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HomeMy WebLinkAbout10-15-14 J 1505610140 REV-1500 EX (01-10) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 4 0 0 2 5 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 2 1 0 2 0 1 3 0 7 2 3 1 9 3 0 Decedent's Last Name Suffix Decedent's First Name MI M c D 0 N A L D R E B A N (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Q 1.Original Return 2.Supplemental Return 3.Remainder Return(date of death prior to 12-13-82) . 4.Limited Estate 4a.Future Interest Compromise(date of 5.Federal Estate Tax Return Required death after 12-12-82) QX 6.Decedent Died Testate 7.Decedent Maintained a Living Trust B.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9.Litigation Proceeds Received G 10.Spousal Poverty Credit(date of death 11.Election to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch.0) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: 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 REGISTER OF WILLS USE ONLY First line of address I R W I N & M c K N I G H T P C Z Second line of address rn n cxy `v C • 6 0 W E S T P 0 M F R E T S T R E E T �- --+ � -' <' Cn City or Post Office State ZIP Code ro4E -,LED F--+ 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 return,including accompanying schedules and statements,and tothb best of my knovAeldge 9M t&ef, it is true,correct and complete.Declaration of preperer other than the personal representative is based on all information of which preparer has any'kdowledge.—n SIGNATU FPERS SP N _ LFOR FIG RETURNC (GATE ell- y� aO/ / ADDRESS 1871 PO ELLS YALLEY ROAD HALIFAX PA 17032 SIGNATOR P PAR O AN REPRESENTATIVE DATE ADDRESS 60 WEST POMF STREET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 Continuation of REV-1500 Inheritance Tax Return Resident Decedent REBA N. McDONALD 21 14 0025 Decedent's Name Page 2 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 RWI N & MC K N I G. HT P C Second line of address 6 0 WE S T P 0 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 Correspondent's e-mail address: Under penalties of pedury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATOR OF PERSON RESPONSIB FOR (LING RET RN DATE aa ��. C . v h0l ADDRESS PO BOX 36 ASPERS PA 17304 Name Daytime Telephone Number 'M A R C U S A M c K N I G H T I 1 1 7 1 7 2 4 9 2 3 5 3 First line of address R W I N & M c K N I G H T P . C Second line of address 6 0 WE S T P 0 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 Correspondent's e-mail address: Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge, SIGNATURE F P SONRE PO S j3 OR FILIN R/ URN DAT ADDRESS 141 WOLFS BRIDGE ROAD CARLISLE PA 17013 Continuation of REV-1600 Inheritance Tax Return Resident Decedent REBA N. McDONALD 21 14 0025 Decedent's Name Page 3 File Number Correspondents Name Daytime Telephone Number M A R C U S A M c K N I G H T I 1 1 7 1 7 2 4 9 2 3 5 3 First tine 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 Correspondent's e-mail address: Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete,Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. 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'paiielsueil�liedoid eqj jo awooui jo asn eqj upoi •e ❑ � ON saA :pue Ja}suejj a a�ew]uapaoap p!Q 6 SM3018 31VINd021ddd 3H1 NI ..X„Nd JN13V1d A13 SN011S3nt)JNIM0110J 3H1213MSNV 3Sd31d 1N39V `SKIM J0 213BI9321 :oj algeAed X0943 gBVI (g) Ma Xyl aya s!s!41•aouejamp ay}aaiue'Z aull uegj jejeak s!£gull+6 gull 11 3 00'0 (ti) -punjej e;senbei o;OZ oull'Z a6ed uo Ion uw 111d 'IMAYMMID 9141 s!s!41•aoMaMp 941 Jalua'£Gull+l gull uegj Jejeek s!Z Gull 31 •V ;seJejul •£ 00,0ov 8 (Z) (a+V)smajo 1e101 00,00t, junoos!(i.a 00000 8 s)uawAed Jo!id•V s1uawled/s1!p9J0 .Z 8£'6 bti 8 (6) (%au!l'Z a6ed)enQ xe1 :s;ipejo pue s;uewABd xel 090L 6 `dd ouneS01NVH031M dIZ 31d1S Alli GVOU 11IH 3J(11N 1ZZ SS3aaaH133&S 01VN000W 'N d83b 31NVN SIN343030 9zoo K 6z :ssejppd ejeldwot) sauepeoea jagwnN 811j g a6ed X3 009VAM REV-1502 EX+(12-12) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: REBA N. McDONALD 21 14 0025 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointfyowned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 221 RIDGE HILL ROAD, MECHANICSBURG, PENNSYLVANIA 90,000.00 TOTAL(Also enter on Line 1,Recapitulation.) $ 90,000-00 If more space is needed,use additional sheets of paper of the same size. REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RE RESIDENT DECEDENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: REBA N. McDONALD 21 14 0025 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 I PERSONAL PROPERTY-APPRAISAL ATTACHED 4,517.00 2. MEMBERS 1ST FEDERAL CREDIT UNION 548.85 SAVINGS ACCOUNT#84984-00 3. MEMBERS 1 ST FEDERAL CREDIT UNION 5,033.30 CHECKING ACCOUNT#84984-11 4. MEMBERS IST FEDERAL CREDIT UNION 18,797.67 INVESTMENT SAVINGS ACCOUNT#84984-05 5. MEMBERS 1ST FEDERAL CREDIT-UNION 12,004.70 CERTIFICATE OF DEPOSIT#84984-41 6. MEMBERS I ST FEDERAL CREDIT UNION 12,003.96 CERTIFICATE OF DEPOSIT#84984-42 7. MEMBERS 1ST FEDERAL CREDIT UNION 6,001.98 CERTIFICATE OF DEPOSIT#84984-43 8. MEMBERS 1ST FEDERAL CREDIT UNION 10,003.30 CERTIFICATE OF DEPOSIT#84984-44 9. MEMBERS I ST FEDERAL CREDIT UNION 10,003.30 CERTIFICATE OF DEPOSIT#84984-45 10. MEMBERS 1 ST FEDERAL CREDIT UNION 10,003.18 CERTIFICATE OF DEPOSIT#84984-62 11. MEMBERS I ST FEDERAL CREIDT UNION 10,003.18 CERTIFICATE OF DEPOSIT#84984-90 TOTAL(Also enter on Line 5,Recapitulation) $ 98,920.42 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsylvania SCHEDULE C DEPARTMENT OF REVENUE (NTER.VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER REBA N. McDONALD 21 14 0025 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH %OF DECUS EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST IIF APPLICABLE) VALUE 1. SCOTTRADE 16,408.68100.00 16,408.68 ACCOUNT#54316646 BENEFICIARIES: SHARON L. McDONALD BARBARA A. DELGADO KATHLEEN M. McDONALD NANCY A. GONZALEZ TOTAL (Also enter on Line 7,Recapitulation) $ 16 408.68 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER REBA N. McDONALD 21 14 0025 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. AUER CREMATION SERVICES OF PENNSYLVANIA, INC. 430.32 2. REMEMBRANCE CARDS 105.98 3. GUEST BOOK 15.89 4. JEFFREY'S FLOWERS 251.22 B. ADMINISTRATIVE COSTS: .1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Years)Commission Paid: 2. AttomeyFees: IRWIN &MCKNIGHT, P.C. 9,500.00 3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4• Probate Fees: REGISTER OF WILLS 398.50 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 222.40 9. DIVERSIFIED APPRAISAL SERVICES 375.00 10. ROY GOTTSHALL-APPRAISAL ON PERSONAL PROPERTY 130.00 11. EARL'S GARAGE- INSPECTION FOR 1987 OLDSMOBILE 59.33 12. HOME DEPOT-SINK PARTS 12.77 13. AUTO ZONE-CAR BATTERY 59.80 14. CLOSING COSTS ON SALE OF REAL ESTATE 900.00 15. LOCUST POINT- DRIVEWAY 116.60 TOTAL(Also enter on Line 9,Recapitulation) I $ 13 027.81 If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES&LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER REBA N. McDONALD 21 14 0025 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. IPP&L- ELECTRIC 394.70 2. VERIZON -TELEPHONE 359.77 3. SUPERIOR PLUS ENERGY SERVICES HARR- FUEL 2,250.08 4. PENN WASTE, INC. -TRASH 114.45 5. DEBRA BASEHORE WIEST, REAL ESTATE TAXES 1,954.63 6. PENN NATIONAL INSURANCE-HOMEOWNERS INSURANCE 308.00 TOTAL(Also enter on Line 10,Recapitulation) $ 5,381.63 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: REBA N. McDONALD 21 14 0025 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1. TAXABLE DISTRIBUTIONS [Includeht spousal distributions and transfers under Sec.91*16(a)(1.2).] 1 SHARON L. McDONALD Lineal 162,919.66 1871 POWELLS VALLEY RD 1/4TH REMAINDER+ HALIFAX, PA 17032 $6,000.00 2. BARBARA A. DELGADO Lineal PO BOX 36 1/4TH REMAINDER+ ASPERS, PA 17304 $6,000..00 3. KATHLEEN M. McDONALD Lineal 141 WOLFS BRIDGE ROAD 1/4TH REMAINDER+ CARLISLE PA 17013 $6,000.00 4. NANCY A. GONZALEZ Lineal 334 PINE GROVE ROAD 1/4TH REMAINDER + GARDNERS, PA 17324 $6,000.00 5. KERRI E. McDONALD Lineal 6,000.00 25 GREYSTONE ROAD CARLISLE, PA 17015 6. EVAN M. KAISER Lineal 6,000.00 1191 SHORE HAM ROAD CAMP HILL, PA 17011 7. ANNA GONZALEZ-WILLIAMS Lineal 6,000.00 PO BOX 294 AFTON, WY 83110 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B,CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. Continuation of REV-1500 Inheritance Tax Return Resident Decedent REBA N. WDONALD 21 14 0025 Decedent's Name Page 1 File Number Schedule J -Beneficiaries-1 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 distributions and transfers under Sec.9116(a)(1.2).] 8. JOSE RAYMOND GONZALEZ Lineal 6,000.00 90 ULVALDE ROAD APT 1912 HOUSTON, TX 77015 aZ� A4 (21r. 94-O aew I, REBA N. McDONALD, of Silver Spring Township, Cumberland County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ONE. I direct my Executor to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this will,shall be paid by the Executor of my estate. TWO. My Executor may, at his discretion, compromise claims, borrow money, retain property for such length of time as he may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as he may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. I authorize and empower my Executor to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My Executor is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said Executor. THREE. I specifically give,devise and bequeath the following: A. To SHARON L.McDONALD ............................$69000.00 B. To BARBARA A.DELGADO............................$6,000.00 C. To KATHLEEN M.McDONALD......................$6,000.00 D. To KERRI E.McDONALD ................................$6,000.00 E. To EVAN M.KAISER.........................................$6,000:00 F. To NANCY GONZALEZ....................................$6,000.00 G. To ANNA GONZALEZ-WILLIAMS................$6,000.00 H. To JOSE-RAYMOND GONZALEZ..................$6,000.00 FOUR. I give, devise and bequeath all of rest of my estate wherever all the rest and remainder of my estate of every nature and wherever situate situate to my daughters, SHARON -LOUISE McDONALD, BARBARA ANN DELGADO, KATHLEEN MARIE McDONALD, and NANCY ARLENE GONZALEZ, in equal shares per stirpes. If any of the aforementioned children should predecease me,then the share of the predeceased child should be divided equally by the issue of said child. If any of the aforementioned children should predecease me without living issue, then the share of the child shall be divided by my children who survive me. SIX. I nominate and appoint my daughters, SHARON LOUISE McDONALD, BARBARA ANN DELGADO,KATHLEEN MARIE MCDONALD,and NANCY ARLENE GONZALEZ,to be the Co-Executors of this my Last Will and Testament. SEVEN. No Co-Executors acting hereunder shall be required to post bond or enter security in this or any other jurisdiction. IN WITNESS WHEREOF,I have hereunto set my hand and seal this 13th day of October 2010. &L 2J.&&021i*a (SEAL) RREBA N.McDONALD Signed, sealed, published and declared by the above-named person as and for a Last Will and Testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. ACKNOWLEDGMENT AND AFFIDAVIT WE, REBA N. McDONALD, CHERYL L. CLELAND and TRACI D. SMITH, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. REBA T$,McDONALD ZI . C EL : T COMMONWEALTH OF PENNSYLVANIA : SS: COUNTY OF CUMBERLAND Subscribed, sworn to and, acknowledged before me by REBA N. McDONALD, the testator herein, and subscribed and sworn to before me by CHERYL L. -CLELAND and TRACI D. SMITH,witnesses,this 13th day of October 2010. l� COMMONWEALTH OF PENNSYLVANIA Not Pub1 c Notarial Seal Martha L.Noel,Notary Public Cadisla Soro,Cumberland County My Commission Expires Sept.18,2011 Member,Pennsylvania Association of Rotaries o OMB Approval No.2502-0265 V A. Settlement Statement (HUD-1) �B.Type of Loan 1.❑FHA 2.❑RHS I❑Conv.Unins. 6.File Number: 7.Loan Number. ' S.Mortgage Insurance Case Number. MCDONALDI(9-14 4.❑VA 5.❑Conv.Ins. C.Note:This form is furnished to give you a statement of actual settlement costa Amounts paid to and by the settlement agents are shown items marked 10.o.cr were paid outside the dosing;they are shown here for Informational purposes and are not included in the totata D.Name&Address of Borrower: E.Name 6 Address of Seller: F.Name S Address of Lender: KELLY A.MCDONALD REBA N.MCDONALD ESTATE NEW KINGSTOWN,PA G.Property Location: H.Settlement Agent: 1.Settlement Date:09/24/2014 221 RIDGE HILL ROAD AM REAL ESTATE SERVICES,LLC Disbursement Date:0912412014 Mechanicsburg,PA 17050 West Pomfret Professional Bldg,60 West Pomfret Street, Silver Spring Township Carlisle,PA 170133222 Place of Settlement: TMeExpress West Pomfret Professional Bldg,60 West Pomfret Sow, Printed 09/24/2014 at 8:31 am Carlisle PA 170133222 by JMR Surninary of o. . , 100. Gross Amount Due from Borrower 408. Gross Amount Dae to Seifer 101. Contract sales price 90,000.00 401. Contract sales price 90,000.00 102. Personal property 402. Personal property 103. Settlement charges to borrower(line 1400) 1,703.00 403. 104. 404. 105. 405. Adjustments for Items paid by seller in advance Adjustments,for items paid by seller in advance 106. Cityhowntaxes to 406, C41towntaxes to 107. County taxes to 407. County taxes to 108. School Taxes to 408. School Taxes to 109. 409. 110. 410. 111. 411. 112. 412. 128. Gross Amount Due from Borrower 91,783.80 428. Gross Amount Due to Seller 90.088.00 200. Amounts Paid by or M Behalf of Borrower SM. Reductions In Amount Due to Seller 201. Deposit or earnest money 501: Excess deposit(see instructions) 202. Principal amount of new loan(s) 542. Settlement charges to seller(fine 1400) 900.00 203. Existing loos taken subject to 503. Existing loans taken subject to 204, 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgaiis loan 206. 506. 207. 507. 208, 508. 209. 509. AdNstments for items unpald by seller ustments for Items un Id setter 210. Cityltown taxes to 510. Cityftawn taxes to 211. County taxes to 511. County taxes to 212. School Taxes to 512. School Taxes to 213. 513. 214. 514. 215. 515, 216, 516. 217. 517. 218. 518. 219. 519. 220. Total Paid byllor Borrower 8.00 520. Total Reduction Amount Due Seller 909.00 308. Cash at Settlement fronbb Borrower 600. Cash at Settlement ikom Seller 301, Gross amount due from borrower(line 120) 91,703.00 Bp1. Gross amount due to seller(Ilne 420) 90,000.00 342, Less amounts paid by/for borrower(line 220) 0.04 602 Less reductions in amount due seller(line 520) 9W.00 303. Cash Q From ❑ To Borrower 91,703.08 603, Cash Q To ❑ From Seiler 89,180.00 7nBt+nn�Unl++�ss It Clspleyf9w,nMy rent OM&LonlNl numDx.NO WMMmnlallymes9l�SIN3dRGutehmendPlnYy.711bb0�IgneCfopnfMtln NCpa�roeflE�AcovGrttltrBfueGlcn Infum1811on ueMp Ne �itemem Wccais Previous editions areobsolete Page 1 of 3 HUD-1 700. Total Real Estate Broker Fees Paid From Paid From Division of commission line 700 as follows: Borrower's Seller's 701. $0.00 to Funds at Funds at 702. $0.00 to Settlement Settlement M. Commission paid at settlement 800. Items Payable In Connec0on with Loan 601. Our origination charge (Includes Origination Point 0.000%or$0.00) $ (from GFE#1) 802. Your credit or charge(points)for the specific Interest rate chosen $ from GFE#2) 803. Your adjusted origination charges (from GFE A) 804. Appraisal fee to from GFE#3 805. Credit report to from GFE 93 806. Tax service to from GFE#3 807. Flood certification to from GFE#3 808. to 900. Items Required by Lender to be Paid In Advance 901. Daily interest charges from from 09/2412014 to 1010112014 @$0.00/day (from GFE#10) 902. MoOage insurance premium months to from GFE#3 903. Homeowner's insurance months to from GFE#11 904. months to from GFE#11 1000.Reserves Deposited with Lender 1001.Initial deposit for your escrow account from GFE#9 1002. Homeowners insurance months @$ /month 1003. Mortgage insurance months /month 1004.Property taxes months /month 1005. months @$ /month 1006.School Taxes months A$ 0.00/month $ 1007.Aggregate Adjustment $ 1100:Title Charges 1101.We services and lenders 011e Insurance $ from GFE#4 720.00 1102.Settlement or dosing fee to $ 1103. Owners title insurance $ from GFE#5 1104.Lenders ti0e Insurance $ 1105. Lenders title policy limit$0.00 1106. Owners title policy limit$9000.00 1107.Agents portion of the total title insurance premium $ to 1108. Underwriters portion of the total title insurance premium $ to 1109.Attorney Fee to I&M REAL ESTATE $700.00 SERVICES LLC 1200.Government Recording and Transfer Charges 1201.Government recording charges $ (from GFE 97) 83.00 1202• Deed$83.00 Mortgage$ Release$ 1203.Transfer taxes $ (from GFE#8) 900.00 1204.City/County tax/stamps Deed$900.00 Mortgage$ 1205.State Tax/stamps Deed$900.00 M $ 900.00 1206• Deed M $ 1300.Additional Settlement Charges 1301.Required services that you can shop for (from GFE#6) 1302. to 1303. to 1304. to 1305. to 1,703.00 900.00 'Paid outside of dosing by(8)onower,(S)eller,(L)ender,(I)nvestor,Bro(K)er."Credit by lender shown on page 1.-Credit by seller shown on page 1. Previous editions are obsolete Page 2 of 3 HUD-1 • • ection 200 Credits Name of Borrower. Name of Seller. File Number. Prepared 09/2412014 at 8:31 am Note:This page displays an itemization of the credits shown in section 200 of the HUD-1 Settlement Statement This page accompanies but is not a part of the HUD-1 Settlement Statement If a discrepancy exists,the information on the HUD61 Settlement Statement applies. Credits Credit Jte.mization of:Your Loan Origination Charges r. Name of Borrower. Name of Seller: File Number: KELLY A.MCDONALD REBA N.MCDONALD ESTATE MCDONALDK9-14 Prepared 09/24/2014 at 8:31 am Note:This page displays an itemization of the adjusted origination charges shown in section 800 of the HUD-1 Settlement Statemen This page accompanies but is not a part of the HUD-1 Settlement Statement If a discrepancy exists,the information on the HUD-1 Settlement Statement applies. Your Loan Origination Charges Borrower Seller 801. Our origination charge (Indudes Odgination Point 0.000%or$0.00) to $ 0.00 802. Your creditor charge(points)for the specific interest rate chosen to $ 0.00 803. Your adjusted origination charges 0.00 0.00 i u r� ltemizationofl-ihell6l Name of Borrower: Name of Seller: File Number. KELLY A.MCDONALD REBA N.MCDONALD ESTATE MCDONALDK9-14 Prepamd'09/24/2014 at 8:31 am Note:This page displays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement This page accompanies but is not a part of the HUD-1 Settlement Statement If a discrepancy exists,the information on the HUD-1 Settlement Statement applies. 1100.Title Charges Total Charge Borrower Seller 1101.Title services and lender's titre insurance to notary to $ 20.00 20.00 1102.Settlement or dosing fee to $ 0.00 1104.Lender's title insurance to $ 0.00 1109.Attorney Fee to I&M REAL ESTATE SERVICES'$ 700.00 700.00 Totals: $ 7Y0.00 0.00' TZ0.00 0.00 SetlerlLender credits shown on e 1 POC=paid Outside Closing CR-Lender Credit Previous editions are obsolete Page 1 of 1 HUD-1 HUD CERTIFICATION OF BUYER AND SELLER' y I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and disbursements made on mY account or by.me in this transaction(,further certify that I have racelved.a copy of the HUD 1.Settlement Statement Buyeis KELLY A.MCDONALD REBA N.MCDONALD MCDONALDISHARON L.,EXECUTRIX DELGADOIBARBARA A.,EXECUTRIX fY 11119 0 6F- Agent:MCDONALDIKATHLEEN M. , Executrix Agent:GONZALEZINANCYA. , Executrix The HUD4 Settlement Statement which I have prepared Is's true'and'accurate account of this trap"saction.'('have caused or will cause the funds'to'be M disbursed in accords with this s tement SETTLEMENT APENT DATE WARNING:IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE TITLE 18:U.S.CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page 4 of 4 HUD-1 ii IFF �., / WWI I� / s � S �y r ' n � o G� �s _ 7 � y ArY 0 � Vit'>Cht "� r 09 Q S r" l • ol r � e crol.. r �a 9IF G� 1 ♦ L2 r1000" Ile ` w1 A Y t ` ! ;__-"c f zl� - - 141 Owl el ., h .. / L .I 1 � a lr ePw ♦ s t =, >�r D `zoz evsop 0. 4-6-10-4�—z 00 C3 —352-00+o Qty% ---196 a 00+ .-575°00+ J- 1s57B-00+ ..--1x717^00+ -- 9000+ 4x517- * 0° z V C St { MEMBERS 1St FMERALCREOTT UNION REGULAR SAVINGS ACCOUNT: RECEIVED Account Number/Suffix 84984-00 Date Account Established 01/07/1988 Principal Balance at Date of Death $548.83 JAN $', 201 Accrued Interest to Date of Death $0.02 QVIIN&McKNiGH Total Principal and Accrued Interest $548.85 Total Interest 01/01/2013 to 12/10/2013 $0.41 Name Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 84984-11 Date Account Established 07/254/2003 Principal Balance at Date of Death $5,033.24 Accrued Interest to Date of Death $0.06 Total Principal and Accrued Interest $5,033.30 Total Interest 01/01/2013 to 12/10/2013 $2.25 Name of Joint Owner None INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix 84984-05 Date Account Established 07/14/1993 Principal Balance at Date of Death $18,796.97 Accrued Interest to Date of Death $0.70 Total Principal and Accrued Interest $18,797.67 Total Interest 01/01/2013 to 12/10/2013 $27.61 Name of Joint Owner None CERTIFICATE OF DEPOSIT: Account Number/Suffix 84984-41 Date Account Established 03/14/2011 Principal Balance at Date of Death $12,000.00 Accrued Interest to Date of Death $4.70 Total Principal and Accrued Interest $12,004.70 Total Interest 01/01/2013 to 12/10/2013 $179.26 Name of Joint Owner None MEMBERS 1ST FEDERAL CREDIT UNION ���� Tessa L Klugh Lending Insurance Support Specialist January 15, 2014 Estate of: REBA N MCDONALD Date of Death: 12/10/2013 Social Security Number: 5000 Louise Drive • P.O.Box 40 Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 www.memberslst.org •i IY St MEMBERS'lst MEMCREOff ANION CERTIFICATE OF DEPOSIT: Account Number/Suffix 84984-42* 84984-43** Date Account Established 09/13/2013 09/25/2013 Principal Balance at Date of Death $12,000.00 $6,000.00 Accrued Interest to Date of Death $3.96 $1.98 Total Principal and Accrued Interest $12,003.96 $6,001.98 Total Interest 01/01/2013 to 12/10/2013 $38.77 $16.74 Name of Joint Owner None None *Rollover from CD 84984-48 opened 03/10/2011. **Rollover from CD 84984-56 opened 03/28/2011. CERTIFICATE OF DEPOSIT: Account NumberiSuffix .84984-44* 84984-45** Date Account Established 10/09/2013 10/09/2013 Principal Balance at Date of Death $10,000.00 $10,000.00 Accrued Interest to Date of Death $3.30 $3.30 Total Principal and Accrued Interest $10,003.30 $10,003.30 Total Interest 01/01/2013 to 12/10/2013 $22.75 $22.75 Name of Joint Owner None None *Rollover from CD 84984-58 opened 04/05/2011. **Rollover from CD 84984-59 opened 04/11/2011. CERTIFICATE OF DEPOSIT: Account Number/Suffix 84984-62 84984-90 Date Account Established 11/07/2011 11/07/2011 Principal Balance at Date of Death $10,000.00 $10,000.00 Accrued Interest to Date of Death $3.18 $3.18 Total Principal and Accrued Interest $10,003.18 $10,003.18 Total Interest 01/01/2013 to 12/10/2013 $121.24 $121.24 Name of Joint Owner None None MEMBERS 1ST FEDERAL CREDIT UNION Tessa L Klugh Lending Insurance Support Specialist January 15, 2014 Estate of: REBA N MCDONALD Date of Death: 12/10/2013 Social Security Number: 5000 Louise Drive - P.O.Box 40 - Mechanicsburg,Pennsylvania 17055 - (800) 283-2328 - www.memberslst.org _ O O ' o z m .n •m �� ytrams � 2 � m m m m Z in aamco w4 Na a 1 a to A lzrnn cz z rn 7-Vco mtr_-m O tJ 90 r -"�-"-+- CL O- aW r .. m — 04,N r CIO,, O m cwDg ° O y C F O v o s " v W wr O to A �p y •'p r F w � '� 'r m F} � `Cs O is a ccalf � s W o- �&i'�t.+l�� .. � �"� N •74x'.p�'�' y '+ice rn fir; t p wvj ., 4 s,, DO •8078 2>2 LgTrER `�r:. � �Y • ��; N � � . / #/ ! co CL cr (D // . � \/ CL 07 00 ca 2-1 60- #0 fir C, 10 0 9L # cl 04 J �/ � 00 0120 IR g 9F co ;-- rA / 77 � � � � � ° . ca z 9 0 Oj co a §- 0 CL co co 0 �tgBMATI�CSP S�Rp AVER CREMATION SERVICES OF PENNSYLVANIA, INC. � O pBMVSYJ,VA1��' G' 4100 Jonestown Road•Harrisburg,PA 17109 • 1-800-720-8221 •Fax 717-541-9943 •Shawn E.Carper,Supervisor 131292 MO-5 Dec 11 , 2013 Ms. Kelly McDonald 36 Cumberland Drive Mechanicsburg, PA 17050 Reba N. McDonald - Deceased SPECIAL CHARGES X Direct Cremation $1 ,.795.00 Nationwide Guarantee Program Worldwide Travel Protection TOTAL SPECIAL CHARGES $1 ,795.00 PROFESSIONAL SERVICES X Services of Funeral Director & Staff Included Other Preparation of the Body Facilities & Staff for Memorial Service Staff & Equipment for Memorial Service Witnessing the Cremation Private Family Viewing/Witnessing Cremation Packaging And Forwarding Cremated Remains Personal Delivery Of Cremated Remains Scattering of Cremated Remains Medical Documents/Courier Fee TOTAL PROFESSIONAL SERVICES $0.00 AUTOMOTIVE EQUIPMENT X Removal Vehicle Included Lead Car/Clergy Car Family Car Service Vehicle TOTAL AUTOMOTIVE EQUIPMENT $0.00 MERCHANDISE Register Book Memorial Cards Thank You Cards Remembrance Package Cremation Container Ivory Plastic Urn $35.00 Urn Burial Vault Veterans Flag Case Grave/Memorial Marker X Discount -$55 .00 TOTAL MERCHANDISE -$20.00 CASH ADVANCED ITEMS Grave Opening Cemetery Equipment X Carlisle Sentinel $128. 34 X Harrisburg Patriot $296.98 Vault Service Charge Clergy Church/Organist/Soloist Flowers X Crematory Charge Included X Cumberland County Coroner Fee $30.00 X 5Certified Copies of Death Certificate $30.00 X -NSF fee $10.00 TOTAL CASH ADVANCED ITEMS $495 .32 SUMMARY OF CHARGES Special Charges $1 ,795.00 Professional Services $0.00 Automotive Equipment $0.00 Merchandise -$20.00 Cash Advanced Items $495.32 SUB TOTAL $2 ,270.32 CREDITS -$800.00 AMOUNT PREPAID Date Oct 23, 2003 -$1 ,040.00 TOTAL $430.32 AMOUNT PAID Date Jan 16, 2014 -$430.32 ' BALANCE DUE $0.00 THIS STATEMENT MAY NOT REFLECT ALL NEWSPAPER CHARGES el... FedEx Office is your destination C for printing a R. FedEx Office is your destination 4800 Jonestown Rd OA 17 1 IZ�dl7ll for printing and shipping. Harrisburg, PA 17109-1701 Tel: (717) 541-5679 12/16/2013 5:28:18 PM EST 4800 Jonestown Rd, Team Member: Jason A. Harrisburg, PA 17109-1701 Customer: Sharon McDonald Tel: (717) 541-5679 SALE 12/20/2013 6:58:13 PM EST Team Member: B. Sheena S. Customer: Sharon McDonald . -memorial service Qty 50 49.99 SALE CLR 1S Exec Natrl 50 4 0,7500 T 000358 Reg. Price 0.75 Single Cut 1 0 1.4900 T memorial service Qty 50 49.99 --000376 Reg. Price 1.49 Cutting Setup 1 @ 1.0000 T CLR 1S Exec Natr] 50 @ 0.7500 T 000377 Reg. Price 1.00 000358 Reg. Price 0.75 Fold Per Sheet 100 0 0,0300 T Fold Per Sheet 100 @ 0.0300 T 000373 Reg. Price 0.03 000373 Reg. Price 0.03 Folding Setup Fee 1 @ 1.0000 T Folding Setup Fee 1 9 1.0000 T 000374 Reg. Price 1.00 000374 Reg. Price 1.00 BW 1S CustomerPpr 50 @ 0.1200 T Single Cut 1 @ 1.4900 T 000071 Reg, Price 0.12 000376 Reg. Price 1.49 Cutting Setup 1 @ 1.0000 T Price per piece 1.00 000377 Reg. Price 1.00 Regular Total 49.99 BW 1S CustomerPpr 50 @ 0.1200 T Discounts 0.00 000071 Reg. Price 0.12 Price per piece 1.00 Sub-Total 49.99 Regular Total 49.99 Tax 3.00 Discounts 0.00 Deposit 0.00 Total 52.19 Sub-Total 49.99 Tax 3.00 Visa (S) 52.99 Deposit 0.00 Account: 9427 Total <52 9=9 Auth: 017284 (A) Total Tender 52.99 Visa (3) 52.99 Change Due 0.00 Account: 9427 Auth: 018582 (A) Total Tender 52-99 Total Discounts 0.00 Change Due 0.00 Total Discounts 0.00 i Tt�fw�0*050�T Barnes 8 Noble Booksellers #2046 58 South 32nd Street Camp Hill, PA 17011 717-737-0221 STR:2046 REG:005 TRN:5369 CSHR:Morgan G Almond Blossom Journal 7 x 9 9781441303578 (1 @ 14.99) 14.99 j Subtotal 14.99 Sales Tax T1 (6.000%) O.' TOTAL .89 VISA 15.89 Card#: XXXXXXXXXXXX9427 Expdate: XX/XX Auth: 011594 Entry Method: Swiped 'F '9 .19 A MEMBER WOULD HAVE SAVED 1.50 Thanks for shopping at Barnes & Noble 101.32A 12/16/2013 11:59AM CUSTOMER COPY Zi c r i. Diversi aed Appraisal Services INVOICE Real Estate Appraisers and Consultants Number 012014M- 35 East High Street Suite 101 Carlisle,Pennsylvania 17013-3052 DATE: January 20,2014 Tel: 717.249.2758 Fax: 717.258.4701 TO: The estate of Reba W. McDonald AMOUNT: $375.00 FOR: Residential Appraisal Report 221 Ridge Hill Road Mechanicsburg,Pennsylvania Thank You, GG� Larry E. Foote Certified General Appraiser GA-000014-L TERMS: Due upon receipt IIi i� F . G) w -{ w L rog O -I O o, r> m ° D z a cp O m D m Im N° ;! Irl Oco pO ro � r. cL "n Z K 0 Z ti ' CD m CD M y Z w m m O CD O � �o m y n mm b ° `- Q O N N ° M O r mE < 7 Z N 3 m a7 cD n 07 0 vs 0 y O O to O 7 C -. to 0 CL O fn 0 CD v 0 O Q z f —d CLCD 0 0 - CD CD CD 0 '• v m c CD C O� O j 0 -0 -a A r m Z CA h� _ `3 O O CD O tb C) M 3> ."n z -n N CT CD C � CT y ;U G) CD <o =�C CD — 0F) 0 CL f► {7 CJ -miZ� <o =) :3 d 0 CSD N m N FO (DCD x0a-`< z -i 1M E r.1 v -s g m 4N. 57 —40 a C7• N N Z D .x ?d w ° mx m � w D O CD C — tD G G `fl w m CD A CD CD -� y n3 _S C - to { 0 v 0 v O d -mit nes r c to z ouo D C w ;u = Z -j M 0 m m - w N N D z w m m rX z N � 4. 3 0 0S 0mZA o o n D a n z a ' m D "am cn r` 2> G7 r--iD -mt ° o O m " .i ~O m y c N 0 0 'a O m O Cil N CA N rn c c C 4h. --q to d bo z 00 H I° �R�sooA'�c� CUMBERLAND LAW JOURNAL 32 SOUTH-BEDFORD STREET CARLISLE, PA 17013 Tele: (717)249-3166 Fax:(717)249-2663 February 21, 2014 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Douglas G. Miller, Esquire RE: Reba N. McDonald Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. ------------------------------------------------------------------ Advertisement inserted on following dates: February 7, February 14, and February 21, 2014 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 ------------- Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director RECEIPT FOR PAYMENT LISA /GRAYSON, ESQ. Receipt Date: 1/09/2014 Cumberland County - Register• Of Wills Receipt Time: 10 :32 :35 One Courthouse S uare Receipt No. : 1076658 Carlisle, PA 1713 MCDONALD REBA N Estate File No. : 2014-00025 Paid By Remarks : IRWIN & MCKNIGHT PC HMW ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 310. 00 CUMBERLAND COUNTY GENERAL FUN WILL 15. 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23 .50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15. 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 8285 $398 . 50 Total Received. . . . . . . . . $398.50 03/03/2014 09:27 8005828051 PAGE 02/07 STATEMENT Date....... a. .�.,20 60. EARL'S :GARAGE- Phone 798-5651 Earl E.Fertenbaugh 1058 W.TRINDLE ROAD,MECHANICSBURG,PA. 17055 DATE QUM DESCRIPTION AMOUNT CV z� TIRES TOTAL RF LF RF G. A LR FiR SIGNATURE �lA I1.�t lt.�/L+�14 ray:�r t�t9l:t5t31t31951 resat osr n r Au t aZane 1953 Mora saving. 6023 CARLISLE PIKE More doing' • MECHANICSBURG, PA (717) 796-7036 6000 CARLISLE PIKE, MECH PA 17055 STORE MANAGER TEDD B TERRV(717}795-9602 CORE EXCHGE 4120 00058 23729 01/30/14 07:08 PM *232746 CORE TRADE-IN 15.00-P 1 CASHIER SELF CHECK OUT - SCOT58 4232746 75-DLG 115.99 P j 030699025619 BASKT STRANR 4, 9.96 75-DLG i KWIK-FIT BASKET STRAINER Duralast Gold Battery, EA +I 041193057297 TAILPIECE 4A> 2:0S #232746 CORE CHARGE 15,00 P t 1-1/2"X6"PVC FLANGED STRAINER TAILPC WRNTY REND 1- @ 1/39.77 SUBTOTAL 12. *232746 75-DLG 39.77-P SALES TAX .73 75-DLG TOTAL612' Duralast Gold Battery, EA CASH CHANGE DUE 7.29 *232796 CORE TRADE-IN 15.00-P #008170 BUB-1 1.99 P Duralast Felt Terminal Protectors, 1 PR #249199 BTP-1 1.39 P 4120 58 29729 01/30!2014 91$2 -ASS Battery S I Cable Terminal Protector, 0,14 02 I RETURN POLICY DEFINITIONS SUBTOTAL 64,60 POLICY 10 DAYS POLICY EXPIRES ON COURTESY 10 DISCOUNT: 10,00°% A 1 90 04/30/2014 DISCOUNT AMOUNT 7,96- THE HOME DEPOT RESERVES THE RIGHT. TO DISCOUNTED SUBTOTAL 56.64 LIMIT / DENY'RETURNS. PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR TOTAL TRX @ 6,000 DETAILS' TOTA .69.80 BUY ONLINE PICK-UP IN STORE XXXXXXXXXXXX9542 VIS;�""SO AVAILABLE NOW ON HOMEDE OT,COM. APPROVAL # 017201 CONVENIENT, EASY AND MST ORDERS READY IN LESS THAN 2 HOURS1 REG #10 CSR #09 RECEIPT #293686 �rxtxxtxx:xxxrxxricxxsxxxx***��r�*xxx�r�r�wxx . STR . TRANS #020461 • ENTER FOR' A CHANCE STORE #1953 HOME DEPOT GIFT TO WIN A 5. DATE 02./26/2014 17,21 CARDt Share Your Opinion With Us! Gomplete # OF x T E M S SOLD 3 #1953020461022614* PERSONAL WARRANTY INFORMATION �a G�6/r Q MCDONRLD REBA �v j tk 221 RIDGE.!+ILL RD C)\1r, ti��l 17050 ( 717 3 766 - 8767 1987 Oldsmobile 88 Item: 232746 75-OLS DURALRST GOLD RAT 5 YEARI60 MONTH WARRANTY PERIOD 36 HONTHS'FREE REPLACEMENT PERIOD Battery Limited Warranty Th I a w,arrAn+U I XQ+Q Fromm fhv t1n14 vrul PHONE INVOICE 1215 717-766-9200 LOCUSTPOINT 64 N.Locust Point Road Mechanicsburg,PA 17050 Crushed Stone - Professional Tailgate Spreading - Clean Fill Truck Rental Backhoe Service - Roller Service P.O.# Date 2> i p Sold to N\ & Address 22 �ti (�Q— \A X11 WEIGHT ITEM GROSS STONE 1/4 1 B 28 Y 3A Mia 4❑ TARE NET ❑ Cash ❑ Charge QUANTITY ITEM PRICE AMOUNT S •. ,AS t C0O r _o Jo Co �fwt n U.73 p\- . TIME DRIVER Ak TRUCK# RECEIVED BY Our prices are based on street curb delivery.Any deviation from this will be at Customers risk.We will not be responsible for any damage to Curbs,Sidewalks,Driveways,Grounds or Property there on. A late charge of 1.5%per month with a minimum charge of$5.00 will be assessed on all post due invoices WHITE- ORIGINAL YELLOW-CUSTOMER Avg.Per Day(kWh) o ID N m M =(D Q > 0� cr m > m C cn oz zcl?- ITT NJ, 133— CA M ar-O f m m mr-Z => cl 0(A m 50 Qj > > mS I> Q. 0 -4 m Ln 0 0 :3 w W 00m Nj CL 0 CL Nj I-A or 00:0 GQ 0 0 C)C C3 Gt IA 1+ 00 to to Pn %J 0 I*0 -4 M CU w W r (A co N m N to 0 m "n > 0 0 r9l t-I m =rm 5 0.42 0 03 0 W 5 4.0 ME =r Ln v 0 a v I, lu 0 ::r m = 4j M=$ m OSO ack V —= = 05m r- 0 = -1 mart's-0 (A mIn a) r* S, c M m 04, da m cu W m 0 M== :E z a 4) M m M cr,+RL% Om 1+1 go R-0 F 0 R = zw n*< 0 :E Cq 0 M 0 fr=< —M a 2 C, , CC %M 3 n LA=r CA FWM Cr'I fZ M tj IpA 22 cu 2. VL 0 > IK 0,4 to 5 @ 0 sn"'Q a) rr A m st 0 ?1 o 00 M < ti) -,0 jacr (D C O m .P W 5r- .0 FIL 0O"o CL srf m 0 r+ L" 4, o LA I-A $.A f°4' — , =,< "I tA � n . 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Questions?Please Visit us online at Page 1 `�:"•••° .. `' � contact us by Mar 12. pplelectriGcam •»� 1-800-DUAL-PPL ' •�.: (1=80D-342-57/5) '512.4.0.69014 Mar 12,201;4 #L eteub usunas M-F:Sam to-spm Your Electric Usage Profile Billing Summary (Billing details on bade} Service to: Balance as of Feb 19,2034 $0.00 REBA N MCD©NALD-ESTATE Charges: 221 RIDGE HILL RD Total PPL Electric Utilities Charges $39.73 MECHANICSBURG,PA 17050 Meter.•63307724 Total Charges $39.23 Your next meter reading is on or about Mar 19,2014. This section helps you understand your year-to-year Account Balance $39.23 electric use by month. Meter readings are actual unless PPL Electric Utilities'price to compare for your rate is 50.08754 per kWh.' otherwise Hated. This changes the 1st of Mai,Jun,Septi and Dec.Visit papowerswitch.com •2013 2014 or www.oca.state.pa.us for supplier offers- r 20 Your Message Center 16 * With paperless billing,you can receive and pay your PPL Electric Utilities bills online.The process is free, 0 12 qulck,convenient and secure.To learn more or sign up, a .8 visit pplelectiric.com. a * Information about appliance ever�Y use and tips on a saving energy are available thrau h the Energy library S c U on our Web site,pplelectric.com/e-power 3 F M A M 1 - J A s a N D . Before digging around your home or property,you a Mems should always call the state's One Call notification system to locate any underground utility lines. You can do this by simply dialing 811,which will connect you to IWI the One Call system. Be safe and call 811 before you c �� dig, Feb 2014 30 208I . '.7 23F Feb 2013 32 342 11 29F M Pgyment Methods = Feb 19 Actual 59924 Online at: By phone!1-800-342-5775 Ian 20 Actual 59716 " ppielectric.com or call BillMaWx(service fee applies) I at 1-800-671-2413 m pay using Visa, ; 30 Days kWh Billed 20.9 MasterCard,Discover or debit card. s By Mall: Correspondence should be sent to: Mar 2013 Feb 2014 3757 333 2 North 9th Street Customer Services CPG-GENN1 827 Hausman Road r Mar 2012-Feb 2013 4541 378 Allentown,PA 18101-3175 Allentown,PA 18104-9392 Other Important information on the back of this bill 4 % Questions?Please Visit us online at , Page 1 - O contact us by Jan 8. pplelectric.com 1-800-DIAL-PPL Bill Acct.No. • (1-800-342-5775) 5114Q-69014 014 :�t,r 5 ,� ,.04�t�rRr���s wx.etre ummen M-F:8am to 5pm ~° _F :tea > "Q Your Electric Usage Profile Billing Summary (Billing details on back) Service to: Balance as of Dec 18,2013 $0.00 REBA N MCDONALD Charges: 221 RIDGE HILL RD Total PPL Electric Utilities Charges $56.04 MECHANiCSBURG,PA 17050 Meter:63307724 Total Charges . $56.04 Your next meter reading is on or about Jan 20�2014. QU l.`�4.�'4 ��;;Yla .w •�1�'�+ 'c.' �4¢k�� '�+�1 4�+�„�Y�y.+jw�.7�P��Gl+.:'h '�+4'.'�wf.�?�c .<� �y�y.:U4 r. n; c�-adno'.y;,,r.•4:rk+�iw.o�,n..ams,M+:.+.n�; t:, .`3.2„�:.� ?, '+k5`.°k' r.��'.ry.l'�l. M1_s Vii'-r::int.+..�i f! ..._•:k;+�.�'� This section helps you understand your year-to-year Account Balance. $56:04 electric use byt month. Meter readings are actual unless PPL Electric Utilities' rice to compare for our rate is$0.08754 per kWh. otherwise noted. price P Y This changes the 1st of Mar,Jun,Sept,and Dec.Visit papowerswitch.com ®2012 ®2013 or wiivw.oca.state.pa.us for supplier offers. 3 20 Your-Message Center ie • With.paperless billing,you can receive and pay your . PPL Electric Utilities bills online.The process is free, u quick,convenient and secure.To learn more or sign up, $ 1611111111d visit pplelectric.com. a • Information about appliance energy use and tips on 4 saving energy are available through the Energy Library on our Web site,pplelectric.com/e- power co J F M A M J J A s O N D • Before digging around your home or property,you o Months should always call the state's One Call notification system to locate any underground utility lines: You can • Days Average do this by simply dialing 811,which will connect you to . the One Cali system. Be safe and call 811 before you Dec 2013 .30 ... .... Dec 2012 32 350 11 39.F — ` Payment Methods Dec 18 Actual 59505 Online at: By phone:1-800-342-5775 .Nov 18 Actual 59153 PPlelectric.com ©or call BillMatrix(service fee applies) at 1-800-672-2413 to pay using Visa, 30 Days kWh Billed 352 MasterCard,Discover or debit card. — ® By Mail: Correspondence should be sent to: ._ Jan 2013-Dec 2013 4031336 2 North 9th Street Customer Services CPC-GENN1 827 Hausman Road — Jan 2012-Pec 2012 4643 387. 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Account information ixwy' "^�•�"` Statement Date: 12/19/13 C€::"'t.:S::cam:.--X,:tt,;fir*!N",, •t_n' F^s:=t'!>:aG ' J77 �!a <sr y> REBA N MCDONALD SLtL Af Y:{.:+,re$ l.l:,' R!•Lv:r+::e5:.`•t:.<':.�y..•!,s_".i'•r•:0..�r l!i::Y:�2:Y :'•;7.."•?!:Y,r.rl:%i!r'' y.4i r•.!,'v'-L,';":,cSf 7: a-.:,. �.vy;:ct�i:r�•a•,y5,...r..�:�s:;v;-.:• w. .:��;n�"."'st5;:^r:�a;,,.* Phone. 717-766-8767 a::,,•�"'i.:Y�y:i/f/4� //�yy� tllq�j/jj/�F.y:..ti.y;::F�• ??k•:�;;'•;3ati.:rnT.i.{7i�i�(�1:wNaf':`•:�::n�ry'-aa-r�Cd�':9 r:ti:.4r7.'rl�ti•?!• }'L';Y±iY.tisk°:sK?F:K-A•>:fiv=.,'ti.;r .�'^C'ti^;K^C.-ia!�e.i7t:.:••Stii4i=y',,.i Account Summary •y-nF r.�."fiS^.i•'•:Ji'•.Ni.4Flr�h..ti i+:Y.ti.S.. : ..•: `.4.+y,4 y.rl':��•.�y�:_:\A=Vr=itiv '.�r'-�S':,LA:��RS{. �•:Y,.•-•iti:-Xi^l�:r,' ._ —_ _ _ _._.—_..—_...__._._..__.._.......__... _..................._.....---__•---....._ ._ ._ l t.7:ii. .�• :_>..hS1�n:S'+}.+Tib r`t•n•.�:jTtii}a''a'',4t'k;fv�i�.'•:�i\S•r T.:-'1riS•44:f1'i: ._.. .._. ;,ti,,,.�:r;....�:�:s.._,:'.....x:;•;,,r�tir•:�:;:{:•x.�::...�..,.•::�.,,,..•:,�:r=:•r.:r,;;:: Previous Balance $41.97 Payment.Received Dec 4 —$41.97 Rd k •� --_._ .1l i,.,`I,"; ....t,-�lk i.����� .� I�rI� t. .�.5`.�:t l �� Balance Forward $A0 Review.Your Services Did you know you could be eligible for savings with New Charges Verizon services?Call us at 1-866-373-6214 today. __... .67 — Verizon representatives are standing by to help review Current Activity $322. your account. Taxes,Governmental Surcharges and Fees $3.07 New FOS Deal Ends 1/18/14 Verizon Surcharges and Other Charges&Credits $10.96 Get FiOS TV Prime HD,15/5 Mbps Internet&Home Total New Charges Due by January 15,2014 $46.70 Phone for$79.99/mo.the 1st yr.,$89.99/mo.the 2nd yr.w/a 2—yr.agmt.&get a$300 Visa®prepaid card Total Amount Due $46.70 at verizon.com/fios/1yj.For other offers,call 1-888-367-4016.Avail.varies.Takes,terms,fees, RSN Fee and equipment charges apply. MS.Double Play Deal Order FIDS 15/5 Mbps Internet and Home Phone for only$79.99/mo.with t—year PRICE GUARANTEE and NO TERM CONTRACT.Limited—time offer.Call 1-888-756-4423 to place your order today. Availability varies.Taxes,terms,fees and equipment charges apply. Questions about your bill or service? Want Automatic Payment? View your bills in detail at verizon.com or call 1-800—VERIZON(1-800-837-4966). Enroll below or at Verizon.com to authorize your financial. Enter your ten digit number 717-766-8767.Use 034 it asked for your customer institution to deduct the amount of your monthly bill from identification code.Customers with disabilities call 1-800-974-6006 TTY. the account associated with your enclosed check and send payment directly to Verizon.To discontinue Automatic Payment,call Verizon.Please keep a copy of this authorization. Please return remit slip with payment. \\ Q To enroll in Automatic Payment(Sign and date below) Account Number. 717 766-8767 034 89Y ■ Amount Due: $46.70 121913 By signing above I verify that I have reviewed and Make check payable to Verizon accepted the terms and conditions at verizen.com/autopaytetms for automatic b111 payment $ EIFI 1111 0002868101 AV 0.357 VPC35411 0096 XX REBA N MCDONALD 221 ROG HL RD lul r rhlla r r rou I w du illr I I lal d r MCHNCSBRG PA 17050-1747VERIZON I I II I I III II I I III III II VIII I'I"IIII"IIIIIIII'lllllllllllllll11111'll�lll'lllllllllll'll'll PO BOX 28000 LEHIGH VALLEY PA 18002-8000 10971707668767034302802179000006000000000000000004670600000 03/03/2014 09:27 8005828051,+, r- PAGE: 04/07 • i �� �,., iso, •f.t,; ,, , .: r Account Number. Amount Due Vl< 717 766-8767 169Y 134.09 ver�on _18 ��:�,�7� 'w � nK Account ���,,,���jjj r4-rt uo-••.'s" ✓ S'rv. K 'a;Se"F?' wh;F�m ' • d�..• r�J"1 ..-R.'"1•.`• .. ':w, u )•yT' '4�' Stale ant Wil 2f19 E4 ,m _� �{1. ` REBANMCDONALO �`� .• , ��. v• Pham: 717-766-8767 ' `�:�. �,.•� .r�,; ';-�.�.. •��- <.•'�•�.�v�; Account Sum y=. ..�; .. ;�.• ,. ��•" ' 111x111 ;',, ,sp.�•:Gtir.�+`'iai•�;,� 'w� nie• rr:k;y.�.•�:r'.d'>:%�'�q -'•---•-- ' — �� s:,�', k +K Plavia�m 8e[attce $82.90 ,ti;�1:,r•5wrx.:: -•a��c rc?.•Y:d;;c.{,. s:ro�;z. .�,-:a�ss;.:is•...t..s.� „__..•.....__. ..,,.�---'•---...,... __...., __...—r ., ,• -s��• sT; Pwme*Received �— _.•— -$82.90 •'`�}S .�`�'9°''' �`�!#t!�;�j�`!• � off. 1�11d1t�FQrW$fit � Review Your Services Did you know you could be eligible for savings with New Charges Verizon eer Aces?Call us al 1-888-287-8599 to*, Current Actluity ---� � �� —� ffi20.10 Vatkzon representailves are standing by to help reviewyour account. Taxes,Goverflmental Surcharges and Fees __$2.37 RDS D0uble Play 579.99/Ino. Verizon Surcharges and Other Charges&Credits _$11.02 Order(1051515 Mbps Internet and Home Phone for To6et hoar Cprarges Dae by iwci 181;D;4— only$79.9WImo,with 1-year PRICE GUARANTEE and NO TERM COWRACG Whed-time,otfer.Cali Total Amount Due $34A- 1-888-294-7288 to place your order today. Availability varies,Taxes,terns,fees,muter tee and ��' equipment charges apply. Get More,Save More Let us help you find the right aervice at the dgM Price. Verizon offers 8 variety of options in Rhona,Internet. X value bundles,international plans and tun add-ons.GIVa us'a call at t-888-638-2218. Togather we'll find the services that fit your needs and your budget. Questlons about your bilk or service? `Want Attmntatic Paymen? Viaw your Mils in detail at vadzon.com or call 1-8tio-VEMMN{1-800-837•-4966}. Eivall belowbr at VerizoiLcom to autkiorize yout.tinanclal Enter your ten dlgit number 717•-766-8767.Use 034 6 asked fdr your customer insiltutlon to deduct the amount of your mombiy bill from identification code.Customers with diMbill les call 1-SCID-974-6096 TTY. the account associated with your enclosed check and send payment directly to Verizon.To discontinue Automatic Payment,cell Verizon.Please keep a copy of this aulhaftatton, "� Please return remit slip with payment.' f At2t 03/03/2014 09:274 8005628051 _ ,+ ts: •tr•.. , � R� }:y.} +* x..a s_. N . Account Number Amount Due r 717788-$767 1534189Y SB2.98 . •�� vel,,- on - . .t1`�'a'T.�»rti"-'.�k''`•'�i;'�.�N�}"'�'•+�*,.Ga�.r. l "'`:•"rr•Sp:1.E1:• p.�: :�Tjyr '•���-:'�ti�.tv�':.�"£'�5+Y'''1���hi L`¢"}.e Account Information 0- 9 rrc : ? AaAN MCooKko Phone: 717-766441? + -n�z Yc mi • ,Sniff'`•';:•:a �•'' r_f� A �' s;.y.d;��'?,'�Y r,+.... . r � ;' e> At count Summary i�YoyLLS'•�c��''4•'�,''w''.M2K"'..�,'",,�:acY^ l"^6'a�:: �.+%� �.'.-.rs4n count ...__ .. ...._-.. ..—..-... .. .._....._....... ..._. Previous Balance 9;Ab 7.0 ,.i?A ha` -: •st.?t`a•.n7a:�S•v:..a•;u�a»•r«:;•YSo:o'S �a.�•� i .. _.. .v'... .__ _..................,..._....._... .............. . ....... a ta:,�t •.:-"'`"i:.:!: i;�.'!�!t,r�.r_•..�al:ii••,`b4 l�'.�•::w+ftlr'yT\i 1�.•x,��r� „7"S—` � ..-. b.._o._P.a.yme,.t.t Received .e..i.v..e..d NEW' Qverdue. __... .. .. .. _... ..__...._... —..._._..-..__._.._...- -_t1„ 8alatse Please Pay blow TO Review Your Account Today' l aA AM you getting the mos!out at your Verizan service? 'ttevv charges You coWd be elicable for sadings.wlth Verizon services _ .-�_._.__.__,.__.."_... ............._,,._.___.... ._._..---•�._.....__.._.__. 01"us a call of 1-888-608-7244 for your account WYorrt fttivily' — $22.10 review.Our representatives will help you chdose the Talaas,Governmental Surcharges and fees 6246 right serViceatthe rlghlptipe• _._...--_...__........---............... ..___.........._ .._...._..._......__..�_...�.,. Verizon Surcharges and Other Charges&Credits $11.64 Online Quantum-Bundle heal Inat Her»charses'aue 5y February 13.2014 3116.20 Visit verizon.com/fios/4mc to ger FlOS(luardum 60/25 Mbps Internet,1V Prime HO$Phone at$89.99/ma, Total Amount Doe , $8290 your 1,$99.99/mo.yr:2&$250 Visa(&prepaid card w/2-yr.atimt.Ltd.-time otter.Call 1-888--375-8067 for other deals.Avail.varies. ( Y Taxes,terms,fees,RSN&router tees&equip. charges apply. FIOs Double Play$79.99/mor Order FIGS 1515 Mbps Internal and Home Phone for only$79.991mo.with 1-year PRICE GUARAWEE and NO TERM COWRACT.Winited-time offer.Call 1-884-756-4424 to place your order today. Avaiilability vatlae:Taxes,terms,router fees and eaulp:mom ciraruea apply. Want AIf20maf1c Payment? questions about your bill or service? 'View your bills in daleil at verizoWcom or call 1-too-VERIZON(1-.800-837-4966). Enron below et at vaflton;com to authorize your Imincial Enter your ten digit number 717-7866-8767.Use 034 if asked for your customer Instiluiion to deduct The amount of your monthly bill from identification code.customers with disabilities call 1-800-974-6006TtY. the account associated with your enclosed check and send payment directly to Verizon.To discontinue Automatic Paymem,call Verizon,Please keep a copy of this authorization. . e Please return comb stip with paymen �.a(y ar " _ 'ft lr,'1•i'+r.Qt`%'v 2.,`t e ,j+�'�.i. ... 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CL0 t0920 I m 4 2 y 0 c A w o � 1 A I o�Fn O y F N AV d Z 1 0 O C O O=r M o • cn W N tNJ .N► Or 01' r O' O N co O S SUPERIOR PLUS ENERGY SERVICES HARR 80 SOUTH 40TH STREET HARRISBURG, PA 17111 TEL: (717) 564-1440 FEIN 16-073635 ---------- BILL TO --------------- REBA N MCDONALD 221 RIDGE HILL ROAD MECHANICSBURG PA 17050-1747 ---------- DELIVER TO ------------ REBA N MCDONALD 221 RIDGE HILL RD MECHANICSBURG PA 170501747 DATE 01/02/14 START COUNT . 0.0 GALLONS END NET COUNT 195.0 GALLONS 'NET DELIVERY 195.0 GALLONS DC DISTILLATI GALLONS CORRECTED TO 60.0°F SALE NUMBER 34951 METER NUMBER 367680 UNIT ID 461 Check if not full [ ] x Signature ------------ INVOICE ------------- Invoice No 751721 �Ix Account No 346355-1 �` Date Delivered 12:28 1/2/14 Gallons Delivered 195.0 Driver No 251 Truck No 3163 ` L Ml� <FILL PER CUST,ON 1/2....VLT> <Dyed Unmarked Heating Oil> <Not for use in Highwap <Locomotive or Marine Engines.> HEATING FUEL #2 779.81 <195.0 Gallons @ $3.999> TOTAL $ THIS DELIVERY $779.81 Balance $779.81 779.81 5 D m m0 O �/■ �� NIm aD o w z . a z fu • vtm Q ID rn pz r'o� wz OD�G r /� Z D p C 'v vi P1 r � ¢ fD m p y mm O_ H{A 22 m .� O m z r IA C pm 7m0 'Q' D di fn rO i N Ln H WIm < C G I N Z i d ((D s 1 71 1 3 w ch O C w O 0 C O t J t-M Z O VI ? p SDC W �_<':v.._ o n ]IWA C pIA � Oc D O io Z C ..=..� ..,5 �.o. c c v+C v+A o O O Z o co to 140, Z M. ' O. C a y.00 0' wO�i G=10 Cl-r io ,n.' m n D 01 o N 00 v m vt< AIA [j�e tC Z mtmcmaz o M 00 o <m LA CL CL 6 c < 'r ccIc nID n FeMA � o a o cn MW o4-hL az i+ z 9 0) c a � m pZ .� �. n"+4,b:m zc O NO S.O O ti Vf �m a m-DI n p C m GGIm -n 1 S v rr," m Z r m on m-i � u D cl Am 0 Let WIM to cr O w Db cn W CD G W Z O VI A i LLJI p g: i2 R FCS: c o 13 E- c m m n ^ 1 Ooo .��4Z'1C-C_i. o. m a rn� CQo 7 c Z wJ m O a pj ELM cLG V -p fm'1 D Oo Z W m G1 0 G)r tD f1 00 o 00 c w to t3D D o_of w {C 2 m Qpm =�Z oo wcro a o � m o z noo o CL`��' a N, 'r to d v � � I w 03/04/2014 06:58 8005828051 PAGE 02102 INVOICE Invoice Number. 0002659481 Penn Waste, Inc. Page Number. 1 of 1 PO Box 3D66 Date: 2/28/2014 York,PA 17402 Account Number: RS015034 www.pennwaste.com Site Number: 0000 m Phone(717)767.4456 Reference: TollFree 1-(866)575.8720 v Fax(717)767.4285 Invoice Total: $38.14 Total Due: $38.14 iso= .http://pennwaste.billtrust.com QKS PPP HFL 367751 AV 0.381 E0245X 10248 0888335672 P1841660 0001:0001 , lunll�lu�lnlnJill 1111111111111111111IJill III III IlrlltIuIIII r r. In a rush 'ISM 221 RIDGEE HILL REBA N LD : Visit pennwastakilltrust cam HILL RRD �• MECHANICSBURG PA 17050-1747 d make o One Time Payment. No usemame or password needed[ Cade Description Date Reference Quantity Amount (0001) REBA N MCDONALD 221 RIDGE HILL RD MECHANICSBURG,PA 01 Curbside Trash&Recycling 02/28/14 1.00 38.14 32.00GA 4/112014-6130/2014 For Informetion on collection updates,holiday schedules and recycling,visit Current 30.60 Das 61-90 Days Over 90 Days our website at www.pennwaste.com and sign-up online to receive our eNewsletterl $38.14 $0.00 $0.00 $0.00 s _ z«� . \ § / _ § . o = > � % e >Oz _ \ \ � ) 0 q7 �m o §_ k � §� a)io . . Er ` . . � § Xm§ __ 4 k � I 00 ��� § ■ k0 00 � § E 2 _ ■ . o # § q r ° �■22 �� � . § m 9 = §2 �gva � / ? k . a�kCD ef� z ■§kB § 2 = CDp . 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N f rn OZI �p7�� to N b2y. � � G � mx �'Z, � �•a to p v • pU - m w rnm its 01 to yt O O • ,,,� rn 7' m a O "� A w p � • tr .> t w A 03/03/2014 09:27 8005828051 PAGE 07/07 DEBRA BASEHORE WEST,TAX Cat1>=CTOR TAXPAYER'S COPY 289 DRIVE MECHANICSBURG,PA 17050-2635 KEEP THIS PORTION FOR YOUR RECORDS TEMP-RETURN SERVICE REQUESTED i OFFICIAL + COUNTY, • ! AM 5 ulf�ll�'Il�ll��lll�rillni'��1��Il�r���t�l(rl�l�ll`t0'�1i1116�111 058722'"""" ""**'**AUTO-6-DIGIT 17060 11 lilt 221 RIDGEDRILL�RDN 111111 111111:1111111-11111111 MECHANICSBURG PA 17050-1T47 To review the assessment data for this property, go to: www.courthouseonline.com>Assessmentoffice>Cumberland>PropertyRecords. Then enter control# 38002416 and Pa"w0rd CUNMELYP Payable To: DEBRA BASEHORE WIEST.TAX COLLECTOR Office Hours: MONDAY 9.12;TUESDAY 9-11 AM 269 WOODS DRIVE ALSO 4123 4-612M&4130 SAM-5PM MECHANICSBURG,PA 17050-2635 CALL FOR HOURS AFTER MAY 1 BIII No: 3995 PHONE(717)6974294 Bill Date: 311114 Control No: 38002418 MAP NO: 30.18-1344.022. Oesc: 221 RIDGE HILL ROAD Assessed value: Land:76,000 Improvement*9M08 Total:170,400 lq- 8.LOCUST POINT ROAD Discount ace ena LAND APPROX 1 ACRE County RE 2.195 $366.56 2374.03 Ades 1.04 Dead 0014Z00066 County Lib 0.143 623.88 $24.37 $26.81 Munic.Rll� 0.8045 $134.35 $137.09 $160.90 "$1.00FEER ADDITIONAL RECEIPTS Ta MCDONALD,REBA NTAX AMOUNT DUE 5524.78• $635.49 $S89.04 221 RIDGE HILL RD MECHANICSBURG PA 17050-1747 If Date Of Payment is on 413 SM/14 thru 6130114 IaLttaLkater -.............................ss s..........................a.........................................................................................a....................r......•...........................r...r.........................................................r.....................r........ 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