., . _ _ l�Ll4lVll0.l Llll+ V1VLLF1 � ra�ciuii� I £<.�� . � TM:_ .. r�� Number. 545qpOX Stetus: Active MnuNant: JOYCE K BLACK Owner. JOYCE K BLACK Benefit Responsive Rfder. No Product: SP GOLD Smtement Setect Smtement v � Policy/Certffieate petails Issue Date: 10/14/2004 Plan Type:Non-Qualfied Issue State: PA Issue/{qe:79 Assigned:No Last Statement Date: 10/22/2013 Annuity Date: 10/21/2024 Fund Values: Current Intierest Account Allocation Percent Allocated 50.00% 50.00% Premlum Bllling Billing OpGon: N/A Billing Frequency: N/A Planned Premium: N/A Last Billing Date: N/A Last Premium Date: 10/14/2004 Last Premium Amount:�7'522.68 Ovrner/�1Rn�it�et t�aneg and Il�dre�s OwnedMnuita� Nsme Address City State ap 6ender Blrth Date Owner JOYCE K BLACK 269 E STREET CARLISLE PA 170131324 F 07/28/1925 Annuitant JOYCE K BLACK 269 E STREET CARLISLE PA 170131324 F 07/28/1925 Joint Owner Con6ngent Annuitant Poiiay/C�rti�ficate liaiues Values As of; 11/13/2013 Accumulation Value: $34,301.49 Withdrawal Charge: $311.42 Market Value Adjustment: $0.00 Premium Tax: N/A Total Loan(s)Payoff: N/A Cash Value*: $33,990.07 Total Premium paid To Date: ��'522.68 Net Withdrawais to Date: $28,900.00 Free Withdrawal Amount': ��159.61 Max Loanable Amount: $0.00 Fund Values: interest Account(s) Interest Account Value $15,575.24 $13,202.08 DECL ACCUM FUND $5,524.17 'Withdrawals may be subjea to Federal and Shate Withholding.Values available may change for partial withdiawals.For informatlon regardinp the c�la,letion of the cesh value,please refer to your poll�y. For Agent Use Only-Not For Use With The Public La+._...//_-°-^--�..cS..�..tt.r.._..__-- -----�['------- " nr--T�---'�- ---.irv,t ----- . ...� r_ ...R1• Tn«�• . T. �• �� i,�,rnn�n 1\GLI.1V11G.1 LilV V1V11}/ �---o rt�C i ui� �, 7cL �;.:1.4�s�c.�i�ii.� ,.. ... , .. . . � .._ Servicing JEFFREY L Agency/Broker � Represe�ative: BOUDER-55378 Dealer: DELAWARE-015 Contrac umber: NL9012469 Owner: JOYCE K BLACK Address: 269 E ST CARLfSLE,PA 17013-1324 Annul�nt JOYCE K BLACK Annuitant DOB• 07-28-1925 �ner/Signature Annuitant is owner of C�e� contract. Group/Trust Number: 0009940 Information 11/13/2013 Effective: Product Name: Sentinel Advantage- - '"J� Variable Annuity Line of Business: Non-Qualified� Contract Status: Active Poiicy Effective Date: ��01�2007 Maturity Date: 06/01/2017 Contract Features; Systematic Withdrawals: No Variable Product Features: phone privileges: Yes �-�'m�'�a�owar of �o(I�r G�t Attomey: Yes Avera in No Portfolio g 9� Rebalancing: Yes Relationships: Name Role JOYCE K BLACK Owner JOYCE K BLACK Mnuitant All infortna6on is as of the current date and does not include any pending transactions. Information Effective: 11/12/2013 Death Benefit $12,167.58 Accumulated Cash Value• $12,167.58 �nder $89 29 nalty: Market Value Adjustment: $0.00 Cash Surrender Value: $12,078.29 Fund Values: Fund Manager Sub Account Name Number of Units Unit Value Fund Value INVESCO V.I.GLOBAL HEALTH CARE 374.2977 16.340526 $6,116.22 T.ROWE PRICE HFALTH SCIENCES 209.6901 28.858564 $6,051.36 Cost Basis Information: P�� $0.00 Pre Out: $0.00 Post In: $10,000.00 Post Out: $1,070.63 Portfolio Rebalancing: Date of Next Portfolio Frequency of Portfolio Rebalancin : 12/01/2013 QUARTERLY 9 Rebalancing: All values are as of the effective date shown and do not include any pending transactions. The values for this variable oontract are as of the close of business on the last date that the New York Stock Exchange was open for business. Information EfFective: 71/13/2013 Total Gross Premiums: $10,OOU.00 Premium Ailocations: L..a.__./�----------�=----��'r--�------ - - -- in . r. � r. • �.-.,• ., . .i.. ... .. _ .. .. . _ ,.- .....-- � ' '�', 2'�9 Ma�Har�r�r SFreet Cae4ste.P'a�sy�37m73 7]7243.45�3 f�ire��.$66.4.5�.-0 s3� � fox73 7243.�723 ti�wvuv�ise��er.�e E�,lNERAI_ H��i1�E � (::REIVI�T�RY, IIV�. �t�� C�astq�FiHiu—Ova� 1�t�]i$mE�-Fs�eP�t RabzstA_F�lII—Sup�r �m G_Sh�+s—F�1Dir�or I1�v�EFe�zlm—F�1Itimc�r January 14, 2014 Diane L. Detrick 1050 McClures Gap Road Carli�le, PA 17Q?3 Statement of Funeral Expenses for: :loyce K.. Black Date of Death: November 7, 2013 Account Id: 17022-257 PACKAGE: Immediate Cremation, Memorial Service at Funeral Home OPTION 4-Cremaiion $ 2,?90.0� Sub Total: $ 2,790.00 FACILITIES AND PROFESSIONAL SERVICES: Equipment and Staff for Graveside Service $ 290.00 Sub Total: $ 280.00 MERCHANDISE: Register Book $ 55.00 Memorial Folders $ 55.00 Sub Total: $ 110.00 TOTAL FUNERAL HOME CHARGES: $ 3,190.00 CASH ADVANCES: Letort Cemetery $ 500.00 10 Certified Death Certificates at$6.00 each $ 60.00 Newspaper Notice-Sentinel $ 290.12 Additional Saturday Chared By Cemetery $ 325.00 Clergy $ 250.00 Flowers $ 53.00 Coroner's Fee $ 30.00 Video Tribute $ 169.60 Sub Total: $ 1,677.72 FDLIC Check 206350 Jan 7, 2014 2,711.63 PreNeed Discount Discount PreN/Cont Jan 7, 2014 443.37 Total Funeral Expense: $4,867.72 Total Payments Made: $ 3,155.00 Balance: $ 1,772.72 Thank you for bringing it to our attention that we neglected to the cost of the DVD Video Tribute. Should you have any questions, please feel free to contact us. �/`3 . ,�,,�� I �a�� 41 Sonth Bedford Street C�1e,Pa.17013 Phone: 717-243 5480 Faa:7t7-�g(g� E aii-c�rlisle(a�baaghmanmemorials.com This form m be sent b e-maii fsaed or mailed . Work Order# � De$th Date Inscription Order - Name of D_, e�_.�.�. �y�� PiQ iv,��.Q . P/�.� _ . Date of Btrth(ruu asce piease�: 7/�'�a �r '- . � Date o- f— D�h tfirll dateplease): !//7 a7c?/ List other names on me orial: �d�y�/�J- �R�r,�i�� ` / '� ,�'`��iJ�N l.r��r! T�►oe of Bu.risi• [�T�tio�B�� . �C�ation Style of N„�emnrtAt• �j jpri t � S�t�$gse � ❑ S�a.nt��el ❑F'_Q Bronze Color of Memo�j; (�� j�OSe ❑Blacic - []Bro�.�n []Red � � n Other: Inscriotion• Year pn � Abbreviated Fall Date ❑ Full Date Snelled Oat Funerat Services Prov ded bv- � 0 I ,3 . Cemeterv Information ' Name of Cemet+ery; �,�o'�� City: �v4 i'��f j� State: �� Section: Lot: Grave No.: Description of Location in Cemetery: �' � Bill To: Customer Information 'Name: ��/�-N °U �-,�,��"�j�l� . . d s: ♦G S� l��'C l(.�i�c�� C'�,�' ,2� . �-� �r�l/Ll.�f/� � � . � State: Zip Code: j �� Billing Phone�Tumber: ��3 —�3'�/ ��' _ Billing Fax: Order talcen by: Date:�•�N.�y Amount Due: $ � �S^ l� �7 � Payment: $ I 9 S�'� �Cash [�'C6eck No.:(o�0 g oZ, - ❑Credit Card Master CardNisa/Discover:#: " Bxp.Date: � ra��L Code: Signatare: � �j . 1Vote:Com letion of work is a roximatel 60 fo 90 da s weather ermittin., w a y� ��'� � SERVICE SLIP/ ILBERT'S INVOICE Cariisie: (717)249-6667 � professional 200 S.Spring Garden Street, Suite C Carlisle Fax: (717)249-8493 pest con T Inc. Carlisle, PA 17013 Mechanicsburg: (717)6g7-gg15 • ' • � � 5230 n828 • .. � •' •-• � • John&Joyce Black Black,John&Joyce 269 E.Street 269 E.Street Carllsie, PA 17013 Carlisle, PA 17013 404-7991 John Previous Balance: 0.00 - , - . .,. Charge(s): WDI-Inspection 100.00 ; � ; - •--- . ... _. _ . _ __ ,_ . __ . .. ., .... __._ . . _• - . - � . . . . ... . . , . . _ _ _ _ r.. � _� _ .. _ _.. -� � -- � . � - - - - _ � - -:- .:._ ,. ---�;-.=- --- - - Tax: / Total Due: 100.00 J` � � . GENERAL PEST CONTROL Mts,Centfpedes,Millipedes,Roaches,5piders SPECIFIC PEST CONTROL � Fleas,Ticks,Ground BeeNes,Stored Product Pests,Bedbugs,Other RODENT CONTROL Mice,Rats WEED COMROL Industrial Bare Ground Weeds ORNAMENTqL TRE.�$&SHRUBS APPLICATIONS Bagworms,Oak Worms,Woolly Adelgid,Gypsy Moths �• , .. .. .. . � �_.: . ._ ' =_ _,_ WOOD DESTROYING INSECTS ' -- ---- _ __. . _.--- .. . Subterranean Termites,Powder Post Beetles,Woad Borer,&Carpentet Ants " BEE CONTROL Carpenter Bees,Bald Faced Homets,Yellow jackets,Wasps FALL INVADERS � Boxetder Bugs,Lady Bugs,Stink Bugs �"�OTHEP" �. ,�,� .�� ,�.. i REFER TO THE LIST OF'NIATERIALS USED'FOR THE CONTENTS ANO CONCENTRATION OF THE TREATMENT AS INDICATED IN THE TYPE OF SERVICE' � . Alpine Dust EPA q499�527 Conquer EPA M1021-1641-57076 Phantom EPA q241-392 Alpine Flea EPA R499-5q0 D-Foam EPA#Oqq4-227 Precor IGR EPA H724352 Alpine WSG EPA R499-561 Demand CS EPA#tOp-1066 . . . �..__. -_._- .. . . ._ .. .. � - Dv o PAY 29 .__ . ,: _. . s = �- - ---., '-. - . _. . --Ae.S - I S i(Bait E. .717a Z=..._.. Alpine Roach Gel EPA R499�507 . � '_ -- ' _- Drione D EPA#732-992 } Suspend SC EPA k432-763 Adonis 75 WSP EPA M87276•4 EZ•Bore EPA f19905-12 Talstar Extra EPA#279-3343 Arilon EPA A352-776 Gentrol IGR EPA#2724•351 Tempo SC EPA#432•1363 Bedlam Pius EPA#7021•2569 Gent�ol Aerosol EPA M2724-484 Talstar P EPA k279�3206 CB-80 EPA p279-3393 Mavrik EPA N2724-078 Termidor SC EPA#7969-210 Carbaryl 4L EPA Ik19713�49 Ny Gaurd IGR EPA#1021-1767 Zenprox EC EPA#2724-TX-1 Contrec Blox EPA M7245570 Optigard Ant Gel EPA k100-1260 Other Contrac Packets 1.5oz EPA t12455•70 OnSlaught Fast Cap EPA#1021-2574 Olher • -e • - APPUCATION DATE �� f� !l� TIME IN � T„ �q -�^ TIME OUT' �r/��...� • ' t1 r''' ••.O . ' ,,,i d,•,J TECHNICIAN +•=F,:_,-^=-'` :.J,,i•/.�' �. �{ PDALICE- E#.}, e.� � �,r�/.�'�•R.�..,._. .;c'r t��r�id PAYMENT DUE UPON RECEIPT OF THIS/NVOlCE RETA/N P/NK COPY FOR YOUR FILES;REMIT YELLOW COPY WITH PAYMENT IN THE ENVELORE PROVIDED . ��5��5' � � ��. � �. ��, � � Air Quality Systems The Best Air System Solution for your home 30 SiINSET DRIVE, CARLISLE, PA 17013 PHONE 717-226-7179 E MAIL jooikro@comcast.net INVOICE February 7,2014 Deaz, The total charge for the radon test at 269 E St. Cazlisle, PA 17013 is$100.00. Please make check payable to BASS AIR QUALITY SYSTEMS Thank you for the opportunity to be of service. Respectfully, Jooik Ro r'�' G�T RID OF YOUR ACCOUNT N BER DATE DUE AMOUNT DUE ELEC7RONI�S �t"�R�t�Qp, DIRECTV. �25 Due Upon Receipt $7.04 Pay online Mday at directv,com/myaccount Summary StstemebtDate: 01/06/14 Previous Balance _�.04, Page 1 of f for. Rayments JOYCE BLACK 0.00 ��e� Current Charges&Fees 0.00 289 E ST Adj ustments&Credits 14.08 CARLISLE,PA 17of3-1324 Taxes 0.00 By parfiering with ROUND2, Amount Due s�� ; � DIRECTV has made it simple,easy ; A�ryrty and free to recycle electronics! starc End Descripqon An�ount Visit direCtv.com/rracycie Previous Balance to leam more. Payment -7.04 0.00 � AdjustmeMs&Credits To contact us call 1.800-5315000 �' �y12 AutomatedRefund �ti16 Credit Card Refund �'� 7.04 Check out Celebrity Beach Buwl! AMOU T D E �� A must-see celabrity and athlets matchup. Plus a Fgecial guest in Important Credit/Debit Card Notice: concert.Feb.1,1 pm ET,Ch 239 For your conveni�nce,;n abnut I S]ays from the Sta.tement Date printed near i�he tap of this page,any total outstanding account balanca(including any charges for leased equipment we have not yet receiyed)vvill be automatically charged to the credit/debit card we have on�le for your accoimt. After that sutomatic payment is made,we will maka a daily attempt to charge your eredit/debit card only if there is an unpaid balauce left owing,or if any adciition:�1 cha�ges post on yout accou�t. T++..an�you. i � t_.____...—.___...__ . 2s .�.'f�C.�:��r�`.i��tltlr�t,��"�;S'na.s:es.�5�'nu'�.��ik3:::iS..fuS{fitf.�it„+"a;:.R i . �...�::'�4; ti:�f.,f . ��V V "yj: ACCOUNT NUMBER DATE DUE AMOUNT bUE -" DIRECTY. �251880 Due Upon Receipt $7,04 � � �'� �`k �ay online tod�y at directv.com/myaccount Summaty i 80 How-To Videos `�?f StatementDate: 11/13/13 Previous Balance 84.96 Page 1 of 2for. Payments 0.00 °�„� JOYCE BLACK Current Charges&Fees 5.fi0 �pe� Troubteshvot 24/7 FO��a� Adj ustmerrts&Credlts -79.31 ?� 269 E ST Taxes .4,2� ' Learn About 5ervices CARUSLE,PA 17013-1324 AmourttDue ��.p� �•: ' �,'. ACt1V1'L�/ � 5tart End Description Amount t. ��s��h��,p Previous Salance Payment 84.96 0.00 �.�+�`��s�'�ta�`ia�.:;��i��E:�S�x.:�::,�;^`�rti��h�tti�'a� <r 5,��v..;:..', �a To contact us call 1-500-5315000 11�09 Primary N Free 5:60 Adjustme�s&Credits Entertainment continues 6rom DIRECTV. � 11l09 12lO6 ENTERTAfNMENTPartial Month Credit -51.32 Credit Please call us tq resotivate your servicas � 11/O9 ;2/p6 C�REC�l/Protection Plan Par.ial Month Credit -7.45 Credit today. -' 91/09 12/06 Advanced Receiver-DVR Partial Month Credit -9.33 Credit N 11J09 AdditionalTV -5.60Credit 71/09 Primary N �.60 Credit OUR PROIVIFSE TO YOII:T7te Best TV experienca,axcellent customer service � 5ales,Tax �21 &innova6ve programming&products. � AMOUNT DUE �y� Learn mora at directv.com/promise � Importaret Credit/Debit Card Notice: = For your eonvenience,in about 15 days from the Statement Date printed neat tha top of this �• P�@��Y m�a��ding account balance posted on this bill,will ba automatically � charged.to the crediddebit card we have on file for your account. "— i Important Eqyipment Reiurn Notice � Look for an equipment reiurn kit to arrive in the mail within the next 7 days.Ff you do not �. ieceive your ldt,please call us.You must return all leased receivers to DIItECTV within one week of receiving the retian kit to avoid being charged a non-returned equipment fee on your next monthly bill. We are sorry to lose you as a customer and hope to welcoma qou back someday soon. �- � a s �};3ie�^��r��ita{ji>� ��d � �� ,i t � r�r'�J�t�3r�� ' �! �+ . ... � �� kd0.��'��j�ay, f"i.A h�� 4� N$�'�'� � ;„�u�;��r��,�,', We will automatically process your refund and eny funds th�t ,R �f,r��kf',',��;��, � � ��F�� , g ��fi��'N��V�a,� 4�, you are owed.Ptease atlow up to eight weeks f.or proces�i�tg ' h,,�r�r`��tk+y ��,��' � ��rn�y p�Y } 1 ,. . ��t��ry�}y�"v�'�"vs ,.a�"�9��i�`��,i9ii`.��.'i � �� r F �+��d��a�'�� . . _. _. � :,!r1•it t3ju;kr: 4 , : �yhr„�shs��a k k�'f '�R. '�� ..x�t' �$ �,3' 8' r� h, , , . . + ��L�'1� a�}�$.i��'��Fy a�." ��P�d��'7 '�� .,��y j• .��'k"q�d'�� F��j� J'y!�q°�d>�r k,°iy9Y'.�'� �.�x� ..X'��2� r. 6��-�� .��'d�r � J� `� �i:4v �'''i�G ,�., t'�ti�rr��.s,7 +i x�,ya�r E,.�tr��aS�� .Y. S 'k "err".'nt +'lz1'h�.°J�.�j.�- �z w �r �. *f ��,�j, `�34. � �'�'. t i' �xye:�5 7 � l}' �.,..4 �Fd.y��.5 � ,�.r�ror-�d,i�5�� -4.� �S��'�k.,Tl` t�,i Jea �1�h`� i'G��3�,� h-'x v r¢Xi�.1 ^Fa c�,{'+gt (��7� l� p . 4. �xV � ^'.' �r�..:., 5ai �<:,:v_ 4.ia. � -i�C�''�`�...:'.. �' w � i�,=X;� k��e�U-�FE� xl. t`s ?iti � ,,''F� 2�} i`(t .-� s��„� N ��`s}f� r ,� {°�f �._ . ._.... _.._... '" .. .,_�.. �..;K' � °r5-l�i:v 'e,�:�.,. Y �w...,. .,i ,.,.� 1.� �f,�q� x� . Y` i 3^ C i ��...ti�f i1$` K��`?ri .� ._ .._' _ . . S . , .... .. "' ' _ ..' "'_i�..."�'..1:4��N,J 1 l��__ j�( ---.�� __ _...� .._....-...__S _ �::___=_:____---------------- ---------- MESSAGES EXPLAINED � BELOW � . ' ' • � - � • i • - � � �'�'� Your Account Balance is Seriously Overdue! Make Payment Immediately 'ti'�'Y 'ti'ti'� PAYMENT DUE UPON STATEMENT , IF BILLING QUESTION CALL 717-249-9222. WE ^'_�� '"�'ti ONLY ACCEPT CASH OR CHECK WE DONOT TAKE CREDIT CARDS PAYMENT. '�'��` �c�ti�c��c�c�c:4�Y�c��:i::4�4�'ric�Y�Yicst�Y�Y�Y4c�ti4c4cic�Yicic:c�':��c�c:c�:�cskic'c�Y�Y�c4c3c�c�Yat�c:cx�'cs:::�ti�Y�c�'cSr�c�:s::ck�4�c�r�c�cs:�Y�Y:c�rsc�t'r. O1/04/13 T� 1 L FLURO GUIDANCE OF NEEDLE 77003 722.10 126.50 O1/23/13 Medicare Payment . 24.31 O1/23/13 Accept Assign Ad� . -36.84 07/22/13 BS FEP Payment .29.64 35.' L-The 'PLEASE PAY' includes unpaid co-pay or co-ins. Please make payment. DATE LAST PAID AMOUNT � - � • ' •� • ' '� • ' � ' • ' ' ' • • • ' 00/00/00 0.00 0.00 0.00 0.00 35.71 0.00 0.00 0.00 3_` CUMBERLAND VALLEY PAIN MANAGEMENT o , e, , MAKE CHECK S TYLER COIIRT SUITE B PAYABLETO: CARLISLE� PA 17013 Payment Due Upon Rec 35, • Ph: (717)-249-c PAT�� 1-JOYCE BLACK PRV�� 1-KOSENSKE, TED D, M.D. Acct��: 1973 Date: 10/30/: Page 1 of ncvram. i�.aovnwaic�.viN��ativu�rvuvc�"ww �.�-v� � Manage your account online: (.;Y� Customer Service: Mobile: Visit chase.com t' 1-800-945-2028 .� BUSINESS CARD STATEMENT - - www.chase.co�nk on your mobile browser ACCOUNT SUMMARY PAYMENT INFORMATION Account Number: 5582 5086 1121 0094 New Balance $232.�2 Previous Balance �q�sy Payment Due Date 11/28/13 Payment,Credits _$y�gg Minimum Payment Due $25.00 Purchases +$232.12 Late Payment Warning: If we do not receive your minimum payment Cash Advances $0.00 by the due date,you may have to pay up to a$39 late fee. Balance Transfers $0.00 Minimum Payment Warning: Enroll in Auto-Pay and avoid missing a payment. To enroll,call the number on the back of your card or go to Fees Charged $0.00 the web site listed above. Interest Charged $0.00 New Balance $232.�2 Opening/Closing Date 10/07/13- 11/O6/13 Credit Limit $7,400 Available Credit $�,16� Cash Access Line $1,480 Avaiiable for Gash $1,460 . Past Due Amount $0.00 Balance over the Credit Limit $0.00 YOU ACCOUNT MESSAGES ..__ ., .__.____. . .__ _ _ Your next�utoPayment for$232.12 will be deducted from your accouni and crediied cn your due da!e(p!eviou�day ii your due date falis on a Saturday.sor Holiday). If you make a payment prior to your due date,that amount will be deducted from the AutoPayment amount identified above. INK CASH(SM)POINT SUMMARY _ ' Previous points balance 1,830 IPs easy to redeem your points for cash back or gift + t Point per$1 earned on all purchases 233 cards from popular merchants.Please visit +2Pts/$1 gas stns,rstnts,ofc sply,hm impr 2�2 www.chase.com to see the options and to book travel. +Points earned through Chase Rewards Plus � =Total points available for redemption 2,2�5 560 Points will expire on statement in July 2015 Your ink Cash card earns 1 point per$1 spe�t on every purchase.You earn an additional 2 points per$1 spent at restaurants,gas stations, office supply stores and home improvement stores-up to$2,000 each statement period which equates to 4,000 additional points.Points expire 24 months after they first appear on your statement. ACCOUNT ACTIVITY Date of ' Transaction Merchant Name or Transaction Description $Amount 10/28 AUTOMATIC PAYMENT-THANK YOU -9��fi9 i 10/06 CARLISLE FOOD MART CARLISLE PA 25.62 10/08 KARNS QUALITY FOODS CARLISLE PA 29_�3 10/10 CARLISLE FOOD MART CARLISLE PA 20.62 10/16 CARLISLE FOOD MART CARLISLE PA 2�.�1 �p/21 ``CAREMARK MAIL 888-892-7227 IL 70.00 �p/21 KMA�7746 CARLISLE PA 26.44 10/25 CARLISLE FOOD MART CARLISLE PA 16.08 10/29 CARLISLE FOOD MART CARLISLE PA 22.62 0000001 FIS33339 C 1 000 N Z 06 13/11%06 Page 7 ot 2 05686 MA DA 34671 37010000010473467101 0309 Manage your account online: Customer Service: Moblls: Visit chase.com BUSINESS CARD STATEMENT � www chase.co�nk � t-eo0-s45-202s on your mobile browser ACCOUNT SUMMARY 3 , PAYMENT INFORMATION ______� _. . . _ . �.. Account Number: 5582 50861121 0094 New Balance $9.65 Previous Balance �g212 Payment Due Date �2/28/�3 Payment,Credits _$23212 Minimum Payment Due $9.65 Purchases +$9.65 ��Payment Warning: If we do not receive your minimum payment Cash Advances $0.00 by the due date,you may have to pay up to a$39 late fee. Balance Transfers $0.00 Minimum Payment Warning: Enroll in Auto-Pay and avoid missing a payment. To enroll,call the number on the back of your card or go to Fees Charged $0.00 the web site listed above. Interest Charged $0.00 New Balance $9.65 Opening/Closing Date 11/07/13-12/06N3 Credit Limit $7,400 Available Credit $7,390 Cash Access Line $1,480 Ava�iaGle for CssF $1,480 Past Due Am�unt $0.00 Balance over the Credit Limit $0.00 i YOUR ACCOUNT::MESSAGE$. . _ .------_--- -��' Your next AutoPayment for$9.65 will be deducted from yaur accourt and credi!sd or.yaur dua date(previous day if your due date falls on a Saturday or Holiday). If you make a payment prior to your due date,that amount will be deducted from the AutoPayment amount identified above. � ' ' INK CASH SMLPOINT SUMMARY 2 2�5 �t's ea , I sy to redeem your points for cash back or gift � P vious pomts balance � + Point per$1 earned on all purchases 10 cards from popular merchants.Please visit ' +Points earned through Chase Rewards Pius p www.chase.com to see the options and to book travel. ' =Total points available for redemption 2�285 560 Points wiil expire on statement in July 2015 Your Ink Cash card eams 1 point per$1 spent on every purchase.You earn an additional 2 points per$1 spent at restaurants,gas stations, office supply stores and home improvement stores-up to$2,000 each statement period which equates to 4,000 additional points.Points expire 24 months after they first appear on your statement. ;�ACCOUNT ACTIVITY _ _:�_____--__.___ Date of Transaction Merchant Name or Transaction Description $Amount 1�/Zg Payment Thank You Image Check -232'�2 11/05 GOIN POSTAL-CARLISLE CARLISLE PA 9.65 JOYCE K BLACK TRANSACTIONS THIS CYCLE(CARD 0094) -$222.47 INCLUDING PAYMENTS RECEIVED D D 0000001 FIS33339 C 1 000 N Z 06 13/12/O6 Page 1 of 2 05686 MA DA 65044 34010000010466504401 0309 o�►�° . ,�� CenturyL�nk� P.O.Box 1319 � �arlotte,NC 28201-1319 Account Name: JOYCE BLACK Page: 1 of 5 Account Number: 313411815 Biil Date: Nov. 13,2013 Contact Numbers Current Charqes Summarv oeta��Page Product,Services and Billing 1-800-201-4099 � CenturyLinkPackages 3 27.s5 Repair Service Package Taxes g � 21 1-800-788-3600 Payment or Account Balance 2417 � CenturyLink Local Services 3 2.ss �-aoo-zol-aoss : Total Current Charges 31.�� High SpeedJnternetTech Support 24/7 � 1-800-788-3600 - c c Dial-up Internet 24/7 Tech Support ` � 1-888-872-7313 ,`� d � Financial Service�/Rays�ent A�rang€menis � 1-888-646-0004 �. n � Visit us online � www.centurylink.com � � � � � « c a a Previous Balance Payments&Adjs Balance Forward Current Charges Amount Due Date Due 31.71 I 31.71 cR I o.00 I a�.�� ( 31.71 I Dec.09,2013 The Due Date On This Bill Applies to Current Charges Only ""PLEASE FOLD,TEAR HERE AND RETURN THIS PORTION WITH YOUR PAYMENT*""' THANK YOU FOR PAYING BY AUTOPAY FOR CHANGE OF ADDRESS OR PAYMENT AUTHORIZATION: �Please check here and complete reverse.Thank You. Account Number: 313411815 Amount Drafted By Dec. 09, 2013 31.71 i��iil�i�iliini��ll��l�iiil�i��i�il�lil�llii�i�iii��,ii >�11880 3685233 0001 008243 10Z CenturyLink JOYCE BLACK P.O.Box 1319 269 E ST Charlotte,NC 28201-1319 CARLISLE,PA 17013-1324 00003134118153000��O�DOOOD00000�000011131300D000317163000000 e ; �� CenturyLink� r► � ' .,M�.. P.O.Box 1319 } • Charlotte,NC 28201-1319 Account Name: JOYCE BLACK Page: 1 of 3 Account Number. 313411815 Bill Date: Dec. 13,2013 COI'1tc1Ct.�VU111.b@I'S CIJI'1'ell# ChBY_ eS$11I1'1IY181'Y Detail Page Product,Services and Biiling 1-800-201-4099 � CenturyLinkPackages 3 z7.ss Repair Service Package Taxes g 1 21 1-800-788-3600 � CenturyLink Local Services 3 2.55 Payment or Account Balance 24l7 1-800-201-4099 Late Fees o.a o High Speed Intemet Tech Support 24/7 - N 1-800-788-3600 0 Total Current Charges 32.�� 0 Dial-up Internet 24l7 Tech Support o 1-888-872-7313 c, � co Financial servicesiPayment Arrangements o 1-888-646-0004 � M Visit us online o www.centurylink.com � � � � � � N � O Previous Balance Payments&Adjs Past Due Current Charges Amount Due Date Due 31.71 I 0.00 I 31.71 I 32.11 I 63.$2 I Jan.O9,2014 Just a friendly reminder that your account is past due. If you have already made your payment, thank you for bringing your account up to date. The Due Date On This Bill Applies to Current Charges Only Totai Current Charges For 717-249-2259 7 .o0 Taxes,Fees and Surcharges CUMBERLANDCounty911 Surcharge 1.25 PENNSYLVANIA Sales Tax o.os PENNSYLVANIA State Surcharge o.os Universal Seroice Fund Surcharge o.�6 Total Taxes,Fees and Surcharges �.s5 Total Current Charges For Local Services 2.55 Borough of Carlisle /�CCOUIIt 53 W South Street Statement � Carlisle, PA 17013 www.cariislepa.org ' • •' • • � ' 717-249-4422 ACCOUNT: 005913-000 ��;:6� , 7:30AM-4:30PM SERVICE ADDRESS: 269 E St SERVICE PERIOD: 11/19/2013 to 2/21/2014(94 days) BILLING DATE: 3/7/2014 �uT�� DUE DATE: 4/20/2014 JOHN BLACK ,, 269 E St Previous Reading Current Reading C8i IISI@,PA 17013-1324 Serial No Date Reading Date Reading Cons 73089507 11/19/2013 710 2/27/2014 115 5 This bill becomes delinquent 45 days from the bill date. A 5/8"Meter-Water 40.14 late penal'ry of 1.5%will be added after 45 days and 5/8"Sewer adc��tional penalties of 1%wiii be�dded every�0 days 32.76 thereafter. If payment has not been received within 72 days TOTAL CURRENT CHARGES 72.90 of the bili date,your vvater service will be discontinued. Reminder:property owners must comply with the Shade Tree Ordinance.Dying trees,dead branches&stumps must be removed.Limbs must be 8'over the sidewalk and 14'over the street.Call Parks&Ftec at 243-3318 Tor permit. •- 24 DUE IMMEDIATELY 89 2$ 20 Thank you for your payment! _gg 28 ,6 ADJUSTMENTS 0.00 �Z CURRENT CHARGES 72.90 8 < TOTAL AMOUNT DUE 72.90 D MR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR � is o . m N �, � � m .? c � m �, s a °: ? • � o ..cn. c�D 3 � � G. iD vi �r'"° � g , < Q 7 N � ="'O �. il � � N � C. Q ,-� j fD �• m S f�D 7 � � � pl N Q n � L �': i. 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JOYCE BLACK� 269 E ST � CARLISLE, PA 17013 _, � ' �.eck Number: 0001504288 Check Date: 04/07/14 JOYCE BLACK Check Amount: 516. 00 �CFnTS HPA9236347 AGT 0006812 CANCELLATION CREDIT � . __..____..___._. . I ....'. _... . � --. ._ .,. 0000008 ` I = ! Past Bill Information-U61 Utflity �� ; �H The account 6alance on our last bill was $36.00 � = Thank you for your payment of........................................... -36.00 �� — sas SEdY/CE Yourbalance.asofl2/23/2013 eillin�Summa tor Serv�ce to: .:.......................................�� 218776728005 JOYCE'K BLACK ry Current Bill Information-UGI Utilily 269 E ST Customer Cha rge.......... 6,55 � �1' . ......................................................... �. CARLISLE PA 17013 � Supplier Commodity(131 CCF at$0.75000)................ 98.25 I � Distribution Char�ges�N�ext 81CCF at$0.270 7).......... 26,gp f Rate Classification: PA State Tax Surcharge Residential Heating-CC Total Current Charges- ��'�'��'��""""' —i"� ` Billing Period: UGI Utihty..................................... x Budget Billing Amount.......................................................... 105.00 � 11/15/2013 to 12/18/2013(33 days) UGI Utility charges owed thls bill � ........................................................................................ S 105.00 j Remote Device Read Past Bill Informatlon-SHIPLEY ENERGY ' Questions? The account balance on your last bill was,,,,,,,,,,,,,,,,, $71,pp � Call 800-276-2722 or write to UGI at Thank you for your payment of............................:..::..::......��p�p I' PO BOX 13009 Your balance as of 12/23/2013.......................... G Reading,PA 19612-3009 , 'Your current UGI charges include Current Bill Intormation-WASHINGTON GAS � State taxes totaling about$1.51. WASHINGTON GAS gas costs a�e shown in the s�plier charges above. Total Amount Due � by(01/73/2014 � )....................................................................................... s 105.00 '' . 9.40 Average CCF Per Day �eter Information-Next Read Date,ianuary 21,2014 i Meter Number Previous Reading Present Reading CCF Used 8.46 1392398 � �,52 6805(remote) 6936(remote) 13� !i �•5B Generallnformatia:s � �i 5.64 ■WASHINGTON GAS ENERGY SERVICES,INC. ' ' 4.70 13865 SUNRISE VALLEY DR STE200 ; ; 3.76 HERNDON VA 20171 orPhone 703-793-7500 2•82: •Commodity prices and charges are set by the natural gas supplier you have chosen. The � 1.88 Public Utility Commission regulates distribution prices and sewices. 0.94 Important Messages from UGI � 0.00 'Your current price to compare is$0.62045/CCF. DJFMAMJJASOND 2072 Months 2018 •Yourtotal annual usage is 1,029 CCF. Youraverage monthly usage is B5 CCF. •Based on the amount of your usage to date and/or changes in energy costs,we have changed your Budget Billing amount to$ 105. Please call if you have any questions. Last This Average Year Year CCF/day 4.45 3.97 Daily temperature 40°F 35°F Keep this part for your records. � Important iniormation Is on the back of this bill. � I TIL/T/fS. lNC. January 16,2014 JOYCE K BLACK 269 E ST CARLISLE PA 17013 Account: 218776728005 269 E ST CARLISLE PA 17013 Deaz Customer: Your payment in the amount of $105.00 was returned to UGI by your bank for the following reason: ACCOUNT IS CLOSED. To avoid any fiuther c�llecti�n aLtior,,v�e r:�ust�e reimbursed fcr th�fi�il ar.io�t of this check, plus a$ Returned Payment Processing Charge immediately. Payment must be made by certified check or money order payable to UGI. Be sure to include the bottom portion of this letter when sending payment in the enclosed return envelope. In addition,should another payment 6e returned,we will require that all future payments be made by certified or cashier check or money order. Please call 1-800-276-2722 if you have any questions. Thank You, Central Credit Department JOYCE K BLACK January 16, 2014 269 E ST CARLISLE PA 17013 Customer Number: 218776728005 Returned Payment Amount...................�$ 10 5 .0 0 Returned Payment Processing Charge...$ Payment Due...:....................................$ 1.0 5.o 0 Total Payment Enclosed........................$ RE1N-DLH-ED Version 04 LTR:0096 � __�___ - ---- ___ ___ _:� � 3 � i The account 6alance on your tast biil was................ $105.00 �' � � a,� � i �� Past Blll lntormatfon-Up Utili I = a.r sF.r Thank yoa for your payment of__................................. -210.00 ; — Adjustments..........................._......................................... 105.00 218776728005 B�i11�iaE�B�m�mary tar Service ta: Your batance as of 01123l2014............................ .......�ba ; 269 E 5T CARUSLE Pp 17013 Curront 8t11 InformaUon-U61 UtiUty Customer Charge............._.........._......_.........._............... 8.55 5upplier Commodity 218 CCF at$OJ5000)..._..... 163.50 Rate ClaasiBcatio�• Distri6ution Char s First 50 CCF at$0.33400) ... 16.70 Residential Hea6ng-CC Distribution Chatges Next 168 CCF at$02695$) . 45.29 Billing Period: PA State Tax 5ur�harge.............................:.................... -0.35 ! 12/18/2013 to 01/21/2074(34 days} Budg't�Ili Amount.UGl�tility....M........M..�Y.........� Remote Oevice Read U�l Utiitty cAarges owed this biU . Questlons. .................................................................................. S 105.00 ; L�ll 800-276-2722 w write to UGI at ' PO BOlC 13009 Current Bfll IMormation-WI�4HINGTON GAS ' Reading,PA 19612-3009 WASHIN6TON GAS gas costs are shovm in the ! "Your current UGI charges include supplier charges a6o�. . i SEate taxes totaling about$2.26. Tatal Amount Due,Please Pay by pue Date(02/13/2014)..........:......_.................. S 105.OU I i � i Mder Iniormation-Next Read Date February 20,2014 • 9 40 Arerage CCF Per Day ��Number Previous Reading Preaent Re�ding CCF Uae�! . , 8.46 1392398 6936(remote) 7154(remote� 218 ' 7.52 � 6.58 General IMormation � 5.64 ''vYASH!NGTOP!GAS ENER�Y 5ER`JICES.�NC. � ; 4J0 13865 SUNRISE VALLEY OR Si'E200 , HERAIDON VA 20171 or Phone 703-793-7500 ; 3.76 �� 2,gp 'Commodity prices and charges are set by the natural gas supplier you have chosen. The ' 1.88 Public Utility Commission regulates distribution prices and senrices. R �� 0.94 importaM Measages irom UGI � 0.00 S� ■Yoer current price to compare is$0.62045/CCF. ; JFMAMJJASONDJ s 2018 Months 2014 �Your total annual usage is 1,052 CCF. Your average monthiy usage is 87 CCF. � f•, ■Your annual budgetyear 6egan with September 2013. r. To date you have been billed $318.00 �: Last This To date you have used $439.56 �; Average Year Year � CCF/day 5.74 6.41 �. Oaily temperature 35°F 31°F �f yau pay at a payment agent please take your entire bill. Make check payable to UGi. Keep this part for your records. Important information is on the hack ot this bill. ,1� f:� - '�;� �� Past Btll lntormatlon-UGI tJtill il The account balance on your last�ili was $0.00 '' ' = s�r s v.e� Payments...................................... ........._..... Your balance as of .....°...."......°_..°"......... 0.00 Btillng Summary tor 03/25/2014 JOYCEiC BLACK E51' �rvl6e to: ..........--....--.............��b 2i 8776728005 ? 269 E ST Current Bill Intormation-UGI Utility ; CARLISLE PA 17013 Cus.#omer Charge,,,,,,,,,,,, . ._........_......................_........... 8.55 � 5upplier Commodity 157 CGF at$0.75000).......... 117.75 I Rafe Classiftcation: Distribution Charges First 50 CCF at$0.33d00) ... 16.70 � Residential Heating-CC ��S�bution Charges Next 107 CCF at$0.26963) . 2B.85 PA State Tax Surcharge....._........................................... -0.27 ; Billing Period: Totat Current Charges-UGI Utili 02/19/2014 to 03/20/2014(29 days) Budget Billing Amount........._...._�...............�...............�� Remote Device Read UGI Ufility chargea owed this bill 115.00 Questiona? ..........»........................................... . S 115.00 .......................... Call 800-276-2722 or write to U61 at Curront Biii Iniormation-WpgHINGiON GAS PO BOX 13009 WASNIN�TOR1 GAS gas costs are shown in the Read(ng,PA 19612-3009 suppiier charges ahove 'Your current UGI charges include Total Amount Duo,Piease Pay by Dua Date(p4/15/20i4)..................:. State taxes tataling a6out$1.73. •••-•••••••••.•. i 115.00 9.60 aYe�ge CCF Per Day ��10�0�a�on-Next Read�te Ap��22,zp�4 Nleter Numbe; Previous Readirtg Present Reading �CF Used � 8.64 1392398 7376(remote) 7533 remote 7.68 � ) 157 s•�2 Genera)Intormation 5.76 ■WASHWGTQN GAS EMERGY SERVICES,INC, 4.8� 13865�UNRISE VALl�Y DR 5TE200 3.B4 HERI1m01V VA 20171 or Phone 703-793-7500 2.B8 •Commodity prices and charges a�e set by the natural gas supplier you have chosen. The 1.92 Public Utility Commission regulates distribution prices and services, 0.96 Importa�t Messages trom UGI : 0.00 � � •Your current price to compare is$0.62045/CCF. � MAMJJASONDJFM �13 Montha 2014 ■Your total annual usage is 1,041 CCF. Your average monthly usage is 86 CCF. •Based on the amount of your usage to date and/or changes in energy costs,we have changed your Budget Billing amount to$115. Please call if you have any questions. Last This A��9e Year Year � -----_�.��.�.�� - CCF/day 5.97 5.41 �iiy temperature 38°F 32�p �f you pay at a payment agent please take your entire bill. Make check payable tn UGI. Keep this part for your records. Important lnformation is on the back ot this bill. i� _ _. � � - . I �� Past Bill Intormation-UGI Utility The account balance on yaur tast bill was $115.00 � � i — s.s sEa v�e� Thank you for your payment of..................................... 115.00 Your bala s of 04/24/2014........................ � Bttling Summary fnr Service to: •••••••....��o' 218776728005 ' ' JOYCER BLACK EST 269 E 5T Current Bill InPormation-UGI Utility ' CARUSLE PA 17013 Customer Charge............ B.55 .............:.................................... , 5upplier Commadity 85 CCF at$0.75000 63.75 ! Rate Claasification• distnbution Charges First 50 CCF at$0.3 400) 16J0 �istri6ution Charges(NexE 35 CCF at$0.2�71}.... 9.44 ; Residentiat Neating-CC PA 5tate Tax Surcharge ; Billing Peripd: Tota!Current Char es-UGI Utili �� '�7 03/20/2014to 04/21/20i4(32 days) , 9 ty...............................—�� 6udgetBiiling Amount...........................:........................ 115.00 � Remote Cevice Read U61 Ut�lity cl�arges owed this biil.........._.......... ............................................:.................. S 115.00 Queations? I Ca11800-276-2722 or write to UGI at Current Bill InPormation-WASHINGTON GA5 � P�BOX 13009 WASHINGTON 6AS gas costs are shown in the ; Reading,PA 19612-3009 supplier charges above. "Your current U61 charges include Total Amount Due,Please Pay 4y Due Date(05/15/2014)..................... 5tate taxes totaling about$1.11. •••••••••••••••••• S 115.00 ; � ; • 9.60 A��g��F Per Day M�r Information-Next Read Date May 21,2014 Mekr Number Pre�►ious Reading Present Reading CCF Used $s� 139Z398 7533(remote) 7618(remote} B5 7.&B 6.72 � GenerallnPormation 5.76 •WASHINGTON GAS ENER6Y 5ERVICES,INC. 4.80 13865 SUNRISE VALLEY DR STE200 3.84 HERNDON VA 20171 or Phone 703-793-7500 2.8B •Commodity prices and charges are set by the natural gas supplier you have chosen. The i1.92 Public U61ity Commission regulates distribution prices and seNices. ' 0.96 m � 0.00 �mportaM Messages irom UGI ' � •Your current price to compare is$0.62045/CCF. � AMJJASONDJFMA 2013 Months 2014 ■Your total annuat usage is 1,018 CCF. Your average monthly usage is 84 CCF. •Your annual budget year began with 5eptember 2013. ! To date you have been billed $653.00 Last This To date you have used $947.17 � Average Year Year - ; CCF/day 3.60 2.66 ; Uaily temperature 48°F 47�F tf yoa pay at a payment agent please take your entire bill. Make check payable to UGI. ! Keep this part for your records. Important informatfon is on the back of this bill. _ __._ _. - _ _ _. .. � ___._. � t - �c� n < �-oc�,o o m �vo �ro�m � C7 C O 1D ON C A�' m m a0�. �G� � O O � N W A Ci� Of V OO t0 .�n-Ca �m�m �N �5► rmn� �� m O io io e0 co m �.l �l cf af v� q �p ao�eo N� o: m �*+� II) I'tl H�• W�Ll m O Of N m A O Of N m A O S�^ �j0; � `+�� Ly,� r-.�-17C� x m o3 � � �OO�w�� °�q a �3 rt b A� c� � W e. s - y� o�°n� $o°' �� m 03i � o a. .�4, �e� Q.' v � c°n �� `� ' �o �+ e y � m w ^� o �N ao e �' a o''y d °H' T+O � m �� ,' � N A•• + -n v�i -, ... �x C�7 �:, f° � a o � : �S p �T � FA n � A � q N � R 0 c � � wa � o a+o �� T � wm � � 'rl"� �' H IV'� '6 rNi. N A� ■ ■ ■ • ■ � � o 0 0 0 0 3 c o mw� w� w 3 � . � e�� Ccc�Oy°e�� o��y i° � a n.� � � y ?' a m 3' e �° y �can'' 6'+' � � � C O � �y {C N � � 'C �m��S.�y� C� p) 'r��.,� m F'o � o e c�'9 cn x y � -� t W'x� �:°.c� ��'o'3� d'r m . N -. � � � Z Z � -.Z.► c F'p � r► `�d �= w�G �G�G � � -� L'_�;� Z C G� � C � G� aR� � W N v c� � � � ai � � � C Z-I � 3 a � �-1 m �=�m�o c�m =�,o� �, d ��c � � 3 n�, N�Az � m 3 °+ mzo �a'o�cxn�� d� n�i° �� . �� m �� d �' � � � °��y � ' o e y�o � �ni�m�ma eca�—iy �C aQCO e � � y .i�a� o � d � � oa�o�m ' 3 '"�'' �C O � w m '+' w r�p"' ly ID �1�R7 � � ,9 O'fG�y H C [p d m�� y O� �p O � � a�`��p m n a �;o r z g c� o o r�� cn ni � -� r► Q'^ W � '� G'n � �� y O � :� � W T CT O N�7 � a; r� � � ° �.e c• � O `3 c �� m� � � ID ��< ao � � y � e� G�: ��'-.ne � N��o C� p,7 dfG y � C �m � fA ^ O m �y y� Se Ci LSIT: C O�� w � � N �, C� C � � �� W fCA d � � � a 1 �': �K: � a�Cl G! 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W� W G e O� OQfVCTt � 00 ; A � �� O CTt Qf Cit CT O O Ci � � m H, H 1p � m � N � �w � � � n`a�f ,��i c�o y V .► ort � � • N m � . yj G7 � � � N N pO . � � a s � � — �o en en - o 0 0 0 - !6 OOB709 1/2 . . . .. . . . . . � . .. � . . . � � , . , . . .. . . � ..._i-- . � -- ---- ---•--- _ , .:, .. . ----------------.....--------�--�------ -•-- Billing SummarY for Senrice to�� Adjusfinents.................................................. . 121.91 I 218776728005 JDYCEIC BtACK Est Your balance as of O6/25/2014(due now).. ��..�' 69 E ST ........... CARLISLE PA 17013 Cury�ent Bill infprmation-UGI Utility Customer Charge..................._.... . 1.43 D s Pbution t�a ge��F at$0.75000)............... 0.75 Rate Classification• 0.34 Residential Heating�CC PA te Tax Surc6arge........�....�......�...................."..... Billing Period: .................................................. :0.01 UGI�UCurrent Ciiarges-UGI Utility...............................�� 06/19/2014 to 06/24/2014(5 days) �Iiy charges owed��e bU� � �208.42 _.._.................................................... mal Read .......................... questions? Current Bill Iniormation-WASHING70N W�4 Call 8D0-276-2722 or write to U6t af WASHII�TON GAS gas costs are shown in the iPO BOX 13009 supplier charges above. Readiag,PA 19612-3009 Total Amoun#Due,Please Pay by pue Da�(07N6/2014�.................... i'Your current UGI cha�ges include •�••••••••.•••..... S 206.42 IState taxes totaling abaut$0.06. I IAverage CCF Per�ay M�� ading Information 9.60 MeUer Number Previous Reading Present Re�ing CCF Used 8.64 1392396 7627 remote 7.68 � � 7628(final) 1 6.72 General lniormatian i 5.76 ■WA5HIN6TON GAS ENERGY SERVICES,INC. � 4.80 13865 SUNRISE VALLEY OR 5TE200 • 3.84 HERAIOON VA 20171 or Phone 703-793-7500 2•B8 •Commadity prices and charges are set by the natural gas supplier you 6ave chosen. The �,92 Public Utility Commission regulates distribation prices and services. � �J.96 —— lmportan�lNessages from U�! ° 0.00 � ■Your current price to compare is$0.66159/CCF. � JJA50NDJFMAMJ 2�78 Manths 2014 ■Your total annual usage is 959 CCF. Your average monthly usage is 79 CCF. i � •Thank yoa for your business. You 6ave maintained an excellent payment history with UGI. , This bill may be used as a credit reference for obtaining future utility service. Last This � ! Average Year Year •Help prevent pipeline damage,accidents and service disruptions.Call B11 before you dig. N ; CCF/day 0.57 0.15 � Daily temperat�re 69°F 70°F �f You pay at a payment agent please take your entire bill. Make check payable to UGI. IKeep this part for your records. Important information is on the back of this bill. � � ! UGI U6lities,Inc. Customer Number Please pay by the due date i � PO Box 15523 218776728005 to avoid the late charge. wlmingtan,DE 19886-5523 Please retum t6is portiun ;' � B"8 sf$�,�E withyourpayment � . . . , � ;� i � 1 •�� > , . . ;; , , ' ��iy�s.Zo�4� . _.. 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J � •47�1DQ � O � �L -�i --�i. M � LL � � Vf�N CJ �>- �a�� {4M�I)��aad'8�t! �� , — -- _ _-------�,� ��•�e�:%�• Questions?Please • ':;:_ Visit us online at M�' ;.__ contact us by Mar 21. `� Pplelectric.com Page 1 'J e�;�;. 1-8pQ.D1AL-PPL ; . ��eB . (2-800-342-5775} M-F:8am to 5pm 31570-78006 Mar 21,2014 � SiI.-..,1=� i�7si ,,7:.i1.� Your Electri sa e profi�e Service to: B��ling 3ummary (Billing details oh back) JQYCE BLACK Balance as of Feb 28,2014 269 E ST Charges: $�•� CARLISLE,PA 17013 Total Washington Gas Energy Services Meter:63307656 Charges $29.55 Your next meter reading is on or about Mar 24,2014. Total PPL Electric Utilities Charges This section helps you understand your year-to-year --'— electric use by month. Meter reading5 are actual unless Total Charges otherwise noted. � '' .` "" '"'�� •� ,� �,,�,�! $55.32 . �� .v,.�ly ...�,.a d ...ati,�s��imil�"�FS^�'';F�As°''�� i'�;,?w�.sir9,�M�„5p1a�y:4+�„�� 1',P �r ;� - . . .. �20�3 �2o�a Account Balance `��,�'��r ��`��'�;�� t�e`�4s-�',1t a ��.r��lv•!.,n: 3 54 PPL Electric Utilities'price to compare for your rate is$O.Q8754 er k $55.32 45 This changes the lst of Mar,,lun,Sept,and Dec.Visit papowers rtch.om �= ae o��w•oca.state.pa.us for supplier offers. a � 27 Your Message Center � 18 � • Your electriclty 6nd��e�5%wind�+�uyer s�;,irced from a 9 Pennsylvania wind farms. o • With paperless billing,you can receive and oay your RPt El�ctric Utilities bilis online.The pro�ess is free, � F M A M � � A s o N D puick,convenient and secure.To learn more or sign up, ^ Months visit pplelectric.com. � • Information about appliance energy use and tips on � � • � , ' saving energy are availabie throu h the Energy Librar�� ' : ' � an our lnleb sit�.Ppielectric.comf e-power Feb 2014 32 356 . � • Take showers instead of baths to save energy and 11 25F water. it takes about 30 gallons of water to�II an Feb 2013 30 650 22 average bathtub.A 5-minute shower uses about 2p Z9F gallons. Low flow shower heads can cut your hot water '' •• use in half. '� � Feb 24 Actuat � � Pa ment Methods - Jan 23 Actual �5�0 � 0 i ine at �By phone.i-8pp-3q2-5775 � 65084 � PP electr�c.com 32 D a y s kWh g111ed or call Bi I l M a trix(service fee applies� .=-� 356 at 1-800-672-2413 to pay using Visa, =' • MasterCard,Discover or debit card. =— � ` ' � By Mail: _ Mar 2013-Feb 2014 7636 . � 2 North 9th Street Correspondence should be sentto: .':: 636 Customer Services Mar 2012-Feb 2013 7329 CPC-GENN1 827 Hausman Road 611 Allentowrt,PA 18101-1175 Allentown,pq 18104,.g392 "' � ------ = - - - - Other importarrt information on the back of this bill-� — '•��'� m Questlons�Please � Vislt us onllne at ��o0�f�:�� ' e:-- contact us by Apr 21. pplelectric.com Page 1 .•:;..__ 1:gpp-DIAL-PPL '� • • (1-800342-5775) � � ' � ' ' ' • � - �� °° , N M-F:8am to 5pm 31570-78006 Apr 21,2014 � :. $23 25 : Your Electric Usa e Profile BIIli11g Su111� (Billing details on back) Service to: Balance as of Mar 31,2014 JOYCE BLACK $�.� 269 E ST Charges: CARLISLE,PA 17013 Total PPL Electric Utilitles Charges Meter:63307656 $23.25 Your ne�meter reading is on or about Apr 24,2014. Total Charges Amount pue By.Apr 2i,2034 $23.25 Thfs section helps you understand your year-to-year Account Balance 523.25 electr(c use by month. Meter readings are actual unless $23.25 otherwise noted. PPL Electric Utilltles'prlce to compare for your rate is$0.08754 per kWh. 2013 �2014 This changes the 1st of Mer,Jun,Sept,and Dec. Vlsft papowerswitch.com 5a o�www.oca.state.pa.us for supplier offers. �-` 36 Your Messa e Center o • Your Supplier Charges for Generat(on and Transmission 27 were not available to be Included In your bili. The a s$ charges will be included with your next month's bllling. a • With paperless b(Ilfng,you can receive and pay your 9 PPL Electric Utilities bilis onllne.The process is free, ° quick,convenlent and secure.To learn more ar sign up, J F M A M J J A S 0 N p ��slt pplelectric.00111. � • Informatfon about appllance energy use and tips on � Months saving energy are avallable throu h the Energy Lfbrary � . � � . � on our Web site, pplelectric.comf e-power � •• : - - � CIEan�he colis on�he back or qottom of your '• � � refrigerator every 3 months. Dust covered coils waste Mar 2014 28 277 10 energy, 33F Mar 2013 28 512 18 37F : • � � �. _ - Mar 24 Actual � PaYment Methods _ Feb 24 65717 ✓� On ine at B = Actual 65440 U Pp�electrlc.com � Y phone:l-800-342-5775 ° 28 Da s or call BiIlMatrix(service fee applies) _ Y kWh Billed 277 at 1-800-672-2413 to pay using Visa, - . � MasterCard,Discover or deblt card. _ . .. , = Apr 2013-Mar 2014 •7401 � 617 � 2 North�9th Street Correspondence should be sent to: _ CPC-GENN1 Customer Servlces = Apr 2012-Mar 2013 7395 616 Allentown, PA 18101-1175 Allentown, PA 18 04-9392 � = Other important information on the back of this bill� � � .. _ �_ � , ; . , . . . :.. ',,;;:e.,�,%,, � 4uestions�Please � Vlsit us online at pa ;:.- contact us by May 5. pplelectNc.com �,��,: 1-800-DIAL-PPL � . � • � • � °•.� (1-800-342-5775) � ° ''�'-�'°�"' �"�•s M-F:8am to Spm 31570-78006 May 5,2014 $46,24 Your Electric Usage Profile Biliing Summa Service to: (Billing details on b JOYCE BLACK Balance as of Apr 14,2014 $0.00 269 E ST Charges: CARLISLE, PA 17013 rotal Washington Gas Energy Services $22,gg Meter:63307656 Char�es Your next meter reading is on or about Apr 24,2014. Total PPL Electric Utllitles Charges $23.25 Th(s section helps you understand your year-to-year Total Charges $46.24 electric use by month. Meter read(ngs are actual unless qmou�lt t�ue By May 5,2014 otherwise noted. � $4 Account Bafance $4 2013 �2014 54 PPL Electric Utllltles'price to compare for your rate(s$0.08754 per kWh r 4s Thls changes the 1st of Mar,Jun,Sept,and Dec.Vfsit papowerswitch.coi Y or www.cca,state.pa.us for supplier offers. - � 36 o Z, Your Message Center � is _ • Your electrlcity includes 596 wind power sourced from Q Pennsylvania wlnd farms. 9 • With aperless bllling,you can recelve and a o pp�Ep p y your e�trlc Utilitles bills online.The process is firze, � F M A nn � � A s o N D quick,convenient and secure.To learn more or sign up, visit pplelectric.com. Months • Informatlon about appliance energy use and tips on • � � , . � , saving energy are avallable throu h the Energy Library , � � on o�r MIPb slt�, pplel�ctrt:.camf e-p6uver Mar 2014 � � • Clean the coils on the back or bottom of your 28 277 10 33F refrigerator every 3 months. Dust covered colls waste Mar 2013 2g 512 18 energy. 37F : •• . . � Mar 24 actuai �65717 �ment Methods Online at. Feb 24 Actual 65440 pplelectric.com �BY phone:l-800-342-5775 or call BIIIMatrix(servlce fee appll 28 Days kWh Billed 277 at 1-800-672-2413 to pay using VI� MasterCard, Discover or deblt car� � ' ' ' • • � • • � By Mall: Correspondence should be sent to Apr 2013-Mar 2014 7401 . � 617 2 North 9th Street Customer Services Apr 2012-Mar 2013 7395 CPC-GENN1 827 Hausman Road 616 Allentown, PA 18101-1175 Alientown, PA 181049392 Other important Information on the back of thls blll� ''��` � � Questions�Please �'•:•"°❖;-- � Visit us online at pp :.-- contact us by May 20. Pag� ,.?:: i-800-DIAL-PPL Pp�electric.com � , . .. ' °•,� (1-800-342-5775) � � � �`�'°O"'`"""�• M-F:8am to Spm 31570-78006 May 20 2014 ; � ; $62:92 Your Electric sage Profile Bi�ling Summary (BIIIIng detalls on ba Service to: Balance as of Apr 29,2014 JOYCE BLACK �22.99 269 E ST Charges: CARLISLE, PA 17013 Total PPL Electric Utllitfes Charges $21,67 Meter:63307656 Total Washington Gas Energy Services Your next meter reading Is on or about May 23,2014. Charges $18.26 This section helps you understand your year-to-year Total Charges electrfc use by month. Meter readings are actual unless Amount pue By May 20;2014 $62 92 otherwise noted. •$62 2013 �2o�a Account Balance $62, 5a PPL Electrlc Utllltles'price to compare for your rate Is$0.08754 per kWh. _ Yr as This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com 36 or www.oca.state.pa.us for suppl(er offers. a � Z, Your Messaae Center m is � Your electrlclty Includes 596 wind powQr sourced from Q F�nnsylvanla winG farms. 9 • Wlth paperless biiling,you can receive and pay your � PPL El�ctrlc Utllltles bllis online.The process Is free, � F M A M � � A s o N D qulck,convenlent and secure.To learn more or slgn up, v(sit pplelectric.com, Monens • Information about appliance energy use and tlps on � • � . � saving en�ergy are a�a�lable throu h the Energy Library � , ; . - �n oar JV_b site,Fp.e,ec4ric.�cmf e-power Apr 2014 � � • Clean the Ilnt fliter on your dryer between loads.A 31 220 7 48F clogged filter cuts alr flow and wastes energy,A clean Apr 2013 32 564 18 fllter shortens drying time and saves money. 48F ; . .. � �. Apr 24 Actual � P�ment Methods 65937 �j Online at, Mar 24 Actual 65717 U pp�etectric.com �BV phone: l-800-342-5775 or call BIIIMatrix(service fee applies 31 Days kWh B(Iled 220 at 1-80p-672.Z413 to pay using Visa, MasterCard, Dlscover or deblt card. ' � � • • , . • � By Mall: May 2013-Apr 2014 7057 2 North 9th Street Correspondence should be sent to: 588 CPC-GENN1 Customer Services May 2012-Apr 2013 7453 621 Allentown, PA 18101-1175 Alle town, PA 18 04-9392 Other important information on the back of this blll -� ��'�' ' � Questlons?Please � Vlsit us online at Final 8111 Page 1 '�.,.:o,�.:;. :,.- contact us by Jul 18. pplelectric.com p "'" 1-800-DIAL-PPL + . � - � • � �•�°- _ • • � •.,� �800-342-5775) 31570-78006 Ju� 18 2014 � ''P��°«"��"��s• M-F:8am to 5pm , $Z$.65 Your Electric Usa e Profile Biliing Summary (Billing detalls on back) Service to: Balance as of Jun 27,2014 $p,�p JOYCE BLACK Charges: 269 E ST CARLISLE, PA 17013 Totai PPL Electr(c Utflitles Charges $8.55 Meter:63307656 Total Washington Gas Energy Services $17.10 Charges This section helps you understand your year-to-year Total Charges $25,65 electric use by month. Meter readings are actual unless Amount bue B,y 1ul 18,;2014 " otherwlse noted. • - $25.65 Account Balance $25.65 2013 �2014 54 PPL Electric Utilities'price to compare for your rate is$0.09036 per kWh. � a5 Thls changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswltch.com or www.oca.state.pa.us for suppller offers. �- 36 � Z, Your Messa e Center a • Your electricity includes 5�wlnd power sourced from Q� la Pannsylvania wlnu far��s. 9 • Wlth paperless blltln ,you can recefve and pay your � RPL Electric Utillties�llls onllne�The�roeess Is free, = � F M A nn > > a s o N D quick,convenient and secure.To learn more or sign up, `� visit pplelectric.com. � Months • Informatlon about appllance energy use and tips on . � � , saving energy are avallable throu h the Energy Library ' ` = on our Web slte,pplelectrlc.samf�-pewer . ; � � Jun 2014 � We appreciate the opportunity to have served you. 32 206 6 70F Because you have pald your bills wlthin 30 days over Jun 2013 32 907 28 69F the past year,you have established an excellent payment record with PPL Electrlc Utilitles. � ' �� ' ' ' _Payment Methods = Jun 24 Actual 66308 Online at. — May 23 Actual `� �BY phone:i-800-342-5775 ° pplelectric.com = 66102 or call BIIIMatrix(servlce fee applles) _ 32 Days kWh Billed 206 at i-800-672-Z413 to pay using Vlsa, _ MasterCard, D(scover or debit card. = � ' ' • � • . � By Ma(I: Correspondence should be sent to: — Jul 2013-Jun 2014 5922 494 2 North 9th Street Customer Services = CPC-GENN1 827 Hausman Road = Jul 2012-Jun 2013 7854 655 Allentown, PA 18101-1175 Allentown, PA 18104-9392 = Other important information on the back of this blll'� _ _ _ _ _ _ _ _ _--. __ _ . __ _. - — - �/��Ve/'%Z„A wi/bless PO BoX 4003 Manage Your Account&Vew Your Usage Details Account Number Date Due ACWORTH,GA 30101 ' ' ' � � 11 �� . �d��a�9��-90�vzw.com/changeaddress Im►oice Number 6965323386 10004284 01 AV 0.357 '•AUTO T4 0 2115 17013-132469 E PHIL1504 Quick Bill Summa � Oct 16-Nov 15 ��y��lly�l��lll'��I�I��II��III�I�I�II�I��I��II� 269 E ST B�CK Previous Balance(see back for details) CARLISLE,PA 17013-1324 $49.72 No Payment Received �� i Balance Forward Due Immediately �9� ; � Monthly Charges -$10.32 ' Usage and Purchase Charges ' Voice $.00 I Messaging ��20 Veriaon Wire!ess'Surchae�es I and Other Charges&Crediis _�90 Taxes,Govemmen�al Surcharges&Fees _�59 ° ` '� ° Total Current Charges Due by December 10,2013 -$10.61 Confirmation Of Senrice Disconnection f6ur senrice has been disconnected.it Totai Amount Due ' can take up to 60 days for your final $39.11 balance,inciuding all charges and credits,to appear on your bilL Holiday Shopping Tips Get tips and find great gift ideas for � everyone on your list in Network News. � See back of hil!for details. i I Our records indicate your account is past due. Please send paymer�now to avoid service disruptian. ' Pay from Wireless Pay on the Web ; Questions: � ----VOIC@ -1••-------------------�--------�------------------------------------------�-�-�--�----�---�---------------------------- ' Date Time Number Rate UsageType Airtime LongDist/ Drigination Destinffiion Min. Charges 01her Chgs Total 10/23 7:47P 000-000-0086 Peak PIanAllow,CallUM Carlisle PA Voice Mail CL � � 1023 7:57P 000-000-0086 Peak PlanAllow,CaIIVM � � Carlisle PA Voice Mail CL p 10/24 2:34P 717-701-2854 Peak PlanAllow -- Carlisle PA Carlisle PA � � 10/24 2:49P 717-701-2845 Peak PlanAlfow ' — Carlisle PA Car�isle PA � � 10l24 337P 000-000-0086 Peak PIanAllow,CaII1M1 -- � Carlisle PA Voice Mail CL � � 10/24 4:54P 717-486-3263 Peak PlanAllow -- Carlisle PA Mthollyspg PA 7 � 10/24 5:06P 717-460-2160 Peak PlanAllow � — � Carlisle PA Harrisburg PA � 1024 S:tOP 717-460-2160 Peak PlanAllow -- Carlisle PA Harrisburg PA � f 10/24 5:19P 717-433-2697 Peak M2MAIlow -- � Carlisle PA Harisbgml PA � e 10/24 5:20P 777-782-2811 Peak PlanAllow -- -- � 10l24 6:53P 717-249-2259 Peak PlanAllow Carlisle PA Harrisburg PA 2 -- -- -- Carlisle PA Carlisle PA � '• 10/24 6:54P 717-243-7160 Peak PlanAllow '— -- � Carlisle PA Carlisle PA p = 10l24 6:S6P 717-385-5952 Peak M2MAIlow -- � Carlisle PA Carfisle PA � � 70/24 6:59P 717-486-3263 Peak PlanAllow — — Carlisle PA Mthollyspg PA � _ �¢ �� -�.�,.�.,�,-�.�6��,„.��,�>� . . . �.��_.�.�,�..� �;��-�...�-�, - --._.---- ____ __. - _ _ ----_ _ ______ _____ _ - _ - ��FOREMOST� Pay your bilis online at www.ForemostPayOnline.com. GRAND RAPIDS,MICHIGAN � Represented By B HAKE 8 ASSOC INC OBA HERITAG DBA HERITAGE 1 INSURANCE 23 JENNIFER LN PREMIUM PAYMENT NOTICE �URG PA 1 70 7 9-91 51 POLICYHOLDER LOAN NUMBER PAYMENT DUE BY CURRENT AMOUNT DUE ESTATE OF JOYCE K BLACK JUN 25, 2014 $ 160. 88 POLICY NUMBER DESCRIPTION POLICY COVERAGE PERIOD 381-0090336334-01 BASICS ONE DWELLING MAY 6, 2014 TO MAY 6, 2015 TO: POLICYHOLDER YOUR REPRESENTATIVE ES.TATE OF JOYCE K BLACK B HAKE & ASSOC INC DBA HERITAG 1050 MCCLURES GAP RD DBA HERITAGE 1 INSURANCE CARLISLE PA 17013 23 JENNIFER LN DILLSBURG PA 17019-9151 (717) 502-43�7 PAYMENT INFORMATION :Curr�n#Amount D�e `��a��.�° � ��88 : OR, TO PAY IN FULL, PAY $ 1 ,399. 92 THIS IS YOUR SECOND OF TEN FAY�IENTS . FOR THE SCHEDULE OF FUTURE BILLS, SEE REVERSE SIDE . MRKE �1 OPlE-TIME PAYMENT, ENROI_L TO VIEW BILLS ONLINE OR SIGN UP FOR AUTOMATIC PAYMENTS ! GO TO FOREMOST. COM AND CLICK ON "ONLINE PAYMENT" . Have a question? Want to make a policy change? Just call your representative. F°'mes°°,v°s For billing questions call our automated phone service, at 1-800-532-4221 available until midnight EST. We are available during normal business hours to assist you with questions or to discuss your payment options. q� � PLEASE RETURN THE CARD BELOW WITH YOUR PREMIUM PAYMENT OR PAY ONLINE ► - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ . _ _ _ 0 FOREMOST' INSURANCE GROUP CORPORATE NEADOUARTERS 5600 BEECN TREE LANE MAILING ADDRESS CALEDONIA,MI 4931&0050 P.O.BOX 2450 GRAND RAPIDS,MI 49501.245p � � , Company:FOREMOST Prepared on: 04/21/2014 Reference Number: 92791673 Policy Period: 05/06/2014-05/06/2015 insured Name: ESTATE OF JOYCE K BLACK Mailing Address: 1050 MCCLURES GAP RD CARLISLE,PA 17013 Program: DWELLING FIRE ONE/BASICS ONE Dwelling Information Loc�tion: 26y E ST Yea��uilt: 7948 CARLISLE,PA 17013-1324 Protection Class:4 Rating Territory: F Occupancy; CURRENTLY JACANT . Coverages/Endorsements Total Coverage Amt Deductible Premium A. DWELLING $1?O,QQ0.00 1Q00.0� $'!,357.OQ B. OTHER STRUCTURES $20,000.00 1000.00 $84.00 PREMISES LIABILITY $300,000.00 MEDICAL PAYMENTS $105.00 $500.00 DWELLING FIRE ONE-VACANT/UNOCCUPIED VANDALISM/MALICIOUS MISCHIEF $120,000.00 1000.00 $204.00 REQUIRED CHANGE-PENNSYLVANIA Base Premium: g1,367.00 Additional Premium: $393.00 Taxes&Fees: $0.00 Total Premium: $1,760.00 Form 732114 02/09 Page 1 of 2 �,.�, . �, �, ,. � ; . � � �FOREMOST° INSURANCE GROUP CORPORqTE HEADpUANTEpS 5600 BEECH TREE LANE MNLING ADDRESS CALEDONIA,M149316-0050 P.O.BOX 2450 GRAND RAPIDS,MI49501-2450 � � � Insured Name: ESTATE OF JOYCE K BLACK Reference Number: 92791673 Payment Options Available No.of Payments 1 2 4 10 �2 Premium Due $1,760.00 � $880.00 $440.00 $366.08 $153.12 Surcharge Service Fee $6.00 $6.00 $6.00 $2.00 � Ar�ount Due Ncw $1,760.�0 �886.00 $446.00 �''$372:Q.,8,,;.:�.,.. $155.12 . Amount of Each Remaining Payment $886.00 $44s.00 $160.88 $148.08 Nex#Paymert Du2 1G/��/2014 �7i20/2094 06/25i2o14 05/3if201� Your Foremost Agent: B HAKE&ASSOC INC DBA HERITAG 23 JENNIFER LN DILLSBURG,PA 17019 717-502-4307 THIS IS AN ESTIMATE FOR INSURANCE ONLY AND NOT A POLICY BINDER. THE POLICY WILL BE SUBJECT TO CONFIRMATION OF PREMIUMS,PROPERTY INSPECTION, CONSUMER REPORTS,AND NORMAL COMPANY UNDERWRITING INVESTIGATION. Foramosl Insu2nee Company G2nd Repids,Mehigan,Foremos�Pmpeiry and Casualry Insuranea Company,Foramost Signalure Insurenca Company,Foremosl Counry Muluel Insuranca Company, w.emo.�uoye'a oi r s ana wmsxun Feaennon maunnn Compa'ry,seoo eeacn'Rae�ane,pletlanle,M109316. Page 2 of 2 _ �,.�� CHARLES HOLTI2Y,TAX COLLECTOR TA�CPAYER'S COPY PO BOX 100 CARLISLE,PA �;�p1S KEEP THIS PORTION FOR YOUR RECORDS TEMP��'�ETUFW SERVICE REQIlESTED � ' • . . . : rl��l��llll�l��l��l�lr��li��'ll'�I��II'�I�"�I��l�l'1��1'I 025578^"•---�•�•�=AUTO"5-DIGIT 17D13 BLACK JOFiN&JOYCE 269 E S�T CARLISLE PA 17013-1324 III�IIII��IIIIIIIIIIIIIIII�IIII�I�IIIII�IIIIIIIII � � To review the assessment data for tnis property, go to: www.courthouseonline.com�AssessmentOffi�e�Cumberland>PropertyRecords � . Then entercont�ol# 06000529 and assword .... . P CUORAIAW il ' • � - . , ...... � �� ' � � • . � . • S�"• Fayabie To: CHARLES HOLTRY,TAX C�LLECT�R Office Hours: TUES,WED,THUR 8:30AM 2:30PM PO BOX 1(IU OTHER TIMES:BY APpOINTMENT CARLISLE,PA 17013 CARLISLETAXCOLLECTOR@COMCAST.NET PHONE(7•17)254-9128 Bil!No: 498 Biil Date: 3/1/14 MAP NO: 06-19-1643-115. Controf Na: �60D05Z9 Desc: p69 E STREET Assessed Value: Land:29,400 Im rovement: 121,400 Total: 142,800 LAND LESS THAIV 1 ACRE Discount Face ena ry Acres 0.17 Deed 0013T00496 Count RE 2.195 307.18 5313 4 4 0 County Lib 0.143 $20.01 �20.42 $22.46 Munic.R/E 3.058 $427.96 486.68 Fire Protc 5480.35 $1.00 FEE FOR ADDITicJNAL RECEIPTS �'217 $30.37 $30.99 $34.09 Tax P�ayer: • BL/iCiC,JOHN 8 JOYCL-` 269 E ST TAX AMOUNT DUE �785.51 CARUSLE PA 17013-1324 If Date Of Pa ent is on $801•� $881.70 3/ !14 th u /3 /1 5/1/1d thru 6l30/i4 7/1/7 o Late . , • . •. • •. , , ,,, , � � � ......... � • • • � • :• � : .......... Curnberland Co��nty Pennsylvania � • • • - . . � �� TAX COLLECTOR COPY-RETURN WITH PAYMENT FOR PROPER CREDIT �,•• 8ill No: 498 BLACK,JOHN 8�JOYCE 2B9 E STREET Bi(I Date; 3/1/14 269 E ST LAND LESS THAN 1 ACRE Control No:06000529 CARLISLE PA 17013-132�� Acres 0.17 Deed 0013T00496 MAP NO:06-19-1643-125. Payable To: Assessed Value: L,and:21,400 Im rovet�ient:124,400 Totai:142,600 CHARLES HOLTRY,TN(COLLECTOR PO BOX 100 �iscount Face Penalty CARLISLE,PA 17013 Coun RE 2.195 �307.15 gg��R $344 8 Coun Lib 0.143 S20 01 PHONE(717)254-9128 Muni R! _ 3.058 S4�y,9_5 � I I�IIIIIIIIIIIIIIIIIIIII�IIIIIII�IIIIII�II�IIIIII�I Fire Protc 0.211 $30.37 $30.99 $34.09 TAX AMOUNT DUE $785.51 $801.54 $881.T0